Emblem Health
Industry: Company
DescriptionEmblemHealth is one of the United States' largest nonprofit health plans. It is headquartered at 55 Water Street in Lower Manhattan, New York City. It is a $10 billion company with 3.1 million members. Headquarters: New York City, NY CEO: Karen M. Ignagni Executive vice president: Timothy E. Nolan Chairpersons: Thomas Conway, Karen Moran Subsidiaries: Health Insurance Plan of Greater New York, Inc., Group Health Incorporated VPs: Thomas Conway (Controller, Emblemhealth),
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Emblem Health Employees
Emblem Health December 2013 - Present
Credit Union August 2012 - November 2013
Riverside Bank Of The Golf Coast February 2001 - November 2008
Skills
Microsoft Office, Microsoft Excel, Sales, Microsoft Word, PowerPoint, Management, Retail, Leadership, Teamwork, Customer Service, Entertainment, Team Building, Social Media, Social Media Marketing, Social Networking, Budgets, Event Planning, Team Leadership
Education
Sunstate Academy 2009 — 2010
Diploma/Certificate in Nails, Cosmetology, Barber/Styling, and Nail Instructor
SANDY POINT HIGH SCHOOL, ST. KITTS 1987 — 1992
Diploma, Business
Living the Vigorous Way Coaching and Training November 2008 - Present
NYSC Town Sports International May 2011 - March 2013
Dish Restaurant May 2007 - February 2013
EMBLEM HEALTH November 2006 - November 2008
Skills
Personal Training, Fitness Training, Strength Training, Fitness, Public Speaking, Team Building, Coaching, Nutrition, Wellness, Holistic Health, Social Networking, Lifestyle Coaching, Small Business, Cpr Certified, Marketing, Training, Social Media, Wellness Coaching, Leadership Development, Conditioning, headbutting, mopping ceilings, cleaning fish, Writing, Corporations, Entrepreneurship, Operant Conditioning, CPR Certified
Education
DEVRY 1996 — 1999
Bachelor's degree, Computer Engineering
Kingsborough Community College 1992 — 1994
associates degree, Loafing
Emblem Health October 2010 - Present
Skills
Customer Service, Public Speaking, Microsoft Office, Wellness, Healthcare, Microsoft Excel, Nutrition, Fitness, Strategic Planning, Microsoft Word, Social Media, PowerPoint, Outlook, Change Management, Leadership Development, Research, Event Planning, Access, Program Management, Hospitals, Administrative..., Team Leadership, Healthcare Management, Recruiting
Education
Adelphi University
Emblem Health
Skills
Customer Service, Public Speaking, Microsoft Office, Wellness, Healthcare, Microsoft Excel, Nutrition, Fitness, Coaching, Strategic Planning, Microsoft Word, Social Media
Education
University of Phoenix 2011 — 2013
Master of Business Administration (M.B.A.), Health/Health Care Administration/Managemen
Miami Dade College 2002 — 2004
Associate of Arts (AA), Pharmacy
Emblem Health May 1991 - April 2014
Pan American World Airways January 1989 - May 1990
Skills
Account Management, Marketing Strategy, Advertising, Marketing, New Business Development, Sales, Spanish-speaking, Fundraising, Sales Management, Marketing Communications, Insurance, Event Management, Online Advertising, Social Media, Health Insurance, Digital Marketing, Strategic Planning, Customer Service, Outlook, Employee Benefits, Team Building, Managed Care, Healthcare, Medicare, Underwriting, Long-term Care, Microsoft Excel, Workers Compensation, Brokers, Small Business, Disability Insurance, Whole Life, Selling, Leadership, Fixed Annuities, Life Insurance, Health Savings Accounts, Commercial Insurance, Critical Illness, Property & Casualty..., 401k, Long Term Care Insurance, Salesforce.com, Commercial Lines, Term Life Insurance, Claim, Retirement, Legal Liability, Professional Liability, Casualty
Education
Pace University - Lubin School of Business 1987 — 1990
Bachelor of Business Administration (BBA), Business Administration and Management, General
Emblem Health August 1987 - Present
EmblemHealth August 1987 - Present
Skills
Accounting, Microsoft Word, Accounts Payable, Account Reconciliation, Accounts Receivable, General Ledger, Financial Reporting, Invoicing, Access
Education
CUNY Bronx Community College
Associate's degree, Accounting
College of New Rochelle
Bachelor's degree, Sociology
Physicians' Reciprocal Insurers October 2010 - Present
ACT/central nassau 2010 - 2010
emblem health 2010 - 2010
Winston Staffing 2010 - 2010
Horizon Healthcare Staffing 2005 - 2010
white glove agency 2008 - 2009
QLIMG August 2004 - 2007
dayop 2001 - 2005
Queens medical practice 2000 - 2001
Doctors Officenter January 1993 - January 2000
Skills
IV, Nursing, Certified BAT, Certified Breath...
Education
vocational education & extension Board (VEEB) 1990 — 1991
practical nurse, nursing, i dont remember
Nassau Community College 1985 — 1985
San Diego State University-California State University 1977 — 1977
cosmotology
mission bay high school 1974 — 1977
HS
spain 1974 — 1974
Emblem Health
Skills
Visio, SDLC, Access, Business Analysis, Health Insurance, Analysis, Software Documentation, Process Improvement, Requirements Gathering, Vendor Management, Insurance, Claim
Education
St. John's University
Emblem Health September 2011 - Present
MKP Consulting April 2005 - August 2011
BMW of North America July 2006 - January 2011
Mercedes-Benz USA May 2005 - June 2006
Cognos Corporation October 2000 - April 2005
Hertz Corporation September 1999 - August 2000
United Postal Service June 1997 - May 1999
Skills
Business Intelligence, Data Warehousing, Data Warehouse..., Cognos, Leadership, Oracle, Business Intelligence..., Data Modeling, Analytics, Business Analysis, Requirements Analysis, Data Integration, SQL, Analysis, Dashboard, SDLC
Education
Seton Hall University 1995 — 1999
B.S., Management Information Systems
Villanova University 2014 — 2015
Master Certificate - Business Intelligence (+Healthcare Vertical), Certified Professional in Business Intelligence (CPBI)
Emblem Health March 2007 - Present
CGI January 2004 - February 2007
Skills
Commercial Real Estate, Residential Homes, Business Analysis, Project Management, SDLC, Visio, SharePoint, Requirements Analysis, Vendor Management, ITIL, System Administration, SQL, Integration, Team Leadership, IT Strategy, Troubleshooting, IT Management, Security, EDI, OCR, BizTalk
Education
Penn State University 2000 — 2004
Informations Systems
Emblem Health 2006 - Present
EmblemHealth August 2002 - January 2006
Videolab Cassette September 2000 - June 2002
Delicious Subs June 1994 - September 1999
Skills
Process Improvement, Business Analysis, Customer Service, Team Building, Microsoft Excel, Data Analysis, Microsoft Word, Microsoft Office, Outlook, Strategic Planning, Analysis, PowerPoint, Project Management, Public Speaking, Social Media, Leadership Development, Event Planning, Employee Relations, Coaching
Education
New York University 2000 — 2000
Certificate, Multimedia Design and Production
Kean University 1986 — 1991
Bachelor of Arts (B.A.), Communications
TeamHealth January 2013 - Present
Emblem Health October 2010 - January 2013
Chamber of Commerce August 2009 - April 2010
Health Living May 2009 - August 2009
Skills
Healthcare, Health Insurance, Medicare, Government Contracting, End Stage Renal Disease, Medical Billing, Medical Coding, Employee Benefits, Management, Marketing, Microsoft Excel, Process Improvement, Sales
Education
East Central University 2006 — 2010
Business Administration, Management
Venezuelan Center of Culinary Arts 2002 — 2004
Professional, Culinary Arts
Marshall & Sterling February 2015 - Present
JP Brokerage Corp February 2012 - Present
Health Republic December 2013 - September 2014
GFI Capital March 2013 - December 2013
Emblem Health July 2009 - February 2012
Silverson, Pareres, Lombardi, LLP May 2008 - July 2009
Wilson Elser Moskowitz Edelman & Dicker LLP April 2006 - August 2008
Skills
Underwriting, Litigation, Excel, Workers Compensation, Insurance, Health Insurance, Brokerage, Financial Analysis, Claim, D&O, Strategic Planning, Reinsurance, Employment Practices..., Legal Writing, Excess, Strategic Financial..., Accounting, Courts, Brokers, Legal Liability, Litigation Support, Microsoft Excel, Negotiation, Professional Liability, Analysis, Disability Insurance, New Business Development, Liability, Management, Property & Casualty..., Medical Malpractice, Employee Benefits
Education
Pace University 2003 — 2007
Bachelor of Sciences, Criminal Justice/Pre-Law
Fordham Prep
Emblem Health December 2000 - Present
Matchmaker dating service May 1983 - 1985
Williston corporation September 1976 - March 1978
Skills
Troubleshooting, Research, Hospitals, Access, Windows, Medical Billing, Microsoft word; power...
Education
Columbia College 2001 — 2005
Bachelor of Business Administration (B.B.A.)
Emblem Health October 2013 - Present
EmblemHealth June 2008 - September 2013
Skills
typing(65 wpm),..., HMO, PPO, Medicaid, Medicare, Healthcare Management, Policy, HIPAA, Provider Relations, Managed Care, Health Insurance, Medical Terminology, Medical Billing, CPT, Healthcare Industry, ICD-9
Education
University of Phoenix 2010 — 2013
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management
Florida Metropolitan University 2000 — 2002
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
Anthem November 2013 - Present
Affinity Health Plan October 2012 - November 2013
Emblem Health February 2012 - November 2012
Hms inc May 2008 - February 2012
Habib American Bank November 2007 - March 2008
TD May 2005 - November 2007
Skills
Analysis, Management, Quality Assurance, Strategy, Leadership, Data Analysis, Databases, Finance, Healthcare, Troubleshooting, Customer Service, Project Planning, Testing
Education
LIU Brooklyn 2007 — 2009
MS, COMPUTER SCIENCE
New York Institute of Technology 2003 — 2005
BS, Management Information System
Nassau BOCES September 2015 - Present
JERICOOKS!2003 June 2003 - Present
Great Neck Public Schools September 2013 - June 2015
Emblem Health 2012 - 2013
Development Corporation for Israel October 2011 - December 2011
Kimberly-Clark Corp June 2007 - July 2009
Kimberly-Clark February 2005 - June 2007
Kimberly-Clark 2005 - 2007
Skills
Cooking, Research, Blogging, Microsoft Excel, Customer Service, Microsoft Office, Food Service, Training, Microsoft Word, Healthcare, PowerPoint, SharePoint, Time Management, Project Planning, Data Entry, Data Analysis, Leadership, Sales, Outlook, Management, Public Speaking
Education
Georgia State University 2009 — 2011
Master of Science, Nutrition
City University of New York-John Jay College of Criminal Justice
Bachelor of Arts, Government & Public Administration
Culinary Institute at Chattahoochee Technical College
Certificates, Culinary Arts
New York University
Diploma, Paralegal Studies
Simply Healthcare Plans May 2014 - Present
Health Care District of Palm Beach County May 2011 - Present
Emblem Health October 2006 - October 2008
GoodHealth Worldwide March 2004 - October 2005
Risk Based Solutions, RBS RE May 1996 - July 2003
John Alden Life Insurance Company March 1991 - April 1996
Skills
Medicaid, Claim, Insurance, Medicare, Policy, Strategic Planning, Claims Management, Medical Billing, Healthcare, Team Building, Risk Management, Underwriting, Healthcare Management, Managed Care, HIPAA, Health Insurance, Medicare/Medicaid..., Medicaid Managed Care, Microsoft Office
Education
Barry University 2002 — 2006
BS, Information Technology
Private Practice Behavioral Health CoachEmblem HealthJanuary 2012 - December 2014
emblem health January 2008 - December 2011
EmblemHealth January 2007 - January 2008
Emblem Health April 2004 - January 2007
Village Center for Care worked at Village Nursing Home May 1998 - April 2004
Skills
Healthcare, Case Managment, Disease Management, Medicaid, Utilization Management, Behavioral Health, Medicare, Healthcare Management, Managed Care, Health Insurance, Medical Social Work, Program Development, HIPPA, Private Practice, Voice Acting, Voiceovers, Songwriting, Commercials, Writing
Education
Training Institute for Mental Health 1997 — 2004
certificate in psychoanalytic psychotherapy, psychology
Fordham University 1996 — 1998
Master of Social Work, Social Work
Marymount Manhattan College 1994 — 1996
Bachelor of Arts (B.A.), theatre/psychology
Marjorie Webster Junior College 1962 — 1964
Associate's Degree, Speech, Drama, Radio & Telivision
UnitedHealth Group January 2013 - Present
Lonstein Law Office November 2011 - February 2012
Emblem Health April 2011 - September 2011
Emblem Health July 2007 - April 2011
Emblem Health February 2005 - July 2007
Boston Market August 2001 - April 2004
Skills
Customer Service, Word, Outlook, Data Entry, PowerPoint, Excel, Microsoft Office, Leadership, Training, Teamwork, Microsoft Word, Process Improvement
Education
Marist College 2011 — 2012
Paralegal Studies Degree
Ulster County Community College 2004 — 2011
A.A.S., Individual Studies/Paralegal
DaVita December 2013 - Present
Emblem Health March 2005 - December 2013
Fastaff Traveling Nursing Agency April 2001 - March 2005
Sunnybrook Health Sciences Centre April 1997 - April 2001
Skills
Medical/Surgical, Utilization Management, Healthcare Management, Hospitals, Nursing, Healthcare, Medicare, Managed Care, Health Policy
Education
Conestoga College
Associates Degree, Registered
Excelsior College
Emblem Health October 2011 - Present
DSW Consulting, LLC July 2001 - Present
Direct Brands (Columbia House & Doubleday) February 2011 - August 2011
Royal Bank of Scotland Group December 2008 - February 2011
Integro Insurance Brokers July 2007 - September 2008
Integro Group Ltd 2007 - September 2008
Publishers Clearing House March 2006 - July 2007
WebMD March 2002 - March 2006
WebMDMedScape 2002 - 2006
Zurich Scudder Investments July 2001 - January 2002
Skills
Leadership, Performance Testing, LoadRunner, Quality Center, Software Development, Testing, SDLC, Visio, Business Analysis, Business Process..., Agile Methodologies, E-commerce, Management, PMO, Vendor Management, Test Planning, Software Quality..., Project Management, Requirements Analysis, Test Automation, Quality Assurance, Business Process..., SQL, .NET, Analysis, Software Project..., User Acceptance Testing, QTP, Regression Testing, HP Quality Center
Education
Binghamton University 1992 — 1995
BS, MIS
Expert Benefit Solutions June 2009 - Present
Financial Liberty Group 2007 - 2009
United Benefits Consulting 2006 - 2007
Emblem Health July 2004 - September 2006
Skills
Employee Benefits, Insurance, Disability Insurance, Health Insurance, Health Savings Accounts, Long-term Care, Life Insurance, Claim, Benefits Administration, Health Care Reform, Medicare, COBRA, Workers Compensation, Dentistry, Brokers, HMO, Retirement, Medicaid, Flexible Spending..., Managed Care, Term Life Insurance, Accident, Medicare Part D, Fixed Annuities, Health Policy, Long Term Care Insurance, Provider Relations, Claims Resolution, Small Business, 401k, Underwriting, Critical Illness, PPO, Group Insurance, HIPAA, Commercial Liability, Home Owners Insurance, Auto Insurance, Business Insurance, Customer Service, Property & Casualty..., Liability, Strategic Planning, Healthcare, Sales, Commercial Insurance
Education
Temple University
Bachelor's degree, Business Management
Temple University
M&T Bank October 2012 - Present
Making Change January 2008 - October 2012
Rescue Mission September 2010 - September 2012
Rescue Mission September 2008 - September 2010
Emblem Health February 2005 - September 2008
Enterprise Rent-A-Car May 2004 - February 2005
Enterprise Rent-A-Car February 2004 - May 2004
Enterprise Rent-A-Car October 2002 - February 2004
Advantage / Eastern Sales & Marketing January 2001 - January 2002
Rent-A-Center January 2000 - January 2001
Skills
Building Relationships, Customer Service, Fundraising, Microsoft Office, Budgets, Management, Sales, Non-profit..., Leadership, Nonprofits, Banking, Financial Analysis, Investments, Life Insurance, Problem Solving, Financial Planning, Financial Counseling, Real Estate, Property Management, Investment Properties, Leasing/Renting, Data Analysis, Sales and Support, Database Management, Employee Motivation, Accounting & Bookkeeping, Account Management, Front Office Operations, Healthcare, Health Insurance Billing, Insurance, Customer Relations, Analysis, Budgeting, Business Management, German, Writing, Training, Strategic Financial...
Education
Le Moyne College 1996 — 2000
Bachelor, Business Management
Emblem Health 2010 - Present
Scholastic 2004 - 2010
Empire Blue Cross & Blue Shield 2001 - 2003
Applied Graphics Technologies Inc 1998 - 2000
ITOCHU International Inc. 1995 - 1998
Louis Vuitton North America, Inc 1992 - 1995
Alexander & Alexander, Inc. 1989 - 1992
Education
City University of New York-Baruch College - Zicklin School of Business 1985 — 1989
BBA, Human Resources
New York University
Graduate Work, Human Resources
World At Work
Emblem Health October 2013 - Present
Bed Bath & Beyond May 2012 - October 2013
Turley, Redmond & Rosasco, LLP September 2011 - December 2011
Petland Discounts, Inc. August 2011 - November 2011
Brookhaven National Laboratory June 2010 - August 2010
Hidden Pond Day Camp at The Rinx June 2009 - August 2009
Hidden Pond Day Camp at The Rinx June 2008 - August 2008
Skills
Illustrator, InDesign, Photoshop, Adobe Creative Suite, Visual Merchandising
Education
Farmingdale State University of New York 2010 — 2015
Bachelors, Design and Visual Communications, General
Western Suffolk BOCES 2009 — 2010
Advertising Arts
Emblem Health June 2007 - Present
New York Downtown Hospital November 2004 - February 2006
New York University January 2003 - October 2004
New York University Downtown Hospital November 2000 - September 2002
The Port Authority of NY & NJ September 1993 - September 2000
Foster Wheeler Energy Corporation June 1992 - September 1993
US Army January 1981 - January 1984
Skills
HVAC, Troubleshooting, Union, Facilities Management, Energy Efficiency, Microsoft Office, Healthcare, Strategic Planning, Research, Microsoft Word, Public Speaking, Project Management, Customer Service, Program Management, Contract Management, Process Improvement, Team Management, Risk Management, Team Leadership, Engineering, Construction, Contract Negotiation, Electricians, Preventive Maintenance, Project Planning, Mechanical Engineering
Education
Stevens Institute of Technology 1988 — 1992
BS, Mechanical Engineering
Stevens Institute of Technology 1988 — 1992
Bachelor's degree, Mechanical Engineering
Emblem Health July 2013 - July 2014
Healthfirst June 2011 - December 2011
WNYW Fox 5 June 2008 - December 2009
First Marblehead April 2007 - February 2008
GIANT Magazine September 2007 - December 2007
Radio-One WILD 1090 AM September 2006 - August 2007
Hot 97 Radio-One Boston (WILD) 2006 - 2006
Skills
Blogging, Editing, Press Releases, Management, Interviews, Editorial, Magazines, Entertainment
Education
Suffolk University 2003 — 2006
B.S., Public Relations
Molina Healthcare July 2014 - Present
Guardian Life January 2014 - July 2014
EmblemHealth February 2012 - January 2014
EmblemHealth February 2010 - February 2012
Emblem Health January 2006 - November 2009
Mercury Insurance Group November 2002 - September 2005
Unum October 2001 - August 2002
Skills
Analysis, Insurance, Financial Analysis, Access, Microsoft Excel, Management, Forecasting, Process Improvement, Health Insurance, Visio, Microsoft Word, Strategic Financial..., Finance, Budgets, Underwriting, Actuarial Science, SAS, Cognos, Healthcare, Data Analysis, Financial Reporting, Hyperion Enterprise, Variance Analysis, Hyperion Planning, Excel, PowerPoint, Logic Pro, MS Project, UnCLE, Auditing, Claim, Medicare, Accounting, Business Analysis, Outlook, Employee Benefits, Word, Strategy, Project Management, Acquisition Integration
