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.
UPMC Health Plan Salaries. You can even request information on how much does UPMC Health Plan pay if you want to. Learn about salaries, pros and cons of working for UPMC Health Plan directly from the past employees.
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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
UPMC Health Plan April 2015 - Present
UPMC Health Plan December 2012 - July 2015
Children's Hospital of Pittsburgh June 2010 - December 2012
Red Blue Voice, LLC 2012 - 2012
Kaiser Permanente January 2009 - March 2010
Aviana Global Technology October 2006 - January 2009
NHS April 2006 - July 2006
UPMC Cancer Centers April 2004 - April 2006
UPMC February 1999 - June 2003
Skills
Database Administration, EMR, Healthcare Information..., Data Analysis, EHR, Business Analysis, HIPAA, Data Warehousing, HL7, Epic Systems, Healthcare, Crystal Reports, Databases, Analysis, Cerner, Oracle, SQL, Informatica, Visio, Business Intelligence, Informatics, Systems Analysis, Testing, Software Documentation
Education
University of Pittsburgh 1996 — 2001
Sunshine Health February 2013 - Present
UPMC Health Plan November 2004 - February 2013
Skills
Healthcare, HIPAA, Project Management, Program Development, Quality Management, Clinical Research, Process Improvement, Healthcare Management, Health Policy, Managed Care, Healthcare Information..., Disease Management, Strategic Planning, Hospitals, Program Management, Medicare, Healthcare Industry, Leadership, Medicaid, Medicine, Utilization Management, Health Insurance, Quality Improvement, Insurance, Management, Healthcare Consulting
Education
University of Pittsburgh 1971 — 1975
BSN, Registered Nursing/Registered Nurse
American Pastoral Productions July 2015 - Present
Gifted Hands October 2014 - July 2015
Violet Media November 2014 - November 2014
King Crow Productions August 2014 - October 2014
Franksgiving July 2014 - August 2014
Steeltown Entertainment Project January 2014 - August 2014
UPMC September 2013 - February 2014
Spirit Halloween September 2013 - November 2013
UPMC Health Plan August 2013 - September 2013
Neighborhood Learning Alliance June 2013 - August 2013
Skills
Final Cut Pro, Microsoft Office, Quick thinker, Multitasking, Works well individually, Works well in a team, Organized self-starter, Works well in high..., Editing, Video Editing, Post Production, Theatre, Creative Writing, Proofreading, News Writing, Social Networking, Event Planning, Speech Writing, Copywriting, Teaching, Leadership, Video, Blogging, Facebook, Press Releases
Education
University of Pittsburgh 2011 — 2012
Master of Art in Teaching (MAT), Secondary English Education, 3.92
University of Pittsburgh 2007 — 2011
Bachelor of Arts (BA), Communication and Media Studies, 3.2
Westinghouse Electric Company 2008 - 2012
Westinghouse Electric Company October 2004 - September 2006
Datatec 2000 - 2001
UPMC Health Plan 1998 - 2000
Skills
Project Implementation, Project Execution, Project Delivery, Project Management, Project Planning, MS Project, PMP
Education
University of Pittsburgh 1981 — 1991
BS, Information Science
Greensburg Central Catholic HS 1964 — 1968
Diploma, Business
Optum Behavioral Solutions June 2013 - July 2015
Magellan Health Services July 2011 - February 2012
Magellan Health Services January 2000 - February 2012
UPMC Health Plan April 2000 - January 2003
Skills
Utilization Management, Managed Care, Behavioral Health, Executive Management, Compliance, Process Improvement, Strategic Planning, Healthcare, Achieving Targets, Innovative Thinking, Analytics, Case Managment, Provider Relations, Health Policy, Leadership, HIPAA, Medicaid, Health Insurance, Social Services, Quality Improvement, Disease Management, Healthcare Management, Pharmacy Benefit..., Medicare, Informatics, Case Management
Education
University of Pittsburgh
Master in Social Work
University of Pittsburgh - Joseph M. Katz Graduate School of Business
MBA
UPMC Health Plan August 2014 - Present
UPMC Health Plan September 2013 - August 2014
WESCO Distribution January 2012 - August 2013
Skills
Marketing Communications, Microsoft Excel, Social Media, Account Management, Microsoft Office, Marketing, Salesforce.com, Event Planning, Social Media Blogging, Team Leadership, Sales, Facebook, Social Media Marketing, Time Management, Sales Process, Customer Service
Education
University of Pittsburgh
Bachelor of Arts (B.A.), Media and Professional Communications
UPMC Health Plan May 2015 - Present
Valley Pool & Spa May 2009 - May 2015
Skills
Merchandising, Public Speaking, Microsoft Office, Leadership, Customer Service, Time Management, Event Planning, Team Building, Training, Retail, Higher Education, Strategic Planning
Education
University of Pittsburgh 2013 — 2015
Bachelor of Science (B.S.), Business Administration, Human Resources Management/Personnel Administration
Community College of Allegheny County 2011 — 2012
Associate of Science (AS), Business/Accounting
Gateway High School
UPMC May 2013 - Present
UPMC February 2012 - November 2013
UPMC Health Plan October 2008 - May 2010
UPMC September 2007 - October 2008
First Commonwealth Systems Corporation May 2004 - December 2006
Skills
Finance, Data Analysis, Microsoft Excel, PeopleSoft, Contract Negotiation, Management, Financial Analysis, Sourcing
Education
University of Pittsburgh 2003 — 2007
Bachelor of Science, Economics; Mathematics
UPMC Health Plan January 2013 - Present
UPMC Health Plan February 2011 - Present
Giant Eagle August 2010 - February 2011
Ohio Valley General Hospital August 2009 - April 2010
Skills
Healthcare, Wellness Coaching, Health Promotion, Health Education, Public Health, Prevention, Wellness, Public Speaking, Nutrition, Fitness
Education
University of Pittsburgh 2007 — 2010
Masters, Clinical Dietetics and Nutrition
University of Pittsburgh 2003 — 2007
Bachelor of Science, Biology
UPMC Health Plan February 2015 - Present
Aetna May 2014 - January 2015
Coventry/HealthAmerica July 2011 - January 2015
AGLA December 2008 - June 2011
Strategic Consulting Group June 2008 - November 2008
League of Young Voters 2008 - 2008
Skills
Health Insurance, Insurance, Sales, Account Management, CRM, Leadership, Sales Operations, Recruiting, Analysis, Customer Retention, Advertising, Employee Benefits, Customer Service, Sales Management, Marketing, New Business Development, Data Analysis, Microsoft Excel, Strategic Planning, Salesforce.com
Education
University of Pittsburgh 2004 — 2008
BA, Political Science
UPMC Health Plan January 2015 - Present
UPMC Health Plan May 2014 - Present
University of Pittsburgh August 2013 - Present
University of Pittsburgh September 2010 - May 2014
Jewish Community Center January 2012 - January 2014
Alcoa August 2013 - December 2013
Physical Activity and Weight Management Research Center October 2011 - March 2012
Skills
Health Education, Health Promotion, Exercise Prescription, Group Exercise..., Exercise Physiology, Physical Education, Employee Wellness, Wellbeing, Customer Service
Education
University of Pittsburgh 2013 — 2014
Master of Science (M.S.), Health and Wellness, General
University of Pittsburgh 2010 — 2013
Bachelor of Science (B.S.), Health and Physical Education/Fitness
ZOLL Medical Corporation April 2014 - Present
UPMC Health Plan August 2000 - July 2013
Skills
Health Insurance, Insurance, Medicare, Managed Care, Employee Benefits, HIPAA, Process Improvement, Healthcare, Claim, Disability Insurance, Underwriting, SDLC, Business Analysis, Medicaid, Customer Service, Visio, Commercial Insurance, Medicare Part D, Team Building, Brokers, Microsoft Excel, Training, Microsoft Office, Access, PowerPoint
Education
