Horizon Blue Cross Blue Shield of New Jersey
Industry: Company
DescriptionHorizon Blue Cross Blue Shield of New Jersey, headquartered in Newark, New Jersey is the only licensed Blue Cross and Blue Shield Association plan in New Jersey, providing health insurance coverage to over 3.2 million people throughout all of New Jersey. Location: 3 Penn Plaza East; Newark, New Jersey Headquarters: Newark, New Jersey, United States CEO: Kevin P. Conlin (1 Jan 2018–) General counsel: Linda A. Willett Founded: 1932 Subsidiaries: Horizon NJ Health,
Horizon Blue Cross Blue Shield of New Jersey List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Horizon Blue Cross Blue Shield of New Jersey. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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Horizon Blue Cross Blue Shield of New Jersey Employees
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Horizon Blue Cross Blue Shield of New Jersey June 2011 - Present
Education
University of Maryland Eastern Shore 2007 — 2011
Bachelors of Arts, History
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Horizon Blue Cross Blue Shield of New Jersey
Skills
Process Improvement, Provider Relations, Health Insurance, Medicare, Healthcare, Insurance, Leadership
Education
University of Phoenix
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
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
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.)
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