HIP Health Plan
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HIP Health Plan Employees
Freelance 2008 - Present
HIP Health Plan 1996 - 2008
Whitton Associates 1992 - 1996
Chemical Bank 1991 - 1992
Chemical Bank 1989 - 1991
Skills
Program Management, Project Management, Vendor Management, Management, Analysis, Analytics, Quantitative Research, Marketing Research, Managed Care, Qualitative Research, Leadership, Healthcare, Report Writing, Medicare, Training, Access, Health Policy, Claim, Healthcare Consulting, Public Relations, Marketing, Editing, Online Advertising, Policy, Network Development, Employee Benefits, Strategic Communications, Utilization Management, Nonprofits, Health Care Reform, Provider Relations, Strategy, Program Development, Customer Service, Credentialing, Public Speaking, Quality Improvement, Executive Management, Corporate Communications, Talent Management, Social Networking, Survey Design, Physicians, Pharmacy Benefit..., Strategic Thinking, Medical Billing, Strategic Partnerships, Physician Relations, EHR, Employee Training
Education
Baruch College, City University of New York (CUNY)
M.S., Industrial/Organizational Psychology
Queens College
B.A., Psychology
The Graduate Center, City University of New York
Ph.D., Industrial/Organizational Psychology
Epilepsy Foundation January 2015 - Present
Elderplan/Homefirst June 2012 - November 2014
Elderplan/Homefirst October 2008 - June 2012
HIP Health Plan October 2005 - August 2008
HIP Health Plan of New York October 2005 - August 2008
HIP Health Plan of New York December 2002 - October 2005
HIP Health Plan of New York April 2000 - December 2002
Metropolitan Communications, Inc August 1999 - February 2000
Skills
Research, Customer Service, Access, Excel, Word, Writing, Claims Resolution, Insurance Claims, Customer Relations, Claims, Outlook, Managed Care, Compliance, Problem Solving, Call Center, Microsoft Excel
Education
City University of New York-Hunter College 1987 — 1992
BA, Psychology
Hunter College of the City University of New York 1987 — 1992
B.A, Psychology
Gartner August 2011 - Present
LexisNexis 2009 - 2011
HIP Health Plan 2002 - 2008
The Alexander Group 1999 - 2002
Amerada Hess 1997 - 1999
Skills
Strategy, Process Improvement, Business Strategy, Management, Change Management, CRM, Leadership, Marketing Strategy, Strategic Planning, Analysis, Business Process, Business Development, Lead Generation, Product Development, Contract Negotiation, Product Management, Forecasting, Six Sigma, Marketing, Business Planning
Education
The University of Chicago Booth School of Business 1990 — 1992
MBA, Marketing, Finance
University of Pennsylvania 1983 — 1987
BA, History
The Roxbury Latin School 1977 — 1983
HS
Clinical Bridges, KnowledgePoint360 Group August 1999 - October 2014
HIP Health Plan 1988 - 1999
New York Lung Association 1985 - 1988
Cornell University Cooperative Extension 1982 - 1985
Education
Teachers College of Columbia University 1979 — 1980
MS, Nutrition Education
City University of New York City College 1967 — 1972
BA, sociology
Best Wednesdays, LLC August 2014 - Present
New York Presbyterian Hospital October 2008 - July 2014
Flying Machine Design September 2005 - October 2008
HIP Health Plan 2002 - 2004
Thomson Financial October 1999 - August 2001
New York Association for New Americans September 1991 - February 1998
Skills
Software Documentation, Project Management, Technical Writing, Research, Healthcare, Microsoft Office, Business Analysis, Marketing, Microsoft Word, Healthcare Information..., Editing, Hospitals, Informatics, Management, Nonprofits, Teaching, Training, Clinical Research, Instructional Design, EHR, CPOE
Education
Trinity College-Hartford 1983 — 1999
BA, History
Sewanee 1979 — 1983
NYU Langone Medical Center January 2015 - Present
NYU Langone Medical Center June 2011 - March 2015
