Health Net of the Northeast
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Health Net of the Northeast Employees
UnitedHealth Group December 2012 - Present
General Dynamics Information Technology February 2012 - November 2012
Magellan Health August 2011 - February 2012
State of New Jersey Judiciary May 2007 - September 2011
Health Net of the Northeast November 2004 - June 2006
Health Net of the Northeast January 2003 - November 2004
AmeriChoice Health Services December 1999 - March 2001
Horizon Blue Cross Blue Shield July 1997 - December 1999
Prudential Healthcare September 1996 - July 1997
Skills
Investigation, Claims, Insurance, Fraud, Outlook, Customer Service, Access, Word, Excel, Microsoft Office, Problem Solving, Customer Relations, Fraud Investigations, Healthcare, Auditing, PowerPoint, Insurance Claims, Documentation, Data Analysis, Software Documentation, Microsoft Excel, Claim, Training, Leadership, Employee Benefits, Medicare, Policy, Human Resources
Education
Stevenson University 2013 — 2015
Master's Degree, Forensic Studies Concentration in Investigations
Rutgers University New 2006 — 2011
Bachelor of Arts, Criminal Justice
Brookdale Community College
Associate's of Applied Science, Criminal Justice
Provant Health Solutions December 2012 - Present
Aetna May 2011 - November 2012
EmblemHealth May 2009 - May 2011
Health Net of the Northeast September 2007 - May 2009
ADVO Inc (now Valassis Communications) March 2003 - September 2007
CIGNA HealthCare October 1995 - March 2003
Tufts Health Plans April 1990 - October 1995
Contel Business Systems September 1985 - March 1990
Skills
Health Insurance, Medicare, Managed Care, Insurance, Employee Benefits, Healthcare, Executive Management, Account Management, Strategic Partnerships, Process Improvement, Underwriting, Healthcare Information..., Strategic Planning, New Business Development, Contract Negotiation, Sales Effectiveness, Profitable Growth, Health Insurance..., Commercial Insurance, Sales, Business Development, Sales & Marketing..., Huthwaite, Sales Management..., Sustainability, Talent Management, Early Stage Companies, Emerging Growth..., Marketing Strategy, Go-to-market Strategy, Channel Optimization, Sales Intelligence, CRM Integration, C Level Selling, Incentive Programs, Sales Compensation Plans, Data-driven Marketing, Customer Segmentation..., Behavioral Segmentation, Enthusiastic..., Positive Personality, Challenge Driven, Delivering Results, Leading Change, Building Coalitions, Leadership, High Performance Teams, Transformational..., Executive Team Alignment, Organizational...
Education
Villanova University 1982 — 1985
BS, Accounting, Business
Suffolk University 1988 — 1990
MBA, Villanova Univ (BS) &, Business
HealthyCT February 2013 - Present
ConnectiCare Inc. 2011 - January 2013
Health Net January 2007 - August 2011
Health Net of the NorthEast 2006 - 2007
Triad HealthCare Inc. 2004 - 2006
Anthem Blue Cross Blue Shield 1979 - 2004
Skills
Teamwork, Provider Relations, Network Development, Customer Service, Contract Negotiation, Management, Customer Satisfaction, Managed Care, Healthcare, Health Insurance, PPO, Medicare, Medicaid, HMO, HIPAA, Healthcare Management
Education
Albertus Magnus College 2008 — 2010
BA, Science in Business Management
Health Net of the Northeast 2006 - 2010
St. Vincent's Medical Center Bridgeport, CT 1983 - 2002
Skills
Healthcare, Medicare, Healthcare Information..., Managed Care, Vendor Management, HIPAA, Health Insurance, Software Documentation, Medicaid, Management, Insurance, Training, Utilization Management, Process Improvement, Provider Relations, Disease Management, Business Process..., Program Management, SDLC, Strategic Planning, Analysis, Data Analysis, Healthcare Industry, EHR, Health Policy, Healthcare Management, Leadership, Quality Improvement, Hospitals, Healthcare Consulting, EMR
Education
Capital Community College
Health Information Technology for Electronic Medical Records:AHIMA CHTS-CP
Quinnipiac University
Bachelor’s Degree, Physical Therapy
University of New Haven
MBA-Executive
Anthem February 2013 - Present
Health Net of the Northeast April 2009 - May 2011
Health Net Health Plan of Oregon September 2006 - April 2009
Health Net of California August 2005 - September 2006
Cache Creek Casino Resort February 2005 - July 2005
Blockbuster October 2002 - February 2005
Sun Microsystems June 2000 - August 2000
The GRID January 1998 - July 1999
Cuesta College September 1997 - May 1999
Skills
Customer Service, Teamwork, Problem Solving, Billing, Documentation, Auditing, Supervisory Skills, Access, Excel, PowerPoint, Inventory Management, Word, Microsoft Office, Process Improvement, Data Analysis, Compliance, Team Building, SAP, Financial Reporting, Accounts Receivable, Six Sigma, Operations Management, Visio, Data Entry, Change Management, Scheduling, Lotus Notes, Spreadsheets, Time Management, Internal Controls, Internal Audit, Invoicing, Microsoft Excel, Sarbanes-Oxley Act, Accounting, Microsoft Word
Education
Villanova 2010 — 2011
San Jose State University 1999 — 2002
