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,
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Horizon Blue Cross Blue Shield of New Jersey Employees
Atlantic Health Systems(ACO) May 2013 - Present
QualCare Inc. January 2012 - May 2013
Horizon Blue Cross Blue Shield of New Jersey July 2005 - December 2011
Novartis Consumer Health September 2002 - February 2005
Verizon July 1998 - September 2002
Skills
SAS, HRIS PEOPLESOFT, Business Analysis, Access, PeopleSoft, User Acceptance Testing, Analysis, Visio, Payroll, Data Analysis, Software Documentation, Databases, Business Requirements, Healthcare, Project Management, Program Management, Business Intelligence, Integration, Business Process, Training, Budgets
Education
Delaware State University
Bachelor Of Science, Business Administration/Accounting
LInden High School
High School, High School Diploma
Stevens Institute of Technology
Master of Science, Managegment Information Systemes/Project Management
iHealth Technologies July 2012 - Present
Care Management International July 2006 - July 2012
(Self employed) January 2003 - July 2006
Horizon Blue Cross Blue Shield of NJ March 2000 - January 2003
Horizon Blue Cross Blue Shield of New Jersey May 1997 - March 2000
Raritan Bay Medical Center July 1995 - May 1998
Skills
Managed Care, Hospitals, Process Improvement, Quality Assurance, Healthcare, Clinical Research, Healthcare Information..., Product Development, Healthcare Management, HIPAA, Healthcare Consulting, Informatics
Education
Cornell University
Executive Leadership for Healthcare Professionals
Dowling College 1999 — 2002
MBA
The College of New Jersey 1991 — 1995
BSN, Nursing
Uline August 2007 - Present
GPISD January 2006 - June 2011
Horizon Blue Cross Blue Shield of New Jersey November 1998 - June 2004
Skills
Creative Writing, Differentiated..., Training, Mathematics Education, Program Management, Coaching, Troubleshooting, Customer Service, Management, Analysis, Marketing, Time Management, Curriculum Design, Organizational..., Leadership Development, Research, Team Building, Social Media, Leadership, Sales, Microsoft Office, Project Management, Strategic Planning
Education
Cornell University 2013 — 2014
Master's degree, Human Resources Management/Personnel Administration, General
University of Ibadan 1991 — 1993
Masters of Arts, Communication and Language Arts
University of Ibadan 1984 — 1988
B.A, Communication and Language Arts
Guardian Life March 2013 - Present
The Guardian Life Insurance Company of America April 1995 - Present
Horizon Blue Cross Blue Shield of New Jersey September 1985 - April 1995
Skills
Superior Communications..., Excellent interpersonal..., Extensive knowledge of..., Contract writing and..., Highly Organized &..., Analysis, Data Analysis, Leadership
Education
College of the Holy Cross 1978 — 1982
Bachelor of Arts (B.A.), English/Pre-medical
University of Pennsylvania Health System June 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2002 - June 2010
Wills Eye Institute November 2000 - January 2002
Skills
Computer Hardware, Computer Software..., Access, Insurance, Physicians, Databases, Credentialing, Training, Managed Care, HIPAA, Health Insurance, Healthcare, Medicare, Medicaid, Health Policy, Healthcare Management
Education
Community College of Philadelphia 1980 — 1984
Certificate, Computer Operations
Horizon Blue Cross Blue Shield of New Jersey July 2011 - December 2012
DealerTrack July 2005 - June 2011
Eclipsys Corporation January 2004 - July 2005
Computer Sciences Corporation January 2003 - November 2003
Computer Sciences Corporation February 2002 - December 2002
Computer Sciences Corporation June 1999 - January 2000
Computer Sciences Corporation January 1998 - May 1999
Business Performance Plus, Inc. August 1995 - January 1998
Health Insurance Plan of Greater New York January 1994 - July 1995
Skills
Program Management, Change Management, Business Process..., Management Development, SDLC, PMO, PMP, Project Portfolio..., Requirements Analysis, Software Project..., Vendor Management, Resource Management, Business Analysis, Process Improvement, Agile Project Management, Integration, IT Management, IT Strategy, Project Management, MS Project, Business Process..., Cross-functional Team..., PMO Services, PMO Design, Project Planning, Management, Product Management, Analysis, Data Center, Visio, Leadership
Education
Hofstra University 1996 — 1997
Certificate, Computer Science
Columbia University - Columbia Business School
MBA, Production Systems
Lafayette College
BS, Mechanical Engineering
UnitedHealth Group July 2014 - Present
DST Health Solutions August 2013 - June 2014
Horizon Blue Cross Blue Shield of New Jersey December 2012 - August 2013
Horizon Blue Cross Blue Shield of New Jersey December 2011 - December 2012
Skills
Quality Center, Requirements Analysis, Business Requirements, User Acceptance Testing, Data Modeling, Test Planning, SDLC, Visio, Business Analysis, UML, Rational Rose, SQL, MS Project, Quality Assurance, Agile, Data Analysis, Documentation, Access, Requirements Gathering, VB.NET, Testing, HTML, XML, RUP, Systems Analysis, Integration, Software Project..., SharePoint, Microsoft SQL Server, Business Intelligence, Oracle, Data Warehousing, PL/SQL, Microsoft Project, HP Quality Center, Agile Methodologies
Education
Stratford University 2009 — 2009
MS, Computer Science
Colorado Technical University 2007 — 2008
MS, Computer Science
AME Church Ecumenical & Urban Affairs Office 2012 - Present
American Gold & Diamond Buyers 2011 - Present
Drew University 2011 - 2012
Atlantis Health Plan 2007 - 2009
Horizon Blue Cross Blue Shield of New Jersey September 1999 - May 2006
Skills
Strategic Planning, Public Speaking, Trade Shows, Social Networking, Visio, Event Planning, Time Management, Internal Communications, Team Building, PowerPoint, Social Media, Leadership, Customer Service, Public Relations, Sales
Education
University of Phoenix 2009 — 2010
Business
Delaware State University 1994 — 1996
Education and Psychology
Cablevision August 2013 - Present
Verizon Wireless April 2006 - July 2013
Horizon Blue Cross Blue Shield of New Jersey January 2005 - March 2006
Skills
Telecommunications, Direct Sales, Wireless, Solution Selling, Account Management, Customer Retention, Sales Management, Sales Operations, Sales, Cold Calling, Customer Satisfaction, Sales Process, Call Centers, Customer Experience, B2B, Numerous Awards and..., Retail, P&L Management
Education
University of Phoenix 2009 — 2012
Bachelor of Science (BS), Business, Management, Marketing, and Related Support Services
DeVry University 2000 — 2001
Horizon Blue Cross Blue Shield of New Jersey July 2008 - Present
Options Employment Resources July 2008 - February 2010
Medical Mutual April 2001 - July 2008
Skills
Health Insurance, Insurance, Claim, Managed Care, HMO, Provider Relations, Utilization Management, Prior Authorization, HIPAA, Customer Service, Care Radius, •PowerPoint..., •Avaya Software, •HCFA Common Procedure..., •CMS-1500 billing forms, •Medical Terminology, •Dental Terminology, •Team Player, •Critical Thinking, •Excellent..., •Multi-tasking, •Articulate..., •Professional..., •Professional..., •Interpersonal skills, •Grant Writing..., •Lotus Note & Outlook, •Word Processing, •Excel, •Types (45 words per..., PPO, Health Policy, Healthcare Management, Healthcare, Microsoft Excel, Access
Education
Saint Peter's University 2011 — 2013
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Cleveland State University 2003 — 2006
Bachelor of Arts (B.A.), Urban Studies/Affairs
KPMG September 2014 - Present
Community Service Society of New York December 2013 - September 2014
Office of the New York State Attorney General, Healthcare Bureau January 2013 - June 2013
Horizon Blue Cross Blue Shield of New Jersey August 2012 - December 2012
U.S Department of Health and Human Services- Region II Office of General Counsel September 2011 - September 2012
Columbia University Community Partnerships for Health, Columbia University Medical Center July 2009 - May 2010
Project STAY- New York Presbyterian Hospital Ambulatory Care Network Corporation August 2008 - May 2010
UCLA Health System May 2007 - June 2008
Venice Family Clinic April 2007 - June 2008
Turley Orthodontics October 2006 - June 2008
Skills
Grants, Reproductive Health, Editing, Health Education, Research, Public Speaking, Public Health, Community Outreach, Program Evaluation, Health Law, Public Health Law, Policy Analysis, Programme Governance, Legal Compliance, Medical Malpractice, Regulatory Affairs, Online Research, Legal Research, Legal Writing, Health Care Compliance, Mental Health, Medicaid, Health Promotion, Litigation, Healthcare, Westlaw
Education
Seton Hall University School of Law 2010 — 2013
Juris Doctor, Health Law
Columbia University Mailman School of Public Health 2008 — 2010
Master, Public Health
University of California, Los Angeles 2004 — 2008
Bachelor of Science, Physiological Science
Beijing Capital Normal University
Stroud Consulting July 2012 - November 2012
New York Presbyterian Hospital November 2011 - May 2012
Horizon Blue Cross Blue Shield of New Jersey January 2010 - July 2011
Aon Hewitt January 2008 - January 2010
Skills
Management Consulting, Operations Improvement, Operations Research, Process Improvement, Healthcare Analytics, Patient Flow, Appointment Access, Process Engineering, Business Process..., Analytics, Healthcare Information..., Performance Improvement, Operational Excellence
Education
Northeastern University 2013 — 2016
Doctor of Philosophy (PhD), Industrial Engineering
Cornell University 2011 — 2012
Master of Engineering (MEng), Operations Research and Information Engineering
Cornell University 2003 — 2007
Bachelor of Science (BS), Operations Research and Information Engineering
Horizon Blue Cross Blue Shield of New Jersey January 2010 - Present
EmblemHealth March 2004 - November 2009
HIP Health Plan of NY March 2004 - December 2007
Mellon HR Solutions November 2000 - February 2004
CareInsite (subsidiary of WebMD) October 1999 - September 2000
Summit Health Administrators, TPA May 1995 - September 1999
Empire Blue Cross Blue Shield June 1980 - February 1992
Empire Blue Cross Blue Shield January 1985 - January 1990
Skills
Health Insurance, Managed Care, Employee Benefits, Insurance, Medicare, Vendor Management, Claim, Program Management, Management, Strategy, Leadership, Healthcare, Team Building, HIPAA, Contract Negotiation, Budgets, Change Management, Project Management, Medicaid, Training, Process Improvement, Outsourcing, Healthcare Industry, Project Planning, Health Policy, CRM, Data Analysis, Disease Management, Start-ups, Provider Relations, Human Resources, Analysis, Healthcare Information..., Risk Management, Cross-functional Team..., Healthcare Management, Call Centers, Utilization Management, HMO, Revenue Cycle, Network Development, Medicare Part D, Quality Improvement, Business Analysis, Business Process..., Pharmacy Benefit..., Healthcare Consulting, Physicians, Visio, Executive Management
Education
City University of New York-Hunter College
B.A, Education / Psychology
New York University - Leonard N. Stern School of Business
MBA, Management
Surgem LLC/Sovereign Medical Services June 2012 - Present
St. Joseph's Hospital and Medical Center 2008 - 2012
Horizon Blue Cross Blue Shield of New Jersey April 1997 - April 2007
Skills
Financial Analysis, Financial Reporting, Process Improvement, PeopleSoft, Managed Care, Medicare, Healthcare, Finance, Health Insurance, Accounting, Insurance, Microsoft Excel, Accounts Receivable, Strategic Planning, Healthcare Management, Access, Employee Benefits, Budgets, Medicaid, Sarbanes-Oxley Act, Customer Service
Education
Colorado State University 1987 — 1989
Bachelor's of Science, Accounting
Horizon Blue Cross Blue Shield of New Jersey April 2014 - Present
Princeton Healthcare System April 2013 - Present
New York Hospital Queens December 2007 - Present
Skills
Neonatal Nursing, NRP, BLS, Eclipsys, Neonatal Intensive Care..., IV, Patient Advocacy, Patient Education, Patient Safety, Medication..., Nursing Documentation, NICU, PICC lines, Central Lines, Chest Tubes, Healthcare Management, Registered Nurses, Healthcare
Education
LIU Brooklyn 2004 — 2007
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
City University of New York-Hunter College
First Transit November 2009 - Present
Valera Global August 2008 - November 2009
Dr D. Feldman, MD January 2007 - July 2008
Horizon Blue Cross Blue Shield of New Jersey April 2003 - September 2004
Skills
Customer Satisfaction, Transportation..., Dispatching, Customer Service, Transportation, Inventory Management, Process Scheduler, Supervisory Skills, Operations Management
Education
City University of New York-John Jay College of Criminal Justice 1978 — 1982
Criminal Justice and Corrections
ADP December 2003 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2000 - December 2003
Horizon Blue Cross Blue Shield of New Jersey June 1997 - June 2000
Skills
Information Mapping, Instructional Design, Systems Analysis, Captivate, Learning Management..., Web-Based Training, Training, E-Learning, Analysis, Content Management, Instructor-led Training, Global Learning, Employee Training, Organizational...
