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
solutions4networks February 2005 - Present
UPMC Health Plan December 2013 - December 2013
Westinghouse Electric Company 2012 - 2013
Thermo Fisher Scientific June 2010 - October 2011
American Eagle Outfitters 2008 - 2009
Bayer 2005 - 2008
PNC Financial Services Group May 1997 - February 2005
Affiliated Computer Services October 1991 - May 1997
Skills
Network Security, Security, Firewalls, VPN, Switches, Routers, CISSP, Cisco, Penetration Testing, Information Security, Cisco Technologies, Servers, Troubleshooting, Disaster Recovery, Networking, Data Center, Network Administration, Checkpoint, Cisco Routers, Solaris, Infrastructure, Load Balancing, Network Design, Computer Security, Virtualization, Network Architecture, Routing, Juniper
Education
Robert Morris University 1988 — 1991
BSBA
UPMC Health Plan February 2013 - Present
UPMC Health Plan December 2006 - February 2013
Self 2010 - 2013
Self May 2012 - June 2012
Skills
Healthcare, Program Management, Management, Motivational..., Behavior Change, Leadership, Behavioral Health, Health Insurance, Public Speaking, Insurance, Program Evaluation, Data Analysis
Education
University of Pittsburgh 2003 — 2006
Master of Social Work (MSW), Mental Health Counseling/Counselor
Savannah College of Art and Design 1995 — 1999
Bachelor of Fine Arts (BFA), Fine/Studio Arts, General
UPMC Health Plan January 2014 - Present
The United States Department of Treasury Internal Revenue Service October 2010 - January 2014
Red Caiman Media June 2010 - October 2010
Digital Audio Post, Inc November 2009 - May 2010
Skills
Musician, Finale, ProTools, Final Cut Pro, Peak, Reason, PC, Mac, Microsoft Office, Outlook, iWork, Social Networking, Works well with people, Retail, Customer Service, Customer Support, Phone Etiquette, Computer Proficiency, Highly motivated..., Music Production, Interpersonal..., Pro Tools, resourceful, Highly detail oriented, Music Industry, Music Theory, Film, Post Production
Education
SAE Institute of Technology-Nashville 2009 — 2010
Diploma, Audio Technology, Diploma
Slippery Rock University of Pennsylvania 2004 — 2008
Bachelor of Arts (B.A.), Music
Affinity Health Plan September 2014 - Present
Senior Services of Albany 2009 - December 2014
Independent Sales Consultant April 2014 - September 2014
CDPHP May 2012 - April 2014
Horace B. Inman Senior Center January 2008 - June 2012
CDPHP (Capital District Physicians Health Plan) January 2006 - May 2012
UPMC Health Plan June 2005 - January 2006
Excellus BCBS June 2002 - June 2005
DHD Healthcare 1997 - 1999
Bausch + Lomb 1988 - 1997
Skills
Medicare, Insurance, Health Insurance, Strategic Planning, Managed Care, Employee Benefits, Team Building, Coaching, HIPAA, Health Policy, Sales, Strategy, Medicaid, Healthcare, Analysis, Vendor Management, Healthcare Management, Claim, Customer Service, Market Research, Marketing, Product Development, Process Improvement, Business Development, Marketing Strategy, Sales Operations, Medical Devices, Management Consulting, Brokers, HMO, Analytics, Executive Management, Training, Healthcare Industry, Health Care Reform, Healthcare Consulting, Leadership, Medicare Part D, Sales Management, Forecasting, Customer Retention, Provider Relations, Management, Data Analysis, Project Planning, Medicare Advantage
Education
University of Rochester 1986 — 1988
MBA, Executive Program, Summa Cum Laude
Union College 1977 — 1981
B.S., Biology, Cum Laude
UPMC Health Plan December 2011 - Present
Maxim Healthcare Services January 2009 - December 2011
Skills
Recruiting, Applicant Tracking..., Talent Acquisition, Healthcare, Training, Onboarding, CRM, Sourcing, Human Resources, Recruitment Advertising, Interviewing Skills, Mock Interviews, Microsoft Office, PeopleSoft, RMS, Event Planning, Event Management
Education
Slippery Rock University of Pennsylvania 2005 — 2008
Bachelor of Science in Business Administration, Human Resource Management
Ampco-Pittsburgh Corporation December 2014 - Present
UPMC Health Plan August 2014 - December 2014
UPMC July 2013 - August 2014
UPMC June 2011 - June 2013
University of Pittsburgh January 2010 - May 2011
Skills
Spanish, Financial Analysis, nVision, Public Speaking, Excel, Oracle SQL, Toad 9.0, PeopleSoft, Cognos, Finance, Budgets, Time Management, Management, Corporate Finance, Microsoft Excel, Managerial Finance, Healthcare
Education
University of Pittsburgh College of Business Administration 2007 — 2011
BSBA, Finance
Universidad de Granada 2009 — 2009
Centro de Lenguas Modernos
Aetna March 2007 - Present
UPMC Health Plan August 2006 - March 2007
UPMC Health Plan September 2004 - August 2006
Public Service Energy & Gas October 1999 - August 2005
Public Service Electric and Gas September 1996 - October 1999
Skills
Underwriting, Claim, Health Insurance, Commercial Insurance, Insurance
Education
Rutgers University 1984 — 1990
Bachelor of Fine Arts (BFA)
UPMC Health Plan November 2014 - Present
Freelance January 2014 - Present
University of Pittsburgh School of Information Sciences August 2011 - December 2013
Kaplan Test Prep and Admissions August 2011 - October 2013
LightSide June 2013 - August 2013
Scranton Times-Tribune October 2007 - May 2011
The Poynter Institute June 2007 - August 2007
The Buffalo News January 2007 - May 2007
Skills
Information Architecture, User Experience, Content Strategy, Usability, User Interface Design, Wireframes, Research, Public Speaking, User Research, User-centered Design, Sketching, Writing, Editorial, Copywriting, Web Content, Content Development, Mobile Design, User Flows, Interviewing Skills, Project Planning, Communication, Information Technology, Axure, HTML, CSS, Photoshop, InDesign, Leadership, Marketing, Ethics
Education
University of Pittsburgh 2011 — 2013
Master's Degree, Information Science
University at Buffalo 2003 — 2007
Bachelor's Degree, English
UPMC Health Plan August 2013 - Present
ARA July 2012 - August 2013
United States Marine Corps May 2004 - May 2013
Skills
Military Operations, Leadership, Operational Planning, Project Management, Intelligence Analysis, Command, Analysis, CBRN, Tactics, Homeland Security, Counterterrorism
Education
University of Maryland University College
Master of Business Administration (MBA)
Syracuse University
Information Mgmt, Database Mgmt, Project Mgmt
University of New Hampshire
B.A.
GetAbby March 2015 - Present
CA Technologies February 2007 - March 2015
Del Monte Foods January 2004 - February 2007
Federated Investors, Inc. November 2000 - January 2004
UPMC Health Plan June 2000 - November 2000
Skills
.NET, Microsoft SQL Server, ASP.NET, AJAX, Visual Studio, jQuery, MySQL, PHP, JavaScript, Oracle, Eclipse, Apache, JSP, JSON, WPF, XML, Agile Methodologies, C#, SQL, VB.NET, Software Development, Databases, Java, Design Patterns, IIS, Web Applications, Visual Basic, ASP, Linux, SDLC, Business Intelligence, Programming, Software Engineering, ADO.NET, Data Warehousing, Windows, VBScript, Web Services, HTML, Scrum, DHTML, PL/SQL, SharePoint, Requirements Analysis, ASP.NET AJAX, Software Project..., Architecture, Software Design, CMS, ASP.NET MVC
Education
Saint Vincent College 1996 — 2000
BS, Computer Science / Information Technology
Pittsburgh Central Catholic High School 1992 — 1996
Diploma, General Studies
UPMC Health Plan December 2013 - Present
YMCA March 2011 - December 2013
UPMC 2012 - 2013
Skills
Health Education, CPR Certified, Healthcare, Health Promotion
Education
University of Pittsburgh 2010 — 2011
Master's Degree, Health and Physical Activity
Slippery Rock University of Pennsylvania 2006 — 2010
Bachelor's Degree, Kinesiology and Exercise Science
Seneca Valley School District August 2014 - Present
Seneca Valley School District August 2011 - Present
Seneca Valley School District August 2007 - Present
UPMC Health Plan July 2012 - July 2014
Skills
Healthcare, Health Insurance, Managed Care, Case Management, Public Speaking, Disease Management, Health Promotion, Healthcare Management, Health Education, Insurance, HIPAA, Customer Service, Utilization Management, Data Analysis, Microsoft Office, Health Policy, Microsoft Excel, PowerPoint
Education
Slippery Rock University of Pennsylvania 2002 — 2004
Bachelor of Science (BS), Health and Physical Education/Fitness
Utica College 1998 — 2000
Bachelor of Science (BS), Therapeutic Recreation/Recreational Therapy
UPMC Health Plan June 2011 - Present
UPMC Health Plan September 2014 - June 2015
Planned Parenthood of Western PA January 2011 - December 2014
University of Pittsburgh May 2009 - May 2011
Womansplace June 2010 - July 2010
Family Foundations/Early Head Start May 2009 - August 2009
Slippery Rock University August 2007 - May 2009
Slippery Rock University August 2006 - May 2008
Skills
Public Health, Health Education, SPSS, Program Evaluation, Community Outreach, Program Development, Healthcare, Public Speaking, Motivational..., Epidemiology, Research, Psychotherapy, Social Services, Crisis Intervention, Leadership, Behavioral Health, Training
Education
University of Pittsburgh 2009 — 2011
MPH, Behavioral and Community Health Sciences
Slippery Rock University of Pennsylvania 2005 — 2009
BS, Health Science, Community Health, Psychology
UnitedHealth Group July 2014 - Present
Bank of America August 2005 - June 2014
Vertex Inc. 2004 - 2005
Alcoa 2002 - 2004
Progress Energy 2000 - 2001
UPMC Health Plan 1998 - 1999
Westinghouse Nuclear 1989 - 1998
Skills
