Horizon BCBS of NJ
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. Customer service: 1 (800) 355-2583 Headquarters: Newark, NJ CEO: Kevin P. Conlin (Jan 1, 2018–) Location: 3 Penn Plaza East; Newark, New Jersey General counsel: Linda A. Willett Subsidiaries: Horizon NJ Health,
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Horizon BCBS of NJ Employees
Employee
Years
Job
Industry
Gosia (Hawk) Clore Gosia (Hawk) Clore's Horizon BCBS of NJ Experience August 2006 - May 2007
Job Research Scientist at Comprehensive Health Insights
Industry Hospital & Health Care
Experience
Humana August 2012 - Present
Express Scripts July 2010 - August 2012
Medco Health Solutions May 2007 - July 2010
Horizon BCBS of NJ August 2006 - May 2007
University of Iowa Hospitals and Clinics September 2005 - July 2006
Skills
Analysis, Healthcare, Research, Statistics, Clinical, Data Analysis, SAS, Healthcare IT, Informatics, Managed Care, Data Management, Business Analysis, Health Services Research, Outcomes Research, Healthcare Information..., Clinical Research, Market Research, Health Economics, Public Health, Pharmaceutical Industry, Pharmacy, Oncology, Process Improvement, Hospitals, Analytics, Databases, Program Management, Clinical Trials, Cross-functional Team..., Lifesciences, Diabetes, SAS programming, Health Policy, Biotechnology, Data Mining, Statistical Modeling, Epidemiology, Clinical Data Management
Education
University of Iowa 2013 — 2017
Doctor of Philosophy (PhD) Candidate, Epidemiology
New Jersey Institute of Technology 2006 — 2007
MS, Management
New Jersey Institute of Technology 2000 — 2003
BS, Information Technology
Humana August 2012 - Present
Express Scripts July 2010 - August 2012
Medco Health Solutions May 2007 - July 2010
Horizon BCBS of NJ August 2006 - May 2007
University of Iowa Hospitals and Clinics September 2005 - July 2006
Skills
Analysis, Healthcare, Research, Statistics, Clinical, Data Analysis, SAS, Healthcare IT, Informatics, Managed Care, Data Management, Business Analysis, Health Services Research, Outcomes Research, Healthcare Information..., Clinical Research, Market Research, Health Economics, Public Health, Pharmaceutical Industry, Pharmacy, Oncology, Process Improvement, Hospitals, Analytics, Databases, Program Management, Clinical Trials, Cross-functional Team..., Lifesciences, Diabetes, SAS programming, Health Policy, Biotechnology, Data Mining, Statistical Modeling, Epidemiology, Clinical Data Management
Education
University of Iowa 2013 — 2017
Doctor of Philosophy (PhD) Candidate, Epidemiology
New Jersey Institute of Technology 2006 — 2007
MS, Management
New Jersey Institute of Technology 2000 — 2003
BS, Information Technology
Gary F. Best, PhD's Horizon BCBS of NJ Experience August 2003 - April 2013
Job Leadership Coach and Strategic Thinking Partner who achieves results....Are you ready to go after the results you want?
Industry Management Consulting
Experience
PerformanceBest, LLC April 2013 - Present
Horizon BCBS of NJ August 2003 - April 2013
Lucent Technologies December 2000 - February 2003
Kalamazoo College July 1996 - August 2000
Skills
MBTI, Human Synergistics LSI,..., Social Network Analysis, Executive Development, Change Management, Career Counseling, Coaching, Talent Management, Succession Planning, Team Building, Staff Development, Performance Improvement, Organizational Design, Business Process Design, Skills Assessment..., Competency Modeling, Core Work Mapping, 360 Feedback, Data Mapping, Emotional Intelligence, StrengthsFinder, Business Process..., Organizational Needs..., Leadership, Vendor Management, Training, Project Management, Strategic Thinking, Management, Strategy, Process Improvement, Deferred Compensation, Consulting, Human Resources, Analysis, Management Consulting, Program Management, Organizational..., Executive Coaching, Strategic Consulting, Executive Management, Business Transformation, HR Transformation, Organizational...
