Health Plus PHSP Inc.
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Health Plus PHSP Inc. Employees
Visiting Nurse Service of New York May 2012 - Present
Health Plus PHSP, INC June 2008 - April 2012
Skills
Healthcare, Healthcare Management, HIPAA, Insurance
Education
Universidad APEC
Bachelor's degree, Accounting and Finance
AdvantageCare Physicians May 2012 - Present
University Physician Associates of New Jersey, Faculty Practice Plan of UMDNJ - Newark February 2010 - May 2012
Health Plus PHSP Inc. April 2005 - May 2010
MetroPlus Health Plan February 2004 - April 2005
Fidelis Care New York November 2002 - February 2004
Health First PHSP 2000 - 2002
Skills
Medicare, Medicaid, Managed Care, HIPAA, Healthcare Management, Health Insurance, Contract Negotiation, Auditing, Privacy, Regulatory Affairs, Internal Audit, Risk Assessment, Internal Controls, Compliance, Healthcare, Hospitals, Medical Compliance, Revenue Cycle, Privacy Law, Healthcare Industry, Healthcare Consulting, Fraud, Leadership, Physicians, Insurance, Provider Relations, Medical Coding, Policy, Network Development, Process Improvement, Credentialing, Government, Health Policy, EHR, Training, Quality Improvement, Physician Relations, Utilization Management, Clinical Research, Medical Billing, JCAHO, EMR, Revenue Cycle Management, Informatics, Health Information..., Medicaid Managed Care, Healthcare Information..., Health Law, PPO, Health Care Compliance
Education
Baruch College, City University of New York (CUNY) 1997 — 2000
MBA
FUJIFILM Holdings America Corporation April 2008 - Present
Catholic Charities of the Archdiocese of New York 2006 - 2007
Health Plus PHSP Inc. October 2001 - September 2006
Miller, Shpiece & Andrews P. C. September 1998 - October 2001
Wachler & Associates, P.C. 1997 - 1998
Detroit Medical Center 1997 - 1997
Law Offices of Roland Rapp 1994 - 1997
Skills
Litigation, Mergers, Non-profits, Contract Negotiation, Mediation, Employment Law, Civil Litigation, Negotiation, Corporate Governance, Intellectual Property, Public Speaking, Privacy Law, Corporate Law, Due Diligence, Licensing, Strategic Planning, Legal Research, Commercial Litigation, Start-ups, Research, Policy, Mergers & Acquisitions, Joint Ventures, Nonprofits, Legal Writing, Arbitration, Trademarks, Legal Assistance, Dispute Resolution
Education
University of San Francisco School of Law 1991 — 1994
JD, Law
University of Michigan 1987 — 1991
BA, Philosophy
univerity of san francisco
Visiting Nurse Service of New York August 2014 - Present
WellPoint (Health Plus-Amerigroup, via AppleOne) August 2013 - February 2014
Health Plus, an Amerigroup Company (via AppleOne) February 2013 - June 2013
Health Plus, an Amerigroup Company May 2012 - September 2012
Health Plus PHSP, Inc January 2008 - May 2012
1199 National Benefit Fund 2007 - 2007
MultiPlan 2005 - 2007
The TriZetto Group (formerly Erisco, Inc.) 2000 - 2005
Erisco, Incorporated January 1990 - January 2000
Ogden Allied Services January 1988 - January 1990
Skills
SDLC, Business Analysis, Integration, HIPAA, Medicaid, Analysis, Requirements Analysis, Healthcare Information..., Requirements Gathering, Visio, Specifications, Software Documentation, Medicare, EDI, Business Requirements, Project Management, Healthcare, Leadership, Managed Care, Healthcare Industry, Enterprise Software, Systems Analysis, Process Improvement, Interfaces, Training, Software Development, SQL, Health Insurance, Insurance, Process Engineering, Policy, Vendor Management, SharePoint, Software Project..., Healthcare Consulting, Utilization Management, Program Management, Business Intelligence, Health Policy, HMO, Data Analysis, Software Development..., Functional Requirements, Healthcare Claims,..., Functional and..., Systems conversions and..., Project management and..., Presentations and..., Software Development..., Provider Relations
Education
Brooklyn College of the City University of New York
B. A, Anthropology
East Midwood Day School
LIU Brooklyn
Graduate work, Education
Midwood High School
PwC March 2013 - Present
Health Plus PHSP, Inc March 2005 - February 2013
Health Plus PHSP, Inc February 2002 - March 2005
JP Morgan / CHASE January 2001 - September 2001
New York City Department May 1998 - September 2000
Skills
Highly detail oriented, Strong leadership skills, Analytical, Multitasking Skills, ADP Enterprise, ADP PCPW, Lawson HRIS, PeopleSoft, Microsoft Office, ADP ReportSmith, ADP Payroll, Analytical Skills, Accounting, Account Reconciliation, Analysis, Deferred Compensation, HIPAA, HRIS, Medicaid, Employee Benefits, Financial Statements, General Ledger, Human Resources, Payroll, Leadership, Managerial Finance, Process Improvement
Education
