Empire Blue Cross and Blue Shield
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Empire Blue Cross and Blue Shield Employees
Bucks Rehabilitation Specialists January 1994 - Present
Empire Blue Cross and Blue Shield July 1986 - June 1990
Skills
Practice Management, Physician Practice..., Revenue Cycle, Revenue Cycle Management, Physicians, Physician Relations, Hospitals, Healthcare, Healthcare Management, Medicare, HIPAA, Medical Billing, CPT, ICD-9, Medical Coding, Managed Care, Medical Records, Healthcare Consulting, Healthcare Information..., Credentialing, Medicine, EHR, EMR, Healthcare Industry, Health Information...
Education
Saint Joseph's University
BS, Healthcare Management
Temple University - Fox School of Business and Management
MBA, Healthcare Administration
Wolters Kluwer June 2012 - Present
Healthcare Information Xchange New York March 2008 - February 2012
CORESense Inc May 2004 - March 2008
Lexis Nexis May 1997 - May 2004
Empire Blue Cross and Blue Shield February 1995 - April 1997
New York State Electric and Gas March 1988 - September 1994
Skills
Lead Generation, Email Marketing, Blogging, Training, Healthcare, Product Development, Policy, Strategic Planning, Advertising, Salesforce.com, Public Relations, Leadership, Sales Process
Education
Hudson Valley Community College 1992 — 1995
Coursework, Business, Management, Marketing, and Related Support Services
Alzheimer's Association, Greater New Jersey Chapter September 2014 - Present
William Paterson University September 2013 - Present
Oasis, A Haven for Women and Children September 2011 - September 2014
Oasis, A Haven for Women and Children February 2011 - October 2011
Morristown Neighborhood House September 2009 - May 2010
Runnells Specialized Hospital September 2008 - September 2009
Advanced Clinical Concepts September 2007 - November 2008
Medco 2005 - 2007
Empire Blue Cross and Blue Shield 1996 - 1999
Medical Education Collaborative 1993 - 1996
Skills
Social Services, Case Managment, Program Development, Nonprofits, Fundraising, Community Outreach, Non-profits, Volunteer Management, Crisis Intervention, Proposal Writing, Healthcare, Mental Health, Program Evaluation, Public Speaking, Psychotherapy, Case Management
Education
Rutgers University-New Brunswick 2008 — 2010
MSW, Social Work
Marist College 1986 — 1990
B.A., Communication
New Wave Benefits llc January 2010 - December 2014
Wells Fargo Insurance Services April 2008 - January 2010
NLI America August 2002 - August 2007
Empire Blue Cross and Blue Shield March 1992 - April 2002
Lincoln Financial Group January 1989 - February 1991
Skills
Sales, Marketing Strategy, Leadership, Selling, Insurance, Employee Benefits, Business Development, Small Business, Sales Management, Negotiation, Health Insurance, Contract Negotiation, Marketing, Group Insurance, Whole Life, Budgets, Recruiting, Critical Illness, Operations Management, Voluntary Employee..., Group Medical, Health Care Reform, Leadership Development, Disability Insurance
Education
University of Pennsylvania - The Wharton School
Executive Education, Wharton Business School Of Executive Education
Florida Atlantic University
B.S., Education-Business
JL Consulting, LLC May 2001 - Present
New York Presbyterian Hospital January 2000 - May 2001
The Brooklyn Hospital Center 1995 - 2000
Bronx-Lebanon Hospital Center 1990 - 1995
Empire Blue Cross and Blue Shield 1989 - 1990
Skills
Budgets, Due Diligence, Business Planning, Consulting, Multiple Year Financial..., Hospital Reimbursement, Hospital Revenue Cycle, Feasibility Studies, Managed Care, Hospital Billing..., Microsoft Office, Internal Audit, Process Improvement, Business Process..., Business Analysis, Healthcare, Healthcare Consulting, Healthcare Management, Hospitals, Revenue Cycle, Strategic Planning
Education
Queens College
Bachelor of Arts, Dual Major: Accounting and Information Systems / Economics
Blue Cross and Blue Shield Association 2012 - Present
Blue Cross and Blue Shield Association February 2006 - Present
SecureCARE Technologies, Inc. 2003 - 2005
Empire Blue Cross and Blue Shield 1971 - 2002
Skills
Insurance, Six Sigma, Data Warehousing, SDLC, IT Strategy, Management, HIPAA, SOA, Vendor Management, Solution Architecture, DB2, Enterprise Architecture, Business Analysis, Requirements Gathering, PMP, Requirements Analysis, Visio, Business Intelligence, Integration, Software Project..., Project Portfolio..., Data Modeling, PMO
Education
Baruch College 1975 — 1979
Master of Business Administration (MBA), Computer Methodology, 3.88
Brookyn College 1971 — 1975
Bachelor of Science (B.S.), Computer Science, cum laude
Carrico & Garton Group, LLC 2014 - Present
AlphaCare of New York, Inc. August 2013 - November 2013
Zelus Consulting Group August 2011 - July 2013
Fidelis Care NY September 2008 - August 2011
HIP 2007 - 2008
Horizon Blue Cross Blue Shield of New Jersey March 2005 - October 2007
NASCO October 1998 - March 2005
Empire Blue Cross and Blue Shield 1991 - 1998
Skills
Business Process..., Leadership, Health Insurance, Call Centers, Business Intelligence, Strategic Planning, Project Management, Quality Assurance, Employee Benefits, Management, Team Building, Medicare, Six Sigma, Healthcare, Business Process, New Business Development, Process Improvement, Healthcare Information..., Training, Business Process..., Managed Care, Performance Management, Change Management, Healthcare Industry, Medicaid, CRM, Implementation..., Healthcare Management, Restructuring, Claim, Operations Management, Business Strategy, Revenue & Profit Growth, Cost Reduction..., New Busines, Qualitative Research, Staff Development, Management Consulting, Consulting, Call Center
Education
University of Phoenix
Bachelor of Science, Business Administration
BlueRock Energy, Inc. April 2014 - Present
Syracuse Catholic Diocese January 2014 - March 2014
CME Associates, Inc. September 2007 - August 2013
Allergy & Asthma Diagnostic Office April 2002 - June 2007
New York State Assembly September 2001 - January 2002
Egon Ehrlinspiel, Inc April 1999 - June 2000
Healthsource of New York, Inc. April 1991 - January 1998
Stanley D. Leslie, MD, PC April 1990 - April 1991
Laurie, Stewart & Shende, MDs, PC April 1987 - April 1990
Empire Blue Cross and Blue Shield April 1986 - April 1987
Skills
Payroll, Accounts Receivable, Accounts Payable, Human Resources, Employee Benefits, Accounting, Invoicing, Training, General Ledger, New Hire Orientations, Insurance, Workers Compensation, Microsoft Excel, Outlook, Microsoft Word, Microsoft Office, PowerPoint, ADP Payroll, Customer Service, Payroll Taxes, Access, Auditing, ADP ReportSmith, Benefits Administration, Financial Reporting, Financial Accounting, Financial Analysis, Budgets, Administrative..., Analysis, Risk Assessment, Telephone Skills, Finance, Policy, Data Entry, Administration, Certified Payroll, Recruiting, Leave of Absence, Open Enrollment, Employee Handbooks, Spreadsheets, Benefits Management, FMLA, COBRA, W2, ADP Payforce, Account Reconciliation, Payroll Conversions, Bank Reconciliation
Education
Le Moyne College 1984 — 1986
Accounting
Syracuse University - Martin J. Whitman School of Management 1980 — 1984
Accounting
State University of New York College at Geneseo 1979 — 1980
Education/Teaching of Individuals with Speech or Language Impairments
North Syracuse Central High 1974 — 1979
Regents Diploma, College Preparatory
Memorial Sloan-Kettering Cancer Center November 1997 - Present
Empire Blue Cross and Blue Shield May 1996 - November 1997
Empire Blue Cross and Blue Shield June 1993 - May 1996
Skills
HL7, Epic Systems, OpTime, Systems Analysis, Troubleshooting, Project Management, Clinical Information..., Healthcare IT, Requirements Gathering, Risk Management, System Testing, Microsoft Office, MS Project, Customer Support, Disaster Recovery, Healthcare Information..., SharePoint, Testing, EHR, Software Documentation, HIPAA, Integration
Education
Baruch College 1992 — 1996
BBA, Computer Information Systems
Kingsborough Community College 1981 — 1984
AAS, Data Processing
Ellis Medicine January 2015 - Present
M.A.Wallingford & Associates LLC April 2013 - January 2015
Senior Whole Health October 2006 - December 2012
GHI February 2005 - August 2006
CDPHP August 1997 - October 2004
Novalis Corporation 1995 - 1997
Empire Blue Cross and Blue Shield 1994 - 1996
Caremark ltd 1991 - 1994
Travelers 1989 - 1991
Spaulding Rehabilitation Hospital 1987 - 1989
Skills
Clinical nursing and..., Medical, UR/CM/QA/QI..., Sales, marketing and..., Client and customer..., Design, development &..., Educational..., Design, development and..., Company start ups, Owner/Implementer of..., Chronic Care Management, Administrator of a..., Nursing, Public Speaking, Managed Care, Management, Home Care, Medicaid, Medicine, Healthcare, Medicare, HIPAA, Program Development, Utilization Management, Healthcare Management, Hospitals, Disease Management, Patient Safety, Case Managment, Healthcare Consulting, Case Management, Clinical Research, Healthcare Industry, Healthcare Information..., Start-ups
Education
University of Massachusetts Boston 1987 — 1989
Hudson Valley Community College 1980 — 1983
Associate of Science (AS), Nursing Practice
Robert Wood Johnson University Hospital Somerset May 2014 - Present
Somerset Medical Center November 2012 - May 2014
Vrtua Health February 2007 - 2012
Virtua Health February 2007 - 2012
Empire Blue Cross and Blue Shield January 2001 - December 2006
Metropolitan Cardiac Surgeons July 1997 - May 2000
Skills
Physician Executive, Healthcare..., Physician Relations, Leadership Development, Performance Improvement, Quality Patient Care, Operational Excellence, Physician Alignment, Strategic Planning, Quality Management, Building Relationships, Collaborative Leadership, Process Improvement, Multi-disciplinary..., Program Development, Physician Network..., Medical Case Management, Physician Performance..., Physician Peer Review, Organizational..., Consensus Building, Accountability, Clinical Acumen, Transformative, Analytical Skills, Integrity, Mentoring Of Staff, Pragmatic, Peer Mentoring, Clinical Integration, Healthcare Management, Cardiac, Surgery, Multi-disciplinary, Performance Appraisal, Critical Care, Clinical Research, Healthcare, Medicine, EMR, Healthcare Information..., Healthcare Consulting, Hospitals, Medicare, Clinical Psychology, Managed Care, Utilization Management, Pediatrics, Informatics, EHR
Education
St. Joseph's University 2001 — 2003
MBA, Business Administration
Loyola University Medical Center 1995 — 1997
Fellow, Cardiothoracic and Vascular Surgery
UMDNJ - Cooper Univeristy Medical Center 1988 — 1995
Resident, General Surgery and Surgical Critical Care
Georgetown Univeristy School of Medicine 1984 — 1988
MD, Medicine
Georgetown University Graduate School 1982 — 1984
MS, Physiology
Georgetown University 1978 — 1982
BS, Biology Pre-Med
Bishop Eustace Prep 1974 — 1978
HS Diploma, College preparatory
Eisai Pharmaceuticals January 2011 - Present
Regeneron Pharmaceuticals January 2002 - January 2011
Block June 2000 - December 2001
Portfolio Informaion Corp 1997 - 1997
American Cyanamid June 1989 - June 1992
Empire Blue Cross and Blue Shield 1985 - 1987
Skills
SAS, Statistics, Clinical Trials, Integration, Pharmaceuticals, Oncology, Pharmaceutical Industry, Validation, Biotechnology, Pharmaceutics, Clinical Development, SAS programming, Data Management, GCP, Clinical Data Management, Medical Education, Staffing Coordination, 21 CFR Part 11, Biopharmaceuticals, Biostatistics, CDISC, CRO, Clinical Research, Clinical Study Design, Drug Development, EDC, FDA, Medical Writing, Protocol, Sop, Statistical Programming, Analysis, Neurology, Regulatory Affairs, Regulatory Submissions, Pharmacovigilance, CTMS, Computer System..., Lifesciences, Drug Discovery, Life Sciences, SOP, Management, SAS Programming
Education
Iona College 1990 — 1994
MBA, MIS
Stony Brook University 1986 — 1987
ms, Statistics
Vassar College 1981 — 1985
BA, Mathematics
Syosset High School 1978 — 1984
HS
Monroe college
berkeley college
Cedar Gate Technologies August 2014 - Present
Express Scripts April 2012 - June 2014
Medco February 2004 - March 2012
Empire Blue Cross and Blue Shield 1982 - 2004
Skills
Business Analysis, Cross-functional Team..., Disaster Recovery, Enterprise Architecture, Enterprise Software, HIPAA, Healthcare Information..., Healthcare Industry, Healthcare, Infrastructure, IT Strategy, Integration, Leadership, Managed Care, Management, Medicaid, Pharmacy Benefit..., Pharmacy, Medicare, Process Improvement, Program Management, SDLC, Risk Management, Vendor Management, Visio, Strategic Planning
Education
Manhattan College
Business
BCBSNC January 2011 - Present
Blue Cross Blue Shield of NC April 2008 - January 2011
Blue Cross Blue Shield of NC April 2004 - April 2008
JP Morgan Chase April 2001 - April 2004
WebMD June 1999 - April 2001
McKesson HBOC March 1997 - June 1999
Empire Blue Cross and Blue Shield August 1995 - March 1997
Empire Blue Cross and Blue Shield March 1990 - August 1995
Skills
Health Insurance, Insurance, Employee Benefits, Process Improvement, Vendor Management, Medicare
Education
Adelphi University 1993 — 1997
MBA, Marketing
Adelphi University 1985 — 1989
B.S., Mathematics
Anthem, Inc. August 2014 - Present
WellPoint thru Fahrenheit IT/Indecon Solutions 2013 - August 2014
WellPoint 2006 - 2012
Empire Blue Cross and Blue Shield (WellChoice) 2003 - 2006
Empire Blue Cross and Blue Shield 2000 - 2003
Empire Blue Cross and Blue Shield 1997 - 2000
Skills
Outsourcing Management, Vendor Management, Project Management, Project Planning, Virtual Teams, SDLC, Process Improvement, Migration Projects, Business Analysis, Requirements Analysis, Self-starter, Change Management, Health Insurance, Outsourcing, Project Portfolio..., Enterprise Architecture, Integration, Software Development, IT Strategy, Management, Cross-functional Team..., Requirements Gathering, Visio, Business Process..., PMO, Team Leadership, Insurance, Product Management, PMP, Business Process, Program Management, SharePoint, ITIL, Resource Management, Strategic Planning, IT Management, Software Project..., Business Intelligence, Software Documentation, Healthcare, HIPAA, Affordable Care Act, MS Project, Information Technology, Healthcare Information..., Disaster Recovery, Systems Analysis, ICD-10, Business Requirements, Quality Assurance
Education
The College of Saint Rose
Bachelor of Science (BS), Business Administration and Management, General
The College of Saint Rose
Master of Business Administration (M.B.A.), Business Administration and Management, General
Aqua-Lawn, Inc. March 2001 - Present
Empire Blue Cross and Blue Shield February 1996 - March 2001
Prudential Insurance January 1995 - February 1996
Skills
Small Business, Management, Irrigation Design, Irrigation, Landscape Design, Construction Management, Landscaping, Land Use Planning, LEED AP, Submittals, Environmental Awareness, Budgets, Comprehensive Planning, Contractors, Public Speaking, Land Development, Landscape Architecture, Residential Design, LEED, Parks, Residential Homes, Sustainable Design, Site Planning, Water, Construction, Sustainability, Green Building
Education
Fordham University 1988 — 1992
Bachelor of Science, Management/Marketing
Mondelez (Formerly Kraft Foods) February 2005 - Present
Aventis Pharmaceuticals/sanofi-aventis 1999 - 2003
Empire Blue Cross and Blue Shield 1992 - 1997
Education
New School University 1993 — 1995
Masters Degree, Human Resources
Athens Area Health Plan Select, Inc. May 1999 - Present
Piedmont College February 2007 - November 2010
MedStar Health July 1996 - April 1999
Anchor Health Network-Harbor Hospital November 1994 - October 1996
Capital Area Community Health Plan October 1993 - November 1994
Empire Blue Cross and Blue Shield August 1989 - October 1993
United States Air Force June 1986 - June 1989
Skills
Healthcare, Medicare, Strategic Planning, Healthcare Management, Event Planning, Managed Care, HIPAA, Medicaid, Healthcare Information..., New Business Development, Leadership, Health Insurance, Public Speaking, Healthcare Consulting, Health Policy, Hospitals, Process Improvement, Revenue Cycle, Public Relations, Team Building, Marketing Strategy, Sales, Change Management, Insurance, Nonprofits, HMO
Education
Loyola University Maryland 1982 — 1985
Master of Business Administration (MBA), Business Administration and Management, General
Loyola University Maryland 1978 — 1982
Bachelor of Business Administration (BBA)
Eli Lilly and Company March 2011 - April 2012
Accordant & Alere August 2009 - April 2010
CVS Caremark (Accordant) July 2005 - April 2010
Accordant Health Services April 2008 - August 2009
PharmaCare 2005 - 2007
Aon Consulting 2000 - 2005
Stuart Disease Management Services 1997 - 1998
Empire Blue Cross and Blue Shield 1995 - 1997
Aetna Pharmacy Management 1992 - 1995
Community Health Care Plan / Norwalk Hospital / Indiana University Hospitals 1985 - 1992
Skills
Strategy, Managed Care, Cross-functional Team..., Leadership, Disease Management, Healthcare, Wellness, Program Management, Product Management, Clinical Research, Medicine, Start-ups, Integrated Marketing, Product Development, Strategic Planning, Product Launch, Pharmacy, Change Management, Management, Pharmacy Benefit..., Pharmaceutical Industry, Enterprise Software, Analytics, Management Consulting, Healthcare Industry, Pharmacists, Diabetes, Oncology, Health Policy, Pharmaceutical Sales, Health Economics, Informatics, Process Improvement
Education
Northeastern University 1977 — 1983
Bachelor of Science, Pharmacy
Rensselaer Polytechnic Institute
Masters in Science, Management (Concentration in Marketing)
Itelagen April 2012 - Present
Integrated Healthcare Solutions January 2007 - April 2012
YMCA of Greater Charlotte 2008 - 2011
Crystal Run Healthcare October 1999 - January 2004
Anthem Blue Cross and blue Shield of Connecticut September 1997 - March 1999
Empire Blue Cross and Blue Shield April 1992 - September 1997
Skills
Healthcare, Customer Service, Team Building, Microsoft Office, NextGen Certified..., NextGen, Software Documentation, EHR, HIPAA, Health Information..., Time Management, Practice Management, Data Entry, Healthcare Information..., HL7, Revenue Cycle, Ambulatory, Software Implementation, EMR, Healthcare Industry, Healthcare Management, Informatics, Revenue Cycle Management, Troubleshooting, Management, Project Management, Training
Education
Mount Saint Mary College 1993 — 1997
Psychology
MetLife August 2000 - Present
New York Yankees March 2009 - October 2010
Empire Blue Cross and Blue Shield June 1992 - July 2000
Skills
PowerPoint, Six Sigma, Customer Service, Process Improvement, Word, PMP, Business Analysis, Excel, Mentoring, Insurance, Operations Management, Process Engineering, Clarity, Microsoft Excel, Microsoft Word, Business Process..., SDLC, PMO, Program Management, Management, Data Analysis, Change Management, Analysis, Access, Vendor Management, Project Portfolio..., Leadership, Risk Management, Visio, Business Process, Project Planning, Software Documentation, MS Project, Requirements Gathering, Cross-functional Team..., IT Management, Software Project..., IT Strategy, Business Intelligence, Quality Assurance, CRM, Outsourcing, SharePoint, Requirements Analysis, Resource Management, Team Leadership, Project Delivery, Integration, Governance, Business Requirements
Education
Iona College 1986 — 1992
Bachelor of Business Administration, Business Management
Iona College 1986 — 1990
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Mount St Michael Academy
Marsh & McLennan Companies, Inc. February 2001 - Present
Empire Blue Cross and Blue Shield October 1997 - February 2001
Skills
Insurance, Financial Services, Licensing, Process Improvement, Compliance, Healthcare, Financial Risk, Securities, Risk Management, Software Documentation, Regulatory Affairs
Education
New York University 1994 — 1997
MPA, Health Policy & Management
Alderac Entertainment Group July 2013 - Present
Michelle's Angels Foundation, Inc October 2010 - Present
Empire Blue Cross and Blue Shield September 2007 - October 2012
Alive Entertainment, LLC June 2003 - 2010
Affiliated Computer Services, Inc December 2005 - April 2007
Lowes Home Improvement January 2003 - June 2003
Skills
Customer Service, Problem Solving, Promotions, Marketing Communications, Social Media, Social Networking, Entrepreneurship, Communications Audits, Leadership Development, Strategic Communications, Management Consulting, Creative Vision, Team Leadership, Customer Satisfaction, Supervisory Skills, Event Management, Consultation, Coaching, Entrepreneur, Leadership, Communication, Corporate Communications, Communication Skills, Business Networking, Social Promotion, Advertising, Social Media Marketing, B2B, Public Speaking, Marketing Strategy, Facebook, Online Advertising, Management, Training, Event Planning, Sales, Start-ups, Marketing, Email Marketing, Call Centers, Time Management, Small Business, Budgets, Contract Negotiation, Customer Retention, Human Resources