Education
The Ohio State University 1988 — 1996
Ph.D., Organizational Behavior, Leadership, Sociology of Knowledge
University of Pittsburgh 1977 — 1978
MPA, City Management and Public Budgeting
Thiel College 1973 — 1977
BA, History
PerformanceBest, LLC April 2013 - Present
Horizon BCBS of NJ August 2003 - April 2013
Lucent Technologies December 2000 - February 2003
Kalamazoo College July 1996 - August 2000
Skills
MBTI, Human Synergistics LSI,..., Social Network Analysis, Executive Development, Change Management, Career Counseling, Coaching, Talent Management, Succession Planning, Team Building, Staff Development, Performance Improvement, Organizational Design, Business Process Design, Skills Assessment..., Competency Modeling, Core Work Mapping, 360 Feedback, Data Mapping, Emotional Intelligence, StrengthsFinder, Business Process..., Organizational Needs..., Leadership, Vendor Management, Training, Project Management, Strategic Thinking, Management, Strategy, Process Improvement, Deferred Compensation, Consulting, Human Resources, Analysis, Management Consulting, Program Management, Organizational..., Executive Coaching, Strategic Consulting, Executive Management, Business Transformation, HR Transformation, Organizational...
Education
The Ohio State University 1988 — 1996
Ph.D., Organizational Behavior, Leadership, Sociology of Knowledge
University of Pittsburgh 1977 — 1978
MPA, City Management and Public Budgeting
Thiel College 1973 — 1977
BA, History
Chris Dates's Horizon BCBS of NJ Experience July 2010 - Present
Job Privacy Official at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey July 2015 - Present
Horizon BCBS of NJ July 2010 - Present
Roche Pharmaceuticals November 2004 - August 2010
Roche, Inc September 1998 - November 2004
Roche, Inc May 1995 - September 1998
Skills
FDA, Cross-functional Team..., GMP, Pharmaceutical Industry, Change Control, Six Sigma, Lean Manufacturing, Validation, Quality Assurance, PMO, Leadership, Operational Excellence, Quality Control, Manufacturing, Change Management, Sop, Quality System, Root Cause Analysis, Team Building, Project Management, Process Improvement, Resource Management, MS Project, CAPA, Process Engineering, Continuous Improvement, PMP, 21 CFR Part 11, Quality Management, Quality Auditing, Strategic Planning, Process Simulation, Management, SOP, Business Process..., Project Portfolio...
Education
Project Management Institute
PMP Certified
Fairleigh Dickinson University
MS
Rutgers University-New Brunswick
BS
Horizon Blue Cross Blue Shield of New Jersey July 2015 - Present
Horizon BCBS of NJ July 2010 - Present
Roche Pharmaceuticals November 2004 - August 2010
Roche, Inc September 1998 - November 2004
Roche, Inc May 1995 - September 1998
Skills
FDA, Cross-functional Team..., GMP, Pharmaceutical Industry, Change Control, Six Sigma, Lean Manufacturing, Validation, Quality Assurance, PMO, Leadership, Operational Excellence, Quality Control, Manufacturing, Change Management, Sop, Quality System, Root Cause Analysis, Team Building, Project Management, Process Improvement, Resource Management, MS Project, CAPA, Process Engineering, Continuous Improvement, PMP, 21 CFR Part 11, Quality Management, Quality Auditing, Strategic Planning, Process Simulation, Management, SOP, Business Process..., Project Portfolio...
