HIP Health Plan Of New York
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HIP Health Plan Of New York Employees
Regence BlueShield December 2013 - Present
Regence BlueCross BlueShield of Oregon October 2011 - December 2013
The Regence Group May 2010 - October 2011
Anthem Blue Cross and Blue Shield March 2007 - April 2010
Anthem Blue Cross and Blue Shield November 2005 - March 2007
Anthem Blue Cross and Blue Shield October 2002 - November 2005
Horizon Blue Cross Blue Shield of New Jersey March 2000 - October 2002
Mathematica Policy Research April 1999 - March 2000
HIP Health Plan of New York October 1997 - April 1999
HIP Health Plan of New York September 1994 - October 1997
Skills
Health Insurance, Strategic Planning, Sales Management, Leadership Development, Business Strategy, Strategy, Leadership, Program Management, Management, Marketing Strategy, Fundraising, Marketing, Healthcare, Sales, Public Relations, Insurance, Analysis, Employee Benefits, Team Building, Process Improvement, Account Management, Analytics, Public Speaking, Cross-functional Team..., New Business Development, Executive Management, Business Process..., Social Media, Life Insurance, Organizational..., Consulting, Managed Care, Business Development, Coaching, Change Management, Business Analysis, Strategic Partnerships, CRM, Market Research, Medicare
Education
State University of New York at Binghamton 1993 — 1994
Master of Arts, Public Policy Analysis and Administration
State University of New York College at Cortland 1989 — 1993
Bachelor of Arts, Political Science
The Sephardic Home for Aged maintenance engineerHIP Health Plan Of New YorkJune 1976 - June 2007
HIP Health Plan Of New York 1969 - 2007
Education
Florida State University
Engineer's Degree
Brownsville Community Development March 2014 - Present
Brownsville Community Development May 2011 - Present
Interfaith Medical Center February 2010 - December 2010
Interfaith Medical Center July 2008 - January 2010
Interfaith Medical Center December 2006 - July 2008
Delta Airlines 2004 - 2006
HIP Health Plan of New York 2003 - 2004
UnitedHealthcare April 2000 - August 2002
NY Life/Aetna 1998 - 1999
Skills
Labor Relations, Employee Benefits, Human Resources, Personnel Management, Healthcare Management, Healthcare, Hospitals, Employee Relations, Outlook, Team Building, Customer Service, Insurance, Process Improvement, Strategic Planning, Recruiting, Applicant Tracking..., Training, Deferred Compensation, Onboarding, Performance Management, Interviews, Healthcare Information..., HRIS, Talent Acquisition, Employee Engagement, New Hire Orientations, Hiring, Benefits Administration, Background Checks, FMLA, PeopleSoft, Talent Management, Job Descriptions, Temporary Placement, HR Policies, Benefits Negotiation, Kronos, Employee Training, Conflict Resolution, Screening, Behavioral Interviewing, Screening Resumes, EEO, HIPAA, Contract Recruitment, Management, Workers Compensation, Taleo, Workforce Planning, College Recruiting
Education
eCornell, Cornell University 2014 — 2015
Masters Certificate in HR, Human Resources Management/Personnel Administration, General
Central Michigan University 2009 — 2011
MA, Health Service Administration
York College 1999 — 2003
BS, Human Resources
Mackenzie High School
Prologis October 2014 - Present
The Metropolitan Museum of Art January 2003 - July 2014
HIP Health Plan of New York July 2002 - January 2003
EDS, an HP Company May 2002 - July 2002
Columbia University January 2002 - May 2002
Saltmine January 1999 - May 2001
Merrill Lynch October 1998 - December 1998
Attorney General of Washington May 1994 - October 1998
Attorney General of Washington October 1992 - March 1993
Skills
Deferred Compensation, Human Resources, Onboarding, Leadership, Employee Benefits, Organizational..., HRIS, FMLA, Policy, Career Development, Personnel Management, Applicant Tracking..., New Hire Orientations, Talent Management, Labor Relations, Employee Relations, Recruiting, Executive Pay, Workforce Planning, Benefits Administration, Employee Engagement, Compensation Strategies, PeopleSoft, Interviews, HR Policies, Succession Planning, Talent Acquisition, Workday, Human Capital, Human Resource..., HR Transformation, Strategic Leadership, Technology Start-up, Internal Audit, External Audit, Compliance, Lawson HRIS, Board of Directors..., Trusted Business Partner, Change Management
Education
New York University
Master of Science (M.S.)
University of Washington
Bachelor of Arts (B.A.)
