EmblemHealth Company
Industry: Company
DescriptionEmblemHealth is one of the United States' largest nonprofit health plans. It is headquartered at 55 Water Street in Lower Manhattan, New York City. It is a $10 billion company with 3.1 million members. Headquarters: New York City, 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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EmblemHealth Employees
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
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
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.
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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)
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.)
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
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
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
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
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
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.)
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
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
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
Isagenix April 2013 - Present
EmblemHealth February 2001 - Present
Education
City University of New York-Brooklyn College
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
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
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
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
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
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
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
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
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
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
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
EmblemHealth December 2014 - Present
EmblemHealth April 2007 - Present
GHI September 2002 - April 2007
Education
Columbia Law School 1977 — 1980
JD
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
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
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
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
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
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
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
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
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
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.
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
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
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
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
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
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
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
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
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
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
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
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
EmblemHealth 2000 - Present
Education
City University of New York-Herbert H. Lehman College
Health/Health Care Administration/Management
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
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
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
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
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
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