Education
Fairleigh Dickinson University 1980 — 1982
Bachelor's degree, Business Management
County College of Morris 1978 — 1980
Associate of Arts (A.A.), Business Administration and Management, General
Evolent Health August 2014 - Present
AmeriHealth Caritas June 2011 - January 2014
Keystone Mercy Health Plan May 2005 - June 2011
Horizon Blue Cross Blue Shield of New Jersey March 1999 - January 2005
Skills
Managed Care, Visio, Dreamweaver, Medical Terminology, Adobe Acrobat, Project Management, Microsoft Office, PowerPoint, Spreadsheets, Medicaid, Administrative..., HIPAA, Healthcare, Medicare, Healthcare Management, Microsoft Word, Microsoft Excel, Policy, Vendor Management
Education
Delaware County Community College 2009 — 2013
Nursing
Horizon Blue Cross Blue Shield of New Jersey 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey December 2011 - Present
GlaxoSmithKline March 2007 - January 2012
GlaxoSmithKline January 2004 - March 2007
GlaxoSmithKline November 2000 - December 2003
Procter & Gamble August 1986 - December 1989
Skills
Cross-functional Team..., Competitive Intelligence, Product Innovation, Consumer Insight, Leadership, Customer Insight, Pharmaceutical Industry, Global Marketing, Sales Effectiveness, Consumer Marketing, Shopper Marketing, Consumer Healthcare, Brand Management, Marketing Management, Market Planning, Strategic Planning, Market Research, Marketing Strategy, Segmentation, Strategy, Marketing Communications, Product Launch, P&L Management, Marketing, Business Planning, Advertising, B2B, Product Development, Marketing Research, Competitive Analysis, Management, Market Analysis, Integrated Marketing, Product Marketing, Brand Development, Analytics, B2B Marketing
Education
Columbia Business School 1992 — 1994
MBA, Marketing
De La Salle University 1981 — 1985
Dual BA and BS Commerce, FIlm, Marketing
Horizon Blue Cross Blue Shield of NJ 2005 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2002 - February 2005
Horizon Blue Cross Blue Shield of New Jersey May 1998 - May 2002
Horizon Blue Cross Blue Shield of New Jersey April 1993 - May 1998
Skills
Insurance, Managed Care, Health Insurance, Business Analysis, Vendor Management, Claim, Leadership, Medicare, Healthcare, HIPAA, Employee Benefits, Sales, Process Improvement, Medicaid, Visio, Healthcare Management, Management, Healthcare Industry, Account Management
Education
College of Saint Elizabeth 1998 — 2001
Masters of Science, Health Care Administration
College of Saint Elizabeth 1982 — 1986
Bachelor of Arts, Psychology
Nutley High School 1978 — 1982
Deutsche Bank May 2014 - Present
Plaza Road Cooperative September 2010 - Present
Several Networking Groups for Senior IT Managers July 2010 - Present
AIG August 2012 - April 2014
Horizon Blue Cross Blue Shield of New Jersey May 2011 - March 2012
Pfizer December 2010 - March 2011
Siemens IT Solutions & Services July 2009 - July 2010
Siemens IT Solutions & Services June 2005 - July 2009
Oaktree Systems May 2004 - June 2005
Hitachi Innovative Solutions 1999 - 2003
Skills
PMO, Program Management, Project Management, PMO Services, PMO Processes, PMO Lifecycle, PMO Standards, PMO Specialist, PMO Development, PMO Methodology, PMO Lead, Quality Gates, PMP, Project Portfolio..., MS Project, Change Management, Management, Risk Management, Consulting, Project Planning, Software Project..., Six Sigma, Project Delivery, Coaching, Project Plans, Quality Assurance, Application Development, Clarity, Project Coordination, Mentoring, Software Development..., Issue Management, Business Process..., Open Item Management, Action Item Management, PlanView, BPO, Toll Gates, Archival Management, Acquisitions, Insurance, Dependency Management, Mentoring Of Staff, Certified Six Sigma..., Workstream Management, Document Management, Acquisition Integration, System Implementations, SDLC
Education
State University of New York at Stony Brook
MS, Computer Science
Columbia University - Fu Foundation School of Engineering and Applied Science
MS, Operations Research and Eng Math
Polytechnic University of NYU
BS, Aerospace Eng
Horizon Blue Cross Blue Shield of New Jersey June 2010 - Present
Avaya June 2005 - June 2010
American Standard, Inc. November 1999 - May 2005
Bristol-Myers Squibb April 1998 - November 1999
The Princeton Institute 1997 - 1998
Allied Advertising 1983 - 1985
Skills
Data Warehousing, Business Intelligence, ETL, Salesforce.com, SAP BW, SAP, Data Governance, Informatica, Data Migration, Cognos, Business Objects, Master Data Management, Metadata Management, Data Analysis, Creativity, Mentoring, Humor, Business Analysis, Business Perspective, Requirements Gathering, Mentoring Of Staff, SAP ERP, SAP R/3, Integration, Data Integration, IT Strategy, Project Management, Business Process, SaaS, Program Management, Data Quality, SDLC, Analytics, Analysis, Enterprise Architecture, Dimensional Modeling, Software Development, Testing, Governance, Solution Architecture, Information Management, Software Project..., Business Requirements, Business Process Design, Business Process..., Vendor Management, Project Portfolio...
Education
Michigan State University - The Eli Broad Graduate School of Management 1985 — 1987
MBA, Marketing
University of Hawaii - Shidler College of Business 1986 — 1986
Summer Semester, Pacific Asian Management Institute
Dartmouth College 1979 — 1983
BA, Psych/Education
Mount Holyoke College 1981 — 1981
12 College Exchange Program
Horizon Blue Cross Blue Shield of New Jersey February 2013 - Present
Skills
Business Process..., Program Management, PeopleSoft, IT Strategy, Large Scale Systems..., Strategic Sourcing, Strategic Partnerships, Healthcare Industry, Financial Services, Vendor software..., Compliance..., HRIT, Business Analysis, Cross-functional Team..., Enterprise Software, Strategy, Business Requirements, ERP, Large Scale Systems, Integration, CRM, Data Warehousing, Software Development
Education
Clark Atlanta University 1991 — 1996
BS/MS, Computer Science
Jones County High School 1987 — 1991
PSEG August 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2005 - August 2014
UBS November 2001 - November 2005
BMW of North America, LLC July 1997 - November 2001
Skills
Microsoft Excel, Microsoft Access, BNA Fixed Asset, TaxStream, RIA Insource Income Tax, Oracle Peoplesoft, Manage Fixed Asset..., Ariba, CORPTAX, SAP
Education
Stevens Institute of Technology 1998 — 2000
Master of Science (MS), Management Planning, 3.0
Cheyney University of Pennsylvania 1979 — 1984
Bachelor's degree, Accounting
Horizon Blue Cross Blue Shield of New Jersey May 2008 - Present
Johnson & Johnson May 2002 - April 2008
Lucent Technologies 1997 - 2002
AT&T January 1982 - May 1997
Skills
Results oriented..., health plan policy,..., Employee benefits..., Team Player with strong..., Accomplished coach and..., Employee Benefits, Human Resources, Strategy, Vendor Management, Team Leadership, Account Management, Business Planning, Healthcare, Insurance, Management, Negotiation, Software Documentation, Program Management, Health Insurance, Process Improvement, Leadership, Managed Care, Strategic Planning
Education
College of Saint Elizabeth
Bachelor of Science (BS), Human Resources Management and Services
Healthfirst August 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2014 - April 2015
Horizon Blue Cross Blue Shield of New Jersey April 2013 - April 2014
Standard Chartered Bank January 2013 - April 2013
KPMG Canada January 2012 - April 2012
Shaw Media May 2011 - December 2011
CI Financial January 2011 - April 2011
Canada Revenue Agency January 2009 - May 2010
International Business Communication Conferences (IBC Gulf) September 2005 - August 2007
Skills
Microsoft Excel, Photoshop, Taleo, Crystal Reports, Sharepoint, Microsoft Word, Microsoft Project, Microsoft PowerPoint, Microsoft Visio, Microsoft Access, Microsoft Outlook, ClearQuest, Lotus Notes, Planview, PeopleSoft, HP Asset Manager, HP Service Manager
Education
Laurentian University/Université Laurentienne 2007 — 2010
Master of Business Administration (MBA), Business Administration/Management
Champlain College 2002 — 2005
Bachelor of Science in Business (Bsc), Business Administration/Management ; Major : Marketing
Horizon Blue Cross Blue Shield of New Jersey
Skills
Visio, Process Improvement, Requirements Gathering, SharePoint, Insurance, Microsoft Office, Microsoft Excel, Microsoft Word, Healthcare Management, Business Requirements, PowerPoint, Customer Service, Health Insurance, Medicare, Business Analysis, Policy, Software Documentation, SDLC, Analysis, Data Analysis, Vendor Management
Education
Dowling College 2000 — 2003
Master of Business Administration (MBA), Banking, Corporate, Finance, and Securities Law
Rowan University 1990 — 1993
Bachelor of Business Administration (BBA), Accounting and Finance
Clark Atlanta University 1989 — 1990
Bachelor of Business Administration (B.B.A.)
Science High School 1985 — 1989
Horizon Blue Cross Blue Shield of New Jersey July 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2014 - Present
Alexandria Technical and Community College May 2011 - Present
CareCentrix June 2013 - September 2014
CL Healthcare Solutions, Inc. May 2013 - 2014
American Managed Care April 2013 - May 2013
American Managed Care May 2012 - April 2013
WellCare, Inc June 2009 - April 2012
St. Cloud Medical Group April 2008 - June 2009
Allina Hospitals & Clinics November 2005 - April 2008
Skills
Compliance, Billing, Revenue Cycle, Claims, Policy, HEDIS, Quality Management, Regulatory Policy, Regulatory Requirements, Performance Improvement, Key Performance..., Understanding Medical..., Team Leadership, Highly Effective Teams, Medical Coding, Claim, Data, Insurance, Medicaid, Managed Care, Healthcare, CPT, Disease Management, HMO, Leadership, Healthcare Consulting, Training, Software Documentation, Health Policy, Medical Billing, EHR
Education
Cornell University 2013 — 2013
Health Care Executive Leadership
Herzing
Bachelor of Science, Business Administration
Rasmussen Business College
Associate of Applied Science, Health Information Technology2002
Capgemini March 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2014 - March 2015
Horizon Blue Cross Blue Shield of New Jersey October 2010 - April 2013
United Healthcare September 2008 - September 2010
Blue Cross Blue Shield of Michigan July 2007 - August 2008
Zillion Technologies, Inc. February 2006 - June 2007
Computer Sciences Corporation May 2004 - December 2005
Skills
Business Requirements, Requirements Gathering, SDLC, Requirements Analysis, Visio, Business Analysis, Data Warehousing, User Acceptance Testing, Software Documentation, Information Management, Regression Testing, Systems Analysis, NASCO, Diamond, FACETS, HPSD, Microsoft Office, SQL, Software Project..., SharePoint
Education
Symbiosis institute of Management Studies 2004 — 2007
Master of Business Administration (M.B.A.)
NIIT 2003 — 2005
Diploma, Computer Programming and Applications
Delhi University 2001 — 2004
Bachelor's Degree, Liberal Arts and Sciences/Liberal Studies
Horizon Blue Cross Blue Shield of New Jersey April 2011 - April 2012
KForce 2012 - 2012
TEK Systems/TD Bank North July 2008 - July 2009
Ajilon Consulting October 2007 - June 2008
Spherion Consulting March 2007 - September 2007
Adecco Employment Services October 2002 - June 2005
Education
Drake Business School
Business Diploma
Colorado Technical University
Masters, Business Administration
Colorado Technical University
BS, Business Administration in Project Management
New York Technical College
AAS, Networking Technology
Horizon Blue Cross Blue Shield of New Jersey June 2015 - Present
Sandoz Inc. a Novartis Group Company August 2011 - June 2015
Covance January 2008 - July 2011
Bristol-Myers Squibb, Princeton, New Jersey 2001 - 2004
Somerset Building and Design 1996 - 1999
NUI Corporation January 1989 - January 1995
NUI Corporation 1989 - 1995
Skills
Change Management, Process Improvement, Procurement, Management, Software Documentation, Vendor Management, Cross-functional Team..., Analysis, Contract Management, Contract Negotiation, ERP
Education
DeVry University 2001 — 2002
Diploma
Kean University 1985 — 1989
BA
United States Army Reserve July 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2013 - Present
Booz & Company July 2012 - April 2013
National Ski Patrol September 2010 - May 2012
Columbia University Emergency Medical Service September 2009 - January 2012
Columbia University Medical Center Department of Surgery: Liver Transplant Center May 2011 - August 2011
Columbia University CPR September 2010 - August 2011
Macho Glove Company December 2005 - December 2010
Proteinfactory.com December 2005 - December 2008
Hannig Law Firm LLP June 2008 - August 2008
Skills
Research, Public Speaking, Non-profits, Spanish, Social Media, Fundraising, Editing, Microsoft Office, Event Planning, Microsoft Excel, PowerPoint, Data Analysis, Nonprofits, VBA, Conjoint Analysis, Healthcare, Consumer Healthcare, Healthcare Industry, Healthcare Consulting, Healthcare Analytics, Healthcare improvement, Project Management, Community Outreach, Market Research, Strategy, Access, Business Development, Management Consulting, Management, Program Management, Leadership, Training, Analysis, CRM, Entrepreneurship, Teaching, Time Management, Recruiting, National Security
Education
Army Officer Candidate School 2014 — 2015
U.S. Officer Commission, Military and Strategic Leadership
Columbia University in the City of New York 2008 — 2011
Bachelors, Political Science, Spanish
Sacred Heart Preparatory 2004 — 2008
High School
Horizon Blue Cross Blue Shield of New Jersey August 2015 - Present
Sunrise Senior Living May 2014 - Present
Madison Health Department February 2015 - April 2015
Saint Clare's Health System October 2014 - December 2014
YMCA 2012 - 2014
Vector Marketing Sales Association May 2011 - July 2011
Montclair Child Development Center February 2010 - June 2010
Skills
Cpr Certified, PowerPoint, Microsoft Office, Microsoft Excel, SKILLS •Proficient..., Social Media, Writing, Teamwork, Time Management, Customer Service, Leadership, Research, Community Outreach, Public Speaking, CPR Certified, Event Planning, Microsoft Word, Social Networking
Education
College of Saint Elizabeth 2011 — 2015
Bachelor's Degree of Arts, Health/Health Care Administration/Management, 3.59 Overall GPA
College of Saint Elizabeth 2011 — 2015
Bachelor of Arts (B.A.), Allied Health (Health Administration)
Horizon Blue Cross Blue Shield of New Jersey December 2013 - February 2015
Blue Cross and Blue Shield of Minnesota September 2011 - July 2013
Express Scripts April 2008 - April 2010
RESO Healthcare August 2006 - November 2007
Accenture February 1997 - August 2006
Skills
Management Consulting, Business Intelligence, Business Strategy, Program Management, Business Process..., IT Strategy, Business Transformation, Program/Project..., Project Management..., Project Portfolio..., Consumer..., Strategy, Team Leadership, Business Process, Outsourcing, Cross-functional Team..., PMO, Business Analysis, Project Portfolio..., Governance, Project Planning, Project Management, Management, Healthcare, Strategy Execution, Enterprise Software, Process Improvement, Leadership, Risk Management, Mergers & Acquisitions, Strategic Planning, Performance Management, Executive Management, ERP, Change Management, Financial Analysis, SDLC, CRM, Integration, Analytics, Vendor Management, Enterprise Architecture, Product Management, IT Management, Business Process Design, Analysis, Resource Management, Requirements Analysis, Software Project...
Education
Cornell University
M. Eng., Engineering Management
Cornell University
BS, Electrical Engineering
Cornell University
BA, Economics
EmblemHealth October 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2010 - October 2014
AIG December 2008 - September 2010
AIG December 2007 - December 2008
JPMorgan Chase August 1990 - September 2007
Skills
SDLC, PMO, Vendor Management, Project Portfolio..., Business Analysis, Process Improvement, Visio, Business Requirements, Requirements Analysis, Health Insurance, Program Management, Business Process..., Management, Requirements Gathering, Strategy, Business Process
Education
Georgian Court College 2001 — 2003
MBA, Accounting
City University of New York-Hunter College 1992 — 1997
BS, Biology
Sandy Point High School
NAB Consulting January 2003 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2000 - December 2002
Delta Dental of Michigan August 1999 - September 2000
WellPoint 1996 - 1999
Blue Cross & Blue Shield of Massachusetts February 1993 - September 1996
Skills
Medicare, Health Insurance, Strategic Planning, Employee Benefits, Policy, Healthcare, Strategy, Change Management, Program Management, Project Management, Management Consulting, Enterprise Architecture, Integration, Business Strategy, Project Planning, Budgets, Marketing, Business Process...
Education
Clark University 1990 — 1991
MBA, Operations Management
Tufts University 1966 — 1974
DMD/BS, Sciences
PRIVATE PRACTICE DIABETES EDUCATOR January 1996 - Present
The Mount Sinai Hospital December 2012 - Present
inVentiv Health 2015 - 2015
Community Health Center of Richmond November 2011 - December 2012
Visiting Nurse Service of New York 2008 - 2010
Horizon Blue Cross Blue Shield of New Jersey 2004 - 2007
Skills
Diabetes, Managed Care, Home Care, Healthcare, Certified Diabetes..., Nutritional Counseling, Nutrition Education, Weight Loss, Type 2 Diabetes, Type 1 Diabetes, Gestational Diabetes, Obesity, Childhood Obesity, Nutritional Analysis, Hyperlipidemia, Gastrointestinal..., Gastric Bypass, Hypertension, Weight Loss Coaching, Diabetes Management, consulting-nutrion, insilin pump therapy, Carbohyrate counting, Diabetes Care
Education
City University of New York
MS, Nutrition
Spinner Consulting Group July 2001 - Present
Bristol-Myers Squibb August 2013 - August 2014
Horizon Blue Cross Blue Shield of New Jersey October 2011 - December 2012
Green Mountain Coffee Roasters September 2011 - September 2011
Safe Horizon October 2009 - July 2010
Safe Horizon October 2009 - January 2010
Burlington Coat Factory April 2008 - May 2008
Cosmetic Essence, Inc. November 2007 - January 2008
Novartis September 2007 - November 2007
Cosmetic Essence, Inc. April 2007 - August 2007
Skills
Project Management, Business Analysis, Training, Technical Writing, Leadership, Six Sigma, Lean Manufacturing, Business Process Mapping, Change Management, Program Management, Quality Assurance, Process Improvement, Cross-functional Team..., Business Process..., Strategic Planning, Strategy, Contract Management, PMO, Management, Budgets, Project Portfolio..., Analysis, Team Building, Vendor Management
Education
City University of New York-Brooklyn College
BS, Physics
State University of New York at Buffalo
PhD, Chemistry
The University of Chicago - Booth School of Business
MBA, Finance, Marketing
The Guardian Life Insurance Company of America September 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2001 - July 2007
Horizon Blue Cross Blue Shield of New Jersey May 1995 - April 2001
Horizon Blue Cross Blue Shield of New Jersey November 1993 - May 1995
Skills
Teaching, Creative Solutions, Instructional Design, Curriculum Design, Curriculum Development, Project Management, Relationship Building, Collaborative Problem..., E-Learning, Strategic Communications, Research, Educational Technology, Program Management, Public Speaking, Editing
Education
DeSales University 2006 — 2011
Master's Degree, Elementary Education and Teaching, 3.9/4.0
University of Delaware 1985 — 1989
Bachelor's Degree, Political Science and Government, 3.2/4.0
Frier Levitt, LLC August 2015 - Present
FDA June 2015 - August 2015
US Courts January 2015 - May 2015
Horizon Blue Cross Blue Shield of New Jersey August 2014 - November 2014
Berkley Life Sciences (a W. R. Berkley Company) January 2014 - November 2014
Office of the Attorney General of the State of New York June 2014 - August 2014
The Hastings Center May 2014 - August 2014
CheckedUp July 2013 - May 2014
Columbia University Medical Center December 2012 - February 2014
Healthcare Innovation & Technology Lab September 2012 - November 2013
Skills
SPSS, ProQuest, Westlaw, Social Media, Legal Research, Leadership Development, French, Community Outreach, Social Media Marketing, HIPAA, Healthcare Information..., Research, Microsoft Excel, Editing, Leadership, Nonprofits, Public Speaking, Event Planning, Policy Analysis, Clinical Research, Healthcare, Qualitative Research, Health Policy, Start-ups, Bioethics, Policy, Analysis, Grants
Education
Seton Hall University School of Law 2013 — 2016
Doctor of Law (J.D.)
Columbia University in the City of New York 2012 — 2013
Masters of Science (M.S.) in Bioethics, 3.97
Columbia University Mailman School of Public Health 2013 — 2013
Certificate, Social Network Analysis
Yale University 2012 — 2012
Interdisciplinary Center for Bioethics, Summer Fellowship, Class of 2012, Biomedical and environmental ethics
State University of New York College at Geneseo 2008 — 2012
BA, Political Science, Health Policy (Honors), French Minor, 3.9
Horizon Blue Cross Blue Shield of New Jersey June 2015 - August 2015
Keurig Green Mountain, Inc. January 2014 - June 2014
John Hancock Financial Services January 2013 - June 2013
Northeastern University January 2012 - June 2012
Northeastern University September 2011 - December 2011
Nanzheng Futures Co., LTD June 2010 - July 2010
Skills
VBA, Microsoft Excel, Actuarial Exams, Microsoft Word, PowerPoint, Bloomberg Terminal, Lotus Notes, Access Database, Morningstar, GGY Axis, Stata, C, Statistics, Matlab, Microsoft Office, Actuarial Science, Mathematics, Financial Modeling, Mandarin, Databases, Data Analysis
Education
Columbia University in the City of New York
Master’s Degree, Actuarial Science, 3.93 / 4.00
Northeastern University 2010 — 2014
Bachelor’s Degree, Mathematics, 3.76 / 4.00
NFLS 2006 — 2009
High School, GCE A Level
Horizon Blue Cross Blue Shield of New Jersey April 2015 - Present
Kessler Institute for Rehabilitation January 2009 - Present
Vitas Healthcare July 2005 - January 2009
GlaxoSmithKline March 2000 - July 2005
Saint Barnabas Medical Center-N.J. 1997 - 2000
Skills
Home Care, Acute Care, Inpatient, Healthcare, Business Development, Patient Safety, Treatment, Healthcare Management, Managed Care, Hospitals, Medicare, Patient Education, Physicians, Microsoft Excel, Physician Relations, Traumatic Brain Injury, Marketing, Rehabilitation, Orthopedics, Microsoft Office, Project Management, Accountable Care, Presentations, Pulmonary Rehabilitation, Strategic Planning
Education
Thomas Edison State College 2014 — 2016
Master of Business Administration (MBA), Healthcare management
County College of Morris 1996 — 1997
Associate of Arts and Sciences (A.A.S.), Respiratory Care Therapy/Therapist
Rutgers, The State University of New Jersey-Newark 1980 — 1986
Bachelor of Arts (B.A.), Psychology
Horizon Blue Cross Blue Shield of New Jersey March 2012 - Present
Horizon Blue Cross Blue Shield of NJ June 2002 - February 2012
Arthur Andersen LLP 1995 - 2002
Skills
Financial Modeling, Financial Analysis, Financial Reporting, Insurance, Health Insurance, Process Improvement, Accounting, Forecasting, Strategic Financial..., Analysis, Sarbanes-Oxley Act, Auditing, Internal Controls, Business Analysis, Business Process..., Enterprise Risk..., Financial Planning, Finance, Internal Audit, Leadership, Management
Education
University of Hartford 1995 — 1996
MS, Accounting
Connecticut College 1991 — 1995
BA, mathematics
HoLa
CMO - The Care Management Company of Montefiore Medical Center January 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2011 - January 2014
Conmed Patient Care September 2010 - May 2011
Skills
Matlab, JMP, SAS, Access, Labview, SQL, SPSS, AutoCAD, Statistics, Data Analysis, Research, Data Mining, Six Sigma, Biomedical Engineering, Microsoft Excel, VBA, Medical Devices, SAS programming, Visual Basic
Education
Cornell University 2010 — 2011
Master of Engineering, Biomedical Engineering
Stony Brook University 2006 — 2010
B.E, Biomedical Engineering
Horizon Blue Cross Blue Shield of New Jersey January 2008 - Present
Nelson & Ward Insuarance Co September 2004 - January 2008
Skills
Health Insurance, Managed Care, Provider Relations, Medicare, HIPAA, Healthcare, Claim, Employee Benefits, Insurance, Leadership, Medicaid, Healthcare Industry, Training, Brokers, Team Building, Public Speaking, Disability Insurance, Management, Healthcare Consulting, Program Management, Process Improvement, Access, Microsoft Office, Project Management
Education
Saint Peter's University 2004 — 2007
Bachelor's Degree, Business Administration, Management and Operations
Delaware State University 2002 — 2003
Business Management
The Advisory Board Company August 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2013 - July 2013
Healthcare Innovation & Technology Lab November 2012 - February 2013
Allegheny General Hospital July 2005 - September 2009
Skills
Microsoft Office, ICD-9, ICD-10, SAS, SQL, Allscripts, Epic Systems, Atlas.ti, TreeAge, ArcGIS, DRG, CPT, Photoshop, Healthcare, Informatics, Healthcare Information..., Clinical Research, Leadership, EHR, Hospitals, Data Analysis, Strategy, Healthcare Consulting
Education
Columbia University Mailman School of Public Health 2011 — 2012
Master of Public Health (MPH), Public Health, 4.05
State University of New York Upstate Medical University 1999 — 2005
Doctor of Medicine (MD), Medicine
Cornell University 1995 — 1999
Bachelor of Arts (BA), Chemistry
USI Insurance Services November 2013 - Present
Crystal & Company September 2012 - May 2013
Horizon Blue Cross Blue Shield of New Jersey 1994 - 2012
Prudential Insurance 1985 - 1994
Skills
Disability Insurance, Commercial Insurance, Health Insurance, Insurance, Brokers, Sales, Property & Casualty..., Employee Benefits, Workers Compensation, Management, Health Savings Accounts, Reinsurance, Underwriting, Managed Care, Strategy, Health Care Reform, Medicare, Senior Executive..., Account Management, Group Insurance, Healthcare
Education
Dartmouth College
A.B. Government
Horizon Blue Cross Blue Shield of New Jersey July 2014 - Present
Cushman & Wakefield July 2013 - June 2014
PSEG March 2013 - June 2013
Tyco International July 2012 - April 2013
Prince Sports, Inc. January 2012 - June 2012
Invidi Technologies Inc May 2011 - July 2011
Vishaw Sondhi CPA February 2008 - March 2011
ThinkEbiz LLC January 2007 - December 2007
Skills
SAP, JD Edwards, AS400 system, ProDiver, Bassetts, Microsoft Excel, QuickBooks, ProSeries, Microsoft Word, Ariba, Microsoft Office..., Oracle Discoverer, General Ledger, Account Reconciliation, Accounts Payable, Variance Analysis, Fixed Assets, Accounting, Financial Reporting, Financial Statements, GAAP, Accruals, Journal Entries, Consolidation, Cash Management, Bank Reconciliation, Tax, Process Improvement, Spreadsheets, Pivot Tables, Expenses, US GAAP, PeopleSoft, Balance Sheet, Vendor Management, Tax Accounting, Depreciation, Auditing, Analysis
Education
NJ State Board Of an Accountancy 2013 — 2013
CPA License -State of NJ, Accounting and Finance
Governors State University 2008 — 2010
Bachelor of Arts, Business Studies-Accounting and Business Concentration, B+
Delaware Board Of Accountancy 2007 — 2008
CPA Certificate, Accounting
Income Tax School,Virginia 2010 — 2010
Business Tax Certification 1, Tax-Corporate and Partnership, Pass
NIIT 1997 — 2000
Advanced Diploma-GNIIT, Systems Analysis and Design, A+
Delhi University 1996 — 1999
Bachelor of Arts, Accounting & English
New York Air National Guard October 2014 - Present
USANG December 1999 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2013 - November 2014
Horizon Blue Cross Blue Shield of NJ March 2011 - April 2013
Atlas Air December 2005 - January 2009
Skills
Private Pilot, Cpr Certified, Computer Repair, Aircraft Maintenance, Typing, Customer Service, Help Desk Support, Airports, Flights, Charter, Aviation, Airlines, Aerospace, System Administration, Operations Management, Technical Support, Software Documentation, Windows 7, Microsoft Office, Active Directory, Vendor Management
Education
Community College of the Air Force 2000 — 2004
Associate of Arts and Sciences (A.A.S.), Airframe Mechanics and Aircraft Maintenance Technology/Technician
Vaughn College of Aeronautics and Technology 1999 — 2004
Bachelor of Applied Science (BASc), Airport Management, 3.23
Horizon Blue Cross Blue Shield of New Jersey May 2014 - Present
Hospital for Special Surgery January 2010 - May 2014
Skills
BLS, Inpatient, Nursing, Critical Care, EMR, HIPAA, Healthcare, Hospitals, Patient Advocacy, Patient Safety, Leadership, Customer Service, Microsoft Excel, CPR Certified, Medical Terminology, Strategic Planning, Orthopedics, Acute Care, Patient Education
Education
UMDNJ 2008 — 2009
BSN, Registered Nursing/Registered Nurse
City University of New York-John Jay College of Criminal Justice 1999 — 2001
Master of Arts (MA), Forensic Psychology
City University of New York-Hunter College 1995 — 1999
Bachelor of Arts (B.A.), Psychology
EmblemHealth May 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2012 - May 2013
Cognizant Technology Solutions June 2009 - May 2013
CareFirst BlueCross BlueShield April 2011 - November 2012
WellPoint June 2009 - March 2011
Skills
Management Consulting, Data Management, Software Quality..., Teradata, Data Mapping, PMP, PMO, Business Analysis, Project Delivery, Global Delivery, MS Project, Waterfall, Software Project..., Vendor Management, Resource Management, Offshoring, Business Requirements, Requirements Gathering, SDLC, Requirements Analysis, Project Management, Visio, Program Management, IT Strategy, Process Improvement, Integration, Business Process..., Management
Education
Florida Metropolitan University
MBA, Major In Genral Management
St Marks School
University of Delhi
Bachelor of Commerce (B.Com.) Hon, Business
Horizon Blue Cross Blue Shield of New Jersey December 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2013 - December 2014
Columbia University 2012 - October 2014
Population Services International August 2009 - August 2010
Thorlabs September 2008 - August 2009
Clinton Global Initiative January 2008 - July 2008
Clinton Global Initiative August 2007 - December 2007
Clinton Global Initiative May 2007 - August 2007
Skills
Grant Writing, Database Management, New Business Development, Program Management, Program Evaluation, Program Design, Social Marketing, Social Entrepreneurship, Corporate Social..., Public Health, Bioethics, Global Health, Non-profits, NGOs, International Business, International Health, HIV/AIDS prevention, Family Planning, Social Media, Research, Qualitative Research
Education
Columbia University in the City of New York 2010 — 2012
Masters of Science, Bioethics
Vassar College 2003 — 2007
BA, Philosophy, Art History Minor
Blair Academy 1999 — 2003
HS
University of Chicago Medicine June 2013 - July 2014
Coffee Hour March 2011 - May 2013
Atlantic Health May 2012 - August 2012
Cornell University January 2011 - May 2012
Taverna Banfi Restaurant June 2011 - August 2011
Woodhull Medical Center June 2010 - August 2010
Weill Cornell Medical College June 2010 - July 2010
Horizon Blue Cross Blue Shield of New Jersey January 2010 - January 2010
Skills
Healthcare, Psychology, Research, Data Analysis, PowerPoint, Public Speaking, Microsoft Excel, Team Leadership, Accountable Care, Hospitality, Entrepreneurship
Education
NYU School of Medicine 2014 — 2018
Doctor of Medicine (MD)
Cornell University 2011 — 2013
MHA, Sloan Program in Health Administration
Cornell University 2008 — 2012
BA, Psychology
Montville Township High School
Horizon Blue Cross Blue Shield of New Jersey February 2015 - Present
Symrise October 2014 - February 2015
REDTAIL Telematics September 2013 - February 2014
BASF December 2011 - March 2013
David and Todd's City Tavern December 2010 - June 2011
Martini's Bar and Bistro February 2010 - January 2011
Restaurant MC October 2006 - February 2010
Skills
SAP, Supply Chain, Microsoft Excel, Spanish, Spanish Literature, Spanish-English, Microsoft Office, Customer Service, Lotus Notes, Microsoft Word, New Restaurant Openings, Restaurants, Non-profits, Novell, Bilingual-English/Spanis..., Web Based, Web Based Media, Proficient on PC & Mac, Not for Profit, non conformance..., Export-Import, Fundraising, Analysis, Marketing Strategy, Teamwork, CRM, Event Planning, Program Management, Sales, Social Media
Education
Fairleigh Dickinson University 2009 — 2011
Bachelor of Business Administration (B.B.A.), Concentration in International Business, Minor in Spanish language and culture
College of Saint Elizabeth 2006 — 2007
High Point University 2005 — 2006
Millburn High School 2001 — 2005
The Newman School 2000 — 2001
Florida Blue September 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey July 2013 - Present
Skills
Microsoft Publisher, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Microsoft Visio, Microsoft Project, Lotus Notes, Typing - 75wpm, Insurance, Visio, Employee Benefits, Administrative..., Outlook, Training, Risk Management, PowerPoint, Project Management, Management, Program Management, Process Improvement, Call Centers, Leadership, MS Project
Education
College of Saint Elizabeth 2005 — 2007
BA, Communications
Gibbs College 2003 — 2005
A.A.S, Office Administration
Elizabeth High School 1995 — 1999
Diploma
IBM October 2014 - Present
IBM January 2013 - October 2014
IBM Global Business Services January 2006 - December 2012
IBM Global Business Services July 2004 - January 2006
Horizon Blue Cross Blue Shield of New Jersey 2003 - 2004
Skills
Customer Experience, Customer Loyalty, Customer Insight, Business Process..., Business Process Design, Quality Assurance, Customer Focus, Customer Retention, Roadmap, Digital Strategy, Customer Oriented, Brand Loyalty, Business Transformation, Strategy, CRM, Process Improvement, Business Strategy, Management, Financial Services, IT Strategy, Business Process..., Business Process, Consulting, Management Consulting, Customer Value, Analytics, Business Analysis, Business Intelligence, Business Analytics, Strategic Planning, PMO, Outsourcing, Project Portfolio..., Governance, Enterprise Architecture
Education
Columbia University - Columbia Business School 2010 — 2012
MBA
Pace University - Lubin School of Business 2009 — 2010
William & Mary 1999 — 2003
BA
Wardlaw Hartridge School 1995 — 1999
Horizon Blue Cross Blue Shield of New Jersey May 2002 - Present
Horizon Blue Cross Blue Shield of New Jersey July 2011 - March 2013
Horizon Blue Cross Blue Shield of New Jersey March 2010 - July 2011
Horizon Blue Cross Blue Shield of New Jersey January 2004 - March 2010
Horizon Blue Cross Blue Shield of New Jersey May 2002 - December 2003
Skills
Process Improvement, HIPAA, Analysis, Healthcare, Microsoft Office, Microsoft Project, Leadership, Access, Visio, Microsoft Publisher, Insurance, Software Documentation, Health Insurance, Testing, Prezi, Employee Training, Root Cause Analysis, Problem Solving, Conflict Resolution, Waste Management, Time Management, SharePoint, PowerPoint, Microsoft Excel, Management, Project Management, Training, Vendor Management, Business Analysis, Outlook, Data Analysis, Healthcare Information..., Risk Management
Education
Saint Peter's University 2013 — 2016
BSBA in Healthcare Administration/Healthcare Management, Healthcare Administration/Healthcare Management
DEVRY UNIVERSITY NORTH BRUNSWICK CAMPUS 1999 — 2001
AAS Degree in Telecommunications Management, Telecommunications Management
Essex County Vocational Technical High School 1984 — 1988
High Schoold Diploma, Mechanical Drafting and Mechanical Drafting CAD/CADD
Horizon Blue Cross Blue Shield of New Jersey March 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2011 - March 2013
CareCentrix December 2009 - July 2011
HR Acuity December 2007 - December 2009
State of New Jersey January 2007 - November 2007
Healthstar Communications April 2004 - January 2007
State of New Jersey October 2003 - March 2004
Clarkson University January 2003 - April 2003
Skills
Project Management, Project Planning, Microsoft Project, Planview, Visio, Budget Management, Business Analysis, Healthcare, Scope Management, Change Management, Enterprise Risk..., Vendor Management, Managing Offshore Teams, Business Systems..., Business Process..., Business Process..., Release Management, UAT Coordination, Training, Data Analysis, IBM Blueworks Live, SharePoint, Microsoft Excel, Access, SQL, Toad, Query Analyzer, Microsoft SQL Server, Oracle, ClearQuest, JIRA, FogBugz, Scarab, iTracker, PR Tracker, Axure RP, Adobe Creative Suite, Photoshop
Education
Clarkson University 2002 — 2003
MBA, Supply Chain Management, Business Administration
National Institute of Information Technology 1999 — 2002
Diploma, Information Systems
University of Mumbai 1999 — 2001
Bachelor, Commerce, Business Management
Horizon Blue Cross Blue Shield of New Jersey April 2012 - Present
Booz & Company June 2009 - December 2011
Katzenbach Partners September 2006 - June 2009
PIRA Energy Group July 2001 - July 2004
Skills
Financial Modeling, Management Consulting, Strategy, Business Strategy, Analytics, Competitive Analysis, Financial Analysis, Strategic Planning, Corporate Finance, Restructuring, Business Development, Strategic Consulting, Corporate Development, Acquisition Integration, Business Transformation, Market Entry, Organizational Design, Strategic Partnerships, Cross-functional Team..., Growth Strategies, Executive Management, Business Planning, Operating Models, Consulting, Segmentation
Education
Princeton University 2004 — 2006
MSE, Operations Research & Financial Engineering
Columbia University 1997 — 2001
BS, Applied Mathematics
Horizon Blue Cross Blue Shield of New Jersey January 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2010 - December 2011
Canopy Financial June 2007 - March 2010
Canopy Financial April 2005 - June 2007
Canopy Financial April 2004 - March 2005
Deutsche Bank 2000 - 2004
Skills
Business Analysis, Program Management, Process Improvement, Business Process..., SDLC, Project Planning, Project Management, Visio, Requirements Analysis, IT Strategy, Quality Assurance, MS Project, SharePoint, Integration, Project Delivery, Vendor Management, Management, PMP, Cross-functional Team..., Requirements Gathering, Product Management, Business Process, PMO, Management Consulting, CRM, Software Project..., Outsourcing, Strategy, Agile Methodologies, Business Intelligence, Change Management, IT Management, Project Portfolio...
Education
Villanova University 2005 — 2006
Master Certificate, Project Management
College of the Holy Cross 1996 — 2000
BA, Mathematics and Computer Science
OrthoNet November 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2014 - November 2014
Meridian Benefits Consulting November 2013 - April 2014
Care To Care LLC December 2010 - November 2013
Alliance Care Management IPA January 2012 - February 2013
Atlantis Health Plan January 2008 - November 2010
Atlantis Health Plan January 2007 - January 2008
Atlantis Health Plan August 2006 - January 2007
CBA Pharma , Inc. March 2000 - July 2006
Hirsch Design Studios November 1998 - March 2000
Skills
Strategic Planning, Strategy, Leadership, Account Management, Health Insurance, Business Development, Management, Sales Management, Insurance, Team Building, Public Speaking, Marketing, Operations Management, Sales, Program Management, Contract Negotiation, Medicare, Business Analysis, Training, Negotiation, Project Planning, Employee Benefits, Healthcare, Executive Management, Network Development, Sales Presentations, New Business Development, Managed Care, Healthcare Information..., Web Design, Marketing Strategy, Enterprise Software, Customer Service, Project Management, Call Centers, Analysis, Provider Relations, HIPAA, Group Presentations, Selling, Human Resources, Health Policy, HMO, Medicaid, Healthcare Industry, Budgets, Process Improvement, Team Management
Education
University of Kentucky - Gatton School of Business 2004 — 2005
MBA, Marketing, Finance, 3.75
Creighton University 1988 — 1992
BA, English/Creative Writing & Philosophy
The University of Kansas 1988 — 1990
Savior of the World 1984 — 1987
Horizon Blue Cross Blue Shield of New Jersey November 2013 - Present
NTT DATA (formerly Keane, BearingPoint) 2005 - November 2013
Real Soft, Inc. 2001 - 2004
Coreon, Inc. 2000 - 2001
AT&T 1995 - 2000
Skills
SDLC, Integration, PMP, Business Analysis, Telecommunications, Local Government, Agile Methodolgy, Systems Analysis, Data Modeling, Analysis, Software Development, Quality Assurance, IT Strategy, Project Management, Testing, Requirements Analysis, Program Management, Vendor Management, Change Management, Business Process..., Business Process, Software Project..., Solution Architecture, PMO, Enterprise Architecture, Management, Business Intelligence, Requirements Gathering, Agile Methodologies
Education
Columbia University - Fu Foundation School of Engineering and Applied Science
MS
Columbia University - Fu Foundation School of Engineering and Applied Science
BS
Nice-Pak Products, Inc. November 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2012 - November 2013
Waste Management April 2012 - September 2012
Merck (formerly Schering-Plough) January 2009 - November 2011
Pfizer September 1999 - September 2008
Johnson & Johnson May 1995 - September 1999
Skills
Talent Management, Personnel Management, Performance Management, Employee Engagement, Human Resources, Employee Relations, Deferred Compensation, Workforce Planning, HRIS, Onboarding, Organizational..., College Recruiting, Succession Planning, Applicant Tracking..., Labor Relations
Education
College of Saint Elizabeth 1993 — 1996
Bachelor of Science (BS), Food and Nutrition
Horizon Blue Cross Blue Shield of New Jersey September 2005 - Present
Lucent Technologies 1992 - 2005
Skills
Primary Market Research, Survey Development, Data Analysis, Leadership, Analysis, Management, Interviews, Segmentation
Education
Centenary College 2001 — 2005
Bachelor of Science, Marketing
Governor Livingston Regional High School 1970 — 1973
High School Diploma, Three Year Graduate
Horizon Blue Cross Blue Shield of New Jersey January 2015 - Present
Horizon Blue Cross Blue Shield of NJ August 2007 - Present
Honeywell March 1997 - April 2007
Skills
Employee Benefits, Performance Management, Benefits Administration, Deferred Compensation, Employee Relations, PeopleSoft, Succession Planning, Talent Management, Employee Engagement, Change Management, Human Resources, Labor Relations, HR Policies, Workforce Planning, Talent Acquisition, HRIS, Team Building, Vendor Management, Policy, Budgets, Strategic Planning, Onboarding, Leadership, Process Improvement, Management, Insurance, Business Process..., Call Centers
Education
College of Saint Elizabeth 2003 — 2006
Bachelor of Science (B.S.), Business Administration, Management and Operations
Horizon Blue Cross Blue Shield of New Jersey May 2010 - Present
Fiserv CareGain May 2007 - December 2009
Deloitte Consulting September 2005 - April 2007
Fiserv - CareGain July 2004 - August 2005
Skills
Software Documentation, Business Analysis, Vendor Management, Business Process..., Strategy, Business Process Design, Process Improvement, Business Intelligence, Cross-functional Team..., Business Strategy, Banking, Project Management, Management, Finance, Management Consulting, Healthcare Information..., Outsourcing, CRM, Change Management, Product Management, Project Planning, SDLC, PMO, Business Requirements, Software Project..., Business Development, Financial Services, IT Strategy, Program Management, Requirements Analysis, Start-ups, Agile Methodologies, Analytics, New Business Development, Consulting
Education
Cornell University
MHA, Health Administration
Horizon Blue Cross Blue Shield of New Jersey June 2011 - Present
HSBC Securities Inc. October 2006 - June 2011
Guy Carpenter & Co Inc August 2001 - October 2006
Barclays Capital June 2000 - August 2001
Skills
Talent Management, Banking, Business Process..., Process Improvement, Program Management, Account Reconciliation, Performance Management, Project Management, Troubleshooting, Strategic Planning, Personnel Management, Analytics, SharePoint, Lotus Notes, SAP, Auditing, Applicant Tracking..., Finance, Strategy, Hiring, Budgets, Databases, Microsoft Excel, Leadership, HRIS, Microsoft Office, Employee Benefits, Deferred Compensation, Human Resources, Organizational Design, SDLC, PeopleSoft, Employee Engagement, Access, Outlook, Payroll, Recruiting, Change Management, Succession Planning, SAP HR, Management, Employee Relations, Organizational..., Onboarding, Benefits Administration, Workforce Planning, Security, Talent Acquisition, Vendor Management, Training
Education
City University of New York-Hunter College 1994 — 2000
Bachelor's Degree, Sociology
The Institute for Life Coach Training
Life Coach
Healthways April 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2007 - April 2015
Horizon Blue Cross Blue Shield of New Jersey March 2005 - August 2007
Horizon Blue Cross Blue Shield of New Jersey March 2002 - March 2005
Horizon Blue Cross Blue Shield of New Jersey March 1999 - March 2002
Horizon Blue Cross Blue Shield of New Jersey June 1998 - March 1999
Horizon Blue Cross Blue Shield of New Jersey July 1996 - June 1998
Horizon Blue Cross Blue Shield of New Jersey November 1994 - July 1996
Skills
Managed Care, Medicare, Sales, Insurance, Health Savings Accounts, Sales Management, New Business Development, Employee Benefits, Disability Insurance, Health Insurance, Claim, Brokers, Underwriting, Healthcare, Reinsurance, HMO, Account Management, PPO, Healthcare Information..., CRM, Pharmacy Benefit..., Disease Management, Health Policy, Self-funded, Benefits Administration, Group Insurance, Healthcare Industry, Medicare Part D, Health Care Reform, COBRA, Group Medical, Strategic Sales, Marketing Strategy, Contemporary Dance, Flexible Spending..., Medicaid, Development of..., HIPAA, RFP Generation, Financial Analysis, Utilization Management, Voluntary Employee..., Provider Relations, High Deductible Health..., Term Life Insurance, Technical Sales..., Sales Presentation..., Public Sector Consulting, Workers Compensation, Claims Management
Education
College of the Holy Cross 1990 — 1994
Bachelor of Arts (BA)
Delbarton School 1986 — 1990
SOVA Properties, LLC November 2011 - Present
inVentiv Health February 2013 - November 2013
Horizon Blue Cross Blue Shield of New Jersey July 2010 - July 2011
MNT Partners, LLC November 2003 - July 2010
The Jarvis Walker Group August 2002 - July 2003
The Solomon-Page Group LLC September 2001 - July 2002
The Jarvis Walker Group June 1992 - July 2001
Trecom Business Systems March 1991 - May 1992
Source EDP October 1984 - March 1991
Elizabethtown Gas Company May 1984 - October 1984
Skills
Full-cycle Recruiting, Applicant Tracking..., Talent Acquisition, Technical Recruiting, Strategic Sourcing, Sourcing, Interviewing, Insurance, Healthcare, Resume Writing, Hiring, Cold Calling, Search, Real Estate Project..., Temporary Placement, Recruiting, Benefits Negotiation, Human Resources, College Recruiting, Executive Search, SDLC, Onboarding, Management, Talent Management, Screening Resumes, Internet Recruiting
Education
City University of New York-Herbert H. Lehman College
MFA, Fine Arts
City University of New York-Queens College
BA, Sociology & Fine Arts
Fairleigh Dickinson University
Completed core requirements for MBA in Finance
Independence Blue Cross June 2013 - December 2013
Executive Health Resources July 2012 - May 2013
Magellan Health Services April 2011 - February 2012
Independence Blue Cross October 2006 - November 2010
Excellus BCBS January 2005 - June 2005
Horizon Blue Cross Blue Shield of New Jersey August 1988 - October 2004
Skills
Managed Care, HIPAA, Medicare, Business Analysis, SDLC, Healthcare, Project Management, Process Improvement, Vendor Management, Program Management, Visio, Health Insurance, Strategic Planning, Microsoft Word, Microsoft Excel, Leadership
Education
Rutgers, The State University of New Jersey-Newark 1989 — 1991
MPA, Public Management
Central Connecticut State University 1979 — 1984
B.Sc, Marketing
Emblem Health February 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2010 - January 2014
Emblem Health June 2009 - December 2009
Horizon BCBS October 2007 - May 2009
UnitedHealthcare January 2006 - October 2007
Skills
SDLC, Business Requirements, Requirements Gathering, Requirements Analysis, Business Analysis, Systems Analysis, Visio
Education
Clarion University of Pennsylvania 2001 — 2004
MBA
St. Aloysius' College
Blue Cross Blue Shield Association September 2015 - Present
Blue Cross Blue Shield Association June 2007 - September 2015
Matria Healthcare January 2005 - June 2007
Anthem BCBSof Maine January 2002 - December 2005
Horizon Blue Cross Blue Shield of New Jersey 1998 - 2001
Skills
Managed Care, Leadership, Strategic Planning, Healthcare, Disease Management, Health Insurance, Medicare, Healthcare Information..., CRM, Insurance, Cross-functional Team..., Process Improvement, HIPAA, Team Building, Employee Benefits, Product Development, Project Management, Strategic Alliances, Strategy, Medicaid, Vendor Management, Healthcare Industry, Start-ups, Competitive Analysis, Program Management, Mergers & Acquisitions, Data Analysis, Business Development, Analytics, Product Management, Marketing, Business Analysis, Sales, Account Management, Business Planning, Management Consulting, Compassion, Analysis, Business Process...
Education
Cornell University 1993 — 1995
MHA
St. Lawrence University 1986 — 1990
BA, Economics
Computershare November 2012 - Present
BNY Mellon June 2001 - January 2012
Neuman Distributors March 1993 - June 2001
Horizon Blue Cross Blue Shield of New Jersey April 1989 - January 1992
Port Authority of NY & NJ December 1985 - April 1989
Skills
SDLC, Software Development, Risk Management, Testing, Management, IT Service Management, Business Process, Software Documentation, Business Process..., Vendor Management, Databases, PMP, Requirements Analysis, Visio, Software Project..., Business Analysis, Project Management, Process Improvement, Requirements Gathering, IT Strategy, Integration
Education
College of Saint Elizabeth 2010 — 2012
Theology
Montclair State University 1977 — 1980
BA, Economics
Rutgers, The State University of New Jersey-New Brunswick 1976 — 1977
Horizon Blue Cross Blue Shield of New Jersey June 2011 - Present
ABC Carpet & Home January 2003 - June 2011
Education
Central Michigan University 2006 — 2007
Horizon Blue Cross Blue Shield of New Jersey June 2014 - Present
Hertz August 2011 - May 2014
Hertz May 2009 - August 2011
Polo Ralph Lauren February 2006 - May 2009
Coty 2001 - 2006
Nabisco 1997 - 2001
Skills
SOX, Financial Reporting, Forecasting, Financial Analysis, Accounting, US GAAP, Financial Management, Restructuring, Mergers, Financial Planning, Budgeting, Cash Flow, P&L Management, Compliance, Audit, Internal Audit, Process Improvement, Internal Controls, Business Planning, P&L, Consolidation, SAP, Hyperion, Corporate Finance, Auditing, Budgets, Business Process..., Cash Management, Executive Management, Finance, Financial Audits, Financial Modeling, Hyperion Enterprise, Income Statement, Managerial Finance, Mergers, Risk Management, Sarbanes-Oxley Act, Strategic Financial..., Tax
Education
D'Amore-McKim School of Business at Northeastern University 1989 — 1991
MBA, Accounting
Emory University - Goizueta Business School 1985 — 1989
Bachelor of Business Administration (BBA), Finance, General
C3i Healthcare Connections, a Division of Telerx March 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2013 - April 2014
Moodys Investor Services February 2006 - August 2011
Moody's Investors Service 1998 - 2011
Moody's Investors Service October 1999 - February 2006
Moody's Investors Service May 1998 - October 1999
Skills
Windows 7, Server Administration, Communication, Creative Writing, Microsoft Office, Microsoft Servers, Active Directory, Routers, VPN, XP, Troubleshooting, Network Administration, Windows Server, Disaster Recovery, Linux, Windows, Windows XP, Infrastructure
Education
PC Age-Jersey City 2011 — 2012
Certificate Diploma, Internetwork Engineering
City University of New York-College of Staten Island 2004 — 2009
Bachelor of Science (BS), Business, Management, Marketing, and Related Support Services
SeniorBridge December 2010 - Present
NYCLIX September 2008 - February 2010
EmblemHealth 2010 - 2010
Health Net 2006 - 2008
Horizon Blue Cross Blue Shield of New Jersey 2003 - 2006
PricewaterhouseCoopers 1991 - 2003
PwC 1991 - 2003
Empire Blue Cross Blue Shield 1986 - 1988
Skills
Healthcare, Managed Care, Healthcare Management, Process Improvement, Medicare, Medicaid, HIPAA
Education
Columbia University Mailman School of Public Health 1900 — 1900
MPH with Honors, HEALTH POLICY
Horizon Blue Cross Blue Shield of New Jersey 2013 - Present
Valley Health Medical Group 2008 - 2013
Valley health medical group 2001 - 2013
E&C medical intelligence 2002 - 2007
Maccabi Health Services 1995 - 2000
Skills
Healthcare, Hospitals, Clinical, Health, Board Certified, Healthcare Management, Family Medicine, EHR, EMR, Patient Safety, Clinical Decision..., Healthcare Information..., Quality Improvement, Medicine, Clinical Research, Informatics, Physicians, Treatment, Physician Relations, Pediatrics, Healthcare Consulting, Medical Devices, Managed Care, Medical Education, Urgent Care, Disease Management, Ambulatory, Emergency Medicine, Public Health, Inpatient, Internal Medicine, Critical Care, HIPAA, Revenue Cycle, ACLS, JCAHO, Meditech, Healthcare Industry, CPOE, Health Education, Practice Management, Clinical Trials, Cancer, Health Information..., Oncology, Nursing, HL7, Diabetes, Health Policy, ICU
Education
Columbia University in the City of New York 2014 — 2015
Certification of Professional Achievement Program, Health Information Technology
Columbia University Mailman School of Public Health 2011 — 2013
Master of Public Health (MPH), health policy and management, MPH
The Hebrew University
MD, Medicine
gimnasia herzlia
Horizon Blue Cross Blue Shield of New Jersey July 2009 - Present
Horizon Blue Cross Blue Shield of NJ June 2008 - July 2009
Healthfirst June 2001 - March 2005
Education
Hunter College
RGP March 2015 - Present
Sandata Technologies November 2014 - January 2015
Self-Employed June 2013 - October 2014
Thomson Reuters January 2013 - May 2013
Thomson Reuters September 2011 - December 2012
Thomson Reuters December 2009 - September 2011
Thomson Reuters 2008 - 2009
Thomson Financial April 2007 - April 2008
St. Joseph's College September 2007 - January 2008
Horizon Blue Cross Blue Shield of New Jersey March 2005 - March 2007
Skills
Corporate Law, Mergers & Acquisitions, Corporate Governance, Strategy, Contract Negotiation, Mergers, Analysis, Intellectual Property, Financial Services, Negotiation, Restructuring, Private Equity, Legal Research, Employment Law, Securities, Legal Writing, Joint Ventures, Start-ups, Sales, Finance, Information Technology, Licensing Negotiations
Education
Fordham University School of Law 1992 — 1995
J.D., Law
Brooklyn College 1989 — 1992
Bachelor of Science (B.S.), Philoshophy
Horizon Blue Cross Blue Shield of New Jersey June 2010 - Present
Union County College April 2010 - Present
Horizon Blue Cross Blue Shield of NJ December 2002 - June 2010
Clara Maass Medical Center March 1993 - March 1999
Education
DeVry University 1997 — 2009
MBA, Healthcare Administration
University of Phoenix 2004 — 2007
Bachelors, Healthcare Administration
James J. Gucwa Broker June 2011 - Present
Humana July 2009 - May 2011
Humana July 2007 - June 2009
Humana July 2006 - June 2007
Horizon Blue Cross Blue Shield of New Jersey June 2005 - June 2006
The Astor Research Company September 1992 - May 2005
Rockwell Scientific January 1989 - September 1992
General Dynamics February 1988 - September 1988
General Dynamics May 1983 - February 1988
General Dynamics October 1980 - June 1983
Skills
Customer Service, Health Insurance, Healthcare.Gov..., Medical Billing, Insurance, Dental Insurance, Market Research, Engineering, Project Management, Hazardous Materials, New Business Development, Computer Science, Integrated Management..., Software Project..., Aerospace Manufacturing, Project Planning, Aerospace Engineering, Systems Engineering, Business Unit Start-up, Software Development, Proposal Writing, HTML, Web Development, Microsoft Word, Microsoft Excel, Public Speaking, Artemis, MS Project, Economics, Microsoft Applications, Microsoft Office, Historical Research, Antiques, Art, Collectibles, Stock Market
Education
University of San Diego 1987 — 1989
International Business
University of California, San Diego 1984 — 1986
Computer Science
Coe College 1973 — 1977
B.A., Economics, History, Business Administration
Prudential Financial August 2011 - Present
Prudential Financial May 2010 - August 2011
UBS Wealth Management February 2008 - June 2010
UBS Wealth Management April 2006 - January 2008
Horizon Blue Cross Blue Shield of New Jersey July 2005 - April 2006
Prudential Financial February 2001 - March 2005
Prudential Financial March 2000 - February 2001
Prudential Financial August 1997 - March 2000
Skills
Recruiting, Project Management, Change Management, Leadership, Program Management, Performance Management, Management, Strategy, Business Development, Leadership Development, CRM, Project Planning, Budgets, Vendor Management, Insurance, Training, Analysis, Financial Services, Risk Management, Strategic Planning
Education
Providence College 1993 — 1997
BA, Psychology & Business Studies
Villanova University 2003 — 2004
PMP, Project Management
College for Financial Planning 1999 — 2000
CMFC, Chartered Mutual Fund Counselor
Framingham High School 1989 — 1993
Teva Pharmaceuticals February 2014 - Present
AstraZeneca Pharmaceuticals August 2000 - January 2014
Novartis December 1997 - August 2000
Janssen, Pharmaceutical Companies of Johnson and Johnson October 1996 - November 1997
Horizon Blue Cross Blue Shield of New Jersey May 1995 - October 1996
Judith W. Zander. M.D. July 1983 - May 1995
Skills
Clinical Trials, Clinical Research, Pharmaceutical Industry, Cardiology, Clinical Development, Internal Medicine, Neuroscience, Diabetes, Gastroenterology, GCP, Medicine, Pharmacovigilance, Epidemiology, Pharmaceutics, Therapeutic Areas, Drug Development, Medical Writing, Drug Safety, Regulatory Submissions, CTMS, Pharmacology, CRO, Medical Affairs, Regulatory Affairs, IND, Clinical Pharmacology, Translational Medicine
Education
New York Medical College 1976 — 1980
Doctor of Medicine (M.D.)
Residency Training Overlook Hospital 1981 — 1983
Internal Medicine
Brooklyn College 1973 — 1976
Bachelor of Science (B.S.), Chemistry
United Health Group 2001 — 2001
Epidemiology Research Institute Diploma
VillageCare September 2014 - Present
US Imaging March 2009 - September 2014
Lighthouse International April 2006 - December 2008
Horizon Blue Cross Blue Shield of New Jersey October 2004 - January 2006
Sogang Language Program (SLP) August 2001 - July 2002
Skills
Analysis, Microsoft Excel, Microsoft Office, Microsoft Word, Healthcare, Data Analysis, Access, Statistics
Education
Tufts University 2002 — 2004
M.S., Food Policy and Applied Nutrition
Cornell University 1997 — 2001
BA, Economics
Credit Suisse February 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey February 2011 - February 2012
Wells Fargo August 2009 - January 2011
Bank of America 2007 - 2009
Various Clients 2005 - 2007
Education
CQUniversity 2003 — 2005
Master in Information Systems, Information Technology
Osmania University 1999 — 2002
Bachelor in Compluter Applications, Information Technology
Senior Whole Health November 2014 - Present
Humana November 2013 - October 2014
UnitedHealth Group December 2007 - November 2013
Horizon Blue Cross Blue Shield of New Jersey March 2007 - December 2008
Beth Israel Deaconess Medical Center July 1999 - June 2000
Albany Medical Center July 1996 - June 1999
Skills
Six Sigma, MBA, Board Certified-..., Managed Care, Medicine, Disease Management, Medicaid, Medicare, Healthcare Consulting, Health Policy, Healthcare Industry, Physicians, Healthcare Management, Healthcare Information..., Utilization Management, Healthcare, EMR, HIPAA, Cross-functional Team..., Provider Relations, EHR, Informatics, Revenue Cycle
Education
Cornell University - S.C. Johnson Graduate School of Management 2002 — 2004
MBA, General Management
St. George's University School of Medicine 1992 — 1996
Medicine
Colgate University 1984 — 1988
Bachelors in Science, Economics
North Shore-LIJ Health System June 2014 - Present
HealthTronics, Inc. December 2013 - May 2014
Horizon Blue Cross Blue Shield of New Jersey September 2013 - December 2013
EmblemHealth December 2009 - September 2013
United BioSource Corporation November 2008 - May 2009
NetLims June 2007 - November 2008
CGS October 2004 - June 2007
Fuji Photo Film USA, INC July 2002 - October 2004
Ricoh Corporation June 1999 - July 2002
Skills
Visio, SDLC, Process Improvement, Requirements Analysis, PMP, Business Analysis, Project Management, Quality Assurance, Program Management, Vendor Management, PMO, Software Project..., Integration, MS Project, SQL, Six Sigma, Cross-functional Team..., Software Documentation, Requirements Gathering, Software Development, Certified Scrum Master, Testing, SharePoint, Business Process, ITIL, Troubleshooting, Databases
Education
DeVry University
Bachelor of Science, IT Management
DeVry Institute
Associates of Applied Science, Electronics Engineering Technology
Scrum Alliance
Horizon Blue Cross Blue Shield of New Jersey September 2010 - January 2014
Horizon Blue Cross Blue Shield of New Jersey January 2004 - September 2010
Horizon Blue Cross Blue Shield of New Jersey March 1999 - January 2004
Skills
Management, Process Improvement, Operations Management, Leadership, Vendor Management, Change Management, Team Building, Customer Service, Strategic Planning, Call Centers, Customer Satisfaction, Analysis, Leadership Development, Talent Management, Coaching, Medical Billing, Open Enrollment, Provider Relations, Service Provider..., Strategic Communications, Strategic Partnerships, Problem Solving, Performance Management, Performance Appraisal, Key Performance..., Vendor Relationships, Leading Change, Communication Skills, Resource Management, Remediation, Budget Monitoring, Quality Management, Team Leadership, Cross-functional Team..., Budgets, Staffing Plans, Staff Development, Temporary Staffing, Cross-functional..., Lead Change, Business Process..., Risk Management, Labor Relations, Partnering, commuications, team le
Education
Central State University
BA, Communications
Seton Hall University
MPA, Health/Health Care Administration/Management
MR Littlejohn Consulting,LLC February 2010 - Present
International Profit Associates November 2008 - May 2010
Ferraez Automotive Group November 2002 - October 2008
Horizon Blue Cross Blue Shield of New Jersey September 1992 - October 2002
St. Luke's-Roosevelt Hospital January 1988 - September 1992
Skills
Six Sigma, Operations Management, TQM, Resource Management, Budget Preparation, Expense Control, P&L responsibility, Process Improvement, Process Engineering, Business Process..., Management Consulting, Problem Solving, Business Analysis, Quality Management, Continuous Improvement, Forecasting, Cost Reduction
Education
Villanova University 2009 — 2010
Masters Program, Six Sigma
Dartmouth College 1978 — 1982
Bachelors of Art, Mathematics and Engineering Sciences
East Orange High School 1974 — 1978
Horizon Blue Cross Blue Shield of New Jersey May 2015 - Present
New York Life Insurance Company February 2007 - February 2015
New York Life Insurance Company June 2004 - February 2007
New York Life Insurance Company February 1998 - June 2004
Skills
Fixed Annuities, Project Management, Team Leadership, Customer Service, Strategic Planning, Mutual Funds, Business Analysis, Vendor Management, Financial Services, Management, Training, Leadership, Life Insurance, Customer Relations, Series 6, Finance, Retirement, Marketing Strategy, Product Development, Analysis, Variable Annuities, 401k, Production Support, Strategy, Long-term Care, Systems Improvement
Education
DeVry University 2004 — 2008
Bachelor of Science (B.Sc.), Technical Management
United Health Group June 2014 - Present
QualCare Inc. January 2013 - March 2014
Horizon Blue Cross Blue Shield of New Jersey November 2011 - November 2012
Horizon Blue Cross Blue Shield of New Jersey January 2009 - December 2011
Independent Blue Cross PA April 2009 - September 2011
Superior Court NJ August 2005 - September 2008
J.P. Morgan August 2005 - September 2006
EmblemHealth April 2004 - June 2005
Pudential 1996 - 2000
Skills
SDLC, Project Management, Business Analysis, Conflict Resolution, Vendor Management, Migration Projects, SharePoint, Microsoft Project, Planview, Budget Management, HP Quality Center, JIRA, Clarity, Program Management, Quality Assurance, Quality Center, Requirements Analysis
Education
City University of New York-College of Staten Island
University of Calcutta
Horizon Blue Cross Blue Shield of New Jersey June 2012 - Present
Horizon Blue Cross Blue Shield of NJ January 2009 - June 2012
Infosys Technologies Ltd 2008 - June 2012
Time Warner Cable June 2007 - August 2007
Skills
SQL Server, Oracle SQL, Business Analysis, Requirements Analysis, Business Process, Integration, SQL, SDLC, Visio, Microsoft SQL Server, Process Improvement, Software Project..., Requirements Gathering, Vendor Management
Education
Syracuse University 2004 — 2008
BS, Computer Engineering
City University London 2006 — 2007
BS, Computer Engineering
Horizon Blue Cross Blue Shield of New Jersey January 2009 - Present
Cendant 2005 - 2008
GE Capital 1998 - 2000
Skills
SAS, SAS programming, Java, Data Analysis, Statistical Data..., Data Mining, Unix, SAS Certified Base..., Unix Shell Scripting, Perl, Trend Analysis, Demand Forecasting, Sybase, SAS EG, Regression Analysis
Education
New Jersey Institute of Technology
Master of Science (M.S.), Computer Science
Cochin University of Science and Technology
Master of Science (M.Sc.), Operations Research and Computer Applications
Savoy Associates February 2013 - Present
Savoy Associates January 2010 - February 2013
Horizon Blue Cross Blue Shield of New Jersey April 2007 - May 2009
Wellpoint Anthem 2000 - 2007
Skills
Health Insurance, Disability Insurance, Health Savings Accounts, Insurance, Employee Benefits
Education
City University of New York-College of Staten Island
IBM/Collabera November 2012 - November 2014
IBM/Artec July 2010 - April 2012
City of Chicago/Sofbang January 2010 - March 2010
Horizon Blue Cross Blue Shield of New Jersey September 2009 - October 2009
Blue Cross Blue Shield of Illinois June 2002 - June 2009
Blue Cross Blue Shield of Illinois/Innovative Systems Group January 2001 - June 2002
Dynax/Transamerica October 2000 - January 2001
USG Corporation November 1999 - September 2000
Mutual Trust Life Insurance Company March 1999 - November 1999
Andersen Consulting, LLP May 1998 - March 1999
Skills
CICS, COBOL, DB2, Databases, JCL, SQL, VSAM, Mainframe, Business Analysis, SDLC, Testing, Information Technology, Visio, Integration, Training, Consulting, Project Management
Education
Columbus State University 1996 — 1996
Bachelor's Degree, Applied Computer Science
Lewis University 1987 — 1991
Bachelor's Degree, Liberal Arts
Citi August 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2008 - January 2010
Investors Group January 2007 - July 2008
Concordia University June 2005 - December 2006
Skills
Financial Modeling, Risk Management, Derivatives, VBA, Access, Finance, Fixed Income, Treasury, Swap Trading, Cash Management, Automation, Bloomberg, Microsoft Excel
Education
Concordia University 2005 — 2009
Master, Finance
Concordia University 2002 — 2005
Bachelor, Finance
Cognosante October 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2012 - May 2013
Horizon Blue Cross Blue Shield of New Jersey November 2011 - December 2012
Horizon Blue Cross Blue Shield of New Jersey August 2008 - February 2009
Skills
Medical Records, HIPAA, Healthcare, Health Insurance, Retail Sales, Customer Oriented, Customer Satisfaction, Customer Retention, Customer-focused, Field Work, Ground Transportation, Training, Travel, Community Outreach
Education
College of Saint Elizabeth 1999 — 2001
Business/Corporate Communications
Guardian Life September 2015 - Present
Independence Blue Cross November 2014 - September 2015
Horizon Blue Cross Blue Shield of New Jersey November 2011 - November 2014
Wells Fargo November 2010 - November 2011
Skills
Licensed Life & Health..., Project Management, Sales, Advertising, Marketing Communications, Digital Marketing, Social Media Marketing, Direct Marketing, Integrated Marketing, Online Advertising, Marketing Strategy, Media Planning, Email Marketing, Marketing, Social Media, Direct Mail, Creative Direction, Copywriting, Work At Home
Education
Coastal Carolina University 2005 — 2009
B.B.A. in Marketing, Business - Marketing
Horizon Blue Cross Blue Shield of New Jersey June 2015 - Present
RBC Capital Markets December 2014 - June 2015
Research Foundation of The City University of New York July 2013 - November 2014
Skills
Business Continuity..., Emergency Management, Disaster Recovery, Team Leadership, Project Management, Research, Public Speaking, Time Management, Microsoft Office, Community Outreach, PowerPoint, Microsoft Word, Teamwork, Leadership, Social Media, Microsoft Excel, Event Planning, Social Networking, Management
Education
City University of New York-John Jay College of Criminal Justice 2013 — 2015
Master of Public Administration (M.P.A.), Crisis/Emergency/Disaster Management
City University of New York-John Jay College of Criminal Justice 2013 — 2014
Master of Science (M.S.), Crisis/Emergency/Disaster Management
City University of New York-John Jay College of Criminal Justice 2013 — 2014
Advanced Certificate, Terrorism Studies
State University of New York College at Oneonta 2009 — 2012
Bachelor of Science (B.S.), Sociology, Criminal Jusitice
The Guardian Life Insurance Company of America October 2004 - Present
Horizon Blue Cross Blue Shield of New Jersey October 1999 - October 2004
Bronx Lebanon Hospital September 1998 - October 1999
Oxford Health Plans March 1997 - September 1998
Empire Blue Cross Blue Shield March 1980 - July 1996
Skills
Provider Relations, Managed Care, Microsoft Office, Team Leadership, Health Policy, Training, Medicaid, Leadership, Insurance, Medicare, Health Insurance, Network Development, Healthcare, PPO
Education
City University of New York-Herbert H. Lehman College
Bachelor of Science, Health Services Administration
Valeant Pharmaceuticals October 2014 - February 2015
Dr. Dalena & Dr. Blumburg, LLC October 2006 - March 2012
Horizon Blue Cross Blue Shield of New Jersey October 2001 - October 2006
Horizon Blue Cross Blue Shield of New Jersey October 1997 - October 2001
Summit Medical Group December 1996 - October 1997
Skills
Healthcare
Education
County College of Morris 2012 — 2014
Radiology Technical Program, 4.0
Sanford Brown Institute 2005 — 2007
Nationally Certified Medical Assistant, Medical Assistant, 4.0
Orange Beauty School 1990 — 1991
License, Cosmetology
Union County College 1988 — 1989
Nursing
San Francisco Health Plan March 2013 - Present
San Francisco Health Plan June 2011 - Present
DGA Partners June 2008 - April 2011
Horizon Blue Cross Blue Shield of New Jersey May 2007 - August 2007
Agency for Healthcare Research and Quality June 2006 - August 2006
Education
Cornell University 2006 — 2008
Masters in Health Administration, Health Adminstration
Cornell University 2002 — 2006
Bachelors of Arts, Economics, Biology
PPL Corporation May 2015 - Present
Create A Fantasy January 2015 - Present
Express Scripts April 2014 - December 2014
Horizon Blue Cross Blue Shield of New Jersey June 2000 - January 2014
Horizon Blue Cross Blue Shield of New Jersey June 2000 - January 2014
Skills
SharePoint, MS Project, Business Requirements, Software Documentation, Visio, Customer Service, Time Management, Administrative..., Program Management, Process Improvement
Education
College of Saint Elizabeth 2008 — 2010
Masters, Management - Organizational Change
The College of New Jersey 2000 — 2005
Bachelors, Communication Studies/ Psychology
Horizon Blue Cross Blue Shield of New Jersey 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2006 - 2011
Aetna 1999 - September 2006
Skills
Underwriting, Insurance, Property & Casualty..., Claim, Health Insurance, Commercial Lines, Reinsurance, Commercial Insurance, Brokers, Workers Compensation, Claims Management, General Insurance
Education
County College of Morris
Associate of Arts (AA), Business Administration and Management, General
UnitedHealthcare March 2013 - Present
CAMcare Health Corp. January 2014 - August 2014
Horizon Blue Cross Blue Shield of New Jersey April 2011 - March 2013
South Jersey Healthcare June 2006 - April 2011
Skills
Healthcare, Clinical Research, Hospitals, Case Management, Software Documentation, Leadership, Inpatient, Health Education, Quality Improvement, Medical Records, Research, Databases, HIPAA, Medicaid, Medicare, Nursing, Healthcare Information..., HEDIS, EMR, EHR, Patient Safety, Healthcare Consulting, Medical Terminology, Acute Care, Patient Advocacy, Patient Education, Medical/Surgical, Physician Relations
Education
Cumberland County College 2002 — 2006
AAS Nursing, Registered Professional Nurse
Anthem July 2015 - Present
Anthem, Inc. February 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2004 - February 2014
Skills
Home Care, Hospitals, Medical Billing, Revenue Cycle, Provider Relations, HIPAA, EMR, Clinical Research, Healthcare Industry, Inpatient
Education
College of Saint Elizabeth
MS in HealthCare Management, Healthcare
Kean University
BSN, Nursing
OptumInsight/UnitedHealthcare November 2009 - Present
The Jacobson Group December 2008 - Present
Horizon Blue Cross Blue Shield of New Jersey July 2006 - October 2008
Skills
Medicaid, Healthcare Management, Managed Care, Healthcare, Hospitals, Health, Nursing, Compliance, Policy, Process Improvement, Clinical, Mentoring, Strategic Planning, Change Management, Risk Management, Team Building, EMR, Operations Management, Physical Therapy, Coaching, Customer Service, Data Analysis, Administration, Customer Relations, Documentation, Performance Improvement, Contract Negotiations, Problem Solving, Strategic Leadership, Public Speaking, Clinical Research, Contract Negotiation, HIPAA, Healthcare Information..., Leadership, Revenue Cycle, Software Documentation
Education
Delaware Technical and Community College-Stanton-Wilmington 2004 — 2006
Allied Health - Nursing, Nursing
Georgia Perimeter College 1996 — 1998
Business Administration, Office Management/Accounting
EmblemHealth May 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2009 - August 2010
Horizon Blue Cross Blue Shield of New Jersey March 2008 - August 2009
Horizon Blue Cross Blue Shield of New Jersey June 2007 - March 2008
Guardian Life Insurance Company of America September 2006 - June 2007
Lenox Hill Hospital 2003 - 2005
Skills
Software Documentation, Process Improvement, Business Process..., Training, Leadership, Analysis, Integration, Management, Performance Management, Call Centers, Team Leadership, Testing, Budgets, Forecasting, Strategic Planning, Customer Satisfaction, Business Development, Enterprise Software, Customer Service, Healthcare, Managed Care, Health Insurance, Medicare
Education
CUNY New York City College of Technology 1999 — 2004
Bachelor of Technology (BTech), Computer and Information Sciences and Support Services
IAA October 2014 - Present
Cumberland County Guidance Center, Millville, NJ May 2013 - Present
Cumberland County Board of Social Services December 2013 - October 2014
Horizon Blue Cross Blue Shield of New Jersey January 2011 - September 2012
AtlantiCare October 2001 - January 2011
Prudential AARP May 1990 - July 1999
Skills
Insurance, Health Insurance, HIPAA, Employee Benefits, Process Improvement, Software Documentation, Claim, File Management, Access, Outlook, Healthcare Information..., Claims Management, Customer Service, Microsoft Excel, Microsoft Word, Data Entry, CPT, Lotus Notes, Claims Resolution, Claims Handling, Payroll, Medical Coding, Benefits Administration, ICD-9
Education
MIillville Senior High 1978 — 1982
Cumberland County College
Associate's degree, Accounting
Horizon Blue Cross Blue Shield of New Jersey 2010 - 2011
EMPIRE MEDICARE SERVICES/NGS February 2002 - November 2008
EMPIRE BLUE CROSS AND BLUE SHIELD March 1990 - January 2002
Skills
Customer Service, Microsoft Word, Microsoft Excel, Data Entry, Medical Records, Medical Billing, Business Correspondence
Education
CUNY Bronx Community College 2009 — 2009
Professional Certificate, Medical Billing and Reimbursement Specialist, A
Delehanty High School 1973 — 1977
High School Diploma
CarePoint Health Plans September 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey July 2008 - June 2012
HIP Health Plan of NY December 1997 - June 2008
New York State Psychiatric Institute June 1987 - November 1997
Skills
Quality Management, Quantitative Research, Quantitative Analytics, Quality Auditing, Quality Control, Medicare, Data Analysis, Report Writing, Healthcare, Healthcare Industry, Health Information..., Public Health, Qualitative Research, Chronic Care Management, Prevention, Key Performance..., Trend Analysis, Medicaid, Quality Improvement, HEDIS, NCQA, Program Management, Credentialing, Healthcare Information..., Disease Management, HMO, Informatics, Health Insurance, Health Care Reform, Medical Compliance, Patient Safety, Healthcare Consulting, Health Policy, Utilization Management, Provider Relations, EMR, Physician Relations, HIPAA, Clinical Research, Physicians, Revenue Cycle, EHR, Hospitals, Medicaid Managed Care, Pharmacy Benefit..., Nursing, Medicare Part D, Policy, Performance Improvement, Case Managment
Education
Columbia University in the City of New York 1984 — 1996
Doctor of Public Health, Epidemiology
University of Buenos Aires 1973 — 1976
Bachelor of Pharmacy (BPharm)
Self-employed 2008 - 2010
Horizon Blue Cross Blue Shield of New Jersey March 1998 - May 1999
Skills
Customer Service, Office Administration, Sales Operations, Direct Sales, Sales Management, Customer Satisfaction, Staff Supervision, Interpersonal Leadership, Interpersonal..., Computers, Team Leadership, Cross-functional Team..., Educational Leadership
Education
DeVry University 1999 — 2000
Telecommunications Management
Catholic Charities of Essex County 1998 — 1999
Certificate of Nursing Assistant, Practical Nursing, Vocational Nursing and Nursing Assistants
GEICO May 2010 - Present
TriZetto Corporation December 2008 - May 2010
Horizon Blue Cross Blue Shield of New Jersey August 2002 - September 2008
GHI April 2000 - August 2002
Chubb Insurance December 1990 - April 2000
Prudential Financial May 1985 - December 1990
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, English, Windows, Outlook, Public Speaking, Negotiation, Fraud
Education
John Jay College of Criminal Justice 1983 — 1985
BS Criminal Justice, Criminal Justice/Police Science
Middlesex County College 1981 — 1983
AS Criminal Justice, Criminal Justice/Police Science
Horizon Blue Cross Blue Shield of New Jersey June 2006 - Present
Education
DeVry University-New Jersey 2011 — 2015
Computer Systems Networking and Telecommunications
HBCBSNJ February 2006 - Present
Horizon Blue Cross Blue Shield of New Jersey 2006 - Present
Skills
Health Insurance, Call Centers, Access, Insurance, Customer Service
Education
DeVry University-New Jersey
Bachelor of Science (BS), Telecommunications Management