Mount Sinai School of Medicine November 2006 - September 2011
Mount Sinai Medical Center Miami Beach July 2004 - November 2006
NDCHealth October 2003 - July 2004
HIP Health Plan January 2000 - January 2003
Skills
Research, Training Skills, Training & Development, Statistics, Programming, Project Planning, SAS, MS Office Suite, Visio, Data Presentation, Grants Administration, Grant Review, Grant Applications, Grant Writing, Data Entry, Database Design, Data Analysis, Report Writing, Writing Skills, NIH, Project Execution, Project Coordination, Project Management, Program Evaluation, Grants, Program Development, Lifesciences, Public Health, SPSS, Data Management, Clinical Trials, Epidemiology, Health Services Research, IRB, Infectious Diseases, Program Management, Analysis, Life Sciences
Education
Columbia University Mailman School of Public Health 1998 — 2000
Masters, Public Health; Epidemiology
Macalester College 1992 — 1996
Bachelor of Arts, Biology and Art History
Monmouth Medical Center June 2010 - Present
Keefe Bartels Clark Attorneys at Law October 2009 - February 2011
Georgian Court University April 2004 - September 2009
Rutgers University February 2004 - March 2006
Xpedite Systems Inc. (now Premiere Global) January 2001 - January 2004
L3 Communications January 1999 - January 2001
HIP HEALTH PLAN January 1998 - January 1999
W.P.P.S. Inc. January 1993 - January 1998
Skills
writing, social media, public relations, Press Releases, Media Relations, Marketing Communications, Marketing, Marketing Strategy, Internal Communications, Public Speaking, Web Content, Project Management, Management, Budgets, Training, Trade Shows, Event Planning, Fundraising, Advertising, Blogging, Communication Training, Community Development, Community Outreach, Corporate Communications, Crisis Communications, Editing, Email Marketing, Event Management, Integrated Marketing, Newsletters, Online Advertising, Public Relations, Publicity, Social Media, Social Media Marketing, Social Networking, Strategic Communications, Strategic Planning, Writing
Education
Monmouth University 2004 — 2006
M.A., Corporate and Public Communication
Monmouth University 1988 — 1993
B.A., Communications
America's Health Care Plan (AHCP) and Velapoint September 2014 - Present
Trattner Group April 2012 - September 2014
Cinergy Health, Inc. May 2005 - April 2012
HealthCare Advantage October 2003 - May 2005
Trattner Health Partners 1999 - 2003
HIP Health Plan 1997 - 1999
Prudential HealthCare 1993 - 1997
Prudential Health Care 1993 - 1997
FHP Healthcare 1988 - 1993
Skills
Insurance, Health Insurance, Employee Benefits, Term Life Insurance, Brokers, Healthcare, Medicare, Call Center, Life Insurance, Managed Care, Underwriting, Fixed Annuities, Long-term Care, Reinsurance, Strategy, HIPAA, Advertising, Marketing, Contract Negotiation, Strategic Brand..., Call Centers, CRO, Team Building, Clinical Trials, Executive Management, Clinical Development, Cross-functional Team..., Product Marketing, Marketing Strategy, Strategic Planning, Leadership, Management, Start-ups, B2B, Program Management, P&L Management, Sales, Go-to-market Strategy, Consulting, Strategic Partnerships, Positioning, Brand Management, Account Management, Lead Generation, Selling, Direct Sales, Product Management, Competitive Analysis, Sales Management
Education
University of Phoenix 1991 — 1993
MBA, Healthcare Marketing
The Ohio State University 1982 — 1987
BS, Biomedical Communications in Allied Medicine
Orange High School
Health Care Service Corporation January 2006 - Present
Guardian Life Insurance August 1999 - June 2005
HIP Health Plan November 1997 - August 1999
UnitedHealthcare June 1991 - November 1997
Skills
Direct Marketing, Marketing Strategy, Integrated Marketing, Marketing Communications, Project Management, Organization, Marketing Budget..., Medicare, Medicare Part D, Medicare Advantage, Medicare Prescription...
Education
Southern Illinois University, Carbondale 1986 — 1991
Bachelor's degree, Marketing
VNSNY CHOICE August 2015 - Present
VNSNY CHOICE May 2014 - Present
VNSNY CHOICE April 2012 - May 2014
Visiting Nurse Service of New York February 2007 - April 2012
HIP Health Plan January 2006 - January 2007
HIP Health Plan April 2001 - January 2006
Skills
Managed Care, Strategic Planning, Project Management, Healthcare Industry, Health Policy, Team Building, Management, Medicaid, Healthcare Management, Healthcare Consulting, Medicare, Healthcare, Healthcare Information...
Education
Columbia University Mailman School of Public Health 1999 — 2001
MPH, Health Policy and Management
Brandeis University 1995 — 1999
BA, Sociology; Health, Law and Society
Deloitte August 2013 - Present
Navigant Consulting, Inc January 2007 - July 2013
HIP Health Plan October 2006 - January 2007
Kaiser Permanente Medical Group, Inc May 2005 - July 2005
Non-Profit Organizations October 1999 - February 2003
Skills
Business Communications, People Management, Creative Problem Solving, Negotiation, Mentoring, Able To Multi-task, Risk Mitigation, Ethics, Risk Management, Program Management, Management, Budget Monitoring, Financial Modeling, Women's Health, Forecasting, Hospitals, Healthcare Management, Management Consulting, Strategic Planning, Performance Improvement, Project Management
Education
The University of Michigan, School of Public Health 2004 — 2006
MHSA, Health Services Administration
The George Washington University 1995 — 1999
BA, Chinese Language & Literature
Nanjing University 1997 — 1998
Study Abroad, Chinese Language
Icahn School of Medicine at Mount Sinai August 2014 - Present
Icahn School of Medicine at Mount Sinai June 2012 - Present
Icahn School of Medicine at Mount Sinai June 2011 - Present
EmblemHealth May 2010 - June 2011
HIP Health Plan March 2004 - May 2010
St. Vincent's Catholic Medical Centers 2001 - 2004
Skills
Budgets, Process Improvement, Healthcare Information..., EMR, Healthcare, Healthcare Consulting, Medicaid, Managed Care, Microsoft Excel, Hospitals, HIPAA, Business Analysis, Medicare, Healthcare Industry, Health Insurance, Analysis, Visio, Healthcare Management, Public Health, Informatics, Financial Analysis, Data Analysis, EHR, Microsoft Word, Strategic Planning, Management, Access
Education
Baruch College, City University of New York (CUNY) 2004 — 2007
MBA, Healthcare
University of Rochester 1997 — 2001
Medicare Compliance Solutions August 2013 - Present
First Carolina Care April 2014 - December 2014
BeneCard PBF July 2013 - October 2013
Global TPA Freedom Health, Optimum Health, Americas 1st Choice of NC SC and Easy Choice of NY December 2011 - September 2013
Quality Health Plans July 2011 - December 2011
Perform Rx September 2010 - July 2011
Capital BlueCross / Keystone Health Plan Central April 2001 - April 2010
Keystone Health Plan Central April 2000 - November 2004
HIP Health Plan March 1998 - May 2000
NYU Langone Medical Center 1980 - 1994
Skills
Managed Care, Pharmacy Benefit..., Medicare Part D, Medicaid, Medicare, Utilization Management, Healthcare, Pharmacy, HMO, Oncology, Healthcare Management, Provider Relations, Health Policy, Clinical Research, Disease Management, Pharmaceutical Industry, Healthcare Industry, Insurance, Health Insurance, Software Documentation, Healthcare Consulting, HIPAA, Pharmacy Automation, Pharmacists, Leadership, Informatics, Healthcare Information..., Medication Therapy..., Home Infusion, Physicians, Medicine, Quality Improvement, PPO, EHR, Hospitals, Diabetes, Medicaid Managed Care, Pharmaceutics, EMR, Home Care, Health Economics
