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
UPMC Health Plan May 2014 - Present
UPMC Health Plan August 2008 - April 2014
UPMC Health Plan 2005 - 2008
UPMC Health Plan 2000 - 2005
Education
University of Pittsburgh 2003 — 2008
Bachelor of Applied Science (B.A.Sc.), Business, Management, Marketing, and Related Support Services
McClure & Wolf, LLP CPA's August 2014 - July 2015
UPMC Health Plan October 2012 - August 2014
Schneider Downs September 2011 - October 2012
George's Photographic Studio April 2008 - August 2009
McClure & Wolf, CPA's June 2007 - August 2009
Skills
Accounting, Financial Statements, Financial Analysis, Financial Reporting, Management, Internal Audit, Microsoft Excel, Auditing, Corporate Tax, Tax, Finance, Sarbanes-Oxley Act, Financial Accounting, Analysis, Cash Flow, Income Tax, GAAP, Statutory Reporting, Corporate Finance, Data Analysis, Budgets, Valuation, Relational Databases, Process Improvement, Capital Budgeting, NPV Analysis, Internal Controls, CPA, General Ledger, Variance Analysis, Account Reconciliation, Microsoft Office, Microsoft Word, PowerPoint
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 2009 — 2011
Master of Business Administration, Corporate Finance, Accounting
Washington and Jefferson College 2003 — 2007
B.A., Economics & Accounting
Evolent Health June 2015 - Present
Evolent Health August 2013 - Present
UPMC Health Plan May 2010 - July 2013
UPMC April 2009 - May 2010
Kforce Inc. September 2008 - April 2009
LexiCode Corporation June 2006 - September 2008
Skills
Medical Coding, HIPAA, ICD-9-CM, Process Improvement, Health Information..., DRG, AHIMA Certified..., Hierarchical Condition..., Risk Adjustment Factor..., AHIMA Certified RHIA, ICD-9-CM coding, CPT Coding, E/M Coding, Improving Provider..., Six Sigma Yellow Belt..., Six Sigma, Medical Records auditing, CPT, Medical Records, Managed Care, Hospitals, Healthcare Management, EHR, Physicians, Medicare
Education
Chatham University 2010 — 2012
Masters, Business Administration
University of Pittsburgh 2003 — 2006
BS, Health Information Management
UPMC Health Plan December 2011 - Present
North Hills Community Outreach September 2009 - December 2011
Western Psychiatric Institute and Clinic September 2008 - September 2009
Allegheny Health Choices, Inc. October 2006 - August 2008
Mayview State Hospital September 2007 - April 2008
North Hills Community Outreach January 2007 - June 2007
Housing Resources, Inc. July 2004 - November 2005
Skills
Case Management, Behavioral Health, Motivational..., Mental Health, Crisis Intervention, Social Services, Psychotherapy, Medicare, Healthcare, Medicaid, Mental Health Counseling, Disease Management
Education
University of Pittsburgh 2006 — 2008
Master of Social Work (MSW), Direct Practice
Western Michigan University 2003 — 2006
Bachelor of Science (BS), Psychology
Northwestern Michigan College 2001 — 2003
Associate of Science and Arts, Child Development
UPMC Health Plan January 2015 - Present
UPMC June 1993 - Present
UPMC Health Plan January 2008 - January 2015
UPMC Health Plan January 2013 - March 2014
Skills
Commercial Insurance, Medicaid Insurance, Medicare, Analytics, Quality Auditing, Utilization Management, Clinical Research, Case Management, Nursing, Patient Advocacy, Cerner, HIPAA, Health Policy, Cpr Certified
Education
University of Pittsburgh 1987 — 1991
Bachelors of Nursing, Registered Nursing
Newton Consulting February 2013 - Present
Heritage Valley Health System October 2009 - February 2013
UPMC Health Plan July 2008 - October 2009
Metatrends, LLC June 2002 - July 2008
In the Moment Center for Wellness 2007 - 2007
Esteam LLC 2006 - 2007
Pressley Ridge 2000 - 2004
Executive Toolkit, LLC 2000 - 2002
PPG Industries January 1999 - June 2000
Skills
Performance Improvement, Strategic Project..., Software Development..., Project Management, Healthcare, Software Development..., Non-profits, Process Improvement, Nonprofits, Strategic Planning, Change Management, Business Analysis, Program Management, Training, EHR, Healthcare Information..., Integration, Visio, SDLC
Education
University of Pittsburgh 1994 — 1998
Bachelors of Science, Industrial Engineering
North Hills High School 1986 — 1990
Diploma
UPMC Health Plan May 2005 - Present
University of Pittsburgh August 2010 - April 2013
West Virginia University August 2003 - August 2004
Skills
SPSS, Oracle SQL, Research Design, Microsoft Excel, VBA, Microsoft Office, PowerPoint, Microsoft Word, Access, SAS, Toad 9.0, Statistics, Statistical Data..., Research, Quantitative Research, Qualitative Research, Survey Research, GIS, Geospatial Data, Project Management, Photoshop, Psychology, Applied Mathematics, Health Insurance, Medicare/Medicaid..., Commercial Insurance, Holistic Health, Human Nutrition, Data Analysis, Analysis, Public Speaking, Healthcare
Education
University of Pittsburgh 2010 — 2013
Master of Arts (MA), Psychology in Education - Research Methodology, 4.0 GPA
Training 2005 — 2013
University of Pittsburgh 2006 — 2008
Bachelor of Science (BS), Natural Sciences - Psychology and Statistics, summa cum laude
West Virginia University 2003 — 2004
Post-Baccalaureate Study, Mathematics
University of Pittsburgh 1996 — 2001
Bachelor of Science (BS), Applied Mathematics, magna cum laude
UPMC December 2013 - Present
University of Pittsburgh Summer Camp May 2013 - December 2013
UPMC Health Plan January 2013 - May 2013
University of Pittsburgh August 2012 - May 2013
Jewish Community Center August 2011 - August 2012
Skills
Health Promotion, Time Management, Healthcare, Public Speaking, Team Leadership, Self-driven, Program Development, Supervisory Skills, Administration, Exercise Physiology, Organization, Communication, Dependable Team Player, Wellness Coaching, Leadership, Customer Service
Education
Carlow University 2014 — 2017
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
University of Pittsburgh 2012 — 2013
Master of Science (MS), Health and Phyiscal Activity
University of Pittsburgh-Bradford 2007 — 2011
Bachelor of Science (BS), Sports Medicine
UPMC Health Plan June 2014 - Present
Skills
Microsoft Excel, Microsoft Office, PowerPoint, Customer Service, Public Speaking, Time Management, Sales, Microsoft Word, Event Planning, Management, Social Media, Process Improvement, Training
Education
University of Pittsburgh-Greensburg 2004 — 2008
Bachelor of Arts (BA), Communication and Media Studies
Steel Valley
UPMC Health Plan October 2013 - Present
Highmark November 2012 - October 2013
Highmark Fitness Center August 2012 - October 2013
University of Pittsburgh August 2011 - April 2012
Skills
ACSM Health Fitness..., Word, Excel, Powerpoint, Fitness, Nutrition, Athletics, Teaching, Public Speaking, Research, Program Development, Health Education, Community Outreach, SPSS, Non-profits, Fundraising, Exercise Physiology, Cpr Certified, Data Analysis
Education
University of Pittsburgh 2011 — 2012
MS, Health and Physical Activity Chronic Disease and Obesity
University of Pittsburgh 2007 — 2011
BS, Health and Physical Activity
UPMC Health Plan January 2015 - Present
UPMC January 2013 - December 2014
UPMC May 2012 - November 2012
Skills
SQL, Financial Analysis, Microsoft Office, Microsoft Excel, Program Management, Finance, Managerial Finance, Analysis, Corporate Finance, Cost Accounting, Data Analysis, Analytics, Budgets, Access, Executive Management, Leadership, Management, PowerPoint, Customer Service, Public Speaking
Education
University of Pittsburgh 2009 — 2012
Bachelor of Science in Business Administration, Finance and Economics, 3.5
Eze Software Group July 2014 - Present
University of Rochester Athletic Training Room August 2011 - May 2014
UPMC Health Plan May 2013 - August 2013
Dixon Schwabl Advertising January 2013 - May 2013
KGA Partners, LLC May 2012 - August 2012
First National Bank, Castle Shannon PA June 2010 - August 2010
Skills
Microsoft Excel, Public Speaking, PowerPoint, Event Planning, Leadership, Research, Microsoft Office, Facebook, Microsoft Word, Microsoft Money, Turbo Tax, Fax, Filing, Customer Service, Team Leadership, Strategic Planning, Project Management, Teaching, Cpr Certified, Social Media, Teamwork, Time Management, SQL
