Horizon BCBSNJ
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 BCBSNJ Employees
AJS HealthCare Associates December 2010 - Present
WA Healthcare Consultants December 2010 - Present
ReAdmission Solutions October 2012 - March 2014
Ani Orthopaedics December 2010 - November 2011
Dermatopathology Institute of New Jersey December 2010 - October 2011
IntegraPartners February 2010 - December 2010
Horizon BCBSNJ 2002 - 2010
PHP Health 1998 - 2000
JFK Health System 1986 - 1997
Jacobi Medical Center 1977 - 1980
Skills
Managed Care, Strategic Planning, Healthcare Consulting, Healthcare Management, Clinical Research, Practice Management, Physicians, Healthcare, Medicaid, Health Policy, HIPAA, Hospitals, Credentialing, Process Improvement, Program Management, Healthcare Information..., Medicare, Team Building, Medical Billing, Healthcare Industry, Utilization Management, Management, Strategic Communications, Revenue Cycle, Physician Relations, Health Insurance, Provider Relations, Contract Negotiation, Training, Leadership, Medical Coding
Education
Cornell University - Johnson Graduate School of Management 1975 — 1977
MPS, Health Care Management
Cornell University - Johnson Graduate School of Management
Masters in Healthcare Management, Healthcare Management
Horizon Blue Cross Blue Shield of New Jersey December 2012 - Present
Horizon Healthcare Innovation August 2011 - December 2012
Horizon BCBSNJ September 2005 - August 2011
Horizon BCBSNJ March 2002 - September 2005
Horizon BCBSNJ March 2001 - March 2002
Horizon BCBSNJ March 1999 - March 2001
Skills
Health Insurance, Claims Resolution, Customer Support, Problem Solving, Medical Billing, Medical Coding, EDI, Production Support, Business Requirements, Analysis, Claim, User Acceptance Testing, Healthcare, Requirements Gathering, Management, Business Analysis, HMO, EHR, Gap Analysis, Healthcare Management, Customer Service, HIPAA, Leadership, PMO, PMP, Process Improvement, SDLC, SharePoint, Training, Vendor Management, Visio, Insurance, Managed Care, Healthcare Industry, Healthcare Information..., Access, Requirements Analysis, Business Objects, Systems Analysis, Business Process, Data Analysis, Waterfall, EMR, PPO, Employee Benefits, Medicaid, Provider Relations
Education
Kean College 1990 — 1995
Bachelors, Public Administration/Criminal Justice
Union County College 1991 — 1993
Associates, Criminal Justice
JDRHS 1986 — 1990
Kennesaw State University August 2015 - Present
Chamberlain College of Nursing September 2013 - Present
Grady Health System June 2013 - Present
Select Medical Corporation October 2012 - June 2013
Horizon BCBSNJ April 2011 - October 2012
Columbus LTACH Hospital November 2011 - 2012
Skills
Hospitals, Nursing, Healthcare Management, EMR, Medical/Surgical, Healthcare, Healthcare Information..., Utilization Management, Epic Systems, Informatics, BLS, EHR, ACLS, Acute Care, Meditech, Critical Care, Telemetry, Orthopedic, Mental Health, Cpr Certified, Software Documentation, Utilization Review, JCAHO, Nursing Management, Medication..., IV, Registered Nurses, Infection Control, Physician Relations, Inpatient, CPOE, Medicare, HIPAA, Case Managment, Clinical Research, Disease Management
Education
UMDNJ 2008 — 2012
MSN, Nursing Informatics
New Jersey City University 1999 — 2003
BSN, Nursing
Horizon NJ Health August 2013 - Present
Horizon BSBSNJ October 2011 - August 2013
Horizon BCBSNJ October 2005 - October 2011
Horizon Blue Cross Blue Shield March 2008 - July 2009
Skills
Healthcare Information..., Learning Management, Mental Health, Vendor Management, Program Management, Team Building, Public Speaking, Visio, Provider Relations, Policy, Adult Learning Theory, Health Policy, Managed Care, Medicaid, Team Leadership, Project Management, Health Care Reform, Customer Satisfaction, NCQA, ICD-10, Medicaid Managed Care, Self-funded, Medical Coding, Gap Analysis, Revenue Cycle, ICD-9, Claims Handling, Medical Billing, Process Improvement, Training, Medicare, HIPAA, PPO, Insurance, Healthcare, Claim, Health Insurance, Customer Service, SharePoint, Call Centers, Claims Resolution, Cross-functional Team..., Leadership, Business Analysis, Employee Relations, Change Management, Staff Development, Coaching, Project Planning, Call Center Development
Education
Capella University 2015 — 2017
Bachelor of Business Administration (BBA), Information Technology
Thomas Edison State College 2015 — 2017
Bachelor of Business Adminstration, Information Technology
Southern New Hampshire University 2014 — 2015
Bachelor of Business Administration (B.B.A.), Health/Health Care Administration/Management
Brookdale Community College 1996 — 1997
Certification, Architectural Engineering
Kearny High School 1991 — 1995
High School Diploma, English Literature (British and Commonwealth)
ACS Healthcare Provider Solutions July 2012 - October 2012
Berkeley College 2012 - 2012
Berkeley College 2012 - 2012
Berkeley College 2012 - 2012
ACS July 2011 - October 2011
Horizon BCBSNJ July 2010 - December 2010
ADP November 2009 - March 2010
Cablevision February 2003 - March 2009
Skills
Time Management, Payroll, Analysis, Customer Service, Training, Data Entry, Human Resources, Management, Administrative..., Employee Benefits, Invoicing, Troubleshooting, Call Centers, Accounting, Insurance, Microsoft Office, Communication, Event Planning, Outlook, PowerPoint, Teamwork, Leadership, Social Networking, Social Media, Entrepreneurship..., Public Speaking, Leadership Development, Microsoft Excel, Interviews, Technical Recruiting, Program Management
Education
Berkeley College 2012 — 2015
Bachelor of Science Degree, Management- Entrepreneurship
Harrison Career Institute 2003 — 2004
Diploma, Medical Office Computer Specialist/Assistant
Horizon BCBSNJ September 2010 - August 2013
Portfolio Recovery Associates October 2006 - August 2008
Touched with Care February 2005 - June 2007
Bank of America January 2005 - April 2006
JC Penney July 2005 - December 2005
Farm Fresh December 2003 - April 2004
Skills
Customer Satisfaction, Health Insurance, Managing Accounts, Networking, Orginization, Quality Assurance
Education
Norfolk State University
Bachelor of Science (B.S.), Multi/Interdisciplinary Studies
Wards Corner Beauty Academy-Norfolk 2003 — 2004
Certificate of Completion, Cosmetology/Cosmetologist, General
Horizon BCBSNJ June 2012 - Present
Horizon Healthcare Innovations August 2010 - June 2012
Horizon Blue Cross Blue Shield of New Jersey 2007 - 2010
Skills
Crisis Communications, Corporate Communications, Internal Communications, Marketing Communications, Strategic Communications, Integrated Marketing, Media Relations, Press Releases, Copywriting, Public Relations, Copy Editing, Newsletters, Brand Development, Social Media Marketing, Direct Marketing, Email Marketing, Digital Strategy, Digital Marketing, Online Marketing, Direct Mail, Social Networking, Marketing, Online Advertising
Education
University of Scranton 1997 — 2001
Marketing
City of Orange August 2012 - Present
Horizon BCBSNJ August 2011 - October 2012
Horizon Blue Cross Blue Shield of New Jersey August 2011 - August 2012
Skills
Community Outreach, Non-profits, Fundraising, Customer Service, Grant Writing, Event Planning, Nonprofits, Policy, Policy Analysis, Program Development, Public Policy, Public Speaking, Strategic Planning, System Administration, Program Management, Research, Data Analysis, Leadership Development, Analysis, Leadership, Program Evaluation
Education
Kean University 2003 — 2005
Master of Public Administration (M.P.A.), Public Administration
Temple University 1999 — 2003
Bachelor of Arts (B.A.), Political Science and Government
Cambia Health Solutions December 2012 - Present
CSB Insurance Consulting April 2011 - Present
Meritain Health, an Aetna Company February 2012 - December 2012
Propel Insurance May 2009 - April 2011
Premera Blue Cross March 2000 - September 2008
BCBS of Colorado & Nevada September 1997 - March 2000
Horizon BCBSNJ 1989 - 1997
Skills
Health Insurance, Employee Benefits, Managed Care, Insurance, Microsoft Office, Disability Insurance, Management, Process Improvement, Healthcare, Sales, Life Insurance, Leadership, Benefits Administration, Claim, Operations Management, Strategic Planning, Sales Management, Underwriting, Account Management, Brokers, Workers Compensation, Risk Management, CRM, Training, Medicare, Time Management, Performance Management, Team Leadership, Analysis, Marketing Strategy, Human Resources, Health Policy, Negotiation, Health Savings Accounts, Customer Retention, HMO, Mergers & Acquisitions, Health Care Reform, Healthcare Industry, Medicaid
Education
Alfred University 1983 — 1986
Bachelor of Arts (BA), Psychology
NaviNet July 2011 - Present
Horizon BCBSNJ March 2011 - Present
State of New Jersey Health Information Technology Commission September 2011 - December 2012
Hartford Consulting Group October 2010 - March 2011
Eclipsys December 2008 - October 2010
AvcomEast 2008 - 2008
CIGNA 2002 - 2007
Surebridge, Inc. April 2000 - September 2001
Lightbridge October 1994 - April 2000
Thomson Financial 1991 - 1994
Skills
Professional Services, Global Operations, Data Center, Technology Architecture, IT Strategy
Education
Clark University 1982 — 1988
MBA Program
Colby College 1974 — 1978
BA, Business, Human Development
Express Scripts August 2010 - Present
Horizon BCBSNJ July 2005 - January 2011
Robert Wood Johnson University Hospital Rahway 2000 - 2010
Express Scripts July 2000 - July 2005
Skills
Clinical Research, Clinical Trials, HIPAA, Pharmacy Benefit..., Hospitals, Managed Care, Utilization Management, Pharmacy, Medication Therapy..., Medicare
Education
Rutgers University-New Brunswick 1994 — 2000
PharmD, Pharmacy
UPS March 2009 - Present
UPS March 2006 - February 2009
UPS January 2004 - March 2006
Horizon-BCBSNJ March 1995 - January 2004
Skills
Recruiting, Human Resources, Program Management, Microsoft Office, Nonprofits, Event Planning, Management, Public Speaking, Policy, PowerPoint, Leadership, Training, Coaching, Budgets, Software Documentation, Customer Service, Grant Writing, Strategic Planning
Education
New Jersey City University 1980 — 1990
Studies, Business Management / Music Business
EOHS
The Janssen Pharmaceutical Companies of Johnson & Johnson April 2015 - Present
Pinnacle Health Communications September 2013 - April 2015
SAI Global June 2012 - September 2013
ClearPoint May 2010 - February 2012
Pinnacle Health Communications February 2008 - May 2010
Horizon BCBSNJ September 2005 - February 2008
Strategyx May 2004 - May 2005
Newton Gravity Shift August 2003 - May 2004
Lathian Systems October 2001 - August 2003
I-many January 2000 - July 2001
Skills
Strategy, Program Management, Business Development, CRM, Digital Marketing, Account Management, Leadership, Management, Cross-functional Team..., Project Management, Digital Strategy, Training, Marketing Strategy, Social Media, Strategic Planning, Competitive Analysis, Vendor Management, Curriculum..., Sales, Program Strategy &..., Organizational..., Start-ups, Healthcare, Management Consulting, Product Management, Consulting, Content/Product Liaison, Team Leadership, Analytics, Change Management, Adobe Creative Suite
Education
King's College 1997 — 1998
Master of Science, Healthcare Administration
King's College 1993 — 1997
Bachelor of Science, Healthcare Administration
MagnaCare February 2014 - Present
MagnaCare March 2008 - April 2012
CIGNA Healthcare 2000 - 2008
Horizon Blue Cross Blue Shield of NJ 1998 - 2000
Horizon Blue Cross Blue Shield of New Jersey 1996 - 2000
Horizon BCBSNJ 1992 - 2000
Skills
Employee Benefits, Health Insurance, Managed Care, Healthcare, Insurance, Leadership Development, Account Management, Benefits Administration, Brokers, Claim, Claims Management, Coaching, Contract Negotiation, Customer Service, Dentistry, Disability Insurance, Executive Management, Health Care Reform, HMO, HIPAA, Health Policy, Risk Management, Provider Relations, Sales, Sales Management, Selling, PPO, Pharmacy Benefit..., Healthcare Management, Healthcare Consulting, Life Insurance
Education
The College of New Jersey 1987 — 1991
BS, Economics
CHAN HEALTHCARE July 2014 - Present
CHAN Healthcare Auditors January 2010 - June 2014
CHAN Healthcare Auditors July 2007 - December 2009
Horizon BCBSNJ June 2006 - June 2007
Horizon Blue Cross Blue Shield of New Jersey 2004 - May 2006
Deloitte & Touche 2004 - 2004
Campbell Soup Company 2002 - 2004
Prudential Financial 2000 - 2003
US Army May 1995 - June 2000
Skills
IT Audit, Computer Security, Risk Assessment, Sarbanes-Oxley Act, CISA, CISM, Governance, SAS70, Network Security, COBIT, PCI DSS, Information Security, CISSP, Business Continuity, Information Technology, Disaster Recovery, Process Improvement, Internal Audit, Risk Management, Security, ITIL, COSO, Enterprise Risk..., Information Security...