Education
Project Management Institute
PMP Certified
Fairleigh Dickinson University
MS
Rutgers University-New Brunswick
BS
Marchell Hokett Marchell Hokett's Horizon BCBS of NJ Experience December 2013 - March 2015
Job Grievance and Appeals Coordinatorat Horizon Behavioral Health
Industry Insurance
Experience
Horizon Behavioral Health March 2015 - Present
Horizon BCBS of NJ December 2013 - March 2015
Horizon Blue Cross Blue Shield of New Jersey 2005 - 2013
Horizon BCBSNJ June 2008 - December 2012
Horizon BCBS of NJ October 2004 - June 2008
Skills
Call Centers, Employee Benefits
Education
New Jersey City University
Bachelor of Science, Criminal Justice
New Jersey City University
Horizon Behavioral Health March 2015 - Present
Horizon BCBS of NJ December 2013 - March 2015
Horizon Blue Cross Blue Shield of New Jersey 2005 - 2013
Horizon BCBSNJ June 2008 - December 2012
Horizon BCBS of NJ October 2004 - June 2008
Skills
Call Centers, Employee Benefits
Education
New Jersey City University
Bachelor of Science, Criminal Justice
New Jersey City University
Stephan Stenger's Horizon BCBS of NJ Experience 1984 - 1988
Job VP at Chadler Solutions
Industry Insurance
Experience
Benefit Sources and Solutions merges with Chadler group to form Chadler Solutions 2002 - Present
Traber and Vreeland insurance January 1996 - January 2002
Horizon BCBS of NJ 1984 - 1988
Skills
Account Management, Team Building, Healthcare, Financial Analysis, Project Management, Marketing, Strategy, Life Insurance, Sales, Workers Compensation, Health Insurance, Family Business
Education
College Misericordia 1979 — 1983
Bachelor of Science (BS), Marketing
Benefit Sources and Solutions merges with Chadler group to form Chadler Solutions 2002 - Present
Traber and Vreeland insurance January 1996 - January 2002
Horizon BCBS of NJ 1984 - 1988
Skills
Account Management, Team Building, Healthcare, Financial Analysis, Project Management, Marketing, Strategy, Life Insurance, Sales, Workers Compensation, Health Insurance, Family Business
Education
College Misericordia 1979 — 1983
Bachelor of Science (BS), Marketing
Jessica Ramos's Horizon BCBS of NJ Experience April 2007 - June 2011
Job Recruiter/Vendor Manager at Citi
Industry Banking
Experience
Citi June 2011 - Present
Horizon BC/BS of NJ April 2007 - June 2011
Schering Plough January 2004 - October 2006
Taratec 2001 - 2006
Skills
Technical Staff..., Staff Augmentation, Staffing Analysis, Vendor Management, Recruiting, Global Client Management, VMO, Human Resources, Sourcing, Contingent Recruitment, Onsite-Offshore...
Education
Northeastern University
Citi June 2011 - Present
Horizon BC/BS of NJ April 2007 - June 2011
Schering Plough January 2004 - October 2006
Taratec 2001 - 2006
Skills
Technical Staff..., Staff Augmentation, Staffing Analysis, Vendor Management, Recruiting, Global Client Management, VMO, Human Resources, Sourcing, Contingent Recruitment, Onsite-Offshore...
Education
Northeastern University
Lillian Amabile's Horizon BCBS of NJ Experience November 2004 - Present
Job Vendor Administrator at Horizon BCBS of NJ
Industry Insurance
Experience
Horizon BCBS of NJ November 2004 - Present
Education
Seton Hall University 1972 — 1976
BA
Horizon BCBS of NJ November 2004 - Present
Education
Seton Hall University 1972 — 1976
BA
Griselda Chapa's Horizon BCBS of NJ Experience October 2004 - April 2006
Job Adjunct Faculty Health and Wellness at Tulane University
Industry Hospital & Health Care
Experience
Tulane University January 2014 - Present
Anthem May 2006 - Present
Wellpoint/HMC 2006 - 2008
Horizon BCBS of NJ October 2004 - April 2006
College of New Rochelle September 2003 - December 2005
NYC Health & Hospitals/Riker's Island June 2002 - October 2004
Southern Connecticut State University 1990 - 2004
University Health Plan October 1999 - June 2002
1199 National Benefit Fund 1998 - 2001
Liberty Health February 1996 - December 1998
Skills
Clinical Research, Hospitals, Epidemiology, Managed Care, Healthcare, Healthcare Management, Data Analysis, Healthcare Information..., Public Health, Research, Strategic Planning, Statistics, Quality Improvement, Medicaid, Disease Management, Medicare, Health Policy, Health Insurance, Leadership, Outcomes Research, Healthcare Consulting, Program Management, Healthcare Industry, HIPAA, Informatics
Education
Tulane University School of Medicine 2011 — 2015