Education
University of Rochester 2010 — 2014
Bachelor of Arts (B.A.), Business, Senior
University of Rochester 2010 — 2014
Bachelor of Arts (B.A.), Public Health, Senior
Siemens Healthcare May 2015 - Present
University of Pittsburgh 2014 - 2015
University of Pittsburgh Department of Medicine March 2013 - November 2014
UPMC Health Plan May 2014 - August 2014
New Mexico Department of Workforce Solutions May 2013 - August 2013
Kumon June 2011 - May 2012
Skills
Microsoft Excel, Microsoft Word, Public Speaking, PowerPoint, Leadership, Data Analysis, Critical Thinking, Teamwork, Microsoft Office, Research
Education
University of Pittsburgh 2012 — 2016
College of Business - Finance, Kenneth P. Dietrich School of Arts & Sciences - Biology, 3.59
PNC August 2015 - Present
UPMC Health Plan February 2015 - August 2015
Allegheny Valley Baseball Club, Inc. June 2014 - July 2015
FBC Mortgage LLC September 2014 - December 2014
University of Pittsburgh August 2009 - June 2014
Skills
Accounting, Financial Accounting, Microsoft Office, Microsoft Word, Microsoft Excel, Teamwork, Time Management, QuickBooks, Social Media, Research, Social Networking, Event Planning, Public Speaking, Leadership
Education
University of Pittsburgh 2009 — 2014
Bachelor of Science (B.S.), Business Administration; Accounting & Finance
UPMC Health Plan April 2015 - Present
UPMC Health Plan October 2014 - April 2015
UPMC Health Plan February 2014 - October 2014
UPMC Health Plan October 2012 - February 2014
Skills
Issue Resolution..., Data Analysis, Inventory Management, Collaborative Problem..., Cost-effective Solutions, Deadline Oriented, Supervisory Skills, Team Leadership, Teamwork, Customer Service, Operational Excellence, Organizational..., Interpersonal Skills, Claims Investigations, Claims Management, Claims Resolution
Education
University of Pittsburgh 2007 — 2011
Bachelor of Science (B.S.), Marketing
UPMC Health Plan September 2015 - Present
UPMC Health Plan July 2014 - August 2015
UPMC Health Plan June 2012 - June 2014
BNY Mellon June 2011 - June 2012
BNY Mellon August 2009 - June 2011
Skills
Financial Reporting, Accounting, Account Reconciliation, Investments, Valuation, Analysis, Business Analysis, Management, Fund Accounting, Asset Allocation, Financial Analysis, Capital Budgeting, Fixed Income, Financial Services
Education
University of Pittsburgh-Johnstown 2004 — 2009
Bachelor of Arts Business; BA. April, Business Finance; 2009
UPMC Health Plan August 2014 - Present
UPMC Health Plan November 2012 - November 2014
UPMC Health Plan January 2012 - December 2012
UPMC Health Plan June 2010 - January 2012
UPMC Health Plan January 2008 - June 2010
UPMC Health Plan March 2008 - December 2008
UPMC March 2006 - March 2008
Kforce August 2000 - June 2006
Skills
Health Policy, Utilization Review, Medical Case Management, EMR, Healthcare Information..., Inpatient, Medicare/Medicaid..., Nursing Management, Patient Safety, Ambulatory Care, Medical Compliance, Healthcare Analytics, Healthcare Reimbursement, Health Promotion, Health Information..., Behavioral Health, Affordable Care Act, ICD-9, Physicians, Ambulatory, Health Care Reform, Registered Nurses, Public Health, Cerner, Provider Education, Medical Home, Health Plan Operations, Behavior Change, EHR, Nursing Education, Evidence-based Medicine, Accountable Care, Patient Outcomes, Performance Improvement, Utilization Management
Education
Capella University 2013 — 2016
Doctorate, Health/Health Care Administration/Management
Waynesburg College 2010 — 2012
MBA, MSN, Health/Health Care Administration/Management
University of Pittsburgh 1994 — 1997
BSN, Registered Nursing/Registered Nurse
UPMC Health Plan May 2014 - Present
The Church Brew Works August 2009 - Present
UPMC Health Plan September 2009 - May 2014
PNC Bank October 2006 - January 2009
Skills