Education
University of Nebraska at Kearney 1990 — 1995
Telecommunications Management, Information Systems
University of Nebraska at Kearney
Telecommunications Management
CLUB OR DIE LLC August 2009 - Present
Organization of Students For African Unity November 2003 - April 2010
Horizon BCBSNJ August 2007 - May 2008
Century 21 Department Stores April 2007 - August 2007
Foot Locker Inc March 2003 - August 2006
Circulated Newspaper September 2005 - May 2006
Montclair State University January 2004 - May 2004
General Studies October 2000 - May 2002
Benedict News September 1998 - May 2001
Education
Montclair State University
English
New York City Gibson's Chapter January 2011 - Present
ACN August 2015 - Present
Dumont Center for Rehabilitation and Nursing Care January 2015 - September 2015
Landauer Metropolitan May 2012 - January 2015
Horizon BCBSNJ 2008 - November 2011
CCT Solutions Beth Israel Medical Center under Continuum Healthcare Partners. 2005 - 2008
Skills
Time Management, Blackberry, Visual Basic, Team Leadership, PowerPoint, Lotus Notes, Access, Project Management, EMR, Healthcare, Public Speaking, Microsoft Office, Healthcare Information..., Software Documentation, Technical Support, Business Analysis, Customer Service, Outlook, Process Improvement, Hospitals, SharePoint, Training, Visio
Education
University of Southern California
Master's degree, Counseling Psychology
CUNY School of Professional Studies 2006 — 2013
Bachelors, Communications and Culture
American InterContinental University 2002 — 2004
Associate's degree, Business Administration and Management, General
is 192
USM October 2013 - Present
USM Services July 2010 - Present
Horizon - BCBSNJ January 2008 - July 2010
Horizon January 2001 - January 2008
Horizon-BCBSNJ January 1998 - January 2001
Horizon-BCBSNJ January 1995 - January 1998
Skills
Customer Service, Process Improvement, Supervisory Skills, Coaching, Scheduling, Managerial Finance, Database Administration, Labor Relations, Consulting, Business Strategy, Workforce Management, Proposal Writing, Quality Improvement, Process Scheduler, Team Building, Access, Account Management, Accounting, Analysis, Budgets, Call Centers, Change Management, Contract Management, Contract Negotiation, Customer Retention, Customer Satisfaction, Deferred Compensation, Employee Benefits, Employee Relations, Facilities Management, Forecasting, Hiring, Human Resources, Insurance, Inventory Management, Leadership, Leadership Development, Lotus Notes, Management, Microsoft Excel, Microsoft Office, Operations Management, Outlook, Performance Management, Policy, PowerPoint, Recruiting, Six Sigma, Software Documentation, Strategic Planning
Education
Villanova University 2011 — 2011
Lean Six Sigma Black Belt Cert, Lean Six Sigma Black Belt Cert
Villanova University 2011 — 2011
Bachelors, Science Health Administration
University of Phoenix 2006 — 2008
BS, Health Administration
Strategic Group Insurance Solutions December 2011 - Present
Martin Financial Group September 2002 - December 2011
Horizon BCBSNJ May 1994 - September 2002
Skills
Insurance, Employee Benefits, Health Insurance, New Business Development, Term Life Insurance, Brokers, Sales, Management, Life Insurance, Customer Service, Small Business, Disability Insurance, Selling, Health Savings Accounts, Marketing, Sales Management, Business Development, Product Knowledge, Customer Retention, Customer Relations, Leadership, Account Management, Strategic Thinking, Entrepreneurship, Consultative Selling, Driving Sales and Growth, Strategic Alliances and..., Entrepreneurial Vision, Business Management, Mobile Professional, Executive Level..., Executive Level Selling, Public Speaking, Team Leadership, Commercial Insurance, Financial Planners, Presentations, Workers Compensation, Strategic Alliances, Financial Planning
Education
Rutgers, The State University of New Jersey-New Brunswick 1988 — 1992
University of Haifa 1990 — 1991
Horizon Blue Cross Blue Shield of New Jersey November 2012 - Present
Horizon BCBSNJ August 2006 - September 2012
Horizon BCBSNJ August 2002 - June 2006
Greater Media, Inc January 2000 - January 2003
Skills
Newsletters, Marketing Communications, Internal Communications, Marketing, Strategic Communications, Management, Project Management, Corporate Branding, Training, Public Speaking, SharePoint, Health Insurance, CMS, Business Strategy, Managed Care
Education
Rowan University 1997 — 2001
B.A, Communications; Major in Journalism, Minor in Marketing
UnitedHealth Care February 2015 - Present
Healthfirst July 2012 - February 2015
Emblem January 2010 - July 2012
Humana December 2008 - January 2010
Horizon BCBSNJ November 1998 - November 2008
Skills
HIPAA, Health Insurance, Managed Care, Medicaid, Medicare, Health Policy, Provider Relations, Physicians, Healthcare Industry, HMO, Credentialing, PPO, Network Development, Medical Billing, CPT, Hospitals, Healthcare
Education
Union County College
SUNY College at Old Westbury November 2014 - Present
Pace University September 1988 - Present
Regeneron Pharmaceuticals, Inc. September 2014 - November 2014
New York College of Podiatric Medicine February 2013 - July 2014
Bergen Community College September 2009 - February 2013
Technical Traffic Consultants May 2008 - April 2009
Eos Airlines March 2008 - May 2008
Horizon BCBSNJ 2007 - 2008
NYUMC April 2007 - June 2007
Berlex Laboratories / Bayer Health Care March 2005 - March 2007
Skills
ITIL Manager, ERP design, Data Center Architecture, Disaster Recovery, Vendor Management, IT Management, Business Analysis, Program Management, Business Continuity, IT Strategy, SDLC, Process Improvement, Security, Project Management, ITIL, Information Technology, SharePoint, Change Management, ITIL Process, ERP, Data Center, IT Operations, Business Intelligence, Leadership, Windows Server, Outsourcing, Network Security, Analysis, Visio, Project Planning, IT Service Management, Governance, PMP, Enterprise Architecture, Operations Management, Information Security, Cloud Computing, Computer Security, Integration, Project Portfolio..., Active Directory, System Administration, Software Documentation, Databases, Help Desk Support, System Deployment, Business Process, Troubleshooting, Microsoft Exchange, Microsoft SQL Server
Education
Pace University 2001 — 2003
Masters of Science, Information Systems
Fordham University 1983 — 1986
Master of Arts, Philosophy
Horizon Blue Cross Blue Shield of New Jersey September 2015 - Present
Horizon BCBSNJ February 2013 - Present
Horizon Blue Cross Blue Shield of NJ January 2011 - Present
Horizon Blue Cross Blue Shield of NJ January 2006 - January 2011
Skills
Research & Analysis, Standards Compliance, Contract Management, PMO, Budgets, MS Project, Visio, PMP, Process Scheduler, Risk Management, Analysis, SharePoint, Quality Assurance, Lotus Notes, Requirements Gathering, Management, Leadership, Business Requirements, Change Management, Healthcare, Team Leadership, Health Insurance, Vendor Management, Teamwork, Cross-functional Team..., Team Building, Requirements Analysis, Risk Assessment, Process Improvement, Software Documentation, Business Process..., Data Analysis, SDLC, Managed Care, Strategy, Governance, Strategic Planning, User Acceptance Testing, Microsoft Excel, Project Delivery, Business Process, HIPAA, Scope Management, PMBOK, Strategic Thinking, Business Strategy, Risk Analysis, Troubleshooting, Healthcare Management, Customer Service
Education
Project Estimating and Scheduling – International Institute for Learning, Inc 2011 — 2011
