Affinity Health Plan
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Affinity Health Plan Employees
Employee
Years
Job
Industry
Jared Rosenthal Jared Rosenthal's Affinity Health Plan Experience 1994 - 2004
Job President at Health Street
Industry Health, Wellness and Fitness
Experience
Health Street January 2010 - Present
Mobile Health 2008 - 2009
Amerigroup Corporation 2006 - 2007
Amerigroup Corporation 2004 - 2007
Affinity Health Plan 1994 - 2004
Education
University of Michigan - School of Public Health 1992 — 1994
Masters of Health Services Administration, Business, Healthcare
University of Michigan 1987 — 1991
Health Street January 2010 - Present
Mobile Health 2008 - 2009
Amerigroup Corporation 2006 - 2007
Amerigroup Corporation 2004 - 2007
Affinity Health Plan 1994 - 2004
Education
University of Michigan - School of Public Health 1992 — 1994
Masters of Health Services Administration, Business, Healthcare
University of Michigan 1987 — 1991
Craig Hayden's Affinity Health Plan Experience September 2014 - Present
Job Assistant Vice President of Medicare Sales @ Affinity Health Plan
Industry Insurance
Experience
Affinity Health Plan September 2014 - Present
Senior Services of Albany 2009 - December 2014
Independent Sales Consultant April 2014 - September 2014
CDPHP May 2012 - April 2014
Horace B. Inman Senior Center January 2008 - June 2012
CDPHP (Capital District Physicians Health Plan) January 2006 - May 2012
UPMC Health Plan June 2005 - January 2006
Excellus BCBS June 2002 - June 2005
DHD Healthcare 1997 - 1999
Bausch + Lomb 1988 - 1997
Skills
Medicare, Insurance, Health Insurance, Strategic Planning, Managed Care, Employee Benefits, Team Building, Coaching, HIPAA, Health Policy, Sales, Strategy, Medicaid, Healthcare, Analysis, Vendor Management, Healthcare Management, Claim, Customer Service, Market Research, Marketing, Product Development, Process Improvement, Business Development, Marketing Strategy, Sales Operations, Medical Devices, Management Consulting, Brokers, HMO, Analytics, Executive Management, Training, Healthcare Industry, Health Care Reform, Healthcare Consulting, Leadership, Medicare Part D, Sales Management, Forecasting, Customer Retention, Provider Relations, Management, Data Analysis, Project Planning, Medicare Advantage
Education
University of Rochester 1986 — 1988
MBA, Executive Program, Summa Cum Laude
Union College 1977 — 1981
B.S., Biology, Cum Laude
Affinity Health Plan September 2014 - Present
Senior Services of Albany 2009 - December 2014
Independent Sales Consultant April 2014 - September 2014
CDPHP May 2012 - April 2014
Horace B. Inman Senior Center January 2008 - June 2012
CDPHP (Capital District Physicians Health Plan) January 2006 - May 2012
UPMC Health Plan June 2005 - January 2006
Excellus BCBS June 2002 - June 2005
DHD Healthcare 1997 - 1999
Bausch + Lomb 1988 - 1997
Skills
Medicare, Insurance, Health Insurance, Strategic Planning, Managed Care, Employee Benefits, Team Building, Coaching, HIPAA, Health Policy, Sales, Strategy, Medicaid, Healthcare, Analysis, Vendor Management, Healthcare Management, Claim, Customer Service, Market Research, Marketing, Product Development, Process Improvement, Business Development, Marketing Strategy, Sales Operations, Medical Devices, Management Consulting, Brokers, HMO, Analytics, Executive Management, Training, Healthcare Industry, Health Care Reform, Healthcare Consulting, Leadership, Medicare Part D, Sales Management, Forecasting, Customer Retention, Provider Relations, Management, Data Analysis, Project Planning, Medicare Advantage
Education
University of Rochester 1986 — 1988
MBA, Executive Program, Summa Cum Laude
Union College 1977 — 1981
B.S., Biology, Cum Laude
Quamiesh McNeal's Affinity Health Plan Experience March 2015 - Present
Job Performance Improvement Coordinator
Industry Hospital & Health Care
Experience
Affinity Health Plan March 2015 - Present
Affinity Health Plan July 2014 - March 2015
Affinity Health Plan March 2011 - July 2014
Noelle-Elaine Media, Inc. January 2005 - November 2010
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Research, Training, PowerPoint, Process Improvement, Outlook, Management, Customer Service
Education
State University of New York College at Old Westbury
Affinity Health Plan March 2015 - Present
Affinity Health Plan July 2014 - March 2015
Affinity Health Plan March 2011 - July 2014
Noelle-Elaine Media, Inc. January 2005 - November 2010
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Research, Training, PowerPoint, Process Improvement, Outlook, Management, Customer Service
Education
State University of New York College at Old Westbury
Cynthia Baez's Affinity Health Plan Experience June 2008 - Present
Job Senior Case Coordinator at Affinity Health Plan
Industry Insurance
Experience
Affinity Health Plan June 2008 - Present
Affinity Health Plan September 2006 - September 2008
Skills
Claim, Provider Relations, Health Insurance, Insurance
Education
The College of New Rochelle 1990 — 1994
Bachelor's Degree, Early Childhood Education and Teaching
Affinity Health Plan June 2008 - Present
Affinity Health Plan September 2006 - September 2008
Skills
Claim, Provider Relations, Health Insurance, Insurance
Education
The College of New Rochelle 1990 — 1994
Bachelor's Degree, Early Childhood Education and Teaching
Bernard A. Lugay Bernard A. Lugay's Affinity Health Plan Experience June 2006 - January 2007
Job Director of Institutional and Ancillary Contracting at Elderplan Inc
Industry Hospital & Health Care
Experience
Elderplan Inc November 2014 - Present
Health Plus an Amerigroup Company October 2009 - October 2014
Great-West Health Care Life & Annuity Part of CIGNA Health Care January 2007 - December 2008
Affinity Health Plan June 2006 - January 2007
Health Plus PHSP August 2005 - November 2005
Health Plus PHSP June 2004 - November 2005
Health Plus PHSP March 2001 - June 2004
Skills
Managed Care, Medicare, Provider Relations, Medicaid, Healthcare Management, Healthcare, Network Development, Health Insurance, HIPAA, Hospitals, Healthcare Information..., Claim, Insurance, Credentialing, Process Improvement, Healthcare Consulting, Utilization Management, Team Building, Customer Service, Data Analysis, Health Policy, Performance Improvement, HMO, Revenue Cycle, PPO, Healthcare Industry, Management, Quality Improvement, Contract Negotiation, Physicians, EHR, Policy, Practice Management, EMR, Provider Network..., Physician Relations, Medical Coding, HEDIS, Home Care, Medical Billing, Medicaid Managed Care, Disease Management, Medicare/Medicaid..., Healthcare Reimbursement, Physician Network..., Revenue Cycle Management, Long-term Care, CPT, Provider Education, NCQA
Education
Saint John's University - Peter J. Tobin College of Business 2003 — 2008
MBA, Organizational Development and Executive Management
Saint John's University 1997 — 2001
BS, Healthcare Administration
Archbishop Molloy High School 1993 — 1997
Elderplan Inc November 2014 - Present
Health Plus an Amerigroup Company October 2009 - October 2014
Great-West Health Care Life & Annuity Part of CIGNA Health Care January 2007 - December 2008
Affinity Health Plan June 2006 - January 2007
Health Plus PHSP August 2005 - November 2005
Health Plus PHSP June 2004 - November 2005
Health Plus PHSP March 2001 - June 2004
Skills
Managed Care, Medicare, Provider Relations, Medicaid, Healthcare Management, Healthcare, Network Development, Health Insurance, HIPAA, Hospitals, Healthcare Information..., Claim, Insurance, Credentialing, Process Improvement, Healthcare Consulting, Utilization Management, Team Building, Customer Service, Data Analysis, Health Policy, Performance Improvement, HMO, Revenue Cycle, PPO, Healthcare Industry, Management, Quality Improvement, Contract Negotiation, Physicians, EHR, Policy, Practice Management, EMR, Provider Network..., Physician Relations, Medical Coding, HEDIS, Home Care, Medical Billing, Medicaid Managed Care, Disease Management, Medicare/Medicaid..., Healthcare Reimbursement, Physician Network..., Revenue Cycle Management, Long-term Care, CPT, Provider Education, NCQA
Education
Saint John's University - Peter J. Tobin College of Business 2003 — 2008
MBA, Organizational Development and Executive Management
Saint John's University 1997 — 2001
BS, Healthcare Administration
Archbishop Molloy High School 1993 — 1997
Staci Heldring Staci Heldring's Affinity Health Plan Experience November 2004 - October 2006
Job Senior Internal Consultant at Premera Blue Cross
Industry Insurance
Experience
Premera Blue Cross October 2012 - Present
Premera Blue Cross October 2006 - September 2012
Affinity Health Plan November 2004 - October 2006
Premera Blue Cross September 2001 - October 2004
University of Washington 2000 - 2001
Skills
Program Management, Process Improvement, Project Management, Business Analysis, Business Process..., Agile Methodologies, Data Analysis, Cross-functional Team..., Change Management, Leadership, Healthcare, Product Management
Education
University of Washington 1999 — 2001
Master of Public Administration (MPA), Non Profit Management
The University of Montana 1996 — 1998
Masters of Arts, Cultural Anthropology
University of Washington 1991 — 1995
Bachelor of Arts (BA), Cultural Anthropology
Premera Blue Cross October 2012 - Present
Premera Blue Cross October 2006 - September 2012
Affinity Health Plan November 2004 - October 2006
Premera Blue Cross September 2001 - October 2004
University of Washington 2000 - 2001
Skills
Program Management, Process Improvement, Project Management, Business Analysis, Business Process..., Agile Methodologies, Data Analysis, Cross-functional Team..., Change Management, Leadership, Healthcare, Product Management
Education
University of Washington 1999 — 2001
Master of Public Administration (MPA), Non Profit Management
The University of Montana 1996 — 1998
Masters of Arts, Cultural Anthropology
University of Washington 1991 — 1995
Bachelor of Arts (BA), Cultural Anthropology
Elizabeth De Jesus Elizabeth De Jesus's Affinity Health Plan Experience October 2010 - April 2011
Job Hospitality and Business Professional
Industry Hospitality
Experience
Waldorf Astoria New York July 2013 - Present
Affinity Health Plan October 2010 - April 2011
Lincoln Hospital October 2008 - July 2009
Crowne Plaza Hotel January 2007 - January 2008
The Ritz-Carlton Hotel Company LLC August 2004 - February 2006
American Airlines January 2000 - December 2001
hotel condado plaza January 1993 - March 1997
Skills
Customer Service, Hospitality, Marketing, Sales, Coordinating Events, Clerical Skills, Microsoft Office, Typing, Bilingual, Spanish-English, Translation, Public Relations, Insurance, Customer Retention, Customer Satisfaction, Healthcare, Outlook, Training, Health Insurance, Leadership, Strategic Planning, Team Building
Education
Grace Institute
Business/Office Automation/Technology/Data Entry
University of Phoenix 2004 — 2005
100 crts, Business Administration and Management, General
Universidad Central de Bayamón 2002 — 2004
69 crts, Elementary Education and Teaching
University of Phoenix
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Waldorf Astoria New York July 2013 - Present
Affinity Health Plan October 2010 - April 2011
Lincoln Hospital October 2008 - July 2009
Crowne Plaza Hotel January 2007 - January 2008
The Ritz-Carlton Hotel Company LLC August 2004 - February 2006
American Airlines January 2000 - December 2001
hotel condado plaza January 1993 - March 1997
Skills
Customer Service, Hospitality, Marketing, Sales, Coordinating Events, Clerical Skills, Microsoft Office, Typing, Bilingual, Spanish-English, Translation, Public Relations, Insurance, Customer Retention, Customer Satisfaction, Healthcare, Outlook, Training, Health Insurance, Leadership, Strategic Planning, Team Building
Education
Grace Institute
Business/Office Automation/Technology/Data Entry
University of Phoenix 2004 — 2005
100 crts, Business Administration and Management, General
Universidad Central de Bayamón 2002 — 2004
69 crts, Elementary Education and Teaching
University of Phoenix
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Denise Tirado, CBCS's Affinity Health Plan Experience June 2008 - November 2008
Job Billing and Coding Specialist Instructor
Industry Higher Education
Experience
Medtech February 2015 - Present
Florida Hospital Medical Group August 2012 - May 2014
Montefiore Medical Center November 2008 - April 2012
Affinity Health Plan June 2008 - November 2008
Episcopal Social Services April 2007 - April 2008
Chase March 2006 - August 2006
Skills
Bilingual..., Medical Billing, Customer Service, Insurance, Accounts Receivable, Collections, Healthcare, Finance, Outlook, Public Speaking, HIPAA, PowerPoint, Microsoft Word, Hospitals, Data Entry, Invoicing, CPR Certified, Employee Benefits, Healthcare Information..., EMR, Healthcare Management, Leadership, Medicare, Time Management, Microsoft Excel, Medical Coding, EHR, Medical Terminology, ICD-9, Spanish, Managed Care, Team Building, Banking, Sales, CPT, Case Management, Medical Records, Health Insurance, Telephone Skills, Revenue Cycle
Education
Hostos Community College/CUNY 2006 — 2007
AAS, Early Childhood Education
Seminole State College of Florida
Health Services/Allied Health Management
Medtech February 2015 - Present
Florida Hospital Medical Group August 2012 - May 2014
Montefiore Medical Center November 2008 - April 2012
Affinity Health Plan June 2008 - November 2008
Episcopal Social Services April 2007 - April 2008
Chase March 2006 - August 2006
Skills
Bilingual..., Medical Billing, Customer Service, Insurance, Accounts Receivable, Collections, Healthcare, Finance, Outlook, Public Speaking, HIPAA, PowerPoint, Microsoft Word, Hospitals, Data Entry, Invoicing, CPR Certified, Employee Benefits, Healthcare Information..., EMR, Healthcare Management, Leadership, Medicare, Time Management, Microsoft Excel, Medical Coding, EHR, Medical Terminology, ICD-9, Spanish, Managed Care, Team Building, Banking, Sales, CPT, Case Management, Medical Records, Health Insurance, Telephone Skills, Revenue Cycle
Education
Hostos Community College/CUNY 2006 — 2007
AAS, Early Childhood Education
Seminole State College of Florida
Health Services/Allied Health Management
Claire DeMatteis Claire DeMatteis's Affinity Health Plan Experience August 2014 - Present
Job General Counsel and Legal Executive
Industry Executive Office
Experience
Affinity Health Plan August 2014 - Present
Affinity Health Plan November 2013 - August 2014
Catalina Marketing September 2012 - March 2013
Catalina Marketing October 2008 - September 2012
Stradley Ronon October 2004 - October 2008
United States Senate November 1994 - October 2004
U.S. House of Representatives January 1993 - November 1994
State of Delaware April 1992 - January 1993
CBS News Affiliate (WBOC-TV) November 1987 - April 1992
Skills
Advertising, Mergers, Compliance, Corporate Governance, Contract Negotiation, Social Media, Corporate Law, Budgeting, Executive Management, Intellectual Property, Strategic Planning, Government Relations, Marketing Strategy, Government Affairs, Analysis, Business Strategy, Public Relations, Public Policy, HIPAA/HITECH/PHI/PII..., Business Development &..., FDA/FCC/FTC/DOJ Legal..., Digital/Mobile Privacy..., SOX/SEC Regulatory..., Contract..., Congressional Lobbying..., Legislation..., Federal & Local..., Litigation & Settlements, e-Discovery Policies &..., Talent Sourcing &..., Budgets, Lobbying, Policy, Government, Leadership, Team Building, Legislative Relations, Risk Management, Fundraising, Organizational..., Mergers & Acquisitions, Management, Due Diligence, Privacy Law, Training, Civil Litigation, Legislation, Business Development, Legal Advice, Licensing
Education
Widener University School of Law 1988 — 1992
J.D., Constitutional Law
University of Delaware 1983 — 1987
B.S., Political Science, Communication
Affinity Health Plan August 2014 - Present
Affinity Health Plan November 2013 - August 2014
Catalina Marketing September 2012 - March 2013
Catalina Marketing October 2008 - September 2012
Stradley Ronon October 2004 - October 2008
United States Senate November 1994 - October 2004
U.S. House of Representatives January 1993 - November 1994
State of Delaware April 1992 - January 1993
CBS News Affiliate (WBOC-TV) November 1987 - April 1992
Skills
Advertising, Mergers, Compliance, Corporate Governance, Contract Negotiation, Social Media, Corporate Law, Budgeting, Executive Management, Intellectual Property, Strategic Planning, Government Relations, Marketing Strategy, Government Affairs, Analysis, Business Strategy, Public Relations, Public Policy, HIPAA/HITECH/PHI/PII..., Business Development &..., FDA/FCC/FTC/DOJ Legal..., Digital/Mobile Privacy..., SOX/SEC Regulatory..., Contract..., Congressional Lobbying..., Legislation..., Federal & Local..., Litigation & Settlements, e-Discovery Policies &..., Talent Sourcing &..., Budgets, Lobbying, Policy, Government, Leadership, Team Building, Legislative Relations, Risk Management, Fundraising, Organizational..., Mergers & Acquisitions, Management, Due Diligence, Privacy Law, Training, Civil Litigation, Legislation, Business Development, Legal Advice, Licensing
Education
Widener University School of Law 1988 — 1992
J.D., Constitutional Law
University of Delaware 1983 — 1987
B.S., Political Science, Communication
Ernest Appau-Danso, CPA Ernest Appau-Danso, CPA's Affinity Health Plan Experience December 2011 - Present
Job Senior Accountant At Morris Heights Health Center
