Horizon Blue Cross Blue Shield of New Jersey
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. Location: 3 Penn Plaza East; Newark, New Jersey Headquarters: Newark, New Jersey, United States CEO: Kevin P. Conlin (1 Jan 2018–) General counsel: Linda A. Willett Founded: 1932 Subsidiaries: Horizon NJ Health,
Horizon Blue Cross Blue Shield of New Jersey List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Horizon Blue Cross Blue Shield of New Jersey. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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2,058 Horizon Blue Cross Blue Shield of New Jersey employees in database. Find out everything there's to know about Horizon Blue Cross Blue Shield of New Jersey employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Horizon Blue Cross Blue Shield of New Jersey Employees
Employee
Years
Job
Industry
Paul Zaleon Paul Zaleon's Horizon Blue Cross Blue Shield of New Jersey Experience December 2014 - Present
Job Tax Analyst III at Horizon Blue Cross Blue Shield of New Jersey
Industry Accounting
Experience
Horizon Blue Cross Blue Shield of New Jersey December 2014 - Present
Ansell Healthcare, Curtiss-Wright Corp., Evonik Industries, The Hertz Corporation, Skanska USA Inc. April 2012 - November 2014
Siemens Corporation April 2011 - April 2012
Public Service Enterprise Group August 2003 - April 2011
Insurance Services Office, Inc. July 2002 - July 2003
Prudential Financial July 1999 - July 2002
Merck January 1988 - July 1999
Skills
International Tax, Corptax, Financial Reporting, OneSource, SAP, PeopleSoft, Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Exchange, Lotus Notes, Financial Analysis, Financial Accounting, SOX 404, Sales Tax, Tax Accounting, State Tax, Research & Development..., Tax Research, Partnership Tax Returns, Depreciation, State Tax Planning, Income Tax, FAS123R, UK Corporation Tax, Tax, General Ledger, Auditing, Tax Preparation, Internal Controls, Sarbanes-Oxley Act, QuickBooks, Payroll, Variance Analysis, Internal Audit, Financial Statements, SEC filings, Tax Returns, Finance, Sarbanes-Oxley, FIN 48, Access, Mergers & Acquisitions, Corporate Tax, GAAP, US GAAP, CPA, US Tax, Accounting, SEC Filings
Education
New York University - Leonard N. Stern School of Business
B.S., Accounting
Seton Hall University
Master's degree, Taxation
Horizon Blue Cross Blue Shield of New Jersey December 2014 - Present
Ansell Healthcare, Curtiss-Wright Corp., Evonik Industries, The Hertz Corporation, Skanska USA Inc. April 2012 - November 2014
Siemens Corporation April 2011 - April 2012
Public Service Enterprise Group August 2003 - April 2011
Insurance Services Office, Inc. July 2002 - July 2003
Prudential Financial July 1999 - July 2002
Merck January 1988 - July 1999
Skills
International Tax, Corptax, Financial Reporting, OneSource, SAP, PeopleSoft, Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Exchange, Lotus Notes, Financial Analysis, Financial Accounting, SOX 404, Sales Tax, Tax Accounting, State Tax, Research & Development..., Tax Research, Partnership Tax Returns, Depreciation, State Tax Planning, Income Tax, FAS123R, UK Corporation Tax, Tax, General Ledger, Auditing, Tax Preparation, Internal Controls, Sarbanes-Oxley Act, QuickBooks, Payroll, Variance Analysis, Internal Audit, Financial Statements, SEC filings, Tax Returns, Finance, Sarbanes-Oxley, FIN 48, Access, Mergers & Acquisitions, Corporate Tax, GAAP, US GAAP, CPA, US Tax, Accounting, SEC Filings
Education
New York University - Leonard N. Stern School of Business
B.S., Accounting
Seton Hall University
Master's degree, Taxation
Robert Pezzano Robert Pezzano's Horizon Blue Cross Blue Shield of New Jersey Experience November 2005 - October 2012
Job Managing Director of Sales F and G Agency
Industry Insurance
Experience
F and G Agency - "Advice Based Quality Service" November 2014 - Present
ADP October 2012 - October 2014
Horizon Blue Cross Blue Shield of New Jersey November 2005 - October 2012
Anthony & Company May 1999 - March 2004
Insurance Trust Of The New Jersey Builders Association June 1990 - May 1999
Skills
Health Insurance, Sales, Public Speaking, Sales Presentations, Account Management, Insurance, Employee Benefits, Salesforce.com, Customer Service, CRM, Property & Casualty..., New Business Development, Managed Care, Management, Sales Management, Mentoring, Selling, Sales Operations, At Multitasking, Cold Calling, Customer Retention, Customer Satisfaction, Healthcare
Education
Seton Hall University
Bachelor of Science (B.S.), Marketing
Seton Hall University
F and G Agency - "Advice Based Quality Service" November 2014 - Present
ADP October 2012 - October 2014
Horizon Blue Cross Blue Shield of New Jersey November 2005 - October 2012
Anthony & Company May 1999 - March 2004
Insurance Trust Of The New Jersey Builders Association June 1990 - May 1999
Skills
Health Insurance, Sales, Public Speaking, Sales Presentations, Account Management, Insurance, Employee Benefits, Salesforce.com, Customer Service, CRM, Property & Casualty..., New Business Development, Managed Care, Management, Sales Management, Mentoring, Selling, Sales Operations, At Multitasking, Cold Calling, Customer Retention, Customer Satisfaction, Healthcare
Education
Seton Hall University
Bachelor of Science (B.S.), Marketing
Seton Hall University
Brandon Matthews Brandon Matthews's Horizon Blue Cross Blue Shield of New Jersey Experience November 2011 - August 2013
Job Director, Project Management at Prudential Financial
Industry Insurance
Experience
Prudential Financial June 2015 - Present
Blueminc October 2005 - Present
New York Life Insurance Company August 2013 - June 2015
Horizon Blue Cross Blue Shield of New Jersey November 2011 - August 2013
Weill Cornell Medical College May 2008 - November 2011
The Salvation Army September 2003 - October 2005
Skills
SharePoint, Project Server, Project Portfolio..., Information Systems..., International Economics, Public Diplomacy, Corporate Finance, Commercial Banking, International Business, Process Improvement, Strategic Planning, Project Management, SDLC, Information Technology, Program Management, Vendor Management, PMP, PMO, Resource Management, Healthcare Information..., Management Consulting, Visio, MS Project, Business Analysis, Software Project..., Business Intelligence, Requirements Gathering, Business Process..., Business Process, Information Systems, Risk Management, Leadership, IT Strategy, Management, Strategy, Integration, Microsoft Project, Microsoft Office, Change Management
Education
Seton Hall University 2008 — 2010
MBA, Management
Seton Hall University 2006 — 2008
MA, Diplomacy and International Relations
Stockton University 2000 — 2003
CSIS, Computer Information Systems
Northeastern College 1993 — 1998
High School
Prudential Financial June 2015 - Present
Blueminc October 2005 - Present
New York Life Insurance Company August 2013 - June 2015
Horizon Blue Cross Blue Shield of New Jersey November 2011 - August 2013
Weill Cornell Medical College May 2008 - November 2011
The Salvation Army September 2003 - October 2005
Skills
SharePoint, Project Server, Project Portfolio..., Information Systems..., International Economics, Public Diplomacy, Corporate Finance, Commercial Banking, International Business, Process Improvement, Strategic Planning, Project Management, SDLC, Information Technology, Program Management, Vendor Management, PMP, PMO, Resource Management, Healthcare Information..., Management Consulting, Visio, MS Project, Business Analysis, Software Project..., Business Intelligence, Requirements Gathering, Business Process..., Business Process, Information Systems, Risk Management, Leadership, IT Strategy, Management, Strategy, Integration, Microsoft Project, Microsoft Office, Change Management
Education
Seton Hall University 2008 — 2010
MBA, Management
Seton Hall University 2006 — 2008
MA, Diplomacy and International Relations
Stockton University 2000 — 2003
CSIS, Computer Information Systems
Northeastern College 1993 — 1998
High School
Vincenza Cruz Vincenza Cruz's Horizon Blue Cross Blue Shield of New Jersey Experience November 2010 - Present
Job
Industry Staffing and Recruiting
Experience
Horizon Blue Cross Blue Shield of New Jersey November 2010 - Present
Avon September 2008 - November 2010
Lehman Brothers, Inc May 2007 - September 2008
Citi April 1999 - April 2007
PaineWebber 1997 - 1998
Skills
Talent Acquisition, Diversity & Inclusion, Applicant Tracking..., College Recruiting, Onboarding, Internet Recruiting, Technical Recruiting, Taleo, Employer Branding, Human Resources, Recruiting, Leadership, Succession Planning, Employee Relations, Management, Vendor Management, Sourcing, Workforce Planning, Temporary Placement
Education
Stevens Institute of Technology 1992 — 1994
MA
Seton Hall University 1987 — 1991
BA
Horizon Blue Cross Blue Shield of New Jersey November 2010 - Present
Avon September 2008 - November 2010
Lehman Brothers, Inc May 2007 - September 2008
Citi April 1999 - April 2007
PaineWebber 1997 - 1998
Skills
Talent Acquisition, Diversity & Inclusion, Applicant Tracking..., College Recruiting, Onboarding, Internet Recruiting, Technical Recruiting, Taleo, Employer Branding, Human Resources, Recruiting, Leadership, Succession Planning, Employee Relations, Management, Vendor Management, Sourcing, Workforce Planning, Temporary Placement
Education
Stevens Institute of Technology 1992 — 1994
MA
Seton Hall University 1987 — 1991
BA
Lauren Sunshine Lauren Sunshine's Horizon Blue Cross Blue Shield of New Jersey Experience June 2005 - August 2005
Job Network Financial Support Consultant at MetLife
Industry Insurance
Experience
MetLife July 2011 - Present
MetLife June 2006 - July 2011
Horizon Blue Cross Blue Shield of New Jersey June 2005 - August 2005
Skills
Microsoft Excel, Microsoft Word, Microsoft Office, Queries, Access Database, PowerPoint, Presentations, Data Analysis, Financial Reporting, Dental Insurance, Life Insurance, Disability Insurance, Communication, Risk Management, Business Analysis, Benefits Negotiation, Employee Benefits, Microsoft SQL Server, Fee Schedules, PPO, HMO, Social Networking, Account Management, Manage Client..., Statistics, Statistical Data..., Calculus, Retirement, Pensions, Fixed Annuities, Insurance
Education
Seton Hall University 2002 — 2006
Bachelor of Science (B.S.), Mathematics, GPA: 3.65, Cum Laude
MetLife July 2011 - Present
MetLife June 2006 - July 2011
Horizon Blue Cross Blue Shield of New Jersey June 2005 - August 2005
Skills
Microsoft Excel, Microsoft Word, Microsoft Office, Queries, Access Database, PowerPoint, Presentations, Data Analysis, Financial Reporting, Dental Insurance, Life Insurance, Disability Insurance, Communication, Risk Management, Business Analysis, Benefits Negotiation, Employee Benefits, Microsoft SQL Server, Fee Schedules, PPO, HMO, Social Networking, Account Management, Manage Client..., Statistics, Statistical Data..., Calculus, Retirement, Pensions, Fixed Annuities, Insurance
Education
Seton Hall University 2002 — 2006
Bachelor of Science (B.S.), Mathematics, GPA: 3.65, Cum Laude
Dan Ballanco Dan Ballanco's Horizon Blue Cross Blue Shield of New Jersey Experience February 2002 - May 2005
Job Software Developer / Analyst at K. Hovnanian Homes
Industry Information Services
Experience
K. Hovnanian Homes May 2005 - Present
Horizon Blue Cross Blue Shield of New Jersey February 2002 - May 2005
Accenture June 1998 - February 2002
Skills
SSRS, SQL Server Management..., Microsoft SQL Server, T-SQL, SQL, Data Management, Reporting & Analysis, Data Warehousing, Software Development, Data Analysis, Relational Databases, Visual Studio, Data Modeling, Data Mining, SSIS, Microsoft Office, SharePoint, .NET, XML, VB.NET, Project Management, DB2, Oracle, MS Project, Visio, Primavera P6, Crystal Reports, Erwin, PC building, Data Migration
Education
Seton Hall University 1995 — 1999
Bachelor of Science (B.S.), Management Information Systems, General
Pascack Hills High School 1991 — 1995
K. Hovnanian Homes May 2005 - Present
Horizon Blue Cross Blue Shield of New Jersey February 2002 - May 2005
Accenture June 1998 - February 2002
Skills
SSRS, SQL Server Management..., Microsoft SQL Server, T-SQL, SQL, Data Management, Reporting & Analysis, Data Warehousing, Software Development, Data Analysis, Relational Databases, Visual Studio, Data Modeling, Data Mining, SSIS, Microsoft Office, SharePoint, .NET, XML, VB.NET, Project Management, DB2, Oracle, MS Project, Visio, Primavera P6, Crystal Reports, Erwin, PC building, Data Migration
Education
Seton Hall University 1995 — 1999
Bachelor of Science (B.S.), Management Information Systems, General
Pascack Hills High School 1991 — 1995
Kelly Moraski Kelly Moraski's Horizon Blue Cross Blue Shield of New Jersey Experience February 2014 - Present
Job Pharmacy Specialist I
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey February 2014 - Present
The Medicine Shoppe Pharmacy September 2004 - August 2013
DelRay Thriftway / Clemens Markets January 1997 - January 2004
Skills
Pharmacy, Payroll, Accounts Payable, Prescription, Inventory Control, Insurance, Medicare Part D, Bank Reconciliation, Telephone Skills, Cash Register, Inventory Management, Microsoft Word, PowerPoint, Time Management, HIPAA, Customer Service, Pharmacy Benefit..., Data Entry, Pharmacy Technicians, Office Management, Cashiering, Medication Therapy...
Education
Bucks County Community College 2011 — 2011
Certifications, Pharmacy Technician/Assistant
Richard Stockton College of New Jersey 2000 — 2004
Bachelor of Arts (B.A.), Business Administration and Management, General
Horizon Blue Cross Blue Shield of New Jersey February 2014 - Present
The Medicine Shoppe Pharmacy September 2004 - August 2013
DelRay Thriftway / Clemens Markets January 1997 - January 2004
Skills
Pharmacy, Payroll, Accounts Payable, Prescription, Inventory Control, Insurance, Medicare Part D, Bank Reconciliation, Telephone Skills, Cash Register, Inventory Management, Microsoft Word, PowerPoint, Time Management, HIPAA, Customer Service, Pharmacy Benefit..., Data Entry, Pharmacy Technicians, Office Management, Cashiering, Medication Therapy...
Education
Bucks County Community College 2011 — 2011
Certifications, Pharmacy Technician/Assistant
Richard Stockton College of New Jersey 2000 — 2004
Bachelor of Arts (B.A.), Business Administration and Management, General
Susan M. Kelly Susan M. Kelly's Horizon Blue Cross Blue Shield of New Jersey Experience 1982 - 2007
Job Client Executive at ADP Insurance Agency
Industry Insurance
Experience
ADP Insurance Agency June 2012 - Present
Willis May 2007 - March 2011
Horizon Blue Cross Blue Shield of New Jersey 1982 - 2007
Skills
Health Insurance, Employee Benefits, Insurance, Underwriting, Disability Insurance, Managed Care, Life Insurance, Workers Compensation, Benefits Administration, Vendor Management, Risk Management, Process Improvement, Claim, Performance Management, Change Management, Mergers, Talent Management, Healthcare, Strategic Planning, Performance Improvement, Employee Engagement, Account Management, Employee Relations, Business Analysis, Financial Services, ERISA, Health Savings Accounts, Financial Risk, Relationship Management, Brokers, Defined Benefit, Talent Acquisition
Education
Seton Hall University
BS, Business Finance
ADP Insurance Agency June 2012 - Present
Willis May 2007 - March 2011
Horizon Blue Cross Blue Shield of New Jersey 1982 - 2007
Skills
Health Insurance, Employee Benefits, Insurance, Underwriting, Disability Insurance, Managed Care, Life Insurance, Workers Compensation, Benefits Administration, Vendor Management, Risk Management, Process Improvement, Claim, Performance Management, Change Management, Mergers, Talent Management, Healthcare, Strategic Planning, Performance Improvement, Employee Engagement, Account Management, Employee Relations, Business Analysis, Financial Services, ERISA, Health Savings Accounts, Financial Risk, Relationship Management, Brokers, Defined Benefit, Talent Acquisition
Education
Seton Hall University
BS, Business Finance
Marc Marcus Marc Marcus's Horizon Blue Cross Blue Shield of New Jersey Experience July 2014 - Present
Job Instructional Designer/Training Analyst III at Horizon Blue Cross Blue Shield of New Jersey
Industry Education Management
Experience
Horizon Blue Cross Blue Shield of New Jersey July 2014 - Present
Leviton Manufacturing Company January 2002 - May 2014
IBM Corporation January 2001 - September 2001
Westinghouse Electric Company July 1990 - November 2000
Fischer & Porter (now ABB) October 1989 - July 1990
Aydin Controls June 1987 - October 1989
CHI Institute April 1985 - April 1987
Skills
Technical Training, Instructor-led Training, Curriculum Design, Curriculum Development, Instructional Design, E-Learning, CBTs, Lectora, Flash Professional, ActionScript, Microsoft Office, Adobe Photoshop, Articulate & iSpring, Adobe Premiere, Adobe After Effects, HTML, CSS, Captivate, Camtasia, SnagIt, Sound Forge, WYSIWYG Web Builder, Poser, TriSpectives (3-D CAD), Multimedia, Digital Video, Video Production, Video Editing, Sorenson Squeeze, Digital Audio, Audio Editing, Solid computer skills, Technical Writing, Project Management
Education
University of Minnesota-Twin Cities 1980 — 1982
Master's Degree, Educational Administration (90% completion of Ph.D.), 3.81
Texas State University 1978 — 1980
Masters Degree Program in Educational Administration
State University of New York College at Brockport 1973 — 1977
Bachelor's Degree, Psychology, 3.11
Total Technical Institute 1982 — 1982
Diploma, Electronics and Computer Hardware Technology, 95.68
Horizon Blue Cross Blue Shield of New Jersey July 2014 - Present
Leviton Manufacturing Company January 2002 - May 2014
IBM Corporation January 2001 - September 2001
Westinghouse Electric Company July 1990 - November 2000
Fischer & Porter (now ABB) October 1989 - July 1990
Aydin Controls June 1987 - October 1989
CHI Institute April 1985 - April 1987
Skills
Technical Training, Instructor-led Training, Curriculum Design, Curriculum Development, Instructional Design, E-Learning, CBTs, Lectora, Flash Professional, ActionScript, Microsoft Office, Adobe Photoshop, Articulate & iSpring, Adobe Premiere, Adobe After Effects, HTML, CSS, Captivate, Camtasia, SnagIt, Sound Forge, WYSIWYG Web Builder, Poser, TriSpectives (3-D CAD), Multimedia, Digital Video, Video Production, Video Editing, Sorenson Squeeze, Digital Audio, Audio Editing, Solid computer skills, Technical Writing, Project Management
Education
University of Minnesota-Twin Cities 1980 — 1982
Master's Degree, Educational Administration (90% completion of Ph.D.), 3.81
Texas State University 1978 — 1980
Masters Degree Program in Educational Administration
State University of New York College at Brockport 1973 — 1977
Bachelor's Degree, Psychology, 3.11
Total Technical Institute 1982 — 1982
Diploma, Electronics and Computer Hardware Technology, 95.68
Christine Campos Christine Campos's Horizon Blue Cross Blue Shield of New Jersey Experience 2006 - 2008
Job Production Assistant at The Madison Square Garden Company
Industry Entertainment
Experience
CBS Corporation August 2011 - Present
The Madison Square Garden Company September 2010 - Present
Music Choice May 2009 - January 2010
Sirius XM Radio Inc. June 2008 - May 2009
Horizon Blue Cross Blue Shield of New Jersey 2006 - 2008
Skills
Broadcast, Final Cut Pro, Social Media, Social Networking, Facebook
Education
Seton Hall University 2004 — 2008
Bachelor of Arts (B.A.), Communication and Media Studies
CBS Corporation August 2011 - Present
The Madison Square Garden Company September 2010 - Present
Music Choice May 2009 - January 2010
Sirius XM Radio Inc. June 2008 - May 2009
Horizon Blue Cross Blue Shield of New Jersey 2006 - 2008
Skills
Broadcast, Final Cut Pro, Social Media, Social Networking, Facebook
Education
Seton Hall University 2004 — 2008
Bachelor of Arts (B.A.), Communication and Media Studies
Andrew Tobel Andrew Tobel's Horizon Blue Cross Blue Shield of New Jersey Experience September 2013 - December 2013
Job Advisory Associate, Regulatory Compliance at KPMG US
Industry Law Practice
Experience
KPMG US September 2014 - Present
Southern District of New York Mediation Program January 2014 - May 2014
Horizon Blue Cross Blue Shield of New Jersey September 2013 - December 2013
NYC Taxi and Limousine Commission June 2013 - August 2013
Honorable Denise Cobham and Honorable Paul Vichness, Superior Court of New Jersey January 2013 - April 2013
Honorable Barry P. Sarkisian, Superior Court of New Jersey May 2012 - August 2012
Applebee’s Neighborhood Bar and Grill August 2005 - May 2011
Arizona Students’ Association January 2009 - May 2009
Meyer, Hendricks & Bivens, P.A May 2005 - August 2005
Skills
Legal Research, Legal Writing, Legal Issues, Teamwork, Lexis, Corporate Law, Strategic Communications, Westlaw, Econometrics, Business Strategy, Business Analysis, Small Business, SAS, SWOT analysis, Strategic Thinking, Strategic Planning, Strategic Business, Communication Skills, Team-oriented, Public Speaking, Oral Arguments, Legal Compliance, Regulations, Healthcare, Health Insurance, Health Care Compliance, Compliance, Risk Assessment, Business Planning, Mediation
Education
Seton Hall University School of Law 2011 — 2014
Juris Doctorate, Law, Third Year
University of Arizona, Eller College of Management 2007 — 2011
Bachelor of Science (B.S.), Economics
KPMG US September 2014 - Present
Southern District of New York Mediation Program January 2014 - May 2014
Horizon Blue Cross Blue Shield of New Jersey September 2013 - December 2013
NYC Taxi and Limousine Commission June 2013 - August 2013
Honorable Denise Cobham and Honorable Paul Vichness, Superior Court of New Jersey January 2013 - April 2013
Honorable Barry P. Sarkisian, Superior Court of New Jersey May 2012 - August 2012
Applebee’s Neighborhood Bar and Grill August 2005 - May 2011
Arizona Students’ Association January 2009 - May 2009
Meyer, Hendricks & Bivens, P.A May 2005 - August 2005
Skills
Legal Research, Legal Writing, Legal Issues, Teamwork, Lexis, Corporate Law, Strategic Communications, Westlaw, Econometrics, Business Strategy, Business Analysis, Small Business, SAS, SWOT analysis, Strategic Thinking, Strategic Planning, Strategic Business, Communication Skills, Team-oriented, Public Speaking, Oral Arguments, Legal Compliance, Regulations, Healthcare, Health Insurance, Health Care Compliance, Compliance, Risk Assessment, Business Planning, Mediation
Education
Seton Hall University School of Law 2011 — 2014
Juris Doctorate, Law, Third Year
University of Arizona, Eller College of Management 2007 — 2011
Bachelor of Science (B.S.), Economics
Pamela Miller, Esq. Pamela Miller, Esq.'s Horizon Blue Cross Blue Shield of New Jersey Experience 1992 - 2003
Job President and Chief Executive Officer at Summit Global Strategies, Ltd.
Industry International Affairs
Experience
Summit Global Strategies, Ltd. July 2012 - Present
Medco 2003 - October 2012
Medco Health Solutions October 2003 - June 2012
Garden State Bar Association 2005 - 2006
Horizon Blue Cross Blue Shield of NJ 1992 - 2003
Horizon Blue Cross Blue Shield of New Jersey 1992 - 2003
City of New York 1991 - 1992
Skills
Business Strategy, Market Planning, Corporate Social..., Philanthropy, Client Relationship..., Environmental Policy, Government Relations, Lobbying, Strategy, Strategic Planning, Policy, Program Management, CRM, Marketing Strategy, Sustainability, Contract Negotiation, Leadership, Project Management, Managed Care, Cross-functional Team..., Healthcare, Negotiation, Mergers & Acquisitions, Health Policy, Executive Management, Healthcare Industry, Team Building, Business Development, Proposal Writing, Organizational..., Strategic Partnerships, Process Improvement, Analysis, Management Consulting, Leadership Development, Business Planning, Budgets, Fundraising, Entrepreneurship, Medicaid, Change Management, Start-ups, Management, Nonprofits, Risk Management, Governance, Strategic Communications, Public Policy, Government, Public Speaking
Education
Wharton School, University of Pennsylvania 1999 — 1999
Certificate in Financial Management, Finance and Financial Management Services
Seton Hall University School of Law 1981 — 1985
Doctor of Law (J.D.), Law
New York University Graduate School of Public Administration 1977 — 1979
Master of Public Administration (MPA), Health Policy, Planning and Administration
Saint Peter's University
Bachelor of Science (B.S.), Natural Science, Biology
Summit Global Strategies, Ltd. July 2012 - Present
Medco 2003 - October 2012
Medco Health Solutions October 2003 - June 2012
Garden State Bar Association 2005 - 2006
Horizon Blue Cross Blue Shield of NJ 1992 - 2003
Horizon Blue Cross Blue Shield of New Jersey 1992 - 2003
City of New York 1991 - 1992
Skills
Business Strategy, Market Planning, Corporate Social..., Philanthropy, Client Relationship..., Environmental Policy, Government Relations, Lobbying, Strategy, Strategic Planning, Policy, Program Management, CRM, Marketing Strategy, Sustainability, Contract Negotiation, Leadership, Project Management, Managed Care, Cross-functional Team..., Healthcare, Negotiation, Mergers & Acquisitions, Health Policy, Executive Management, Healthcare Industry, Team Building, Business Development, Proposal Writing, Organizational..., Strategic Partnerships, Process Improvement, Analysis, Management Consulting, Leadership Development, Business Planning, Budgets, Fundraising, Entrepreneurship, Medicaid, Change Management, Start-ups, Management, Nonprofits, Risk Management, Governance, Strategic Communications, Public Policy, Government, Public Speaking
Education
Wharton School, University of Pennsylvania 1999 — 1999
Certificate in Financial Management, Finance and Financial Management Services
Seton Hall University School of Law 1981 — 1985
Doctor of Law (J.D.), Law
New York University Graduate School of Public Administration 1977 — 1979
Master of Public Administration (MPA), Health Policy, Planning and Administration
Saint Peter's University
Bachelor of Science (B.S.), Natural Science, Biology
Cherie-Lynn Dingman Cherie-Lynn Dingman's Horizon Blue Cross Blue Shield of New Jersey Experience May 2014 - August 2014
Job Law Clerk to the Honorable Hector R. Velazquez, P.J. Ch.
