Fidelis Care NY
Industry: Insurance company
DescriptionFidelis Care is a New York-based health insurance company. Formed in 1993, Fidelis Care serves more than 1.7 million New York residents. It is a subsidiary of Centene Corp. Customer service: 1 (888) 343-3547 Headquarters: United States of America CEO: Father Patrick J. Frawley (Jul 2012–) Parent organization: Centene Corporation Founded: 1993 Subsidiary: Better Health Plan Inc
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Fidelis Care NY Employees
Employee
Years
Job
Industry
Alison Garton Alison Garton's Fidelis Care NY Experience September 2008 - August 2011
Job Principal at Carrico & Garton Group | Healthcare Operations Consultant | Senior Operations Executive
Industry Insurance
Experience
Carrico & Garton Group, LLC 2014 - Present
AlphaCare of New York, Inc. August 2013 - November 2013
Zelus Consulting Group August 2011 - July 2013
Fidelis Care NY September 2008 - August 2011
HIP 2007 - 2008
Horizon Blue Cross Blue Shield of New Jersey March 2005 - October 2007
NASCO October 1998 - March 2005
Empire Blue Cross and Blue Shield 1991 - 1998
Skills
Business Process..., Leadership, Health Insurance, Call Centers, Business Intelligence, Strategic Planning, Project Management, Quality Assurance, Employee Benefits, Management, Team Building, Medicare, Six Sigma, Healthcare, Business Process, New Business Development, Process Improvement, Healthcare Information..., Training, Business Process..., Managed Care, Performance Management, Change Management, Healthcare Industry, Medicaid, CRM, Implementation..., Healthcare Management, Restructuring, Claim, Operations Management, Business Strategy, Revenue & Profit Growth, Cost Reduction..., New Busines, Qualitative Research, Staff Development, Management Consulting, Consulting, Call Center
Education
University of Phoenix
Bachelor of Science, Business Administration
Carrico & Garton Group, LLC 2014 - Present
AlphaCare of New York, Inc. August 2013 - November 2013
Zelus Consulting Group August 2011 - July 2013
Fidelis Care NY September 2008 - August 2011
HIP 2007 - 2008
Horizon Blue Cross Blue Shield of New Jersey March 2005 - October 2007
NASCO October 1998 - March 2005
Empire Blue Cross and Blue Shield 1991 - 1998
Skills
Business Process..., Leadership, Health Insurance, Call Centers, Business Intelligence, Strategic Planning, Project Management, Quality Assurance, Employee Benefits, Management, Team Building, Medicare, Six Sigma, Healthcare, Business Process, New Business Development, Process Improvement, Healthcare Information..., Training, Business Process..., Managed Care, Performance Management, Change Management, Healthcare Industry, Medicaid, CRM, Implementation..., Healthcare Management, Restructuring, Claim, Operations Management, Business Strategy, Revenue & Profit Growth, Cost Reduction..., New Busines, Qualitative Research, Staff Development, Management Consulting, Consulting, Call Center
Education
University of Phoenix
Bachelor of Science, Business Administration
akisha thomas akisha thomas's Fidelis Care NY Experience August 2003 - Present
Job Retention Representative at Fidelis Care NY
Industry Insurance
Experience
Fidelis Care NY August 2003 - Present
Education
College of New Rochelle 2006 — 2010
Bachelor, Psychology
Fidelis Care NY August 2003 - Present
Education
College of New Rochelle 2006 — 2010
Bachelor, Psychology
Nikia Glapa Nikia Glapa's Fidelis Care NY Experience February 2009 - August 2013
Job Provider Network Contractor at UnitedHealth Group
Industry Insurance
Experience
UnitedHealth Group November 2013 - Present
Fidelis Care NY February 2009 - August 2013
American Airlines July 2007 - November 2009
Wake County June 2002 - February 2005
Hopevale, Inc. September 1999 - May 2002
Skills
Community Outreach, Staff Development, Healthcare Management, Strategic Planning, Fundraising, Marketing, Recruiting, Team Building, Management, Insurance, Marketing Communications, Project Management, Marketing Strategy, PowerPoint, Coaching, Team Leadership, Organizational..., Process Improvement, Health Insurance, Account Management, Managed Care, Medicaid, Market Research, Advertising, Performance Management, Teamwork, Volunteer Management, Healthcare Industry, Sales Presentations, Direct Marketing, Employee Training, Conflict Resolution, HIPAA, Strategic Communications, Research, Outlook
Education
State University of New York at Buffalo 1999 — 2002
BS, Sociology
UnitedHealth Group November 2013 - Present
Fidelis Care NY February 2009 - August 2013
American Airlines July 2007 - November 2009
Wake County June 2002 - February 2005
Hopevale, Inc. September 1999 - May 2002
Skills
Community Outreach, Staff Development, Healthcare Management, Strategic Planning, Fundraising, Marketing, Recruiting, Team Building, Management, Insurance, Marketing Communications, Project Management, Marketing Strategy, PowerPoint, Coaching, Team Leadership, Organizational..., Process Improvement, Health Insurance, Account Management, Managed Care, Medicaid, Market Research, Advertising, Performance Management, Teamwork, Volunteer Management, Healthcare Industry, Sales Presentations, Direct Marketing, Employee Training, Conflict Resolution, HIPAA, Strategic Communications, Research, Outlook
Education
State University of New York at Buffalo 1999 — 2002
BS, Sociology
Maureen Noel Maureen Noel's Fidelis Care NY Experience October 2009 - April 2010
Job CareerSource Broward
Industry Human Resources
Experience
Comfort Care Nursing Registry; LLC September 2014 - Present
CareerSource Broward April 2014 - June 2014
CareerSource Broward February 2013 - February 2014
Fidelis Care NY October 2009 - April 2010
Noticia Hispanoamericana July 2005 - August 2006