Loans, Banking, Credit, Consumer Lending, Retail Banking, Cross Selling, Lines Of Credit, Loan Origination
Education
University of Pittsburgh 1995 — 2000
Bachelor of Arts (B.A.), History of Art and Architecture
UPMC Health Plan June 2012 - Present
University of Pittsburgh Dental Hygiene Department August 2009 - May 2012
R.S.Minch, DDS January 1998 - May 2005
Skills
Curriculum development;..., Revenue Cycle, Teaching, Curriculum Development, Healthcare, Epic Systems, Customer Service, PowerPoint, Microsoft Office, Hospitals, Microsoft Word, Curriculum Design, Instructional Design, Employee Training, Program Development, SharePoint, Cpr Certified, Health Education, Workshop Facilitation, Clinical Research
Education
University of Pittsburgh 2009 — 2011
Master of Education (M.Ed.), Higher Education/Higher Education Administration
University of Pittsburgh 1981 — 1983
Bachelor of Applied Science (B.A.Sc.), Health Professions and Related Programs
UPMC Health Plan May 2010 - Present
medSage Technologies January 2006 - December 2009
BizCarta 2004 - 2006
PrintCafe Software 2000 - 2003
Perot Systems 1999 - 2000
Respironics 1991 - 1999
Skills
Consulting, Management, Workforce Management, Mergers, Product Management, E-commerce, Integration, Project Management, Business Process, Business Analysis, Leadership, Project Planning, Product Development, Business Development, Telecommunications, Mergers & Acquisitions, Process Improvement
Education
Lean 6 Sigma Black Belt
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1990 — 1991
MBA, Finance
University of Pittsburgh 1980 — 1985
BS, Civil Engineering
UPMC Health Plan December 2014 - Present
UPMC Health Plan October 2012 - Present
Giant Eagle September 2008 - October 2012
Skills
Marketing Communications, Retail, Marketing Strategy, Marketing, Social Media Marketing, Competitive Analysis, Advertising, Consumer Products, Integrated Marketing, Market Research, Email Marketing, Social Media, Marketing Management, Direct Marketing, Digital Marketing, Brand Management
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 2006 — 2008
Master of Business Administration (MBA), Marketing
University of Pittsburgh-Bradford 1996 — 2000
Bachelor of Science (BS), Business, Management, Marketing, and Related Support Services
Seubert & Associates, Inc. March 2015 - Present
Liberty Insurance Agency June 2013 - February 2015
Independent Consultant January 2011 - June 2013
UnitedHealthcare March 2005 - September 2010
UPMC Health Plan January 1998 - March 2005
Coventry Health Care January 1993 - January 1998
Skills
Account Management, Sales, Self-funded, Sales Management, Process Improvement, Health Savings Accounts, HMO, Strategic Planning, Team Building, PPO, New Business Development, Call Center, Customer Service, Network Development, Sales Operations, Provider Relations, Leadership, Cross-functional Team..., Marketing, Group Medical, Insurance, Health Insurance, Medicare, Employee Benefits, Brokers, Managed Care, Healthcare, Strategy, Business Development, Management, Disability Insurance, Health Policy, Underwriting, COBRA, Health Care Reform, Business Planning, Long-term Care, Medicare Part D, Disease Management, Pharmacy Benefit..., Medicaid, Executive Management, Life Insurance
Education
University of Pittsburgh
south fayette
Bayer May 2014 - Present
Bayer June 2013 - May 2014
Bayer August 2007 - May 2013
UPMC Health Plan June 2003 - August 2007
Skills
SAP R/3, SAP, Process Improvement, Change Management, SAP HR, SAP CRM, Requirements Analysis, ERP, SAP Implementation, Project Management, ABAP, Business Process, Business Intelligence, SAP Time Management, SAP BW, CRM, Data Migration, SAP ERP, IDOC, Business Process..., Business Analysis, ECC, SAP Portal, Integration, Business Objects, ITIL, WebDynpro, Data Warehousing, IT Strategy, PMP, SharePoint, SDLC, Software Documentation, IT Management, IT Service Management, Software Project..., SQL, IT Operations, Analysis, Human Resources, Information Technology, Requirements Gathering, PMO, Visio, Cross-functional Team...
Education
University of Pittsburgh 2004 — 2006
Masters, Health Information Systems
UPMC Health Plan 2004 - Present
Skills
Healthcare, Medicare, Managed Care, Strategic Planning, Data Analysis, Health Insurance, Organizational..., Program Development, Thought Leadership, Program Management, Public Speaking, Employee Benefits, Health Policy, Process Improvement
Education
Bloomberg School of Public Health at Johns Hopkins University
Master of Health Sciences, Health Policy
Rollins School of Public Health at Emory University
Master of Public Health, Epidemiology
University of Pittsburgh
Bachelor of Science, Psychology
UPMC Health Plan March 2006 - Present
Skills
Health Insurance, Commercial Insurance, Medicare, Insurance, Managed Care, Employee Benefits, Medicare Part D, Brokers, Claim, HIPAA, Medicaid, Healthcare Industry, Process Improvement, Health Policy, Leadership, Provider Relations, Healthcare
Education
University of Pittsburgh - School of Health Related Professions 1982 — 1984
Health Information Managment
University of Pittsburgh 1980 — 1984
B.S., Health Information Management
UPMC Health Plan HR Operations and Customer Service SpecialistAllegheny Health NetworkMarch 2014 - Present
Skills
Medicare, Health Insurance, Claim, Reinsurance, Underwriting, Auditing, Commercial Insurance, Managed Care, Access, HIPAA, Financial Reporting, Internal Audit, Accounting, Process Improvement, Employee Benefits, Workers Compensation
Education
Sawyer School 1996 — 1998
Associate's degree, Tourism and Travel Services Management
University of Pittsburgh 1995 — 1996
UPMC Health Plan July 2015 - Present
Skills
Perl, Access, Databases, Database Design, MySQL, SAS programming, Microsoft SQL Server, Cognos, SPSS, Business Intelligence, SQL, SSIS, SSRS, XML, Shell Scripting, Requirements Analysis, Testing, Data Analysis, SAS, Database Administration
Education
University of Pittsburgh 2010 — 2012
MS of Information Science
Univ. of Texas Med. Branch 1999 — 2006
Ph.D.
University of Science and Technology of China 1992 — 1997
BS
jilin provencial and experimental high school
Walgreens October 2013 - Present
Walgreens Specialty Pharmacy April 2011 - November 2013
UPMC Health Plan August 2005 - April 2011
The Washington Hospital June 2002 - July 2005
Retail Pharmacist June 1997 - June 2001
Skills
Pharmacy, Pharmacy Automation, Utilization Management, Managed Care, Pharmacy Benefit..., Medicare Part D, Medicare, Medicaid, Healthcare, Disease Management, Healthcare Management, Healthcare Information..., Visual Basic, Programming, Specialty Pharma
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 2000 — 2001
Master of Business Administration (MBA), Finance
University of Pittsburgh 1992 — 1997
BS Pharmacy, Pharmacy
UPMC Health Plan May 2009 - Present
Pennsylvania Medicaid Policy Center September 2007 - May 2009
UPMC Health Plan September 2006 - August 2007
Venango County Court of Common Pleas May 2006 - September 2006
Skills
Health Law, Managed Care, Health Policy, Health Insurance, Affordable Care Act, Administrative Law, Medicaid Managed Care, Medicare Advantage, Health Care Reform, Contractual Agreements, Legal Writing, Public Health, Legal Compliance, Regulatory Compliance, Regulatory Analysis
Education
University of Pittsburgh Graduate School of Public Health 2007 — 2009
MPH, Health Policy and Management
University of Pittsburgh School of Law 2005 — 2009
Doctor of Law (J.D.), Health Law
UPMC Health Plan
Skills
Process Improvement, Project Management, Project Planning, Business Analysis, Requirements Gathering, Requirements Analysis, SDLC, Program Management, PMO
