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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Horizon Blue Cross Blue Shield of New Jersey Employees
Standard Chartered Bank September 2014 - Present
Brick Data Technology June 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey December 2013 - Present
TSI International June 2010 - December 2013
Skills
Software Installation, Disaster Recovery, VMware, Windows Server, VMware ESX, System Administration, SharePoint, Active Directory, Business Process, ITIL, IT Service Management, Systems Management, Windows 7, VMware Infrastructure, Servers, Data Center, Storage, vSphere, Hardware, Technical Support, Troubleshooting, Cluster, Infrastructure, Databases, Enterprise Software, EMC Storage, Windows, Microsoft Servers, Fitness, Fitness Training, Strength Training, VMware vSphere, Sports Nutrition
Education
Tuskegee University 1992 — 1994
Bachelor of Applied Science (B.A.Sc.), Psychology
Horizon Blue Cross Blue Shield of New Jersey January 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2009 - December 2010
Horizon Blue Cross Blue Shield of New Jersey December 2008 - September 2009
Horizon Blue Cross Blue Shield of New Jersey June 2005 - December 2008
Horizon Blue Cross Blue Shield of New Jersey October 2003 - June 2005
Monmouth Medical Center July 2000 - October 2003
Thomas Jefferson University Hospitals August 1999 - April 2000
Skills
Utilization Management, Utilization Review, Supervisory Experience, Pediatric Nursing, Pediatric Intensive Care, Neonatal Nursing, HIPAA, Provider Relations, Customer Service, NCQA, Healthcare, Disease Management, Health Insurance, Health Policy, Healthcare Information..., Home Care, Hospitals, Managed Care, Medicaid, Medicare, Nursing
Education
Thomas Jefferson University 1998 — 2000
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Ocean County College 1996 — 1998
Associate's degree, General Education
Horizon Blue Cross Blue Shield of New Jersey December 2012 - Present
Horizon Healthcare Innovation August 2011 - December 2012
Horizon BCBSNJ September 2005 - August 2011
Horizon BCBSNJ March 2002 - September 2005
Horizon BCBSNJ March 2001 - March 2002
Horizon BCBSNJ March 1999 - March 2001
Skills
Health Insurance, Claims Resolution, Customer Support, Problem Solving, Medical Billing, Medical Coding, EDI, Production Support, Business Requirements, Analysis, Claim, User Acceptance Testing, Healthcare, Requirements Gathering, Management, Business Analysis, HMO, EHR, Gap Analysis, Healthcare Management, Customer Service, HIPAA, Leadership, PMO, PMP, Process Improvement, SDLC, SharePoint, Training, Vendor Management, Visio, Insurance, Managed Care, Healthcare Industry, Healthcare Information..., Access, Requirements Analysis, Business Objects, Systems Analysis, Business Process, Data Analysis, Waterfall, EMR, PPO, Employee Benefits, Medicaid, Provider Relations
Education
Kean College 1990 — 1995
Bachelors, Public Administration/Criminal Justice
Union County College 1991 — 1993
Associates, Criminal Justice
JDRHS 1986 — 1990
The College of New Jersey January 2013 - Present
Online Financial Modeling Training Program December 2013 - February 2014
Horizon Blue Cross Blue Shield of New Jersey June 2013 - August 2013
Skills
Microsoft Office, Microsoft Excel, Social Media, Research, Critical Thinking, Photography, Facebook, Microsoft Word, Social Networking, Fundraising, Leadership
Education
Yale University - Yale School of Management 2014 — 2014
Global Pre-MBA Leadership Program Certificate of Completion
The College of New Jersey 2011 — 2015
B.A. Economics and B.S. Finance
Teaneck High School 2007 — 2011
Horizon Blue Cross Blue Shield of New Jersey June 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2013 - May 2015
Horizon Blue Cross Blue Shield of New Jersey February 2009 - March 2013
Infosys November 2004 - January 2009
UST Global February 2002 - November 2004
Skills
Healthcare, Software Engineering, Claims Management, Program Management, Operating Budgets, Outsourcing Management, Insurance, PMP, Business Process..., Agile Project Management, Requirements Gathering, Business Requirements, PMO, Project Portfolio..., Resource Management, Business Analysis, Requirements Analysis, SDLC, Software Project..., Vendor Management
Education
University of Calicut
Bachelor of Engineering (B.E.)
Horizon Blue Cross Blue Shield of New Jersey September 2015 - Present
Horizon NJ Health September 2014 - May 2015
Medical-Legal Partnerships at Philadelphia Legal Assistance September 2013 - May 2015
Horizon Blue Cross Blue Shield of New Jersey May 2014 - August 2014
University of Pennsylvania May 2013 - August 2013
The Ohio State University August 2010 - June 2012
Ohio House of Representatives September 2011 - April 2012
Nationalties Service Center June 2011 - September 2011
Skills
Healthcare Provider..., Health Insurance, Regulatory Analysis, Statutory Interpretation, Contract Analysis, Memorandum Drafting, General Insurance, Legal Contract Review, Written & Oral..., Legal Research Skills, LexisNexis Professional..., Legal Writing, Client Interviews, Client Advocation, Appeals, Legal Issues, Negotiation, Microsoft Office, Interviews, Event Planning, Policy, Community Outreach, Research, Public Speaking
Education
Drexel UniversityThomas R. Kline School of Law 2013 — 2015
Doctor of Law (JD), Health Law Concentration, Third Year Law Student
The Ohio State University 2008 — 2012
B.S. Arts and Sciences, Political Science, Portuguese, International Security and Intelligence
University of Akron School of Law
Doctor of Law (J.D.), 1L
New Jersey Citizen Action (NJCA) 2013 - Present
Township of Maplewood, NJ January 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2004 - December 2013
Maplewood First Aid Squad January 2006 - November 2012
Horizon Blue Cross Blue Shield of NJ June 1986 - April 2003
Skills
Public Speaking, Non-profits, Event Planning, Marketing Communications, Microsoft Office, Outlook, Leadership Initiatives, Community Development, Community Outreach, Nonprofits, Public Health, Social Media
Education
Benedictine University
MPH, Public Health Policy / Education
Montclair Kimberley Academy
Temple University
BA, Journalism
Horizon Blue Cross Blue Shield of New Jersey September 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2007 - September 2011
Horizon Blue Cross Blue Shield of New Jersey March 2006 - April 2007
Horizon Blue Cross Blue Shield of New Jersey April 2004 - March 2006
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Photoshop, HTML, Creative Writing, Management, Nonprofits, Access
Education
The College of New Jersey 1986 — 1991
No Degree, Broadcast Communications
eHealth Premier Consulting September 2014 - Present
Magellan Health Services January 2010 - July 2014
Horizon Blue Cross Blue Shield of New Jersey November 1996 - January 2010
Elderplan, Inc October 1992 - November 1996
Skills
Healthcare, Program Management, Process Improvement, Project Management, Healthcare Management, Managed Care, HIPAA, Vendor Management, Program Development, Change Management, Business Analysis, Strategic Planning, SDLC, Clinical Research, Medicare, Mental Health, Medicaid, MS Project, Cross-functional Team..., Project Planning, Health Insurance, Management, Hospitals, Leadership, Insurance, Healthcare Industry, Case Management, Healthcare Consulting, Employee Benefits, Business Process...
Education
New School University 1994 — 1996
Degree Courses Taken, Health/Health Care Administration/Management
SUNY at Buffalo 1988 — 1992
Bachelor of Arts (B.A.), Health/Health Care Administration/Management
Horizon Blue Cross Blue Shield of New Jersey June 2013 - Present
School of Arts & Communication, The College of New Jersey April 2012 - June 2013
Office of Records & Registration, The College of New Jersey August 2010 - April 2013
North Jersey Medical Practice May 2011 - August 2011
Law Offices of Rubin & Connelly August 2008 - July 2011
Skills
Microsoft Word, Microsoft Office, Theatre, Leadership, Music, Ensemble, Piano, SAS, Statistics, Data Visualization, Public Speaking, Research, Editing, SPSS, Data Analysis, Customer Service, Microsoft Excel, PowerPoint, Social Media
Education
The College of New Jersey 2009 — 2013
BA, Statistics
Aetna February 2015 - Present
Aetna May 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2011 - January 2014
Aetna, INC. June 2007 - February 2010
Aetna January 2006 - June 2007
Aetna January 1996 - January 2006
Aetna January 1992 - January 1996
Aetna January 1989 - January 1992
Harvard Community Health Plan January 1987 - January 1989
Harvard Community Health Plan January 1985 - January 1987
Skills
Medicare, Managed Care, Training, Health Insurance, Medicaid, Auditing, Access, Customer Service, Healthcare, Employee Benefits, Insurance, Instructional Design, Hospitals, Team Building, Human Resources, Strategic Planning, Project Management, Performance Management, Leadership Development, Account Management, Workshop Facilitation, Public Speaking, Sales, Leadership
Education
University of Bridgeport 1981 — 1985
Bachelor of Science, Gerontology
Horizon Blue Cross Blue Shield of New Jersey July 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey February 2013 - July 2015
Buy Rite Liquor May 2012 - February 2013
Skills
Retail, Store Management, Customer Service, Cashiering, Retail Sales, Store Operations, Microsoft Office, Sales, Microsoft Word, Microsoft Excel, Customer Satisfaction, Cash Register, Onboarding, Job Scheduling, Meeting Scheduling, PeopleSoft, Phone Etiquette, People Skills
Education
University of Delaware 2008 — 2012
Bachelor's degree, Foreign Languages and Literatures, General, 3.4
Horizon Blue Cross Blue Shield of New Jersey 2012 - 2013
UBS Financial Services 2010 - 2011
GE 1996 - 2010
The Hubbell Group 1989 - 1996
Varian Medical Systems 1989 - 1989
Raytheon 1986 - 1989
Skills
Six Sigma, Strategy, Business Process..., Strategic Planning, Process Improvement, Operational Excellence, Lean Manufacturing, Business Transformation, Leadership, Management Consulting, Program Management, Business Process..., Financial Modeling, Analytics, Integration, Business Strategy, Vendor Management, Operational Streamlining, Continuous Improvement, Process Engineering, Risk Management, Strategic Planning..., Executive Management, Sales Effectiveness, Supply Chain Management, Change Management, Business Process, Manufacturing, Finance, Supply Chain Consulting, Turn Around Management, Organizational Design, Financial Risk, Pricing Analysis, Turnaround Consulting, LSS, Customer Retention, Quality Assurance, Acquisition Integration, Valuation, Business Process..., Outsourcing, Product Management, Aircraft Leasing, Organizational Growth, Sales Force..., Client Retention, Company Turnaround, Underwriting, Mergers & Acquisitions
Education
New York University - Leonard N. Stern School of Business
Master of Business Administration (M.B.A.)
