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
Express-Scripts, formerly Medco November 2007 - Present
Horizon Blue Cross Blue Shield of NJ January 2006 - November 2007
Horizon Blue Cross Blue Shield of New Jersey January 2001 - December 2005
Skills
Healthcare, Employee Benefits, Leadership, Customer Satisfaction, Managed Care, Insurance, Account Management, Cross-functional Team..., Health Insurance, Vendor Management, Contract Negotiation, Forecasting, Process Improvement, Strategic Planning, Team Building, Marketing, Negotiation, Customer Service, Management, New Business Development, Operations Management, Human Resources, Sales, Strategy, Customer Retention, Selling, Sales Management, Business Development, Business Planning, Budgets, CRM, Pricing
Education
St. Peter's College 2005 — 2007
M.B.A, Management 2007
Drew University 1986 — 1990
B.A, Economics
New Jersey State Life and Health Producers
Pak Pao July 2015 - Present
Gordon & Ress March 2015 - Present
Midnight Rodeo, Dallas January 2015 - April 2015
Crocker & Associates July 2014 - March 2015
Hopdoddy September 2014 - January 2015
Kobe Japanese Steakhouse November 2013 - April 2014
U.S. Army Reserve September 2008 - January 2013
Pacific Sunwear July 2005 - February 2008
Horizon Blue Cross Blue Shield of New Jersey November 2001 - September 2004
Skills
Customer Service, Research, Sales, Legal Research, Family Law, Bankruptcy, Torts, Criminal Justice, Outlook, Data Entry, Microsoft Word, PowerPoint, Microsoft Office, Microsoft Excel, Public Speaking, Time Management, Leadership, Training, Access, Editing, Event Planning, Process Scheduler, Teamwork, Legal Writing, Social Media, Management
Education
El Centro College 2013 — 2014
Associate's degree, Paralegal, 3.9
Ocean County College 1999 — 2001
Associate's degree, Liberal Arts and Sciences, General Studies and Humanities, 3.2
Horizon Blue Cross Blue Shield of New Jersey July 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2007 - July 2011
Horizon Blue Cross Blue Shield of New Jersey April 2005 - July 2007
Horizon Blue Cross Blue Shield NJ April 2002 - April 2005
Skills
Employee Benefits, Employee Relations, PeopleSoft, HRIS, Onboarding, Outlook, Healthcare, Human Resources, Deferred Compensation, Personnel Management, Management, New Hire Orientations, Strategy, Access, Leadership, Coaching, Performance Management, Team Building
Education
St. Peter's University 2008 — 2014
BSBA Healthcare Management Concentration
Fairleigh Dickinson University
CEBS – Human Resources and Compensation Management
Florida Hospital September 2013 - Present
Florida Hospital October 2011 - September 2013
Horizon Blue Cross Blue Shield of New Jersey June 1999 - December 2007
Skills
Nursing, Hospitals, Cpr Certified, Healthcare, Critical Care, PCU, ICU, Healthcare Management, BLS, Acute Care, ACLS, Cerner, Medication..., IV, Telemetry, Vital Signs, Inpatient, CPR Certified, EMR
Education
The University of Texas at Arlington 2012 — 2013
BSN, Registered Nursing/Registered Nurse
Essex County College 2008 — 2011
Associate of Science (A.S.), Nursing
University of South Alabama
MSN, DNP, Family Nurse Practitioner
University Hospital Newark New Jersey January 2012 - Present
UMDNJ January 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2008 - May 2009
Horizon Blue Cross Blue Shield of New Jersey February 2000 - May 2009
Skills
Healthcare, HIPAA, Hospitals, Credentialing, Health Insurance, Managed Care, Healthcare Information..., Medicaid, Medicare, Healthcare Management, Access, HMO, Microsoft Excel, EMR, PPO, NCQA, Documentation, Physicians, COBRA administration, Microsoft Office, The Joint Commission..., PowerPoint, Outlook Express, Lotus Notes, Employee Training, The Joint Commission, JotForms
Education
Dowling College 2000 — 2002
Business Administration and Management, General, A
Newark Business Institute 1998 — 1999
Business Adminstration, A
Bloomfield College Bloomfield NJ 1986 — 1988
Registered Nursing/Registered Nurse
Horizon Blue Cross Blue Shield of New Jersey June 2011 - Present
Riverhead High School 2006 - 2011
Skills
Public Speaking, Management, Leadership, Project Management, Process Improvement, Research, Customer Service, SharePoint, Microsoft Office, Training, Claims, Billing, Enrollment
Education
Dowling College 2004 — 2006
Master's degree, Secondary Education and Teaching
Manhattanville College 2000 — 2004
Bachelor's degree, History & Management
Essex County Div of Welfare December 2014 - Present
Champions in Action June 1999 - Present
PSEG December 2009 - December 2014
CVS Caremark Corporation 2012 - 2012
Stop & Shop 2007 - 2008
Horizon Blue Cross Blue Shield of New Jersey January 2005 - January 2007
Skills
Platforms: Windows..., Leadership, Supervisory Skills, Training
Education
Essex County College 1998 — 2015
N/A, Criminal Justice/Safety Studies
WEST SIDE HIGH 1994 — 1998
DIPLOMA, General
Optimal Cleaning Solutions, LLC. February 2013 - Present
Self-employed 2013 - 2013
Horizon Blue Cross Blue Shield of New Jersey July 2011 - July 2012
Skills
Carpet Cleaning, Window Cleaning, Floor Cleaning, Hardwood Flooring, Residential Homes, Commercial Real Estate, Janitorial, Custodial Services, Customer Service, Communication, Carpet, Office Buildings, New Store Openings, Clean Outs, tenent removal, crime scene clean up, Fire and water damage..., Mold Remediation, waste removal, tile scrub deep clean, Buffing, Waxing, Polishing, high dusting, extermination clean up, dust removal, Performance Improvement, Professional Mentoring, Executive Management
Education
Essex County College 2010 — 2011
Practical Nursing, Nursing Administration
Horizon Blue Cross Blue Shield of New Jersey January 2004 - Present
Skills
Health Insurance, Insurance, Medicare, Claim, Medicaid, Process Improvement, Managed Care, HIPAA, PeopleSoft, Employee Benefits, Sarbanes-Oxley Act, Access
Education
Malcolm X Shabazz High School 1985 — 1989
Essex County College
Sogeti June 2009 - Present
Mercedes-Benz USA April 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey February 2013 - March 2013
Jackson Hewitt August 2012 - January 2013
Baltimore Gas & Electric September 2009 - March 2012
Educate Online, Inc. August 2009 - September 2009
Selective Insurance June 2008 - August 2008
Sam's Club June 2006 - August 2007
Residential Home Funding June 2005 - August 2005
Gianettino & Meredith Advertising June 2004 - August 2004
Skills
Integration, Testing, Unix, Oracle, Quality Center, Quality Assurance, SQL, System Administration, Regression Testing, Requirements Analysis, SDLC, Databases, Test Automation, System Testing, Test Planning, System Deployment, Manual Testing, Java, Management, Test Cases, QTP, Software Project..., Technical Architecture, Web Applications, User Acceptance Testing, .NET, Enterprise Architecture, LoadRunner, Linux, Business Requirements, ALM, Performance Center, UFT, Photoshop, Selenium, Visual Studio, C#, Android, Database Tools, PMO, Business Analysis, Requirements Gathering, Project Management, Data Migration, SharePoint, Enterprise Software, Quality Control, Automated Software..., Deployment
Education
University of Delaware 2007 — 2009
BS Management Information Systems, Finance
Elon University 2006 — 2007
BS CIS, Computer Programming
Pope John XXIII 2001 — 2005
High School
Horizon Blue Cross Blue Shield of New Jersey April 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2014 - April 2015
Horizon Blue Cross Blue Shield of New Jersey July 2013 - September 2014
Summit Medical Group of Berkeley Heights, NJ November 2011 - June 2013
CareOne at Livingston Assisted Living December 2010 - November 2011
CareOne Management LLC April 2010 - December 2010
Barnabas Health August 2009 - April 2010
TMP Worldwide 1994 - 1997
Skills
Nursing, BLS, Internal Medicine, Healthcare Management, Hospitals, Healthcare, EMR, Managed Care, Cpr Certified, Health Education, Enterprise EHR -..., Family Practice, eClinical Works, Athena, Medicine, Physicians, EHR
Education
Rutgers University 2012 — 2015
Master's degree, Clinical Nurse Leader
Duke University 2013 — 2013
Essentials of Care Coordination of Populations and Individuals
Essex County College 2007 — 2009
Associate in Science, Nursing
Framingham State College 1984 — 1988
B.A., Economics
Horizon Blue Cross Blue Shield of New Jersey June 2013 - Present
BETHANY CARES INCORPORATED June 2007 - November 2011
BETHANY CARES INCORPORATED May 2006 - November 2011
Skills
Customer Service, Research, Non-profits, Public Speaking, Community Outreach, Administrative..., Consultants, Nonprofits, Leadership, Management, Change Management, Social Media, PowerPoint, Training, Resume Writing, Human Resources, Process Improvement, Program Management, Policy, Interviews, Recruiting, Organizational..., Microsoft Office, Microsoft Excel, Networking, Teamwork, System Administration, Budgets, Healthcare, Marketing, Public Relations, Team Building, Coaching, Leadership Development, Financial Analysis, Sales, Project Planning, Team Leadership, Teaching, Administration, Strategic Planning, Outlook, Project Management, Time Management, Employee Relations, Editing, Employee Benefits, Proposal Writing, Government
Education
Essex County College
Healthfirst August 2014 - Present
Magellan Behavioral Health June 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2008 - February 2012
Horizon Blue Cross Blue Shield of New Jersey February 2001 - January 2008
Horizon Blue Cross Blue Shield of New Jersey November 1999 - February 2001
Horizon Blue Cross Blue Shield of New Jersey January 1995 - January 1999
National Prescription Administrators January 1994 - January 1995
Prescription Counter i January 1993 - January 1994
Skills
Strategic Planning, Healthcare, Employee Benefits, HIPAA, Organizational..., Training, Visio, Insurance, Healthcare Industry, Medicaid, Call Centers, Claim, HMO, Quality Improvement, Medical Billing, Recruiting, Hospitals, Claims Management, Performance Improvement, Coaching, Physician Relations, Performance Management, Leadership Development, Leadership, Managed Care, Health Insurance, Medicare, Microsoft Office, Healthcare Management, Customer Service
Education
University of Phoenix 2006 — 2008
Bachelors of Science, Health/Health Care Administration/Management
Essex County College 1991 — 1995
Associates Degree, Biology/Pre med
SCIENCE HIGH SCHOOL 1984 — 1988
Diploma, College prep
Bristol-Myers Squibb January 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2010 - 2011
Magic Hat Consulting 2010 - 2010
Magic Hat Consulting 2010 - 2010
TD Bank 2005 - 2010
VCS Group 2004 - 2005
CompuCom 1989 - 2003
Skills
IT Project Management, Disaster Recovery, IT Management, Business Analysis, ITIL, SDLC, Program Management, IT Strategy, Project Portfolio..., Process Improvement, Requirements Analysis, PMP, IT Service Management, Project Management, Software Documentation, Information Technology, Digital Media, Mobile Applications, Mobile Devices, Mobile Technology, Mobile Design, Mobile Communications, Mobile Internet, PMO
Education
Drexel University - College of Business and Administration
Project Management
UnitedHealth Group May 2013 - Present