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1997 — 1998
MBA
Mylan December 2013 - Present
Entree Health - A CDM Group Company May 2013 - November 2013
Mosaic Managed Markets DraftFcb Healthcare November 2012 - May 2013
Mosaic Managed Markets November 2011 - November 2012
Mosaic Managed Markets August 2010 - February 2012
UPMC Health Plan June 2009 - September 2010
Rite Aid Pharmacy August 2008 - May 2009
Eckerd Pharmacy November 2005 - November 2007
Excellerx Hospice Pharmacia May 2006 - September 2007
Skills
Managed Care, Healthcare, Pharmacy Benefit..., Diabetes, Pharmacy, Pharmaceutical Industry, Clinical Research, Pharmacists, Oncology, Hospitals, Medicare Part D, Medicare
Education
University of Pittsburgh 2009 — 2010
Pharm.D., Managed Care Residency
University of the Sciences in PhiladelphiaPhiladelphia College of Pharmacy 2003 — 2009
Doctor, Pharmacy
UPMC Health Plan July 2014 - Present
Boston Medical Center August 2012 - July 2014
Boston Medical Center February 2011 - August 2012
The Northside Community Development Fund January 2010 - July 2010
Skills
Analysis, Business Intelligence, Finance, Access, Data Analysis, Business Analysis, Auditing, Accounting, Management, Program Management, Market Research, Operations Management, Forecasting, Financial Analysis, Accounts Receivable, Budgets, Microsoft Excel, Visual Basic, SQL, Microsoft SQL Server, SAS, SAS programming, Cognos
Education
University of Pittsburgh 2008 — 2010
Bachelor's of Science in Business Administration, Marketing
Mercy Hospital September 2012 - Present
University of Pittsburgh School of Nursing (Community Health) September 2009 - Present
UPMC Health Plan 2012 - 2012
Skills
PowerPoint, Public Speaking, Teamwork, Social Media, Photoshop, Windows, BLS Certified
Education
University of Pittsburgh 2009 — 2010
Bachelors of Science in Nursing, Registered Nursing/Registered Nurse
Washington and Jefferson College 2007 — 2008
Pre-Medicine/Pre-Medical Studies
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
Federated Investors April 1999 - Present
UPMC Health Plan 1998 - 1999
Skills
Technical Architecture, Databases, Programming, Software Development, Analysis, Application Architecture, Application Development, Requirements Analysis, Software Project..., Systems Analysis, SDLC, Business Analysis, Integration, SQL, Software Documentation, SharePoint, Enterprise Architecture, Process Improvement
Education
University of Pittsburgh 1983 — 1987
B.S., Computer Science
UPMC Health Plan October 2006 - Present
Rite Aid Clinical Services 2004 - 2005
Skills
Healthcare, Managed Care, Disease Management, Clinical Pharmacy, Medicaid, Medicare, Utilization Management, Pharmacy, Medicare Part D, Pharmacists, Medication Therapy..., Pharmacy Automation, HIPAA, Health Insurance, Pharmacy Benefit...
Education
University of Pittsburgh
UPMC Health Plan February 2015 - Present
UPMC Health Plan December 2012 - February 2015
UPMC Health Plan July 2010 - December 2012
UPMC Health Plan December 2008 - July 2010
UPMC Health Plan September 2005 - December 2008
PharmaCare June 2003 - September 2005
Caremark Specialty Pharmacy 2003 - 2005
Skills
Health Insurance, Compliance, Process Improvement, Vendor Management, Customer Service, Medicare Part D, Key Metrics, JD Power, Presentations, Performance Reporting, Medicare Advantage, Software Project..., Project Management, Staff Development, Forecasting, Operations Management, Medicare, HMO, Managed Care, Healthcare, Medicaid, Healthcare Management, Healthcare Industry, Insurance, Pharmacy Benefit...
Education
Pennsylvania State University
Bachelor of Business Administration (B.B.A.)
University of Pittsburgh - Joseph M. Katz Graduate School of Business
Master of Business Administration (MBA)
Altegra Health April 2015 - Present
Altegra Health July 2013 - March 2015
UPMC Health Plan December 2012 - June 2013
UPMC Health Plan October 2008 - December 2012
UPMC Health Plan May 2006 - October 2008
UPMC Health Plan November 2004 - April 2006
West Penn-Allegheny Health System April 2004 - November 2004
UPMC March 2001 - April 2004
UPMC July 1998 - March 2001
Federated Services Co March 1997 - July 1998
Skills
Oracle SQL, Microsoft Office, Microsoft Excel, Microsoft Word, Medicare, Medicare Part D, Medicare Advantage, Medicare/Medicaid..., Medicare Prescription..., Toad 9.0, Toad, RAPS, Encounter
Education
University of Pittsburgh-Johnstown 1990 — 1994
Bachelor of Arts (BA), Business/Managerial Economics
UPMC Health Plan August 2013 - Present
Education
University of Pittsburgh-Johnstown 2009 — 2013
Bachelor of Science (B.S.), Biology, General
Walgreens Specialty Pharmacy May 2012 - Present
UPMC Health Plan November 2004 - May 2012
Apria Healthcare 2002 - 2004
Skills
Vendor Management, Managed Care, SQL, Microsoft Office, Insurance, Process Improvement, Analysis, Change Management, Databases, Health Insurance, Business Intelligence, Healthcare Information..., HIPAA, Customer Service, Visio, Access, Medicare Part D, Data Analysis, Business Analysis, Software Documentation
Education
Carlow University 2006 — 2009
MBA and MMT, Business and Technology
University of Pittsburgh-Johnstown 1998 — 2002
Bachelor of Arts (B.A.), Business with Computer Science
UPMC Health Plan June 2012 - Present
Skills
Medicare, Medicaid, Employee Benefits, Informatics, HIPAA, Insurance, Medicare Part D, EMR, Long-term Care, Nursing, Health Insurance, Managed Care, Patient Safety, Disability Insurance, EHR, Brokers, Claim, Healthcare Information..., Hospitals, Life Insurance
Education
University of Pittsburgh School of Health and Reabilitation 1988 — 1994
Bachelor of Science (BS), Medical Technology
UPMC Health Plan June 2013 - August 2013
American Pool Enterprises, Inc May 2013 - June 2013
UPMC Health Plan May 2011 - January 2013
CleanNet USA Commercial Cleaning Services June 2008 - January 2013
University of Pittsburgh August 2011 - April 2012
Skills
Microsoft Excel, Microsoft Office, Microsoft Word, Bloomberg, Access, Data Entry, 10 Key, Training, Outlook
Education
University of Pittsburgh 2010 — 2014
UPMC Health Plan May 2014 - Present
University of Pittsburgh August 2007 - May 2011
Skills
real-time PCR, PCR, RNA isolation, Gel Electrophoresis, JavaScript, Java, C++, HTML, HTML 5, PHP, phpMyAdmin, ActionScript, SQL, MySQL, C# 4.0, ASP.NET
Education
University of Pittsburgh 2014 — 2015
Master of Science in Information Science, Human Centered Computing, A
CCAC 2012 — 2014
N/A, Computer Science, A
University of Pittsburgh 2007 — 2011
Bachelor of Science (B.S.), Neuroscience
UPMC Health Plan August 2015 - Present
UPMC Health Plan January 2013 - August 2015
Education
Bloomfield High School 1984 — 1988
University of Pittsburgh
UPMC Health Plan January 2015 - Present
Kmart Corporation September 2013 - January 2015
Kmart Corporation March 2013 - September 2013
Kmart Corporation March 2010 - March 2013
University of Pittsburgh October 2007 - December 2009
Skills
Customer Service, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Data Entry, Typing, Sales, Team Building, HTML, Java, JavaScript, CSS, C++, BASIC, Web Design
Education
University of Pittsburgh-Greensburg 2005 — 2009
Bachelor of Arts (BA), Anthropology
Delaware Valley High School