BS, Industrial Engineering
Cuesta College 1997 — 1999
AS, Engineering
California Polytechnic State University-San Luis Obispo 1993 — 1997
Engineering
Health Net of the Northeast 2005 - 2008
Education
Temple University School of Medicine 1962 — 1966
M.D., Medicine
University of Utah 1958 — 1962
B.S. (Honors), Genetics
Aetna 2011 - Present
United Healthcare 2010 - 2011
Health Net of the Northeast 2001 - 2010
Charlotte Hungerford Hospital 1998 - 2001
Aetna 1996 - 1998
Kaiser Permanente 1984 - 1996
The Sharon Clinic 1981 - 1984
Education
University of Maryland School of Medicine 1971 — 1975
MD, Medicine
Duke University 1967 — 1971
B.S., Electrical Engineering
Connecticare May 2011 - Present
Health Net of the Northeast January 2006 - July 2011
United Way 2008 - 2011
HealthNet of the Northeast September 2005 - January 2006
ADP 2004 - 2005
Health Net January 2003 - June 2004
Healthnet of the Northeast September 2001 - January 2003
Skills
Medicare, Managed Care, Provider Relations, Medicaid, Insurance, HMO, HIPAA, Network Development, Healthcare Management, PPO, Healthcare, Health Insurance, Recruiting, Utilization Management, Claim, Medical Billing, Hospitals, Credentialing, Healthcare Industry, Medicare Part D, Employee Benefits, Account Management, CPT, Provider Network..., Physicians, ICD-9, Claims Resolution, Human Resources, Process Improvement, Provider Education, Lotus Notes, Access, Physician Relations, Healthcare Consulting, EHR, ICD-10, Revenue Cycle, Disease Management, HEDIS, Health Policy, Medical Coding, Medicaid Managed Care, Healthcare Information..., Medical Terminology, JCAHO, Training, Pharmacy Benefit..., NCQA, EMR, Home Care
Education
Sacred Heart University 1993 — 1995
CIGNA March 2013 - Present
Radisphere (formerly Franklin and Seidelmann) September 2007 - February 2013
Clayton Holdings March 2007 - September 2007
Oxford Health Plans, A United Healthcare Company 2003 - 2007
Oxford Health Plans 2002 - 2003
Health Net of the Northeast January 1998 - February 2002
D.H. Andrews Group March 1997 - December 1997
Casual Corner Group Inc. January 1996 - March 1997
Accenture (Andersen Consulting) June 1984 - December 1995
Skills
Change Management, Performance Improvement, Process Improvement, SDLC, Vendor Management, Program Management, Data Warehousing, IT Management, IT Strategy, Business Analysis, HIPAA, Business Intelligence, Disaster Recovery, Strategic Planning
Education
University of Connecticut 1982 — 1984
MBA, Information Management, Finance
Lehigh University 1978 — 1982
BA, Major- Psychology, Minors- Business Administratrion, Law
Aetna April 2012 - Present
Seeking employment October 2011 - April 2012
Health Net of the Northeast 2003 - 2010
Health Net May 2000 - April 2003
IBM 1997 - 2000
Aetna 1976 - 1998
Aetna Life & Casualty 1976 - 1998
Skills
Health Insurance, Employee Benefits, Health Savings Accounts, Insurance
Education
Central Connecticut State University 1973 — 1977
Pitney Bowes May 2013 - Present
Pitney Bowes March 2012 - April 2013
Pitney Bowes 2007 - July 2012
Pitney Bowes 2003 - 2007
Health Net of the Northeast 1999 - 2003
Health Net of the Northeast 1996 - 1999
Health Net of the Northeast 1995 - 1996
Skills
Defined Benefit, Pensions, Deferred Compensation, 401k, Benefits, Employee Benefits
Education
University of Michigan 1992 — 1994
Masters of Health Services Administration
Middlebury College 1985 — 1989
Bachelor of Arts, Psychology
Kubtec November 2011 - Present
Alpha Medical Group December 2010 - August 2011
CSMS-IPA, Inc. March 2006 - April 2010
Health Net of the Northeast May 2003 - March 2006
Skills
Medicare, Medicaid, Healthcare, Health Insurance, Hospitals, Healthcare Management, PPO, Medicare Part D, Claims Resolution, Healthcare Information..., Health Policy, Customer Service, Healthcare Industry
Education
Southern Connecticut State University 1995 — 2000
B.S., Sociology (The Family)
UnitedHealth Group - Military and Veteran March 2015 - Present
United Health Group September 2012 - March 2015
Keller Williams Realty August 2011 - October 2012
PerkinElmer November 2011 - September 2012
Health Het of the Northeast, Inc. July 2005 - September 2010
Health Net of the Northeast September 2002 - July 2005
Health Net of the Northeast March 1999 - 2002
Koskoff, Koskoff & Bieder April 1996 - August 1998
Marsh, Day & Calhoun August 1989 - April 1996
Skills
Customer Focus, Compliance, Medicare, Auditing, Medicaid, Process Improvement, Management, Project Management, Lotus Notes, Team Building, Policy, Invoicing, Program Management, Quality Assurance, HIPAA, Litigation, CRM, Managed Care, Healthcare, Insurance, Accounts Receivable, Time Management
Education
Connecticut Real Estate Institute 2010 — 2010
Certificate, Real Estate Licensee Course
Sacred Heart University 2002 — 2003
BS, Legal Administration
Sacred Heart University 1997 — 2002
AS, Paralegal Studies
Inova Health System, Inova Health Plans and Population Health June 2014 - Present
INTotal Health (Formally Amerigroup Virginia) August 2010 - June 2014
Center for Interventional Medicine May 2007 - January 2014