PMP, Program Management, Process Improvement, Enterprise Software, Project Management, IT Management, Software Development, Oracle E-Business Suite, Risk Management, Enterprise Architecture, Requirements Analysis, SDLC, Software Project..., Project Delivery, Software Implementation, Technology Management, Leadership Development, Consulting, Leadership, Oracle, Testing, PMO, Databases, Project Portfolio..., IT Strategy, Integration, Business Intelligence, ERP, Information Technology, Requirements Gathering, Vendor Management, PMBOK, Database Management, Writing, Data Conversion, Software Documentation, Strategy, Six Sigma, Big Data, Data Warehousing, Business Process..., Analysis, Project Planning, Business Requirements, Database Admin
Education
Temple University 1985 — 1989
BA, English
Project Management Institute (PMI)
Certified Project Management Professional (PMP)
UPMC Health Plan May 2008 - Present
UPMC Health Plan October 2006 - May 2008
Skills
Former United States..., Franchise Training..., Event Planning, Strategic Planning, Coaching, Healthcare, Event Management, Time Management, Contract Negotiation, Leadership, Project Management, Training, Wellness, Process Improvement, Team Building, Human Resources, Medicare, Public Speaking, Leadership Development, Employee Benefits, Data Analysis, Outlook, Program Development, Employee Relations, Nonprofits, Community Outreach, Employee Wellness, Organizational..., Account Management, Social Networking, Marketing, Customer Service, Insurance
Education
Robert Morris College
BS, Business Administration
FirstEnergy November 2014 - Present
FirstEnergy October 2011 - November 2014
Allegheny Energy April 1999 - October 2011
UPMC Health Plan February 1998 - April 1999
Highmark Inc. January 1989 - February 1998
Skills
Process Improvement, SAP, Business Process, Business Analysis, Change Management, Energy, Project Management, Visio, Analysis, Integration, Requirements Analysis, Requirements Gathering, Vendor Management, Business Process..., Project Planning, Management, Business Process Design, SharePoint, Software Documentation, Software Development, Business Requirements, Energy Markets, Training, Program Management, Electric Power, Commodity Markets, Enterprise Software, Business Intelligence, SDLC, ERP, IT Management, Software Project..., Cross-functional Team..., Leadership, IT Service Management, SAP ERP, IT Strategy, SAP Implementation, PMO, Project Portfolio..., MS Project, SAP BW, Electricity, Electricity Markets, Team Leadership, Data Migration, Budgets, Power Systems, Sarbanes-Oxley, Continuous Improvement
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1990 — 1993
Master of Business Administration (MBA)
Saint Vincent College 1983 — 1987
Bachelor of Science (BS), Business Computer Systems Analysis
Greensburg Central Catholic H.S. 1979 — 1983
Radiant Systems Inc. March 2015 - July 2015
Metso July 2014 - December 2014
Highmark Blue Cross Blue Shield May 2013 - July 2014
Highmark, Inc December 2010 - April 2013
Highmark, Inc October 2008 - December 2010
UnitedHealth Group March 2008 - October 2008
Aflac October 2005 - March 2008
UPMC Health Plan November 2002 - October 2005
United States Air Force April 1997 - May 2002
Skills
Salesforce.com, Certified..., Salesforce.com Reports..., Microsoft Excel, Presentation Skills, Training, Healthcare, CRM, Sales, Health Insurance, Strategic Planning, Insurance, Employee Benefits, Account Management, Team Building, Leadership, Customer Service, Process Improvement, Marketing, Medicare, Microsoft Office, Sales Management, WebEx, Team Leadership, Employee Training
Education
Robert Morris University 1990 — 1994
Bachelors, Marketing
Allegheny Health Network March 2014 - Present
Excela Health System April 2012 - March 2014
UPMC Health Plan October 2007 - April 2012
Takeda Pharmaceuticals September 2003 - September 2007
Gateway Health System March 1996 - August 2003
The Heritage Shadyside June 1994 - March 1996
Skills
Healthcare Management, Strategic Planning, Process Improvement, Interdisciplinary Team..., Insurance Background, Six Sigma, Toyota Production System, Provider Network..., Physician Relations, Results Oriented, High Organizational..., Time Management Skills, Team-oriented, Analytical Problem..., Sales, Practice Operations, Team Building, Time Management, Goal Oriented, Physicians, Team Leadership, Provider Relations, Training, Strategy, Medicaid
Education
Slippery Rock University of Pennsylvania
Bachelor of Science Social Work, Clinical/Medical Social Work
UPMC Health Plan October 2014 - Present
Automatic Data Processing Insurance Agency, Inc. March 2014 - October 2014
Victory Media July 2013 - March 2014
Walgreens January 2010 - July 2013
Walgreens May 2008 - January 2010
Walgreens May 2007 - January 2008
Skills
Recruiting, Sales, Management, Customer Service, Employee Training, Pharmacy Technicians, Prescription Drugs, Inventory Management, Loss Prevention, Customer Retention, Cold Calling, Merchandising, Inventory Control, Medicare Prescription..., Dosage Calculations, Medicare Part D, Customer Satisfaction, Leadership, B2B Marketing, Sales Operations, B2B, Marketing, Sales Management, Salesforce.com, Recruitment Advertising, Store Management, Retail, Time Management, Team Building, Team Leadership, Training, Drug Interactions, HIPAA, Insurance, Property & Casualty..., Workers Compensation, Sales Process, Licensed Property &..., Affordable Care Act, Health Insurance, Healthcare, Healthcare Industry
Education
Robert Morris University 2014 — 2016
Master's degree, Health Services Administration
Slippery Rock University of Pennsylvania 2004 — 2008
BSBA, Marketing
UPMC Health Plan March 2015 - Present
UPMC Health Plan January 2012 - Present
Highmark Blue Cross Blue Shield November 2003 - July 2011
Highmark Blue Cross Blue Shield January 2000 - October 2003
Highmark January 1998 - December 1999
Skills
Excel, Access, WordPerfect, Microsoft Excel, Business Analysis, Process Improvement, Mentoring, Claim, Health Insurance, Quality Management, Visio, PowerPoint, Analysis, Call Centers, Insurance, Outlook, Software Documentation, Employee Benefits, Healthcare, Medicare, HIPAA
Education
Robert Morris University 1995 — 1997
BSBA, Health Management
UPMC Health Plan April 2015 - Present
UPMC Health Plan June 2012 - April 2015
UPMC November 2010 - June 2012
UPMC April 2008 - November 2010
Skills
Healthcare, Healthcare Information..., Healthcare Management, Hospitals, Clinical Research, EHR, Patient Safety, EMR, HIPAA, Nursing, HL7, Cerner, Quality Improvement, Epic Systems, Informatics, Medical Devices, Software Documentation, Critical Care, Quality Assurance, Process Improvement, CPT, Health Policy, Utilization Management, Public Health, Managed Care, Healthcare Industry, CPOE, Patient Advocacy, Inpatient, Health Education, Medical Billing, Healthcare Consulting, Physicians, Medical Terminology, Physician Relations, Medicine, Ambulatory, ICD-9, Medicaid, Revenue Cycle, Health Information..., Medicare, Acute Care, Medical Coding, ICU, Disease Management, Credentialing, Ambulatory Care, JCAHO, Home Care
Education
Robert Morris University
Master of Science (MS), Organizational Leadership, 3.8
Robert Morris University
Bachelor of Science (BS), Health Services Administration
HCR Wellness 2007 - Present
Wellness Coaches USA 2011 - July 2014
UPMC Health Plan May 2008 - December 2010
Skills
Motivational Speaking, Teaching, Wellness Coaching, Wellness, Stress Management, Fitness, Health Promotion, Personal Training, Public Health, Psychology, Entrepreneurship, Stress, Grant Writing, Clinical Research, Management, Health Education, Public Speaking, Workshop Facilitation, Healthcare, Medical Writing, Coaching, Strategic Planning
Education
Walden University 2008 — 2015
Doctorate, Health Psychology
University of Phoenix 2004 — 2006
Masters, Healthcare Administration
Seton Hall University 1994 — 1998
Bachelors, Health & Physical Education with a concentration in School and Community Health
UPMC Health Plan September 2013 - Present
Value Behavioral Health of Pa November 2001 - September 2013
Irene Stacy Community Mental Health Center 1991 - 1998
Skills
Mental Health, Psychotherapy, Treatment, Group Therapy, Adolescents, Mental Health Counseling, Behavioral Health, Psychology, Managed Care, Management, Provider Relations, Supervisory Skills, Team Leadership, Family Therapy, Clinical Research, Crisis Intervention, Case Managment, Clinical Supervision, Medicaid, Grief Counseling, Therapists, Motivational..., Prevention, Case Management, Program Development, Healthcare
Education
Slippery Rock University of Pennsylvania
Master of Arts (M.A.), Counseling Psychology
The Janssen Pharmaceutical Companies of Johnson & Johnson May 2015 - Present
Janssen, Pharmaceutical Companies of Johnson and Johnson June 2014 - May 2015
Jefferson School of Population Health June 2013 - June 2014
UPMC Health Plan April 2011 - April 2013
The Western Pennsylvania Hospital April 2010 - December 2010
Skills
Health Policy, Outcomes Research, Cpr Certified, Pharmacoeconomics, Public Health, Healthcare, Pharmacy, Compounding, Clinical Pharmacy, Clinical Trials, Pharmaceutical Industry, Medical Writing, Clinical Pharmacology, Oncology, Health Services Research, Biotechnology, Pharmacology, CPR Certified, Health Economics, Infectious Diseases
Education
Thomas Jefferson University 2013 — 2015
Master of Science in Applied Health Economics and Outcomes Research
University of Pittsburgh 2009 — 2013
Doctor of Pharmacy (PharmD)
The Ohio State University 2006 — 2009
UPMC Health Plan December 2013 - Present
UPMC Health Plan April 2010 - December 2013
UPMC Health Plan October 2008 - April 2010
UPMC Health Plan October 2006 - October 2008
UPMC Community Provider Services June 2005 - October 2006
University of Pittsburgh August 2004 - April 2005
Gateway Health Plan June 2004 - August 2004
