EmblemHealth Company
Industry: Company
DescriptionEmblemHealth is one of the United States' largest nonprofit health plans. It is headquartered at 55 Water Street in Lower Manhattan, New York City. It is a $10 billion company with 3.1 million members. Headquarters: New York City, New York, United States CEO: Karen M. Ignagni Executive vice president: Timothy E. Nolan Subsidiaries: Health Insurance Plan of Greater New York, Inc., Group Health Incorporated Chairpersons: Thomas Conway, Karen Moran VPs: Thomas Conway (Controller, Emblemhealth),
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EmblemHealth Employees
EmblemHealth May 2013 - August 2015
Aetna August 2011 - April 2013
Skills
Requirements Analysis, Business Analysis, SDLC, SQL, Business Intelligence, Java, Microsoft SQL Server, Manual Testing, Agile Methodologies, Oracle, XML, HTML, Testing, Technical Recruiting, Employee Training, Sourcing, Full-life Cycle..., Vendor Management, Talent Acquisition
Education
Rochester Institute of Technology 2007 — 2011
Bachelor of Science (BS), Biotechnology
EmblemHealth September 2014 - Present
CareCore National July 2010 - 2014
EmblemHealth July 2004 - June 2010
Skills
Leadership, Managed Care, Healthcare, HIPAA, Health Insurance, Medicaid, Account Management, Healthcare Management, Policy, Data Analysis, Provider Relations, Contract Management, Compliance, Human Resources, Access, Invoicing, Training, Healthcare Industry
Education
Pace University
Bachelor's degree, Marketing
Ulster County Community College
Associate's degree, Accounting
North Shore-LIJ Health System November 2010 - Present
EmblemHealth January 2001 - May 2010
Skills
Healthcare Management, Administrative..., Windows, Microsoft Office, Customer Service, Epic Systems, Troubleshooting, Outlook, Windows 7, Nursing, PowerPoint, Data Entry, Disaster Recovery, Microsoft Excel, Visio, HIPAA, Healthcare, System Administration, Healthcare Information..., EHR, EMR, Public Speaking, Process Improvement, Hospitals, Access, Active Directory, Data Analysis, Software Documentation, Microsoft Word, Healthcare Consulting, Team Building, Cerner, Strategic Planning, Revenue Cycle, Nonprofits
Education
Queens College 1993 — 1996
WellCare of New York March 2013 - November 2014
NY Access Medicare September 2012 - February 2013
Fidelis Care January 2010 - June 2011
Humana September 2007 - December 2008
Xerox 2006 - August 2007
CIGNA January 2005 - January 2006
Channel P.C February 2003 - August 2004
EmblemHealth November 2000 - January 2003
Skills
Project Management, Organization, Analytics, Corporate Finance, Presentations, Data Analysis, Analysis, Customer Retention, Strategy, Management, Leadership, Finance, Process Improvement, Cross-functional Team..., Customer Service, Training, Vendor Management, Health Insurance, Healthcare, HIPAA, Employee Benefits, Healthcare Management, Managed Care, Medicare, Strategic Planning
Education
Pontificia Universidad Católica Madre y Maestra 1997 — 2000
Bachelor's degree, Marketing/Marketing Management, General, 2.97
GENPACT January 2015 - Present
EmblemHealth 2013 - December 2014
EmblemHealth June 2008 - October 2013
WellPoint May 2004 - June 2008
WellPoint June 2001 - May 2004
Skills
General Ledger, GAAP, Balance, Variance Analysis, PeopleSoft, Cognos, Sarbanes-Oxley Act, Accruals, Revenue Recognition, Account Reconciliation, Essbase, Pivot Tables, Financial Analysis, Year-end Close, Accounting, Analysis, Process Improvement
Education
Queens College 1998 — 2001
B.A., Accounting
Queens College 1998 — 2001
B.A., Accounting
Horizon Blue Cross Blue Shield of New Jersey May 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2010 - May 2012
EmblemHealth April 2004 - October 2010
HealthChoice March 2000 - February 2004
Summit Health Administrators April 1997 - February 2000
Prudential Financial January 1992 - March 1997
Skills
Health Policy, Process Improvement, Training, Software Documentation, Public Health, Visio, HIPAA, Healthcare, Health Insurance, Insurance, Leadership, Affordable Care Act, Data Analysis, Employee Benefits, Project Management, Business Analysis, Technical Writing, Change Management, Strategic Planning, Management, SharePoint, Healthcare Information..., Access, Microsoft Excel, Analysis, PPO, Outlook, HMO, Requirements Gathering, Medicare, Medicaid, Health Care Reform, Claim, Medicare Part D, Testing, Instructional Design, Medicaid Managed Care, Managed Care, ERISA, Healthcare Industry
Education
Rhode Island School of Design 1982 — 1986
EmblemHealth April 2015 - Present
Ainsworth institute of pain management October 2013 - Present
Dr Popper Pediatric Office September 2012 - January 2013
Weill Cornell Medical College August 2011 - August 2012
Skills
Phlebotomy, Vital Signs, EMR, Medical Records, Patient Education, Medical Assisting, Pediatrics, Epic Systems, Patient Safety, Family Medicine, Appointment Scheduling, Urinalysis, Cpr Certified, HIPAA, Wound Care, Medicine, Medical Terminology, Quality Patient Care, Venipuncture, Direct Patient Care, Medication..., Patient Advocacy, Medical Office, Blood Pressure, Multi-line Phone, Phone Etiquette, Pain Management, Professional Services, Skilled Multi-tasker, Healthcare, Data Entry
Education
Sanford-Brown Institute-New York 2010 — 2011
certificate, Medical/Clinical Assistant
Sanford-Brown Institute-New York 2010 — 2011
Medical/Clinical Assistant
EmblemHealth October 2008 - June 2015
Emigrant Bank July 2008 - September 2008
The DeSola Group February 2008 - April 2008
Skills
Web Design, Adobe Creative Suite, Illustrator, InDesign, Brochures, Graphic Design, Advertising, Adobe Acrobat, Corporate Branding, Corporate Identity, Mac, Graphics, Dreamweaver, Creative Direction, Art Direction, Newsletters, Visual Communication, Catalogs, Banners, Flyers, Posters, Business Cards, Brand Development, Invitations, Vector Illustration, Stationery
Education
Pratt Institute
EmblemHealth August 2013 - Present
EmblemHealth April 2012 - August 2013
UnitedHealth Group February 2010 - April 2012
Health Net, Inc. August 2007 - February 2010
North Shore-LIJ Health System November 2005 - August 2007
GEICO March 2005 - November 2005
Skills
Managed Care, Provider Contracting, Contract Negotiation, Rate Negotiation, Pricing Negotiation, Health Insurance, Insurance Claims, Customer Service, Customer Relations, Provider Relations, Institutional Relations, Healthcare, Healthcare Industry, Credentialing, Hospitals, Insurance, Medical Billing, PPO, Access, Network Development, ICD-9, Medicaid, Medicare, Claim, Physicians
Education
University of Delaware 2001 — 2003
Bachelors of Science in Food and Agribusiness Management, Business Management
Sacred Heart University 1999 — 2001
N/A, Sports Management
IntegraMed May 2015 - Present
Oscar Health Insurance September 2013 - April 2015
EmblemHealth January 1999 - May 2013
Healthcare Executive Forum 1990 - 2007
Coordinated Care September 1994 - June 1999
Sheehan Memorial Hospital January 1990 - March 1994
Gayles Professional Center August 1987 - December 1989
Wellness Center of WNY December 1984 - July 1987
Nautilus Fitness Center September 1980 - August 1985
Skills
Managed Care, Healthcare, Rehabilitation, Pharmaceutical Industry, Healthcare Management, Marketing Strategy, Medicare, Vendor Management, Health Insurance, Strategic Planning, Competitive Intelligence, Budget Preparation, Research & Analysis, Process Improvement, Training, Leadership, Sales, Team Building, Insurance, Nonprofits, Data Analysis, Employee Benefits, Health Policy, Healthcare Information..., Healthcare Industry
Education
Chaminade
HS
San Diego State University-California State University
MA, Physical Education
State University of New York College at Cortland
B.S.E, Recreation Education
State University of New York at Buffalo
Ed.D., Exercise Physiology
Affinity Health Plan November 2014 - Present
ShelterPoint Life February 2012 - Present
Affinity Health Plan August 2013 - October 2014
DeWitt Consults September 2010 - August 2013
EmblemHealth September 2005 - September 2010
PerfectHealth Insurance Company May 2008 - May 2010
HIP September 2005 - September 2007
AIG/ AMERICAN GENERAL2004 - 2005 September 2004 - September 2005
CERIDIAN BENEFITS SERVICES March 1999 - September 2004
Prudential Healthcare June 1984 - March 1999
Skills
Insurance, Managed Care, Product Development, Strategy Development, Strategic Partnerships, New Business Development, Healthcare, Account Management, Advertising, Analysis, B2B, Benefits Administration, Business Analysis, Business Development, Business Process..., Business Strategy, CRM, Change Management, Cross-functional Team..., Employee Benefits, Health Insurance, Leadership, Management Consulting, Marketing, Marketing Strategy, Medicaid, Medicare, Mergers, Mergers, Outsourcing, Product Launch, Sales, Sales Management, Sales Operations, Sales Process, Strategic Planning, Team Building, Management, Strategy, Executive Management, Integration, Selling, Start-ups
Education
Princeton University 1978 — 1981
BA, History
UnitedHealthcare January 2011 - Present
Columbia University in the City of New York January 2011 - Present
Pace University September 2005 - September 2013
Deloitte Consulting January 2008 - January 2011
EmblemHealth January 2006 - January 2008
SIR JOHN MOORES UNIVERSITY January 2003 - February 2005
Pfizer January 2001 - January 2002
Skills
Vendor Management, Cross-functional Team..., Business Strategy, Team Leadership, Information Systems, Business Process..., PMO, Management Consulting, Data Analysis, Business Process, Governance, Strategy, IT Strategy, Process Improvement, Analytics
Education
SIR JOHN MOORES UNIVERSITY 2001 — 2003
MBA, Change Management
Rowan University 1997 — 2001
Bachelor of Arts, Economics
EmblemHealth May 2013 - Present
Micros Retail Systems September 2005 - May 2013
Skills
Strongly self-motivated, Possess strong..., Grasp New Concepts..., Microsoft Office, Mas 90
Education
Pace University - Lubin School of Business 2007 — 2012
Bachelor of Business Administration (BBA)
Large Home Health Agency September 2013 - Present
PA Consulting Group September 2012 - Present
EmblemHealth 2015 - 2015
Large Home Health Agency February 2013 - September 2013
Large National Communications Company October 2012 - February 2013
Harsco Industrial Patterson-Kelley June 2011 - August 2012
Harsco Industrial Patterson-Kelley July 2008 - June 2011
Skills
Manufacturing, Business Process..., Continuous Improvement, Project Management, Business Analysis, Process Improvement, Data Analysis, Team Leadership, Lean Transformation, Integration, Strategic Planning, Process Engineering, IT Operations, VBA, Kaizen, Change Management, IT Solutions, Business Process, Cross-functional Team..., Enterprise Software, Training, Service Desk, Business Transformation, Strategy, ERP, IT Strategy
Education
Rensselaer Polytechnic Institute 2005 — 2008
Bachelor of Science (BS), Management and Technology
Virginia Military Institute 2004 — 2005
Pius X High School
EmblemHealth August 2012 - Present
EmblemHealth/Health Fitness August 2008 - August 2012
NYC Department of Health and Mental Hygiene March 2011 - July 2011
African Hope Committee December 2009 - June 2010
United States Military October 2000 - October 2008
Skills
health/fitness testing, Speaking Engagements, Microsoft Office, Planning, Fundraising, Public Health, Health Promotion, Public Speaking, Project Planning, Event Management, Process Improvement, Program Management, Leadership, Clinical Research, Grant Writing, Community Outreach, Microsoft Excel, Editing, Fitness, Research, Program Evaluation, Nutrition, Program Development, Project Management, Teaching, Healthcare
Education
Walden University 2008 — 2010
Master's, Public Health
Southeast Missouri State University 2002 — 2007
Bachelor of Science, Health Management Exercise Science
XLHealth December 2010 - Present
EmblemHealth February 1994 - August 2010
PricewaterhouseCoopers 1989 - 1994
Empire Blue Cross 1984 - 1989
Skills
Actuarial Science, Actuaries, Claim, Data Analysis, Data Warehousing, Employee Benefits, Executive Management, Financial Analysis, Financial Modeling, HIPAA, Financial Reporting, Health Insurance, Healthcare, Health Policy, Healthcare Industry, Insurance, Leadership, Managed Care, Medicaid, Medicare, Process Improvement, Reinsurance, Risk Management, Underwriting
Education
Queens College 1970 — 1975
BA, Mathematics
Bronx High School of Science 1967 — 1970
Horizon Blue Cross Blue Shield of New Jersey July 2011 - Present
EmblemHealth June 2004 - July 2011
Health Administrators November 1996 - June 2004
Skills
Leadership, Healthcare Management, Health Insurance, Benefits Design, Instructional Design, Training, Claim audit, Management, PowerPoint, Sales, Process Improvement, Auditing, Business Analysis, Insurance, Managed Care, Claim, Medicaid, Healthcare, Medicare, HIPAA, Employee Benefits
Education
Seton Hall University 1998 — 2001
Master of Science (MS), Human Resources Training and Development
EmblemHealth February 2013 - Present
SELF-EMPLOYED June 2009 - March 2013
Xerox August 2011 - January 2013
Verizon June 2008 - June 2010
1199 National Benefit Fund 2006 - 2007
SEIU Local 32BJ 2003 - 2006
Skills
Customer Service, Microsoft Office, Internet, Research, Typing, Claim Adjudication, Flexible Spending..., Benefits Administration, Organizational..., Employee Benefits, Training, Outlook, Interviews, Employee Relations, Adjudication, Policy, Sales, Team Building, Program Management, Leadership Development, Leadership, Strategic Planning, Event Planning
Education
St. Peter's College 2005 — 2010
Bachelor of Arts (B.A.), CRIMINAL JUSTICE
EmblemHealth March 2011 - Present
EmblemHealth January 2010 - March 2011
EmblemHealth March 2004 - January 2010
Binder & Binder Law Firm September 2001 - March 2004
Binder & Binder Law Firm June 2001 - September 2001
Skills
Medicaid, Westlaw, Medicare, Legal Assistance, Claim, Wordperfect, Outlook, Insurance, HIPAA, Corporate Law, Healthcare, Case Managment, Litigation, Employment Law, Managed Care, Case Management, Appeals, Policy, Workers Compensation, Legal Writing, Litigation Support, Pleadings, Hearings, Microsoft Excel, Courts, Notary Public, Medical Malpractice, Legal Research, Microsoft Office, Civil Litigation
Education
Penn Foster Career School 2014 — 2015
Paralegal Studies Associates Degree, Legal Assistant/Paralegal
Schomburg Center 1999 — 1999
General Educational Development Diploma, General Studies
Jane Addams Vocational High School 1995 — 1999
Marketing, Marketing
Healthfirst January 2015 - Present
EmblemHealth October 2007 - February 2015
Skills
Pharmaceutical Industry, Pharmacy Automation, Medicare, Medicaid, Analytics, Pharmacy, Healthcare, Managed Care, Hospitals, Healthcare Management, Healthcare Information..., HIPAA, Public Health, Healthcare Industry, Medicare Part D, Pharmacy Benefit..., Health Insurance
Education
Rockland Community College 2014 — 2014
Perch Interactive, Inc June 2014 - Present
Pratt Institute August 2011 - May 2014
EmblemHealth June 2013 - August 2013
Savant Degrees June 2012 - July 2012
VADARO PTE LTD July 2011 - August 2011
Singapore American School Summer Program 2007 - 2010
Skills
Photoshop, Sketching, Industrial Design, CAD, ideation, Keyshot, Solidworks, HTML, CSS, JavaScript, 3D Modeling, Wood Shop, C#, Drafting, Objective-C, InDesign, Rendering
Education
Pratt Institute 2010 — 2014
Bachelor's of Industrial Design, Industrial and Product Design
Singapore American School 2008 — 2010
Sharp Electronics April 2015 - Present
EmblemHealth February 2014 - April 2015
inVentiv Health August 2012 - January 2014
ADP January 2005 - August 2012
AXA Equitable April 1995 - December 2004
Skills
Cold Calling, ADP Payroll, Employee Benefits, Benefits Administration, Salesforce.com, Talent Acquisition, PeopleSoft, Applicant Tracking..., Training, Human Resources, Management, Time Management, CRM, Finance, Payroll, HRIS, Sales
Education
Rider University 1988 — 1992
Bachelor of Arts (B.A.), Public Relations/Journalism
AdvantageCare Physicians March 2015 - Present
EmblemHealth November 2010 - February 2015
EmblemHealth September 2008 - October 2010
GHI April 2004 - August 2008
GHI September 2004 - March 2005
Lyddon & Associates May 1996 - August 2004
Bristol-Myers Squibb 1995 - 1996
Rabbet Gallery 1992 - 1994
Political, Government Experience 1989 - 1991
Skills
Talent Management, Internal Communications, Leadership Development, Recruiting, Corporate Communications, Process Improvement, Human Resources, Crisis Communications, Management, Organizational..., Program Management, HRIS, Project Management, Strategy, Newsletters, Vendor Management, Employee Engagement, Employee Benefits
Education
Rutgers, The State University of New Jersey-New Brunswick 1985 — 1989
Bachelor of Arts (B.A.), Journalism, Political Science
Healthfirst October 2013 - Present
EmblemHealth August 2012 - October 2013
EmblemHealth April 2011 - July 2012
EmblemHealth August 2009 - April 2011
EmblemHealth April 2009 - August 2009
PowerScore April 2007 - July 2009
Synovate November 2007 - May 2008
AccuBreak Pharmaceuticals 2006 - January 2008
Colgate Palmolive October 2007 - November 2007
Skills
SAS Enterprise Guide, Microsoft Excel, Microsoft Access, Visio, PowerPoint, Visual Basic, Minitab, GeoAccess, Transactional Lean, Six Sigma Green Belt, Change Leadership, Base SAS, Databases, Data Analysis, SAS, Change Management, Access, HIPAA, Healthcare, Software Documentation, Research, Troubleshooting
Education
Sarah Lawrence College 2004 — 2007
MVP Health Care July 2010 - Present
MVP Health Care September 2007 - July 2010
Blue Cross and Blue Shield of MA 2005 - 2007
Blue Cross and Blue Shield of MA 2004 - 2006
Blue Cross Blue Shield of Massachusetts June 2000 - March 2004
Tufts Health Plan 1998 - 2000
EmblemHealth January 1996 - October 1997
Kaiser Permanente (Community Health Plan) August 1991 - January 1996
Skills
Business Planning, Marketing, Integration, Leadership, Business Development, Health Insurance, Strategy, Medicare, Managed Care, Medicaid, Healthcare Industry, Insurance, Project Planning, Employee Benefits, Benefits Administration, Business Process..., Program Management, Provider Relations, Product Marketing, Strategic Planning, Customer Retention, Healthcare, Sales, Management
Education
Skidmore College 1986 — 1990
BA, Business
The Sage Colleges-Sage Graduate School
Masters in Health Care Admin
Deloitte February 2007 - Present
The Lab Companies, Inc September 2005 - February 2007
EmblemHealth March 2004 - February 2005
EmblemHealth August 2002 - March 2004
Education
Pace University 2001 — 2003
Master, Business Administration; Financial Management
EmblemHealth August 2012 - August 2013
EmblemHealth 1997 - 2013
EmblemHealth September 2010 - July 2012
EmblemHealth October 1998 - September 2010
Skills
Utilization Management, Pharmacy Benefit..., HMO, PPO, Medicare Part D, Medicare Advantage, Healthcare Information..., Healthcare improvement, Disease Management, HIPAA, Provider Relations, Network Development, Healthcare Consulting, Hospitals, Healthcare Industry, HEDIS
Education
AHIP 2008 — 2009
Certificate, ELP-MD Program
iFHP (London) 2006 — 2007
Certificate-Distinguished Fellow, International Healthcare Executive
Rutgers, The State University of New Jersey-Newark 1991 — 1993
MBA, Business Administration and Management, General
Mercer February 2014 - Present
EmblemHealth March 2012 - March 2013
First National Administrators 2011 - 2012
Martin Benefits Consulting 1998 - 2010
Oxford Health Plans 1993 - 1998
Skills
CRM, Direct Marketing, Customer Retention, Start-ups, Integrated Marketing, Insurance, Employee Benefits, Sales, Sales Presentations, Business Development, Health Insurance, Customer Service, Leadership, Marketing, New Business Development, Strategic Planning
Education
Rutgers University 1985 — 1989
Bachelor of Business Administration (B.B.A.), Economics, 3.0
The Eyes Of My Mother September 2015 - Present
AETEA Information Technology August 2015 - Present
Alpha Epsilon Pi Fraternity-Phi Sigma Delta Sigma Chapter at The Pennsylvania State University January 2015 - May 2015
SHRM October 2014 - April 2015
Consultant Training Program January 2015 - March 2015
Nittany Consulting Group October 2014 - March 2015
The Department of Psychology at The Pennsylvania State University June 2014 - January 2015
Penn State University February 2014 - August 2014
EmblemHealth June 2013 - August 2013
Wings Over Farmingdale January 2013 - January 2013
Skills
Leadership, Microsoft Office, Leadership Development, PowerPoint, Teamwork, Research, Critical Thinking, Public Speaking, Data Analysis, Microsoft Word, Microsoft Excel, Statistics, Customer Service, Social Media, SPSS, Human Resources, Facebook, Social Networking, Time Management, Strategic Planning, Fundraising, Event Planning, Team Leadership, Psychology, Coaching, Conflict Resolution, Management, Editing, Team Building, Data Entry, Experimental Design, Dispute Resolution, PsycINFO, Team Management, Team Motivation, Resume Writing, Job Descriptions, Customer Satisfaction, Performance Appraisal, Organizational..., Basketball, Performance Motivation, Analysis, Social Media Consulting, Film Criticism, Strategic Communications, TV series, Entertainment Industry, Production Assistance, Production Planning
Education
Penn State University 2013 — 2015
Bachelor's Degree, Psychology-Business Option
Towson University 2011 — 2013
Psychology
Half Hollow Hills High School East 2007 — 2011
Advanced Regents Diploma
Paradigm Health Plans July 2015 - Present
EmblemHealth July 2013 - July 2015
EmblemHealth September 2012 - July 2013
EmblemHealth (GHI) Inc September 2006 - September 2012
Empire Blue Cross Blue Shield February 2005 - September 2006
WellPoint May 2003 - February 2005
Empire BlueCross Blue Shield December 1999 - May 2003
Empire Blue Cross Blue Shield April 1985 - December 1999
Skills
Outlook Express, Health Insurance, Customer Service, Six Sigma, Medicaid, Medicare, Data Analysis, Healthcare, Data Entry, Analysis, Spreadsheets, Budgets, Benefits Administration, Policy, Business Analysis, Healthcare Information..., Vendor Management, Instructor-led Training, Program Management, Team Building, SnagIt, Management, Call Centers, Healthcare Management, SharePoint, Utilization Management, Strategic Planning, SDLC, Human Resources, Health Policy, Managed Care, Coaching, User Acceptance Testing, Leadership Development, E-Learning, Healthcare Industry, Hospitals, Recruiting, Business Process...
Education
St. Francis University 1981 — 1993
B.A, Public Administration
St. John's University 1979 — 1991
A.A, Liberal Arts
EmblemHealth August 2012 - Present
EmblemHealth August 2010 - August 2012
EmblemHealth April 2006 - August 2010
EmblemHealth April 2002 - April 2006
Skills
Business Analysis, Health Insurance, Managed Care, Process Improvement, Data Analysis, Healthcare Information..., Access, Data Warehousing, Human Resources, Microsoft Excel, Databases
Education
Queensborough Community College 1998 — 2000
Career blazers 1999 — 1999
Geller & Company 2010 - Present
EmblemHealth 2006 - 2010
CA Technologies 2005 - 2006
Catholic Charities of the Archdiocese of New York 2003 - 2005
Fidelity Investments 1998 - 2003
BNY Mellon 1994 - 1998
Skills
Consolidated P&L..., Financial Modeling -..., Forecasting &..., Financial Accounting, Strategic Planning, Baseline & Sales-Target..., Activity-based Costing..., Project Management, Risk Management, Customer Service, Banking, Analysis, Budgets, Financial Analysis, Finance, Financial Modeling, Forecasting, Internal Controls, Financial Reporting
Education
Siena College 1991 — 1994
Bachelor of Science (B.S.), Accounting and Finance
St Mary's High School
Anomaly August 2015 - Present
EmblemHealth 2011 - 2015
Viacom 2008 - 2011
BNY Mellon 2008 - 2008
Morgan Stanley 2003 - 2004
Skills
Financial Analysis, Microsoft Excel, Analysis, Financial Accounting, Corporate Finance, Microsoft Office, Financial Reporting, Financial Modeling, Finance, Sarbanes-Oxley Act, PowerPoint, Data Analysis, Social Media, Regulatory Compliance, Hyperion Enterprise, PeopleSoft, Databases, Economics, Access, SharePoint, Data Warehousing, SQL, Pivot Tables, General Ledger, DNB, Citrix, Account Reconciliation, Forecasting, SEC filings, Internal Audit, US GAAP, Process Improvement, Cash Management, Auditing, Visio, Analytics, QuickBooks, Sarbanes-Oxley, Business Analysis, JDE Enterprise One, JD Edwards, Risk Management, Vlookup, Accounting, Leadership, Management, Public Speaking, Budgets, Event Planning
Education
Pace University - Lubin School of Business 2006 — 2008
MBA
Pace University - Lubin School of Business
BBA
EmblemHealth January 2008 - Present
GHI December 1995 - December 2007
Urbitran Associates September 1994 - January 1996
Mariano D. Molina Consulting Engineers August 1986 - August 1994
Skills
Proposal Writing, Management, Preparation Of Proposals, Healthcare, Health Insurance, Managed Care, Marketing, Project Management, RFP, Strategic Planning, Team Building, Employee Benefits, Insurance
Education
Pace University - Lubin School of Business 1982 — 1986
BBA, Business Administration
North Shore-LIJ Health System July 2015 - Present
Lenox Hill Hospital June 2012 - June 2015
New York University January 2012 - July 2012
Bronx-Lebanon Hospital Center 2011 - 2012
Bronx-Lebanon Hospital Center 2011 - 2012
New York University September 2011 - December 2011
EmblemHealth May 2011 - August 2011
Haydarpasa Paragon Hospital July 2010 - September 2010
Euromed Imaging Center September 2008 - September 2010
Marmara University Teaching Hospital September 2009 - November 2009
Skills
Medicine, Healthcare Management, Healthcare, Internal Medicine, Hospitals, Health Policy, Infectious Diseases, Analysis, Health Insurance, Healthcare Reimbursement, Public Health, Strategy, Healthcare Information..., Finance
Education
New York University, Robert F. Wagner Graduate School of Public Service 2010 — 2012
Master of Public Administration, Health Policy and Management; Financial Management
Marmara University School of Medicine 2004 — 2010
MD, Doctor of Medicine
Sapienza Università di Roma 2008 — 2009
MD, Medicine
Koc School
Memorial Sloan Kettering Cancer Center September 2015 - Present
Memorial Sloan Kettering Cancer Center May 2015 - August 2015
EmblemHealth May 2013 - August 2013
Positive Perceptions Counseling Services August 2009 - August 2011
Skills
Healthcare Management, Medicare, Medicaid, HIPAA, Healthcare Information..., Data Analysis, Public Speaking, Team Building, Healthcare
Education
Penn State University 2011 — 2015
Bachelor's degree, Health/Health Care Administration/Management, Junior
GC Appliance Plus LLC September 2014 - Present
Stage Supply 2009 - 2011
Rest At Ease Daycare January 2007 - August 2009
EmblemHealth April 2001 - April 2003
EmblemHealth December 2000 - April 2001
EmblemHealth April 2000 - December 2000
EmblemHealth April 1997 - April 2000
Skills
Leadership, Customer Service, Change Orders, Training, Construction, Contract Management, Technology, Construction Management, Value Engineering, Process Scheduler, Renovation, Contractors, Management/Administrativ..., Sales/Communication, Construction Drawings, Construction..., Job Estimating, Sales & Distribution, Pre-construction
Education
Ramapo College of NJ 1992 — 1997
Bachelor of Applied Science (B.A.Sc.), Business, Management, Marketing, and Related Support Services, 3.4 GPA
Barnard College October 2014 - Present
Purchase College Alumni Association, Inc. December 2012 - Present
Council for Opportunity in Education June 2013 - Present
Barnard College November 2010 - October 2014
EmblemHealth August 2010 - November 2010
Purchase Student Government Association May 2009 - May 2010
Purchase College Association September 2008 - May 2010
Bloomberg for Mayor 2009 September 2008 - May 2010
Skills
Higher Education, Public Speaking, Nonprofits, Event Planning, Research, Community Outreach, Grant Writing, Fundraising, Photography, Editing, Budgets, Teaching, Student Affairs, Policy, Proofreading, Microsoft Excel, Student Financial Aid, Career Counseling, Academic Advising, Academic Administration, Academic Tutoring, Student Recruiting, Student Leadership, Student Development, Grant Preparation, Grants, Grant Reviewing, Networking, Social Networking, Social Media, Retention Management, STEM, Human Resources, Government Relations, Diversity Program...
Education
Purchase College, SUNY 2006 — 2010
Bachelor of Arts (B.A.), Political Science and Government
State University of New York College at Purchase 2006 — 2010
Political Science, Domestic Politics, Foreign Policy, Comparative Politics
WellPoint March 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2012 - February 2013
Group Health Incorporated July 2012 - November 2012
EmblemHealth October 2011 - June 2012
Trinissoft Tirana, Albania July 2005 - December 2008
Skills
Software Quality..., Agile & Waterfall..., Mentoring, Solutions Provider, Functional Testing, SQL DB2, SoapUI, RQM, ClearQuest, ClearCase, Team Leadership, Quality Center, Lean IT, RUP Methodologies, Test Management, HIPAA, ICD-9, ICD-10, Test Planning, System Integration..., User Acceptance Testing, Web Services, IBM Mainframe, Business Requirements, SDLC, Business Analysis, Databases, Quality Assurance, HP Quality Center
Education
Sacred Heart University 2014 — 2016
Master's degree
University of Northern Virginia
Bachelor's degree
Agricultural University of Tirana 2001 — 2007
Bachelor's degree
Hasan Tahsini 1997 — 2001
High Scool
Citi August 2012 - Present
Blue Comet Global - Information and Infrastructure Architecture Consulting December 2009 - Present
MetLife June 2009 - November 2011
Fashion Bug 2006 - 2009
Educational Testing Service April 2004 - November 2006
EmblemHealth 2002 - 2004
Teradata 1996 - 2002
AT&T 1984 - 1996
Skills
Enterprise Architecture, Data Warehousing, Business Intelligence, Enterprise Software, Architecture, Unix, ITIL, Product Management, Integration, Oracle, DB2, SDLC, Software Development, Microsoft SQL Server, Linux, Data Center, Business Process, Information Architecture, Requirements Analysis, CRM, Data Modeling, Storage Area Networks, SAN, Software Project..., Vendor Management, Master Data Management, Big Data, Database Design, Solution Architecture, Data Governance, PMP, Storage, ETL, IT Management, Cloud Computing, Business Analysis, Databases, Disaster Recovery, Teradata, SOA, Application Architecture, Systems Analysis, Database Administration, Infrastructure, Risk Management, Agile Methodologies, Infrastructure..., Hadoop, MongoDB, Architectures
Education
Rutgers University
AB
Rutgers University-New Brunswick
Cravath, Swaine & Moore LLP December 2013 - Present
EmblemHealth March 2013 - December 2013
Bingham McCutchen December 2011 - March 2013
Audible, Inc. April 2008 - December 2011
Skills
Blogging, Digital Marketing, Online Advertising, Content Strategy, Social Media, Content Management, E-commerce, Email Marketing, Editing, Social Media Marketing, Press Releases, Facebook, Advertising, Editorial, Marketing, Digital Media, Photoshop, Final Cut Pro, Microsoft Office...
Education
School of Visual Arts 2010 — 2010
Copywriting
Ursinus College 2004 — 2008
Bachelor's, Media & Communication Studies, English
Healthfirst June 2014 - Present
EmblemHealth November 2006 - June 2014
Horizon Blue Cross Blue Shield of New Jersey 2003 - 2006
The Health Plan of the Upper Ohio Valley 1993 - 2003
Skills
Managed Care, Disease Management, Healthcare Management, Health Insurance, Utilization Management, Healthcare, HEDIS, Medicare, Medicaid, Nursing, Clinical, Care Management, Medical Management, Case Management, Clinical Research, Healthcare Consulting, Provider Relations, NCQA, Certified Case Manager, Quality Improvement, HMO, Healthcare Industry, Medicaid Managed Care, Health Policy
Education
Penn State University
BS, Nursing
Wheeling Jesuit University
MBA
EmblemHealth March 2012 - Present
EmblemHealth September 2010 - March 2012
EmblemHealth October 2002 - September 2010
The Harry Fox Agency July 2001 - October 2002
Group Council Mutual Ins. Co. May 1993 - July 2001
Skills
Financial Analysis, Financial Reporting
Education
St. Francis College 1986 — 1990
BS, Accounting & Technology
EmblemHealth October 2014 - Present
NVC Logistics Group August 2006 - September 2013
RCF Direct 2004 - 2006
G2 Direct & Digital (Grey Direct) 1994 - 2003
Skills
Direct Marketing, Marketing Communications, Multi-channel Marketing, B2B Marketing, Marketing, Advertising, Management, Direct Mail, Marketing Strategy, Customer Retention, Lead Generation, Relationship Marketing, Strategy, Marketing Management, Customer Acquisition, Department Budgeting, Analysis, Team Leadership, Cross Functional..., B2C marketing, Outstanding...
Education
Quinlan School of Business, Loyola University Chicago
MBA, Marketing
University of Illinois at Urbana-Champaign
BS, Advertising
EmblemHealth May 1995 - Present
Seaport Graphics January 1975 - April 1995
Education
East Meadow High School
School of Visual Arts
Healthplex, Inc. September 2015 - Present
EmblemHealth November 2012 - September 2015
EmblemHealth July 2010 - November 2012
Northwestern Mutual May 2008 - July 2010
CIGNA Healthcare May 2003 - May 2008
MetLife April 2002 - May 2003
GHI 1998 - 2002
Oxford Health Plans 1996 - 1997
Skills
Health Insurance, Employee Benefits, Disability Insurance, New Business Development, Insurance, Health Savings Accounts, Sales, Management, Managed Care, Health Care Reform, Account Management, Brokers, Long-term Care, Life Insurance, Healthcare, Medicare, Term Life Insurance, COBRA, Underwriting, Benefits Administration, Flexible Spending...
Education
Pfeiffer University 1993 — 1995
BS, Business Finance & Marketing
Holy Trinity High School 1981 — 1985
High School
Our Holy Redeemer
EmblemHealth September 2013 - Present
E-Z INK, INC November 2010 - September 2013
4 G's Trading Corp. April 2009 - June 2010
Skills
Events Coordination, Customer Service, Customer Satisfaction, Office Management, Travel Management, Business Process, E-commerce, Account Management
Education
Rochester Institute of Technology 2004 — 2008
B.S, Hospitality and Service Management, 3.5 GPA Graduated with Honors
Murry Bergtraum High School for Business Careers 2000 — 2004
Accounting
Markit July 2015 - Present
EmblemHealth October 2012 - July 2015
TRG Management LP June 2011 - August 2011
Rutgers University September 2009 - May 2011
Vector Marketing January 2009 - February 2009
Kumon September 2007 - March 2008
Skills
Microsoft Excel, Microsoft Office, PowerPoint, Microsoft Word, Customer Service, Access, Photoshop, Social Media, Java, Data Analysis, Teamwork, HTML, SAS programming, Active Directory, Avaya, CSS, SQL, SPSS, Eclipse, Visio, Nuance, MS Project, Command Prompt, SharePoint, Windows 7, Testing
Education
Rutgers University-New Brunswick 2008 — 2012
Bachelor of Arts (B.A.), Statistics
New York City Health and Hospitals Corporation 2015 - Present
1199 National Benefit Fund 2013 - 2015
Merck 2013 - 2013
Time Warner Inc. 2009 - 2013
EmblemHealth 2008 - 2009
Hewitt Associates 2003 - 2008
Buck Consultants 2000 - 2003
Salomon Smith Barney May 2000 - December 2000
Merrill Lynch May 1999 - August 1999
Skills
Employee Benefits, Benefits Administration, Defined Benefit, Benefits Design, Corporate Benefits, Defined Contribution, 409A, Outsourcing, Internal Audit, Audits of Employee..., Form 5500, 401k, Benefit Plan..., Talent Acquisition, HRIS, Deferred Compensation, Performance Management, Payroll, Vendor Management, Pensions, Executive Pay, ERISA, Human Resources, PeopleSoft, Management, Process Improvement
Education
Slippery Rock University of Pennsylvania 1996 — 2000
Bachelor of Business Administration (B.B.A.), Finance and Management
EmblemHealth August 2013 - June 2014
TIAA-CREF November 2010 - July 2013
Union Bank April 2006 - November 2010
Lion Capital Management Group February 2004 - August 2005
JP Morgan Chase Manhattan Mortgage June 2003 - January 2004
Skills
Financial Services, Risk Management, Recruiting, Onboarding, Banking, Employee Relations, Interviews, Customer Service, Marketing, Team Building, Asset Management, Training, Deferred Compensation, Leadership, Vendor Management, Business Development, Human Resources, CRM, Management, Strategy, Talent Management, Hiring, Benefits Administration, Mergers & Acquisitions, Negotiation, Applicant Tracking..., Relationship Management, Employee Benefits, College Recruiting, Talent Acquisition, Sourcing, Performance Management, Internet Recruiting, Temporary Placement, Technical Recruiting, Taleo, Benefits Negotiation, Succession Planning, Workforce Planning, Employee Engagement, Personnel Management, Contract Recruitment, Executive Search, HRIS
Education
San Francisco State University 2002 — 2004
Masters, Public Administration
EmblemHealth December 2009 - Present
Ernst & Young September 2008 - July 2009
Philips Electronics North America March 2006 - August 2008
ALM Media, Inc November 2004 - March 2006
Wanted in Rome September 2002 - April 2004
The MONY Group May 2000 - April 2002
Skills
Internal Communications, Employee Engagement, Project Management, Strategic Communications, Social Media, Writing, Editing, Intranet Strategy, Newsletters, Communications Planning, Project Planning, Web Content, Publications, Brand Management, Copywriting, Content Strategy, Marketing Communications, Change Management, Content Management, Event Management, Management, Content Development, Copy Editing, Speech Writing, Corporate Branding, Blogging, Journalism, Editorial, Reputation Management, Human Resources, Digital Media, Marketing
Education
Rutgers, The State University of New Jersey-New Brunswick
BA
New York City Economic Development Corporation September 2015 - Present
New York City Economic Development Corporation 2013 - Present
New York City Economic Development Corporation 2007 - 2013
EmblemHealth July 2005 - September 2005
Skills
Microsoft Office, Mac OS, Windows 7, Windows Server, VMware View, Analysis, Microsoft Excel, Project Management, Disaster Recovery, Servers, PowerPoint, Active Directory, Technical Support, Strategy, Security, Nonprofits, Management, Networking, Research, VMware vSphere, Windows Server 2012 R2, Computer Security
Education
Pace University-New York 2012 — 2015
Master’s Degree, Management Information Systems, General
SUNY Stony Brook 2001 — 2005
Bachelor’s Degree, Computer Science
McGraw Hill Financial / S & P Dow Jones Indices July 2015 - Present
EmblemHealth December 2011 - June 2015
EmblemHealth June 2009 - December 2011
Avtech Institute of Technology September 2008 - May 2009
Maher Terminals February 2002 - August 2008
Westdeutsche Landesbank March 1999 - January 2002
PSEG November 1997 - February 1999
ConvaTec November 1995 - October 1997
Skills
PMP - Project..., 6 Sigma Methodology, SAS programming, Provider Reimbursement..., Provider Relations -..., Data Mining, Data Analytics, Managing Large Scale..., Cognos ReportNet, Cognos Impromptu, MS Access, MS Excel Pivot Tables, ISTQB Certified -..., ITIL v3 Foundations..., Oracle Database Design..., OCP - Oracle Database..., OCA - Oracle PL/SQL..., OCE - Oracle E-Business..., OCE - Oracle E-Business..., Oracle Forms, PowerBuilder, Sybase, Business Analysis, Integration, Visio, SDLC, Access, Data Quality, Oracle, Data Warehousing, OLAP, Informatica, DB2, PL/SQL, Erwin, Data Warehouse..., Visual Basic, Data Modeling, Data Integration, Toad, Crystal Reports, Business Objects, Cognos, Relational Databases, ETL, Six Sigma, Systems Analysis, Teradata, Databases, Software Documentation
Education
Rutgers, The State University of New Jersey-New Brunswick 1990 — 1995
Bachelor of Science (B.S.), Major: Industrial Engineering / Minor: Japanese
EmblemHealth 2007 - Present
Document Strategy Conference 2015 - 2015
Sharp Decisions August 2003 - December 2007
Wyndham Worldwide 2005 - 2007
Dynax Solutions October 1998 - August 2003
Con Edison - Indian Point Station 1988 - 1998
Con Edison - Indian Point Station 1988 - 1998
Con Edison - Indian Point Station 1988 - 1998
Skills
Project Management, Digital Imaging, Consulting, Business Development, Management, Business Process, ERP, Vendor Management, Recruiting, Sales, Strategy, Enterprise Software, Disaster Recovery, Mergers & Acquisitions, Process Improvement, Databases, Team Building, Oracle, Healthcare, Strategic Planning, Business Transformation, Requirements Analysis, Program Management, Business Intelligence, IT Strategy, Business Analysis, Business Process..., SDLC, Integration, Visio, Leadership, Cloud Computing
Education
Rensselaer Polytechnic Institute 1994 — 1998
MBA, Strategic Management of Technology
Villanova University 1977 — 1981
BME, Mechanical Engineering
Chiron Business Solutions September 2014 - Present
EmblemHealth June 2006 - June 2014
Morgan Stanley March 1989 - May 2006
Pershing, a BNY Mellon company July 1987 - March 1989
Skills
Software Development, Windows, Software Project..., Agile Methodologies, Requirements Analysis, Databases, Integration, Business Intelligence, Microsoft Office, MS Project, Visio, JCL, COBOLII, CICS, SQL, DB2, VSAM, Oracle, COBOL, Analysis, Business Analysis, SDLC, Business Rules, UML
Education
City University of New York-Queens College
Bachelor's degree
EmblemHealth August 2011 - Present
Skills
Financial Analysis, Budgets, Process Improvement, Risk Management, Auditing, Finance, Financial Reporting, Internal Controls, Microsoft Excel
Education
Saint Peter's University 1999 — 2003
MBA, Management
Rutgers, The State University of New Jersey-New Brunswick 1993 — 1997
BS, Administration of Justice
HealthyCT, Inc. July 2013 - Present
EmblemHealth June 2011 - July 2013
Health Net January 2009 - April 2010
Health Net January 2008 - December 2008
Health Net 2005 - 2007
Health Net 2004 - 2005
MHN 2003 - 2004
MHN 2001 - 2002
Skills
Account Management, Healthcare, Insurance, Health Insurance, New Business Development, Marketing Strategy, Managed Care, HMO, Employee Benefits, Salesforce.com, Sales Management, Medicaid, Management, Strategy, Leadership, Health Savings Accounts, Sales, Disability Insurance, Strategic Planning, Medicare, Business Planning, Customer Satisfaction, Health Policy, Healthcare Industry, Customer Retention, Pharmacy Benefit..., Claim, PPO, Brokers, Disease Management, Health Care Reform, Provider Relations
Education
Quinnipiac University
Bachelor's degree, Marketing
Verizon Wireless March 2014 - Present
JPMorgan Chase November 2012 - December 2013
TEKsystems 2006 - 2013
TEKsystems 2006 - 2013
TEKsystems 2006 - 2013
ThompsonReuters February 2012 - October 2012
EmblemHealth October 2011 - February 2012
Brown Brothers Harriman April 2011 - September 2011
Merck February 2010 - March 2011
Pfizer December 2008 - December 2009
Skills
SharePoint, SDLC, Software Documentation, Microsoft SQL Server, SQL, Oracle, Requirements Analysis, Databases, Access, Data Analysis, Visual Basic, VBA, Requirements Gathering, Testing, VB.NET
Education
Radford University 1981 — 1989
B.S., Physical Science, Computer Science
Radford/Virginia Tech 1981 — 1989
Masters, Physics
HIP Health Plan of NY Instructional TechnologistHIP Health Plans2004 - Present
HIP 1999 - Present
EmblemHealth 1999 - Present
EmblemHealtlh 1999 - Present
Skills
Public Speaking, Leadership Development, Strategic Planning, Organizational..., Coaching, Nonprofits, Team Building, Training, Program Management, Healthcare, Program Development, Change Management, Process Improvement, Management, Leadership, Visio, Project Management
Education
Princeton University 1980 — 1985
EmblemHealth 2002 - Present
Skills
Active Directory, Cisco Technologies, Firewalls, Disaster Recovery, VPN, Telecommunications, VMware, DHCP, Network Security, Network Architecture, Troubleshooting, Data Center, DNS, Visio, Routers, Vendor Management, Project Management, TCP/IP, IT Management
Education
Rutgers University-New Brunswick 1987 — 1992
Emblem Health February 2001 - Present
EmblemHealth February 2001 - Present
Jefferies & Company June 1997 - June 1999
Education
Skidmore College 1985 — 1989
Aids Healthcare Foundation March 2015 - Present
Body by DAVID October 2009 - Present
EmblemHealth October 2014 - January 2015
Max Muscle Sports Nutrition of South Florida October 2008 - July 2014
MDVIP July 2013 - February 2014
Skills
Microsoft Office, Excel, Customer Relations, Microsoft Excel, Nutrition, Fitness, Sports Nutrition, Customer Service, Supplements, Wellness, Personal Training, Functional Training, Healthcare, Coaching, Endurance, Weight, Fitness Training, Weight Training, Strength Training, Nutritional Counseling, Exercise Physiology, Lifestyle, Time Management, Health Education, Social Media, Marketing
Education
Savannah College of Art and Design 1988 — 1993
Bachelor of Architecture (B.Arch.), Architecture
Savannah College of Art and Design 1987 — 1993
Bachelor of Architecture (B.Arch.), Architecture
Horizon Blue Cross Blue Shield of NJ May 2008 - Present
EmblemHealth January 2003 - May 2008
CIGNA September 2001 - December 2002
CIGNA June 2000 - September 2001
Skills
Health Insurance, Insurance, Employee Benefits, Account Management, Managed Care, Brokers, CRM, Leadership, New Business Development, Sales, Healthcare, Management, Health Savings Accounts, Medicare, Cross-functional Team..., Customer Retention, Underwriting, Fluent in Chinese..., Salesforce.com, Claim
Education
Rutgers Business School 1996 — 2000
Bachelor of Science (B.S.), Marketing
EmblemHealth March 2011 - Present
EmblemHealth July 2006 - April 2011
EmblemHealth February 2005 - July 2006
EmblemHealth June 2003 - February 2005
Skills
Managed Care, Medicaid, Medicare, Healthcare, Data Analysis, Analysis, Healthcare Analytics, Healthcare Industry, Insurance, HIPAA, Healthcare Management, ICD-9, Hospitals, Health Insurance, Business Analysis, Revenue Cycle, Provider Relations, Physicians, Network Development, Decision Support, Business Process, Provider Contracting, Financial Analysis, Modeling, CMS, Utilization Management, Schedules, Budgeting, Forecasting, HMO, Planning, Home Care, Credentialing, Medicare Part D, Contract Management, Pricing, Statistics, Financial Modeling, Disease Management, Microsoft Office, SAS, Cognos, MedStat, SQL, Java, JavaScript, HTML 5, AP/MS/APR DRG, ICD-10, Budgets
Education
City University of New York-Queens College 2000 — 2003
Bachelors of Art, Computer Science
EmblemHealth Future Leaders Program 2010 — 2011
BMGI
LEAN for Transactional Business Processes – 32 Hours of Applied Lean Training (SEP’07)
BMGI
Change Leadership Training – 36 Hours of Applied Training (JAN’11)
Mt. Sinai Health Systems January 2013 - Present
EmblemHealth September 2000 - December 2012
Prudential Healthcare 1996 - 2000
Aetna 1992 - 1995
HealthWays Systems 1981 - 1989
Skills
HMO, Operational Efficiency, Healthcare, Managed Care, Provider Relations, Medicaid, Medicare, Leadership, Strategic Planning, Healthcare Industry, Network Development, PPO, Health Insurance, Disease Management, Process Improvement, Claim, Healthcare Information..., Healthcare Consulting, Health Policy, Utilization Management, Revenue Cycle, Insurance, EMR, HIPAA, Physicians, Pharmacy Benefit..., Healthcare Management, Medical Billing, Quality Improvement, Revenue Cycle Management, Hospitals, EHR, Practice Management, Employee Benefits, Physician Relations, Credentialing, Medicare Part D, ICD-9, Long-term Care, Performance Improvement, Claims Resolution, Nursing, Home Care, Informatics, Health Care Reform, CPT, Case Managment, Medicine, Executive Management, Public Health
Education
Ramapo College of NJ
Affusion. August 2011 - Present
EmblemHealth February 2010 - July 2011
GSI Commerce March 2009 - January 2010
De Lage Landen January 2006 - February 2009
