North Shore-LIJ CareConnect Insurance Company, Inc.
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North Shore-LIJ CareConnect Insurance Company, Inc. Employees
Long Island Jewish Medical Center July 2015 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. January 2014 - Present
North Shore-LIJ Health System July 2013 - Present
Lefferts Medical Associates PC January 2001 - Present
Beacon IPA, LLC 2011 - January 2014
North Shore-LIJ Health System 2001 - 2011
North Shore-LIJ Health System 2001 - 2011
Medical Society of Queens County 2006 - 2007
Skills
Clinical Research, Healthcare, EMR, Healthcare Management, Healthcare Information..., EHR, Clinical Trials, Public Health, Oncology, Managed Care, Cardiology, Medicine, Revenue Cycle, HIPAA, Treatment, Medical Devices, Patient Safety, Internal Medicine, Inpatient, Physicians, Healthcare Consulting, Informatics, Medical Education, Ambulatory Care, CPOE, Quality Improvement, Physician Relations, Board Certified, Healthcare Industry, Health Information..., Health Education, Medical Terminology, Medical Coding, Ambulatory, Hospitals, Health Policy
Education
Delhi University 1986 — 1991
MBBS, Medicine
Maulana Azad Medical College 1986 — 1991
MBBS, Medicine and Surgery
Kendriya Vidyalaya 1983 — 1985
12, High School
Ryan January 2015 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. January 2014 - December 2014
North Shore-LIJ Health System May 2013 - January 2014
Accenture March 2007 - May 2013
Novare Events September 2003 - February 2007
Accenture August 2000 - June 2001
Skills
Talent Management, Talent Acquisition, Consulting Recruiting, Sourcing, Technical Recruiting, Onboarding
Education
Georgia School of Professional Psychology
Masters of Arts, Psychology
Central Michigan University
Bachelor of Science in Business Administration, Marketing & Hospitality Services Administration
North Shore-LIJ CareConnect Insurance Company, Inc. September 2015 - Present
Federal Aviation Administration July 2014 - August 2015
NY Rising June 2013 - June 2014
Vineyard Vines May 2012 - January 2014
World Courier February 2013 - June 2013
Mariner Finance October 2011 - March 2012
Middle Tennessee State University July 2011 - September 2011
Skills
Customer Service, Managerial Finance, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Managed Money, Sales, Life Insurance, Money Transfers, Inventory Management, Telemarketing, Solicitation, Unsecured Loans, Car Loans, Collaborative Problem..., Innovativeness, Team Building, Effective Communication, Open Minded
Education
Middle Tennessee State University 2008 — 2011
Bachelor of Applied Science (B.A.Sc.), Business Administration and Management, General
Deer Park High School 2004 — 2007
Diploma
North Shore-LIJ CareConnect Insurance Company, Inc. July 2013 - Present
Pixel Dreamer, LLC September 2010 - May 2013
Reingold, Inc. September 2007 - September 2010
Education
Trinity University
Bachelor of Science, Economics, Business Finance
IPRO April 2015 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. February 2013 - January 2015
Sharon LaColla, CPA January 2012 - February 2013
Bank of America December 2006 - July 2011
Clever Devices December 2004 - February 2006
Skills
Outlook, Microsoft Excel, Microsoft Word, PowerPoint, Access, QuickBooks, Executive Office..., Front Office Support, Meeting Planning, Records Management, CRM databases, Concur, Visio, SharePoint, Adobe Standard, Morningstar, Shorthand, Internet, Intranet Portals, Goldmine, PeopleSoft, Customer Service, Healthcare Management, Time Management, Problem Solving
Education
Long Island University, C.W. Post Campus
Business Administration and Management, General
Suffolk County Community College
Business Administration and Management, General
North Shore-LIJ CareConnect Insurance Company, Inc. October 2014 - Present
Health Republic Insurance May 2013 - March 2014
UnitedHealthcare December 2007 - March 2013
Skills
Medicare, Managed Care, Medicaid Managed Care, Community Outreach, Customer Service, Customer Retention, Bilingual-Chinese, Health Education, Recruiting, Management, Marketing, Insurance, Sales, Physician Relations, HIPAA, HMO, Provider Relations, Nonprofits, Case Management, Medicaid, Healthcare, Leadership, Strategic Planning
