Affinity Health Plan
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Affinity Health Plan Employees
Med Metrix December 2012 - Present
Affinity Health Plan February 2015 - Present
PRIVATE CONSULTS March 2013 - January 2015
HealthFirst Management April 2012 - January 2013
St. Mary's Health System March 2009 - February 2011
Affinity Health Plan 2000 - June 2004
Skills
Clinical Research, ACLS, Wound Care, Medicare, Medication..., Hospitals, Medicaid, Managed Care, Patient Safety, Medical/Surgical, Healthcare Management, Healthcare Information..., JCAHO, Patient Education, Acute Care, HIPAA, ICU, Patient Advocacy, Health Education, Nursing Education, Critical Care, IV, Pediatrics, Palliative Care, Disease Management
Education
Helene Fuld College of Nursing
Amida Care NY December 2013 - Present
Rivergals Art 2000 - Present
Ousaima Al-Misky Varicose & Vein Specialist May 2013 - December 2013
Lenox Hill Hospital March 2008 - December 2011
Affinity Health Plan June 2004 - February 2008
Skills
Excellent communication..., Excellent written and..., Echo, Microsoft Excel, Microsoft Word, Excellent computer..., Positive Team Player, Communication, Computer Proficiency, Physicians, Healthcare Management, Healthcare, Recruiting, Hospitals, Managed Care, Medicaid, Health Insurance, Credentialing, HIPAA, Healthcare Consulting
Education
Long Island University, Brooklyn Campus 1994 — 1996
Liberal Arts and Sciences/Liberal Studies
Eli Whitney Vocational High
High School, Cosmetology, Barber/Styling, and Nail Instructor
M Public Affairs/ASGK Strategies April 2015 - Present
Kathleen Rice for Congress May 2014 - November 2014
Affinity Health Plan April 2013 - May 2014
Power Up Communities August 2011 - April 2013
SEIU Local 32BJ January 2011 - July 2011
The Pinnacle Group March 2006 - January 2010
Nassau County Executive Tom Suozzi April 2005 - December 2005
The Democratic Congressional Campaign Committee (D.C.C.C.) April 2004 - December 2004
Suffolk County Legislature May 2002 - April 2004
Skills
Public Policy, Community Outreach, Policy Analysis, International Relations, Event Management, Energy Efficiency, Community Development, Sustainable Energy, Community Organizing, Grassroots Organizing, Nonprofits, Policy, Legislative Relations, Media Relations, Fundraising, Strategic Communications, Grant Writing, Politics, Program Development, Government, Proposal Writing, Grants, Program Management, Public Speaking, Event Planning, Workshop Facilitation, Press Releases, Public Relations, Political Campaigns, Strategic Planning, Grassroots
Education
Hofstra University 1998 — 2003
kellenberg memorial high school
Affinity Health Plan January 2015 - Present
HDWA Leadership Council November 2013 - Present
HIMSS Community Chair September 2014 - Present
Geisinger Health System June 2013 - January 2015
North Shore LIJ Health System April 2009 - June 2013
North Shore-LIJ Health System April 2009 - June 2013
athleticdepartment.com August 2006 - April 2009
Berger Consulting, Inc. September 1998 - August 2006
Deloitte April 1997 - March 1998
Accenture June 1995 - April 1997
Skills
Methodologies: Six..., PeopleSoft Financial, PeopleSoft Supply Chain, PeopleSoft HRMS, SAP BusinessObjects, SAP BPC, ASP.net, PeopleTools, VB.NET, XML, EDI, Crystal Xcelsius, Business Intelligence, SDLC, Data Warehousing, ASP.NET, Business Analysis, Business Objects, PeopleSoft, Management, ETL, Integration, Data Modeling, Consulting, Analytics, Process Improvement, Strategy, Healthcare Information..., Enterprise Software, Leadership, Project Management
Education
Harvard School of Public Health 2011 — 2012
PM Certification, Project Management, Pass
University of Southern California 1990 — 1995
Bachelor's of Science, Industrial and Systems Engineering, 3.5
City University of New York July 2013 - Present
Haley Financial Services January 2001 - Present
new york times shared services center November 2009 - July 2013
Affinity Health Plan September 2006 - August 2009
Porter Novelli April 2000 - September 2006
Skills
Microsoft Word, Microsoft Office, Account Reconciliation, Payroll, General Ledger, Outlook, ADP Payroll, ADP ReportSmith, PeopleSoft, Personal Income Tax..., Accounts Receivable, Employee Relations, Accounts Payable, Spreadsheets, Tax, Payroll Taxes, Benefits Administration, Financial Reporting, Accounting, Employee Benefits, Sarbanes-Oxley Act, Tax Preparation, Accruals, Data Entry, Journal Entries, Financial Statements
Education
Lincoln University 1983 — 1987
Bachelor of Science (B.S.), Accounting
Hillcrest High School 1978 — 1981
High School Diploma, Business Administration and Management, General
Affinity Health Plan Enroll People into medicaid and childern into child health Plus$
Skills
Managed Care, Healthcare, Medicare, Medicaid, Healthcare Management, HIPAA, Health Insurance, Hospitals, Utilization Management, Healthcare Information..., Provider Relations, Nursing, Health Policy, Clinical Research, Disease Management, EMR, Healthcare Consulting, Healthcare Industry, Case Managment, Medical Terminology
Education
DeVry University 2000 — 2002
Associate of Arts and Sciences (A.A.S.), Electrical and Electronics Engineering, 3.09
John Bowne High School
The Cookware Company - GreenPan™ March 2013 - Present
Prime Home Improvement December 2011 - March 2012
Affinity Health Plan September 2007 - June 2010
AboveNet Communications, Inc September 2001 - September 2007
The Leading Hotels of the World January 1993 - August 2001
American Savings Bank 1980 - 1992
Skills
Forecasting, Accounting, Account Reconciliation, Auditing, General Ledger, Variance Analysis, Finance, Cash Flow, Budgets, Internal Audit, Analysis, Cash Management, Fixed Assets, Consolidation, Financial Statements, Payroll, Accounts Receivable
Education
Mercy College 1983 — 1987
Bachelor of Applied Science (BASc), Accounting
TECHNICAL SKILLSMercy College
B.S, Accounting
Coach July 2015 - Present
Department of Citywide Administrative Services May 2006 - July 2015
Affinity Health Plan April 2005 - May 2006
GreenPoint Bank January 2001 - June 2004
Skills
Data Analysis, PeopleSoft, Training Delivery, HRIS Database Management, Organizational..., Business Process..., Lawson HRIS, Configuration Management, Change Management, Microsoft Office, Training, Process Improvement, Customer Service, Outlook, Government, Policy, Employee Relations, Program Management, Human Resources, Personnel Management, Leadership, Interviews, HRIS, Employee Benefits, Applicant Tracking..., Onboarding
Education
LIU Brooklyn 1997 — 2002
Commmunicatons
Long Island University, Brooklyn Campus 1997 — 2002
Bachelor's degree, Business/Corporate Communications
Affinity Health Plan February 2014 - Present
Affinity Health Plan January 2012 - Present
Affinity Health Plan January 2009 - December 2011
Affinity Health Plan June 2007 - December 2008
Affinity Health Plan December 2006 - May 2007
Affinity Health Plan January 2005 - November 2006
Skills
Accounts Receivable, Customer Service, HIPAA, Health Insurance, Medicaid, Access, Employee Benefits, Healthcare, Healthcare Industry, Insurance, Managed Care, Marketing, Outlook, Process Improvement, Quality Assurance, Software Documentation, Strategic Planning, Team Building
Education
Katherine Gibbs School 2001 — 2004
Associates Degree, Computer Programming, 3
MetroPlus Health Plan October 2013 - Present
Affinity Health Plan May 2006 - April 2013
HIP Health Plan of NY 1995 - 2006
Skills
Managed Care, Medicaid, Healthcare, Strategic Planning, Coaching, Health Insurance, Medicare, Hospitals, Performance Improvement, HIPAA, Healthcare Industry, Insurance, Marketing Strategy, Customer Satisfaction, New Business Development, Strategy, Sales Management, Healthcare Management, Training, Employee Benefits, Budgets, Selling, Start-ups, Healthcare Information..., Call Centers, Marketing, Account Management, Sales, Sales Operations, Leadership, Employee Training, Customer Retention, Management, Team Building, HMO, Executive Management, Provider Relations, Recruiting, Cold Calling, Network Development, Healthcare Consulting, Lead Generation, Medicare Part D, Disease Management, Health Policy, PPO, Physicians, Physician Relations, Home Care, Revenue Cycle
Education
Pace University-Pleasantville/Briarcliff Campus 1983 — 1987
BA, History Pre-Law
Aspire Health, Inc. September 2015 - Present
Affinity Health Plan June 2013 - August 2015
Hebrew Hospital Home Continuum of Care October 2010 - December 2012
330 E 57 st Condo Association Inc May 2008 - December 2011
Shovio June 2010 - December 2010
Skills
PowerPoint, Microsoft Office, Video, Leadership, Final Cut Pro, Adobe Creative Suite, Pro Tools, Event Planning, Public Speaking, Marketing, Customer Service, Management, Microsoft Excel, Access, Sales, Public Relations, Sony Vegas, Photoshop, Audio Engineering, After Effects, Microsoft Word, Visio, Wordperfect, Digital Audio, Event Management, Marketing Communications, Research, Healthcare, Healthcare Industry
Education
Saint John's University 2006 — 2010
Bachelor, Communications, TV & Film
Institute of Audio Research 2005 — 2006
Associates, Audio Engineering
Affinity Health Plan May 2006 - Present
EmblemHealth September 1995 - April 2006
ICICI Prudential Life Insurance Company Limited June 1985 - March 1992
Skills
Managed Care, Medicare, Medicaid, Healthcare, Health Insurance, Insurance, HIPAA, Customer Service, Strategic Planning, Healthcare Information..., Healthcare Management, Process Improvement, Team Building, Claim, Microsoft Excel, Hospitals, Microsoft Word
Education
Pace University
Bachelor of Arts (B.A.), Pre-Law Studies
Interim HealthCare April 2015 - Present
Affinity Health Plan February 2010 - November 2014
KeyBank March 2006 - January 2010
Union State Bank January 2004 - March 2006
Skills
Marketing, Management, Marketing Strategy, Sales, Direct Marketing, Managed Care, Healthcare, Account Management, Health Insurance, Coaching, Outlook, Microsoft Office, Sales Operations, Banking, Kronos, Lotus Notes, Operations Management, Product Marketing, Medicaid Managed Care, Healthcare Management, Branch Banking, Account Reconciliation, Financial Analysis, Strategic Planning, AS400 system, Macess, Faceted Search, Hogan Assessments, ePace, Event Management, Provider Relations, Accounts Payable, Accounts Receivable, Accountants, Leadership, Customer Service, Training, Insurance
Education
Dominican College of Blauvelt 2001 — 2005
Bachelor of Applied Science (BASc), Finance and Financial Management Services
Spring Valley High School
Health Republic Insurance of New York August 2015 - Present
Magellan Health - AlphaCare of New York February 2014 - July 2015
Affinity Health Plan July 2008 - February 2014
Northport-East Northport School District 2006 - 2007
YAI - National Institute for People with Disabilities 2004 - 2006
KPMG, LLP 2002 - 2003
Empire Blue Cross Blue Shield 1997 - 2002
Skills
Process Improvement, Medicaid, Insurance, HIPAA, Medicare, Strategic Planning, Managed Care, Accounting, Finance, HMO, Employee Benefits, Healthcare, Revenue Cycle, Healthcare Industry, Training, Credentialing, Microsoft Excel, Visio, Provider Relations, Health Insurance, Leadership, Medicaid Managed Care, Budgets, Network Development, Internal Audit, Risk Management, Microsoft Visio, Model Audit Rule, Financial Audits, Financial Reporting, Compliance, CCMS (CareEnhance..., Facets Claims..., Sarbanes-Oxley, Project Management, Microsoft Dynamics SL..., Risk Assessment, Statutory Audit, OMB Circular A-133, Medicare Advantage, Financial Accounting, Corporate Finance, Financial Risk, SOX Compliancy, Privacy Compliance, IT Audit, Health Policy, Healthcare Management, Management, Auditing
Education
SUNY College at Old Westbury Graduate School of Business 2007 — 2008
Master's degree, Accounting, 4.0
Iona College
Bachelor of Business Administration (BBA), Accounting, 3.94
Affinity Health Plan July 2015 - Present
CVS Health August 2014 - Present
PerformRx July 2014 - July 2015
CVS Health May 2009 - July 2014
A & M Schwartz College of Pharmacy 2010 - May 2014
Skills
Community Pharmacy, Research, Pharmacy, Microsoft Excel, Microsoft Word, Microsoft Office, PowerPoint, Customer Service, Teamwork, Photoshop, Public Speaking, English, HTML, Social Media, Medication Therapy...
