Fidelis Care NY
Industry: Insurance company
DescriptionFidelis Care is a New York-based health insurance company. Formed in 1993, Fidelis Care serves more than 1.7 million New York residents. It is a subsidiary of Centene Corp. Customer service: 1 (888) 343-3547 Headquarters: United States of America CEO: Father Patrick J. Frawley (Jul 2012–) Parent organization: Centene Corporation Founded: 1993 Subsidiary: Better Health Plan Inc
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Fidelis Care NY Employees
Etsy March 2014 - Present
Fidelis Care NY June 2009 - February 2014
Skills
Health Insurance, Insurance, Managed Care
Education
Full Sail University
Graphic Design
Fidelis Care November 2013 - Present
Fidelis Care NY March 1997 - Present
Skills
Provider Relations, Health Insurance, Managed Care, Medicaid, Network Development, Medicare, Health Policy, Insurance, Disease Management, Healthcare, Utilization Management, HIPAA
Education
D'Youville College 2001 — 2004
Master's degree, Health Services Administration
Canisius College 1995 — 1999
Bachelor of Applied Science (B.A.Sc.), Psychology
Fidelis Care NY September 2013 - Present
H&R Block January 2013 - Present
Business Services Unlimited May 2008 - June 2010
E. H. Butler Library March 2006 - July 2007
Skills
Accounting, Customer Service, Finance, Accounts Receivable, Accounts Payable, Payroll, Invoicing, Spreadsheets, Bookkeeping, Microsoft Excel, Small Business, General Ledger, Financial Statements, Income Tax, Tax, Payroll Taxes, Sales Tax, Tax Returns, Tax Preparation, Human Resources, QuickBooks, Peachtree, Bank Reconciliation, Sales, Marketing Strategy, Account Management, Team Building
Education
State University of New York College at Buffalo 2003 — 2007
Bachelor of Science in Business Administration, Management Concentration, 3.3
Erie Community College 2001 — 2003
A.A.S, Liberal Arts and Science; General Studies
Citi September 2014 - Present
Monroe College January 2003 - Present
Expaticore August 2013 - August 2014
NTT DATA Americas February 2011 - August 2013
PMI 2002 - 2012
Universal Health Care Group, Inc. November 2009 - February 2011
WellCare February 2009 - October 2009
MetLife October 2004 - December 2008
Fidelis Care NY January 2003 - October 2004
IBM Global Services November 2000 - October 2002
Skills
Program Management, Training, Metrics, Project Management, Cross-functional Team..., Vendor Management, Leadership, Analysis, Management, PMP, Strategy, Quality Assurance, Enterprise Software, Software Documentation, Project Planning, CRM, Strategic Planning, Product Management, Access, PMO, Process Improvement
Education
New York Institute of Technology 1998 — 2000
MBA, Business & Information Systems
Vaughn College of Aeronautics 1988 — 1992
BS, BS, Aeronautical Engineering
Access Medicare September 2014 - Present
Affinity Health Plan August 2014 - September 2014
WellCare August 2011 - August 2014
Fidelis Care NY January 2008 - November 2011
HealthPass April 2006 - October 2007
Education
Borough of Manhattan Community College
Digital Communication and Media/Multimedia
Coconut Creek High School 1991 — 1994
High School
Fidelis Care NY November 2007 - Present
Humana December 2005 - November 2007
Skills
Insurance, Health Insurance, Managed Care, Property & Casualty..., Employee Benefits, Medicare, Medicaid, General Insurance, Claim, Long-term Care, Disability Insurance, Workers Compensation
Education
Manhattan College 1980 — 1983
Bachelor's degree, Sociology
CCNY 1977 — 1980
Sociology
Fidelis Care September 2015 - Present
Elmira College September 2013 - Present
Self Employed September 2011 - Present
Fidelis Care NY April 2012 - September 2015
Mothers and Babies Perinatal Network July 2009 - April 2012
JCPenney May 2005 - October 2009
Susquehanna Valley School District September 2008 - May 2009
Skills
Emergency Management, Program Management, Medicaid, Health Insurance, Disaster Recovery, Strategic Planning, Employee Relations, Social Media, Sales Presentations, Marketing Communications, Research, HIPAA, Press Releases, Crisis Management, Operations Management, Team Leadership, Community Outreach, Community Development, Public Speaking, Marketing, Leadership, Training, Sales, Management, Microsoft Office, Nonprofits, PowerPoint, Event Planning, Customer Service
Education
Elmira College 2010 — 2012
Masters, Emergency and Disaster Preparedness, Health Services Management
Wilkes University 2004 — 2008
Bachelors, Political Science, History, Women's Studies
Healthfirst July 2013 - Present
NILICO April 2013 - Present
Fidelis Care NY June 2009 - January 2012
Fidelis Care NY 2009 - 2012
Skyline Credit Ride, Inc September 2006 - March 2009
Skyline Credit Ride Inc. September 2006 - March 2009
Elzee Realty Management Inc December 2004 - September 2006
Elzee Realty Management Inc December 2004 - August 2006
Skills
Customer Service, Quality Assurance, Training, Transportation, Transportation Planning, Dispatching, Data Entry, Service Providers, Solutions Provider, Claims Handling, claims processing, Verification, Project Management, Time Management, Business Objects, Managed Care, Medical Billing, Medicaid, Healthcare Management, Medicare, Benefits Administration, Claim, Insurance, ICD-9, Call Center, Network Development, Healthcare, Call Centers, Health Insurance, Customer Retention, Process Improvement, Sales, HMO, Medicare Part D, Management, Employee Relations, HIPAA, Invoicing, Long-term Care, Marketing, Provider Relations
Education
CUNY New York City College of Technology
Business
YourCare Health Plan August 2015 - Present
ERA Team VP Real Estate May 1999 - Present
Fidelis Care NY September 2003 - August 2014
Skills
Insurance, Managed Care, Customer Service, Healthcare, Medicaid, Marketing, Strategic Planning, Team Building, Process Improvement, Leadership, Access, PowerPoint, Team Leadership, Microsoft Office, Public Relations, Lotus Notes, Microsoft Word, Event Planning, Training
Education
Jamestown Community College
Associate of Arts and Sciences (A.A.S.), Criminal Justice and Corrections
State University of New York College at Fredonia
Bachelor's degree, Sociology
Fidelis Care NY May 2012 - Present
Fidelis Care NY July 2008 - Present
Fidelis Care NY July 2008 - May 2012
Skills
Health Insurance, Provider Relations, Insurance, Medicare, Property & Casualty..., Claim, Managed Care, General Insurance, Cold Calling, Health Policy, Marketing, Customer Service, Sales Presentations, Sales, Account Management, Healthcare Industry, Customer Retention, Employee Benefits, New Business Development, Marketing Strategy
Education
Queens College
Bachelor's degree, Economics
LocalEdge November 2014 - Present
LocalEdge June 2014 - November 2014
Fidelis Care June 2013 - June 2014
Massage Envy December 2011 - June 2014
Fidelis Care NY March 2012 - June 2013
Becca Schack September 2011 - October 2012
NYC Originals October 2011 - December 2011
The Syndicate November 2009 - December 2011
BuffaloBarfly.com May 2011 - August 2011
Righteous Babe Records December 2009 - February 2010
Skills
Social Networking, New Media, Event Planning, Social Media Marketing, Event Management, Social Media, Event Marketing, Website Promotion, New Media Marketing, Public Relations, Brand Development, Branding & Identity, Marketing, Blogging, SEO, Facebook, Integrated Marketing, Marketing Strategy, SEM
Education
Saint Bonaventure University 2013 — 2014
Master of Arts (MA), Integrated marketing communications
Erie Community College 2013 — 2013
Associate of Science (A.S.), Information Technology Project Management
State University of New York College at Fredonia 2008 — 2011
Bachelor of Science, Music Business
Lancaster High School 2004 — 2008
High school diploma
Independent Health February 2014 - Present
Independent Health October 2011 - February 2014
Fidelis Care NY April 2004 - October 2011
Women and Children's Hospital of Buffalo August 1988 - November 2004
Skills
Managed Care, Disease Management, Healthcare, Hospitals, Healthcare Management, Nursing, Medicare, Staff Education, Fundraising, Medicaid Managed Care, Project Management, PowerPoint, Grant Writing, Personnel Management, Community Outreach, Clinical Supervision, Midwifery, Team Leadership, Creative Problem Solving, 360 Feedback, Medicaid, Case Management, Clinical Research, Training, Mentoring, Utilization Management, Analysis, Program Development, Management, Team Building, Healthcare Information..., Medicine, Health Insurance, HIPAA, Leadership, Healthcare Industry, Strategic Planning, Nonprofits
Education
Columbia University in the City of New York 1984 — 1988
18 credit hours obtained, Public Health
State University of New York Downstate Medical Center College of Medicine
Certificate of Nurse-Midwifery, Nurse Midwife/Nursing Midwifery
State University of New York at Buffalo
Registered Nursing/Registered Nurse
Beacon Roofing Supply May 2013 - Present
Habasit August 2008 - April 2013
Scientific Games Corporation June 2006 - May 2008
The Deal 2004 - 2006
Fidelis Care NY August 2003 - June 2004
Ryan Beck & Co. April 2002 - August 2003
Gruntal & Co. 1999 - 2002
Internal Revenue Service December 1998 - May 1999
Skills
Employee Benefits, 401k, HRIS, Employee Relations, Safety Management, Talent Management, Talent Acquisition, Collective Bargaining, Mergers, Acquisition Analysis, OSHA training, Workers Compensation, Compensation, Policy Analysis, Continuous Improvement, Promotions, Cost Reduction, Sucession Planning, Strategic Analysis, Project Facilitation, EEOC, Fleet Management, Contract Negotiations, Deferred Compensation, Succession Planning, Contract Negotiation, Project Management, Analysis, Safety Management..., Human Resources, Key Performance..., Change Management, Onboarding, Business Partner Support, ADP Payroll, Applicant Tracking..., Benefits Administration, Budgets, Business Valuation, Compensation, Employee Engagement, Employee Handbooks, Employee Wellness, Employment Law, FMLA, Job Descriptions, Labor Relations, Leadership, Management, Mergers
Education
Pace University - Lubin School of Business 2001 — 2005
MBA, Information Systems
Pace University - Lubin School of Business 2001 — 2005
MBA, Finance
State University of New York College at Buffalo 1995 — 1999