University of Miami 1991 — 1993
Bachelor of Science (BS), Health and Physical Education/Fitness
Aetna March 2015 - Present
Highmark Inc. January 2015 - March 2015
Coventry Health Care, an Aetna Company May 2012 - December 2014
UPMC Health Plan February 2006 - May 2012
UPMC Health Plan February 2005 - February 2006
UPMC Health Plan February 2002 - February 2005
Gateway Health Plan April 1999 - February 2002
Gateway Health Plan May 1998 - April 1999
Gateway Health Plan March 1997 - May 1998
Gateway Health Plan November 1996 - March 1997
Skills
Requirements Gathering, Systems Analysis, Visio, Medicare, SDLC, Business Analysis, Process Improvement, Cognos, Healthcare Information..., Requirements Analysis, Medicaid Managed Care, IT Operations, Financial Analysis, IT Solutions, Business Requirements, Electronic Enrollment, Production Support, Agile & Waterfall..., Medicare Letters, Creative Solutions, System Testing, Unit Testing, System Enhancements, Redetermination Projects, Statutory Reporting, Home Nursing Files, Benefit Cost Analysis, Department of Public..., Employee Training, Customer Service, Customer Retention, Microsoft Excel, Access Database, PowerPoint, Posnet, MC400, Amisys, Remedy Ticketing System, MMC, On-call Support, Access, Insurance, Leadership
Education
University of Pittsburgh 1990 — 1994
Bachelor of Science (BS), Business/Psychology
Upper St. Clair High School 1986 — 1990
High School
Journalist and Writer August 2013 - Present
UPMC June 2012 - Present
UPMC December 2010 - July 2012
Benefits Network, Inc. 2010 - December 2010
Brunner, Inc. August 2009 - March 2010
UPMC Health Plan June 2007 - August 2009
Skills
Corporate Communications, Social Media, Media Relations, Blogging, Press Releases, Writing, Media Monitoring, Vocus, Cision, Twitter, SEO, SEO copywriting, Excel, Word, Wordpress, PowerPoint, Microsoft Word, Microsoft Excel, Copywriting, Newsletters, Public Relations, Publications, WordPress, Editing, Marketing Communications, Social Media Marketing
Education
University of Pittsburgh 2008 — 2010
BA, English
Explore Schools June 2014 - Present
Friendship Circle of Pittsburgh September 2013 - May 2014
UPMC Health Plan May 2013 - September 2013
SmartAsset March 2013 - August 2013
Hill House Association September 2012 - May 2013
Wesley Spectrum Services May 2011 - August 2011
AmeriCorps August 2009 - April 2011
Tata Memorial Hospital May 2010 - July 2010
Skills
Customer Service, People Skills, Communication Skills, Social Media Marketing, Social Media, Public Relations, Non-profits, Sales, Training, Nonprofits, Time Management, Event Planning, Editing, Press Releases, Microsoft Excel, Teaching, Blogging, Professional Writing, Education, Leadership, Management
Education
University of Pittsburgh 2008 — 2012
School of Arts & Sciences, Communication; Sociology
UPMC Health Plan March 2013 - August 2013
Western Psychiatric Institute and Clinic June 2010 - March 2013
Skills
Health Policy, Health Care Reform, Management, Affordable Care Act, Leadership Development, Public Health, Strategic Planning, Leadership, Communication, Critical Thinking, Healthcare, Medicare, Medicaid, Research, Public Speaking, Health Advocacy, Workplace wellness, SPSS, Data Analysis, Disease Management, Employee Wellness
Education
Graduate School of Public Health 2011 — 2013
Master of Public Health (MPH), Health Policy & Management
University of Pittsburgh 2006 — 2011
Bachelor's degree, Anthropology, Fitness
Chartiers Valley 2001 — 2006
UPMC Health Plan 2008 - Present
Education
University of Phoenix
Bachelor of Business Administration (BBA), Business
Bradford Business School
Business
UPMC Health Plan March 2014 - Present
UPMC Health Plan June 2012 - March 2014
UPMC Health Plan January 2011 - June 2012
YMCA HB4Life August 2010 - November 2011
Children's Hospital of Pittsburgh of UPMC March 2004 - December 2010
Huntington Learning Center August 2002 - August 2008
Pittsburgh Mercy Health System 2002 - 2004
Skills
Public Speaking, Teaching, Event Planning, Volunteer Coordinating, Volunteer Recruiting, Managing Volunteers, Administrative Support, Outstanding Customer..., Creative Writing, Health, Fitness, Fitness Training, Customer Service, Volunteer Management, Poetry, Administrative..., Coaching, Program Management, Community Development, Health Promotion, Program Development, Community Outreach, Health Education, Healthcare, Program Evaluation, Cpr Certified, Nonprofits, Grant Writing, Fundraising, Human Resources, CPR Certified
Education
University of Pittsburgh 2007 — 2010
Masters Degree, Health and Fitness
University of Pittsburgh at Johnstown 1995 — 1999
Bachelors Degree, Elementary Education
UPMC Health Plan March 2014 - Present
Pittsburgh Marathon January 2012 - Present
AlphaGraphics in the Cultural District November 2012 - February 2014
Computer Fellows Inc November 2008 - October 2012
Business Volunteers for the Arts January 2012 - 2012
Abercrombie & Fitch May 2008 - September 2008
Carnegie Museums of Pittsburgh May 2007 - August 2007
Skills
Training, SEO, Management, Competitive Analysis, Marketing, Direct Marketing, Marketing Strategy, Project Management, Leadership, Digital Marketing, Budgets
Education
University of Pittsburgh 2005 — 2008
BSBA, Marketing
UPMC Health Plan March 2015 - Present
UPMC December 2014 - March 2015
Evolent Health June 2012 - December 2014
UPMC Health Plan October 2006 - June 2012
Children's Hospital of Pittsburgh May 2003 - October 2006
Skills
Team Management, Healthcare Information..., Software System Analysis, Software Quality..., Data Analysis, SQL, Scrum, Testing, Healthcare Management, Healthcare, Visio, Team Leadership, Management, Healthcare Information..., Requirements Analysis, Business Analysis, Process Improvement, Requirements Gathering, SDLC, Software Documentation, Project Management, Integration, Software Project..., Databases, Leadership, SharePoint, Agile Methodologies, Systems Analysis, HIPAA, Access
Education
University of Pittsburgh 1995 — 1997
Master of Education (MEd), Education
University of Pittsburgh-Greensburg 1990 — 1994
Bachelor of Science (BS), Psychology
UPMC Health Plan
Skills
Account Management, Insurance, Word, Microsoft Office, PowerPoint, Excel, Sales Management, Consultative Selling, New Business Development, Problem Solving, Access, Outlook, Negotiation, Customer Relations, Cold Calling, Salesforce.com, Call Center, Team Building, Customer Service, Brokers, Retail, Coaching, Microsoft Word, Microsoft Excel, Program Management, Sales, Event Planning, Strategic Planning, Fundraising, Team Leadership, Budgets, Managed Care, Operations Management, Market Research, Leadership, Time Management, Public Speaking, Leadership Development, Community Outreach, Process Improvement, Sales Force Development, Selling, Recruiting, Management, Employee Relations, Human Resources, Social Networking, Health Insurance, Public Relations, Event Management
Education
University of Pittsburgh 1972 — 1976
Bachelor's degree, Economics
corpus christi grade school
corpus christi grade school
corpus christi grade school
UPMC Health Plan July 2012 - Present
UPMC Health Plan July 2010 - July 2012
UPMC Health Plan April 2009 - June 2010
UPMC Health Plan February 2000 - April 2009
Highmark Life and Casualty 1998 - 2000
Skills
Managed Care, Health Insurance, Medicare, Healthcare, Compliance, Project Management, Process Improvement, Commercial Insurance, Business Systems..., Business Requirements, Coordination of Benefits, Leadership, Business Process, SDLC, Training, Insurance, Vendor Management, Management, Claim, Six Sigma, Project Planning, HIPAA, Medicaid, Medicare Part D, Business Analysis, Strategic Planning, Healthcare Information...