Education
University of Phoenix
R.Ph MBA, MBA
Sail Windjammer March 2012 - July 2014
Kaplan University January 2008 - October 2011
WINDJAMMER BAREFOOT CRUISES January 1999 - January 2006
Oxford Health Plans January 1997 - January 1998
HIP - HEALTH PLAN January 1996 - January 1997
Skills
•Detail Oriented •, Relationship Building •, Change Management, Quality Assurance, Quality Management, Team Building, Customer Relations, Customer Service, Microsoft, Collections Management, Management, Training
Education
University of Bridgeport
Bachelor of Science (BS), Business Administration
Royal Caribbean Cruises September 2002 - Present
HIP Health Plan 1999 - 2002
ADP February 1998 - May 1999
Education
Florida International University 1985 — 1989
EmblemHealth August 2009 - Present
HIP Health Plan June 2008 - July 2009
HIP Health Plan of NY October 2007 - May 2008
HIP Health Plan of NY April 2003 - October 2007
HIP Health Plan of NY May 2001 - March 2003
Skills
Data Analysis, System Testing, Training & Development, Business Analysis, Compliance, Business Process..., Excel, Healthcare, Quality Analysis, Managed Care, Microsoft Excel, Medicaid, Provider Relations, Employee Training, Contract Negotiation, Process Improvement, Quality Control, Insurance, Databases, HIPAA, Software Documentation, Visio, Healthcare Information..., Health Insurance
Education
Laguardia Community College 1999 — 2003
Associate's degree, Computer Technology/Computer Systems Technology
Long Term Care Ombudsman - certified February 2013 - Present
Self Employed Healthcare Consultant January 2012 - Present
National Healing Corporation 2008 - 2011
Davita/Gambro Health Care 2001 - 2007
Mount Sinai Medical Center Miami Beach 1999 - 2001
HIP Health Plan 1992 - 1998
Family Health plan limited 1988 - 1992
Skills
Compliance, HIPAA, Healthcare Compliance, Operations Process..., Management, Change Management
Education
Florida International University 1986 — 1988
Masters Health Services Administration, Health Care Industry - Business Management & Policy
University of the State of New York
BS, Chemistry & Biology
EmblemHealth March 2015 - Present
HIP Health Plan 2008 - Present
EmblemHealth January 2010 - February 2015
Emblem Health 1998 - December 2009
332-336 E77TH STREET 2006 - 2008
NYNEX/BELL ATLANTIC August 1996 - June 1998
The Podiatry Associates July 1992 - December 1993
Skills
Health
Education
Temple University, Pennsylvania College of Podiatric Medicine 1986 — 1990
DPM, Podiatric Medicine
Rutgers University-New Brunswick 1983 — 1986
Health, Physical Education & Sports Studies Pre-Physical Therapy
Fair Lawn High School 1980 — 1983
AdvantageCare Physicians January 2012 - Present
EmblemHealth July 2011 - Present
EmblemHealth September 2010 - June 2011
HIP Health Plan 1994 - August 2010
HIP January 2005 - July 2010
Skills
Managed Care
Education
Hofstra University
Master of Business Administration (M.B.A.), Finance, General
Family Advantage Network October 2012 - Present
AdvantageCare Physicians January 2013 - Present
EmblemHealth February 2008 - December 2012
HIP Health Plan 2001 - 2008
Skills
Medicaid, Healthcare Information..., Managed Care, Healthcare, Hospitals, HIPAA, Utilization Management, Medicare, Health Insurance, Health Policy, Healthcare Management, Disease Management, Healthcare Industry, HMO, Quality Improvement, Research, Provider Relations, Healthcare Consulting, Physicians, Network Development, Credentialing, PPO, Physician Relations
Education
University of Hartford 1997 — 2001
PsyD, Psychology
Rutgers University-New Brunswick 1992 — 1996
BA, Psychology, Communication