MedStar Heath September 2007 - May 2010
Health Net of the Northeast 2005 - 2007
Skills
Medicaid, Healthcare, Medicare, Managed Care, HIPAA, Health Policy, Medical Compliance, Provider Relations, Healthcare Industry, Healthcare Management, Hospitals, Revenue Cycle, Healthcare Consulting, Healthcare Information..., Policy, HMO, EHR, Physicians, Quality Improvement, EMR
Education
The George Washington University - School of Business 2010 — 2012
Master of Business Administration (MBA)
The George Washington University 2009 — 2010
Graduate Certificate, Healthcare Corporate Compliance
Seton Hall University School of Law 1999 — 2002
Doctor of Law (JD)
Rutgers University 1995 — 1999
Bachelor of Arts (B.A.), Political Science and Government
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absegami
ADP August 2014 - Present
ADP May 2013 - August 2014
ADP March 2011 - May 2013
ADP August 2010 - March 2011
Health Net of the Northeast June 2008 - August 2010
Health Net, Inc. July 2005 - August 2010
Health Net August 2006 - November 2007
Health Net July 2005 - August 2006
Frenkel & Co., Inc. March 2004 - July 2005
The Hartford November 2003 - March 2004
Skills
Management Consulting, Research, Marketing Communications, Marketing Strategy, Strategy, Leadership, Product Marketing, Employee Benefits, Strategic Communications, Direct Marketing, Marketing, Strategic Planning, Brand Development, Management
Education
New York University 1999 — 2002
Bachelor of Science, Mass Media Communications and Marketing
Brick Township Memorial High School 1995 — 1999
HS Diploma
APS Healthcare November 2010 - December 2014
Health Net March 2008 - February 2010
Health Net 2006 - April 2009
Health Net April 2001 - April 2006
Health Net August 1999 - April 2001
Health Net of the Northeast August 1998 - August 1999
Health Net April 1997 - August 1998
Skills
Proposal Writing, Health Insurance, Healthcare, Managed Care, Leadership, Insurance, Program Management, Research, Analysis, Customer Service, Project Management, Cross-functional Team..., SharePoint, Medicaid, New Business Development, Health Policy, Strategy, HIPAA, Marketing, RFP, Employee Benefits, Benefits Design
Education
University of Rhode Island 1986 — 1991
Bachelor of Science
Anthem December 2013 - Present
Optum Health April 2010 - July 2012
Health Net of the Northeast June 2005 - April 2010
Baptist Health South Florida October 2003 - June 2005
Baptist Health South Florida October 2001 - October 2003
City of Meriden Health and December 1999 - January 2001
Community Health Network of Connecticut July 1998 - December 1999
City of Meriden Health and June 1994 - July 1998
Skills
Policy Analysis, Customer Relations, Promotions, Coaching, Spanish, Six Sigma Yellow Belt..., Customer Service, Six Sigma, Healthcare, Managed Care, Medicaid, Disease Management, HIPAA, Case Managment
Education
Nova Southeastern University 2004 — 2007
MBA, Health Services Administration
Community Health Education University of Connecticut
BA, Community Health Education
Platt High School
UCONN
Community Surgical Supply March 2013 - Present
Health Net of the Northeast 1999 - Present
Aetna US Healthcare 1998 - 2000
B.Dalton Bookseller 1993 - 1998
Skills
SnagIt, Lotus Notes, Captivate, Technical Writing, Visio, Training, Software Documentation, Project Management, Microsoft Excel, Insurance, Adobe Acrobat, PowerPoint
Education
Ocean County College
Liberal Arts
Cheshire House Nursing & Rehabilitation Center May 2015 - Present
Maxim Healthcare Services April 2015 - Present
St. Vincent's Medical Center June 2013 - Present
The Heart Institute, Bridgeport Hospital July 2012 - January 2013
Health Net of the Northeast January 2005 - February 2011
Skills
Nursing, BLS, Patient Safety, HIPAA, Health Insurance, Medicare, Medicaid, Healthcare, Microsoft Word, Insurance, Process Improvement, Data Entry, Lotus Notes, Access, Call Centers, Recruiting, Software Documentation, Outlook, Hospitals, ACLS, CPR Certified, EMR, Inpatient, Clinical Research, Healthcare Management
Education
Norwalk Community College 2012 — 2014
Associate's Degree, of Science/Registered Nursing/Registered Nurse
Housatonic Community College 2009 — 2011
Central Magnet High School. 1995 — 1999
High School
Aetna September 2010 - Present
Health Net of the Northeast November 2005 - September 2010
Stamford Hospital April 2001 - November 2005
Cornerstone Treatment Facilities Network February 1997 - April 2001
Preferred Health Care 1991 - 1994
Skills
Financial Analysis, Process Improvement, Strategic Financial..., Forecasting, Insurance, Managerial Finance, Access, Finance, Medicare, Financial Modeling, Internal Audit, Accounting, Financial Reporting, Hospitals, Budgets, Variance Analysis, Payroll, Internal Controls, Six Sigma, Medicaid, HMO, Accounts Receivable, Analysis, PPO, Microsoft Excel, Health Insurance, Employee Benefits, Auditing, Account Reconciliation, Hyperion, SAP, Financial Planning, Budgeting, Billing, Financial Management, Meditech, Excel, Managed Care, Essbase, Accounts Payable, Cash Flow, Sarbanes-Oxley Act, Financial Accounting, Capitation, Provider Networks, Strategic Planning, Business Analysis, Management
