Horizon Blue Cross Blue Shield of New Jersey

Industry: Company

Description

Horizon 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,

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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
Jim Goodridge Jim Goodridge Greater New York City Area Details
Jim Goodridge's Horizon Blue Cross Blue Shield of New Jersey Experience December 2013 - Present
Job Network Infrastructure Analyst
Industry Information Technology and Services
Experience
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

Kimberly Lawrie Kimberly Lawrie Long Valley, New Jersey Details
Kimberly Lawrie's Horizon Blue Cross Blue Shield of New Jersey Experience January 2010 - Present
Job Senior Concurrent Review Nurse at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Deborah Socio Deborah Socio North Brunswick, New Jersey Details
Deborah Socio's Horizon Blue Cross Blue Shield of New Jersey Experience December 2012 - Present
Job IT Manager
Industry Insurance
Experience
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

Warren Fields Warren Fields Greater New York City Area Details
Warren Fields's Horizon Blue Cross Blue Shield of New Jersey Experience June 2013 - August 2013
Job Economics & Finance Double Major at The College of New Jersey
Industry Financial Services
Experience
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

Binsy Francis Binsy Francis Greater New York City Area Details
Binsy Francis's Horizon Blue Cross Blue Shield of New Jersey Experience June 2015 - Present
Job Director at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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.)

Anthony Magdalinski Anthony Magdalinski Philadelphia, Pennsylvania Details
Anthony Magdalinski's Horizon Blue Cross Blue Shield of New Jersey Experience September 2015 - Present
Job Corporate Counsel at Horizon Blue Cross Blue Shield of New Jersey
Industry Legal Services
Experience
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

India Larrier India Larrier Maplewood, New Jersey Details
India Larrier's Horizon Blue Cross Blue Shield of New Jersey Experience March 2004 - December 2013
Job Public Health /Corporate & Foundation Relations / Municipal Government
Industry Health, Wellness and Fitness
Experience
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

Cheryl Dublin-Jackson Cheryl Dublin-Jackson Greater New York City Area Details
Cheryl Dublin-Jackson's Horizon Blue Cross Blue Shield of New Jersey Experience September 2011 - Present
Job Electronic Enrollment Specialist at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Donna Schierman Donna Schierman Greater New York City Area Details
Donna Schierman's Horizon Blue Cross Blue Shield of New Jersey Experience November 1996 - January 2010
Job HEALTHCARE CONSULTANT SEEKING NEXT CAREER OPPORTUNITY
Industry Insurance
Experience
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

Vianna Fagel Vianna Fagel Greater New York City Area Details
Vianna Fagel's Horizon Blue Cross Blue Shield of New Jersey Experience June 2013 - Present
Job Informatics Analyst II, Horizon New Jersey Health, Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Linda Laszecki Linda Laszecki Greater Philadelphia Area Details
Linda Laszecki's Horizon Blue Cross Blue Shield of New Jersey Experience June 2011 - January 2014
Job Senior Compliance Consultant at Aetna
Industry Insurance
Experience
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

Jennifer DiOrio Jennifer DiOrio Point Pleasant Beach, New Jersey Details
Jennifer DiOrio's Horizon Blue Cross Blue Shield of New Jersey Experience July 2015 - Present
Job Recruiting Coordinator II at Horizon Blue Cross Blue Shield of New Jersey
Industry Human Resources
Experience
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

John Wiig John Wiig Greater New York City Area Details
John Wiig's Horizon Blue Cross Blue Shield of New Jersey Experience 2012 - 2013
Job Partner at R&G Global Consultants | Strategy | Process Improvement | Lean | Six Sigma | Author of "Fix That Business"
Industry Management Consulting
Experience
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

Alicia Vance Alicia Vance Voorhees, New Jersey Details
Alicia Vance's Horizon Blue Cross Blue Shield of New Jersey Experience December 2007 - September 2012
Job Provider Database Coordinator
Industry Hospital & Health Care
Experience
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

Keina McCutchen Keina McCutchen Greater New York City Area Details
Keina McCutchen's Horizon Blue Cross Blue Shield of New Jersey Experience July 2012 - June 2013
Job Project Manager at QualCare Inc.
Industry Information Technology and Services
Experience
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

Carmella Aschettino Carmella Aschettino Trenton, New Jersey Details
Carmella Aschettino's Horizon Blue Cross Blue Shield of New Jersey Experience June 2014 - Present
Job Certified Medical Assistant at AfterOurs Urgent Care
Industry Hospital & Health Care
Experience
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

James H. Robinson James H. Robinson Greater New York City Area Details
James H. Robinson's Horizon Blue Cross Blue Shield of New Jersey Experience November 2004 - December 2013
Job Private Consultant
Industry Hospital & Health Care
Experience
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

Karthik Thangarajan Karthik Thangarajan San Francisco, California Details
Karthik Thangarajan's Horizon Blue Cross Blue Shield of New Jersey Experience December 2011 - August 2012
Job Product Manager at Blue Shield of California
Industry Hospital & Health Care
Experience
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

Thais Perez, PMP Thais Perez, PMP Greater New York City Area Details
Thais Perez, PMP's Horizon Blue Cross Blue Shield of New Jersey Experience July 2012 - July 2013
Job Project Control Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Pharmaceuticals
Experience
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

Lisa M. Keller Lisa M. Keller Greater New York City Area Details
Lisa M. Keller's Horizon Blue Cross Blue Shield of New Jersey Experience June 1995 - May 1997
Job Senior Underwriting Specialist at AIG
Industry Insurance
Experience
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

Susan Eisnaugle Susan Eisnaugle Herndon, Virginia Details
Susan Eisnaugle's Horizon Blue Cross Blue Shield of New Jersey Experience January 1993 - June 1999
Job Systems Integrator at Jacobs Technology
Industry Information Technology and Services
Experience
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

Herman. Davis Herman. Davis Columbia, South Carolina Area Details
Herman. Davis's Horizon Blue Cross Blue Shield of New Jersey Experience December 2003 - February 2005
Job Sr. Project Manager
Industry Information Technology and Services
Experience
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

Larisa Treyster, FSA, MAAA Larisa Treyster, FSA, MAAA Greater New York City Area Details
Larisa Treyster, FSA, MAAA's Horizon Blue Cross Blue Shield of New Jersey Experience September 2010 - Present
Job Actuarial Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Bill Wolfe Bill Wolfe Greater New York City Area Details
Bill Wolfe's Horizon Blue Cross Blue Shield of New Jersey Experience November 2010 - Present
Job Director Billing, Enrollment, and Account Implementation at Horizon BCBS NJ
Industry Insurance
Experience
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

Brooke Guetti, PMP Brooke Guetti, PMP Greater New York City Area Details
Brooke Guetti, PMP's Horizon Blue Cross Blue Shield of New Jersey Experience November 2012 - August 2013
Job Technical Project Manager at Diageo
Industry Information Technology and Services
Experience
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

Greg Grimaldi, CPA, RHU Greg Grimaldi, CPA, RHU Greater Philadelphia Area Details
Greg Grimaldi, CPA, RHU's Horizon Blue Cross Blue Shield of New Jersey Experience 1986 - 1994
Job Assisting Employers with Creative Employee Benefits Strategies for Bottom Line Impact I Private Exchanges I Captives
Industry Insurance
Experience
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

Salima Ali Salima Ali Woodbridge, New Jersey Details
Salima Ali's Horizon Blue Cross Blue Shield of New Jersey Experience September 2014 - Present
Job Inpatient Hospital Auditor I at Horizon Blue Cross Blue Shield of New Jersey
Industry Hospital & Health Care
Experience
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

Selmico D. Gillespie, RDH Selmico D. Gillespie, RDH Newark, New Jersey Details
Selmico D. Gillespie, RDH's Horizon Blue Cross Blue Shield of New Jersey Experience October 2011 - March 2013
Job Dental Account Liasion/Auditor at Horizon NJ Health
Industry Hospital & Health Care
Experience
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

Greg Wild Greg Wild Greater Philadelphia Area Details
Greg Wild's Horizon Blue Cross Blue Shield of New Jersey Experience 1997 - 2001
Job Business Development
Industry Insurance
Experience
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

Frank Schembari Frank Schembari Greater New York City Area Details
Frank Schembari's Horizon Blue Cross Blue Shield of New Jersey Experience 2005 - Present
Job Agency Sales Manager Horizon BCBS of NJ
Industry Insurance
Experience
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

Michael Jordan Michael Jordan Greater New York City Area Details
Michael Jordan's Horizon Blue Cross Blue Shield of New Jersey Experience 1996 - 2000
Job President of Labor and Strategic accounts at MagnaCare
Industry Hospital & Health Care
Experience
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

Tuhin Dasgupta Tuhin Dasgupta Greater New York City Area Details
Tuhin Dasgupta's Horizon Blue Cross Blue Shield of New Jersey Experience 2004 - 2006
Job Vice President
Industry Financial Services
Experience
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

Shawn Huda Shawn Huda New York, New York Details
Shawn Huda's Horizon Blue Cross Blue Shield of New Jersey Experience September 2015 - Present
Job Senior Associate in Health Industries Advisory at PwC
Industry Financial Services
Experience
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

Jill Mailander Jill Mailander Greater Denver Area Details
Jill Mailander's Horizon Blue Cross Blue Shield of New Jersey Experience June 2008 - August 2008
Job Account Supervisor at Room 214
Industry Marketing and Advertising
Experience
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

Kala Ramkhelawan Kala Ramkhelawan Greater New York City Area Details
Kala Ramkhelawan's Horizon Blue Cross Blue Shield of New Jersey Experience September 2012 - Present
Job Sales Learning & Development Consultant at Horizon Blue Cross Blue Shield of New Jersey
Industry Hospital & Health Care
Experience
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

Andrew Hallac Andrew Hallac Greater New York City Area Details
Andrew Hallac's Horizon Blue Cross Blue Shield of New Jersey Experience May 2012 - March 2013
Job Senior Program/Project Management Consultant at EmblemHealth
Industry Information Technology and Services
Experience
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

April Willis April Willis Greater New York City Area Details
April Willis's Horizon Blue Cross Blue Shield of New Jersey Experience August 2012 - January 2014
Job Experienced and Significant tenure in Customer Service
Industry Insurance
Experience
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

James Kornegay James Kornegay Kansas City, Missouri Area Details
James Kornegay's Horizon Blue Cross Blue Shield of New Jersey Experience October 2010 - December 2010
Job Insurance Underwriter | Licensed Insurance Agent
Industry Insurance
Experience
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.

Marah Gebala Marah Gebala San Francisco Bay Area Details
Marah Gebala's Horizon Blue Cross Blue Shield of New Jersey Experience 2000 - 2001
Job Manager, Care Management
Industry Hospital & Health Care
Experience
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

Christa Shannon Christa Shannon Albuquerque, New Mexico Area Details
Christa Shannon's Horizon Blue Cross Blue Shield of New Jersey Experience 1994 - 1999
Job Project Manager at Thomson Reuters Elite
Industry Computer Software
Experience
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

Kevin Maher Kevin Maher Washington D.C. Metro Area Details
Kevin Maher's Horizon Blue Cross Blue Shield of New Jersey Experience November 2010 - April 2012
Job VP Care Management Operations
Industry Health, Wellness and Fitness
Experience
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

Pearl Muken Pearl Muken Greater New York City Area Details
Pearl Muken's Horizon Blue Cross Blue Shield of New Jersey Experience 2010 - 2011
Job Data Architect Healthcare and Data Governance
Industry Information Technology and Services
Experience
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

Christopher Haake Christopher Haake Kansas City, Missouri Area Details
Christopher Haake's Horizon Blue Cross Blue Shield of New Jersey Experience January 2010 - June 2010
Job Client Development Representative | SEO Sales | PPC | Website Sales | Website Optimization | Social Media Optimization
Industry Online Media
Experience
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

Lani Alison Lani Alison Greater New York City Area Details
Lani Alison's Horizon Blue Cross Blue Shield of New Jersey Experience 1996 - 1999
Job System Director, Care Coordination and Outcomes at Bon Secours Health System
Industry Hospital & Health Care
Experience
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

Ankita Kant Ankita Kant New York, New York Details
Ankita Kant's Horizon Blue Cross Blue Shield of New Jersey Experience July 2009 - March 2011
Job Management Consultant at Accenture
Industry Management Consulting
Experience
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

Radia Funna Radia Funna Greater New York City Area Details
Radia Funna's Horizon Blue Cross Blue Shield of New Jersey Experience 2000 - 2002
Job Writer, Strategist and Entrepreneur
Industry Management Consulting
Experience
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

Khadejah Harden Khadejah Harden Charlotte, North Carolina Area Details
Khadejah Harden's Horizon Blue Cross Blue Shield of New Jersey Experience January 1995 - January 2005
Job Wealth Management Client Relationship Consultant
Industry Financial Services
Experience
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

Michaela Burns Michaela Burns Greater New York City Area Details
Michaela Burns's Horizon Blue Cross Blue Shield of New Jersey Experience June 2013 - August 2013
Job Journalist
Industry Writing and Editing
Experience
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

Shilpa Adavelli, CBAP® Shilpa Adavelli, CBAP® Columbus, Georgia Details
Shilpa Adavelli, CBAP®'s Horizon Blue Cross Blue Shield of New Jersey Experience June 2013 - November 2013
Job Business Analysis Manager
Industry Insurance
Experience
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

Christopher Robbins Christopher Robbins Greater New York City Area Details
Christopher Robbins's Horizon Blue Cross Blue Shield of New Jersey Experience August 2007 - July 2008
Job IT Security Manager at Drexel University College of Medicine
Industry Information Technology and Services
Experience
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

Elizabeth Klunk Haley, RN, BSN, CCM Elizabeth Klunk Haley, RN, BSN, CCM Baltimore, Maryland Area Details
Elizabeth Klunk Haley, RN, BSN, CCM's Horizon Blue Cross Blue Shield of New Jersey Experience June 2003 - June 2013
Job AVP Product Management at EXL Healthcare
Industry Information Technology and Services
Experience
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

Ishela Angervil Ishela Angervil Greater New York City Area Details
Ishela Angervil's Horizon Blue Cross Blue Shield of New Jersey Experience 2006 - 2009
Job Coding Auditor at Peak Health Solutions
Industry Hospital & Health Care
Experience
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

Evita Narine Evita Narine Union, New Jersey Details
Evita Narine's Horizon Blue Cross Blue Shield of New Jersey Experience June 2008 - March 2013
Job Executive Assistant at Prudential Financial
Industry Insurance
Experience
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

Karl Muenzinger Karl Muenzinger Greater New York City Area Details
Karl Muenzinger's Horizon Blue Cross Blue Shield of New Jersey Experience September 2002 - December 2006
Job Director of Consulting, CISM, CISSP, CISA, MBCI
Industry Computer & Network Security
Experience
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

B Ang B Ang Mahwah, New Jersey Details
B Ang's Horizon Blue Cross Blue Shield of New Jersey Experience December 2009 - July 2010
Job System Engineer at Federal Reserve Bank
Industry Information Technology and Services
Experience
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

Margaret M. (Peggy) Johnson Margaret M. (Peggy) Johnson Buffalo/Niagara, New York Area Details
Margaret M. (Peggy) Johnson's Horizon Blue Cross Blue Shield of New Jersey Experience 2002 - 2014
Job Healthcare Consultant | Experienced Healthcare Executive | Former Chief Pharmacy Officer
Industry Management Consulting
Experience
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

Lauren Aquia Lauren Aquia Greater New York City Area Details
Lauren Aquia's Horizon Blue Cross Blue Shield of New Jersey Experience March 2011 - Present
Job Data Analyst III at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Joseph Lasaracino Joseph Lasaracino Summit, New Jersey Details
Joseph Lasaracino's Horizon Blue Cross Blue Shield of New Jersey Experience June 2015 - August 2015
Job Data Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Marketing and Advertising
Experience
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

Mike Lopes Mike Lopes Hartford, Connecticut Area Details
Mike Lopes's Horizon Blue Cross Blue Shield of New Jersey Experience 2003 - 2003
Job 2VP International PMO Lead at Travelers
Industry Information Technology and Services
Experience
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

Sunny Singh Manku Sunny Singh Manku Greater New York City Area Details
Sunny Singh Manku's Horizon Blue Cross Blue Shield of New Jersey Experience July 2015 - Present
Job Implementation Manager
Industry Hospital & Health Care
Experience
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

J.J. Jennifer J.J. Jennifer Greater New York City Area Details
J.J. Jennifer's Horizon Blue Cross Blue Shield of New Jersey Experience May 2004 - September 2006
Job
Industry Human Resources
Experience
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

Beverly Lytwyn Beverly Lytwyn Portland, Maine Area Details
Beverly Lytwyn's Horizon Blue Cross Blue Shield of New Jersey Experience 2007 - 2010
Job Information Technology and Services Professional
Industry Information Technology and Services
Experience
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

Carl Schneider Carl Schneider Greater New York City Area Details
Carl Schneider's Horizon Blue Cross Blue Shield of New Jersey Experience April 2012 - November 2013
Job Manager, Health Informatics at QualCare Inc.
Industry Research
Experience
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

Adam Servetah Adam Servetah Greater New York City Area Details
Adam Servetah's Horizon Blue Cross Blue Shield of New Jersey Experience January 2013 - Present
Job Director Shared Service & Vendor Management at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Ajith Devadas, PAHM® Ajith Devadas, PAHM® Edison, New Jersey Details
Ajith Devadas, PAHM®'s Horizon Blue Cross Blue Shield of New Jersey Experience January 2013 - November 2013
Job Program Business Analyst at Aetna
Industry Information Technology and Services
Experience
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

Tamal Bandyopadhyay Tamal Bandyopadhyay Greater New York City Area Details
Tamal Bandyopadhyay's Horizon Blue Cross Blue Shield of New Jersey Experience January 2004 - August 2004
Job Senior Systems Analyst at EmblemHealth
Industry Hospital & Health Care
Experience
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

Andrea Tomba Andrea Tomba Greater New York City Area Details
Andrea Tomba's Horizon Blue Cross Blue Shield of New Jersey Experience June 2015 - Present
Job Director, Revenue/Accounts Receivable Government Programs 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
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)

Damon Brooks Damon Brooks New York, New York Details
Damon Brooks's Horizon Blue Cross Blue Shield of New Jersey Experience 2001 - 2002
Job Director, International Licensing & Touring at Broadway Asia
Industry Entertainment
Experience
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

Sean Kuhn Sean Kuhn Greater New York City Area Details
Sean Kuhn's Horizon Blue Cross Blue Shield of New Jersey Experience May 1994 - May 1996
Job Vice President, Channel Development at Provant
Industry Insurance
Experience
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

PATRICK TRAVERS PATRICK TRAVERS Greater New York City Area Details
PATRICK TRAVERS's Horizon Blue Cross Blue Shield of New Jersey Experience March 2012 - May 2013
Job Market Segmentation & Predictive Analytics Expert
Industry Insurance
Experience
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

Dawn Gioglio Dawn Gioglio Greater New York City Area Details
Dawn Gioglio's Horizon Blue Cross Blue Shield of New Jersey Experience April 2014 - January 2015
Job Manager
Industry Pharmaceuticals
Experience
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

Denise E. McCarter Denise E. McCarter Newark, New Jersey Details
Denise E. McCarter's Horizon Blue Cross Blue Shield of New Jersey Experience November 2012 - May 2015
Job Legal Assistant at LeClairRyan
Industry Legal Services
Experience
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

Babette Brooks Babette Brooks Greater New York City Area Details
Babette Brooks's Horizon Blue Cross Blue Shield of New Jersey Experience 2006 - 2007
Job Benefits Specialist at Seton Hall University
Industry Human Resources
Experience
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

Pamela Okello Comrie Pamela Okello Comrie Greater New York City Area Details
Pamela Okello Comrie's Horizon Blue Cross Blue Shield of New Jersey Experience March 2011 - February 2015
Job Actuarial Analyst, Informatics Department at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Simone Minor Simone Minor Trenton, New Jersey Details
Simone Minor's Horizon Blue Cross Blue Shield of New Jersey Experience September 2015 - Present
Job at
Industry Hospital & Health Care
Experience
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

Jennifer Fullam Jennifer Fullam Greater Philadelphia Area Details
Jennifer Fullam's Horizon Blue Cross Blue Shield of New Jersey Experience September 2010 - Present
Job Business Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Ashwin Navaday Ashwin Navaday Greater New York City Area Details
Ashwin Navaday's Horizon Blue Cross Blue Shield of New Jersey Experience October 2009 - April 2011
Job Senior Consultant at Cognizant Technology Solutions
Industry Information Technology and Services
Experience
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

Gwen Baker Gwen Baker Voorhees, New Jersey Details
Gwen Baker's Horizon Blue Cross Blue Shield of New Jersey Experience April 2013 - Present
Job Employee Relations Consultant at Horizon Blue Cross Blue Shield of New Jersey
Industry Health, Wellness and Fitness
Experience
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

Carol Chernack Carol Chernack Greater New York City Area Details
Carol Chernack's Horizon Blue Cross Blue Shield of New Jersey Experience 2001 - Present
Job Writer PR Specialist at Horizon NJ Health
Industry Hospital & Health Care
Experience
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

Janine Lannak (Excellus) Janine Lannak (Excellus) Rochester, New York Area Details
Janine Lannak (Excellus)'s Horizon Blue Cross Blue Shield of New Jersey Experience 1987 - 1989
Job Director at Excellus BCBS
Industry Insurance
Experience
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

Brian Cantlin Brian Cantlin Greater Philadelphia Area Details
Brian Cantlin's Horizon Blue Cross Blue Shield of New Jersey Experience February 2011 - Present
Job Manager Vendor Management at Horizon Blue Cross Blue Shield of New Jersey
Industry Information Technology and Services
Experience
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

Robert Jason Reed, FSA, MS, MAAA Robert Jason Reed, FSA, MS, MAAA Greater Philadelphia Area Details
Robert Jason Reed, FSA, MS, MAAA's Horizon Blue Cross Blue Shield of New Jersey Experience July 2012 - March 2015
Job Director, Actuarial Commercial Risk Management at Aetna
Industry Insurance
Experience
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

Richard Maddalena Richard Maddalena Greater New York City Area Details
Richard Maddalena's Horizon Blue Cross Blue Shield of New Jersey Experience July 2009 - Present
Job Manager of Finance at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Beatrice Harris Beatrice Harris Greater Philadelphia Area Details
Beatrice Harris's Horizon Blue Cross Blue Shield of New Jersey Experience January 2004 - January 2005
Job Senior Project Manager
Industry Insurance
Experience
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

Tina (Christine Realdine-Morton) Morton RN, BSN, CPHQ, CHCQM, CCM Tina (Christine Realdine-Morton) Morton RN, BSN, CPHQ, CHCQM, CCM Greater Philadelphia Area Details
Tina (Christine Realdine-Morton) Morton RN, BSN, CPHQ, CHCQM, CCM's Horizon Blue Cross Blue Shield of New Jersey Experience 2003 - 2004
Job Director, Quality Management
Industry Hospital & Health Care
Experience
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

Tania Montgomery Tania Montgomery Dallas/Fort Worth Area Details
Tania Montgomery's Horizon Blue Cross Blue Shield of New Jersey Experience March 2007 - September 2010
Job Insurance Job File Auditor at SERVPRO of Northwest Texas
Industry Insurance
Experience
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

John Schiano John Schiano Charlotte, North Carolina Area Details
John Schiano's Horizon Blue Cross Blue Shield of New Jersey Experience February 1997 - April 2004
Job Sr. Director Marketing Strategy & Planning
Industry Financial Services
Experience
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

Michael Tullo Michael Tullo United States Details
Michael Tullo's Horizon Blue Cross Blue Shield of New Jersey Experience June 2015 - Present
Job Resident Audio Visual Engineer
Industry Telecommunications
Experience
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

Marc Brodeur Marc Brodeur Greater New York City Area Details
Marc Brodeur's Horizon Blue Cross Blue Shield of New Jersey Experience 1988 - 1993
Job Business Systems Analyst at Fiserv
Industry Information Technology and Services
Experience
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

Richard Beaudoin Richard Beaudoin Greater New York City Area Details
Richard Beaudoin's Horizon Blue Cross Blue Shield of New Jersey Experience March 2010 - Present
Job Sr. Sourcing Specialist III at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Vanessa Muñoz-Firpi Vanessa Muñoz-Firpi Greater New York City Area Details
Vanessa Muñoz-Firpi's Horizon Blue Cross Blue Shield of New Jersey Experience September 2015 - Present
Job Compliance Training & Education Associate at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Susan Washington, RN, MSN, CCM Susan Washington, RN, MSN, CCM Greater New York City Area Details
Susan Washington, RN, MSN, CCM's Horizon Blue Cross Blue Shield of New Jersey Experience January 2012 - June 2015
Job
Industry Hospital & Health Care
Experience
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

Stephanie Blaylock Stephanie Blaylock Kansas City, Missouri Area Details
Stephanie Blaylock's Horizon Blue Cross Blue Shield of New Jersey Experience August 2011 - June 2012
Job Group Benefits Enroller Specialist at Power Group Companies
Industry Insurance
Experience
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 Calvocoressi Thomas Calvocoressi Hartford, Connecticut Area Details
Thomas Calvocoressi's Horizon Blue Cross Blue Shield of New Jersey Experience January 2000 - September 2001
Job Independent Law Practice Professional
Industry Law Practice
Experience
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

Richard Ciallella, RPA Richard Ciallella, RPA Greater New York City Area Details
Richard Ciallella, RPA's Horizon Blue Cross Blue Shield of New Jersey Experience September 1979 - February 1996
Job Real Estate Management
Industry Commercial Real Estate
Experience
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

Deltrois Newborn Deltrois Newborn Greater New York City Area Details
Deltrois Newborn's Horizon Blue Cross Blue Shield of New Jersey Experience Adminster Dental Medicaid Program, Manage Complaints, Grievances, and Appeals for both Members and Providers for timeliness and quality.$
Job Dental Medicaid Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Allen Finkelstein Allen Finkelstein Greater New York City Area Details
Allen Finkelstein's Horizon Blue Cross Blue Shield of New Jersey Experience 2010 - 2011
Job CEO, Bedford HealthCare Solutions
Industry Hospital & Health Care
Experience
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

Brian_Cantlin cantlin Brian_Cantlin cantlin Newark, New Jersey Details
Brian_Cantlin cantlin's Horizon Blue Cross Blue Shield of New Jersey Experience Director IT - Corporate SystemsHorizon Blue Cross Blue Shield of New JerseyJuly 2007 - February 2011
Job Vendor Management at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Swetha B Swetha B Avenel, New Jersey Details
Swetha B's Horizon Blue Cross Blue Shield of New Jersey Experience August 2011 - December 2013
Job Network Engineer at Coach
Industry Computer Networking
Experience
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

Barbara Ferns Barbara Ferns Greater New York City Area Details
Barbara Ferns's Horizon Blue Cross Blue Shield of New Jersey Experience April 1990 - March 2000
Job Senior Underwriter at AmeriHealth Insurance Co of NJ
Industry Insurance
Experience
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

Jephet R Mure Jephet R Mure Bronx, New York Details
Jephet R Mure's Horizon Blue Cross Blue Shield of New Jersey Experience October 2011 - June 2012
Job Looking for security
Industry Hospitality
Experience
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

Naiserg Vakharia Naiserg Vakharia Rensselaer, New York Details
Naiserg Vakharia's Horizon Blue Cross Blue Shield of New Jersey Experience October 2008 - July 2009
Job Senior Software Test Analyst, Test Lead
Industry Computer Software
Experience
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

Marijka Fanok Marijka Fanok Clifton, New Jersey Details
Marijka Fanok's Horizon Blue Cross Blue Shield of New Jersey Experience 1997 - 2012
Job Insurance Professional
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   1997 - 2012

Education
Taylor Business Institute   1978 — 1981
Business Administration and Management, General

Maurice Galvan Maurice Galvan Newark, New Jersey Details
Maurice Galvan's Horizon Blue Cross Blue Shield of New Jersey Experience August 1991 - February 2011
Job President at Galvan Brokerage Agency LLC
Industry Insurance
Experience
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

Dina Andujar Dina Andujar Elizabeth, New Jersey Details
Dina Andujar's Horizon Blue Cross Blue Shield of New Jersey Experience April 2008 - December 2009
Job
Industry
Experience
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

Darlene Hightower Darlene Hightower Philadelphia, Pennsylvania Details
Darlene Hightower's Horizon Blue Cross Blue Shield of New Jersey Experience 2006 - 2007
Job Care Manager at Einstein Healthcare Network
Industry Hospital & Health Care
Experience
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

Rutherford Jeudy Rutherford Jeudy Keasbey, New Jersey Details
Rutherford Jeudy's Horizon Blue Cross Blue Shield of New Jersey Experience 2010 - 2013
Job Insurance Professional
Industry Insurance
Experience
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

Donna Hartage Donna Hartage Absecon, New Jersey Details
Donna Hartage's Horizon Blue Cross Blue Shield of New Jersey Experience February 2013 - Present
Job Research/Correspondence Representative 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   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

Bernadette Rafter Bernadette Rafter Woodbury, New Jersey Details
Bernadette Rafter's Horizon Blue Cross Blue Shield of New Jersey Experience December 2006 - April 2009
Job RN Case Manager at Cooper University Health Care
Industry Hospital & Health Care
Experience
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

Bernadette Alexander Bernadette Alexander Trenton, New Jersey Details
Bernadette Alexander's Horizon Blue Cross Blue Shield of New Jersey Experience July 2012 - Present
Job Registered Nurse at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   July 2012 - Present

Skills
Healthcare

Education
Temple University   1998 — 2001
BSN, Registered Nursing/Registered Nurse

Devin Wooten Devin Wooten New York, New York Details
Devin Wooten's Horizon Blue Cross Blue Shield of New Jersey Experience June 2007 - January 2008
Job Attended University at Albany, SUNY
Industry
Experience
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

Allison Lazarus Allison Lazarus Trenton, New Jersey Details
Allison Lazarus's Horizon Blue Cross Blue Shield of New Jersey Experience RN Case ManagerHorizon Blue Cross Blue Shield of New JerseyDecember 2006 - Present
Job RN Case Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

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