Education
Long Island University, Brooklyn Campus 2008 — 2014
Doctor of Pharmacy (Pharm.D.)
The Bronx High School of Science 2004 — 2008
Affinity Health Plan August 2015 - Present
PwC August 2011 - August 2015
US Department of Health and Human Services September 2010 - December 2010
Washington University School of Medicine March 2007 - August 2009
Skills
Data Analysis, Public Health, Project Management, Healthcare, Research, Stata, Program Management, Nonprofits, Program Evaluation, Policy, Policy Analysis, Healthcare Information..., Clinical Research
Education
Harvard University School of Public Health 2009 — 2011
MS, Health Policy and Management
Washington University in St. Louis 2004 — 2008
BA, Environmental Studies, Women and Gender Studies
MetroPlus Health Plan September 2015 - Present
Wellpoint January 2013 - Present
WellPoint 2013 - Present
Affinity Health Plan November 2011 - January 2013
UnitedHealthcare August 2011 - November 2011
MetroPlus Health Plan March 2009 - August 2011
HMS Holdings November 2007 - November 2009
TransContinental Credit and Collections July 2005 - November 2007
Health Plan Navigator 1999 - 2006
Skills
Identifying Medical..., Data Mining, Medical Coding and..., Provider Documentation..., Medical Office..., DRG Validation, Fraud, Business Analysis, Claim, Software Documentation, Medical Coding, Provider Relations, HIPAA, Claim Investigation, Program Development, Auditing, Data Analysis, Medicaid, HMO, Policy, Medicare, Health Insurance, Analysis, Health Policy
Education
Roxbury Institute of Medical Coding 2011 — 2012
Sarah Lawrence College 1996 — 1999
MA, Health Advocacy
Michigan State University 1967 — 1972
BA, Communications
Affinity Health Plan November 2014 - Present
ShelterPoint Life February 2012 - Present
Affinity Health Plan August 2013 - October 2014
DeWitt Consults September 2010 - August 2013
EmblemHealth September 2005 - September 2010
PerfectHealth Insurance Company May 2008 - May 2010
HIP September 2005 - September 2007
AIG/ AMERICAN GENERAL2004 - 2005 September 2004 - September 2005
CERIDIAN BENEFITS SERVICES March 1999 - September 2004
Prudential Healthcare June 1984 - March 1999
Skills
Insurance, Managed Care, Product Development, Strategy Development, Strategic Partnerships, New Business Development, Healthcare, Account Management, Advertising, Analysis, B2B, Benefits Administration, Business Analysis, Business Development, Business Process..., Business Strategy, CRM, Change Management, Cross-functional Team..., Employee Benefits, Health Insurance, Leadership, Management Consulting, Marketing, Marketing Strategy, Medicaid, Medicare, Mergers, Mergers, Outsourcing, Product Launch, Sales, Sales Management, Sales Operations, Sales Process, Strategic Planning, Team Building, Management, Strategy, Executive Management, Integration, Selling, Start-ups
Education
Princeton University 1978 — 1981
BA, History
Affinity Health Plan April 2014 - Present
NYC Health and Hospitals Corporation January 2013 - January 2014
New York State Office of the Medicaid Inspector General January 2008 - January 2013
New York State Insurance Fund July 2005 - January 2008
MAC Risk Management 1998 - 2000
Skills
Health Law, Legal Research, Compliance, Litigation, Hearings, Legal Writing, Courts, Civil Litigation, Appeals, Westlaw, Legal Assistance, Mediation, Corporate Law, Arbitration, Administrative Law, Trial Practice, Privacy Law, Fraud and Abuse, Lexis, Alternative Dispute..., Fraud, Legal Advice, Employment..., Personal Injury, Medical Malpractice, HIPAA, Employment Law, Criminal Law, Legal Compliance, Bankruptcy, Legal Issues, Litigation Management, Insurance Law, International Law, Licensing, Policy, Corporate Governance
Education
Fordham University School of Law 2000 — 2003
Juris Doctorate Degree, Law
University of Massachusetts Boston 1998 — 2000
Bachelor of Arts Degree, English and Sociology
Notre Dame Preparatory School
High School Diploma
Affinity Health Plan September 2014 - Present
Bayer HealthCare March 2008 - Present
Nutrition 21, Inc. February 2004 - December 2007
Westchester Urological Associates 2002 - 2004
Skills
Organizational Structure, Multi Tasking, Problem Solving, Confidentiality, Budgets, Cross-functional Team..., Strategic Planning, Management, Analysis, Microsoft Excel, Project Planning, Public Relations, Sales, Time Management, Human Resources, PowerPoint, Marketing, Marketing Strategy
Education
Mercy College 2010 — 2014
International Marketing
UnitedHealth Group January 2006 - Present
UnitedHealth Group January 2006 - Present
Affinity Health Plan January 2004 - December 2005
ACS July 2003 - January 2004
Managed Health Network (MHN) 1998 - 2002
Skills
Managed Care, Health Insurance, Medicaid, Medicare, Insurance, Medicare Part D, Healthcare, Customer Service, Provider Relations, Process Improvement, Contract Negotiation, Network Development, Recruiting, Strategic Planning, Microsoft Office, Account Management, Access, Operations Management, Medical Billing, Analysis, HMO, HIPAA
Education
Delaware State University 1993 — 1998
BS, Psychology
Milton Hershey School
Columbia University Medical Center December 2014 - Present
Westchester Medical Center September 2014 - December 2014
Monroe College September 2010 - August 2014
Affinity Health Plan November 2007 - February 2010
St Joseph Medical February 2004 - November 2007
st josephs medical center February 2001 - November 2005
Skills
Customer Service, Management, Invoicing, Admissions, Medical Terminology, Data Entry, Healthcare, EMR, Hospitals, Healthcare Management, Administrative..., Microsoft Word, PowerPoint, Microsoft Office, Cpr Certified, Outlook, Microsoft Excel, HIPAA, Healthcare Information..., Medical Records, EKG, Patient Safety, Teamwork, BLS, Office Management, CPT, Filing, Patient Education, Medicare, Treatment, Inpatient, EHR, Microsoft Publisher, Medical Billing, Phlebotomy, Medical Coding, ICD-9, Appointment Scheduling, Microsoft Office 2007, Accounts Receivable, Vital Signs, Quality Patient Care, Medical Assisting, Direct Patient Care, Accounts Payable, Bilingual-English/Spanis..., Blood Pressure
Education
Monroe College 2012 — 2014
Bachelor of Business Administration (BBA), Health Service Administration
Monroe College 2010 — 2012
Associate's degree, Medical/Clinical Assistant, 3.3
Anthem November 2013 - Present
Affinity Health Plan October 2012 - November 2013
Emblem Health February 2012 - November 2012
Hms inc May 2008 - February 2012
Habib American Bank November 2007 - March 2008
TD May 2005 - November 2007
Skills
Analysis, Management, Quality Assurance, Strategy, Leadership, Data Analysis, Databases, Finance, Healthcare, Troubleshooting, Customer Service, Project Planning, Testing
Education
LIU Brooklyn 2007 — 2009
MS, COMPUTER SCIENCE
New York Institute of Technology 2003 — 2005
BS, Management Information System
US Family Health Plan-St. Vincent's Catholic Med Ctrs NY August 2012 - Present
9 Keys Consulting June 2011 - August 2012
Affinity Health Plan September 2009 - June 2011
Affinity Health Plan 2001 - 2009
Skills
Strategic Planning, Team Building, Public Speaking, Public Relations, PowerPoint, Coaching, Account Management, Word, Excel, Sales Management, Customer Relations, Budgeting, Healthcare, Customer Service, Microsoft Office, Mentoring, Problem Solving, Process Improvement, Administration, Business Strategy, Data Analysis, Operations Management, Marketing Strategy, Promotions, Non-profits, Writing, New Business Development, Marketing Communications, Call Center, Medicaid, Project Management, Microsoft Excel, Managed Care, Staff Development, Medicare, System Administration, Microsoft Word, Customer Retention, Budgets, Leadership, Nonprofits
Education
Trident University International 2014 — 2016
Master's Degree, Health/Health Care Administration/Management
Nyack College
Bachelor of Science, Organizational Management
Affinity Health Plan May 2015 - Present
MVP Health Care November 2014 - May 2015
Hudson Health Plan August 2013 - November 2014
Hudson Health Plan October 2008 - August 2013
Skills
Nonprofits, Community Outreach, Public Speaking, Leadership, Healthcare, Customer Service, Program Development, Strategic Planning, Policy, Healthcare Management, Event Planning, Managed Care, Healthcare Information..., Fundraising, Event Management, Youth Ministry, Strategic Partnerships
Education
Nyack College 2004 — 2008
Bachelor's Degree, Business Administration and Management, General
New York Presbyterian Hospital July 2014 - Present
Village Care January 2013 - Present
Visiting Nurse Service of New York May 2011 - Present
Visiting Nurse Service of New York January 2011 - Present
Mount Sinai Hospital/VNS January 2007 - Present
Affinity Health Plan January 2008 - May 2011
Affinity Health Plan January 2007 - January 2011
Neighborhood & Family Healh Center January 2002 - August 2008
Visiting Nurse Service of NY: DSS Services January 2005 - January 2007
Neighborhood and Family Health Center January 1999 - January 2007
Skills
Home Care, Nursing, Hospitals, Healthcare, Case Managment, Managed Care, Clinical Research, Palliative Care, Treatment, Inpatient, Acute Care, BLS, Mental Health, Adults, Nursing Care, Pediatric Nursing, Utilization Management, Registered Nurses, PALS, ACLS
Education
LIU Brooklyn 1994 — 1999
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Long Island University 1994 — 1999
Bachelor of Science, Nursing
Montefiore Medical Center October 2014 - Present
MetroMed August 2013 - Present
Monroe College June 2009 - June 2014
Senior Care EMS December 2006 - April 2007
TransCare November 2003 - September 2006
Affinity Health Plan September 2002 - March 2003
Skills
Hospitals, BLS, Medicine, Medical Records, Customer Service, EMR, Vital Signs, ACLS, Health Education, CPR Certified, Quality Patient Care, HIPAA, EKG, Healthcare Management, Data Entry, Prevention, Pediatrics, Emergency Medical, Healthcare, Case Managment, First Aid, Administrative..., Medical Terminology, CPT, Community Outreach, Treatment, Phlebotomy, Case Management, Plannning, Emergency Medicine, Venipuncture, Outlook, Problem Solving, Assessment, Higher Education, Patient Education, ICD-9, Clerical, Program Planning, Administrative Support, Adult CPR, Immunization, Human Anatomy, Vaccine Administration, NYSIIS Inventory..., Patient Counseling, Microsoft Word, NaviNet, Availity, Practice Fusion
Education
Mercy College 2013 — 2017
Masters of Science, Physician Assistant
Monroe College 2010 — 2011
B.S., Public Health
Monroe College 2008 — 2010
A.A.S., Medical Assistant Studies
Affinity Health Plan January 2004 - Present
Datacom Technology Group May 2001 - September 2003
Lante Corporation September 2000 - May 2001
Datacom Technology Group April 1997 - May 2000
Skills
Workshop Facilitation, Applicant Tracking..., Process Improvement, Personnel Management, Training, Onboarding, Human Resources, Succession Planning, Recruiting, HR Policies, Talent Acquisition, Payroll, Leadership, Workforce Planning, Deferred Compensation, Interviews, Performance Management, Vendor Management, Employee Training, Hiring, Management, Marketing, Coaching, Performance Improvement, Strategic Planning, Policy, Leadership Development, New Hire Orientations, Project Management, Team Building, Call Centers, Time Management, Organizational..., Strategy, Executive Management, Employee Engagement, Business Analysis, Organizational..., SDLC, PeopleSoft, Program Management, HRIS, Training Delivery
Education
Development Dimensions International (DDI) 2009 — 2009
DDI Certification, Facilitation
New York Institute of Technology 2005 — 2005
PHR Certification, Human Resources
Saint John's University
AAS, Computer Science
NitelineRadio/NitelineMagazine February 2009 - Present
NYC Board of Education April 2008 - Present
Affinity Health Plan February 2007 - April 2008
Skills
Research, Internet Radio, Music, Entertainment, Blogging, Social Media, Public Speaking, Editing, Event Planning, Creative Writing, Social Networking, Public Relations, Television, Social Media Marketing, Journalism, Final Cut Pro, Voice Over, Event Management, Broadcast, Radio, Radio Host, Radio Broadcasting, Video Production, Record Labels, Songwriting, Music Production, Music Industry, Sound, Video, Radio Promotions, Marketing, Film, Advertising, Concerts, Facebook
Education
Evander Childs HS 1986 — 1989
High School Diploma, Nursing
New York University
Phsycology
Affinity Health Plan January 2000 - May 2015
Skills
Employee Benefits, Performance Management, Succession Planning, Talent Management, Recruiting, Human Resources, Employee Relations, Coaching, Organizational..., HRIS, Deferred Compensation, Managed Care, Onboarding, Talent Acquisition, Benefits Administration, Employee Engagement, Personnel Management, HR Policies, Workforce Planning, Labor Relations, Team Building, New Hire Orientations, Process Improvement, HR Consulting
Education
New York Institute of Technology 1983 — 1985
MS, Labor & Industrial Relations
Marymount Manhattan College
BA, Psychology
Urban Tropics Music Enterprises October 1999 - Present
M.S. Entertainment November 1994 - Present
Affinity Health Plan December 2008 - October 2009
Education
LaGuardia Community College 1984 — 1985
AAS, Accounting
McKesson Health Solutions July 2012 - Present
McKesson (through Sound Advice Consulting Services) March 2012 - June 2012
Affinity Health Plan January 2011 - January 2012
Affinity Health Plan August 2005 - January 2012
Affinity Health Plan September 2006 - September 2009
Affinity Health Plan August 2005 - September 2006
Healthfirst November 2004 - August 2005
Emerging Health Information Technology (EHIT) September 1996 - October 2004
Montefiore Medical Center January 2001 - January 2004
Montefiore Medical Center January 1996 - January 2004
Skills
Healthcare, Healthcare IT, Healthcare Information..., Full SDLC, Functional..., Business Requirements, Functional Design, Interface Architecture, Functional Architecture, Trizetto, Facets, Cactus, McKesson, SQL, Healthcare Management, Managed Care, Claims, Databases, HIPAA, Visio, Business Analysis, Requirements Gathering, Insurance, Requirements Analysis, Medicaid, SDLC, Quality Assurance, Integration, Analysis, Claim, Software Documentation, Access, Interfaces, Project Management, Microsoft SQL Server, Data Analysis, Vendor Management, Hospitals, Medicare, Software Development, Health Insurance, Process Improvement, Disaster Recovery, SharePoint, EDI, Computer Network..., Systems Analysis, Troubleshooting, Crystal Reports, Testing
Education
University of Phoenix
MBA-TM, MBA of Technology Management
City University of New York-Queens College
B.A., Psychology - Research, Computer Science
COPE Institute 1992 — 1992
Certificate, Computer Programming
Affinity Health Plan May 2011 - Present
Orthonet November 2007 - May 2011
Skills
Insurance, Medicare, Health Insurance, Claim, Customer Service, Process Improvement
Education
Mercy College 2013 — 2014
Bachelor's degree, Organizational Leadership
Monroe College 2011 — 2013
Associate of Arts and Sciences (AAS), Accounting, 3.64
Health Republic Insurance of New York August 2015 - Present
Affinity Health Plan November 2014 - August 2015
EmblemHealth October 2013 - November 2014
Horizon Blue Cross Blue Shield of New Jersey July 2010 - October 2013
Horizon Casualty Services June 2008 - July 2010
Horizon Blue Cross Blue Shield of NJ November 2006 - July 2008
NYCE Payments Solutions, LLC June 2004 - November 2006
NYCE Payments Solutions, LLC August 2002 - June 2004
Time Inc. August 2000 - August 2001
Skills
Project Management, Requirements Gathering, Requirements Analysis, Business Analysis, SQL, Requirements Management, Disaster Recovery, Software Documentation, Mainframe, Vendor Management, MS Project, Systems Analysis, Microsoft Office, SDLC, Access, Business Requirements, Business Process, Analysis, Troubleshooting, User Acceptance Testing, Visio, SharePoint, Process Improvement, Integration, TSO, CICS, PMO, Waterfall, Agile Project Management, Business Process Mapping, Quality Assurance, Databases, JCL, Microsoft Project, ITIL, Oracle, Testing, Information Technology, Business Process..., Software Project...
Education
Fairleigh Dickinson University 2015 — 2016
Bachelor’s Degree, Business of Science in Individual Studies
Quality & Productivity Solutions, Inc. 2009 — 2010
Certificate, Process Redesign Greent Belt
The Chubb Institute 1999 — 2000
Certificate, Computer Programming
Affinity Health Plan April 2012 - Present
Skills
Call Centers, PowerPoint, Microsoft Excel, New Business Development, Account Management, IT Operations, Microsoft Office, Microsoft Word, Access, Customer Service
Education
Post University 2001 — 2006
Master's Degree, Legal Studies, General
Global Employment Solutions July 2013 - Present
Gilbane Building Company January 2013 - July 2013
Global Employment Solutions April 2012 - December 2012
RealCare Medical INC. February 2009 - March 2012
Affinity Health Plan January 2008 - January 2009
Skills
Medical Devices, Product Development, Microsoft Office, Strategic Planning, Customer Service, Healthcare, Sales Management, Microsoft Excel, Project Management, New Business Development, Process Improvement, Marketing Strategy, Cross-functional Team..., Manufacturing, Account Management, Microsoft Word, Team Building, Sales, Six Sigma, Marketing, Administrative...
Education
CUNY New York City College of Technology 2011 — 2013
Bachelor’s Degree, Sociology, human services, Junior
Kingsborough Community College 2007 — 2009
AAS Business Administration, Business Administration, Management and Operations
Essex County April 2015 - Present
HCE November 2012 - April 2015
Essex County Hospital 2012 - 2014
Essex County Hospital 2012 - 2014
Affinity Health Plan January 2012 - November 2012
Affinity Health Plan September 2011 - November 2011
Teamamerica May 2007 - September 2010
Dr. Camacho & Ramirez October 2003 - August 2006
Montefiore Medical Center August 2001 - August 2002
Skills
Microsoft Office, Customer Service, Microsoft Excel, Outlook, PowerPoint, Budgets, Troubleshooting, Windows, Strategic Planning, HTML, Microsoft SQL Server, Photoshop, Account Management, Public Speaking, Marketing, Microsoft Word, Spanish, Access, Data Analysis, Data Entry, Management
Education
LIU Brooklyn 2001 — 2005
Computer Science / Health Science
SUNY Albany 1999 — 2000
Computer Science / Mathematics
Amerigroup November 2013 - Present
Amerigroup January 2013 - November 2013
Amerigroup Corporation August 2011 - December 2012
ReliaCare Alliance IPA, LLC. January 2011 - September 2011
Affinity Health Plan April 2009 - January 2011
MultiPlan March 2008 - April 2009
Touchstone Health August 2007 - March 2008
Pediatric and Adolescent Medicine, PA August 2001 - September 2002
Skills
Provider Relations, Contract Negotiation, Analysis, Managed Care, Medicaid, Medicare, Network Development, Healthcare Management, Healthcare, Health Insurance, Insurance, Claim, Strategic Planning, Team Building, Recruiting, Management, Executive Management, Negotiation, Leadership, Physician Relations, HMO, Hospitals, Physicians, Policy, Performance Improvement, Home Care, Health Policy, Medical Billing, Process Improvement, Healthcare Industry, Business Development, PPO, Credentialing, Revenue Cycle, Healthcare Consulting
Education
Regis University 2002 — 2005
MBA, Healthcare Management
Tulane University 1998 — 2001
BS, Legal Studies/Business Administration
Louisiana State University 1998 — 1999
Certification, Paralegal Studies
NYU Fertility Center May 2005 - Present
Affinity Health Plan April 2002 - May 2005
Liz Claiborne August 2000 - April 2001
Skills
Medicare, Managed Care, Insurance, Medicaid, Accounts Receivable, Data Entry, Invoicing, Accounts Payable, Employee Benefits, Medical Billing, Policy, Access, HIPAA, Healthcare, Software Documentation
Education
New York University
RelayHealth August 2012 - Present
Medco February 2011 - September 2012
Hudson Health Plan January 2007 - January 2010
Affinity Health Plan 2006 - 2006
Fidelis Care NY/Ryan Community Health Network 2003 - 2006
GoAmerica Communications 2000 - 2002
Affiliated Physicians Network 1997 - 1999
Skills
Process Improvement, PMO, Project Portfolio..., Program Management, Business Analysis, Call Center, Healthcare Information..., Healthcare, Change Management, Business Requirements, Visio, Requirements Gathering, Business Intelligence, Information Technology, Team Building, Cross-functional Team..., SDLC, Software Project..., Strategic Planning, SharePoint, Project Management, Vendor Management, MS Project, HIPAA, Business Process, CRM, Budgets, Call Centers, Databases, Integration, Management, Leadership, Business Process..., IT Management, IT Strategy, Software Documentation
Education
Thomas Edison State College 1981 — 1983
AA, Business
Ithaca College 1980 — 1981
Business
Affinity Health Plan Marketing Director/Public RelationsThe Bronx Puerto Rican Day Parade2006 - Present
Education
Florida Metropolitan University
Medical
NYC Health and Hospitals Corporation November 2008 - Present
Gotham Staffing Companies ( temporary) November 2014 - April 2015
SUNY Downstate Medical Center April 2014 - November 2014
TheraCare September 2013 - April 2014
Columbia University July 2011 - July 2013
Affinity Health Plan October 2006 - June 2008
NYU Langone Medical Center December 2004 - November 2006
NYC Health and Hospitals Corporation June 1999 - December 2004
Skills
Provider Enrollment, Medical Billing, Credentialing, Provider Relations, Project Management, Healthcare Management, Healthcare, HIPAA, Health Policy, Medicare, EMR, Medical Records, Health Insurance, Enrollment Management, Hospitals, Healthcare Information..., Medicaid, Managed Care, Patient Safety, Outlook, Benefits Administration, Employee Relations, Applicant Tracking..., Onboarding, Human Resources, Physician Relations, Cpr Certified, Microsoft Excel, Medical Terminology, EHR, Revenue Cycle, Case Management, ICD-9, CPT, Nursing, Policy, Physicians, Insurance, Healthcare Industry, Data Entry, IDX, Quality Improvement, Recruiting, Patient Education, Medical Compliance, Acute Care, Spreadsheets, Public Speaking, HRIS, Inpatient
Education
Metropolitan College of New York 2004 — 2005
Master of Public Administration (M.P.A.), Public Administration
College of New Rochelle 1999 — 2003
Bachelor's degree, Psychology and Social Work
Affinity Health Plan July 2015 - Present
Affinity Health Plan October 2014 - July 2015
Affinity Health Plan June 2012 - October 2014
Easy Choice Health Plan of New York September 2011 - May 2012
MetroPlus Health Plan September 2006 - September 2011
Education
University of Phoenix 2014 — 2016
Bachelor of Business Administration (BBA), Business, Management, Marketing, and Related Support Services
LaGuardia Community College 1993 — 1995
Associate of Science (AS), Occupational Therapy/Therapist
National Children's Center November 2014 - Present
Affinity Health Plan June 2014 - October 2014
Expert Medical Opinions an Exam Works Company October 2013 - May 2014
Amalgamated Life Insurance Company, a member of the Amalgamated Family of Companies January 2012 - May 2013
Kaptec July 2010 - February 2011
Europ Assistance USA March 2010 - July 2010
Europ Assistance USA July 2009 - February 2010
Europ Assistance USA September 2008 - February 2010
Europ Assistance June 2007 - September 2008
Europ Assistance USA October 2006 - June 2007
Skills
Training, Process Improvement, Customer Service, Human Resources, Management, Performance Management, Leadership, Coaching, Call Centers, Recruiting, Analysis, Business Process..., Team Building, Strategic Planning, Team Leadership, Access, Employee Relations, Account Management, Quality Assurance, Insurance, Microsoft Excel, Policy, Microsoft Office, Employee Training, Organizational..., PowerPoint, Healthcare, Leadership Development, Health Insurance, Employee Benefits, Product Management, Customer Retention, Onboarding, Microsoft Word, Interviews, New Hire Orientations, Claim, SharePoint, Customer Satisfaction, Hiring, Business Process, Outlook, Software Documentation, Business Development, Program Management, Talent Management, Change Management, Facilitation, Career Development
Education
Rockhurst Univeristy 2009 — 2010
Project Management (Certificate of Continued Education), Business
Langevin Learning Services 2008 — 2009
Certified eLearning Specialist (Professional Certificate) 2009, Training And Development
Frederick Community College 2003 — 2003
American Red Cross
Certification, First Aid and CPR/AED Instructor
Yale New Haven Health System August 2010 - Present
Aetna June 2005 - July 2010
Tender Loving Care Home care (Part time) January 2007 - April 2008
2005 Care Training LLC (Part time) September 2005 - December 2005
Affinity Health Plan May 2004 - May 2005
Our Lady of Mercy Medical Center April 1999 - May 2003
Our Lady of Mercy Medical Center May 1988 - March 1999
Skills
Windows, Microsoft Word, Outlook, English, Customer Service, Microsoft Excel, Microsoft Office, PowerPoint, Healthcare, Hospitals, Cpr Certified, Spanish, HIPAA, Customer Satisfaction, Inpatient, Epic Systems, Public Speaking, Software Documentation, Nursing, CPR Certified, Clinical Research, Home Care, Healthcare Management, Case Management, EMR, Pediatrics, Healthcare Information..., Patient Safety
Education
Mercy College
BSN, Nursing
Mercy College
Bachelors of Science and Nursing
TSC>Direct April 2014 - Present
Affinity Health Plan August 2012 - April 2014
GLOBAL FACILITY MANAGEMENT December 2010 - October 2011
Allstate Insurance Company April 2010 - December 2010
Body Solutions, Inc September 2007 - March 2010
Skills
FLUENT IN SPANISH, MS Office Suite, Budgets, Contract Negotiation, Account Management, Retail, Negotiation, Team Building, Procurement, Project Planning, Customer Service, Outlook, Microsoft Word, Microsoft Excel, Facilities Management, Vendor Management, Coordination, Strategic Planning, Problem Solving, Office Administration, Office Management, Microsoft Office, Program Management
Education
Nassau Community College 2007 — 2009
Associate of Arts (A.A.), Liberal Arts and Sciences/Liberal Studies
Affinity Health Plan September 2014 - Present
EmblemHealth March 2013 - August 2014
Health Plus November 2006 - April 2012
Bronx High School of Science September 2011 - October 2011
Banana Kelly High School January 2011 - May 2011
Boys & Girls High School September 2010 - December 2010
East Side Community High School September 2005 - June 2006
Skills
Credentialing, Data Entry, Cactus, Medicaid, Microsoft Office, Medicare, Outlook, Customer Service, Naviance, STARS, CASAS, ARIS, Microsoft Word, PowerPoint, Microsoft Excel, Photoshop, Windows, Teaching, Public Speaking, Editing
Education
LIU Brooklyn 2008 — 2011
Master’s Degree, Bilingual Guidance Counselor
State University of New York at New Paltz 2002 — 2005
Bachelor’s Degree, Public Relations
SUNY Postdam 2000 — 2002
Affinity Health Plan May 2014 - Present
Affinity Health Plan September 2011 - April 2014
Affinity Health Plan June 2010 - August 2011
Daytop Village Inc. January 2011 - May 2011
Mercy College August 2007 - August 2010
Pathmark Stores, Inc. January 2007 - June 2010
Skills
PowerPoint, Microsoft Excel, Microsoft Word, Public Speaking, Microsoft Office, Customer Service, Outlook, Event Planning, Sales, Non-profits, Employee Benefits, Insurance, Marketing, Medicaid, Health Insurance, Healthcare, Access, Data Entry, Medicare, Software Documentation, Hospitals, Strategic Planning, Team Building, Provider Relations, Managed Care, Process Improvement, HIPAA, Training, Nonprofits, Management, Credentialing, Healthcare Management, Data Analysis, Coaching, Recruiting, Call Centers, Leadership, Network Development, Policy, Disease Management, HMO, Analysis, Healthcare Industry, Healthcare Information..., Health Policy, Time Management
Education
Utica College 2012 — 2014
Master's degree, Cybersecurity - Intelligence
Mercy College 2006 — 2011
B.S., Psychology, Criminal Justice, Substance Abuse
Affinity Health Plan April 2014 - Present
Amicus MSO November 2012 - March 2014
Marketing Concepts 2011 - 2012
GHESKIO May 2008 - May 2011
Saint Michel Hospital CDV/ARV October 2006 - May 2008
Saint Parish Cathedral Mission December 2004 - March 2006
Skills
Clinical Research, Medicine, Healthcare, Hospitals, Healthcare Management, Medical Coding, Healthcare Information..., Data Analysis, Medical Education, EMR, Public Health, Nonprofits, PowerPoint, Public Speaking, Strategic Planning, Microsoft Office, Microsoft Excel, Software Documentation, Medical Records, Program Management, Epidemiology, Surgery, Patient Safety, Pediatrics, Managed Care, Medicare, Music Production, Quality Improvement, Treatment, Community Outreach, Healthcare Industry, Health Education, Prevention, Inpatient, Health Policy, Health Insurance, Program Development, Medicaid, HIPAA
Education
Kaplan University-Davenport Campus 2014 — 2015
Master's Degree, Public Health (Occupational and Environmental Health)
USAID/Johns Hopkins Bloomberg (School of Public Health) 2014 — 2014
Master's Degree, Public Health, 4.0
USAID/Johns Hopkins Bloomberg (School of Public Health) 2013 — 2013
Certification in Global Health, HIV/AIDs Surveillance, 4
USAID/Johns Hopkins Bloomberg (School of Public Health) 2013 — 2013
Certification in Global Health, Fostering Change in Health Services, 4
USAID/Johns Hopkins Bloomberg (School of Public Health) 2013 — 2013
Certification in Global Health, Monitoring and Evaluation Fundamentals, 4
Ultimate Medical Academy-Tampa 2012 — 2013
Associate's degree, Medical Billing/Coding, GPA 3.89
S.A.D.I (Sociedad Argentina de Infectologia) PAHO/WHO 2008 — 2010
Infectious Disease Specialist (HIV/AIDs Concentration), Practical Approach to Rational Antiretroviral Treatment, 3.9
University Notre Dame of Haiti 1996 — 2002
Doctor of Medicine (MD), Medicine
Saint Louis de Gonzague 1989 — 1996
High School, Bacc I and Bacc II
Starwood Hotels & Resorts Worldwide, Inc. June 2013 - May 2015
Affinity Health Plan August 2008 - April 2013
Morgan Stanley June 2004 - October 2007
Bayer January 2001 - November 2003
Skills
Instructional Design, Captivate, Lectora, Instructor-led Training, Microsoft Office, Editing, Research, Blended Learning, Technical Training, Visio, Adobe Acrobat, E-Learning, Software Documentation, Social Networking, Knowledge Management, Online Training, PowerPoint, Adobe Suite, Photoshop, Public Speaking, Word, Customer Relations, Writing, Excel, Dreamweaver, Social Media, Documentation, Outlook, Customer Service, Multimedia, E-learning Development, Learning Management, Curriculum Design, CMS, SharePoint, Distance Learning, ILT, Content Development, Camtasia, Software Training, Learning Technology, Blended Learning..., SCORM, Web-based Training, SnagIt, Curriculum Development, ADDIE, Training Delivery, Needs Analysis, Learning Management...
Education
HeartMath Institute 2014 — 2014
Certified Resiliency Trainer, Emotional Regulation, Energy Management, Optimal Performance
Pace University 1992 — 1994
MST, Graduate Degree in Education
Siena College 1985 — 1989
BA, English/Education
Affinity Health Plan March 2015 - Present
Diamond Wireless July 2013 - March 2015
Verizon Wireless July 2006 - July 2013
Flextronics September 2005 - July 2006
Skills
Customer Satisfaction, Customer Experience, Team Building, Sales Management, Wireless, Telecommunications, Customer Retention, Solution Selling, Direct Sales, Sales Operations, Management, Sales, Customer Service, Sales Process, Mobile Devices, Retail, Time Management, Inventory Management, Strategic Planning, Coaching, Sales Presentations, Hiring, Leadership, Marketing, Cellular Communications
Education
Farmingdale State University of New York 2013 — 2013
Computer Networking -Present, Computer and Information Sciences and Support Services
Nassau Community College 2011 — 2013
Associate of Arts and Sciences (AAS), Liberal Arts and Sciences/Liberal Studies
CUNY New York City College of Technology 2005 — 2006
NASSAU community college Liberal Arts And Sciences, Computer Engineering
CUNY New York City College of Technology 2005 — 2006
Computer information, Computer and Information Sciences and Support Services
Affinity Health Plan December 2004 - Present
Macy's October 2002 - December 2004
Skills
Health Insurance, Marketing Strategy, Customer Retention, Insurance, Marketing, Sales Presentations, Account Management, Strategic Planning, Sales, Direct Marketing, Team Building, New Business Development, Leadership, Customer Service, Training, Cold Calling, Direct Sales, Outlook, Microsoft Office, Microsoft Excel, Healthcare
Education
Nassau Community College 2002 — 2004
bussines administration, undergraduate
NYUniversity, Farmindale
English as a second Languaje, two years
Affinity Health Plan July 2014 - Present
Affiity January 2013 - Present
UnitedHealthcare 2011 - January 2013
Health and Welfare Council of Long Island January 2009 - May 2010
COMMUNITY DEVELOPMENT CORP July 2007 - December 2009
NeighborWorks ®Homeownership Center July 2007 - December 2009
Nassau County Government July 2005 - April 2007
Suffolk County Legislature January 2004 - December 2005
SUFFOLK COUNTY LEGISLATURE January 2004 - July 2005
MEDIALINK WORLDWIDE, INC June 2000 - May 2004
Skills
Program Development, Media Relations, Program Management, Community Development, Marketing, Press Releases, Management, Healthcare, Leadership Development, Marketing Communications, Grant Writing, Training, Social Media, Event Planning, Strategic Planning, Sales, Human Resources, Project Planning, Project Management, Marketing Strategy, Strategic Communications, Microsoft Office, Time Management, Policy, Fundraising, Research, Teaching, Volunteer Management, Public Relations
Education
NEW YORK INSTITUTE OF TECHNOLOGY 1995 — 1997
Masters of Fine Arts, Electronic Journalism and Communications
NYIT 1995 — 1997
Bachelors of Fine Arts, Communications, English, Music, Humanities
New York Institute of Technology-Old Westbury 1994 — 1997
Masters, Fine Arts, Journalism and TV Production
Affinity Health Plan April 2014 - Present
Starwood Hotels & Resorts Worldwide, Inc. September 2011 - April 2014
Starwood Hotels and Resorts Worldwide, Inc February 2010 - September 2011
Berkeley College November 2009 - December 2009
Things Remembered June 2007 - November 2009
Albert Einstein College of Medicine July 2002 - August 2003
Skills
PowerPoint, Excel, Research, Microsoft Office, Employee Relations, Benefits Administration, Data Analysis, Public Speaking, Event Planning, Customer Service, Outlook, Time Management, Data Entry, Microsoft Word, Teamwork, Training, Event Management, Recruiting, Management, Microsoft Excel, Leadership Development
Education
Mercy College
Master of Business Administration (MBA)
Mercy College 2010 — 2012
Bachelor of Science, Sociology
Saint Barnabas High School 1999 — 2003
High School Regents Diploma
Affinity Health Plan January 2015 - Present
Affinity Health Plan January 2010 - December 2014
NewYork-Presbyterian Hospital- NYP Community Health Plan 2000 - 2009
Physician Partners Company LLC 1999 - 2000
New York Hospital Health Plan Inc. 1997 - 1999
Empire Blue Cross Blue Shield 1995 - 1997
Skills
Credentialing, Medicaid, Medicare, Provider Relations, Managed Care, Healthcare Industry, Health Insurance, Health Policy, Healthcare Management, Healthcare Consulting, Healthcare, Disease Management, HMO, Physicians, Claim, Hospitals, Insurance, Practice Management, Clinical Research, Medicaid Managed Care, Home Care, Network Development, Physician Relations, Utilization Management, HIPAA, Medical Billing, EMR, Employee Benefits, Epic Systems, Healthcare Information...
Education
Hofstra University
BBA, Management
Affinity Health Plan April 2013 - Present
VIP Community Services January 2012 - March 2013
PeopleFinders Plus June 2007 - January 2012
MTV Networks September 2004 - June 2007
Skills
Recruiting, Employee Relations, Talent Acquisition, Employee Engagement, Human Resources, Performance Management, College Recruiting, Talent Management, Interviews, Applicant Tracking..., Management, Onboarding, Employee Benefits, Training, Internet Recruiting, Technical Recruiting, Executive Search, Customer Service, Temporary Placement, Succession Planning, Personnel Management, Temporary Staffing, New Hire Orientations, HRIS, Deferred Compensation, Workforce Planning, Background Checks, Benefits Administration
Education
Syracuse University 2000 — 2004
B.S., Communication & Rhetorical Studies
Mercy College
Graduate Studies, Human Resource Management
Fidelis Care November 2010 - Present
Affinity Health Plan September 2004 - November 2010
WellCare February 2000 - September 2004
Education
Monroe College
AgeWell New York August 2015 - Present
Amida Care April 2015 - August 2015
The Salvation Army January 2012 - April 2015
Healthcare Partners, IPA September 2013 - January 2015
Affinity Health Plan November 2005 - September 2012
Healthfirst February 2004 - November 2005
Healthfirst October 2002 - January 2004
Healthfirst January 2001 - September 2002
Mexi-Frost Specialties Co. February 2000 - December 2000
US Army June 1989 - June 1992
Skills
Leadership, Training, Strategic Planning, Healthcare, Management, Recruiting, Managed Care, Provider Relations, Customer Service, Medicaid, Program Management, Team Building, Marketing, Coaching, Health Insurance, Insurance, Healthcare Management, Strategy, Quality Assurance, Community Outreach, Sales Management, Medicare, Budgets, Executive Management, Process Improvement, Performance Management, Sales, Leadership Development, New Business Development, Public Speaking, Event Planning, Staff Development, Microsoft Excel, Spanish, Account Management, PowerPoint, Microsoft Office, Data Analysis, Policy, Microsoft Word, Community Development, Time Management, MS Office Suite, Community Relations, Health, Compliance, Mentoring, Customer Relations, MLTC, Analysis
Education
Long Island University, C.W. Post Campus 2004 — 2007
MBA, Business Management
Molloy College 2001 — 2004
Bachelor's, Business Management
Nassau Community College 1999 — 2001
Associate's, Marketing Management & Sales
Montefiore Health System July 2015 - Present
Institute for Family Health, Inc. August 2013 - July 2015
Rafael Hernandez Dual Language School September 2012 - September 2014
CenterLight Healthcare March 2012 - September 2012
The Visiting Nurse of New York June 1998 - February 2012
Affinity Health Plan July 1995 - May 1998
Skills
Microsoft Office, Spanish-speaking, Data Analysis, Customer Service, Community Outreach, Problem Solving, Presentations, Supervisory Skills, Team Management, Community Development, Marketing, Employee Training, Reports, Healthcare, Management, Human Resources, Software Documentation, Administration, Healthcare Management, Medicaid, Managed Care, Training, Hospitals, HIPAA, Medicare, Nonprofits
Education
Fordham University 1991 — 1995
BS, Psychology, Spanish Literature
Healthfirst February 2014 - Present
NYC Health and Hospitals Corporation October 2013 - February 2014
Affinity Health Plan November 2011 - August 2013
Horizon Blue Cross Blue Shield of New Jersey December 2010 - October 2011
Medco Health Solutions June 2008 - November 2010
Pearson January 2006 - May 2008
Encentuate January 2005 - January 2006
KPMG January 2004 - January 2005
Mellon Investor Services January 2001 - January 2005
Computershare January 1999 - January 2001
Skills
Business Process..., Project Management, Enterprise Software, Management, PMP, IT Management, Change Management, Leadership, Information Technology, SDLC, Vendor Management, Business Analysis, Software Project..., Program Management, SharePoint, Team Leadership, MS Project, Cross-functional Team..., Project Portfolio..., PMO, Business Process, Integration
Education
Fordham University
BS, Computer Science & Marketing
Saint John's University
MBA, Finance
Benrite Enterprises January 2011 - Present
welcomenutrition.com January 2011 - Present
Onward Healthcare March 2010 - Present
Goshen digital cameras January 2010 - Present
Affinity Health Plan January 2009 - July 2009
Skills
Accounting, Online Marketing, Religious Studies
Education
Nyack College 1994 — 1996
Bachelor of Science, Organizational Management
Borough of Manhattan Comunity College 1985 — 1988
Associate Degree, Accounting
Manhattan Beer Distributors September 2013 - Present
Affinity Health Plan June 2012 - November 2012
National Broadband Communications January 2009 - June 2012
Skills
Microsoft Office, Windows, PowerPoint, Microsoft Excel, Outlook, Community Outreach, Internet, Management, Health Insurance, Technical Support, Sales, Troubleshooting, Networking
Education
Pontificia Universidad Católica Madre y Maestra 1994 — 2000
Bachelor's degree, Marketing
Carat USA February 2014 - Present
Affinity Health Plan July 2013 - December 2013
Starbucks September 2011 - November 2013
Kingsoft Office Software Corporation Limited August 2011 - September 2011
Golden Touch Imports June 2009 - November 2009
Skills
Customer Service, Facebook, Inventory Management, Merchandising, Social Media, Time Management, Retail, Event Planning, Customer Satisfaction, Teamwork, Social Networking, Data Entry, Cashiering
Education
Pace University - Lubin School of Business 2009 — 2013
Bachelor of Business Administration (BBA), Marketing
Affinity Health Plan April 2010 - Present
Self Magazine July 2008 - November 2008
WWE Magazine January 2008 - July 2008
Doubleday Entertainment August 2005 - August 2007
Columbia House January 2005 - August 2005
March of Dimes November 2002 - January 2005
Skills
Graphics, Image Manipulation, Typography, InDesign, Publications, Adobe Creative Suite, Editorial, Microsoft Word, Layout, Art, Logo Design, Email Marketing, Art Direction, Brochures, Direct Mail, Illustrator, Mac, Photoshop
Education
Pratt Institute 1995 — 1999
BFA, Communications Designs
EmblemHealth January 2015 - Present
Affinity Health Plan August 2011 - December 2014
WellPoint November 2001 - January 2011
TransCore August 2000 - November 2001
VCU 1998 - 2000
Skills
Relational Databases, Data Modeling, Business Objects, Project Management, EDI, ETL, Data Warehousing, Cognos, Requirements Gathering, Business Analysis, Business Intelligence, SDLC, T-SQL, Microsoft SQL Server, Process Improvement, SQL, Visio, Information Technology, Oracle, Crystal Reports, Requirements Analysis, Program Management, Teradata, Business Requirements, SharePoint, Systems Analysis, Healthcare Information..., Data Integration, Integration, Databases, Enterprise Software, Analysis, Testing
Education
Virginia Commonwealth University 1998 — 2000
Master, Information Science
Florida State University 1989 — 1993
Bachelor, Business
Affinity Health Plan June 2014 - Present
WellCare Health Plans July 2012 - March 2014
Access Medicare May 2011 - May 2012
Healthfirst May 2007 - May 2011
Teva Pharmaceuticals December 2003 - March 2007
Skills
Leadership Development, Resource Management, Profit Improvement, Sales Management, Customer Retention, Sales, Management, Leadership, Training, Team Building, Medicare, Business Planning, Strategic Planning, Profit Maximization, Managed Care, Business Strategy, Pharmaceutical Sales, Long-term Care, New Business Development, Business Development, Human Resources, Insurance, Cross-functional Team..., Direct Sales, Process Improvement, Sales Presentations, Account Management, Selling, Provider Relations, Medicare Part D, Health Insurance, Medicaid, Network Development, Sales Process, Employee Benefits, Recruiting, Healthcare, Sales Operations, Healthcare Industry, Coaching, Cold Calling, HMO, HIPAA, Utilization Management, Disability Insurance, Disease Management, Hospitals, Contract Negotiation, Healthcare Management, Healthcare Consulting
Education
Manhattan College
Bachelor of Science Business Administration, Marketing and Financial Management
Pace University - Lubin School of Business
MBA, Finance
Affinity Health Plan 2007 - Present
HIP of Greater New York October 2005 - October 2008
Skills
Medicaid, Health Insurance, Managed Care, HIPAA, Medicare, Claim, Healthcare Industry, Healthcare Consulting, Provider Relations, Healthcare Management, SDLC, Software Documentation, Business Requirements, Insurance, Health Policy, Healthcare Information..., Process Improvement, Disease Management, Visio
Education
Hofstra University
Marketing
Affinity Health Plan August 2013 - Present
GSUSA 2005 - January 2013
Girl Scouts of the USA 2005 - 2013
United Way of Tri-State June 1997 - August 2005
Firestone Tire and Rubber Company 1977 - 1985
Skills
Media Relations, Marketing, Non-profits, Philanthropy, Event Planning, Corporate Communications, Social Media, Internal Communications, Nonprofits, Fundraising, Program Development, Corporate Social..., Event Management, Strategic Communications, Crisis Communications, Business Strategy, Public Relations, Creative Direction, Marketing Communications, Social Media Marketing, Cause Marketing, Strategic Planning, Newsletters, Community Development, Press Releases, Speech Writing, Volunteer Management, Brand Management, Leadership, Management, Strategy, Internal & External...
Education
Kent State University
Amida Care June 2014 - Present
Affinity Health Plan March 2012 - May 2014
Fidelis Care New York July 2009 - June 2012
WIN Healthcare May 2008 - November 2009
New York Rx Inc December 2006 - May 2008
Managed Markets Pharmaceutical Communications/Consulting July 2001 - December 2006
Horizon BCBS of New Jersey June 1998 - July 2001
(UHC) Mid-Atlantic Medical Services Inc. (MAMSI) September 1994 - June 1998
Skills
ACSM Health Fitnes..., Certified Personal..., Pharmacy, Managed Care, Disease Management, Rheumatoid Arthritis, HMO, Healthcare Management, Home Infusion, Medicare Part D, Medication Therapy..., Healthcare, Medicare, Health Insurance, Medicaid, Pharmacists, Pharmacy Benefit..., Healthcare Information..., Utilization Management, Healthcare Industry, Pharmacueticals, Pharmacy Automation, Clinical Research, Oncology
Education
Ohio Northern University 2000 — 2003
Doctor of Pharmacy
University of Maryland Baltimore 1994 — 1998
PharmD, Part Time
Ohio Northern University 1981 — 1986
BS Pharmacy
TD September 2013 - Present
Consultant August 2006 - Present
eBay Enterprise January 2013 - September 2013
Affinity Health Plan August 2003 - August 2006
Affinity Health Plan August 2003 - August 2006
CBS Television Distribution March 2002 - August 2003
August Bishop April 1999 - August 2001
BOZELL WORLDWIDE/TN MEDIA March 1998 - April 1999
Skills
Strategic Communications, Media Relations, Newsletters, Public Relations, Press Releases, Social Media, Marketing Communications, Marketing Strategy, Publications, Advertising, Market Research, Internal Communications, Editing, Web Content
Education
Temple University 1994 — 1997
Bachelor of Communications, Mass Communication/Media Studies
Drexel University 1993 — 1994
Psychology
Decision Resources 2010 - Present
Affinity Health Plan 2004 - 2006
Skills
Healthcare, Managed Care, Healthcare Management, Health Insurance, HIPAA, Strategic Planning, Data Analysis, Software Documentation, Training, Management, Project Management, Healthcare Information..., Access, Microsoft Excel, Negotiation, Customer Service, Budgets
Education
Pace University 1991 — 1993
BA, Business Management
Pace University-Pleasantville/Briarcliff Campus 1989 — 1993
BA, Business Administration and Management, General
Institute for Integrative Nutrition
Institute for Integrative Nutrition
Institute for Integrative Nutrition
Affinity Health Plan May 2012 - Present
Health Plus January 2009 - May 2012
Health Plus 2009 - 2010
Health Plus 2006 - 2009
Smith Barney-Citigroup - TCML 2004 - 2006
TIAA-CREF January 2000 - January 2003
Skills
SDLC, Analysis, Business Analysis, Quality Assurance, Management, Software Documentation, Strategy, Project Management, Visio, Team Leadership, Project Planning, Requirements Analysis, Software Quality..., Testing, Enterprise Software, PMP, Software Project..., Security, Training, ERP, Integration, HIPAA, User Acceptance Testing, Requirements Gathering, Process Improvement
Education
Monroe College
New York University
Certification in Business Project Management
Beth Israel Medical Center June 2010 - Present
AFTRA Health and Retirement September 2008 - January 2011
Health Streets 2010 - 2010
1199 SEIU September 2007 - March 2008
Affinity Health Plan August 2002 - July 2006
HIP 1988 - 1995
Skills
Call Center, Management, Training, Budgets, Provider Relations, Managed Care, Healthcare, Process Improvement, Recruiting, Customer Service, Access, Coaching, Operations Management, Data Analysis, Insurance, Healthcare Management, Health Insurance, Medicaid, Team Building, Medicare, Employee Benefits, Human Resources, Call Centers, Policy, HMO, HIPAA, Hospitals
Education
New School University 1986 — 1990
MHA, Health Services Administration
Fordham University 1972 — 1976
BA, Poly Sci
Affinity Health Plan November 2007 - June 2014
Affinity Health Plan June 2004 - November 2007
Skills
Project Management, Procurement, Outlook, Microsoft Excel, Purchasing, Negotiation, Process Improvement, Strategic Planning, Program Management, Management, Budgets, Customer Service, Microsoft Office, Team Building
Education
LaGuardia Community College
Crystal Run Health Plans August 2015 - Present
Affinity Health Plan March 2014 - August 2015
EmblemHealth September 2006 - March 2014
HIP Health Plans March 2002 - September 2007
HIP Health Plans June 1998 - February 2001
Ernst & Young 1996 - 1998
Margolin, Winer & Evens LLP September 1989 - September 1992
Skills
Operational Efficiency, PMO, Healthcare, Process Improvement, Medicare, Management, Visio, Healthcare Information..., HIPAA, Auditing, SDLC, Change Management, Project Management, Medicaid, Budgets, Performance Improvement, Healthcare Industry, Management Consulting, Team Leadership, Disease Management, Health Policy, Analysis, Managed Care, Strategy, Business Analysis, Business Intelligence, Provider Relations, Business Process..., Executive Management, Leadership, Operations Management, Quality Improvement, Vendor Management, Network Development, Cross-functional Team..., Project Portfolio..., Strategic Planning, Team Building, Revenue Cycle, Health Insurance, Insurance, Hospitals, Program Management, Healthcare Management, Data Analysis, Finance
Education
New York University - Leonard N. Stern School of Business 2004 — 2007
MBA, Management
Le Moyne College 1985 — 1989
BS, Accounting
Affinity Health Plan July 2008 - August 2011
Obilo Pediatrics April 2006 - July 2008
Hospital Albert Einstein December 2006 - August 2007
Skills
•Insurance..., -certification and..., •Knowledge of Medical..., •Knowledge of Medical..., Referrals for specialist, Claims follow up for..., Ability to write..., Proficient in Microsoft...
Education
Career Quest 2008 — 2008
Certificate, Medical Billing
Monroe College 2005 — 2006
Bachelor Of Science, Hospitality Management
Monroe College 2005 — 2006
Bachelors of Arts, Hospitality Management
Moneague Community College 2003 — 2005
Associate Degree, Food And Beverage Management
Affinity Health Plan June 2008 - Present
Affinity Health Plan June 2008 - Present
Our Lady of Mercy Medical Center March 2003 - January 2008
Eos Airlines 2008 - 2008
Skills
HRIS, Employee Benefits, Employee Relations, Applicant Tracking..., Human Resources, Onboarding, Recruiting, Workforce Planning, Health Insurance, Deferred Compensation, Interviews, Strategic Planning, Team Building, Training
Education
Katherine Gibbs 2005 — 2007
Associate
Katharine Gibbs School
Certificate, Executive Assistant
Affinity Health Plan November 2013 - Present
Affinity Health Plan June 2010 - Present
EmblemHealth Services June 2008 - June 2010
GHI July 2001 - May 2008
PersonalPath Systems, Inc. March 1999 - April 2001
Orange and Rockland Utilities, Inc. September 1977 - March 1999
Skills
Vendor Management, Process Improvement, SDLC, Business Analysis, Strategy, Management, Business Transformation, Information Technology, Service Delivery, Business Intelligence, Business Process..., Insurance, Visio, Program Management, Healthcare, Integration
Education
Dominican College of Blauvelt
BS, Business Administration - Economics
Fairleigh Dickinson University-Metropolitan Campus
MBA, Finance
Manhattan College
Business Administration
Affinity Health Plan May 2008 - Present
EmblemHealth May 2007 - May 2008
Health First August 2003 - April 2007
Skills
Data Entry, Medicaid, Insurance, Outlook, Healthcare, Software Documentation, Microsoft Word, PowerPoint, Customer Satisfaction, Customer Retention, Healthcare Information..., Data Analysis, Team Building, Troubleshooting, Healthcare Management
Education
Monroe College 2005 — 2009
Bachelor's degree, Business Management
OptumInsight January 2008 - Present
UnitedHealth Group 2008 - Present
M.M.Anis & S.L.Lepsky DDS, PC 1994 - Present
ADA DQA 2013 - Present
Reden & Anders February 2008 - 2009
Albert Einstein Medical Center 2005 - 2007
Affinity Health Plan 2005 - 2006
Urban Dental Management 2000 - 2003
AmeriChoice 1997 - 2000
St. Barnabus Hospital 1992 - 1996
Skills
Dentistry, Healthcare, Communication Skills, Educational Leadership, Healthcare Consulting, Government subsidy..., Medicaid, Medicaid Managed Care, Managed Care, Health Insurance, Practice Management, Clinical Research, Coaching, Health Policy, Insurance, Healthcare Management, Healthcare Information..., Medicare, Public Health, Physicians, EHR, Healthcare Industry, Surgery, Hospitals, HIPAA, Treatment, Medicine, EMR, Medical Billing, Informatics, Provider Relations, Revenue Cycle, Quality Improvement, Health Education, Epidemiology, Executive Management, Consulting, Health Economics, Pediatrics, Utilization Management, Process Improvement, Claim, Employee Benefits, Health Promotion, Strategic Consulting, HMO, Management Consulting, Healthcare Analytics, Network Development, Wellness
Education
New York University - College of Dentistry
DDS, Dentistry
SBS Group January 2015 - Present
Affinity Health Plan June 2014 - December 2014
Affinity Health Plan September 2011 - May 2014
Control Solutions International September 2007 - September 2011
SBS November 2004 - June 2007
Jefferson Wells 2007 - 2007
ePartners November 1998 - January 2003
BBDO November 1986 - November 1990
Peat Marwick Mitchell September 1980 - October 1986
Skills
Risk Management, Accounting, ERP, Sarbanes-Oxley Act, Internal Controls, Business Process, Outsourcing, Business Analysis, Auditing, Budgets, Business Intelligence, Internal Audit, CPA, Finance, Financial Reporting, Business Process..., Financial Analysis, Financial Accounting, Process Improvement, Forecasting, US GAAP, GAAP, Revenue Recognition, Mergers & Acquisitions, Due Diligence, SAP, IFRS, Managerial Finance, Financial Audits, Financial Modeling, General Ledger, Strategic Financial..., Sarbanes-Oxley, Microsoft Dynamics, Enterprise Risk..., Executive Management, SEC filings, Access, COSO, Analysis, Management Consulting, Cost Accounting, SAS70, Great Plains Software, SOX 404, Management, Consulting, Strategic Planning, Leadership
Education
LIU Post 1978 — 1980
B.S., Accounting
Nassau Community College 1976 — 1978
eSecuritel July 2014 - Present
Affinity Health Plan August 2011 - July 2014
Gavin G Persaud, CPA May 2009 - July 2011
Warranty Corporation of America June 2007 - May 2009
Lazar Levine & Felix LLP, Certified Public Accountants (New York) January 2005 - June 2007
Previous Experiences March 1996 - January 2005
Skills
Accounting, Financial Reporting, SEC filings, GAAP, Account Reconciliation, Financial Statements, General Ledger, CPA, SOX 404, QuickBooks, Auditing, Revenue Recognition, Internal Controls, Financial Accounting, FASB, Accounts Payable, Sarbanes-Oxley Act, Model Audit Rule, IFRS
Education
Kaplan University 2009 — 2011
Financial Planning and Services
University of Guyana 1990 — 1994
Bachelors, Accounting
Association of Chartered Certified Accountants - UK
Accountancy, Certificate
WeiserMazars LLP February 2014 - Present
LJP Consulting January 2011 - Present
Affinity Health Plan March 2011 - February 2014
Touchstone Health October 2001 - September 2011
Touchstone Health October 2006 - January 2011
Touchstone Health Inc. New York, N.Y. March 2004 - October 2006
At Balance August 1998 - September 1999
Loeb and Troper August 1998 - September 1999
Benchmark Physician Organization February 1998 - August 1998
Healthsource NY/NJ Inc. (Formerly Chubb Health, Inc.) September 1993 - February 1996
Skills
Healthcare, Healthcare Management, Health Insurance, HIPAA, Credentialing, Healthcare Industry, Utilization Management, Insurance, Health Policy, Hospitals, Process Improvement, Healthcare Consulting, Home Care, Software Documentation, Training, Outlook, Team Building, Physicians
Education
University of Hartford 1988 — 1989
Bachelors, General
New York University
Masters in Social work
Affinity Health Plan December 2002 - Present
Education
Penn Foster 2015 — 2015
Career Certificate, Computer Support Technician
Monroe College 1996 — 1999
Associate of Science (AS), Business Administration
Affinity Health Plan 2006 - Present
Skills
COBOL, SDLC, Software Development, Process Improvement, Business Process..., Business Analysis, Data Warehousing, PMO, Business Requirements, Visio, Requirements Gathering, PMP, Data Analysis, SQL, SSIS, Systems Analysis, Business Process, Access, Business Objects, Programming, Testing, SharePoint, Software Documentation, PL/SQL, Databases, T-SQL, Crystal Reports, Microsoft SQL Server, ETL, Software Project..., Requirements Analysis, Healthcare Information..., Integration, Quality Assurance
Education
Indiana University of Pennsylvania 1979 — 1982
BS, MIS
NYC Health and Hospitals Corporation - Central Office January 2008 - Present
Ephesus Seventh-Day Adventist Church October 1972 - Present
NYC Health and Hospitals Corporation - Harlem Hospital Center January 2005 - January 2008
Affinity Health Plan October 2002 - December 2004
Royal Health Care 1998 - 2001
Skills
Microsoft Word, Microsoft Excel, Outlook, Healthcare, Access, Data Entry, Healthcare Management, Database Administration, Insurance, PowerPoint, Process Improvement, Customer Service, Visio, Microsoft Office, Non-profits, Fundraising, Management, Budgets, Nonprofits
Education
University of Phoenix 2010 — 2011
MBA, Health Care Management
Monroe College 2002 — 2004
BBA, Computer Information Systems
Monroe College 1987 — 2000
AAS, Computer Science
GT Nexus (formerly TradeCard) February 2013 - Present
TradeCard May 2008 - February 2013
Affinity Health Plan September 2007 - May 2008
athenahealth December 2005 - August 2007
Skills
SQL, Business Analysis, Visio, XML, HTML, Testing, Requirements Analysis, Java, Web Services, Scrum, Software Project..., EDI, Software Development, Requirements Gathering, Business Intelligence
Education
New York University - Polytechnic School of Engineering 1999 — 2003
BS, Computer Science
Allscripts January 2014 - Present
Hofstra University January 2014 - Present
Affinity Health Plan September 2013 - November 2013
Express Scripts June 2013 - August 2013
Emblem Health October 2005 - May 2013
Village Optical 2003 - 2005
United States Marine Corps January 1998 - December 2002
Skills
Visio, SharePoint, Change Management, Quality Assurance, Information Technology, Process Improvement, Release Management, Data Analysis, MS Project, PMP, SQL, Healthcare Information..., JavaScript, Windows, Visual Basic, ASP, COBOL, HTML, Linux, Java, .NET, ASP.NET, Process Engineering, XML, EDI, Unix, PeopleSoft, VBScript, Apache, BMC Portal, C++, Cactus, DOS, IBM Tivoli, Macromedia, Netscape Enterprise..., Sun, IBM AS/400, Novell, Oracle Applications, MySQL, SharePoint Designer, Oracle 9i, Wireless, TCP/IP, Spanish, Bilingual, Budget Management, System Monitoring, ITSMF
Education
BPMinstitute.org 2015 — 2015
CBMP, Business Process Management
New Horizon New York 2014 — 2014
ITIL Intermediate Continual Service Improvement
BMGI 2010 — 2010
Lean Six Sigma Greenbelt
BMGI 2010 — 2010
Organizational Change Mangement
Global Knowledge: Business and IT Training 2008 — 2008
ITIL v3 Foundation Qualification
DeVry University 2002 — 2005
Bachelor of Science (B.S.), Computer Information Systems, 3.9 GPA
Nityo
Project Management -Ongoing
Affinity Health Plan August 2012 - Present
Affinity Health Plan April 2005 - July 2012
Affinity Health Plan June 2000 - March 2005
Skills
Healthcare Information..., HIPAA, SDLC, Business Analysis, Visio, Process Improvement, Healthcare, Requirements Analysis, Business Requirements, Crystal Reports, Data Warehousing, SharePoint, Integration, Software Documentation, Microsoft SQL Server, Requirements Gathering, SQL, COBOL, Data Modeling, Access, Business Intelligence, MS Project, Systems Analysis, Disaster Recovery, Vendor Management, Data Center, Business Process
Education
Kaplan University 2008 — 2010
Bachelor’s Degree, Computer Science
Ulster County Community College
Affinity Health Plan November 2014 - Present
Cablevision Media Sales October 2014 - November 2014
FEGS Health and Human Services 2012 - 2014
Nassau County 2006 - 2011
North Shore LIJ Health System 2003 - 2005
North Shore-LIJ Health System 1997 - 2003
Long Island Jewish Medical Center 1994 - 1997
Long Island Jewish Medical Center 1990 - 1993
Skills
Analysis, Data Mining, Leadership, SPSS, Policy, SAS, Statistical Modeling, Performance Measurement, Performance Improvement, Data Analysis, Customer Satisfaction, Healthcare, Market Development, Program Development, Market Research, Government, Project Planning, Management, Microsoft Excel, Program Evaluation, Cognos, Social Services, Nonprofits, Strategic Planning, Crystal Reports, Key Drivers Analysis, MapInfo/ArcGIS, Microsoft..., Crystal Reports XI, Regression/Factor/Cluste..., Chi..., Multidimensional Scaling
Education
Hofstra University 1982 — 1989
Ph.D., Psychology, Applied Research
Hofstra University 1978 — 1982
B.A., Social Sciences
Nassau Community College 1976 — 1978
A.S., Biology
H. Frank Carey High School 1970 — 1976
John Street School 1964 — 1970
Affinity Health Plan January 2015 - Present
Affinity Health Plan January 2014 - Present
Affinity Health Plan November 2012 - December 2013
TIAA-CREF April 2008 - May 2012
TIAA-CREF March 2006 - April 2008
TIAA-CREF July 2003 - February 2006
Horizon Mercy November 1996 - March 2001
HIP of Greater New York August 1994 - November 1996
Medifit Of America October 1991 - August 1994
Coopers & Lybrand September 1988 - October 1991
Skills
Activity Based Costing, Strategic Planning, Strategic Financial..., Asset Managment, Due Diligence, Alternative Investments, Investments, Financial Analysis, Banking, Executive Management, Insurance, Series 7, Process Improvement, Mutual Funds, Wealth Management, Securities, Equities, Financial Modeling, Portfolio Management, Fixed Income, Leadership, Analysis, Business Analysis, Forecasting, Program Management, Management
Education
University of Missouri-Kansas City 1988 — 1988
Executive Program in Managed Care, Health/Health Care Administration/Management
Iona College 1981 — 1985
Bachelors Degree, Business Administration, Public Accounting
Amida Care December 2013 - Present
Amida Care December 2013 - Present
Affinity Health Plan February 2013 - Present
MA Strategies, Inc. November 2006 - February 2008
Fidelis Care New York November 2003 - September 2006
Skills
Medicare, MLTC/FIDA
Education
New York University 1996 — 1999
MPA, Health Care/Finance
Yeshiva University 1991 — 1995
B.S., Finance
Mount Sinai Hospital July 2005 - Present
Affinity Health Plan May 2002 - January 2005
Education
Manhattan College 1995 — 2000
BS, Computer Information System
EmblemHealth March 2015 - Present
FEGS October 2009 - February 2015
EmblemHealth October 2008 - October 2009
Affinity Health Plan February 2004 - October 2008
NYC Department for the Aging May 2002 - February 2004
Mount Sinai Hospital April 2000 - May 2002
Skills
Healthcare, Medicaid, Managed Care, Data Analysis, Management, Visio, Healthcare Information..., Project Planning, SPSS, Analysis, Healthcare Management, Nonprofits, Quality Improvement, Microsoft Excel, PowerPoint, EHR, Informatics, Health Insurance, Healthcare Industry, Access, Quality Management, Quality Assurance, Research, Six Sigma, Databases, Mental Health, Public Health, Health Information...
Education
New York University 2002 — 2004
MPA, Health Care
Stony Brook University 1996 — 2000
BS, Business Management
Affinity Health Plan April 2012 - Present
St. Nicholas Workforce Development November 1999 - October 2010
Educational Consultants August 1992 - August 1999
Skills
Bi Lingual, Spanish, Multilingual, Training, Program Management, Research, Career Counseling, Workforce Development, Mental Health, Community Outreach, Community Development, Data Entry, Program Evaluation, Social Services, Program Development, Human Resources, Marketing, Customer Service, Microsoft Office
Education
Mercy College 2011 — 2012
Bachelor's degree, Organizational Management
La Guardia Community College/CUNY
Associate in Arts Degree, Mental Health
Cargo Airport Services LLC, USA November 2013 - May 2015
Affinity Health Plan September 2008 - October 2013
New York University 2002 - 2007
IBEX Construction 1999 - 2002
ING U.S. Financial Services 1997 - 1999
Canover Industries 1995 - 1996
Acme Architectural Products 1990 - 1996
Skills
Payroll, Accounts Payable, HRIS, Performance Management, Process Improvement, ADP Payroll, Health Insurance, Training, Accounting, Employee Benefits, Journal Entries, Customer Service, General Ledger, ADP ReportSmith, Account Reconciliation, Strategic Planning
Education
Nassau Community College 1989 — 1992
AAS, Accounting
Arthur J. Gallagher & Co. January 2014 - March 2015
Arthur J. Gallagher & Co. June 2012 - December 2013
Premier Home Health Care Services, Inc March 2011 - March 2012
WIN Healthcare – Obstetrics and Infertility management provider July 2010 - October 2010
Affinity Health Plan January 2003 - January 2007
Affinty Health Plan January 2002 - January 2003
Affinity Health Plan January 2001 - January 2002
Affinity Health Plan January 1999 - January 2001
Alitalia Airlines January 1999 - January 1999
Skills
ADP Payroll, Data Entry, File Management, Microsoft Word, PowerPoint, Microsoft Excel, Fax, Spanish, Groupwise, Microsoft Mail, Access, Outlook, Customer Service, Human Resources, Spreadsheets, Amisys, E-Hire, Healthcare, Management
Education
DeVry University 2005 — 2010
Bachelor's of Science, Human Resources Management
DeVry University 2005 — 2010
Bachelor of Science, Business Administration; Human Resource Management
Maryknoll Sisters January 2014 - Present
Affinity Health Plan July 2007 - January 2014
Skills
Medicaid, Managed Care, Medicare, Healthcare Management, Utilization Management, Healthcare, HIPAA, Healthcare Information..., Health Insurance, Hospitals, Health Policy, Software Documentation, Management, Nursing, Healthcare Consulting, Clinical Research, Disease Management, Healthcare Industry, HMO, Quality Improvement, Physician Relations, Medicaid Managed Care, HEDIS, Home Care, EMR, Physicians, Medical Billing, Medical Terminology, Performance Improvement, EHR, Acute Care, Critical Care, Case Management, ICD-9, Patient Safety, Informatics, PPO, NCQA
Education
Pace University-Pleasantville/Briarcliff Campus
Registered Nursing/Registered Nurse
Valley Stream North
United Health Care July 2006 - Present
Affinity Health Plan February 2001 - July 2006
Skills
Hospitals, Nursing, Home Care, Utilization Management, Medicare, Healthcare Management, Medicaid, Case Managment, Healthcare, Managed Care, Acute Care, Patient Safety, Clinical Research, Health Policy, Wound Care, Medical/Surgical, Disease Management, Healthcare Consulting, Inpatient, Physician Relations, Medicine, HMO, Healthcare Information..., HIPAA, Health Insurance, Healthcare Industry, Provider Relations, EMR, Health Education, Informatics, Physicians, Pediatrics, Performance Improvement, Treatment, Case Management, Medication..., Long-term Care, Patient Education, Public Health, EHR, Medical Compliance, Credentialing, Mental Health, Quality Improvement, Medicaid Managed Care
Education
University of Phoenix 1998 — 2000
Florida Atlantic University
Affinity Health Plan April 2015 - Present
Anthem September 2007 - April 2015
Hudson Health Plan 2004 - September 2007
Skills
Insurance, Strategic Planning, Sales Management, Team Building, Microsoft Office, Outlook, Marketing, PowerPoint, Microsoft Word, Leadership, Budgets, Negotiation, Medicare, Marketing Strategy, Social Networking, Fundraising, Community Outreach, Coaching, Account Management, Recruiting, Customer Service
Education
Mercy College
Westchester Community College
BANK OF AMERICA, SYOSSET, NEW YORK November 2011 - July 2013
Bethpage Federal Credit Union September 2008 - August 2009
BlueKnight Police Equipment June 2000 - July 2008
Affinity Health Plan July 2004 - June 2005
Skills
Accounting, General Ledger, Accounts Payable, QuickBooks, Microsoft Excel, Accounts Receivable, Cash Management, Financial Accounting, Finance, Customer Service, Payroll
Education
Mercy College 1983 — 1991
Accounting
Affinity Health Plan September 2014 - Present
Affinity Health Plan 2014 - 2015
Visiting Nurse Service of New York May 2007 - September 2014
Visiting Nurse Service of New York May 2007 - May 2008
KING GRADUATE SCHOOL OF BUSINESS 2005 - 2007
Skills
Administrative..., Healthcare Management, Data Entry, Medical Terminology, HIPAA, Healthcare, EMR, Spreadsheets, Hospitals, Office Management, Medical Billing, Outlook, Process Improvement, Employee Benefits, Medicare
Education
Monroe College 2003 — 2007
Bachelors of Science, Health Service Administration
Monroe College
BBA
Affinity Health Plan March 2004 - Present
Skills
SSIS, Data Warehousing, Data Modeling, ETL, SSRS, T-SQL, Analysis Services, Microsoft SQL Server, SDLC, HIPAA, Crystal Reports, SQL, Databases, Business Intelligence, Visio, Healthcare Information..., SharePoint, PL/SQL, Business Objects, Requirements Analysis
Education
Pace University
Mount Kisco Medical Group October 2005 - Present
AFFINITY Health Plan Inc April 2000 - October 2005
Affinity Health Plan April 1999 - October 2005
GENESIS Health Plan April 1999 - April 2000
KOLB JR January 1998 - July 1998
Henry Sandground P May 1994 - December 1997
ZYMET ANIMAL HOSPITAL September 1992 - September 1993
Education
THE CHUBB INSTITUTE
Diploma, Network Engineering and Data Communications
Mercy College 1988 — 1991
BA, History/Political Science
Mercy College 1988 — 1991
B.A, History
Learning Tree New York
Bedford Stuyvesant Family Health Center June 2013 - Present
American Jewish World Service March 2008 - December 2012
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER June 2006 - January 2008
Affinity Health Plan January 2003 - January 2006
CHOICES WOMEN’S MEDICAL CENTER January 2002 - December 2002
Skills
Non-profits, Budgeting, Excel, Grants, Outlook, Budgets, Accounting, Financial Statements, Finance, Nonprofits, Microsoft Excel, Research, Internal Audit, Management, Auditing, Fundraising, Program Development, Fixed Assets, Financial Reporting, GAAP, Analysis, Financial Analysis
Education
SUNY at Old Westbury 1984 — 1986
Bachelor of Science (BS), Accounting
Hudson Valley Community College 1982 — 1984
Associate of Arts and Sciences (AAS), Accounting
Hudson Valley Community College
Associate of Applied Science, Accounting
SUNY College at Old Westbury
Bachelor of Science, Accounting
Affinity Health Plan October 2010 - Present
Boy Scouts of America 2010 - 2012
Concierge Choice Physicians April 2008 - October 2008
NYS EPIC PROGRAM September 2001 - May 2008
Skills
Public Speaking, Medicare, Managed Care, Team Building, Sales Operations, Nonprofits, Community Outreach, Community Development, Event Planning, Time Management, Marketing Communications, Non-profits, Public Relations, Customer Service, Leadership
Education
Johnson and Wales University 1989 — 1993
BS Marketing, Marketing, International Business
Johnson and Wales University 1989 — 1993
Bachelor of Arts (BA), Marketing
Affinity Health Plan November 2012 - Present
Cigna June 2010 - December 2011
TIAA-CREF 2008 - 2010
TIAA-CREF 2006 - 2008
TIAA-CREF 2006 - 2008
TIAA-CREF 2001 - 2004
Horizon Mercy HealthCare 1996 - 2001
Skills
Leadership Development, Budgets, Project Management, Leadership, Vendor Management, Health Insurance, Employee Benefits, Management, Risk Management, Strategic Planning, Strategic Financial..., Financial Analysis, Insurance, Financial Services, Product Management, Marketing Strategy, Process Improvement, Team Building, Strategy, Business Analysis, Executive Management, Key Account Management, Business Strategy, Customer Service, Product Development, Series 7, Investments
Education
Harvard Business School-AMP 168 2004 — 2005
DePaul University 1976 — 1980
Bachelor of Arts, Business
Complex Care Solutions March 2012 - Present
Affinity Health Plan October 2011 - February 2012
Fidelis Care NY January 2006 - April 2010
Education
Career Quest traning 1994 — 1997
Certificate
Monroe College 1985 — 1997
THE JOSEPH P ADDABBO FAMILY HEALTH CENTER November 2009 - Present
Affinity Health Plan 2007 - 2008
The Joseph P Addabbo Family Health Center 2003 - 2005
Tutor Time Inc 2002 - 2003
Five Towns Community Center 1999 - 2001
Skills
Time Management, Microsoft Office, Microsoft Excel, PowerPoint, Project Management, Highly detail oriented, Constituent Relations
Education
CITY UNIVERSITY OF NEW YORK- YORK COLLEGE 2009 — 2013
Social Work
Nassau Community College 2003 — 2004
Affinity Health Plan January 2009 - July 2009
Healthfirst March 2007 - July 2008
Aflac 2004 - 2007
32BJ SEIU April 1999 - July 2003
Time Warner Cable May 1997 - June 1999
Skills
Insurance, Customer Service, Employee Benefits, Microsoft Office, Employee Relations, Project Management, Public Speaking, Analysis, Data Analysis, Sales, Time Management
Education
University of Maryland University College 2009 — 2012
Master of Science (M.S.), Human Resources Management and Services
Penn State University 1982 — 1988
Bachelor of Arts (B.A.), General Studies
Affinity Health Plan October 2014 - Present
Hudson Health Plan March 2013 - September 2014
Trans Continental Credit & Collections August 2010 - March 2012
Skills
Analysis, Strategic Data Analysis, Problem Solving, Business Planning, Business Strategy, Business Process..., Professional &..., Business Coaching, Social Media Outreach, MIS, Customer Service, Medicaid Managed Care, Consumer Credit, Collections, Process Improvement, Strategic Planning, Call Centers
Education
Pace University-New York 1995 — 1996
Bachelor of Arts (BA), Liberal Arts and Sciences, General Studies and Humanities, 4.0
College of New Rochelle 1990 — 1993
Bachelor of Arts (BA), Liberal Arts and Sciences, General Studies and Humanities, 4.0
Actively Seeking Employment Opportunities June 2012 - November 2012
Affinity Health Plan April 2007 - June 2012
Affinity Health Plan June 2000 - March 2007
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Visio, Access, Databases, Outlook, Dropbox, Microsoft Applications, Time Management, Invoicing
Education
Kaplan University-Davenport Campus 2012 — 2014
Online - Current, Business Administration and Management, General, GPA: 3.85 as of December 5, 2012
Harry S Truman High School 1981 — 1984
JMW Consultants Inc. October 2013 - August 2015
NV COMMUNICATIONS November 2012 - September 2013
Time Warner Cable October 2008 - October 2012
Affinity Health Plan December 2007 - September 2008
Our Lady of Mercy Medical Center/Calvary Hospital March 2002 - November 2007
Time Inc. January 1999 - March 2002
Time Warner Inc. January 1990 - January 1999
Skills
Office Management, Administrative..., Outlook, Public Relations, Customer Service, Newsletters, Program Management, PowerPoint, Payroll, Strategic Planning, Administrative..., Microsoft Office, Microsoft Word, Microsoft Excel
Education
Iona College
Bachelor of Business Administration, Marketing
Affinity Health Plan June 2011 - Present
Medical Review Institute of America 2002 - 2012
Exton HealthSmart, p.c. January 2000 - December 2011
Medical Evaluation Specialists Inc. 2003 - 2011
Education
New York Chiropractic College 1992 — 1996
Doctor of Chiropractic, Chiropractic
Hofstra University 1982 — 1984
Master of Business Administration (M.B.A.), Management Science
Syracuse University 1978 — 1982
Bachelor of Science (BS), Biology and Phychology
University Orthopaedics PC March 2007 - Present
St. Mary's Health System December 2001 - March 2007
Affinity Health Plan June 1997 - September 2001
Skills
Microsoft Word, Customer Service, PowerPoint, English, Windows, Outlook, HTML, Editing, Clinical Research
Education
New York University 1991 — 1993
Aquinas High School 1989 — 1991
Soul Searching Ministries December 2013 - Present
Gospel Spirits May 2013 - Present
Affinity health Plan May 2001 - Present
Skills
Drums
Education
Monroe College-New Rochelle 2011 — 2012
Computer and Information Sciences and Support Services
The College of Westchester 2007 — 2010
High School, Computer Systems Networking and Telecommunications
Mount Vernon Board of Education March 2013 - Present
Partners In Care September 2011 - Present
Affinity Health Plan 1999 - 2010
Skills
•Proficient in..., Macess System, Facets,..., Word Processing, Typing, Customer Service, Classroom, Health, Knowledge Management, K-12, Microsoft Office, Office Administration, Quality Assurance, Health Insurance, Home Care, Insurance, Healthcare, HMO, Data Entry, Medicaid, Access, Training, Leadership, Supervisory Skills, Medical Records, Healthcare Industry, Microsoft Word, Customer Satisfaction, Fax, File Management, Policy, Spreadsheets, HIPAA, Employee Benefits, Provider Relations
Education
Monroe College-New Rochelle 1999 — 2001
Bachelor of Business Administration (B.B.A.), Business Administration, Management and Operations
Affinity Health Plan October 2013 - Present
Maxor National Pharmacy Services Corp. July 2013 - Present
Echo Specialty Pharmacy March 2010 - April 2013
Rite Aid September 2006 - January 2010
Skills
Pharmacy, Pharmacy Benefit..., HIPAA, Medicare, Prescription, Healthcare, Medical Records, Pharmaceutics, Pharmacy Automation, Medication Therapy..., Medicare Part D..., Medicare Pharmacy...
Education
CUNY York College 2006 — 2008
Medical Laboratory Sciences
State University of New York at Albany 2001 — 2004
Biology/Biological Sciences, General
Mount Sinai Beth Israel September 2010 - Present
AFTRA H&R March 2008 - April 2010
Affinity Health Plan February 2002 - March 2006
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets, Negotiation, Editing
Education
The New School 1986 — 1990
Master's degree, Health/Health Care Administration/Management
Fordham University 1972 — 1976
Bachelor's degree, Political Science and Government
Affinity Health Plan September 2012 - Present
Affinity Health Plan 2012 - 2014
Expresso tax services June 2007 - July 2012
Skills
Computer repair
Education
Poshs institute 2008 — 2008
Accident, life and health, Medicare
LaGuardia Community College 2005 — 2007
Liberal Arts and science, Liberal Arts and Sciences/Liberal Studies
Affinity Health Plan July 2014 - Present
New York Eye and Ear of Mou September 2002 - July 2014
New York Eye and Ear Infirmary of Mount Sinai September 2002 - July 2014
Education
CUNY York College 2001 — 2016
Bachelor's Degree, Sociology minor Health Education