Colorado State University
MBA, business
Archbishop Molloy
IS 73
Graphic D-Signs, Inc. May 1995 - Present
HIP Health Plan October 1992 - May 1997
Skills
Logo Design, Small Business, Advertising, Graphic Design, Creative Development, Corporate Identity, Logos, Web Design, Graphics, Creative Direction, Vehicle Graphics, Direct Mail, Layout, Email Marketing, Art, Adobe Creative Suite, Packaging, Corporate Branding, Posters, Photography, InDesign, Typography, Illustrator, Small Business Marketing, Brand Development, Illustration, Art Direction, Mac, Branding & Identity, Catalogs, Pre-press, Banners, Visual Communication, Business Cards, WordPress, Dreamweaver, Photoshop, Creative Strategy, Flyers, Invitations, Environmental Graphics, Copywriting, Image Manipulation, QuarkXPress, Creative Services, Flash, Collateral, Postcards, Concept Development, Interactive Advertising
Education
University of Scranton 1988 — 1992
BA, Advertising/Communications
Anthem February 2015 - Present
HealthPlus/Amerigroup a WellPoint Compamy July 2013 - Present
United Healthcare April 2008 - July 2013
HIP Health Plan 2001 - 2008
Group Council Mutual Insurance Co 1988 - 2000
Skills
Medicaid, Managed Care, Health Insurance, Disease Management, Medicare, HMO, Provider Relations, Utilization Management, Healthcare Industry, Healthcare Management, Health Policy, HIPAA, Healthcare Consulting, Credentialing, Healthcare, Healthcare Information..., Revenue Cycle, Performance Improvement, Quality Improvement, Hospitals, Informatics, Network Development, Medical Compliance, EHR, Process Improvement, Insurance, Physicians, Claim, Medical Billing, Public Health, Medicaid Managed Care, Medicare Part D, Quality Management, Executive Management, Physician Relations, NCQA, Health Care Reform, Pharmacy, Home Care, Long-term Care, Practice Management, Epic Systems, Medicine, EMR, Pharmacy Benefit..., Employee Benefits, Revenue Cycle Management, JCAHO, HEDIS, PPO
Education
Beverly Hospital School of Nursing
SUNY
BS, Health Care Administration
St. Joseph's College (ME)
Dynamic Communities, Inc. February 2009 - Present
Schwarzkopf Elementary May 2006 - November 2007
Van Dyke United Methodist Church May 2005 - November 2007
HIP Health Plan October 1994 - January 1996
Dunn & Johnson 1988 - 1991
Education
University of Florida 1991 — 1994
MFA, Music History/Literature
University of Florida 1984 — 1987
BA, Political Science
Miami Dade College 1981 — 1984
AA, Pre-law
Florida International University
Waldman Trigoboff Hildebrandt Marx & Calnan, P.A. January 2014 - Present
Gerald M. Cohen, PA March 2007 - Present
Vista Healthplan, Inc 1995 - 2007
HIP Health Plan of Florida 1995 - 2000
HIP Health Plan 1995 - 2000
Steel Hector & Davis LLP 1988 - 1993
Wood, Lucksinger & Epstein July 1983 - July 1988
Mt. Sinai Medical Center of Greater Miami 1977 - 1981
Skills
Medicare, Healthcare, HIPAA, Managed Care, Medicaid, Claim, Health Insurance, Health Policy, Healthcare Industry, Healthcare Consulting, Healthcare Management, Insurance, Physicians, Revenue Cycle, Medicare Part D, Healthcare Information..., Strategic Planning, Contract Negotiation
Education
University of Florida 1981 — 1983
JD, Law
The George Washington University 1975 — 1978
Masters in Health Care Adminsitration, Health/Health Care Administration/Management
Rider University 1971 — 1975
BA, Public Admnistration/Political Science
Aud PC December 2010 - Present
Affinity Health Plan July 2010 - July 2011
Sprainbrook Hearing Aid Center October 2008 - May 2010
Micheal A Schumacher DPM September 2005 - October 2008