EmblemHealth (Parent company, HIP Health Plan of New York) March 1998 - Present
HIP Health Plan of New York 2001 - 2009
HIP Health Plan of New York 1998 - 2001
Our Lady of Mercy Medical Center (Currently Montefiore Medical Center North) 1996 - 1998
Chemsearch 1989 - 1991
Skills
Nursing, Managed Care, Healthcare, Healthcare Information..., Hospitals, Healthcare Management, Clinical Research, Medicare, Informatics, Healthcare Industry, Oncology, Medical Devices, Pharmaceutical Industry, Medicaid, HIPAA, Healthcare Consulting, Public Health, Health Policy, Disease Management, Utilization Management, Case Managment, Network Development, Health Insurance, EMR, Provider Relations, Leadership, PPO, Credentialing, Physician Relations, Process Improvement, Physicians, Policy, Program Development, HMO, EHR, Medicine, Global Health, Medical Compliance, Medical Billing, Visio, Health Care Reform, Pharmacy, Software Documentation, NCQA, Practice Management, Medicaid Managed Care, Revenue Cycle, Pharmacy Benefit..., Quality Improvement
Education
Pace University 1988 — 1990
BSN, Nursing
Tel Aviv University 1983 — 1984
Political Science
Walt Whitman 1972 — 1977
School of Visual Arts
School of Visual Arts
School of Visual Arts
School of Visual Arts
School of Visual Arts
School of Visual Arts
School of Visual Arts
SSG Capital Advisors 2011 - Present
Piedmont Investment Advisors 2009 - 2011
Watson Wyatt Worldwide 2006 - 2007
HIP Health Plan of New York 2004 - 2006
Education
University of North Carolina at Chapel Hill - Kenan-Flagler Business School 2007 — 2009
MBA, Investment Management
The Johns Hopkins University 1999 — 2003
BS, Applied Mathematics and Statistics
Wyomissing Area High School 1995 — 1999
TGI August 2011 - May 2013
Barnes and Noble, Inc January 2008 - January 2011
Barnes and Noble, Inc January 2006 - January 2008
Mirrorball PR January 2005 - January 2006
HIP/ Health Plan of New York January 2004 - January 2005
Victim Services January 1997 - January 2000
Skills
Microsoft Office, Spanish, Customer Service, Inventory Management, Retail, Merchandising, Event Planning, Facebook, Social Media, Social Networking, Blogging, Public Speaking, Data Entry, Editing, Outlook, Sales, Management, Teamwork
Education
John Jay College of Criminal Justice 1995 — 1997
Bachelor's degree, Liberal Arts and Sciences/Liberal Studies
John Jay College of Criminal Justice 1995 — 1996
Paralegal Studies
Yale New Haven Health System August 2011 - Present
Health Net July 2005 - April 2011
HIP Health Plan of New York 2001 - 2005
HIP Health Plan of New York 1998 - 2001
Oxford Health Plans August 1997 - March 1998
Oxford Health Plans June 1996 - August 1997
Skills
Medicare, Managed Care, Medicaid, HIPAA, Healthcare Management, HMO, Insurance, Healthcare Industry, Medical Compliance, Health Insurance, Health Policy, Healthcare Consulting, Hospitals, Leadership, Management, Healthcare, Claim, Data Analysis, Employee Training
Education
Richmond, The American International University in London 2005 — 2005
Colgate University 1992 — 1996
Bachelor of Arts, Psychology, English
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
Booking.com September 2013 - Present
Beacon Hill Staffing Group March 2013 - September 2013
The Guardian Life Insurance Company of America September 2011 - January 2013
Associated Press March 2007 - September 2011
Platform Learning 2006 - 2007
Cantor Fitzgerald 2006 - 2006
HIP Health Plan of New York February 2000 - November 2005
Neuberger Berman 1997 - 1999
Lasser Marshall Money Brokers 1987 - 1997
Showtime - The Movie Channel 1984 - 1987
Skills
ADP Payroll, Organizational..., Payroll, Personnel Management, Accounts Payable, HRIS, Human Resources, Internal Controls, SAP, PeopleSoft, Accounting, Budgets, Employee Benefits, Employee Relations, Management, Outlook, Change Management, Deferred Compensation, Ceridian, Cost Accounting, Benefits Administration, Process Improvement, SAP HR, Leadership, Interviews, Project Management, Mergers, Vendor Management, Auditing, Policy, 401k, Workday, Onboarding, Sarbanes-Oxley Act, ERP, Applicant Tracking..., Recruiting, Payroll Taxes, Outsourcing, Mergers & Acquisitions, Performance Management, Talent Management, Workforce Planning, New Hire Orientations, HR Policies, Talent Acquisition, Time Management, Hiring, Succession Planning, Taleo
Education
Borough of Manhattan Community College 1978 — 1984
AAS, •Major: Business Management/Marketing
Long Island City High School 1974 — 1977
Academic
CPD Enterprises, LLC January 2001 - Present
HIP Health Plan of New York 1998 - 2001
Skills
Disability Insurance, Long Term Care, Annuities, Health Insurance, Employee Benefits, Final Expense, Life Insurance, Sales, Insurance, Fixed Annuities, Long-term Care, Term Life Insurance, Expenses, Health Savings Accounts, Whole Life, Brokers, Retirement Planning, Retirement
Education
University of New Haven 2001 — 2003
MBA, Business
Florida State University 1984 — 1988
Bachelor of Science (B.S.), Finance, General
Eileen S. Winterble, Strategist - Catalyst - Coach October 2009 - Present
Jewish Federation of Greater Orlando September 2008 - September 2009
Tatum LLC December 2007 - August 2008
Eileen S Winterble, Strategist - Catalyst - Coach June 2003 - November 2007
GHI - Group Health Incorporated April 2001 - May 2003
Harvard Pilgrim Health Care July 1999 - October 2000
Aithent, Inc. January 1998 - June 1999
HIP Health Plan of New York September 1991 - March 1997
NYS Housing and Health Care Financing Agencies February 1987 - August 1991
Dexel Burnham Lambert August 1984 - March 1986
Skills
Strategic Planning, Executive Coaching, Financial Turnaround, Healthcare, Non-profits, Restructuring, Change Management, Nonprofits, Fundraising, Leadership, Strategy, Management Consulting, Social Media, Turn Around Management, Management, Public Speaking, Coaching, Program Management, Executive Management, Budgets, Public Relations, Recruiting, Consulting, Organizational..., Project Management, Finance, Succession Planning, Leadership Development, Entrepreneurship, Team Building, Mergers & Acquisitions, Start-ups, Enterprise Software
Education
Penn State University 1961 — 1965
B.A.