Industry Accounting
Experience
Morris Heights Health Center July 2015 - Present
Affinity Health Plan December 2011 - Present
Broadway Photo November 2008 - June 2011
Broadway Photo October 2004 - November 2008
World Health Organization January 2004 - June 2004
Ghana September 2002 - June 2004
Education
Keller Graduate School of Management 2009 — 2011
Master, Accounting and Financial Management
University of Cape Coast 1997 — 2001
Bachelor of Arts, Economics
Prempeh College, Kumasi, Ghana 1992 — 1995
High School Diploma, Business Studies
University of Ghana
Master of Philosophy, MPhil; Economics 2002-2004
Morris Heights Health Center July 2015 - Present
Affinity Health Plan December 2011 - Present
Broadway Photo November 2008 - June 2011
Broadway Photo October 2004 - November 2008
World Health Organization January 2004 - June 2004
Ghana September 2002 - June 2004
Education
Keller Graduate School of Management 2009 — 2011
Master, Accounting and Financial Management
University of Cape Coast 1997 — 2001
Bachelor of Arts, Economics
Prempeh College, Kumasi, Ghana 1992 — 1995
High School Diploma, Business Studies
University of Ghana
Master of Philosophy, MPhil; Economics 2002-2004
Frank D'Addario Frank D'Addario's Affinity Health Plan Experience February 1997 - January 2014
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Affinity Health Plan February 1997 - January 2014
Skills
Extensive knowledge and..., HIPAA, Medicare, Healthcare, Medicaid, Healthcare Management, Managed Care, Health Insurance, Healthcare Information..., Hospitals, Healthcare Industry, Provider Relations
Education
Suffolk County Community College 1983 — 1985
Associates Degree
Affinity Health Plan February 1997 - January 2014
Skills
Extensive knowledge and..., HIPAA, Medicare, Healthcare, Medicaid, Healthcare Management, Managed Care, Health Insurance, Healthcare Information..., Hospitals, Healthcare Industry, Provider Relations
Education
Suffolk County Community College 1983 — 1985
Associates Degree
Angel Ayala's Affinity Health Plan Experience October 2002 - June 2007
Job Financial Analyst at Pfizer
Industry Pharmaceuticals
Experience
Puma Energy Caribe July 2014 - Present
Pfizer September 2011 - July 2014
Mars Caribbean and Central America May 2011 - September 2011
PEPSI COLA MANUFACTURING AT CIDRA 2009 - 2011
AFS Intercultural Programs June 2007 - June 2009
Affinity Health Plan October 2002 - June 2007
The Clorox Company May 1998 - August 2002
Skills
Bilingual, Goal-oriented..., Fully bilingual English, Strategic Planning, Communication Skills, Mathematical Analysis, Positive Team Player, Professional Manner, Adaptability, Flexible Approach, SAP, Microsoft Excel, Hyperion Enterprise, FRx Report Designer, MAS500, SBT, Great Plains Software, AS400 system, Accounting, Accounts Payable, Auditing, Finance, Financial Accounting, Financial Statements, Invoicing, Variance Analysis
Education
University of Puerto Rico-Arecibo 1988 — 1992
Bachelor of Arts in Accountancy, Accounting
Puma Energy Caribe July 2014 - Present
Pfizer September 2011 - July 2014
Mars Caribbean and Central America May 2011 - September 2011
PEPSI COLA MANUFACTURING AT CIDRA 2009 - 2011
AFS Intercultural Programs June 2007 - June 2009
Affinity Health Plan October 2002 - June 2007
The Clorox Company May 1998 - August 2002
Skills
Bilingual, Goal-oriented..., Fully bilingual English, Strategic Planning, Communication Skills, Mathematical Analysis, Positive Team Player, Professional Manner, Adaptability, Flexible Approach, SAP, Microsoft Excel, Hyperion Enterprise, FRx Report Designer, MAS500, SBT, Great Plains Software, AS400 system, Accounting, Accounts Payable, Auditing, Finance, Financial Accounting, Financial Statements, Invoicing, Variance Analysis
Education
University of Puerto Rico-Arecibo 1988 — 1992
Bachelor of Arts in Accountancy, Accounting
Edgar Viera Edgar Viera's Affinity Health Plan Experience 2001 - 2003
Job Medicare Sales Representative at Archcare
Industry Hospital & Health Care
Experience
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
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
Ashish Manandhar Ashish Manandhar's Affinity Health Plan Experience January 2011 - Present
Job Sr Business Analyst at Affinity Health Plan
Industry Insurance
Experience
Affinity Health Plan January 2011 - Present
Medco May 2008 - December 2010
Regence BlueCross BlueShield of Oregon July 2007 - December 2007
Skills
Requirements Gathering, SDLC, Insurance, Business Requirements, Health Insurance, Vendor Management, Business Analysis, Data Analysis, Visio, Data Warehousing, Systems Analysis, ETL, Facets, UML, UML Tools, SQL, EDI, 837P, EDI 270/271, 837I, OOAD, CMMI, CMS, RUP Methodologies, Six Sigma, Testing, Microsoft Office, Crystal Reports, Web Design, Web Applications, Trizetto, Agile Methodologies, HIPAA, EDI ANSI X12
Education
University of Findlay 2003 — 2004
Master of Business Administration (MBA)
Affinity Health Plan January 2011 - Present
Medco May 2008 - December 2010
Regence BlueCross BlueShield of Oregon July 2007 - December 2007
Skills
Requirements Gathering, SDLC, Insurance, Business Requirements, Health Insurance, Vendor Management, Business Analysis, Data Analysis, Visio, Data Warehousing, Systems Analysis, ETL, Facets, UML, UML Tools, SQL, EDI, 837P, EDI 270/271, 837I, OOAD, CMMI, CMS, RUP Methodologies, Six Sigma, Testing, Microsoft Office, Crystal Reports, Web Design, Web Applications, Trizetto, Agile Methodologies, HIPAA, EDI ANSI X12
Education
University of Findlay 2003 — 2004
Master of Business Administration (MBA)
Linda N. Gottlieb Linda N. Gottlieb's Affinity Health Plan Experience 2014 - Present
Job Lean Engineer at Affinity Health Plan
Industry Insurance
Experience
Affinity Health Plan 2014 - Present
Coldwell Banker Residential Brokerage 2010 - Present
Compass Advisors 2010 - 2014
Express Scripts 2012 - 2012
Thomson Reuters 1998 - 2010
Reader's Digest 1991 - 1998
Empire Blue Cross Blue Shield 1985 - 1991
Skills
Process Improvement, Compliance, Six Sigma, Quality Management, Green Belt, Quality Assurance, Continuous Improvement, Business Analysis, Data Analysis, Internal Controls, Business Process Mapping, Management, Analysis, Software Documentation, Business Process..., Auditing, Cross-functional Team..., Vendor Management, Change Management, Program Management, Project Management, Budgets, Performance Management, Supplier Quality, Performance Metrics, Reporting & Analysis, Visio, Regression Testing, Requirements Analysis, Fulfillment Services, Publishing, Healthcare, Software Project..., Business Process, Testing, SharePoint, Leadership, CRM, PMO, Project Planning, Team Leadership, Business Intelligence, Risk Management, Project Portfolio..., Outsourcing, ERP, PMP, Strategy, Resource Management, MS Project
Education
Syracuse University
BS, Accounting
Affinity Health Plan 2014 - Present
Coldwell Banker Residential Brokerage 2010 - Present
Compass Advisors 2010 - 2014
Express Scripts 2012 - 2012
Thomson Reuters 1998 - 2010
Reader's Digest 1991 - 1998
Empire Blue Cross Blue Shield 1985 - 1991
Skills
Process Improvement, Compliance, Six Sigma, Quality Management, Green Belt, Quality Assurance, Continuous Improvement, Business Analysis, Data Analysis, Internal Controls, Business Process Mapping, Management, Analysis, Software Documentation, Business Process..., Auditing, Cross-functional Team..., Vendor Management, Change Management, Program Management, Project Management, Budgets, Performance Management, Supplier Quality, Performance Metrics, Reporting & Analysis, Visio, Regression Testing, Requirements Analysis, Fulfillment Services, Publishing, Healthcare, Software Project..., Business Process, Testing, SharePoint, Leadership, CRM, PMO, Project Planning, Team Leadership, Business Intelligence, Risk Management, Project Portfolio..., Outsourcing, ERP, PMP, Strategy, Resource Management, MS Project
Education
Syracuse University
BS, Accounting
Vincent Adams Vincent Adams's Affinity Health Plan Experience February 2010 - August 2010
Job Research Analyst at DonorSearch
Industry Market Research
Experience
DonorSearch August 2015 - Present
Donor Search April 2015 - Present
DONOR SEARCH January 2015 - Present
Freelance Consultancy & Training September 2012 - Present
Brookdale Hospital -Healthy Families Program September 2012 - July 2014
Healthy Families Central Harlem April 2013 - February 2014
Monster January 2011 - October 2012
Affinity Health Plan February 2010 - August 2010
MetroPlus Health Plan November 2001 - August 2009
Black Box Magazine January 1990 - January 1994
Skills
Desktop Publishing, Presenter, Public Speaking, Creative Writing, Budgeting, Team Building, Coaching, Customer Relations, Customer Service, Data Analysis, Event Planning, Team Leadership, Leadership Development, Social Media, Microsoft Office, Mentoring, Newsletters, Strategic Planning, QuarkXPress, Problem Solving, Teaching, Youth Development, Community Outreach, Administration, Promotions, Budgets, Music, Entertainment, Media, Drums, Percussion, Choir Direction, Singing, Single Parents, Microsoft Office 2007, Music Publishing, Publishing, Social Networking, Strategy, System Administration, Marketing, Access, Management, Training, Public Relations, Performance Management, Leadership, Fundraising, Nonprofits, Social Media Marketing
Education
Rutgers University 2009 — 2010
Rutgers University 2009 — 2010
Learning Tree 2008 — 2009
Baruch College 1984 — 1989
Bachelor of Arts, Music Management
DonorSearch August 2015 - Present
Donor Search April 2015 - Present
DONOR SEARCH January 2015 - Present
Freelance Consultancy & Training September 2012 - Present
Brookdale Hospital -Healthy Families Program September 2012 - July 2014
Healthy Families Central Harlem April 2013 - February 2014
Monster January 2011 - October 2012
Affinity Health Plan February 2010 - August 2010
MetroPlus Health Plan November 2001 - August 2009
Black Box Magazine January 1990 - January 1994
Skills
Desktop Publishing, Presenter, Public Speaking, Creative Writing, Budgeting, Team Building, Coaching, Customer Relations, Customer Service, Data Analysis, Event Planning, Team Leadership, Leadership Development, Social Media, Microsoft Office, Mentoring, Newsletters, Strategic Planning, QuarkXPress, Problem Solving, Teaching, Youth Development, Community Outreach, Administration, Promotions, Budgets, Music, Entertainment, Media, Drums, Percussion, Choir Direction, Singing, Single Parents, Microsoft Office 2007, Music Publishing, Publishing, Social Networking, Strategy, System Administration, Marketing, Access, Management, Training, Public Relations, Performance Management, Leadership, Fundraising, Nonprofits, Social Media Marketing
Education
Rutgers University 2009 — 2010
Rutgers University 2009 — 2010
Learning Tree 2008 — 2009
Baruch College 1984 — 1989
Bachelor of Arts, Music Management
Rashmi R; PhD, MBA, MS's Affinity Health Plan Experience June 2015 - Present
Job Operations, Strategy, Commercial and Govt. Health Programs, Consumer Markets
Industry Hospital & Health Care
Experience
Affinity Health Plan June 2015 - Present
HPS April 2015 - June 2015
HHC October 2014 - March 2015
HHC 2012 - September 2014
St. John's University August 2008 - August 2012
The University of Toledo February 2006 - July 2008
BiomedEcon February 2005 - December 2005
Skills
PMP, Program Management, Project Delivery, PMO, Software Project..., Business Analysis, Project Management, SDLC, MS Project, Change Management, Resource Management, Business Process..., Project Planning, Vendor Management, Cross-functional Team..., Healthcare, Process Improvement, Requirements Analysis, SAS, Software Documentation, Strategic Planning, Analysis, HIPAA, Healthcare Management, Management, Leadership, Healthcare Information..., Data Analysis, Visio, Business Process, Medicare, Medicaid, Managed Care, Team Building
Education
University of Louisiana at Monroe 1999 — 2006
Doctor of Philosophy (PhD), Health/Health Care Administration/Management
Affinity Health Plan June 2015 - Present
HPS April 2015 - June 2015
HHC October 2014 - March 2015
HHC 2012 - September 2014
St. John's University August 2008 - August 2012
The University of Toledo February 2006 - July 2008
BiomedEcon February 2005 - December 2005
Skills
PMP, Program Management, Project Delivery, PMO, Software Project..., Business Analysis, Project Management, SDLC, MS Project, Change Management, Resource Management, Business Process..., Project Planning, Vendor Management, Cross-functional Team..., Healthcare, Process Improvement, Requirements Analysis, SAS, Software Documentation, Strategic Planning, Analysis, HIPAA, Healthcare Management, Management, Leadership, Healthcare Information..., Data Analysis, Visio, Business Process, Medicare, Medicaid, Managed Care, Team Building
Education
University of Louisiana at Monroe 1999 — 2006
Doctor of Philosophy (PhD), Health/Health Care Administration/Management
Gabriel Basbus Gabriel Basbus's Affinity Health Plan Experience 2007 - 2008
Job Quality Management Manager at Health Plus Amerigroup
Industry Hospital & Health Care
Experience
Amerigroup March 2013 - Present
Amerigroup June 2008 - March 2013
Affinity Health Plan 2007 - 2008
Columbia University Medical Center 2005 - 2007
Skills
Medicare, Credentialing, Healthcare Information..., Clinical Research, Healthcare Management, Data Analysis, Hospitals, Nursing, Managed Care, Analysis, Quality Improvement, Medical Terminology, HIPAA, Management, Software Documentation, Medical Coding, Strategic Planning, Revenue Cycle, Performance Improvement, Health Insurance, Healthcare Industry, Process Improvement, Provider Relations, Health Policy, Healthcare Consulting, Medicaid, Insurance, Disease Management, Program Management, Patient Safety, Team Building, Medicine, Healthcare, Utilization Management, Home Care, Physicians, Physician Relations, Informatics
Education
Universidad Nacional de Córdoba 1996 — 2002
Doctor, General Practitioner
Amerigroup March 2013 - Present
Amerigroup June 2008 - March 2013
Affinity Health Plan 2007 - 2008
Columbia University Medical Center 2005 - 2007
Skills
Medicare, Credentialing, Healthcare Information..., Clinical Research, Healthcare Management, Data Analysis, Hospitals, Nursing, Managed Care, Analysis, Quality Improvement, Medical Terminology, HIPAA, Management, Software Documentation, Medical Coding, Strategic Planning, Revenue Cycle, Performance Improvement, Health Insurance, Healthcare Industry, Process Improvement, Provider Relations, Health Policy, Healthcare Consulting, Medicaid, Insurance, Disease Management, Program Management, Patient Safety, Team Building, Medicine, Healthcare, Utilization Management, Home Care, Physicians, Physician Relations, Informatics
Education
Universidad Nacional de Córdoba 1996 — 2002
Doctor, General Practitioner
William Stamatis William Stamatis's Affinity Health Plan Experience May 2003 - December 2013
Job Associate DirectorMember Retention
Industry Insurance
Experience
MetroPlus Health Plan August 2014 - Present
Affinity Health Plan May 2003 - December 2013
Empire Blue Cross Blue Shield September 1977 - March 2003
Skills
Process Improvement, Insurance, Health Insurance, Medicaid, Managed Care, Access, Business Analysis, Visio, Systems Analysis, Operational Excellence, Business Intelligence, Microsoft Office, Microsoft Excel, Microsoft Visio, Tactician, Microsoft Access, Microsoft Mappoint, HP On Demand, HP Testing Tool, Demographic Analysis, Marketing Strategy, Claims Management, Business Development, Team Building, Analysis, Leadership, Analytics, HIPAA, Medicare, Health Policy
Education
Queens College 1973 — 1977
Master of Arts (M.A.), Urban Studies/Economics
Queens College 1969 — 1973
Bachelor of Arts (B.A.), Economics, 3.0
MetroPlus Health Plan August 2014 - Present
Affinity Health Plan May 2003 - December 2013
Empire Blue Cross Blue Shield September 1977 - March 2003
Skills
Process Improvement, Insurance, Health Insurance, Medicaid, Managed Care, Access, Business Analysis, Visio, Systems Analysis, Operational Excellence, Business Intelligence, Microsoft Office, Microsoft Excel, Microsoft Visio, Tactician, Microsoft Access, Microsoft Mappoint, HP On Demand, HP Testing Tool, Demographic Analysis, Marketing Strategy, Claims Management, Business Development, Team Building, Analysis, Leadership, Analytics, HIPAA, Medicare, Health Policy
Education
Queens College 1973 — 1977
Master of Arts (M.A.), Urban Studies/Economics
Queens College 1969 — 1973
Bachelor of Arts (B.A.), Economics, 3.0
Debra M. Sanders Debra M. Sanders's Affinity Health Plan Experience 2004 - 2007
Job Business Executive >25 years in Health Care, Hospital, Managed Care and Operations
Industry Hospital & Health Care
Experience
Xerox December 2014 - Present
CDPHP 2010 - August 2014
Health Solutions 2009 - 2010
NYC Health and Hospitals Corporation 2007 - 2009
Affinity Health Plan 2004 - 2007
Continuum Health Partners 2000 - 2004
Visiting Nurse Service of New York April 1999 - October 2000
Skills
Provider Relations, Health Insurance, Healthcare, Hospitals, Medicare, Network Development, HMO, Healthcare Management, Medicaid, Managed Care, PPO, Contract Negotiation, Healthcare Consulting, Strategic Planning, Team Building, Leadership, Executive Management, Physician Relations, Vendor Management, Operations Management, Community Relations..., Hospital Administration, Public Speaking, Coaching & Mentoring, Project Management, Organizational..., Provider Network...
