MVP Health Care
Industry: Company
DescriptionFounded: 1982 Chief actuary: Kathleen Fish Subsidiaries: MVP Health Plan, Inc., Hudson Health Plan, Inc., Mvphp Holding Company, Inc. VPs: Patricia Deferio, Judith Feld (MPH, MMM, Behavioral Health),
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MVP Health Care Employees
NYISO May 2011 - Present
NYISO March 2008 - May 2011
MVP Health Care July 2007 - March 2008
M+W Zander / Total Facility Solutions October 2006 - July 2007
Total Facility Solutions January 2006 - October 2006
M+W Zander FE UK Limited August 2005 - December 2005
Skills
A+ Certified, Network+, Software Documentation, Servers, Troubleshooting, Analysis, Process Improvement, Visio, Information Technology, Requirements Analysis, Vendor Management, Disaster Recovery
Education
New Horizons 2006 — 2007
Network Systems & Security Professional Program
Manchester Community College 1997 — 1999
A.S., Graphic Design
The University of Connecticut 1994 — 1996
Mechanical Engineering
MVP Health Care November 2013 - Present
MVP Health Care May 2012 - November 2013
MVP 2006 - 2012
Preferred Care 2001 - 2006
Skills
Medicare, Business Requirements, Change Management, Benefits Administration, Project Management, Medicaid Managed Care, CMS Stars Management, Health Promotion, Product Management, P&L Responsibility
Education
Niagara University 1983 — 1987
Bachelor's degree, Marketing
HR Works, Inc. 2013 - Present
Paychex 2012 - 2013
Rochester General Health System 2007 - 2011
MVP Health Care 2003 - 2007
YMCA of Greater Rochester 2000 - 2003
Skills
Compensation Analysis, HRIS, Benefits Administration, Salary Benchmarking, Pay For Performance, Job Description..., Reward and Recognition, Curriculum Development, Training and Orientation, Recruitment/Talent..., Merger and Acquisition, Affirmative Action/EEO, New Hire Orientations, Human Resources, Job Analysis, ADP Payroll, Benchmarking, Job Descriptions, Applicant Tracking..., Employee Benefits, Outlook, Deferred Compensation, Employee Relations, HR Policies, Onboarding, Leadership, Payroll, Policy, Affirmative Action, Workforce Planning, Talent Acquisition, Succession Planning, Performance Management, Compensation & Benefit, Talent Management, Employee Engagement, Personnel Management, Pay for Performance, Compensation, Training, Compensation
Education
Roberts Wesleyan College 2004 — 2005
Master's, Strategic Management
Roberts Wesleyan College 1997 — 1999
Bachelor's, Business Administration
Monroe Community College 1995 — 1997
Associate's, Business Administration
Greece Athena HS
Bechtel Marine Propulsion Corporation September 2012 - Present
ABJ Management (McDonalds) January 2009 - Present
Bechtel Marine Propulsion Corporation September 2010 - September 2012
UnitedHealth Group November 2008 - September 2010
MVP Health Care May 2008 - November 2008
New York Inst. Of Technology March 2008 - May 2008
MVP Health Care 2008 - 2008
Skills
Active Directory, Visio, Windows Server, VMware, Vendor Management, Process Improvement, MS Project, Microsoft Office, Microsoft SQL Server, Change Management, Project Management, Business Process..., XP, SDLC, Servers, Windows 7, Troubleshooting, SharePoint, Team Building, Network Administration, Security, System Administration, Technical Support
Education
Western Governors University 2012 — 2014
Master of Science (M.S.), Computer and Information Systems Security/Information Assurance
New York Institute of Technology-Old Westbury 2003 — 2008
Bachelor's Degree, Information Technology
MVP Health Care April 2013 - Present
Rose & Kiernan, Inc. November 2009 - April 2013
Marshall & Sterling 2005 - November 2009
Greater Southern Dutchess Chamber of Commerce 2006 - 2009
MVP Health Care 2000 - 2005
Skills
Employee Benefits, Insurance, Dental, Health Insurance, Customer Relations, Disability Insurance, Leadership, Life Insurance, Health Savings Accounts, Customer Service, Healthcare, Selling, Dentistry, Payroll, Term Life Insurance, Sales, Long-term Care, Property & Casualty..., Business Planning, Commercial Insurance, Brokers, Small Business, Account Management, Underwriting, Umbrella Insurance, Legal Liability, Professional Liability, Claim, Customer Retention, Liability
Education
Mount Saint Mary College 1989 — 1993
BA, Psychology
Catalyst December 2012 - Present
MVP Health Care August 2012 - December 2012
Catalyst May 2011 - August 2012
Visiting Nurse Service of Rochester September 2009 - May 2011
Catalyst Direct April 2009 - February 2010
Cool Rochester June 2009 - October 2009
Monroe Community Hospital Foundation February 2009 - September 2009
Catalyst Direct May 2006 - November 2008
Equient July 1998 - April 2006
JCPenney August 1989 - October 1994
Education
Rochester Institute of Technology 1983 — 1988
BS, Marketing
Monroe Community College
AAS, Data Processing/Computer Programming
Rochester Institute of Technology
BS, Environmental Management
Rochester Institute of Technology
Public Relations Courses
AmeriHealth Caritas June 2015 - Present
Pinpoint IT Services/ Wellpoint July 2014 - April 2015
High Point Solutions/BCBS of TN April 2013 - December 2013
HealthNow New York Inc. November 2012 - February 2013
MVP Health Care June 2009 - November 2012
Rocky Mountain Health Plans August 2002 - June 2009
QML Pathology March 2001 - May 2002
Skills
NetworX 4.31, NetworX 4.51, NetworX 4.71, NetworX Provider..., NetworX Provider..., Facets Claims Payment..., NetworX Provider..., Facets back end tables..., Processing Control..., NetworX, Contract Pricing, Problem Solving, Claim, Access, Macess, Provider Relations, Medicaid, HIPAA, Quality Assurance, Medicare, Contract Management, Provider Networks, Healthcare Information..., ICD-10, Health Insurance, Cerner, Testing, Requirements Analysis, Managed Care, Process Improvement, ICD-9, SDLC, Business Analysis, Vendor Management
Education
Odessa College 1992 — 1995
Associate Applied Science, Clinical Laboratory Science
Odessa College 1989 — 1992
Associate Arts, Business Administration
Cigna January 2013 - Present
Cigna January 2012 - January 2013
Cigna June 2010 - January 2012
Penn State University September 2007 - June 2010
MVP Health Care May 2008 - August 2009
Penn State University September 2007 - May 2009
Preferred Care May 2007 - August 2007
Skills
Visio, Data Analysis, SQL, Access, Microsoft Office, SharePoint, Process Improvement, Project Management, Microsoft Excel, Java, HTML, SDLC, Databases, Business Analysis, PowerPoint
Education
Penn State University 2006 — 2010
BS, Information Sciences and Technology, Health Policy Administration
WellCare Health Plans December 2014 - Present
Deloitte Consulting LLP January 2014 - December 2014
Lovelace Health Plan October 2012 - December 2013
MVP Health Care 2011 - October 2012
MVP Health Care September 2007 - August 2011
MVP Health Care May 2005 - August 2007
Keane 1996 - 2005
Kemper Insurance 2000 - 2001
General Electric 1986 - 1993
Skills
Business Process..., Management, Business Analysis, Healthcare, Health Insurance, Project Management, Vendor Management, Insurance, Business Requirements, Process Improvement, SDLC, Medicare, Requirements Gathering, Requirements Analysis, Program Management, Project Planning, Training, Visio, Change Management, PMP, Provider Relations, PMO, Analysis, Business Process, HIPAA, Software Documentation, Data Analysis, Business Development, Integration, Quality Assurance, Cross-functional Team..., Healthcare Industry, Human Resources, Technical Writing, Risk Management, Business Intelligence, Healthcare Information..., Managed Care, Leadership, Project Portfolio..., Resource Management, Testing
Education
State University of New York College of Environmental Sciences and Forestry 1993 — 1995
MS, Environmental Science/Information Systems
University of San Francisco 2009 — 2010
Master Certificate, Internet Marketing
Le Moyne College
BS, Management of Information Systems
Fidelis Care June 2015 - Present
MVP Health Care 2005 - June 2015
MVP Health Care 2004 - 2005
MVP Health Care 2002 - 2004
MVP Health Care 2000 - 2002
University at Albany 1990 - 2000
Skills
Healthcare, SDLC, Business Requirements, Process Improvement, Requirements Gathering, PMP, PMI, Project Planning, Visio, PMO, Information Technology, Management, Project Management, Change Management, MS Project, Program Management, Requirements Analysis, Six Sigma, Software Documentation, Business Analysis, HIPAA, Project Delivery, ICD-10, Healthcare Information..., Business Process..., Vendor Management, Disaster Recovery, Project Portfolio..., Software Project..., Integration, IT Management, Business Process, Quality Assurance, Resource Management, Business Intelligence, Systems Analysis, IT Strategy, Business Process..., Software Implementation, Cross-functional Team..., Data Warehousing, ITIL, User Acceptance Testing, Enterprise Architecture, IT Service Management, Process Engineering, Health Insurance
Education
The Sage Colleges-Sage Graduate School 1980 — 1983
MS, Public Administration (Health Administration Minor)
Ithaca College 1974 — 1978
BS, Health Administration
Executive Health Resources August 2005 - 2014
MedLearn 2003 - August 2005
Treo Solutions 1999 - 2003
MVP Health Care 1994 - 1998
Albany Medical Center 1987 - 1998
Skills
Managed Care, Healthcare Consulting, Healthcare, EHR, Healthcare Information..., Healthcare Management, Hospitals, Utilization Management, Leadership, Salesforce.com, Medicaid, Medicare, EMR, Management, Solution Implementation, Case Managment, Employee Training, Team Management, Program Implementation, Public Speaking, Published Author, Project Management, Revenue Cycle Management, Microsoft Office, Organizational Culture, Christian Ministry, Management Consulting, Team Building, Team Leadership, Registered Nurses, Denial and Appeals..., Business Process..., Strategic Hiring, Interviewing Skills, Staff Development, Acute Care, Process Improvement, Case Management
Education
Albany Medical Center School of Nursing
Registered Nursing/Registered Nurse
Mid-America Christian University
Management and Ethics, GPA 3.9
The College of Saint Rose
Nursing Education
basys, inc. December 2013 - Present
hCentive, Inc. February 2013 - September 2013
Accenture February 2010 - February 2013
Amerigroup Corporation March 2009 - February 2010
Blue Cross Blue Shield of Rhode Island January 2009 - March 2009
MVP Health Care September 2008 - December 2008
BackOffice Associates January 2008 - August 2008
The TriZetto Group June 2007 - December 2007
The Regence Group January 2006 - May 2007
SRM Radiant May 2001 - July 2004
Skills
SDLC, Requirements Gathering, Requirements Analysis, Business Analysis, Healthcare Consulting, Health Information..., Program Management, Project Management, MS Project, Integration, IT Strategy, Visio, Business Intelligence
Education
Florence English School
Florence English School
McNeese State University
MS
University of Mysore
Bachelor of Engineering (B.E.)
