community premier plus
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community premier plus Employees
Employee
Years
Job
Industry
Jose Vives (1500+) Jose Vives (1500+)'s community premier plus Experience 2004 - 2007
Job Regional Sales Manager at Visiting Nurse Service of New York
Industry Health, Wellness and Fitness
Experience
Visiting Nurse Service of New York September 2013 - Present
Visiting Nurse Service of New York February 2013 - September 2013
Royal Health Care March 2012 - March 2013
UnitedHealthcare July 2009 - August 2011
Amerigroup Corporation 2007 - 2009
community premier plus 2004 - 2007
Skills
Direct Marketing, Medicare, Managed Care, Medicaid, Healthcare, Health Insurance, Provider Relations, Healthcare Management, Strategic Planning, Public Speaking, Insurance, Public Relations, Team Building, Leadership, Great Motivator, Mentoring New Hires, Marketing, Network Development, Hospitals, HIPAA, Program Management, Health Policy, Healthcare Industry, Healthcare Consulting, Recruiting, Employee Benefits, Data Analysis, Sales, Community Development, Project Planning, Healthcare Information..., Home Care, Physicians, Sales Operations, Software Documentation, Process Improvement, Physician Relations, Program Development, Management, Training, Policy, Credentialing, Disease Management, Long-term Care, Time Management, EMR, EHR, HMO, Utilization Management, Community Outreach
Education
University of Phoenix 2013 — 2015
Associate of Arts and Sciences (A.A.S.), Sales and Marketing Management
POHS Institute 2013 — 2013
NYS Accident and Health License, Accident and Health
Walton High School 1995 — 1999
High School Diploma, Business Administration and Management, General
Visiting Nurse Service of New York September 2013 - Present
Visiting Nurse Service of New York February 2013 - September 2013
Royal Health Care March 2012 - March 2013
UnitedHealthcare July 2009 - August 2011
Amerigroup Corporation 2007 - 2009
community premier plus 2004 - 2007
Skills
Direct Marketing, Medicare, Managed Care, Medicaid, Healthcare, Health Insurance, Provider Relations, Healthcare Management, Strategic Planning, Public Speaking, Insurance, Public Relations, Team Building, Leadership, Great Motivator, Mentoring New Hires, Marketing, Network Development, Hospitals, HIPAA, Program Management, Health Policy, Healthcare Industry, Healthcare Consulting, Recruiting, Employee Benefits, Data Analysis, Sales, Community Development, Project Planning, Healthcare Information..., Home Care, Physicians, Sales Operations, Software Documentation, Process Improvement, Physician Relations, Program Development, Management, Training, Policy, Credentialing, Disease Management, Long-term Care, Time Management, EMR, EHR, HMO, Utilization Management, Community Outreach
Education
University of Phoenix 2013 — 2015
Associate of Arts and Sciences (A.A.S.), Sales and Marketing Management
POHS Institute 2013 — 2013
NYS Accident and Health License, Accident and Health
Walton High School 1995 — 1999
High School Diploma, Business Administration and Management, General
Leslie Vergara Leslie Vergara's community premier plus Experience May 2000 - December 2007
Job Sr. Enrollment liaison at Visiting Nurse Service of New York
Industry Hospital & Health Care
Experience
Visiting Nurse Service of New York May 2010 - Present
139 Bronx Development Corp January 2009 - January 2011
Amerigroup December 2007 - December 2008
Community Premier Plus May 2000 - December 2007
Skills
MLTC, Community Outreach, Marketing, Bilingual, Retention, Provider Relations, Medicaid
Education
St. Raymond's Academy 1987 — 1990
High School Diploma, General Studies
City University of New York City College
Associate's degree, Business Administration and Management, General
Visiting Nurse Service of New York May 2010 - Present
139 Bronx Development Corp January 2009 - January 2011
Amerigroup December 2007 - December 2008
Community Premier Plus May 2000 - December 2007
Skills
MLTC, Community Outreach, Marketing, Bilingual, Retention, Provider Relations, Medicaid
Education
St. Raymond's Academy 1987 — 1990
High School Diploma, General Studies
City University of New York City College
Associate's degree, Business Administration and Management, General
noelia pena noelia pena's community premier plus Experience 2004 - 2007
Job Health Priorities Specialist/Patient Navigator at New York Presbyterian Hospital
Industry Hospital & Health Care
Experience
New York Presbyterian Hospital April 2013 - Present
UNIBE January 2008 - 2012
Community premier plus 2004 - 2007
Concourse Medical 2004 - 2004
Healthfirst 2003 - 2004
Skills
Healthcare, Patient Safety, Health Insurance, Managed Care, Internal Medicine, Clinical Research, Medicine, Healthcare Management, Hospitals, Public Health, Health Policy, EMR, Medical Education, Healthcare Consulting, HIPAA, Medical Terminology, Diabetes, Clinical Trials, Pediatrics, Emergency Medicine, Physician Relations, Healthcare Information..., Family Medicine, Medicaid, Nutrition, Physicians, Medical Research, Medicare
Education
Universidad Iberoamericana Unibe 2008 — 2012
Doctor of Medicine (M.D.), Medicine
City University of New York-Herbert H. Lehman College 2004 — 2007
Bachelor of Science (B.S.), Anthropology, Biology and Chemistry
New York Presbyterian Hospital April 2013 - Present
UNIBE January 2008 - 2012
Community premier plus 2004 - 2007
Concourse Medical 2004 - 2004
Healthfirst 2003 - 2004
Skills
Healthcare, Patient Safety, Health Insurance, Managed Care, Internal Medicine, Clinical Research, Medicine, Healthcare Management, Hospitals, Public Health, Health Policy, EMR, Medical Education, Healthcare Consulting, HIPAA, Medical Terminology, Diabetes, Clinical Trials, Pediatrics, Emergency Medicine, Physician Relations, Healthcare Information..., Family Medicine, Medicaid, Nutrition, Physicians, Medical Research, Medicare
Education
Universidad Iberoamericana Unibe 2008 — 2012
Doctor of Medicine (M.D.), Medicine
City University of New York-Herbert H. Lehman College 2004 — 2007
Bachelor of Science (B.S.), Anthropology, Biology and Chemistry
Pam Dougherty Pam Dougherty's community premier plus Experience August 1999 - February 2008
Job Director of Finance at Aetna Better Health
Industry Hospital & Health Care
Experience
Aetna October 2014 - Present
Royal Health Care May 2011 - October 2014
Consulting September 2010 - May 2011
New York Presbyterian Hospital February 2008 - July 2010
Community Premier Plus August 1999 - February 2008
Penn Federal Savings Bank March 1999 - July 1999
CIGNA Healthcare December 1996 - February 1999
NatWest September 1994 - July 1996
Response August 1992 - June 1994
Millennium Financial March 1992 - July 1992
Skills
Accounting, Billing, Auditing, Budgeting, Managed Care, Financial Reporting, Accounts Receivable, Oversight, Cash, Health Insurance, Payroll, Process Improvement, Forecasting, Strategic Planning, Annual Reports, Payments, Analysis, Financial Analysis, Excel, Access, Planning, Supervisory Skills, Financial Management, General Ledger, Statistics, Medicare, Microsoft Excel, Medicaid, Accounts Payable, Revenue Cycle, Provider Relations, Budgets, Healthcare Industry, Healthcare Consulting, Health Policy, HMO, Medicaid Managed Care, HIPAA, Healthcare Management, Physicians, Credentialing, Disease Management, Medical Billing, Healthcare, Management, Finance, Healthcare Information..., Data Analysis, Leadership
Education
Villanova University 2010 — 2011
Six Sigma Certificate Program, Six Signma
Colorado State University 1983 — 1987
BS, Finance / Real Estate
Wheat Ridge High School 1980 — 1983
Aetna October 2014 - Present
Royal Health Care May 2011 - October 2014
Consulting September 2010 - May 2011
New York Presbyterian Hospital February 2008 - July 2010
Community Premier Plus August 1999 - February 2008
Penn Federal Savings Bank March 1999 - July 1999
CIGNA Healthcare December 1996 - February 1999
NatWest September 1994 - July 1996
Response August 1992 - June 1994
Millennium Financial March 1992 - July 1992
Skills
Accounting, Billing, Auditing, Budgeting, Managed Care, Financial Reporting, Accounts Receivable, Oversight, Cash, Health Insurance, Payroll, Process Improvement, Forecasting, Strategic Planning, Annual Reports, Payments, Analysis, Financial Analysis, Excel, Access, Planning, Supervisory Skills, Financial Management, General Ledger, Statistics, Medicare, Microsoft Excel, Medicaid, Accounts Payable, Revenue Cycle, Provider Relations, Budgets, Healthcare Industry, Healthcare Consulting, Health Policy, HMO, Medicaid Managed Care, HIPAA, Healthcare Management, Physicians, Credentialing, Disease Management, Medical Billing, Healthcare, Management, Finance, Healthcare Information..., Data Analysis, Leadership
Education
Villanova University 2010 — 2011
Six Sigma Certificate Program, Six Signma
Colorado State University 1983 — 1987
BS, Finance / Real Estate
Wheat Ridge High School 1980 — 1983
Pierina Cruzeta Pierina Cruzeta's community premier plus Experience April 2006 - September 2007
Job Demand and Supply Planner at Nestlé Nespresso
Industry Food & Beverages
Experience
Nestlé Nespresso January 2008 - Present
Community Premier Plus April 2006 - September 2007
Police Athletic League July 2003 - August 2004
Skills
Event Management, Event Planning, Customer Service, Management, Food & Beverage, Budgets, Leadership, Public Relations, Change Management, Food, Social Media, Marketing Communications, Marketing, Cross-functional Team..., Marketing Strategy, Strategic Planning, Coaching, Food Service, Hospitality, Team Leadership, Supply Chain Management
Education
SUNY New Paltz 2001 — 2005
Bachelor of Science (BS), Organizational Communication, General
Nestlé Nespresso January 2008 - Present
Community Premier Plus April 2006 - September 2007
Police Athletic League July 2003 - August 2004
Skills
Event Management, Event Planning, Customer Service, Management, Food & Beverage, Budgets, Leadership, Public Relations, Change Management, Food, Social Media, Marketing Communications, Marketing, Cross-functional Team..., Marketing Strategy, Strategic Planning, Coaching, Food Service, Hospitality, Team Leadership, Supply Chain Management
Education
SUNY New Paltz 2001 — 2005
Bachelor of Science (BS), Organizational Communication, General
Marthette Welch Marthette Welch's community premier plus Experience January 2006 - June 2007
Job Retired from Affinity Health Plan
Industry Insurance
Experience
Affinity Health Plan June 2007 - March 2015
Community Premier Plus January 2006 - June 2007
Center Care / Fidelis November 2005 - March 2006
Healthfirst October 2000 - February 2004
National Association of Securities Dealers March 1995 - October 2000
Empire Blue Cross Blue Shield September 1971 - November 1993
Skills
Insurance, Strategic Planning, Process Improvement, Team Building, Business Analysis, Analysis, Data Analysis
Education
Monroe College 2011 — 2011
Health/Health Care Administration/Management
CUNY Bronx Community College 1967 — 1968
Registered Nursing/Registered Nurse
Affinity Health Plan June 2007 - March 2015
Community Premier Plus January 2006 - June 2007
Center Care / Fidelis November 2005 - March 2006
Healthfirst October 2000 - February 2004
National Association of Securities Dealers March 1995 - October 2000
Empire Blue Cross Blue Shield September 1971 - November 1993
Skills
Insurance, Strategic Planning, Process Improvement, Team Building, Business Analysis, Analysis, Data Analysis
Education
Monroe College 2011 — 2011
Health/Health Care Administration/Management
CUNY Bronx Community College 1967 — 1968
Registered Nursing/Registered Nurse
Pedro Estevez Pedro Estevez's community premier plus Experience 2004 - 2007
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
New York Presbyterian July 2007 - March 2009
New York Presbyterian Community Health Plan November 2004 - July 2007
Community Premier Plus 2004 - 2007
Gertrude H January 1999 - November 2004
Harlem Hospital January 1998 - January 1999
Union Hospital January 1992 - January 1998
Dr. Francisco Lavandier Hospital. Pediatric Department January 1989 - January 1990
Skills
Microsoft Word, Healthcare, Managed Care, Hospitals, Clinical Research, Physicians, Home Care, ICD-9, Customer Service, Healthcare Management, Inpatient
Education
Universidad Autónoma del Estado de México 1986 — 1989
Postgraduate, Pediatrics
Universidad Autónoma de Santo Domingo 1974 — 1982
Doctor, Medicine
New York Presbyterian July 2007 - March 2009
New York Presbyterian Community Health Plan November 2004 - July 2007
Community Premier Plus 2004 - 2007
Gertrude H January 1999 - November 2004
Harlem Hospital January 1998 - January 1999
Union Hospital January 1992 - January 1998
Dr. Francisco Lavandier Hospital. Pediatric Department January 1989 - January 1990
Skills
Microsoft Word, Healthcare, Managed Care, Hospitals, Clinical Research, Physicians, Home Care, ICD-9, Customer Service, Healthcare Management, Inpatient
Education
Universidad Autónoma del Estado de México 1986 — 1989
Postgraduate, Pediatrics
Universidad Autónoma de Santo Domingo 1974 — 1982
Doctor, Medicine
Elizabeth Vega-Lebron Elizabeth Vega-Lebron's community premier plus Experience December 1996 - Present
Job Experienced marketing executive with expertise in targeting lowincome/ethnic communities.
Industry Marketing and Advertising
Experience
NewYork-Presbyterian Community Health Plan 2007 - Present
Community Premier Plus December 1996 - Present
Education
State University of New York - System 1999 — 2001
Business
NewYork-Presbyterian Community Health Plan 2007 - Present
Community Premier Plus December 1996 - Present
Education
State University of New York - System 1999 — 2001
Business
Kathryn Pizzano's community premier plus Experience June 2003 - August 2007
Job Chief Operating Officer United Healthcare Community Plan
Industry Hospital & Health Care
Experience
UnitedHealth Care Community Plan October 2009 - Present
New York Presbyterian Hospital September 2007 - October 2009
Community Premier Plus June 2003 - August 2007
Saint Vincent Catholic Medical Centers December 2000 - June 2002
AmeriHealth Insurance Co of NJ 1997 - 2000
Skills
Program Development, Project Management, Relationship Management, Managed Care, Medicaid, Healthcare Management, Medicare, Healthcare, Hospitals, Healthcare Information..., HIPAA, Healthcare Consulting, Healthcare Industry, Revenue Cycle, EMR, Health Insurance, Process Improvement, Health Policy, EHR, Practice Management
Education
New York University 1981 — 1983
MPA, Health Administration
Providence College 1976 — 1980
BS, Health Administration
UnitedHealth Care Community Plan October 2009 - Present
New York Presbyterian Hospital September 2007 - October 2009
Community Premier Plus June 2003 - August 2007
Saint Vincent Catholic Medical Centers December 2000 - June 2002
AmeriHealth Insurance Co of NJ 1997 - 2000
Skills
Program Development, Project Management, Relationship Management, Managed Care, Medicaid, Healthcare Management, Medicare, Healthcare, Hospitals, Healthcare Information..., HIPAA, Healthcare Consulting, Healthcare Industry, Revenue Cycle, EMR, Health Insurance, Process Improvement, Health Policy, EHR, Practice Management
Education
New York University 1981 — 1983
MPA, Health Administration
Providence College 1976 — 1980
BS, Health Administration
Angela Crowe's community premier plus Experience 2004 - 2007
Job Director, Network ProgramsCommunity Plan at UnitedHealthcare
Industry Hospital & Health Care
Experience
UnitedHealthcare February 2012 - Present
United Healthcare Community Plan February 2011 - March 2012
New York-Presbyterian Community Health Plan 2007 - April 2011
Community Premier Plus 2004 - 2007
Atlantis Health Plan 2004 - 2004
US Family Health Plan 2002 - 2003
CSC Healthcare Group 2000 - 2002
Blue Cross Blue Shield of AL 1996 - 2000
Skills
Leadership, Team Building, Management, Process Improvement, Healthcare, Networking, Change Management, Strategic Planning, Training, Insurance, Program Management, Customer Service, Project Management, Data Analysis, Access, Healthcare Management, Medicaid, Medicare
Education
Birmingham-Southern College 1999 — 2002
MPPM, Healthcare Management
Birmingham-Southern College 1990 — 1994
Muscle Shoals High School 1986 — 1990
UnitedHealthcare February 2012 - Present
United Healthcare Community Plan February 2011 - March 2012
New York-Presbyterian Community Health Plan 2007 - April 2011
Community Premier Plus 2004 - 2007
Atlantis Health Plan 2004 - 2004
US Family Health Plan 2002 - 2003
CSC Healthcare Group 2000 - 2002
Blue Cross Blue Shield of AL 1996 - 2000
Skills
Leadership, Team Building, Management, Process Improvement, Healthcare, Networking, Change Management, Strategic Planning, Training, Insurance, Program Management, Customer Service, Project Management, Data Analysis, Access, Healthcare Management, Medicaid, Medicare
Education
