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
Cigna July 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2014 - June 2015
Horizon Blue Cross Blue Shield of New Jersey November 2011 - March 2014
Horizon Blue Cross Blue Shield of New Jersey September 2009 - November 2011
Horizon Blue Cross Blue Shield of NJ March 2007 - September 2009
Kimball Medical Center January 2001 - March 2008
1199SEIU Benefit and Pension Funds September 2006 - March 2007
Burnt Tavern Rehabilitation Center May 1994 - December 2000
Skills
Healthcare, Healthcare Management, Nursing, Case Managment, Hospitals, Medicare, Utilization Management, Disease Management, Home Care, Clinical Research, Acute Care, Quality Improvement, Managed Care, Inpatient, Medicine, Critical Care, Healthcare Industry, Health Insurance, EMR, Medical/Surgical, HIPAA, Insurance, Health Policy, Home Infusion, Health Education, ICU, Telemetry, Utilization Review, Wellness, Program Development, Certified Case Manager, Sales, Public Health, Healthcare Consulting, Patient Advocacy, Case Management, Medical-Surgical
Education
University of Phoenix 2003 — 2006
BSN, Nursing
Ocean County College 2001 — 2003
AAS, Nursing
Ocean County Vocational and Technical Schools 1993 — 1994
Certificate of completion, Practical Nursing
Siemens Financial Services January 2008 - Present
Siemens Financial Services January 2000 - May 2008
Horizon Blue Cross Blue Shield of New Jersey January 2000 - May 2005
Skills
Microsoft Office, SharePoint Services 3.0, MS Project, Events, SAP, Budgets, Process Improvement, Access, Contract Negotiation, Leadership, Forecasting, Team Leadership
Education
New York Institute of Technology 1989 — 1991
Horizon Blue Cross Blue Shield of New Jersey March 2013 - Present
IBM June 2012 - March 2013
American Red Cross April 2006 - March 2012
Skills
Teradata, Databases, Data Warehousing, ETL, Data Modeling, Database Administration, Database Design, Performance Tuning, Business Intelligence, SDLC, Oracle, Disaster Recovery
Education
New York University 1980 — 1981
AIG November 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2013 - November 2013
AIG September 2008 - August 2013
Tata Consultancy Services December 2002 - August 2013
Skills
Quality Assurance, Change Management, Project Management, IT Risk Management, Process Management, Risk Assessment, Financial Risk, Full SDLC, Great Analytical skills, Risk Management, IT Process management, IT Compliance, Quality Control, IT Audit, Compliance, Internal Audit, Analysis, Microsoft SQL Server, Datastage, Great communications..., SQL, Microsoft Certified..., Visual Basic, .NET, Project Planning and..., Highly detail oriented, Team Leadership, Project Coordination, ITGC, IT GRC, Written & Oral..., Archer, Team Management, SharePoint, Microsoft Office, Key Performance..., Business Continuity..., Business Analysis, SDLC, Requirements Analysis, Vendor Management
Education
National Institute of Technology Kurukshetra 1998 — 2002
Bachelor of Technology (B.Tech.), Electrical Engineering Technologies/Technicians
Catholic Health Initiatives September 2014 - Present
Fransicsan Missionaries of Our Lady Health System (FMOL) October 2013 - July 2014
Dignity healthcare Corporation / Optum 360 March 2013 - September 2013
Harford Healthcare February 2012 - March 2013
Horizon Blue Cross Blue Shield of New Jersey July 2011 - February 2012
McGraw-Hill Company (Platts Division) February 2011 - July 2011
Healthcare Quality Stategy Incorporated August 2009 - February 2011
Wyckoff Heights Medical Center June 2003 - January 2009
Skills
SDLC, Cross-functional Team..., Project Management, PMP, Change Management
Education
Nyack College 2008 — 2011
MBA, Finance
Horizon Blue Cross Blue Shield of New Jersey May 2014 - Present
Surflight Theatre September 2013 - December 2013
National Field Network March 2012 - August 2013
Algonquin Arts Center April 2013 - April 2013
Our Gang Players October 2012 - October 2012
Merry- Go-Round Playhouse July 2011 - August 2011
Gulfshore Playhouse October 2010 - May 2011
Skills
Theatre, Acting, Entertainment, Stage, Film, Comedy, Drama, Television, Improvisation, Performing Arts, Plays, Musical Theatre, Film Production, Screenwriting, Live Events, Production Managment, Stage Lighting, Shakespeare, Directing, Theatrical Production, Event Planning, Stage Management, Lighting Design, Lighting, Facebook, Wardrobe, Invoice Processing, Sound Design, Casting, Production Budgeting, General Office Skills, Social Media, Scheduling Management, Photography, Public Speaking, General Administrative..., Corporate Events, Event Management, Microsoft Word, Arts Administration, Costumes, Sound, Social Networking, Concerts, Festivals, Electronic Filing, Tour Management, Performing
Education
Pace University-New York 2004 — 2010
Bachelor of Arts (BA), Technical Theatre/Theatre Design and Technology
Ocean County College 2006 — 2008
Associate of Arts (A.A.), Liberal Arts and Sciences, General Studies and Humanities
The Lewer Agency March 2015 - Present
The Lewer Agency December 2012 - Present
The Lewer Agency November 2013 - March 2015
The Lewer Agency April 2011 - November 2013
Horizon Blue Cross Blue Shield of New Jersey August 2010 - April 2011
State Farm Insurance Companies August 2009 - July 2010
American General Finance 2008 - 2009
Skills
Health Insurance, Insurance, Customer Service, Account Management, Life Insurance, Brokers, Employee Benefits, Leadership, New Business Development, Team Building, Sales, Cold Calling, Recruiting, Strategic Planning, Direct Sales, Microsoft Office, Management
Education
Morningside College 2004 — 2008
BS, Business Administration/Marketing
Morningside College 2004 — 2008
Bachelor's degree, Business, Management, Marketing, and Related Support Services
Horizon Blue Cross Blue Shield of New Jersey April 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2011 - April 2013
Horizon Blue Cross Blue Shield of New Jersey June 2007 - January 2009
Infosys Technologies Ltd December 2005 - June 2007
Aztecsoft August 2002 - December 2005
Skills
Software Project..., PMI, QTP, SDLC, PMP, Vendor Management, PMO, SOA, Integration, Project Portfolio..., Software Documentation, Visio, Program Management, Quality Assurance, Cross-functional Team..., Requirements Analysis, Project Management, Business Process, Testing, Management, Requirements Gathering, Release Management, Resource Management, Business Requirements, Business Analysis, Agile Project Management, User Acceptance Testing
Education
Nagpur University 1998 — 2002
Mount Carmel Convet
10th
Bristol-Myers Squibb September 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey December 2013 - June 2014
NRG Energy February 2013 - July 2013
AmeriHealth Administrators May 2010 - December 2012
Pauline Books & Media September 2004 - December 2009
Management Business Systems, Inc. April 2002 - November 2003
Bristol-Myers Squibb September 1988 - December 2001
Bell Atlanticom Systems, Inc.(now Verizon) January 1984 - August 1988
Skills
Vendor Management, Process Improvement, SDLC, Project Management, Business Analysis, Business Process..., Management, SharePoint, Change Management, Program Management, MS Project, Training, Leadership, Cross-functional Team..., Mergers & Acquisitions, Team Leadership, Procurement, Business Development, Outsourcing, Operations Management, SAP
Education
New Jersey Institute of Technology (NJIT)
Master's degree, Engineering Management
New Jersey Institute of Technology
Bachelor's degree, Construction Engineering/Project Management
inVentiv Health January 2014 - April 2015
Horizon Blue Cross Blue Shield of New Jersey August 2011 - January 2014
Horizon Blue Cross Blue Shield of New Jersey August 2011 - January 2014
Skills
Health Insurance, Insurance, Employee Benefits, Account Management, Managed Care, Healthcare, Medicare, Management, Business Analysis, Claim, Underwriting, Sales, Brokers, Strategic Planning, Customer Retention, Team Building, Customer Service, Sales Management, Disability Insurance, Life Insurance, New Business Development, Program Innovation, Thought Leadership, Negotiation, Process Improvement, Leadership, Change Management, Risk Management, Medicaid, HIPAA, Healthcare Consulting, Strategy, Program Management, Cross-functional Team...
Education
Saint Peter's University 2006 — 2014
Master of Business Administration (M.B.A.), Risk Management
New Jersey City University
Bachelor of Arts (B.A.), Psychology
Prudential Financial June 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey July 2012 - 2015
Horizon Healthcare Innovations, LLC June 2011 - July 2012
UnitedHealth Group September 2010 - March 2011
UnitedHealth Group June 2010 - September 2010
GE May 2008 - June 2010
UnitedHealth Group January 2008 - May 2008
UnitedHealth Group September 2006 - January 2008
UnitedHealth Group April 2005 - January 2006
SBC Communitcations (T) January 2005 - March 2005
Skills
Change Management, Business Process..., IT Management, IT Relationship..., Technical Documentation, Technical Leadership, Healthcare Information..., Technical Process, Blueprinting, Lean IT, Lean Thinking, Six Sigma, Agile Methodologies, Agile Project Management, Process Improvement, Software Documentation, Testing, Project Management, Business Analysis, SDLC, Breakdance, Integration, Management, Requirements Analysis, Cross-functional Team..., Leadership, Vendor Management, Program Management
Education
New York University - Leonard N. Stern School of Business 2014 — 2016
Master of Business Administration (MBA), Organizational Leadership
New Jersey Institute of Technology
Bachelor, Science Computer Engineering
Rutgers, The State University of New Jersey-New Brunswick
Electrical Engineering
PPD April 2014 - Present
Rex Healthcare February 2013 - Present
Duke University Medical Center June 2012 - October 2012
Horizon Blue Cross Blue Shield of New Jersey 1997 - 2003
Skills
Regulatory Affairs, Biotechnology, Clinical Research, SRO, CRO, Nursing, Healthcare, BLS, Hospitals, Inpatient, Patient Safety, EMR, Critical Care, Healthcare Management, ACLS, Healthcare Information..., PALS, Emergency Nursing, Epic Systems, NIH Stroke Certification, Medical/Surgical
Education
North Carolina Central University 2009 — 2012
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Union County College 2006 — 2009
Associate of Science (AS), Liberal Studies
NJPLIGA September 2013 - Present
New Jersey Property Liability Insurance Guaranty Association March 2010 - September 2013
Horizon Blue Cross Blue Shield of New Jersey April 2004 - July 2008
Skills
Insurance, Claims Management, Health Insurance, Claim, Call Centers, Medical Billing, Claim Investigation, Claims Handling, Outlook, Workers Compensation, Leadership
Education
Paine College 2002 — 2004
Communication, Journalism, and Related Programs
New Jersey City University
Journalism
Horizon Blue Cross Blue Shield of New Jersey May 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2010 - Present
MetLife April 2007 - December 2008
NTT Data Corporation September 2004 - April 2007
Cegedim Dendrite March 1999 - July 2004
Automatic Data Processing January 1995 - June 1999
Skills
Six Sigma, Process Engineering, Quality Assurance, CMM, PMI, Six Sigma, Process..., BPMN, BPEL, Program Management, Emergency First...
