Healthfirst Company
Industry: Health insurance company
DescriptionHeadquarters: New York City, New York, United States CEO: Pat Wang Chief information officer: G.T. Sweeney General counsel: Linda V Tiano COO: Steve Black Subsidiary: Healthfirst Health Plan, Inc.
Healthfirst List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Healthfirst. You can filter them based on skills, years of employment, job, education, department, and prior employment.
Healthfirst Salaries. You can even request information on how much does Healthfirst pay if you want to. Learn about salaries, pros and cons of working for Healthfirst directly from the past employees.
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1,187 Healthfirst employees in database. Find out everything there's to know about Healthfirst employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Healthfirst Employees
AT&T August 2015 - Present
Morrow Middle School August 2013 - Present
Teach For America May 2013 - May 2015
Healthfirst June 2014 - August 2014
Center for Active Learning in International Studies September 2009 - May 2013
CollegeSpring June 2012 - August 2012
Campus Apartments May 2010 - April 2011
Amigos de las Americas June 2008 - August 2008
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Research, Public Speaking, Customer Service, Social Media, Event Planning, Teaching, Non-profits, Event Management, Community Outreach, Public Relations, Teamwork, Project Management, Fundraising, Strategic Planning, International Relations, Nonprofits, Leadership, Data Analysis, Spanish, Training, Community Development, Staff Development, Social Networking
Education
Teacher Leader Development Program - TFA 2013 — 2014
Secondary Math Teacher Certification
University of Southern California 2009 — 2013
Bachelor of Arts (B.A.), International Relations (Global Business)
Pontifícia Universidade Católica de São Paulo 2012 — 2012
International Relations and Affairs
University of Illinois at Urbana-Champaign May 2012 - Present
Healthfirst August 2010 - May 2012
Ernst & Young October 2009 - June 2010
Ernst & Young September 2007 - October 2009
Education
University of Illinois at Urbana-Champaign 2012 — 2017
Doctor of Philosophy (Ph.D.), Accounting
Penn State University 2003 — 2007
Bachelor's Degree, Accounting, 3.92
Randolph High School 1999 — 2003
High School
Healthfirst July 2015 - Present
Crescent Communities, LLC December 2014 - June 2015
Carolinas HealthCare System January 2009 - August 2014
Med Data Management Inc May 2007 - January 2009
Carolina Digestive Health Associates PA February 2005 - May 2007
Skills
Healthcare Information..., Software Documentation, Training, Healthcare, Process Improvement, Visio, SharePoint, Technical Support, Cerner, Project Management, Business Analysis, Troubleshooting, Clinical Research, Vendor Management, Report Writing, Report Analysis, Business Anal, SSRS, Dashboarding, Electronic Form..., SQL Server Management..., Accounts Payable, Accounts Receivable, Agile Project Management, Six Sigma, InfoPath Forms
Education
Norfolk State University 1987 — 1991
ba, Secondary Education/English
Norfolk State University 1987 — 1991
Navy Medical Center Portsmouth - Training Center 1993 — 1995
MCSE - Microsoft Certified Software Engineer
high school
Healthfirst August 2015 - Present
Visiting Nurse Service of New York October 2014 - August 2015
Visiting Nurse Service of New York September 2013 - October 2014
Visiting Nurse Service of New York May 2011 - September 2013
Visiting Nurse Service of New York June 2009 - May 2011
Visiting Nurse Service of New York September 2007 - June 2009
New York Presbyterian Hospital August 2006 - August 2007
AmeriCorps August 2002 - August 2004
Skills
Hospice, Palliative Care, Web Development, iOS development, Utilization Management, Team Leadership, EHR, EMR, HIPAA, Health Policy, Healthcare, Healthcare Information..., Healthcare Management, Hospitals, Informatics, Managed Care, Program Management, Public Health, Team Building, Medicare, Nursing
Education
University of Medicine and Dentistry of New Jersey 2009 — 2011
Master's degree, Medical Informatics
New York University 2004 — 2006
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Swarthmore College 1998 — 2002
Bachelor of Arts (B.A.), Religion/Religious Studies
Healthfirst April 2013 - Present
Healthfirst April 2011 - March 2013
Healthfirst December 2008 - March 2011
KPMG US September 2006 - June 2008
Skills
Financial Reporting, Accounting, Auditing, Finance, Budgets, Project Planning, Variance Analysis, Financial Analysis, Financial Modeling, Forecasting, Financial Accounting, Financial Audits, Data Analysis, Managerial Finance, US GAAP, General Ledger
Education
Rider University 2005 — 2006
Master's degree, Accounting
Rider University 2001 — 2005
Bachelor of Science (BS), Accounting and Finance
Healthfirst July 2014 - Present
Healthfirst October 2013 - July 2014
Healthfirst June 2011 - October 2013
Healthfirst April 2010 - June 2011
Healthfirst July 2008 - April 2010
Skills
Healthcare, Microsoft Office, Financial Modeling, Medicaid, Process Improvement, Financial Analysis, Health Insurance, Data Analysis, Finance
Education
Pace University - Lubin School of Business 2005 — 2007
Master of Business Administration (MBA), Finance
Pace University 2001 — 2003
Master of Science (MS), Management Information Systems, General
Healthfirst July 2014 - Present
Healthfirst November 2012 - Present
Brookstone August 2011 - January 2013
Bank of America January 2012 - November 2012
Skills
Sales Management, Operations Management, Cash Register, Cash Handling Experience, Team Management, Event Management, Microsoft Word, Microsoft Excel, PowerPoint, Catering, Restaurants
Education
Rollins College 2014 — 2016
Bachelor's Degree, Business Administration and Management, General, 3.52
TCI College of Technology 2009 — 2010
Associate's Degree, Business Administration and Management, General, 3.52
Healthfirst February 2012 - Present
VNSNY 2010 - December 2011
Selfhelp Community Services February 2008 - February 2010
Met Council September 2006 - December 2007
JCCA September 2005 - August 2006
Selfhelp Community Services September 2004 - July 2005
Skills
Psychotherapy, Foster Care, Social Services, Medicaid, Case Managment, Crisis Intervention, Program Development, Mental Health, Teaching, Healthcare, Psychology, Treatment, CBT, Case Management, Community Outreach, Nonprofits, Social Work, Mental Health Counseling, Motivational..., Group Therapy
Education
New York University 2003 — 2006
MSW, Social Work
Queens College 1999 — 2002
BA, Psychology
Healthfirst August 2014 - Present
CR Bard September 2011 - August 2014
New Jersey Women and AIDS Network May 2010 - May 2011
Drinker Biddle & Reath LLP September 2002 - August 2008
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, Strategic Planning, Event Planning, Fundraising, Administrative..., Community Outreach, Time Management, Data Entry, Administrative...
Education
Rutgers, The State University of New Jersey-New Brunswick 2008 — 2011
Bachelor's degree, Women's Studies
Healthfirst April 2013 - December 2014
RoyalHealthCare September 2006 - March 2013
New York Life Insurance Company May 2004 - September 2006
Healthfirst 2002 - 2004
Enterprise Rent-A-Car 1999 - 2001
Skills
Health Insurance, Medicare, Managed Care, Medicaid, Strategic Planning, Insurance, Team Building, Healthcare Management, Long-term Care, Healthcare, Data Analysis, Customer Service, Account Management, Marketing, Microsoft Excel, Healthcare Industry, Employee Benefits, Provider Relations, Leadership, Medicare Part D, Hospitals, Health Policy
Education
Queens College 1994 — 1999
Bachelors, Sociology
Healthfirst June 2015 - Present
Healthfirst October 2014 - June 2015
Crozer Keystone Health System June 2013 - October 2014
Healthfirst February 2011 - June 2013
Vanguard June 2006 - February 2011
Merrill Lynch January 2001 - January 2004
Skills
Six Sigma, Process Improvement, Leadership, Performance Improvement, Strategic Planning, Project Management, Strategy, Healthcare, Training, Software Documentation, Integration, Business Strategy, Visio, Operational Excellence, Risk Management, Statistics, Minitab, Risk Assessment, Statistical Data..., Strategic Thinking, Coaching, Mitigation Strategies, Dashboard Metrics, Coaching Staff, Logistic Regression, Design of Experiments, Hypothesis Testing, Organizational..., Change Management, Cross-functional Team..., Business Transformation, Management
Education
Penn State University 1995 — 1999
BS, Hotel, Restaurant, & Institutional Management
Healthfirst August 2015 - Present
Nassau Health Care Corporation August 2014 - August 2015
Associate of Healthcare Executives 2013 - 2015
Associate of Healthcare Executives 2013 - 2015
Associate of Healthcare Executives 2013 - 2015
United Healthcare August 2013 - August 2014
The Health and Welfare Council of Long Island November 2012 - August 2013
The Health and Welfare Council of Long Island April 2012 - November 2012
Nassua University Medical Center- NuHealth/ NuCare Program February 2012 - April 2012
CUNY Queens College July 2009 - April 2012
Skills
Community Outreach, Grant Writing, Public Health, Nonprofits, Higher Education, Program Development, Public Speaking, Program Evaluation, Healthcare, Teaching, Research, Grants, Event Planning, Spanish, Data Analysis, Social Networking, Management, Teamwork, Fundraising, Health Insurance, Health Policy, Health Information..., Proposal Writing, Web Development, JavaScript, Access Database, SAS, Biostatistics, Epidemiology, Capacity Building, Operations Management, Creative Problem Solving, Public Relations, Social Media, Strategic Planning, Technology Needs..., Microsoft Technologies, HTML 5, Cloud Applications, Social Media Strategist, Program Budgeting, needs assessment, d3.js, Data Visualization, Revenue Cycle, Healthcare Management, Health Law, Leadership, Contract Management, R
Education
Hofstra University 2011 — 2014
Master of Public Health (MPH), Public Health, Summa Cum Laude
City University of New York Medgar Evers 2009 — 2011
Post-Bacc., Biology
City University of New York-Queens College 2005 — 2009
B.A., Interdisciplinary Studies: Chemistry, Latin American and Latino Studies
MosaicaFX September 2013 - Present
Archetype Solutions January 2009 - October 2011
Healthfirst February 2008 - January 2009
First Fidelity Mortgage Group March 2006 - February 2008
Skills
Direct Sales, Medicare, International Sales, Marketing Communications, Direct Marketing, New Business Development, Book Writing, Writing, Program Management, Negotiation, Sales, Marketing Strategy, Leadership, Social Media, Marketing, Customer Service, Strategic Planning, Sales Management, Management, Physicians
Education
Penn State University 1999 — 2003
Bachelor of Arts (BA), English Language and Literature/Letters
The Stony Brook School 1995 — 1999
High School Diploma, General Studies
Healthfirst 2013 - Present
Healthfirst 2012 - 2013
Horizon Blue Cross Blue Shield of New Jersey 2010 - 2012
Horizon Blue Cross Blue Shield of New Jersey 2001 - 2010
Horizon Blue Cross Blue Shield of New Jersey 1996 - 2001
Horizon Blue Cross Blue Shield of New Jersey 1992 - 1996
Horizon Blue Cross Blue Shield of New Jersey 1986 - 1992
Skills
Healthcare Industry, Change Management, Facilities Design, Internal Communications, Presentations, New Business Development, Human Resources, Annual Planning, Financial Forecasting, Budget Process, Informatics, Healthcare, Management
Education
Penn State University 1981 — 1985
Bachelor of Science (BS), Health Planning & Administration
Steinhardt Management LLC January 2013 - Present
The Guardian Life Insurance Company of America June 2012 - January 2013
Pace University October 2011 - May 2012
Memorial Sloan-Kettering Cancer Center January 2007 - May 2011
Healthfirst February 2006 - May 2006
Skills
Non-profits, Staff Development, Time Management, Event Planning, Grant Writing, Community Outreach, Volunteer Management, Program Development, Grants, Event Management, Fundraisers, Strategic Planning, Management, Public Administration, Student Affairs, Greek Life, Student Development, Student Leadership, Public Speaking, Proactive self-starter, Organized Multi-tasker, Customer Service, PowerPoint, Microsoft Excel, Nonprofits, Healthcare, Fundraising
Education
Pace University 2010 — 2012
Master of Public Administration, Non-Profit Management
Ithaca College 2001 — 2006
B.A., Politics
Northeast Dental Management, LLC December 2014 - Present
Healthfirst September 2012 - December 2014
Michael C. Fina January 2012 - September 2012
Preferred Health Partners June 2010 - January 2012
Manhattans Physician Group August 2007 - May 2010
KPMG March 1998 - November 2007
MicroBiz Corporation June 1993 - March 1998
Melard Technologies July 1995 - August 1996
Skills
Microsoft Office, Business Process..., Call Center, Customer Service, Process Improvement, Customer Satisfaction, Team Building, Coaching, Operations Management, Technical Support, Team Leadership, Customer Experience, EHR, EMR, NextGen, Management, Change Management, Leadership, Analysis, Performance Improvement, Employee Relations, HIPAA, Supervisory Skills, Visio, Call Centers, Healthcare, CRM, Contact Centers, Business Analysis, Salesforce.com, Human Resources
Education
Rockland Community College 1991 — 1993
Business Administration and Management, General
Healthfirst October 2014 - Present
Carver Federal Savings Bank June 2011 - August 2014
Credit Suisse February 2010 - February 2011
Edelman PR October 2006 - September 2008
Colgate Palmolive May 2001 - July 2006
Time Warner Inc. 1998 - 2001
American Express 1990 - 1997
Skills
Talent Management, Performance Management, Succession Planning, Organizational..., Employee Engagement, Human Resources, Employee Relations, Talent Acquisition, Recruiting, Personnel Management, Training, Employee Training, Strategy, Deferred Compensation, Leadership, Human Capital
Education
New York University
MSW, Social Work
Stony Brook University
BA, Psychology
HealthFirst July 2013 - Present
Aerotek June 2012 - July 2013
Capital BlueCross March 2011 - August 2011
Metro Bank January 2010 - January 2011
PNC Financial Services Group June 2007 - May 2009
Skills
Accounting, Analysis, Auditing, Microsoft Excel, Credit, Event Planning, Microsoft Office, Management, PowerPoint, QuickBooks, Access, Customer Service, Financial Analysis, Data Analysis, Microsoft Word, Outlook, Business Analysis, Social Media, PeopleSoft, UAT Coordination, User Acceptance Testing, Quality Assurance, Subject Matter Experts, Finance
Education
Penn State University 2004 — 2008
Bachelor Of Science, Finance
Regal Medical Group September 2015 - Present
Prime Healthcare Services September 2014 - September 2015
Healthfirst January 2008 - July 2014
Care Level Management February 2007 - December 2007
Advanced Home Care September 2004 - January 2007
Skills
Medicaid, Medicare, Healthcare Management, Utilization Management, Nursing, Case Managment, Healthcare Industry, Healthcare, Home Care, HMO, Managed Care, Quality Improvement, Long-term Care, Disease Management, Medicine, Case Management, Hospitals
Education
Southern New Hampshire University 2014 — 2016
Bachelor's degree, Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
Presbyterian Hospital School of Nursing 1995 — 1998
Diploma of Nursing, Registered Nursing/Registered Nurse
North Carolina State University 1992 — 1994
Chemistry
Healthfirst September 2014 - Present
HELP/PSI, Inc. December 2013 - September 2014
Children's Hospital December 2009 - October 2012
Bronx Lebanon Hospital November 2008 - November 2009
NYC Department of Health & Mental Hygiene June 2008 - November 2009
United Neighborhood Houses Of NY (UNH) October 2007 - June 2008
Skills
Community Outreach, Training, Mental Health, Management, Treatment, Program Development, Public Health, Healthcare, Nonprofits, Research, Program Evaluation, Grant Writing, Public Speaking, Data Analysis, Social Services
Education
Pace University 2007 — 2009
Master of Public Administration (M.P.A.), Health/Health Care Administration/Management
Pace University 2007 — 2009
Masters of Public Administration, Healthcare Administration
Binghamton University 2003 — 2007
Bachelors of Arts, Political Science
Healthfirst July 2014 - Present
White & Case June 2008 - June 2014
White & Case LLP 2004 - 2008
MTA NYC Transit Authority June 2003 - May 2004
Skills
VMware Infrastructure, NetApp Filers, Windows Server, Active Directory, SCCM, SMS, Storage Virtualization, Blackberry Enterprise..., Citrix, Data Center, Server Consolidation, HP Proliant, System Administration, SAN, Microsoft Exchange, Blackberry, Disaster Recovery, Windows 7, VMware ESX, System Deployment, NetApp, VMware, Server Architecture, Storage Area Networks, Virtualization, DNS
Education
New York University - Polytechnic School of Engineering
BS, MS, Computer and Electrical Engineering
Healthfirst June 2013 - Present
WellCare December 2011 - June 2013
Health Net (Health Net of the Northeast - Acquired by UnitedHealthcare in 2009) April 2008 - April 2011
Health Net (Health Net of the Northeast - Acquired by UnitedHealthcare in 2009) April 2006 - April 2008
Ryan Community Health Network / CenterCare July 1999 - January 2006
Skills
Macess, Xcelys, Managed Care, Provider Relations, Medicare, Medicaid, Health Insurance, HMO, Network Development, Healthcare, Healthcare Management, Project Management, ICD-9, Insurance, Recruiting, Health Policy, Employee Benefits, Medical Coding, EMR, Clinical Research, Quality Improvement, Home Care, Healthcare Consulting, Interviews, Healthcare Information..., Contract Negotiation, Medical Billing, Medicaid Managed Care, PPO, Physician Relations, NCQA, HIPAA, Hospitals, CPT, Medical Terminology, Policy, Medicare Part D, Long-term Care, Human Resources, Case Managment, Healthcare Industry, Health Plan Operations, Physicians, Medical Compliance
Education
State University of New York College at Purchase 1989 — 1993
Bachelor of Arts, Literature
SAGE Publications January 2015 - Present
Dumbarton Oaks Research Library & Collectons January 2012 - Present
International Centre for the Study of the Preservation and Restoration of Cultural Property (ICCROM) October 2010 - May 2011
American Academy in Rome December 2009 - December 2010
Healthfirst May 2007 - December 2008
Skills
Library Science, Library, Cataloging, Archives, Metadata Standards, Controlled Vocabularies, Web Content Management, HTML, XML, Photoshop, Usability Testing, Digitization, Digital Libraries, Metadata, Academic Libraries, Libraries, Editing
Education
ARLIS/VRAF Summer Educational Institute for Visual Resources 2012 — 2012
Professional development certificate, Visual resources management
Studio Arts Centre International, Florence, Italy 2009 — 2009
Non-degree, Cultural heritage conservation
Pratt Institute 2008 — 2009
Master's degree (MS-LIS), Library and Information Science, Graduated with distinction
New York University 1998 — 2002
Bachelor's degree, Journalism and Mass Communications, Graduated with honors (Magna Cum Laude, Phi Beta Kappa, Kappa Tau Alpha)
Healthfirst November 2014 - Present
New York Cares January 2012 - Present
Independence Care System February 2014 - October 2014
Independence Care System August 2013 - February 2014
Independence Care System July 2012 - August 2013
V.L. Medical P.C. January 2011 - July 2012
Claim Torrent Inc. February 2008 - February 2009
Skills
Not-For-Profit..., Project Management, Healthcare Management, Team Leadership, Accounting, Nonprofits, Volunteer Management, Social Media, Non-profit Volunteer, Microsoft Word, PowerPoint, Access, Income Tax, Photography, Film Production, Research, Microsoft Excel, Social Networking, Financial Accounting, Social Media Marketing, Appeals, Medicaid Managed Care, Raffle fundraising, Donations, Policy Analysis, Fundraising, Management, Public Relations, Event Management, Budgets
Education
New York University 2013 — 2015
Certificate in Public Relations
New York University 2012 — 2014
Certificate in Project Management
New York University 2013 — 2014
Certificate in Fundraising, Fundraising and Development
New York University 2011 — 2013
Certificate(s) in Accounting, and Not-For-Profit Accounting and Governmental Reporting
Brooklyn College (CUNY) 2006 — 2010
B.B.A., International Business
Healthfirst June 2015 - Present
Healthfirst August 2011 - June 2015
Fox Cable Networks 2010 - 2011
ASME 2006 - 2010
Turner Broadcasting 2000 - 2006
Turner Broadcasting 1998 - 2000
Turner Broadcasting 1997 - 1998
Turner Broadcasting 1995 - 1997
Skills
Instructional Design, Sales, Marketing Strategy, Editing, Training, Public Speaking, Feedback, Project Management, Research, Staff Development, Program Management, Software Documentation, Customer Service
Education
Queens College 1990 — 1994
Bachelor, Mass Communications
BioReference Laboratories May 2015 - Present
Healthfirst 2014 - April 2015
DeVry Medical International 2011 - 2013
Johnson & Johnson 2005 - 2011
Schering-Plough Pharmaceuticals 2003 - 2005
Quest Diagnostics 1998 - 2003
Merck April 1997 - December 1998
Wayne General Hospital 1990 - 1997
Skills
HR Strategy, Talent Management, Organizational Design, Talent Acquisition, Mergers and Acquisitions, Employee Relations, Labor Relations, Compensation, Personnel Management, Strategic Planning, Deferred Compensation, Leadership, Succession Planning, Human Resources, Leadership Development, Organizational..., Strategy, Training, Mergers & Acquisitions, Management, Program Management, Employee Engagement, Workforce Planning, Employment Law, Onboarding, Performance Management, Employee Benefits, Organizational..., Applicant Tracking..., Recruiting, HRIS, College Recruiting, Executive Coaching, Change Management
Education
Rutgers, The State University of New Jersey-Newark 1993 — 1995
M.P.A., Human Resources Management and Services
Rutgers, The State University of New Jersey-Newark 1984 — 1989
BA, Political Science
Rutgers University-New Brunswick
Healthfirst April 2012 - Present
Healthfirst June 2008 - March 2012
Healthfirst May 2005 - June 2008
Healthfirst May 2004 - May 2005
Healthfirst May 2003 - May 2004
Healthfirst September 2001 - October 2002
The Christopers, Inc January 2001 - June 2001
Resident Publications 1997 - 1997
Skills
Access, Word, Visio, PowerPoint, Excel, RightFax, Microsoft Office, Writing, Editing, Scheduling, Outlook, Administration, Data Entry, CCMS, Ingenix, OnContacts, Citrix, Microsoft Excel, System Administration, Training, Process Scheduler, Research, Copy Editing, Event Planning, Editorial, Microsoft Word, Healthcare, Social Networking, Proofreading, Customer Service, Software Documentation, Medicaid, Management, HIPAA, Data Analysis, Medicare, Healthcare Management
Education
New York University 2009 — 2010
Professional Certificate in Editing
Wagner College 1997 — 2001
Bachelor's, English
HealthFirst September 2013 - Present
Sterling Savings Bank May 2012 - June 2013
SNBL USA August 2005 - December 2010
Network Mortgage Services May 2003 - December 2004
Magnolia Audio Video November 1989 - May 2003
Skills
Customer Service, Sales Management, Research, Building Relationships, Excel, Inventory Management, Microsoft Excel, Proposal Support, Product Marketing, Drafting Proposals, Proposal Generation, Team Building, Recruiting, Customer Satisfaction, Management, Sales, Human Resources, Team Leadership, Account Management, Vendor Management, Sales Operations, Retail, Coaching, Business Development, Time Management, Contract Negotiation, Process Scheduler, Training, Project Management, Purchasing, Process Improvement, Cross-functional Team..., Employee Relations, Software Documentation, Six Sigma, Payroll, Outlook, Troubleshooting, Employee Training, Program Management, Budgets, Analysis, Strategic Planning, Data Analysis, Administration, Operations Management, Project Planning, Quality Assurance, Accounting
Education
North Seattle Community College
AA, AAS, Business Administration, General Studies
Roosevelt High School
Allscripts @ North Shore LIJ April 2012 - Present
Healthfirst December 2008 - April 2012
Health Management Systems March 2007 - December 2008
Skills
Managed Care, Revenue Cycle..., Technical validation..., Healthcare Information..., Cross-functional Team..., Data Conversion, Analysis, Requirements Analysis, Databases, SQL, Microsoft SQL Server, Systems Analysis, Data Warehousing, Management, Data Analysis, Training, Leadership, HIPAA, Process Improvement, Healthcare, Software Documentation
Education
Queens College 1998 — 2002
Bachelor, Computer Science
taylor
Aflac May 2008 - Present
Healthfirst April 2007 - May 2008
Re/Max 1st Choice June 2002 - July 2006
Skills
Sales, Customer Satisfaction, Insurance, Employee Benefits, Microsoft Office, Microsoft Excel, Organizational..., Marketing, Leadership, Healthcare, Team Building, Recruiting, Process Improvement, Teamwork, Training, Customer Service, Health Insurance, Public Speaking, Strategic Planning
Education
New York University
Edward R. Murrow H.S.
St. Thomas Aquinas/Holy Family
Healthfirst January 2015 - Present
EmblemHealth October 2007 - February 2015
Skills
Pharmaceutical Industry, Pharmacy Automation, Medicare, Medicaid, Analytics, Pharmacy, Healthcare, Managed Care, Hospitals, Healthcare Management, Healthcare Information..., HIPAA, Public Health, Healthcare Industry, Medicare Part D, Pharmacy Benefit..., Health Insurance
Education
Rockland Community College 2014 — 2014
Horizon Blue Cross Blue Shield of New Jersey July 2013 - July 2015
Icon Information Consultants July 2011 - July 2013
WESTMED Medical Group February 2010 - March 2011
Healthfirst January 2006 - June 2009
Independence Blue Cross June 2001 - December 2005
Independence Blue Cross February 1997 - June 2001
Foundation Health Systems Inc. May 1995 - February 1997
Rutgers University (Forum for Policy Research) July 1994 - May 1995
Health Visions Inc. 1993 - 1994
Skills
Healthcare, Hospitals, Healthcare Management, Medical Terminology, EMR, HIPAA, Healthcare Information..., Medical Billing, Patient Safety, Nursing, Managed Care
Education
Rutgers University Graduate School of Public Policy & Administration
Master of Public Administration (MPA) (in progress), Health Care Management
Rutgers University – Camden
Bachelor's degree, Sociology, Summa Cum Laude
McKesson March 2012 - Present
Affinity Health Plan August 2005 - January 2012
HealthFirst November 2004 - July 2005
Emerging Health IT September 1996 - October 2004
Skills
Business Analysis, Healthcare Information..., Visio, SDLC, Client Liaison, Management, Trizetto, Microsoft Word, Healthcare Management, SQL, T-SQL, PowerPoint, Process Improvement, Data Analysis, Business Requirements, Medicaid Managed Care, Microsoft Excel, Process Management, Vendor Management, Consulting, Integration, Leadership
Education
Queens College
Bachelor of Arts (BA), Experimental Psychology
University of Phoenix
Master of Business Administration (MBA), Technology Management
McKesson Health Solutions July 2012 - Present
McKesson (through Sound Advice Consulting Services) March 2012 - June 2012
Affinity Health Plan January 2011 - January 2012
Affinity Health Plan August 2005 - January 2012
Affinity Health Plan September 2006 - September 2009
Affinity Health Plan August 2005 - September 2006
Healthfirst November 2004 - August 2005
Emerging Health Information Technology (EHIT) September 1996 - October 2004
Montefiore Medical Center January 2001 - January 2004
Montefiore Medical Center January 1996 - January 2004
Skills
Healthcare, Healthcare IT, Healthcare Information..., Full SDLC, Functional..., Business Requirements, Functional Design, Interface Architecture, Functional Architecture, Trizetto, Facets, Cactus, McKesson, SQL, Healthcare Management, Managed Care, Claims, Databases, HIPAA, Visio, Business Analysis, Requirements Gathering, Insurance, Requirements Analysis, Medicaid, SDLC, Quality Assurance, Integration, Analysis, Claim, Software Documentation, Access, Interfaces, Project Management, Microsoft SQL Server, Data Analysis, Vendor Management, Hospitals, Medicare, Software Development, Health Insurance, Process Improvement, Disaster Recovery, SharePoint, EDI, Computer Network..., Systems Analysis, Troubleshooting, Crystal Reports, Testing
Education
University of Phoenix
MBA-TM, MBA of Technology Management
City University of New York-Queens College
B.A., Psychology - Research, Computer Science
COPE Institute 1992 — 1992
Certificate, Computer Programming
Leading Global Company June 2014 - Present
Scholastic December 2011 - June 2014
Broadridge January 2011 - December 2011
BNY Mellon February 2010 - January 2011
Healthfirst March 2007 - February 2010
Edison Properties June 2003 - March 2007
Skills
Financial Analysis, Forecasting, Project Management, Data Management, Data Warehousing, Profit & Loss Management, Internal Audit, JD Edwards, Oracle Financials, Crystal Reports, Business Analysis, Healthcare Analysis, HIPAA, Big Data, Variance Analysis, Valuation, Analysis, Accounting, Financial Reporting, Healthcare, Budgets, Income Statement, Data Analysis, Oracle E-Business Suite, Finance, Management, Sarbanes-Oxley Act, Access, Cash Flow, Financial Statements, Account Reconciliation, Auditing, Strategic Financial..., SAP, Financial Modeling, Strategy, Financial Accounting, Risk Management, Accounts Payable, Accounts Receivable, Competitive Analysis, Analytics, Business Intelligence, GAAP, Process Improvement, Equities, Derivatives, Investment Banking
Education
Pace University - Lubin School of Business 2004 — 2008
B.B.A. - Bachelor of Business Administration, Finance & Investments
Healthfirst July 2013 - Present
UGI Utilities, Inc. 2011 - Present
National Penn Bank August 2008 - October 2011
U.S. Postal Service October 2007 - August 2008
Skills
World Class Customer..., Bilingual-English/Spanis..., Claims Handling, Open Minded, Organized Multi-tasker, Motivated self-starter, Friendly Personality, Freight Claims, Cash Management, Freight, Humanitarian Assistance, Office Administration, 10 Key, Call Centers, Multi-line Phone, Cash Handling Experience, Time Management
Education
Berks Real Estate 2006 — 2007
PA Real Estate sales & regulations course, Real Estate
Penn State University 1995 — 1997
Bachelor of Science (B.S.), Liberal Arts and Sciences, General Studies and Humanities
Healthfirst July 2015 - Present
Medidata Solutions May 2014 - October 2014
ADP March 2014 - April 2014
Kaplan Premier Tutoring May 2004 - March 2014
Community Training and Employment Resources December 2013 - January 2014
CareFusion October 2012 - May 2013
William Paterson University January 2012 - May 2012
Montclair State University January 2004 - May 2011
Skills
Instructional Design, E-Learning, Content Development, Curriculum Development, Instructor-led Training, Distance Learning, Educational Technology, Adobe Captivate, Adobe Photoshop, Adobe Premier Pro, Adobe Audition, Articulate Storyline, Camtasia, CodeBaby Studio, QuarkXPress, Articulate Studio, Adobe InDesign, Powtoons, ADDIE, Needs Analysis, Teaching, Performance Consulting, Tutoring, Higher Education, Research, Microsoft Office, Captivate
Education
San Diego State University-California State University 2010 — 2013
Master of Arts (MA), Educational Technology
The Graduate Center of the City University of New York
Ph.D, Linguistics
New York University
Bachelor of Arts, Journalism / Philosophy
The Institute for Family Health 2015 - Present
Centerlight Health System 2014 - 2015
MetroPlus Health Plan 2013 - 2015
Amerigroup January 2012 - August 2013
Healthfirst 2007 - 2012
F.E.G.S. 2008 - 2010
Fidelis Care Health Plan 2005 - 2007
Health Net Managed Health Network 2004 - 2005
Health and Hospitals Corporation 2002 - 2004
The Guidance Center 2000 - 2002
Skills
Clinical, Mental Health, Treatment, Social Services, Adolescents, HEDIS, QUARR, Quality Management, Quality Assurance, Children, Clinical Research, Behavior Modification, Process Improvement, Medicaid, Therapists, Clinical Supervision, Behavioral Health, Case Management, Healthcare, Managed Care, Hospitals, Healthcare Management, Medicare, HIPAA, Utilization Management, Leadership, Healthcare Information..., Psychotherapy, Healthcare Consulting, Healthcare Industry, Performance Improvement
Education
NYU 2000 — 2002
Masters, Social Work
New York University
Master of Social Work (M.S.W.), Social Work
Transmith T&I Services October 2014 - Present
Healthfirst October 2012 - October 2014
BAMCO Inc. March 2010 - October 2012
Delta Sierra Translations December 2009 - October 2012
Total Home Services, LLC May 2008 - March 2010
USMC April 2004 - April 2008
PMK Group February 2002 - March 2003
Skills
Microsoft Office, AutoCAD, Spanish, English, Translation, French, Microsoft Excel, Microsoft Word, PowerPoint, Research, Construction, Software Documentation, Outlook, Editing, Engineering, Access, Windows, Training, Foreign Languages, Proofreading, Operations Management, Management, Leadership
Education
Thomas Edison State College 2011 — 2013
Bachelor of Arts (B.A.), Dual major in Humanities and International Studies
Montclair State University 2010 — 2012
Spanish Translation Studies
Regent University 2007 — 2008
Religious Studies
OneToOne Physical Therapy and Aquatics June 2015 - Present
Healthfirst April 2014 - June 2015
Healthfirst May 2013 - April 2014
OHSU August 2011 - April 2013
TLC Chiropractic August 2009 - July 2011
Massage Therapy September 2007 - August 2009
Durkin Chiropractic Center August 2006 - August 2007
Skills
Home Care, Quality Management, Customer Satisfaction, Transparency, Medicaid, Medicare, Insurance, Managed Care, Practice Management, Performance Improvement, Quality Improvement, Informatics, Employee Benefits, Software Documentation, Leadership, Healthcare Information..., Health Insurance, Customer Service, Healthcare, Project Management, Public Speaking
Education
Oregon Health and Science University 2012 — 2013
Graduate Certificate in Healthcare Management, Healthcare Management
Florida School of Massage 2005 — 2006
Bachelor's degree, Health Science
University of Florida 2000 — 2003
Bachelor of Health Science, Health Science
Healthfirst January 2015 - Present
Memorial Sloan-Kettering Cancer Center September 2012 - Present
Therapeutic Resources November 2011 - September 2012
New York Athletic Club May 2009 - November 2011
Lutheran Home - Internship June 2011 - August 2011
Lutheran Care January 2011 - August 2011
SUNY Institute of Technology August 2007 - May 2011
JP Morgan Chase May 2007 - August 2007
Education
Northeastern University 2014 — 2016
Master's Degree, Organizational Leadership
State University of New York Institute of Technology at Utica/Rome 2007 — 2011
Bachelor of Science (B.S.), Health Service Administraton
Healthfirst June 2013 - Present
Royal Health Care October 2005 - May 2013
Muzak July 2004 - October 2005
AmeriSouth Mortgage Co August 2003 - July 2004
Empire Blue Cross Blue Shield 1986 - 1997
Skills
COBOL, CICS, JCL, Endeavor, Microsoft Office, SQL, TSO, VSAM, SDLC, Healthcare, Business Analysis, Troubleshooting, Access, Healthcare Management
Education
Onondaga Community College
AA Degree, Mathematics/Science
State University of NY
BA, Computer Science
The Hecht Group February 2013 - Present
Hecht Group Real Estate February 2011 - Present
Morgan Stanley January 2012 - August 2012
Healthfirst September 2011 - November 2011
Skills
Sales, Marketing, Real Estate Transactions, Investment Properties, Financial Analysis, Forecasting, Co-ops, Short Sales, Apartments, Leadership, Investments, Microsoft Excel, Spreadsheets, Condo Conversion, Leases, Contract Negotiation, Residential Mortgages, Financial Projection, QlikView, Access, SharePoint, Cognos, Outlook, SAP, Oracle Financial, Account Reconciliation, Pivot Tables, Financial Modeling, Legal, Finance
Education
Walsh College of Accountancy and Business Administration 2009 — 2011
Bachelors, Finance
Oakland Community College 2006 — 2009
Associates, Business Administration
Nutrition Energy February 2015 - Present
BGB New York January 2015 - Present
Healthfirst July 2014 - November 2014
New York University September 2012 - May 2014
Memorial Sloan-Kettering Cancer Center May 2013 - December 2013
Nutrition Conditioning April 2011 - April 2013
HealthCorps January 2009 - June 2010
Skills
Non-profits, Teaching, Community Outreach, Entrepreneurship, Event Planning, Public Speaking, Marketing Strategy, Fundraising, Data Analysis, Public Health, Nonprofits, Program Development, Health Education
Education
New York University 2011 — 2014
M.S., Clinical Nutrition
Yale University 2004 — 2008
B.A., American Studies
Healthfirst February 2013 - Present
Free Advertising Inc. March 2012 - February 2013
GE January 2012 - February 2012
HYBRIMETRICS August 2011 - November 2011
PENN STATE SURVEY RESEARCH CENTER October 2010 - May 2011
ROAD WARRIORS CONSULTING SOLUTIONS January 2010 - April 2010
Skills
Microsoft Office, PowerPoint, Microsoft Excel, Event Planning, Microsoft Word, Customer Service, Research, Public Speaking, Outlook, Spanish, Fundraising, Social Networking, QuickBooks, Market Research, Marketing, Data Analysis, Leadership, Social Media Marketing, Facebook, Social Media, Nonprofits
Education
Penn State University 2007 — 2011
Bachelor of Science in Business Management, Focus in Marketing and International Business
Healthfirst
Skills
Account Management, Executive Management, Employee Relations, Health Insurance, Call Centers, Claim, Leadership, Business Development, Coaching, Cold Calling, Direct Sales, HMO, Health Policy, Healthcare, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Home Care, Hospitals, Insurance, Marketing, Marketing Strategy, New Business Development, Contract Negotiation, Customer Service, Disease Management, EHR, EMR, Employee Benefits, HIPAA, Healthcare Management, Long-term Care, Managed Care, Management, Medicaid, Medical Billing, Medicare, Network Development, Nursing, PPO, Pharmacy Benefit..., Physician Relations, Physicians, Positioning, Practice Management, Process Improvement, Provider Relations, Recruiting, Revenue Cycle, Sales
Education
Nyack College
Bachelor of Science in Organizational Management
Nyack College
Associate of Science in Marketing
Slalom Consulting March 2006 - Present
Slalom Consulting May 2013 - December 2013
Slalom Consulting February 2010 - June 2012
Slalom Consulting 2006 - 2010
AT&T Wireless Services 2000 - 2005
Healthfirst 1999 - 2000
Abacus and Associates 1997 - 1999
GE Capital 1988 - 1994
Price Waterhouse 1985 - 1994
Skills
Business Analysis, Consulting, Program Management, IT Strategy, Business Intelligence, Management Consulting, Finance, Project Management, SDLC, Strategy, Vendor Management
Education
Ohio University 1981 — 1985
Healthfirst September 2015 - Present
Beacon Health Options April 2014 - August 2015
Beacon Health Strategies December 2005 - April 2014
MHN April 2008 - June 2010
Skills
Program Development, Social Services, Adolescents, Healthcare, Treatment, Clinical Research, Managed Care, Mental Health Counseling, Group Therapy, Crisis Intervention, Case Managment, Inpatient, Behavioral Health, Family Therapy, Mental Health, Team Building, Community Outreach, Utilization Management, Medicaid, HIPAA, Utilization Review, CBT, Healthcare Management, Psychotherapy, Hospitals, Dual Diagnosis, Non-profits, Psychiatry, Medicare, Public Speaking, Medicaid Managed Care, EAP, Clinical Supervision, Disease Management, Therapists, Psychology, Life Transitions, Motivational..., Case Management, Nonprofits
Education
Nova Southeastern University 1994 — 1997
Master's degree, Marriage and Family Therapy/Counseling
Healthfirst February 2014 - Present
Healthfirst February 2013 - February 2014
Georgian Permanent mission to the United Nations September 2012 - February 2013
Ministry of Foreign Affairs of Georgia September 2011 - September 2012
; March 2009 - August 2011
Davis Real Estate Agency January 2008 - February 2009
ONE NATION TRAVEL AGENCY February 2006 - December 2007
Raritan Valley Community College May 2005 - January 2006
Alfredo’s Restaurant September 2004 - May 2005
I. Javakhishvili Tbilisi State University September 2002 - June 2004
Skills
Research, Outlook, Microsoft Word, Microsoft Office, Editing, Data Entry, Customer Service, Microsoft Excel, International..., Russian, Capacity Building, English, Foreign Affairs, Volunteering, Lotus Notes, PeopleSoft, Insurance
Education
Pace University 2015 — 2015
Paralegal Certificate Program, Law
Atlantic School of Insurance
Life&Health insurance producer license, Life and Health insurance
I. Javakhishvili Tbilisi State University (TSU) 2000 — 2004
Bachelor’s Degree, Social Science; International Relations and Affairs
Sustainable Purchasing Leadership Council September 2015 - Present
Innovatix December 2011 - January 2015
EMR Implementation Contractor June 2010 - December 2011
Montefiore Medical Center June 2004 - December 2009
Independent Contractor September 2002 - June 2004
Queen's Long Island Medical Group 2002 - 2003
Healthfirst September 2001 - August 2002
Skills
Organizational..., Training, Leadership Development, Leadership, Talent Management, Change Management, Performance Management, Program Management, Management, Strategy, Project Management, Healthcare, Team Building, Workshop Facilitation, Onboarding, Instructional Design, Employee Engagement, Coaching, Staff Development, Strategic Planning, Career Development, E-Learning, Performance Improvement, Conflict Resolution, Captivate, Process Improvement, Organizational Design, Talent Acquisition, Blended Learning, Policy, Employee Benefits, Employee Relations, Organizational..., HRIS, SharePoint, SurveyMonkey, Team Effectiveness, Recruiting, Consulting, Succession Planning, Training Delivery, Learning Management, GoToMeeting, Employee Training, Executive Coaching, Learning Management..., Interdisciplinary..., Interviews, Project Planning, Corporate Social...
Education
Queen's University
BA, BEd Degrees, History and Biology, High School Education
University of Toronto
MS Degree, Organizational Development
Healthfirst July 2014 - Present
White Plains Hospital March 2013 - July 2014
Montefiore New Rochelle Hospital September 2012 - March 2013
Skills
Healthcare, Nutrition Education, Hospitals, Health Education, Nutrition, Dietetics, Public Health, Medical Nutrition..., Nutritional Counseling, Clinical Research, Health Promotion, Clinical Nutrition, Wellness, Inpatient, Critical Care, Public Speaking, Weight Management, Prevention, Patient Education, Acute Care, Bariatrics
Education
Queens College 2009 — 2012
Master of Science (MS), Nutrition and Exercise Science, Nutrition Specialist
The University of Connecticut 2004 — 2008
Bachelor of Science (BS), Nutrition Sciences
JFK 2000 — 2004
JFK
Hospital for Special Surgery June 2015 - Present
Healthfirst October 2014 - May 2015
Steinhardt School of Culture, Education, and Human Development September 2014 - May 2015
NYU Robert F. Wagner Graduate School of Public Service September 2013 - May 2015
NYU Langone Medical Center May 2014 - December 2014
Hospital of WPU June 2012 - August 2013
Skills
Teaching English as a..., Research, Tutoring, Data Analysis, Teaching Adults, SPSS, PowerPoint, Instructional Design, Microsoft Office, Translation, Nonprofits, Qualitative Research, Community Outreach, Policy Analysis
Education
New York University 2013 — 2015
Master of Public Administration (MPA), Health/Health Care Administration/Management
Wuhan University 2008 — 2012
Bachelor's degree, Insurance
Best Buy July 2014 - Present
Best Buy April 2014 - July 2014
Best Buy November 2012 - April 2014
Best Buy November 2011 - November 2012
Best Buy May 2010 - November 2011
Healthfirst May 2008 - January 2009
Talbots May 2006 - January 2008
Skills
Merchandising, Visual Merchandising, Management, Customer Service, Sales, Recruiting, Store Management, Retail Sales, Store Operations, Inventory Management, Coaching, Leadership, Loss Prevention, Retail, Inventory Control, Analysis, Customer Satisfaction, Training
Education
Oklahoma State University 2004 — 2010
Bachelor of Arts (B.A.), Art History
Oklahoma State University 2004 — 2010
Bachelor's degree, Art History
Healthfirst May 2015 - Present
Express Scripts September 2014 - January 2015
Medco October 2010 - January 2014
Skills
Sop, GMP, Pharmaceutical Industry, Regulatory Affairs, Cross-functional Team..., Medical Writing, Business Analysis, Healthcare, Management, Managed Care, Microsoft Excel
Education
College of Notre Dame of Maryland
Master's degree, Human Resource Management
University of Maryland Baltimore County
Healthfirst May 2013 - Present
St Particks High School 1998 - 2000
St Particks High School 1998 - 2000
Skills
Healthcare, Healthcare Management, Medicare, Medicaid, Managed Care, Hospitals, Case Management, HIPAA, Home Care, Healthcare Information..., Nursing, Clinical Research, Disease Management, Utilization Management, Healthcare Consulting, Physician Relations, Quality Improvement
Education
Portland State University 1974 — 1976
West Side High 1970 — 1974
College/University Preparatory and Advanced High School/Secondary Diploma Program
Healthfirst June 2014 - Present
EmblemHealth November 2006 - June 2014
Horizon Blue Cross Blue Shield of New Jersey 2003 - 2006
The Health Plan of the Upper Ohio Valley 1993 - 2003
Skills
Managed Care, Disease Management, Healthcare Management, Health Insurance, Utilization Management, Healthcare, HEDIS, Medicare, Medicaid, Nursing, Clinical, Care Management, Medical Management, Case Management, Clinical Research, Healthcare Consulting, Provider Relations, NCQA, Certified Case Manager, Quality Improvement, HMO, Healthcare Industry, Medicaid Managed Care, Health Policy
Education
Penn State University
BS, Nursing
Wheeling Jesuit University
MBA
Healthfirst May 2015 - Present
Healthfirst November 2013 - April 2015
Healthfirst June 2011 - October 2013
Merrill Lynch August 2010 - December 2010
Skills
Healthcare, Medicare, Business Analysis, Project Management, Financial Analysis, Community Outreach, Contract Negotiation, Customer Service, Provider Relations, Microsoft Office, Marketing Strategy, Access, Analysis, Marketing, New Business Development, Negotiation, Insurance, Management, Strategic Planning
Education
Texas A&M University-Commerce 2013 — 2014
Master of Business Administration (M.B.A.), Entrepreneurship/Entrepreneurial Studies
Queens College 2009 — 2011
BBA, Corporate Finance
Cleary Gottlieb Steen & Hamilton LLP November 2013 - Present
Healthfirst January 2012 - October 2013
NYUMC 2011 - 2012
Marcum LLP / Marcum Technology Group June 2011 - November 2011
Weight Watchers November 2010 - June 2011
The New York Times April 2010 - October 2010
Warshaw Group May 2006 - December 2009
NYC DoITT 2004 - 2006
Computer Associates, Inc 2004 - 2004
Ericsson 1993 - 2003
Skills
PMP, Project Management, SDLC, Program Management, Software Project..., Integration, Management, Telecommunications, Vendor Management, Business Development, Leadership, Information Management, Business Analysis, Software Development, Information Technology, Customer Engagement, Data Center, Staff Management, Resource Management, Requirements Analysis, Consulting, IT Strategy, Process Improvement, Healthcare, Professional Services, Security, Client Engagement, PMO, Team Leadership, Cross-functional Team..., MS Project, ERP, Project Portfolio..., Digital Marketing, Strategic Planning, Computer Proficiency, IT Management, Microsoft Project, PMO set-up, Web Portal, eCommerce, Program Delivery..., Legal Support Services, Computer Network..., IT Business Strategy, Web Marketing, Strategy, Budget Management, CRM
Education
Polytechnic University 1978 — 1982
B.S., Electrical Engineering
Brooklyn Technical High School 1975 — 1978
Healthfirst June 2014 - Present
Skills
Project Management, Business Analysis, Procurement, SDLC, PMP, Certified Project..., Project Delivery, Project Management Plan, Project Resourcing, Closeout, Scope Management, Project Initiation, Project Management Tools, Project Performance, Project Risk, Project Status Reporting, Requirements Workshops, JAD, Use Case Analysis, Data Flow, Business Objects, Functional Decomposition, UAT coordination, Analysis of business..., Networking, Healthcare Information..., MMIS, HP, Consulting, EHR, ERP, Strategic Planning, Microsoft Office, Healthcare, Databases, Supervisory Skills, Microsoft Excel, Customer Service, Team Building, Managed Care
Education
University of Central Oklahoma 2011 — 2012
MBA Masters of Business Administration
University of Central Oklahoma 2008 — 2010
BBA Management Information Systems
Oklahoma City Community College 2005 — 2008
AAS Computer Information Systems
Viewpost May 2015 - Present
Viewpost August 2014 - Present
UBC - An Express Scripts Company December 2013 - May 2014
Florida Blue December 2011 - December 2013
Healthfirst November 2008 - November 2011
MEDai, Inc. April 2006 - November 2008
Independence Blue Cross 1995 - 2006
Greater Atlantic Health Services 1993 - 1995
Skills
Leadership, Cross-functional Team..., Managed Care, Program Management, Process Improvement, Medicare, HIPAA, Medicaid, Provider Relations, Healthcare, Health Insurance, Healthcare Management, Management, Vendor Management, Health Policy, Software Documentation, Healthcare Information..., Healthcare Industry, Data Analysis, Utilization Management, SDLC, Healthcare Consulting, Medicare Part D, Informatics, Claim, Insurance, Disease Management, Analysis, Business Analysis, SharePoint, Visio, Call Centers, HMO, Revenue Cycle, EHR, Physicians, Team Building, Networking, Network Development, Hospitals, Product Management
Education
University of Phoenix
Bachelor's Degree, Health Administration with concentration in Health Management
University of Pennsylvania
English
Temple University
Journalism
Rutgers, The State University of New Jersey-Camden
Political Science
Kiiana Reyes Outreach CoordinatorLong Term Managed Care CompanyJanuary 2014 - November 2014
Citi Habitats March 2013 - December 2013
Healthfirst November 2012 - February 2013
Douglas Elliman Real Estate January 2012 - August 2012
Prudential Douglas Elliman October 2011 - January 2012
Citi-Habitats October 2011 - October 2011
The Corcoran Group September 2011 - September 2011
Estee Lauder August 2010 - December 2010
MAC Cosmetics January 2007 - July 2010
Skills
Event Planning, Customer Service, Social Media, Administrative..., Microsoft Office, Outlook, I am good at making..., Ability to bring..., Microsoft Excel, Microsoft Word, Social Networking, Event Management, PowerPoint, Time Management, Research, Marketing, Sales, Social Media Marketing
Education
New York University 2001 — 2004
Sociology, Biology and History
A.P. Randolph High School
Issac Newtown
Junior High Schoool
OCHIN September 2009 - Present
Qmedtrix May 2009 - August 2009
Clinicient, Inc. November 2008 - March 2009
Oregon Health Systems January 2008 - October 2008
Medical Consultants Network, Inc. January 2003 - January 2008
PacifiCare Health Systems May 2001 - January 2003
PacifiCare Health Systems July 1999 - May 2001
Healthfirst March 1999 - July 1999
Abel Healthcare April 1998 - February 1999
PacifiCare Health Systems October 1994 - April 1998
Skills
Healthcare, Team Building, Project Management, Employee Benefits, Process Improvement, Epic Systems, Management, HIPAA, Coaching, Leadership, Analysis, Insurance, Training, Medical Billing, Microsoft Excel, Access, Revenue Cycle
Education
Portland Community College
Business Management
Ace Consultant Services, LLC January 2010 - Present
AXA Equitable September 2011 - April 2013
Novartis October 2010 - May 2011
Consulting Firm in Princeton July 2010 - August 2010
Chubb Insurance February 2010 - May 2010
The Wharton School June 2008 - December 2008
Schering-Plough April 2008 - May 2008
Healthfirst May 2007 - March 2008
Novartis / KMK Consulting February 2006 - December 2006
(self employed) January 2005 - December 2006
Skills
Data Warehousing, Business Intelligence, Databases, Microsoft SQL Server, Data Analysis
Education
University of Denver 1999 — 2001
Masters Level Certificate of Advanced Studies (Computer Science), Database Administration (GPA 3.9)
Denver Tech / DeVry University 1997 — 1998
A.A.S Network and Computer Systems Administration, (Computer Science) (GPA 3.9)
Rutgers University-New Brunswick 1985 — 1990
(Double) BA & BA, Economics / Finance minor & Music - Classical Composition
Dowling College October 2013 - Present
Dowling College October 2012 - October 2013
Dowling College February 2010 - October 2012
ASCAP September 2006 - July 2009
GT Media, A Gaiam Company December 2005 - September 2006
GoodTimes Entertainment September 1996 - September 2006
HealthFirst February 1995 - September 1996
Skills
AIX, SUSE Linux, Windows Server, Oracle, SQL, VMware, IBM Tivoli Storage..., Ellucian Banner, Oracle WebLogic, IBM Servers, IBM Storage Systems, IBM Tape Libraries, Operating Systems, Databases, Unix, Linux, Unix Shell Scripting, Perl, DOS, Troubleshooting, Servers, Data Center, Software Development
Education
New York University - Polytechnic School of Engineering 1990 — 1994
BS
Healthfirst February 2012 - Present
Healthfirst October 2010 - February 2012
Healthfirst December 2008 - October 2010
Various Global Financial Firms September 2002 - June 2008
East Brunswick Public Schools February 2004 - May 2008
Saint Vincent Catholic Medical Centers 1998 - 2002
Continuum Health Partners 1996 - 1998
American Red Cross in Greater New York 1992 - 1996
Skills
Strategic Communications, Media Relations, Corporate Communications, Internal Communications, Strategy, Leadership, Strategic Planning, Newsletters, Social Media, Digital Marketing, Management, Healthcare, Marketing, Writing, Public Relations, Editing, Crisis Communications, Nonprofits, Team Building, Social Media Marketing, Marketing Communications, Social Networking, Coaching, Employee Engagement, Project Management
Education
New York University
BA
Stuyvesant High School
American Management Association (AMA)
Healthfirst January 2014 - Present
Rob Ho Advertising April 2013 - December 2013
MRM Worldwide January 2011 - March 2013
Huge 2013 - 2013
McCann HumanCare 2013 - 2013
iRGONOMIC 2013 - 2013
Euro RSCG Life 4D October 2010 - December 2010
Wilson RMS October 2009 - June 2010
VARIOUS February 2007 - September 2009
adland.tv 2000 - 2008
Skills
Direct Mail, Copywriting, Interactive Advertising, Advertising, Digital Marketing, Creative Direction, Integrated Marketing, Digital Strategy, Outdoor Advertising, Creative Strategy, Interactive Marketing, Relationship Marketing, Content Strategy, B2B, Marketing, Direct Marketing, Mobile Marketing, Brand Development, Online Advertising, Digital Media, Corporate Branding, Email Marketing, Brand Architecture, Media Planning, Concept Development, Collateral
Education
Rochester Institute of Technology
B.S., Marketing
School of Visual Arts
Aetna November 2012 - Present
WellPoint February 2011 - November 2012
Healthfirst September 2008 - February 2011
Healthfirst December 2007 - September 2008
Touchstone Health April 2007 - October 2007
Touchstone Health July 2003 - April 2007
Touchstone Health July 2002 - July 2003
Touchstone Health October 2001 - July 2002
Touchstone Health September 2001 - October 2001
Skills
Performance Management, Disease Management, Process Improvement, Healthcare, Healthcare Management, Project Management, Team Building, Strategic Planning, Medicare, Utilization Management, Managed Care, Medicaid, Project Planning, HIPAA, Healthcare Information..., Visio, Management
Education
Northeastern University 1998 — 2001
Bachelor of Science (BSc), Psychology
Quinnipiac University 1996 — 1998
St. Joseph's Healthcare System June 2013 - Present
Healthfirst January 2012 - May 2013
UnitedHealth Group November 2010 - January 2012
WellPoint/ Empire Blue Cross Blue Shield May 2006 - November 2010
Horizon Blue Cross Blue Shield of New Jersey September 2002 - May 2006
Skills
Managed Care, Provider Relations, Network Development, Medicare, Medicaid, Healthcare Industry, Healthcare Consulting, Healthcare, HIPAA, Credentialing, Physician Relations, Healthcare Management, Healthcare Information..., Revenue Cycle, HMO, Health Policy, Health Insurance, PPO, Hospitals, Medicare Part D, Utilization Management, Disease Management, Physicians, Quality Improvement, Financial Analysis, Finance, Negotiation
Education
Montclair State University
Master of Business Administration (MBA)
Penn State University 1995 — 2000
BS, Labor & Indutrial Relations
LaSalle College High School 1992 — 1995
Healthfirst January 2015 - Present
Healthfirst January 2013 - January 2015
American Telecommunications, Inc. May 2012 - October 2012
T-Mobile July 2010 - April 2011
T-Mobile July 2009 - July 2010
T-Mobile June 2007 - July 2009
Sprint Nextel February 2003 - February 2007
Sprint Nextel May 2001 - February 2003
Sprint Nextel November 1998 - May 2001
Lord & Taylor 2000 - 2001
Skills
Blended Learning, Online Training, Training Delivery, Project Implementation, Public Speaking, Program Facilitation, Change Management, Organizational..., Sales Management, CRM software, Classroom Training, Vendor Management, Onboarding, Employee Development, Account Management, Classroom, CRM, Training, Customer Experience, E-Learning
Education
New York University
Journalism and Mass Communications/Economics
The Mary Louis Academy
The Mary Louis Academy
Healthfirst March 2015 - Present
1199SEIU National Benefit and Pension Funds February 2013 - February 2015
1199SEIU National Benefit and Pension Funds July 2009 - February 2013
1199SEIU National Benefit and Pension Funds December 2007 - July 2009
International Multiple Medical Services Inc. (IMMS) March 2005 - November 2007
Skills
Business Management, HIPAA, Management, Strategic Planning, Large-scale Data..., Technology Integration, Healthcare Information..., Healthcare Management, Microsoft Excel, Access, Data Analysis, Vendor Management, Process Improvement, Program Management, Business Analysis, Healthcare, Team Building, Coaching, Customer Service
Education
University of Phoenix 2011 — 2013
Master of Business Administration (MBA), Business/Commerce, General
Pontificia Universidad Católica Madre y Maestra 1997 — 2001
Bachelor, Business Administration, Cum Laude
HealthFirst March 2004 - Present
Skills
Agile Methodologies, SQL, Microsoft SQL Server, Business Analysis, SDLC, .NET, SSIS, Integration, Software Development, Requirements Analysis, Business Intelligence, Database Design, Software Project..., Data Warehousing, Visio, SharePoint, Databases, Visual Studio, Scrum, Requirements Gathering, Systems Analysis, Vendor Management, Software Documentation, Crystal Reports, Healthcare Information..., Enterprise Architecture, Program Management, Access, Analysis, Project Management, Agile Project Management, HIPAA, Business Requirements, Data Analysis, Disaster Recovery, MS Project, C#, IT Management, System Administration, ETL, Process Improvement, PMP, SSRS, Data Modeling, IT Strategy, Health Information..., Analysis Services, Healthcare Industry, Medicaid, Healthcare Consulting
Education
Penn State University 1994 — 1998
MSIS, Management Science and Information Systems
Healthfirst 2000 - Present
Education
St. Joseph's College 1986 — 1990
BA, Psychology
Nazareth Regional HS 1982 — 1986
New York University
Shawn's Needle Nook LLC September 2011 - Present
Alere, Inc. November 2007 - December 2011
Healthfirst January 2007 - September 2007
Long Term Care Group, Inc. April 2001 - December 2006
Mellon Bank January 1997 - July 2000
Skills
Contract Management, Operations Management, Training &..., Quality Assurance, Sewing, Embroidery, Customer Service, Recruiting, Training, Leadership, Management, Long Term Care Insurance, Health Insurance, Life Insurance, Medicare, HIPAA, Hiring, Call Centers, Coaching, Insurance, Healthcare, Budgets, Account Management, Social Networking, Process Improvement, Time Management, Retail
Education
Purdue University 1977 — 1981
BS, Consumer & Family Sciences
Purdue University 1977 — 1981
Bachelor of Science (BS), Retail Management
MetLife August 2015 - Present
Capital One May 2012 - Present
HSBC January 2002 - April 2012
Healthfirst September 2000 - December 2001
New Solutions, Inc January 1998 - August 2000
Skills
SAS, Microsoft Excel, Analysis, Credit Risk, Credit Cards, Risk Management, Financial Modeling, Business Analysis, Forecasting, Data Mining, Presentations, Analytics, Management, Banking, VBA, SQL, Financial Services, Portfolio Management, Financial Risk, Process Improvement, SDLC
Education
Rutgers, The State University of New Jersey-New Brunswick 1994 — 1997
Master of Arts (M.A.), Economics
University of Delaware 1990 — 1994
Bachelor of Arts (B.A.), Sociology
University of Delaware - Lerner College of Business and Economics 1990 — 1994
Bachelor's Degree, Economics
Healthfirst December 2002 - Present
Skills
Strategic Planning, Call Centers, Call Center, Managed Care, Healthcare Management, Healthcare, Training, Healthcare Information..., Customer Service, Medicaid, Business Analysis, Leadership, Healthcare Consulting, Employee Relations, HMO, HIPAA, Provider Relations, Medicare, Process Improvement, Management, Cross-functional Team..., Recruiting, Team Building, Executive Management, Health Insurance, Vendor Management, Healthcare Industry, Operations Management, Hospitals, Project Management
Education
Pace University
BBA, Business
G Source, Inc 2015 - Present
Phoenix House 2014 - 2015
Healthfirst 2004 - 2013
United Healthcare 2002 - 2004
Aetna 1991 - 2002
Skills
Health Insurance, Managed Care, Medicaid, Insurance, Public Speaking, Employee Benefits, Medicare, Healthcare, Healthcare Information..., Hospitals, Marketing, Healthcare Industry, Strategic Planning, Team Building, Training, Provider Relations, Business Development, Leadership, HIPAA, Project Management, Healthcare Consulting, Strategy, Contract Negotiation, Performance Improvement, Healthcare Management, Account Management, Sales Management, Sales Operations, Management, New Business Development, Sales, Health Policy, Network Development, Executive Management, Disease Management, Strategic Partnerships, Vendor Management, Leadership Development, Change Management, Coaching, Medicare Part D, Cross-functional Team..., Process Improvement, HMO, Selling, Marketing Strategy
Education
Northeastern University
Bachelor of Science (BS)
HealthFirst November 2010 - Present
Anthem August 1996 - October 2010
WellPoint 1996 - 2010
Skills
Analysis, Medicare, Health Insurance, Process Improvement, Healthcare, HIPAA, Insurance, Vendor Management, Healthcare Management, Healthcare Information..., Business Analysis, Strategic Planning, Call Centers, Team Building, Leadership, Employee Benefits, Cross-functional Team..., Project Management
Education
Queensborough Community College 1989 — 1991
JetBlue Airways June 2015 - Present
JetBlue Airways August 2013 - June 2015
JetBlue Airways October 2010 - August 2013
JetBlue Airways November 2008 - September 2010
Sterling National Bank October 2006 - November 2008
Healthfirst February 2006 - October 2006
Adecco Staffing, USA April 2005 - February 2006
American Income Life Insurance Company September 2002 - April 2005
Skills
Business Analysis, Project Management, Project Planning, Operations Management, Team Leadership, Aviation, Leadership, Process Improvement, Analysis, Airlines, Management, Financial Services, Program Management, Customer Service, Flights, Aerospace, Sales, Commercial Aviation, Flight Planning, Airports, Charter, Airport Management, Vendor Management, Cross-functional Team..., Aircraft, Strategic Planning, Team Building, Crew Resource Management, Software Documentation, Airline Management, Aviation Security, Flight Training, Training, Flight Safety, CFI, Contract Negotiation, Logistics
Education
Rutgers, The State University of New Jersey-New Brunswick 1998 — 2002
Bachelor of Science (BS), Management Information Systems, General
Wyndham Grand Orlando Resort Bonnet Creek September 2011 - Present
Healthfirst February 2011 - September 2011
The TemPositions Group of Companies July 2010 - January 2011
Department of Veterans Affairs April 2009 - April 2010
Sheraton Columbia Downtown Hotel February 2008 - February 2009
Blue Cross and Blue Shield of South Carolina August 2006 - February 2008
WDW Swan & Dolphin Hotel September 2001 - April 2006
Orange Lake Resort September 1998 - September 2000
Marriott Orlando International Drive 1996 - 1998
Skills
Training, Human Resources, Event Planning, Customer Service, Resorts, Restaurants, Management, Hotels, Marketing, Time Management, Payroll, Food & Beverage, Hospitality, Teamwork, Purchasing, Customer Satisfaction, Interviews, Hospitality Management, Hospitality Industry, Hotel Management, Pre-opening
Education
Paul Smith's College 1992 — 1994
A.A, Hotel & Restaurant Management
San Judas Tadeo
Amerigroup Corporation January 2010 - Present
Healthfirst March 2009 - January 2010
Comprehensive Care Management Corporation March 2008 - March 2009
Amerigroup Corporation 2009 - 2009
Touchstone Health May 2006 - January 2008
WellCare of New York, Inc. August 2003 - May 2006
Education
New York University 1999 — 2003
Bachelor of Arts, Psychology
HealthFirst Senior Marketing ConsultantVCQN2015 - Present
Healthfirst May 2009 - 2014
Skills
Medicare, Medicaid, HIPAA, Managed Care, Healthcare, Healthcare Information..., Marketing, Healthcare Management, EMR, Health Insurance, Hospitals, Process Improvement, Claim Investigation, Claims Management, Customer Service, Contract Management, Provider Relations, Health Promotion
Education
Rutgers University-New Brunswick
Master's Degree, Public Administration
Healthfirst March 2015 - Present
PSEG October 2011 - March 2015
PSEG October 2008 - November 2011
Con Edison August 2003 - October 2008
Pike Construction June 2002 - July 2003
Thalle Construction June 1996 - May 2002
Skills
Enterprise Content..., Project Management, Enterprise Architecture, Documentum, FileNet, Program Management, Resource Management, Management, Project Planning, SharePoint, SDLC, Solution Architecture, Business Process, Document Management, PMO, Pre-sales, Requirements Analysis, Business Process Design, IT Strategy, PMP, Integration, Software Project..., Business Process..., Leadership, Business Intelligence, Project Portfolio..., Business Analysis, SOA, Business Process...
Education
Roger Williams University 1996 — 2001
B.S., Computer Information Systems
Yorktown High School 1992 — 1996
MYCPA 2004 - Present
Reval 2000 - 2004
Healthfirst 1999 - 2000
Deloitte 1996 - 1999
Loeb & Troper 1993 - 1996
Skills
Accounting, Payroll, Corporate Tax, Non-profits, Tax, Income Tax, Financial Reporting, Individual Taxation, Quickbooks, General Ledger, Partnership Taxation, Reconciliation, Tax Preparation, Bookkeeping, Budgeting, Tax Accounting, Tax Returns, Sales Tax, Tax Compliance, Small Business..., Tax Services, Tax Return Preparation, Federal Tax, IRS, Business Tax, Payroll Taxes, GAAP, Accountants, Depreciation, Fixed Assets, Financial Accounting, Preparation, Federal Taxation, Tax Audits, S Corporations, Tax Research, Cash Flow, Journal Entries, Account Reconciliation, QuickBooks, Nonprofits, Auditing, Budgets, US GAAP, CPA, Revenue Recognition, Risk Management, Sarbanes-Oxley Act, Cash Management, Internal Controls
Education
CPA - NYS Registration 1994 — 2008
CPA, Accounting
Queens College 1988 — 1993
BA, Accounting
Yeshiva University
Healthfirst September 2006 - Present
Skills
SDLC, Risk Management, Analysis, Business Analysis, Disaster Recovery, CISA, IT Strategy, Insurance, Internal Audit, Internal Controls, Management, Project Management, Security, Software Documentation, Vendor Management, Information Security..., Information Technology, Business Process..., Process Improvement
Education
Florida Institute of Technology 2010 — 2012
Master of Science, Information Technology Management, 3.83
Rutgers, The State University of New Jersey - Rutgers Business School 1996 — 1999
Bachelor of Science, Business Management, 3.8
Health Republic Insurance of New York March 2014 - Present
Centers Plan for Healthy Living MLTCP January 2012 - March 2014
HealthPlus PHSP February 2010 - January 2012
HealthPlus PHSP November 2007 - February 2010
WellCare June 2005 - November 2007
Elderplan September 2001 - June 2005
Healthfirst 1998 - 2001
Skills
Medicare, Medicaid, Managed Care, HIPAA, HMO, Health Insurance, Healthcare, Provider Relations, Healthcare Management, Insurance, Network Development, Health Policy, Process Improvement, Healthcare Industry, Medicare Part D, Healthcare Information..., Healthcare Consulting, Strategic Planning, Contract Negotiation, Pharmacy Benefit..., Long-term Care, Compliance, Credentialing
Education
Pace University - Lubin School of Business
Business Management
Healthfirst August 2015 - Present
Smokey Bones Bar & Fire Grill October 2010 - August 2015
Smokey Bones Bar & Fire Grill October 2009 - November 2010
Smokey Bones Bar & Fire Grill July 2008 - October 2009
Smokey Bones Bar & Fire Grill November 2005 - July 2008
Olive Garden May 2000 - November 2005
Olive Garden June 1992 - May 2000
Skills
Restaurants, Hospitality, Restaurant Management, Employee Relations, Human Resources, Management, Training, Performance Management, Sales, Leadership, Employee Training, Payroll, Business Planning, Recruiting, Hospitality Industry, Coaching, Employee Benefits, Time Management, Career Development, Food Service, Customer Service, Team Building, Hiring, Multi-unit, Hospitality Management, Onboarding, Purchasing, Leadership Development, Multi-Unit
Education
Roanoke College 1986 — 1990
BA, Psychology
McKesson Health Solutions September 2012 - Present
Healthfirst July 2009 - August 2012
GE September 2007 - August 2008
WellPoint, formerly Empire Medicare Services June 2004 - May 2007
MCI January 1998 - March 2001
MetLife April 1984 - January 1998
Skills
Business Analysis, IT Solutions, Healthcare Information..., SDLC, SQL, Requirements Analysis, Testing, Analysis, Systems Analysis, Visio, Software Documentation, Business Process, Data Analysis, Business Requirements, Process Improvement, Quality Assurance, User Acceptance Testing, MS Project, Program Management, Software Development, Project Management, Technical Writing, Requirements Gathering, Cross-functional Team..., Test Planning, SharePoint, Management
Education
Norwalk Community College 2009 — 2009
Certificate, IFS Business Analyst
New York University 1981 — 1983
Certificate, Computer Programming
Healthfirst May 2015 - Present
Express Scripts September 2010 - January 2015
Express Script / Medco October 2009 - August 2010
Medco Health Solutions October 2008 - August 2010
Xybion Medical System November 2007 - July 2008
Paris Securities Corp May 2007 - October 2007
Skills
SDLC, Agile Methodologies, Requirements Analysis, Test Automation, Testing, Software Quality..., Leadership, QTP, HP QTP, Quality Assurance, Software Project..., User Acceptance Testing, Visio, Business Analysis, Requirements Gathering, Business Process, Vendor Management, Management, Test Planning, Process Improvement
Education
Osmania University 1996 — 1999
Bachelors, Finance
Indian School Bahrain
Healthfirst July 2014 - Present
Visiting Nurse Service of New York February 2009 - July 2014
St John's Queens Hospital November 2006 - February 2009
WIC Program June 2005 - February 2006
Skills
Cerfifed Diabetes..., Chinese, Cantonese, Mandarin, Diabetes, Type 1 Diabetes, Type 2 Diabetes, Clinical Research, Certified Diabetes..., Pediatrics, Patient Education
Education
Queens College 2001 — 2005
BA, Dietitics
GlaxoSmithKline April 2010 - Present
GlaxoSmithKline April 2008 - Present
Reliant Pharmaceuticals July 2000 - April 2008
Healthfirst 1996 - 2000
Skills
Pharmaceutical Industry, Cardiology, Pharmaceutical Sales, Healthcare, Rheumatology, Gastroenterology, Hypertension, Managed Care, Selling, Endocrinology, Hospitals, Primary Care, Pulmonology, Sales, Sales Operations, Urology
Education
Rutgers Business School
MBA
Rutgers University
Bachelor's degree, History
Healthfirst March 2014 - Present
New York Korean Nurses Association March 2013 - Present
VillageCare March 2010 - March 2014
New York Korean Nurses Association February 2011 - February 2013
Memorial Sloan-Kettering Cancer Center January 2011 - December 2012
X-Treme Care May 2003 - February 2010
Queens Blvd. Extended Care Facility June 2002 - May 2003
New York University January 2001 - December 2001
Yonsei University Medical Center Severance Hospital March 1996 - February 2000
Yonhee Neruo-Psychiatric Clinic January 1995 - February 1995
Skills
Home Care, Healthcare Information..., Patient Education, Informatics, Clinical Research, EMR, Healthcare Management, Healthcare, EHR, Customer Service, Nursing, Healthcare Consulting, Access, Hospitals, Critical Care, HIPAA, Visio, Microsoft Office, Patient Safety, MS Project, MS Visio, MS Access, MS Publisher, MS Office Suite, Eclipsys, Nursing Informatics, Adobe Acrobat X Pro, Adobe Photoshop, Window Live Movie Maker, ACT!, HCPlus, Santrax, SCREEN, HC/PRI, SAAM, HCFA 485, UAS-NY, M11Q, M27R, Modified OASIS, MMSE, CCMS, Managed Care, MS Excel (Advance Level), VPN, VoIP, Citrix, MLTC, GoToMeeting, ePACES
Education
New York University 2010 — 2012
Advance Certificate, Nursing Informatics
New York University 2000 — 2003
M.A., Nursing Administration
Yonsei University 1992 — 1996
B.S.N., Nursing
Healthfirst May 2011 - January 2015
Morgan Stanley May 2002 - May 2010
Education
Rutgers University 2008 — 2011
Master of Business Administration (M.B.A.), Double Major Business Strategy and Finance
Amerigroup Corporation November 2012 - Present
Family Health Partners a Coventry company January 2008 - October 2012
HealthFirst June 2004 - January 2008
Joplin Surgical Associates, Inc. March 1997 - June 2004
Skills
Medicaid, Managed Care, Healthcare Management, Provider Relations, Healthcare, Medicare, Network Development, Hospitals, Health Insurance, Healthcare Industry, Credentialing, HMO, PPO, Medicaid Managed Care, Health Policy, Physician Relations
Education
Northeastern Oklahoma A&M College 1993 — 1994
Joplin High School 1986 — 1990
Healthfirst September 2013 - Present
Independence Blue Cross April 2012 - August 2013
Horizon Blue Cross Blue Shield of New Jersey August 2006 - August 2012
Horizon Blue Cross Blue Shield of New Jersey June 2003 - August 2006
Skills
Product Marketing, Strategic Planning, Data Analysis, Market Research, Competitive Intelligence, Brand Management, Cross-functional Team..., Strategy, Competitive Analysis, Product Management, Business Analysis, Analysis, Vendor Management, Business Strategy, Insurance, Risk Management, Health Insurance, Managed Care, Process Improvement, Analytics, Account Management, Medicare, Healthcare
Education
Oberlin College 1983 — 1987
BA, Economics
St. Peter's University
MBA (candidate)
Rey Sa Bopp LLC 2013 - Present
North Shore-LIJ Health System 2012 - Present
Healthfirst 2012 - 2014
Peninsula Hospital Center 2011 - 2012
Peninsula Hospital Center 2005 - 2011
Skills
Epic Systems, Microsoft Office, Revenue Cycle Management, Health Information..., Emergency Room, Patient Advocacy, Quality Patient Care, Patient Education, Medical Terminology, Patient Administration, PowerPoint, SAS, New Business Development, Team Building, Coaching, Team-oriented, Event Planning, Event Management, Networking, Small Business, Customer Service, Compliance, Radio Host, Release of Information, Medical Records, Writing, Social Media, Social Media Marketing, Website Development
Education
Stephens College 2008 — 2015
Bachelor of Science (B.S.), Health Information/Medical Records Administration/Administrator
Northeastern State University 2001 — 2004
Bachelor of Science (B.S.), Biology, General
Oral Roberts University 1995 — 2000
Bachelor of Science (B.S.), Biology, General
Healthfirst June 2015 - Present
NYU Robert F. Wagner Graduate School of Public Service September 2014 - May 2015
United States Senate March 2012 - May 2014
United States Senate August 2011 - February 2012
Blum Center for Developing Economies, U.C. Berkeley September 2010 - June 2011
Capitol Office of Califonia State Assemblymember V. Manuel Perez May 2010 - July 2010
Berkeley City Council 2009 - 2010
District Office of California State Assemblymember V. Manuel Perez 2009 - 2009
Rock the Classroom September 2007 - July 2008
Karlitz & Company June 2006 - June 2007
Education
NYU Robert F. Wagner Graduate School of Public Service 2014 — 2016
Master of Public Administration (M.P.A.), Health/Health Care Administration/Management
University of California, Berkeley
Bachelor of Arts with High Distinction, Political Science
Express Scripts November 2014 - August 2015
Healthfirst April 2012 - September 2014
Healthfirst July 2008 - June 2012
Skills
Medicare, Managed Care, Claim, Health Insurance, HIPAA, Healthcare, Call Center, CPT, Employee Benefits, Medicaid, Insurance, Customer Service, Call Centers, Leadership, Program Management, Public Speaking, Training
Education
Nova Southeastern University 2007 — 2009
B.S, Business Management
Valencia Community College 1993 — 1996
Associate of Arts, Academic Studies
Hobart Service July 2013 - Present
Healthfirst October 2012 - August 2013
Herley Industries December 2007 - October 2012
PRIMUS TECHNOLOGIES June 2003 - December 2007
New Columbia Joist Company December 2000 - May 2001
Skills
Software Engineering, Systems Analysis, Database Administration, Microsoft Dynamics, Axapta, SQL Server 2000-2008, .NET, Visual Studio, SQL, Visual Basic, ERP, Programming, Analysis, Access, VBA, SharePoint, Requirements Analysis, Microsoft SQL Server, SSRS, Microsoft Dynamics AX, Visio, Business Intelligence, Software Development, Business Analysis, Integration, T-SQL, Crystal Reports, VB.NET, Management, Process Improvement
Education
Pennsylvania College of Technology 1999 — 2004
Bachelor's degree, Analysis & Design and Data Communications
Healthfirst August 2013 - Present
The Fannie E. Rippel Foundation January 2012 - August 2013
The Fannie E. Rippel Foundation August 2010 - January 2012
Accelerated Inc. January 2010 - September 2010
C2 Education November 2009 - May 2010
Skills
Strategic Communications, Philanthropy, Microsoft Office, Outlook, Grants, Microsoft Excel, Photoshop, Microsoft Word, Constant Contact, Salesforce.com, Project Coordination, Wordpress, Social Media, Copywriting, Copy Editing, Note Taking, PowerPoint, WebEx, Skype, Google Apps, WordPress
Education
Free Code Camp 2015 — 2016
Full Stack Web Development, Computer Science
Penn State University 2007 — 2009
BA, Sociology
Germantown Academy 1993 — 2005
Healthfirst January 2006 - Present
Skills
Onboarding, Talent Management, Performance Management, Succession Planning, Organizational..., Human Resources, Leadership Development, Workforce Planning, Talent Acquisition, Recruiting, Training
Education
NYU 1985 — 1992
Ph.D., Curriculum Development & Instructional Design
Healthfirst March 2014 - Present
The Managed Care Strategies Group, Inc. May 2013 - January 2015
Liberty Health Advantage September 2013 - March 2014
Amida Care March 2011 - May 2013
Amerigroup Corporation 2010 - March 2011
UnitedHealth Group 2007 - 2010
Suncoast Physicians Health Plan 2006 - 2007
Skills
Project Management, Capitation, Compliance Oversight, Managed Care, Claim, Provider Relations, Medicaid, Medicare, Network Development, Healthcare, Healthcare Management, Health Insurance, Hospitals, Contract Negotiation, Strategic Planning, Access, Case Managment, Employee Benefits, Physicians, Revenue Cycle, Management, Insurance, HMO, Utilization Management, Healthcare Consulting, Claims Resolution, Credentialing, Health Policy, Training, PPO, Program Management, Healthcare Industry, Analysis, Medical Billing, HIPAA, Healthcare Information..., Claims Management, Medicaid Managed Care, Physician Relations, Quality Improvement, Medicare Part D, Practice Management, Medical Coding, EMR, Provider Network...
Education
Nova Southeastern University—Shepard Broad Law Center 2009 — 2011
Masters in Science, Health Law, (Emphasis/Major) Compliance and Risk Management
Nova Southeastern University 2005 — 2007
BS, Legal Studies
Broward Community College 2003 — 2005
Associate of Science (AS), Criminal Justice
Brambles February 2014 - Present
Adventist Health System January 2013 - January 2014
Healthfirst February 2012 - September 2012
American Support 2011 - 2012
TLC Engineering for Architecture July 2000 - January 2011
US Office Products 1999 - 2000
Budget Group Inc. 1995 - 1999
Skills
Recruiting, Legal Compliance, Process Improvement, Employee Relations, Talent Acquisition, Performance Management, Talent Management, HRIS, Succession Planning, Employee Benefits, Labor Relations, SPHR, Leadership Development, Benefits Negotiation, Employment Law, Organizational..., Onboarding, Deferred Compensation, Human Resources, Shared Service Center, ERP Implementations, PeopleSoft, Metrics, Analytics, Management, Training, Strategy, Strategic Planning, Sourcing, HR Policies, Leadership, Payroll, Change Management, Hiring, Benefits Administration, Job Descriptions
Education
Rollins College 2001 — 2003
Masters, Human Resource Management
Bellevue Hospital Center September 2015 - Present
Home Care at HHC September 2010 - September 2015
Horizon Blue Cross Blue Shield of New Jersey November 2008 - October 2011
Healthfirst October 2007 - November 2008
Emblem Health (HIP) New York, NY June 1998 - October 2007
Skills
Six Sigma, Quality Management, Healthcare, Process Improvement, Healthcare Management, Operations Management, Process Engineering, Change Management, Hospitals, Mentoring, Team Building, Performance Management, Coaching, Problem Solving, Strategic Planning, Leadership Development, Documentation, Performance Improvement, Organizational..., Data Analysis, Customer Service, Quality Assurance, Budgeting, Statistics, Team Leadership, Managed Care, Visio, Kaizen Facilitation, Value Stream Mapping, Standard work, Provider Relations, Business Process..., Business Process, Cross-functional Team..., Leadership, Policy, Software Documentation, Kaizen, Standard Work, Program Management, Lean Manufacturing, Training, Credentialing, Budgets
Education
Pace University 1995 — 2000
BBA, Business Administration
Healthfirst May 2014 - Present
Healthfirst August 2010 - Present
Healthfirst November 2008 - August 2010
OnPoint Partners February 2007 - November 2008
Royal Health Care 2006 - 2007
Education
Providence College 2002 — 2006
BS, Health Policy and Management
Healthfirst April 2013 - Present
Healthfirst January 2008 - Present
Emblem HealthCare December 1995 - January 2008
Skills
Managed Care, Hospitals, Healthcare, Provider Relations, Credentialing, Contract Negotiation, Medicaid, Network Development, Analytics, Medicare, Policy, Healthcare Industry, Management, Insurance, Leadership, HMO, Healthcare Consulting, HIPAA
Education
IE Trust College
BS/GCE, Pre-Medicine/Pre-Medical Studies
NYU
Certificate, Business Administration, Management and Operations
Critchlow Labor College
Industrial Relations and Sociology
La Guardia Community College
MicroComputer Systems, Computer Science, Certificate
Healthfirst April 2015 - Present
Urban Resource Institute October 2013 - April 2015
Services and Advocacy for GLBT Elders (SAGE) February 2011 - July 2013
Interfaith Medical Center 2005 - 2010
Interfaith Medical Center 2003 - 2005
Bedford Stuyvesant Community Mental Health Center 2000 - 2003
Skills
Crisis Intervention, Social Services, Program Development, Mental Health, Therapists, Clinical Research, Case Management, Program Evaluation, Nonprofits, Public Speaking, Community Outreach
Education
New York University 1986 — 2012
PhD, Clinical/Medical Social Work/Social Services
Healthfirst May 2015 - Present
Healthfirst August 2014 - May 2015
Healthfirst April 2013 - August 2014
InForm Fitness Studios January 2013 - May 2013
Mahopac National Bank August 2010 - January 2013
Dominican Sisters Family Health Service May 2011 - September 2011
Strategic Group September 2008 - May 2009
Rpr Marketing Communications February 2009 - February 2009
Skills
Public Relations, Social Media Marketing, Marketing, Fashion, Customer Service, Sales, Social Media, PowerPoint, Management, Marketing Communications, Social Networking, Research, Press Releases, Facebook, Blogging
Education
Pace University-Pleasantville/Briarcliff Campus 2011 — 2013
Masters of Arts, Media and Communications
Saint John's University 2005 — 2009
Bachelors of Science, Communications
State Of New Jersey - DHS/DMAHS June 2015 - Present
Healthfirst February 2015 - June 2015
UnitedHealth Group June 2014 - January 2015
American Film & Television Association March 2013 - June 2014
Sogeti / Cap Gemini Consulting July 2012 - March 2013
EmblemHealth September 2011 - July 2012
Cognizant Technology Solutions September 2006 - September 2011
Fedex April 2002 - July 2006
The India Cements Ltd March 2001 - April 2002
Skills
EDI - EPIC- QA-..., PMO, QA , SAP R/3, SAP..., ASP.NET , JAVA, EDI..., Business intelligence..., Test Management, Business Analysis, Project Management, Technical Documentation, Data Analysis, People Skills, Business Architecture, Plannning, SDLC, Requirements Analysis, Quality Center, User Acceptance Testing
Education
Currently Pursuing MBA from Rutgers Business School . New Jersey 2013 — 2015
Master of Business Administration (M.B.A.), Finance and Supply Chain Management Services
Osmania University 1996 — 1999
Master of Computer Applications (M.C.A.), Computer Science
Osmania University 1993 — 1996
Bachelor's degree, Electronics
Healthfirst 2015 - Present
Cole Haan - Apax Private Equity Firm 2014 - 2015
Diesel - OTB 2013 - 2014
Louis Vuiton Moët Hennessy - DKNY 2011 - 2012
Education
Pace University 2015 — 2015
Human Resources Management
Queens College 2008 — 2012
Healthfirst April 2013 - Present
YAI Network January 2012 - April 2014
YAI Network July 2009 - January 2012
Enterprise Rent-A-Car April 2004 - May 2009
Education
Berkeley College-New York 2006 — 2009
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Rockland Community College 2003 — 2005
Associate's degree, Liberal Arts and Sciences/Liberal Studies
Healthfirst May 2015 - Present
Healthfirst September 2014 - May 2015
Herff Jones November 2013 - November 2014
Barnes & Noble College July 2011 - October 2013
Barbizon USA August 2007 - December 2009
Skills
Training, Customer Service, Supervisory Skills, Data Entry, Microsoft Excel, Microsoft Word, Telecommunications, Cashiering, Interviewing Skills, Coaching, Public Speaking, Social Networking, Event Planning, Fundraising, Teaching, Fashion, Time Management, Recruiting
Education
Columbia Southern University 2012 — 2014
Bachelor of Science (B.S.), Human Resources Management
Pensacola Junior College 2007 — 2010
Associate of Arts (A.A.), Business, 3.25
Healthfirst
Skills
PMP, PAHM, Black Belt, Process Improvement
Education
Robert Morris University 1989 — 1992
Bachelor of Business Administration (BBA), Management Information Systems, General
Affinity Health Plan January 2009 - July 2009
Healthfirst March 2007 - July 2008
Aflac 2004 - 2007
32BJ SEIU April 1999 - July 2003
Time Warner Cable May 1997 - June 1999
Skills
Insurance, Customer Service, Employee Benefits, Microsoft Office, Employee Relations, Project Management, Public Speaking, Analysis, Data Analysis, Sales, Time Management
Education
University of Maryland University College 2009 — 2012
Master of Science (M.S.), Human Resources Management and Services
Penn State University 1982 — 1988
Bachelor of Arts (B.A.), General Studies
Vitas Healthcare December 2009 - Present
Healthfirst August 2005 - October 2009
AtlantiCare January 2001 - July 2005
Skills
Neonatal Nursing, Mother Baby Nursing, Medical Surgical Nursing, Newborn Baby Nursing, BCLS
Education
Northern Virginia Community College 1994 — 1996
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse
University of Arizona 1983 — 1991
Bachelor of Science (BS), Psychology
Morris Heights Health Center June 2014 - Present
Health Homes April 2014 - June 2014
Centerlight/Elderserve Health System December 2013 - March 2014
Healthfirst April 2012 - October 2013
Visiting Nurse Service of New York September 2008 - March 2012
Skills
Healthcare Management, Hospitals, Healthcare, Managed Care, Healthcare Information..., Medicare, Home Care, HIPAA, Leadership, Medicaid, Medicine, Clinical Research, Client Intake, Critical Care, EMR, Nursing, Patient Safety, Disease Management, BLS, Acute Care, Inpatient, MLTC, Case Management, Quality Assurance, Community Outreach
Education
Villanova University
Six Sigma Green Belt HealthCare Certification
Pace University-Pleasantville/Briarcliff Campus
Bachelor's of Science in Nursing, Registered Nursing/Registered Nurse
Healthfirst June 2015 - Present
Skills
Electronics, MIPS, Python, Xilinx, LabVIEW, C++, VHDL, C, MySQL, Informatica
Education
New York University 2012 — 2015
Bachelor's of Science, Computer Engineering
UnitedHealth Group January 2014 - Present
UnitedHealth Group January 2014 - Present
UnitedHealth Group September 2009 - December 2013
Healthfirst April 2005 - August 2009
Education
Pontifical Catholic University of Cuenca, Ecuador 1982 — 1986
Undergraduated, Business Administration and Management, General