Education
University of Pittsburgh 1994 — 1997
Biology
North Catholic
North Catholic
University of Pittsburgh
Natural Sciences
UPMC Health Plan November 2014 - Present
The Commonwealth Institute for Fiscal Analysis July 2007 - October 2014
Skills
Stata, Public Policy, Policy Analysis, Nonprofits, Grant Writing, Quantitative Analytics, Community Outreach, Technical Writing, Microsoft Excel, Non-profits, Speech Writing, Economic Development, Fiscal Impact Analysis, Quantitative Analysis, Excel, Governmental Affairs, Lobbying, Organizational..., Legislative Affairs, Legislative Testimony, Healthcare Analytics, Health Insurance, Message Development, Report Design, Infographics, Illustrator, InDesign
Education
William & Mary 2005 — 2007
MPP, Public Policy
University of Notre Dame 2001 — 2005
BBA, Marketing and Economics
University of Notre Dame - Mendoza College of Business 2001 — 2005
Bachelor of Business Administration, Marketing and Economics
Underwood Solar Future LLC 2009 - Present
Enhanced Lifestyle Management 2011 - 2011
UPMC Health Plan 2001 - 2005
Education
Solar Energy International 2010 — 2010
Certificate, Solar Electric Fundamentals & Grid-Direct Design
University of Pittsburgh 1987 — 1994
Economic
Direct Energy September 2011 - Present
UPMC Health Plan October 2007 - September 2011
National City Bank November 2006 - October 2007
Bruster's Real Ice Cream November 2004 - October 2006
National City Bank January 2004 - November 2004
National City Bank July 1997 - December 2003
CHAMBERS DEVELOPMENT COMPANY, Inc November 1996 - June 1997
Lady Foot Locker May 1991 - October 1996
Education
Duquesne University School of Leadership and Professional Development 2001 — 2003
Master, Leadership and Liberal Studies
University of Pittsburgh 1987 — 1991
Bachelor of Arts, Business and Economics
Central Cambria High School 1983 — 1987
UPMC Health Plan August 2014 - Present
UPMC Health Plan August 2011 - August 2014
Sweetwater Center for the Arts September 2010 - December 2010
Fairman Corporation August 2010 - December 2010
American Eagle Outfitters September 2009 - December 2009
Learning Research and Development Center January 2006 - March 2007
Education
University of Pittsburgh 2005 — 2009
Bachelor, Marketing, Communications
UnitedHealth Group December 2012 - Present
OptumInsight October 2011 - December 2012
United Health Group May 2010 - December 2011
Unison Health Plan September 2008 - May 2010
UPMC Health Plan May 2007 - September 2008
USC Consulting Group October 2004 - May 2007
Central Parking System 2003 - 2004
Virginia Tech 2001 - 2003
Skills
Business Analysis, Access, Process Improvement, Visual Basic, Excel, SQL Server, HTML, PowerPoint, Word, Change Management, Crystal Reports, SAS, Unix, Java, Windows, Mentoring, Linux, C++, Product Management, SPSS, Lotus, Pascal, DOS, Cost Reduction..., Visio, MS Project, SQL, Analysis, Microsoft Office, Data Analysis, Customer Relations, Database Administration, Process Engineering, Quality Assurance, SDLC, Documentation, Problem Solving, Outlook, Databases, Six Sigma, Project Planning, Budgeting, Testing, Program Management, SharePoint, Strategic Planning, Business Intelligence, Healthcare, Software Development, Microsoft Excel
Education
Virginia Polytechnic Institute and State University 2001 — 2003
MA, Political Science
University of Pittsburgh 1997 — 2001
BA, Political Science
UPMC July 2013 - Present
UPMC June 2011 - June 2013
UPMC Health Plan September 2010 - April 2011
UPMC June 2010 - August 2010
Skills
Data Analysis, Variance Analysis, Accounts Receivable, Budgets, Corporate Finance, Fundraising, Forecasting, Recruiting, Process Improvement, Contract Management, Access, Microsoft Excel, Analytics
Education
University of Pittsburgh 2007 — 2011
BSBA, Finance and Marketing
Genentech January 2013 - Present
Bristol-Myers Squibb April 2011 - December 2012
Bristol-Myers Squibb, Princeton, New Jersey 2005 - 2010
BMS 2002 - 2004
UPMC Health Plan July 1999 - June 2002
University of Maryland 1998 - 1999
Skills
Medical Affairs, Clinical Trials, Managed Care, Neuroscience, Outcomes Research, Pharmacy, Oncology, Clinical Pharmacology, Therapeutic Areas, Medical Writing, Drug Development, Clinical Development, Diabetes, Osteoporosis, Pharmaceutical Industry, Pharmacology, Pharmacoeconomics, Psychiatry, Market Access, Pharmacy Benefit..., Medicine, Neurology, Gastroenterology, Endocrinology, Infectious Diseases, Pharmacists, Cardiology, Rheumatology, Health Economics, Nephrology, Clinical Research
Education
University of Pittsburgh 1992 — 1998
PharmD, Pharmacy, Chemistry
University of Pittsburgh 1992 — 1998
Doctor of Pharmacy (Pharm.D.), Pharmacy
UPMC Health Plan October 2013 - Present
UPMC April 2010 - October 2013
Kuhn's Market July 2005 - April 2010
Skills
Outlook, Healthcare Management, Hospitals, HIPAA, Microsoft Office, Customer Service, Microsoft Word, Team Building, PowerPoint, Training, Leadership
Education
University of Phoenix 2010 — 2012
Bachelor's degree, Human Resources Management and Services
University of Phoenix 2008 — 2010
Associate of Science (A.S.), Psychology
CCAC 2006 — 2008
Liberal Arts
Perry Traditional Academy 2002 — 2006
Diploma, Liberal Arts
UPMC Health Plan April 2015 - Present
UPMC Health Plan August 2012 - April 2015
UPMC Hillman Cancer Center January 2010 - September 2012
UPMC Magee-Womens Hospital November 2008 - January 2010
Highmark Blue Cross Blue Shield January 2006 - November 2008
UPMC Home Health Services September 2005 - December 2005
Family Home Health Services March 2005 - September 2005
UPMC Shadyside Hospital May 2003 - March 2005
Skills
Nursing, Utilization Management, Critical Care, Healthcare Management, Disease Management, Patient Safety, Nursing Education, Medicare, Managed Care, Medicaid, Acute Care, Hospitals, Inpatient, EMR, Home Care, Patient Advocacy, Clinical Research, Case Management, Medicine
Education
Waynesburg College 2008 — 2010
MSN, Nursing Administration
University of Pittsburgh 1999 — 2003
Bachelor of Science (BSc), Nursing
UPMC Health Plan March 2012 - November 2012
Thermo Fisher Scientific September 2000 - December 2011
Fisher Scientific June 1998 - September 2000
Impulse Wear May 1996 - May 1998
Skills
Proposal Management, Proposal Writing, Government Proposals, Audience Engagement, Value Proposition..., Project Management, Writing, Editing, White Papers, Articles, Content Marketing, SEO copywriting, RFP preparation, Social Media, Business Communications, Sales Presentations, Word, PowerPoint
Education
University of Pittsburgh 1989 — 1993
BA, English Writing
UPMC Health Plan August 2015 - Present
UPMC Health Plan January 2015 - August 2015
UPMC Health Plan March 2014 - January 2015
UPMC Health Plan October 2012 - March 2014
Liberty USA May 2011 - December 2012
Liberty USA December 2010 - May 2011
Adelphoi USA July 2009 - December 2010
Adelphoi USA July 2008 - July 2009
Skills
Customer Service, Leadership, Microsoft Excel, Public Speaking, PowerPoint, Team Building, Microsoft Word, Microsoft Office
Education
University of Pittsburgh 2004 — 2008
Classy Cab July 2012 - Present
Enhanced Lifestyle Management August 2011 - Present
Underwood Solar Future LLC October 2009 - Present
UPMC Health Plan 2001 - 2005
Skills
Lifestyle Management, Time Management, Work/life Balance, Concierge Services, Personal Services, Delegation, VIP, Tickets, Entertainment, Luxury Lifestyle, Organizing, Internet Searches, Travel Services, Management, Business Networking, Small Business, Hospitality, Motivational Speaking, Entrepreneurship, Social Networking, Airline Ticketing, Employee Training, Fundraising, Event Planning, Work Life Balance, Training, Search Engines, Leadership, Conflict Resolution, Event Management, Leadership Development, Marketing, Online Marketing, Process Scheduler, Staff Development, Team Building
Education
University of Pittsburgh 1987 — 1994
Economics & Mathematics
UPMC Health Plan September 2012 - Present
UPMC Health Plan April 2007 - September 2012
Health Dialog 2005 - 2007
Reipan LLC, Cynthia N. Rosenberg, M.D. 2003 - 2005
The Western Pennsylvania Hospital- Geriatrics Practice, Dr. Cynthia N Rosenberg 1998 - 2003
Aetna Health Care 1996 - 1998
The Western Pennsylvania Hospital 1991 - 1996
Skills