Education
New York University 2009 — 2010
Certificate, Organizational and Executive Coaching
Villanova University 2007 — 2007
Certificate, Lean Six Sigma
Villanova University 2005 — 2005
Certificate, Six Sigma Black Belt
BMGI Training
BMGI Training
Rutgers, The State University of New Jersey-New Brunswick
Masters, Computer Science
HK Metalcraft April 2015 - Present
AdroIT Software & Consulting Inc. April 2012 - December 2014
Brain Storm Tutoring, LLC November 2008 - June 2011
The Great Atlantic and Pacific Tea Company August 2006 - September 2010
The Great Atlantic and Pacific Tea Company June 2002 - August 2006
Horizon Blue Cross Blue Shield of New Jersey November 1998 - May 2001
Datascope March 1998 - August 1998
Booz Allen Hamilton November 1996 - February 1998
Gec-Marconi Aerospace Inc July 1995 - February 1996
Campbell Soup Company October 1994 - June 1995
Skills
Microsoft Excel, Manufacturing..., Information Technology, Customer Service, Software Documentation, Outlook, Access, Program Management, Visio, MS Project, Process Improvement, Troubleshooting, Project Management, Databases, Analysis, Purchasing, Budgets, Business Analysis, Management, Industrial Engineering, Training, Microsoft Office, Leadership, PowerPoint, Microsoft Word, Cross-functional Team..., Business Process, Team Building, Military Training, Six Sigma, Process Scheduler, Research, Security, Product Design, Retail, Quality Control, Active Directory, Sales, Public Speaking, Human Resources, Continuous Improvement, Enterprise Software, Manufacturing, Time Management, Operating Systems, Networking, Auditing, Data Analysis, Unix, Teamwork
Education
New Jersey Institute of Technology
B.S., Industrial Engineering
Horizon Blue Cross Blue Shield of New Jersey July 1985 - Present
Education
Montclair State University 1980 — 1983
BA, Business
Odonata Jewels December 2010 - Present
Horizon Blue Cross Blue Sheild of NJ June 2011 - January 2014
Horizon Blue Cross Blue Shield of New Jersey December 2009 - June 2011
Horizon Blue Cross Blue Shield of New Jersey September 2006 - December 2009
Horizon Blue Cross Blue Shield of New Jersey February 2002 - September 2009
Skills
Business Requirements, Auditing, Analysis, Healthcare, User Acceptance Testing, Business Analysis, Insurance, Process Improvement, Requirements Analysis, Requirements Gathering, Project Management
Education
NJIT 2014 — 2015
Bachelor's Degree, Managment Infomation Systems
New Jersey Institute of Technology
MIS
Vitals 2014 - Present
www.ourtravelmenu.com 2013 - 2014
Kerian Management Consulting 2012 - 2013
The TriZetto Group 2000 - 2012
Erisco Managed Care Technologies 1984 - 2000
Horizon Blue Cross Blue Shield of New Jersey 1977 - 1984
IBM 1976 - 1977
Skills
•Full P&L..., •Software Development..., •Complex System..., •Restructuring /..., •Continuous Quality..., •Budgeting /..., •Mergers & Acquisitions, •Global Outsourcing, •Team Building /..., •Customer Service, •Process Improvement, •Business Turnarounds..., Restructuring, SDLC, Customer Service, Mergers, Outsourcing
Education
New Jersey Institute of Technology 1972 — 1976
Bachelor of Science (B.S.), Computer Science
Vantage Production July 2014 - Present
Educational Testing Service (ETS) April 2013 - July 2014
PHH Mortgage January 2011 - April 2013
Horizon Blue Cross Blue Shield of New Jersey May 2008 - December 2010
Pfizer May 2007 - February 2008
Wells Fargo Home Mortgage February 2006 - March 2007
Hewitt Associates April 2005 - October 2005
Skills
SDLC, Microsoft Office, Visio, Business Requirements, Microsoft SQL Server, Requirements Analysis, Business Analysis, Requirements Gathering, Data Warehousing, User Acceptance Testing, Software Project..., Agile Methodologies, Data Modeling, SharePoint, ETL
Education
New Jersey Institute of Technology 2001 — 2004
Bachelor of Science (B.S.), Computer Science, 3.4
Mid Atlantic Resource Group July 2013 - Present
Brown & Brown Insurance December 2005 - July 2013
First Jersey Insurance Agency May 2002 - December 2005
Horizon Blue Cross Blue Shield of New Jersey June 1997 - October 2001
Skills
Medical, Life and..., Employee Benefits, Brokers, Underwriting, Health Savings Accounts, Benefits Administration, Health Care Reform, Disability Insurance, Life Insurance, Term Life Insurance, Medicare, COBRA, Health Insurance, Training, Insurance, General Insurance, Property & Casualty..., Management, Workers Compensation, Sales, Long-term Care, Liability, 401k, Claim, Commercial Insurance, Open Enrollment
Education
Ocean County College 1985 — 1987
Toms River High School East 1981 — 1985
Business Finance
Healthfirst January 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2006 - December 2013
Horizon Blue Cross Blue Shield of New Jersey September 2005 - October 2006
Horizon Blue Cross Blue Shield of New Jersey July 2003 - September 2005
Horizon Blue Cross Blue Shield of New Jersey September 1997 - May 2003
Horizon Blue Cross Blue Shield of New Jersey August 1995 - September 1997
Horizon Blue Cross Blue Shield of New Jersey May 1994 - August 1995
Horizon Blue Cross Blue Shield of New Jersey January 1993 - May 1994
Horizon Blue Cross Blue Shield of New Jersey September 1991 - January 1993
Horizon Blue Cross Blue Shield of New Jersey April 1991 - September 1991
Skills
Health Insurance, Insurance, Medicare, Managed Care, Health Savings Accounts, Healthcare, Provider Relations, Health Policy, HIPAA, Medicare Part D, Utilization Management, Claim, Disease Management, Pharmacy Benefit..., Healthcare Consulting, Healthcare Information..., Employee Benefits, Healthcare Management
Education
St. Peter's University 2011 — 2013
Master of Business Administration (M.B.A.), Healthcare Administration
Montclair State University 1985 — 1989
BA, Consumer Affairs
City University of New York January 2015 - Present
RAS Technology Services September 2012 - January 2015
Horizon Blue Cross Blue Shield of New Jersey September 2000 - September 2012
COMMAND WEB OFFSET COMPANY 1999 - 2000
ERNST & YOUNG LLP 1998 - 1999
HEWLETT PACKARD 1998 - 1998
FRANK’S BIG AND TALL MEN’S SHOP 1979 - 1996
Skills
Business Analysis, Project Management, Visio, Systems Analysis, SDLC, Microsoft SQL Server, Microsoft Office, Crystal Reports, Integration, MS Project, Testing, Software Development, Troubleshooting, Problem Solving, Programming, Management, CRM, Vendor Management, Software Implementation, Visual Basic, VBA, Process Improvement, Virtual Server, Innovation, Disaster Recovery, Data Analysis, SQL, Enterprise Architecture, Technical Sales Support, Best Practices, Software Project..., Access, Siebel, Training, Lotus Notes, Data Integration, Sales Operations, Data Warehousing, Business Intelligence, Cognos, Software Documentation, PMP, Requirements Gathering, ETL, Business Requirements, User Acceptance Testing, Oracle, Analysis, Joomla, Tableau
Education
DeVry University
Associate in Applied Science in Computer Information Systems, 1997, Computer Science, •GPA: 4.0/4.0
New Jersey Institute of Technology
•Additional coursework in technology and management
Project Managment Institute
•Project Management Professional Certification (2004 - 2009)
Siebel University
•Siebel Core Consultant Certification (2003)
NASCO May 2011 - April 2012
Travel Guard Worldwide November 2007 - May 2011
NuVistasConsulting Services February 2007 - December 2007
Horizon Blue Cross Blue Shield of New Jersey November 1984 - March 2007
Essex County DET 1977 - 1984
Sears, Roebuck and Co. 1974 - 1977
Skills
Program Management, Process Improvement, Business Analysis, MS Project, Project Management, Training, PMO, Management, Testing, SDLC, Leadership, Budgets, Enterprise Architecture, Project Planning
Education
East Orange High School
East Orange High School
New Jersey Institute of Technology
Grad Certificate, Healthcare DB Mgnt
Simmons College
BA, Education/ Psychology
Oria Lak Gonzales & Associates February 2014 - Present
Breaking Bread May 2012 - Present
Ascend, Rutgers-Newark Chapter May 2011 - April 2012
Johnson & Johnson May 2011 - January 2012
Dean's Advisory Council- Rutgers Business School May 2010 - May 2011
Ascend, Rutgers-Newark Chapter May 2010 - May 2011
ParenteBeard LLC January 2011 - March 2011
Horizon Blue Cross Blue Shield of New Jersey May 2008 - February 2009
SCAT Productions NYC September 2008 - January 2009
Ocean Medical Center March 2007 - May 2007
Skills
Microsoft Office 2007, VBA, Team Oriented, Time Management, Organizing, Team-oriented, Sarbanes-Oxley, Leadership, Access, Consulting, PowerPoint, Accounting, Finance, Management, SharePoint, Microsoft Excel, Outlook, Microsoft Office
Education
Life
Everything
Rutgers Business School 2009 — 2012
B.S., Accounting, Finance, MIS
Ocean County College 2007 — 2009
A.S. in General Education, Finance
Brick Memorial High School 2003 — 2007
High School, Honors/Regents High School/Secondary Diploma Program
Healthcare Industry February 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2004 - Present
Horizon Blue Cross Blue Shield March 2004 - 2011
Delaware Investments October 1999 - October 2003
Skills
Strategy, Negotiation, Time Management, Accounting, Banking, Managed Care, Health Insurance, Insurance, Healthcare, Employee Benefits, Process Improvement, Customer Service, Leadership, HIPAA, Strategic Planning, Underwriting
Education
Morgan State University 1983 — 1987
Bachelor of Science (B.S.), Business Administration and Management, General
EmblemHealth May 2012 - Present
Da Vinci Partners Inc. August 2004 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2012 - May 2012
Pfizer Pharmaceuticals December 2009 - January 2012
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas July 2011 - December 2011
Pfizer Pharmaceuticals March 2010 - September 2011
Pfizer Pharmaceuticals July 2009 - September 2011
Pfizer 2007 - 2009
Intrasphere Technologies April 2007 - February 2008
Pfizer April 2007 - 2008
Skills
HIT, SAP, ARIBA, Program Management, Problem Solving, ERP, ERP design, ERP Implementation, SAP Implementation, Project Portfolio..., Offshore Project..., Management Consulting, Healthcare IT, Healthcare Management, Creative Development, Compliance, Compliance Audits, Enterprise Architecture, Acquisition Integration, Business Requirements, Technical Management, Merger Communications, Marketing Communications, Marketing Strategy, Corporate Communications, Unified Communications, Business Communications, Strategic Thinking, Strategic Consulting, Supply Chain Management, Medication Therapy..., Quality Auditing, Business Process..., Business Transformation, Project Management, PMO, Requirements Analysis, Technology Management, Mergers & Acquisitions, Management, Creative Direction, Healthcare Information..., Enterprise Software, Leadership, Ariba, Governance, Integration, Strategy
Education
New York University 1995 — 1997
MPA, Health Policy and Financial Management
Tufts University 1991 — 1995
B.Sc, Civil and Environmental Engineering
Saint Peter's Healthcare System August 2010 - Present
Saint Peter's University Hospital April 2007 - December 2009
Saint Peter's University Hospital December 2005 - April 2007
Christ Hospital/Bon Secours and Canterbury Partnership for Care November 2002 - February 2005
Clara Maass 2002 - 2003
Ernst & Young 1991 - 1992
Pannell Kerr Forter 1982 - 1992
Horizon Blue Cross Blue Shield of New Jersey 1980 - 1982
Skills
CPA, FHFMA, Financial Analysis, Revenue Cycle Management, Financial Reporting, Revenue Cycle, Internal Controls, Accounting, Financial Modeling, SEC filings, Managerial Finance, GAAP, Auditing, Mergers, Process Improvement, Healthcare Information..., Healthcare Industry, Accounts Receivable, Healthcare, Budgets, Finance, Hospitals, Mergers & Acquisitions, Healthcare Consulting, Healthcare Management, Managed Care, Medicare, Medicaid, Leadership, Executive Management, Healthcare Reimbursement, Physicians
Education
New Jersey City University 1975 — 1979
B.A., Economics
New Jersey City University 1975 — 1979
BA, Economics
Saint Peters Prep 1970 — 1974
Horizon Blue Cross Blue Shield of New Jersey February 2014 - January 2015
US Environmental Protection Agency (EPA) March 2013 - November 2013
Skills
Business Process Mapping, UML, UML Tools, SDLC, Full SDLC, Agile Methodologies, Agile & Waterfall..., Requirements Analysis, Requirements Gathering, Business Requirements, Requirement..., Functional Requirements, Product Requirements, User Interface Design, User Interface, Quality Assurance, User Acceptance Testing, Gap Analysis, Process Improvement, Business Process..., Certified Business..., Requirements..., Traceability Matrix, JAD
Education
New York University
Certificate, Business Technology
Rutgers, The State University of New Jersey-New Brunswick
Bachelor of Science (B.S.), C.E. Engineering
Horizon Blue Cross Blue Shield of New Jersey November 2005 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2005 - Present
Skills
Claim, Employee Benefits, Health Insurance, Insurance, Medicare
Education
Nassau Community College 2001 — 2004
Associate's degree, Computer Programming
Alexandria Egypt 1989 — 1994
Bachelor degree, Fine Art
Aetna March 2015 - Present
Aetna January 1999 - Present
UnitedHealthcare October 2005 - March 2006
Horizon Blue Cross Blue Shield of New Jersey November 1995 - December 1998
Skills
Business Analysis, SDLC, Visio, Requirements Analysis, Data Analysis, Integration, EDI Specialist, Speak Spanish, Vendor Management, Customer Service, Process Improvement, SharePoint, Project Management, Software Documentation, IBM Rational Tools, Microsoft Technologies
Education
New Jersey Institute of Technology 2008 — 2011
Bachelor of Applied Science (B.A.Sc.), Management Information Systems
Chubb Institute 1993 — 1995
Data Support Center
United Church Homes December 2012 - Present
Springpoint Senior Living January 1998 - June 2011
Hackensack University Medical Center 1996 - 1998
Monmouth Medical Center 1993 - 1996
Horizon Blue Cross Blue Shield of New Jersey 1987 - 1993
Skills
Senior Housing, Healthcare, Strategic Planning, Senior Living, Hospitals, Executive Management, Long Term Care, Contract Negotiation, Team Building, Real Estate, Healthcare Management, New Business Development, Healthcare Information..., Healthcare Industry, Leadership Development, HIPAA, Quality Improvement
Education
New York University
M.P.A., Health Care Management
Rowan University
B.A., Psychology
Rowan University
M.A., Psychology
Horizon Blue Cross Blue Shield of New Jersey December 2010 - Present
Celebration Singers July 1995 - July 2013
Arcus August 2009 - December 2010
IBM January 1994 - June 2009
Horizon Blue Cross Blue Shield of New Jersey January 1971 - January 1994
Skills
Singing, Mentoring, Healthcare, Requirements Gathering, Fit/Gap Analysis, Requirements Management, Requirements..., Choral, Process Management, Quick Study, Goal Oriented, Claims Management, Managed Care, Detailed Planning, Customer Service, Compliance, FMEA, Quality Assurance, CRM, Program Management, PMO, Business Analysis, Management, Software Documentation, Leadership, Project Management, Process Improvement, Project Portfolio..., PMP, Requirements Analysis, SDLC, Visio, Business Process...
Education
Mount St. Mary's University 1967 — 1971
BA, Mathematics
Cranford High School, Cranford, NJ 1963 — 1967
College Prep
HP/Key Systems/ Goldman Sachs May 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2014 - November 2014
Volt Delta/Maintech July 2000 - February 2012
Maintech July 2000 - February 2012
Goya Foods/Maintech July 2000 - February 2012
New Jersey Citizen Action/ Maintech July 2000 - February 2012
Skills
Data Center, Servers, vSphere, Hardware, VMware View, VCP5-DCV, VMware vSphere, VMware, VMware ESX, Virtualization, Operating Systems, Troubleshooting, Windows Server, HP, VMware Certified..., Network Administration, Microsoft Certified..., Software Installation, Linux, Computer Hardware, Windows, Dell PowerEdge Servers, Networking, A+ Certified, XP, System Administration, Workstations, Server+, Server Migration, Hardware Support, HP Proliant, HP Blade, HP Server Hardware, HP Openview, Windows Server 2003, LAN/WAN, Server, Technical Support, Shavlik, Help Desk Support, Virtual Desktop..., ThinApp, Virtual Desktop Pools
Education
North Lake College 2015 — 2015
Intro VMware 5.1 View Client, Install, Configure, Manage, VMware IT Academy
North Lake College 2014 — 2014
intro EMC and NetApp, EMC Academic Alliance
Stanly Community College 2013 — 2013
vSphere: Install, Configure, Manage, VMware IT Academy, VCP5-DCV
Solartech of NJ 2000 — 2001
A+, MCSE, Computer training
Horizon Blue Cross Blue Shield of New Jersey January 2015 - Present
Pitney Bowes January 2012 - December 2014
WellPoint November 2007 - November 2011
Deloitte August 2001 - November 2007
META Group 1999 - 2000
Anthem May 1987 - August 1999
Skills
Strategic Sourcing, Procurement, Supplier Management, Outsourcing, Vendor, Cost Reduction, BPO, Manufacturing, Contract Management, Contract Negotiation, Negotiation, Vendor Relations, Vendor Management, Sourcing, Operations Management, Program Management, Change Management, Process Improvement, Six Sigma, Strategic Planning, Supply Chain Management, Cross-functional Team..., Management Consulting, Team Building, Business Strategy, Team Leadership, Process Engineering, Contract Negotiations, Financial Analysis, Telecommunications, Business Process..., Inventory Management, Problem Solving, Strategy Development, Budgeting, Supply Chain, Compliance, Ariba, Risk Management, Business Analysis, Microsoft Office, Vendors, Budgets, Strategy, Enterprise Software, Global Sourcing, Spend Analysis, Supply Management, Recruiting, Analytics
Education
Rensselaer Polytechnic Institute - The Lally School of Management and Technology 1997 — 2000
MBA, Business - Technology
Quinnipiac University 1988 — 1997
BS, Economics / Computer Science
Northeastern University 1980 — 1985
BS, Mechanical Engineering
OHAUS Corporation January 2015 - Present
Volt March 2013 - September 2014
Horizon Blue Cross Blue Shield of New Jersey March 2013 - September 2014
Staples March 2012 - May 2013
Skills
Windows 7, Windows XP, Computer Hardware, Technical Support, Troubleshooting, Laptops, Software Installation, Help Desk Support, Computer Repair, Networking, Hardware, Windows, Operating Systems, Antivirus, Information Technology, VPN, Remote Desktop, Windows Vista, VMware, System Deployment, Computer Maintenance, Lotus Notes, SCCM, Virus Removal
Education
New Jersey Institute of Technology
Horizon Blue Cross Blue Shield of New Jersey August 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey February 2008 - August 2011
Skills
Social Media, Social Media Marketing, Email Marketing, Copywriting, User Experience, Web Design, Advertising, Digital Marketing, Public Relations, Web Marketing, Project Management, Integrated Marketing, Online Marketing, Content Management, Social Networking, Digital Strategy, Online Advertising, Content Strategy, Facebook, Blogging, Brand Development, Google Analytics, SEO, Web Analytics
Education
New Jersey Institute of Technology 2003 — 2003
Webmaster Certification
Rutgers, The State University of New Jersey-New Brunswick 1992 — 1996
English
Anthem, Inc. August 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2011 - September 2013
Skills
Managed Care, Medicare Part D, Health Policy, Employee Benefits, Medicaid, Healthcare, Insurance, Claim, Medicare, HIPAA, Healthcare Industry, Provider Relations, Long-term Care
Education
National Louis University 1990 — 1994
Bachelor of Arts (BA) Management, Business, Management, Marketing, and Related Support Services, 3.67
National Louis University
BA Management 3.67, Business Administration and Management, General
PVH Corp. December 2013 - September 2014
National Basketball Association March 2013 - December 2013
BD July 2012 - August 2012
TEKsystems August 2007 - August 2012
Phillips Van Heusen May 2010 - May 2011
ImClone Systems, a wholly-owned subsidiary of Eli Lilly and Company January 2009 - December 2009
National Hockey League September 2007 - June 2008
Pennsylvania American Water August 2006 - June 2007
Horizon Blue Cross Blue Shield of New Jersey February 2001 - June 2006
Skills
Lotus Notes, Microsoft Office, Outlook, Active Directory, Blackberry, Blackberry Enterprise..., iPhone, VMware, Citrix, SharePoint, Mac, HP, Toshiba, XP, Laptops, Peripherals, Troubleshooting, Windows, Operating Systems, Word, Social Media Marketing, Social Media, Small Business, Brand Communication, Data Analysis, YGC Software, Analytics, Microsoft Word, Information Technology, Networking, Help Desk Support, Technical Support, IT Management, Databases, Cisco VoIP, Cisco Wireless, Windows 7, LogMeIn, Service-Now, WebEx, Hardware, Software Installation, Windows XP, Servers, Microsoft Exchange, Leadership, Customer Service, Infrastructure, System Administration
Education
New Jersey Institute of Technology 2015 — 2015
Certified Information Systems Security Professional (CISSP)
Technical Institute of America 2014 — 2014
A+ & CompTIA Network+, Network and System Administration/Administrator
DeVry Institute of Technology North 1996 — 1998
Associate in Applied Science Degree, Computer Information Systems
Horizons Computer Learning Center
Mid Atlantic Retina October 2014 - Present
Shire Pharmaceuticals April 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey July 2012 - December 2013
Metlife Bank 2012 - November 2012
Horizon Blue Cross Blue Shield of New Jersey April 2010 - October 2011
Metlife Bank December 2007 - December 2009
Skills
Risk Management, Sarbanes-Oxley Act, Governance, Financial Risk, Risk Assessment, Business Analysis, Enterprise Risk..., Auditing, Access, Active Directory, Management, Banking, Analysis, Information Security, Software Documentation, Technical Support, Security
Education
New Jersey City University 2001 — 2005
B.A.
Horizon Blue Cross Blue Shield of New Jersey December 2014 - Present
arkHarbor solutions corp. July 2010 - Present
Local Media Group Inc May 2011 - December 2014
Publishers Circulation Fulfillment October 2004 - April 2010
The New York Times 2001 - September 2004
The New York Times 1997 - 2001
The New York Times 1996 - 1997
The New York Times 1995 - 1996
The New York Times August 1984 - 1995
Skills
Process Engineering, Supply Chain Management, Technology Strategy..., Partnership Development, ERP, Call Center, Strategic Planning, Vendor Relations, Process Improvement, Customer Relations, IT Management, Team Building, Mentoring, Budgeting, Operations Management, Program Management, Business Strategy, Outsourcing, Vendor Management, Budgets, Call Centers, Business Intelligence, Customer Service, Strategy, Project Planning, Contract Negotiation, Business Process, Management, Information Technology, Technology Product..., Leadership, Integration, Project Management, Partnerships, SAP, IT Strategy, CRM, Business Process..., Business Analysis, Start-ups, Executive Management, Management Consulting, Cross-functional Team..., Project Portfolio..., SaaS, Consulting, Change Management
Education
Polytechnic University 1995 — 1997
MBA/MOT, MS, Management of Technology
North Central University 1979 — 1981
BS Behavioral Sci, BS Pastoral Studies, Psychology, Theology
FST 1976 — 1979
Ministerial, Theology
Horizon Blue Cross Blue Shield of New Jersey December 2012 - Present
Medco December 2000 - September 2012
Unilever 1993 - 2000
Skills
Strategic Thinking, Result Oriented, Cross-functional Team..., Process Improvement, Vendor Management, Project Management, IT Management, SDLC, Risk Management, Problem Solving, Project Planning, Business Process..., Analysis, Business Analysis, Business Intelligence, Change Management, Databases, Disaster Recovery, Enterprise Architecture, Governance, IT Strategy, Information Technology, Integration, Leadership, MS Project, Management, PMO, PMP, Process Engineering, Project Portfolio..., Requirements Analysis, Software Project..., Six Sigma, Strategic Planning, Team Leadership, Team Building, Unix, Visio, Program Management, Quality Assurance, Software Documentation, Strategy
Education
New Jersey City University 1983 — 1987
Bachelor's degree, Business Administration and Management, General
Richard D. Quinn LLC July 2008 - Present
Richard D Quinn LLC April 2008 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2011 - March 2014
Public Service Enteprise Group November 1961 - July 2008
Skills
Blogger, Employee Benefits, Strategic Planning, Strategic Communications, Retirement Planning, Employee Benefits Design, Health Insurance, Defined Benefit, Incentive Programs, Blogging, Employee Engagement, Benefits Administration, Deferred Compensation, Vendor Management, Performance Management, HRIS, Strategy, Insurance, Executive Pay, Human Resources, Employee Relations, 401k, Social Security, Medicare, Leadership Development, Healthcare, Leadership, Talent Management, Onboarding, Mergers & Acquisitions, Organizational..., Business Planning, Organizational..., Retirement, Succession Planning, Consulting, Health Policy, Process Improvement, Disability Insurance, Workers Compensation, Workforce Planning, Managed Care, Performance Improvement, Disease Management, Labor Relations, Policy, Organizational Design, Internal Communications, Healthcare Industry
Education
Montclair State University 1974 — 1978
Bachelor of Business Administration (B.B.A.), Marketing/Communications
Horizon Blue Cross Blue Shield of New Jersey December 2011 - Present
True Care Healthcare Consultants January 2007 - June 2011
Advanstar Communications, Inc. February 2008 - August 2008
AT&T January 2001 - April 2006
AT&T January 1992 - December 2000
AT&T January 1990 - December 1991
Skills
Networking, Marketing, Training, Online Advertising, Project Management, Event Planning, Leadership, Marketing Strategy, Project Planning, Mergers & Acquisitions, Market Research, Cross-functional Team..., Management, Strategy, Partnerships, Program Management, Change Management, Integrated Marketing, SDLC, Budgets, Customer Service
Education
North Carolina Agricultural and Technical State University
BS, Business Administration/Marketing
Rutgers, The State University of New Jersey-Newark
MBA, Marketing
The Vitamin Shoppe December 2013 - Present
American Cancer Society May 2013 - November 2013
Hudson Pride Connections Center February 2010 - February 2013
ARAMARK Refreshment Services July 2009 - January 2013
New York City Transit September 2011 - January 2012
Securitas Security Services USA, Inc. May 2010 - July 2011
Excel Guard Corp August 2010 - March 2011
Horizon Blue Cross Blue Shield of New Jersey November 2007 - March 2009
Skills
Event Planning, Photography, Customer Service, Event Management, Inventory Management, Retail, Outlook, PowerPoint, Hospitality, Microsoft Word, Microsoft Office, Microsoft Excel, Sales, Music, Budgets, Time Management, Social Media, Grant Writing, Fundraising, Public Relations, Public Speaking, Social Networking, Publicity, Management, Editing, Nonprofits, Leadership, Facebook, Training, Team Building, Marketing, Entertainment, Social Media Marketing, Creative Writing, Research, Strategic Planning, Blogging, Community Outreach
Education
New Jersey City University 2010 — 2014
Criminal Justice
University of Phoenix
Communications, Communication and Media Studies
Horizon Blue Cross Blue Shield of New Jersey March 2004 - Present
HORIZON BLUE CROSS AND BLUE SHIELD April 2008 - December 2010
HORIZON BLUE CROSS AND BLUE SHIELD March 2004 - April 2008
Skills
Insurance, Health Insurance, Medicare, Process Improvement, Claim, Business Analysis, Sarbanes-Oxley Act, Access, Managed Care, HIPAA, Medicaid, Customer Service, Leadership, Management, Microsoft Office, Training
Education
New Jersey City University
Bachelor's Degree, Criminal Justice and Corrections
Horizon Blue Cross Blue Shield of New Jersey February 2013 - Present
Akshar Group February 2012 - Present
Shayona Group January 2007 - Present
Skills
C++, SSRS, SDLC, Java, Visual Basic, ASP.NET, MySQL, Photoshop, HTML, Microsoft SQL Server, PHP, XML, SSAS 2008, Windows XP Pro, SSIS, Start-ups, Entrepreneurship, Sales Management, Management, Account Management, Marketing, Project Management, Business Analysis, Microsoft Office, SQL, Data Analysis, Microsoft Excel
Education
Williams Dickinson High School 2005 — 2007
Sharda Mandir Vidya Mandir (India) 1991 — 2004
New Jersey Institute of Technology
MBA Information Systems, Minor Finance
Hanson Financial, Heritage Financial Partners June 2015 - Present
A.Farah Investments, LLC May 2012 - June 2015
UnitedHealthcare May 2010 - May 2012
Horizon Blue Cross Blue Shield of New Jersey March 2009 - May 2010
Skills
Financial Planning, Retirement Planning, Variable Annuities, Life Insurance, Long Term Care Insurance, Health Insurance, Estate Planning, Microsoft Office, Customer Service, Manage Client..., Paperwork, Employee Benefits, Strategic Financial..., Financial Advisory
Education
Rasmussen College-Wisconsin 2012 — 2013
Bachelor of Applied Science (B.A.Sc.), Business Administration and Management, General
Northeast Wisconsin Technical College 2008 — 2011
Associate's degree, Business Administration and Management, General
Anthem August 2013 - Present
Carol Jean Evans Agency June 1990 - Present
SelectQuote Senior Insurance Services July 2012 - December 2012
Horizon Blue Cross Blue Shield of New Jersey October 2010 - December 2010
Northwestern Mutual Financial Network October 2005 - March 2009
Strategic Employee Benefit Services October 2005 - February 2009
Education
Center of Bilingual Multicultural Studies in Cuernavaca, Morelos Mexico
Extensive Comprehensive Spanish, Mexican Art, History and Culture
New Mexico State Corrections Academy, Santa Fe, NM
Correctional Officer Academy Graduate, New Mexico Department of Corrections
New Mexico State University
Criminal Justice
The American College
Diploma in Life Insurance Marketing, Life Underwriter Training Council, Estate Planning, Personal and Business Insurance
Ventiv Technology September 2014 - Present
Aon August 2009 - Present
Willis July 2008 - May 2009
Ingersoll Rand August 2007 - June 2008
AIG June 1998 - December 2007
Horizon Blue Cross Blue Shield of New Jersey 1988 - 1998
Skills
RMIS Certified, Risk, Insurance, Analysis, Claims Management, Customer Relations, Risk Management, Billing, Quality Assurance, Workers Compensation, Business Intelligence, Account Management, Excel, Data Warehousing, Problem Solving, Negotiation, Microsoft Office, PowerPoint, Outlook, Financial Risk, Business Analysis, Claim, Salesforce.com, Microsoft Excel
Education
New Jersey Institute of Technology 1984 — 1990
Bachelor's Degree, Management Information Systems, General
Henry Snyder High School 1980 — 1984
HS Diploma, College Prep.
Horizon Blue Cross Blue Shield of New Jersey January 2014 - Present
Living Legacies Cancer Foundation October 2012 - Present
GAF August 2013 - January 2014
Horizon Blue Cross Blue Shield of New Jersey January 2012 - February 2013
Xerox October 2009 - February 2010
Affinity Federal Credit Union September 2006 - December 2008
Skills
Customer Service, Call Centers, Sales, HR Policies, Training, Vendor Management, Process Improvement, Organizational..., Time Management, Outlook, Data Entry, Microsoft Word, Microsoft Excel, PowerPoint, Banking, Microsoft Office, Customer Experience, Business Development, Customer Satisfaction, Customer Support, Nonprofits, Non-profit Volunteer, Health Insurance, Enrollment Services, TPX, Event Planning, Fundraising, Healthcare, Employee Benefits, Leadership, Spreadsheets, Insurance
Education
Richard Stockton College of NJ 1999 — 2003
Bachelor Degree of Science, Math
New Jersey Institute of Technology
Finance, General
Horizon Blue Cross Blue Shield of New Jersey April 2015 - Present
Greater New York Hospital Association March 2014 - April 2015
Happtique June 2013 - March 2014
FEMA March 2013 - June 2013
Beth Israel Medical Center 2009 - 2013
Open Doctors, Inc. May 2012 - August 2012
Lankenau Hospital June 2012 - July 2012
Atlantic Center for Research May 2010 - August 2011
Mid-Atlantic Neonatology Associates May 2011 - July 2011
Skills
Public Health, Healthcare Management, Data Analysis, Community Outreach, Health Policy, Customer Service, Healthcare, Political Behavior, SPSS, Social Media, Microsoft Office, Research, Basic Web Design, Mental Health Law, Project Management, Business Development, Healthcare Information..., Marketing, Market Research, Microsoft Excel, Mental Health Policy, Health Law, Behavioral Genetics, Medical Education, Clinical Research, Strategic Communications, Quality Improvement..., Health Care Compliance, Medical Coding, Financial Statement..., Financial Analysis, Stata, Visio, Business Process Mapping
Education
New York University Robert F. Wagner Graduate School of Public Service 2013 — 2015
Master of Public Administration (MPA), Health Policy and Management (Management & Finance)
New York University College of Arts & Sciences 2010 — 2013
Bachelor of Arts (B.A.), Political Science and Government, Minor in Public Health & Policy
Muhlenberg College 2009 — 2010
Harriton High School of Lower Merion 2005 — 2009
Prudential Retirement June 2003 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2003 - June 2003
MassMutual Financial Group April 2000 - October 2002
United States Postal Service July 1994 - January 2000
Skills
Retirement, Mutual Funds, Investments, Financial Services, Series 6, Risk Management, 401k, Customer Service, Series 63, Project Management, Life Insurance, Compliance, Insurance, Relationship Management, Retirement Planning, Retirement Services, Mergers & Acquisitions, 403 b, 457 Plans, ESOP, Rollovers, QKA, ISOP, GOVERNMENT, Form 5500, TGPC, 401k Rollovers, Asset Allocation, Consulting
Education
New England College of Business and Finance 2013 — 2015
Master of Business Administration (M.B.A.), Business Administration and Management, General
New England College of Business and Finance 2011 — 2012
Bachelor's Degree, Business Administration and Management, General
Penn State University 2004 — 2005
Associate's Degree, Business Administration and Management, General
Horizon Blue Cross Blue Shield of New Jersey June 2014 - Present
US Army May 2005 - Present
Workforce Opportunity Services March 2014 - June 2015
Rainforest Cafe March 2012 - September 2014
Edison Job Corps Academy July 2010 - June 2014
Delta Community Supports September 2009 - June 2011
Rainforest Cafe June 2004 - June 2007
Skills
Leadership, Military, Training, Military Experience, Army, Military Operations, Communication, Security Clearance, Microsoft Excel, Inspection, Operations Management, Microsoft Office, PowerPoint, Microsoft Word, Physical Security, C4ISR, Critical Thinking, Operational Excellence, Interagency Coordination, Adaptability, Team Management, Time Management, Inventory Management, Highly detail oriented, Conflict Resolution, Data Analysis, Oral & Written..., Written & Oral..., Conflict Prevention, Employee Training, Infantry Tactics, Small Unit Leadership, Small Unit Tactics
Education
New Jersey Institute of Technology 2015 — 2015
Project Management
Rutgers, The State University of New Jersey-Newark 2014 — 2015
Information Technology Project Management
Bishop Ahr
Rutgers University-New Brunswick
Ethics
Converge-One Collaboration 2014 - Present
TrialCard 2012 - 2014
3M Health Information Systems, Inc. 2004 - 2011
Horizon Blue Cross Blue Shield of New Jersey 2001 - 2004
Skills
Project Management, Proposal Development, Budget Management, MS Project, Process Mapping, Vendor Management, Resource Management, MS Office Suite, OpenAir, Attention To Detail, Analytical Abilities, Management Presentations, Goal Oriented, Issues Resolution, Able To Multi-task, Budgets, Proposal Writing, Process Improvement, Project Planning, Software Implementation, Integration, Analysis, Business Development, Software Development, Enterprise Software, Analytical Skills, Cross-functional Team..., Microsoft Office, Microsoft Project, Software Documentation, Business Process Mapping
Education
New Jersey Institute of Technology 1994 — 1998
BS, Management
Horizon Blue Cross Blue Shield of New Jersey October 2014 - Present
IPsoft August 2012 - October 2014
Skills
Cisco Technologies, Routing, Switching, BGP, OSPF, Data Center Architecture, Data Center..., Network Virtualization, Wireless, EIGRP, Frame Relay, Metro Ethernet, MPLS, Ethernet, Network Design, VoWLAN, VoIP, Network Security, Routers, Switches, Wireless LAN Controller, Access Points, WCS, TCP/IP, Networking, Troubleshooting, SDN, C, C++, Matlab, Linux, Windows, Microsoft Office, LTE, EVDO, CDMA, GSM, 3G, 2G, IPv6
Education
New Jersey Institute of Technology 2012 — 2017
Doctor of Philosophy (Ph.D.), Electrical Engineering
New Jersey Institute of Technology 2010 — 2012
Master's Degree, Electrical Engineering, GPA 4.0
Benson Idahosa University 2004 — 2008
Bachelors, Physics, 1st class honours
Five Point Medical Solutions June 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey 2005 - 2008
Genentech 2003 - 2004
Partners HealthCare 2001 - 2003
Brigham and Women's Hospital 2000 - 2001
Skills
Managed Care, Medicine, Medication Therapy..., Pharmacy Benefit..., Pharmacists, Clinical Research, Pharmacy, Medical Writing and..., Formulary Management..., Manuscript Development, Project Management, Medical Writing, Diabetes, Pharmacy Automation, Oncology, Pharmaceutical Industry
Education
Northeastern University 1994 — 2000
Doctor of Pharmacy, Pharmacy
Horizon Behavioral Health March 2015 - Present
Horizon BCBS of NJ December 2013 - March 2015
Horizon Blue Cross Blue Shield of New Jersey 2005 - 2013
Horizon BCBSNJ June 2008 - December 2012
Horizon BCBS of NJ October 2004 - June 2008
Skills
Call Centers, Employee Benefits
Education
New Jersey City University
Bachelor of Science, Criminal Justice
New Jersey City University
Home Infusion Solutions, LLC d.b.a. Home Solutions October 2012 - Present
United Surgical Partners 2009 - 2011
Horizon Blue Cross Blue Shield of New Jersey 2006 - 2008
Wien Securities Corp 1979 - 2006
Skills
Access, Outlook, Healthcare, Underwriting, Customer Service, Microsoft Excel, Employee Benefits, ICD-10
Education
Ocean County College 2006 — 2006
certificate, Medical office Specialist, A
Beachbody May 2013 - Present
United States Attorney's Office September 2010 - Present
AMEC September 2009 - September 2010
Neumann University January 2008 - December 2009
JAKO Enterprise (Kicks USA) April 2004 - September 2009
Horizon Blue Cross Blue Shield of New Jersey May 2008 - August 2008
City of Philadelphia (Department of Recreation) May 2005 - September 2005
Skills
Analysis, Customer Service, Leadership, Management, Microsoft Office, Networking, PowerPoint, Social Networking, Databases, Time Management, Access
Education
Neumann University 2006 — 2010
BS, Computer Information Management
QTC Management/ Lockheed Martin Company February 2015 - Present
Henry J. Austin Health Center January 2014 - July 2014
Horizon Blue Cross Blue Shield of New Jersey January 2010 - July 2013
Horizon Blue Cross Blue Shield of New Jersey April 2000 - December 2009
Horizon Blue Cross Blue Shield of New Jersey February 1999 - March 2000
Skills
Applicant Tracking..., College Recruiting, Talent Acquisition, HRIS, PeopleSoft, Onboarding, Temporary Placement, Employee Relations, Recruiting, Benefits Administration, Employee Benefits, Process Improvement, Coaching, Interviews, Strategic Planning, Sourcing, SDLC, Customer Service, Vendor Management, Healthcare, Health Insurance, Healthcare Information..., Managed Care, Human Resources, Insurance, Leadership, Access, Internet Recruiting, Talent Management, Technical Recruiting, Healthcare Management, Management, Taleo, Performance Management, Strategic Partnerships
Education
Morgan State University
Sony Music Entertainment April 2015 - Present
Western Union August 2014 - March 2015
Wyndham Worldwide / RCI November 2013 - July 2014
Gemini Systems March 2005 - November 2013
Horizon Blue Cross Blue Shield of New Jersey March 2013 - October 2013
National Basketball Association (NBA) March 2011 - December 2012
Horizon Blue Cross Blue Shield of New Jersey June 2010 - March 2011
NYSE Euronext February 2009 - April 2010
National Basketball Association (NBA) May 2006 - November 2008
NYSE Euronext January 2006 - May 2006
Skills
Hibernate, XML, Spring, Eclipse, Struts, Integration, JSF, Business Process Design, Programming, Web Content Management, Database Admin, Communications Audits, Indexing, Architecture, Sybase, Java, SOA, Spring Framework
Education
National Institute of Information Technology 1995 — 1998
Information Technology
AIG July 2015 - Present
United Way of Central Jersey January 2015 - July 2015
Janssen, Pharmaceutical Companies of Johnson and Johnson June 2012 - January 2013
Horizon Blue Cross Blue Shield of New Jersey September 2010 - June 2012
Horizon Blue Cross Blue Shield of New Jersey June 2010 - August 2010
Horizon Blue Cross Blue Shield of New Jersey May 2009 - August 2009
Pressler & Pressler L.L.P. May 2008 - August 2008
Skills
Analysis, Microsoft Excel, Microsoft Office, Research, Access, Project Management, Account Reconciliation, Data Analysis, Financial Analysis, SAP, Tax Wise, CorpTax
Education
Rutgers, The State University of New Jersey - Rutgers Business School 2013 — 2015
Master's Degree, Taxation
New York Institute of Technology-Old Westbury 2006 — 2011
B.S., Business Management/Administration, Finance
Horizon Blue Cross Blue Shield of New Jersey 2010 - Present
IBM June 2006 - 2010
IBM September 2001 - June 2006
Alcatel-Lucent June 1999 - September 2001
Sales Solutions Systems June 1998 - June 1999
Skills
SDLC, Requirements Analysis, Integration, Testing, Perl, Requirements Gathering, Troubleshooting, Software Documentation, Software Development, Unix, DB2
Education
New Jersey Institute of Technology 2000 — 2003
MS, Information Systems
Rutgers University-New Brunswick 1995 — 1999
BS, Computer Science, Economics Minor
Horizon Blue Cross Blue Shield of NJ February 2001 - Present
Horizon Blue Cross Blue Shield of New Jersey 2001 - Present
GetWell:) Network August 2005 - February 2006
GetWellNetwork 2003 - 2004
National Basketball Association September 1997 - February 2001
National Basketball Association 1997 - 2001
Seton Hall University 1995 - 1997
Skills
Project Portfolio..., PMP, PMO, Process Improvement, SDLC, Program Management, ICD-10, Resource Management, Strategy, Vendor Management, Requirements Gathering, Management, Quality Assurance, Project Management, Cross-functional Team..., CRM, Visio, Business Analysis, Project Planning, HIPAA
Education
New Jersey Institute of Technology 2000 — 2001
MS
Seton Hall University 1992 — 1993
M. Ed.
Villanova University 1987 — 1991
BA
Horizon Blue Cross Blue Shield of New Jersey 2007 - 2014
Simkin Industries 2004 - 2006
Schering Plough December 1999 - February 2004
Skills
Process Improvement, Business Intelligence, Data Analysis, Business Analysis, Management, Project Management, Business Process..., Customer Service, Strategic Planning, SDLC, Social Networking, Public Speaking, Healthcare, Requirements Analysis, Marketing, Team Building
Education
New Jersey City University 1983 — 1987
BS, Management
AIG March 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey February 2013 - Present
McGraw-Hill 2008 - 2013
Citi 2008 - 2012
Skills
SDLC, PMP, Vendor Management, Project Portfolio..., MS Project, Project Management, Change Management, Management, Release Management, Waterfall, Project Planning, Mobile Devices, RUP, Business Analysis, Program Management, Integration, IT Strategy, Oracle, Enterprise Architecture, Data Warehousing
Education
Sri Venkateswara University 1994 — 1996
School of Business Management
National Institute of Technology Warangal 1989 — 1993
Bachelor of Science (BS)
Horizon Blue Cross Blue Shield of New Jersey April 2013 - Present
Horizon Blue Cross Blue Shield of NJ March 2006 - March 2013
Horizon Blue Cross Blue Shield of New Jersey June 2003 - March 2006
Horizon Blue Cross Blue Shield of NJ December 2000 - June 2003
Lab Vantage Inc. April 1999 - December 2000
Accutest December 1994 - April 1999
Enseco Incorporated October 1993 - August 1994
Applied Wastewater Technologies May 1991 - October 1993
Skills
SDLC, Microsoft SQL Server, SQL, Enterprise Architecture
Education
New Jersey Institute of Technology
Master of Science
Tongji University
Bachelor of Science
Reality Tech Inc. February 2015 - Present
AEGIS Insurance Services January 2009 - Present
AEGIS Insurance Services February 2013 - January 2015
City of Newark July 2007 - August 2008
Aeteon Corporation January 2001 - June 2007
AIG Agency Auto January 2002 - November 2006
Horizon Blue Cross Blue Shield of New Jersey 1999 - 2001
Texaco Inc. January 1990 - June 1991
Santa Fe Energy Resources, Inc. June 1988 - December 1989
Tenneco Oil Exploration & Production January 1987 - June 1988
Skills
Shared Services, Financial Reporting, Financial Analysis, Vendor Management, Project Management, Budgets, SharePoint, Strategic Planning, Sarbanes-Oxley Act, Finance, ITIL, Business Process, Business Intelligence, Business Analysis, ERP, Change Management, Program Management, Information Technology, Security, Management, Microsoft System Center, Contract Management, Software Documentation, Oracle, Accounting, Insurance, Access, Data Analysis, Microsoft Excel, Infrastructure VMware..., ERP Implementations, ERP Selection, Information Management, Oil & Gas Industry, Downstream Oil & Gas, Oil & Gas Exploration
Education
New Jersey Institute of Technology 2000 — 2002
MBA, Management Of Information Technology
Texas Southern University 1969 — 1974
Bachelors of Administration, Accounting
JPMorgan Chase March 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2010 - March 2014
sanofi-aventis October 2006 - November 2010
Warner Chilcott July 2004 - October 2006
Cegedim Dendrite April 2003 - July 2004
Education
Stevens Institute of Technology 2006 — 2008
MS, Information Systems
New Jersey Institute of Technology 2001 — 2003
BS, Information Technology
Mt Olive High School
Horizon Blue Cross Blue Shield of New Jersey December 2010 - Present
EmblemHealth May 2002 - December 2010
Aetna 1992 - 1999
Skills
Health Insurance, Underwriting, Insurance, Managed Care, Employee Benefits, Strategic Planning, Pharmacy Benefit..., Microsoft Excel, Data Analysis, Financial Analysis, Budgets, Team Building, Health Care Reform, Salesforce.com, Non-profits, Access, Healthcare, Nonprofits, Medicare, Medicaid, Health Savings Accounts, HIPAA, PPO, Claim, HMO, Brokers
Education
Rutgers, The State University of New Jersey-Newark
MPA, Non-profit Management
New York University
BA, Economics
Horizon Blue Cross Blue Shield of New Jersey December 2010 - Present
Rockefeller Group Technology Solutions, Inc. (RGTS) 2012 - 2012
JP Morgan Chase October 1996 - January 2011
American Home Products 1992 - 1994
Skills
ITIL Foundation 3..., AIX, Active Directory, Business Analysis, Business Continuity, Business Intelligence, Business Process..., CRM, Change Management, Cisco Routers, Customer Service, Data Center, Databases, Disaster Recovery, Enterprise Architecture, Enterprise Software, Event Planning, Governance, High Availability, IT Management, IT Strategy, ITIL, Information Technology, Infrastructure, Integration, Leadership, Linux, Management, Microsoft Office, Networking, PMO, PMP, Process Improvement, Program Management, Project Management, Project Planning, Requirements Analysis, Risk Management, SDLC, SQL, Security, Servers, Unix, VMware, Vendor Management, Visio, Windows Server
Education
New York University 2004 — 2007
Horizon Blue Cross Blue Shield of New Jersey August 2014 - Present
Urology Group of New Jersey August 2011 - August 2014
Memorial Sloan-Kettering Cancer Center February 2011 - July 2011
MediBill Management July 2010 - February 2011
Lifeline Medical Associates October 2009 - July 2010
GlaxoSmithKline Philippines 2006 - 2007
The Heritage Hotel Manila (Member of Millennium & Copthorne Hotels) 2002 - 2006
Corporate Image Dimensions (Affiliated with Ketchum Newscan and Weber Shandwick) 1998 - 2002
Anglo Asian Strategic Management, Inc 1996 - 1998
Corporate Image Dimensions (Affiliated with Ketchum Newscan & Weber Shandwick) 1994 - 1996
Skills
Marketing Communications, Market Analysis, Customer Relations, Customer Service, Public Relations, Public Speaking, Publicity, New Business Development, Medical Coding, Code Compliance, Physician Billing, Budget Management, Medical Records, Revenue Cycle, Medical Billing, Medicaid, Medicare, Hospitals, Healthcare, Budgets, Healthcare Management, ICD-9, Management, HIPAA, Healthcare Information...
Education
Berdan Institute 2008 — 2009
Certificate in Medical Billing & Coding, Certificate in Medical Coding & Billing
New York University 2007 — 2007
Certificate in Public Relations, Media Relations
St. Scholastica's College,Manila 1990 — 1994
Bachelor of Science, Marketing Management
St. Scholastica's College,Manila 1989 — 1993
Bachelor of Arts, Mass Communications
Horizon Blue Cross Blue Shield of New Jersey March 2013 - July 2015
Time Inc. July 2011 - February 2013
The New York Times April 2008 - July 2011
BNP Paribas May 2007 - April 2008
Advantage Human Resourcing May 2005 - May 2007
Leafstone Staffing Services June 1999 - May 2005
Skills
Recruiting, Talent Acquisition, Strategic Planning, Management, Human Resources, Talent Management, Advertising, Social Media, Temporary Placement, Digital Marketing, Applicant Tracking..., Interviews, Sourcing, Onboarding, New Hire Orientations, Staff Development, Employee Relations, Time Management, Temporary Staffing, College Recruiting
Education
New York University
BS, Communications Studies
Elsevier November 2014 - Present
Macmillan September 2011 - October 2014
Horizon Blue Cross Blue Shield of New Jersey 2004 - October 2011
JCDecaux 1999 - 2004
Republic National Bank 1995 - 1998
Bantam Doubleday Dell 1990 - 1995
Bank of New York Mellon 1987 - 1990
Skills
Silverpop, Access VBA, Salesforce.com, Business Requirements, VBA, Agile Methodologies, Business Intelligence, Salesforce.com..., Certified Scrum Product..., JIRA, Business Analysis
Education
New Jersey Institute of Technology
Masters, Computer Science
State University of New York at Albany 1980 — 1984
Bachelor of Science, Computer Science and Applied Mathematics
Bronx High School of Science 1976 — 1980
CVS Health October 2014 - Present
UBS Wealth Management November 2013 - September 2014
Horizon Blue Cross Blue Shield of New Jersey June 2013 - November 2013
Credit Suisse July 2012 - December 2012
Medco Health Solutions June 2008 - July 2012
Skills
SDLC, Business Analysis, MS Project, Process Improvement, Project Portfolio..., Project Management, Visio, Cross-functional Team..., SharePoint, Healthcare Information..., PMO, Software Documentation, Microsoft Office, IBM Rational Portfolio..., Microsoft Office..., Microsoft Excel, Project, Change Management, Software Development, Risk Management, Integration, CRM, Agile Project Management, Management, Program Management, Governance, Budgets, Business Process..., Scrum, Software Project..., IT Management, Project Planning, Vendor Management, Resource Management, Requirements Analysis, Requirements Gathering, IT Strategy, Quality Assurance, Enterprise Architecture, Business Intelligence, Information Technology, Microsoft Project
Education
New Jersey Institute of Technology - School of Management
Bachelor's degree, Management Information Systems
Bergen County Regional Academies
High School Diploma, Graphic Communications
Horizon Blue Cross Blue Shield of NJ April 2009 - Present
Horizon Blue Cross Blue Shield of New Jersey 2009 - Present
ActiveHealth Management December 2007 - March 2009
Aetna 2003 - 2007
Skills
Health Insurance, Insurance, Managed Care, Product Development, Leadership, Medicare, Process Improvement, Employee Benefits, Healthcare, HIPAA, Management, Health Policy, Disease Management, Product Management, Health Care Reform, HMO, Health Savings Accounts, Medicaid
Education
New York Law School 1993 — 1996
JD, Law
University of Michigan 1981 — 1983
MHSA, Health Planning & Policy Analysis
Providence College 1977 — 1981
Bachelor of Science (BS), Health Services Administration
UnitedHealth Group June 2013 - Present
United Health Care November 2004 - May 2012
UnitedHealthcare 2000 - 2011
UnitedHealth Group 2004 - April 2009
Horizon Blue Cross Blue Shield of New Jersey November 2002 - October 2004
Verizon April 2002 - January 2003
Skills
SDLC, Business Analysis, Software Project..., Agile Methodologies, Business Intelligence, IT Strategy, Enterprise Architecture, PMP, Integration, Process Improvement, Solution Architecture, Program Management, Business Process..., Software Development
Education
Rutgers Business School 2004 — 2006
MS, Information Systems, 3.0
University of Mumbai 1990 — 1996
Bachelors, Information Systems
National Institute of Information Technology
Bed Bath & Beyond January 2013 - Present
Galaxy Systems June 2011 - May 2012
Horizon Blue Cross Blue Shield of New Jersey March 2011 - May 2011
L-3 Communications 2008 - 2010
The Reserve October 2006 - October 2007
Dun & Bradstreet 1986 - 2006
Skills
Data Modeling, Data Warehousing, Oracle, SQL, DB2, CICS, ETL, Business Intelligence, PL/SQL
Education
City College of NY
BS, Electrical Engineering
Polytechnic University
MS, Operations Research
Horizon Blue Cross Blue Shield of New Jersey June 2010 - Present
Skills
Informatica, Data Quality, Data Integration, ETL, SDLC, Databases, Business Intelligence, Oracle, Data Profiling, EAI, Data Warehousing, Requirements Analysis, Master Data Management, Data Governance, Business Analysis, Data Modeling, Data Warehouse..., Data Migration, DB2, Teradata, Business Requirements, Data Quaity, Team Leadership, Team Management
Education
Rani Durgavati Vishwavidyalaya 1996 — 1998
MS
National Institute of Information Technology 1995 — 1998
Associate
University of Kashmir 1993 — 1996
Bachelors
Horizon Blue Cross Blue Shield of New Jersey January 2009 - Present
Horizon Blue Cross Blue Shield of NJ April 2007 - December 2008
Horizon Blue Cross Blue Shield of New Jersey May 2006 - April 2007
Skills
Financial Analysis, Business Analysis, Financial Reporting, Analysis, Forecasting, Six Sigma, Sarbanes-Oxley Act, Process Improvement, Microsoft Excel, PeopleSoft, Financial Modeling, Data Analysis, Auditing, Risk Management, Customer Service, Green Belt Certification, Insurance Risk
Education
St. Peter's College 2010 — 2012
MBA, Risk Management
Montclair State University 2001 — 2005
BS, Finance and Management
Horizon Blue Cross Blue Shield of New Jersey April 2012 - Present
Horizon Blue Cross Blue Shield of NJ December 2007 - April 2012
Skills
Business Requirements, SDLC, PMP, SharePoint, Project Portfolio..., Enterprise Architecture, Resource Management, Software Documentation, PMO, Management
Education
Montclair State University 1982 — 1986
Yankee Gas April 2014 - Present
South Jersey Gas Company June 2011 - March 2014
Horizon Blue Cross Blue Shield of New Jersey August 2010 - August 2011
PUBLIC SERVICE ELECTRIC AND GAS COMPANY January 2007 - June 2010
PUBLIC SERVICE ELECTRIC AND GAS COMPANY May 2004 - January 2007
PSE&G April 1997 - June 2000
PUBLIC SERVICE ELECTRIC AND GAS COMPANY January 1997 - January 2000
PUBLIC SERVICE ELECTRIC AND GAS COMPANY January 1989 - January 1997
UNITED STATES ARMY January 1987 - January 1989
Skills
Process Improvement, Leadership, Program Management, Budgets, SAP, Forecasting, Management, Customer Service, Human Resources, Process Scheduler, Policy, Logistics, Access, Accounting, Team Building, Training, Procurement
Education
William Paterson University 1990 — 1994
Bachelor of Science, Management
New Jersey Institute of Technology 1985 — 1987
None, Mechanical Engineering Related Technologies/Technicians
IBM 2009 - Present
IBM 2008 - 2009
IBM 1999 - 2008
IBM 1994 - 1999
Horizon Blue Cross Blue Shield of New Jersey 1987 - 1994
AT&T 1982 - 1987
Skills
Program Management, SDLC, IT Strategy, ITIL, Vendor Management, Integration, Project Management, Project Portfolio..., PMO, PMP, Project Planning, IT Service Management, IT Management, Enterprise Architecture, Business Analysis, Outsourcing, Solution Architecture, Resource Management, Data Center
Education
Fairleigh Dickinson University-Florham Campus
MBA, Management
Northern Illinois University
BS, Computer Science
The George Washington University - School of Business
Master's Certificate, Project Management
Horizon Blue Cross Blue Shield of NJ November 1985 - Present
Horizon BCBSNJ 1985 - Present
Horizon Blue Cross Blue Shield 1985 - Present
Horizon Blue Cross Blue Shield of New Jersey 1985 - Present
BLUE CROSS BLUE SHIELD's Medix Inc. 1985 - 1995
softtran 1980 - 1985
IBM 1979 - 1980
Skills
Enterprise Architecture, Software Development, Database Design, Architecture, PMP, SDLC, Visio, C#, Vendor Management, Requirements Analysis, Process Improvement, Project Planning, Software Documentation, EDI, Health Insurance, EAI, Virtualization, Software Project..., Architectures, Requirements Gathering, Management, Disaster Recovery, Business Analysis, Integration
Education
New York University 1976 — 1980
BS, Computer Applications
roosevelt high school 1973 — 1976
Horizon Blue Cross Blue Shield of New Jersey April 2014 - Present
Horizon Blue Cross Blue Shield of NJ September 1992 - April 2014
Education
Saint Peter's University
Master of Business Administration (M.B.A.)
Montclair State University
Bachelor's Degree
Cambia Health Solutions January 2013 - Present
Cambia Health Solutions / Regence Health Plans October 2012 - February 2013
AdvancedHealthCare Solutions June 2012 - October 2012
Horizon Healthcare Innovations, LLC April 2010 - May 2012
Horizon Blue Cross Blue Shield of NJ November 2000 - May 2012
Horizon Blue Cross Blue Shield of New Jersey October 2000 - May 2010
The Permanente Medical Group 1997 - 2000
Ohio Permanente Medical Group 1993 - 1997
Skills
Disease Management, Managed Care, Healthcare Consulting, Healthcare Management, Health Insurance, Healthcare Information..., Healthcare, Utilization Management, Practice Management, Medicare, EHR, Health Policy, Internal Medicine, Medicine, Informatics, Clinical Research, Provider Relations, Physicians, Revenue Cycle, HIPAA, Strategic Leadership, Hospitals, Leadership, Medicaid, Quality Improvement, Nursing, Physician Relations, Healthcare Industry
Education
Northwestern University - Kellogg School of Management
MBA, Healthcare
The George Washington University
BS, Biology
The George Washington University School of Medicine and Health Sciences
MD, Medicine
Horizon Blue Cross Blue Shield of NJ November 2006 - September 2014
Horizon Blue Cross Blue Shield of New Jersey June 1998 - July 2006
IBSS 2004 - 2006
Skills
SDLC, Databases, Requirements Analysis, Database Design, Business Intelligence, Software Project..., SOA, Solution Architecture, Requirements Gathering, Data Warehousing, Business Analysis, Data Modeling, Enterprise Architecture, ETL, PL/SQL
Education
Nagpur University
Bachelor of Engineering (BE) In Electronics and Communications
Horizon Blue Cross Blue Shield of New Jersey 1998 - Present
Medical Resources, Inc. 1996 - February 1998
PHP Healthcare, Inc. 1993 - 1996
Boston Road Medical Associates, 1990 - 1993
Kriscom International 1988 - 1990
Skills
VMware, Visio, Vendor Management, SDLC, Technical Support, Business Continuity, Virtualization, Management, Network Administration, Networking, SQL, Business Analysis, Unix, Windows, Disaster Recovery, Data Center, IT Management, SharePoint, Enterprise Architecture, IT Strategy, Active Directory, ITIL, Integration, System Deployment, Servers, IT Operations, IT Service Management, Software Documentation, Systems Analysis, Windows Server, PMP, System Administration, Information Technology, Security, Citrix, Requirements Analysis, Solution Architecture, Databases, Requirements Gathering, VMware ESX
Education
Saint Peter's University 2006 — 2010
MBA, MIS
NYIT 1993 — 1994
Master of Science (MS), Computer Science
NM Institute of Mgmt. Studies, Univ.of Bomay 1986 — 1987
Post-Graduate Diploma, Diploma in Systems Management
Royal Career College, Univ. of Bombay 1985 — 1986
PG Diploma, Computer Programming & System Analysis
Osmania University
BS (Hons.), Science
Horizon Blue Cross Blue Shield of New Jersey December 2010 - Present
Panasonic 2007 - 2009
NYSE Euronext 2003 - 2005
Education
New Jersey Institute of Technology
McGivney & Kluger, PC January 2015 - Present
Winne Banta Hetherington Basralian & Kahn, PC July 2013 - April 2014
Blume, Goldfaden September 1988 - August 2012
Kean University September 2003 - July 2012
Becker Professional Education August 2006 - December 2011
NJIT September 2010 - May 2011
Horizon Blue Cross Blue Shield of New Jersey 1985 - 1987
Skills
Accounting, QuickBooks, Data Analysis, Financial Reporting, PowerPoint, Financial Analysis, Microsoft Excel, Auditing, Microsoft Word, Strategic Planning, Tax, Market Research, Teaching, Research, Public Speaking, Higher Education, Microsoft Office, Non-profits, Staff Development, Access, Finance, Budgets, Nonprofits, Analysis, Sarbanes-Oxley Act, Internal Controls, Strategic Financial..., Management, Financial Accounting, CPA, Accounts Receivable, Account Reconciliation, Accounts Payable, General Ledger, Leadership, Customer Service, Process Improvement, Program Management, Financial Statements, Forecasting, Internal Audit, Financial Modeling, Management Consulting, GAAP
Education
New Jersey Institute of Technology 1998 — 2000
MS, MIS & Accounting
Ramapo College of New Jersey 1981 — 1985
BS, BUSINESS
West Orange Mountain High School
Horizon Blue Cross Blue Shield of New Jersey April 2014 - Present
Fairmont Specialty October 2012 - April 2014
Blue Cross of Idaho July 2011 - September 2012
Chartis Insurance July 2009 - November 2010
Greater Than One May 2008 - September 2008
Penn, Schoen & Berland Associates September 2007 - December 2007
Skills
Excel, VBA, SQL, SAS Programming, Access, Word, PowerPoint, Microsoft SQL Server
Education
New York University
Aetna December 2006 - Present
Horizon BCBSNJ June 1984 - December 2006
Horizon Blue Cross Blue Shield of NJ 1985 - 2006
Horizon Blue Cross Blue Shield of New Jersey 1982 - 2006
Skills
HMO, Group Health, PBM, National Accounts, Medical Management, Renewals, Health Plans, Medicare Supplements, Disease Management, Managed Care, Health Insurance, PPO, Consultative Selling, Brokers, Medicare, Health Savings Accounts, Healthcare Industry, Health Policy, Insurance, Sales, Health Care Reform, Underwriting, Selling, Claim, Benefits Administration, Employee Benefits, Healthcare, Disability Insurance, Self-funded, Pharmacy Benefit..., Life Insurance, COBRA, HIPAA, Long-term Care, Group Insurance, Medicare Part D, Workers Compensation, Flexible Spending..., Group Medical, Marketing Strategy, Accident, Fixed Annuities, Management, 401k, Sales Presentations
Education
Montclair State University 1976 — 1981
BS, Business
Horizon Blue Cross Blue Shield of New Jersey August 2012 - Present
Anadigics June 2008 - August 2012
Quest Diagnostics December 2002 - June 2008
National Manufacturing Co., Inc. April 2002 - December 2002
Six Sigma Physics October 2001 - April 2002
Airtron, Electronic Materials Group of Northrop Grumman February 2000 - September 2001
AlliedSignal Amorphous Metals February 1997 - February 2000
AlliedSignal Amorphous Metals April 1996 - February 1997
AlliedSignal Amorphous Metals June 1991 - April 1996
Skills
Six Sigma, Process Engineering, Quality Management, Management, 5S, Program Management, Business Process..., Project Management, Automation, Operations Management, Semiconductors, Root Cause Analysis, Testing
Education
Moravian College
Bachelor of Science (BS), Physics
The College of William and Mary
Doctor of Philosophy (PhD), Physics
The College of William and Mary
Master of Science (MS), Physics
UnitedHealth Group January 2013 - Present
US Census Bureau February 2012 - December 2012
Bank of America March 2011 - December 2011
Horizon Blue Cross Blue Shield of New Jersey November 2010 - May 2011
Macy's Systems & Technology March 2010 - October 2010
State of North Carolina November 2006 - July 2009
SAS 2004 - 2006
IBM 2001 - 2003
Dunn & Bradstreet 1994 - 1997
Skills
Data Warehousing, DB2, Analytics, Business Intelligence, Enterprise Architecture, SAS/SQL, SAS 9.2 EBI Platform..., SAS, SAS programming, Data Mining, Business Analysis, Unix, Data Management, SQL, Data Integration, Data Modeling, SDLC, Data Analysis, Databases, Solution Architecture
Education
New Jersey Institute of Technology 1989 — 1993
MS, Computer Science
Healthfirst September 2013 - Present
Independence Blue Cross April 2012 - August 2013
Horizon Blue Cross Blue Shield of New Jersey August 2006 - August 2012
Horizon Blue Cross Blue Shield of New Jersey June 2003 - August 2006
Skills
Product Marketing, Strategic Planning, Data Analysis, Market Research, Competitive Intelligence, Brand Management, Cross-functional Team..., Strategy, Competitive Analysis, Product Management, Business Analysis, Analysis, Vendor Management, Business Strategy, Insurance, Risk Management, Health Insurance, Managed Care, Process Improvement, Analytics, Account Management, Medicare, Healthcare
Education
Oberlin College 1983 — 1987
BA, Economics
St. Peter's University
MBA (candidate)
William Paterson University September 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2004 - March 2011
Valley Health System June 2002 - May 2004
Skills
Public Health, Nursing, Healthcare, Disease Management, Hospitals, Managed Care, Healthcare Information..., BLS, HIPAA, Home Care, Inpatient, Quality Improvement, Health Insurance, Nursing Education, Policy, Leadership Management, EMR, Medicare, Patient Safety, Program Development, Medicaid
Education
New York University 2005 — 2013
Doctorate of Philosophy, Nursing Research
Penn State University 2000 — 2002
Master of Science, Community Health Nursing
The College of New Jersey 1996 — 2000
Bachelor of Science, Nursing
Physicians Pharmacy Alliance December 2013 - Present
Blue Cross Blue Shield of North Carolina December 2011 - Present
Blue Cross Blue Shield of North Carolina July 2010 - December 2011
UHP Healthcare September 2009 - March 2010
AlliedBarton Security Services October 2005 - February 2010
Horizon Blue Cross Blue Shield of New Jersey February 2006 - May 2009
Horizon Blue Cross Blue Shield of New Jersey August 2004 - February 2006
Skills
Health Insurance, Management, Insurance, Leadership, Program Management, Human Resources, Project Management, Team Leadership, Policy, Call Centers, Training, Employee Benefits, Public Speaking, Business Analysis, Process Improvement, HIPAA, Risk Assessment, Vendor Management, Security, Cross-functional Team..., Auditing, Customer Satisfaction, Analysis, Healthcare, Visio, Claim, Coaching, Strategic Planning, Customer Service, Performance Management, Medicare, Access, Managed Care, Team Building, Internal Communications
Education
Montclair State University 1991 — 1998
Business Management w/ conc Accounting
Queen of Peace High School 1986 — 1990
Diploma, Business, Economics, Finance
MAQUET March 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2007 - March 2011
Skills
Software Documentation, Active Directory
Education
Montclair State University
B.S.
ARI January 2015 - Present
ARI May 2012 - December 2014
ARI June 2011 - April 2012
Life Settlement Leads November 2010 - June 2011
Life Settlement Leads January 2010 - November 2010
Life Settlement Leads February 2009 - January 2010
Passaic Valley Regional High School February 2004 - February 2009
Isles, Inc. September 2007 - August 2008
Arena Football League March 2006 - August 2008
Horizon Blue Cross Blue Shield of New Jersey May 2004 - August 2004
Skills
Microsoft Office, Lotus Notes, Databases, Strategic Planning, Team Building, Access, Process Improvement, Project Management, Management, Training, Analysis, Leadership, Research, Customer Satisfaction
Education
University of Scranton 2012 — 2014
Master of Business Administration (M.B.A.), Enterprise Resource Planning, ERP Certification & International Business
Montclair State University 2003 — 2004
Bachelor of Science, Management
University of Connecticut 1999 — 2003
Bachelor of Science, Management Information Science
Horizon Blue Cross Blue Shield of New Jersey 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2009 - November 2011
Skills
Healthcare, Health Insurance, Business Analysis, Business Process..., Process Management, Process Improvement, Business Process..., Requirements Gathering, Vendor Management, Insurance, Visio, SDLC, Project Portfolio..., PMP, Business Requirements, HIPAA
Education
Montclair State University 1985 — 1989
Bachelor of Science, Mathematics
Horizon Blue Cross Blue Shield of New Jersey VMware AdministratorHorizon Blue Cross Blue Shield of New JerseyMay 2001 - Present
Skills
VMware Infrastructure, VMware Workstation, VMware ESX, Data Center, Windows, Research, PowerPoint, English, Customer Service, Microsoft Excel, Microsoft Word, Microsoft Office, Teaching, Outlook, Technical Support
Education
PC AGE Career Institute 1999 — 2000
Engineer's Degree, Computer/Information Technology Administration and Management
New Jersey Institute of Technology 1990 — 1994
Bachelor's Degree, Engineering
Liberty Mutual Insurance March 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey February 2013 - January 2014
AXA Equitable August 2010 - February 2013
Munich Reinsurance America, Inc. June 2009 - December 2009
Skills
Reinsurance, Statistics, Analysis
Education
Rutgers University-New Brunswick 2006 — 2010
B.A., Statistics-Mathematics
Northeastern University
Horizon Blue Cross Blue Shield of New Jersey February 2005 - Present
CentraState Healthcare System October 1990 - February 2005
Skills
Certified Diabetes..., Healthcare Management, Nutrition, Wellness, Healthcare, Fitness, Weight Management, Disease Management, Health Education, Health Promotion, Public Health, Pediatrics, Managed Care, Utilization Management, Hospitals, Medicare, Pharmacy, Patient Education, Home Care, Clinical Research
Education
New York University
Master's degree, Health Care Management- Nutrition, 3.9
Horizon Blue Cross Blue Shield of New Jersey November 2001 - Present
Connell Foley LLP April 1994 - May 2001
Skills
Managed Care, Hospitals, Healthcare, Medicare, Healthcare Management, HIPAA, Healthcare Industry, Insurance, Disease Management, Medicaid, Health Policy, Health Insurance, Provider Relations, Utilization Management, HMO
Education
New York University 1990 — 1992
MA, Medical Risk Management
Seton Hall University
BSN, Nursing
Horizon Blue Cross Blue Shield of New Jersey June 2001 - Present
Shoe Town September 1978 - December 1996
Skills
Microsoft Excel, Microsoft Word, Customer Service, Microsoft Office, Outlook, Windows
Education
Ocean County College
Business/Commerce, General
Prudential Financial August 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2011 - August 2012
Skills
SAS, VBA, Data Analysis, Risk Management, SAS programming, Actuarial Science, Statistics
Education
New Jersey Institute of Technology 2009 — 2010
Master's degree, Computational and Applied Mathematics
New Jersey Institute of Technology 2007 — 2009
Bachelor of Applied Science (B.A.Sc.), Mathematical finance and Actuarial Science
Horizon Blue Cross Blue Shield of New Jersey February 2015 - Present
Skills
Process Improvement, Health Insurance, Vendor Management, Insurance, Managed Care, HIPAA, Medicare, Strategic Planning, Leadership, Business Analysis
Education
Mount St. Mary's University
Horizon Blue Cross Blue Shield of New Jersey Senior Benefits AnalystNASCOApril 2006 - February 2007
Horizon Blue Cross Blue Shield of New Jersey September 2004 - April 2006
Skills
Health Insurance, Business Analysis, Employee Benefits, Requirements Gathering, Process Improvement, Business Requirements, Insurance, Visio, Access, Requirements Analysis, Vendor Management, Software Documentation, Systems Analysis, SharePoint, SDLC
Education
Parsons School of Design 1996 — 1998
AS, Information Design
New Jersey Institute of Technology 1985 — 1990
BA, Information Processing Systems
New Jersey Institute of Technology 1985 — 1990
Bachelor of Arts (BA), Information Technology, N/A
Rutgers, The State University of New Jersey-Newark 1985 — 1990
BA, Information Processing Systems
Horizon Blue Cross Blue Shield of New Jersey April 2006 - March 2015
Horizon Healthcare Insurance Company of New York August 2002 - April 2006
Empire Blue Cross Blue Shield 1995 - 2002
Skills
Process Improvement, Business Process Mapping, Continuous Process..., Project Management, Financial Analysis, Variance Analysis, Budget Creation &..., Budget Process, Budget Monitoring, Forecasting, Business Partner Support, Auditing, Insurance, HIPAA, Health Insurance, Medicare, Medicaid, Governance, Risk Management, Risk Assessment, Teamwork, Microsoft Office
Education
New York University 1978 — 1982
Bachelor's Degree, Accounting
Horizon Blue Cross Blue Shield of New Jersey May 2001 - Present
Education
New Jersey Institute of Technology 1990 — 1994
Bachelor, Engineering
Contemporary Women's Health PC January 2013 - Present
Advance Career Institute March 2011 - January 2013
Horizon Blue Cross Blue Shield of New Jersey October 1995 - January 2011
Skills
Health Insurance, Medicare, Medical Billing, Claims, Managed Care, Billing, CPT, HIPAA, Customer Service, Healthcare Management, Excel, Compliance, Supervisory Skills, Access, Auditing, Accounts Receivable, Benefits, PeopleSoft, Lotus Notes, Telephone Skills, Medicaid, Process Improvement, Microsoft Office, HCPCS, ICD-9, Medical Terminology
Education
Morgan State University 1987 — 1992
Bachelors, Marketing
UnitedHealth Group July 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey April 1991 - July 2012
Skills
Medicare, Claim, Fraud, Private Investigations, Background Checks, Medicaid, Health Insurance, Investigation, Claims Management, HIPAA, Policy, Provider Relations, HMO, PPO, Medicaid Managed Care, Workers Compensation, Internal Audit, Data Mining, Managed Care, Surveillance, Auditing, OIG, Data Analysis, Insurance, Healthcare Industry, Clinical Data Management
Education
New Jersey City University 1978 — 1982
Bachelor of Science, Criminal Justice and Corrections
Horizon Blue Cross Blue Shield of New Jersey
Skills
Process Improvement, Insurance, Vendor Management
Education
New York University
Master of Arts (MA), Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
Horizon Blue Cross Blue Shield of New Jersey 1998 - Present
Skills
Claim, Customer Service, HIPAA, Health Insurance, Insurance, Managed Care, Medicare, Microsoft Excel, Outlook, Process Improvement, Healthcare, Visio, Leadership, Vendor Management, Business Analysis, Program Management
Education
Montclair State University 1985 — 1991
Bachelor of Arts (BA)
Brown Brothers Harriman 2000 - Present
Horizon Blue Cross Blue Shield of New Jersey 1998 - 2000
Skills
PeopleSoft, SDLC, Financial Services, Business Analysis, HRIS, Requirements Gathering, Process Improvement, Vendor Management, MS Project, Risk Management, Talent Acquisition, Change Management, Requirements Analysis, Onboarding, Oracle, Disaster Recovery, Analysis, Project Management, Visio, Human Resources, PeopleCode, Systems Analysis, PeopleTools, Business Process, SQR, Software Documentation, Business Process..., ERP, Data Conversion, Workday
Education
Montclair State University
Bachelor of Science (BS), Management Information Systems, Marketing
Horizon Blue Cross Blue Shield of New Jersey October 2012 - Present
CIGNA Healthcare (Group Insurance) March 1997 - August 2012
ACC&T March 1999 - August 2002
CGI Systems (CGI An IBM Company) June 1995 - March 1997
HBCS May 1994 - May 1995
Moscow Institute of Technology May 1981 - February 1992
Skills
Integration, Oracle, SQL, Data Architecture, Data Modeling, ETL, Software Development, Database Design, Software Design, Database Administration, DB2, Microsoft SQL Server, SQL PL, T-SQL, Mainframe, Unix, Data Warehousing, Performance Tuning, Systems Analysis, Business Process, Databases, Master Data Management
Education
Moscow Power Engineering Institute (Technical University)
Master of Science, Electrical Engineering
FedEx Express November 2007 - Present
FedEx Express November 2007 - Present
FedEx Express September 2002 - November 2007
FedEx Express August 2000 - September 2002
FedEx Express December 1996 - August 2000
FedEx Express August 1994 - December 1998
Horizon Blue Cross Blue Shield of New Jersey 1990 - 1995
Skills
Leadership, Leadership Development, Customer Service, Teaching, Strategic Planning, Team Building, Public Speaking, Preaching
Education
New Brunswick Theological Seminary 2002 — 2008
Master of Divinity (M.Div.), Theology and Religious Vocations
Collabera August 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2013 - March 2014
HealthPlus of Michigan October 2012 - April 2013
JPMorgan Chase September 2011 - September 2012
Ramball Testlab Inc November 2007 - February 2009
Pep Boys October 1990 - August 2003
Skills
Databases, DB2, Unix, COBOL, CICS, Access, VBA, SDLC, Mainframe, SQL, Business Analysis, Microsoft SQL Server, Microsoft Access, Subversion
Education
Montclair State University 1976 — 1981
Bachelor's degree, Computer Science
Chubb Insurance January 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2013 - December 2013
DST Health Solutions September 2012 - February 2013
Catalyst Rx March 2011 - August 2012
Education
New Jersey Institute of Technology 2011 — 2011
Master's Degree, Information System Management- (System Analysis and Design), 3.6
Richard Stockton College of New Jersey 2006 — 2007
Bachelor's Degree, Physics/ Business, 3.4 GPA
Horizon Blue Cross Blue Shield of New Jersey 2014 - Present
PromiseCareNJ 2008 - Present
Skills
Case Management, Community Outreach, Healthcare, Mental Health
Education
New Jersey City University
Bachelor's degree, Sociology