Education
Kaplan University
Bachelor of Business Administration (BBA), Marketing
Legacy High School 1999 — 2003
School of Nations 1992 — 1999
North Shore-LIJ CareConnect Insurance Company, Inc. August 2014 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. February 2013 - August 2014
United States Army, Education Center June 2009 - May 2012
Skills
Microsoft Excel, Healthcare, PowerPoint, Microsoft Office, Process Improvement, Management, Microsoft Word, PeopleSoft
Education
University of Maryland University College 2009 — 2011
Bachelor of Arts (BA), Humanities/Humanistic Studies
Fashion Institute of Technology 2005 — 2008
Associate of Arts and Sciences (AAS), Fashion/Apparel Design
North Shore-LIJ CareConnect Insurance Company, Inc. May 2013 - Present
EmblemHealth August 2010 - May 2013
Cammack LaRhette Consulting November 2009 - June 2010
Austin & Co., Inc. January 2007 - December 2009
UnitedHealthcare July 1996 - January 2007
Oxford Health Plans January 2003 - January 2005
Skills
Account Management, Market Analysis, Employee Benefits, Health Insurance, Insurance, Managed Care, Strategic Planning, Healthcare, New Business Development, Underwriting
Education
City University of New York-Baruch College - Zicklin School of Business
MBA
State University of New York College at Oneonta
Chaminade High School
Office of the New York State Attorney General January 2015 - April 2015
North Shore-LIJ Health System May 2014 - August 2014
North Shore-LIJ CareConnect Insurance Company, Inc. July 2014 - July 2014
New York Law School January 2014 - June 2014
Weill Cornell Medical College June 2013 - August 2013
Stony Brook University May 2010 - May 2012
Skills
Research, SPSS, Time Management, Microsoft Office, Fundraising, Qualitative Research, Social Media, Teamwork, Management, Community Outreach, Facebook, Blogging, Nonprofits, Spanish, Public Speaking
Education
Stony Brook University 2011 — 2012
Master of Arts (M.A.), Public Policy
Stony Brook University 2008 — 2011
Bachelor of Arts (B.A.), Political Science and Africana Studies
The Bronx High School of Science 2004 — 2008
Advanced Regents Diploma
North Shore-LIJ CareConnect Insurance Company, Inc. June 2013 - Present
Jewish Guild Healthcare - Guildnet December 2011 - June 2013
Long Beach Home Health Care May 2010 - December 2011
Cold Spring Hills LTHHCP November 2008 - May 2010
Skills
Case Managment, Mental Health, Social Services, Home Care, Crisis Intervention, Group Therapy, Program Development, Community Outreach, Adolescents, Treatment, Mental Health Counseling, Behavioral Health, Nursing, Nonprofits, Healthcare Management, Healthcare, Psychotherapy, Public Health, Managed Care, Clinical Research, Hospitals, Case Management, Medicaid, Disease Management
Education
Walden University 2010 — 2014
Master's Degree, Leadership and Management, 3.6/4.0
Nassau Community College 2003 — 2005
Associate's degree, Registered Nursing/Registered Nurse, 3.0
Briarcliffe College 1992 — 1996
Associate's degree, Business Administration and Accounting, 3.6
North Shore-LIJ CareConnect Insurance Company, Inc. July 2013 - Present
Centers Plan for Healthy Living June 2012 - July 2013
Health Plus September 2008 - June 2012
Health Plus September 2008 - September 2011
Health First, Inc July 2004 - August 2008
The TriZetto Group November 1997 - June 2004
TriZetto Group, Inc March 1990 - November 1997
The Home Insurance Company, May 1989 - March 1990
New York Life Insurance Company February 1985 - May 1989
Skills
Full SDLC, Software Project..., MS Project, Quality Assurance, Software Quality..., PMBOK, Powerpoint, MS Visio, Facets, Testing, Healthcare Information..., SDLC, Visio, Integration, Analysis, Requirements Gathering, PowerPoint, Business Requirements, PMO, SQL, CRM, Project Management, Medicare, Medicaid, Software Documentation, Information Technology, Business Analysis, Databases, Process Improvement, HIPAA, Leadership, Healthcare, Managed Care, Healthcare Management, PMP, Vendor Management
Education
Baruch College 1982 — 1985
BBA, Business Management
Kingsborough Community College 1980 — 1982
AAS, Business Administration
North Shore-LIJ CareConnect Insurance Company, Inc. November 2013 - Present
George Martin Group May 2003 - March 2014
