Preferred Health Network
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Preferred Health Network Employees
Advanced Benefit Solutions, Inc. April 2004 - Present
Seibel & Associates January 2002 - Present
JBC Healthcare Partners, LLC January 2006 - January 2007
Preferred Health Network 1998 - 2002
Skills
Insurance, Health Insurance, Sales, Leadership, Strategic Planning, Life Insurance, Workers Compensation, Disability Insurance, Managed Care, Term Life Insurance, Long-term Care, Claim
Education
University of Phoenix
MA in Management, Health/Health Care Administration/Management
Southeastern University
BSBA, Accounting, Cum Laude
Pennsylvania eHealth Partnership Authority March 2013 - Present
Dynamed Solutions, LLC 2008 - 2013
CareFirst BlueCross BlueShield September 2004 - July 2008
Preferred Health Network April 2003 - September 2004
TriZetto Corporation May 1999 - March 2003
United States Marine Corps July 1987 - January 1999
Skills
Health Information..., Health Information..., Program Management, Business Analysis, Healthcare Informatics, Team Building, Team Leadership, Stakeholder Engagement, Brainstorm Facilitation, Strategic Planning, Health Insurance
Education
University of Phoenix
Master of Business Administration (MBA)
Howard Community College
Associate of Arts (AA), Management Information Systems
State University of New York at Albany
Bachelor of Arts (BA), Political Science and Government
Algeco Scotsman Group January 2013 - Present
Ciena February 2010 - December 2012
Erickson Retirement Communities March 2007 - January 2010
Ciena 2003 - 2006
Citifinancial 2001 - 2003
Deutche Bank 1999 - 2001
Preferred Health Network 1997 - 1999
Skills
Financial Analysis, Financial Modeling, Budgets, Financial Reporting, Finance, Analysis, Accounting, Microsoft Excel, Essbase, Sarbanes-Oxley Act, Hyperion Enterprise, Variance Analysis, Business Strategy, Excel, Oracle Financials, Hyperion Planning, Cost Accounting, Contract Negotiations, Budgeting, Due Diligence, General Ledger, Reconciliation, SOX, Planning, Data Mining, Project Planning, Contract Negotiation, Management, Internal Controls, Leadership, Hyperion, Process Improvement, Project Management, Corporate Finance, Forecasting, Team Building
Education
University of Baltimore 1997 — 2000
Bachelor’s Degree, Business Administration, Management and Operations
Nyack Manor Skilled Nursing and Rehabilitation Center September 2013 - Present
Rockville Rehabilitation and Skilled Nursing Facility February 2000 - August 2013
NYC Health and Hospitals Corporation/ Gouverneur Hospital January 1998 - February 2000
Nassau County Medical Center January 1993 - January 1998
Preferred Health Network February 1991 - January 1993
Mercy Medical Center November 1987 - January 1991
Touche Ross June 1986 - November 1987
US Army June 1978 - June 1986
Skills
Healthcare, Healthcare Management, Hospitals, Risk Management, Administration, Financial Planning
Education
Saint Bonaventure University
MBA, Accounting and Finance
United States Military Academy at West Point
BS
VillageCareMAX February 2014 - Present
RA Healthcare Consulting March 2013 - February 2014
VNSNY CHOICE Health Plans February 2012 - February 2013
VNSNY CHOICE Health Plans March 2009 - February 2012
RA Healthcare Consulting January 2006 - March 2009
Heritage Health Systems October 2005 - November 2006
WellCare 2003 - 2005
Aetna September 1994 - November 2002
Aetna US Healthcare 1994 - 1999
Preferred Health Network 1990 - 1994
Skills
Managed Care, Network Development, Healthcare Consulting, Coaching, Medicare, Provider Relations, Healthcare, Negotiation, HMO, Healthcare Industry, Health Policy, Hospitals, Healthcare Management, Medicaid, PPO, Revenue Cycle, Health Insurance, Leadership, Contract Negotiation, Physicians, Physician Relations, Insurance, Practice Management, Home Care, Long-term Care, Medicaid Managed Care, Disease Management, Performance Improvement, Accountable Care, Capitation, Employee Benefits, Physician Network..., IPAs, Team Building, Leadership Development, Team Leadership, EHR, Nonprofits, Strategic Planning, HIPAA
