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
Hub International November 2010 - Present
Hub International November 2010 - January 2014
Marsh & McLennan Companies, Inc. February 2010 - November 2010
Arthur J. Gallagher & Co. January 2006 - October 2009
Horizon Blue Cross Blue Shield of New Jersey September 1985 - October 1996
Skills
Insurance, Employee Benefits, Life Insurance, Disability Insurance, Health Insurance, Medicare, General Insurance
Education
Rider University 1981 — 1985
Bachelors, Actuarial Science
Cranford High School
College/University Preparatory and Advanced High School/Secondary Diploma Program
St, Michael School Cranford, NJ
High School Prep
FGroup Solutions August 2011 - Present
Group 19 Marketing Services January 2007 - Present
TrendShift May 2011 - September 2012
GHI 2003 - 2007
Horizon Blue Cross Blue Shield of New Jersey January 1995 - December 2002
Skills
Health Insurance, Insurance, Managed Care, Medicare, Employee Benefits, Healthcare, Strategic Planning, Marketing, Sales, Marketing Strategy, Product Development, Team Building, Strategy, Start-up Environment, Leadership, Coaching, Management, Disability Insurance, Selling, Account Management, Managing Start-ups, Direct Sales, Call Centers, Sales Management, New Business Development, Enterprise Software, CRM, Budgets, Sales Operations, Entrepreneurship, Executive Management
Education
Pace University 1971 — 1976
BA - Marketing, Marketing
LIU
MBA Sales
Horizon Blue Cross Blue Shield of New Jersey March 2013 - Present
Horizon Healthcare Innovations September 2011 - March 2013
Skills
Health Insurance, Microsoft Word, Microsoft Excel, PowerPoint, Program Development, Microsoft Office, HIPAA, Healthcare, Nursing
Education
Our Lady of the Lake University
Bachelor of Science, Biology
The University of Texas at Arlington
Bachelor of Science, Nursing
Xerox August 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2010 - January 2014
Atlanticare Administrators Inc March 2001 - January 2013
Bob's Bay Marina June 1995 - July 2001
Skills
Financial Reporting, Bank Reconciliation, Accounting, Auditing, Cash Management, Internal Controls, Sarbanes-Oxley Act, Process Improvement, Analysis, Access, General Ledger, Accounts Payable
Education
Rider University 1992 — 1996
Bachelor's Degree, Acccounting, 2.8
Raritan Valley Community College
Associate's Degree, Accounting and Finance, 3.2
Nologe LLC January 2011 - Present
Banorte June 2015 - Present
Fannie Mae September 2014 - April 2015
USAA January 2014 - September 2014
USAA September 2013 - January 2014
USAA January 2013 - August 2013
Whataburger June 2011 - November 2012
Horizon Blue Cross Blue Shield of New Jersey January 2011 - August 2011
Daman Consulting May 2009 - January 2011
USAA May 2009 - January 2011
Skills
Business Intelligence, Data Modeling, Data Warehousing, Data Governance, Data Integration, Enterprise Architecture, ETL, Master Data Management, Data Management, Metadata Management, Data Warehouse..., Program Management, Information Management, Big Data, SDLC, Data Architecture, Data Quality, Analytics, Agile Methodolgy, NoSQL, Agile Methodologies
Education
Regis University 2001 — 2004
MS, Computer Information Technology
Valparaiso University 1984 — 1988
BS, Computer Science
Horizon Blue Cross Blue Shield of New Jersey January 2015 - Present
Verizon Wireless January 2010 - December 2014
Verizon Wireless July 2007 - January 2010
Verizon Wireless January 2005 - July 2007
Verizon Wireless August 2001 - January 2005
Verizon Wireless July 2000 - August 2001
Horizon Blue Cross Blue Shield of New Jersey April 1999 - July 2000
Horizon Blue Cross Blue Shield of New Jersey March 1998 - April 1999