BS, Business
Blind Brook High School 1991 — 1995
HS, ALL
Fidelis Care NY June 2008 - Present
Fidelis Care NY June 2007 - June 2008
Univera Healthcare January 2004 - June 2007
Univera Healthcare July 2002 - January 2004
Univera Healthcare August 2000 - July 2002
M&T Bank May 1997 - August 2000
Skills
Business Analysis, Health Insurance, Process Improvement, Healthcare, Access, Project Management, Data Analysis, SharePoint, Microsoft Office, Team Leadership, Customer Service, Strategic Planning, Microsoft Excel, Leadership, Analysis, PowerPoint, Marketing, Team Building, HIPAA, Visio, Managed Care, Medicaid, Call Centers, Requirements Analysis, Requirements Gathering, Training, Insurance, CRM, Healthcare Information..., Program Management
Education
Buffalo State College 1988 — 1991
Bachelor's degree, Art History
Cazenovia College 1986 — 1988
Associate of Arts and Sciences (AAS), Advertising Design
Meritain Health, an independent subsidiary of Aetna June 2012 - Present
Fidelis Care NY July 2002 - June 2012
WebMD January 1998 - March 2002
Perry's Ice Cream January 1996 - January 1998
Skills
Perl, Sybase, Microsoft SQL Server, EDI, Unix Shell Scripting, Database Administration, SQL, Visual Basic, Visual Studio, Shell Scripting, Data Warehousing, XML, SDLC, BizTalk, VBScript, IIS, Unix, Requirements Gathering, C#, Business Intelligence, Business Analysis, Software Development, jQuery, Crystal Reports, Databases, SharePoint, CSS, Database Design, ETL, ASP.NET, MySQL, Requirements Analysis, Relational Databases, WCF, Visio, VB.NET, Integration, SQL Server, BizTalk Admin
Education
State University of New York at Buffalo 1985 — 1989
Bachelor Of Science, Computer Science
Erie Community College
Apria Healthcare July 2012 - Present
Vitamin World November 2011 - February 2015
Fidelis Care NY March 2011 - October 2011
Vitamin World December 2009 - April 2011
Therapy Concepts August 2008 - December 2010
Cardinal Health August 2005 - October 2009
Skills
Health Care Marketing, Health Care Planning, Health Care Recruiting, Health Service..., Health Insurance, Healthcare Management, Medicaid, Health Care Policy, Public Speaking, HIPAA, Health Education, Therapeutic Massage, Deep Tissue Massage, Medical Massage, Sales Management, Marketing Strategy, Marketing Communications, Marketing, Community Outreach, Public Outreach, Outreach Services, Enrollment Management, Provider Enrollment, Provider Relations, Sports Nutrition, Nutrition Education, Medical Terminology, Medical Records, Fitness, Medicare, Medical Coding, Sales Presentations, Insurance, Treatment, Healthcare, Program Management, Strategy, Pain Management, Managed Care, Healthcare Industry, Wellness, Customer Retention, Nutrition, Customer Satisfaction, Research, Medical Billing, Medical Devices, Hospitals, Medical Compliance, Data Analysis
Education
DeVry University-Missouri 2008 — 2010
Bachelor of Science, Technical Management; Health Services Management, Cum Laude
Heritage College-Kansas City 2007 — 2008
Associate of Applied Science, Occupational Studies; Therapeutic Massage
Brown Mackie University 2005 — 2006
Associate of Applied Science, Business Management
LCPS March 2014 - Present
Lans Family Dentistry August 2012 - March 2014
Fidelis Care NY December 2008 - August 2012
The Salvation Army February 2006 - December 2008
BabyTeeth Children's Dentistry April 2005 - December 2005
Education
SUNY Potsdam 1988 — 1992
Bachelor's degree, Sociology
Fidelis Care NY January 2004 - Present
Skills
Managed Care, Insurance, Medicaid, Strategic Planning, Customer Service, Healthcare, Team Leadership, Business Analysis, Microsoft Excel, Process Improvement, Project Management, PowerPoint, Access, Microsoft Office, Microsoft Word, Leadership, SharePoint, Marketing, Budgets, Analysis, Team Building, Training, Marketing Strategy
Education
Bryant & Stratton College 2013 — 2013
New York Life, Accident and Health Insurance/Broker
Erie Community College
Associate's degree, Business Administration and Management, General
Target September 2014 - Present
MAXIMUS March 2013 - September 2014
Fidelis Care NY 2012 - March 2013
Arc of Rensselaer County July 2010 - March 2012
Enterprise Rent-A-Car June 2005 - September 2010
Raymour & Flanigan June 2004 - September 2005
The Center for Organizational Energy July 2003 - May 2004
Skills
Leadership, Customer Service, Management, Public Relations, PowerPoint, Program Management, Microsoft Excel, Sales, Recruiting, Sales Process, B2B, Account Management, Medicare, Medicaid, Medicaid Managed Care, Employee Training, Coaching
Education
Siena College 2004 — 2006
BS, Marketing Management
Hudson Valley Community College
Medical Sciences
Archdiocese of New York January 2008 - Present
Fidelis Care NY March 2001 - January 2008
Skills
Health Law, Not-for-profit, Employment Law, Corporate Law, Trade Secrets, Mediation, Litigation Management, Litigation, Copyright Law, Anti-Kickback Statute, Not for Profit, Privacy Law
Education
New York Law School 1996 — 1999
Doctor of Law (JD)
Miami University 1991 — 1995
Bachelor of Arts (BA), Sociology and Political Science
ClickCare, LLC January 2015 - Present
Diversified Management Group LLC August 2014 - Present
MJHS March 2013 - August 2014
Fidelis Care NY June 2007 - March 2013
MVP Health Care January 2005 - June 2007
MVP Health Care January 2002 - January 2005
Skills
Marketing Strategy, Marketing, Strategic Planning, Market Planning, Public Relations, Marketing Communications, Competitive Analysis, Product Management, Performance Management, Staff Development, Staff Management, Strategic Leadership, Business Development, Sales Operations, Operations Management, Business Process..., Department Budgeting, P&L Accountability, Health Insurance, Healthcare Management, Network Development, Healthcare, Management, Medicaid, Program Management, Provider Relations, Training
Education
Binghamton University 1992 — 1994
Bachelor of Science (B.S.), Marketing
Howard University 1987 — 1988
CareSource May 2015 - Present
CareSource May 2015 - Present
EmergenceTek Group Inc September 2014 - May 2015
HealthNow NY Inc. BlueCross BlueShield of Western New York 2012 - September 2014
Fidelis Care NY 2008 - 2012
Fidelis Care NY 2004 - 2008
Fidelis Care NY 2003 - 2004
HealthNow New York Inc. 2001 - 2003
HealthNow New York Inc. 1991 - 2001
HealthNow New York Inc. 1987 - 1991
Skills
Cognos, Financial Reporting, Business Intelligence, Analysis, SQL, Program Management, Management, Accounts Receivable, Access, Leadership, Accounting, Insurance
Education
SUNY Brockport 1976 — 1979
Bachelor of Applied Science (B.A.Sc.), Secondary Education Mathematics
Saint John Fisher College 1975 — 1976
Prestium Pharma February 2014 - Present
Fidelis Care NY February 2011 - February 2014
U.S. Department of State January 2010 - May 2010
Skills
Time Management, Marketing Communications, Sales Effectiveness, Report Writing, Flexibility, Adaptability, Business Efficiency, Customer Oriented, Sales Motivation, Dedication to..., Public Relations, Marketing, Selling, Blogging, Sales Operations, Marketing Strategy, Microsoft Office, Customer Service, Sales, Strategic Planning, Account Management, Leadership, Sales Management, Management, Team Building
Education
Florida State University 2006 — 2010
Bachelor of Science (BS), International Relations and Affairs
UnitedHealth Group August 2013 - Present
Archstone Rehabilitation Center June 2013 - September 2013
Resource Center for Independent Living December 2012 - June 2013
Fidelis Care NY 2010 - 2012
vari July 2000 - January 2010
Excellus BCBS October 2003 - September 2009
Lincare Holdings, Inc May 2001 - December 2003
Presbyterian Homes & Services June 1997 - March 2000
St. Luke's Hospital June 1994 - January 1997
Skills
Organizational..., Community Outreach, Coordination, Time Management, New Business Development, Problem Solving, Sales, Marketing Research, Integrated Marketing, Project Management, Team Leadership, Team Building, Event Planning, Leadership Development, Medicare
Education
SUNY Brockport 1992 — 1994
Bachelor's degree, Social Work
Mohawk Valley Community College 1990 — 1992
Associate of Arts and Sciences (A.A.S.), Human Services, General
Fidelis Care February 2014 - Present
Fidelis Care NY July 2000 - Present
Skills
Medicaid, Managed Care, HIPAA, Health Insurance, Healthcare, Medicare, HMO, Healthcare Management, Quality Assurance, Customer Service
Education
City University of New York
Retired May 2015 - Present
Fidelis Care NY September 2008 - June 2015
Evercare 2008 - 2008
Managed Care Network 2004 - 2008
Royal & Sun Alliance 1997 - 2004
GENEX Services, Inc. 1994 - 1997
Sisters of Charity Hospital 1987 - 1994
Skills
Nursing, Managed Care, Hospitals, Medicare, Medicine
Education
State University of New York College at Buffalo
BS, Vocational Education, Safety Management
State University of New York College at Buffalo
MS, Human Services Management
Trocaire College
A.A.S., Nursing
IBM June 2013 - Present
Fidelis Care NY November 2012 - June 2013
Independent Health August 2010 - October 2012
Independent Health May 2009 - August 2010
EDS, an HP Company 2002 - May 2009
Electronic Data Systems September 1985 - May 2009
infoTech Niagara 2003 - 2006
EDS, Electronic Data Systems 1993 - 2003
EDS 1985 - 1993
City of Dunkirk, NY January 1981 - June 1985
Skills
Business Process..., Operating Models, Capability Assessment, IT Strategy, Outsourcing Advisory, Roadmap, Zachman, Enterprise Architecture, Business Architecture, IT Management, Healthcare Information..., Lean Operations, Hammer Process Mastery, Business Transformation, Agile Methodologies, Application..., Leading Organizational..., Project Management, Program Management, PMP, Six Sigma, Applications..., SIPOC, IT Service Management, Business Process, Business Process..., Consulting, PMO, Project Portfolio..., IT Transformation, Process Improvement, Outsourcing, Integration, Management, Requirements Analysis, Quality Assurance, Leadership, Vendor Management, SDLC, Building Organizational..., Business Analysis, Strategy, Governance, Business Process Design, Agile Project Management, Process Enterprise..., Performance Benchmarking, Enterprise Process Model, Transformational, Business Process...