Cold Spring Harbor Laboratory September 2010 - November 2013
Great Neck North Public Schools August 2008 - November 2011
Nassau BOCES June 2009 - August 2010
Skills
Microsoft Office, Lawson, Internet, Administration, Benefits, PowerPoint, Word, Excel, Event Planning, Customer Service, Employee Benefits, Outlook, Transitchek, Onboarding, Budgets, Research, Microsoft Excel, Insurance
Education
SUNY Oneonta 2003 — 2006
Bachelors, Secondary Education
North Shore-LIJ CareConnect Insurance Company, Inc. August 2014 - Present
UnitedHealth Group March 2012 - May 2014
UnitedHealth Group December 2002 - March 2012
Skills
Health Insurance, Account Management, Managed Care, Employee Benefits, Healthcare, Healthcare Industry, Insurance, Ancillary Benefits, Dental Insurance, Vision Insurance
Education
University of South Carolina-Columbia 1989 — 1993
Bachelor of Science (BS)
North Shore-LIJ CareConnect Insurance Company, Inc. 2015 - Present
Rite Aid August 2005 - Present
St. John's Riverside Hospital June 2015 - July 2015
Rite Aid June 2014 - January 2015
Skills
Photography, Digital Photography, Photoshop, Management, Retail Sales, Multitasking Skills, Handmade Jewelry, DIY projects, Organization, Customer Service, Cash Handeling, Planograms, Store Operations, Visual Merchandising, Store Management, Cashiering, Merchandising, Cash Register, Retail, Time Management, Product Ordering, Inventory, Hiring Employees, Inventory Management, New Hire Training, Human Resources, Employee Training, Hiring, Microsoft Excel, Microsoft Office, Onboarding, Training
Education
Touro College 2013 — 2015
Master's degree, Human Resources Management and Services
SUNY Purchase 2008 — 2010
Bachelor of Fine Arts (B.F.A.), Photography
Nassau Community College 2005 — 2008
Associate of Arts (A.A.), Photography
Centerlight Health System July 2015 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. March 2015 - Present
Gentiva Health Services August 2014 - Present
QCP ICF Program February 2010 - Present
ACDS - Association for Children with Down Syndrome 2009 - Present
EmblemHealth 2007 - Present
Denise C Santucci MD LLC June 2002 - Present
Little Flower Children's Services January 2002 - Present
North Shore LIJ Health System 2004 - 2007
Skills
Healthcare Management, Healthcare, Clinical Research, Healthcare Consulting, Health Policy, Utilization Management, Disease Management, Medicaid, Hospitals, Managed Care, Medicare, Family Medicine, Healthcare Information..., Medicine, Home Care, Physicians, Long-term Care, Quality Improvement, Healthcare Industry, Psychiatry, Medical Education, Health Education, Wound Care, Patient Safety, Patient Advocacy, Diabetes, Elder Care, Emergency Medicine, Health Insurance, Health Promotion, Patient Education, Geriatrics
Education
Hofstra University 2005 — 2007
MBA, Executive MBA
St George's University School of Medicine 1995 — 1999
MD, Medicine
New York University 1991 — 1995
BS, Biology
Finger Lakes Performing Provider System September 2015 - Present
Excellus BCBS June 2015 - Present
Webster Psychiatry & Medicine, PLLC January 2008 - Present
Fidelis Care April 2014 - May 2015
North Shore-LIJ CareConnect Insurance Company, Inc. October 2013 - March 2014
Excellus BCBS January 2012 - October 2013
Rochester General Hospital September 2005 - September 2009
BHC Heritage Oaks Hospital, Inc October 2003 - July 2005
University of Rochester Medical Center July 1999 - September 2003
Skills
Psychiatry, Mental Health, Board Certified, Healthcare Management, Prevention, Healthcare Consulting, Psychopharmacology, Psychotherapy, Clinical Supervision, Program Development, Internal Medicine, Medical Education, Hospitals, Healthcare, Clinical Research, Behavioral Health, Medicine, Managed Care, Inpatient, Public Health, Treatment, Emergency Medicine, Epidemiology, Physicians, Pediatrics, Family Medicine, Healthcare Information..., EMR
Education
University of Rochester 1999 — 2003
MPH
University of Rochester 1997 — 1999
PGY4/5 Chief Resident, Internal Medicine & Psychiatry
Albert Einstein College of Medicine 1995 — 1996
PGY2/3, Internal Medicine & Psychiatry
Icahn School of Medicine at Mount Sinai 1994 — 1995
PGY1, Psychiatry
University of Alexandria Hospitals 1991 — 1992
Intership, Medicine