Reproductive Health Specialists 2003 - 2004
Allergy & Asthma Associates June 2002 - August 2003
Planned Parenthood June 2000 - June 2002
Skills
Healthcare, Healthcare Management, Program Management, Project Management, Healthcare Information..., Data Management, Process Engineering, Process Improvement, Quality Management, Quality System, Problem Analysis, Program Analysis, Business Analysis, Problem Solving, Visual Communication, Written Communication, Software Documentation, Managed Care, Written & Oral..., SDLC, Informatics, Visio, Training, Case Managment, Insurance, Healthcare Consulting, Team Building, Data Analysis, Case Management
Education
University of Pittsburgh 2003 — 2005
MHA, Health Policy & Management
University of Colorado Boulder 1999 — 2001
BA, Psychology / Environmental, Population, Organismic Biology
Southern Methodist University 1997 — 1999
Biology
Elko High School
Taino Design & Latin Soul Ballroom February 2011 - Present
UPMC Health Plan 2001 - 2003
Kolano Design, Pittsburgh 1999 - 2001
Skills
Bilingual-Spanish, Painter, Handy man, Graphic Design, Painting, Dance Education
Education
The University of the Arts 1994 — 1998
BFA, Graphic Design
UPMC Health Plan September 2009 - Present
UPMC Center for Sports Medicine July 2014 - Present
Sports Medicine Fellowship July 2014 - Present
Skills
Healthcare, Clinical Research, Medical Education, Hospitals, Surgery, Medicine, Sports Medicine, Analysis, Data Analysis, EMR
Education
The University of Freiburg 1992 — 1998
Doctor of Medicine (M.D.), Medicine
University of Pittsburgh
Gateway Health Plan (Subsidiary of Highmark) September 2004 - Present
UPMC Health Plan January 2000 - September 2004
UPMC Health System September 1999 - January 2000
Brownsville General Hospital September 1993 - September 1999
Skills
Provider Relations, Hospitals, Medicare, Managed Care, Medicaid, Health Insurance, Healthcare Management, Healthcare, Claim, Physicians, HIPAA, HMO, Health Policy, Network Development, Healthcare Information..., Insurance, Healthcare Industry, PPO, Medicare Part D, ICD-9, Credentialing, CPT, Disease Management, Utilization Management, Healthcare Consulting
Education
John Marshall High School 1976 — 1979
Medical Careers
Seton Hill University
Business
UPMC Health Plan July 2015 - Present
Pittsburgh Steelers January 2013 - Present
UPMC Health Plan September 2014 - July 2015
UPMC Health Plan July 2013 - September 2014
Pittsburgh Steelers July 2012 - December 2012
Bridge Connections April 2012 - August 2012
Diamond Pharmacy of Mount Pleasant May 2010 - August 2012
Robert Morris University January 2010 - January 2011
Diamond Pharmacy of Mount Pleasant May 2008 - August 2010
Skills
Marketing, Marketing Research, Advertising Research, Promotional Analysis, Customer Service, Marketing Communications, Retail, Inventory Management, Social Media, SPSS, Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Public Speaking, Teamwork, Blogging, Organization
Education
Robert Morris University 2008 — 2013
Bachelor of Science in Business Administration, Marketing
PNC May 2012 - Present
PNC July 2010 - May 2012
CEI 2009 - 2010
CEI 2008 - 2009
UPMC Health Plan 2007 - 2007
Gateway Health System 2007 - 2007
Cingular Wireless 2005 - 2007
NOVA Chemicals 2002 - 2005
Highmark Blue Cross Blue Shield 2000 - 2001
EQT Corporation 1996 - 2000
Skills
Business Analysis, Requirements Gathering, Program Management, Project Management, SDLC, Recruiting, Data Warehousing, Vendor Management, Systems Analysis, Business Intelligence, SharePoint, Requirements Analysis, Leadership, Business Process..., ERP, PMP, Visio, Requirements Management, Talent Management, Business Process, Process Improvement, Workshop Facilitation, Agile & Waterfall..., Data Modeling, Database Administration, PowerPoint, Business Requirements, Project Portfolio..., Information Technology, Analysis, Professional Mentoring, Training Delivery, Risk Management
Education
University of Pittsburgh
B.S., Management
Temple University 1971 — 1973
Political Science
Franklin Regional
MedExpress December 2012 - Present
The Original Pancake House September 2011 - Present
UPMC Health Plan August 2012 - December 2012
BOP Property Management July 2011 - December 2012
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Photoshop, Customer Service, Research, Social Media, Public Speaking, Teamwork, Windows, English, Time Management, Project Management, Management
Education
Robert Morris University 2008 — 2012
Bachelor of Science in Business Administration, Business Administration and Management, General
ALCOSAN June 2015 - Present
Sanchioli Brothers' Bakery May 2013 - Present
Urology Institute of Pittsburgh October 2013 - April 2014
UPMC Health Plan November 2011 - August 2013
UPMC August 2010 - October 2011
Family Martial Arts May 2007 - July 2009
Skills
2nd degree black belt..., 3rd degree black belt..., Laboratory, Chemistry, Hospitals, Medical Terminology, Italian Bread, Red belt Haedong Kumdo, Proficient with Nunchaku, EHR, Cpr Certified, Epic Systems, Social Media, Microsoft Office, Nutrition, Outlook, Market Research, PowerPoint, Leadership, Microsoft Word, Sales
Education
Slippery Rock University of Pennsylvania 2009 — 2010
UPMC Health Plan January 2012 - Present
First National Insurance Agency January 2011 - January 2012
HealthAmerica November 2005 - January 2011
Skills
Health Insurance, Brokers, Insurance, Workers Compensation, Disability Insurance, Employee Benefits, Life Insurance, Accident, Healthcare, Health Savings Accounts, Long-term Care, Medicare, Underwriting, Commercial Insurance, Managed Care, Claim, Fixed Annuities, Property & Casualty..., Health Care Reform, Benefits Administration
Education
Robert Morris University 1988 — 1994
Master of Business Administration (M.B.A.), Business Administration and Management, General
Robert Morris University 1980 — 1984
Bachelor of Applied Science (B.A.Sc.), Marketing
UPMC Health Plan April 2014 - Present
Harrisburg Area Community College June 2012 - January 2015
UPMC Health Plan September 2008 - March 2014
Mazzitti & Sullivan Counseling March 2011 - August 2013
CherryPsy April 2011 - August 2012
Pennsylvania Counseling Services February 2007 - October 2008
ViaQuest, Inc. - Summit Quest Academy July 2003 - February 2007
Immaculata University May 2004 - July 2004
ViaQuest, Inc. - Summit Quest Academy June 2002 - July 2003
Lancaster Regional Medical Center January 2003 - June 2003
Skills
Highly Analytical, Psychotherapy, Bilingual-Spanish, Innovative Problem..., Thinking Outside The Box, Treatment Planning, Research, Crisis Intervention, Clerical skills, Motivational..., Cognitive behavioral..., Family Therapy, Gestalt therapy, Team Leadership, CBT, SPSS, Therapists, Mental Health, Spanish, Group Therapy, Interventions, Psychology, Behavioral Health, Treatment
Education
Millersville University of Pennsylvania 2000 — 2003
Master of Science, Clinical Psychology
The University of Texas at Austin 1997 — 2000
Bachelor of Arts, Psychology, Sociology
Colegio Santa Maria Marianistas 1990 — 1996
Mercy Health System of Southeastern Pennsylvania April 2015 - Present
CIGNA Healthcare March 2013 - April 2015
MedStar Health November 2008 - March 2013
Universal American October 2007 - October 2008
Physician WebLink September 2006 - July 2007
Gateway Health Plan July 2003 - August 2006
Community Care Behavioral Health April 2002 - April 2003
Vale-u-Health May 2001 - December 2001
UPMC Health Plan December 1997 - May 2000
Skills
Managed Care, Healthcare Management, Medicare, Hospitals, Health Insurance, Medicaid, Vendor Relations, Customer Service, Contract Negotiation, Healthcare Industry, Healthcare Information..., PPO, Physician Relations, Provider Relations, Network Development, EHR, Credentialing, HIPAA
Education
Robert Morris University 1993 — 1996
BSBA, Healthcare Administration
UPMC Health Plan October 2014 - Present
Precision Therapeutics May 2012 - August 2014
Precision Therapeutics December 2011 - May 2012
Precision Therapeutics May 2005 - December 2011
AmeriCorps September 2004 - May 2005
Skills
Project Management, Project Portfolio..., Policy Writing, Internal Communications, Strategic Communications, Cell Culture, Cell Based Assays, Microsoft Office, Immunocytochemistry, ELISA, Data Analysis, Product Development, Laboratory Automation, Process Improvement, Validation, Life Sciences, MS Project, Cross-functional Team..., Team Building, Problem Solving, Research, SOP, Change Management, Diagnostics, Lifesciences, Sop, Biotechnology, Cell, Laboratory, Management, Leadership
Education
Saint Vincent College 2000 — 2004
BS, Biology
UPMC Health Plan October 2013 - Present
UPMC May 2012 - October 2013
ServiceLink December 2011 - January 2013
Lender Processing Services, Inc. (LPS) October 2011 - December 2011
First Tuesday California Real Estate Educators November 2010 - April 2011
LONG ISLAND RADIO GROUP May 2007 - May 2008
Skills
Digital Photography, Photoshop, InDesign, Photography, Outlook, Final Cut Pro, Microsoft Excel, Facebook, Social Media, Adobe Audition, Customer Service, Advertising
Education
Susquehanna University 2003 — 2007
Bachelors, Communications/Broadcasting
Susquehanna University
Bachelor of Arts, Communications/Broadcasting
UPMC Health Plan September 2015 - Present
Self Employed January 2014 - Present
UPMC Health Plan September 2014 - August 2015
UPMC Health Plan May 2013 - September 2014
Pittsburgh Zoo & PPG Aquarium January 2013 - April 2013
University of Pittsburgh, Division of Student Affairs September 2012 - December 2012
Grace Construction Management June 2012 - August 2012
St. Mary's Medical Center May 2010 - August 2011