Rent-A-Center September 2002 - June 2005
Ecuadorian Rainforest, LLC March 2002 - September 2002
Noticia Hispanoamericana May 2000 - March 2002
Skills
Event Planning, Social Media, Public Relations, Advertising, Writing, Public Speaking, Word, Event Management, Customer Service, PowerPoint, Customer Relations, Fundraising, Strategic Planning, Marketing Communications, Media Relations, Marketing Strategy, Spanish, Promotions, Social Networking, Social Media Marketing, Non-profits, Microsoft Office, Research, Budgeting, Excel, Online Marketing, Email Marketing, Account Management, Market Research, New Business Development, Editing, Brand Development, Photography, Strategic Communications, Corporate Communications, Blogging, Publicity, SEO
Education
Universidad Latina de Costa Rica 1996 — 2000
Bachelor, Public Relations
Comfort Care Nursing Registry; LLC September 2014 - Present
CareerSource Broward April 2014 - June 2014
CareerSource Broward February 2013 - February 2014
Fidelis Care NY October 2009 - April 2010
Noticia Hispanoamericana July 2005 - August 2006
Rent-A-Center September 2002 - June 2005
Ecuadorian Rainforest, LLC March 2002 - September 2002
Noticia Hispanoamericana May 2000 - March 2002
Skills
Event Planning, Social Media, Public Relations, Advertising, Writing, Public Speaking, Word, Event Management, Customer Service, PowerPoint, Customer Relations, Fundraising, Strategic Planning, Marketing Communications, Media Relations, Marketing Strategy, Spanish, Promotions, Social Networking, Social Media Marketing, Non-profits, Microsoft Office, Research, Budgeting, Excel, Online Marketing, Email Marketing, Account Management, Market Research, New Business Development, Editing, Brand Development, Photography, Strategic Communications, Corporate Communications, Blogging, Publicity, SEO
Education
Universidad Latina de Costa Rica 1996 — 2000
Bachelor, Public Relations
William Wildy Haskell William Wildy Haskell's Fidelis Care NY Experience July 2005 - Present
Job Internal Auditor/Corporate Compliance at Fidelis Care NY
Industry Insurance
Experience
Fidelis Care NY July 2005 - Present
Wildy's World / Wildy Writes January 2008 - Present
CDPHP September 2000 - May 2005
ValueOptions May 1998 - August 2000
Spaha, Inc. February 1996 - July 1999
Transitional Services Association September 1994 - May 1998
University at Buffalo August 1992 - May 1994
University at Buffalo August 1991 - May 1993
Skills
Claims, Public Relations, Compliance, Data Analysis, Writing, Access, Business Analysis, Excel, Microsoft Office, Healthcare, Customer Relations, PowerPoint, Word, Analysis, Problem Solving, Process Improvement, Visio, Managed Care, Windows, Social Media, Event Planning, Medicaid, Coaching, HIPAA, Health Insurance, Medicare, Risk Assessment, Internal Controls, Healthcare Industry, Social Networking, Microsoft Excel, Microsoft Word, Project Management, Fraud Investigation, Internal Audit, IT Auditors, Model Audit Rule, Risk Based Auditing, Legal Compliance, Compliance..., Blogging, Risk Management, Strategic Planning, Program Management, Insurance, Provider Relations, Health Policy, Performance Management, Claim, Human Resources
Education
University at Buffalo 1989 — 1994
BA, Philosophy
Saratoga Springs High School 1986 — 1989
Regents Diploma
Saratoga Springs High School 1986 — 1989
Fidelis Care NY July 2005 - Present
Wildy's World / Wildy Writes January 2008 - Present
CDPHP September 2000 - May 2005
ValueOptions May 1998 - August 2000
Spaha, Inc. February 1996 - July 1999
Transitional Services Association September 1994 - May 1998
University at Buffalo August 1992 - May 1994
University at Buffalo August 1991 - May 1993
Skills
Claims, Public Relations, Compliance, Data Analysis, Writing, Access, Business Analysis, Excel, Microsoft Office, Healthcare, Customer Relations, PowerPoint, Word, Analysis, Problem Solving, Process Improvement, Visio, Managed Care, Windows, Social Media, Event Planning, Medicaid, Coaching, HIPAA, Health Insurance, Medicare, Risk Assessment, Internal Controls, Healthcare Industry, Social Networking, Microsoft Excel, Microsoft Word, Project Management, Fraud Investigation, Internal Audit, IT Auditors, Model Audit Rule, Risk Based Auditing, Legal Compliance, Compliance..., Blogging, Risk Management, Strategic Planning, Program Management, Insurance, Provider Relations, Health Policy, Performance Management, Claim, Human Resources
Education
University at Buffalo 1989 — 1994
BA, Philosophy
Saratoga Springs High School 1986 — 1989
Regents Diploma
Saratoga Springs High School 1986 — 1989
Jessica Woodward Jessica Woodward's Fidelis Care NY Experience December 2009 - April 2010
Job Employee Benefits Specialist at M&T Bank
Industry Human Resources
Experience
M&T Bank February 2013 - Present
Kaleida Health December 2012 - February 2013
AMPAC-ISP May 2010 - September 2012
State University of New York at Buffalo January 2007 - May 2010
Fidelis Care NY December 2009 - April 2010
Skills
Benefits Administration, Onboarding, HR Policies, Employee Benefits, Payroll, Human Resources, New Hire Orientations, Labor Relations, Job Descriptions, EEO, Open Enrollment, Management, College Recruiting, Employee Engagement, Technical Recruiting, Interviews, Sourcing, Temporary Placement, Job Fairs, Background Checks, Workforce Planning, Career Counseling, Contract Recruitment, Team Building, Leave of Absence, PeopleSoft, Process Improvement
Education
State University of New York at Buffalo 2006 — 2010
BS, Business Administration- Marketing & Human Resources
M&T Bank February 2013 - Present
Kaleida Health December 2012 - February 2013
AMPAC-ISP May 2010 - September 2012
State University of New York at Buffalo January 2007 - May 2010
Fidelis Care NY December 2009 - April 2010
Skills
Benefits Administration, Onboarding, HR Policies, Employee Benefits, Payroll, Human Resources, New Hire Orientations, Labor Relations, Job Descriptions, EEO, Open Enrollment, Management, College Recruiting, Employee Engagement, Technical Recruiting, Interviews, Sourcing, Temporary Placement, Job Fairs, Background Checks, Workforce Planning, Career Counseling, Contract Recruitment, Team Building, Leave of Absence, PeopleSoft, Process Improvement
Education
State University of New York at Buffalo 2006 — 2010
BS, Business Administration- Marketing & Human Resources
Nabil Umer Nabil Umer's Fidelis Care NY Experience August 2011 - January 2015
Job Pharmacy Program Manager at Amida Care
Industry Pharmaceuticals
Experience
Amida Care February 2015 - Present
Fidelis Care NY August 2011 - January 2015
The McGuire Group Pharmacy October 2007 - July 2011
Chem Rx Long Term Pharmacy May 2005 - June 2007
CVS Pharmacy May 2000 - January 2006
Skills
Pharmacy, Data Entry, Insurance, Pharmacy Automation, Pharmacy Benefit..., Managed Care, Pharmacists, Pharmaceutical Industry, Healthcare, Medicare Part D, Medication Therapy..., Healthcare Management, Compounding, Medicaid, Inventory Management, Inventory Control
Education
State University of New York at Buffalo 2004 — 2006
Bachelors of Science, Bio-Medical Sciences, Pharmacology
Amida Care February 2015 - Present
Fidelis Care NY August 2011 - January 2015
The McGuire Group Pharmacy October 2007 - July 2011
Chem Rx Long Term Pharmacy May 2005 - June 2007
CVS Pharmacy May 2000 - January 2006
Skills
Pharmacy, Data Entry, Insurance, Pharmacy Automation, Pharmacy Benefit..., Managed Care, Pharmacists, Pharmaceutical Industry, Healthcare, Medicare Part D, Medication Therapy..., Healthcare Management, Compounding, Medicaid, Inventory Management, Inventory Control
Education
State University of New York at Buffalo 2004 — 2006
Bachelors of Science, Bio-Medical Sciences, Pharmacology
Joseph Sorbello Joseph Sorbello's Fidelis Care NY Experience July 2012 - July 2014
Job Director, Compliance & Internal Audit at Fidelis Care
Industry Insurance
Experience
Fidelis Care July 2014 - Present
Fidelis Care NY July 2012 - July 2014
Joseph T. Sorbello Consulting Services April 2009 - July 2012
IS Partners June 2006 - April 2009
GR Consulting (Now Grant Thorton) June 2004 - May 2006
ACE Group June 2003 - June 2004
GR Consulting April 2002 - June 2003
The Siegfried Group January 2001 - January 2002
PwC Consulting 1998 - 2000
American Water 1990 - 1998
Skills
SOX, Process Engineering, Audit, Compliance, Internal Audit, SAS70, Internal Controls, Auditing, Sarbanes-Oxley Act, Process Improvement, Sarbanes-Oxley, Accounting, General Ledger, Banking, Financial Reporting, Enterprise Risk..., Financial Audits, Insurance, IT Audit, Accounts Payable, Financial Analysis, Business Process..., Account Reconciliation, Business Analysis, Business Process..., Management Consulting, Finance, Risk Management, Governance, Management, GAAP, SEC filings, Forecasting, Financial Modeling, US GAAP, Strategic Financial..., Analysis, Six Sigma, Consulting, Leadership
Education
The National Graduate School 2010 — 2011
M.S., Quality Systems Management
Widener University 1985 — 1989
Bachelor of Science, Business Administration
Fidelis Care July 2014 - Present
Fidelis Care NY July 2012 - July 2014
Joseph T. Sorbello Consulting Services April 2009 - July 2012
IS Partners June 2006 - April 2009
GR Consulting (Now Grant Thorton) June 2004 - May 2006
ACE Group June 2003 - June 2004
GR Consulting April 2002 - June 2003
The Siegfried Group January 2001 - January 2002
PwC Consulting 1998 - 2000
American Water 1990 - 1998
Skills
SOX, Process Engineering, Audit, Compliance, Internal Audit, SAS70, Internal Controls, Auditing, Sarbanes-Oxley Act, Process Improvement, Sarbanes-Oxley, Accounting, General Ledger, Banking, Financial Reporting, Enterprise Risk..., Financial Audits, Insurance, IT Audit, Accounts Payable, Financial Analysis, Business Process..., Account Reconciliation, Business Analysis, Business Process..., Management Consulting, Finance, Risk Management, Governance, Management, GAAP, SEC filings, Forecasting, Financial Modeling, US GAAP, Strategic Financial..., Analysis, Six Sigma, Consulting, Leadership
Education
The National Graduate School 2010 — 2011
M.S., Quality Systems Management
Widener University 1985 — 1989
Bachelor of Science, Business Administration
Mary Ellen DeCarlo Mary Ellen DeCarlo's Fidelis Care NY Experience August 2010 - March 2012
Job VicePresident Operations TEAMHealth
Industry Insurance
Experience
TeamHealth March 2012 - Present
TeamHealth 2012 - 2015
Fidelis Care NY August 2010 - March 2012
BlueCross BlueShield of WNY November 1999 - August 2010
Skills
Provider Relations, Managed Care, Insurance, Leadership, Business Strategy, Teamwork, Health Insurance, Medicaid, Medicare, Network Development, Healthcare Management, Healthcare, Hospitals, HIPAA, Claim, Contract Management, Process Improvement, Credentialing, Data Analysis, Medical Billing, Strategic Planning, Health Policy, Benefits Administration, HMO, Revenue Cycle, Healthcare Industry, Physicians, Medicare Part D, PPO, Healthcare Information..., Disease Management, Physician Relations, Management
Education
State University of New York Empire State College 2013 — 2014
Master's Advanced Certificate, Health/Health Care Administration/Management
State University of New York Empire State College 2010 — 2012
Master of Business Administration (MBA), Business Administration, Management and Healthcare
SUNY Empire State College 2009 — 2012
Bachelor of Science (BS), Business, Managment & Economics/ Health Care Managment
TeamHealth March 2012 - Present
TeamHealth 2012 - 2015
Fidelis Care NY August 2010 - March 2012
BlueCross BlueShield of WNY November 1999 - August 2010
Skills
Provider Relations, Managed Care, Insurance, Leadership, Business Strategy, Teamwork, Health Insurance, Medicaid, Medicare, Network Development, Healthcare Management, Healthcare, Hospitals, HIPAA, Claim, Contract Management, Process Improvement, Credentialing, Data Analysis, Medical Billing, Strategic Planning, Health Policy, Benefits Administration, HMO, Revenue Cycle, Healthcare Industry, Physicians, Medicare Part D, PPO, Healthcare Information..., Disease Management, Physician Relations, Management
Education
State University of New York Empire State College 2013 — 2014
Master's Advanced Certificate, Health/Health Care Administration/Management
State University of New York Empire State College 2010 — 2012
Master of Business Administration (MBA), Business Administration, Management and Healthcare
SUNY Empire State College 2009 — 2012
Bachelor of Science (BS), Business, Managment & Economics/ Health Care Managment
Rick Travers, PMP Rick Travers, PMP's Fidelis Care NY Experience November 2010 - November 2011
Job Vice President of Information Technology
Industry Information Technology and Services
Experience
Triplefin September 2015 - Present
Corelink Administrative Solutions March 2013 - May 2015
Corelink Administrative Solutions September 2012 - February 2013
Horizon Blue Cross Blue Shield of New Jersey December 2011 - September 2012
Fidelis Care NY November 2010 - November 2011
Independent Health October 2000 - November 2010
Veridian 1999 - 2000
Bank of America 1992 - 1999
A&R Services 1992 - 1997
Empire of America 1989 - 1992
Skills
Software Project..., Budget Development, IT Operations, VB.NET, Enterprise Architecture, Analytics, Program Management, Process Improvement, Data Mining, Strategic Planning, Leadership, Software Development, SDLC, Data Warehousing, Vendor Management, Business Intelligence, IT Strategy, HIPAA, Healthcare Information..., Business Process..., SQL, Integration, Information Technology, Master Data Management, ETL, SOA, Healthcare, Data Integration, Data Governance, Enterprise Software, Disaster Recovery, Systems Analysis, Business Analysis, Architecture, Requirements Gathering, Visio, Requirements Analysis, Business Process, Strategy, Consulting, Management, Project Portfolio..., PMP, SharePoint, PMO, Data Modeling, IT Management, Solution Architecture, Governance, Agile Project Management
Education
SUNY Empire State College
BS, Management Information Systems
Triplefin September 2015 - Present
Corelink Administrative Solutions March 2013 - May 2015
Corelink Administrative Solutions September 2012 - February 2013
Horizon Blue Cross Blue Shield of New Jersey December 2011 - September 2012
Fidelis Care NY November 2010 - November 2011
Independent Health October 2000 - November 2010
Veridian 1999 - 2000
Bank of America 1992 - 1999
A&R Services 1992 - 1997
Empire of America 1989 - 1992
Skills
Software Project..., Budget Development, IT Operations, VB.NET, Enterprise Architecture, Analytics, Program Management, Process Improvement, Data Mining, Strategic Planning, Leadership, Software Development, SDLC, Data Warehousing, Vendor Management, Business Intelligence, IT Strategy, HIPAA, Healthcare Information..., Business Process..., SQL, Integration, Information Technology, Master Data Management, ETL, SOA, Healthcare, Data Integration, Data Governance, Enterprise Software, Disaster Recovery, Systems Analysis, Business Analysis, Architecture, Requirements Gathering, Visio, Requirements Analysis, Business Process, Strategy, Consulting, Management, Project Portfolio..., PMP, SharePoint, PMO, Data Modeling, IT Management, Solution Architecture, Governance, Agile Project Management
Education
SUNY Empire State College
BS, Management Information Systems
Jason Brosius Jason Brosius's Fidelis Care NY Experience December 2007 - May 2013
Job Developer II at Fidelis Care
Industry Insurance
Experience
Fidelis Care May 2013 - Present
Fidelis Care NY December 2007 - May 2013
Fidelis Care May 2003 - December 2007
Skills
VB.NET, VB 6.0, SQL, Facets, Healthcare, EDI, ISQL, Perl, Batch Processing, Scripting, Crystal Reports, Sybase IQ, Momentum, Unix, MS Access, Lotus Notes, SharePoint, Diamond, BBX, MySQL, Providers, FTP software, Sybase ASE, XML, Infoview, VSS, Sybase, BBx, Visual Basic, Data Warehousing, SDLC
Education
Niagara County Community College 2001 — 2007
BS, Computer Science
University at Buffalo
Computer Science
Fidelis Care May 2013 - Present
Fidelis Care NY December 2007 - May 2013
Fidelis Care May 2003 - December 2007
Skills
VB.NET, VB 6.0, SQL, Facets, Healthcare, EDI, ISQL, Perl, Batch Processing, Scripting, Crystal Reports, Sybase IQ, Momentum, Unix, MS Access, Lotus Notes, SharePoint, Diamond, BBX, MySQL, Providers, FTP software, Sybase ASE, XML, Infoview, VSS, Sybase, BBx, Visual Basic, Data Warehousing, SDLC
Education
Niagara County Community College 2001 — 2007
BS, Computer Science
University at Buffalo
Computer Science
Su Chang Su Chang's Fidelis Care NY Experience August 2012 - Present
Job Manager, Retention at Fidelis Care NY
Industry Insurance
Experience
Fidelis Care NY August 2012 - Present
Fidelis Care NY December 2010 - August 2012
Fidelis Care NY October 2007 - December 2010
Fidelis Care NY April 2006 - October 2007
Fidelis Care NY August 2005 - April 2006
Centercare 2004 - August 2005
CenterCare August 2002 - 2004
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Microsoft Office, Social Media, Health Insurance, Insurance, Customer Service, Managed Care, Process Improvement, Call Center, Long-term Care, Certified Application..., Customer Retention, Program Management, Call Centers, Training, Data Analysis, Leadership, Strategic Planning, Management
Education
University at Albany, SUNY 1998 — 2002
BA, East Asian Studies, Business and Political Science
Brooklyn Technical High School
Regents Diploma, Major in Social Sciences
Fidelis Care NY August 2012 - Present
Fidelis Care NY December 2010 - August 2012
Fidelis Care NY October 2007 - December 2010
Fidelis Care NY April 2006 - October 2007
Fidelis Care NY August 2005 - April 2006
Centercare 2004 - August 2005
CenterCare August 2002 - 2004
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Microsoft Office, Social Media, Health Insurance, Insurance, Customer Service, Managed Care, Process Improvement, Call Center, Long-term Care, Certified Application..., Customer Retention, Program Management, Call Centers, Training, Data Analysis, Leadership, Strategic Planning, Management
Education
University at Albany, SUNY 1998 — 2002
BA, East Asian Studies, Business and Political Science
Brooklyn Technical High School
Regents Diploma, Major in Social Sciences
Ruth Prier Ruth Prier's Fidelis Care NY Experience September 2012 - August 2013
Job Regional Clinical Program Manager at Cardiocom A Division of Medtronic
Industry Health, Wellness and Fitness
Experience
Cardiocom - A Division of Medtronic August 2013 - Present
Fidelis Care NY September 2012 - August 2013
PACE CNY January 2010 - February 2012
Watson Pharmaceuticals 2005 - 2009
Innovex October 2002 - February 2006
Excellus BC/BS 1996 - 2002
Skills
Nephrology, Urology, Home Care, OB/GYN, Sales, Sales Support, Coaching, Education, Training & Development, Supervisory Skills, Territory Planning, Territory Analysis, Creative Problem Solving, Microsoft Office, Hospitals, Managed Care, Diabetes, Training, Clinical Trials, Critical Care, Healthcare, Medical Devices, Analysis, Cardiology, Neurology, Nursing, Endocrinology, Pharmaceutical Industry, Medicine, Healthcare Management
Education
LeMoyne College 2010 — 2012
Certificate, Holistic Aging
Syracuse University 1993 — 2000
BSN, Nursing
St. Joseph's Hospital School of Nursing 1991 — 1993
Associates, Nursing
Syracuse University - Maxwell School 1982 — 1985
MA, Economics
University of Wisconsin-Eau Claire 1978 — 1982
BBA, Business/Economics
Bay View High School
Cardiocom - A Division of Medtronic August 2013 - Present
Fidelis Care NY September 2012 - August 2013
PACE CNY January 2010 - February 2012
Watson Pharmaceuticals 2005 - 2009
Innovex October 2002 - February 2006
Excellus BC/BS 1996 - 2002
Skills
Nephrology, Urology, Home Care, OB/GYN, Sales, Sales Support, Coaching, Education, Training & Development, Supervisory Skills, Territory Planning, Territory Analysis, Creative Problem Solving, Microsoft Office, Hospitals, Managed Care, Diabetes, Training, Clinical Trials, Critical Care, Healthcare, Medical Devices, Analysis, Cardiology, Neurology, Nursing, Endocrinology, Pharmaceutical Industry, Medicine, Healthcare Management
Education
LeMoyne College 2010 — 2012
Certificate, Holistic Aging
Syracuse University 1993 — 2000
BSN, Nursing
St. Joseph's Hospital School of Nursing 1991 — 1993
Associates, Nursing
Syracuse University - Maxwell School 1982 — 1985
MA, Economics
University of Wisconsin-Eau Claire 1978 — 1982
BBA, Business/Economics
Bay View High School
Saryth Davila Saryth Davila's Fidelis Care NY Experience March 2005 - January 2007
Job Bilingual with Over 15 Yrs of customer service experience
Industry Furniture
Experience
Rooms To Go December 2011 - August 2014
Fidelis Care January 2007 - February 2011
Fidelis Care NY March 2005 - January 2007
Rooms To Go January 1999 - January 2005
San Juan Bautista Perish, Caguas Puerto Rico January 1994 - January 1999
Cinema Video January 1990 - January 1999
Boy Scouts of America January 1991 - January 1997
Skills
Bilingual Spanish and..., 40wpm, Facets, Touchstar, ECM, BlueVista, Metaphor, Microsoft Excel, Microsoft Office, Microsoft Word, Healthcare, Recruiting, Customer Service, Insurance, Team Building, Training, Employee Relations, Software Documentation, Enterprise Content..., Typing, Multilingual, Management, Marketing, PowerPoint, English, Customer Retention, Employee Benefits, Performance Management, Team Leadership, Sales, Leadership, Time Management, Human Resources, Health Insurance, New Business Development, Schedules, Sales Management, Call Center, Budgets, Call Centers, Access
Education
Universidad de Puerto Rico 1991 — 1995
Colegio Radians 1988 — 1991
General
Rooms To Go December 2011 - August 2014
Fidelis Care January 2007 - February 2011
Fidelis Care NY March 2005 - January 2007
Rooms To Go January 1999 - January 2005
San Juan Bautista Perish, Caguas Puerto Rico January 1994 - January 1999
Cinema Video January 1990 - January 1999
Boy Scouts of America January 1991 - January 1997
Skills
Bilingual Spanish and..., 40wpm, Facets, Touchstar, ECM, BlueVista, Metaphor, Microsoft Excel, Microsoft Office, Microsoft Word, Healthcare, Recruiting, Customer Service, Insurance, Team Building, Training, Employee Relations, Software Documentation, Enterprise Content..., Typing, Multilingual, Management, Marketing, PowerPoint, English, Customer Retention, Employee Benefits, Performance Management, Team Leadership, Sales, Leadership, Time Management, Human Resources, Health Insurance, New Business Development, Schedules, Sales Management, Call Center, Budgets, Call Centers, Access
Education
Universidad de Puerto Rico 1991 — 1995
Colegio Radians 1988 — 1991
General
Nicholas Alexander Semkiw Nicholas Alexander Semkiw's Fidelis Care NY Experience November 2008 - October 2011
Job Tech, Music, and Investor.
Industry Internet
Experience
INTRO Media May 2015 - Present
SERIES March 2015 - Present
SynTech Media February 2015 - Present
Sound Byte Media (formally SingWho, Inc. October 2011 - January 2015
Royal Heir Clothing May 2009 - September 2013
The Due Guard Foundation January 2012 - August 2013
Fidelis Care NY November 2008 - October 2011
Northwestern Mutual May 2006 - May 2007
Skills
Healthcare, Graphic Design, Web Design, Sales Process, Marketing Strategy, Company Branding, Start-ups, Logo Design, New Business Development, Territory Development, Team Leadership, Adobe Design Programs, Sales Presentations, Sales Operations, Sales, Corporate Branding, Customer Service, Marketing, Leadership, Fundraising, Management, Entrepreneurship, Facebook, Program Management, Selling, Training, Social Media Marketing, Social Media
Education
University at Albany, SUNY 2003 — 2007
B.S., Marketing
INTRO Media May 2015 - Present
SERIES March 2015 - Present
SynTech Media February 2015 - Present
Sound Byte Media (formally SingWho, Inc. October 2011 - January 2015
Royal Heir Clothing May 2009 - September 2013
The Due Guard Foundation January 2012 - August 2013
Fidelis Care NY November 2008 - October 2011
Northwestern Mutual May 2006 - May 2007
Skills
Healthcare, Graphic Design, Web Design, Sales Process, Marketing Strategy, Company Branding, Start-ups, Logo Design, New Business Development, Territory Development, Team Leadership, Adobe Design Programs, Sales Presentations, Sales Operations, Sales, Corporate Branding, Customer Service, Marketing, Leadership, Fundraising, Management, Entrepreneurship, Facebook, Program Management, Selling, Training, Social Media Marketing, Social Media
Education
University at Albany, SUNY 2003 — 2007
B.S., Marketing
Victoria Hardick Victoria Hardick's Fidelis Care NY Experience 2011 - April 2013
Job Health Home at Niagara Falls Memorial Medical Center
Industry Insurance
Experience
Niagara Falls Memorial Medical Center February 2015 - Present
Fidelis Care April 2013 - January 2015
Fidelis Care NY 2011 - April 2013
Fidelis Care NY 2003 - 2011
Skills
Health Insurance, Managed Care, Network Development, Provider Relations, Medicare, Medicaid, Process Improvement, Healthcare Information..., Healthcare, Visio, HIPAA, Healthcare Management, Claim, Call Centers, Healthcare Industry, Disease Management, Utilization Management, Medicaid Managed Care, Claims Resolution, Medical Billing, Physician Relations, CPT, HMO, Insurance, Credentialing, Health Policy, Revenue Cycle, Healthcare Consulting, Case Managment, Medicare Part D, Hospitals, Medicare/Medicaid..., PPO, EHR
Education
Buffalo State College 1980 — 1984
Bachelor, Social Work
Niagara Falls Memorial Medical Center February 2015 - Present
Fidelis Care April 2013 - January 2015
Fidelis Care NY 2011 - April 2013
Fidelis Care NY 2003 - 2011
Skills
Health Insurance, Managed Care, Network Development, Provider Relations, Medicare, Medicaid, Process Improvement, Healthcare Information..., Healthcare, Visio, HIPAA, Healthcare Management, Claim, Call Centers, Healthcare Industry, Disease Management, Utilization Management, Medicaid Managed Care, Claims Resolution, Medical Billing, Physician Relations, CPT, HMO, Insurance, Credentialing, Health Policy, Revenue Cycle, Healthcare Consulting, Case Managment, Medicare Part D, Hospitals, Medicare/Medicaid..., PPO, EHR
Education
Buffalo State College 1980 — 1984
Bachelor, Social Work
Jeri DeSilva Vincent's Fidelis Care NY Experience November 2013 - Present
Job Contract Management Rep at Fidelis Care NY
Industry Insurance
Experience
Fidelis Care NY November 2013 - Present
Skills
Customer Service, Healthcare, HIPAA, Health Insurance, Insurance, Leadership, Managed Care, Medicare, Microsoft Office, Public Speaking
Education
State University of New York Empire State College 2010 — 2014
Bachelor's degree, History
Fidelis Care NY November 2013 - Present
Skills
Customer Service, Healthcare, HIPAA, Health Insurance, Insurance, Leadership, Managed Care, Medicare, Microsoft Office, Public Speaking
Education
State University of New York Empire State College 2010 — 2014
Bachelor's degree, History
BIN XU's Fidelis Care NY Experience October 2012 - Present
Job Developer III at Fidelis Care
Industry Hospital & Health Care
Experience
Fidelis Care NY October 2012 - Present
Fidelis Care January 2012 - Present
FIDELIS CARE October 2003 - 2004
University of Memphis September 1997 - August 2000
FedEx 2000 - 2000
Shanghai Power Construction Corp January 1995 - January 1997
Shanghai Power Construction Corp January 1995 - January 1996
Shanghai Power Construction Corp January 1993 - January 1995
Skills
Business Analysis, Visio, Visual Basic, Requirements Gathering, Microsoft SQL Server, VB.NET, Crystal Reports, SQL, Access, Data Analysis, SharePoint, Business Intelligence, HIPAA, Requirements Analysis, Process Improvement, XML, Cognos, Analysis, ASP.NET, Database Design, EDI, Software Development, Databases
Education
The University of Memphis 1998 — 2000
Master, MIS
Tianjin University
Bachelor of Science, Technology English
The University of Memphis
Master of Science, management information system
Fidelis Care NY October 2012 - Present
Fidelis Care January 2012 - Present
FIDELIS CARE October 2003 - 2004
University of Memphis September 1997 - August 2000
FedEx 2000 - 2000
Shanghai Power Construction Corp January 1995 - January 1997
Shanghai Power Construction Corp January 1995 - January 1996
Shanghai Power Construction Corp January 1993 - January 1995
Skills
Business Analysis, Visio, Visual Basic, Requirements Gathering, Microsoft SQL Server, VB.NET, Crystal Reports, SQL, Access, Data Analysis, SharePoint, Business Intelligence, HIPAA, Requirements Analysis, Process Improvement, XML, Cognos, Analysis, ASP.NET, Database Design, EDI, Software Development, Databases
Education
The University of Memphis 1998 — 2000
Master, MIS
Tianjin University
Bachelor of Science, Technology English
The University of Memphis
Master of Science, management information system
Bogdan Ciochinaru's Fidelis Care NY Experience August 2011 - Present
Job Retention Supervisor at Fidelis Care NY
Industry Insurance
Experience
Fidelis Care NY August 2011 - Present
New York Public Interest Research Group (NYPIRG) May 2010 - September 2010
New York Public Interest Research Group September 2009 - May 2010
New York Public Interest Research Group June 2009 - September 2009
New York Public Interest Research Group September 2008 - June 2009
Asociatia Pro Democratia May 2007 - July 2007
Freedom House 2007 - 2007
Skills
PowerPoint, Public Relations, Strategic Planning, Team Building, Event Planning, Event Management, Fundraising, Team Leadership, Lotus Notes, Microsoft Office, Non-profits, Organizing, Problem Solving, Teamwork, Medicaid, International Relations, Community Outreach, People-oriented, Grassroots Organizing, Community Organizing, Grassroots Advocacy, Legislative Advocacy, Environmental Issues, Issue Advocacy, Canvassing, Coalitions, Public Speaking, Public Policy, Training, Management, Nonprofits, Strategy, Social Networking, Data Analysis, Leadership
Education
University of Iowa 2004 — 2008
Bachelor of Arts
Temple University 2006 — 2006
University of Bucharest College of Law, Bucharest 2002 — 2003
University of Paris 1 Pantheon-Sorbonne, Bucharest 2002 — 2003
Fidelis Care NY August 2011 - Present
New York Public Interest Research Group (NYPIRG) May 2010 - September 2010
New York Public Interest Research Group September 2009 - May 2010
New York Public Interest Research Group June 2009 - September 2009
New York Public Interest Research Group September 2008 - June 2009
Asociatia Pro Democratia May 2007 - July 2007
Freedom House 2007 - 2007
Skills
PowerPoint, Public Relations, Strategic Planning, Team Building, Event Planning, Event Management, Fundraising, Team Leadership, Lotus Notes, Microsoft Office, Non-profits, Organizing, Problem Solving, Teamwork, Medicaid, International Relations, Community Outreach, People-oriented, Grassroots Organizing, Community Organizing, Grassroots Advocacy, Legislative Advocacy, Environmental Issues, Issue Advocacy, Canvassing, Coalitions, Public Speaking, Public Policy, Training, Management, Nonprofits, Strategy, Social Networking, Data Analysis, Leadership
Education
University of Iowa 2004 — 2008
Bachelor of Arts
Temple University 2006 — 2006
University of Bucharest College of Law, Bucharest 2002 — 2003
University of Paris 1 Pantheon-Sorbonne, Bucharest 2002 — 2003
Jay Gonzales's Fidelis Care NY Experience December 2011 - May 2012
Job CCO Support Analyst II
Industry Insurance
Experience
HealthNow New York Inc. July 2014 - Present
HealthNow New York Inc. June 2012 - July 2014
Fidelis Care NY December 2011 - May 2012
BCBS of WNY August 2008 - December 2011
ACS September 2004 - August 2008
Skills
Insurance, Microsoft Office, Microsoft Excel, Customer Service, Microsoft Word, Project Management, PowerPoint, Strategic Planning, Property & Casualty..., Risk Management, Change Management, Health Insurance, Business Analysis, Underwriting, Process Improvement, Commercial Insurance, Negotiation, General Insurance, SQL, Team Building, Software Documentation, Visio
Education
University at Buffalo 1998 — 1999
Computer Science
Frontier Central High School 1993 — 1997
Diploma, Business, Computers
HealthNow New York Inc. July 2014 - Present
HealthNow New York Inc. June 2012 - July 2014
Fidelis Care NY December 2011 - May 2012
BCBS of WNY August 2008 - December 2011
ACS September 2004 - August 2008
Skills
Insurance, Microsoft Office, Microsoft Excel, Customer Service, Microsoft Word, Project Management, PowerPoint, Strategic Planning, Property & Casualty..., Risk Management, Change Management, Health Insurance, Business Analysis, Underwriting, Process Improvement, Commercial Insurance, Negotiation, General Insurance, SQL, Team Building, Software Documentation, Visio
Education
University at Buffalo 1998 — 1999
Computer Science
Frontier Central High School 1993 — 1997
Diploma, Business, Computers
Thomas Wall's Fidelis Care NY Experience September 2002 - September 2012
Job Director of IT at WILLCARE
Industry Hospital & Health Care
Experience
WILLCARE September 2012 - Present
Fidelis Care NY September 2002 - September 2012
Transamerica Insurance Finance Company 1992 - 2002
Skills
Information Technology, Healthcare Information..., IT Strategy, Project Management, Relationship Management, Team Leadership, Business Process Design, Problem Solving, Process Improvement, System Administration, Leadership, Program Management, IT Operations, Enterprise Architecture, SDLC, Requirements Analysis, Project Planning, Vendor Management, Troubleshooting, Business Intelligence, Cross-functional Team..., Software Project..., SharePoint, Disaster Recovery
Education
State University of New York at Buffalo
Master of Business Administration (MBA), Finance, General
State University of New York at Buffalo
Bachelor's degree, Management Information Systems, General
WILLCARE September 2012 - Present
Fidelis Care NY September 2002 - September 2012
Transamerica Insurance Finance Company 1992 - 2002
