URAC Company
Industry: Health care company
DescriptionURAC is a Washington DC-based non-profit organization that helps promote health care quality through the accreditation of organizations involved in medical care services, as well as by offering education and measurement programs. Founded: 1990 Headquarters: Washington, D.C. Number of employees: over 60 Key people: Kylanne Green, President and CEO Type of business: Nonprofit organization
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URAC Employees
PwC June 2014 - Present
Towson University December 2011 - Present
Deloitte June 2014 - June 2014
Chesapeake Medical Staffing and Home Care August 2013 - December 2013
NeighborWorks America June 2013 - August 2013
Deloitte July 2013 - July 2013
Towson University August 2012 - May 2013
URAC June 2012 - August 2012
Skills
Technical Skillset, Educational Leadership, Communication, Accounting, Team Involvement, Student Development, Student Leadership, Data Entry, Human Resources, Training, PeopleSoft, Management
Education
Towson University 2011 — 2015
Bachelor of Science (BS), Accounting
Riverdale Baptist High School 2007 — 2011
Ericsson January 2015 - Present
Ericsson May 2014 - December 2014
Ericsson October 2013 - April 2014
Ericsson November 2011 - September 2013
EchoStar Corporation February 2011 - November 2011
Dartmouth College September 2010 - December 2010
URAC August 2010 - September 2010
EchoStar Corporation June 2010 - August 2010
Qwest Communications July 2007 - August 2009
Genius Dreams, Inc March 2006 - June 2007
Skills
Architecture, Semiconductors, Competitive Analysis, Go-to-market Strategy, System Architecture, HTML, Business Development, Business Strategy, Consultative Sales..., Value Creation, Business Case Modelling, Financial Analysis, Project Management, Telecommunications, IP, Integration, Wireless, Product Management, Start-ups, Mobile Devices, Strategy, Pre-sales, Cloud Computing, Business Intelligence, Business Analysis, Vendor Management, Six Sigma, Cross-functional Team..., Requirements Analysis, Program Management, Software Project..., Software Development, Market Research, Market Analysis, IT Strategy, SaaS
Education
Dartmouth College 2009 — 2010
Master of Engineering Management
Duke Corporate Education 2011 — 2013
Leadership Development
R. V. College of Engineering, Bangalore 2003 — 2007
B.E., Electrical Engineering
National Public School
University Co-operative Society, Inc. 2013 - 2015
Gabriel Project Mumbai June 2014 - July 2014
North Shore-LIJ Health System May 2013 - July 2013
The University of Texas at Austin March 2012 - March 2013
URAC June 2012 - August 2012
Perryngton, Startup Company June 2011 - April 2012
Pappas Restaurants, Inc. July 2010 - September 2010
Holiday Retirement February 2009 - February 2010
Skills
Microsoft Office, Facebook, Social Media, Public Speaking, Community Outreach, Project Management
Education
Yale School of Public Health 2015 — 2017
Master of Public Health (MPH), Health Care Management
The University of Texas at Austin 2011 — 2015
Bachelor of Science (BS), Public Health, Health Policy Management
Georgetown University 2012 — 2012
Business and Government
George Mason University August 2014 - Present
Walgreen Co. May 2009 - November 2014
Walgreen Co. November 2010 - January 2011
Walgreen Co. May 2009 - October 2010
URAC 2006 - 2008
The George Washington University June 1998 - May 2004
Northern Virginia Community College January 2003 - May 2003
Skills
Research: Design,..., Clinical Medicine, Project or Program..., Analysis, Medicine, Clinical Research, Public Health, Program Evaluation, Healthcare, Research, Data Analysis, Program Management, Healthcare Management, Program Development, Leadership, Health Promotion, Training, Health Education, Management, Disease Management, Healthcare Information...
Education
University of Kentucky 1997 — 1998
Master of Science (M.S.), Public Health Education and Promotion
College of Physicians & Surgeons 1978 — 1980
D.G.O., Obstetrics & Gynecology
University of Pune 1972 — 1978
MD, General Practice
Palomar Health June 2015 - Present
Nursing Consulting Partners January 2014 - Present
MD Revolution April 2014 - October 2014
American Nurses Association 2005 - December 2013
URAC 2006 - 2012
Medstar Washington Hospital Center 1987 - 2005
Skills
Healthcare, Program Development, Nursing, Hospitals, Healthcare Management, Quality Improvement, Program Management, Leadership, Patient Safety, Strategic Planning, Health Policy, Healthcare Consulting, Nonprofits, Informatics, Data Analysis, Accreditation, Policy, Association Management, Management, Process Improvement, Policy Analysis, Strategy, Project Management, Program Evaluation, Public Speaking, Business Planning, Inpatient, JCAHO, Community Health, Physician Relations, Non-profits, Budgets, System Administration, Healthcare Industry, Staff Development, Community Outreach, Leadership Development, HIPAA, EHR, EMR, Healthcare Information..., Conference Coordination, Team Building
Education
University of Maryland Baltimore 1992 — 1996
MS, Nursing Administration
University of Baltimore 1991 — 1996
MBA, MBA
Columbia Union College 1982 — 1987
BSN, Nursing w/ a minor in Business Administration
Event Strategy Group May 2015 - Present
URAC March 2014 - May 2015
The Advisory Board Company July 2012 - March 2014
sweetgreen February 2012 - May 2012
Adele's Restaurant August 2010 - May 2012
Metromix DC September 2011 - December 2011
Wellness Coaches USA June 2011 - August 2011
Skills
Facebook, Social Media, Event Planning, Microsoft Office, Event Management, PowerPoint, Editing, Microsoft Word, Marketing Communications, Research, Microsoft Excel, Leadership, Salesforce.com
Education
University of Maryland College Park 2009 — 2012
Bachelor of Arts (B.A.), Communication, General
Right Source Marketing August 2014 - Present
Tonic at Quigleys January 2012 - July 2014
inVNT January 2014 - May 2014
FairWinds Partners LLC August 2013 - December 2013
URAC June 2013 - August 2013
FoBoGro January 2013 - May 2013
Microsoft March 2013 - April 2013
No Labels January 2012 - August 2012
J.Crew November 2011 - January 2012
J.Crew May 2011 - August 2011
Skills
Social Media Outreach, Fundraising, Event Planning, Spanish, Non-profits, Public Relations, Marketing, Social Media Marketing, International Relations, International Sales, International Business..., Coaching, Microsoft Word, PowerPoint, Nonprofits, Facebook, Social Media, Sales, Customer Service, Social Networking, Public Speaking, Microsoft Office, Blogging, Time Management, Event Management, Marketing Communications, Press Releases, Editing, Marketing Strategy
Education
The George Washington School of Business 2010 — 2014
BBA, Marketing and International Business Double Major, Marketing GPA: 3.95, International Business GPA: 3.542, Overall GPA: 3.57
Universidad Torcuato di Tella 2012 — 2012