Industry Law Practice
Experience
Superior Court of New Jersey, Hudson Vicinage, Chancery Division August 2015 - Present
Daiichi Sankyo, Inc. August 2014 - May 2015
Horizon Blue Cross Blue Shield of New Jersey May 2014 - August 2014
St. Joseph's Healthcare System May 2014 - August 2014
New Jersey Office of Attorney General September 2013 - December 2013
Superior Court of New Jersey, Hudson Vicinage, Chancery Division May 2013 - August 2013
University of Minnesota Law School - Finance Department December 2009 - May 2012
Skills
Medicare, Health Care Reform, HIPAA, Compliance, Public Speaking, Customer Service, Legal Writing, Policy, PowerPoint, Legal Research, Health Law, Pharmaceutical Industry, FCPA, Medical Devices, Microsoft Excel
Education
Seton Hall University School of Law 2012 — 2015
Juris Doctor, Healthcare Compliance
University of Minnesota-Twin Cities 2008 — 2012
Bachelor of Arts (BA), Economics, Spanish Studies
Universitat Pompeu Fabra
Spanish Studies
Superior Court of New Jersey, Hudson Vicinage, Chancery Division August 2015 - Present
Daiichi Sankyo, Inc. August 2014 - May 2015
Horizon Blue Cross Blue Shield of New Jersey May 2014 - August 2014
St. Joseph's Healthcare System May 2014 - August 2014
New Jersey Office of Attorney General September 2013 - December 2013
Superior Court of New Jersey, Hudson Vicinage, Chancery Division May 2013 - August 2013
University of Minnesota Law School - Finance Department December 2009 - May 2012
Skills
Medicare, Health Care Reform, HIPAA, Compliance, Public Speaking, Customer Service, Legal Writing, Policy, PowerPoint, Legal Research, Health Law, Pharmaceutical Industry, FCPA, Medical Devices, Microsoft Excel
Education
Seton Hall University School of Law 2012 — 2015
Juris Doctor, Healthcare Compliance
University of Minnesota-Twin Cities 2008 — 2012
Bachelor of Arts (BA), Economics, Spanish Studies
Universitat Pompeu Fabra
Spanish Studies
Tracy Ceglia Tracy Ceglia's Horizon Blue Cross Blue Shield of New Jersey Experience June 1994 - January 2011
Job
Industry Information Technology and Services
Experience
NASCO January 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey June 1994 - January 2011
Skills
SDLC, Vendor Management, Requirements Gathering, Process Improvement, Business Analysis, Business Process..., Health Insurance, PMP, Business Requirements, HIPAA, Insurance, Program Management, PMO, Project Portfolio..., Requirements Analysis, Software Documentation, Visio
Education
Richard Stockton College of New Jersey 1992 — 1994
Bachelor of Business Administration (BBA), Business Administration and Management, General
NASCO January 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey June 1994 - January 2011
Skills
SDLC, Vendor Management, Requirements Gathering, Process Improvement, Business Analysis, Business Process..., Health Insurance, PMP, Business Requirements, HIPAA, Insurance, Program Management, PMO, Project Portfolio..., Requirements Analysis, Software Documentation, Visio
Education
Richard Stockton College of New Jersey 1992 — 1994
Bachelor of Business Administration (BBA), Business Administration and Management, General
Kelly Mankow-Fazzino Kelly Mankow-Fazzino's Horizon Blue Cross Blue Shield of New Jersey Experience August 1999 - Present
Job Customer Service Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey August 1999 - Present
AtlantiCare August 1999 - January 2011
Skills
Organization, Management, Team Building, Strategic Planning, Building Relationships, Problem..., Customer Service
Education
Richard Stockton College of New Jersey 1997 — 1998
Holy Spirit High School 1992 — 1996
Horizon Blue Cross Blue Shield of New Jersey August 1999 - Present
AtlantiCare August 1999 - January 2011
Skills
Organization, Management, Team Building, Strategic Planning, Building Relationships, Problem..., Customer Service
Education
Richard Stockton College of New Jersey 1997 — 1998
Holy Spirit High School 1992 — 1996
Ajit Tripathy Ajit Tripathy's Horizon Blue Cross Blue Shield of New Jersey Experience May 2011 - April 2012
Job Program Manager at United Health Group
Industry Information Technology and Services
Experience
United Health Group April 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2011 - April 2012
LexisNexis June 2010 - May 2011
Travelers Insurance May 2006 - June 2010
Satyam Computer services Limited November 1997 - May 2006
Skills
PMP, Certified Scrum Master, Property & Casualty..., Healthcare Information..., Program Management, Process Improvement, Requirements Gathering, Project Management, Testing, PMO, Management, Analysis, Leadership, User Acceptance Testing, SDLC, Software Project..., Microsoft SQL Server, Agile Methodologies, Scrum, Vendor Management, Solution Architecture, Software Development, Requirements Analysis
Education
Sambalpur University 1993 — 1997
Bachelor's degree, Communication Engineering
University College of Engineering 1993 — 1997
B.E, Electronics and Telecommunication Engineering
United Health Group April 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2011 - April 2012
LexisNexis June 2010 - May 2011
Travelers Insurance May 2006 - June 2010
Satyam Computer services Limited November 1997 - May 2006
Skills
PMP, Certified Scrum Master, Property & Casualty..., Healthcare Information..., Program Management, Process Improvement, Requirements Gathering, Project Management, Testing, PMO, Management, Analysis, Leadership, User Acceptance Testing, SDLC, Software Project..., Microsoft SQL Server, Agile Methodologies, Scrum, Vendor Management, Solution Architecture, Software Development, Requirements Analysis
Education
Sambalpur University 1993 — 1997
Bachelor's degree, Communication Engineering
University College of Engineering 1993 — 1997
B.E, Electronics and Telecommunication Engineering
Debbie Smith, MHRM Debbie Smith, MHRM's Horizon Blue Cross Blue Shield of New Jersey Experience November 2008 - June 2012
Job Life Marketer at Universal Financial Services (UFS)
Industry Telecommunications
Experience
Universal Financial Services (UFS) April 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2008 - June 2012
MAIF March 2002 - July 2004
Prudential Financial August 1997 - July 2001
Skills
Fraud Investigations, Corporate Communications, Time Management, Coaching, Team Motivator, Administration, Team Building, Network Marketing, Multi-Level Marketing, Investigative Reporting, Accident Investigation, Negotiation, Entrepreneurship, Marketing, Interviews, Training, Leadership Development, Social Networking, Editing, Leadership
Education
University of Phoenix 2010 — 2012
Masters, Management
Seton Hall University 1993 — 1998
Bachelor's degree, Criminal Justice
Universal Financial Services (UFS) April 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2008 - June 2012
MAIF March 2002 - July 2004
Prudential Financial August 1997 - July 2001
Skills
Fraud Investigations, Corporate Communications, Time Management, Coaching, Team Motivator, Administration, Team Building, Network Marketing, Multi-Level Marketing, Investigative Reporting, Accident Investigation, Negotiation, Entrepreneurship, Marketing, Interviews, Training, Leadership Development, Social Networking, Editing, Leadership
Education
University of Phoenix 2010 — 2012
Masters, Management
Seton Hall University 1993 — 1998
Bachelor's degree, Criminal Justice
DEBADRITA SAHA's Horizon Blue Cross Blue Shield of New Jersey Experience January 2012 - December 2013
Job Sr. Business Analyst at ikaSystems
Industry Information Technology and Services
Experience
ikaSystems 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2012 - December 2013
Hindustan Aeronautics Limited February 2002 - September 2002
Education
Syracuse University 2005 — 2008
Master of Science (M.S.), SUPPLY CHAIN MANAGEMENT & CRM
Visvesvaraya Technological University
B.E, ELECTRICAL AND ELECTRONICS
ikaSystems 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2012 - December 2013
Hindustan Aeronautics Limited February 2002 - September 2002
Education
Syracuse University 2005 — 2008
Master of Science (M.S.), SUPPLY CHAIN MANAGEMENT & CRM
Visvesvaraya Technological University
B.E, ELECTRICAL AND ELECTRONICS
Melissa Gaffney's Horizon Blue Cross Blue Shield of New Jersey Experience December 2010 - September 2012
Job Director, IT Client Delivery CareMore
Industry Hospital & Health Care
Experience
CareMore Health Plan July 2014 - Present
Anthem September 2012 - August 2014
Horizon Blue Cross Blue Shield of New Jersey December 2010 - September 2012
Healthfirst November 2008 - December 2010
ADP October 2007 - October 2008
Prudential Financial October 2006 - October 2007
Towers Watson January 2005 - July 2005
MetLife 1994 - 2005
Skills
Vendor Management, SDLC, Process Improvement, Insurance, Business Analysis, Project Management, PMO, Program Management, Change Management, HIPAA, PMP, Business Process..., Requirements Gathering, Software Project..., IT Strategy, Team Leadership, Visio, Management, Requirements Analysis, Project Portfolio..., Business Intelligence, Business Process, Software Documentation, Strategy
Education
The University of Connecticut School of Business 1992 — 1994
Bachelor of Arts
University of Connecticut 1992 — 1994
BA
Saint Lawrence University 1990 — 1992
The Ethel Walker School
CareMore Health Plan July 2014 - Present
Anthem September 2012 - August 2014
Horizon Blue Cross Blue Shield of New Jersey December 2010 - September 2012
Healthfirst November 2008 - December 2010
ADP October 2007 - October 2008
Prudential Financial October 2006 - October 2007
Towers Watson January 2005 - July 2005
MetLife 1994 - 2005
Skills
Vendor Management, SDLC, Process Improvement, Insurance, Business Analysis, Project Management, PMO, Program Management, Change Management, HIPAA, PMP, Business Process..., Requirements Gathering, Software Project..., IT Strategy, Team Leadership, Visio, Management, Requirements Analysis, Project Portfolio..., Business Intelligence, Business Process, Software Documentation, Strategy
Education
The University of Connecticut School of Business 1992 — 1994
Bachelor of Arts
University of Connecticut 1992 — 1994
BA
Saint Lawrence University 1990 — 1992
The Ethel Walker School
Carol Zicker Carol Zicker's Horizon Blue Cross Blue Shield of New Jersey Experience July 2013 - Present
Job Health Educator III at Horizon Blue Cross Blue Shield of New Jersey
Industry Health, Wellness and Fitness
Experience
Horizon Blue Cross Blue Shield of New Jersey July 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2007 - July 2013
Community Medical Center, Center for Diabetes Education January 2000 - February 2007
Joslin Inpatient Department January 1996 - January 2000
Joslin/Renal Unit January 1991 - January 1996
Community Medical Center-Toms River, NJ January 1989 - January 1991
Community Medical Center-Toms River, NJ August 1988 - January 1989
Skills
Curriculum Development, Motivational..., Microsoft Office, Community Outreach, Public Speaking, Health Education, Teaching, Lotus Notes, Disease Management, Health Promotion, Nutrition, Wellness, Chronic Illness, Weight Management, Asthma, Osteoporosis, Diabetes, Patient Education, Healthcare
Education
Thomas Edison State College 2013 — 2017
Master of Science in Nursing (MSN), Nurse Educator
Seton Hall University 1984 — 1988
Bachelor of Science in Nursing (BSN), Nursing
Horizon Blue Cross Blue Shield of New Jersey July 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2007 - July 2013
Community Medical Center, Center for Diabetes Education January 2000 - February 2007
Joslin Inpatient Department January 1996 - January 2000
Joslin/Renal Unit January 1991 - January 1996
Community Medical Center-Toms River, NJ January 1989 - January 1991
Community Medical Center-Toms River, NJ August 1988 - January 1989
Skills
Curriculum Development, Motivational..., Microsoft Office, Community Outreach, Public Speaking, Health Education, Teaching, Lotus Notes, Disease Management, Health Promotion, Nutrition, Wellness, Chronic Illness, Weight Management, Asthma, Osteoporosis, Diabetes, Patient Education, Healthcare
Education
Thomas Edison State College 2013 — 2017
Master of Science in Nursing (MSN), Nurse Educator
Seton Hall University 1984 — 1988
Bachelor of Science in Nursing (BSN), Nursing
Nicholas Cavallo Nicholas Cavallo's Horizon Blue Cross Blue Shield of New Jersey Experience July 2015 - Present
Job Account Consultant, Government Programs at Horizon Blue Cross Blue Shield of New Jersey
Industry Management Consulting
Experience
Horizon Blue Cross Blue Shield of New Jersey July 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey July 2013 - Present
Best Buy September 2012 - December 2012
Best Buy August 2009 - September 2012
TJ Maxx November 2007 - August 2009
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Research, Teamwork, Public Speaking, Customer Service, Social Media, English, Leadership, Business Strategy, Social Networking, Customer Satisfaction, Sales, Management, Time Management
Education
Seton Hall University 2007 — 2011
Bachelor of Science (BS), Business Administration and Management, General
W. Paul Stillman School of Business 2007 — 2011
Bachelor of Science, Business Administration
St. Benedict's Prep 2003 — 2007
Horizon Blue Cross Blue Shield of New Jersey July 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey July 2013 - Present
Best Buy September 2012 - December 2012
Best Buy August 2009 - September 2012
TJ Maxx November 2007 - August 2009
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Research, Teamwork, Public Speaking, Customer Service, Social Media, English, Leadership, Business Strategy, Social Networking, Customer Satisfaction, Sales, Management, Time Management
Education
Seton Hall University 2007 — 2011
Bachelor of Science (BS), Business Administration and Management, General
W. Paul Stillman School of Business 2007 — 2011
Bachelor of Science, Business Administration
St. Benedict's Prep 2003 — 2007
Santo Munafo Santo Munafo's Horizon Blue Cross Blue Shield of New Jersey Experience June 1990 - July 2008
Job Medicaid RAC Senior Auditor at HMS Holdings
Industry Hospital & Health Care
Experience
HMS Holdings September 2011 - Present
US Government August 2008 - September 2011
Horizon Blue Cross Blue Shield of New Jersey June 1990 - July 2008
Skills
Process Improvement, Healthcare, Management, Team Building, Recruiting, Auditing, Credit Balance, Medicaid TPL Auditing
Education
Seton Hall University 1980 — 1984
BS, Political Science
HMS Holdings September 2011 - Present
US Government August 2008 - September 2011
Horizon Blue Cross Blue Shield of New Jersey June 1990 - July 2008
Skills
Process Improvement, Healthcare, Management, Team Building, Recruiting, Auditing, Credit Balance, Medicaid TPL Auditing
Education
Seton Hall University 1980 — 1984
BS, Political Science
John Dante, FSA, MAAA John Dante, FSA, MAAA's Horizon Blue Cross Blue Shield of New Jersey Experience May 2012 - January 2014
Job Director and Actuary, Dental & Vision Pricing at MetLife
Industry Insurance
Experience
MetLife April 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2012 - January 2014
Lehigh Valley Toastmasters July 2011 - June 2012
Dante Actuarial Consulting, LLC June 2009 - May 2012
Blue Cross of Northeastern PA January 2007 - May 2009
Guardian Life Insurance June 1993 - October 2006
MetLife June 1980 - June 1993
Skills
Underwriting, Training/Mentoring, Internal Audit, Insurance, Employee Benefits, Healthcare Pricing, Healthcare Legislation, Actuarial, Analytics, Pricing, Actuarial Science, Reinsurance, Risk Management, Retirement, Health Insurance, Healthcare, Leadership, Life Insurance, Disability Insurance, Process Improvement, Organizational..., Training, Consulting, Managed Care, Brokers, Health Care Reform, Financial Analysis, Financial Risk, Data Analysis, Strategic Financial..., Finance, Analysis, Financial Modeling, Workers Compensation, Health Policy, Competitive Analysis, Predictive Modeling, Health Savings Accounts, Business Planning, Benefits Administration, Strategy, Executive Management, Actuarial Consulting
Education
Stony Brook University 1976 — 1980
BS, Applied Math & Statistics/ Economics
St. Anthony's High School 1972 — 1976
MetLife April 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2012 - January 2014
Lehigh Valley Toastmasters July 2011 - June 2012
Dante Actuarial Consulting, LLC June 2009 - May 2012
Blue Cross of Northeastern PA January 2007 - May 2009
Guardian Life Insurance June 1993 - October 2006
MetLife June 1980 - June 1993
Skills
Underwriting, Training/Mentoring, Internal Audit, Insurance, Employee Benefits, Healthcare Pricing, Healthcare Legislation, Actuarial, Analytics, Pricing, Actuarial Science, Reinsurance, Risk Management, Retirement, Health Insurance, Healthcare, Leadership, Life Insurance, Disability Insurance, Process Improvement, Organizational..., Training, Consulting, Managed Care, Brokers, Health Care Reform, Financial Analysis, Financial Risk, Data Analysis, Strategic Financial..., Finance, Analysis, Financial Modeling, Workers Compensation, Health Policy, Competitive Analysis, Predictive Modeling, Health Savings Accounts, Business Planning, Benefits Administration, Strategy, Executive Management, Actuarial Consulting
Education
Stony Brook University 1976 — 1980
BS, Applied Math & Statistics/ Economics
St. Anthony's High School 1972 — 1976
Clifford Zivi Clifford Zivi's Horizon Blue Cross Blue Shield of New Jersey Experience October 2010 - Present
Job Senior Project Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of New Jersey October 2010 - Present
Johnson & Johnson, Totality Group - Ortho McNeil January 2010 - November 2010
Ethicon April 2009 - August 2010
Hesstech July 2008 - October 2008
Nestle Waters February 2008 - April 2008
SnowBird Corp August 2005 - January 2008
SnowBird Corp July 1986 - July 2005
Skills
SDLC, Program Management, Process Improvement, Business Process, Integration, Strategy, Business Analysis, PMP, Project Management, Management, Cross-functional Team..., Project Planning, PMO, Leadership
Education
State University of New York College at Fredonia 1981 — 1985
BS, Computer Sciences
Horizon Blue Cross Blue Shield of New Jersey October 2010 - Present
Johnson & Johnson, Totality Group - Ortho McNeil January 2010 - November 2010
Ethicon April 2009 - August 2010
Hesstech July 2008 - October 2008
Nestle Waters February 2008 - April 2008
SnowBird Corp August 2005 - January 2008
SnowBird Corp July 1986 - July 2005
Skills
SDLC, Program Management, Process Improvement, Business Process, Integration, Strategy, Business Analysis, PMP, Project Management, Management, Cross-functional Team..., Project Planning, PMO, Leadership
Education
State University of New York College at Fredonia 1981 — 1985
BS, Computer Sciences
Margaret Ceder Margaret Ceder's Horizon Blue Cross Blue Shield of New Jersey Experience July 2011 - Present
Job Health Insurance Benefits | Training and Development | Quality Assurance | Operations |
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey July 2011 - Present
EmblemHealth June 2004 - July 2011
Health Administrators November 1996 - June 2004
Skills
Leadership, Healthcare Management, Health Insurance, Benefits Design, Instructional Design, Training, Claim audit, Management, PowerPoint, Sales, Process Improvement, Auditing, Business Analysis, Insurance, Managed Care, Claim, Medicaid, Healthcare, Medicare, HIPAA, Employee Benefits
Education
Seton Hall University 1998 — 2001
Master of Science (MS), Human Resources Training and Development
Horizon Blue Cross Blue Shield of New Jersey July 2011 - Present
EmblemHealth June 2004 - July 2011
Health Administrators November 1996 - June 2004
Skills
Leadership, Healthcare Management, Health Insurance, Benefits Design, Instructional Design, Training, Claim audit, Management, PowerPoint, Sales, Process Improvement, Auditing, Business Analysis, Insurance, Managed Care, Claim, Medicaid, Healthcare, Medicare, HIPAA, Employee Benefits
Education
Seton Hall University 1998 — 2001
Master of Science (MS), Human Resources Training and Development
Nudrat Fatima Kazmi's Horizon Blue Cross Blue Shield of New Jersey Experience May 2010 - November 2011
Job BSA at Independence Blue Cross
Industry Information Technology and Services
Experience
IKA Systems- Client Blue Cross Blue Shield February 2014 - Present
Source InfoTech Inc., May 2005 - December 2013
Independence Blue Cross July 2012 - November 2013
The AmeriHealth Mercy Family of Companies December 2011 - May 2012
Horizon Blue Cross Blue Shield of New Jersey May 2010 - November 2011
Universal American January 2010 - April 2010
The TriZetto Group September 2009 - December 2009
Accenture/Texas Medicaid Healthcare Partnership September 2007 - September 2009
Highmark Blue Cross Blue Shield February 2006 - August 2007
Adaptis July 2005 - January 2006
Skills
Medicaid, Business Intelligence, Data Analysis, Requirements Gathering, Requirements Analysis, SDLC, Data Warehousing, Business Analysis, Management, Healthcare Information..., Software Documentation, SharePoint, Visio, Vendor Management, Integration
Education
Beaconhouse School System
DHA Degree College
Pre-Med
Govt. College of Science and Commerce
B-Com
Institute of Chartered Accountants of Pakistan (ICAP)
CA
State University of New York College at Plattsburgh
B.Sc, Intl. Business and Accounting
IKA Systems- Client Blue Cross Blue Shield February 2014 - Present
Source InfoTech Inc., May 2005 - December 2013
Independence Blue Cross July 2012 - November 2013
The AmeriHealth Mercy Family of Companies December 2011 - May 2012
Horizon Blue Cross Blue Shield of New Jersey May 2010 - November 2011
Universal American January 2010 - April 2010
The TriZetto Group September 2009 - December 2009
Accenture/Texas Medicaid Healthcare Partnership September 2007 - September 2009
Highmark Blue Cross Blue Shield February 2006 - August 2007
Adaptis July 2005 - January 2006
Skills
Medicaid, Business Intelligence, Data Analysis, Requirements Gathering, Requirements Analysis, SDLC, Data Warehousing, Business Analysis, Management, Healthcare Information..., Software Documentation, SharePoint, Visio, Vendor Management, Integration
Education
Beaconhouse School System
DHA Degree College
Pre-Med
Govt. College of Science and Commerce
B-Com
Institute of Chartered Accountants of Pakistan (ICAP)
CA
State University of New York College at Plattsburgh
B.Sc, Intl. Business and Accounting
Mohammed Kasim Mohammed Kasim's Horizon Blue Cross Blue Shield of New Jersey Experience January 2012 - July 2013
Job Consultant at Time Warner Inc.
Industry Information Technology and Services
Experience
Time Warner Inc. July 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2012 - July 2013
Reed Elsevier January 2011 - December 2011
The World Bank August 2009 - December 2010
GE Commercial Finance 2005 - 2009
Sharjah General Contracting, LLC 2002 - 2005
Skills
Business Analysis, Ab Initio BRE, Informatica IDE\IDQ, Informatica, Data Modeling, Erwin, ER/Studio, Enterprise Architecture, Teradata, Data Warehousing, Business Intelligence, Data Marts, Business Objects, Dashboard, Solution Architecture, Oracle, Data Quality, Data Profiling, Data Integration, Requirements Gathering, Dimensional Modeling, Crystal Reports, Data Governance, ETL, Unix, PL/SQL, Metadata Management, Master Data Management, Data Migration, Data Architecture, Team Management, SDLC, Analysis Services, User Acceptance Testing, Microsoft SQL Server, Data Warehouse...
Education
Sardar Patel University 1999 — 2002
MCA, Master of Computer Applications
St Joseph's E.T High School 1982 — 1996
High School
Time Warner Inc. July 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2012 - July 2013
Reed Elsevier January 2011 - December 2011
The World Bank August 2009 - December 2010
GE Commercial Finance 2005 - 2009
Sharjah General Contracting, LLC 2002 - 2005
Skills
Business Analysis, Ab Initio BRE, Informatica IDE\IDQ, Informatica, Data Modeling, Erwin, ER/Studio, Enterprise Architecture, Teradata, Data Warehousing, Business Intelligence, Data Marts, Business Objects, Dashboard, Solution Architecture, Oracle, Data Quality, Data Profiling, Data Integration, Requirements Gathering, Dimensional Modeling, Crystal Reports, Data Governance, ETL, Unix, PL/SQL, Metadata Management, Master Data Management, Data Migration, Data Architecture, Team Management, SDLC, Analysis Services, User Acceptance Testing, Microsoft SQL Server, Data Warehouse...
Education
Sardar Patel University 1999 — 2002
MCA, Master of Computer Applications
St Joseph's E.T High School 1982 — 1996
High School
Nicole R. Fisher Nicole R. Fisher's Horizon Blue Cross Blue Shield of New Jersey Experience May 2004 - August 2006
Job Attorney
Industry Law Practice
Experience
Hardin, Kundla, McKeon & Poletto January 2014 - February 2015
Office of the Essex County Counsel September 2013 - January 2014
Garden State Bar Association 2014 - 2014
Superior Court of New Jersey August 2012 - August 2013
Center for Social Justice, Seton Hall University School of Law January 2012 - May 2012
Phelan Hallinan & Schmieg, PC February 2011 - April 2012
Frenkel Lambert Weiss Weisman & Gordon August 2006 - February 2011
Horizon Blue Cross Blue Shield of New Jersey May 2004 - August 2006
Skills
Westlaw, Legal Research, Legal Writing, Litigation, Courts, Lexis, Civil Litigation, Commercial Litigation, Criminal Law, Bankruptcy, Mediation, Appeals, Trials, Legal Assistance, Intellectual Property, Family Law, Personal Injury, Arbitration, Securities Regulation, Corporate Law, Legal Issues, Construction Law
Education
Seton Hall University School of Law 2009 — 2012
Doctor of Law (J.D.)