State Street Bank April 2005 - December 2005
Chartered Semiconductor August 2000 - February 2005
iGate Mastech January 2000 - July 2000
DSRC August 1997 - December 1999
Skills
ERP, SQL, Microsoft SQL Server, Software Development, Data Warehousing, Business Intelligence, .NET, Software Project..., Oracle, ASP.NET, XML, Integration, C#, JavaScript, SDLC
Education
Sri Venkateswara University 1993 — 1997
Bachelor of Technology (B.Tech.), Mechanical Engineering
EmblemHealth February 2003 - December 2013
Prudential Financial 2001 - 2002
Pearson Education 1999 - 2000
Medco Health Solutions 1994 - 1996
Bankers Trust 1980 - 1981
Skills
Systems Analysis, COBOL, Requirements Analysis, SDLC, Business Analysis, Visio, Requirements Gathering, Business Requirements, SharePoint
Education
Ramapo College of New Jersey
EmblemHealth December 2014 - Present
CGC Consulting Group September 2013 - December 2014
Citi October 2006 - September 2013
Citi *(1998-Travelers merged with Citibank, 1995-Smith Barney merged with Travelers Group October 1995 - September 2006
Smith Barney Shearson (1993-Lehman merged with Smith Barney) October 1990 - September 1995
Shearson Lehman 1986 - 1990
Bowery Savings Bank September 1985 - October 1986
Morgan Guaranty Trust July 1975 - September 1985
Skills
Business Continuity, IBM Mainframe, Vendor Management, DB2, SDLC, Mainframe, IT Strategy, Process Improvement, Disaster Recovery, Credit Cards, Enterprise Architecture, Financial Risk, Trading Systems, Risk Management, Financial Analysis, Unix, Enterprise Risk..., Financial Services, Business Analysis, Banking, Relationship Management, Capital Markets, SQL, Asset Managment, Investment Banking, Analytics, PMO, Market Data, Integration, Incident Management, Electronic Trading, Asset Management, IT Management, Requirements Analysis, Fixed Income, Data Center, Sybase, ITIL, Prime Brokerage, Middle Office, JCL, IT Service Management, Equities, Requirements Gathering, Information Security, Production Support, CICS, Project Portfolio..., Derivatives, Autosys
Education
Pace University-New York 1980 — 1981
Management Information Systems, General
Bronx Community College 1977 — 1980
Associate's degree, Accounting
QualCare Inc. August 2015 - Present
EmblemHealth April 2014 - July 2015
CIGNA Healthcare November 2011 - April 2014
Cigna Healthcare January 2009 - December 2010
CIGNA Healthcare January 2007 - January 2009
Skills
Insurance, Leadership, Process Improvement, Salesforce.com, Health Insurance, Healthcare, Project Management, Analysis, Affordable Care Act, SharePoint, Management, Strategy, Team Building, Managed Care, Microsoft Excel, Software Documentation, Medicare, Strategic Planning, Business Analysis, Account Management, Sales, Business Strategy, Business Process..., New Business Development, Medicaid, Customer Service, HIPAA, Employee Benefits, Public Speaking, Marketing Strategy, Visio, Microsoft Office, PowerPoint, Microsoft Word, Access, Data Analysis, Project Portfolio..., MS Project, Vendor Management, Brokers, Sales Management, Sales Operations, Business Process, Business Development, Sales Process, Health Savings Accounts, Customer Retention, CRM
Education
Penn State University 2010 — 2012
Master of Business Administration (MBA), Entrepreneurship/Entrepreneurial Studies
Rutgers, The State University of New Jersey-New Brunswick 2004 — 2007
Bachelor of Arts (B.A.), Economics
Office of the New York City Comptroller February 2010 - Present
Emblem Health October 2007 - February 2010
EmblemHealth June 2004 - October 2007
Education
Pace University 2006 — 2008
Master of Science (M.S.), Computer Systems Networking and Telecommunications
Saint John's University 2001 — 2003
Bachelor of Science (B.S.), Computer Science
St. John's University January 2011 - Present
EmblemHealth March 2004 - Present
Duane Reade July 2002 - March 2004
Kmart Pharmacy March 2001 - July 2002
Walgreens Pharmacy January 2000 - March 2001
Skills
Pharmaceuticals, • Teaching experience..., Pharmacists, Pharmacy, Prescription, Pharmacy Benefit..., Managed Care, Medicare Part D, Compounding, Disease Management, Pharmaceutical Industry, Community Pharmacy, Clinical Pharmacy
Education
Saint John's University 1995 — 2000
Bachelor of Science (BS), Pharmacy
St. John's University 1995 — 2000
BS, Pharmacy
EmblemHealth March 2015 - Present
HIP Health Plan 2008 - Present
EmblemHealth January 2010 - February 2015
Emblem Health 1998 - December 2009
332-336 E77TH STREET 2006 - 2008
NYNEX/BELL ATLANTIC August 1996 - June 1998
The Podiatry Associates July 1992 - December 1993
Skills
Health
Education
Temple University, Pennsylvania College of Podiatric Medicine 1986 — 1990
DPM, Podiatric Medicine
Rutgers University-New Brunswick 1983 — 1986
Health, Physical Education & Sports Studies Pre-Physical Therapy
Fair Lawn High School 1980 — 1983
EmblemHealth January 2009 - Present
MagnaCare January 2005 - July 2007
Skills
Healthcare, Health Insurance, HIPAA, Strategic Planning, Medicare, Insurance, Employee Benefits, Process Improvement, Medicaid, Managed Care, Claim, Provider Relations
Education
Queens College 1997 — 2006
Associate's degree, CIS/Anthropology
EmblemHealth June 2013 - Present
EmblemHealth November 2008 - June 2013
Oregon Ballet Theatre August 2005 - January 2006
Human Rights in China May 2004 - May 2005
Vantage Consulting Group July 2002 - June 2004
Skills
Editing, Copy Editing, Newsletters, Copywriting, Editorial, Creative Writing, Research, Proofreading, Publications, Corporate Communications, Content Development, Grant Writing, Marketing Communications, Nonprofits, Content Management, Books, Technical Writing, Strategic Communications, Fundraising, AP Style, Web Content, Internal Communications, Strategy, Journalism
Education
Skidmore College 1998 — 2012
Bachelor's Degree, Psychology and Women's Studies, 3.6
Portland State University 2006 — 2008
Master of Science (MS), Professional and Technical Writing, 3.95
EmblemHealth July 2009 - Present
Goldman Sachs November 2007 - February 2009
Morgan Stanley June 2006 - October 2007
Education
Queens College 1995 — 1999
BA, Accounting and Information System
EmblemHealth June 2009 - January 2011
IBM October 2006 - February 2009
IBM 2000 - 2006
IBM 1997 - 2006
Skills
Integration, Software Development, Project Management, Team Building, Projects, Program Management, Access, Cross-functional Team..., Visio, Workshop Facilitation, Strategic Partnerships, Leadership, Strategy
Education
Ryerson University 2012 — 2013
Health Informatics Certificate
International Institute of Business Analysis
CBAP, Certified Business Analysis Professional
The Art of Service
ITIL v3 Foundation, IT
American Society for Quality
CSSGB, Certified Six Sigma Green Belt
Scrum Alliance
CSM, Certified Scrum Master
Project Management Institute
PMP, Project Management Professional
Bombay University (Thadomal Shahani Engineeering College / TSEC)
Bachelor, Computer Engineering
Rensselaer Polytechnic Institute
Master, Computer & Systems Engineering
EmblemHealth March 2010 - Present
JPMorgan Chase February 2006 - November 2006
Skills
Health Insurance, Microsoft Excel, Microsoft Office, Customer Service, Microsoft Word, PowerPoint, Insurance, Public Speaking, Employee Benefits, Outlook, Access, Healthcare, Customer Satisfaction, Banking, Call Centers, Social Networking, Event Planning, Retail, Office Management, Customer Retention, Facebook, Sales, Leadership, Sales Management, Time Management, Team Management
Education
City University of New York-Queens College 2006 — 2009
Bachelor of Arts, Economics
Brown & Brown of New York, Inc dba Rowlands & Barranca Agency September 2015 - Present
Universal American November 2014 - August 2015
The Centers at St. Camillus St. Camillus Health and Rehabilitation Center July 2011 - November 2014
Northeast Community Care 2008 - 2011
Arcadian Health Plan 2008 - 2011
EmblemHealth December 2006 - November 2008
Upstate Medical University 1997 - 2006
Novalis Corporation 1994 - 1997
Empire Blue Cross Blue Shield 1986 - 1994
Skills
Medicare, Managed Care, Medicaid, Healthcare, Healthcare Information..., Process Improvement, Insurance, Healthcare Industry, Hospitals, Healthcare Management, HIPAA, Revenue Cycle, Health Policy, Health Insurance, EMR, Physicians, Home Care, Long-term Care, Practice Management, Quality Improvement, Provider Relations, Medicare Part D, EHR
Education
Rochester Institute of Technology
Graduate Courses
State University of New York College at Oswego
BS, Mathematics
Healthfirst February 2015 - Present
HHH Choices Health Plan May 2012 - Present
EmblemHealth July 2009 - February 2012
Horizon Blue Cross Blue Shield of NJ February 2007 - May 2009
Fidelis Care of New York 2006 - 2007
Group Health Incorporated July 2004 - December 2006
Great-West - 2001 - July 2004
Skills
Network Development, Medicaid, Managed Care, Healthcare, Credentialing, Healthcare Industry, Provider Relations, Health Insurance, Medicare, HMO, Health Policy, PPO, Healthcare Consulting, Utilization Management, Disease Management, HIPAA, Physicians, Physician Relations, Revenue Cycle, Healthcare Management, Medicare Part D, Practice Management, Quality Improvement, Medical Billing, Pharmacy Benefit...
Education
Seton Hall University
BA, Political Science, Philosophy
EmblemHealth March 2014 - Present
Express Scripts March 2012 - March 2014
Medco 2012 - June 2013
BCBS 2010 - March 2012
HBCBS NJ 2011 - 2011
Skills
Enrollment Services, Pharmacy Benefit..., pharmacy claims, Quality Assurance, Requirements Analysis, SDLC, Testing, Software Project..., Agile Methodologies, Requirements Gathering, Oracle, SQL, Business Analysis
Education
Sri Venkateswara University 1994 — 1998
Bachelor of Technology (B.Tech.)