Skills
Information Technology, Healthcare Information..., IT Strategy, Project Management, Relationship Management, Team Leadership, Business Process Design, Problem Solving, Process Improvement, System Administration, Leadership, Program Management, IT Operations, Enterprise Architecture, SDLC, Requirements Analysis, Project Planning, Vendor Management, Troubleshooting, Business Intelligence, Cross-functional Team..., Software Project..., SharePoint, Disaster Recovery
Education
State University of New York at Buffalo
Master of Business Administration (MBA), Finance, General
State University of New York at Buffalo
Bachelor's degree, Management Information Systems, General
Christine Welker's Fidelis Care NY Experience June 2004 - Present
Job Case Manager RN, BS at Fidelis Care NY
Industry Insurance
Experience
Crouse Hospital October 2008 - Present
Fidelis Care NY June 2004 - Present
DCI - Upstate October 2001 - September 2003
Gentiva Health Services August 1997 - October 2001
Skills
Healthcare, Insurance, Health, Nursing, Case Management, Medicaid, PowerPoint, Microsoft Office, Hospitals, Managed Care, Home Care, Healthcare Management, Disease Management, Utilization Management, Medicare, Care Management, Word, Supervisory Skills, Discharge Planning, Nurses, Health Insurance
Education
Syracuse University 1993 — 2007
BS, Nursing
Crouse Hospital October 2008 - Present
Fidelis Care NY June 2004 - Present
DCI - Upstate October 2001 - September 2003
Gentiva Health Services August 1997 - October 2001
Skills
Healthcare, Insurance, Health, Nursing, Case Management, Medicaid, PowerPoint, Microsoft Office, Hospitals, Managed Care, Home Care, Healthcare Management, Disease Management, Utilization Management, Medicare, Care Management, Word, Supervisory Skills, Discharge Planning, Nurses, Health Insurance
Education
Syracuse University 1993 — 2007
BS, Nursing
Pamela Hassen's Fidelis Care NY Experience September 2006 - Present
Job Chief Marketing Officer at Fidelis Care NY
Industry Insurance
Experience
Fidelis Care NY September 2006 - Present
AmeriChoice/ United Health Care June 2000 - August 2006
Education
Tulane University 1981 — 1983
Masters Degree, Health Care Administration
Union College
Fidelis Care NY September 2006 - Present
AmeriChoice/ United Health Care June 2000 - August 2006
Education
Tulane University 1981 — 1983
Masters Degree, Health Care Administration
Union College
Beth Draper's Fidelis Care NY Experience June 2002 - Present
Job Director at Fidelis Care NY
Industry Insurance
Experience
Fidelis Care NY June 2002 - Present
Univera Healthcare January 1995 - June 2002
Skills
Medicaid, Medicare, HIPAA, Healthcare Information..., Credentialing, Health Insurance, Managed Care, Claim, Disease Management, Health Policy, Healthcare, Healthcare Consulting, Healthcare Industry, Healthcare Management, Insurance, Provider Relations, Physician Relations
Education
Buffalo State College 2001 — 2003
MS, Adult Education
University at Buffalo 1987 — 1990
BS, Health and Human Services
Fidelis Care NY June 2002 - Present
Univera Healthcare January 1995 - June 2002
Skills
Medicaid, Medicare, HIPAA, Healthcare Information..., Credentialing, Health Insurance, Managed Care, Claim, Disease Management, Health Policy, Healthcare, Healthcare Consulting, Healthcare Industry, Healthcare Management, Insurance, Provider Relations, Physician Relations
Education
Buffalo State College 2001 — 2003
MS, Adult Education
University at Buffalo 1987 — 1990
BS, Health and Human Services
Ramona Parra's Fidelis Care NY Experience June 2003 - May 2012
Job Enrollment Specialist/Claim Examiner
Industry Insurance
Experience
Univita Health Inc June 2015 - Present
The Jacobson Group November 2014 - Present
Affinity Health Plan June 2012 - October 2013
Fidelis Care NY June 2003 - May 2012
Miami,Fl January 1997 - June 2003
Skills
Enrollment Management, Insurance, Health Insurance, HIPAA, Medicare, Provider Relations, Employee Benefits, Medicaid, HMO, Managed Care, Access, Claim, Process Improvement, Customer Service, Call Centers, Outlook, Healthcare, Visio, PeopleSoft, Software Documentation, Medical Billing, Healthcare Industry, Microsoft Office, Microsoft Excel, PowerPoint
Education
University of Phoenix 1997 — 2001
Healthcare administration
Univita Health Inc June 2015 - Present
The Jacobson Group November 2014 - Present
Affinity Health Plan June 2012 - October 2013
Fidelis Care NY June 2003 - May 2012
Miami,Fl January 1997 - June 2003
Skills
Enrollment Management, Insurance, Health Insurance, HIPAA, Medicare, Provider Relations, Employee Benefits, Medicaid, HMO, Managed Care, Access, Claim, Process Improvement, Customer Service, Call Centers, Outlook, Healthcare, Visio, PeopleSoft, Software Documentation, Medical Billing, Healthcare Industry, Microsoft Office, Microsoft Excel, PowerPoint
Education
University of Phoenix 1997 — 2001
Healthcare administration
Rosa Fuertes's Fidelis Care NY Experience February 1994 - May 2012
Job Customer Services at Green Light Inc.
Industry Market Research
Experience
Green Light Inc. April 2012 - Present
Fidelis Care NY February 1994 - May 2012
Education
Universidad Nacional Pedro Henríquez Ureña 1974 — 1978
Associate in Marketing and Psychology, Marketing
Green Light Inc. April 2012 - Present
Fidelis Care NY February 1994 - May 2012
Education
Universidad Nacional Pedro Henríquez Ureña 1974 — 1978
Associate in Marketing and Psychology, Marketing
State Farm Insurance
Allstate
State Farm
Prudential Financial
farmers insurance
Aflac
CIGNA
GEICO