Bachelor of Business Administration (BBA), International Business, Fall Semester, Junior Year
J & J Healthcare Consulting February 2014 - Present
URAC January 2011 - December 2013
URAC August 2009 - January 2011
Charles E Smith Life Communities July 2008 - August 2009
United States Pharmacopeia June 2006 - November 2007
United State Pharmacopeia September 2001 - June 2006
Pharmacia Corporation (Now Pfizer Corporation) May 2000 - May 2001
Advance Paradigm (Now CVS Caremark) June 1999 - May 2000
HeartScan May 1996 - June 1999
Skills
Leadership, Management, Business Development, Strategic Planning, Cross-functional Team..., Biotechnology, Nonprofits, Pharmaceutical Industry, Customer Service, Strategy, Project Planning, Healthcare, Marketing Strategy, International Business, Business Planning, Business Strategy, Partner Management, Start-ups, Strategic Partnerships, Program Management, Competitive Analysis, Product Management, Marketing, Market Research, New Business Development, Budgets
Education
The Johns Hopkins University - Carey Business School
Master of Business Administration (MBA), Strategic Management
Thunderbird School of Global Management
Certificate Global Management and Marketing
State University of New York at Albany
Bachelor of Science (BSc), Nursing, GPA 3.45
URAC June 2011 - October 2012
US Department of Homeland Security August 2010 - June 2011
HHS Secretary's Advisory Committee on Genetics, Health, and Society February 2008 - October 2010
National Institutes of Health August 2005 - August 2010
Skills
Clinical Research, Healthcare, Epidemiology, Public Health, Clinical Trials, Cancer, Biomedical Sciences, Nursing, Health Policy, Research, Informatics, Hospitals, Healthcare Management, Healthcare Information..., Healthcare Consulting
Education
University of Utah 2003 — 2011
Doctor of Philosophy (PhD)
University of Utah 2003 — 2006
MS
Bloomsburg University of Pennsylvania 1994 — 1998
BSN
Economics Partners, LLC October 2015 - Present
PwC May 2015 - July 2015
URAC June 2014 - September 2014
Paradyme Management Inc. September 2013 - May 2014
XML Financial Group June 2013 - July 2013
Skills
Leadership, Microsoft Excel, Public Speaking, Financial Analysis, Market Research, Business Development
Education
University of Maryland - Robert H. Smith School of Business 2012 — 2016
B.A. Economics, B.S. Accounting
Gaithersburg High School 2008 — 2012
Academy of Science & Technology, 3.7
Feinstein Kean Healthcare February 2013 - Present
Federal Working Group October 2010 - February 2013
Center for Advancing Health (CFAH) September 2008 - October 2010
National Business Coalition on Health (NBCH) February 2004 - September 2008
URAC January 2004 - February 2005
National Committee for Quality Assurance March 2002 - January 2004
LifeLinkMD May 2001 - March 2002
Kaiser Permanente April 2000 - April 2001
Kaiser Permanente October 1998 - March 2000
Large Group October 1997 - November 1998
Skills
Social Media, Media Relations, Strategic Communications, Non-profits, Healthcare, Government Contracting, Strategic Planning, Marketing Strategy, Social Media Marketing, Membership Development, Thought Leadership, Fundraising, Grant Writing, Leadership Development, Leadership
Education
Hampton University 1992 — 1996
B.A, English Literature
Georgetown Day
U.S. Senator Robert Menendez January 2015 - Present
U.S. Senator Robert Menendez September 2013 - December 2014
Congressman Hakeem Jeffries August 2013 - September 2013
BSA The Software Alliance June 2013 - August 2013
District Office of Congresswoman Louise Slaughter February 2013 - May 2013
Ashoka April 2012 - June 2012
URAC June 2011 - July 2011
Skills
Public Policy, Legislation, Community Outreach, Research, Politics, Government
Education
University of Rochester 2009 — 2013
Political Science
IES Abroad: Buenos Aires 2012 — 2012
Georgetown University 2011 — 2011
Newark Academy 2002 — 2009
Dunleavy & Associates August 2014 - Present
Dunleavy & Associates September 2010 - August 2014
URAC January 2010 - May 2010
White House Nannies September 2009 - December 2009
Greater Philadelphia Chamber of Commerce May 2009 - August 2009
Skills
Marketing, Communication, Events, Promotions, Video, Website Updating, Social Media, Organizational..., Databases, Research, Non-profits, Nonprofits, Event Management, Strategic Planning, Public Relations, Public Speaking, Email Marketing, Business Development, Fundraising, Press Releases, Event Planning, Marketing Communications, Editing, Media Relations
Education
The Catholic University of America 2006 — 2010
B.A., Media Studies
University of Essex 2008 — 2009
World Cinema
Gwynedd Mercy Academy 2002 — 2006
Visiting Nurse Association of America November 2014 - Present
Silopanna Healthcare Consulting January 2009 - Present
Women Business Leaders of the U.S. Health Care Industry Foundation (WBL) January 2005 - December 2008
America's Health Insurance Plans (AHIP) 2004 - 2004
HIAA 2001 - 2004
URAC 1998 - 2001
National Association of Medical Equipment Services (NAMES) 1994 - 1999
Primacare Mid Altantic 1989 - 1994
Glassrock 1988 - 1989
Skills
Leadership, Program Management, Healthcare, Business Development, Healthcare Industry, Managed Care, Healthcare Consulting, Nonprofits, Management Consulting, Process Improvement, Sales, Hospitals, Strategy, Coaching, Executive Management, Human Resources, Change Management, Non-profits, Leadership Development, Corporate Development, Fundraising, Talent Management, Consulting, Health Information..., Business Strategy, Management, Health Policy, Performance Improvement, Executive Coaching, Thought Leadership, Revenue Cycle, Organizational..., Contract Negotiation, Public Speaking, Strategic Planning, Disease Management, Medicine, Executive Search, Entrepreneurship, Analysis, Practice Management, Strategic Consulting, Start-ups, Mergers & Acquisitions, Cross-functional Team..., Medicare, Medicaid, Strategic Partnerships, Health Insurance, Home Care
Education
University of Maryland College Park 1900 — 2020
McKinsey & Company May 2015 - August 2015
New York Jets March 2015 - May 2015
Privia Health April 2014 - July 2014
URAC August 2012 - January 2014
URAC August 2011 - July 2012
U.S. Copyright Office, Office of Policy and International Affairs October 2009 - July 2011
Skills
Public Policy, Policy Analysis, Research, Community Outreach, Health Policy, Non-profits, Editing, Health Insurance..., Healthcare, Affordable Care Act, Health Care Regulation, Health Law, Problem Solving, Strategy, Operations Management, Provider Credentialing, State Legislation, Bill Tracking, Constituency Outreach, Quality Measures, Medicaid Managed Care, Nonprofits, Public Speaking
Education
University of Michigan - Stephen M. Ross School of Business 2014 — 2016
Master of Business Administration (M.B.A.)
Middlebury College 2005 — 2009
Bachelor of Arts (B.A.)
