Healthfirst Inc

Industry: Health insurance company

Description

Headquarters: New York City, NY CEO: Pat Wang (Mar 2008–) Chief information officer: G.T. Sweeney General counsel: Linda V Tiano COO: Steve Black Subsidiary: Healthfirst Health Plan, Inc.

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Healthfirst Inc Employees

Employee
Years
Job
Industry
Mary Flannery Mary Flannery New York, New York Details
Mary Flannery's Healthfirst Inc Experience June 2011 - May 2013
Job Merchandise Operations Analyst
Industry Retail
Experience
Ross Stores, Inc.   May 2013 - Present
healthfirst, inc.   June 2011 - May 2013
Liberty Mutual Insurance  June 2010 - May 2011
University of New Hampshire  December 2007 - May 2011

Skills
Analysis, Plannning, Project Management, Business Analysis, Microsoft Excel, Technical Support, Visio, Data Analysis, Requirements Analysis, Process Improvement, Event Planning, Public Relations, Social Media, Troubleshooting, PowerPoint, Requirements Gathering, Microsoft Office, SharePoint, Software Documentation, Systems Analysis, SQL, Networking, Access, SDLC, Program Management, Technical Writing, HTML

Education
University of New Hampshire   2007 — 2011
Bachelor, Political Science, Information Technology

Sonja Rowley, RN, MSN Sonja Rowley, RN, MSN Portland, Oregon Area Details
Sonja Rowley, RN, MSN's Healthfirst Inc Experience June 1996 - June 1998
Job Recruiting for critical care, nurse educators and nurse management positions!
Industry Hospital & Health Care
Experience
Providence Health & Services  November 2012 - Present
2008-2011  August 2008 - November 2011
Centralia College  June 1998 - July 2008
Healthfirst, Inc  June 1996 - June 1998
Primary Care Associates  June 1994 - June 1996
Corporate Health Dimensions, Inc   June 1992 - October 1993
Riverside Medical Center  May 1991 - May 1992

Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, Research, English, Outlook, Windows, Teaching, Budgets, Healthcare, Management, Team Leadership, Leadership, Hospitals, Nursing, Clinical Research, Program Management, Team Building, Healthcare Management, Patient Education, Recruiting, EMR, Healthcare Information..., Acute Care, Patient Safety, HIPAA

Education
Pacific Lutheran University   2005 — 2007
Master of Science (MS), Nursing Administration

Olivet Nazarene University   1988 — 1991
Bachelor of Science (BS), Registered Nursing/Registered Nurse

Olivet Nazarene University   1988 — 1990
B.S, Psychology

Point Loma Nazarene University   1985 — 1987
Pre-Medicine/Pre-Medical Studies

Carmen Tejada Carmen Tejada San Antonio, Texas Area Details
Carmen Tejada's Healthfirst Inc Experience June 2006 - June 2010
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Metropolitan Jewish Health System (MJHS)-Homefirst   June 2010 - March 2012
HealthFirst, inc  June 2006 - June 2010
Shalom Multiserv   September 2005 - May 2006
C-Town Supermarket  November 2000 - July 2003

Skills
Public Speaking, HIPAA, Outlook, Health Insurance, Medicaid Managed Care, Microsoft Excel, Microsoft Word, Medicare, Customer Service, HMO, Medicaid, Healthcare Industry, Training, Management, Data Entry, Hospitals, Marketing, Time Management, Software Documentation, Recruiting, Policy

Education
Universidad Eugenio María de Hostos   1989 — 1994
Bachelor of Arts (B.A.), Hotel, Motel, and Restaurant Management

Apec UniversitySanto Domingo

Superior Language InstituteSanto Domingo

The Gregg Dominican Inst.Santo Domingo

David Jean-Marie David Jean-Marie Villa Rica, Georgia Details
David Jean-Marie's Healthfirst Inc Experience March 2004 - June 2006
Job Sales Supervisor/Quality Champion at Terminix Service, Inc.
Industry Outsourcing/Offshoring
Experience
Terminix Service, Inc.   March 2012 - Present
Ryla Teleservices  December 2008 - January 2012
Ryla Teleservices  May 2008 - December 2008
Manpower-RBS Lynk   November 2007 - January 2008
Sutherlin Nissan  March 2007 - July 2007
Liberty Health Advantage  August 2006 - December 2006
Healthfirst Inc   March 2004 - June 2006
Stuart Transportation   February 1999 - February 2004
I.A.R Securities   November 1997 - December 1998

Skills
Analysis, Workforce Management, Program Management, Call Centers, Avaya, Marketing, Sales, Customer Service, Performance Management, Troubleshooting, Operations Management, Payroll, Call Center, Sales Management, Account Management, Training, Customer Satisfaction, Leadership, Customer Retention, Team Building, Quality Assurance, Management, Coaching, Recruiting, Team Leadership, Avaya Technologies, Employee Training

Education
Nassau Community College   2001 — 2003
A.A, Communication

SUNY Old Westbury May 2003   2001 — 2003
B.A, Political Science & Economics

Martin Luther King Jr. Award, 2003 Old Westbury Alumni Association
Bachelor's degree, Political Science and Government

Ricky Pafundi Ricky Pafundi Greater New York City Area Details
Ricky Pafundi's Healthfirst Inc Experience January 2009 - Present
Job Vice President, PHSP/NYSOH Marketplace
Industry Hospital & Health Care
Experience
Healthfirst, Inc.   January 2009 - Present
Healthfirst, Inc.   October 2007 - January 2009
Fidelis Care New York  2002 - 2007
Finelight Strategic Marketing Communications   2002 - 2002
Elderplan, Inc.   1996 - 2001

Skills
Business Networking, Marketing Strategy, Market Planning, Medicaid, Medicare, Membership Retention, Quality Assurance, Performance Appraisal, Performance Measurement, Online Sales, Managed Care, Sales, Network Development, Leadership, Insurance, HIPAA, Strategic Planning, Provider Relations, Health Insurance, Healthcare, Retaining Customers, Customer Retention, Disease Management, Program Management, Marketing, Sales Management, Healthcare Consulting, Competitive Analysis, Performance Improvement, Utilization Management, Healthcare Industry, HMO, Physician Relations, PPO, Hospitals, Analysis, Pharmacy Benefit..., Healthcare Management, Health Policy, Revenue Cycle Management, Long-term Care, Physicians, EMR, Executive Management, Revenue Cycle, Quality Improvement, EHR, Healthcare Information..., Medical Billing, Informatics

Education
City University of New York-Brooklyn College   1994 — 1998
BS, Business Management & Finance

Eric Adu-Gyamfi Eric Adu-Gyamfi Greater New York City Area Details
Eric Adu-Gyamfi's Healthfirst Inc Experience January 2003 - November 2005
Job HR BENEFITS ADMNISTRATOR
Industry Hospital & Health Care
Experience
Law Office of Eric O.Darko PC   March 2007 - Present
LAW OFFICES OF  March 2007 - Present
Riverside Health Care System   November 2005 - December 2006
St. John's Riverside Hospital   November 2005 - December 2006
HEALTHFIRST INC   January 2003 - November 2005
Healthfirst Inc   2003 - 2005
St. John's Riverside Hospital   March 2001 - January 2003
Yonkers General Hospital  2001 - 2003
ADVOCATE SERVICE, INC   August 2000 - August 2001

Skills
Benefits Administration, Benefits, Accounts Receivable, Excel, HIPAA, Employee Benefits, Access, PowerPoint, HR Policies, Employee Relations, Analysis, FMLA, Insurance, HMO, Coaching, Healthcare, Outlook, Recruiting, Microsoft Office, Account Reconciliation, COBRA, Medicare, Team Building, Customer Service, Health Insurance, Management, Invoicing, Forecasting, Medicaid, General Ledger

Education
College of Mount Saint Vincent   1999 — 2002
BS, Health Care Management

COLLEGE OF MOUNT ST. VINCENT   1998 — 2002
Bachelor of Science, Health Care Management

State of New York
Life & Health Lincense, Health and Life Insurance

Danelle Pate Danelle Pate Greater Nashville Area Details
Danelle Pate's Healthfirst Inc Experience 1994 - 1996
Job Volunteer/communications/education
Industry Public Relations and Communications
Experience
LBMC Employment Partners  2011 - Present
Healthfirst Inc   1994 - 1996

Skills
critical thinking, problem solving, collaboration, communication skills, Project Management, Public Relations

Education
Trevecca Nazarene University
B.S., Communications/Social Relations

Angela Hernandez Angela Hernandez Greater New York City Area Details
Angela Hernandez's Healthfirst Inc Experience June 2004 - January 2005
Job Benefit Enroller at Winston Benefits Inc
Industry Insurance
Experience
Winston Benefits Inc  July 2015 - Present
VNSNY CHOICE MLTC   April 2012 - December 2013
Access Medicare  November 2010 - March 2011
Three Radiators Auto Shop   January 2007 - November 2010
Touchstone Health  September 2006 - January 2007
Food Bank  2004 - 2007
Cignature RX   September 2005 - January 2006
Healthfirst, Inc  June 2004 - January 2005

Skills
Bilingual, Community Outreach, Marketing, Tax Preparation, Computer Proficiency, Medicare, Training, Insurance, Employee Benefits, Health Insurance, Provider Relations, Managed Care, Healthcare, Access, Strategic Planning, Customer Service, Call Centers, Data Entry, Fundraising, HIPAA, Invoicing, Long-term Care, Medicaid, Medicare Part D, Microsoft Excel, Outlook, PowerPoint, Sales, Healthcare Industry, Network Development, PPO, Utilization Management, Medical Billing, Management, Disease Management

Education
Gibbs SchoolNew   2001 — 2002

Katherine Gibbs School   2001 — 2002
Associate Degree, Hospitality Management

New York State Life

P.S.206

P.S.206

P.S.206

Tom Bergdall Tom Bergdall Greater New York City Area Details
Tom Bergdall's Healthfirst Inc Experience August 1995 - May 2008
Job Masters student in Election and Campaign Management at Fordham University
Industry Government Administration
Experience
Fordham University  January 2015 - Present
New York City Department of Correction  May 2011 - June 2014
Peace Corps  April 2008 - May 2010
Healthfirst, Inc.   August 1995 - May 2008
NYC Human Resources Administration  1985 - 1989

Skills
Legal Research, Legal Writing, Litigation, Government Contracting, Government, Civil Litigation, Non-profits, Policy Analysis, Appeals, Administrative Law, Community Outreach, Public Policy, Policy, Commercial Litigation, Program Development, Healthcare, Nonprofits, Corporate Law, Mediation, Strategic Planning, Grants

Education
University of Chicago Law School   1973 — 1976
JD

Enid High School   1966 — 1969

Natalie Filtser Natalie Filtser Greater New York City Area Details
Natalie Filtser's Healthfirst Inc Experience November 2001 - September 2003
Job at Macfadden Communications
Industry Publishing
Experience
HFN Magazine   April 2010 - Present
Nielsen Business Media  October 2003 - April 2010
The Nielsen Company  October 2003 - April 2010
HealthFirst Inc   November 2001 - September 2003
J.Douglas, Licensed Real Estate   January 1998 - November 2001
The Jewish Israeli Yellow Pages   February 1997 - January 1998
Goldmon International   June 1996 - January 1997

Skills
New Business Development, Account Management, Business Development, Sales, Advertising, Lead Generation, Selling, Marketing, Trade Shows, Cold Calling, Training, Sales Process, Budgets, Negotiation, Retail, Marketing Strategy, Strategy, Marketing Communications, Integrated Marketing

Education
Fashion Institute of Technology   1998 — 2000
BS, Marketing & Advertising

Technological College of Pedagogy, Tel   1992 — 1995
Associate Degree, Teaching of Fashion Design

Pohs Institute

Realty Institute
license, Real Estate

Seema Khemchandani Seema Khemchandani Clifton, New Jersey Details
Seema Khemchandani's Healthfirst Inc Experience November 2007 - August 2013
Job Solution Consultant Public Sector, Kronos
Industry Information Technology and Services
Experience
Kronos  August 2013 - Present
Healthfirst  November 2007 - Present
Healthfirst Inc   November 2007 - August 2013
MTS  August 2004 - November 2007
MTS – Mer Telemanagement Solutions Ltd   August 2004 - November 2007
Royal Health Care  May 2001 - August 2004
Royal Health Care  2001 - 2004

Skills
Project Management, Business Analysis, SQL, Visio, Access, Software Documentation, Requirements Analysis, Vendor Management, Microsoft SQL Server, Process Improvement, Software Project..., Analysis, Data Warehousing, Requirements Gathering, Databases, Quality Assurance, Cross-functional Team..., Crystal Reports

Education
Rutgers Business School   2007 — 2010
Masters of Business Administration, Supply Chain Management & International Business

New Jersey Institute of Technology   1997 — 1999
B.Sc, Computer & Information Systems

Phoebe Williams Phoebe Williams Greater New York City Area Details
Phoebe Williams's Healthfirst Inc Experience 2002 - 2006
Job Senior Research Assistant at Midtown Investment Firm
Industry Financial Services
Experience
Finance/Investment Management   February 2013 - Present
RIMES Technologies  2011 - 2012
KPMG, LLP  2008 - 2011
Healthfirst, Inc.   2002 - 2006

Skills
Proficient in MS Office, Exceptional Customer..., Strong Organizational..., Ability to work in a..., Aptitude to interact..., Excellent written and..., Microsoft Office, Customer Service, Event Management, Time Management, Nonprofits, Administrative..., Event Planning, Management, Marketing, Budgets, Team Leadership, Recruiting, Accounting, Leadership, Administrative..., Microsoft Excel, Human Resources, Outlook, Interviews, Training, PowerPoint, Project Management

Education
Laguardia Community College   2011 — 2015
Associate of Arts (AA), Communications Studies (Public Speaking), 3.5 GPA

Latanya Straker Latanya Straker Greater New York City Area Details
Latanya Straker's Healthfirst Inc Experience December 2000 - October 2002
Job HR Manager at Momentum Worldwide
Industry Human Resources
Experience
Momentum Worldwide  February 2014 - Present
Momentum Worldwide  December 2011 - January 2014
Volt Information Sciences  September 2009 - November 2011
Wells Fargo  May 2008 - January 2009
Citigroup  July 2003 - May 2008
Healthfirst, Inc.   December 2000 - October 2002

Skills
Employee Relations, Performance Management, Deferred Compensation, Human Resources, Personnel Management, Recruiting, Coaching, Conflict Resolution, Strategy, Onboarding, Talent Management, Talent Acquisition, Applicant Tracking..., HRIS, Succession Planning, Employee Engagement, New Hire Orientations, College Recruiting, Management

Education
City University of New York-Brooklyn College
M.A, Industrial and Organizational Psychology and Behavior

City University of New York-Brooklyn College
B.A, Psychology

Harry C Ryan Harry C Ryan Greater New York City Area Details
Harry C Ryan's Healthfirst Inc Experience February 2000 - October 2003
Job Healthcare Consultant, Retention Strategies & Investor
Industry Marketing and Advertising
Experience
Consultant  April 2012 - Present
MLM Healthcare Consulting, LLC   April 2011 - April 2012
MLM Healthcare Consulting & Recruitment   April 2011 - April 2012
Consultant In Finance & Health care   January 2006 - April 2011
HealthFirst, Inc  February 2000 - October 2003
Healthfirst  August 1999 - October 2003
Healthfirst  August 1999 - October 2003
Healthfirst  August 1999 - October 2003
PHS First Option   April 1996 - January 1998
Lehman Brothers Holdings, Inc  March 1996 - January 1998

Skills
Compliance, Regulatory Reporting, Marketing Strategy, Medicare Part D, Medicare, HEDIS, Outlook Express, Team Leadership, Medicare Supplements, Compliance Audits, Recruitment/Retention, Healthcare IT, Medicaid, Insurance Verification, Insurance, Leadership Development, Real Estate, Managed Care, Executive Management, Healthcare Industry, Health Insurance, Provider Relations, JavaScript, Network Development, Call Center..., Healthcare Information..., Healthcare Management, Healthcare Consulting, Operations Management, Employee Benefits

Education
De Sales University   1982 — 1986
Bachelor of Arts, Business Management

DeSales University   1982 — 1986
BA, Business Management

DeSales University   1982 — 1986
Bachelor of Arts (BA), Business Management

Archita Patel Archita Patel Greater Chicago Area Details
Archita Patel's Healthfirst Inc Experience 2003 - 2004
Job Senior Manager, Enterprise Marketing at Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Industry Hospital & Health Care
Experience
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas   November 2013 - Present
Blue Cross Blue Shield Association  March 2012 - October 2013
Blue Cross Blue Shield Association  October 2010 - March 2012
Bridge Strategy Group  August 2008 - January 2010
Bausch & Lomb  May 2007 - August 2007
DePuy, a Johnson & Johnson Company   February 2007 - May 2007
American Imaging Management  May 2006 - August 2006
HEALTHFIRST INC   2003 - 2004

Skills
Healthcare, Business Strategy, Business Planning, Management Consulting, Strategic Planning, Strategy, Competitive Analysis, Managed Care, Healthcare Management, Data Analysis, Cross-functional Team..., Business Process..., Analysis, Management, Product Development, CRM

Education
University of Michigan - Stephen M. Ross School of Business   2006 — 2008
Master

University of Michigan- School of Public Health   2005 — 2008
Master

The Johns Hopkins University   1999 — 2003
B.A.

Maury Machula Maury Machula Greater New York City Area Details
Maury Machula's Healthfirst Inc Experience September 2006 - Present
Job Senior Investigator, CFE
Industry Hospital & Health Care
Experience
Healthfirst Inc   September 2006 - Present
Strategic Legal Solutions and Update Legal   May 2003 - August 2006
NYC Civilian Complaint Review Board (CCRB)   July 1999 - November 2002

Skills
Policy, Interviews, Health Insurance, Litigation, Fraud, Legal Research, Research, Private Investigations, Team Building, Training, Medicaid, Leadership, Program Management, Claim, HMO, Healthcare, Outlook, Compliance, Auditing, Investigation, HIPAA, Medicare, Management, Evidence, Process Improvement, Medicare Part D, Policy Analysis, Courts, Marketing, Market Research, Insurance, Customer Service, Healthcare Management, PowerPoint, Managed Care, Corporate Fraud..., Case Managment, Federal & State..., Reports, Case Management

Education
State University of New York College at Purchase   1994 — 1997
Bachelor of Arts (B.A.), Sociology

Nahum Kianovsky Nahum Kianovsky Greater New York City Area Details
Nahum Kianovsky's Healthfirst Inc Experience April 2008 - Present
Job Vice President/Associate General Counsel at Healthfirst
Industry Legal Services
Experience
Healthfirst  2011 - Present
HealthFirst, Inc.   April 2008 - Present
Budd Larner, P.C.   January 2005 - April 2008
Kane Kessler, P.C.   2000 - 2005
Seton Hall University Law School  2000 - 2001
AmeriChoice Health Services, Inc.   1996 - 2000
Vanessa A. Ploumis, P.C.   1994 - 1996

Skills
Litigation, Internal Investigations, Corporate Governance, Intellectual Property, Healthcare Law, Labor/Employment, HIPAA/Privacy, Fraud/Waste/Abuse, Government...

Education
City University of New York School of Law   1991 — 1994
JD, Law

University of Wisconsin-Madison   1984 — 1989
BA, Philosophy

Rufus King

Seton Hall University School of Law
LLM Program in Health Law

David Haar David Haar Greater New York City Area Details
David Haar's Healthfirst Inc Experience 1994 - 1999
Job Controller at Risk and Insurance Management Society, Inc.
Industry Nonprofit Organization Management
Experience
Risk and Insurance Management Society, Inc.   Accounting ManagerNYSSCPA1999 - 2005
Healthfirst, Inc.   1994 - 1999
Care, Inc.   1983 - 1991
Arbat Systems limited   1981 - 1983

Skills
Managerial Finance, Internal Audit, Financial Reporting, Budgets, Accounting, Financial Analysis, Nonprofits, Finance, Auditing, Leadership

Education
Baruch College, City University of New York (CUNY)   1974 — 1979
BBA, Accounting

Solomon Schechter High school   1970 — 1974
Academic

Dan Exley Dan Exley Greater Los Angeles Area Details
Dan Exley's Healthfirst Inc Experience May 1996 - May 2000
Job Executive Director, Data Strategy & Reporting, MemorialCare
Industry Hospital & Health Care
Experience
MemorialCare  October 2008 - Present
The Exley Corporation   May 2008 - April 2012
Evanston Northwestern Healthcare  April 2002 - September 2008
NorthShore University HealthSystem  2002 - 2008
Lifewatch, Inc  May 2000 - April 2002
HealthFirst, Inc  May 1996 - May 2000

Skills
Healthcare Information..., Informatics, EMR, Healthcare, Clinical Research, Epic Systems, EHR, HIPAA, Hospitals, Data Warehousing, Enterprise Software, Integration, Consulting

Education
Northwestern University   2006 — 2008
MMI, Medical Informatics

Wheaton College   1996 — 2000
BS, Kinesiology and Exercise Science

Yoon Kang Yoon Kang Greater New York City Area Details
Yoon Kang's Healthfirst Inc Experience June 2007 - August 2013
Job Director, Organized Customer Analytics BAI Payer Analytics Team at Pfizer, Inc
Industry Hospital & Health Care
Experience
Pfizer, Inc  August 2013 - Present
Healthfirst, Inc.   June 2007 - August 2013
Healthfirst, Inc.   2005 - 2007
Healthfirst, Inc.   2004 - 2005
Healthfirst, Inc.   1999 - 2004
CMMI: Comprehensive Medical Management, Inc.   1996 - 1999

Skills
Managed Care, Healthcare, Business Process..., Medicaid, Medicare, Healthcare Industry, Strategic Planning, Data Analysis, Cross-functional Team..., Team Building, Six Sigma, Microsoft Excel, Budgets, Healthcare Management, Health Insurance, Health Insurance..., Corporate Strategy, Staff Development, Process Analysis, Cross Functional Team..., Project Management, Executive Facilitation, Medical Cost Containment, Healthcare Information..., System Implementations, Clinical Systems..., Reporting & Analysis, Issue Resolution, Business Transformation, Performance Improvement, Healthcare Consulting, Health Policy, Medicaid Managed Care, HIPAA, HMO, Process Improvement, Strategy, Analysis, Management Consulting, Visio, Business Process..., Business Analysis, Operational Excellence, Clinical Analytics, Access, EMR, Utilization Management, Business Strategy, Analytics, Quality Improvement

Education
Columbia University - Columbia Business School   2007 — 2009
Master of Business Administration (MBA)

Cornell University   1991 — 1995
BA, Biology, Asian Studies

Kyetah Bryan Kyetah Bryan Greater New York City Area Details
Kyetah Bryan's Healthfirst Inc Experience April 2009 - May 2011
Job Manager of Operations, Commercial Products at Healthfirst
Industry Insurance
Experience
Healthfirst  February 2014 - Present
Healthfirst  October 2012 - February 2014
Healthfirst  May 2011 - October 2012
Healthfirst, Inc.   April 2009 - May 2011
Healthfirst, Inc.   April 2009 - May 2011
Healthfirst  July 2005 - April 2009
Healthfirst  January 2005 - June 2005
Healthfirst  January 2001 - December 2004

Skills
Healthcare, Managed Care, Microsoft Office, Medicaid

Education
City University of New York City College   2007 — 2011
Bachelor of Arts (B.A.), Public administration

Western New England University   1999 — 2001

Mercy College
Master of Business Administration (M.B.A.)

Saiful A. Khan Saiful A. Khan Greater New York City Area Details
Saiful A. Khan's Healthfirst Inc Experience July 2005 - March 2008
Job Vice President Health Plan Sales at MJHS
Industry Insurance
Experience
MJHS  January 2011 - Present
Elderplan  March 2008 - January 2011
Healthfirst, Inc  July 2005 - March 2008
Touchstone Health  2001 - 2005

Skills
Medicare, Health, Managed Care, Strategic Planning, Financial Analysis, Customer Relations, New Business Development, Healthcare, Team Building, Marketing Strategy, Customer Service, Sales Management, Coaching, Public Speaking, Insurance, Strategy, HIPAA, Business Strategy, Leadership Development, Outlook, Medicaid, Home Care, Marketing, Health Insurance, Healthcare Consulting, Contract Negotiation, Healthcare Information..., Provider Relations, Executive Management, Healthcare Industry, Program Management, PPO, Physicians, Training, Network Development, Management, Cross-functional Team..., Account Management, Leadership, Sales, Operations Management, Hospitals, Healthcare Management, Team Leadership, HMO, Health Policy, Process Improvement, Utilization Management, Revenue Cycle, Business Development

Education
State University of New York College at Oneonta

Brian Cummings Brian Cummings Greater New York City Area Details
Brian Cummings's Healthfirst Inc Experience June 2006 - August 2011
Job Vice President, Member Services and Enrollment at Fidelis Care NY
Industry Hospital & Health Care
Experience
Fidelis Care NY  September 2011 - Present
Healthfirst, Inc.   June 2006 - August 2011
Healthfirst  2004 - 2006
Healthfirst  2003 - 2004
Stamford Hospital  2002 - 2003
Arthur Andersen, LLP  1998 - 2002
Group Health Inc  1995 - 1998

Skills
Medicare, Healthcare, Managed Care, Medicaid, Information Analysis, Healthcare Information..., Process Improvement, Process Management, Business Process..., Healthcare Consulting, Healthcare Technology, Healthcare Management, Healthcare IT, Data Analysis, Business Process Design, Operations Management, Member Services, Enrollment Management, Strategic Analysis, Strategic Planning, Systems Thinking, Analysis, Business Intelligence, Call Centers, HMO, Health Insurance, Healthcare Industry, Insurance, Medical Technology, Network Development, Performance Improvement, Provider Relations, Software Documentation, Team Building, Vendor Management

Education
Hofstra University   2003 — 2006
MBA, Finance

University of Connecticut   1989 — 1993
BS, Health Systems Management

Helen Yee Helen Yee Greater New York City Area Details
Helen Yee's Healthfirst Inc Experience July 2000 - April 2002
Job Sr HRIS Specialist at Nielsen
Industry Human Resources
Experience
Nielsen  July 2012 - Present
The Nielsen Company  April 2002 - November 2012
Healthfirst Inc.  July 2000 - April 2002

Skills
Taleo, Abra Suite, Notary Public, Talent Management, Employee Relations, Applicant Tracking..., SAP, BrassRing, Crystal Reports, Imperativ, HRIS, SAP HR, PeopleSoft, Deferred Compensation, New Hire Orientations, HR Policies, Benefits Administration, Talent Acquisition, Personnel Management, College Recruiting, Succession Planning, Performance Management, Employee Engagement, Employee Benefits, Human Resources, Recruiting, Temporary Placement, Onboarding, HR Consulting

Education
City University of New York-Hunter College

Gibran Alvarado Gibran Alvarado Providence, Rhode Island Area Details
Gibran Alvarado's Healthfirst Inc Experience 2004 - 2005
Job Senior Recruiter at The Mergis Group
Industry Staffing and Recruiting
Experience
Monroe College  April 2009 - February 2011
The Mergis Group  January 2008 - January 2009
Maxim Healthcare Services  2005 - 2008
Healthfirst Inc   2004 - 2005

Education
Johnson & Wales University   2000 — 2004

Lori Karas Lori Karas Beverly, Massachusetts Details
Lori Karas's Healthfirst Inc Experience May 2003 - October 2004
Job Executive Director
Industry Consumer Services
Experience
Landmark Senior Living Communities  April 2015 - Present
American Red Cross, NE Chapter   2012 - Present
American Red Cross  August 2005 - Present
TD Bank  July 2011 - March 2015
PlumChoice  December 2010 - July 2011
Deloitte  September 2010 - October 2010
Comcast  2007 - September 2009
Bank of America  May 2006 - October 2007
Healthfirst, Inc  May 2003 - October 2004
Northeastern University  August 2000 - April 2003

Skills
Vendor Management, Program Management, Call Center, Leadership, Team Building, Management, Team Leadership, Leadership Development, Coaching, Sales, Banking, Teamwork, Customer Retention, Customer Experience, Operations Management, Customer Satisfaction, Cross-functional Team..., Hiring, Customer Service, E-commerce, Risk Management, Strategy, Strategic Planning, Account Management, Training, Product Management, B2B, CRM, Sales Management, Sales Operations, Call Centers, Performance Management, Process Improvement, Forecasting, Recruiting, Change Management, Executive Management, Business Development, Business Analysis, Financial Analysis, Employee Training, Outsourcing, Business Process..., Team Management, Business Strategy, Employee Relations, Retail, Selling, Time Management, Software Documentation

Education
Suffolk University   1990 — 1993
Bachelor of Science

Kajal Raval Kajal Raval Greater New York City Area Details
Kajal Raval's Healthfirst Inc Experience November 2003 - August 2004
Job Performance Analyst at UBS Wealth Management
Industry Financial Services
Experience
UBS Wealth Management  August 2004 - Present
Healthfirst, Inc.   November 2003 - August 2004
Cendant Corp. - Trip Network, Inc.   October 2001 - November 2002

Education
Rutgers, The State University of New Jersey-Newark   1995 — 2000
BS in Accounting, January 2001

Tracey Irby Tracey Irby Milford, Connecticut Details
Tracey Irby's Healthfirst Inc Experience October 2004 - March 2005
Job Owner at Bluestone Affairs
Industry Events Services
Experience
Bluestone Affairs   May 2005 - Present
MetroPlus Health Plan  May 2005 - August 2007
Healthfirst, Inc.   October 2004 - March 2005
Healthfirst, Inc.   November 2002 - September 2004
Healthfirst, Inc.   January 1999 - November 2002

Skills
Marketing, Managed Care, Analysis, Social Media, Program Management, Customer Service

Education
Cornell University   1992 — 1996
B.S., Human Development and Family Studies

Sheila Craft Sheila Craft Mansfield, Ohio Area Details
Sheila Craft's Healthfirst Inc Experience March 1999 - September 1999
Job Treasurer of Ohio Horsemen's Council, Inc.
Industry Accounting
Experience
Schafer Driveline, LLC   Corporate AccountantMansfield Plumbing ProductsMay 2009 - April 2013
Ohio Horsemen's Council, Inc.   January 2009 - December 2012
Mansfield Plumbing Products, LLC   September 2007 - 2009
General Mills  July 2002 - August 2006
Delaware County Auditor's Office   May 2000 - June 2002
HealthFirst, Inc.   March 1999 - September 1999
OSF America, Inc.   February 1997 - December 1997
OSF America, Inc.   March 1995 - February 1997
OSF America, Inc.   June 1992 - March 1995

Skills
Accounting, Budgets, Forecasting, General Ledger, Account Reconciliation, Strategic Planning, Payroll, Internal Controls, Accounts Payable, Auditing, Financial Analysis, Process Improvement, Microsoft Excel, Manufacturing, Cost Accounting, Analysis, Microsoft Office, Microsoft Word, Customer Service, Fixed Assets, Team Building, Finance, Continuous Improvement, SAP, Supply Chain, Inventory Management, Training

Education
Mount Vernon Nazarene University   2004 — 2006
BBA, Business Administration

Marion Technical College   1998 — 2000
AAS, Accounting

Jacqueline Battle-Jackson Jacqueline Battle-Jackson Greater New York City Area Details
Jacqueline Battle-Jackson's Healthfirst Inc Experience September 1996 - April 2001
Job Account Manager at Grey Stone Staffing
Industry Pharmaceuticals
Experience
Brooklyn Hospital  September 2004 - Present
Health First  January 1997 - Present
GreyStone Staffing  March 2009 - July 2009
Grey Stone Staffing   February 2009 - July 2009
Schering Plough  September 2004 - October 2008
Schering Plough, Kenil   September 2004 - September 2008
Purdue Pharma  June 2003 - May 2004
UCB  August 2001 - June 2003
Healthfirst Inc   September 1996 - April 2001
Health First  January 1998 - January 2001

Education
Central Michigan University   1999 — 2003
Masters, Health Care Administration

Norfolk State University
BS, Health Service Management

Norfolk State University   1991 — 1995
BS, Heath Service Management

Central Michigan University
MSA, Health Care Administration

Lillian Anazagasty Lillian Anazagasty Greater New York City Area Details
Lillian Anazagasty's Healthfirst Inc Experience April 2008 - August 2009
Job Manager of Audit &Training Dept at Elderplan (of Metropolitan Jewish)
Industry Professional Training & Coaching
Experience
Elderplan (of Metropolitan Jewish)   April 2013 - Present
Healthfirst, Inc.   April 2008 - August 2009
Atkins Nutritionals, Inc.   2002 - 2005

Skills
Training, Medicare, Coaching, Sales, Auditing, Team Building, Customer Service, Process Improvement, Account Management, Call Centers, Performance Management, Management, Team Leadership, Leadership, Strategic Planning

Education
Farmingdale State University of New York
Associate of Arts and Sciences (A.A.S.), Liberal Arts and Sciences/Liberal Studies

Leon Sears Leon Sears Greater New York City Area Details
Leon Sears's Healthfirst Inc Experience December 2005 - September 2009
Job Senior Vice President, Finance
Industry Hospital & Health Care
Experience
Health Republic Insurance of New York  February 2015 - Present
University of Phoenix, John Sperling School of Business   March 2005 - Present
Anthem, Inc.   December 2013 - January 2015
Amerigroup Corporation  May 2012 - December 2013
Health Plus  2009 - 2012
HEALTHFIRST INC.  December 2005 - September 2009
WARTBURG LUTHERAN SERVICES   February 2005 - October 2005
YMCA of Greater New York  October 1995 - February 2005
CRUM AND FORSTER INSURANCE COMPANY  September 1990 - October 1995

Skills
Healthcare, Healthcare Management, Financial Modeling, Leadership, Forecasting, Strategic Planning, Strategy, Managerial Finance, Accounting, Internal Controls, Finance, Team Building, Team Leadership, Project Planning, Capital Budgeting

Education
City University of New York-Baruch College - Zicklin School of Business
MBA, Finance & Strategic Management

New Jersey City University
BS, Accounting

Felix Beda Felix Beda Miami/Fort Lauderdale Area Details
Felix Beda's Healthfirst Inc Experience November 2005 - June 2006
Job Experiential Education Coordinator at Kettering University
Industry Higher Education
Experience
Kettering University  December 2012 - Present
Broward College  January 2007 - March 2012
HealthFirst Inc.  November 2005 - June 2006
Globe Institute of Technology  January 2005 - November 2005
Nova Southeastern University  December 2004 - May 2005
Nova Southeastern University  November 2003 - January 2005
Rhodes University  February 2000 - December 2001
Rhodes University  February 2000 - December 2001
Napolo Ukana Breweries Limited   August 1997 - December 1998

Skills
Training, Public Speaking, Teaching, Recruiting, Marketing, E-Learning, Sales, Higher Education, English, Healthcare, Community Outreach, Curriculum Design, Research, Adult Education, Online Marketing, Resume Writing, Curriculum Development, Nonprofits, Staff Development, Career Counseling, Instructional Design, Student Affairs, Event Planning

Education
Nova Southeastern University   2008 — 2011
Master of International Business, International Finance and International Human Resources

Nova Southeastern University   2003 — 2006
Master of Science, Conflict Analysis and Resolution; Peace Studies

Rhodes University   1999 — 2002
Bachelor of Arts, Anthropology, Political Science

Michael Formisano Michael Formisano Greater New York City Area Details
Michael Formisano's Healthfirst Inc Experience December 2007 - November 2010
Job Certified Public Accountant
Industry Accounting
Experience
Consultant  January 2010 - Present
EVCI Career Colleges Holding Corp   January 2010 - January 2011
Healthfirst, Inc.   December 2007 - November 2010
The Navigators Group   November 2003 - August 2007
Westchester County Businesses   September 1999 - November 2003
BICC Cables Corporation   September 1990 - September 1999

Education
Ferris State University
BS, Accounting

Carol Ann Carrington Carol Ann Carrington New York, New York Details
Carol Ann Carrington's Healthfirst Inc Experience January 2007 - May 2011
Job Experienced Accountant
Industry Accounting
Experience
Healthfirst Inc   January 2007 - May 2011
Loews Cineplex Entertainment  October 1999 - March 2006

Skills
Great Plains Software, Microsoft Office 2007, Microsoft Excel, Outlook, Microsoft Word, PeopleSoft, Account Reconciliation, Accounting, Accounts Payable, Accounts Receivable, Accruals, Analysis, Auditing, Budgets, Financial Accounting, Financial Analysis, Financial Statements, General Ledger, Invoicing, Journal Entries, Management, Microsoft Office, Payroll, Process Improvement, Sarbanes-Oxley Act, Strategic Planning, Time Management, Variance Analysis

Education
John Jay College of Criminal Justice
Master of Arts, Criminal Justice; Investigative Techniques

New Jersey City University
BS, Accounting

Nadine Sobers Nadine Sobers Brooklyn, New York Details
Nadine Sobers's Healthfirst Inc Experience June 2006 - April 2008
Job Customer Service at First Transit
Industry Telecommunications
Experience
First Transit  November 2009 - Present
Healthfirst Inc   June 2006 - April 2008
Leopold, Gross and Sommers   May 2005 - June 2006

Skills
Typing, Microsoft Office, Switchboard Operator, Customer Service, Sales, Microsoft Excel, Account Management, Outlook, Call Center, Customer Satisfaction, Microsoft Word, PowerPoint, Cold Calling

Education
Kaplan University   2008 — 2012
Bachelor Business, Business Management

Katherine Gibbs School   2002 — 2003
Associate Degree, Computer Programming

Angela Mayers-Williams Angela Mayers-Williams Alpharetta, Georgia Details
Angela Mayers-Williams's Healthfirst Inc Experience July 1994 - October 1995
Job Independent Provider Claims / Credentialing Contractor at INDEPENDENT NETWORK CONTRACTOR
Industry Hospital & Health Care
Experience
INDEPENDENT NETWORK CONTRACTOR   February 2009 - Present
UNITED HEALTHCARE  January 2008 - January 2009
KAISER PERMANENTE  July 2001 - August 2006
Promina Health Care Systems   January 2001 - July 2001
BRONX-LEBANON HOSPITAL CENTER  November 1995 - March 1998
HEALTHFIRST, INC  July 1994 - October 1995
EMPIRE BLUE CROSS AND BLUE SHIELD  April 1991 - July 1994

Skills
Microsoft Office, PowerPoint, Microsoft Excel, Outlook, Marketing Strategy, Public Health, Strategic Planning, Problem Solving, Public Policy, Public Speaking, Health Insurance, Healthcare Management, Healthcare

Education
University of Phoenix   2009 — 2011
Master of Health Administration, Health/Health Care Administration/Management, 3.7 gpa

Hofstra University   1990 — 1994
Bachelor of Arts, Communications, 3.0

Steve Meeker Steve Meeker Alpharetta, Georgia Details
Steve Meeker's Healthfirst Inc Experience November 1997 - January 2000
Job Chief Operating Officer, Georgia at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans  June 2014 - Present
United Healthcare  October 2011 - May 2013
United HealthCare  May 2010 - October 2011
Coventry Health Care  April 2009 - May 2010
Amerigroup Corporation  May 2006 - March 2009
Amerigroup Corporation  August 2004 - May 2006
Amerigroup Corporation  May 2000 - August 2004
HealthFirst, Inc.   November 1997 - January 2000
Prudential Healthcare  April 1995 - November 1997

Skills
Medicare, Managed Care, Medicaid, Network Development, Health Insurance, Provider Relations, Insurance, Health Policy, Healthcare Management, HIPAA, Healthcare, Healthcare Consulting, Revenue Cycle, Healthcare Industry

Education
Georgia State University   1990 — 1993
MBA

Georgia State University   1990 — 1992
MHA, Healthcare Administration

Wake Forest University   1986 — 1990
BA, Economics; Minor in Biology

Kelly Gelein Kelly Gelein Cincinnati, Ohio Details
Kelly Gelein's Healthfirst Inc Experience April 2001 - January 2008
Job Associate General Counsel at Anthem, Inc.
Industry Insurance
Experience
Anthem, Inc.   February 2008 - Present
Healthfirst, Inc.   April 2001 - January 2008

Skills
Corporate Law, Insurance Law, Managed Care, Health Care Compliance, Health Care Regulation, HIPAA, Health Law, Health Policy, Healthcare Industry, Insurance

Education
Brooklyn Law School
Doctor of Law (JD)

Miami University
Bachelor of Arts (BA), Political Science

Merle Henry Merle Henry Newark, New Jersey Details
Merle Henry's Healthfirst Inc Experience May 2013 - September 2015
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Healthfirst, Inc  May 2013 - September 2015
Healthfirst  February 2013 - May 2013
Georgian Court University  August 2007 - May 2011
New York University Langone Medical Center Cancer Institute   May 2009 - August 2009

Skills
Microsoft Suites, Macess (Electronic..., CCMS (Clinical Care..., Rightfax (Electronic..., Adobe Acrobat X Pro, Medical Terminology..., Administrative and..., Multitasking and..., Organizational and Time..., Docusign (E-signature...

Education
Georgian Court University   2007 — 2012
Bachelor's of Science, Kinesiology and Exercise Science

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