Pennsylvania State University 2002 — 2006
Bachelor of Arts (B.A.), Crime, Law, and Justice; Sociology
Hardin, Kundla, McKeon & Poletto January 2014 - February 2015
Office of the Essex County Counsel September 2013 - January 2014
Garden State Bar Association 2014 - 2014
Superior Court of New Jersey August 2012 - August 2013
Center for Social Justice, Seton Hall University School of Law January 2012 - May 2012
Phelan Hallinan & Schmieg, PC February 2011 - April 2012
Frenkel Lambert Weiss Weisman & Gordon August 2006 - February 2011
Horizon Blue Cross Blue Shield of New Jersey May 2004 - August 2006
Skills
Westlaw, Legal Research, Legal Writing, Litigation, Courts, Lexis, Civil Litigation, Commercial Litigation, Criminal Law, Bankruptcy, Mediation, Appeals, Trials, Legal Assistance, Intellectual Property, Family Law, Personal Injury, Arbitration, Securities Regulation, Corporate Law, Legal Issues, Construction Law
Education
Seton Hall University School of Law 2009 — 2012
Doctor of Law (J.D.)
Pennsylvania State University 2002 — 2006
Bachelor of Arts (B.A.), Crime, Law, and Justice; Sociology
Sheri Hecht Leonard Sheri Hecht Leonard's Horizon Blue Cross Blue Shield of New Jersey Experience 2005 - 2013
Job Corporate Counsel | Litigation Management | Risk Management | Insurance | Employment | eDiscovery | Compliance
Industry Law Practice
Experience
Suburban Propane 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey 2005 - 2013
Horizon Blue Cross Blue Shield of New Jersey 2001 - 2005
State Farm Automobile Insurance Company, Corporate Law Department 1998 - 2001
Picillo Caruso 1994 - 1998
Skills
Managed Care, Claim, Health Insurance, Medicare, Litigation, Healthcare Management, Medicaid, Health Law, Civil Litigation, Commercial Litigation, Insurance, Legal Research, Legal Advice, Insurance Law, Corporate Law, Employment Law, HIPAA, Fraud, Litigation Management, Class Actions, Contract Negotiation, Healthcare, Dispute Resolution, Courts, Special Investigations, Appeals, Licensing, Mediation, Privacy Law, Motions, Litigation Support, Legal Writing, Trials, Hearings, Depositions, Workers Compensation, Corporate Governance, ERISA, Legal Compliance, Legal Issues, Intellectual Property, Data Privacy, Legal Assistance, Medical Compliance, Product Liability, Medical Malpractice, Health Care Compliance, Document Review, Employment..., Bankruptcy
Education
Syracuse University College of Law 1991 — 1994
JD, with honors
State University of New York at Albany 1987 — 1991
BA, Political Science and Communication, with honors
NFA
Suburban Propane 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey 2005 - 2013
Horizon Blue Cross Blue Shield of New Jersey 2001 - 2005
State Farm Automobile Insurance Company, Corporate Law Department 1998 - 2001
Picillo Caruso 1994 - 1998
Skills
Managed Care, Claim, Health Insurance, Medicare, Litigation, Healthcare Management, Medicaid, Health Law, Civil Litigation, Commercial Litigation, Insurance, Legal Research, Legal Advice, Insurance Law, Corporate Law, Employment Law, HIPAA, Fraud, Litigation Management, Class Actions, Contract Negotiation, Healthcare, Dispute Resolution, Courts, Special Investigations, Appeals, Licensing, Mediation, Privacy Law, Motions, Litigation Support, Legal Writing, Trials, Hearings, Depositions, Workers Compensation, Corporate Governance, ERISA, Legal Compliance, Legal Issues, Intellectual Property, Data Privacy, Legal Assistance, Medical Compliance, Product Liability, Medical Malpractice, Health Care Compliance, Document Review, Employment..., Bankruptcy
Education
Syracuse University College of Law 1991 — 1994
JD, with honors
State University of New York at Albany 1987 — 1991
BA, Political Science and Communication, with honors
NFA
CJ Kern, PMP, CSM, Six Sigma Green Belt CJ Kern, PMP, CSM, Six Sigma Green Belt's Horizon Blue Cross Blue Shield of New Jersey Experience November 2012 - April 2013
Job Senior IT Program Manager for Application Development at UnitedHealth Group
Industry Information Technology and Services
Experience
UnitedHealth Group May 2015 - Present
UnitedHealth Group May 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2012 - April 2013
UnitedHealthcare March 2012 - November 2012
IBM September 1997 - June 2008
Nabisco June 1994 - September 1997
Trecom Business Systems December 1992 - June 1994
Sony Corporation of America January 1989 - December 1992
Skills
PMP, Project Management, Process Improvement, Project Portfolio..., Software Development, Vendor Management, Resource Management, SDLC, Microsoft SQL Server, IT Management, PMO, IT Strategy, Leadership, SharePoint, Software Project..., Program Management, Databases, CRM, Requirements Analysis, Photoshop, Team Building, Business Process, Cross-functional Team..., MS Project, Coaching, Software Documentation, Business Analysis, Team Management, Access, Outsourcing, Visio, Agile Project Management, Requirements Gathering, Consulting, Project Planning, Project Delivery, Business Process..., IT Service Management, Integration, ITIL, Project Implementation, Process Management, Corporate Portraits, Full life cycle..., Change Management, Lean Six Sigma, Green Belt, Team Leadership
Education
Villanova University 2014 — 2015
Master's Certificate, Lean Six Sigma, A average in all courses
Coach University 2005 — 2007
CoachU - Professional Coaching
Chubb Institute 1988 — 1988
Diploma, Computer Programming
New York Institute of Photography
Seton Hall University
Communications
UnitedHealth Group May 2015 - Present
UnitedHealth Group May 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2012 - April 2013
UnitedHealthcare March 2012 - November 2012
IBM September 1997 - June 2008
Nabisco June 1994 - September 1997
Trecom Business Systems December 1992 - June 1994
Sony Corporation of America January 1989 - December 1992
Skills
PMP, Project Management, Process Improvement, Project Portfolio..., Software Development, Vendor Management, Resource Management, SDLC, Microsoft SQL Server, IT Management, PMO, IT Strategy, Leadership, SharePoint, Software Project..., Program Management, Databases, CRM, Requirements Analysis, Photoshop, Team Building, Business Process, Cross-functional Team..., MS Project, Coaching, Software Documentation, Business Analysis, Team Management, Access, Outsourcing, Visio, Agile Project Management, Requirements Gathering, Consulting, Project Planning, Project Delivery, Business Process..., IT Service Management, Integration, ITIL, Project Implementation, Process Management, Corporate Portraits, Full life cycle..., Change Management, Lean Six Sigma, Green Belt, Team Leadership
Education
Villanova University 2014 — 2015
Master's Certificate, Lean Six Sigma, A average in all courses
Coach University 2005 — 2007
CoachU - Professional Coaching
Chubb Institute 1988 — 1988
Diploma, Computer Programming
New York Institute of Photography
Seton Hall University
Communications
Rick Travers, PMP Rick Travers, PMP's Horizon Blue Cross Blue Shield of New Jersey Experience December 2011 - September 2012
Job Vice President of Information Technology
Industry Information Technology and Services
Experience
Triplefin September 2015 - Present
Corelink Administrative Solutions March 2013 - May 2015
Corelink Administrative Solutions September 2012 - February 2013
Horizon Blue Cross Blue Shield of New Jersey December 2011 - September 2012
Fidelis Care NY November 2010 - November 2011
Independent Health October 2000 - November 2010
Veridian 1999 - 2000
Bank of America 1992 - 1999
A&R Services 1992 - 1997
Empire of America 1989 - 1992
Skills
Software Project..., Budget Development, IT Operations, VB.NET, Enterprise Architecture, Analytics, Program Management, Process Improvement, Data Mining, Strategic Planning, Leadership, Software Development, SDLC, Data Warehousing, Vendor Management, Business Intelligence, IT Strategy, HIPAA, Healthcare Information..., Business Process..., SQL, Integration, Information Technology, Master Data Management, ETL, SOA, Healthcare, Data Integration, Data Governance, Enterprise Software, Disaster Recovery, Systems Analysis, Business Analysis, Architecture, Requirements Gathering, Visio, Requirements Analysis, Business Process, Strategy, Consulting, Management, Project Portfolio..., PMP, SharePoint, PMO, Data Modeling, IT Management, Solution Architecture, Governance, Agile Project Management
Education
SUNY Empire State College
BS, Management Information Systems
Triplefin September 2015 - Present
Corelink Administrative Solutions March 2013 - May 2015
Corelink Administrative Solutions September 2012 - February 2013
Horizon Blue Cross Blue Shield of New Jersey December 2011 - September 2012
Fidelis Care NY November 2010 - November 2011
Independent Health October 2000 - November 2010
Veridian 1999 - 2000
Bank of America 1992 - 1999
A&R Services 1992 - 1997
Empire of America 1989 - 1992
Skills
Software Project..., Budget Development, IT Operations, VB.NET, Enterprise Architecture, Analytics, Program Management, Process Improvement, Data Mining, Strategic Planning, Leadership, Software Development, SDLC, Data Warehousing, Vendor Management, Business Intelligence, IT Strategy, HIPAA, Healthcare Information..., Business Process..., SQL, Integration, Information Technology, Master Data Management, ETL, SOA, Healthcare, Data Integration, Data Governance, Enterprise Software, Disaster Recovery, Systems Analysis, Business Analysis, Architecture, Requirements Gathering, Visio, Requirements Analysis, Business Process, Strategy, Consulting, Management, Project Portfolio..., PMP, SharePoint, PMO, Data Modeling, IT Management, Solution Architecture, Governance, Agile Project Management
Education
SUNY Empire State College
BS, Management Information Systems
Jannelle Andes Jannelle Andes's Horizon Blue Cross Blue Shield of New Jersey Experience July 2007 - September 2008
Job Region Marketing Manager Northeast at Moët Hennessy USA (LVMH Louis Vuitton Moët Hennessy)
Industry Marketing and Advertising
Experience
LVMH (Louis Vuitton Moët Hennessy) June 2014 - Present
LVMH (Louis Vuitton Moët Hennessy) January 2012 - May 2014
LVMH (Louis Vuitton Moët Hennessy) October 2010 - January 2012
Strategic Experiential Group February 2010 - September 2010
Strategic Experiential Group April 2009 - February 2010
Preston Marketing for Heineken USA December 2006 - April 2009
Horizon Blue Cross Blue Shield of New Jersey July 2007 - September 2008
Verizon Wireless August 2004 - June 2007
Pressler and Pressler May 2003 - June 2004
Skills
Advertising, Copywriting, Proposal Writing, Trade Development, Marketing Communications, Promotions, Brand Development, Marketing Strategy, Strategic Planning, Account Management, Event Marketing, Experiential Marketing, Brand Communication, RFP, Bid Writing, Bid Process Management, Trade Shows, Market Planning, Outlook, Excel, Word, PowerPoint, Pricing, Microsoft Office, Team Building, Public Speaking, Sales Management, Marketing Management, Business Strategy, Vendor Relations, Budget Management, Supervisory Skills, Microsoft Excel, Microsoft Word, Event Planning, Relationship Marketing, Sales, Retail, Event Management, Strategy, Brand Awareness, Training, Cross-functional Team..., Budgets
Education
Project Management Professional (PMP) Certification 2005 — 2005
Seton Hall University 1998 — 2002
Diplomacy & International Relations
Union Catholic
LVMH (Louis Vuitton Moët Hennessy) June 2014 - Present
LVMH (Louis Vuitton Moët Hennessy) January 2012 - May 2014
LVMH (Louis Vuitton Moët Hennessy) October 2010 - January 2012
Strategic Experiential Group February 2010 - September 2010
Strategic Experiential Group April 2009 - February 2010
Preston Marketing for Heineken USA December 2006 - April 2009
Horizon Blue Cross Blue Shield of New Jersey July 2007 - September 2008
Verizon Wireless August 2004 - June 2007
Pressler and Pressler May 2003 - June 2004
Skills
Advertising, Copywriting, Proposal Writing, Trade Development, Marketing Communications, Promotions, Brand Development, Marketing Strategy, Strategic Planning, Account Management, Event Marketing, Experiential Marketing, Brand Communication, RFP, Bid Writing, Bid Process Management, Trade Shows, Market Planning, Outlook, Excel, Word, PowerPoint, Pricing, Microsoft Office, Team Building, Public Speaking, Sales Management, Marketing Management, Business Strategy, Vendor Relations, Budget Management, Supervisory Skills, Microsoft Excel, Microsoft Word, Event Planning, Relationship Marketing, Sales, Retail, Event Management, Strategy, Brand Awareness, Training, Cross-functional Team..., Budgets
Education
Project Management Professional (PMP) Certification 2005 — 2005
Seton Hall University 1998 — 2002
Diplomacy & International Relations
Union Catholic
Thomas Ambielli Thomas Ambielli's Horizon Blue Cross Blue Shield of New Jersey Experience October 2014 - Present
Job Operations Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey October 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2011 - June 2013
Horizon Blue Cross Blue Shield of NJ December 2005 - December 2010
Horizon Blue Cross Blue Shield of NJ October 1995 - December 2005
Prudential Insurance Company 1982 - 1995
Skills
Offshoring, Outsourcing, Program Management, Vendor Management, Process Improvement, Governance, Leadership, Strategy, Insurance, Cross-functional Team..., Change Management, Healthcare, Management, Call Centers, Contract Negotiation, Operations Management, Resource Management, Training, Business Process..., Business Analysis, Project Portfolio...
Education
Seton Hall University
University of Phoenix
Horizon Blue Cross Blue Shield of New Jersey October 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2011 - June 2013
Horizon Blue Cross Blue Shield of NJ December 2005 - December 2010
Horizon Blue Cross Blue Shield of NJ October 1995 - December 2005
Prudential Insurance Company 1982 - 1995
Skills
Offshoring, Outsourcing, Program Management, Vendor Management, Process Improvement, Governance, Leadership, Strategy, Insurance, Cross-functional Team..., Change Management, Healthcare, Management, Call Centers, Contract Negotiation, Operations Management, Resource Management, Training, Business Process..., Business Analysis, Project Portfolio...
Education
Seton Hall University
University of Phoenix
Steve Davoren Steve Davoren's Horizon Blue Cross Blue Shield of New Jersey Experience 1998 - 2001
Job Media Research Consultant
Industry Marketing and Advertising
Experience
Union County College 2007 - Present
(Independent Consultant) 2001 - Present
Horizon Blue Cross Blue Shield of New Jersey 1998 - 2001
FRC Research Corporation 1996 - 1997
Draft Worldwide Advertising 1994 - 1995
Knowledge Networks/Statistical Research, Inc. 1985 - 1993
Skills
Research, Market Research, Strategic Planning, Advertising, Sales, Public Relations, Social Media, Event Planning, Editing, Teaching, Public Speaking, Training, Higher Education, Management
Education
Clayton College of Natural Health
Ph.D., Natural Health (Health Psychology)
Seton Hall University
M.A., Psychological Studies
Seton Hall University
B.S., Marketing
Westfield High School
Union County College 2007 - Present
(Independent Consultant) 2001 - Present
Horizon Blue Cross Blue Shield of New Jersey 1998 - 2001
FRC Research Corporation 1996 - 1997
Draft Worldwide Advertising 1994 - 1995
Knowledge Networks/Statistical Research, Inc. 1985 - 1993
Skills
Research, Market Research, Strategic Planning, Advertising, Sales, Public Relations, Social Media, Event Planning, Editing, Teaching, Public Speaking, Training, Higher Education, Management
Education
Clayton College of Natural Health
Ph.D., Natural Health (Health Psychology)
Seton Hall University
M.A., Psychological Studies
Seton Hall University
B.S., Marketing
Westfield High School
Jolynn Lam Jolynn Lam's Horizon Blue Cross Blue Shield of New Jersey Experience May 2002 - Present
Job Acuarial Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey May 2002 - Present
Aetna May 1997 - March 2002
U.S. Fund for UNICEF July 1990 - 1997
New York Life Insurance Company August 1986 - July 1990
Skills
Program Management, DB2, Data Warehousing, COBOL, Forecasting, Pricing, Cognos, Healthcare Management, Sales, SAS, Data Analysis, SDLC, Health Insurance, OS/390, Actuarial Science, Business Analysis, Insurance, Data Mining, SAS programming, SQL, Predictive Modeling
Education
State University of New York at Stony Brook 1982 — 1985
BS, Applied Math
SUNY Stony Brook
Bachelor of Science (BS), Applied Mathematics
Horizon Blue Cross Blue Shield of New Jersey May 2002 - Present
Aetna May 1997 - March 2002
U.S. Fund for UNICEF July 1990 - 1997
New York Life Insurance Company August 1986 - July 1990
Skills
Program Management, DB2, Data Warehousing, COBOL, Forecasting, Pricing, Cognos, Healthcare Management, Sales, SAS, Data Analysis, SDLC, Health Insurance, OS/390, Actuarial Science, Business Analysis, Insurance, Data Mining, SAS programming, SQL, Predictive Modeling
Education
State University of New York at Stony Brook 1982 — 1985
BS, Applied Math
SUNY Stony Brook
Bachelor of Science (BS), Applied Mathematics
Nancy Northrup, PMP CIPP Six Sigma Black Belt Nancy Northrup, PMP CIPP Six Sigma Black Belt's Horizon Blue Cross Blue Shield of New Jersey Experience May 2013 - December 2013
Job Data Governance Consultant at Morgan Stanley Investment Management sourced through EEI
Industry Information Technology and Services
Experience
Morgan Stanley Investment Management sourced through EEI August 2015 - Present
ibLEAN, LLC January 2010 - Present
Business and Professional Women of Summit September 2010 - April 2015
ADP January 2014 - July 2014
Horizon Blue Cross Blue Shield of New Jersey May 2013 - December 2013
HSBC Commercial Banking sourced through Randstad Consulting December 2012 - April 2013
CIT May 2011 - October 2012
Citi August 2010 - May 2011
Horizon Blue Cross Blue Shield of NJ June 2010 - September 2010
Utopia, Inc. February 2009 - May 2009
Skills
Data Governance, Project Management, PMP, Master Data Management, Business Process..., DMAIC, DFSS, Program Management, Business Process..., Process Improvement, Change Management, Cross-functional Team..., SDLC, Business Analysis, PMI, Six Sigma, Requirements Analysis, PMO, Team Leadership, Project Portfolio..., ITIL, Strategic Planning, Business Intelligence, SAP, Resource Management, Enterprise Architecture, Integration, Testing, Management, Leadership, MS Project, Governance, Project Planning, Enterprise Software, Software Documentation, Software Project..., Analytics, IT Strategy, Business Process, Training, Vendor Management, Risk Management, Management Consulting, IT Management, IT Operations, Outsourcing, Business Transformation, Information Technology, Data Quality, Microsoft Project
Education
The George Washington University 1995 — 1996
Masters Certification in Project Management, Project Management
Chubb Institute 1988 — 1989
Computer Programming, Computer Science
Southern Methodist University
BA, English Literature / Business
The Baldwin School
High School, College Preparatory
Tufts University
Advanced Management Program, Global Technology
Universidad Iberoamericana, Ciudad de México
Mexican Social Anthropology
Morgan Stanley Investment Management sourced through EEI August 2015 - Present
ibLEAN, LLC January 2010 - Present
Business and Professional Women of Summit September 2010 - April 2015
ADP January 2014 - July 2014
Horizon Blue Cross Blue Shield of New Jersey May 2013 - December 2013
HSBC Commercial Banking sourced through Randstad Consulting December 2012 - April 2013
CIT May 2011 - October 2012
Citi August 2010 - May 2011
Horizon Blue Cross Blue Shield of NJ June 2010 - September 2010
Utopia, Inc. February 2009 - May 2009
Skills
Data Governance, Project Management, PMP, Master Data Management, Business Process..., DMAIC, DFSS, Program Management, Business Process..., Process Improvement, Change Management, Cross-functional Team..., SDLC, Business Analysis, PMI, Six Sigma, Requirements Analysis, PMO, Team Leadership, Project Portfolio..., ITIL, Strategic Planning, Business Intelligence, SAP, Resource Management, Enterprise Architecture, Integration, Testing, Management, Leadership, MS Project, Governance, Project Planning, Enterprise Software, Software Documentation, Software Project..., Analytics, IT Strategy, Business Process, Training, Vendor Management, Risk Management, Management Consulting, IT Management, IT Operations, Outsourcing, Business Transformation, Information Technology, Data Quality, Microsoft Project
Education
The George Washington University 1995 — 1996
Masters Certification in Project Management, Project Management
Chubb Institute 1988 — 1989
Computer Programming, Computer Science
Southern Methodist University
BA, English Literature / Business
The Baldwin School
High School, College Preparatory
Tufts University
Advanced Management Program, Global Technology
Universidad Iberoamericana, Ciudad de México
Mexican Social Anthropology
Trideep Patra's Horizon Blue Cross Blue Shield of New Jersey Experience March 2012 - July 2013
Job IT Architect & Strategist
Industry Information Technology and Services
Experience
Lowe's Companies, Inc. December 2014 - April 2015
WellCare Health Plans June 2014 - November 2014
Univision Communications Inc. August 2013 - May 2014
Horizon Blue Cross Blue Shield of New Jersey March 2012 - July 2013
Sodexo August 2011 - March 2012
Bank of America October 2010 - August 2011
Barclays Capital May 2009 - October 2010
Nationwide Insurance May 2007 - February 2009
Johnson & Johnson October 2005 - January 2007
MFX Fairfax January 2002 - September 2005
Skills
Data Warehousing, ETL, Business Intelligence, Master Data Management, SDLC, Data Quality, Informatica, Data Integration, Data Governance, Solution Architecture, Integration, SOA, Business Analysis, Information Architecture, Software Project..., Business Objects, Architecture, Netezza, Erwin, Teradata, Database Design, EAI, SSIS, Enterprise Software, Data Warehouse..., Enterprise Architecture, Datastage, Microsoft SQL Server, Data Modeling, Requirements Gathering, Data Architecture, Architectures, Governance, SSRS, DB2, IT Strategy, Business Process, Six Sigma
Education
C-DAC, New Delhi 1997 — 1998
Post Graduation Diploma, Advanced Computing
Sambalpur University 1987 — 1992
BSc (Engg), Ellectrical Engineering
Lowe's Companies, Inc. December 2014 - April 2015
WellCare Health Plans June 2014 - November 2014
Univision Communications Inc. August 2013 - May 2014
Horizon Blue Cross Blue Shield of New Jersey March 2012 - July 2013
Sodexo August 2011 - March 2012
Bank of America October 2010 - August 2011
Barclays Capital May 2009 - October 2010
Nationwide Insurance May 2007 - February 2009
Johnson & Johnson October 2005 - January 2007
MFX Fairfax January 2002 - September 2005
Skills
Data Warehousing, ETL, Business Intelligence, Master Data Management, SDLC, Data Quality, Informatica, Data Integration, Data Governance, Solution Architecture, Integration, SOA, Business Analysis, Information Architecture, Software Project..., Business Objects, Architecture, Netezza, Erwin, Teradata, Database Design, EAI, SSIS, Enterprise Software, Data Warehouse..., Enterprise Architecture, Datastage, Microsoft SQL Server, Data Modeling, Requirements Gathering, Data Architecture, Architectures, Governance, SSRS, DB2, IT Strategy, Business Process, Six Sigma
Education
C-DAC, New Delhi 1997 — 1998
Post Graduation Diploma, Advanced Computing
Sambalpur University 1987 — 1992
BSc (Engg), Ellectrical Engineering
Kalissa Powell's Horizon Blue Cross Blue Shield of New Jersey Experience December 2006 - April 2007
Job Customer Care/Consulting
Industry Hospital & Health Care
Experience
Greene Resources February 2010 - Present
Zurvita 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey December 2006 - April 2007
Program Planners Inc September 2003 - February 2005
Skills
Health Insurance, Call Center, Medical Billing, Data Entry, Healthcare Industry, Phone Etiquette, Medicaid, Medicare, Customer Service, ICD-9
Education
Strayer University-North Carolina 2008 — 2008
Health/Health Care Administration/Management
Chubb Institute 2006 — 2007
Certificate, Medical Insurance Specialist/Medical Biller
Greene Resources February 2010 - Present
Zurvita 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey December 2006 - April 2007
Program Planners Inc September 2003 - February 2005
Skills
Health Insurance, Call Center, Medical Billing, Data Entry, Healthcare Industry, Phone Etiquette, Medicaid, Medicare, Customer Service, ICD-9
Education
Strayer University-North Carolina 2008 — 2008
Health/Health Care Administration/Management
Chubb Institute 2006 — 2007
Certificate, Medical Insurance Specialist/Medical Biller
Amol Chaudhari Amol Chaudhari's Horizon Blue Cross Blue Shield of New Jersey Experience July 2009 - June 2010
Job Manager Cybersecurity and Risk Advisory
Industry Computer Software
Experience
PwC April 2015 - Present
Citigroup June 2010 - March 2015
Horizon Blue Cross Blue Shield of New Jersey July 2009 - June 2010
SAIC January 2008 - May 2010
Bristol-Myers Squibb 2004 - December 2007
State of New Jersey August 2000 - August 2004
Sun Microsystems 1998 - 2000
Skills
Identity Management, PKI, Security, SSO, Enterprise Architecture, CISSP, HSPD-12, Data Loss Protection, Endpoint Security
Education
Southern New Hampshire University
MS, CIS
PwC April 2015 - Present
Citigroup June 2010 - March 2015
Horizon Blue Cross Blue Shield of New Jersey July 2009 - June 2010
SAIC January 2008 - May 2010
Bristol-Myers Squibb 2004 - December 2007
State of New Jersey August 2000 - August 2004
Sun Microsystems 1998 - 2000
Skills
Identity Management, PKI, Security, SSO, Enterprise Architecture, CISSP, HSPD-12, Data Loss Protection, Endpoint Security
Education
Southern New Hampshire University
MS, CIS
Jill Van Rooyen Jill Van Rooyen's Horizon Blue Cross Blue Shield of New Jersey Experience July 2007 - Present
Job Hospital Representative at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey July 2007 - Present
Education
Seton Hall University
Bachelor of Science (BS), Business Administration and Management, General
Horizon Blue Cross Blue Shield of New Jersey July 2007 - Present
Education
Seton Hall University
Bachelor of Science (BS), Business Administration and Management, General
Elizabeth Lautenbach's Horizon Blue Cross Blue Shield of New Jersey Experience May 2014 - August 2014
Job Law Clerk to the Honorable Jamie D. Happas, P.J.Cv. at Superior Court of New Jersey
Industry Legal Services
Experience
Superior Court of New Jersey August 2015 - Present
Newman Myers Kreines Gross Harris, P.C. November 2014 - April 2015
Horizon Blue Cross Blue Shield of New Jersey May 2014 - August 2014
The Honorable Joseph A. Dickson, U.S.M.J. January 2014 - April 2014
The Honorable Dennis F. Carey, III, P.J.Cv. May 2013 - November 2013
Legal Research and Writing Program at Seton Hall Law School May 2013 - August 2013
Office of the Public Defender, Appellate Division January 2013 - May 2013
Spector Foerst & Associates February 2010 - July 2012
Skills
Legal Research, PowerPoint, Word, Excel, Access, Public Speaking, Leadership, Legal Writing
Education
Seton Hall University School of Law 2012 — 2015
Juris Doctor (J.D.), Law
Seton Hall University 2008 — 2012
Bachelor of Arts, Psychology and History
Superior Court of New Jersey August 2015 - Present
Newman Myers Kreines Gross Harris, P.C. November 2014 - April 2015
Horizon Blue Cross Blue Shield of New Jersey May 2014 - August 2014
The Honorable Joseph A. Dickson, U.S.M.J. January 2014 - April 2014
The Honorable Dennis F. Carey, III, P.J.Cv. May 2013 - November 2013
Legal Research and Writing Program at Seton Hall Law School May 2013 - August 2013
Office of the Public Defender, Appellate Division January 2013 - May 2013
Spector Foerst & Associates February 2010 - July 2012
Skills
Legal Research, PowerPoint, Word, Excel, Access, Public Speaking, Leadership, Legal Writing
Education
Seton Hall University School of Law 2012 — 2015
Juris Doctor (J.D.), Law
Seton Hall University 2008 — 2012
Bachelor of Arts, Psychology and History
Kim Martine-Caffrey Kim Martine-Caffrey's Horizon Blue Cross Blue Shield of New Jersey Experience December 2012 - Present
Job Manager, Temp and Contract Labor at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey December 2012 - Present
IQNavigator May 2006 - December 2012
The Source Agency January 2005 - May 2006
Gainor October 2000 - November 2004
Skills
Human Resources, Technical Recruiting, Program Management, Vendor Management, Applicant Tracking..., SDLC, Professional Services, Recruiting, Consulting, CRM, SaaS, Contract Recruitment, Talent Acquisition, Sourcing, Process Improvement, Business Analysis, Internet Recruiting, Staffing Services, Outsourcing, Account Management