Education
Leadership Buffalo 1995 — 1996
LBGII
State University of New York College at Fredonia 1980 — 1985
B.A., Philosophy
Dunkirk High School 1975 — 1979
Buffalo Bills August 2014 - Present
Fidelis Care NY November 2012 - Present
Moog Inc. July 2006 - November 2012
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Visio, PowerPoint, Customer Service, Office Management, PeopleSoft, Management, Access, Time Management, Public Speaking, Coaching, Project Management, Customer Satisfaction, Event Planning, Program Management, Team Building, Human Resources, Employee Relations, Process Scheduler, Process Improvement
Education
Erie Community College 2006 — 2011
Associate of Arts and Sciences (AAS), Office Management, Dean's List
Boys and Girls Clubs of America 2012 - Present
Fidelis Care NY October 2008 - September 2010
Radiant Star Inc April 2006 - April 2008
MortgageIT, Inc. a subsidiary of Deutsche Bank January 2005 - April 2006
MortgageIT January 2001 - January 2005
Skills
Residential Mortgages, Mortgage Lending, Mortgage Banking, Loan Origination, Refinance, Banking, FHA, Loans, Credit, Budgets, Outlook, Customer Service, Management, Process Improvement, Business Analysis, Team Building, Analysis, Public Speaking, Access, Microsoft Word, Medicaid, Sales Management, Community Outreach, Accounting, Public Relations, New Business Development, Research
Education
Queensborough Community College
Fidelis Care February 2014 - Present
Kasler Photography LLC 2012 - Present
Fidelis Care NY June 2010 - February 2014
Mobizent LLC July 2009 - June 2010
3i Infotech March 2006 - July 2009
The Pediatric Center October 2000 - March 2006
Absolute Logic June 1999 - July 2000
Skills
Wyse, Windows 7, Windows Server, Active Directory, Networking, Servers, Network Administration, Linux, Microsoft SQL Server, Operating Systems, Switches, Troubleshooting, Windows, Software Documentation, Database Administration, JavaScript, System Administration, Lotus Notes, DHCP, DNS, SQL, XP, BMC FootPrints Service..., BMC FootPrints Asset..., CMDB, Service Catalog, Change Management, Telecommunications, Data Center, Information Technology, Visio, Disaster Recovery, IT Operations, VMware, Windows XP, Security, Network Security
Education
Saint Joseph's College 2013 — 2017
Computer and Information Systems
City University of New York-College of Staten Island 1998 — 2000
Computer Science
Xaverian High School 1994 — 1998
Fidelis Care NY April 2006 - Present
HealthNow New York Inc. 2000 - 2006
Skills
Insurance, Health Insurance, Business Analysis, Claim, Process Improvement, Requirements Gathering, Vendor Management, Medicare, Managed Care, Medicaid, Hospitals, Network Development, Health Policy, Healthcare, Healthcare Industry, HIPAA, Healthcare Consulting, Healthcare Information..., Strategic Planning, Provider Relations, Leadership, Contract Management, Contract Negotiation
Education
State University of New York College at Cortland
Independent Consultant, Information Technology December 2013 - December 2014
Fidelis Care NY May 2012 - December 2013
Sodexo April 2007 - May 2012
Sodexho USA October 2001 - April 2007
GE Capital July 2000 - October 2001
Synergy August 1999 - July 2000
Rich Products August 1992 - October 1999
Computer Management Concultants June 1989 - August 1992
M&T Bank January 1988 - October 1988
Kodak July 1987 - December 1987
Skills
Process Improvement, Change Management, Project Management, Team Building, Business Intelligence, Project Planning, Strategic Planning, IT Strategy, Vendor Management, Business Analysis, Customer Service, Management, Leadership, Team Leadership, IT Management, Operations Management, Program Management, Disaster Recovery, Security, SAP, Budgets, Visio, Analysis, Integration, System Administration, Troubleshooting, ERP, SharePoint, SDLC, Risk Management, Software Documentation, Access, Data Center, Business Process..., Business Process, Cross-functional Team..., Outsourcing, PMP, Six Sigma, MS Project, Project Portfolio..., IT Operations, Requirements Analysis, Software Project..., Cloud Computing, Process Engineering, Quality Assurance, Requirements Gathering, Microsoft SQL Server, Crystal Reports
Education
Canisius College 1993 — 1996
Master’s Degree, Information Technology and Marketing
Canisius College 1984 — 1988
Bachelor of Science (BS), Management Information Systems, General
Erie Community College 1983 — 1984
Computer Science
St Joes 1979 — 1983
College Prep
ArroHealth September 2012 - Present
Fidelis Care NY January 2010 - September 2012
Independent Health May 2007 - January 2010
Skills
Medicaid, Health Insurance, Healthcare, Insurance, HIPAA, CPT, HCPCS, ICD-9, Healthcare Management, Medicare, Healthcare Information..., Hospitals, Managed Care, Medical Billing, Healthcare Industry, Physicians
Education
Bryant and Stratton College 2007 — 2008
CPC & CPC-H, Professional Medical Coding
SUNY at Buffalo 1973 — 1976
Bachelor of Arts (B.A.), Psychology
Food Bank of Central New York September 2012 - Present
JCEO 2011 - 2012
Fidelis Care NY July 2001 - August 2004
Skills
Non-profits, Public Speaking, Microsoft Office, Event Planning, Fundraising, Social Media, Research, Strategic Planning, Customer Service, Microsoft Excel, Event Management, Public Relations, Volunteer Management, Nonprofits, PowerPoint, Community Outreach
Education
Roberts Wesleyan College 1993 — 1997
Bachelor of Science (B.S.), Social Work
Reprise Media August 2015 - Present
The Economist November 2014 - August 2015
PSCH April 2013 - November 2014
Institute for Integrative Nutrition August 2011 - January 2012
Citi November 2010 - August 2011
Fidelis Care NY June 2010 - August 2010
HR Dynamics January 2009 - October 2009
Skills
Team Leadership, Teamwork, Graduate Recruitment, Travel Planning, Event Planning, HRIS Database Management, Microsoft Office, Employee Interaction, Customer Service, Onboarding, HRIS, Employee Benefits, PowerPoint, Microsoft Excel, Human Resources, Microsoft Word, Outlook, Leadership, Employee Relations, Recruiting, Social Media
Education
Baruch College, City University of New York (CUNY) 2007 — 2011
Bachelor of Business Administration, Human Resources Management, 3.5
ACRO Industries, Inc. January 2013 - Present
Fidelis Care NY March 2012 - January 2013
APP Pharmaceuticals 2011 - March 2012
ACRO Industries, Inc. June 2006 - January 2010
Rochester Americans January 2009 - December 2009
Abercrombie & Fitch March 2007 - December 2009
Skills
Self Starter, Marketing Strategy, Market Analysis, Computer Literate, Advertising, Advertising Sales, Supply Chain Software, Supervisory Skills, Competitive Bidding, Competitive Analysis, Business Analysis, PowerPoint, Bidding Process
Education
SUNY Brockport 2009 — 2011
Bachelor Of Science, Marketing
Monroe Community College 2007 — 2009
Associate of Science, Administration and Economics
Independent Health July 2012 - Present
Fidelis Care NY January 2011 - January 2012
HealthNow New York Inc. August 2007 - October 2010
HealthNow New York Inc. 2002 - 2007
HealthNow New York Inc. 1998 - 2002
Skills
Team Leadership, Strategic Planning, Operations Management, Budgeting, Process Improvement, Problem Solving, Cross-functional Team..., Change Management, Team Management, Business Process, Project Management, SDLC, PMP, Budgets, Healthcare, Leadership, Team Building, Management, Requirements Analysis, Vendor Management, Business Process..., Business Intelligence, Business Analysis, Visio, Software Documentation, Program Management, Business Requirements, PMO
Education
Bryant & Stratton College 1978 — 1979
Bryant & Stratton College
Fidelis Care NY August 2011 - Present
Health Plus May 2008 - July 2011
National Benefit Fund October 2007 - April 2008
HIP March 2007 - October 2007
CIGNA Healthcare June 2005 - November 2006
GHI January 2001 - June 2005
GHI January 1997 - January 2000
Emblem Health (GHI Division) January 1993 - January 1997
Emblem Health (GHI Division) January 1990 - January 1993
Skills
Microsoft Excel, Microsoft Word, Training, Provider Relations, Analysis, Recruiting, Program Management, Management, Network Development, Insurance, Employee Benefits, Project Management, Contract Management, Contract Negotiation, Medicaid, HIPAA, Managed Care
Education
St. Joseph's College 2001 — 2004
Master of Science Degree, Health Care Mangement
Touro College
Bachelor of Science Degree and Certificate, Human Services
Fidelis Care NY December 2011 - Present
Vanner Insurance Agency February 2011 - February 2011
USi March 2009 - December 2009
USI INSURANCE SERVICES/LIBERTY MUTUAL GROUP March 2009 - December 2009
Liberty Mutual Insurance Company August 2005 - March 2009
NOVA Healthcare September 1999 - August 2005
Independent Health September 1999 - August 2005
NOVA HEALTHCARE ADMINISTRATORS/INDEPENDENT HEALTH September 1999 - August 2005
NOVA Healthcare Administrators August 1999 - August 2000
Skills
Employee Benefits, Insurance, Employee Relations, Workers Compensation, Property & Casualty..., Health Insurance
Education
State University of New York College at Buffalo 1997 — 2000
MS, Public Relations Management
State University of New York College at Fredonia 1991 — 1995
BA, English, Public Relations
Clarence Central
HTMS December 2011 - Present
Erie and Niagara Insurance Association February 2000 - Present
Fidelis Care NY July 2010 - November 2011
Hoover HIT Consulting January 2009 - November 2011
Independent Health September 1997 - December 2008
FCG January 1995 - August 1997
KPMG November 1986 - December 1994
Shared Medical Systems April 1983 - November 1986
Skills
Healthcare Information..., EHR, HIPAA, Healthcare, SDLC, Business Analysis, Business Process..., Process Improvement, Healthcare Management, Vendor Management, IT Strategy, Business Intelligence, Program Management, Information Technology, Managed Care
Education
Drexel University - LeBow College of Business 1977 — 1982
BS, Business Administration
Beacon Health Options June 2013 - Present
Amerigroup Corporation June 2010 - June 2013
Aetna November 2008 - February 2010
Magellan Health Services January 2005 - October 2008
NYC Department Of Health Mental Hygiene-Project Liberty April 2002 - December 2004
Harris Rothenberg International April 2000 - March 2002
MHN formerly Health Net August 1998 - March 2000
Corporate Health Systems September 1997 - March 1998
Fidelis Care NY July 1996 - January 1997
MetroPlus Health Plan July 1994 - July 1996
Skills
Rate Negotiation, Provider Relations, Network Development, Hospitals, Managed Care, Medicaid, Contract Negotiation, Contract Management, PPO, Healthcare Management, Healthcare Industry, Strategic Planning, HMO, Healthcare, Credentialing, Physicians, Leadership, Medicare, Negotiation, HIPAA, Health Policy, Management, Medical Billing, Team Building, Healthcare Information..., Medicaid Managed Care, Account Management, Strategy, Insurance, Nonprofits, Physician Relations, Revenue Cycle, Health Insurance, Healthcare Consulting, Medicare Part D, Claim, Medicare/Medicaid..., Analysis, Medical Compliance
Education
Long Island University 1996 — 1999
Degree: MPA, Masters, Public Administration
York College CUNY 1989 — 1994
Degree: BS, Business Administration
Saint Francois D'Assise
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
Metroplus Health Plan October 2014 - Present
Metroplus health Plan February 2014 - October 2014
Visiting Nurse Service of New York February 2013 - December 2013
Tunstall AMAC Inc May 2012 - January 2013
United States Postal Service December 2010 - May 2012
Fidelis Care NY November 2009 - August 2010
Bridges 2 Health July 2009 - August 2010
Skills
Customer Service, Managed Care, Microsoft Excel, PowerPoint, Project Management, Microsoft Word, Call Centers, Microsoft Office, Outlook, Software Documentation, Program Management, Lotus Notes, Analysis, Case Managment, Medicaid Managed Care, Budgets, Medicaid documentation, Case Management
Education
The New School 2006 — 2009
Master's degree, International affairs
St. John's University 2001 — 2005
Bachelor of Arts, Government and Politics
Day & Zimmermann April 2015 - Present
Leidos (Formerly SAIC) June 2013 - April 2015
SAIC October 2011 - June 2013
SAIC April 2011 - October 2011
Fidelis Care NY June 2008 - April 2011
Blue Cross Blue Shield of Western New York (HealthNow New York) 2002 - 2008
Blue Cross Blue Shield of Western New York (HealthNow New York) 1998 - 2002
Skills