Education
Gonzaga University 2012 — 2014
Masters, Communication and Leadership Studies
University of Rhode Island 1998 — 2002
Bachelor of Arts, Major: Psychology / Minor: Leadership
Alsbridge March 2014 - Present
Mindtree Ltd. February 2013 - February 2014
HCL Technologies July 2011 - February 2013
HP Enterprise Services November 2009 - July 2011
EDS (Electronic Data Systems) June 2007 - October 2009
MeadWestvaco Specialty Chemical July 2004 - July 2007
Hagemeyer September 2001 - June 2004
Cameron & Barkley Company August 1999 - September 2001
Cardinal Health March 1994 - March 1998
Empire Blue Cross and Blue Shield July 1985 - March 1993
Skills
Outsourcing, Data Center, Program Management, Business Analysis, Vendor Management, IT Outsourcing, Cloud Computing, IT Strategy, IT Management, Disaster Recovery, Enterprise Software, Change Management, Networking, Telecommunications, Project Management, ITIL, Management, IT Service Management, Security, Integration, CRM, System Deployment, ERP, Business Intelligence, SAP, Unix, Pre-sales, Technical Support, Service Delivery, Software Development, Enterprise Architecture, E-commerce, SDLC, Business Process, Infrastructure, Solution Architecture, Cross-functional Team..., Software Project..., Information Technology, SaaS, HP
Education
Onondaga Community College 1979 — 1981
None
G.Ray Bodley High 1976 — 1979
Regents Diploma
TriZetto Corporation May 2015 - Present
Independent Contractor October 2010 - Present
Davis Vision July 2002 - September 2010
BCBSNC May 2007 - July 2008
FairPoint Communications February 2005 - September 2005
FairPoint Communications October 1999 - May 2002
Empire Blue Cross Blue Shield July 1997 - October 1999
Kaiser Permanente June 1996 - July 1997
Novalis April 1995 - June 1996
Empire Blue Cross and Blue Shield November 1984 - April 1995
Skills
Training Delivery, Disaster Recovery, Microsoft Excel, E-Learning, HIPAA, ISO, Key Performance..., Microsoft Office, Negotiation, New Business Development, Organization, Quality Management, Technical Writing, User Experience, Visio, Volunteer Management, Policy, Change Management, Influence Others, Event Planning, Organizational Design, Quality Assurance, CRM, Predictive Analytics, Business Intelligence, System Testing, Regression Testing, Requirements Gathering, Resource Management, Business Continuity, Analytics, Software Documentation, Data Analysis, Security, SDLC, Process Improvement, Management, Project Management, Business Analysis, Vendor Management
Education
Clarion Seminary and School of Ministry 2015 — 2016
Master's degree, Pastoral Psychology
Hudson Valley Community College
Wake Technical Community College
Guardian Insurance Company of America 2014 - Present
BERGER LEGAL LLC an elite, boutique virtual law firm that serves marquis clients 2013 - Present
Medco Health Solutions, Inc. (now known as Express Scripts Holding Company) February 2004 - 2012
Empire Blue Cross and Blue Shield 1987 - 2004
Skills
Corporate Governance, Intellectual Property, Corporate Law, Privacy Law, Litigation, Ethics, Health Law, Legal Compliance, Medicare Part D, Licensing, Managed Care, Risk Management, Joint Ventures, Medicaid, Commercial Litigation, Litigation Management, Employment Law, ERISA, Contract Negotiation, Legal Research, HIPAA, Securities Regulation, Mediation, Arbitration, Health Policy, Patents, IT Solutions, FCPA, Trademarks, Due Diligence, Mergers, Information Technology, Outsourcing, Outsourcing Management, Copyright Law, Policy, Mergers & Acquisitions, Strategy, Westlaw, Legal Advice, International Law, Legal Writing, Trade Secrets, Health Care Reform
Education
Colgate University
Bachelor of Arts (B.A.), Classics and Japanese Studies
Washington University in St. Louis
Doctor of Law (J.D.), Law
Born Legends Media 2013 - Present
TDN Money Systems February 2012 - Present
Freelance September 2000 - Present
Nielsen Media Research October 2003 - November 2011
International Video Services June 1995 - October 2003
Urban Box Office (UBO.net) 1999 - 2000
NDRI April 1997 - September 1998
Empire Blue Cross and Blue Shield March 1985 - January 1995
Skills
Screenwriting, Video Production, Video Editing, IT Services, Field Service Technician, Customer Relations, Final Cut Pro, Production, Market Research, Research, Customer Service, Marketing, Management, Post Production, IT Service Management, Event Management, Public Speaking, Interviews, Facebook, Television, Editing, Social Networking, Digital Media, Public Relations, Avid, Field Technicians, DVD Studio Pro, Videography, Film Production, Film, Video
Education
National Academy of Sports Medicine (NASM) 2015 — 2015
Personal Training
School of Visual Arts 1989 — 1990
Film
NorthWest Bronx Community 1984 — 1985
Certificate, Computer Science
Samuel Gompers Technical High School 1981 — 1984
High School Diploma, Computer Programming
Kemper Service Group July 2011 - Present
21st Century Insurance May 2007 - October 2010
AIG December 2003 - May 2007
OneBeacon Insurance Company August 2001 - November 2003
Progressive Auto Insurance Company June 1999 - May 2001
Empire Blue Cross and Blue Shield July 1998 - June 1999
Education
Siena College 1985 — 1989
BA, Sociology
The Brattleboro Retreat November 2003 - Present
American Society of Addiction Medicine 1974 - 2015
American Society of Addiction Medicine 1974 - 2015
American Society of Addiction Medicine 1974 - 2015
National Council on Alcoholism and Drug Dependence 2008 - 2014
Crew/Northern Cheyenne Hospital, Indian Health Service 2002 - 2003
The Acadia Hospital 2000 - 2002
Brookside Hospital and Northeast Psychiatric Associates 1988 - 2000
The Riverway Center for Recovery at Catholic Medical Center 1994 - 1999
Empire Blue Cross and Blue Shield 1984 - 1988
Skills
Addiction Treatment, Interpersonal..., Psychopharmacology, Group Therapy, Recovery Education, Motivational Speaking, Writing, Published Author, Addiction Blogger, Chemical Dependency, Psychiatry, Medicine, Interpersonal Therapy, Addiction Medicine, Internal Medicine, Behavioral Health, Hospitals, Mental Health, Psychotherapy, Healthcare, Treatment, Case Management, Program Development
Education
Yale University School of Medicine 1966 — 1971
Doctor of Medicine (MD)
Boston College 1962 — 1966
Bachelor of Science (BS), Biology
Yale School of Public Health
Master of Public Health (MPH), Health Services Administration
ikaSystems August 2013 - Present
Albany, NY January 2013 - Present
ikaSystems March 2013 - August 2013
CTS Consulting / Tech Valley Talent March 2013 - August 2013
ValueOptions, Inc February 2012 - December 2012
ValueOptions, Inc. December 2009 - February 2012
ValueOptions, Inc. January 2002 - December 2009
The TriZetto Group 1999 - 2002
Empire Blue Cross and Blue Shield 1994 - 1999
Skills
Team Building, Process Improvement, Operations Management, Problem Solving, Change Management, Performance Improvement, Re-engineering, Operational Planning, Business Requirements, Strategic Planning, Team Leadership, Cross-functional Team..., Mentoring, Business Strategy, Customer Relations, Planning, Project Planning, Customer Service, Project Management, Data Analysis, Management, Access, Healthcare, Business Process..., Leadership, Program Management, Analysis, Software Documentation, Call Centers, Quality Assurance, Integration, Business Analysis, Business Process, Customer Satisfaction, Business Intelligence, Visio, Requirements Analysis, Start-ups, SDLC, Budgets, PMP, Performance Management, SharePoint, PMO, Vendor Management, Human Resources, IT Strategy, Project Portfolio..., Strategy, Process Engineering
Education
Union College 1998 — 2001
Masters of Science
PMP Certification
University at Albany, SUNY
Bachelor of Arts
NYS PTA November 2014 - Present
West Genesee Central School District September 2005 - Present
West Genesee Central School District December 2002 - Present
NYS PTA November 2009 - November 2014
NYS PTA November 2011 - December 2013
West Genesee School District February 2001 - August 2005
Empire Blue Cross and Blue Shield June 1985 - January 2001
Skills
Social Media, Digital Photography, Web Content, Newsletter Production, Public Relations, Microsoft Office, InDesign, Microsoft Expression, Training Delivery, Management by Objectives, Communication Skills, Community Outreach, Photoshop, Picasa, Editing, Marketing, Publications, Training, Nonprofits, Event Planning, Newsletters, Public Speaking, Blogging, Facebook, Social Networking
Education
Bentley College 1980 — 1984
Bachelor's degree
Westhill High School 1978 — 1980
High School
Snyder's-Lance January 2013 - Present
Bimbo Bakeries November 2012 - December 2012
Freihofers (Bimbo Bakeries) June 2003 - August 2012
Menlo Capital August 1995 - February 2003
Marshalls October 2001 - October 2002
The Bank of New York February 1993 - August 1995
Empire Blue Cross and Blue Shield February 1991 - February 1993
US Dept of Commerce April 1990 - September 1990
WSTM-TV May 1989 - August 1989
Skills
Merchandising, Sales, Account Management, Inventory Management, Sales Management, Trade Shows, New Business Development, Marketing, Customer Service, Retail, Marketing Strategy, Negotiation, Forecasting, Strategic Planning, Team Building, Real Estate, Key Account Management, Direct Sales, Apparel, Microsoft Office, B2B, National Accounts, Sales Process, Product Marketing, Social Media, Contract Negotiation, Sales Analysis, Purchasing, Budgets, Social Media Marketing, Sales Force Development, Outside Sales, PowerPoint, Public Speaking, Pricing, Small Business, Grocery, Sales Operations, Business Development, Sales Growth, Advertising, Management, Photoshop, Product Development, Leadership, Cold Calling, Visual Merchandising
Education
Long Island University, Graduate School Of Public Administration (Westchester Campus) 1990 — 1991
SUNY Oswego 1986 — 1990
BA, Communications
Anthem Inc. (formerly WellPoint, Inc.) October 2005 - Present
Empire Blue Cross and Blue Shield January 1989 - September 2005
Skills
SDLC, Management, Disaster Recovery, Data Center, Vendor Management, Security
