Regional non-profit health insurer; part of The Lifetime Healthcare Companies, collectively a $6.6 billion family of companies providing health coverage and services to 1.5 million members. Analyze prospective Hospital and Facility reimbursements, rate structures, and payment methodologies. Successfully implement negotiated rates, fee schedules, and reimbursements.

Regional non-profit health insurer with 700,000 members in 3 states and annual revenues of $2.5 billion (formerly Preferred Care).Successfully developed and managed renewal book of business for large and mid-size employer groups in Western and Central NY. Developed bid rates for prospects through analysis of group specific claims experience, enrollment, premium, demographic, and industry factors. Coordinated with Sales/Marketing Team to understand employer group account needs and collaborated on RFP development. Prepared and analyzed reports, including trend analysis, employer group reporting, financial, and membership. Gained experience with Commercial, Medicare, Medicaid, and Direct Pay lines of business, as well as experience rating, community rating, and administrative services only (ASO) pricing. Consulted with Products Teams to develop cost & premium impacts of benefit changes, new products, and riders. Developed annual pro forma financial statements for review with CFO & CEO.

Provider of contract sterilization services and related laboratory testing for medical and pharmaceutical devices.Supervised a staff of four in two offices, with responsibilities for monthly financial closings. Prepared and analyzed financial statements for management reporting. Monitored, researched, and reviewed Accounts Receivable and Accounts Payable functions.

Alternative high school, nursery and preschool for teenage mothers and children.Managed all financial operations for non-profit alternative high school with 20+ teenage students and 70+ nursery/preschool children, including grant proposal writing, compliance, budgeting, financial reporting, accounts receivable, accounts payable, and payroll. Supervised office clerk and assisted in training of four office personnel.•Successfully applied for and received numerous grants from federal, state, and local agencies, totaling about $200,000 annually.•Managed all grant awards to ensure financial and reporting compliance with post grant award contract conditions, renewed existing grants and sought out new grant opportunities.•Developed and won South Carolina state grant for van to help transport students and children.•Created various financial reports and budgets for review with Executive Director and Board of Directors.

Provider of health benefits products and services to employer groups and individuals.•Conducted cost center evaluations to develop proper allocation methods for costing multiple lines of business and allocating costs to appropriate Strategic Business Unit (SBU).•Prepared and analyzed financial reports for both internal and external use.•Monitored invoices from Buffalo to all control plan locations for reimbursement.•Processed cash receipts from all control plans and reconciled accounts receivable.