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
TriZetto, A Cognizant Company September 2014 - Present
EmblemHealth July 2013 - August 2014
State of New Jersey April 2012 - June 2013
State of New Jersey June 2011 - April 2012
Healthfirst June 2008 - April 2011
Skills
Policy, Government, Public Relations, Public Speaking, Training, Public Policy, Policy Analysis, Strategic Communications, Media Relations, Nonprofits, Research, Local Government, SQL, VBA, SPSS, Business Analysis, Pricing Analysis, Analysis, Databases, Data Warehousing, Medicare/Medicaid..., Healthcare Reimbursement, Commercial Insurance, Microsoft Office, Access, Visio, Microsoft Excel, Facets, Business Process, SDLC, Strategic Planning, Team Leadership, Quality Assurance, Customer Service, Documentation, Sybase, Web Services, SoapUI, Claims, UM, Accounting, Management, Project Management, Integration, Testing, Business Strategy, Requirements Analysis
Education
Nova Southeastern University 2013 — 2014
Graduate Certificate, Business Intelligence and Analytics
Nova Southeastern University 2011 — 2014
Master's Degree, Public Administration
Kean University 2005 — 2009
Bachelor's Degree, Finance
Cisco September 2015 - Present
Cisco May 2015 - August 2015
EmblemHealth June 2014 - August 2014
Montvale Swim Club June 2013 - August 2013
Self Employment September 2010 - August 2013
Westwood High School Baseball Summer Camp June 2006 - July 2010
Skills
PowerPoint, Teamwork, Project Management, Data Analysis, Time Management, Microsoft Excel, Problem Solving, Macintosh Applications, Microsoft Word, Business Strategy, Corporate Social..., Mobile Product..., Acquisition Integration, Research, Process Improvement
Education
University of Wisconsin-Madison - School of Business 2012 — 2016
Bachelor of Business Administration (B.B.A.), Operations & Technology Management; Supply Chain Management
John Cabot University 2015 — 2015
Study Abroad
Pascack Hills High School 2008 — 2012
Walmart December 2013 - Present
Florida medical Center October 2001 - Present
Cleveland Clinic April 2013 - June 2013
Walgreens November 2012 - January 2013
EmblemHealth October 2007 - December 2012
Spirit Airlines March 2003 - October 2007
Consolidated credit counseling 2000 - 2001
Skills
Customer Service, Microsoft Word, Microsoft Excel, Outlook, PowerPoint, Pharmacy Technicians, Data Entry, Pharmacueticals, Medical Terminology, Prescription, IV, Pharmacy, Cpr Certified, Pharmacy Automation, Medicare Part D, CPR Certified, Medication Therapy..., Pharmacy Benefit..., Healthcare, Pharmaceutical Industry
Education
McFatter Technical Center 2012 — 2013
Certificate, Certified Pharmacy Technician, A
High School # 5 1978 — 1988
High School Diploma, General Education, 4.0
EmblemHealth July 2014 - February 2015
Polen Capital Management November 2011 - February 2012
Prudential Financial Services January 2011 - July 2011
Franklin Templeton Investments January 2002 - September 2009
Fiduciary Trust Company May 1985 - January 2002
Skills
Equities, FX Options, Investment Banking, Bonds, Settlement, Account Reconciliation, International Trade, Bloomberg, Investments, Fixed Income, Mutual Funds, Portfolio Management, Finance, Securities
Education
LaGuardia Community College 1988 — 1990
Associate of Science (AS), Computer Science and programming
ADP February 2013 - Present
ADP November 2010 - January 2013
EmblemHealth February 2009 - October 2010
United Health Group 2005 - January 2009
Skills
Informatica, Datastage, PL/SQL, Data Modeling, ETL, AIX, SQL Server, Cognos, Databases, HP-UX, Data Warehousing, Data Integration, Business Intelligence, Unix, Salesforce.com, Microsoft SQL Server, DB2, Oracle, Data Marts, Requirements Gathering, Data Architecture, Solaris, Master Data Management, Business Intelligence..., DataStage
Education
Illinois Institute of Technology 2004 — 2006
Masters, Computers and Electronics
Jawaharlal Nehru Technological University 1999 — 2003
Bachelor of Technology, Electronics and Communications
Con Edison September 2014 - Present
EmblemHealth July 2011 - September 2014
Department of health and human services, Lincoln, Nebraska March 2010 - May 2011
City of San Antonio March 2009 - December 2009
Nepal July 2005 - February 2008
Skills
Analysis, Business Analysis, Business Intelligence, Management, Program Management, Project Management, Requirements Analysis, SDLC, Team Management, Vendor Management, Business Process, Business Process..., Visio
Education
Kathmandu University 2003 — 2005
Master of Business Administration (MBA), Banking and Financial Support Services
Sri Sathya Sai Institute of Higher Learning 2000 — 2002
Master's degree, Life science and biotech
Sri Sathya Sai Institute Of Higher Learning 1997 — 2000
Bachelor's degree, Life science and biotech
EmblemHealth February 2014 - Present
WellCare Health Plans March 2013 - February 2014
Brown Brothers Harriman June 2011 - February 2013
Benefits Administrators & Consultants March 2011 - May 2011
Skills
Management, Quality Assurance, Strategic Planning, Customer Service, Business Analysis, Financial Analysis, Financial Modeling, Risk Management, Process Improvement, Analysis, SDLC, Access, Business Requirements, Requirements Gathering, Visio
Education
Metropolitan State University of Denver 2010 — 2012
Bachelor of Science (B.S.), Finance, General
Lindenwood University 2008 — 2010
Nippon Life Benefits October 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2013 - October 2015
EmblemHealth October 2006 - December 2012
Cantor Fitzgerald January 2006 - October 2006
Skills
Underwriting, Employee Benefits, Health Insurance, Medicare, Financial Analysis, Claims Management, Strategic Planning, Finance, Negotiation, Brokers, Account Management, Risk Management, Financial Risk, Health Savings Accounts, Commercial Lines, Actuarial Science, Insurance, Sales, Managed Care, Microsoft Excel, Workers Compensation, Health Care Reform, Claim, Disability Insurance, Life Insurance
Education
Saint Peter's University 2013 — 2015
Master of Business Administration (MBA), Concentrations in Risk Management and Finance, 4.0
Iona College 2001 — 2005
BS, Finance
John Wiley and Sons September 2014 - Present
Jefferson Quality Assurance, Inc. November 2000 - Present
HBO June 2011 - August 2014
EmblemHealth February 2009 - May 2011
Comcast October 2008 - January 2009
Group RCI October 2007 - September 2008
GHI June 2007 - September 2007
Barnes & Noble March 2007 - May 2007
Comcast March 2006 - February 2007
UBS July 2006 - September 2006
Skills
LoadRunner, Performance Center, Quality Center, QTP, C++, Siebel, SDLC, Test Planning, Testing, User Acceptance Testing, System Testing, Test Automation, Test Management, Quality Assurance, Software Quality..., Agile Methodologies, Project Management, Oracle, Performance Testing, Performance Tuning, Performance Engineering, Software Project..., Software Documentation, Databases, Regression Testing, Visio, Unix, Integration, Web Services, XML, Microsoft SQL Server, SQL, .NET, Test Cases, Manual Testing, HP QTP, HP Quality Center
Education
Howard University 1989 — 1992
B.S., Zoology-Pre-Med
EmblemHealth June 2004 - Present
EmblemHealth 2004 - 2013
QuikTrip August 2002 - April 2004
Skills
Enrollments, Customer Service, Computers, Web Applications, Health Insurance, Training, Retail Sales
Education
Kingsborough Community College 1996 — 1998
Associate of Arts and Sciences (AAS), Computer Science
Long Island Care Center Inc May 2015 - Present
EmblemHealth July 2013 - May 2014
Skills
Clinical Research, Customer Service, EMR, HIPAA, Healthcare, Healthcare Information..., Healthcare Management, Hospitals, Managed Care, Medicare, Microsoft Excel, Nursing, Patient Safety, Process Improvement, Health Insurance, Team Building, Medical Terminology, BLS, Healthcare Consulting, Home Care, CPR Certified, Medical Billing
Education
LaGuardia Community College
Emblem Health 2006 - Present
EmblemHealth August 2002 - January 2006
Videolab Cassette September 2000 - June 2002
Delicious Subs June 1994 - September 1999
Skills
Process Improvement, Business Analysis, Customer Service, Team Building, Microsoft Excel, Data Analysis, Microsoft Word, Microsoft Office, Outlook, Strategic Planning, Analysis, PowerPoint, Project Management, Public Speaking, Social Media, Leadership Development, Event Planning, Employee Relations, Coaching
Education
New York University 2000 — 2000
Certificate, Multimedia Design and Production
Kean University 1986 — 1991
Bachelor of Arts (B.A.), Communications
NFP April 2015 - Present
Willis February 2014 - April 2015
EmblemHealth January 2011 - February 2014
Skills
Financial Analysis, Microsoft Excel, Employee Benefits, Insurance, Access, Account Management, Risk Management, Data Analysis, Health Insurance, Process Improvement, Disability Insurance, Financial Modeling, Outlook, PowerPoint, Strategic Financial..., Underwriting
Education
Hofstra University 2006 — 2010
Bachelor's of Science, Business Economics
Independent Pharmacies August 2010 - Present
PharmMD December 2014 - Present
EmblemHealth November 2012 - December 2014
dailyRx November 2011 - November 2012
Pfizer June 2010 - August 2011
Duane Read Pharmacy December 2006 - March 2010
The Falk Group September 2009 - October 2009
Pfizer Inc June 2009 - August 2009
Memorial Sloan Kettering Cancer Center July 2004 - September 2006
Skills
Pharmacy Operations, Clinical Trials, Medical Writing, Pharmacy Automation, Pharmaceutical Industry, Oncology, Pharmacy, Medical Communications, Pharmacists, Patient Education, Disease Management, Healthcare, Medical Education, Drug Safety, Medical Affairs, Managed Care, Pharmacy Practice, FDA
Education
Long Island University, Brooklyn Campus 2006 — 2010
Doctor of Pharmacy
Baruch College, CUNY, Honors CollegeNew
B.A, Biology
Long Island University - Arnold & Marie Schwartz College of Pharmacy
Doctor, Pharmacy
Long Island University - Arnold & Marie Schwartz College of Pharmacy
Doctor of Pharmacy
EmblemHealth June 2009 - Present
Deloitte & Touche December 2003 - June 2009
Bear Stearns June 2001 - December 2003
Education
Loyola College in Maryland 1997 — 2001
BBA, Accounting
EmblemHealth August 2012 - Present
American Express July 2005 - April 2010
American Express May 2003 - July 2005
American Express June 2000 - May 2003
American Express February 1997 - May 2000
El Al Israel Airlines October 1994 - February 1997
Skills
Six Sigma, Business Transformation, Customer Experience, Training Delivery, Project Management, Building Relationships, Innovation and change, Employee Development, Cost Reduction, Vendor Management, Performance Management, Process Improvement, Cross-functional Team..., Customer Satisfaction, Coaching, Training, CRM, Business Analysis, Relationship Management, Recruiting
Education
Jamnalal Bajaj Institute of Management Studies 1999 — 2002
MBA, Human Resources
R D National College 1988 — 1992
Bachelor of Science, Physics
Empire Roofing of Tennessee October 2012 - Present
Assurnet Insurance Agency July 2011 - October 2012
EmblemHealth 2004 - 2010
Anthem 1992 - 2003
Skills
Accounting Operations, Controllership Functions, Decision Support, Statutory Accounting, Financial Reporting, Account Reconciliation, Profit & Loss Management, Budget Forecasts, Budget Management, Acquisition Integration, Budget Process, Cash Management, Monthly Close Process, Key Performance..., Mergers & Acquisitions, Performance Measurement, Strategic Leadership, Planning Budgeting &..., Organizational..., Internal Controls, Regulatory Compliance, Cost Reduction, Financial Services, Insurance, Financial Planning, Cross-functional Team..., Health Insurance, Leadership, Employee Benefits, Management, Strategic Planning, Financial Analysis, Team Building, Customer Service, Life Insurance, Accounting, Strategic Financial..., Business Process..., Underwriting, New Business Development, Business Strategy, Process Improvement, Business Planning, Shared Services, Start-ups, Contract Negotiation, Disability Insurance, Finance, Sales, Budgets
Education
Lehigh University - College of Business and Economics 1974 — 1979
