Fidelis Care
Industry: Insurance company
DescriptionFidelis Care is a New York-based health insurance company. Formed in 1993, Fidelis Care serves more than 1.7 million New York residents. It is a subsidiary of Centene Corp. CEO: Father Patrick J. Frawley (Jul 2012–) Headquarters: United States of America Parent organization: Centene Corporation Founded: 1993 Staff: 4550 (est.) Subsidiary: Better Health Plan Inc
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Fidelis Care Employees
Payco June 2014 - Present
Payco May 2013 - Present
WB Mason January 2012 - May 2013
Health Care Partners April 2011 - December 2011
Fidelis Care October 2008 - April 2011
Citadel Broadcasting, Wild 104.1 The Whale 99.1 Hawk 98.5 WBFN February 2008 - October 2008
Skills
Salesforce.com, Customer Service, Cold Calling, Sales Presentations, Outside Sales, B2B, Sales, Account Management, Advertising, Marketing, New Business Development, Social Networking
Education
State University of New York College at Buffalo 2005 — 2007
Public Communications, Communication and Media Studies
Lemongrass Spa February 2015 - Present
DentaQuest May 2014 - Present
DentaQuest April 2013 - May 2014
American Cancer Society 2013 - 2013
Medical Business Associates, Inc. 2013 - 2013
UnitedHealth Group 2013 - 2013
Fidelis Care 2013 - 2013
Hudson Headwaters Health Network 2013 - 2013
Skills
Provider Relations, HMO, Medicaid, Medicare, Network Development, Managed Care, Medicaid Managed Care, HIPAA, NCQA, Healthcare Industry, Insurance, Claim, Healthcare Consulting, Medical Billing, Provider Networks, EHR, Contract Management, Health Insurance, Health Policy, Credentialing, Healthcare Management, Healthcare, Process Improvement, Leadership, Team Building, Management, Strategic Planning
Education
Boston University School of Social Work 1995 — 2000
Master of Social Work (MSW), Clinical/Medical Social Work
Boston University School of Public Health 1995 — 1999
MPH, Health Law
The College of Saint Rose 1986 — 1990
Bachelor of Arts (B.A.), Public Communications
Fidelis Care October 2014 - Present
Univera Healthcare August 2014 - October 2014
Univera Healthcare September 2012 - August 2014
Univera Healthcare July 2011 - August 2012
Univera Healthcare September 2008 - June 2011
Excellus BCBS September 2007 - August 2008
Skills
Analysis, Health Insurance, Actuarial Science, SAS, Financial Modeling, Data Analysis, Financial Analysis, Microsoft Excel, Statistics, Process Improvement, Management, Valuation, Budgets, Medicare, VBA, Business Intelligence, Managed Care, HEDIS, SQL
Education
State University of New York at Buffalo - School of Management 2013 — 2016
Master of Business Administration (M.B.A.)
University at Buffalo 2005 — 2007
M.A., Mathematics
State University of New York at Buffalo 2001 — 2005
Bachelor of Science (B.S.), Mathematics, Cum Laude, English Minor with Highest Distinction
St. Joseph's Collegiate Institute 1998 — 2001
High School Diploma
Fidelis Care February 2014 - Present
Northwestern Memorial Hospital June 2013 - February 2014
Northwestern Memorial Hospital June 2010 - May 2013
Northwestern Memorial Hospital December 2008 - June 2010
Advanced Resources September 2008 - December 2008
Webster University January 2007 - July 2008
American International Group January 2006 - December 2006
Education
Webster University 2007 — 2008
Masters, Human Resources Development
Saint Louis University 2003 — 2006
Bachelors, International Business
Fidelis Care June 2014 - Present
GLOBALFOUNDRIES February 2013 - June 2014
NYS Department of Health March 2012 - February 2013
New York State Thruway Authority November 2010 - May 2011
Express Scripts July 2010 - November 2010
WRGB CBS 6 January 2010 - May 2010
SUNY DELHI August 2007 - December 2007
SUNY DELHI August 2007 - August 2007
Camping World May 2007 - August 2007
Skills
Windows 7, Computer Hardware, Software Documentation, Windows, Active Directory, Web Design, Data Entry, Microsoft Office, VMware, Windows XP Pro, Lotus Notes, Technical Support, Software Installation, Operating Systems, Windows Server, Hardware, Customer Service, Help Desk Support, Leadership, Troubleshooting, Windows XP
Education
College at Brockport 2007 — 2010
Bachelors Degree, Communications
State University of New York at Delhi 2005 — 2007
Associates Degree, Computer Science
Fulton Montgomery Community College 2010 — 2011
Canajoharie High school 2001 — 2005
Wells Fargo December 2014 - Present
Fidelis Care August 2014 - October 2014
First Niagara Bank August 2012 - August 2014
Skills
Banking, Customer Service, Sales, Leadership, Credit, Health Insurance, Loans, Call Centers
Education
Old Dominion University
Information Technology, Information Technology
Suffolk Nassau Home Realty October 2013 - Present
Fidelis Care September 2014 - September 2015
United health Care Community Plan January 2011 - September 2014
long island al Dia 2011 - 2011
CANTV 1997 - 2001
Skills
Public Relations, Public Speaking
Education
Universidad Central de Venezuela 1986 — 1992
Press and Public Relations
International Academy of Astrology
Astrologia: Camino de la Luz
Fidelis Care April 2015 - Present
North Shore-LIJ Health System July 2013 - February 2015
Visiting Nurse Service of New York 2002 - 2013
Whitehead Mann 2000 - 2001
Mitchell Madison Group 1999 - 2000
McKinsey & Company 1995 - 1999
Education
SUNY Oneonta
Bachelor of Arts (BA), English
inLighten April 2008 - February 2015
Fidelis Care May 2006 - January 2008
Canterbury Woods January 2004 - May 2006
Skills
Event Planning, Cross-functional..., Trade Show Planning, Professional Phone..., Hiring Practices, Database Administration, Digital Proofing, Office Management, Microsoft Office, Accounting, Logistics, Outlook, PowerPoint, Data Entry, Customer Service, Lotus Notes, Microsoft Excel, Time Management, Healthcare, Sales, Leadership, Team Building
Education
State University of New York College at Buffalo
State University of New York College at Buffalo
Whitehead Solution Partners August 2007 - Present
Fidelis Care October 2013 - March 2014
Roswell Park Cancer Institute December 2010 - September 2013
Adeptiv Solutions, LLC 2002 - 2007
Computer Task Group (CTG) 1995 - 2002
Curbell 1991 - 1994
Ultra Tool and Plastics.nc 1987 - 1991
Whitehead Stride Rite Bootery 1981 - 1984
Skills
Process Improvement, Project Management, Strategic Planning, PMO, Leadership, ERP, Quality Assurance, Business Intelligence, SDLC, Program Management, Change Management, Budgets, PMP, Strategy, Business Process..., Healthcare, Recruiting, Risk Management, Information Technology, Integration, Business Process, Vendor Management, Cross-functional Team..., IT Strategy, Enterprise Software, Business Analysis, MS Project, Management, Team Building, Governance, Visio, Management Consulting, CRM, Software Documentation, Consulting, Requirements Gathering, Analysis, Microsoft Project, Training, Resource Management, Business Strategy, Project Planning, Networking, IT Management, Team Leadership
Education
State University of New York College at Buffalo 1999 — 2001
MBA, Business
LAVC
LAVC
Fidelis Care September 2014 - Present
HMS September 2003 - September 2014
Skills
Project Planning, Project Management, Technical Writing, Data Analysis, Data Mapping, Reports, Reseach and Development, Agile Project Management, Agile Methodologies, Agile Testing, Scrum, Testing, Test Planning, Personnel Supervision, Prioritize Workload
Education
SUNY Fredonia 1991 — 1995
Bachelors Degree, Health Services Administration
Fidelis Care July 2013 - January 2014
ADP January 2010 - December 2012
Sutherland Global Services February 2009 - April 2010
Rainbow distributor 2004 - 2008
Empire Division, Inc January 1999 - January 2001
Skills
Payroll, Consultative Selling, Workforce Management, Cold Calling, Salesforce.com, Customer Relations, Selling, Customer Service, ADP Payroll, Recruiting, Marketing, Sales, Sales Presentations, Retail, Sales Process, Account Management, Employee Benefits, Training, Management, New Business Development
Education
West Genesee High School 1996 — 2000
Onondaga Community College
School name:
Fidelis Care November 2014 - Present
MVP Health Care November 2007 - November 2014
Treo Solutions August 2004 - October 2007
The Lake Placid Lodge May 2002 - May 2003
American Management Systems July 2000 - October 2001
American Management Systems September 1998 - June 2000
Legg Mason June 1997 - August 1997
Skills
Project Management, PMP, Cross-functional Team..., Program Management, MS Project, Project Delivery, Change Management, Health Insurance, Organization, Efficiency, Six Sigma, Certified Green Belt, Leadership, Team Leadership, Workshop Facilitation, Management, AIM, Healthcare, Economics, Health Care Economics, Managed Care, Training, Instructor-led Training
Education
The Johns Hopkins University 1994 — 1998
Bachelor of Arts (B.A.), Economics
State University of New York at Albany 2003 — 2004
Masters, Economics with concentration in Health Economics and Policy
Fidelis Care September 2013 - Present
Wyoming Interagency Network September 2012 - Present
Fidelis Care March 2011 - September 2013
Curbell, Inc. July 2009 - November 2010
Gaymar Industries 2005 - May 2009
Power Personnel 2002 - 2005
Skills
Medicaid Managed Care, Medicaid, Child Health Plus, Affordable Care Act, Hospitals, Sales, Management, Marketing, Long-term Care, Customer Service, Health Insurance, Medicare, Managed Care, Insurance, Leadership, Sales Presentations, Healthcare, HIPAA
Education
State University of New York College at Fredonia 1998 — 2002
Bachelor of Arts (BA), English Language and Literature, General
WellCare of New York March 2013 - November 2014
NY Access Medicare September 2012 - February 2013
Fidelis Care January 2010 - June 2011
Humana September 2007 - December 2008
Xerox 2006 - August 2007
CIGNA January 2005 - January 2006
Channel P.C February 2003 - August 2004
EmblemHealth November 2000 - January 2003
Skills
Project Management, Organization, Analytics, Corporate Finance, Presentations, Data Analysis, Analysis, Customer Retention, Strategy, Management, Leadership, Finance, Process Improvement, Cross-functional Team..., Customer Service, Training, Vendor Management, Health Insurance, Healthcare, HIPAA, Employee Benefits, Healthcare Management, Managed Care, Medicare, Strategic Planning
Education
Pontificia Universidad Católica Madre y Maestra 1997 — 2000
Bachelor's degree, Marketing/Marketing Management, General, 2.97
Visiting Nurse Service of New York April 2013 - Present
Visiting Nurse Service of New York June 2010 - March 2013
Fidelis Care May 2007 - May 2010
Stony Brook University September 2004 - May 2007
Skills
Healthcare Management, Healthcare Information..., Data Analysis, Analytics, SAS programming, Quality Improvement, Managed Care, Fraud Detection, Medicaid Managed Care, Medicare Advantage, Health Policy, Public Health, Healthcare Consulting, Medicare, Epidemiology, Access, Process Improvement, Research, Management
Education
Stony Brook University 2005 — 2007
Master's Degree, Masters in Public Health (MPH)
Stony Brook University 2002 — 2005
Bachelor's Degree, Biochemistry
Fidelis Care June 2008 - Present
Catskill Center for Independence September 2007 - June 2008
Springbrook NY, Inc May 2006 - May 2008
Opportunities for Otsego February 2006 - August 2007
Skills
Customer Service, Insurance, Health Insurance, Employee Benefits, Customer Retention, Cold Calling, Sales, Healthcare, Marketing, Team Building
Education
SUNY Cortland 2002 — 2005
Bachelor of Science (BS), Early Childhood Education and Teaching
SUNY Oneonta 2001 — 2002
Bond Financial Network March 2014 - Present
WellCare March 2012 - February 2014
Fidelis Care March 2011 - March 2012
Unity Health System 2009 - 2011
Skills
Life, Accident, Health..., Medicare Advantage, Medicaid Managed Care, Employee Benefits, Customer Service, Medicare, Healthcare, Health Insurance, Insurance, Process Improvement, Training, Microsoft Excel, Leadership, Medicaid
Education
State University of New York College at Brockport 2007 — 2010
Master of Public Administration (MPA), Health/Health Care Administration/Management
Fidelis Care July 2015 - Present
CDPHP July 2013 - July 2015
CDPHP April 2012 - July 2013
CDPHP June 2011 - March 2012
CDPHP September 2010 - June 2011
CDPHP April 2008 - July 2010
Skills
Business Intelligence, Business Analysis, Data Warehousing, Health Insurance, Requirements Analysis, Requirements Gathering, SDLC, SQL, Medicare, Software Documentation, Vendor Management, HIPAA, Healthcare, Insurance, Process Improvement, Visio, Analysis, Data Analysis, Business Requirements, Claim, Healthcare Information..., Medicaid, Databases, Microsoft SQL Server
Education
State University of New York College at Geneseo
Bachelor of Arts (BA), Political Science and International Relations
Fidelis Care June 2014 - Present
Fidelis Care December 2013 - June 2014
WBBZ Buffalo's Buzz TV December 2010 - December 2013
EMS Healthcare Informatics April 2009 - December 2010
Systems Personnel Group January 2008 - April 2009
LocalNet November 2006 - January 2008
Skills
Project Management, Account Management, New Business Development, Business Development, Marketing, Team Leadership, Sales, Sales Management, Business Analysis, Strategic Planning, CRM, Social Media Marketing, Customer Service, Contract Negotiation, Process Improvement, Recruiting, Project Planning, Analysis, Management, Leadership, Team Management, Team Building, Vendor Management, Solution Selling, Sales Process, Product Marketing
Education
SUNY Fredonia
State University of New York at Buffalo - School of Management
BS Buisness Administration, Marketing
Tag Wall, LLC March 2015 - Present
Long Island Care Center Inc May 2014 - Present
Fidelis Care January 2012 - October 2013
Guy Brewer Pharmacy May 2008 - January 2012
Sign Zone April 2005 - May 2008
Skills
Automotive, Acting, Analytics, Administrative..., Business, Customer Service, Entrepreneurship, Entertainment, Economics, Events, Food, Fine Art, Film Production, Hospitality, Knowledge Management, Leadership, Lotus Notes, Microsoft Office, Microsoft Excel, Microsoft Word, Modeling, Marketing Research, Negotiation, Social Networking, Network Administration, Office Management, Organization, Photoshop, Renovation, Recording, Theatre, Writing, Windows
Education
Touro College 2011 — 2013
Bachelor of Applied Science (B.A.Sc.), Accounting and Business/Management
Cant remember
Cant remember
Cant remember
Fidelis Care April 2014 - Present
Algonquin Studios January 2014 - February 2014
Algonquin Studios March 2013 - January 2014
Algonquin Studios January 2012 - March 2013
Skills
ASP.NET, XML, Microsoft SQL Server, AJAX, T-SQL, Database Design, IIS, XSLT, VB.NET, .NET, JavaScript, Visual Studio, ASP, jQuery, CSS, Visual Basic, VBScript
Education
State University of New York at Buffalo - School of Management 2009 — 2012
Bachelor of Science (B.S.), Business Administration, Management Information Systems
Fidelis Care November 2014 - Present
CDPHP August 2008 - October 2014
HealthNow New York Inc. 1999 - August 2008
Skills
Health Insurance, NetworX, Facets Product..., Facets Pricing..., Rational Team Concert, ASO Configuration, Databases, Medicaid, Claim, HIPAA, HMO, Provider Relations, Medicare, SDLC
Education
Southern New Hampshire University 1993 — 1997
Bachelors of Science, Sports Management
Fidelis Care May 2013 - Present
Express Scripts April 1996 - December 2012
The Hospital For Special Surgery April 1989 - April 1996
Education
St. John's University, New York
B.S. in Pharmacy & M.S.in Institutional Pharmacy Practice, Pharmacy Administration and Pharmacy Policy and Regulatory Affairs
Queens College
Bachelor's degree, Biology and Anthropology
LocalEdge November 2014 - Present
LocalEdge June 2014 - November 2014
Fidelis Care June 2013 - June 2014
Massage Envy December 2011 - June 2014
Fidelis Care NY March 2012 - June 2013
Becca Schack September 2011 - October 2012
NYC Originals October 2011 - December 2011
The Syndicate November 2009 - December 2011
BuffaloBarfly.com May 2011 - August 2011
Righteous Babe Records December 2009 - February 2010
Skills
Social Networking, New Media, Event Planning, Social Media Marketing, Event Management, Social Media, Event Marketing, Website Promotion, New Media Marketing, Public Relations, Brand Development, Branding & Identity, Marketing, Blogging, SEO, Facebook, Integrated Marketing, Marketing Strategy, SEM
Education
Saint Bonaventure University 2013 — 2014
Master of Arts (MA), Integrated marketing communications
Erie Community College 2013 — 2013
Associate of Science (A.S.), Information Technology Project Management
State University of New York College at Fredonia 2008 — 2011
Bachelor of Science, Music Business
Lancaster High School 2004 — 2008
High school diploma
Fidelis Care January 2015 - Present
Guardian Life September 2007 - November 2014
Citi May 1998 - September 2007
Fuji Bank & Trust Company April 1994 - May 1998
JPMorgan Chase & Co. September 1993 - April 1994
Skills
Financial Reporting, Financial Analysis, Financial Statements, Variance Analysis, Mutual Funds, GAAP, Accounting, Problem Solving, General Ledger, SEC Filings, Financial Planning, Account Reconciliation, Bank Reconciliation, Accounts Payable, Accounts Receivable, Research, Securities, Finance
Education
Queens College 1989 — 1993
Bachelor's Degree, Accounting & Information Systems
Fidelis Care September 2013 - September 2014
Gramercy Communications November 2012 - April 2013
Skills
Public Speaking, Writing, Managing Deadlines, Organization, Customer Service, Public Relations, Management, Prezi, Marketing, Microsoft Office, Microsoft Word, Marketing Communications, Social Media
Education
The College of Saint Rose 2012 — 2013
Master of Business Administration (MBA), Business, Management, Marketing, and Related Support Services
State University of New York College at Oneonta 2010 — 2012
Bachelor of Science, Communication Studies, Major: Communication, Minor: Business Communication
State University of New York College of Agriculture and Technology at Cobleskill 2008 — 2010
Associates, Liberal Arts
Guilderland Central High School 2004 — 2008
Fidelis Care September 2014 - Present
Fidelis Care December 2013 - September 2014
Dunkin Donuts August 2013 - December 2013
Dunkin Donuts June 2013 - August 2013
Dunkin Donuts August 2011 - June 2013
McDonald's Corporation January 2010 - August 2011
Skills
Leadership, Team Building, Customer Service, Personnel Management, Medicaid Managed Care, Call Center Development, Document Review, Documentation, Workflow Diagrams, Interpersonal...
Education
Niagara University 2009 — 2012
Bachelor's Degree, Criminal Justice and Criminology, Minors in Philosophy, Theology and Pre-Law
Grand Island Senior High School 2006 — 2009
High School, College Preparation
Fidelis Care September 2014 - Present
CSC April 2013 - September 2014
Kaiser Permanente IT December 2011 - February 2013
MVP Health Care November 2010 - December 2011
ValueOptions October 2008 - October 2010
Skills
QA Analyst, Microsoft Office 2007, Project Management, Analytic Reporting, Automated Software..., Management, Requirements Gathering, Databases, Claim, Visio, Testing, Business Analysis, Access, Quality Assurance, Medical Billing, SDLC, User Acceptance Testing, Software Documentation, Process Improvement, Requirements Analysis, Analysis
Education
The Sage Colleges-Sage College of Albany 2005 — 2007
Bachelor of Science, Physical Education Teaching and Coaching
Fidelis Care April 2014 - Present
KeyBank April 2010 - April 2014
Manpower Professional November 2007 - April 2010
Manpower, Inc August 2005 - November 2007
Skills
Talent Acquisition, Recruiting, Resume Writing, Employee Relations, Technical Recruiting, Talent Management, Human Resources, Employee Benefits, Sourcing, HRIS, Onboarding, Performance Management, Internet Recruiting, College Recruiting, Leadership, Organizational..., Training, Applicant Tracking..., Temporary Placement, Leadership Development
Education
The Sage Colleges-Sage Graduate School 2006 — 2009
MBA, Human Resources
Siena College 2003 — 2005
BA, English
State University of New York College at Cortland 2001 — 2003
New York State Gaming Commission January 2009 - Present
Kingston Hoops Summer Sizzle Basketball League July 2006 - Present
Fidelis Care January 2008 - December 2009
Bob Lawrence & Associates March 2004 - January 2006
ETI Sales Support January 2002 - March 2004
Ruder Finn Healthcare June 1996 - September 1999
Skills
Microsoft Office, SQL, QuarkXPress, Audit Report Writing..., Workplace Domestic..., Leadership Development, Community Development, Marketing Communications, Community Outreach, Online Journalism, Newsletter Production, Online Research, Casino Gaming, Internal Controls, Internal Audit, Not for Profit, Public Speaking, Public Relations, Speech Writing, Healthcare Industry, Marketing, Nonprofits, Editing, Event Planning, Fundraising, Leadership, Newsletters, Management, Social Networking, Social Media
Education
State University of New York at New Paltz 2001 — 2002
MBA, Marketing Management
State University of New York at New Paltz 1999 — 2001
Bachelor of Science (BS) & Business Administration (BA), Journalism & Marketing, Cum Laude
The Scarlett Agency November 2014 - Present
Fidelis Care March 2014 - November 2014
NewsChannel 9 WSYR May 2013 - August 2013
Voice of America May 2012 - August 2012
Graphic Controls May 2011 - August 2011
Cornell Cooperative Extension May 2010 - August 2010
Skills
Microsoft Office, Public Relations, Customer Service, PowerPoint, Excel, Social Networking, Market Research, Word, Public Speaking, InDesign, Photoshop, Microsoft Excel, Broadcast, Teamwork, Facebook, Management, Microsoft Word
Education
State University of New York College at Oswego 2009 — 2013
Bachelor of Business Administration (B.B.S.)
State University of New York College at Oswego 2009 — 2013
Bachelor of Broadcasting and Mass Communications (B.B.A)
Fidelis Care May 2013 - Present
Lighthouse Technology Services, Inc. March 2013 - May 2013
Health Now/Blue Cross Blue Shield of WNY June 2012 - March 2013
Sodexo February 2001 - June 2012
Sodexo February 2001 - March 2012
Andalon.Com January 2000 - February 2001
MBMS, Inc. May 1996 - December 1999
Skills
Customer Satisfaction, Team Leadership, Strategic Planning, Team Building, Project Management, Cross-functional Team..., Vendor Management, Customer Service, Process Improvement, Budgets, Change Management, Public Speaking, Business Analysis, Software Quality..., Software Project..., Business Intelligence, Management, Training, SDLC, Program Management, Business Process, Software Documentation, Quality Assurance, Project Planning, Analysis, Business Process..., Operations Management, Team Management, Project Portfolio..., Visio, Leadership, PMP, PMO, MS Project, Resource Management, IT Management, Requirements Analysis, ERP, Risk Management, SharePoint, IT Strategy, SAP, Strategy, CRM, ITIL, Process Engineering, Integration, Human Resources, Requirements Gathering, Testing
Education
State University of New York College at Buffalo 2001 — 2003
Master of Education (M.Ed.), Educational Computing, 4.0
State University of New York College at Buffalo 1988 — 1992
Bachelor of Science (BS), Economics & Business, 3.8
Fidelis Care July 2015 - Present
HealthNow New York Inc. July 2013 - July 2015
Independent Health January 2011 - June 2013
HealthNow New York Inc. June 2008 - December 2010
HealthNow New York Inc. December 2007 - June 2008
HealthNow New York Inc. August 2005 - December 2007
Skills
Business Intelligence, Data Warehousing, Cognos, Data Analysis, SQL, Data Modeling, ETL, Access, SAS, Requirements Gathering, Visio, Databases, Analysis, Business Requirements, DB2, Healthcare Information..., Business Analysis, Analytics, Managed Care, Software Documentation, Oracle, DB2/SQL, Oracle SQL, QlikView, SQL Server Management..., Microsoft SQL Server, SSIS
Education
State University of New York at Buffalo - School of Management 2001 — 2003
BS, Business
Almaty State University 1995 — 1999
BS, Physics/IS
Archcare April 2014 - Present
Fidelis Care September 2013 - March 2014
Lime Energy 2012 - 2013
EnerPath 2010 - 2012
Touchstone Health 2006 - 2009
EmblemHealth / GHI 2006 - 2009
WellCare 2003 - 2006
Affinity Health Plan 2001 - 2003
Megasys, Inc. 1976 - 2001
Skills
Sales
Education
St. John's University 1972 — 1976
Computer Science
Cardinal Hayes High School 1968 — 1972
Academic High School Degree, Liberal Arts and Sciences/Liberal Studies
Fidelis Care April 2015 - Present
MetLife May 2006 - November 2014
Software Solutions & Services, Inc 2005 - 2006
Key Bank 2000 - 2004
KeyBank 1997 - 2000
KeyBank 1993 - 1997
KeyBank 1992 - 1993
Skills
Project Management, Business Process..., PMO, PMP, SDLC, Project Portfolio..., Program Management, Requirements Gathering, Vendor Management, Process Improvement, Software Project..., IT Strategy, Business Analysis, Requirements Analysis, Change Management, ITIL, Visio, Enterprise Architecture, Desktop Deployment, Management, IT Management, CRM, Desktop Upgrade Project...
Education
Rensselaer Polytechnic Institute - The Lally School of Management and Technology 1997 — 2000
Master of Science, Management Information Systems, GPA: 3.77
State University of New York at Albany 1988 — 1990
BA, Business, GPA: 3.70
UnitedHealth Group November 2014 - Present
UnitedHealth Group July 2012 - November 2014
UnitedHealth Group April 2009 - July 2012
United Health Group 2007 - August 2010
Firm United Healthcare September 2007 - April 2009
AmeriHealth Mercy Health Plan of PA June 2005 - 2007
Fidelis Care New York June 2001 - November 2005
Fidelis Care 2002 - 2005
Americhoice Of New Jersey 1997 - 1999
Skills
Employee Benefits, Financial Analysis, Provider Relations
Education
Saint Bonaventure University 1977 — 1981
B.A., English
Smithtown East High School 1973 — 1977
Academic Diploma, Academics, 9-12
Anthem, Inc. August 2010 - Present
Healthfirst June 2002 - February 2010
Fidelis Care March 2001 - June 2002
Ryan Comprehensive Health Care Network-CenterCare March 1999 - March 2001
Skills
Microsoft Access, Microsoft Excel, SQL, SAS Programming, Data Mining, HEDIS, Medicare Star, Managed Care, Medicaid, Data Analysis, Health Insurance
Education
State University of New York Downstate Medical Center College of Medicine 1996 — 1998
Bachelor's Degree, Health Information/Medical Records Administration/Administrator, GPA 3.6
Fidelis Care July 2014 - Present
Fidelis Care NY July 2012 - July 2014
Joseph T. Sorbello Consulting Services April 2009 - July 2012
IS Partners June 2006 - April 2009
GR Consulting (Now Grant Thorton) June 2004 - May 2006
ACE Group June 2003 - June 2004
GR Consulting April 2002 - June 2003
The Siegfried Group January 2001 - January 2002
PwC Consulting 1998 - 2000
American Water 1990 - 1998
Skills
SOX, Process Engineering, Audit, Compliance, Internal Audit, SAS70, Internal Controls, Auditing, Sarbanes-Oxley Act, Process Improvement, Sarbanes-Oxley, Accounting, General Ledger, Banking, Financial Reporting, Enterprise Risk..., Financial Audits, Insurance, IT Audit, Accounts Payable, Financial Analysis, Business Process..., Account Reconciliation, Business Analysis, Business Process..., Management Consulting, Finance, Risk Management, Governance, Management, GAAP, SEC filings, Forecasting, Financial Modeling, US GAAP, Strategic Financial..., Analysis, Six Sigma, Consulting, Leadership
Education
The National Graduate School 2010 — 2011
M.S., Quality Systems Management
Widener University 1985 — 1989
Bachelor of Science, Business Administration
Fidelis Care May 2014 - Present
Davis Vision March 2011 - May 2014
CDPHP January 2010 - March 2011
CDPHP July 2007 - January 2010
CDPHP September 2006 - July 2007
Amsure Associates April 1998 - September 2006
Skills
Business Analysis, Health Insurance, Managed Care, Insurance, HIPAA, Employee Benefits, Claim, Healthcare, Software Documentation, Process Improvement, Analysis, Account Management, Outlook, Requirements Analysis, Team Leadership, Customer Service, Medicare, Project Management, SDLC, Management, Quality Assurance, Requirements Gathering
Education
Pensacola Christian College 1987 — 1992
B.S., Business Administration
Fidelis Care March 2015 - Present
CDPHP December 2012 - March 2015
CDPHP 2007 - 2012
CDPHP 2006 - 2007
New York State Department of Labor 2003 - 2006
New York State Department of Labor 2001 - 2003
Skills
Insurance, Healthcare Analytics, Health Insurance, Government Programs, Child Health Plus, Auditing, Medicare, Claim, Managed Care, Reporting & Analysis, Microsoft Excel, Medicaid, HIPAA, Customer Service, Medicaid Managed Care, PowerPoint, Microsoft Word, Customer Service..., Customer Product..., Analysis, PPO, Employee Benefits, Databases, Call Centers, Access, Health Policy, Data Analysis, Social Media, Training
Education
Schenectady County Community College 1998 — 2000
Travel and Tourism, Tourism and Travel Services Management
Guilderland High School 1994 — 1998
High School
Fidelis Care July 2015 - Present
Synacor September 2013 - July 2015
PCB Piezotronics, Inc. April 2012 - September 2013
Health Association of Niagara County, Inc. (HANCI) September 2009 - July 2011
Child & Family Services 2006 - September 2009
Health Association of Niagara County Inc. (HANCI) 2002 - 2005
YMCA Buffalo Niagara 2001 - 2002
Skills
Benefits Administration, Employee Benefits, Personnel Management, Payroll, Performance Appraisal, Recruiting, Employee Relations, Human Resources, College Recruiting, HRIS, Onboarding, Talent Acquisition, HR Policies, Technical Recruiting, New Hire Orientations, Training, Management, Workforce Planning, Organizational..., Internet Recruiting, Staffing Services, Deferred Compensation, Employee Training, Benefits Negotiation, Temporary Placement, Talent Management, Applicant Tracking..., Employee Engagement, Interviews, FMLA, Screening Resumes, Screening, Hiring
Education
Niagara University 2002 — 2005
Bachelors, Human Resources
Fidelis Care October 2014 - Present
Drivers Village May 2014 - October 2014
Verizon Wireless October 2006 - August 2013
Skills
Solution Selling, Direct Sales, Account Management, Sales Operations, Sales, Merchandising, Writing, Customer Satisfaction, Key Account Management, Sales Management, Strategic Planning
Education
Niagara University
Bachelor of Arts (BA), Communication and Media Studies
Bishop Grimes
UnitedHealth Group January 2015 - Present
UnitedHealth Group August 2014 - January 2015
UnitedHealth Group September 2013 - August 2014
Fidelis Care May 2010 - September 2013
Fidelis Care August 2008 - May 2010
Fidelis Care September 2005 - August 2008
Skills
Managed Care, Microsoft Office, Marketing, Marketing Strategy, Community Outreach, Networking, Health Insurance, Insurance, Leadership, Sales, Employee Benefits, Healthcare, Customer Retention, Training, Customer Service, Team Building
Education
Niagara University 1999 — 2003
Bachelor of Arts (BA), History
Bernard & Millie Duker Children's Hospital at Albany Medical Center June 2015 - Present
CDPHP September 2010 - June 2012
CDPHP October 2009 - September 2010
CDPHP March 2008 - October 2009
Fidelis Care August 2006 - March 2008
Fidelis Care June 2005 - August 2006
Capitaland Interior Systems August 2004 - June 2005
Vector Marketing June 2004 - August 2004
Halsted Communications November 2001 - June 2004
Skills
FACETS, Windows..., Analysis, Management, Training, Data Entry, Databases, Time Management, CRM, Customer Service, Marketing, Employee Training, Health Insurance
Education
The Sage Colleges - Russell Sage College 2013 — 2015
Bachelor of Science (BS), Nursing
Hudson Valley Community College 2010 — 2013
Associates, Science
New York State Bar Association May 2014 - Present
Fidelis Care February 2014 - May 2014
Freelance writer and editor 2005 - January 2014
New York State Bar Association 1993 - 2005
Skills
Editing, Copy Editing, Press Releases, Newsletters, Journalism, Blogging, Public Relations, Media Relations, Social Media, Proofreading, Publications, Research, Publishing, Interviews, Content Management
Education
The College of Saint Rose 1991 — 1994
BA, Public Communications
Fidelis Care May 2015 - Present
Fidelis Care August 2013 - May 2015
Baxter Healthcare July 2012 - August 2013
HealthNow New York Inc. October 2007 - July 2012
General Dynamics March 2002 - October 2007
United States Marine Corps September 1994 - January 1999
Skills
C#, SQL Server, .NET, Databases, Application Development, UML, Sybase, Visual Studio, SQL, XML, Requirements Analysis, Java, Web Services, Microsoft SQL Server, Database Design, JavaScript, Software Development, Visual Basic, Testing, C++, HTML, SOA, SDLC, ASP.NET
Education
State University of New York College at Brockport 1999 — 2001
Bachelor of Science, Computer Science
Vape Kult May 2014 - Present
Auburn Leathercrafters August 2008 - August 2010
Fidelis Care October 2007 - June 2008
Dell Computers 2006 - 2007
American Music Group August 2001 - December 2005
Mend-All Masonry April 2000 - August 2001
Skills
Supervisory Skills, Customer Service, Inventory Management, Microsoft Office, Excel, Retail, Word, Merchandising, Sales Management, Staff Training, Staff Scheduling, Goal Oriented, Bookkeeping, Creative Problem Solving, PowerPoint
Education
Cayuga Community College
Associates
State University of New York College at Potsdam 1996 — 1997
Fidelis Care New York January 2014 - Present
Fidelis Care September 2014 - January 2015
Fidelis Care October 2009 - August 2013
Skills