Landon School 1995 — 2005
High School Diploma (Cum Laude)
US Government Accountability Office June 2014 - Present
Department of State April 2011 - June 2014
United Nations Association of the National Capitol Area September 2012 - August 2013
361 Security September 2012 - December 2012
Non-Profit Staffing Solutions October 2010 - April 2011
URAC 2010 - 2011
People Against Suffering, Suppression, Oppression, and Poverty June 2009 - July 2009
Truman National Security Project July 2008 - August 2008
Reed Smith LLP November 2005 - May 2008
Office of Liberal-Democrat MP Norman Baker June 2005 - August 2005
Skills
Outlook, OneNote, PowerPoint, Internet Explorer, Firefox, iTunes, iPod, Twitter, Tumblr, Google Docs, Gmail, Alyuda Forecaster, GeNIe, Nero, SPSS, SharePoint, Microsoft Word, Microsoft Excel, Government
Education
American University 2008 — 2010
Masters, International Politics, International Peace and Conflict Resolution
University of Cape Town 2009 — 2009
Democracy and Development
University of Sussex 2005 — 2005
British Politics and Politics of the European Union
University of California, Santa Barbara 2003 — 2005
Bachelors, Political Science
College of San Mateo 2000 — 2003
Business Economics, Broadcast Journalism, Political Science
Fannie Mae June 2015 - Present
Fannie Mae December 2014 - June 2015
The International Baccalaureate August 2014 - November 2014
URAC June 2013 - July 2014
Fig Leaf Software April 2013 - June 2013
U.S. Small Business Administration 2011 - 2012
University of Phoenix-Birmingham Campus 2009 - 2011
BlueCross BlueShield of Alabama 2010 - 2010
BlueCross BlueShield of Alabama 2008 - 2010
BlueCross BlueShield of Alabama 2005 - 2008
Skills
Microsoft Word, Project Management, Access, Process Improvement, Management, Program Management, Leadership, Public Speaking, Security, Strategic Planning, Procurement, SharePoint, Research, Team Building, Training, Government, Analysis, Networking, Customer Service, Policy, Software Documentation, Employee Training
Education
University of Phoenix
M.B.A, Technology Management
University of Alabama at Birmingham
B.S., Management Information Systems
Zingerman's September 2014 - Present
Eden Foods, Inc. April 2013 - September 2014
Eden Foods, Inc. July 2012 - September 2014
University of Michigan Ross School of Business October 2011 - June 2012
American Academy of Ophthalmology April 2010 - July 2011
URAC September 2009 - January 2010
Michigan State Medical Society May 2008 - August 2008
Skills
Microsoft Excel, Event Management, Financial Reporting, Social Media, Data Analysis, Marketing Communications, Project Management, Marketing Strategy, Event Planning, Financial Analysis, Customer Service, Advertising, Editing, Press Releases, Public Relations
Education
Grand Valley State University 2006 — 2008
Bachelor of Arts (BA), Health Communication, Health Professions
Indiana University Bloomington 2005 — 2006
Business Administration and Management, Spanish
Flott & Co. PC March 2014 - Present
URAC June 2013 - Present
Fairfax County Public Schools October 2008 - June 2013
Fairfax County Public Schools, Lake Braddock Middle School October 2010 - 2011
Booz Allen Hamilton June 2010 - August 2010
Columbus Community Legal Services August 2005 - August 2009
AT&T Government Solutions May 2007 - August 2007
Skills
Sociology, Public Policy, Special Education, Differentiated..., Literacy, Educational Technology, Educational Leadership, Event Planning, Public Speaking, Leadership
Education
The Catholic University of America 2005 — 2009
Bachelor of Arts, Sociology
Lake Braddock Secondary School 2002 — 2005
University of Maryland
MBA; Master Degree, Education; Integrated Technology
Case Western Reserve University December 2013 - Present
Cleveland Clinic Lerner College of Medicine July 2012 - September 2014
Kent State University August 2012 - May 2013
URAC May 2011 - July 2012
Virginia Beach Department of Public Health October 2008 - August 2010
Eastern Virginia Medical School August 2008 - December 2009
Skills
SAS, Matlab, MathCAD, Statistics, Data Analysis, Research, Cell Culture, PCR, Environmental Health, Epidemiology, Literature Reviews, Public Health, Infectious Diseases, Clinical Research, Healthcare, SPSS, Leadership, Program Evaluation, Biostatistics, Global Health
Education
Kent State University 2012 — 2016
Doctor of Philosophy (Ph.D.), Epidemiology
University of Louisville 2010 — 2012
MS, Epidemiology
Eastern Virginia Medical School 2008 — 2010
MPH, Epidemiology
University of Virginia 2002 — 2006
Bachelor's, Biomedical Engineering
Langley High School 1998 — 2002
Creative Information Technology, Inc. February 2012 - Present
URAC February 2011 - January 2012
URAC December 2009 - March 2011
URAC 2006 - 2009
PAREXEL September 2003 - May 2006
Excerpta Medica, Pracon Division 1991 - 2006
Skills
Marketing Strategy, Strategic Planning, Budget Management, Strategic Communications, Public Relations, New Business Development, Brand Development, Product Development, Product Management, Product Marketing, Product Launch, Healthcare IT, Healthcare Information..., Program Management, Business Development, Marketing, Cross-functional Team..., Integration, Leadership, Process Improvement, Managed Care, Management, Strategy
Education
George Mason University
BS, Marketing, Biology
Financial Industry Regulatory Authority September 2011 - Present
Strategia Forte LLC April 2010 - Present
URAC February 2003 - March 2010
Ogilvy Public Relations Worldwide 2000 - 2002
RMR & Associates 1999 - 2000
ARAMARK 1998 - 1998
Buffalo Wild Wings 1995 - 1996
Skills
Leadership, Marketing Communications, Project Management, Strategic Planning, Strategy, Program Management, Strategic Partnerships, Management, Product Development, Strategic Communications, Business Strategy, Public Relations, Business Development, Marketing Strategy, Change Management, Public Speaking, Marketing, Agile Methodologies, Management Consulting, Product Management
Education
Georgetown University - The McDonough School of Business 2009 — 2011
MBA
Michigan State University
BA, Business
Burke Consulting LLC April 2011 - Present
URAC February 2013 - June 2014
National Public Radio January 2008 - August 2011
Arlington Public Schools 1997 - 2008
Skills
Project Management, IT Strategy, Leadership, Strategy, Troubleshooting, Management, Strategic Planning, Strategic Technology..., Business Strategy, Business Process, Enterprise Software, IT Management, Governance, Information Technology, Integration, Networking, Nonprofits, Program Management, Telecommunications
Education
The George Washington University - School of Business 2002 — 2004
MS, Executive Master of Information Systems, December 2004
The College of Wooster 1985 — 1989
Bachelor of Arts, Chemistry
Rockville High School
RCN September 2014 - Present
URAC March 2014 - August 2014
CleaVe The Boutique January 2014 - May 2014
South Baltimore Learning Center October 2013 - December 2013
National Council of Women's Organizations June 2013 - August 2013
CBS Radio May 2012 - August 2012
University of Maryland Baltimore County September 2011 - May 2012
Skills
Social Media, Community Outreach, Fundraising, Data Entry, Social Networking, Public Relations, Event Planning, Public Policy, Microsoft Office, Blogging, Policy, Nonprofits, Leadership, Time Management, Volunteer Management, Editing, Government, Communication, Social Media Marketing
Education
University of Maryland Baltimore County 2010 — 2013
Bachelor's Degree, Communication and Media Studies
University of Maryland Baltimore County
Bachelor's degree, Communication and Media Studies
URAC February 2004 - Present
URAC January 2007 - January 2008
URAC February 2004 - January 2007
Skills
Project Management, Strategic Planning, IT Management, Process Improvement, Management, Disaster Recovery, Vendor Management, Program Management, IT Strategy, Business Analysis, Integration, Active Directory, Team Building, Security, Change Management, ITIL Certified
Education
University of Notre Dame 1999 — 2003
Bachelor of Business Administration (BBA), Management Information Systems, General
Integral Healthcare Solutions, LLC December 2001 - Present
Booz Allen Hamilton July 2005 - May 2006
Center for Health Policy Studies/CHPS Consulting August 2000 - December 2001
URAC January 1999 - May 2000
NYLCare Health Plans of the Mid-Atlantic November 1994 - May 1998
New York Life 1994 - 1998
NYLCare 1994 - 1998
National Association of Insurance Commissioners September 1990 - November 1994
Goddard Public Affairs Corporation July 1986 - September 1990
Alliance for Consumer Rights November 1985 - July 1986
Skills