Birmingham-Southern College 1999 — 2002
MPPM, Healthcare Management
Birmingham-Southern College 1990 — 1994
Muscle Shoals High School 1986 — 1990
Helen Syn's community premier plus Experience 2005 - 2007
Job Manager, Disease Management Program Development at Cal Optima
Industry Health, Wellness and Fitness
Experience
Cal Optima July 2015 - Present
Hospitals Insurance Company February 2014 - June 2015
Hospitals Insurance Company/FOJP Service Corporation January 2009 - February 2014
Community Premier Plus 2005 - 2007
Skills
Analysis, Healthcare, Clinical Research, Patient Safety, Disease Management, Quality Improvement, Healthcare Risk..., Healthcare Management, Health Education, Healthcare Consulting, EMR, Medicaid
Education
University of California, Los Angeles 1995 — 1997
Master of Public Health (MPH)
University of California, Berkeley 1990 — 1994
Bachelor's degree, Psychology
Cal Optima July 2015 - Present
Hospitals Insurance Company February 2014 - June 2015
Hospitals Insurance Company/FOJP Service Corporation January 2009 - February 2014
Community Premier Plus 2005 - 2007
Skills
Analysis, Healthcare, Clinical Research, Patient Safety, Disease Management, Quality Improvement, Healthcare Risk..., Healthcare Management, Health Education, Healthcare Consulting, EMR, Medicaid
Education
University of California, Los Angeles 1995 — 1997
Master of Public Health (MPH)
University of California, Berkeley 1990 — 1994
Bachelor's degree, Psychology
Sario Anderson's community premier plus Experience 1998 - 1999
Job District Sales Manager at MEDA
Industry Pharmaceuticals
Experience
Meda Pharmaceutical February 2010 - September 2011
MEDA July 2009 - September 2011
MEDA April 2006 - January 2010
HealthPlus PHSP 1999 - 2003
Community premier plus 1998 - 1999
Skills
Cardiology, Oncology, Allergy, Pulmonology, Pain Management, Internal Medicine, Selling Skills, Pharmaceutical Sales, Sales Force Development, Neurology, Managed Care, Urology, Endocrinology, Rheumatology, Dermatology
Education
City University of New York-Herbert H. Lehman College 1998 — 2002
B.S, Health Administration
Meda Pharmaceutical February 2010 - September 2011
MEDA July 2009 - September 2011
MEDA April 2006 - January 2010
HealthPlus PHSP 1999 - 2003
Community premier plus 1998 - 1999
Skills
Cardiology, Oncology, Allergy, Pulmonology, Pain Management, Internal Medicine, Selling Skills, Pharmaceutical Sales, Sales Force Development, Neurology, Managed Care, Urology, Endocrinology, Rheumatology, Dermatology
Education
City University of New York-Herbert H. Lehman College 1998 — 2002
B.S, Health Administration
Marcia Hall's community premier plus Experience 2004 - 2007
Job Programmer/Analyst at New York Presbyterian Hospital Community Health Plan
Industry Hospital & Health Care
Experience
New York Presbyterian Hospital - Community Health Plan March 2004 - July 2009
Community Premier Plus 2004 - 2007
Saint Vincent Catholic Medical Centers 2002 - 2004
AmeriHealth Health Plan (Independence Blue Cross) 1997 - 2002
Skills
Access, Databases, Data Warehousing, SSIS, Healthcare, Microsoft SQL Server, Data Analysis, Management, SAS, Healthcare Information...
Education
Monroe College 1997 — 1999
BA, Computer Information Systems
New York Presbyterian Hospital - Community Health Plan March 2004 - July 2009
Community Premier Plus 2004 - 2007
Saint Vincent Catholic Medical Centers 2002 - 2004
AmeriHealth Health Plan (Independence Blue Cross) 1997 - 2002
Skills
Access, Databases, Data Warehousing, SSIS, Healthcare, Microsoft SQL Server, Data Analysis, Management, SAS, Healthcare Information...