Team Leadership, Strategic Planning, Business Strategy, Business Intelligence, Performance Dashboards, Visual Communication, System Architecture, Database Design, Business Intelligence..., SQL, Visual Basic, Sybase, XML, VB.NET, C#, Web Services, ASP.NET, SOA, VBScript, LINQ, jQuery, WPF, CSS, XAML, HTML, MySQL, Essbase, OBIEE, Multidimensional Data, Predictive Modeling, Analytics, Hyperion Interactive..., Hyperion Planning, Hyperion EPM, SharePoint, SDLC, Databases, Enterprise Software, Visual Studio, JavaScript, ASP, Requirements Analysis, R
Education
State University of New York College at Fredonia
Bachelor of Science (B.S.), Computer Science
Independent Health November 2012 - Present
Fidelis Care NY 2009 - 2012
Citi 2007 - 2009
SUNY Fredonia 2005 - 2007
Skills
Access, Healthcare, Microsoft Excel, Financial Analysis, Financial Reporting, Banking, General Ledger, Account Reconciliation, Analysis, Auditing, Management
Education
SUNY Fredonia 2003 — 2007
Bachelor of Science (B.S.), Business Administration, Finance & Management
RightScale December 2014 - Present
Fidelis Care NY May 2012 - September 2014
State Farm Insurance January 2010 - January 2012
Skills
Social Media, Social Media Marketing, Customer Service, Sales, Social Networking, PowerPoint, Microsoft Excel, Microsoft Office, Marketing, Health Insurance, Public Speaking, Microsoft Word, Event Planning, Marketing Communications, Sales Management, Marketing Strategy, Property & Casualty..., Insurance, Team Leadership, Leadership
Education
St. Bonaventure University 2013 — 2014
Master of Business Administration (MBA)
Canisius College 2008 — 2012
Bachelor of Science (BS), Management & Marketing
Computer Task Group April 2014 - Present
HealthNow New York Inc. October 2013 - March 2014
Computer Task Group January 2011 - October 2013
Fidelis Care NY June 2009 - December 2010
American Axle and Manufacturing June 2007 - June 2009
American Axle and Manufacturing March 1998 - June 2007
KeyBank 1996 - 1998
M&T Bank 1996 - 1996
M&T Bank January 1994 - January 1995
Personnel Resources / M&T Bank 1995 - 1995
Skills
Agile Project Management, Lean Manufacturing, Banking, Healthcare, Waterfall, Oracle E-Business Suite, PeopleSoft, Scrum, IT Strategy, Change Management, Business Process..., Outsourcing, Program Management, Vendor Management, Process Improvement, Business Analysis, Business Continuity, Disaster Recovery, ERP, Team Building, Management, Requirements Analysis, Leadership, Project Management, SDLC, Requirements Gathering, Supply Chain, PMP, PMO, Business Process, Business Process..., Budgets, Information Technology, Integration, Visio, Agile Methodologies, Software Documentation, IT Management, Project Portfolio..., Software Project..., ITIL, Business Requirements, IT Operations, CRM, Analysis, User Acceptance Testing, Consulting, Business Process Design, Solution Architecture, Governance
Education
Medaille College 2000 — 2001
MBA, Business Administration
Houghton College 1994 — 1996
BS, Organizational Management
Erie Community College 1981 — 1983
AAS, Data Processing
D'Youville College
Ed.D, Current - Educational Leadership
First Data Merchant Services May 2014 - Present
Knowledge Masters LLC 2004 - Present
DAMA New York 1997 - Present
Knowledge Masters LLC June 2013 - May 2014
AIG April 2012 - June 2013
S&P 2013 - 2013
Fidelis Care NY February 2011 - April 2012
Knowledge Masters LLC (Warner Music Group) May 2010 - October 2010
Knowledge Masters LLC (Canadian Government) November 2009 - January 2010
JP Morgan Chase March 2009 - May 2009
Skills
Data Architecture, Knowledge Management, Enterprise Architecture, Data Quality, Data Governance, Data Warehousing, Data Modeling, Business Intelligence, Master Data Management, Business Analysis, Information Management, Databases, Governance, Data Management, Database Design, Data Warehouse..., Information Architecture, SDLC, Enterprise Software, Application Architecture, Oracle, Analytics, Architecture, Data Integration, IT Strategy, Teradata, IT Management, Requirements Analysis, Program Management, ETL, SOA, Architectures, Requirements Gathering, Software Development, Solution Architecture, Consulting, Professional Services, Integration, Business Process
Education
Saint John's University 1975 — 1979
MBA, Management
Baruch College, City University of New York (CUNY) 1969 — 1975
BBA, Management
Sacred Heart HS
Academic diploma
Fidelis Care August 2014 - Present
Fidelis Care NY May 2012 - August 2014
HealthNow New York Inc. December 2009 - May 2012
Kaleida Health May 2008 - December 2009
Education
Niagara County Community College 2006 — 2008
Associate's degree, Registered Nursing/Registered Nurse
State University of New York College at Buffalo
Bachelor of Science (BS), Sociology
Alcon, a Novartis company May 2015 - Present
Alcon, a Novartis company May 2013 - May 2015
Worldwide Express February 2012 - May 2013
Fidelis Care NY May 2011 - February 2012
Enterprise Rent-A-Car May 2010 - May 2011
InterContinental Hotels Group September 2009 - June 2010
Star Lounge Chelsea Hotel June 2007 - November 2009
Destination Hotels and Resorts January 2008 - October 2008
Skills
Sales, New Business Development
Education
State University of New York College at Plattsburgh 2005 — 2009
Bachelors Degree, Hospitality Management, Business Minor
Blue Cross and Blue Shield of WNY December 2014 - Present
McKesson June 2013 - December 2014
Exigence of TeamHealth December 2011 - June 2013
Western New York Immediate Care April 2012 - April 2013
Fidelis Care NY June 2003 - December 2011
M&T Bank December 2002 - June 2003
Skills
Healthcare, Healthcare Management, HIPAA, Health Insurance, Hospitals, Customer Service, Credentialing, Microsoft Excel, Microsoft Word, Medicaid, Insurance, Medicare, Healthcare Industry, HMO, Lotus Notes, Data Entry, PowerPoint, Microsoft Office, Physicians, EMR, Outlook, Inpatient, Clinical Research, Provider Relations, Physician Relations, Healthcare Consulting, Medical Terminology, Health Policy, Patient Safety, Medical Records, Medicare/Medicaid..., Time Management, Claim, JCAHO, PPO, Medical Compliance, Analysis, Health Information..., Practice Management, Applicant Tracking..., ICD-10, Resume Writing
Education
Bryant and Stratton College 2001 — 2003
Associates, Occupational StudiesAdministrative Assistance
Sweet Home High School 1997 — 2001
CareSource Management Group April 2014 - Present
Fidelis Care NY March 2012 - April 2014
Fidelis Care NY February 2008 - March 2012
Skills
Team Leadership, Internal Communications, Sybase Adaptive Server, Microsoft SQL Server, Microsoft Office, DOS, FTP, PGP, Job Scheduling, Technical Documentation, Trizetto, Batch Processing, Databases, SharePoint, HIPAA, Quality Assurance, SQL, Management, Access
Education
Niagara County Community College 2007 — 2010
Business Administration
Anthem, Inc. February 2015 - Present
Maryann Foster Psychotherapy May 2014 - Present
St. Mark's Institute for Mental Health September 1989 - Present
Palladia, Inc. July 2014 - February 2015
Fidelis Care Ny December 2012 - May 2014
ICD July 2000 - December 2012
Palladia, Inc. July 1994 - July 2000
Skills
Group Therapy, Behavioral Health, Psychotherapy, Mental Health, Psychology, Treatment, Crisis Intervention, Social Services, Mental Health Counseling, Interventions, Addiction Recovery, CBT, Case Management, Motivational..., Healthcare, Community Outreach
Education
New York University 1988 — 1990
Master's Degree, Clinical Social Work, honors
Hofstra University 1981 — 1984
Master's Degree, Creative Arts Therapy, Honors with Distinction
Affinity Health Plan January 2015 - Present
Healthfirst May 2012 - December 2014
Fidelis Care NY December 2011 - May 2012
Health Net of the Northeast, Inc. February 2010 - October 2011
Health Net of the Northeast, Inc. January 2008 - February 2010
CMO, The Care Management Company, LLC May 2003 - January 2008
CMO, The Care Management Company, LLC May 2000 - May 2003
CMO, The Care Management Company, LLC April 1999 - May 2000
Montefiore Medical Center 1995 - 1999
Skills
Provider Relations, Managed Care, Strategic Planning, Medicare, Healthcare, Physicians, Credentialing, Physician Relations, Health Policy, Health Insurance, Hospitals, Utilization Management, Medicaid, HMO, Healthcare Management, Network Development, PPO, HIPAA, Quality Improvement, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Medicaid Managed Care, Practice Management
Education
Mercy College 2000 — 2001
Masters, Organizational Leadership
Baruch College, City University of New York (CUNY)
Bachelors, Business Administration
LHH
Fidelis Care NY October 2005 - Present
Skills
Sybase, EDI, Requirements Gathering, SDLC, Crystal Reports, Microsoft SQL Server, Data Warehousing, SQL, VB.NET, Database Design, Visual Basic, Databases, Requirements Analysis, XML, HIPAA, Systems Analysis, Visio, Cognos, Unix, Software Development, Enterprise Architecture, Web Services, SharePoint
Education
Erie Community College 2006 — 2013
Associate's Degree, Computer Science, A
Harris Corporation October 2014 - Present
ACM Global Central Laboratory August 2012 - October 2014
Rochester General Health System July 2010 - August 2012
Fidelis Care NY December 2008 - July 2010
Skills
Healthcare, Microsoft Excel, Process Improvement, Customer Service, Hospitals, Healthcare Information..., Microsoft Office, Access, Account Management, Medicaid, Project Management, Public Speaking, Cross-functional Team..., Leadership, Management, Microsoft Word, Outlook, Sales
Education
State University of New York College at Brockport 2002 — 2006
Bachelor of Applied Science (B.A.Sc.), Health Science
Fidelis Care NY June 2009 - Present
WellCare 2008 - 2009
Continental Home Loans February 2008 - September 2008
Wilmington Finance September 2007 - February 2008
Countrywide Home loans March 2006 - February 2007
Argent wholesale June 2003 - March 2006
Skills
Lead Generation, Sales Presentations, Coaching, Market Planning, Event Planning, Customer Retention, Marketing, Sales, Management, Relationship Building, Customer Service, Health Insurance, Social Networking, Sales Management, Insurance, Managed Care, Leadership, Team Building, Strategic Planning, Employee Benefits, New Business Development
Education
State University of New York College at Buffalo
Political Science
New York-Presbyterian Hospital April 2015 - Present
Lenox Hill Hospital November 2012 - May 2015
Fidelis Care NY May 2012 - September 2012
CVS Pharmacy July 2007 - May 2012
Skills
Compounding, Pharmaceutical Industry, Managed Care
Education
Long Island University, Brooklyn Campus 2012 — 2016
Doctor of Pharmacy (Pharm.D.), Pharmacy
Howard University 2008 — 2012
Chemistry
Fidelis Care NY December 2002 - Present
Episcopal Church Home and Affiliates November 1999 - December 2002
Skills
Provider Relations, Medicaid, HMO, Managed Care, Credentialing, Health Insurance, Utilization Management, Health Policy, HIPAA, PPO, Medicaid Managed Care, Disease Management, Healthcare, Customer Service, Medicare, Healthcare Information..., Insurance, Process Improvement, Hospitals
Education
Erie Community College 2000 — 2003
The Wilson Dog Paddle February 2012 - Present
Niagara Hospice 2006 - Present
Fidelis Care May 2000 - Present
Fidelis Care NY May 2000 - October 2012
Partners Health Plans 1998 - 2000
Skills
Healthcare, Marketing, Strategic Planning, Customer Service, Program Management, Managed Care, Insurance, Event Planning, Process Improvement, Coaching, Leadership, Team Building, Health Insurance, Marketing Strategy, Data Analysis, Public Speaking, Fundraising, Event Management, Community Outreach, PowerPoint, Medicaid, Microsoft Word, Team Leadership, Sales, Public Relations, Nonprofits, Government, Volunteer Recruiting, Community Engagement, Sales Presentations, Group Therapy, Grief Counseling, Pet Therapy, Medicare, Training, Leadership Development, HIPAA, Microsoft Office, Social Media, Social Networking, Microsoft Excel, Program Development
Education
Genesee Community College 1990 — 1992
Associates, Social Work
Axiom Systems March 2013 - Present
HealthNow New York Inc. June 2012 - March 2013
HealthNow New York Inc. February 2011 - June 2012
HealthNow New York Inc. September 2009 - February 2011
Fidelis Care NY July 2007 - September 2009
Univera Healthcare May 2003 - June 2005
Axiom Systems January 2001 - May 2003
Univera Healthcare March 1996 - January 2001
Skills
Requirements Gathering, SDLC, Business Analysis, Process Improvement, SQL, Project Management, Analysis, Program Management, Systems Analysis, Business Intelligence, HIPAA, Healthcare Information..., Requirements Analysis, SharePoint, Software Development, Software Documentation, Visio
Education
State University of New York College at Buffalo 1988 — 1992
Bachelor of Applied Science (B.A.Sc.)
Independent Health March 2012 - Present
Fidelis Care NY June 2006 - March 2012
Skills
Managed Care, Insurance, Competitive Analysis, Health Insurance, Product Management, Analysis, Customer Service, Medicare, Team Building, Process Improvement, Strategic Planning
Education
Niagara University 2002 — 2006
Bachelor of Arts (B.A.), Communications/Marketing
Fidelis Care June 2015 - Present
Hearst Magazines October 2014 - February 2015
Optimedia US September 2013 - October 2014
Fidelis Care NY July 2012 - September 2013
Modern Marketing Concepts December 2011 - April 2012
Riverwalk Athletic Club September 2011 - February 2012
Donald Dean & Sons, Inc January 2011 - May 2011
The NPD Group June 2010 - August 2010
Skills
Facebook, Market Research, Microsoft Office, PowerPoint, Social Networking, Marketing, Customer Service, Microsoft Excel, Management, Strategy, Social Media, Marketing Strategy, Social Media Marketing, Health Insurance, SPSS, Analysis, Data Entry, Data Analysis, Research, Outlook, Media Planning, Media Buying, Advertising, Print Ads, Access, Microsoft Word, Direct Marketing, Traditional Media
Education
Binghamton University 2010 — 2012
MBA, Marketing
Binghamton University 2007 — 2010
BA, Economics & Italian
Saint John's University 2006 — 2007
H. Frank Carey
Universal American August 2010 - Present
EmblemHealth October 2009 - August 2010
Archcare June 2008 - September 2009
EmblemHealth October 2006 - June 2008
Fidelis Care NY February 2005 - October 2006
St. Barnabas Hospital July 2001 - February 2005
Skills
Business Operations, Healthcare Information..., Managed Care, Project Management, Cross-functional Team..., Strategic Planning, Data Analysis, Analysis, Strategy, Business Planning, Healthcare, Healthcare Management, Process Improvement, Medicare, Hospitals, Medicaid
Education
New York University 2000 — 2002
Masters of Public Administration
Binghamton University 1994 — 1998
BA
Amida Care August 2014 - Present
Fidelis Care NY September 2009 - August 2014
Quality Health September 2008 - May 2009
Matria Healthcare July 2007 - April 2008
Citi November 2004 - June 2007
Saks Fifth Avenue August 2000 - October 2004
Barnes & Noble January 2000 - August 2000
Skills
Requirements Gathering, Requirements Analysis, System Integration, Case Management, Disease Management, Wellness, Health Portals, Clinical Care Advance, Facets, Use Case Analysis, Workflow Modeling, Business Analysis, Integration, Healthcare Information..., Software Development, Process Improvement, Business Intelligence, Software Documentation, SQL
Education
Columbia University 2001 — 2002
Certificate, Programming and Software Development
Hofstra University 1993 — 1997
BBA, International Business
Department of Health April 2013 - Present
MVP Health Care July 2012 - April 2013
Senior Whole Health May 2007 - June 2012
Fidelis Care New York May 2006 - May 2007
Fidelis Care NY May 2003 - May 2007
Skills
PPO, HIPAA, Network Development, Contract Management, Health Policy, Medicaid, Managed Care, Healthcare Industry, Utilization Management, HMO, Insurance, Provider Relations, Health Insurance, Medicare, Customer Service, Hospitals, Healthcare Management, Healthcare, Management, Medicaid Managed Care, Process Improvement, Provider Network..., Strategic Planning, Contract Negotiation, Project Management
Education
Empire State College 2004 — 2006
Bachelor Appllied Science, Community Service/Healthcare Administration
Lock Haven University of Pennsylvania
Pursued Physical Education
Fidelis Care NY October 2011 - Present
Rodriguez Auto Parts, Inc. September 2009 - November 2011
PS 149 June 2009 - January 2010
Crum & Forster Insurance 2006 - 2008
AIG- National Union August 2000 - July 2006
Reliance National 1999 - 2000
Education
Fordham University 1995 — 1999
Bachelors, Business Admin.- Business Economics
Aviation High School 1991 — 1995
HS Diploma
M & T Bank June 2013 - Present
Fidelis Care NY August 2001 - May 2013
Adelphia: West Seneca Data Center April 1998 - July 2001
Buffalo General Hospital February 1997 - October 1997
SOFTBANK Services Group November 1995 - February 1997
Skills
Project Management, Data Analysis, Analysis, Data Warehousing, PeopleSoft, Visio, Business Analysis, Process Improvement, Healthcare Information..., Budgets, Vendor Management, Access, Business Intelligence, Microsoft SQL Server, SQL, Requirements Gathering, Requirements Analysis, IT Strategy, Hyland Software, Sybase, Program Management, Databases, SDLC, Management, Software Documentation, SharePoint, Business Process..., IT Management, PMP, Integration, Information Technology, Software Project..., Enterprise Software, Business Process, Disaster Recovery, Leadership, Healthcare, Team Building, Insurance, Health Insurance, Business Requirements, System Deployment, Change Management
Education
Villanova University
State University College @ Buffalo 1986 — 1990
B. S, Information Systems Management
State University of New York College at Buffalo 1986 — 1990
BS, CIS
Amida Care December 2013 - Present
ValueOptions January 2010 - December 2013
United Behavioral Health 2005 - 2007
Fidelis Care NY 2002 - 2004
Humana Health Plans, Inc. 1998 - 2002
Principal Health Care 1997 - 1998
Merit Behavioral Care 1995 - 1996
Lutheran Children and Family Services 1993 - 1994
Episcopal Community Services 1985 - 1993
Skills
Problem Solving, Quality Improvement, Data Analysis, Program Evaluation, Managed Care, External Accreditation, Strategic Planning, Program Development, Organizational..., Medicaid, Leadership, Vendor Oversight, Cross-functional Team..., Regulatory Compliance, HIPAA, Staff Development and..., Healthcare Management, Quality Assurance, Proposal Writing, Behavioral Health, Policy, NCQA, Process Improvement, Accreditation, Clinical Research, Training, Healthcare Industry, Disease Management, Provider Relations, Medicaid Managed Care, Medicare, Utilization Management, Healthcare Consulting, Mental Health
Education
Temple University - Fox School of Business and Management 1987 — 1991
MBA, Marketing
University of Pennsylvania 1983 — 1985
Masters, Social Work
Binghamton University 1979 — 1983
BA, English
Fidelis Care NY September 2011 - Present
Healthfirst, Inc. June 2006 - August 2011
Healthfirst 2004 - 2006
Healthfirst 2003 - 2004
Stamford Hospital 2002 - 2003
Arthur Andersen, LLP 1998 - 2002
Group Health Inc 1995 - 1998
Skills
Medicare, Healthcare, Managed Care, Medicaid, Information Analysis, Healthcare Information..., Process Improvement, Process Management, Business Process..., Healthcare Consulting, Healthcare Technology, Healthcare Management, Healthcare IT, Data Analysis, Business Process Design, Operations Management, Member Services, Enrollment Management, Strategic Analysis, Strategic Planning, Systems Thinking, Analysis, Business Intelligence, Call Centers, HMO, Health Insurance, Healthcare Industry, Insurance, Medical Technology, Network Development, Performance Improvement, Provider Relations, Software Documentation, Team Building, Vendor Management
Education
Hofstra University 2003 — 2006
MBA, Finance
University of Connecticut 1989 — 1993
BS, Health Systems Management
CABETech Consulting Inc. March 2013 - Present
FIdelis Care New York August 2006 - February 2013
Fidelis Care NY August 2006 - February 2013
HealthNow New York Inc. 1998 - 2006
Skills
VB.NET, XAML, Microsoft SQL Server, Visual Basic, SQL, ASP.NET, Sybase, Metastorm, Visio, Relational Databases, Database Design, Software Development, Visual Studio, WCF, LINQ, ASP.NET AJAX
Education
State University of New York College at Buffalo 1991 — 1993
BS, Computer Information Systems
Beacon Health Options December 2014 - Present
Beacon Health Strategies March 2012 - December 2014
Beacon Health Strategies April 2007 - March 2012
Fidelis Care NY January 2006 - March 2007
MHN January 1999 - January 2006
Skills
Healthcare Management, Healthcare, Healthcare Information..., Disease Management, Hospitals, Health Policy, Healthcare Consulting, Clinical Research, Case Managment, Managed Care, Behavioral Health, Medicaid, Medicare, HIPAA, Treatment, Process Improvement, Program Management, Provider Relations, Utilization Management, Microsoft Excel, Team Building, Mental Health, Program Development, Health Insurance, Healthcare Industry, Network Development, Social Services, Management
Education
New York University 1993 — 1995
Master's of Social Work, Clinical/Medical Social Work
University of Virginia
Bachelor of Science, Marketing
UnitedHealth Group January 2013 - Present
UnitedHealthcare January 2013 - November 2013
Centerlight Health System November 2011 - January 2013
Fidelis Care NY August 2010 - November 2011
Amerigroup Corporation January 2008 - August 2010
Royal Health Care, Neighborhood Health Providers 2005 - 2008
Skills
Marketing Strategy, Marketing Communications, Marketing, Strategic Planning, Project Management, Marketing Management, Product Marketing, Product Development, Market Research, Product Management, Competitive Analysis, New Business Development, Business Development, Social Media, Lead Generation, Managed Care, Customer Service, Health Insurance, Healthcare Industry, Healthcare Management, Human Resources, Leadership, Management, Medicaid, Medicare, Performance Management, Program Management, Provider Relations, Recruiting, Sales, Start-ups, Team Building, Training
Education
Morehouse College 1991 — 1995
Bachelor of Arts (B.A.)