BS, Business and Economics, Accounting and Finance
EmblemHealth October 2007 - Present
EmblemHealth April 2004 - October 2007
EmblemHealth September 1996 - January 2000
Education
Hudson Valley Community College
EmblemHealth June 2013 - Present
Cadwalader, Wickersham & Taft LLP November 2001 - May 2013
HP- COMPAQ COMPUTER CORP May 2000 - November 2001
H.STERN JEWELLERS March 1999 - May 2000
Skills
Disaster Recovery, SAN, EMC Storage, Windows Server, VMware ESX, Storage, VMware, System Administration, Software Documentation, Symmetrix, vSphere, Business Continuity, Virtualization, Netbackup, RecoverPoint, Backup Solutions, VNX, Clariion, EMC Celerra, F5 ARX, EMC SAN Administration, VMware 4.x, 5.1, IBM Servers, Data Domain, Storage Virtualization, VMAX, Isilon, VCE™ Certified..., EMC Networker 8.1, Avamar 7.x, Active Directory, Citrix, Data Center, Vendor Management, VMware vSphere, Troubleshooting
Education
EMC Education Services 2006 — 2012
Certification, Symmetrix, Clariion, VNX Management, Avamar, Recover Point, Data Domain Implementation and Management
Pace University-New York 2002 — 2004
Bachelor of Technology Systems, Information Technology
Kingsborough Community College 1998 — 1999
A.A.S. degree in Applied Science, A.A.S. degree in Applied Science
EmblemHealth October 2001 - Present
SOUNDS 4 LIFE 2000 - Present
SOUNDS 4 LIFE 2011 - 2013
Skills
Microsoft Office, Customer Service, Budgets, Event Planning, Social Media, Event Management, Social Networking, Leadership, Social Media Marketing, DJ, Music, Advertising, Entertainment, Marketing, Marketing Strategy
Education
Long Island University, Brooklyn Campus 1998 — 2003
McGladrey September 2014 - Present
Independence Care System July 2014 - September 2014
Marist College January 2011 - May 2014
Michael Kors June 2013 - August 2013
EmblemHealth June 2012 - August 2013
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Internet, Facebook
Education
Marist College 2010 — 2014
B.A, Psychology/Special Education
Pearl River High School
EmblemHealth October 2011 - Present
EmblemHealth August 2007 - October 2011
Metropolitan Jewish Health System April 2005 - August 2007
Metropolitan Jewish Health System 2003 - 2005
Skills
Provider Contracting, Contract Negotiation, Claim, Revenue Cycle, Quality Improvement, Physician Relations, Team Building, HEDIS, Training, Credentialing, Health Policy, Healthcare Management, Network Development, Healthcare Information..., Provider Relations, PPO, CPT, HMO, Medicaid, Medicare, Medicaid Managed Care, Managed Care, Hospitals, Public Speaking, Health Insurance, Disease Management, ICD-9, Staff Management, Healthcare, Healthcare Consulting, Utilization Management, HIPAA, Insurance, NCQA, Healthcare Industry, Microsoft Office 2007, EMR, Home Care, Medicare Part D, Medical Billing, Medical Terminology, Medicare/Medicaid..., Physicians, JCAHO, Medical Coding, Pharmacy Benefit..., Informatics, Revenue Cycle Management, Provider Network..., Practice Management
Education
Keller Graduate School of Management of DeVry University 2006 — 2008
MBA, Health Care Administration, Project Management
Saint John's University 1992 — 1996
B.S., Health Care Policy & Administration
EmblemHealth January 2013 - Present
EmblemHealth Health Service July 2011 - January 2013
Chem Rx December 2002 - November 2007
Skills
Healthcare, Analysis, Policy, Nonprofits, Medicaid, Program Development, Medicare, Program Management, Access, Training, Management, Case Management, Case Managment, Quality Assurance, Healthcare Management, Managed Care, Healthcare Information..., Insurance, Public Administration, Presentation Skills, Microsoft Office, Organizational..., Non-profit Board...
Education
Long Island University 2012 — 2013
Master’s Degree, Human Resource Management
Hofstra University 2002 — 2007
MHA, Health/Health Care Administration/Management
Hofstra University 2002 — 2007
Bachelor of Arts, Psychology & Philosophy
Healthfirst October 2013 - August 2014
WellPoint June 2010 - September 2013
EmblemHealth March 2001 - June 2010
One Health Plan\Great West Life February 2000 - March 2001
Prudential HealthCare/Aetna US Healthcare May 1997 - February 2000
Jewish Home & Hospital August 1992 - May 1997
Skills
Team Building, EHR, Access, Hospitals, Managed Care, Training, Medicaid, Network Development, Sales Operations, Contract Management, Management, PPO, Recruiting, Health Insurance, Credentialing, Contract Negotiation, Data Analysis, Physicians, Healthcare Information..., Strategic Planning, Healthcare Industry, Sales, Project Management, Analysis, HIPAA, Provider Relations, Healthcare Management, Healthcare, Medicare, Microsoft Excel, Revenue Cycle, PowerPoint, HMO, Project Planning, Policy, Negotiation, Coaching, Health Policy, Healthcare Consulting, EMR
Education
Iona College 1996 — 1998
Master of Science (MS), Health Services Administration
Lehman College, City University of New York 1986 — 1992
Bachelor of Science, Health Services Administration
EmblemHealth February 2013 - Present
PC Advantage July 2010 - February 2013
MBS August 2009 - June 2010
MBS Billing Services August 2009 - June 2010
North Shore Orthopedics March 2008 - August 2009
North Shore Orthopedic March 2008 - August 2009
Island Home Care Agency October 2007 - January 2008
Skills
Healthcare, Microsoft Office, Microsoft Excel, Hospitals, Customer Service, Microsoft Word, Project Management, Medical Records, Invoicing, HIPAA, Medical Billing, ICD-9
Education
Hunter Business School 2007 — 2008
Medical Office Administration Diploma, Medical Office Administration
Hunter Business School 2007 — 2007
Certificate, Medical Office Management/Administration
William Floyd HS 1983 — 1987
High School Diploma, Academic
North Shore-LIJ Health System July 2014 - Present
Allscripts at North Shore LIJ Health System December 2013 - June 2014
Allscripts at North Shore LIJ Health System May 2012 - December 2013
EmblemHealth April 2002 - July 2012
Office & Professional Employee's International Union September 2000 - February 2002
ImClone Systems, Inc. 1999 - 2000
Skills
XP, Windows 7, Norton Ghost, Blackberry Enterprise..., iPad, Active Directory, iPhone Support, Microsoft Certified..., Security, System Deployment, System Administration, Disaster Recovery, Troubleshooting, Desktop Computers, Citrix, Group Policy, Networking, Help Desk Support, Windows Server, VMware, Technical Support, Information Technology, Computer Hardware, VPN, Visio, Printers, Microsoft Exchange, Windows XP, Software Documentation, DNS, DHCP, Servers, Windows XP Pro, Network Administration, Service Desk
Education
University of Phoenix 2013 — 2013
Cisco Networking Fundamentals Certificate
The Chubb Institute 2000 — 2000
Diploma
Loyola College in Maryland 1994 — 1998
BS
Xavier High School
EmblemHealth February 1995 - Present
Skills
Customer Service, HIPAA, Healthcare, Insurance, Software Documentation, Health Insurance, Healthcare Management, Medicare, Managed Care, Medicaid, Employee Benefits, Health Policy, Process Improvement, Microsoft Excel, Outlook, Access, Group Policy, System Testing, Program Management, Healthcare Information..., Microsoft Office, Strategy Implementation, Strategic Planning, Operating Systems, Leadership, Benefits Administration, SDLC, Visio
Education
Long Island University, C.W. Post Campus 1992 — 1994
Bachelor of Science (B.S.), Business Administration and Management, General
UnitedHealth Group May 2015 - Present
EmblemHealth May 2014 - August 2014
Sentara Healthcare September 2013 - January 2014
EmblemHealth May 2013 - August 2013
James Madison University August 2012 - May 2013
Hilton Worldwide January 2009 - August 2012
Skills
Healthcare, Leadership, Public Speaking, Interpersonal..., Microsoft Office, Data Analysis, SharePoint, Managed Care, Healthcare Management
Education
James Madison University 2011 — 2015
Bachelor of Science (B.S.), Health Services Administration; Minor, Business
Healthfirst July 2014 - Present
EmblemHealth July 2012 - September 2012
Health Plus September 2007 - January 2012
Strauss discount auto April 2001 - June 2005
Skills
Health Insurance, Medicaid, Medicare, Word, Claims, Excel, Microsoft Office, Managed Care, Healthcare, HIPAA, EDI, Software Documentation, Visio, Process Improvement, Provider Relations, Insurance, Data Analysis, Medical Terminology, Healthcare Management, Revenue Cycle, Healthcare Industry, Health Policy, Analysis, Healthcare Consulting, Customer Service, ICD-9, PowerPoint, Outlook, Medical Coding, Healthcare Information..., Invoicing, Hospitals, HMO, Systems Analysis, Training, User Acceptance Testing, Databases, Avaya, Citrix, Business Requirements, Call Centers, Requirements Gathering
Education
Kingsborough Community College
certificate, Medical billing and Coding
Warner Music Group April 2013 - Present
EmblemHealth February 2012 - March 2013
Reservation Unlimited, Inc. June 2011 - February 2012
Coventry Health Care February 2010 - June 2011
NYC Department of Education May 2009 - February 2010
Global Media Systems January 2009 - February 2010
Wellpoint January 2006 - December 2008
Empire Blue Cross Blue Shield (WellChoice) March 2000 - January 2006
Republic National Bank 1999 - 2000
Global Broadcasting Systems, Inc. 1999 - 2000
Skills
Enterprise Architecture, Healthcare IT, Information Management, Business Intelligence, IT Governance, Master Data Management, Governance, Management Consulting, Mergers, Reverse Mergers, Cloud Computing, Integration, IT Strategy, Program Management, Healthcare Information..., Data Warehousing, Enterprise Software, Management, Business Process, SDLC, CRM, Team Leadership, Data Modeling, Business Development, Vendor Management, Business Analysis, Mergers & Acquisitions, Architecture, IT Operations, Project Management, Project Portfolio..., Strategy, SOA, Software Development, Disaster Recovery, Application Architecture, IT Management, Software Project..., Information Technology, Consulting, Leadership, Analysis, PMO, PMP, Solution Architecture, Business Process..., Unix, Requirements Analysis, Requirements Gathering, Team Management
Education
Iona College 1990 — 1994
BS (magna cum laude)
Manhattan College
MS
EmblemHealth February 2012 - August 2014
Bank of America June 2010 - February 2012
MetLife March 2003 - June 2009
Accenture August 1997 - March 2002
Telcordia Technologies August 1986 - August 1997
Academy of Business Careers March 1984 - April 1986
Linden Board of Education September 1978 - March 1984
Skills
SDLC, Visio, Business Analysis, Vendor Management, Requirements Analysis, Requirements Gathering, SharePoint, Business Requirements, Business Intelligence, Project Planning, Software Project..., PMO, Project Management, Systems Analysis, PMP, Access, Data Warehousing, Business Process..., Integration, Enterprise Architecture, Resource Management, IT Strategy, Sybase, Process Improvement, Project Portfolio..., IT Management, Software Documentation, Business Process..., Business Process
Education
BTII Institute 2010 — 2010
Project Management
Cittone Institute 1983 — 1984
Certificate, Computer Programming
Kean University 1980 — 1982
MA, Education
Kean University 1973 — 1978
BA, Elementary Education
Arthur L. Johnson Reg. HS
EmblemHealth September 2008 - Present
WellPoint August 2004 - August 2008
State of NY Metropolitan Transportation Authority July 2002 - February 2004
Skills
PeopleSoft, Financial Analysis, Accounting, Account Reconciliation, Auditing, Accounts Receivable, Access, Budgets, Microsoft Excel, Invoicing, Cash Management, General Ledger, Essbase, Financial Reporting, Microsoft Word, Outlook, Internal Controls, Sarbanes-Oxley Act, Variance Analysis, Journal Entries, Financial Accounting
Education
Loyola University Chicago 1996 — 2002
B.B.A, Accounting
Loyola University Chicago 1996 — 2001
Bachelor's of Business Administration, Accounting
Etherios September 2012 - Present
EmblemHealth July 2004 - September 2012
IBM 1996 - 2004
UPS 1993 - 1996
Pawlings Savings Bank 1990 - 1993
Skills
Salesforce.com..., Salesforce.com..., Certified..., .NET, JSP development, C#, Java, CRM, Integration, Salesforce.com...
Education
Marist College 1987 — 1990
Bachelor of Science (BS), Computer Science
UnitedHealth Group October 2013 - Present
EmblemHealth June 2011 - 2013
Group Health Inc October 2006 - June 2011
Capital District Physicians Health Plan September 2003 - October 2006
UnitedHealthcare January 1999 - September 2003
Skills
Coaching, Healthcare, Healthcare Management, Insurance, Leadership, Managed Care, Management, Process Improvement, Provider Relations
Education
Villanova University
Marist College 2003 — 2005
Bachelors of Science, Leadership & Communications Alpha Sigma Lambda
Ulster County Community College 1987 — 1990
Associate of Science (A.S.), Accounting
Ulster County Community College 1987 — 1990
Associates, Applied Science – Accounting
Kingston High School 1983 — 1986
Regents Dipolma, Business
EmblemHealth June 2010 - Present
Cowen and Company April 2007 - May 2010
NASDAQ September 2006 - April 2007
L-3 Communications January 2003 - August 2006
Arthur Andersen/KPMG September 1999 - December 2002
Skills
SEC filings, Accounting, Financial Reporting, Technical Accounting..., Purchase Price..., Stock Compensation, GAAP Standards, Internal Controls, GAAP, Financial Modeling, SEC Filings, US GAAP, Financial Analysis, Variance Analysis, Mergers & Acquisitions, Finance, Auditing, Financial Accounting
Education
Lehigh University
Bachelor's degree, Accounting
EmblemHealth Document Service SupervisorMVP Health CareMay 1999 - August 2003
Travelers March 1988 - May 1999
Education
Hudson Valley Community College
Associate of Science (A.S.)
Junior College of Albany
Physical Therapy/Therapist
NYU Langone Medical Center October 2014 - Present
EmblemHealth April 2011 - October 2014
HIP Health Plan of New York August 2006 - April 2011
Health Fitness Corporation April 2004 - August 2006
Marriott International February 2003 - April 2004
Citi November 2000 - February 2003
Skills
Managed Care, Healthcare, Healthcare Information..., Healthcare Management, Process Improvement, Inventory Management, Community Pharmacy, Operating Budgets, Finance, Variance Analysis, Management, Budgets, Financial Analysis, Analysis, Leadership
Education
Baruch/Mt. Sinai School of Medicine 2011 — 2014
Master of Business Administration (MBA), Healthcare Administration
Ithaca College 1996 — 2000
Bachelor of Science (B.S.), Cardiac Rehabilitation
Centene Corporation August 2015 - Present
Federal Way Public Schools May 2015 - Present
Pierce County Library System 2014 - Present
TriWest Healthcare Alliance 2014 - Present
Florida Blue December 2013 - June 2014
City of Oakland July 2008 - June 2013
EmblemHealth August 2002 - December 2006
Budget Rental Cars January 2000 - January 2000
Skills
Data Entry, Community Outreach, Library, Customer Service, Teamwork, Public Speaking, Microsoft Excel, Microsoft Word, Access, Nonprofits, Employee Benefits, Spanish, Research, Bilingual-English/Spanis..., Clerical Skills, Organizational..., Telephone Reception, Bilingual Proficiency, Tutoring, Data Maintenance, Microsoft Office, Communication, Medicare, Organization Of Events, Millenium, COB, Program Development, Policy Analysis, Grant Writing, Volunteer Management, Local Government, Public Health, Circulation, Childcare, Siebel, Outlook, Typing, Internet, DIamond, Sapphire, Lotus Connections, client letters, Customer Advocacy, NextGen, Epic Systems, Shortel, CareRadius
Education
Tacoma Community College 2015 — 2017
Bachelor of Applied Science (B.A.Sc.), Health Information Technology
Laney College 2007 — 2011
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
Miami Dade College
Bachelor's degree
EmblemHealth September 2015 - Present
America's Health Insurance Plans (AHIP) 1993 - August 2015
Education
Loyola College in Maryland
Master of Business Administration (MBA), Executive Program
Providence College
Bachelor of Science (BS), Political Science and Government
Mathtech April 2015 - Present
Infosys September 2010 - January 2014
EmblemHealth September 2008 - April 2010
Pfizer February 2008 - August 2008
sanofi-aventis March 2007 - December 2007
Kem-Tron August 2005 - December 2006
Skills
Business Analysis, Software Project..., Project Planning, Program Management, Problem Solving, Process Improvement, Process Engineering, Negotiation, Requirements Analysis, Business Intelligence, Business Process Design, IT Strategy, PMP, Project Management, Requirements Gathering, SDLC, Vendor Management, Visio, Consulting
Education
NJIT 2000 — 2003
MSEE, Electrical Engineer
L.D College of Engineering - Ahmedabad 1995 — 1999
Bachelor, Electrical Engineer
Molina Healthcare July 2014 - Present
Guardian Life January 2014 - July 2014
EmblemHealth February 2012 - January 2014
EmblemHealth February 2010 - February 2012
Emblem Health January 2006 - November 2009
Mercury Insurance Group November 2002 - September 2005
Unum October 2001 - August 2002
Skills
Analysis, Insurance, Financial Analysis, Access, Microsoft Excel, Management, Forecasting, Process Improvement, Health Insurance, Visio, Microsoft Word, Strategic Financial..., Finance, Budgets, Underwriting, Actuarial Science, SAS, Cognos, Healthcare, Data Analysis, Financial Reporting, Hyperion Enterprise, Variance Analysis, Hyperion Planning, Excel, PowerPoint, Logic Pro, MS Project, UnCLE, Auditing, Claim, Medicare, Accounting, Business Analysis, Outlook, Employee Benefits, Word, Strategy, Project Management, Acquisition Integration
Education
Kennesaw State University - Michael J. Coles College of Business 2006 — 2008
Masters, MBA
The University of Tennessee at Chattanooga 1996 — 2001
BS, Finance, Economics
Ringgold High School 1993 — 1996
UnitedHealth Group December 2011 - Present
EmblemHealth December 2008 - November 2011
KPMG January 2008 - November 2008
NJIT January 2007 - December 2007
IBM Global Services January 2006 - December 2006
Skills
SDLC, Requirements Analysis, Business Analysis, Requirements Gathering, Business Requirements, PMO, Oracle, Visio, Business Intelligence, Software Project..., Agile Methodologies, Vendor Management, User Acceptance Testing, Business Process, Crystal Reports, Quality Assurance, Systems Analysis, Scrum Master
Education
Maharshi Dayanand University
Bachelor of Engineering
New Jersey Institute of Technology
Master of Science
EmblemHealth October 2014 - June 2015
Ophthalmic Consultants of Long Island May 2011 - November 2014
Reed Exhibitions February 2008 - March 2010
Skills
Public Health Education, Community Education, Trade Shows, Special Events..., Special Events..., Public Relations, Marketing, Marketing Communications, Graphic Design, Continuing Education, Community Outreach, Partner Management, Direct Mail Campaigns, Press Kits, Sponsorship Sales, Photoshop, InDesign, Microsoft Office, ACT!, Cision, Website Development, E-blast, FrontPage, Campaign Managment, Advertising, Email Marketing, Brand Awareness, Sales, Marketing Strategy, Event Management, Campaign Management, Social Media, Event Planning, Digital Marketing, Sponsorship, Social Media Marketing, Social Networking
Education
Hofstra University 2004 — 2006
Bachelor of Arts (B.A.), Public Relations, Advertising, and Applied Communication
Long Island University, C.W. Post Campus 2002 — 2004
Public Relations/Image Management
Centerlight Health System July 2015 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. March 2015 - Present
Gentiva Health Services August 2014 - Present
QCP ICF Program February 2010 - Present
ACDS - Association for Children with Down Syndrome 2009 - Present
EmblemHealth 2007 - Present
Denise C Santucci MD LLC June 2002 - Present
Little Flower Children's Services January 2002 - Present
North Shore LIJ Health System 2004 - 2007
Skills
Healthcare Management, Healthcare, Clinical Research, Healthcare Consulting, Health Policy, Utilization Management, Disease Management, Medicaid, Hospitals, Managed Care, Medicare, Family Medicine, Healthcare Information..., Medicine, Home Care, Physicians, Long-term Care, Quality Improvement, Healthcare Industry, Psychiatry, Medical Education, Health Education, Wound Care, Patient Safety, Patient Advocacy, Diabetes, Elder Care, Emergency Medicine, Health Insurance, Health Promotion, Patient Education, Geriatrics
Education
Hofstra University 2005 — 2007
MBA, Executive MBA
St George's University School of Medicine 1995 — 1999
MD, Medicine
New York University 1991 — 1995
BS, Biology
EmblemHealth
Skills
Microsoft Excel, Team Building, Leadership, Outlook, Healthcare Management, Project Management, Process Improvement, Public Speaking
Education
St. Joseph's College
MS, Human Service Leadership
Hofstra University 2004 — 2008
Bachelor of Arts (B.A.), Psychology
Family Health Centers of South West Florida July 2014 - Present
Galleria Dentistry April 2014 - July 2014
EmblemHealth March 2007 - March 2014
ADHA June 1997 - January 2014
Dr David Delaney July 1999 - March 2007
Stuarts Clothing Apparel June 1990 - August 1997
Hall Photographics October 1992 - August 1995
Skills
Cpr Certified, Dentistry, Clinical Research, Health Education, Treatment, Healthcare Management, Periodontics, Hospitals, HIPAA, Cosmetic Dentistry, Teeth Whitening, Medical Terminology, Public Health, Dentrix, Local Anesthesia, Nitrous Oxide, Cancer Screening, Digital Radiography, Dental Care, Oral Care, CPR Certified, Healthcare, Restorative Dentistry, Patient Education, Pediatric Dentistry, Prevention, Practice Management
Education
Hudson Valley Community College 1995 — 1999
A.A.S Health and Applied ScienceT, Dental Hygiene/Hygienist
Professional Career Development Institute 1994 — 1995
Certificate Degree, Dental and Medical Office Manager
Affinity Health Plan September 2014 - Present
EmblemHealth March 2013 - August 2014
Health Plus November 2006 - April 2012
Bronx High School of Science September 2011 - October 2011
Banana Kelly High School January 2011 - May 2011
Boys & Girls High School September 2010 - December 2010
East Side Community High School September 2005 - June 2006
Skills
Credentialing, Data Entry, Cactus, Medicaid, Microsoft Office, Medicare, Outlook, Customer Service, Naviance, STARS, CASAS, ARIS, Microsoft Word, PowerPoint, Microsoft Excel, Photoshop, Windows, Teaching, Public Speaking, Editing
Education
LIU Brooklyn 2008 — 2011
Master’s Degree, Bilingual Guidance Counselor
State University of New York at New Paltz 2002 — 2005
Bachelor’s Degree, Public Relations
SUNY Postdam 2000 — 2002
Anthem, Inc. August 2014 - Present
Wellpoint Anthem July 2013 - August 2014
Amerigroup August 2012 - August 2013
EmblemHealth January 2010 - January 2012
Skills
Microsoft Word,..., Ocap, Nexgen, Sanovia,..., Medicare, Medicaid, Healthcare, Hospitals, Leadership, Health Insurance, Clinical Research, Training, Employee Benefits, Medicine, Pharmacy Benefit..., Pharmaceutical Industry, healthcare claims, Prior Authorization, Data Entry
Education
Mercy College 2010 — 2015
Bachelor's Degree, Health Services/Allied Health/Health Sciences, General
Mercy College 2010 — 2015
Bachelor of Science (B.S.), Health Services/Allied Health/Health Sciences, General
EmblemHealth November 2013 - Present
HSBC July 2012 - July 2013
Independent Health March 2011 - March 2012
Bryant & Stratton College April 2007 - March 2011
HealthNow New York Inc. November 1999 - November 2007
Philadelphia Stock Exchange / Currency Trading International 1995 - 1999
MetLife 1992 - 1995
Skills
SDLC, Program Management, Software Documentation, Process Improvement, Data Analysis, MS Project, Business Process, Management, SharePoint, Microsoft Office, Healthcare, CA Clarity, Employee Training, Requirements Analysis, Human Resources, Visio, Access, Training, Business Analysis, Project Management, Data Mining, Higher Education..., SOX Compliancy, NASD, Leadership, Facets, ICD-9-10 coding, EDI Processing..., ICD-9 to ICD 10..., Compliance and..., Microsoft Visio, Empowerment, IBM PPM Management...
Education
Walden University 2008 — 2016
Doctor of Education (Ed.D.), Educational Leadership and Administration, General, 3.8 / ABD
Medaille College 2005 — 2007
Masters in Business, Organizational Leadership, 3.8
Medaille College 2000 — 2004
Bachelor of Arts (BA), Social Sciences
The Reed Law Firm, PLLC October 2014 - Present
Office of the Commonwealth Attorney: Lynchburg, VA August 2012 - May 2013
EmblemHealth May 2012 - July 2012
Skills
Public Speaking, Criminal Law, Legal Writing, Legal Research, Westlaw, Apple OS, iWork, Microsoft Office
Education
Liberty University 2010 — 2013
Doctor of Law (J.D.)
Liberty University 2006 — 2010
Bachelor of Science (B.S.), Psychology - Adult Development
CNSI May 2014 - Present
EmblemHealth November 2013 - May 2014
Kforce 2013 - 2014
USAA April 2013 - October 2013
General Motors June 2011 - April 2013
USAA September 2010 - June 2011
Tech Mahindra (formerly Mahindra Satyam) February 2010 - September 2010
MphasiS September 2006 - January 2010
Skills
Data Integration, Data Warehousing, Performance Tuning, Oracle, Datastage, ETL, Databases, IBM Datastage, Requirements Analysis, ETL Architecture, DB2, Informatica, SDLC, Data Quality, Unix Shell Scripting, Business Intelligence, Integration, Netezza, Datastage 8.1, datastage 9.1, Salaes force service..., Microsoft SQL Server, Healthcare, DataStage, Shell Scripting
Education
Jawaharlal Nehru Technological University 2001 — 2004
Master of Computer Applications (M.C.A.), Computer Science
Access: Supports for Living June 2014 - Present
Apria Healthcare November 2011 - September 2012
EmblemHealth January 1995 - January 2010
Skills
Healthcare Management, PowerPoint, Medical Terminology, Hospitals, Healthcare Information..., Medicare, Clinical Research, Data Entry, Healthcare, Cpr Certified, HIPAA, Managed Care, Medical Billing, Home Care, Medicaid, Microsoft Excel, Nonprofits, Customer Service
Education
Marist College 2012 — 2014
Bachelor of Arts (BA), Pschology, 3.0
Ulster County Community College 1993 — 1995
Associate of Science (AS), Business Administration and Management, General
HAMPTON SKIN CARE October 2008 - Present
Weitz & Luxenberg Lawyers June 2009 - June 2009
Flanzig & Flanzig LLP March 2006 - February 2009
Stony Brook University January 1998 - January 2005
EmblemHealth December 1996 - January 1999
IPRO September 1995 - November 1995
Visiting Nurse Service of New York September 1991 - October 1992
Beth Israel Medical Center June 1989 - November 1990
Columbia University Medical Center September 1988 - November 1989
New York Presbyterian Hospital September 1985 - October 1988
Skills
Infectious Diseases, Cosmetics, Oncology, Skin, Natural Products, Nursing, Clinical Research, Medical-Surgical, Marketing Strategy, Chronic Illness, Medical/Surgical, Toxicology, Fragrance, Natural Health Products, social media
Education
NYU School of Professional Studies 2015 — 2015
Clinical Documentation Improvement Specialist diploma program for health professionals, Health Information/Medical Records Administration/Administrator
LIU Post 1998 — 1999
Legal Nurse Consultant Certification, Medical malpractice/negligence/toxic torts law
Montefiore Hospital School of Nursing 1981 — 1983
Diploma, Nursing
Marymount University 1978 — 1981
A.A.S., Chemistry/Microbiology
Emblem Health March 2014 - Present
EbmlemHealth 1997 - Present
EmblemHealth February 2010 - March 2014
REMKIKS Healthcare January 2007 - November 2009
Skills
Management, Quality Assurance, Microsoft Excel, Healthcare, Leadership, Team Building, Project Management, Sales, Process Improvement, Program Management
Education
LIU Post 1994 — 1997
Bachelor of Science (BS), Health/Health Care Administration/Management
Mercy College
Master's degree, Human Resources Management and Services
Corning Incorporated November 2014 - Present
EmblemHealth July 2013 - November 2014
Liquidhub india pvt ltd November 2010 - March 2013
Choice solutions Limited November 2009 - November 2010
KRV Solutions Private Limited June 2006 - October 2009
Skills
Agile Methodologies, Web Services, XML, C#, .NET, Microsoft SQL Server, Software Development, ASP.NET, SOA, WCF, Visual Studio, Design Patterns, Web Applications, BizTalk, Metastorm, XSLT, ESB, EDI, EDIFECS, SharePoint
Education
Jawaharlal Nehru Technological University 2002 — 2006
Bachelor of Technology (B.Tech.), Computer Science
EmblemHealth November 2014 - Present
EmblemHealth November 2011 - November 2014
Healthfirst November 2010 - November 2011
Orthonet LLC May 2005 - November 2010
Skills
Medicaid, Medicare, Claim, Hospitals, Medicine, HMO, Managed Care, HIPAA, Provider Relations, ICD-9, CPT, Employee Benefits, Health Insurance, Insurance, Healthcare Management, Healthcare
Education
Walden University 2012 — 2014
Master of Health Service Administration, Health/Health Care Administration/Management
Keiser University-Ft Lauderdale 2008 — 2011
Bachelor's degree, Health Services Administration
EmblemHealth June 2013 - Present
Majesco Entertainment September 2008 - January 2013
United States Marine Corps September 2003 - September 2007
Skills
Testing, Quality Assurance, Microsoft Excel, Customer Service, Close Attention to..., Microsoft Word, Java
Education
Kean University 2013 — 2021
Bachelor of Science (B.S.), Information Technology, GPA: 3.81 (current)
Parsippany Hills High School 1999 — 2003
Diploma, General
EmblemHealth July 2013 - Present
Experian Marketing Services March 2008 - June 2013
Emigrant Savings Bank September 2007 - March 2008
Department of the Treasury June 2007 - August 2007
Skills
Salesforce.com, Sitecore, Return Path, Digital Marketing, Email Marketing, Marketing, Mobile Marketing, Social Media, Management, Microsoft Office, Social Media Marketing, Sales, Customer Service, Account Management, Fluent Spanish, Dreamweaver, Facebook, Macromedia Dreamweaver..., PowerPoint, Microsoft Excel, Marketing Strategy, Event Management, Spanish, Access, Windows Vista, XP,..., Office programs:...
Education
Seton Hall University
Master’s Degree, Health/Health Care Administration/Management
Hofstra University 2004 — 2007
BBA, Business Computer Information Systems
New York Institute of Technology-Old Westbury 2003 — 2004
Integra Partners November 2013 - Present
OrthoMedical Inc September 2012 - September 2013
EmblemHealth January 2000 - August 2012
EmblemHealth July 1999 - August 2012
Skills
Health, Healthcare, Medicare, Managed Care, Case Management, Healthcare Management, Health Insurance, Medicaid, Home Care, HIPAA, Disease Management, Durable Medical..., Home Infusion, Provider Relations, Clinical Research, Healthcare Industry
Education
Iona College
BS, Criminal Justice
Westchester Community College
Nursing Education
EmblemHealth September 2015 - Present
EmblemHealth October 2013 - September 2015
Global Policy Journal October 2012 - October 2013
The Huffington Post 2012 - 2013
The Center for Health and Health Care in Schools October 2011 - May 2012
MASMI July 2010 - January 2011
Skills
Social Media Marketing, Statistics, Nonprofits, Health Policy, Public Speaking, Marketing, Leadership
Education
London School of Economics and Political Science 2012 — 2013
Master of Science (MSc), Health, Population and Society
McGill University 2007 — 2010
Bachelor of Arts (BA), Anthropology
ServiceSource September 2015 - Present
ServiceSource 2015 - September 2015
EmblemHealth 2013 - 2015
Iowa State University 2012 - 2013
Iowa State University 2012 - 2013
Drexel University 2012 - 2012
Iowa State University 2011 - 2012
Private Family 2010 - 2011
Young Judaea 2007 - 2010
Skills
Community Outreach, Developmental..., Social Justice, Student Development, Leadership Development, Non-profit..., Training, Program Development, Student Affairs, Event Planning, Academic Advising, Higher Education, Grant Writing, Volunteer Management, College Teaching, Student Engagement, Student Leadership, Service Learning, Video Editing
Education
Iowa State University
Master of Education (M.Ed.), Education, Graduate Certificate in Social Justice
State University of New York College at Purchase
Bachelor of Arts (B.A.), Liberal Studies, Concentrations: Psychology, Gender Studies
Raritan Bay Medical Center June 2015 - Present
JFK Muhlenberg Snyder School January 2014 - Present
EmblemHealth February 2009 - January 2014
Health Fitness Corporation 2009 - January 2014
Skills
ACE Certified Personal..., ACE Certified Group..., Certified Johnny G..., Certified AFAA..., Certified PHI Pilates..., Child and Adult..., Pre/Post Natal training
Education
Muhlenberg Harold B & Dorothy A Snyder Schools-School of Nursing 2014 — 2015
Associate's degree, Registered Nursing/Registered Nurse
Kean University 2002 — 2006
Master of Science (MSc), Exercise Physiology
Rutgers University-New Brunswick 2000 — 2002
BS, Exercise Science
Marist College 1998 — 2000
Biology, General
Kean University
Bachelor's degree, Registered Nursing/Registered Nurse
EmblemHealth September 2014 - Present
URAC 2002 - 2013
America's Health Insurance Plans (AHIP) 1997 - 2002
Humana 1993 - 1997
MetLife 1989 - 1993
Skills
Managed Care, Provider Relations, Provider Network..., Conference Production, Meeting Planning, Professional..., Program Management, Work Well Independently, Dependable Team Player, Handle Multiple Projects, Outstanding time..., Organization &..., Resourceful..., Proactive self-starter, Team Leadership, Outstanding..., Time Management, Health Policy, Leadership, Management, Healthcare, Healthcare Management, Healthcare Information..., Hospitals
Education
LIU Post 1985 — 1989
Bachelor of Science (BS), Health/Health Care Administration/Management
UCLA Health March 2014 - Present
ICOE GROUP INC September 2002 - Present
Orion Health January 2014 - March 2014
Catholic Health Initiatives January 2012 - December 2013
Sutter Health February 2011 - January 2012
Ascension Health October 2010 - February 2011
Northern Trust April 2010 - November 2010
EmblemHealth February 2009 - December 2009
CSC for Ministry of Health, BC (iEHR, HIE) April 2007 - January 2009
First Consulting Group - for Ministry of Health, BC 2007 - 2009
Skills
Health Information..., Spring, Enterprise Architecture, Integration, HL7, Cloud Computing, Rhapsody, JavaScript, Epic Systems, Enterprise Software, Orion, Business Analysis, XML, Business Process, HIE, Requirements Management, Architecture, Program Management, Strategy, HIPAA, ESB, IT Strategy, EDIFACT, X12, Product Management, Change Management, CCD, Scala, Spring Batch, Spring Integration, Java Enterprise Edition, JCAPS, eGate, Sparx Enterprise..., IHE, Core Java, Akka, SWIFT messaging, RosettaNet, DevOps, Ruby on Rails, AspectJ, AOP, SOA, SDLC, Spring Framework
Education
Lewis and Clark College 1995 — 1999
BA, Physics
Anthem / WellPoint June 2013 - Present
PricewaterhouseCoopers 2007 - June 2013
Aetna 2012 - 2012
WellPoint 2012 - 2012
Harvard Pilgrim Health Care 2012 - 2012
Excellus BCBS 2012 - 2012
EmblemHealth 2011 - 2011
Independent Health 2011 - 2011
Express Scripts 2011 - 2011
Pfizer 2009 - 2009
Skills
Compliance, Business Process..., Health Insurance, Revenue Cycle, SDLC, Hospitals, Vendor Management, Management Consulting, Insurance, Auditing, Internal Audit, Project Management, Strategy, Access
Education
Hofstra University 2004 — 2007
MBA, Health Services Management
Siena College 2001 — 2004
BA
The London School of Economics and Political Science (LSE) 2003 — 2003
Certificate of Completion, Economics and Foreign Policy Analysis
UnitedHealth Group July 2015 - Present
WebMD July 2013 - Present
EmblemHealth June 2013 - July 2013
EmblemHealth October 2011 - June 2013
WebMD June 2010 - August 2010
Skills
PowerPoint, Word, Outlook, Excel, Microsoft Office, GeoAccess, GeoNetworks, Microsoft Excel, Social Networking, Marketing
Education
Lafayette College 2007 — 2011
Bachelor of Arts, English with Writing Concentration
EmblemHealth January 2013 - Present
EmblemHealth June 2008 - December 2012
GROUP HEALTH INC April 2007 - May 2008
Consortium for Worker Education June 2002 - January 2007
HiSynergy Communications Inc. September 1999 - May 2002
Consortium for Worker Education January 1998 - August 1999
Consortium for Worker Education January 1996 - January 1997
Skills
Program Management, Management, Enterprise Architecture, Disaster Recovery, IT Strategy, Vendor Management, IT Management, HIPAA, SDLC, Business Analysis, Cloud Computing, SaaS, Business Intelligence, Management Consulting, Healthcare Information..., Team Building, Process Improvement, Change Management, Business Continuity, Project Management, Strategy, Cross-functional Team..., Data Center, ITIL, Leadership, Information Technology, Integration, Business Development, Strategic Planning, Project Planning, Networking
Education
Long Island University 1998 — 2000
MBA, Business Management
Long Island University 1994 — 1998
B.S., Business Management
Sodexo September 2014 - Present
EmblemHealth May 2014 - September 2014
Cartus January 2014 - April 2014
UnitedHealth Group August 2011 - December 2013
Blue Cross and Blue Shield of Nebraska June 2010 - July 2011
Supportian Inc. March 2009 - May 2010
eVantage technologies Inc October 2008 - January 2009
Knoah Solutions June 2005 - May 2006
Skills
EDI, .NET, Visio, BizTalk, Business Analysis, Testing, Agile Methodologies, ERP, Crystal Reports, Scrum, PL/SQL, Enterprise Architecture, Visual Basic, Trizetto, SAP BO, Macess, Mercator, Visual Studio Team..., Database Applications, Oracle Database, Sterling Gentran, Microsoft SQL Server
Education
New Jersey Institute of Technology 2006 — 2007
Master of Science (MS), EE - Wireless Networking
Jawaharlal Nehru Technological University 2001 — 2005
Bachelor of Technology (B.Tech.), Electrical, Electronics and Communications Engineering
International Planned Parenthood Federation/Western Hemisphere Region March 2015 - Present
International Planned Parenthood Federation/Western Hemisphere Region September 2012 - March 2015
EmblemHealth June 2009 - September 2012
Emblem Health June 2009 - September 2012
Wild, Maney, Camera & Resnick, LLP August 2008 - June 2009
Wild, Maney. Camera & Resnick LLP August 2008 - May 2009
Skills
Financial Analysis, Payroll, Financial Modeling, Accounts Payable, Treasury, Journal Entries, Financial Statements, Cash Management, Account Reconciliation, Sarbanes-Oxley Act, PeopleSoft, Bank Reconciliation, ADP Payroll, GAAP, General Ledger, Financial Reporting, US GAAP, Budgets, Monthly Close, Microsoft Word, Cash Flow, Internal Audit, Strategic Financial..., Sarbanes-Oxley, Balance, External Audit
Education
Frank G. Zarb School of Business 2004 — 2009
Bachelor of Business Administration, Accounting
Hofstra University 2004 — 2009
BBA, Accounting
Hofstra University
EmblemHealth March 2014 - Present
EmblemHealth January 2013 - March 2014
Marketing Consultant October 2008 - December 2012
American Management Association March 2006 - October 2008
Turner Broadcasting June 2005 - March 2006
MRM Partners September 2000 - March 2005
Carlson July 1999 - August 2000
Carlson Marketing Group February 1998 - July 1999
Carlson Marketing Group February 1989 - February 1998
Trans World Airlines 1978 - 1988
Skills
Direct Marketing, Relationship Marketing, Integrated Marketing, Digital Marketing, Digital Strategy, External Resource..., Business Development, Manage Client..., Team Management, Marketing Analytics, Database Marketing, Brand Developement, Multi-channel Marketing, Strategy, Brand Development, E-commerce, Direct Mail, Management, Online Marketing, Analytics, B2B Marketing, Marketing Communications, PPC, Lead Generation, New Business Development, Marketing Strategy, Account Management, Marketing, Event Planning, Social Media, Product Development, CRM, Sales, Content Strategy, Cross-functional Team..., Customer Insight, Development & delivery..., Training, Advertising, Strategic Partnerships, Project Management, Entrepreneurship, Marketing Management, Business Strategy, Interactive Marketing, Sales Process, SEM, Leadership, Creative Direction, Marketing Research
Education
Long Island University, C.W. Post Campus 1974 — 1981
BS, Marketing
BNY Mellon March 2015 - Present
Wyndham Worldwide September 2013 - February 2015
EmblemHealth February 2011 - September 2013
Horizon Blue Cross Blue Shield of NJ February 2008 - February 2011
Horizon Blue Cross Blue Shield of NJ August 2006 - February 2008
Delta Corporate Services, Inc. May 2003 - August 2006
Telcordia Technologies 2000 - 2002
Lucent Technologies 1998 - 2000
Bellcore 1997 - 1998
MCI 1996 - 1997
Skills
Visio, Business Analysis, Business Intelligence, IT Management, Integration, Program Management, Vendor Management, SDLC, MS Project, Project Management, CRM, Management, Process Improvement, Software Documentation, Software Development, Information Technology, PMO, Software Project..., IT Strategy, Project Portfolio..., Requirements Analysis, Resource Management, Oracle, SQL, Enterprise Software, Business Requirements, Analysis, Project Planning, Systems Analysis, Disaster Recovery, Enterprise Architecture, PMP, Telecommunications, ITIL, Governance, Business Process..., Requirements Gathering, Data Warehousing, Agile Project Management, Solution Architecture, Budgets, Access, Testing, IT Operations, SharePoint, Architectures, Team Management, System Deployment, Project Delivery, Agile Application...
Education
Marymount University 1992 — 1994
MBA, Information Management
Montclair State University 1983 — 1988
BS, Mathematics (Minor: Computer Science)
Cedar Ridge HS 1979 — 1983
EmblemHealth September 2014 - Present
NYC Office of Citywide Emergency Communications April 2013 - September 2014
AIG 2011 - April 2013
Mason Harriman Group January 2009 - July 2011
MetLife June 2004 - December 2008
AXA Financial July 2000 - June 2001
Chase Manhattan Corporation April 1979 - July 2000
JPM Chase 1990 - 2000
MHT 1979 - 2000
Education
Empire State College 2002 — 2009
Le Moyne College 1971 — 1973
EmblemHealth June 2007 - Present
Empire Blue Cross Blue Shield (WellPoint) January 2002 - March 2007
Empire Blue Cross Blue Shield December 1998 - January 2002
Empire Blue Cross Blue Shield March 1995 - December 1998
Empire Blue Cross Blue Shield August 1993 - March 1995
Skills
Private Investigations, Investigation, Fraud, Claim, Background Checks, Interviews, Criminal Investigations, Risk Assessment, Criminal Justice, Internal Investigations, Surveillance, Government, Risk Management, Workers Compensation, Medicare, Medicaid, HIPAA, Policy, Health Insurance, Healthcare, Healthcare Management, Analysis, Insurance, Insurance Fraud, Provider Relations, Health Care Fraud, Healthcare Industry, PPO, Health Policy, Managed Care, Medical Compliance
Education
Long Island University, C.W. Post Campus 1996 — 2000
MPA, Healthcare Administration
Saint John's University 1990 — 1992
BS, Criminal Justice
Healthfirst February 2014 - Present
Theradynamics Rehab Management May 2013 - February 2014
EmblemHealth October 2012 - May 2013
Metropolitan Hospital July 2012 - October 2012
Skills
Real Estate, Sales, Investments, Strategic Planning, Cold Calling, Insurance, Healthcare Management, Marketing, Team Leadership, Project Management, Relationship Management, Enrollment Management, Sales Prospecting, Management
Education
Mercy College
Bachelor of Science (BS), Health Services Management
St. Catharine Academy
Praxair April 2014 - Present
EmblemHealth July 2010 - March 2014
Barclays Capital October 2009 - July 2010
Morgan Stanley November 2006 - 2009
HIP Health Plan of NY July 2002 - October 2006
Skills
HRIS, Benefits, Compensation, MIS, PeopleSoft, Benefits Administration, PHR, Payroll, Access, Excel, Employee Benefits, Microsoft Office, SQL, ADP, Oracle HR, Queries, Employee Relations, Deferred Compensation
Education
Marist College
Bachelor of Arts (B.A.)
Teladoc April 2014 - Present
EmblemHealth January 2011 - April 2014
Visionary Solutions, Inc. 1992 - January 2011
Milestone Advisors (BNY Mellon) December 2009 - December 2010
GE Treasury March 2008 - December 2009
XL Capital November 2005 - March 2008
Starwood Hotels & Resorts Worldwide, Inc. August 2004 - October 2005
Universal Data Models, LLC August 2004 - October 2004
XL Capital September 2001 - August 2004
Consultant across several industries May 1992 - September 2001
Skills
Data Architecture, Enterprise Architecture, Data Warehousing, Agile Methodologies, Data Modeling, ETL, Inmon, Project Management, Business Intelligence, Leadership, Enterprise Software, Databases, SDLC, Architecture, Microsoft SQL Server, Business Analysis, Oracle, PL/SQL, Integration, Business Process, Kimball, OLAP, Analysis, Performance Tuning, Data Migration, Data Integration, Business Objects, Requirements Analysis, Database Design, Cognos, IT Strategy, Requirements Gathering, Master Data Management, PMP, Systems Analysis, Software Project..., Business Requirements, Solution Architecture, DB2
Education
Jones International University
MBA, Master of Business Administration
Broadcast Music, Inc. (BMI) March 2014 - Present
EmblemHealth November 2013 - March 2014
Cigna November 2011 - October 2013
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas November 2009 - November 2011
Bank of America April 2009 - November 2009
Michaels Stores, Inc. October 2006 - April 2009
McKesson June 2006 - October 2006
Harvard Pilgrim Health Care May 2005 - June 2006
Skills
Datastage, Data Warehousing, Teradata, ETL, Data Modeling, Data Integration, DB2, Data Warehouse..., Informatica, Oracle, SDLC, Business Intelligence, Data Quality, Data Governance, Cognos
Education
Illinois Institute of Technology 2002 — 2003
M.S, Chemical Engineering
D.V.R college of Engineering, Hyd,India 1997 — 2001
B.Tech, Chemical Engineering
Pharmaceutical February 2014 - Present
Merck August 2011 - January 2013
Madison Square Garden February 2010 - July 2011
Pfizer May 2009 - October 2009
Quest Diagnostics March 2008 - October 2008
EmblemHealth September 2007 - December 2007
Avis Budget Group July 2006 - September 2007
Schering Plough May 2002 - July 2006
Skills
Management, Project Management, PMO, Quality Assurance, Vendor Management, IT Management, Team Building, Process Improvement, Microsoft Office, Program Management, Six Sigma, Cross-functional Team..., Business Analysis, Change Management, Project Coordination, Troubleshooting, Budgets
Education
Kean University
Masters, MIS-Management Information System
Thomas Edison State College
Bachelors of Science, Business
EmblemHealth April 2007 - Present
Opus Staffing 1996 - 2007
Skills
Talent Acquisition, Interviewing, Recruitment/Retention, Technical Recruiting, Interviews, Internet Recruiting, Recruiting, Applicant Tracking..., Deferred Compensation, Human Resources, Onboarding, Resume Writing, Employee Relations, Succession Planning, Screening, Taleo, Job Descriptions, Contract Recruitment, New Hire Orientations, College Recruiting, Screening Resumes, HRIS, Employee Engagement, Benefits Negotiation, Sourcing, Workforce Planning, FMLA, Employee Training, Talent Management, Job Coaching, Organizational..., Employee Benefits, Personnel Management, Temporary Placement, Labor Relations, PeopleSoft, Temporary Staffing, HR Policies, Training, Staffing Services, Career Development, Benefits Administration
Education
Long Island University, C.W. Post Campus 1990 — 1994
Bachelors, Human Resources
EmblemHealth July 2012 - Present
TEKsystems July 2012 - Present
Merrill Lynch October 2008 - May 2012
IBM 2007 - 2008
IBM - Citizens Bank 2007 - 2008
Skills
Data Warehousing, Datastage, Informatica, ETL, Data Integration, Data Warehouse..., Data Quality, DB2, Teradata, Business Intelligence, Oracle, Data Modeling, Erwin, SQL, Master Data Management, Microsoft SQL Server, Business Objects, Data Governance, SDLC, PL/SQL
Education
Kakatiya University
EmblemHealth June 2014 - Present
LaGuardia Community College March 2009 - Present
Amida Care June 2013 - July 2014
Skills
Analysis, Statistics, SPSS, Data Analysis, SAS, Microsoft Excel, Access, Statistical Modeling, Research, Teaching, Microsoft Office, Stata, SAS programming, PowerPoint, Financial Analysis, Market Research, SQL
Education
Zicklin School Of Business- Baruch College-CUNY 2011 — 2012
MS, Statistics
Hunter College-CUNY 2006 — 2008
BA, Statistics/Economics, 3.63
LaGuardia Community College 1999 — 2002
Associate of Arts and Sciences (AAS), Computer Technology and Mathematics, 3.66
LaGuardia Community College
EmblemHealth January 2014 - Present
EmblemHealth 2008 - January 2014
Emblem Health March 2002 - December 2013
Skills
Disaster Recovery, Enterprise Architecture, Cloud Computing, Configuration Management, Process Improvement, VMware, Project Management, EMC Storage, Vendor Management, Integration, Data Warehousing, Active Directory, VMware ESX, SQL
Education
Istanbul Technical University 1998 — 2002
Engineer, Industrial Engineering
Crystal Run Health Plans August 2015 - Present
Affinity Health Plan March 2014 - August 2015
EmblemHealth September 2006 - March 2014
HIP Health Plans March 2002 - September 2007
HIP Health Plans June 1998 - February 2001
Ernst & Young 1996 - 1998
Margolin, Winer & Evens LLP September 1989 - September 1992
Skills
Operational Efficiency, PMO, Healthcare, Process Improvement, Medicare, Management, Visio, Healthcare Information..., HIPAA, Auditing, SDLC, Change Management, Project Management, Medicaid, Budgets, Performance Improvement, Healthcare Industry, Management Consulting, Team Leadership, Disease Management, Health Policy, Analysis, Managed Care, Strategy, Business Analysis, Business Intelligence, Provider Relations, Business Process..., Executive Management, Leadership, Operations Management, Quality Improvement, Vendor Management, Network Development, Cross-functional Team..., Project Portfolio..., Strategic Planning, Team Building, Revenue Cycle, Health Insurance, Insurance, Hospitals, Program Management, Healthcare Management, Data Analysis, Finance
Education
New York University - Leonard N. Stern School of Business 2004 — 2007
MBA, Management
Le Moyne College 1985 — 1989
BS, Accounting
EmblemHealth August 2009 - Present
HIP Health Plan June 2008 - July 2009
HIP Health Plan of NY October 2007 - May 2008
HIP Health Plan of NY April 2003 - October 2007
HIP Health Plan of NY May 2001 - March 2003
Skills
Data Analysis, System Testing, Training & Development, Business Analysis, Compliance, Business Process..., Excel, Healthcare, Quality Analysis, Managed Care, Microsoft Excel, Medicaid, Provider Relations, Employee Training, Contract Negotiation, Process Improvement, Quality Control, Insurance, Databases, HIPAA, Software Documentation, Visio, Healthcare Information..., Health Insurance
Education
Laguardia Community College 1999 — 2003
Associate's degree, Computer Technology/Computer Systems Technology
EmblemHealth
Skills
Healthcare Management, Change Management, Managed Care, Medicaid, Process Improvement, Medicare, Healthcare, Healthcare Consulting, Healthcare Industry, Health Insurance, Healthcare Information..., Strategic Planning, Health Policy, Management Consulting, Provider Relations, Leadership, Hospitals, Insurance, Revenue Cycle, Business Process..., Vendor Management, HIPAA, Data Analysis, Healthcare Analytics, HMO, PPO, Health Care Reform, Executive Management, Quality Improvement, Physicians, Medicare Part D, Claim, Medicaid Managed Care, CICS
Education
Hofstra University 1985 — 1989
AdvantageCare Physicians January 2012 - Present
EmblemHealth July 2011 - Present
EmblemHealth September 2010 - June 2011
HIP Health Plan 1994 - August 2010
HIP January 2005 - July 2010
Skills
Managed Care
Education
Hofstra University
Master of Business Administration (M.B.A.), Finance, General
AdvantageCare Physicians January 2013 - Present
EmblemHealth June 2012 - September 2013
Weill Cornell Medical College April 2009 - April 2012
Medical Imaging of Manhattan December 2005 - July 2008
North Shore LIJ Health System March 2004 - November 2005
Columbia University Medical Center 2001 - 2004
Montefiore Medical Center 1997 - 2001
Skills
Managed Care, Healthcare Management, Healthcare, Physicians, Healthcare Consulting, Revenue Cycle, Physician Relations, Hospitals, Healthcare Industry, HIPAA, Practice Management, Medicare, Medicaid, Quality Improvement, Strategic Planning, Management, Health Policy, Clinical Research, Revenue Cycle Management, Performance Improvement, Medical Billing, Epic Systems, Leadership, Informatics, Medical Practice..., Vendor Management, Supply Chain Management, Group Practice..., Critical Care, Ambulatory, Change Management, ERP, Business Process, Negotiation, Team Building, Supply Chain, Procurement, Purchasing, Budgets, Strategic Sourcing, Group Purchasing, Change Management, Contract Management, IT Sourcing, Logistics, Materials Management, PeopleSoft, Staff Development, Team Building, Budgets
Education
LIU Post 1992 — 1994
MPA, Health Care Administration
State University of New York College at Fredonia 1984 — 1988
BS, Health Care Administration/Business Administration
Microsoft July 2013 - Present
inVentiv Health April 2012 - July 2013
EmblemHealth December 2008 - April 2012
IDT Telecom March 2000 - November 2008
Skills
Employee Benefits, Payroll, Accounting, Sarbanes-Oxley Act, PeopleSoft, Financial Reporting, Strategic Planning, Contract Negotiation, Process Improvement
Education
Kean University 1993 — 1997
BA, Accounting
MUFG Union Bank January 2015 - Present
EmblemHealth June 2011 - January 2015
Capco April 2010 - June 2011
Boyden Executive Search September 2008 - April 2010
Skills
Technical Recruiting, Internet Recruiting, Applicant Tracking..., Onboarding, Talent Acquisition, Human Resources, Temporary Placement, Screening Resumes, Talent Management, Vendor Management, Employee Relations, SDLC, Recruiting, College Recruiting, Sourcing, Management, Contract Recruitment, Benefits Negotiation, Business Analysis, Screening, Executive Search, Process Improvement
Education
Johnson & Wales University 1999 — 2003
BS, Sports Entertainment/Event Management
The Kogod School of Business at American University March 2015 - Present
EmblemHealth October 2012 - November 2014
Disney ABC Television Group August 2011 - September 2012
NBC Universal 2010 - 2011
NBC Universal 2009 - 2010
Time Inc. August 2009 - November 2009
Community Service-Learning at JMU January 2008 - May 2009
NBC Universal June 2008 - August 2008
Skills
Social Media, Onboarding, Recruiting, Non-profits, Interviews, New Hire Orientations, Nonprofits, Sourcing, Temporary Placement, Hiring, Management, Training, Marketing, Human Resources, College Recruiting, Talent Acquisition, Resume Writing, Employee Relations, Applicant Tracking..., Talent Management, HRIS, PeopleSoft
Education
James Madison University 2005 — 2009
B.A., Media Arts and Design: Concentration in Corporate Communications, Minors in Spanish & Cultural Comm
Saint Vincent Catholic Medical Centers March 2014 - Present
EmblemHealth September 2013 - March 2014
ValueOptions August 2012 - December 2012
Fidelis Care NY May 2010 - August 2012
Fidelis Health Care June 2008 - May 2010
Fidelis Health Care August 2006 - June 2008
Magellan Behavioral Health 1999 - 2001
Skills
Medicaid, Behavioral Health, Healthcare Management, Managed Care, Disease Management, Health Insurance, Process Improvement, Medicare, Hospitals, Microsoft Word, PowerPoint, Strategic Planning, Public Speaking, Team Building, Outlook, HIPAA, Project Management, Clinical Research, Research, Change Management, Budgets, Healthcare Information..., Data Analysis, Healthcare Industry, Call Centers, HEDIS, Quality Assurance, Patient Education
Education
Long Island University, Brooklyn Campus 2006 — 2008
Associate of Science (A.S.), Sociology
Berkeley College-New York 1997 — 1999
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
EmblemHealth August 2005 - Present
Stericycle May 2003 - November 2004
Cablevision May 1998 - December 2001
Cablevision March 1987 - June 1992
Skills
Operations Manag, Performance Management, Coaching Staff, Customer Service, Customer Satisfaction, Training & Development, Technical Training, Training Delivery, Vendor Management, Business Analysis, Employee Training, Customer Retention, Customer Experience, Strategic Planning, Management, Process Improvement, Telecommunications, Team Building, Training, Cross-functional Team..., Leadership Development, Call Centers, Leadership
Education
NYIT 1983 — 1984
Business Administration and Management, General
Marywood University 1981 — 1983
Communication and Media Studies
Philip Gandolfo, Certified Public Accountant April 2011 - Present
EmblemHealth 1995 - March 2010
Vytra Health Plans 1995 - 2010
Skills
Managed Care, Healthcare, Process Improvement, Strategy, Leadership, Business Transformation, Strategic Planning, Executive Management, Finance, Analytics, Mergers & Acquisitions, Financial Analysis, Business Process..., Management
Education
Le Moyne College 1970 — 1974
BS Business, Accounting
EmblemHealth 2012 - Present
IBM February 2002 - April 2012
IBM Global Business Services February 2002 - April 2012
IBM Global Business Services 2002 - April 2012
Empire Blue Cross and Blue Shield January 2000 - August 2002
Lante October 1998 - May 2000
Republic Bank October 1996 - October 1998
Andersen Consulting May 1993 - October 1996
Skills
Program Management, Management Consulting, Business Transformation, Health Policy, IT Strategy, Enterprise Architecture, Business Intelligence, Business Development, Executive Management, Consulting, Leadership, Business Strategy, Business Analysis, Business Process..., Healthcare, Strategy, Outsourcing, Integration
Education
Stony Brook University 1989 — 1993
Bachelor of Engineering, Computer Science and Electrical Engineering
Indiana University - Kelley School of Business
MBA, Business Administration and Management, General
NanYang High Scholl
EmblemHealth October 2014 - Present
CSC February 2003 - October 2014
Merck-Medco June 1996 - January 2002
Insignia Financial Group, Inc May 1991 - January 1996
BMW of North America, LLC January 1984 - May 1991
Skills
HIPAA, Compliance, Process Improvement, Medicaid, EDI, Healthcare, Healthcare Consulting, Healthcare Information..., Privacy, Privacy Law, Security, Requirements Analysis, Revenue Cycle, Medical Billing, Project Management, EHR, Practice Management, Integration, Business Analysis, Claim, Systems Analysis, Visio, Program Management, SDLC, Software Documentation, Testing, Requirements Gathering, HL7, Leadership, PMP, Training, Software Implementation, Disaster Recovery, Policy, IT Strategy, Information Technology, Business Process, Informatics, Enterprise Architecture, Software Project..., Business Process..., Business Intelligence, Team Leadership, PMO, IT Management, Governance, Project Portfolio..., Consulting
Education
Electronic Computer Programming Institute
Hudson Valley Community College
Health Information Management Technology
Passaic County Community College
MetroPlus Health Plan June 2011 - Present
EmblemHealth August 2009 - June 2011
UnitedHealth Group September 2006 - December 2008
Skills
Claim, Health Insurance, Legal Liability, Commercial Lines, Claims Management
Education
Kean University
Bachelor's degree, Management Science
EmblemHealth October 2010 - Present
Medical Knowledge Group 2015 - 2015
Medical Knowledge Group 2015 - 2015
Remedy Health Media December 2006 - October 2010
University Health Publishing (now called Remedy Health Media) December 2004 - December 2006
Rebus (now called Remedy Health Media) August 2000 - December 2004
McMahon Group December 1998 - August 2000
Rockefeller University May 1997 - December 1998
Skills
Content Development, Content Strategy, Content Management, Corporate Communications, Communications Planning, Web Content, Digital Media, Health Education, Health Insurance, Provider Relations, Provider Education, Magazines, Books, Editing, Copy Editing, Proofreading
Education
University of Guelph 1994 — 1997
MS, Food Science
University of Guelph 1990 — 1994
BS, Nutrition
McGill University 1984 — 1988
BS, Psychology
International Benefits Administrators May 2015 - Present
EmblemHealth April 2014 - April 2015
CIGNA Healthcare August 2004 - April 2014
Frank Crystal & Company September 2002 - August 2004
Corporate Benefit Solutions June 2001 - September 2002
Corporate Colsulting Services LTD 1998 - 2000
Empire Blue Cross Blue Shield 1991 - 1995
Skills
Insurance, Health Insurance, Employee Benefits, Managed Care, Brokers, Health Savings Accounts, Underwriting, Life Insurance, Long-term Care, Disability Insurance, Medicare, Term Life Insurance, Health Care Reform, Claim, COBRA
Education
Manhattan College 1986 — 1990
B.S., Finance/Managerial Sciences
EmblemHealth March 2013 - Present
EmblemHealth June 2010 - March 2013
ConnectiCare October 2006 - June 2010
ConnectiCare June 2004 - October 2006
Skills
Managed Care, Health Insurance, Medicaid, Insurance, Healthcare, Medicare, Provider Relations, PPO, Network Development, Healthcare Industry, Hospital Contracting, Healthcare Management, Hospitals, Claim, Health Policy
Education
Westchester Community College 2008 — 2009
Non-Matriculated, Accounting
Long Island University 2004 — 2006
MPA, Health Administration
University at Albany, SUNY 1998 — 2003
BA, English
CamRen Solutions October 2011 - Present
EmblemHealth March 2004 - October 2011
Skills
Government, New Business Development, Financial Analysis, Insurance, Strategic Planning
Education
Long Island University, Brooklyn Campus 1998 — 2000
Master of Public Administration, Health Care
Pace University 1970 — 2000
Bachlor of Business Adminstration, Accounting and Finance
EmblemHealth September 1986 - Present
HIP 2006 - 2008
Health Insurance Plan of Greater New York (HIP) September 1986 - 2006
Skills
Managed Care, Provider Relations, Medicaid, Medicare, Disease Management, Health Policy, Pharmacy Benefit..., Health Insurance, Healthcare, Healthcare Consulting, Healthcare Information..., Credentialing, HMO, Utilization Management, Healthcare Industry, HIPAA, Healthcare Management, Hospitals, PPO, Network Development, NCQA, Insurance, EMR, Revenue Cycle, Quality Improvement, Nursing, Claim, EHR, Case Managment, Health Care Reform, HEDIS, Long-term Care, Practice Management, Medicaid Managed Care, Dentistry, Medicine, Informatics, Inpatient, Healthcare Analytics, Physician Relations, Medical Billing, Physicians, ICD-9, Pediatrics, Acute Care, Public Health, Clinical Research, Medicare Part D, Home Care, Health Savings Accounts
Education
Ithaca College 1977 — 1981
Bachelor of Science (B.S.), Health/Health Care Administration/Management
EmblemHealth November 2014 - Present
Emblem Health Inc., May 2009 - October 2014
Horizon Blue Cross Blue Shield of New Jersey June 2006 - April 2009
ADP August 2005 - June 2006
Merck January 2003 - May 2005
Skills
Business Analysis, Data Warehousing, Process Improvement, Requirements Analysis, SDLC, Visio, Requirements Gathering, Vendor Management, PMP, Software Project..., IT Strategy, Business Process, Business Intelligence, Integration, Program Management
Education
Jawaharlal Nehru Technological University
Master of Computer Applications
Osmania University
Bachelor of Science, Mathematics, Electronics
BCD Travel September 2014 - Present
Mizuho Securities USA March 2010 - February 2014
EmblemHealth 2004 - 2009
HIP HEALTH PLANS 2004 - 2009
Skills
VMware, Windows 7, Virtualization, VMware ESX, Project Management, Disaster Recovery, SharePoint, DNS, Windows, Windows Server, Cloud Computing, Operating Systems, XP, Enterprise Architecture, Troubleshooting, vSphere, VMware Infrastructure, IT Management, System Deployment, Architecture, Servers, Integration, Data Center, Active Directory, VDI, Firewalls, Windows XP, SQL
Education
Marist College 1986 — 1990
BS, Computer Science
Aetna January 2015 - Present
EmblemHealth January 2013 - December 2014
Valley Health System January 2012 - December 2012
Valley Health Medical Group 2006 - 2012
Valley Health Medical Group 1998 - 2006
Chilton Memorial Hospital 1997 - 1998
Mount Sinai Medical Center 1989 - 1997
Mount Sinai Medical Center 1987 - 1989
Washington Hospital Center 1984 - 1987
Skills
Healthcare Management, Hospitals, Healthcare, Board Certified, Healthcare Information..., Clinical Research, EMR, EHR, Medical Education, Internal Medicine, Medicine, Public Health, Informatics, Disease Management, Healthcare Consulting, Physicians
Education
New York Medical College 1982 — 1984
MD, Medicine
New York University
Bachelor's degree
University of Massachusetts at Amherst - Isenberg School of Management
MBA, Business Administration and Management, General
Wagner College
Master of Science (MS), Microbiology, General
Inedependent Insurance & Employee Benefit Professional October 2010 - Present
EmblemHealth August 2008 - September 2010
EmblemHealth June 2000 - August 2008
Vytra Health Plans June 1992 - October 1999
Alexander & Alexander (AON) March 1984 - November 1991
Johnson & Higgins June 1976 - March 1984
Equitable Life Assurance Company February 1972 - June 1976
Skills
Health Insurance, Employee Benefits, HMO, Benefits, Health, Managed Care, Vendor Relations, New Business Development, Health Savings Accounts, Medicare, Sales, Long-term Care, Brokers, Management, Team Building, Healthcare, Underwriting
Education
St. John's University, The Peter J. Tobin College of Business 1973 — 1976
MBA, Finance
Iona College 1966 — 1970
BA, Economics
AmeriHealth Administrators January 2015 - Present
DaVita Healthcare Partners October 2013 - December 2014
Medi Assist India Pvt Ltd May 2013 - September 2013
DaVita Healthcare Partners July 2012 - March 2013
WellCare Health Plans November 2010 - June 2012
EmblemHealth July 2008 - October 2010
TriZetto May 2006 - June 2008
Skills
Healthcare Management, Hospital Revenue Cycle, HIPAA, EDI, 837I, PL/SQL, Microsoft SQL Server, UB04, 837P, CMS-1500, Microsoft Word, Microsoft Excel, Microsoft Access, Mercury QuickTest Pro, ePremis, Healthcare, UltraEdit, TextPad, Data Analysis, BMC Remedy, HP Quality Center, Visual Basic, PowerPoint, Toad 9.0, Quality Assurance, StarTeam, Public Speaking, Analysis, Business Analysis, User Acceptance Testing, EHR, SQL, Business Requirements, Testing, Strategic Planning, Healthcare Information..., Documentation, Software Documentation, Agile Methodologies, EMR, Medicare, Medicaid, Project Management
Education
Long Island University, C.W. Post Campus 2009 — 2011
MPA Health Care Administration, Health/Health Care Administration/Management
EmblemHealth June 2014 - Present
Apollo Health Street May 2010 - October 2013
Skills
Healthcare, Leadership, Health Insurance, Process Improvement, Health Policy, Project Management, Medicare, Managed Care, Medicaid, Account Management, IT Solutions, Software Development, Technology Leadership, Enterprise IT Strategy, Healthcare Information..., HIPAA, Insurance, Healthcare Industry, Healthcare Management, Team Building, Executive Management, Case Managment, Vendor Management, Business Process..., Cross-functional Team..., EHR, Revenue Cycle Management, Provider Relations, Healthcare Consulting, Utilization Management, Disease Management, EMR, Quality Improvement, Data Analysis, Network Development, HMO, Medicare Part D, Medical Billing, Physicians, Physician Relations, Performance Improvement, Employee Benefits, Hospitals, Informatics, Credentialing, Claim, Case Management, Process Optimization, Operations Management, CRM
Education
Rider University 1991 — 1993
Masters of Arts, Human Resources
Kutztown University of Pennsylvania 1987 — 1991
B.S.
Grant Thornton LLP October 2010 - May 2013
EmblemHealth September 2007 - September 2010
New York City Law Department June 2004 - August 2004
Skills
US GAAP, Financial Reporting, Auditing, Accounting, GAAP, Financial Accounting, SEC filings, Sarbanes-Oxley Act, Account Reconciliation, Assurance, CPA, External Audit
Education
Long Island University, Brooklyn Campus 2008 — 2010
Master of Science (MS), Accounting
SUNY Albany
Bachelor of Science (B.S.), Mathematics
EmblemHealth July 2006 - Present
AIM Healthcare July 2005 - July 2006
TheraCare January 2003 - June 2005
Skills
Managed Care, Healthcare Information..., Accounts Receivable, Healthcare, Healthcare Management, Management, Medicare, Medicaid, Process Improvement
Education
Hofstra University 2003 — 2005
Master's degree, Health/Health Care Administration/Management
State University of New York College at Cortland
Sociology
Pearson plc March 2014 - Present
EmblemHealth July 2013 - March 2014
Hitachi Metals America, Ltd. September 2009 - July 2013
Deloitte & Touche July 2007 - July 2009
Skills
Internal Controls, Sarbanes-Oxley Act, Auditing, US GAAP, Financial Accounting, Financial Analysis, Internal Audit, External Audit, GAAP, Sarbanes-Oxley, Account Reconciliation, IFRS, Financial Statements, Revenue Recognition, Consolidation, Financial Reporting
Education
LIU Post 2003 — 2007
BA, Accounting
EmblemHealth April 2000 - June 2012
Skills
Healthcare, Insurance, Outlook, Customer Service, Microsoft Word, Managed Care, Microsoft Excel, Medicare, Health Insurance, PowerPoint, Leadership, Contract Negotiation, Strategic Planning
Education
Kean University
Bachelor's Degree, Business Administration and Management, General
EmblemHealth August 2015 - Present
EmblemHealth July 2013 - July 2015
Howard Oconefsky CPA January 2011 - July 2013
Skills
Account Reconciliation, General Ledger, Financial Analysis, Corporate Finance, Financial Statements, Accruals, Variance Analysis, Accounting, Financial Reporting, Tax Preparation, Income Tax, US GAAP, Sarbanes-Oxley Act, Tax
Education
Hofstra University 2006 — 2010
Bachelor of Business Administration (B.B.A.), Accounting
EmblemHealth September 2012 - Present
EmblemHealth October 2007 - Present
HeathNet Inc. August 2007 - September 2007
HealthNet Inc. December 2004 - July 2007
Skills
Financial Modeling, Actuarial Science, Risk Management, Predictive Modeling, SAS, Financial Risk, Enterprise Risk..., Data Analysis, Credit Risk, SAS programming, VBA, Quantitative Analytics, Reinsurance, Statistical Modeling, Statistics, R, SAS Programming
Education
The University of Connecticut 2001 — 2003
Msc., Actuarial Science
Kwame Nkrumah' University of Science and Technology, Kumasi 1994 — 1999
Bsc., Mathematics
University of Houston September 2013 - Present
University of Houston January 2013 - August 2013
Westwood College December 2004 - March 2012
EmblemHealth January 1999 - November 2001
EmblemHealth May 1993 - December 1998
EmblemHealth September 1992 - April 1993
The Palm Beach Post August 1989 - October 1990
Burson-Marsteller April 1988 - February 1989
Skills
Outlook, Excel, PowerPoint, Word, Microsoft Office, Administration, Scheduling, Accounts Payable, Event Planning, Customer Service, Benefits Administration, Visio, Payroll, Budgeting, Accounts Receivable, Customer Relations, Supervisory Skills, Accounting, Billing, Staff Training, Executive Management, Spanish, Problem Solving, Budgets, Leadership Development, Microsoft Excel, System Administration, Team Building, Coaching, Training, Microsoft Word, Management, Software Documentation, Analysis, Leadership, Policy, Invoicing, Program Management, Process Scheduler, Project Planning, Project Management, Employee Relations, Staff Development, Nonprofits, Higher Education, Human Resources, Access, Recruiting, Administrative..., Organizational...
Education
Texas Woman's University 2010 — 2011
MBA, Executive Management
Mercy College 2001 — 2004
BS, Organizational Leadership
Hospital for Joint Diseases January 2010 - May 2010
EmblemHealth March 2009 - May 2009
Allen Stevenson School September 2007 - September 2007
Alvarez & Marsal December 2006 - March 2007
Broadcast Music Inc (BMI) 1982 - July 1995
Skills
microsoft office 2010, Microsoft Excel, Outlook, Fax, Confidentiality, Travel Arrangements, Time Management, Dependable Team Player, Self-motivated..., Office 2010, Marketing, Telephone Skills, Management, Spreadsheets, Human Resources, Filing, Data Entry, Administrative...
Education
LaGuardia Community College
A.A.S. degree
Adali E. Stevenson High School
EmblemHealth March 2008 - April 2011
Montefiore Medical Center July 2007 - December 2007
Montefiore Medical Group One Fordham Plaza Fl.11 Bronx May 2000 - July 2007
LORD & TAYLORS DEPARTMENT STORE EASTCHESTER November 2000 - May 2001
Montefiore Medical Group March 1998 - May 2000
Montefiore Medical Center July 1995 - February 1998
Education
Mercy College
Behavioral Science; Health Management
Monroe Business College
Computer Science
Independent Living Systems, LLC October 2013 - January 2015
Universal American 2015 - 2015
Arcadian Health Plan of New York January 2009 - November 2009
EmblemHealth March 2008 - December 2008
SUNY Upstate Medical University December 1998 - December 2006
Skills
Data Analysis, Hospital Reimbursement, Healthcare Reimbursement, Medicare/Medicaid..., Managed Care, Hospital Contracting, Provider Network..., Provider Relations, Teaching English as a..., Teaching Adults, Physicians
Education
Le Moyne College 2009 — 2011
Master of Science (M.S.), Education
SUNY at Buffalo
Bachelor of Arts (B.A.), Communication Disorders
EmblemHealth January 2010 - Present
HIP Health Plan of New York November 2002 - December 2009
HIP Health Plan of New York January 1999 - October 2002
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Outlook, Windows, Microsoft Access, Medicare, Data Entry, Healthcare, Data Analysis, Access, Account Reconciliation, Software Documentation, Medicaid, Insurance, Process Improvement, Managed Care, HIPAA, Provider Relations, HMO, Healthcare Management, Network Development, PPO, Health Insurance, Disease Management, Healthcare Industry
Education
Long Island University, C.W. Post Campus 2000 — 2005
Master of Public Administration (MPA), Health/Health Care Administration/Management
Long Island University, C.W. Post Campus 1995 — 1999
Bachelor of Science (BS), Health/Health Care Administration/Management
ArchCare December 2014 - Present
Independent Living Systems, LLC November 2013 - November 2014
EmblemHealth December 2008 - October 2013
GHI February 2007 - November 2008
Medco 2001 - 2007
CIGNA Healthcare 1999 - 2001
NYLCare Health Plans 1995 - 1999
Barnert Hospital 1989 - 1993
Skills
Medicare, Program Development, Program Management, Medicaid, Managed Long Term Care, Managed Care, Health Insurance, Healthcare, Medicare Part D, Medicaid Managed Care, Long-term Care, Strategic Planning, Strategy, Healthcare Management, Disease Management, Health Policy, HIPAA
Education
Rutgers, The State University of New Jersey-New Brunswick 2007 — 2007
Certification: Mini MBA Business Essentials, Post Graduate Certificate
Rutgers, The State University of New Jersey-New Brunswick 1981 — 1982
Master of Social Work (MSW), Health/Health Care Administration/Management, Master Degree
Kean University 1978 — 1980
Bachelor of Social Work, Social Work
University of Vermont 1977 — 1978
Social Work
EmblemHealth February 2009 - Present
Prospect Heights Care Center December 2007 - January 2009
The Center for Wound Healing July 2007 - December 2007
The Center for Wound Healing July 2007 - December 2007
North Shore LIJ November 2006 - July 2007
Carrier Clinic January 2004 - December 2005
Skills
Wound Care, Case Management, Durable Medical..., Inpatient, Home Care, Medical/Surgical, Healthcare, Acute Care, IV, Case Managment, Clinical Research, Managed Care, Medicine, Nursing, Phlebotomy, Treatment, Vital Signs, BLS, Mental Health, ACLS, Utilization Management, Rehabilitation, Medicaid, Medicare, Long-term Care, PALS, HIPAA, Registered Nurses, Patient Advocacy, Medication..., Elder Care, Medical Terminology, Physicians, Nursing Care, Provider Relations, Medicaid Managed Care, Physician Relations, Patient Safety, Home Infusion, Utilization Review, Cpr Certified, Nursing Education, Patient Education, Healthcare Management
Education
LIU Brooklyn 2009 — 2013
Bachelors of Science, Nursing
Northampton Community College 2005 — 2006
Licensed Practical Nurse Certificate, Nursing
EmblemHealth January 2011 - Present
EMBLEM HEALTH 2010 - Present
EmblemHealth January 2004 - January 2011
Skills
Home Infusion,..., Policy, Program Management, Clinical Pharmacy, Managed Care, Auditing, Medicaid, Medicare, Pharmacy, Management, Medicare Part D, Pharmacy Automation, Healthcare Industry, Disease Management, Pharmacy Benefit..., HMO, PPO, HIPAA, Utilization Management, Healthcare Consulting, Healthcare Management, Medicaid Managed Care, Provider Relations, Quality Improvement, Medicare/Medicaid..., Health Policy, Healthcare
Education
Long Island University, Brooklyn Campus 1975 — 1978
bs, Pharmacy
Long Island University, Brooklyn Campus 1967 — 1971
bs, Chemistry and Pharmacy
NYU Langone Medical Center April 2012 - Present
EHR Solutions NY March 2011 - March 2012
EmblemHealth May 2009 - February 2011
Duane Reade January 2006 - October 2008
Skills
Microsoft Word, Microsoft Excel, Microsoft Office, Troubleshooting, Customer Service, Medical Terminology, HIPAA, Pharmacy Benefit..., Management, Pharmacy
Education
Alameda Services 2011 — 2011
EHR Specialist Certification, Health Information/Medical Records Technology/Technician
Kingsborough Community College 2006 — 2008
Associate of Arts and Sciences (AAS), Business Administration and Management, General
EmblemHealth September 2014 - Present
EmblemHealth May 2013 - September 2014
Grow Brooklyn January 2006 - April 2014
Child Center August 2009 - May 2013
PCEI/ LESPFCU January 2006 - April 2008
GANNETT CO., INC July 2006 - February 2007
Skills
Business Analysis, Management, ALM, SharePoint, Microsoft SQL Server, Data Analysis, Investigation, Compliance, Problem Solving, Coordination, Resource Allocation, Community Outreach, Tax Preparation, Customer Service, Bilingual, Microsoft Office, PeopleSoft
Education
Kaplan University-Davenport Campus 2014 — 2015
Master's Degree, Human Resources Management and Services
BARUCH COLLEGE 2004 — 2010
Bachelor Degree of Science 2010, Psychology major
MIDWOOD HIGH SCHOOL 2000 — 2004
High School, Humanities/Humanistic Studies
HIP May 2001 - Present
EmblemHealth 2001 - Present
Skills
SAS, Visio, Health Policy, Insurance, Business Analysis, Health Care Reform, SDLC, Financial Modeling, Program Management, Business Process...
Education
Long Island University, Brooklyn Campus
Bachelor of Arts (B.A.), Business Administration, Management and Operations
McMahon Group January 2011 - Present
McMahon Group January 2011 - Present
EmblemHealth June 2010 - December 2010
Stabani Cruz Entertainment August 2009 - October 2009
Globe Trotta Records August 2006 - April 2008
Global Mark Group June 2006 - April 2008
Walker Entertainment Group October 2005 - December 2006
Hidden Beach Recordings April 2006 - June 2006
TunEdge September 2005 - February 2006
Skills
Publishing, Social Media Marketing, Proofreading, Circulation, Market Research, Readership Analysis, Microsoft Word, Microsoft Office, Microsoft Excel, Marketing, Editing, Press Releases, Public Relations, Blogging, Publications, Editorial, Newsletters, Social Media, Social Networking, Facebook
Education
Mercy College 2013 — 2016
Bachelor of Science (BS), Kinesiology and Exercise Science
University of Northern Colorado 2001 — 2004
Bachelor of Arts (B.A.), English Language and Literature, General
The Home Depot 2014 - Present
The Container Store 2012 - Present
EmblemHealth May 2013 - 2014
Planet Fitness October 2008 - August 2011
Skills
Languages, Typing, Microsoft Word, PowerPoint, Customer Service, Time Management, Data Entry, Microsoft Excel, Event Planning, Management, Microsoft Office, Social Networking
Education
Long Island University, Brooklyn Campus 2014 — 2016
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Stony Brook University 2010 — 2013
Bachelor of Science (BS), Health Services/Allied Health/Health Sciences, General
Nassau Community College 2008 — 2010
Associate's degree, Liberal Arts and Sciences/Liberal Studies
holy trinity diocesan high school
EmblemHealth June 1991 - June 2015
Skills
Customer Service, English, Leadership, Management, Microsoft Office, Outlook, Photoshop, PowerPoint, Research, SQL, Process Improvement, Sales, Training
Education
Kean University 1990 — 1994
Bachelor's degree mangement science accounting, manangementscience
EmblemHealth 1991 - 2013
Skills
Management, Team Building, Coaching, Leadership Development, Microsoft Office, Healthcare, Strategic Planning, Customer Service, Training, Public Speaking, Leadership, Healthcare Management
Education
Long Island University, Brooklyn Campus 1998 — 2002
Master of Public Administration (MPA), Health/Health Care Administration/Management
EmblemHealth September 1998 - Present
Oxford Health Plans June 1994 - August 1998
Skills
Proficient in all Rate...
Education
Iona College
Bachelor of Business Administration (BBA), Business Management / Marketing
Vanguard 2013 - Present
Washington Metropolitan Area Transit Authority (WMATA) 2011 - 2013
EmblemHealth 2009 - 2010
EAPT Solutions 2007 - 2009
Skills
PeopleSoft, PeopleTools, PeopleCode, SQR, SQL, Financials, Integration, Data Warehousing, Databases
Education
Jawaharlal Nehru Technological University
Computer Science