NICE Call Recording, HIPAA, Medicaid, Customer Service, Customer Relations, Healthcare Management, Health Insurance, Health Insurance..., Call Centers, Lotus Notes, Time Management, Communication, Training, Teamwork, Team Building, Microsoft Office
Education
Queensborough Community College 2006 — 2009
Associate's Degree, Computer and Information Systems Security/Information Assurance
bronx lebanon hospital May 2000 - August 2003
Fidelis Care December 1998 - August 2000
Skills
Healthcare Information..., Healthcare, Healthcare Management, HIPAA, EMR, Hospitals, Revenue Cycle, EHR, Medicare, Medicaid, Capital Budgeting, Budgets, Managed Care, Management, Operations Management, Microsoft Excel
Education
Queens College 1993 — 1996
Bachelor of Applied Science (B.A.Sc.), Accounting
Queensborough Community College 1991 — 1993
Accounting
Ingram Micro April 2013 - Present
NetEnrich September 2011 - April 2013
Ingram Micro September 2006 - September 2011
BlueCross BlueShield of Florida August 2004 - May 2006
BlueCross BlueShield of WNY August 2002 - August 2004
Fidelis Care January 1999 - January 2002
Skills
Managed Services, Cloud Computing, Cold Calling, Account Planning, WebEx, Solution Selling, Sales Process
Education
Niagara County Community College
Fidelis Care January 2013 - Present
Citizens Bank May 2010 - January 2013
Bank of America September 2009 - April 2010
Starbucks September 2005 - February 2010
Skills
Call Centers, Management
Education
State University of New York College at Fredonia 2008 — 2011
Bachelor of Science (BS), Business Administration and Management, General
State University of New York College at Buffalo
Fayette County Sheriff's Office March 2014 - Present
KOHLS DEPARTMENT STORE January 2007 - Present
Guardsmark Security May 2008 - January 2014
MERIWETHER AND TROUP COUNTY January 2006 - January 2008
Fidelis Care January 1998 - January 2005
Intracorp January 1993 - January 1997
Skills
Physical Security, Security Training, Workplace Violence, Surveillance, Access Control, Personal Security, CCTV, Personal Protection, Event Security, Crowd Control, Protection, CPT, ICD-9 , HCPCS..., Customer Service, Communication Skills, Work Ethic, Microsoft Office 2007, Receptionist Duties, Telephone Reception, Security
Education
West Georgia Technical College 2008 — 2009
Certificate, Medical Insurance Coding Specialist/Coder
Eric Community College
Certificate, Medical Reception/Receptionist
Trocaire College
Nursing Degree
Fidelis Care August 2015 - Present
IT consultant Self Employed August 2011 - Present
Dr Alvarez September 2013 - July 2014
NYS Thruway Authority July 2010 - August 2011
St. Mary's Healthcare, Amsterdam November 2004 - July 2010
The Home Depot September 2004 - November 2004
Jennifer Temps, Inc. December 2002 - December 2003
The Home Depot March 2001 - December 2002
Skills
Microsoft Office, Microsoft Excel, Customer Service, PowerPoint, Research, Social Media, Microsoft Word, Bilingual, Meditech, HP Service Center, Avatars, Windows 7, Windows XP Pro, Multi Tasking, Close Attention to..., Communication Skills, Positive Can-do Attitude, Positive Team Player, Multi-line Phone, Computer Proficiency, Windows, Teamwork, Troubleshooting, Computer Hardware, Data Entry, Help Desk Support, People Skills, Software Documentation, Software Installation, Ghost Imaging, HP Service Manager, Remote Desktop, Groupwise, Desktop Computers, HIPAA, Virus Removal, Computer Repair, Medical Records, Windows Vista, Windows XP, Printers, Laptops, Workstations, Dell Computers, Office 2010, Norton Ghost, Hardware Support, Scanners, Microsoft Office 2007, End User Training
Education
Fulton Montgomery Community College 2008 — 2011
Certificate, Computer Systems Specialist
Sanford-Brown Institute-New York 2003 — 2004
Certificate, Medical Assistant
Fideliscare new york June 2013 - Present
Fidelis Care March 2003 - Present
Skills
Medicaid, Provider Relations, Medicare, Employee Benefits, Managed Care, Customer Service, Training, Process Improvement, Workers Compensation, HIPAA, Team Building, Microsoft Office, Sales, Strategic Planning, Healthcare, Marketing
Education
Niagara County Community College 1992 — 1995
Associate's degree, applied science
Fidelis Care March 2015 - Present
Enterprise Rent-A-Car January 2013 - February 2015
Enterprise Rent-A-Car October 2011 - January 2013
Enterprise Rent-A-Car June 2006 - September 2011
Saratoga Central Catholic March 2007 - June 2008
Topper Pontiac Buick GMC June 2004 - September 2005
Skills
Multi Tasking, Direct Sales, Customer Retention, Profit Maximization, Team Leadership, Microsoft Office, Management, Development Of Employees, Car Rental, Fleet Management, Lead Generation, Automotive, New Business Development, Team Building, Inventory Management, Customer Satisfaction, Vehicles, Customer Service, Sales
Education
Siena College 2003 — 2011
Bachelor's degree, Marketing/Marketing Management, General
Adirondack Community College 2002 — 2003
General Studies, 3.2
Fidelis Care May 2011 - Present
Valera Global Inc. June 2008 - May 2011
EZ Rent-A-Car December 2006 - June 2008
Skills
Networking, VoIP, Avaya, Servers, Active Directory, Customer Service, Telecommunications, VPN, Software Installation, Windows 7, Avaya Site..., Avaya IP Telephony, Sonicwall, Illustrator, HIPAA, CMS, Call Center, Health Insurance, Photoshop, Visio, CCTV, IP CCTV, Witness, Corel Draw, MDT - Microsoft..., Numara Footprints, Powershell
Education
Valencia Community College 2007 — 2007
Certifications, CompTIA A+ • N+
Pontificia Universidad Católica Madre y Maestra 2000 — 2004
Associate's degree, Computer and Information Sciences and Support Services
Fidelis Care July 2013 - Present
Keleman Marketing, LLC August 2011 - Present
Advance 2000 May 2011 - July 2013
Advance2000 January 2011 - May 2011
Classifieds Plus November 2004 - January 2011
Vector Marketing 2001 - 2002
Skills
Marketing Strategy, Mobile Marketing, Mobile Advertising, Mobile Technology, Advertising, Microsoft Licensing, Virtualization, Mobile Devices, Process Improvement, Marketing, Cloud Computing, Microsoft Visio, Business Development, Email Marketing, Leadership, MS Project, Management, Sales, Vendor Management, Visio, VoIP, Business Process, CRM, Customer Service, Microsoft Project, Strategic Planning
Education
State University of New York College at Buffalo 2004 — 2006
B.A., Business Administration / Concentration in Marketing
Niagara County Community College 2001 — 2003
Associates, Computer Science
Fidelis Care May 2015 - Present
Synacor Inc August 2011 - Present
Seevast; Pulse360, Kanoodle June 2010 - July 2011
Skills
Perl, MySQL, Software Development, Git, JavaScript, Programming, Databases, Oracle, Agile Methodologies, C#, Team Building, jQuery, Scrum, HTML, AJAX, Teamwork, Collaboration, JIRA, Software Engineering, Software Design, Database Design, CSS, JSON, Web Applications, XML, Cron, Visio, Microsoft Office, Microsoft Excel, Process Improvement, Database Development, Excel, Regular Expressions, Oracle SQL, HTTP, YAML, Oracle SQL Developer, Relational Databases, Puppet, APIs, SQL
Education
State University of New York at Buffalo - School of Management 2011 — 2013
Master of Business Administration (M.B.A.), Business Administration and Management, General
State University of New York at Buffalo 2003 — 2010
BS, Computer Science
Fidelis Care March 2013 - Present
Aetna April 2012 - March 2013
Meritain Health October 2009 - April 2012
Ortho Clinical Diagnostics February 2007 - October 2009
Skills
.NET, Visual Studio, C#, XML, TFS, SDLC, SOA, Web Applications, Testing, Microsoft SQL Server, SQL, WCF, T-SQL, CSS, ASP.NET MVC, JavaScript, Java, jQuery, ASP.NET, Object Oriented Design, Software Development, Application Architecture, IIS, AJAX, LINQ, Entity Framework, SSIS, Database Design, Web Services API
Education
Rochester Institute of Technology 2002 — 2007
MS, Information Technology
SUNY at Buffalo 2000 — 2002
BS, Computer Science
Fidelis Care March 2013 - Present
AHPGI - American Hospitals Publishing Guide, Int. August 2011 - March 2013
Town and Country Computer Services, LLC. April 2010 - August 2011
Albany Medical Center April 2007 - April 2010
Skills
InDesign, Photoshop, Advertising, Marketing, Marketing Strategy, Press Releases, Newsletters, Web Design, Lead Generation, Customer Service, Publishing, Social Media Marketing, Public Relations, Social Media, Dreamweaver, Marketing Communications, Media Relations, Account Management, Sales, Leadership
Education
Siena College 2007 — 2009
Bachelor of Science, Marketing and Management
HMS November 2014 - Present
Fidelis Care March 2014 - October 2014
Horizon Blue Cross Blue Shield of New Jersey March 2005 - March 2014
Horizon Blue Cross Blue Shield of New Jersey March 2005 - March 2014
Horizon Blue Cross Blue Shield of New Jersey March 2005 - March 2014
Horizon Blue Cross Blue Shield of New Jersey November 2002 - May 2003
Skills
Data Analysis, Managed Care, Health Insurance, Analysis, Training, Process Improvement, Leadership, Business Analysis, Business Process..., Provider Relations, Medicare, HIPAA, Management, Visio, Claim, Healthcare, Business Requirements, Requirements Gathering, Lotus Notes, SharePoint, Requirements Analysis, PPO, HMO, Databases, Health Policy, User Acceptance Testing, Employee Benefits, Medicaid, Call Centers, Healthcare Industry, SDLC, Microsoft Excel, Requirements Management, Policy, Vendor Management, Healthcare Management, Gap Analysis, Outlook, Business Process, Access, Business Objects, Business Intelligence, Program Management
Education
Saint Peter's University
Bachelor of Science (B.S.), Business Administration and Management, Healthcare
Xerox July 2015 - Present
Fidelis Care November 2014 - May 2015
Optum October 2013 - March 2014
Optum September 2011 - October 2013
Optum January 2007 - August 2011
Skills
Healthcare, Disease Management, Healthcare Management, Process Improvement, Training, Program Management, Managed Care, Six Sigma, Telehealth, Leadership, Registered Nurses, Nursing, Management, HIPAA, Project Management, Healthcare Consulting, Curriculum Development, Curriculum Design, Strategic Planning, Healthcare Industry, Health Insurance, Utilization Management, Medicare, Medicaid, Case Management, Team Building, Quality Improvement, Analysis, Visio, Business Analysis, Hospitals, Data Analysis, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Quality Management, Auditing, Quality Auditing, Clinical Consulting, Product Development, Program Development, Job Coaching, Presentation Development, Presentation Skills, Logistics
Education
The Sage Colleges - Russell Sage College
Bachelor's of Science, Nursing
Fidelis Care July 2012 - Present
Speech & Occupational Therapy of North Texas October 2011 - June 2012
Methodist Richardson Medical Center December 2007 - April 2010
Community Management Associates February 2006 - April 2009
Skills
Treatment, Case Managment, Palliative Care, Care Plans, Gerontology, Healthcare Management, Elder Care, Care Planning, DSM-IV, Psychosocial, Mental Health Care, Hospitals, Medicare, Healthcare, Medicaid, Leadership, Process Improvement, Team Building, Case Management, HIPAA, Employee Benefits, Management
Education
University of Phoenix 2009 — 2011
Masters, Healthcare Administration, 3.51
Texas Woman's University 2007 — 2009
Bachelor of Science (B.Sc.), Psychology, 3.5
Fidelis Care
Skills
Business Analysis, HIPAA, Customer Service, Health Insurance, Insurance, Microsoft Excel, Process Improvement, Access, Call Centers, Data Analysis, Healthcare, Leadership, Microsoft Office, Team Building, Training, Visio
Education
State University of New York College at Buffalo 1998 — 2002
Bachelor's degree, Business Administration and Management, General
UnitedHealthcare November 2012 - Present
Fidelis Care August 2003 - August 2012
