UPMC Health Plan
Industry: Commercial organization
DescriptionFounded: 1994 Parent organization: Upmc Coverage Products, Inc. Subsidiaries: Tri Rivers Surgical Associates, Inc., LifeSolutions, Inc.
UPMC Health Plan List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at UPMC Health Plan. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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1,273 UPMC Health Plan employees in database. Find out everything there's to know about UPMC Health Plan employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
UPMC Health Plan Employees
Employee
Years
Job
Industry
Leah Kaplan Leah Kaplan's UPMC Health Plan Experience July 2012 - August 2014
Job Strategic Account Executive, National Accounts at CVS Health
Industry Insurance
Experience
CVS Health September 2014 - Present
UPMC Health Plan July 2012 - August 2014
UPMC Health Plan January 2011 - July 2012
UPMC Health Plan October 2009 - December 2010
Skills
Health Insurance, Insurance, Employee Benefits, Managed Care, Brokers, Commercial Insurance, Long-term Care, Underwriting, Healthcare, Account Management, Strategic Planning, Process Improvement, Microsoft Excel, Management, Health Savings Accounts, New Business Development, Sales
Education
Chatham University 2009 — 2011
Masters, Business Administration
University of Pittsburgh 2003 — 2007
Bachelor of Arts (B.A.), Communications
CVS Health September 2014 - Present
UPMC Health Plan July 2012 - August 2014
UPMC Health Plan January 2011 - July 2012
UPMC Health Plan October 2009 - December 2010
Skills
Health Insurance, Insurance, Employee Benefits, Managed Care, Brokers, Commercial Insurance, Long-term Care, Underwriting, Healthcare, Account Management, Strategic Planning, Process Improvement, Microsoft Excel, Management, Health Savings Accounts, New Business Development, Sales
Education
Chatham University 2009 — 2011
Masters, Business Administration
University of Pittsburgh 2003 — 2007
Bachelor of Arts (B.A.), Communications
Elizabeth Krzywicki Elizabeth Krzywicki's UPMC Health Plan Experience June 2015 - Present
Job Government Program Specialist at UPMC Health Plan
Industry Hospital & Health Care
Experience
UPMC Health Plan June 2015 - Present
UPMC Health Plan 2012 - Present
alixaRx 2012 - 2012
Walgreens 2010 - 2012
Delta Gamma Fraternity 2010 - 2012
Walgreens 2009 - 2010
Walgreens 2004 - 2009
Skills
Customer Service, Outlook, PowerPoint, Employee Training, Training Manuals, Microsoft Excel, Training Delivery, Adult Education, Staff Development, Confidentiality, Lotus Notes, Employee Benefits, Recruiting, Non-profit Volunteer, Volunteer, Data Entry, Human Resources, Time Management, Interviews, Team Building, Coaching, Training, Microsoft Word, Pharmacy, Employee Relations, Teaching, Teamwork, HIPAA, Inventory Management, Medical Terminology, Hospitals, Healthcare
Education
Community College of Allegheny County
Associates of Science, General Studies
Geneva College
Bachelors of Science, Human Resources Management
The University of Akron
UPMC Health Plan June 2015 - Present
UPMC Health Plan 2012 - Present
alixaRx 2012 - 2012
Walgreens 2010 - 2012
Delta Gamma Fraternity 2010 - 2012
Walgreens 2009 - 2010
Walgreens 2004 - 2009
Skills
Customer Service, Outlook, PowerPoint, Employee Training, Training Manuals, Microsoft Excel, Training Delivery, Adult Education, Staff Development, Confidentiality, Lotus Notes, Employee Benefits, Recruiting, Non-profit Volunteer, Volunteer, Data Entry, Human Resources, Time Management, Interviews, Team Building, Coaching, Training, Microsoft Word, Pharmacy, Employee Relations, Teaching, Teamwork, HIPAA, Inventory Management, Medical Terminology, Hospitals, Healthcare
Education
Community College of Allegheny County
Associates of Science, General Studies
Geneva College
Bachelors of Science, Human Resources Management
The University of Akron
Rachel Steigerwalt Rachel Steigerwalt's UPMC Health Plan Experience January 2014 - Present
Job Business Process Analyst at UPMC Health Plan
Industry Hospital & Health Care
Experience
UPMC Health Plan January 2014 - Present
Waverly Presbyterian Church September 2005 - May 2014
Family Services of Western Pennsylvania May 2012 - March 2013
National Volunteer Caregiving Network January 2011 - July 2012
Family Services of Western Pennsylvania October 2006 - April 2012
Interfaith Volunteer Caregivers of Southwestern PA May 2003 - September 2006
Greater Pittsburgh Literacy Council September 2000 - July 2001
AmeriCorps National Civilian Community Corps October 1999 - July 2000
Skills
Community Outreach, Public Speaking, Grant Writing, Volunteer Coordination, Project Management, New Program Development, Non-profits, Program Development, Program Evaluation, Grants, Community Organizing, Policy Analysis, Fundraising, Volunteer Management, Nonprofits, Leadership, Proposal Writing, Teaching, Program Management, Data Analysis, Event Planning
Education
Carnegie Mellon University 2001 — 2003
MSPPM, Public Policy & Management, with distinction
Boston University Institute for Geriatric Social Work 2010 — 2011
Graduate Certificate, Foundations in Aging
University of Pittsburgh 1995 — 1999
BA, Politics & Philosophy, summa cum laude
UPMC Health Plan January 2014 - Present
Waverly Presbyterian Church September 2005 - May 2014
Family Services of Western Pennsylvania May 2012 - March 2013
National Volunteer Caregiving Network January 2011 - July 2012
Family Services of Western Pennsylvania October 2006 - April 2012
Interfaith Volunteer Caregivers of Southwestern PA May 2003 - September 2006
Greater Pittsburgh Literacy Council September 2000 - July 2001
AmeriCorps National Civilian Community Corps October 1999 - July 2000
Skills
Community Outreach, Public Speaking, Grant Writing, Volunteer Coordination, Project Management, New Program Development, Non-profits, Program Development, Program Evaluation, Grants, Community Organizing, Policy Analysis, Fundraising, Volunteer Management, Nonprofits, Leadership, Proposal Writing, Teaching, Program Management, Data Analysis, Event Planning
Education
Carnegie Mellon University 2001 — 2003
MSPPM, Public Policy & Management, with distinction
Boston University Institute for Geriatric Social Work 2010 — 2011
Graduate Certificate, Foundations in Aging
University of Pittsburgh 1995 — 1999
BA, Politics & Philosophy, summa cum laude
Timothy Broderick Timothy Broderick's UPMC Health Plan Experience June 2012 - August 2012
Job Quality Management Specialist at Steritech
Industry Food & Beverages
Experience
The Steritech Group, Inc. January 2014 - Present
Vitamin World September 2013 - January 2014
Clemson University August 2012 - May 2013
Clemson University August 2008 - May 2013
UPMC Health Plan June 2012 - August 2012
Vitamin World May 2012 - August 2012
Clemson University Foundation September 2009 - May 2010
Skills
Food, Nutrition, Science, Food Science, Sensory Evaluation, Microsoft Office, Research, PowerPoint, Word, Excel, Problem Solving, Customer Service, Writing, Product Development, Production, Social Media, Customer Relations, Food Safety, Market Research, R&D, Marketing Research, Data Analysis, Process Improvement, French, Team Leadership
Education
Clemson University 2008 — 2012
Bachelor of Science, Food Science and Technology, Culinology, 3.59
Clemson University 2012 — 2013
Master of Science, Food, Nutrition, and Culinary Sciences
Bethel Park High School 2004 — 2008
3.81
The Steritech Group, Inc. January 2014 - Present
Vitamin World September 2013 - January 2014
Clemson University August 2012 - May 2013
Clemson University August 2008 - May 2013
UPMC Health Plan June 2012 - August 2012
Vitamin World May 2012 - August 2012
Clemson University Foundation September 2009 - May 2010
Skills
Food, Nutrition, Science, Food Science, Sensory Evaluation, Microsoft Office, Research, PowerPoint, Word, Excel, Problem Solving, Customer Service, Writing, Product Development, Production, Social Media, Customer Relations, Food Safety, Market Research, R&D, Marketing Research, Data Analysis, Process Improvement, French, Team Leadership
Education
Clemson University 2008 — 2012
Bachelor of Science, Food Science and Technology, Culinology, 3.59
Clemson University 2012 — 2013
Master of Science, Food, Nutrition, and Culinary Sciences
Bethel Park High School 2004 — 2008
3.81
Jonathan A. Gyure Jonathan A. Gyure's UPMC Health Plan Experience 2001 - 2006
Job Management Consulting & Analytics at SCIO Health Analytics
Industry Hospital & Health Care
Experience
SCIO Health Analytics July 2013 - Present
Universal Healthcare January 2012 - April 2013
West Penn Allegheny Health System January 2010 - October 2011
US Steel Insurance Fund April 2006 - July 2009
UPMC Health Plan 2001 - 2006
Pennsylvania Capital Bank 1997 - 2000
Skills
Healthcare, Hospitals, Process Improvement, Six Sigma, Software Documentation, Medical Devices, Microsoft Excel, Team Building, Project Management, Quality Assurance, Insurance, Leadership, Strategic Planning, Performance Improvement, Medicare
Education
Wharton School, University of Pennsylvania 2011 — 2011
Executive MBA Program - Healthcare Certification
Carnegie Mellon University 1991 — 1995
BACHELOR OFSCIENCE, INDUSTRIAL MANAGEMENT
Brownsville High School
Brownsville High School
SCIO Health Analytics July 2013 - Present
Universal Healthcare January 2012 - April 2013
West Penn Allegheny Health System January 2010 - October 2011
US Steel Insurance Fund April 2006 - July 2009
UPMC Health Plan 2001 - 2006
Pennsylvania Capital Bank 1997 - 2000
Skills
Healthcare, Hospitals, Process Improvement, Six Sigma, Software Documentation, Medical Devices, Microsoft Excel, Team Building, Project Management, Quality Assurance, Insurance, Leadership, Strategic Planning, Performance Improvement, Medicare
Education
Wharton School, University of Pennsylvania 2011 — 2011
Executive MBA Program - Healthcare Certification
Carnegie Mellon University 1991 — 1995
BACHELOR OFSCIENCE, INDUSTRIAL MANAGEMENT
Brownsville High School
Brownsville High School
Rebecca Knoll's UPMC Health Plan Experience May 2010 - Present
Job Manager, Network Data & Operations at UPMC
Industry Hospital & Health Care
Experience
UPMC Health Plan May 2010 - Present
Children's Services Council February 2007 - November 2009
Columbia University's Institutional Review Board July 2005 - September 2006
Columbia University March 2002 - July 2005
Skills
Process Improvement, Data Analysis, Program Management, Strategic Planning, Access, Management, Project Management, Databases, Software Documentation, SharePoint, Training, Project Planning, Policy, Management Consulting, Analysis, Strategy, Healthcare, Business Process, Business Analysis, Visio, Financial Analysis, Research, Integration, Microsoft Office, Microsoft Excel, Reporting, Operations, Performance Measurement
Education
Columbia University Mailman School of Public Health
Master's degree, Health Policy & Management
University of Pennsylvania
BA, English Literature
UPMC Health Plan May 2010 - Present
Children's Services Council February 2007 - November 2009
Columbia University's Institutional Review Board July 2005 - September 2006
Columbia University March 2002 - July 2005
Skills
Process Improvement, Data Analysis, Program Management, Strategic Planning, Access, Management, Project Management, Databases, Software Documentation, SharePoint, Training, Project Planning, Policy, Management Consulting, Analysis, Strategy, Healthcare, Business Process, Business Analysis, Visio, Financial Analysis, Research, Integration, Microsoft Office, Microsoft Excel, Reporting, Operations, Performance Measurement
Education
Columbia University Mailman School of Public Health
Master's degree, Health Policy & Management
University of Pennsylvania
BA, English Literature
Jeffrey Romanowski, MS, MBA, CBET, CRES Jeffrey Romanowski, MS, MBA, CBET, CRES's UPMC Health Plan Experience July 2005 - Present
Job Radiology Engineer Specialist at UPMC Health Plan
Industry Higher Education
Experience
UPMC Health Plan July 2005 - Present
Skills
Process Improvement, Cross-functional Team..., Six Sigma, Quality Assurance, Biomedical Engineering, Medical Devices, HL7
Education
Unversity of St. Francis 2007 — 2009
MS, MBA, Healthcare Administration
Clarion University of Pennsylvania
Bachelor of Science (BS), Physics
Penn State University
Associate of Science (AS), Biomedical/Medical Engineering
UPMC Health Plan July 2005 - Present
Skills
Process Improvement, Cross-functional Team..., Six Sigma, Quality Assurance, Biomedical Engineering, Medical Devices, HL7
Education
Unversity of St. Francis 2007 — 2009
MS, MBA, Healthcare Administration
Clarion University of Pennsylvania
Bachelor of Science (BS), Physics
Penn State University
Associate of Science (AS), Biomedical/Medical Engineering
Valerie Monaco Valerie Monaco's UPMC Health Plan Experience February 2009 - October 2014
Job User Experience Professional
Industry Information Services
Experience
UPMC Health Plan February 2009 - October 2014
University of Pittsburgh April 2002 - February 2009
Boston VA Medical Center 1988 - 1990
Skills
User Experience, Information Design, Usability Testing, User Interface..., Clarity, Simplifying the Complex, Asking Questions, Challenging Assumptions, Creative Problem Solving, Persuasive Presentations, Seeing the Bigger..., Enthusiasm to learn
Education
Carnegie Mellon University
Master of Human-Computer Interaction (MHCI)
Indiana University Bloomington
Doctor of Philosophy (PhD), Psychology
Wellesley College
Bachelor of Arts (B.A.), Psychology
UPMC Health Plan February 2009 - October 2014
University of Pittsburgh April 2002 - February 2009
Boston VA Medical Center 1988 - 1990
Skills
User Experience, Information Design, Usability Testing, User Interface..., Clarity, Simplifying the Complex, Asking Questions, Challenging Assumptions, Creative Problem Solving, Persuasive Presentations, Seeing the Bigger..., Enthusiasm to learn
Education
Carnegie Mellon University
Master of Human-Computer Interaction (MHCI)
Indiana University Bloomington
Doctor of Philosophy (PhD), Psychology
Wellesley College
Bachelor of Arts (B.A.), Psychology
Krista Frederick Krista Frederick's UPMC Health Plan Experience September 2013 - Present
Job Clinical Service Representative at UPMC Health Plan
Industry Pharmaceuticals
Experience
UPMC Health Plan September 2013 - Present
Lash Group June 2011 - September 2013
Bright Horizons November 2009 - May 2011
The Learning Village September 2009 - November 2009
Big Apple Preschool July 2008 - July 2009
Medrad January 2007 - July 2008
PharmaCare October 2005 - January 2007
Clarion University January 2004 - May 2005
Skills
Managed Care, Healthcare, Medicaid, Case Managment, Clinical Research, Medicare, Hospitals, Healthcare Management, Pharmacy Benefit..., Public Health, HIPAA, Mental Health, Nursing, Medical Terminology, Cpr Certified, Organizational..., Mission Work, Missions, Team Leadership
Education
Clarion University of Pennsylvania 2001 — 2005
Bachelor of Science (B.S.), Liberal Arts and Sciences/Liberal Studies, Concentration in Education
UPMC Health Plan September 2013 - Present
Lash Group June 2011 - September 2013
Bright Horizons November 2009 - May 2011
The Learning Village September 2009 - November 2009
Big Apple Preschool July 2008 - July 2009
Medrad January 2007 - July 2008
PharmaCare October 2005 - January 2007
Clarion University January 2004 - May 2005
Skills
Managed Care, Healthcare, Medicaid, Case Managment, Clinical Research, Medicare, Hospitals, Healthcare Management, Pharmacy Benefit..., Public Health, HIPAA, Mental Health, Nursing, Medical Terminology, Cpr Certified, Organizational..., Mission Work, Missions, Team Leadership
Education
Clarion University of Pennsylvania 2001 — 2005
Bachelor of Science (B.S.), Liberal Arts and Sciences/Liberal Studies, Concentration in Education
Shaina Walker's UPMC Health Plan Experience December 2010 - December 2011
Job HR Specialist at Propel Schools
Industry Human Resources
Experience
Propel Schools April 2015 - Present
UPMC July 2013 - April 2015
UPMC Insurance Services Division December 2011 - July 2013
UPMC Health Plan December 2010 - December 2011
UPMC Insurance Services Division October 2010 - December 2010
Skills
Microsoft Excel, Microsoft Word, PowerPoint, PeopleSoft, People-oriented, Microsoft Outlook, MC400, Benefit Payment System..., Project Developmet, Human Resources, Community Outreach, Leadership, Outlook, Recruiting, Interviews, Employee Benefits, Customer Service, Insurance, Public Speaking, Resume Writing
Education
Point Park University 2012 — 2013
Master of Business Administration (M.B.A.), Health Systems Management
Carlow College 2007 — 2010
Bachelor of Science (B.S.), Human Resource Management & Technology
Propel Schools April 2015 - Present
UPMC July 2013 - April 2015
UPMC Insurance Services Division December 2011 - July 2013
UPMC Health Plan December 2010 - December 2011
UPMC Insurance Services Division October 2010 - December 2010
Skills
Microsoft Excel, Microsoft Word, PowerPoint, PeopleSoft, People-oriented, Microsoft Outlook, MC400, Benefit Payment System..., Project Developmet, Human Resources, Community Outreach, Leadership, Outlook, Recruiting, Interviews, Employee Benefits, Customer Service, Insurance, Public Speaking, Resume Writing
Education
Point Park University 2012 — 2013
Master of Business Administration (M.B.A.), Health Systems Management
Carlow College 2007 — 2010
Bachelor of Science (B.S.), Human Resource Management & Technology
Janae' Moore Janae' Moore's UPMC Health Plan Experience June 2012 - August 2012
Job Trust Associate at BNY Mellon
Industry Financial Services
Experience
BNY Mellon June 2015 - Present
BNY Mellon October 2012 - Present
UPMC Health Plan June 2012 - August 2012
Spectrum Properties October 2010 - April 2011
Skills
Microsoft Excel, Microsoft Word, Microsoft Publisher, Microsoft Powerpoint, Microsoft Access, SQL, Java, Apple, Finance, Accounting, Analysis, Databases, Financial Reporting, Team Leadership
Education
Queens University of Charlotte 2008 — 2011
Bachelor of Arts (B.A.), Business Administration
Community College of Allegheny County 2006 — 2011
Associate of Science (A.S.), Business Management
BNY Mellon June 2015 - Present
BNY Mellon October 2012 - Present
UPMC Health Plan June 2012 - August 2012
Spectrum Properties October 2010 - April 2011
Skills
Microsoft Excel, Microsoft Word, Microsoft Publisher, Microsoft Powerpoint, Microsoft Access, SQL, Java, Apple, Finance, Accounting, Analysis, Databases, Financial Reporting, Team Leadership
Education
Queens University of Charlotte 2008 — 2011
Bachelor of Arts (B.A.), Business Administration
Community College of Allegheny County 2006 — 2011
Associate of Science (A.S.), Business Management
Jeff Turek Jeff Turek's UPMC Health Plan Experience January 2015 - Present
Job Account Executive at 93.7 The Fan
Industry Broadcast Media
Experience
UPMC Health Plan January 2015 - Present
93.7 The Fan February 2014 - Present
CBS Radio September 2013 - February 2014
CBS Radio May 2013 - August 2013
Skills
Radio, Marketing, Branding & Identity, Advertising, Creativity, Digital Marketing, Email Marketing, Critical Thinking, Leadership, Organization
Education
Clarion University of Pennsylvania 2009 — 2013
Bachelor of Science (B.S.), Mass Communication/Media Studies
UPMC Health Plan January 2015 - Present
93.7 The Fan February 2014 - Present
CBS Radio September 2013 - February 2014
CBS Radio May 2013 - August 2013
Skills
Radio, Marketing, Branding & Identity, Advertising, Creativity, Digital Marketing, Email Marketing, Critical Thinking, Leadership, Organization
Education
Clarion University of Pennsylvania 2009 — 2013
Bachelor of Science (B.S.), Mass Communication/Media Studies
Catrina Jackson's UPMC Health Plan Experience November 2012 - Present
Job Administrator, Medicaid Compliance at UPMC Health Plan
Industry Hospital & Health Care
Experience
UPMC Health Plan November 2012 - Present
UPMC Health Plan March 2012 - November 2012
UPMC Health Plan November 2005 - July 2011
UPMC Health Plan December 2000 - August 2005
Gateway Health December 1998 - December 2000
Skills
Healthcare Information..., Data Analysis, Leadership, Program Management, Team Building, Health Policy, PowerPoint, Business Analysis, HMO, Medicare, Healthcare, Health Insurance, Medicaid, HIPAA, Managed Care, Insurance
Education
Community College of Allegheny County 1992 — 1995
Associate's degree, Human Services, General
UPMC Health Plan November 2012 - Present
UPMC Health Plan March 2012 - November 2012
UPMC Health Plan November 2005 - July 2011
UPMC Health Plan December 2000 - August 2005
Gateway Health December 1998 - December 2000
Skills
Healthcare Information..., Data Analysis, Leadership, Program Management, Team Building, Health Policy, PowerPoint, Business Analysis, HMO, Medicare, Healthcare, Health Insurance, Medicaid, HIPAA, Managed Care, Insurance
Education
Community College of Allegheny County 1992 — 1995
Associate's degree, Human Services, General
William Ewing William Ewing's UPMC Health Plan Experience January 2014 - June 2014
Job Detailed, responsible coding pro looking to impact dynamic medical care facilities
Industry Hospital & Health Care
Experience
UPMC Health Plan January 2014 - June 2014
Allegheny General Hospital January 2012 - July 2013
St. Clair Hospital December 2010 - May 2011
UPMC January 2010 - May 2010
Genesis Medical Associates April 2004 - August 2004
Skills
Medical Records, Analysis, Access, Medical Coding, ICD-9CM coding • CPT..., for access and..., • track incomplete..., Health Information..., Inpatient, Certificate of..., • clinical indices • ..., • integrity of patient..., Microsoft office • ..., Medicare
Education
Community College of Allegheny County 2006 — 2011
Health Information Technology, Health Information/Medical Records Technology/Technician, 3.5
Robert Morris University 2003 — 2005
Health Services Management, Health Care, 3.5
UPMC Health Plan January 2014 - June 2014
Allegheny General Hospital January 2012 - July 2013
St. Clair Hospital December 2010 - May 2011
UPMC January 2010 - May 2010
Genesis Medical Associates April 2004 - August 2004
Skills
Medical Records, Analysis, Access, Medical Coding, ICD-9CM coding • CPT..., for access and..., • track incomplete..., Health Information..., Inpatient, Certificate of..., • clinical indices • ..., • integrity of patient..., Microsoft office • ..., Medicare
Education
Community College of Allegheny County 2006 — 2011
Health Information Technology, Health Information/Medical Records Technology/Technician, 3.5
Robert Morris University 2003 — 2005
Health Services Management, Health Care, 3.5
Corey Crooks's UPMC Health Plan Experience February 2014 - Present
Job Intermediate Software Developer at UPMC Health Plan
Industry Hospital & Health Care
Experience
UPMC Health Plan February 2014 - Present
Freelance Mobile App Development January 2012 - Present
KIT Solutions, LLC December 2013 - February 2014
UPMC Mercy November 2009 - January 2014
Pressley Ridge February 2013 - December 2013
KIT Solutions, LLC May 2013 - August 2013
Transporter/Food Service December 2007 - May 2009
American Eagle Outfitters 2006 - 2007
Skills
Programming, Computer Science, Higher Education, Management, JavaSE, C++, x86 Assembly, Linux, Unix, Objective-C, HTML, JavaScript, Cerner, Oracle SQL, C#, Visual Studio, SQL Server Management..., Databases, Java, SQL, SSRS, Android Development, iOS development, Software Development, Database Design
Education
Georgia Institute of Technology 2014 — 2016
Master's Degree, Computer Science, N.A
University of Pittsburgh 2009 — 2013
Bachelor's degree, Computer Science
Community College of Allegheny County 2006 — 2009
Associate of Science (A.S.), Liberal Arts and Sciences/Liberal Studies
Capa 2004 — 2006
High School Diploma, Guitar
UPMC Health Plan February 2014 - Present
Freelance Mobile App Development January 2012 - Present
KIT Solutions, LLC December 2013 - February 2014
UPMC Mercy November 2009 - January 2014
Pressley Ridge February 2013 - December 2013
KIT Solutions, LLC May 2013 - August 2013
Transporter/Food Service December 2007 - May 2009
American Eagle Outfitters 2006 - 2007
Skills
Programming, Computer Science, Higher Education, Management, JavaSE, C++, x86 Assembly, Linux, Unix, Objective-C, HTML, JavaScript, Cerner, Oracle SQL, C#, Visual Studio, SQL Server Management..., Databases, Java, SQL, SSRS, Android Development, iOS development, Software Development, Database Design
Education
Georgia Institute of Technology 2014 — 2016
Master's Degree, Computer Science, N.A
University of Pittsburgh 2009 — 2013
Bachelor's degree, Computer Science
Community College of Allegheny County 2006 — 2009
Associate of Science (A.S.), Liberal Arts and Sciences/Liberal Studies
Capa 2004 — 2006
High School Diploma, Guitar
Jon Wayland Jon Wayland's UPMC Health Plan Experience August 2014 - Present
Job Business Analyst at UPMC Health Plan
Industry
Experience
UPMC Health Plan August 2014 - Present
Indiana University of Pennsylvania August 2012 - May 2014
The Phoenix Benefits Group, Inc. May 2013 - August 2013
Clarion University August 2011 - May 2012
Skills
R, Statistics, SPSS, PowerPoint, Applied Mathematics, Microsoft Excel, Customer Service, Matlab, Analysis, Mathematica, Mathematics, Statistical Data..., Qualtrics, Microsoft Word, Microsoft Office, Arena Simulation..., Lingo, SQL
Education
Indiana University of Pennsylvania 2012 — 2014
M.S. of Applied Mathematics
Clarion University of Pennsylvania 2008 — 2012
B.S. of Mathematics
DuBois Area High School 2004 — 2008
UPMC Health Plan August 2014 - Present
Indiana University of Pennsylvania August 2012 - May 2014
The Phoenix Benefits Group, Inc. May 2013 - August 2013
Clarion University August 2011 - May 2012
Skills
R, Statistics, SPSS, PowerPoint, Applied Mathematics, Microsoft Excel, Customer Service, Matlab, Analysis, Mathematica, Mathematics, Statistical Data..., Qualtrics, Microsoft Word, Microsoft Office, Arena Simulation..., Lingo, SQL
Education
Indiana University of Pennsylvania 2012 — 2014
M.S. of Applied Mathematics
Clarion University of Pennsylvania 2008 — 2012
B.S. of Mathematics
DuBois Area High School 2004 — 2008
Amy Rebekah Korn, RN Amy Rebekah Korn, RN's UPMC Health Plan Experience October 2003 - April 2006
Job UPMC Corporate Care Management & Sales and Marketing Consultant at Allison Park Travel Agency
Industry Hospital & Health Care
Experience
UPMC~Corporate Care Management Department November 2007 - Present
Allison Park Travel Agency 2012 - Present
UPMC Health Plan October 2003 - April 2006
Gateway Health Plan (An affiliate of Highmark) January 2001 - April 2003
Magee-Women's Hospital of UPMC September 1999 - January 2001
St. Francis Medical Center October 1996 - January 1999
HealthSouth August 1995 - October 1996
Skills
Budgeting, CPR Certified, Governance, Healthcare, Hospitals, Healthcare Management, Internal Audit, Knowledge Management, Management, Project Management, Medicine, Negotiation, Contract Negotiation, Networking, Nursing, Quality Assurance, Risk Assessment, Strategic Planning, Creative Writing, Advertising, Online Advertising, New Business Development, Team Building, Marketing Communications, Customer Service, Business Development, Facebook, Hotels, Process Improvement, Leadership, Marketing, Marketing Strategy, Social Networking, Nonprofits, Community Outreach, Event Planning, Research, Market Research, Sales, Social Media Marketing, Teamwork, Team Management, Troubleshooting, Volunteer Management, Web Development, Youth Development, Youth Mentoring, Managed Care, Registered Nurses
Education
Community College of Allegheny County 1993 — 1995
Associate's degree, Registered Nurse
University of Pittsburgh 1991 — 1992
College of General Studies (Nursing prerequisites)
UPMC~Corporate Care Management Department November 2007 - Present
Allison Park Travel Agency 2012 - Present
UPMC Health Plan October 2003 - April 2006
Gateway Health Plan (An affiliate of Highmark) January 2001 - April 2003
Magee-Women's Hospital of UPMC September 1999 - January 2001
St. Francis Medical Center October 1996 - January 1999
HealthSouth August 1995 - October 1996
Skills
Budgeting, CPR Certified, Governance, Healthcare, Hospitals, Healthcare Management, Internal Audit, Knowledge Management, Management, Project Management, Medicine, Negotiation, Contract Negotiation, Networking, Nursing, Quality Assurance, Risk Assessment, Strategic Planning, Creative Writing, Advertising, Online Advertising, New Business Development, Team Building, Marketing Communications, Customer Service, Business Development, Facebook, Hotels, Process Improvement, Leadership, Marketing, Marketing Strategy, Social Networking, Nonprofits, Community Outreach, Event Planning, Research, Market Research, Sales, Social Media Marketing, Teamwork, Team Management, Troubleshooting, Volunteer Management, Web Development, Youth Development, Youth Mentoring, Managed Care, Registered Nurses
Education
Community College of Allegheny County 1993 — 1995
Associate's degree, Registered Nurse
University of Pittsburgh 1991 — 1992
College of General Studies (Nursing prerequisites)
Kara Sperandeo Kara Sperandeo's UPMC Health Plan Experience 2003 - 2006
Job National Clinical Account Director at AstraZeneca
Industry Pharmaceuticals
Experience
AstraZeneca October 2014 - Present
AstraZeneca August 2014 - October 2014
Forest Laboratories January 2012 - July 2014
Giant Eagle May 2003 - January 2012
Gateway Health Plan April 2007 - December 2011
UPMC Health Plan 2003 - 2006
Skills
Managed Care, Pharmacy, Pharmacists, Healthcare, Pharmacy Benefit..., Diabetes, Health Economics, Pharmacy Automation, Medicare Part D, Medication Therapy..., Clinical Pharmacy, Clinical Pharmacology, Community Pharmacy, Disease Management, Medicaid, Management, Quality Measures, Medicaid Managed Care, CNS disorders, Respiratory Products, Gastrointestinal..., Outcomes Research, Formulary Management, Specialty Pharmaceutical, Respiratory Disease, Oncology, Diabetes Management, Cardiovascular Disease, Myocardial Infarction
Education
University of Washington Professional & Continuing Education 2014 — 2015
Certificate, Health Economics and Outcomes Research, Successful Completion
University of Pittsburgh, School of Pharmacy 2002 — 2006
Doctor of Pharmacy (PharmD), Pharmacy, Cum Laude
Case Western Reserve University 1999 — 2002
Chemistry
AstraZeneca October 2014 - Present
AstraZeneca August 2014 - October 2014
Forest Laboratories January 2012 - July 2014
Giant Eagle May 2003 - January 2012
Gateway Health Plan April 2007 - December 2011
UPMC Health Plan 2003 - 2006
Skills
Managed Care, Pharmacy, Pharmacists, Healthcare, Pharmacy Benefit..., Diabetes, Health Economics, Pharmacy Automation, Medicare Part D, Medication Therapy..., Clinical Pharmacy, Clinical Pharmacology, Community Pharmacy, Disease Management, Medicaid, Management, Quality Measures, Medicaid Managed Care, CNS disorders, Respiratory Products, Gastrointestinal..., Outcomes Research, Formulary Management, Specialty Pharmaceutical, Respiratory Disease, Oncology, Diabetes Management, Cardiovascular Disease, Myocardial Infarction
Education
University of Washington Professional & Continuing Education 2014 — 2015
Certificate, Health Economics and Outcomes Research, Successful Completion
University of Pittsburgh, School of Pharmacy 2002 — 2006
Doctor of Pharmacy (PharmD), Pharmacy, Cum Laude
Case Western Reserve University 1999 — 2002
Chemistry
Kelley Reed's UPMC Health Plan Experience March 2015 - Present
Job Campaign Marketing Manager at UPMC Health Plan
Industry Marketing and Advertising
Experience
UPMC Health Plan March 2015 - Present
Pressley Ridge July 2010 - March 2015
South Hills Honda October 2006 - October 2011
Higher Images, Inc. May 2006 - July 2010
Spirit Harley-Davidson June 2003 - May 2006
Skills
CSS, HTML, JavaScript, Marketing, Photoshop, Illustrator, Dreamweaver, Print Design, Website Design, CMS, Wordpress, SharePoint, Multimedia, Graphics, E-commerce, SEO, Online Marketing, Social Media, Web Development, Adobe Creative Suite, Advertising, Logo Design, Social Media Marketing, Email Marketing, Layout, Web Analytics, Microsoft Office, Adobe Acrobat, Illustration, PowerPoint, jQuery, PHP, Photography, MySQL, Word, Google Analytics, Copywriting, Marketing Communications, Typography, Windows, Brochures, HTML + CSS, Social Networking, Google Adwords, Promotions, Web Design, Microsoft Word, Website Development, Marketing Strategy, Direct Mail
Education
Columbia Southern University 2013 — 2016
Master of Business Administration (M.B.A.), Marketing
State University of New York Empire State College 2009 — 2011
Bachelor's Degree, Graphic and Multimedia Design, 3.78
Pittsburgh Technical Institute 2001 — 2003
Associate's Degree, Graphic Design, 3.98
UPMC Health Plan March 2015 - Present
Pressley Ridge July 2010 - March 2015
South Hills Honda October 2006 - October 2011
Higher Images, Inc. May 2006 - July 2010
Spirit Harley-Davidson June 2003 - May 2006
Skills
CSS, HTML, JavaScript, Marketing, Photoshop, Illustrator, Dreamweaver, Print Design, Website Design, CMS, Wordpress, SharePoint, Multimedia, Graphics, E-commerce, SEO, Online Marketing, Social Media, Web Development, Adobe Creative Suite, Advertising, Logo Design, Social Media Marketing, Email Marketing, Layout, Web Analytics, Microsoft Office, Adobe Acrobat, Illustration, PowerPoint, jQuery, PHP, Photography, MySQL, Word, Google Analytics, Copywriting, Marketing Communications, Typography, Windows, Brochures, HTML + CSS, Social Networking, Google Adwords, Promotions, Web Design, Microsoft Word, Website Development, Marketing Strategy, Direct Mail
Education
Columbia Southern University 2013 — 2016
Master of Business Administration (M.B.A.), Marketing
State University of New York Empire State College 2009 — 2011
Bachelor's Degree, Graphic and Multimedia Design, 3.78
Pittsburgh Technical Institute 2001 — 2003
Associate's Degree, Graphic Design, 3.98
Roberts Mary Ann Roberts Mary Ann's UPMC Health Plan Experience July 2007 - Present
Job Behavioral Health Manager/Community LIFE
Industry Mental Health Care
Experience
Community LIFE October 2010 - Present
UPMC Health Plan July 2007 - Present
Cambria Residential Services January 2004 - Present
Pittsburgh, Pa September 1997 - July 2007
Allegheny Valley School October 1990 - July 2007
Turtle Creek Valley MH/MR Inc. 1982 - 1985
Skills
Microsoft Word, Microsoft Excel, PowerPoint development, Typing, Behavioral Health, Group Therapy, Psychology, Developmental..., Psychiatry, Elder Care, Cpr Certified, Microsoft Publisher, Healthcare, Data Entry, Telephone Skills, Critical Thinking, Supervisory Skills, Software Documentation, Access, Microsoft Office, Administrative..., Outlook, Medical Terminology, Time Management, Nonprofits, Social Services
Education
University of Pittsburgh 1996 — 2000
Master's of Education, Vocational Rehabilitation Counseling/Counselor
Carlow College
Bachelor of Arts (B.A.), Psychology
Community LIFE October 2010 - Present
UPMC Health Plan July 2007 - Present
Cambria Residential Services January 2004 - Present
Pittsburgh, Pa September 1997 - July 2007
Allegheny Valley School October 1990 - July 2007
Turtle Creek Valley MH/MR Inc. 1982 - 1985
Skills
Microsoft Word, Microsoft Excel, PowerPoint development, Typing, Behavioral Health, Group Therapy, Psychology, Developmental..., Psychiatry, Elder Care, Cpr Certified, Microsoft Publisher, Healthcare, Data Entry, Telephone Skills, Critical Thinking, Supervisory Skills, Software Documentation, Access, Microsoft Office, Administrative..., Outlook, Medical Terminology, Time Management, Nonprofits, Social Services
Education
University of Pittsburgh 1996 — 2000
Master's of Education, Vocational Rehabilitation Counseling/Counselor
Carlow College
Bachelor of Arts (B.A.), Psychology
Mark Kriscunas Mark Kriscunas's UPMC Health Plan Experience 1999 - 2003
Job Vice President, Business Development and Legal at Cavulus
Industry Management Consulting
Experience
Cavulus September 2013 - Present
Medminer LLC 2011 - January 2015
MMC 20/20, Inc. 2003 - 2008
UPMC Health Plan 1999 - 2003
MMC 20/20, Inc. 1996 - 1999
Skills
Healthcare Consulting, Medicare, Managed Care, Medicaid, Healthcare Industry, Health Policy, HIPAA, Healthcare, Healthcare Information..., Revenue Cycle, Health Insurance, Insurance, Medicare Part D, Healthcare Management, Process Improvement, EHR, Long-term Care
Education
Charleston School of Law 2008 — 2010
JD, Magna Cum Laude
Carnegie Mellon University - Tepper School of Business 1991 — 1993
MSIA, With Distinction
Wake Forest University 1985 — 1988
BS, Mathematics, Cum Laude
Cavulus September 2013 - Present
Medminer LLC 2011 - January 2015
MMC 20/20, Inc. 2003 - 2008
UPMC Health Plan 1999 - 2003
MMC 20/20, Inc. 1996 - 1999
Skills
Healthcare Consulting, Medicare, Managed Care, Medicaid, Healthcare Industry, Health Policy, HIPAA, Healthcare, Healthcare Information..., Revenue Cycle, Health Insurance, Insurance, Medicare Part D, Healthcare Management, Process Improvement, EHR, Long-term Care
Education
Charleston School of Law 2008 — 2010
JD, Magna Cum Laude
Carnegie Mellon University - Tepper School of Business 1991 — 1993
MSIA, With Distinction
Wake Forest University 1985 — 1988
BS, Mathematics, Cum Laude
Christina O'Neil Christina O'Neil's UPMC Health Plan Experience October 2012 - Present
Job Administrative Assistant at UPMC
Industry Hospital & Health Care
Experience
UPMC Health Plan October 2012 - Present
Skills
Operational Efficiency, Event Planning, Organizational...
Education
Community College of Allegheny County
UPMC Health Plan October 2012 - Present
Skills
Operational Efficiency, Event Planning, Organizational...
Education
Community College of Allegheny County
Debra Rodriguez Debra Rodriguez's UPMC Health Plan Experience April 2006 - March 2009
Job Healthcare Industry
Industry Insurance
Experience
Henderson Brothers, Inc. August 2009 - January 2011
UPMC Health Plan April 2006 - March 2009
Manage Care Of America, Inc. January 1998 - April 2006
Skills
Technology Development, SQL/400, QUERY/400, Operating Systems, OS/400, Software Training, Windows 9x, Windows XP Professional, Excel, Word, PowerPoint, Access, Windows 2003/2007/2010, WINSQL, Brokerage Builder..., Human Resource...
Education
Community College of Allegheny County 1988 — 1988
Certificate, Medical Terminology
Moon Sr. High School 1982 — 1985
Diploma, Business / Accounting
Henderson Brothers, Inc. August 2009 - January 2011
UPMC Health Plan April 2006 - March 2009
Manage Care Of America, Inc. January 1998 - April 2006
Skills
Technology Development, SQL/400, QUERY/400, Operating Systems, OS/400, Software Training, Windows 9x, Windows XP Professional, Excel, Word, PowerPoint, Access, Windows 2003/2007/2010, WINSQL, Brokerage Builder..., Human Resource...
Education
Community College of Allegheny County 1988 — 1988
Certificate, Medical Terminology
Moon Sr. High School 1982 — 1985
Diploma, Business / Accounting
Jared Stuart's UPMC Health Plan Experience January 2015 - Present
Job Education Management Professional
Industry Education Management
Experience
UPMC Health Plan January 2015 - Present
EDMC 2010 - 2013
Education
Clarion University of Pennsylvania 2003 — 2008
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
UPMC Health Plan January 2015 - Present
EDMC 2010 - 2013
Education
Clarion University of Pennsylvania 2003 — 2008
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Daniel Ruffner Daniel Ruffner's UPMC Health Plan Experience May 2015 - Present
Job Complaints and Grievances Specialist, UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan May 2015 - Present
UPMC Health Plan November 2014 - June 2015
UPMC Health Plan September 2013 - November 2014
UPMC Health Plan July 2012 - September 2013
Skills
Healthcare, Health Insurance
Education
Coastal Carolina University 2008 — 2012
Bachelor's degree, History
UPMC Health Plan May 2015 - Present
UPMC Health Plan November 2014 - June 2015
UPMC Health Plan September 2013 - November 2014
UPMC Health Plan July 2012 - September 2013
Skills
Healthcare, Health Insurance
Education
Coastal Carolina University 2008 — 2012
Bachelor's degree, History
Emily Kudrytski Emily Kudrytski's UPMC Health Plan Experience January 2013 - July 2015
Job VP, Business Credit Card Decision Analytics at PNC
Industry Banking
Experience
PNC July 2015 - Present
UPMC Health Plan January 2013 - July 2015
II-VI Incorporated January 2012 - January 2013
Bossa Nova Robotics May 2010 - December 2011
TowerCare Technologies March 2008 - August 2009
Children's Hospital of Pittsburgh Foundation October 2004 - February 2008
Skills
Product Management, Strategy, CRM, Analytics, Project Management, Online Marketing, Start-ups, E-commerce, Product Development, Data Analysis, Salesforce.com, Product Marketing, SEO, Market Research, Email Marketing, Cross-functional Team..., SaaS, Management, Business Planning, Marketing Strategy, Web Development, CMS, Web Marketing, Strategic Planning, Business Strategy, Software Project..., Databases, Sales, Leadership, Vendor Management, Integration, Marketing, Competitive Analysis, Budgets, Entrepreneurship, Go-to-market Strategy, Public Relations, SAS Base, SAS E-Miner, Analysis, Business Analysis
Education
Carnegie Mellon University - Tepper School of Business 2009 — 2011
MBA, Marketing/Marketing Management, General
Carnegie Mellon University
B.S., History
PNC July 2015 - Present
UPMC Health Plan January 2013 - July 2015
II-VI Incorporated January 2012 - January 2013
Bossa Nova Robotics May 2010 - December 2011
TowerCare Technologies March 2008 - August 2009
Children's Hospital of Pittsburgh Foundation October 2004 - February 2008
Skills
Product Management, Strategy, CRM, Analytics, Project Management, Online Marketing, Start-ups, E-commerce, Product Development, Data Analysis, Salesforce.com, Product Marketing, SEO, Market Research, Email Marketing, Cross-functional Team..., SaaS, Management, Business Planning, Marketing Strategy, Web Development, CMS, Web Marketing, Strategic Planning, Business Strategy, Software Project..., Databases, Sales, Leadership, Vendor Management, Integration, Marketing, Competitive Analysis, Budgets, Entrepreneurship, Go-to-market Strategy, Public Relations, SAS Base, SAS E-Miner, Analysis, Business Analysis
Education
Carnegie Mellon University - Tepper School of Business 2009 — 2011
MBA, Marketing/Marketing Management, General
Carnegie Mellon University
B.S., History
Maryam Bopp's UPMC Health Plan Experience April 2015 - Present
Job Marketing Campaign Manager at UPMC Health Plan
Industry Marketing and Advertising
Experience
UPMC Health Plan April 2015 - Present
Pittsburgh Post-Gazette April 2013 - April 2015
Clearview Federal Credit Union October 2006 - March 2013
Skills
Social Media, Adobe Creative Suite, Event Planning, Direct Marketing, Graphic Design, Direct Mail, Social Networking, Budgets, Proofreading, Digital Strategy, Editing, AP Style, Newspapers, Layout, Photoshop, Creative Direction, Illustrator, Project Management, Marketing Analytics, Email Marketing, Press Releases, contracts and proposals, Customer Service
Education
Clarion University of Pennsylvania 2002 — 2006
Bachelor of Science (BS), Communications
UPMC Health Plan April 2015 - Present
Pittsburgh Post-Gazette April 2013 - April 2015
Clearview Federal Credit Union October 2006 - March 2013
Skills
Social Media, Adobe Creative Suite, Event Planning, Direct Marketing, Graphic Design, Direct Mail, Social Networking, Budgets, Proofreading, Digital Strategy, Editing, AP Style, Newspapers, Layout, Photoshop, Creative Direction, Illustrator, Project Management, Marketing Analytics, Email Marketing, Press Releases, contracts and proposals, Customer Service
Education
Clarion University of Pennsylvania 2002 — 2006
Bachelor of Science (BS), Communications
Jayme Griffith (Valente) Jayme Griffith (Valente)'s UPMC Health Plan Experience October 2008 - June 2013
Job Account Analyst, Henderson Brothers Inc.
Industry Insurance
Experience
Henderson Brothers, Inc. June 2013 - Present
UPMC Health Plan October 2008 - June 2013
UPMC Health Plan June 2006 - October 2008
UPMC Health Plan July 2004 - June 2006
Teletech Holdings Inc May 1999 - July 2004
Skills
Employee Benefits, Insurance, Claim, Medical Billing, Health Insurance, Managed Care, Account Management, Customer Satisfaction, Healthcare
Education
Brownsville Area High School
High School Diploma
Clarion University of Pennsylvania
Bachelors of Science, Business Administration
Henderson Brothers, Inc. June 2013 - Present
UPMC Health Plan October 2008 - June 2013
UPMC Health Plan June 2006 - October 2008
UPMC Health Plan July 2004 - June 2006
Teletech Holdings Inc May 1999 - July 2004
Skills
Employee Benefits, Insurance, Claim, Medical Billing, Health Insurance, Managed Care, Account Management, Customer Satisfaction, Healthcare
Education
Brownsville Area High School
High School Diploma
Clarion University of Pennsylvania
Bachelors of Science, Business Administration
Scott Shuagis's UPMC Health Plan Experience October 2011 - June 2015
Job Administrator Manager of Operating Room, Radiance Surgery Center
Industry Insurance
Experience
Radiance Surgery Center June 2015 - Present
UPMC Health Plan October 2011 - June 2015
UPMC Health Plan October 2008 - 2011
Skills
Insurance, Medicare, Managed Care, Customer Service, PPO, Software Documentation, Provider Relations, PowerPoint, Nursing, Team Building, Health Insurance, Visio, Business Analysis, HMO, Account Management, Patient Safety, Medical Devices, Healthcare Consulting, Employee Benefits, Access, Claim
Education
Carlow University 2014 — 2016
Master of Business Administration (MBA), Health/Health Care Administration/Management
Carlow College 2004 — 2006
Radiance Surgery Center June 2015 - Present
UPMC Health Plan October 2011 - June 2015
UPMC Health Plan October 2008 - 2011
Skills
Insurance, Medicare, Managed Care, Customer Service, PPO, Software Documentation, Provider Relations, PowerPoint, Nursing, Team Building, Health Insurance, Visio, Business Analysis, HMO, Account Management, Patient Safety, Medical Devices, Healthcare Consulting, Employee Benefits, Access, Claim
Education
Carlow University 2014 — 2016
Master of Business Administration (MBA), Health/Health Care Administration/Management
Carlow College 2004 — 2006
Terese Irwin Hudak, MBA Terese Irwin Hudak, MBA's UPMC Health Plan Experience November 2012 - Present
Job Insurance Professional
Industry Insurance
Experience
UPMC Health Plan November 2012 - Present
Skills
Financial Analysis, Financial Reporting, Budgeting, General Ledger, Forecasting, Cash Flow, Financial Modeling, Financial Management, Problem Solving, Corporate Finance, Variance Analysis, QuickBooks, Insurance, Analysis, Process Improvement, Customer Service, Health Insurance, Medicaid Managed Care, Data Analysis, Accounts Receivable, Finance, Risk Management, Business Analysis, Microsoft Office, Microsoft Excel, Microsoft Word, Healthcare, Budgets
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1986 — 1987
MBA, Finance
Robert Morris University 1984 — 1986
BSBA, Computer Information Systems
Community College of Allegheny County 1982 — 1984
Associate of Science, Business Data Processing
UPMC Health Plan November 2012 - Present
Skills
Financial Analysis, Financial Reporting, Budgeting, General Ledger, Forecasting, Cash Flow, Financial Modeling, Financial Management, Problem Solving, Corporate Finance, Variance Analysis, QuickBooks, Insurance, Analysis, Process Improvement, Customer Service, Health Insurance, Medicaid Managed Care, Data Analysis, Accounts Receivable, Finance, Risk Management, Business Analysis, Microsoft Office, Microsoft Excel, Microsoft Word, Healthcare, Budgets
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1986 — 1987
MBA, Finance
Robert Morris University 1984 — 1986
BSBA, Computer Information Systems
Community College of Allegheny County 1982 — 1984
Associate of Science, Business Data Processing
Nicole Mignogna (Molnar)'s UPMC Health Plan Experience June 2010 - August 2010
Job Human Resources and Wellness Coordinator
Industry Human Resources
Experience
Westmoreland County November 2014 - Present
Giant Eagle April 2014 - October 2014
Giant Eagle December 2011 - April 2014
Giant Eagle January 2011 - December 2011
UPMC Health Plan June 2010 - August 2010
Skills
Onboarding, Human Resources, Training, New Hire Orientations, Leadership, HR Policies, Coaching, PeopleSoft, Organizational..., Employee Training, Talent Management, Payroll, Time Management, DDI, Organized Multi-tasker, First Aid, Workshop Facilitation, FMLA, Leadership Development, Employee Engagement, Compensation, Instructional Design, Team Building, Career Development, Labor Relations, Workers Compensation, Promotions, EEOC, Union Experience, Employee Benefits, Employee Wellness...
Education
Clarion University of Pennsylvania 2007 — 2010
BSBA, Industrial Relations
Robert Morris University
Certificate in Human Resources
Westmoreland County November 2014 - Present
Giant Eagle April 2014 - October 2014
Giant Eagle December 2011 - April 2014
Giant Eagle January 2011 - December 2011
UPMC Health Plan June 2010 - August 2010
Skills
Onboarding, Human Resources, Training, New Hire Orientations, Leadership, HR Policies, Coaching, PeopleSoft, Organizational..., Employee Training, Talent Management, Payroll, Time Management, DDI, Organized Multi-tasker, First Aid, Workshop Facilitation, FMLA, Leadership Development, Employee Engagement, Compensation, Instructional Design, Team Building, Career Development, Labor Relations, Workers Compensation, Promotions, EEOC, Union Experience, Employee Benefits, Employee Wellness...
Education
Clarion University of Pennsylvania 2007 — 2010
BSBA, Industrial Relations
Robert Morris University
Certificate in Human Resources
Andonia Zervoudis - Aber's UPMC Health Plan Experience 2006 - 2008
Job District Sales Manager Golden Living
Industry Hospital & Health Care
Experience
Golden LivingCenters September 2012 - Present
Golden LivingCenters September 2012 - November 2014
Vitas Healthcare 2011 - 2012
CVS Caremark Corporation April 2008 - October 2011
UPMC Health Plan 2006 - 2008
Bayer MaterialScience 2005 - 2005
Skills
Sales, Marketing, Community Outreach, Healthcare, Hospitals, Leadership, Team Building, Medicare, Healthcare Management, Customer Service, Long-term Care, Sales Management, Strategic Planning, Elder Care
Education
Chatham College 2009 — 2010
MBA, Business Administration and Marketing
University of Pittsburgh 2001 — 2006
Bachelors, Business Administration and Marketing
Golden LivingCenters September 2012 - Present
Golden LivingCenters September 2012 - November 2014
Vitas Healthcare 2011 - 2012
CVS Caremark Corporation April 2008 - October 2011
UPMC Health Plan 2006 - 2008
Bayer MaterialScience 2005 - 2005
Skills
Sales, Marketing, Community Outreach, Healthcare, Hospitals, Leadership, Team Building, Medicare, Healthcare Management, Customer Service, Long-term Care, Sales Management, Strategic Planning, Elder Care
Education
Chatham College 2009 — 2010
MBA, Business Administration and Marketing
University of Pittsburgh 2001 — 2006
Bachelors, Business Administration and Marketing
Robert Sheesley's UPMC Health Plan Experience January 2012 - June 2013
Job Senior Enterprise Architect, Mergers & Acquisitions at Mylan
Industry Pharmaceuticals
Experience
Mylan November 2014 - Present
Veterans Leadership Program of Western Pennsylvania February 2015 - Present
WPHIMSS June 2010 - Present
Access Community Health Network April 2009 - Present
Mylan June 2013 - October 2014
UPMC Health Plan January 2012 - June 2013
Blue Cross Blue Shield of Massachusetts (Consultant) September 2011 - December 2011
HEALTHeLINK January 2011 - August 2011
Highmark Blue Cross Blue Shield July 2009 - December 2010
West Monroe Partners, LLC November 2007 - May 2009
Skills
Vendor Management, Program Management, Process Improvement, Change Management, IT Strategy, Business Architecture, Mergers, Private Equity, Healthcare Information..., Technology Integration, Consumerism, Information Technology, Marketing Strategy, Mergers & Acquisitions, Six Sigma, Strategic Planning, Leadership, Requirements Analysis, Business Analysis, Business Strategy, IT Management, Management Consulting, Business Process..., CRM, Strategy, Nonprofits, Management, Business Intelligence, Integration, Project Portfolio..., Governance, PMO, Fundraising, Cross-functional Team..., Executive Management, Risk Management, SDLC, Consulting, Healthcare, Budgets, Project Planning, Enterprise Software, Business Transformation, Enterprise Architecture, Enterprise Architecture..., Information Architecture, Project Management, SharePoint, Analysis, Visio
Education
DePaul University 2009 — 2009
Business Architecture
Clarion University of Pennsylvania 1987 — 1989
MBA
Indiana University of Pennsylvania 1988 — 1989
Clarion University of Pennsylvania 1983 — 1987
BS
Mylan November 2014 - Present
Veterans Leadership Program of Western Pennsylvania February 2015 - Present
WPHIMSS June 2010 - Present
Access Community Health Network April 2009 - Present
Mylan June 2013 - October 2014
UPMC Health Plan January 2012 - June 2013
Blue Cross Blue Shield of Massachusetts (Consultant) September 2011 - December 2011
HEALTHeLINK January 2011 - August 2011
Highmark Blue Cross Blue Shield July 2009 - December 2010
West Monroe Partners, LLC November 2007 - May 2009
Skills
Vendor Management, Program Management, Process Improvement, Change Management, IT Strategy, Business Architecture, Mergers, Private Equity, Healthcare Information..., Technology Integration, Consumerism, Information Technology, Marketing Strategy, Mergers & Acquisitions, Six Sigma, Strategic Planning, Leadership, Requirements Analysis, Business Analysis, Business Strategy, IT Management, Management Consulting, Business Process..., CRM, Strategy, Nonprofits, Management, Business Intelligence, Integration, Project Portfolio..., Governance, PMO, Fundraising, Cross-functional Team..., Executive Management, Risk Management, SDLC, Consulting, Healthcare, Budgets, Project Planning, Enterprise Software, Business Transformation, Enterprise Architecture, Enterprise Architecture..., Information Architecture, Project Management, SharePoint, Analysis, Visio
Education
DePaul University 2009 — 2009
Business Architecture
Clarion University of Pennsylvania 1987 — 1989
MBA
Indiana University of Pennsylvania 1988 — 1989
Clarion University of Pennsylvania 1983 — 1987
BS
Amy Sue Lillie Amy Sue Lillie's UPMC Health Plan Experience 2008 - 2012
Job Post Acute Liaison UPMC Community Provider Services
Industry Hospital & Health Care
Experience
UPMC 2014 - Present
UPMC Health Plan 2008 - 2012
UPMC October 1999 - 2008
Skills
Healthcare, Microsoft Excel, Hospitals, Insurance, Medicare, Managed Care, HIPAA, Nursing, Health Insurance, Healthcare Information..., Patient Education, Healthcare Management, Medicine, Clinical Research, Patient Safety
Education
Community College of Allegheny County
Associate’s Degree, Registered Nursing/Registered Nurse
Indiana University of Pennsylvania
Pre-Nursing Studies
Slippery Rock University of Pennsylvania
Undergraduate studies
UPMC 2014 - Present
UPMC Health Plan 2008 - 2012
UPMC October 1999 - 2008
Skills
Healthcare, Microsoft Excel, Hospitals, Insurance, Medicare, Managed Care, HIPAA, Nursing, Health Insurance, Healthcare Information..., Patient Education, Healthcare Management, Medicine, Clinical Research, Patient Safety
Education
Community College of Allegheny County
Associate’s Degree, Registered Nursing/Registered Nurse
Indiana University of Pennsylvania
Pre-Nursing Studies
Slippery Rock University of Pennsylvania
Undergraduate studies
Matthew Barbara's UPMC Health Plan Experience May 2012 - August 2012
Job Law Clerk at Reminger Co. LPA
Industry Legal Services
Experience
Reminger Co. LPA January 2014 - Present
Seeley, Savidge, Ebert & Gourash, Co., L.P.A. August 2013 - October 2013
US Department of Health and Human Services June 2013 - August 2013
UPMC Health Plan May 2012 - August 2012
UPMC Health Plan May 2011 - August 2011
Skills
Spanish, Research, Microsoft Office, SPSS, Economics, Legal Writing, Time Management, PowerPoint, Lexis, Westlaw, Editing
Education
Case Western Reserve University School of Law 2012 — 2015
Doctor of Law (J.D.)
Davidson College 2008 — 2012
Bachelor of Arts (B.A.)
University of Limerick 2011 — 2011
Semester abroad
Reminger Co. LPA January 2014 - Present
Seeley, Savidge, Ebert & Gourash, Co., L.P.A. August 2013 - October 2013
US Department of Health and Human Services June 2013 - August 2013
UPMC Health Plan May 2012 - August 2012
UPMC Health Plan May 2011 - August 2011
Skills
Spanish, Research, Microsoft Office, SPSS, Economics, Legal Writing, Time Management, PowerPoint, Lexis, Westlaw, Editing
Education
Case Western Reserve University School of Law 2012 — 2015
Doctor of Law (J.D.)
Davidson College 2008 — 2012
Bachelor of Arts (B.A.)
University of Limerick 2011 — 2011
Semester abroad
Audrey Randall Audrey Randall's UPMC Health Plan Experience October 2010 - July 2014
Job Accounts Receivable Analyst at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan October 2010 - July 2014
UPMC Health Plan 1998 - 2014
UPMC Health Plan November 2000 - November 2009
Skills
Accounts Payable, Customer Relations, Accounting, Medicare, Customer Service, Access, Insurance, Employee Benefits, Health Insurance, Analysis
Education
Point Park University 2013 — 2013
Master of Business Administration (MBA), Business Administration and Management, General, 3.41
Point Park University 2011 — 2012
MBA, International Business, 3.25
Point Park University 2009 — 2011
Business Administration and Management, General, 3.41
Point Park University 2009 — 2011
Community College of Allegheny County 2007 — 2009
associates, accounting
UPMC Health Plan October 2010 - July 2014
UPMC Health Plan 1998 - 2014
UPMC Health Plan November 2000 - November 2009
Skills
Accounts Payable, Customer Relations, Accounting, Medicare, Customer Service, Access, Insurance, Employee Benefits, Health Insurance, Analysis
Education
Point Park University 2013 — 2013
Master of Business Administration (MBA), Business Administration and Management, General, 3.41
Point Park University 2011 — 2012
MBA, International Business, 3.25
Point Park University 2009 — 2011
Business Administration and Management, General, 3.41
Point Park University 2009 — 2011
Community College of Allegheny County 2007 — 2009
associates, accounting
Gabrielle Gonzalez's UPMC Health Plan Experience August 2014 - February 2015
Job Product Specialist
Industry Hospital & Health Care
Experience
McKesson Patient Care Solutions February 2015 - Present
UPMC Health Plan August 2014 - February 2015
Office Depot July 2013 - July 2014
Skills
Customer Service, Procurement, Time Management, Microsoft Excel, Microsoft Office, Teamwork, Training, Team Leadership, Software Documentation, Retail, Leadership, Data Entry, Event Planning, Management, Marketing, Public Speaking, Sales, Social Media, Social Networking
Education
Ashford University 2014 — 2015
Bachelor of Science (B.S.), Health and Human Services
Community College of Allegheny County 2009 — 2013
Health Services/Allied Health/Health Sciences, General
La Roche College 2007 — 2009
General Studies
McKesson Patient Care Solutions February 2015 - Present
UPMC Health Plan August 2014 - February 2015
Office Depot July 2013 - July 2014
Skills
Customer Service, Procurement, Time Management, Microsoft Excel, Microsoft Office, Teamwork, Training, Team Leadership, Software Documentation, Retail, Leadership, Data Entry, Event Planning, Management, Marketing, Public Speaking, Sales, Social Media, Social Networking
Education
Ashford University 2014 — 2015
Bachelor of Science (B.S.), Health and Human Services
Community College of Allegheny County 2009 — 2013
Health Services/Allied Health/Health Sciences, General
La Roche College 2007 — 2009
General Studies
Renee Craig Renee Craig's UPMC Health Plan Experience April 2015 - Present
Job Graduate Medical Education Department Manager at UPMC
Industry Education Management
Experience
UPMC Health Plan April 2015 - Present
UPMC November 2012 - November 2014
Skills
Program Management, Office Administration, Events Coordination, Team Building, Organization Skills, Conference Coordination, Conference Organization, New Hire Orientations, Communication, Teaching, Graduate Medical..., Brochures, Team Management, Teamwork, Public Speaking, Microsoft Word, Microsoft Excel, Microsoft Office
Education
Chatham University 1994 — 1998
Bachelor of Arts (B.A.), Human Services Administration/Psychology/Education
UPMC Health Plan April 2015 - Present
UPMC November 2012 - November 2014
Skills
Program Management, Office Administration, Events Coordination, Team Building, Organization Skills, Conference Coordination, Conference Organization, New Hire Orientations, Communication, Teaching, Graduate Medical..., Brochures, Team Management, Teamwork, Public Speaking, Microsoft Word, Microsoft Excel, Microsoft Office
Education
Chatham University 1994 — 1998
Bachelor of Arts (B.A.), Human Services Administration/Psychology/Education
Amanda Kruzsewski Amanda Kruzsewski's UPMC Health Plan Experience May 2015 - Present
Job Marketing Summer Associate
Industry
Experience
UPMC Health Plan May 2015 - Present
PTSD Research and Treatment Program September 2014 - May 2015
Erie Homes for Children and Adults, Inc. June 2014 - August 2014
Erie Physicians Network May 2011 - August 2011
Skills
Time Management, Event Planning, Teamwork, Public Speaking, PowerPoint, Microsoft Office, Microsoft Word, Microsoft Excel, Research, Data Entry, Social Media
Education
Case Western Reserve University 2013 — 2017
Psychology, Communication Sciences, and Health Communications
Mercyhurst Preparatory School
High School Diploma, International Baccalaureate Program
UPMC Health Plan May 2015 - Present
PTSD Research and Treatment Program September 2014 - May 2015
Erie Homes for Children and Adults, Inc. June 2014 - August 2014
Erie Physicians Network May 2011 - August 2011
Skills
Time Management, Event Planning, Teamwork, Public Speaking, PowerPoint, Microsoft Office, Microsoft Word, Microsoft Excel, Research, Data Entry, Social Media
Education
Case Western Reserve University 2013 — 2017
Psychology, Communication Sciences, and Health Communications
Mercyhurst Preparatory School
High School Diploma, International Baccalaureate Program
Monique Bradley's UPMC Health Plan Experience June 2015 - Present
Job Manager at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan June 2015 - Present
UPMC Health Plan May 2014 - June 2015
UPMC Health Plan October 2012 - May 2014
UPMC Health Plan November 2010 - October 2012
UPMC Health Plan June 2007 - November 2010
Citifinancial Consumer Finance India Ltd May 2004 - June 2007
Skills
Health Insurance, Medicaid, Underwriting, Employee Benefits, Insurance, Process Improvement, Customer Service, HIPAA, Healthcare, Managed Care, Leadership, Data Analysis, Microsoft Excel, Management
Education
Carlow University 2015 — 2019
UPMC Health Plan June 2015 - Present
UPMC Health Plan May 2014 - June 2015
UPMC Health Plan October 2012 - May 2014
UPMC Health Plan November 2010 - October 2012
UPMC Health Plan June 2007 - November 2010
Citifinancial Consumer Finance India Ltd May 2004 - June 2007
Skills
Health Insurance, Medicaid, Underwriting, Employee Benefits, Insurance, Process Improvement, Customer Service, HIPAA, Healthcare, Managed Care, Leadership, Data Analysis, Microsoft Excel, Management
Education
Carlow University 2015 — 2019
Rhodes, James Rhodes, James's UPMC Health Plan Experience Account Service ManagerHighmark Blue Cross Blue Shield2006 - 2012
Job Account Manager at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan Account Service ManagerHighmark Blue Cross Blue Shield2006 - 2012
Skills
Health Insurance, Insurance, Account Management, Customer Service, Commercial Insurance, Sales, Healthcare, Negotiation, Customer Retention, Employee Benefits, Cross Selling, Process Improvement, Presentations, Wellness, Health Savings Accounts, Claims Resolution, Leadership, Management, Team Building, Life Insurance
Education
Point Park University
Master of Business Administration (MBA)
Carlow University
Bachelor of Science (BS), Health Science
UPMC Health Plan Account Service ManagerHighmark Blue Cross Blue Shield2006 - 2012
Skills
Health Insurance, Insurance, Account Management, Customer Service, Commercial Insurance, Sales, Healthcare, Negotiation, Customer Retention, Employee Benefits, Cross Selling, Process Improvement, Presentations, Wellness, Health Savings Accounts, Claims Resolution, Leadership, Management, Team Building, Life Insurance
Education
Point Park University
Master of Business Administration (MBA)
Carlow University
Bachelor of Science (BS), Health Science
Kimberly Geidel Kimberly Geidel's UPMC Health Plan Experience April 2014 - Present
Job Program Director, HCC Technology at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan April 2014 - Present
UPMC Health Plan October 2011 - Present
UPMC Health Plan April 2010 - October 2011
UPMC Health Plan July 2008 - April 2010
UPMC Health Plan July 2006 - July 2008
Gateway Health System 1998 - 2006
Skills
Provider Network..., Contract Negotiation, Contract Management, Medicaid Managed Care, Commercial Insurance, Medicare Advantage, Healthcare Reimbursement, NCQA, HEDIS, Pay for Performance, Ancillary Services, Data Analysis, Quality Improvement, Managed Care, Medicaid, Health Insurance, Leadership, Healthcare Information..., Healthcare, Insurance, HIPAA, Process Improvement, Management
Education
Carnegie Mellon University 2000 — 2002
Master's degree, Public Management & Finance
Slippery Rock University of Pennsylvania 1994 — 1998
Bachelor's degree, Health Services Administration
UPMC Health Plan April 2014 - Present
UPMC Health Plan October 2011 - Present
UPMC Health Plan April 2010 - October 2011
UPMC Health Plan July 2008 - April 2010
UPMC Health Plan July 2006 - July 2008
Gateway Health System 1998 - 2006
Skills
Provider Network..., Contract Negotiation, Contract Management, Medicaid Managed Care, Commercial Insurance, Medicare Advantage, Healthcare Reimbursement, NCQA, HEDIS, Pay for Performance, Ancillary Services, Data Analysis, Quality Improvement, Managed Care, Medicaid, Health Insurance, Leadership, Healthcare Information..., Healthcare, Insurance, HIPAA, Process Improvement, Management
Education
Carnegie Mellon University 2000 — 2002
Master's degree, Public Management & Finance
Slippery Rock University of Pennsylvania 1994 — 1998
Bachelor's degree, Health Services Administration
Mary Kieler's UPMC Health Plan Experience July 2005 - July 2015
Job Clinical Documentation Specialist at Canonsburg Hospital
Industry Insurance
Experience
Canonsburg Hospital July 2015 - Present
UPMC Health Plan July 2005 - July 2015
Pennwriters, Inc. 2009 - 2014
several law firms during this period March 1999 - December 2004
Mercy Hospital - CVR 1992 - 1999
Education
Duquesne University 1997 — 1998
certificate, Paralegal
Carlow College 1992 — 1995
BSN, Nursing
Jameson School of Nursing 1986 — 1990
Diploma, Nursing
Neshannock
Canonsburg Hospital July 2015 - Present
UPMC Health Plan July 2005 - July 2015
Pennwriters, Inc. 2009 - 2014
several law firms during this period March 1999 - December 2004
Mercy Hospital - CVR 1992 - 1999
Education
Duquesne University 1997 — 1998
certificate, Paralegal
Carlow College 1992 — 1995
BSN, Nursing
Jameson School of Nursing 1986 — 1990
Diploma, Nursing
Neshannock
Janice Rehwald's UPMC Health Plan Experience 1999 - 2003
Job HR Business Partner
Industry Human Resources
Experience
NHS Human Services 2014 - Present
II-VI Incorporated March 2011 - March 2013
Bolttech Mannings Inc 2013 - 2013
Mine Safety Appliances Co. October 2003 - April 2010
UPMC Health Plan 1999 - 2003
Parkvale Bank 1997 - 1998
Skills
Employee Relations, Onboarding, Benefits Administration, Talent Acquisition, HRIS, Workforce Planning, Succession Planning, Personnel Management, Deferred Compensation, Talent Management, Conflict Resolution, Performance Management, Labor Relations, New Hire Orientations, HR Policies, Employee Engagement, Organizational..., College Recruiting, Applicant Tracking..., Human Resources, Recruiting, Employee Benefits
Education
Clarion University of Pennsylvania 1975 — 1979
BA, Communications
NHS Human Services 2014 - Present
II-VI Incorporated March 2011 - March 2013
Bolttech Mannings Inc 2013 - 2013
Mine Safety Appliances Co. October 2003 - April 2010
UPMC Health Plan 1999 - 2003
Parkvale Bank 1997 - 1998
Skills
Employee Relations, Onboarding, Benefits Administration, Talent Acquisition, HRIS, Workforce Planning, Succession Planning, Personnel Management, Deferred Compensation, Talent Management, Conflict Resolution, Performance Management, Labor Relations, New Hire Orientations, HR Policies, Employee Engagement, Organizational..., College Recruiting, Applicant Tracking..., Human Resources, Recruiting, Employee Benefits
Education
Clarion University of Pennsylvania 1975 — 1979
BA, Communications
Sharita Attiah Sharita Attiah's UPMC Health Plan Experience January 2000 - February 2005
Job Disability Specialist
Industry Insurance
Experience
Safe Auto Insurance Company 2013 - 2015
Safe Auto Insurance Company 2013 - 2015
Sedgwick CMS October 2005 - October 2012
UPMC Health Plan January 2000 - February 2005
Skills
Disability Management, Medical Coding, Data Entry, Third Party Billing, Claim, Insurance, Health Insurance, Employee Benefits, Workers Compensation, Software Documentation, Disability Insurance, Analysis, FMLA, Time Management, Management, CRM, Medicare, Social Security..., Claims Management
Education
University of Pittsburgh 1986 — 1988
Associate's degree, Administrative Assistant and Secretarial Science, General
Columbus State
Did not finish, Nursing Education
Safe Auto Insurance Company 2013 - 2015
Safe Auto Insurance Company 2013 - 2015
Sedgwick CMS October 2005 - October 2012
UPMC Health Plan January 2000 - February 2005
Skills
Disability Management, Medical Coding, Data Entry, Third Party Billing, Claim, Insurance, Health Insurance, Employee Benefits, Workers Compensation, Software Documentation, Disability Insurance, Analysis, FMLA, Time Management, Management, CRM, Medicare, Social Security..., Claims Management
Education
University of Pittsburgh 1986 — 1988
Associate's degree, Administrative Assistant and Secretarial Science, General
Columbus State
Did not finish, Nursing Education
Marie Legowik Marie Legowik's UPMC Health Plan Experience 2005 - 2009
Job Product Leader, Strategy & Management, Compliance and Operation
Industry Insurance
Experience
Florida Blue 2013 - 2014
CIGNA Healthcare 2010 - 2013
SCIOinspire Corp May 2009 - November 2009
UPMC Health Plan 2005 - 2009
HM Insurance Group, subsidiary of Highmark, Inc. 2000 - 2005
Aetna, INC. 1996 - 2001
Aetna US Healthcare 1996 - 2001
U S Healthcare /Aetna Inc 1989 - 1996
Skills
Medicare, Managed Care, Strategic Planning, Cost Containment, Team Building, COBRA, Organizational..., Subrogation, Health Insurance, Claims, Dental, Healthcare, Insurance, Healthcare Management, Employee Benefits, Process Improvement, Vendor Management, Compliance, Business Analysis, Operations Management, Executive Management, Contract Negotiation, Mentoring, Claim, Team Leadership, HIPAA, Cross-functional Team..., Healthcare Industry, Analysis, Leadership, Outsourcing, Business Process, Product Management, Account Management, Benefits Administration, Budgets, Disability Insurance, Project Management, Health Care Reform, Call Centers, Performance Improvement, Provider Relations, Product Development, Health Policy, Employee Training, CRM, Medicaid, Sales, Risk Management, Financial Analysis
Education
Carnegie Mellon University
Masters
University of Pittsburgh
BA
Florida Blue 2013 - 2014
CIGNA Healthcare 2010 - 2013
SCIOinspire Corp May 2009 - November 2009
UPMC Health Plan 2005 - 2009
HM Insurance Group, subsidiary of Highmark, Inc. 2000 - 2005
Aetna, INC. 1996 - 2001
Aetna US Healthcare 1996 - 2001
U S Healthcare /Aetna Inc 1989 - 1996
Skills
Medicare, Managed Care, Strategic Planning, Cost Containment, Team Building, COBRA, Organizational..., Subrogation, Health Insurance, Claims, Dental, Healthcare, Insurance, Healthcare Management, Employee Benefits, Process Improvement, Vendor Management, Compliance, Business Analysis, Operations Management, Executive Management, Contract Negotiation, Mentoring, Claim, Team Leadership, HIPAA, Cross-functional Team..., Healthcare Industry, Analysis, Leadership, Outsourcing, Business Process, Product Management, Account Management, Benefits Administration, Budgets, Disability Insurance, Project Management, Health Care Reform, Call Centers, Performance Improvement, Provider Relations, Product Development, Health Policy, Employee Training, CRM, Medicaid, Sales, Risk Management, Financial Analysis
Education
Carnegie Mellon University
Masters
University of Pittsburgh
BA
Bobby Hassain Bobby Hassain's UPMC Health Plan Experience May 1998 - November 2001
Job Help Desk Support at RAND Corporation
Industry Think Tanks
Experience
RAND Corporation May 2005 - Present
eiNetwork - Carnegie Library of Pittsburgh November 2001 - February 2004
UPMC Health Plan May 1998 - November 2001
Skills
Networking, Project Management, Computer Security, Security, Remote Computer Support, Information Technology, Technical Support
Education
Community College of Allegheny County 2012 — 2013
Implementation Support Specialist, Health Information Technology Professional, Certification
Duquesne University 1994 — 1996
Master's degree, Health Managment System
Thiel College
Bachelor of Arts (B.A.), Business Administration
RAND Corporation May 2005 - Present
eiNetwork - Carnegie Library of Pittsburgh November 2001 - February 2004
UPMC Health Plan May 1998 - November 2001
Skills
Networking, Project Management, Computer Security, Security, Remote Computer Support, Information Technology, Technical Support
Education
Community College of Allegheny County 2012 — 2013
Implementation Support Specialist, Health Information Technology Professional, Certification
Duquesne University 1994 — 1996
Master's degree, Health Managment System
Thiel College
Bachelor of Arts (B.A.), Business Administration
Amy Lanzelotti Amy Lanzelotti's UPMC Health Plan Experience October 2004 - Present
Job Marketing Project Manager at UPMC Health Plan
Industry Health, Wellness and Fitness
Experience
UPMC Health Plan October 2004 - Present
Highmark January 1995 - October 2005
Skills
Public Relations, Strategic Planning, Healthcare, Marketing...
Education
Clarion University of Pennsylvania 1980 — 1984
BS, Communication
UPMC Health Plan October 2004 - Present
Highmark January 1995 - October 2005
Skills
Public Relations, Strategic Planning, Healthcare, Marketing...
Education
Clarion University of Pennsylvania 1980 — 1984
BS, Communication
Tony Panichella Tony Panichella's UPMC Health Plan Experience 2011 - May 2012
Job Voice communications Sr. at UPMC
Industry Medical Devices
Experience
UPMC July 2014 - Present
upmc April 2012 - July 2014
UPMC Health Plan 2011 - May 2012
Respironics 2010 - 2011
Rentsys 2007 - 2009
Skills
Networking, Visio, Troubleshooting, SharePoint, Customer Service, Microsoft Office, Project Management, Leadership, Team Building, Team Leadership, Vendor Management, Healthcare Information..., Software Documentation, Active Directory, Avaya Communication..., AVST, Alcatel, Avaya Aura, Telecommunications
Education
Clarion University of Pennsylvania 2001 — 2006
Bachelor's degree, Computer/Information Technology Administration and Management
UPMC July 2014 - Present
upmc April 2012 - July 2014
UPMC Health Plan 2011 - May 2012
Respironics 2010 - 2011
Rentsys 2007 - 2009
Skills
Networking, Visio, Troubleshooting, SharePoint, Customer Service, Microsoft Office, Project Management, Leadership, Team Building, Team Leadership, Vendor Management, Healthcare Information..., Software Documentation, Active Directory, Avaya Communication..., AVST, Alcatel, Avaya Aura, Telecommunications
Education
Clarion University of Pennsylvania 2001 — 2006
Bachelor's degree, Computer/Information Technology Administration and Management
Marie Legowik's UPMC Health Plan Experience March 2005 - Present
Job Manager, Product Development at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan March 2005 - Present
HM Benefits Administrators/Highmark July 2000 - January 2005
HM Insurance Group 2000 - 2005
Aetna June 1996 - March 2000
US Healthcare February 1991 - March 1996
Education
Carnegie Mellon University
Masters
University of Pittsburgh
BA
UPMC Health Plan March 2005 - Present
HM Benefits Administrators/Highmark July 2000 - January 2005
HM Insurance Group 2000 - 2005
Aetna June 1996 - March 2000
US Healthcare February 1991 - March 1996
Education
Carnegie Mellon University
Masters
University of Pittsburgh
BA
Lyndsay Reinoso Lyndsay Reinoso's UPMC Health Plan Experience September 2013 - Present
Job Enrollment Team Lead at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan September 2013 - Present
UPMC Health Plan February 2011 - Present
Skills
Customer Service, Insurance, Leadership, Microsoft Excel, Process Improvement, Training, Business Analysis, Analysis, Health Insurance, Healthcare
Education
Carlow College 2010 — 2011
Master of Business Administration (M.B.A.)
Temple University 2003 — 2007
Bachelor of Business Administration (B.B.A.), Marketing
UPMC Health Plan September 2013 - Present
UPMC Health Plan February 2011 - Present
Skills
Customer Service, Insurance, Leadership, Microsoft Excel, Process Improvement, Training, Business Analysis, Analysis, Health Insurance, Healthcare
Education
Carlow College 2010 — 2011
Master of Business Administration (M.B.A.)
Temple University 2003 — 2007
Bachelor of Business Administration (B.B.A.), Marketing
Elisa Montemurro Elisa Montemurro's UPMC Health Plan Experience February 2011 - January 2014
Job Business Assistant at UPMC Passavant Hospital
Industry Insurance
Experience
UPMC Passavant Hospital January 2014 - Present
UPMC Health Plan February 2011 - January 2014
AMEC January 2008 - July 2009
Hemophilia Center of Western PA February 2002 - September 2006
UPMC Shadyside November 1999 - February 2002
Skills
Dependable Team Player, Outstanding..., High Organizational..., Work Independently with..., Creative Problem Solving, Highly Dedicated, Professional Experience, Highly motivated..., Energetic team player, Respective Individual, Always Punctual, Team-oriented, Organization &..., Teamwork, Insurance, Spreadsheets
Education
Community College of Allegheny County 2013 — 2017
Current Student, Liberal Arts and Sciences/Liberal Studies - concentration in Business, 3.75
Fox Chapel 1986 — 1990
Academic
UPMC Passavant Hospital January 2014 - Present
UPMC Health Plan February 2011 - January 2014
AMEC January 2008 - July 2009
Hemophilia Center of Western PA February 2002 - September 2006
UPMC Shadyside November 1999 - February 2002
Skills
Dependable Team Player, Outstanding..., High Organizational..., Work Independently with..., Creative Problem Solving, Highly Dedicated, Professional Experience, Highly motivated..., Energetic team player, Respective Individual, Always Punctual, Team-oriented, Organization &..., Teamwork, Insurance, Spreadsheets
Education
Community College of Allegheny County 2013 — 2017
Current Student, Liberal Arts and Sciences/Liberal Studies - concentration in Business, 3.75
Fox Chapel 1986 — 1990
Academic
Ashley Sewell Ashley Sewell's UPMC Health Plan Experience August 2015 - Present
Job Project Analyst, Medicaid Program Initiative Analytics & Operational Support
Industry Hospital & Health Care
Experience
UPMC Health Plan August 2015 - Present
CareCore National July 2014 - July 2015
CareCore National September 2012 - June 2014
Charles Boyd Chevrolet Cadillac Buick GMC August 2011 - July 2012
Coastal Carolina Athletic Academic Department January 2011 - May 2011
Chick-fil-A August 2010 - December 2010
International Mission Board July 2010 - December 2010
Skills
Microsoft Excel, Data Analysis, Budgets, Problem Solving, Financial Analysis, Budgeting, Utilization Management, Managed Care, SQL, Tableau, Process Improvement, Healthcare Information..., Public Speaking, PowerPoint, Operations Management, Microsoft Office, Time Management, Microsoft Word, Customer Service, Event Planning, Accounting, Research, Customer Relations, Word, Access, Training
Education
Coastal Carolina University 2006 — 2011
BA, Business Administration - Finance
Patuxent High School 2004 — 2006
High School Degree
Greater Latrobe High School 2002 — 2004
UPMC Health Plan August 2015 - Present
CareCore National July 2014 - July 2015
CareCore National September 2012 - June 2014
Charles Boyd Chevrolet Cadillac Buick GMC August 2011 - July 2012
Coastal Carolina Athletic Academic Department January 2011 - May 2011
Chick-fil-A August 2010 - December 2010
International Mission Board July 2010 - December 2010
Skills
Microsoft Excel, Data Analysis, Budgets, Problem Solving, Financial Analysis, Budgeting, Utilization Management, Managed Care, SQL, Tableau, Process Improvement, Healthcare Information..., Public Speaking, PowerPoint, Operations Management, Microsoft Office, Time Management, Microsoft Word, Customer Service, Event Planning, Accounting, Research, Customer Relations, Word, Access, Training
Education
Coastal Carolina University 2006 — 2011
BA, Business Administration - Finance
Patuxent High School 2004 — 2006
High School Degree
Greater Latrobe High School 2002 — 2004
Haebin Kim's UPMC Health Plan Experience September 2011 - September 2012
Job Interactive Developer at Nordstrom
Industry Information Technology and Services
Experience
Nordstrom November 2013 - Present
Amazon May 2013 - November 2013
Affirma Consulting January 2013 - April 2013
UPMC Health Plan September 2011 - September 2012
Mullen March 2010 - September 2011
Center for Arts Managament and Technology, Carnegie Mellon University June 2001 - March 2010
Sim Ops Studios May 2008 - August 2008
Samsung Museum of Art, Seoul, Korea 1997 - August 1998
Samsung Museum of Art, Seoul, Korea 1995 - 1997
Skills
Project Management, Technical project..., Web Project Management, Web Strategy, Online marketing, Web Marketing Strategy, Database Design, Content Management, User Interface Design, .Net, CSS, SEO, jQuery, Web Analytics, JavaScript, C#, SQL, Communication Skills, Market Analysis, Online Marketing, Google Analytics, Email Marketing, Databases, SharePoint, .NET, Analytics, HTML 5
Education
Carnegie Mellon University - Tepper School of Business 2006 — 2009
MBA
Carnegie Mellon University 2003 — 2005
Master's, Information Technology
Carnegie Mellon University 1999 — 2001
Master's, Arts Management
Seoul National University
BS, Aesthetics, Art History
Nordstrom November 2013 - Present
Amazon May 2013 - November 2013
Affirma Consulting January 2013 - April 2013
UPMC Health Plan September 2011 - September 2012
Mullen March 2010 - September 2011
Center for Arts Managament and Technology, Carnegie Mellon University June 2001 - March 2010
Sim Ops Studios May 2008 - August 2008
Samsung Museum of Art, Seoul, Korea 1997 - August 1998
Samsung Museum of Art, Seoul, Korea 1995 - 1997
Skills
Project Management, Technical project..., Web Project Management, Web Strategy, Online marketing, Web Marketing Strategy, Database Design, Content Management, User Interface Design, .Net, CSS, SEO, jQuery, Web Analytics, JavaScript, C#, SQL, Communication Skills, Market Analysis, Online Marketing, Google Analytics, Email Marketing, Databases, SharePoint, .NET, Analytics, HTML 5
Education
Carnegie Mellon University - Tepper School of Business 2006 — 2009
MBA
Carnegie Mellon University 2003 — 2005
Master's, Information Technology
Carnegie Mellon University 1999 — 2001
Master's, Arts Management
Seoul National University
BS, Aesthetics, Art History
Marie Sonnet's UPMC Health Plan Experience June 2007 - June 2013
Job Management Consulting Professional
Industry Management Consulting
Experience
The Resilience Center November 2013 - Present
HHI Healthcare Solutions June 2013 - October 2013
UPMC Health Plan June 2007 - June 2013
Skills
Data Analysis, Leadership, Case Managment, Change Management, Organizational..., Program Management, Operations Management, Account Management, Strategic Planning, Leadership Development, Business Planning, Management, Grants, Project Management, Healthcare, Budgets, Case Management, Coaching, Consulting, Nonprofits, Public Speaking, Talent Management, Process Improvement, Strategy, Six Sigma, Entrepreneurship, Performance Management, Management Consulting, Research, Instructional Design
Education
Fielding Graduate University 2009 — 2015
PhD Student, Human and Organizational Systems
Carnegie Mellon University
MPM, Business and economic development
The University of Chicago
MST, Education
The Resilience Center November 2013 - Present
HHI Healthcare Solutions June 2013 - October 2013
UPMC Health Plan June 2007 - June 2013
Skills
Data Analysis, Leadership, Case Managment, Change Management, Organizational..., Program Management, Operations Management, Account Management, Strategic Planning, Leadership Development, Business Planning, Management, Grants, Project Management, Healthcare, Budgets, Case Management, Coaching, Consulting, Nonprofits, Public Speaking, Talent Management, Process Improvement, Strategy, Six Sigma, Entrepreneurship, Performance Management, Management Consulting, Research, Instructional Design
Education
Fielding Graduate University 2009 — 2015
PhD Student, Human and Organizational Systems
Carnegie Mellon University
MPM, Business and economic development
The University of Chicago
MST, Education
Jeffrey Alex's UPMC Health Plan Experience November 2012 - Present
Job Assistant Counsel at UPMC Health Plan
Industry Law Practice
Experience
UPMC Health Plan November 2012 - Present
UPMC June 2012 - November 2012
Buchanan Ingersoll & Rooney, PC March 2008 - March 2009
Skills
Litigation, Civil Litigation, Legal Writing, Policy Analysis, Commercial Litigation, Public Policy, Strategic Planning, Courts, Legal Research, Leadership
Education
Carnegie Mellon University 2005 — 2007
MSPPM, Public Policy
University of Pittsburgh School of Law 2004 — 2007
University of Pittsburgh 1999 — 2003
B.A., Philosophy
UPMC Health Plan November 2012 - Present
UPMC June 2012 - November 2012
Buchanan Ingersoll & Rooney, PC March 2008 - March 2009
Skills
Litigation, Civil Litigation, Legal Writing, Policy Analysis, Commercial Litigation, Public Policy, Strategic Planning, Courts, Legal Research, Leadership
Education
Carnegie Mellon University 2005 — 2007
MSPPM, Public Policy
University of Pittsburgh School of Law 2004 — 2007
University of Pittsburgh 1999 — 2003
B.A., Philosophy
Ron Lachell, MBA, PMP, 6 Sigma Black Belt's UPMC Health Plan Experience January 2006 - April 2012
Job PNC
Industry Banking
Experience
PNC 2012 - Present
Carnegie Mellon University 2011 - Present
Carlow University August 2009 - Present
Chatham University January 2015 - Present
UPMC Health Plan January 2006 - April 2012
Russell/Mellon 2003 - 2006
Mellon Financial Corp December 2001 - December 2005
Sabre January 1999 - December 2001
USAirways 1982 - 1999
Skills
Process Improvement, Six Sigma, Requirements Analysis, PMO, Integration, Teaching, Business Analysis, Process Engineering, Strategic Planning, Change Management, Analysis, Mentoring, Program Management, Quality Management, MS Project, Project Planning, Risk Management, SDLC, Healthcare, Vendor Management, Agile, Customer Service, Planning, Business Process, PMP, Leadership, Project Management, Software Project..., Agile Methodologies, ITIL, Training, Management, Visio, Scrum, Cross-functional Team..., Software Documentation, Data Analysis, SharePoint, Business Process..., Quality Assurance, Requirements Gathering, Business Intelligence, Team Leadership, Access, Systems Analysis, IT Management, Java, Software Development, Microsoft Project
Education
Columbia Southern University 1998 — 2000
MBA, Project Management
Carlow University
Carlow University
PNC 2012 - Present
Carnegie Mellon University 2011 - Present
Carlow University August 2009 - Present
Chatham University January 2015 - Present
UPMC Health Plan January 2006 - April 2012
Russell/Mellon 2003 - 2006
Mellon Financial Corp December 2001 - December 2005
Sabre January 1999 - December 2001
USAirways 1982 - 1999
Skills
Process Improvement, Six Sigma, Requirements Analysis, PMO, Integration, Teaching, Business Analysis, Process Engineering, Strategic Planning, Change Management, Analysis, Mentoring, Program Management, Quality Management, MS Project, Project Planning, Risk Management, SDLC, Healthcare, Vendor Management, Agile, Customer Service, Planning, Business Process, PMP, Leadership, Project Management, Software Project..., Agile Methodologies, ITIL, Training, Management, Visio, Scrum, Cross-functional Team..., Software Documentation, Data Analysis, SharePoint, Business Process..., Quality Assurance, Requirements Gathering, Business Intelligence, Team Leadership, Access, Systems Analysis, IT Management, Java, Software Development, Microsoft Project
Education
Columbia Southern University 1998 — 2000
MBA, Project Management
Carlow University
Carlow University
Michele Slomka's UPMC Health Plan Experience January 2007 - March 2007
Job Business Systems Analyst at Highmark
Industry Information Technology and Services
Experience
Highmark April 2012 - Present
Highmark Blue Cross Blue Shield May 2011 - December 2011
Bank of New York Mellon February 2010 - April 2010
Federated Investors April 2008 - December 2009
Highmark Blue Cross Blue Shield March 2007 - February 2008
UPMC Health Plan January 2007 - March 2007
Highmark Blue Cross Blue Shield August 2006 - January 2007
PNC Bank September 1998 - August 2006
JH Data Technical May 1998 - September 1998
General Nutrition Corporation May 1990 - May 1998
Skills
Business Requirements, Requirements Analysis, Quality Assurance
Education
Community College of Allegheny County 1995 — 2005
Quaker Valley High School 1986 — 1988
Academic
Highmark April 2012 - Present
Highmark Blue Cross Blue Shield May 2011 - December 2011
Bank of New York Mellon February 2010 - April 2010
Federated Investors April 2008 - December 2009
Highmark Blue Cross Blue Shield March 2007 - February 2008
UPMC Health Plan January 2007 - March 2007
Highmark Blue Cross Blue Shield August 2006 - January 2007
PNC Bank September 1998 - August 2006
JH Data Technical May 1998 - September 1998
General Nutrition Corporation May 1990 - May 1998
Skills
Business Requirements, Requirements Analysis, Quality Assurance
Education
Community College of Allegheny County 1995 — 2005
Quaker Valley High School 1986 — 1988
Academic
Steven Satzger's UPMC Health Plan Experience September 2010 - May 2013
Job Sr Learning Delivery Manager at CareMore Health Plan
Industry Hospital & Health Care
Experience
CareMore Health Plan April 2015 - Present
MedExpress July 2013 - March 2015
UPMC Health Plan September 2010 - May 2013
General Nutrition Centers Inc. September 2003 - September 2010
McKesson June 1999 - October 2003
AT&T Wireless 1993 - 1998
Skills
Employee Relations, Performance Management, Training, Recruiting, Management, Retail, Leadership, Sales, Succession Planning, Sales Management, Coaching, Team Building, Onboarding, Employee Training, Employee Benefits, Customer Retention, Hiring, Strategy, Organizational..., Interviews, Talent Acquisition, Human Resources, Leadership Development, Employee Engagement, Staff Development, Talent Management, Process Improvement, Conflict Resolution, Training Delivery, Applicant Tracking..., New Hire Orientations, HRIS, E-Learning, Workshop Facilitation, Organizational..., Instructional Design, Resume Writing, Learning Management..., Common Sense
Education
Carlow College 1999 — 2001
MS, Professional Leadership
Penn State 1990 — 1993
BA, History
CareMore Health Plan April 2015 - Present
MedExpress July 2013 - March 2015
UPMC Health Plan September 2010 - May 2013
General Nutrition Centers Inc. September 2003 - September 2010
McKesson June 1999 - October 2003
AT&T Wireless 1993 - 1998
Skills
Employee Relations, Performance Management, Training, Recruiting, Management, Retail, Leadership, Sales, Succession Planning, Sales Management, Coaching, Team Building, Onboarding, Employee Training, Employee Benefits, Customer Retention, Hiring, Strategy, Organizational..., Interviews, Talent Acquisition, Human Resources, Leadership Development, Employee Engagement, Staff Development, Talent Management, Process Improvement, Conflict Resolution, Training Delivery, Applicant Tracking..., New Hire Orientations, HRIS, E-Learning, Workshop Facilitation, Organizational..., Instructional Design, Resume Writing, Learning Management..., Common Sense
Education
Carlow College 1999 — 2001
MS, Professional Leadership
Penn State 1990 — 1993
BA, History
Eric Hepler's UPMC Health Plan Experience June 2015 - Present
Job Senior Manager, Integrated Analytics at UPMC Health Plan
Industry Information Technology and Services
Experience
UPMC Health Plan June 2015 - Present
UPMC Health Plan April 2013 - June 2015
UPMC Health Plan January 2012 - March 2013
UPMC Health Plan January 2009 - February 2012
Vertical Solutions January 2008 - December 2008
Voyager Group April 2007 - January 2008
Leed's April 2005 - March 2007
GNC 1998 - 2005
Skills
SQL Server, SSRS, Oracle, SSIS, SharePoint, SharePoint Designer, C, Visual Basic, Visual Studio, SQL Server 2000-2008, Microsoft project, Microsoft Dynamics, Microsoft Excel, Database Design, Relational Databases, Business Analysis, Crystal Reports, Databases, MS Project, Microsoft SQL Server, Project Management, SQL, Systems Analysis, T-SQL, Visio
Education
Robert Morris University 1994 — 1998
BS, Information Science
College of Charleston 1992 — 1994
Plum High School 1988 — 1991
UPMC Health Plan June 2015 - Present
UPMC Health Plan April 2013 - June 2015
UPMC Health Plan January 2012 - March 2013
UPMC Health Plan January 2009 - February 2012
Vertical Solutions January 2008 - December 2008
Voyager Group April 2007 - January 2008
Leed's April 2005 - March 2007
GNC 1998 - 2005
Skills
SQL Server, SSRS, Oracle, SSIS, SharePoint, SharePoint Designer, C, Visual Basic, Visual Studio, SQL Server 2000-2008, Microsoft project, Microsoft Dynamics, Microsoft Excel, Database Design, Relational Databases, Business Analysis, Crystal Reports, Databases, MS Project, Microsoft SQL Server, Project Management, SQL, Systems Analysis, T-SQL, Visio
Education
Robert Morris University 1994 — 1998
BS, Information Science
College of Charleston 1992 — 1994
Plum High School 1988 — 1991
Angela Moczan, CPA's UPMC Health Plan Experience 2011 - Present
Job Senior Director, Strategic Analysis of Clinical Affairs
Industry Hospital & Health Care
Experience
UPMC Health Plan 2011 - Present
UPMC Health Plan 2009 - 2011
UPMC 2005 - 2009
UPMC 2002 - 2005
American Eagle Outfitters 2001 - 2002
Deloitte & Touche, LLP 1997 - 2001
Skills
Healthcare Management, Strategic Financial..., Healthcare, Hospitals, Healthcare Information..., Data Analysis, Process Improvement, Microsoft Excel, Medicare, Microsoft Office, Revenue Cycle, Financial Analysis, Managed Care, PowerPoint, Microsoft Word
Education
Carnegie Mellon University
Data Analytics
Westminster College (PA)
Bachelor of Arts (BA), Accounting, Business Administration (Minor)
UPMC Health Plan 2011 - Present
UPMC Health Plan 2009 - 2011
UPMC 2005 - 2009
UPMC 2002 - 2005
American Eagle Outfitters 2001 - 2002
Deloitte & Touche, LLP 1997 - 2001
Skills
Healthcare Management, Strategic Financial..., Healthcare, Hospitals, Healthcare Information..., Data Analysis, Process Improvement, Microsoft Excel, Medicare, Microsoft Office, Revenue Cycle, Financial Analysis, Managed Care, PowerPoint, Microsoft Word
Education
Carnegie Mellon University
Data Analytics
Westminster College (PA)
Bachelor of Arts (BA), Accounting, Business Administration (Minor)
Chris Ostermann, MBA's UPMC Health Plan Experience August 2013 - Present
Job Operations Exchange Marketplace
Industry Hospital & Health Care
Experience
UPMC Health Plan August 2013 - Present
iGPS June 2011 - August 2013
Express Scripts June 2003 - April 2011
UPMC Health Plan January 2003 - June 2003
Eckerd Health Services March 2000 - January 2003
Skills
Forecasting, Cross-functional Team..., Process Improvement, Operations Management, Budgets, Leadership, Financial Analysis, Strategic Planning, Business Planning, New Business Development, Strategy, Inventory Management, Consulting, Logistics, Six Sigma, Pricing, Sales Operations, Competitive Analysis, Data Analysis, Business Analysis, Access, PowerPoint, Purchasing, Team Building, Supply Chain, Supply Chain Management, Microsoft Office, Financial Reporting, Outlook, Project Planning, Microsoft Word, Microsoft Excel, Budgeting, Excel, Word, Planning
Education
Robert Morris University 2000 — 2002
Master's degree, Business Administration and Management
Clarion University of Pennsylvania 1995 — 1999
Bachelor of Science, Business Administration and Management, Finance
UPMC Health Plan August 2013 - Present
iGPS June 2011 - August 2013
Express Scripts June 2003 - April 2011
UPMC Health Plan January 2003 - June 2003
Eckerd Health Services March 2000 - January 2003
Skills
Forecasting, Cross-functional Team..., Process Improvement, Operations Management, Budgets, Leadership, Financial Analysis, Strategic Planning, Business Planning, New Business Development, Strategy, Inventory Management, Consulting, Logistics, Six Sigma, Pricing, Sales Operations, Competitive Analysis, Data Analysis, Business Analysis, Access, PowerPoint, Purchasing, Team Building, Supply Chain, Supply Chain Management, Microsoft Office, Financial Reporting, Outlook, Project Planning, Microsoft Word, Microsoft Excel, Budgeting, Excel, Word, Planning
Education
Robert Morris University 2000 — 2002
Master's degree, Business Administration and Management
Clarion University of Pennsylvania 1995 — 1999
Bachelor of Science, Business Administration and Management, Finance
Eric Melymuk's UPMC Health Plan Experience September 2011 - Present
Job Lead Business Analyst at UPMC Health Plan
Industry Hospital & Health Care
Experience
UPMC Health Plan September 2011 - Present
UPMC Health Plan August 2010 - September 2011
Gateway Health Plan June 2006 - October 2010
Partners Community Healthcare, Inc 2004 - 2006
Eliza Corporation 2002 - 2004
Skills
Process Improvement, Business Analysis, Analysis, Data Analysis, Healthcare Information..., HIPAA, Access, Healthcare, SQL, Project Management
Education
Carnegie Mellon University 1996 — 2000
UPMC Health Plan September 2011 - Present
UPMC Health Plan August 2010 - September 2011
Gateway Health Plan June 2006 - October 2010
Partners Community Healthcare, Inc 2004 - 2006
Eliza Corporation 2002 - 2004
Skills
Process Improvement, Business Analysis, Analysis, Data Analysis, Healthcare Information..., HIPAA, Access, Healthcare, SQL, Project Management
Education
Carnegie Mellon University 1996 — 2000
Erin Reiley-Ward's UPMC Health Plan Experience March 2007 - July 2008
Job Communications and Creative Consultant at ERW Creative, LLC
Industry Health, Wellness and Fitness
Experience
ERW Creative, LLC May 2015 - Present
APS Healthcare, a subsidiary of Universal American February 2010 - May 2015
LifeMasters Supported SelfCare July 2008 - February 2010
UPMC Health Plan March 2007 - July 2008
ABC News - 20/20 & Primetime, Carnegie Mellon University 2003 - 2007
Peter Kiewit Sons', Inc August 2004 - November 2006
W&H Pacific July 2001 - October 2001
Lockheed Martin March 1999 - June 2001
Federal Data Corporation October 1998 - February 1999
Skills
Marketing Communications, Copywriting, Marketing Strategy, Editing, Project Management, Creative Strategy, Strategic Writing, Healthcare, Writing, Integrated Marketing, Proposal Writing, Public Relations, Marketing, Media Relations
Education
Carnegie Mellon University 2001 — 2003
Master of Arts (M.A.), Professional Writing
Indiana University of Pennsylvania 1993 — 1997
Bachelor of Arts, English
ERW Creative, LLC May 2015 - Present
APS Healthcare, a subsidiary of Universal American February 2010 - May 2015
LifeMasters Supported SelfCare July 2008 - February 2010
UPMC Health Plan March 2007 - July 2008
ABC News - 20/20 & Primetime, Carnegie Mellon University 2003 - 2007
Peter Kiewit Sons', Inc August 2004 - November 2006
W&H Pacific July 2001 - October 2001
Lockheed Martin March 1999 - June 2001
Federal Data Corporation October 1998 - February 1999
Skills
Marketing Communications, Copywriting, Marketing Strategy, Editing, Project Management, Creative Strategy, Strategic Writing, Healthcare, Writing, Integrated Marketing, Proposal Writing, Public Relations, Marketing, Media Relations
Education
Carnegie Mellon University 2001 — 2003
Master of Arts (M.A.), Professional Writing
Indiana University of Pennsylvania 1993 — 1997
Bachelor of Arts, English
Richard Sikon's UPMC Health Plan Experience July 2013 - Present
Job Manager Data Management | Enterprise Analytics at UPMC
Industry Information Technology and Services
Experience
UPMC March 2015 - Present
UPMC Health Plan July 2013 - Present
UPMC Health Plan January 2010 - June 2013
The Institute For Transfusion Medicine May 1992 - May 2008
Central Blood Bank July 1983 - May 1992
Information Systems Research February 1982 - March 1983
TRANSCOMM Data Systems, Inc. June 1978 - January 1982
Skills
CA Erwin Data Modeler r8, PowerCenter 9.0 Level I..., Process Improvement, Project Planning, Team Building, Leadership, Software Documentation, Business Intelligence, Cross-functional Team..., Requirements Analysis, Data Analysis, Integration, Telecommunications, Testing, Budgets, Informatica Data..., MDM Using Informatica..., Informatica Data..., Windows Sharepoint..., Informatica Data..., • SharePoint 2013 for..., • Crosby Quality System, Data Warehousing, Program Management, Disaster Recovery, Security, Systems Analysis, Business Analysis
Education
Carnegie Mellon University
Bachelors of Science
UPMC March 2015 - Present
UPMC Health Plan July 2013 - Present
UPMC Health Plan January 2010 - June 2013
The Institute For Transfusion Medicine May 1992 - May 2008
Central Blood Bank July 1983 - May 1992
Information Systems Research February 1982 - March 1983
TRANSCOMM Data Systems, Inc. June 1978 - January 1982
Skills
CA Erwin Data Modeler r8, PowerCenter 9.0 Level I..., Process Improvement, Project Planning, Team Building, Leadership, Software Documentation, Business Intelligence, Cross-functional Team..., Requirements Analysis, Data Analysis, Integration, Telecommunications, Testing, Budgets, Informatica Data..., MDM Using Informatica..., Informatica Data..., Windows Sharepoint..., Informatica Data..., • SharePoint 2013 for..., • Crosby Quality System, Data Warehousing, Program Management, Disaster Recovery, Security, Systems Analysis, Business Analysis
Education
Carnegie Mellon University
Bachelors of Science
Matt Rusincovitch's UPMC Health Plan Experience December 2008 - June 2010
Job VP, Credit Director, Education Lending at PNC
Industry Banking
Gina Anthony's UPMC Health Plan Experience October 2012 - Present
Job Systems Analyst Lead at UPMC Health Plan
Industry Hospital & Health Care
Experience
UPMC Health Plan October 2012 - Present
Askesis Development Group March 2007 - October 2012
ServiceWare Technologies, Inc. 1998 - 2001
Skills
SDLC, Software Documentation, Microsoft SQL Server, Systems Analysis, Visio, Requirements Analysis, SQL, Access, Software Development, Business Analysis, Integration
Education
Duquesne University 2005 — 2007
Master of Science (MS), Multimedia Technology
Chatham College 1991 — 1996
Information Systems
UPMC Health Plan October 2012 - Present
Askesis Development Group March 2007 - October 2012
ServiceWare Technologies, Inc. 1998 - 2001
Skills
SDLC, Software Documentation, Microsoft SQL Server, Systems Analysis, Visio, Requirements Analysis, SQL, Access, Software Development, Business Analysis, Integration
Education
Duquesne University 2005 — 2007
Master of Science (MS), Multimedia Technology
Chatham College 1991 — 1996
Information Systems
Jane Tedesco's UPMC Health Plan Experience October 2008 - June 2009
Job Highly Efficient Executive Assistant
Industry Executive Office
Experience
Pine Richland School District June 2011 - Present
North Hills School District 2010 - March 2012
PNC Mortgage June 2009 - February 2010
UPMC Health Plan October 2008 - June 2009
UPMC Health Plan September 2006 - October 2008
UPMC Health Plan October 2005 - September 2006
North Hills School District July 2000 - October 2005
Skills
Administration, Microsoft Office, Scheduling, Problem Solving, Staff Development, Project Planning, Administrative..., Human Resources, Project Management, Event Management, Program Management, Projects, Event Planning, Microsoft Excel, Outlook, Spreadsheets, Project Plans, Data Analysis
Education
University of Pittsburgh 2006 — 2010
Bachelor's Degree, Business Administration; concentration in Human Resources and Organizational Behaviors
Community College of Allegheny County 2000 — 2006
Associates, General Studies
Pine Richland School District June 2011 - Present
North Hills School District 2010 - March 2012
PNC Mortgage June 2009 - February 2010
UPMC Health Plan October 2008 - June 2009
UPMC Health Plan September 2006 - October 2008
UPMC Health Plan October 2005 - September 2006
North Hills School District July 2000 - October 2005
Skills
Administration, Microsoft Office, Scheduling, Problem Solving, Staff Development, Project Planning, Administrative..., Human Resources, Project Management, Event Management, Program Management, Projects, Event Planning, Microsoft Excel, Outlook, Spreadsheets, Project Plans, Data Analysis
Education
University of Pittsburgh 2006 — 2010
Bachelor's Degree, Business Administration; concentration in Human Resources and Organizational Behaviors
Community College of Allegheny County 2000 — 2006
Associates, General Studies
Dean R. Beal's UPMC Health Plan Experience 2001 - 2003
Job IT Security Analyst at FIS Global
Industry Information Technology and Services
Experience
FIS Global July 2014 - Present
United States Steel Corporation January 2009 - June 2014
UPMC 2006 - 2008
UPMC 2003 - 2006
UPMC Health Plan 2001 - 2003
UPMC Health Plan 2000 - 2001
Skills
Auditing, Internal Controls, Sarbanes-Oxley Act, Internal Audit, Fraud, IT Audit, Risk Assessment, CISA, COSO, Enterprise Risk..., Sarbanes-Oxley, Information Security..., Information Security, COBIT, SAS70, Risk Management, Process Improvement
Education
Robert Morris University
Competitive Intelligence Systems (MS)
Indiana University of Pennsylvania
Criminology (BA)
Indiana University of Pennsylvania
Criminal Justice Training Center, Pennsylvania Municipal Police Academy
Community College of Allegheny County
Microcomputer Systems Specialist (AS)
FIS Global July 2014 - Present
United States Steel Corporation January 2009 - June 2014
UPMC 2006 - 2008
UPMC 2003 - 2006
UPMC Health Plan 2001 - 2003
UPMC Health Plan 2000 - 2001
Skills
Auditing, Internal Controls, Sarbanes-Oxley Act, Internal Audit, Fraud, IT Audit, Risk Assessment, CISA, COSO, Enterprise Risk..., Sarbanes-Oxley, Information Security..., Information Security, COBIT, SAS70, Risk Management, Process Improvement
Education
Robert Morris University
Competitive Intelligence Systems (MS)
Indiana University of Pennsylvania
Criminology (BA)
Indiana University of Pennsylvania
Criminal Justice Training Center, Pennsylvania Municipal Police Academy
Community College of Allegheny County
Microcomputer Systems Specialist (AS)
James Zdarko's UPMC Health Plan Experience March 2015 - Present
Job Director, Quality Measurement and Analysis
Industry Hospital & Health Care
Experience
UPMC Health Plan March 2015 - Present
UPMC Health Plan October 2014 - March 2015
UPMC Health Plan May 2011 - October 2014
UPMC Health Plan May 2010 - May 2011
UPMC September 2008 - August 2010
Impact Consulting Solutions, Inc. May 2007 - September 2008
Coherent Systems International, Corp. September 2005 - May 2007
Impact Consulting Solutions, Inc. January 2000 - September 2005
Computer Task Group 1995 - 2000
Skills
Healthcare Information..., Visio, SDLC, Software Documentation, Business Analysis, Data Warehousing, Systems Analysis, SQL, Access, Microsoft SQL Server, Data Analysis, Requirements Analysis, Databases, Process Improvement, HIPAA, Oracle, EHR, Software Development, Healthcare, Testing, HEDIS, NCQA, Or, Quality Improvement, Database Design, Data Mining, Requirements Gathering, HL7, SharePoint
Education
Clarion University of Pennsylvania
BS, Computer Applications and Information Systems
Keystone High School
UPMC Health Plan March 2015 - Present
UPMC Health Plan October 2014 - March 2015
UPMC Health Plan May 2011 - October 2014
UPMC Health Plan May 2010 - May 2011
UPMC September 2008 - August 2010
Impact Consulting Solutions, Inc. May 2007 - September 2008
Coherent Systems International, Corp. September 2005 - May 2007
Impact Consulting Solutions, Inc. January 2000 - September 2005
Computer Task Group 1995 - 2000
Skills
Healthcare Information..., Visio, SDLC, Software Documentation, Business Analysis, Data Warehousing, Systems Analysis, SQL, Access, Microsoft SQL Server, Data Analysis, Requirements Analysis, Databases, Process Improvement, HIPAA, Oracle, EHR, Software Development, Healthcare, Testing, HEDIS, NCQA, Or, Quality Improvement, Database Design, Data Mining, Requirements Gathering, HL7, SharePoint
Education
Clarion University of Pennsylvania
BS, Computer Applications and Information Systems
Keystone High School
Dan LaVallee's UPMC Health Plan Experience May 2015 - Present
Job Director of Health Policy at UPMC Health Plan
Industry Public Policy
Experience
UPMC Health Plan May 2015 - Present
LaVallee for Congress January 2014 - November 2014
America's Health Insurance Plans (AHIP) January 2013 - December 2013
Ernst & Young November 2012 - January 2013
America's Health Insurance Plans (AHIP) July 2012 - November 2012
America's Health Insurance Plans (AHIP) December 2011 - June 2012
America's Health Insurance Plans (AHIP) August 2011 - December 2011
America's Health Insurance Plans (AHIP) August 2010 - August 2011
Skills
Health Insurance, Policy Analysis, Public Policy, Medicare, Data Analysis, Policy, Public Speaking, Editing, Healthcare, Program Management, Health Policy, Insurance, Strategic Planning, Research, Nonprofits, Legislative Relations, Politics, Fundraising, Political Campaigns, Political Strategy, Political Communication
Education
Carnegie Mellon University 2009 — 2010
M.S., Health Care Policy and Management
Carnegie Mellon University 2007 — 2009
B.A., Public Policy & Management
UPMC Health Plan May 2015 - Present
LaVallee for Congress January 2014 - November 2014
America's Health Insurance Plans (AHIP) January 2013 - December 2013
Ernst & Young November 2012 - January 2013
America's Health Insurance Plans (AHIP) July 2012 - November 2012
America's Health Insurance Plans (AHIP) December 2011 - June 2012
America's Health Insurance Plans (AHIP) August 2011 - December 2011
America's Health Insurance Plans (AHIP) August 2010 - August 2011
Skills
Health Insurance, Policy Analysis, Public Policy, Medicare, Data Analysis, Policy, Public Speaking, Editing, Healthcare, Program Management, Health Policy, Insurance, Strategic Planning, Research, Nonprofits, Legislative Relations, Politics, Fundraising, Political Campaigns, Political Strategy, Political Communication
Education
Carnegie Mellon University 2009 — 2010
M.S., Health Care Policy and Management
Carnegie Mellon University 2007 — 2009
B.A., Public Policy & Management
Dennis Wickline's UPMC Health Plan Experience September 2014 - Present
Job Senior Advisor at UPMC Health Plan
Industry Hospital & Health Care
Experience
UPMC Health Plan September 2014 - Present
UPMC March 2010 - Present
UPMC - MARS August 2001 - March 2010
West Hudson Consulting 2000 - 2001
West Penn Allegheny Health System 1981 - June 2000
Skills
Hospitals, Healthcare Information..., EMR, EHR, HIPAA, Public Health, Patient Safety, Project Management, Nonprofits, Revenue Cycle, Managed Care, Program Management, Strategic Planning, Medical Devices, Inpatient, Quality Improvement, Healthcare Industry, Software Documentation, Data Analysis, Cerner
Education
Clarion University of Pennsylvania 1978 — 1984
BS & BSN, Biology & Nursing
Clarion University of Pennsylvania
Biology 74 and Nursing 80
UPMC Health Plan September 2014 - Present
UPMC March 2010 - Present
UPMC - MARS August 2001 - March 2010
West Hudson Consulting 2000 - 2001
West Penn Allegheny Health System 1981 - June 2000
Skills
Hospitals, Healthcare Information..., EMR, EHR, HIPAA, Public Health, Patient Safety, Project Management, Nonprofits, Revenue Cycle, Managed Care, Program Management, Strategic Planning, Medical Devices, Inpatient, Quality Improvement, Healthcare Industry, Software Documentation, Data Analysis, Cerner
Education
Clarion University of Pennsylvania 1978 — 1984
BS & BSN, Biology & Nursing
Clarion University of Pennsylvania
Biology 74 and Nursing 80
Amanda Tucker, MSCP, NCC, LPC's UPMC Health Plan Experience January 2013 - Present
Job Licensed Counselor
Industry Mental Health Care
Experience
UPMC Health Plan January 2013 - Present
Glade Run Lutheran Services November 2010 - December 2012
Gateway Rehabilitation Center February 2008 - February 2011
Education
Chatham University 2004 — 2007
Master of Science, Counseling Psychology
University of Mount Union 1999 — 2003
Bachelor of Art, Religious Studies/Pre-Ministry Concentration
Carrollton High School 1995 — 1999
UPMC Health Plan January 2013 - Present
Glade Run Lutheran Services November 2010 - December 2012
Gateway Rehabilitation Center February 2008 - February 2011
Education
Chatham University 2004 — 2007
Master of Science, Counseling Psychology
University of Mount Union 1999 — 2003
Bachelor of Art, Religious Studies/Pre-Ministry Concentration
Carrollton High School 1995 — 1999
Lisa Rabbitt's UPMC Health Plan Experience June 2015 - Present
Job Director, Quality Audit at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan June 2015 - Present
UPMC Health Plan August 2012 - June 2015
UPMC Health Plan May 2010 - August 2012
UPMC Health Plan June 2007 - May 2010
UPMC Health Plan August 2003 - June 2007
UPMC Health Plan November 2001 - August 2003
Highmark Blue Cross Blue Shield June 1999 - November 2001
Skills
Access, Health Insurance, Insurance, Internal Audit, Managed Care, Auditing, Claim, Medicaid, Accounting, HIPAA, Medicare, Process Improvement, Software Documentation, Medicare Part D, Employee Benefits
Education
Clarion University of Pennsylvania 1994 — 1998
Bachelor of Science (B.S.), Business Administration and Management, General
UPMC Health Plan June 2015 - Present
UPMC Health Plan August 2012 - June 2015
UPMC Health Plan May 2010 - August 2012
UPMC Health Plan June 2007 - May 2010
UPMC Health Plan August 2003 - June 2007
UPMC Health Plan November 2001 - August 2003
Highmark Blue Cross Blue Shield June 1999 - November 2001
Skills
Access, Health Insurance, Insurance, Internal Audit, Managed Care, Auditing, Claim, Medicaid, Accounting, HIPAA, Medicare, Process Improvement, Software Documentation, Medicare Part D, Employee Benefits
Education
Clarion University of Pennsylvania 1994 — 1998
Bachelor of Science (B.S.), Business Administration and Management, General
Joy Moore's UPMC Health Plan Experience 2012 - Present
Job Manager, Producer Relations and Event Planning at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan 2012 - Present
UPMC Health Plan 2005 - 2012
Skills
Employee Benefits, Customer Service, Brokers, Health Insurance, Insurance, Underwriting, Account Management, Sales, Health Policy, Managed Care, Marketing, Sales Management, Healthcare, New Business Development, Team Building, Benefits Administration, Training, Leadership, Strategic Planning, Health Care Reform
Education
Central Michigan University
Master's Degree, Human Resources Management and Services
University of Pittsburgh
Bachelor's Degree, Psychology and General Studies
UPMC Health Plan 2012 - Present
UPMC Health Plan 2005 - 2012
Skills
Employee Benefits, Customer Service, Brokers, Health Insurance, Insurance, Underwriting, Account Management, Sales, Health Policy, Managed Care, Marketing, Sales Management, Healthcare, New Business Development, Team Building, Benefits Administration, Training, Leadership, Strategic Planning, Health Care Reform
Education
Central Michigan University
Master's Degree, Human Resources Management and Services
University of Pittsburgh
Bachelor's Degree, Psychology and General Studies
Ilario Dichiera's UPMC Health Plan Experience December 2006 - Present
Job Sr. Manager, Clinical Operations Reporting at UPMC Health Plan
Industry Hospital & Health Care
Experience
UPMC Health Plan December 2006 - Present
Management Science Associates June 2006 - December 2006
Ohio Valley General Hospital November 2003 - June 2006
Skills
Systems Analysis, Visio, Requirements Gathering, Business Analysis, SDLC, Business Requirements, Access, SharePoint, Process Improvement, Data Warehousing, Crystal Reports, Requirements Analysis, SQL, HIPAA, Software Documentation, Data Analysis, Healthcare Information..., Microsoft SQL Server, SSRS, SSIS, Data Mining, Data Modeling, Data Migration, Business Intelligence
Education
Carnegie Mellon University 2013 — 2014
Certificate, Business Intelligence and Data Analytics
Duquesne University 2010 — 2013
Master of Business Administration (MBA), Finance, 3.7
Duquesne University
Bachelor of Science (BS), Information Technology
UPMC Health Plan December 2006 - Present
Management Science Associates June 2006 - December 2006
Ohio Valley General Hospital November 2003 - June 2006
Skills
Systems Analysis, Visio, Requirements Gathering, Business Analysis, SDLC, Business Requirements, Access, SharePoint, Process Improvement, Data Warehousing, Crystal Reports, Requirements Analysis, SQL, HIPAA, Software Documentation, Data Analysis, Healthcare Information..., Microsoft SQL Server, SSRS, SSIS, Data Mining, Data Modeling, Data Migration, Business Intelligence
Education
Carnegie Mellon University 2013 — 2014
Certificate, Business Intelligence and Data Analytics
Duquesne University 2010 — 2013
Master of Business Administration (MBA), Finance, 3.7
Duquesne University
Bachelor of Science (BS), Information Technology
Sandi Hutchison's UPMC Health Plan Experience January 2014 - Present
Job Project Analyst at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan January 2014 - Present
UPMC Health Plan February 2011 - January 2014
UPMC Health Plan June 2008 - January 2011
Skills
Employee Benefits, Medicare, PeopleSoft, Healthcare, Managed Care, Software Documentation, Medicaid, Microsoft Word, Spreadsheets, Claim, Lotus Notes
Education
Carlow University 2013 — 2015
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General, 3.5
Community College of Allegheny County 2008 — 2012
Associate's degree, Business Administration, Management and Operations, 3.67
UPMC Health Plan January 2014 - Present
UPMC Health Plan February 2011 - January 2014
UPMC Health Plan June 2008 - January 2011
Skills
Employee Benefits, Medicare, PeopleSoft, Healthcare, Managed Care, Software Documentation, Medicaid, Microsoft Word, Spreadsheets, Claim, Lotus Notes
Education
Carlow University 2013 — 2015
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General, 3.5
Community College of Allegheny County 2008 — 2012
Associate's degree, Business Administration, Management and Operations, 3.67
Terri Shields's UPMC Health Plan Experience June 2000 - Present
Job CEO at JADA House International
Industry Insurance
Experience
JADA House International October 2014 - Present
UPMC Health Plan June 2000 - Present
Family Link Treatment Services, Inc January 2001 - June 2013
UPMC Health Plan January 2009 - August 2011
UPMC May 2002 - October 2004
Skills
Healthcare, Data Entry, Microsoft Excel, Therapists, Clinical Research, Managed Care, Health Insurance, Public Speaking, Customer Service, Insurance, Strategic Planning, Leadership, Mental Health, Program Development, Community Outreach
Education
University of Pittsburgh 2013 — 2016
Master of Arts (MA), Applied Psychology, My first semester
Carlow College 2007 — 2012
Bachelor of Arts (BA), Communication
Community College of Allegheny County 1999 — 2002
Associate, Social Work
JADA House International October 2014 - Present
UPMC Health Plan June 2000 - Present
Family Link Treatment Services, Inc January 2001 - June 2013
UPMC Health Plan January 2009 - August 2011
UPMC May 2002 - October 2004
Skills
Healthcare, Data Entry, Microsoft Excel, Therapists, Clinical Research, Managed Care, Health Insurance, Public Speaking, Customer Service, Insurance, Strategic Planning, Leadership, Mental Health, Program Development, Community Outreach
Education
University of Pittsburgh 2013 — 2016
Master of Arts (MA), Applied Psychology, My first semester
Carlow College 2007 — 2012
Bachelor of Arts (BA), Communication
Community College of Allegheny County 1999 — 2002
Associate, Social Work
John Murmello's UPMC Health Plan Experience November 2012 - Present
Job Business Analyst III at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan November 2012 - Present
UPMC May 2012 - November 2012
UPMC October 2011 - April 2012
Brookhaven National Laboratory June 2009 - August 2011
Skills
Neuroimaging, SPSS, Microsoft Office, Statistics, Document Management, Healthcare, Data Analysis, Health Insurance
Education
Colgate University 2007 — 2011
Bachelors, Cellular Neuroscience
UPMC Health Plan November 2012 - Present
UPMC May 2012 - November 2012
UPMC October 2011 - April 2012
Brookhaven National Laboratory June 2009 - August 2011
Skills
Neuroimaging, SPSS, Microsoft Office, Statistics, Document Management, Healthcare, Data Analysis, Health Insurance
Education
Colgate University 2007 — 2011
Bachelors, Cellular Neuroscience
Rob Zarnick's UPMC Health Plan Experience November 1999 - Present
Job Auditor at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan November 1999 - Present
Skills
Customer Service, Troubleshooting, Financial Analysis, Sales Management, Outlook, Access, Process Improvement, Health Insurance, Public Speaking, Microsoft Excel, Insurance
Education
Clarion University of Pennsylvania 1985 — 1989
BS, Communication
Butler Senior High School 1980 — 1984
UPMC Health Plan November 1999 - Present
Skills
Customer Service, Troubleshooting, Financial Analysis, Sales Management, Outlook, Access, Process Improvement, Health Insurance, Public Speaking, Microsoft Excel, Insurance
Education
Clarion University of Pennsylvania 1985 — 1989
BS, Communication
Butler Senior High School 1980 — 1984
Bob Mogus's UPMC Health Plan Experience August 1986 - Present
Job radiation therapist at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan August 1986 - Present
Skills
Healthcare Management, Healthcare, Health, Clinical, Hospitals, Radiation Therapy, Radiation Oncology
Education
Carnegie Mellon University
Master of Public Health (MPH), Public Health
University of Pittsburgh
biology/physciology/physics
UPMC Health Plan August 1986 - Present
Skills
Healthcare Management, Healthcare, Health, Clinical, Hospitals, Radiation Therapy, Radiation Oncology
Education
Carnegie Mellon University
Master of Public Health (MPH), Public Health
University of Pittsburgh
biology/physciology/physics
Matthew Lancaster's UPMC Health Plan Experience Manager TraineeManchester Bidwell Corporation2005 - 2006
Job Business Analyst II at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan Manager TraineeManchester Bidwell Corporation2005 - 2006
Skills
Business Analysis, Process Improvement, Strategic Planning, Data Analysis, Public Speaking, Analysis
Education
Carnegie Mellon University 2006 — 2008
MSPPM, Public Policy and Management
William & Mary 2000 — 2004
Bachelors, History and Religion
UPMC Health Plan Manager TraineeManchester Bidwell Corporation2005 - 2006
Skills
Business Analysis, Process Improvement, Strategic Planning, Data Analysis, Public Speaking, Analysis
Education
Carnegie Mellon University 2006 — 2008
MSPPM, Public Policy and Management
William & Mary 2000 — 2004
Bachelors, History and Religion
Adriana Fedunok's UPMC Health Plan Experience July 2012 - Present
Job Business Analyst II at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan July 2012 - Present
UPMC Health Plan September 2007 - July 2012
Skills
Health Insurance, Insurance, Medicare, Managed Care, Employee Benefits, Healthcare, Access, Claim, Microsoft Excel, HIPAA, Customer Service, Microsoft Office
Education
Community College of Allegheny County 1991 — 1996
Associate of Science (A.S.), Registered Nursing/Registered Nurse
UPMC Health Plan July 2012 - Present
UPMC Health Plan September 2007 - July 2012
Skills
Health Insurance, Insurance, Medicare, Managed Care, Employee Benefits, Healthcare, Access, Claim, Microsoft Excel, HIPAA, Customer Service, Microsoft Office
Education
Community College of Allegheny County 1991 — 1996
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Helen LaMagna-Kunsman's UPMC Health Plan Experience April 2011 - Present
Job EP cardiac lab asst at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan April 2011 - Present
American Textile Company January 2000 - December 2009
American Textile Company 2000 - 2009
American Textile Company January 2000 - January 2003
UPMC Senior Living Corporation January 1998 - January 2000
Mike Kunsman Roofing January 1993 - January 1997
Telesis Computer Corporation January 1991 - January 1993
Giant Eagle Incorporated January 1977 - January 1992
Skills
Healthcare, Hospitals, Process Improvement, Healthcare Management, Clinical Research, Product Development, Nursing, Microsoft Office, Product Management, Social Media, QuickBooks, Event Planning, Healthcare Industry, Cardiology, Managed Care, Healthcare Consulting, Healthcare Information..., Medical Devices, HIPAA, Strategic Planning, System Administration, Data Analysis, Purchasing, Project Management, Public Speaking, Team Building, Patient Safety, Accounts Receivable, Cpr Certified, PowerPoint, Sales, Payroll, Cerner, EMR, Home Care, EHR, Medical Terminology, Medicare, Customer Service, Account Reconciliation, Patient Education, Research, Microsoft Word, BLS, Invoicing, Forecasting, CPR Certified
Education
Chatham University 2010 — 2013
Associate’s Degree
Community College of Allegheny County 1989 — 1991
Associate’s Degree, Accounting and Related Services, A
Community College of Allegheny County
Associates Degree, Accounting
Knowled Base AS400
Knowled Base AS400
UPMC Health Plan April 2011 - Present
American Textile Company January 2000 - December 2009
American Textile Company 2000 - 2009
American Textile Company January 2000 - January 2003
UPMC Senior Living Corporation January 1998 - January 2000
Mike Kunsman Roofing January 1993 - January 1997
Telesis Computer Corporation January 1991 - January 1993
Giant Eagle Incorporated January 1977 - January 1992
Skills
Healthcare, Hospitals, Process Improvement, Healthcare Management, Clinical Research, Product Development, Nursing, Microsoft Office, Product Management, Social Media, QuickBooks, Event Planning, Healthcare Industry, Cardiology, Managed Care, Healthcare Consulting, Healthcare Information..., Medical Devices, HIPAA, Strategic Planning, System Administration, Data Analysis, Purchasing, Project Management, Public Speaking, Team Building, Patient Safety, Accounts Receivable, Cpr Certified, PowerPoint, Sales, Payroll, Cerner, EMR, Home Care, EHR, Medical Terminology, Medicare, Customer Service, Account Reconciliation, Patient Education, Research, Microsoft Word, BLS, Invoicing, Forecasting, CPR Certified
Education
Chatham University 2010 — 2013
Associate’s Degree
Community College of Allegheny County 1989 — 1991
Associate’s Degree, Accounting and Related Services, A
Community College of Allegheny County
Associates Degree, Accounting
Knowled Base AS400
Knowled Base AS400
Dan Holsinger's UPMC Health Plan Experience February 2002 - August 2011
Job Printer Deployment Tech at LANtek UPMC
Industry Information Technology and Services
Experience
LANtek - UPMC November 2014 - Present
LANtek January 2014 - March 2014
Consol Energy March 2012 - December 2013
UPMC Health Plan February 2002 - August 2011
Skills
PowerPoint, Microsoft Office, VMware, Heat Call Logging, RSA SecurID, Active Directory, SAP, SCCM, ESS, MPR, Remote Desktop, Microsoft Word, Customer Service, Microsoft Excel, Windows, Public Speaking, Java, Lotus Notes, Visio, Microsoft Exchange, Microsoft Visual Studio..., Hardware Diagnostics, Software Installation
Education
Penn State University 2013 — 2014
Bachelor of Science (B.S.), Information Science and Technology - Integration and Application
Community College of Allegheny County 2011 — 2012
Associate of Science (A.S.), Information Technology
LANtek - UPMC November 2014 - Present
LANtek January 2014 - March 2014
Consol Energy March 2012 - December 2013
UPMC Health Plan February 2002 - August 2011
Skills
PowerPoint, Microsoft Office, VMware, Heat Call Logging, RSA SecurID, Active Directory, SAP, SCCM, ESS, MPR, Remote Desktop, Microsoft Word, Customer Service, Microsoft Excel, Windows, Public Speaking, Java, Lotus Notes, Visio, Microsoft Exchange, Microsoft Visual Studio..., Hardware Diagnostics, Software Installation
Education
Penn State University 2013 — 2014
Bachelor of Science (B.S.), Information Science and Technology - Integration and Application
Community College of Allegheny County 2011 — 2012
Associate of Science (A.S.), Information Technology
Tom Hahner's UPMC Health Plan Experience December 2013 - Present
Job Researcher at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan December 2013 - Present
UPMC June 1999 - December 2013
Allegheny General Hospital May 1990 - June 1999
UPMC April 1989 - May 1990
Skills
Health Policy, Data Analysis, SPSS, Research, Analysis, SAS, Data Mining, R, Statistics, Quantitative Research
Education
Carlow University 2007 — 2011
Masters Degree, Professional Counseling
University of Pittsburgh 1982 — 1986
Bachelor's degree, Psychology
UPMC Health Plan December 2013 - Present
UPMC June 1999 - December 2013
Allegheny General Hospital May 1990 - June 1999
UPMC April 1989 - May 1990
Skills
Health Policy, Data Analysis, SPSS, Research, Analysis, SAS, Data Mining, R, Statistics, Quantitative Research
Education
Carlow University 2007 — 2011
Masters Degree, Professional Counseling
University of Pittsburgh 1982 — 1986
Bachelor's degree, Psychology
Jeanine Fisher's UPMC Health Plan Experience November 2012 - July 2014
Job Risk Manager/Compliance Officer at Wooster Community Hospital
Industry Hospital & Health Care
Experience
Wooster Community Hospital September 2014 - Present
UPMC Health Plan November 2012 - July 2014
Licking Memorial Health Systems 2010 - 2012
Aultman Hospital 2006 - 2010
AultCare 1999 - 2006
Skills
Healthcare, Hospitals, Healthcare Management, EMR, HIPAA, Managed Care, PowerPoint, Customer Service, Microsoft Word, Microsoft Office, Medicare, Microsoft Excel, Medicaid, Outlook, Insurance, Health Insurance
Education
Cleveland State University - Cleveland-Marshall College of Law 1996 — 1999
JD, Law
Kent State University 1992 — 1996
Bachelor of Arts, History
Wooster Community Hospital September 2014 - Present
UPMC Health Plan November 2012 - July 2014
Licking Memorial Health Systems 2010 - 2012
Aultman Hospital 2006 - 2010
AultCare 1999 - 2006
Skills
Healthcare, Hospitals, Healthcare Management, EMR, HIPAA, Managed Care, PowerPoint, Customer Service, Microsoft Word, Microsoft Office, Medicare, Microsoft Excel, Medicaid, Outlook, Insurance, Health Insurance
Education
Cleveland State University - Cleveland-Marshall College of Law 1996 — 1999
JD, Law
Kent State University 1992 — 1996
Bachelor of Arts, History
Angela Merrell's UPMC Health Plan Experience September 2005 - Present
Job Business Analyst III at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan September 2005 - Present
UPMC - Physician Services Division September 2001 - August 2004
Skills
ICD-9, Access, HIPAA, CPT, Healthcare, Software Documentation, Medicare, Managed Care, Data Analysis
Education
University of Pittsburgh 1996 — 1999
Bachelor of Science (BS), Health Information/Medical Records Administration/Administrator
Community College of Allegheny County 1994 — 1996
UPMC Health Plan September 2005 - Present
UPMC - Physician Services Division September 2001 - August 2004
Skills
ICD-9, Access, HIPAA, CPT, Healthcare, Software Documentation, Medicare, Managed Care, Data Analysis
Education
University of Pittsburgh 1996 — 1999
Bachelor of Science (BS), Health Information/Medical Records Administration/Administrator
Community College of Allegheny County 1994 — 1996
Dustin Kolan, PHR's UPMC Health Plan Experience August 2008 - Present
Job Leave Specialist at UPMC
Industry Hospital & Health Care
Experience
UPMC Health Plan August 2008 - Present
UPMC May 2007 - August 2008
Pittsburgh Mercy Health System January 2006 - May 2006
Kane Regional Centers May 2005 - August 2005
OfficeMax August 2000 - August 2002
OfficeMax January 2000 - August 2000
OfficeMax July 1998 - January 2000
Skills
Human Resources, Employee Relations, Recruiting
Education
Robert Morris University 2004 — 2006
Bachelor of Science in Business Administration (BSBA), Human Resources Management, Business Management
Community College of Allegheny County 2002 — 2004
Associate of Science (AS), Marketing Management, Personnel Management, Information Technology
UPMC Health Plan August 2008 - Present
UPMC May 2007 - August 2008
Pittsburgh Mercy Health System January 2006 - May 2006
Kane Regional Centers May 2005 - August 2005
OfficeMax August 2000 - August 2002
OfficeMax January 2000 - August 2000
OfficeMax July 1998 - January 2000
Skills
Human Resources, Employee Relations, Recruiting
Education
Robert Morris University 2004 — 2006
Bachelor of Science in Business Administration (BSBA), Human Resources Management, Business Management
Community College of Allegheny County 2002 — 2004
Associate of Science (AS), Marketing Management, Personnel Management, Information Technology
Kathleen Fellows's UPMC Health Plan Experience 2001 - 2012
Job Insurance Professional
Industry Insurance
Experience
Tri Rivers Surgical Associates December 2012 - April 2013
UPMC Health Plan 2001 - 2012
Skills
Health Insurance, Customer Service, Customer Retention, Account Management, Manage Client..., Employee Training, Microsoft Office, PowerPoint, Life Insurance, Maintaining Strong..., Communication, Medical Terminology, HIPAA, Billing Process, Presenting to Clients, Sales, Office Administration, Internal & External...