Education
Monroe College 1997 — 1999
BA, Computer Information Systems
Iris V Fernandez's community premier plus Experience 1998 - 2002
Job Nursing Clinical Analyst, MSKCC
Industry Hospital & Health Care
Experience
Memorial Sloan Kettering Cancer Center August 2011 - Present
Mount Sinai Medical Center October 2008 - July 2011
Emerging Health Information Technology December 2005 - October 2008
Columbia University 2004 - 2005
NY Presbyterian Hospital of Columbia and Cornell 2002 - 2004
Community Premier Plus 1998 - 2002
Skills
Healthcare, Nursing, EMR, Informatics, EHR, Healthcare Information..., Documentation, Healthcare Management, Clinical Informatics, Clinical Information..., Visio, Microsoft Office, Testing, Analysis, Word, Excel, Outlook, Systems Analysis, PowerPoint, Software Documentation, Hospitals, Ambulatory, Microsoft Excel, Ambulatory Care, Epic Systems, Quality Assurance, Clinical Research, CPOE, Centricity, HL7, Software Implementation, Microsoft Word, Managed Care, Health Information..., HIPAA, SDLC, Relationship Management
Education
Allscripts Training 2012 — 2012
Columbia University in the City of New York 2002 — 2005
MSN, Nursing Informatics
Southern Connecticut State University 1980 — 1985
BSN, Nursing and Psychology
LIU Brooklyn 1975 — 1978
Liberal Arts
Memorial Sloan Kettering Cancer Center August 2011 - Present
Mount Sinai Medical Center October 2008 - July 2011
Emerging Health Information Technology December 2005 - October 2008
Columbia University 2004 - 2005
NY Presbyterian Hospital of Columbia and Cornell 2002 - 2004
Community Premier Plus 1998 - 2002
Skills
Healthcare, Nursing, EMR, Informatics, EHR, Healthcare Information..., Documentation, Healthcare Management, Clinical Informatics, Clinical Information..., Visio, Microsoft Office, Testing, Analysis, Word, Excel, Outlook, Systems Analysis, PowerPoint, Software Documentation, Hospitals, Ambulatory, Microsoft Excel, Ambulatory Care, Epic Systems, Quality Assurance, Clinical Research, CPOE, Centricity, HL7, Software Implementation, Microsoft Word, Managed Care, Health Information..., HIPAA, SDLC, Relationship Management
Education
Allscripts Training 2012 — 2012
Columbia University in the City of New York 2002 — 2005
MSN, Nursing Informatics
Southern Connecticut State University 1980 — 1985
BSN, Nursing and Psychology
LIU Brooklyn 1975 — 1978
Liberal Arts
Greylin Phipps's community premier plus Experience 2001 - 2002
Job Sales and Marketing Representative at Liberty Helicopters
Industry Marketing and Advertising
Experience
Liberty Helicopters April 2002 - Present
Liberty Helicopter January 2002 - Present
Liberty Helicopters Tours January 2002 - Present
Community Premier Plus 2001 - 2002
Grayline sightseen tours June 1998 - September 2001
Skills
Social Media, Sales, Tourism, Hotels, Event Planning, Microsoft Office, Social Media Marketing, Social Networking, New Business Development, Online Advertising, Strategic Planning, Marketing, Advertising, Customer Service, Marketing Strategy
Education
Universidad Autónoma de Santo Domingo 1992 — 1997
business, business Adm.
Fordham University
Liberty Helicopters April 2002 - Present
Liberty Helicopter January 2002 - Present
Liberty Helicopters Tours January 2002 - Present
Community Premier Plus 2001 - 2002
Grayline sightseen tours June 1998 - September 2001
Skills
Social Media, Sales, Tourism, Hotels, Event Planning, Microsoft Office, Social Media Marketing, Social Networking, New Business Development, Online Advertising, Strategic Planning, Marketing, Advertising, Customer Service, Marketing Strategy
Education
Universidad Autónoma de Santo Domingo 1992 — 1997
business, business Adm.
Fordham University
Crystal Beltran's community premier plus Experience May 2005 - December 2006
Job Underwriting Assistant at Crum & Forster
Industry Insurance
Experience
Crum & Forster September 2008 - September 2013
Fidelis Care June 2007 - August 2008
Community Premier Plus May 2005 - December 2006
New York County District Attorney July 2003 - August 2003
Skills
Training, Underwriting, Property & Casualty..., Insurance, General Insurance, Professional Liability, Umbrella Insurance, Excess
Education
Baruch College, City University of New York (CUNY) 2009 — 2011
Masters, Masters of Public Administration
John Jay College of Criminal Justice 2003 — 2007
Bachelor of Arts, Criminal Justice
Crum & Forster September 2008 - September 2013
Fidelis Care June 2007 - August 2008
Community Premier Plus May 2005 - December 2006
New York County District Attorney July 2003 - August 2003
Skills
Training, Underwriting, Property & Casualty..., Insurance, General Insurance, Professional Liability, Umbrella Insurance, Excess
Education
Baruch College, City University of New York (CUNY) 2009 — 2011
Masters, Masters of Public Administration
John Jay College of Criminal Justice 2003 — 2007
Bachelor of Arts, Criminal Justice
Lillian Vega's community premier plus Experience January 1997 - October 2002
Job Healthcare Executive
Industry Hospital & Health Care
Experience
AlphaCare of New York November 2013 - July 2014
The Centers Plan for Healthy Living MLTCP January 2012 - November 2013
Health Plus PHSP Inc. June 2007 - December 2011
WellCare November 2002 - November 2006
Community Premier Plus January 1997 - October 2002
Skills
Medicare, Medicaid, Provider Relations, Managed Care, Healthcare Management, Managed Long Term Care, Contract Negotiation, Grievances, Long-term Care, Healthcare, Process Improvement, Credentialing, Physician Relations, Health Insurance, Hospitals, Team Building, Healthcare Industry, Insurance, Executive Management, Health Policy, HIPAA, HMO, Network Development, Revenue Cycle, Utilization Management, Healthcare Information..., Healthcare Consulting, Disease Management
Education
John Jay College of Criminal Justice 1990 — 1994
BA, Public Administration and Law
Eugenio Maria de Hostos Comm College 1988 — 1990
AAS, Public Administration
AlphaCare of New York November 2013 - July 2014
The Centers Plan for Healthy Living MLTCP January 2012 - November 2013
Health Plus PHSP Inc. June 2007 - December 2011
WellCare November 2002 - November 2006
Community Premier Plus January 1997 - October 2002
Skills
Medicare, Medicaid, Provider Relations, Managed Care, Healthcare Management, Managed Long Term Care, Contract Negotiation, Grievances, Long-term Care, Healthcare, Process Improvement, Credentialing, Physician Relations, Health Insurance, Hospitals, Team Building, Healthcare Industry, Insurance, Executive Management, Health Policy, HIPAA, HMO, Network Development, Revenue Cycle, Utilization Management, Healthcare Information..., Healthcare Consulting, Disease Management
Education
John Jay College of Criminal Justice 1990 — 1994
BA, Public Administration and Law
Eugenio Maria de Hostos Comm College 1988 — 1990
AAS, Public Administration
Charna Rainey's community premier plus Experience July 2004 - January 2007
Job Experienced and Dedicated Leader
Industry Hospital & Health Care
Experience
Fidelis Care NY January 2012 - Present
MetroPlus Health Plan August 2008 - October 2011
HHC February 2007 - January 2008
Community Premier Plus July 2004 - January 2007
Skills
Managed Care, Medicare, EMR, Management, Healthcare Management, Team Building, Hospitals, Medicaid, Marketing, Community Outreach
Education
Mercy College 2010 — 2010
Master of Science in Organizational Leadership, Organizational Leadership
The College of New Rochelle 2005 — 2009
Bachelor of Arts, Marketing/Communications
Fidelis Care NY January 2012 - Present
MetroPlus Health Plan August 2008 - October 2011
HHC February 2007 - January 2008
Community Premier Plus July 2004 - January 2007
Skills
Managed Care, Medicare, EMR, Management, Healthcare Management, Team Building, Hospitals, Medicaid, Marketing, Community Outreach
Education
Mercy College 2010 — 2010
Master of Science in Organizational Leadership, Organizational Leadership
The College of New Rochelle 2005 — 2009
Bachelor of Arts, Marketing/Communications