University of Bridgeport
Master of Science (M.S.)
The Polytechnic Institute of New York University
Bachelor of Science (B.S.)
Bronxville High School
Health Partners Plans September 2014 - Present
AmeriHealth Caritas June 2013 - September 2014
Horizon Blue Cross Blue Shield of New Jersey December 2007 - September 2012
Skills
Healthcare, HIPAA, Healthcare Management, Medicaid, Hospitals, Medicare, Health Insurance, Data Analysis, Provider Relations, Customer Service, Utilization Management, Health Policy, Public Health
Education
Temple University
QualCare Inc. March 2015 - Present
QualCare Alliance Networks Inc. July 2014 - March 2015
Horizon Blue Cross Blue Shield of New Jersey July 2012 - June 2013
GalaxE Solutions August 2011 - May 2012
KeinSite Group February 2011 - August 2011
Horizon Blue Cross Blue Shield of New Jersey 2007 - 2011
EMC 2003 - 2005
ATT Wireless 1999 - 2003
Skills
PMO, SDLC, PMP, Project Portfolio..., Planview, Resource Management, Visio, Vendor Management, IT Strategy, Program Management, MS Project, Software Development, Business Intelligence, IT Management, User Acceptance Testing, Agile Project Management, Requirements Gathering, Project Delivery, Software Documentation, Testing, Integration, Business Process, Change Management, Systems Analysis, Software Project..., Requirements Analysis, Business Requirements, Data Warehousing, Business Analysis, Waterfall, Enterprise Architecture, SharePoint, Project Management, Agile Methodologies, Solution Architecture, Business Process..., Quality Assurance, Microsoft Project
Education
Thomas Edison State College
AfterOurs Urgent Care March 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2014 - Present
Princeton Medical Group March 2013 - Present
Take Care Health Systems January 2012 - January 2013
Robert Wood Johnson University Hospital - Cancer Institute of New Jersey January 2004 - January 2012
Robert Wood Johnson University Hospital January 2004 - January 2006
Skills
Direct Patient Care, Organization, Communication, Authorization, Prioritize Workload, Appointment Scheduling, Administrative..., Insurance Verification, Phlebotomists, Multi Tasking, Medicine, EMR, Vital Signs, Message Queue, Phone Etiquette, ICD-9, Oncology, Insurance, Medical Terminology
Education
Hamilton High West
Mercer County Vocational SchoolMedical Assistant
Thomas Edison State College
Liberal Arts
Private Consulting December 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2004 - December 2013
Strategic Resources Associates, Inc August 1998 - October 2004
MHS\AmeriChoice June 1991 - August 1998
Skills
Managed Care, Healthcare, Medicare, Medicaid, Process Improvement, HIPAA, Healthcare Management, Health Insurance, Access, Insurance, Healthcare Information..., Software Documentation, Leadership, Data Analysis, Claim
Education
Temple University 1975 — 1977
Master's degree, Community Psychology
Ursinus College 1970 — 1974
Bachelor's of Science, Psychology
Blue Shield of California October 2013 - Present
Aetna August 2012 - September 2013
Horizon Blue Cross Blue Shield of New Jersey December 2011 - August 2012
Independence Blue Cross August 2011 - November 2011
Horizon Blue Cross Blue Shield of New Jersey August 2010 - August 2011
Express Scripts (Formerly Medco Health Solutions) April 2008 - August 2010
Mastech May 2007 - February 2008
IBM April 2004 - May 2007
Skills
Business Analysis, Integration, SDLC, Requirements Analysis, Business Process, Management, Business Development, Healthcare Information..., CRM, Business Requirements, Health Insurance, Product Management, Process Improvement, Project Management, Business Intelligence, Agile & Waterfall..., Business Strategy, Provider Networks, Vendor Management
Education
Tennessee Technological University 2000 — 2002
Master's degree, Electrical and Computer Engineering
Bharathiar University, Coimbatore, India 1995 — 1999
Bachelor's degree, Electrical, Electronics and Communications Engineering
Little Flower Junior College, Uppal, Hyderabad 1993 — 1995
Junior College, Maths, Physics and Chemistry
St. Patricks High School, Secunderabad 1984 — 1993
High School
Horizon Blue Cross Blue Shield of New Jersey July 2012 - July 2013
Pfizer January 2010 - September 2010
The Linde Group April 2008 - January 2009
The Linde Group March 2007 - March 2008
BOC September 2005 - March 2007
The Siegfried Group 2004 - 2004
PILPERCA 2001 - 2003
Otepi Consultores 2000 - 2001
Otepi Consultores 1997 - 2000
Skills
Finance, Project Management, Financial Analysis, Project Portfolio..., Budgets, Forecasting, SAP, PMO, Process Improvement, Financial Reporting, Project Planning, Analysis, Business Process, PMP, Integration, Leadership, Auditing, Business Process...
Education
Universidad Simón Bolívar
MBA
Universidad Metropolitana (VE)
Diplomat
Universidad Católica Andrés Bello
Bachelor of Sciences
AIG Excess Casualty - National Accounts November 2013 - Present
Zurich North America - Global Corporate Excess Casualty / National Accounts March 2009 - October 2013
AIG - Excess Casualty Corporate Accounts / Middle Market July 2005 - February 2009
AIG - Excess Casualty Corporate Accounts / Middle Market April 2002 - July 2005
Victor O. Schinnerer & Company May 1999 - March 2002
Cigna June 1997 - May 1999
Horizon Blue Cross Blue Shield of New Jersey June 1995 - May 1997
Independence Blue Cross 1993 - 1994
Skills
Underwriting, Property & Casualty..., Analysis, Marketing, Sales, Rating, Analytical Skills, Creativity, Quick Thinker, Casualty, Insurance, Excess, Brokers, Casualty Insurance, Commercial Insurance, General Insurance, Liability, Professional Liability, Reinsurance, Umbrella Insurance
Education
Temple University - Fox School of Business and Management 1993 — 1997
BS, International Business /Risk Management
Jacobs Technology September 2014 - Present
General Dynamics Information Technology September 2012 - September 2014
General Dynamics Information Technology September 2010 - August 2012
Politec September 2000 - September 2010
Horizon Blue Cross Blue Shield of New Jersey January 1993 - June 1999
Skills
Financial Reporting, Financial Analysis, Government Contracting, Accounts Payable, Payroll, Administration, Leadership, Finance, Purchasing, Training, Access, Analysis, New Hire Orientations, Spreadsheets, Process Improvement
Education
University of Delaware
Bachelor of Arts (BA), Communication, General
Macedonia Original Free Well Baptist Church September 2005 - April 2013
Horizon Blue Cross Blue Shield of New Jersey December 2003 - February 2005
UBS 2000 - 2003
AT&T 1997 - 2000
Skills
PowerPoint, Microsoft Excel, Microsoft Word, Change Management, Process Improvement, Project Management, Management, Software Documentation, Budgets, Quality Assurance, Visio, Project Planning, Training, Team Leadership, Analysis, Team Building, Strategic Planning, Leadership, PMO, Customer Service, Microsoft Office, Healthcare, Business Analysis
Education
Thomas Edison State College 1997 — 2000
Bachelor of Business Administration (B.B.A.), Computer Technology/Computer Systems Technology
The George Washington University - School of Business 1995 — 1998
Project Managemet
Horizon Blue Cross Blue Shield of New Jersey September 2010 - Present
Aon Hewitt April 2008 - September 2010
Skills
Excel, ProVal, Access, SAS, DB2, Microsoft Excel, Actuarial Science
Education
University of Connecticut 2004 — 2007
BA, Actuarial Science
Horizon Blue Cross Blue Shield of New Jersey November 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2010 - February 2012
LifeCare 2008 - June 2010
CIGNA HealthCare May 2006 - February 2008
CIGNA Healthcare April 1997 - May 2006
Skills
Vendor Management, Project Management, Outsourcing, Call Centers, Workforce Management, Training, Service Delivery, Strategy, Call Center, Process Improvement, Insurance, BPO, Customer Service, Employee Benefits, Team Building, Change Management, Program Management, Leadership, Business Process..., Cross-functional Team..., Operations Management, Business Analysis, Quality Assurance, Executive Management
Education
United States Military Academy at West Point 1974 — 1978
Bachelor of Science, Engineering
Diageo March 2015 - Present
Blue Shield of California February 2014 - March 2015
OpenSky Corp April 2012 - March 2015
Blue Shield of California September 2013 - February 2014
Aetna August 2013 - September 2013
Horizon Blue Cross Blue Shield of New Jersey November 2012 - August 2013
MetLife April 2012 - November 2012
US Army November 2009 - April 2012
Travelers Insurance March 2008 - June 2009
Travelers July 2007 - March 2008
Skills
Business Analysis, Project Management, PMP, SDLC, Vendor Management, Program Management, Process Improvement, SharePoint, Security, Management, Information Technology, Leadership, Project Portfolio..., Analysis, Governance, Disaster Recovery, Enterprise Software, Project Planning, ITIL, Data Center, RFP Generation, Regulatory Requirements, Requirements Gathering, Vendor Management..., IT Strategy
Education
The University of Connecticut School of Business 2001 — 2004
B.S. in Business Administration, Management Information Systems
Conner Strong & Buckelew December 1994 - Present
Horizon Blue Cross Blue Shield of New Jersey 1986 - 1994
Campbell Soup Company 1980 - 1985
CIGNA Healthcare 1979 - 1980
Skills
Underwriting, Strategic Planning, Employee Benefits, New Business Development, Insurance, Health Insurance, Account Management, Benefits Administration, Brokers, Commercial Insurance, Disability Insurance, Health Savings Accounts, Healthcare, Leadership, Long-term Care, Managed Care, Management, Medicare, Program Management, Risk Management, Sales, Strategy, Team Building, Property
Education
University of Delaware 1975 — 1979
Bachelor of Science, Accounting
Mt. Pleasant High School 1970 — 1975
Horizon Blue Cross Blue Shield of New Jersey September 2014 - Present
UAB Health System May 2013 - February 2014
UAB Health System August 2011 - May 2013
Skills
Software Documentation, PowerPoint, Healthcare, Medical Terminology, Medical Coding, Inpatient
Education
University of Alabama at Birmingham 2013 — 2015
Master's degree, M.S. Health Informatics
University of Alabama at Birmingham 2006 — 2010
Bachelor of Science in Health Information Management
Goldman Periodontics September 2010 - Present
Maddali and Associates June 2007 - Present
Horizon NJ Health September 2014 - Present
Rutgers School of Dental Medicine November 2013 - September 2014
Horizon Blue Cross Blue Shield of New Jersey October 2011 - March 2013
Horizon Blue Cross Blue Shield of New Jersey June 2012 - August 2012
Horizon Blue Cross Blue Shield of New Jersey December 2003 - October 2011
American Unity Dental March 2007 - April 2011
Skills
Type 65 WPM, Computer literate, Ability to multitask, Medical Terminology, Customer Service, Bookkeeping, Microsoft Excel,..., Siebel, Digital Radiography, CPR Certified, Completion of Local..., Dentistry, HIPAA, Patient Education, Public Speaking, Health Insurance, Management, Cpr Certified, Healthcare, Infection Control, Oral Care, Radiography, Treatment, Healthcare Management
Education
Union County College
Associate of Arts and Sciences (AAS), Dental Hygiene/Hygienist
University of Medicine and Dentistry of New Jersey
Associate of Arts and Sciences (AAS), Dental Hygiene/Hygienist
McFadden Scott Insurance, LLC 2012 - Present
Allstate 2009 - 2013
Epitome Systems 2007 - 2008
Health Partners of Philadelphia, Inc. 2002 - 2006
Independence Blue Cross (via Kenda Systems, Inc.) 2001 - 2002
Formost, LLC 2001 - 2001
Horizon Blue Cross Blue Shield of New Jersey 1997 - 2001
Aetna U.S. Healthcare 1994 - 1997
Consumer Health Services, Inc. 1991 - 1994
United Group Associates, LLC 1988 - 1991
Skills
Insurance, Management, Healthcare, Strategy, Health Insurance, Medicare, Start-ups, Customer Service, Property & Casualty..., Strategic Planning, Contract Negotiation, Medicaid Managed Care, Business Strategy, Contract Management, Selling, Sales, Entrepreneurship, Leadership, Medicaid, HIPAA, Managed Care, New Business Development, Business Planning, Cross-functional Team..., Budgets, Relationship Management, Physician Relations, Negotiation, Process Improvement, Business Development, Project Management, Sales Management, Team Building, Consulting
Education
Temple University - Fox School of Business and Management
MBA coursework
Wilkes University
B.S., Commerce & Finance
Horizon Blue Cross Blue Shield of New Jersey 2005 - Present
Assurant Employee Benefits 2003 - 2005
Marsh January 2000 - February 2002
AIG American General 1996 - 2000
Skills
Insurance, Microsoft Office, Microsoft Excel, Customer Service, Microsoft Word, Project Management, Strategic Planning, PowerPoint, Health Insurance, Brokers, Disability Insurance, Life Insurance, Term Life Insurance, Employee Benefits, Sales, Sales Management, New Business Development, Account Management, Healthcare, Team Building
Education
Rutgers University 1981 — 1983
Bachelor of Science (BS), Business Administration and Management, General
The George Washington University 1979 — 1981
MagnaCare February 2014 - Present
MagnaCare March 2008 - April 2012
CIGNA Healthcare 2000 - 2008
Horizon Blue Cross Blue Shield of NJ 1998 - 2000
Horizon Blue Cross Blue Shield of New Jersey 1996 - 2000
Horizon BCBSNJ 1992 - 2000
Skills
Employee Benefits, Health Insurance, Managed Care, Healthcare, Insurance, Leadership Development, Account Management, Benefits Administration, Brokers, Claim, Claims Management, Coaching, Contract Negotiation, Customer Service, Dentistry, Disability Insurance, Executive Management, Health Care Reform, HMO, HIPAA, Health Policy, Risk Management, Provider Relations, Sales, Sales Management, Selling, PPO, Pharmacy Benefit..., Healthcare Management, Healthcare Consulting, Life Insurance
Education
The College of New Jersey 1987 — 1991
BS, Economics
The Bank of New York Mellon August 2006 - Present
Horizon Blue Cross Blue Shield of New Jersey 2004 - 2006
Mindteck 1999 - 2005
NICCO Corporation Ltd 1994 - 1998
IEL 1994 - 1997
IEL 1994 - 1997
Skills
Vendor Management, IT Strategy, Business Analysis, Strategy, Risk Management, SDLC, Banking, PMO, Program Management, Equities, Project Management, Project Portfolio..., Project Delivery, Strategic Planning, Business Process..., Business Process..., Leadership, Management Consulting, Financial Services, Financial Risk, Visio, Business Process, Budgets, Portfolio Management, Disaster Recovery, Change Management, Process Engineering, Requirements Analysis, Outsourcing, Mergers & Acquisitions, Business Planning, Governance, Business Intelligence
Education
University of Calcutta 1988 — 1991
Bsc, Economics
South Point High School
Horizon Blue Cross Blue Shield of New Jersey September 2015 - Present
PwC July 2014 - September 2015
PwC July 2013 - June 2014
PwC August 2012 - June 2013
Let's Get Ready March 2012 - July 2012
Revolution Prep 2011 - 2012
Let's Get Ready September 2011 - December 2011
Shorepoint Capital Partners LLC September 2010 - April 2011
Let's Get Ready June 2010 - August 2010
Let's Get Ready August 2009 - May 2010
Skills
Program Management, Fundraising, International Relations, Spanish, Event Planning, Research, French, PowerPoint, Editing, Teaching, Microsoft Office, Microsoft Excel, Outlook, Public Speaking, Social Media, Strategic Planning, Data Analysis
Education
Tufts University 2006 — 2010
BA, Economics, International Relations
The Harker School 2002 — 2006
Room 214 December 2011 - Present
Victors & Spoils October 2011 - November 2011
Infinity Advertising July 2011 - July 2011
General Sports Alliances May 2010 - August 2010
College Fashionista Blog 2010 - 2010
Lextek LLC October 2008 - December 2008
Horizon Blue Cross Blue Shield of New Jersey June 2008 - August 2008
Monty Nuss Photography September 2004 - March 2005
Skills
Advertising, Social Networking, Social Media, Event Management, Social Media Marketing, Marketing Strategy, Photoshop, Microsoft Office, Research, Account Management, Blogging, Writing, Photography, Promotions, SEO, Problem Solving, Wordpress, Digital Strategy, Marketing
Education
University of Colorado at Boulder 2006 — 2010
Bachelor of Science, Journalism and Advertising
Horizon Blue Cross Blue Shield of New Jersey September 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey July 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2010 - Present
Horizon Blue Cross Blue Shield of NJ February 2004 - Present
Horizon Blue Cross Blue Shield of New Jersey 2003 - August 2011
Horizon Blue Cross Blue Shield of NJ February 2000 - February 2005
Skills
Managed Care, Health Insurance, Insurance, Employee Benefits, Medicare, Medicaid, Healthcare, Provider Relations, Claim, HIPAA, PPO, Utilization Management, Healthcare Management, Credentialing, Health Savings Accounts, Instructional Design, Leadership, Coaching, Training, Process Improvement, Health Policy
Education
The Johns Hopkins University - Carey Business School 2007 — 2008
Valsayn Teachers' College 1980 — 1983
Teacher Education, Education
St Augustine Girls' High School
EmblemHealth August 2013 - Present
Novartis April 2013 - August 2013
Horizon Blue Cross Blue Shield of New Jersey May 2012 - March 2013
MetLife November 2010 - May 2012
EmblemHealth May 2008 - November 2010
Major League Baseball September 2007 - May 2008
Wyndham Hotel Group 2006 - 2007
Morgan Stanley 2006 - 2006
MetLife 2000 - 2005
PricewaterhouseCoopers 1997 - 1999
Skills
PMO, PMP, Program Management, Process Engineering, Consultancy, Process Improvement, SDLC, Business Process, Portfolio Management, Integration, Management Consulting, Cross-functional Team..., Change Management, Governance, ITIL, Business Process..., SharePoint, Vendor Management, IT Strategy, Management, Project Portfolio..., Strategy, Enterprise Software, Project Management, Information Technology, Service Delivery, Business Analysis
Education
Temple University 1995 — 1997
Master of Business Administration (M.B.A.), Management Science
Texas A&M University 1990 — 1991
Master of Science (MS), Agricultural Economics
Tulane University 1986 — 1989
BA, Economics
Horizon Blue Cross Blue Shield of New Jersey August 2012 - January 2014
Horizon Blue Cross Blue Shield of New Jersey February 2010 - August 2012
Horizon Blue Cross Blue Shield of New Jersey March 2005 - February 2010
Horizon Blue Cross Blue Shield of New Jersey October 1995 - March 2005
Horizon Blue Cross Blue Shield of New Jersey June 1994 - October 1995
Horizon Blue Cross Blue Shield of New Jersey April 1993 - June 1994
Skills
Health Insurance, Claim, Visio, HIPAA, Call Centers, Access, Lotus Notes, Customer Service, Microsoft Office, Microsoft Excel, Data Analysis, Management, Claims Management, Provider Relations, Team Building
Education
Union County College 2014 — 2015
Professional Medical Coding, Professional medical billing and coding
Greensboro College 1984 — 1987
Business Administration and Management, General
Horizon Blue Cross Blue Shield of New Jersey October 2010 - December 2010
KeyBank Real Estate Capital December 2008 - October 2010
Farmers Insurance June 2008 - December 2008
Chris-Leef General Agency August 2006 - June 2008
Krueger & James Insurance Agency, Inc. September 2002 - August 2006
Sprint August 2001 - September 2002
Multivac July 1993 - August 2001
Skills
Insurance, Commercial Insurance, Underwriting, Property & Casualty..., Umbrella Insurance, General Insurance, Liability, Inland Marine, Sales, Legal Liability, Health Insurance, Professional Liability, Claims Management, Commercial Lines, Employment Practices..., Life Insurance, Disability Insurance, Excess & Surplus Lines, Flood Insurance, Workers Compensation, Claim, Brokers, Homeowners, Reinsurance, Excess, D&O, Claim Investigation, Liability Analysis, Insurance Brokerage, Term Life Insurance, Casualty Insurance, Relationship Management
Education
Central Missouri State University 1989 — 1993
B.F.A.
Santa Clara Valley Medical Center September 2013 - Present
Santa Clara Valley Medical Center March 2007 - September 2013
Santa Clara Family Health Plan January 2009 - June 2010
Washington Hospital December 2004 - December 2006
San Jose Medical Center 2002 - 2004
Kaiser Hospital 2002 - 2002
Horizon Blue Cross Blue Shield of New Jersey 2000 - 2001
QRS Managed Care Services 1998 - 2000
Morristown Memorial Hospital 1997 - 1998
Skills
Healthcare, Case Management, Hospitals, Case Managment, Nursing, Healthcare Information..., Healthcare Management
Education
Teachers College of Columbia University 1998 — 2000
MA, Nurse Executive Program
University of Santo Tomas 1988 — 1992
BSN, Nursing
Saint Mary's College 1984 — 1988
HS
College of the Holy Spirit 1977 — 1984
GradeSchool
Thomson Reuters Elite November 2014 - Present
Thomson Reuters Elite January 2012 - November 2014
PhDx Systems 2008 - 2011
Self Employed - Real Estate 2006 - 2008
IBSi, LLC 2004 - 2005
Response Data Corporation 2000 - 2004
Horizon Blue Cross Blue Shield of New Jersey 1994 - 1999
Horizon Blue Cross Blue Shield of New Jersey 1994 - 1999
Skills
CRM, Strategy, Project Management, Marketing, Account Management, Management, Consulting, Training, Networking, Product Management
Education
University of Louisville 1992 — 1994
Bachelor's degree, Finance, General
The University of New Mexico
Undergraduate studies
Evolent Health July 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2010 - April 2012
McKesson Health Solutions June 1996 - October 2010
Deloitte Consulting 1993 - 1996
Booz & Company 1990 - 1993
University of Chicago Hospitals 1989 - 1993
Price Waterhouse Management Consultants 1986 - 1989
Skills
Program Management, Product Marketing, Healthcare, Utilization Management, Leadership, Management Consulting, Healthcare Management, Project Planning, Medicare, Access, IT Strategy, Healthcare Information..., Disease Management, Management, Medicaid, Strategy, Start-ups, Healthcare Industry, Product Management, Hospitals, Healthcare Consulting, Managed Care, Performance Improvement, Clinical Research, Process Improvement, Mergers & Acquisitions, Strategic Leadership, Nursing, Training, Informatics, Oncology, Strategic Planning, Integrated Marketing, Consulting, Executive Management
Education
Tulane University 1983 — 1986
MHA, Health Care Administration
Healthfirst, New York, NY March 2012 - March 2015
Allscripts 2011 - 2012
Horizon Blue Cross Blue Shield of New Jersey 2010 - 2011
ActiveHealth Management June 2008 - February 2010
Israel Aircraft Industries International 1988 - 2007
Skills
Oracle, Data Analysis, Business Intelligence, SDLC, Requirements Analysis, Business Analysis, Business Requirements, Management, IT Strategy, SQL, Program Management, Data Warehousing, Database Design, Data Modeling, Data Migration, Enterprise Architecture, Healthcare, Databases, Data Governance, Healthcare Information..., Enterprise Data..., Data Management
Education
The Hebrew University 1973 — 1977
Bachelors, English Literature
College of the Ministry of Labor
Certification in Software Engineering, Software Engineering
Turn the Page Online Marketing October 2011 - December 2012
ReachLocal June 2011 - November 2011
Deluxe Corporation January 2011 - June 2011
Long Term Care Financial Partners January 2010 - October 2010
ServiceMagic February 2010 - July 2010
Horizon Blue Cross Blue Shield of New Jersey January 2010 - June 2010
United Parcel Service October 2006 - January 2010
Directory Assistance Publications September 2004 - January 2008
Independence Honda, Inc March 2000 - January 2004
Skills
SEO, PPC, website sales, Sales, Sales Presentations, Landing Page..., Yahoo Search Marketing, Google Docs, Communication Skills, Community Development, Salesforce.com, Social Media Consulting, Consultation, Websites, Online Marketing, Web Marketing, Business Development, Advertising, SEO copywriting, Digital Media, Social Media Marketing
Education
University of Kansas 1993 — 1998
Study - Applied Behavior Analysis / Behavior Modification
Bon Secours Health System August 2013 - Present
LMA Quality Consulting Group LLC August 2011 - Present
St. Barnabas Hospital 2011 - Present
Healthfirst 2001 - April 2011
Medco Health 1999 - 2001
Horizon Blue Cross Blue Shield of New Jersey 1996 - 1999
Skills
HEDIS, Medicaid, Clinical Outcomes, Managed Care, NCQA, Accountable Care..., Healthcare Informatics, Electronic Medical..., CMS Quality Improvement..., Delegated credentialing, Medicare Star Ratings, Provider Relations, Healthcare Information..., EMR, Informatics, Disease Management, Healthcare Management, Health Insurance, Leadership, EHR, Quality Improvement, Clinical Research, Medical Technology, Medicine, Medicare, Revenue Cycle, Home Care, Accountable Care, Physicians, Hospitals, Health Policy, Physician Relations, Practice Management, Medical Home, Public Health, Healthcare, HMO, Case Managment, Nursing, Healthcare Industry, Healthcare Consulting, Utilization Management, Medical Compliance, Quality Management, HIPAA, Credentialing, Case Management, Patient Safety, Performance Improvement, Process Improvement
Education
The George Washington University 2011 — 2012
MSHS, Health Care Quality, Policy
San Pedro College 1974 — 1979
BSN, Nursing
Accenture July 2015 - Present
Express Scripts May 2013 - April 2014
New York Road Runners June 2012 - December 2012
Express Scripts (Formerly MEDCO) 2011 - June 2012
Horizon Blue Cross Blue Shield of New Jersey July 2009 - March 2011
CareFirst BlueCross BlueShield 2009 - June 2009
Independence Blue Cross 2008 - 2009
Dainik Bhaskar Group July 2003 - January 2006
Panacea Biotec Ltd March 2003 - July 2003
Skills
Business Intelligence, Enterprise Architecture, Leadership, Business Process, Project Management, Strategy, Project Portfolio..., Vendor Management, Business Process..., Resource Management, Business Analysis, Program Management, Business Process..., Business Requirements, PMO, Consulting, Process Improvement, Business Process..., IT Strategy, Visio, Agile Methodologies, SDLC, Management Consulting, Change Management
Education
MBA - Strategy & Finance 2001 — 2003
Master of Business Administration (M.B.A.), BIMTECH
University of California, Los Angeles
Systems Analysis & Project Management (Object Oriented Analysis, Relational Database Management, UML)
B.S Environmental Science 1997 — 2000
Bachelor's Degree, Environmental Science, Top 3 Graduate Candidates
Build n Blaze 2012 - Present
Heidrick & Struggles 2009 - 2011
Spencer Stuart 2007 - 2009
Coty Prestige 2005 - 2007
Advertising Research Foundation 2004 - 2005
Nike 2003 - 2004
Horizon Blue Cross Blue Shield of New Jersey 2000 - 2002
inVentiv Health 1998 - 2000
Skills
Strategic Planning, Business Strategy, Project Management, Change Management, Management Consulting, Budgets, Team Building, Start-ups, Process Improvement, Social Media, Entrepreneurship, Training, Strategic Partnerships, Leadership, Marketing, Organizational..., Executive Management, Program Management, Strategy, Event Management, Management, Negotiation, Integrated Marketing, Sales
Education
The Catholic University of America
Bachelor of Arts (B.A.), English Language and Literature, General
TIAA-CREF January 2011 - Present
Fifth Third Bank October 2005 - January 2011
Horizon Blue Cross Blue Shield of New Jersey January 1995 - January 2005
Skills
Investments, Retirement Planning, Mutual Funds, Fixed Annuities, Wealth Management, Series 63, Retirement, 401k, Asset Allocation, Investment Advisory, Series 7, Financial Advisory, Finance, Financial Planners, Strategic Financial...
Education
Union County College 1985 — 1987
Accounting
GoogleJets October 2014 - Present
Maryland Morning with Sheilah Kast at WYPR September 2013 - December 2013
Horizon Blue Cross Blue Shield of New Jersey June 2013 - August 2013
Time Warner NY1 Cable News April 2011 - June 2011
Children’s Pressline June 2007 - May 2010
Youth Mic, WKCR 89.9 FM NY June 2007 - June 2009
Skills
Radio, Video, Social Media, Interviews, Sound, Scripting, Microsoft Office, Editing, Research, Journalism, Blogging
Education
The Johns Hopkins University 2011 — 2015
Bachelor's degree, May 2015, Writing Seminars and Psychology, GPA 3.4
Aflac November 2013 - June 2014
Horizon Blue Cross Blue Shield of New Jersey June 2013 - November 2013
Horizon Blue Cross Blue Shield of New Jersey June 2011 - June 2013
Black & Decker September 2009 - September 2010
Blue Cross and Blue Shield of Illinois, New Mexico, Oklahoma & Texas October 2007 - August 2009
St. John's University August 2005 - May 2007
Skills
Six Sigma, Process Improvement, Requirements Gathering, Market Research, Visio, MS Office tools, Dreamweaver, UML, Project Planning, Contingency Planning, Process Flow, Business Analysis, User Acceptance Testing, Mentoring, SDLC, Requirements Analysis, Business Requirements, Gap Analysis, Documentation, Systems Analysis, Analysis, Waterfall, Testing, Requirements Management, MS Office Suite, Lotus Notes, RUP, Software Documentation, Microsoft Office, Rational Requirements..., RequisitePro, Failure Mode Effect..., Integration, PMO, MS Project, CRM, Business Process..., Enterprise Architecture, Use Case Analysis, Data Analysis, Business Process, Business Process Mapping, Insurance
Education
The University of Texas at El Paso
Master of Business Administration (M.B.A.), Master of Business Administration (MBA), GPA - 3.8/4.0
Saint John's University
Master's Degree, GPA - 3.7/4
Birla Institute of Technology, Ranchi, India
Bachelor of Science (BS)
St. Peter's High School
St. Peter's Middle School
Drexel University August 2013 - Present
CIGNA August 2008 - August 2013
Horizon Blue Cross Blue Shield of New Jersey August 2007 - July 2008
HSBC Bank USA March 2003 - June 2007
Horizon Blue Cross/Blue Shield 2007 - 2007
Campbell Soup 2001 - 2003
ETS March 1995 - May 1998
Skills
Information Security..., Enterprise Architecture, Information Security, Security, SDLC, Information Technology, Integration, Vendor Management, Disaster Recovery, IT Management, IT Strategy, ITIL, Project Management, Enterprise Software
Education
Thomas Edison State College 1995 — 2003
BS - Business Administration, Informaton Systems
EXL Healthcare February 2015 - Present
EXL Healthcare October 2013 - February 2015
EXL Healthcare July 2013 - October 2013
Horizon Blue Cross Blue Shield of New Jersey June 2003 - June 2013
Meridian Health System June 1991 - June 2003
Skills
Managed Care, Medicare, Utilization Management, Disease Management, HIPAA, Healthcare Management, Healthcare, Medicaid, Nursing, Healthcare Information..., Health Insurance, Hospitals, Clinical Research, Healthcare Industry, EMR, Clinical Development, Process Consulting, Medicaid Managed Care, Clinical Systems..., NCQA, CMS, Federal Employee Health..., Health Policy, Healthcare Consulting, Provider Relations, Quality Improvement, Informatics, Case Management, Leadership, Performance Improvement, Medicare Part D, Accreditation, Medical Compliance, Health Information..., HMO, EHR, Process Improvement, Management, Visio, Program Management, Vendor Management, Consulting, Strategic Planning, Insurance, Project Management
Education
Thomas Edison State College 2011 — 2017
MSN, Nursing Informatics
Thomas Edison State College
BSN, BSN
St Elizabeth Hospital School of Nursing 1987 — 1989
AAS, Registered Nursing/Registered Nurse
Raritan Bay Medical Center February 2011 - January 2014
NYU Langone Medical Center 2009 - 2011
Horizon Blue Cross Blue Shield of New Jersey 2006 - 2009
Skills
Inpatient coding, Same day surgery coding, Interventional..., Revenue Cycle Management, Coding Quality Auditing, Hospital Charges..., Coders, EHR, ICD-9, HIPAA, Healthcare Information..., EMR, Medicare, Revenue Cycle, Healthcare Management, Research
Education
Temple University 2001 — 2005
Bachelor of Science (BS), Health Information Management
Prudential Financial June 2014 - Present
Cushman & Wakefield April 2013 - June 2014
Horizon Blue Cross Blue Shield of New Jersey June 2008 - March 2013
Horizon Blue Cross Blue Shield of New Jersey 2008 - 2013
Skills
Claim, Medicare, Insurance, Claims Management, Health Insurance, Administrative..., Account Coordination, Accounting, Appointment Scheduling, Meeting Planning, Spreadsheets, Analysis, Account Reconciliation, Software Documentation, Data Entry, Invoicing
Education
Union High School 2004 — 2004
Union County College
Associate's degree, Business Administration and Management, General
JANUS Associates, Inc February 2007 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2002 - December 2006
The Tokai Bank December 2000 - January 2002
The Tokai Bank 1991 - 2000
Den Norske Bank 1989 - 1991
First Automation Services 1988 - 1989
Skills
Information Security..., Information Security, Governance, Business Continuity, CISSP, Vulnerability Assessment, Security Awareness, CISM, Security, Penetration Testing, Disaster Recovery, Cloud Security, Identity Management, CISA, Risk Assessment, PMP, Cloud Computing, Information Assurance, Computer Forensics, Business Continuity..., Enterprise Architecture, Security Architecture..., Risk Management, FISMA, Program Management, IT Audit, COBIT, PCI DSS, Security Audits, CEH, Vulnerability Management, Vendor Management, IT Strategy, Business Analysis, IT Management
Education
SUNY at Albany
BS, Economics
Professional Certifications
Information Security Application Training
Federal Reserve Bank June 2012 - Present
Federal Reserve Bank of Richmond June 2012 - Present
Federal Reserve Bank of New York June 2012 - Present
Medco Health Solutions / Express Scripts June 2011 - June 2012
IBM September 2010 - June 2011
Horizon Blue Cross Blue Shield of New Jersey December 2009 - July 2010
netForensics 2009 - 2010
JP Morgan Chase / Bear Stearns June 2007 - November 2009
United Parcel Service July 2002 - June 2007
AXS-One January 1994 - June 2002
Skills
AIX, Solaris, Awk, Perl, HP-UX, Oracle, Unix, Virtualization, Disaster Recovery, System Administration, Unix Shell Scripting, Data Center, Veritas Volume Manager, Linux, ITIL, Troubleshooting, Windows, Websphere, Servers, Netbackup, Bash, SQL, Red Hat Linux, Apache, High Availability, LDAP, RedHat, Cluster, Shell Scripting, Databases, Windows Server, Operating Systems, VMware, Integration, Firewalls
Education
University of Adelaide 1990 — 1991
Master, Computer Science
Jersey City State College 1988 — 1989
Bachelor of Science, Computer Science
Simon Fraser University 1987 — 1988
Bachelor of Science, Biomedical Engineering
Coquitlam College 1986 — 1986
Bachelor of Science, Computer Science
University of the Philippines 1984 — 1986
Bachelor of Science, Computer Science
Horizon Blue Cross Blue Shield of New Jersey 2002 - 2014
Univera Healthcare 2000 - 2002
HealthNow New York Inc. (Blue Cross and Blue Shield of WNY) 1997 - 1999
Blue Cross and Blue Shield of Western New York 1994 - 1997
ProServ, a subsidiary of Blue Cross and Blue Shield of Western New York 1986 - 1994
Skills
Managed Care, Pharmacy Benefit..., Medicare Part D, Disease Management, Medicare, Healthcare, Utilization Management, Health Insurance, Healthcare Management, Health Policy, Medicaid, Pharmacy, Employee Benefits, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Pharmaceutical Industry, Quality Improvement, Health Care Reform, Informatics
Education
University at Buffalo 1974 — 1979
Pharmacy
Instituto Internacional - Madrid, Spain
Spanish Language and Arts
Horizon Blue Cross Blue Shield of New Jersey March 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey February 2008 - Present
Horizon Blue Cross Blue Shield of New Jersey November 1998 - January 2008
Skills
Health Insurance, Analysis, Data Analysis, Requirements Analysis, Customer Service, Testing, Insurance, Managed Care, HIPAA, Claim, Utilization Management, Healthcare, Healthcare Information...
Education
Elizabeth General Medical Center School of Nursing 1992 — 1994
Nursing
Union County College 1990 — 1992
Microbiology and Immunology
Horizon Blue Cross Blue Shield of New Jersey June 2015 - August 2015
Skills
Social Networking, Social Media, Public Speaking, Social Media Marketing, PowerPoint, Research
Education
The Catholic University of America 2013 — 2017
Psychology, Business, Management, Marketing, and Related Support Services
Summit High School 2009 — 2013
Travelers October 2011 - Present
Travelers January 2011 - February 2012
MassMutual Financial Group May 2009 - January 2011
MassMutual Financial Group March 2006 - April 2009
IBM Global Business Services June 1996 - February 2006
Avaya January 2004 - January 2006
Horizon Blue Cross Blue Shield of New Jersey 2003 - 2003
Lexmark 2000 - 2002
Mercedes-Benz USA 1998 - 1999
Level 3 Communications January 1997 - November 1997
Skills
PMO, PMO set-up, PMO Design, PMO Development, PMO Services, International Project..., Project Portfolio..., Program Management, Project Management, Project Delivery, Six Sigma, ITIL Certified, Vendor Management, Business Process..., Project Planning, Leadership, Process Improvement, IT Strategy, IT Management, Outsourcing, Insurance, IT Service Management, Change Management, Cross-functional Team..., CRM, Strategy, Management, Integration
Education
University of Connecticut 2005 — 2007
MBA, Business
Western New England College
BS, Computer Science, Mathematics
Horizon Blue Cross Blue Shield of New Jersey July 2015 - Present
Education
The University of Texas at Arlington 2000 — 2002
Master of Science (M.S.), Industrial Engineering
JWT November 2008 - Present
GCI Group September 2006 - November 2008
Horizon Blue Cross Blue Shield of New Jersey May 2004 - September 2006
Enterprise Rent-a-Car October 2000 - April 2004
Education
University of Arizona 1996 — 2000
BA
Horizon Blue Cross Blue Shield of New Jersey 2007 - 2010
SHPS/Disease Management Dept August 1997 - January 2007
Cistron Biotechnology July 1989 - September 1996
Education
SAS Institute 2005 — 2006
The Chubb Institute 1995 — 1996
Computer Programming
University at Albany, SUNY
BS, Biology/Chemistry/Math
QualCare Inc. November 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2012 - November 2013
Horizon Healthcare Innovations June 2010 - April 2012
Independence Blue Cross March 2007 - June 2010
Center for State Health Policy, Rutgers University November 2002 - March 2007
Educational Testing Service (ETS) November 2000 - November 2002
Skills
SAS, Data Analysis, Analytics, Healthcare, Informatics, Business Analysis, Statistics, Business Intelligence, Financial Analysis, Strategic Planning, Data Mining, Process Improvement, Project Management, Health Insurance, Research, SAS programming, Data Management
Education
Temple University - Fox School of Business and Management 2007 — 2010
MBA, Healthcare Management
University of Connecticut 1997 — 2000
MA, Social Pyschology
University of Rochester 1991 — 1995
BS/BA, Molecular Genetics, Psychology
Horizon Blue Cross Blue Shield of New Jersey January 2013 - Present
Horizon Blue Cross Blue Shield of NJ August 2009 - December 2012
CIGNA International June 1996 - July 2009
Arthur Andersen 1992 - 1996
Skills
Healthcare, Managed Care, Service Operations, Customer Service..., Controllers, Financial Analysis, Financial Reporting, Leadership, Enrollment Management, Enrollment Services, Billing Systems, Billing Process, Customer Retention, Call Center..., Vendor Management, BPO, Business Analysis, Business Process..., Call Centers, Employee Benefits, HIPAA, Health Insurance, Healthcare Consulting, Insurance, Management, Process Improvement, Project Management, Strategy, Training, Workforce Management
Education
The University of Connecticut 1988 — 1992
Bachelor of Science, Accounting
Aetna November 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2013 - November 2013
Infosys Public Services July 2011 - November 2013
Horizon Blue Cross Blue Shield of New Jersey May 2012 - March 2013
Horizon Blue Cross Blue Shield of New Jersey October 2011 - May 2012
Horizon Blue Cross Blue Shield of New Jersey October 2010 - October 2011
Infosys March 2008 - June 2011
Horizon Blue Cross Blue Shield of New Jersey April 2010 - October 2010
Healthways July 2009 - March 2010
Healthways April 2007 - June 2009
Skills
XML, C#, SQL Server 2005/2000, SSRS, IBM Clearquest, JavaScript, jQuery, Oracle SQL, Toad 10.0, Drupal, Business Analysis, Data Analysis, UML, User Interface Design, Use Case Diagrams, Stateflow, Object Oriented Software, Oracle, ClearQuest, .NET, Software Project..., Requirements Gathering, SDLC, Databases, SQL, Integration, Business Process, Testing, Business Requirements, ETL, Web Applications, Data Modeling, PL/SQL, DB2, Microsoft SQL Server
Education
University of Calicut 2001 — 2005
Bachelor of Technology (B.Tech.), Electrical, Electronics and Communications Engineering, First Class
bss gurukulam
EmblemHealth January 2008 - Present
Columbia University September 2006 - August 2007
Empire Blue Cross Blue Shield November 2004 - August 2006
Horizon Blue Cross Blue Shield of New Jersey January 2004 - August 2004
Education
The University of Southern Mississippi 1994 — 1996
MBA, Business
Horizon Blue Cross Blue Shield of New Jersey June 2015 - Present
AgeWell New York October 2014 - June 2015
Independent Consulting October 2012 - October 2014
Elderplan, Inc. June 2010 - October 2012
US Imaging Network July 2009 - July 2010
Touchstone Health July 2008 - July 2009
Group Health Inc. (GHI) March 2007 - July 2008
Touchstone Health August 2005 - March 2007
Skills
Long-term Care, Medicare, Medicare Part D, Managed Care, HIPAA, Healthcare Information..., Pharmacy, Healthcare Consulting, Medicaid, Healthcare Management, Health Insurance, Healthcare, Process Improvement, Healthcare Industry, Provider Relations, Utilization Management
Education
The New School 2001 — 2003
MPH
The New School
Master of Public Health (MPH)
Broadway Asia 2010 - Present
Niko Entertainment 2009 - 2010
UnitedHealth Group 2002 - 2008
Horizon Blue Cross Blue Shield of New Jersey 2001 - 2002
Concentra Managed Care 1998 - 2001
Fortis Healthcare 1997 - 1998
Harvard Pilgrim Health Care 1994 - 1997
Skills
Network Development, Provider Relations, Managed Care, Medicaid, HMO, Healthcare, PPO, Medicare, Health Insurance, Insurance, Hospitals, Healthcare Management, HIPAA, Change Management, Team Building, Strategic Planning, Contract Negotiation, Broadway, Entertainment Industry, Management, Analysis, Sales
Education
Harvard School of Public Health 1998 — 1998
Completed Training in Negotiation and Conflict Resolution
Tufts University 1986 — 1990
Bachelor of Science (BS), Psychology
Provant April 2014 - Present
UnitedHealth Group March 2009 - April 2014
Health Net October 2003 - February 2009
Health Net May 1996 - October 2003
Horizon Blue Cross Blue Shield of New Jersey May 1994 - May 1996
MetLife June 1991 - May 1994
Skills
Insurance, Managed Care, Healthcare, Health Insurance, Sales, Management, Employee Benefits, Medicare, CRM, Health Savings Accounts, Customer Retention, Account Management
Education
University of California, Berkeley 1987 — 1991
MetLife May 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2012 - May 2013
OSI RESTAURANT PARTNERS LLC January 2011 - March 2012
USAA July 2007 - January 2011
Internal Revenue Service July 1987 - June 2007
Skills
SAS, Logistic Regression, Predictive Modeling, Data Mining, CHAID, Predictive Analytics, Segmentation, Cross Selling, SPSS, R, Financial Analysis, Fraud, SQL Server, MySQL, Neural Networks, Statistics, Analytics, Data Analysis, Modeling, Cluster Analysis, Linear Regression, Decision Trees, Statistical Modeling, Factor Analysis, Regression, SAS/SQL, Customer Analytics, Multivariate Analysis, Database Marketing, ANOVA, Forecasting, Clementine, SAS programming, Customer Analysis, CRM, Analysis, Business Intelligence, Quantitative Analytics, Marketing Analytics, Business Analytics, Customer Insight, Leadership, Strategy, Financial Services, Pricing, Market Analysis, SAS Programming
Education
University of California, Riverside - A. Gary Anderson Graduate School of Management
MBA, Management
University of the Philippines
BA, Philosophy
B January 2015 - Present
Insurance April 2014 - January 2015
Horizon Blue Cross Blue Shield of New Jersey April 2014 - January 2015
Merck 2010 - November 2013
Shering-Plough (Merck) 2003 - 2010
Skills
Pharmaceutical Industry, Clinical Trials, Instructional Design, Sop, Performance Consulting, Learning Management..., Clinical Development, 21 CFR Part 11, Learning Management, Blended Learning, Instructor-led Training, Validation, Captivate, Training, ADDIE, Needs Analysis, CTMS, GMP, GCP, Training Delivery, Software Documentation, Regulatory Affairs, Pharmacovigilance, E-Learning, Employee Training, Distance Learning, Regulatory Requirements, Clinical Data Management, FDA, Lectora, Adult Education, Adult Learning Theory, Training Needs Analysis, Dreamweaver, Hands-on Training
Education
Art Institute of Pittsburgh
Interactive Media and Web Design
Thomas Edison State College
Management
Chubb Institute
Computer Technology
Somerset School of Massage Therapy
Massage Therapy/Therapeutic Massage
LeClairRyan May 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2012 - May 2015
Goodwin Procter LLP September 2008 - November 2012
Milbank, Tweed, Hadley & McCloy LLP September 2007 - September 2008
O'Melveny & Myers LLP (O'Sullivan LLP - merger) June 2002 - January 2007
Bondy & Schloss LLP March 2001 - June 2002
LeBoeuf, Lamb, Greene & MacRae, L.L.P. June 1998 - March 2001
Druckman, Rapahn & Sinel (Attorneys at Law) January 1995 - June 1998
Skills
Litigation, Legal Research, Legal Writing, Legal Assistance, Civil Litigation, Corporate Law, Westlaw, Courts, Intellectual Property, Microsoft Excel, Microsoft Word, Outlook, Gregg Shorthand, DTE, PowerPoint, LegalKey, E-file, DocsOpen, Litigation Support, Elite Webview, Document Review, Commercial Litigation
Education
Taylor Business Institute 1993 — 1995
Associate's Degree, Business/Office Administration, 3.8 GPA
Murry Bergtraum High School for Business Careers 1989 — 1993
High School, Administrative Assistant and Secretarial Science, General
Seton Hall University October 2007 - Present
Horizon Blue Cross Blue Shield of New Jersey 2006 - 2007
Atlantic Horizon Financial Services, LLC 2005 - 2006
Pathmark Stores, Inc. January 2002 - May 2003
Madge Netowrks January 1998 - December 2001
Education
Union County College
Prudential Financial February 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2011 - February 2015
UBS December 2007 - March 2011
Everest Reinsurance June 2003 - December 2007
Zurich Financial Services, UK December 2000 - May 2003
Skills
Forecasting, Accounting, Analysis, Visual Basic, Auditing, SAS, Statistical Modeling, Statistical Data..., Pricing, Data Analysis, Business Analysis, Actuarial Science, Financial Analysis, Financial Modeling, Risk Management, Financial Risk
Education
The London School of Economics and Political Science (LSE) 1998 — 1999
Masters, Statistics
The University of Manchester 1994 — 1998
Bachelor of Science (BSc), Mathematics
Horizon Blue Cross Blue Shield of New Jersey September 2015 - Present
LIFE@St Francis August 2012 - Present
VNA of Mercer County April 2003 - July 2012
Skills
Case Management, Nursing, Home Care, Care Coordination, Leadership, Strong Clinical..., Customer Satisfaction, High level of autonomy, Patient Advocacy, Attention to detail, Senior care management
Education
Thomas Edison State College 2013 — 2016
RN to BSN/MSN, Registered Nursing/Registered Nurse
JCA of Albany 1986 — 1989
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse
Horizon Blue Cross Blue Shield of New Jersey September 2010 - Present
Horizon BCBSNJ August 2007 - September 2010
Skills
Business Requirements, Business Process..., Requirements Gathering, Business Analysis, Insurance, Process Improvement, Business Process, Visio
Education
The College of New Jersey 1987 — 1991
BA, Political Science/Public Administration; Law & Justice
Cognizant Technology Solutions April 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2009 - April 2011
Skills
SDLC, Strategic Planning, SQL, Six Sigma, Requirements Analysis, Project Management, Business Analysis, Vendor Management, Business Intelligence, MS Project, Software Project..., Business Process..., Data Warehousing, Requirements Gathering, PMP, Agile Methodologies
Education
The University of New Mexico
Master of Science (MS), Mechanical Engineering
Horizon Blue Cross Blue Shield of New Jersey April 2013 - Present
American Water November 2009 - April 2013
American Water November 2009 - April 2013
Shorewood Packaging October 2002 - November 2009
Keystone Foods 1996 - 2001
PECO Energy 1993 - 1996
PECO/Exelon Corporation 1993 - 1996
Skills
Employee Relations, Human Resources, Benefits Administration, Employee Benefits, Employee Engagement, Labor Relations, Leadership, Onboarding, Performance Management, Personnel Management, Succession Planning, Talent Management, Team Building, Vendor Management
Education
Temple University
Masters, Human Rsources Administration
Horizon NJ Health/Horizon Blue Cross Blue Shield of NJ September 2002 - Present
Horizon NJ Health 2002 - Present
Blue Cross Blue Shield 2002 - Present
Horizon Blue Cross Blue Shield of New Jersey 2001 - Present
New Jersey State Nurses Association (American Nurses Association) 1990 - August 2002
Education
University of Colorado Boulder
BA; Grad School, English, French, Oceanography, Art
Excellus BCBS 1989 - Present
Horizon Blue Cross Blue Shield of New Jersey 1987 - 1989
PEOPLExpress Airlines January 1985 - 1987
Margarettan mortgage co 1984 - January 1985
Skills
HIPAA, Managed Care, Insurance, Health Insurance, Medicare, Team Building, Contact Center..., Claims Management, Leadership, Operational Excellence, Requirements Analysis, Claim, Medicaid, Employee Benefits, Health Policy, Process Improvement, Brokers, Call Centers, Long-term Care, Healthcare, Disability Insurance, HMO
Education
State University of New York at Buffalo 1980 — 1984
BA, Psychology h
Greece Athena High School 1976 — 1980
Horizon Blue Cross Blue Shield of New Jersey February 2011 - Present
Horizon Blue Cross Blue Shield of NJ July 2007 - February 2011
Skills
Process Improvement, Insurance, Health Insurance, Business Analysis, Requirements Gathering, SDLC, Risk Management, Software Documentation, Business Process, Business Process..., Management, Vendor Management, Visio, Program Management, Requirements Analysis, Healthcare, PMO, HIPAA, IT Strategy, PMP, Project Portfolio...
Education
Temple University 1982 — 1987
Bachelor of Business Administration (B.B.A.), Accounting and Finance
Aetna March 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey July 2012 - March 2015
LifeSynch/Humana April 2011 - July 2012
Independence Blue Cross January 2010 - July 2011
Independence Blue Cross August 2008 - February 2010
Reliance Standard Life Insurance April 2006 - August 2008
Drexel University September 2005 - April 2006
National Science Foundation June 2005 - August 2005
Watson Wyatt Worldwide June 2002 - June 2003
Argonne National Laboratory May 1999 - August 1999
Skills
Actuarial Science, LTD, STD, SAS, Health Insurance, Insurance, SAS programming, Reinsurance, Statistics, Data Analysis, Employee Benefits, Behavioral Health, Claim, Medicare, Disability Insurance
Education
Texas A&M University 2001 — 2005
M.S., Statistics, Mathematics
University of Arkansas 1995 — 2000
B.S., Mathematics
Horizon Blue Cross Blue Shield of New Jersey July 2009 - Present
K Hovnanian 1999 - July 2009
Deloitte & Touche February 1998 - July 1999
Price Waterhouse Coopers November 1996 - February 1998
Internal Revenue Service February 1991 - November 1996
Skills
SOX, Financial Analysis, Auditing, Internal Audit, Internal Controls, Critical Chain Project..., Federal Taxation, Financial Reporting, Financial Modeling, Budget Preparation, Variance Analysis, Sarbanes-Oxley Act, General Ledger, Cash Management
Education
Clarion University of Pennsylvania, MBA 2011 — 2013
Thomas Edison State College
MSBA, Accounting
Aetna January 2011 - Present
Independence Blue Cross Family of Companies January 2009 - January 2010
Health Markets Care Assured January 2007 - January 2008
Consolidated Edison Company of New York, Inc January 2005 - January 2007
Horizon Blue Cross Blue Shield of New Jersey January 2004 - January 2005
ICT Group, Inc January 2000 - January 2003
Education
The Ohio State University
Bachelor of Arts Degree, Economics
Wilberforce University
Wilberforce University
ValueOptions, Inc.® November 2014 - Present
AmeriHealth Caritas 2012 - 2014
Keystone Mercy (now Keystone First of the AmeriHealth Caritas Family of Companies) 2007 - 2012
Keystone Mercy Health Plan (now Keystone First of the AmeriHealth Caritas Family of Companies) 2004 - 2007
Horizon Blue Cross Blue Shield Of New Jersey 2003 - 2004
Horizon Blue Cross Blue Shield Of New Jersey 2000 - 2003
Skills
NCQA, HEDIS, Medicaid Managed Care, Medicare Managed Care, Commercial Managed Care, Quality Management, Appeals, Utilization Management, Case Management, Accreditation, Credentialing
Education
Thomas Edison State College
BSN
SERVPRO of Northwest Texas January 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2007 - September 2010
Horizon Healthcare of New York April 2003 - March 2007
Skills
Claim, Insurance, Health Insurance, Training, Medicare, Management, Policy, HIPAA, Managed Care
Education
Technical Career Institutes 1994 — 1996
Associate of Arts and Sciences (A.A.S.), General Office Occupations and Clerical Services
TIAA-CREF August 2015 - Present
TIAA-CREF December 2011 - Present
TIAA-CREF April 2004 - December 2011
Horizon Blue Cross Blue Shield of New Jersey February 1997 - April 2004
Skills
Securities, Mutual Funds, Finance, Wealth Management, Investments, 401k, Financial Services, Retirement Planning, Retirement, Fixed Annuities, Fixed Income, Strategic Financial..., Equities, Portfolio Management, Asset Allocation, IRAs, Asset Managment, Marketing Strategy, Marketing Management, Strategic Planning, Business Analysis
Education
Temple University - Fox School of Business and Management 1998 — 2001
Master of Business Administration (M.B.A.), Business Administration and Management, General
Horizon Blue Cross Blue Shield of New Jersey June 2015 - Present
Audio Visual Associates June 2013 - June 2015
AVSI December 2012 - June 2013
Presentation Media Inc. August 2010 - December 2012
CBS Sports March 2010 - August 2010
Rainbow Media 2007 - 2009
Postworks 2005 - 2007
Skills
Sound, Budgets, Video Conferencing, Digital Video, Video Production, Final Cut Pro, Avid, Audio Engineering, Audio Post Production, Live Sound, Video, HD Video, Post Production, Television, Audio Editing, AV, Video Editing
Education
The New England Institute of Art 2003 — 2005
Associates of Science, Audio Production
SUNY Purchase 2001 — 2003
New Media
Fiserv October 2011 - Present
IBM Global Services September 2006 - August 2011
Dun & Bradstreet Account January 2005 - August 2006
JP Morgan Chase Account February 2003 - December 2004
Aetna Account April 2001 - January 2003
Prudential Group Insurance Account December 1998 - March 2001
BCBSNJ, Prudential, Lucent Accounts January 1994 - November 1998
Horizon Blue Cross Blue Shield of New Jersey 1988 - 1993
Electronic Data Systems (EDS) 1985 - 1988
Skills
Business Analysis, Process Improvement, Auditing, Program Management, Project Management, PMP, Business Process, Proposal Writing, Resource Management, Change Management, Project Delivery, Databases, IT Strategy, Agile Methodologies, Software Documentation, Procurement, Analysis, Management, PMO, IT Service Management, Requirements Analysis, Training, IT Outsourcing, Vendor Management, Service Delivery, Customer Satisfaction, Software Project..., IT Management, Data Center, Outsourcing, Requirements Gathering, Telecommunications, ITIL, Business Process..., Project Portfolio...
Education
Systems Engineering Development Program
The College of New Jersey
BA
Horizon Blue Cross Blue Shield of New Jersey March 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2008 - March 2010
Columbia University November 2006 - September 2008
The Catholic University of America January 2005 - October 2006
Skills
Vendor Management, Project Management, Process Improvement, Strategic Planning, Change Management, Business Strategy, Microsoft Office, Strategy, Organizational..., Customer Service, Performance Management, Strategic Sourcing, Supplier Diversity, Leadership, Contract Negotiation, Outsourcing, Contract Management, Program Management, Cross-functional Team..., Sourcing, Analysis, Management, Business Process...
Education
The Catholic University of America 2000 — 2004
B.S.B.A., Marketing
Sherwood High School 1996 — 2000
Horizon Blue Cross Blue Shield of New Jersey September 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey December 2011 - September 2013
Preferred Health, Inc. January 2005 - July 2009
Preferred Health, Inc. January 2003 - January 2005
Preferred Health, Inc. January 2000 - January 2003
Skills
Compliance, Lean Six Sigma, Policies & Procedures..., HIPAA, Budget Management, Health Insurance, Healthcare, Legal Writing, Privacy Law, Employment Law, Outlook, Training, SharePoint, PowerPoint, Microsoft Excel, Microsoft Word, Windows, Spanish, Translation, Legal Research, Lexis, Westlaw, Analysis, Management, Policy
Education
University of Puerto Rico School of Law 2005 — 2011
Juris Doctorate, Civil Law
University of Puerto Rico School of Medicine 1998 — 2000
MPH, Public Health
University of Puerto Rico 1993 — 1998
Bachelor's in Science, Biology, 3.1
Anthem June 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2012 - June 2015
BAYADA Home Health Care January 2011 - October 2013
Neighborhood Health Services Corporation January 2011 - December 2011
VNA of Central Jersey November 2009 - November 2010
Almost Family, Inc. March 2008 - October 2009
JFK Medical Center February 2007 - March 2008
sanofi-aventis March 2000 - February 2005
Skills
BLS, Nursing, Medicare, Patient Advocacy, Healthcare, Medical Terminology, Cpr Certified, Critical Care, Utilization Management, Patient Safety, EMR, Hospitals, Disease Management, Medical/Surgical, Healthcare Information..., Healthcare Management, Managed Care, Home Care, Case Management, HIPAA, Quality Improvement, Management, Medication..., Medicaid, Registered Nurses, Leadership
Education
University of Phoenix 2012 — 2014
MSN
University of Phoenix 2010 — 2012
Bachelor of Nursing
Muhlenberg School of Nursing 2005 — 2007
Diploma in Nursing
Union County College 2004 — 2007
AS
Power Group Companies April 2015 - Present
Convergys Call Center September 2014 - February 2015
Harte Hanks Contact Center September 2013 - April 2014
USA800 Call Center February 2013 - May 2013
SelectQuote Senior Insurance Services August 2011 - December 2012
Horizon Blue Cross Blue Shield of New Jersey August 2011 - June 2012
Westport Edison High School January 2001 - January 2003
Samuel Rodgers Community Health Clinic January 1995 - January 2001
Samuel U. Rodgers Health Center 1995 - 2001
Specialize in Payroll and Benefits Administration 1995 - 2001
Skills
Employee Benefits, Employee Relations, Human Resources, Insurance, Benefits Administration, Payroll, Customer Service, Microsoft Office, Life Insurance, System Administration, Health Insurance, Team Building, Training, Recruiting, Strategic Planning
Education
Central Missouri State University 1975 — 1979
Certification, Business Education
University of Central Missouri
Bachelor of Science, Education
University of Missouri-Kansas City
Certification, English Education-Language Arts
Thomas J. Calvocoressi 2004 - 2013
Markle Foundation September 2001 - December 2003
Horizon Blue Cross Blue Shield of New Jersey January 2000 - September 2001
Aetna September 1982 - December 1998
Skills
Strategic Planning, Mergers, Business Strategy, Program Management, Strategy, Human Resources, Leadership, Team Building, Mergers & Acquisitions, Executive Management, Nonprofits, Litigation, Corporate Law, Budgets, Corporate Governance, Financial Analysis, Executive Coaching, Public Speaking, Securities Regulation, Philanthropy, Insurance, Policy, Policy Analysis, Litigation Management, Arbitration, Contract Negotiation, Risk Management, Healthcare, Public Policy, Health Policy, Joint Ventures, Media Relations, Dispute Resolution, Legal Writing, Strategic Communications, Legal Compliance, Mediation, 360 Feedback, Licensing, Due Diligence, Fundraising, Employment Law, Organizational..., Alternative Dispute..., Legal Research, Career Management, Intellectual Property, Career Development, Commercial Litigation
Education
The University of Connecticut School of Law 1979 — 1982
J.D., Law
University of Hartford 1974 — 1976
M.A., English
Universty of Hartford 1969 — 1974
B.A., English
Jones Lang LaSalle February 2013 - Present
Hilton Management, LLC January 2003 - April 2011
The Schultz Organization July 2001 - January 2003
Illva Saronno Corp February 1996 - June 2001
Horizon Blue Cross Blue Shield of New Jersey September 1979 - February 1996
Skills
Vendor Management, Landlord, Construction Management, Due Diligence, Facilities Management, Financial Reporting, Corporate Real Estate, Property Management, Leases, Site Selection, Dispositions, Shopping Centers, Asset Management, Negotiation, Contract Negotiation, Budgeting, Real Estate Negotiation, Lease Administration, Relocation, Budgets, Real Estate, Tenant, Tenant Representation, Construction, Location Intelligence, Tenant Improvement, Brokerage, Real Estate Development, Property, Contract Management, Real Estate Economics, Landlords, Real Estate Transactions, Disposition, Lease Negotiations, Building Maintenance, Commercial Real Estate, Land Acquisition, Yardi, Apartments, Real Property, Entitlements, Real Estate Financing, Acquisitions, Commercial Leasing, Investment Properties, MRI Software, CAM Reconciliation, Tenant Retention, Appraisals
Education
The College of New Jersey 1973 — 1977
BS, Criminal Justice
Belleville High School, Belleville NJ 1969 — 1972
High school diploma, Criminal Justice and Corrections
Horizon Blue Cross Blue Shield of New Jersey Adminster Dental Medicaid Program, Manage Complaints, Grievances, and Appeals for both Members and Providers for timeliness and quality.$
Skills
Health Insurance, Utilization Management, Disease Management, PPO, Medicare Part D, Healthcare, HIPAA, HMO, Insurance, Pharmacy Benefit..., Healthcare Management, Health Policy, Network Development, HEDIS, Health Care Reform
Education
Union County College
University of Phoenix
Bachelor's degree
Bedford HealthCare Solutions March 2010 - Present
PrevMED-Onsite HealthCare Services 2010 - 2011
Horizon Blue Cross Blue Shield of New Jersey 2010 - 2011
AmeriChoice-Medicaid Division of United Health Group 1995 - 2010
UnitedHealth Group 1995 - 2010
Education
Temple University 1965 — 1969
DDS, Dentistry
University of Pittsburgh 1961 — 1965
bachelor of sciene, zoology
University of Pittsburgh 1961 — 1965
BS, Zoology
Horizon Blue Cross Blue Shield of New Jersey Director IT - Corporate SystemsHorizon Blue Cross Blue Shield of New JerseyJuly 2007 - February 2011
Education
Temple University 1984 — 1987
BBA, Finance
Coach February 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2011 - December 2013
GlassHouse Technologies 2010 - 2011
Skills
Cisco Technologies, Switches, Data Center, HSRP, Routing, CCNA, Disaster Recovery, Active Directory, EIGRP, OSPF, Security, Firewalls, Routers, WAN, Networking, Network Security
Education
The University of Memphis
Masters, Electical and computer engineer
AmeriHealth Insurance Co of NJ March 2000 - Present
Horizon Blue Cross Blue Shield of New Jersey April 1990 - March 2000
Skills
Insurance, Employee Benefits, Underwriting
Education
The College of New Jersey
The Marmara Manhattan June 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2011 - June 2012
Atlantis Health Plan October 2007 - October 2011
Atlantis Health Plan December 2003 - September 2007
Skills
Team building, decision..., ffective verbal and..., ability to work with...
Education
Technical Career Institutes 1996 — 1998
AAS Applied Science, Office Technology
CSC June 2012 - Present
Techno Product Iridustry June 2007 - Present
First Niagara Bank November 2011 - May 2012
Sun Healthcare Group October 2010 - November 2011
Merrill Lynch November 2009 - August 2010
Horizon Blue Cross Blue Shield of New Jersey October 2008 - July 2009
TPI June 2006 - June 2007
Skills
SDLC, Requirements Analysis, Vendor Management, Business Analysis, RQM, RRC, Lotus Notes, SharePoint, RTC, DB2, Microsoft SQL Server, Toad, Notepad++, SoapUI, JAWS, JavaScript, Cognos, Microsoft Office, Tomcat, EDI, first pass, Capital Markets, Waterfall, Agile Testing, Agile Project Management, Agile Methodologies, Six Sigma, Small Business, Warehousing, Windows, Creative Writing, QuickBooks, Quality Assurance, Quality Center, Quality Control, Quality Management, QTP, Enterprise Architecture, Project Management, PMP, Strategic Planning, Financial Risk, HIPAA, Knowledge Management, Visio, Healthcare Management, Healthcare, Insurance, Health Insurance, Disability Insurance
Education
PMP - Project Management Professional 2010 — 2010
Project Management, Business Administration, Management and Operations, Certified
University of Virginia 2009 — 2010
Master's degree, Information Technology Project Management, A-
University of Bridgeport 2007 — 2008
Master's degree, Technology management
Atmiya Institute Of technology ( AITS) 2002 — 2006
Bachelor's degree, Instrumentation and control Engineering, A
Horizon Blue Cross Blue Shield of New Jersey 1997 - 2012
Education
Taylor Business Institute 1978 — 1981
Business Administration and Management, General
Galvan Brokerage Agency LLC January 2012 - Present
Self-employed February 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey August 1991 - February 2011
Skills
Insurance, General Insurance, Mortgage Lending, Real Estate, Customer Service, Sales, Strategic Planning, Management, Marketing, Leadership, Workers Compensation, general liability..., Commercial Insurance, homeowner insurance, truckers insurance
Education
Union County College 1990 — 1994
Bachelor of Business Administration (BBA), Business Administration and Management, General
Elizabeth Board of Education January 2014 - June 2014
City of Elizabeth July 2012 - September 2013
Horizon Blue Cross Blue Shield of New Jersey April 2008 - December 2009
Skills
Customer Service, HIPAA, Health Insurance, Microsoft Office, Medicare, Managed Care, Microsoft Word, Microsoft Excel, Outlook, Lotus Notes, Insurance, Cpr Certified
Education
Elizabeth High School 1991 — 1995
Union County College
Cooper University Health Care Care ManagerEinstein Healthcare NetworkJune 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey 2006 - 2007
American Red Cross of Southeaster Pennsylvania 2005 - 2006
RP Home Care 2004 - 2006
Christiana Hospital 2003 - 2006
Pennsylvaia Hospital 2003 - 2005
Keystone Mercy 1995 - 2003
Hahnemann University Hospital 1988 - 1995
Pennsylvania Hospital 1987 - 1988
Skills
Nursing, Public Speaking, EMR, Healthcare, Healthcare Management, Hospitals, OB/GYN, HIPAA, Case Managment, Program Development, Cpr Certified, Religious Studies, Home Care, Disease Management, Case Management, Utilization Management
Education
Temple University 2000 — 2001
Business Administration and Management, General
Hahnemann Univeristy
Horizon Blue Cross Blue Shield of New Jersey 2010 - 2013
Skills
Administrative..., Public Administration, Customer Service, Benefits Administration
Education
The Manhattan Institute 2008 — 2009
Dialysis Certification
Horizon Blue Cross Blue Shield of New Jersey February 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2002 - Present
Our Ladies Multi-Care Center May 2001 - September 2002
Drs Larry & Scott Fuerman ODs February 1997 - May 2002
Education
William Paterson University of New Jersey 2006 — 2008
Certificate, Billing & Coding; Office Management
Temple University
Cooper University Health Care April 2009 - Present
Horizon Blue Cross Blue Shield of New Jersey December 2006 - April 2009
AtlantiCare 2000 - December 2006
Skills
Case Managment, Home Care, Home Infusion, ICU, Emergency Room, Trauma Nursing, Utilization Management, Patient Advocacy, Case Management, Medical/Surgical, Utilization Review, Acute Care, Inpatient, Disease Management, Palliative Care, Nursing Education, Patient Safety, Healthcare, Healthcare Management, Hospitals, Medical-Surgical, EMR
Education
University of Cincinnati 2013 — 2013
MSN, APN
University of Phoenix 2011 — 2012
BSN, Registered Nursing/Registered Nurse
Horizon Blue Cross Blue Shield of New Jersey July 2012 - Present
Skills
Healthcare
Education
Temple University 1998 — 2001
BSN, Registered Nursing/Registered Nurse
Medline Medical Transportation August 2010 - Present
MetLife Premier Client Group June 2015 - August 2015
Lids June 2009 - August 2009
Horizon Blue Cross Blue Shield of New Jersey June 2007 - January 2008
Education
University at Albany, SUNY 2006 — 2010
University at Albany, State University of New York 2006 — 2010
Bachelor of Arts, History; American History
Kimball Union Academy 2005 — 2006
Saint Joseph Regional High School 2001 — 2005
Horizon Blue Cross Blue Shield of New Jersey RN Case ManagerHorizon Blue Cross Blue Shield of New JerseyDecember 2006 - Present
Education
Thomas Edison State College 1998 — 2000
Bachelor’s Degree, Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing