horizon bcbs
Industry: Company
DescriptionHorizon Blue Cross Blue Shield of New Jersey, headquartered in Newark, New Jersey is the only licensed Blue Cross and Blue Shield Association plan in New Jersey, providing health insurance coverage to over 3.2 million people throughout all of New Jersey. Headquarters: Newark, NJ CEO: Kevin P. Conlin (Jan 1, 2018–) Location: 3 Penn Plaza East; Newark, New Jersey General counsel: Linda A. Willett Founded: 1932 Subsidiaries: Horizon NJ Health,
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horizon bcbs Employees
Visiting Nurse Service of New York 2013 - Present
Horizon BCBS 2013 - 2013
Skills
Business Requirements, Lotus Notes, Sales, SharePoint, Training, Process Improvement, Data Analysis, Analysis, Business Analysis, Access, Healthcare
Education
Maharashtra Institute of Technology
Bachelor's degree, Pharmaceutical Sciences
Horizon Blue Cross Blue Shield of NJ October 2007 - Present
Horizon BCBS 2007 - Present
JPMorgan Chase July 2005 - July 2007
IBM- Assigned to JPMorganChase April 2003 - July 2005
JPMorganChase June 1995 - April 2003
Skills
Active Directory, Disaster Recovery
Education
LaGuardia Community College 1989 — 1995
A.S, Computer Science
Benefit Management Solutions September 2013 - Present
Perfumania 2012 - 2013
Surgicare of Central Jersey February 2009 - May 2009
Horizon BCBS November 2007 - November 2008
Skills
Computer-savvy, Typing, 3+ years experience, Adaptable & a quick..., E-Verify, HRIS Database Management, PeopleSoft, Gmail, MS Suites, Medical Terminology, Billing Process, Health Insurance, Administrative Functions
Education
Thomas Edison State College 2013 — 2015
Bachelor of Applied Science (B.A.Sc.), Sociology
Coastline Community College 2011 — 2013
Associate of Science (A.S.), Healthcare Management
Rutgers, The State University of New Jersey-New Brunswick 2010 — 2010
Certificate, Health/Health Care Administration/Management
Horizon Blue Cross Blue Shield of New Jersey May 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2011 - Present
SOMERSET MEDICAL CENTER June 2011 - October 2011
Somerset Medical Center November 2009 - August 2011
HORIZON BCBS 2005 - 2009
Skills
Medical/Surgical, Medical Case Management, Disease Management, Patient Advocacy, HOMECARE, Certified Case Manager, Healthcare Management, Mental Health, Healthcare, Medicaid, Acute Care, HIPAA, Patient Safety, EMR
Education
St. Peter's College 2008 — 2012
MBA, RISK MANAGEMENT
LIU Brooklyn 1984 — 1989
BSN, NURSING
TRICORE November 2011 - January 2012
Winston Financial Services October 2009 - June 2010
Winston Financial Services May 2006 - October 2009
AIG American General 2004 - 2005
AIG American General 2002 - 2004
AIG American General 2001 - 2002
AIG American General 2000 - 2001
Horizon BCBS 1999 - 2000
The United States Life Insurance Company 1988 - 1999
Skills
Process Improvement, Account Management, Insurance, Training, Coaching, Project Management, Management, Team Building, Marketing, CRM, Employee Benefits, Access, Vendor Management, Public Speaking, Leadership, Program Management, Outlook, Sales, Human Resources, Customer Service, Call Centers, Organizational..., Client Liaison, Benefits Administration, Microsoft Word, Talent Acquisition, Business Analysis, Health Insurance, Outsourcing, Disability Insurance, Life Insurance, Healthcare, COBRA, Risk Management, Health Savings Accounts
Education
Georgian Court University
BS, Sociology/Anthropology/Archaeology
Monmouth University
MALS, Liberal Studies
St. Joseph High School
Plymouth Rock Assurance New Jersey June 2013 - January 2014
Xerox September 2011 - March 2012
Horizon BCBS April 2010 - April 2011
Pre Billing Consultants May 2006 - September 2009
HQ Global Workplaces July 2005 - September 2005
Skills
Excellent communication, Conflict resolution, Strong organizational..., Fast learner, Courteous demeanor, Creative problem solver, Strategic Sourcing, Developed listening..., Microsoft Office 2007
Education
Katherine Gibbs School 2001 — 2003
associates degree, Design and Visual Communications, General
West Orange High School 1997 — 2000
High School Diploma
JPMorgan Chase January 2015 - Present
MphasiS October 2013 - December 2014
Moody's Investors Service July 2012 - February 2013
Horizon BCBS July 2011 - December 2011
Dow Jones December 2010 - June 2011
Qwest Communications February 2005 - July 2010
Qwest Communications 2005 - 2006
Ahluwalia and Associates, LLC 2001 - 2004
Nortel 1997 - 2000
VISL 1993 - 1996
Education
Rutgers, The State University of New Jersey - Rutgers Business School 2013 — 2013
Green Belt
Steven Institute of Technology 2007 — 2008
graduate certificate in Advanced Project Management
Project Management Institute (PMI) 2004 — 2004
PMP
Netaji Subhas Institute of Technology 1984 — 1988
B.E
•Information Systems Project Management from American Management Association 1999 — 1999
PM
Foundations of Sociocracy
Brookdale Community College, Lincroft, NJ, USA 2003 — 2003
certificate
Pearson North America July 2013 - Present
Morgan Stanley (client location) March 2013 - July 2013
Prolifics July 2012 - July 2013
Horizon BCBS June 2012 - March 2013
Prolifics June 2010 - July 2012
Huntington National Bank March 2011 - December 2011
American Express October 2010 - December 2010
Celanese June 2009 - May 2010
Mastek Ltd October 2007 - June 2008
Skills
Web Services, EJB, PL/SQL, JMS, ASP, Maven, SOA, SQL, Modelling business..., Business process..., Business Analysis, Oracle, Spring, Software Development, DB2, SDLC, Requirements Analysis, Integration, Spring Framework
Education
The University of Texas at Dallas 2008 — 2010
MS, Computer Science
St. Francis Institute of Technology 2003 — 2007
BE, Information Technology
Highmark Blue Cross Blue Shield December 2014 - Present
CareSource Management Group December 2013 - December 2014
CareSource Management Group April 2012 - December 2014
The Financial Education Institute March 2010 - July 2012
Horizon BCBS December 2006 - July 2010
ACS Commercial Solutions October 2004 - October 2005
NUI October 2000 - November 2003
Roche Pharmaceuticals January 1998 - October 2000
AT&T June 1985 - January 1998
Skills
Strategic Technology..., Software Development, Market Planning, Business Planning, Business Strategy, Organizational Change, Process Improvement, Project Implementation, Change Management, Program Management, Business Management, Contract Negotiation, ERP, Forecasting, Financial Reporting, Healthcare, ITIL, Integration, Innovation, Mergers, Outsourcing, Quality, User Experience, Vendor Management, Architecture, Mobile Applications, Web Design, Mobile Design, Web Development, Claims Management, Agile Methodologies, Quality Management, Test Management, Third Party Vendor...
Education
Quinnipiac University 2012 — 2014
Masters of Science
Kean University
BS
Dow Jones February 2014 - Present
Horizon BCBS 2003 - Present
SysGro, LLC 1999 - 2014
ABB Simcon 1996 - 1999
ABB Lummus Global September 1989 - June 1996
Skills
Software Development, Business Analysis, Integration, Project Management, SQL, Requirements Analysis, Process Improvement, Microsoft SQL Server, SDLC, XML, Program Management, Software Project..., C#, Enterprise Software, Agile Methodologies, Databases, Scrum, SharePoint, Data Warehousing, Visio, Solution Architecture, Enterprise Architecture, Business Intelligence, Requirements Gathering, .NET, Database Design, Systems Analysis, Testing
Education
Lehigh University 1983 — 1989
B.S. in Mechanical Engineering and B.S. in Computer Science
University of Vienna, Austria 1985 — 1986
N/A, German Language and Literature
Tabor Academy 1979 — 1983
High School Diploma
Nasdaq January 2015 - March 2015
UnitedHealth Group August 2014 - September 2014
Horizon BC/BS October 2012 - August 2013
NYC Dept of Consumer Affairs May 2011 - June 2011
Amerigroup December 2010 - May 2011
QBE the Americas February 2010 - June 2010
Social Research Foundation June 2009 - January 2010
Consultant September 2008 - February 2009
SIMHS 1985 - 2008
Skills
Data Analysis, Testing, Quality Assurance, Project Management, Vendor Management, Business Analysis, Consulting, Team Leadership, Microsoft Excel, SDLC, Requirements Analysis, Data Modeling, Business Intelligence, Team Building, Visio, Management, SharePoint
Education
Richard Stockton College of New Jersey 1973 — 1978
BS, MATH Computer Science
Emblem Health February 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2010 - January 2014
Emblem Health June 2009 - December 2009
Horizon BCBS October 2007 - May 2009
UnitedHealthcare January 2006 - October 2007
Skills
SDLC, Business Requirements, Requirements Gathering, Requirements Analysis, Business Analysis, Systems Analysis, Visio
Education
Clarion University of Pennsylvania 2001 — 2004
MBA
St. Aloysius' College
Horizon BCBS January 2013 - August 2013
Incentone September 2009 - January 2013
CIGNA Healthcare 1998 - 2007
Skills
Healthcare, Health Insurance, Insurance, Claim, Underwriting, Medicare, Employee Benefits, Claims Management, Property & Casualty..., General Insurance, Disability Insurance, Life Insurance, Workers Compensation, Call Centers, Health Savings Accounts, Managed Care
Education
Ramapo College of New Jersey 1977 — 1979
no degree earned, Fine/Studio Arts, General
County College of Morris
Dental assisting certificate, Dental Assisting/Assistant
Horizon BCBS January 2010 - Present
Horizon Blue Cross Blue Shield of NJ January 2008 - Present
RCQ Enterprises, Inc October 2007 - December 2009
Horizon Blue Cross Blue Shield of NJ February 2005 - January 2008
Coalition For Care Management April 2002 - February 2005
esavio (Formerly: Netera) 1999 - 2001
Lancomp / Netera / Esavio 1999 - 2001
Hoffmann-La Roche April 1991 - July 1999
Education
Rutgers, The State University of New Jersey-Newark 1992 — 1997
MBA, Business
Penn State University 1983 — 1987
BA, Theatre
Horizon Blue Cross Blue Shield of NJ February 2008 - Present
Horizon BCBS February 2007 - February 2008
Metropolitan Bank and Trust Company September 2004 - January 2007
American Express 2000 - 2003
Skills
Information Security, CISSP, Computer Security, IT Service Management, Firewalls, Security Awareness, Security, Information Technology, Application Security, IDS, Networking, PCI DSS, Disaster Recovery, Information Security..., Network Security, ISO 27001, IT Audit
Education
Eulogio Rodriguez Institute of Science and Technology
Bachelor of Science in Electronics & Communications Engineering, Electronics and Communications Engineering
New York University
Java, Computer Programming, Vendor/Product Certification
Horizon BCBSNJ December 2007 - Present
Horizon BCBS 2007 - Present
Skills
SDLC, Requirements Analysis, Business Requirements, Vendor Management, Service Management, Architecture, Requirements Gathering, Business Analysis, Process Improvement, Visio, Enterprise Architecture, Management, Architectures, PMP, IT Strategy, Project Management, Software Project..., Resource Management, Business Intelligence
Education
Fairleigh Dickinson University 1988 — 1992
Home November 2010 - Present
Qualcare Inc. August 2008 - October 2010
Horizon BCBS 2004 - 2007
Bellcore 1984 - 1993
Skills
SSIS, T-SQL, SQL, Microsoft SQL Server, Database Design, SharePoint, Project Management, Oracle, Business Intelligence, Data Warehousing, ETL, Visio, Integration, Requirements Analysis, SDLC
Education
Rutgers, The State University of New Jersey-Newark 1970 — 1974
Master of Business Administration (MBA), Business Administration and Management, General, B
Bucknell University 1961 — 1965
BA, Economics
Riverdale CS
CSC January 2012 - Present
Computer Sciences Corporation 2008 - Present
health alliance medical plans 2006 - 2009
First Consulting Group 1997 - 2008
Horizon BCBS 2002 - 2006
Skills
SDLC, Integration, Requirements Analysis, Business Analysis, Healthcare Information..., Process Improvement, IT Strategy, Software Project..., Requirements Gathering, Program Management, Enterprise Architecture, Healthcare, HIPAA, HL7, Consulting, Business Process, Management Consulting, BizTalk, Change Management, Microsoft SQL Server, Software Documentation, SOA, EMR, Agile Methodologies, Vendor Management, Solution Architecture, Business Intelligence, Project Management, Software Development, Business Process..., PMO, Software Implementation, Informatics, PMP, EHR, Healthcare Consulting, EAI
Education
Purdue University 1986 — 1990
MS, Educational Computing
TEKsystems March 2015 - July 2015
Verisk Health April 2014 - November 2014
HighPoint Solutions August 2013 - November 2013
NTT DATA February 2012 - August 2013
Amerigroup August 2007 - January 2012
UnitedHealthcare 2005 - 2006
UnitedHealth Group and MEDCO 2003 - 2004
Prudential Financial 2000 - September 2003
HealthSouth 1999 - 2000
Horizon BCBS 1982 - 1996
Skills
Requirements Gathering, Business Analysis, Business Requirements, SDLC, Software Documentation, Analysis, Training, Business Process, Systems Analysis, User Acceptance Testing, Project Management, Access, Vendor Management, Agile Methodologies, Testing, Business Process..., HIPAA, Healthcare, Healthcare Information..., Visio, Medicare, Requirements Analysis, Waterfall, Healthcare IT, Facets, Insurance, SharePoint, Data Analysis, Medicaid, Health Insurance, Documentation, Compliance, Software Implementation, NASCO, ETL, ICD-10, SQL, Use Case, Healthcare consulting, HealthRules, Tirzetto Medicare..., Healthcare Reform, User stories, BluePrint, RRC, Insurance Claims, Medicare Advantage, Medical Background, Medical Biling, Agile & Waterfall...
Education
Seton Hall University
Prudential Financial October 2012 - Present
Prudential Financial November 2010 - Present
Prudential Financial November 2008 - November 2010
Prudential Insurance August 2005 - November 2008
Horizon BCBS 2003 - 2004
Prudential Financial 2002 - 2003
Aetna US Healthcare 1998 - 2002
Skills
Call Centers, Vendor Management, Leadership, Operations Management, Insurance, Process Improvement, Performance Management, Risk Management, Project Management, Customer Satisfaction, Team Leadership, Training, Strategic Planning, Employee Benefits, Change Management, Health Insurance, Quality Assurance, Workforce Management, Business Process..., Relationship Management, Call Center..., Business Analysis, Financial Services, New Business Development, Cross-functional Team..., Account Management, Customer Retention, Hiring, Employee Training, Life Insurance, Coaching, Call Center, Program Management, Customer Service, Service Delivery, Team Building, Outsourcing, Management, CRM, Analysis, Strategy, Executive Management, Disability Insurance, Recruiting, Customer Experience, Forecasting, P&L Management, Leadership Development, Salesforce.com..., Salesforce.com...
Education
The College of New Jersey
Pursuing Graduate Degree
Gwynedd-Mercy College
Bachelor of Applied Science (B.A.Sc.), Business Administration, Management and Operations, 3.73 - Graduated Magna Cum Laude
Georgian Court University
Bachelor of Education (B.Ed.), Education, 4.0
Comodo February 2010 - Present
Comodo July 2009 - January 2010
Horizon Blue Cross Blue Shield of NJ February 2008 - July 2009
horizon bcbs 2008 - 2009
Q1043 2008 - 2009
Hennion & Walsh August 2007 - October 2007
Education
University of Hartford 2003 — 2007
BS, Economics / Finance
Cogen Medicare Consultants December 2005 - Present
Empire Blue Cross Blue Shield December 2000 - December 2005
Horizon BCBS January 1997 - November 2000
Skills
Medicare, Hospitals, New Business Development, Healthcare, Health Insurance, Disease Management, HIPAA, Healthcare Consulting, Insurance, Health Policy, Healthcare Industry, Medicaid, Management, Healthcare Management, Physicians, Provider Relations, Healthcare Information..., Managed Care
Education
St Josephs U 1988 — 1990
MBA, healthcare
Drexel University 1978 — 1981
MD, IM/ Geriatrics
Drexel University College of Medicine 1974 — 1978
MD
Horizon BC/BS June 2011 - Present
WebMD February 2011 - May 2011
Mount Sinai School of Medicine November 2006 - September 2010
UnitedHealth Group December 2004 - November 2006
Summit Associates March 2004 - July 2004
AT&T March 2003 - June 2003
Schering-Plough October 1994 - November 2002
Skills
SQL, Business Analysis, Data Analysis, Databases, Process Improvement, Microsoft SQL Server, Business Intelligence, Unix, Analysis, SAS Programming, C#.Net, VBA, Microsoft Excel, Access
Education
University of Arizona, Eller College of Management
Bachelor’s Degree
Horizon BCBS April 2011 - Present
Miele May 2006 - December 2010
Ridgewood Corperation January 2005 - October 2006
Skills
Insurance, Microsoft Office, Microsoft Excel, Customer Service, Microsoft Word, Project Management, Strategic Planning, Health Insurance, Customer Relations, Call Center
Education
Middlesex County College 2001 — 2001
South Brunswick High School 1998 — 2001
Perfect smiles Dentistry March 2006 - Present
Sony Music May 2004 - June 2006
Wacoal America April 2002 - March 2003
Horizon BCBS April 1999 - August 2001
PriceWaterHouseCoopers LLC August 1997 - August 1999
Education
Penn State University
Master of Business Administration (MBA), Accounting and Finance
Penn State University
Bachelors of Science in Accounting, Accounting