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Photoshop, Teaching, HTML, Public Speaking, Budgets, Strategic Planning, Team Building, Leadership, Social Media, Sales, Insurance, Nonprofits, Marketing, Coaching, Public Relations, Advertising, Social Media Marketing, Recruiting, Medicaid, Account Management, Marketing Communications, Marketing Strategy, Employee Relations, Health Insurance, Community Outreach, Call Centers, HIPAA, Event Planning, Fundraising, Cold Calling, Sales Presentations, Business Strategy, Direct Marketing, Program Development, Managed Care, Training, Provider Relations, Network Development, Healthcare Management, Negotiation, Human Resources
Education
Metropolitan College of New York 2013 — 2013
Master of Public Administration (MPA), Public Administration, 3.7
College of New Rochelle 2006 — 2010
Bachelor's degree, Psychology, 3.5
Fidelis Care April 2012 - Present
Target Corporation June 2011 - April 2012
Verizon Wireless October 2006 - February 2009
Verizon Wireless September 2005 - October 2006
Skills
Retail Management, Customer Service, Talent Management, Talent Development, Team Leadership, Scheduling, Workload Management, Store Management, Process Scheduler, Human Resources, Marketing, Event Planning, Onboarding, Management, Microsoft Office, Sales, Microsoft Word, Prioritize Workload, Leadership
Education
State University of New York College at Oswego 2009 — 2011
Bachelors, Human Resources Management
SUNY Jefferson Community College 2005 — 2008
Associates, Business Administration
Fidelis Care August 2011 - Present
Skills
Management, Microsoft Office, Microsoft Excel, Research, PowerPoint, Training, Sales, Microsoft Word, Photoshop, Leadership, English, Recruiting
Education
Pontificia Universidad Católica Madre y Maestra 1995 — 1997
Master of Laws (LLM), Laws, marketing
EMC XtremIO June 2015 - Present
Fidelis Care December 2013 - June 2015
HealthNow New York Inc. January 2000 - December 2013
EDS Group August 1996 - January 2000
U.S. Army 1988 - 1996
Skills
Storage, AIX, SAN, Storage Area Networks, Perl, Data Center, Cloud Computing, Clariion, Unix, Security, Disaster Recovery, HP-UX, Cisco Technologies, DMX, Cisco Nexus, IBM AIX, Infrastructure, SDLC
Education
Sam Houston State University 1985 — 1988
Wellcare March 2015 - Present
Corinthian Medical IPA August 2013 - Present
Fidelis Care November 2012 - December 2012
Amidacare October 2011 - August 2012
Office Team/Memorial Sloan Kettering Cancer Center July 2009 - March 2010
New York-Presbyterian Community Health Plan April 2008 - March 2009
Temporary Excellence November 2006 - March 2008
Skills
Healthcare, Microsoft Office, HIPAA, Customer Service, Data Entry, Administrative Office..., Medicaid, Bilingual-English/Spanis..., Office Organizing, HMO, Managed Care, Healthcare Management, Access, Medicare, Clerical Skills, Outlook, Employee Benefits
Education
Plaza College 2004 — 2006
Associate Degree, Information Science
Plaza College 2004 — 2006
ASSOCIATE DEGREE; High School, INFORMATION SCIENCE; 2004
M&T Bank June 2013 - Present
Liazon April 2012 - May 2013
HealthNow New York Inc. December 2011 - April 2012
HealthNow New York Inc. April 2009 - December 2011
Independent Health December 2007 - March 2009
EMS Healthcare Informatics February 2007 - December 2007
Univera Healthcare October 2004 - February 2007
Fidelis Care May 2002 - October 2004
Fidelis Care January 2000 - May 2002
Skills
Microsoft Office, Management, Leadership, SDLC, Agile & Waterfall..., Business Analysis, Business Intelligence, Enterprise Architecture, Healthcare Information..., Information Technology, IT Project & Program..., Process Improvement, Analysis, Business Requirements, Requirements Gathering, Software Documentation, Project Management, Vendor Management, Requirements Analysis
Education
State University of New York College at Buffalo 1992 — 1994
Bachelor of Arts (B.A.), Communication
Niagara County Community College 1990 — 1992
Associate of Arts and Sciences (AAS), Theatre Arts
Bellevue Hospital Center October 2014 - November 2014
Elmhurst Hospital Center June 2014 - June 2014
Family Health Center of Harlem May 2014 - May 2014
Fidelis Care March 2014 - April 2014
CVS Pharmacy February 2014 - March 2014
Interfaith Medical Center May 2013 - September 2013
Walgreens June 2012 - September 2012
Rite Aid August 2011 - May 2012
Kumon January 2011 - June 2011
Jamaica Hospital June 2010 - August 2010
Skills
Patient Counseling, Community Pharmacy, Customer Service, Pharmacy, Clinical Pharmacy, Pharmaceutics, Inpatient, Pharmacists, Multilingual, Medication Therapy..., Pharmacueticals, Compounding, HIPAA, Medical Education, Dosage Calculations, Managed Care, Medicaid Managed Care, Evidence-based Medicine, Formulary, Informatics, Patient Advocacy, Drug Safety, Prior Authorization, Clinical Pharmacology, Social Media, Social Networking, Pharmaceutical Industry, Healthcare
Education
St. John's University 2009 — 2015
Doctor of Pharmacy (PharmD), Pharmacy
Fidelis Care September 2015 - Present
Private Practice May 2015 - Present
Neighborhood Coalition for Shelter, Inc. September 2014 - August 2015
Options for Community Living February 2010 - October 2014
Addiction Institute of New York (AINY) October 2013 - September 2014
Association for Rehabilitative Case Management and Housing (ACMH) March 2013 - October 2013
Institute for Criminal Justice Ethics (ICJE) - CUNY's John Jay College August 2010 - April 2013
St. Luke's Hospital - Behavioral Science Resarch Unit (BSRU) November 2011 - February 2013
Addiction Institute of New York (AINY), Roosevelt Hospital February 2012 - January 2013
Suffolk Co. Department of Social Service (DSS) June 2009 - November 2009
Skills
Psychometrics, Counseling Psychology, Addiction Recovery, Social Services, Spanish-speaking, Group Therapy, Progress Notes, Evaluations, Intakes, Behavioral Research, Mindfulness-based..., Motivational..., Psychological Assessment, Supervision, Project Management, Crisis Intervention, Mental Health, Substance Use Disorders, Psychotherapy, Clinical Research, Case Managment, Research Management, Training, Mindfulness, Treatment, Case Management, Mental Health Counseling
Education
CUNY John Jay College of Criminal Justice 2010 — 2012
M.A., Forensic Mental Health Counseling
Radford University 2005 — 2009
Bachelor of Arts (B.A.), Psychology & Spanish
UnitedHealth Group June 2015 - Present
Fidelis Care June 2013 - May 2015
Fidelis Care June 2012 - June 2013
The Stalwart Group - Advertising Agency May 2011 - December 2012
CUTCO Cutlery May 2009 - December 2011
Clinique March 2008 - November 2011
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Marketing Strategy, Customer Service, Strategic Planning, Product Development, Sales Management, Social Media, Project Management, Marketing, Photoshop, Negotiation, Advertising, Forecasting, Marketing Communications, Budgets, Team Leadership, New Business Development, Management, Traffic Management, Finance, Leadership, Social Media Marketing, Public Relations, Social Networking, Hair Care, Well Being, Sales, Cosmetic Medicine, Event Planning, Training, Team Building, Public Speaking, Art Handling, Eyelash, Skin Care, Healthcare, Health Insurance
Education
Saint Bonaventure University 2011 — 2012
Master of Business Administration (MBA), Management Science
Saint Bonaventure University 2009 — 2011
Bachelor of Business Administration (BBA), Management Science/Marketing
BlueShield of Northeastern New York June 2015 - Present
Fidelis Care December 2014 - April 2015
MVP Health Care October 2010 - December 2014
MVP Health Care September 2003 - October 2010
CDPHP August 2002 - September 2003
WellPoint 1986 - 2001
WellPoint 1986 - 2001
Skills
Business Requirements, Requirements Gathering, HIPAA, SDLC, Requirements Analysis, Health Insurance, Systems Analysis, MySQL, Access Database, System Requirements, PHP, Database Queries, SEO, Paypal Integration, Content Management..., Access, Software Documentation, PL/SQL, T-SQL, Testing, Release Management, Business Analysis, Visio, Unix, Data Modeling, Integration, Business Objects, Quality Center, Data Warehousing, EDI, Databases, Process Improvement, User Acceptance Testing, Healthcare Information...
Education
The College of Saint Rose 2003 — 2010
MS, Computer Information Systems
The Sage Colleges-Sage College of Albany
BS, Computer Information Systems
Fidelis Care April 2015 - Present
Fidelis Care December 2013 - Present
Puma July 2012 - December 2013
Carter's OshKosh B'gosh April 2009 - May 2012
Victoria's Secret April 2007 - October 2009
Skills
Apparel, Sportswear, Footwear, Trend, Trend Analysis, Shoes, Fashion, Denim, Visual Merchandising, Fashion Design, Merchandising, Textiles, Styling, Trend Forecasting, Wholesale, Store Management, Window Displays, Assortment, Sales, Retail, Retail Sales, Management, Recruiting
Education
State University of New York Empire State College 2012 — 2014
Master of Business Administration (M.B.A.), Human Resources Management and Services
State University of New York at Buffalo 2005 — 2009
Bachelor of Arts (B.A.), Marketing
Fidelis Care March 2015 - Present
Fidelis Care February 2014 - March 2015
Lovin Oven Catering May 2012 - November 2014
City College of New York September 2013 - December 2013
Los Niños Services June 2013 - August 2013
DJ Myles May 2011 - August 2013
GUESS?, Inc. March 2012 - May 2012
EXPRESS August 2009 - December 2011
JVC Broadcasting May 2011 - August 2011
Skills
Music Performance, Microsoft Office, Microsoft Word, Microsoft Excel, POS, Latin American Studies, Drums
Education
CUNY City College of New York 2010 — 2013
Bachelor of Arts (B.A.), Latin American and Latino Studies/Psychology
Pontifícia Universidade Católica do Rio de Janeiro 2012 — 2012
University of Denver 2007 — 2009
Jazz/Jazz Studies and Audio Production
Brentwood High School 2003 — 2007
Dentsply July 2013 - Present
Dentsply April 2012 - July 2013
Fidelis Care June 2008 - April 2012
Enterprise Rent-A-Car June 2007 - June 2008
Skills
Disposables, Capital Equipment Sales, Medical Sales, Dental Sales, Trade Shows, Healthcare, Health Insurance, New Business Development, Dental Care, Surgical Instruments, Territory..., Sales Presentations, Cold Calling, Marketing, Account Management, Direct Sales, Sales, Sales Management, Sales Operations, Sales Process, Customer Service
Education
State University of New York College at Plattsburgh
Bachelor's degree, Business Administration and Management, General
Fidelis Care June 2015 - Present
Fidelis Care March 2015 - June 2015
CDPHP February 2014 - March 2015
CDPHP October 2011 - February 2014
The Research Foundation of SUNY August 2009 - February 2011
GoldenLane Associates, Inc October 2006 - May 2009
GoldenLane Associates, Inc January 2006 - October 2006
Skills
Excel, Word Processing, PowerPoint, Access, Outlook, Adobe Software, Lotus Notes, Project Coordination, Time Management, Event Planning, Office Management, Administrative..., Program Management, Microsoft Excel, Microsoft Word, Microsoft Office, Healthcare, Visio, Team Building, Data Entry, Software Documentation, Insurance, Health Insurance, Process Improvement
Education
State University of New York College at Cortland
Bachelor of Arts, Sociology/Minor in Mathematics
Fidelis Care June 2014 - Present
Ellicott Development Company April 2013 - June 2014
Gaulin's of Williamsville Inc. September 2012 - April 2013
ACLE (Associazione Culturale Linguistica Educational) June 2011 - July 2011
Skills
Higher Education, PowerPoint, Microsoft Word, Microsoft Excel, SPSS, Customer Service, Prezi, Leadership, Market Research, Sales
Education
SUNY Brockport 2008 — 2012
Bachelor of Science (B.S.) in Marketing, Minor in Recreation and Leisure
Fidelis Care April 2015 - Present
Metropolitan Life Insurance Company 2012 - November 2014