Alexandria University 1984 — 1990
MBCHB (MD), Medicine
North Shore-LIJ CareConnect Insurance Company, Inc. July 2014 - Present
North Shore-LIJ Health System March 2014 - Present
Empire BlueCross & BlueSheild November 2008 - March 2014
Skills
Health Insurance, Insurance, Employee Benefits, Claim, Customer Service, Brokers, Management, Healthcare, Medical Billing, Negotiation, Underwriting, Life Insurance, Disability Insurance, Account Management, Benefits Administration, Call Centers, Commercial Insurance, Customer Retention, Data Entry, Customer Satisfaction
Education
Hofstra University
Real Estate
Nassau Community College
North Shore-LIJ CareConnect Insurance Company, Inc. May 2015 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. October 2014 - May 2015
North Shore-LIJ Health System September 2013 - October 2014
ZocDoc April 2013 - August 2013
Con Edison June 2012 - August 2012
Education
University of Delaware 2008 — 2013
BS, Operations Management & International Business, Minor: German
The Berlin School of Economics and Law
Exchange Semester - Fall 2012
Southampton Hospital July 2015 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. April 2013 - Present
The Children's Hospital of Philadelphia 2008 - 2013
Memorial Healthcare System November 2000 - October 2008
Skills
Healthcare, German, Healthcare Leadership, Hospitals, Epic Systems, Data Analysis, HIPAA, Healthcare Management, EMR, Microsoft Excel, PowerPoint, Outlook, Revenue Cycle, Microsoft Office, Healthcare Industry, Microsoft Word, Organizational..., Medical Terminology, Leadership Development, ICD-9, Budgets, Quality Improvement, CPT, Healthcare Information..., Medicaid, Patient Safety, Kronos
Education
Rosemont College
Bachelor of Arts (BA), Business Administration and Management, General
Staatl. Berufsschule I Aschaffenburg
Bachelor's degree, Business Administration and Management, General
North Shore-LIJ CareConnect Insurance Company, Inc. December 2014 - August 2015
Centerlight Health System September 2011 - April 2014
Callen-Lorde Community Health Center April 2010 - March 2011
Apicha Community Health Center May 2009 - December 2009
Skills
Medicaid, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Medicare, Customer Service, Research, Teamwork, Public Speaking, Home Care, EMT, Data Entry, Nursing, Clinical Research, Healthcare, EMR, Hospitals, HIPAA
Education
Borough of Manhattan Community College 2010 — 2015
Nursing - 2015, Registered Nursing/Registered Nurse, 3.73 current GPA
New York School for Medical and Dental Assistants 2008 — 2009
Certified Medical Assistant, Medical/Clinical Assistant, 94.0%
Emergency Care Programs 2010 — 2010
Certified EMT, Emergency Medical Technician - Basic, 96.0%
North Shore-LIJ CareConnect Insurance Company, Inc. March 2013 - Present
UnitedHealth Group February 2012 - March 2013
EmblemHealth December 2009 - February 2012
Fitzpatrick Hotel Group September 2009 - December 2009
Skills
Excel, Microsoft Office, Marketing Strategy, Event Management, Analysis, Healthcare, Sales, Sales Operations, Health Care Reform, Employee Benefits, Managed Care, Project Management, Health Insurance, New Business Development, Microsoft Excel, Management, PowerPoint, Marketing, Insurance
Education
City University of New York-Baruch College - Zicklin School of Business 2010 — 2014
Master of Business Administration (M.B.A.), Marketing/Marketing Management, General Business
Providence College 2005 — 2009
BS, Finance
Chaminade High School 2001 — 2005
Healthfirst September 2015 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. October 2014 - Present
Purity Products October 2013 - October 2014
Aon Consulting June 2011 - June 2013
Islip Tutoring October 2007 - September 2010
Skills
Microsoft Office, Writing, Psychology, Recruiting, Human Resources, Personnel Management, PowerPoint, Microsoft Word, Payroll, Employee Benefits, Employee Training, Employee Relations
Education
Adelphi University 2009 — 2011
Master of Arts, Industrial Psychology
Boston College 2003 — 2007
Bachelor's, Communications
North Shore-LIJ CareConnect Insurance Company, Inc. April 2014 - Present
Skills
Healthcare, Customer Service, Process Improvement, Sales, Insurance, Health Insurance, Microsoft Office, Microsoft Excel, Training, Leadership, Management, Strategic Planning
Education
State University of New York College at Old Westbury
Bachelor of Science (B.S.), Marketing
HealthCare Partners, IPA June 2015 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. October 2014 - June 2015
Aetna March 2013 - October 2014
Revival Home Health Care November 2011 - March 2013
Healthcare Risk and Compliance Group, LLC August 2008 - March 2013
Nassau Medical Services, P.C. March 2011 - November 2011
Mount Sinai Medical Center May 2010 - March 2011
Paxxon Healthcare Services January 2008 - July 2008
Guardian First Funding August 2007 - 2008
Sanders, Sanders, Block, Woycik, Viener and Grossman May 2006 - August 2006
Skills
Medicaid, Medical Compliance, Managed Care, HIPAA, Medicaid Managed Care, Regulatory Affairs, Health Law, Medicare, Healthcare, Physicians, Home Care, Nursing, Hospitals, Training, Healthcare Management, Corporate Law, Human Resources, Policy, Patient Safety, Performance Improvement, Clinical Research, Long-term Care, Elder Care, Healthcare Consulting, Revenue Cycle, Healthcare Information..., Health Policy, EHR, Healthcare Industry, Medical Coding, Health Care Reform, Medicine, EMR, Medical Billing, Disease Management, Physician Relations, Quality Improvement, Provider Relations, Practice Management, Leadership, Inpatient, Acute Care, HMO, Utilization Management, Patient Advocacy, JCAHO, Case Managment, Privacy Law, Informatics, Health Insurance
Education
Quinnipiac University School of Law 2004 — 2007
JD, law
Union College 2000 — 2004
B.A., sociology
Riverdale Country School 1996 — 2000
North Shore-LIJ CareConnect Insurance Company, Inc. September 2014 - Present
Vendome Group / Digital Strategy August 2010 - September 2014
Advanstar Communications December 2006 - August 2010
TRANZACT March 2006 - December 2006
Ziva Continuum March 2005 - February 2006
Healthology November 2000 - March 2005
American Home Mortgage December 1997 - November 2000
TRU-FIT Orthopedics September 1995 - December 1997
Skills
Online Marketing, Digital Strategy, Team Building, Web Analytics, SEM, Email Marketing, Direct Marketing, Media Buying, Product Development, Web Development, Strategic Planning, Integrated Marketing, SEO, PPC, Lead Generation, Digital Marketing, Interactive Marketing, Online Advertising, Google Analytics, Social Media Marketing, Marketing Strategy, Google Adwords, Digital Media, Advertising Sales, Media Planning, Marketing Communications, Marketing Management, B2B, Omniture, B2B Marketing, Website Development, Campaign Management, Event Marketing, Database Marketing, Trade Shows, Competitive Analysis, Advertising, Publishing, Analytics, Strategic Partnerships, Content Management, Content Strategy, Content Marketing, Marketing, Multi-channel Marketing, Social Media, Customer Acquisition, Corporate Communications, Strategy, Online Lead Generation
Education
Loyola University Maryland 1989 — 1993
BA, Marketing Communications
Hofstra University 1900 — 1900
Certification, Web Design
School of Visual Arts 1900 — 1900
post graduate, Copywriting / Design
North Shore-LIJ CareConnect Insurance Company, Inc. February 2014 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. October 2013 - February 2014
Victims Assistance Services December 2012 - October 2013
Victims Assistance Services December 2006 - September 2013
Skills
Community Outreach, Customer Service, Software Documentation, Training
Education
State University of New York College at Oswego 2000 — 2005
Bachelor of Arts, Public Justice
North Shore-LIJ CareConnect Insurance Company, Inc. May 2015 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. December 2013 - May 2015
American Express May 2011 - December 2013
American Express April 2010 - May 2011
American Express September 2005 - April 2010
Macy's September 2004 - September 2005
Macy's June 2003 - September 2004
Primedia Inc. February 2004 - May 2004
Specialized Screening Services & Integrated Marketing Services of New York September 2001 - February 2003
Skills