Education
New York University 1980 — 1985
MPA, Healthcare Administration
Queens College 1972 — 1977
BA, Human Relations
CareFirst BlueCross BlueShield April 2012 - Present
basys, Inc. November 2008 - January 2012
Nationwide Better Health 2006 - 2008
basys, Inc. 2001 - 2006
Preferred Health Network 1990 - 2001
Skills
Product Management, Cross-functional Team..., Software Implementation, Business Analysis, Project Management, Account Management, Requirements Analysis, SDLC, Process Improvement, Vendor Management, Program Management, Visio, Integration, Analysis
Education
Notre Dame of Maryland University
Bachelor of Arts, Business Administration Management
Facility Dynamics Engineering May 2003 - Present
Jones Technologies March 2002 - May 2003
Nieto Engineering February 2000 - March 2002
Preferred Health Network November 1999 - February 2000
National Small Business Council June 1998 - October 1999
Skills
Marketing Communications, Project Management, Microsoft Office, Marketing Strategy, New Business Development, Professional Services, Proposal Writing, Microsoft Excel, Market Analysis, Small Business, Office Management, PowerPoint, Quality Control, Web Development, Market Research, Marketing Management, Sales, Product Marketing, B2B Marketing, Adobe Acrobat, Project Planning, Trade Shows, Sales Presentations, Customer Service, Strategic Planning, Social Media Marketing, Management, Marketing
Education
Salisbury University 1996 — 1998
Bachelor's Degree, Communications and Marketing
Salisbury University - Perdue School of Business 1996 — 1998
Carroll Community College 1993 — 1996
A.A., Arts and Science
Northwestern Mutual October 1996 - Present
Preferred Health Network 1989 - 1996
Skills
Investments
Education
The American College 1998 — 2002
CLU, ChFC, CFP, Financial Planning and Services
California State University-Long Beach 1985 — 1990
Bachelor of Science (BS), Speech Communication
John F. Kennedy High School 1981 — 1985
Centers for Medicare & Medicaid Services July 2004 - Present
Preferred Health Network June 1999 - September 2004
Education
Towson University 1994 — 1998
Bachelor of Science (B.S.), Design and Visual Communications, General
Arundel High School 1991 — 1994
Avalere Health May 2015 - Present
Annapolis Defense & Security LLC May 2013 - Present
Remedy Informatics March 2014 - October 2014
Inovalon November 2009 - February 2014
American College of Cardiology January 2007 - November 2009
Delmarva Foundation March 2003 - January 2007
Preferred Health Network January 2000 - January 2003
Skills
Nursing, Healthcare Information..., Medicaid, Outcomes, Healthcare, Healthcare Quality, Cardiology, Health, Quality Management, Performance Improvement, Healthcare IT, Clinical, Informatics, Managed Care, Performance Measurement, Emergency Management, Mentoring, Clinical Research, Quality Improvement, Program Management, Public Health, Management, Medicare, HIPAA, Medicine, Healthcare Consulting, Disease Management, Security, Firearms, Certified Firearms..., Self Defense, Hands-on Training, Patient Outcomes, Critical Care, Leadership, Strategic Planning, Training, Healthcare Management, Clinical Trials
Education
University of Maryland Baltimore 2001 — 2008
Montgomery College 1993 — 1995
AA, Nursing
New York Methodist Hospital Director, Human ResourcesFlushing Hospital Medical CenterJanuary 1993 - November 1996
Preferred Health Network 1994 - 1996
Long Island Jewish Medical Center November 1988 - December 1992
Macy's November 1982 - November 1988
Beth Israel Medical Center April 1980 - December 1982
FOJP Service Corporation 1978 - 1980
Skills
Healthcare Information..., Healthcare, Nursing, Healthcare Consulting, Healthcare Management, Hospitals, EMR, Healthcare Industry, Managed Care, Clinical Research, Human Resources
Education
St. John's University School of Law 1996 — 2000
J.D., Law
Pace University - Lubin School of Business 1978 — 1982
Masters, Business
State University of New York Health Science Center at Brooklyn 1974 — 1976
BSN, Nursing
Nassau Community College 1968 — 1974
AA
University California Irvine Medical Center May 2005 - Present
American Healthcare Audit Professionals, Inc. 2004 - 2005
PacifiCare Health Systems 1996 - 2004
Preferred Health Network 1991 - 1996
Education
Montclair State University 1977 — 1980
Diploma, Nursing
South Nassau Communities Hospital April 2012 - Present
South Nassau Communities Hospital January 2008 - March 2012
BESLER Consulting 2004 - 2007
Bogen Consulting Group 1997 - 2004
Preferred Health Network 1991 - 1996
Deloitte and Touche 1989 - 1991
Pannell Kerr Forster 1981 - 1989
SUNY Downstate 1976 - 1980
Skills
Revenue Cycle, Healthcare, Healthcare Management, Hospitals, Medicare, Managed Care, Healthcare Information..., Medicaid, HIPAA, Healthcare Consulting, Financial Analysis, Revenue Cycle Management, Accounting, Budgets, Financial Reporting, Healthcare Industry, Strategic Planning, Medical Billing, EMR, Mergers, Data Analysis, Community Hospitals, Physicians, Leadership, EHR, Practice Management, Physician Relations, Informatics, Quality Improvement, Mergers & Acquisitions, Health Information..., Medical Coding, Process Improvement, Management, Executive Management, Auditing, Finance
Education
University at Buffalo 1973 — 1977
BS, Accounting
South Shore High School 1970 — 1973
Health and Wellness Innovative Strategies 2011 - Present
General Board of Pension and Health Benefits, United Methodist Church 2004 - 2010
The Norbak Group 2002 - 2004
National Lewis University February 2003 - November 2003
Innovative Resource Group January 2001 - January 2002
Accord Health Network, LLC January 2000 - January 2001
Preferred Health Network January 1996 - October 1998
Midwest Business Medical Association January 1984 - December 1995
Chicago Department of Human Services January 1974 - October 1980
Skills
Mentor talented staff, Integration of physical..., Envision and implement..., Promote adoption of..., Improve loss experience, Wellness, Leadership Development, Contract Negotiation, Product Development, Organizational..., Reduce risk factors
Education
Northwestern University
Bachelors with distinction, Sociology
University of Illinois at Chicago
PhD., Sociology, Social Constructs of Medicine
Anthem, Inc. November 2012 - Present
Coventry Health Care June 2001 - Present
Community Care Network (CCN) June 1998 - July 2004
Preferred Health Network January 1996 - April 1998
Preferred Health Network June 1989 - December 1996
First Health February 1990 - May 1994
Skills
Insurance, Workers Compensation, PPO, Network Development, Managed Care, Health Insurance, Medicare, Provider Relations, Management, Mentoring Of Staff, Vendor Management, SDLC, Healthcare Information..., Medicaid, Claim, Employee Benefits, Claims Management, Health Policy, Leadership, Healthcare, Healthcare Industry, HIPAA, Process Improvement, Healthcare Consulting, Credentialing, Pharmacy Benefit..., Utilization Management
Education
USC
Healthcare Management
Cornerstone Schools of Washington DC August 2011 - Present
Lorien Wood June 2005 - July 2011
Ambleside School 2000 - 2004
MedLINK Hospital and Nursing Center 1998 - 1999
Pentagon City Hospital 1997 - 1998
Vencor Hospital Arlington 1994 - 1997
Preferred Health Network 1989 - 1994
Skills
Managed Care
Education
The Johns Hopkins University 1988 — 1990
MS, Adult Education and Continuing Studies