Education
The University of Connecticut School of Business 1991 — 1995
MBA, Finance
Lehigh University 1981 — 1985
BS, Accounting
Lehigh University - College of Business and Economics 1981 — 1985
BS, Accounting
ConnectiCare October 2010 - Present
Health Net December 1993 - April 2010
Health Net of the Northeast March 2000 - October 2005
M.D. Health Plan December 1993 - March 2000
University of CT Health Center July 1985 - December 1993
Skills
Managed Care, Insurance, Medicaid, Healthcare, Health Insurance, Policy, Legislative Relations, State Government, Government, Budgets, Legislation, Process Improvement, Management, Negotiation, Contract Negotiation, Lobbying, Health Policy, Public Policy
Education
The University of Connecticut Health Center 1996 — 2001
MPH, Public Health
Eastern Connecticut State University 1972 — 1976
BA, Biology
HealthyCT, Inc. October 2014 - Present
Aetna March 2012 - October 2014
Health Net of the Northeast 2003 - 2011
HealthMarket 2002 - 2003
Anthem Blue Cross and Blue Shield of CT 1998 - 2002
United Healthcare 1996 - 1998
Prudential Insurance 1989 - 1996
Skills
Health Insurance, Brokers, Claim, Insurance, Underwriting, Leadership, Risk Management, Strategic Planning, Healthcare, COBRA, HIPAA, Employee Benefits, Managed Care, Health Savings Accounts, Actuarial Science, Medicare, Life Insurance, HMO, Disability Insurance
Education
Temple University 1991 — 1994
MBA, Marketing
University of Delaware - Lerner College of Business and Economics 1985 — 1989
Emblem Health November 2014 - Present
Emblem Health August 2007 - November 2014
Health Net 2003 - 2007
Health Net of the Northeast 2003 - 2007
Blue Cross & Blue Shield of RI 2000 - 2003
Skills
Health Insurance
Education
Fairfield University 1996 — 2000
Travelers January 2013 - Present
The Wolf Harbor Group, LLC November 2012 - Present
United States Navy July 1992 - June 2014
Nurtur October 2010 - November 2012
Health Net December 2005 - June 2010
Connecticut Hospital Association May 2004 - December 2005
CIGNA Healthcare December 2000 - May 2004
Health Net of the Northeast March 1996 - December 2000
M.D. Health Plan 1995 - 1996
Skills
Strategy, Strategic Planning, Healthcare, Analytics, Analysis, Leadership, Project Management, Business Strategy, Management, Managed Care, Data Mining, Project Planning, Informatics, Business Analysis, Business Process..., Access, Change Management, Leadership Development, Executive Management, Databases, Team Leadership, Training, Sales, Integration, Operations Management, Business Development, Policy, Healthcare Management, Cross-functional Team..., Data Analysis, Business Intelligence, Team Building, Software Documentation, Healthcare Information..., Program Management, Government, Process Improvement, Visio, Six Sigma, Vendor Management, Military, HIPAA, DoD, Medicare, Health Insurance, Quality Assurance, Logistics, Security Clearance, Organizational..., Risk Management
Education
University of New Haven 1987 — 1992
MBA
Hawaii Pacific University 1982 — 1986
Bachelor of Arts (B.A.), Economics
UnitedHealth Group August 2011 - Present
Emblem Healthcare April 2010 - August 2011
Health Net of the Northeast July 2004 - April 2010
Health Net 2004 - April 2010
Aetna Health Plans February 1992 - July 2004
Aetna 1992 - 2004
US Healthcare 1992 - 2004
Education
University of Missouri-Columbia 1967 — 1972
Bachelor of Arts, History
Prudential Financial February 2014 - Present
Prudential Financial June 2010 - February 2014
Saint Mary's Hospital June 2009 - June 2010
Health Net of the Northeast March 2008 - February 2009
Health Net February 2007 - March 2008
Health Net 2004 - 2007
Health Net October 2000 - August 2004
Oxford Health Plans February 2000 - October 2000
Physicians Health Services 1996 - 1999
Skills
Project Management, PMP, Insurance, Change Management, Business Process..., Business Analysis, Six Sigma, Software Documentation, Team Management, Project Portfolio..., Budgets, Access, Leadership, Strategic Planning, Integration, Outsourcing, PMO, Strategy, Management, Training, Analysis, Team Building, Project Planning, Operations Management, Program Management, Process Improvement, Security, SDLC, Visio, Cross-functional Team..., Systems Analysis, Business Intelligence, MS Project, Requirements Gathering
Education
Villanova University
Lean Six Sigma Black Belt
VRDS, Inc. Training and Consulting 2010 — 2011
LSS Green Belt
Norwalk Community College 2009 — 2009
Advanced Project Management/PMP Cert
Norwalk Community College 2008 — 2008
NCC/IFS Business Analysis Certification (IIBA Curriculum)
Quinnipiac University
HealthyCT January 2013 - Present
SMC Partners, LLC July 2012 - January 2013
Qualidigm July 2011 - December 2011
Health Net of the Northeast January 2009 - June 2011
Health Net, Inc. January 1988 - January 2009
Mildford and St. Vincent's Hospitals 1974 - 1988
Skills