Education
Kennesaw State University - Michael J. Coles College of Business 2006 — 2008
Masters, MBA
The University of Tennessee at Chattanooga 1996 — 2001
BS, Finance, Economics
Ringgold High School 1993 — 1996
Emblem Health June 2003 - Present
Skills
Health Insurance, Strategic Planning, Managed Care, Insurance, Process Improvement, Employee Benefits, New Business Development, Marketing, Team Building, Social Media Marketing, Healthcare, Marketing Communications, Account Management, Social Media, Marketing Strategy, Event Management, Healthcare Industry, Direct Marketing, Customer Service, HMO, Brokers, Provider Relations, Management, Advertising, Public Speaking, Leadership, Project Management, Public Relations, Network Development, PPO, Health Policy, Medicaid, Budgets, Strategy, Disease Management, Social Networking, Pharmacy Benefit..., Medicare, Health Care Reform, Media Relations, Event Planning, Strategic Communications, Fundraising, Corporate Communications, Business Development, Nonprofits, Quality Improvement, Disability Insurance, Utilization Management, Credentialing
Education
Skidmore College 1981 — 1985
BS, Dance/Gov't
Health Plus July 2011 - Present
IncentOne November 2009 - July 2011
WellPoint May 2007 - February 2009
Empire Blue Cross Blue Shield May 2007 - February 2009
HIP Health Plan of New York 1996 - 2007
Emblem Health 1996 - 2007
HIP Health Plans 1996 - 2007
Skills
Health Insurance, Managed Care, Medicare, Insurance, Healthcare, Medicaid, HMO, Account Management, Health Savings Accounts, Strategic Planning, Medicare Part D, HIPAA, Process Improvement, Health Policy, Team Building, Underwriting, Brokers, New Business Development, Healthcare Industry, Leadership, Business Development, Sales Management, Healthcare Management, Customer Retention, Group Insurance, Analytics, Relationship Management, Sales, Salesforce.com, Employee Benefits, Executive Management, Coaching, Network Development, Healthcare Consulting, Disability Insurance, Disease Management, PPO, Pharmacy Benefit..., Healthcare Information..., Long-term Care, Provider Relations, Claim, Health Care Reform, Workers Compensation, Management, Performance Management, Sales Operations, Training, Marketing, COBRA
Education
Purdue University 1984 — 1989
B.S., Economics
Weight Watchers September 2014 - Present
Emblem Health August 2012 - September 2014
Center for Computational Relativity & Gravitation - RIT June 2010 - August 2012
Financial Management Association - RIT May 2011 - May 2012
RIT Global Union August 2010 - May 2011
Rochester Institute of Technology May 2010 - July 2010
Medybiz Private Limited December 2008 - December 2009
Steve & Barry's November 2007 - December 2008
The Bombay Dyeing & Mfg Co January 2006 - November 2007
Retailers Association of India 2005 - 2005
Skills
Financial Modeling, Analysis, Business Strategy, Financial Analysis, Business Planning, Budgets, Data Analysis, Budget, Strategic Planning, Market Research, Marketing Strategy, Forecasting, Marketing, Competitive Analysis, ALM, Quality Center, SQL Server Management..., SQL, JIRA, Confluence, Selenium, BDD, Agile Methodologies, Agile Project Management, Cucumber, Jenkins
Education
Rochester Institute of Technology 2010 — 2012
MBA, Tech Innovations & Strategy
Blue Cross Blue Shield of Michigan May 2011 - Present
Empire Blue Cross Blue Shield of NY December 2010 - April 2011
CareFirst Blue Cross Blue Shield of Maryland July 2010 - November 2010
Affiliated Computer Services September 2009 - September 2010
MedAssets April 2010 - June 2010
Jacobson Solutions May 2009 - July 2009
Emblem Health May 2009 - May 2009
Jacobson Solutions August 2008 - January 2009
Horizon Blue Cross Blue Shield September 2000 - August 2008
Horizon Blue Cross Blue Shield of NJ March 2003 - October 2006
Skills
Microsoft Office, Technical Writing, Benchmarking, Health Insurance, Process Improvement, HIPAA, Managed Care, Medicare, Insurance, Business Analysis, Project Management, Business Process..., Healthcare, Access, Employee Benefits, Claim, Healthcare Information..., Analysis, Change Management, Medicaid, Strategic Planning, Benefits Administration, Auditing, Data Analysis, Recruiting, Team Building, Policy, Healthcare Management, Microsoft Excel, Training, Quality Assurance, Management, Outlook, Call Center, Applicant Tracking..., Coaching, Performance Improvement, Business Intelligence, Team Leadership, Performance Management, Customer Service, Budgets, Requirements Analysis, Consulting, MS Project, Leadership, Account Management, Operations Management, PowerPoint, Microsoft Word
Education
Saint Peters College 2009 — 2013
Bachelors of Science, Mgt Science
Kean University
Saint Peters College
Bachelors of Science
Emblem Health 1998 - 2015
Oxford Health Plans 1994 - 1998
Clark-Schwebel Fiber Glass Corporation 1991 - 1993
FAG Bearing Company 1983 - 1991
Skills
Health Insurance..., Financial Analysis, Medicare, Affordable Care Act, HIPAA, Customer Service, Training, Underwriting, Brokers, Forecasting, Sales, Health Insurance
Education
Iona College 1976 — 1980
Bachelor’s Degree, Management / Marketing
Emblem Health July 2015 - Present
NYS Of Health Marketplace, NYS DOH April 2013 - Present
NYS Medicaid Redesign Team-Partnership for Long Term Care November 2011 - January 2012
University of Wollongong June 2011 - August 2011
New York State Senate March 2007 - November 2010
Bruno Law Offices PLLC April 2006 - November 2006
Rensselaer County Clerk's Office January 2001 - April 2006
Skills
Arabic, Legislative Relations, Public Policy, Legislative Affairs, Policy Analysis, Politics, Public Health, Strategic Planning, Legislative Research, Legislation, Bill Drafting, Quantitative..., Economic Development, Media Relations, Constituent Services, Policy, Political Communication, Public Affairs, Opposition Research, Political Consulting, Social Epidemiology, Social and Behavioral..., Political Science, Speech Writing, Program Development, Fundraising, Appropriations, Legal Research, Legislative Policy, Community Development, Health Policy, Policy Research, Grants, Public Administration, Election Law, Government, State Government, Crisis Management, Legal Writing, Public Finance, Community Organizing, Community Outreach, Governmental Affairs, Volunteer Management, Qualitative Research, Grassroots Organizing
Education
State University of New York at Albany 2009 — 2012
MPH, Health Policy and Management
Siena College 2001 — 2005
Bachelor of Arts, History and French
American University 2004 — 2004
Certificate, International Business & Trade
troy High school
troy High school
EmblemHealth November 2004 - Present
Emblem Health October 2002 - November 2004
EmblemHealth January 2000 - October 2002
EmblemHealth November 1997 - January 2000
Skills
Customer Service, Property & Casualty..., Strategic Planning, Risk Management, Project Management, Business Analysis, Health Insurance, Underwriting, Process Improvement, Commercial Insurance, Management, General Insurance, Sales, Change Management, PowerPoint, Team Building, Leadership, Training, Program Management, Medicare, Claim, Data Analysis, Healthcare, Microsoft Office, Marketing Strategy, HIPAA, Visio, Outlook, Microsoft Excel, Property, Microsoft Word
Education
Florida International University - College of Business 1983 — 1986
Bachelor of Business Administration (B.B.A.), International Marketing
AAS Hudson Valley Comm College 1981 — 1983
Associate of Arts and Sciences (A.A.S.), Marketing
Emblem Health June 2009 - Present
Emblem Health May 2009 - Present
Emblem Health June 2006 - June 2009
Skills
EHR, Healthcare Information..., Healthcare, EDI, Process Improvement, HIPAA, EMR, HL7, Hospitals, ICD-9, Medicaid, Medical Coding, Medicare, Revenue Cycle, Software Documentation, Visio, Epic Systems
Education
Florida A&M University 1991 — 1997
Bachelor of Science (B.S.), Health Information/Medical Records Administration/Administrator
WellCare Health Plans October 2015 - Present
HPS April 2015 - Present
WellCare Health Plans September 2013 - March 2015
Emblem Health July 2011 - September 2013
amsclabs October 2010 - July 2011
Accenture July 2010 - October 2010
DST Systems March 2008 - May 2010
Wipro Technologies February 2005 - February 2008
Skills
Black Box Testing, Bug Tracking, Defect Tracking, Manual Testing, Regression Testing, EDI, Quality Center
Education
Jawaharlal Nehru University 1999 — 2003
Emblem Health 1998 - Present
Education
A'arron Bivle College 2010 — 2011
Associate of Arts (A.A.), Biblicial & Theological Studies
Lansdale School of Business
Associate of Arts and Sciences (A.A.S.), Administrative Assistant and Secretarial Science, General
TIAA-CREF March 2013 - December 2014
Gap Inc. September 2010 - November 2012
Time Inc. March 2010 - September 2010
Emblem Health January 2009 - September 2009
Morgan Stanley December 2008 - January 2009
Proactive Business Solutions, Inc September 2008 - January 2009
Okaya Inc. 2009 - 2009
EmblemHealth 2008 - 2009
Hewlett Packard September 2008 - December 2008
Emirates Airlines (Oasis Biz Solution Consulting Agency) July 2005 - September 2008
Skills
VMware, Active Directory, Software Installation, Microsoft Exchange, Servers, Technical Support, TCP/IP, Network Administration, VPN, Cisco Technologies, Routers, Troubleshooting, Disaster Recovery, Visio, Windows 7, Hardware, Networking, Help Desk Support, Switches, Windows XP, System Deployment, Data Center, Security, Vendor Management, Firewalls
Education
Borough of Manhattan Community College
Associates
City College of New York
Sinclair Community College
Emblem Health June 2015 - Present
NYSSCPA Manhattan Bronx Chapter 2005 - Present
AIG January 2014 - May 2015
New York Life Insurance Company April 2005 - December 2013
AXA Financial Services, New York, NY, 2000 - 2005
The MONY Group November 1989 - 2000
KPMG June 1988 - October 1989
Skills
Accounting, Personal Income Tax, Community Volunteering, Professional Mentoring, NYSSCPA Manhattan Bronx..., NYSSCPA Foundation of..., NYSSCPA Individual Tax..., Internal Controls, Income Tax, Life Insurance, Tax, Mutual Funds, Retirement Planning, Retirement, Auditing, Fixed Annuities, Insurance, Estate Planning, Investments, Leadership, Analysis, Financial Analysis, Sarbanes-Oxley Act, Executive Management, Management, Private Equity, Strategic Financial..., Business Analysis, Due Diligence, Finance, Financial Services, CPA, Account Reconciliation, Risk Management, Governance, Business Process, Financial Risk, Vendor Management, Financial Reporting
Education
Fordham University - Graduate School of Business Administration
Masters of Science in Taxation, Taxation
Skidmore College, Saratoga Springs, New York
Bachelors of Science, Concentration in Accounting and Minor in History, Accounting and Business Concentration
Computershare March 2013 - Present
MetLife August 2010 - March 2013
State Farm Insurance April 2009 - August 2010
Emblem Health August 2008 - November 2008
Our Lady of Victory Pre-School & Nursery February 2008 - May 2008
The Nicotra Group May 2007 - August 2007
Skills
Access, Excel, Word, HTML, PowerPoint, Lotus Notes, Outlook, Management, Market Research, Public Speaking, Time Management, Microsoft Excel, Budgets, Microsoft Word, Social Media, Marketing
Education
State University of New York College at Plattsburgh 2004 — 2008
Bachelor of Science (BS), Business, Advertising/Marketing
Port Richmond High School 2000 — 2004
General Education, General Studies
Amida Care July 2014 - Present
Healthfirst February 2012 - July 2014
Affinity Health Plan June 2010 - February 2012
Emblem Health October 2008 - October 2009
Health Plus October 2001 - March 2008
Skills
Data Analysis, Medicare, Healthcare, Medicaid, Analysis, Provider Relations, Integration, Claim, Databases, SQL, Healthcare Information..., SAS, Managed Care, Strategic Planning, Healthcare Industry, EMR, Requirements Gathering, Business Analysis, Analytics, Access, Visio
Education
Brooklyn College 2002 — 2008
Bachelor of Science (B.S.), Psychology
Emblem Health March 2014 - Present
EbmlemHealth 1997 - Present
EmblemHealth February 2010 - March 2014
REMKIKS Healthcare January 2007 - November 2009
Skills
Management, Quality Assurance, Microsoft Excel, Healthcare, Leadership, Team Building, Project Management, Sales, Process Improvement, Program Management
Education
LIU Post 1994 — 1997
Bachelor of Science (BS), Health/Health Care Administration/Management
Mercy College
Master's degree, Human Resources Management and Services
Jackson Park Hospital October 2014 - Present
Albert Einstein College of Medicine September 2014 - November 2014
Albert Einstein College of Medicine April 2011 - October 2014
Jacobi Medical Center December 2010 - April 2011
Emblem Health January 2008 - November 2010
Skills
Medicine, Clinical Research, Laboratory Medicine, Protein Expression, Bioinformatics, Analytical Biochemistry, Protein Purification, Pharmacy Technicians, Internal Medicine, surgery, PCR, Foreign Exchange, Futures Trading, Commercial Real Estate, Biostatistics, Research, Microsoft Office, Strategic Planning, Biochemistry, Microsoft Word, Healthcare, Customer Service, Hospitals, Public Speaking, Microsoft Excel, Surgery, PowerPoint
Education
Atlantic University School of Medicine 2013 — 2016
Doctor of Medicine (M.D.), Medicine, 3rd Year
Walden University 2014 — 2016
Master of Public Administration (M.P.A.), Health/Health Care Administration/Management
City University of New York City College 2010 — 2012
Master of Science (M.S.), Biochemistry, Graduated
CUNY Medgar Evers College 2007 — 2010
Bachelor of Science (B.S.), Biology/Biological Sciences, General
Monroe College 2005 — 2007
Associate of Arts and Sciences (A.A.S.), Accounting and Finance
Visiting Nurse Service of New York April 2014 - Present
Visiting Nurse Service of New York September 2010 - March 2014
Emblem Health May 2009 - September 2010
Brookhaven Memorial Hospital Medical Center August 2007 - May 2009
New York Hospital Medical Center of Queens July 2005 - August 2007
New York Hospital Medical Center of Queens January 2003 - July 2005
Skills
Healthcare, Home Care, Business Development, Marketing, Leadership, Toastmasters, Salesforce.com, Raiser's Edge, Customer Service, Teamwork, Team Leadership, Case Management, Social Services, Fundraising, Community Outreach, Hospitals, Managed Care, Healthcare Management, Event Planning, Insurance, Patient Education, EMR, HIPAA, Medicare
Education
Hofstra University 2014 — 2016
Master of Health Administration, Health/Health Care Administration/Management
City University of New York-Brooklyn College 1998 — 2002
Bachelor's Degree, Psychology
Sterling National Bank November 2014 - Present
New York City Department OF Corrections September 2012 - February 2014
Emblem Health October 2011 - August 2012
Municipal Credit Union August 2008 - November 2008
Carver Federal Savings Bank October 2007 - September 2008
Century 21 Department Stores October 2006 - January 2007
Sweet Factory October 2005 - July 2006
Mentor4 Inc. / Cablevision April 2005 - September 2005
Bloomingdales October 2004 - February 2005
Claires February 2003 - February 2004
Education
Laguardia Community College
Associate's Degree, Business Adminitstration
VillageCare June 2014 - December 2014
Visiting Nurse Service of New York February 2014 - June 2014
Visiting Nurse Service of New York 2013 - 2014
Healthfirst 2010 - 2012
Emblem Health 2008 - 2010
Group Health Inc. (presently Emblem Health) 2000 - 2008
Group Health Inc. (presently Emblem Health) 1998 - 2000
Group Health Inc. (presently Emblem Health) 1997 - 1998
NYLCare Health Plan (subsidiary of New York Life Insurance Company) 1996 - 1997
New York Life Insurance Company 1993 - 1996
Skills
Healthcare, Pharmacy, Operations Management, Relationship Building, Customer Service, Regulatory and..., Program Management, Project Management, Obtaining PMP Project..., Client Services, Vendor Management, Clinical Research, Health Insurance, Trend, Account Management, Disease Management, Insurance, Educational Internship..., Research and Development, Pharmacy Benefit..., Process Development and..., Microsoft Office (Word,..., Management, Analysis, Managed Care, Change Management, Medicaid, HIPAA, Healthcare Management, Healthcare Information..., Healthcare Industry, Medicare, Health Policy, Medicare Part D, Healthcare Consulting, Leadership
Education
Molloy College 1987 — 1991
Bachelor of Arts (BA)
Lynbrook Highschool 1984 — 1987
Discite, LLC January 2014 - Present
AIG May 2008 - July 2014
Emblem Health April 2005 - April 2008
Prevari February 2001 - April 2005
Skills
Program Management, Strategic Planning, Change Management, Process Improvement, Project Portfolio..., Target Operating Model..., Business Transformation, Organizational..., Project Management, Agile Project Management, Operating Models, Governance, Integration, Leadership, PMO, Vendor Management, Business Analysis, Business Process..., Management, Strategy, Management Consulting, PMP, CRM, Business Intelligence, Business Process, Software Project..., Requirements Gathering
Education
University of Saint Thomas - School of Business 1999 — 2002
MBA, Executive Management
St. Mary's College of California 1988 — 1991
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Williams Companies April 2013 - Present
M&T Bank September 2012 - March 2013
New York City YMCA December 2011 - July 2012
Sunrider International August 2011 - October 2011
Cross Country Home Services April 2011 - July 2011
Stock Exchange October 2010 - March 2011
Emblem Health March 2010 - September 2010
St. Louis Metropolitan Sewer District October 2009 - February 2010
Titan Technology Partners August 2008 - September 2009
TopDown Consulting April 2007 - July 2008
Skills
Essbase, Hyperion Planning, Hyperion, EPM, Planning, Financial Reporting, HAL, SQL, Data Integration, Shared Services
Education
Baruch College, City University of New York (CUNY) 1979 — 1983
Emblem Health March 2013 - Present
UBM Global Trade August 2012 - February 2013
UBM Global Trade September 2011 - July 2012
United Business Media August 2010 - August 2011
UBM 2010 - 2011
Dow Jones September 2008 - August 2010
3M HIS 2000 - September 2008
3M Health Information Systems August 2004 - August 2008
Info-X, Inc (now 3M Health Information Systems) 2000 - 2004
Skills
Leadership, SOA, Requirements Analysis, Agile Methodologies, SQL, Database Design, Java, Business Intelligence, C#, Business Analysis, Software Project..., Management, Enterprise Architecture, Scrum, XML, Software Development, Web Applications, Program Management, SDLC, Solution Architecture, ASP.NET, Agile Project Management, Oracle, Cloud Computing, Project Management, Product Management, Cross-functional Team..., Product Development, CRM, Data Analysis, Vendor Management, Strategy, Integration, Strategic Planning, Information Technology, Databases, Web Services, Data Warehousing
Education
Osmania University 1995 — 1998
MCA, Master's in Computer Science
Osmania University 1992 — 1994
BSC, Bachelors in Computer Science
Wesley High School
Emblem Health October 2011 - Present
Wells Fargo Advisors January 2011 - May 2011
NJCU, Student Investment Management Group January 2011 - May 2011
A to Z Self Storage LLC January 2009 - November 2010
Geisinger Medical Center May 2006 - January 2009
Skills
Microsoft Excel, Customer Service, Microsoft Office, Microsoft Word, PowerPoint, Event Planning, Relationship Management, Coaching, Process Improvement, Access, Lotus Notes, Analysis, Strategic Financial..., Outlook, Data Analysis, Data Entry, Healthcare, Accounting, Insurance, Budgets, Leadership, Management, CRM
Education
New Jersey City University 2009 — 2011
B.S., Business Management, 3.0
New Jersey City University 2009 — 2011
Bachelor of Science, Business Administration; Management
Bloomsburg University of Pennsylvania 2006 — 2009
Bronx County District Attorney Office June 2014 - July 2014
Macy's April 2013 - May 2013
Emblem Health November 2011 - May 2012
Tishman Construction August 2011 - September 2011
Levi Strauss & Co. Showroom July 2011 - August 2011
University's Bird Library February 2008 - May 2011
Education
Valparaiso University School of Law 2013 — 2016
Juris Doctorate
Syracuse University 2007 — 2011
B.A., Sociology, Women's & Gender Studies, and Writing & Rhetorical Studies
Syracuse University's London
Syracuse University, College of Arts and Sciences
B.A, Sociology; Writing & Rhetorical Studies
Macy's March 2013 - Present
Frederick Goldman Inc August 2010 - February 2013
Emblem Health June 2010 - August 2010
Scher Financial Group June 2009 - August 2009
Frederick Goldman Inc June 2009 - August 2009
Skills
Wholesale, Merchandising, Retail, Trend Analysis, Luxury Goods, Jewelry, Fashion, Trend, Visual Merchandising, Apparel, Inventory Analysis, Forecasting, Microsoft Excel
Education
Stony Brook University 2006 — 2010
Bachelor of Science, Business Management, Finance
Macy's October 2010 - Present
Legends Hospitality April 2012 - October 2012
Emblem Health October 2006 - August 2010
Forum Temporary Services March 1996 - October 2006
Empire State Development September 1989 - September 1995
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, English, Outlook, Recruiting, Interviews, Payroll, PeopleSoft, Taleo, Kronos Timekeeping
Education
Borough of Manhattan Community College
Associate of Arts (A.A.)
International Planned Parenthood Federation/Western Hemisphere Region March 2015 - Present
International Planned Parenthood Federation/Western Hemisphere Region September 2012 - March 2015
EmblemHealth June 2009 - September 2012
Emblem Health June 2009 - September 2012
Wild, Maney, Camera & Resnick, LLP August 2008 - June 2009
Wild, Maney. Camera & Resnick LLP August 2008 - May 2009
Skills
Financial Analysis, Payroll, Financial Modeling, Accounts Payable, Treasury, Journal Entries, Financial Statements, Cash Management, Account Reconciliation, Sarbanes-Oxley Act, PeopleSoft, Bank Reconciliation, ADP Payroll, GAAP, General Ledger, Financial Reporting, US GAAP, Budgets, Monthly Close, Microsoft Word, Cash Flow, Internal Audit, Strategic Financial..., Sarbanes-Oxley, Balance, External Audit
Education
Frank G. Zarb School of Business 2004 — 2009
Bachelor of Business Administration, Accounting
Hofstra University 2004 — 2009
BBA, Accounting
Hofstra University
Emblem Health March 2007 - Present
Skills
Disaster Recovery, Databases, Microsoft SQL Server, SQL, Data Warehousing, Visio
Education
Seton Hall University 1995 — 1999
Scotch Plains-Fanwood high school 1991 — 1995
Cancer Genetics, Inc. March 2015 - Present
Emblem Health June 2009 - March 2015
Deloitte & Touche, LLP February 2006 - June 2008
Protiviti Risk Consulting February 2004 - February 2006
Skills
Accounting, Accounts Payable, Internal Audit, Risk Management, Sarbanes-Oxley Act, Visio, Auditing, GAAP, Internal Controls, General Ledger, Hyperion, Financial Analysis, Process Improvement, Variance Analysis, Account Reconciliation, PeopleSoft, Analysis, Financial Accounting
Education
Baruch College, City University of New York (CUNY) 2000 — 2003
Bachelor, Accounting
New York City Department of Finance Project ManagerComprehensive Care ManagementFebruary 2010 - May 2011
Emblem Health February 2009 - February 2010
Independent Contractor May 2007 - February 2009
Verizon August 2004 - August 2006
New York City Economice Development Corporation August 2001 - August 2002
Bear Stearns July 1998 - June 2001
Education
University of Rochester - Simon Business School 2002 — 2004
St. Lawrence University 1994 — 1998
Economics
Emblem Health February 2001 - Present
EmblemHealth February 2001 - Present
Jefferies & Company June 1997 - June 1999
Education
Skidmore College 1985 — 1989
Bupa February 2015 - Present
Blueprint Health LLC November 2011 - Present
Mercer Health & Benefits October 2010 - February 2015
American Council on Exercise 2007 - 2013
Emblem Health November 2009 - October 2010
Cigna International October 2007 - October 2009
March of Dimes February 2002 - April 2008
CIGNA Healthcare July 1998 - October 2007
Cornell University Medical College - The New York Hospital June 1994 - July 1998
The Childrens Hospital of Philadelphia 1991 - 1994
Skills
Healthcare, Clinical Research, Global Health, Health Policy, Disease Management, Healthcare Information..., Strategic Planning, Managed Care, Wellness, Healthcare Management, Health Insurance, Public Speaking
Education
University of Pennsylvania School of Medicine 1991 — 1994
New York Medical College 1988 — 1992
MD
Columbia Business School
MBA
Emblem Health November 2014 - Present
Emblem Health August 2007 - November 2014
Health Net 2003 - 2007
Health Net of the Northeast 2003 - 2007
Blue Cross & Blue Shield of RI 2000 - 2003
Skills
Health Insurance
Education
Fairfield University 1996 — 2000
Emblem Health 1985 - Present
Skills
Managed Care, Health Insurance, Medicare, Disease Management, Health Policy, Healthcare Industry
Education
Queens College 1984 — 1988
Model N January 2015 - Present
Epicor Software September 2013 - December 2014
Independence Blue Cross April 2013 - August 2013
Emblem Health October 2011 - April 2013
Emblem Health June 2010 - October 2011
New York Technology Partners June 2008 - September 2008
Activant Solutions, PA February 2001 - April 2008
Marist College June 2000 - January 2001
IBM Global Services June 1999 - February 2000
Skills
PMP, Requirements Analysis, Software Project..., SQL, Cross-functional Team..., Oracle, SharePoint, Visio, Systems Analysis, Business Process, IT Strategy, Software Implementation, Team Leadership, Healthcare Information..., Product Management, Risk Management, Vendor Management, Project Management, Databases, Crystal Reports, Microsoft SQL Server, Software Development, SDLC, Business Analysis, ERP, Integration, Business Intelligence, Management, Process Improvement, Business Process..., Consulting, Enterprise Software
Education
Stanford University 2012 — 2014
Advanced Project Management, Project Management
Villanova University 2010 — 2010
Six Sigma Green Belt, Information Technology
Cornell University 2009 — 2010
Masters Certificate, Project Leadership
Villanova University 2009 — 2010
Masters Certificate, Business Analysis
Villanova University 2005 — 2006
Masters Certificate, Project Management
Drexel University - College of Business and Administration 2002 — 2004
MBA, Technology Management
Marist College 1997 — 1998
MS Comp Science, Information Systems
Temple University
Doctor of Business Administration, Project Management
Aon Affinity Berkely June 2013 - Present
RAM Marketing March 2013 - May 2013
Settlement Housing Fund March 2012 - May 2012
City of Mount Vernon June 2011 - March 2012
Emblem Health March 2007 - April 2010
Askarinam Realty Inc December 2005 - March 2007
Queens College-CUNY June 2005 - December 2005
Skills
Urban Planning, Urban Design, SketchUp, AutoCAD, Architectural Design, Revit, Comprehensive Planning, Land Use Planning, ArcGIS, Sustainable Design, Photoshop, AutoCAD Architecture, Sustainability, InDesign
Education
Hunter College of the City University of New York 2007 — 2012
Master of Urban Planning, Housing and the Built Environment, Urban Design
City University of New York-Hunter College 2007 — 2009
Masters, Urban Planning
City University of New York-Queens College 2001 — 2005
Bachelor of Arts (B.A.), Urban Studies/Affairs
Queens College of the City University of New York 2001 — 2005
Bachelor of Arts, Urban Studies
Emblem Health March 2009 - Present
ALLSector Technology Group May 2008 - October 2008
Emerging Health Information Technology 2008 - 2008
Metropolitan Jewish Health System 2002 - 2007
NYSCHRO - Med Review 1998 - 2001
Empire Blue Cross 1987 - 1995
Irving Trust 1981 - 1987
PDC 1974 - 1976
United Merchants 1967 - 1972
Skills
Leadership, Management, Training, Quality Assurance, Healthcare Information..., Business Process, PMO, Healthcare, SDLC, Analytics, Project Planning, Project Portfolio..., Project Management, HIPAA, Strategic Planning, Business Analysis, Resource Management, Program Management, Cross-functional Team..., Multi Tasking, Consulting, Information Technology, Problem Analysis, Managed Care, Management Consulting, Strategic Thinking, EHR, PMP, Product Requirements, Regulatory Requirements, Mentoring Of Staff, Critical Thinking, EMR, Interviews, Business Process..., Requirements Management, Team Facilitation, JAD, Document Review, Performance Reviews, Requirements Gathering, Inter-personal, Organizational..., Salary Review, Performance Improvement, Crystal Reports, Data Analysis, Executive Management, Employee Benefits
Education
St. John's University, The Peter J. Tobin College of Business 1976 — 1980
MBA, Business Administration
City University of New York-College of Staten Island 1968 — 1970
Bachelor of Arts (BA), Psychology
City University of New York 1965 — 1967
AA, Liberal Arts
Francis Lewis 1960 — 1965
Academic, Academic
Emblem Health 2008 - Present
Group Health Inc. 2003 - 2007
Empire Blue Cross Blue Shield 1995 - 2003
Beth Israel Medical Center 1986 - 1995
Education
CUNY School of Public Health
Masters, Public Health
Rutgers University-New Brunswick
Bachelors of Science, Rutgers School of Environmental and Biological Sciences
Emblem Health July 2009 - Present
Horizon Blue Cross Blue Shield of NJ June 2000 - June 2009
Skills
SDLC, Vendor Management, PMO, Visio, Project Portfolio..., PMP, Process Improvement, Business Analysis, MS Project, Program Management, Change Management, Resource Management, Business Process..., Software Project..., Requirements Gathering, Business Requirements, Business Process, Requirements Analysis, SharePoint, Governance, Enterprise Architecture, IT Strategy, Business Intelligence, Process Engineering, Software Documentation, IT Management, Cross-functional Team...
Education
Stevens Institute of Technology 1994 — 1997
Masters, Technology Management
Stevens Institute of Technology 1990 — 1994
Bachelors, Chemical Biology
Emblem Health February 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2010 - January 2014
Emblem Health June 2009 - December 2009
Horizon BCBS October 2007 - May 2009
UnitedHealthcare January 2006 - October 2007
Skills
SDLC, Business Requirements, Requirements Gathering, Requirements Analysis, Business Analysis, Systems Analysis, Visio
Education
Clarion University of Pennsylvania 2001 — 2004
MBA
St. Aloysius' College
Diversified Management Group LLC October 2007 - Present
Exeter Health Center 2015 - 2015
Refuah Health Center 2005 - 2014
Refuah Health Center 2005 - 2014
WeCare of New York IPA 2007 - 2011
Touchstone Health 2008 - 2010
Emblem Health 2008 - 2009
Live Out Loud 2007 - 2009
Comprehensive Care Management, Corp. 2008 - 2008
WellCare Health Plans 2004 - 2007
Skills
Medicaid, Medicare, Managed Care, Healthcare, Health Policy, Network Development, Provider Relations, HIPAA, Insurance, Health Insurance, Healthcare Management, Process Improvement, Informatics, Team Building, Employee Relations, Physicians, Program Management, Claim, Hospitals, Healthcare Consulting, Management, Home Care, Healthcare Industry, Revenue Cycle, Employee Benefits, EHR, Healthcare Information..., Credentialing, Performance Improvement, Practice Management, Strategic Planning, Leadership, EMR, Physician Relations, Consulting, Quality Improvement
Education
Kaplan College-Columbus
EmblemHealth January 2014 - Present
EmblemHealth 2008 - January 2014
Emblem Health March 2002 - December 2013
Skills
Disaster Recovery, Enterprise Architecture, Cloud Computing, Configuration Management, Process Improvement, VMware, Project Management, EMC Storage, Vendor Management, Integration, Data Warehousing, Active Directory, VMware ESX, SQL
Education
Istanbul Technical University 1998 — 2002
Engineer, Industrial Engineering
Office of the New York City Comptroller February 2010 - Present
Emblem Health October 2007 - February 2010
EmblemHealth June 2004 - October 2007
Education
Pace University 2006 — 2008
Master of Science (M.S.), Computer Systems Networking and Telecommunications
Saint John's University 2001 — 2003
Bachelor of Science (B.S.), Computer Science
Emblem Health July 2009 - Present
Skills
SDLC, Requirements Analysis, Visio, Vendor Management, Business Analysis, Business Intelligence, Software Project..., Business Process..., Software Documentation, Risk Analysis, Microsoft SQL Server, Requirements Gathering, Healthcare, Analysis, SQL, Windows Server
Education
Marist College 2003 — 2005
information systems
Sugar Rush Cupcakes May 2011 - Present
Apple Valley Signs & Graphics September 2013 - Present
Platinum Resumes January 2008 - Present
Vinnie Curto Marketing January 2011 - February 2012
Emblem Health March 2010 - December 2010
Manpower February 2006 - January 2010
SearchTROOP March 2009 - December 2009
Skills
Onboarding, Resume, Training, Talent Acquisition, Time Management, Applicant Tracking..., Resume Writing, Sourcing, Temporary Placement, New Hire Orientations, Human Resources, Technical Recruiting, Recruiting, Employee Relations, Interviews, Career Development, Talent Management
Education
State University of New York at New Paltz 2006 — 2008
Bachelor of Science, Management [HR Management]
EmblemHealth March 2015 - Present
HIP Health Plan 2008 - Present
EmblemHealth January 2010 - February 2015
Emblem Health 1998 - December 2009
332-336 E77TH STREET 2006 - 2008
NYNEX/BELL ATLANTIC August 1996 - June 1998
The Podiatry Associates July 1992 - December 1993
Skills
Health
Education
Temple University, Pennsylvania College of Podiatric Medicine 1986 — 1990
DPM, Podiatric Medicine
Rutgers University-New Brunswick 1983 — 1986
Health, Physical Education & Sports Studies Pre-Physical Therapy
Fair Lawn High School 1980 — 1983
Blue Cross Blue Shield of Tennessee May 2010 - Present
Emblem Health May 2009 - May 2010
Health Net February 2001 - March 2009
QualMed Plans February 1999 - January 2001
PharmaKinetics October 1997 - February 1999
American Red Cross October 1993 - October 1997
Florida Blood Services October 1987 - October 1993
Skills
Managed Care, Medicare, Utilization Management, Disease Management, Healthcare, Medicaid, Healthcare Management, Health Insurance, Provider Relations, HIPAA, Healthcare Information..., Nursing, Case Managment, Hospitals, NCQA, Process Improvement, EMR, HMO, Home Care, Healthcare Consulting, Healthcare Industry, Clinical Research, Health Policy, HEDIS, Revenue Cycle, PPO, Informatics, Quality Improvement, Network Development, JCAHO, Physicians, Pharmacy, Inpatient, Medicine, Physician Relations, EHR, Credentialing, Policy, Medical Billing
Education
Tampa College 1989 — 1991
MBA, Business
Notre Dame of Maryland University 1978 — 1983
BSN, Nursing
Essex Community College 1973 — 1976
AA, Nursing
Elderplan, Inc Directorelderplan1999 - 2008
Emblem health 2000 - 2006
Skills
CPA, Financial Analysis, Medicaid, Managed Care, Financial Reporting, Forecasting, Strategic Financial..., Medicare, GAAP, Accounting, Strategic Planning, Health Insurance, Budgets, Process Improvement, Sarbanes-Oxley Act, Healthcare, Internal Controls, Financial Modeling, Insurance, Auditing, Provider Relations, HIPAA, Revenue Cycle, Accounts Receivable, Healthcare Industry, Healthcare Consulting, Health Policy, Risk Management, PPO, SEC filings, Management, HMO, Mergers & Acquisitions, Leadership, Managerial Finance, Finance, Healthcare Management, US GAAP, Claim, Long-term Care, Analysis, Executive Management, Employee Benefits, Business Process..., Data Analysis, Cash Flow, Enterprise Risk..., Variance Analysis, Physicians, Revenue Recognition
Education
Hofstra University 1978 — 1998
Accounting
Emblem Health August 2003 - September 2007
Education
Queens College 1986 — 1991
B.A., Communications Arts & Media
Emblem Health April 2013 - Present
New York University December 2012 - March 2013
Emblem Health December 2011 - December 2012
NYC Department of Education August 2011 - December 2011
Pfizer, NJ November 2008 - August 2011
AIG Global Investment Group April 2007 - November 2008
I-flex Solutions Ltd (Now Oracle Financial Services), Banking Products Division April 2001 - December 2006
SSI Technologies May 2000 - March 2001
Skills
Data Warehousing, ETL, SDLC, Business Intelligence, Oracle, Result Oriented, Strategic Thinking, Team Management, SQL, Project Management, PL/SQL, Requirements Analysis, Informatica, Ab Initio, Data Migration, Data Mining, Performance Tuning, SQL Tuning, Query Tuning, Data Modeling, Datastage, Metadata Workbench, Unix, DB2, Cognos, Software Project..., Data Integration, Unix Shell Scripting, SSRS, Database Design, Databases, SOA, Business Objects, Erwin, SSIS, Data Warehouse..., Teradata, Requirements Gathering, Shell Scripting
Education
Acharya Nagarjuna University 1996 — 1999
MCA, Computers
Verizon June 2015 - Present
Marlabs Inc 2008 - Present
Emblem Health June 2009 - May 2015
Kanbay/Capgemini July 2004 - April 2008
Satyam Computer services Limited January 2002 - June 2004
Aptech January 2000 - December 2001
Skills
Requirements Analysis, Global Delivery, ERP, SOA, Oracle, Pre-sales, Business Intelligence, SDLC, Business Analysis, Solution Architecture, IT Strategy
Education
Sambalpur University
BE, Electrical
Allscripts January 2014 - Present
Hofstra University January 2014 - Present
Affinity Health Plan September 2013 - November 2013
Express Scripts June 2013 - August 2013
Emblem Health October 2005 - May 2013
Village Optical 2003 - 2005
United States Marine Corps January 1998 - December 2002
Skills
Visio, SharePoint, Change Management, Quality Assurance, Information Technology, Process Improvement, Release Management, Data Analysis, MS Project, PMP, SQL, Healthcare Information..., JavaScript, Windows, Visual Basic, ASP, COBOL, HTML, Linux, Java, .NET, ASP.NET, Process Engineering, XML, EDI, Unix, PeopleSoft, VBScript, Apache, BMC Portal, C++, Cactus, DOS, IBM Tivoli, Macromedia, Netscape Enterprise..., Sun, IBM AS/400, Novell, Oracle Applications, MySQL, SharePoint Designer, Oracle 9i, Wireless, TCP/IP, Spanish, Bilingual, Budget Management, System Monitoring, ITSMF
Education
BPMinstitute.org 2015 — 2015
CBMP, Business Process Management
New Horizon New York 2014 — 2014
ITIL Intermediate Continual Service Improvement
BMGI 2010 — 2010
Lean Six Sigma Greenbelt
BMGI 2010 — 2010
Organizational Change Mangement
Global Knowledge: Business and IT Training 2008 — 2008
ITIL v3 Foundation Qualification
DeVry University 2002 — 2005
Bachelor of Science (B.S.), Computer Information Systems, 3.9 GPA
Nityo
Project Management -Ongoing
Managed Health Care Associates, Inc. May 2011 - Present
Emblem Health February 2009 - May 2011
Elmhurst Dairy, Inc. December 2007 - February 2009
HIP July 2005 - December 2007
Skills
Cognos, Business Analysis, Data Warehousing, Project Management, Business Intelligence, Databases, SQL, Data Analysis, Cognos ReportNet, Business Intelligence..., Dashboard, Analysis
Education
Fairleigh Dickinson University 2003 — 2005
MIS, Computer Science
Swinburne University of Technology 2001 — 2003
MIT, Computer Science
Emblem Health July 2011 - Present
The Hartford 2009 - August 2011
David Mahder and Associates, LLC January 2009 - September 2009
Aetna, Inc. 2002 - 2008
Lifecare Inc 2000 - 2002
GE Financial Assurance 1997 - 2000
Sterling Drug 1989 - 1994
Richardson-Vicks Inc. 1979 - 1989
Skills
Marketing Strategy, Competitive Analysis, Segmentation, Direct Marketing, Strategic Planning, Strategy, Analytics, Brand Development, Brand Management, Marketing
Education
Northwestern University - Kellogg School of Management 1977 — 1979
MBA, Marketing, Management, Finance
Trinity College-Hartford
Self Employed May 2009 - Present
Self - Employed Managed Care May 2009 - Present
Emblem Health 2003 - 2008
EmblemHealth 2003 - 2008
Education
City University of New York-Hunter College 1982 — 1987
ba, accounting
CIT July 2015 - Present
Emblem Health March 2008 - July 2015
CIT 2015 - 2015
CIT 2015 - 2015
CIT 2015 - 2015
jh cohen 2007 - 2008
Skills
Financial Modeling, Sarbanes-Oxley Act, Auditing, Internal Audit, Healthcare, Internal Controls, Financial Reporting, Variance Analysis, Process Improvement, Analysis, Financial Analysis, Business Analysis, Finance, Healthcare Information..., Forecasting, Data Analysis, Financial Accounting, Project Management, Risk Management, Visio, SDLC, Accounting, Strategic Planning, Account Reconciliation, General Ledger, Managerial Finance, Corporate Finance, Business Process...
Education
Saint Peter's University 2004 — 2006
MBA, Finance
Saint Peter's University
Bachelors of Science, Managment Information Systems
Emblem health July 2012 - Present
Skills
Emergency Room, IV, Telemetry, EKG, Critical Care, Nursing, Acute Care, BLS, Hospitals, Healthcare Management, ACLS, Healthcare, PALS, Pediatrics, Medication..., Phlebotomy, Medicine, Emergency Nursing, Emergency Medicine, Direct Patient Care, Triage, TNCC, Inpatient
Education
Walden University 2007 — 2010
MSN, Masters Degree in Nursing Ed. specialization
Thomas Nelson Community College 2001 — 2005
ADN, Nursing
New York Institute of Technology 1987 — 1992
Bachelor In Electrical Engineering Technology, Electrical Engineering Technology
Emblem Health August 2015 - Present
BlueCross BlueShield of Tennessee June 2013 - October 2014
WellCare March 2008 - May 2013
Independence Blue Cross January 1997 - March 2008
Skills
Consumer Marketing, Medicare, Managed Care, Health Insurance, Healthcare, Strategic Planning, Medicaid, Cross-functional Team..., Analytics, Process Improvement, Vendor Management, Executive Management, Product Management, Marketing Strategy, Product Development, Customer Retention, Leadership Development, Product Innovation, Entrepreneurship, Financial Analysis, Strategy Execution, Compliance, Building Relationships, Growth Management, Collaboration, Change Management, Insurance, Medicare Part D, Health Policy, Employee Benefits, HIPAA, Claim, HMO, Network Development, Strategy, Management, Provider Relations, Sales Operations, Health Care Reform, Marketing, Sales, Healthcare Industry, Leadership, Pharmacy Benefit..., Healthcare Consulting, Health Savings Accounts, Customer Experience, Long-term Care, Disease Management, Healthcare Information...
Education
Georgetown University Law Center 1993 — 1994
LLM (Masters of Law)
Ohio Northern University—Claude W. Pettit College of Law 1990 — 1993
JD
University of South Florida 1985 — 1990
BS, Accounting
CAI programmercai2000 - Present
emblem health 2000 - 2015
emblem health 2000 - 2015
rem 1985 - 2000
home insurance 1985 - 2000
Skills
Software Development, Databases, SQL, Requirements Analysis, Programming, SDLC
Education
City University of New York-Brooklyn College 1962 — 1966
bs, mathematics, education
Mount Sinai Health System August 2015 - Present
Healthfirst December 2014 - August 2015
EmblemHealth January 2010 - December 2014
Emblem Health 2001 - November 2010
HIP Health Plan of NY 2000 - 2001
HIP Health Plan of NY 1999 - 2000
New York Network Management 1998 - 1999
Fidelis Care 1997 - 1998
Skills
Credentialing, Health Policy, Managed Care, HIPAA, Provider Relations, Network Development, Medicaid, Healthcare Information..., Medicare, Process Improvement, Quality Improvement, Healthcare Management, Quality Assurance, Business Analysis, Data Analysis, Strategic Planning, Leadership, Contract Negotiation, NCQA, Six Sigma, Business Process..., Claim, JCAHO, Lean Tools, Training, Project Management, Leadership Development, Vendor Management, Performance Improvement, Business Process, Software Documentation, IT Project Lifecycle, Health Insurance
Education
Boston University 1992 — 1996
BA, Psychology
Unemployed - seeking working Accounts Payable AssociateLazard Asset ManagementJuly 2014 - February 2015
Worldwide Branding August 2013 - July 2014
Sirius XM Radio Inc. April 2013 - July 2013
The Blackstone Group November 2011 - April 2013
The Blackstone Group November 2011 - April 2013
National Football League June 2011 - November 2011
Emblem Health June 2009 - December 2009
Perry Capital LLC April 2000 - January 2009
Smith Management LLC October 1998 - April 2000
Skills
Accounts Payable, Invoicing, Account Reconciliation, Accounting, PeopleSoft, General Ledger, Journal Entries, Microsoft Excel, Banking, Data Entry, Financial Analysis, Internal Audit
Education
Canarsie High School 1981 — 1984
Diploma, Accounting and Finance
Kingsborough Community College
Emblem Health August 2010 - Present
Skills
SDLC, COBOL, SQL, DB2, Databases, Data Warehousing, Oracle, Analysis, Access, Mainframe, VSAM, Business Analysis, ETL, IMS DB/DC, Requirements Analysis, Testing, Software Documentation, Healthcare, Systems Analysis, Requirements Gathering, Program Management, Visio, PL/SQL, Information Technology, SharePoint, JCL, CICS, Microsoft Office, Data Stage 9.1, Toad, Autosys, Insurance Claims, Health Insurance, Eligibility, Provider Network..., Business Requirements, Management, Business Intelligence, Consulting, Integration, Oracle SQL Developer, COBOLII, Membership, Underwriting, Accounting, HIPAA, Unix, Putty, Team Leadership, XML
Education
IBM DataStage Essential Class 9.1 at Avnet Training 2014 — 2014
New Horizons 2013 — 2014
none
Rider University 1980 — 1984
Bachelor of Science
Emblem Health January 2005 - Present
GHI\EmblemHealth\Government Program 2005 - Present
Skills
Medicare, Medicaid, Healthcare, Disease Management, Healthcare Management, Managed Care, Program Management, Healthcare Industry, Strategic Planning, Process Improvement, Project Management, Cross-functional Team..., Health Insurance, Contract Negotiation, Customer Service, Healthcare Information..., Revenue Cycle, HIPAA, Provider Relations, Team Building, Utilization Management
Education
Florida International University 2013 — 2015
Master of Business Administration (M.B.A.)
University of Phoenix 2004 — 2007
Bachelor of Science (BS), Health/Health Care Administration/Management
Emblem Health Chief Operating OfficerWestern Queens DialysisJanuary 2000 - May 2005
Astoria Chemists Inc January 1975 - March 2005
Mount Sinai Queens January 1974 - May 2000
Education
Columbia University in the City of New York
BS, Pharmacy
LIU Post
MPH, Health Care
UnitedHealth Group January 2015 - Present
Healthfirst April 2012 - December 2014
Emblem Health September 2007 - August 2011
Skills
Customer Service, Public Speaking, Microsoft Excel, PowerPoint, Microsoft Word, Training, Community Outreach, Healthcare, Outlook, Social Media
Education
St. Francis College 1996 — 2001
Bachelor of Science (BS), Communication, General
Emblem Health May 2010 - Present
Finlay Fine Jewelry January 2000 - January 2010
Pacific Group February 1998 - December 1999
Cunard Line April 1989 - July 1996
Skills
Accounting, General Ledger, Multi-State Sales Tax, Accounts Receivable
Education
City University of New York-Brooklyn College
BS, Accounting
Emblem Health April 2013 - Present
Skills
Hospitals, Medicine, Research, Healthcare, Healthcare Information..., Healthcare Management, EMR, Nursing, HIPAA, EHR, Clinical Research, Microsoft Office, Public Health, Cpr Certified, BLS, Inpatient, Patient Safety, Public Speaking, Customer Service, Epic Systems
Education
Queens College 2005 — 2007
MA, Urban Affairs
Baruch College, City University of New York (CUNY) 1993 — 1999
BA, Computer Information System
Ernst & Young November 2010 - Present
Baule Boxes Inc March 2009 - October 2010
Intelligent Query Engines March 2010 - June 2010
Emblem Health Inc June 2009 - August 2009
Emblem Health May 2009 - August 2009
Satyam Computers Private Ltd September 2006 - July 2008
Satyam Computers Ltd July 2006 - July 2008
Skills
Visio, Access, Testing, Business Analysis, MS Project, Databases, Integration, Microsoft SQL Server, Requirements Analysis
Education
Syracuse University 2008 — 2010
MS, Information management
National Institute of Engineering, Visveswariah Technological University
Bachelor of Engineering, Mechanical Engineering
Mount Sinai Beth Israel November 2014 - Present
Fidelis Care March 2014 - October 2014
EMBLEM HEALTH October 2012 - March 2014
HIP/EMBLEMHEALTH January 2004 - December 2012
Value Options January 2012 - October 2012
Magellan Behavioral Health January 2001 - January 2004
MHN 1998 - 2000
PROJECT RETURN FOUNDATION January 1997 - January 1998
KESSLER HOME HEALTH SERVICES January 1989 - January 1996
ANCORA PSYCHIATRIC HOSPITAL January 1988 - January 1996
Skills
Microsoft Excel, PowerPoint, Microsoft Office, Customer Service, Microsoft Word, English, Outlook, Case Management, Healthcare, Mental Health, Social Services, Clinical Research, Crisis Intervention, Therapists, Family Therapy, Behavioral Health, Medicaid, Medicare, Managed Care, Inpatient, Developmental..., Chemical Dependency, Elder Care, Utilization Management, Psychiatry, Training
Education
New York University 1985 — 1987
msw, social work
SITA January 2015 - Present
Lloyds Bank June 2012 - Present
JPMorgan Chase January 2012 - Present
Cablevision January 2009 - Present
NuvoSys Solutions June 2004 - Present
EMBLEM HEALTH October 2012 - December 2012
Cablevision August 2009 - August 2012
CABLEVISION Systems Corporation July 2009 - August 2012
THE BANK OF NEW YORK MELLON January 1996 - June 2009
The Bank of New York Mellon 2005 - 2009
Skills
Blackberry Enterprise..., Active Directory, Disaster Recovery, Group Policy, ITIL, VMware, Windows Server, Virtualization, Servers, DHCP, Telecommunications, SCCM, System Deployment, Cloud Computing, Data Center, Microsoft Exchange, Norton Ghost, Avaya, Novell, DNS, Information Technology, Infrastructure, Integration, Networking, Operating Systems, Vendor Management, Windows 7, Project Management
Education
New York Institute of Technology 1996 — 2000
BS, Electro-Mechanical Computer Technology
New York Institute of Technology
Bachelor of Technology, Electro Mechanical Computer Technology
Dreyfus June 2011 - Present
Emblem Health June 2010 - June 2011
CA Technologies, Inc. July 2007 - January 2010
Garden City Group May 2006 - July 2007
Skills
Visio, Hyperion Enterprise, Microsoft Excel, VBA, Change Management, PowerPoint, Hyperion HFM, Email Etiquette, Access, Databases, Business Analysis, Process Improvement, PeopleSoft, Project Management, Data Analysis, Analysis, Tableau, SAP, Microsoft Office, Finance, Financial Analysis
Education
Hofstra University 2007 — 2010
Master of Business Administration, Finance
University at Albany, SUNY 2002 — 2006
Bachelor of Science, Finance/ Information Technology Management
Strategic Consulting Services November 2013 - Present
Acquinity Interactive January 2013 - October 2013
Affinity Health Plan June 2008 - January 2013
Emblem Health August 2007 - June 2008
The Answer Group (TAG) June 2002 - July 2006
Skills
CPA, Mailing List Management, Affiliate Marketing, Online Advertising, Marketing, Account Management, Data Management, Workforce Planning, Call Center, Customer Satisfaction, Strategic Planning, Process Improvement, Call Centers, Operations Management, Forecasting, Performance Management, Management, Customer Service, Budget, Coaching, Change Management, Project Management, Team Building, Business Process..., Budgets, CRM, Negotiation, Business Analysis, Microsoft Word, Microsoft Excel, Microsoft Office, New Business Development, Inventory Management, Leadership, Sales, Advertising, Business Development, Sales Management, Online Marketing, Customer Retention, Analysis, Marketing Strategy, Contract Negotiation, Lead Generation, Recruiting, Training, Analytics, Market Research, Team Leadership, Email Marketing
Education
CUNY New York City College of Technology 1997 — 2000
Business/Commerce/Managment
James Madison High School 1993 — 1997
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
NYC Civilian Complaint Review Board (CCRB) January 2014 - Present
Postgraduate Center for Mental Health May 2012 - August 2013
Baruch College June 2008 - July 2012
Emblem Health 2005 - 2008
Mercedes Benz of Manhattan 2004 - 2005
Skills
Human Resources, Onboarding, Employee Relations, Benefits Administration, Employee Benefits, HRIS, Deferred Compensation, Labor Relations, Succession Planning, Talent Management, Performance Management, Workforce Planning, Organizational..., Talent Acquisition, Personnel Management, Applicant Tracking..., Career Development, Coaching, Employee Engagement, Employee Handbooks, College Recruiting, FMLA, HR Policies, New Hire Orientations, Interviews, Recruiting, PeopleSoft, Payroll, Management, Leadership Development, Policy, Conflict Resolution
Education
Marymount Manhattan College 1999 — 2003
Bachelor, Business Management
Baruch College, MSILR
Master of Science (MS), Labor and Industrial Relations
mother cabrini
Deloitte Consulting February 2014 - Present
BryCo Associates, LLC January 2007 - Present
ValueOptions, Inc.® August 2011 - October 2013
Emblem Health April 2008 - August 2011
Blue Cross Blue Shield of Michigan April 2004 - February 2008
General Motors March 2000 - February 2004
EDS Group September 1997 - February 2000
Tek Systems 1997 - 2000
TRW 1996 - 1998
Skills
Vendor Management, Process Improvement, Program Management, Strategy, Project Management, Business Process..., Leadership, Strategic Planning, Healthcare, Insurance, Business Analysis, Change Management, SDLC, ITIL, Budgets, Managed Care, Healthcare Consulting, Healthcare Reimbursement, Healthcare Information..., Medicaid Managed Care, Payer Relations, Provider Relations, Provider Networks, Budget, Visio, Problem Solving, Integration, Team Leadership, Management, Cross-functional Team..., Business Process, Project Planning
Education
Baker College Business and Corporate Services
Bachelor of Science, Business Management
Walsh College of Accountancy and Business Administration
Master of Science, Information Technology
University of Southern Maine November 2010 - Present
Partners for World Health 2010 - 2010
Health Dialog 2005 - 2010
Emblem Health April 1999 - February 2005
Visiting Nurse Service January 1997 - January 1999
Manpower Demonstration Research Corporation January 1991 - January 1997
Burke Rehabilitation Center Parkinson's Disease Research Unit January 1988 - January 1990
St. John's University Animal Care Center January 1986 - January 1988
Nathan Kline Institute for Psychiatric Research January 1983 - January 1986
Education
Long Island University, Southampton Campus 1981 — 1983
B.A., Psychobiology
Long Island University, Southampton Campus 1980 — 1983
BA Psychobiology, Psychology, Biology
President of MASTAL PROPERTIES,LLC February 2009 - Present
Emblem Health February 1992 - December 2008
Emblem Health 1998 - 2008
Skills
Marketing Strategy, Strategic Planning, Project Management, Social Media Marketing, Change Management, Real Estate, Contract Negotiation, Social Media, Project Planning, Public Speaking, Team Building, Budgets, Leadership, Real Estate Development, Marketing, Process Improvement, Healthcare, Public Relations, Business Development, Strategy, Sales, Start-ups, Sales Management, New Business Development, Management, Training, Operations Management, Leadership Development, Small Business, Team Leadership, Business Strategy, Risk Management, Event Management, Negotiation
Education
Columbia University in the City of New York
Masters in Public Health
Harvard School of Public Health
Executive Program In Public Health
Emblem Health 2014 - Present
Financial/ Brokerage Institution March 2010 - Present
Health Care System June 2007 - November 2009
North Shore Long Island Jewish Health System 2007 - 2009
Financial Medical Systems July 2005 - June 2007
Computer Associates April 2002 - February 2005
AVIS, INC January 1997 - January 2001
BARNES AND NOBLE January 1992 - January 1997
AVON PRODUCTS, INC January 1982 - January 1992
Skills
SDLC, Business Analysis, Databases, Requirements Analysis, Microsoft Office, Oracle, System Administration, DB2, z/OS, Mainframe, CICS, Integration
Education
Dowling College
MBA, Management/Leadership
Iona College, New Rochelle
BBA, Management
Daytop Village Inc. May 2008 - Present
Emblem health November 2011 - November 2012
Lord & Taylor October 2000 - June 2006
Skills
Microsoft Excel, Customer Service, Microsoft Word, Team Building, Social Media, Sales, Event Planning, Invoicing, Marketing, Outlook, Public Relations, Sports, Video Production
Education
Monroe College 1986 — 1988
Associate's degree, Accounting and Business/Management
Emblem Health January 2009 - Present
National Government Services January 2007 - November 2008
Empire Medicare Services January 2003 - December 2007
Skills
Analysis, Claim, Insurance, HIPAA, Medicare, Operations Management, Claims Management
Education
Pace University 1989 — 1993
Bachelor of Arts (B.A.), Journalism
Emblem Health November 2010 - Present
New York State Psychiatric Institute June 2008 - November 2010
Skills
Microsoft Excel, Project Management, Strategic Planning, Change Management, Management, Microsoft Word, PowerPoint, Healthcare Management, Operations Management, Program Management, Budgets, Team Leadership
Education
Queens College
Bachelor of Arts, Communications
Emblem Health July 2009 - January 2010
Dr Perodin Pediatric Office April 2005 - July 2009
Winthrop-University Hospital July 2001 - April 2005
Skills
Revenue Cycle Management, Lean Six Sigma, Data Analysis, Medical Compliance, Managed Care, Healthcare Management, Healthcare, Hospitals, EHR
Education
University of Saint Francis 2012 — 2014
MHA, Health/Health Care Administration/Management
Villanova University 2011 — 2012
Six Sigma Green Belt Training, Six Sigma Green Belt
State University of New York College at Old Westbury 2006 — 2010
Bachelors, American Studies/Sociolgy
Emblem Health October 1992 - Present
North Eastern New York Safety and Health Council 2000 - Present
Mildred Elley 2004 - 2008
Skills
Health Insurance, Customer Relations, Insurance, New Business Development, Strategic Planning, Process Improvement, Customer Service, Healthcare, Team Building, Employee Benefits, Account Management, Managed Care, Sales, Contract Negotiation, HIPAA
Education
State University of New York College at Oswego 1981 — 1983
BS, Management / Finance
Fulton-Montgomery Community College 1979 — 1981
Associate's degree, Management / Finance
Complexcare Solutions May 2012 - Present
Archcare April 2011 - May 2012
Emblem Health May 2010 - April 2011
Emblem Health March 2007 - April 2010
HIP Health Plan of New York April 2004 - March 2007
HIP Health Plan of New York August 2001 - April 2004
CGU Life Insurance Company of New York April 2000 - May 2001
Client Logic June 1999 - January 2000
Skills
Access, Databases, HIPAA, Healthcare, Healthcare Information..., Healthcare Management, Managed Care, Visual Basic, SQL, SAS, Medicare, Analysis, Data Warehousing
Education
State University of New York College at Fredonia 1995 — 1999
BS, Communications
Aetna April 2012 - May 2013
Emblem Health May 2007 - March 2012
Emblem Health 2007 - 2012
Skills
Case Management, Disease Management, HIPAA, Health Insurance, Healthcare, Home Care, Managed Care, Medicaid, Medicare, Nursing, Utilization Management, Healthcare Management, EMR, Long-term Care
Education
Lycoming College 1984 — 1989
Bachelor's of Science, Nursing Science
ValueOptions, Inc.® January 2012 - Present
Fidelis Care NY March 2010 - January 2012
Emblem Health September 2006 - February 2010
UCP of New York October 2000 - December 2003
Metropolitan Hospital Center 1987 - 1994
Skills
Medicaid, Health Insurance, Disease Management, HMO, Healthcare Management, Utilization Management
Education
New York University
MSW
My Hme February 2012 - Present
Emblem Health January 2006 - February 2012
MVP Health Care February 2005 - December 2005
CDPHP December 1999 - January 2005
Skills
Healthcare, Hospitals, Healthcare Management, Nursing, Clinical Research, Healthcare Information..., EMR, Home Care, Patient Safety, BLS, Managed Care, Medical Terminology, Inpatient, Medicaid, HIPAA, Medicare, Healthcare Consulting, Physicians, Healthcare Industry, Medical Billing, EHR, Medical Coding
Education
Hudson Valley Community College 1988 — 1994
Associate of Arts and Sciences (AAS), Computer Science
The Brooklyn Hospital Center May 2014 - Present
Conifer Health Solutions January 2013 - December 2013
Dell April 2012 - December 2012
Emblem Health August 2010 - April 2012
St Vincents Hospital 1978 - 2010
Skills
Healthcare, EMR, Hospitals, Healthcare Management, Clinical Research, EHR, Nursing, Inpatient, Healthcare Information..., HIPAA, Medicare, BLS, Healthcare Consulting, Critical Care
Education
City University of New York-Hunter College
BSN
St Vincents Hospital School of Nursing
Emblem Health December 2011 - Present
EmblemHealth 2007 - 2011
EmblemHealth July 2004 - 2007
Skills
SDLC, Visio, EDI, HIPAA, X12, Access
Education
SUNY Old Westbury 1996 — 2000
BS, Information Systems
Nassau Community College
AS
EmblemHealth January 2011 - Present
EMBLEM HEALTH 2010 - Present
EmblemHealth January 2004 - January 2011
Skills
Home Infusion,..., Policy, Program Management, Clinical Pharmacy, Managed Care, Auditing, Medicaid, Medicare, Pharmacy, Management, Medicare Part D, Pharmacy Automation, Healthcare Industry, Disease Management, Pharmacy Benefit..., HMO, PPO, HIPAA, Utilization Management, Healthcare Consulting, Healthcare Management, Medicaid Managed Care, Provider Relations, Quality Improvement, Medicare/Medicaid..., Health Policy, Healthcare
Education
Long Island University, Brooklyn Campus 1975 — 1978
bs, Pharmacy
Long Island University, Brooklyn Campus 1967 — 1971
bs, Chemistry and Pharmacy
Centerlight Health Care October 2010 - Present
Embem Health February 2010 - October 2010
Emblem Health /Group Health Incorporated October 2003 - October 2010
Emblem Health February 2007 - October 2009
Emblem Health October 2006 - February 2007
Emblem Health October 2003 - October 2006
Oxford Health April 2002 - October 2003
Oxford Health April 2001 - April 2002
Aetna US Healthcare February 2000 - April 2001
American Income Life Insurance Company February 1999 - February 2000
Education
School of Visual Arts
Bachelor of Fine Arts
Private WiFi August 2012 - Present
Emblem Health July 2004 - June 2012
CustomerLink, L.L.C. 1996 - May 2004
Kids Kloze, New Paltz, NY 1990 - 1996
Skills
Supervisory Management, Healthcare Compliance, Customer Service..., Account Management, Computer Proficiency, Healthcare Industry, Scheduling and payroll, Job performance..., Organizational skills, Inbound Marketing, Policies and Procedures..., Organizational Structure
Education
Fairleigh Dickinson University
Computer and Business courses
Fairleigh Dickinson University
NYU Langone Medical Center Community Television ProducerBRIC Arts MediaOctober 2010 - 2012
Emblem Health 2010 - 2010
WCBS-TV January 2009 - 2009
BRIGHT TOMORROW FUNDING 2006 - 2007
Skills
PowerPoint, Microsoft Office, Event Planning, Singing, Broadcast Television, Post Production, Drawing, Dragon Naturally..., Administrative..., Office Support, Avid Media Composer, Premiere, Music Industry, Graphic Design, Camera Skills, Character Generator, Teleprompter, Switched Digital Video, Social Networking, Social Media Marketing, Christian Theology, Biblical Studies, Public Speaking, Public Relations, Show Production
Education
Nyack College 2005 — 2009
Bachelor of Science (B.S.), Communication and Media Studies, 3.4 Cum Laude
Pratt Institute
Interior Design
Emblem Health 2007 - 2012
Emblem Health 1999 - 2007
Foundation Healthcare Inc. 1997 - 1999
Foundation Healthcare Inc. 1996 - 1997
Foundation Healthcare Inc. 1992 - 1996
National Health Laboratories 1991 - 1992
Skills
microsoft windows, diagnosis coding CPT, ICD-9, QCARE, SAWS, WINUCS, MAXMC, Amysis System
Education
Strayer University-Florida 2011 — 2014
Bachelor's degree, Health Services
Emblem health November 2014 - Present
Clinical Practice Management Plan (CPMP) August 2012 - November 2014
East Coast Compressor March 2011 - July 2012
Tri-Wire Engineering October 2007 - March 2011
King Kullen May 2007 - September 2007
Head Start Administration September 2005 - June 2006
Skills
Modifiers, Third Party Billing, QuickBooks, Microsoft Office, Invoicing, Data Entry, Health Insurance, Medical Terminology, CPT, ICD-9, Medical Manager Software, Medicare Billing, Health Insurance Rules..., SBT, 10 Key, Phone Skills, Customer Service, Filing, Fax, Organization, 75 wpm, Dogs, Medical Records, Administration, Outlook, Microsoft Word, Time Management, Healthcare, Employee Benefits, Microsoft Excel, HIPAA, Accounts Receivable, Insurance, Teamwork, Training, Administrative..., EMR, Typing
Education
Hunter Business School 2012 — 2012
Diploma, Medical Billing & Coding, 4.0
Emblem Health 2006 - 2012
Auto One Insurance March 2002 - August 2006
Skills
Insurance, Business Analysis, Health Insurance, Software Documentation, Project Management, Analysis, Vendor Management
Education
Dowling College 1992 — 1996
Bachelor of Business Administration (B.B.A.)
Katherine Gibbs School 1990 — 1992
Associate's degree
EmblemHealth May 2011 - Present
Emblem Health May 2011 - Present
EmblemHealth July 2007 - May 2011
Emblem Health July 2007 - May 2011
EmblemHealth January 2005 - July 2007
GHI HMO January 2005 - July 2007
UnitedHealth Group June 2002 - May 2004
UnitedHealthcare June 2002 - May 2004
Skills
HMO, PPO, Medicare, Medicaid
Education
SUNY Geneseo 1984 — 1986
SUNY Geneseo
Senior Health Partner's/HF May 2012 - Present
Emblem Health February 2009 - April 2012
Horizon Staffing December 2007 - January 2009
The Hospital for Special Surgery September 2005 - December 2007
VIP Health Care Services August 2003 - September 2005
Skills
Healthcare, Clinical Research, Medicine, Healthcare Management, Hospitals, Public Health, Clinical Trials, Nursing, EMR, Research, Medical Coding, Medical Writing, Oncology, Medicare, HIPAA, Treatment, Pediatrics, Epidemiology, Public Speaking, Computer Proficiency:...
Education
University of Phoenix Online 24/30 credits 2006 — 2008
Master of Business Administration (M.B.A.), Master's of Business Administration/Healthcare Administration, GPA: 3.99
Queensborough Community College Nursing School 1982 — 1985
A.A.S. in Nursing
State University of New York College at Oneonta 1977 — 1981
Bachelor of Arts (B.A.), English/Studio Art
Columbia University June 2008 - Present
Columbia Doctors, Columbia University 2008 - Present
Hackensack University Medical Center December 2007 - June 2008
Emblem Health February 2004 - November 2007
Skills
Microsoft Excel, Teaching, Microsoft Office, Nonprofits, Microsoft Word, Healthcare, PowerPoint, Public Speaking, Accounts Receivable, Customer Service, Training, HIPAA, Data Analysis, Process Improvement, Management, Leadership, EMR, Project Management
Education
Bergen Community College 1984 — 1987
Associate's degree, Computer Programming
New York City Department of Finance 2011 - Present
Comprehensive Care Management 2010 - 2011
Emblem Health 2009 - 2010
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, Strategic Planning, Budgets
Education
William E. Simon School of Business 2002 — 2004
Master of Business Administration (M.B.A.), Accounting and Finance
St. Lawrence University 1994 — 1998
Bachelor of Arts (B.A.), Economics
Mount Sinai Queens August 2009 - May 2013
Emblem Health April 1997 - July 2008
Skills
Hospitals, Healthcare, Healthcare Management, Care Management, Utilization Management, Medicaid, Medicare, PRI, Patient Satisfaction, Managed Care, Milliman Guidelines, Interqual, Core Measures, Discharge Planning, Patient Safety, Patient Education, DRG, CPT, CMS, Registered Nurses, Nursing, Medicine, Long-term Care, Acute Care
Education
City University of New York-Herbert H. Lehman College
Bachelor of Science, Registered Nurse
Pace University-New York
Applied Associate of Science in Nursing, Registered Nurse
Emblem Health 1999 - Present
GHI-Emblem Health April 1988 - Present
Education
St. John's University
Bachelor of Science (BS), Biology, General