Strategic Partnerships, Consumer Marketing, Event Planning, Relationship Marketing, Marketing, Marketing Strategy, Event Management, Customer Experience, Sponsorship, Strategic Planning, Integrated Marketing, Marketing Communications, Trade Shows, Product Marketing, Building Relationships, Social Media, Customer Acquisition, Brand Awareness, Loyalty Marketing, Loyalty Programs, Account Management, Leadership, Competitive Analysis, Mobile Marketing, Relationship Management, Management, Budgets, Strategy, Creative Direction, Direct Marketing, Lead Generation, CRM, Brand Management, Project Management, Digital Marketing, Email Marketing, Marketing Management, Analytics, B2B, Online Marketing, Salesforce.com, B2B Marketing, Social Media Marketing, Team Leadership
Education
University of Rhode Island 1997 — 2001
BS, Dietetics
ArroHealth May 2015 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. June 2014 - March 2015
North Shore-LIJ CareConnect Insurance Company, Inc. December 2012 - June 2014
UnitedHealth Group January 2012 - December 2012
UnitedHealth Group December 2008 - February 2012
UnitedHealth Group April 2007 - January 2009
Hauben & Associates December 2006 - April 2007
Healthfirst 1999 - 2006
Accenture 1997 - 1999
Multiplan 1995 - 1997
Skills
Leadership, Health Insurance, Insurance, Strategic Planning, Management, Change Management, Sales Management, CRM, Team Building, Managed Care, Executive Management, Sales, Employee Benefits, Strategy, Healthcare, Medicare, Marketing, Competitive Analysis, Account Management, Process Improvement, Program Management, New Business Development, Customer Service, Training, Business Development, Selling, Marketing Strategy, Project Management, Coaching, Budgets, Management Consulting, Business Intelligence, Integrated Marketing, Mentoring, Contract Negotiation, Policy, Operations Management, Time Management, Cross-functional Team..., Vendor Management, HMO, Provider Relations, Health Savings Accounts, PPO, Network Development, P&L Management, Network Strategy, Strategic Partnerships, Strategic Leadership, Commercial Insurance
Education
Syracuse University 1992 — 1993
MPA, State & Local Fiscal Planning
Syracuse University 1988 — 1992
Bachelor of Arts (B.A.), Policy Studies and Political Science
Classical 1984 — 1988
North Shore-LIJ CareConnect Insurance Company, Inc. September 2014 - Present
North Shore-LIJ Health System April 2013 - September 2014
Amerigroup Corporation May 2012 - March 2013
Health Plus October 2006 - April 2012
Foot Locker November 2003 - October 2006
Healthfirst July 2000 - October 2003
JP Morgan Chase November 1994 - June 2000
Grumman Aerospace February 1984 - November 1994
Skills
Disaster Recovery, Organizational..., Change Management, Project Management, Infrastructure..., Vendor Relationships, Capital Budgeting, Operating Budgets, Cost Management, Cost Saving Initiatives, Technology Management, Mergers, Management, Leadership, Process Improvement, Vendor Management, SDLC, Strategic Planning, Strategy, Executive Management, Risk Management, Information Technology, Business Planning, Team Leadership, Team Building, Business Analysis, IT Management, Security, Program Management, Insurance, Mergers & Acquisitions, Contract Negotiation, Healthcare, Budgets, Call Centers, Visio, Requirements Analysis, HIPAA, Healthcare Information..., Networking, Business Process..., Software Documentation, CRM, SharePoint, System Administration, PMO, Data Center, Outsourcing, Integration, Business Intelligence
Education
New York Institute of Technology 1985 — 1987
BS, CompSci, Business, Math & Physics
Suffolk County Community College 1981 — 1983
AAS, General Studies
North Shore-LIJ CareConnect Insurance Company, Inc. June 2013 - Present
Health Plus January 2001 - May 2013
Empire Blue Cross Blue Shield February 1998 - November 2000
Brooklyn Physicians IPA 1986 - 1996
Skills
Medicare, Managed Care, Medicaid, Provider Relations, HIPAA, Health Insurance, Healthcare Information..., Healthcare, Network Development, Healthcare Management, Healthcare Consulting, Healthcare Industry, HMO, Health Policy, Insurance
Education
New York University 1979 — 1981
MPA, Health Care Policy
University of Denver 1974 — 1978
Bachelor of Arts (BA), Biology, General
North Shore-LIJ CareConnect Insurance Company, Inc. January 2015 - Present
Ropes & Gray LLP September 2007 - January 2015
Community Legal Services June 2005 - August 2005
Education