MetLife 2010 - 2012
MetLife 2008 - 2010
MetLife 2004 - 2008
Siemens 2003 - 2004
Siemens 2002 - 2003
Siemens 2000 - 2002
Siemens 1999 - 2000
Siemens 1997 - 1999
Skills
Vendor Management, Business Analysis, Process Improvement, Business Process..., Program Management, Insurance, Disaster Recovery, IT Strategy, Management, Data Center, Account Management, Project Portfolio..., Outsourcing, SDLC, PMO, New Business Development, Project Management
Education
Pace University
The George Washington University
Masters Certificate - Project Management
Verizon Enterprise Solutions December 2014 - Present
Verizon Enterprise Solutions May 2012 - December 2014
Verizon Business July 2008 - May 2012
Verizon Business 2007 - 2008
Verizon Business May 2006 - May 2007
Fidelis Care 2004 - 2006
James M. Wood, CPA 2001 - 2004
Skills
Telecommunications, Business Analysis, Financial Analysis, Business Case, RFP, Pricing Strategy, Sales Operations, Pricing, Cross-functional Team..., PeopleSoft, Competitive Analysis, Sales Support, Business Process..., Business Process Design, Business Strategy, Finance
Education
Seton Hall University 2013 — 2014
Certificate of Advanced Study, Accounting
Rutgers, The State University of New Jersey-New Brunswick 1996 — 2000
Sociology
Amida Care May 2015 - Present
Fidelis Care October 2013 - May 2015
Walgreens November 2012 - October 2013
Per Scholas June 2012 - December 2012
Build it Green! NYC March 2012 - April 2012
B.H. TAL Real Estate June 2011 - January 2012
International Shoppes May 2008 - January 2011
Skills
Real Estate Transactions, New Home Sales, Real Estate, Microsoft Office, Windows 7, Windows Vista, Networking, LAN-WAN, Computer Hardware, Customer Service, Customer Satisfaction, Retail, Retail Sales, Luxury Goods, Planograms, Merchandise, Retail Displays, Laptops, Management, Sales, Microsoft Excel, Computer Maintenance
Education
Per Scholas Institute for Technology 2012 — 2012
Vocational School, Information Technology
St. John's University 2006 — 2009
Credits Earned, Journalism
U.S. Department of Homeland Security March 2015 - Present
Fidelis Care May 2014 - Present
interfaceMD March 2013 - September 2013
Mattel 2011 - 2012
Citizens Bank 2011 - 2011
Flextronics 2010 - 2010
Town of Hamburg, New York 2008 - 2009
Northwest Airlines 2006 - 2007
Skills
Public Speaking, Marketing, Retail, Customer Service, Microsoft Excel, Social Media, Fundraising, Time Management, Microsoft Office, Social Networking, Public Relations, Event Management, Data Analysis, Microsoft Word
Education
Trocaire College 2013 — 2014
Associate's degree, Health Informatics, 3.76
University at Buffalo 2004 — 2008
Bachelor of Applied Science (B.A.Sc.), Geography
Fidelis Care June 2014 - Present
Paychex July 2010 - June 2014
Educational Technology Center at RIT August 2007 - May 2010
Fidelity Investments June 2009 - August 2009
360° Software, LLC July 2008 - October 2008
Skills
C#, JavaScript, MySQL, Microsoft SQL Server, Java, PHP, Visio, Access, Visual Basic, C++, ASP.NET, Management, OS X, HTML 5, Flash, Windows 7, Windows, Software Development, CSS, Microsoft Office, JScript, phpMyAdmin, Oracle, InfoPath, HTML5, XML Schema, basic CSS, Application Development, ActionScript, AJAX
Education
Rochester Institute of Technology 2005 — 2010
BA, Information Technology
Fidelis Care September 2014 - Present
Nova Healthcare Administrators, Inc. May 2014 - September 2014
American Health Holding September 2013 - May 2014
Independent Health February 2012 - September 2013
Kaleida Health September 2008 - February 2012
Kaleida Health September 2008 - February 2012
2008 TLC Staffbuilders 2008 - 2008
2008 Niagara Hospice 2007 - 2008
Hospice Buffalo 1997 - 2007
Skills
Board Certified, CCM, Hospice, Case Management, Nursing Education, Home Care, Hospitals, Healthcare, Nursing, Inpatient, Utilization Review, Healthcare Management, Acute Care, Disease Management, Utilization Management, Patient Advocacy, Palliative Care, Patient Education, Software Documentation, Medical/Surgical, Medication..., EMR, Wound Care, Medicaid, IV, Cerner, Quality Improvement, Health Education, Medicare, Physician Relations, JCAHO, Managed Care, Certified Case Manager, Nursing Care, Direct Patient Care, Registered Nurses, Medical Records, Medical-Surgical
Education
SUNY Brockport 1990 — 1994
BSN, nursing
State University of New York College at Brockport 1990 — 1994
Bachelor science in nursing, Registered Nursing/Registered Nurse
CR Bard September 2015 - Present
Fidelis Care December 2008 - August 2015
Autotask Corporation March 2008 - December 2008
Competitive Edge Research February 2005 - March 2008
DayStar Technologies May 2006 - February 2008
Proliant Consulting Group November 1999 - June 2005
Skills
Employee Relations, Technical Recruiting, PeopleSoft, Recruiting, Benefits Administration, Deferred Compensation, Employment Law, Applicant Tracking..., Talent Acquisition, Internet Recruiting, Onboarding, Training, Employee Benefits, College Recruiting, Management, Interviews, Human Resources, Sourcing, Personnel Management, Performance Management, Strategy, Leadership, Policy, Talent Management
Education
The Sage Colleges - Russell Sage College
Bachelor of Applied Science (B.A.Sc.)
UnitedHealth Group September 2013 - Present
Healthy Capital District Initiative January 2006 - Present
Senior Services of Albany January 2010 - December 2014
Fidelis Care September 2003 - September 2013
Wildwood Programs April 2002 - June 2013
Value Options April 2002 - September 2003
Empire Blue Cross Blue Shield September 1996 - April 2002
Skills
Managed Care, Medicaid, Medicare, Health Insurance, Healthcare, Sales Management, Customer Service, Governance, Journalism, Lobbying, New Business Development, Strategic Planning, Writing, Community Outreach, Leadership, Training, Marketing, Insurance, Nonprofits, Management, Public Relations, Team Building, Coaching, Recruiting, Public Speaking, Leadership Development, Program Management, Fundraising, Event Planning, Program Development, Employee Benefits, Process Improvement, Healthcare Industry, Event Management, Social Media, Marketing Communications, Healthcare Management, Health Policy, Organizational..., HIPAA, Social Networking, Employee Relations, Volunteer Management, Marketing Strategy, Strategic Communications, Executive Management, Hospitals, Social Media Marketing, Media Relations, Medicare Part D
Education
The College of Saint Rose 1996 — 2002
Master of Arts, Public Communications
Siena College 1992 — 1996
BA, English, Communications
La Salle Institute 1986 — 1992
United States Olympic Committee July 2013 - Present
RSR Consulting December 2000 - July 2013
Fidelis Care November 2009 - September 2010
GEC-Marconi March 1996 - November 1997
MTL Services International January 1995 - December 1995
Washington Hospital Center 1992 - 1994
UMDNJ 1988 - 1992
Skills
Leadership Development, Organizational..., Executive Coaching, Instructional Design, Coaching, Change Management, Management Development, Performance Management, Team Building, Program Management, Training, Staff Development, Culture Change, Employee Training, Management, Strategic Planning, Strategy, Conflict Resolution, Organizational..., Workshop Facilitation, Employee Engagement, Training Delivery, Human Resources, Talent Management, Executive Development, Career Management, 360 Feedback, Succession Planning, Performance Improvement, Process Improvement, Onboarding, Leadership, Personnel Management, Talent Acquisition, Policy, Career Development, Employee Relations, Organizational Design, MBTI, Workforce Planning, Recruiting, Career Counseling, Interviews, Consulting, Blended Learning, HRIS, Start-ups, Organizational Learning, Analysis, Performance Consulting
Education
The Johns Hopkins University - Carey Business School 1985 — 1993
Master's degree, Organization Development
University of Colorado at Boulder 1978 — 1979
Master's degree, Human Resources Management/Personnel Administration, General
Healthfirst August 2015 - Present
Bronx-Lebanon Hospital Center October 2013 - March 2015
Fidelis Care October 2012 - October 2013
OptumHealth June 2009 - April 2012
NYC Health and Hospitals Corporation June 2008 - February 2009
Aetna October 2005 - September 2007
Aon Hewitt July 2001 - October 2005
Skills
Product Development, Employee Benefits, Insurance, Leadership, Program Management, Medicare, Business Planning, Negotiation, Analysis, Medicaid, Healthcare, Community Outreach, Managed Care, Project Planning, Business Development, Health Insurance, Strategic Planning, Training, Data Analysis, Health Policy, Management, Team Building, Process Improvement, Healthcare Management, Business Process..., Healthcare Information..., Hospitals, Vendor Management, Access, Provider Relations, Software Documentation, Change Management, EMR, Program Implementation, Program Improvement, Public Health, Provider Network..., Contract Management, HIPAA, Medicaid Managed Care, Social Services, Business Analysis, Visio, Project Management, Cross-functional Team..., Program Development, Organizational..., Strategy, Leadership Development, SDLC
Education
The University of Connecticut School of Business 1995 — 2000
BS, Health Systems Management
Trumbull High School 1991 — 1995
Trumbull High School
Trumbull High School
Fidelis Care October 2006 - Present
St. Peter's Hospital June 1998 - October 2006
Education
State University of New York Empire State College 2000 — 2005
BS, Human Services
Fidelis Care January 2013 - Present
Independent Health March 2012 - January 2013
Independent Health January 2008 - March 2012
APS Healthcare 2007 - 2007
Education
Siena College
Bachelor of Arts (B.A.), Psychology
State University of New York at Albany
Master of Science (M.S.), Rehabilitation Counseling
The Sage Colleges-Sage Graduate School
Master of Science (M.S.), School Counseling
Fidelis Care September 2014 - Present
MVP Health Care August 2009 - September 2014
n/a January 2009 - August 2009
Teksystems September 2008 - November 2008
CTG July 2008 - August 2008
Innovative Solutions October 2006 - May 2008
SPS20Trap, Inc May 1996 - October 2006
Village of Victor April 1993 - May 1996
Tommaselli Associates January 1986 - April 1993
Skills
Microsoft SQL Server, Visio, Software Development, SQL, C#, Unix, Agile Methodologies, Databases, Oracle, Requirements Analysis, Troubleshooting, SSRS, MS Project, Database Design, Systems Analysis, Access, ASP.NET
Education
Learning Tree International 2010 — 2010
Certified Business Analysis Specialist
State University of New York Empire State College 1983 — 1985
Bachelors, Business Administration
Rochester Institute of Technology 1981 — 1982
diploma, General Management
Rochester Institute of Technology 1979 — 1980
Certificate, Certificate of Management
St Joseph's Hospital Health Center April 2012 - Present
Fidelis Care January 2011 - April 2012
Align Networks April 2009 - January 2011
Mazda North American Operations March 2007 - June 2008
Clear Channel February 2006 - February 2007
Skills
Marketing, Advertising, Proposal Writing, Public Relations, PowerPoint, Microsoft Office, Sales, Event Planning, Outlook, Public Speaking, Microsoft Word, Marketing Communications, Budgets, Management, Data Analysis, Insurance, Revenue Cycle, Contract Negotiation, Analysis, Provider Relations, Managed Care, Medicare, Community Outreach, Network Development, Healthcare Information..., Hospitals, Healthcare, Healthcare Management, Medicaid, Medical Billing, Utilization Management, Workers Compensation, Claims Management, Physician Relations, Microsoft Excel
Education
State University of New York College at Potsdam 2001 — 2005
BS, Business Administration
Fidelis Care March 2015 - Present
Fidelis Care November 2013 - March 2015
Albany Medical Center October 2008 - November 2013
Target May 2006 - October 2008
Skills
Leadership, Management, Process Improvement, Team Building, Health Insurance, Insurance, Medicare, Healthcare, Managed Care
Education
Union Graduate College 2011 — 2015
Masters of Business Administration, Health Care Administration/Management
Penn State University 2002 — 2006
Bachelor of Science, Health Policy and Administration
Fidelis Care January 2015 - June 2015
Mediant Health Resources, Inc January 2013 - December 2014
H/P Technologies, Inc. September 2011 - January 2013
Whirling Rainbow Digital Arts LLC June 2010 - January 2013
Amerigroup Corporation May 2011 - July 2011
H/P Technologies, Inc. June 2010 - May 2011
HighPoint Solutions February 2010 - June 2010
H/P Technologies, Inc. August 2007 - January 2010
MVP Health Care August 2006 - August 2007
Blue Shield of NENY January 2004 - August 2006
Skills
Access, Microsoft SQL Server, Oracle, Software Documentation, SQL, Sybase, VBA, Facets Configuration, Facets Data Model
Education
State University of New York at Albany
Bachelor of Arts (B.A.), Japanese Studies
The Sage Colleges-Sage College of Albany
Computer Information Systems
State University of New York at New Paltz
Physics
Fidelis Care NY October 2012 - Present
Fidelis Care January 2012 - Present
FIDELIS CARE October 2003 - 2004
University of Memphis September 1997 - August 2000
FedEx 2000 - 2000
Shanghai Power Construction Corp January 1995 - January 1997
Shanghai Power Construction Corp January 1995 - January 1996
Shanghai Power Construction Corp January 1993 - January 1995
Skills
Business Analysis, Visio, Visual Basic, Requirements Gathering, Microsoft SQL Server, VB.NET, Crystal Reports, SQL, Access, Data Analysis, SharePoint, Business Intelligence, HIPAA, Requirements Analysis, Process Improvement, XML, Cognos, Analysis, ASP.NET, Database Design, EDI, Software Development, Databases
Education
The University of Memphis 1998 — 2000
Master, MIS
Tianjin University
Bachelor of Science, Technology English
The University of Memphis
Master of Science, management information system
Value Options November 2013 - Present
Fidelis Care July 2010 - November 2013
APS Healthcare August 2008 - November 2009
Skills
Treatment, Hospitals, Managed Care, Case Management, Home Care, Healthcare Management, Medicaid, Clinical Research, Nursing, Disease Management, Inpatient, Elder Care, Medicare, Social Services, Health Education, Public Health, Healthcare Information..., Program Development, Cpr Certified, EMR
Education
State University of New York at Stony Brook 1986 — 1989
MSW, Social Work
Fidelis Care October 2014 - Present
MVP Health Care May 2009 - October 2014
AutoOne Insurance December 2005 - January 2009
Emdeon October 2004 - November 2005
Niagara Mohwak Power Corp / National Grid July 1996 - October 2004
Skills
Visio, CMS, Cisco Technologies, Audix, Avaya, Telecommunications, Troubleshooting, Networking, Avaya Technologies, Disaster Recovery, Process Improvement, Network Security, Call Centers, Unified Communications, Integration, Call Center, Software Documentation, Contact Centers, VoIP, Routing, Software Installation, Vendor Management, Technical Support
Education
State University of New York Institute of Technology at Utica/Rome 1987 — 1989
B.S., Computer Science / Telecommunications
State University of New York Institute of Technology at Utica/Rome 1987 — 1989
B.S. Computer Science, Computer Systems Networking and Telecommunications
ADP AdvancedMD May 2014 - Present
Humana August 2013 - May 2014
UnitedHealthcare Military & Veterans August 2012 - August 2013
Coventry Health Care February 2011 - September 2012
United Healthcare October 2007 - November 2008
Fidelis Care 2003 - 2008
Skills
Network Development, Provider Relations, Managed Care, Medicaid, Medicare, Credentialing, Health Insurance, Health Policy, Healthcare Industry, Claim, HIPAA, Healthcare, Healthcare Management, Insurance, HMO, Contract Negotiation, PPO, Hospitals, Claims Resolution, Contract Management, Data Analysis, Revenue Cycle, Medicaid Managed Care, Healthcare Consulting, Physicians, Physician Relations, Medical Billing, Utilization Management, Disease Management, Healthcare Information..., Practice Management, Employee Benefits, Management, Medicare Part D, Home Care, EMR, Account Management, EHR, Pharmacy Benefit..., Performance Improvement, Process Improvement, Software Documentation, Revenue Cycle Management
Education
Stratford Career Institute 2010 — 2011
certificate, Medical Billing Specialist
Pratt Institute 1971 — 1972
Marketing and Advertising
Elderplan August 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey December 2009 - November 2010
Horizon Blue Cross Blue Shield of NJ July 2007 - November 2009
Fidelis Care June 2006 - July 2007
Education
Saint Peter's University 2008 — 2010
MBA, Management/Risk Management
Stonehill College 2002 — 2006
BA, Health Care Administration
Fidelis Care April 2015 - Present
HealthNow New York Inc. March 2013 - April 2015
HealthNow New York Inc. March 2009 - March 2013
Skills
Healthcare, Medicare, Managed Care, Leadership, HIPAA, Process Improvement, Strategic Planning, Team Building, Customer Service
Education
State University of New York College at Buffalo 2001 — 2006
Bachelor's Degree, Social Work
Fidelis Care September 2015 - Present
Advanced Digital Concepts, LLC 2014 - Present
Information Builders April 2002 - October 2013
Hasco Computer Systems April 1981 - January 2002
nabisco 1995 - 2002
Skills
Business Analysis, Enterprise Software, Analytics, Pre-sales, Data Warehousing, Data Quality, Business Intelligence, Integration, Dashboard, Solution Architecture, Databases, SQL, SDLC, Software Development, Enterprise Architecture, Solution Selling, EAI, SaaS, Data Integration, Unix, OLAP, Cloud Computing, Business Analytics, SOA, ETL, Professional Services
Education
columbus high school 1967 — 1970
Pace University
BPS, Business
Fidelis Care May 2015 - Present
Ellucian / SungardHE / Fordham University May 2012 - May 2015
LeanLogistics November 2010 - May 2012
Davenport University August 2004 - December 2010
Davenport University 2004 - 2010
Davenport University 2004 - 2007
ISERV 2002 - 2004
Skills
Databases, SQL, Business Intelligence, JavaScript, HTML, Data Analysis, WebFOCUS, Business Analysis, Analytics, Analysis
Education
Northwood University
BBA, Business Admin - International Business
Fidelis Care September 2013 - Present
Konica Minolta Business Solutions U.S.A., Inc. August 2012 - September 2013
Hudson Health Plan September 2009 - July 2012
PENTAX Medical March 2000 - June 2009
Skills
Customer Service, Marketing, Microsoft Office, Social Media Marketing, Team Building, Marketing Communications, Advertising, Strategic Planning, Microsoft Word, Copy Editing
Education
State University of New York Empire State College
Bachelor's degree, Liberal Arts and Sciences, General Studies and Humanities
OmniSeq Precision Medicine Technology May 2015 - Present
Fidelis Care October 2014 - April 2015
Fiserv February 2014 - September 2014
Frontier Science December 2012 - February 2014
ENSCO Avionics, Inc May 2012 - December 2012
1st Playable Productions May 2011 - November 2011
Camp Yawgoog June 2010 - August 2010
Camp Yawgoog June 2009 - August 2009
Skills
C#, Java, Programming, .NET, C++, JavaScript, Visual Studio, Visual Basic, Eclipse, SSIS, XNA, Microsoft SQL Server, SQL Server Management..., Game Programming, Avaya Technologies, Avaya AES, Avaya, OpenGL, ActionScript, Flash, Visual Basic 5.0/6.0, Game Design, Unity3D, Game Development, Scripting, DirectX, Subversion, VBA, Unix, Sybase, HTML, CSS, Video Games
Education
Rochester Institute of Technology 2008 — 2012
Bachelor's Degree, Game Design and Development
M&T Bank April 2014 - Present
Fidelis Care January 2013 - April 2014
Sodexo September 2002 - January 2013
EDS, an HP company December 1989 - September 2002
General Dynamics July 1984 - December 1989
Skills
ITIL, PMP, PMO, IT Management, Cross-functional Team..., Management, Team Building, Process Improvement, Program Management, Service Management, Software Development, Business Analysis, Visio, SharePoint, Security, Vendor Management, IT Operations, Project Portfolio..., SDLC, IT Strategy, Project Management, Change Management, IT Service Management, Business Process..., Enterprise Software, ERP, Integration, Leadership, Project Delivery, Team Leadership
Education
State University of New York College at Buffalo 1982 — 1984
BS, Information Management Systems
Carolyn Bachino Wellness October 2011 - Present
Fidelis Care February 2013 - August 2015
NYC Health and Hospitals Corporation March 2005 - May 2012
Centers for Disease Control and Prevention October 2001 - June 2004
Skills
Patient Safety, Wellness, Health Services Research, Healthcare improvement, Healthcare, Public Health, Healthcare Management, Health Education, Community Health, Program Development, Research, HEDIS, SAS, SPSS, Microsoft Office, Management, Social Media, Policy, Public Speaking, Training, Customer Service, Strategic Planning, Analysis, Quality Improvement, Team Building, Clinical Research, Grant Writing, Program Evaluation, Nutrition, Disease Management, Program Management, Teaching, Health Policy, Leadership, Marketing, Coaching, Data Analysis, Health Promotion, Medicaid, Leadership Development, Proposal Writing, Microsoft Excel
Education
Simplilearn 2014 — 2015
Certification (in progress), Six Sigma
Institute for Integrative Nutrition 2012 — 2013
Holistic Health Coach, Nutrition and Lifestyle Coaching
Totally Coached, Inc. 2012 — 2013
Certified Intrinsic Coach, Health & Wellness
The University of Texas Health Science Center at Houston 2000 — 2001
Master of Public Health: Community Health, Public Health - Including: International Health, Behavioral Science, Epidemiology and Biostatistics
University of Southern California
Bachelor of Arts (B.A.), Theater and International Relations, 3.47
Self Employed - IT Consultant July 2015 - Present
Arbor Commercial Mortgage May 2015 - July 2015
Fidelis Care September 2013 - February 2015
Computer Task Group November 2008 - September 2013
International Information Associates March 2011 - June 2011
World Kitchen June 2007 - August 2007
Skills
SQL, XML, Java, MySQL, Microsoft SQL Server, Software Development, Databases, Database Design, Oracle, HTML, SDLC, Requirements Analysis, Linux, PL/SQL, PHP, Agile Methodologies, SharePoint, JavaScript, CSS, Business Intelligence, Web Services, Web Applications, Software Project..., SOA, Unix, Visual Basic, Java Enterprise Edition, Software Engineering, Scrum, REST, Eclipse, Tomcat
Education
WEILL MEDICAL COLLEGE of CORNELL UNIVERSITY 2011 — 2011
Graduate Certification, Health Informatics and Technology
State University of New York College at Buffalo 2007 — 2008
M.S., Management Information Systems, 3.5
UNIVERSITY AT BUFFALO, THE STATE UNIVERSITY OF NEW YORK 2007 — 2008
Graduate Certification, Information Assurance
State University of New York at Buffalo - School of Management 2003 — 2007
B.S., Business Administration, Concentration in MIS, 3.1
Fidelis Care December 2014 - Present
WILLCARE August 2011 - December 2014
Fidelis Care March 2003 - July 2011
Univera Healthcare (formerly Healthcare Plan) December 1997 - March 2003
Softbank Services Group June 1996 - December 1997
Softbank Services Group March 1995 - June 1996
Wegmans Food Markets 1986 - 1995
Skills
SQL, HIPAA, Data Warehousing, Business Analysis
Education
State University of New York College at Buffalo 1992 — 1994
Computer Information Systems
State University of New York College at Buffalo
B.S, Computer Information Systems
State University of New York College at Fredonia 1990 — 1991
Help/PSI December 2014 - Present
Health Plus/Amerigroup May 2007 - January 2013