Medicaid, Medicare, Management, Business Process..., Organizational..., URAC, NCQA, Accreditation, Healthcare, Healthcare Consulting, Program Management, Organizational..., Health Policy, Leadership, Training, Managed Care, Government, Healthcare Management, Strategic Planning, Executive Coaching, Consulting, Change Management, Workshop Facilitation, Leadership Development, Quality Improvement, Utilization Review, Policy, Disease Management, PPO, Healthcare Industry, Physicians, Nonprofits, Physician Relations, Credentialing, Utilization Management, Performance Improvement, Revenue Cycle, HIPAA, Health Information..., Executive Management, Informatics, Executive Development, EHR, HMO, Medical Compliance, Healthcare Information..., Health Insurance, Medicaid Managed Care, EMR, Home Care
Education
George Mason University 1993 — 2004
Ph.D., Industrial and Organizational Psychology
George Mason University 1993 — 1995
M.A., Industrial and Organizational Psychology
University of Arizona, James E. Rogers College of Law 1976 — 1979
J.D., Law
University of Arizona 1972 — 1976
B.A., Political Science
Emeritus Senior Living February 2014 - Present
Sunrise Senior Living August 2007 - February 2014
ROCS College Student Staffing 2005 - June 2013
Sunrise Senior Living December 2011 - May 2012
URAC 2007 - 2007
Skills
Bilingual, Customer Service, Healthcare, Microsoft Office, Microsoft Excel, PowerPoint, Social Media, Research, Microsoft Word, Public Speaking, Outlook, Employee Relations, Strategic Planning, Marketing, Public Relations, Event Planning, Management, Training, Coaching, Community Outreach, Healthcare Management, Human Resources, Leadership
Education
George Mason University 2009 — 2012
MS, Assisted Living / Senior Housing Administration
George Mason University 2005 — 2009
BS, Health Systems Management
Rahima Academy 1992 — 2002
NASCO February 2011 - Present
Nyka Enterprises, LLC September 2006 - April 2011
Hewlett-Packard (formally EDS) June 1994 - September 2002
URAC 2000 - 2002
WEDI Foundation 2000 - 2002
AFEHCT 1999 - 2002
ITAA 1999 - 2002
ANSI ASC X12 1997 - 2002
Skills
Business Analysis, HIPAA, Program Management, Healthcare, Healthcare Information..., Process Improvement, Vendor Management, Strategic Planning, EDI, Project Management, Change Management, Management Consulting, SDLC, Team Building, PMO, Requirements Analysis, Leadership, Strategy, Business Development, Management, Consulting, IT Strategy, Business Intelligence
Education
University of North Texas
Bachelor's Degree, Business Administration and Computer Information Systems
URAC The Leader in Accreditation for Pharmacy, Case Management & Health Plans January 2012 - Present
URAC September 2009 - January 2012
Trizetto Care Advance September 2007 - December 2008
Centene Corporation June 2005 - January 2007
URAC March 2002 - June 2005
Maryland Physicians Group a Schaller Anderson Company August 1999 - September 2000
OPNET Network January 1998 - February 1999
Harvard Pilgrim Health Care 1996 - 1998
Hillhaven February 1992 - January 1995
Skills
Healthcare, Managed Care, Solution Selling, Disease Management, Medicare, Specialty Pharmacy..., Utilization Management, Medicaid, Sales Management, Accreditation, New Business Development, Healthcare Consulting, Clinical Integration, Accountable Care, Health Policy, HIPAA, Case Managment, Nursing, Healthcare Industry, Pharmacy Benefit..., Insurance, Case Management, Contract Negotiation, PPO, Quality Improvement, Physicians, Networking, Ambulatory Care, HMO, Hospitals, Health Insurance, Health Care Reform, Healthcare Information..., Leadership, Medication Therapy..., Marketing Strategy, Credentialing, Quality Management, Healthcare Management, Physician Practice..., Wellness Initiatives, Sales Excellence, Drug Therapy Management, Transition Management, Diabetes, Strategic Planning, Marketing, Business Intelligence, Patient Safety
Education
Loma Linda University 1987 — 1988
MHA, Health Care Administration
Hunter College 1969 — 1971
BS, Health Science
The Brooklyn Hospital School of Nursing 1965 — 1968
RN Diploma, Nursing
Professional Patient Advocate Institute, Decision Health August 2010 - March 2015
Dorland Health, a division of Decision Health January 2007 - March 2015
URAC 2007 - 2015
Quota International of Plantation May 2011 - May 2013
Professional Resources In Management Education Inc. (PRIME) October 1994 - January 2007
CMSA 2004 - 2005
Skills
Healthcare, Health, Case Management, Nurses, Healthcare Management, Case Managment, Nursing, Medicare, Hospitals, Healthcare Information..., Public Speaking, Managed Care, Non-profits, Utilization Management, Health Policy, Health Education, Nonprofits, Elder Care, Public Health, Home Care, Clinical Research, Leadership, Treatment, Quality Improvement, Medical Education, Fundraising, Disease Management, Rehabilitation, Medicine, Healthcare Consulting, Medicaid, Patient Advocacy, Team Building, EMR, Healthcare Industry, Program Development, Health Insurance, Physicians, Management, Patient Education, Strategic Planning, Informatics, EHR, Pediatrics, Patient Safety, Nursing Education, Accreditation, Critical Care, Publications, Facebook
Education
University of St. Francis 2001 — 2006
MS, Training and Development
Barry University 1994 — 1998
BHSA, Health Services
Hahnehmann University, School of Nursing 1976 — 1978
AD, Nursing
Truven Health Analytics September 2013 - Present
Booz Allen Hamilton February 2010 - Present
Booz Allen Hamilton January 2007 - January 2010
Health Strategies Group April 2006 - August 2009
URAC 2006 - 2008
CVS Caremark 2003 - 2004
AdvancePCS 1999 - 2003
Union Memorial Hospital 1997 - 1997
Skills
Healthcare, Pharmacy Benefit..., Pharmaceutical Industry, Managed Care, Business Development, Medicare, Data Analysis, Medicare Part D, Clinical Research, Biotechnology, Pharmacy, Strategy, Health Policy, Strategic Planning, Market Research, Clinical Trials
Education
University of Maryland Baltimore 1990 — 1994
PharmD, Pharmacy
Penn State University 1980 — 1983
BS, Biology
Dell Software Group (DSG) March 2012 - Present
URAC October 2010 - March 2012
HireStrategy February 2010 - September 2010
FOX Architects August 2006 - March 2009
Skills
Exchange 2010, Windows 7, Office 2010, SharePoint 2010, VMware, SharePoint, Microsoft Exchange, VPN, Windows Server 2008, Replay 4, AppAssure 5, Mail Retriever, Doc Retriever, Windows Server, Storage, Troubleshooting, Servers, Laptops, Antivirus, Technical Support, Virtualization, Microsoft SQL Server, Hyper-V, Networking, Security, Linux, IT Management, Backup Exec, Management, XP, Firewalls, Blackberry Enterprise..., Windows XP
Education
George Mason University 2003 — 2008
B.S, Information Technology ~ Information Security and Network Administration Concentration2008
Northern Virginia Community College 2001 — 2003
A.A.S, Computer Science2003
Amazon Web Services October 2014 - Present
Cisco Systems August 2011 - October 2014
Peace Corps June 2008 - July 2010
URAC June 2007 - May 2008
Pal-Tech, Inc. (Foreign Service Institute) December 2005 - May 2007
AMIDEAST August 2004 - December 2004
Skills
International Relations, Analysis, Research, Program Management, Policy Analysis, Nonprofits, International..., Training, Project Management, Grant Writing, Policy, Government, Public Policy, Political Science, Qualitative Research, Graphic Design, Russian, Proposal Writing, Armenian Language, Russian Language, Non-profits, Civil Society, Web Design, Former Soviet Union, Immigration Policy, E-Learning, Data Analysis, Editing, Technical Writing, Teaching, Organizational..., Security, Spanish Language, Strategy, Public Speaking, Leadership, Databases, Strategic Planning, Microsoft Office, Perl, SOAP, XML, Microsoft SQL Server, MySQL, SharePoint Server, Amazon Web Services..., HTML5, JavaScript, jQuery, CSS
Education
Central European University 2010 — 2011
MA, International Public Policy
University of Utah 2003 — 2005
Bachelor of Science (BS), International Studies
University of Utah 2003 — 2005
Bachelor of Science (BS), Political Science
Salt Lake Community College 2001 — 2003
Associate of Arts and Sciences (A.A.S.), General Studies
TRAK Services August 2012 - Present
United States Peace Corps April 2010 - May 2012
URAC June 2009 - January 2010
TRAK Services October 2007 - January 2009
EPIK (English Program in Korea) and TaLK (Teach and Learn in Korea) September 2004 - May 2007
Skills
Nonprofits, Community Development, Intercultural..., Qualitative Research, Community Outreach, Microsoft Office, Program Management, International Relations, Editing, Policy, Non-profits, Grant Writing, Event Planning, Fundraising, Human Rights, Volunteer Management, Program Evaluation, Program Development, Public Policy, Training, Research, Leadership, International..., Capacity Building, Microsoft Excel, Policy Analysis, Organizational..., Microsoft Word, Outlook, Grants, NGOs, Conflict Resolution, Training Skills, SharePoint, Strategic Planning, Peace Studies, SPSS, Data Analysis, CRM Databases