Skills
JavaScript, jQuery, HTML, CSS, Java, SQL, Requirements Analysis, PHP, MySQL, Test Cases, WordPress, Microsoft Office, Databases, Regression Testing, Unit Testing, XHTML, Windows, Photoshop, Joomla, HTML5, Management, Visual Studio, CSS Sprites, Project Management, Google Analytics, Google Structured Data
Education
University of Pittsburgh 2009 — 2013
Bachelor of Science, Information Science, Related Area in Economics, 3.4
University of Auckland 2012 — 2012
New Zealand, Study Abroad
Neshaminy High School 2006 — 2009
Roper St Francis Hospital August 2011 - Present
UPMC Health Plan March 2009 - Present
UPMC April 2004 - March 2009
Education
University of Charleston 1976 — 1979
Nursing
Fidelity National Information Services September 2012 - Present
UPMC July 2011 - August 2012
UPMC Health Plan March 2010 - July 2011
Highmark November 1997 - February 2010
Skills
Internal Audit, Internal Controls, SOX, Risk Assessment, Auditing, Process Auditing, Insurance, Healthcare, Data Analysis, Process Improvement, Claims Administration, Customer Service, Insurance Claims, ACL, Health Insurance, Sarbanes-Oxley Act, Finance, Access Lists, Leadership
Education
Robert Morris University 2000 — 2003
Certificate, Accounting
University of Pittsburgh-Johnstown 1992 — 1997
BA, Management & Marketing
UPMC Health Plan October 2012 - July 2015
Haas for Ohio House July 2012 - November 2012
GLG April 2012 - October 2012
International Cancer Action Network August 2011 - October 2012
Unison Health Plan of Ohio, Inc./UnitedHealthcare Community Plan of Ohio, Inc. 2006 - 2011
BuzzeoPDMA/Dendrite International 2004 - 2006
United Medical Resources, Inc. 2002 - 2003
SCH Technologies/Legato Systems 2000 - 2001
FW Dodge/McGraw-Hill Construction 1998 - 2000
Matrixx Marketing/Convergys 1997 - 1998
Skills
Advocacy, Analysis, Campaigns, Campaign Finance, Campaign Plans, Campaign Strategies, Community Relations, Compliance, Government, Government Affairs, Government Relations, Grassroots Fundraising, Grassroots Lobbying, HMO, Healthcare, Health Insurance, Health Plans, Health Policy, HIPAA, Intergovernmental..., Legislative Research, Issue Advocacy, Legislative, Legislation, Legislative Advocacy, Legislative Affairs, Legislative Issues, Legislative Policy, Legislative Relations, Legislative Testimony, Managed Care, Medicaid, Medicaid Managed Care, Medicare, Policy, Policy Analysis, Political Campaigns, Political Communication, Political Consulting, Politics, Public Administration, Public Policy, Public Relations, Public Health, Regulation, Research, Regulatory Affairs, State Politics, Lobbying, Direct Lobbying
Education
University of Cincinnati 1993 — 1997
MPA, Public Administration, 3.79 major GPA, 3.67 overall GPA
The Ohio State University 1984 — 1989
B.A., Political Science
Boardman High School 1980 — 1984
UCSF April 2015 - Present
University of Pittsburgh School of Medicine April 2013 - April 2015
University of Pittsburgh - GSPH, Pennsylvania Public Health Training Center May 2012 - July 2013
University of Pittsburgh - GSPH August 2010 - April 2012
University of Pittsburgh - Graduate School of Public Health (GSPH) Center for Public Health Practice April 2009 - August 2011
UPMC Health Plan May 2008 - March 2009
UPMC Health Plan January 2006 - May 2008
University of Pittsburgh, University Student Health Services 2004 - 2006
Skills
MCHES, Program Development, Data Analysis, Process Improvement, Health Promotion, Public Health, Community Outreach, SPSS, Healthcare, Wellness, Insurance, Health Education, Epidemiology, Grant Writing, Program Evaluation, Community Health
Education
University of Pittsburgh 2009 — 2013
PhD, Graduate School of Public Health, Behavioral and Community Health Sciences
University of South Carolina-Columbia 2002 — 2004
MPH, Health Promotion Education and Behavior
University of Florida 1998 — 2002
BS, Health Science Education
Highmark Inc. August 2014 - Present
T-Mobile February 2014 - Present
UPMC Health Plan August 2012 - December 2013
POWERLINK Settlement Services October 2011 - August 2012
Air Pure Inc. June 2011 - December 2011
UPMC July 2006 - April 2010
Skills
Microsoft Office, PowerPoint, Word, Outlook, Microsoft Excel, Access, Customer Service, Sales, Management, Team Building, Strategic Planning, Data Entry, Research, Event Planning, Time Management, Social Media, Public Speaking, Data Analysis, Marketing, Market Research, Team Leadership, Process Improvement, Windows, Marketing Communications, Accounting, Social Networking
Education
Slippery Rock University of Pennsylvania - Slippery 2009 — 2011
Marketing BSBA, Marketing
Saint Vincent College 2006 — 2008
Bachelor of Business Administration (BBA), Accounting and Finance
Thermo Fisher Scientific May 2015 - Present
Catholic Health Initiatives November 2014 - May 2015
Carnegie Mellon University June 2010 - November 2014
Mylan Pharmaceuticals January 2009 - May 2010
Solar Power Industries August 2008 - January 2009
Wexford Health Sources October 2004 - August 2008
UPMC Health Plan January 2004 - October 2004
Trinity Hospice January 2003 - January 2004
Ebara Solar, Inc. September 1996 - January 2003
Skills
Kronos, Workday, SAP, Strategy, Leadership, Business Process, Applicant Tracking..., Personnel Management, Finance, Analysis, Talent Acquisition, Vendor Management, Performance Management, Change Management, Training, Business Process..., Program Management, Talent Management, Recruiting, Management Consulting, Business Analysis, Organizational..., CRM, Human Resources
Education
Robert Morris University
MBA, Finance, Business, HR Management
UPMC Health Plan May 2014 - Present
Coach September 2013 - March 2015
State Farm September 2012 - September 2013
iMortgage Services April 2012 - September 2012
Picture Me September 2011 - April 2012
Robert Morris University January 2008 - December 2010
Skills
Customer Service, Insurance, Microsoft Excel, Leadership, Sales
Education
Robert Morris University 2008 — 2010
Bachelor of Arts (B.A.), Communication and Media Studies
Slippery Rock University of Pennsylvania 2005 — 2007
The NRP Group LLC December 2014 - Present
The NRP Group LLC September 2013 - December 2014
UPMC Health Plan August 2012 - September 2013
Camp Lutherlyn May 2011 - August 2011
Thiel College August 2008 - December 2009
Skills
Data Entry, Human Resources, Advertising, Call Centers, Databases, HRIS, Customer Service, Microsoft Office, Microsoft Excel, Leadership, Research
Education
Thiel College 2005 — 2009
Bachelor of Arts (B.A.), International Business
Thiel College 2005 — 2009
Bachelor's degree, Business Administration and Management, General
Wombat Security Technologies August 2015 - Present
SwiftCeipt, LLC January 2015 - Present
Highmark Inc. October 2014 - August 2015
SwiftCeipt LLC June 2014 - September 2014
UPMC Health Plan April 2012 - May 2013
UPMC February 2011 - April 2012
University of Pittsburgh May 2010 - August 2010
Skills
Java, Spring Framework, Spring MVC, HTML5, CSS, AngularJS, JavaScript, Web Design, Web Development, MySQL, Arch Linux, C, Software Engineering, Algorithms, WebSphere Application..., Tomcat, Git, Github, Python, Google App Engine, webapp2, Django, Vi, Healthcare Information..., Healthcare Management, Health Insurance, MyEclipse, IntelliJ IDEA, WebStorm, Programming
Education
University of Pittsburgh 2013 — 2014
Courses, Computer Science
University of Pittsburgh 2008 — 2010
Bachelor of Science (B.Sc.), Neuroscience, Pre-med, Chemistry focus
Seton Hill University 2006 — 2008
Johnson International April 2012 - Present
UPMC Health Plan October 2014 - Present
PNC March 2014 - September 2014
BRUNNER September 2013 - March 2014
Newark Food Service Equipment June 2012 - June 2013
Parkhurst Dining Services September 2010 - May 2013
Education
Saint Vincent College 2009 — 2013
Bachelor's Degree, Communication, Concentration in PR and Advertising
Saint Benedict's Preparatory School 2005 — 2009
High School
UPMC Health Plan June 2015 - Present
Slippery Rock University August 2014 - May 2015
Slippery Rock University August 2013 - May 2015
Slippery Rock University August 2011 - May 2015
YMCA May 2014 - August 2014
Skills
Communication Skills, Customer Service, Time Management, Microsoft Office, Typing, Leadership, Problem Solving, Public Speaking
Education
Slippery Rock University of Pennsylvania 2011 — 2015
Bachelor of Science, Health Service Administration
R Ortiz & Associates, LLC, d/b/a UnityAdvisors September 2013 - Present
HealthPlanCRM (now Cavulus) October 2006 - September 2013
UPMC Health Plan October 2004 - December 2006
Highmark December 2000 - August 2005
MetroPlus Health Plan June 1994 - October 1999
Aetna April 1984 - May 1994
Skills
Leadership, Health Insurance, Employee Benefits, Consulting, Business Development, Marketing Strategy, Managed Care, Account Management, Medicare, Healthcare, Strategy, Insurance, CRM, Sales Operations, Marketing, Product Management, Health Policy, Sales, Healthcare Information..., Business Analysis, Process Improvement, Management, Strategic Planning, Sales Management, Salesforce.com, New Business Development, Medicaid, SDLC, SaaS, Program Management, Analysis, Budgets, Call Centers
Education
The College of New Jersey 1991 — 1994
BS, Psychology and Business
Chase February 2014 - Present
Chase June 2013 - February 2014
Chase November 2012 - June 2013
JPMorgan Chase April 2012 - November 2012
Rembrandt IP Management December 2010 - April 2012
KESC April 2005 - August 2010
Branding Brand January 2008 - January 2009
UPMC Health Plan June 2008 - August 2008
Skills
