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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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
Gartner April 2015 - Present
EmblemHealth March 2012 - March 2015
NBC Universal June 2011 - March 2012
Skills
Excel, Access, PowerPoint, Word, Microsoft Office, Data Analysis, Minitab, Outlook, Statistics, Accounting, Problem Solving, Analysis, Customer Service, Research, Microsoft Excel, Public Speaking
Education
The University of Connecticut School of Business 2011 — 2014
Master of Business Administration (MBA), Accounting and Finance, Management, 3.8
Eastern Connecticut State University 2003 — 2007
Bachelor of Science (B.S.), Mathematics
EmblemHealth October 2006 - Present
Auto Nation October 2001 - October 2004
FPL FiberNet January 1996 - June 2001
Skills
Visio, SDLC, Data Warehousing, Healthcare Information..., HIPAA, Business Analysis, Systems Analysis, SQL, Microsoft SQL Server, Business Intelligence, Requirements Analysis, SharePoint, Software Documentation, Access, ETL, Databases, Data Modeling, Healthcare, Oracle, Requirements Gathering
Education
Beaver College 1990 — 1992
CNE (Certified Netware Engineer), Computer Systems Networking and Telecommunications
East Stroudsburg University of Pennsylvania 1980 — 1984
Bachelor of Arts (B.A.), Music Theory and Composition
EmblemHealth September 2015 - Present
M3 Healthcare Technologies December 2014 - Present
Aetna 2012 - 2014
UnitedHealthcare 2006 - 2012
UnitedHealthcare 2005 - 2006
UnitedHealth Group 2002 - 2005
UnitedHealth Group 1999 - 2002
Skills
Managed Care, Health Insurance, Employee Benefits, Medicare, HMO, Healthcare Industry, Provider Relations, Health Savings Accounts, Medicaid, Insurance, Healthcare, Process Improvement, Leadership, Underwriting, Network Development, Health Policy, Disease Management, Brokers, Benefits Administration, PPO, Strategic Planning, Executive Management, Performance Improvement, Account Management, New Business Development, Business Development, Operational Excellence, Operational Strategy, Broker / Consultant..., Relationship Management, Building Relationships, Continuous Improvements, Continuous Improvement, Business Process..., P&L / Budgeting, P&L Management, Budget Process, Profit / Growth..., Profitable Growth, Growth Strategies, Expense Controls, Territory Development, Workforce Planning, Board Accountability, Driven Entrepreneur, Mutli-Site Operations, Visionary Coach / Mentor, Change Management, Business Forecasting, Leading Change
Education
Fairfield University
BS, Business Management
EmblemHealth July 2014 - Present
DBI Staffing - Contractor at EmblemHealth July 2013 - July 2014
Prudential Financial April 2009 - January 2013
UBS December 2000 - December 2008
Accenture August 1997 - December 2000
Prudential Financial May 1987 - July 1997
Skills
Software Project..., Business Analysis, Staff Management, Applications Software..., System Implementations, IT Outsourcing, Process Improvement, Maintaining Strong..., Microsoft Excel, Microsoft Word, Leadership, Computer Systems..., Business Requirements, Technical Liaison, Project Management, Client Liaison, User Acceptance Testing, SQL, Microsoft Office, Issue Resolution, Change Management, Requirements Gathering, Technical Requirements..., Regression Testing, Risk Assessment, Risk Management, Team Facilitation, Performance Management, Production Support, Offshore Resource..., Manage Client..., Batch Processing, Team Building, Team Management, CPM Scheduling, Communication Skills, Requirements Analysis, Issue Management, System Deployment, Business System Analysis, Microsoft Project, Systems Analysis, Vendor Management, Information Technology, MS Project, PMP
Education
Fairleigh Dickinson University
Bachelor of Science (B.S.), Business Management
The Chubb Institute
Mainframe Programming 525-hour Training Curriculum
Montefiore Health System September 2015 - Present
Emblemhealth Inc June 2011 - Present
EmblemHealth January 2015 - September 2015
EmblemHealth May 2011 - June 2011
EmblemHealth December 2008 - May 2011
Metropolitan College of New York July 2009 - April 2010
CSC April 2007 - September 2008
ClearView Center Inc. August 2005 - January 2008
CSC November 2005 - April 2007
Skills
Fundraising, Strategic Planning, Grant Writing, Public Speaking, Non-profits, Microsoft Office, Microsoft Excel, Policy, Community Outreach, Outlook, Event Planning, Research, Nonprofits, Program Development, Project Management, Customer Service, Management, Training, Leadership, Program Management
Education
Metropolitan College of New York 2009 — 2010
Masters, Public Administration
Maria College- Albany NY 2004 — 2006
Associates, Paralegal
Eastern Michigan University 1996 — 2001
Bachelors, Political Science
HealthCare Partners, IPA June 2012 - February 2014
EmblemHealth February 2000 - March 2012
Skills
Call Centers, Leadership, Human Resources, Management, Performance Management, Process Improvement, Training, Team Building, Analysis, Customer Satisfaction, Policy, Troubleshooting, Software Documentation, Staff Development, Customer Service, HIPAA, Medicare
Education
Farmingdale State University of New York 2005 — 2007
General Studies
Queen of the Rosary Academy, Amityville, New York 1973 — 1977
12
EmblemHealth November 2011 - Present
Chickasaw Nations Industries November 2006 - November 2011
Blue Cross & Blue Shield of Mississippi October 1994 - November 2006
Skills
Accounting, Auditing, Financial Analysis, Internal Controls, Accounts Receivable, Financial Reporting, Sarbanes-Oxley Act, GAAP, SEC filings, General Ledger, Revenue Recognition, US GAAP, Variance Analysis, Analysis, Leadership, Strategic Planning, Microsoft Excel
Education
Delta State University
Bachelor of Business Administration (BBA), Accounting
Broadridge August 2011 - Present
Broadridge Financial Solutions February 2009 - November 2011
Broadridge July 2008 - February 2009
Broadridge July 2006 - July 2008
EmblemHealth January 2001 - July 2006
Citi December 1998 - January 2001
Skills
Project Management, Business Process..., Cross-functional Team..., Quality Assurance, Agile Project Management, Business Analysis...
Education
Dowling College 2008 — 2011
MBA, Management and Leadership
State University of New York College at Old Westbury 2004 — 2006
Bachelor of Science, Management Information Systems
Humana June 2014 - Present
EmblemHealth April 2013 - June 2014
EmblemHealth June 2012 - April 2013
Weill Cornell Medical College October 2010 - May 2012
Duke University July 2008 - January 2010
Skills
Database Management, Qualitative Research, SPSS, Research, Data Analysis, Regulatory Requirements, Healthcare, Healthcare Management, Accreditation, Project Management, Quality Improvement, Literature Reviews, Clinical Research, Database Admin, Hospitals, Leadership, Policy, Public Health, Statistics, Training
Education
New York University 2010 — 2012
MPH, Community and International Health, Epidemiology
Guilford College 2004 — 2008
B.S, Health Science & Sports Medicine
NMH 2000 — 2004
Henry Schein October 2012 - Present
EmblemHealth July 2011 - September 2012
EmblemHealth June 2010 - July 2011
EmblemHealth July 2007 - June 2010
EmblemHealth April 2006 - July 2007
Skills
Access, Microsoft Excel, Microsoft Office, MicroStrategy Reporting, Data Analysis, Report Writing, Financial Reporting, Medicare, HIPAA, Managed Care, Health Insurance, Medicaid, Call Centers, Healthcare, Visio, Data Warehousing, Medicare Part D, Medical Terminology, Process Improvement, Microsoft Word, PowerPoint, CPT, PeopleSoft, Analysis, Microsoft Access, Claim, Quality Assurance, Microsoft Office...
Education
Fordham University 1997 — 2001
Bachelor's of Arts, Communications and Media Studies
EmblemHealth March 2015 - Present
EmblemHealth January 1987 - Present
United Cerebral Palsy September 1986 - December 1988
Skills
Claim, Insurance, Microsoft Excel, Microsoft Word, PowerPoint, Workers Compensation, Microsoft Office, Lotus Notes, Outlook, Process Improvement, Healthcare, Call Center, Accounts Payable, Customer Service
Education
York College 2011 — 2012
Certificate Program, Healthcare Management
Uconn 1985 — 1986
Gibbs College 1984 — 1985
Verizon April 2008 - Present
Cablevision CSC Holdings Inc. February 2007 - April 2008
EmblemHealth March 2005 - February 2007
Magellan Health Services September 2003 - March 2005
Skills
Call Center, Customer Satisfaction, Customer Retention, PowerPoint, Outlook, Microsoft Office, Microsoft Outlook, IBM Lotus Notes, Medical Claims and..., Access, Social Media Marketing, Call Centers, Management, Training, Customer Service, Time Management, Sales, Program Management, Team Leadership
Education
Saint Leo University 2009 — 2015
Bachelor of Science, Health Care Management
Essex County College 1994 — 1997
Associates, Computer Information Systems
DAF Communications August 2008 - Present
DAF Creative October 2005 - Present
EmblemHealth August 2009 - August 2013
Rapp Collins Worldwide 2006 - 2007
Wunderman 1998 - 2003
Rosenfeld, Sirowitz, Humphrey & Strauss November 1990 - October 1994
BBDO May 1988 - November 1990
Ogilvy & Mather 1982 - 1988
Ogilvy & Mather 1982 - 1988
Skills
Editing, Advertising, Brochures, Marketing Communications, FMCG, Direct Mail, Creative Direction, Photography, Interactive Advertising, B2B, Brand Development, Art Direction, Concept Development, Copywriting, Integrated Marketing, Adobe Creative Suite, Creative Strategy, Graphic Design, Digital Strategy
Education
Franklin & Marshall College 1971 — 1976
B.A., Drama
Emblemhealth September 2012 - Present
McKesson August 2005 - September 2012
Skills
PeopleSoft, Sarbanes-Oxley Act, General Ledger, Account Reconciliation, Process Improvement, Accounts Payable, Financial Reporting, Accounting, Invoicing, Revenue Cycle, Financial Analysis, Access, HIPAA, Variance Analysis, SAP, Forecasting, JD Edwards, Healthcare
Education
DeVry University
Associate's degree, Computer Science
Liberty Tax Service December 2012 - Present
EmblemHealth 2012 - 2013
ATT November 2009 - March 2012
Skills
Customer Service, Management, Microsoft Office, Microsoft Excel, Coaching, Team Leadership
Education
Florida International University 1997 — 2001
EmblemHealth January 2007 - Present
Skills
Outlook, PowerPoint, Administrative..., Office Management, Event Planning, Healthcare, Visio, Office Administration, Mac, Photoshop, HIPAA, Medicare, Microsoft Word, Microsoft Office, Microsoft Excel, Access, Adobe Acrobat, Calendars, Data Entry, Newsletters, Spreadsheets, Time Management, Social Media, Customer Service, Nonprofits, PeopleSoft, Confidentiality, Internet Explorer, Microsoft Office 2007, Invoice Processing, Budgets, Concur, System Administration, Travel Arrangements, Event Management, Expense Reports, Business Correspondence, Meeting Scheduling, Administrative...
Education
Fashion Institute of Technology
Bachelor of Arts (BA), Illustration
School of Visual Arts
Associate of Arts (A.A.), Graphic Design
EmblemHealth March 2013 - Present
Montefiore CMO October 2008 - March 2013
St. Barnabas Elementary School September 2008 - June 2009
NYC Department of Health July 1983 - March 1993
Skills
Prevention, Program Development, Healthcare, Program Management, Healthcare Management, Clinical Research, Hospitals, Program Evaluation, Healthcare Information..., Managed Care, Nursing, Health Policy, EMR, Infectious Diseases, Medicaid, HIPAA, Medicare, Physicians, Nonprofits, Healthcare Consulting, Public Health, Health Education
Education
New York University 1984 — 1987
MPH, Community Health Education
Fordham University 1979 — 1983
BS, Biology
Royal Health Care June 2012 - Present
EmblemHealth January 2011 - October 2011
Skills
Data Entry, Healthcare, HIPAA, Administrative..., Outlook, Access, Healthcare Management, Medical Terminology, Microsoft Word, Microsoft Excel, Hospitals, Medical Billing, ICD-9, Training, Call Centers, Medical Coding, Administration, Healthcare Information..., Microsoft Office, Telephone Skills, Time Management, Office Management, Troubleshooting, Employee Benefits, Spreadsheets
Education
Farmingdale State University of New York 2009 — 2009
Medical Billing cert, Information Technology
Nassau Community College 2005 — 2007
Sociology
ConocoPhillips May 2012 - Present
Computer Sciences Corporation January 2010 - May 2012
EmblemHealth November 2002 - May 2010
GXS August 2000 - September 2002
Franklin Templeton Group July 1999 - July 2000
Zurn Industries, LLC August 1994 - July 1999
Technology Applications and Service Company November 1993 - August 1994
United Technologies November 1983 - November 1993
Skills
Unix, EDI, Databases, Perl, SQL, Visual Basic, Software Documentation, Integration, Business Process, X12, HIPAA, Systems Analysis, Testing, FTP, Unix Shell Scripting, PowerPoint, Microsoft Office, Java, Programming, Access, C, Bash, Visio, Instructional Design, Professional Mentoring, C++, SDLC, Oracle, EDIFACT, AIX, Ksh, Awk, Homeschooling, SCORM, ADDIE, E-Learning, XML, E-commerce, Program Management, COBOL, Database Design, SharePoint, Pervasive, E-learning Development, R
Education
New York Institute of Technology 1987 — 1989
MS, Instructional Technology
Farmingdale State College 1991 — 1993
Certificate, Data Processing
New York Institute of Technology 1985 — 1987
BS, General Studies
Grumman Data Systems Institute 1984 — 1984
Diploma, Electronic Technology
Healthfirst January 2015 - Present
North Shore-LIJ Health System September 2014 - December 2014
EmblemHealth June 2013 - May 2014
Visiting Nurse Service of New York June 2011 - May 2013
Visiting Nurse Service of New York April 2009 - May 2011
Hospital for Special Surgery July 2008 - March 2009
Skills
Home Care, Medicaid, Nursing, Healthcare, Long-term Care, Managed Care, Medicare, Case Management, Medicaid Managed Care, Certified Case Manager, Healthcare Management, Geriatric Nursing, Case Managment, Community Health, Public Health, HIPAA, Patient Education, Long Term Care, Managed Long Term Care, Gerontological Nursing, Disease Management, Elder Care, Utilization Management, BLS, Health Education, Nutrition, Healthcare Industry, HMO, Health Promotion, UAS, Special Needs..., SNP, Wellness Coaching, Communication, Problem Solving, Difficult Situations
Education
Fordham University 1999 — 2003
BA, Economics
The College of New Rochelle 2005 — 2007
BSN, Nursing
North Shore-LIJ Health System December 2014 - Present
EmblemHealth June 2014 - August 2014
The Bristal Assisted Living June 2013 - September 2013
Skills
Microsoft Excel, Microsoft Access, Microsoft PowerPoint, Microsoft Visio, Microsoft Project, Data Analysis, Financial Analysis, Presentations, Microsoft Word, Business Process..., Access, PowerPoint, Visio, Healthcare, Strategic Planning, Business Development, MS Project, Management, Healthcare Information..., Market Research, Healthcare Management, Leadership, Process Improvement
Education
Hofstra University 2013 — 2015
Master of Health Administration (MHA) Candidate
Hofstra University 2009 — 2013
Bachelor's degree, Business Economics
Aetna March 2013 - Present
Fiserv April 2011 - April 2012
EmblemHealth April 1990 - August 2010
Four Star Video March 1998 - July 2001
Skills
Customer Service, Call Center..., Call center start-up, Health Insurance, Labor Relations, Real Estate Transactions, Real Estate, Real Estate Financing, Individual Health..., Customer Support, Customer Analysis, Astronomy, Business, Small Business, Insurance, Analysis, Vendor Management, Training, Medicare, Healthcare, Call Centers, Management, Claim, Medicaid, HMO, Selling, Benefits Administration, Team Building, Workers Compensation, Leadership, Process Improvement
Education
DeSales University 2015 — 2017
Master of Science (MS), Information Technology-Healthcare and Forensics
Baruch College-City University Of New York 1997 — 2004
Master's Degree (MSILR), Labor and Industrial Relations, Honors
Baruch College-City University Of New York 1990 — 1997
Bachelor of Business Administration (BBA), Human Resources Management/Personnel Administration, Buisnessl, Honors
Lefferts House Historical Museum 2009 - 2011
EmblemHealth 1990 - 2010
Skills
Microsoft Office, Microsoft Excel, Research, Teaching
Education
Fashion Institute of Technology 1980 — 1984
Fashion Merchandising/Patternmaking/ Curriculum in Professional Photography
ValueLabs August 2015 - Present
UnitedHealth Group July 2014 - Present
EmblemHealth October 2013 - April 2014
Independence Blue Cross February 2013 - October 2013
Dell January 2005 - January 2006
Skills
Quality Center, User Acceptance Testing, SharePoint, Test Cases, Testing, Test Automation, Quality Assurance, QTP, Service Delivery, IT Service Management, Defect Tracking, SDLC, HP Quality Center, Agile & Waterfall..., ALM, EDI ANSI X12, Test Planning, Smoke Testing, Mobile Testing, System Testing, Functional Testing, Integration Testing, End-to-end Testing, Regression Testing, Health Insurance, Fixed Income, Crystal Reports, Toad, Sybase, Web Services, UltraEdit, Cloud Computing, SeeTest, Virtualization, Enterprise Software, VMware, SaaS, Unix, Business Analysis, QA Management, Software Development..., LoadRunner, Oracle Applications, System Architecture, ALM 12.01, UFT, System Integration...
Education
Guru Gobind Singh Indraprastha University 2001 — 2004
Bachelor of Computer Applications, Computer Science
Guru Harkrishan Public School 1988 — 2001
High School, Computer Science
EmblemHealth 2012 - Present
EmblemHealth 2008 - 2012
Managed Care Solutions 2006 - 2008
Llorens Pharmaceutical International Division Inc 2006 - 2006
Skills
Microsoft Office, Meditech, Q-Care, SWIFT, Saws, Win-UCS, maxMC, FBT, Siebel 7.x, eSAWS
Education
Florida International University 2001 — 2006
Bachelor's degree, Health Services Administration
Emblem Health October 2013 - Present
EmblemHealth June 2008 - September 2013
Skills
typing(65 wpm),..., HMO, PPO, Medicaid, Medicare, Healthcare Management, Policy, HIPAA, Provider Relations, Managed Care, Health Insurance, Medical Terminology, Medical Billing, CPT, Healthcare Industry, ICD-9
Education
University of Phoenix 2010 — 2013
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management
Florida Metropolitan University 2000 — 2002
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
thoughtbot, inc. July 2013 - Present
Carlo Iyog Photography December 2007 - Present
IDEO 2012 - 2013
Johnson & Johnson April 2011 - December 2011
kate spade April 2009 - April 2011
Impact Communication Partners October 2010 - December 2010
EmblemHealth March 2008 - March 2009
Pfizer Pharmaceuticals June 2005 - December 2007
Pfizer Pharmaceuticals January 2001 - January 2005
Skills
Marketing, Budgets, Event Planning, Studio Photography, Photoshop, High-end Retouching, Manage Client..., Customer Experience, Workplace Culture &..., Increase Productivity, Operations Management, Workflow Management, Social Media, Entrepreneurship, Cross-functional..., Process Optimization, Start-ups, Market Research, Management, Advertising, Event Management, Workplace Culture, Program Management, Social Networking, Cross-functional Team..., Public Speaking, Public Relations, Recruiting, Leadership, Team Building, E-commerce
Education
Fashion Institute of Technology 2001 — 2005
BS, Communications - Advertising & Marketing
Hillgate March 2015 - Present
EmblemHealth August 2013 - March 2015
EmblemHealth June 2012 - August 2013
EmblemHealth July 2011 - June 2012
Duke Clinical Research Institute September 2007 - June 2011
Skills
Data Analysis, Statistics, Public Health, Qualitative Research, Program Evaluation, Policy Analysis, Research, Health Policy, Analysis, Infectious Diseases
Education
Duke University 2007 — 2011
BA, Public Policy Studies
Alphfinity March 2013 - Present
Maryland State Highway Administration October 2011 - Present
Qualitree Inc March 2009 - March 2015
EmblemHealth April 2009 - September 2011
Goldman Sachs August 2007 - January 2009
Pyxis Solutions April 2007 - January 2009
Mukat InfoTech Pvt. Ltd, India July 2004 - August 2006
Frontier Information Tech, India August 1999 - June 2004
Skills
PMP, MBA Finance, Information Management, SDLC, Business Analysis, Project Management, Quality Assurance, Requirements Analysis, Process Improvement, Financial Modeling, Change Management, Business Intelligence, Business Process..., Requirements Gathering, Software Project..., Analysis, Data Warehousing, Program Management, Agile Methodologies, Management, Consulting, Business Requirements, Project Planning, Strategy, Testing, Integration, Test Planning, Microsoft Project, IT Strategy, Business Strategy
Education
Investment Banking Institute 2009 — 2009
Certificate Course, financial modeling and valuation training program
Fordham University - Graduate School of Business Administration 2006 — 2008
MBA, Finance and Information Systems
Yadavindra Public School, Patiala 1985 — 1997
High School
Thapar Institute of Engineering and Technology
BE, Mechanical
EmblemHealth May 2013 - Present
Optum December 2011 - May 2013
Optum November 2007 - December 2011
AIM Healthcare November 2004 - November 2007
AIM Healthcare September 2002 - November 2004
AIM Healthcare September 2001 - September 2002
Skills
Managed Care, Process Engineering, Negotiation, Staff Management, Customer Service, Revenue Cycle, Healthcare Consulting, Strategy, Healthcare Management, Management, Hospitals, Process Improvement, Training, CRM, Analysis, Business Analysis, Business Development, Insurance, Healthcare, Account Management, Operations Management, Healthcare Industry, HIPAA, Leadership
Education
East Carolina University 1996 — 2000
BS, Occupational Therapy
EmblemHealth July 2012 - Present
Grant Thornton LLP November 2011 - August 2012
American Dental Supply May 2005 - October 2011
Skills
Purchasing, Sourcing & Procurement, Procurement, Production Management, Costing, Contract Negotiation, Contract Management, Budgets, Pricing, Leadership, Business Strategy, Internal Controls, Strategy, Strategic Planning
Education
Keller Graduate School of Management of DeVry University 2008 — 2010
Masters, Accounting and Financial Management
East Stroudsburg University of Pennsylvania 2005 — 2007
Bachelors, History and Middle Eastern Studies
EmblemHealth August 2003 - Present
esavio (Formerly Netera) March 1998 - June 2002
Chubb Group of Insurance Companies November 1996 - March 1998
Skills
Frame Relay, EIGRP, ISDN, TCP/IP, T1, IPSec, DWDM, Fast Ethernet, VPN, T3, Wireless, SSL, Gigabit Ethernet, DMVPN, Metro Ethernet, Cisco, Switches, Routing, Routers, Layer 3, WAN, Ethernet, ITIL, VLAN, Firewalls, QoS, IP, HSRP, VTP, ASA, NAT, PIX, Layer 2, PPP, DHCP, DSL, Routing Protocols, STP, Cisco Nexus, Cisco Technologies, Network Architecture, Troubleshooting, Disaster Recovery, Security, Network Administration, Networking, Wireless Networking, Network Design, Data Center, Cisco ASA
Education
DeVry Institute 1995 — 1996
AS, Telecommunication Management
Florida Institute of Technology 1983 — 1988
BS, Aviation Management / Flight Technology
Knowledgent February 2015 - July 2015
EmblemHealth October 2013 - February 2015
Citigroup 2015 - 2015
Virtusa December 2012 - October 2013
Headstrong January 2011 - December 2012