Education
State University of New York at Albany
Bachelor of Arts (BA), Economics
Pace University
Master of Public Administration (MPA), Health Care Administration
New York Theological Seminary 2002 — 2004
Master of Divinity (MDIV), Theology
Xerox December 2014 - Present
CDPHP 2010 - August 2014
Health Solutions 2009 - 2010
NYC Health and Hospitals Corporation 2007 - 2009
Affinity Health Plan 2004 - 2007
Continuum Health Partners 2000 - 2004
Visiting Nurse Service of New York April 1999 - October 2000
Skills
Provider Relations, Health Insurance, Healthcare, Hospitals, Medicare, Network Development, HMO, Healthcare Management, Medicaid, Managed Care, PPO, Contract Negotiation, Healthcare Consulting, Strategic Planning, Team Building, Leadership, Executive Management, Physician Relations, Vendor Management, Operations Management, Community Relations..., Hospital Administration, Public Speaking, Coaching & Mentoring, Project Management, Organizational..., Provider Network...
Education
State University of New York at Albany
Bachelor of Arts (BA), Economics
Pace University
Master of Public Administration (MPA), Health Care Administration
New York Theological Seminary 2002 — 2004
Master of Divinity (MDIV), Theology
Sidney Hunte Sidney Hunte's Affinity Health Plan Experience October 2012 - November 2013
Job Data Entry clerk at F.E.G.S (Federal Employment Guideline Services)
Industry Human Resources
Experience
Comp_ Tia A+ Network+ Technician 2014 - Present
Callen-Lorde Community Health Center November 2014 - February 2015
F.E.G.S (Federal Employment Guideline Services) January 2014 - 2014
Affinity Health Plan October 2012 - November 2013
Mount Sinai Hospital October 2008 - November 2009
Health Plus, Health insurance June 2001 - September 2007
Skills
I have several years of..., Medicaid, Databases, Training, Hospitals, Human Resources, Access, Credentialing, Data Entry, Medicare, Provider Relations, Research
Education
Per Scholas Institute for Technology 2014 — 2014
CompTIA A+ and Network+ Certifications, Information Technology
University of Phoenix
Associate's degree, Health Administration.
Comp_ Tia A+ Network+ Technician 2014 - Present
Callen-Lorde Community Health Center November 2014 - February 2015
F.E.G.S (Federal Employment Guideline Services) January 2014 - 2014
Affinity Health Plan October 2012 - November 2013
Mount Sinai Hospital October 2008 - November 2009
Health Plus, Health insurance June 2001 - September 2007
Skills
I have several years of..., Medicaid, Databases, Training, Hospitals, Human Resources, Access, Credentialing, Data Entry, Medicare, Provider Relations, Research
Education
Per Scholas Institute for Technology 2014 — 2014
CompTIA A+ and Network+ Certifications, Information Technology
University of Phoenix
Associate's degree, Health Administration.
Andrew Barba's Affinity Health Plan Experience June 2008 - November 2008
Job Patient Care Liaison at Jewish Home Lifecare
Industry Hospital & Health Care
Experience
Jewish Home Lifecare July 2014 - Present
Lutheran Medical Center July 2012 - June 2014
Beth Israel Medical Center November 2008 - August 2012
Affinity Health Plan June 2008 - November 2008
BAMSI January 2008 - May 2008
Dana Farber Cancer Institute September 2007 - December 2007
Beth Israel Medical Center June 2007 - August 2007
Skills
Hospitals, New Business Development, Healthcare, Medicare/Medicaid..., Long-term Care, Community Outreach, Customer Service, Healthcare Management, Mental Health, Coaching, Microsoft Excel, Healthcare Consulting, PowerPoint, Microsoft Office, EMR, Public Speaking, Strategic Planning, Team Building, Medicaid, Training, Microsoft Word, Research, Editing, Access, SPSS, Clinical Research, Program Development, Sales, Medical Billing, Event Planning, Health Insurance, Medical Terminology, Meditech, Policy, Public Health, HIPAA, Revenue Cycle, EHR, Case Management, Healthcare Information..., CPR Certified, business development, Sub-acute Rehab
Education
Stonehill College 2004 — 2008
Bachelor of Arts, Healthcare Administration
Jewish Home Lifecare July 2014 - Present
Lutheran Medical Center July 2012 - June 2014
Beth Israel Medical Center November 2008 - August 2012
Affinity Health Plan June 2008 - November 2008
BAMSI January 2008 - May 2008
Dana Farber Cancer Institute September 2007 - December 2007
Beth Israel Medical Center June 2007 - August 2007
Skills
Hospitals, New Business Development, Healthcare, Medicare/Medicaid..., Long-term Care, Community Outreach, Customer Service, Healthcare Management, Mental Health, Coaching, Microsoft Excel, Healthcare Consulting, PowerPoint, Microsoft Office, EMR, Public Speaking, Strategic Planning, Team Building, Medicaid, Training, Microsoft Word, Research, Editing, Access, SPSS, Clinical Research, Program Development, Sales, Medical Billing, Event Planning, Health Insurance, Medical Terminology, Meditech, Policy, Public Health, HIPAA, Revenue Cycle, EHR, Case Management, Healthcare Information..., CPR Certified, business development, Sub-acute Rehab
Education
Stonehill College 2004 — 2008
Bachelor of Arts, Healthcare Administration
Ayanna Jones Ayanna Jones's Affinity Health Plan Experience May 2011 - July 2011
Job Communications Specialist
Industry Public Relations and Communications
Experience
MELA Sciences, Inc. October 2012 - May 2014
Stokke AS March 2012 - September 2012
Affinity Health Plan May 2011 - July 2011
Orthonet July 2002 - February 2011
Skills
Customer Service, Microsoft Office, CRM, Microsoft Word, Microsoft Excel, PowerPoint, Salesforce.com, Sage CRM, Accpac, Training, Event Planning, Software Documentation, Social Media, Team Leadership, IPCC, Medical Manager, Banking, HIPAA, Supervisory Skills, Artists, Call Centers, Employee Training, Account Management, Marketing, Marketing Strategy, Customer Satisfaction, Sales Operations, Creativity, Compliance, Managed Care, Account Reconciliation, Provider Relations, Medical Devices, Team Building
Education
Westchester Community College 2014 — 2015
Digital Arts
The College of New Rochelle 2007 — 2012
Bachelor's Degree, Liberal Arts and Communications
MELA Sciences, Inc. October 2012 - May 2014
Stokke AS March 2012 - September 2012
Affinity Health Plan May 2011 - July 2011
Orthonet July 2002 - February 2011
Skills
Customer Service, Microsoft Office, CRM, Microsoft Word, Microsoft Excel, PowerPoint, Salesforce.com, Sage CRM, Accpac, Training, Event Planning, Software Documentation, Social Media, Team Leadership, IPCC, Medical Manager, Banking, HIPAA, Supervisory Skills, Artists, Call Centers, Employee Training, Account Management, Marketing, Marketing Strategy, Customer Satisfaction, Sales Operations, Creativity, Compliance, Managed Care, Account Reconciliation, Provider Relations, Medical Devices, Team Building
Education
Westchester Community College 2014 — 2015
Digital Arts
The College of New Rochelle 2007 — 2012
Bachelor's Degree, Liberal Arts and Communications
Chrissy Lecomples Chrissy Lecomples's Affinity Health Plan Experience 2004 - 2005
Job Flooring Specialist at The Home Depot # 8475
Industry Retail
Experience
The Home Depot February 2013 - Present
Cee-Tee Janitorial Services April 2012 - January 2013
Long Island Services Affiliates November 2010 - January 2011
Consultant 1985 - 2010
Clean Us April 2005 - March 2006
Affinity Health Plan 2004 - 2005
Skills
Team Building, Budget, Customer Service, Retail, Contract Negotiation, Strategic Planning, Sales, Coaching, Operations Management, Facilities Management, Budgets, Contract Management, Business Development, Process Scheduler, Inventory Management, Purchasing, P&L, Customer Satisfaction, Management, Project Planning, Negotiation
Education
University of Phoenix 2011 — 2016
Bachelors, Business Management
St Demetrios Parochial High School 1985 — 1989
High School Diploma, Academics
The Home Depot February 2013 - Present
Cee-Tee Janitorial Services April 2012 - January 2013
Long Island Services Affiliates November 2010 - January 2011
Consultant 1985 - 2010
Clean Us April 2005 - March 2006
Affinity Health Plan 2004 - 2005
Skills
Team Building, Budget, Customer Service, Retail, Contract Negotiation, Strategic Planning, Sales, Coaching, Operations Management, Facilities Management, Budgets, Contract Management, Business Development, Process Scheduler, Inventory Management, Purchasing, P&L, Customer Satisfaction, Management, Project Planning, Negotiation
Education
University of Phoenix 2011 — 2016
Bachelors, Business Management
St Demetrios Parochial High School 1985 — 1989
High School Diploma, Academics
Jon Catalano Jon Catalano's Affinity Health Plan Experience August 2007 - July 2010
Job Pharmaceutical Sales Representative at Allergan
Industry Marketing and Advertising
Experience
Allergan April 2015 - Present
New York Daily News February 2013 - March 2015
Social Mink Marketing July 2010 - January 2013
Affinity Health Plan August 2007 - July 2010
Fidelis Care NY February 2005 - August 2007
Skills
Market Research, Marketing, Managed Care, Marketing Communications, Health Insurance, Marketing Strategy, Public Relations, Social Media, Strategic Planning, Direct Marketing, Event Management, Lead Generation, Online Advertising, Advertising, Digital Marketing, Leadership, Sales
Education
St. Francis College 1997 — 2001
Bachelor of Science (BS), Biology, General
Allergan April 2015 - Present
New York Daily News February 2013 - March 2015
Social Mink Marketing July 2010 - January 2013
Affinity Health Plan August 2007 - July 2010
Fidelis Care NY February 2005 - August 2007
Skills
Market Research, Marketing, Managed Care, Marketing Communications, Health Insurance, Marketing Strategy, Public Relations, Social Media, Strategic Planning, Direct Marketing, Event Management, Lead Generation, Online Advertising, Advertising, Digital Marketing, Leadership, Sales
Education
St. Francis College 1997 — 2001
Bachelor of Science (BS), Biology, General
Bill Durkin Bill Durkin's Affinity Health Plan Experience August 2005 - January 2012
Job Sr. Business Systems Analyst at McKesson
Industry Hospital & Health Care
Experience
McKesson March 2012 - Present
Affinity Health Plan August 2005 - January 2012
HealthFirst November 2004 - July 2005
Emerging Health IT September 1996 - October 2004
Skills
Business Analysis, Healthcare Information..., Visio, SDLC, Client Liaison, Management, Trizetto, Microsoft Word, Healthcare Management, SQL, T-SQL, PowerPoint, Process Improvement, Data Analysis, Business Requirements, Medicaid Managed Care, Microsoft Excel, Process Management, Vendor Management, Consulting, Integration, Leadership
Education
Queens College
Bachelor of Arts (BA), Experimental Psychology
University of Phoenix
Master of Business Administration (MBA), Technology Management
McKesson March 2012 - Present
Affinity Health Plan August 2005 - January 2012
HealthFirst November 2004 - July 2005
Emerging Health IT September 1996 - October 2004
Skills
Business Analysis, Healthcare Information..., Visio, SDLC, Client Liaison, Management, Trizetto, Microsoft Word, Healthcare Management, SQL, T-SQL, PowerPoint, Process Improvement, Data Analysis, Business Requirements, Medicaid Managed Care, Microsoft Excel, Process Management, Vendor Management, Consulting, Integration, Leadership
Education
Queens College
Bachelor of Arts (BA), Experimental Psychology
University of Phoenix
Master of Business Administration (MBA), Technology Management
Bill (William) Britt Durkin's Affinity Health Plan Experience January 2011 - January 2012
Job Business Systems Analyst / Claims Solutions Consultant at McKesson Health Solutions
Industry Information Technology and Services
Experience
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
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
Sarah Yeung Sarah Yeung's Affinity Health Plan Experience 2012 - 2013
Job Office Manager at New York Acupuncture and Chiropractics PLLC
Industry Medical Devices
Experience
New York Acupuncture and Chiropractics PLLC January 2015 - Present
Dr. Chen's Acupuncture P.C. June 2014 - December 2014
Dr Chen's Acupuncture P.C. May 2013 - May 2014
Affinity Health Plan 2012 - 2013
Health Care & Co 2011 - 2012
Skills
Mandarin, Public Speaking, Healthcare, Sales, Strategic Planning, New Business Development, Public Relations, Project Management, Customer Service, Insurance, Management, Team Building, Marketing Communications, Social Media Marketing, Event Planning
Education
The University of Hong Kong 2007 — 2010
Bachelor's degree, Food and Nutritional Science
Chiu Lut Sau Memorial Secondary School
New York Acupuncture and Chiropractics PLLC January 2015 - Present
Dr. Chen's Acupuncture P.C. June 2014 - December 2014
Dr Chen's Acupuncture P.C. May 2013 - May 2014
Affinity Health Plan 2012 - 2013
Health Care & Co 2011 - 2012
Skills
Mandarin, Public Speaking, Healthcare, Sales, Strategic Planning, New Business Development, Public Relations, Project Management, Customer Service, Insurance, Management, Team Building, Marketing Communications, Social Media Marketing, Event Planning
Education
The University of Hong Kong 2007 — 2010