Fidelis Care NY April 2010 - Present
DSS May 2004 - April 2010
Skills
Software Development, Web Services, TCP/IP, Java, JavaScript, English, Customer Relations, Retail, YouTube, Youth Work, Internet, Organizing, Photoshop, PowerPoint, Fundraising, Hiring, Business Analysis, Business Strategy, Public Speaking, Leadership, Community Outreach, Training, Team Building, Event Planning, Process Improvement
Education
Keuka College 2008 — 2010
Master's degree, Business Administration and Management, General
Buffalo State College 1998 — 2001
Bachelor's degree, Merchandising and Buying Operations
Fidelis Care NY
Skills
Utilization Management, Case Managment, Social Services, Behavioral Health, Non-profits, Medicare, Fundraising, Managed Care, Leadership, Program Development, Social Media, Event Planning, Mental Health, Community Outreach, Social Networking, Nonprofits, Marketing, Management, Medicaid, Hospitals, Analysis, Healthcare, Case Management, Healthcare Management, Community Organizing, Volunteer Management
Education
Columbia University in the City of New York 1992 — 1994
MSW, Social Work
Hofstra University 1988 — 1992
Fidelis Care NY June 2010 - Present
St. Luke's Hospital September 2009 - June 2010
Robert Half International October 2007 - March 2008
Meridian Health 2002 - 2006
CBIZ KA Consulting 1997 - 2002
Skills
Medicare, Medicaid, Revenue Cycle, Internal Audit, Medicare/Medicaid..., Hospital Reimbursement, Auditing, Accounts Receivable, Accounts Payable, Accounting, Provider Relations, Employee Benefits, PPO, Physician Relations, Strategic Planning, Insurance, Healthcare Consulting, Managerial Finance, Payroll, Health Insurance, Budgets, General Ledger, Medical Coding, Financial Statements, Process Improvement, Revenue Cycle Management, Healthcare Information..., Healthcare Management, EMR, Data Analysis, Network Development, HIPAA, Home Care, Credentialing, Access, Healthcare Industry, Healthcare Reimbursement, Managed Care, Financial Analysis, Health Policy, Executive Management, HMO, Medical Billing, Financial Reporting, Software Documentation, EHR, Healthcare, Health Information..., Invoicing, Physicians
Education
Franklin Pierce College 1984 — 1988
Bachelor of Science (B.S.), Business Management / Finance
Fidelis Care NY October 2010 - August 2014
Metroplus August 2008 - October 2010
Amerigroup Corporation January 2005 - June 2008
CarePlus Health Plans March 2000 - December 2004
Self March 1995 - March 2000
IPRO May 1987 - March 1995
Comprehensive Medical Review, Inc May 1978 - May 1987
Skills
Team Leadership, Quality Assurance, Management, Medicare, Analysis, Home Care, Insurance, Software Documentation, Healthcare, Databases, Informatics, Project Management, Managed Care, Healthcare Information..., Medicaid, Process Improvement, Health Insurance
Education
The University of Texas Health Science Center at Houston 1971 — 1973
Health Services Research
Rice University 1968 — 1971
MA, Biology
University of North Carolina at Chapel Hill 1966 — 1967
MSPH, Public Health
University of Miami 1961 — 1965
BS, Biology
Anthem February 2015 - Present
SAE & Associates September 2014 - Present
Integra Managed Care Plan February 2014 - July 2014
HealthCare Partners, IPA August 2013 - February 2014
HealthCare Partners, IPA September 2012 - August 2013
HealthCare Partners, IPA September 2012 - July 2013
Fidelis Care New York April 2007 - March 2011
Fidelis Care NY 2001 - 2007
Mount Sinai Hospital of Queens 1998 - 2000
Skills
Managed Care, Medicaid, Utilization Management, Disease Management, Medicare, Healthcare Management, Provider Relations, Network Development, Healthcare, Hospitals, Case Managment, Health Care Systems, Nursing, Clinical Research, NCQA, Process Improvement, Health Insurance, Medicaid Managed Care, Quality Improvement, Healthcare Information..., Healthcare Industry, Health Policy, HIPAA, Behavioral Health, Healthcare Consulting, Utilization Review, Home Care, Physician Relations, Physicians, HMO, Medical Compliance, Revenue Cycle, HEDIS, EMR, EHR, PPO, Credentialing, Case Management, Pharmacy Benefit..., Public Health
Education
New York University 1996 — 1998
MSW, Social Work
Aetna July 2013 - Present
Below The Belly Button, LLC 2005 - Present
Lutheran Medical Center August 2011 - December 2014
Writer/Columnist April 2010 - December 2014
Fidelis Care NY June 2012 - July 2013
Obstetrics and Gynecology Assoc August 2004 - February 2011
Preferred Health Partners (formerly Central Brooklyn Medical Group) June 2002 - June 2004
New York University June 1992 - May 1993
Skills
Physician, Policy Analysis, Creative Non-fiction, Healthcare, Healthcare Management, Medicine, Public Health, Managed Care, Hospitals, Medical Education, Medicaid, Medicare, Non-profits, Program Evaluation, Healthcare Consulting, Quality Improvement, Internal Medicine, Health Policy, Nonprofits, Utilization Management, ACLS, Board Certified, Health Education, Health Promotion, Inpatient, Obstetrics
Education
University of Virginia School of Medicine 1993 — 1997
MD, Medicine
New York University 1991 — 1993
MPA, Health Policy Analysis
Vassar College 1987 — 1991
BA, Independent Major
Fidelis Care NY May 2008 - Present
Skills
Development/Training, Outstanding Customer..., Research/Evaluation, Management, Customer Service, Instructional Design, Process Improvement, Human Resources, Change Management, Recruiting, Workshop Facilitation, Staff Development, Call Centers, Team Leadership, Employee Benefits, Talent Management, Supervisory Skills, Leadership Development, Marketing, Employee Training, Training, Healthcare, Leadership, Microsoft Excel, Public Speaking, Sales, Customer Satisfaction, Microsoft Word, Employee Relations, Performance Management, Team Building, Organizational..., Event Management, Interviews, Talent Acquisition, Employee Engagement, Personnel Management, Hiring, Conflict Resolution
Education
Medaille College 2005 — 2007
MOL, Organizational Leadership, Business
University at Buffalo
BA, English
University at Buffalo
BA, Photography
City of Seattle Office of Economic Development January 2015 - Present
Seattle Public Utilities March 2014 - December 2014
Regional Open Space Strategy 2013 - 2014
Seattle Public Utilities 2013 - 2014
Divest UW - Fossil Fuel Divestment Campaign 2012 - 2013
Fragomen, Del Rey, Bernsen & Loewy 2009 - 2013
Fidelis Care NY 2008 - 2009
L'Arche Portland 2007 - 2008
Catholic Charities of Onondaga County 2006 - 2007
Skills
Nonprofits, Social Justice, Policy Analysis, Social Services, Non-profits, Spanish, Refugees, Environmental Issues, Spanish-speaking, iMovie, Poverty, SPSS, Prezi, Microsoft Office, Communication, Developmental..., Public Policy, Community Outreach, Event Planning, Public Speaking
Education
Evans School of Public Policy and Governance, University of Washington 2012 — 2014
Master of Public Administration (MPA), Environmental Management
Maryknoll Language Institute - Cochabamba, Bolivia
Intensive Spanish Language Course
Fairfield University 2002 — 2006
BA, Religious Studies / Classical Music
Saint Vincent Catholic Medical Centers March 2014 - Present
EmblemHealth September 2013 - March 2014
ValueOptions August 2012 - December 2012
Fidelis Care NY May 2010 - August 2012
Fidelis Health Care June 2008 - May 2010
Fidelis Health Care August 2006 - June 2008
Magellan Behavioral Health 1999 - 2001
Skills
Medicaid, Behavioral Health, Healthcare Management, Managed Care, Disease Management, Health Insurance, Process Improvement, Medicare, Hospitals, Microsoft Word, PowerPoint, Strategic Planning, Public Speaking, Team Building, Outlook, HIPAA, Project Management, Clinical Research, Research, Change Management, Budgets, Healthcare Information..., Data Analysis, Healthcare Industry, Call Centers, HEDIS, Quality Assurance, Patient Education
Education
Long Island University, Brooklyn Campus 2006 — 2008
Associate of Science (A.S.), Sociology
Berkeley College-New York 1997 — 1999
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
Village Care Max July 2012 - Present
Fidelis Care NY March 2009 - July 2012
Duane Reade May 2008 - January 2009
Skills
Marketing, Sales, Operations Management, Business Strategy, Medicaid, Marketing Communications, Managed Care, Marketing Strategy, Health Insurance, Insurance, Market Planning, Direct Marketing, Market Research, Public Relations
Education
Baruch College, City University of New York (CUNY) 2005 — 2007
BBA, Marketing Management
Fidelis Care January 2014 - Present
Fidelis Care NY 2010 - January 2014
The Home Depot Inc April 2009 - April 2010
The Home Depot May 2008 - March 2010
Selected Accomplishments (at Home Depot) November 2007 - April 2008
home depot 2002 - 2008
home depot 2000 - 2008
Skills
Employee Relations, Human Resources, Performance Management, Leadership
Education
New York Institute of Technology 2006 — 2008
Masters, Human resource management and labor relations
New York Institute of Technology
Bachelor, Communication Arts
New York Institute of Technology
Master of Science, Human Resource Management and Labor Relations
SAP January 2013 - Present
Sybase January 2012 - Present
MFS Investment Management August 2011 - December 2011
Palladian Health, LLC January 2011 - August 2011
Fidelis Care NY September 2010 - December 2010
HealthNow New York Inc. June 2001 - August 2010
Credit Suisse First Boston December 2000 - May 2001
Cargill August 1997 - September 2000
Skills
Sybase, Replication, Database Design, Data Warehousing, SQL, ETL, Data Modeling, Relational Databases, Microsoft SQL Server, Business Intelligence, AIX, Databases, Unix, Performance Tuning, VB.NET, DB2, SQL Tuning, SAP HANA, Cassandra, Python
Education
National Institute of Information Technology 1989 — 1991
P.G.D.S.D, Post Graduate Diploma in Computers
Gandhi Institute of Technlogy and Management 1984 — 1988
B.E., Electronics and Telecommunications
AT College
St. Joseph's Hospital; Syracuse, NY January 2007 - November 2008
Fidelis Care NY April 2005 - December 2006
Fidelis Care NY April 2004 - March 2005
Education
Bryant & Stratton College 2009 — 2010
AOS, Medical Administrative Assistant
NYC Health and Hospitals Corporation August 2014 - Present
NYC Health and Hospitals Corporation/Kings County Hospital Center September 2011 - August 2014
Fidelis Care NY November 2009 - September 2011
Caritas Health Care- Mary Immaculate Hospital 2006 - 2009
St Vincents Catholic Medical Centers February 2005 - December 2006
St Vincents Catholic Medical Centers 2000 - 2005
Skills
Program Management, Healthcare Management, Healthcare, Medicaid, Hospitals, HIPAA, Leadership, Healthcare Information..., Managed Care, Public Health, Health Policy, Network Development, Revenue Cycle, EMR, Healthcare Consulting, EHR, Physician Relations, Program Development, Medicine, Critical Care, Acute Care, Policy, Medicare, Quality Improvement, Healthcare Industry, Physicians, Nursing, Provider Relations, Utilization Management, Clinical Research, JCAHO, Home Care, Informatics, Case Management, Patient Safety, Performance Improvement, Disease Management
Education
New York Institute of Technology
MBA, Business/Healthcare Admin
State University of New York Empire State College
BPS, Healthcare Administration
Rochester Regional Health System June 2010 - Present
National PACE Association 1994 - Present
National PACE Association October 2012 - October 2014
National PACE Association 2010 - October 2012
Newark Wayne Community Hospital of Rochester General Health System December 2010 - September 2011
ArchCare- The Continuing Care Community of the Archdiocese of New York August 2006 - May 2010
Fidelis Care NY May 2005 - July 2006
American PACE Exchange 2002 - July 2005
Senior Services Advisory Group June 2002 - June 2005
Catholic Health System June 2000 - July 2002
Skills
Healthcare, Healthcare Management, Managed Care
Education
Rochester Institute of Technology 1995 — 1997
MS, Health Systems Administration
Molloy College 1979 — 1983
BSN, Nursing
Independent Health April 2011 - Present
Fidelis Care NY November 2009 - March 2011
Univera Healthcare/Excellus Health Plan 1998 - 2009
Skills
Health Insurance, Healthcare, Healthcare Management, Medicaid, Medicare, Insurance, Employee Benefits, Process Improvement, Business Analysis, HIPAA, Managed Care, Program Management, Healthcare Information..., Cross-functional Team..., Disease Management, Hospitals, Management, Healthcare Consulting, EMR, Strategic Planning, Leadership, Requirements Gathering, Coaching, Business Process..., Health Policy, SDLC, Team Building, Data Analysis, Visio
Education
University of Michigan 1982 — 1984
M.H.S.A.
Middlebury College 1975 — 1979
Fidelis Care NY October 2009 - Present
UCB Pharma February 2006 - February 2009
Coca-Cola Enterprises March 1995 - February 2006
Bell Atlantic Nynex Mobile January 1993 - February 1995
Skills
Budget Management, Retail, Budgeting, Employee Relations, Forecasting
Education
Almeda College and University 1999 — 2003
Bachelor, Business Administration
Bronx Community College 1996 — 1998
Associates, Business Administration
Instituto Tecnológico de Santo Domingo 1989 — 1991
Electrical Engineer, Electrical Power Supply- Residencial/Comercial
Fidelis Care NY November 2003 - Present
WellPoint February 1991 - October 2001
Empire Blue Cross Blue Shield 1991 - 2001
Skills
Insurance, Process Improvement, Business Analysis, Leadership Development, Strategic Planning, Team Building, Healthcare, Leadership, Medicare, Project Management, Team Leadership, Healthcare Management, Health Insurance, Health Policy, Managed Care, HIPAA, Employee Benefits, Medicaid
Education
SUNY New Paltz 1984 — 1988
BA, English
Actavis plc April 2015 - Present
Actavis plc (now Allergan plc) July 2013 - April 2015
Anda, Inc. March 2011 - July 2013
Anda, Inc. July 2008 - March 2011
Watson Pharmaceuticals July 2005 - July 2008
Fidelis Care NY March 2005 - July 2005
CVS Caremark Corporation August 1999 - March 2005
Skills
Purchasing, Negotiation, Problem Solving, Product Development, Customer Service, Team Oriented, Self Driven, Reliability, Detail Orientation, Vendor Relations, Relationship Development
Education
Nova Southeastern University 2009 — 2011
Master of Business Administration (MBA)
SUNY New Paltz 2000 — 2004
Bachelor of Science in Business Administration, Marketing
NSLIJ CareConnect October 2014 - Present
Metropolitan Jewish Health System February 2013 - September 2014
Votiva Health LLC March 2011 - December 2012
Votiva Health February 2008 - April 2011
Guildnet November 2007 - February 2008
Touchstone Health 2006 - 2007
Fidelis Care NY 2005 - 2007
Hospice Care Network February 2002 - November 2004
North Shore-LIJ Health System 1995 - 2002
North Shore University Hospital February 1987 - November 1995
Skills
Healthcare, Case Managment, Clinical Research, Healthcare Management, Hospitals, Palliative Care, Medicaid, Treatment, Managed Care, Inpatient, Quality Improvement, Health Policy, Acute Care, Healthcare Information..., Nursing, EMR, Medicare, Disease Management, Leadership, EHR, Nursing Education, HIPAA, Home Care, Utilization Management, Medical/Surgical, Patient Safety
Education
Farmingdale State College 1989 — 1994
AAS, Nursing
SUNY Downstate Medical Center April 2014 - Present
R&L IT and Telecom Consultants, LLC. May 2010 - Present
Acuative July 2013 - January 2014
Estee Lauder Companies, Inc. October 2006 - May 2010
Fidelis Care NY July 2005 - October 2006
Robert Plan July 1994 - July 2005
Henry Schein Inc. June 1987 - July 1994
Frequency Electronics, Inc. November 1984 - June 1987
ABL General Systems, Inc. June 1982 - November 1984
Skills
Electronic Engineering, Telecommunications, Call Center, Project Management, VoIP, Wireless, Vendor Management, Managed Services, Network Design, Product Management, Data Center, Networking, Cisco Technologies, Business Analysis, Broadband, Outsourcing, Information Technology, Unified Communications, Business Development, Client Needs Analysis, PBX Design,..., Disaster Recovery, Software Installation, Management, Call Centers, Cloud Computing, Technology Needs..., IT Management, Integration, IP, Switches, Security, TCP/IP, ITIL, Troubleshooting, Ethernet, Network Administration, Professional Services, Enterprise Architecture, Pre-sales, Technical Support, Service Delivery, Avaya, Strategy, IT Service Management, WAN, System Deployment, VPN, Network Security, IT Operations
Education
Avaya 1988 — 1989
Certificate of Completion, PBX Installation and Administration, 3.2
ROLM 1987 — 1988
Certificate of Completion, PBX Installation and Administration, 3.2
AT&T 1987 — 1987
Certificate of Completion, Voice and Data Cabling
Suburban Technical School 1982 — 1983
Certificate of Completion, Electrical and Electronics Engineering, 3.5
New York Institute of Technology-Old Westbury 1980 — 1982
Bachelor's degree, Computer Science
Nassau Community College 1978 — 1980
Associate's degree, Computer Science
Fidelis Care NY October 2012 - Present
Self-Employed February 2012 - October 2012
Greatbatch, Inc. January 2005 - February 2012
Skills
Manufacturing, VMware ESX, Telecommunications, Management, Cisco Wireless, Cisco IOS, Cisco Technologies, Windows 7, Visio, Data Center, Switches, Network Security, Windows XP
Education
State University of New York College at Buffalo
BS, Information Systems
Healthfirst February 2001 - Present
Westchester Brassmen Scholarship Fund, Inc. November 2013 - Present
MedSprout/Salu April 2000 - February 2001
GHI January 1999 - April 2000
Fidelis Care NY January 1997 - December 1998
Montefiore Medical Center 1990 - 1996
Skills
Medicare, Managed Care, HIPAA, Healthcare, Healthcare Management, Health Insurance, Health Policy, Hospitals, Medical Compliance, Healthcare Industry, Employment Law
Education
Fordham University School of Law 1992 — 1996
JD, Law
Columbia University Mailman School of Public Health 1986 — 1988
MPH, Health Administration
University of Pennsylvania 1981 — 1984
BA, Psychology, Spanish
Matrix Medical Network October 2012 - Present
WellCare May 2011 - September 2012
Humana October 2008 - March 2011
Amerigroup Corporation October 2007 - July 2008
Fidelis Care NY September 2006 - May 2007
Davis Vision February 2001 - September 2006
Skills
Call Center..., Healthcare Management, Customer Service..., Customer Service..., Project Management, Avaya Communication..., Cisco Call Manager, Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, Call Centers, Management
Education
Laguardia Community College 1988 — 1989
Computer Technology/Computer Systems Technology
Fidelis Care NY May 2012 - Present
Fidelis Care NY February 2008 - May 2012
Nippon Life Insurance Company of America July 2001 - January 2008
Skills
Health Insurance, Healthcare, Managed Care, Training, Performance Management, Onboarding, Process Improvement, Recruiting, Employee Relations
Education
New York University
Master of Arts, Business Education/Training and Development
Pace University-Pleasantville/Briarcliff Campus
Bachelor of Business Administration (B.B.A.), Human Resources Development
Fidelis Care NY July 2003 - January 2014
Education
State University of New York College at Plattsburgh 2009 — 2011
Bachelor's Degree, Criminal Justice/Police Science, B
Fidelis Care NY June 2010 - Present
Foto-Fantasy, Inc September 2003 - August 2010
Valexima, Corp. August 2006 - August 2007
Skills
Outlook, Microsoft Excel, Access, Lotus Notes, Data Entry, PeopleSoft
Education
City University of New York-Brooklyn College 2007 — 2010
Bachelor of Science, Accounting
Catholic Health System November 2010 - Present
Meritain Health December 2008 - January 2010
Teamstaffrx July 2007 - June 2008
Bayfront Medical Center July 2006 - June 2007
Fidelis Care NY May 2003 - May 2006
Education
Erie Community College
Associate, Paralegal
University at Buffalo
Bachelor's, Legal Studies
TAG Solutions June 2010 - Present
Fidelis Care NY June 2008 - June 2010
TAG Solutions July 2004 - June 2008
Skills
Unified Communications, Telecommunications, VoIP
Education
Hudson Valley Community College 2002 — 2004
Host Hotels & Resorts March 2003 - Present
Mayer Brown November 1997 - March 2003
Fidelis Care NY April 1994 - November 1997
Better Health Plan 1994 - 1997
Jackson Lewis 1991 - 1995
Whiteman Osterman & Hanna 1984 - 1991
Skills
Microsoft Office, PeopleSoft, Confidentiality, Diligent Board Books -..., Recruiting, Microsoft Excel, Budgets, Customer Service, Contract Negotiation, Administrative..., Hospitality, Process Scheduler, Employee Relations, Human Resources, Event Planning, Policy, Outlook, Event Management, Administrative..., Microsoft Word
Education
Hudson Valley Community College
Associate of Arts and Sciences (AAS), Legal Assistant/Paralegal
State University of New York at Albany
Non-Professional General Legal Studies (Undergraduate)
Fidelis Care NY Project LeaderEmpire Blue Cross Blue Shield/ WellPoint1993 - 2002
Skills
Medicaid, Provider Relations, Managed Care, Healthcare Management, Medicare, Health Insurance, Healthcare Consulting, Claim, Claims Resolution, HIPAA, HMO, Health Policy, Healthcare, Healthcare Industry, Hospitals, Healthcare Information..., Insurance, Leadership, Management, Medicaid Managed Care, Medical Billing, Medicare/Medicaid..., PPO, Physician Relations, Physicians, Process Improvement, Provider Network..., Quality Improvement, Network Development, Revenue Cycle
Education
Adelphi University 1989 — 1991
MBA, Hospital and Health Care Management
State University of New York College at Cortland 1986 — 1989
BS, Health Science
Fidelis Care NY January 2012 - Present
MetroPlus Health Plan August 2008 - October 2011
HHC February 2007 - January 2008
Community Premier Plus July 2004 - January 2007
Skills
Managed Care, Medicare, EMR, Management, Healthcare Management, Team Building, Hospitals, Medicaid, Marketing, Community Outreach
Education
Mercy College 2010 — 2010
Master of Science in Organizational Leadership, Organizational Leadership
The College of New Rochelle 2005 — 2009
Bachelor of Arts, Marketing/Communications
GuildNet October 2013 - Present
Fidelis Care NY September 2011 - October 2013
Fidelis Care NY October 2010 - February 2012
Skills
Medicaid, Healthcare Consulting, Disease Management, Medicare, Healthcare Information..., Healthcare Management, Healthcare, Health Insurance, Operations Management, Utilization Management, Quality Improvement, Clinical Research, Managed Care, Healthcare Industry, Insurance, Home Care, Strategic Planning, HIPAA, Provider Relations, Customer Service, Hospitals, Case Managment, Nursing, Case Management, Process Improvement, Leadership, Long-term Care, Team Building, Health Policy, Management, Program Management, Public Speaking
Education
Mount Saint Mary College 1978 — 1982
BSN, Nursing Administration
The New School
Master of Science (MS), Health/Health Care Administration/Management
WellCare August 2011 - Present
Fidelis Care NY March 2006 - October 2010
Beth Abraham Family of Health Services January 2001 - March 2006
Beth Abraham Family of Health Services September 1997 - January 2001
Skills