EmblemHealth October 2005 - December 2013
Empire BlueCross BlueShield 1999 - 2002
NYLCare 1997 - 1999
CIGNA Healthcare 1990 - 1997
Skills
Insurance, Vendor Management, Process Improvement, Visio, Software Documentation, Lotus Notes, Business Analysis, Team Building, Risk Management, Strategic Planning, Financial Reporting, Financial Analysis, Change Management, Project Management, Health Insurance, Customer Service, Strategic Financial..., Budgets, Management, Staff Development, Access, Analysis, Business Intelligence, Business Process..., Coaching, Cross-functional Team..., Data Analysis, Employee Benefits, HIPAA, Health Policy, Healthcare, Healthcare Industry, Healthcare Information..., Healthcare Management, Leadership, Managed Care, Management Consulting, Medicaid, Medicare, Mergers, Microsoft Excel, Operations Management, Outlook, Performance Management, Policy, Program Management, Project Planning, SDLC, Team Leadership, Training
Education
Queens College 1969 — 1972
BA, English
EmblemHealth 1994 - Present
Education
Queens College 1970 — 1975
BA, Mathematics
Horizon Blue Cross Blue Shield of New Jersey March 2012 - Present
WellPoint December 2008 - March 2012
EmblemHealth August 2001 - December 2008
WellPoint March 1998 - August 2001
Skills
Health Insurance, Provider Relations, Medicare, Management, Network Development, Managed Care, Medicaid, PPO, Home Care, Negotiation, Hospitals, Insurance, Clinical Research, Health Policy, Healthcare Industry, HIPAA, Healthcare
Education
Rutgers University
Bachelor of Science (BS), Accounting and Business/Management
Seton Hall University
MBA, Finance
EmblemHealth 2013 - Present
American Express 2006 - 2012
The Hartford 1999 - 2006
KPMG Peat Marwick 1995 - 1997
Skills
SEC filings, General Ledger
Education
University of Hartford 2002 — 2004
Master of Science (M.S.)
Southern Connecticut State University 1991 — 1994
BS
EmblemHealth 1999 - Present
Skills
Disaster Recovery, Active Directory, VMware, Data Center, Windows Server, Software Project..., Quest ActiveRoles Server, ITIL, DNS, VMware ESX, Troubleshooting, SharePoint, DHCP, VPN, Group Policy, System Deployment, Blackberry Enterprise..., Enterprise Architecture, Visio, Servers, Microsoft Certified..., Microsoft SQL Server, Security, Unix, Integration, IT Management, Cloud Computing, Firewalls, Microsoft Exchange, Cisco Technologies, Network Security, XP, Windows 7, Virtualization, Windows XP
Education
Inet Solutions 1998 — 1999
MCSE, IT
Queens College 1992 — 1997
BA, English
EmblemHealth January 2013 - June 2013
YMCA of Broward County April 2011 - July 2012
YMCA April 2011 - July 2012
Sheinberg Family YMCA of Weston April 2011 - July 2012
United Health Group – Ovation May 2003 - May 2010
UnitedHealthGroup August 2000 - May 2003
GNeil Companies March 1998 - July 2000
Kemper National Services September 1997 - March 1998
Treasury Dept, Gov't of T'dad and Tobago October 1978 - December 1989
Treasury Dept,Government of Trinidad and Tobago 1978 - 1989
Skills
Medicare, Health Insurance, Managed Care, Insurance, Employee Relations, Medicaid, Customer Service, Leadership Development, Team Building, Coaching, Strategic Planning, Microsoft Excel, PowerPoint, Policy, Microsoft Office, Medical Billing and..., Extensive Anatomy and..., Medical Claims..., ICD 9, ICD 10 exposre..., Worked with HCFA 1500..., CPT, HCFA, Claim, Certified Coding..., Event Planning, Employee Benefits
Education
Sheridan College 2011 — 2012
Certificate in Medical Billing and Coding
British Tutorial College
Life, Health and Annuity Insurance
EmblemHealth January 2013 - Present
Horizon BCBSNJ July 1999 - March 2010
Skills
Data Analysis, Business Analysis, Microsoft Office, Testing, Insurance, HIPAA, Health Insurance, Medicare, SQL, Requirements Analysis, User Acceptance Testing, Analysis, Lotus Notes, Healthcare, Customer Service, Process Improvement, Microsoft Word, Troubleshooting, Systems Analysis
Education
Rutgers, The State University of New Jersey-New Brunswick
BA, Psychology
EmblemHealth July 2008 - Present
GHI January 2007 - July 2008
GHI January 2002 - January 2007
Skills
Vendor Management, Program Management, Strategy, Budgets, Project Planning, Data Center, Governance, PMO, Management, Disaster Recovery, Analysis, IT Strategy, Process Improvement, Strategic Planning, IT Service Management, Medicare, ITIL, Certified Public..., Project Management -..., Information Security..., IT Operations, Enterprise Software, Security, Software Asset..., Financial Analysis
Education
Pace University-Pleasantville/Briarcliff Campus
BBA, Accounting
Emblem Health Inc. LLP (parent corporation of) Group Health Inc. & HIP Health Plan of NY – (NE Re 1997 - Present
EmblemHealth Services 1997 - Present
EmblemHealth October 2005 - Present
EmblemHealth 1997 - 2010
GHI 1997 - 2010
Skills
Managed Care, Strategic Planning, Mergers & Acquisitions, Process Improvement, Financial Reporting, Business Analysis, Budgets, Healthcare, Health Insurance, Healthcare Industry, Medicare, Healthcare Information..., Insurance, Sarbanes-Oxley Act, Healthcare Management, Change Management, Program Management, Visio, Analysis, Business Process..., Internal Controls, Data Analysis, Financial Modeling, Vendor Management, Strategic Financial..., Healthcare Consulting, Strategy, Target Costing, Access, Microsoft Excel, Team Building, Business Intelligence, Executive Management, Claim, Cross-functional Team..., Leadership, Microsoft Office, Employee Benefits, Medicaid, Customer Service, Project Management, Management, Financial Analysis, Business Strategy, Analytics, Accounting, Software Documentation, Forecasting, Revenue Cycle, Management Consulting
Education
Pace University - Lubin School of Business 1984 — 1985
Exec MBA, Finance and Financial Management Services
Rensselaer Polytechnic Institute - The Lally School of Management and Technology 1967 — 1971
BS in Management, Engineering
Healthfirst January 2015 - Present
Healthfirst June 2013 - January 2015
Healthfirst March 2012 - June 2013
Horizon Blue Cross Blue Shield of New Jersey October 2009 - March 2012
Horizon Blue Cross Blue Shield April 2008 - October 2009
Horizon Blue Cross Blue Shield of New Jersey October 2006 - April 2008
EmblemHealth May 2004 - August 2005
Skills
Critical Thinking, advanced analytics, desktop applications, Medicare, Data Analysis, Access, Healthcare, Business Intelligence, Excel, Business Analysis, Microsoft Office, Analytics, Medicaid, Applications, Microsoft Excel, Healthcare Information..., HIPAA, Project Management, Visio, Management, Process Improvement, Insurance, SDLC, Software Documentation, Requirements Gathering, Salesforce.com, SAS, Business Requirements, SharePoint, Vendor Management, Pharmacy, Managed Care, Healthcare Industry, Analysis, Health Insurance, Program Management, Leadership, Strategic Planning, Cross-functional Team...
Education
Saint Peter's University 2009 — 2011
MBA, Information Systems
Amida Care February 2014 - Present
EmblemHealth September 2000 - January 2014
NY Presyterian Health Care System: Pan Inc July 1993 - July 2000
Skills
Managed Care, Medicaid, PPO, HIPAA, Medicare, Disease Management, Provider Relations, Credentialing, Network Development, Physicians, Healthcare Consulting, HMO, Healthcare Industry, Revenue Cycle, Health Policy, Healthcare Management, Utilization Management, Health Insurance
Education
Seton Hall University
B.A.
The New School
MPA, Health Administration
EmblemHealth July 2014 - Present
EmblemHealth March 2012 - Present
EmblemHealth December 2010 - March 2012
EmblemHealth May 2008 - August 2008
Pinnacle Associates May 2007 - August 2007
Skills
PowerPoint, Microsoft Office, Microsoft Excel, Outlook, Microsoft Word, Data Analysis, Access, Financial Analysis, Insurance, Business Analysis, Salesforce.com, Time Management, Customer Service, Financial Reporting, Leadership
Education
Quinnipiac University - School of Business 2006 — 2010
BS, Finance, Minor in Accounting
University Radiology Group, PC July 2015 - Present
Competitive Soccer Training Inc. April 2014 - Present
EmblemHealth June 2013 - June 2015
The Boys & Girls Clubs of Union County August 2006 - March 2015
United Health Group December 2006 - March 2013
NY/NJ Metrostars/ Oliveriense SC January 2005 - January 2007
Skills
Access, Relationship Management, Finance, Healthcare, Insurance, Managed Care, Hospitals, Contract Negotiation, Team Building, Strategic Planning, Coaching, Health Insurance, Staff Development, Public Speaking, Account Management, Team Leadership, Contract Management, Operations Management, Clinical Research, Customer Service, Medicare, Medicaid, Management, Organizational..., Program Management, Program Development, Fundraising, Policy
Education
Seton Hall University 2000 — 2004
Bachelor of Arts & Science
Union High School 1996 — 2000
EmblemHealth September 2014 - Present
EmblemHealth May 2013 - September 2014
EmblemHealth April 2011 - May 2013
Protiviti August 2007 - January 2011
HIP June 2006 - August 2006
Pershing, a BNY Mellon company June 2005 - August 2005
Rutgers University September 2004 - September 2004
Skills
Active Directory, Technical Support, Help Desk Support, Access, Information Technology, Troubleshooting
Education
Rutgers University-New Brunswick 2002 — 2007
Bachelor of Science, Management Science and Information Systems
Above All Home Improvements, LLC March 2014 - Present
EmblemHealth March 2001 - February 2014
Skills
Managed Care, Team Building, Insurance, Healthcare, Health Insurance, Medicare, Strategic Planning, Process Improvement, Call Centers, Customer Service, Healthcare Information..., Vendor Management, HIPAA, Provider Relations, Operations Management, Medicaid, Change Management, Program Management, Leadership, Healthcare Management, Business Analysis, Healthcare Industry, Healthcare Consulting, Management, Executive Management, Employee Benefits, Project Management, Health Policy, Analysis
Education
Queensborough Community College
Business
EmblemHealth
Skills