JPMorganChase May 2010 - January 2011
Consultant March 2007 - May 2010
Chubb & Sons May 2006 - November 2006
Credit Suisse May 2001 - April 2006
Consultant August 1997 - May 2001
Skills
Database Design, Business Intelligence, Data Quality, Data Marts, Data Governance, Data Integration, Dimensional Modeling, Erwin, Metadata Management, Business Intelligence..., Requirements Gathering, Relational Databases, Requirements Analysis, Business Analysis, Database Development, Data Profiling, Data Modeling, Data Warehousing, Data Warehouse..., Logical Data Modeling, Physical Data Modeling, SDLC, Oracle, Databases, Business Process, Enterprise Architecture, ETL, Cognos
Education
Stevens Institute of Technology 1983 — 1984
M.S., Computer Science
Gujarat University 1975 — 1977
M.Sc., Physics
Catholic Health Services December 2010 - Present
EmblemHealth April 2004 - November 2010
Skills
Business Analysis, Managed Care, Healthcare, Management, Nonprofits, Team Leadership, Strategic Planning, Healthcare Consulting, Mental Health, New Business Development, Hospitals, Fundraising, Healthcare Industry, Team Building, Project Management, Operations Management, Visio, Healthcare Management, Volunteer Management, EMR, Healthcare Information..., Public Relations, Event Planning, EHR, Case Managment, Community Outreach, Budgets, Public Speaking, Software Documentation, Leadership, Teaching, Psychotherapy, Program Management, Editing, Process Improvement, Informatics, Analysis, Medicaid, Leadership Development, Customer Service, Quality Improvement, HIPAA, Organizational..., Health Insurance, Chaplaincy, Change Management, Program Development, Medicare, Microsoft Office, Home Care
Education
Seton Hall University 2001 — 2003
ThM, Moral Theology, Ethics
New York University 1992 — 1996
BA, International Studies
Fordham University
Private Practice Behavioral Health CoachEmblem HealthJanuary 2012 - December 2014
emblem health January 2008 - December 2011
EmblemHealth January 2007 - January 2008
Emblem Health April 2004 - January 2007
Village Center for Care worked at Village Nursing Home May 1998 - April 2004
Skills
Healthcare, Case Managment, Disease Management, Medicaid, Utilization Management, Behavioral Health, Medicare, Healthcare Management, Managed Care, Health Insurance, Medical Social Work, Program Development, HIPPA, Private Practice, Voice Acting, Voiceovers, Songwriting, Commercials, Writing
Education
Training Institute for Mental Health 1997 — 2004
certificate in psychoanalytic psychotherapy, psychology
Fordham University 1996 — 1998
Master of Social Work, Social Work
Marymount Manhattan College 1994 — 1996
Bachelor of Arts (B.A.), theatre/psychology
Marjorie Webster Junior College 1962 — 1964
Associate's Degree, Speech, Drama, Radio & Telivision
AdvantageCare Physicians May 2015 - Present
EmblemHealth November 2014 - May 2015
EarQ Group January 2011 - January 2014
EarQ Group January 2009 - January 2011
EarQ Group January 2007 - January 2009
permanent tsb 2000 - 2005
Skills
Event Planning, Event Management, Customer Service, Management, Strategic Planning, Team Building, Marketing, Business Strategy, Coaching, Public Relations, Microsoft Excel, Microsoft Dynamics ERP, Data Analysis, Processes Development, Microsoft Office, Project Management, Public Speaking, Training, PowerPoint, Medical Devices
Education
Dublin Institute of Technology 1997 — 1999
Cedar Gate Technologies July 2015 - Present
EmblemHealth January 2013 - July 2015
Medical Card System, Inc. June 2011 - December 2012
Medical Card System, Inc. April 2009 - June 2011
HEALTH PLAN ONE December 2005 - December 2008
WellCare August 2003 - December 2005
Destiny Health 2002 - 2002
IntelliClaim 1999 - 2002
Oxford Health Plans 1991 - 1998
KPMG July 1984 - August 1991
Skills
Capital Raising, Initial Public Offerings, Start Ups & Turnarounds, Start-ups, Insurance, Health Insurance, Budgeting, Strategic Planning, Turn Around Management, Budgets, IPO, Executive Management, Employee Benefits, Managed Care, Business Strategy, Mergers & Acquisitions, Underwriting, HIPAA, Leadership, Healthcare Industry, Financial Analysis, Accounting, Healthcare, Medicare, Process Improvement, Analysis, Medicaid, Provider Relations, HMO, PPO, Finance, Medicare Part D, Health Policy
Education
Hofstra University 1996 — 1998
MBA
The Citadel 1980 — 1984
BS
EmblemHealth December 2013 - Present
Max P. Productions April 2013 - November 2013
Barnes & Noble April 2013 - November 2013
Howell Road Elementary School September 2012 - December 2012
Eastern Suffolk BOCES December 2007 - August 2012
Tackan Elementary School February 2012 - May 2012
Westhampton Beach Learning Center July 2011 - August 2011
Borders 2005 - 2007
Skills
Solid computer skills, Curriculum Design, Applied Behavior..., Special Education, Lesson Planning, Behavior Management, Teaching, IEP, Elementary Education, Crisis Intervention, Classroom, Language Arts, Editing, Teacher Training, Tutoring, Literacy, Smartboard, Research, Blogging, Curriculum Development, Literature, Social Media, Writing, Public Speaking
Education
Dowling College 2009 — 2013
Master's of Science, Dual Certified Elementary and Special Education, 3.8
St. Joseph's College 2004 — 2007
Bachelor of Arts (B.A.), English Language and Literature, General, 3.89
Northeastern University 2003 — 2004
Undergraduate Studies, English Language and Literature, General
Comsewogue High School
Toms River High School South
Emergency Medical Services Corporation January 2004 - Present
EmblemHealth November 2009 - September 2010
Skills
Customer Service, Medicaid, PowerPoint, Insurance, Medicare, Medical Terminology, Healthcare, Accounts Receivable, Office Management, Team Building, Microsoft Word, CPT, ICD-9, Microsoft Excel, Home Healt Aide, Health Verification, HIPAA, Microsoft Office, Data Entry, EMR, ICD-10
Education
ETI Technical College 1999 — 2001
Associate of Science (AS), Medical Insurance Specialist/Medical Biller, 3.4
Health Republic Insurance of New York June 2014 - Present
EmblemHealth June 2011 - June 2014
2Plank Consulting October 2008 - June 2011
Horizon Blue Cross Blue Sheild of New Jersey March 2008 - October 2008
Horizon Blue Cross Blue Shield of NJ October 2005 - March 2008
Medco Health Solutions 2002 - 2005
Commercialware October 2000 - February 2002
Meditech December 1998 - September 2000
L. B. Evans January 1998 - December 1998
Skills
Coaching, E-commerce, Performance Management, Business Process Mapping, Business Process..., SDLC, Business Process, PMP, Project Management, PMO, Process Improvement, Insurance, Healthcare, Performance Improvement, Business Transformation, Analysis, Business Analysis, Cross-functional Team..., Leadership, Management, Management Consulting, Risk Management, Six Sigma, Strategic Planning, Strategy, Quality Assurance
Education
Fitchburg State University 1994 — 1998
Business Administration and Management, General
EmblemHealth October 2014 - Present
Combined Insurance May 2013 - October 2014
AWG Financial January 2010 - January 2013
HBW Insurance & Financial Services January 2010 - January 2012
HealthMarkets, a Goldman Sachs, Blackstone Co. March 2008 - January 2010
America Direct Mortgage, Inc. October 2007 - February 2008
ResMAE July 2007 - September 2007
ResMAE Mortgage May 2004 - September 2007
North American Mortgage September 2000 - February 2002
Long Beach Mortgage Co. 1996 - 2000
Skills
Insurance, Fixed Annuities, Disability Insurance, Life Insurance, Long-term Care, Real Estate, Sales Management, Underwriting, Mortgage Lending, Sales, Term Life Insurance, Risk Management, Budgets, Health Insurance, Banking, Marketing, Retirement Planning, Portfolio Management, Credit, Strategic Financial..., Loans, Mortgage Banking, Loan Origination, Selling, Universal Life, Finance, Whole Life, Long Term Care Insurance, Loan Servicing, IRAs, Critical Illness, Retirement, Investments, Residential Mortgages, Refinance, Mutual Funds, Small Business, Financial Services, VA loans, Personal Financial..., Brokers, Indexed Annuities, Inland Marine
Education
Phoenix College 1966 — 1968
AA, Liberal Arts
Eastern Arizona College 1964 — 1966
Associate's degree, Liberal Arts and Sciences, General Studies and Humanities
Healthfirst July 2014 - Present
First Med Urgent Center October 2008 - Present
Wellpoint Anthem November 2012 - July 2014
Green Key Resources May 2012 - November 2012
EmblemHealth January 2012 - May 2012
Rishavena HHA September 2008 - November 2010
MedAssurant August 2008 - July 2010
NYHQ August 2008 - January 2010
Skills
Healthcare, Medical Records, Wound Care, Vital Signs, Clinical Research, Medicare, EKG, Nursing Care, Quality Improvement, Medicine
Education
Long Island University, Brooklyn Campus 2010 — 2012
Bachelor of Science (BS), Registered Nursing/Registered Nurse
CUNY New York City College of Technology 2008 — 2009
Registered Nursing/Registered Nurse
Sheridan Benefits LLC August 2010 - Present
EmblemHealth July 2012 - July 2013
HealthNow New York Inc. January 2004 - August 2010
Western New York Computing July 2000 - February 2004
United States Air Force July 1996 - July 2000
Skills
Health Insurance, Customer Service, Account Management, Strategic Planning, Health Savings Accounts, Healthcare, Disability Insurance, Employee Benefits, Insurance, Dental Insurance, Wellness, Long-term Care, Term Life Insurance, Sales, Group Insurance, Small Business, Health Care Reform, Brokers, Life Insurance
Education
Hilbert College 2001 — 2004
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General, 3.4
Burlington County College 1997 — 1999
Associate of Science (A.S.), Aeronautics/Aviation/Aerospace Science and Technology, General
CaptionCall April 2014 - Present
EmblemHealth July 2013 - Present
Gems Equipments Ltd January 2013 - Present
The Training Associates March 2012 - Present
Inktel September 2012 - December 2012
NEW July 2004 - December 2011
Wireless Retail 2003 - 2004
Skills
Training, Employee Training, Blended Learning, Leadership Development, Team Building, Call Centers, Instructor-led Training, Customer Satisfaction, Training Delivery, Leadership, Retail, Sales, Customer Service, Marketing, Management, Coaching, Customer Retention, Interviews, Performance Management, Employee Relations, Human Resources, Recruiting, Organizational..., Talent Management, Onboarding, Workshop Facilitation, Talent Acquisition
Education
College of The Bahamas
Management Techniques
Georgia Southern University
Bachelor's degree, Parks, Recreation and Leisure Studies
Delta Dental of NJ February 2012 - Present
EmblemHealth October 2006 - February 2012
HIP Health Plan of New York January 2003 - October 2006
Tensa Software, Inc. 2002 - 2002
Ernst & Young 2001 - 2002
Xanboo, Inc 2000 - 2001
Tensa Software, Inc 1999 - 2000
Softrak Technology Ltd 1997 - 1999
Skills
Business Analysis, .NET, Web Development, Data Modeling, VB.NET, C#, MS Office Suite, MS Project, SDLC, Oracle, Solution Architecture, Microsoft SQL Server, Business Intelligence, Microsoft Office, SOA, Web Services, Visio, Quality Center, Data Warehousing, UML, SQL, HP Quality Center
Education
Dharmsinh Desai Institute of Technology
Master of Computer Application
Gujarat University
Bachelors Physics
Gujarat University
Bachelors Mathematics
Health Republic Insurance of New York August 2015 - Present
Affinity Health Plan November 2014 - August 2015
EmblemHealth October 2013 - November 2014
Horizon Blue Cross Blue Shield of New Jersey July 2010 - October 2013
Horizon Casualty Services June 2008 - July 2010
Horizon Blue Cross Blue Shield of NJ November 2006 - July 2008
NYCE Payments Solutions, LLC June 2004 - November 2006
NYCE Payments Solutions, LLC August 2002 - June 2004
Time Inc. August 2000 - August 2001
Skills
Project Management, Requirements Gathering, Requirements Analysis, Business Analysis, SQL, Requirements Management, Disaster Recovery, Software Documentation, Mainframe, Vendor Management, MS Project, Systems Analysis, Microsoft Office, SDLC, Access, Business Requirements, Business Process, Analysis, Troubleshooting, User Acceptance Testing, Visio, SharePoint, Process Improvement, Integration, TSO, CICS, PMO, Waterfall, Agile Project Management, Business Process Mapping, Quality Assurance, Databases, JCL, Microsoft Project, ITIL, Oracle, Testing, Information Technology, Business Process..., Software Project...
Education
Fairleigh Dickinson University 2015 — 2016
Bachelor’s Degree, Business of Science in Individual Studies
Quality & Productivity Solutions, Inc. 2009 — 2010
Certificate, Process Redesign Greent Belt
The Chubb Institute 1999 — 2000
Certificate, Computer Programming
Anthem, Inc. October 2013 - Present
EmblemHealth July 2007 - October 2013
Group Health Inc January 2006 - July 2007
EYP Mission Critical Facilities 2003 - 2005
Capital Markets Company 2000 - 2002
Asarco 1990 - 1999
RJR Nabisco 1987 - 1989
Arthur Andersen July 1984 - December 1986
Skills
Financial Reporting, Accounting, Budgeting, SEC reporting, Auditing, General Ledger, Variance Analysis, Financial Analysis, Internal Controls, Financial Modeling, Forecasting, Consolidation, PeopleSoft, Excel, Process Improvement, P&L, Audit, Compliance, Financial Management, Insurance, Analysis, Financial Accounting, Cash Flow, Planning, PowerPoint, GAAP, Word, Problem Solving, Balance, Microsoft Excel, Income Statement, US GAAP, Project Planning, Accounts Payable, Internal Audit, SEC filings, Budgets, Microsoft Word, Managerial Finance, Risk Management, Management, Cash Management, Mergers & Acquisitions, Tax, Payroll, Executive Management, Financial Statements, Banking, Financial Forecasting, Hyperion Enterprise
Education
New York University - Leonard N. Stern School of Business 1990 — 1995
MBA, Finance, International Business
Fordham University 1980 — 1984
BS, Accounting
California Health & Wellness, a Centene Health Plan June 2014 - Present
Centene Corporation April 2012 - May 2014
EmblemHealth May 2010 - October 2011
WellPoint 2008 - 2009
WellPoint 2006 - 2008
WellPoint 2005 - 2006
Empire BlueCross BlueShield 2002 - 2004
deNovis 2000 - 2002
Healtheon 1999 - 2000
AMMI 1998 - 1999
Education
Harvard Business School 1996 — 1998
MBA
Wesleyan University 1987 — 1991
BA, Economics
Anthem November 2014 - Present
EmblemHealth April 2007 - November 2014
Cross Country TravCorps September 2002 - May 2006
Skills
Pediatrics, PALS, Disease Management, Cpr Certified, Nutrition, BLS, Medication..., Patient Education, Health Insurance, Wellness, Healthcare, Acute Care, Nursing, Healthcare Management, Clinical Research, Hospitals, HIPAA, Utilization Management, Managed Care, Leadership, Management, Medicare, CPR Certified
Education
Fairfield University 1994 — 1998
BSN, Nursing
EmblemHealth December 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2007 - November 2012
Horizon Blue Cross Blue Shield of New Jersey July 2006 - September 2007
Horizon Blue Cross Blue Shield of New Jersey November 1997 - July 2006
Skills
Vendor Management, SDLC, Process Improvement, Software Documentation, Business Analysis, Management, Visio, Business Requirements, Project Management, Business Process..., PMP, PMO, Project Portfolio..., HIPAA, Leadership, Data Analysis, Requirements Gathering, Program Management, Quality Assurance, Analysis, Strategy, Training, Team Leadership, Insurance, Budgets, Business Process, Cross-functional Team..., Access, Business Intelligence, Risk Management, Change Management, Requirements Analysis, IT Strategy, SharePoint, Software Project..., Resource Management
Education
St. Peter's University 2011 — 2013
Master of Business Administration (MBA), Management Information Systems and Healthcare Administration
St. Peter's College 2010 — 2011
Bachelors, Business Administration
Dowling College 2001 — 2004
Business Administration
Rutgers, The State University of New Jersey-Newark 1991 — 1994
Criminal Justice
Prime Companies April 2015 - Present
Rondout Savings Bank March 2012 - April 2015
EmblemHealth May 2011 - March 2012
Anchor Pub June 2008 - January 2011
Hartwick College - Admission Office January 2009 - January 2010
Skills
Advertising, Budgets, CRM, Management, Marketing, Forecasting, Analysis, Project Planning, Sales, Customer Service, Public Relations, Social Media, Social Media Marketing, Public Speaking, Facebook, Event Management, Event Planning
Education
Southern New Hampshire University 2014 — 2016
Master of Business Administration (MBA), Marketing/Marketing Management, General
Hartwick College 2007 — 2011
Bachelor of Arts (B.A.), Business Administration and Management, General
IPRO July 2015 - Present
North Shore-LIJ Health System August 2013 - July 2015
EmblemHealth March 2012 - July 2013
Skills
SPSS, E-Learning, Software Documentation, HRIS, Leadership, Instructional Design, Psychology, Data Analysis, Survey Design, PowerPoint, Industrial/Organizationa..., Research, Microsoft Office, Outlook, SnagIt, Copy Editing, Multivariate Statistics, Microsoft Excel, R, LISREL, Blackboard, GeoLearning, WordPress, Learning Management..., Healthcare, Captivate, QuizCreator, Webinars, A/V systems, Distance Learning, Writing, Corporate Communications, Proofreading, Content Development, Health Insurance, Editing, Copywriting, Internal Communications, Social Media, Statistics, Customer Service
Education
Hofstra University 2006 — 2008
M.A., Industrial/Organizational Psychology
Dowling College 2000 — 2005
B.A., Psychology
EmblemHealth November 2004 - Present
Emblem Health October 2002 - November 2004
EmblemHealth January 2000 - October 2002
EmblemHealth November 1997 - January 2000
Skills
Customer Service, Property & Casualty..., Strategic Planning, Risk Management, Project Management, Business Analysis, Health Insurance, Underwriting, Process Improvement, Commercial Insurance, Management, General Insurance, Sales, Change Management, PowerPoint, Team Building, Leadership, Training, Program Management, Medicare, Claim, Data Analysis, Healthcare, Microsoft Office, Marketing Strategy, HIPAA, Visio, Outlook, Microsoft Excel, Property, Microsoft Word
Education
Florida International University - College of Business 1983 — 1986
Bachelor of Business Administration (B.B.A.), International Marketing
AAS Hudson Valley Comm College 1981 — 1983
Associate of Arts and Sciences (A.A.S.), Marketing
Healthfirst August 2015 - Present
ArroHealth (formerly MedSave USA) June 2015 - August 2015
EmblemHealth January 2009 - February 2015
EmblemHealth March 2004 - December 2008
EmblemHealth January 2001 - March 2004
EmblemHealth June 1999 - December 2000
EmblemHealth 1997 - 1999
Vytra Healthcare 1996 - 1997
P.F.Collier Publishers, LLC 1994 - 1995
Strategic Marketing Information, Inc. 1992 - 1994
Skills
Access, Healthcare, HIPAA, Healthcare Information..., Process Improvement, Insurance, Team Building, Customer Service, Managed Care, Operations Management, Medicare, Human Resources, PeopleSoft, Revenue Cycle, Healthcare Management, Vendor Management, SDLC, Visio, Software Documentation, Financial Statement..., Comparable Analysis, Financial Databases, Financial Data..., Financial Management..., Financial Process..., Financial System..., Financial Systems Design, Financial Variance..., P&L Modeling, Hyperion Planning, Budgets, Business Intelligence, Strategy, Analysis, Mergers & Acquisitions, Risk Management, Internal Controls, Project Planning, Financial Analysis, Management, Leadership, Business Analysis, Strategic Planning, Project Management, Business Process..., Health Insurance, Change Management, Project Portfolio..., Healthcare Industry, Data Analysis
Education
LIU Post 1990 — 1992
Master of Business Administration (M.B.A.)