Education
School for International Training 2008 — 2014
Master of Arts, Intercultural Service, Leadership, and Management
Sweet Briar College 2001 — 2004
Bachelor of Arts, History
Association of American Medical Colleges (AAMC) November 2014 - Present
AAMC November 2013 - November 2014
AAMC July 2011 - October 2013
URAC May 2010 - February 2011
DC Employment Justice Center January 2009 - December 2009
The Interfaith Alliance February 2008 - January 2009
The Interfaith Alliance August 2005 - February 2008
Skills
Fundraising, Event Planning, Event Management, Newsletters, Marketing, Non-profits, Customer Service, Project Management, Research, Community Outreach, Grants, Public Speaking, Training, Editing, Microsoft Office, Nonprofits
Education
Walden University
Master of Healthcare Administration, Health/Health Care Administration/Management
Skidmore College 1994 — 1998
BA, Religion and Society
Marketing Strategies International 2014 - Present
URAC 2012 - 2014
URAC 2010 - 2012
Aquent 2005 - 2009
AARP 2004 - 2005
MCI/Verizon 2003 - 2004
Capital One 2000 - 2003
Amadeus 1999 - 1999
Education
University of Maryland - Robert H. Smith School of Business
Master of Business Administration (MBA)
SKEMA Business School
International MBA Exchange Student
University of Pittsburgh
BA
Psychiatric Associates of Southwest Florida December 2011 - Present
The TMS Center of Southwest Florida June 2014 - Present
Florida State University College of Medicine December 2012 - Present
University of Central Florida August 2012 - Present
University of South Florida May 2012 - Present
University of Florida, Department of Psychiatry July 2010 - Present
NewGate Capital Partners April 2009 - Present
URAC 2003 - Present
Florida Detox and Recovery Centers, LLC March 2014 - July 2014
Park Royal Psychiatric Hospital February 2010 - February 2012
Skills
Psychiatry, Compliance, Wellness, Policy, Adults, Pharmacogenomics, Healthcare, Clinical Research, Healthcare Management, Inpatient, Healthcare Information..., Medicine, Public Health, Managed Care, Mental Health, EMR, EHR, Healthcare Consulting, Informatics, Treatment, Analysis, Hospitals, Medicare, Quality Improvement, Physicians, Health Policy, Prevention, Strategy, Training, HIPAA, Disease Management, Patient Safety, Nursing, Healthcare Industry, Internal Medicine, Pediatrics, Health Education, Clinical Trials, Case Managment, Epidemiology, Family Medicine, Surgery, Board Certified, Accreditation, Critical Care, Oncology, Physician Relations, Neuroscience, Practice Management, Neurology
Education
University of Florida College of Medicine 1973 — 1976
Residency Training, Psychiatry
State University of New York Downstate Medical Center College of Medicine 1969 — 1973
MD, Medicine
Yale University 1965 — 1969
Bachelor of Science (BS), Biology, General
Blair Academy 1961 — 1965
High School
Children's Aid Society June 2015 - Present
Health Republic Insurance of New York July 2013 - Present
Children's National Medical Center September 2005 - December 2014
Amida Care July 2012 - June 2013
Health Plus January 2011 - July 2012
Fresh Health February 2009 - January 2011
UnitedHealth Group August 2007 - December 2008
URAC February 2006 - July 2007
Blue Cross and Blue Shield February 1999 - February 2006
Blue Cross and Blue Shield October 1995 - February 1997
Education
Rutgers University, M.B.A.
M.B.A., Strategic Planning
University of Maryland College Park
B.S., Marketing
Independent Contractor January 2015 - Present
URAC October 2005 - Present
Magellan Health Services August 2011 - December 2014
Magellan Health Services April 2010 - August 2011
APS Healthcare May 2002 - July 2008
Skills
Disease Management, Utilization Management, Healthcare, Health Policy, Case Managment, Medicaid, Healthcare Management, Managed Care, Quality Improvement, Behavioral Health, Hospitals, Healthcare Consulting, Physicians, Healthcare Information..., Medicine, HIPAA, Mental Health, Medicare, Case Management, Program Management, Leadership, Informatics, Health Insurance, Clinical Research, Program Development, Provider Relations, PPO, Treatment, Healthcare Industry, Strategic Planning, Public Health, Physician Relations
Education
University of Cincinnati College of Medicine 1978 — 1982
MD, Medicine
Harvard University 1974 — 1978
AB, Biochemical Sciences
Health Care Compliance & Accreditation June 2013 - January 2014
Tufts Health Plan October 2008 - May 2013
Network Health October 2007 - October 2008
URAC 2005 - 2008
MultiPlan (formerly Private Healthcare Systems) May 1996 - October 2007
Tufts Health Plan 1991 - 1996
Assured Health Systems 1988 - 1991
Skills
Medicaid, Medicare, HIPAA, Quality Assurance, Managed Care, Healthcare Management, Training, Change Management, Healthcare Information..., Healthcare, Leadership, Insurance, Provider Relations, Disease Management, Utilization Management, Utilization Review, Healthcare Industry, Credentialing, Process Improvement, Health Insurance, Health Policy, HMO, Medicare Part D, Pharmacy Benefit..., Quality Improvement, PPO, Medical Compliance, Medicaid Managed Care, Network Development, Healthcare Consulting
Education
University of North Carolina at Chapel Hill
Master of Public Health (M.P.H.), Health Policy and Administration
Slippery Rock University of Pennsylvania
Bachelor of Arts (BA), French and Geology
EmblemHealth September 2014 - Present
URAC 2002 - 2013
America's Health Insurance Plans (AHIP) 1997 - 2002
Humana 1993 - 1997
MetLife 1989 - 1993
Skills
Managed Care, Provider Relations, Provider Network..., Conference Production, Meeting Planning, Professional..., Program Management, Work Well Independently, Dependable Team Player, Handle Multiple Projects, Outstanding time..., Organization &..., Resourceful..., Proactive self-starter, Team Leadership, Outstanding..., Time Management, Health Policy, Leadership, Management, Healthcare, Healthcare Management, Healthcare Information..., Hospitals
Education
LIU Post 1985 — 1989
Bachelor of Science (BS), Health/Health Care Administration/Management
URAC January 2014 - Present
URAC February 2011 - January 2014
Computer/Electronic Accommodations Program (CAP) June 2009 - January 2011
Skills
Data Analysis, Non-profits, Microsoft Excel, Policy Analysis, Research, Training, Strategic Planning, Community Outreach, Public Speaking, Nonprofits, Policy, Government, Leadership, Analysis, Public Policy
Education
University of Maine 2004 — 2008
BA, Economics
Georgetown University McDonough School of Business March 2011 - March 2015
URAC December 2011 - July 2012
George Washington University April 2008 - November 2010
George Washington University Hospital January 2004 - March 2006
Vanguard Communications July 2001 - February 2003
Skills
Higher Education, Media Relations, Strategic Communications, Non-profits, Media Relations Training, Editing, Budget Management, Social Marketing, Customer Relations, Public Relations, Crisis Communications, Writing, Corporate Communications, Internal Communications, Press Releases, Community Relations, Event Planning, Speech Writing, Issues Management, Publicity, Public Speaking, Fundraising, Social Media, Research, Copywriting, Marketing Communications, Community Outreach, Event Management, Proofreading, Reputation Management, Newsletters, Publications, Communications Planning, Budgets, Nonprofits, Training, International Relations, Public Affairs, Marketing Strategy, Blogging
Education
Johns Hopkins University
M.S., Counseling
Indiana University of Pennsylvania
B.S., Communications Media
Westmoreland County Community College
A.A., Liberal Arts
Professional Services Network, Inc. 1990 - Present
Center for Correctional Health Networks (CCHNet), UConn School of Nursing September 2014 - August 2015
University of Connecticut 2009 - 2009
The Catholic University of America 2005 - 2006
URAC 1992 - 1997
Skills
Nursing, Healthcare, Managed Care, Acute Care, Healthcare Consulting, Utilization Management, Accreditation, Healthcare Management, Case Managment, Clinical Research, Healthcare Information..., Nursing Education, Utilization Review, Quality Management, Program Development, Quality Improvement, Health Policy, Patient Safety, Medicare, Informatics, Program Management, Physician Relations, Performance Improvement, Health Education, Hospitals, Medicaid, Disease Management, HIPAA, Health Promotion
Education
The Catholic University of America
Doctor of Philosophy (Ph.D.), Nursing
The Catholic University of America 1978 — 1980
MSN, Medical Surgical Nursing
PhRMA December 2013 - Present
American Academy of Ophthalmology April 2011 - November 2013
URAC January 2011 - April 2011
URAC October 2009 - March 2011
URAC December 2007 - July 2010
National Association of Child Care Resource & Referral Agencies September 2005 - December 2007
Skills
Non-profits, Policy, Medicare, Policy Analysis, Public Policy, Health Policy, Healthcare, Coalitions, Stata, Medicaid, Data Analysis, Healthcare Information..., Nonprofits, EHR, Advocacy, Public Speaking, Reimbursement, Quality Measures, Quality Improvement
Education
Georgetown University 2009 — 2012
MPP, Health Policy
The George Washington University 2002 — 2006
B.A., Women's Studies
RadSite January 2014 - Present
URAC February 2007 - December 2013
URAC February 1999 - January 2007
Skills
Budgets, Customer Service, Microsoft Office, Healthcare, Workshop Facilitation, Basic HTML, MatrixMaxx, DiscoverLink eLearning, E-Learning, Newsletters, Nonprofits, Public Speaking, Leadership, Program Management, Community Outreach, Organizational..., Management, Training
Education
Anne Arundel Community College
Associates of Applied Science, Business Management
Juniata College
Wound Ostomy and Continence Nurses Society February 2015 - Present
URAC May 2010 - October 2014
URAC January 2008 - May 2010
URAC January 2007 - January 2008
Patient Infosystems Careguide 1999 - 2006
Skills
Managed Care, Medicaid, Healthcare, Medicare, Nursing, Disease Management, PPO, Health Policy, Utilization Management, Healthcare Industry, Healthcare Consulting, Healthcare Management, New Business Development, Health Insurance, Hospitals, HIPAA, Leadership, Management, Healthcare Information..., Strategic Planning, Program Management
Education
Excelsior College
BSN, Registered Nursing/Registered Nurse
URAC 2005 - Present
Crawford & Company November 1992 - Present
Broadspire 1992 - Present
Kemper National Services 1992 - 2000
Kemper National Services 1997 - 1999
Kemper National Services 1992 - 1994
Skills
Compliance, Utilization Management, Case Management, Nursing, Process Improvement, Medical Management, Data Interpretation, Re-engineering, Healthcare Management, Healthcare, Workers Compensation, Managed Care, Insurance, Health, Disability Management, Case Managment, Physicians, Medical Case Management, Data Analysis, Management, Medicare, Quality Improvement, HIPAA, Utilization Review, Leadership, Claim, Clinical Research, Healthcare Information..., Workers' Compensation..., Disease Management, Medicine, EHR, Claims Management, PPO, Program Management, Medicaid, Healthcare Consulting, Provider Relations, Health Insurance, EMR, Hospitals, Subrogation, Medical Records, HMO, Healthcare Industry, Claim Investigation, Certified Case Manager, Health Policy, Claims Resolution, Long-term Care
Education
University of Phoenix 2006 — 2008
MBA, Business
Florida Atlantic University 1994 — 1997
BHS, Health Administration
Broward College 1984 — 1985
AS, Nursing
National Center for Missing and Exploited Children July 2007 - Present
URAC September 2005 - July 2007
Skills
Policy, Program Development, Grant Writing, Policy Analysis, Public Speaking, Government, Community Outreach, Nonprofits
Education
Sul Ross State University
Master's degree, Public Administration
URAC 2009 - Present
Child Care Network 2008 - 2012
Ceridian/Leade Health 2006 - 2007
UnitedHealth Group/Uniprise 2005 - 2005
HealthMedia 2004 - 2004
Skills
Consultative Selling, Client Relationship..., Customer Relations, Health Plans, Customer Satisfaction, Accreditation, Client Retention, Health, New Business Development, Healthcare Industry, Healthcare, Management, CRM, Health Policy, Selling, Program Management, Strategy, Customer Service, Marketing Strategy, Marketing
Education
Alma College
B.A., Business Administration and Mathematics
Principled Data Governance October 2010 - Present
CHRISTUS Health May 2015 - Present
Verizon (Information and Technical Services) February 2015 - July 2015
United Medical Center February 2013 - January 2015
URAC May 2005 - May 2013
ER Williams, Inc. April 2009 - October 2012
Burgess and Associates April 2003 - October 2010
TCBA 2003 - 2004
ARTC 1993 - 1996
Skills
Information Security, HIPAA, ISO 27001, IT Audit, Policy, Disaster Recovery, Government, Non-profits, Information Assurance, Strategic Planning, Healthcare, Public Speaking, Information Security..., Enterprise Risk..., Nonprofits, Risk Assessment, Risk Analysis, Management, Privacy Law, Hospitals, Risk Management, Managed Care, Privacy Policies, Compliance, Healthcare Industry, Healthcare Consulting, Sarbanes-Oxley Act, Medicare, Accreditation, Healthcare Information..., Security
Education
Harvard University Extension School
Information Technology
University of Illinois College of Law
JD, Law
Columbia University Mailman School of Public Health
MPH, Health Policy and Management
Virginia Commonwealth University - School of Business
Bachelor's of Science, Business Administration and Management, Finance
Workgroup for Electronic Data Interchange September 2011 - Present
SCORE, Counselors to America's Small Business August 2005 - September 2011
URAC January 2004 - June 2005
Health Insurance Association of America January 1999 - December 2003
Chesapeake Bay Foundation January 1996 - December 1999
National Paint & Coatings Association January 1996 - December 1996
Skills
Non-profits, Change Management, Organizational..., Program Management, Business Strategy, Leadership, Start-ups, Strategic Planning, Executive Coaching, Entrepreneurship, Management, Public Speaking, Operations Management, Fundraising, Strategy, Management Consulting, Leadership Development, Small Business, Executive Management, Healthcare, Governance, Nonprofits, Team Building, Policy, Business Planning, Business Development, Process Improvement, Government
Education
The George Washington University 2001 — 2005
Ed.D., Human and Organizational Studies
Hood College 1995 — 1997
M.S., Computer & Information Sciences
Notre Dame of Maryland University 1992 — 1994
B.A., Computer Information Systems
Chesapeake College 1990 — 1992
A.A., General Studies
Alion Science and Technology 2013 - Present
URAC 2013 - 2013
Northrop Grumman Information Systems 2009 - 2010
Accenture 2007 - 2009
Accenture 2007 - 2009
Sprint Nextel 2006 - 2006
Sprint Nextel 2006 - 2006
Sprint Nextel 2006 - 2006
Sprint Nextel 2006 - 2006
Skills
Microsoft SQL Server, SharePoint, Databases, Windows Server, Data Warehousing, IIS, Oracle, Visual Basic, Database Design, Operating Systems, VBScript, Windows 7, MySQL, Program Management, Access, Database Administration, Troubleshooting, XP, HTML, Healthcare Information..., MS Project, Visio, Information Technology, Network Administration
Education
Old Dominion University - College of Business and Public Administration 2001 — 2005
Bachelors Business and Public Administration, Information Technology/Database
Hampton University 2000 — 2001
Business Administration, Major Information Technology
Indian River High School 1996 — 2000
US Department of Transportation (DOT) February 2011 - Present
DHS, Intelligence and Analysis Branch September 2010 - February 2011
TSA June 2008 - September 2010
SRA International, Inc 2006 - June 2008
URAC 2002 - 2004
Exodus 2000 - 2002
Arca Systems 1997 - 2000
Skills
Privacy Law, Information Security, Project Management, Information Assurance, CISSP, Computer Forensics, Computer Security, Data Center, Data Privacy, Enterprise Architecture, FISMA, Government, Governance, IT Management, IT Strategy, ITIL, Information Security..., Information Technology, Integration, Leadership, Management, PMP, Policy, Program Management, Public Policy, Risk Assessment, Risk Management, Security, Vulnerability Assessment
Education
Mercyhurst University 2007 — 2012
George Mason University 1997 — 2000
MS, International Trade and Transactions
Defense Intelligence College 1993 — 1995
Strategic Intelligence
James Madison University 1988 — 1992
BA
Pluribus International Corporation September 2014 - Present
United States Air Force August 2000 - Present
DELTA Resources Inc. July 2013 - September 2014
AECOM October 2009 - June 2013
U.S. Department of State May 2008 - October 2009
URAC January 2008 - May 2008
Pentagon May 2001 - May 2008
Skills
Government, Military, Microsoft Office, Human Resources, Defense, Security Clearance, PowerPoint, Microsoft Excel, Management, Program Management, SharePoint, Microsoft Word, Policy, Health, Defense Travel System..., Global Employee..., E2 Solutions, Military Personnel Data..., Oracle, Personnel Concept III..., Administrative..., Executive..., Time & Attendance, Training, DoD, Leadership
Education
George Mason University 2005 — 2008
Bachelor of Science
Community College of the Air Force 2002 — 2005
Associates
Liberty University
Master of Business Administration (M.B.A.)