Case Management, Utilization Management, Compliance, Managed Care, Medicaid, Disease Management, Medicare, Quality Management, Healthcare Management, Process Improvement, Data Analysis, Change Management, Problem Solving, Budgeting, Medical Management, Health Insurance, Care Management, Healthcare, Credentialing, HIPAA, Health Policy, Healthcare Consulting, Budgets, Case Managment, HMO, Healthcare Industry, Healthcare Information..., Inpatient, Leadership, Management, Medical Coding, Medicine, Policy, Program Management, Provider Relations, Quality Improvement, Start-ups, Strategic Planning, Team Building, Revenue Cycle
Education
University of New Haven 1984 — 1988
MBA, Health Care Management
University of Bridgeport 1974 — 1977
BS, Psychology
University of Bridgeport
AS/RN, Registered Nurse
MVP Health Care October 2012 - Present
Health Net November 2004 - April 2010
Health Net of the Northeast November 2004 - April 2010
Paul Hastings September 2003 - November 2004
Health Net February 1998 - April 2000
Independent Health August 1996 - January 1998
Creative Health Concepts, Inc. September 1993 - August 1996
Travelers January 1992 - September 1993
Oxford Health Plans May 1987 - September 1991
Skills
Managed Care, PPO, Network Development, Healthcare Consulting, Medicaid, HIPAA, HMO, Provider Relations, Health Insurance, Leadership, Medicare, Healthcare Industry, Claim, Insurance, Health Policy
Education
The University of Connecticut School of Law 2000 — 2003
JD, law
State University of New York College at Oneonta 1982 — 1986
BS, Political Science
WCL, LLC September 2008 - Present
Health Net of the Northeast 2004 - 2008
Education
Rensselaer Polytechnic Institute - The Lally School of Management and Technology 1991 — 1993
AME Inc. PresidentHealth Net of the NorthEastMay 2000 - September 2003
Health Net of the NorthEast 2000 - 2003
Health Net 2000 - 2003
Humana 1991 - 2000
Valley Health Plan 1975 - 1983
Education
University of Kentucky 1956 — 1966
BS, Economics
Health Net of the Northeast 2007 - July 2010
Health Net of the Northeast October 2005 - May 2007
Health Net of the Northeast, Inc. December 2003 - October 2005
Health Net of the Northeast, Inc. September 2001 - December 2003
Health Net of the Northeast, Inc. May 2001 - September 2001
Health Net of the Northeast, Inc. July 1999 - May 2001
Health Net of the Northeast, Inc. November 1998 - June 1999
Health Net of the Northeast, Inc. June 1997 - October 1998
Garrity Industries, Inc. October 1995 - May 1997
Education
Central Connecticut State University 1991 — 1995
Bachelor of Science: Psychology; Minor: Sociology
Retired 2010 - Present
Connecticare 2008 - 2010
Health Net of the Northeast 2006 - 2008
Anthem 2003 - 2006
CIGNA Healthcare 2000 - 2002
Aetna Health Plans 1980 - 1999
Skills
Health Insurance, Managed Care, Insurance, Underwriting, Medicare, Medicaid, Health Savings Accounts, Employee Benefits, Disability Insurance, HIPAA, Provider Relations, Health Policy, Healthcare, Disease Management
Education
University of Hartford
BS, Economics/Finance
Sensitive Care Cosmetic & Family Dentistry September 2012 - Present
RE/MAX RIGHT CHOICE October 2011 - February 2014
Ellison Homes January 2012 - April 2012
Health Net of the Northeast February 2008 - June 2008
Health Net September 2005 - February 2008
BIC September 1997 - August 2004
Bindley Western June 1993 - June 1997
Skills
Excel, Word, Outlook, Gmail, Lotus Notes, PowerPoint, Microsoft Office, Access, Business Objects, JD Edwards, AC400, ACL, Answering Phones, Multitasker, Attention To Detail, Corporate Finance, Business Analysis, Customer Service, Database Administration, Data Entry, Data Analysis, ICD-9, CPT, Legal Compliance, Legal Support, Real Estate, Personality, Eaglesoft, Microsoft Word, Microsoft Excel, Software Documentation, Facebook, Administrative..., Auditing, Invoicing, Accounts Receivable, Office Management, HIPAA, Fax, Visio, Medicare, Health Insurance, Databases, Employee Benefits, Operations Management, Legal Assistance, Telephone Skills
Education
Fairfield University 1997 — 2003
BS, Finance, 3.46 Cumulative GPA
The University of Connecticut 1988 — 1989
Business Administration and Management, General
LifeCare September 2011 - Present
Health Net of the Northeast August 1992 - September 2011
Skills
Lotus Notes, Health Insurance, HIPAA, Medicare
Education
Sacred Heart University
AS
UnitedHealthcare January 2011 - Present
Health Net of the Northeast 2007 - February 2011
Health Net 1992 - 2007
Skills
Managed Care, HMO, Account Management, Healthcare, HIPAA, PPO, Customer Retention, Sales, Customer Service
Education
Albertus Magnus College 2000 — 2004
Bachelors, Business Management
Yale New Haven Hospital March 2011 - Present
Health Net of the Northeast May 2006 - February 2011
Health Net of the Northeast 2007 - 2007
Yale New Haven Hospital 2005 - 2006
Yale New Haven Hospital 2003 - 2005
Yale New Haven Hospital January 2000 - January 2003
Skills
Healthcare, Nursing, Hospitals, Healthcare Management, Case Managment, Medicaid, Medicare, Managed Care, Home Care, HIPAA, Utilization Management, Health Insurance, EMR, Clinical Research, Healthcare Information...