Montclair State University
BA, English
Passaic High School
Saint Peter's University
MBA, International Business
Horizon Blue Cross Blue Shield of New Jersey September 2011 - Present
Medco Health Solutions January 2010 - September 2011
Horizon BCBSNJ January 2006 - January 2010
National Vision Administrators July 2005 - January 2006
Skills
Health Insurance, Marketing, Marketing Communications, Medicare, Pharmacy Benefit..., Proposal Writing, RFP, Technical Writing, Healthcare Industry, Management, Medicare Part D, Managed Care
Education
Montclair State University 2003 — 2005
Bachelor of Arts, English
Fordham University 2001 — 2003
The Hyland Group, Inc. June 1996 - Present
Horizon BCBSNJ May 1986 - June 1996
Bankers Trust Co October 1982 - August 1984
Allstate Property and Casulty Co. October 1977 - September 1982
Skills
Employee Benefits, Insurance, Dental, Disability Insurance, Health Insurance, Health Savings Accounts, Long-term Care, Medicare, Term Life Insurance, Brokers, Life Insurance, Underwriting, Managed Care, 401k, Public Speaking, Healthcare, Benefits Administration, Training, Strategic Planning, Team Building, Small Business, Sales, Account Management, Recruiting, Claim, Commercial Insurance, Sales Presentations, Customer Satisfaction, New Business Development, Marketing, Direct Sales, Executive Coaching, Management, Health Care Reform, Policy, Staff Development, Long Term Care Insurance, PPO, HMO, HIPAA, Budgets, Healthcare Industry, Fixed Annuities, Leadership
Education
Queens College 1974 — 1977
BA, Psychology and Education, Magna Cum Laude
Queens College 1974 — 1977
Bachelor's degree, Industrial and Organizational Psychology
Contract Leasing Corporation January 2015 - Present
Amazon.com September 2014 - December 2014
Horizon Blue Cross Blue Shield of New Jersey October 2010 - February 2013
Horizon Blue Cross Blue Shield of New Jersey May 1979 - February 2013
Horizon BCBSNJ January 1998 - October 2010
HMO Blue Managed Care January 1992 - January 1998
Horizon BCBSNJ January 1984 - January 1992
Horizon BCBSNJ January 1979 - January 1984
Skills
Microsoft Office, Invoicing, Microsoft Word, Microsoft Excel, PowerPoint, Visio, Time Management, Process Scheduler, Data Entry, Administrative..., Telephone Skills, Fax, Management, Insurance, Budgets
Education
Essex County College 2013 — 2013
Certificate/Electronic Health & Medical Records, Electrical, Electronic and Communications Engineering Technology/Technician
Wilbur Cross HS 1973 — 1977
Horizon BCBSNJ October 2005 - Present
Skills
Insurance, Health Insurance, Managed Care, Employee Benefits, Healthcare, Medicare, Process Improvement, Account Management, HIPAA, Strategic Planning, Leadership, Claim
Education
Saint Peter's University
MAQUET Medical Systems, USA April 2012 - Present
Samsung Electronics America 2011 - 2012
Dun and Bradstreet August 2009 - September 2011
Horizon BCBSNJ June 1995 - May 2009
Skills
Employee Benefits, HRIS, Sales Compensation, Incentive Programs, PeopleSoft, Employee Relations, Succession Planning, Benefits Administration, Compensation Structure..., Process Improvement, Human Resources, Vendor Management, Market Pricing, Benefits Negotiation, SOX Compliancy, SOX, Personnel Management, Deferred Compensation, Interviews, Executive Pay, Talent Management
Education
American School of Business
Rutgers University-New Brunswick
PMI Certified Rutgers CE
Rutgers, The State University of New Jersey-Newark
BS, Business Administration
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 BCBSNJ March 2007 - Present
Horizon Blue Cross Blue Shield of New Jersey December 1997 - February 2007
Kevin Kelleher Associates March 1990 - November 1997
Education
Camden County College 1993 — 1993
Health & Life Insurance License, Insurance/Business
HORIZON BCBSNJ July 2004 - September 2010
Gap Inc. March 2003 - July 2004
ANN INC. January 2002 - August 2002
Skills
Visual Merchandising, Retail Sales, Merchandising, Cashiering, Training, PowerPoint, Public Speaking, Data Entry, Microsoft Office, Outlook
Education
Wilberforce University 2000 — 2001
Bloomfield College
Sociology
University of PhoenixPresent
Bachelors Degree, Healthcare Administration
Integra LifeSciences November 2014 - Present
Aquinas Academy 2012 - Present
Integra LifeSciences December 2012 - November 2014
Down Town West Orange Business Alliance 2008 - 2013
IFF March 2011 - December 2012
Horizon Blue Cross Blue Shield of NJ February 2008 - December 2010
Horizon BCBSNJ February 2008 - July 2008
Marsh July 2006 - February 2008
Cendant Corporation 2001 - 2006
Skills
Talent Management, Performance Management, Project Management, Deferred Compensation, Talent Acquisition, Succession Planning, Employee Relations, HRIS, Onboarding, Employee Engagement, Employee Benefits, Human Resources, Workforce Planning, Organizational..., Organizational Design, Change Management, Management, Labor Relations, Interviews, Recruiting, Leadership, Technical Recruiting, Mergers, Policy, Strategic Planning
Education
Seton Hall University 1997 — 1999
BS, Business Management
Fairleigh Dickinson University-Metropolitan Campus
MBA, Mangement
Prescription Corporation of America February 2011 - Present
Alliance Benefits Strategists September 2005 - March 2010
Banc of America Insurance September 1990 - September 2005
Horizon BCBSNJ 1980 - January 1990
Education
Drew University 1966 — 1970
BA, English
Quality Insights Quality Innovation Network December 2013 - Present
Meridian Health June 2013 - June 2014
Horizon BCBSNJ September 2010 - January 2013
Centene Corporation October 2007 - August 2010
Health Network America September 1999 - October 2007
St. Barnabas Healthcare System January 1996 - September 1999
CentraState Medical Center August 1991 - January 1997
Skills
Physicians, Provider Relations, Credentialing, Account Management, Claims Management, Healthcare Management, Utilization Management, Hospitals, Healthcare, Health Policy, Business Process..., Vendor Management, Management, Healthcare Information..., Health Insurance, Practice Management, Medicine, Employee Benefits, Quality Improvement, Medicaid, Medicare, Managed Care, Healthcare Industry, Disease Management, HIPAA, Healthcare Consulting, Physician Relations, PPO, EHR, Revenue Cycle, Informatics, EMR, Home Care, Medical Billing, Inpatient, Health Information..., Medical Education, Network Development, HMO, Medical Coding, Clinical Research, Performance Improvement, Pharmacy Benefit..., Epic Systems, JCAHO
Education
Georgian Court University
B.A. cum laude, Sociology/Business Administration, 3.71 GPA
Monmouth University
M.A. magna cum laude, Humanities, 3.72 GPA
Pfizer Pharmaceuticals May 2010 - Present
Pfizer Inc. August 2008 - May 2010
Pfizer September 2006 - July 2008
Siebel Systems/Oracle Corp. May 2005 - September 2006
Horizon BCBSNJ June 1993 - April 2005
Skills
Master Data Management, Business Intelligence, Business Analysis, Data Warehousing, Data Integration, Strategy, IT Strategy, Vendor Management, Data Warehouse..., ETL, Database Design, Requirements Analysis, Business Intelligence..., CRM, Oracle, OBIEE, Informatica, Data Modeling, Data Management, Business Process, SDLC, Business Objects, Tableau, Requirements Gathering, Siebel, Enterprise Architecture, Data Quality, Analytics, Enterprise Software, Solution Architecture, Integration, Project Portfolio..., PMP
Education
City University of New York-Baruch College - Zicklin School of Business 2005 — 2008
MBA
Rutgers University-New Brunswick 1989 — 1993
B.A.
Samsung Electronics March 2015 - Present
Samsung Electronics February 2014 - Present
Horizon BCBCS NJ September 2008 - January 2014
Horizon BCBSNJ August 2004 - September 2008
Tefen USA 2001 - 2004
Skills
Onboarding, Employee Relations, Talent Management, Performance Management, Succession Planning, Human Resources, Recruiting, Employee Engagement, HR Policies, Talent Acquisition, Applicant Tracking..., Employee Benefits, Benefits Administration, College Recruiting, HRIS, PeopleSoft, Deferred Compensation
Education
Syracuse University
Bachelor's degree, Psychology
Teachers College of Columbia University
MA, Organizational Psychology
NASCO April 2012 - Present
NASCO September 2011 - May 2012
WellPoint October 2006 - December 2009
WellChoice August 2001 - October 2006
Lucent Technologies July 2000 - July 2001
Discovery Communications April 2000 - July 2000
NYLCare July 1997 - April 2000
Horizon BCBSNJ October 1994 - June 1997
Skills
Project Management, Change Management, Strategic Planning, Project Planning, Vendor Management, Healthcare, Business Analysis, Account Management, Business Development, Relationship Management, Risk Management, Program Management, Microsoft Office, Competitive Analysis, Public Speaking, Cross-functional Team..., Analysis, Team Building, MS Project, Training, Management, Outsourcing, Recruiting, Budgets, Quality Assurance, Microsoft Project
Education
New York University - Leonard N. Stern School of Business 2005 — 2007
MBA, Strategy, Management, Entrepreneurship
Ithaca College 1990 — 1994
BA, Liberal Arts and Sciences, General Studies and Humanities
EmblemHealth April 2015 - Present
EmblemHealth August 2011 - April 2015
Horizon BCBSNJ February 2010 - August 2011
Horizon Blue Cross Blue Shield of NJ January 2009 - February 2010
Horizon Blue Cross Blue Shield of New Jersey April 2007 - January 2009
Skills
PMP, MS Project, MS Office Suite, Lotus Domino, SQL, Visual Basic, Visio, JavaScript, Java, Vendor Management, Information Technology, Microsoft Office, Change Management, Business Analysis, Analysis, SDLC, Requirements Gathering, Requirements Analysis, SharePoint
Education
Saint Peter's University 2004 — 2008
MBA, Finance
Boston University 1990 — 1995
BS, Bio-medical engineering
The NPD Group November 2012 - Present
Horizon BCBSNJ June 2003 - November 2012
First Investors Corporation 2002 - 2003
United Way of New York City 2002 - 2002
Middlesex County College 2001 - 2001
Bobst Group Inc 1997 - 2001
Roselle Board of Education 1994 - 1997
Skills
ITIL, Process Improvement, Team Leadership, Project Management, Software Development, Management, SharePoint, Disaster Recovery, Software Project..., Team Management, Operations Management, SDLC, Enterprise Software, IT Management, Vendor Management, CRM, Networking, Business Analysis, Leadership, Business Intelligence, Integration, IT Strategy, Data Center, Enterprise Architecture, Project Portfolio..., PMO, Data Governance, Requirements Analysis, Visio, PMP, Solution Architecture, Requirements Gathering, Business Process, Data Warehousing, Architectures, Business Requirements, Infrastructure, Systems Analysis, Information Technology, IT Service Management, Cloud Computing, Security, Program Management, Databases
Education
Stevens Institute of Technology 2010 — 2012
EMTM, Master Technology Management
Kean University 1994 — 2001
Bachelor's degree, Computer Science
Self-employed September 2007 - Present
Horizon BCBSNJ July 1988 - August 2007
Skills
Business Analysis, HIPAA, SDLC, Requirements Gathering, Health Insurance, Business Requirements, Visio, Insurance
Education
Rutgers University-New Brunswick 1984 — 1988
Horizon BCBSNJ 2002 - Present
Prudential 1995 - 2002
Arthur Andersen 1987 - 1995
Skills
IT Audit, Enterprise Risk..., Risk Management, Sarbanes-Oxley Act, Internal Controls, Sarbanes-Oxley, Internal Audit, Operational Risk..., Financial Reporting, Auditing, PeopleSoft, Accounting, COSO, CISA, Forecasting, Management, Finance, Process Improvement, GAAP, Insurance, Financial Risk, Assurance, Financial Analysis, Risk Assessment, Business Process..., Governance, Fraud, Financial Audits, CPA, SAS70, Operational Risk, Corporate Governance, SOX 404, Financial Services, Managerial Finance, Strategic Financial..., Due Diligence, Hyperion Enterprise, Financial Planning
Education
Rutgers, The State University of New Jersey-Newark 1996 — 2000
MBA, Finance
Montclair State University 1985 — 1988
Bachelor of Arts (B.A.), Accounting
Horizon BCBSNJ 1994 - Present
Education
Rutgers University-New Brunswick 1989 — 1994
Horizon BCBSNJ September 2008 - Present
Horizon Blue Cross Blue Shield of NJ 2008 - Present
Iota Phi Theta Fraternity, Inc. 1991 - Present
Horizon BCBSNJ November 2002 - September 2008
Skills
Process Improvement, Service Operations, Program Management, Nonprofits, Microsoft Excel, Medicare, Leadership, Project Management, Microsoft Office, Managed Care, Customer Service, Business Analysis, Health Insurance, Vendor Management, Visio, Community Outreach, Public Speaking, Cross-functional Team..., Team Building, Strategic Planning, Process Management, Leadership Development, Team Leadership, Training, Healthcare, Research, Management, Insurance, Fundraising, Analysis, Active Directory, Risk Management, Access, Sales, Coaching, PowerPoint, Event Planning, Technical Support, Budgets, HIPAA, Customer Satisfaction, Change Management, Provider Relations, Software Documentation, Medicare Part D, Medicaid
Education
Kean University
IBM 2007 - Present
IBM Global Services March 1994 - Present
International Business Machines Corporation 1993 - Present
Horizon BCBSNJ 1995 - 1999
Horizon Blue Cross Blue Shield of New Jersey 1981 - 1992
Skills
Project Management, Global Resource..., Application Production..., Strategic Outsourcing..., Crisis Management, IT Strategy, Global Delivery, Requirements Analysis, Analysis, IT Management, ITIL, PMO, IT Service Management, Business Analysis, Integration, PMP, IT Outsourcing, Vendor Management, Business Transformation, Program Management, Management, Service Delivery, Leadership, Enterprise Architecture, Project Portfolio..., SDLC, Production Support, Project Delivery, Finance, Software Project..., Change Management, Business Process, BPO, Outsourcing, Process Improvement, Professional Services, Solution Architecture, Business Process..., Service Management
Education
Seton Hall University - MBA 1982 — 1987
University of Delaware - Lerner College of Business and Economics 1976 — 1980
BSBA, Finance
Novo Nordisk May 2014 - Present
Novo Nordisk August 2011 - May 2014
Novo Nordisk March 2007 - August 2011
Pfizer September 2006 - March 2007
CVS/Pharmacy July 2006 - January 2007
Horizon BCBSNJ July 2005 - June 2006
Rutgers Fellowship July 2005 - June 2006
Skills
Pharmaceutical Industry, Medical Writing, Diabetes, Pharmacists, Medical Affairs, Pharmacy, Pharmacovigilance, Regulatory Affairs, Managed Care, Regulatory Submissions, Pharmacoeconomics
Education
Rutgers, The State University of New Jersey-New Brunswick 1999 — 2005
PharmD, Pharmacy
Holmdel High School 1995 — 1999
High school
Horizon BCBSNJ May 2010 - Present
Skills
Auditing, Management, Business Analysis, Business Process..., Project Portfolio..., PMP, Process Improvement, PMO, SDLC, Vendor Management, Program Management, Requirements Analysis, Health Insurance, Resource Management, Visio, IT Strategy, Insurance
Education
University of Delaware
Horizon BCBSNJ Administrative AssistantHorizon Blue Cross Blue Shield2003 - Present
Education
Montclair State University
Horizon Blue Cross Blue Shield of New Jersey December 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2010 - December 2012