MVP Health Care March 2010 - August 2012
Wegmans Food Markets June 1999 - June 2009
Skills
Healthcare, Quality Patient Care, Direct Patient Care, Mental Health, Customer Service, English, Teaching, Windows, Microsoft Excel, Microsoft Word, Outlook, PowerPoint
Education
Monroe Community College 2012 — 2013
Associate's degree, Registered Nursing/Registered Nurse
SUNY Geneseo 2003 — 2006
Bachelors degree, Psychology
University of Rochester Medical Center February 2014 - Present
Rochester General Health System June 2012 - February 2014
ACM Global Central Laboratory July 2011 - June 2012
HEALTHeLINK November 2010 - July 2011
MVP Health Care June 2009 - December 2010
GRIPA (Greater Rochester Independent Practice Association) August 2006 - March 2009
Skills
Data Integration, Analysis, Requirements Analysis, Data Quality, Healthcare Information..., HL7, Clinical Information..., Healthcare IT, EHR, Integration, Visio, SQL Server, Epic Bridges, Rhapsody, Informatics, HTML, Microsoft SQL Server, Health Information..., Requirements Gathering, Healthcare, SDLC, Visual Basic, Oracle, Crystal Reports, Software Documentation, Epic Systems, Systems Analysis, HIPAA, CPOE, EDI, EMR, SharePoint, Cerner, Business Analysis, Information Technology, Ambulatory, Healthcare Industry, Linux, Hospitals, Process Improvement, Software Project..., SQL, Access, Business Intelligence, Troubleshooting, Data Analysis, Meditech, Databases, Healthcare Consulting, Data Modeling
Education
State University of New York Empire State College
Bachelor of Science, Business, Management, and Economics
Jones College-Jacksonville
Associate of Science (A.S.), Mathematics and Computer Science
SCA Americas 2006 - Present
MVP Health Care 1990 - 2002
The Michaels Group Homebuilders 1988 - 1990
Wolkcas Advertising 1987 - 1988
Bozell, Jacobs, Kenyan & Eckert 1986 - 1987
Skills
Public Relations, Executive Communications, Strategic Communications, Corporate Communications, Advertising, Internal Communications, Media Relations, Marketing Communications, Integrated Marketing, Crisis Communications, Community Relations, Event Planning, Strategic Planning, Communications Strategy
Education
Northwestern University 1985 — 1986
Masters, Integrated Marketing Communications
Syracuse University 1981 — 1985
B.S., Advertising
Syracuse University 1981 — 1985
B.S., Consumer Studies
Samaritan Hospital June 2012 - Present
Ellis Hospital June 1990 - June 2012
MVP Health Care April 1989 - May 1990
Skills
Budgets, Teaching, Healthcare, Photoshop, Healthcare Information..., EMR, HIPAA, Management, Medical Terminology, HTML, Very organized, timely,..., ICD-9
Education
Maria College of Albany 2007 — 2010
Nursing
Schenectady County Community College 1990 — 1992
Associate of Arts and Sciences (A.A.S.), Paralegal
MVP Health Care December 2014 - Present
Hudson Health Plan June 2009 - November 2014
infoUSA June 2006 - January 2009
Mokrynski and Associates January 2000 - January 2006
Skills
Compliance, Healthcare, Medicaid, HIPAA, Project Management, Microsoft Office, Web Content, Direct Marketing, Customer Retention, Managed Care, Process Improvement, Health Insurance, Medicare, Healthcare Information..., Health Policy, Contract Negotiation, Strategic Planning, Policy, Hospitals
Education
Mount Saint Mary College
Bachelor of Arts (B.A.), Communication and Media Studies/Business Minor
Advanced Device Access Management, LLC March 2010 - August 2015
ECS June 2014 - January 2015
Upstate Medical University October 2009 - August 2014
Self Employed January 2007 - November 2009
MVP Health Care October 2007 - July 2009
Skills
Medical Billing, Medical Coding, Physician Coding, Medical Terminology, Medical Transcription, Microsoft Office, Epic Systems, Microsoft Excel, ICD-9-CM, Medicare/Medicaid..., CPT, ICD-10, Healthcare Reimbursement, Prior Authorization, Health Insurance, Referrals, Physician Relations, Healthcare, Appointment Scheduling, EMR, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, Strategic Planning, Budgets, Healthcare Management, Medical Devices, Medical Records, Kronos Timekeeping, Medical Manager, Groupwise, Dictaphone, Lotus Notes, AS400 system, Internet, Insurance, Medicaid, Medicare, ICD-9, HCPCS, Time Management, HIPAA, Claim, Provider Relations
Education
State University of New York College of Agriculture and Technology at Morrisville 2013 — 2014
Current Attending, Medical Insurance Specialist/Medical Biller
Mohawk Valley Community College-Utica Branch 2000 — 2005
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
MVP Health Care 2014 - Present
Hudson Health Plan 2003 - 2014
DoubleClick 2002 - 2003
Tribeca Software 2000 - 2002
Primary Knowledge 1999 - 2000
Yoyodyne Entertainment/Seth Godin Productions 1996 - 1999
Sybase 1994 - 1996
Digital Equipment Corporation 1987 - 1994
Skills
Account Management, Public Speaking, Grant Writing, Healthcare, Project Management, Nonprofits, Editing, Process Improvement, Marketing Communications, Business Development, Fundraising, Community Outreach, Event Management, Online Marketing, Business Analysis, Research, Public Relations, Social Media Marketing, Program Development, Strategic Planning, Event Planning, Social Media, Marketing, Copy Editing, Leadership, Program Management, Strategic Communications, Newsletters, Healthcare Information..., Strategy, Healthcare Management, Marketing Strategy
Education
New York University 1974 — 1978
BA, Classical Languages, History & Literature of Religion
SEI March 2011 - Present
MVP Health Care May 2010 - March 2011
Wellmark BlueCross Blue Shield, IOWA August 2007 - April 2010
Skills
SQL, Unix, Oracle, SOA, Enterprise Architecture, XML, Visio, AIX, Solaris, Unix Shell Scripting, Agile Methodologies, Databases
Education
Osmania University
Bachelors
Villanova University
Masters
MVP Health Care November 2014 - Present
University of Rochester Medical Center October 2013 - December 2014
Rochester Regional Health System April 2009 - December 2013
Skills
Reliability, Community Outreach, Marketing Communications, Presentation Skills, Team Leadership, Event Management, Health Insurance, Case Management Services, Enrollment Management, Exceeding Customer..., Exceeding Quotas, Salesforce.com, Mental Health, Substance Abuse..., Medicaid, Medicare, Affordable Care Act, Healthcare Reimbursement, Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop
Education
Monroe Community College 2014 — 2015
Human Services, Liberal Arts and Sciences/Liberal Studies
John Marshall High School
Saratoga & North Creek Railways March 2014 - August 2015
MVP Health Care October 2012 - May 2013
Department of Defense Education Activity 2006 - 2010
New York State Canal Corporation 1998 - 2006
Imperial Pools, LLC 1995 - 1996
Skills
Community Economic..., Non-profit Program..., Community Outreach, Advertising, Marketing Communications, Public Relations, Educational Leadership, Cross Cultural..., Destination Marketing, Destination Branding, Large-scale Event..., Travel Writing, Hospitality Management, Educational Program..., Leadership Development, Economic Research, Sponsorship, Media Relations, Public Policy, Event Management, Market Research, Public Speaking, New Business Development, Business Development, Leadership, Marketing, Corporate Social..., Program Management, Strategic Communications, Government, Budgets
Education
Manhattanville College 1988 — 1992
Bachelor of Arts (B.A.), International Relations and Affairs
Mphasis 2014 - 2015
Erie Insurance Group August 2014 - November 2014
Verizon Information Services October 2013 - July 2014
Commonwealth Financial Network March 2013 - September 2013
MVP Health Care January 2013 - March 2013
Verizon Information Services July 2011 - December 2012
Mastech July 2011 - September 2012
IMM January 2010 - July 2011
NRA Business Alliance August 2009 - December 2009
National Rifle Association August 2009 - December 2009
Skills
.NET, SSRS, SQL Server, VB.NET, ADO.NET, TFS, XML, C#, Microsoft SQL Server, IIS, LINQ, ASP.NET, Web Services, T-SQL, SOA, WCF, Agile Methodologies, SDLC, Web Applications, SQL, Visual Studio, JavaScript, AJAX, SharePoint, Scrum, Databases, UML, ASP.NET AJAX, SSIS, Java, CSS, VBScript, Test Driven Development, XSLT, HTML, WinForms, MVC, Eclipse, Unit Testing, Microsoft Office...
Education
National Institute of College (Regional Engineering College) 2002 — 2006
Bachelor, Information Technology
National Institute of Technology Durgapur 2002 — 2006
B.Tech, Information Technology
Army School 1989 — 1999
NIT, INFORMATION TECHNOLOGY
Finger Lakes Performing Provider System September 2015 - Present
Excellus BCBS December 2012 - September 2015
RCIPA/RochesterHealth.com November 2009 - April 2012
MVP Health Care 2008 - 2009
MVP Health Care 2006 - 2008
Preferred Care 2003 - 2006
Preferred Care 1998 - 2002
Skills
Public Relations, Regulatory Affairs, Strategic Planning, Managed Care, Provider Relations, Social Media, Medicare, Health Insurance, Research, Customer Relations, Copywriting, Excel, Event Management, Healthcare, Microsoft Office, Non-profits, Newsletters, Problem Solving, Corporate Communications, Event Planning, Program Facilitation, Government Contracts, Contract Management, Customer Service, Medicaid, Program Management, Insurance, Nonprofits, Management, Training, Healthcare Industry, Analysis, Project Management, HIPAA, Network Development, Health Policy, Coaching, Healthcare Consulting, Employee Benefits, Healthcare Information...