Education
Regis University 2010 — 2012
MSN, Education and Leadership
Southern Connecticut State University 1995 — 2000
BSN, Nursing
New York Life Insurance Company December 2012 - September 2013
Meridian Health System April 2011 - June 2012
Health Net of the Northeast March 2006 - May 2010
HIP Health Plan of New York 1998 - 2006
Skills
Training, Recruiting, Human Resources, Medicaid, Cross-functional Team..., Newsletters, Analysis, Editing, Budgets, Insurance, Provider Relations, Policy, Interviews, Healthcare, Benefits Administration, Fundraising, Data Analysis, Claim, Health Insurance, Access, Strategic Planning, Health Care Reform, Medicare, Healthcare Industry, Long-term Care, Team Building, Public Speaking, Leadership, Managed Care, HIPAA, Process Improvement, Healthcare Management, Employee Benefits, Health Policy, Healthcare Consulting, Physicians, Marketing, Medical Billing, Network Development, Hospitals, HMO, Life Insurance
Education
City University of New York-Baruch College 1998 — 2001
M.P.A., Public Administration
American University 1985 — 1988
B.A., Literature: Cinema Studies
EJL Homes June 2004 - Present
HEALTH NET of the NORTHEAST 2003 - 2004
PRUDENTIAL FINANCIAL/AMERICAN SKANDIA LIFE ASSURANCE CORP 2002 - 2003
AMERICAN DATA SERVICES, INC. 2000 - 2002
FEDERATED INVESTORS, INC 1998 - 2000
Health New England 1993 - 1997
CLEAN HARBORS, INC 1992 - 1993
Fidelity Investments 1981 - 1991
BRADFORD TRUST COMPANY 1979 - 1980
STATE STREET BANK / BOSTON FINANCIAL DATA SERVICES 1970 - 1979
Skills
Real Estate
Education
Bryant and Stratton College 1968 — 1970
CGS Administrators, LLC May 2014 - Present
UnitedHealth Group August 2013 - May 2014
iHealth Technologies April 2008 - May 2013
First Coast Service Options March 2005 - April 2008
Health Net of the Northeast January 1996 - March 2005
Skills
Medicaid, Medicare, Healthcare, Managed Care, Healthcare Management, Healthcare Information..., Hospitals, HIPAA, Healthcare Consulting, Health Policy, Health Insurance, Utilization Management, EMR, Provider Relations, Data Analysis, Policy, Disease Management, Case Managment, Process Improvement, Software Documentation, Insurance, Strategic Planning, Revenue Cycle, Clinical Research, Physicians
Education
New York Medical College 1978 — 1982
Doctor of Medicine (M.D.), Medicine
SUNY Stony Brook 1974 — 1978
Bachelor of Science (BS), Biology, General
Health Net of the Northeast September 2008 - Present
Health Net February 2005 - September 2009
Health Net March 2001 - February 2005
Health Net December 1999 - February 2000
Health Net February 1999 - December 1999
Health Net April 1998 - February 1999
Health Net February 1994 - April 1998
Yale New Haven Hospital December 1992 - February 1994
Skills
Medicare, Health Insurance, Medicaid, Managed Care, Insurance, Provider Relations, Network Development, Healthcare, Disease Management, Claim, HIPAA, Healthcare Consulting, HMO, Healthcare Management, Revenue Cycle, Employee Benefits, Healthcare Industry, Medicare Part D, Health Policy, Utilization Management, Pharmacy Benefit..., Healthcare Information..., Account Management, Health Care Reform, Long-term Care, Process Improvement
Education
University of New Haven 1997 — 1999
Masters, Healthcare Management
Southern Connecticut State University 1989 — 1992
Bach, Business/Accounting
Yale November 2011 - Present
Health Net of the Northeast June 2007 - July 2010
Health Net April 2002 - May 2007
Health Net March 2000 - March 2002
Health Net April 1998 - February 2000
Health Net April 1996 - March 1998
Health Net July 1995 - March 1996
Skills
Medicare, Health Insurance, HIPAA, Sales, Insurance, Employee Benefits, Teamwork, Managed Care, Claim, PPO, Customer Service, Medicaid, Provider Relations, Healthcare, HMO, Microsoft Excel
Education
Post College 1989 — 1990
BS, General Studies
Quinnipiac University 1987 — 1988
Occupational Therapy
Western Connecticut State University 1983 — 1985
Nursing
Continuing Education
Licensed Producer CT NY NJ
Aetna March 2013 - Present
RCG Global Services August 2012 - March 2013
Health Net of the Northeast May 2003 - April 2011
Act 1 Personal Services February 2003 - May 2003
Nowak Data Systems December 2000 - June 2002
Health Net of the Northeast June 1999 - December 2000
M.D. Health Plan, Inc. March 1988 - June 1999
Colotone, Inc. March 1987 - January 1988
George Schmitt & Co, Inc. March 1978 - March 1987
Cott Corporation 1977 - 1978
Skills
Microsoft Excel, Microsoft Access, Microsoft Office, Business Objects, Health Insurance, Managed Care, Medicare, Data Analysis, Mas 90, Financial Accounting, Accounting, Accounting Applications, Revenue Cycle, Access, Analysis, Forecasting, Medicaid, Auditing, Accounts Receivable, Budgets, Leadership, Financial Reporting, Insurance, Healthcare, Process Improvement, Account Reconciliation, Finance, Financial Analysis, Sales, Payroll
Education
Northeastern University 1968 — 1973
Business, Accounting
Nazareth Ministries, LLC September 2004 - Present
HealthNet September 2004 - August 2010
Health Net of the Northeast September 2004 - August 2010
Skills
Medicare, Insurance, Managed Care, Analytics, Health Insurance, Public Relations, Customer Service, Financial Analysis, Healthcare, Music Production, Music Videos, Web Design, Cinematography
Education
The University of Connecticut 1996 — 1998
Master of Business Administration (MBA), International Finance
The University of Connecticut 1992 — 1994
Bachelor of Science (BS), Actuarial Science
SASCO Insurance May 2013 - Present
BenefitMall December 2008 - May 2013
Health Net of the Northeast January 2003 - December 2008
CIGNA Healthcare March 1997 - January 2003
Chubb 1981 - 1997
Skills
NJ Life and Health..., NY Life and Health..., Health Insurance, Employee Benefits, Disability Insurance, Managed Care, Group Medical, Sales, Brokers, Insurance, Long-term Care, Health Savings Accounts, Medicare, Term Life Insurance, Underwriting, Claim, HRA, Section 125 Plans, Employee Benefits Design, High Deductible Health..., Benefits Administration, Retirement, Life Insurance, Healthcare, Group Insurance, Health Care Reform, COBRA, Critical Illness, Flexible Spending..., Accident, Medicare Part D, Small Business, New Business Development, Commercial Insurance, Leadership, Voluntary Employee..., Whole Life, HMO, Insurance Brokerage, 401k, Long Term Care Insurance, ERISA, Health Policy, General Insurance, Cafeteria Plans, Retirement Planning, PPO, Open Enrollment, Financial Services, Fixed Annuities
Education
Montclair State University 1980 — 1984
BA, Political Science
West Essex Regional 1972 — 1976
High School
Roseland Elementary
Roseland Elementary
UnitedHealthcare January 2015 - Present
UnitedHealthcare May 2010 - December 2014
Health Net of the Northeast April 2006 - May 2010
Health Net of the Northeast April 2005 - April 2006
Bayer Pharmaceuticals November 1999 - December 2004
Bayer Pharmaceuticals July 1996 - November 1999
Bayer Pharmaceuticals July 1995 - July 1996
Bayer Pharmaceuticals April 1988 - July 1995
Skills
Process Improvement, Analysis, Managed Care, Medicare, Market Research, Budgets, Databases, Financial Analysis, Financial Modeling, Project Planning, Sales, Proposal Writing, Hospitals, Healthcare, HIPAA, Insurance
Education
Sacred Heart University 1999 — 2002
MBA, Marketing
Sacred Heart University
BS, Computer Science
Horizon Blue Cross Blue Shield of New Jersey Senior Stop Loss UnderwriterChubb InsuranceApril 2009 - September 2009
Health Net of the Northeast March 2006 - March 2008
Arbor Benefit Group June 2000 - September 2005
The Hartford Financial Services Group January 1998 - June 2000
The Hartford Financial Services Group January 1994 - December 1998
Skills
Brokers
Education
Ithaca College
BS, Business Administration/Economics
Health Net NE March 2007 - Present
Health Net 2001 - Present
Health Net of the Northeast 2001 - Present
Health Net of the NE 2001 - 2010
Health Net NE December 2001 - March 2007
Education
University of Bridgeport 1969 — 1972
none, Nursing
CIGNA HEALTHCARE June 2011 - Present
Health Net June 1996 - August 2010
Health Net of the Northeast June 1996 - August 2010
Health Net 1996 - 2009
United Health Care 1996 - 2009
Health Net 1996 - 2009
Skills
Claim, Employee Benefits, HIPAA, HMO, Health Insurance, Health Savings Accounts, Insurance, Healthcare, Managed Care, Medicare, Microsoft Excel, Process Improvement, Team Building
Education
Albertus Magnus College
Master's of Science, Human Services, General
Albertus Magnus College 2011 — 2014
Bachelor of Business Administration (B.B.A.), Business
University of Bridgeport
Health Plan One April 2008 - Present
Health Net June 1992 - April 2008
Health Net of the Northeast 1992 - 2008
PHS Health Plans 2005 - 2007
Education
University of Connecticut 1965 — 1969
BS, Liberal Arts-English
University Physicians Network March 2009 - Present
Health Net of the Northeast April 2007 - February 2009
Health Net of the Northeast January 2000 - April 2007
Physicians Health Services November 1995 - December 1999
Physicians Health Services April 1995 - October 1995
Education
Boston University 1983 — 1987
B.S., Magazine Journalism
UnitedHealthcare May 2011 - Present
Health Net of the Northeast 2006 - May 2011
Health Net of the Northeast 2003 - 2006
Value Options 2002 - 2003
Philips Medical Systems 1995 - 2001
Skills
Medicare, Hospitals, Medicaid, Medical Coding, Health Insurance, Home Care, Claim, Network Development, Project Management, ICD-9, Medical Billing, Provider Relations, Recruiting, HIPAA
Education
Roger Williams University 1985 — 1989
Marine Biology & Chemistry
APS Healthcare August 2010 - July 2011
Senior Health Partners February 2007 - July 2010
Touchstone Health 2005 - 2007
Health Net of the NorthEast 2003 - 2004
MetroPlus Health Plan 2001 - 2003
New York Medical Group, P.C. 1996 - 2000
Health Insurance Plan (HIP) 1980 - 1996
Education
New York University
MPA, Health Services Administration
Health Net 2004 - Present
HEALTH NET OF THE NORTHEAST 2004 - Present
HealthNet February 1998 - Present
Medical Health Center April 1995 - September 1997
Education
Ocean County College 1999 — 2002
Associates, Business
Health Net of the Northeast October 2007 - Present
Health Net of the Northeast 2006 - 2007
Education
Sacred Heart University 1984 — 1988
Bachelor
Health Net June 1999 - August 2010
Health Net 1996 - 2010
Health Net of the Northeast 1998 - 1999
Health Net of the Northeast 1997 - 1998
Health Net of the Northeast 1996 - 1997
Education
The University of Connecticut
MBA, Business and Accounting
Indiana University Bloomington
Bachelor, Music
Amerigroup Corporation October 2010 - Present
Health Net of the Northeast September 1995 - July 2010
Prudential Insurance Co. January 2004 - August 2005
Centrastate Medical Center 1993 - 1994
Skills
Managed Care, Nursing, Healthcare, Medicare, Medicaid, Utilization Management, Healthcare Management, Disease Management, Clinical Research, Medical/Surgical, Inpatient, Utilization Review, Acute Care
Education
Kingsborough Community College 1978 — 1981
A.A.S., Nursing
Health Net of the Northeast October 2007 - Present
Health Net of the Northeast June 2004 - October 2007
Cheshire Direct, Division of Federated Dept Stores May 1998 - April 2004
Education
University of Connecticut
BA, General Studies
State of Connecticut Department of Insurance Producer
Airgas Specialty Gasses R&D January 2014 - Present
Rexel Holdings USA, Corp. July 2013 - January 2014
Pharmaceutical Data Services June 2011 - July 2013
Health Net of the Northeast March 2007 - June 2011
Parks and Recreation, West Haven, CT June 2002 - June 2010
Health Net September 2006 - March 2007
CVS Caremark Corporation June 2000 - September 2006
Skills
Access
Education
University of New Haven 2010 — 2013
Masters, Computer Science
University of New Haven 2002 — 2006
BS, Mathematics
Health Net of the Northeast July 2003 - March 2011
Health Net of the Northeast January 2003 - January 2011
HealthNet of the Northeast 2003 - 2010
Skills
Employee Benefits, Time Management, Customer Service, Outlook, Microsoft Excel, Healthcare, Insurance, Microsoft Word, Microsoft Office, PowerPoint, Data Entry, Healthcare Information..., Lotus Notes, Medical Terminology, Workers Compensation, Teamwork, Conscientious, Positive Can-do Attitude, Positive Team Player, Work Under Minimal...
Education
Goodwin College 2011 — 2013
Associate of Science, Business Administration - Medical Office Option
Lindley Acquisition Corp. November 2013 - Present
Finance Consultant April 2011 - Present
Health Net of the Northeast August 2001 - January 2011
Peoples United Bank January 1997 - August 2001
Peoples United Bank June 1996 - January 1997
Foot Locker February 1994 - June 1996
Skills
Financial Reporting, Forecasting, Budgeting, Planning, Project Planning, Budgets, Cross-functional Team..., Insurance, Finance, Performance Management, General Ledger, Financial Forecasting, Customer Service, Financial Analysis, Software Documentation, Process Improvement, Analysis, Access, Accounting, Microsoft Excel
Education
Sacred Heart University 1989 — 1993
Bachelor of Science, Finance
UnitedHealthcare October 2012 - Present
UnitedHealth Groun October 2012 - Present
HEALTH NET OF THE NORTHEAST 1999 - 2011
Education
Elizabeth City State University 1974 — 1978
BS, Business Administration
Norwalk Medical Group, P.C. May 2013 - August 2014
Health Net of The Northeast December 2000 - April 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Research, PowerPoint, Training, Patient Scheduling, Front Office, Insurance
Education
Porter and Chester Institute of Stratford 2011 — 2012
Certificate, Health and Medical Administrative Services
Bunnell High School Stratford CT 1979 — 1981