Experience
Schoharie County IT Department   February 2015 - Present
Cobleskill-Richmondville CSD   January 2013 - February 2015
Whispering Pines Preschool  September 2006 - August 2012
Whispering Pines Preschool  2004 - June 2006
Cobleskill-Richmondville Central School  September 2002 - September 2004
The Pampered Chef  1998 - 1999
Empire Blue Cross Blue Shield   November 1989 - April 1996

Skills
Customer Service, Microsoft Word, Outlook, Research, Public Speaking, Data Entry, Teaching, Event Planning, Social Media, Access, Teamwork, Writing, Non-profits, Problem Solving, Administrative..., Data Analysis, Time Management, Microsoft Office, Filing, Strategic Planning

Education
Fonda-Fultonville CSD   1972 — 1985
Business, K-12

State University of New York College of Agriculture and Technology at Cobleskill
Liberal Arts and Sciences, General Studies and Humanities, Studied 2 years - no degree

Experience
Express Scripts  September 1998 - Present
Empire Blue Cross Blue Shield   July 1988 - August 1998

Skills
Healthcare Information..., Healthcare Industry, Process Improvement, Quality Assurance, Software Quality..., Cross-functional Team..., Health Insurance, HIPAA, Medicare Part D, Testing, User Acceptance Testing, SDLC, Managed Care, Visio, Vendor Management

Education
State University of New York College at Potsdam   1984 — 1988
Bachelor of Arts (B.A.), Political Science

Experience
Empire Blue Cross Blue Shield   January 2015 - Present
Empire Blue Cross Blue Shield   December 2013 - January 2015
RiverSource Life Insurance Co. of NY   February 2012 - December 2013
Waddell & Reed  April 2011 - December 2011
Waddell & Reed  August 2010 - April 2011

Skills
Microsoft Office, Investments, Finance, Microsoft Excel, PowerPoint, Microsoft Word, Customer Service, Insurance, Sales, Market Research, Coaching, Financial Analysis, Marketing

Education
Siena College   2007 — 2011
BS, Finance & Economics

Experience
Supportive Healthcare Inc.   June 2015 - Present
Just Relocated   June 2015 - Present
Anthem  January 2013 - Present
Northern Manhattan Sports Medicine   June 2012 - Present
American Healthcare Advocates   March 2012 - Present
WellPoint  February 2004 - Present
Empire Blue Cross Blue Shield   March 1998 - Present
Blue Cross Blue Shield Association  September 2014 - January 2015

Skills
Nutrition, Strategic Planning, Public Speaking, Healthcare, Coaching, Wellness, Project Management, Team Building, Research, Microsoft Office, Customer Service, Change Management, Microsoft Excel, Non-profits, Marketing, Fitness, Social Media, Business Analysis, Program Management, Marketing Strategy, Event Planning, Management, Nonprofits, Wellness Coaching, Insurance, Policy, Sales, Public Relations, Leadership Development, Health Insurance, Training

Education
Wellpoint Inc. Anthem Blue Cross Blue Shield   2014 — 2014
Certified in Medicare Education, Health Insurance

Sivananda Yoga Center NYC   2013 — 2013
Geriatric Yoga Techniques , Yoga Teacher Training/Yoga Therapy

Medical Policies and Proceedures Anthem BCBS   2007 — 2013
certificate, Medical Law Research, and guidelines

American College of Sports Medicine   2011 — 2012
Licensed Certified, Physiology, General

SUNY Orange   2011 — 2012
ACSM Cert Personal Trainer, Sports Medicine

Experience
EmblemHealth  November 2008 - Present
Empire Blue Cross Blue Shield   January 2005 - November 2008

Skills
Financial Analysis, Microsoft Excel, Analysis, Financial Reporting, Financial Accounting, Microsoft Word, Microsoft Office, Account Reconciliation, PeopleSoft, Leadership, Process Improvement, Healthcare, Outlook, Team Building, Project Management, Auditing, Teamwork, Accounting, General Ledger, Variance Analysis, Accounts Receivable, GAAP, Access, Sarbanes-Oxley Act

Education
Saint Francis College   1998 — 2002
Bachelor's Degree, Accounting

St. Francis College   1998 — 2002
Bachelor's, Accounting, Accounting and Finance

Experience
Affinity Health Plan  2014 - Present
Coldwell Banker Residential Brokerage  2010 - Present
Compass Advisors   2010 - 2014
Express Scripts  2012 - 2012
Thomson Reuters  1998 - 2010
Reader's Digest  1991 - 1998
Empire Blue Cross Blue Shield   1985 - 1991

Skills
Process Improvement, Compliance, Six Sigma, Quality Management, Green Belt, Quality Assurance, Continuous Improvement, Business Analysis, Data Analysis, Internal Controls, Business Process Mapping, Management, Analysis, Software Documentation, Business Process..., Auditing, Cross-functional Team..., Vendor Management, Change Management, Program Management, Project Management, Budgets, Performance Management, Supplier Quality, Performance Metrics, Reporting & Analysis, Visio, Regression Testing, Requirements Analysis, Fulfillment Services, Publishing, Healthcare, Software Project..., Business Process, Testing, SharePoint, Leadership, CRM, PMO, Project Planning, Team Leadership, Business Intelligence, Risk Management, Project Portfolio..., Outsourcing, ERP, PMP, Strategy, Resource Management, MS Project

Education
Syracuse University
BS, Accounting

Experience
Wells Fargo Buisness Dircect   November 2012 - Present
BANK OF AMERICA  2011 - June 2012
SAFELITE AUTOGLASS/ BELRON CORPORATION   2010 - 2011
CVS/CAREMARK SILVERSCRIPTS   2009 - 2010
EMPIRE BLUE CROSS BLUE SHIELD   January 2008 - June 2009
CVS/CAREMARK, INC   October 2006 - December 2007
Pitney Bowes  March 2004 - September 2006
GENERAL NUTRITION CENTERS  February 2002 - December 2003
INDEPENDENT WIRELESS ONE-SPRINT PCS   May 2000 - December 2002
GINSBURG’S FOODSERVICE DISTRIBUTORS   May 1986 - August 1999

Skills
Food Service Management, Customer Service, Customer Relations, Time Management, Customer Satisfaction, Hiring, Supervisory Skills, Scheduling, Customer Retention, New Business Development, Team Building, Team Leadership, Coaching, Purchasing, Account Management, Sales Management, Public Speaking, Negotiation, Operations Management, Business Management, Inventory Management, Problem Solving, Vendor Relations, Contract Negotiation, Call Center, Inventory Control, Mentoring, Selling

Education
Paul Smith's College   1979 — 1981
AAS, Hotel and Restaurant Management

Experience
JPMorgan Chase  2013 - Present
Morgan Stanley  1994 - 2013
Empire Blue Cross Blue Shield   1991 - 1994

Skills
Team Leadership, Project Management, Business Analysis, Tax Withholding, IRS Information..., FATCA: Requirements,..., Systems Renovation /..., Risk Management, Prime Brokerage, Private Wealth..., Equities, Fixed Income, Trading Systems, Vendor Management

Education
New York University
IT Diploma Program and Certificate in C, C++, Unix

Richard Stockton College of New Jersey
BA, Literature

Experience
TIAA-CREF  July 2014 - Present
Bank of America  September 2010 - June 2014
TIAA-CREF  April 2005 - September 2010
Computer Associates  February 1998 - April 2005
FreemanWhite  January 1996 - January 1998
Met-Life  January 1992 - August 1993
Empire Blue Cross Blue Shield   June 1991 - January 1992

Skills
Leadership, Management, SDLC, Business Analysis, Requirements Analysis, Vendor Management, Data Warehousing, Visio, Enterprise Architecture, Requirements Gathering, IT Strategy, PMO, Process Improvement, Software Project..., Business Intelligence, Analytics, Business Process..., Data Analysis, ETL, Financial Services, Project Management, Program Management

Education
State University of New York College at Plattsburgh
B.S., Professional Accounting

University of Phoenix
MBA, Technology Management

Experience
EmblemHealth  July 2006 - Present
Group Health Incorporated (GHI)   February 2001 - June 2006
VISITING NURSE SERVICE of NEW YORK  May 1998 - January 2001
GROUP HEALTH INCORPORATED  January 1994 - May 1998
Empire Blue Cross Blue Shield   July 1989 - December 1993

Skills
Medicare, Healthcare Information..., HIPAA, PPO, Managed Care, Utilization Management, Insurance, Healthcare, Medicaid, Health Insurance, Healthcare Industry, Network Development, Provider Relations, HMO, Medical Billing, Health Policy, Hospitals, Disease Management, Healthcare Consulting, Healthcare Management, Revenue Cycle, Claim, Employee Benefits, Process Improvement, Software Documentation, Medicaid Managed Care, Health Care Reform, Quality Improvement, Medicare Part D, EHR, Medicine, Practice Management, Case Managment, EDI, ICD-9, Disability Insurance, Physicians, EMR, Performance Improvement, Pharmacy Benefit..., Informatics, Long-term Care, Credentialing, Healthcare Analytics, Brokers, Workers Compensation, Public Health, Healthcare Reimbursement, Home Care, Physician Relations

Education
University of Phoenix   2001 — 2004
MBA, Health Care Management

State University of New York College at Old Westbury
Bachelor of Science (BS), Finance

Experience
Benefitfocus  April 2014 - Present
Empire Blue Cross Blue Shield   October 2012 - March 2014
Blue Cross and Blue Shield of Kansas City  October 2008 - September 2012
Blue Cross and Blue Shield of Kansas City  August 2007 - October 2008
LOCKTON COMPANIES, LLC  January 2006 - August 2007

Skills
Account Management, Sales, Insurance, Health Insurance, Employee Benefits, Marketing, Strategic Planning, Claim, Customer Service, Selling, Healthcare, Disability Insurance, Sales Operations, Management, New Business Development, Health Care Reform, Customer Retention, Business Development, Health Savings Accounts

Education
Rockhurst University   2002 — 2005
Bachelor of Arts degree, Business Communication

Experience
MetroPlus Health Plan  August 2014 - Present
Affinity Health Plan  May 2003 - December 2013
Empire Blue Cross Blue Shield   September 1977 - March 2003

Skills
Process Improvement, Insurance, Health Insurance, Medicaid, Managed Care, Access, Business Analysis, Visio, Systems Analysis, Operational Excellence, Business Intelligence, Microsoft Office, Microsoft Excel, Microsoft Visio, Tactician, Microsoft Access, Microsoft Mappoint, HP On Demand, HP Testing Tool, Demographic Analysis, Marketing Strategy, Claims Management, Business Development, Team Building, Analysis, Leadership, Analytics, HIPAA, Medicare, Health Policy

Education
Queens College   1973 — 1977
Master of Arts (M.A.), Urban Studies/Economics

Queens College   1969 — 1973
Bachelor of Arts (B.A.), Economics, 3.0

Experience
PricewaterhouseCoopers  September 2006 - Present
Empire Blue Cross Blue Shield   September 1998 - September 2006

Skills
Oracle E-Business Suite, Oracle Governance Risk..., Internal Controls, Oracle GRC Suite, Oracle ERP, AACG, PCG, EGRCM, TCG, CCG, IT Controls, Risk Analysis, Business Process Design, Microsoft Office, Microsoft Excel, PowerPoint, Research, Windows, Microsoft Word, Training Delivery, Sarbanes-Oxley Act, Internal Audit

Education
Siena College   1998 — 2000
Masters in Accounting, Accounting and Finance, 3.86

SUNY Empire State College   1989 — 1991
Bachelor of Science (B.S.), Finance

Experience
Health Plus  July 2011 - Present
IncentOne  November 2009 - July 2011
WellPoint  May 2007 - February 2009
Empire Blue Cross Blue Shield   May 2007 - February 2009
HIP Health Plan of New York  1996 - 2007
Emblem Health  1996 - 2007
HIP Health Plans  1996 - 2007

Skills
Health Insurance, Managed Care, Medicare, Insurance, Healthcare, Medicaid, HMO, Account Management, Health Savings Accounts, Strategic Planning, Medicare Part D, HIPAA, Process Improvement, Health Policy, Team Building, Underwriting, Brokers, New Business Development, Healthcare Industry, Leadership, Business Development, Sales Management, Healthcare Management, Customer Retention, Group Insurance, Analytics, Relationship Management, Sales, Salesforce.com, Employee Benefits, Executive Management, Coaching, Network Development, Healthcare Consulting, Disability Insurance, Disease Management, PPO, Pharmacy Benefit..., Healthcare Information..., Long-term Care, Provider Relations, Claim, Health Care Reform, Workers Compensation, Management, Performance Management, Sales Operations, Training, Marketing, COBRA

Education
Purdue University   1984 — 1989
B.S., Economics

Experience
Paven Technologies Inc.,   March 2014 - Present
Genpact(GE)   December 2011 - February 2014
TD Canada   2010 - 2011
Hewlett-Packard - CANADA  2006 - 2010
Empire Blue cross blue shield   2000 - 2002
AICPA  1998 - 1999

Skills
HP Vertica Database..., Oracle Database..., ORACLE DATA GUARD, ORACLE RAC, ORACLE GOLDEN GATE, MongoDB and Hadoop, SQL SERVER, Linux, ORACLE 12c Database..., Database Architect, Unix, Quality Management, Team Management, Project Management, Requirements Analysis, Service Delivery, SDLC, CRM, Risk Management, Customer Experience, Employee Database..., Customer Acquisition, Wintel, Six Sigma, Testing, Database Design

Education
The George Washington University

Osmania University
Master of Business Administration (MBA)

Osmania University
Bachelor of Laws (LLB)

Experience
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

Experience
Paul Global Benefits   May 2015 - Present
EmblemHealth/GHI   July 2004 - April 2015
Empire Blue Cross Blue Shield   May 1986 - June 2004

Skills
Brokers, Employee Benefits, Health Insurance, Insurance, Managed Care, Medicare, Underwriting, Claim

Education
Stony Brook University   1982 — 1986
Bachelor’s Degree, Computer Science and Applied Mathematics & Statistics

Experience
MVP Health Care  September 2009 - Present
CDPHP  April 2000 - September 2009
Empire Blue Cross Blue Shield   June 1990 - April 2000

Skills
Hospital and Ancillary..., Professional Relations..., Claim, Managed Care, Insurance, Medicaid, Process Improvement, Claims Management, HIPAA, Vendor Management, Risk Management, Business Process..., RFP, Contract Negotiation, Healthcare Industry, Program Management, Change Management, Contract Management, Project Management, Healthcare, Business Analysis, Hospitals

Education
Schenectady County Community College   1991 — 1995

Maria College   1989 — 1990

Experience
Ogilvy CommonHealth Worldwide  June 2015 - Present
Anthem, Inc. (Formally Wellpoint)   April 2005 - April 2015
Empire Blue Cross Blue Shield   April 2005 - 2006
Quinn Fable Advertising  April 2001 - April 2005
Herman Associates   2000 - April 2001
Richards, Fliss, Clark and Pope   2000 - April 2001
Design Squared  April 2000 - June 2000
Graywood Agency   1997 - 2000
Primetime Merchandise   1996 - 1997

Skills
Adobe Lightroom4, Adobe Bridge, Adobe Photoshop, Adobe Indesign, Adobe Illustrator, Adobe Creative Suite, Illustrator, Photography, InDesign, Photoshop, Integrated Marketing, Creative Direction, Logo Design, Adobe Acrobat, Typography, Art, Corporate Branding, QuarkXPress, Art Direction, Brochures, Advertising, Direct Mail, Email Marketing, Brand Development, Image Manipulation, Mac, Marketing Communications, Digital Photography, Direct Marketing, Graphics, Graphic Design, Digital Marketing, Layout, Creative Strategy, Corporate Identity, Illustration, Web Design, Posters, Concept Development, Branding

Education
Rutgers, The State University of New Jersey-Newark   1992 — 1995
Bachelor of Arts, Fine Art / Graphic Design

Union County College   1989 — 1992
Associates Degree, Liberal Arts / Graphic Design Option

New Providence High School   1985 — 1989
High School Diploma

Experience
WellPoint  January 2008 - Present
Wellpoint Anthem  January 2000 - Present
EMPIRE BLUE CROSS BLUE SHIELD   2007 - 2008
Empire Blue Cross Blue Shield   2004 - 2007
Empire Blue Cross Blue Shield   2000 - 2004
CENTER FOR DEVELOPMENTAL DISABILITIES  1999 - 2000

Skills
Microsoft Excel, Data Analysis, Process Scheduler, Insurance, Call Center, Lotus Notes, Customer Service, PeopleSoft, Data Entry, Outlook, File Management, Access

Education
SUNY Cortland   1995 — 1999
BS, Political science

State University of New York College at Cortland   1995 — 1999
BS, Political Science and Government

Experience
TAG Solutions  May 2010 - January 2011
WAVE SYSTEMS CORP  January 2004 - January 2010
SELF-EMPLOYED  June 2002 - January 2004
EMPIRE BLUE CROSS BLUE SHIELD   January 1998 - January 2002
EMPIRE BLUE CROSS BLUE SHIELD   January 1990 - January 2002
EMPIRE BLUE CROSS BLUE SHIELD   January 1990 - January 1998
TRANS WORLD ENTERTAINMENT CORPORATION  January 1989 - January 1990

Education
Siena College   1982 — 1986
BBA

The College of Saint Rose
MBA, Accounting

Experience
AEGIS Insurance Services, Inc.   February 2006 - November 2010
Adecco  2005 - 2006
Prudential Financial  2003 - 2005
SBLI USA  2000 - 2003
Empire Blue Cross Blue Shield   1998 - 2000
Empire Blue Cross Blue Shield   1997 - 1998
AIG  1994 - 1997

Skills
Business Analysis, Project Management, Enterprise Risk..., Insurance, Process Improvement, Policy Analysis, Strategic Policy..., Change Management, Cross-functional..., Product Development, Product Management, Business Process, Process Engineering, Government Liason, Public Speaking, Operations Management

Education
Pace University - Lubin School of Business   2011 — 2011

St. John's University, The Peter J. Tobin College of Business   2008 — 2008
Certificate of Completion, College of Insurance Professional Development Courses

Saint John's University   1990 — 1994
BBS of Accounting, College of Business - Accounting Major, Economics and Mathmatic minor studies

Experience
UnitedHealth Group  September 2013 - Present
Healthy Capital District Initiative   January 2006 - Present
Senior Services of Albany  January 2010 - December 2014
Fidelis Care  September 2003 - September 2013
Wildwood Programs  April 2002 - June 2013
Value Options  April 2002 - September 2003
Empire Blue Cross Blue Shield   September 1996 - April 2002

Skills
Managed Care, Medicaid, Medicare, Health Insurance, Healthcare, Sales Management, Customer Service, Governance, Journalism, Lobbying, New Business Development, Strategic Planning, Writing, Community Outreach, Leadership, Training, Marketing, Insurance, Nonprofits, Management, Public Relations, Team Building, Coaching, Recruiting, Public Speaking, Leadership Development, Program Management, Fundraising, Event Planning, Program Development, Employee Benefits, Process Improvement, Healthcare Industry, Event Management, Social Media, Marketing Communications, Healthcare Management, Health Policy, Organizational..., HIPAA, Social Networking, Employee Relations, Volunteer Management, Marketing Strategy, Strategic Communications, Executive Management, Hospitals, Social Media Marketing, Media Relations, Medicare Part D

Education
The College of Saint Rose   1996 — 2002
Master of Arts, Public Communications

Siena College   1992 — 1996
BA, English, Communications

La Salle Institute   1986 — 1992

Experience
Diversified Marketing   Marketing ManagerCablevision2011 - 2012
Citigroup  2010 - 2010
Morgan Stanley  2007 - 2008
Citigroup  2006 - 2007
Empire Blue Cross Blue Shield   2005 - 2006
JP Morgan Chase  1988 - 2004

Skills
Customer Acquisition, Loyalty Marketing, Analytics, Telemarketing, Digital Marketing, Customer Experience, Lead Generation, Relationship Marketing, Marketing Management, Strategic Partnerships, Product Management

Education
State University of New York College at Oneonta   1982 — 1986
Bachelor of Arts (B.A.), Marketing/Business

Experience
Aon Hewitt  July 2013 - Present
CBP  June 2012 - March 2013
Frank Crystal & Company  June 2010 - March 2012
Marsh & McLennan Companies, Inc.   July 2005 - June 2010
United Healthcare  December 2002 - July 2005
Empire Blue Cross Blue Shield   June 1995 - December 2002

Skills
Health Insurance, Employee Benefits, Disability Insurance, Management, Underwriting, Insurance, Workers Compensation, Brokers, Life Insurance, Benefits Administration, COBRA, Claim, Term Life Insurance, Health Savings Accounts, Strategic Planning

Education
Stony Brook University   1991 — 1995
Bachelor of Science (BS), Economics & Business Management

Experience
North Shore-LIJ CareConnect Insurance Company, Inc.   June 2013 - Present
Health Plus  January 2001 - May 2013
Empire Blue Cross Blue Shield   February 1998 - November 2000
Brooklyn Physicians IPA   1986 - 1996

Skills
Medicare, Managed Care, Medicaid, Provider Relations, HIPAA, Health Insurance, Healthcare Information..., Healthcare, Network Development, Healthcare Management, Healthcare Consulting, Healthcare Industry, HMO, Health Policy, Insurance

Education
New York University   1979 — 1981
MPA, Health Care Policy

University of Denver   1974 — 1978
Bachelor of Arts (BA), Biology, General

Experience
hillsborough community college  December 2004 - Present
empire blue cross blue shield   October 2000 - October 2003
Empire BCBS  2000 - 2002
Bernard Hodes Group  1980 - 1987

Education
University of South Florida   2003 — 2004
MCSE

New York University   1996 — 2000
UNIX, CERTIFICATION ON UNIX SYSTEMS MANAGEMENT

Experience
AmeriHealth Insurance Co of NJ  October 2014 - Present
AmeriHealth  January 2010 - Present
AmeriHealth NJ  January 2007 - Present
AmeriHealth NJ  July 2005 - January 2007
Empire Blue Cross Blue Shield   February 1997 - June 2005

Skills
Project Management, Management, Managed Care, Medicare, Health Insurance, Healthcare, Disease Management, Healthcare Information..., Healthcare Management, Health Policy, HIPAA, Utilization Management, HMO

Education
Penn State University   1991 — 1995
Bachelor's degree, Health Education

Penn State University-University Park   1991 — 1995
BS, Health Education

Experience
Onondaga Community College  April 2011 - Present
Wellpoint Blue Cross Blue Shield / National Government Services   2002 - March 2011
Empire Blue Cross Blue Shield   1992 - 2002
Empire Blue Cross Blue Shield   1988 - 1992
Empire Blue Cross Blue Shield   1980 - 1988

Skills
Higher Education, Requirements Gathering, Access

Education
Rochester Institute of Technology   1973 — 1978
BS, Business Administration

Experience
Softheon  May 2014 - Present
International Benefits Administrators   September 2012 - May 2014
Empire Blue Cross Blue Shield   July 2005 - September 2012
First National Administrators  July 2003 - July 2005
HIP  1999 - 2003

Skills
Insurance, Health Insurance, Employee Benefits, Managed Care, Sales, Disability Insurance, New Business Development, Healthcare, Health Savings Accounts, Account Management, Outlook, Brokers, Life Insurance, Selling, Management, Cold Calling, Analysis, Healthcare Information..., CRM Databases, Contract Negotiation, Consultative Selling, Market Analysis

Education
Quinnipiac   1992 — 1996

Quinnipiac University   1992 — 1996
Bachelor's, Management

Experience
LinguaLinx Language Solutions   June 2012 - Present
BlueShield of Northeastern New York  August 2001 - January 2012
Partners Health Plans   July 1996 - July 2001
Empire Blue Cross Blue Shield   March 1991 - June 1996
Saratoga Hospital  December 1988 - February 1991

Education
State University of New York College at Plattsburgh
MA, Public Policy

Villanova University
Green Belt, Six Sigma

Springfield College   1984 — 1988

Experience
WellPoint  September 2010 - Present
WellPoint , Indianapolis   January 2006 - Present
Wellchoice   December 2000 - Present
Empire Blue Cross Blue Shield   December 2000 - Present
WellPoint/Empire BlueCross BlueShield   2000 - Present
WellPoint  January 2006 - May 2010
Empire BlueCross BlueShield  2000 - 2006
General Reinsurance  July 1996 - December 2000
Seagram  July 1985 - June 1996
Exxon  September 1981 - June 1985

Skills
Vendor Management, IT Strategy, SDLC, IT Management, Visio, Leadership, Business Analysis, Health Insurance, Process Improvement, Enterprise Architecture, Virtualization, Databases, IT Service Management, SharePoint, Disaster Recovery, PMP, Requirements Analysis, Solution Architecture, Data Warehousing, Data Center, PMO, Requirements Gathering, Business Process, SOA, Software Project..., Project Portfolio..., Integration, Project Management, Business Process..., Business Intelligence

Education
Pace University   1969 — 1975
MBA, Information Science

Experience
FIS Global - Enterprise, Governance, Risk & Compliance (EGRC) Solutions; formally ICS Risk Advisors   August 2012 - Present
Citigroup, Inc  September 2006 - September 2012
Citigroup, Inc.   January 2002 - September 2006
Canon USA  December 1998 - September 2001
Empire Blue Cross Blue Shield   May 1997 - December 1998
Empire Blue Cross Blue Shield   May 1993 - May 1997
NYCB - Altantic Bank of New York   September 1989 - May 1993
NYCB - Atlantic Bank of New York   February 1987 - September 1989

Skills
• Successful completion..., • In process of..., • Full working..., • Knowledge of Basic..., Banking, Internal Controls, Risk Assessment, Consumer Lending, Credit Cards, Disaster Recovery, Business Continuity, Vendor Management, Internal Audit, Risk / Control..., risk control..., financial services..., consumer banking, health insurance, MBA, Masters of..., Accounting, quantitative analysis, Analytical Skills, flowcharting, documenting policies..., audit program..., mortgages, student lending, student loans, regulatory compliance, customer service and..., corrective action, planning, testing,..., business recovery..., training, mentoring, MIS, management..., Internal/External..., crisis management, process flow analysis, Liaison, interface with external..., Presentations, Microsoft Office, Auditing, Financial Services, Due Diligence, Financial Risk, Governance, Risk Management, Management

Education
St. John's University, Jamaica, NY   1988 — 1992
Master of Business Administration (MBA), Quantitative Analysis - System Analysis

City University of New York-Queens College   1978 — 1982
Bachelor of Arts (BA), Accounitng

Experience
CGI  1988 - 2009
AMS  1988 - 2004
Empire Blue Cross Blue Shield   1984 - 1988
Empire Blue Cross Blue Shield   1984 - 1988
Midland Insurance Company   1974 - 1984
Capacity Managers Inc   1974 - 1984
Ashford Holding   1974 - 1984

Skills
Service Delivery, IT Strategy, Program Management, SDLC, Requirements Analysis

Education
Saint Peter's University   1976 — 1980

Experience
CourtView Justice Solutions  August 2015 - Present
LexisNexis  December 2006 - December 2014
LexisNexis  February 2003 - December 2006
US Surgical  October 2000 - October 2001
US Surgical  June 1999 - October 2000
Empire Blue Cross Blue Shield   July 1997 - April 1999
Empire Blue Cross Blue Shield   October 1996 - July 1997
Empire Blue Cross Blue Shield   October 1995 - October 1996
Empire Blue Cross Blue Shield   September 1994 - October 1995

Education
Siena College
Bachelor's Degree

Schenectady County Community College
Associate of Arts and Sciences (A.A.S.)

Experience
HealthSmart  January 2015 - Present
Royal Health Care  March 2003 - December 2014
Empire Blue Cross Blue Shield   1995 - 2003

Skills
Client implementation..., Identification and..., Root Cause Analysis, Familiar with 5010..., Business Development, Customer Service, Problem Solving, Project Management, Process Improvement, Data Analysis, Analysis, Quality Assurance, Healthcare, Managed Care, Medicaid, Insurance, Provider Relations, Medicare, HEDIS, HIPAA, Disease Management, Health Insurance, Credentialing, Medical Billing, HMO, Health Policy, Healthcare Management, Healthcare Industry, Revenue Cycle, Healthcare Consulting, Employee Benefits, Utilization Management, SAS, Access

Education
Stony Brook University   1988 — 1990

Experience
Messenger Associates, Inc.   February 2013 - Present
WellPoint  2011 - 2012
WellPoint  2009 - 2011
WellPoint  2007 - 2009
WellPoint  2006 - 2007
Empire Blue Cross Blue Shield   1999 - 2006
Key Bank  1996 - 1999
Lockheed Martin  1992 - 1996
GE  1980 - 1992

Skills
Human Resources, Cross-functional Team..., Process Improvement, Corporate Communications, Communication Skills, Problem Solving, Executive Coaching, Employee Relations, Virtual Teams, Change Management, Program Management, Team Building, Management, Workforce Communications, Strategic Planning

Education
Saint Bonaventure University
BA, Journalism and Mass Communication

Experience
MSC Industrial Supply Co.  April 2002 - December 2014
Gentiva Health Services  August 1999 - April 2002
Empire Blue Cross Blue Shield   1997 - 1999

Skills
Human Resources, Employee Relations, Onboarding, Leadership, Management, Training, Team Building, Strategic Planning, Performance Management, Talent Management, Recruiting, Talent Acquisition, PeopleSoft, Succession Planning, Employment Law, Leadership Development, Diversity & Inclusion, Diversity Training, Instructional Design, Disciplinary Action, Process Improvement, Strategy, HR Policies

Education
New School University
Master's Degree, Human Resources Management and Services

St. Joseph's College
Bachelor's Degree, Business Administration and Management

Experience
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

Experience
Coldwell Banker Prime Properties  July 2008 - March 2009
Borders  February 2006 - December 2007
Empire Blue Cross Blue Shield   May 2004 - November 2005
Pepsi Bottling Group  July 2002 - March 2004
FairPoint Communications  September 1999 - March 2002

Education
University at Albany, SUNY   2008 — 2008
English Literature and Critique

Stony Brook University   1991 — 1995
Psychology, Philosophy

Experience
Fidelis Care NY  November 2003 - Present
WellPoint  February 1991 - October 2001
Empire Blue Cross Blue Shield   1991 - 2001

Skills
Insurance, Process Improvement, Business Analysis, Leadership Development, Strategic Planning, Team Building, Healthcare, Leadership, Medicare, Project Management, Team Leadership, Healthcare Management, Health Insurance, Health Policy, Managed Care, HIPAA, Employee Benefits, Medicaid

Education
SUNY New Paltz   1984 — 1988
BA, English

Experience
Visiting Nurse Service of New York  August 2015 - Present
Empire Blue Cross Blue Shield   November 2007 - August 2015
Empire Blue Cross Blue Shield   May 2006 - August 2015

Skills
Health Insurance, Managed Care, Medicare, Insurance, HMO, Healthcare, Medicaid, Healthcare Industry, Provider Relations, Team Building, Employee Benefits, Long-term Care, Customer Service, HIPAA, Sales, Strategic Planning, Medicare Part D, Health Policy, Brokers, PPO, Account Management, Network Development, New Business Development, Marketing, Health Care Reform, Accident, Healthcare Consulting, Pharmacy Benefit..., Disease Management, Public Speaking, Selling, Sales Presentations, Claim, Call Centers, Cold Calling, Healthcare Management, Critical Illness, Physicians

Education
State University of New York College at Brockport   1975 — 1977
Communications

Experience
Horizon Blue Cross Blue Shield of NJ  October 2008 - Present
Consumer Health Network/Consolidated Services Group   January 1996 - October 2008
Empire Blue Cross Blue Shield   1987 - 1995
Deloitte & Touche  1978 - 1987

Skills
Vendor Management, Insurance, Process Improvement, Medicare, Health Insurance, Healthcare, Managed Care, Medicaid, Risk Management, Healthcare Industry, Project Management, Claim, Provider Relations, Program Management, HIPAA, Business Analysis, Employee Benefits, Healthcare Consulting, Health Policy, HMO, Revenue Cycle, Long-term Care, Underwriting, Disease Management, Healthcare Information..., Access, Business Process..., Medicare Part D, PMO, Workers Compensation, Visio, Healthcare Management, Executive Management, Strategic Planning, Data Analysis, Software Documentation, Sarbanes-Oxley Act, Leadership, Call Centers

Education
St. Francis College
BS, Accounting

St. Francis College

Experience
Onondaga Community College  March 2003 - Present
Hunt Real Estate ERA  December 2007 - September 2011
The MONY Group  2002 - 2002
The MONY Group  1997 - 2002
Computer Sciences Corporation  1995 - 1997
The MONY Group  1995 - 1995
The MONY Group  1986 - 1995
Empire Blue Cross Blue Shield   1980 - 1986
United Way of Central New York  1978 - 1980

Skills
Microsoft Office, Process Improvement, Enterprise Architecture, Project Management, Business Analysis, Change Management, Information Technology, Leadership, Program Management, Team Leadership, Software Documentation, System Administration, Vendor Management, Visio, Management, Higher Education, Software Project..., Customer Service, IT Strategy, Integration, SDLC

Education
Henninger High School

Onondaga Community College
Business

Experience
EmblemHealth 安保医疗保险   November 1993 - Present
Empire Blue Cross Blue Shield   August 1987 - November 1993

Skills
Underwriting, Health Insurance, Medicare, Health Policy, Financial Modeling, Managed Care, HMO, HIPAA, Insurance, Due Diligence, Healthcare Industry, Sarbanes-Oxley Act, Medicare Part D, Financial Analysis, Healthcare, P&L Analysis, Trend Analysis, Pricing Strategy, Pricing Analysis, Financial Reporting, Process Improvement, Pricing, Financial Management..., Utilization Reporting, Federal Employee Health..., Federal Employee..., Financial Account..., IBNR Evaluation, Fee Schedule Analysis, Dental Underwriting, RFPs, City of New York..., Account Management

Education
Rutgers, The State University of New Jersey-New Brunswick   1983 — 1987
BA, Mathematics

Experience
SafePath Benefits, Inc.   September 2010 - January 2011
Empire Blue Cross/ Blue Shield  September 2008 - July 2009
HSBC  October 2005 - April 2006
Citi  May 1990 - March 2003

Education
Institute of Allied Medical Professions   2003 — 2004
Certificate, Diagnostic Medical Sonography

Queensborough Community College   1987 — 2001
AS, Liberal Arts and Science

Queens College

Experience
Spedalle Services   April 2005 - Present
The New York Times  December 1985 - March 2005
Empire Blue Cross Blue Shield   January 1984 - December 1985
Essex Data Systems   August 1981 - December 1983

Skills
Novell, Active Directory, Directory Services, System Administration, Disaster Recovery, DNS, Antivirus

Education
St. John's University, The Peter J. Tobin College of Business   1977 — 1981
BS

Experience
Hartford Healthcare Medical Group  November 2012 - Present
Yale New Haven Health System  September 2010 - November 2012
Ellis Hospital  June 2008 - September 2010
Community Tax & Accounting   May 2007 - June 2008
American Dental Partners  August 2002 - May 2007
American Dental Partners (1st Advantage Dental Management)   October 1999 - August 2002
Mary McClellan Hospital & Skilled Nursing Facility   July 1993 - October 1999
Ellis Hospital  November 1988 - July 1993
Empire Blue Cross Blue Shield   December 1983 - November 1988
Empire Blue Cross Blue Shield   January 1981 - January 1988

Skills
Healthcare, Revenue Cycle, Hospitals, Financial Reporting, Managed Care, Medicaid, Budgets, Medicare, Operations Management, Physicians, Strategic Planning, Policy, Analysis, Healthcare Management, Healthcare Information..., Healthcare Consulting, Process Improvement, HIPAA, EHR, Leadership, Management, Physician Relations, EMR

Education
Russell Sage College   1984 — 1988
Masters, Health Service Administration

Siena College   1974 — 1978
Bachelor of Business Administration, Accounting

Experience
Anthem, Inc.   February 2005 - Present
Coffee Distributing Corp.  June 2004 - January 2005
GEICO  April 2002 - February 2004
Time Warner Cable  October 2001 - April 2002
Krinos Foods   April 2001 - September 2001
Jackson Hewitt Tax Service Inc.  February 2001 - April 2001
Empire Blue Cross Blue Shield   September 1995 - February 2001
Empire Blue Cross Blue Shield   October 1994 - September 1995
Allied Bolt, Inc.   April 1994 - October 1994

Skills
Financial Analysis, Account Reconciliation, Financial Audits, Allocations, Customer Service, Microsoft Word, Microsoft Excel, Training, Analysis, Coordination of Benefits, Internal Controls, Accounting, Quality Auditing, Discrepancy Resolution, Medicare, Access, Bookkeeping, Invoicing, Accounts Receivable, PeopleSoft, Research, Enrollments, Membership, Outlook, A/R collections, Spreadsheets, Documentation

Education
Herkimer County Community College
Accounting, 3.68

Queens College   1997 — 1998

University of Pennsylvania   1982 — 1983

Experience
Stony Brook University Medical Center  November 2010 - Present
Stony Brook University Medical Center  December 1994 - November 2010
Empire Blue Cross Blue Shield   July 1982 - December 1994

Skills
EMR, Microsoft Excel, Hospitals, Higher Education, Leadership, Lotus Notes, Microsoft Office, Negotiation, PowerPoint, Problem Solving, Strategic Planning, HIPAA, Accounts Payable, Accounts Receivable, Financial Analysis, Financial Reporting, Regulatory Affairs, Business Analysis, Benefits Administration, Cost Benefit, Budget, Team Building, Healthcare Management, Health Insurance, Healthcare Information..., Budgets, Inventory Management, Practice Management, Data Entry, Contract Negotiation, Revenue Cycle, Access, Program Management, Public Health, Software Documentation, Medical Billing, Medical Records, Ambulatory, Healthcare Consulting, System Administration, Public Speaking, Data Management, EHR, Customer Service, Informatics, Policy, ICD-9, CPT, Cerner, Physicians

Education
Stony Brook University   1978 — 1982
BA, Psychology with Pre-Med Curriculum

Patchogue Medford High School   1975 — 1978

Experience
Excellus BCBS  September 1989 - Present
Key Services Corporation  1984 - 1989
Empire Blue Cross Blue Shield   June 1980 - July 1985

Skills
Process Improvement, Business Analysis, Visio, Requirements Analysis, Software Documentation, Managed Care, Healthcare, Health Insurance, Employee Benefits, Business Process..., Change Management, Insurance

Education
Onondaga Community College   1977 — 1980
AAS, Conputer Science/Business Admin

Experience
Haldey Compounding Pharmacy   February 2015 - Present
HJUnger & Assoc. Pharmaceutical Sales Consultants   April 2010 - Present
BDRN LLC   2011 - 2012
American Hormones Inc.   2009 - 2011
Cardinal Health  2003 - 2008
Managed Edge Euro RSCG   2002 - 2004
Merck  1999 - 2002
Empire Blue Cross Blue Shield   1997 - 1999
Caremark Specialty Pharmacy  1990 - 1996
CVS Caremark Corporation  January 1988 - February 1990

Skills
Healthcare, Pharmacy, Hospitals, Diabetes, Clinical Research, Pharmacists, Managed Care, Cardiology, Pharmaceutical Industry, Healthcare Management, Pharmaceutical Sales

Education
Cheshire Academy

University of Phoenix   1988 — 1995
MA/MBA, Management/Sales & marketing

School of Visual Arts   1982 — 1984
A.S., Medical Photography and Arts

Saint John's University   1973 — 1978
BS, Pharmaceutical Sciences

Culinary Institute of America   2007 — 2009

Experience
Horizon Blue Cross Blue Shield of New Jersey  April 2006 - March 2015
Horizon Healthcare Insurance Company of New York   August 2002 - April 2006
Empire Blue Cross Blue Shield   1995 - 2002

Skills
Process Improvement, Business Process Mapping, Continuous Process..., Project Management, Financial Analysis, Variance Analysis, Budget Creation &..., Budget Process, Budget Monitoring, Forecasting, Business Partner Support, Auditing, Insurance, HIPAA, Health Insurance, Medicare, Medicaid, Governance, Risk Management, Risk Assessment, Teamwork, Microsoft Office

Education
New York University   1978 — 1982
Bachelor's Degree, Accounting

Experience
Empire Blue Cross Blue Shield   December 1988 - October 2011
McCann Erickson  February 1986 - November 1988
Interpublic Group of Companies  February 1985 - February 1986

Skills
Financial Statement..., Financial Analysis, Information Gathering, Reconciliations, fluctuation analysis, SSAP's

Education
Queens College   1978 — 1982
BA, Accounting

John Adams High School   1974 — 1978

Experience
Sullivan & Cromwell LLP  December 1992 - Present
Empire Blue Cross Blue Shield   May 1990 - December 1992
Empire Blue Cross Blue Shield   June 1988 - May 1990
Empire Blue Cross Blue Shield   July 1986 - June 1988
Lsg Sky Chefs  February 1984 - July 1986
Scripto/Everglide   September 1982 - February 1984
Union Carbide  March 1980 - March 1982

Skills
Microsoft Office, Elite, 3E

Education
Saint John's University   1982 — 1984
Masters of Business Administration, Business, B+

Pratt Institute   1975 — 1979
Bachelor of Science, Industrial Engineering, B

Dewitt Clinton High School

Experience
Capital District Physician's Health Plan  February 2012 - Present
GE  May 2006 - February 2012
Empire Corporate Federal Credit Union - (Members United)   June 2004 - May 2006
Empire Blue Cross Blue Shield   August 2002 - June 2004
Sonoco  January 2002 - August 2002
PwC  January 1996 - January 2002

Skills
Accounting, Auditing, Controllership Functions, Regulatory Filings, Team Leadership, Financial Reporting, Sarbanes-Oxley Act, US GAAP, Analysis

Education
SUNY Plattsburgh   1989 — 1993
Bachelor of Arts (B.A.), Accounting

Experience
WellPoint  April 2004 - Present
IBM Global Process Services  September 2001 - April 2004
Empire Blue Cross Blue Shield   April 1991 - September 2001

Skills
Business Analysis, Medicaid, Claim, Managed Care, Insurance, Visio, SDLC, Requirements Gathering, Health Insurance, Medicare, Business Requirements

Education
Sullivan County Community College   1983 — 1985

Experience
Kwik Courier   April 2005 - Present
Self Employed  August 1993 - October 2004
Empire Blue Cross Blue Shield   March 1961 - July 1991

Skills
Analysis, Creative Problem Solving, Motivation

Education
Schenectady County Community College   1986 — 1988
Dropped out after two years, Business Administration, Management and Operations

Nott Terrace High School   1948 — 1950
College Prep

Experience
United Healthcare  April 2009 - February 2010
Flagship Global Health   April 2003 - August 2008
Empire Blue Cross Blue Shield   January 2002 - March 2003
Empire Bue Cross Blue Shield   December 2000 - December 2001

Education
New York University   1994 — 1997
Master’s Degree, Masters of Public Administration- Health Policy and Management

University of Rochester   1989 — 1993
Bachelor’s Degree, Health and Society- major, Psychology- minor