Dowling College
BBA
Robert Half Technology July 2015 - Present
Endicott College September 2012 - Present
Almost Home Childcare September 2008 - Present
OMBE Integrative Health Center September 2014 - January 2015
Endicott Residence Hall Association May 2013 - May 2014
EmblemHealth May 2013 - August 2013
Scott's Ridge Middle School May 2012 - June 2012
Skills
Facebook, Social Media, Student Affairs, Fundraising, Public Speaking, Program Development, Psychology, Social Networking, Nonprofits, Community Outreach, PowerPoint, Student Development, Volunteer Management, Editing, Social Media Marketing, Microsoft Excel, Marketing, Microsoft Word, Microsoft Office, Time Management, Research, Leadership, Teamwork, Customer Service, Writing
Education
Endicott College 2011 — 2015
Bachelor’s Degree, Psychology, 3.50
Ridgefield High School 2007 — 2011
High School Diploma
Florence University of the Arts
Psychology
EmblemHealth 2011 - 2014
NYC Department of Small Business Services 2006 - 2010
Structured Employment Economic Development Corporation 2004 - 2006
Independent 2002 - 2003
U.S. Department of State 1998 - 2000
The White House 1997 - 1998
Skills
Policy, Leadership, Program Management, Strategy, Process Improvement, Cross-functional Team..., Nonprofits, Social Media
Education
Harvard Business School 2000 — 2002
Master of Business Administration (MBA), Organizational Development, Operations Management
UCLA 1992 — 1996
Bachelor's degree, History
University of Exeter 1994 — 1995
Junior Year Abroad, History
EmblemHealth May 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2012 - May 2013
Cognizant Technology Solutions June 2009 - May 2013
CareFirst BlueCross BlueShield April 2011 - November 2012
WellPoint June 2009 - March 2011
Skills
Management Consulting, Data Management, Software Quality..., Teradata, Data Mapping, PMP, PMO, Business Analysis, Project Delivery, Global Delivery, MS Project, Waterfall, Software Project..., Vendor Management, Resource Management, Offshoring, Business Requirements, Requirements Gathering, SDLC, Requirements Analysis, Project Management, Visio, Program Management, IT Strategy, Process Improvement, Integration, Business Process..., Management
Education
Florida Metropolitan University
MBA, Major In Genral Management
St Marks School
University of Delhi
Bachelor of Commerce (B.Com.) Hon, Business
Career Services Center January 2015 - Present
Pfizer May 2015 - August 2015
Phillips Collection April 2015 - April 2015
EmblemHealth June 2014 - August 2014
High Point University Library September 2013 - May 2014
EmblemHealth June 2013 - August 2013
Cohen's Bagels Company May 2010 - December 2012
Skills
Leadership, Time Management, Global Operations, Strategic Planning, Market Analysis, Microsoft Office, Microsoft Excel, Social Media Marketing, Social Networking, Marketing, Community Outreach, Event Planning, Analysis, Social Media, Facebook, Customer Service, Public Speaking
Education
High Point University 2012 — 2016
Bachelor’s Degree, International Business, Chinese, 3.2
East China Normal University 2014 — 2015
Semester Abroad, International Business, 3.65
Daniel Hand High School 2009 — 2012
High School Diploma
EmblemHealth January 2014 - Present
Mount Sinai Health System August 2008 - December 2013
Skills
Financial Analysis, Financial Modeling, Data Analysis, Finance, Analysis, Microsoft Excel, Financial Reporting, Marketing, Leadership, Project Management, Process Improvement, Research, Access, PowerPoint, Management, PeopleSoft Financial, Hyperion Planning
Education
Fordham University - Graduate School of Business Administration 2011 — 2014
Master of Business Administration (MBA), Finance, General
Syracuse University - Martin J. Whitman School of Management 2004 — 2008
Bachelor of Business Administration (BBA), Finance, General
HD Supply July 2011 - Present
EmblemHealth December 2007 - July 2011
USI Insurance Services January 2007 - October 2007
B/E Aerospace January 2006 - January 2007
TEKsystems October 2005 - December 2005
VingCard, Inc October 2004 - October 2005
Skills
ITIL, Six Sigma, Healthcare IT, HIPAA, Horizon, McKesson, Troubleshooting, Active Directory, Citrix, SQL Server, Windows Server, System Administration, Windows 7, Electrical Engineering, VMware, LANDesk, Dameware, Blackberry Enterprise..., Crystal Reports, Remote Support, Desktop Management, Desktop Administration, Desktop Support, DSM, Application Management, Technical Leadership, Business Process..., IP Networking, Configuration Management, IT Service Management, Service Management, Incident Management, Incident Analysis, Technical Writing, Computer Maintenance, Preventive Maintenance, Predictive Maintenance, Regression Testing, Product Life Cycle..., Printers, Wireless Networking, Microsoft Office, Print Management, Technical Support, Help Desk Support, Computer Hardware, Group Policy, Disaster Recovery, IT Management, Service Desk
Education
Florida International University 1998 — 2002
Bachelors of Science, Electrical Engineering
Miami Dade College 1994 — 1998
Associates of Science, Computer Engineering
Miami Norland Senior High School 1993 — 1997
High School Diploma, High School Diploma
Ceridian October 2013 - February 2015
ADP February 2006 - October 2013
Health Net June 2004 - November 2005
WageWorks, Inc November 2000 - December 2003
EmblemHealth July 1998 - November 2000
Health Net March 1993 - July 1998
Cigna February 1985 - March 1993
Skills
The Challenger Sale..., Miller-Heiman Strategic..., How To Get What You..., Human Capital Management, Benefits Administration, Affordable Care Act, Analytics, Healthcare Cost..., Employee Engagement, Sales Management, Sales, Sales Process, Strategic Planning, New Business Development, Account Management, Employee Wellness..., Dependent Verifications..., Leave of Absence..., Salesforce.com, Eloqua, Spending Accounts, Total Rewards Strategies
Education
University of Massachusetts, Amherst
BA, Communications
Golden Gate University
MBA, Management
EmblemHealth January 2015 - Present
Affinity Health Plan August 2011 - December 2014
WellPoint November 2001 - January 2011
TransCore August 2000 - November 2001
VCU 1998 - 2000
Skills
Relational Databases, Data Modeling, Business Objects, Project Management, EDI, ETL, Data Warehousing, Cognos, Requirements Gathering, Business Analysis, Business Intelligence, SDLC, T-SQL, Microsoft SQL Server, Process Improvement, SQL, Visio, Information Technology, Oracle, Crystal Reports, Requirements Analysis, Program Management, Teradata, Business Requirements, SharePoint, Systems Analysis, Healthcare Information..., Data Integration, Integration, Databases, Enterprise Software, Analysis, Testing
Education
Virginia Commonwealth University 1998 — 2000
Master, Information Science
Florida State University 1989 — 1993
Bachelor, Business
EmblemHealth December 2011 - Present
Mackster Corp July 2000 - Present
DIRECTV June 2006 - November 2011
SHVROOM April 2006 - June 2006
Horizon Blue Cross Blue Shield of New Jersey May 2005 - April 2006
IBSOFTSHOPS May 2005 - May 2005
Medco February 2004 - May 2005
Ciaccio Marketing February 2003 - February 2004
Merck - Medco Managed Care LLC February 2001 - February 2003
Paradigm Direct July 2000 - February 2001
Skills
Data Analysis, Project Delivery, Sales, Software Documentation, Project Management, Systems Analysis, Pharmacy Benefit..., Commodity Markets, Securities, Banking, Healthcare Information..., Health Insurance, Business Analysis, Management Consulting, E-commerce, Operations Management, Business Process, IT Operations Management, Service Delivery, SDLC, Vendor Management, Requirements Analysis, Visio, Business Requirements, Sign language..., CRM, Integration, Databases, Analysis, Quality Assurance, Program Management, Testing, Requirements Gathering, Data Center, Change Management, Business Intelligence, Project Planning, PMO, Software Project..., User Acceptance Testing, Management, Enterprise Software, Disaster Recovery, SharePoint, MS Project, Cross-functional Team..., Leadership
Education
Fairleigh Dickinson University
Bachelor of Science (BS), Computer Science, College of Engineering
Urban Health Plan, Inc. November 2014 - Present
EmblemHealth October 2013 - November 2014
Urban Health Plan January 2009 - October 2013
Healthfirst March 2005 - January 2009
Hertz 2001 - 2001
Chisholm-Mingo Group 1999 - 2001
Newsday 1997 - 1999
Children's Health Fund 1995 - 1997
Columbia University Medical Center 1991 - 1995
Seventeen Magazine 1986 - 1990
Skills
Public Relations, Non-profits, Healthcare, Writing, Content Management
Education
Graduate School of Political Management 1989 — 1990
Master's, Political Management
Fordham University 1981 — 1985
Bachelor of Arts (B.A.), Communications
TriZetto Corporation February 2015 - Present
InnovAge HealthCare October 2011 - January 2015
Crum & Forster September 2009 - October 2011
EmblemHealth February 2005 - August 2009
School of Visual Arts 2001 - 2005
Skills
Vendor Management, Contract Negotiation, Team Leadership, Operations Management, Computer Hardware, Purchasing, Inventory Management, Negotiation, Contract Management, Employee Relations, Strategic Sourcing, Security, Budgets, Outlook, Project Management
Education
Fairleigh Dickinson University
Business Admin.
EmblemHealth August 2010 - Present
Make A Wish Foundation of Metro New York March 1997 - Present
Hudson Valley Direct Marketing Association January 2004 - December 2010
Adrea Rubin Marketing May 2008 - December 2008
The Shop-Mariette Himes Gomez July 2007 - November 2007
Hachette Filipacchi Media U.S. August 1987 - December 2006
Education
Fashion Institute of Technology
NCH Healthcare System December 2012 - Present
Focus Health Seminars December 2011 - December 2012
Southwest Resarch November 2010 - December 2011
Medical Associates of Stamford September 2007 - November 2009
Ian Rubins MD PC April 2004 - September 2007
EmblemHealth February 1998 - June 2002
Adecco Group January 1996 - January 1998
CompHealth January 1994 - January 1996
Xerox Corporation January 1989 - January 1994
Jones Apparel January 1987 - January 1989
Skills
Benefits Administration, Process Improvement, Human Resources, Recruiting, Pension Administration, Networking, Start-ups, Medical Records, Medical Terminology, Healthcare, Phlebotomy, Office Management, Employee Benefits, Public Speaking, Health Care Recruiting, EMR, EHR, Microsoft Office, ICD-9, Budgets, HIPAA, Coaching, Insurance, Hospitals
Education
2005 to 2008 Norwalk Community College and Housatonic Community 2005 — 2007
Nursing
New York University 1999 — 2001
Certificate, Human Resources Management
Pace University 1982 — 1987
BS, Marketing
Hinsdale South 1978 — 1981
BS, General
Edison Community College
Nursing
Simply Healthcare March 2014 - Present
Altegra Health June 2013 - February 2014
HAA Preferred Partners/AXA Assistance USA January 2009 - May 2013
EmblemHealth 2000 - 2008
EmblemHealth 2000 - 2008
EmblemHealth 2000 - 2008
Empire Blue Cross Blue Shied 1990 - 1996
Skills
Process Improvement, Quality Assurance, Health Insurance, Operations Management, Change Management, Healthcare, Claims, Call Center, Strategic Planning, Lean Manufacturing, Call Centers, Medicare, Management, Analysis, Project Management, SDLC, Leadership, Business Process..., HIPAA, Cross-functional Team..., Quality Improvement, Managed Care, Six Sigma, Visio, Quality Management, Software Documentation, Vendor Management, Team Building, Medicaid, HMO, Data Analysis, Healthcare Consulting, Claim
Education
BMG 2006 — 2006
Fordham University 1986 — 1990
Bachelor of Arts (B.A.)