New York University School of Law 2004 — 2007
JD
Cornell University
Bachelor of Science, Policy Analysis and Management
Paradigm Health Plans September 2015 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. November 2013 - August 2015
City Underwriting Agency October 2001 - November 2013
Oxford Health Plans 1990 - October 2001
Oxford Health Plans 1992 - 1994
Oxford Health Plans 1990 - 1992
Skills
Leadership, Insurance, Underwriting, Commercial Insurance, Employee Benefits, Workers Compensation, Property & Casualty..., Brokers, Professional Liability, Casualty, Direct Sales, Account Management, Strategic Planning, Disability Insurance, Health Savings Accounts, Legal Liability, Life Insurance, Health Insurance, Excess, 401k, Long-term Care
Education
State University of New York College at Oneonta 1983 — 1987
Bachelor of Science (BS), Business/Managerial Economics
North Shore-LIJ CareConnect Insurance Company, Inc. April 2013 - Present
Total Care June 2012 - April 2013
Health Plus August 2006 - April 2012
Healthfirst June 1996 - June 2006
NatWest Bank 1993 - 1995
Graphik Dimensions 1990 - 1993
Doubleday Book Shops 1988 - 1990
Skills
HIPAA, Healthcare Information..., Managed Care, Healthcare, Medicare, Healthcare Management, Medicaid, Process Improvement, Disaster Recovery, EMR, Vendor Management, SDLC, Client Support, Strategic Planning, Change management..., Policies and procedure, Data Center operations, Implementation of large..., Claims Management, Enrollment Management, Project Management, Department Budgeting, Performance Metrics, Mentoring, Talent Acquisition, Change Management, Customer Support, Health Insurance, Healthcare Consulting, Management, Provider Relations, Quality Assurance
Education
Saint John's University - Peter J. Tobin College of Business 1991 — 1994
MBA, Management
Manhattan College 1984 — 1988
BS, CIS
North Shore-LIJ CareConnect Insurance Company, Inc. April 2013 - Present
HHC- Woodhull Medical Center December 2011 - April 2013
HHC- Woodhull Medical Center 1987 - 2011
Skills
Hospitals, Healthcare Information..., Healthcare Management, Data Analysis, Quality Improvement, Healthcare Industry, Health Insurance, Business Intelligence, Breakthrough Thinking, Data Warehousing, EMR, EHR, Managed Care, Physicians
Education
City University of New York City College
Computer Science
James J. La Rosa, M.D. January 2015 - Present
North Shore-LIJ CareConnect Insurance Company, Inc April 2014 - January 2015
North Shore-LIJ CareConnect Insurance Company, Inc. November 2013 - September 2014
North Shore-LIJ CareConnect Insurance Company, Inc. August 2013 - June 2014
North Shore LIJ Population Health Management January 2012 - January 2014
North Shore LIJ Health System January 2012 - August 2013
Accuro Diagnostics March 2010 - December 2011
Westchester Medical Center January 2008 - April 2009
North Shore LIJ Health System March 2001 - December 2006
Skills
Hospitals, Contract Negotiation, Strategic Planning, Healthcare, Vendor Management, Healthcare Management, Medicine, Management, Process Improvement, Clinical Research, Managed Care, Healthcare Information..., Leadership Development, Team Building, Change Management, Microsoft Excel, Project Management, EHR, EMR, Patient Safety, Operations Management, Budgets, Quality Management, Leadership, Revenue Cycle, Healthcare Consulting, Physicians, Informatics, HIPAA, Performance Improvement, Procurement, Medical Education, Business Strategy, Physician Relations, Data Analysis, Cardiology, Quality Improvement, Critical Care, Healthcare Industry, Medicaid, Surgery, Public Health, Health Policy, Practice Management, Medical Devices, Inpatient, Internal Medicine, Utilization Management, PACS, Orthopedic
Education
New York Medical College 1971 — 1975
M.D., Medicine
Fordham University 1967 — 1971
Bachelor of Science (BS)
North Shore-LIJ CareConnect Insurance Company, Inc. April 2014 - Present
HHA eXchange - Home Care Software Solutions, LLC March 2012 - April 2014
Health Plus March 2010 - March 2012
Hudson Health Plan 2008 - 2010
Gabriels Technology Solutions 2007 - 2008
SI International 2005 - 2007
Skills
ASP.NET, VB.NET, C#, SQL Server 2000-2008, SSRS, SSIS, JavaScript, Visual Studio Team..., Microsoft SQL Server, CSS, SQL, Stored Procedures, Web Applications, Visual Studio, Visual Basic, Database Design, Business Analysis, SDLC, T-SQL, Data Modeling, Project Management, Databases, Quality Assurance, Software Documentation, VSS, Crystal Reports, Web Services, Programming
Education
City University of New York City College 1997 — 2003
BS, Computer Science
North Shore-LIJ CareConnect Insurance Company, Inc. October 2014 - Present
Liberty Health Advantage March 2014 - October 2014
Visiting Nurse Service of New York September 2012 - March 2014
EMBLEM HEALTH September 2008 - September 2012
Skills
Managed Care, Healthcare, Health Policy, Policy, Public Health, Nonprofits, Medicare, Medicare Part D, Medical Compliance, CMS, Delegation, Auditing, Fraud Detection, Disease Management, Healthcare Consulting, Healthcare Industry, Insurance, Health Insurance, Management
Education
Queen's College 2001 — 2005
Bachelor's degree, Economics
North Shore-LIJ CareConnect Insurance Company, Inc. August 2013 - Present
Health Plus PHSP Inc October 1992 - July 2013
Skills
Employee Benefits, Healthcare Information..., Microsoft SQL Server, Process Improvement, Team Building, Leadership, Healthcare, Business Intelligence, SQL, Analysis, Vendor Management, Integration, SDLC, Visio, Insurance, HIPAA, Healthcare Management, Business Analysis, Program Management, Requirements Analysis, Health Insurance, Managed Care, Software Development, Databases, SharePoint, Strategic Planning, Marketing, Hospitals, Medicaid, Medicare, Requirements Gathering, Project Management, Business Requirements, Software Documentation, Software Project...
Education
City University of New York-Brooklyn College 1989 — 1992
Bachelor's degree, Computer Science
North Shore-LIJ CareConnect Insurance Company, Inc. July 2013 - Present
North Shore-LIJ Health System April 2012 - Present
North Shore-LIJ Health System July 2011 - April 2012
Metropolitan Jewish Health System May 2007 - July 2011
Skills
Healthcare Management, Healthcare, Hospitals, Managed Care, Healthcare Information...
Education
Hofstra University 2008 — 2011
Master's degree, Health/Health Care Administration/Management
Binghamton University 2003 — 2007
BA, Psychology
Aetna March 2014 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. July 2013 - March 2014
Coventry, Mid Atlantic Region (HealthAmerica) March 2009 - July 2013
Gateway Health Plan 2007 - 2009
Blue Cross Blue Shield of Florida 2001 - 2007
Skills
Provider Relations, Network Development, Healthcare Management, Healthcare, Healthcare Industry, Credentialing, Insurance, PPO, Medicine, NCQA, Medicaid Managed Care, Quality Improvement, Medicare Part D, Physician Relations, Health Care Reform, Health Savings Accounts
Education
Tulane University 2002 — 2004
Master of Medical Management (MMM)
SUNY Downstate 1981 — 1985
Doctor of Medicine (MD)
University of Michigan 1977 — 1981
Bachelor of Science (B.S.), Psychology
North Shore-LIJ CareConnect Insurance Company, Inc. April 2015 - Present
United Healthcare-Community & State April 1998 - Present
Skills
Medicare Part D, Sales & Marketing..., Leadership, Strategic Planning, Medicare, Insurance, Team Management, Claim, Health Insurance, Managed Care
Education
New York University
Bachelor of Business Administration (BBA)
Washington Irving High School
North Shore-LIJ CareConnect Insurance Company, Inc. September 2014 - Present
Memorial Sloan-Kettering Cancer Center April 2013 - September 2014
Memorial Sloan-Kettering Cancer Center October 2010 - April 2013
Memorial Sloan-Kettering Cancer Center July 2009 - October 2010
Memorial Sloan-Kettering Cancer Center August 2008 - July 2009
Skills
Bilingual-Spanish, MS Office Suite, EMR, Administrative..., Hospitals, Healthcare, Medical Terminology, Epic Systems, Medical Records, HIPAA, Clinical Research, Healthcare Information..., Nonprofits, Management, Research, Data Entry, PowerPoint, Outlook, Customer Service, Microsoft Excel, Microsoft Word
Education
State University of New York at Stony Brook 2005 — 2008
Bachelor's, Psychology & Sociology
North Shore-LIJ CareConnect Insurance Company, Inc. June 2014 - Present
Stericycle Communication Solutions March 2012 - June 2014
Education
State University of New York at New Paltz
Bachelor of Science (B.S.), Art Education