Home Care, Personnel Management, Medicaid, Healthcare Management, Strategy, Customer Service, Healthcare, Leadership, Case Managment, Strategic Planning, Program Development, Program Management, Clinical Research, Mergers & Acquisitions, Team Building, Nursing, Marketing, Performance Improvement, Performance Management, Medicare, Case Management, Quality Improvement, Disease Management, Managed Care, Utilization Management, Provider Relations
Education
LIU Brooklyn
MS/MBA, Community Health/Management
Stony Brook University
BSN, Nursing
Fidelis Care NY June 2012 - Present
HHC Kings County Hospital Center/ExecuSearch Group July 2011 - June 2012
Todhill Pharmacy June 2003 - June 2005
Duane Reade January 1998 - January 2001
Duane Reade January 1997 - January 1998
New York Hospital Medical Center of Queens January 1995 - January 1997
Skills
Pharmacists, Medication Therapy..., Pharmacy Automation, Clinical Pharmacy, Pharmacy, Patient Counseling, Community Pharmacy, Pharmacy Practice, Managed Care, Health Insurance, Medicaid Managed Care, Medicare/Medicaid..., Medicare, Disease Management, Pharmacy Benefit..., Medicare Part D, Healthcare Management
Education
LIU Brooklyn 1993 — 1997
BS, Pharmacy
Fidelis Care NY Newspapers In Education CoordinatorObserver-DispatchJune 2006 - February 2007
Education
Hofstra University 1999 — 2002
Bachelor's degree, Broadcast Journalism
Herkimer County Community College 1997 — 1999
Associate's degree, Radio Television Broadcast
ValueOptions, Inc.® January 2012 - Present
Fidelis Care NY March 2010 - January 2012
Emblem Health September 2006 - February 2010
UCP of New York October 2000 - December 2003
Metropolitan Hospital Center 1987 - 1994
Skills
Medicaid, Health Insurance, Disease Management, HMO, Healthcare Management, Utilization Management
Education
New York University
MSW
United Health Care April 2012 - Present
Fidelis Care NY October 2009 - April 2012
Fidelis Care October 2009 - April 2012
Education
State University of New York College at Oswego
Bachelor of Arts (BA)
Fidelis Care NY June 2009 - Present
Education
State University of New York College at Brockport
Health Science
NYU Langone Medical Center March 2013 - Present
Nimbo August 2012 - November 2012
Fidelis Care NY November 2011 - July 2012
Skills
Business Objects, Microsoft SQL Server, Sybase IQ, Sybase SQL Anywhere, Crystal Reports, SQL, Toad, SQL*Plus, Embarcadero, Business Intelligence, ETL, Sybase Adaptive Server, Oracle SQL, Oracle Applications, Data Analysis, Data Warehousing, Requirements Gathering, Presentations, Public Speaking, Systems Analysis
Education
Keller Graduate School of Management of DeVry University 2010 — 2014
Master of Business Administration (M.B.A.), Information Systems Management
Baruch College, City University of New York (CUNY) 2005 — 2009
Bachelor's Degree, Finance and Investments
Fidelis Care May 2015 - Present
FIDELIS CARE September 2012 - May 2015
Fidelis Care NY January 2010 - August 2012
Mercy Hospital September 1986 - September 2003
Independent Health August 2000 - May 2003
NORTH AMERICAN HEALTH PLANS December 1999 - July 2000
Skills
HIPAA, Requirements Gathering, Access, Understands basic..., CPT and ICD-9 coding..., Claims Resolution, Health Insurance, Prior Authorization, Medicare/Medicaid..., DRG, APC, HMO, CPT, Healthcare Industry, Insurance, Medical Billing, Provider Relations, Analysis, ICD-9, Medicaid, Medicare, Healthcare, Managed Care, Claim
Education
Erie Community College 1990 — 1992
Associates Degree Liberal Arts & Sciences/Humanities
Fidelis Care NY 2011 - Present
State of NY Metropolitan Transportation Authority 2001 - 2011
Alston & Bird LLP 1997 - 2001
Kings County District Attorneys Office 1993 - 1997
Education
Hobart College 1985 — 1989
BA, History, Psychology
St. John's University School of Law
Catholic Health System July 2012 - Present
Fidelis Care NY December 1998 - January 2011
Fidelis Care NY June 2001 - July 2003
Fidelis Care NY August 1999 - May 2001
Fidelis Care NY December 1998 - August 1999
Skills
Managed Care, Healthcare, Business Analysis, Customer Relations, Customer Service, Health Insurance, Healthcare Management, Data Analysis, Analysis, Medical Billing, Medicare/Medicaid..., Claims Resolution, Lotus Notes, Microsoft Word, Claim, Medicare, Medicaid
Education
Bryant and Stratton College 1993 — 1995
Associates, Medical Assisting/Business
NYC Department of Design and Construction May 2014 - Present
Fiduciary Insurance Company of America March 2012 - October 2013
Summit Security Services, Inc. September 2010 - February 2012
John Jay College November 2009 - August 2010
Tuckner, Sipser, Weinstock & Sipser, LLP September 2008 - December 2008
Practising Law Institute June 2005 - August 2007
Fidelis Care NY November 2001 - March 2003
American Committee for the Weizmann Institute of Science August 1999 - April 2000
Skills
Microsoft Office, Cantonese, Notary Public, Legal Research, Customer Service, Policy, Marketing, Data Entry, Interviews, Research, Fundraising, Microsoft Excel, Private Investigations, Legal Writing
Education
John Jay College of Criminal Justice 2009 — 2010
B.A., Public Administration
CUNY Queens College 2008 — 2008
Paralegal Certificate - ABA approved, Legal Assistant/Paralegal, 3.4
Baruch College 1994 — 2000
B.B.A., Industrial Pschyology
martin van buren high school
Pace University September 2012 - Present
Office of Natalie Bordeaux September 2010 - Present
Fidelis Care NY December 2006 - August 2010
Skills
Litigation, Employment Law, Employment Contracts, Vendor Contracts, Contract Negotiation, Corporate Law, Legal Assistance, Family Law, Claim, Dispute, Legal Research, Arbitration, Mediation, Commercial Litigation, Dispute Resolution, Discrimination, Legal Writing, Insurance Law, Civil Litigation, Appeals, Courts, Trials, Copyright Law, Product Liability, Higher Education
Education
St. John's University School of Law 2003 — 2006
Juris Doctor
Pace University 1999 — 2003
B.B.A., Public Accounting
MagnaCare 2006 - Present
Fidelis Care NY 2000 - 2006
Skills
Managed Care, Healthcare, Supervisory Skills, Bilingual-Spanish
Education
The George Washington University 1979 — 1983
BA, MA, Language & Literature
Queensborough Community College 1967 — 1969
Associate of Science (A.S.), Nursing
Complex Care Solutions March 2012 - Present
Affinity Health Plan October 2011 - February 2012
Fidelis Care NY January 2006 - April 2010
Education
Career Quest traning 1994 — 1997
Certificate
Monroe College 1985 — 1997
Fidelis Care NY February 2011 - Present
U.S. Department of State January 2010 - May 2010
Florida State University September 2009 - May 2010
Education
Florida State University 2006 — 2010
Bachelor of Science (B.S.), International Marketing
Fidelis Care NY January 2006 - Present
Univera Healthcare December 1996 - January 2006
Skills
Visual Basic .NET, C#, SQL, HTML, CSS, ASP.NET, ASP.NET AJAX, Visual Basic, Visual Studio, Database Design, Microsoft SQL Server, SharePoint, WCF, WPF, JavaScript, jQuery, Relational Databases, Microsoft Office, XAML, XML
Education
Buffalo State College 1990 — 1993
Bachelor of Science (BS), Information Technology
Erie Community College 1988 — 1990
Associate's degree, Information Technology
Fidelis Care NY August 2008 - Present
Education
Briarcliffe College 2001 — 2004
Bachelor's degree, Business Administration and Management, General
Aetna February 2015 - Present
Visiting Nurse Service of New York May 2013 - January 2015
Fidelis Care NY August 2011 - May 2013
Fidelis Care NY March 2008 - July 2011
Neighborhood Drugstore June 2006 - March 2008
Beth Israel Medical Center October 2004 - May 2005
Medco March 1999 - August 2001
Skills
Pharmacy Benefit..., Medicare Part D, Managed Care, Pharmacists, Pharmacy, Disease Management, Utilization Management, Healthcare Management, Pharmacy Automation, Hospitals, Medicaid, Healthcare Information..., Medication Therapy..., Medicare, Healthcare, Patient Counseling, Clinical Research, Pharmacueticals, Clinical Pharmacy, Quality Improvement
Education
City University of New York-Baruch College - Zicklin School of Business 1999 — 2002
Master of Business Administration (MBA), Finance and Investments
Long Island University, Brooklyn Campus 1993 — 1998
Bachelor of Science (BS), Pharmacy, Cum Laude
Fidelis Care April 2015 - Present
Fidelis Care NY July 2011 - Present
Fidelis Care NY June 2010 - June 2011
Stop & Shop September 2007 - June 2010
Skills
Pharmacy Benefit..., Pharmacy, Medication Therapy..., Managed Care, Clinical Research, Clinical Pharmacy, Pharmacists
Education
Rutgers, The State University of New Jersey-New Brunswick 2004 — 2010
Doctor of Pharmacy (Pharm.D.), Pharmacy
Fidelis Care NY November 2011 - Present
Education
Hunter College
Fidelis Care NY January 2012 - Present
Fidelis Care NY September 2006 - December 2011
Fidelis Care NY May 2005 - September 2006
Skills
Microsoft Excel, Microsoft Office, Access, Facets
Education
Erie Community College 2001 — 2004
Associate's degree, General Studies
Amerigroup Corporation April 2010 - Present
AMERIGROUP Community Care Quality Management April 2010 - Present
Fidelis Care October 2006 - February 2010
Fidelis Care NY October 2006 - January 2010
Victoria Secret January 2002 - November 2004
The Telephone Company September 2001 - January 2002
Opinion Access Corporation August 2000 - September 2001
Skills
Medicaid, Case Managment, Training, Medicare, Data Entry
Education
Borough of Manhattan Community College 2004 — 2005
Some College, Registered Nursing/Registered Nurse
Borough Manhattan Community College
Western International University
Nursing· Health Administration
1199 National Benefit Fund October 2014 - Present
Fidelis Care NY January 2011 - October 2014
United Cerebral Palsy July 2008 - January 2011
BlueCross BlueShield of SC January 2003 - June 2008
Texas Medical Foundation March 2001 - March 2002
Education
Bethel College
Bachelor's degree, Psychology
Fidelis Care NY April 2010 - August 2012
Education
Plaza College 2012 — 2013
Associate of Science, Health Information/Medical Records Technology/Technician
Plaza College 2012 — 2013
Associate's degree, Health Information/Medical Records Technology/Technician
Fidelis Care NY Application specialistAffinity Health Plan2005 - 2008
Skills
Process Improvement, Health Insurance, Access, Call Centers, Insurance, Customer Service, Microsoft Excel, Training, Strategic Planning, Medicaid, Sales, Data Entry, Microsoft Office, PowerPoint, Marketing, HMO, Vendor Management, Network Development, Outlook, Customer Retention, New Business Development, Medicare, HIPAA, Employee Benefits, Managed Care
Education
Kingsborough Community College 1992 — 1995
Associate's degree, Accounting