KnowledgePoint360 Group February 2012 - February 2013
Chartis June 2011 - February 2012
Chubb Insurance December 2008 - June 2011
TriZetto Corporation August 2002 - April 2008
Horizon Blue Cross Blue Shield of New Jersey November 2001 - September 2002
Skills
Business Analysis, SDLC, Databases, Quality Assurance, SQL, Software Documentation, Project Management, Requirements Analysis, Agile Methodologies, Visio, Integration, Business Requirements, Process Improvement, Microsoft SQL Server, Quality Center, Regression Testing, Software Project..., Requirements Gathering
Education
DeVry University
Pursuing BS Computer Information Systems, Computer and Information Systems
Kaizen Technologies
QTP AUTOMATION
A new company coming soon......have the LLC and several other beginnings! August 2013 - Present
Thomas Edison State College February 2012 - August 2013
TD Bank November 2010 - August 2011
TD Bank Group 2007 - 2011
TD Bank August 2007 - November 2010
PNC August 2005 - July 2007
Business Banker - PNC Bank February 2005 - July 2007
Paychex March 2003 - February 2005
Mark S. Glick March 2003 - February 2005
Horizon Blue Cross Blue Shield of New Jersey October 1998 - March 2003
Skills
Team Leadership, Sales Management, Leadership Development, Analysis, Account Management, Budgeting, Team Building, Business Analysis, Business Strategy, Business Planning, Business Management, Coaching, Customer Service, Contract Negotiation, Product Development, Employee Relations, Education, Financial Analysis, Healthcare, Insurance, Innovation, Knowledge Management, Key Account Management, Microsoft Office, Negotiation, Social Networking, New Business Development, Operations Management, Organizational..., Photoshop, PowerPoint, Planning, Quality, Quickbooks, Customer Relations, Strategic Planning, Problem Solving, Team Management, Health Insurance, Payment Processing, Small Business, Executive Management, Business Process..., Marketing, Entrepreneurship, Employee Benefits, Banking, Fundraising, Human Resources, Management
Education
Dowling College 2001 — 2003
MBA, Business
Dowling College 2001 — 2003
MBA Business, Business Administration, Management and Operations
Saint John's University 1992 — 1996
BS, Criminal Justice/Para Legal
St. John's University 1992 — 1996
BS, Criminal Justice
UnitedHealth Group March 2015 - Present
HMS August 2010 - March 2014
Horizon Blue Cross Blue Shield of New Jersey August 2003 - July 2010
Express Scripts 2002 - 2003
Rite Aid June 1993 - February 2002
Skills
Pharmacy Benefit..., Pharmacists, Team Building, Pharmacy, Managed Care, Healthcare, Medicare Part D, Patient Safety, Medicaid, Medicare, Pharmacueticals, Patient Counseling, Healthcare Industry, Prescription, HIPAA, Ambulatory Care, Medicaid Managed Care, Accountability, Decision Making, BLS
Education
Duquesne University 1988 — 1993
Bachelor of Science, Pharmacy
Dressed for Success
Senior Technology Leader September 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2013 - September 2014
GlaxoSmithKline June 2011 - August 2013
HP Enterprise Services May 2010 - May 2011
Worktime Fitness May 2008 - June 2010
HP Enterprise Services June 2009 - May 2010
HP Enterprise Services April 2004 - May 2009
Mercantile Bankshares December 2002 - April 2004
Commerce One February 1999 - November 2002
Red Door Technologies September 1995 - February 1999
Skills
IT Strategy, Risk Management, Software Development..., Program Management, Strategic Planning, Integration, Project Management, Data Center, Enterprise Architecture, Business Intelligence, SaaS, Outsourcing, Governance, CRM, PMP, Business Process, Enterprise Software
Education
Duke University - The Fuqua School of Business 2007 — 2008
MBA, Marketing and Strategy
San Diego State University-California State University 1988 — 1993
Business - Marketing
Horizon Blue Cross Blue Shield of New Jersey
Skills
Claims Handling, Claim Investigation, Claims Management, Health Insurance, Claim, Insurance, Medicare, Property, Liability, Workers Compensation, Customer Service, Microsoft Excel, Program Management, Microsoft Office, Strategic Planning
Education
Essex County College 2005 — 2005
No, Business Administration and Management, General
PA Department of Environmental Protection December 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2006 - January 2010
GNC December 2005 - August 2006
ITT May 2004 - November 2005
US Army August 1999 - April 2004
Epix Internet Services September 1997 - August 1998
Skills
Microsoft Word, PowerPoint, Microsoft Excel, Microsoft Office, Customer Service, AutoCAD, LaTeX, Matlab, C++, Teamwork, Supervisory Skills, Report Writing, Data Mining, Access, Data Analysis, Management, Public Speaking, Research, Troubleshooting, Leadership, Process Improvement
Education
University of Scranton 2011 — 2013
Bachelor of Science (B.S.), Physics, 3.41
Essex County College 2009 — 2010
Associate of Science (A.S.), Mathematics, 3.85
Weichert, Realtors July 2007 - Present
Horizon Blue Cross Blue Shield of New Jersey July 1989 - January 2014
Skills
SDLC, IT Management, Business Analysis, Disaster Recovery, Vendor Management, IT Strategy, Visio, SharePoint, PMP, ITIL, Requirements Analysis, PMO, Process Improvement, Project Portfolio...
Education
Dowling College 1999 — 2001
Master of Business Administration (MBA), Business Administration and Management, General
Upsala College 1982 — 1987
Bachelor of Arts (BA), Communication, Biology
Horizon Blue Cross Blue Shield of New Jersey January 2014 - Present
HHI BCBS January 2012 - January 2014
Amerigroup Corporation April 2009 - December 2011
Skills
Hospitals, Healthcare, Healthcare Management, Supervisory Skills, Medicaid, Certified Case Manager, Managed Care, Utilization Management, Nursing, HIPAA, Medicare, Home Care, Health Insurance, Disease Management
Education
Duke University 2012 — 2012
Certification, Population Care Coordination
University of Maryland Baltimore County 1979 — 1982
Bachelor's degree, Registered Nursing/Registered Nurse
New you Imagine LLC 2008 - Present
Horizon Blue Cross Blue Shield of New Jersey 2007 - 2008
AglowTech 2003 - 2006
Skills
Microsoft Office, Medical Collection, Training, Customer Service, Medical Terminology, Legal Terminology, HIPAA, Claims Processing, Appeals, Health & Welfare..., Legal Research Skills, Microsoft Excel, Insurance, Microsoft Word, Team Building, PowerPoint, Healthcare, Management, Recruiting, Sales
Education
New Jersey City University 2010 — 2012
Bachelor's of Arts, Psychology & Pre- Law
Essex County College
Associate's degree, Paralegal Studies
Audible, Inc. December 2014 - Present
Lv4 Performance January 2014 - December 2014
Prudential 2006 - 2013
Horizon Blue Cross Blue Shield of New Jersey 2004 - 2006
Lv4 Performance 2001 - 2004
Provant Vertical Market Solutions 2000 - 2001
Diamond Management & Technology Consultants 1999 - 2000
OmniTech Consulting 1996 - 1999
AT&T 1990 - 1996
Skills
Talent Management, Performance Management, Succession Planning, Learning Management, Instructional Design, Training, Organizational..., Change Management, Strategy, Leadership Development, Blended Learning, Organizational Design, Performance Improvement, Strategic Planning, Coaching, Organizational..., Business Process..., E-Learning, Training Delivery
Education
Duke University
BA
Rutgers, The State University of New Jersey - Rutgers Business School
MBA
Horizon Blue Cross Blue Shield of New Jersey 2000 - Present
Horizon Blue Cross Blue Shield of New Jersey 1998 - 2000
Skills
Health Insurance, Provider Relations, Network Development, Managed Care, PPO, HMO, Dental Provider..., Electronic Claims, Electronic Funds..., Certificate of..., Lotus Notes, Microsoft...
Education
University of Phoenix 2005 — 2007
BS, Business Management
Dowling College 1999 — 2005
Horizon Blue Cross Blue Shield of New Jersey April 2006 - August 2013
Skills
Outlook, Management, Microsoft Word, Microsoft Excel
Education
St. Peter's College 2010 — 2012
Bachelors, Social Science & Psychology
Essex County College 2001 — 2003
Associates, Social Science
Boonton High School
Ameriprise Financial Services, Inc. September 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey December 2007 - September 2012
Don Cesar Resort and Spa January 2007 - August 2007
Skills
Microsoft Office, Client Service Oriented, Business Administration, Organizational..., Executive..., PPO, Indemnity, Marketing and Client..., Production Solutions, Implementation Plans, Claim, Insurance, Health Savings Accounts
Education
Georgian Court University 2010 — 2013
Eckerd College 2003 — 2007
Bachelor of Arts, Business Administration
Radisson Hotel Harrisburg November 2006 - Present
Home Depot April 2004 - November 2006
Horizon Blue Cross Blue Shield of New Jersey November 2001 - October 2003
Doral Forrestal 2000 - 2001
Doubletree Somerset 1999 - 2000
Doubletree Hotel Somerset 1997 - 1998
Skills
Yield Management, Revenue Management, Desktop Publishing, PowerPoint, Excel, Joomla, Revenue Analysis, Microsoft Excel, Hotels, Marketing, Marketing Communications, Sales, Customer Service, New Business Development, Sales Management, Account Management, Email Marketing, Marketing Strategy, Customer Satisfaction, Advertising, Customer Retention, Team Building, Online Marketing, Social Media Marketing, Event Management, Leadership, Social Media, Public Speaking, Budgets, Public Relations, Hospitality, Training, E-commerce, Direct Marketing
Education
Elizabethtown College 1993 — 1997
B.S., Business Administration: Marketing
Colonia High School 1989 — 1993
Accenture October 2014 - Present
Accenture June 2012 - October 2014
Chubb Insurance 2010 - 2012
Merrill Lynch 2009 - 2010
CSC - Computer Sciences Corporation 2008 - 2009
Horizon Blue Cross Blue Shield of New Jersey 2005 - 2008
Princeton Informatics, LLP 2003 - 2005
Merrill Lynch 2000 - 2003
AIG 1997 - 2000
CSC - Computer Sciences Corporation 1995 - 1997
Skills
ETL, Metrics, Data Quality, Data Governance, Business Intelligence, Data Profiling, Solution Architecture, Architecture, Technical Leadership, Offshore, Data Warehousing, Master Data Management, Data Integration, Data Modeling, Dimensional Modeling, Data Warehouse..., OLAP, Informatica, Enterprise Architecture, Data Cleansing, Business Intelligence..., Data Management, Cognos, Information Quality, Database Design, Data Migration, Logical Data Modeling, Business Analytics, Netezza, Information Management, EIM, Oracle, Analysis, Access, Enterprise Software, Strategy, Datastage, SDLC, Consulting, Business Analysis, Databases, Information Technology
Education
Drexel University 1982 — 1986
B.S
Drexel University
Bachelor of Science (B.S.) in Computer Science
Horizon Blue Cross Blue Shield of New Jersey February 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2007 - Present
Univera Healthcare December 2006 - September 2007
Unity Health System 2003 - 2006
Medina Memorial Hospital 2002 - 2003
Holy Cross Hospital 2000 - 2002
Arcola Health and Rehab Center 1997 - 2000
Fort Washington Medical Center 1995 - 1997
United Medical Center 1986 - 1995
Strong Memorial Hospital 1986 - 1986
Skills
Critical Care, Customer Service, Medicare, Disease Management, Healthcare, Customer Satisfaction, Microsoft Excel, Microsoft Word, Medicaid, Nursing, Managed Care, Hospitals, CCU, Case Management, Dialysis, ICU, Utilization Management, HIPAA, Registered Nurses
Education
Duke University 2013 — 2013
Certificate, Population Care Coordination, Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
Niagara University 1980 — 1985
Bachelor of Science, Nursing, Nursing
Automatic Data Processing Insurance Agency, Inc. January 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2003 - June 2010
Skills
Notary Public, Salesforce.com, Sales Process, Account Management, Customer Retention, Insurance, Business Analysis, CRM, Process Improvement, Customer Service, Healthcare Management, Workers Compensation, Signing Agent, Direct Sales, Sales Management, Customer Satisfaction
Education
Essex Community College 2014 — 2016
Associate's Degree, Business Administration and Management, General
Horizon Blue Cross Blue Shield of New Jersey October 2005 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2003 - October 2005
Horizon Blue Cross Blue Shield of New Jersey July 1998 - March 2003
Skills
Health Insurance, Insurance, Managed Care, Account Management, Employee Benefits, Underwriting, Brokers, Sales, Claim, Salesforce.com, Customer Service, Disability Insurance, Health Savings Accounts, Life Insurance
Education
Dover Business College 1996 — 1997
Medical assistant
William Paterson University of New Jersey
Horizon Blue Cross Blue Shield of New Jersey March 2013 - Present
Photon April 2011 - February 2013
Digital Orchard September 2009 - April 2011
Avaya September 2005 - August 2009
Spectel October 2001 - August 2005
Web Ireland Magazine January 1998 - January 1999
Owens DBB 1996 - 1997
Skills
User Experience, E-commerce, Mobile Applications, Mobile Devices, Digital Marketing, User Experience Design, Digital Strategy, Usability, Interaction Design, User Interface Design, Agile Methodologies, Usability Testing, User-centered Design, User Interface, B2B, Creative Direction
Education
Kent State University 2015 — 2017
Master’s Degree, User Experience Design
University College Dublin 1999 — 2000
Postgraduate Diploma, Business Information Technology
Dublin Institute of Technology 1998 — 1999
Professional (IAPI) Diploma, Creative Advertising
Dublin Institute of Technology 1994 — 1995
Certificate (IAPI), Advertising Studies
National University of Ireland, Galway 1990 — 1994
Bachelor of Arts, English & Politics
Villanova University
Certificate, Lean Six Sigma, A+
Horizon Blue Cross Blue Shield of New Jersey August 2011 - March 2013
Horizon Blue Cross Blue Shield of New Jersey September 2008 - August 2011
Horizon Blue Cross Blue Shield of New Jersey June 1999 - September 2008
Horizon Blue Cross Blue Shield of New Jersey October 1998 - June 1999
Unity Dental September 1996 - October 1998
Skills
Health Claims, Customer Service, Data Analysis, Microsoft Office, Communication, Project Management, Employee Training, Mentoring, HIPAA, Auditing, Ethics, Healthcare Management, Healthcare Information..., Career Development, Administrative Office..., Problem Solving, NASCO, Sales Support, Organization, Highly Detailed, Written Correspondence, Manage Client..., consultant, Coaching, Health Insurance, Enrollment Management, Open Enrollment, Listening to customers, Patience, Provider Relations, Medical Staff..., Provider Network..., Service Provider..., COBRA, recredentialing, subscriber enrollment, Patient Education, Patient Advocacy, Quality Patient Care, Patient Recruitment, Benefits Administration, Compliance, Provider Education, Telephone Skills, Customer Follow-up, Customer Satisfaction, Customer Retention, Public Health, Patient Administration, Medical Terminology
Education
Rasmussen College-Florida 2012 — 2014
Bachelor of Science (BS), Human Resources Management/Organizational Leadership
Rasmussen College-Florida 2008 — 2010
Associate of Applied Science (AAS), Health Information Technician
Essex County College 2004 — 2008
Associate of Science (AS), Health Science
Empire Technical School 1992 — 1993
Certificate, Dental Assisting, Dental Assisting/Assistant
MIB Mediaworks March 2013 - October 2013
Horizon Blue Cross Blue Shield of New Jersey September 2011 - June 2013
Skills
Editing, Post Production, DVD Studio Pro, Final Cut Pro, Camera, Video, Compressor, Avid Media Composer, Final Cut Studio, Video Editing, Shooting, After Effects, HD, Film Editing, Producing, Soundtrack Pro, Film, Photoshop
Education
Emerson College 2007 — 2009
Bachelor of Arts (B.A.), Visual Media Arts
Podiatry Care Specialists, PC April 2014 - Present
Echo Books, Inc. July 2008 - August 2009
AstraZeneca Pharmaceuticals November 1997 - December 2005
AstraZeneca November 1997 - December 2005
Horizon Blue Cross Blue Shield of New Jersey 1995 - 1997
Princeton Healthcare System 1990 - 1995
Skills
Pharmaceutical Sales, Pharmaceutical Industry, Healthcare Information..., Healthcare, Product Launch, Electronic Health Record, Quality Management, Hospitals, Project Management, Patient Outcomes
Education
Eastern University 2012 — 2012
No degree, Second Degree Bachelor of Science in Nursing, GPA 3.8
La Salle University
MBA, Business Administration
Temple University 1985 — 1988
B.S., Health Information Management
La Roche College 1983 — 1985
No degree, Interior Design
Conestoga Valley High School 1980 — 1983
Academic level of study
Health Republic Insurance of New York August 2015 - Present
Affinity Health Plan November 2014 - August 2015
EmblemHealth October 2013 - November 2014
Horizon Blue Cross Blue Shield of New Jersey July 2010 - October 2013
Horizon Casualty Services June 2008 - July 2010
Horizon Blue Cross Blue Shield of NJ November 2006 - July 2008
NYCE Payments Solutions, LLC June 2004 - November 2006
NYCE Payments Solutions, LLC August 2002 - June 2004
Time Inc. August 2000 - August 2001
Skills
Project Management, Requirements Gathering, Requirements Analysis, Business Analysis, SQL, Requirements Management, Disaster Recovery, Software Documentation, Mainframe, Vendor Management, MS Project, Systems Analysis, Microsoft Office, SDLC, Access, Business Requirements, Business Process, Analysis, Troubleshooting, User Acceptance Testing, Visio, SharePoint, Process Improvement, Integration, TSO, CICS, PMO, Waterfall, Agile Project Management, Business Process Mapping, Quality Assurance, Databases, JCL, Microsoft Project, ITIL, Oracle, Testing, Information Technology, Business Process..., Software Project...
Education
Fairleigh Dickinson University 2015 — 2016
Bachelor’s Degree, Business of Science in Individual Studies
Quality & Productivity Solutions, Inc. 2009 — 2010
Certificate, Process Redesign Greent Belt
The Chubb Institute 1999 — 2000
Certificate, Computer Programming
Weichert Realtors October 2011 - Present
USPS January 2008 - June 2015
Horizon Blue Cross Blue Shield of New Jersey September 2002 - June 2005
First Union National Bank October 2000 - November 2001
Jones Transportation Inc. August 1997 - June 1999
Skills
Research, Organizing, Public Relations, Value Based Selling, Strategic Consulting, Event Management, Business Planning, Promotion Planning
Education
Essex County College
Katherine Gibbs School
Duke University September 2009 - May 2011
Edumed Institute May 2009 - August 2010
Horizon Blue Cross Blue Shield of New Jersey May 2008 - August 2008
Skills
Research, Economics
Education
Duke University 2007 — 2011
BS, Economics, Global Health, Chemistry
West Windsor-Plainsboro HS North
Tiffany & Company October 2014 - Present
The Home Depot September 2014 - November 2014
Horizon Blue Cross Blue Shield of New Jersey November 2010 - September 2014
Skills
Insurance, Management, Leadership, Sales, Healthcare, Claim, Health Insurance, Business Analysis, Medicare
Education
Essex County College 2012 — 2015
Associate of Arts (AA), Criminal Justice
Horizon Blue Cross Blue Shield of New Jersey Concurrent Review NurseHorizon Blue Cross Blue Shield of New JerseyMarch 2005 - Present
Skills
Nursing, Healthcare, Utilization Management, Managed Care, Health, Disease Management, Teaching, Medicare, Healthcare Management, Care Management, NCQA, Health Insurance, Case Management, Health Management, Clinical, HIPAA, ICD-9, CPT, PPO, Insurance, Healthcare Industry, Oncology
Education
Thomas Jefferson University 1991 — 1993
MSN, Clincal Specialist Tract, Critical Care
Fairfield University 1983 — 1987
BSN, Nursing
Fairfield University 1983 — 1987
BSN, Nursing
Horizon Blue Cross Blue Shield of New Jersey September 2011 - November 2014
Meridian Health March 2011 - November 2011
Walt Disney World May 2010 - October 2011
Six Flags Great Adventure April 2011 - August 2011
UPS November 2009 - January 2010
Johnson & Johnson Company October 2007 - October 2008
Quick Chek February 2004 - October 2007
Quick Chek February 2004 - November 2004
Target March 2003 - February 2004
Ascom Transport Systems, Inc October 2001 - March 2003
Skills
Public Speaking, Leadership, Training, Microsoft Office, Interviews, Customer Service, PowerPoint, Microsoft Excel, Strategic Planning, Sales, Team Building, Human Resources, Recruiting
Education
Keller Graduate School of Management of DeVry University 2008 — 2009
MHRM, Human Resource Management
Keller Graduate School of Management
Master, Human Resource Management
DeVry 2006 — 2008
DeVry University
Bachelor of Science, Business Administration; Human Resources
DeVry University
Associate in Applied Science, Computer Information Systems
Horizon Blue Cross Blue Shield of New Jersey 2011 - Present
Medco 2011 - 2011
Travelport (formerly Cendant corporation) 1999 - March 2010
Pfizer 2010 - 2010
NCR 1997 - 1999
Other Industries 1990 - 1997
Skills
Portfolio Management, Business Process..., Streamlining Business..., PMP Certified, Lean/Six Sigma Black..., ITIL Certified, Certified ScrumMaster..., Business Process, PMP, Program Management, Agile Methodologies, Business Analysis, Scrum, Requirements Analysis, PMO, Integration, Enterprise Architecture
Education
AVTECH Institute of Technology
PMI accredited PMP training, PMI PMP Certified
Agile University
Certified ScrumMaster (CSM)
Computer Horizon
ITIL EXIN Certified, ITIL
Fairleigh Dickinson University
MS, Management Information System
Fairleigh Dickinson University
BS, Computer Science
Lockheed Martin
Lean/Six Sigma Black Belt
Horizon Blue Cross Blue Shield of New Jersey May 2015 - Present
Hunterdon Healthcare Partners August 2012 - May 2015
Hunterdon Medical Center March 2012 - August 2012
Milestone Life Sciences 2009 - 2011
Hunterdon Medical Center 2003 - 2009
Advanced Biologics 1999 - 2003
UnitedHealth Group 1996 - 1999
Skills
Clinical Research, Clinical Trials, Hospitals, Healthcare, GCP, Public Health, EHR, CRO, CTMS, Healthcare Information..., Managed Care, Nursing, EMR, ICH-GCP, EDC, Infectious Diseases, Cardiology, Cancer, Oncology, Patient Safety, Therapeutic Areas, Medical Education, Informatics, Medicine, Clinical Monitoring, Medical Writing, Diabetes, Critical Care, Medical Devices, Pediatrics, Biotechnology, Psychiatry, Clinical Development, HIPAA, Clinical Data Management, Pharmaceutical Industry, Healthcare Consulting, Case Managment, Healthcare Management
Education
Drexel University College of Medicine 2005 — 2011
MS, Clinical Research
State University of New York Downstate Medical Center College of Medicine
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Integrated Health Services June 2014 - Present
Integrated Health Services June 2014 - Present
Integrated Health Services June 2014 - November 2014
Prescription Corporation of America October 2012 - April 2014
HealthSource Chiropractic & Progressive Rehabilitation July 2012 - March 2014
Horizon Blue Cross Blue Shield of New Jersey January 2008 - September 2009
Skills
Healthcare, Health Insurance, Employee Benefits, Insurance, Training, Claim, Process Improvement, Medical Billing, Accounts Receivable, Customer Service, Leadership, Microsoft Word
Education
Dover Business College
EmblemHealth December 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2007 - November 2012
Horizon Blue Cross Blue Shield of New Jersey July 2006 - September 2007
Horizon Blue Cross Blue Shield of New Jersey November 1997 - July 2006
Skills
Vendor Management, SDLC, Process Improvement, Software Documentation, Business Analysis, Management, Visio, Business Requirements, Project Management, Business Process..., PMP, PMO, Project Portfolio..., HIPAA, Leadership, Data Analysis, Requirements Gathering, Program Management, Quality Assurance, Analysis, Strategy, Training, Team Leadership, Insurance, Budgets, Business Process, Cross-functional Team..., Access, Business Intelligence, Risk Management, Change Management, Requirements Analysis, IT Strategy, SharePoint, Software Project..., Resource Management
Education
St. Peter's University 2011 — 2013
Master of Business Administration (MBA), Management Information Systems and Healthcare Administration
St. Peter's College 2010 — 2011
Bachelors, Business Administration
Dowling College 2001 — 2004
Business Administration
Rutgers, The State University of New Jersey-Newark 1991 — 1994
Criminal Justice
Horizon Blue Cross Blue Shield of New Jersey 2010 - 2012
GlaxoSmithKline June 2002 - June 2010
Bristol-Myers Squibb 2000 - 2002
Horizon Blue Cross Blue Shield of New Jersey 1993 - 2000
Horizon Blue Cross Blue Shield of New Jersey 1996 - 1997
Horizon Blue Cross Blue Shield of New Jersey 1996 - 1996
Horizon Blue Cross Blue Shield of New Jersey 1994 - 1996
Horizon Blue Cross Blue Shield of New Jersey 1993 - 1993
Roselle Street Insurance Agency 1991 - 1992
Skills
Pharmaceutical Industry, Cross-functional Team..., Strategic Planning, Sales Management, Strategy, Clinical Trials, Marketing, Marketing Strategy, Clinical Research, Account Management, Key Account Management, Key Account Development, Key Account..., Case Management, Cardiovascular Disease, Client Services, Client Relations, Customer Retention, Customer Service, Diabetes Care, Microsoft Excel, Healthcare, Health & Welfare..., Health Insurance, Healthcare Management, Health & Wellness, Leadership, Management, Market Access, Microsoft Office, Microsoft Word, National Account..., National Account..., Negotiation, New Business Development, Business Development, Outside Sales, Patient Support, PowerPoint, Relationship Management, Sales, Salesforce.com, Sales Growth, Sales Presentations, Solution Selling, Strategic Partnerships, Territory Account..., Training
Education
Seton Hall University School of Law
MSJ, Health and Pharmaceutical Law
Fairleigh Dickinson University
Bachelor of Science (B.S.), Business and Finance
Microsoft July 2015 - Present
Zoetis June 2014 - July 2015
AT&T June 2013 - June 2014
Horizon Blue Cross Blue Shield of New Jersey June 2013 - August 2013
CIT June 2012 - March 2013
Essex County College January 2011 - December 2012
NASA December 2011 - May 2012
Phi Theta Kappa April 2010 - April 2012
Essex County College September 2011 - December 2011
Skills
Microsoft Office, PowerPoint, Leadership, Spanish, Teamwork, SharePoint, Networking, Analysis, Teaching, Research, Tutoring, Technical Writing, Public Speaking, Community Outreach, Management, Software Documentation, Customer Service, HTML, Critical Thinking, Higher Education, Training, Engineering, Software Deployment, Resume, Student Development, Adult Education, Student Affairs, MySQL, PHP, Project Management, JavaScript, Microsoft Visio, UAT, Salesforce.com, Marketo, Project Planning, Microsoft Azure, Windows Azure, Powershell, Docker
Education
New York University 2015 — 2018
Master's Degree, Management and Systems
New Jersey Institute of Technology 2012 — 2015
Bachelor’s Degree, Information Technology - Minor in Applied Mathematics, GPA: 3.5 Major GPA: 3.7 Cum Laude
Essex County College 2009 — 2012
Associate of Science (AS), Engineering, 3.38
Essex County College 2009 — 2012
Associate of Science (A.S.), Computer Science, 3.38/4.0
Colegio Marco Salas Yepez "MASAY" 1997 — 2009
HS Diploma - General Science, Physics - Mathematics, 3.94
Blue Cross and Blue Shield of North Carolina October 2013 - Present
INFICON March 2010 - July 2013
Bright House Networks March 2007 - September 2009
Child Care Solutions November 2005 - March 2007
Horizon Blue Cross Blue Shield of New Jersey 2002 - 2004
Horizon Blue Cross Blue Shield of New Jersey 2000 - 2002
Horizon Blue Cross Blue Shield of New Jersey 1999 - 2000
Horizon Blue Cross Blue Shield of New Jersey 1994 - 1999
Horizon Blue Cross Blue Shield of New Jersey 1989 - 1994
Skills
English, Microsoft Excel, Microsoft Office, Microsoft Word, Windows, Outlook, Teaching, Strategic Planning, Sales, Public Speaking, PowerPoint, Analysis, Training, Process Improvement, Leadership, PeopleSoft, Accounting, Financial Reporting
Education
Rutgers, The State University of New Jersey-Newark
Bachelor's degree, Acounting
Essex County College
Associate's degree, Accounting
Horizon Blue Cross Blue Shield of New Jersey January 2014 - July 2014
NICE Systems April 2010 - February 2011
NICE Systems August 2010 - November 2010
Afiliated Computer Services (ACS) July 2008 - September 2008
Lincoln Educational Services January 2007 - August 2007
Mellon HR Solutions September 2002 - November 2004
Prudential Financial June 1998 - June 2002
Skills
Real Estate, Residential Homes, Condos, Buyers, Sellers, Real Estate License, Training, Human Resources, Leadership, Customer Service, Photography, PowerPoint, Microsoft Excel, Customer Satisfaction, Call Centers, Software Documentation, Onboarding, HRIS, New Hire Orientations, CRM, Interviews, Management, Process Scheduler, Lotus Notes, Leadership Development, Strategic Planning, Outlook, Microsoft Word, Public Speaking, Recruiting, Microsoft Office
Education
Essex County College
Associate of Science (A.S.)
Essex County College 1999 — 1999
Certificate
Clifford J Scott 1989 — 1993
HS Diploma Recieved
Horizon Blue Cross Blue Shield of New Jersey May 2011 - Present
Skills
Managed Care, Management, Leadership, Insurance, Process Improvement, Project Management, Business Analysis, Sales, Training, Analysis, Health Insurance, Medicare, Medicare Advantage, Medicare Part D
Education
Drexel University 2015 — 2018
Health/Health Care Administration/Management
Contract Leasing Corporation January 2015 - Present
Amazon.com September 2014 - December 2014
Horizon Blue Cross Blue Shield of New Jersey October 2010 - February 2013
Horizon Blue Cross Blue Shield of New Jersey May 1979 - February 2013
Horizon BCBSNJ January 1998 - October 2010
HMO Blue Managed Care January 1992 - January 1998
Horizon BCBSNJ January 1984 - January 1992
Horizon BCBSNJ January 1979 - January 1984
Skills
Microsoft Office, Invoicing, Microsoft Word, Microsoft Excel, PowerPoint, Visio, Time Management, Process Scheduler, Data Entry, Administrative..., Telephone Skills, Fax, Management, Insurance, Budgets
Education
Essex County College 2013 — 2013
Certificate/Electronic Health & Medical Records, Electrical, Electronic and Communications Engineering Technology/Technician
Wilbur Cross HS 1973 — 1977
Capital One January 2011 - Present
Family Dollar November 2010 - December 2010
Bank of America June 2010 - October 2010
Jones Lang LaSalle March 2009 - June 2010
Bank of America July 2007 - February 2009
Spherion November 2002 - July 2007
Venturi Staffing Partners November 2001 - November 2002
Baron Personnel May 1997 - November 2001
Horizon Blue Cross Blue Shield of New Jersey 1995 - 1997
Skills
College Recruiting, Technical Recruiting, Temporary Placement, Human Resources, Recruiting, Applicant Tracking..., Talent Management, Internet Recruiting, Talent Acquisition, Onboarding, Workforce Planning, HRIS, PeopleSoft, Sourcing, Succession Planning, Employee Relations, Executive Search, Management, Interviews, Contract Recruitment, Benefits Negotiation, Performance Management, Taleo, Screening Resumes, Temporary Staffing, Leadership, New Hire Orientations, Employee Engagement, Hiring, Training, Vendor Management
Education
Elon University 1991 — 1995
BA, History
Hackettstown High School 1987 — 1991
Alpha Xi Delta
Alpha Xi Delta
Alpha Xi Delta
Port Authority of NY & NJ January 2014 - August 2014
Council For Airport Opportunity 2012 - January 2014
Horizon Blue Cross Blue Shield of New Jersey September 2005 - September 2009
AT&T November 2001 - February 2004
Skills
Time Management, HIPAA, Filing, CPT, ICD-9, Administrative..., Outlook, Data Entry, Lotus Notes, Microsoft Excel, Microsoft Word, PeopleSoft, Office Administration, Office Management, Nonprofits, Community Outreach, Administration, Social Media, Telephone Skills, Benefits Administration, Training, Microsoft Office, Employee Benefits, Customer Service, Customer Satisfaction, Office Equipment, PowerPoint, Event Planning, Spreadsheets, Management, Invoicing, Administrative..., Process Scheduler, Teamwork, Software Documentation, Supervisory Skills, Team Building, Research, Insurance, Strategic Planning
Education
Essex County College 2014 — 2017
Human and Social Service, Psycho Therapist
Vermont Job Corp
Associate’s Degree, Human and Social Services
Affiliated Monitoring March 2014 - Present
LifeStation, Inc. July 2013 - March 2014
Starbucks July 2012 - July 2013
Starbucks April 2012 - July 2012
Barnes & Noble October 2010 - April 2012
Puppy Love February 2010 - May 2010
Madan Plastics, Inc. December 2007 - February 2010
Horizon Blue Cross Blue Shield of New Jersey January 2006 - December 2007
Joey's Fine Foods, Inc May 2005 - January 2006
NorVergence December 2002 - February 2004
Skills
Typing, Computer Proficiency, Customer Service, Data Entry, Call Centers, Order Processing, Purchase Orders, 10 Key, Multi Tasking, Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Publisher, Sedona, UPS Shipping, Lotus Notes, CCTV, FoxPro, Peachtree, Word Processing, Telephone Skills, Administrative..., Supervisory Skills, Security, Secretarial Skills, Food & Beverage, Food Service, Sales, Employee Training, Office Administration, Retail, Front Office, Customer Support, Leadership, Teamwork, Goal Oriented, Follow Through, Quality Control, Account Management, Compassion, Friendly Personality, Reliable, Visionary, Project Management, Social Networking, Loss Prevention, Customer Satisfaction, Administrative...
Education
Essex County College 2001 — 2002
North 13th Street Voc Tech High School 1997 — 2001
High School Diploma, Business, 3.3 GPA
Endurance February 2008 - Present
Kyowa Pharmaceutical, Inc September 2004 - February 2008
Horizon Blue Cross Blue Shield of New Jersey August 2003 - September 2004
Human Resources Consulting 2001 - 2003
Summit Bancorp 1994 - 2001
Skills
Talent Management, Human Resources, Performance Management, Organizational..., Employee Benefits, Global Compensation, Board Relations, HRIS, Project Management, Shared Service Center, Global Human Resources..., Strategy, Coaching, PeopleSoft, Management, Mergers & Acquisitions, Personnel Management, Talent Acquisition, Succession Planning, Deferred Compensation
Education
New York University
Masters, Management
Fairfield University
Masters, Communication
Horizon Blue Cross Blue Shield of New Jersey July 2015 - Present
Horizon BCBS of NJ July 2010 - Present
Roche Pharmaceuticals November 2004 - August 2010
Roche, Inc September 1998 - November 2004
Roche, Inc May 1995 - September 1998
Skills
FDA, Cross-functional Team..., GMP, Pharmaceutical Industry, Change Control, Six Sigma, Lean Manufacturing, Validation, Quality Assurance, PMO, Leadership, Operational Excellence, Quality Control, Manufacturing, Change Management, Sop, Quality System, Root Cause Analysis, Team Building, Project Management, Process Improvement, Resource Management, MS Project, CAPA, Process Engineering, Continuous Improvement, PMP, 21 CFR Part 11, Quality Management, Quality Auditing, Strategic Planning, Process Simulation, Management, SOP, Business Process..., Project Portfolio...
Education
Project Management Institute
PMP Certified
Fairleigh Dickinson University
MS
Rutgers University-New Brunswick
BS
ES Delivery Services, LLC April 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey June 1987 - March 2013
Skills
Medicare, Health Insurance, Managed Care, Healthcare, Medicaid, HIPAA, Access, Training, Insurance, Employee Benefits, Team Building, Customer Service, Claim, Healthcare Management, Process Improvement
Education
University of Phoenix 2004 — 2007
Bachelor of Science (BS), Business Management
Dowling College 1999 — 2004
JAWOOD, Consulting November 2009 - Present
Horizon Blue Cross Blue Shield of New Jersey December 1996 - February 2009
Skills
Process Improvement, Analysis, Visio, Business Analysis, Insurance, Training, Software Documentation, Testing, Requirements Gathering, Business Requirements, Employee Benefits, Quality Assurance, Managed Care, User Acceptance Testing, Customer Service, •Provider Expertise•..., Auditing•Quality..., ICD-9, Medicare/Medicaid..., SDLC
Education
Dowling College
Master of Business Administration (MBA), Business, 3.5 GPA
New Jersey City University
Bachelor's degree, Business Administration and Management, General
W. P. Carey Inc. April 2015 - June 2015
Sony February 2014 - March 2015
St. John's University August 2012 - December 2014
Horizon Blue Cross Blue Shield of New Jersey June 2013 - August 2013
Essex County College January 2011 - April 2012
Essex County College March 2010 - April 2012
Phi Theta Kappa 2011 - 2011
Rutgers, The State University of New Jersey June 2010 - July 2010
Skills
Tutoring, Statistics, Critical Thinking, Data Analysis, Teamwork, Microsoft Office, Teaching, Research, Public Speaking, PowerPoint, Microsoft Word, Microsoft Excel, Higher Education, Time Management, Access, Risk Management, Matlab, Non-profits, Actuarial Science, College Teaching, Leadership, Social Media, Spanish, Microsoft Visual Studio..., Discrete Mathematics, Insurance, Editing, Mathematica, wolframalpha, Marketing Communications, Java, Student Affairs, Technical Writing, SAS programming, Curriculum Development, Student Development, Analysis, Eclipse, Reinsurance, General Insurance, Data Mining, Enterprise Risk..., Risk Analytics, Property & Casualty..., Policy Review, Invoice Processing, Financial Engineering, Derivatives Trading, Stock Exchange, Nonprofits
Education
Rutgers University-New Brunswick 2015 — 2017
Master’s Degree, Mathematical Finance
st John's University Jamaica, NY 2012 — 2014
Bachelor's Degree, Risk Management and Insurance
Essex County College 2010 — 2012
Associate of Science (A.S.), Mathematics
Lycee Notre Dame de la Trinite 2006 — 2009
High School Diploma, Sciences and Mathematics
Khan Academy
CMJ Business Professionals September 2008 - Present
Novartis Pharmaceuticals Corp. October 2012 - Present
Winston Staffing December 2010 - October 2012
The Fountain Group July 2010 - December 2010
Horizon Blue Cross Blue Shield of New Jersey August 2005 - May 2009
Comforce April 2003 - July 2005
Mountainside Hospital February 1997 - June 2002
Skills
Experience Executive...
Education
University of Phoenix 2014 — 2016
Bachelor's degree, Communication, General
University of Phoenix 2012 — 2014
Associate of Arts (A.A.), Communication, General
Essex County College 2010 — 2012
Associate of Arts (A.A.), Business Administration and Management, General
Northern Baptist School of Religion 2003 — 2008
Associate of Arts (A.A.), Theology/Theological Studies
Essex County College, Training Inc. 1993 — 1994
Business Office Training
Bonanza High School 1988 — 1992
Horizon Blue Cross Blue Shield of New Jersey August 2015 - Present
Strategy& (Formerly Booz & Company) August 2013 - August 2015
Bristol-Myers Squibb June 2012 - August 2012
Triage Consulting Group August 2008 - May 2011
Skills
Competitive Analysis, Healthcare Management, Management Consulting, Healthcare Consulting, Healthcare Industry, Managed Care, Hospitals, Strategic Consulting, Performance Improvement, Market Entry, Management, Strategic Planning, Valuation, Project Management, Market Research, Cross-functional Team..., Analysis, Leadership, Due Diligence, Business Development, Corporate Finance
Education
University of Virginia - Darden Graduate School of Business Administration 2011 — 2013
Master of Business Administration (MBA)
Emory University 2004 — 2008
BA, International Studies
Indian School of Business
EnerSys October 2014 - Present
Mass Electric Construction Co. July 2014 - August 2014
Horizon Blue Cross Blue Shield of New Jersey October 2005 - February 2013
Pitney Bowes October 2001 - November 2005
EJC Systems Inc. May 2001 - September 2001
PanurgyOEM October 1999 - April 2001
New Milford Public Schools September 1996 - June 1999
Skills
Accounts Payable, People Management, Microsoft Office, Inventory Management, CPR Certified, Electricians, Forklift Operation, OSHA 30-Hour, Pitney Bowed DM1100, Pitney Bowes High Speed..., Olympus 3.0 sorter, Event Planning, Event Management, Wedding Favours, Banquet Operations
Education
Union County Vocational Technical School 2013 — 2014
Diploma, Electrical Engineering Technologies/Technicians, 4.0
University of Phoenix 2013 — 2013
Algebra and Number Theory, 3.0
Union County College 2012 — 2013
Business Administration and Management, General, 3.0
Dover Business College 1998 — 1999
Diploma, Electrical and Electronics Engineering, 4.0
NRI Family Health May 2003 - Present
Healthy2050 September 2015 - Present
Highmark Inc. February 2015 - Present
Telerx 2015 - Present
Virtusa 2014 - Present
Overseas Volueenter for a Better India (OVBI) - Canada January 2015 - September 2015
Healthfirst January 2015 - March 2015
IIM Ahmedabad Alumni Association, USA Chapter May 2015 - 2015
Horizon Blue Cross Blue Shield of New Jersey September 2012 - 2014
Infosys 2012 - 2014
Skills
Strategy, Outsourcing, Program Management, Leadership, Business Development, Start-ups, Change Management, Business Transformation, Business Strategy, Strategic Planning, BPO, Team Management, Process Improvement, Six Sigma, Management Consulting, Operations Management, Operational Excellence, Offshoring, Strategic Thinking, Team Building, Thought Leadership, Social Entrepreneurship, P&L Management, Strategic Consulting, Business Planning, Service Delivery, Healthcare, Social Media, IT Strategy, Business Process, Account Management, Blogging, Organizational..., Cross-functional Team..., Executive Management, Performance Improvement, Team Leadership, Knowledge Management, Governance, Transition Management, Organizational Design, Stratagic Leadership, Government Liaison, Multi-Site Operations, Business Management, Entrepreneurship, Consulting, Management, Analytics, Cloud Computing
Education
Duke University - The Fuqua School of Business 2006 — 2006
Executive Program
Indian Institute of Management, Ahmedabad 1999 — 2001
MBA
Magadh University 1993 — 1996
Bachelor's degree
Modern School 1991 — 1993
Class XII
Sainik School Tilaiya
X
ArborSys Group March 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2013 - December 2013
Vree Health May 2011 - June 2013
Merck March 2007 - May 2011
American Financial Realty Trust November 2007 - March 2008
Capmark Finance Inc., (fka GMACCM) October 2005 - June 2006
GMAC Commercial Mortgage September 2004 - October 2005
GMAC Commercial Mortgage April 2002 - September 2004
GMAC Commercial Mortgage July 2000 - April 2002
Wyeth Pharmaceuticals April 1996 - August 1999
Skills
Business Analysis, Integration, Process Improvement, Management, IT Strategy, SDLC, Software Development, Vendor Management, Business Intelligence, Project Portfolio..., Project Management, Program Management, Business Process, CRM, Business Process..., Leadership, PMO, Cross-functional Team..., PMP, IT Management, Requirements Analysis, Software Project..., Requirements Gathering
Education
Drexel University
Master of Science (MSc), Information Science & Technology
Philadelphia University
Bachelor of Science (BSc), Management Information Systems
Adisadel College
Express Scripts (formerly Medco Health Solutions) December 2011 - March 2015
Express Scripts (formerly Medco Health Solutions) September 2005 - December 2011
AIG September 2004 - September 2005
Horizion Blue Cross Blue Shield of NJ September 2002 - September 2004
Horizon Blue Cross Blue Shield of New Jersey September 2001 - September 2002
Horizon Blue Cross Blue Shield of New Jersey January 2001 - September 2001
Horizon Blue Cross Blue Shield of New Jersey May 1999 - January 2001
Horizon Blue Cross Blue Shield of New Jersey May 1996 - May 1999
Hoffman LaRoche May 1994 - May 1995
Skills
Six Sigma, Software Project..., Strategic Planning, Business Analysis, Direct Marketing, Process Improvement, Marketing, Project Management, Managed Care, Healthcare, SDLC, Cross-functional Team..., Vendor Management, Program Management, Business Intelligence, Employee Benefits, Business Process..., Management, Integration, Requirements Analysis, SharePoint, Visio, Health Insurance, Insurance, Product Management, Healthcare Information..., Marketing Strategy
Education
Dowling College 2002 — 2003
MBA, Business
Dowling College 2000 — 2002
BA, Business
New Jersey Institute of Technology 1990 — 1993
Engineering
Horizon Blue Cross Blue Shield of NJ 2006 - Present
Blue Cross Blue Shield of New Jersey 1993 - 2007
Horizon Blue Cross Blue Shield of New Jersey November 2005 - December 2006
Horizon Blue Cross Blue Shield of New Jersey March 2003 - November 2005
Skills
HIPAA, Network Security, Vendor Management, SDLC, Business Analysis, Process Improvement, Project Planning, Healthcare, SharePoint, Governance, Managed Care, Integration, Disaster Recovery, IT Strategy, Business Requirements, Program Management, Leadership, PMP, Visio, IT Management, Enterprise Architecture, PMO, Software Documentation, Project Portfolio..., Information Technology, Security, ITIL, Business Process
Education
Dowling College 2000 — 2002
MBA, Management
University of Hartford 1983 — 1987
Bachelor of Science, Marketing
EmblemHealth December 2011 - Present
Mackster Corp July 2000 - Present
DIRECTV June 2006 - November 2011
SHVROOM April 2006 - June 2006
Horizon Blue Cross Blue Shield of New Jersey May 2005 - April 2006
IBSOFTSHOPS May 2005 - May 2005
Medco February 2004 - May 2005
Ciaccio Marketing February 2003 - February 2004
Merck - Medco Managed Care LLC February 2001 - February 2003
Paradigm Direct July 2000 - February 2001
Skills
Data Analysis, Project Delivery, Sales, Software Documentation, Project Management, Systems Analysis, Pharmacy Benefit..., Commodity Markets, Securities, Banking, Healthcare Information..., Health Insurance, Business Analysis, Management Consulting, E-commerce, Operations Management, Business Process, IT Operations Management, Service Delivery, SDLC, Vendor Management, Requirements Analysis, Visio, Business Requirements, Sign language..., CRM, Integration, Databases, Analysis, Quality Assurance, Program Management, Testing, Requirements Gathering, Data Center, Change Management, Business Intelligence, Project Planning, PMO, Software Project..., User Acceptance Testing, Management, Enterprise Software, Disaster Recovery, SharePoint, MS Project, Cross-functional Team..., Leadership
Education
Fairleigh Dickinson University
Bachelor of Science (BS), Computer Science, College of Engineering
NJ DOE October 1988 - Present
Horizon Blue Cross Blue Shield of New Jersey April 1987 - October 1988
Skills
Government, Microsoft Office, Research, Customer Service, Policy, Community Outreach, Teacher Training, Public Speaking, Educational Leadership, Fundraising, Leadership Development, Program Development, Curriculum Development, Staff Development
Education
Drew University
Bachelor of Arts (B.A.), Political Science
Penn State University
Bloomberg LP September 2014 - Present
TIAA-CREF (via TEKSystems) April 2014 - August 2014
Horizon Blue Cross Blue Shield of New Jersey June 2013 - April 2014
Catamaran RX May 2013 - June 2013
Horizon Blue Cross Blue Shield of New Jersey May 2011 - March 2013
Deloitte/CMA - Dept of Health (New York State) June 2010 - May 2011
Consumer Reports August 2009 - May 2010
Andesa Services, Inc. August 2008 - May 2009
John Hancock Financial Services January 2008 - June 2008
RSG August 2007 - December 2007
Skills
Metadata Management, Data Governance, Master Data Management, Data Warehousing, Business Intelligence, ETL, Requirements Analysis, Data Analysis, Data Mapping, Business Requirements, Functional..., RequisitePro, Scrum, Agile Methodologies, Project Management, Quality Assurance, Databases, Dimensional Modeling, Data Migration, SDLC, PL/SQL, Microsoft SQL Server, Oracle, Metadata Standards, SharePoint, Data Integration, SOA, Requirements Gathering, Business Objects, Cognos, Testing, Data Architecture, Informatica, DB2, OBIEE, Business Analysis, Data Quality, Erwin, Data Modeling
Education
New Jersey Institute of Technology 2004 — 2005
Master's degree, Electrical, Electronics and Communications Engineering, B+
Doctor Babasaheb Ambedkar Marathwada University 1999 — 2003
Bachelor's degree, Electrical, Electronics and Communications Engineering, A
Truven Health Analytics April 2014 - Present
Buck Consultants April 2002 - April 2014
Horizon Blue Cross Blue Shield of New Jersey 1996 - 2001
Skills
Healthcare Analytics, Employee Benefits, Consulting, Truven Health Analytics..., Finance, RFP, Performance Management, Sourcing, Benchmarking, Vendor Management, Healthcare, Analysis, CRM, Defined Benefit, Business Planning, Human Resources, Negotiation, Strategy
Education
Dowling College 1999 — 2001
MBA, Management
Saint Bonaventure University 1990 — 1994
Bachelor of Science (B.S.), Mathematics
Horizon Blue Cross Blue Shield of NJ November 1994 - Present
Horizon Blue Cross Blue Shield of New Jersey August 1992 - November 1994
Skills
Utilization Management, Medicare Part D, Health Policy, HIPAA, Health Care Reform, Medicaid Managed Care, Claims Management, Dentistry, Credentialing, Healthcare Management, Claims Resolution
Education
Dowling College 2000 — 2003
MBA
Fairleigh Dickinson University 1983 — 1987
Bachelor of Science (BS), Biology, General
Horizon Blue Cross Blue Shield of New Jersey July 2013 - Present
Horizon Blue Cross Blue Shield of NJ October 2006 - July 2013
Skills
Health Savings Accounts, Health Insurance, Insurance, Brokers, Employee Benefits, Underwriting, Life Insurance, Claim, Account Management, Healthcare, Health Care Reform, Health Policy, HIPAA, PPO, Pharmacy Benefit..., Benefits Administration, HMO, Claims Management, Healthcare Industry, Self-funded, Disease Management, Group Insurance, Financial Services, Financial Analysis, Strategic Planning, Strategic Financial..., Group Medical, Data Analysis, Healthcare Consulting, PeopleSoft, Salesforce.com
Education
Dowling College
Master of Business Administration (MBA), Finance, General
Rutgers, The State University of New Jersey-Newark
Sharp Decisions January 2014 - April 2014
Horizon Blue Cross Blue Shield of New Jersey July 2011 - September 2012
Jawood Management Associates July 2009 - December 2009
Jawood July 2009 - December 2009
CAREFIRST BCBS Large Group September 2008 - June 2009
HORIZON BCBSNJ MEDICAL POLICY REDUCTION August 2007 - March 2008
HORIZON BLUE CROSS BLUE SHIELD October 2001 - August 2006
Horizon 2001 - 2006
State Health Benefit November 1996 - October 2001
Blue Cross Blue Shield July 1994 - November 1996
Skills
Lotus Notes, Workshop Facilitation, Data Migration, Customer Service, Auditing, Sales, Benefits Administration, Inventory Management, Microsoft Technologies, Contract Management, CPT, Analysis, Business Analysis, Project Management, Process Improvement, Healthcare, Insurance, HIPAA
Education
Essex County College
Hackensack University Medical Center September 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2010 - September 2011
Horizon Blue Cross Blue Shield of New Jersey April 2008 - September 2011
Horizon Blue Cross Blue Shield of NJ August 2004 - September 2011
Hoffmann-La Roche 1995 - 2004
Hoffmann-La Roche 1993 - 2000
Skills
PeopleSoft, SDLC, HRIS, Process Improvement, Vendor Management, Human Resources, Visio, SQL, Software Documentation, Requirements Gathering, Business Analysis, Access, Management, Requirements Analysis, Systems Analysis, Business Intelligence, SharePoint, Crystal Reports, Integration, Data Warehousing
Education
Essex County College 2000 — 2003
Associate's, Computer Science
Horizon Blue Cross Blue Shield of New Jersey March 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2010 - March 2013
Horizon Blue Cross Blue Shield of NJ July 2008 - June 2010
Horizon Blue Cross Blue Shield of NJ November 2005 - July 2008
Cendant 2003 - 2005
Prudential 1997 - 2002
Skills
Visio, Lotus Notes, Requirements Gathering, Vendor Management, Budgets, SharePoint, Access
Education
Franklin University 2008 — 2011
Bachelors, Dual Major - Business Adminstration/Human Resources Management
Madison Area Technical College 2004 — 2007
Associates, Administrative Assistant
Essex County College 1992 — 1994
Wellpoint November 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2013 - October 2013
AT&T June 2002 - December 2012
Oracle Corporation December 1999 - June 2002
Skills
SOA, Solution Architecture, Business Process, Requirements Analysis, Integration, Enterprise Architecture, SDLC
Education
Doctor Babasaheb Ambedkar Marathwada University
BE
Deutsche Bank January 2013 - August 2014
Duetsche Bank May 2011 - December 2012
Horizon Blue Cross Blue Shield of New Jersey February 2010 - June 2011
Citigroup July 2008 - April 2009
Novartis Pharmaceuticals Corporation June 2007 - July 2008
The Bank of New York February 2006 - June 2007
JPMorgan Chase June 2001 - January 2006
Skills
VMware, Active Directory, Windows Server, Disaster Recovery, Servers, Data Center, VMware ESX, SAN, Virtualization, Network Administration, Troubleshooting, Security, Cluster, HP, Infrastructure, System Deployment
Education
Ramapo College of New Jersey
Bachelor of Science (B.S.), Information Systems
Essex County College
Associate of Science (A.S.), Computer Information Systems
Horizon Blue Cross Blue Shield of New Jersey November 2012 - Present
OppenheimerFunds November 2012 - Present
The Alberleen Group LLC March 2012 - Present
Massey Quick & Co., LLC October 2014 - Present
Skills
Board of Director..., Corporate Governance, Hedge Funds, Alternative Investments, Asset Management, Capital Markets, Financial Markets, Fund Of Funds, Investment Advisory, Financial Management...
Education
New York University, Stern School of Business
Master of Business Administration (MBA), Finance, General, MBA
Fairfield University
Bachelor's degree, Accounting
Horizon Blue Cross Blue Shield of New Jersey January 2010 - Present
Sedgwick, Detert, Moran & Arnold June 2008 - January 2010
Bristol-Myers Squibb Company 1996 - 2008
McCarter & English, LLP September 1990 - November 1996
Skills
Leadership, Intellectual Property, Litigation, Legal Assistance, Corporate Law, Corporate Governance, Risk Management, Licensing, Contract Negotiation, Employee Benefits, Appeals, Trademarks, Patents, Product Liability, Nonprofits, Mergers & Acquisitions, Arbitration, Privacy Law, Mediation, Competition Law, Management, Litigation Management, Legal Compliance, Civil Litigation, Due Diligence, Legal Writing, FCPA, Non-profits, Managed Care, Legal Research, Employment Law, Commercial Litigation, Insurance, Mergers, Trials, Dispute Resolution, Government, Healthcare, Insurance Law, Legal Issues
Education
Rutgers University School of Law - Newark 1986 — 1989
J.D., Law
Rutgers University-New Brunswick 1979 — 1981
MLS, Information Science
Duquesne University 1970 — 1972
M. Sci.Ed., Biology
Indiana University of Pennsylvania 1965 — 1969
B.Sci. Ed., Biology
Bishop McCort High School 1961 — 1965
Academic
Coach June 2012 - Present
Goldman Sachs September 2006 - June 2012
BD Biosciences August 2005 - May 2006
Coach February 2004 - May 2005
Horizon Blue Cross Blue Shield of New Jersey 2002 - 2002
Summit Bank & Trust 1991 - 1996
Education
Villanova University 2003 — 2004
Fairleigh Dickinson University 1976 — 1979
Monmouth University 1974 — 1977
Essex County College January 1990 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2012 - January 2014
CA Technologies June 1997 - April 2010
Essex County College January 1994 - June 1997
Skills
Servers, TCP/IP, ITIL, Microsoft Certified..., IT Management, Networking, Disaster Recovery, IT Service Management, Security, Hardware, Data Center, Help Desk Support, Certified Novell..., Microsoft Certified..., Virtualization, Network Security, Windows 7, Switches, DHCP, Cisco Technologies
Education
Montclair State University 1986 — 1987
Bachelor of Science (B.S.), Computer Science, 3.0
Essex County College 1984 — 1986
Associate of Science (A.S.), Computer Science, 3.4
Combined Insurance May 1997 - August 2013
Direct Dental Network May 1995 - May 1997
Empire BlueCross BlueShield 1992 - 1995
Horizon Blue Cross Blue Shield of New Jersey April 1988 - June 1992
Skills
Underwriting, Insurance, Claims Management, Brokers, Liability, Health Insurance, Team Building, New Business Development, Risk Management, Claim, Accident, Employee Benefits, Training, Analysis, Reinsurance, Commercial Insurance
Education
State University of New York College at Plattsburgh 1981 — 1983
B.S., Management Science
Dutchess Community College 1979 — 1981
A.S., Business Administration
FD Roosevelt High School 1975 — 1979
Regent Diploma
Health Insurance Association of America
Merck (consulting) January 2011 - Present
Merck (Schering Plough) September 2005 - December 2010
Horizon Blue Cross Blue Shield of New Jersey January 2001 - February 2002
Horizon Blue Cross Blue Shield of New Jersey March 1995 - September 1998
Skills
GMP, FDA, Validation, Pharmaceutical Industry, Sop, Quality Assurance, CAPA, Change Control, GxP, Clinical Trials, Technology Transfer, 21 CFR Part 11, Regulatory Affairs, Drug Development, CRO, GLP, Clinical Development, Pharmaceutics, Quality System, Computer System..., V&V, Regulatory Requirements, Regulatory Submissions
Education
Fairleigh Dickinson University
Master of Business Administration (MBA), Marketing
Rutgers, The State University of New Jersey-Newark
Bachelor of Science (BS), Business Management and Sociology- Double Major
Horizon Blue Cross Blue Shield of New Jersey April 2015 - Present
MagnaCare October 2013 - April 2015
Cigna HealthCare - Taft-Hartley & Federal Business Segment March 2009 - October 2013
Skills
Editing, Copywriting, Publishing, Web Content, Social Media, Internal Communications, Marketing Communications, Corporate Communications, Advertising, Strategic Planning, Management, Marketing, Press Releases, Public Relations, Marketing Strategy, Newsletters, Blogging, Public Speaking, Media Relations, Social Media Marketing, SEO, Email Marketing
Education
Fairfield University 1983 — 1987
BS, Marketing
Horizon Blue Cross and Blue Shield of NJ August 1987 - Present
Horizon Blue Cross Blue Shield 1987 - Present
Horizon Blue Cross Blue Shield of New Jersey 1987 - Present
National Life of Vermont September 1984 - August 1987
Washington National Insurance Company June 1979 - August 1984
Skills
Microsoft Office, Word, Excel, Power Point, Microsoft Excel, Microsoft Word, Account Management, Strategic Planning, Insurance, Healthcare, Managed Care, Customer Service, Health Insurance, Brokers, Life Insurance, Team Building, Medicare, Process Improvement, Sales, Vendor Management, Taft-Hartley, Health Savings Accounts, Data Analysis, Disability Insurance, Planning Budgeting &..., Claim, HMO, Leadership, Health Care Reform, Collective Bargaining, Underwriting, Group Insurance, Medicare Part D, Provider Relations, Self-funded, Renewals, Long-term Care, Healthcare Industry, Group Medical, Medicaid, Health Policy, COBRA, Disease Management, Pharmacy Benefit..., Term Life Insurance, Flexible Spending..., Employee Benefits, HIPAA, Benefits Administration, Claims Management, Workers Compensation, Property & Casualty...
Education
University of Pennsylvania 1984 — 1991
CEBS, Employee Benefits
Purdue University 1988 — 1989
CHC, Certified Health Consultant
Duquesne University 1973 — 1975
BS, Marketing
Horizon Blue Cross Blue Shield of New Jersey November 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2011 - November 2013
Ansell Healthcare July 2010 - September 2011
Cathedral International January 2010 - April 2010
AIG, Deloittle & Touché October 2006 - December 2009
The Berrisford Group July 2005 - October 2006
Retail Trust January 2002 - April 2005
LONDON TRANSPORT FOR BUSES January 2000 - January 2002
Hutchinson 3 G January 1998 - January 2000
Skills
Financial Analysis, Internal Controls, Accounting, Analysis, Sarbanes-Oxley Act, Portfolio Management, Cash Flow, Financial Reporting, Cash Management, Project Management, Microsoft Excel, Process Improvement, Auditing, Finance, General Ledger, Account Reconciliation, Budgets, Variance Analysis, Management, GAAP, Leadership, Fixed Assets, Insurance, Project Planning, Payroll, PeopleSoft, Hyperion Enterprise, Accounts Receivable, Financial Modeling, Accounts Payable, Time Management, Journal Entries, Tax, Sarbanes-Oxley, Business Planning, Strategic Financial..., Business Process..., Financial Forecasting, Financial Statements, Due Diligence, IFRS, Cost Accounting, Valuation, Management Consulting, Spreadsheets, Financial Audits, Investments, Corporate Finance, Financial Accounting, Internal Audit
Education
Walden University 2012 — 2015
Doctor of Philosophy (PhD), Accounting and Finance
DeVry University 2008 — 2010
MAFM, Accounting &Finance
Enugu State University of Science and Technology 1988 — 1993
Ba, Marketing &accounting
Horizon Blue Cross Blue Shield of NJ 2007 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2003 - September 2007
Horizon Blue Cross Blue Shield of New Jersey September 1999 - September 2003
Skills
MS Office Suite, Cooking, Microsoft Excel, Microsoft Word, PowerPoint, Gardening, Photography, Visio, Monarch Pro, Motorcycle, Camping, Data Analysis, Business Analysis, Life & Health Insurance..., Process Improvement, Microsoft Office, Project Management
Education
Dowling College 2001 — 2003
Master of Business Administration (M.B.A.), Business Administration and Management, General, 3.8
Florida International University 1991 — 1994
Bachelor's Degree, Hospitality Administration/Management
Culinary Institute of America 1988 — 1990
Associate's degree, Culinary Arts/Chef Training
United Healthcare July 2010 - Present
Health Net May 2001 - June 2010
Horizon Blue Cross Blue Shield of New Jersey July 1996 - May 2001
Skills
Negotiation, Account Management
Education
East Carolina University - College of Business 1984 — 1989
Bachelors, Business Administration, Marketing
UMDNJ March 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2010 - October 2011
Hess Corporation September 2008 - January 2010
BECTON DICKINSON August 2006 - May 2008
SAMPSON-BLADEN OIL COMPANY August 2005 - August 2006
CUMBERLAND COUNTY SCHOOLS September 2002 - July 2005
Winston-Salem State University April 1999 - August 2002
Skills
SAP R/3, Lotus Notes, Active Directory, Ariba, PeopleSoft, Security Audits, Microsoft Office 2007, Microsoft Office 2003, Symantec Antivirus, PC Anywhere, Remote Assistance, Service Center, Peregrine, Mainframe
Education
KELLER GRADUATE SCHOOL OF MANAGEMENT 2008 — 2011
MASTER, NETWORKING & TELECOMMUNICATIONS2011
East Carolina University 2003 — 2006
BACHELOR, SCIENCE INFORMATION SYSTEMS2006
Horizon Blue Cross Blue Shield of New Jersey October 2014 - Present
Horizon Blue Cross Blue Shield of NJ August 1999 - Present
Skills
Insurance, Management, Process Improvement, Vendor Management, Visio, Call Centers, Business Analysis, Business Process..., Requirements Gathering, Project Management, Leadership, Health Insurance, Cross-functional Team...
Education
Thomas Edison State College 2013 — 2018
Dover Business College 1999 — 2000
Network Adminstrator, Networking, 3.8 gpa
GeBBS Healthcare Solutions September 2011 - Present
CareFirst BlueCross BlueShield 2011 - 2014
CareFirst BlueCross BlueShield 2011 - 2014
Medco February 2010 - August 2011
Horizon Blue Cross Blue Shield of NJ January 2008 - July 2009
Horizon Blue Cross Blue Shield January 2008 - July 2009
Horizon Blue Cross Blue Shield January 2008 - July 2009
Horizon Blue Cross Blue Shield January 2008 - July 2009
Horizon Blue Cross Blue Shield of New Jersey 1999 - 2009
Horizon Blue Cross Blue Shield of NJ July 1999 - January 2008
Skills
Analysis, Insurance, Medicare, Access, Customer Service, Lotus Notes, Customer Satisfaction, Spreadsheets, Healthcare, Call Centers, Word, Excel, Problem Solving, Claims, Outlook, Customer Relations, Microsoft Office, Testing, Call Center, HIPAA, SharePoint
Education
Essex County College
Associate, Science; Business Administration
Irvington Board of Education Administrative AssistantNovartisJune 2003 - September 2006
Horizon Blue Cross Blue Shield of New Jersey November 1994 - September 2002
Skills
Technical Writing, Microsoft Office, Team Leadership
Education
Drew University 2012 — 2015
Theology, Master in Divinity
Kean University 1982 — 1988
Business Administration w/concentration in Management
CR Bard April 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey January 1999 - May 2010
Honeywell / Allied Signal January 1996 - January 1999
AT&T November 1987 - December 1995
Nabisco November 1986 - November 1987
Education
The College of New Jersey 1982 — 1990
BS, Computer Science
Fairleigh Dickinson University
MBA, International Business
AT&T Labs, Inc. June 2013 - Present
AT&T Labs, Inc. January 2012 - April 2013
Fidelity Investments May 2011 - January 2012
MetLife Auto & Home September 2010 - March 2011
National Center for Missing & Exploited Children March 2010 - August 2010
Horizon Blue Cross Blue Shield of New Jersey October 2007 - January 2010
P&G July 2007 - September 2007
Skills
SharePoint, Testing, Project Management, Business Requirements, Quality Assurance, Architecture, SDLC, Requirements Gathering, Requirements Analysis, Business Analysis, Systems Analysis, SQL, Software Project..., Vendor Management, PMP, Agile Methodologies, Visio, Integration, Data Warehousing, User Acceptance Testing, PMO, MS Project, Leadership, Program Management, Management, Process Improvement, Software Documentation, Databases, Team Management, Enterprise Architecture
Education
Technical Institute of America 2013 — 2013
Master of computer science, Project Management
Fairleigh Dickinson University 2005 — 2007
MS, Computer Science
Adesh Institute of Engg and Technology 1999 — 2003
BTech, Computer Science
EmblemHealth November 2011 - Present
EmblemHealth January 2006 - November 2011
HIP January 2004 - December 2005
HIP April 2002 - January 2004
HIP April 2001 - April 2002
Horizon Blue Cross Blue Shield of New Jersey January 1991 - April 2001
Skills
Microsoft Excel, Outlook, PowerPoint, Microsoft Word, Minitab, Visual Basic, Process Improvement, Visio, Access, Leadership, Health Insurance, Insurance, Six Sigma, Change Leadership, Lean Transformation, Business Process..., Critical Thinking, Medicare, Change Management, Business Transformation, Healthcare
Education
Drew University
BA, Political Science
ShopRite June 2012 - Present
Qtech Solutions Inc. July 2013 - September 2013
Medco October 2011 - June 2012
BMS Children's Hospital February 2011 - March 2011
Walgreens November 2010 - December 2010
A&P Pharmacy October 2010 - November 2010
Horizon Blue Cross Blue Shield of New Jersey September 2010 - October 2010
Kessler Institute for Rehabilitation August 2010 - September 2010
CVS June 2006 - December 2009
TravelSpan Vacations June 2004 - August 2004
Skills
Pharmacists, Clinical, Hospitals, Healthcare, Microsoft Office, Adobe, Fraud Investigations, Retail, Pharmacy Operations, Managed Care, Medication Therapy..., Dispensing
Education
Rutgers University-New Brunswick 2006 — 2011
PharmD, Pharmacy
Fairleigh Dickinson University 2004 — 2006
67 credits, Biochemistry
Blue Cross Blue Shield of Michigan September 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2012 - September 2012
BCBSM March 2010 - August 2011
Skills
Business Analysis, Data Warehousing, Requirements Analysis, SDLC, SQL, Analysis, Quality Assurance
Education
Eastern Michigan University
Horizon Blue Cross Blue Shield of New Jersey 2008 - Present
Education
Essex County College
AA, Liberal Arts, RN
GNC July 2013 - Present
ActiveCare Physical Therapy August 2009 - June 2013
NY Fracture Spine January 2005 - August 2010
BIomet 1991 - 2004
Horizon Blue Cross Blue Shield of New Jersey 1984 - 1988
Skills
Medical Devices, Team Building, Management, Orthopedics, Sales Operations, Hospitals, Customer Service, Training
Education
Elizabethtown College 1977 — 1981
business adminstration
Horizon Blue Cross Blue Shield of New Jersey April 2010 - May 2011
Internal Revenue Service 2009 - 2009
St Barnabas System Business Office 2006 - 2009
Newark Beth Israel Medical Center 1997 - 2006
Education
Kean University 2009 — 2011
M.P.A., Health Service Administration
Kean University 2004 — 2006
B.S., Accounting
Essex County College 1999 — 2003
A.S., Accounting
Horizon Blue Cross Blue Shield of New Jersey September 2002 - Present
Georgetown University Medical Center July 2000 - July 2002
The Dermatology Center Bethesda, MD July 1998 - July 2000
Skills
Utilization Management, Case Management, Nursing, Nurses, Managed Care, Healthcare Management, Healthcare, Insurance, Surgery, Disease Management, Medicare, Utilization Review, Home Care, Patient Advocacy
Education
University of Maryland Baltimore County 2001 — 2005
BSN, Nursing
Dutchess Community College
Associate of Arts and Sciences (A.A.S.), Registered Nursing/Registered Nurse
Horizon Blue Cross Blue Shield of NJ May 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2011 - May 2012
Horizon Blue Cross Blue Shield of New Jersey January 2008 - March 2011
Horizon Blue Cross Blue Shield of New Jersey April 2006 - January 2008
Education
Dowling College 2003 — 2005
Bachelors of Science
Banner Casa Grande Medical Center June 2014 - Present
Banner Casa Grande Medical Center September 2011 - 2014
Horizon Blue Cross Blue Shield of New Jersey September 1991 - August 2004
CNA Insurance 1988 - 1991
Skills
Healthcare Management, Healthcare Reimbursement, Hospitals, Healthcare, ICD-9, HIPAA, Medical Billing, Revenue Cycle, Medicaid, Medical Coding, Managed Care
Education
Essex Community College 1982 — 1984
Chemical Technology/Technician
HealthEC August 2015 - Present
GENEX Services, LLC December 2014 - August 2015
Horizon Blue Cross Blue Shield of New Jersey May 2013 - January 2015
Horizon Healthcare Innovations August 2011 - May 2013
Horizon Blue Cross Blue Shield of New Jersey May 2010 - July 2011
Horizon Casualty Services November 2006 - May 2010
Skills
Healthcare, Nursing, EMR, Health Care Reform, Medical Home, Healthcare Industry, Process Improvement, Quality Improvement, Disease Management, Healthcare Information..., Medicare, Provider Relations, HEDIS, Medicaid, Health Policy, Health Insurance, Managed Care, Case Management, EHR, Physician Relations, Physicians, Workers Compensation, Medical Terminology, Medical Education, Medical Records, HMO, HIPAA, Leadership, Insurance, Healthcare Consulting, Program Management, Vendor Management, Strategic Planning, Healthcare Management, Utilization Management
Education
Duke University 2012 — 2012
Population Care Coordinator Program
St. Peter's School of Nursing 1982 — 1985
Diploma in Nursing
EmblemHealth January 2015 - Present
EmblemHealth May 2013 - January 2015
Horizon Blue Cross Blue Shield of New Jersey October 2009 - November 2010
Northeast NJ Legal Services January 2009 - October 2009
Harambee Comm. Dev January 2008 - June 2008
Booz Allen Hamilton August 2007 - December 2007
Morgan Stanley August 2006 - February 2007
Skills
Microsoft Word, Spanish, Software Documentation, Copy Editing, Customer Service, Proposal Writing, Content Management, Adobe Acrobat, Marketing, Data Entry, Blogging, Social Networking
Education
New Jersey Institute of Technology 2013 — 2013
Graduate Certificate, Professional, Technical, Business, and Scientific Writing, A
Essex County College 2005 — 2013
Health Information Technology Consultant, Health Information/Medical Records Technology/Technician
Mount Holyoke College 2002 — 2006
Bachelor of Arts, Spanish and English Literature, B+
Cooling Water Christian Academy January 2009 - Present
Horizon Blue Cross Blue Shield of New Jersey December 1974 - December 2008
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Marketing Research
Education
Dowling College 2010 — 2013
Master's degree, Leadership and Management, A
Dowling College 2004 — 2007
Bachelor's Degree, Business Administration and Management, General, A
Rutgers University 1974 — 1975
Weequahic High School 1970 — 1973
Horizon Blue Cross Blue Shield of New Jersey August 2008 - Present
Education
Essex County College
Liberal Arts and Sciences, General Studies and Humanities
Newark Beth Israel Medical Center October 2014 - Present
Newark Beth Israel Medical Center January 2013 - September 2014
Horizon Blue Cross Blue Shield of New Jersey December 2007 - December 2012
Saint Barnabas Hospital June 2001 - December 2007
Skills
BLS, ACLS, Telemetry certified, Neurosurgical ICU, Critical Care, ICU, ICP monitoring, Health Education, Telemetry, Patient Education, Healthcare, Direct Patient Care, Registered Nurses, Diabetes
Education
Rutgers, The State University of New Jersey-Newark 2013 — 2017
Bachelor's Degree, Nursing
Essex County College 1999 — 2001
Associate's degree, Registered Nursing/Registered Nurse
Novomoskovsk Medical Uchilische 1988 — 1991
Associate's degree, Physician Assistant
Horizon Blue Cross Blue Shield of New Jersey January 2015 - Present
Skills
Process Improvement, Project Management, Training, Sales, Risk Management, Outlook, Analysis
Education
Drew University
North Brunswick School District October 2012 - Present
Tutor Doctor March 2012 - Present
Kumon January 2012 - October 2012
Dugan Elementary School September 2011 - December 2011
South River Elementary School February 2011 - March 2011
Horizon Blue Cross Blue Shield of New Jersey September 2008 - May 2009
AmeriHealth Insurance Co of NJ January 2008 - September 2008
QualCare Inc. March 2004 - January 2008
Skills
Classroom Management, Educational Leadership, Tutoring, Teaching, Lesson Planning, Educational Technology, Literacy, Teacher Training, Classroom, Curriculum Development, Curriculum Design, Access, Excel, Smartboard
Education
Rutgers, The State University of New Jersey-New Brunswick 2011 — 2012
Master of Education (MEd), Elementary Education and Teaching and Endorsement in Special Education
Fairleigh Dickinson University
Bachelor of Arts (BA), Economics
Infotech Global Services, LLC November 2011 - Present
Infotech Global Services, LLC 2011 - 2012
Horizon Blue Cross Blue Shield of New Jersey June 1990 - January 2011
Education
Essex County College 2013 — 2013
certificate, Health Information/Medical Records Technology/Technician
Malcolm X Shabazx 1984 — 1987
diploma
Wells Fargo Home Mortgage April 2007 - Present
Atlas Mortgage Associates, LLC June 2005 - April 2007
Coregistics February 2002 - November 2006
MarketSource July 1997 - September 2000
Fujitsu (DMR Consulting - A Fujitsu Limited Company) May 1996 - June 1997
MarketSource January 1992 - May 1996
Horizon Blue Cross Blue Shield of New Jersey April 1991 - January 1992
Skills
Mortgage Lending, Mortgage Banking, Refinance, Loan Origination, Residential Mortgages, FHA financing, Credit, Relational Databases, Data Management, Consulting, FileMaker, Account Management, Sales Presentations, Underwriting, Banking
Education
Fairleigh Dickinson University 1989 — 1991
Master of Business Administration (MBA)
Rutgers, The State University of New Jersey-New Brunswick 1982 — 1986
Bachelor of Arts (BA)
Horizon Blue Cross Blue Shield of New Jersey 2014 - Present
Inspira Health Network Foundation 2011 - 2014
Chestnut Hill Health System 2011 - 2011
Passport Health 2010 - 2011
Skills
Informatics, Healthcare, Healthcare Information..., Hospitals, EMR, EHR, Microsoft Office, Customer Service, Microsoft Excel, Nursing Care
Education
University of Washington 2013 — 2015
Master of Science (MS), Clinical Informatics Patient Centered Technology
Drexel University 2008 — 2010
BSN, Registered Nursing/Registered Nurse
Temple University 1994 — 1998
Bachelor of Science (BS), Environmental Engineering Science
UnitedHealth Group January 2015 - Present
Aetna February 2009 - December 2014
Horizon Blue Cross Blue Shield of New Jersey January 2008 - December 2008
DePaul Healthcare September 2004 - December 2007
American Health Holding January 2005 - January 2007
Education
Drexel University 2013 — 2017
Master's Degree, Nursing
Philadelphia University 1988 — 1994
Bachelor's Degree, Health/Health Care Administration/Management
Drexel University College of Nursing & Health Professions Division of Undergraduate Nursing 1982 — 1984
Associate's Degree, Nursing