Data Analysis, Leadership, Financial Accounting, Microsoft Office, SAP, Training, Banking, Business Analysis, QuickBooks, Business Process..., Cognos, Essbase, Visio, Project Management, Risk Management, Decision Analysis, Business Objects, SDLC, Portfolio Management, Accounting, Financial Services, Decision Trees, Requirements Gathering, Sarbanes-Oxley Act, Corporate Finance, Bloomberg, Presentations, Agile Methodologies, Defect Elimination, Production Support, Investment Banking, Business Process, Analytics, Insurance, Treasury Management, Account Reconciliation, Cash Management, Valuation, Business Intelligence, PeopleSoft, Financial Modeling, Analysis, Strategic Financial..., Process Improvement, Financial Reporting, Management, Access, Financial Analysis, Finance, Project Mangement
Education
Saint Joseph's University 2010 — 2012
Master of Business Administration (M.B.A.), Finance and Financial Management Services, A
University of Pittsburgh 2005 — 2010
BS, Finance
UPMC Health Plan June 2015 - Present
Federal Judiciary June 2011 - May 2015
Nancy D. Fabi, Esq. January 2008 - June 2011
Duquesne University Law School August 1996 - June 1997
Zimmer Kunz, PC April 1988 - May 1996
Skills
Civil Litigation, Legal Research, Courts, Motions, Litigation, Product Liability, Appeals, Trials, Insurance, Legal Writing, Mediation, Arbitration, Commercial Litigation, Employment Law
Education
State University of New York at Buffalo - Law School 1984 — 1987
JD
American Specialty Health May 2015 - Present
UPMC Health Plan January 2014 - May 2015
CIGNA October 2011 - December 2013
Corporate Fitness Works February 2010 - October 2011
Corporate Fitness Works December 2006 - January 2010
Skills
Health Education, Program Development, Customer Service, Wellness, Prevention, Behavior Change, Smoking Cessation, Wellness Coaching, Fitness, Nutrition, Exercise Prescription, Employee Wellness, Exercise Physiology, Group Exercise..., Employee Wellness..., Lifestyle Coaching, Weight Management, Disease Management, Corporate Health, Overall Wellness, Personal Training, Wellbeing, Stress Management
Education
Slippery Rock University of Pennsylvania 2002 — 2006
B.S., Exercise Science
West Liberty University January 2014 - Present
UPMC Health Plan August 2011 - December 2013
Skills
Disease Management, Teaching, Exercise Physiology, Exercise, Exercise Prescription, Biochemistry, Academic Advising, Research, Research Design, Kinesiology, Antioxidants, Laboratory Skills, Laboratory Safety, Motivational..., Behavior Change, Weight Loss Coaching, Stress Management, Nutrition, Exercise Instruction, Muscle Physiology
Education
University of Wisconsin-Madison 2005 — 2012
Doctor of Philosophy (PhD), Exercise Physiology
Saint Vincent College 2001 — 2005
Bachelor of Science (BS), Biology, General
Bowles Rice LLP March 2009 - Present
23rd Judicial Circuit of West Virginia August 2007 - February 2009
UPMC Health Plan May 2006 - August 2006
Skills
Business Litigation, Civil Litigation, Municipal Law, Land Use, Construction Law, Constitutional Law, First Amendment Law, Employment Law, Employment Handbooks, Landlord Tenant Disputes, Employment..., Appeals, Insurance Law, Alternative Dispute..., Torts, Mediation, Legal Writing, Legal Research, Personal Injury, Commercial Litigation, Courts, Litigation
Education
West Virginia University College of Law 2004 — 2007
Doctor of Law (J.D.), Law
Seton Hill University 2000 — 2004
Bachelor of Arts (B.A.), History
Yough Senior High School 1996 — 2000
High School
UPMC Health Plan August 2003 - Present
Mercer Human Resource Consulting 1998 - 2002
PRUDENTIAL HEALTH CARE August 1996 - August 1998
AETNA CASUALTY & SURETY June 1987 - August 1993
Skills
Life Insurance, Property & Casualty..., Finance, Underwriting, Insurance, Health Insurance, Employee Benefits, Microsoft Excel, PowerPoint, Microsoft Word, Access, Process Improvement, Financial Analysis, Commercial Insurance, Actuarial Science, Cross-functional Team..., Analytics, Project Management, Strategic Planning
Education
University of Georgia - Terry College of Business 1993 — 1995
MBA, Risk & Insurance
Vanderbilt University 1982 — 1986
BA, Economics
The City College of New York June 2014 - Present
Cortez Enterprises - USA January 2014 - Present
Macon State College June 2011 - January 2015
Metaplan LLC January 2013 - November 2014
Robert Morris University August 2007 - January 2013
UPMC Health Plan April 2010 - May 2012
The Art Institute of Pittsburgh April 2008 - April 2011
The Ebony & Ivory Signature Salon February 2005 - March 2009
America's Promise August 2003 - May 2004
Skills
Microsoft Office, Prezi presentation..., Blackboard LMS, Microsoft Backoffice, SPSS, SAS, Adobe Creative Suite, Articulate, Flash, SharePoint, Peoplesoft LMS, E-companion LMS, E-college LMS, uLearn LMS, ReadyGo course builder, Instructional Design, Curriculum Development, Curriculum Design, Course Development, Course Design, Team Management, Large Group Facilitation, Research, Quantitative Research, Survey Development, Learning Management..., eCollege, Workshop Facilitation, Organizational..., Higher Education, Adult Education, Analysis, E-Learning, University Teaching, Project Management, Educational Technology, Data Analysis, Staff Development, Team Building, Teaching
Education
Robert Morris University 2006 — 2009
D.Sc, Information Systems & Communications
Robert Morris University 2004 — 2006
Master of Science (M.S.), Instructional Leadership: Education /Training
Rochester Area High School
UPMC Health Plan January 2014 - Present
HCR ManorCare January 2011 - December 2013
Donnelly Boland & Associates June 2007 - December 2010
Skills
Management, Healthcare, Customer Service, Healthcare Management, Healthcare Information..., Medicare
Education
Walden University 2005 — 2007
Master of Business Administration (M.B.A.), Business Administration and Management, General
Robert Morris University
Bachelor's degree, Health Services Management
UPMC Health Plan May 2015 - Present
Howard Hanna Real Estate Services June 2014 - Present
Chemistry July 2014 - April 2015
Havas PR US July 2010 - July 2014
PRSA Pittsburgh January 2011 - January 2012
PRSA Pittsburgh January 2010 - December 2010
University of Pittsburgh August 2008 - July 2010
Mullen May 2007 - August 2008
Ketchum February 2007 - May 2007
Ten United September 2006 - February 2007
Skills
Media Relations, Press Releases, Public Relations, Cision, Strategic Communications, Crisis Communications, Social Media, Marketing Communications, Social Media Marketing, Copywriting, Publicity, Press Kits, Blogging, Email Marketing, Brand Development, Event Planning, Content Strategy, Advertising, Strategy, Digital Marketing, Public Speaking, Editing, Marketing
Education
Slippery Rock University of Pennsylvania 2002 — 2006
Communication, Public Relations
Christiana Care Health System February 2014 - Present
UPMC Health Plan February 2012 - February 2014
Christiana Care Health System August 2009 - December 2011
Christiana Care Health System March 2005 - August 2009
Johns Hopkins Hospital September 1999 - August 2004
Skills
ONC, Nursing, Healthcare Management, Healthcare, Hospitals, EMR, Nursing Education, Acute Care, EHR, Patient Safety, Healthcare Information..., CPOE, Cerner, Managed Care, BLS, Utilization Management
Education
The Johns Hopkins University 2001 — 2003
MSN, Nursing
University of Delaware 1995 — 1999
BSN, Nursing
UPMC Health Plan December 2013 - Present
CSC Insurance Options June 2013 - December 2013
UPMC Health Plan August 2010 - June 2013
Skills
Health Insurance, Employee Benefits, Microsoft Excel, Insurance, Strategic Planning, Account Management, Healthcare, Process Improvement, Team Building, Training, Leadership, Coaching, Customer Service, Human Resources, Employee Relations, Managed Care, Outlook, Brokers, Disability Insurance, Sales, Access
Education
Robert Morris University
Accounting
UPMC Health Plan February 2014 - Present
Fisher/Unitech April 2011 - May 2012
Meta-Fore September 2008 - April 2010
Esteam April 2007 - January 2008
ANSYS, Inc. February 1999 - March 2007
ANSYS, Inc. January 1997 - January 1999
Structural Research (currently Dassault) September 1991 - January 1997
Skills
CAD, Lead Generation, Solidworks, PDM, Product Development, Business Development, Competitive Analysis, Marketing, Sales Operations, Sales, Marketing Strategy, Strategy, Forecasting, Public Relations, Product Management, Cold Calling, Management, Customer Service
Education
Robert Morris University 1985 — 1989
BS, BUSINESS ADMINISTRATION
Mt. Alvernia 1980 — 1984
Diploma, Business
eHealthInsurance July 2013 - Present
Essence Healthcare February 2010 - July 2013
Coventry Health Care April 2009 - January 2010
UPMC Health Plan May 2006 - April 2009
UPMC Health Plan August 2003 - May 2006
UPMC Health Plan February 2001 - August 2003
United Healthcare December 1998 - February 2001
Skills
Medicare, Managed Care, HMO, Insurance, Health Insurance, Healthcare Consulting, HIPAA, Process Improvement, Healthcare, SharePoint, Training, Policy, Medicare Part D, Healthcare Industry, Customer Service, Auditing, Medicare Compliance, Analysis, Management, Credentialing, Utilization Management, Medical Compliance, Data Analysis, Health Policy, SharePoint Designer, Outlook, Visio, Research, Vendor Management, Team Leadership, Microsoft Excel, Call Centers, Software Documentation, Compliance, Microsoft Office, Coaching, Public Speaking, Microsoft Word, Critical Thinking, Excel, Word, Problem Solving, PowerPoint, Customer Relations, Supervisory Skills, Program Management, Mentoring, Policy Analysis, Call Center, Medicare Advantage
Education
St. John's University
Gateway Health April 2015 - Present
Coventry Health Care August 2013 - April 2015