Education
Syracuse University 1994 — 1998
BA
Horizon Blue Cross Blue Shield of New Jersey December 2012 - Present
IQNavigator May 2006 - December 2012
The Source Agency January 2005 - May 2006
Gainor October 2000 - November 2004
Skills
Human Resources, Technical Recruiting, Program Management, Vendor Management, Applicant Tracking..., SDLC, Professional Services, Recruiting, Consulting, CRM, SaaS, Contract Recruitment, Talent Acquisition, Sourcing, Process Improvement, Business Analysis, Internet Recruiting, Staffing Services, Outsourcing, Account Management
Education
Syracuse University 1994 — 1998
BA
SAI Mallavarapu, PMP, CSM SAI Mallavarapu, PMP, CSM's Horizon Blue Cross Blue Shield of New Jersey Experience February 2011 - August 2012
Job Senior Director at NYSE Euronext
Industry Information Technology and Services
Experience
NYSE Euronext April 2013 - Present
Citi September 2012 - March 2013
Horizon Blue Cross Blue Shield of New Jersey February 2011 - August 2012
Infosys June 2010 - February 2011
IBM Global Services October 2002 - June 2010
IBM October 2002 - May 2010
PwC Consulting 1999 - 2002
Skills
PMP, Certified Scrum Master..., Project Management, Change Management, Program Management, Infrastructure..., SDLC, Integration, Business Intelligence, Data Warehousing, ITIL, Outsourcing, Cross-functional Team..., Software Project..., IT Strategy, Business Analysis, Data Center, Visio, Resource Modelling, Healthcare, Quality Assurance, PMO, Software Development, Project Portfolio..., Leadership, Management, Requirements Analysis, Vendor Management, Resource Management, Business Process, Testing, Project Delivery, Agile Project Management, Requirements Gathering, Enterprise Architecture, Solution Architecture, CMMI, Global Delivery
Education
University of Georgia - Terry College of Business 2001 — 2003
MBA, CRM
Sri Venkateswara University 1990 — 1993
B.Tech
APRSK - Kodigenahalli
V.R College, Nellore
NYSE Euronext April 2013 - Present
Citi September 2012 - March 2013
Horizon Blue Cross Blue Shield of New Jersey February 2011 - August 2012
Infosys June 2010 - February 2011
IBM Global Services October 2002 - June 2010
IBM October 2002 - May 2010
PwC Consulting 1999 - 2002
Skills
PMP, Certified Scrum Master..., Project Management, Change Management, Program Management, Infrastructure..., SDLC, Integration, Business Intelligence, Data Warehousing, ITIL, Outsourcing, Cross-functional Team..., Software Project..., IT Strategy, Business Analysis, Data Center, Visio, Resource Modelling, Healthcare, Quality Assurance, PMO, Software Development, Project Portfolio..., Leadership, Management, Requirements Analysis, Vendor Management, Resource Management, Business Process, Testing, Project Delivery, Agile Project Management, Requirements Gathering, Enterprise Architecture, Solution Architecture, CMMI, Global Delivery
Education
University of Georgia - Terry College of Business 2001 — 2003
MBA, CRM
Sri Venkateswara University 1990 — 1993
B.Tech
APRSK - Kodigenahalli
V.R College, Nellore
Alexard Munoz's Horizon Blue Cross Blue Shield of New Jersey Experience May 2013 - May 2014
Job Project Manager, Business Analyst & Quality Assurance Analyst
Industry Insurance
Experience
Liberty Mutual Insurance November 2014 - Present
Cognizant Technology Solutions June 2014 - November 2014
Horizon Blue Cross Blue Shield of New Jersey May 2013 - May 2014
Port Authority of NY & NJ May 2012 - August 2012
Education
Syracuse University 2009 — 2013
Bachelor of Science (BS)
Xavier High School 2005 — 2009
Syracuse University Abroad
Liberty Mutual Insurance November 2014 - Present
Cognizant Technology Solutions June 2014 - November 2014
Horizon Blue Cross Blue Shield of New Jersey May 2013 - May 2014
Port Authority of NY & NJ May 2012 - August 2012
Education
Syracuse University 2009 — 2013
Bachelor of Science (BS)
Xavier High School 2005 — 2009
Syracuse University Abroad
Nina Trovato Nina Trovato's Horizon Blue Cross Blue Shield of New Jersey Experience May 2014 - August 2014
Job Summer Associate at Orrick, Herrington & Sutcliffe LLP
Industry Law Practice
Experience
Orrick, Herrington & Sutcliffe LLP May 2015 - Present
Seton Hall Law Review Vol. 46 January 2015 - Present
Seton Hall Law Review Vol. 45 July 2014 - April 2015
S.D.N.Y. Mediation Practicum January 2015 - March 2015
Horizon Blue Cross Blue Shield of New Jersey May 2014 - August 2014
Seton Hall Law School February 2014 - August 2014
Everyday Feminism May 2013 - September 2013
Villanova Minor Problem January 2010 - January 2013
Skills
Legal Research, Social Media, Blogging, WordPress, Public Speaking, false claims act, Social Justice, Fundraising, Copy Editing, Salesforce.com, Research, Team Leadership, Writing, Delegation, Buffer, Westlaw, Lexis, Large-scale Event..., Customer Service, Teamwork, Photoshop, English, HTML, TweetDeck, off-label drug promotion, AKS, Legal Writing, Editing, Policy, LexisNexis
Education
Seton Hall University School of Law 2013 — 2016
Doctor of Law (J.D.)
Villanova University 2009 — 2013
Bachelor of Arts (B.A.), Political Science and Ethics
Orrick, Herrington & Sutcliffe LLP May 2015 - Present
Seton Hall Law Review Vol. 46 January 2015 - Present
Seton Hall Law Review Vol. 45 July 2014 - April 2015
S.D.N.Y. Mediation Practicum January 2015 - March 2015
Horizon Blue Cross Blue Shield of New Jersey May 2014 - August 2014
Seton Hall Law School February 2014 - August 2014
Everyday Feminism May 2013 - September 2013
Villanova Minor Problem January 2010 - January 2013
Skills
Legal Research, Social Media, Blogging, WordPress, Public Speaking, false claims act, Social Justice, Fundraising, Copy Editing, Salesforce.com, Research, Team Leadership, Writing, Delegation, Buffer, Westlaw, Lexis, Large-scale Event..., Customer Service, Teamwork, Photoshop, English, HTML, TweetDeck, off-label drug promotion, AKS, Legal Writing, Editing, Policy, LexisNexis
Education
Seton Hall University School of Law 2013 — 2016
Doctor of Law (J.D.)
Villanova University 2009 — 2013
Bachelor of Arts (B.A.), Political Science and Ethics
Folasade Ige Folasade Ige's Horizon Blue Cross Blue Shield of New Jersey Experience
Job Quality assurance auditor at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey
Skills
Strategic Planning, Public Speaking, Healthcare, Marketing, Business Strategy, Business Process..., Business Analysis, Business Intelligence, Software Documentation, Risk Management
Education
Stony Brook University 2000 — 2004
Political Science and Government
Horizon Blue Cross Blue Shield of New Jersey
Skills
Strategic Planning, Public Speaking, Healthcare, Marketing, Business Strategy, Business Process..., Business Analysis, Business Intelligence, Software Documentation, Risk Management
Education
Stony Brook University 2000 — 2004
Political Science and Government
Maya Bhat Maya Bhat's Horizon Blue Cross Blue Shield of New Jersey Experience May 2015 - Present
Job Business Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey May 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2010 - May 2015
CVS Pharmacy September 2006 - August 2010
Education
St. John's University 2005 — 2010
Bachelor of Science (B.S.), Health Services Administration
Horizon Blue Cross Blue Shield of New Jersey May 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2010 - May 2015
CVS Pharmacy September 2006 - August 2010
Education
St. John's University 2005 — 2010
Bachelor of Science (B.S.), Health Services Administration
Carin Hep's Horizon Blue Cross Blue Shield of New Jersey Experience January 1997 - July 2009
Job Business Services Director
Industry Human Resources
Experience
PrimePay June 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey January 1997 - July 2009
Skills
Employee Benefits, Salesforce.com, New Business Development, Account Management, Cold Calling, Sales
Education
Richard Stockton College of New Jersey 1989 — 1993
PrimePay June 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey January 1997 - July 2009
Skills
Employee Benefits, Salesforce.com, New Business Development, Account Management, Cold Calling, Sales
Education
Richard Stockton College of New Jersey 1989 — 1993
Jillian Swogier's Horizon Blue Cross Blue Shield of New Jersey Experience July 2011 - July 2012
Job J.D. Candidate at Seton Hall Law
Industry Legal Services
Experience
McCarter & English, LLP September 2014 - Present
Seton Hall University August 2013 - Present
AdvaMed May 2014 - August 2014
Excellus BCBS June 2012 - August 2013
Horizon Blue Cross Blue Shield of New Jersey July 2011 - July 2012
Spector Foerst & Associates August 2009 - June 2011
Bally Total Fitness June 2009 - June 2010
Skills
Research, Data Analysis, Access, Microsoft Excel, PowerPoint, SAS, Healthcare, Microsoft Office, Microsoft Word, Public Speaking, Statistics, Managed Care, SPSS, JavaScript, Data Mining, Data Modeling, JMP, Legal Research, Legal Writing, Legal Assistance, Analysis, Process Improvement, Visio, Financial Modeling, Leadership, Economics, Analytics, Market Research, Financial Analysis
Education
Seton Hall University School of Law 2013 — 2017
Doctor of Law (J.D.)
Seton Hall University 2008 — 2011
BA, Economics
Niagara Wheatfield Senior High School 2004 — 2008
Advanced Regents with Honors, Business/ AP Economics
McCarter & English, LLP September 2014 - Present
Seton Hall University August 2013 - Present
AdvaMed May 2014 - August 2014
Excellus BCBS June 2012 - August 2013
Horizon Blue Cross Blue Shield of New Jersey July 2011 - July 2012
Spector Foerst & Associates August 2009 - June 2011
Bally Total Fitness June 2009 - June 2010
Skills
Research, Data Analysis, Access, Microsoft Excel, PowerPoint, SAS, Healthcare, Microsoft Office, Microsoft Word, Public Speaking, Statistics, Managed Care, SPSS, JavaScript, Data Mining, Data Modeling, JMP, Legal Research, Legal Writing, Legal Assistance, Analysis, Process Improvement, Visio, Financial Modeling, Leadership, Economics, Analytics, Market Research, Financial Analysis
Education
Seton Hall University School of Law 2013 — 2017
Doctor of Law (J.D.)
Seton Hall University 2008 — 2011
BA, Economics
Niagara Wheatfield Senior High School 2004 — 2008
Advanced Regents with Honors, Business/ AP Economics
Christine Vaughn Christine Vaughn's Horizon Blue Cross Blue Shield of New Jersey Experience April 2013 - Present
Job Team Leader, Small Group and Large/MidSize Account Implementation at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey April 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2010 - April 2013
Horizon Blue Cross Blue Shield of New Jersey February 2007 - August 2010
United States Army Reserve January 1998 - December 2007
Horizon Blue Cross Blue Shield of New Jersey February 2006 - February 2007
Skills
Customer Service, Healthcare, Leadership, Insurance, Outlook, Sales, Visio, Access, Microsoft Excel, New Business Development, Proficient with..., Green Belt, Lean Six Sigma, Lean Thinking, Six Sigma, Team Leadership, Process Improvement, Analysis, Training, Vendor Management, Business Analysis, Employee Benefits
Education
SUNY Orange 1994 — 1997
Newburgh Free Academy 1991 — 1994
Diploma, Business Administration and Management, General, 12
Horizon Blue Cross Blue Shield of New Jersey April 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2010 - April 2013
Horizon Blue Cross Blue Shield of New Jersey February 2007 - August 2010
United States Army Reserve January 1998 - December 2007
Horizon Blue Cross Blue Shield of New Jersey February 2006 - February 2007
Skills
Customer Service, Healthcare, Leadership, Insurance, Outlook, Sales, Visio, Access, Microsoft Excel, New Business Development, Proficient with..., Green Belt, Lean Six Sigma, Lean Thinking, Six Sigma, Team Leadership, Process Improvement, Analysis, Training, Vendor Management, Business Analysis, Employee Benefits
Education
SUNY Orange 1994 — 1997
Newburgh Free Academy 1991 — 1994
Diploma, Business Administration and Management, General, 12
William Sarnov's Horizon Blue Cross Blue Shield of New Jersey Experience June 2015 - Present
Job Intern, Finance/Internal Audit at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey June 2015 - Present
St. John's University February 2013 - December 2014
Core Services May 2014 - August 2014
Metal Mural May 2013 - January 2014
Panera Bread April 2011 - February 2013
Skills
New Business Development, Finance, Leadership, Data Analysis, Life Insurance, Research, Training, Social Networking, Team Leadership, Databases, Actuarial Science, Time Management, Software Documentation, Team Management, Interviews, Social Media, Business Analysis, SDLC, Teamwork, Program Management, Financial Risk
Education
Saint John's University - Peter J. Tobin College of Business 2012 — 2016
Actuarial Science, Sophomore
Howell High School 2008 — 2012
Graduate
Horizon Blue Cross Blue Shield of New Jersey June 2015 - Present
St. John's University February 2013 - December 2014
Core Services May 2014 - August 2014
Metal Mural May 2013 - January 2014
Panera Bread April 2011 - February 2013
Skills
New Business Development, Finance, Leadership, Data Analysis, Life Insurance, Research, Training, Social Networking, Team Leadership, Databases, Actuarial Science, Time Management, Software Documentation, Team Management, Interviews, Social Media, Business Analysis, SDLC, Teamwork, Program Management, Financial Risk
Education
Saint John's University - Peter J. Tobin College of Business 2012 — 2016
Actuarial Science, Sophomore
Howell High School 2008 — 2012
Graduate
Poonam Alaigh Poonam Alaigh's Horizon Blue Cross Blue Shield of New Jersey Experience 2009 - 2010
Job Corporate Consultant at Atlantic ACO and Atlantic Health System
Industry Hospital & Health Care
Experience
Atlantic ACO and Atlantic Health System October 2011 - Present
Alaigh Care Associates September 2011 - Present
Department of Health of New Jersey June 2011 - Present
Department of Health and Senior Services of State of New Jersey 2010 - 2011
Horizon Blue Cross Blue Shield of New Jersey 2009 - 2010
GSK 2000 - 2009
Skills
Strategic Planning, Healthcare Management, Healthcare, Healthcare Information..., Managed Care, Hospitals, Physicians, Clinical Research, Strategy, Leadership, Public Health, Clinical Trials, Project Management, Management, Policy, Medicine, Healthcare Consulting, Medicaid, Nonprofits, Quality Improvement, Health Policy, Disease Management, Program Management, EMR, EHR, Informatics, Medical Devices, Revenue Cycle, Team Building, Internal Medicine, Health Care Systems, Budgets, Analysis, Home Care, Executive Management, Research, Family Medicine
Education
Six Sigma
Black Belt
Stony Brook University
MD
Stony Brook University
Masters of Science in Health Care Policy and Management
Atlantic ACO and Atlantic Health System October 2011 - Present
Alaigh Care Associates September 2011 - Present
Department of Health of New Jersey June 2011 - Present
Department of Health and Senior Services of State of New Jersey 2010 - 2011
Horizon Blue Cross Blue Shield of New Jersey 2009 - 2010
GSK 2000 - 2009
Skills
Strategic Planning, Healthcare Management, Healthcare, Healthcare Information..., Managed Care, Hospitals, Physicians, Clinical Research, Strategy, Leadership, Public Health, Clinical Trials, Project Management, Management, Policy, Medicine, Healthcare Consulting, Medicaid, Nonprofits, Quality Improvement, Health Policy, Disease Management, Program Management, EMR, EHR, Informatics, Medical Devices, Revenue Cycle, Team Building, Internal Medicine, Health Care Systems, Budgets, Analysis, Home Care, Executive Management, Research, Family Medicine
Education
Six Sigma
Black Belt
Stony Brook University
MD
Stony Brook University
Masters of Science in Health Care Policy and Management
Eve Tokos Marcolina's Horizon Blue Cross Blue Shield of New Jersey Experience 1999 - 2000
Job Pharmaceuticals Professional
Industry Pharmaceuticals
Experience
Pernix Therapeutics August 2014 - Present
Quintiles August 2013 - August 2014
Abbott Laboratories February 2012 - August 2013
Schering-Plough September 2005 - November 2008
Schering-Plough Pharmaceuticals 2005 - 2008
Sciele Pharma April 2003 - September 2005
Professioal Detailing Incorporated September 2000 - April 2003
horizon blue cross blue shield of new jersey 1999 - 2000
Skills
Territory, Medical Devices, Pharmaceuticals, Pharmaceutical Sales, Urology, Infectious Diseases, Sales Process, Consultative Selling, Cold Calling, Allergy, OB/GYN, Cardiology, Managed Care, Account Management, Sales Representatives, Coaching, Gastroenterology, Sales, Sales Operations, Pharmaceutical Industry, Strategy, Neurology, Endocrinology, Product Launch, Asthma, Sales Effectiveness, Pharmaceutics, Selling Skills, Hypertension, Marketing, Management, Primary Care, Therapeutic Areas, Healthcare, Internal Medicine, Cross-functional Team..., Time Management, Market Analysis, Cardiovascular Disease, Competitive Analysis, Pharmacy, Building Relationships, Sales Management, Leadership, Analysis, Training, Customer Service, Market Access, Selling
Education
The New School 1991 — 1994
Master's of Science, Health Services Management
Syracuse University 1987 — 1991
Bachelor of Sciences, Psychology
Pernix Therapeutics August 2014 - Present
Quintiles August 2013 - August 2014
Abbott Laboratories February 2012 - August 2013
Schering-Plough September 2005 - November 2008
Schering-Plough Pharmaceuticals 2005 - 2008
Sciele Pharma April 2003 - September 2005
Professioal Detailing Incorporated September 2000 - April 2003
horizon blue cross blue shield of new jersey 1999 - 2000
Skills
Territory, Medical Devices, Pharmaceuticals, Pharmaceutical Sales, Urology, Infectious Diseases, Sales Process, Consultative Selling, Cold Calling, Allergy, OB/GYN, Cardiology, Managed Care, Account Management, Sales Representatives, Coaching, Gastroenterology, Sales, Sales Operations, Pharmaceutical Industry, Strategy, Neurology, Endocrinology, Product Launch, Asthma, Sales Effectiveness, Pharmaceutics, Selling Skills, Hypertension, Marketing, Management, Primary Care, Therapeutic Areas, Healthcare, Internal Medicine, Cross-functional Team..., Time Management, Market Analysis, Cardiovascular Disease, Competitive Analysis, Pharmacy, Building Relationships, Sales Management, Leadership, Analysis, Training, Customer Service, Market Access, Selling
Education
The New School 1991 — 1994
Master's of Science, Health Services Management
Syracuse University 1987 — 1991
Bachelor of Sciences, Psychology
Jerold Mammano's Horizon Blue Cross Blue Shield of New Jersey Experience March 2001 - May 2004
Job CFO of TIAACREF Asset Management at TIAACREF
Industry Financial Services
Experience
TIAA-CREF 2014 - Present
TIAA-CREF May 2011 - December 2013
TIAA-CREF May 2008 - May 2011
TIAA-CREF June 2006 - May 2008
TIAA-CREF May 2004 - June 2006
Horizon Blue Cross Blue Shield of New Jersey March 2001 - May 2004
Horizon Blue Cross Blue Shield of New Jersey February 1997 - March 2001
Skills
Financial Services, Sarbanes-Oxley Act, Strategic Financial..., Finance, Mutual Funds, Asset Management, Retirement, Life Insurance, Fixed Annuities, Due Diligence, Management, IRAs, Leadership, Securities, Financial Planning
Education
University of Rochester - William E. Simon Graduate School of Business Administration 1994 — 1995
Master of Business Administration (MBA), Accounting and Finance
St. Thomas University
Bachelor of Business Administration (B.B.A.), Accounting
TIAA-CREF 2014 - Present
TIAA-CREF May 2011 - December 2013
TIAA-CREF May 2008 - May 2011
TIAA-CREF June 2006 - May 2008
TIAA-CREF May 2004 - June 2006
Horizon Blue Cross Blue Shield of New Jersey March 2001 - May 2004
Horizon Blue Cross Blue Shield of New Jersey February 1997 - March 2001
Skills
Financial Services, Sarbanes-Oxley Act, Strategic Financial..., Finance, Mutual Funds, Asset Management, Retirement, Life Insurance, Fixed Annuities, Due Diligence, Management, IRAs, Leadership, Securities, Financial Planning
Education
University of Rochester - William E. Simon Graduate School of Business Administration 1994 — 1995
Master of Business Administration (MBA), Accounting and Finance
St. Thomas University
Bachelor of Business Administration (B.B.A.), Accounting
Luis Oliveras Luis Oliveras's Horizon Blue Cross Blue Shield of New Jersey Experience May 2014 - Present
Job Payroll Professional
Industry Retail
Experience
Horizon Blue Cross Blue Shield of New Jersey May 2014 - Present
Meadowlands Hospital and Medical Center January 2013 - December 2013
The Childrens Place January 2012 - May 2012
Liz Claiborne, Inc January 2009 - February 2012
Ryder, Inc February 2008 - January 2009
Philips Consumer Lifestyles October 2006 - February 2008
Philips Consumer Lifestyles 2006 - 2007
Franklin Credit Management Corp June 2006 - October 2006
UBS Financial Services, Inc February 2000 - June 2006
Skills
Payroll, Human Resources, PeopleSoft, ADP Payroll, Recruiting, HR Policies, General Ledger, Interviews, Deferred Compensation, Account Reconciliation, New Hire Orientations, Personnel Management, Training, Invoicing, Management, Microsoft Excel
Education
Seton Hall UniversitySouth 1990 — 1994
Bachelor of Arts, Criminal Justice and Anthropology
Seton Hall University
Horizon Blue Cross Blue Shield of New Jersey May 2014 - Present
Meadowlands Hospital and Medical Center January 2013 - December 2013
The Childrens Place January 2012 - May 2012
Liz Claiborne, Inc January 2009 - February 2012
Ryder, Inc February 2008 - January 2009
Philips Consumer Lifestyles October 2006 - February 2008
Philips Consumer Lifestyles 2006 - 2007
Franklin Credit Management Corp June 2006 - October 2006
UBS Financial Services, Inc February 2000 - June 2006
Skills
Payroll, Human Resources, PeopleSoft, ADP Payroll, Recruiting, HR Policies, General Ledger, Interviews, Deferred Compensation, Account Reconciliation, New Hire Orientations, Personnel Management, Training, Invoicing, Management, Microsoft Excel
Education
Seton Hall UniversitySouth 1990 — 1994
Bachelor of Arts, Criminal Justice and Anthropology
Seton Hall University
Christine Glick, RN CCM Christine Glick, RN CCM's Horizon Blue Cross Blue Shield of New Jersey Experience June 2014 - Present
Job Medical Utilization Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey June 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey February 2008 - June 2014
Bartley Healthcare June 2003 - April 2004
CentraState Healthcare System April 1998 - April 2002
Country Manor at Dover June 1997 - April 1998
Turner Broadcasting System June 1990 - September 1992
Skills
Case Managment, Nursing Care, Medical-Surgical Nursing
Education
M-TEC Medical Transcription Education Center, Inc. 2004 — 2006
Medical Transcription/Transcriptionist
Union County College 1993 — 1996
Associate's degree, Registered Nursing/Registered Nurse
Syracuse University 1986 — 1990
Bachelor of Science (BS), Telecommunications Management
Horizon Blue Cross Blue Shield of New Jersey June 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey February 2008 - June 2014
Bartley Healthcare June 2003 - April 2004
CentraState Healthcare System April 1998 - April 2002
Country Manor at Dover June 1997 - April 1998
Turner Broadcasting System June 1990 - September 1992
Skills
Case Managment, Nursing Care, Medical-Surgical Nursing
Education
M-TEC Medical Transcription Education Center, Inc. 2004 — 2006
Medical Transcription/Transcriptionist
Union County College 1993 — 1996
Associate's degree, Registered Nursing/Registered Nurse
Syracuse University 1986 — 1990
Bachelor of Science (BS), Telecommunications Management
Anthony G. Saunders's Horizon Blue Cross Blue Shield of New Jersey Experience November 2010 - January 2014
Job SEO Professional, Social/Digital Media Marketing & Branding Expert, Real Estate Investor, Business Consultant
Industry Marketing and Advertising
Experience
Berkshire Hathaway HomeServices December 2014 - Present
Elite Members Brand Management August 2012 - Present
Icon Information Consultants October 2010 - December 2014
Horizon Blue Cross Blue Shield of New Jersey November 2010 - January 2014
Skills
Social Media Marketing, Social Networking, Entrepreneurship, Event Management, Bilingual, Business Analysis, Leadership, Market Research, Social Media, SEO, Entertainment, Strategic Consulting, Public Relations, Public Speaking, Marketing Communications, New Business Development, Email Marketing, PowerPoint, Account Management, Resume Writing, Creative Writing, Business Planning, Staff Supervision, Teaching, Team Building, Event Planning
Education
Seton Hall University 2001 — 2005
BA, Communications/Media Management; Public Relations
Berkshire Hathaway HomeServices December 2014 - Present
Elite Members Brand Management August 2012 - Present
Icon Information Consultants October 2010 - December 2014
Horizon Blue Cross Blue Shield of New Jersey November 2010 - January 2014
Skills
Social Media Marketing, Social Networking, Entrepreneurship, Event Management, Bilingual, Business Analysis, Leadership, Market Research, Social Media, SEO, Entertainment, Strategic Consulting, Public Relations, Public Speaking, Marketing Communications, New Business Development, Email Marketing, PowerPoint, Account Management, Resume Writing, Creative Writing, Business Planning, Staff Supervision, Teaching, Team Building, Event Planning
Education
Seton Hall University 2001 — 2005
BA, Communications/Media Management; Public Relations
Daniel Stevens Daniel Stevens's Horizon Blue Cross Blue Shield of New Jersey Experience August 2012 - May 2013
Job Microsoft Technology Consultant at CVS Caremark Corporation
Industry Information Technology and Services
Experience
CVS Caremark Corporation June 2014 - Present
TechHarbor Systems January 2010 - Present
Listening Methods November 2013 - May 2014
Paul, Weiss, Rifkind, Wharton & Garrison LLP January 2014 - April 2014
AIG June 2013 - October 2013
Horizon Blue Cross Blue Shield of New Jersey August 2012 - May 2013
NSTAR March 2012 - August 2012
MetLife October 2011 - December 2011
Biogen Idec May 2010 - October 2011
Staples July 2009 - May 2010
Skills
Email migrations, Microsoft Exchange email, Microsoft Lync 2010, Active Directory, Windows Server, Unified Communications, OCS, Unified Messaging, Servers, Group Policy, Windows Server 2008, VMware, Messaging, DNS, SharePoint, ITIL, DHCP, Architecture, System Administration, IT Management, Blackberry Enterprise..., Deployment, Cloud Computing, Windows, Clustering, SCCM, Microsoft Technologies, SQL Server, Server Architecture, Enterprise Architecture, Integration, Lotus Notes, Operating Systems, Microsoft Exchange, System Deployment, Cluster, Disaster Recovery, Exchange 2010/2007/2003, Quest Migration Manager..., QMM, QMMe, Quest Active Roles, BinaryTree, Firewalls, SAN, Security, Troubleshooting, XP, Infrastructure, Hardware
Education
Springfield Technical Community College
CVS Caremark Corporation June 2014 - Present
TechHarbor Systems January 2010 - Present
Listening Methods November 2013 - May 2014
Paul, Weiss, Rifkind, Wharton & Garrison LLP January 2014 - April 2014
AIG June 2013 - October 2013
Horizon Blue Cross Blue Shield of New Jersey August 2012 - May 2013
NSTAR March 2012 - August 2012
MetLife October 2011 - December 2011
Biogen Idec May 2010 - October 2011
Staples July 2009 - May 2010
Skills
Email migrations, Microsoft Exchange email, Microsoft Lync 2010, Active Directory, Windows Server, Unified Communications, OCS, Unified Messaging, Servers, Group Policy, Windows Server 2008, VMware, Messaging, DNS, SharePoint, ITIL, DHCP, Architecture, System Administration, IT Management, Blackberry Enterprise..., Deployment, Cloud Computing, Windows, Clustering, SCCM, Microsoft Technologies, SQL Server, Server Architecture, Enterprise Architecture, Integration, Lotus Notes, Operating Systems, Microsoft Exchange, System Deployment, Cluster, Disaster Recovery, Exchange 2010/2007/2003, Quest Migration Manager..., QMM, QMMe, Quest Active Roles, BinaryTree, Firewalls, SAN, Security, Troubleshooting, XP, Infrastructure, Hardware
Education
Springfield Technical Community College
Eli Maurice's Horizon Blue Cross Blue Shield of New Jersey Experience 1994 - 1996
Job Vice President of Sales and Marketing at Community Acceptance
Industry Banking
Experience
Community Acceptance Marketing DirectorAmeriChoice1996 - 1998
Horizon Blue Cross Blue Shield of New Jersey 1994 - 1996
First Fidelity Bank 1977 - 1987
Skills
Strategic Planning, Marketing Strategy, Process Improvement, Team Building, Vendor Management, Sales Management, Business Strategy, Project Management
Education
Seton Hall University 1977 — 1981
Bachelor of Arts (B.A.)
Essex Catholic
Glenfield Middle School
Westminster School
Community Acceptance Marketing DirectorAmeriChoice1996 - 1998
Horizon Blue Cross Blue Shield of New Jersey 1994 - 1996
First Fidelity Bank 1977 - 1987
Skills
Strategic Planning, Marketing Strategy, Process Improvement, Team Building, Vendor Management, Sales Management, Business Strategy, Project Management
Education
Seton Hall University 1977 — 1981
Bachelor of Arts (B.A.)
Essex Catholic
Glenfield Middle School
Westminster School
Robert Daigle PMP Robert Daigle PMP's Horizon Blue Cross Blue Shield of New Jersey Experience August 2011 - June 2012
Job Experienced Business & IT Project Manager / Coordinator
Industry Information Technology and Services
Experience
UCLA April 2015 - Present
Media Upper Providence Free Library February 2013 - May 2013
Horizon Blue Cross Blue Shield of New Jersey August 2011 - June 2012
Princeton University July 2010 - April 2011
Lower Merion Township September 2007 - July 2010
Yale University February 2004 - September 2007
UNIVERSITY OF CALIFORNIA, SAN DIEGO January 2001 - December 2003
STANFORD UNIVERSITY January 1999 - January 2002
Skills
Vendor Management, Project Planning, Management, SharePoint, Project Management, PMP, SDLC, Program Management, Project Portfolio..., PMO, Visio, Human Resources, Cross-functional Team..., Resource Management, Leadership, Requirements Analysis, Business Analysis, Consulting, Team Leadership, Databases, Budgets, Team Management, Research, Personnel Management, Business Process..., Business Process, IT Management, IT Strategy, Software Documentation, MS Project, Agile Project Management, Software Project..., Information Technology, Requirements Gathering, Governance, Business Intelligence, Analysis, Systems Analysis, IT Service Management, Integration, Process Improvement, Microsoft SQL Server, Infrastructure, Strategic Planning, Change Management, Training, Problem Solving, Customer Service, Public Speaking, Strategy
Education
Boston University Corporate Education Center 2005 — 2006
Project Management
University of California, Santa Cruz 1998 — 1999
Technical Writing, Web design, Usability
San Jose State University 1980 — 1991
M.A, Philosophy
San Jose State University 1980 — 1984
B.A, Philosophy
Stanford University
Yale University Libraries, Yale
UCLA April 2015 - Present
Media Upper Providence Free Library February 2013 - May 2013
Horizon Blue Cross Blue Shield of New Jersey August 2011 - June 2012
Princeton University July 2010 - April 2011
Lower Merion Township September 2007 - July 2010
Yale University February 2004 - September 2007
UNIVERSITY OF CALIFORNIA, SAN DIEGO January 2001 - December 2003
STANFORD UNIVERSITY January 1999 - January 2002
Skills
Vendor Management, Project Planning, Management, SharePoint, Project Management, PMP, SDLC, Program Management, Project Portfolio..., PMO, Visio, Human Resources, Cross-functional Team..., Resource Management, Leadership, Requirements Analysis, Business Analysis, Consulting, Team Leadership, Databases, Budgets, Team Management, Research, Personnel Management, Business Process..., Business Process, IT Management, IT Strategy, Software Documentation, MS Project, Agile Project Management, Software Project..., Information Technology, Requirements Gathering, Governance, Business Intelligence, Analysis, Systems Analysis, IT Service Management, Integration, Process Improvement, Microsoft SQL Server, Infrastructure, Strategic Planning, Change Management, Training, Problem Solving, Customer Service, Public Speaking, Strategy
Education
Boston University Corporate Education Center 2005 — 2006
Project Management
University of California, Santa Cruz 1998 — 1999
Technical Writing, Web design, Usability
San Jose State University 1980 — 1991
M.A, Philosophy
San Jose State University 1980 — 1984
B.A, Philosophy
Stanford University
Yale University Libraries, Yale
Stephanie Carrington Stephanie Carrington's Horizon Blue Cross Blue Shield of New Jersey Experience January 2012 - May 2012
Job Nurse Lawyer
Industry Hospital & Health Care
Experience
MCIC Vermont, LLC August 2015 - Present
New York Presbyterian Hospital September 2013 - January 2015
Epstein Becker & Green, P.C. September 2012 - August 2013
Horizon Blue Cross Blue Shield of New Jersey January 2012 - May 2012
Blume Goldfaden Berkowitz Donnelly Fried & Forte, PC May 2011 - September 2011
New York Presbyterian Hospital July 2007 - October 2010
Sunrise Day Camp 2009 - 2010
Skills
Registered Nurse, Attorney admitted to..., Patient Safety, Hospitals, Legal Writing, Healthcare, BLS, Research, Legal Research, Critical Care, Healthcare Management, Clinical Research, Nursing, HIPAA, Public Health, Litigation, Mediation, Public Speaking
Education
Seton Hall University School of Law 2009 — 2012
Doctor of Law (JD), Health Law Concentration
University of Pennsylvania 2003 — 2007
Bachelor of Science, Registered Nursing/Registered Nurse
MCIC Vermont, LLC August 2015 - Present
New York Presbyterian Hospital September 2013 - January 2015
Epstein Becker & Green, P.C. September 2012 - August 2013
Horizon Blue Cross Blue Shield of New Jersey January 2012 - May 2012
Blume Goldfaden Berkowitz Donnelly Fried & Forte, PC May 2011 - September 2011
New York Presbyterian Hospital July 2007 - October 2010
Sunrise Day Camp 2009 - 2010
Skills
Registered Nurse, Attorney admitted to..., Patient Safety, Hospitals, Legal Writing, Healthcare, BLS, Research, Legal Research, Critical Care, Healthcare Management, Clinical Research, Nursing, HIPAA, Public Health, Litigation, Mediation, Public Speaking
Education
Seton Hall University School of Law 2009 — 2012
Doctor of Law (JD), Health Law Concentration
University of Pennsylvania 2003 — 2007
Bachelor of Science, Registered Nursing/Registered Nurse
Florence Kariuki RN, BSN MHA Florence Kariuki RN, BSN MHA's Horizon Blue Cross Blue Shield of New Jersey Experience July 2015 - Present
Job Strategic Partnerships Consultant at Horizon Blue Cross Blue Shield of New Jersey
Industry Hospital & Health Care
Experience
Horizon Blue Cross Blue Shield of New Jersey July 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2013 - July 2015
Horizon Blue Cross Blue Shield of New Jersey September 2011 - April 2013
Hackensack University Medical Center August 2006 - October 2011
Hackensack University Medical Center January 2011 - September 2011
Seton Hall University January 2009 - May 2011
Chilton Memorial September 2010 - December 2010
Skills
Healthcare Management, Nursing, Problem Solving, Clinical, Hospitals, Quality Improvement, Performance Improvement, HEDIS Quality Metrics, NCQA, Patient Centered..., Critical Care
Education
Villanova University 2012 — 2012
Six Sigma Green Belt
Seton Hall University 2009 — 2011
Master of Arts, Health Care Administration (MHA)
William Paterson University 2002 — 2007
Bachelor of Science, Nursing (BSN)
Horizon Blue Cross Blue Shield of New Jersey July 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2013 - July 2015
Horizon Blue Cross Blue Shield of New Jersey September 2011 - April 2013
Hackensack University Medical Center August 2006 - October 2011
Hackensack University Medical Center January 2011 - September 2011
Seton Hall University January 2009 - May 2011
Chilton Memorial September 2010 - December 2010
Skills
Healthcare Management, Nursing, Problem Solving, Clinical, Hospitals, Quality Improvement, Performance Improvement, HEDIS Quality Metrics, NCQA, Patient Centered..., Critical Care
Education
Villanova University 2012 — 2012
Six Sigma Green Belt
Seton Hall University 2009 — 2011
Master of Arts, Health Care Administration (MHA)
William Paterson University 2002 — 2007
Bachelor of Science, Nursing (BSN)
Allison Tillem, CALA, CDP Allison Tillem, CALA, CDP's Horizon Blue Cross Blue Shield of New Jersey Experience February 2015 - Present
Job Partner Outcomes Relationship Specialist at Horizon Blue Cross Blue Shield of New Jersey
Industry Hospital & Health Care
Experience
Horizon Blue Cross Blue Shield of New Jersey February 2015 - Present
Emeritus at West Orange December 2012 - February 2015
CareOne at Livingston Assisted Living February 2011 - June 2012
Vitas Healthcare 2006 - 2010
Compassionate Care Hospice 2005 - 2006
Michael P. Tillem, MD 1994 - 2005
Prudential Insurance 1988 - 1994
Skills
Elder Care, Healthcare Management, Long-term Care, Home Care, Healthcare, Nursing, Managed Care, Hospitals, Medicare, Medicaid, Clinical Research, Critical Care, Internal Medicine, Patient Advocacy, Social Services, Case Managment, Wellness, Pediatrics, EMR, Physician Relations, Healthcare Industry, Alzheimer's disease, Healthcare Consulting, EHR, Leadership, Quality Improvement, Patient Education, Diabetes, Health Education, Medicine, Acute Care, Compassion, Marketing, Physicians, HIPAA, Alzheimer's Disease, Case Management
Education
University of Florida
BS, Psychology
State University of New York College at Oswego 1982 — 1984
West Orange High School
Horizon Blue Cross Blue Shield of New Jersey February 2015 - Present
Emeritus at West Orange December 2012 - February 2015
CareOne at Livingston Assisted Living February 2011 - June 2012
Vitas Healthcare 2006 - 2010
Compassionate Care Hospice 2005 - 2006
Michael P. Tillem, MD 1994 - 2005
Prudential Insurance 1988 - 1994
Skills
Elder Care, Healthcare Management, Long-term Care, Home Care, Healthcare, Nursing, Managed Care, Hospitals, Medicare, Medicaid, Clinical Research, Critical Care, Internal Medicine, Patient Advocacy, Social Services, Case Managment, Wellness, Pediatrics, EMR, Physician Relations, Healthcare Industry, Alzheimer's disease, Healthcare Consulting, EHR, Leadership, Quality Improvement, Patient Education, Diabetes, Health Education, Medicine, Acute Care, Compassion, Marketing, Physicians, HIPAA, Alzheimer's Disease, Case Management
Education
University of Florida
BS, Psychology
State University of New York College at Oswego 1982 — 1984
West Orange High School
Walter Greene Walter Greene's Horizon Blue Cross Blue Shield of New Jersey Experience July 2010 - October 2013
Job Performance Based Contracting Manager at UnitedHealthcare Global
Industry Insurance
Experience
UnitedHealthcare Global March 2015 - Present
UnitedHealth Group November 2013 - March 2015
Horizon Blue Cross Blue Shield of New Jersey July 2010 - October 2013
Horizon Blue Cross Blue Shield of New Jersey January 2002 - July 2010
Horizon Blue Cross Blue Shield of New Jersey January 1999 - January 2002
Horizon Blue Cross Blue Shield of New Jersey January 1996 - January 1999
Skills
SDLC, PMO, PMP, Project Portfolio..., Business Analysis, Vendor Management, Software Project..., MS Project, Visio, Requirements Analysis, Requirements Gathering, Process Improvement, Program Management, Project Management, Business Requirements, Analysis
Education
St. Peter's College 2007 — 2009
Master of Business Administration (M.B.A.), Marketing
Richard Stockton College of New Jersey 1990 — 1995
Bachelor of Arts (B.A.), English Language and Literature/Letters
UnitedHealthcare Global March 2015 - Present
UnitedHealth Group November 2013 - March 2015
Horizon Blue Cross Blue Shield of New Jersey July 2010 - October 2013
Horizon Blue Cross Blue Shield of New Jersey January 2002 - July 2010
Horizon Blue Cross Blue Shield of New Jersey January 1999 - January 2002
Horizon Blue Cross Blue Shield of New Jersey January 1996 - January 1999
Skills
SDLC, PMO, PMP, Project Portfolio..., Business Analysis, Vendor Management, Software Project..., MS Project, Visio, Requirements Analysis, Requirements Gathering, Process Improvement, Program Management, Project Management, Business Requirements, Analysis
Education
St. Peter's College 2007 — 2009
Master of Business Administration (M.B.A.), Marketing
Richard Stockton College of New Jersey 1990 — 1995
Bachelor of Arts (B.A.), English Language and Literature/Letters
Laura Clark-Kelly Laura Clark-Kelly's Horizon Blue Cross Blue Shield of New Jersey Experience October 1993 - February 1997
Job Director, Payor Marketing at Bayer Pharmaceuticals
Industry Pharmaceuticals
Experience
Bayer HealthCare May 2010 - Present
Euro RSCG October 2009 - May 2010
Roche Pharmaceuticals February 2003 - October 2009
Sanofi October 2000 - February 2003
Express Scripts Inc. February 1997 - May 2000
Horizon Blue Cross Blue Shield of New Jersey October 1993 - February 1997
Pfizer October 1992 - October 1994
Skills
Managed Care, Product Launch, Marketing Strategy, Pharmaceutical Sales, Marketing, Healthcare, Pharmaceutical Industry, Product Management, Market Access, Therapeutic Areas, Cardiology, Account Management, Managed Markets, Strategic Planning, Positioning, Medical Devices, Diabetes, Management, Osteoporosis, Rheumatology, Key Opinion Leaders, Marketing Management, Public Relations, Pharmaceutics, Strategy, Market Planning, Infectious Diseases, Biotechnology, Competitive Analysis, Market Analysis, Vaccines, Market Development, Brand Management, Internal Communications, Health Economics, Consumer Marketing, Multi-channel Marketing, Medicare/Medicaid..., Buy and Bill, Specialty Pharmaceutical, Women's Health, Oncology, Multi-cultural..., Hispanic Marketing, Contraception, Affordable Care Act
Education
Seton Hall University 1998 — 2000
MBA, Marketing
West Chester University of Pennsylvania 1986 — 1990
BS, Marketing
Bayer HealthCare May 2010 - Present
Euro RSCG October 2009 - May 2010
Roche Pharmaceuticals February 2003 - October 2009
Sanofi October 2000 - February 2003
Express Scripts Inc. February 1997 - May 2000
Horizon Blue Cross Blue Shield of New Jersey October 1993 - February 1997
Pfizer October 1992 - October 1994
Skills
Managed Care, Product Launch, Marketing Strategy, Pharmaceutical Sales, Marketing, Healthcare, Pharmaceutical Industry, Product Management, Market Access, Therapeutic Areas, Cardiology, Account Management, Managed Markets, Strategic Planning, Positioning, Medical Devices, Diabetes, Management, Osteoporosis, Rheumatology, Key Opinion Leaders, Marketing Management, Public Relations, Pharmaceutics, Strategy, Market Planning, Infectious Diseases, Biotechnology, Competitive Analysis, Market Analysis, Vaccines, Market Development, Brand Management, Internal Communications, Health Economics, Consumer Marketing, Multi-channel Marketing, Medicare/Medicaid..., Buy and Bill, Specialty Pharmaceutical, Women's Health, Oncology, Multi-cultural..., Hispanic Marketing, Contraception, Affordable Care Act
Education
Seton Hall University 1998 — 2000
MBA, Marketing
West Chester University of Pennsylvania 1986 — 1990
BS, Marketing
Matthew Presutti's Horizon Blue Cross Blue Shield of New Jersey Experience 1995 - 2005
Job Regional Sales Director at HM Insurance Group
Industry Insurance
Experience
HM Insurance Group June 2014 - Present
Tewksbury Township Board of Education April 2011 - May 2015
MagnaCare May 2011 - May 2014
Brown & Brown Metro July 2005 - May 2011
Horizon Blue Cross Blue Shield of New Jersey 1995 - 2005
Prudential 1992 - 1995
Skills
Life Insurance, Workers Compensation, Brokers, Health Insurance, Medicare, Strategic Planning, Account Management, Managed Care, Insurance, Property & Casualty..., Sales, Strategy, Benefits Administration, Employee Benefits, Negotiation, Leadership, Disability Insurance, Salesforce.com, Health Savings Accounts, Microsoft Office, Claim, Professional Liability, Marketing Strategy, Claims Management, Marketing, HIPAA, New Business Development, Healthcare, Underwriting, Vendor Management, Customer Service, Sales Management, Human Resources, Casualty, Term Life Insurance, Team Leadership, Project Management, Management, Contract Negotiation, Commercial Insurance, Liability, Public Speaking, Process Improvement, Coaching, COBRA, Risk Management, Team Building
Education
State University of New York at Stony Brook 1987 — 1991
Bachelor of Arts (BA), English Language and Literature, General
HM Insurance Group June 2014 - Present
Tewksbury Township Board of Education April 2011 - May 2015
MagnaCare May 2011 - May 2014
Brown & Brown Metro July 2005 - May 2011
Horizon Blue Cross Blue Shield of New Jersey 1995 - 2005
Prudential 1992 - 1995
Skills
Life Insurance, Workers Compensation, Brokers, Health Insurance, Medicare, Strategic Planning, Account Management, Managed Care, Insurance, Property & Casualty..., Sales, Strategy, Benefits Administration, Employee Benefits, Negotiation, Leadership, Disability Insurance, Salesforce.com, Health Savings Accounts, Microsoft Office, Claim, Professional Liability, Marketing Strategy, Claims Management, Marketing, HIPAA, New Business Development, Healthcare, Underwriting, Vendor Management, Customer Service, Sales Management, Human Resources, Casualty, Term Life Insurance, Team Leadership, Project Management, Management, Contract Negotiation, Commercial Insurance, Liability, Public Speaking, Process Improvement, Coaching, COBRA, Risk Management, Team Building
Education
State University of New York at Stony Brook 1987 — 1991
Bachelor of Arts (BA), English Language and Literature, General
Rhaea Guieb's Horizon Blue Cross Blue Shield of New Jersey Experience April 2011 - Present
Job Actuarial Analyst II at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey April 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2008 - April 2011
Horizon Blue Cross Blue Shield of New Jersey October 2007 - May 2008
Horizon Casualty Services May 2007 - August 2007
Skills
Insurance, Actuarial Science
Education
Seton Hall University 2006 — 2008
Mathematics
Saint John's University 2004 — 2005
Mathematics
Horizon Blue Cross Blue Shield of New Jersey April 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2008 - April 2011
Horizon Blue Cross Blue Shield of New Jersey October 2007 - May 2008
Horizon Casualty Services May 2007 - August 2007
Skills
Insurance, Actuarial Science
Education
Seton Hall University 2006 — 2008
Mathematics
Saint John's University 2004 — 2005
Mathematics
Debra Lightner's Horizon Blue Cross Blue Shield of New Jersey Experience October 2014 - Present
Job Director, Regulatory Compliance & Medicare Compliance Officer at Horizon Blue Cross Blue Shield of New Jersey
Industry Legal Services
Experience
Horizon Blue Cross Blue Shield of New Jersey October 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2014 - October 2014
Horizon Blue Cross Blue Shield of New Jersey September 2007 - August 2014
Horizon Blue Cross Blue Shield of New Jersey September 2003 - April 2007
Sills Cummis & Gross September 1999 - September 2003
Gallo Geffner September 1997 - September 1999
Skills
Litigation, Legal Research, Courts, Appeals, Intellectual Property, Civil Litigation, Commercial Litigation, Insurance Law, Class Actions, Depositions, Employment Law, Product Liability, Trials, Claim, Bankruptcy, Personal Injury, Litigation Support, Arbitration, Insurance, Trade Secrets, Mediation, E-Discovery, Records Management
Education
Seton Hall University School of Law 1994 — 1997
J.D
Trenton State College 1990 — 1994
B.A. History, Honors Program
Horizon Blue Cross Blue Shield of New Jersey October 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2014 - October 2014
Horizon Blue Cross Blue Shield of New Jersey September 2007 - August 2014
Horizon Blue Cross Blue Shield of New Jersey September 2003 - April 2007
Sills Cummis & Gross September 1999 - September 2003
Gallo Geffner September 1997 - September 1999
Skills
Litigation, Legal Research, Courts, Appeals, Intellectual Property, Civil Litigation, Commercial Litigation, Insurance Law, Class Actions, Depositions, Employment Law, Product Liability, Trials, Claim, Bankruptcy, Personal Injury, Litigation Support, Arbitration, Insurance, Trade Secrets, Mediation, E-Discovery, Records Management
Education
Seton Hall University School of Law 1994 — 1997
J.D
Trenton State College 1990 — 1994
B.A. History, Honors Program
Yogesh Ranadive, PMP's Horizon Blue Cross Blue Shield of New Jersey Experience May 2012 - December 2013
Job Senior IT Project Manager at Capgemini
Industry Insurance
Experience
Capgemini July 2015 - Present
UnitedHealth Group February 2014 - July 2015
Horizon Blue Cross Blue Shield of New Jersey May 2012 - December 2013
Johnson & Johnson 2005 - May 2012
Skills
Visio, Business Analysis, Integration, SDLC, Process Improvement, Program Management, Project Management, IT Strategy, Software Project..., Vendor Management, Project Planning, Business Intelligence, Enterprise Architecture, Requirements Analysis, Business Process, Requirements Gathering, MS Project, PMP, Project Portfolio..., Cross-functional Team..., Change Management, PMO
Education
Stevens Institute of Technology 2007 — 2008
Advanced Project Management, Project Management
Somaiya College of Engineering
Capgemini July 2015 - Present
UnitedHealth Group February 2014 - July 2015
Horizon Blue Cross Blue Shield of New Jersey May 2012 - December 2013
Johnson & Johnson 2005 - May 2012
Skills
Visio, Business Analysis, Integration, SDLC, Process Improvement, Program Management, Project Management, IT Strategy, Software Project..., Vendor Management, Project Planning, Business Intelligence, Enterprise Architecture, Requirements Analysis, Business Process, Requirements Gathering, MS Project, PMP, Project Portfolio..., Cross-functional Team..., Change Management, PMO
Education
Stevens Institute of Technology 2007 — 2008
Advanced Project Management, Project Management
Somaiya College of Engineering
Michael F. Higgins's Horizon Blue Cross Blue Shield of New Jersey Experience January 2007 - November 2010
Job Manager, Analytics HCM Analytics
Industry Insurance
Experience
Horizon Healthcare Innovations August 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2007 - November 2010
Horizon Blue Cross Blue Shield of New Jersey May 2006 - January 2007
Skills
SAS, Medicaid, HIPAA, Data Analysis, Medicare, Health Insurance, Healthcare, Healthcare Information..., Business Analysis, Analytics, Informatics, Process Improvement, Healthcare Management, Access, EHR
Education
Seton Hall University 1988 — 1992
BA, Political Science
Horizon Healthcare Innovations August 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2007 - November 2010
Horizon Blue Cross Blue Shield of New Jersey May 2006 - January 2007
Skills
SAS, Medicaid, HIPAA, Data Analysis, Medicare, Health Insurance, Healthcare, Healthcare Information..., Business Analysis, Analytics, Informatics, Process Improvement, Healthcare Management, Access, EHR
Education
Seton Hall University 1988 — 1992
BA, Political Science
Jennifer Dougherty's Horizon Blue Cross Blue Shield of New Jersey Experience May 2014 - Present
Job
Industry Human Resources
Experience
Horizon Blue Cross Blue Shield of New Jersey May 2014 - Present
ARAMARK May 2007 - May 2014
Buffets, Inc. November 1996 - May 2007
Chi-Chi's Restaurant January 1995 - November 1996
Skills
Human Resources, Succession Planning, Employee Relations, Talent Management, Employee Engagement, Labor Relations, Onboarding, Workforce Planning, Performance Management, Change Management, Talent Acquisition, Cross-functional Team..., Team Building, Acquisition Integration, Building Business..., Strategic Policy..., Organizational...