Archbishop Molloy
EmblemHealth October 2014 - Present
EmblemHealth Services January 2010 - October 2014
EmblemHealth Services January 2007 - January 2010
Vytra Health Plans April 2002 - December 2006
Vytra Health Plans April 1998 - April 2002
Skills
SDLC, Project Management, PMO, Program Management, Integration, Process Improvement, Business Analysis, Information Technology, Leadership, Cross-functional Team..., Strategy, Business Intelligence, IT Strategy, IT Management, Change Management
Education
Farmingdale State College
Farrell Fritz, P.C. March 2007 - Present
NuTech healthcare Management 2007 - 2012
EmblemHealth 2004 - 2006
Vytra Health Plans 1998 - 2006
Skills
Compliance, Corporate Governance, Healthcare, Contract Negotiation, Mergers, Health Law, healthcare audits;..., Managed Care, Corporate Law, Mergers & Acquisitions
Education
Hofstra University 2001 — 2003
MBA, Management & Finance
Saint John's University School of Law 1987 — 1990
Juris Doctor, Law
EmblemHealth September 2001 - Present
USI Administrators February 1999 - August 2001
Vytra Health Plan October 1994 - February 1999
Bank of America October 1993 - October 1994
Oxford Resources May 1991 - October 1993
Skills
SQL, Access, Oracle, Visio, Databases, Project Management, Vendor Management, SharePoint, Business Intelligence, Analysis, IT Strategy, Change Management
Education
Dowling College 1997 — 2001
Masters, Business/Commerce, General
Rensselaer Polytechnic Institute 1986 — 1990
"B.S. Computer Science"
EmblemHealth May 2013 - Present
EmblemHealth Administrators, an EmblemHealth Company August 2009 - Present
TPW Consulting October 2007 - Present
Assurant Solutions August 1982 - August 2007
Skills
Process Improvement, Conflict Management, Change Management, Cross-functional Team..., Organizational..., Employee Relations, Mentoring, Strategic Planning, Performance Management, Talent Acquisition, Operations Management, Insurance, Project Management, Personnel Management, Leadership Development, Project Planning, Strategy, Team Building, Leadership, Onboarding, Policy, Employee Benefits, Vendor Management, Forecasting, Executive Management, Management, Human Resources, Recruiting, Program Management, Coaching, Employee Engagement, Talent Management, Training
Education
Florida International University 2007 — 2008
MS, Human Resource Management
University of Iowa 1976 — 1978
M.A., Political Science
Southern University and Agricultural and Mechanical College at Baton Rouge 1973 — 1976
B.A., Political Science
EmblemHealth October 2000 - Present
Empire Blue Cross Blue Shield September 1994 - October 2000
Skills
Medicare, Managed Care, HIPAA, Insurance, Medicaid, Health Insurance, Strategic Planning, HMO, Healthcare, Healthcare Information..., Medical Billing, Healthcare Management, Provider Relations, Process Improvement, Claim, Healthcare Industry, Disease Management
Education
Dowling College 1986 — 1990
Perficient April 2015 - Present
Etherios June 2009 - February 2015
SUNY Ulster January 2008 - December 2008
EmblemHealth March 2005 - July 2007
Sybase January 2000 - March 2005
Valley Consultants Inc. February 1995 - January 2000
Skills
Cloud Computing, Force.com, Salesforce.com, Integration, Web Services, SaaS, EAI, Windows, XML, SQL Server, SQL, SDLC, Healthcare, Business Analysis, Scripting, Unix, Java, EDI, C++, Data Integration, System Architecture, Access, Programming, Perl, Visual Basic, Sybase, ERP, Business Process, TCP/IP, Management Consulting, Business Management, HIPAA, Application Development, Technical Architecture, Software Development, Agile, SOA, SOAP, Enterprise Architecture, Business Intelligence, Microsoft SQL Server, Professional Services, IT Strategy, Agile Methodologies, CRM, Consulting, Enterprise Software
Education
Rensselaer Polytechnic Institute 1989 — 1991
State University of New York College at Brockport 1986 — 1988
BS, Computer Science, Mathematics
Dutchess Community College 1984 — 1986
AS, Computer Science
NationsHealth October 2012 - March 2014
Molina Healthcare November 2008 - November 2011
EmblemHealth October 2006 - November 2008
United Insurance Specialist September 1996 - August 2006
Skills
Customer Satisfaction, Call Center Development, Membership Services, Software Project..., NCQA, Project Planning, Plan Implementation, Implementing Processes, SME management, Training &..., Product Development, Client Development, Client Services, Healthcare Compliance, Healthcare Information..., Systems Analysis, Government Affairs, Compliance, Compliance Audits, Government Relations, Government Contracts, Configuration Management, Project Coordination, Operations Management, Healthcare Management, Trizetto Systems / QNXT, Medicaid, Medical Compliance, Claim, Government, Leadership, Healthcare, Quality Improvement, HIPAA, Revenue Cycle, Strategic Planning, Medicare, Training, Program Management, HMO, Healthcare Consulting, Management, Disease Management, EHR, Government Procurement, Health Policy, Healthcare Industry, Physicians, Quality Auditing, Insurance
Education
Florida Atlantic University 2011 — 2012
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Florida Atlantic University 2005 — 2007
Bachelors, Healthcare Policy & Management
Florida International University 1997 — 2000
Bachelor's of Science, Chemistry
EmblemHealth November 2009 - Present
AmeriChoice of NJ/United Healthcare January 2005 - November 2009
EmblemHealth December 2002 - December 2004
Managed Care Consulting Services July 1996 - December 2002
Atlantic Health 1999 - 2002
Corning Franklin Health 1995 - 1996
US Healthcare 1990 - 1995
Overlook Hospital July 1978 - September 1990
Skills
Healthcare, Medicaid, Managed Care, Utilization Management, Physicians, Case Managment, Medicare, Disease Management, Healthcare Management, Healthcare Information..., NCQA, Medicine, Provider Relations, Hospitals, Health Policy, Network Development, HIPAA, Healthcare Consulting, Healthcare Industry, HMO, Revenue Cycle, Quality Improvement, Physician Relations, Medical Education, Clinical Research, Informatics, Inpatient, Internal Medicine, PPO, Credentialing, Medicaid Managed Care, EHR, Case Management
Education
Overlook Hospital FP Residency 1975 — 1978
Board Certification, Family Practice
Drexel University College of Medicine 1971 — 1975
MD, Medicine - Family Practice
Centerlight Health System December 2013 - Present
EmblemHealth January 2010 - December 2013
EmblemHealth January 2008 - January 2010
HIP Health Plan Of New York January 2007 - December 2007
CHIPS Technology Group LLC December 1997 - January 2006
Hofstra University August 1994 - November 1997
Skills
Active Directory, Windows, Security, Business Continuity, VMware, Purchasing, Information Security, Cloud Computing, Network Security, Linux, Business Process Design, Continuous Improvement, Cross-functional Team..., HIPAA, SOX Compliancy, PCI Standards, Gap Analysis, Leadership Development, IT Strategy, IT Operations Management, Network Architecture, Staff Development, CISA, CISSP, Vendor Management, Disaster Recovery, Networking, Operating Systems, Software Documentation
Education
Hofstra University 1992 — 1999
BBA
Alere, Inc. 2012 - Present
WellCare 2005 - 2012
Swiss Re May 2004 - May 2005
HealthMarkets 2001 - 2005
EmblemHealth 1997 - 2001
CIGNA Healthcare 1993 - 1996
Cummings & Lockwood 1991 - 1993
Skills
Medicaid Managed Care, Medicare Advantage, Compliance, Regulatory Affairs, Health Insurance, Legal, Medicaid, Health Care Fraud, HIPAA, Insurance Regulatory, Managed Care, Healthcare, Provider Relations, Claim, Insurance, Leadership, Program Management, Health Policy, Project Management, Government, Healthcare Industry
Education
Fordham University School of Law
Juris Doctor
Lower Merion High School
Wesleyan University
B.A., History
EmblemHealth 2008 - Present
HIP Health Plan of New York 1996 - 2008
Skills
Program Management, Advertising, Medicaid, Medicare, Direct Mail, Marketing Communications, Strategic Planning, Health Policy, Direct Marketing, Account Management, Project Management, Integration, Marketing, Healthcare, Insurance, Copywriting, Digital Marketing, Leadership, Management, Competitive Analysis, Managed Care, Online Advertising, Social Media, Marketing Strategy, Health Insurance, Product Development, Nonprofits, Budgets, Integrated Marketing, Disease Management, Data Analysis, Strategic Partnerships, Analytics, Strategy, Process Improvement, Digital Strategy, Social Media Marketing, Interactive Marketing, Email Marketing
Education
New York University 1992 — 1994
MA, Latin American Studies
Haverford College 1988 — 1992
BA, History
Oyster Bay High School
Anthem May 2015 - Present
EmblemHealth May 2013 - May 2015
Quest Diagnostics June 2012 - May 2013
Thomson Reuters April 2005 - May 2012
FactSet Research Systems October 2004 - April 2005
Thomson Reuters May 2003 - October 2004
Morgan Stanley January 2002 - May 2003
Skills
Mergers, Financial Modeling, Due Diligence, Team Leadership, Leadership Development, Strategic Consulting, Corporate Finance, Financial Analysis, Financial Reporting, Business Strategy, Hyperion Reports, Cognos, Corporate Budgeting, Forecasting, Portfolio Management, Financial Markets, Equities, Investment Banking, Capital Markets, Valuation, Equity Research, Strategic Financial..., Emerging Markets, PeopleSoft, Hedge Funds, Analysis, Mergers & Acquisitions, Private Equity, Competitive Analysis, Bloomberg
Education
Fordham University - Graduate School of Business Administration 2009 — 2012
MBA, Corporate Finance
Fordham University 1999 — 2003
Bachelors Degree, Finance
North Shore-LIJ Health System June 2014 - Present
HealthTronics, Inc. December 2013 - May 2014
Horizon Blue Cross Blue Shield of New Jersey September 2013 - December 2013
EmblemHealth December 2009 - September 2013
United BioSource Corporation November 2008 - May 2009
NetLims June 2007 - November 2008
CGS October 2004 - June 2007
Fuji Photo Film USA, INC July 2002 - October 2004
Ricoh Corporation June 1999 - July 2002
Skills
Visio, SDLC, Process Improvement, Requirements Analysis, PMP, Business Analysis, Project Management, Quality Assurance, Program Management, Vendor Management, PMO, Software Project..., Integration, MS Project, SQL, Six Sigma, Cross-functional Team..., Software Documentation, Requirements Gathering, Software Development, Certified Scrum Master, Testing, SharePoint, Business Process, ITIL, Troubleshooting, Databases
Education
DeVry University
Bachelor of Science, IT Management
DeVry Institute
Associates of Applied Science, Electronics Engineering Technology
Scrum Alliance
Emblemhealth VP for Human ResourcesHIPDecember 1997 - December 2009
Skills
Leadership Development, Recruiting, Organizational..., Employee Engagement, Labor Relations, Employee Benefits, Customer Service, Human Resources, Health Insurance, Microsoft Office, Nonprofits, Organizational..., HIPAA, Healthcare Industry, Policy, Medicare, Benefits Administration, Staff Development, Employee Training, Succession Planning, HMO, Resume Writing, Healthcare, Onboarding, FMLA, Coaching, Talent Management, Strategic Planning, Talent Acquisition, Employee Relations, Team Building, Managed Care, Executive Management, HRIS, Change Management, Performance Management, Medicaid, Leadership, Process Improvement, Program Development, Program Management, Deferred Compensation, PeopleSoft, Non-profits, Project Management, Executive Coaching, PPO, Management, Public Speaking, Training