Education
State University of New York College at Brockport 1990 — 1992
BS, Psychology
Monroe Community College 1988 — 1990
AAS, Liberal Arts with Social Sciences Concentration
Bishop Kearney 1984 — 1988
Allied Electronics July 2014 - Present
ACC Business October 2013 - July 2014
Allied Electronics January 2013 - July 2013
Excellus BCBS August 2009 - December 2012
AP Professionals July 2008 - August 2009
MVP Health Care April 2008 - August 2009
Preferred Care August 2008 - March 2009
Cox Enterprises December 2007 - May 2008
Cox Enterprises December 2003 - November 2007
Auto Trader Publishing February 1997 - November 2007
Skills
Data Entry, Adobe Acrobat, Kronos Timekeeping, Cactus, Inventory Management, Recruiting, Non-profits, Medical Staff..., Health Insurance, Microsoft Office, SAP, Customer Service, Administrative Support, PeopleSoft, Office Management, Problem Solving, Administrative..., Outlook, Management, SAP CRM, Microsoft Excel, Interviews, Call Centers, Analysis, Sales, Insurance, Time Management, Teamwork, Accounts Payable, Access, Fundraising, Lotus Notes, HIPAA, Market Research, New Hire Orientations, HMO, Invoicing, Administration, Payroll, Employee Relations, CRM, Employee Benefits, Software Documentation, Customer Satisfaction
Education
Monroe Community College 1986 — 1988
Associate of Arts Degree, Communication and Media Studies
MVP Health Care 2011 - Present
The Bonadio Group 2010 - 2011
GE Capital 2009 - 2010
PricewaterhouseCoopers 2004 - 2009
Electronic Data Systems 2001 - 2004
Education
Niagara University
Premise Health - Onsite Health Programs January 2010 - Present
MVP Health Care September 2006 - January 2010
Garlock Sealing Technologies May 2005 - August 2006
Ortho Clinical Diagnostics April 2000 - May 2005
Xerox January 1999 - April 2000
CONTINUING DEVELOPMENTAL SERVICES, INC April 1999 - August 1999
Garlock Sealing Technologies April 1997 - September 1998
MARY M. GOOLEY HEMOPHILIA CENTER January 1993 - January 1997
Highland Hospital January 1987 - January 1993
East Rochester School District January 1990 - January 1992
Skills
Health Promotion, Healthcare Management, Nursing, Healthcare, Health Education, Training, Cpr Certified, Occupational Health, Case Managment, Hospitals, Clinical Research, Public Speaking, EMR, Policy, Patient Safety, Wellness, Medicine, Medicaid, Healthcare Information..., HIPAA, Leadership, Case Management, Medicare, Public Health, Strategic Planning, Workers Compensation, Process Improvement
Education
Monroe Community College
AAS Nursing, Nursing
Smart IT Staffing February 2013 - Present
HealthAll Consulting November 2012 - January 2013
Professional Data Dimensions July 2012 - September 2012
Upp Technology, Inc. May 2011 - March 2012
Oleen Pinnacle Healthcare May 2000 - April 2011
MVP Health Care September 2010 - December 2010
Keystone Mercy Health Plan March 2010 - September 2010
Amerigroup Corporation 2004 - February 2009
Keystone Mercy Health Plan 2001 - 2004
Maricopa Integrated Health System November 2003 - November 2003
Skills
Medicare, Medicaid, Healthcare, Claims, Requirements Analysis, Healthcare IT, Business Analysis, Health Policy, HIPAA, Healthcare Information..., Claim, Training, Managed Care, SharePoint, Employee Benefits, Software Documentation, Healthcare Consulting, SDLC, Access, Analysis, Process Improvement, Visio, Databases, Business Requirements, Requirements Gathering, Business Intelligence, Vendor Management, Testing, Integration, EDI, Data Warehousing
Education
University of Phoenix 2006 — 2007
Business
Lamar University 1986 — 1989
Miami University 1970 — 1971
Business
Career Academy of Broadcasting 1970 — 1970
Broadcasting, Broadcasting
Garfield High School 1969 — 1970
MVP Health Care July 2002 - Present
MVP Health Care February 2002 - Present
Skills
Medicare, Medicaid, Managed Care, HIPAA, Health Insurance, Utilization Management, Provider Relations, Healthcare, Claim, Insurance, Health Policy, Case Management
Education
University of Rochester School of Nursing 1972 — 1974
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse
Keuka College 1970 — 1972
Affinity Health Plan May 2015 - Present
MVP Health Care November 2014 - May 2015
Hudson Health Plan August 2013 - November 2014
Hudson Health Plan October 2008 - August 2013
Skills
Nonprofits, Community Outreach, Public Speaking, Leadership, Healthcare, Customer Service, Program Development, Strategic Planning, Policy, Healthcare Management, Event Planning, Managed Care, Healthcare Information..., Fundraising, Event Management, Youth Ministry, Strategic Partnerships
Education
Nyack College 2004 — 2008
Bachelor's Degree, Business Administration and Management, General
MVP Health Care May 2009 - Present
Gina Militello, LMT March 2006 - Present
Mane Attraction Salon and Spa October 2008 - November 2010
Bergen Chiropractic November 2008 - March 2009
Skills
Trigger Point Therapy, Reflexology, Medical Massage, Pregnancy Massage, Swedish massage, Raindrop Technique, Swedish, Essential Oils, Relaxation, Healing, Healthcare, Holistic Health, Swedish Massage
Education
Academy of Massage Therapy 2005 — 2006
Clinical Massage Therapy, Swedish Massage, Shiatsu, Reflexology, Pregnancy Massage, Raindrop Therapy & Energy Work
Mohawk Valley Community College 1993 — 1995
Associates Degree, Liberal Arts - Math and Sciences
SEFCU December 2011 - Present
MVP Health Care November 2010 - December 2011
Einhorn, Yaffee, Prescott February 2009 - November 2010
nfrastructure technologies April 2008 - February 2009
RadioShack January 2007 - April 2008
Skills
VMware Infrastructure, Windows System..., SAN administration, Microsoft Exchange, Linux System..., Active Directory, Certificate Services, Database Administration, Shell Scripting, Perl Script, Performance Tuning, DNS management, Powershell, VBScript
Education
The Sage Colleges-Sage College of Albany 2010 — 2012
Bachelor, Computer Information Systems
ITT Technical Institute-Albany 2008 — 2010
Associates Degree, Computer Network Systems
Population Health Systems 2013 - Present
Center for Medicare and Medicaid Innovation CMS 2010 - 2013
Vermont State Legislature 2007 - 2010
MVP Health Care 1997 - 2007
Skills
Strategic Planning, Healthcare, Public Policy, Healthcare Information..., Management Consulting, Program Management, Policy, Microsoft Office, Program Development, Community Outreach, Change Management, Government, Research
Education
Massachusetts Institute of Technology 1967 — 1970
Doctor of Philosophy (PhD), Urban Studies/Affairs
Massachusetts Institute of Technology 1965 — 1966
Master's Degree, Aerospace, Aeronautical and Astronautical Engineering
Massachusetts Institute of Technology 1961 — 1965
Bachelor's Degree, Aerospace, Aeronautical and Astronautical Engineering
St Michael's College, colchester vt
Master's Degree, Education
Ellis Medicine August 2012 - Present
MVP Health Care June 2008 - August 2012
The Community Hospice December 1988 - June 2008
Skills
Certified Case Manager, Certified Health and..., Utilization Management, Case Managment, Medicare, Disease Management, Nursing, Healthcare, Medicaid, Managed Care, Healthcare Management, Home Care, Utilization Review, Inpatient, Hospitals, Health Insurance, HIPAA, Provider Relations, Medical Case Management, Medical/Surgical, EMR, Health Education
Education
Maria College of Albany 1982 — 1984
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse
MVP Health Care July 2005 - Present
Preferred Care March 2000 - July 2005
Preferred Care February 1996 - 2000
Preferred Care January 1995 - January 1996
Preferred Care October 1994 - December 1994
Skills
Health Insurance, Medicare, Medicaid, Insurance, Managed Care, Sales, Public Speaking, HIPAA, Claim, HMO, Healthcare, Medicare Presentations, Medicare Part A & B, Medicare Advantage Part..., Medicare Part D..., Health Savings Accounts, Employee Benefits
Education
Albion Senior High
Monroe Community College
Gerontology Certification
TEKsystems on assignment @ Excellus BCBS November 2013 - May 2014
MVP Health Care January 2009 - January 2013
EDS, an HP Company on the Xerox Account 1998 - 2008
Skills
Process Improvement, Software Documentation, Change Management, Release Management, Training, Project Planning, Program Management, ITIL, HIPAA, CRM, Management, Microsoft Office, Requirements Analysis, Business Analysis, SDLC, Quality Assurance, Business Requirements, Business Process..., PMP, Vendor Management, Leadership, Testing, Lean Six Sigma, Business Process Mapping, iFacets, SharePoint, BMC Remedy, Lotus Notes, Medicare, MKS, Mentoring, Teamwork, Compliance, Registered Nurse, Changepoint, Meaningful Use, McKesson
Education
Ryerson University
Toronto, ON Canada, Registered Nurse
Monroe Community College
AS, Business Administration and Computer Science, Graduated with Distinction
Monroe County 2004 - Present
Quatro Chiropractic 1987 - Present
MVP Health Care 2003 - 2009
Skills
Government, Public Speaking, Fly Fishing, Community Outreach, Non-profits, Public Relations, Legislative Relations, Team Building, Leadership, Budgets, Strategic Planning, Customer Service, Fundraising, Microsoft Office, Nonprofits, Policy, Program Development, Research, Volunteer Management
Education
New York Chiropractic College 1984 — 1987
Doctor of Chiropractic
Niagara University 1981 — 1983
Biology, General
Aetna February 2001 - Present
United Healthcare July 1999 - February 2001
MVP Health Care January 1998 - July 1999
Skills
Medicare, Insurance, Health Policy, Claim, Data Analysis, Employee Benefits, Healthcare, Business Analysis, Access, Appeals, Policy Analysis, Quality analysis, Process Improvement, Project Management
Education
Ichabod Crane High School 1990 — 2004
Mildred Elley School-Albany Campus
Travel and hospitality management
State University of New York at Albany