Integral Healthcare Solutions August 2003 - Present
ADP 2002 - 2003
URAC 1997 - 2002
Skills
Strategic Planning, Start-ups, Healthcare, Strategic Partnerships, Non-profits, Business Strategy, Management Consulting, Public Speaking, Marketing Strategy, Contract Negotiation, Project Management, Organizational..., Business Development, Process Improvement, New Business Development, Change Management, Leadership Development, Accreditation Consultant, Provider Credentialing, Quality Management
Education
The George Washington University School of Medicine and Health Sciences 1992 — 1994
Masters, Health Servises Administration
Queen's University 1989 — 1991
BA, Political Studies
URAC 2004 - 2006
North Fl Regional Hospital 1970 - 1979
Education
University of Florida
Aetna May 2014 - Present
URAC February 2012 - July 2013
Express Scripts October 2000 - September 2011
America's Health Insurance Plans (Formerly HIAA and AAHP) September 1994 - September 2000
Skills
Government, Pharmaceutical Industry, Health Policy, Medicare, Managed Care, Medicaid, Policy, Legislative Relations, Healthcare, Medicare Part D, Pharmacy, Legislation, Public Affairs, Pharmacy Benefit..., Healthcare Industry, Health Care Reform, Healthcare Management, Health Insurance, Leadership, Insurance, Disease Management, Healthcare Consulting, Coalitions, HIPAA, Strategic Communications, Public Policy, Program Management, Federal Government, Public Speaking, Policy Analysis
Education
St. Olaf College 1981 — 1985
B.A., English
Planned Parenthood Federation of America January 2012 - Present
URAC April 2008 - January 2012
JBS International, Inc. August 2001 - August 2003
Jacob's Institute of Women's Health March 1999 - August 2001
NCQA 1993 - 1998
Harvard Medical School, Dept. of Health Care Policy 1992 - 1993
Harvard School of Public Health 1989 - 1990
Skills
Podcast Production, Healthcare Industry, Quality Of Care, Writing, Editing, Project Management, Healthcare
Education
Harvard School of Public Health
M.S., Health Policy & Management
Yale University
B.A., History
Maxim Healthcare Services January 2013 - Present
Maxim Healthcare Services June 2011 - January 2013
URAC February 2008 - May 2011
Europ Assistance - USA November 2004 - October 2007
Johns Hopkins HealthCare 1998 - 2004
Skills
Instructor-led Training, Team Building, Adult Learning Theory, Coaching Staff, Human Resources, Account Management, Healthcare Compliance, Healthcare, Onboarding, Organizational..., Benefits Administration, Medical Compliance, Performance Management, Medicare, Program Management, Training, Leadership Development, Employee Training, Workshop Facilitation, Leadership, Strategic Planning, Customer Service, Employee Relations, New Hire Orientations, Recruiting, Policy, Management, Talent Management, Employee Engagement, Coaching, Staff Development
Education
Syracuse University
Bachelor of Science, Communications
UMBC
Instructional Systems Development
West Boylston High School
Kaiser Permanente Mid Atlantic States August 2013 - Present
Booz Allen Hamilton March 2008 - May 2010
URAC August 2005 - March 2008
Military Severely Injured Center 2003 - 2005
VNA Community Healthcare 1995 - 2002
Skills
Committee and Team..., Utilization Management, Appeals, Policy Writing, Managed Care, Program Development, Health Insurance, Program Management, State and Federal Laws..., Medicare, Medicaid, Accreditation, Health Care Reform, Clinical Research, Risk Analysis, Disease Management, Epidemiology, Strategic Planning, Public Health, Quality Improvement, Case Management, Medical Coding analysis
Education
Columbia University in the City of New York 2003 — 2005
MPH, Public Health
University of Baltimore 2001 — 2003
BS, Health Systems Management, Cum Laude
Howard Community College 1988 — 1990
AS, Nursing, Magna Cum Laude
Walgreens March 2011 - Present
Morgan, Lewis & Bockius LLP April 2009 - February 2011
Sonnenschein Nath & Rosenthal LLP March 2005 - April 2009
URAC August 1998 - February 2005
Skills
Legal Research, Legal Writing, Internal Investigations, Administrative Law
Education
The George Washington University Law School 2000 — 2004
JD, Law
University of Richmond 1994 — 1998
BA, International Studies; Political Science
Lawrence E. Berman/Law Office-Health Care Consulting December 2013 - Present
URAC January 2011 - December 2013
National Committe for Quality Assurance January 2010 - September 2010
Special Counsel June 2008 - December 2009
Kaiser Permanente Health Plan April 2007 - May 2008
District of Columbia Insurance Federation September 1999 - April 2007
American Preferred Provider Plan June 1997 - December 1998
George Washington University Health Plan July 1980 - June 1997
Skills
health care, insurance, in-house counsel, Corporate Governance, Litigation, Legal Advice, Regulations, Policy, Privacy Law, Policy Analysis, Contract Negotiation, Contract Management, Public Speaking, Dispute Resolution, Healthcare Management, Non-profits, Medicare, Mergers, Employment Law, Mediation, Legal Writing, Legal Research, Legal Compliance, Healthcare, Employee Benefits, Nonprofits, Analysis, Litigation Management, Managed Care, Insurance, Medicaid, Healthcare Industry, Mergers & Acquisitions, Health Policy, Government, Corporate Law, HIPAA, Licensing
Education
Georgetown University Law Center
J.D., Contracts, Tax
University of Pennsylvania - The Wharton School
B.S., Business Administration (Accounting, Economics), 3.3 (cum laude)
URAC March 2008 - December 2008
URAC August 2007 - March 2008
Skills
HTML, Public Speaking, Research, Databases
Education
George Mason University 2003 — 2006
Masters
URAC 2011 - August 2015
HRA-NCA (DC SHRM Chapter) June 2003 - June 2012
Independent Consultant June 2010 - November 2011
SES Americom December 2004 - October 2009
Verestar, Inc. May 2000 - December 2004
National Automobile Dealers Association March 1997 - April 2000
Skills
Employee Relations, Human Resources, Workforce Planning, Talent Acquisition, Change Management, Performance Management, Mergers, Payroll, Management Coaching, Organization, Corporate Development, Business Services, Consolidation, Employee Benefits, Benefits Administration, Deferred Compensation, HRIS, Mergers & Acquisitions, Talent Management, New Hire Orientations, Employee Engagement, Recruiting, Leadership, Succession Planning, Organizational...
Education
Georgetown University 2010 — 2010
Masters Certification, Executive Leadership
University of Maryland University College
BS, Human Resources Management and Labor Relations
Human Resource Certification Institute
Senior Professional In Human Resources
George Mason University
Certificate in Human Resources
Accenture November 2013 - Present
Self-Employed December 2012 - November 2013
Amerigroup Corporation January 2012 - November 2012
Amerigroup November 2010 - November 2012
URAC December 2009 - November 2010
URAC November 2007 - November 2009
URAC March 1999 - September 2007
Skills
Certified Professional..., Certified Professional...