Education
CCAC on-site program 2006 — 2007
Business/Commerce, General, 4.0
Clarion University of Pennsylvania 1994 — 1995
North Hills High School 1990 — 1994
Tri Rivers Surgical Associates December 2012 - April 2013
UPMC Health Plan 2001 - 2012
Skills
Health Insurance, Customer Service, Customer Retention, Account Management, Manage Client..., Employee Training, Microsoft Office, PowerPoint, Life Insurance, Maintaining Strong..., Communication, Medical Terminology, HIPAA, Billing Process, Presenting to Clients, Sales, Office Administration, Internal & External...
Education
CCAC on-site program 2006 — 2007
Business/Commerce, General, 4.0
Clarion University of Pennsylvania 1994 — 1995
North Hills High School 1990 — 1994
Michelle Guckert's UPMC Health Plan Experience January 2006 - February 2011
Job Business Analyst Consultant at Tyrula LLC
Industry Hospital & Health Care
Experience
Tyrula LLC May 2012 - October 2013
UPMC Health Plan January 2006 - February 2011
ChemADVISOR, Inc. September 2005 - October 2006
Thermo Fisher Scientific February 2003 - July 2004
Skills
Project Management, SharePoint, Business Analysis, SDLC, Requirements Analysis, Requirements Gathering, Process Improvement, Visio, Agile Methodologies, SQL, Software Documentation, Microsoft SQL Server, Program Management, Oracle, Change Management, Data Analysis, Business Process..., Project Portfolio..., Business Process, Quality Assurance, Business Intelligence, PMO, PMP, Analysis
Education
Clemson University
Bachelor of Science (BS), Biochemistry
Tyrula LLC May 2012 - October 2013
UPMC Health Plan January 2006 - February 2011
ChemADVISOR, Inc. September 2005 - October 2006
Thermo Fisher Scientific February 2003 - July 2004
Skills
Project Management, SharePoint, Business Analysis, SDLC, Requirements Analysis, Requirements Gathering, Process Improvement, Visio, Agile Methodologies, SQL, Software Documentation, Microsoft SQL Server, Program Management, Oracle, Change Management, Data Analysis, Business Process..., Project Portfolio..., Business Process, Quality Assurance, Business Intelligence, PMO, PMP, Analysis
Education
Clemson University
Bachelor of Science (BS), Biochemistry
Don Borneman's UPMC Health Plan Experience May 2006 - Present
Job Team Leader at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan May 2006 - Present
US Airways July 1989 - July 2005
Skills
Great Leader, Great Personality, Great Motivator, Customer Service, Customer Satisfaction, Call Center, Operations Management, Software Documentation, Process Improvement, Training, Performance Management, Employee Relations, Coaching, Leadership, Call Centers, Team Leadership, Customer Retention, Customer Experience, CRM, Business Analysis, Time Management, Employee Benefits, Analysis, Vendor Management, Outlook, Human Resources, Team Building
Education
Community College of Allegheny County 1980 — 1983
Business Administration and Management, General
Carrick High School 1971 — 1975
UPMC Health Plan May 2006 - Present
US Airways July 1989 - July 2005
Skills
Great Leader, Great Personality, Great Motivator, Customer Service, Customer Satisfaction, Call Center, Operations Management, Software Documentation, Process Improvement, Training, Performance Management, Employee Relations, Coaching, Leadership, Call Centers, Team Leadership, Customer Retention, Customer Experience, CRM, Business Analysis, Time Management, Employee Benefits, Analysis, Vendor Management, Outlook, Human Resources, Team Building
Education
Community College of Allegheny County 1980 — 1983
Business Administration and Management, General
Carrick High School 1971 — 1975
Charles Cerny's UPMC Health Plan Experience June 2007 - Present
Job RN at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan June 2007 - Present
Skills
Utilization Management, Medicare, Disease Management, Nursing, Managed Care, Healthcare Management, Medicaid, Hospitals, NCQA, Home Care, Healthcare Information..., PPO, HMO, Health Insurance, HIPAA, EMR, Critical Care, Ambulatory Care, Case Managment
Education
Community College of Allegheny County 2005 — 2007
RN
Slippery Rock University of Pennsylvania 1970 — 1974
Bachelor of Science (BS)
UPMC Health Plan June 2007 - Present
Skills
Utilization Management, Medicare, Disease Management, Nursing, Managed Care, Healthcare Management, Medicaid, Hospitals, NCQA, Home Care, Healthcare Information..., PPO, HMO, Health Insurance, HIPAA, EMR, Critical Care, Ambulatory Care, Case Managment
Education
Community College of Allegheny County 2005 — 2007
RN
Slippery Rock University of Pennsylvania 1970 — 1974
Bachelor of Science (BS)
Ellen Beare's UPMC Health Plan Experience October 2001 - January 2004
Job Care Coordinator at TriWest Healthcare Alliance
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance June 2004 - Present
Unversity of Pittsburgh Medical Center - MWRI October 2001 - January 2004
UPMC Health Plan October 2001 - January 2004
Skills
Healthcare, Utilization Management
Education
Community College of Allegheny County 1986 — 1987
Associate's degree, Registered Nursing/Registered Nurse
TriWest Healthcare Alliance June 2004 - Present
Unversity of Pittsburgh Medical Center - MWRI October 2001 - January 2004
UPMC Health Plan October 2001 - January 2004
Skills
Healthcare, Utilization Management
Education
Community College of Allegheny County 1986 — 1987
Associate's degree, Registered Nursing/Registered Nurse
Amy Bendel's UPMC Health Plan Experience November 2011 - Present
Job Claims Examiner at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan November 2011 - Present
Law Offices of George William Bills and Sally A. Frick. January 2011 - September 2011
Mt. Vernon of South Park (Five Star) June 2006 - January 2011
Education
Sanford Brown Institute 2011 — 2012
Associate's degree, Paralegal Specialist, 3.95
Community College of Allegheny County 2007 — 2008
General Studies
Steel Center A.V.T.S. 2003 — 2006
Food Service, Food Service, Waiter/Waitress, and Dining Room Management/Manager, 3.7
South Park High School 2002 — 2006
High School Diploma, 3.5
UPMC Health Plan November 2011 - Present
Law Offices of George William Bills and Sally A. Frick. January 2011 - September 2011
Mt. Vernon of South Park (Five Star) June 2006 - January 2011
Education
Sanford Brown Institute 2011 — 2012
Associate's degree, Paralegal Specialist, 3.95
Community College of Allegheny County 2007 — 2008
General Studies
Steel Center A.V.T.S. 2003 — 2006
Food Service, Food Service, Waiter/Waitress, and Dining Room Management/Manager, 3.7
South Park High School 2002 — 2006
High School Diploma, 3.5
Christi Lipinski's UPMC Health Plan Experience May 2003 - April 2004
Job Sr. Medical Policy Analyst at Highmark
Industry Hospital & Health Care
Experience
Highmark February 2014 - Present
Highmark June 2013 - Present
UPMC Health Plan May 2003 - April 2004
UPMC Health Plan November 2002 - May 2003
St. Francis Medical Center 1992 - 2002
St. Francis Medical Center 1990 - 2002
St. Francis Medical Center 1987 - 1990
Skills
Nursing, Clinical Research, Healthcare, ICU, Quality Improvement, Medicine, Medical-Surgical, Medicare, Vital Signs, Registered Nurses, Physicians
Education
Clarion University of Pennsylvania 1994 — 1998
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse, Summa Cum Laude, Dean's List
St. Francis School of Nursing 1985 — 1987
Diploma, Registered Nursing/Registered Nurse
Highmark February 2014 - Present
Highmark June 2013 - Present
UPMC Health Plan May 2003 - April 2004
UPMC Health Plan November 2002 - May 2003
St. Francis Medical Center 1992 - 2002
St. Francis Medical Center 1990 - 2002
St. Francis Medical Center 1987 - 1990
Skills
Nursing, Clinical Research, Healthcare, ICU, Quality Improvement, Medicine, Medical-Surgical, Medicare, Vital Signs, Registered Nurses, Physicians
Education
Clarion University of Pennsylvania 1994 — 1998
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse, Summa Cum Laude, Dean's List
St. Francis School of Nursing 1985 — 1987
Diploma, Registered Nursing/Registered Nurse
Patricia Perkins's UPMC Health Plan Experience July 2006 - November 2013
Job Director Clinical Services Quality of Care Department at UnitedHealth Group
Industry Insurance
Experience
UnitedHealth Group May 2015 - Present
Wexford Health Sources January 2014 - Present
UnitedHealthcare July 2006 - November 2013
UPMC Health Plan July 2006 - November 2013
UPMC Health Plan December 2004 - June 2006
UPMC Health Plan January 2006 - April 2006
Health South Rehabilitation Hospital 2003 - 2004
Coventry Health America 2000 - 2004
Skills
Medicare, Managed Care, Medicaid, Disease Management, Health Insurance, Utilization Management, Provider Relations, HIPAA, Healthcare Management, Healthcare, Health Policy, Medicare Part D, HMO, Healthcare Consulting, Healthcare Information..., Healthcare Industry, Medicaid Managed Care, Nursing, Long-term Care, Hospitals, Micro
Education
Clarion University of Pennsylvania 2001 — 2004
Master of Science (MS), Nursing Administration
Slippery Rock University of Pennsylvania 1997 — 2001
Bachelor of Science (BS), Registered Nursing/Registered Nurse
UnitedHealth Group May 2015 - Present
Wexford Health Sources January 2014 - Present
UnitedHealthcare July 2006 - November 2013
UPMC Health Plan July 2006 - November 2013
UPMC Health Plan December 2004 - June 2006
UPMC Health Plan January 2006 - April 2006
Health South Rehabilitation Hospital 2003 - 2004
Coventry Health America 2000 - 2004
Skills
Medicare, Managed Care, Medicaid, Disease Management, Health Insurance, Utilization Management, Provider Relations, HIPAA, Healthcare Management, Healthcare, Health Policy, Medicare Part D, HMO, Healthcare Consulting, Healthcare Information..., Healthcare Industry, Medicaid Managed Care, Nursing, Long-term Care, Hospitals, Micro
Education
Clarion University of Pennsylvania 2001 — 2004
Master of Science (MS), Nursing Administration
Slippery Rock University of Pennsylvania 1997 — 2001
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Bastacky Sheldon's UPMC Health Plan Experience July 1994 - Present
Job Pathologist at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan July 1994 - Present
Skills
Anatomic Pathology
Education
Case Western Reserve University School of Medicine 1982 — 1987
Doctor of Medicine (MD), Medicine
Case Western Reserve University 1978 — 1982
Chemistry
UPMC Health Plan July 1994 - Present
Skills
Anatomic Pathology
Education
Case Western Reserve University School of Medicine 1982 — 1987
Doctor of Medicine (MD), Medicine
Case Western Reserve University 1978 — 1982
Chemistry
Jill Atkinson's UPMC Health Plan Experience September 2013 - Present
Job Practice Based Care Manager at UPMC Health Plan
Industry Medical Practice
Experience
UPMC Health Plan September 2013 - Present
UPMC PSD October 2011 - September 2013
NC Department of Health and Human Services December 2008 - September 2011
Skills
Hospitals, Healthcare Information..., EMR, Healthcare, Healthcare Management, EHR, HIPAA, Clinical Research, Nursing, Patient Safety, Medical Terminology, Epic Systems, Medicine, Critical Care
Education
Chatham University 2012 — 2013
Bachelor of Science (BS), Nursing
St. Margaret's School of Nursing 1993 — 1995
Diploma, Registered Nursing/Registered Nurse
UPMC Health Plan September 2013 - Present
UPMC PSD October 2011 - September 2013
NC Department of Health and Human Services December 2008 - September 2011
Skills
Hospitals, Healthcare Information..., EMR, Healthcare, Healthcare Management, EHR, HIPAA, Clinical Research, Nursing, Patient Safety, Medical Terminology, Epic Systems, Medicine, Critical Care
Education
Chatham University 2012 — 2013
Bachelor of Science (BS), Nursing
St. Margaret's School of Nursing 1993 — 1995
Diploma, Registered Nursing/Registered Nurse
Cindi Donaldson's UPMC Health Plan Experience August 2005 - Present
Job Asst. Research Coordinator at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan August 2005 - Present
Edgar Snyder & Associates May 2000 - February 2005
Hoover Rehabilitation Services, Inc. April 1988 - May 2000
Education
Community College of Allegheny County
Business Administration and Management, General
UPMC Health Plan August 2005 - Present
Edgar Snyder & Associates May 2000 - February 2005
Hoover Rehabilitation Services, Inc. April 1988 - May 2000
Education
Community College of Allegheny County
Business Administration and Management, General
Bob Hulsman's UPMC Health Plan Experience January 2014 - Present
Job Clinical Appeals Coordinator at UPMC Health Plan
Industry Insurance
Experience
UPMC Health Plan January 2014 - Present
UPMC Health Plan May 2012 - January 2014
UPMC Magee May 2011 - May 2012
West Penn Allegheny Health System July 2009 - June 2011
Skills
Managed Care, Insurance, Claims Management, Medical Underwriting, HIPAA, Risk Management, Healthcare, Data Analysis, Clinical Research
Education
Community College of Allegheny County
Associate of Science (AS), Registered Nursing/Registered Nurse
Stetson University
Bachelor of Arts (BA), Health and Physical Education/Fitness
UPMC Health Plan January 2014 - Present
UPMC Health Plan May 2012 - January 2014
UPMC Magee May 2011 - May 2012
West Penn Allegheny Health System July 2009 - June 2011
Skills
Managed Care, Insurance, Claims Management, Medical Underwriting, HIPAA, Risk Management, Healthcare, Data Analysis, Clinical Research
Education
Community College of Allegheny County
Associate of Science (AS), Registered Nursing/Registered Nurse
Stetson University
Bachelor of Arts (BA), Health and Physical Education/Fitness
Dana Woodson's UPMC Health Plan Experience March 2006 - May 2013
Job Insurance Professional
Industry Hospital & Health Care
Experience
UPMC Health Plan March 2006 - May 2013
Highmark Blue Cross Blue Shield May 2000 - February 2006
Education
Community College of Allegheny County
Associate of Science (A.S.), General Studies
UPMC Health Plan March 2006 - May 2013
Highmark Blue Cross Blue Shield May 2000 - February 2006
Education
Community College of Allegheny County
Associate of Science (A.S.), General Studies
Newell Rubbermaid
National Association of Realtors
National Research Council Canada
Philadelphia Water Department
MPRI
L-3 MPRI
Southern Research Institute
JAMS