Education
Shippensburg University of Pennsylvania 1988 — 1992
BA, Public Relations & Communications
Horizon Blue Cross Blue Shield of New Jersey May 2014 - Present
ARAMARK May 2007 - May 2014
Buffets, Inc. November 1996 - May 2007
Chi-Chi's Restaurant January 1995 - November 1996
Skills
Human Resources, Succession Planning, Employee Relations, Talent Management, Employee Engagement, Labor Relations, Onboarding, Workforce Planning, Performance Management, Change Management, Talent Acquisition, Cross-functional Team..., Team Building, Acquisition Integration, Building Business..., Strategic Policy..., Organizational...
Education
Shippensburg University of Pennsylvania 1988 — 1992
BA, Public Relations & Communications
Jeffry Kostic, JD's Horizon Blue Cross Blue Shield of New Jersey Experience June 2006 - May 2008
Job Director, Contracts at Prudential Financial
Industry Financial Services
Experience
Prudential Financial March 2010 - January 2013
Prudential Financial May 2008 - September 2010
Horizon Blue Cross Blue Shield of New Jersey June 2006 - May 2008
Mellon Financial 2000 - 2006
Skills
Process Improvement, Change Management, Business Analysis, Operations Management, Staff Development, Vendor Management, Outsourcing, RFP, Program Management, Team Building, Relationship Management, Project Management, Management, Strategic Planning, Tactical Planning, Policy Writing, Operational Due..., Management Due Diligence, Operational Risk..., Business Relationship..., Vendor Relationships, Culture Change, Lead Change, Leading Change, Data Analysis, Policy Analysis, Requirements Analysis, Organizational Culture, Leadership Development, Team Leadership, Cross-functional Team..., Thought Leadership, Situational Leadership, team oriented, Business Process..., Business Process, Process Control, Business Process Design, Communications Planning, Internal Communications, Strategic Communications, Compliance, Building Relationships, Contract Negotiation, Executive Management
Education
Seton Hall University School of Law 1991 — 1994
Doctor of Law (JD), Law
Seton Hall University 1989 — 1991
Bachelor of Arts (BA), History
Prudential Financial March 2010 - January 2013
Prudential Financial May 2008 - September 2010
Horizon Blue Cross Blue Shield of New Jersey June 2006 - May 2008
Mellon Financial 2000 - 2006
Skills
Process Improvement, Change Management, Business Analysis, Operations Management, Staff Development, Vendor Management, Outsourcing, RFP, Program Management, Team Building, Relationship Management, Project Management, Management, Strategic Planning, Tactical Planning, Policy Writing, Operational Due..., Management Due Diligence, Operational Risk..., Business Relationship..., Vendor Relationships, Culture Change, Lead Change, Leading Change, Data Analysis, Policy Analysis, Requirements Analysis, Organizational Culture, Leadership Development, Team Leadership, Cross-functional Team..., Thought Leadership, Situational Leadership, team oriented, Business Process..., Business Process, Process Control, Business Process Design, Communications Planning, Internal Communications, Strategic Communications, Compliance, Building Relationships, Contract Negotiation, Executive Management
Education
Seton Hall University School of Law 1991 — 1994
Doctor of Law (JD), Law
Seton Hall University 1989 — 1991
Bachelor of Arts (BA), History
Robert Brendel's Horizon Blue Cross Blue Shield of New Jersey Experience October 2012 - Present
Job Business Data Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of New Jersey October 2012 - Present
The TriZetto Group April 2011 - April 2012
The TriZetto Group October 2004 - April 2011
The TriZetto Group January 2001 - October 2004
The TriZetto Group October 1997 - January 2001
Skills
Management, Product Management, IT Operations, IT Operations Management, IT Management, Database Deployment, QA Management, Team Building, Team Leadership, Cross Functional..., Facets Database Install..., Databases, Install, Quality Assurance, System Deployment, Integration, Disaster Recovery, Microsoft SQL Server, Business Intelligence, IT Strategy, Testing, Oracle, Analysis, SDLC, Data Analysis, Requirements Analysis, System Administration, Software Documentation, Business Process, SharePoint, Visio, Project Portfolio..., Business Process..., PMP, SQL, Strategy, Enterprise Architecture, Healthcare Information..., Requirements Gathering, Information Technology, Data Warehousing, Systems Analysis, Enterprise Software, Leadership, Business Analysis, Agile Project Management, Software Project..., Vendor Management, Process Improvement, Business Requirements
Education
Seton Hall University 2005 — 2009
MBA, Management
The Chubb Institute 1996 — 1997
Computer Programming
State University of New York at Albany
Bachelor of Arts, Science
Horizon Blue Cross Blue Shield of New Jersey October 2012 - Present
The TriZetto Group April 2011 - April 2012
The TriZetto Group October 2004 - April 2011
The TriZetto Group January 2001 - October 2004
The TriZetto Group October 1997 - January 2001
Skills
Management, Product Management, IT Operations, IT Operations Management, IT Management, Database Deployment, QA Management, Team Building, Team Leadership, Cross Functional..., Facets Database Install..., Databases, Install, Quality Assurance, System Deployment, Integration, Disaster Recovery, Microsoft SQL Server, Business Intelligence, IT Strategy, Testing, Oracle, Analysis, SDLC, Data Analysis, Requirements Analysis, System Administration, Software Documentation, Business Process, SharePoint, Visio, Project Portfolio..., Business Process..., PMP, SQL, Strategy, Enterprise Architecture, Healthcare Information..., Requirements Gathering, Information Technology, Data Warehousing, Systems Analysis, Enterprise Software, Leadership, Business Analysis, Agile Project Management, Software Project..., Vendor Management, Process Improvement, Business Requirements
Education
Seton Hall University 2005 — 2009
MBA, Management
The Chubb Institute 1996 — 1997
Computer Programming
State University of New York at Albany
Bachelor of Arts, Science
Dana Gatto's Horizon Blue Cross Blue Shield of New Jersey Experience February 2013 - Present
Job Senior Market Group Account Manager/Sales at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey February 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey, Inc. July 2004 - January 2013
Horizon Blue Cross Blue Shield of New Jersey, Inc. April 2001 - July 2004
Horizon Blue Cross Blue Shield of New Jersey, Inc. January 2000 - April 2001
Horizon Blue Cross Blue Shield of New Jersey, Inc. October 1997 - December 1999
Skills
Medicare, HIPAA, Insurance, Managed Care, Medicare Part D, Claim, Provider Relations, Process Improvement, Healthcare, Health Policy, Risk Assessment, Policy
Education
Stockton University 1993 — 1997
Bachelor of Science (B.S.), Public Health Administration
Horizon Blue Cross Blue Shield of New Jersey February 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey, Inc. July 2004 - January 2013
Horizon Blue Cross Blue Shield of New Jersey, Inc. April 2001 - July 2004
Horizon Blue Cross Blue Shield of New Jersey, Inc. January 2000 - April 2001
Horizon Blue Cross Blue Shield of New Jersey, Inc. October 1997 - December 1999
Skills
Medicare, HIPAA, Insurance, Managed Care, Medicare Part D, Claim, Provider Relations, Process Improvement, Healthcare, Health Policy, Risk Assessment, Policy
Education
Stockton University 1993 — 1997
Bachelor of Science (B.S.), Public Health Administration
Lisa Mills PMP, ACP candidate's Horizon Blue Cross Blue Shield of New Jersey Experience August 2009 - February 2010
Job Sr IT /Business Project Manager
Industry Insurance
Experience
Conffidential January 2015 - Present
Florida Blue January 2014 - July 2014
Hosptial August 2013 - January 2014
Optum Health Services (Canada) Ltd. November 2010 - August 2013
WellPoint June 2010 - November 2010
Horizon Blue Cross Blue Shield of New Jersey August 2009 - February 2010
Adaptis May 2008 - November 2008
HMSA 2007 - 2008
CitiStreet 2004 - 2007
Skills
Six Sigma, ICD 10, Business Analysis, Web Design, Compliance, HIPAA, 5010, Impact Assessment, Remediation, SDLC, ICD-10, Medicare, Software Documentation, Business Process, Quality Assurance, Program Management, Process Improvement, Analysis, Agile Methodologies, Business Requirements, Project Management, Leadership, Waterfall, Systems Analysis, Project Planning, Vendor Management, Business Process..., Requirements Gathering, Visio, Management, IC10 Testing, Integration, PMP, PMO, Training, Information Technology, Business Process..., Project Portfolio..., SharePoint, Requirements Analysis, Resource Management, Software Project..., IT Strategy, MS Project, IT Management, Project Delivery, Healthcare Information..., Business Intelligence, Team Building, Testing
Education
Southern Illinois University, Carbondale 1995 — 1999
B.S., Workforce Education, Training and Development
Andrew Jackson High School
PMI
PMP Certified, In good standing
Conffidential January 2015 - Present
Florida Blue January 2014 - July 2014
Hosptial August 2013 - January 2014
Optum Health Services (Canada) Ltd. November 2010 - August 2013
WellPoint June 2010 - November 2010
Horizon Blue Cross Blue Shield of New Jersey August 2009 - February 2010
Adaptis May 2008 - November 2008
HMSA 2007 - 2008
CitiStreet 2004 - 2007
Skills
Six Sigma, ICD 10, Business Analysis, Web Design, Compliance, HIPAA, 5010, Impact Assessment, Remediation, SDLC, ICD-10, Medicare, Software Documentation, Business Process, Quality Assurance, Program Management, Process Improvement, Analysis, Agile Methodologies, Business Requirements, Project Management, Leadership, Waterfall, Systems Analysis, Project Planning, Vendor Management, Business Process..., Requirements Gathering, Visio, Management, IC10 Testing, Integration, PMP, PMO, Training, Information Technology, Business Process..., Project Portfolio..., SharePoint, Requirements Analysis, Resource Management, Software Project..., IT Strategy, MS Project, IT Management, Project Delivery, Healthcare Information..., Business Intelligence, Team Building, Testing
Education
Southern Illinois University, Carbondale 1995 — 1999
B.S., Workforce Education, Training and Development
Andrew Jackson High School
PMI
PMP Certified, In good standing
John Verga's Horizon Blue Cross Blue Shield of New Jersey Experience July 1992 - March 2005
Job Vice President, Key Account Sales and Account Management at UnitedHealthcare
Industry Insurance
Experience
UnitedHealthcare November 2010 - Present
Health Net January 2009 - December 2010
Health Net January 2008 - December 2008
Health Net March 2005 - January 2008
Horizon Blue Cross Blue Shield of New Jersey July 1992 - March 2005
Skills
Account Management, Health Insurance, Managed Care, Medicare, Insurance, Sales, HMO, Health Savings Accounts, Employee Benefits, PPO, Brokers, Underwriting
Education
Seton Hall University
Bachelor of Science, Business Management
UnitedHealthcare November 2010 - Present
Health Net January 2009 - December 2010
Health Net January 2008 - December 2008
Health Net March 2005 - January 2008
Horizon Blue Cross Blue Shield of New Jersey July 1992 - March 2005
Skills
Account Management, Health Insurance, Managed Care, Medicare, Insurance, Sales, HMO, Health Savings Accounts, Employee Benefits, PPO, Brokers, Underwriting
Education
Seton Hall University
Bachelor of Science, Business Management
Darrin Tissot's Horizon Blue Cross Blue Shield of New Jersey Experience October 2003 - February 2012
Job Regional Sales Manager, Northeast at AmeriFlex Inc
Industry Insurance
Experience
AmeriFlex Inc March 2015 - Present
Solstice Benefits, Inc. March 2012 - February 2015
Horizon Blue Cross Blue Shield of New Jersey October 2003 - February 2012
Ameritas 2001 - 2003
Ortho-McNeil Pharmaceutical 1997 - 2001
Baker Norton Pharmaceuticals, Inc. 1994 - 1997
Skills
Health Insurance, Employee Benefits, Dental, Insurance, Account Management, Customer Relations, Consultative Selling, Strategic Planning, Group Benefits, Negotiation, Benefits, New Business Development, Healthcare, Problem Solving, Managed Care, Dentistry, Sales Management, Brokers, Health Savings Accounts, Customer Service, Strategy, Selling, Leadership, Sales, Underwriting, Life Insurance, Business Development
Education
Wagner College 1992 — 1993
MBA, Marketing
State University of New York at New Paltz 1983 — 1987
BS, Finance
AmeriFlex Inc March 2015 - Present
Solstice Benefits, Inc. March 2012 - February 2015
Horizon Blue Cross Blue Shield of New Jersey October 2003 - February 2012
Ameritas 2001 - 2003
Ortho-McNeil Pharmaceutical 1997 - 2001
Baker Norton Pharmaceuticals, Inc. 1994 - 1997
Skills
Health Insurance, Employee Benefits, Dental, Insurance, Account Management, Customer Relations, Consultative Selling, Strategic Planning, Group Benefits, Negotiation, Benefits, New Business Development, Healthcare, Problem Solving, Managed Care, Dentistry, Sales Management, Brokers, Health Savings Accounts, Customer Service, Strategy, Selling, Leadership, Sales, Underwriting, Life Insurance, Business Development
Education
Wagner College 1992 — 1993
MBA, Marketing
State University of New York at New Paltz 1983 — 1987
BS, Finance
Darin Wright's Horizon Blue Cross Blue Shield of New Jersey Experience October 2011 - May 2014
Job Process Strategist Consultant (StrategicIsite, LLC) at Johnson & Johnson
Industry Management Consulting
Experience
Johnson & Johnson April 2015 - Present
StrategicIsite, LLC January 2005 - Present
Union County College July 2003 - Present
Heuristic Learning, LLC January 2003 - Present
eblackwidow, LLC January 2002 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2011 - May 2014
The Success-Full Corporation June 1998 - June 2002
Professional Network of America, Inc. September 1986 - December 1998
AT&T January 1985 - February 1987
Skills
Management, Project Management, Program Management, Strategy, Leadership, Training, Business Process..., Process Improvement, Cross-functional Team..., Business Process, Curriculum Design, Curriculum Development, Instructional Design, Instructor-led Training, Web Development, Database Design, Database Development, Entrepreneurship, Social Entrepreneurship, Innovation Development
Education
Stevens Institute of Technology 2001 — 2003
Executive Masters of Technology Management
University of Pennsylvania - The Wharton School 1992 — 1992
Marketing
United States Naval Academy 1980 — 1984
Johnson & Johnson April 2015 - Present
StrategicIsite, LLC January 2005 - Present
Union County College July 2003 - Present
Heuristic Learning, LLC January 2003 - Present
eblackwidow, LLC January 2002 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2011 - May 2014
The Success-Full Corporation June 1998 - June 2002
Professional Network of America, Inc. September 1986 - December 1998
AT&T January 1985 - February 1987
Skills
Management, Project Management, Program Management, Strategy, Leadership, Training, Business Process..., Process Improvement, Cross-functional Team..., Business Process, Curriculum Design, Curriculum Development, Instructional Design, Instructor-led Training, Web Development, Database Design, Database Development, Entrepreneurship, Social Entrepreneurship, Innovation Development
Education
Stevens Institute of Technology 2001 — 2003
Executive Masters of Technology Management
University of Pennsylvania - The Wharton School 1992 — 1992
Marketing
United States Naval Academy 1980 — 1984
Michelle Mitra's Horizon Blue Cross Blue Shield of New Jersey Experience December 2011 - May 2013
Job IT Program Manager at UnitedHealth Group
Industry Insurance
Experience
UnitedHealth Group April 2015 - Present
Express Scripts May 2013 - February 2015
Horizon Blue Cross Blue Shield of New Jersey December 2011 - May 2013
Data Inc April 1999 - November 2011
FutureSoft (India) Pvt. Ltd. 1992 - 1999
Skills
PMP, SDLC, Software Project..., Business Analysis, Program Management, Project Management, SOA, SharePoint
Education
St. Stephen's College 1988 — 1991
Bachelor of Science (B.Sc.)
UnitedHealth Group April 2015 - Present
Express Scripts May 2013 - February 2015
Horizon Blue Cross Blue Shield of New Jersey December 2011 - May 2013
Data Inc April 1999 - November 2011
FutureSoft (India) Pvt. Ltd. 1992 - 1999
Skills
PMP, SDLC, Software Project..., Business Analysis, Program Management, Project Management, SOA, SharePoint
Education
St. Stephen's College 1988 — 1991
Bachelor of Science (B.Sc.)