Soundview Healthcare Network CCDC March 2005 - September 2005
Orthonet a Division of United Health Care 2004 - 2005
HIP Health Plan January 2001 - January 2002
HealthFirst Health Plan January 1998 - January 2001
Royal Health Care January 1995 - January 1998
32 BJ Health Fund/ Empire BC/BS 1995 - 1998
Skills
Medical Billing, Credentialing, HIPAA, Medicare, Medicaid, Invoicing, Workers' Compensation..., ICD-9, CPT, HCFA, No-Fault, Medical Compliance, Compliance Management, Medical Coding, Healthcare, Healthcare Management, Medical Records, Physicians, Hospitals, Customer Service, Management, Managed Care, Training, Revenue Cycle, Insurance, Leadership, EHR, Practice Management, Healthcare Information..., Microsoft Excel, Outlook, Payroll
Education
Berkeley College 2009 — 2011
Bachelor's degree, Health/Health Care Administration/Management
Berkeley College 2008 — 2011
B.B.A/B.S, Health Care Administration/Medical Billing
Anthem April 2015 - Present
Anthem, Inc. March 2013 - April 2015
Healthfirst July 2008 - February 2013
HIP Health Plan May 2000 - July 2008
Vytra Health Plans February 1997 - March 2000
St. Francis Hospital July 1995 - February 1997
Skills
Medicare, HMO, Network Development, HIPAA, Healthcare, Managed Care, Insurance, Provider Relations, Employee Benefits, Health Insurance, Medicaid, Utilization Management, EMR, HEDIS, Hospitals, Healthcare Management, Credentialing, Healthcare Information..., Healthcare Industry, EHR, Data Analysis, Health Policy, PPO, Healthcare Consulting, Quality Improvement, Physicians, Revenue Cycle, NCQA, Physician Relations
Education
Long Island University 2008 — 2013
MHA, Health Administration, With distinction
University of Maryland College Park 1989 — 1993
BS, Community Health
United States Postal Service May 2006 - Present
United States Postal Service May 2006 - Present
Hip Health Plan September 2001 - May 2006
Olson Paper Co January 1998 - January 2001
Central Parking January 1995 - January 1998
Glass Form Furniture January 1992 - January 1995
Skills
Data Entry, Policy, Customer Service, Transportation, Logistics, Shipping, Government, Inventory Management, Outlook, Process Improvement, Operations Management, Process Scheduler, Budgets, Spreadsheets, Customer Satisfaction
Education
Mercy College 2000 — 2003
AAS, accounting
Allied Aviation Services May 2013 - Present
QLIMG June 2012 - April 2013
DCAS March 2010 - January 2012
Queens College January 2008 - August 2009
DLA PIPER US LLP January 2006 - December 2007
HIP HEALTH PLAN September 2004 - December 2005
CITIBANK September 1996 - August 2004
Skills
New Hire Orientations, Personnel Management, Payroll, Training, Interviews, Policy, Job Descriptions, Workers Compensation, Performance Appraisal, Sourcing, Vendor Management, Process Improvement, Applicant Tracking..., Management, Program Management, EEO, 401k, College Recruiting, Technical Recruiting, Employee Handbooks, Affirmative Action
Education
Long Island University 2005 — 2007
Master of Science (MS), Human Resources Management
Empire State University 1992 — 1994
BS, Business Management and Economics
EmblemHealth 2005 - Present
HIP Health Plan 1999 - 2005
Prudential Healthcare 1997 - 1999
Empire BCBS 1990 - 1997
Skills
Strategic Planning, Product Development, Product Management, Marketing Strategy, Production..., New Product..., IT Management, Program Development, Project Management, Managed Care, Management, Product Launch, Healthcare, Leadership, Cross-functional Team...
Education
NYU 1988 — 1990
Masters of Public Administration, Health Planning & Policy Analysis
SUNY Albany
Bachelor of Science (B.S.), Biology, Chemistry