Business administration
MVP Health Care September 1998 - Present
Computer Task Group 1997 - 1998
Skills
Lean Six Sigma (LSS)..., Management Development, Curriculum Design, Curriculum Development, Training, Training Delivery, Instructor-led Training, Technical Training, E-Learning, Writing, Editing, Internal Communications, Conflict Resolution, Employee Training, Leadership Development, Organizational..., Technical Writing
Education
Le Moyne College
Bachelor of Science, Business, Management, Marketing, and Related Support Services
AXA April 2006 - August 2015
MVP Health Care September 2004 - March 2006
B. Rittner Consultants June 2002 - February 2004
Grey Healthcare Group August 1999 - May 2002
John Wiley and Sons February 1999 - August 1999
Entex Information Services March 1992 - October 1998
Skills
PeopleSoft, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Project Management, Employee Benefits, Benefits Administration, Claims Resolution, Retirement Planning, Retirement Benefits, 401k, 401k Rollovers, Compliance, Life Insurance, Disability Benefits, Death claims and..., Hipaa, Vendor Management, Process Improvement, Compensation & Benefits..., HR Policies, New Hire Orientations, Health Program Planning, Health Plan Operations, Process Efficiency, Cpr Certified
Education
SUNY Oswego 1979 — 1982
BS, Business Administration and Management, General
Onondaga Community College 1977 — 1979
Associate of Science (A.S.), Liberal Arts and Sciences/Liberal Studies
North Syracuse High School 1973 — 1977
Sirius Computer Solutions June 2013 - Present
Reliable Network Solutions January 2008 - Present
IPLogic, Inc. April 2012 - April 2013
Bausch + Lomb November 2010 - February 2012
Preferred Care August 2007 - November 2010
MVP Health Care August 2007 - November 2010
Cisco Systems 2004 - July 2007
Skills
Cisco, Troubleshooting, Routers, Security, Switches, Data Center, Cisco Technologies, Network Security, Network Engineering, VMware, Active Directory, Firewalls, Network Architecture, WAN, Network Design, Windows 7, Networking, LAN-WAN, VMware ESX, Servers, Virtualization, Cisco Nexus, Wireless Networking, OSPF, Technical Support, CCNA, DHCP, Windows Server, VoIP, VPN, Disaster Recovery, SAN, Integration, Routing, Infrastructure, Cisco IOS, Wireless, DNS, Microsoft Exchange, Computer Security, Help Desk Support, Network Administration, System Deployment, ASA, Citrix, EIGRP, Cisco Call Manager
Education
Kaplan University 2008 — 2010
Masters in Computer Science, Networking and Project Management
Kaplan University 2004 — 2007
Bachelor in Computer Science, Networking, Programming, Web Design, and Database Management
Excellus BCBS October 2012 - Present
Excellus BCBS October 2012 - Present
MVP Health Care February 2009 - August 2012
Healthnow 2008 - 2009
Amerigroup Corporation January 2007 - August 2008
TMI Management Systems, Inc. March 2001 - July 2008
Excellus BCBS 1999 - 2001
Skills
Process Improvement, Requirements Analysis, Business Requirements, Business Analysis, Healthcare, HIPAA, Requirements Gathering, Healthcare Information..., Integration, Program Management, Access, Training, Employee Benefits, Medicaid, ICD-10, Testing, Software Documentation, Business Process..., SDLC, Vendor Management, Data Warehousing, PMO, PMP, Visio, EDI, Business Intelligence
Education
Onondaga Community College 1989 — 1991
MVP Health Care August 2012 - Present
Relph Benefit Advisors March 2011 - August 2012
Key Bank August 2008 - July 2010
Chase Bank May 2007 - August 2008
Citizens Bank October 2005 - April 2007
Skills
Lotus Notes, Microsoft Office 2007, Customer Service, Banking, Compliance, Personal Loans, Insurance, Loans, Mortgage Lending, Business Analysis, Analysis, Employee Benefits, Finance, Marketing, Management, Sales, Financial Analysis
Education
Rochester Institute of Technology 2007 — 2010
M.S., Masters, Finance
State University of New York College at Cortland 2005 — 2006
B.S, Business Economics
Monroe Community College 2002 — 2004
A.A.S, Business Administration
Advocates for Quality 2010 - Present
Red Rock Center for Independence 2013 - Present
Southwest Alliance for Excellence January 2014 - January 2015
AIM Services, Inc 2009 - 2014
Healthcare Association of New York State 2011 - 2013
AIM Services, Inc 1992 - 2013
Baldrige Performance Excellence Program 2006 - 2012
MVP Health Care 2000 - 2010
GHI, Inc September 1999 - September 2000
Community Health Plan May 1982 - September 1999
Skills
Healthcare, Healthcare Management, Healthcare Information..., Managed Care, Hospitals, Medicare, HIPAA, Healthcare Consulting, Strategic Planning, Health Policy
Education
Jefferson Medical College of Thomas Jefferson University 1971 — 1975
M.D.
Pennsylvania State University 1970 — 1973
BS
Interlakes Oncology and Hematology 2010 - Present
MVP Health Care February 2004 - November 2008
Eagle Health Group 2002 - 2004
Visiting Nurse Service 1999 - 2002
American HomePatient 1992 - 1999
Education
High School
Monroe Community College
Black Belt, Lean Six Sigma
State University of New York College at Brockport
Credentialing in Health Science
State University of New York College at Brockport
MPA, Masters of Public Health Administration
University at Buffalo
BSN, Nursing
MVP Health Care December 2010 - Present
MVP Health Care September 2007 - December 2010
Universal Health Network August 2005 - September 2007
National Pedorthic Services August 2000 - August 2005
Skills
Process Improvement, Microsoft Office, HIPAA, Medical Billing, Microsoft Excel, Account Management, Customer Service, Organization, Problem Solving, Multi Tasking, Medicare, PowerPoint, Salesforce.com, Facets, Health Insurance, Insurance, Healthcare, Employee Benefits, Benefits Administration, Managed Care
Education
Monroe Community College 1998 — 2001
Associate's degree, Business Administration and Management, General
St. John Fisher College
Business Administration, Management and Operations
Weill Cornell Medical College September 2015 - Present
Weill Cornell Medical College January 2014 - September 2015
MVP Health Care March 2009 - August 2013
JPMorgan Chase December 2007 - February 2009
ShoreGroup June 2005 - October 2006
Cerone TV & Satellite July 2003 - July 2006
AppliedTheory 1999 - 2002
Skills
Citrix, Technical Support, Troubleshooting, Servers, Network Administration, Operating Systems, Software Installation, Software Documentation, Hardware, DNS, SCCM, Printers, Netbackup, Integration, Microsoft Operating..., Cisco Routers, Network Provisioning, Disaster Recovery, System Deployment, Visio, Desktop OS..., HP Openview, CiscoWorks, Security, Excellent leadership,..., Microsoft server OS..., Have maintained network..., Working knowledge of..., Extensive desktop and..., Veritas NetBackup, Microsoft SCCM, Data Center Operations
Education
State University of New York Institute of Technology at Utica/Rome 1998 — 2001
Bachelor of Applied Science (B.A.Sc.), Telecommunications Management
Mohawk Valley Community College 1996 — 1998
Associate of Arts and Sciences (A.A.S.), Electrical, Electronic and Communications Engineering Technology/Technician
Mohawk Valley Community College 1996 — 1998
Associate of Science (A.S.), Optics/Optical Sciences
Constellation Brands June 2014 - October 2015
MVP Health Care February 2014 - May 2014
CATERTRAX December 2013 - February 2014
Rochester City School District August 2013 - November 2013
Sutherland Global Services November 2012 - September 2013
Unisys January 2007 - July 2009
Skills
Technical Support, Customer Service, Music Education, Art Education, Troubleshooting, Active Directory, Windows 7, Windows XP, VPN, Hardware, Networking, Laptops, Printers, Windows, VoIP, Lotus Notes, Help Desk Support, Microsoft SQL Server, Service Desk, Software Installation, Microsoft Office, Desktop Computers, Windows Server, System Administration
Education
Rochester Institute of Technology 1999 — 2002
Bachelor's degree, Fine/Studio Arts, General
Monroe Community College 1996 — 1999
Associate's degree, Fine/Studio Arts, General
Nazareth College of Rochester
Nokia October 2010 - Present
Wheels, Inc. October 2007 - October 2010
MVP Health Care December 2004 - August 2007
Skills
Business Process..., Process Improvement, Six Sigma, Process Engineering, Continuous Improvement, Visio, Value Stream Mapping, Business Analysis, ISO, Quality System, Project Management, Quality Assurance, Process Simulation, Cross-functional Team..., DMAIC, Program Management, Management
Education
Northeastern University 1998 — 2003
BS
NYS Office of Court Administration August 2015 - Present
NYS Office of Court Administration August 2014 - August 2015
NYS Office of Court Administration September 2010 - August 2014
NYS Office of Court Administration February 2006 - September 2010
Verizon Business May 2003 - February 2006
MVP Health Care 1998 - 2003
Marist College 1995 - 1997
Skills
VoIP, Cisco Technologies, Data Center, Call Center, Telecommunications, Managed Services, Vendor Management, IP, Telephony, Team Leadership, Troubleshooting, Customer Service, SIP, Avaya, Project Management, Strategic Planning, Project Planning, Contract Negotiation, Program Management, Disaster Recovery, LAN-WAN, Cloud Computing, Integration, SaaS, Unified Communications, Solution Selling
Education
Rensselaer Polytechnic Institute 2002 — 2004
MBA, Executive MBA XVI
Marist College 1995 — 1998
BA, Communications
MVP Health Care June 2015 - Present
Bounce Aerobics February 2011 - Present
MVP Health Care January 2002 - June 2015
Skills
Microsoft Excel, Microsoft Office, Financial Analysis, Microsoft Word, Outlook, PowerPoint, English, Research, Customer Service, Public Speaking, Teamwork, Access, HIPAA, Health Insurance, Managed Care, Healthcare, Insurance, Medicare, Medicaid, Data Analysis, Leadership, Healthcare Information...
Education
Monroe Community College
Associate of Arts and Sciences (AAS), Health Information Management
School Of The Arts
Regents Diploma, Dance
MVP Health Care August 2015 - Present
UIL Holdings Corporation July 2014 - August 2015
Frontier Communications June 2013 - June 2014
UIL Holdings Corporation November 2011 - June 2012
PI Technologies LLC August 2007 - October 2011
SIGMA Marketing Group December 2009 - July 2010
Eastman Kodak June 2004 - August 2005
Skills
Troubleshooting, Security, Servers, Operating Systems, Technical Support, System Administration, Hardware, Networking, Software Documentation, Information Security, Software Installation, Penetration Testing, Computer Forensics, Printers, Laptops, Help Desk Support, Antivirus, Testing, IDS, Windows 7, IPS, Windows, Computer Security
Education
Rochester Institute of Technology 2011 — 2014
Bachelor’s Degree, Information Security and Forensics, 3.89
Monroe Community College 2008 — 2010
Associate’s Degree, Information Technology, 3.5
Binghamton University 2005 — 2007
Bachelor of Science, Electrical Engineering; Discontinued
Spencerport High School 2001 — 2005
Advanced Regents Diploma
Padcare April 2012 - Present
EnerPath September 2011 - February 2012
Bryant & Stratton College August 2009 - June 2011
MVP Health Care March 2009 - July 2009
MVP Health Care November 2007 - February 2009
Newark 1998 - 2003
Skills
Insurance, Customer Relations, Customer Service, Microsoft Office, Public Speaking, Negotiation, Sales Management, Budgets, Contract Negotiation, Customer Satisfaction, Marketing, Sales, Account Management, Strategic Planning, Team Building, Coaching, Leadership, Employee Benefits, Analysis, Microsoft Word, Strategy, New Business Development, Microsoft Excel, Training, Health Insurance
Education
State University of New York College at Oswego 1981 — 1983
BS, Business Administration
Mohawk Valley Community College 1978 — 1980
AAS, Banking and Insurance
MVP Health Care July 2010 - Present
Halprin Medical Inc September 2009 - July 2010
Excellus BCBS June 2005 - September 2009
Skills
Medicare, Medicare Part D, Medicare Advantage, Medicare Prescription..., Medicare/Medicaid..., Health Insurance, HMO, PPO, Commercial Insurance, Enrollment Management, Open Enrollment, Provider Enrollment, Customer Satisfaction, Operations Management, Claims Management, Medical Billing, Medical Terminology, Compliance, Microsoft Office, Access, Provider Relations, Training, Process Improvement, Customer Service, Management, Team Building, Insurance
Education
Regis University 2004 — 2007
Bachelors of Science, Public Administration
Monroe Community College 2001 — 2004
Associate of Science, Liberal Arts, 3.93
Second Congregational Church of Greenfield April 2014 - Present
MVP Health Care October 2007 - February 2014
Bancnorth Investment Group July 2006 - October 2007
Staples July 2005 - July 2006
Skills
Sales, Employee Wellness..., Wellness, Employee Wellness, Employee Benefits, Customer Service, Selling
Education
Keene State College 2001 — 2005
Bachelor of Science (B.S.), Business Administration and Management, General
Rochester General Health System September 2012 - Present
University of Rochester November 2011 - August 2012
Rochester General Health System August 2009 - February 2012
Medical Coding Services 2008 - 2011
Rochester General Health System October 2003 - September 2009
Strong Memorial Hospital April 2001 - September 2003
MVP Health Care September 1998 - April 2001
Skills
Medical Billing, Medical Coding, CPT, Accounts Receivable, Invoicing, Management, Physicians, Training, HIPAA, EHR, EMR, Insurance, ICD-9, Medicare
Education
SUNY Brockport 2005 — 2016
in progress, Communications
Monroe Community College 1996 — 1998
Associate, Health Information Management
Certilytics April 2013 - Present
Florida Blue August 2010 - April 2013
MVP Health Care October 2006 - October 2010
Capital District Physician's Health Plan June 2005 - October 2006
Coventry Health Care August 2001 - July 2005
Sierra Military Health Services 2000 - 2001
Bob Gold & Associates, a Practice of Ernst & Young January 1998 - May 2000
KPMG Peat Marwick 1996 - 1998
Mercer 1995 - 1996
Guardian Life Insurance May 1993 - December 1994
Skills
Managed Care, Medicare, Business Intelligence, Analytics, PPO, Actuarial Science, Risk Management, Medicaid, Strategic Planning, Data Warehousing, Health Insurance, Predictive Modeling, Insurance, Product Development, Management, Business Process..., Pricing, Process Improvement, Leadership, Health Policy, Underwriting, Financial Modeling, Consulting, Forecasting, Employee Benefits, HMO, Provider Relations, Healthcare
Education
Lebanon Valley College 1989 — 1993
BS, Actuarial Science and Economics
Fellow of the Society of Actuaries
Member of the American Academy of Actuaries
Maximum Wireless June 2014 - Present
MVP Health Care July 2012 - June 2014
Cellution Inc December 2010 - March 2012
Verizon Wireless September 2002 - April 2010
Skills
Sales Management, Bilingual-Spanish, Mobility Solutions, Telecommunications, Call Center, Troubleshooting, Microsoft Office, Call Centers, Management, Business Analysis, Customer Satisfaction, VoIP, Strategic Planning, CRM, Microsoft Excel, Leadership, Visio, Retail, Process Improvement, Solution Selling, Networking, Customer Service, Spanish, Procurement, Windows, Software Documentation, Team Building, Business Strategy, Mobile Devices, Customer Retention, Contract Negotiation, Insurance, Customer Experience, Sales, Direct Sales, Sales Operations, Salesforce.com, Access, Wireless, Project Management, Vendor Management, Account Management, Program Management, Training, Analysis, Blackberry, Technical Support, Team Leadership, Negotiation, Outlook
Education
Monroe Community College 1993 — 1995
High School Diploma, Automotive Technology
MVP Health Care September 2010 - Present
MVP Health Care August 2007 - September 2010
Freihofer Baking Company 1998 - 2007
state bank of albany/ norstar bank/fleet bank of new york 1982 - 1997
KPMG US 1977 - 1982
Skills
SOX, Financial Reporting, Compliance, Accounting, Auditing, Healthcare, Sarbanes-Oxley Act, Financial Analysis, Insurance, Tax, Managed Care
Education
Niagara University 1974 — 1977
BBA, Accounting
vincentian
MVP Health Care HR AdministratorDatrose/IBM/KodakSeptember 2006 - December 2010
Eastman Kodak Company January 1987 - January 2005
Skills
Human Resources, Employee Relations, Succession Planning, Onboarding, Performance Management
Education
Monroe Community College
Associates of Applied Science, Food Service Management
CloudPay December 2014 - Present
Carolina Biological Supply February 2014 - November 2014
The Revenue Markets Inc February 2012 - February 2014
ConsultNet June 2011 - December 2011
Accenture February 2010 - June 2011
MVP Health Care September 2009 - February 2010
Dress Barn October 2008 - September 2009
TEKsystems March 2008 - June 2008
Winter Wyman December 2007 - March 2008
TEKsystems July 2007 - November 2007
Skills
J2EE, Hibernate, Spring, XML, Unix, RAD, Eclipse, Requirements Analysis, Java software..., WebSphere Application..., WSAD, Struts, JSP, XSLT, DAO, Servlets, Ant, JDBC, Java, RDBMS, Websphere, JMS, AJAX, MySQL, UML, JavaScript, CVS, Subversion, J2SE, JSTL, HTML, SQL, Linux, IDE, CSS, Perl, Windows, Mobile Applications, JQuery, Java Enterprise Edition, C# 4.0, .NET, Oracle, jQuery, ASP.NET, C#, Integration, Web Development, Testing, Design Patterns
Education
Marist College 1989 — 1996
M.S., Computer Science/Software Development
State University of New York College at Plattsburgh 1975 — 1978
B.S., Biochemistry/Biophysics
CDPHP February 2014 - Present
Twin Technologies, Inc. July 2013 - February 2014
MVP Health Care August 2011 - July 2013
MVP Health Care February 2009 - August 2011
MVP Health Care March 2007 - February 2009
Matrix Communications Group April 2002 - March 2007
Skills
Tandberg, SDLC, Vendor Management, MS Project, Visio, Resource Management, Data Center, Telecommunications, VoIP, Change Management, Troubleshooting, Project Planning, Deployment, Network Architecture, Project Management, Cisco Technologies, Codian, Changepoint, Process Improvement, Requirements Analysis, Integration, Business Analysis, Management, Information Technology, IT Management, PMO, Agile Methodologies, PMP, Enterprise Software, Business Requirements, Software Documentation, Requirements Gathering, Disaster Recovery, SharePoint, IT Service Management, Project Portfolio..., ITIL, IT Strategy, IT Operations, Enterprise Architecture, Software Project..., Business Process..., System Deployment, Systems Analysis, Waterfall, Business Process, Business Intelligence, Databases, Project Delivery, Security
Education
Le Moyne College 1997 — 2001
Bachelor of Science, Business Administration, Management Information Systems
University of Phoenix 2010 — 2011
Master of Science, Information Systems
The George Washington University 2011 — 2012
IT Project Management
MVP Health Care November 2011 - Present
Skills
Insurance, ALM, Health Insurance, Reinsurance, Actuarial Science, General Insurance, Healthcare, Strategic Planning, Data Analysis, Process Improvement, Business Analysis
Education
Le Moyne College 2000 — 2004
Bachelor of Arts (B.A.), Mathematics
MVP Health Care March 2014 - November 2014
MVP Health Care January 2004 - April 2014
MVP Health Care 2002 - 2004
John Hancock Financial Services 1980 - 2002
John Hancock Financial Services 1978 - 1979
Skills
Insurance, Healthcare, Process Improvement, Program Management, Project Management, Public Speaking, Health Insurance, Business Analysis, Leadership, Solution Selling, Cross Selling, Consultative Selling, Sales & Marketing, Account Service, New Business Development, Staff Development, Organization Building, Sales Training, Strategic Planning
Education
Monroe Community College
Rochester Institute of Technology
MVP Health Care 1998 - Present
State Farm Insurance Co. 1988 - 1998
Skills
HIPAA, Claim, Medicare, Insurance, Health Insurance, Workers Compensation, Managed Care, Medicaid, Long-term Care, Employee Benefits, Disability Insurance, Life Insurance, Brokers, Claims Management, Term Life Insurance, Investigation, Medicare Advantage, Special Investigations, Claims Investigations, Medicaid Managed Care, Medicare Part D, Medicare/Medicaid..., Healthcare, Process Improvement, Visio
Education
New York Institute of Technology
B.S. Business Administration
MVP Health Care May 2011 - Present
Lifeplans, Inc June 2009 - Present
Skills
Healthcare, Employee Benefits, Wellness Coaching, Employee Wellness, Wellness, Coaching, Recruiting, Human Resources, Health Insurance, Program Management, Public Speaking, Nursing, Medicare, Training, Case Managment, Hospitals, Health Promotion, Disease Management, Managed Care, Benefits Administration, Clinical Research
Education
Nebraska Methodist College 2014 — 2016
Master of Science (M.S.) Expected 2016, Health Promotion Management, GPA 4.0
State University of New York College at Cortland
Bachelor of Science, Economics and Management
Trillium Health June 2015 - Present
Trillium Health March 2015 - June 2015
TEKsystems August 2013 - January 2015
Currently Seeking Employment January 2009 - January 2013
MVP Health Care December 2006 - January 2009
Stay at home mom March 1996 - December 2006
Preferred Care 1993 - 1996
Prefered Care 1989 - 1993
Preferred Care 1987 - 1989
Preferrred Care July 1985 - 1987
Skills
Insurance, Medical Billing, Employee Benefits, Medicare, Medicaid, Healthcare, Call Centers, Workers Compensation, Customer Service, Claim, Health Insurance, HIPAA, Management, Sales, Data Entry
Education
Monroe Community College 1979 — 1981
Business Administration and Management, General
Cardinal Mooney High School 1975 — 1979
Appirio March 2013 - Present
Solu Technology Partners June 2012 - March 2013
MVP Health Care April 2010 - June 2012
Xerox February 2008 - April 2010
Xerox October 2006 - February 2008
Xerox November 2003 - October 2006
Xerox July 1999 - November 2003
Pitney Bowes Software Solutions (formally DSI International, Inc) February 1998 - July 1999
American Mgmt Systems - ITG April 1995 - February 1998
AT&T January 1993 - April 1995
Skills
MS Project, Program Management, PMP, Process Improvement, Project Management, Business Process..., ITIL, Data Center, Vendor Management, Six Sigma, Project Portfolio..., PMO, Business Process, Outsourcing, Cross-functional Team..., Change Management, Agile Project Management, Business Process..., Agile Methodologies, CRM, Cloud Computing, Enterprise Software, Leadership, Management, Project Delivery, Quality Assurance, Risk Management, SDLC, Software Project..., Strategy, Microsoft Project
Education
University of Pennsylvania - The Wharton School 1994 — 1995
mini-MBA, Managment
Penn State University 1988 — 1992
BS, Management Information Systems
Leadership Plano September 2013 - Present
Apsana Inc. July 2001 - Present
City of Plano November 2012 - January 2015
Apsana, Inc. January 2014 - September 2014
Michiana Health Information Network August 2013 - December 2013
The TriZetto Group December 2008 - March 2012
CVS Caremark Corporation November 2011 - February 2012
The TriZetto Group January 2009 - June 2009
MVP Health Care August 2008 - December 2008
The TriZetto Group February 2008 - December 2008
Skills
Healthcare IT, IT Strategy, Quality Assurance, Testing, PMP, ITIL, Healthcare, HIPAA, Business Analysis, Business Process..., Healthcare Information..., Program Management, SDLC, Project Management, Software Project..., Requirements Analysis, Strategy, Process Improvement, Project Planning, Integration, Visio, Management, Leadership, Requirements Gathering, Enterprise Software, IT Service Management, Project Portfolio..., Business Intelligence, Vendor Management, Business Process, Business Transformation, Enterprise Architecture, PMO, Consulting, Health Information..., Cross-functional Team...
Education
Northwestern University - Kellogg School of Management 1994 — 1996
MM, Marketing, Finance
The Ohio State University 1989 — 1990
MS, Computer Science
University of Madras 1985 — 1989
BE, Computer Science
Gujarat State Fertilizer School
Gujarat State Fertilizer School
Excellus BCBS April 2012 - Present
MVP Health Care August 2009 - April 2012
Preferred Care Inc. March 2003 - December 2007
Lego Systems 1996 - 2002
Jagenberg Inc 1991 - 1996
CLB Publishing 1989 - 1990
Skills
Data Warehousing, PL/SQL, Shell Scripting, Unix, Linux, Android, Informatica, Oracle, Data Modeling, SDLC, Requirements Gathering, Unix Shell Scripting, ETL, Database Design, Databases, Performance Tuning, Visio, Requirements Analysis, SQL, Integration
Education
Lehigh University 1985 — 1989
BA
MVP Health Care November 2007 - Present
MVP Health Care November 2007 - September 2011
Frontier Communications 2001 - 2007
Centennial Communications 1996 - 2001
Dental Learning Systems, LLC 1989 - 1992
American Medical Associates 1988 - 1991
Lavallette Police Department 1984 - 1988
Skills
Health Insurance, Commercial Lines, Medicare Advantage, Medicare Part D, Medicaid, Medicaid Managed Care, Managed Care, Call Center, Work Instructions, Healthcare Industry, Newsletters, Insurance, Telecommunications, VoIP, Vendor Management, Process Improvement, Troubleshooting, Wireless, Requirements Analysis, Integration, Business Analysis, Supervisory Experience, Management, Team Management, Team Leadership, Project Management, Team Building, Coaching, Call Centers, Product Management, Medicare, HIPAA, Business Process, Security, Employee Training, Visio, SDLC
Education
Point Pleasant Borough HS 1976 — 1980
Diploma, College Prep
Ocean County College
St. Gen's
Department of Health April 2013 - Present
MVP Health Care July 2012 - April 2013
Senior Whole Health May 2007 - June 2012
Fidelis Care New York May 2006 - May 2007
Fidelis Care NY May 2003 - May 2007
Skills
PPO, HIPAA, Network Development, Contract Management, Health Policy, Medicaid, Managed Care, Healthcare Industry, Utilization Management, HMO, Insurance, Provider Relations, Health Insurance, Medicare, Customer Service, Hospitals, Healthcare Management, Healthcare, Management, Medicaid Managed Care, Process Improvement, Provider Network..., Strategic Planning, Contract Negotiation, Project Management
Education
Empire State College 2004 — 2006
Bachelor Appllied Science, Community Service/Healthcare Administration
Lock Haven University of Pennsylvania
Pursued Physical Education
Ultramar Travel Management 2000 - Present
MVP Health Care November 1992 - October 2000
MVP Health Care 1992 - 2000
Skills
Software Documentation, Visio, Windows Server, Microsoft SQL Server, JavaScript, jQuery, Joomla, C++, Visual C#, XP, Project Management, Windows 7, Active Directory, PHP, Unix
Education
Odessa College 1989 — 1990
State University of New York College at Oswego 1983 — 1984
MVP Health Care May 2009 - Present
Bausch & Lomb January 2008 - March 2009
Citigroup - Student Loan Corporation October 2007 - December 2007
Xerox Corporation September 2005 - October 2007
Citigroup - SLC 2007 - 2007
MedAmerica - An Excellus Company May 2005 - August 2005
Electronic Data Systems Inc. (EDS) March 2005 - May 2005
Xerox Corporation March 2002 - February 2005
Electronic Data Systems Inc. (EDS) June 2001 - March 2002
Xerox Corporation March 1996 - May 2001
Skills
Data Warehousing, SDLC, Data Modeling, Informatica, ETL, PL/SQL, Oracle, Unix, Requirements Analysis, SQL, Unix Shell Scripting, Databases, Business Analysis, Requirements Gathering, Sybase, Enterprise Architecture, Performance Tuning
Education
Kansas State University 1993 — 1994
Master of Science, Civil Engineering
National Institute of Technology Karnataka 1987 — 1991
Bachelor of Engineering, Mechanical Engineering
National College 1985 — 1987
PUC, Physics, Chemistry, Math, Biology
Blue Health Intelligence March 2015 - Present
ViPS, A General Dynamics IT Company March 2010 - March 2015
General Dynamics Information Technology June 2008 - April 2010
MVP Health Care November 2002 - June 2008
MVP Health Care December 1998 - January 2000
Blue Shield of NorthEastern NY 1997 - 1998
Blue Shield of NorthEastern NY 1995 - 1997
Skills
Agile Methodologies, SDLC, Process Improvement, Integration, Strategy, Web Services, Management, Requirements Analysis, Product Development, Data Analysis, Enterprise Architecture
Education
University at Albany, SUNY 1988 — 1994
Bachelor of Science
Penn State University
In progress
eHealthPartners March 2013 - Present
AmeriHealth Administrators March 2013 - Present
WellPoint February 2012 - March 2013
MVP Health Care March 2011 - January 2012
Molina HealthCare February 2009 - March 2011
Sisters of Mercy Healthcare System November 2007 - January 2009
America Online November 2005 - December 2006
Skills
ClearQuest, Quality Center, Healthcare, Medical Billing, Quality Assurance, Business Analysis, Requirements Analysis, Integration, Program Management, Agile Methodologies, Test Management, Microsoft SQL Server, SQL, Test Automation, System Testing, QTP, Regression Testing, SDLC, Test Cases, HP QTP, HP Quality Center, Manual Testing
Education
Jawaharlal Nehru Technological University 1997 — 2001
B.Tech, E.C.E
MVP Health Care Marketing CoordinatorVermont Mystic Pie Co.September 2006 - January 2007
Magic Hat Brewing Co. June 2005 - August 2006
Education
Mount Holyoke College 1999 — 2003
MVP Health Care January 2015 - Present
MVP Health Care January 2011 - December 2014
MVP Health Care May 2008 - January 2011
Saint Agnes Hospital April 2006 - April 2008
Saint Agnes Hospital December 2003 - April 2006
Saint Agnes Hospital August 2001 - December 2003
Skills
Financial Reporting, Financial Analysis, Healthcare, Budgets, Health Insurance, Healthcare Management, Strategic Planning, Strategic Financial..., Analysis, Analytics, Hyperion Enterprise, Insurance, Financial Planning, Hyperion, Business Analysis, Program Management, Management, Process Improvement
Education
Pennsylvania State University 1997 — 2001
Bachelor of Science (BS), Health Policy & Administration, Business Administration
ConServe January 2015 - Present
ConServe January 2013 - January 2015
MVP Health Care August 2009 - January 2013
Ben Barrow, Spreadsheet Consultant/Trainer August 2006 - July 2009
Harris Communications May 2006 - June 2009
Harris Corporation May 2006 - June 2009
Harris RF Communications May 2006 - June 2009
Paychex August 2000 - May 2006
Paychex 1999 - 2000
North American Mortgage Corp. 1997 - 1999
Skills
Budget, Microsoft Excel, Business Intelligence, Training, Microsoft Office, Finance, Process Improvement, Financial Analysis, Visio, Business Analysis, Data Analysis, Forecasting, Team Building, Budgets, Leadership, Project Planning, Access, Analysis, Program Management, Financial Reporting, Strategic Planning, Microsoft SQL Server
Education
Rochester Institute of Technology 1991 — 1993
MBA, Finance
Nazareth College of Rochester 1984 — 1988
Bachelor of Science (BS), Business Administration
Attica High School 1980 — 1984
WellPoint July 2014 - Present
MVP Health Care October 2012 - March 2014
MVP Health Care September 2008 - October 2012
MVP HealthCare February 2005 - July 2008
Columbia Memorial Hospital 1999 - 2000
Skills
Managed Care, Health Insurance, Medicaid, Provider Relations, Project Management, Healthcare, Healthcare Information..., Process Improvement, Business Requirements, Visio, Claim, Business Process..., Strategy, Leadership
Education
Union College 1997 — 1999
Master of Business Administration (MBA), Health/Health Care Administration/Management
Penn State University 1993 — 1997
BS, Biology
CDPHP June 2015 - Present
Kaiser Permanente February 2014 - June 2015
Kaiser Permanente March 2012 - February 2014
Kaiser Permanente June 2008 - March 2012
Kaiser Permanente September 2005 - June 2008
Kaiser Permanente December 2003 - September 2005
MVP Health Care June 2001 - April 2003
MVP Health Care January 1999 - June 2001
Healthsource New York, Inc. (CIGNA) November 1997 - January 1999
Healthsource, New York, Inc. (CIGNA) June 1996 - November 1997
Skills
Leadership, Human Resources, Insurance, Healthcare, Process Improvement, Healthcare Information..., HIPAA, Project Management, Business Analysis, Visio, Affordable Care Act, Medicare, Medicaid, Managed Care, Program Management, Software Documentation, Change Management, Customer Service, Data Analysis, Analysis, Vendor Management, Business Process..., Requirements Analysis
Education
State University of New York College at Oswego 1989 — 1991
Bachelor of Arts (BA)- Communications, Communication and Media Studies
Onondaga Community College 1986 — 1988
Associate's Degree, Radio and Television
MVP Health Care September 2006 - Present
Bruce Ward & Company 2000 - Present
CDPHP 2003 - 2006
Day & Scarafile Associates 1989 - 2000
Skills
Licensed Property &..., Licensed Life & Health..., Licensed Real Estate...