UPMC Health Plan September 2011 - August 2013
Central Blood Bank July 2004 - August 2011
Skills
Healthcare Information..., EMR, Healthcare Management, Access, Outlook, Managed Care, HIPAA, Physician Relations, Customer Service, Medicare, Compliance, Project Management, Health Insurance, Process Improvement, Healthcare, Leadership, Medicare Part D
Education
Robert Morris University 2006 — 2009
B.S., Health Services Administration
Highmark, Inc. June 2014 - Present
UPMC Health Plan August 2013 - June 2014
UPMC October 2011 - July 2013
McKesson Provider Technologies December 2007 - August 2011
Electronic Data Systems January 2006 - November 2007
Unison Health Plan January 1999 - January 2006
West Penn Allegheny Health System July 1994 - August 1998
Skills
Managed Care, Medicaid, Insurance, Medicare, Process Improvement, Business Analysis, Leadership, Microsoft Excel, Project Management, Auditing, Revenue Cycle, Provider Relations, Analysis, Health Insurance, HIPAA, Forecasting, Policy, Healthcare, Team Building, Healthcare Management, Healthcare Information..., Sales Management, Accounts Receivable, Hospitals, Claim, Healthcare Industry
Education
Slippery Rock University of Pennsylvania 1982 — 1987
Communication
UPMC Health Plan June 2011 - Present
Medco Health Solutions June 2003 - June 2011
TechRx Inc April 2000 - June 2003
Skills
Pharmacy Benefit..., Health Insurance, Managed Care, Healthcare Information..., Medicare Part D, Medicare, Medicaid, Process Improvement, Healthcare, HIPAA, Healthcare Industry, Healthcare Management, Pharmacy, Cross-functional Team..., Health Policy
Education
The Ohio State University 1985 — 1989
UPMC Health Plan February 2012 - Present
RN Network May 2011 - February 2012
University of Pittsburgh October 2010 - May 2011
UPMC August 2007 - August 2010
Education
University of Pittsburgh 2009 — 2011
Master of Public Health, Community and Behavioral Intervention of Infectious Diseases
Slippery Rock University of Pennsylvania 2007 — 2009
Bachelor of Science, Nursing
UPMC Shadyside School of Nursing 2005 — 2007
Diploma, Nursing
University of Rochester 1994 — 1998
Bachelor of Arts, Theater Arts Administration
Norman Reginal Health System December 2009 - Present
GulfQuest February 2008 - September 2009
Kaiser Permanente June 2007 - February 2008
Cardinal Health Alliance December 2006 - February 2007
UPMC Health Plan July 2005 - October 2006
Speciality Hospital of New Orleans December 2004 - July 2005
Peoples Health Network December 2001 - May 2004
Southeastern Indiana Health Organiztion August 1988 - November 2001
HEALS Health Plan 1986 - 1988
St. Mary's Hospital 1981 - 1982
Skills
Managed Care, Medicare, SOX, Provider Contracting, Statutory Reporting, Medicare Part D, Sarbanes-Oxley Act, Sarbanes-Oxley, Statutory Accounting, Revenue Cycle, Financial Reporting, PPO, Medicaid, Financial Analysis, Business Process..., Data Analysis, Accounts Receivable, Healthcare, Budgets, Analysis, Accounting, Leadership, Finance, Health Policy
Education
Santa Clara University
MBA, Accounting
University of the Pacific
BA, Pre-law, Math
CVS Health 2013 - Present
Testa Consulting Services, Inc. 2012 - 2013
EDMC 2011 - 2012
Duquesne Light Company 2009 - 2011
Management Science Associates, Inc. 2008 - 2009
Unison Administrative Services, LLC 2006 - 2008
PharmaCare 2000 - 2006
UPMC Health Plan 1998 - 2000
Intracorp 1995 - 1998
HealthAmerica 1993 - 1995
Skills
Process Improvement, Visio, Business Analysis, SharePoint, Project Management, Management, SDLC, Disaster Recovery, Requirements Analysis, SQL, IT Management, Vendor Management, Requirements Gathering, Program Management, Software Project..., ITIL, Business Intelligence, Databases, Agile Methodologies, Scrum, PMBOK, Software Development, PMP, PMO, Enterprise Architecture
Education
Robert Morris University
BSBA, Business Information Systems
Robert Morris University
MS, IT Project Management
Highmark Inc. January 2015 - Present
UPMC Health Plan September 2013 - January 2015
UPMC Health Plan September 2011 - October 2013
Family Foundations Early Head Start February 2010 - September 2011
Education
Robert Morris University 2004 — 2006
Bachelor's degree, Marketing
Slipeery Rock University 2001 — 2002
United Healthcare Community & State August 2007 - Present
UPMC Health Plan 1999 - 2005
Skills
Managed Care, Medicare, Leadership, Medicaid, Training, Management, Insurance, Employee Benefits, Sales Management, Sales, Marketing, Performance Management, Recruiting, Healthcare, Health Policy, Policy, Healthcare Industry, Strategy, Process Improvement, Long-term Care, Account Management, Health Savings Accounts, Health Insurance
Education
Robert Morris University 1997 — 2000
Bachelor of Science in Business Administration, Health Services Management / Long Term Care Management
Highmark Inc. August 2014 - Present
BNY Mellon July 2014 - August 2014
HJ Heinz March 2008 - May 2014
UPMC Health Plan January 2006 - March 2008
Managed Care of America, Inc July 1996 - January 2006
FedEx August 1990 - July 1996
Skills
ITIL v3 Foundations..., Project Management, Six Sigma Yellow Belt, Six Sigma Green Belt, ERP, Microsoft Office, Business Analysis, Six Sigma, Cross-functional Team..., Quality Assurance, Supply Chain, Change Management, Process Improvement, Project Planning, Management, Program Management, Software Documentation, Analysis, Team Leadership, Business Intelligence, Business Process, Requirements Analysis, Integration, Business Process...
Education
University of Pittsburgh 2006 — 2008
M.S., Project Management, Graduate Degree
Robert Morris University 1993 — 1996
MBA, Management, Masters Degree
University of Pittsburgh 1986 — 1990
B.S., Computer Science, Undergraduate Degree
UPMC Health System October 2012 - Present
UPMC Health Plan January 2008 - October 2012
Education
Slippery Rock University of Pennsylvania 1999 — 2003
AstraZeneca November 2013 - Present
Amgen January 2009 - November 2013
Procter & Gamble November 2006 - December 2008
UPMC Health Plan 2005 - 2007
Magee-Womens Hospital June 1995 - November 2006
Intell Rx / Eagle Managed Care 1995 - 1997
Skills
Medical Affairs, Pharmaceutical Industry, Clinical Trials, Gastroenterology, Managed Care, Diabetes, Osteoporosis, Clinical Development, Women's Health, Bone, Endocrinology, Formulary, Scientific Presentation, Medicare, Medication Therapy..., Biotechnology, Project Management, R&D, Oncology, Clinical Research
Education
University of Pittsburgh 1983 — 1987
BS Pharm, Pharm.D., Pharmacy
Robert Morris C
Valence Health May 2014 - Present
Valence Health January 2013 - April 2014
UPMC Health Plan September 2009 - January 2013
PwC May 2008 - May 2009
US Census Bureau July 2000 - May 2008
Skills
Statistics, SAS, Documentation, Data Mining, Data Analysis, SQL, Excel, Regression, Survival Analysis, Decision Trees, SAS programming, Statistical Modeling, Microsoft Excel, Regression Testing, Software Documentation, Biostatistics, Oracle, Visio, R, Epidemiology, Databases, Econometrics, Logistic Regression, Linear Regression, Predictive Analytics
Education
The George Washington University 2005 — 2007
Master of Science, Statistics
Pennsylvania State University 1996 — 2000
Bachelor of Science, Mathematics
Montreal College January 2010 - Present
SOFTVOYAGE January 2008 - November 2009
Mercury Insurance 2006 - 2008
WellPoint 2005 - 2006
Speedware 2004 - 2005
Abitibi Consolidated 2003 - 2004
SummaCare January 2003 - December 2003
International Rectifier 2001 - 2003
UPMC Health Plan 2000 - 2001
Kaiser Permanente 1998 - 2000
Skills
SQL, Java Enterprise Edition, Web Development, Hibernate, XML, Java, MySQL, Java EE, C, Linux, Databases, Unix, Struts, Oracle, PL/SQL, Microsoft Office, HTML, Microsoft SQL Server, PostgreSQL, JavaScript, Struts2, Lucen, Spring, Spring MVC
Education
Université du Québec à Montréal / UQAM 2009 — 2012
Master Degree, Computer Sciences
L Brands November 2008 - Present
Holophane February 2007 - November 2008
UPMC July 2005 - February 2007
UPMC December 2004 - July 2005
UPMC Health Plan April 2003 - December 2004
Skills
Procurement, Supply Chain, Sourcing, Management, Inventory Management, Process Improvement, Materials Management, Continuous Improvement, Process Scheduler, Supply Chain Management, Purchasing, Cross-functional Team..., Strategic Sourcing, Forecasting
Education
Robert Morris University 1996 — 2000
BSBA, MIS
Seubert & Associates, Inc. October 2013 - Present
UPMC Health Plan February 2012 - October 2013
UPMC Health Plan March 2011 - February 2012
George Washington University April 2010 - March 2011
George Washington University January 2008 - April 2010
George Washington University November 2006 - December 2007
Sullivan & Cromwell LLP January 2006 - November 2006
Skills
Research, Data Analysis, Analysis, Healthcare, Process Improvement, Program Management, PowerPoint, Access, Microsoft Office, Business Analysis, Software Documentation, SharePoint, Strategic Planning, Requirements Analysis, Government, Requirements Gathering, Social Media, Customer Service, Management
Education
The George Washington University 2009 — 2011
Master of Arts, Security Policy Studies
The George Washington University 2007 — 2008
Graduate Certificate, Political Psychology
The George Washington University 2002 — 2005
Bachelor of Arts, International Affairs
The George Washington University 2002 — 2005
Bachelor of Arts, Psychology
UPMC Physicians Services Division November 2013 - Present
UPMC Health Plan July 2011 - October 2013
Aetna September 2008 - July 2011
CNT January 1995 - October 2003
Skills