Customer Service, Training, Business Analysis, Analysis, Insurance, Process Improvement, Leadership, Data Analysis, Medicaid, Managed Care, Healthcare, Medicare, Hospitals
Education
West Virginia University 1990 — 1991
Master's Degree, Clinical/Medical Social Work
University of Pittsburgh 1987 — 1989
Bachelor's Degree, Social Work
North Hills High School
Maxim Healthcare Services March 2015 - Present
UPMC Health Plan September 2013 - March 2015
St. Clair Country Club May 2010 - September 2013
Mullen September 2012 - December 2012
University of Pittsburgh GSPIA January 2012 - May 2012
Skills
Facebook, Social Media, Public Relations, InDesign, Event Planning, Journalism, Pinterest, Tumblr, Advertising, Cision, Instagram, Google+, Marketing, Corporate Communications, Social Media Marketing, Event Management, Social Networking, Public Speaking
Education
University of Pittsburgh 2009 — 2013
Media and Professional Communications B.A., Corporate and Community Relations
UPMC Health Plan June 2013 - Present
UPMC Health Plan January 2012 - June 2013
UPMC November 2010 - January 2012
CVS Caremark Corporation September 2009 - November 2010
Skills
HIPAA, Healthcare Information..., Medical Terminology, Medicare, Medicaid, EHR, Outlook, Medical Records, PowerPoint, Customer Service, Microsoft Word, Medical Billing, Microsoft Office, Microsoft Excel, Health Insurance
Education
Community College of Allegheny County 2012 — 2012
Certificate, Health Information/Medical Records Technology/Technician
University of Pittsburgh 2006 — 2009
Bachelor of the Arts, History
UPMC Health Plan May 2015 - Present
Lorien Health Systems August 2013 - May 2015
Arthritis and Pain Associates January 2012 - July 2013
HCR ManorCare 2012 - 2012
Erickson Living 2011 - 2011
Skills
Microsoft Office, PowerPoint, Data Analysis, Leadership, Healthcare, Community Outreach, Food Science, Marketing Research, Microsoft Word, Public Speaking, Research, Social Media, Consumer Behaviour, Sales, Facebook, Statistics, Social Networking, SPSS, Teamwork, Event Planning, Market Research, Data Science, Programming, Data Entry
Education
University of Southern California 2012 — 2014
Master's degree, Gerontology
University of Maryland College Park 2009 — 2011
BS, Family Science
UPMC Health Plan September 2011 - Present
MedQuist October 1999 - April 2011
MedQuist February 2000 - October 2003
Skills
Healthcare Information..., HIPAA, Healthcare, EHR, EMR, Hospitals, Healthcare Management, Revenue Cycle, Process Improvement, Health Information..., Strategic Planning, Team Building, Customer Service, Human Resources, Change Management, Operations Management, Leadership, Medicaid, Healthcare Industry, Management, Training
Education
University of Phoenix 2007 — 2009
Associates, Healthcare Administration, 3.9
Alton Senior High
Southwest Nursing Center August 2012 - Present
UPMC Health Plan September 2000 - November 2007
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Medical Terminology, Analysis, Purging, Family Caregiving, Data Entry, Databases
Education
University of Phoenix 2007 — 2013
Bachelor's degree, Health Informatin Specialist
CCAC 1991 — 1995
Certificate, Medical Coding
UPMC Health Plan June 2014 - Present
Pharmacy Systems, Inc April 2013 - Present
CVS Caremark Corporation October 2011 - April 2013
Medco 2011 - 2011
UPMC Presbyterian Hospital 2010 - 2010
UPMC Presbyterian Hospital 2010 - 2010
VA Hospital Pittsburgh 2010 - 2010
Family Services of Western Pennsylvania APPRISE 2010 - 2010
UPMC Presbyterian Hospital 2010 - 2010
Giant Eagle Pharmacy 2010 - 2010
Skills
Pharmacists, Pharmacy, Clinical Research, Community Pharmacy, Clinical Pharmacy, Hospital Pharmacy, Patient Counseling, Pharmacoeconomics, Sterile Medication..., Pharmacy Benefit..., Clinical Monitoring, Managed Care, Pharmacy Practice, Prescription, Medication Therapy..., Immunization, Medicare Part D, Pharmacy Automation
Education
University of Pittsburgh 2005 — 2011
PharmD, Pharmacy
UPMC Corporate Services August 2014 - Present
UPMC Health Plan June 2012 - September 2014
UPMC Health Plan December 2011 - May 2012
Magee-Womens Hospital December 2010 - December 2011
Three Rivers Community Foundation September 2010 - December 2010
Skills
Fundraising, Leadership, Research, Data Entry, Training, Newsletters, Customer Service, Press Releases, Public Relations, Interviews, Sales, Community Development, Human Resources, Access, Healthcare, CRM, Advertising, Curriculum Design, Social Services, Customer Satisfaction, Public Speaking, Social Media, Microsoft Office, Editing, Employee Benefits, New Hire Orientations, Medicare, Blogging, Resume Writing, Copy Editing, Facebook, Time Management, Social Networking, Microsoft Word, Strategic Planning, Volunteer Management, Outlook, PowerPoint, Creative Writing, Windows, Healthcare Industry, Health Insurance, Microsoft Excel, Proofreading, Team Building, Photoshop, PeopleSoft, Call Centers, Teamwork, Insurance
Education
University of Pittsburgh 2014 — 2016
Certificate, Digital Media
Walden University 2013 — 2014
Graduate Certificate, Instructional Design and Technology
Walden University 2011 — 2013
Master of Business Administration (MBA), Human Resources and Project Management
University of Pittsburgh 2009 — 2011
Certificate, Public and Professional Writing
University of Pittsburgh 2007 — 2011
Bachelor of Arts, English Writing
UPMC Enterprises June 2015 - Present
UPMC Health Plan April 2007 - June 2015
Reese Teleservices May 2005 - April 2007
Skills
SQL, C#, .NET, Web Services, JavaScript, Visual Studio, Microsoft SQL Server, Java, XML, ASP.NET, Software Engineering, Object Oriented Design, ASP.NET MVC
Education
University of Pittsburgh 2001 — 2006
Bachelor's degree, Computer Engineering
UPMC Health Plan June 2014 - Present
CareerPro Global, Inc. June 2011 - September 2014
Dorrance Publishing Co., Inc. August 2012 - July 2013
Dorrance Publishing Company, Inc August 1989 - June 2011
Skills
Resume Writing, Creative Writing, Persuasive Writing, Promotional Copy, Sales Letters, Staff Training, Staff Supervision, Project Planning, Schedule Development, Project Execution, Book Production, Book Marketing, Book Promotion, Manuscript Editing, Ghostwriting, Editing, Publishing, Promotions, Customer Relations, Proofreading, Social Marketing, Compliance, Writing, Books, Budgeting, Copy Editing, Newsletters, Copywriting, Corporate Communications, Research, Creative Problem Solving, Coaching, Publications, Internal Communications, Facebook, Wordpress, Social Networking, Blogging, Administration, Business Strategy, Business, Manuscript, System Administration, Marketing, Budgets, WordPress, Project Management, Leadership, Customer Service, Email Marketing
Education
University of Pittsburgh 1985 — 1989
Bachelor of Arts, Political Science and Communication Rhetoric
UPMC Health Plan December 2004 - Present
Deloitte May 2004 - November 2005
CGI July 2000 - April 2004
KPMG June 1998 - June 2000
Japan Exchange and Teaching Program(me) (JET) August 1995 - July 1996
Skills
Health Insurance, Managed Care, Commercial Insurance, Business Analysis, Healthcare, Process Improvement, Medicaid, Strategic Planning, Project Management, CHIP, New Product..., Government Procurement, Insurance, Management, HIPAA, Leadership
Education
NYU Robert F. Wagner Graduate School of Public Service 1996 — 1998
Master of Public Administration (MPA), Business Administration and Management, General
University of Oxford 1994 — 1995
PPE - Philosophy, Politics and Economics
Wheaton College (MA) 1991 — 1995
Bachelor of Arts (B.A.), Political Science and Government, magna cum laude
Barrington High
PwC August 2015 - Present
University of Pittsburgh August 2014 - April 2015
PNC June 2014 - August 2014
UPMC Health Plan June 2012 - May 2014
Skills
Financial Reporting, Microsoft Excel, Microsoft Office, Microsoft Word, PowerPoint, Time Management, Financial Accounting, Highly motivated..., Highly Ambitious, Analysis, Leadership, Teamwork, Access, Strategy
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 2014 — 2015
Master of Science (MS), Accounting, 3.75
University of Pittsburgh 2011 — 2014
BSBA, Finance, 3.5
North Penn High School 2008 — 2011
High School DIploma
UPMC Health Plan May 2013 - Present
UPMC Health Plan January 2007 - Present
Liberty Mutual Insurance August 2005 - December 2006
Skills
Medicare Advantage, Medicare Part D, Actuarial Science, Health Insurance, Insurance, Life Insurance, Commercial Insurance, Medicare, Employee Benefits, PPO, SQL, Excel models
Education
University of Pittsburgh 2000 — 2005
Bachelor of Science (B.S.), Applied Mathematics
UPMC Health Plan February 2015 - Present
UPMC December 2013 - February 2015
UPMC July 2011 - December 2013
91.3fm WYEP January 2010 - April 2010
Philips Respironics May 2009 - August 2009
UPMC June 2008 - February 2009
Dunkin Donuts June 2005 - February 2007
Education
University of Pittsburgh 2007 — 2011
Marketing, Economics, International Business
UPMC July 2012 - Present
Pittsburgh Elite Volleyball Club November 2011 - Present
North Allegheny School District August 2011 - Present
University of Pittsburgh September 2011 - July 2012
UPMC Health Plan May 2010 - July 2010
Skills
Accounting, Financial Reporting, Microsoft Excel, Auditing, Team Oriented
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 2011 — 2012
Master of Science, Accounting
University of Pittsburgh 2007 — 2011
Bachelor of Science (B.S.), Accounting
Private Practice 2010 - Present
Family Links 2009 - Present
Jefferson Regional Medical Center March 2011 - March 2012
UPMC Health Plan March 2010 - March 2011
Mon Yough Community Services, Inc. July 2007 - March 2010
Allegheny County Department of Human Services July 2004 - July 2007
Skills
Adolescents, Clinical Research, Family Therapy, Group Therapy, Mental Health, Mental Health Counseling, Psychotherapy, CBT, Social Services, Behavioral Health, Psychology, Clinical Supervision, Public Speaking, Therapists, Treatment, Counseling Psychology, Post Traumatic Stress, Life Transitions, Stress Management, Interventions, Crisis Intervention, Grief Counseling, Mindfulness, DBT, Individual Counselling, Psychological Assessment, Dual Diagnosis, Addiction Recovery, Motivational..., Chemical Dependency
Education
University of Pittsburgh 2005 — 2007
Master of Social Work (MSW), Social Work
UPMC Health Plan April 2015 - Present
UPMC Health Plan April 2011 - Present
TEC Benefits 2009 - 2010
Highmark April 1994 - October 2009
Skills
Medicare, Medicare Part D, Sales Management, Salesforce.com, Sales Support, Direct Sales, Managed Care, Health Insurance, Account Management, Healthcare, Team Building, Customer Relations, Strategic Planning, Insurance, Customer Satisfaction, Vendor Relations, Mentoring, HMO, Brokers
Education
University of Pittsburgh 1996 — 2000
Sto-Rox Sr High 1978 — 1981
UPMC Health Plan July 2015 - Present
The Children's Hospital of Philadelphia July 2011 - July 2015
University of Pittsburgh August 2010 - April 2011
University of Pittsburgh August 2009 - April 2011
Skills
SAS programming, R, Data analysis, Linear models, Observational studies, Nonparametric statistics, Logistic regression, Research, Optimal matching, Subset matching, Large database..., Logistic Regression, Machine Learning, Observational Studies, Data Mining, Linear Models, Statistics, Statistical Modeling, Multivariate Statistics, SAS
Education
University of Pittsburgh 2009 — 2011
Master of Arts, Applied Statistics
Alvernia College 2004 — 2008
Bachelor of Arts/Bachelor of Science, Communications/Mathematics
UPMC Health Plan June 2014 - Present
UPMC Presbyterian Hospital May 2013 - May 2014
University of Pittsburgh January 2012 - April 2012
Skills
Medication Therapy..., Hospital Pharmacy, Patient Counseling, Patient Education, Teaching, Pharmaceutical Industry, Pharmaceutical Sales, Pharmacokinetics, Clinical Pharmacology, Teamwork, Community Pharmacy, Pharmacists, Pharmacy, Pharmacy Automation, Compounding, Managed Care, Pharmacy Practice
Education
University of Pittsburgh School of Pharmacy 2012 — 2016
Doctor of Pharmacy (PharmD), Pharmacy
University of Pittsburgh 2010 — 2012
Bachelor of Science of Pharmaceutical Sciences (BSPS), Pre-Pharmacy Studies
Upper St. Clair High School 2006 — 2010
Healthcare Management Solutions, LLC February 2015 - Present
Healthcare Management Solutions, LLC September 2013 - February 2015
Wolters Kluwer July 2013 - September 2013
MedStar Health 2011 - 2013
UPMC Health Plan September 2010 - July 2011
Highmark Medicare Services Inc August 2008 - September 2010
Highmark Inc June 2003 - August 2008
American Eagle Outfitters July 2000 - April 2002
First Investors Corporation 1998 - 1998
Skills
Internal Audit, Internal Controls, Analysis, Accounting, Management, Auditing, Revenue Cycle, Leadership, Training, IT Audit, Quality Auditing, Finance, Policy, Change Management, Operational Risk, Data Analysis, Regulatory Requirements, Project Coordination, PowerPoint, Insurance, Strategy, Strategic Planning, Compliance Audits, Strategic Consulting, Operational Excellence, Project Planning, Affordable Care Act, TeamMate, Process Improvement, Healthcare, Risk Management, Business Process..., Medicare
Education
University of Phoenix 2002 — 2004
Master, Business Administration
University of Pittsburgh 1993 — 1997
Bachelor of Arts- Dual, Business Administration and Communication
North Catholic High School 1989 — 1993
Diploma, General Studies
Aon Hewitt September 2014 - Present
CVS Caremark Corporation April 2014 - Present
CVS Caremark Corporation June 2012 - Present
UPMC Health Plan January 2012 - June 2012
TeleTracking Technologies July 2010 - December 2011
Skills
Sales, Lead Generation, Salesforce.com, Marketing Strategy, Account Management, Strategic Planning, Product Marketing, Selling, Marketing, Competitive Analysis, Sales Process, Sales Management, Sales Operations, Sales Presentations, Cross-functional Team..., Strategic Partnerships, Healthcare, Leadership, Management, Process Improvement, Customer Satisfaction, Customer Service, Team Leadership, Customer Relations, Team Building, Benefits Design
Education
University of Pittsburgh 2004 — 2008
BA, Business Marketing
Morneau Shepell July 2015 - Present
Morneau Shepell August 2014 - July 2015
UPMC Health Plan April 2005 - August 2014
Coury Health Services October 2003 - February 2005
Wells Fargo August 2001 - April 2003
Aetna August 1998 - August 2001
Skills
Insurance, Managed Care, Commercial Insurance, Medicare, Employee Benefits, Underwriting, Brokers, Claim, Customer Service, Account Management, Process Improvement, Disability Insurance, Life & Health Insurance..., Organization &..., Highly Detailed, Team Leadership, Customer Retention, Data Analysis, Salesforce.com, Analysis, Health Insurance, Life Insurance, Call Centers, Health Savings Accounts, COBRA, Management, Customer Satisfaction, HMO, PPO, Health Care Reform, Voluntary Employee..., HIPAA, Group Insurance, Open Enrollment, Flexible Spending..., Self-funded, Licensed Life, Group Medical, Accident, Cafeteria Plans, Benefits Administration
Education
University of Pittsburgh
Sagewell Partners January 2014 - Present
HealthCare Benefits, Inc January 2010 - December 2013
HealthCare Benefits, Inc November 2006 - January 2010
UPMC Health Plan September 2001 - November 2006
Skills
Account Management, Employee Benefits, New Business Development, Strategic Planning, Health Insurance, Process Improvement, Healthcare, Insurance, Employee Relations, Program Management, Mergers & Acquisitions, Management, Coaching, Marketing, Disability Insurance, Brokers
Education
University of Pittsburgh 1997 — 2001
Bachelors, Business Administration
UPMC Health Plan October 2011 - Present
UPMC Health Plan December 2008 - October 2011
Premier, Inc. 2006 - 2008
West Penn Allegheny Health System 2003 - 2006
Mellon Financial 1999 - 2003
Skills
Data Analysis, Business Analysis, Access, Analysis, Process Improvement, Financial Analysis, Insurance, Documentation, Excel, PowerPoint, Financial Modeling, Problem Solving, Word, Financial Reporting, Microsoft Office, Accounting, Healthcare, SharePoint, Healthcare Information..., Hospitals, Coaching
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1999 — 2002
MBA, Finance & Strategy
University of Pittsburgh 1995 — 1998
BS, Math and Economics
Microsoft January 2015 - Present
Loft9 Business Services July 2015 - Present
Loft9 January 2015 - June 2015
UPMC January 2014 - December 2014
Health Fitness Corporation October 2010 - August 2014
UPMC Health Plan November 2013 - January 2014
UPMC December 2012 - November 2013
UPMC May 2013 - August 2013
Highmark Blue Cross Blue Shield November 2010 - December 2011
Allegheny Chesapeake Physical Therapy June 2010 - November 2010
Skills
Customer Service, Healthcare Information..., Healthcare, Data Analysis, Health Insurance, Administrative..., HIPAA, Healthcare Management, Software Documentation, Process Improvement, Wellness, Project Management, Public Speaking, ICD-9, ICD-10, Leadership, Access, Management, Software Implementation, SQL, Microsoft Excel, Business Requirements, Health Care Reform, Large Systems..., Information Systems, Consulting, Microsoft Office
Education
University of Pittsburgh 2012 — 2013
Master of Science (MS), Health Information Management
University of Pittsburgh 2005 — 2009
Bachelor of Science, Health and Physical Activity
Self-employed June 1967 - Present
UPMC Health Plan March 2003 - April 2010
Music Dept. Univ. of Pittsburgh April 1990 - August 1996
Skills
Music, Songwriting, Composition, Singing, Entertainment, Music Education, Microsoft Office
Education
University of Pittsburgh 1989 — 1998
Bachelor of Arts (B.A.), Communication, General
Educational Institute of Pittsburgh 1968 — 1970
Secretarial, Legal Secretary
GEM Group / Zenith American Solutions February 2013 - Present
UPMC Health Plan September 2012 - January 2013
United Steelworkers August 2003 - February 2012
Management Science Associates, Inc/MSA Media June 2001 - August 2003
PharmaCare May 2000 - June 2001
Federated Investors, Inc. August 1999 - June 2000
Cigna June 1998 - August 1999
Vanguard November 1997 - June 1998
The Center for Professional Education, Inc. ("CPE INC.") September 1995 - March 1997
Jade West Chinese Restaurant April 1989 - March 1994
Skills
SQL, PL/SQL, Oracle, Oracle E-Business Suite, SEO, Oracle Reports, Visio, Software Documentation, SDLC, Databases, Business Analysis, Oracle Applications, Copywriting, Microsoft Office, Microsoft Word, Strategic Planning, Technical Writing, Requirements Gathering, HTML, Music, Oracle Forms, Toad, Photoshop, PowerPoint, Microsoft Excel, Research, Public Speaking, Computer Music, Creative Writing, Music Production, ETL, Oracle SQL, Guitarist, Bass Guitar, Drums, Cakewalk Sonar, Oracle Fusion Middleware, Union Experience, Taft-Hartley, Change Management, Version Control
Education
Anthem Institute 1997 — 1998
Computer Programming, A
University of Pittsburgh 1993 — 1994
Bachelor of Science (BS), Political Science and Government
Tyler School Of Art 1989 — 1992
UPMC Health Plan February 2015 - Present
Red Lips and Roses January 2010 - Present
UPMC Health Plan August 2008 - February 2015
Skills
Product Development, Product Management, Process Improvement, New Business Development, Healthcare, Business Analysis, Training, Management, Freelance makeup..., Analysis, Data Analysis, Customer Service, Mentoring, Human Resources, Insurance, Microsoft Excel
Education
University of Mount Union 1997 — 2001
Physiology and Human Performance, Exercise Physiology
Seton LaSalle
Mercer July 2013 - Present
UPMC Health Plan March 2009 - June 2013
UPMC Health Plan September 2007 - March 2009
Remote Facility Management May 2006 - January 2007
STRIVE October 2001 - May 2006
Skills
Health, Program Development, Strategic Planning, Account Management, Customer Service, Wellness, Public Speaking, Insurance, Training, Sales, Healthcare, Marketing, Program Management, Management, Behavior Change, Health Insurance, Fitness, Personal Training, Employee Wellness, Health Education, Coaching, Managed Care, Corporations, Nutrition, Exercise Physiology, Disease Management, Wellness Coaching, Prevention, Health Policy, Public Health, Medicare, Employee Wellness..., Employee Benefits, Healthcare Consulting, Healthcare Management, Healthcare Industry, Health Promotion
Education
University of Pittsburgh 1995 — 1999
BS
CVS Caremark Corporation February 2014 - Present
CVS Caremark Corporation July 2003 - Present
UPMC Health Plan January 2002 - June 2003
Skills
Pharmacy Benefit..., Pharmacists, Managed Care, Utilization Management, Medication Therapy..., Healthcare, Healthcare Consulting, Healthcare Management, Medication Adherence, Generic Drugs, Formulary, Product Management
Education
University of Pittsburgh 1996 — 2002
Doctor of Pharmacy (Pharm.D.)
NASH UNC Health Care May 2013 - Present
UPMC Health Plan March 2007 - August 2012
Omnicare Inc. June 2001 - March 2007
Skills
Managed Care, Healthcare, Long Term Care, Medication Therapy..., Medicare, Hospitals, Cerner, Inpatient, Patient Education, Long-term Care, Pharmacy, Disease Management, Pharmacy Benefit..., Pharmacists, Clinical Research, Healthcare Management, Medicaid, Medicare Part D, Healthcare Consulting, Healthcare Information..., Diabetes, Health Policy, Medical Education, Medicine, Pharmacy Automation, Immunization, HIPAA, Patient Counseling
Education
University of Pittsburgh 1994 — 2000
PharmD, Pharmacy
Animas Corporation October 2008 - Present
UPMC Health Plan November 2007 - Present
University of Pittsburgh Medical Center 2007 - Present
UPMC Health Plan 2007 - 2011
Western Pennsylvania Hospital May 1991 - November 2007
Education
University of Nebraska-Lincoln 1978 — 1980
Taipei First Girls' High School
West Virginia University School of Pharmacy July 2013 - Present
West Virginia University School of Pharmacy October 2006 - June 2013
UPMC Health Plan May 2003 - October 2006
UPMC Health Plan 2003 - 2006
Skills
Pharmacy
Education
University of Pittsburgh 1996 — 2002
Pharm.D.
UPMC Health Plan June 2011 - Present
Patient Marketing Group, an inVentiv health company 2008 - 2010
Rodale January 2005 - January 2008
Rodale January 1997 - January 2005
Rodale September 1993 - January 1997
National Geographic Society September 1989 - August 1993
Skills
Editing, Content Management, Proofreading, Magazines, Editorial, Blogging, Newsletters, Content Development, Copywriting, Publishing, Management, Marketing, Copy Editing, Public Speaking, Training, Marketing Communications, Advertising
Education
University of Maryland College Park 1987 — 1989
M.A., Modern European History
Wake Forest University 1978 — 1982
B.A., History
UPMC Health Plan September 2004 - Present
UPMC September 2002 - September 2004
Education
University of Pittsburgh 1996 — 1999
BS, Health Information Management
UPMC Health Plan March 2009 - Present
Highmark May 2003 - March 2009
Education
University of Pittsburgh 1998 — 2003
BS and BA, Mathematics, Economics
UPMC Health Plan July 2001 - Present
UPMC June 2000 - Present
Skills
Clinical, Anesthesiology, Hospitals, Healthcare, Clinical Research, Healthcare Management, Clinical Trials, Medical Devices, Healthcare Information..., Medicine, Internal Medicine, Public Health, Physicians, Medical Education, Critical Care, Emergency Medicine, Patient Safety, Board Certified, ICU, EHR
Education
University of Pittsburgh Graduate School of Public Health 2005 — 2007
MPH
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1994 — 1997
MBA
University of North Carolina at Chapel Hill 1980 — 1981
Fellowship, Pain Management and Neuroanesthesia
University of Miami School of Medicine 1978 — 1980
Anesthesiology Residency
University of Medicine and Dentistry of New Jersey -New Jersey Medical School 1973 — 1977
MD, medicine
UPMC Presbyterian Shadyside Hospital
Centurion Senior Services, LLC September 2009 - Present
Century Insurance Consultants, LTD July 2004 - Present
UPMC Health Plan October 2003 - August 2009
UPMC Health Plan August 2002 - October 2003
Skills
Brokers, Insurance, Medicare, Health, Medicaid, Health Insurance, Medicare Supplements, VA, Employee Benefits, Long Term Care, Dental, Managed Care, Healthcare, Annuities, Disability Insurance, Life Insurance, Medicare Part D, Term Life Insurance, HMO, Sales Presentations, PPO
Education
University of Pittsburgh 1997 — 2001
Unison Health Plan April 2006 - Present
UPMC Health Plan April 2001 - April 2006
CIGNA Group Insurance January 2001 - June 2001
UPMC June 1995 - December 2000
Education
University of Phoenix 2008 — 2010
MBA, Business
University of Pittsburgh 1991 — 1995
BSN, Nursing
UPMC Health Plan December 2006 - Present
UPMC Health Plan December 2005 - December 2006
UPMC Health Plan July 2005 - December 2005
Skills
Testing, Requirements Gathering, Visio, Integration, SDLC, Requirements Analysis, SQL, Healthcare, Training, Business Requirements, Software Documentation, Databases, Systems Analysis, Analysis, Team Leadership, EDI, Dedication to...
Education
University of Pittsburgh 2002 — 2005
Bachelors of Science, Health Information Management
UPMC Health Plan February 2002 - Present
Education
University of Illinois at Chicago
PHD, Clinical Psychology
Highmark Inc. September 2014 - Present
Highmark Blue Cross Blue Shield August 2012 - Present
UPMC Health Plan April 2011 - August 2012
UPMC Health Plan November 2006 - April 2011
Skills
Health Insurance, Medicare, Healthcare, Managed Care, Insurance, Process Improvement, Visio, Data Analysis, Business Analysis, Project Management, Microsoft Excel, SharePoint, Outlook, Healthcare Management, Analysis
Education
University of Pittsburgh 2003 — 2006
BA, Economics, Business
UPMC Health Plan December 2010 - Present
HM Insurance Group 1994 - 2006
Skills
Health Insurance, Certified Fraud Examiner, Investigation, Fraud, Healthcare, Claim, Financial Risk, Policy, Workers Compensation, Claims Management, Claim Investigation, Anti-fraud, Subrogation, Data Analysis, Medicare, Fraud Detection, Medicaid, Litigation Support, HIPAA, Managed Care, Auditing, Analysis, Internal Investigations, Risk Management, Disability Insurance, Insurance, Life Insurance, Risk Assessment, Underwriting, Internal Controls, Employee Benefits, Internal Audit, Process Improvement
Education
University of Pittsburgh 1983 — 1987
BA
UPMC Health Plan Independent Insurance AgentHealth Markets Insurance AgencyJanuary 2015 - Present
Education
University of Pittsburgh 1972 — 1976
ba, economics
central catholic high school 1968 — 1972
Express Scripts September 2014 - Present
HealthNow Inc (BlueCross BlueShield of Western New York) July 2010 - September 2014
UPMC Health Plan June 2009 - July 2010
UPMC McKeesport January 2006 - July 2010
UPMC McKeesport December 2005 - June 2009
Skills
Utilization Management, Medication Therapy..., Managed Care, PBM, Pharmacists, Medicare, Medicaid, StarTeam, Pharmacy Benefit..., Pharmacy, Diabetes, Medicare Part D, Clinical Pharmacy, Disease Management, Clinical Research, Formulary, Healthcare, Pharmacy Automation
Education
University of Pittsburgh 2003 — 2009
Pharm.D., Pharmacy
Beacon Health Options January 2015 - Present
Value Options June 2010 - December 2014
UPMC Health Plan February 2002 - November 2009
Magellan Behavioral Health February 2000 - February 2002
UPMC Horizon 1998 - 2000
Allegheny General Hospital 1988 - 1998
Skills
Behavioral Health..., Quality Improvement, Workplace Wellness..., Health, Health Insurance, Behavioral Health, Managed Care, Clinical, Healthcare Management, Medicare, Medicaid, Compliance, Clinical Research, Treatment, Psychotherapy, Wellness, Inpatient, Utilization Management, Case Management, Clinical Supervision, Mental Health, Therapists, Crisis Intervention
Education
University of Illinois at Chicago 1979 — 1984
Phd, Clinical Psychology
UPMC Health Plan June 2005 - Present
UPMC Health Plan January 2000 - March 2002
Health America October 1995 - December 1997
Skills
Financial Reporting, Financial Analysis, Underwriting, Reconciliation, Reinsurance, Analysis, Health, Ad Hoc Reporting, Account Reconciliation, Audit, Insurance, Budget Analysis, Actuarial, Claims, Reconciliations, SOX, Auditing, Accounts Payable, Special Projects, Expenses, Compliance, Accounting, Balance, Financials, Financial Modeling, Executive Management, Statements, Currency, Cognos, Financial Management
Education
CMU Heinz College 2013 — 2014
Business Intelligence and Data Analytics
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1992 — 1993
MBA, International Finance
University of Pittsburgh 1987 — 1990
Bachelor of Science (BS), Economics
UPMC Health Plan June 2015 - Present
Wesley Spectrum Services August 2012 - March 2015
Mercy Behavioral Health November 2011 - August 2012
New York Foundling July 2010 - August 2012
Family Behavioral Resources January 2005 - December 2011
NHS Human Services August 2009 - July 2011
Skills
Adolescents, Psychotherapy, Treatment, Teaching, Autism Spectrum..., Crisis Intervention, Data Analysis, Case Management, Higher Education, Psychology, Mental Health, Social Services, Community Outreach, Training, Interventions, Case Managment, Applied Behavior..., Nonprofits, CBT, Clinical Research, Group Therapy, Motivational..., Fundraising, Behavioral Health, Research, Behavior Modification, Program Development, Therapists
Education
University of Pittsburgh 2009 — 2011
LSW, MSW, Social Work
University of Pittsburgh 2004 — 2008
BS, Psychology
MedImpact Healthcare Systems July 2011 - Present
MedImpact July 2007 - September 2011
MedImpact September 2005 - June 2007
UPMC Health Plan 2002 - 2005
Aetna 1997 - 2001
Skills
Pharmacy Benefit..., Healthcare, HIPAA, Health Policy, Managed Care, Health Insurance, Pharmacy, Program Management, Insurance, Sales Management, Medicare, Leadership, Medicaid, Pharmaceutical Industry, Management, Account Management, Pharmacists, Healthcare Industry, Clinical Research, Product Development, Medicine, Disease Management, Business Development, Sales, Team Building, Medicare Part D, Healthcare Consulting, Utilization Management
Education
University of Pittsburgh
MHA, Health Administration
UPMC Health Plan January 2012 - Present
TeleTracking Technologies July 2010 - December 2011
First National Bank (FNB) July 2008 - July 2010
Education
University of Pittsburgh 2004 — 2008
Bachelor of Business Administration (B.B.A.)
Hunter Truck Sales March 2013 - Present
Harry Davis & Company April 2011 - December 2012
FedEx November 2008 - September 2010
UPMC Health Plan July 2002 - January 2007
Skills
Account Management, Logistics, Customer Service, Sales, Process Improvement, Training, Transportation, Pricing, Inventory Management, Contract Negotiation, Team Building, Operations Management, Project Management
Education
University of Phoenix 2012 — 2014
Bachelor's degree, Health/Health Care Administration/Management
Ancilla College 1998 — 2001
Associate's degree, Business Administration and Management, General
Highmark 2005 - Present
UPMC Health Plan 2003 - 2005
University of Pittsburgh 2001 - 2003
Skills
Health Insurance, Insurance, Employee Benefits, Medicare, Managed Care, Healthcare, Account Management, Team Building, Strategic Planning, Medicare Part D, Leadership Development, Underwriting, Coaching, Life Insurance, Customer Service, Disability Insurance, Budgets, Property & Casualty..., Brokers, Customer Retention, Training, Health Savings Accounts, Sales, Process Improvement
Education
University of Pittsburgh
English Literature
University of Pittsburgh
English Language and Literature, General
UPMC Corporate Supply Chain March 2014 - Present
UPMC WorkPartners December 2011 - Present
UPMC Health Plan March 2004 - December 2011
UPMC Health System April 1991 - March 2004
Skills
Project Management, Strategic Planning, Process Improvement, Leadership, Team Building, Business Analysis, Strategy, Access, Program Management, Analysis, Healthcare, Six Sigma, Data Analysis, Software Documentation, Healthcare Information..., Performance Management, Training, Visio, Insurance, Coaching, Employee Benefits
Education
Project Management Institute
PMP (Project Management Professional) Designation, Project Management
Six Sigma
Six Sigma Black Belt
Springdale HS
Springdale HS
State of PA
Property and Casualty License
State of PA
Real Estate Sales Agent Designation
University of Pittsburgh
Psychology
UPMC Health Plan November 2012 - Present
UPMC Health Plan May 2011 - November 2012
Federal Reserve Bank of Cleveland November 2004 - May 2011
Great Lakes Behavioral Research November 2001 - July 2004
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 2009 — 2012
M.B.A.
University of Pittsburgh 1996 — 2001
B.S., Industrial Engineering
PNC April 2015 - Present
Big Heart Pet Brands October 2014 - April 2015
UPMC Health Plan April 2012 - October 2014
Hewlett-Packard 2011 - 2012
Allegheny County 2007 - 2011
Skills
JavaScript, MySQL, Microsoft Office, Oracle, ETL, PHP, Data Analysis, SQL, Business Analysis, Access, XML, HTML, SQL PL, Oracle SQL, XPath, XQuery, Security, Database Design, Relational Databases, PL/SQL, Oracle E-Business Suite, HEDIS, Analysis, SDLC
Education
Penn State University
Masters, Information Science and Technology
University of Pittsburgh
Bachelors
Quadax, Inc. August 2015 - Present
UPMC Health Plan October 2014 - July 2015
UPMC Health Plan December 2013 - October 2014
UPMC Health Plan November 2012 - December 2013
UPMC Health Plan June 2011 - November 2012
Skills
Medicare, Healthcare, Health Insurance, Medicaid, Insurance, HIPAA, Access, Customer Service, Process Improvement, Software Documentation, Account Management, Sales, Data Analysis, Microsoft Excel, Visio, Outlook, Training, Healthcare Information..., Business Analysis, Microsoft Office, Marketing, Employee Benefits, Provider Relations, Healthcare Industry, Team Building, SharePoint, PowerPoint, Microsoft Word, Strategic Planning, Sales Operations, Social Networking, Data Entry, Health Policy, New Business Development, Business Process, Business Requirements, Business Development, SQL, Leadership, Project Management, Customer Satisfaction, Analysis, Time Management, Negotiation
Education
University of Pittsburgh 2004 — 2009
Bachelor’s Degree, Communications
UPMC Health Plan January 2015 - Present
UPMC April 1998 - Present
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, Mental Health, Program Development, Healthcare, Treatment, Clinical Research, Social Media, Training, Hospitals
Education
University of Pittsburgh 1984 — 1988
BSN,MSN, Nursing
Harbor Hospice May 2015 - Present
Hope Hospice New Braunfels February 2014 - March 2015
Sundance Inn Health Center August 2014 - November 2014
Sundance Inn Nursing home August 2011 - October 2012
UPMC Health Plan September 2005 - September 2009
UPMC St.Margarets hospital November 2004 - September 2005
UPMC Presbyterian -Shadyside hospital May 2003 - November 2004
Mercy Senior care St.Joseph's long term care December 2000 - April 2003
UPMC Mckeesport hospital February 1999 - December 2000
Skills
experienced licensed..., Behavioral Health, Mental Health, Medicare, Medicaid, Social Services, Hospitals, Medicine, Psychotherapy, Clinical Research, Home Care, Human Resources, Healthcare Management, Healthcare
Education
University of Pittsburgh 1995 — 1997
Masters in social work, social work
University of Pittsburgh 1992 — 1995
Bachelors degree, Child development
UPMC Health Plan September 2011 - Present
SYNDA IT July 2010 - August 2010
Skills
Chinese, Microsoft Office
Education
University of Pittsburgh 2007 — 2011
BA, Actuarial Mathematics
Aetna February 2015 - Present
Aetna 2013 - February 2015
Coventry Health Care July 2007 - 2013
UPMC Health Plan 2004 - 2007
Highmark 2003 - 2004
Dick's Sporting Goods 2003 - 2003
Aquasoure 2002 - 2003
Skills
Medicaid, Health Insurance, Provider Relations, Medicare, Managed Care
Education
University of Pittsburgh 1996 — 2001
B.S., Business Administration, Major: Finance with Concentration in Management Information Systems
UPMC Health Plan July 2012 - Present
UPMC Health Plan July 2010 - July 2012
UPMC Health Plan August 2007 - July 2010
Gateway Health Plan February 2002 - August 2007
Skills
Excel, Cognos, Financial Analysis
Education
University of Phoenix
UPMC Health Plan October 2012 - Present
UPMC Health Plan September 2005 - October 2012
West Penn Allegheny Health System July 2003 - September 2005
CAS Consulting - Private Company November 2001 - July 2003
VA Pittsburgh Healthcare System May 1988 - November 2001
Skills
Strategic Planning, Compliance, Quality Management, Process Improvement, Medicare, Health Insurance, Managed Care, Healthcare, Insurance, Provider Relations, Claim, Health Policy, Healthcare Management, Healthcare Information..., Utilization Management, HIPAA, Data Analysis, Microsoft Excel, Business Analysis, Leadership, Team Building, Budget, Project Management, Cross Functional Team..., Medical Coding, Quality Improvement, Disease Management, Software Documentation, Health Information..., Healthcare Industry, EMR, Analysis, Physicians
Education
University of Phoenix Pittsburgh, Pa 2001 — 2003
Master of Business Administration (M.B.A.), Business Administration, Management and Operations
University of Pittsburgh 1974 — 1978
Bachelor of Science (B.S.), Health Information/Medical Records Administration/Administrator
UPMC Health Plan February 2012 - Present
UPMC Health Plan October 1996 - Present
Skills
Data Analysis, Medicare, Health Insurance, Insurance, Wellness, Healthcare, Healthcare Management, Medicaid, HIPAA, Health Policy, Provider Relations, Quality Improvement, Managed Care
Education
University of Pittsburgh 2005 — 2011
Bachelor of Arts (B.A.), Health Services Administration
Huntington National Bank December 2014 - Present
UPMC Health Plan January 2009 - December 2014
Coury Health Services, Inc. January 2000 - January 2009
Skills
Health Insurance, Managed Care, Employee Benefits, Insurance, Medicare, Brokers, Account Management, Customer Service, Commercial Insurance
Education
University of Pittsburgh 1992 — 1999
Bachelor of Science (B.S.), Psychology
UPMC Health Plan December 2012 - Present
Ryer Martial Arts Academy May 2004 - Present
UPMC May 2004 - November 2012
Skills
SSRS, Microsoft SQL Server, Toad, Oracle, Process Improvement, Data Analysis, Leadership, Public Speaking, Healthcare, Visio, Program Management, Social Media, Microsoft Office, Martial Arts, Martial Arts Instruction
Education
University of Pittsburgh 1996 — 2001
Bachelor of Science (BS), Mechanical Engineering
INTO Oregon State University December 2012 - Present
UPMC Health Plan October 2011 - December 2012
UPMC Health Plan April 2007 - October 2011
Skills
ASP.NET, C#, JavaScript, Java, Microsoft SQL Server, Visual Studio, HTML 5, CSS, IIS, Databases, Database Design, SharePoint, ASP, VB.NET, Visual Basic
Education
University of Pittsburgh
Computer Science
UPMC Health Plan April 1995 - Present
Education
University of Pittsburgh 2000 — 2003
Bachelor of Science (BS), Health Services Administration
UPMC Health Plan January 2008 - Present
Skills
SharePoint, Microsoft SQL Server, Business Analysis, SSRS, Crystal Reports, Oracle, Shell Scripting, Unix, ETL, Informatica, COBOL, SQL*Plus
Education
University of Pittsburgh
MSIS, Computer and Information Sciences, General
UPMC Health Plan July 2011 - Present
New York Presbyterian Hospital July 2007 - June 2011
Education
University of Missouri-Columbia 1997 — 2002
Bachelor of Science (B.S.), Biology, General
New York College of Osteopathic Medicine
Osteopathic Doctorate of Medicine
Jefferson Regional Medical Center May 2011 - Present
UPMC Health Plan May 2011 - Present
Department of Veterans Affairs March 2010 - May 2011
Giant Eagle May 2008 - August 2009
University of Pittsburgh March 2008 - April 2009
University of Pittsburgh January 2008 - November 2008
Skills
Pharmacists, Pharmacy, Medication Therapy..., Diabetes, Community Pharmacy, Patient Counseling, Compounding, Medicaid Managed Care, Pharmacy Practice, Managed Care, Pharmacy Automation, Immunization, Pyxis, Hospital Pharmacy, Evidence-based Medicine, Investigational Drug..., Cpr Certified
Education
University of Pittsburgh 2007 — 2013
Doctor of Pharmacy (Pharm.D.), Pharmacy
University of Pittsburgh
Bachelor of Science (B.S.), Pharmaceutical Sciences
UPMC Health Plan June 2009 - Present
Nursefinders January 2002 - June 2009
Allegheny Valley Hospital September 1988 - June 2002
Education
University of Pittsburgh
BSN, Nursing
Conemaugh Valley Memorial Hospital School of Nursing 1981 — 1985
Diploma RN
Bishop McCort High School 1977 — 1981
UPMC Health Plan February 2015 - Present
VA Oakland 2008 - Present
Highmark Blue Cross Blue Shield January 2010 - January 2015
Emergency Resource Management, Inc 2000 - 2009
Canonsburg Hospital 1990 - 2001
Divine Providence Hospital 1987 - 1990
Skills
Managed Care, Medical Education, Healthcare Information..., Hospitals, Physicians, Healthcare Consulting, Quality Improvement
Education
St Margaret Memorial Hospital 1984 — 1987
Family Medicine Residency Program
Unversity of Washington School of Medicine 1980 — 1984
Doctor of Medicine (MD)
University of Montana 1976 — 1980
Bachelor of Arts (B.A.), Pre-Medical studies
University of Montana 1976 — 1980
Bachelor of Science (B.S.), Microbiology, General
UPMC November 2007 - Present
UPMC Health System November 2007 - Present
BSA 2010 - 2015
UPMC November 2005 - November 2007
UPMC Health Plan November 2001 - November 2005
Skills
Process Improvement, Property Management, Project Management, Customer Service, Leadership, Purchasing Negotiation, Facilities Management, Team Building, Customer Satisfaction, purc, Disaster Recovery, Risk Management, Risk Assessment, Access, Software Documentation, Training, Procurement, Vendor Management, Management, Call Centers, Budgets, Strategic Planning, Contract Negotiation
Education
University of Pittsburgh 1980 — 1987
Bachelor's degree, Computer Science
UPMC Health Plan May 2011 - Present
UPMC Health Plan 2008 - 2015
Upmc Work Source January 2008 - April 2011
Skills
Healthcare, Insurance, Health Insurance, Medicare, Managed Care, HIPAA, Employee Benefits, Leadership, Claim, Analysis, Medicaid, Healthcare Industry, Policy, Team Building, Disability Insurance, Workers Compensation, Healthcare Information..., Process Improvement, Customer Service
Education
University of Pittsburgh 2011 — 2014
Health Information Management, Health/Health Care Administration/Management
CCAC-Boyce Campus 1992 — 1995
Business Management, Business Administration and Management, General
UPMC Health Plan 2007 - Present
Education
University of Phoenix 2006 — 2008
MHA, Health/Health Care Administration/Management
University of Phoenix 2003 — 2005
BSN, Registered Nursing/Registered Nurse