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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Horizon Blue Cross Blue Shield of New Jersey Employees

Employee
Years
Job
Industry
David Plotzker, MBA David Plotzker, MBA Greater New York City Area Details
David Plotzker, MBA's Horizon Blue Cross Blue Shield of New Jersey Experience May 2013 - Present
Job Information Technology Leader adept at spearheading transformational change, product launches, solving business problems
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of New Jersey   May 2013 - Present
Saint Peter's University, Graduate Business School   February 2014 - Present
Medco Health Solutions, Inc. (currently Express Scripts Inc.)   2007 - 2012
Pfizer Inc.  2001 - 2007
Goldman Sachs and Company  2000 - 2001
Citigroup/E-Citi   1997 - 2000
Morgan Stanley and Company   1995 - 1997
IBM Corporation  1991 - 1995
Salomon Brothers  1988 - 1990

Skills
Leading..., Technology Alignment, E-commerce Optimization, Cross-functional Team..., Strategic Vision, Staff Development, IT Strategy, Strategic IT Management, Strategic Planning, Business Process..., Business Process..., Operations Management, Shared Services, Business Intelligence, Enterprise Architecture, Project Portfolio..., Change Management, Agile Methodologies, E-commerce Consulting, SOA, Business Analysis, SDLC, Analytics, Data Analysis, Product Management, Vendor Management, Metrics, PMO Services, Program Management, Software Project..., IT Project Leadership, STLC, Business Strategy, IT Outsourcing, Offshoring, Six Sigma, Service Level Management, Product Development, ROI Optimization, IT Capital Planning, IT Investment Management, Healthcare Information..., SharePoint, Pegasystems PRPC, Investment Brokerage, Healthcare, Investment Banking, Pharmaceutical Industry, Retail Banking, Scrum

Education
New York University - Leonard N. Stern School of Business
Master of Business Administration (MBA), Information Systems, Honors

University of Maryland College Park
Bachelor of Science (B.S.), Computer Science, Dean’s List

New York University - Leonard N. Stern School of Business
“Management Essentials for Experienced Professionals” (two week seminar)

IBM Sales, Marketing, and Consulting School   1991 — 1992

Emily Sharrett Emily Sharrett Orlando, Florida Area Details
Emily Sharrett's Horizon Blue Cross Blue Shield of New Jersey Experience August 2011 - March 2012
Job Compliance and Technology Coordinator
Industry Insurance
Experience
LassiterWare  January 2015 - Present
Automatic Data Processing Insurance Agency, Inc.   March 2012 - December 2014
Horizon Blue Cross Blue Shield of New Jersey   August 2011 - March 2012
Florida Blue  June 2010 - August 2011

Skills
Customer Service, Microsoft Office, Microsoft Excel, Sales, Customer Satisfaction, Time Management, Health Insurance, Customer Retention, Close Attention to..., Articulate Communicator, Thorough Research, Knowledge Representation, Organized self-starter, Organized Multi-tasker, Group Insurance, Life Insurance, Dental Insurance, Vision Insurance, Short Term Disability, Long Term Disability, Insurance Brokerage, Mentoring Of Staff, PowerPoint, Social Media, Non-profits, Medicare, Call Centers, COBRA, Health Savings Accounts, Insurance, Program Management, Sales Presentations, Employee Benefits, Disabilities, Account Management, Mentoring

Education
University of North Florida   2005 — 2009
Bachelor of Music, Vocal Performance

University of North Florida   2005 — 2009
Bachelor of Music, Vocal Performance

Ericka Hatfield, MBA Ericka Hatfield, MBA New York, New York Details
Ericka Hatfield, MBA's Horizon Blue Cross Blue Shield of New Jersey Experience April 2011 - July 2012
Job Head of Marketing & Communications
Industry Public Relations and Communications
Experience
Transit Wireless  December 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey   April 2011 - July 2012
Prashe Decor   December 2007 - December 2010
Knowledge Learning Corporation  July 2009 - December 2009
CMAC  May 2008 - March 2009
The Staubach Company  August 2007 - December 2007
American Cancer Society  October 2005 - August 2007
Dystinct Art Magazine   October 2004 - October 2005

Skills
Event Planning, Online Advertising, Social Networking, Email Marketing, Budget, Social Media Marketing, Writing, Website Management, Website Copy, Sales Presentations, Budgets, Management, Sponsorship, Proposal Writing, Leadership, Event Management, Marketing Strategy, Marketing Communications, Marketing, Fundraising, Advertising, Social Media, Publicity, Creative Writing, Public Speaking, Recruiting, Internal Communications, Corporate Communications, Web Content, Blogging, Brand Development, Brand Awareness, Digital Marketing, Nonprofits, Speech Writing, Community Development, Editing, Trade Shows, Strategic Communications, Media Relations, Press Releases, Facebook, Public Relations, Digital Media, Creative Direction, Brand Management, Microsoft Office, Business Development

Education
Saint Peter's University   2011 — 2014
Master of Business Administration (M.B.A.), Marketing

University of North Texas   2000 — 2004
BA, Journalism

David Kish David Kish New York, New York Details
David Kish's Horizon Blue Cross Blue Shield of New Jersey Experience 2004 - 2007
Job Director of Business Intelligence at American Express
Industry Financial Services
Experience
American Express  March 2015 - Present
American Express  November 2011 - March 2015
American Express  June 2010 - November 2011
Care Management International (CMI)   2008 - 2010
Care Management International (CMI)   2007 - 2008
Horizon Blue Cross Blue Shield of New Jersey   2004 - 2007
Hewitt Associates  2003 - 2004
Booz Allen Hamilton  2003 - 2003
Hess Corporation  2002 - 2002

Skills
SAS, Access, Excel, PowerPoint, SQL, Analytics, Consumer Insights, Business Analysis, Data Analysis, Problem Solving, Microsoft Excel, Analysis, Leadership, Customer Insight, Cross-functional Team..., Program Management, CRM, Strategy, Business Strategy, Management, Business Intelligence

Education
University of Maryland - Robert H. Smith School of Business   1999 — 2003
Bachelor of Science, Management Information Systems

Danielle Cureton Danielle Cureton Greensboro, North Carolina Details
Danielle Cureton's Horizon Blue Cross Blue Shield of New Jersey Experience April 2000 - July 2003
Job Claims Supervisor at United Healthcare
Industry Insurance
Experience
United Healthcare  December 2014 - Present
UnitedHealthcare  July 2013 - December 2014
UnitedHealthcare  July 2012 - July 2013
UnitedHealthcare  November 2010 - July 2012
Citi  February 2005 - November 2010
Horizon Blue Cross Blue Shield of New Jersey   April 2000 - July 2003

Skills
Microsoft Office, Tutoring, Research, PowerPoint, Coaching, Healthcare, Customer Service, Insurance, Health Insurance, HIPAA, Medicare, Outlook, Leadership

Education
University of Phoenix   2010 — 2012
Associate of Arts, Healthcare Administration

Seema Dubey Seema Dubey Greater New York City Area Details
Seema Dubey's Horizon Blue Cross Blue Shield of New Jersey Experience 2002 - 2006
Job Sr. CRM Analyst / PM
Industry Information Technology and Services
Experience
EmblemHealth  January 2011 - Present
Solution Providers   May 2006 - Present
Pearson Education  2010 - 2010
IBM  2006 - 2010
Horizon Blue Cross Blue Shield of New Jersey   2002 - 2006
Deutsche Bank  2001 - 2002
KPMG Consulting  1999 - 2001
Patni Computer System  March 1997 - March 1999

Skills
Integration, Software Project..., CRM, Program Management, Siebel, Oracle, Requirements Gathering, Telecommunications, Project Management, Systems Analysis, Strategy, Data Warehousing, Healthcare, Finance, Requirements Analysis, Consulting, Business Intelligence, Enterprise Architecture, SDLC, Analysis, Business Process, IT Strategy, SQL, Agile Methodologies, SOA, PL/SQL, Data Modeling, Analytics, Solution Architecture, Business Analysis, Management, Vendor Management, Databases, Enterprise Software, Microsoft SQL Server, Leadership, Software Development, Professional Services, PMP

Education
Boston's Computer Institute   1996 — 1997
Post Graduation

Bhabha Atomic Research Center (BARC)   1995 — 1996
Intern

University of Mumbai   1991 — 1995
Bachelor of Engineering

Alison Garton Alison Garton Greater New York City Area Details
Alison Garton's Horizon Blue Cross Blue Shield of New Jersey Experience March 2005 - October 2007
Job Principal at Carrico & Garton Group | Healthcare Operations Consultant | Senior Operations Executive
Industry Insurance
Experience
Carrico & Garton Group, LLC   2014 - Present
AlphaCare of New York, Inc.   August 2013 - November 2013
Zelus Consulting Group   August 2011 - July 2013
Fidelis Care NY  September 2008 - August 2011
HIP  2007 - 2008
Horizon Blue Cross Blue Shield of New Jersey   March 2005 - October 2007
NASCO  October 1998 - March 2005
Empire Blue Cross and Blue Shield  1991 - 1998

Skills
Business Process..., Leadership, Health Insurance, Call Centers, Business Intelligence, Strategic Planning, Project Management, Quality Assurance, Employee Benefits, Management, Team Building, Medicare, Six Sigma, Healthcare, Business Process, New Business Development, Process Improvement, Healthcare Information..., Training, Business Process..., Managed Care, Performance Management, Change Management, Healthcare Industry, Medicaid, CRM, Implementation..., Healthcare Management, Restructuring, Claim, Operations Management, Business Strategy, Revenue & Profit Growth, Cost Reduction..., New Busines, Qualitative Research, Staff Development, Management Consulting, Consulting, Call Center

Education
University of Phoenix
Bachelor of Science, Business Administration

Suresh Aswani, PMP Suresh Aswani, PMP Greater New York City Area Details
Suresh Aswani, PMP's Horizon Blue Cross Blue Shield of New Jersey Experience 2011 - 2012
Job
Industry Computer Software
Experience
Operating Engineers Local 825   2012 - Present
Horizon Blue Cross Blue Shield of New Jersey   2011 - 2012
Operating Engineers Local 825   2001 - 2011
Insyst   1996 - 2001
Boshu Information Systems Pvt Ltd.   1995 - 1996

Skills
Project Management, Management, Oracle, CRM, System Architecture, Enterprise Software, Strategy, MS Project, Project Planning, SDLC, Quality Assurance, Resource Management, Software Project..., Leadership, Business Analysis, Business Requirements, Requirements Analysis

Education
University of Mumbai   1991 — 1995
B.E, Electronics

Devi Rajaraman Devi Rajaraman Greater New York City Area Details
Devi Rajaraman's Horizon Blue Cross Blue Shield of New Jersey Experience 2007 - Present
Job Sr. Systems/Business Analyst
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of New Jersey   2007 - Present
Infosys  2006 - 2011
Satyam Computer Services Ltd Currently known as Mahindra Satyam   October 2002 - February 2006
SRM Technologies  September 2001 - October 2002

Skills
SDLC, Agile Methodologies, XML, Web Development, .NET, JavaScript, Programming, ASP, DB2, Requirements Analysis, VBScript, Requirements Gathering, Software Project..., Systems Analysis, Visio

Education
Madras University   1996 — 2000
Bachelor of Engineering (B.E.), Electrical and Electronics Engineering

Melissa McCaffrey Rioseco Melissa McCaffrey Rioseco Greater New York City Area Details
Melissa McCaffrey Rioseco's Horizon Blue Cross Blue Shield of New Jersey Experience 2007 - 2010
Job Enterprise Communications Business Partner at Horizon BCBSNJ
Industry Public Relations and Communications
Experience
Horizon BCBSNJ  June 2012 - Present
Horizon Healthcare Innovations  August 2010 - June 2012
Horizon Blue Cross Blue Shield of New Jersey   2007 - 2010

Skills
Crisis Communications, Corporate Communications, Internal Communications, Marketing Communications, Strategic Communications, Integrated Marketing, Media Relations, Press Releases, Copywriting, Public Relations, Copy Editing, Newsletters, Brand Development, Social Media Marketing, Direct Marketing, Email Marketing, Digital Strategy, Digital Marketing, Online Marketing, Direct Mail, Social Networking, Marketing, Online Advertising

Education
University of Scranton   1997 — 2001
Marketing

Candice Middlebrook Candice Middlebrook Newark, New Jersey Details
Candice Middlebrook's Horizon Blue Cross Blue Shield of New Jersey Experience March 2015 - Present
Job at
Industry Hospital & Health Care
Experience
Horizon Blue Cross Blue Shield of New Jersey   March 2015 - Present
Florida Blue  September 2012 - December 2014
Brooks Rehabilitation  May 2012 - October 2012
University of North Florida  May 2011 - May 2012
Brooks Rehabilitation Hospital  May 2009 - May 2012
University of North Florida  May 2011 - September 2011
University of North Florida  May 2009 - May 2011

Skills
Healthcare Management, Hospitals, Cpr Certified, Healthcare, Public Health, Health Education, Medical Terminology, Clinical Research, Rehabilitation, Pediatrics, Healthcare Information..., Customer Service

Education
University of North Florida   2009 — 2012
Bachelor's degree, Health/Health Care Administration/Management

University of North Florida   2009 — 2012
Bachelor of Health Administration, Health Adminstration

Tyeina Morrison Tyeina Morrison Greater New York City Area Details
Tyeina Morrison's Horizon Blue Cross Blue Shield of New Jersey Experience February 2004 - April 2006
Job Call Center Customer Service Professional
Industry Consumer Services
Experience
CoWorx Staffing Services  March 2015 - Present
National Vision Administrators (NVA)   September 2008 - July 2013
The Altman Group, Inc.   August 2008 - September 2008
Law Office of Hunt, Hamlin and Ridley   March 2008 - May 2008
Celgene  January 2008 - February 2008
Rutgers Business School  November 2007 - December 2007
Greyhound Lines, Inc.   June 2007 - October 2007
Horizon Blue Cross Blue Shield of New Jersey   February 2004 - April 2006

Skills
Call Centers, Customer Service, Customer Experience, Customer Retention, Troubleshooting, Technical Support, Customer Satisfaction, Microsoft Office, Data Analysis, Quality Assurance, Business Analysis

Education
University of Phoenix   2015 — 2020
Bachelor's degree, Clinical Psychology

Union High School   1998 — 2002
High School Diploma, Business Administration and Management, General

Kiran Tammareddy Kiran Tammareddy Greater New York City Area Details
Kiran Tammareddy's Horizon Blue Cross Blue Shield of New Jersey Experience January 2012 - November 2013
Job ESB Architect/Lead Consultant at The Vitamin Shoppe
Industry Information Technology and Services
Experience
The Vitamin Shoppe  November 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey   January 2012 - November 2013
HealthNow New York Inc.  August 2010 - January 2012
Walgreens  February 2009 - August 2010
3i Infotech  January 2002 - August 2010
Michaels Stores, Inc.   June 2008 - December 2009
Weyerhaeuser  2006 - 2007
Kaiser Permanente  2005 - 2006

Skills
WebSphere Message Broker, IIB, WebSphere MQ, Web Services, SOA, ESB, WDP, WSRR, Websphere, JMS, Oracle, WebSphere Application..., UML, Spring, Ant, Java Enterprise Edition, JSP, SQL, Java, XML, Sterling OMS, ATG Commerce, Sonic MQ

Education
University of Madras
B.E.,, Computer Science

Desiree Franklin Desiree Franklin Suwanee, Georgia Details
Desiree Franklin's Horizon Blue Cross Blue Shield of New Jersey Experience 2004 - 2008
Job More Than A Dream
Industry Education Management
Experience
MTAD   2014 - Present
Johns Hopkins University  2009 - 2013
Mary Queen of Angels Regional Catholic School   2008 - 2009
Horizon Blue Cross Blue Shield of New Jersey   2004 - 2008
Golden Door Charter School  2002 - 2004
Lehman Brothers Holdings Inc.  1998 - 2002
HBO  1995 - 1998

Skills
Project Portfolio..., Marketing Research, Financial Planning, Strategic Planning, Customer Relations, PowerPoint, Excel, Budgeting, Word, Business Strategy, Social Media Marketing, Training, Product Marketing, Community Outreach, Teaching, Research, Sales, Budgets, Event Management, Microsoft Excel, Social Networking, Marketing Strategy, Public Speaking, Advertising, Project Management, Strategic Financial..., Microsoft Office, Social Media, Public Relations, Market Research, Fundraising, Team Building, Microsoft Word, Customer Satisfaction, Customer Service, Nonprofits, Management, Staff Development, Organizational..., Marketing Communications, Contract Negotiation, Marketing, Leadership Development, Integrated Marketing, Management Consulting, Team Leadership, Editing, Human Resources, Program Management, Event Planning

Education
USC   2010 — 2012
MA Ed, Education

Saint Peters College   2004 — 2007
BA, Education

Ash Madhok, PMP, CSM Ash Madhok, PMP, CSM Greater New York City Area Details
Ash Madhok, PMP, CSM's Horizon Blue Cross Blue Shield of New Jersey Experience March 2014 - Present
Job Senior Project/Program Manager
Industry Program Development
Experience
Horizon Blue Cross Blue Shield of New Jersey   March 2014 - Present
Capgemini  March 2014 - Present
V Group Inc.  November 2012 - November 2013
MentorsVoice Media Inc.   July 2009 - October 2012
MediSpin Inc.   June 1999 - March 2009
Physicians World  1997 - 1999
The Sawtooth Group  1991 - 1995

Skills
Superior Client Service, Talent Acquisition, Recruiting, Project Management, Cross Functional Team..., Healthcare, Healthcare Information..., Medical Education, Medicine, Pharmaceutical Industry, Software Development, Management, Human Resources, Requirements Analysis, Project Planning, Product Development, Information Technology, Requirements Gathering, E-commerce, Professional Services, CRM, Leadership, Vendor Management, Client Services, Program Management, Strategy

Education
Darbhanga
Bachelor's degree

University of Pennsylvania - The Wharton School   2013 — 2014
Online Continuing Education, Operations Management

Benjamin Lorinc Benjamin Lorinc Jersey City, New Jersey Details
Benjamin Lorinc's Horizon Blue Cross Blue Shield of New Jersey Experience 2005 - 2008
Job Senior Associate at Wurtz and Company
Industry Management Consulting
Experience
Wurtz and Company  2010 - Present
Wurtz and Company  2008 - 2010
Horizon Blue Cross Blue Shield of New Jersey   2005 - 2008
UnitedHealthcare  2002 - 2005

Skills
Payer, Claims Management, Health Insurance, Claims Investigations, Six Sigma, Business Process..., Change Management, Organizational Design, Process Writing, Facilitations, Project Management

Education
NYU Stern School of Business   2011 — 2014
Master of Business Administration (MBA)

University of Illinois at Urbana-Champaign   1998 — 2002
Bachelor of Science (BS), Psychology

Charisse Crosland Charisse Crosland Greater New York City Area Details
Charisse Crosland's Horizon Blue Cross Blue Shield of New Jersey Experience June 2011 - Present
Job Compliance Specialist III at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   June 2011 - Present

Education
University of Maryland Eastern Shore   2007 — 2011
Bachelors of Arts, History

Leslie MacPhee Leslie MacPhee United States Details
Leslie MacPhee's Horizon Blue Cross Blue Shield of New Jersey Experience July 2013 - Present
Job Actuarial Analyst II at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   July 2013 - Present
The Hartford  June 2011 - June 2013
UnitedHealth Group  June 2008 - June 2011

Skills
Actuarial Consulting, Statistical Modeling, Health Insurance, Data Governance, Predictive Analytics, Pricing, SAS programming, Cost Saving Initiatives, Microsoft Access, Medical Economics, SAS

Education
University of Pittsburgh   2004 — 2008
Bachelor of Science (B.S.), Mathematics

Monika Wasik Monika Wasik Old Bridge, New Jersey Details
Monika Wasik's Horizon Blue Cross Blue Shield of New Jersey Experience May 2011 - February 2013
Job Hospice and Palliative Care Manager at Visiting Nurse Association Health Group
Industry Insurance
Experience
Visiting Nurse Association Health Group  February 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey   May 2011 - February 2013
VNA of Central Jersey  September 2003 - April 2011
Briarwood Nursing Home ,south amboy, nj   December 2002 - August 2003

Skills
Utilization Management, Disease Management, NCQA, Provider Relations, Home Care, BLS, Healthcare Information..., Hospitals, Medicaid, EMR, Cpr Certified, Medication..., Medical/Surgical, Hospice, Patient Safety, Inpatient, Clinical Research, Patient Advocacy, Nursing Education, ACLS, HIPAA, Healthcare Consulting, Long-term Care, Patient Education, Pediatrics, Quality Improvement

Education
University of Phoenix   2012 — 2014
BSN, Registered Nursing/Registered Nurse

Medical and Nursing School -Poland   1987 — 1992
RN, Registered Nursing/Registered Nurse

Bonnie Pollaci CLTC Bonnie Pollaci CLTC Greater Philadelphia Area Details
Bonnie Pollaci CLTC's Horizon Blue Cross Blue Shield of New Jersey Experience January 1989 - 1997
Job Principal at Katz/Pierz Inc.
Industry Insurance
Experience
Katz/Pierz   April 2000 - Present
Pinnacle Insurance Services   April 1997 - 2000
Horizon Blue Cross Blue Shield of New Jersey   January 1989 - 1997

Skills
Employee Benefits, Insurance, Public Speaking, Health Insurance, Life Insurance, Disability Insurance, Fixed Annuities, Small Business, Social Media, Social Media Marketing, Medicare, Sales, Long-term Care, New Business Development, Strategic Planning, Team Building, Budgets, Health Savings Accounts, Term Life Insurance, Claim, Leadership

Education
University of North Carolina at Greensboro
Speech & Theater

Erik Dahl Erik Dahl Greater Philadelphia Area Details
Erik Dahl's Horizon Blue Cross Blue Shield of New Jersey Experience 2004 - May 2006
Job Director IT Audit at CHAN HEALTHCARE
Industry Information Technology and Services
Experience
CHAN HEALTHCARE  July 2014 - Present
CHAN Healthcare Auditors  January 2010 - June 2014
CHAN Healthcare Auditors  July 2007 - December 2009
Horizon BCBSNJ  June 2006 - June 2007
Horizon Blue Cross Blue Shield of New Jersey   2004 - May 2006
Deloitte & Touche  2004 - 2004
Campbell Soup Company  2002 - 2004
Prudential Financial  2000 - 2003
US Army  May 1995 - June 2000

Skills
IT Audit, Computer Security, Risk Assessment, Sarbanes-Oxley Act, CISA, CISM, Governance, SAS70, Network Security, COBIT, PCI DSS, Information Security, CISSP, Business Continuity, Information Technology, Disaster Recovery, Process Improvement, Internal Audit, Risk Management, Security, ITIL, COSO, Enterprise Risk..., Information Security...

Education
University of Nebraska at Kearney   1990 — 1995
Telecommunications Management, Information Systems

University of Nebraska at Kearney
Telecommunications Management

Gwen Zetterlund, HRIP Gwen Zetterlund, HRIP Greater New York City Area Details
Gwen Zetterlund, HRIP's Horizon Blue Cross Blue Shield of New Jersey Experience 1993 - 2004
Job Director, HR Technology and Shared Servies at Hackensack University Medical Center
Industry Business Supplies and Equipment
Experience
Hackensack University Medical Center  January 2011 - Present
Ricoh Americas Corporation  February 2008 - January 2011
Horizon Blue Cross Blue Shield of NJ  2004 - 2008
Horizon Blue Cross Blue Shield of New Jersey   1993 - 2004
Horizon Blue Cross Blue Shield of New Jersey   1987 - 1993
MD Anderson Cancer Center  October 1984 - May 1987

Skills
HRIS, PeopleSoft, Talent Acquisition, Benefits Administration, SQL, E-recruitment, Training Administration, Human Capital Management, Project Planning, Process Improvement, Payroll, Performance Management, Training, Employee Relations, Applicant Tracking..., Human Resources, Recruiting, Personnel Management, Management, Integration, Leadership, Project Management, Analysis, Vendor Management

Education
University of Missouri-Columbia   1980 — 1984
Bachelor, Educational Studies in Business and Industry Personnel

Charlotte Aylor-Diaz Charlotte Aylor-Diaz Greater New York City Area Details
Charlotte Aylor-Diaz's Horizon Blue Cross Blue Shield of New Jersey Experience 1999 - 2000
Job Contracting Excellence at Johnson & Johnson
Industry Human Resources
Experience
Johnson & Johnson  March 2013 - Present
Johnson & Johnson  October 2007 - Present
Honeywell  September 2005 - September 2007
Merck  May 2000 - September 2005
Horizon Blue Cross Blue Shield of New Jersey   1999 - 2000
AIG  1988 - 1999

Skills
Leadership, Recruiting, Strategic Sourcing, Management, Human Resources, Training, Procurement, Management Consulting, Competitive Analysis, Cross-functional Team..., Supply Management, Pharmaceutical Industry, Employee Benefits, Marketing, Sourcing, Strategy, Public Speaking, Legal, Legal Documents, Legal Compliance, Legal Issues, Contract Negotiation, Contract Management, Contract Law

Education
University of Pennsylvania - The Wharton School   1978 — 1983
BS / MBA, Business Law / Risk & Insurance

University of Pennsylvania - The Wharton School   1978 — 1983
Master of Business Administration (MBA), Insurance

Douglas Stewart Douglas Stewart Greater New York City Area Details
Douglas Stewart's Horizon Blue Cross Blue Shield of New Jersey Experience 2011 - Present
Job IT Director Health Care Reform at Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   2011 - Present
Horizon Blue Cross Blue Shield of New Jersey   January 2006 - November 2011
Horizon Blue Cross Blue Shield of New Jersey   July 2003 - January 2006
Accenture  September 1999 - June 2003
Keiter Stephens Consulting   May 1996 - September 1999

Skills
Health Insurance, Managed Care, Business Analysis, Vendor Management, Process Improvement, SDLC, Visio, Leadership, Requirements Gathering, Medicare, Healthcare, Program Management, Healthcare Information..., Insurance, HIPAA, Project Management, Business Process..., Strategy, Data Analysis, Business Intelligence, CRM, PMP, Customer Service, PMO, Project Portfolio..., Requirements Analysis

Education
Society for Information Management Regional Leadership Forum   2015 — 2015

Virginia Commonwealth University   1996 — 1998
Master of Business Administration (MBA), IT Concentration

University of Richmond   1991 — 1995
BA, BS, Art, Biology

Tamika Alston Tamika Alston Newark, New Jersey Details
Tamika Alston's Horizon Blue Cross Blue Shield of New Jersey Experience 2014 - Present
Job at
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   2014 - Present
Atlantic Health  August 2012 - January 2013
Horizon Blue Cross Blue Shield of New Jersey   August 2008 - August 2012
American Stock Transfer & Trust Company, LLC   2012 - 2012
AIG  June 2004 - August 2008
AIG  January 2000 - January 2008

Skills
Software Documentation, Networking, Databases, HIPAA, Insurance, Healthcare, Health Insurance, Medicare, Process Improvement, Healthcare Information..., Claim, Outlook, Access, Employee Benefits, EMR, Customer Service, Data Analysis, Managed Care, Data Entry, EHR, Medical Billing, Medicaid, Hospitals, Claims Management, Training, Credentialing, Provider Relations

Education
University of Phoenix   2012 — 2014
BS, Computer Information Systems, 3.2

University of Phoenix   2009 — 2011
AS, Associates, Healthcare Administration, 3.6

Todd Paulsen Todd Paulsen Greater New York City Area Details
Todd Paulsen's Horizon Blue Cross Blue Shield of New Jersey Experience February 2010 - August 2010
Job Sr. Project Manager/Program Manager, Corporate Technology at Thomson Reuters
Industry Financial Services
Experience
Thomson Reuters  May 2014 - Present
Thomson Reuters  October 2012 - May 2014
TMP Worldwide  August 2010 - July 2012
Horizon Blue Cross Blue Shield of New Jersey   February 2010 - August 2010
1199 National Benefit Fund  April 2007 - February 2010
1199 National Benefit Fund  June 2005 - April 2007
Princeton Insurance Company  August 2004 - July 2005
1199 National Benefit Fund  May 2002 - September 2004
MicroTask Consulting LLC   April 2001 - May 2002

Skills
Project Management, Software Project..., Systems Analysis, Business Analysis, Agile, Certified Project..., Scrum, IT M&A, Agile Methodologies, Requirements Analysis, PMO, SQL, IT Strategy, SDLC, PMP, Vendor Management, Product Management, SharePoint, MS Project, Agile Project Management, Consulting, Program Management, Software Development, Project Planning, Business Process..., ITIL, Business Intelligence, Integration, Microsoft SQL Server, Business Process, Visio, Management, Databases, Requirements Gathering, Data Warehousing, Web Services, IT Management, ERP, FoxPro, Crystal Reports, SaaS, T-SQL Stored Procedures, Project Portfolio..., Visual Basic, AccountMate, Leadership, Disaster Recovery, Mobile Devices, Resource Management, Waterfall

Education
CollabNet   2012 — 2012
ScrumMaster Certification: CSM+, Certified Scrum Master (CSM) Training - 3 Days

Knowledge Movers   2007 — 2007
PMP Certification, Project Management Professional Certification

University of Maryland University College   1994 — 1999
BS, Information Systems

Benita Rice Benita Rice Greater New York City Area Details
Benita Rice's Horizon Blue Cross Blue Shield of New Jersey Experience April 2007 - Present
Job Supervisor II at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   April 2007 - Present
Continental Airlines  August 1999 - October 2001
Aetna  January 1994 - April 1999

Skills
Insurance, Medicare, Health Insurance, Healthcare Management, HIPAA, Claim, Healthcare, Managed Care, Medicaid, Process Improvement, Provider Relations, Call Centers, Healthcare Information..., Claims Management, Software Documentation, Vendor Management

Education
University of Phoenix   2010 — 2012
Associate of Arts (A.A.), Health/Health Care Administration/Management

Raquel Doggett, MBA Raquel Doggett, MBA Cherry Hill, New Jersey Details
Raquel Doggett, MBA's Horizon Blue Cross Blue Shield of New Jersey Experience 2006 - 2010
Job Client Portfolio Operations Manager Xerox HR & Outsourcing Division
Industry Human Resources
Experience
Xerox  March 2012 - Present
Body Raq - Natural Skin/Hair Care Products   2010 - 2012
Horizon Blue Cross Blue Shield of New Jersey   2006 - 2010
Independence Blue Cross  July 1996 - January 2006

Skills
Customer Service, Process Improvement, Strategic Planning, Business Analysis, Microsoft Excel, Vendor Management, Leadership, Call Centers, Team Building, Healthcare, Coaching, Employee Benefits, Management, Insurance, Training, Account Management, Performance Management, Team Leadership, Project Management, Human Resources, Marketing, Health Insurance, Employee Training, Time Management, Interviews, Personnel Management, Access, Recruiting, Analysis, Program Management

Education
University of Phoenix
MBA, Business Administration and Management, General

Richard Kluczyk Richard Kluczyk Greater New York City Area Details
Richard Kluczyk's Horizon Blue Cross Blue Shield of New Jersey Experience April 2012 - Present
Job Supervisor, Outlier Programs at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   April 2012 - Present
Horizon Blue Cross Blue Shield of NJ  March 1989 - April 2012
New Britain Red Sox   March 1984 - March 1989

Skills
Healthcare, Insurance, Managed Care, Public Speaking, Microsoft Office, Relationship Management, Health Insurance, Strategic Planning, Team Building, Employee Benefits, Medicare, Program Management, Business Process..., Vendor Management, Cross-functional Team...

Education
University of Notre Dame   1978 — 1982
BA, Psychology

Marist High School   1974 — 1978

Joy Cherry Joy Cherry Greater Chicago Area Details
Joy Cherry's Horizon Blue Cross Blue Shield of New Jersey Experience June 2010 - January 2011
Job Marketing Project Manager at ComEd
Industry Marketing and Advertising
Experience
ComEd  November 2012 - Present
Humana Vitality   June 2011 - October 2011
CSG (Chicago Systems Group)   February 2011 - June 2011
Horizon Blue Cross Blue Shield of New Jersey   June 2010 - January 2011
Health Care Service Corporation  April 2009 - June 2010
Health Care Service Corporation  December 2007 - April 2009
Humana Inc  October 2006 - December 2007
Caremark Rx  November 2005 - October 2006
Health Care Service Corporation  May 1995 - November 2005
Blue Cross Blue Shield of IL  February 2001 - October 2002

Skills
Microsoft Certified..., Process Management, Requirements Gathering, Requirements Management, Business Process..., Usability Testing, Cross-functional Team..., CRM, Program Management, Strategy, Business Process, Project Management, Integration, Health Insurance, Management, Software Documentation, Sales, Customer Service, New Business Development, Marketing, Business Strategy, Analysis, Team Building, Training, Leadership, System Testing, User Acceptance Testing, Process Engineering, Visio, Oracle, PowerPoint, Microsoft Excel, SharePoint, Test Cases, Google Adwords, iRise, Quality Center, Hyperion Reports, Clarity, User Interface Design, RequisitePro

Education
University of Illinois at Urbana-Champaign   1995 — 2000

Buenaventura Afable Buenaventura Afable Toronto, Canada Area Details
Buenaventura Afable's Horizon Blue Cross Blue Shield of New Jersey Experience November 2010 - February 2012
Job PMP, CSM
Industry Information Technology and Services
Experience
Alberta Blue Cross  September 2013 - Present
SOCAN  May 2013 - September 2013
London Life  June 2012 - November 2012
Horizon Blue Cross Blue Shield of New Jersey   November 2010 - February 2012
Sterling Health Plans  2008 - 2009
Kentucky Farm Bureau  2008 - 2008
Dunkin' Brands  2007 - 2007
Aetna  2007 - 2007
Fannie Mae  2006 - 2007
Alvion   December 2004 - January 2006

Education
University of Santo Tomas   1978 — 1983
BSECE, Electronics and Communications Engineering

Karl Weimer, MPH Karl Weimer, MPH Greater Philadelphia Area Details
Karl Weimer, MPH's Horizon Blue Cross Blue Shield of New Jersey Experience July 2001 - March 2003
Job Director, DSNP Stars Member Navigators
Industry Hospital & Health Care
Experience
UnitedHealth Group  March 2015 - Present
Horizon NJ Health  June 2014 - March 2015
UnitedHealthcare, Quality Management and Performance   January 2013 - June 2014
UnitedHealthcare, Quality Management and Performance   September 2012 - January 2013
UnitedHealthCare Community & State  March 2010 - September 2012
MEDai  February 2007 - March 2010
Center for Health Care Strategies  January 2005 - February 2007
Horizon NJ Health  2003 - 2004
Horizon Blue Cross Blue Shield of New Jersey   July 2001 - March 2003
Personal Path Systems   March 2000 - April 2001

Skills
Medicaid, Managed Care, Healthcare, Healthcare Information..., Medicare, Health Insurance, Healthcare Management, Data Analysis, HIPAA, Analysis, Informatics, Strategic Planning, SAS, Process Improvement, Leadership, Health Policy, Quality Improvement, HEDIS, Disease Management, Clinical Research, Program Management, Healthcare Industry, Healthcare Consulting

Education
University of Pittsburgh   1993 — 1995
MPH, Epidemiology

University of Massachusetts Boston   1989 — 1991
BA, Cum Laude, Sociology

New England College-Arundel (UK)   1985 — 1987
DNF, English

New Hope-Solebury High School   1979 — 1985
Honors, English Language and Literature, General

Lindsy De Jesus Lindsy De Jesus Perth Amboy, New Jersey Details
Lindsy De Jesus's Horizon Blue Cross Blue Shield of New Jersey Experience September 2013 - Present
Job Call Center Service Associate
Industry Hospital & Health Care
Experience
Horizon Blue Cross Blue Shield of New Jersey   September 2013 - Present
Amboy Bank  May 2012 - February 2013
Advanced Wellness and Chiropractic   May 2010 - May 2012
Dr. Anthony Santoro   September 2006 - August 2009

Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, SAP, Minitab, Photoshop, Customer Service, Teamwork, Outlook, Research, Data Entry, Spanish, Spreadsheets

Education
University of Scranton   2009 — 2013
Bachelor's Degree, Business Administration and Management, General, 3.41 GPA

Sathish K Manavalan Sathish K Manavalan Portland, Oregon Area Details
Sathish K Manavalan's Horizon Blue Cross Blue Shield of New Jersey Experience June 2014 - November 2014
Job Project Manger/Architect Kaiser Permanente
Industry Information Technology and Services
Experience
Kaiser Permanente  December 2014 - Present
Cognizant Technology Solutions  July 2008 - Present
Horizon Blue Cross Blue Shield of New Jersey   June 2014 - November 2014
Express Scripts  April 2013 - May 2014
Cigna  January 2012 - April 2013
Cigna  May 2011 - December 2011
Northern Trust Corporation  July 2008 - April 2011
Unilever  May 2007 - July 2008
Thomson Reuters  August 2004 - May 2007
Ashok Leyland Limited - Systems   March 2001 - July 2004

Skills
Data Warehousing, Unix, Unix Shell Scripting, Databases, Datastage, Retail Domain - FMCG, Data Warehouse..., Service Delivery, Banking and Financial..., Manufacturing -..., Data Modeling, Ab Initio, SDLC, Oracle Applications, Unix Administration, MS Project, Reconciliation Product..., Health Insurance, MS Visio, MS Office Suite, Application Development, System Migration, Process Optimization, IBM Netezza 7.0..., Data Architecture, Enterprise Information..., Requirements Analysis, Client Relations, Oracle, Healthcare Information..., PL/SQL, Software Project..., Business Intelligence, ETL, Solution Architecture, PMP, Shell Scripting, Software Development, Business Process, Visio, Business Analysis, Project Management, Management, SQL, Consulting, Testing, Vendor Management, Enterprise Software, Agile Methodologies

Education
University of Madras   2001 — 2004
Master's Degree, Masters of Computer Applications, First Class

Loyola college   1997 — 2000
Bachelor of Science, Mathematics

St Gabriel's
High School

Mohammad Arif Hussain Mohammad Arif Hussain Newark, New Jersey Details
Mohammad Arif Hussain's Horizon Blue Cross Blue Shield of New Jersey Experience December 2013 - Present
Job Senior Application Developer at IBM US
Industry Computer Software
Experience
Horizon Blue Cross Blue Shield of New Jersey   December 2013 - Present
IBM  October 2011 - December 2013
ZenSar Technologies  August 2010 - September 2011
INFONOX, a TSYS Company   July 2007 - August 2010
Alberg Software Ltd   January 2007 - April 2007

Skills
Java, EJB, JSP, Servlets, JDBC, XML, Struts, Hibernate, DHTML, XSL, ILOG, TIBCO Business Studio, Oracle Discoverer 10g, DB2, UML

Education
University of Pune   2004 — 2007
MCA, Computer Application

University of Pune   2004 — 2007
Master of Computer Applications (M.C.A.), Software Architechture and Design, Object Oriented concept, J2ee, Web programming and Database design

V. Renee Nash V. Renee Nash Greater Philadelphia Area Details
V. Renee Nash's Horizon Blue Cross Blue Shield of New Jersey Experience February 1999 - December 2012
Job Executive Assistant at AmeriHealth Caritas
Industry Insurance
Experience
AmeriHealth Caritas  January 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey   February 1999 - December 2012
Lutheran Children and Family Service  January 1988 - January 1998

Skills
Executive..., Office Management, Organization &..., Time Management, Process Management, Strategic Planning, Prompt, Knowledge Sharing, Information Sharing, Computer Proficiency, Technical Support, Microsoft Excel, Microsoft Word, Visio, PowerPoint, Adobe Acrobat, Concur, Outlook, PeopleSoft, Process Improvement, SharePoint, Lotus Notes, Event Planning, Event Management, Account Reconciliation, Performance Measurement, Employee Training, Security, Confidentiality

Education
University of Phoenix   2012 — 2015
Bachelor of Science in Business, Health/Health Care Administration/Management

University of Phoenix   2009 — 2012
Associate of Arts, Business

Northern High School   1980 — 1983
High School Diploma, General Office Occupations and Clerical Services

Brian David Feliciano Brian David Feliciano Greater New York City Area Details
Brian David Feliciano's Horizon Blue Cross Blue Shield of New Jersey Experience August 2007 - Present
Job YouTube/Google+ Marketing Specialist for Local Businesses
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of New Jersey   August 2007 - Present
Google  September 2012 - January 2015
Express Scripts  2003 - 2007

Skills
Photoshop, Google Docs, Microsoft Office, SharePoint, Graphic Design, Google+, Google TV, Social Media, Android, Microsoft Word, Staff Supervision, Management, Online Advertising, Avaya IP Telephony, Gmail, iOS, Nasco, UCSW, Sales, Call Center Development, Google Voice, Google Chrome, Project Management, Social Media Marketing, IT Sales, Advertising, SEO, YouTube, Chrome OS, Local Search, Local Marketing, GIF, Google Drive, Google Maps, Google Local, Digital Video, Video Production, Instagram, Pinterest Marketing, Business Process..., Web Development, Customer Service, Marketing, Social Networking

Education
University of Phoenix   2009 — 2013
BA, IT/Networking

Marlboro High School   1997 — 2000
High School Diploma, Graphic Design

Manas Jena Manas Jena Warsaw, Indiana Details
Manas Jena's Horizon Blue Cross Blue Shield of New Jersey Experience February 2013 - July 2013
Job Lead BPM Developer at Zimmer Biomet
Industry Medical Devices
Experience
Zimmer Biomet  September 2014 - Present
Pershing, a BNY Mellon company  October 2013 - September 2014
Princeton Blue, Inc.   July 2013 - September 2014
Teva Pharmaceuticals  August 2013 - October 2013
Horizon Blue Cross Blue Shield of New Jersey   February 2013 - July 2013
Prolifics  October 2012 - July 2013
Pitney Bowes Software  October 2012 - February 2013
NetAmbit Infosource & e-Services Pvt. Ltd.   December 2011 - October 2012
IBM  February 2010 - November 2011
Capgemini  June 2006 - February 2010

Skills
SOA, Business Process Design, IBM BPM, WebSphere Application..., ESB, Lombardi Teamworks, EAI, Websphere, Integration, Solution Architecture, RESTful WebServices, ILOG, XML, SQL, BPMN, Core Java, JavaScript, PL/SQL, XSD, Java Enterprise Edition, Software Development, Business Process..., Enterprise Architecture, J2EE, WebSphere ESB, EJB, Spring, Weblogic, Struts, JBoss Application Server, JSP, Web Services, DB2, JMS, Hibernate, Middleware, Servlets, IBM Blueworks Live, Business Activity..., WebSphere Integration..., WebSphere

Education
University of Pune   2002 — 2004
M.I.T, IT

Lauren Bottitta Lauren Bottitta Greater New York City Area Details
Lauren Bottitta's Horizon Blue Cross Blue Shield of New Jersey Experience November 2011 - Present
Job HRIS Administrator at Horizon Blue Cross Blue Shield of New Jersey
Industry Human Resources
Experience
Horizon Blue Cross Blue Shield of New Jersey   November 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey   June 2011 - November 2011
The University of Scranton  September 2010 - December 2010
Dun & Bradstreet  June 2010 - August 2010

Skills
Talent Acquisition, Training, Microsoft Excel, Microsoft Office, Administration, Recruiting, Leadership, Data Analysis, Management, Benefits Administration

Education
University of Scranton   2007 — 2011
Bachelor of Science, Business Management

Alexis Fisher Alexis Fisher Greater New York City Area Details
Alexis Fisher's Horizon Blue Cross Blue Shield of New Jersey Experience November 2010 - Present
Job Communications Team Lead at Horizon Blue Cross Blue Shield of New Jersey
Industry Public Relations and Communications
Experience
Horizon Blue Cross Blue Shield of New Jersey   November 2010 - Present
BNP Media  June 2007 - November 2010

Skills
Strategic Communications, Corporate Communications, Media Relations, Internal Communications, Newsletters, Editing, Press Releases, Copywriting, Public Relations, Social Media, Copy Editing, Content Management, Proofreading, Marketing Communications, Blogging, Journalism, Web Content, Publications, Social Media Marketing, Editorial

Education
New York University - Leonard N. Stern School of Business   2015 — 2018
Master of Business Administration (MBA)

University of Scranton   2003 — 2007
Bachelor of Arts (BA), Communications, Political Science

Anbu Benzigar Anbu Benzigar Greater New York City Area Details
Anbu Benzigar's Horizon Blue Cross Blue Shield of New Jersey Experience December 2012 - April 2014
Job ETL Lead (Informatica/Teradata) at Janssen (Johnson & Johnson)
Industry Information Technology and Services
Experience
The Janssen Pharmaceutical Companies of Johnson & Johnson  May 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey   December 2012 - April 2014
Geisinger Health Plan  March 2012 - November 2012
Horizon Blue Cross Blue Shield of New Jersey   June 2010 - October 2012
TIAA-CREF  November 2008 - June 2010
Perot Systems Government Services  March 2007 - November 2008
BJC HealthCare  November 2005 - May 2007
HCA  January 2005 - November 2005

Skills
Informatica, ETL, Data Warehousing, Data Integration, Oracle, Teradata, Data Modeling, Business Objects, SDLC, Business Intelligence, Dimensional Modeling, Data Warehouse..., Database Design, Databases, Data Analysis, PowerCenter, Power Exchange, IDE, IDQ, Web Services, Unix Shell Scripting, Shell Scripting, Requirements Analysis

Education
University of Pune   1999 — 2001

Erhardt Preitauer Erhardt Preitauer Princeton, New Jersey Details
Erhardt Preitauer's Horizon Blue Cross Blue Shield of New Jersey Experience November 2013 - Present
Job CEO Horizon NJ Health / SVP Government Programs at Horizon Blue Cross Blue Shield of New Jersey
Industry Hospital & Health Care
Experience
Horizon Blue Cross Blue Shield of New Jersey   November 2013 - Present
Aetna  May 2012 - October 2013
WellCare  October 2007 - 2012
UnitedHealth Group  2005 - 2007
Great-West Healthcare  2003 - 2005
CIGNA Healthcare  2001 - 2003
Motion Industries  1995 - 1999

Skills
Medicaid, Medicare, Managed Care, Healthcare, Senior Executive..., Managed Long Term Care, Health Policy, Healthcare Industry, Long-term Care, Executive Management, HMO, Strategic Planning, Business Development, EHR, HIPAA, Health Insurance, Healthcare Consulting, Healthcare Information..., Healthcare Management, Hospitals, Insurance, Leadership, Program Management, Sales, Sales Operations, Start-ups, Strategy

Education
Pennsylvania State University, Smeal College of Business   2000 — 2003
MBA, Strategy and Entrepreneurship

University of Nevada-Reno   1991 — 1996
BS, Finance and Economics

Asfandyar Bashir, PMP Asfandyar Bashir, PMP Orange County, California Area Details
Asfandyar Bashir, PMP's Horizon Blue Cross Blue Shield of New Jersey Experience June 2009 - May 2011
Job Manager at Edifecs
Industry Computer Software
Experience
Edifecs  October 2013 - Present
Deloitte  May 2011 - October 2013
Horizon Blue Cross Blue Shield of New Jersey   June 2009 - May 2011
Bank Al Habib   January 2008 - June 2009
E2E Supply Chain Management (Pvt) Ltd.   July 2006 - December 2007
UAE Mobiles   June 2005 - June 2006
University of Massachusetts Amherst. W.E.B. Dubois Library   January 2003 - June 2004

Skills
SAP, Visio, MS Project, SQL, Quality Center, Cisco Technologies, ClearCase, ClearQuest, Visual Studio, XML, X12, HIPAA, TCP/IP, Business Strategy, Windows, Project Planning, Data Analysis, Business Analysis, Test Planning, Risk Assessment, Project Management, RFP, Testing, Systems Analysis, Risk Management, Requirements Gathering, SDLC, Business Process, HTML, Network Administration, VPN, IPv6, IBM Rational Tools, ICD-10, Managed Care, BRD, FRD, QNXT, Program Management, Project Delivery, Product Management, PMP, HIX / HIE, Manage Client..., Cloud Applications, System Architecture, eBanking, Management Consulting, Process Improvement, Business Intelligence

Education
University of Massachusetts, Amherst   2001 — 2004
Bachelor of Science (B.S.), Computer Science

Wendy Barlow Wendy Barlow Greensboro/Winston-Salem, North Carolina Area Details
Wendy Barlow's Horizon Blue Cross Blue Shield of New Jersey Experience October 2011 - June 2012
Job Business Solutions Architect at Blue Cross Blue Shield of North Carolina
Industry Insurance
Experience
Blue Cross Blue Shield of North Carolina  November 2013 - Present
Topaz Shared Services  February 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey   October 2011 - June 2012
St. Mark's Church   April 2009 - October 2011
Avon  August 2008 - March 2009
Avaya  October 2006 - February 2008
Lucent Technologies; Avaya   August 2001 - September 2006
Lucent Technologies  September 1998 - July 2001
IBM  October 1996 - August 1998
AT&T, Lucent Technologies   January 1989 - September 1996

Skills
Business Process..., Project Coordination, Business Analysis, Program Management, IT Management, Business Intelligence, Project Management, PMO, Change Management, Management, Business Process, Business Architecture, Leadership, Six Sigma, Project Planning, Strategy, Enterprise Software, Cross-functional Team..., PMP, Business Process..., IT Strategy

Education
University of North Carolina at Greensboro   1998 — 2000
Masters, Information Technology Management

University of North Carolina at Greensboro   1987 — 1988
B.S., Management of Information Systems, Concentration in Operations Management

Sudheesh Thuruthiyil Sudheesh Thuruthiyil Greater Atlanta Area Details
Sudheesh Thuruthiyil's Horizon Blue Cross Blue Shield of New Jersey Experience July 2006 - March 2011
Job Healthcare IT Product Consulting Manager at Cognizant Technology Solutions
Industry Information Technology and Services
Experience
Cognizant Technology Solutions  March 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey   July 2006 - March 2011
Infosys  June 2004 - March 2011

Skills
Requirements Gathering, Business Analysis, Business Process, Program Management, Analysis, Business Requirements, Software Development, Consulting, Health Insurance, Healthcare, SDLC, Requirements Analysis, Software Project..., Microsoft SQL Server

Education
University of Kerala   1999 — 2003
BTech, Electronics and Communication

Manzoor Qadri Manzoor Qadri Mason, Ohio Details
Manzoor Qadri's Horizon Blue Cross Blue Shield of New Jersey Experience 2012 - 2013
Job Principal Consultant CRM at Cognizant Technology Solutions
Industry Information Technology and Services
Experience
Cognizant Technology Solutions  July 2014 - Present
Cognizant Technology Solutions  November 2010 - June 2014
Horizon Blue Cross Blue Shield of New Jersey   2012 - 2013
Horizon Blue Cross Blue Shield of New Jersey   2012 - 2013
Cardinal Health  2009 - 2011
Cardinal Health  2009 - 2011
Accenture Technology Solutions  May 2005 - November 2010

Skills
Informatica, Master Data Management, Data Warehousing, ETL, Requirements Analysis, SDLC, Data Modeling, Solution Architecture, Data Integration, Business Intelligence, Enterprise Architecture, Business Analysis, PL/SQL, SQL, Oracle, Requirements Gathering, Software Project..., Agile Methodologies, Consulting, SOA, Integration, CRM, Unix

Education
University of Jammu   1999 — 2004
B.E, Computer Science

Neenu Sachdev Neenu Sachdev Fair Lawn, New Jersey Details
Neenu Sachdev's Horizon Blue Cross Blue Shield of New Jersey Experience 2011 - 2012
Job Executive PMO / PM, PMP, RMP, Scrum Master and Product Owner
Industry Management Consulting
Experience
Program Project Management, IT Leadership in the Greater New York City Area   2004 - Present
PBF   March 2014 - December 2014
Independent Consultant  2007 - December 2014
McGraw Hill  November 2011 - February 2014
Horizon Blue Cross Blue Shield of New Jersey   2011 - 2012
FDU  2007 - 2009
UBS  2006 - 2006
Bowne  2005 - 2005
Pearson Education  2001 - 2003
Deloitte Consulting  1999 - 2001

Skills
SDLC, PMP, Integration, PMO, Project Management, IT Management, Telecommunications, Vendor Management, Management, IT Strategy, Data Center, Leadership, Software Project..., IT Service Management, Business Analysis, Requirements Analysis, Program Management, Project Portfolio..., Business Intelligence, Enterprise Architecture, Business Process..., Governance, Analysis, Business Process..., Risk Management, Change Management, Management Consulting, IT Operations, Process Improvement, Resource Management, MS Project, Web Development, Agile Project Management, RMP, MBA, Masters Computer Science, Operational Excellence, Operational Risk..., IT Outsourcing, Technology, Business Process, Information Technology, Six Sigma, Microsoft Project

Education
Fairleigh Dickinson University-Florham Campus   2007 — 2009
MBA, Management

University of Florida   1991 — 1993
Master, Computer Science

Visvesvaraya National Institute of Technology (VNIT)   1987 — 1989
Master, Electronics and communications

Government College Of Engineering, Chandrapur   1984 — 1987
Bachelor's degree, Electronics and communications

St. Joseph's Convent   1970 — 1979
Middle and High School, Math and Science

Meghna Khanna Meghna Khanna Greater New York City Area Details
Meghna Khanna's Horizon Blue Cross Blue Shield of New Jersey Experience May 2011 - Present
Job Senior Data Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Hospital & Health Care
Experience
Horizon Blue Cross Blue Shield of New Jersey   May 2011 - Present
NHS England  October 2005 - August 2010
Turning Point Ltd   June 2003 - September 2005
www.liberty-human-rights.org.uk   September 2002 - May 2003
Real Space Ltd   July 1999 - May 2002

Skills
Access, SAS, Data Analysis, SQL, Databases, Data Warehousing, Microsoft Excel, Business Objects, Analysis, SSRS, Crystal Reports, Business Intelligence, SharePoint, Tableau

Education
University of South Florida   2014 — 2015
Masters in Management Information Systems - to be completed in November 2015, MIS, Current GPA: 4

Bachelor of Business Administration, University of Indore, India   1996 — 1998
Bachelor of Business Administration

Arpita Bathani, JD, MPH Arpita Bathani, JD, MPH Greater New York City Area Details
Arpita Bathani, JD, MPH's Horizon Blue Cross Blue Shield of New Jersey Experience December 2013 - Present
Job Associate General Counsel at Horizon Blue Cross Blue Shield of New Jersey
Industry Law Practice
Experience
Horizon Blue Cross Blue Shield of New Jersey   December 2013 - Present
Aveta Health   January 2011 - December 2013
Blue Cross and Blue Shield of Michigan  May 2010 - January 2011
Blue Cross Blue Shield of Michigan  August 2009 - May 2010
Blue Cross Blue Shield of Michigan  December 2008 - November 2009
Blue Cross Blue Shield of Michigan  April 2007 - December 2008
Wayne County Neighborhood Legal Services  September 2006 - April 2007
3rd Judicial Circuit Court for the County of Wayne   May 2005 - August 2005

Skills
Legal Research, Health Law, Legal Writing, Litigation, Appeals, Corporate Governance, Corporate Law, Health Policy, Medicare, Privacy Law, Public Policy

Education
University of Detroit Mercy School of Law   2005 — 2008
JD

University of Michigan   2003 — 2005
Masters in Public Health, MPH, Health Management and Policy

University of Michigan   1999 — 2003
BA, Communications, Economics

David M. MacPhee David M. MacPhee Greater Philadelphia Area Details
David M. MacPhee's Horizon Blue Cross Blue Shield of New Jersey Experience July 2011 - December 2013
Job VP Applications, Infrastructure and Operations in Healthcare and Information Technology
Industry Information Technology and Services
Experience
Healthcare - Information Technology   2014 - Present
Horizon Blue Cross Blue Shield of New Jersey   July 2011 - December 2013
Allscripts  September 2009 - July 2011
CIGNA  September 2002 - September 2009
Nortel  1994 - 2002
Unisys  1979 - 1994

Skills
Databases, Infrastructure, Integration, Change Management, Vendor Management, IT Management, Program Management, IT Strategy, Storage, Process Improvement, Strategic Planning, SDLC, Business Process, Business Analysis, Outsourcing, Project Management, Management Consulting, Visio, Business Process..., Enterprise Architecture, Disaster Recovery, PMO, ITIL, Management, Governance, Software Development, Operations Management, Mergers & Acquisitions, Strategy, Information Technology, Data Center, Business Intelligence

Education
University of Michigan-Dearborn   1973 — 1978
Political Science/ Information Technology

Dean Dellavia Dean Dellavia Greater New York City Area Details
Dean Dellavia's Horizon Blue Cross Blue Shield of New Jersey Experience 1981 - 1992
Job Manager at IBM
Industry Computer Software
Experience
IBM  2007 - Present
IBM Global Services  March 1994 - Present
International Business Machines Corporation  1993 - Present
Horizon BCBSNJ  1995 - 1999
Horizon Blue Cross Blue Shield of New Jersey   1981 - 1992

Skills
Project Management, Global Resource..., Application Production..., Strategic Outsourcing..., Crisis Management, IT Strategy, Global Delivery, Requirements Analysis, Analysis, IT Management, ITIL, PMO, IT Service Management, Business Analysis, Integration, PMP, IT Outsourcing, Vendor Management, Business Transformation, Program Management, Management, Service Delivery, Leadership, Enterprise Architecture, Project Portfolio..., SDLC, Production Support, Project Delivery, Finance, Software Project..., Change Management, Business Process, BPO, Outsourcing, Process Improvement, Professional Services, Solution Architecture, Business Process..., Service Management

Education
Seton Hall University - MBA   1982 — 1987

University of Delaware - Lerner College of Business and Economics   1976 — 1980
BSBA, Finance

Harry Poindexter Harry Poindexter Kansas City, Missouri Area Details
Harry Poindexter's Horizon Blue Cross Blue Shield of New Jersey Experience October 2012 - Present
Job Sales Consultant
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   October 2012 - Present
Ameriprise Financial  October 2008 - May 2012
Great Commission Ministries  1984 - 2008
New Life Community Church  July 2000 - July 2007

Skills
Finance, Leadership Development, PowerPoint, Sales, Insurance, Public Speaking, Customer Service, Retirement Planning, Leadership, Fundraising, Strategic Planning, Non-profits, Fixed Annuities

Education
University of Denver   1966 — 1971
BA, Speech-Communications

Pembroke country day   1963 — 1966

Shamu Rangaiah Shamu Rangaiah Princeton, New Jersey Details
Shamu Rangaiah's Horizon Blue Cross Blue Shield of New Jersey Experience May 2013 - September 2014
Job Information Technology Management Consultant
Industry Information Technology and Services
Experience
Johnson & Johnson  October 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey   May 2013 - September 2014
GalaxE Solutions  July 2011 - March 2013
IBM  May 1999 - May 2011

Skills
PMP, Global Delivery, PMO, Governance, IT Strategy, Software Project..., Disaster Recovery, Outsourcing, Business Development, Service Delivery...

Education
University of Mysore   1989 — 1993
Engineering

University of Phoenix
MBA, Technology Management

Sarah Paretti Sarah Paretti Greater New York City Area Details
Sarah Paretti's Horizon Blue Cross Blue Shield of New Jersey Experience January 2013 - Present
Job Informatics Analyst at Horizon Blue Cross Blue Shield of NJ
Industry Hospital & Health Care
Experience
Horizon Blue Cross Blue Shield of New Jersey   January 2013 - Present
S&P Dow Jones Indexes   March 2008 - January 2013
University of Pittsburgh  September 2005 - April 2007
University of Pittsburgh  January 2003 - April 2005

Skills
Statistics, SAS, Quantitative Research, Data Analysis, Teaching, PowerPoint, Research, SQL, Microsoft Excel, Market Research, Microsoft Office, Social Media, Matlab, Analysis, Analytics, Databases

Education
University of Pittsburgh   2005 — 2007
MA, Applied Statisics

University of Pittsburgh   2001 — 2005
BS, Statistics

Darla Evinger Darla Evinger Kansas City, Missouri Area Details
Darla Evinger's Horizon Blue Cross Blue Shield of New Jersey Experience November 2011 - Present
Job Contracts Administrator for Price Development Group LLC
Industry Construction
Experience
Price Development Group LLC   May 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey   November 2011 - Present
D. H. Pace Door Services   October 2010 - September 2011
Vanum   January 2002 - August 2009

Education
University of Phoenix   2005 — 2007
BS, Criminal Justice

Joya Young Joya Young Newark, New Jersey Details
Joya Young's Horizon Blue Cross Blue Shield of New Jersey Experience September 2013 - Present
Job
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   September 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey   July 2008 - September 2013
Horizon Blue Cross Blue Shield of New Jersey   March 2007 - July 2008
Horizon Blue Cross Blue Shield of New Jersey   January 2006 - March 2007
Horizon Blue Cross Blue Shield of New Jersey   January 2001 - January 2006
Horizon Blue Cross Blue Shield of New Jersey   January 1997 - January 2001

Skills
Health Insurance, Business Analysis, User Acceptance Testing, Requirements Analysis, Training, Coaching, Employee Benefits, Call Centers, Process Improvement, Performance Management, Insurance, Talent Management, Employee Engagement, Onboarding, Human Resources, Benefits Administration, SharePoint, Software Documentation, Program Management, HIPAA, Healthcare, Vendor Management, Data Analysis, Visio

Education
University of Phoenix   2012 — 2014
BSHA/LTC, Health/Health Care Administration/Management

University of Phoenix   2010 — 2011
AAHCA, Health/Health Care Administration/Management

LInden High School Linden NJ   1977 — 1980

Jennifer (Miranda) Luebcke Jennifer (Miranda) Luebcke Greater New York City Area Details
Jennifer (Miranda) Luebcke's Horizon Blue Cross Blue Shield of New Jersey Experience March 2013 - Present
Job Partner Outcomes and Relationship Specialist at Horizon BCBS of NJ & Executive Consultant at Rodan and Fields Skincare
Industry Hospital & Health Care
Experience
Rodan + Fields Dermatologists / Skin & Beauty Logic   September 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey   March 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey   November 2010 - March 2013
Horizon Blue Cross Blue Shield of New Jersey   November 2010 - June 2011
Emdeon  January 2009 - September 2010
Emdeon  May 2006 - January 2009
Emdeon (Envoy NEIC / WebMD)   May 2001 - May 2006
CareInsite  April 2000 - May 2001
Allergy Care Centers   September 1997 - March 2000

Skills
Healthcare, Insurance, Claims, Customer Relations, Problem Solving, Key Account..., Building Relationships, EDI, Business Requirements, Claim, Program Management, Customer Service, Software Documentation, Data Analysis, CRM, Management, Healthcare Management, Training, Analysis, Team Building, Healthcare Information..., Healthcare Industry, EHR, Risk Management, Business Process, Project Management

Education
University of Phoenix   2009 — 2010
MBA, Business Administration

University of Phoenix   2004 — 2006
BS, e-Business

Chubb Institute   1999 — 2000
Certificate, Network Administration

Divya Dinesh Divya Dinesh Greater New York City Area Details
Divya Dinesh's Horizon Blue Cross Blue Shield of New Jersey Experience May 2006 - March 2007
Job Vice President at CLSA Americas
Industry Information Technology and Services
Experience
CLSA  November 2014 - Present
Centerlight Health System  November 2012 - November 2014
Credit Agricole CIB  August 2007 - November 2012
Viacom - MTV  March 2007 - August 2007
Horizon Blue Cross Blue Shield of New Jersey   May 2006 - March 2007
New Jersey Department of Human Services  November 2005 - May 2006
iSOFT  July 2004 - April 2005
HCL Technologies  January 2004 - June 2004

Skills
.NET, BizTalk, C#, LINQ, Web Services, SQL, Stored Procedures, Visual Studio, WCF, XML, HIPAA, SWIFT messaging, IIS, Visual C++, Agile Project Management, STP, FIX, Omgeo Oasys, CTM, Integration, Entity Framework, Application Frameworks, Middle Office, Back Office, Microsoft SQL Server, Agile Methodologies, Enterprise Architecture, Architecture, TFS, Design Patterns, SDLC, SSRS, WPF, OOP, ASP.NET MVC, SOA, SSIS, Architectures

Education
Madras University   2002 — 2004
Masters, Information Technology

University of Madras   1999 — 2002
BCA, Computer Science

Jessie Moses   1997 — 1999
School, Science

Sheila Hoffman Sheila Hoffman Greater New York City Area Details
Sheila Hoffman's Horizon Blue Cross Blue Shield of New Jersey Experience October 2010 - Present
Job Manager, Underwriting at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   October 2010 - Present
Aetna  2002 - 2010
Aetna  2001 - 2002
Prudential Healthcare  1996 - 2001

Skills
Insurance, Risk Management, Underwriting, Budgets, Team Building, Management, Analysis, Cross-functional Team..., Health Insurance, Employee Benefits, Health Savings Accounts, Managed Care, Claim, Process Improvement, Sales, Medicare, Disability Insurance, Benefits Administration, Brokers

Education
University of Illinois at Urbana-Champaign   1984 — 1986
BA, Business/Economics

Saravanan Lakshmanan Saravanan Lakshmanan Houston, Texas Area Details
Saravanan Lakshmanan's Horizon Blue Cross Blue Shield of New Jersey Experience September 2008 - December 2008
Job Technical Lead at Key Energy Services
Industry Computer Software
Experience
Key Energy Services  March 2014 - Present
Florida Blue  December 2008 - January 2014
IBM India Pvt Ltd  April 2006 - January 2014
Horizon Blue Cross Blue Shield of New Jersey   September 2008 - December 2008
AT&T  May 2006 - August 2008
Leiten Technologies Private Limited   2003 - 2006
Subramanian Polytechnic College   2003 - 2006

Skills
Requirements Analysis, XML, Oracle, Siebel, PL/SQL, Solution Architecture, Web Services, DB2, Siebel Configuration, CRM Integration, Siebel Scripting, Requirements Gathering, Agile Methodolgy, SDLC, CRM, Software Project..., SOA, JavaScript, Visual Basic, Siebel EAI, HTML, CSS, Java Script, eScript, Siebel 7.x, Siebel 8.x, Siebel MQ Integration, ASP 3.0, VB 6.0, Crystal Reports, SQL, EAI, Microsoft SQL Server, Testing, jQuery, Quality Center, Open UI, Siebel 8.1.1.11

Education
University of Madras   2000 — 2003
MCA, Computer Application

Robyn Gantt Robyn Gantt Greater New York City Area Details
Robyn Gantt's Horizon Blue Cross Blue Shield of New Jersey Experience June 2010 - Present
Job Medical Director at Horizon Blue Cross Blue Shield of New Jersey
Industry Medical Practice
Experience
Horizon Blue Cross Blue Shield of New Jersey   June 2010 - Present
Horizon Health Center  March 2007 - June 2010
UMDNJ  July 2000 - March 2007

Education
University of Medicine and Dentistry of New Jersey -New Jersey Medical School
MD, Medicine

Balaji Sampath Kumar Balaji Sampath Kumar Newark, New Jersey Details
Balaji Sampath Kumar's Horizon Blue Cross Blue Shield of New Jersey Experience June 2010 - Present
Job Senior Project Manager
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of New Jersey   June 2010 - Present
Cognizant Technology Solutions  October 2006 - May 2010
Aetna Inc  2004 - 2009
Cognizant Technology Solutions  2002 - 2009

Skills
SDLC, Requirements Gathering, Software Project..., PMP, PMO, Requirements Analysis, Visio, Vendor Management, Business Analysis

Education
Madras University   1994 — 1998
Bachelors in Engineering, Electronics and Communication

Angela Wilmer Angela Wilmer Greater Philadelphia Area Details
Angela Wilmer's Horizon Blue Cross Blue Shield of New Jersey Experience May 1982 - July 2002
Job VP, Regulatory & Quality Assurance at MedAvante
Industry Pharmaceuticals
Experience
MedAvante  September 2002 - Present
Horizon Blue Cross Blue Shield of New Jersey   May 1982 - July 2002

Skills
Clinical Trials, Pharmaceutical Industry, GCP, CRO, CTMS, Validation, Protocol, Regulatory Affairs, 21 CFR Part 11, Clinical Research, FDA, Drug Development, Sop, ICH-GCP, Cross-functional Team..., Therapeutic Areas, EDC, Clinical Development, Clinical Data Management, Biotechnology, SOP

Education
University of Phoenix
Bachelor of Science (B.S.), Management

Evette Johnson Evette Johnson Greater New York City Area Details
Evette Johnson's Horizon Blue Cross Blue Shield of New Jersey Experience November 2012 - April 2013
Job Public Affairs/Corporate Philanthropy/ Marketing Coordinator at Horizon Blue Cross Blue Shield of New Jersey
Industry Executive Office
Experience
Horizon Blue Cross Blue Shield of New Jersey   November 2012 - April 2013
Colgate Palmolive  2007 - 2011
Colgate Palmolive  2000 - 2007
Charleston Place Hotel  1996 - 1999
USA TODAY  1991 - 1993
First Chicago Trust Company (fm JP Morgan Shareholder Services)   1987 - 1991

Skills
Lotus Notes, Concur, SAP ERP, MS Office Suite, MS Access, MS Publisher, Adobe Photoshop, eBuy, MS Outlook, Graphic Design, Ariba, PeopleSoft

Education
University of Phoenix
Bachelor's Degree, Information Technology, 3.4

Murali Ramaswamy Murali Ramaswamy Greater New York City Area Details
Murali Ramaswamy's Horizon Blue Cross Blue Shield of New Jersey Experience January 2012 - Present
Job Project management / Delivery at Jennison Associates LLC
Industry Financial Services
Experience
Jennison Associates LLC  August 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey   January 2012 - Present
Merrill Lynch  May 2011 - December 2011
Polaris Software Lab  April 2009 - May 2011
AllianceBernstein  May 1998 - November 2008
The Saudi British Bank (HSBC Group)   1994 - 1997

Education
University of Mumbai
MS, Computer Science

Hassan Garretson Hassan Garretson Newark, New Jersey Details
Hassan Garretson's Horizon Blue Cross Blue Shield of New Jersey Experience December 2009 - Present
Job Account Manager/Consultant Insurance CSR
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   December 2009 - Present
Horizon Blue Cross Blue Shield of New Jersey   December 2009 - February 2014
State Farm Insurance  March 2008 - November 2009
State Farm Insurance  September 2007 - February 2008

Skills
Insurance, Health Insurance, Account Management, Auditing, New Business Development, Troubleshooting, Property & Casualty..., Claim, Commercial Insurance, General Insurance, Life Insurance

Education
University of Phoenix   2010 — 2012
Associate of Arts and Sciences (A.A.S.), Information Technology, 3.00

American School of Business   2006 — 2007
Associate of Arts and Sciences (A.A.S.), Information Technology

Al Bowles Al Bowles United States Details
Al Bowles's Horizon Blue Cross Blue Shield of New Jersey Experience 2009 - 2015
Job Vice President Commercial & Major Accounts at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   2009 - 2015
OptumHealth Specialty Benefits  2007 - 2009
UnitedHealth Group- Group Insurance Services   2002 - 2007
CIGNA Group Insurance  1998 - 2002

Skills
Employee Benefits, Managed Care, Talent Management, Mergers, Health Insurance, Insurance, Performance Management, Sales, Mergers & Acquisitions, Management, Process Improvement, Leadership, Marketing, Account Management, Underwriting, Health Savings Accounts, Medicare, Disability Insurance, Pharmacy Benefit..., Strategy, Brokers, Strategic Planning, Healthcare, Cross-functional Team..., Sales Management

Education
University of Richmond - Robins School of Business   1976 — 1979
BS, Finance & Management

Kimberley Uhlig Kimberley Uhlig Greater New York City Area Details
Kimberley Uhlig's Horizon Blue Cross Blue Shield of New Jersey Experience May 2011 - April 2013
Job Sr. IT Project Coordinator/Analyst at PVH Corp.
Industry Information Technology and Services
Experience
PVH Corp.  July 2014 - Present
United Health Group  March 2014 - 2014
Horizon Blue Cross Blue Shield of New Jersey   May 2011 - April 2013
Horizon Blue Cross Blue Shield of New Jersey   May 2010 - May 2011
For/Not For Profit Opportunities   2009 - 2009
IBM Global Business Services  1994 - 2009

Skills
Vendor Management, Program Management, PMO, Resource Management, Project Portfolio..., Business Analysis, PMP, Project Delivery, Business Process..., Project Management, SDLC, Leadership, Management, Team Building, CRM, Cross-functional Team..., Software Documentation, SharePoint, Outsourcing, Strategy, Process Improvement

Education
University of Phoenix   2002 — 2009
B.S., Business/e-Business Management

University of Phoenix
Bachelor's Degree, Business/e-Business Management

vidhya lakshminarayanan vidhya lakshminarayanan Greater New York City Area Details
vidhya lakshminarayanan's Horizon Blue Cross Blue Shield of New Jersey Experience January 2012 - July 2013
Job eCommerce Systems Analyst, Macys Inc.
Industry Information Technology and Services
Experience
Macy's Inc  August 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey   January 2012 - July 2013
Cognizant Technology Solutions  February 2009 - October 2011
Cognizant Technology Solutions  September 2005 - February 2009

Skills
E-commerce, Agile Project Management, Digital Asset Management, Oracle SQL Developer, JavaScript, Systems Analysis, SDLC, Oracle, Requirements Analysis, SQL, Business Analysis, Software Project..., Requirements Gathering, Data Warehousing, PL/SQL, Unix

Education
Madras University   2002 — 2005
Bachelors, Mathematics

Sheldon Speights Sheldon Speights Greater New York City Area Details
Sheldon Speights's Horizon Blue Cross Blue Shield of New Jersey Experience March 2013 - August 2013
Job Manger, Technical Systems at United Water
Industry Information Technology and Services
Experience
United Water  February 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey   March 2013 - August 2013
New York Power Authority  March 2011 - February 2013
Cablevision  June 2010 - February 2011
Eclaro International  February 2008 - August 2010
Con Edison  2000 - 2008
Empire Blue Cross Blue Shield  June 1996 - December 1999
Metropolitan Life Insurance Company  1994 - 1996

Skills
Waterfall, Leading Projects, SOW, Budgeting, Vendor, Planning, Project Delivery, Contract Negotiation, Web Project Management, RUP, Requirements Analysis, MS Project, Analysis, Scope Management, Project Plans, Prioritization, Project Implementation, Requirements Gathering, Energy, SDLC, Vendor Management, Budgets, Business Analysis, Project Planning, IT Strategy, RFP, Business Process, Strategy, Business Process..., Visio, Project Portfolio..., Leadership, PMO, Process Improvement, Software Project..., Project Management, Integration, Change Management, Cross-functional Team..., Enterprise Architecture, Management, Team Leadership, SAP, SOA, Information Technology, Oracle, Data Modeling, Telecommunications, Process Engineering

Education
University of Pennsylvania - The Wharton School   1986 — 1991
Bachelor, Management / Marketing

Douglas S. White Douglas S. White Greater New York City Area Details
Douglas S. White's Horizon Blue Cross Blue Shield of New Jersey Experience May 1998 - July 2000
Job Director, Operational Policy Implementation at Health Republic Insurance of New York
Industry Hospital & Health Care
Experience
Health Republic Insurance of New York  April 2015 - Present
EmblemHealth Services, LLC   January 2011 - March 2015
EmblemHealth Services, LLC   July 2000 - January 2011
Horizon Blue Cross Blue Shield of New Jersey   May 1998 - July 2000
Cabrini Medical Center  August 1994 - May 1998

Skills
Managed Care, Provider Relations, Healthcare Consulting, Vendor Management, Medicaid, Process Improvement, Physician Relations, Medicare, Claim, Health Insurance, Utilization Management, Quality Improvement, Network Development, Healthcare, HIPAA, Hospitals, Informatics, Executive Management, Healthcare Information..., Insurance, Revenue Cycle, Healthcare Management, Healthcare Industry, Health Policy, Credentialing

Education
University of Scranton   1992 — 1994
Master's, Health Administration

University of Scranton   1986 — 1990
B.S., Psychology

Ashram Preetam Ashram Preetam Greater New York City Area Details
Ashram Preetam's Horizon Blue Cross Blue Shield of New Jersey Experience October 2005 - April 2007
Job Customer Service Representative at Honeywell
Industry
Experience
Honeywell  July 2013 - Present
Honeywell  February 2008 - August 2012
Horizon Blue Cross Blue Shield of New Jersey   October 2005 - April 2007

Skills
Troubleshooting, Health Insurance, Problem Solving, Microsoft Excel, Microsoft Word, Customer Service, Windows, Outlook, Appointment Scheduling, Call Centers, Innovation, Military Experience, Communication, Interpersonal..., Reports, AS400 system, Adaptability, Web-based Research, Creative Problem Solving, Agility, Intelligence, Email, Computer Hardware, Teamwork, Client Rapport, Fresh Ideas, Medical Billing

Education
University of Florida
Bachelor of Arts (B.A.), Political Science and Government

Rich Boyer Rich Boyer Greater New York City Area Details
Rich Boyer's Horizon Blue Cross Blue Shield of New Jersey Experience September 2011 - Present
Job Manager, Middleware Engineering and Operations at Horizon Blue Cross Blue Shield of New Jersey
Industry Financial Services
Experience
Horizon Blue Cross Blue Shield of New Jersey   September 2011 - Present
HSBC  March 1986 - April 2011

Education
Univeristy of Phoenix   2009 — 2012
Master of Business Administration (MBA), Computer/Information Technology Administration and Management

University of Phoenix   2007 — 2009
Bachelor's degree, Management Information Systems, General

Jessy Thomas Jessy Thomas Greater New York City Area Details
Jessy Thomas's Horizon Blue Cross Blue Shield of New Jersey Experience April 2001 - June 2004
Job Director, at Bristol Myers Squibb, Managed Care/Health Systems/Access Knowledge Management
Industry Pharmaceuticals
Experience
Bristol Myers Squibb  June 2014 - Present
Bristol-Myers Squibb  June 2013 - June 2014
Amgen  January 2004 - June 2013
Medco  June 2004 - January 2006
Horizon Blue Cross Blue Shield of New Jersey   April 2001 - June 2004
Coram Healthcare  November 1998 - March 2001
Pharmerica  February 1992 - November 1998
Providence Health Care  June 1989 - February 1996

Skills
Managed Care, Outcomes, Pharmacoeconomics, Oncology, Pharmaceutical Industry, Outcomes Research, Pharmacy Benefit..., Disease Management, Health Economics, Endocrinology, Medicare Part D, Market Access, Healthcare, Health Systems, Hospitals, Long-term Care, Medical Affairs, Clinical Research, Medicine, Patient Outcomes

Education
University of Washington   1994 — 1996
Doctorate in Pharmacy

University of Florida
Healthcare Policy/Applied Pharmacoeconomics

Fahad Kabir Fahad Kabir South Plainfield, New Jersey Details
Fahad Kabir's Horizon Blue Cross Blue Shield of New Jersey Experience June 2014 - July 2015
Job Sr. IT Security Project Manager at BCBSNJ
Industry Computer Networking
Experience
Morgan Stanley  July 2015 - Present
Enclara Health  April 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey   June 2014 - July 2015
Synechron-Inc  April 2010 - August 2011
DigiDent Solutions   March 2006 - April 2010
Aztec Systems  March 2006 - September 2009

Skills
Active Directory, DNS, VPN, Windows Server, Servers, DHCP, Microsoft Exchange, Firewalls, Network Administration, Disaster Recovery, XP, Routers, Switches, Operating Systems, Quality Assurance, Enterprise Architecture, SDLC, Networking, Business Analysis

Education
University of Hertfordshire   2009 — 2009
CCNA, Computer Systems Networking and Telecommunications

University of Hertfordshire   2008 — 2009
(Msc) Mastesr, Computer Networking Principle & Practice

University of Bedfordshire   2005 — 2007
Bsc(Hons), Computer Science Networking

London Academy of Management & Sciences   2004 — 2005
Advance Diploma, Computer Science Networking

University of Beacon house Informatics/University of Cambridge   2002 — 2004
Computer Science, Java, C++, SQL Database

Tara Mozee Tara Mozee Greater Philadelphia Area Details
Tara Mozee's Horizon Blue Cross Blue Shield of New Jersey Experience May 1996 - March 2003
Job Elementary School Teacher at Pennsauken Township
Industry E-Learning
Experience
Teach2Music   Elementary School TeacherPennsauken TownshipSeptember 2005 - Present
Horizon Blue Cross Blue Shield of New Jersey   May 1996 - March 2003

Skills
Elementary Education, Differentiated..., Classroom, Classroom Management, Community Outreach, Curriculum Design, Educational Leadership, Educational Technology, Instructional Technology, K-12, Lesson Planning, Literacy, Public Speaking, Smartboard, Social Studies, Teacher Training, Teaching, Special Education

Education
University of Phoenix   2000 — 2008
MAEd., Curriculum and Instruction

Victor Pinho Victor Pinho San Francisco Bay Area Details
Victor Pinho's Horizon Blue Cross Blue Shield of New Jersey Experience June 2008 - December 2011
Job Director of Marketing and Communications at Berkeley Patients Group
Industry Marketing and Advertising
Experience
Berkeley Patients Group  July 2014 - Present
MedAmerica  April 2014 - July 2014
Blue Shield of California  January 2012 - April 2014
Horizon Blue Cross Blue Shield of New Jersey   June 2008 - December 2011
Students for Sensible Drug Policy  June 2006 - December 2011
Oriel STAT A MATRIX  March 2007 - June 2008
NORML Foundation   May 2005 - September 2005

Skills
Corporate Communications, Marketing Communications, Advertising, Copywriting, Health Communication, Healthcare, Health Insurance, Insurance, Wellness Initiatives, Communications..., Executive Communications, Benefits Communication, Social Media, Social Media Marketing, Corporate Wellness, Website Copy, Grant Writing, Proposal Writing, Value Proposition..., Keynote, MS Office Suite, Salesforce.com, Sales Support, National Accounts, Scriptwriter, Print Production, Product Marketing, Marketing..., Copy Editing, Crisis Communications, Corporate Branding, Brand Communication, Microsoft Office, Custom Marketing, Lean Six Sigma, Six Sigma, Integrated Marketing, Wellness, Editing, Event Planning, CRM, Fundraising, Cross-functional Team..., Management, Community Outreach, Public Speaking, Analysis, Strategic Planning, Newsletters, Strategic Communications

Education
University of Maryland College Park   2001 — 2006
BA, English

Union County College   2000 — 2000
NJ State Certification, Emergency Medical Technician

Escola Amadeu Correia
Certificate of Mastery, Portuguese Language and Literature

Bernadette Rafter Bernadette Rafter Greater Philadelphia Area Details
Bernadette Rafter's Horizon Blue Cross Blue Shield of New Jersey Experience December 2007 - April 2009
Job UM Case Manager at Cooper University Hospital
Industry Hospital & Health Care
Experience
Cooper University Hospital  April 2009 - Present
Holy Redeemer Health System  April 1999 - Present
AtlantiCare  April 2000 - December 2009
Horizon Blue Cross Blue Shield of New Jersey   December 2007 - April 2009
Our Lady of Lourdes Medical Center  May 1987 - November 1999

Skills
Critical Care, Emergency Room, Trauma, Home Care, Case Management, Patient Education, Hospice, Triage, Managerial Experience, Process Improvement, Case Managment, Management, Managed Care, Acute Care, Disease Management, HIPAA, Medicare, Patient Advocacy, Quality Improvement, Utilization Review, Healthcare Management, Hospitals

Education
University of Cincinnati   2013 — 2014
advanced nurse practitioner

University of Phoenix   2010 — 2012
BSN, Registered Nursing/Registered Nurse

University of Pennsylvania   1977 — 1981
BS, Biology

Larry McKlaine Larry McKlaine Greater Philadelphia Area Details
Larry McKlaine's Horizon Blue Cross Blue Shield of New Jersey Experience Human Resources Strategic PartnerOur Lady of Lourdes Medical CenterJanuary 2008 - March 2011
Job Human Resources Consultant at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   Human Resources Strategic PartnerOur Lady of Lourdes Medical CenterJanuary 2008 - March 2011
Lockheed Martin  January 2000 - January 2008

Education
Girard College

University of Pittsburgh
Bachelor of Arts

Lakesha Edwards Lakesha Edwards Greater Philadelphia Area Details
Lakesha Edwards's Horizon Blue Cross Blue Shield of New Jersey Experience January 1999 - January 2007
Job Sr. Reimbursement Analyst at Amerihealth NJ
Industry Insurance
Experience
Amerihealth NJ  April 2012 - Present
Independence Blue Cross  September 2008 - March 2012
Humana  February 2007 - August 2008
Horizon Blue Cross Blue Shield of New Jersey   January 1999 - January 2007

Education
University of Phoenix
Bachelor, Business Management

Deltrois Newborn Deltrois Newborn Greater New York City Area Details
Deltrois Newborn's Horizon Blue Cross Blue Shield of New Jersey Experience 2000 - Present
Job Medicaid Manager Professional Relations at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   2000 - Present
Veterans Hospital, East Orange NJ   1999 - 2008

Skills
Health Insurance, HIPAA, Medicare, Medicaid, Process Improvement

Education
University of Phoenix   2004 — 2008
BS/BM, Business Management

Deltrois Newborn Deltrois Newborn Greater New York City Area Details
Deltrois Newborn's Horizon Blue Cross Blue Shield of New Jersey Experience 2011 - March 2013
Job Medicaid Manager at Horizon NJ Health
Industry Insurance
Experience
Horizon NJ Health  May 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey   2011 - March 2013
Horizon Blue Cross Blue Shield of New Jersey   2000 - 2013
VA Hospital East Orange,NJ   January 1979 - December 1988

Skills
HMO, Medicare Part D, Medicare, Disease Management, Medicaid, Health Care Reform, Managed Care, Health Insurance, Health Policy, Pharmacy Benefit..., HIPAA, Healthcare Consulting, Insurance, Healthcare Management, Healthcare Information..., Healthcare, Long-term Care, Dentistry, Provider Relations, Network Development, Utilization Management, Claims Resolution

Education
University of Phoenix   2004 — 2008
BS, Business Management

Melissa Cuprys Melissa Cuprys Brick, New Jersey Details
Melissa Cuprys's Horizon Blue Cross Blue Shield of New Jersey Experience April 2011 - October 2012
Job Registered Nurse BSN, RN, CRRN
Industry Hospital & Health Care
Experience
Shore Rehabilitation Institute  October 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey   April 2011 - October 2012
Shore Rehabilitation Institute  2003 - 2011

Skills
Cpr Certified, BLS, Patient Safety, Microsoft Word, Nursing

Education
University of Rhode Island   1997 — 2001
BSN, Nursing

Kim Hunter-Borst Kim Hunter-Borst New York, New York Details
Kim Hunter-Borst's Horizon Blue Cross Blue Shield of New Jersey Experience
Job Manager, Provider Services at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey  

Skills
Process Improvement, Provider Relations, Health Insurance, Medicare, Healthcare, Insurance, Leadership

Education
University of Phoenix

Alex Wiggall Alex Wiggall New York, New York Details
Alex Wiggall's Horizon Blue Cross Blue Shield of New Jersey Experience July 2015 - Present
Job Professional Resident at Horizon Blue Cross Blue Shield of New Jersey
Industry Pharmaceuticals
Experience
Horizon Blue Cross Blue Shield of New Jersey   July 2015 - Present
Bradley Drugs   June 2013 - July 2015
CVS Pharmacy  November 2011 - July 2015
Blue Cross and Blue Shield Association  June 2014 - August 2014
Horizon Blue Cross Blue Shield of New Jersey   May 2013 - June 2013
University of the Sciences in Philadelphia  August 2010 - May 2011

Skills
Medication Therapy..., Pharmacy, Pharmacists, Patient Counseling, Community Pharmacy, Immunization, Pharmacy Automation, Compounding, Clinical Pharmacy, Pharmacy Practice, Clinical Pharmacology, Pharmacology, Clinical Research

Education
University of Maryland Baltimore   2011 — 2015
Doctor of Pharmacy (Pharm.D.)

University of the Sciences in Philadelphia   2009 — 2011
Pre-Pharmacy, Health Sciences

Leena Pai Leena Pai Plainsboro, New Jersey Details
Leena Pai's Horizon Blue Cross Blue Shield of New Jersey Experience August 2013 - Present
Job Blue Cross Blue Shields of New Jersey
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of New Jersey   August 2013 - Present
OptumHealth  June 2008 - Present
UnitedHealth Group  2008 - Present
IntSol Consulting Inc.   1998 - 2008
BNY Mellon  2000 - 2006

Skills
Wellness, Healthcare, Health Education, Wellbeing, Managed Care, Software Project..., Software Quality..., User Interface Design, User Acceptance Testing, Business Analysis, Business Process..., Business Process..., International Law, Web Applications, Portals, Customer Support, End User Training, Training, Performance Management, Full SDLC, Technology Solutions, User Documentation

Education
Institute of Management Development and Research   1994 — 1995
Post Graduate Diploma in Export Operations, International Trade Management, Gold Medalist

Symbiosis Law School   1990 — 1995
Bachelor of Laws (LLB), Intellectual Property Law

University of Pune   1990 — 1995
Bachelor of Laws (LLB), Law

Symbiosis Law School   1990 — 1993
Bachelor of Social and Legal Science, Law

Symbiosis Institute of Computer Studies and Research   1990 — 1992
Diploma in Computer Application, Computer Software Technology

Eileen Schwartz Eileen Schwartz New York, New York Details
Eileen Schwartz's Horizon Blue Cross Blue Shield of New Jersey Experience December 1994 - July 1999
Job Contracts and Product Development
Industry Pharmaceuticals
Experience
Pfizer  March 2008 - Present
EmblemHealth  September 2003 - March 2008
EmblemHealth  July 1999 - September 2003
Horizon Blue Cross Blue Shield of New Jersey   December 1994 - July 1999
EmblemHealth  November 1992 - November 1994

Skills
Certified in Six Sigma..., Strategy, Managed Care, Product Development, Microsoft Excel, Outlook, Healthcare, Marketing, Training, Process Improvement, Contracting, Vendor Relations

Education
University of Michigan
Bachelor of Arts (B.A.)

Carol Sutton Carol Sutton United States Details
Carol Sutton's Horizon Blue Cross Blue Shield of New Jersey Experience June 2008 - January 2014
Job Operations Manager, Claims at Healthfirst
Industry Consumer Services
Experience
Healthfirst  July 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey   June 2008 - January 2014
Healthfirst  2014 - 2014
Horizon Blue Cross Blue Shield of New Jersey   April 2002 - June 2008
Horizon Blue Cross Blue Shield of New Jersey   October 1998 - April 2002

Skills
Call Centers, Process Improvement, Written Correspondence, Training Delivery, Leadership, Customer Service, Analysis, Strategic Partnerships, Cross-functional Team..., Performance Management, Performance Improvement, Medical Coding, Labor Relations, Communication Skills, Regulatory Affairs, Complaint Management, Vendor Management, Team Building, Provider Relations, Staff Development, Coaching, Operating Budgets

Education
University of Phoenix
Bachelor of Science (BS), Business Administration and Management, General

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