Insurance, Software Documentation, Process Improvement, Data Entry, HIPAA, Data Analysis, SharePoint, Claim, Training, Customer Satisfaction, Microsoft Word, Leadership, PowerPoint, Employee Benefits, Microsoft Office, Microsoft Excel, Visio, Outlook, Health Insurance
Education
University of Pittsburgh 1990 — 1993
Bachelor of Arts (B.A.), English Literature (British and Commonwealth)
The University of Dallas 1983 — 1985
UPMC LifeSolutions February 2015 - Present
Independent Contractor July 2013 - February 2015
PNC October 2012 - July 2013
UPMC Health Plan July 2009 - October 2012
Highmark September 1997 - May 2009
Skills
Microsoft Excel, Microsoft Word, Visio, PowerPoint, Outlook, Access, Microsoft Office, Project Management, Management, Operations Management, Customer Service, Software Documentation, Time Management, Process Improvement, Training, Healthcare, Data Analysis, Insurance, Leadership, Team Building, Employee Relations, Human Resources
Education
Robert Morris University 1999 — 2005
Bachelor of Science, Health Services Management
Franklin Regional High School
UPMC Health Plan April 2012 - Present
UPMC Health Plan March 2011 - Present
UPMC Health Plan April 2005 - October 2008
Coventry Healthcare March 1985 - April 2005
Skills
Employee Benefits, Brokers, Health Insurance, Insurance, Healthcare, Process Improvement, Benefits Administration, Medicare, New Business Development, Sales, Disability Insurance, Managed Care, Selling, Customer Service, Account Management, Commercial Insurance, Life Insurance, Long-term Care, Team Building, Leadership, Underwriting, Strategic Planning, Analysis, HIPAA, Claim, Term Life Insurance, Training
Education
Robert Morris University 1979 — 1981
Associate, Business
Hopewell High School
Highmark, Inc. May 2015 - Present
Gateway Health October 2013 - April 2015
Highmark, Inc. March 2012 - October 2013
Gateway Health Plan March 1999 - March 2012
UPMC Health Plan 1998 - 1999
Skills
Medicaid, Medicare, Healthcare, Healthcare Information..., Healthcare Consulting, Disease Management, Cognos, Analysis, Budgets, Project Management, Data Management, Management, Health Insurance, Strategic Planning, Access, Insurance, Managed Care, Business Analysis, HIPAA, Financial Analysis, Process Improvement, Data Analysis
Education
Robert Morris University 1977 — 1981
BSBA, Accounting
UPMC Health Plan February 2014 - June 2014
Richmond Prep Christian Academy January 2012 - August 2012
Stats VA April 2010 - August 2012
Virginia Union University January 2009 - May 2010
Virginia State University 2007 - 2009
Skills
Typing, Press Releases, Public Relations, Event Planning, Social Media, Higher Education, Facebook, Community Outreach, Event Management, Public Speaking, Media Relations, Sports Marketing, Sports, Marketing Communications, Editing, Sports Writing, Microsoft Office, Teaching
Education
Goodwill Training and Employment Center-Pittsburgh,PA 2013 — 2014
Diploma, Medical Office Skills, 4.0
Virginia State University 2007 — 2009
Master of Science (M.S.), Sport Management
Virginia Union University 2005 — 2007
Bachelor of Arts (B.A.), Mass Communication/Public Relations
Seton Hill University
UPMC Health Plan March 2014 - Present
AchieveGlobal August 2013 - Present
Borough of Avalon October 2013 - December 2013
Wheeling Jesuit University March 2001 - October 2013
NASA-Sponsored Classroom of the Future at Wheeling Jesuit University March 2001 - October 2013
Center for Educational Technologies at Wheeling Jesuit University March 2001 - October 2013
Village of Hopedale, OH February 2013 - April 2013
Emplifi (Pittsburgh) 2000 - 2001
Mastech 1999 - 2000
Development Dimensions International 1990 - 1999
Skills
Public Relations, Writing, Editing, Curriculum Design, Microsoft Office, Press Releases, Word, Copy Editing, Public Speaking, Proofreading, Higher Education, HTML, Advertising, Social Media, Microsoft Word, Technical Writing, Grant Writing, Research, Marketing, Journalism, Media Relations, Newsletters, E-Learning, Social Networking, PowerPoint, Sports, Nonprofits, Publications, Grants, Event Planning, Marketing Communications, Copywriting, Facebook, Training, AP Style, Teaching
Education
The Ohio State University 1980 — 1984
BA, Journalism, Political Science
Thomas Jefferson University Hospitals September 2014 - Present
UPMC Health Plan October 2000 - September 2014
Johns Hopkins Medicine 1998 - 2000
Patient First 1995 - 1998
Columbia Medical Plan 1993 - 1995
Portsmouth Naval Hospital 1990 - 1993
Newton-Wellesley Hospital 1987 - 1990
Skills
Medicine, Emergency Medicine, Urgent Care, Hospitals, Healthcare, Clinical Research, Emergency Room, Leadership
Education
The Johns Hopkins University School of Medicine
Medical Doctor
University of Notre Dame
UPMC Health Plan January 2008 - Present
Education
University of Pittsburgh 2006 — 2008
Master's degree, Exercise Science
Slippery Rock University of Pennsylvania
UPMC Health Plan February 2014 - Present
UPMC Health Plan June 2012 - February 2014
North American Title October 2004 - June 2012
Armstrong Group of Companies September 2003 - October 2004
Skills
HTML, Business Analysis, Software Documentation, Analysis, Software Development, Process Improvement, Integration, Team Leadership, Requirements Analysis, Project Planning, Project Management, Data Analysis, Disaster Recovery, Visio, CRM
Education
Saint Vincent College 1999 — 2003
BS, Computer & Information Science
UPMC Enterprises April 2013 - Present
Splash Water Sports, Inc. April 2011 - Present
UPMC Health Plan February 2011 - April 2013
Askesis Development Group November 2002 - February 2011
University of Pittsburgh 2003 - 2003
Skills
Technical Writing, Scrum, Software Documentation, Requirements Gathering, Requirements Analysis, Requirements Management, Scuba Diving, Visio, Management, Software Development, Healthcare Information..., Process Improvement, Data Analysis, SDLC, Systems Analysis, Business Analysis, Software Project..., Agile Methodologies, Integration, Databases, MS Project, Quality Assurance, SQL, Testing, SharePoint
Education
University of California, Berkeley
Ph.D., Rhetoric
University of Toronto
Bachelor of Arts (B.A.), English Literature (British and Commonwealth)
UPMC November 2014 - Present
UPMC Health Plan May 2014 - November 2014
UPMC Health Plan October 1999 - May 2014
Highmark Blue Cross Blue Shield June 1988 - October 1999
Skills
HIPAA, Business Analysis, Healthcare Information..., Process Improvement, Healthcare, Healthcare Management, Health Insurance, Team Building, Insurance, Program Management, Requirements Gathering, Visio, Leadership, SharePoint, Software Documentation, Vendor Management, Data Analysis, Access, SDLC, EHR, Managed Care, Strategic Planning, Systems Analysis, Integration
Education
St. Francis University 1979 — 1983
UPMC Health Plan 2012 - Present
UPMC 2005 - Present
UPMC 2006 - 2012
Skills
Informatics, Healthcare IT, Medical Informatics, Family Medicine, EHR, Healthcare Information..., Healthcare Consulting, Healthcare Management, HIPAA, EMR, Critical Care, CPOE, Nursing, Health Information..., Epic Systems, Hospitals, Managed Care, Physicians, Cerner, Disease Management, Healthcare, Practice Management, Medicine, Ambulatory, Medicare, Clinical Decision..., Health Information..., Ambulatory Care, Internal Medicine, Board Certified, Patient Safety, Public Health, Inpatient, Healthcare Industry, Physician Relations, Quality Improvement, Health Policy
Education
Swarthmore College
BA
University of Pittsburgh School of Medicine
MD
UPMC Health Plan March 2013 - Present
UPMC Health Plan January 2006 - March 2013
Skills
Hospitals, Health Insurance, Data Analysis, Healthcare, Clinical Research, Insurance, Medicare, Process Improvement, Medicaid, Nursing, HIPAA
Education
Slippery Rock University of Pennsylvania 2012 — 2014
Bachelor's of Science, Registered Nursing/Registered Nurse
St. Francis School of Nursing 1991 — 1993
Dipolma, Registered Nursing/Registered Nurse
Solomon Auto Group June 2014 - Present
Grane Hospice and Home Health February 2013 - February 2014
Centers for Rehab Services May 2005 - January 2013
UPMC Health Plan July 2001 - May 2005
UPMC Health Plan September 2000 - July 2001
Aetna US Healthcare November 1997 - September 2000
The Washington Hospital January 1995 - March 1995
Skills
Customer Service, Public Speaking, Marketing, Event Planning, Microsoft Office, Sales, Social Media, Marketing Strategy, Social Media Marketing, Microsoft Excel, PowerPoint, Microsoft Word, Hospitals, Provider Relations, Recruiting, Training, Healthcare, Management, Analysis
Education
Slippery Rock University 1991 — 1995
Bachelor of Science, Health Services Administration
Slippery Rock University of Pennsylvania 1991 — 1995
Bachelor of Science (B.S.), Health Services Administration
UPMC Health Plan May 2012 - Present
UPMC Health Plan October 2008 - May 2012
Skills
Health Insurance, Analytics, Analysis, Visio, HIPAA, Process Improvement, Healthcare, Insurance, Access, Healthcare Information..., Managed Care, Medicaid, Data Analysis, Business Analysis, Management, Medicare
Education
University of Pittsburgh 2004 — 2006
MA, Statistics
Slippery Rock University of Pennsylvania 2000 — 2004
BS, Mathematics
UPMC Health Plan April 2006 - Present
Skills
Analysis, Brokers, Business Analysis, Change Management, Commercial Insurance, Cross-functional Team..., Disability Insurance, Disease Management, Employee Benefits, HIPAA, Health Insurance, Healthcare, Healthcare Consulting, Healthcare Industry, Healthcare Management, Insurance, Leadership, Managed Care, Management, New Business Development, Process Improvement, Product Development, Program Management, Project Management, Sales, Sales Management, Strategic Planning, Strategy, Team Building, Healthcare Information...