Education
Siena College 1980 — 1984
BS, Computer Science
Strategic Healthcare Consulting 2012 - Present
Ethicon September 2010 - February 2012
DentaQuest 2012 - 2012
Sanofi Pasteur November 2008 - September 2010
Elan Pharmaceuticals October 2004 - October 2008
Berlex 2001 - 2004
Oxford Health Plans 1996 - 2000
CIGNA Healthcare 1995 - 1996
Prudential Dental 1993 - 1995
Empire Blue Cross and Blue Shield 1989 - 1993
Skills
Dental Managed Care, Reimbursement, Medicaid, Biopharmaceuticals, Biotechnology, Health Economics, Managed Care, Market Access, Medical Devices, Medicare, Dentistry, Pharmaceutical Industry, Cross-functional Team..., Policy, Healthcare, Strategy, Clinical Research, Hospitals, Provider Relations, Medicine, Leadership, Health Policy, Strategic Planning, Management, Insurance
Education
Columbia University - Columbia Business School 1996 — 1998
MBA
University of Pennsylvania 1973 — 1977
DMD, Dentistry
Tufts University 1969 — 1973
Bachelor's degree
MJ Consulting Group June 2015 - Present
USI MidAtlantic, Inc. September 2014 - Present
Arthur J. Gallagher & Co. September 2013 - August 2014
Bollinger Insurance September 2004 - August 2013
Rue Insurance July 2003 - September 2004
Gallagher Benefit Services July 2002 - July 2003
Liberty Mutual Insurance January 1996 - July 2002
Liberty Mutual Group January 1996 - July 2002
Empire Blue Cross and Blue Shield January 1992 - January 1996
Dictaphone Corporation January 1989 - January 1992
Skills
Insurance, Underwriting, Plan Design, Brokers, Employee Benefits, Health Insurance, Benefits, Health, Healthcare, Compliance, New Business Development, HR Consulting, Negotiation, Non-profits, Consultative Selling, Marketing Strategy, Workers Compensation, Health Savings Accounts, Benefits Administration, Risk Management, Sales, Life Insurance, COBRA, Health Care Reform, Leadership
Education
Montclair State University 1983 — 1988
Bachelor of Science, Marketing/Management
Teaneck HS 1981 — 1983
Bachelor of Science (BS), Business Administration and Management, General
Midlands Technical College August 2015 - Present
Midlands Technical College March 2012 - Present
Midlands Technical College August 2002 - March 2012
Self - Employed July 1989 - August 2002
BlueCross BlueShield of SC September 1987 - July 1989
Empire Blue Cross and Blue Shield 1983 - July 1987
Skills
Public Speaking, Higher Education, Leadership, Strategic Planning, Software Documentation, Training, Program Management, Microsoft Office, Team Leadership, Project Management, Customer Service, Leadership Development, Access, Social Media, Data Analysis, Research, Budgets, Nonprofits, Project Planning, Fundraising, Team Building, Coaching, Organizational..., Microsoft Excel, Government, Staff Development, Management, Change Management, PowerPoint, Process Improvement, System Administration, Marketing, Public Relations, Community Outreach, Teaching, Event Management, Recruiting, Grant Writing, Event Planning, Policy, Instructional Design, Adult Education, Workshop Facilitation, Program Development, Community Development, Proposal Writing
Education
Midlands Technical College 2015 — 2015
Pursuing GCDF
University of South Carolina-Columbia 2010 — 2011
Masters in Higher Education and Student Affairs, Higher Education/Higher Education Administration
University of South Carolina-Columbia 2008 — 2009
Graduate Certificate, Higher Education Leadership
University of New Hampshire 1977 — 1981
Bachelor of Science, Education
Habitat for Humanity of Greater Bangor June 2014 - Present
BMO Financial Group January 2007 - March 2013
Prudential Equity Group/Vector Securities January 1998 - June 2007
Nesbitt Burns Securities, Inc January 1997 - January 1998
Fox-Pitt Kelton, Inc January 1993 - January 1997
Empire Blue Cross and Blue Shield January 1992 - January 1993
MetLife January 1988 - January 1992
UNUM Life Insurance Company January 1982 - January 1988
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, Strategic Planning, Budgets, Management, Microsoft Office, Asset Management, Strategy, Analysis, Hedge Funds, Bloomberg
Education
University of Maine School of Law 1979 — 1981
Doctor of Law (J.D.), Health Law
University of Southern Maine 1977 — 1978
B.A, Philosophy, Healthcare Ethics
eClerx April 2015 - Present
Willow Data Strategy, LLC December 2013 - April 2015
Infogroup April 2006 - August 2013
I-Behavior Inc. November 1999 - December 2005
WSA (Wunderman, Sadh & Associates) January 1999 - October 1999
Wunderman January 1998 - January 1999
Marketing Information Technologies, Inc. 1990 - 1998
Empire Blue Cross and Blue Shield 1989 - 1990
Prudential Insurance Company of America 1987 - 1989
Skills
Public Speaking, Fluent in Korean, Database Marketing, Direct Marketing, Analytics, SAS, B2B, Management, Team Management, Leadership, Start-ups, Training, Marketing Strategy, Strategic Partnerships, Big Data Analytics, Data Modeling, Data Strategies, Customer Acquisition, Project Management, CRM, Integrated Marketing, Multi-channel Marketing, Segmentation, Big Data, B2B Marketing, Marketing, Lead Generation, Analysis, Program Management, Product Development, Business Planning, Strategic Planning, Process Improvement, Email Marketing, Competitive Analysis, Digital Marketing, E-commerce, Interactive Marketing, Predictive Analytics, Databases, Data Analysis
Education
Syracuse University 1985 — 1986
BS, Business Administration
Yonsei University 1981 — 1983
Sociology
Acadia Insurance (a W. R. Berkley Company) March 2014 - Present
Stella & Dot June 2013 - Present
Keepyouconnected.biz January 2011 - Present
USI Insurance Services March 2009 - March 2014
Liberty Mutual November 2000 - March 2009
Empire Blue Cross and Blue Shield September 1996 - November 2000
Skills
Property & Casualty..., Commercial Insurance, Casualty, Workers Compensation, Liability, Insurance, Underwriting, Commercial Lines, Legal Liability, Umbrella Insurance, Professional Liability, Claim, Social Media Marketing, Social Networking, Social Media, Blogging, Event Planning, Marketing, Brokers, Customer Service, Direct Sales, Facebook, Employee Benefits, Health Insurance, Employment Practices..., General Insurance, D&O, Management, Sales
Education
The College of Saint Rose 1992 — 1996
BA, Communication
KPMG June 2015 - Present
Verisk Analytics July 2013 - February 2015
Ernst & Young April 1999 - July 2013
Prudential Healthcare March 1998 - April 1999
Spectrum Technology Group September 1997 - March 1998
Imagine Tomorrow : Ramsey, NJ May 1995 - September 1997
Lehman Brothers June 1988 - May 1995
Empire Blue Cross and Blue Shield July 1986 - June 1988
Skills
Program Management, Business Analysis, Process Improvement, Mentoring, IT Strategy, PMO, Business Process..., Project Portfolio..., Risk Management, PMP, Business Transformation, Business Process, Governance, Vendor Management, ITIL, Project Management
Education
Fordham Gabelli School of Business 1990 — 1993
MBA, Martketing
University at Buffalo 1981 — 1984
BA, Economics
CCMP Capital Advisors, LLC August 2006 - Present
JPMorgan Chase 1998 - 2006
Merck-Medco Managed Care, LLC February 1998 - May 1998
Theatre Communications Group February 1997 - February 1998
Empire Blue Cross and Blue Shield November 1989 - January 1997
Skills
Vendor Management, Testing, Budgeting, Strategic Planning, Business Analysis, Software Project..., Program Management, Project Management, Business Intelligence, IT Strategy, Disaster Recovery, Management, Security, Networking, Leadership, SDLC, Integration, Infrastructure, Data Center, Cloud Computing
Education
Boston University 1984 — 1988
BA, Computer Science
Boston University
Bachelor's degree in Computer Science, Computer Science
Epstein Becker & Green, P.C. April 2012 - Present
Epstein Becker & Green June 1993 - March 2012
Empire Blue Cross and Blue Shield April 1973 - June 1993
Harry Lipsig PC September 1967 - April 1971
Queens County District Attorney January 1967 - September 1967
Skills
Insurance, Managed Care
Education
Yale Law School 1955 — 1958
LLB
Oberlin College 1951 — 1955
A.B., Economics
Extend Fertility 2015 - Present
Visiting Nurse Service of New York 2000 - 2015
William M. Mercer 1994 - 1999
Empire Blue Cross and Blue Shield 1993 - 1994
Skills
Healthcare Management, Healthcare, Managed Care, Program Development, Project Management, Healthcare Information..., Strategic Planning, Public Health, Healthcare Consulting, Research, Nonprofits, Home Care, Program Evaluation
Education
NYU - Wagner School of Public Service 1995 — 1998
MPA, Health Finance
University of Pennsylvania 1989 — 1993
BA, Biological Basis of Behavior
City of New York Parks & Recreation Home AttendantSelf EmployedAugust 2007 - March 2010
Lutheran Medical Center June 2006 - August 2007
Service Employee International Union/Local 1199 March 2003 - June 2006
Lutheran Medical Center January 1997 - March 2003
Center for Family Life June 1996 - August 1996
Center For Family Life June 1996 - August 1996
SEIU/Local April 1994 - June 1996
Empire Blue Cross and Blue Shield May 1985 - April 1994
Education
America Works of New York 2010 — 2010
Certificate, Customer Service
City University of New York-Hunter College 2002 — 2002
Certificate, Asthma Health Education
Bronx AIDS Services 2000 — 2000
Certificate, HIV/AIDS Health Education
LIU Brooklyn 1987 — 1987
None, Business Administration
NYSTEC November 2013 - Present
St. Peter's Health Partners July 2006 - November 2013
Empire Blue Cross and Blue Shield, March 2011 - January 2012
Time Warner Cable December 2002 - September 2008
Value Options December 2003 - July 2006
Troy Rehabilitation & Improvement Program, Inc, September 2002 - December 2003
Empire Blue Cross and Blue Shield October 1999 - September 2002
Skills
Customer Service, Insurance, Training, Healthcare, HIPAA, Medical Billing, Medicaid, Outlook, Microsoft Word, Medicare, Nonprofits, Employee Benefits, Microsoft Excel, Event Planning, Medical Coding, Social Networking, Microsoft Office, ICD-9, CPT, HCPCS, Non-profits, EMR, Medical Terminology, Benefits Administration, Benefits Design, Health Insurance, Commercial Insurance, Support Analysts, Administrative..., Employee Training, Hands-on Training, Google Docs, Google Apps, SPSS, Siemens Soarian, xpress query, ca service desk, Invision OAS gold, EDM, Strategy Implementation, microsoft project, EHR, Administrative...
Education
State University of New York Empire State College 2014 — 2015
Advanced Certificate, Project Management, 4.0
State University of New York Empire State College 2013 — 2015
Master of Arts (M.A.), Social and Public Policy, 3.75
State University of New York Empire State College 2008 — 2010
B.S., Healthcare Management, 3.5
Schenectady County Community College 1998 — 2001
A.A.S., Computer Information Systems
DesignPoint, Inc. December 2013 - Present
WCW Kitchens January 2012 - June 2013
Swiss Associates 2008 - 2013
Design Contract Services 2009 - 2010
Wickes Lumber 2005 - 2007
Behrle Club Consultants 2000 - 2001
Jodi Hanson Studio 1997 - 1999
Barbara Ostrom Associates 1996 - 1997
Empire Blue Cross and Blue Shield 1993 - 1997
Skills
AutoCAD, Interior Design, Space Planning, Sketching, Photoshop, Illustrator, Project Management, Customer Service, Graphic Design, Adobe Creative Suite, Budgeting
Education
Fashion Institute of Technology 1995 — 1997
Associate’s Degree, Interior Design
Seton Hall University 1989 — 1992
Bachelor’s Degree, Business Administration and Finance
Regional Cancer Care Associates, LLC May 2015 - Present
The Managed Care Partnership Group, LLC April 2015 - Present
Amerigroup New Jersey November 2014 - April 2015
Oscar Insurance August 2013 - October 2014
AmeriHealth Insurance Co of NJ January 2008 - August 2013
CIGNA May 2005 - January 2008
Empire Blue Cross and Blue Shield September 2003 - May 2005
Horizon Blue Cross Blue Shield of NJ March 2002 - September 2003
Oxford Health Plans March 2000 - March 2002
Skills
Managed Care, Network Development, Provider Relations, Contract Negotiations, Provider Contracting, Strategic Planning, Financial Analysis, Data Analysis, Negotiation, Business Strategy, Change Management, Contract Negotiation, PPO, Healthcare, Health Insurance, HMO, Medicare, Healthcare Management, Healthcare Information..., Healthcare Consulting, Health Policy, Employee Benefits, Team Building, Disease Management, Quality Improvement, Benefits Administration, Health Care Reform, Health Information..., Performance Improvement, Strategy, Product Development, Credentialing, HIPAA, EMR, Healthcare Industry, Medicaid, Utilization Management, Hospitals, Physicians, Physician Relations, Revenue Cycle, Medicare Part D, Revenue Cycle Management, Practice Management, Informatics, Pharmacy Benefit..., Insurance, EHR, Medical Billing, Home Care
Education
Rutgers, The State University of New Jersey-Newark
MBA, Management
The College of New Jersey 1995 — 1999
BS, Business Administration
Bergen Catholic High School
College Prep
Blue Cross and Blue Shield Association September 2013 - Present
Blue Cross and Blue Shield Association July 2010 - Present
Blue Cross and Blue Shield Association October 2009 - July 2010
Blue Cross and Blue Shield Association December 2008 - September 2009
Blue Cross Blue Shield Association October 2007 - December 2008
Blue Cross and Blue Shield Association January 2005 - 2007
Empire Medicare Services 1999 - 2005
Empire Blue Cross and Blue Shield July 1989 - December 1998
Skills
Workshop Facilitation, Medicare, Strategy, Management, Change Management, Performance Management, Process Improvement, Project Management, Health Insurance, Instructional Design, Strategic Planning, Organizational..., Program Management, Team Building, Management Consulting
Education
Northwestern University 2006 — 2011
MS, Learning and Organizational Change
The George Washington University 2001 — 2003
Masters Certificate, Government Contracting
Syracuse University 1982 — 1986
BA, Public Relations and Psychology
United Healthcare May 1999 - Present
Oxford Health Plans May 1999 - July 2004
Prudential Healthcare January 1996 - May 1999
New York Presbyterian Hospital 1996 - 1998
Empire Blue Cross and Blue Shield 1990 - 1992
Education
University of Connecticut
mba, finance
Marist College 1985 — 1989
BS, Finance
Universal Music Group October 2009 - Present
Universal Music Group May 2007 - October 2009
TIAA-CREF August 2004 - March 2007
District Council 37 May 2003 - August 2004
Citigroup Inc September 2000 - December 2002
SPL World Group April 2000 - August 2000
Leviton Manufacturing 1991 - 1993
Empire Blue Cross and Blue Shield 1987 - 1990
Skills
SDLC, Requirements Analysis, Business Analysis, Software Project..., Vendor Management, Enterprise Architecture, Data Warehousing, Oracle, Process Improvement, Requirements Gathering, DB2, VSAM, Unix, Disaster Recovery, Testing, JCL, Visual Basic, Change Management, System Testing, IT Strategy, Data Integration, Integration, Software Documentation, Project Management, Systems Analysis, Software Development, Database Design, Databases, Microsoft Office, Solution Architecture, SQL, Data Migration, ETL, XML, Web Services, Architecture, Visio, Program Management, Analysis, ADABAS, COBOL
Education
Khoj Inc. 2009 — 2010
Completted the SAP - Admin course
City University of New York-Queens College 1988 — 1991
Undergraduate Studies for a Batchelor degree - Computer Science
DIRECTV June 2010 - Present
Wilson Relationship Marketing Services June 2007 - June 2010
Empire Blue Cross and Blue Shield May 2006 - May 2007
Quinn Fable Advertising, Inc April 2003 - May 2006
Skills
Advertising, QuarkXPress, Art Direction, Graphic Design
Education
Fashion Institute of Technology 2009 — 2010
Certificate program, Computer Essentials for Web Design
Pace University 1998 — 2003
Bachelors, Technology, Art
MultiPlan, Inc 1995 - Present
Empire Blue Cross and Blue Shield 1990 - 1995
Skills
Leadership, Business Analysis, Cross-functional Team..., Health Insurance, Healthcare Industry, Healthcare, Healthcare Information..., Healthcare Management, Strategic Planning, Contract Negotiation, Data Analysis, Negotiation, Project Management
Education
Fairfield University 1986 — 1990
Bachelor's Degree, Mathematics
New York University
Master of Business Administration (MBA), Finance/Marketing
Intermedix December 2005 - Present
ZOLL Data Systems 2004 - 2006
Integrated Management Solutions 1999 - 2003
TransCare 1996 - 1999
Lynbrook Laboratories 1990 - 1995
Empire Blue Cross and Blue Shield 1982 - 1990
Skills
Product Management, Medical Billing, Healthcare Information..., HIPAA, Healthcare, Revenue Cycle, Budgets, Managed Care, Process Improvement, Hospitals, Healthcare Management, Practice Management, Medicare, Revenue Cycle Management, Medical Devices
Education
City University of New York-Queens College 1975 — 1980
Bachelor of Arts (B.A.)
Kaiser Permanente IT September 2007 - Present
Kaiser Foundation Health Plan March 2006 - September 2007
Kaiser Permanente IT September 1998 - March 2006
Novalis March 1994 - September 1998
Empire Blue Cross and Blue Shield March 1988 - February 1994
Education
Ithaca College 1983 — 1987
Bachelor of Science (BS), Administration of Health Services
GHI - EmblemHealth August 2005 - Present
Centers for Dental Medicine, Diamond Age Systems, Phoenix, AZ August 2008 - December 2009
EmblemHealth 2005 - 2009
SEIU Local 32BJ May 1999 - September 2005
Lydia Barad Consulting November 2004 - August 2005
Healthplex, Inc. June 2004 - November 2004
Empire Blue Cross and Blue Shield 1996 - 1999
Private Practice Dental Offices September 1975 - September 1996
Skills
Claim, Contract Negotiation, Credentialing, Dentistry, HIPAA, Health Insurance, Health Policy, Healthcare, Healthcare Management, Insurance, Managed Care, Medicaid, Medicare, Network Development, PPO, Strategic Planning, Strategy, Provider Relations
Education
New York Medical College 2002 — 2009
MPH, Health Policy and Management
CUNY -NYCCC
AAS,RDH, Dental Hygiene
City University of New York-Hunter College
BA, Anthropology/Biology
American Express September 2000 - Present
Empire Blue Cross and Blue Shield January 2000 - August 2000
Health Management Systems June 1994 - January 2000
Skills
Customer Acquisition, Analytics, Credit Cards, Loyalty Marketing, Leadership, Segmentation, CRM, Customer Experience, Database Marketing, E-commerce, Relationship Management, Financial Services, Strategic Partnerships, Direct Marketing, Loyalty Programs
Education
Iona College 1989 — 1993
BBA, Production and Operations Management
TeachingHorse, LLC January 2004 - Present
WolfCreek Partners, Inc. 2001 - 2012
Kaiser Foundation Health Plan 1997 - 2001
Empire Blue Cross and Blue Shield 1995 - 1997
Skills
Leadership Development, Curriculum Design, Experiential Learning, Management Consulting, Change Management, Life Coaching, Personal Development, Executive Coaching, Workshop Facilitation, Project Management, Coaching, Organizational..., Strategic Planning, Business Strategy, Public Speaking, Program Management, Leadership, Strategy, Staff Development, Consulting, Emotional Intelligence, Organizational..., 360 Feedback, MBTI, Executive Development, Management Development
Education
North Carolina State University 1990 — 1993
Doctor of Education (Ed.D.), Adult Learning with Minor in Organizational Psychology
East Carolina University 1985 — 1987
Master's degree, Industrial/Organizational Psychology
East Carolina University 1983 — 1985
Bachelor's degree, Psychology
Saint Mary's College 1981 — 1983
Associate of Arts (A.A.)
First Niagara Benefits Consulting July 2015 - Present
ValueOptions, Inc.® August 2014 - July 2015
Capital District Physicans Health Plan September 2007 - April 2014
Capital District Physicians Health Plan February 2006 - September 2007
Saratoga Hospital February 2006 - September 2006
MVP Health Care September 2002 - February 2006
GE August 1997 - September 2002
Ceridian August 1995 - August 1997
Empire Blue Cross and Blue Shield July 1993 - August 1995
St Clares Hospital January 1985 - April 1993
Skills
Benefits Administration, Sales, Six Sigma, Product Development, Public Speaking, Project Management, Employee Benefits, Health Insurance, Product Management, HIPAA, Medicare Advantage, Medicare, Account Management, Provider Relations, Vendor Management, Insurance, Human Resources, Healthcare, Management, Cross-functional Team..., Program Management, Leadership, HMO, Analysis, Training, Managed Care, COBRA, Claim, Long-term Care, Health Care Reform, Brokers, Health Policy, Sales Management
Education
State University of New York at Albany
MPA, Health Policy and Management
State University of New York at Albany
BA, Biology, minor in Chemistry & Business
State University of New York Upstate Medical University
AAS, Respiratory Therapy
WellPoint Consultant - Healthcare Fraud & AbuseDr. Gary CicioJuly 1995 - Present
Empire Blue Cross and Blue Shield July 1995 - January 2005
Education
State University of New York College at Buffalo 1974 — 1977
Coyne PR May 2006 - Present
Keating Public Relations March 2002 - May 2006
Empire Blue Cross and Blue Shield January 2001 - November 2001
The Robert Wood Johnson Foundation October 1997 - January 2001
Skills
Corporate Communications, Strategic Communications, Media Relations, Message Development, Crisis Communications, Social Media, Public Relations, Publicity, Copywriting, Integrated Marketing, Reputation Management, Cision, Internal Communications, Social Media Marketing, Press Releases, Marketing Communications, Writing, Blogging
Education
Trinity College-Hartford
University of North Carolina at Chapel Hill
MHA
MVP Health Care January 2013 - Present
MVP Health Care August 2008 - January 2013
WellPoint April 2006 - January 2008
Empire Blue Cross and Blue Shield November 2004 - April 2006
Empire Blue Cross and Blue Shield September 2003 - November 2004
Empire Blue Cross and Blue Shield March 1999 - September 2003
Empire Blue Cross and Blue Shield April 1993 - March 1999
Empire Blue Cross and Blue Shield September 1989 - January 1993
DynaTech Associates, Inc. August 1987 - September 1991
GE June 1984 - August 1987
Education
State University of New York at Albany
Bachelor of Science (B.S.), Computer Science
Anthem, Inc. October 2007 - Present
Health 2.0 2012 - 2013
Atlantic Health 2005 - 2010
Genesis HealthCare 2006 - 2007
McBee Associates, Inc. 2004 - 2006
Empire Blue Cross and Blue Shield 1999 - 2004
Pathways To Housing 1998 - 1999
Skills
Managed Care, Hospitals, HIPAA, Healthcare Management, Clinical Research, Healthcare Information..., Informatics, Medicare, Healthcare Reimbursement, Medicaid, Revenue Cycle, Case Managment, Acute Care, Business Strategy, Management, Process Improvement, Leadership, Clinical Data Management, Operations Management, DRG, Long-term Care, Databases, Management Consulting, Entrepreneurship, Business Objects, SQL, C++, Web Development, Web Design, Marketing, Case Management, Hospital Information..., Healthcare, Healthcare Reform..., Optimizations, Basics, hospital information..., accountable care..., Medical Home Design &..., Clincals denials..., Healthcare Exchanges, Analytics, Tableau, Algorithm Optimization, Large Scale Deployments, Offshore Outsourcing, NCQA, mHealth, Disease Management, Data Integration
Education
Pace University 1999 — 2003
MBA
Pace University 1993 — 1997
Bachelor of Applied Science (B.A.Sc.)
The Guardian Life Insurance Company of America October 2000 - Present
Automated Concepts Inc. 1996 - 2000
Empire Blue Cross and Blue Shield 1988 - 1996
Skills
SDLC, Enterprise Architecture, FileNet, Requirements Analysis, Business Process Design, Disaster Recovery, Enterprise Content..., SOA, Solution Architecture, IT Strategy, DB2, Vendor Management, Java Enterprise Edition, Data Migration, Software Project..., Business Process, Oracle, Requirements Gathering, Web Services, SharePoint, Data Center
Education
City University of New York City College 1990 — 1999
Bachelor of Engineering, Electrical Engineering
City of Vallejo May 2014 - Present
City of Albany, New York February 2012 - April 2013
Value Options, Inc. 2011 - 2012
Village of Waterford June 2009 - August 2009
NY State Office for People with Developmental Disabilties July 2008 - August 2009
Sunmark Federal Credit Union September 2007 - July 2008
Center for Disability Services, Inc. 2004 - 2006
Empire Blue Cross and Blue Shield 1999 - 2004
Skills
Public Administration, Local Government, Performance Measurement, Program Management, Budgets, Municipal Management, Strategic Planning, Policy Analysis, Finance, Auditing, Government Accounting, Research, Data Analysis, Data Collection, Citizen Engagement, Public Policy, Politics, Report Writing, Software Documentation, Customer Satisfaction, PowerPoint, Government
Education
Rockefeller College of Public Affairs and Policy (SUNY Albany) 2009 — 2010
Master's Degree, Public Administration
State University of New York at Albany 2007 — 2009
Bachelor of Arts, Political Science; Public Policy
ActiveHealth Management September 2007 - Present
ActiveHealth Management January 2006 - September 2007
ActiveHealth Management December 2004 - January 2006
Peace Corps January 1997 - January 1998
ULLICO May 1995 - August 1996
MAMSI/M August 1994 - May 1995
Claims Administration Corporation March 1994 - August 1994
Blue Shield of California January 1991 - November 1991
Empire Blue Cross and Blue Shield February 1990 - October 1990
Health Force Nursing Registry January 1988 - June 1989
Education
Medical University of South Carolina 1981 — 1984
BSN, Nursing
Medical University of South Carolina 1981 — 1984
BSN
Queens College 1974 — 1981
Biology; Chemistry, Anatomy, Anthropology, and English Literature
Queens College 1974 — 1980
Medical University of South Carolina
Bachelor of Science, Nursing
Preferred Health Strategies September 1987 - Present
Empire Blue Cross and Blue Shield June 1985 - September 1987
Department of Health and Human Services 1980 - 1985
Skills
Medicare, Medicaid, Medical Devices, Healthcare Industry, Hospitals, Healthcare, Managed Care, Healthcare Information..., Healthcare Management, Healthcare Consulting, Pharmaceutical Industry, Strategy, Healthcare Reimbursement, Health Care Systems, Health Care Reform, Contract Negotiation, Financial Analysis, Long-term Care, Health Care Regulation, Biotechnology, Market Research, Cardiology, Due Diligence, Oncology, Regulatory Affairs, PPO, Physician Relations, Physicians, Health Policy, Business Planning, Competitive Intelligence, Health Insurance, Market Development, Grant Writing, Policy, Accountable Care, Strategic Planning, Market Analysis, Medical Imaging, HMO, Market Access
Education
State University of New York at Stony Brook
Master of Science (M.S.), Bachelor of Arts (B.A.), Public Policy Analysis (BA in Psychology)
MetLife September 2014 - Present
Colonial Life 2013 - Present
Birkdale Golf Club 2012 - 2013
AppleOne 2010 - 2012
MUSC Hollings Cancer Center 2008 - 2010
Medtronic 2005 - 2007
Standard Register 1997 - 2005
United Healthcare 1996 - 1997
Empire Blue Cross and Blue Shield 1994 - 1996
Skills
Cold Calling, Medical Devices, Sales Operations, Hospitals, Selling, Sales, Contract Negotiation, Budgets, Leadership, Marketing, Customer Service, Sales Process
Education
The Sage Colleges - Russell Sage College 1991 — 1993
BA, Psychology, Sociology
Continuum Health Alliance 2010 - Present
The Kachele Group 2008 - 2010
Thomas Jefferson University Hospital 1997 - 1999
Beth Israel Medical Ctr. 1995 - 1997
Empire Blue Cross and Blue Shield 1994 - 1995
Skills
Healthcare Information..., Process Improvement, Project Management, Software Documentation, Integration, EMR, HIPAA, Healthcare, Healthcare Management, System Administration, Analysis, EHR, Leadership, Strategic Planning
Education
Regis University
Bachelor of Science (B.S.), Business Administration and Management
Primerica Financial Services November 2002 - November 2008
Center for Stress Reduction November 2007 - February 2008
Astor Home For Children April 2003 - September 2004
On The Spot Services July 2000 - July 2004
Empire Blue Cross and Blue Shield July 1998 - March 2001
Education
Nyack College 2008 — 2012
Capital District Physicians' Health Plan 2009 - Present
CDPHP June 2004 - 2009
Empire Blue Cross and Blue Shield 1988 - 1998
Skills
Insurance, Claim, Health Insurance, Medicare, Process Improvement, Vendor Management, Strategic Planning, Call Centers, HIPAA, Software Documentation, Managed Care, Provider Relations, Employee Benefits, HMO, Network Development, Management
Education
Siena College 1985 — 1988
Bachelor's degree, Marketing/ Management
IBM Global Services July 2002 - Present
WellPoint 2007 - 2009
Empire Blue Cross and Blue Shield 2001 - July 2002
Empire BlueCross BlueShield 1989 - 2001
Skills
CICS, COBOL, DB2, IBM Mainframe, ISPF, JCL, MVS, Mainframe, REXX, Security, TSO, VSAM, z/OS, SDLC, RACF, Disaster Recovery, WebSphere MQ, Requirements Analysis
Education
Syracuse University - Martin J. Whitman School of Management 1979 — 1983
BS
Grand Island High School 1976 — 1979
The Institute for Family Health May 2015 - Present
Atria Senior Living May 2014 - January 2015
Woodland Pond at New Paltz February 2014 - May 2014
The Bristal at White Plains June 2013 - March 2014
Footings Inc August 2008 - June 2013
Footings, Inc. August 2008 - June 2013
Bon Secours Health System January 2005 - September 2008
Bon Secours Health System January 2005 - September 2008
Empire Blue Cross and Blue Shield 1991 - 2004
Skills
Team Building, Management, Human Resources, Project Management, Operations Management, Cross-functional Team..., Marketing Strategy, Interviews, Strategic Planning, Budgets, Public Relations, Employee Relations, CRM, Employee Engagement, Business Development, Policy, Strategic Consulting, TQM, Leadership, Process Improvement, Customer Satisfaction, Development of..., Time Management, Succession Planning, Onboarding, Training, Productivity Increases, Sales Presentations, Applicant Tracking..., Strategy, Talent Management, Client Retention, Sales Management, Talent Acquisition, Sales, Hiring, Marketing
Education
Mount Saint Mary College 2009 — 2011
Master of Business Administration (M.B.A.), Business Administration, Management and Operations
Mount Saint Mary College
Bachelor of Science Business Administration, Business Administration and Management, General
Weill Cornell Medical College May 2009 - Present
1199 National Benefit Fund July 1997 - October 1999
Empire Blue Cross and Blue Shield April 1977 - June 1994
Education
Harvard T.H. Chan School of Public Health 1970 — 1972
MS, Biostatistics
Boston University 1967 — 1969
MA, Mathematics
State University of New York College at Cortland 1963 — 1967
BA, Mathematics
GAMCO Investors, Inc. September 2013 - Present
Forex Capital Markets August 2010 - August 2013
Liquidnet Group, Inc April 2007 - February 2010
Instinet Incorporated May 2005 - April 2007
MB Tax Consulting November 2002 - May 2005
Wasserstein Perella April 1990 - October 2002
Empire Blue Cross and Blue Shield November 1987 - April 1990
American Bakeries Company September 1985 - November 1987
Peat, Marwick, Mitchell & Co. June 1982 - December 1984
Skills
Sarbanes-Oxley Act, Accounting, Auditing, Due Diligence, Mergers & Acquisitions, Financial Reporting, Financial Analysis, Internal Controls, Financial Modeling, Tax, SEC filings, Risk Management
Education
Drexel University - LeBow College of Business 1982 — 1985
BS in Accounting, Accounting
Novartis Pharmaceuticals September 1997 - Present
Empire Blue Cross and Blue Shield September 1996 - September 1997
Congresswoman Louise Slaughter August 1993 - September 1996
Skills
Biotechnology, Pharmaceutical Industry, Rheumatology, Endocrinology, Cardiology, Managed Care, Neurology, Buy & Bill, Pulmonology, Product Launch, Pharmaceutical Sales, Allergy, Urology, Hospital Sales, Dermatology, Gastroenterology, Selling, Oncology, Sales Effectiveness, Cross-functional Team..., Healthcare
Education
University at Buffalo 1988 — 1992
BA, Political Science
EmblemHealth 2012 - Present
IBM February 2002 - April 2012
IBM Global Business Services February 2002 - April 2012
IBM Global Business Services 2002 - April 2012
Empire Blue Cross and Blue Shield January 2000 - August 2002
Lante October 1998 - May 2000
Republic Bank October 1996 - October 1998
Andersen Consulting May 1993 - October 1996
Skills
Program Management, Management Consulting, Business Transformation, Health Policy, IT Strategy, Enterprise Architecture, Business Intelligence, Business Development, Executive Management, Consulting, Leadership, Business Strategy, Business Analysis, Business Process..., Healthcare, Strategy, Outsourcing, Integration
Education
Stony Brook University 1989 — 1993
Bachelor of Engineering, Computer Science and Electrical Engineering
Indiana University - Kelley School of Business
MBA, Business Administration and Management, General
NanYang High Scholl
Empire Blue Cross and Blue Shield August 2006 - Present
Empire Blue Cross and Blue Shield September 1999 - August 2006
Empire Blue Cross and Blue Shield May 1995 - September 1999
Empire Blue Cross and Blue Shield September 1988 - May 1995
Education
Queens College
BA, Economics
Arch Insurance Group March 2011 - Present
Amalgamated Life Insurance March 2006 - March 2011
Prudential Financial November 1998 - March 2006
NYLCare 1997 - 1998
Empire Blue Cross and Blue Shield 1988 - 1997
Skills
Employee Benefits, Disability Insurance, Insurance, Life Insurance, Underwriting, Recruiting, Risk Management, Workers Compensation, Management, Health Insurance, Brokers, Reinsurance, Claim, New Business Development
Education
Stony Brook University 1985 — 1988
BS, Applied Math & Statistics
The Estée Lauder Companies Inc. April 2007 - Present
The Estée Lauder Companies Inc. April 2006 - March 2007
The Estée Lauder Companies Inc. March 2005 - March 2006
The Estée Lauder Companies Inc. February 2005 - June 2005
The Estée Lauder Companies Inc. October 2000 - January 2005
The Estée Lauder Companies Inc. November 1998 - September 2000
The Estée Lauder Companies Inc. February 1997 - October 1998
Cablevision May 1995 - January 1997
Proctor and Gamble-Formerly Tambrands Inc. January 1989 - April 1995
Empire Blue Cross and Blue Shield August 1987 - December 1989
Skills
Cosmetics, Beauty Industry, Luxury Goods, Finance, Project Management, Strategic Planning, Financial Analysis, Forecasting, Budgets, Business Planning, Brand Management, Marketing Strategy, Management, Sales, Retail, Brand Development
Education
Fashion Institute of Technology 2004 — 2006
Masters of Professional Studies, Cosmetics & Fragrance Marketing and Management, Scholastic Achievement
Dowling College 2000 — 2002
Master of Business Administration (MBA), Business Administration and Management, General
St. John's University 1983 — 1987
Bachelor of Science (B.S.), Accounting
WellPoint January 2008 - Present
Empire Blue Cross and Blue Shield January 1998 - 2008
Blue Cross Blue Shield of Greater New York 1996 - 1998
Blue Cross Blue Shield of Greater NY 1994 - 1996
Skills
Integrated Marketing, Business Strategy, Business Analysis, Enterprise Software, Business Process, Cross-functional Team..., Employee Benefits, Managed Care, Health Insurance, Insurance, Program Management, Vendor Management, Process Improvement, Team Building, Management, Healthcare, HIPAA, Leadership, Strategic Planning
Education
Baruch College 1985 — 1990
Bachelor of Science (BS), Human Resources Management and Services, B
Ospraie Management Office ManagerPlatform Learning2004 - 2005
Empire Blue Cross and Blue Shield September 1990 - January 2004
Education
University at Albany, SUNY 1986 — 1990
BA, English
NY State Department of Health February 2009 - Present
Wojeski & Company, CPAs, P.C. January 2006 - January 2009
Express Scripts October 1993 - July 2005
Empire Blue Cross and Blue Shield December 1984 - October 1993
Skills
Medicaid, PBM, Managed Care
Education
Indiana University of Pennsylvania
B.A., English
Marsh and McLennan Companies July 2014 - Present
DM Solutions Insurance Consultant 2012 - 2014
Firemans Fund Insurance Company 2008 - 2011
Zurich North America 2000 - 2008
Zurich North America 1998 - 2000
Zurich North America 1995 - 1998
American International Group 1993 - 1995
American International Group 1991 - 1993
American International Group, AI Adjustment Co. 1989 - 1991
Empire Blue Cross and Blue Shield 1988 - 1989
Skills
Professional Liability, Claim, Financial Institutions, Underwriting, Property & Casualty..., Casualty, Reinsurance, Liability, Commercial Insurance, Legal Liability, Insurance, D&O, Employment Practices..., Commercial Lines, General Insurance, Brokers, Excess, Claims Management, Umbrella Insurance
Education
Rutgers, The State University of New Jersey-New Brunswick
Bachelor of Arts (BA), Economics and French
CDPHP October 2005 - Present
CDPHP 2004 - 2005
Genesys Consulting Services 1999 - 2003
Novalis Corporation 1993 - 1999
Empire Blue Cross and Blue Shield 1984 - 1993
Skills
XML, SQL Server, JavaScript, SQL, ASP.NET, HTML, Databases, Oracle SQL, .NET, C#, Java, Health Insurance, Healthcare, CSS, Software Development, Facets, Healthcare Information..., Healthcare Information..., Oracle, Microsoft SQL Server, SDLC, PL/SQL, Web Development, Web Services, DB2, Data Warehousing, Requirements Analysis, Visio, Database Design, Data Modeling, T-SQL, Requirements Gathering
Education
Hudson Valley Community College 1984 — 2007
Associate of Science (A.S.), Information Technology
State University of New York Empire State College
BS, Computer Science
Keveny Memorial Academy
NYC Department of Education January 2012 - June 2012
Empire Blue Cross and Blue Shield January 1997 - January 2008
Empire Blue Cross and Blue Shield January 1995 - January 2008
Skills
Data Center, Vendor Management, Outsourcing, Project Management, IT Operations, Budgets, IT Management, IT Strategy, Disaster Recovery, Program Management, Strategy, Process Improvement, Strategic Planning, Business Analysis, Management, SharePoint, Service Delivery, SAP, Visio, Change Management, Windows, Enterprise Architecture, Integration, Cross-functional Team..., PMP, PMO, Business Intelligence, Cloud Computing, Software Project..., ITIL, HP, Enterprise Software, Information Technology, Project Planning, Software Documentation, Project Portfolio..., Team Leadership, Business Process..., Testing, SDLC, Requirements Analysis, Active Directory, Troubleshooting, Security, Databases, MS Project, Resource Management, IT Service Management, Requirements Gathering, Business Continuity
Education
ESI's
Pace University
Project Management Institute/George Washington University
village Care Rehabilitation and Nursing Center September 2010 - Present
Atria Senior Living Group March 2007 - February 2010
Atria Senior Living Group February 2004 - March 2007
HTA of New York, INC. July 2000 - October 2003
First Health Service Corporation November 1998 - July 2000
First Heath Service Corporation February 1998 - October 1998
Empire Blue Cross and Blue Shield September 1996 - February 1998
Empire Blue Cross and Blue Shield March 1989 - March 1996
Tucker Anthony and R. L. Day March 1987 - March 1989
E. F. Hutton February 1985 - March 1987
Skills
Accounts Payable, Accounts Receivable, Employee Relations, Staff Management, Scheduling, Process Scheduler, Analysis, Payroll, Management, Leadership, Human Resources
Education
City University of New York-College of Staten Island 1980 — 1982
Centers Plan for Healthy Living75 February 2014 - Present
Jewish Home Lifecare January 2012 - December 2013
MJHS-Elderplan July 2001 - January 2012
MJHS-Elderplan July 2002 - June 2006
MJHS-Elderplan May 2001 - July 2002
MDNY Healthcare December 1998 - May 2001
MDNY Healthcare January 1998 - December 1998
Empire Blue Cross and Blue Shield May 1996 - December 1998
Empire Blue Cross and Blue Shield January 1996 - May 1996
Empire Blue Cross and Blue Shield September 1994 - January 1996
Skills
Insurance, Medicare, Medicaid, Health Insurance, Healthcare, Managed Care, Healthcare Information..., Home Care, Healthcare Management, Hospitals, HIPAA, Program Development, Healthcare Industry, Healthcare Consulting, Recruiting
Education
City University of New York-Baruch College - Zicklin School of Business
Master of Business Administration (MBA), Health/Health Care Administration/Management