Education
Herkimer County Community College
Associate of Arts and Sciences (AAS), Marketing/Marketing Management, General
Keuka College
Marketing/Marketing Management, General
MVP Health Care April 2013 - Present
Scottsdale Insurance Company 2011 - May 2012
Scottsdale Insurance Company October 2007 - January 2011
Deluxe Corporation April 2003 - June 2007
Coldwell Banker Residential Brokerage May 2001 - April 2003
Skills
Insurance, Customer Service, Sales, Legal Research, Filing, Workers Compensation, Negotiation, Underwriting, Compliance, Analysis, Property, Commercial Insurance, Litigation, Liability
Education
American Institute for Paralegal Studies 2009 — 2010
Paralegal Certificate, Paralegal
Massachusetts College of Liberal Arts 1976 — 1980
Bachelor of Science, Business Administration
Scituate HIgh School 1972 — 1976
Resource Systems Group, Inc. April 2012 - Present
Dartmouth College July 2011 - May 2012
Jager Di Paola Kemp Design June 2008 - April 2011
MVP Health Care April 2007 - July 2008
Vermont Mystic Pie Co. September 2006 - January 2007
Skills
Employee Benefits, Benefits Administration, Event Planning, Recruiting, Onboarding, Employee Relations, Event Management, Human Resources, Employee Training, Employee Engagement, Talent Management, HRIS, Organizational..., Workforce Planning
Education
Mount Holyoke College 1999 — 2003
B.A., American Studies
Manchester Central
MVP Health Care
Skills
Access, HIPAA, Software Documentation, Insurance, Data Analysis, Health Insurance, Process Improvement, Financial Analysis, Healthcare, Claim, Employee Benefits, Cross-functional Team..., Financial Reporting, Analysis
Education
Rensselaer Polytechnic Institute 2002 — 2006
MS, Applied Mathematics
Nazareth College 1992 — 1996
BA, Mathematics
MVP Health Care April 1988 - Present
Preferred Care July 2006 - October 2009
Unity Health System January 2005 - January 2006
Skills
Health Insurance, Process Improvement, Healthcare, Coaching, Budgets, Account Management, Marketing Strategy, Staff Development, Insurance, Change Management, Strategic Planning, Cross-functional Team...
Education
Rochester Institute of Technology 1995 — 2001
BA, Health Care Administration
Monroe Community College 1989 — 1994
Associate of Arts and Sciences (A.A.S.), Liberal Arts and Sciences/Liberal Studies
Isabella Graham Hart School of Nursing 1990 — 1992
Licensed Practical Nurse
MVP Health Care August 2007 - August 2009
Education
Mohawk Valley Community College 1991 — 2003
AAS, Business Management
MVP Health Care June 2009 - Present
Bausch & Lomb 2006 - 2009
Bausch & Lomb 2005 - 2009
Bausch & Lomb 2000 - 2006
Bausch & Lomb 1994 - 2006
Bausch & Lomb 2004 - 2005
Bausch & Lomb 1983 - 1996
Xerox 1979 - 1983
Skills
Crystal Reports, PL/SQL, SDLC, Requirements Analysis, PeopleSoft, Data Warehousing, Data Modeling, Oracle, Informatica, Software Documentation, Databases
Education
Monroe Community College
Data Processing/Computer Science
ALI Consulting Services, LLC October 2010 - Present
Independent Consultant 2005 - Present
HealthNow New York Inc. July 2008 - July 2014
MVP Health Care 2001 - 2008
USMC January 1988 - August 1997
Skills
Medicare, Business Intelligence, Analysis, SQL, SQL Server, Databases, Data Warehousing, HEDIS, Medicaid, Managed Care, HIPAA, Health Insurance, Data Analysis, Visio, Healthcare Information..., Requirements Gathering, Access, Health Policy
Education
New School University 1996 — 2000
Master of Science (M.S.), Health Services Administration
Le Moyne College
Bachelor of Arts (B.A.)
Adirondack Health Institute April 2012 - Present
MVP Health Care November 2008 - April 2012
MVP Health Care January 2004 - November 2008
Management Decisions, Inc January 2003 - October 2003
Granite Professional and Technical Services February 2001 - August 2002
Granite Professional and Technical Services March 2000 - February 2001
Comerica Bank December 1998 - March 2000
Comerica Bank August 1996 - December 1998
Comerica Bank October 1992 - August 1996
Comerica Bank February 1986 - October 1992
Skills
Utilization Management, Provider Relations, Health Insurance, HIPAA, Management, Quality Improvement, Managed Care, Network Development, Healthcare, Vendor Management, Medicaid, Healthcare Information..., Healthcare Industry
Education
Kent State University 1980 — 1985
BA, (Dual Major) Economics, Finance
Social Security Administration May 2014 - Present
Optimax Systems, Inc. September 2012 - May 2014
Paychex February 2010 - September 2012
MVP Health Care January 2008 - February 2010
Skills
Call Center, Access, Data Analysis, Quality Assurance, Customer Service, Audit, Commission, Research, Microsoft Office, Corporate Communications, Organization, Human Resources, Energy, Creativity, Insurance Brokerage, Medical Billing, Health Insurance, Medical Terminology, Call Centers, Time Management
Education
Nazareth College of Rochester 2011 — 2013
Master of Science (M.S.), Human Resources Management and Services, 4.0
State University of New York College at Oswego 2004 — 2007
Bachelors, Business Administration
SUNY New Paltz May 2011 - Present
EmblemHealth May 2005 - May 2011
MVP Health Care September 2001 - May 2005
Skills
Access, SQL, Visio, Databases, Data Analysis, Statistics, Oracle, Sybase, Sql Se, PL, MySQL, Requirements Analysis, Integration, Systems Analysis, SDLC, Microsoft SQL Server, Visual Basic
Education
Olivet Nazarene University
Bachelor's degree, Psychology
MVP Health Care June 2015 - Present
Another Step, Inc. April 2012 - May 2015
Another Step, Inc. February 2010 - June 2012
North East Westchester Special Recreation, Inc. June 2000 - October 2009
Skills
Fundraising, Microsoft Office, Microsoft Word, Microsoft Excel, Outlook, Team Building, Case Managment, Program Development, Nonprofits, Developmental..., Grant Writing, Staff Development, Case Management, Public Speaking, Management
Education
Long Island University 2005 — 2009
Masters, Public Administration, Heath Administration
Saint Thomas Aquinas College 2000 — 2004
Bachelor of Science (B.S.), Therapeutic Recreation/Recreational Therapy
Harris Health System June 2014 - Present
American National Insurance December 2008 - June 2014
MVP Health Care 2004 - 2008
Skills
MCITP Enterprise..., Citrix Certified..., Citrix Certified..., Microsoft Certified..., Microsoft Certified..., Microsoft Certified..., COBOL, Change Management, Data Center, Disaster Recovery, IT Management, IT Service Management, ITIL, Information Technology, Infrastructure, Linux, Servers, VMware, Unix, Virtualization
Education
Oswego State College of New York, Oswego, NY 1992 — 1993
Master of Education (MEd), Education, 3.6 GPA
The College of Saint Rose 1983 — 1985
Bachelor of Applied Science (BASc), Business Administration, Management and Operations
Mohawk Valley Community College 1981 — 1983
Associate of Arts and Sciences (AAS), Business Administration, Management and Operations
Alliance of New York State YMCAs, Inc. June 2014 - Present
MVP Health Care June 2013 - May 2014
University at Albany August 2012 - May 2013
Missouri State University August 2010 - May 2012
Springfield-Greene County Health Department May 2011 - December 2011
Kansas City T-Bones Baseball Club May 2010 - August 2010
Missouri State University September 2009 - March 2010
Christian Foundation for Children and Aging May 2009 - August 2009
Christian Foundation for Children and Aging June 2008 - August 2008
Skills
Social Media, Press Releases, Customer Service, Training, Public Health, Proposal Writing, Health Education, Public Speaking, Community Outreach, Leadership
Education
University at Albany, SUNY 2012 — 2014
Master of Public Health (MPH), Social Behavior and Community Health
Missouri State University 2008 — 2012
Bachelor of Arts (B.A.), Communication (Health Communication), Summa cum laude in the Honors College
The Hearth at Castle Gardens March 2014 - Present
Novartis October 1997 - Present
MVP Health Care February 1995 - October 1997
Sullivan Park Long Term Care April 1993 - February 1995
Skills
Pharmaceutical Sales, Rheumatology, Urology, Endocrinology, OB/GYN, Neurology, Hospitals, Infusion Centers, Product Launch, Osteoporosis, Managed Care, Gastroenterology, Selling Skills, Pulmonology, Cardiology, Sales
Education
Ithaca College 1988 — 1992
BS, Administration of Health Services
Union Endicott High School
MVP Health Care August 2007 - Present
Engineering, County Government and Retail 2002 - 2011
Skills
Recruitment/Retention, Spanish fluency, Human Resources
Education
Flushing High School 1980 — 1984
College Prep
Michigan State University
BA, Economics, Spanish, Anthropology
MVP HealthCare July 2012 - Present
US Army October 2011 - Present
US Army April 2008 - September 2011
MVP Health Care 2005 - 2008
United States Army Reserve 2004 - 2008
Preferred Care 1999 - 2005
United States Army Reserve 2001 - 2004
United States Army Reserve 1994 - 2001
Skills
Administration, Military, Microsoft Office, Customer Service, Word, Security Clearance, Confidentiality, Accountability, Multitasker, Diversity, Quality Assurance, Project Management, Technical Leadership, Interpersonal, Organizing, Army, Leadership Development, Mentoring, Problem Solving, Healthcare, Leadership, Microsoft Word, Supervisory Skills, Human Resources, Team Building, Management, Training
Education
Roberts Wesleyan 2004 — 2006
Organizational Management, Business
Monroe Community College 1996 — 1998
Associate's degree, Office Technology
Pulse8 Inc. June 2015 - Present
MVP Health Care June 2014 - May 2015
MVP Health Care September 2006 - June 2014
Skills