Education
The Citadel
Bachelor of Arts (B.A.), Psychology
UPMC Health Plan December 2011 - Present
Wipro Technologies December 2003 - September 2010
Skills
ASP.NET, .NET, C#, WCF, Microsoft SQL Server, Visual Studio, ADO.NET, Web Services, VB.NET, TFS, T-SQL, LINQ, IIS, jQuery, AJAX
Education
Sathyabama University 1999 — 2003
B.E., Computer Science
Coventry Health Care May 2012 - Present
Coventry Healthcare March 2002 - January 2013
UPMC Health Plan December 1999 - March 2002
UPMC Health Plan 1999 - 2001
Federated Investors September 1998 - December 1999
ALLEGHENY GENERAL HOSPITAL/ALLEGHENY HEALTH, EDUCATION AND RESEARCH FOUNDATION (AHERF) July 1997 - July 1998
West Penn Allegheny Health System 1990 - 1998
Allegheny Health, Education and Research Foundation July 1996 - June 1997
Allegheny Health, Education and Research Foundation March 1995 - June 1996
General Accounting September 1990 - February 1995
Skills
Data Analysis, Analytics, Project Management, Data Warehousing, Business Intelligence, Health Insurance, Process Improvement, Software Documentation, Analysis, Access, Healthcare, Management, CRM, Cognos, Quality Assurance
Education
Robert Morris University 1997 — 1999
Master, Business Administration
West Virginia University 1985 — 1989
Bachelor of Science, Business Administration; Finance
UPMC Health Plan March 2015 - Present
UPMC Health Plan November 2011 - March 2015
Highmark Blue Cross Blue Shield August 2000 - October 2010
Health Care Visions January 1999 - January 2000
Mercy Hospital of Pittsburgh January 1986 - January 1999
Skills
Hospitals, Wellness, Fitness, Program Management, Healthcare, Data Analysis, Health Promotion, Strategy, Health Insurance, Leadership, Clinical Research, Process Improvement, Strategic Planning
Education
University of Pittsburgh 2004 — 2006
Master’s Degree, Exercise Physiology
Robert Morris University 1996 — 1998
Master’s Degree, Health Services Management
West Virginia University 1980 — 1984
Bachelor’s Degree, Physical Education
UPMC Health Plan December 2014 - Present
UPMC Health Plan July 2013 - Present
Sears Carpet and Upholstery Care Pittsburgh March 2012 - December 2012
Sears Carpet and Upholstery Care Pittsburgh June 2009 - March 2012
Thiel College Alumni Office September 2008 - December 2009
Skills
Customer Service, Microsoft Office, Microsoft Excel, Microsoft Word, Data Entry, Outlook, PowerPoint, Call Center, Customer Satisfaction, Sales, Inventory Management, Teamwork, Office Management, Problem Solving
Education
Pittsburgh Institute of Mortuary Science Inc 2010 — 2011
Diploma, Embalming and Funeral Management
Thiel College 2006 — 2010
Bachelor of Arts (B.A.), Business Administration and Management, General
UPMC Health Plan July 2012 - February 2014
BlueCross BlueShield of Western New York March 1998 - March 2011
Prudential Healthcare 1992 - 1996
Skills
Microsoft Office
Education
Spelman College 1987 — 1992
Bachelor's Degree, Economics, 3.0/4.0
UPMC September 2012 - Present
UPMC Health Plan April 2011 - September 2012
Genesis Medical Associates, Inc. June 2009 - March 2011
Skills
Six Sigma, Time Management, Public Relations, Organizing, Planning, Business Communications, Operations Management, Leadership, Management, Healthcare, Managed Care, EHR, Process Improvement, Training, Data Analysis, Team Building, Software Documentation, Healthcare Management, Project Planning
Education
Robert Morris University 2010 — 2012
MBA, Business
Robert Morris University 2004 — 2008
BSBA, Business
UPMC Health Plan July 2009 - Present
Skills
Access, Insurance, PowerPoint, Employee Benefits, Data Analysis, Medicare
Education
Seton Hill University 1995 — 1999
Bachelor's degree, Business Administration - Human Resources
UPMC Health Plan August 2005 - Present
HealthNow New York Inc. 2004 - 2005
TMG Health 2001 - 2004
Cigna Healthcare of Tennessee 1997 - 2001
NYLCare Health Plans, Inc. 1993 - 1997
Skills
Medicare, Health Insurance, Claim, Managed Care, Process Improvement, Medicaid, HMO, Medicare Part D, Healthcare, Employee Benefits, HIPAA, Provider Relations, Healthcare Information..., Health Policy, Medicaid Managed Care, Pharmacy Benefit..., Healthcare Consulting, Nursing, Healthcare Management, Insurance, Healthcare Industry, Strategic Planning, Project Management, Data Analysis, Business Analysis, Visio, Health Savings Accounts, Brokers, PPO, NCQA, Network Development, Health Care Reform, Utilization Management, Disease Management, Disability Insurance, Medical Compliance, Medicare/Medicaid..., Affordable Care Act, Provider Network..., Health Plan Operations, Healthcare Reimbursement, Pay for Performance, Credentialing, Healthcare Analytics, Underwriting, Provider Networks, HEDIS, Medical Cost Containment, Trizetto
Education
Duquesne University
Bachelor of Science in Nursing, Nursing
Texas Woman's University
Texas Women's University
Health Care Administration
UPMC Health Plan August 2004 - Present
Skills
Surgical Oncology, Colorectal
Education
Seton Hill University 1997 — 2001
Bachelor of Science, Physician Assistant
UPMC Health Plan February 2014 - Present
Cenegenics Corporate Health July 2013 - February 2014
Integrated Corporate Health, LLC September 2012 - February 2014
YMCA November 2012 - March 2013
Highmark May 2012 - July 2012
University of Pittsburgh August 2011 - July 2012
University Club Fitness Center June 2011 - May 2012
University of Pittsburgh MAPS Program January 2012 - April 2012
Passavant Retirement Community December 2010 - August 2011
Specialty Orthopaedics January 2010 - April 2010
Skills
Fitness, Health Promotion, Wellness, Employee Wellness, Exercise Physiology, Wellness Coaching, Prevention, Overall Wellness, Exercise Prescription, Health Education, Exercise Design, Program Development, Motivational..., Lifestyle, Weight Training, Nutrition Education, Weight Management, Group Exercise..., Personal Training, Program Management, Management, Program Evaluation, Healthcare, Community Outreach, Community Development
Education
University of Pittsburgh 2011 — 2012
Master of Science (M.S.), Exercise Physiology
Slippery Rock University of Pennsylvania 2006 — 2010
Bachelor of Science (B.S.), Exercise Science
Florida Blue February 2013 - Present
City of Jacksonville July 2012 - February 2013
Florida Blue November 2010 - June 2012
UPMC Health Plan April 2009 - October 2010
Pfizer November 2007 - December 2008
JSMN International Inc May 2007 - October 2007
CIGNA Healthcare September 2006 - May 2007
Skills
Business Analysis, Systems Analysis, Business Requirements, Requirements Analysis, Requirements Gathering, JAD, Meeting Planning, Facilitators, Project Coordination, Agile Methodologies, Full SDLC, Agile & Waterfall..., SharePoint, Requirement..., Functional Requirements, UML, Use Case, Non-Functional..., Test Cases, User Acceptance Testing, User Stories, Documentum, Computer System..., Technical Documentation, Healthcare, Mental Health, Dental Insurance, Life Insurance, Disability Insurance, Vision Insurance, Rating, Regulatory Requirements, 21 CFR Part 11, ICD-9, ICD-10, Medicare, Medicaid, Presentation Development, Presentations, RUP Methodologies, HMO, PPO, System Testing, Visio, Learning Management..., Data Warehousing, SSIS, Gap Analysis
Education
Texas A&M University 2005 — 2006
Master of Business Administration (MBA), Business Administration and Management, General
VRS College Of Engg & Technology 2000 — 2004
Bachelor of Engineering (BEng), Electrical, Electronics and Communications Engineering
UPMC Health Plan August 2011 - Present
Skills
Insurance, Disability Insurance
Education
Seton Hill University 2005 — 2007
BS, Business/Corporate Communications
UPMC Health Plan August 2014 - Present
Aladdin Food Management Services, LLC August 2014 - October 2014
Aladdin Food Management Services, LLC October 2010 - August 2014
Aladdin Food Management Services, LLC May 2009 - October 2010
Allegheny Health Network January 2009 - May 2009
Education
University of Saint Joseph 2014 — 2015
Health Coaching Certification
University of Saint Joseph 2012 — 2015
Master of Science (M.S.), Nutrition
Seton Hill University 2005 — 2009
Bachelor of Science (BS), Nutrition and Dietetics
Health First August 2012 - Present
UPMC Health Plan July 2005 - August 2012
Kaiser Permanente July 2000 - July 2005
Family Health Plan January 1998 - July 2000
HealthAmerica July 1995 - January 1998
Skills
Outstanding..., Strategic plan..., Account Management, Brokers, Direct Sales, Health Insurance, Healthcare, Integrated Marketing, Management, Medicare, New Business Development, Sales, Sales Management, Strategic Planning
Education
Slippery Rock University of Pennsylvania 1975 — 1977
Bachelor of Science (BS), Education
PNC March 2015 - Present
UPMC Health Plan April 2011 - February 2015
Centers for Disease Control and Prevention January 2003 - April 2011
Skills
C#, C/C++, SQL, SPSS, Bioinformatics, Java, Statistics, Data Analysis, R, SAS, SAS Programming, Biostatistics, Logistic Regression, Statistical Modeling, Data Mining, Machine Learning, Epidemiology, Research, Analysis
Education
West Virginia University 2003 — 2009
Doctor of Philosophy (PhD), Computer Sci., Statistics & Mathematics
West Virginia University 1999 — 2003
Master of Science (MS), Statistics
West Virginia University 2000 — 2002
Master of Science (MS), Computer Science
Tianjin University 1991 — 1994
Master of Science (MS), Polymer Materials and Engineering
Tianjin University 1987 — 1991
Bachelor of Engineering (BEng), Polymer Chemical Engineering
UPMC Health Plan March 2011 - Present
Hollernn Sales, Inc. December 1986 - February 2011
Skills
Microsoft Office 2007, QuickBooks
Education
Robert Morris University 1983 — 1996
Bachelor of Applied Science (B.A.Sc., Administrative Management
UPMC August 2012 - Present
UPMC Health Plan June 2010 - Present
UPMC June 2010 - August 2012
Skills
Nursing, Hospice, Home Care, Geriatrics, Patient and Caregiver..., Case Management Services, Nursing Education, Public Health, Quality Improvement, Utilization Management, BLS, ACLS, Healthcare Information..., Pediatrics, Clinical Research, HIPAA, Physicians, Healthcare Management, Disease Management
Education
The George Washington University 2004 — 2006
Graduate Certificate, End-of- Life Clinical Leadership
Saint Louis University 1977 — 1980
BSN, Registered Nursing/Registered Nurse
Trumbull Memorial School of Nursing, Warren, Ohio 1973 — 1976
RN, Registered Nursing/Registered Nurse
UPMC Health Plan October 2010 - Present
UPMC Health Plan January 2007 - November 2010
Education
Robert Morris University 1980 — 1984
Bachelor of Science (B.S.), Business Administration and Management, General
UPMC Health Plan 2001 - Present
Education
University of California, San Diego 1976 — 1984
MD-PhD
Yale University 1972 — 1976
Bachelor of Science (BS), MB&B
ZOLL Medical Corporation March 2014 - Present
UPMC Health Plan May 2012 - March 2014
Reliant Energy December 2006 - May 2012
DynaVox Systems, LLC September 2002 - November 2006
Skills
Sourcing, Product Development, Process Improvement, Contract Negotiation, Procurement, Cross-functional Team..., Strategic Sourcing, Vendor Management, Purchasing, Contract Management, Negotiation, Project Management, Analysis, Supply Management, Supply Chain Management
Education
University of Pittsburgh 1990 — 1992
Bachelor of Arts (BA), Political Science and Government
Slippery Rock University of Pennsylvania 1988 — 1990
None, Undeclared
UPMC Health Plan August 2008 - Present
Quest Diagnostics July 2005 - August 2008
Skills
Microsoft SQL Server, Microsoft Office, SQL
Education
Robert Morris University
Bachelor's of Science, Information Technology
UPMC Health Plan August 2013 - Present
UPMC Health Plan October 2011 - August 2013
Federal Reserve Bank of Cleveland February 2005 - May 2011
Skills
Data Entry, Process Improvement, Insurance, Training, Sales, Leadership
Education
Robert Morris University 1992 — 1996
Business Administration and Management, General
Montour High School 1980 — 1992
UPMC Health Plan September 2003 - Present
Skills
Insurance
Education
Robert Morris University
Accounting and Computer Science
UPMC Health Plan November 2012 - Present
First Health September 1984 - May 1998
Skills
Operations Management, Auditing
Education
University of Pittsburgh 1981 — 1985
Bachelor's degree, Information Science/Studies
Robert Morris University
Master's degree, Internet Management Systems
UPMC Health Plan May 2015 - July 2015
Skills
Microsoft Office, Microsoft Excel, SPSS, PowerPoint, Microsoft Publisher, Time Management, Health Education, Health Promotion, Communication, Organization Skills, Leadership, Educational Leadership
Education
Slippery Rock University of Pennsylvania 2012 — 2015
Bachelor’s Degree, Public Health
UPMC Health Plan January 2011 - Present
Education
Robert Morris University 2007 — 2010
Bachelor of Science (B.S.), Actuarial Science