Horizon BCBSNJ October 2007 - September 2010
Horizon Blue Cross Blue Shield of NJ 2007 - 2010
Skills
Health Insurance, Insurance, Healthcare, Vendor Management, Process Improvement, Strategic Planning, Account Management, Healthcare Industry, Relationship Management, Business Analysis, Business Process..., Employee Benefits, HIPAA, HMO, Health Savings Accounts, Managed Care, Medicaid, Medicare, Medicare Part D, PPO, Risk Management, Strategy, Disease Management, Health Policy, Provider Relations
Education
Penn State University 1991 — 1995
Horizon BCBSNJ July 2008 - Present
Education
Saint Peter's University
PHH Mortgage October 2010 - Present
PHH Mortgage September 2009 - December 2010
PHH Mortgage temp thru Contemporary Staffing Solutions March 2009 - September 2009
Horizon BCBSNJ December 2008 - January 2009
Open Solutions December 2007 - June 2008
Bucher and Christian October 2007 - October 2007
Commerce Bank October 2002 - February 2007
Skills
Call Centers, Banking, Customer Service, Training, Analysis, Residential Mortgages, Health Insurance, Microsoft Office, Advertising, Nonprofits
Education
Rowan University 1999 — 2001
BA, English
Moorestown Highschool 1990 — 1994
Horizon Blue Cross Blue Shield of New Jersey November 2010 - Present
Horizon Blue Cross Blue Shield of NJ January 2007 - November 2010
Horizon BCBSNJ 1995 - 2007
Skills
SQL, Informatics, Health Insurance, Project Management, Healthcare, Unix, Management, SAS Programming, Health Care Reform, Statistical Data..., Data Analysis, Vendor Management, Process Improvement
Education
Saint Peter's University 2004 — 2007
MBA, Finance
Rutgers, The State University of New Jersey-Newark 1995 — 1999
BS, Management
Catherine Cesar, LLC May 2013 - Present
Catherine Cesar, LLC March 2013 - July 2013
Icon Information Consultants January 2011 - September 2012
Jawood August 2010 - December 2010
Tricera Partners August 2009 - August 2010
Horizon BCBSNJ March 2007 - May 2009
Horizon Blue Cross Blue Shield of New Jersey 1994 - 2009
Skills
Blueworks Live, Business Process..., SAS70, EMR, Process Improvement, Vendor Management, Health Insurance, Visio, Project Management, Business Analysis, Insurance, Healthcare, MS Project, Requirements Analysis, Requirements Gathering, Account Management, Management, Managed Care, Project Portfolio..., SDLC, Business Process..., Leadership, Business Development, Program Management, PMP, Integration
Education
Villanova University Online 2013 — 2013
Project Management Certification Prep Course, Project Management Professional, A
Rutgers, The State University of New Jersey-New Brunswick
BS, Human Ecology
Saint Elizabeth Academy
High School
Pearson plc June 2014 - Present
D&M Holdings April 2012 - June 2014
Horizon BCBSNJ May 2007 - April 2012
NYC Department of Education April 2006 - May 2007
Pearson Education October 2004 - April 2006
AT&T Wireless December 1994 - April 2004
Skills
Vendor Management, Outsourcing, Procurement, Sourcing, Vendor, Project Management, Relationship Management, Visio, Process Improvement, Program Management, Negotiation, Business Process..., Management, Contract Negotiation, Change Management, Cross-functional Team..., Leadership, Facilities Management, Contract Negotiating, Strategy
Education
Fairleigh Dickinson University
Bachelor of Arts (B.A.), Political Science and Government
Horizon BlueCrossBlueShiled NJ June 2009 - Present
Horizon Blue Cross Blue Shield of NJ March 2006 - Present
Horizon BCBSNJ 1988 - 2008
Horizon Blue Cross Blue Shield of NJ May 2001 - March 2006
Horizon Blue Cross Blue Shield of NJ October 1998 - May 2001
Horizon Blue Cross Blue Shield of NJ January 1998 - October 1998
Skills
Strategic Planning, Medicaid, Medicare, Managed Care, Health Insurance, Disease Management, Process Improvement, PMP, Leadership, HIPAA, Healthcare, Call Centers, Management, Healthcare Industry, PMO, Healthcare Consulting, Access, Vendor Management, Insurance, Provider Relations
Education
Rider University 1982 — 1986
B.A., Business Administration and German
Horizon BCBSNJ SVP-Administration and CFOBlue Cross and Blue Shield of NJ1985 - Present
Education
Fairleigh Dickinson University
Horizon BCBSNJ November 2000 - Present
HIP of New York June 1988 - October 2000
Education
Pace University School of Law 1976 — 1979
SUNY at Stony Brok 1972 — 1976
BA, Earth & Space Science/Education
Sanofi May 2015 - Present
sanofi-aventis October 2003 - Present
Schering-Plough 2000 - 2003
Horizon BCBSNJ 1988 - 2000
Skills
Contract Negotiation, Contract Management, Budgeting, Managed Care, Pharmaceutical Industry, Negotiation, Risk Management, Process Improvement, Business Strategy, Supply Chain Management, Change Management, Business Development, Pharmaceutical Sales, Business Analysis, Strategic Planning, Project Management, Account Management, Pharmacy Benefit..., Performance Management, Sales Effectiveness, Logistics, Oncology, Forecasting, Cross-functional Team..., Strategy, Market Access, Business Planning
Education
Fairleigh Dickinson University 1991 — 1995
MBA, Accounting
Fairleigh Dickinson University 1984 — 1988
BS, Finance/Economics
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
Horizon BCBSNJ November 2008 - Present
Horizon Blue Cross Blue Shield of NJ October 1997 - November 2008
Quest Diagnostics 1995 - 1997
Skills
Process Improvement, Healthcare, Medicare, Health Insurance, Insurance, Training, Managed Care, Business Analysis, Vendor Management, Data Analysis, HIPAA
Education
College of Saint Elizabeth
MS, Management
Rutgers, The State University of New Jersey-New Brunswick
BA, Communication
ADP February 2015 - Present
Grice Management Group, LLC October 2012 - Present
Hewlett Packard Johnson & Johnson November 2013 - November 2014
NTT DATA Optum Sutter Health Plan February 2013 - October 2013
HORIZON BCBSNJ June 2003 - September 2012
Concert Communications 2000 - 2002
AT&T 1998 - 2000
AT&T 1995 - 1998
Skills
Six Sigma Black Belt, Project Management, Data Forensics, First Contact Resolution, Voice of the Customer..., Client Development, eCommerce, Call Center Development, Policy Writing, MS Project, Microsoft Office, Lean Thinking, Program Development, Account Management, IP Applications..., Teleworker Program..., Business Continuity, Business Efficiency, Vendor Management, Strategic Negotiations, Program Management, Writing Business..., Project Portfolio..., Risk Management, Project Scope..., Integrated Project..., Staff Development, Full project lifecycle..., Quality Assurance, Strategic Planning, Cross-functional Team..., Project Planning, Project Charter, End User Training, Operations Management, Visio, SAP, SAS, Budget Reconciliation, Incentive Programs, Sales Management, SharePoint, Stakeholder Management, WBS, Project Execution, Change Control, Change Management, Client Liaison, Healthcare, Operational Excellence
Education
Project Management Institute 2012 — 2012
Project Management Professional Certification
Villanova University
Master's Certificate
University of Phoenix
Bucknell University
The Pingry School
Novo Nordisk A/S May 2011 - Present
Novo Nordisk June 2008 - June 2011
Health Ed, Inc. 2007 - 2008
Tricore Interactive 2005 - 2007
Patient Marketing Group 1998 - 2005
Horizon, BCBSNJ 1989 - 1998
Skills
Marketing, Pharmaceutical Industry, Diabetes, Product Launch, Pharmaceutical Sales, Marketing Strategy, Strategy, Strategic Planning, Digital Marketing, Marketing Communications, Corporate Communications, Oncology, Managed Care, Relationship Marketing, Sales Effectiveness, Cross-functional Team..., Negotiation, NCQA Certification, Zenger-Miller "Customer..., Certified in Conflict...
Education
Rowan University
Bachelor of Arts (BA), Communications with Specialization in Journalism, 3.4
Horizon BCBSNJ January 2000 - Present
Horizon Blue Cross Blue Shield of New Jersey June 1996 - October 2000
Horizon Blue Cross Blue Shield of New Jersey March 1995 - June 1996
Skills
Managed Care
Education
Rutgers, The State University of New Jersey-Newark 1987 — 1991
BA, Economics, Finance
Horizon Blue Cross Blue Shield of NJ November 1985 - Present
Horizon BCBSNJ 1985 - Present
Horizon Blue Cross Blue Shield 1985 - Present
Horizon Blue Cross Blue Shield of New Jersey 1985 - Present
BLUE CROSS BLUE SHIELD's Medix Inc. 1985 - 1995
softtran 1980 - 1985
IBM 1979 - 1980
Skills
Enterprise Architecture, Software Development, Database Design, Architecture, PMP, SDLC, Visio, C#, Vendor Management, Requirements Analysis, Process Improvement, Project Planning, Software Documentation, EDI, Health Insurance, EAI, Virtualization, Software Project..., Architectures, Requirements Gathering, Management, Disaster Recovery, Business Analysis, Integration
Education
New York University 1976 — 1980
BS, Computer Applications
roosevelt high school 1973 — 1976
Horizon BCBSNJ business systems analysthorizon bcbsnj2003 - 2008
Education
Rutgers University-New Brunswick 1993 — 2003
BA, Psychology
Horizon Blue Cross Blue Shield of New Jersey September 2010 - Present
Horizon BCBSNJ August 2007 - September 2010
Skills
Business Requirements, Business Process..., Requirements Gathering, Business Analysis, Insurance, Process Improvement, Business Process, Visio
Education
The College of New Jersey 1987 — 1991
BA, Political Science/Public Administration; Law & Justice
horizon bcbsnj
Skills
Business Analysis, Requirements Gathering, SDLC, Business Requirements, Requirements Analysis, Visio, PMO, SharePoint, Program Management, Process Improvement, Business Process..., Systems Analysis, Insurance, Microsoft Office
Education
Rutgers University-New Brunswick 1979 — 1984
Bachelor of Arts (BA), Economics and English
Delta Dental of NJ February 2014 - Present
Horizon BCBSNJ July 2009 - February 2014
Horizon BCBSNJ May 2001 - December 2009
Horizon Blue Cross Blue Shield of NJ 1998 - 2001
Horizon Blue Cross Blue Shield of NJ 1994 - 1998
Skills
Health Insurance, Employee Benefits, Sales, Management, Insurance, Dentistry, Health Savings Accounts, Customer Retention, Brokers, Claim, Managed Care, Workers Compensation, HMO, Medicare, Disability Insurance, PPO, Self-funded, Health Care Reform, Underwriting
Education
Muhlenberg College 1988 — 1992
B.A.
CVS Caremark Corporation May 2014 - Present
Horizon BCBSNJ February 2013 - April 2014
Express Scripts (formerly Medco Health Solutions, Inc.) 2009 - 2012
Medco Health Solutions, Inc 2003 - 2009
Medco Health Solutions, Inc. 1999 - 2009
Merck-Medco Managed Care 1997 - 1999
UMDNJ- New Jersey medical School 1983 - 1997
Skills
Utilization Management, Pharmacy Benefit..., Disease Management, Managed Care, Medical Affairs, Health Outcomes Research, Physician Relations, Specialty Pharmacy, Medicare Part D, Diabetes, Endocrinoloby, Benefits Design, Value-based benefits, Pharmacy, Outcomes Research, Healthcare, Document Review, Clinical Trials, Health Care Reform, Pharmacy Automation, Pharmacists, Medication Therapy..., Healthcare Information..., Clinical Research, Medication Adherence, Cross-functional Team..., HIPAA
Education
All India Institute of Medical Sciences 1968 — 1973
The Creative Group October 2014 - Present
Audible, Inc. 2014 - 2015
Horizon BCBSNJ January 1984 - January 2014
Skills
Project Management, Adobe Creative Suite, iWork, Adobe Acrobat, Microsoft Word, Team Leadership, QuarkXPress, Microsoft Excel, PowerPoint, Outlook, Training, Health Insurance, Managed Care, Medicare, Employee Benefits, HIPAA, Customer Service, Process Improvement, Provider Relations, Healthcare, Call Centers, Management
Education
University of Phoenix 2011 — 2013
Bachelor's degree, Business Administration and Management, General
Aetna December 2006 - Present
Horizon BCBSNJ June 1984 - December 2006
Horizon Blue Cross Blue Shield of NJ 1985 - 2006
Horizon Blue Cross Blue Shield of New Jersey 1982 - 2006
Skills
HMO, Group Health, PBM, National Accounts, Medical Management, Renewals, Health Plans, Medicare Supplements, Disease Management, Managed Care, Health Insurance, PPO, Consultative Selling, Brokers, Medicare, Health Savings Accounts, Healthcare Industry, Health Policy, Insurance, Sales, Health Care Reform, Underwriting, Selling, Claim, Benefits Administration, Employee Benefits, Healthcare, Disability Insurance, Self-funded, Pharmacy Benefit..., Life Insurance, COBRA, HIPAA, Long-term Care, Group Insurance, Medicare Part D, Workers Compensation, Flexible Spending..., Group Medical, Marketing Strategy, Accident, Fixed Annuities, Management, 401k, Sales Presentations
Education
Montclair State University 1976 — 1981
BS, Business
Horizon BCBSNJ August 2013 - Present
Charter Communications April 2013 - August 2013
Lockheed Martin November 2010 - March 2013
GE NBC Universal October 2006 - December 2010
iGATE Global Solutions November 2004 - November 2010
GE Capital Treasury April 2009 - October 2009
GE Transportation July 2006 - October 2006
GE Plastics December 2004 - October 2006
GE Plastics November 2004 - June 2005
Skills
Requirements Analysis, Unix, Linux, Microsoft SQL Server, SDLC, Software Project..., JavaScript, Web Services, Identity Management, Data Warehousing, SOA, Solution Architecture, Enterprise Architecture, Shell Scripting, Project Management, Testing, Resource Management, SPML, SAML, RBAC, Information Security
Education
Madurai Kamaraj University 2000 — 2004
Bachelors Engineering Degree (B.E), Electronics & Communication
Active Recovery Physical Therapy and Rehabilitation September 2015 - Present
Horizon BCBSNJ October 2006 - January 2014
Cardium Health 2004 - 2006
Prudential Healthcare 1986 - 1999
Skills
Policy, Program Management, Managed Care, Process Improvement, Leadership, Healthcare, Medicaid, Medicare, Health Insurance, HIPAA, Utilization Management, Quality Improvement, Healthcare Information...
Education
Fairleigh Dickinson University
Bachelor of Science
EmblemHealth January 2013 - Present
Horizon BCBSNJ July 1999 - March 2010
Skills
Data Analysis, Business Analysis, Microsoft Office, Testing, Insurance, HIPAA, Health Insurance, Medicare, SQL, Requirements Analysis, User Acceptance Testing, Analysis, Lotus Notes, Healthcare, Customer Service, Process Improvement, Microsoft Word, Troubleshooting, Systems Analysis
Education
Rutgers, The State University of New Jersey-New Brunswick
BA, Psychology
Rutgers New Jersey Medical School November 2003 - Present
Horizon BCBSNJ September 1995 - November 2003
Skills
Healthcare, Project Management, Process Improvement, Strategic Planning, Leadership Development, Change Management, Vendor Management, Microsoft Office, Public Speaking, PowerPoint, Budgets, Management, Outlook, Public Health, Teaching
Education
Dowling College 1999 — 2001
MBA, Business Administration
Montclair State University 1991 — 1995
Marketing
Horizon BCBSNJ May 2012 - Present
Polo Ralph Lauren May 2007 - May 2012
Hess Corporation September 2006 - May 2007
TIAA-CREF 1998 - 2006
KPMG 1994 - 1998
Skills
Internal Audit, Auditing, Internal Controls, CPA, Financial Audits, Sarbanes-Oxley, External Audit
Education
Borough of Manhattan Community College
AAS, Accounting
Pace University - Lubin School of Business
BBA, Accounting
Horizon BCBSNJ May 2011 - Present
Magellan Health Services 2001 - 2010
Magellan Health Services 1994 - 2001
Skills
Change Management, Strategy, Provider Relations, Strategic Planning, Team Building, Project Management, CRM, Managed Care, Leadership Development, Quantitative Research, Healthcare, HIPAA, Operations Management, Healthcare Management, Training, Management, Leadership, Medicare
Education
Rutgers University-New Brunswick
BA, Psychology
the hebrew corner 2013 - Present
Celgene Corporation October 2011 - September 2012
Horizon Blue Cross Blue Shield of New Jersey July 2011 - September 2011
Horizon Blue Cross Blue Shield of New Jersey June 2010 - August 2010
Atlantic Ambulance Training Center 2009 - 2009
Horizon BCBSNJ June 2008 - August 2008
Skills
Editing, Research, Non-profits, Technical Support, Program Management, Leadership, Ariba, Spanish, Report Writing, Instructional Design, Software Documentation, Management, Customer Service, Technical Writing, Analysis, Outlook, Statistics, Training, Program Evaluation, Nonprofits, Databases, Proofreading, Sourcing, Data Analysis, Time Management, Workshop Facilitation
Education
Keene State College 2007 — 2011
BA, Psychology
Keene State College 2007 — 2011
BA, Holocaust and Genocide Studies
Burlington Coat Factory Distribution Center June 2011 - November 2011
Aerotek and Accu Temp Agencies March 2011 - May 2011
Home Depot March 2008 - March 2011
Horizon BCBSNJ May 2005 - January 2008
Education
Anthem Institute-Cherry Hill 2011 — 2012
Anthem Institute
Rowan University
Health Promotion and Exercise Science
Horizon Healthcare Innovations June 2010 - Present
Horizon Healthcare Innovations May 1994 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2010 - January 2010
Horizon BCBSNJ January 2008 - January 2010
Horizon BCBSNJ January 2001 - January 2003
Horizon BCBSNJ January 1999 - January 2001
Skills
Process Improvement, Cross-functional Team..., Management, Agile Methodologies, PMO, Project Portfolio..., Talent Management, Healthcare, Budgets, Healthcare Information..., Testing, Insurance, Business Analysis, SDLC, Project Management, Requirements Analysis, Business Process..., IT Management, Business Process, Leadership, Requirements Gathering, SharePoint, Vendor Management, PMP, User Acceptance Testing, Business Requirements, Program Management, IT Strategy, Team Leadership, Visio, Resource Management
Education
Kean University
Bachelor of Management
Horizon BCBSNJ June 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2007 - May 2015
Horizon Blue Cross Blue Shield of New Jersey August 2010 - December 2011
Horizon Blue Cross Blue Shield of New Jersey May 2008 - August 2010
Skills
Testing, Management, Business Analysis, Claim, Technical Architecture, Data Migration, Infrastructure, IT Strategy, Requirements Gathering, Technical Systems, Business Requirements, Systems Analysis, PMP, Requirements Analysis, Process Automation, Vendor Management, Project Portfolio..., Visio, Enterprise Architecture, SharePoint, PMO, Data Warehousing, Software Project..., Business Intelligence, Integration, Business Process, Business Process..., Solution Architecture, Resource Management, Process Improvement, Information Technology, Program Management, Software Documentation
Education
Rutgers University 1985 — 1990
Bachelor of Science (B.S.), Political Science and Government
Horizon BCBSNJ November 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey February 2005 - November 2010
Horizon Blue Cross Blue Shield of New Jersey April 2002 - February 2005
Horizon Blue Cross Blue Shield of New Jersey May 1999 - April 2002
Toys R Us National Office September 1998 - May 1999
Beneficial Management Corporation March 1997 - July 1998
Beneficial Management Corporation February 1995 - March 1997
Skills
Health Insurance, Leadership, Analysis, Training, Management
Education
Johnson C. Smith University - JCSU 1986 — 1991
Bachelor of Science (BS), Business Administration and Management, General
Horizon Blue Cross Blue Shield of New Jersey 2008 - Present
Horizon BCBSNJ 1977 - Present
Skills
Insurance, Health Insurance, Claim, Underwriting, Risk Management, Employee Benefits, Business Analysis, Claims Management, Process Improvement
Education
Montclair State University
Bachelor of Science (BS), Business Administration
Horizon BCBSNJ November 2013 - Present
JAM FSA Consulting April 2013 - October 2013
HealthCare Partners Management Services Organization April 2004 - March 2013
Milliman March 2003 - April 2004
Towers Watson January 2001 - March 2003
DoctorsCare Network January 2000 - January 2001
Heritage New York Medical Group September 1997 - January 2000
UnitedHealthcare May 1992 - September 1997
Skills
Actuarial Science, Actuarial Consulting, Employee Benefits, Medicare, Pricing, Valuation, Financial Reporting, Healthcare, Health Insurance, Financial Risk, Finance, Process Improvement, Healthcare Information..., Leadership, Medicaid
Education
The University of Connecticut 1988 — 1992
Bachelor's degree, Actuarial Science, Honors Scholar
Horizon BCBSNJ September 2010 - March 2015
Blickman, Inc December 2007 - September 2010
Laidlaw Transit April 2006 - December 2007
Skills
PeopleSoft, Accounts Receivable, Access, Accounts Payable, Invoicing, Account Reconciliation, General Ledger, Payroll, Accounting, Insurance, Spreadsheets, Auditing, Financial Reporting, Health Insurance, Financial Analysis
Education
Saint Peter's University 2011 — 2016
Health/Health Care Administration/Management
Centers Plan for Healthy Living April 2014 - Present
Horizon BCBSNJ April 2000 - April 2014
Prudential Healthcare June 1998 - April 2000
Skills
Business Analysis, Access, Visio, Process Improvement, Cognos, Business Objects, Insurance, Business Intelligence, Business Process, Requirements Gathering, Requirements Analysis, Systems Analysis, Data Warehousing, Business Process..., Business Requirements, Management, HIPAA, Software Documentation, Healthcare
Education
Rutgers University-New Brunswick 1999 — 2003
Master of Business Administration (MBA), Finance and Computers & Information Systems
The College of New Jersey 1994 — 1998
Bachelor of Science (BS), Business Administration and Management, General