Health Insurance, Medicare, Managed Care, Insurance, HIPAA, Medicaid, Employee Benefits, Customer Service, Process Improvement, Provider Relations, HMO, Healthcare Information..., Healthcare, Financial Reporting, Healthcare Industry, Financial Analysis, Financial Modeling, Strategic Financial..., Project Management, Project Portfolio..., Data Analysis, Data Management, Vendor Management, Vendor Relationships, Contract Management, Corporate Development, Corporate Finance, Statutory Compliances, Operational Risk..., Risk Analytics, Revenue & Profit Growth, Healthcare Consulting, Employee Relations, Operations Management, Cross-functional Team..., Traceability Matrix, Acquisition Integration, Integration, Business Requirements, Regulatory Requirements, Management, Leadership, Strategic Planning, Analysis, Visio
Education
Penn State University 2003 — 2005
MBA
St. John Fisher College 1999 — 2003
BA, Economics
Aetna September 2006 - Present
MVP Health Care May 2004 - July 2006
Highmark Inc. August 1999 - May 2004
Prudential Financial March 1997 - May 1999
Aetna July 1991 - February 1997
United States Navy (Naval Nuclear Power School) 1986 - 1991
Education
University of Central Florida 1988 — 1990
Master of Arts (M.A.), Applied Economics
North Dakota State University 1982 — 1986
Bachelor of Science (B.S.), Mathematics
MVP Health Care June 1999 - Present
MVP Health Care June 1999 - Present
Skills
Microsoft Office, Customer Service
Education
Maria College of Albany 1995 — 1998
Associate's degree, Registered Nursing/Registered Nurse
The Medical Society of the State of New York February 2014 - Present
Benefit Specialists of NY October 2009 - January 2014
MVP Health Care 2002 - 2005
Excellus BCBS 2000 - 2002
Health Services Medical Corporation - HSMC (PHP) 1998 - 2000
Univera Healthcare 1998 - 2000
Skills
Health Insurance, Insurance, Disability Insurance, Employee Benefits, Life Insurance, Medicare
Education
Mount Holyoke College 1979 — 1983
BA, Economics
Lowville Academy and Central School 1969 — 1979
Regents
MVP Health Care January 2010 - Present
MVP Health Care February 2005 - January 2010
Preferred Care April 2003 - February 2005
Skills
RFP, Access, Event Management, Health Insurance, Medicare, Insurance, Claims, Process Improvement, HIPAA, Compliance, Call Center, Outlook, Vendor Management, Medical Terminology, Claims Resolution, Open Enrollment, Medicare Part D, Amisys, Provider Relations, Healthcare, Software Documentation, Visio, Claim, Medical Billing, Leadership, HMO, Network Development, Employee Benefits, Healthcare Industry, Health Policy, Managed Care, Call Centers, Disease Management, Healthcare Information..., Cross-functional Team...
Education
SUNY Brockport 2010 — 2014
BS, Health Sciences Admin, 4.0
Monroe Community College 2002 — 2009
Associates in Sciences, Liberal Arts, 4.0
Greece Arcadia High School
The Hurlbut Nursing Home May 2011 - Present
The Shore Winds Nursing Home October 2005 - May 2011
MVP Health Care September 2004 - September 2005
The Hurlbut Nursing Home June 2002 - September 2004
Penfield Place Nursing Home May 2000 - June 2002
Wedgewood Nursing Home April 1999 - May 2000
Skills
Healthcare Management, Healthcare, Hospitals, EMR, Microsoft Office, HIPAA, Microsoft Excel, Nursing, Customer Service, Medicare
Education
Monroe Community College 1990 — 1992
Associate of Science (AS), Nursing Science
Nazareth College of Rochester 1984 — 1988
BS, Biology / Environmentalo Science
Home - Doing what I like to do March 2012 - Present
MVP Health Care September 2004 - March 2012
Eastman Kodak February 1969 - December 2003
Skills
Outlook, Medicare, Data Entry, Customer Service, Office Management, HIPAA, Spreadsheets, Microsoft Excel, Microsoft Office, Confidentiality, Software Documentation, Benefits Administration, Microsoft Word, Healthcare, PowerPoint
Education
Monroe Community College 1982 — 1985
None earned, Business/Commerce, General
Hilton Central High School 1962 — 1966
Diploma, Business/Office Automation/Technology/Data Entry
Rochester Regional Health System November 2012 - Present
University of Rochester Medical Center February 2012 - November 2012
MVP Health Care June 2010 - February 2012
University of Rochester Medical Center November 2003 - June 2010
Skills
EMR, Customer Service, CPT, Inpatient, Medical Coding, ICD-9, Epic Systems, Meditech
Education
University of Rochester School of Nursing
Master of Science, Health Promotion, Education and Technology
Monroe Community College
Associate, Applied Science- Health Information Technology
The University of Texas at Arlington
Bachelor of Arts, Exercise and Sport Studies
Healthy EDI 2013 - Present
MVP Health Care 2007 - 2012
EDI Specialists 2005 - 2006
TriZetto/INFOTRUST 2001 - 2004
Health Management Systems 1997 - 2001
Skills
SOA, EDI, Project Planning, HIPAA, Leadership, Business Analysis, Integration, IT Strategy, Visio, SDLC, Requirements Gathering, Data Migration, Program Management, Business Process, Software Documentation, Process Improvement, Vendor Management, Requirements Analysis
Education
Northern Michigan University
Bachelor of Arts (BA), Political Science, English, History
Unity Health Syatem August 2013 - Present
MVP Health Care November 2010 - August 2013
MVP Health Care/Preferred Care December 2004 - May 2009
Park Ridge Hospital/Unity Hospital September 1979 - December 2004
Greece Central School District October 2002 - July 2004
Fairport Baptist Home January 1978 - September 1979
Skills
AE-C, RN, CCM, CLNC, Utilization Management, Utilization Review, Disease Management, HEDIS, NCQA, Medicare, Medical Case Management, Nursing, Medicaid, Certified Case Manager, Medicaid Managed Care, Medical/Surgical, Case Managment, Patient Advocacy, Quality Improvement, Healthcare, IV, Case Management, Managed Care, Healthcare Management, Medical-Surgical, HIPAA, CPHQ
Education
Monroe Community College
Associates, Nursing
Northern Benefits March 2004 - Present
MVP Health Care July 1996 - March 2004
John Deere Insurance Company August 1973 - May 1996
Skills
Health Insurance, Health Savings Accounts, Employee Benefits, Benefits Administration, Disability Insurance, Life Insurance, Insurance, Term Life Insurance, Underwriting, Sales, Brokers
Education
Trinity College 1980 — 1983
B.S., Business Management
Kent State University 1967 — 1971
B.S., Music Education
MVP Health Care October 1985 - March 2012
MVP Health Care 1985 - 2012
Skills
Microsoft Office, Microsoft Excel, Customer Service, Microsoft Word
Education
Manchester Community College
Associate of Arts and Sciences (A.A.S.)
Schenectady County Community College
Practical Nursing, Vocational Nursing and Nursing Assistants
MVP Health Care October 1999 - June 2013
Skills
Strategic Planning, Multi-unit Operations..., Auditing, Cross-functional Team..., Health Care Reform, Process Improvement, Planning Health..., Operational Start-Up of..., Change Management, ICD-10 Planning and...
Education
Samartain Hosptial School of Nursing 1972 — 1975
Associate of Science (AS), Registered Nursing/Registered Nurse
Kennedy Western University
Bachelor of Science (BS), Hospital and Health Care Facilities Administration/Management
MVP Health Care 1998-2012 2007 - 2012
MVP Health Care 2005 - 2007
MVP Health Care 2000 - 2005
MVP Health Care 1998 - 2000
Skills
Highly detail oriented, Organized Multi-tasker, Accounts Payable, Financial Reporting, Cash Management, Microsoft Excel, Microsoft Word, Microsoft Office, Spreadsheets, Problem Solving
Education
Monroe Community College
Associate of Arts and Sciences (AAS), Accounting
CDPHP May 2012 - Present
MVP Health Care January 2004 - May 2012
GTECH February 1988 - June 2002
Skills
SDLC, HIPAA, Requirements Analysis, Requirements Gathering, Healthcare Information..., Business Requirements, Business Analysis, Process Improvement
Education
Marist College
System Analysis and Design
MVP Health Care
Skills
Certified Case Manager, Nursing, Utilization Management, Disease Management, Managed Care, Insurance
Education
Marquette University
Bachelor's degree, Registered Nursing/Registered Nurse
University of Phoenix
Master's degree, Nursing/Informatics
University of Phoenix
Master's Degree, Nursing/Informatics
Monroe Wheelchair June 2014 - Present
MVP Health Care May 2013 - February 2014
CVS PharmacyMacedon May 2012 - May 2013
CVS Pharmacy May 2008 - May 2013
Advantage Manufacturing CorporationVictor, New York August 2004 - April 2008
Skills
Brightree, Rehab Tracker, MedForce, Insurance Billing, Medical Billing, Microsoft Outlook, Remote Deposit Capture, Customer Service, Healthcare, Durable Medical..., A/R Allegiance, ICD-9, HCPCS, Organization, ShoreTel, Macess, Microsoft Word, Microsoft Excel, MaxMC
Education
Empire State College 2012 — 2015
Associates of Science, Business, Management, and Economics
Empire State College 2012 — 2015
Bachelor's Degree, Business, Management, and Economics
Monroe Community College 2007 — 2012
Honeoye Falls Lima 1999 — 2003
Regents Diploma
MVP Health Care November 2002 - Present
Well Care of New York November 1997 - November 2002
MVP Health Care June 1997 - October 1997
MVP Health Care July 1994 - June 1997
IBM January 1985 - January 1993
Education
Mount St. Mary's University
Bachelor's Degree
MVP Health Care April 2004 - December 2012
Monroe County September 1998 - April 2004
Via Health Homecare December 1996 - September 1998
Monroe County Public Health Nurse June 1991 - December 1996
Skills
Certified Case Manager, Member of the National...
Education
Monroe Community College
Associate's Degree, Nursing, GPA: 3.10