RichardDWeinberg Consulting November 2006 - May 2007
Fidelis Care November 2004 - October 2006
Health Plus PHSP 1998 - November 2004
Skills
Medicare, Medicaid, Healthcare, Health, Contract Negotiation, Health Insurance, Employee Relations, Strategic Planning, Public Speaking, Administration, Managed Care, Staff Development, Healthcare Management, HIPAA, System Administration, Provider Relations, HMO, Network Development, Utilization Management, Disease Management, Health Policy, Medicare Part D, PPO, Healthcare Information..., Quality Improvement
Education
Rutgers University 1970 — 1974
Bachelor of Science (BS), Chemical, Cellular Biology
Fidelis Care June 2015 - Present
HSBC June 2013 - June 2015
Computer Task Group July 2011 - July 2013
HSBC March 2005 - July 2011
Delaware North Companies March 2003 - April 2005
Computer Task Group March 2001 - March 2003
Skills
Process Improvement, Business Analysis, Requirements Analysis, Requirements Management, Project Management, Computer Science, Solution Architecture, SDLC, Software Project..., Agile Methodologies, Leadership, Requirements Gathering, Integration, Enterprise Architecture, SOA, PMP
Education
SUNY Fredonia 1996 — 2000
Bachelor of Science (BS), Computer Science
BCBS WNY October 2014 - Present
Amedisys Home Health & Hospice April 2014 - October 2014
Willcare Homecare May 2013 - February 2014
Fidelis Care August 2012 - May 2013
Fazzi Associates June 2012 - September 2012
WILLCARE January 2010 - June 2012
Catholic Health System December 2001 - January 2010
Skills
Healthcare, Hospitals, Home Care, Process Improvement, Accreditation, Quality Of Care, Public Speaking, JCAHO, Medicare, Quality Improvement..., Case Managment, Medical Terminology, Medicaid, Utilization Management, Case Management, Managed Care, Disease Management, HIPAA, Healthcare Management, Quality Improvement
Education
Niagara University 1977 — 1981
BSN, nursing
Fidelis Care August 2014 - Present
Beacon Health Strategies September 2012 - July 2014
Temple University August 2011 - September 2012
Temple University August 2005 - August 2011
Skills
Cell, Animal Models, Western Blotting, Protein Chemistry, Immunology, RT-PCR, ELISA, Inflammation, Flow Cytometry, Transfection, Immunohistochemistry, Cancer, Signal Transduction, Tissue Culture, Immunoprecipitation, SQL, Cognos, SQL Server Management..., real-time PCR, Immunocytochemistry, GraphPad Prism, Animal Work, Lifesciences, Microbiology, Multi-color Flow..., Dissection, Protein Purification, Proteomics, Biochemistry, Electrophoresis, Molecular Biology, Microscopy, Gel Electrophoresis, SDS-PAGE, Bacterial Culture, Bacterial Transformation, In Vivo, Protein Expression, Cell Culture, Antibodies, Cell Biology, Confocal Microscopy, Fluorescence Microscopy, PCR, Cell Signaling, Crystal Reports, Immunofluorescence, Data Analysis, Research, Molecular Cloning
Education
Temple University School of Medicine 2005 — 2011
Doctor of Philosophy (PhD), Microbiology and Immunology
University of Maryland Eastern Shore 2001 — 2005
Bachelor of Science (B.S.), Biology
Fidelis Care July 2014 - Present
Fidelis Care December 2013 - July 2014
KeyBank November 2011 - November 2013
Trustco Bank June 2011 - September 2011
St. John Fisher College 2010 - 2011
Skills
Banking, Financial Services, Lotus Notes, Relationship Management, Retail Banking, Customer Service, Customer Retention, Customer Satisfaction, Cash Management, Lines Of Credit, Business Development, Marketing, Services Marketing, Product Marketing
Education
Saint John Fisher College 2011 — 2013
Master of Business Administration (MBA), Business Administration and Management, General
Saint John Fisher College 2007 — 2011
Bachelor of Arts (B.A.), Communication Journalism
Higher One September 2014 - Present
Fidelis Care December 2013 - September 2014
Campus Labs May 2011 - December 2013
Skills
ASP.NET MVC, JavaScript, C#, ASP.NET, jQuery, SSIS, DAX, Business Intelligence, Backbone.js, Kendo, DDD, Web Services API, Windows Services, NHibernate, AJAX, SQL, Visual Studio, CSS, Agile Methodologies
Education
Rochester Institute of Technology 2007 — 2011
BS, Information Technology
United Health Care April 2012 - Present
Fidelis Care NY October 2009 - April 2012
Fidelis Care October 2009 - April 2012
Education
State University of New York College at Oswego
Bachelor of Arts (BA)
Elderplan May 2014 - Present
Elderplan June 2013 - Present
Hot Shots Indoor Volleyball Club July 2007 - March 2015
Fidelis Care October 2012 - May 2013
Center for youth April 2011 - September 2012
Harborcreek Youth Services July 2006 - July 2007
Skills
Customer Service, Event Planning, Health Insurance, Leadership, Marketing, Microsoft Excel, Account Management, Coaching, Public Speaking, Time Management, Training
Education
Roberts Wesleyan College 2008 — 2010
Master's degree, School Counseling, 3.9
Mercyhurst 2002 — 2006
Bachelor of Arts (B.A.), Psychology, 3.2
Fidelis Care July 2012 - Present
Speech & Occupational of North Texas October 2011 - May 2012
Richardson Senior Center March 2011 - October 2011
Methodist Health System December 2007 - April 2010
Skills
Microsoft Office, Administration, Training & Development, Healthcare, Hospitals, Healthcare Management, Management, HIPAA, Medicare, Medicaid, Analysis, Mental Health, Budgets, Insurance, Health Insurance, Customer Service, Research
Education
The University of Phoenix 2009 — 2011
Masters in Health Care Administration, Gerontology
Texas Woman's University 2007 — 2009
Bachelor of Science, Psychology
ARS Ltd. February 2010 - Present
Country-Wide Insurance 2009 - 2010
Fidelis Care 2007 - 2009
NYPD 2001 - 2007
Skills
Crime Prevention, Interrogation, Criminal Investigations, Patrol, Police, Firearms, Executive Protection, Enforcement, Evidence, Criminal Justice, Law Enforcement..., Private Investigations, Surveillance, Security Operations, Investigation, Fraud, Law Enforcement
Education
Rowan University 1979 — 1984
Bachelor's degree
Fidelis Care April 2015 - Present
Fidelis Care NY July 2011 - Present
Fidelis Care NY June 2010 - June 2011
Stop & Shop September 2007 - June 2010
Skills
Pharmacy Benefit..., Pharmacy, Medication Therapy..., Managed Care, Clinical Research, Clinical Pharmacy, Pharmacists
Education
Rutgers, The State University of New Jersey-New Brunswick 2004 — 2010
Doctor of Pharmacy (Pharm.D.), Pharmacy
Fidelis Care December 2011 - May 2012
Univera Healthcare November 2007 - December 2011
Univera Healthcare March 1999 - November 2007
Skills
Insurance, Claim, Provider Relations, HMO, Network Development, Employee Benefits, Medicare/Medicaid..., Health Policy, Benefits Administration, State Government..., HIPAA, State Government..., State Government..., Process Improvement, Performance Management
Education
State University of New York College at Buffalo 1990 — 1994
BS of Science, Applied Economics
Fidelis Care May 2014 - Present
Fidelis Care August 2011 - May 2014
Bramson ORT College September 2011 - May 2012
CVS Pharmacy June 2007 - September 2010
Skills
Medication Therapy..., Clinical Pharmacy, Managed Care, Immunization, Utilization Management, Patient Counseling, Community Pharmacy, Prior Authorization, Compounding, Certified Immunizer, Clinical Research, Pharmacists, Pharmacology, Pharmacy Automation
Education
St. John's University 2005 — 2011
Doctor of Pharmacy (PharmD), Pharmacy
Bronx High School of Science 2001 — 2005
Fidelis Care March 2012 - Present
J. Smith Lanier & Co. August 2008 - January 2009
MetLife March 2007 - June 2008
McKesson Health Solutions November 1996 - May 2002
John Hancock Financial Services April 1994 - November 1996
MetLife August 1988 - December 1994
Skills
Key Account Management, Health Insurance, Government Programs, Account Developement, Training & Development, Business Strategy, Business Analysis, Business Process..., Sales Presentations
Education
Roosevelt University 2002 — 2006
Bachelor's degree, Political Science and Government
Anthem September 2014 - Present
Fidelis Care January 2011 - September 2014
BCBS of WNY September 2008 - January 2011
UnitedHealthcare October 2005 - September 2008
Skills
Quality Assurance, Quality Center, User Acceptance Testing, SDLC, Software Documentation, Requirements Gathering, Testing, Business Requirements, Requirements Analysis, Test Cases, Test Planning, Health Insurance, Software Quality..., Process Improvement, SharePoint, Quality Auditing, Agile Methodologies, Regression Testing, SQL, HP Quality Center
Education
Niagara University 1998 — 2002
Bachelor of Arts (BA), English Language and Literature/Letters
St Joseph's Collegiate Institute
Healthfirst March 2015 - Present
MetroPlus Health Plan May 2013 - February 2015
Fidelis Care April 2011 - May 2013
Education
St. John's University 2004 — 2009
Bachelor of Science (B.S.), Computer Science
NYC Health and Hospitals Corporation January 2012 - Present
Fidelis Care May 2009 - January 2012
Healthfirst April 2006 - February 2009
Skills
Medicare, Medicaid, Provider Relations, Provider Education, Marketing, Microsoft Excel, Senior Executive..., Project Management, Provider Enrollment, Health Insurance, Healthcare Management, Network Administration, Provider Network..., Physician Network..., HIPAA, Ambulatory Care, Healthcare, Healthcare Industry, Healthcare Information..., Hospitals, Leadership, Strategic Planning, Managed Care, Team Building
Education
University of Phoenix 2013 — 2016
Master of Public Health (MPH), Health/Health Care Administration/Management
College of New Rochelle 2010 — 2013
Bachelor of Science (BS), Public Health
Hoselton Auto Mall May 2014 - Present
Paychex September 2010 - October 2013
Paychex 2010 - 2013
Fidelis Care August 2008 - May 2010
Skills
Sales and Account..., Microsoft Word, Microsoft Excel, PowerPoint, Outlook, In-home Sales, Life/Accident & Health...
Education
St. John Fisher College 1984 — 1987
Bachelor of Science (BS), Finance and Financial Management Services
Hudson Health Plan August 1998 - Present
Fidelis Care 1995 - August 1998
Saint Vincent Catholic Medical Centers 1992 - 1995
Saint Joseph's Medical Center/St. Vincent's Hospital Westchester Division 1990 - 1992
Skills
SSRS, SSIS, SQL Server Management..., Data Analysis, Healthcare, Healthcare Management, Healthcare Information..., Process Improvement, Clinical Research, Nonprofits, Program Management
Education
The College of Westchester 1991 — 1993
Associate Degreee
Fidelis Care May 2013 - Present
Visiting Nurse Service of New York November 2011 - May 2013
New York Eye and Ear Infirmary of Mount Sinai May 2007 - October 2011
Skills
Case Management, Medical-Surgical, Home Care, Medicaid Managed Care, Enrollment Services, Healthcare Management, Healthcare, Hospitals, BLS, Managed Care, Medicaid, Medicare, Nursing
Education
Phillips Beth Israel School of Nursing 2002 — 2006
Associate's degree, Registered Nursing/Registered Nurse
888Wireless Inc 2010 - Present
888WIRELESS INC June 2010 - November 2014
Affinity Health Plan July 2007 - May 2010
Fidelis Care June 2003 - May 2007
Education
Queens College 2002 — 2007
Bachelor's Degree
Aureus Health Services April 2015 - Present
FCB Health May 2015 - July 2015
Fidelis Care February 2015 - March 2015
B&H Compounding Pharmacy October 2013 - December 2014
North Shore-LIJ Health System January 2014 - May 2014
Duane Reade August 2013 - December 2013
CVS Health August 2012 - November 2012
Skills
MTM Counseling, Medicinal Compounding, Microsoft Office, Pharmacy, Patient Counseling, Community Pharmacy, Healthcare, Clinical Research...
Education
St. John's University 2010 — 2016
Doctor of Pharmacy (PharmD), Pharmacy
Coppell High School 2006 — 2010
Total LIfe Changes, LLC June 2015 - Present
Fidelis Care May 2011 - Present
Education
State University of New York Empire State College
Criminalistics and Criminal Science