ScD, Health Systems Management
Yale University School of Medicine 1991 — 1994
Phd (abd), Epidemiology
University of Illinois at Urbana-Champaign 1985 — 1988
MPH, Community Health
Loyola University Chicago 1978 — 1983
AB, Liberal Arts
Tulane University January 2014 - Present
Anthem May 2006 - Present
Wellpoint/HMC 2006 - 2008
Horizon BCBS of NJ October 2004 - April 2006
College of New Rochelle September 2003 - December 2005
NYC Health & Hospitals/Riker's Island June 2002 - October 2004
Southern Connecticut State University 1990 - 2004
University Health Plan October 1999 - June 2002
1199 National Benefit Fund 1998 - 2001
Liberty Health February 1996 - December 1998
Skills
Clinical Research, Hospitals, Epidemiology, Managed Care, Healthcare, Healthcare Management, Data Analysis, Healthcare Information..., Public Health, Research, Strategic Planning, Statistics, Quality Improvement, Medicaid, Disease Management, Medicare, Health Policy, Health Insurance, Leadership, Outcomes Research, Healthcare Consulting, Program Management, Healthcare Industry, HIPAA, Informatics
Education
Tulane University School of Medicine 2011 — 2015
ScD, Health Systems Management
Yale University School of Medicine 1991 — 1994
Phd (abd), Epidemiology
University of Illinois at Urbana-Champaign 1985 — 1988
MPH, Community Health
Loyola University Chicago 1978 — 1983
AB, Liberal Arts
Susan Stecewicz, PMP's Horizon BCBS of NJ Experience March 2009 - Present
Job Experienced PMI Certified Project Manger
Industry Information Technology and Services
Experience
Horizon BCBS of NJ March 2009 - Present
Spire Solutions Group LLC December 2008 - Present
Wyndham Worldwide 2007 - 2008
Wyndham Worldwide July 2003 - March 2007
KPMG March 2002 - July 2003
Ernst & Young 1999 - 2001
Ernst & Young 1997 - 1999
Ernst & Young 1994 - 1997
Ernst & Young 1989 - 1994
IBM 1982 - 1989
Education
Fairleigh Dickinson University 2003 — 2007
MS, Hospitality & Tourism Management
Montclair State University
BS, Computer Science and Math
Horizon BCBS of NJ March 2009 - Present
Spire Solutions Group LLC December 2008 - Present
Wyndham Worldwide 2007 - 2008
Wyndham Worldwide July 2003 - March 2007
KPMG March 2002 - July 2003
Ernst & Young 1999 - 2001
Ernst & Young 1997 - 1999
Ernst & Young 1994 - 1997
Ernst & Young 1989 - 1994
IBM 1982 - 1989
Education
Fairleigh Dickinson University 2003 — 2007
MS, Hospitality & Tourism Management
Montclair State University
BS, Computer Science and Math
Thomas Hui's Horizon BCBS of NJ Experience Senior Medical DirectorHorizon Blue Cross Blue Shield of NJ2001 - Present
Job Senior Medical Director at HorizonBCBS of NJ
Industry Hospital & Health Care
Experience
Horizon-BCBS of NJ Senior Medical DirectorHorizon Blue Cross Blue Shield of NJ2001 - Present
Horizon-BCBS of NJ 2000 - 2008
Education
Rutgers, The State University of New Jersey-Newark 2002 — 2004
MBA, Finance
New York University School of Medicine 1975 — 1979
MD, Medicine
Massachusetts Institute of Technology 1972 — 1975
SB, Chemical Engineering
Horizon-BCBS of NJ Senior Medical DirectorHorizon Blue Cross Blue Shield of NJ2001 - Present
Horizon-BCBS of NJ 2000 - 2008
Education
Rutgers, The State University of New Jersey-Newark 2002 — 2004
MBA, Finance
New York University School of Medicine 1975 — 1979
MD, Medicine
Massachusetts Institute of Technology 1972 — 1975
SB, Chemical Engineering
Scott Dille's Horizon BCBS of NJ Experience January 2015 - Present
Job Medicla Biller/Project Specialist at The Sirrus Group
Industry Hospital & Health Care
Experience
Horizon BCBS of NJ January 2015 - Present
The Sirrus Group March 2013 - December 2014
Fox Rehabilitation February 2013 - March 2013
Source One Medical Management December 2011 - October 2012
Medical Biller March 2011 - June 2011
RECOVERCARE, LLC April 2010 - December 2010
DTP BUSINESS SCHOOL May 2009 - February 2010
DTP BUSINESS SCHOOL May 2009 - February 2010
2006 - 2009 January 2008 - February 2009
2006 - 2009 January 2008 - February 2009
Skills
Great Plains, Microsoft Office, Statnet, Accounts Receivable, Billing, Invoicing, Financial Analysis, Balance, Excel, Banking, Credit, Bloomberg, Insurance, Financial Reporting, Cash Flow, Accounts Payable, Word, Outlook, Customer Relations, Analysis, Asset Management, Forecasting, Investments, Financial Modeling, Auditing, Funding, Problem Solving, Customer Service, Spreadsheets, Series 7, Research, Valuation, Financial Planning, Teamwork, Compliance, Finance, Account Reconciliation, Employee Benefits, Training, Accounting, Management, Healthcare, Lotus Notes, Health Insurance
Education
University of South Florida 1989 — 1993
Bachelor of Arts, Finance
University of South Florida 1989 — 1993
Bachelor of Arts, Finance
University of South Florida 1989 — 1993
Bachelor of Arts, Finance
DPT Business School 1991 — 1992
Diploma Higher Education, Medical Billing and Coding
Bucks County Community College 1987 — 1989
Associate, Arts
Bucks County Community College
Associate, Arts
Horizon BCBS of NJ January 2015 - Present
The Sirrus Group March 2013 - December 2014
Fox Rehabilitation February 2013 - March 2013
Source One Medical Management December 2011 - October 2012
Medical Biller March 2011 - June 2011
RECOVERCARE, LLC April 2010 - December 2010
DTP BUSINESS SCHOOL May 2009 - February 2010
DTP BUSINESS SCHOOL May 2009 - February 2010
2006 - 2009 January 2008 - February 2009
2006 - 2009 January 2008 - February 2009
Skills
Great Plains, Microsoft Office, Statnet, Accounts Receivable, Billing, Invoicing, Financial Analysis, Balance, Excel, Banking, Credit, Bloomberg, Insurance, Financial Reporting, Cash Flow, Accounts Payable, Word, Outlook, Customer Relations, Analysis, Asset Management, Forecasting, Investments, Financial Modeling, Auditing, Funding, Problem Solving, Customer Service, Spreadsheets, Series 7, Research, Valuation, Financial Planning, Teamwork, Compliance, Finance, Account Reconciliation, Employee Benefits, Training, Accounting, Management, Healthcare, Lotus Notes, Health Insurance
Education
University of South Florida 1989 — 1993
Bachelor of Arts, Finance
University of South Florida 1989 — 1993
Bachelor of Arts, Finance
University of South Florida 1989 — 1993
Bachelor of Arts, Finance
DPT Business School 1991 — 1992
Diploma Higher Education, Medical Billing and Coding
Bucks County Community College 1987 — 1989
Associate, Arts
Bucks County Community College
Associate, Arts
Karen Latterie's Horizon BCBS of NJ Experience January 2011 - Present
Job Medical Claim Operations Manager
Industry Financial Services
Experience
Horizon BCBS of NJ January 2011 - Present
AtlantiCare Administrators, In . September 1992 - December 2010
Skills
Financial Analysis, Trend Analysis, Problem Solving, Claims Management, Financial Accounting, Operating Budgets, Compliance, Internal Audit, Bookkeeping
Education
Rutgers, The State University of New Jersey-Camden
Accounting
University of Phoenix
Masters Health Administration
Horizon BCBS of NJ January 2011 - Present
AtlantiCare Administrators, In . September 1992 - December 2010
Skills
Financial Analysis, Trend Analysis, Problem Solving, Claims Management, Financial Accounting, Operating Budgets, Compliance, Internal Audit, Bookkeeping
Education
Rutgers, The State University of New Jersey-Camden
Accounting
University of Phoenix
Masters Health Administration
Barbara Brooker's Horizon BCBS of NJ Experience 2005 - 2014
Job RN residential at The ARC of Ocean County
Industry Hospital & Health Care
Experience
The ARC of Ocean County May 2014 - Present
Horizon BCBS of NJ 2005 - 2014
Health Net April 2003 - March 2005
Skills
Registered Nurses, Case Management Services, Disease Management, Prior Authorization, concurrent review, Referrals, helath department, Clinical Monitoring, HEDIS, records review, Training, Spanish, Medical Office, variety of settings, Computer Proficiency, Utilization Review, HHA education
Education
Southern New Hampshire University 2014 — 2017
Bachelor's Degree, Public Health Education and Promotion
Shelby County Community College 1983 — 1985
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse
The ARC of Ocean County May 2014 - Present
Horizon BCBS of NJ 2005 - 2014
Health Net April 2003 - March 2005
Skills
Registered Nurses, Case Management Services, Disease Management, Prior Authorization, concurrent review, Referrals, helath department, Clinical Monitoring, HEDIS, records review, Training, Spanish, Medical Office, variety of settings, Computer Proficiency, Utilization Review, HHA education
Education
Southern New Hampshire University 2014 — 2017
Bachelor's Degree, Public Health Education and Promotion
Shelby County Community College 1983 — 1985
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse
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EY