Anna Vira-Sivulka's Horizon Blue Cross Blue Shield of New Jersey Experience 2012 - 2014
Job Director at Advantage Care Physicians New York
Industry Health, Wellness and Fitness
Experience
Advantage Care Physicians - New York 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey 2012 - 2014
OptumHealth 2008 - 2012
Horizon Blue Cross Blue Shield NJ 2007 - 2008
Horizon Blue Cross Blue Shield of New Jersey 2000 - 2007
Horizon Blue Cross Blue Shield of New Jersey 1993 - 2000
Skills
Managed Care, Vendor Management, Health Insurance, Program Management, Healthcare Industry, Strategic Planning, Business Analysis, HIPAA, Healthcare Information..., Healthcare, Provider Relations, Healthcare Management, Healthcare Consulting, SDLC, Process Improvement, Requirements Gathering, Medicare, Business Process..., Management, Cross-functional Team..., Medicaid, Insurance, Leadership, Business Intelligence, Disease Management, Business Requirements, CRM, PMP, Visio, Health Policy, HMO, Employee Benefits, Medicare Part D, Utilization Management, Pharmacy Benefit..., Strategy, Project Management, Team Building, Call Centers, Analytics
Education
Manville High School
High School Diploma, High School/Secondary Diplomas and Certificates
Seton Hall University
BS, Business, Management, Marketing, and Related Support Services
Seton Hall University
Masters, Masters in Corp/Public Comm
Advantage Care Physicians - New York 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey 2012 - 2014
OptumHealth 2008 - 2012
Horizon Blue Cross Blue Shield NJ 2007 - 2008
Horizon Blue Cross Blue Shield of New Jersey 2000 - 2007
Horizon Blue Cross Blue Shield of New Jersey 1993 - 2000
Skills
Managed Care, Vendor Management, Health Insurance, Program Management, Healthcare Industry, Strategic Planning, Business Analysis, HIPAA, Healthcare Information..., Healthcare, Provider Relations, Healthcare Management, Healthcare Consulting, SDLC, Process Improvement, Requirements Gathering, Medicare, Business Process..., Management, Cross-functional Team..., Medicaid, Insurance, Leadership, Business Intelligence, Disease Management, Business Requirements, CRM, PMP, Visio, Health Policy, HMO, Employee Benefits, Medicare Part D, Utilization Management, Pharmacy Benefit..., Strategy, Project Management, Team Building, Call Centers, Analytics
Education
Manville High School
High School Diploma, High School/Secondary Diplomas and Certificates
Seton Hall University
BS, Business, Management, Marketing, and Related Support Services
Seton Hall University
Masters, Masters in Corp/Public Comm
Ashalatha Devathi's Horizon Blue Cross Blue Shield of New Jersey Experience March 2013 - March 2014
Job SAS Application Developer/Admin at Physician Health Plan Inc
Industry Information Technology and Services
Experience
Physician Health Plan Inc May 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2013 - March 2014
Coach September 2008 - February 2009
Skills
Base SAS, Enterprise..., SQL
Education
Sri Venkateswara University 2002 — 2004
mba, finance
Physician Health Plan Inc May 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2013 - March 2014
Coach September 2008 - February 2009
Skills
Base SAS, Enterprise..., SQL
Education
Sri Venkateswara University 2002 — 2004
mba, finance
Sandra Gruehl's Horizon Blue Cross Blue Shield of New Jersey Experience November 2001 - May 2006
Job Freelance Editor
Industry Writing and Editing
Experience
'Self-Employed' August 2014 - Present
Brandkarma, LLC April 2013 - August 2014
Brandkarma, LLC January 2012 - April 2013
DynCorp International July 2010 - January 2012
DynCorp International May 2009 - July 2010
CACI International, Inc./Booz Allen Hamilton February 2008 - May 2009
Horizon Blue Cross Blue Shield of New Jersey November 2001 - May 2006
D. J. Storch & Associates July 2000 - May 2001
Skills
Advertising, Microsoft Office, Social Media, Marketing Communications, Adobe Acrobat, Editing, Proofreading, Writing, Corporate Branding, Publication Development, Spanish, Mac, Adobe Creative Suite, Copywriting, Integrated Marketing
Education
Susquehanna University 1996 — 2000
Bachelor of Arts (B.A.), Communications/Public Relations and Spanish
'Self-Employed' August 2014 - Present
Brandkarma, LLC April 2013 - August 2014
Brandkarma, LLC January 2012 - April 2013
DynCorp International July 2010 - January 2012
DynCorp International May 2009 - July 2010
CACI International, Inc./Booz Allen Hamilton February 2008 - May 2009
Horizon Blue Cross Blue Shield of New Jersey November 2001 - May 2006
D. J. Storch & Associates July 2000 - May 2001
Skills
Advertising, Microsoft Office, Social Media, Marketing Communications, Adobe Acrobat, Editing, Proofreading, Writing, Corporate Branding, Publication Development, Spanish, Mac, Adobe Creative Suite, Copywriting, Integrated Marketing
Education
Susquehanna University 1996 — 2000
Bachelor of Arts (B.A.), Communications/Public Relations and Spanish
Nick Petruncio's Horizon Blue Cross Blue Shield of New Jersey Experience August 2014 - Present
Job Freelance Writer
Industry Newspapers
Experience
Horizon Blue Cross Blue Shield of New Jersey August 2014 - Present
Gannett June 2005 - August 2014
Skills
News Writing, Journalism, Ap Style, Editing, Copy Editing, Newspaper, Storytelling, Layout, Proofreading, Editorial, Publications, Publishing, Newsletters, AP Style, Breaking News, Feature Articles, Headline Writing, Newspapers, Web Content
Education
Syracuse University 1995 — 1999
B.S., Mass Communication
Horizon Blue Cross Blue Shield of New Jersey August 2014 - Present
Gannett June 2005 - August 2014
Skills
News Writing, Journalism, Ap Style, Editing, Copy Editing, Newspaper, Storytelling, Layout, Proofreading, Editorial, Publications, Publishing, Newsletters, AP Style, Breaking News, Feature Articles, Headline Writing, Newspapers, Web Content
Education
Syracuse University 1995 — 1999
B.S., Mass Communication
Kevin Carmelengo's Horizon Blue Cross Blue Shield of New Jersey Experience February 1995 - May 2002
Job Principal at Mercer
Industry Insurance
Experience
Mercer September 2008 - Present
Wells Fargo Insurance Services February 2006 - September 2008
Aetna, INC. May 2002 - February 2006
Horizon Blue Cross Blue Shield of New Jersey February 1995 - May 2002
Aetna Health Plans October 1993 - February 1995
Skills
Employee Benefits, Health Insurance, Health Savings Accounts, Insurance, Underwriting, Benefits Administration, Disability Insurance, Brokers, HRIS, Managed Care, Strategic Planning, Life Insurance, Health Care Reform, Term Life Insurance, Relationship Management
Education
Seton Hall University
B.S., Management
Jefferson Township High School 1977 — 1981
Mercer September 2008 - Present
Wells Fargo Insurance Services February 2006 - September 2008
Aetna, INC. May 2002 - February 2006
Horizon Blue Cross Blue Shield of New Jersey February 1995 - May 2002
Aetna Health Plans October 1993 - February 1995
Skills
Employee Benefits, Health Insurance, Health Savings Accounts, Insurance, Underwriting, Benefits Administration, Disability Insurance, Brokers, HRIS, Managed Care, Strategic Planning, Life Insurance, Health Care Reform, Term Life Insurance, Relationship Management
Education
Seton Hall University
B.S., Management
Jefferson Township High School 1977 — 1981
John Varghes, PMP, CSM's Horizon Blue Cross Blue Shield of New Jersey Experience May 2010 - December 2012
Job Senior Project Lead at MetLife
Industry Insurance
Experience
MetLife January 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2010 - December 2012
First Rehab Life June 1997 - August 2010
Skills
PMP, Visio, Business Analysis, SDLC, Risk Management, Project Management, Strategic Planning, Vendor Management, Change Management, MS Project, PowerPoint, Program Management, Software Project..., Management, Six Sigma, Software Documentation, Requirements Gathering, Process Improvement, PMO, Project Portfolio..., SharePoint, Business Process..., Business Intelligence, Microsoft Project
Education
St. John's University, The Peter J. Tobin College of Business 2002 — 2004
MBA, Executive Management
Saint John's University 1995 — 1999
Bachelors of Science, Computer Science Minor in Business
MetLife January 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2010 - December 2012
First Rehab Life June 1997 - August 2010
Skills
PMP, Visio, Business Analysis, SDLC, Risk Management, Project Management, Strategic Planning, Vendor Management, Change Management, MS Project, PowerPoint, Program Management, Software Project..., Management, Six Sigma, Software Documentation, Requirements Gathering, Process Improvement, PMO, Project Portfolio..., SharePoint, Business Process..., Business Intelligence, Microsoft Project
Education
St. John's University, The Peter J. Tobin College of Business 2002 — 2004
MBA, Executive Management
Saint John's University 1995 — 1999
Bachelors of Science, Computer Science Minor in Business
Janin Haggmark's Horizon Blue Cross Blue Shield of New Jersey Experience November 2012 - Present
Job Actuarial Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey November 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2012 - November 2012
Wells Fargo January 2010 - March 2012
Sonoma County Public Library June 2006 - July 2011
Sonoma State University June 2010 - August 2010
Sonoma State University June 2007 - August 2010
Sonoma State University January 2007 - August 2010
Sonoma State American Language Institute January 2007 - August 2010
North Bay International Studies June 2007 - May 2010
Sonoma State University January 2007 - May 2010
Skills
Finance, Banking, Management, Portfolio Management, Insurance, Sales, Real Estate, Loans, Mortgage Lending, Selling, Mutual Funds, Data Analysis, Microsoft Excel, PowerPoint, SAS programming, Dashboards
Education
Sonoma State University 2007 — 2010
B.A,, Economics
Sonoma State University 2007 — 2010
B.S, Business Administration (Finance)
Wilhelm-Schickard Schule (vocational training institute) 2002 — 2005
Bank Business Management
Horizon Blue Cross Blue Shield of New Jersey November 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2012 - November 2012
Wells Fargo January 2010 - March 2012
Sonoma County Public Library June 2006 - July 2011
Sonoma State University June 2010 - August 2010
Sonoma State University June 2007 - August 2010
Sonoma State University January 2007 - August 2010
Sonoma State American Language Institute January 2007 - August 2010
North Bay International Studies June 2007 - May 2010
Sonoma State University January 2007 - May 2010
Skills
Finance, Banking, Management, Portfolio Management, Insurance, Sales, Real Estate, Loans, Mortgage Lending, Selling, Mutual Funds, Data Analysis, Microsoft Excel, PowerPoint, SAS programming, Dashboards
Education
Sonoma State University 2007 — 2010
B.A,, Economics
Sonoma State University 2007 — 2010
B.S, Business Administration (Finance)
Wilhelm-Schickard Schule (vocational training institute) 2002 — 2005
Bank Business Management
Michael D'Esposito's Horizon Blue Cross Blue Shield of New Jersey Experience January 1995 - January 1996
Job Senior Director, Value Based Contract Management at Mt. Sinai Health System
Industry Hospital & Health Care
Experience
Mt. Sinai Health System September 2015 - Present
NorthShore-LIJ March 2013 - August 2015
EmblemHealth (formerly HIP Health Plan) September 2001 - March 2013
EmblemHealth (formerly HIP Health Plan of New York) July 2000 - September 2001
EmblemHealth (formerly HIP Health Plan of New York January 2000 - June 2000
Horizon Blue Cross Blue Shield January 1997 - January 1999
Horizon Blue Cross and Blue Shield of New Jersey January 1996 - January 1997
Horizon Blue Cross Blue Shield of New Jersey January 1995 - January 1996
Selective Finance, Ltd January 1994 - January 1995
Skills
Medicare, Medicaid, Process Improvement, Training, Policy, Management, Health Policy, Auditing, New Business Development, Strategy, Healthcare, Managed Care
Education
Seton Hall University 1989 — 1993
English--BA
Mt. Sinai Health System September 2015 - Present
NorthShore-LIJ March 2013 - August 2015
EmblemHealth (formerly HIP Health Plan) September 2001 - March 2013
EmblemHealth (formerly HIP Health Plan of New York) July 2000 - September 2001
EmblemHealth (formerly HIP Health Plan of New York January 2000 - June 2000
Horizon Blue Cross Blue Shield January 1997 - January 1999
Horizon Blue Cross and Blue Shield of New Jersey January 1996 - January 1997
Horizon Blue Cross Blue Shield of New Jersey January 1995 - January 1996
Selective Finance, Ltd January 1994 - January 1995
Skills
Medicare, Medicaid, Process Improvement, Training, Policy, Management, Health Policy, Auditing, New Business Development, Strategy, Healthcare, Managed Care
Education
Seton Hall University 1989 — 1993
English--BA
Dawn Dietzel's Horizon Blue Cross Blue Shield of New Jersey Experience May 2014 - Present
Job Nurse Operations Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey May 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2012 - May 2014
Horizon Blue Cross Blue Shield of NJ March 2010 - April 2012
Skills
Management, Process Improvement, Leadership, Project Management, Business Analysis, Analysis, Public Speaking, Research, Access, Sales, Managed Care, Healthcare Management, Healthcare Information..., Health Insurance, Medicare, Healthcare, HIPAA, Data Analysis
Education
SUNY Stony Brook 1995 — 1997
MSN, Nursing (Midwifery)
University of Michigan 1980 — 1984
BSN
Horizon Blue Cross Blue Shield of New Jersey May 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2012 - May 2014
Horizon Blue Cross Blue Shield of NJ March 2010 - April 2012
Skills
Management, Process Improvement, Leadership, Project Management, Business Analysis, Analysis, Public Speaking, Research, Access, Sales, Managed Care, Healthcare Management, Healthcare Information..., Health Insurance, Medicare, Healthcare, HIPAA, Data Analysis
Education
SUNY Stony Brook 1995 — 1997
MSN, Nursing (Midwifery)
University of Michigan 1980 — 1984
BSN
Nevard Walters's Horizon Blue Cross Blue Shield of New Jersey Experience April 2009 - December 2013
Job Senior Consultant at Blue Cross Blue Shield of Massachusetts
Industry Health, Wellness and Fitness
Experience
Blue Cross Blue Shield of Massachusetts May 2014 - Present
Jawood, a Genpact company September 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2009 - December 2013
Analysts International January 1992 - September 2010
BCBSM February 1992 - March 2009
Blue Cross Blue Shield of Michigan 1992 - 2009
Skills
Business Analysis, Microsoft SQL Server, Requirements Gathering, Visio, Visual Basic, Requirements Analysis, DB2, SDLC, C++, Testing, Business Intelligence, COBOL, Data Warehousing, Process Improvement, Program Management, SharePoint, Software Project..., Systems Analysis, Vendor Management
Education
St. Clair College 1980 — 1981
Computers
University of Windsor 1978 — 1979
Computer Science
Kennedy Collegiate Institute 1973 — 1978
Blue Cross Blue Shield of Massachusetts May 2014 - Present
Jawood, a Genpact company September 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2009 - December 2013
Analysts International January 1992 - September 2010
BCBSM February 1992 - March 2009
Blue Cross Blue Shield of Michigan 1992 - 2009
Skills
Business Analysis, Microsoft SQL Server, Requirements Gathering, Visio, Visual Basic, Requirements Analysis, DB2, SDLC, C++, Testing, Business Intelligence, COBOL, Data Warehousing, Process Improvement, Program Management, SharePoint, Software Project..., Systems Analysis, Vendor Management
Education
St. Clair College 1980 — 1981
Computers
University of Windsor 1978 — 1979
Computer Science
Kennedy Collegiate Institute 1973 — 1978
Michael Cavallo's Horizon Blue Cross Blue Shield of New Jersey Experience July 2011 - Present
Job Program Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of New Jersey July 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2009 - June 2011
IBM Global Business Services March 1994 - November 2009
Horizon Blue Cross Blue Shield of New Jersey September 1985 - March 1994
Education
Seton Hall University 1981 — 1985
BS, Business
Horizon Blue Cross Blue Shield of New Jersey July 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2009 - June 2011
IBM Global Business Services March 1994 - November 2009
Horizon Blue Cross Blue Shield of New Jersey September 1985 - March 1994
Education
Seton Hall University 1981 — 1985
BS, Business
Edward McMullen's Horizon Blue Cross Blue Shield of New Jersey Experience September 1985 - June 1992
Job Lead System Engineer Networking at Citrix
Industry Online Media
Experience
Citrix March 2015 - Present
Henry Ford Health System January 2014 - February 2015
Siemens Enterprise Communications September 2012 - December 2013
Dow Jones July 2010 - September 2012
Dow Jones October 2007 - June 2010
Dow Jones June 1997 - June 2009
Quality Technology Solutions 1996 - 1997
UPS January 1994 - March 1996
UPS July 1992 - December 1993
Horizon Blue Cross Blue Shield of New Jersey September 1985 - June 1992
Skills
Salesforce.com, Cloud Computing, Agile Methodologies, Project Management, Digital Media, Vendor Management, Data Center, Content Management, Unix, Linux, E-commerce, Disaster Recovery, Product Management, Virtualization, Cisco Technologies, Agile Project Management, Juniper, Firewalls, IT Strategy, Enterprise Software, Security, Network Design, Load Balancing, Juniper Technologies
Education
Seton Hall University 1980 — 1984
Bachelor of Science (BS), Management and Industrial Relations
Citrix March 2015 - Present
Henry Ford Health System January 2014 - February 2015
Siemens Enterprise Communications September 2012 - December 2013
Dow Jones July 2010 - September 2012
Dow Jones October 2007 - June 2010
Dow Jones June 1997 - June 2009
Quality Technology Solutions 1996 - 1997
UPS January 1994 - March 1996
UPS July 1992 - December 1993
Horizon Blue Cross Blue Shield of New Jersey September 1985 - June 1992
Skills
Salesforce.com, Cloud Computing, Agile Methodologies, Project Management, Digital Media, Vendor Management, Data Center, Content Management, Unix, Linux, E-commerce, Disaster Recovery, Product Management, Virtualization, Cisco Technologies, Agile Project Management, Juniper, Firewalls, IT Strategy, Enterprise Software, Security, Network Design, Load Balancing, Juniper Technologies
Education
Seton Hall University 1980 — 1984
Bachelor of Science (BS), Management and Industrial Relations
Jim Dell'Arena's Horizon Blue Cross Blue Shield of New Jersey Experience 2013 - Present
Job Director, Network Services and Strategy at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey 2008 - 2013
Horizon Blue Cross Blue Shield of NJ 2003 - 2008
Horizon Blue Cross Blue Shield of NJ 1997 - 2003
Horizon Blue Cross Blue Shield of NJ 1996 - 1997
Skills
Hospitals, Strategic Planning, Management, Program Management, Budget, Managed Care, Healthcare, Process Improvement, Health Insurance, Leadership, Healthcare Industry, Training, EMR, Business Process..., Budgets, Analysis, Insurance, Medicaid, Network Development, Strategy, Access, Negotiation, Vendor Management, Physicians, Business Strategy, Recruiting, Medicare, Healthcare Consulting, Provider Relations, Healthcare Information..., Business Analysis, Cross-functional Team..., Project Management
Education
University of Medicine and Dentistry of New Jersey -New Jersey Medical School 1994 — 1998
MS, Biomedical Informatics
Stockton University 1986 — 1990
BA, Business-Marketing
Horizon Blue Cross Blue Shield of New Jersey 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey 2008 - 2013
Horizon Blue Cross Blue Shield of NJ 2003 - 2008
Horizon Blue Cross Blue Shield of NJ 1997 - 2003
Horizon Blue Cross Blue Shield of NJ 1996 - 1997
Skills
Hospitals, Strategic Planning, Management, Program Management, Budget, Managed Care, Healthcare, Process Improvement, Health Insurance, Leadership, Healthcare Industry, Training, EMR, Business Process..., Budgets, Analysis, Insurance, Medicaid, Network Development, Strategy, Access, Negotiation, Vendor Management, Physicians, Business Strategy, Recruiting, Medicare, Healthcare Consulting, Provider Relations, Healthcare Information..., Business Analysis, Cross-functional Team..., Project Management
Education
University of Medicine and Dentistry of New Jersey -New Jersey Medical School 1994 — 1998
MS, Biomedical Informatics
Stockton University 1986 — 1990
BA, Business-Marketing
Yalonda Sanford's Horizon Blue Cross Blue Shield of New Jersey Experience September 2010 - Present
Job Member Service Representative
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey September 2010 - Present
Verizon Business July 1987 - September 2009
Skills
Insurance, Health Insurance, Employee Benefits, Call Centers, Business Analysis, Customer Service, PowerPoint, Microsoft Office, Microsoft Excel, Training, Leadership, Process Improvement
Education
Strayer University-Maryland
Business Administration and Management, General
Horizon Blue Cross Blue Shield of New Jersey September 2010 - Present
Verizon Business July 1987 - September 2009
Skills
Insurance, Health Insurance, Employee Benefits, Call Centers, Business Analysis, Customer Service, PowerPoint, Microsoft Office, Microsoft Excel, Training, Leadership, Process Improvement
Education
Strayer University-Maryland
Business Administration and Management, General
Natasha Lima's Horizon Blue Cross Blue Shield of New Jersey Experience April 2010 - Present
Job Risk Management Specialist at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey April 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2007 - April 2010
Skills
Sarbanes-Oxley Act, Insurance, Process Improvement, Medicare, Health Insurance, Risk Management, Visio, Managed Care, HIPAA, Business Analysis, Employee Benefits, Vendor Management, Requirements Gathering
Education
Seton Hall University 2000 — 2005
Masters, Professional Accounting
Horizon Blue Cross Blue Shield of New Jersey April 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2007 - April 2010
Skills
Sarbanes-Oxley Act, Insurance, Process Improvement, Medicare, Health Insurance, Risk Management, Visio, Managed Care, HIPAA, Business Analysis, Employee Benefits, Vendor Management, Requirements Gathering
Education
Seton Hall University 2000 — 2005
Masters, Professional Accounting
Brian McEwen's Horizon Blue Cross Blue Shield of New Jersey Experience October 2010 - Present
Job Manager of Reporting And Analysis at Horizon Blue Cross Blue Shield of New Jersey
Industry Health, Wellness and Fitness
Experience
Horizon Blue Cross Blue Shield of New Jersey October 2010 - Present
Horizon Blue Cross Blue Shield of NJ February 2008 - September 2010
Horizon Blue Cross Blue Shield of NJ January 2006 - February 2008
Horizon Blue Cross Blue Shield of New Jersey July 2004 - January 2006
Norvergence May 2003 - June 2004
Nextel June 1998 - October 2002
Nextel January 1996 - June 1998
Skills
SQL, Access, Monarch, Business Management, SOX, Billing, Internal Controls, Documentation, Process Improvement, Healthcare, Insurance, Business Process..., Business Analysis, Risk Management, Financial Reporting, Budgeting, Vendor Management, General Ledger, Accounts Receivable, Excel, Cognos, Accounting, Forecasting, MS Project, Financial Analysis, Microsoft Excel, Budgets, Software Documentation, Data Analysis, Project Management, Management, Integration, Team Building, Training, Healthcare Industry, Visio, Medicare, Databases, Provider Relations, Health Insurance, HMO, Analysis, Sarbanes-Oxley Act
Education
Saint Peter's University 2011 — 2014
MBA, Risk Management
Seton Hall University 1988 — 1992
BA, Communications (Journalism & Public Speaking), Criminal Justice
St. Peter's Prep
Horizon Blue Cross Blue Shield of New Jersey October 2010 - Present
Horizon Blue Cross Blue Shield of NJ February 2008 - September 2010
Horizon Blue Cross Blue Shield of NJ January 2006 - February 2008
Horizon Blue Cross Blue Shield of New Jersey July 2004 - January 2006
Norvergence May 2003 - June 2004
Nextel June 1998 - October 2002
Nextel January 1996 - June 1998
Skills
SQL, Access, Monarch, Business Management, SOX, Billing, Internal Controls, Documentation, Process Improvement, Healthcare, Insurance, Business Process..., Business Analysis, Risk Management, Financial Reporting, Budgeting, Vendor Management, General Ledger, Accounts Receivable, Excel, Cognos, Accounting, Forecasting, MS Project, Financial Analysis, Microsoft Excel, Budgets, Software Documentation, Data Analysis, Project Management, Management, Integration, Team Building, Training, Healthcare Industry, Visio, Medicare, Databases, Provider Relations, Health Insurance, HMO, Analysis, Sarbanes-Oxley Act
Education
Saint Peter's University 2011 — 2014
MBA, Risk Management
Seton Hall University 1988 — 1992
BA, Communications (Journalism & Public Speaking), Criminal Justice
St. Peter's Prep
Victor Guariglia's Horizon Blue Cross Blue Shield of New Jersey Experience 1968 - 1974
Job consultant at HHSA
Industry Health, Wellness and Fitness
Experience
HHSA regional director/administrator of New Jerseyunlimited care incJuly 1978 - February 2008
Horizon Blue Cross Blue Shield of New Jersey 1968 - 1974
Skills
Healthcare, Marketing, Public Speaking, Strategic Planning
Education
Fairleigh Dickinson University-Metropolitan Campus
BA, history
Seton Hall University
MBA, marketing/management
HHSA regional director/administrator of New Jerseyunlimited care incJuly 1978 - February 2008
Horizon Blue Cross Blue Shield of New Jersey 1968 - 1974
Skills
Healthcare, Marketing, Public Speaking, Strategic Planning
Education
Fairleigh Dickinson University-Metropolitan Campus
BA, history
Seton Hall University
MBA, marketing/management
John Roefaro's Horizon Blue Cross Blue Shield of New Jersey Experience March 2012 - Present
Job Director, Regional Hospital and Ancillary Contracting at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey March 2012 - Present
WellPoint December 2008 - March 2012
EmblemHealth August 2001 - December 2008
WellPoint March 1998 - August 2001
Skills
Health Insurance, Provider Relations, Medicare, Management, Network Development, Managed Care, Medicaid, PPO, Home Care, Negotiation, Hospitals, Insurance, Clinical Research, Health Policy, Healthcare Industry, HIPAA, Healthcare
Education
Rutgers University
Bachelor of Science (BS), Accounting and Business/Management
Seton Hall University
MBA, Finance
Horizon Blue Cross Blue Shield of New Jersey March 2012 - Present
WellPoint December 2008 - March 2012
EmblemHealth August 2001 - December 2008
WellPoint March 1998 - August 2001
Skills
Health Insurance, Provider Relations, Medicare, Management, Network Development, Managed Care, Medicaid, PPO, Home Care, Negotiation, Hospitals, Insurance, Clinical Research, Health Policy, Healthcare Industry, HIPAA, Healthcare
Education
Rutgers University
Bachelor of Science (BS), Accounting and Business/Management
Seton Hall University
MBA, Finance
Cristina Live's Horizon Blue Cross Blue Shield of New Jersey Experience March 1998 - August 2000
Job HR Manager at WilliamsSonoma, Inc.
Industry Human Resources
Experience
Williams-Sonoma, Inc. May 2014 - Present
Williams-Sonoma, Inc. October 2012 - Present
Barnes & Noble December 2003 - January 2012
Barnes & Noble December 2003 - September 2004
Michael Page International November 2001 - December 2003
Alcatel-Lucent August 2000 - June 2001
Horizon Blue Cross Blue Shield of New Jersey March 1998 - August 2000
Skills
PeopleSoft, Employee Benefits, Outlook, Onboarding, Employee Relations, Recruiting, PowerPoint, HRIS, Human Resources, Microsoft Excel, New Hire Orientations, Performance Management, Project Management, Hiring, Personnel Management, Management
Education
Seton Hall University 1995 — 1999
Bachelor of Arts (B.A.), Criminal Justice & Psychology
NJCU
NJCU
NJCU
Williams-Sonoma, Inc. May 2014 - Present
Williams-Sonoma, Inc. October 2012 - Present
Barnes & Noble December 2003 - January 2012
Barnes & Noble December 2003 - September 2004
Michael Page International November 2001 - December 2003
Alcatel-Lucent August 2000 - June 2001
Horizon Blue Cross Blue Shield of New Jersey March 1998 - August 2000
Skills
PeopleSoft, Employee Benefits, Outlook, Onboarding, Employee Relations, Recruiting, PowerPoint, HRIS, Human Resources, Microsoft Excel, New Hire Orientations, Performance Management, Project Management, Hiring, Personnel Management, Management
Education
Seton Hall University 1995 — 1999
Bachelor of Arts (B.A.), Criminal Justice & Psychology
NJCU
NJCU
NJCU
Michael Desormeaux's Horizon Blue Cross Blue Shield of New Jersey Experience August 2010 - November 2012
Job National Director of Managed Markets at American Outcomes Management, LP
Industry Pharmaceuticals
Experience
American Outcomes Management, LP November 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2010 - November 2012
Walgreens OptionCare February 2006 - February 2010
Curative Pharmacy Services January 2003 - November 2005
Capital District Physicians' Health Plan July 1999 - January 2003
Capital District Physicians' Health Plan January 1996 - May 1999
Education
Siena College 1986 — 1988
B.S., Marketing/Management
State University of New York College at Geneseo 1982 — 1985
American Outcomes Management, LP November 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2010 - November 2012
Walgreens OptionCare February 2006 - February 2010
Curative Pharmacy Services January 2003 - November 2005
Capital District Physicians' Health Plan July 1999 - January 2003
Capital District Physicians' Health Plan January 1996 - May 1999
Education
Siena College 1986 — 1988
B.S., Marketing/Management
State University of New York College at Geneseo 1982 — 1985
Robin Grinkevich's Horizon Blue Cross Blue Shield of New Jersey Experience October 2010 - January 2014
Job National Review Nurse at Auto Injury Solutions
Industry Insurance
Experience
Auto Injury Solutions April 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2010 - January 2014
Maxim Healthcare Services / Auto Injury Solutions 2010 - 2010
Consolidated Services Group 2008 - 2010
Meadowlakes Long Term Care Facility 2006 - 2008
Sattenspiel Surgical Arts Pavilion 1999 - 2006
John L. Montgomery Care Center 1995 - 1999
Freehold Area Hospital 1981 - 1984
Skills
Nursing, Certified Case Manager, Medicare, managed care, health education, Disease Management, Patient Advocacy, Prior Authorization, HIPPA, HEDIS, Health Insurance, Utilization Review, Home Care, acute care, Medical/Surgical, PIP
Education
Seton Hall University
BSN, Nursing
Auto Injury Solutions April 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2010 - January 2014
Maxim Healthcare Services / Auto Injury Solutions 2010 - 2010
Consolidated Services Group 2008 - 2010
Meadowlakes Long Term Care Facility 2006 - 2008
Sattenspiel Surgical Arts Pavilion 1999 - 2006
John L. Montgomery Care Center 1995 - 1999
Freehold Area Hospital 1981 - 1984
Skills
Nursing, Certified Case Manager, Medicare, managed care, health education, Disease Management, Patient Advocacy, Prior Authorization, HIPPA, HEDIS, Health Insurance, Utilization Review, Home Care, acute care, Medical/Surgical, PIP
Education
Seton Hall University
BSN, Nursing
Rajarajeshwari Ramamoorthy's Horizon Blue Cross Blue Shield of New Jersey Experience November 2013 - January 2014
Job Java Developer at Navicure
Industry Computer Software
Experience
Navicure February 2014 - Present
Cognizant Technology Solutions November 2013 - January 2014
Horizon Blue Cross Blue Shield of New Jersey November 2013 - January 2014
Navicure October 2010 - October 2013
Wipro Technologies October 2005 - September 2008
Skills
XML, Java Enterprise Edition, SDLC, ADF, JDeveloper, Eclipse, Enterprise Architecture, JavaScript, OC4J, Oracle, Oracle SQL Developer, Oracle PL/SQL..., JSON, JSF, HTML, Ant, SQL, Atlassian JIRA, Subversion, CVS, SSH, Oracle Enterprise..., Requirements Analysis, PL/SQL
Education
Sathyabama University 2001 — 2005
B.Tech, Information Technology
Navicure February 2014 - Present
Cognizant Technology Solutions November 2013 - January 2014
Horizon Blue Cross Blue Shield of New Jersey November 2013 - January 2014
Navicure October 2010 - October 2013
Wipro Technologies October 2005 - September 2008
Skills
XML, Java Enterprise Edition, SDLC, ADF, JDeveloper, Eclipse, Enterprise Architecture, JavaScript, OC4J, Oracle, Oracle SQL Developer, Oracle PL/SQL..., JSON, JSF, HTML, Ant, SQL, Atlassian JIRA, Subversion, CVS, SSH, Oracle Enterprise..., Requirements Analysis, PL/SQL
Education
Sathyabama University 2001 — 2005
B.Tech, Information Technology
Lauren (Borzi) Aranguren's Horizon Blue Cross Blue Shield of New Jersey Experience January 2012 - May 2012
Job Per Diem Attorney
Industry Law Practice
Experience
Per Diem Attorney January 2015 - Present
Bruno Gerbino & Soriano, LLP September 2013 - January 2015
Superior Court of New Jersey, Union Vicinage, Family Part August 2012 - August 2013
Horizon Blue Cross Blue Shield of New Jersey January 2012 - May 2012
Seton Hall Law School- Center for Health & Pharmaceutical Law & Policy September 2011 - May 2012
New Jersey Office of Attorney General May 2011 - August 2011
Seton Hall Law School- Center for Health & Pharmaceutical Law & Policy January 2010 - August 2011
Office of the New Jersey State Comptroller Medicaid Fraud Division January 2011 - May 2011
Seton Hall Law School May 2010 - December 2010
Skills
Legal Issues, Legal Writing, Mediation, Legal Research, Research, Public Speaking, Insurance, PowerPoint, Westlaw, Lexis, Communication, Medicaid, Health Law, Family Law, Medicare, Microsoft Office, Dispute Resolution, Courts, Motions, Licensing, Trials, Legal Advice
Education
Seton Hall University School of Law 2009 — 2012
JD, Health Law Concentration
Seton Hall University 2005 — 2009
B.S. in Business Administration, Marketing, Business Legal Studies
Per Diem Attorney January 2015 - Present
Bruno Gerbino & Soriano, LLP September 2013 - January 2015
Superior Court of New Jersey, Union Vicinage, Family Part August 2012 - August 2013
Horizon Blue Cross Blue Shield of New Jersey January 2012 - May 2012
Seton Hall Law School- Center for Health & Pharmaceutical Law & Policy September 2011 - May 2012
New Jersey Office of Attorney General May 2011 - August 2011
Seton Hall Law School- Center for Health & Pharmaceutical Law & Policy January 2010 - August 2011
Office of the New Jersey State Comptroller Medicaid Fraud Division January 2011 - May 2011
Seton Hall Law School May 2010 - December 2010
Skills
Legal Issues, Legal Writing, Mediation, Legal Research, Research, Public Speaking, Insurance, PowerPoint, Westlaw, Lexis, Communication, Medicaid, Health Law, Family Law, Medicare, Microsoft Office, Dispute Resolution, Courts, Motions, Licensing, Trials, Legal Advice
Education
Seton Hall University School of Law 2009 — 2012
JD, Health Law Concentration
Seton Hall University 2005 — 2009
B.S. in Business Administration, Marketing, Business Legal Studies
Nohra Casanova's Horizon Blue Cross Blue Shield of New Jersey Experience October 2006 - August 2008
Job Report Developer at Florida Virtual School
Industry Information Technology and Services
Experience
Florida Virtual School February 2012 - Present
Tech USA August 2011 - February 2012
Kforce Inc. July 2010 - July 2011
Jawood Business Process Solutions LLC April 2010 - July 2010
ACT Consulting, LLC August 2008 - April 2010
Horizon Blue Cross Blue Shield of New Jersey October 2006 - August 2008
Horizon Blue Cross Blue Shield of New Jersey May 2003 - October 2006
CareAdvantage, Inc. November 2000 - May 2003
Alpha Technologies, Inc. August 1995 - November 2000
Skills
Data Warehousing, SDLC, Business Intelligence, SharePoint, Analysis, Business Analysis, Crystal Reports, Databases, Project Management, Requirements Analysis, Testing
Education
Stevens Institute of Technology 1990 — 1995
Bachelor of Engineering, Electrical Engineering
Florida Virtual School February 2012 - Present
Tech USA August 2011 - February 2012
Kforce Inc. July 2010 - July 2011
Jawood Business Process Solutions LLC April 2010 - July 2010
ACT Consulting, LLC August 2008 - April 2010
Horizon Blue Cross Blue Shield of New Jersey October 2006 - August 2008
Horizon Blue Cross Blue Shield of New Jersey May 2003 - October 2006
CareAdvantage, Inc. November 2000 - May 2003
Alpha Technologies, Inc. August 1995 - November 2000
Skills
Data Warehousing, SDLC, Business Intelligence, SharePoint, Analysis, Business Analysis, Crystal Reports, Databases, Project Management, Requirements Analysis, Testing
Education
Stevens Institute of Technology 1990 — 1995
Bachelor of Engineering, Electrical Engineering
Paul Aszklar's Horizon Blue Cross Blue Shield of New Jersey Experience 1991 - 2009
Job Small Business Employee Benefits | Large Business Benefits | Healthcare Reform | Defined Contribution I Life Insurance
Industry Insurance
Experience
Advanced Financial FCU February 2015 - Present
Kistler Tiffany Benefits August 2009 - Present
Horizon Blue Cross Blue Shield of New Jersey 1991 - 2009
Skills
Health Insurance, Employee Benefits, Health Care Reform, Voluntary Employee..., Human Resources for..., Wellness, Dentistry, Health Savings Accounts, Brokers, Insurance, Term Life Insurance, Group Insurance, Life Insurance, COBRA, Long-term Care, Benefits Administration
Education
Seton Hall University 1986 — 1991
Southington High School 1983 — 1986
Advanced Financial FCU February 2015 - Present
Kistler Tiffany Benefits August 2009 - Present
Horizon Blue Cross Blue Shield of New Jersey 1991 - 2009
Skills
Health Insurance, Employee Benefits, Health Care Reform, Voluntary Employee..., Human Resources for..., Wellness, Dentistry, Health Savings Accounts, Brokers, Insurance, Term Life Insurance, Group Insurance, Life Insurance, COBRA, Long-term Care, Benefits Administration
Education
Seton Hall University 1986 — 1991
Southington High School 1983 — 1986
Alena Vislocky's Horizon Blue Cross Blue Shield of New Jersey Experience 2000 - 2004
Job Clinical Appeals Supervisor at McBee Associates
Industry Hospital & Health Care
Experience
McBee Associates April 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey 2000 - 2004
Skills
Medicaid, Healthcare Management, Process Improvement, Medicare, Healthcare, Nursing, Healthcare Consulting, Recruiting, Hospitals, Revenue Cycle, Home Care, Healthcare Information...
Education
Seton Hall University 1985 — 1989
BSN, Nursing
MHS
McBee Associates April 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey 2000 - 2004
Skills
Medicaid, Healthcare Management, Process Improvement, Medicare, Healthcare, Nursing, Healthcare Consulting, Recruiting, Hospitals, Revenue Cycle, Home Care, Healthcare Information...
Education
Seton Hall University 1985 — 1989
BSN, Nursing
MHS
Kelly Bethea's Horizon Blue Cross Blue Shield of New Jersey Experience June 2015 - Present
Job Medical Director at Horizon Blue Cross Blue Shield of New Jersey
Industry Medical Practice
Experience
Horizon Blue Cross Blue Shield of New Jersey June 2015 - Present
Einstein Healthcare Network October 2009 - June 2015
Children's Physicains of Westchester July 2005 - October 2009
Coney Island Hospital November 2002 - July 2005
Christiana Care Health System July 2000 - November 2002
Skills
Public Health, Treatment, Medicine, Adolescents, Teaching, Programming, Clinical Research, Physician Coding, Nutrition, Team Building, Healthcare
Education
Christiana Care Health System 1997 — 2000
Doctor of Medicine (M.D.), Adolescent Medicine Residency Program
The University of Texas Health Science Center at Houston 1994 — 1997
Doctor of Medicine (M.D.), Pediatrics Residency Program
Temple University School of Medicine 1990 — 1994
Doctor of Medicine (MD), Meidicine
Spelman College 1986 — 1990
Bachelor of Science (BS), Mathematics, 3.6
Horizon Blue Cross Blue Shield of New Jersey June 2015 - Present
Einstein Healthcare Network October 2009 - June 2015
Children's Physicains of Westchester July 2005 - October 2009
Coney Island Hospital November 2002 - July 2005
Christiana Care Health System July 2000 - November 2002
Skills
Public Health, Treatment, Medicine, Adolescents, Teaching, Programming, Clinical Research, Physician Coding, Nutrition, Team Building, Healthcare
Education
Christiana Care Health System 1997 — 2000
Doctor of Medicine (M.D.), Adolescent Medicine Residency Program
The University of Texas Health Science Center at Houston 1994 — 1997
Doctor of Medicine (M.D.), Pediatrics Residency Program
Temple University School of Medicine 1990 — 1994
Doctor of Medicine (MD), Meidicine
Spelman College 1986 — 1990
Bachelor of Science (BS), Mathematics, 3.6
Michele Berger's Horizon Blue Cross Blue Shield of New Jersey Experience June 2015 - Present
Job Medical Director at Horizon Blue Cross Blue Shield of New Jersey
Industry Hospital & Health Care
Experience
Horizon Blue Cross Blue Shield of New Jersey June 2015 - Present
Executive Health Resources June 2010 - May 2015
Paramount Medical Group July 1999 - April 2010
Newark Beth Israel Medical Center January 1999 - June 1999
HIP August 1992 - December 1998
Queens Long Island Medical Group July 1991 - June 1992
Montefiore Medical Center June 1989 - July 1991
Skills
Internal Medicine, Medical Education, Healthcare Management, Medicine, Clinical Research, EHR, Physicians, Medicare, Hospitals, Healthcare, Board Certified, EMR, Healthcare Consulting, Healthcare Industry, Utilization Review, Healthcare Compliance
Education
State University of New York Upstate Medical University 1982 — 1986
MD, Medicine
Vassar College 1978 — 1982
A.B., Biology, cum laude
Horizon Blue Cross Blue Shield of New Jersey June 2015 - Present
Executive Health Resources June 2010 - May 2015
Paramount Medical Group July 1999 - April 2010
Newark Beth Israel Medical Center January 1999 - June 1999
HIP August 1992 - December 1998
Queens Long Island Medical Group July 1991 - June 1992
Montefiore Medical Center June 1989 - July 1991
Skills
Internal Medicine, Medical Education, Healthcare Management, Medicine, Clinical Research, EHR, Physicians, Medicare, Hospitals, Healthcare, Board Certified, EMR, Healthcare Consulting, Healthcare Industry, Utilization Review, Healthcare Compliance
Education
State University of New York Upstate Medical University 1982 — 1986
MD, Medicine
Vassar College 1978 — 1982
A.B., Biology, cum laude
Pam Hicks's Horizon Blue Cross Blue Shield of New Jersey Experience March 2011 - December 2012
Job Senior Consultant at Dynamic Healthcare Systems
Industry Insurance
Experience
Dynamic Healthcare Systems October 2014 - Present
John Price Consulting, LLC 2013 - 2013
Horizon Blue Cross Blue Shield of New Jersey March 2011 - December 2012
Independence Blue Cross May 2007 - March 2010
Independence Blue Cross June 2001 - May 2007
Independence Blue Cross May 2000 - June 2001
Project Management Institute October 1998 - May 2000
Skills
Medicare, Managed Care, Medicare Part D, Healthcare, Policy, Leadership, Medicaid, Team Building, Analysis, Health Insurance, Business Analysis, Training
Education
University of Delaware 1995 — 1997
MA, Political Science
Smith College 1991 — 1995
BA, Government
Dynamic Healthcare Systems October 2014 - Present
John Price Consulting, LLC 2013 - 2013
Horizon Blue Cross Blue Shield of New Jersey March 2011 - December 2012
Independence Blue Cross May 2007 - March 2010
Independence Blue Cross June 2001 - May 2007
Independence Blue Cross May 2000 - June 2001
Project Management Institute October 1998 - May 2000
Skills
Medicare, Managed Care, Medicare Part D, Healthcare, Policy, Leadership, Medicaid, Team Building, Analysis, Health Insurance, Business Analysis, Training
Education
University of Delaware 1995 — 1997
MA, Political Science
Smith College 1991 — 1995
BA, Government
Anna Acocella's Horizon Blue Cross Blue Shield of New Jersey Experience 1991 - Present
Job Account Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey 1991 - Present
HORIZON BLUE CROSS BLUE SHIELD 1991 - Present
New York University 1983 - 1989
Skills
Insurance, Account Management, Life Insurance, Brokers, Healthcare, Employee Benefits, Managed Care, Negotiation, Process Improvement, Benefits Administration, Management, Health Savings Accounts, Health Insurance, Strategic Planning, Claim, Customer Service, Underwriting, Vendor Management, Disability Insurance, Long-term Care, Health Care Reform, HMO, Workers Compensation, Group Insurance, Medicare, Self-funded, PPO, COBRA
Education
Seton Hall University
Horizon Blue Cross Blue Shield of New Jersey 1991 - Present
HORIZON BLUE CROSS BLUE SHIELD 1991 - Present
New York University 1983 - 1989
Skills
Insurance, Account Management, Life Insurance, Brokers, Healthcare, Employee Benefits, Managed Care, Negotiation, Process Improvement, Benefits Administration, Management, Health Savings Accounts, Health Insurance, Strategic Planning, Claim, Customer Service, Underwriting, Vendor Management, Disability Insurance, Long-term Care, Health Care Reform, HMO, Workers Compensation, Group Insurance, Medicare, Self-funded, PPO, COBRA
Education
Seton Hall University
Benjamin N-E's Horizon Blue Cross Blue Shield of New Jersey Experience March 2006 - September 2011
Job Experienced Designer and Filmmaker Available For New Opportunities.
Industry Design
Experience
Wellmark April 2015 - Present
Actively Seeking Employment February 2015 - Present
SWA Group January 2014 - February 2015
University of Pennsylvania September 2012 - December 2012
SCAPE Landscape Architecture June 2012 - August 2012
UPenn - Mildred's Lane 2012 - 2012
1862 by Martin Hamann May 2011 - September 2011
Horizon Blue Cross Blue Shield of New Jersey March 2006 - September 2011
Housing Works 2009 - 2009
New York City Bar Association 2007 - 2009
Skills
Photography, Adobe Creative Suite, Illustrator, Photoshop, SketchUp, InDesign, Video, Design Development,..., After Effects, Editing, Final Cut Pro, Premiere, Avid, Video Editing, Film Production, Post Production, Cinematography, Documentaries, Creative Writing, Rhino 3D, AutoCAD, Urban Design, Sustainable Design, Design Research, Rendering, Microsoft Office, Graphic Design, Film, Rhino, Social Media, Television, Writing, Camera Operation, Sketching, Research, Urban Planning
Education
University of Pennsylvania 2009 — 2013
Master of Landscape Architecture, Landscape Architecture and Regional Planning
School of Visual Arts 1996 — 2000
BFA, Film and Video
Wellmark April 2015 - Present
Actively Seeking Employment February 2015 - Present
SWA Group January 2014 - February 2015
University of Pennsylvania September 2012 - December 2012
SCAPE Landscape Architecture June 2012 - August 2012
UPenn - Mildred's Lane 2012 - 2012
1862 by Martin Hamann May 2011 - September 2011
Horizon Blue Cross Blue Shield of New Jersey March 2006 - September 2011
Housing Works 2009 - 2009
New York City Bar Association 2007 - 2009
Skills
Photography, Adobe Creative Suite, Illustrator, Photoshop, SketchUp, InDesign, Video, Design Development,..., After Effects, Editing, Final Cut Pro, Premiere, Avid, Video Editing, Film Production, Post Production, Cinematography, Documentaries, Creative Writing, Rhino 3D, AutoCAD, Urban Design, Sustainable Design, Design Research, Rendering, Microsoft Office, Graphic Design, Film, Rhino, Social Media, Television, Writing, Camera Operation, Sketching, Research, Urban Planning
Education
University of Pennsylvania 2009 — 2013
Master of Landscape Architecture, Landscape Architecture and Regional Planning
School of Visual Arts 1996 — 2000
BFA, Film and Video
Brenda Polanco's Horizon Blue Cross Blue Shield of New Jersey Experience January 2014 - Present
Job Human Resources at Horizon Blue Cross Blue Shield of NJ
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey January 2014 - Present
Performance Food Group September 2010 - January 2014
Performance Food Group January 2008 - September 2010
Skills
ADP, MyHRPlus, VirtualEdge, Outlook, AS400, First Advantage, Excel, Word, PowerPoint, Microsoft Word, Microsoft Excel, New Hire Orientations, Management, Onboarding, Recruiting, Human Resources, Talent Acquisition, Employee Relations, Organizational..., Customer Service, Employee Benefits, Sales
Education
Seton Hall University 2010 — 2013
Bachelor of Science, Business Administration - Management
Union County College
Associate of Arts (AA), Business Administration and Management, General
Horizon Blue Cross Blue Shield of New Jersey January 2014 - Present
Performance Food Group September 2010 - January 2014
Performance Food Group January 2008 - September 2010
Skills
ADP, MyHRPlus, VirtualEdge, Outlook, AS400, First Advantage, Excel, Word, PowerPoint, Microsoft Word, Microsoft Excel, New Hire Orientations, Management, Onboarding, Recruiting, Human Resources, Talent Acquisition, Employee Relations, Organizational..., Customer Service, Employee Benefits, Sales
Education
Seton Hall University 2010 — 2013
Bachelor of Science, Business Administration - Management
Union County College
Associate of Arts (AA), Business Administration and Management, General
Robert de la Motte's Horizon Blue Cross Blue Shield of New Jersey Experience May 1995 - Present
Job Senior Sales Executive/Account Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey May 1995 - Present
Skills
Health Insurance, Insurance, Employee Benefits, Health Savings Accounts, Life Insurance, Disability Insurance, Brokers, Medicare, Underwriting, Sales, Term Life Insurance, Managed Care
Education
Susquehanna University 1985 — 1989
B.A., Economics
Horizon Blue Cross Blue Shield of New Jersey May 1995 - Present
Skills
Health Insurance, Insurance, Employee Benefits, Health Savings Accounts, Life Insurance, Disability Insurance, Brokers, Medicare, Underwriting, Sales, Term Life Insurance, Managed Care
Education
Susquehanna University 1985 — 1989
B.A., Economics
Deepti Raj's Horizon Blue Cross Blue Shield of New Jersey Experience June 2010 - February 2012
Job Lead Business Analyst at Medco
Industry Insurance
Experience
Medco February 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2010 - February 2012
EmblemHealth September 2008 - March 2010
AITC USA January 2006 - October 2007
eYantra October 2003 - October 2004
Dell March 2002 - March 2003
Skills
SDLC, Business Analysis, Business Requirements, Visio, Requirements Gathering, User Acceptance Testing, Requirements Analysis, Health Insurance, Vendor Management, Process Improvement, Data Analysis
Education
Indian Institute of Management and Commerce, Hyderabad
Bachelors, Computer Applications
JGS
Southampton Solent University
Masters, International Business & Stratgey
Medco February 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2010 - February 2012
EmblemHealth September 2008 - March 2010
AITC USA January 2006 - October 2007
eYantra October 2003 - October 2004
Dell March 2002 - March 2003
Skills
SDLC, Business Analysis, Business Requirements, Visio, Requirements Gathering, User Acceptance Testing, Requirements Analysis, Health Insurance, Vendor Management, Process Improvement, Data Analysis
Education
Indian Institute of Management and Commerce, Hyderabad
Bachelors, Computer Applications
JGS
Southampton Solent University
Masters, International Business & Stratgey
Latonya Snipes's Horizon Blue Cross Blue Shield of New Jersey Experience 2001 - 2010
Job Insurance Professional
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey 2001 - 2010
Skills
Computer...
Education
Star Career Academy-Newark 2011 — 2012
Diploma, Dialysis Technician
Star Career Academy-Newark
Horizon Blue Cross Blue Shield of New Jersey 2001 - 2010
Skills
Computer...
Education
Star Career Academy-Newark 2011 — 2012
Diploma, Dialysis Technician
Star Career Academy-Newark
Manjuvani Tupakula's Horizon Blue Cross Blue Shield of New Jersey Experience December 2012 - Present
Job Programmer Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Pharmaceuticals
Experience
Horizon Blue Cross Blue Shield of New Jersey December 2012 - Present
inVentiv Health 2004 - 2012
Education
Sri Krishnadevaraya University 1994 — 1997
Master of Computer Applications (M.C.A.), Computer Science
Horizon Blue Cross Blue Shield of New Jersey December 2012 - Present
inVentiv Health 2004 - 2012
Education
Sri Krishnadevaraya University 1994 — 1997
Master of Computer Applications (M.C.A.), Computer Science
Francis Reck's Horizon Blue Cross Blue Shield of New Jersey Experience 1994 - 1997
Job Former Senior Counsel at Johnson & Johnson
Industry Hospital & Health Care
Experience
Johnson & Johnson 1997 - April 2013
Horizon Blue Cross Blue Shield of New Jersey 1994 - 1997
Suburban Propane 1990 - 1993
O'Malley & Surman 1989 - 1990
Horizon Blue Cross Blue Shield of New Jersey 1986 - 1989
Skills
Contract Negotiation, Healthcare, Managed Care, Strategic Planning, Medical Devices, Negotiation, Pharmaceutical Industry, Contract Management
Education
Seton Hall Law School 1984 — 1988
Doctor of Law (J.D.), Law
Fairleigh Dickinson University-Metropolitan Campus 1974 — 1978
Bachelor of Arts (B.A.), Communications
Johnson & Johnson 1997 - April 2013
Horizon Blue Cross Blue Shield of New Jersey 1994 - 1997
Suburban Propane 1990 - 1993
O'Malley & Surman 1989 - 1990
Horizon Blue Cross Blue Shield of New Jersey 1986 - 1989
Skills
Contract Negotiation, Healthcare, Managed Care, Strategic Planning, Medical Devices, Negotiation, Pharmaceutical Industry, Contract Management
Education
Seton Hall Law School 1984 — 1988
Doctor of Law (J.D.), Law
Fairleigh Dickinson University-Metropolitan Campus 1974 — 1978
Bachelor of Arts (B.A.), Communications
Mario Ceballos's Horizon Blue Cross Blue Shield of New Jersey Experience May 2014 - Present
Job Information Technology and Services Professional
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of New Jersey May 2014 - Present
Self-employed January 2009 - Present
Project Reach Youth December 2007 - January 2009
Skills
Web Design, Microsoft Visual Studio..., PHP, JavaScript, Python, MySQL, Microsoft Office, Windows Server, Windows, Linux, Adobe Creative Suite, HTML 5, CSS, Network Administration, Wireless Networking, Wireshark, Wire Framing, TCP/IP, Technical Support, Hardware Diagnostics, Hardware Support, Hardware, Printers, Servers, Networking, Databases, Computer Repair
Education
St. Francis College 2005 — 2014
Bachelor's degree, Information Technology
Horizon Blue Cross Blue Shield of New Jersey May 2014 - Present
Self-employed January 2009 - Present
Project Reach Youth December 2007 - January 2009
Skills
Web Design, Microsoft Visual Studio..., PHP, JavaScript, Python, MySQL, Microsoft Office, Windows Server, Windows, Linux, Adobe Creative Suite, HTML 5, CSS, Network Administration, Wireless Networking, Wireshark, Wire Framing, TCP/IP, Technical Support, Hardware Diagnostics, Hardware Support, Hardware, Printers, Servers, Networking, Databases, Computer Repair
Education
St. Francis College 2005 — 2014
Bachelor's degree, Information Technology
Kathleen Dehnz's Horizon Blue Cross Blue Shield of New Jersey Experience 2008 - Present
Job Managed Care Coordinator at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey 2008 - Present
Pathmark Stores, Inc. 1981 - 2008
Education
Sayreville War Memorial High School 1967 — 1971
Horizon Blue Cross Blue Shield of New Jersey 2008 - Present
Pathmark Stores, Inc. 1981 - 2008
Education
Sayreville War Memorial High School 1967 — 1971
Joseph Ciampa's Horizon Blue Cross Blue Shield of New Jersey Experience
Job Sales Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey
Skills
Sales, Underwriting, Account Management, Health Insurance, Insurance, Medicare, Healthcare, Process Improvement, Brokers, Managed Care, Customer Service, Employee Benefits, Management, Claim, Strategic Planning
Education
Seton Hall University 1989 — 1993
Bachelor's degree, History
Horizon Blue Cross Blue Shield of New Jersey
Skills
Sales, Underwriting, Account Management, Health Insurance, Insurance, Medicare, Healthcare, Process Improvement, Brokers, Managed Care, Customer Service, Employee Benefits, Management, Claim, Strategic Planning
Education
Seton Hall University 1989 — 1993
Bachelor's degree, History
Patricia McLaurin's Horizon Blue Cross Blue Shield of New Jersey Experience March 1979 - Present
Job Enrollment Dental Clerk at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey March 1979 - Present
Skills
Process Improvement, Training
Education
Seton Hall University 1973 — 1974
Some college, Literal Arts
Horizon Blue Cross Blue Shield of New Jersey March 1979 - Present
Skills
Process Improvement, Training
Education
Seton Hall University 1973 — 1974
Some college, Literal Arts
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY