EmblemHealth Company

Industry: Company

Description

EmblemHealth 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, New York, United States CEO: Karen M. Ignagni Executive vice president: Timothy E. Nolan Subsidiaries: Health Insurance Plan of Greater New York, Inc., Group Health Incorporated Chairpersons: Thomas Conway, Karen Moran VPs: Thomas Conway (Controller, Emblemhealth),

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1,309 EmblemHealth employees in database. Find out everything there's to know about EmblemHealth employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.

EmblemHealth Employees

Employee
Years
Job
Industry
Charlotte Thomas Charlotte Thomas Brooklyn, New York Details
Charlotte Thomas's EmblemHealth Experience May 2014 - Present
Job Health Care Reform Market Analyst at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth   May 2014 - Present
The Children's Village  September 2012 - June 2013
New York City Department of Health and Mental Hygiene  September 2011 - December 2011
New York City Department of Health and Mental Hygiene  June 2011 - September 2011

Skills
HIV prevention, Grant Writing, Academic Writing, Academic Tutoring, Qualitative Research, Public Health Education, Health Promotion

Education
Columbia University Mailman School of Public Health   2013 — 2015
Master of Public Health (MPH), Health Policy and Management

Occidental College   2008 — 2012
Bachelor of Arts (BA), Sociology and Education

New York University   2011 — 2011

Lainey Rudolph Lainey Rudolph Greater New York City Area Details
Lainey Rudolph's EmblemHealth Experience January 2005 - February 2009
Job District Manager, Northeast, HCV Nurse Connector Program, Quintiles
Industry Hospital & Health Care
Experience
Quintiles  August 2014 - Present
inVentiv Health  September 2010 - June 2014
Gastroenterology Associates / Premier Medical Group 2009-2010   March 2009 - August 2010
EmblemHealth   January 2005 - February 2009
Mindfulness-Based Stress Reduction Programs   January 2004 - December 2008
UnitedHealth Group  December 2003 - December 2004
UnitedHealth Group  January 2002 - December 2003
UnitedHealth Group  January 2000 - January 2002
UnitedHealth Group  January 1990 - January 1994
Mt Sinai Medical Center, NYC   January 1982 - January 1985

Skills
Clinical Research, Quality Improvement, Oncology, Cardiology, Gastroenterology, Data Analysis, Management, Managed Care, Hepatology, Healthcare, Hospitals, Nursing, Healthcare Management, Clinical Trials, Pharmaceutical Industry, Infectious Diseases, Healthcare Information..., GCP, Medicine, Medical Terminology, Clinical Monitoring, Lifesciences, Neurology, Treatment, Public Health, Medical Education, Psychiatry, Critical Care, Medical Writing, Pain Management, Diabetes, Health Education

Education
Columbia University - School of Public Health   1981 — 1982
BSN, Nursing

Columbia University School of Nursing   1973 — 1975
BSN, Nursing

SUNY at Stony Brook   1969 — 1973
Bachelor of Arts, Theater Arts

Elaine Duran, MS/MPH Elaine Duran, MS/MPH Greater New York City Area Details
Elaine Duran, MS/MPH's EmblemHealth Experience January 2015 - Present
Job Clinical Program Development Specialist at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth   January 2015 - Present
Visiting Nurse Service of New York  September 2014 - December 2014
NCQA  June 2014 - September 2014
U.S. Department of Health and Human Services   March 2014 - June 2014
New York City Department of Health and Mental Hygiene  October 2013 - April 2014
UF Health  August 2010 - April 2012
UF Health  January 2010 - April 2012
University of Florida Student Government  May 2010 - May 2011

Skills
Healthcare, Public Health, Health Policy, Research, Program Evaluation, Product Development, Data Analysis, Project Management, Public Speaking, Customer Service, Market Analysis, Strategic Planning, Process Improvement, Event Planning, Global Health, Nonprofits, Community Outreach, PowerPoint

Education
Columbia University Mailman School of Public Health   2013 — 2015
Master of Public Health (MPH), Health Policy and Management, 3.9

University of South Florida College of Medicine   2012 — 2013
Master of Science (MS), Medical Sciences, 3.9

University of Florida   2008 — 2012
Bachelor of Science (BS), Biochemistry

Kerrin Meseck Kerrin Meseck Hasbrouck Heights, New Jersey Details
Kerrin Meseck's EmblemHealth Experience June 2013 - August 2013
Job Healthcare Project Manager at Guidepoint
Industry
Experience
Guidepoint  June 2015 - Present
Guidepoint  June 2014 - June 2015
Cornell University Athletics Department   September 2012 - May 2014
EmblemHealth   June 2013 - August 2013
Columbia Filteres Inc.   May 2011 - August 2011

Skills
Public Health, Leadership, Microsoft Word, Microsoft Ex, PowerPoint, Research, Social Media, Teamwork, SharePoint

Education
Cornell University   2010 — 2014
Bachelor of Applied Science (B.A.Sc.), Human Biology Health and Society; Health Policy Minor

Academy of the Holy Angels   2006 — 2010
High School Diploma

Mitchell Rubin MD Mitchell Rubin MD New York, New York Details
Mitchell Rubin MD's EmblemHealth Experience November 2013 - September 2015
Job Executive Director & Chief Medical Officer at Premier HealthCare, Member of the YAI Network
Industry Hospital & Health Care
Experience
Premier Health Care, Member of the YAI Network   September 2015 - Present
Mailman School of Public Health, Columbia University  August 2009 - Present
EmblemHealth   November 2013 - September 2015
Nassau Health Care Corporation  January 2007 - December 2009
NYC Health and Hospitals Corporation  September 1994 - January 2007

Skills
Healthcare, Healthcare Management, Clinical Research, Treatment, Case Managment, Mental Health, Adolescents, Medical Education, Medicine, Public Health, Hospitals, Behavioral Health, Program Development, Managed Care, Healthcare Information..., Program Evaluation

Education
University of Medicine and Dentistry of New Jersey -New Jersey Medical School   1974 — 1978
Doctor of Medicine (MD), MD

Cornell University   1970 — 1974
Bachelor of Science (BS), College of Human Ecology, Human Development and Family Studies

La Tasha George La Tasha George Greater New York City Area Details
La Tasha George's EmblemHealth Experience March 2013 - Present
Job Coding Consultant at EmblemHealth
Industry Medical Practice
Experience
EmblemHealth   March 2013 - Present
Weill Cornell Medical College  August 2011 - March 2013
Maternal Fetal Medicine Associates; Carnegie Hill Imaging for Woman   March 2006 - March 2011
Murray Hill Ob/GYN   August 1999 - March 2006
Downtown Women Ob/Gyn  August 1992 - February 1997

Skills
CPT, ICD-9-CM, ICD-10CM, HCPCS, Surgical Coding, Centricity, Medical Manager, IDX, Typing, Microsoft Applications, Compliance Operations, Medicare, Third Party Collections, HIPAA, Data Entry, Molecular Biology, Research, OB/GYN, Coding Experience, Medical Coding, Microsoft Office, Physicians, Radiology, Medicine, Software Documentation, Revenue Cycle, Invoicing, Practice Management, Medical Billing, Healthcare, ICD-9, Medical Records, EMR

Education
AAPC   2014 — 2014
Certificate, Anatomy and Pathophysiology for ICD-10

AAPC   2014 — 2014
Certificate, ICD-10, Passed

Berkeley College-New York
Marketing

CUNY Bronx Community College
Medical Billing Certification

National Healthcare Association
CBCS; CPC, Certified Billing Coding and Specialist

Society of Maternal Fetal Medicine
Coding Seminars

Harold Jones Harold Jones New York, New York Details
Harold Jones's EmblemHealth Experience June 2012 - August 2012
Job Strategy Consultant, Accenture
Industry Management Consulting
Experience
Accenture  September 2014 - Present
Healthfirst  June 2013 - August 2013
EmblemHealth   June 2012 - August 2012
Pfizer Pharmaceuticals  July 2010 - November 2011
Axcan Pharma  July 2007 - February 2009
Eli Lilly  January 2007 - July 2007
Columbia University  January 2003 - January 2007

Skills
Managed Care, Cross-functional Team..., Pharmaceutical Industry, Marketing Strategy, Product Launch, Data Analysis, Clinical Research, Leadership, Fundraising, Competitive Analysis, Hospitals, Gastroenterology, Market Research, Financial Modeling, Strategy, Healthcare, Diabetes, Pharmaceutical Sales, Project Management, Business Development

Education
New York University
Master of Public Administration (MPA), Finance, Economics

Columbia University in the City of New York
Master of Arts (M.A.), Leadership, Management

University of Central Arkansas
Bachelor of Science (B.S.), Speech Communication and Rhetoric

Erika Worthy Erika Worthy Greater Philadelphia Area Details
Erika Worthy's EmblemHealth Experience 2000 - 2001
Job Director of Human Resources at The College of New Jersey
Industry Higher Education
Experience
The College of New Jersey  September 2011 - Present
The College of New Jersey  July 2010 - September 2011
Mercer County Community College  2004 - 2010
EmblemHealth   2000 - 2001
Southern wine & spirits  1993 - 1998

Skills
Employee Relations, Deferred Compensation, Leadership Development, Organizational..., Higher Education, Applicant Tracking..., Career Counseling, Career Development, Human Resources, Conflict Resolution, Interviews, Leadership, Public Speaking, Recruiting, Resume Writing, Staff Development

Education
Walden University   2006 — 2008
MBA, Human Resources

Columbia College (SC)   1986 — 1991
Bachelors, Mathematics

SPHR certification course

David Zembroski David Zembroski New York, New York Details
David Zembroski's EmblemHealth Experience April 2014 - Present
Job Product Development Specialist at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth   April 2014 - Present
Health Management Associates  April 2012 - April 2014
Northeast Business Group on Health  March 2011 - December 2011
Alameda County Health Care Services Agency  June 2009 - March 2010
Alameda County Social Services Agency  October 2008 - April 2009
University of Pennsylvania School of Medicine  August 2006 - August 2008
Penn Resiliency Project   September 2003 - May 2005
Friend’s Psychiatric Hospital   September 2003 - May 2004

Skills
Policy Analysis, Strategic Planning, Behavioral Health, Public Health, Project Management, Project Planning, Relationship Management, Analytical Skills, Research, Technical Writing, Proposal Writing, Program Evaluation, Program Management, Mental Health, Data Analysis, Strategy, Policy, Healthcare, CBT

Education
Columbia University Mailman School of Public Health   2010 — 2012
Masters of Public Health, Health Policy

University of California, Berkeley   2008 — 2010
Masters of Social Welfare, Management & Planning

University of Pennsylvania   2002 — 2006
B.A., Psychology

Ricardo Armstrong Ricardo Armstrong Greater New York City Area Details
Ricardo Armstrong's EmblemHealth Experience August 2012 - September 2014
Job CPA Candidate
Industry Health, Wellness and Fitness
Experience
EmblemHealth   August 2012 - September 2014
EmblemHealth   November 2007 - August 2012

Skills
Microsoft Excel, Healthcare, Outlook, Insurance, QuickBooks, Peachtree, Microsoft Access, Customer Service, Time Management, Microsoft Office

Education
City University of New York-Brooklyn College   2013 — 2015
Master's degree, Business Economics/Accounting, 3.6

City University of New York-Brooklyn College   2007 — 2011
Bachelor of Science (B.S.), Public Accountancy, 3.0

Yves Kernizan Yves Kernizan Greater New York City Area Details
Yves Kernizan's EmblemHealth Experience March 2013 - August 2013
Job Compliance/Credentialing/Managed Care Professional
Industry Hospital & Health Care
Experience
AdvantageCare Physicians  February 2014 - Present
Woodhull Medical Center  October 2013 - February 2014
EmblemHealth   March 2013 - August 2013
Wyckoff Heights Medical Center  March 2012 - January 2013
Woodhull Medical Center  March 2009 - May 2011
Jamaica Hospital Medical Center  September 2006 - March 2009

Skills
Case Managment, Healthcare, Healthcare Management, Insurance, Microsoft Excel, Managed Care, Payroll, PowerPoint, Case Management, Hospitals, Nursing, Microsoft Office, Microsoft Word

Education
Queens College   2005 — 2012
BA, Economics

ARCHBISHOP MOLLOY HIGH SCHOOL
High School Diploma

John Jay College of Criminal Justice

QUEENS COLLEGE
Bachelor of Arts Degree; Bachelor of Business Administration, Economics; Finance

Tom Ko Tom Ko Greater New York City Area Details
Tom Ko's EmblemHealth Experience December 1990 - August 2013
Job Senior IT Executive
Industry Hospital & Health Care
Experience
MDx Medical / Vitals   May 2014 - Present
EmblemHealth   December 1990 - August 2013
Time Warner Inc.  February 1987 - December 1990
Early Experirnce   November 1978 - April 1987

Skills
Data Center, VMware, Security, Disaster Recovery, Enterprise Software, Vendor Management, Leadership, IT Management, Networking, Information Security, Management, Linux, IT Strategy, Cloud Computing, Servers, Operating Systems, IT Operations, ITIL, Contract Negotiation, Outsourcing, Budgets, Information Technology, Windows, EMC Storage, Integration, Business Continuity, New Business Development, Process Improvement, Business Intelligence, Mainframe, Budget Process, Staff Management, Strategic Financial..., Citrix, Network Architecture, Infrastructure, Cisco Technologies, Network Security, Healthcare Information..., Asset Managment, SaaS, Agile Methodologies, MongoDB, Apache Solr, Ruby on Rails, Puppet

Education
City University of New York-Hunter College   1974 — 1979
BA, Computer Science

Jennifer Hazel Jennifer Hazel East Stroudsburg, Pennsylvania Details
Jennifer Hazel's EmblemHealth Experience August 2012 - August 2014
Job Human Resources Associate
Industry Human Resources
Experience
Americold Logistics, LLC.   October 2014 - Present
EmblemHealth   August 2012 - August 2014
RJL Resources  May 2011 - August 2012
Robert Half International  April 2012 - July 2012
Winston Staffing  March 2012 - July 2012
Institute for Family Health  January 2005 - February 2011

Skills
Healthcare, Quality Improvement, Credentialing, HIPAA, EMR, Medicare, Healthcare Information..., Medicaid, EHR, Program Development, JCAHO, Provider Relations, Medical Terminology, Microsoft Office, Healthcare Industry, NCQA, Physician Relations, Healthcare Management, Hospitals, Managed Care, Clinical Research, Microsoft Excel, Patient Safety, Microsoft Word, Healthcare Consulting, Health Education, Public Health, PowerPoint, Data Entry, Customer Service, Outlook

Education
DeSales University   2013 — 2015
Master's Degree, Education

CUNY Medgar Evers College   2006 — 2011
Bachelor of Arts (B.A.), Psychology

Arnetha Wharton Arnetha Wharton Yonkers, New York Details
Arnetha Wharton's EmblemHealth Experience September 2003 - February 2008
Job Paralegal at Actavis
Industry Pharmaceuticals
Experience
Actavis  January 2011 - Present
JPMorgan Chase & Co.   February 2008 - December 2010
EmblemHealth   September 2003 - February 2008

Skills
Legal Writing, Microsoft Office, Software Documentation, Legal Assistance, Legal Documents, Commercial Litigation, Corporate Law, Litigation, Corporate Governance, Pharmaceutical Industry

Education
John Jay College of Criminal Justice   1995 — 1999
Bachelor of Science (B.S.), Legal Studies, General

Alison Eskow Alison Eskow New York, New York Details
Alison Eskow's EmblemHealth Experience March 2005 - Present
Job Security Administrator at EmblemHealth
Industry Health, Wellness and Fitness
Experience
EmblemHealth   March 2005 - Present
Innisfree M&A   February 2004 - March 2005
Self-Employed  July 1981 - January 2004

Skills
Security, Information Security, PeopleSoft, Access, Process Improvement, IT Management, Disaster Recovery, SDLC, Information Technology, Vendor Management, IT Service Management, Network Security, Analysis, Visio, Active Directory, Editing, Group Policy, Citrix, Troubleshooting, Business Analysis, Integration, Windows, Business Process..., Microsoft Excel, Sarbanes-Oxley Act, Software Documentation, VPN, System Administration, Art Photographer, Skilled Editor, HIPAA, Windows 7, Business Process, IT Audit, Mainframe, Production Support, Vulnerability Assessment, PeopleTools, Computer Security, Mainframe Security..., Interpersonal..., Written communication, Banking application...

Education
Columbia University in the City of New York   1977 — 1979
MFA, Poetry Writing

Oberlin College   1972 — 1976
BA, Phi Beta Kappa, Individual Major - poetry, art, Eng. Lit.

Darlene Taylor Darlene Taylor Bronx, New York Details
Darlene Taylor's EmblemHealth Experience August 1987 - Present
Job Senior Accounting Clerk at Emblem Health
Industry Insurance
Experience
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

Kiran Goojha Kiran Goojha Greater New York City Area Details
Kiran Goojha's EmblemHealth Experience November 2007 - July 2010
Job Digital and Content Strategy
Industry Marketing and Advertising
Experience
Association of National Advertisers  May 2014 - Present
United Nations Foundation  February 2014 - April 2014
Associated Press  October 2013 - January 2014
Columbia University SCE   October 2013 - November 2013
Duff & Phelps  January 2012 - August 2013
City College of New York  January 2012 - December 2012
Deloitte  August 2010 - January 2012
Columbia University SCE   January 2011 - April 2011
EmblemHealth   November 2007 - July 2010
HIP Health Plan of NY  June 2006 - November 2007

Education
Columbia University in the City of New York   2007 — 2009
Masters of Science

City University of New York-Queens College   2001 — 2004
B.A.

Tanya Tinajero Tanya Tinajero Greater New York City Area Details
Tanya Tinajero's EmblemHealth Experience June 2014 - August 2014
Job Student at City University of New YorkHunter College
Industry Hospital & Health Care
Experience
EmblemHealth   June 2014 - August 2014
Montefiore Medical Center  August 2013 - January 2014
Hunter College  February 2012 - August 2012
Read Alliance (READ)   December 2010 - April 2011

Skills
Clinical Research, Nutrition, Research, Teaching, Analysis, Data Analysis, Public Speaking, Statistics, Qualitative Research, Public Health, Program Evaluation, SPSS

Education
City University of New York-Hunter College   2011 — 2015

Macaulay Honors College   2011 — 2015
Bachelor's degree, Economics

Queen Mary, U. of London
Economics

Macaulay Honors College at The City University of New York
Bachelor's Degree

Cynthia Aureli Cynthia Aureli Greater New York City Area Details
Cynthia Aureli's EmblemHealth Experience March 2004 - November 2009
Job Senior Director at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey  January 2010 - Present
EmblemHealth   March 2004 - November 2009
HIP Health Plan of NY  March 2004 - December 2007
Mellon HR Solutions  November 2000 - February 2004
CareInsite (subsidiary of WebMD)   October 1999 - September 2000
Summit Health Administrators, TPA   May 1995 - September 1999
Empire Blue Cross Blue Shield  June 1980 - February 1992
Empire Blue Cross Blue Shield  January 1985 - January 1990

Skills
Health Insurance, Managed Care, Employee Benefits, Insurance, Medicare, Vendor Management, Claim, Program Management, Management, Strategy, Leadership, Healthcare, Team Building, HIPAA, Contract Negotiation, Budgets, Change Management, Project Management, Medicaid, Training, Process Improvement, Outsourcing, Healthcare Industry, Project Planning, Health Policy, CRM, Data Analysis, Disease Management, Start-ups, Provider Relations, Human Resources, Analysis, Healthcare Information..., Risk Management, Cross-functional Team..., Healthcare Management, Call Centers, Utilization Management, HMO, Revenue Cycle, Network Development, Medicare Part D, Quality Improvement, Business Analysis, Business Process..., Pharmacy Benefit..., Healthcare Consulting, Physicians, Visio, Executive Management

Education
City University of New York-Hunter College
B.A, Education / Psychology

New York University - Leonard N. Stern School of Business
MBA, Management

Hector Vega Hector Vega New York, New York Details
Hector Vega's EmblemHealth Experience May 2009 - October 2013
Job Executive Director at Goodwill Rescue Mission
Industry Religious Institutions
Experience
Goodwill Rescue Mission  February 2015 - Present
East Harlem Fellowship   May 2009 - Present
EmblemHealth   May 2009 - October 2013

Skills
Healthcare, Leadership, Health Insurance, Medicare, Managed Care, Employee Benefits, Management, Strategic Planning, Insurance

Education
John Jay College of Criminal Justice
Coursework toward undergraduate degree, Business Administration and Management, General

summit

summit

summit international school of ministry

John J. Rice John J. Rice Baltimore, Maryland Area Details
John J. Rice's EmblemHealth Experience March 2013 - October 2014
Job Vice President, Dental Programs, at Avesis
Industry Insurance
Experience
EmblemHealth   March 2013 - October 2014
Prudential Insurance  August 2010 - March 2013
EmblemHealth   April 2000 - August 2010
MetLife  August 1995 - March 2000
Delta Dental Plan of New Jersey   March 1989 - August 1995
Poughkeepsie Journal  March 1988 - January 1989
The Daily Record  January 1987 - February 1988
New Jersey Herald  January 1985 - January 1987
The Daily Advance  August 1982 - January 1985

Skills
Dental Product..., Sales training, Account Management, Employee Benefits, Sales, Training, Managed Care, Marketing Strategy, Marketing Communications, Strategic Planning, Selling, Sales Presentations, Sales Process, Healthcare, Claim

Education
Rider University   1979 — 1983
Bachelor of Science (BS), Journalism

County College of Morris   1977 — 1979
Associate's degree, Humanities/Social Sciences

Jeff Thaw Jeff Thaw Greater New York City Area Details
Jeff Thaw's EmblemHealth Experience June 2015 - Present
Job Enterprise Architect | Solutions Architect | Enterprise Solutions Architect
Industry Computer Software
Experience
EmblemHealth   June 2015 - Present
JPMorgan Chase  September 2013 - August 2014
Wyndham Hotel Group  August 2012 - September 2013
AXA Equitable  November 2007 - June 2011
AXA  2007 - June 2011
AXA-Equitable  April 2007 - November 2007
AIG  August 2005 - March 2007
AIG DBG   August 2005 - March 2007
Sharp Decisions  November 2002 - June 2005
Citigroup  November 2002 - June 2005

Skills
Solutions Architecture, Enterprise Architecture, Master Data Management, CMMI, SOA, SOA Governance, Director of Architecture, OOAD, UML, TOGAF, Enterprise Architect, Solutions Architect, MDM, Solution Architecture, SDLC, IT Strategy, Architecture, Integration, XML, Oracle, Websphere, Program Management, Software Development, Visio, Microsoft SQL Server, PL/SQL, Business Analysis, IT Management, Systems Analysis, Databases, SQL, Business Process Design, MS Project, Requirements Gathering, Data Modeling, Analysis, Agile Methodologies, Database Design, Business Intelligence, ETL, Java, Enterprise Software, ASP.NET, DB2, Visual Basic, Java Enterprise Edition, Web Services, Architectures, Business Process, Workflow

Education
Columbia University in the City of New York   1997 — 1998
Post-grad Certificate, Systems Analysis & Design

Manhattan School of Music   1977 — 1979
Master of Music, Saxophone

Manhattan School of Music   1973 — 1977
Bachelor of Music, Clarinet

John Bowne High School   1969 — 1973

Thomas Matthews Thomas Matthews Holtsville, New York Details
Thomas Matthews's EmblemHealth Experience April 2015 - Present
Job Actuarial Student at Columbia University
Industry Insurance
Experience
EmblemHealth   April 2015 - Present
Sunshine Prevention Center   May 2014 - April 2015
Sachem Public Library  September 2010 - September 2014

Skills
Microsoft Excel, Microsoft Word, Microsoft Office, Visual C++, Visual Basic, Mathematics, Actuarial Exams, Probability, Statistics, Multivariable Calculus, Organizational..., Communication, Organization, Academic Tutoring, Training, Customer Service, Leadership, Public Speaking, Time Management, Social Media, Data Analysis, Research

Education
Columbia University in the City of New York   2015 — 2016
Master's Degree, Actuarial Science

St. Joseph's College   2010 — 2014
Bachelor of Science (B.S.), Mathematics, 3.57

Lorraine Richardson Lorraine Richardson Greater New York City Area Details
Lorraine Richardson's EmblemHealth Experience August 2013 - May 2014
Job LMSWHealth Care Professional
Industry Hospital & Health Care
Experience
Fidelis Care  June 2014 - Present
EmblemHealth   August 2013 - May 2014
NYC Health and Hospitals Corporation  September 2010 - August 2013
Catholic Charities Brooklyn and Queens  October 2008 - August 2010

Skills
Psychosocial assessment, Supportive Counseling, Case Managment, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Windows, Outlook, Case Management, Psychosocial, Hospitals, Interventions, Healthcare, Inpatient, Behavioral Health, Healthcare Management, Nonprofits, Psychotherapy, Social Services, Community Outreach, Medicaid, Program Development

Education
City University of New York-Hunter College   2006 — 2011
Master of Social Work (MSW), Clinical/Medical Social Work

City University of New York-John Jay College of Criminal Justice   2001 — 2005
Bachelor of Arts (B.A.), Forensic Psychology

Jonathan Carter Jonathan Carter New York, New York Details
Jonathan Carter's EmblemHealth Experience March 2014 - Present
Job Epic Consultant
Industry Hospital & Health Care
Experience
EmblemHealth   March 2014 - Present
Mobile Infirmary  February 2014 - March 2014
Sutter Novato Medical Center   January 2014 - February 2014
California Pacific Medical Center  November 2013 - December 2013
CHI Alegant Creighton Health   October 2013 - November 2013
Levit Medical Center   September 2013 - October 2013
NYU Arena Oncology   September 2013 - September 2013
St. Francis Health  July 2013 - August 2013
Sutter Health Alta Bates Summit Campus   March 2013 - May 2013
Sutter Health Delta Campus   February 2013 - March 2013

Skills
Project Planning, Project Implementation, Project Coordination, Project Finance, Project Engineering, Project Execution, Vendor Management, Vendor Relations, Vendor Managed Inventory, Epic, Public Relations, Public Speaking, Microsoft, CPOE, Project Management, Epic Systems, Go Live Support, Inpatient, Physicians, Cerner, Software Implementation, Ambulatory Care, Ambulatory, ClinDoc, GoLive, Training, Hands-on Training, Healthcare

Education
St. Peters college   2006 — 2007
N/A, Communication

Columbia Union College   2004 — 2006
Communication, General

Jaye Scott Jaye Scott Bronx, New York Details
Jaye Scott's EmblemHealth Experience 2012 - Present
Job Healthcare Administration
Industry Hospital & Health Care
Experience
EmblemHealth   2012 - Present
Healthfirst  2002 - 2008
New York City Police Department  1982 - 2002
Montefiore Medical Center  1999 - 2000

Skills
Provider Relations, Private Investigations, Health Services..., Medicare, Healthcare, Medicaid, Managed Care, Data Entry, Hospitals, Outlook, Process Improvement, Policy, Customer Service, Strategic Planning, Employee Relations, Employee Benefits, Coaching, Microsoft Excel, Team Building, PowerPoint

Education
City University of New York-Herbert H. Lehman College
BS, Health Service Administration

Marist College
Masters, Public Administration

Kunal D. Naik Kunal D. Naik Greater New York City Area Details
Kunal D. Naik's EmblemHealth Experience November 2014 - August 2015
Job Director at CS Technology
Industry Management Consulting
Experience
CS Technology  August 2015 - Present
EmblemHealth   November 2014 - August 2015
EmblemHealth   May 2013 - October 2014
Accenture  November 2012 - May 2013
City of New York - Department of Finance  2011 - November 2012

Skills
Analysis, Financial Analysis, Legal Writing, Vendor Management, Policy, Contract Negotiation, Project Management, Management, Leadership, Research, Government, Process Improvement, Legal Research, Contract Law, Risk Management, Strategic Planning, Strategy, Data Analysis, Business Analysis, Strategic Financial..., Intellectual Asset..., Intellectual Property..., Contract Management, Government Procurement, Legal Compliance, Computer Network..., Telecommunications..., Financial Modeling, Negotiation, Business Strategy

Education
Columbia University in the City of New York   2015 — 2017
Executive M.S., Technology Management

Hofstra University   2008 — 2012
JD/MBA

New York University   2002 — 2006
Bachelor of Arts (BA), Political Science and Government

Amy McLaughlin Amy McLaughlin Albany, New York Area Details
Amy McLaughlin's EmblemHealth Experience November 2013 - Present
Job Medicare Compliance Specialist at EmblemHealth
Industry Insurance
Experience
EmblemHealth   November 2013 - Present
CSC  June 2011 - November 2013
CDPHP  November 2001 - June 2011

Skills
HIPAA, Internal Audit, Business Analysis, Process Improvement, CISA, Auditing, Software Documentation, Risk Management, Access, Audit, Disaster Recovery, Business Process..., Risk Assessment, Business Continuity, Visio, Analysis, Security, Certified Internal..., Certified Information..., Compliance, Sarbanes-Oxley Act, OMT, Data Analysis, Performance Reporting, Medicaid, Change Management, Requirements Analysis, Testing, SDLC, Medicare, Business Process, Training, Vendor Management, Requirements Gathering, Informatics, Systems Analysis, EHR, Healthcare Consulting

Education
Clarkson University
Bachelor of Science, Management

SUNY Potsdam

Melanie Fredericks, MBA, CIA, CRMA, CICA Melanie Fredericks, MBA, CIA, CRMA, CICA Greater New York City Area Details
Melanie Fredericks, MBA, CIA, CRMA, CICA's EmblemHealth Experience December 2008 - August 2013
Job Director Internal Audit and Compliance at The Brooklyn Hospital Center
Industry Hospital & Health Care
Experience
The Brooklyn Hospital Center  September 2013 - Present
The Institute of Internal Auditors Inc.  2005 - 2014
EmblemHealth   December 2008 - August 2013
Maimonides Medical Center  October 2007 - October 2008
Experis (Formerly Jeffereson Wells)   February 2007 - October 2007
New York Presbyterian Hospital  July 2001 - January 2007
New York Presbyterian Hospital  January 2000 - July 2001
New York Presbyterian Hospital  July 1996 - January 2000
NYU Langone Medical Center  June 1992 - November 1995

Skills
Internal Audit, Auditing, Revenue Cycle, Healthcare, Risk Assessment, Leadership, Business Process..., Managed Care, Quality Assurance, HIPAA, Process Improvement, Sarbanes-Oxley Act, Policy, Provider Relations, Management, Team Building, Workshop Facilitation, Project Management, Team Leadership, Microsoft Office, Credentialing, Enterprise Risk..., Physician Practice Plan..., Enterprise Risk..., TeamMate Suite..., Training Facilitation, Team Management, Lean Six Sigma Tools, Eagle, ACL, AX Core, MS Office, Claims Management, Medical Management, Provider Credentialing, Patient Centered..., Accountable Care, Delegation Oversight, Health Insurance..., Managing Employees, Professional Mentoring, Coaching, Business Strategy, Business Analysis, Business Planning, Business Intelligence, Joint Ventures, Vendor Contracts, Vendor Management Skills, Classroom Management, Strategic Planning

Education
Bernard Baruch College of the City University of New York   1997 — 2000
MBA, Healthcare Administration & Policy

Hunter College   1989 — 1994
BS, Medical Labortatory Science

Sandy Saint Cyr Sandy Saint Cyr New York, New York Details
Sandy Saint Cyr's EmblemHealth Experience 2012 - February 2013
Job Assistant Operations Manager at Marolda Properties INC
Industry Real Estate
Experience
Marolda Properties INC   May 2013 - February 2014
EmblemHealth   2012 - February 2013
National MS Society  March 2011 - March 2012
All Starr Chiropractic Management   September 2010 - March 2011
The Discussion Forum: Intellectual Diversity Association (IDA)   August 2008 - May 2010
Cornell Community Centers   August 2007 - May 2010
Public Service Corps (PSC)   June 2009 - August 2009
Bellevue Hospital  June 2007 - August 2007

Skills
Finance, Marketing, Recruiting, Organization, Non-profits, Public Health, Policy Analysis, Community Outreach, Data Analysis, Event Planning, Public Speaking, Research, Healthcare, Proposal Writing, Healthcare Management, Nonprofits, Microsoft Excel, Project Planning, Project Management, Management, Microsoft Office

Education
Cornell University   2006 — 2010
BA, Philosophy, Pre-law, French Literature

Cornell University, College of Arts and Sciences   2006 — 2010
Bachelor of Arts, Philosophy, Pre-med, French Literature

Rick Jean Rick Jean Greater New York City Area Details
Rick Jean's EmblemHealth Experience May 2012 - August 2012
Job Advisory Senior Associate at PwC
Industry Management Consulting
Experience
PwC  July 2015 - Present
PwC  February 2014 - June 2015
Aetna  May 2013 - August 2013
EmblemHealth   May 2012 - August 2012

Skills
Matlab, Microsoft Excel, Microsoft Word, PowerPoint, Access, Photoshop, Analytics, Financial Modeling, Strategy, Strategic Planning, Data Analysis, Process Improvement, Human Resources

Education
Cornell University   2012 — 2014
B.Sc., Applied Economics and Management

Bronx High School of Science   2006 — 2010
Advanced Regents Dipolma

Katherine Lugo Katherine Lugo Greater New York City Area Details
Katherine Lugo's EmblemHealth Experience January 2015 - Present
Job Ancillary Contracting Specialist at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth   January 2015 - Present
Hudson Health Plan  April 2011 - December 2014
Hudson Health Plan  March 2006 - March 2011

Skills
Healthcare Information..., Healthcare, Healthcare Management, Medicaid, Credentialing, Provider Relations, Analysis, Contract Negotiation, Recruiting, Managed Care, Policy, Management, Medicare, HEDIS, Marketing Strategy, Research, ICD-9-CM, CPT Coding, HCPCS, Long-term Care, Health Policy, Health Insurance, HIPAA, HMO, Healthcare Industry, Insurance, Team Building, Process Improvement, Customer Service

Education
City University of New York-Herbert H. Lehman College   2012 — 2015
Business Administration and Management, General

Pohs Insitiute   2007 — 2008
Licensing, New York Accident and Health.

The College of Westchester   2005 — 2007
Associates of Science Business Administration Marketing, Marketing, 3.41

Janyne Pierre Janyne Pierre Dallas/Fort Worth Area Details
Janyne Pierre's EmblemHealth Experience February 2001 - January 2012
Job Clinical Care Manager at ValueOptions
Industry Health, Wellness and Fitness
Experience
ValueOptions  January 2012 - Present
EmblemHealth   February 2001 - January 2012
Magellan Behavioral Health  December 1998 - February 2001

Skills
Behavioral Health, Utilization Management, Case Managment, Disease Management, Psychotherapy, Healthcare, Mental Health, Treatment, Medicaid, Managed Care, Inpatient, Clinical Supervision, Wellness, Case Management, Hospitals, Medicine, Clinical Research

Education
Columbia University School of Nursing   1997 — 1998
Bachelor of Science, Nursing

Columbia University School of Social Work   1989 — 1990
Master of Social Work (M.S.W.), Social Work

Megan Bowes Megan Bowes New York, New York Details
Megan Bowes's EmblemHealth Experience December 2011 - June 2013
Job Senior Consultant at EY
Industry Financial Services
Experience
EY  September 2015 - Present
Cigna  June 2014 - August 2014
EmblemHealth   December 2011 - June 2013
KPMG  July 2010 - May 2011
Chartis  October 2006 - July 2009
U.S. House of Representatives   June 2004 - August 2004

Skills
MS Office Suite, Healthcare, Analysis, Microsoft Office, Strategic Planning, Outlook, Insurance, Marketing, Health Insurance, Data Analysis, Business Analysis, Microsoft Excel

Education
Cornell University - Johnson Graduate School of Management   2013 — 2015
Master of Business Administration (MBA)

The Johns Hopkins University   2009 — 2011
Master of Health Administration

University College London, U. of London   2006 — 2006
Study Abroad

Rutgers University-New Brunswick   2003 — 2006
BA, Economics

The George Washington University   2001 — 2003

George School   1997 — 2001
High School Diploma

Frank Rivera Frank Rivera Greater New York City Area Details
Frank Rivera's EmblemHealth Experience June 2012 - August 2013
Job Business Intelligence Manager at Medivo
Industry Hospital & Health Care
Experience
Medivo  February 2014 - Present
Segal Consulting  September 2013 - February 2014
EmblemHealth   June 2012 - August 2013
Complex Care Solutions  July 2007 - April 2012

Skills
Medicare, Healthcare, HIPAA, Healthcare Information..., Healthcare Management, Medicaid, Managed Care, Hospitals, Healthcare Consulting, EMR, Data Analysis, Process Improvement, Clinical Research, Healthcare Industry, Revenue Cycle, Quality Improvement, Health Policy, EHR, Case Management, Health Insurance, Nursing, Provider Relations, Inpatient, SAS programming, Disease Management, CPT, Medical Billing, Medical Records, Informatics, Software Documentation, Credentialing, Physician Relations, Physicians, Home Care, Insurance, Medical Terminology, Patient Safety, Epic Systems, Business Intelligence, Business Analysis, Project Management, Utilization Management, Team Building, Access, Program Management, Management, Customer Service, Training, Employee Benefits

Education
John Jay College of Criminal Justice   1998 — 2002
Bachelor of Applied Science (BASc), Criminalistics and Criminal Science

Cynthia Henderson Cynthia Henderson Greater New York City Area Details
Cynthia Henderson's EmblemHealth Experience July 2013 - Present
Job Manager of Network Data Analysis at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth   July 2013 - Present
EmblemHealth   September 2012 - June 2013
EmblemHealth   October 2006 - December 2012
GHI  September 2004 - October 2006
GHI  December 1996 - September 2004

Skills
Network Analysis, Cost Analysis, Project Implementation, Claim, Healthcare Information..., Access, Business Intelligence, Analysis, Health Insurance, PPO, HMO, HIPAA, Medicaid, Visio, Medicare, Healthcare, Project Management, Revenue Cycle, Data Analysis, Business Analysis, Process Improvement, Network Development, Healthcare Management, Provider Relations, Insurance, Cost Benefit, Healthcare Consulting, Credentialing, Health Policy, Circuit Analysis, Managed Care, Healthcare Analytics, Software Documentation, Healthcare Industry, Pharmacy Benefit..., Informatics, EMR, Employee Benefits, Hospitals, Leadership, Medical Billing, Medical Coding, Medical Terminology, Quality Improvement, Physicians

Education
Hunter College
B.A., Economics with minor in Math

New York University
Certificate, Analytics and Data Visualization

Kevin Morfe Kevin Morfe Greater New York City Area Details
Kevin Morfe's EmblemHealth Experience March 2012 - Present
Job Claims Specialist at EmblemHealth
Industry Law Practice
Experience
EmblemHealth   March 2012 - Present
Budin, Reisman, Kupferberg & Bernstein, LLP   September 2008 - March 2012
Alianza Dominicana  June 2008 - August 2008
Alianza Dominicana  June 2007 - August 2007
Alianza Dominicana  June 2006 - August 2006

Skills
PowerPoint, Oral & Written..., Microsoft Excel, Microsoft Word, QuickBooks, Marketing, Outlook, Access, Statistics, Insurance, Public Speaking, Data Entry, Critical Thinking, Microsoft Office, Customer Service, Event Planning, Filing, Leadership, Management, Teaching, Time Management

Education
City University of New York-Herbert H. Lehman College   2011 — 2012
Master's degree, Finance

City University of New York-Herbert H. Lehman College   2007 — 2011
BBA, Business Administration

Marylouise Beverly Marylouise Beverly Greater New York City Area Details
Marylouise Beverly's EmblemHealth Experience August 2014 - Present
Job Business Analysis Manager at EmblemHealth
Industry Information Technology and Services
Experience
EmblemHealth   August 2014 - Present
EmblemHealth   February 2012 - August 2014
Morgan Stanley  April 2010 - February 2012
Siwel Consulting  May 2009 - April 2010
JPMorgan Chase  June 2008 - December 2008
JPMorgan Chase  May 2007 - June 2008
Stony Brook University  May 2006 - May 2007

Skills
Business Analysis, Data Analysis, Access, Business Intelligence, Requirements Gathering, VBA, Visio, Process Improvement, Business Process..., Business Requirements, SDLC, Requirements Analysis, Project Coordination, SQL, Strategic Planning, User Acceptance Testing, Process Optimization, Systems Analysis, Documentation, Vendor Management, Database Development, SQL database design, SQL Server, QlikView, Cognos, Financial Forecasting, Budgeting, Data Visualization, Cost Reduction, Client Relationship..., Requirements Management, Scope Management, Agile, Iterative Design, Process Engineering, Excel, Optimization, SharePoint, MS Office Suite, Project Management, Management, IT Strategy, Product Management

Education
Columbia University in the City of New York   2011 — 2011
Continuing Education, Statistics

State University of New York at Stony Brook   2004 — 2008
BS, Computer Science - Information Systems

Aleksandr Tsoy Aleksandr Tsoy Syosset, New York Details
Aleksandr Tsoy's EmblemHealth Experience June 2007 - April 2014
Job VP/ Gen.Manager Pharmacy Operations at SunQuest Pharmaceuticals
Industry Pharmaceuticals
Experience
SunQuest Pharmaceuticals Inc.   April 2014 - Present
EmblemHealth   June 2007 - April 2014

Skills
Pharmaceutical Industry, Managed Care, Healthcare, Pharmacy Benefit..., Pharmacy, Management, Medication Therapy..., Healthcare Management, Leadership, Pharmacy Automation, Team Building, Strategic Planning, Healthcare Information..., Medicaid, HIPAA, Pharmacists, Medicare Part D, JCAHO, Hospitals, Hospital Pharmacy, Pharmacy Consulting, Criminal Law, Criminal Justice, Customer Service

Education
City University of New York-John Jay College of Criminal Justice   2013 — 2015
Bachelor's in Criminal Justice, International Law and Legal Studies

City University of New York-Hunter College   2003 — 2007
Bachelor's degree, Liberal Arts and Sciences/Liberal Studies

Moskow Humanitarian University, Russia   2000 — 2002
Associate's degree in International Law, International Law and Legal Studies

Maxim Tkach Maxim Tkach Greater New York City Area Details
Maxim Tkach's EmblemHealth Experience January 2014 - Present
Job Senior Technical Analyst at EmblemHealth
Industry Computer Software
Experience
EmblemHealth   January 2014 - Present
EmblemHealth   July 2013 - December 2013
The Estée Lauder Companies Inc.   March 2013 - July 2013
Centris Group  April 2004 - February 2013
Consulting Assured   2010 - 2012
NYSE Directors   2002 - 2004
5B Technologies  2001 - 2002
Search4Auctions.com   2001 - 2002
Tailored Solutions  1999 - 2000
Intel Star   1998 - 1999

Skills
C#, AngularJS, Mobile Applications, ASP.NET Web API, MVC, Bootstrap, WCF, .NET, ASP.NET, JavaScript, Software Engineering, VB.NET, Agile Methodologies, Microsoft SQL Server, SQL, T-SQL, Visual Studio, Software Development, Requirements Analysis, Software Project..., Windows, XML, AJAX, Design Patterns, jQuery, Web Services, CSS, OOP, Object Oriented Design, Test Driven Development, LINQ, SOA, Databases, HTML, SQL Server, SDLC, Scrum, Web Development, Crystal Reports, Oracle, UML, Programming, Test Automation, Agile, Visio, HTML 5, Cordova, PhoneGap

Education
Hunter College

BIT

Jennien Stanford Jennien Stanford Brooklyn, New York Details
Jennien Stanford's EmblemHealth Experience July 2008 - Present
Job Sr. Rates Specialist at EmblemHealth
Industry Health, Wellness and Fitness
Experience
EmblemHealth   July 2008 - Present
Roslyn Savings Bank  February 2000 - September 2001

Education
Brooklyn College   2007 — 2011
Bachelor's degree, Health/Health Care Administration/Management

Kingsborough Community College   1996 — 1999
Associate of Science (A.S.), Office Administration

Jee Lee Jee Lee New York, New York Details
Jee Lee's EmblemHealth Experience November 2011 - April 2012
Job Implementation Associate at CureMD
Industry Hospital & Health Care
Experience
CureMD  October 2014 - Present
American Councils for International Education  July 2014 - September 2014
Peace Corps  May 2012 - June 2014
EmblemHealth   November 2011 - April 2012
Eastern Neurologic Services P.C.   September 2011 - November 2011
Cornell Catering  October 2009 - May 2011
Cornell University  January 2009 - May 2011
Cornell University, Cornell Elderly Partnership   September 2007 - May 2011
Greater New York Hospital Association  June 2010 - August 2010
Department of Citywide Administrative Services  May 2008 - August 2008

Skills
Healthcare, Microsoft Office, Leadership, Cantonese, Adobe Creative Suite, Cpr Certified, Training, Nonprofits, PC, Real Estate, Grant Writing, Program Management, Hospitals

Education
Cornell University   2007 — 2011
Bachelor of Science

John Dewey High School   2003 — 2007
Computer Science, Computer Science

Alex James,MBA ,PMP, PAHM Alex James,MBA ,PMP, PAHM Greater New York City Area Details
Alex James,MBA ,PMP, PAHM's EmblemHealth Experience October 2014 - Present
Job Program Manager, Emblemhealth
Industry Insurance
Experience
EmblemHealth   October 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey  September 2010 - October 2014
AIG  December 2008 - September 2010
AIG  December 2007 - December 2008
JPMorgan Chase  August 1990 - September 2007

Skills
SDLC, PMO, Vendor Management, Project Portfolio..., Business Analysis, Process Improvement, Visio, Business Requirements, Requirements Analysis, Health Insurance, Program Management, Business Process..., Management, Requirements Gathering, Strategy, Business Process

Education
Georgian Court College   2001 — 2003
MBA, Accounting

City University of New York-Hunter College   1992 — 1997
BS, Biology

Sandy Point High School

Darren Barany Darren Barany Greater New York City Area Details
Darren Barany's EmblemHealth Experience February 2006 - August 2008
Job Assistant Professor of Sociology at LaGuardia Community College
Industry Higher Education
Experience
LaGuardia Community College  September 2012 - Present
SUNY, Dutchess Community College   August 2010 - November 2012
Pace University, Dyson School of Arts and Sciences   January 2001 - December 2008
EmblemHealth   February 2006 - August 2008
Metropolitan College of New York  June 2005 - August 2005
City University of New York, City Tech   September 2002 - December 2002
New York City Department of Homeless Services  July 1999 - August 2001

Education
City University of New York Graduate Center   2001 — 2009
Ph.D., Sociology

Columbia University - School of International and Public Affairs   1998 — 2000
MPA, Social Policy

Pace University   1993 — 1995
B.A., Sociology/ Anthropology

Amy Yee (Lau) Amy Yee (Lau) Greater New York City Area Details
Amy Yee (Lau)'s EmblemHealth Experience July 2011 - Present
Job Senior Technical Analyst at EmblemHealth
Industry Information Technology and Services
Experience
EmblemHealth   July 2011 - Present
Tallan  2009 - June 2011
twentysix New York  1998 - 2009
University of Maryland - College Park  1996 - 1998
Ebasco/Raytheon   1993 - 1996

Skills
Web Services, SQL, .NET, C#, JavaScript, Microsoft SQL Server, Web Development, ASP.NET, SDLC, Visual Studio, Databases, SOA, T-SQL, Agile Methodologies, Software Project..., Visio, Business Analysis, Database Design, Enterprise Architecture, Software Development, Business Intelligence, SharePoint, Cloud Computing, Requirements Analysis

Education
University of Maryland College Park   1996 — 1998
MEng, Civil Engineering

Cornell University   1989 — 1993
BS, Civil Engineering

Forest Hills High School   1989 — 1993

Jenny Jean Jenny Jean Greater New York City Area Details
Jenny Jean's EmblemHealth Experience June 2011 - Present
Job Sr. Contracting Specialists at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth   June 2011 - Present
UnitedHealthcare  December 2009 - June 2011
UnitedHealthcare Company   March 2005 - June 2011

Education
City University of New York-College of Staten Island
Liberal Arts

Robin Mayhew Robin Mayhew Greater New York City Area Details
Robin Mayhew's EmblemHealth Experience September 1997 - August 1999
Job Senior Account Manager at PPI BenefitSolutions
Industry Insurance
Experience
PPI BenefitSolutions   May 1999 - Present
EmblemHealth   September 1997 - August 1999
US Healthcare (Aetna)   April 1990 - June 1997

Skills
Health Insurance, Employee Benefits, Insurance, Account Management, Disability Insurance, Management, Life Insurance, Customer Service, Managed Care, Health Savings Accounts

Education
Colby College   1985 — 1989
BA, Human Development

Princeton Day School   1981 — 1985
High School Diploma

Cathy Cowan Cathy Cowan Greater Atlanta Area Details
Cathy Cowan's EmblemHealth Experience September 2008 - Present
Job
Industry Marketing and Advertising
Experience
EmblemHealth   September 2008 - Present

Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, Editing, Corporate Communications, Friendly Personality, Dedicated Professional, Product Marketing, Brand Management, Marketing Communications, Strategic Planning, Consumer Marketing, Building Customer..., Customer Retention, Windows, Outlook, Budgets, Market Research

Education
City University of New York-John Jay College of Criminal Justice   2002 — 2004
Master of Public Administration (MPA)

Suzanna Szeluga Suzanna Szeluga Liverpool, New York Details
Suzanna Szeluga's EmblemHealth Experience June 2004 - March 2014
Job Operations Supervisor
Industry Insurance
Experience
POMCO Group  March 2014 - Present
EmblemHealth   June 2004 - March 2014
AT&T  2001 - 2004

Skills
Customer Service, Call Centers, Insurance, HIPAA, Team Building, Management, Process Improvement, Claims Management, Outlook, Training, Healthcare, PPO, Lean Six Sigma, Troubleshooting, Leadership, Project Management, Customer Experience, Customer Satisfaction, Telecommunications, Cross-functional Team..., Teamwork, Siebel 7.x, Dental Insurance, Performance Appraisal, Progressive Discipline, Health Insurance

Education
State University of New York Empire State College   2013 — 2016
Bachelor of Professional Studies (B.P.S.), Business Administration and Management, General

Columbia College
Associate's degree, Business Administration and Management, General

Charlene Maher Charlene Maher New York, New York Details
Charlene Maher's EmblemHealth Experience June 2010 - June 2015
Job SVP Commercial Business & Chief Marketing Officer, EmblemHealth
Industry Insurance
Experience
EmblemHealth   June 2010 - June 2015
EmblemHealth   June 2010 - June 2015
Medica  June 2009 - June 2010
Wellpoint  January 2006 - August 2008
Anthem  2005 - 2008
WellPoint  April 2004 - January 2006

Skills
Health Insurance, Healthcare, Health Policy, Emerging Markets, Insurance, Managed Care, Medicare, Change Management, Strategy, Marketing Strategy, Long-term Care, Leadership, Integrated Marketing, Process Improvement, HMO, PPO, Hospitals, Disease Management, Start-ups, Business Process..., Medicaid, Business Development, Marketing, Team Building, Management Consulting, Provider Relations, New Business Development, Mergers & Acquisitions, Operations Management, Healthcare Industry, Product Development, Health Care Reform, Healthcare Consulting, Network Development, Healthcare Management, HIPAA, Utilization Management, Quality Improvement, Healthcare Information..., Medicare Part D, Pharmacy Benefit..., Health Savings Accounts, Employee Benefits, Claim, Physicians, Executive Management, Strategic Planning, Management, Cross-functional Team..., Vendor Management

Education
University of Texas   1988 — 1990
BSN, Nursing

Columbia University - Columbia Business School
Executive Education - Finance

Carlye Burd Carlye Burd New York, New York Details
Carlye Burd's EmblemHealth Experience August 2014 - Present
Job Marketing Strategy & Operations Manager
Industry Hospital & Health Care
Experience
EmblemHealth   August 2014 - Present
EmblemHealth   January 2013 - August 2014
EmblemHealth   May 2012 - January 2013
City of New York - Office of Mayor Michael R. Bloomberg   June 2011 - December 2011
Columbia Society for Food Policy and Obesity Prevention   September 2010 - December 2011
St. Luke's-Roosevelt Hospital   February 2010 - December 2011
Hennepin County Medical Center  June 2005 - August 2008
Neuropsychiatric Research Institute  June 2007 - January 2008
The Emily Program  June 2006 - January 2008

Skills
Nutrition, Research, Public Health, Team Leadership, Behavioral Health, Policy Analysis, Strategic Communications, Policy, Program Evaluation, Data Analysis, Event Planning, Healthcare

Education
Columbia University Mailman School of Public Health   2010 — 2011
MPH, Health Policy and Management

Columbia University College of Physicians and Surgeons   2009 — 2010
MS, Nutrition

University of Minnesota-Twin Cities   2004 — 2008
BS, Nutrition Science

Jazmin Castro Jazmin Castro Fort Collins, Colorado Details
Jazmin Castro's EmblemHealth Experience September 1997 - December 2001
Job Social Work
Industry Hospital & Health Care
Experience
Crossroads Safe House   March 2015 - Present
Cameron  May 2014 - February 2015
Federal Reserve Bank of New York  2008 - 2014
QED National  October 2007 - September 2008
Manpower  April 2004 - October 2007
Associated Grocers of Florida  July 2003 - April 2004
EmblemHealth   September 1997 - December 2001

Skills
Customer Service, Data Analysis, Financial Analysis, Human Resources, Leadership, Management, Microsoft Excel, Microsoft Office, Onboarding, PeopleSoft, Project Management, Recruiting, Risk Management, Training, Public Speaking, Temporary Placement, Research, Microsoft Word, PowerPoint, Process Improvement, Time Management, Employee Relations

Education
City University of New York-Brooklyn College   2008 — 2013
Bachelor's Degree, Psychology

Technical Career Institutes   1995 — 1997
Associate of Arts and Sciences (AAS), Applied Psychology

Brad Ross Brad Ross Greater New York City Area Details
Brad Ross's EmblemHealth Experience June 2009 - Present
Job Director IT Applications Development
Industry Staffing and Recruiting
Experience
EmblemHealth   June 2009 - Present
R-Squared Enterprises   March 2009 - Present
Adecco NA  March 2008 - April 2009
Southern Container  2002 - 2008
MBS Multimode   1998 - 2002
Price Waterhouse  August 1989 - July 1996

Skills
IT Strategy, Process Improvement, Business Intelligence, Management, Vendor Management, Leadership, Integration, Consulting, Project Management, Management Consulting, Business Analysis, Enterprise Software, Risk Management, Team Building, Project Planning, Product Management, Software Documentation, Program Management, Sourcing, SDLC, Data Warehousing, Cross-functional Team..., Budgets, Telecommunications, Business Strategy, Business Process, Change Management, IT Management, Enterprise Architecture, Forecasting, Strategic Planning, Governance, Business Process..., Mergers & Acquisitions, EDI, Marketing, Projects, Large Scale Systems, Executive Management, Cloud Applications, Strategy

Education
Cornell University
MEng, Mechanical Engineering

Cornell University
BS, Mechanical Engineering

Hofstra University
MBA, Finance

Metuchen High School

The AHIP Institute
PAHM, Health/Health Care Administration/Management

Malinda Logan Malinda Logan Greater New York City Area Details
Malinda Logan's EmblemHealth Experience June 2003 - January 2012
Job Director of Development at Cool Culture
Industry Fund-Raising
Experience
Cool Culture  November 2014 - Present
LearningSpring School  January 2012 - November 2014
Independent  June 2003 - February 2012
EmblemHealth   June 2003 - January 2012
United States Coast Guard  June 2001 - October 2001
Ithaca Youth Bureau  January 2001 - May 2001
WolfTrap Foundation for the Performing Arts   May 1999 - September 1999

Education
Columbia University in the City of New York   2009 — 2010
M.S., Fundraising Management

Ithaca College   1997 — 2001
BFA, Acting

michael toby michael toby Greater New York City Area Details
michael toby's EmblemHealth Experience 2004 - Present
Job Senior VOC/Operations Excellence Analyst at EmblemHealth
Industry Health, Wellness and Fitness
Experience
EmblemHealth   2004 - Present
EmblemHealth   2002 - 2004
EmblemHealth   1998 - 2002

Skills
Lean/Six Sigma Black..., Change Leadership, Project Management, Statistical Data..., Microsoft Office, Healthcare Analytics, Process Improvement, Communication, Presentation Skills, Written Communication, Report Writing, Performance Dashboards, Survey Design

Education
City University of New York-Hunter College   2011 — 2015
Bachelor's Degree, Accounting

CUNY New York City College of Technology   2006 — 2009
Associate's Degree, Accounting

Howard University

Alyx Sternlicht Alyx Sternlicht New York, New York Details
Alyx Sternlicht's EmblemHealth Experience 2013 - 2013
Job Consultant at Valeocon Management Consulting
Industry Management Consulting
Experience
Valeocon Management Consulting  June 2014 - Present
Columbia University  August 2012 - May 2014
EmblemHealth   2013 - 2013
Izola, Inc   December 2011 - September 2012
Interactive One  September 2010 - December 2011
NBC Universal  May 2008 - August 2008

Education
Columbia University Mailman School of Public Health   2012 — 2014
Master of Public Health (MPH), Health Policy and Management

Cornell University
BS, Human Development

Josh Ostapchuk Josh Ostapchuk New York, New York Details
Josh Ostapchuk's EmblemHealth Experience February 2014 - April 2014
Job Global Health Economics and Market Access Intern at Johnson & Johnson
Industry Hospital & Health Care
Experience
Johnson & Johnson  April 2014 - Present
EmblemHealth   February 2014 - April 2014
McGill University  January 2013 - August 2013
Red Cross War Memorial Children's Hospital  September 2012 - December 2012

Skills
Pricing Strategy, Healthcare Reimbursement, Market Access, Strategy, Market Research, Big Data, EMR, Affordable Care Act, Evaluation Reports, Senario Analysis, Time Management, Leadership, Public Speaking, Social Media, Microsoft Office, Critical Thinking, Public Health, Provider Networks, Technical Reports, Logic Models, Healthcare, Policy, Data Analysis, Microsoft Excel, PowerPoint, Qualitative Research, Community Outreach

Education
Columbia University Mailman School of Public Health   2013 — 2015
Master of Public Health (MPH), Health Policy and Management

University of Guelph   2008 — 2012
Bachelor of Science (B.S.), Bio-Medical Science, Academic Distinction

Irasema De Jesus, MPH Irasema De Jesus, MPH Greater New York City Area Details
Irasema De Jesus, MPH's EmblemHealth Experience March 1996 - October 2008
Job Director Quality, Health Republic Insurance of New York
Industry Medical Practice
Experience
Royal Health Care  2010 - June 2013
New York Presbyterian Hospital  October 2008 - March 2009
EmblemHealth   March 1996 - October 2008

Skills
Healthcare, Managed Care, Public Health, Program Development, Healthcare Management, Disease Management, Non-profits, Health Education, Community Outreach, Medicaid, Health Promotion, Hospitals, Leadership Initiatives, Building Leadership..., HIPAA, Customer-focused Service, Process Improvement..., Nonprofits, Program Evaluation, Clinical Research, Epidemiology, Community Health, Health Policy, HEDIS, Medicare, Provider Relations, Healthcare Industry, Healthcare Consulting, HMO, Physicians, Healthcare Information..., Policy, Network Development, Medicaid Managed Care, PPO, Informatics

Education
City University of New York-Hunter College   1996 — 2000
MPH, Public Health

Pierce Goldsmith Pierce Goldsmith New York, New York Details
Pierce Goldsmith's EmblemHealth Experience October 2013 - August 2015
Job Strategic Planning Project Specialist at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth   October 2013 - August 2015
EmblemHealth   June 2012 - October 2013
University of Pennsylvania  September 2011 - June 2012
International Data Group (IDG)   July 2010 - November 2010

Education
Columbia University Mailman School of Public Health   2013 — 2015
Master of Public Health (MPH), Health/Health Care Administration/Management

University of Pennsylvania   2008 — 2012
Bachelor of Arts (BA), Biological Basis of Behavior

University of New South Wales   2010 — 2010
Study Abroad Program

Charles Gonzalez Charles Gonzalez Greater New York City Area Details
Charles Gonzalez's EmblemHealth Experience August 2013 - Present
Job Manager Government Sponsored Programs at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth   August 2013 - Present
EmblemHealth   August 2012 - August 2013
Morgan Stanley  February 1998 - December 2011
Nathan & Lewis Securities  July 1996 - February 1998
Josephthal, Lyon & Ross Inc.   October 1995 - April 1996
EF Hutton / Shearson Lehman Brothers / Smith Barnery   March 1987 - October 1995

Skills
World-Class customer..., Troubleshooting /..., Customer / Employee..., Reports & Documentation, Complaint Resolutions, Technical Support, Full Charge Bookkeeping, Problem Solving, Corporate Actions, Fixed Income, Financial Risk, Bloomberg, Reports, Customer Satisfaction, Program Management, Customer Service, Business Analysis, Financial Analysis, Hedge Funds, Equities, Bookkeeping, Access, Microsoft Excel, Banking, PowerPoint, Securities, Investment Banking, Credit, Mutual Funds, Risk Management, Derivatives, Bonds, Asset Management, FX Options, Capital Markets

Education
Cornell University

Jordan Hacker Jordan Hacker Greater New York City Area Details
Jordan Hacker's EmblemHealth Experience July 2012 - August 2013
Job Government Programs Analyst at EmblemHealth
Industry Public Policy
Experience
EmblemHealth   July 2012 - August 2013
The International Center for AIDS Care and Treatment Programs (ICAP)   July 2010 - December 2010
New York City Department of Health and Mental Hygiene  2008 - 2009

Skills
Public Health, Global Health, Grant Writing, Stata, Non-profits, Research, Program Evaluation, Data Analysis, Proposal Writing, Program Development, Epidemiology, SAS, Policy Analysis, Statistics, Volunteer Management, Qualitative Research, International..., Program Management, Fundraising, Health Policy, Community Outreach, Public Policy, Literature Reviews

Education
Columbia University Mailman School of Public Health   2009 — 2011
MPH, Health Policy and Management, Global Health

Washington University in St. Louis   2004 — 2008
B.A, Anthropology

The Brearley School   1995 — 2004

Igor Goldshteyn Igor Goldshteyn Greater New York City Area Details
Igor Goldshteyn's EmblemHealth Experience June 2014 - August 2015
Job LAN Administrator at New York City Fire Department
Industry Information Technology and Services
Experience
New York City Fire Department  August 2015 - Present
EmblemHealth   June 2014 - August 2015
Geneva Watch Group  September 2010 - June 2014
iQor  May 2005 - May 2010
Municipal Credit Union  May 2000 - May 2005

Skills
Microsoft Exchange, Windows Server, VMware, Windows 7, DHCP, Troubleshooting, XP, Citrix Metaframe, Remote Infrastructure..., Microsoft Office, Windows XP, Help Desk Support, System Administration, Technical Documentation, System Deployment, WSUS, vSphere, Laptops, Computer Hardware, HP Server Hardware, Hyper-V, VMware ESX, VPN, Desktop Computers, Windows System..., Active Directory..., DNS management, Application..., Windows & Mac operating..., Apple Remote Desktop, Cabling, Phone System..., Hardware Virtualization, Hardware Diagnostics, Hardware Installation, Vendor Management..., Print Management, Software Documentation, Cisco Technologies, Visio, VMware vSphere, Vendor Management

Education
City University of New York-Hunter College   1998 — 2000
Computer Science

DMMT Dnepropetrovsk Technical College   1990 — 1994
Associate of Science (A.S.), Maintenance of computer-controlled machine tools, Graduated with Honors

Self-Study
Microsoft Certifications

Richard McLeod Richard McLeod Greater New York City Area Details
Richard McLeod's EmblemHealth Experience July 2011 - May 2013
Job at
Industry Financial Services
Experience
BNY Mellon  August 2015 - Present
BNY Mellon  May 2013 - August 2015
EmblemHealth   July 2011 - May 2013
Verizon Wireless  April 2011 - July 2011
AXA Equitable  April 2009 - December 2010
ADP  December 2006 - April 2009

Skills
Sarbanes-Oxley Act, Internal Controls, Financial Analysis, Financial Reporting, Internal Audit, Auditing, Enterprise Risk..., Accounting, GAAP, Financial Risk, Finance, Operational Risk..., Process Improvement, Financial Services, Management, Analysis, Banking, Microsoft Excel

Education
City University of New York-College of Staten Island   2001 — 2006
Bachelors, Accounting

City University of New York-College of Staten Island
Associates, Finance

Amanda Crain Amanda Crain San Francisco Bay Area Details
Amanda Crain's EmblemHealth Experience November 2009 - May 2010
Job Epic Security Engineer at UCSF Medical Center
Industry Health, Wellness and Fitness
Experience
UCSF Medical Center  July 2012 - Present
UCSF Medical Center  July 2010 - July 2012
EmblemHealth   November 2009 - May 2010
Susan G. Komen for the Cure  June 2008 - September 2009
Schervier Nursing Care Center  2009 - 2009

Skills
EHR, Epic Systems, Healthcare, Healthcare Information..., Documentation, Analysis, Software Documentation, Project Planning, GoLive, EMR, Project Management, Informatics, Hospitals, Healthcare Management, Inpatient, HIPAA

Education
Columbia University in the City of New York   2008 — 2010
MPH, Healthcare Management

Siena College   2004 — 2008
BS, Biology, Business Management

Roy Amato Roy Amato Greater New York City Area Details
Roy Amato's EmblemHealth Experience September 2013 - March 2014
Job Mgr. HR Reporting & Analytics. Global Operations at Nasdaq
Industry Financial Services
Experience
Nasdaq  July 2015 - Present
Avon  March 2014 - July 2015
EmblemHealth   September 2013 - March 2014
Bristol-Myers Squibb  June 2010 - September 2013
NewYork-Presbyterian. The University Hospital of Columbia and Cornell   September 2005 - May 2010

Skills
Workday Reporting, Human Resources, SQL, Business Process, PeopleSoft, HRIS, Microsoft Excel, Statistics, Analysis, Change Management, Access, R, Workforce Planning, Lean Six Sigma, Management

Education
Alliant International Univ. Los Angeles, CA
Doctor of Philosophy, Organizational Psychology

Columbia University in the City of New York
Master of Arts (MA), Organizational Psychology

William Paterson Univ
Bachelor of Arts, Psychology

Leonard A. Shields, BB, PMP Leonard A. Shields, BB, PMP New York, New York Details
Leonard A. Shields, BB, PMP's EmblemHealth Experience January 2014 - June 2014
Job Program Delivery, Change Management and Business Transformation Leader Pursuing New Career Opportunities
Industry Financial Services
Experience
Pursuing New Career Opportunities   June 2015 - Present
University at Buffalo Alumni Association   July 2014 - Present
Deutsche Bank  March 2015 - June 2015
EmblemHealth   January 2014 - June 2014
AIG  June 2012 - December 2013
Standard & Poor's   June 2011 - December 2011
Platts  September 2010 - April 2011
Hess Corporation  September 2007 - November 2008
American Express  January 2005 - March 2007
Gotham Volleyball   November 2004 - September 2005

Skills
Six Sigma, Project Portfolio..., Change Management, Organizational Change, Project Execution, Project Delivery, PMI, PMO, Risk Management, Program Management, Risk Mitigation, Capital Markets, Business Process..., Vendor Management, Process Engineering, IT Strategy, Operational Excellence, Process Improvement, Business Process, Outsourcing, Project Planning, Business Analysis, Portfolio Management, Cross-functional Team..., SDLC, MS Project, Operations Management, SOX, Enterprise Risk..., Business Transformation, Process Management, Risk Analysis, Business Intelligence, Team Leadership, PMP, Compliance, Re-engineering, Product Management, Stakeholder Management, Requirements Gathering, Metrics, Team Management, Financial Risk, Kaizen, Energy Markets, Energy Regulatory, Financial Services, Sarbanes-Oxley Act, Project Management, Lean Six Sigma

Education
State University of New York at Buffalo   1986 — 1996
Bachelor of Arts, Political Science

Cornell University   1991 — 1992
Human Resources Certificate Program, Human Resources Management/Personnel Administration, General

Vanessa Taveras Vanessa Taveras Greater New York City Area Details
Vanessa Taveras's EmblemHealth Experience July 2007 - Present
Job Business Analyst at EmblemHealth
Industry Health, Wellness and Fitness
Experience
EmblemHealth   July 2007 - Present
EmblemHealth   July 2007 - Present

Skills
Microsoft Excel, Microsoft Office, Microsoft Word, Customer Service, Management, Research, PowerPoint, Sales, Leadership, Training, Photoshop, English, Process Improvement, Windows, Spanish Translation, Spanish Teaching, Event Planning, Fundraising, Access, Data Entry, Data Analysis, Data Warehousing

Education
CUNY Bronx Community College   1996 — 1998
Bachelor of Business Administration (B.B.A.)

Wykeum A. Gilyard, PMP Wykeum A. Gilyard, PMP New York, New York Details
Wykeum A. Gilyard, PMP's EmblemHealth Experience November 2009 - March 2012
Job Business Building & Business Acceleration
Industry Management Consulting
Experience
Jackson Oliver Capital Partners   February 2014 - Present
Gilyard Group   December 2004 - January 2015
Independence Blue Cross  February 2013 - August 2013
Weight Watchers  March 2012 - December 2012
EmblemHealth   November 2009 - March 2012
Gilyard Group   April 2009 - September 2009
Gilyard Group   September 2008 - December 2008
Gilyard Group   August 2008 - December 2008
Gilyard Group   January 2008 - June 2008
Kraft Foods  August 2007 - January 2008

Skills
Deal Execution, Global Brand Development, Business Process..., Project Management, Management Consulting, Technology Planning, PMO, Cross-functional Team..., Consulting, System Deployment, Program Management, PMP, Project Portfolio..., Vendor Management, Brand Management, Business Process, Leadership, SDLC, Marketing, Enterprise Software, Outsourcing, Management, Business Development, E-commerce

Education
Cornell University - S.C. Johnson Graduate School of Management   2013 — 2015
Master of Business Administration (MBA)

Stevens Institute of Technology   2010 — 2012
Master of Science, Management, Conc. in Project Management, Cum Laude

Hampton University   1995 — 2000
Bachelor of Science, Marketing

Eric Tomasello Eric Tomasello Greater New York City Area Details
Eric Tomasello's EmblemHealth Experience May 2013 - Present
Job Director Infrastructure & Operations at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth   May 2013 - Present
EmblemHealth   January 2008 - May 2013
GHI  January 2006 - January 2008
PharmaNet  June 2004 - January 2006
MediMedia USA  May 1999 - December 2003

Skills
Microsoft Exchange, Windows Server, Virtualization, Computer Security, Information Security..., GIAC, Blackberry Enterprise..., Mobile Technology, RightFax, Microsoft SQL Server, VMware Infrastructure, iPhone Support, Enterprise Vault, Active Directory, Problem Solving, OCS 2007, Unified Messaging, Unified Communications, Network Security, Disaster Recovery, VMware, DNS, IT Management, Servers, VMware ESX, Enterprise Architecture, Data Center, Security, ITIL, IT Strategy, IT Operations, CISSP, EMC Storage, Information Technology, Cloud Computing, vSphere, Business Continuity, Information Security, Microsoft Certified..., High Availability, VPN, Group Policy, DHCP, Network Architecture, TCP/IP, Troubleshooting, Windows, Microsoft Technologies, Architectures, Business Intelligence

Education
Colorado Technical University
Bachelor's Degree, Computer Science

Roni Richter, MPA Roni Richter, MPA Greater New York City Area Details
Roni Richter, MPA's EmblemHealth Experience August 2011 - July 2013
Job Licensed Real Estate Salesperson at WEICHERT, REALTORS House & Home
Industry Hospital & Health Care
Experience
EmblemHealth   August 2011 - July 2013
EmblemHealth   July 2002 - August 2011
EmblemHealth (HIP Health Plan of New York)   March 1999 - July 2002
EmblemHealth (HIP Health Plan of New York)   September 1996 - February 1999
Medical & Health Research Association of New York (Public Health Solutions)   March 1995 - September 1996
William F. Ryan Community Health Network  September 1993 - March 1995
Coler Memorial Hospital (Coler-Goldwater Specialty Hospital and Nursing Facility)   August 1992 - July 1993

Skills
Managed Care, Medicaid, Medicare, Health Policy, Health Insurance, Healthcare Industry, Disease Management, Healthcare, HIPAA, Process Improvement, Healthcare Information..., Healthcare Consulting, Utilization Management, Network Development, Quality Improvement, Healthcare Management, Vendor Management, Strategic Planning, Provider Relations, Revenue Cycle, Employee Benefits, Physicians, Home Care, Cross-functional Team..., Insurance, Policy, Pharmacy Benefit..., Medicare Part D, Leadership, Hospitals, Informatics, EHR, Health Information..., Practice Management, Public Health, Health Care Reform, PMO, Case Managment, Data Analysis, HMO, Credentialing, Software Documentation, Claim, Visio, Long-term Care, Performance Improvement, PPO, Team Building, Proposal Leadership, Strategy

Education
NYU- Wagner Graduate School of Public Service   1991 — 1993
Master of Public Administration (MPA), Health Policy and Management

City University of New York-Hunter College
Bachelor of Arts (BA), History/Hebrew Studies

Munish Khaneja, MD MPH Munish Khaneja, MD MPH Greater New York City Area Details
Munish Khaneja, MD MPH's EmblemHealth Experience October 2014 - Present
Job VP, Medical Management and Pharmacy Operations
Industry Insurance
Experience
EmblemHealth   October 2014 - Present
Quantum Innovations Consulting, Inc.   January 2005 - Present
Affinity Health Plan  January 2006 - October 2014
Kings County Hospital Center  2004 - 2009
MediModules, Inc.   January 2005 - December 2008
Greater Hudson Valley Family Health Center  July 2003 - January 2005

Skills
Healthcare Information..., Healthcare, EHR, Healthcare Management, EMR, Hospitals, HIPAA, Strategic Planning, Clinical Research, Team Building, Managed Care, Healthcare Consulting, Patient Safety, Medicaid, Start-ups, Informatics, Insurance, Medicare, Medicine, Health Policy, Physicians

Education
Oregon State University   2007 — 2008
AMIA 10x10 Health Information Technology, Medical Informatics

Columbia University in the City of New York   2001 — 2003
Master of Public Health (MPH), Business Administration and Management, General

State University of New York Health Science Center at Brooklyn   1993 — 1997
Doctor of Medicine (MD), Medicine

City University of New York-Brooklyn College   1990 — 1994
BA, Arts

Stuyvesant High School   1986 — 1990
Regents Diploma, Honors/Regents High School/Secondary Diploma Program

Jonathan Halvorson Jonathan Halvorson Greater New York City Area Details
Jonathan Halvorson's EmblemHealth Experience May 2007 - November 2008
Job Director, OHIP Division of Systems at NYS Department of Health
Industry Insurance
Experience
New York State Department of Health  June 2014 - Present
New York State Department of Health  July 2012 - June 2014
EmblemHealth Services Company, LLC   June 2010 - June 2012
EmblemHealth Services Company, LLC   November 2008 - July 2010
EmblemHealth   May 2007 - November 2008
HIP  August 2006 - May 2007
HIP  August 2004 - August 2006

Skills
Health Insurance, Healthcare IT, Healthcare, Strategic Planning, Data Analysis, Managed Care, Web 2.0, Healthcare Information..., Medicaid, Healthcare Management, Health Policy, Healthcare Industry, HIPAA, Healthcare Consulting, Program Management, Cross-functional Team..., Informatics, Quality Improvement, Medicare, Health Information..., EMR, PPO, Policy, EHR, Performance Improvement, Program Development, Public Health, Physicians, Provider Relations

Education
Columbia University in the City of New York   1993 — 2001
PhD

Reed College   1987 — 1991
BA

Deyanira Holmes Deyanira Holmes Greater New York City Area Details
Deyanira Holmes's EmblemHealth Experience August 2013 - Present
Job Diabetes Prevention Program Lifestyle Coach at EmblemHealth
Industry Health, Wellness and Fitness
Experience
EmblemHealth   August 2013 - Present
EmblemHealth   July 2012 - Present

Skills
Process Improvement, Customer Service, Leadership, Troubleshooting, Microsoft Excel, Team Leadership, Strategic Planning, Risk Management, Healthcare, Management, Project Management, Outlook, Analysis, Program Management, PowerPoint, Training, Data Analysis, Software Documentation, Change Management, Microsoft Word, Microsoft Office, Team Building

Education
Columbia University in the City of New York   1999 — 2003
Bachelor of Arts (B.A.)

Lydia Barad Lydia Barad Greater New York City Area Details
Lydia Barad's EmblemHealth Experience 2005 - 2009
Job Director, Dental Management and Dental Network Development, EmblemHealth
Industry Hospital & Health Care
Experience
GHI - EmblemHealth   August 2005 - Present
Centers for Dental Medicine, Diamond Age Systems, Phoenix, AZ   August 2008 - December 2009
EmblemHealth   2005 - 2009
SEIU Local 32BJ  May 1999 - September 2005
Lydia Barad Consulting   November 2004 - August 2005
Healthplex, Inc.   June 2004 - November 2004
Empire Blue Cross and Blue Shield  1996 - 1999
Private Practice Dental Offices   September 1975 - September 1996

Skills
Claim, Contract Negotiation, Credentialing, Dentistry, HIPAA, Health Insurance, Health Policy, Healthcare, Healthcare Management, Insurance, Managed Care, Medicaid, Medicare, Network Development, PPO, Strategic Planning, Strategy, Provider Relations

Education
New York Medical College   2002 — 2009
MPH, Health Policy and Management

CUNY -NYCCC
AAS,RDH, Dental Hygiene

City University of New York-Hunter College
BA, Anthropology/Biology

Sherlock Cromwell Sherlock Cromwell Greater New York City Area Details
Sherlock Cromwell's EmblemHealth Experience December 2011 - December 2013
Job Health Care
Industry Insurance
Experience
Managed Care  January 2014 - Present
EmblemHealth   December 2011 - December 2013
EmblemHealth   August 2007 - December 2011

Skills
Insurance, Health Insurance, Medicaid, Claim, Medicare, Employee Benefits, Managed Care, Workers Compensation, HIPAA, Healthcare, Outlook, Strategic Planning, Project Management, Analysis, Public Speaking, Leadership, Nonprofits, Policy, Provider Relations, Health Policy, Contract Negotiation, Medicare Part D, Healthcare Reimbursement, Medical Compliance, Visio, Medicaid Managed Care, Network Development, PPO, NCQA, Healthcare Industry, HMO

Education
City University of New York-Hunter College

Seton Hall University School of Law

Jim Karagiorgis Jim Karagiorgis Greater New York City Area Details
Jim Karagiorgis's EmblemHealth Experience 2008 - Present
Job Operational Excellence and Customer Experience Executive
Industry Insurance
Experience
EmblemHealth   2008 - Present
HIP Health Plans  2004 - 2008
Vytra Health Plans  2000 - 2004
Vytra Health Plans  1994 - 2000

Skills
Customer Experience, Business Process..., Certified Lean Six..., German and Greek fluency, Project Management, Leadership, Marketing Strategy, Six Sigma, Business Process..., Operational Excellence, Management, Program Management, Business Process, Process Improvement, New Business Development, Customer Satisfaction, Change Management, Operations Management, Business Strategy, Cross-functional Team..., Strategic Planning, Call Centers, Business Transformation, Management Consulting, Training, Business Analysis

Education
Columbia University - Columbia Business School
Executive Development Program

New York Institute of Technology
MBA, Management

North Carolina State University
BS, Operations Engineering

Giuliano, Donna Giuliano, Donna Greater New York City Area Details
Giuliano, Donna's EmblemHealth Experience February 2001 - Present
Job ManagerNetwork Development, Facility Reimbursement at HIP
Industry Insurance
Experience
Isagenix  April 2013 - Present
EmblemHealth   February 2001 - Present

Education
City University of New York-Brooklyn College

Norm Snow Norm Snow Greater New York City Area Details
Norm Snow's EmblemHealth Experience May 2011 - July 2014
Job Business Continuity / Disaster Recovery Consultant
Industry Information Technology and Services
Experience
Self Employed  July 2014 - Present
EmblemHealth   May 2011 - July 2014
Self - Employed (Business Continuity/Disaster Recovery)   2008 - May 2011
Tiffany and Co.  January 2003 - April 2008
Sprint Paranet  1997 - 2002
Telcordia Technologies (Bellcore)   1984 - 1997

Skills
Business Continuity, Disaster Recovery, Crisis Management, Operational Risk..., High Availability, Replication, Business Continuity..., Project Management, Software Documentation, Auditing, Testing, Risk Assessment, Program Management, Consulting

Education
Disaster Recovery Institute (DRII) - CBCP   1995 — 1995
CBCP - Certified Business Continuity Professional, Business Continuity / Disaster Recovery

City University of New York-Brooklyn College
Bachelors of Science, Accounting

Pace University - Lubin School of Business
MBA, Finance

Catherine Egan Catherine Egan Greater New York City Area Details
Catherine Egan's EmblemHealth Experience 2010 - 2010
Job Vice President of Operations Senior Bridge Care Management at SeniorBridge
Industry Hospital & Health Care
Experience
SeniorBridge  December 2010 - Present
NYCLIX   September 2008 - February 2010
EmblemHealth   2010 - 2010
Health Net  2006 - 2008
Horizon Blue Cross Blue Shield of New Jersey  2003 - 2006
PricewaterhouseCoopers  1991 - 2003
PwC  1991 - 2003
Empire Blue Cross Blue Shield  1986 - 1988

Skills
Healthcare, Managed Care, Healthcare Management, Process Improvement, Medicare, Medicaid, HIPAA

Education
Columbia University Mailman School of Public Health   1900 — 1900
MPH with Honors, HEALTH POLICY

Nuvia Trejo Nuvia Trejo Greater New York City Area Details
Nuvia Trejo's EmblemHealth Experience November 2012 - Present
Job Emblem Health
Industry Marketing and Advertising
Experience
EmblemHealth   November 2012 - Present

Skills
Data Entry, PowerPoint, Microsoft Excel, Microsoft Word, Microsoft Office, Outlook, Access, Healthcare, Research, Clerical Skills, Time Management, Administrative..., Critical Thinking, Spreadsheets, Office Management, Sales, Project Management, Teamwork, Customer Service, Event Planning, Leadership, Team Building

Education
City University of New York-Brooklyn College   2003 — 2007
Bachelor of Arts (B.A.), Spanish Language and Literature

Technical Career Institutes   2001 — 2003
Associate's degree, Office Technology

Andrew Kolbasovsky Andrew Kolbasovsky Greater New York City Area Details
Andrew Kolbasovsky's EmblemHealth Experience February 2008 - December 2012
Job Founder at Family Advantage Network
Industry Hospital & Health Care
Experience
Family Advantage Network   October 2012 - Present
AdvantageCare Physicians  January 2013 - Present
EmblemHealth   February 2008 - December 2012
HIP Health Plan  2001 - 2008

Skills
Medicaid, Healthcare Information..., Managed Care, Healthcare, Hospitals, HIPAA, Utilization Management, Medicare, Health Insurance, Health Policy, Healthcare Management, Disease Management, Healthcare Industry, HMO, Quality Improvement, Research, Provider Relations, Healthcare Consulting, Physicians, Network Development, Credentialing, PPO, Physician Relations

Education
University of Hartford   1997 — 2001
PsyD, Psychology

Rutgers University-New Brunswick   1992 — 1996
BA, Psychology, Communication

Colorado State University
MBA, business

Archbishop Molloy

IS 73

Kedari Suhas Kedari Suhas New York, New York Details
Kedari Suhas's EmblemHealth Experience April 2011 - Present
Job Sr. Technology & Management Leader, at EmblemHealth
Industry Health, Wellness and Fitness
Experience
EmblemHealth   April 2011 - Present
Blue Cross Blue Shield of Michigan  November 2004 - April 2011
Guardian Life  April 2001 - October 2004
ADP/Challenger Systems/CashTech   November 1998 - April 2001
ZF Friedrichshafen  February 1995 - November 1998
Nicholas Breeders (I) Ltd.   September 1992 - September 1993

Skills
Cross-functional Team..., Program Management, Business Intelligence, Data Warehousing, ERP, ITIL, Integration, Management Consulting, Project Delivery, Project Management, Project Portfolio..., SDLC, Software Project..., Java

Education
Cornerstone University   2006 — 2008
MBA (Masters in Business Administration)

Project Management Institute   2005 — 2005
PMP, Project Management

University of Pune   1996 — 1998
Master's Degree, Computer Science & Management

Jane florek Jane florek Greater New York City Area Details
Jane florek's EmblemHealth Experience 2003 - 2008
Job Experienced Managed Care Executive
Industry Hospital & Health Care
Experience
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

Ramona Ruiz Ramona Ruiz Greater New York City Area Details
Ramona Ruiz's EmblemHealth Experience July 2012 - January 2014
Job Office Administrator
Industry Hospital & Health Care
Experience
Elmhurst Medical Providers   June 2014 - September 2014
EmblemHealth   July 2012 - January 2014
Visiting Nurse Services of NY   January 2008 - January 2009
Towne Careers   January 2007 - January 2008
Multiplan, Inc  January 1999 - January 2006

Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Outlook, Access, Adobe Acrobat

Education
CUNY Bronx Community College   1992 — 1994
Liberal Arts

Anshumali Gangwar Anshumali Gangwar Greater New York City Area Details
Anshumali Gangwar's EmblemHealth Experience April 2001 - April 2014
Job Associate at Computer Aid, Inc.
Industry Hospital & Health Care
Experience
Computer Aid, Inc.   April 2014 - Present
EmblemHealth   April 2001 - April 2014
ASARCO Inc.  November 1986 - March 2001
ASARCO Inc.  June 1986 - October 1986
Colorado School of Mines  August 1980 - May 1986
ASARCO Inc.  January 1972 - July 1980
The Anaconda Company   May 1970 - December 1971

Skills
Process Improvement, Excel, Microsoft Office, Change Management, PowerPoint, Information Systems, Project Management, Visio, Microsoft Excel, Business Analysis, Data Analysis, Analysis, Project Planning, Risk Management, SharePoint, Leadership, Windows, Healthcare, SQL, Databases, Access, SDLC, Management, Strategic Planning, Software Documentation, Visual Basic, Business Intelligence, Requirements Gathering, Healthcare Information..., COBOL, Vendor Management, IT Management, Requirements Analysis, MS Project, PMP, Business Process..., Business Requirements, Management Consulting, Data Warehousing, PMO, Project Portfolio..., IT Strategy, Data Modeling, Program Management, Microsoft Project

Education
Columbia Engineering   1969 — 1971
Eng. Sc. D., Engineering Economics and Operations Research

Columbia Engineering   1968 — 1969
M.S., Engineering – Economics &Operations Research

Blanka Oh Blanka Oh Greater New York City Area Details
Blanka Oh's EmblemHealth Experience August 2009 - Present
Job Social Work Complex Case Manager at EmblemHealth
Industry Insurance
Experience
EmblemHealth   August 2009 - Present
Touchstone Health  September 2005 - December 2009
Visiting Nurse Service of New York  March 2003 - March 2006
Healthcare Partners, MSO   September 2003 - September 2005

Skills
Case Managment, Medicare, Managed Care, Healthcare, Leadership, Process Improvement, Outlook, Health Insurance, Disease Management, Social Services, Healthcare Management, Home Care, HIPAA, Utilization Management, Hospitals, Mental Health, Clinical Research, Team Building, Software Documentation, Training, Medicaid, Healthcare Information...

Education
Columbia University in the City of New York   1998 — 2000
MSW, Social Work

Stony Brook University   1994 — 1998
BS, Psychology

Mary Ellen Connington Mary Ellen Connington Greater New York City Area Details
Mary Ellen Connington's EmblemHealth Experience 2005 - 2008
Job SVP Oscar Insurance Corp.
Industry Hospital & Health Care
Experience
Oscar Insurance Corporation, Inc.   July 2013 - Present
The Visiting Nurse Service of New York  June 2008 - July 2013
EmblemHealth   2005 - 2008
New York Presbyterian Hospital  2004 - 2005
Fidelis Care  1995 - 2003
The Catholic Medical Centers of Brooklyn & Queens   1990 - 1995
St. Joseph's Medical Center   1985 - 1990
Borough of Manhattan Community College  1981 - 1987
Our Lady of Mercy Medical Center  September 1974 - 1981

Skills
Healthcare, HMO, Quality Improvement, Nursing, Pharmacy Benefit..., Disease Management, Healthcare Industry, Provider Relations, Managed Care, Health Insurance, Physicians, Hospitals, Clinical Research, HIPAA, Medicaid, Public Health, Leadership, Patient Safety, EMR, EHR, Case Managment, Healthcare Management, Insurance, Medicare, Health Policy, Healthcare Information..., Physician Relations, Home Care, Network Development, Medicine, Revenue Cycle, Practice Management, Informatics, Healthcare Consulting, PPO, Customer Service, Utilization Management, Critical Care, Patient Advocacy, Acute Care, Health Information..., Credentialing, Revenue Cycle Management, Inpatient, Elder Care, Performance Improvement, Medical Billing, Pediatrics, Pharmacy, Long-term Care

Education
Teachers College of Columbia University   2013 — 2015
Master of Arts (M.A.), Nurse Executive Program, summa cum laude

College of Mount Saint Vincent   1975 — 1981
BSN, Registered Nursing/Registered Nurse, cum laude

Misericordia School of Nursing   1972 — 1974
Diploma, Nursing

Stuart Barlow Stuart Barlow Greater New York City Area Details
Stuart Barlow's EmblemHealth Experience January 2006 - January 2009
Job Chief Accounting Officer at Auven Therapeutics
Industry Pharmaceuticals
Experience
Auven Therapeutics   January 2009 - Present
EmblemHealth   January 2006 - January 2009
The Topps Company  1999 - 2006

Skills
Financial Reporting, Internal Controls, Sarbanes-Oxley Act, Revenue Recognition, Financial Analysis, SEC filings, Accounting, GAAP, Forecasting, Variance Analysis, Consolidation, US GAAP, Financial Accounting, Mergers, Due Diligence, Managerial Finance, Cash Management, General Ledger, Fixed Assets, Budgets, Corporate Finance, IFRS, Mergers & Acquisitions, Private Equity, Finance, Auditing, Cost Accounting, SEC Filings

Education
Columbia University   1979 — 1981
MBA, Accounting and Finance

Columbia University - Columbia Business School   1979 — 1981
MBA, Accounting and Finance

St. Mark's School

Jeff Chansler Jeff Chansler Greater New York City Area Details
Jeff Chansler's EmblemHealth Experience December 2014 - Present
Job Senior Vice President and General Counsel at EmblemHealth
Industry Insurance
Experience
EmblemHealth   December 2014 - Present
EmblemHealth   April 2007 - Present
GHI  September 2002 - April 2007

Education
Columbia Law School   1977 — 1980
JD

Latasha Parker Latasha Parker Greater New York City Area Details
Latasha Parker's EmblemHealth Experience March 2013 - December 2013
Job at
Industry Hospital & Health Care
Experience
UnitedHealth Group  May 2015 - Present
Phelps Memorial Hospital  June 2011 - Present
EmblemHealth   March 2013 - December 2013
Urban Pathways Inc   October 2004 - October 2009

Education
College of Mount Saint Vincent   2005 — 2009
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse

College of Mount Saint Vincent   1996 — 2001
Bachelors, Allied Health

Mazin Farraj Mazin Farraj Greater New York City Area Details
Mazin Farraj's EmblemHealth Experience 1996 - 2006
Job Vice President, Medicare Market Development at VNSNY CHOICE Health Plans
Industry Insurance
Experience
VNSNY CHOICE Health Plans  January 2014 - Present
VNSNY CHOICE Health Plans  December 2006 - January 2014
EmblemHealth   1996 - 2006
Manor Superette   1994 - 2006
Century21  1996 - 2003
Healthfirst  1994 - 1996

Skills
Managed Care, Medicare, Healthcare Management, Insurance, HMO, Sales Operations, Team Building, Process Improvement, Medicaid, Sales Process, Sales Management, Healthcare, Training, Leadership, Sales, Management, Strategy, Health Insurance, Long-term Care, Coaching, Healthcare Industry, Sales Presentations, Employee Training, Call Centers, Policy, Leadership Development, Hospitals, Program Management, Recruiting, Account Management, Home Care, Marketing, Medical Billing, Strategic Planning, Selling, Cold Calling, HIPAA, Customer Service, PPO, Healthcare Information..., Contract Negotiation, Vendor Management, Executive Management, Physicians, Employee Benefits, Entrepreneurship, Provider Relations, Elder Care, Customer Retention, Performance Improvement

Education
The POHS Institute   1998 — 1998
NYS H and A License, Insurance

Brooklyn Real Estate Institute   1996 — 1996
Real Estate Sales License, Real Estate

City University of New York-College of Staten Island   1990 — 1994
Bachelor's Degree, Accounting

Staten Island Technical High School   1986 — 1990
High School, Accounting and Economics

Shrabasti Ghosh Palit Shrabasti Ghosh Palit Greater New York City Area Details
Shrabasti Ghosh Palit's EmblemHealth Experience April 2004 - June 2005
Job IT Project Manager at United Health Group
Industry Information Technology and Services
Experience
United Health Group  June 2014 - Present
QualCare Inc.  January 2013 - March 2014
Horizon Blue Cross Blue Shield of New Jersey  November 2011 - November 2012
Horizon Blue Cross Blue Shield of New Jersey  January 2009 - December 2011
Independent Blue Cross PA   April 2009 - September 2011
Superior Court NJ   August 2005 - September 2008
J.P. Morgan   August 2005 - September 2006
EmblemHealth   April 2004 - June 2005
Pudential   1996 - 2000

Skills
SDLC, Project Management, Business Analysis, Conflict Resolution, Vendor Management, Migration Projects, SharePoint, Microsoft Project, Planview, Budget Management, HP Quality Center, JIRA, Clarity, Program Management, Quality Assurance, Quality Center, Requirements Analysis

Education
City University of New York-College of Staten Island

University of Calcutta

Ofunneamaka Okpala Ofunneamaka Okpala Greater New York City Area Details
Ofunneamaka Okpala's EmblemHealth Experience May 2011 - September 2012
Job Medical Transcriptionist at ComplexCare Solutions
Industry Hospital & Health Care
Experience
ComplexCare Solutions  September 2012 - Present
EmblemHealth   May 2011 - September 2012
Weil Gotshal and Manges  December 2010 - March 2012
SUNYIT Residential Life   July 2009 - May 2010
SUNYIT College (Office of Annual Giving)   March 2009 - May 2010
SUNYIT College (Office of Student Activities)   August 2007 - May 2009
Bank of New York Mellon  August 2004 - August 2005

Skills
Leadership, Teamwork, Project Planning, Research, Public Speaking, Access, Data Analysis, Nonprofits, Process Improvement, Fundraising, Leadership Development, Event Planning, Adobe Acrobat, Teaching, E-Learning, Lotus Notes, Database Administration, Office Administration, Microsoft Office, Microsoft Word, PowerPoint

Education
City University of New York-Herbert H. Lehman College   2013 — 2015
Bachelor of Science (B.S.), Health/Health Care Administration/Management

State University of New York Institute of Technology at Utica/Rome   2007 — 2010
Bachelors of Science, Business Administration

Maria McLean, MBA, MSBI Maria McLean, MBA, MSBI Greater New York City Area Details
Maria McLean, MBA, MSBI's EmblemHealth Experience September 2011 - November 2011
Job Process Improvement Manager – Medicare Network Support at Anthem, Inc.
Industry Insurance
Experience
Anthem, Inc  December 2013 - Present
Amerigroup Corporation ( A WellPoint Corporation)   November 2011 - December 2013
EmblemHealth   September 2011 - November 2011
Davis Vision  March 2005 - September 2011
Davis Vision  March 2005 - July 2008
Horizon Healthcare of New York  September 2003 - March 2005
Healthfirst  January 2001 - September 2003

Skills
Decision Support, Data Analysis, Medicare Advantage..., New Market Expansion..., Process Improvement, Quest Analytics Suite -..., GeoAccess -..., Problem Solving, Disruption Analysis, Provider Network..., Microsoft Access and..., NetMinder, Sagent, New Market Expansion, Microsoft Excel, Analysis, Analytics, Change Management, Access, Managed Care, Customer Service, Systems Analysis, Project Management, Queries, Strategic Planning, Cross-functional Team..., Reporting & Analysis, Software Documentation, Recruiting, Visio, Insurance, Business Intelligence, Healthcare, HIPAA, Business Analysis, Vendor Management, Finance, Medicare, Forecasting, Health Insurance, Sales, Healthcare Information..., Medicaid, Leadership, Employee Benefits

Education
Saint Joseph's University   2013 — 2014
Master of Science (M.Sc), Business Intelligence

Dowling College   2005 — 2007
MBA, Information Systems Management

Long Island University, C.W. Post Campus   1999 — 2001
Certificate of Advanced Studies, Health Care - Gerontology

City University of New York-Brooklyn College   1989 — 1993
Bachelor of Science (B.Sc.), Health and Nutrition Sciences

Amanda Watterson Amanda Watterson Greater New York City Area Details
Amanda Watterson's EmblemHealth Experience June 2010 - August 2010
Job HR Generalist at Apollo Global Management LLC
Industry Human Resources
Experience
Apollo Global Management LLC  March 2013 - Present
Deutsche Bank  September 2012 - March 2013
Deutsche Bank  2011 - March 2013
EmblemHealth   June 2010 - August 2010
Madison Performance Group  May 2010 - June 2010

Skills
Microsoft Excel, Corporate Development, Management, PowerPoint, Deferred Compensation, Human Resources, Finance, Financial Analysis, Leadership, Microsoft Office, Sales, Data Analysis, Social Media, Talent Management, Strategy

Education
Cornell University
BS, Communication Major, Applied Economics & Management (Business) Minor, Human Resources Concentration

Michelle Parelius MPH Michelle Parelius MPH Greater New York City Area Details
Michelle Parelius MPH's EmblemHealth Experience August 2014 - Present
Job Director, Healthcare Analysis at Emblemhealth
Industry Pharmaceuticals
Experience
Emblemhealth   August 2014 - Present
EmblemHealth   January 2011 - August 2014
sanofi-aventis  January 2007 - March 2010
HIP  November 1998 - January 2007
Schering-Plough Pharmaceuticals  August 1997 - October 1998
Oxford Health Plans  December 1996 - July 1997
Aetna  January 1996 - November 1996

Skills
Managed Care, Analysis, HEDIS, Pharmaceutical Industry, Marketing Strategy, Information Quality, Data Analysis, Healthcare Management, Cardiology, Healthcare, Medicaid, Oncology, Hospitals, Business Analysis, Analytics, Clinical Research, Leadership, Healthcare Information..., Process Improvement, Medicare, Informatics, Management, Biotechnology

Education
Columbia University Mailman School of Public Health   1992 — 1995
MPH, Public Health

Massachusetts Institute of Technology   1987 — 1991
BS, Biology

Bronx High School of Science

William Clifford William Clifford Greater Boston Area Details
William Clifford's EmblemHealth Experience 1995 - 2000
Job Employee Benefits Practice Leader at USI Insurance Services LLC
Industry Insurance
Experience
USI Insurance Services LLC  December 2013 - Present
USI Insurance Services  September 2012 - Present
TD  May 2005 - 2012
JPMorgan Chase  2000 - 2005
EmblemHealth   1995 - 2000
Johnson & Higgins  1992 - 1995

Skills
Insurance, Underwriting, Health Insurance, Employee Benefits, Strategic Planning, Disability Insurance, Account Management, Brokers, Sales Management, Risk Management, Executive Management, New Business Development, Mergers, Financial Analysis, Relationship Management, Business Strategy, Benefits Administration, Selling, Mergers & Acquisitions, Leadership, Analysis, Sales, Business Development, Health Care Reform, Health Insurance..., Time & Expense Pricing, Enterprise Risk..., SOX Reporting, Project Portfolio..., Budget Forecasts, Population Health, ERISA, Benefits Captives, Stop Loss, Performance Metrics, Finance, Financial Services, Long-term Care

Education
Colby College   1977 — 1981
AB, Government

Lewiston high school

Anjali Patel Anjali Patel New York, New York Details
Anjali Patel's EmblemHealth Experience May 2012 - July 2015
Job Product Development and Management Manager
Industry Insurance
Experience
Aetna  July 2015 - Present
EmblemHealth   May 2012 - July 2015
Wyndham Hotel Group  May 2007 - August 2012
Pediatric Opthamology of New York   September 2011 - May 2012
The EMMES Corporation  May 2010 - August 2011
George Washington University Psychology Department   September 2009 - May 2010

Skills
Data Analysis, Healthcare, Process Improvement, Analysis, Management, Strategic Planning, Healthcare Management, Forecasting, Product Development, Health Insurance, Business Development, Market Research, Employee Wellness..., Wellness, Health, Product Marketing, Product Launch, Strategy, Project Planning

Education
Columbia University Mailman School of Public Health   2011 — 2012
Master of Public Health (MPH), Health Management

The George Washington University   2006 — 2010
Bachelor of Arts (B.A.), Psychology, Minor in Health Services and Religion

Huguette Noutcha Huguette Noutcha Staten Island, New York Details
Huguette Noutcha's EmblemHealth Experience May 2013 - Present
Job Community Outreach Specialist at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth   May 2013 - Present
Healthfirst  May 2011 - 2013
Margret Ultra Home Care.Inc   December 2009 - November 2011
Health Plus.  April 2006 - December 2009
Jewish Community Center  March 2005 - April 2006
Community Resources.  March 2003 - March 2005
Hope Home Care,Inc   January 2001 - March 2003
Human Rights Watch  January 2002 - June 2002
College of Staten Island,Staten Island, NY.   January 1998 - October 2001

Skills
Managed Care, Medicare, Healthcare, Medicaid, Marketing, Health Insurance, Community Outreach, Hospitals, Public Speaking, Insurance, Business Development, Non-profits, Microsoft Word

Education
National Benefit Life Insurance   2006 — 2010
State of New York life Insurance License., Life Insurance.

City University of New York-College of Staten Island   1998 — 2002
Bachelor of Arts Degree, Political Science.

University of Cameroon   1993 — 1997
Bachelor of Arts Degree, Public Law.

Rafal Kudelski Rafal Kudelski Greater New York City Area Details
Rafal Kudelski's EmblemHealth Experience June 2011 - Present
Job Accounting Professional
Industry Accounting
Experience
EmblemHealth   June 2011 - Present
Viacom  September 2011 - January 2012
Major League Baseball  March 2011 - April 2011
International Council of Shopping Centers  December 2010 - February 2011
Citrin Cooperman & Company, LLP   2008 - 2010
Fidelity Tax Services Corp.   May 2008 - August 2008

Education
City University of New York-Hunter College   2004 — 2009
BS, Accounting

Jackie Lemon-Denton Jackie Lemon-Denton Greater New York City Area Details
Jackie Lemon-Denton's EmblemHealth Experience July 1996 - Present
Job Staff Assistant at EmblemHealth
Industry Health, Wellness and Fitness
Experience
Zeta Phi Beta Sorority, Inc.   2012 - Present
New Jerusalem Baptist Church   1998 - Present
EmblemHealth   July 1996 - Present
Just Friends Interested "N" Kids aka JFINK   2001 - 2011

Skills
Non-profits, Public Speaking, Workshop Facilitation, Policy Analysis, Grant Writing, Budgets, Research, Leadership Development, Team Building, Event Planning, Strategic Planning, Nonprofits, Program Evaluation, Community Outreach, Leadership, Analysis, PowerPoint, Healthcare, Policy, Microsoft Excel, Public Relations, Training, Fundraising, Editing, Staff Development, Customer Service, Government, Data Analysis, Social Networking, Outlook, Social Media, Program Development, Teaching, Proposal Writing, Program Management, Microsoft Office

Education
Claflin University   1975 — 1979

Claflin University   1975 — 1979

Kimberly Carney Kimberly Carney Greater New York City Area Details
Kimberly Carney's EmblemHealth Experience June 2014 - Present
Job Senior Healthcare Operations Specialist at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth   June 2014 - Present
Columbia University in the City of New York  2012 - 2014
Columbia University  2010 - 2012
University of Miami  2008 - 2010
Centers for Disease Control and Prevention  January 2008 - April 2008
Junior Achievement  January 2008 - April 2008
Shands Hospital at AGH   February 2007 - August 2007

Skills
Healthcare, Public Health, Program Management, Leadership, Research, Health Education, Management, Strategic Planning, Health Policy, Human Resources, Pediatrics, Program Evaluation, Grant Writing, Program Development, Data Analysis, Community Outreach, Nonprofits, Clinical Research, Public Speaking, Cancer, Lifesciences, Microsoft Office, Analysis, Microsoft Excel

Education
Columbia University in the City of New York   2011 — 2012
Certificate of Business, Accounting and Finance

University of Miami Leonard M. Miller School of Medicine   2009 — 2010
Post-Baccalaureate Studies, Health Policy and Management

University of Florida   2004 — 2008
Bachelor of Science, Health Education and Behavior; Health Promotion; Business Administration

Adrienne Croix Adrienne Croix Greater New York City Area Details
Adrienne Croix's EmblemHealth Experience 2010 - 2010
Job Labor Services Representative at New York State Department of Labor
Industry Government Administration
Experience
New York State Department of Labor  2010 - Present
EmblemHealth   2010 - 2010
The Stephen B. Jacobs Group   2008 - 2009
Edge Technology Services  2008 - 2009

Skills
Public Speaking, Outlook, PowerPoint, Leadership, Database Administration, Career Assessment, Case Managment, Interviews, Ethical Decision Making, Training, Microsoft Office, Cover Letters, Human Resources, Workforce Development, Editing, Job Search Strategies, Team Leadership, Management, Job Search, Career Counseling, Microsoft Word, Data Analysis

Education
Hunter College   2011 — 2011

Barnard College, Columbia University   2003 — 2007
B.A., Film Studies/English

Hewan Bogale Hewan Bogale Greater New York City Area Details
Hewan Bogale's EmblemHealth Experience January 2014 - January 2015
Job Strategy and Operations Consultant at Deloitte
Industry Hospital & Health Care
Experience
Deloitte  February 2015 - Present
EmblemHealth   January 2014 - January 2015
EmblemHealth   June 2013 - December 2013
J.P. Morgan   July 2011 - August 2012
JP Morgan  June 2010 - August 2010

Skills
Corporate Finance, Financial Modeling, Microsoft Excel, Financial Analysis, Data Analysis, Investment Banking, PowerPoint, Economics, Analysis

Education
Columbia University Mailman School of Public Health   2012 — 2013
Master of Public Health (MPH), Healthcare Management

Georgetown University - The McDonough School of Business   2007 — 2011
BS, Finance and Marketing, Minor: Sociology, Cum Laude

Fazeela Ahmad Fazeela Ahmad Greater New York City Area Details
Fazeela Ahmad's EmblemHealth Experience October 2013 - Present
Job Manager Budget & Cost at EmblemHealth
Industry Health, Wellness and Fitness
Experience
EmblemHealth   October 2013 - Present
EmblemHealth   July 2009 - September 2013
EmblemHealth   March 2005 - June 2009
EmblemHealth formerly GHI   March 1999 - February 2005
EmblemHealth formerly GHI   March 1997 - February 1999
EmblemHealth formerly GHI   April 1990 - February 1997

Skills
Financial Analysis, General Ledger, Access, Variance Analysis, Financial Modeling, Account Reconciliation, Financial Reporting, Process Improvement, Hyperion Enterprise, PeopleSoft, Financial Accounting, Corporate Finance, Essbase, Finance, Analysis, Accounting, Budgets, Accounts Payable, Accrual, Accruals, Hyperion

Education
City University of New York-Herbert H. Lehman College

Cyril Potter College of Education

Valerie McFarlane, PMP Valerie McFarlane, PMP Greater New York City Area Details
Valerie McFarlane, PMP's EmblemHealth Experience September 2010 - Present
Job EPMO Program Manager at EmblemHealth
Industry Health, Wellness and Fitness
Experience
EmblemHealth   September 2010 - Present
EmblemHealth   October 2007 - September 2010
EmblemHealth   April 2000 - October 2007

Education
Colorado Technical University   2011 — 2013
Healthcare Management

University of Phoenix   2009 — 2011
Associates, Healthcare Administration

Edward Zoubra Edward Zoubra Greater New York City Area Details
Edward Zoubra's EmblemHealth Experience March 2011 - Present
Job Project Lead Claims Systems Development at EmblemHealth
Industry Insurance
Experience
EmblemHealth   March 2011 - Present
EmblemHealth   January 2006 - September 2010
EmblemHealth   June 2002 - January 2006
Equiserve  February 2001 - May 2002
AIG  March 1995 - February 2001

Skills
SDLC, COBOL, DB2, CICS, Visio, VSAM, JCL, Requirements Analysis, Software Project..., Business Analysis, PMP, Vendor Management, Requirements Gathering, Mainframe, Fileaid

Education
Community College of Rhode Island
Associate's degree, Computer Science

John Genaro John Genaro Greater New York City Area Details
John Genaro's EmblemHealth Experience February 1996 - Present
Job Sr. Programmer Analyst at EmblemHealth
Industry Insurance
Experience
EmblemHealth   February 1996 - Present
Nine west  October 1995 - January 1996
Citi  December 1993 - May 1995

Skills
SDLC, DB2, Data Warehousing, SQL, Visio, COBOL, ETL, Microsoft SQL Server, Data Modeling, Databases, Oracle, JCL, Requirements Analysis, Business Analysis, SAS, Requirements Gathering, PL/SQL, Crystal Reports, Mainframe, Database Design

Education
Hunter College   1971 — 1973
BS Health Sciences, Medical Computer Science

Daniel Maraj Daniel Maraj Bronx, New York Details
Daniel Maraj's EmblemHealth Experience October 2012 - December 2013
Job IT Analyst at Cooperative Home Care Associates
Industry Information Technology and Services
Experience
EmblemHealth   October 2012 - December 2013
Dollar Tree Stores  May 2011 - February 2012

Skills
Windows, Technical Support, Remote Access, Active Directory..., Printers, Network Troubleshooting, Troubleshooting, Laptops, Backup, Disk Management, Encryption, Networking, Hardware, Computer Repair, Antivirus, System Deployment, Help Desk Support, Software Installation, VPN, DHCP, Windows Operating..., Hardware/Software..., PC/Laptop..., LAN setup, Wi-Fi Device Setup, Data Encryption, Hardware/Software..., Microsoft Office, Mobile Devices

Education
CUNY Bronx Community College   2014 — 2014
Computer Information Systems (AAS in progress), Current GPA 3.5

Per Scholas Institute of Technology   2012 — 2012
CompTIA A+ Certification, Information Technology

Wings Academy   2003 — 2007
HS Diploma

Eva Legall, MBA, CIA Eva Legall, MBA, CIA Greater New York City Area Details
Eva Legall, MBA, CIA's EmblemHealth Experience November 2007 - July 2014
Job Delegated Oversight Manager at VillageCareMAX
Industry Health, Wellness and Fitness
Experience
VillageCare  July 2014 - Present
EmblemHealth   November 2007 - July 2014
Group Health Inc.  April 2005 - November 2007
Group Health Inc.  September 2003 - March 2005
Group Health Inc.  January 2001 - August 2003
Group Health Inc.  October 1995 - December 2000

Skills
Auditing, Risk Assessment, Root Cause Analysis, Claims Auditing, HIPAA, Audit Command Language, Cognos, Medstat Decision Analyst, Business Objects, Microsoft Word, Microsoft Excel, PowerPoint, Healthcare Management, Internal Controls, Internal Audit, TeamMate, Operational Risk, Insurance, Risk Management, Healthcare Industry, Sarbanes-Oxley Act, Claim, Data Analysis, Financial Analysis, Managed Care, Provider Relations, Policy, Health Insurance, Medicare, Training, Process Improvement, PPO, Access, HMO, Health Care Reform, Health Policy, Network Development, Visio, Medical Billing, Healthcare Consulting

Education
Saint Joseph's College   2009 — 2012
Master of Business Administration (MBA), Business Administration and Management, General

City University of New York-Herbert H. Lehman College   2001 — 2003
Bachelor of Science (BS), Health Services Administration

Sabrina Itwaru Sabrina Itwaru Greater New York City Area Details
Sabrina Itwaru's EmblemHealth Experience May 2011 - August 2012
Job Director, Quality Management
Industry Health, Wellness and Fitness
Experience
Visiting Nurse Service of New York  July 2013 - Present
NSM/NSight Media Corporation   February 2005 - July 2014
Fidelis Care  August 2012 - May 2013
EmblemHealth   May 2011 - August 2012
EmblemHealth   May 2006 - May 2011
Vytra Health Plans  October 2003 - May 2006
Spirit Gate Acupuncture and Health Services   May 2002 - December 2003
Consultant, Porfessional Services   August 1999 - April 2001
Coca Cola Scholars   1999 - 2000
Egon Zehnder  1998 - 1999

Skills
Healthcare Management, Managed Care, Public Health, Quality Management, Strategic Planning, Quality Improvement, Process Improvement, Leadership Development, Healthcare improvement, Accreditation, Medicare, Medicaid, Disease Management, Outcomes Research, Program Evaluation, Project Management, Data Analysis, Web Content, Writing, Consulting, Six Sigma, Change Management, Behavioral Health, Clinical Pharmacy, Health Education, Health Promotion, Provider Relations, Healthcare, Healthcare Information..., Informatics, Healthcare Consulting, Utilization Management, HIPAA, Healthcare Industry, Physicians, Health Policy, Clinical Research, EMR, EHR, Hospitals, Health Insurance

Education
New York University   1996 — 1997
Master's Degree, International Public Health/International Health

Cornell University
Bachelor's degree

Norita Diaram Norita Diaram Bronx, New York Details
Norita Diaram's EmblemHealth Experience 2000 - Present
Job Contract Implementation Specialist
Industry Health, Wellness and Fitness
Experience
EmblemHealth   2000 - Present

Education
City University of New York-Herbert H. Lehman College
Health/Health Care Administration/Management

Tina McNeal Tina McNeal Greater New York City Area Details
Tina McNeal's EmblemHealth Experience January 2011 - Present
Job Investigations Analyst at EmblemHealth
Industry Health, Wellness and Fitness
Experience
EmblemHealth   January 2011 - Present

Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Strategic Planning, Customer Satisfaction, Peer Mentoring, Provider Relations, Provider Network..., Claims..., Investigating

Education
MCNY Greater New York City Area   2012 — 2013
Master's of Public Administration & Affairs (MPA), Public Affairs and Policy

Mercy College Dobbs Ferry, NY 10522   2001 — 2003
Bachelor of Arts (BA), Therapeutic Recreation minor Sociology, Graduated with honors

CUNY Hostos Community College   1990 — 1993
Associate's Degree, concentration in nursing minor sociology

Janet Nunez Janet Nunez Middletown, New York Details
Janet Nunez's EmblemHealth Experience May 2001 - Present
Job Manager, Provider Services at EmblemHealth
Industry Health, Wellness and Fitness
Experience
EmblemHealth   May 2001 - Present
Royal Health Care  September 1998 - May 2001
Healthfirst  June 1998 - September 1998

Skills
Strong Analytical Skills, Experienced in the..., Management skills, Leadership skills, Ability to perform well..., Ability to change focus..., Time management and..., Microsoft word, Excel..., Bilingual-English/Spanis..., Leadership, Management, Healthcare Management, Managed Care, Medicare, Health Insurance

Education
City University of New York-Herbert H. Lehman College   1994 — 1998
Bachelor's degree, Health Services Administration

Pontificia Universidad Católica Madre y Maestra   1980 — 1983
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General

Farrah Chaudhry Farrah Chaudhry New York, New York Details
Farrah Chaudhry's EmblemHealth Experience October 2013 - Present
Job Nurse Case Manager at EmblemHealth
Industry Health, Wellness and Fitness
Experience
EmblemHealth   October 2013 - Present
Visiting Nurse Service of New York, CHOICE MLTC (Managed Long Term Care)   May 2012 - July 2013

Skills
Computer skills : MS..., PCRS, MaxMc, ESAWS,...

Education
City University of New York-Hunter College   2009 — 2011
Bachelor's Degree, Registered Nursing/Registered Nurse

Hugh Tracey Hugh Tracey Altamonte Springs, Florida Details
Hugh Tracey's EmblemHealth Experience July 2000 - August 2014
Job Health, Wellness and Fitness Professional
Industry Health, Wellness and Fitness
Experience
EmblemHealth   July 2000 - August 2014
Empire Blue Cross and Blue Shield  June 1999 - July 2000
Erisco Managed Care Technologies   June 1998 - June 1999
NYLCare Health Plans/New York Life   November 1995 - June 1998
NYLCare Health Plans/New York Life   November 1995 - June 1997
Empire Blue Cross and Blue Shield  December 1986 - May 1995
Empire Blue Cross and Blue Shield  March 1990 - April 1993
Empire Blue Cross and Blue Shield  December 1986 - March 1990

Skills
Newsletters, Marketing, Management, Copy Editing, Copywriting, Corporate Communications, Health Insurance, Managed Care, Medicare, Social Media, Project Management

Education
City University of New York-Brooklyn College
Bachelor of Arts (BA), Sociology

Alyssa Pepper Alyssa Pepper New York, New York Details
Alyssa Pepper's EmblemHealth Experience March 2013 - Present
Job Lead Shared Savings Contract Manager at EmblemHealth
Industry Health, Wellness and Fitness
Experience
EmblemHealth   March 2013 - Present
EmblemHealth   May 2012 - February 2013
EmblemHealth   September 2010 - April 2012

Skills
Healthcare Management, Health Insurance, Contract Negotiation, Contract Management

Education
City University of New York-Hunter College   2009 — 2011
Master of Public Health (MPH), Health Policy and Management

Cornell University   2006 — 2009
Bachelor of Science (B.S.), Nutritional Sciences

Maria Alessandro Maria Alessandro New York, New York Details
Maria Alessandro's EmblemHealth Experience May 2006 - Present
Job Provider Relations Specialist at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth   May 2006 - Present
EmblemHealth   May 2006 - August 2015
Continuum Healths MSO   December 2000 - May 2006
University Physicians Group  October 1997 - October 1998

Skills
Provider Relations, Health Insurance, Healthcare, Healthcare Management, HIPAA, Customer Service, Contract Negotiation, Presentations, Collaborative Problem..., Root Cause Problem..., Training

Education
City University of New York-Hunter College
Bachelor's degree, Communication and Media Studies Minor in Psychology

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