Medgar Evers 2005 — 2007
Bachelor's degree, Accounting
Baruch College
Senior Whole Health March 2014 - Present
Amerigroup January 2013 - March 2014
DentaQuest September 2011 - December 2012
Health Plus PHSP. Inc December 2009 - September 2011
Health Plus December 2008 - November 2009
BNY Mellon March 2006 - April 2008
Fidelity Investments December 2004 - March 2006
JPMorgan Chase November 2000 - October 2004
Skills
Financial Analysis, Project Management, Agile Methodologies, Scrum, Microsoft Excel, Business Analysis, PowerPoint, Access, Process Improvement, Data Analysis, ITIL, Six Sigma, Kanban, Relationship Management, CRM, SDLC, Program Management, Management, Training, Leadership, Team Building, Insurance, Cross-functional Team..., Strategic Planning, Recruiting
Education
Baruch College, City University of New York (CUNY) 1999 — 2004
Bachelors, Finance
NYU Lutheran September 2013 - Present
AMERIGROUP / OHP October 2012 - Present
Health Plus PHSP, Inc. November 2004 - May 2012
Health Plus PHSP, Inc November 1994 - May 2012
Madison Estates and Properties January 1996 - 2005
Skills
Accounts Receivable, Accounts Payable, Account Reconciliation, Invoicing, Journal Entries, Auditing, Analysis, Spreadsheets, Accounting, Internal Controls, Finance, Financial Analysis, Outlook, Payments, Variance Analysis, Microsoft Word, Access, Management, Insurance, Financial Reporting, Healthcare, Medicare
Education
City University of New York-College of Staten Island 2012 — 2012
Certificate, Accounting Fundamental - Intro to Accounting
HS Telecommunication arts & technology
High school, telecommunication arts & technology
NYC Department of Information Technology and Telecommunications April 2013 - Present
Health Plus 2004 - April 2013
Health Plus PHSP, Inc 2003 - 2004
Health Plus PHSP, Inc 2001 - 2003
Health Plus PHSP, Inc 2000 - 2001
JetBlue Airways 1999 - 2000
Innotrac 1999 - 1999
Skills
Tivoli, Microsoft Exchange, Blackberry Enterprise..., VMware ESX, Active Directory, Disaster Recovery, Storage Area Networks, TCP/IP, DNS, DHCP, WINS, GFI, Symantec Endpoint..., Numara Track-It, Putty, Enterprise Vault, Apple, iPhone, Solarwinds, Quest Reporter, Good Server, Microsoft Office, Windows, Mac OS X, IBM Servers, HP Server, Dell PowerEdge Servers, Dell OpenManage, Dell Desktops, DS4500/4800, VMware Workstation, VMware Fusion, SQL Server, System Administration, HP P2000, Citrix, Microsoft SQL Server, Dell Computers, Troubleshooting, HIPAA, Technical Support, VMware Infrastructure, Windows 7, SAN, Help Desk Support, Group Policy, XP, Cluster, Network Administration, Windows Server
Education
DeVry University 2008 — 2013
Bachelor of Science (BS), Network and Communications Management
North Shore-LIJ CareConnect Insurance Company, Inc. August 2013 - Present
Health Plus PHSP Inc October 1992 - July 2013
Skills
Employee Benefits, Healthcare Information..., Microsoft SQL Server, Process Improvement, Team Building, Leadership, Healthcare, Business Intelligence, SQL, Analysis, Vendor Management, Integration, SDLC, Visio, Insurance, HIPAA, Healthcare Management, Business Analysis, Program Management, Requirements Analysis, Health Insurance, Managed Care, Software Development, Databases, SharePoint, Strategic Planning, Marketing, Hospitals, Medicaid, Medicare, Requirements Gathering, Project Management, Business Requirements, Software Documentation, Software Project...
Education
City University of New York-Brooklyn College 1989 — 1992
Bachelor's degree, Computer Science
Health Plus PHSP Inc. August 1998 - Present
Amerigroup 2011 - 2012
Flatbush Medical Center March 1986 - August 1993
Skills
Managed Care, Healthcare Management, Medicaid, Medicare, Health Insurance, Network Development, Provider Relations
Education
LIU Brooklyn 1993 — 1997
BA, Health Science
AlphaCare of New York November 2013 - July 2014
The Centers Plan for Healthy Living MLTCP January 2012 - November 2013
Health Plus PHSP Inc. June 2007 - December 2011
WellCare November 2002 - November 2006
Community Premier Plus January 1997 - October 2002
Skills
Medicare, Medicaid, Provider Relations, Managed Care, Healthcare Management, Managed Long Term Care, Contract Negotiation, Grievances, Long-term Care, Healthcare, Process Improvement, Credentialing, Physician Relations, Health Insurance, Hospitals, Team Building, Healthcare Industry, Insurance, Executive Management, Health Policy, HIPAA, HMO, Network Development, Revenue Cycle, Utilization Management, Healthcare Information..., Healthcare Consulting, Disease Management
Education
John Jay College of Criminal Justice 1990 — 1994
BA, Public Administration and Law
Eugenio Maria de Hostos Comm College 1988 — 1990
AAS, Public Administration