ZogSportsNJ General Manager ZogNJZog Sports2005 - Present
HIP Health Plan of New York 2002 - 2004
ZogSports 2002 - 2004
Smart Strategies 2001 - 2002
Thompson Associates 2000 - 2001
Skills
Social Media
Education
Michigan State University 1995 — 2000
Bachelor, Marketing
New York Presbyterian Hospital November 2007 - Present
Chiu Kee Ltd. April 2004 - October 2007
HIP Health Plan Of New York August 2003 - April 2004
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, Data Analysis, Social Media
Education
State University of New York at Buffalo 1999 — 2003
Bachelor of Arts (B.A.), Economics
NYU Langone Medical Center October 2014 - Present
EmblemHealth April 2011 - October 2014
HIP Health Plan of New York August 2006 - April 2011
Health Fitness Corporation April 2004 - August 2006
Marriott International February 2003 - April 2004
Citi November 2000 - February 2003
Skills
Managed Care, Healthcare, Healthcare Information..., Healthcare Management, Process Improvement, Inventory Management, Community Pharmacy, Operating Budgets, Finance, Variance Analysis, Management, Budgets, Financial Analysis, Analysis, Leadership
Education
Baruch/Mt. Sinai School of Medicine 2011 — 2014
Master of Business Administration (MBA), Healthcare Administration
Ithaca College 1996 — 2000
Bachelor of Science (B.S.), Cardiac Rehabilitation
Northrop Grumman Corporation December 2014 - Present
Northrop Grumman Corporation January 2013 - Present
Northrop Grumman Corporation June 2008 - January 2013
NORTHROP GRUMMAN CORPORATION – ELECTRONIC SYSTEMS SECTOR June 2004 - June 2008
Northrop Grumman Electronic Systems May 2004 - June 2008
CITIGROUP, INCORPORATED August 2002 - May 2004
Greater Baltimore Medical Center March 2001 - July 2002
HIP HEALTH PLAN OF NEW YORK January 2000 - February 2001
HEWITT ASSOCIATES, LLC June 1996 - December 2000
Skills
Talent Acquisition, College Recruiting, Applicant Tracking..., Taleo, Onboarding, Employee Relations, University Relations, Technical Recruiting, Talent Management, Recruiting, Human Resources, HRIS, Workforce Planning, Sourcing, Internet Recruiting, Temporary Placement, Job Fairs, Training, Marketing Communications, Recruitment Advertising, Leadership, New Hire Orientations, Resume Writing, Deferred Compensation, HR Policies, Interviews, Employee Benefits, Policy, Hiring, Employee Engagement, PeopleSoft, Personnel Management, Strategy, Management, Strategic Communications, Relationship Building, Leadership Development, Proposal Writing
Education
The Johns Hopkins University - Carey Business School 2007 — 2009
coursework toward MS, HR
The Johns Hopkins University 2007 — 2008
Master of Science
State University of New York 1992 — 1996
Bachelor of Arts, English
Delta Dental of NJ February 2012 - Present
EmblemHealth October 2006 - February 2012
HIP Health Plan of New York January 2003 - October 2006
Tensa Software, Inc. 2002 - 2002
Ernst & Young 2001 - 2002
Xanboo, Inc 2000 - 2001
Tensa Software, Inc 1999 - 2000
Softrak Technology Ltd 1997 - 1999
Skills
Business Analysis, .NET, Web Development, Data Modeling, VB.NET, C#, MS Office Suite, MS Project, SDLC, Oracle, Solution Architecture, Microsoft SQL Server, Business Intelligence, Microsoft Office, SOA, Web Services, Visio, Quality Center, Data Warehousing, UML, SQL, HP Quality Center
Education
Dharmsinh Desai Institute of Technology
Master of Computer Application
Gujarat University
Bachelors Physics
Gujarat University
Bachelors Mathematics
The Creative Furnace, LLC January 2014 - Present
Rinck Advertising, Inc. January 2013 - January 2014
Shamrock Sports & Entertainment 2011 - January 2013
Freelance / Graphic Design Services 1997 - 2011
Pierce Promotions 2006 - 2010
Walch Publishing 2000 - 2006
HIP Health Plan of New York 1999 - 2000
Arista Records Inc 1998 - 1999
D’arcy Masius Benton & Bowles Inc. 1997 - 1998
Skills
Art Direction,, Graphic Design, Illustration, Bilingual, Vector Illustration, Print Collateral Design, Photo Editing, Photoshop, Illustrator, InDesign, PowerPoint, Traditional Painting, Marketing Communications, logo design, Typography, Book Design, Corporate Branding, Corporate Identity, Advertising, Art Direction, Logo Design, New Business Development, Graphics, Creative Direction, Publishing, Image Editing, Business Cards, Marketing, Visual Communication, Branding & Identity, Catalogs, Brochures, Direct Mail, Packaging, Web Design, Adobe Creative Suite, Art, Posters
Education
Seton Hall University
hanover park
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
Wipro Technologies August 2010 - Present
Infocrossing Healthcare Services August 2005 - July 2010
HIP Health Plan of New York January 2000 - October 2005
Healthworks Alliance 1998 - 2000
Skills
Vendor Management, Healthcare Information..., HIPAA, Healthcare, Business Intelligence, Business Analysis, Process Improvement, Managed Care, Medicare, SDLC, Healthcare Management, Medicaid, Outsourcing, Team Building, IT Strategy, Health Insurance, Analysis, Business Development, Business Process, Consulting, E-commerce, Integration, Executive Management, Leadership, SaaS, Team Leadership, Strategy, Sales
Education
Florida International University 1994 — 1998
Miami Dade College 1992 — 1994
Christopher Columbus High School 1988 — 1992
General Studies
PepsiCo August 2005 - Present
Continuum Health Partners May 2001 - August 2005
HIP Health Plan of New York July 1999 - May 2001
Skills
Financial Analysis, Financial Reporting, Accounting, Analysis, Data Analysis, Finance, Microsoft Excel, Mergers, Account Reconciliation, Budgets, Outlook, Business Analysis, Variance Analysis
Education
Rensselaer Polytechnic Institute - The Lally School of Management and Technology 1994 — 1999
MBA, Finance
Bank Hapoalim May 2005 - February 2013
HIP Health Plan of New York 2001 - 2005
Skills
Organizational..., HR Consulting, Performance Management, Employee Relations, Talent Management, Human Resources, Career Development, Personnel Management, Succession Planning, Banking, HR Policies, Recruiting, Employee Engagement, Onboarding, Benefits Administration, Deferred Compensation, Interviews, HRIS, Organizational..., College Recruiting, Applicant Tracking..., FMLA, Internet Recruiting, Management, New Hire Orientations, Sourcing, Technical Recruiting, Workforce Planning
Education
New York University 2002 — 2004
Certification in Human Resources Management
University of Delaware 1997 — 2001
BA, Psychology
Mackoul & Associates, Inc. May 2014 - Present
RSF Consulting Corp April 2012 - March 2015
Rockville Benefit Advisors LLC. January 2007 - March 2012
HIP Health Plan of New York February 2004 - January 2007
Health Net 1998 - 2004
Skills
Employee Benefits, Disability Insurance, Account Management, Customer Retention, Health Insurance, Health Policy, Underwriting, Insurance, Health Savings Accounts, Brokers, Medicare, Claim, Workers Compensation, Managed Care, Commercial Insurance, Management, Term Life Insurance, Healthcare, Disease Management, HMO, Medicare Part D, Life Insurance, Healthcare Industry, PPO, Healthcare Consulting, Executive Management, Process Improvement, Long-term Care, Medicaid, Benefits Administration, Provider Relations, Professional Liability, Property & Casualty..., Accident, Health Care Reform, HIPAA, Network Development, Pharmacy Benefit..., ERISA, 401k, COBRA, Group Insurance, Fixed Annuities, Legal Liability
Education
State University of New York College at Oswego 1994 — 1998
Kiehl's July 2015 - Present
Revlon September 2009 - January 2015
Carol's Daughter March 2007 - August 2009
L'Oreal September 2005 - February 2007
HIP Health Plan Of New York August 2001 - June 2003
PricewaterhouseCoopers September 1998 - July 2001
Skills
Marketing, Market Planning, Sales, Brand Management, Consumer Products, Customer Insight, Marketing Management, Competitive Analysis, Marketing Strategy, Brand Development, Integrated Marketing, Brand Architecture, Cross-functional Team..., Product Development, Management, Retail, Strategy, FMCG
Education
New York University - Leonard N. Stern School of Business 2003 — 2005
Master of Business Administration (M.B.A.)
Spelman College 1994 — 1998
Bachelor of Arts (B.A.)
Fieldston 1990 — 1994
Sony Corporation of America June 2011 - April 2014
Eisai May 2009 - May 2011
FTI Consulting March 2006 - February 2009
HIP Health Plan of New York August 2002 - March 2006
Kroll July 2001 - April 2002
TD Waterhouse Investor Services June 2000 - July 2001
Dow Jones and Company 1996 - 2000
State of New Jersey May 1993 - May 1996
Skills
Computer Forensics, Information Security, Security, Litigation Support, Forensic Analysis, Litigation, Information Security..., Disaster Recovery, CISSP, Computer Security, PCI DSS, Vulnerability Assessment, Network Security, Security Audits, eDiscovery, Incident Response, Compliance, CISA, CIFI, CISM, Vulnerability Management, Threat & Vulnerability...
Education
Rider University 1988 — 1992
Bachelor of Science (B.S.), Computer Information Systems and Accounting
Johnson & Johnson, Con Edison, Health Dialog... August 2005 - Present
Montefiore Health System April 2014 - October 2014
Barry Jacob & Associates, LLC 2005 - 2008
HIP Health Plan of New York December 1997 - August 2005
Greater New York, March of Dimes February 1995 - November 1997
Skills
Managed Care, Insurance, Health Education, Employee Benefits, Healthcare, Health Policy, Community Outreach, Medicare, Health Promotion, Leadership, Program Management, Clinical Research, Medicaid
Education
City University of New York-Hunter College 1973 — 1979
MS, Health Education
WellCoaches
WellCoaches
Havas Health August 2011 - Present
Draftfcb June 2008 - August 2011
Munn Rabot January 2008 - April 2008
Medco Health Solutions January 2007 - November 2007
HealthCare Partners IPA April 2006 - October 2006
HIP Health Plan of New York July 2001 - April 2006
Skills
Integrated Marketing, Direct Marketing, Digital Marketing, Advertising, Digital Strategy, Interactive Marketing, B2B Marketing Strategy, Management, Creative Strategy, Relationship Marketing, Marketing, Interactive Advertising, Direct Mail, Mobile Marketing, Strategy, Brand Development, Marketing Communications, Creative Direction, Digital Media, Email Marketing, Online Advertising, Customer Insight, Brand Management, Marketing Strategy, Social Media Marketing, Online Marketing, B2B Marketing, SEM, Brand Architecture, Media Planning, Outdoor Advertising, Brand Awareness, Marketing Research
Education
Marist College 1990 — 1994
bs
JCAL - Jamaica Center for Arts and Learning April 2011 - Present
Philanthropy New York January 2014 - January 2015
Greater Jamaica Development Corporation November 2004 - May 2013
Warm Spirit 2006 - January 2009
HIP Health Plan of New York 1998 - 2002
Skills
Non-profits, Grants, Financial Accounting, Team Leadership, Public Speaking, Budget Process, Controllership Functions, Fiscal Policy, Contract Management, Event Planning, Accounting, Managerial Finance, Budgets, Financial Analysis, Small Business, Nonprofits, GAAP, Project Planning, Economic Development, Fundraising, Program Management, Strategic Planning, Business Planning, Coaching, Financial Statements, Tax, US GAAP, Financial Reporting, General Ledger, QuickBooks, Auditing, Leadership, Forecasting, Payroll, Access, Finance, Sarbanes-Oxley Act, Policy, Internal Controls, Cash Flow, Cash Management, Banking, Human Resources, Variance Analysis, Management, Internal Audit, Invoicing, Tax Preparation, Account Reconciliation, Time Management
Education
Binghamton University - School of Management
BS, Accounting
NYC Department of Education May 2012 - Present
PSCC February 2007 - November 2010
HIP Health Plan of New York April 2003 - February 2007
Education
Brooklyn College
Sanctuary for Families August 2014 - Present
NRDC October 2007 - August 2014
Morgan Stanley November 2005 - October 2007
Emblem Health (formerly HIP) 2002 - 2005
HIP Health Plan of New York 2002 - 2005
Skills
Deferred Compensation, HRIS, Performance Management, HR Policies, Onboarding, Recruiting, Organizational..., Benefits Administration, Succession Planning, Nonprofits, Policy, Talent Management, Ceridian, Compensation...
Education
City University of New York-Baruch College - Zicklin School of Business 2000 — 2002
MS, Labor and Industrial Relations
EmblemHealth 2009 - Present
HIP Health Plan of New York 2003 - 2009
Healthfirst 1995 - 2003
Lustic, Glazer & Wilson 1992 - 1993
Wayne, Lazerus & Chappell 1990 - 1992
Education
The Heller School for Social Policy and Management at Brandeis University 1994 — 1995
MMHS
Boston University School of Law 1987 — 1990
JD
Brandeis University 1983 — 1987
BA, Psychology
Anthem Blue Cross Blue Shield August 2015 - Present
HealthPlus Amerigroup, an Anthem Company October 2013 - August 2015
Affinity Health Plan July 2012 - June 2013
Pine Knoll Nursing & Rehabilitation Center March 2011 - June 2012
GuildNet April 2006 - February 2010
HIP Health Plan of New York December 2000 - December 2005
Skills
Case Managment, Healthcare, Disease Management, Home Care, Clinical Research, Leadership, Nursing, Risk Management, Managed Care, Program Management, Healthcare Consulting, EMR, Quality Improvement, Utilization Management, Healthcare Management, Medicaid, Performance Improvement, Hospitals, Medicare, HIPAA, Provider Relations, Acute Care, Healthcare Information..., Case Management
Education
American InterContinental University 2010 — 2011
MBA, Health Care Management
New York University 1976 — 1981
BSN, Nursing
Terence Cardinal Cooke Health Care Center February 2004 - Present
Weill Medical College, NY Presbyterian Hospital August 2002 - May 2003
HIP Health Plan of New York April 1996 - July 2002
Education
Colorado Technical University 2008 — 2009
EMBA, Business Administration
City University of New York-Hunter College 2000 — 2006
HIP Health Plan of New York
Skills
Risk Management, Underwriting, Insurance, General Insurance
Education
Ateneo de Manila University 1968 — 1980
Independent Consultant Services January 2007 - Present
Systematic Medical Billing & Credentialing Services, Inc. January 2000 - Present
Prudential Healthcare January 1997 - December 2000
HIP Health Plan of New York June 1995 - December 1997
Skills
Managed Care, Medicaid, Provider Relations, Medicare, Healthcare, Network Development, Hospitals, Physicians, Medical Billing, Credentialing, Medical Terminology, Healthcare Consulting, Healthcare Information..., HIPAA, Healthcare Management, Healthcare Industry, Health Policy, Health Insurance, Customer Service, Revenue Cycle, Process Improvement
Education
Molloy College 1997 — 1998
Continuing Education Courses, Continuing Education Courses
LIU Post 1992 — 1995
MPA, Health Administration
Long Island University 1992 — 1995
MPA, Health Administration
Suffolk County Community College 1982 — 1984
A.A.S, Electrical Technology
US Military Training Center 1976 — 1980
United States Navy Electronics Training, United States Navy Electronics Training
Retired October 2014 - Present
EmblemHealth November 2008 - October 2014
HIP Health Plan of NY 2004 - 2008
HIP Health Plan of New York 1998 - 2004
RVSI 1995 - 1998
Porta Systems Corp. October 1989 - September 1995
Rotronic AG 1987 - 1989
Skills
Marketing Communications, Editing, Copywriting, Newsletters, Brochures, Writing, Corporate Communications, Health, Healthcare, Strategic Communications, Public Relations, Social Media Marketing, Social Networking, Social Media, Publications, Nonprofits, Media Relations, Marketing, Internal Communications, Event Planning, Editorial, Email Marketing, Direct Mail, Direct Marketing, Creative Direction, Copy Editing, Content Development, Community Outreach, Advertising
Education
Texas State University
B.A., Political Science
Health Republic Insurance of New York November 2014 - Present
Amerigroup Corporation August 2012 - March 2014
HealthPlus Amerigroup May 2012 - August 2012
HealthPlus January 2011 - May 2012
Touchstone Health November 2008 - December 2010
HIP Health Plan of New York August 1993 - October 2008
Oxford Health Plans 1989 - 1993
Skills
Regulations, Project Management, Medicare, Medicaid, Managed Care, Health Policy, HMO, Healthcare, Healthcare Management, Medicare Part D, Health Insurance, HIPAA, Provider Relations, Claim, Employee Benefits, Utilization Management, Healthcare Industry, Healthcare Consulting, Policy, Program Management, Insurance, Strategic Planning, Revenue Cycle, Hospitals, Disease Management, Leadership, Pharmacy Benefit..., Quality Improvement, Process Improvement, Credentialing, Informatics, Long-term Care, Medical Compliance, PPO, Physicians, Physician Relations, NCQA, Executive Management, HEDIS, Health Information..., Strategy, Network Development, Medicaid Managed Care, Health Care Reform, Home Care, Case Managment, Medical Billing
Education
Baruch College, City University of New York (CUNY) 2006 — 2008
MPA, Public Administration
Binghamton University 1984 — 1988
B.S., Healthcare Systems
New York Life Insurance Company December 2012 - September 2013
Meridian Health System April 2011 - June 2012
Health Net of the Northeast March 2006 - May 2010
HIP Health Plan of New York 1998 - 2006
Skills
Training, Recruiting, Human Resources, Medicaid, Cross-functional Team..., Newsletters, Analysis, Editing, Budgets, Insurance, Provider Relations, Policy, Interviews, Healthcare, Benefits Administration, Fundraising, Data Analysis, Claim, Health Insurance, Access, Strategic Planning, Health Care Reform, Medicare, Healthcare Industry, Long-term Care, Team Building, Public Speaking, Leadership, Managed Care, HIPAA, Process Improvement, Healthcare Management, Employee Benefits, Health Policy, Healthcare Consulting, Physicians, Marketing, Medical Billing, Network Development, Hospitals, HMO, Life Insurance
Education
City University of New York-Baruch College 1998 — 2001
M.P.A., Public Administration
American University 1985 — 1988
B.A., Literature: Cinema Studies
New York State Department of Transportation November 2009 - Present
HIP Health Plan Of New York September 2000 - August 2007
Skills
Medicare, Provider Relations, Healthcare, Organizational..., Revenue Cycle, Process Improvement, Leadership
Education
Nyack College 2009 — 2011
Master of Science, Organizational Leadership
Centerlight Health System December 2013 - Present
EmblemHealth January 2010 - December 2013
EmblemHealth January 2008 - January 2010
HIP Health Plan Of New York January 2007 - December 2007
CHIPS Technology Group LLC December 1997 - January 2006
Hofstra University August 1994 - November 1997
Skills
Active Directory, Windows, Security, Business Continuity, VMware, Purchasing, Information Security, Cloud Computing, Network Security, Linux, Business Process Design, Continuous Improvement, Cross-functional Team..., HIPAA, SOX Compliancy, PCI Standards, Gap Analysis, Leadership Development, IT Strategy, IT Operations Management, Network Architecture, Staff Development, CISA, CISSP, Vendor Management, Disaster Recovery, Networking, Operating Systems, Software Documentation
Education
Hofstra University 1992 — 1999
BBA
EmblemHealth 2008 - Present
HIP Health Plan of New York 1996 - 2008
Skills
Program Management, Advertising, Medicaid, Medicare, Direct Mail, Marketing Communications, Strategic Planning, Health Policy, Direct Marketing, Account Management, Project Management, Integration, Marketing, Healthcare, Insurance, Copywriting, Digital Marketing, Leadership, Management, Competitive Analysis, Managed Care, Online Advertising, Social Media, Marketing Strategy, Health Insurance, Product Development, Nonprofits, Budgets, Integrated Marketing, Disease Management, Data Analysis, Strategic Partnerships, Analytics, Strategy, Process Improvement, Digital Strategy, Social Media Marketing, Interactive Marketing, Email Marketing
Education
New York University 1992 — 1994
MA, Latin American Studies
Haverford College 1988 — 1992
BA, History
Oyster Bay High School
The Guardian Life Insurance Co. of America March 2008 - Present
HIP Health Plan of New York June 2006 - March 2008
Columbia Univeristy January 2005 - June 2006
Columbia University December 2003 - January 2005
Lehman Brothers January 2001 - November 2003
Skills
401k, Employee Benefits, Benefits Administration, HRIS, Retirement, FMLA, Payroll, PeopleSoft, Defined Benefit, Human Resources, Enrollment Management, Deferred Compensation, Outlook, Policy, Microsoft Excel, Employee Relations, Access, Customer Service, ADP Payroll, Microsoft Word, Defined Contribution, Pensions
Education
Metropolitan College of New York 2001 — 2003
BA, Business Administration
Healthfirst September 2010 - Present
ArchCare November 2009 - September 2010
Archcare Advantage November 2009 - September 2010
WellCare of New York August 2008 - May 2009
HIP Health Plan of New York 1999 - 2008
NYLCare 1994 - 1998
American Health Foundation 1988 - 1994
Education
University of Michigan 1975 — 1980
Ph.D.
City University of New York-Brooklyn College 1971 — 1975
BA
iDeal Health Management Solutions February 2010 - Present
CHEMED June 2010 - June 2012
EmblemHealth/ HIP Health Plan of New York 1996 - 2010
EmblemHealth 1996 - 2010
HIP Health Plan of New York 1996 - 2010
HIP Health Plan of NY 1996 - 2010
Skills
Disease Management, Utilization Management, Medical Management, Managed Care, Health, Healthcare, Medicare, Health Insurance, Case Management, HEDIS
Education
University at Buffalo
Memorial Sloan Kettering Cancer Center April 2013 - Present
EmblemHealth August 2010 - April 2013
UnitedHealth Group April 2009 - September 2010
United HealthCare September 2008 - April 2009
HIP Health Plan Of New York July 2001 - September 2008
Jay A. Bernstein January 2000 - January 2001
Americare/ Kimberly Quality Care January 1993 - January 2000
Syracuse Developmental Center/Seguin Community Services January 1986 - January 1992
Skills
Hospitals, Home Care, Disease Management, HIPAA, Healthcare Consulting, Healthcare Industry, Medical Records, Health Policy, EMR, Public Health, Health Insurance, Acute Care, Clinical Research, EHR, Epic Systems, Healthcare, Healthcare Management, Informatics, Managed Care, Medicaid, Quality Improvement, Physician Relations, Nursing
Education
City University of New York-Hunter College 2015 — 2018
BSN, Adult Health Nurse/Nursing
City University of New York-Hunter College 2010 — 2013
BSN, Nursing
Borough of Manhattan Community College 2007 — 2009
ADN, Nursing
Onondaga Cortland Madison BOCES School of Practical Nursing
LPN, Nursing
HealthPass New York March 2011 - Present
ASA College February 2011 - May 2013
Emblem Health/ HIP Health Plan of New York October 1996 - July 2010
HIP Health Plan of New York April 1986 - September 1996
Gibbs & Hill, Inc. July 1984 - July 1985
Skills
Health Insurance, Financial Reporting, Forecasting, Managerial Finance, Budgets, Risk Management, Financial Analysis, Internal Controls, Contract Negotiation, Financial Modeling, Strategic Financial..., Strategic Planning, Insurance, Project Planning, Mergers & Acquisitions, Access, Accounts Receivable, Sarbanes-Oxley Act, Employee Benefits, Restructuring, Cash Management, Internal Audit, GAAP, Finance, Accounting, Financial Accounting, Executive Management, Training, Business Analysis, Analysis, Leadership, Investments, Due Diligence, Corporate Finance, Business Planning, Business Process..., Strategy, Management Consulting, Cost Accounting, Process Improvement, Financial Risk, Outlook, Human Resources, Microsoft Excel, Auditing, Financial Services, Cash Flow, Financial Statements, General Ledger, Income Statement
Education
Pace University - Lubin School of Business 1985 — 1987
MS, Accounting
St. Francis College 1980 — 1984
BA, Economics, specialization in Finance
Xaverian High School, Brooklyn, NY 1976 — 1980
Diploma, Academic
Complexcare Solutions May 2012 - Present
Archcare April 2011 - May 2012
Emblem Health May 2010 - April 2011
Emblem Health March 2007 - April 2010
HIP Health Plan of New York April 2004 - March 2007
HIP Health Plan of New York August 2001 - April 2004
CGU Life Insurance Company of New York April 2000 - May 2001
Client Logic June 1999 - January 2000
Skills
Access, Databases, HIPAA, Healthcare, Healthcare Information..., Healthcare Management, Managed Care, Visual Basic, SQL, SAS, Medicare, Analysis, Data Warehousing
Education
State University of New York College at Fredonia 1995 — 1999
BS, Communications
L&M Policy Research August 2012 - Present
Consolidated Edison September 2005 - April 2011
Beth Abraham Hospital October 1995 - August 2000
HIP Health Plan of New York February 1992 - August 2000
The Mount Sinai Hospital January 1987 - January 1992
Health and Hospitals Corporation January 1984 - December 1986
Boriken Neighborhood Health Center January 1983 - January 1984
Skills
Strategic Planner, Program Development, Analytical Abilities, Project Manager, Policy and Procedure..., Health and Wellness
Education
The Johns Hopkins University 2000 — 2006
Bloomberg School of Public HealthDoctor of Philosophy; Ph.D., Health Policy and Management
New York University, Graduate School of Public Service 1993 — 1995
Master of Science; M.S., Health Services Management
Hunter College 1983 — 1987
Master of Public Health, Community Health Education
Cortland State University 1978 — 1983
Bachelor of Science (B.S., Community Health Education/Health Care Administration
Hospital for Special Surgery July 2013 - Present
Hospital for Special Surgery April 2012 - June 2013
Hospital for Special Surgery January 2008 - March 2012
HIP Health Plan of New York 2002 - 2007
HIP Health Plan of New York 2000 - 2002
HIP Health Plan of New York 1998 - 2000
HealthSouth 1998 - 1998
NYLCare Health Plans of NJ 1996 - 1997
Skills
Managed Care, Medicare, Medicaid, Revenue Cycle, Healthcare Industry, Managed Care Contracting, Hospitals, Healthcare Management, Healthcare, Health Policy, Provider Relations, HIPAA, PPO
Education
Temple University - Fox School of Business and Management 1993 — 1995
Master of Business Administration (MBA), Health/Health Care Administration/Management
University of Delaware 1989 — 1993
Bachelor of Arts (BA), Economics
EmblemHealth January 2010 - Present
HIP Health Plan of New York November 2002 - December 2009
HIP Health Plan of New York January 1999 - October 2002
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Outlook, Windows, Microsoft Access, Medicare, Data Entry, Healthcare, Data Analysis, Access, Account Reconciliation, Software Documentation, Medicaid, Insurance, Process Improvement, Managed Care, HIPAA, Provider Relations, HMO, Healthcare Management, Network Development, PPO, Health Insurance, Disease Management, Healthcare Industry
Education
Long Island University, C.W. Post Campus 2000 — 2005
Master of Public Administration (MPA), Health/Health Care Administration/Management
Long Island University, C.W. Post Campus 1995 — 1999
Bachelor of Science (BS), Health/Health Care Administration/Management
Hunterdon Medical Center December 2007 - Present
HIP Health Plan of New York May 2002 - November 2007
Aetna Us Healthcare March 1999 - September 2001
Skills
Microsoft Excel, Microsoft Office, PowerPoint, Outlook, Windows, Research, Photoshop, Public Speaking, HTML, Budgets, EHR
Education
New Jersey City University 1993 — 1998
Bachelor of Science (B.S.), Community Health Services/Liaison/Counseling
Memorial High School 1976 — 1980
High School Diploma, College prep
Kaiser Permanente November 2002 - Present
Aetna, Inc 1998 - 2002
HIP Health Plan Of New York 1997 - 1998
Education
Monmouth University
Master of Business Administration (M.B.A.), Business Administration and Management, General
Rutgers University-New Brunswick
Bachelor of Science (BS), Accounting