City University of New York-Brooklyn College
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management
Burlington Professional Service Group 2010 - 2010
Accenture 2007 - 2010
American Re HealthCare (now Munich Reinsurance America, Inc.) 2003 - 2006
Price Waterhouse Coopers 2000 - 2002
Empire Blue Cross and Blue Shield 1996 - 2000
Skills
Human Resources, Employee Benefits, SQL, Life Insurance, Insurance, Recruiting, Data Analysis, Actuarial Science, Valuation, SAS, Financial Modeling, Pricing, Due Diligence, Risk Management, Leadership, Actuaries, Finance, Health Insurance, Business Analysis, Databases, Access, Customer Service, Coaching, Reinsurance, Microsoft Excel
Education
Baruch College, City University of New York (CUNY)
BA
ColumbiaDoctors, Columbia University Medical Center July 2010 - Present
ColumbiaDoctors, Columbia University Medical Center May 2008 - July 2010
Hackensack University Medical Center April 2002 - May 2008
New York Presbyterian Hospital September 1995 - April 2002
New York Presbyterian Hospital July 1994 - September 1995
Empire Blue Cross and Blue Shield January 1991 - July 1994
Skills
Healthcare, Recruiting, Healthcare Management, Policy, Revenue Cycle, Hospitals, Healthcare Information..., Microsoft Excel, Managed Care, Provider Education, Epic Systems, Healthcare Consulting, Program Development, HIPAA, Clinical Research, Leadership, Process Improvement, Medicare, Physicians, EHR, Practice Management, Training, EMR, Medicaid, Management, Case Managment, Data Analysis
Education
Fairleigh Dickinson University-Metropolitan Campus 2002 — 2004
MBA, Health Systems Management
Syracuse University 1981 — 1985
BA, Economics
Borough of Manhattan Community College 1979 — 1981
AA, Business Administration
Hospital for Special Surgery January 2015 - Present
Empire Blue Cross and Blue Shield 1998 - 1999
KPMG Audit 1996 - 1998
Skills
Healthcare, Revenue Cycle, Healthcare Information..., Financial Reporting, Healthcare Management, Hospitals, Healthcare Consulting, EHR, HIPAA, Strategic Planning, Healthcare Industry, Accounting, Management, Medicaid, Microsoft Excel, Medicare, Data Analysis, EMR
Education
St. John's University, The Peter J. Tobin College of Business
BS, Accounting
ERA Suburb Realty November 2005 - Present
CIGNA Healthcare February 1997 - May 2004
Empire Blue Cross and Blue Shield August 1977 - January 1995
Skills
Sales Management, Problem Solving, Strategic Planning, Social Media, Microsoft Office
Education
University of Maryland University College 1969 — 1971
bs, mgmt
FDU 1965 — 1968
Marsh USA Inc. February 2001 - Present
Empire Blue Cross and Blue Shield October 1997 - February 2001
Skills
Insurance
Education
New York University 1994 — 1997
Master of Public Administration, Health Policy & Management
Pasco County Government July 2015 - Present
WellCare January 2007 - June 2015
Empire Blue Cross and Blue shield January 2000 - April 2002
Skills
Customer Service, Microsoft Excel, English, Outlook, PowerPoint, Microsoft Word, Microsoft Office, Research, Windows
Education
Benes International School of Beauty 2004 — 2005
Cosmetology
Albany High School 1994 — 1998
High School diploma
Mount Sinai St. Luke's-Roosevelt Hospital December 2004 - Present
Our Lady of Mercy Medical Center March 2001 - August 2003
Empire Blue Cross and Blue Shield December 1988 - November 2000
Skills
Healthcare, Revenue Cycle, Healthcare Management, Healthcare Consulting, Informatics, Practice Management, Medicaid, Healthcare Information..., Hospitals, Managed Care, Medicare, Physician Relations, HIPAA, EHR, EMR, Physicians, Medical Coding, Medical Compliance, Quality Improvement, Health Policy, Epic Systems
Education
Iona College 1984 — 1988
BBA, Accounting
Cardnial Hayes High School 1980 — 1984
METLIFE March 1999 - December 2012
EMPIRE BLUE CROSS AND BLUE SHIELD September 1990 - June 1998
EMPIRE BLUE CROSS AND BLUE SHIELD November 1986 - September 1990
Skills
Case Managment, Benefits Administration, Medical Terminology, Medicare, Process Improvement, Account Specialist, Client/Customer Service, Group Benefit Examiner, Disability Claims..., Long-term Care claims, Medicaid, HIPPA, Managed Care, Healthcare, Case Management, Health Policy, Call Centers, Business Analysis, Vendor Management, Leadership, Risk Management
Education
State University of New York College at Buffalo
Coursework in Management and Economics
Syracuse University
Coursework in Business Studies
T3 Communications March 2005 - December 2011
Empire Blue Cross and Blue Shield January 1999 - March 2005
Education
New York University
CDPHP February 2012 - Present
KeyBank 2000 - 2011
Fleet Bank 1997 - 2000
Empire Blue Cross and Blue Shield 1989 - 1997
Skills
Cobol, DB2/SQL, IMS DB/DC, Ab Initio, Actuate, Eztrieve, DB2, SQL, VSAM, JCL, TSO, Insync, Endevor, SCLM, TWS, Technical Analysis, Quality Assurance, SDLC
Education
Fairleigh Dickinson University
BS, Business Management
Tiffany & Company 2013 - Present
Financial Industry Regulatory Authority (FINRA) 1996 - 2009
Olsten Corporation 1993 - 1996
Empire Blue Cross and Blue Shield 1988 - 1993
Skills
Contractual Agreements, Contract Negotiation, Contract Management, Employment Contracts, Insurance, Health Insurance, Healthcare, Fraud and Abuse, Intellectual Property, Corporate Law, Legal Writing, Corporate Governance, Employment Law, Licensing, Team Building, Arbitration, Courts, Legal Research, Coaching, Operational Excellence, Sales Operations, Operations Management, Quality Control, Legal Assistance, Legal Advice, Policy, Litigation
Education
Brooklyn Law School
Doctor of Law (JD)
New York University
Elder Law Writing Skills
State University of New York College at Oneonta
Bachelor of Arts (BA) High Honors, Political Science/American History (Dual Major)
University of Sussex
British Government and Literaure
Goshen Central School District August 2006 - Present
Empire Blue Cross and Blue Shield 1992 - 1998
Coopers & Lybrand Consulting 1986 - 1989
Buck Consultants 1984 - 1986
Education
Queens College 1976 — 1980
INDEPENDENT NETWORK CONTRACTOR February 2009 - Present
UNITED HEALTHCARE January 2008 - January 2009
KAISER PERMANENTE July 2001 - August 2006
Promina Health Care Systems January 2001 - July 2001
BRONX-LEBANON HOSPITAL CENTER November 1995 - March 1998
HEALTHFIRST, INC July 1994 - October 1995
EMPIRE BLUE CROSS AND BLUE SHIELD April 1991 - July 1994
Skills
Microsoft Office, PowerPoint, Microsoft Excel, Outlook, Marketing Strategy, Public Health, Strategic Planning, Problem Solving, Public Policy, Public Speaking, Health Insurance, Healthcare Management, Healthcare
Education
University of Phoenix 2009 — 2011
Master of Health Administration, Health/Health Care Administration/Management, 3.7 gpa
Hofstra University 1990 — 1994
Bachelor of Arts, Communications, 3.0
Horizon Blue Cross Blue Shield of New Jersey 2010 - 2011
EMPIRE MEDICARE SERVICES/NGS February 2002 - November 2008
EMPIRE BLUE CROSS AND BLUE SHIELD March 1990 - January 2002
Skills
Customer Service, Microsoft Word, Microsoft Excel, Data Entry, Medical Records, Medical Billing, Business Correspondence
Education
CUNY Bronx Community College 2009 — 2009
Professional Certificate, Medical Billing and Reimbursement Specialist, A
Delehanty High School 1973 — 1977
High School Diploma
Planned Parenthood Hudson Peconic February 2014 - Present
Alan Kaufman, M.D. January 1993 - March 2012
EMPIRE BLUE CROSS AND BLUE SHIELD January 1988 - January 1993
METLIFE HEALTHCARE NETWORK January 1986 - January 1988
Mount Sinai Medical Center January 1981 - January 1984
THE ROCKEFELLER UNIVERSITY January 1980 - January 1981
Skills
Medical Billing, Appointment Scheduling
Education
Columbia University - Columbia Business School 1984 — 1986
Master of Business Administration (MBA), Health/Health Care Administration/Management
Columbia University Mailman School of Public Health 1984 — 1986
Master of Public Health (MPH), Health/Health Care Administration/Management
Smith College 1976 — 1980
Bachelor of Arts (B.A.), Biology, General
Stanley Steemer 2004 - 2012
Empire Blue Cross and Blue Shield January 2001 - June 2004
Education
Essex County College 1996 — 1998
Prudential Financial April 2000 - Present
Empire Blue Cross and Blue Shield May 1996 - December 1999
Skills
Disability Claims..., Microsoft Office, Lotus Notes, Legal Documents, Compliance, Insurance
Education
Elizabeth Medical Center 1993 — 1995
Montclair State University 1989 — 1992
Anthem, Inc. September 2010 - Present
Wellpoint Anthem September 2004 - September 2010
Empire Blue Cross and Blue Shield April 2003 - September 2004
Empire Blue Cross and Blue Shield January 2002 - April 2003
Empire Blue Cross and Blue Shield October 2000 - January 2002
Empire Blue Cross and Blue Shield August 1998 - October 2000
EXPRESS June 1988 - February 1995
Skills
Sales, Training, Benefits Administration, Health Insurance, Microsoft Office, Time Management, Leadership, Customer Service, Social Media, Microsoft Word, Management, Marketing, Public Speaking
Education
Hudson Valley Community College
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
MVP Health Care January 2003 - Present
Empire Blue Cross and Blue Shield February 1993 - November 2002
Education
Ellis School of Nursing
Registered Nursing/Registered Nurse
Lincare 2008 - Present
LincareFrance Homecare, Inc January 2008 - January 2013
Eli Lilly/Snyder Healthcare Services January 2000 - January 2004
Bayer January 2000 - January 2004
Empire Blue Cross and Blue Shield January 1999 - January 2000
North American Instrument Co January 1993 - January 1999
Education
Charter Oak State College
Bachelor of Science, Business Administration; Secretarial Science
EmblemHealth July 2000 - August 2014
Empire Blue Cross and Blue Shield June 1999 - July 2000
Erisco Managed Care Technologies June 1998 - June 1999
NYLCare Health Plans/New York Life November 1995 - June 1998
NYLCare Health Plans/New York Life November 1995 - June 1997
Empire Blue Cross and Blue Shield December 1986 - May 1995
Empire Blue Cross and Blue Shield March 1990 - April 1993
Empire Blue Cross and Blue Shield December 1986 - March 1990
Skills
Newsletters, Marketing, Management, Copy Editing, Copywriting, Corporate Communications, Health Insurance, Managed Care, Medicare, Social Media, Project Management
Education
City University of New York-Brooklyn College
Bachelor of Arts (BA), Sociology