Bachelor's degree, Food and Nutritional Science
Chiu Lut Sau Memorial Secondary School
Carmina Pérez Carmina Pérez's Affinity Health Plan Experience July 2011 - May 2015
Job Digital Marketing Professional
Industry Marketing and Advertising
Experience
Affinity Health Plan July 2011 - May 2015
Social Media Marketing Consultant February 2007 - July 2012
Social Media News NY June 2011 - July 2011
AOL Latino July 2005 - May 2006
CNN Financial News June 1998 - December 2004
Lehman Brothers 1988 - 1997
Skills
Digital Marketing, Digital Strategy, Social Media Marketing, Bilingual, SEO, Facebook, Twitter, YouTube, Marketing Strategy, Blogging, Content Management, Content Development, Google Analytics, Web 2.0, Email Marketing, Marketing, Social Media, Online Marketing, Editing, Digital Media, Newsletters, Content Strategy, Entrepreneurship, Community Management, Public Relations, Media Relations, Spanish, Video, Web Content, Online Advertising, Web Marketing, Editorial, Brand Awareness
Education
University of Miami 1978 — 1982
BA, Finance
Dana Hall School 1974 — 1977
High School
Affinity Health Plan July 2011 - May 2015
Social Media Marketing Consultant February 2007 - July 2012
Social Media News NY June 2011 - July 2011
AOL Latino July 2005 - May 2006
CNN Financial News June 1998 - December 2004
Lehman Brothers 1988 - 1997
Skills
Digital Marketing, Digital Strategy, Social Media Marketing, Bilingual, SEO, Facebook, Twitter, YouTube, Marketing Strategy, Blogging, Content Management, Content Development, Google Analytics, Web 2.0, Email Marketing, Marketing, Social Media, Online Marketing, Editing, Digital Media, Newsletters, Content Strategy, Entrepreneurship, Community Management, Public Relations, Media Relations, Spanish, Video, Web Content, Online Advertising, Web Marketing, Editorial, Brand Awareness
Education
University of Miami 1978 — 1982
BA, Finance
Dana Hall School 1974 — 1977
High School
Carolyn Cocotas Carolyn Cocotas's Affinity Health Plan Experience 2004 - 2008
Job Senior managedcare Executive with solid reputation and success in Quality and Corporate Compliance
Industry Hospital & Health Care
Experience
Retired April 2013 - Present
F.E.G.S. Health and Human Services System January 2009 - October 2013
Institute of Medicine September 2010 - June 2012
Institute of Medicine January 2006 - January 2012
Affinity Health Plan 2004 - 2008
Kaiser Permanente 2002 - 2004
Performance Measurement Coordinating Council 2000 - 2002
Community Health Plan of the Rockies 1998 - 2002
NCQA 1993 - 1996
Department of Health and Human Services 1984 - 1992
Skills
Corporate Compliance, Quality Measurement, Quality Improvement, Healthcare Management, Healthcare, Healthcare Information..., Managed Care, Medicaid, Medicare, Public Health, Healthcare Consulting, Health Policy, Program Evaluation, Program Development, Hospitals, HIPAA, Accreditation, Nonprofits, Strategic Planning, Proposal Writing, Informatics, Program Management, Policy, Process Improvement, Utilization Management, Physicians, Behavioral Health, Social Services, Grants, Patient Advocacy, Credentialing, Provider Relations, Medical Compliance, Patient Safety, Patient Outcomes, Public Policy, Health Insurance, HEDIS, Clinical Research, Mental Health, Disease Management, EMR, Community Health, Executive Management, EHR, Leadership, Management
Education
Health Care Compliance Association 2010 — 2011
Certification, Health Care Compliance and Health Care Privacy Compliance
The University of New Mexico 1982 — 1984
MPA, public and health administration
The University of New Mexico 1976 — 1984
Associate of Science, Radiologic Technology
The University of New Mexico 1980 — 1982
Bachelor of Liberal Arts, Political Science
Retired April 2013 - Present
F.E.G.S. Health and Human Services System January 2009 - October 2013
Institute of Medicine September 2010 - June 2012
Institute of Medicine January 2006 - January 2012
Affinity Health Plan 2004 - 2008
Kaiser Permanente 2002 - 2004
Performance Measurement Coordinating Council 2000 - 2002
Community Health Plan of the Rockies 1998 - 2002
NCQA 1993 - 1996
Department of Health and Human Services 1984 - 1992
Skills
Corporate Compliance, Quality Measurement, Quality Improvement, Healthcare Management, Healthcare, Healthcare Information..., Managed Care, Medicaid, Medicare, Public Health, Healthcare Consulting, Health Policy, Program Evaluation, Program Development, Hospitals, HIPAA, Accreditation, Nonprofits, Strategic Planning, Proposal Writing, Informatics, Program Management, Policy, Process Improvement, Utilization Management, Physicians, Behavioral Health, Social Services, Grants, Patient Advocacy, Credentialing, Provider Relations, Medical Compliance, Patient Safety, Patient Outcomes, Public Policy, Health Insurance, HEDIS, Clinical Research, Mental Health, Disease Management, EMR, Community Health, Executive Management, EHR, Leadership, Management
Education
Health Care Compliance Association 2010 — 2011
Certification, Health Care Compliance and Health Care Privacy Compliance
The University of New Mexico 1982 — 1984
MPA, public and health administration
The University of New Mexico 1976 — 1984
Associate of Science, Radiologic Technology
The University of New Mexico 1980 — 1982
Bachelor of Liberal Arts, Political Science
Jose F. Lopez Jose F. Lopez's Affinity Health Plan Experience July 2012 - August 2014
Job A/R Collections and Reimbursement Rep
Industry Financial Services
Experience
Orlando Health September 2014 - June 2015
Affinity Health Plan July 2012 - August 2014
Express Scripts, Inc. October 2010 - July 2011
Community Health Centers, Inc. February 2010 - October 2010
Affinity Health Plan December 2003 - April 2009
Skills
Accounts Receivable, Account Reconciliation, Customer Service, Microsoft Office, Microsoft Excel, Microsoft Word, Collections, Appeals, Appointment Scheduling, Teamwork, Outlook, HIPAA, Managed Care, Medicare/Medicaid..., Medicaid Managed Care, Health Insurance, Provider Relations, Provider Networks, EOB
Education
Florida International University 1991 — 2000
Bachelor of Arts (B.A.), Political Science and Government with a minor in Art History, 3.0
University of Miami 1990 — 1991
3.0
Orlando Health September 2014 - June 2015
Affinity Health Plan July 2012 - August 2014
Express Scripts, Inc. October 2010 - July 2011
Community Health Centers, Inc. February 2010 - October 2010
Affinity Health Plan December 2003 - April 2009
Skills
Accounts Receivable, Account Reconciliation, Customer Service, Microsoft Office, Microsoft Excel, Microsoft Word, Collections, Appeals, Appointment Scheduling, Teamwork, Outlook, HIPAA, Managed Care, Medicare/Medicaid..., Medicaid Managed Care, Health Insurance, Provider Relations, Provider Networks, EOB
Education
Florida International University 1991 — 2000
Bachelor of Arts (B.A.), Political Science and Government with a minor in Art History, 3.0
University of Miami 1990 — 1991
3.0
Lesa Sem's Affinity Health Plan Experience October 2006 - January 2008
Job Facets Expertise/17+ yrs.exp
Industry Information Technology and Services
Experience
Excellus BCBS July 2013 - August 2013
WPS Health Insurance July 2012 - November 2012
AmeriHealth Caritas February 2012 - April 2012
Blue Cross Blue Shield of Louisiana November 2011 - January 2012
Lovelace Health System June 2011 - September 2011
UnitedHealth Group March 2010 - May 2011
Availity October 2009 - January 2010
Universal American March 2009 - June 2009
Baylor Health Care System October 2008 - January 2009
Affinity Health Plan October 2006 - January 2008
Skills
Facets Expertise, Benefit Configuration, Pricing Configuration, Data Warehousing, Data Modeling, Integration, HIPAA, Business Objects, SDLC, Requirements Analysis, Healthcare Information..., Requirements Gathering, Visio, Business Analysis, Business Intelligence, SharePoint, Healthcare, SSIS, EDI, Software Project..., Business Requirements, Microsoft SQL Server, ETL, Testing, Medicare, Business Process, Databases, Oracle, Crystal Reports, Medicaid, Access, Process Improvement, Software Documentation, Vendor Management, Health Policy, Software Implementation, Healthcare Industry, Systems Analysis, Business Process..., Management, PMP, Data Analysis, MS Project, Disaster Recovery, Program Management, Managed Care, Enterprise Architecture, Quality Assurance, Healthcare Consulting, IT Strategy
Education
Tulane University 1986 — 1990
BA, English
The University of Dallas 1991 — 1993
MBA, HSM - Masters of Business Adminstration
Culver Girls Academy 1983 — 1986
Prep School, High School
Excellus BCBS July 2013 - August 2013
WPS Health Insurance July 2012 - November 2012
AmeriHealth Caritas February 2012 - April 2012
Blue Cross Blue Shield of Louisiana November 2011 - January 2012
Lovelace Health System June 2011 - September 2011
UnitedHealth Group March 2010 - May 2011
Availity October 2009 - January 2010
Universal American March 2009 - June 2009
Baylor Health Care System October 2008 - January 2009
Affinity Health Plan October 2006 - January 2008
Skills
Facets Expertise, Benefit Configuration, Pricing Configuration, Data Warehousing, Data Modeling, Integration, HIPAA, Business Objects, SDLC, Requirements Analysis, Healthcare Information..., Requirements Gathering, Visio, Business Analysis, Business Intelligence, SharePoint, Healthcare, SSIS, EDI, Software Project..., Business Requirements, Microsoft SQL Server, ETL, Testing, Medicare, Business Process, Databases, Oracle, Crystal Reports, Medicaid, Access, Process Improvement, Software Documentation, Vendor Management, Health Policy, Software Implementation, Healthcare Industry, Systems Analysis, Business Process..., Management, PMP, Data Analysis, MS Project, Disaster Recovery, Program Management, Managed Care, Enterprise Architecture, Quality Assurance, Healthcare Consulting, IT Strategy
Education
Tulane University 1986 — 1990
BA, English
The University of Dallas 1991 — 1993
MBA, HSM - Masters of Business Adminstration
Culver Girls Academy 1983 — 1986
Prep School, High School
Jonathan Walters, MPS Jonathan Walters, MPS's Affinity Health Plan Experience September 2014 - Present
Job Senior Provider Network Data Specialist at Affinity Health Plan
Industry Human Resources
Experience
Affinity Health Plan September 2014 - Present
Affinity Health Plan April 2013 - December 2013
HealthPlus Amerigroup January 2013 - April 2013
Orthonet LLC. February 2011 - May 2012
Long Island Developmental Disabilities Service Office October 2009 - February 2011
Rebecca Taylor May 2009 - October 2009
Skills
Human Resources, Healthcare, Management, Microsoft Office, Time Management, Software Documentation, Public Speaking, PowerPoint, Administrative..., Quality Assurance, Microsoft Excel, Access, Payroll, HIPAA, Training, Administrative...
Education
State University of New York at Stony Brook 2008 — 2009
Master's degree, Human Resources Management/Personnel Administration, General, 3.49
State University of New York at Stony Brook 2005 — 2008
Bachelor of Arts (B.A.), Economics/Business Management
Affinity Health Plan September 2014 - Present
Affinity Health Plan April 2013 - December 2013
HealthPlus Amerigroup January 2013 - April 2013
Orthonet LLC. February 2011 - May 2012
Long Island Developmental Disabilities Service Office October 2009 - February 2011
Rebecca Taylor May 2009 - October 2009
Skills
Human Resources, Healthcare, Management, Microsoft Office, Time Management, Software Documentation, Public Speaking, PowerPoint, Administrative..., Quality Assurance, Microsoft Excel, Access, Payroll, HIPAA, Training, Administrative...
Education
State University of New York at Stony Brook 2008 — 2009
Master's degree, Human Resources Management/Personnel Administration, General, 3.49
State University of New York at Stony Brook 2005 — 2008
Bachelor of Arts (B.A.), Economics/Business Management
Miles Gordon Miles Gordon's Affinity Health Plan Experience April 2014 - Present
Job Data Science Analyst at Affinity Health Plan
Industry Information Services
Experience
Affinity Health Plan April 2014 - Present
Lenscrafters November 2012 - Present
TimeLink October 2012 - August 2013
The Home Depot April 2010 - December 2011
Skills
Microsoft Office, Social Media, PowerPoint, Sales, Customer Service, Software Documentation, Requirements Analysis, System Testing, Requirements Gathering, Analysis, Data Analysis, Access
Education
State University of New York at Albany 2007 — 2011
Bachelors, Information Science Major. Business minor.
University at Albany 2007 — 2011
Bachelor of Arts (B.A.), Information Science/Studies
Iona Preparatory School 2003 — 2007
Regents Diploma, 2007
Affinity Health Plan April 2014 - Present
Lenscrafters November 2012 - Present
TimeLink October 2012 - August 2013
The Home Depot April 2010 - December 2011
Skills
Microsoft Office, Social Media, PowerPoint, Sales, Customer Service, Software Documentation, Requirements Analysis, System Testing, Requirements Gathering, Analysis, Data Analysis, Access
Education
State University of New York at Albany 2007 — 2011
Bachelors, Information Science Major. Business minor.
University at Albany 2007 — 2011
Bachelor of Arts (B.A.), Information Science/Studies
Iona Preparatory School 2003 — 2007
Regents Diploma, 2007
Ibrahim K. Dukulay, MD, MBA, PMP Ibrahim K. Dukulay, MD, MBA, PMP's Affinity Health Plan Experience May 2013 - July 2015
Job Chair, Joint Commission Performance Improvement Chapter at Princeton Healthcare System
Industry Hospital & Health Care
Experience
Princeton Healthcare System August 2015 - Present
University Medical Center of Princeton at Plainsboro July 2015 - Present
Affinity Health Plan May 2013 - July 2015
QTC, a Lockheed Martin Company June 2008 - May 2013
Southgate Medical Services May 2005 - August 2007
Grantham Hospital March 2004 - May 2004
Ministry Of Health & Sanitation January 2001 - January 2002
University of Sierra Leone January 2000 - January 2002
University of Sierra Leone Teaching hospitals January 2000 - January 2001
University of Sierra Leone 2000 - 2001
Skills
Clinical Skills,, Clinical Data Management, Clinical Information..., Healthcare, Medicine, Clinical Research, Hospitals, EMR, Healthcare Management, Medical Education, Healthcare Information..., Analytics, Quality Assurance, Data Analysis, Medical Records, Lean - Six Sigma, Business Process..., Medicare/Medicaid..., Medicare, Quality Improvement, Managed Care, Training, Policy, Health Policy, Internal Medicine, Software Documentation
Education
Project Management Institute
Project Management Professional (PMP), Project Management
University of Michigan 2013 — 2013
Certificate, Lean-Six Sigma Green Belt Healthcare
Strayer University 2011 — 2012
MBA, Health Services Administration, 4.0
University of Sierra Leone 1992 — 2000
M.B.ChB, Medicine
Princeton Healthcare System August 2015 - Present
University Medical Center of Princeton at Plainsboro July 2015 - Present
Affinity Health Plan May 2013 - July 2015
QTC, a Lockheed Martin Company June 2008 - May 2013
Southgate Medical Services May 2005 - August 2007
Grantham Hospital March 2004 - May 2004
Ministry Of Health & Sanitation January 2001 - January 2002
University of Sierra Leone January 2000 - January 2002
University of Sierra Leone Teaching hospitals January 2000 - January 2001
University of Sierra Leone 2000 - 2001
Skills
Clinical Skills,, Clinical Data Management, Clinical Information..., Healthcare, Medicine, Clinical Research, Hospitals, EMR, Healthcare Management, Medical Education, Healthcare Information..., Analytics, Quality Assurance, Data Analysis, Medical Records, Lean - Six Sigma, Business Process..., Medicare/Medicaid..., Medicare, Quality Improvement, Managed Care, Training, Policy, Health Policy, Internal Medicine, Software Documentation
Education
Project Management Institute
Project Management Professional (PMP), Project Management
University of Michigan 2013 — 2013
Certificate, Lean-Six Sigma Green Belt Healthcare
Strayer University 2011 — 2012
MBA, Health Services Administration, 4.0
University of Sierra Leone 1992 — 2000
M.B.ChB, Medicine
Lisa Vargas Lisa Vargas's Affinity Health Plan Experience January 2004 - March 2007
Job Sr Training Coordinator
Industry Financial Services
Experience
Party Pose NY, LLC May 2014 - Present
Church Pension Group March 2007 - Present
Affinity Health Plan January 2004 - March 2007
Guardian Life January 1988 - July 1995
Skills
Performance Management, Human Resources, Employee Benefits, Change Management, Project Management, Process Improvement, Benefits Administration, Training
Education
Concordia College, Bronxville, NY 2008 — 2009
BS, Business Management
The College of Westchester 2005 — 2007
Associate's degree, Business Administration and Management, General
Party Pose NY, LLC May 2014 - Present
Church Pension Group March 2007 - Present
Affinity Health Plan January 2004 - March 2007
Guardian Life January 1988 - July 1995
Skills
Performance Management, Human Resources, Employee Benefits, Change Management, Project Management, Process Improvement, Benefits Administration, Training
Education
Concordia College, Bronxville, NY 2008 — 2009
BS, Business Management
The College of Westchester 2005 — 2007
Associate's degree, Business Administration and Management, General
Kerry-Ann Dennis, MPA's Affinity Health Plan Experience January 2010 - April 2012
Job Contract Administrator at EmblemHealth
Industry Insurance
Experience
EmblemHealth September 2014 - Present
EmblemHealth May 2013 - September 2014
POM Recoveries September 2012 - May 2013
Affinity Health Plan January 2010 - April 2012
New York Presbyterian Hospital June 2002 - July 2007
Skills
Cost Budget Analysis, Public Speaking, Writing, Managed Care, System Administration, HIPAA, Healthcare, Customer Service, Management, Medicaid, Hospitals, Medical Billing, Insurance, Medical Coding, Medical Terminology, Medicare, CPT, Home Care
Education
Marist College 2011 — 2013
Masters, Masters in Public Administration
Stony Brook University 1998 — 2002
Bachelors of Science, Business Management
EmblemHealth September 2014 - Present
EmblemHealth May 2013 - September 2014
POM Recoveries September 2012 - May 2013
Affinity Health Plan January 2010 - April 2012
New York Presbyterian Hospital June 2002 - July 2007
Skills
Cost Budget Analysis, Public Speaking, Writing, Managed Care, System Administration, HIPAA, Healthcare, Customer Service, Management, Medicaid, Hospitals, Medical Billing, Insurance, Medical Coding, Medical Terminology, Medicare, CPT, Home Care
Education
Marist College 2011 — 2013
Masters, Masters in Public Administration
Stony Brook University 1998 — 2002
Bachelors of Science, Business Management
Anzhela Ali's Affinity Health Plan Experience September 2013 - Present
Job Facilitated Enroller/Certified Application Counselor at Affinity Health Plan
Industry Accounting
Experience
Affinity Health Plan September 2013 - Present
super star pafrume 2010 - May 2013
Jackie's Department store 2008 - 2009
Skills
QuickBooks, Microsoft Office, PowerPoint, Foreign Languages, Motivation, Self-starter, Always Punctual, Compliance, Marketing Communications, Consulting, Information Literacy, Confidentiality, Customer Service, Sales, HIPAA, Marketing, CRM, Healthcare, Insurance, Outlook, Retail, Windows, lean, Management, Access, Accounting, Payroll, Training, Accounts Payable, Analysis
Education
Touro College 2010 — 2013
Bachelor of Business Administration (B.B.A.), Accounting
Emprire Careers Institute 2008 — 2009
Certified Medical Assistant, Medical/Clinical Assistant
Affinity Health Plan September 2013 - Present
super star pafrume 2010 - May 2013
Jackie's Department store 2008 - 2009
Skills
QuickBooks, Microsoft Office, PowerPoint, Foreign Languages, Motivation, Self-starter, Always Punctual, Compliance, Marketing Communications, Consulting, Information Literacy, Confidentiality, Customer Service, Sales, HIPAA, Marketing, CRM, Healthcare, Insurance, Outlook, Retail, Windows, lean, Management, Access, Accounting, Payroll, Training, Accounts Payable, Analysis
Education
Touro College 2010 — 2013
Bachelor of Business Administration (B.B.A.), Accounting
Emprire Careers Institute 2008 — 2009
Certified Medical Assistant, Medical/Clinical Assistant
Janette Vargas Janette Vargas's Affinity Health Plan Experience April 2015 - Present
Job Account Manager at Affinity Health Plan
Industry Public Relations and Communications
Experience
Affinity Health Plan April 2015 - Present
Affinity Health Plan September 2014 - Present
Senior Whole Health April 2013 - August 2014
SafePath Benefits, Inc. January 2012 - March 2013
Russ & Daughters Appetizers August 2009 - December 2012
University at Albany Student Association August 2010 - May 2011
Bloomberg June 2006 - August 2006
Skills
Event Planning, Editing, Public Speaking, Event Management, Social Media, Facebook, Marketing, Press Releases, Community Outreach, Public Relations, Blogging, Fundraising, Management, Insurance, Healthcare, Analysis, Medicare, Medicaid
Education
State University of New York at Albany 2008 — 2011
B.A., Communications concentration in Public Relations, Journalism, Magna Cum Laude
University of Scranton 2007 — 2008
Communications
Affinity Health Plan April 2015 - Present
Affinity Health Plan September 2014 - Present
Senior Whole Health April 2013 - August 2014
SafePath Benefits, Inc. January 2012 - March 2013
Russ & Daughters Appetizers August 2009 - December 2012
University at Albany Student Association August 2010 - May 2011
Bloomberg June 2006 - August 2006
Skills
Event Planning, Editing, Public Speaking, Event Management, Social Media, Facebook, Marketing, Press Releases, Community Outreach, Public Relations, Blogging, Fundraising, Management, Insurance, Healthcare, Analysis, Medicare, Medicaid
Education
State University of New York at Albany 2008 — 2011
B.A., Communications concentration in Public Relations, Journalism, Magna Cum Laude
University of Scranton 2007 — 2008
Communications
JACOB CHOUAIB COULIBALY's Affinity Health Plan Experience August 2007 - October 2009
Job Owner at Couls Consulting
Industry Health, Wellness and Fitness
Experience
Couls Consulting DBA Hewitt Financial January 2012 - Present
Africa Health Innovations April 2011 - Present
AFG January 2010 - Present
Couls Consulting January 2010 - Present
Affinity Health Plan August 2007 - October 2009
Affinity Health Plan August 2007 - October 2009
Amerigroup Corporation July 2006 - August 2007
AMERIGROUP Community Care July 2006 - August 2007
Amerigroup Corporation January 2005 - June 2006
AMERIGROUP Corp January 2005 - June 2006
Skills
Strategic Planning, Insurance, Managed Care, Healthcare, Marketing, Marketing Strategy, Leadership, Management, Sales, Training, Microsoft Excel, Team Building, Microsoft Office, Leadership Development, Team Leadership, Account Management, Customer Service, Program Management, Sales Management, Selling, Public Speaking, Coaching, Health Insurance, Community Outreach, Proposal Writing, Business Planning, Policy, Sales Operations, Analysis, New Business Development, Employee Benefits, Business Strategy, Recruiting, Contract Negotiation, Management Consulting, Teamwork, Budgets, Business Development, Process Improvement, Strategy, Small Business, Risk Management, Data Analysis, Performance Management, Change Management, Medicaid, Operations Management, Project Management, Business Analysis
Education
NY State Medicaid Training Institute
University of Paris I: Panthéon-Sorbonne 1992 — 1995
Masters/ABD, Socio-Anthropology
University of Paris I (Pantheon-Sorbonne)
DEA, History
Couls Consulting DBA Hewitt Financial January 2012 - Present
Africa Health Innovations April 2011 - Present
AFG January 2010 - Present
Couls Consulting January 2010 - Present
Affinity Health Plan August 2007 - October 2009
Affinity Health Plan August 2007 - October 2009
Amerigroup Corporation July 2006 - August 2007
AMERIGROUP Community Care July 2006 - August 2007
Amerigroup Corporation January 2005 - June 2006
AMERIGROUP Corp January 2005 - June 2006
Skills
Strategic Planning, Insurance, Managed Care, Healthcare, Marketing, Marketing Strategy, Leadership, Management, Sales, Training, Microsoft Excel, Team Building, Microsoft Office, Leadership Development, Team Leadership, Account Management, Customer Service, Program Management, Sales Management, Selling, Public Speaking, Coaching, Health Insurance, Community Outreach, Proposal Writing, Business Planning, Policy, Sales Operations, Analysis, New Business Development, Employee Benefits, Business Strategy, Recruiting, Contract Negotiation, Management Consulting, Teamwork, Budgets, Business Development, Process Improvement, Strategy, Small Business, Risk Management, Data Analysis, Performance Management, Change Management, Medicaid, Operations Management, Project Management, Business Analysis
Education
NY State Medicaid Training Institute
University of Paris I: Panthéon-Sorbonne 1992 — 1995
Masters/ABD, Socio-Anthropology
University of Paris I (Pantheon-Sorbonne)
DEA, History
David M. Littlefield David M. Littlefield's Affinity Health Plan Experience July 2012 - Present
Job Web & Graphic Designer at Affinity Health Plan
Industry Information Technology and Services
Experience
Affinity Health Plan July 2012 - Present
dmlworx January 2008 - Present
KRZY Mobile August 2011 - June 2012
Musicians Institute May 2008 - June 2010
Script Pipeline (formerly known as Script P.I.M.P.) September 2008 - October 2009
Pringo December 2007 - February 2008
4Wheel Parts/Transamerican Auto November 2006 - September 2007
LA College International 2004 - 2007
Skills
Web Design, User Interface Design, SEO, Social Media, Graphic Design, User Experience, HTML, CSS, Photoshop, Dreamweaver, Logos, Teaching, Storyboarding, Illustration, Drawing, Corporate Identity, Sketching, Mac, Photography, Art, Adobe Creative Suite, InDesign, Illustrator, Adobe Acrobat, Interaction Design, Brochures, Microsoft Office, Logo Design, Digital Photography, Graphics, Typography, Creative Direction, Posters, Social Networking, Newsletters, Flash Animation, Social Media Marketing, Image Manipulation, Advertising, Email Marketing, Flash, Collateral, QuarkXPress, Banners, Magazines, User Interface, Art Direction, Layout, Digital Illustration, Experience Design
Education
Maryland Institute College of Art 1997 — 1997
School of Visual Arts 1992 — 1995
BA
Affinity Health Plan July 2012 - Present
dmlworx January 2008 - Present
KRZY Mobile August 2011 - June 2012
Musicians Institute May 2008 - June 2010
Script Pipeline (formerly known as Script P.I.M.P.) September 2008 - October 2009
Pringo December 2007 - February 2008
4Wheel Parts/Transamerican Auto November 2006 - September 2007
LA College International 2004 - 2007
Skills
Web Design, User Interface Design, SEO, Social Media, Graphic Design, User Experience, HTML, CSS, Photoshop, Dreamweaver, Logos, Teaching, Storyboarding, Illustration, Drawing, Corporate Identity, Sketching, Mac, Photography, Art, Adobe Creative Suite, InDesign, Illustrator, Adobe Acrobat, Interaction Design, Brochures, Microsoft Office, Logo Design, Digital Photography, Graphics, Typography, Creative Direction, Posters, Social Networking, Newsletters, Flash Animation, Social Media Marketing, Image Manipulation, Advertising, Email Marketing, Flash, Collateral, QuarkXPress, Banners, Magazines, User Interface, Art Direction, Layout, Digital Illustration, Experience Design
Education
Maryland Institute College of Art 1997 — 1997
School of Visual Arts 1992 — 1995
BA
Robert Behm's Affinity Health Plan Experience April 2006 - August 2011
Job Driver at UTOG Corporate Transportation Services
Industry Real Estate
Experience
UTOG Corporate Transportation Services September 2014 - Present
Volunteer Activities January 2010 - Present
SCO Family of Services January 2013 - October 2013
Affinity Health Plan April 2006 - August 2011
Cingular Wireless July 2000 - June 2005
C.J. Equity June 1998 - July 2000
DLC Realty July 1995 - June 1998
Skills
Social Media, Community Outreach, Marketing, Real Estate, Sales, Event Planning, Fundraising, Leadership
Education
Queens College 1975 — 1980
Public Administration
Forest Hills High School 1973 — 1977
Acedemic
Computer Institute
Touro College
UTOG Corporate Transportation Services September 2014 - Present
Volunteer Activities January 2010 - Present
SCO Family of Services January 2013 - October 2013
Affinity Health Plan April 2006 - August 2011
Cingular Wireless July 2000 - June 2005
C.J. Equity June 1998 - July 2000
DLC Realty July 1995 - June 1998
Skills
Social Media, Community Outreach, Marketing, Real Estate, Sales, Event Planning, Fundraising, Leadership
Education
Queens College 1975 — 1980
Public Administration
Forest Hills High School 1973 — 1977
Acedemic
Computer Institute
Touro College
Marlon A. Holder's Affinity Health Plan Experience January 2013 - January 2014
Job Business Systems Analyst at Affinity Health Plan
Industry Information Technology and Services
Experience
Affinity Health Plan January 2013 - January 2014
Beth Israel Medical Center July 2012 - January 2013
MetroPlus Health Plan February 2009 - July 2012
Healthfirst LLC December 2004 - July 2009
Group Health Inc May 1995 - December 2004
Skills
Business Analysis, Analysis, EDI, Healthcare Information..., Requirements Gathering, Requirements Analysis, HIPAA, SQL, Software Implementation, User Acceptance Testing, Business Process, Access, Business Requirements, CRM, Cross-functional Team..., Change Management, Management, Program Management, Microsoft SQL Server, SDLC, Project Planning, SharePoint, Software Documentation, System Administration, Unix, Systems Analysis, Visio, Testing, X12, Business Intelligence, Business Objects, Data Warehousing, Data Analysis, Databases, Disaster Recovery, Employee Training, Integration, Networking, Software Project..., Strategic Planning, Strategy, Vendor Management, Process Improvement
Education
Touro College 2005 — 2007
Masters, Information Technology Management
Globe Institute Of Technology 2002 — 2004
Bachelor, Information Technology
Affinity Health Plan January 2013 - January 2014
Beth Israel Medical Center July 2012 - January 2013
MetroPlus Health Plan February 2009 - July 2012
Healthfirst LLC December 2004 - July 2009
Group Health Inc May 1995 - December 2004
Skills
Business Analysis, Analysis, EDI, Healthcare Information..., Requirements Gathering, Requirements Analysis, HIPAA, SQL, Software Implementation, User Acceptance Testing, Business Process, Access, Business Requirements, CRM, Cross-functional Team..., Change Management, Management, Program Management, Microsoft SQL Server, SDLC, Project Planning, SharePoint, Software Documentation, System Administration, Unix, Systems Analysis, Visio, Testing, X12, Business Intelligence, Business Objects, Data Warehousing, Data Analysis, Databases, Disaster Recovery, Employee Training, Integration, Networking, Software Project..., Strategic Planning, Strategy, Vendor Management, Process Improvement
Education
Touro College 2005 — 2007
Masters, Information Technology Management
Globe Institute Of Technology 2002 — 2004
Bachelor, Information Technology
Pierre Menard's Affinity Health Plan Experience June 2012 - June 2013
Job Insurance Agent at United Health Group
Industry Insurance
Experience
UnitedHealth Group July 2013 - Present
Affinity Health Plan June 2012 - June 2013
Aflac New York March 2010 - June 2012
New York Life October 2006 - March 2010
Skills
Health Insurance, Employee Benefits, Long-term Care, Medicare, Marketing, Team Building, Term Life Insurance, Retirement Planning, Insurance, Life Insurance, Fixed Annuities, Disability Insurance, Sales, Management
Education
University of Massachusetts, Amherst 1989 — 1994
Bachelor of Arts (BA), Communications/African-American Studies
UnitedHealth Group July 2013 - Present
Affinity Health Plan June 2012 - June 2013
Aflac New York March 2010 - June 2012
New York Life October 2006 - March 2010
Skills
Health Insurance, Employee Benefits, Long-term Care, Medicare, Marketing, Team Building, Term Life Insurance, Retirement Planning, Insurance, Life Insurance, Fixed Annuities, Disability Insurance, Sales, Management
Education
University of Massachusetts, Amherst 1989 — 1994
Bachelor of Arts (BA), Communications/African-American Studies
Jason Robinson's Affinity Health Plan Experience August 2000 - Present
Job Assistant Vice President Recruitment & Employee Relations / Human Resources
Industry Human Resources
Experience
Affinity Health Plan August 2000 - Present
The Spot in the City inc. Sports Entertainment Lounge February 2008 - February 2011
New York Methodist Hospital May 1997 - August 2000
Skills
Talent Management, Account Management, Grievances, Compensation & Benefit, Onboarding, Employee Relations, HRIS, Performance Management, Succession Planning, Organizational..., Leadership Development, Talent Acquisition, Coaching, Employee Benefits, Human Resources, Medicaid, Training
Education
College of New Rochelle
Bachelors, Liberal Arts Degree Program
Affinity Health Plan August 2000 - Present
The Spot in the City inc. Sports Entertainment Lounge February 2008 - February 2011
New York Methodist Hospital May 1997 - August 2000
Skills
Talent Management, Account Management, Grievances, Compensation & Benefit, Onboarding, Employee Relations, HRIS, Performance Management, Succession Planning, Organizational..., Leadership Development, Talent Acquisition, Coaching, Employee Benefits, Human Resources, Medicaid, Training
Education
College of New Rochelle
Bachelors, Liberal Arts Degree Program
Victor Mclean's Affinity Health Plan Experience September 2012 - November 2012
Job Desktop Associate, Network Engineers at Curex Group Holdings, LLC
Industry Information Technology and Services
Experience
Curex Group Holdings, LLC October 2013 - Present
Konica Minolta Business Solutions U.S.A., Inc. February 2013 - Present
Novartis December 2012 - January 2013
Affinity Health Plan September 2012 - November 2012
Celgene September 2012 - October 2012
bloomberg April 2000 - January 2012
Skills
Desktop Support, Laptops, Customer Relations, Order Management, Troubleshooting, XP, Customer Service, Excel, Computer Hardware, Unix, TCP/IP, Printers, Problem Solving, Operating Systems, Hardware, Blackberry, Windows 7, DOS, Technical Support
Education
Rutgers, The State University of New Jersey-Newark
Curex Group Holdings, LLC October 2013 - Present
Konica Minolta Business Solutions U.S.A., Inc. February 2013 - Present
Novartis December 2012 - January 2013
Affinity Health Plan September 2012 - November 2012
Celgene September 2012 - October 2012
bloomberg April 2000 - January 2012
Skills
Desktop Support, Laptops, Customer Relations, Order Management, Troubleshooting, XP, Customer Service, Excel, Computer Hardware, Unix, TCP/IP, Printers, Problem Solving, Operating Systems, Hardware, Blackberry, Windows 7, DOS, Technical Support
Education
Rutgers, The State University of New Jersey-Newark
Jeff Lutheran's Affinity Health Plan Experience 2010 - 2013
Job Vice President Provider Claim Operations
Industry Insurance
Experience
CareCentrix February 2015 - Present
HealthyCT, Inc. April 2013 - February 2015
Affinity Health Plan 2010 - 2013
Health Net Inc. 2004 - 2010
UnitedHealthcare 2004 - 2004
Oxford Health Plans 1993 - 2004
Oxford Health Plans, Inc. (a United Healthcare Company) 1993 - 2004
James H Dean Company January 1993 - November 1993
Skills
Process Improvement, Leadership, Management, Team Building, Strategic Planning, Analysis, Insurance, Budgets, Talent Management, Call Centers, Policy, Health Insurance, Healthcare, Claim, Negotiation, Medicare, Vendor Management, HIPAA, Finance, Operations Management, Provider Relations, Contract Negotiation, Managed Care, Hospitals, Health Policy, Business Analysis, Healthcare Information..., Medicaid, Financial Analysis, Customer Service, Microsoft Excel, Sales Management, Visio, Healthcare Management, HMO
Education
University of New Haven 1990 — 1992
Bachelor of Business Administration (B.B.A.), Business Administration, Management and Operations
CareCentrix February 2015 - Present
HealthyCT, Inc. April 2013 - February 2015
Affinity Health Plan 2010 - 2013
Health Net Inc. 2004 - 2010
UnitedHealthcare 2004 - 2004
Oxford Health Plans 1993 - 2004
Oxford Health Plans, Inc. (a United Healthcare Company) 1993 - 2004
James H Dean Company January 1993 - November 1993
Skills
Process Improvement, Leadership, Management, Team Building, Strategic Planning, Analysis, Insurance, Budgets, Talent Management, Call Centers, Policy, Health Insurance, Healthcare, Claim, Negotiation, Medicare, Vendor Management, HIPAA, Finance, Operations Management, Provider Relations, Contract Negotiation, Managed Care, Hospitals, Health Policy, Business Analysis, Healthcare Information..., Medicaid, Financial Analysis, Customer Service, Microsoft Excel, Sales Management, Visio, Healthcare Management, HMO
Education
University of New Haven 1990 — 1992
Bachelor of Business Administration (B.B.A.), Business Administration, Management and Operations
Nicole Beltrez's Affinity Health Plan Experience June 2010 - April 2011
Job Director Network Contracting and Provider Relations at Centers Plan for Healthy Living
Industry Hospital & Health Care
Experience
Centers Plan for Healthy Living January 2014 - Present
Elderplan November 2013 - Present
Elderplan May 2012 - November 2013
Elderplan, Inc. May 2011 - May 2012
Affinity Health Plan June 2010 - April 2011
EmblemHealth January 2010 - June 2010
EmblemHealth October 2007 - January 2010
DEPARTMENT OF HEALTH October 2002 - October 2007
Skills
Project Planning, Contract Management, Provider Relations, Medicaid, Healthcare Management, Managed Care, Healthcare, Medicare, HIPAA, Health Insurance, Network Development, Insurance, Strategic Planning, Team Building, Process Improvement, Hospitals, Budget, Executive Management, Clinical Research
Education
University of Phoenix 2004 — 2006
M.B.A, Healthcare Management
St. John's University, NY 1997 — 2002
B.S. Healthcare Administration, 2002
Centers Plan for Healthy Living January 2014 - Present
Elderplan November 2013 - Present
Elderplan May 2012 - November 2013
Elderplan, Inc. May 2011 - May 2012
Affinity Health Plan June 2010 - April 2011
EmblemHealth January 2010 - June 2010
EmblemHealth October 2007 - January 2010
DEPARTMENT OF HEALTH October 2002 - October 2007
Skills
Project Planning, Contract Management, Provider Relations, Medicaid, Healthcare Management, Managed Care, Healthcare, Medicare, HIPAA, Health Insurance, Network Development, Insurance, Strategic Planning, Team Building, Process Improvement, Hospitals, Budget, Executive Management, Clinical Research
Education
University of Phoenix 2004 — 2006
M.B.A, Healthcare Management
St. John's University, NY 1997 — 2002
B.S. Healthcare Administration, 2002
Lisa Anzisi's Affinity Health Plan Experience September 2005 - Present
Job Clinical Pharmacist at Affinity Health Plan
Industry Insurance
Experience
Affinity Health Plan September 2005 - Present
Skills
Managed Care, Medicaid, Medicare, Healthcare Management, Pharmacists, Community Hospitals, Long Term Care, Prison, Pharmaceutical Industry, Hospital Pharmacy, Long-term Care, Clinical Research, Pharmacy Benefit..., Medicare Part D, Ambulatory Care, CPOE, Pharmacy, Inpatient, Prisons, Utilization Management, Pharmacy Automation, Clinical Pharmacy, Disease Management, Patient Counseling, Immunization, Clinical Pharmacology, Community Pharmacy, Compounding
Education
University of Florida 2005 — 2008
PharmD, Pharmacy
Saint John's University 1977 — 1984
BS MS, Pharmacy
Affinity Health Plan September 2005 - Present
Skills
Managed Care, Medicaid, Medicare, Healthcare Management, Pharmacists, Community Hospitals, Long Term Care, Prison, Pharmaceutical Industry, Hospital Pharmacy, Long-term Care, Clinical Research, Pharmacy Benefit..., Medicare Part D, Ambulatory Care, CPOE, Pharmacy, Inpatient, Prisons, Utilization Management, Pharmacy Automation, Clinical Pharmacy, Disease Management, Patient Counseling, Immunization, Clinical Pharmacology, Community Pharmacy, Compounding
Education
University of Florida 2005 — 2008
PharmD, Pharmacy
Saint John's University 1977 — 1984
BS MS, Pharmacy
Ivelisse Perez's Affinity Health Plan Experience June 2008 - November 2009
Job President & CEO at Quality MetRx
Industry Hospital & Health Care
Experience
Quality MetRx November 2013 - Present
CarePoint Health - Bayonne Medical Center July 2012 - November 2013
Richmond University Medical Center December 2009 - July 2012
Affinity Health Plan June 2008 - November 2009
McCabe Ambulance Service January 2008 - April 2009
Horizon Blue Cross Blue Shield of NJ May 2007 - June 2008
Liberty Healthcare July 2005 - January 2007
Newark Beth Israel Medical Center December 1998 - June 2005
UMDNJ September 1997 - December 1998
Skills
Healthcare Management, Nursing, Healthcare, Hospitals, EMR, Healthcare Information..., Quality Improvement, Clinical Research, Critical Care, Managed Care, Pediatrics, Acute Care, Case Managment, Informatics, Disease Management, BLS, Mental Health, Inpatient, Program Development, Nursing Education, Public Health, Emergency Medicine, Medicare, Patient Safety, Medicaid, ACLS, Healthcare Consulting, JCAHO, EHR, Health Education, HIPAA, Meditech, Surgery, Physician Relations, Medical/Surgical, ICU, Cpr Certified, Case Management, Epic Systems, Medical Records, Medical Terminology, PALS, Patient Education, Revenue Cycle
Education
Rutgers, The State University of New Jersey-Newark 1992 — 1997
BS, Nursing
Quality MetRx November 2013 - Present
CarePoint Health - Bayonne Medical Center July 2012 - November 2013
Richmond University Medical Center December 2009 - July 2012
Affinity Health Plan June 2008 - November 2009
McCabe Ambulance Service January 2008 - April 2009
Horizon Blue Cross Blue Shield of NJ May 2007 - June 2008
Liberty Healthcare July 2005 - January 2007
Newark Beth Israel Medical Center December 1998 - June 2005
UMDNJ September 1997 - December 1998
Skills
Healthcare Management, Nursing, Healthcare, Hospitals, EMR, Healthcare Information..., Quality Improvement, Clinical Research, Critical Care, Managed Care, Pediatrics, Acute Care, Case Managment, Informatics, Disease Management, BLS, Mental Health, Inpatient, Program Development, Nursing Education, Public Health, Emergency Medicine, Medicare, Patient Safety, Medicaid, ACLS, Healthcare Consulting, JCAHO, EHR, Health Education, HIPAA, Meditech, Surgery, Physician Relations, Medical/Surgical, ICU, Cpr Certified, Case Management, Epic Systems, Medical Records, Medical Terminology, PALS, Patient Education, Revenue Cycle
Education
Rutgers, The State University of New Jersey-Newark 1992 — 1997
BS, Nursing
Susan Novrotsky's Affinity Health Plan Experience June 2004 - January 2008
Job Learning and Leadership Facilitator, VP at Citi
Industry Professional Training & Coaching
Experience
Citi February 2013 - Present
Kenexa June 2010 - January 2013
InsightintoAction Consulting December 2008 - 2013
Affinity Health PLan June 2004 - January 2008
Time Warner Cable 1997 - 1999
Skills
Coaching, MBTI, Management, 360 Feedback, Leadership Development, Performance Management, Nonprofits, Project Planning, Organizational..., Executive Coaching, Management Development, Vendor Management, Talent Management, Leadership, Culture Change, Process Improvement, Executive Development, Psychometrics, Employee Engagement
Education
City University of New York-Queens College
BA, Psychology/ Education
Citi February 2013 - Present
Kenexa June 2010 - January 2013
InsightintoAction Consulting December 2008 - 2013
Affinity Health PLan June 2004 - January 2008
Time Warner Cable 1997 - 1999
Skills
Coaching, MBTI, Management, 360 Feedback, Leadership Development, Performance Management, Nonprofits, Project Planning, Organizational..., Executive Coaching, Management Development, Vendor Management, Talent Management, Leadership, Culture Change, Process Improvement, Executive Development, Psychometrics, Employee Engagement
Education
City University of New York-Queens College
BA, Psychology/ Education
Barbara Kelman's Affinity Health Plan Experience February 2004 - September 2008
Job Sr VP/COO at CaretoCare Radiology Benefit Management
Industry Hospital & Health Care
Experience
Care To Care LLC January 2009 - Present
Barbara M. Kelman Consulting September 2008 - January 2009
Affinity Health Plan February 2004 - September 2008
Barbara M. Kelman, Consulting March 2002 - February 2004
Health Partners March 1998 - March 2002
Southern New Jersey Medical Services, Inc (MSO) - currently titled Virtua Health. March 1996 - March 1998
Oxford Health Plans July 1992 - February 1996
AmeriHealth Mercy March 1985 - June 1992
Skills
Healthcare, Healthcare Management, Strategic Planning, Operations Management, Compliance, Process Improvement, Contract Negotiation, Executive Management, Contract Negotiations, Team Building, Staff Development, Call Center, Medicare, New Business Development, Medicaid, Leadership, Leadership Development, Collaborative Problem..., Collaborative Leadership
Education
Temple University - Fox School of Business and Management 1974 — 1976
BBA, Business Administration - Real Estate
Temple University - Fox School of Business and Management 1972 — 1976
BA, Business Administration
Northeast High School of Philadelphia 1969 — 1972
Care To Care LLC January 2009 - Present
Barbara M. Kelman Consulting September 2008 - January 2009
Affinity Health Plan February 2004 - September 2008
Barbara M. Kelman, Consulting March 2002 - February 2004
Health Partners March 1998 - March 2002
Southern New Jersey Medical Services, Inc (MSO) - currently titled Virtua Health. March 1996 - March 1998
Oxford Health Plans July 1992 - February 1996
AmeriHealth Mercy March 1985 - June 1992
Skills
Healthcare, Healthcare Management, Strategic Planning, Operations Management, Compliance, Process Improvement, Contract Negotiation, Executive Management, Contract Negotiations, Team Building, Staff Development, Call Center, Medicare, New Business Development, Medicaid, Leadership, Leadership Development, Collaborative Problem..., Collaborative Leadership
Education
Temple University - Fox School of Business and Management 1974 — 1976
BBA, Business Administration - Real Estate
Temple University - Fox School of Business and Management 1972 — 1976
BA, Business Administration
Northeast High School of Philadelphia 1969 — 1972
Kaye Morrow's Affinity Health Plan Experience 2008 - May 2010
Job Vice President at Well Point
Industry Hospital & Health Care
Experience
WellPoint June 2014 - Present
Elderplan May 2010 - June 2014
Affinity Health Plan 2008 - May 2010
State of New Jersey March 2004 - September 2008
United Health Care 2001 - 2003
Aetna Health Plans 1990 - 1996
Skills
Computer Network..., Healthcare Information..., Hospitals, Medicare, Medicaid, Claim, Home Care, Provider Relations, Health Policy, EMR, Access, Healthcare Industry, EHR, Medical Billing, Case Managment, Utilization Management, Revenue Cycle, Disease Management, Process Improvement, Vendor Management
Education
University of Pennsylvania 1973 — 1981
M.S., Wharton Undergrad
Lincoln High School 1963 — 1968
WellPoint June 2014 - Present
Elderplan May 2010 - June 2014
Affinity Health Plan 2008 - May 2010
State of New Jersey March 2004 - September 2008
United Health Care 2001 - 2003
Aetna Health Plans 1990 - 1996
Skills
Computer Network..., Healthcare Information..., Hospitals, Medicare, Medicaid, Claim, Home Care, Provider Relations, Health Policy, EMR, Access, Healthcare Industry, EHR, Medical Billing, Case Managment, Utilization Management, Revenue Cycle, Disease Management, Process Improvement, Vendor Management
Education
University of Pennsylvania 1973 — 1981
M.S., Wharton Undergrad
Lincoln High School 1963 — 1968
Denise Marchese's Affinity Health Plan Experience June 1999 - September 2008
Job Director, Clinical Integration at HealthyCT
Industry Insurance
Experience
HealthyCT May 2015 - Present
HealthyCT June 2013 - Present
University of Bridgeport January 2009 - June 2013
Affinity Health Plan June 1999 - September 2008
Connecticare May 1998 - December 1998
Physicians Health Services October 1992 - October 1998
Skills
Utilization Management, Provider Relations, Healthcare Management, Clinical, Customer Service, HIPAA, EHR, Healthcare, Management, Medicaid, Clinical Research, Nursing, Leadership, Healthcare Information..., Quality Assurance, Software Documentation
Education
Sacred Heart University 1988 — 1991
MBA, Health Care Administration
University of Connecticut 1964 — 1968
BS, Nursing
HealthyCT May 2015 - Present
HealthyCT June 2013 - Present
University of Bridgeport January 2009 - June 2013
Affinity Health Plan June 1999 - September 2008
Connecticare May 1998 - December 1998
Physicians Health Services October 1992 - October 1998
Skills
Utilization Management, Provider Relations, Healthcare Management, Clinical, Customer Service, HIPAA, EHR, Healthcare, Management, Medicaid, Clinical Research, Nursing, Leadership, Healthcare Information..., Quality Assurance, Software Documentation
Education
Sacred Heart University 1988 — 1991
MBA, Health Care Administration
University of Connecticut 1964 — 1968
BS, Nursing
Charles Lascari's Affinity Health Plan Experience 2004 - 2006
Job Managed Healthcare Administrator
Industry Insurance
Experience
ValueOptions, Inc.® 2014 - 2014
Magellan Health Services January 2011 - December 2013
QualCare, Inc. October 2006 - February 2010
Reimbursement Services Group 2010 - 2010
Affinity Health Plan 2004 - 2006
HealthHelp 2001 - 2004
Skills
Proposal Writing, Credentialing, Network Development, Teamwork, Managed Care, Medicaid, Team Building, Provider Relations, Analysis, Healthcare Information..., Contract Management, Healthcare, PPO, Networking, Management, Clinical Research, HIPAA, Strategic Planning, Health Policy, Contract Negotiation, Policy, Leadership, Behavioral Health, Grant Writing, Program Management, Healthcare Industry, Healthcare Management, Insurance, Program Development, HMO, Budgets, Negotiation, Quality Improvement, Utilization Management, Provider Network..., Time Management, Quality Assurance, Case Management, Medicare, Healthcare Consulting, Health Insurance, Operations Management, Hospitals, Project Planning, Revenue Cycle, Medicare Part D, Finance, Physicians, Physician Relations, Process Improvement
Education
Rutgers University-New Brunswick
MSW, Policy and Administration
ValueOptions, Inc.® 2014 - 2014
Magellan Health Services January 2011 - December 2013
QualCare, Inc. October 2006 - February 2010
Reimbursement Services Group 2010 - 2010
Affinity Health Plan 2004 - 2006
HealthHelp 2001 - 2004
Skills
Proposal Writing, Credentialing, Network Development, Teamwork, Managed Care, Medicaid, Team Building, Provider Relations, Analysis, Healthcare Information..., Contract Management, Healthcare, PPO, Networking, Management, Clinical Research, HIPAA, Strategic Planning, Health Policy, Contract Negotiation, Policy, Leadership, Behavioral Health, Grant Writing, Program Management, Healthcare Industry, Healthcare Management, Insurance, Program Development, HMO, Budgets, Negotiation, Quality Improvement, Utilization Management, Provider Network..., Time Management, Quality Assurance, Case Management, Medicare, Healthcare Consulting, Health Insurance, Operations Management, Hospitals, Project Planning, Revenue Cycle, Medicare Part D, Finance, Physicians, Physician Relations, Process Improvement
Education
Rutgers University-New Brunswick
MSW, Policy and Administration
Ruth Greaves's Affinity Health Plan Experience January 2009 - Present
Job Field Marketing Supervisor
Industry Marketing and Advertising
Experience
Affinity Health Plan January 2009 - Present
Affinity Health Plan January 2009 - Present
Well Care of NY, Inc March 2004 - December 2007
Well Care of NY, Inc March 2000 - March 2004
Bronx Health Center September 1999 - March 2000
Unique Foot Care April 1997 - August 1999
Skills
Healthcare, Leadership, Health Insurance, Medicaid, Medicare, Managed Care, Recruiting, Insurance, Marketing, Sales, Sales Operations, Training, Cold Calling, Marketing Strategy, Data Analysis, Health Policy, Healthcare Industry
Education
Universidad Central del Este 1989 — 1995
Medical Doctor, medical
Medical
Medical Doctor
Affinity Health Plan January 2009 - Present
Affinity Health Plan January 2009 - Present
Well Care of NY, Inc March 2004 - December 2007
Well Care of NY, Inc March 2000 - March 2004
Bronx Health Center September 1999 - March 2000
Unique Foot Care April 1997 - August 1999
Skills
Healthcare, Leadership, Health Insurance, Medicaid, Medicare, Managed Care, Recruiting, Insurance, Marketing, Sales, Sales Operations, Training, Cold Calling, Marketing Strategy, Data Analysis, Health Policy, Healthcare Industry
Education
Universidad Central del Este 1989 — 1995
Medical Doctor, medical
Medical
Medical Doctor
Ray Gridley's Affinity Health Plan Experience December 2009 - April 2011
Job Care Coordinator at UnitedHealth Group
Industry Hospital & Health Care
Experience
UnitedHealth Group September 2011 - Present
Affinity Health Plan December 2009 - April 2011
Kindred Healthcare January 2004 - October 2007
Skills
Utilization Management, Healthcare Management, Healthcare, Case Management, Medicaid, Medicine, Medicare, Home Care, Managed Care, HIPAA, Nursing, Hospitals, Inpatient, Elder Care, Healthcare Information...
Education
Sullivan County Community College 1992 — 1994
AS, Nursing
SUNY Oneonta 1975 — 1977
BS, Theater
UnitedHealth Group September 2011 - Present
Affinity Health Plan December 2009 - April 2011
Kindred Healthcare January 2004 - October 2007
Skills
Utilization Management, Healthcare Management, Healthcare, Case Management, Medicaid, Medicine, Medicare, Home Care, Managed Care, HIPAA, Nursing, Hospitals, Inpatient, Elder Care, Healthcare Information...
Education
Sullivan County Community College 1992 — 1994
AS, Nursing
SUNY Oneonta 1975 — 1977
BS, Theater
Ramakrishna Nadakuditi's Affinity Health Plan Experience August 2008 - November 2008
Job Application Support Specialist AmeriHealth Caritas
Industry Hospital & Health Care
Experience
AmeriHealth Caritas July 2015 - Present
HCL America October 2014 - July 2015
Infosys Public Services November 2011 - October 2014
Horizon Blue Cross Blue Shield of NJ November 2008 - November 2011
Affinity Health Plan August 2008 - November 2008
Cognizant Technology Solutions March 1998 - August 2008
Skills
Medicare, Medicaid, Software Project..., Healthcare, SDLC
Education
Symbiosis institute of Management Studies 2004 — 2006
c-PGDBA, Information Technology
VSKrishna
AmeriHealth Caritas July 2015 - Present
HCL America October 2014 - July 2015
Infosys Public Services November 2011 - October 2014
Horizon Blue Cross Blue Shield of NJ November 2008 - November 2011
Affinity Health Plan August 2008 - November 2008
Cognizant Technology Solutions March 1998 - August 2008
Skills
Medicare, Medicaid, Software Project..., Healthcare, SDLC
Education
Symbiosis institute of Management Studies 2004 — 2006
c-PGDBA, Information Technology
VSKrishna
Tony Pinal's Affinity Health Plan Experience October 2014 - Present
Job Sales Operation RBRA at Affinity Health Plan
Industry Telecommunications
Experience
Affinity Health Plan October 2014 - Present
AT&T September 2012 - May 2013
T MOBILE USA October 2010 - August 2012
T-Mobile USA August 2009 - September 2010
T-MOBILE USA October 2006 - July 2009
T-Mobile USA May 2005 - September 2006
T Mobile USA Inc November 2003 - April 2005
Skills
Telecommunications, Sales, Management, Direct Sales, Sales Operations, Wireless, Sales Process, Solution Selling, Customer Retention, Leadership, Account Management, Software Defined Radio, Coaching, Sales Management, Contract Negotiation, Team Leadership, Mobile Devices
Education
Stony Brook University
Affinity Health Plan October 2014 - Present
AT&T September 2012 - May 2013
T MOBILE USA October 2010 - August 2012
T-Mobile USA August 2009 - September 2010
T-MOBILE USA October 2006 - July 2009
T-Mobile USA May 2005 - September 2006
T Mobile USA Inc November 2003 - April 2005
Skills
Telecommunications, Sales, Management, Direct Sales, Sales Operations, Wireless, Sales Process, Solution Selling, Customer Retention, Leadership, Account Management, Software Defined Radio, Coaching, Sales Management, Contract Negotiation, Team Leadership, Mobile Devices
Education
Stony Brook University
Samuel Ramirez's Affinity Health Plan Experience August 2008 - September 2010
Job Financial Advisor
Industry Financial Services
Experience
Touro College April 2011 - Present
FedEx Express November 2010 - May 2011
Affinity Health Plan August 2008 - September 2010
Skills
Microsoft Office, PowerPoint, Microsoft Word
Education
Syracuse University - Maxwell School 2003 — 2008
B.A., Economics
Touro College April 2011 - Present
FedEx Express November 2010 - May 2011
Affinity Health Plan August 2008 - September 2010
Skills
Microsoft Office, PowerPoint, Microsoft Word
Education
Syracuse University - Maxwell School 2003 — 2008
B.A., Economics
Shana Young's Affinity Health Plan Experience March 2014 - October 2014
Job Pharmacy Benefits Coordinator at Health Republic Insurance of New York
Industry Insurance
Experience
Health Republic Insurance of New York October 2014 - Present
Affinity Health Plan March 2014 - October 2014
Touro College of Pharmacy June 2011 - March 2014
Touro College of Pharmacy August 2009 - June 2011
Rite Aid 2004 - 2011
Rite Aid 2002 - 2004
Skills
Teaching, Higher Education, Program Development, Public Speaking, Research, Microsoft Office, PowerPoint, Community Outreach, Pharmacists, Pharmacy Automation, Data Entry, Pharmacy, Project Management, Healthcare, Customer Service, Pharmaceutical Industry, Medication Therapy..., Managed Care, Clinical Research, Pharmacy Benefit...
Education
Touro College 2012 — 2015
Business Administration and Management, General, 3.78
Health Republic Insurance of New York October 2014 - Present
Affinity Health Plan March 2014 - October 2014
Touro College of Pharmacy June 2011 - March 2014
Touro College of Pharmacy August 2009 - June 2011
Rite Aid 2004 - 2011
Rite Aid 2002 - 2004
Skills
Teaching, Higher Education, Program Development, Public Speaking, Research, Microsoft Office, PowerPoint, Community Outreach, Pharmacists, Pharmacy Automation, Data Entry, Pharmacy, Project Management, Healthcare, Customer Service, Pharmaceutical Industry, Medication Therapy..., Managed Care, Clinical Research, Pharmacy Benefit...
Education
Touro College 2012 — 2015
Business Administration and Management, General, 3.78
Larry Mutis's Affinity Health Plan Experience September 2003 - Present
Job Business Analyst at Affinity Health Plan
Industry Hospital & Health Care
Experience
Affinity Health Plan September 2003 - Present
Skills
Medicare, Medicaid, Call Centers, Managed Care, Provider Relations, Health Insurance
Education
University of Phoenix
Bachelor's Degree, BA of Science in Business/Information Systems
Workforce Development Institute
Business Computer Software Applications and Technology
Affinity Health Plan September 2003 - Present
Skills
Medicare, Medicaid, Call Centers, Managed Care, Provider Relations, Health Insurance
Education
University of Phoenix
Bachelor's Degree, BA of Science in Business/Information Systems
Workforce Development Institute
Business Computer Software Applications and Technology
Dian Roberts's Affinity Health Plan Experience April 2010 - October 2013
Job Healthcare Management
Industry Insurance
Experience
1199SEIU February 2014 - Present
Affinity Health Plan April 2010 - October 2013
Health Plus 2005 - 2009
New York Presbyterian Health Plan November 1999 - July 2005
Deutsche Bank July 2004 - January 2005
Skills
Medicare, Health Insurance, Leadership, Insurance, HIPAA, Medicaid, Healthcare, Managed Care
Education
Queens College 2003 — 2007
Bachelor of Science, Accounting
Queens College
Project Management
1199SEIU February 2014 - Present
Affinity Health Plan April 2010 - October 2013
Health Plus 2005 - 2009
New York Presbyterian Health Plan November 1999 - July 2005
Deutsche Bank July 2004 - January 2005
Skills
Medicare, Health Insurance, Leadership, Insurance, HIPAA, Medicaid, Healthcare, Managed Care
Education
Queens College 2003 — 2007
Bachelor of Science, Accounting
Queens College
Project Management
Richard Scala's Affinity Health Plan Experience October 2005 - December 2013
Job I bring clarity and power to expressed ideas
Industry Hospital & Health Care
Experience
Affinity Health Plan October 2005 - December 2013
Skills
Managed Care, Marketing, Medicare, Strategic Planning, Healthcare Industry, Medicaid, Employee Benefits, Process Improvement, Leadership, Account Management, Media Relations, Public Relations, Marketing Communications, Marketing Strategy, New Media, Management
Education
Temple University 1979 — 1983
Bachelor of Arts (BA), Journalism (Advertising)
Affinity Health Plan October 2005 - December 2013
Skills
Managed Care, Marketing, Medicare, Strategic Planning, Healthcare Industry, Medicaid, Employee Benefits, Process Improvement, Leadership, Account Management, Media Relations, Public Relations, Marketing Communications, Marketing Strategy, New Media, Management
Education
Temple University 1979 — 1983
Bachelor of Arts (BA), Journalism (Advertising)
Kunal Bavishi's Affinity Health Plan Experience January 2005 - August 2006
Job Sr. Provider Contracting & Claims Configuration consultant
Industry Information Technology and Services
Experience
AmeriHealth Administrators March 2014 - Present
McKesson 2014 - 2014
McKesson 2014 - 2014
HealthNow New York Inc. 2013 - 2014
EmblemHealth 2009 - 2013
EmblemHealth 2009 - 2013
CareFirst BlueCross BlueShield January 2007 - December 2008
Affinity Health Plan January 2005 - August 2006
Amerigroup August 2003 - December 2004
Skills
Requirements Analysis, Agile Methodologies, Software Project..., SDLC, Business Analysis, Microsoft SQL Server, SQL, Affordable Health Care, Provider Network..., Product Development, Benefit Configuration, JIRA, Claims Management, Trizetto NetworX..., Trizetto Facets..., ICD-10, Kanban, Scrum, RUP
Education
University of Bridgeport 2005 — 2007
Master of Business Administration (M.B.A.), Finance and Financial Management Services, 3.6
AmeriHealth Administrators March 2014 - Present
McKesson 2014 - 2014
McKesson 2014 - 2014
HealthNow New York Inc. 2013 - 2014
EmblemHealth 2009 - 2013
EmblemHealth 2009 - 2013
CareFirst BlueCross BlueShield January 2007 - December 2008
Affinity Health Plan January 2005 - August 2006
Amerigroup August 2003 - December 2004
Skills
Requirements Analysis, Agile Methodologies, Software Project..., SDLC, Business Analysis, Microsoft SQL Server, SQL, Affordable Health Care, Provider Network..., Product Development, Benefit Configuration, JIRA, Claims Management, Trizetto NetworX..., Trizetto Facets..., ICD-10, Kanban, Scrum, RUP
Education
University of Bridgeport 2005 — 2007
Master of Business Administration (M.B.A.), Finance and Financial Management Services, 3.6
Phyllis McPherson's Affinity Health Plan Experience Clinical Director Case ManagementEmblem HealthAugust 1994 - August 2006
Job Clinical Manager at Affinity Health Plan
Industry Hospital & Health Care
Experience
Affinity Health Plan Clinical Director Case ManagementEmblem HealthAugust 1994 - August 2006
Education
Teachers College of Columbia University 1996 — 1998
MA, Nurse Executive
University of Alabama 1984 — 1988
BSN, Nursing
Affinity Health Plan Clinical Director Case ManagementEmblem HealthAugust 1994 - August 2006
Education
Teachers College of Columbia University 1996 — 1998
MA, Nurse Executive
University of Alabama 1984 — 1988
BSN, Nursing
Emmanuel Midy's Affinity Health Plan Experience May 2015 - Present
Job Manger: Broker Relations at Affinity Health Plan
Industry Insurance
Experience
Affinity Health Plan May 2015 - Present
Emmanuel Midy Photography January 2009 - Present
WellCare June 2010 - May 2015
Farmers Insurance February 2007 - November 2009
State Farm Insurance February 2003 - February 2007
Skills
Insurance, Health Insurance, Property & Casualty..., Commercial Insurance, Casualty, Medicare, Claim, Fixed Annuities, Underwriting, Accident, General Insurance, Liability, Long-term Care, Employee Benefits, Life Insurance, Sales, Team Building, Managed Care, Provider Relations, Sales Operations, Account Management, Executive Management, Claims Management, Management, Casualty Insurance
Education
State University of New York College at Old Westbury 1997 — 2000
B.S., Politics, Economics, and Society
Affinity Health Plan May 2015 - Present
Emmanuel Midy Photography January 2009 - Present
WellCare June 2010 - May 2015
Farmers Insurance February 2007 - November 2009
State Farm Insurance February 2003 - February 2007
Skills
Insurance, Health Insurance, Property & Casualty..., Commercial Insurance, Casualty, Medicare, Claim, Fixed Annuities, Underwriting, Accident, General Insurance, Liability, Long-term Care, Employee Benefits, Life Insurance, Sales, Team Building, Managed Care, Provider Relations, Sales Operations, Account Management, Executive Management, Claims Management, Management, Casualty Insurance
Education
State University of New York College at Old Westbury 1997 — 2000
B.S., Politics, Economics, and Society
Authorine Mathurin's Affinity Health Plan Experience March 2008 - May 2009
Job Ancillary Service Contractor at Healthfirst
Industry Hospital & Health Care
Experience
Healthfirst January 2014 - Present
Touchstone Health May 2009 - June 2011
Affinity Health Plan March 2008 - May 2009
Georgia Department of Human Resources July 2005 - February 2008
Elderplan November 2001 - December 2004
Community Healthcare Network October 1999 - February 2001
Skills
Healthcare Management, Healthcare, Medicare, Medicaid, Managed Care, HIPAA, EMR, Provider Relations, Healthcare Information..., Hospitals, EHR, HMO, Medical Transcription, Credentialing, Utilization Management, Health Insurance, Healthcare Consulting, Microsoft Excel, Outlook, Process Improvement, Insurance, Training, Software Documentation, Access, Call Centers, Case Managment, Clinical Research, Disease Management, Healthcare Industry, Home Care, Human Resources, Interviews, JCAHO, Long-term Care, Medical Billing, Medical Terminology, Medicine, Network Development, PPO, Nursing, Physician Relations, Practice Management, Program Management, Quality Improvement, Data Entry, Employee Benefits, Health Policy, ICD-9, HEDIS, Informatics
Education
SUNY at Buffalo 1995 — 1999
Bachelors of Arts, Psychology
James Madison High School 1992 — 1994
High School Diploma, 1992
Healthfirst January 2014 - Present
Touchstone Health May 2009 - June 2011
Affinity Health Plan March 2008 - May 2009
Georgia Department of Human Resources July 2005 - February 2008
Elderplan November 2001 - December 2004
Community Healthcare Network October 1999 - February 2001
Skills
Healthcare Management, Healthcare, Medicare, Medicaid, Managed Care, HIPAA, EMR, Provider Relations, Healthcare Information..., Hospitals, EHR, HMO, Medical Transcription, Credentialing, Utilization Management, Health Insurance, Healthcare Consulting, Microsoft Excel, Outlook, Process Improvement, Insurance, Training, Software Documentation, Access, Call Centers, Case Managment, Clinical Research, Disease Management, Healthcare Industry, Home Care, Human Resources, Interviews, JCAHO, Long-term Care, Medical Billing, Medical Terminology, Medicine, Network Development, PPO, Nursing, Physician Relations, Practice Management, Program Management, Quality Improvement, Data Entry, Employee Benefits, Health Policy, ICD-9, HEDIS, Informatics
Education
SUNY at Buffalo 1995 — 1999
Bachelors of Arts, Psychology
James Madison High School 1992 — 1994
High School Diploma, 1992
Badria Mohamed's Affinity Health Plan Experience April 2014 - Present
Job Sr. Business Systems Analyst at Affinity Health Plan
Industry Information Technology and Services
Experience
Affinity Health Plan April 2014 - Present
Project Management Institute December 2013 - Present
MIS Network Associates March 2011 - Present
MHAPC September 2007 - August 2014
EmblemHealth May 2011 - April 2014
Medco December 2005 - February 2011
MHAPC Board of Directors September 2009 - August 2010
Fundadministration February 2005 - September 2005
Fidelity Investments June 2003 - February 2005
IBM Global Services August 1995 - May 2003
Skills
Full SDLC, Root Cause Analysis, Business Requirements, Functional..., Systems Analysis, IBM Mainframe, MS Project, Visio, Terradata, DB2/SQL, Software Documentation, Requirements Analysis, Teradata, Test Planning, Business Analysis, Data Analysis, Analysis, SDLC, Requirements Gathering, Quality Assurance, User Acceptance Testing, Business Process, Vendor Management, Management, Healthcare reform, WBS, Project Management, Data Warehousing, Software Project..., Leadership, Oracle, DB2, COBOL, Databases, JCL, ITIL, TSO, Fileaid, Access, PL/SQL
Education
State University of New York College at Buffalo
MS, Educational Computing
State University of New York College at Buffalo
BS, Information systems Managment
Affinity Health Plan April 2014 - Present
Project Management Institute December 2013 - Present
MIS Network Associates March 2011 - Present
MHAPC September 2007 - August 2014
EmblemHealth May 2011 - April 2014
Medco December 2005 - February 2011
MHAPC Board of Directors September 2009 - August 2010
Fundadministration February 2005 - September 2005
Fidelity Investments June 2003 - February 2005
IBM Global Services August 1995 - May 2003
Skills
Full SDLC, Root Cause Analysis, Business Requirements, Functional..., Systems Analysis, IBM Mainframe, MS Project, Visio, Terradata, DB2/SQL, Software Documentation, Requirements Analysis, Teradata, Test Planning, Business Analysis, Data Analysis, Analysis, SDLC, Requirements Gathering, Quality Assurance, User Acceptance Testing, Business Process, Vendor Management, Management, Healthcare reform, WBS, Project Management, Data Warehousing, Software Project..., Leadership, Oracle, DB2, COBOL, Databases, JCL, ITIL, TSO, Fileaid, Access, PL/SQL
Education
State University of New York College at Buffalo
MS, Educational Computing
State University of New York College at Buffalo
BS, Information systems Managment
Brenda Stubblefield's Affinity Health Plan Experience December 2014 - Present
Job Asst. Vice President, Medicare
Industry Insurance
Experience
Affinity Health Plan December 2014 - Present
Affinity Health Plan November 2013 - Present
Independent Health 2001 - October 2013
Western New York Healthcare Association 1998 - 2001
Roswell Park Cancer Institute May 1985 - September 1998
Western New York Healthcare Association January 1997 - May 1997
Skills
Customer Service, Customer Relations, Medicare and Medicaid..., Contract Negotiation, Government Contracting, Vendor Management, Procurement, Compliance, Materials Management, Bid Preparation, Healthcare Management, Data Analysis, Pharmacoeconomics, Risk Assessment, Provider Relations, Group Purchasing, Supplier Negotiation, State Government, Medicare Part D, Pharmacy Benefit..., Medicaid Managed Care, Healthcare, Analysis, Insurance, Pharmacy, Employee Benefits, Disease Management
Education
SUNY Empire State College
Bachelor's of Science, Health Services Administration
State University of New York at Buffalo
Master of Science (MS), Health/Health Care Administration/Management
Affinity Health Plan December 2014 - Present
Affinity Health Plan November 2013 - Present
Independent Health 2001 - October 2013
Western New York Healthcare Association 1998 - 2001
Roswell Park Cancer Institute May 1985 - September 1998
Western New York Healthcare Association January 1997 - May 1997
Skills
Customer Service, Customer Relations, Medicare and Medicaid..., Contract Negotiation, Government Contracting, Vendor Management, Procurement, Compliance, Materials Management, Bid Preparation, Healthcare Management, Data Analysis, Pharmacoeconomics, Risk Assessment, Provider Relations, Group Purchasing, Supplier Negotiation, State Government, Medicare Part D, Pharmacy Benefit..., Medicaid Managed Care, Healthcare, Analysis, Insurance, Pharmacy, Employee Benefits, Disease Management
Education
SUNY Empire State College
Bachelor's of Science, Health Services Administration
State University of New York at Buffalo
Master of Science (MS), Health/Health Care Administration/Management
Robert Behm's Affinity Health Plan Experience April 2006 - August 2011
Job Marketing and Advertising Professional
Industry Marketing and Advertising
Experience
Affinity Health Plan April 2006 - August 2011
AT&T July 2000 - June 2005
Education
Queens College 1975 — 1978
Public Administration
Affinity Health Plan April 2006 - August 2011
AT&T July 2000 - June 2005
Education
Queens College 1975 — 1978
Public Administration
Ramona Parra's Affinity Health Plan Experience June 2012 - October 2013
Job Enrollment Specialist/Claim Examiner
Industry Insurance
Experience
Univita Health Inc June 2015 - Present
The Jacobson Group November 2014 - Present
Affinity Health Plan June 2012 - October 2013
Fidelis Care NY June 2003 - May 2012
Miami,Fl January 1997 - June 2003
Skills
Enrollment Management, Insurance, Health Insurance, HIPAA, Medicare, Provider Relations, Employee Benefits, Medicaid, HMO, Managed Care, Access, Claim, Process Improvement, Customer Service, Call Centers, Outlook, Healthcare, Visio, PeopleSoft, Software Documentation, Medical Billing, Healthcare Industry, Microsoft Office, Microsoft Excel, PowerPoint
Education
University of Phoenix 1997 — 2001
Healthcare administration
Univita Health Inc June 2015 - Present
The Jacobson Group November 2014 - Present
Affinity Health Plan June 2012 - October 2013
Fidelis Care NY June 2003 - May 2012
Miami,Fl January 1997 - June 2003
Skills
Enrollment Management, Insurance, Health Insurance, HIPAA, Medicare, Provider Relations, Employee Benefits, Medicaid, HMO, Managed Care, Access, Claim, Process Improvement, Customer Service, Call Centers, Outlook, Healthcare, Visio, PeopleSoft, Software Documentation, Medical Billing, Healthcare Industry, Microsoft Office, Microsoft Excel, PowerPoint
Education
University of Phoenix 1997 — 2001
Healthcare administration
Carina Liu's Affinity Health Plan Experience September 2012 - Present
Job
Industry Information Services
Experience
Affinity Health Plan September 2012 - Present
Skills
Talent Acquisition, Microsoft Excel, Healthcare Information..., Process Improvement, Medicaid, Applicant Tracking..., Medicare, Data Analysis, Insurance, Managed Care, CRM, Healthcare Consulting, Data Warehousing, Requirements Analysis, Strategic Planning, Program Management, Employee Benefits, Access, Hospitals, Databases, Call Centers, Data Modeling, Healthcare, Crystal Reports, Analysis, Team Building, SSIS, Project Management, Leadership, Vendor Management, SQL, Requirements Gathering, Integration, Business Intelligence, Visio, Software Documentation, Business Requirements, ETL, EMR, Management, Benefits Negotiation, SharePoint, Software Project..., Microsoft SQL Server, SAS programming, Healthcare Industry, Systems Analysis, Business Analysis, SDLC, HIPAA
Education
SUNY Stony Brook 1998 — 2001
B.S., Computer Information Systems
Affinity Health Plan September 2012 - Present
Skills
Talent Acquisition, Microsoft Excel, Healthcare Information..., Process Improvement, Medicaid, Applicant Tracking..., Medicare, Data Analysis, Insurance, Managed Care, CRM, Healthcare Consulting, Data Warehousing, Requirements Analysis, Strategic Planning, Program Management, Employee Benefits, Access, Hospitals, Databases, Call Centers, Data Modeling, Healthcare, Crystal Reports, Analysis, Team Building, SSIS, Project Management, Leadership, Vendor Management, SQL, Requirements Gathering, Integration, Business Intelligence, Visio, Software Documentation, Business Requirements, ETL, EMR, Management, Benefits Negotiation, SharePoint, Software Project..., Microsoft SQL Server, SAS programming, Healthcare Industry, Systems Analysis, Business Analysis, SDLC, HIPAA
Education
SUNY Stony Brook 1998 — 2001
B.S., Computer Information Systems
Carolina Chelin's Affinity Health Plan Experience September 2006 - June 2008
Job Budget / Financial Analyst at Health Plus
Industry Insurance
Experience
Health Plus June 2008 - Present
Affinity Health Plan September 2006 - June 2008
Education
University of Missouri-Saint Louis 1990 — 1991
Computer Certificate, Computer
Universidad APEC 1976 — 1981
Bachelor of Science, Accounting, 3.0
Health Plus June 2008 - Present
Affinity Health Plan September 2006 - June 2008
Education
University of Missouri-Saint Louis 1990 — 1991
Computer Certificate, Computer
Universidad APEC 1976 — 1981
Bachelor of Science, Accounting, 3.0
Clare Okyere-Minta's Affinity Health Plan Experience July 2010 - Present
Job Facilitated Enroller at Affinity Health Plan
Industry Insurance
Experience
Affinity Health Plan July 2010 - Present
Dignity Home Care August 2008 - July 2010
Skills
CompTIA A+ Certification, CompTIA Network+, Customer Service, Inter-personal, sales, Marketing, Special Needs, Teaching, Team Leadership, Sales
Education
University of Cape Coast 2003 — 2007
Bachelor of Education (BEd), Economics/Psycology
Holy Child
Affinity Health Plan July 2010 - Present
Dignity Home Care August 2008 - July 2010
Skills
CompTIA A+ Certification, CompTIA Network+, Customer Service, Inter-personal, sales, Marketing, Special Needs, Teaching, Team Leadership, Sales
Education
University of Cape Coast 2003 — 2007
Bachelor of Education (BEd), Economics/Psycology
Holy Child
Diane Gerowski's Affinity Health Plan Experience March 2007 - February 2010
Job
Industry
Experience
Amalgamated Life Insurance August 2011 - June 2012
Affinity Health Plan March 2007 - February 2010
The Guardian Life Insurance Company of America October 1985 - July 2001
GHI April 1983 - September 1985
Skills
medical claims, health..., Floor manager, PC...
Education
Queensborough Community College 2001 — 2003
Associate's degree, Architecture, 3.0
Amalgamated Life Insurance August 2011 - June 2012
Affinity Health Plan March 2007 - February 2010
The Guardian Life Insurance Company of America October 1985 - July 2001
GHI April 1983 - September 1985
Skills
medical claims, health..., Floor manager, PC...
Education
Queensborough Community College 2001 — 2003
Associate's degree, Architecture, 3.0
KaChun Cheng's Affinity Health Plan Experience July 2007 - May 2010
Job Wireless Professional
Industry Wireless
Experience
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
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
Satish Kothapalli's Affinity Health Plan Experience 2015 - Present
Job Senior Project Manager
Industry Hospital & Health Care
Experience
Affinity Health Plan 2015 - Present
Affinity Health Plan 2010 - 2015
State of Maine 2007 - 2010
Quantum Technology Africa 2002 - 2006
Tata Zambia 2002 - 2002
Skills
Project Management, Business Process, SDLC, Information Technology, Project Planning, Business Requirements, Quality Assurance, Project Delivery
Education
University of Madras 1998 — 2001
MCA, Computer Science
Andhra University 1995 — 1998
B.Sc., Computer Science
Affinity Health Plan 2015 - Present
Affinity Health Plan 2010 - 2015
State of Maine 2007 - 2010
Quantum Technology Africa 2002 - 2006
Tata Zambia 2002 - 2002
Skills
Project Management, Business Process, SDLC, Information Technology, Project Planning, Business Requirements, Quality Assurance, Project Delivery
Education
University of Madras 1998 — 2001
MCA, Computer Science
Andhra University 1995 — 1998
B.Sc., Computer Science