Visio, Healthcare, Process Improvement, Software Documentation, Business Analysis, Change Management, Healthcare Information..., SDLC, Leadership, Analysis, Data Analysis, Customer Service, Vendor Management, Insurance, SharePoint, Quality Assurance, Project Management, Access, Program Management, Business Intelligence, HMO, Requirements Gathering, Medicaid, Team Building, Business Process..., Provider Relations, Training, Business Requirements, System Administration, Disaster Recovery, Risk Management, Project Planning, Healthcare Industry, Enterprise Architecture, Requirements Analysis, Cognos, PPO, Network Development, IT Management, Software Project..., IT Strategy, HIPAA, Cross-functional Team..., PMO, Medicare, Databases, Crystal Reports, Health Policy, Call Centers, Integration
Education
Queens College
EmblemHealth 1995 - Present
Horizon Blue Cross Blue Shield of New Jersey 1984 - 1995
Skills
Health Insurance, Data Analysis, Insurance, Risk Management, Managed Care, Disability Insurance, Medicare, Claim, Underwriting, Employee Benefits, Healthcare, Financial Analysis, Brokers
Education
Rutgers University-New Brunswick
BA, Economics
EmblemHealth March 2013 - Present
EmblemHealth August 2011 - Present
Our Lady of Guadalupe School September 2005 - August 2011
Lowens Pharmacy April 2008 - February 2011
Skills
Certified Pharmacy..., Pharmacy, Managed Care, Healthcare, Clinical Pharmacy, Pharmacueticals, Prescription, Hospitals, Healthcare Management, Medical Terminology, Teaching, Medicare, Medicaid, Healthcare Industry, Community Pharmacy, Medicare Part D, Science, Clinical Research, Curriculum Design, Diabetes
Education
College of Staten Island 2005 — 2007
MS, Environmental Science, 3.75
St. John's University 1993 — 1997
Bachelor's of Science, Health/Health Care Administration/Management, 3.0
St. John's University 1993 — 1997
Bachelor's degree, Health/Health Care Administration/Management
Glsss Doctor of Morris County September 2012 - October 2014
EmblemHealth March 2012 - June 2012
Pfizer August 2011 - December 2011
Medco Health Solutions April 2001 - January 2011
Medco Health Solutions June 2000 - April 2001
Medco Health Solutions April 1998 - June 2000
Medco Health Solutions July 1995 - April 1998
Medco Health Solutions November 1992 - July 1995
Medco Health Solutions February 1990 - November 1992
Skills
SDLC, COBOL, CICS, IBM Mainframe, Software Development, JCL, Software Project..., Mainframe, Endeavor, Production Support, VSAM, Healthcare Information..., Offshore Resource..., TSO, Requirements Analysis, Software Documentation, Pharmacy Benefit..., PBM, Healthcare IT, Syncsort, Fileaid, Endevor, DB2/SQL, Software Quality..., Business Development
Education
University of Phoenix 2009 — 2016
Bachelor of Science, Business Information Systems
Ramapo College of New Jersey 2012 — 2012
Certificate in Project Management
EmblemHealth Workforce ManagerMontefiore Medical CenterMay 2013 - Present
EmblemHealth July 2007 - Present
Novartis Pharmaceuticals 1991 - 1996
Education
AIU 2010 — 2012
Business management
Seton Hall University School of Law 1992 — 1996
Biology
Computer Aid, Inc. June 2014 - Present
EmblemHealth March 2003 - June 2014
Embelm Health 2004 - 2014
EJR Computer Associates 1993 - 2003
Skills
VSAM, COBOL, DB2, JCL, HIPAA, Fileaid, CICS, Requirements Analysis, Mainframe, Data Warehousing, Business Intelligence, TSO, SDLC, Business Requirements, Visio, Vendor Management, Business Analysis
Education
Penn State University
Bachelor of Science, Computer Science
EmblemHealth November 2014 - Present
EmblemHealth January 2006 - October 2014
ManpowerGroup May 1999 - January 2006
Lederman Children's Center Board of Directors 2003 - 2006
Skills
Employee Relations, Talent Acquisition, Performance Management, Employee Engagement, Coaching, Interviewing, New Hire Orientation, Payroll, Benefits, Onboarding, Compensation, Hiring, FMLA, New Hire Orientations, Recruiting, Employee Benefits, HRIS, Temporary Placement, Deferred Compensation, Conflict Resolution, Leadership, Benefits Administration, Management
Education
Penn State University
BS, Hotel, Restaurant & Institutional Management
Medco February 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2010 - February 2012
EmblemHealth September 2008 - March 2010
AITC USA January 2006 - October 2007
eYantra October 2003 - October 2004
Dell March 2002 - March 2003
Skills
SDLC, Business Analysis, Business Requirements, Visio, Requirements Gathering, User Acceptance Testing, Requirements Analysis, Health Insurance, Vendor Management, Process Improvement, Data Analysis
Education
Indian Institute of Management and Commerce, Hyderabad
Bachelors, Computer Applications
JGS
Southampton Solent University
Masters, International Business & Stratgey
EmblemHealth September 2012 - Present
Skills
Healthcare, Managed Care, Medicare, HIPAA, Health Insurance, Customer Service, Medicaid, Healthcare Information..., Process Improvement, Microsoft Office, Healthcare Management, Microsoft Excel, Outlook, Visio, Access, Microsoft Word, PowerPoint, Data Entry, Software Documentation, Data Analysis, Provider Relations
Education
Pace University - Lubin School of Business 1991 — 1995
Bachelor of Business Administration (B.B.A.), Finance and Financial Management Services
EmblemHealth May 2013 - Present
A&P Pharmacy January 2011 - May 2013
Skills
Pharmacists, Pharmacy, Medication Therapy..., Pharmaceutical Industry, Community Pharmacy, Patient Counseling, Pharmacy Benefit..., Diabetes, Compounding, Immunization, Clinical Pharmacology, Managed Care, Clinical Pharmacy, Pharmacy Practice, Certified Immunizer, Clinical Research, Pharmacology, Medicare Part D
Education
Rutgers University-New Brunswick 2003 — 2009
Doctor of Pharmacy (Pharm.D.), Pharmacy, 3.9
St. Peter's Health Partners February 2014 - Present
EmblemHealth June 2006 - July 2013
EmblemHealth May 2005 - June 2006
Phoenix Wealth Management June 2002 - October 2004
FairPoint Communication June 2001 - April 2002
Capital District Physicians Heath Plan January 2001 - June 2001
Brigar Mailing Services July 2000 - January 2001
Royal and SunAlliance Insurance Agency, Inc. March 1993 - October 2000
Skills
Healthcare, Financial Audits, Quality Auditing, Process Improvement, Quantitative Research, Follow Through, Process Control, Quality Assurance, Root Cause Analysis, Numerical Analysis, Accounts Payable, Account Reconciliation, Accounts Receivable, Account Management, Microsoft Excel, Business Process..., Number Crunching, Numeric Filing, Research, R&D, Qualitative Research, Quality Management, Analytics, Office Administration, Proofreading, Procedure Manuals, Procedure Review, Procedure Development, Troubleshooting, Trend Analysis, Forecasting, Following Up, Cost Variance Analysis, Revenue Analysis, Escalation Resolution, Internal Audit, Month End Close, Lean Projects, Health Insurance, Flexible Spending..., Brokers, Customer Service, Access, Microsoft Word, PeopleSoft, Databases
Education
Schenectady County Community College
Accounting and Non Destructive Testing Technologies
Scotia Glenville High School
Scotia Glenville High School
EmblemHealth March 2005 - September 2005
Cigna November 2003 - March 2005
Cigna February 2003 - November 2003
Cigna July 1999 - February 2003
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Negotiation, Conflict Resolution, Creative Problem Solving
Education
Gloucester County College 2008 — 2010
Associate of Arts (AA), Liberal Arts and Sciences/Liberal Studies, 3.5
SUNY College at Old Westbury 1991 — 1996
Public Health
Healthfirst September 2008 - Present
EmblemHealth January 2006 - July 2009
MagnaCare April 2003 - January 2006
Skills
Regulatory Affairs, Healthcare, Managed Care, HIPAA, Healthcare Industry, Health Policy, Medical Compliance, Software Documentation, Healthcare Information..., Health Insurance, Data Analysis, Process Improvement, Cross-functional Team..., Management, Medicaid, Medicare, Policy
Education
State University of New York Empire State College
Bachelor of Science (B.S.), Business/Managerial Economics
Southern New Hampshire University
Southern New Hampshire University
Southern New Hampshire University
Southern New Hampshire University
EmblemHealth
Skills
SDLC, Medicare, Process Improvement, Access, Software Documentation, Requirements Analysis, Provider Relations, Analysis, Business Process..., Data Modeling, Systems Analysis, SharePoint, Change Management, Microsoft Excel, Health Insurance, Data Analysis, HMO, Business Process, Business Analysis, Visio, Business Requirements, Healthcare, HIPAA
Education
Rutgers University – Camden 2000 — 2004
Bachelor's degree, Chemistry
EmblemHealth June 2007 - Present
Career Blazers Learning Center March 2007 - July 2007
Moehlen Medical Group January 2004 - June 2007
Center for Menopause, Hormonal Disorders and Women's Health October 2003 - December 2003
Moehlen Medical Group January 2002 - December 2003
Partnership For Innovative Comprehensive care, Inc January 1997 - June 1997
Skills
Medicare, HIPAA, Healthcare, Managed Care, Health Insurance, Call Centers, Provider Relations, Healthcare Management, Healthcare Information..., Process Improvement, Software Documentation, Outlook, Insurance, HMO, Data Entry, Healthcare Industry
Education
Caliber Training Institute 2003 — 2003
Medical Billing Certification Program
Parsons School of Design 1996 — 1999
Bachelors
University of Colorado Boulder 1986 — 1990
Bachelor's degree
Safari Beach Club September 2014 - Present
EmblemHealth June 2014 - August 2014
Keil Bros. Nursery May 2012 - August 2012
Skills
Video Production, Video Editing, Videography, Event Videography, Action Sports, Public Speaking, PowerPoint, Weightlifting, Presentation Skills, Presentations
Education
Queensborough Community College 2014 — 2015
University at Buffalo 2013 — 2014
EmblemHealth 2013 - Present
UnitedHealth Group 2011 - 2012
Cabochon Corporation 2000 - 2011
Skills
Product Management, IT Operations, Healthcare, Medicare/Medicaid..., Medicaid Managed Care, Business Analysis, Business Requirements, Business Process..., Project Management, Product Strategy, Business Planning, Long Term Business..., Legal Compliance, Claims Management, Claims Resolution, Provider Relations, Marketing, Operations Management, State Policy, Management, Government Communication, consumer experience
Education
University of Rochester - Simon Business School 2005 — 2007
Master of Business Administration (M.B.A.), Management
Roberts Wesleyan College
Bachelor of Science (B.S.), Organizational Management