Education
Strayer University 2004 — 2008
MPA, Public Administration
Radford University 1977 — 1981
BSN, Nursing
URAC February 2011 - Present
CVS Caremark 2000 - 2011
Texas Health Choice May 1999 - October 2001
Skills
Disease Management, Healthcare, Accreditation, Utilization Management, Managed Care, Medicare, Pharmaceutical Industry, Healthcare Information..., Healthcare Industry, Healthcare Management
Education
Texas Woman's University 1988 — 1994
MS, Nursing
HSCSN July 2013 - Present
URAC May 2012 - July 2013
DC Chartered Health Plan 2000 - June 2012
George Washington University Health Plan January 1999 - February 2000
Oleen January 1997 - January 1998
Skills
Performance Measurement, Health Plan Operations, Medicaid & Medicare, System Implementations, Business Process..., Data Analytics, System Configuration, Project Management, Healthcare Information..., Disaster Recovery, Insurance, IT Strategy, Process Improvement, SDLC, Healthcare, Medicaid, Program Management, HIPAA, Data Warehousing, Microsoft Excel, Software Documentation, Project Portfolio..., Visio, PMO, Vendor Management, Integration, Business Analysis
Education
Towson University 1978 — 1983
ba, business administration
American Family Insurance July 2010 - Present
American Family Insurance July 2010 - Present
URAC September 2009 - June 2010
SEI LLC August 2008 - September 2009
Skills
Sales Management, New Business Development, Account Management, Insurance, Sales, Business Strategy, Negotiation, Management, Strategic Planning, Customer Service, Marketing Strategy, Direct Sales, Change Management, Team Building, Team Leadership, Marketing, B2B, Health Insurance, Sales Process
Education
North Dakota State University 2000 — 2003
Bachelor's Degree, Mass Communication/Media Studies
URAC 2012 - Present
American Society of Clinical Oncology (ASCO) 2005 - 2012
Envision EMI 2004 - 2005
National Rifle Association 2001 - 2003
National Right To Work Foundation 1995 - 2001
National Right to Work Foundation 1995 - 2001
Conference of State Bank Supervisors 1993 - 1995
Education
Liberty University
Bachelor's Degree, Accounting and Business/Management
American College of Physicians July 1998 - Present
URAC 1998 - Present
eHealth Initiative 2008 - 2009
American Society of Internal Medicine January 1979 - June 1998
Skills
Healthcare, Nonprofits, Policy, Public Affairs, Public Policy, Medicine, Public Speaking, Blogging, Physicians, Non-profits, Internal Medicine, Health Policy, Analysis, Medical Education, Publications, Healthcare Management, Policy Analysis, Advocacy, Strategic Planning
Education
American University 1974 — 1978
B.A., Political Science, Magna Cum Laude graduate
Health Care Consultant 2007 - Present
URAC 2006 - Present
Specialty Medical Reviews 2008 - 2013
RI Free Clinic 2006 - 2012
Coventry Health Care April 1998 - July 2007
Skills
Managed Care, Clinical Research, Healthcare, Utilization Management, Medicine, Utilization Review, Physicians, Healthcare Management, Health Policy, Medicare, Healthcare Information..., Disease Management, Medicaid, Hospitals, Healthcare Consulting, Quality Improvement, Internal Medicine, Provider Relations, Pharmacy, Infectious Diseases, Accreditation, Informatics, Public Health, Policy, Physician Relations, Healthcare Industry
Education
Harvard Medical School 1975 — 1978
Infectious Disease Fellowship; Instructor in Medicine
Brown University 1972 — 1975
Internal Medicine Residency
University of Wisconsin-Madison 1965 — 1972
Doctor of Medicine (MD), Medicine
PwC August 2011 - 2014
PwC June 2010 - August 2010
URAC June 2009 - August 2009
Suzanne Kosmas for Congress March 2008 - December 2008
Jolanda Jones for City Council September 2007 - January 2008
Jenny Wilson for Mayor (Primary Campaign) August 2007 - September 2007
Center for Development Studies and Management February 2006 - July 2006
Skills
Strategy, Policy Analysis, Program Management, Organizational..., Spanish, Business Strategy, Healthcare, International..., Management Consulting, Strategic Communications, Business Process..., Social Media, Event Planning, Data Analysis, Financial Modeling, Performance Improvement, Health Policy, Public Health, Strategic Planning, Project Management, Process Improvement, Education Program..., Educational Materials..., Physician Relations, Physician Alignment, Persuasive Presentations
Education
Emory University, Rollins School of Public Health 2009 — 2011
Master of Public Health
Rice University 2003 — 2007
Bachelor of Arts
Pontificia Universidad Católica de Chile 2006 — 2006
Universitat Pompeu Fabra 2005 — 2005
URAC February 2008 - Present
GENEX Services, Inc. 2006 - 2008
MetLife 2002 - 2004
Sheakley Unicomp 1997 - 2002
Skills
Quality Of Care, Utilization Management, Disease Management, Healthcare Industry, Quality Improvement, Healthcare Management, Accreditation, Case Management, Utilization Review
Education
Ball State University
Bachelor of Science, Registered Nursing/Registered Nurse
Accounting Principals November 2012 - Present
US Department of Health & Human Services November 2010 - July 2012
AmeriChoice MSO/UnitedHealth Group March 2007 - March 2009
Qualis Health February 2005 - March 2007
Virginia Mason Medical Center April 2003 - October 2004
URAC February 2000 - December 2002
Skills
Word, PowerPoint, Excel, Outlook, Event Planning, Visio, Non-profits, Healthcare, Government, Administrative Support, Nonprofits, Administrative..., Management, Healthcare Management, Microsoft Word, Administration, Microsoft Excel, Access, Program Management
Education
Marymount University 1993 — 1997
B.A., Psychology & Biology
URAC: The Leader in Pharmacy, Case Management & Health Plan Accreditation February 2013 - Present
URAC June 1999 - February 2013
West Penn Hospital August 1995 - June 1999
Skills
Healthcare Management, Healthcare, Managed Care, Medicare, Medicaid, Healthcare Information..., Healthcare Consulting, Hospitals, HIPAA, Disease Management, Patient Safety, Quality Improvement, Health Policy, Nursing, Utilization Management, Accreditation
Education
Penn State University 1992 — 1994
Bachelor of Science, Registered Nursing/Registered Nurse
CCAC 1981 — 1983
Associate Degree, Nursing
URAC May 2013 - Present
United States Air Force October 1986 - Present
Medical Mutual February 2012 - May 2013
Highmark, Inc. February 1998 - February 2012
Skills
Customer Service, Public Speaking, Strategic Planning, Budgets, Negotiation, Quality Improvement, Healthcare, Hospitals, Healthcare Information..., Accreditation, Leadership, HIPAA, Process Improvement, Nursing, Medicare, Healthcare Management, Credentialing, Utilization Management, Managed Care, Case Management, Healthcare Industry
Education
University of St. Francis 1989 — 1991
Bachelor of Science (BS), Health/Health Care Administration/Management
Community College of Allegheny County 1987 — 1989
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Thompson Peak Consultants LLC July 2013 - Present
URAC November 2010 - June 2013
Jastrzab Consulting January 2008 - October 2010
CVS Caremark Corporation October 1995 - December 2007
Skills
URAC Accreditation..., Specialty Pharmacy, Mail Pharmacy, Pharmacy Benefit..., Managed Care, Healthcare Consulting, Pharmacy Consulting, Healthcare Management, Long-term Care, Account Management, Pharmacy, Healthcare, Healthcare Industry, Patient Safety, Accreditation, Quality Improvement, Disease Management, Pharmacists, HIPAA, Medicare, Pharmaceutical Industry
Education
Ferris State University
Bachelor of Pharmacy (BPharm), Pharmacy
University of Phoenix
Master of Business Administration (MBA)