Education
Georgetown University 2009 — 2009
Certificate, Leadership Coach
Georgetown University 2009 — 2009
Certificate, Leadership Coach
EmblemHealth April 2014 - Present
EmblemHealth December 1992 - April 2014
Skills
Process Improvement, Healthcare, PPO, Medicare, Healthcare Information..., Quality Assurance, HIPAA, Managed Care, Insurance, HMO, Provider Relations, Health Insurance, Medicaid, Healthcare Management, Network Development, Health Policy, Disease Management, Utilization Management, Claims Management, Employee Benefits, Medicaid Managed Care, Healthcare Industry, Claim
Education
Dowling College
Bachelor of Business Administration (BBA), Business Management and Leadership
Dowling College
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
EmblemHealth I.T. DirectorEmblemHealth2002 - 2009
HIP 2001 - 2009
Health Insurance Plan 2001 - 2009
Education
Fairleigh Dickinson University 1986 — 1987
MBA, Executive MBA
Monmouth University 1970 — 1974
BS, Business
The Bronx Defenders November 2013 - Present
APOGEE Media March 2012 - February 2014
Freelance/Contract Graphic Design December 2010 - February 2014
EmblemHealth November 2008 - December 2010
EmblemHealth July 2002 - November 2008
Skills
Data Analysis, User Interface Design, CMS, PHP Frameworks, Project Planning, Research, PhpMyAdmin, Reporting & Analysis, Microsoft Excel, Front-end Development, Development Testing, SQLite, MySQL, PHP, R, Project Management, workflow analysis, Github, Social Media, Social Media Marketing, Graphic Design, Adobe Creative Suite, Graphics, WordPress, InDesign, Web Design, Illustrator, Administrative Support, Mac, Layout, Desktop Publishing, Windows, HTML, Adobe Acrobat, After Effects, OS X, QuarkXPress, Illustration, Adobe Audition, Web Scraping
Education
Fashion Institute of Technology
Bachelor of Arts (BA), Illustration, Grapic Design, Animation
EmblemHealth December 2012 - March 2015
EmblemHealth April 2011 - November 2012
Univest June 2008 - October 2010
Crop Management Strategies Inc. June 2003 - August 2007
Historic Bethlehem Partnership, Inc. January 2007 - May 2007
Skills
Management, Customer Service, Research, History, Databases, Insurance, Commercial Banking, Mortgage Lending, Microsoft Excel, PowerPoint, Process Improvement, Microsoft Office
Education
DeSales University 2004 — 2008
Bachelor of Arts, History
SIFMA November 2014 - Present
Securities Industry and Financial Markets Association February 2013 - October 2014
EmblemHealth November 2011 - January 2013
New York Mets October 2005 - November 2011
JCDecaux August 2004 - October 2005
Amalgamated Bank June 2001 - August 2004
Amalgamated Bank February 2000 - June 2001
Century 21 Department Stores 1998 - February 2000
Skills
HRIS, Employee Benefits, Employee Relations, System Administration, Human Resources, Benefits Administration, Onboarding, Recruiting, Interviews, Payroll, Applicant Tracking..., FMLA, PeopleSoft, Talent Acquisition, Deferred Compensation, Employee Engagement, Outlook, Coaching, ADP Payroll, College Recruiting, Labor Relations, Employment Law, Talent Management, New Hire Orientations
Education
Fordham University 1995 — 1999
Economics, Business Concentration
EmblemHealth June 1995 - Present
MetLife December 1991 - June 1995
Skills
Compliance, Claims, Insurance, Analysis, Health Insurance, Research, Claim, Healthcare, Claims Resolution, HIPAA, Managed Care, Healthcare Consulting, PPO, Customer Service, Network Development, Claims Management, Commercial Insurance, HMO, Property & Casualty..., Medicare, Access, Team Building, Healthcare Information..., Process Improvement, Workers Compensation, Strategic Planning, Auditing, Long-term Care, General Insurance, Provider Relations, Claims Handling, Change Management, Outlook, Benefits Administration, Medicaid, Brokers, Employee Benefits, Root Cause Analysis, Healthcare Industry
Education
Long Island University, C.W. Post Campus 1990 — 1991
Farmingdale State University of New York 1988 — 1990
Associate's degree, Business Administration and Management, General
AdvantageCare Physicians September 2013 - Present
EmblemHealth September 2011 - September 2013
MedAssurant October 2007 - May 2011
Montefiore CMO 2001 - 2006
Education
Duke University
MHA, Health Administration
Fairfield University
BS, Biology
Eastern Ky Animal Rescue 2009 - Present
EmblemHealth 2000 - 2013
QP Group 1998 - 2000
Verizon 1995 - 1998
NBCUniversal, Inc. 1980 - 1995
Skills
Negotiation, Strategic Sourcing, Procurement, Supply Management, Management, Supply Chain Management, Contract Negotiation, Strategic Planning, Sourcing, Global Sourcing, Vendor Management, Supply Chain, Purchasing, Change Management, Cross-functional Team..., Leadership, Contract Management, Process Improvement, Outsourcing, Program Management, Budgets, Inventory Management, Strategy, Logistics, SAP, Business Process..., Project Planning, Business Strategy, Team Building, Process Engineering, Training, Management Consulting, Continuous Improvement, Business Transformation, Team Leadership, Project Management, Coaching, Analysis, Organizational Design, Manufacturing, Operations Management, Mergers & Acquisitions, Forecasting, Spend Analysis, Business Planning, E-procurement
Education
Drexel University
Bachelor of Applied Science (B.A.Sc.), Marketing
EmblemHealth May 2014 - Present
Liberty Travel February 2013 - April 2014
SCO Family of Services September 2009 - January 2014
United Building Maintenance Group, Inc. September 2011 - November 2012
Pfizer June 2010 - June 2011
Mutual of America April 2008 - November 2009
BNY Mellon December 2006 - April 2008
UBS January 2006 - December 2006
Skills
Accounting, Auditing, Compliance SOX, FINRA, Taxations, ACL, Sarbanes-Oxley Act, Internal Audit, Tax, Internal Controls, Access Lists, Finance, Management, Risk Management, Account Reconciliation, Payroll, Financial Analysis
Education
Fordham University 2003 — 2005
BS, Accountant
State University of New York at Albany 2001 — 2003
Accounting
Gillespie Health Strategies LLC January 2015 - Present
AdvantageCare Physicians, P.C. October 2012 - December 2014
EmblemHealth March 2009 - December 2014
UnitedHealth Group January 2007 - March 2009
UnitedHealth Group March 2005 - January 2007
Kaiser Permanente March 1982 - June 2002
Skills
Medicare, Healthcare, Medicaid, Healthcare Management, Disease Management, Healthcare Information..., Managed Care, Healthcare Consulting, Utilization Management, Strategic Planning, Clinical Research, HIPAA, Health Policy, Healthcare Industry, Hospitals
Education
Harvard Business School 2000 — 2000
Advanced Management Program, Business Administration and Management, General
Stanford University Graduate School of Business 1986 — 1986
Kaiser Permanente Executive Program, Business, Management, Marketing, and Related Support Services
University of Virginia School of Medicine 1973 — 1976
MD, Medicine
Wesleyan University 1969 — 1973
BA, Biology
UnitedHealthGroup/Optum/State of Vermont July 2014 - July 2015
EmblemHealth June 2011 - March 2014
IDEXX Laboratories January 2009 - June 2011
CareFirst BlueCross BlueShield 2006 - 2008
Freelance Graphic Design Services 2000 - 2007
HUD 2005 - 2006
Merrill Lynch 2003 - 2005
Skills
Software Quality..., Testing, Test Planning, Quality Assurance, Quality Center, Test Automation, QTP, Manual Testing, System Testing, Test Cases, Unix, Automation, Regression Testing, Performance Testing, Test Management, Test Lead
Education
CUNY New York City College of Technology
Bachelor's Degree, Computer Systems Technology (Enrolled)
CUNY New York City College of Technology
Associate's Degree, Communication & Advertising Design
EmblemHealth June 2012 - Present
NationsHealth July 2011 - June 2012
NationsHealth January 2011 - June 2011
NationsHealth March 2010 - January 2011
NationsHealth August 2008 - March 2010
NationsHealth May 2006 - August 2007
Carnival Cruise Lines 2004 - 2005
Skills
Healthcare, Operations Management, Process Improvement, Team Building, Budgets, Medicare, Insurance, Strategic Planning, Customer Service, Recruiting, Forecasting, Microsoft Excel, Inventory Management, Leadership Development, HIPAA, PowerPoint, Health Insurance, Training, Leadership, Software Documentation, Call Centers, Customer Satisfaction, Performance Management, Management, Vendor Management, Program Management, Analysis, Project Management
Education
Nova Southeastern University 2008 — 2010
MBA
Francis Marion University 2002 — 2004
B.A., Management
Spartanburg Methodist College 2000 — 2002
AA, Accounting
EmblemHealth March 2014 - June 2015
EmblemHealth January 2011 - March 2014
CAPITAL ONE BANK, (Formerly North Fork Bank) January 2005 - April 2010
Capital One Bank January 2000 - January 2005
JPMorgan Chase January 1999 - January 2000
JPMorgan Chase January 1996 - January 2000
JPMorgan Chase January 1996 - January 1999
Skills
Call Centers, Leadership, Management, Strategy, Banking, Credit, Coaching, Training, Customer Satisfaction, Cross Selling
Education
Hofstra University
MarketShare April 2015 - Present
LiveAmerican Organization June 2011 - Present
Securities Industry and Financial Markets Association (SIFMA) August 2014 - September 2014
EmblemHealth June 2012 - August 2012
Skills
Stata, Statistics, Mac OSX, AutoCAD, Data Analysis &..., Matlab, Mathematica, Microsoft Excel, Microsoft Office, Windows XP/7, Quantum Mechanics
Education
Harvard University 2010 — 2014
Bachelor's Degree, Economics
JPMorgan Chase & Co. January 2015 - September 2015
EmblemHealth March 2013 - January 2015
Marsh & McLennan Companies November 2013 - March 2014
Mindspark Interactive Network, Inc. February 2011 - October 2012
RealNetworks March 2008 - February 2011
Dennis Earl Hardy, Inc. 2001 - January 2008
Entrepreneur - Risk Management Consultant 1994 - 2000
United States Army Reserve October 1984 - September 1992
Skills
Business Intelligence, Data Warehousing, SDLC, ETL, SQL, Management, Database Design, Leadership, Business Analysis, Data Modeling, Software Documentation, Analytics, Data Analysis, Master Data Management, Integration, Data Integration, Data Quality, MySQL, Requirements Gathering, Dashboard, DWBI, Business Analytics, Web Analytics, KPI Reports, IT Strategy, Dimensional Modeling, Oracle, Technical Recruiting, Performance Tuning, Oracle SQL Developer, Toad, Microsoft Excel, Big Data, Tableau, MPP, ParAccel, PL/SQL, Strategy, Enterprise Architecture, Vendor Management, Strategic Planning, Program Management, Databases, Requirements Analysis, PostgreSQL
Education
Villanova University 2011 — 2011
Graduate Certificate
University of San Francisco 2011 — 2011
Graduate Certificate
Oracle University
Andrew Jackson University 2006 — 2008
Completed Courses in Master of Business Administration (MBA) Program
The American College 1994 — 1994
Graduate Certificate
Excelsior College 1990 — 1993
Bachelor of Science (BS)
Monroe Community College 1977 — 1978
EmblemHealth November 2011 - Present
EmblemHealth January 2006 - November 2011
HIP January 2004 - December 2005
HIP April 2002 - January 2004
HIP April 2001 - April 2002
Horizon Blue Cross Blue Shield of New Jersey January 1991 - April 2001
Skills
Microsoft Excel, Outlook, PowerPoint, Microsoft Word, Minitab, Visual Basic, Process Improvement, Visio, Access, Leadership, Health Insurance, Insurance, Six Sigma, Change Leadership, Lean Transformation, Business Process..., Critical Thinking, Medicare, Change Management, Business Transformation, Healthcare
Education
Drew University
BA, Political Science
EmblemHealth Business Relationship ManagerEmblemHealthOctober 2013 - Present
EmblemHealth June 1999 - September 2013
GHVFHC 1999 - 2010
GHI 1994 - 1999
HV Renegades 1994 - 1994
Skills
Healthcare, Health Insurance, Insurance, Employee Benefits, Disability Insurance, Medicare, Life Insurance, Underwriting, Term Life Insurance, Brokers, Dentistry, Long-term Care, Fixed Annuities, Workers Compensation, Leadership, Sales, Customer Retention, Property & Casualty..., Accident, Health Savings Accounts, Claim, Commercial Insurance, Marketing, Executive Management, Recruiting, Medicare Part D, Selling, Call Centers, HIPAA, Management, Medicaid, Healthcare Industry, HMO, Strategic Planning, Managed Care, Team Building, Sales Management, New Business Development, Account Management, Small Business, Public Speaking, Process Improvement, Customer Service, Training, Business Development, Program Management
Education
Farmingdale State University of New York 1974 — 1976
Associate's degree, Business Administration and Management, General
SUNY Farmingdale 1974 — 1976
Business
Valley Central HS 1970 — 1974
Regions, Business
EmblemHealth April 2011 - Present
H&R Healthcare Ltd September 2009 - July 2010
Barnabas Health November 2000 - September 2009
Education
Florida Institute of Technology 2009 — 2011
Master of Business Administration (MBA), Health/Health Care Administration/Management
Quinnipiac University 1990 — 1994
Bachelor of Arts (BA), Psychology
Optum Health January 2012 - Present
EmblemHealth 2005 - 2011
Education
SUNY Ulster 2011 — 2012
East Stroudsburg University of Pennsylvania
Special Education
EmblemHealth 2000 - Present
Skills
Visio, Healthcare, Healthcare Information..., Data Analysis, SDLC, Access, Business Analysis, HIPAA, Data Warehousing
Education
Florida Atlantic University 2007 — 2009
Bachelors, Criminology, Sociology, Health Services
US Navy February 2012 - December 2013
CareMore Health Plan September 2012 - December 2012
EmblemHealth May 2006 - August 2012
EmblemHealth April 2006 - August 2012
Elderplan 2001 - 2006
Skills
First Responder, Healthcare, Healthcare Management, Credentialing, Medicaid, Medicare, Team Building, Managed Care, Hospitals, Network Development, Outlook, Customer Service, Policy, Government, Leadership, Health Policy, Utilization Management, Data Analysis, Revenue Cycle, HIPAA, Public Health, Data Entry, Program Management, Disease Management, HMO, Provider Relations, PPO, Strategic Planning, Healthcare Industry, Insurance, Contract Negotiation, Training, Management, Software Documentation, Process Improvement, Leadership Development, Access, Public Speaking, Health Insurance, Employee Training, Healthcare Consulting, JCAHO, Quality Improvement
Education
Excelsior College 2010 — 2012
BA
EmblemHealth 2006 - Present
HIP Administrators 2002 - 2006
HIP Administrators 2001 - 2002
HIP Administrators 2000 - 2001
Pediatric Associates, South Florida 1999 - 1999
Williams Pediatrics 1991 - 1999
Skills
Healthcare, Healthcare Information..., Strategic Planning, Leadership, Research, Change Management, Health Insurance, Medical Billing, Claim, Microsoft Excel, Managed Care, Medicaid, Medicare, HIPAA, Provider Relations, Healthcare Industry, Training, Healthcare Management, Revenue Cycle, Health Policy, ICD-9, Healthcare Consulting
Education
Florida International University
Master in Science, Adult Education
Breakthrough Management Group
Six Sigma Yellow Belt
Pontificia Universidad Católica del Perú
Licenciada en Educacion
Pontificia Universidad Católica del Perú 1978 — 1982
Bachelor of Arts, School of Education
UnitedHealth Group March 2009 - Present
EmblemHealth March 1981 - February 2009
Education
Fordham University
B.S., Economics
Long Island University, C.W. Post Campus
M.B.A., Business
EmblemHealth January 2012 - Present
Columbia University in the City of New York July 2008 - December 2011
PEPSI BOTTLING GROUP January 2007 - July 2008
Institute of Internal Auditors, NY Chapter July 2000 - September 2007
AXA Equitable July 2000 - October 2006
INSURANCE SERVICES OFFICE May 1998 - July 2000
NYC OFFICE OF THE COMPTROLLER August 1986 - May 1998
Skills
Compliance, Auditing, Event Management, Event Planning, Building Relationships, Strategic Planning, Project Management, Negotiation, Marketing Strategy, Brand Management
Education
Hofstra University
BBA, Accounting
Syracuse University, Division of International Programs Abroad
General Studies
EmblemHealth December 2010 - Present
EmblemHealth January 2010 - November 2010
GHI, Inc October 1999 - December 2009
GHI June 1994 - October 1999
GHI November 1989 - June 1994
Skills
Visio, Insurance, Process Improvement, Access, Customer Service, Project Management, Health Insurance, Microsoft Excel, Medicare, Microsoft Office, Provider Relations, PowerPoint, Outlook, Microsoft Word, Change Management, Healthcare, Call Centers
Education
CUNY York College 1973 — 1978
Bachelor of Science (B.S.), Medical Technology, Physical Sciences
Atlas Copco USA May 2014 - February 2015
EmblemHealth July 2006 - October 2013
Yamanouchi Pharma America September 2002 - September 2005
Pharmacia 2000 - 2003
Skills
XP, Windows 7, Project Management, Help Desk Support, Vendor Management, Active Directory, Group Policy, Microsoft SQL Server, Network Administration, Norton Ghost, Blackberry Enterprise..., Visio, Microsoft Exchange, Windows Server, Troubleshooting, Process Improvement, Disaster Recovery, ITIL, IT Management, Information Technology, Outlook, SharePoint, System Administration, IT Service Management, IT Operations, Technical Support, VMware, Incident Management, Software Documentation, Citrix, Windows XP
Education
DeVry University
EmblemHealth July 2007 - Present
Bookspan March 2005 - July 2007
Crossroad Publishing January 2003 - March 2005
Skills
Direct Marketing, Marketing Strategy, Email Marketing, Marketing Communications, Marketing, Social Media, Brand Development, Advertising, Strategic Planning, Web Analytics, Brand Management, Digital Strategy, Digital Marketing, Integrated Marketing, Newsletters
Education
Baruch College
MBA, International Marketing
Fordham University
BA, Psychology
BD December 2012 - Present
ADP June 2011 - December 2012
EmblemHealth May 2009 - April 2010
Skills
SQL, MySQL, Windows Server, Active Directory, Linux, JavaScript, XML, PHP, HTML, CompTIA A+ Certification, CompTIA Network+..., Security+, Iptables, ActiveSync, Privileged Identity..., Two-factor..., RADIUS
Education
New Jersey Institute of Technology 2013 — 2013
Master's degree, IT Administration and Security
New Jersey Institute of Technology 2010 — 2012
Bachelor of Science, Information Technology
Essex County College 2007 — 2009
Associate of Science (A.S.), Computer Information Systems
EmblemHealth May 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2009 - August 2010
Horizon Blue Cross Blue Shield of New Jersey March 2008 - August 2009
Horizon Blue Cross Blue Shield of New Jersey June 2007 - March 2008
Guardian Life Insurance Company of America September 2006 - June 2007
Lenox Hill Hospital 2003 - 2005
Skills
Software Documentation, Process Improvement, Business Process..., Training, Leadership, Analysis, Integration, Management, Performance Management, Call Centers, Team Leadership, Testing, Budgets, Forecasting, Strategic Planning, Customer Satisfaction, Business Development, Enterprise Software, Customer Service, Healthcare, Managed Care, Health Insurance, Medicare
Education
CUNY New York City College of Technology 1999 — 2004
Bachelor of Technology (BTech), Computer and Information Sciences and Support Services
EmblemHealth January 2015 - Present
EmblemHealth May 2013 - January 2015
Horizon Blue Cross Blue Shield of New Jersey October 2009 - November 2010
Northeast NJ Legal Services January 2009 - October 2009
Harambee Comm. Dev January 2008 - June 2008
Booz Allen Hamilton August 2007 - December 2007
Morgan Stanley August 2006 - February 2007
Skills
Microsoft Word, Spanish, Software Documentation, Copy Editing, Customer Service, Proposal Writing, Content Management, Adobe Acrobat, Marketing, Data Entry, Blogging, Social Networking
Education
New Jersey Institute of Technology 2013 — 2013
Graduate Certificate, Professional, Technical, Business, and Scientific Writing, A
Essex County College 2005 — 2013
Health Information Technology Consultant, Health Information/Medical Records Technology/Technician
Mount Holyoke College 2002 — 2006
Bachelor of Arts, Spanish and English Literature, B+
EmblemHealth September 2015 - Present
EmblemHealth September 2012 - Present
PricewaterhouseCoopers April 2002 - September 2012
EP&P Consulting August 2000 - July 2001
New England Medical Center January 1998 - May 2000
Skills
SAS programming, Data Analysis, Modeling, Microsoft Excel, Access, Visual Basic, Microsoft Word, Lotus Notes, Medicare Part D, Medicare/Medicaid..., Medicaid Managed Care, Health Policy, Medicare Compliance, Managed Care, Healthcare, HIPAA, Insurance
Education
Harvard School of Public Health 1998 — 2000
Master of Science (M.S.), Health Policy and Management
The Johns Hopkins University 1992 — 1996
Bachelor of Arts (B.A.), Chemistry
EmblemHealth October 2014 - December 2014
MARSYS February 2012 - September 2014
NCR Corporation August 2007 - February 2012
Skills
Virtualization, IIS, Active Directory, Disaster Recovery, Microsoft SQL Server, HTML, Technical Support, Servers, Data Center, VMware ESX, Software Installation, SharePoint, Troubleshooting, HP, System Administration, JavaScript, Dell PowerEdge Servers, SiteScope, Linux System..., Cloud Applications, VMware ESXi Server, Network Administration, OSPF, EIGRP, Remote Administration, KVM Switches, HP Servers, Dell Servers, Drupal, Dreamweaver, LDAP Administration, Email Hosting, POS, CompTIA A+ Certification, CompTIA Network+..., VPN, CompTIA A+, Hosted Microsoft..., cPanel, WordPress, Web Design, Website Administration, SEO
Education
Hodges University 2006 — 2010
Bachelor of Science (B.S.), Computer Information Technology, 3.87
New Horizons
Amerigroup November 2012 - Present
Visiting Nurse Service of New York May 2012 - November 2012
EmblemHealth January 2012 - May 2012
Education
Long Island University, Brooklyn Campus 2010 — 2012
Bachelor's degree, Nursing Science
CUNY New York City College of Technology 2008 — 2009
Self-employed July 2012 - Present
EmblemHealth March 1997 - July 2012
US Healthcare 1987 - 1997
Skills
Consulting, IT Strategy, Business Process..., IT Management, Operations Management, Acquisition Integration, Due Diligence, IT Solutions, Business Intelligence, Information Technology, Network Administration, IT Operations, Vendor Management, Roadshows
Education
Delaware Valley College
Information Technology
EmblemHealth May 2011 - Present
WebMD November 2009 - April 2011
Skills
Quality Center
Education
York College 2011 — 2015
Bachelor's Degree, Computer Science, 3.24
EmblemHealth June 2013 - Present
EmblemHealth August 2010 - June 2013
Skills
Claim, Health Insurance, Insurance, Medicare, Employee Benefits
Education
Elmira College 1993 — 1997
Bachelor of Science (B.S.), Social Science/Criminal Justice