Horizon Blue Cross Blue Shield of New Jersey November 1996 - March 1998
Horizon Blue Cross Blue Shield of New Jersey September 1994 - November 1996
Skills
Wireless, Telecommunications, M2M, Mobile Devices, Direct Sales, Solution Selling, Customer Retention, B2B, Account Management, Sales Management, Customer Satisfaction, Sales Operations, Call Center, Strategic Partnerships, Sales, Customer Experience, Management, Strategy, Training, Contract Negotiation, Process Improvement, Cross-functional Team..., Forecasting, Call Centers
Education
Seton Hall University School of Law 1998 — 2000
Master of Science Jurisprudence, Health Law; Public Policy
Ramapo College of New Jersey
Bachelor of Arts, Economics
AmerisourceBergen December 2013 - May 2014
Shire Pharmaceuticals November 2012 - October 2013
Merck January 2012 - October 2012
GlaxoSmithKline February 2005 - December 2011
Horizon Blue Cross Blue Shield of New Jersey 2003 - 2004
Independence Blue Cross 2002 - 2003
McKesson 2000 - 2002
Shared Medical Systems 1998 - 2000
Merck-Medco Managed Care L.L.C 1991 - 1998
IMS America LTD 1974 - 1991
Skills
Vendor Management, PMO, ITIL, IT Service Management, Project Portfolio..., Service Delivery, Project Planning, Outsourcing, Program Managment, Business Change..., Divestures, Global Management, IT Risk Management, People Management, Planning, CA Clarity, Microsoft Project Server, Mergers & Acquisitions
Education
Rosemont College
BA Business Administration
Horizon NJ Health of Blue Cross/Blue Shield August 2012 - Present
Horizon NJ Health August 2010 - August 2012
Horizon Blue Cross Blue Shield of New Jersey August 2003 - August 2010
Robert Wood Johnson University Hospital Hamilton 1995 - 2003
Interim HealthCare 1995 - 1995
Skills
Managed Care, Medicaid, Utilization Management, Healthcare Management, Healthcare, Medicare, Process Improvement, Medicare Part D, Medicaid Managed Care, Microsoft Office, Budgets, Nursing, Analysis, Healthcare Industry, HMO, Software Documentation, Data Analysis, Case Management, Disease Management, Medicine, PPO, EMR, Provider Relations, Healthcare Consulting, Case Managment, HIPAA, Clinical Research, Health Insurance, Healthcare Information..., Physicians, Home Care, Health Policy, JCAHO, Program Management, IV, Revenue Cycle, Credentialing, Network Development, Claim, Acute Care, EHR, NCQA, Insurance, Hospitals, Community Outreach, Provider Network..., HEDIS, Quality Improvement, Provider Networks
Education
Rider University 2004 — 2008
Master of Arts (MA), Human Service Administration
Seton Hall University 1993 — 1995
BSN, Nursing
Ocean Mental Health Services, Inc. June 2011 - Present
Freeman, Barton, Huber & Sacks March 2010 - August 2010
Horizon Blue Cross Blue Shield of New Jersey March 2008 - March 2009
Holman & Frenia, P.C. February 2006 - August 2006
Education
Rowan University 2007 — 2011
Bachelor of Arts, Law & Justice
Horizon Blue Cross Blue Shield of New Jersey June 2006 - Present
Education
Pace University - Lubin School of Business 1978 — 1982
BBA, Marketing, Advertising
Canarsie High School 1975 — 1978
Horizon Blue Cross Blue Shield of New Jersey February 2014 - Present
Navigate Corporation October 2012 - February 2014
Siemens Medical Solutions April 2011 - October 2012
Encore Health, Inc. August 2009 - April 2011
HCR-ManorCare October 2005 - August 2009
Skills
Revenue Management, Six Sigma, Process Improvement, HIT, Billing, Insurance, Microsoft Office, Business Strategy, Coaching, Process Engineering, Operations Management, Quality Management, Accounts Receivable, Healthcare, Quality Assurance, Continuous Improvement, Change Management, Performance Improvement, Strategic Planning, Data Analysis, Business Process..., Business Analysis, Operational Excellence, Customer Relations, Access, Bookkeeping, Team Building, Problem Solving, Budgeting, Excel, Business Management, PowerPoint, Outlook, Word, MS Project, Visio, Analysis, Forecasting, Loss Prevention, Management, Management Consulting, Training, Project Management, Strategy
Education
Kaplan University Online 2009 — 2010
Black Belt, Six Sigma
University of the Sciences in Philadelphia 2008 — 2009
Bachelor of Science, Business Management
Penn State University 1999 — 2004
BS, Management Consulting, Strategic Management, Information Systems, Statistical Analysis
Doane Academy 1996 — 1999
High School Diploma
Silver Dialysis 2001 - 2005
Horizon Blue Cross Blue Shield of New Jersey September 2000 - January 2001
Pittsgrove Township School District September 1999 - June 2000
Liberty Mutual Insurance Company 1996 - 1998
Community Nursing Services 1995 - 1996
Skills
Strong Organizational..., Knowledge of Medical..., Scheduling Experience, Chart Review for..., Trustworthy Professional, Medical Records..., Strong Written and..., Familiarity with..., General Office Skills, Dedicated Customer..., Computer Knowledge, Health Insurance, Customer Service, Home Care, Coordinating Skills
Education
American Health Information Management Association 2010 — 2012
Certified Coding Associate Certification, Medical Coding and Billing
Rowan University
Secondary Education Teaching Certification, Secondary Education - English
Rowan University
Bachelor's Degree, Communications
Deloitte May 2013 - Present
TriZetto Corporation August 2008 - May 2013
Horizon Blue Cross Blue Shield of New Jersey 1995 - 2008
Skills
Requirements Analysis, SDLC, Agile Methodologies, Software Project..., Requirements Gathering, Scrum, Vendor Management, Business Analysis, Agile Project Management
Education
Penn State University
Bachelor of Arts (B.A.), Political Science
Horizon Blue Cross Blue Shield of New Jersey May 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey November 2010 - May 2012
EmblemHealth April 2004 - October 2010
HealthChoice March 2000 - February 2004
Summit Health Administrators April 1997 - February 2000
Prudential Financial January 1992 - March 1997
Skills
Health Policy, Process Improvement, Training, Software Documentation, Public Health, Visio, HIPAA, Healthcare, Health Insurance, Insurance, Leadership, Affordable Care Act, Data Analysis, Employee Benefits, Project Management, Business Analysis, Technical Writing, Change Management, Strategic Planning, Management, SharePoint, Healthcare Information..., Access, Microsoft Excel, Analysis, PPO, Outlook, HMO, Requirements Gathering, Medicare, Medicaid, Health Care Reform, Claim, Medicare Part D, Testing, Instructional Design, Medicaid Managed Care, Managed Care, ERISA, Healthcare Industry
Education
Rhode Island School of Design 1982 — 1986
Horizon Blue Cross Blue Shield of New Jersey May 2013 - August 2013
Skills
Microsoft Excel, PowerPoint, Microsoft Word, Healthcare, Data Analysis
Education
Penn State University 2009 — 2013
Bachelor of Science (BS), Health Policy and Administration
Horizon Blue Cross Blue Shield of New Jersey June 2008 - Present
Skills
Health Insurance, Medicare, Sales, Life Insurance, Insurance, Marketing, Employee Benefits, Managed Care, Leadership, Workers Compensation, Health Savings Accounts, Healthcare, HIPAA, Claim
Education
Saint Peter's University 2011 — 2013
Master of Business Administration (MBA), Health/Health Care Administration/Management & Marketing
Providence College 2001 — 2006
Bachelor of Science (BS), Health Policy and Management
Horizon Blue Cross Blue Shield of New Jersey May 2014 - Present
HCR ManorCare July 2012 - May 2014
Preferred Healthmate LLC August 2008 - July 2012
Preferred Healthmate LLC August 2007 - August 2008
Sam's Super Service August 2006 - October 2007
Larry's II September 2002 - August 2006
Skills
Home Care Nursing, Hoyer Lift Transfers, Physical Assessment, Gastronomy Tube Feeding, Respiratory Treatments, Effective..., Sub-Acute Nursing, Medication..., Trach Care, IV, Rehabilitation, Nursing, Patient Advocacy, Vital Signs, Direct Patient Care, Registered Nurses, Infection Control, Nursing Documentation, BCLS, PICC lines
Education
Rowan University 2014 — 2017
Master's degree, Family Practice Nurse/Nursing
Rowan University 2010 — 2012
Bachelor of Science in Nursing, Nursing (ADN to BSN)
Salem Community College 2007 — 2008
Associate's degree in Nursing, Nursing (LPN to ADN)
Healing Hands October 2014 - Present
Horizon Blue Cross Blue Shield of NJ October 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2010 - Present
Jackson School District, Goetz Middle School November 2007 - June 2010
Shore Rehabilitation Institute May 2001 - October 2006
Skills
Management, Sales, Microsoft Office, Microsoft Word, TPX, Lotus Notes, Healthcare, Registered Nurses
Education
Jersey City Universtiy 2001 — 2003
Bachelor's Degree, Health Professions and Related Clinical Sciences, Other, 3.0
Ocean County College 1994 — 2001
Associate's Degree, Associate science, 3.0
Insight Global April 2014 - October 2014
Carpenter Technology March 2014 - April 2014
Walmart September 2013 - March 2014
Catalyst360° February 2012 - June 2012
IBM March 1994 - May 2010
Horizon Blue Cross Blue Shield of New Jersey January 1992 - March 1994
Skills
Mainframe, Program Management, Strategic Planning, Customer Service, Project Management, Firewise Coordinator, Homeowner Association..., z/OS, Production Support, Talent Acquisition, TSO, Change Management, JCL, IBM Mainframe, Netview, CICS, Disaster Recovery, MVS, Technical Support, Networking, Integration, DB2, Access, Management, JES2, Testing, Leadership, Software Documentation, Incident Management, Business Analysis, Service Delivery, Enterprise Architecture, Visio, Requirements Analysis, Systems Analysis, COBOL, SDLC, Security, VSAM, Software Installation, RACF, Xpediter, AIX, Data Center
Education
New Horizons Computer Learning Center 2013 — 2013
Computer Network & Support Technician
Ramapo College of New Jersey 1975 — 1979
BS, Business Admin / Marketing
Cranford High School
Horizon Blue Cross Blue Shield of New Jersey September 2010 - Present
Independence Blue Cross July 1990 - April 2010
Gino's Restaurant 1976 - 1983
Education
Rowan University 1976 — 1979
Law
Healthfirst 2013 - Present
Healthfirst 2012 - 2013
Horizon Blue Cross Blue Shield of New Jersey 2010 - 2012
Horizon Blue Cross Blue Shield of New Jersey 2001 - 2010
Horizon Blue Cross Blue Shield of New Jersey 1996 - 2001
Horizon Blue Cross Blue Shield of New Jersey 1992 - 1996
Horizon Blue Cross Blue Shield of New Jersey 1986 - 1992
Skills
Healthcare Industry, Change Management, Facilities Design, Internal Communications, Presentations, New Business Development, Human Resources, Annual Planning, Financial Forecasting, Budget Process, Informatics, Healthcare, Management
Education
Penn State University 1981 — 1985
Bachelor of Science (BS), Health Planning & Administration
Horizon Blue Cross Blue Shield of New Jersey April 2011 - October 2011
Tiffany & Co. 2010 - 2010
IBM September 2000 - May 2008
Education
Post University 2002 — 2003
Psychology/Criminal Justice
Emerson College 1984 — 1985
Technical Theatre
West Morris Central High School
Horizon Blue Cross Blue Shield of New Jersey July 2011 - Present
Medco December 2010 - June 2011
Horizon Blue Cross Blue Shield of New Jersey April 2009 - November 2010
Kaiser Permanente IT October 2008 - February 2009
Freedom health July 2006 - August 2008
Skills
SDLC, Business Requirements, Waterfall, Requirements Gathering, HIPAA, Systems Analysis, RUP, Mainframe, Visio, Data Quality, Planview, Data Integration, Medicare, Agile Project Management, Business Analysis, Business Intelligence, Business Process, Business Process Design, ClearQuest, DB2, Data Modeling, Data Warehousing, Gap Analysis, MS Project, PMO, PMP, Process Improvement, Project Portfolio..., Requirements Analysis, Resource Management, SharePoint, SQL, Software Project..., User Acceptance Testing, Vendor Management
Education
Schiller International University 2006 — 2008
MBA, project management
Osmania University
MCA, Computer applications
Osmania University
BSc, Computers, statistics
Horizon Blue Cross Blue Shield of New Jersey March 2011 - March 2013
Janeen B. Ferraro, DDS, LLC September 2010 - March 2011
Janeen B. Ferraro, DDS, LLC April 2009 - September 2010
EvolveMed October 2008 - 2010
Skills
HIPAA
Education
Dental Studies Institute
Certification, Dental Radiology
Ocean County College
Certification, Medical Transcription/Transcriptionist
Marsh & McLennan Companies, Inc. January 2014 - Present
Innovative Benefit Planning, LLC August 2010 - December 2012
USI Affinity November 1998 - August 2010
Horizon Blue Cross Blue Shield of New Jersey 1995 - 1998
Paul Revere Insurance Company 1993 - 1995
Skills
Disability Insurance, Insurance, Liability, 401k, Benefits Administration, Fixed Annuities, Employee Benefits, Health Insurance, Medicare, Retirement Planning, Brokers, General Insurance, Professional Liability, Commercial Insurance, Workers Compensation, Account Management, Life Insurance, Term Life Insurance, COBRA, Legal Liability, Underwriting, Property & Casualty..., Managed Care, Long-term Care, Retirement, Risk Management
Education
Rowan University 1998 — 2002
MBA, Business Administration
Widener University 1988 — 1992
Bachelors of Science, Business Administration
Washington Township High School 1984 — 1988
BET (BET Networks, a subsidiary of Viacom Inc.) September 2015 - Present
Various Consultant Agencies September 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey October 2011 - September 2013
HBO Boardwalk Empire March 2010 - October 2012
MetLife October 2008 - March 2010
MetLife November 2006 - October 2008
MetLife November 2004 - November 2006
MetLife November 2002 - November 2004
MetLife November 1999 - November 2002
Linklaters Alliance International, Law Firm March 1999 - October 1999
Skills
Management, Project Management, Program Management, Vendor Management, Business Process, MS Project, PMO, CRM, Business Analysis, Project Planning, SDLC, Leadership, Integration, Project Portfolio..., Training, Risk Management, ETL, Enterprise Architecture, Budgets, Enterprise Software, Analysis, Business Process..., Strategic Planning
Education
Queensborough Community College
Accounting, Business Management, Computer Science
Horizon Blue Cross Blue Shield of New Jersey November 2007 - Present
Skills
SharePoint, Access, Spreadsheets, Employee Benefits, Insurance, Administrative..., Software Documentation, Salesforce.com, HIPAA, Microsoft Office, Outlook, Lotus Notes, PeopleSoft, Ariba
Education
Ramapo College of New Jersey 1996 — 1998
Bachelor of Arts (BA), Communication Arts
UnitedHealth Group June 2015 - Present
Celgene Corporation October 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2013 - October 2013
GE Healthcare 2004 - 2012
Department of Homeland Security August 2003 - February 2004
Chubb Insurance October 1999 - May 2003
Skills
Process Improvement, Team Leadership, FDA, Software Documentation, Cross-functional Team..., Medical Devices, Healthcare, Microsoft Office, Healthcare Information..., Leadership, Project Management, Sales, Team Building, Data Analysis, PMO, Quality Assurance, Access, Six Sigma, Analysis, Vendor Management, Budgets, Project Planning, System Administration, Quality Management, Training, SharePoint, Strategic Planning, Business Analysis, Business Process..., Product Management, Change Management, Management, Business Intelligence, Risk Management, Operations Management, Organizational..., Customer Satisfaction, Teamwork
Education
Queens College 1986 — 1989
Associate Studies, Computer Science
University of West Indies 1972 — 1975
Diploma Medical Technology, Heamatology & Blood Banking
Horizon Blue Cross Blue Shield of New Jersey July 2013 - Present
UnitedHealth Group October 2009 - March 2013
UnitedHealth Group September 2007 - October 2009
Skills
Medicare, HMO, Medicare Part D, Marketing, Sales Presentations, Insurance, Managed Care, Team Building, Health Insurance, Medicaid, Advertising, HIPAA, Account Management, Customer Service, Recruiting, Microsoft Excel, Team Leadership, Public Speaking, Sales Operations, Brokers, Customer Retention, Medical Billing, Healthcare, Employee Benefits, Selling, Training, Building Relationships, Lead Generation, Healthcare Industry, PPO, Sales, Leadership, Network Development
Education
Pace University
Bachelors, Communications; Advertising & Media
Horizon Blue Cross Blue Shield of New Jersey March 2015 - Present
Ingersoll Rand-Trane December 2013 - December 2014
Rider University August 2013 - November 2013
Rider University May 2011 - August 2013
Rider University May 2009 - May 2011
Rider University September 2008 - May 2011
Skills
Microsoft Office, Time Management, Customer Service, Budgets, Training, Finance, Attention To Detail, Accounting, Auditing, Event Management, Account Reconciliation, Microsoft Word, Microsoft Excel, PowerPoint, Management, Human Resources
Education
Rider University 2011 — 2013
MBA, Finance
Rider University 2007 — 2011
BSBA, Human Resource Management, Business Administration
Horizon Blue Cross Blue Shield of New Jersey September 2011 - Present
Princeton Healthcare System 2010 - 2011
Princeton Healthcare System 2009 - 2010
Princeton Healthcare System 2000 - 2009
Skills
Medicare, Managed Care, Health Insurance, Provider Relations, Medicaid, HIPAA, Healthcare, Utilization Management, Healthcare Management, Disease Management, Credentialing, Health Policy, Claim, Insurance, Medicare Part D, Hospitals, Healthcare Information..., Medical Billing, Healthcare Industry, ICD-9, Patient Safety
Education
Thomas Edison State College
Bachelor’s Degree, Liberal Arts and Sciences, General Studies and Humanities
Burlington County College 2009 — 2009
Certificate, Medical Terminology
Mercer County Community College 2006 — 2009
Associate's degree, Humanities/Humanistic Studies
Horizon Blue Cross Blue Shield of New Jersey March 2008 - Present
Solo Cup Company November 2004 - March 2008
Cablevision February 2000 - 2003
Skills
Customer Service, Customer Satisfaction, Customer Retention, Supervisory Skills, Supply Chain, Export, Team Leadership, Teamwork, Team Building, Call Centers, Collections, Data Collection, Leading Meetings, Customer Engagement, Microsoft Office, Performance Management, Internal Communications, Cross-functional Team..., Analysis, Insurance, Management, Inventory Management, Sales Management, Process Improvement, Forecasting, Business Analysis, HIPAA
Education
Burlington County College 2013 — 2018
English Language and Literature, General
Rutgers University-New Brunswick 1998 — 1999
Communication, Journalism, and Related Programs
Seton Hall University August 2014 - Present
Godiva Chocolatier 2010 - August 2014
Silpada Designs 2008 - 2010
Horizon Blue Cross Blue Shield of New Jersey 1997 - 2004
Skills
Sales, Customer Service, Account Management, Marketing, Insurance, Budgets, Process Improvement, Strategic Planning, Retail, Microsoft Excel, Program Management, Recruiting, Microsoft Office, Merchandising, Employee Benefits, Training, Marketing Strategy, Team Building
Education
Rider University 1988 — 1995
B.S./ M.A., Business Admin and Masters in Human Services
Lakewood High School
Citi September 2012 - Present
Marsh & McLennan Companies, Inc. 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey 2011 - 2011
Merck 2002 - 2011
ASCAP (American Society of Composers, Authors & Publishers) 2001 - 2002
Verizon Corp. 2000 - 2001
Pharmacia Corp. 2000 - 2000
C-Shell Inc. 1999 - 2000
Standard Chartered Bank 1996 - 1998
Pertech Computers 1989 - 1995
Skills
Strategic Planning
Education
Punjab Engineering College
BS, Engineering
St. Theresa's Convent School
High School
TotalCare By Fawnette March 2007 - Present
Wayside Community Church 2006 - Present
Horizon Blue Cross Blue Shield of New Jersey September 1999 - Present
US Navy 1985 - 1991
Skills
Fashion, Apparel, Microsoft Office, Customer Service, Retail, Merchandising, Microsoft Excel, Photoshop, Social Media, Microsoft Word, Visual Merchandising, PowerPoint
Education
Burlington County College
Business Administration and Management, General
Verizon March 1998 - Present
Verizon March 2001 - August 2002
Horizon Blue Cross Blue Shield of New Jersey February 1998 - March 2001
Continental Airlines March 1995 - September 1999
FedEx July 1993 - October 1998
Education
Ramapo College of NJ 1987 — 1992
Bachelor of Arts, English Literature
Arts High school Newark, New Jersey 1983 — 1987
High school diploma, vocal music major
Horizon Blue Cross Blue Shield of New Jersey August 2014 - Present
Enterprise, Inc January 2005 - December 2010
Essence Communications/Time Inc. September 1998 - December 2004
Essence Magazine September 1998 - January 2004
Essence Communications January 1998 - January 2004
Skills
Print Production..., Marketing, Negotiation, Project Management, Sales Management, Sponsorship, Contract Management, Logistics, Media Buying, Leadership, Direct Mail, Advertising, Direct Marketing, Creative Direction, Integrated Marketing, Social Media, Publishing, Budgets, Social Media Marketing, Account Management, Marketing Communications, Pre-press, Offset Printing, B2B, Trade Shows, Magazines, Layout, New Business Development, Email Marketing, Management, Online Marketing, Business Development, Sales, Publications, Digital Marketing, Event Management, Editorial, Brand Development, Digital Media, Social Networking, Public Relations, Market Research, Media Relations, SEM, Web Analytics, Lead Generation, Online Advertising, Strategic Partnerships, Digital Strategy, Advertising Sales
Education
Pratt Institute 1979 — 1982
Liberal Arts
Horizon Blue Cross Blue Shield of New Jersey November 2009 - May 2010
Ernst & Young April 2008 - March 2009
COVANCE, INC. January 2008 - March 2008
Bayer HealthCare May 2007 - August 2007
TRIALGRAPHIX, INC. August 2001 - May 2006
ePRESENCE SOLUTIONS January 1998 - January 2001
Barclays Bank February 1990 - August 1997
Skills
Software Development, Lotus Notes, SDLC, Project Management, Databases, Microsoft SQL Server, Business Analysis, Microsoft Office, System Administration, Visio, Access, Vendor Management, Program Management, Integration
Education
Queensborough Community College 1983 — 1984
Associate's degree, Business Administration
AmeriHealth Insurance Co of NJ June 2012 - June 2013
AmeriHealth Insurance Co of NJ January 2011 - May 2012
AmeriHealth Insurance Co of NJ March 2009 - December 2010
Horizon Blue Cross Blue Shield of New Jersey October 2007 - March 2009
ABL Title Insurance Agency January 2007 - October 2007
Reliant Title LLC September 2005 - January 2007
Skills
Healthcare, Strategic Planning, Policy Analysis, Process Improvement, Business Strategy, Research, Microsoft Excel, Analysis, Microsoft Office, Change Management, Public Speaking, New Business Development, Team Building, Strategic Partnerships, Negotiation, Microsoft Word, Policy, Strategy, Insurance, Health Insurance, Health Care Reform, Government, Sales, Management
Education
The Pingry School 1995 — 1999
High School Diploma
Far Hills Country Day School
Penn State University
BA, Economics
BEMAC, LLC September 2013 - Present
Avaya May 2013 - August 2013
Cushman & Wakefield January 2013 - February 2013
New York City Housing Authority May 2012 - November 2012
Horizon Blue Cross Blue Shield of New Jersey September 2011 - December 2011
Wyndham Worldwide July 2011 - September 2011
BASF June 2005 - April 2010
BASF January 2000 - June 2005
Cyanamid January 1999 - January 2000
Cyanamid January 1998 - January 1999
Skills
Process Improvement, SDLC, Business Intelligence, Business Process..., Project Management, Project Planning, MS Project, SQL, Web Development, SharePoint, SharePoint Designer, Agile Methodologies, Sarbanes-Oxley, Visio, .NET, WBS, Risk Management, Budget Forecasts, HR Software, Siebel, Process Management, OBIEE, Applied Behavior..., Critical Thinking, Oracle, PeopleSoft, Team Building, Team Leadership, Team Management, Team-oriented, Training, Business Analysis, Change Management, CRM, PMO, Aggregate Spend, Requirements Gathering, SAP, Testing, Resource Management, Management, Databases, Project Portfolio...
Education
Ramapo College of New Jersey
2016 MBA CandidateAnisfield School of Business, Masters of Business Administration
Ramapo College of New Jersey 1995 — 1998
Bachelor of Science, Management of Information Technology
ELIZABETH PUBLIC SCHOOLS September 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2015 - August 2015
Horizon Blue Cross Blue Shield of New Jersey June 2014 - August 2014
Honors College, Rutgers University March 2014 - March 2014
RUTGERS BUSINESS SCHOOL September 2013 - December 2013
NYSSA September 2013 - September 2013
Skills
Auditing, Microsoft Excel, Microsoft Office, PowerPoint, Customer Service, Access, Public Speaking, Research, Microsoft Word, Teamwork, Accounting, Outlook, Non-profits, Social Media, Windows, Financial Analysis, Social Networking, Teaching, HTML, Community Outreach, Data Analysis, Fundraising, Editing, Risk Management, Leadership, Management, Team Building, Program Management, Leadership Development, Training, Linear Programming, Linear Regression, Financial Modeling, Financial Accounting, Variance Analysis, Operating Budgets, Financial Econometrics, Cost Accounting, Business Research..., Accounts Payable, Budgets, Financial Reporting, Finance, Data Entry, Analysis, Time Management, Account Reconciliation, QuickBooks, Economics, Customer Satisfaction
Education
Rutgers, The State University of New Jersey - Rutgers Business School 2013 — 2016
Bachelor of Science (BS), Finance & Accounting
Union County College 2010 — 2012
Associate of Arts (A.A.) in, Business, GPA:3.50/4.0
NFI August 2015 - Present
NFI December 2013 - Present
NFI July 2012 - December 2013
Washington Trust Company October 2011 - July 2012
Horizon Blue Cross Blue Shield of New Jersey July 2011 - August 2011
South County Hospital February 2010 - December 2010
TriZetto Group May 2010 - August 2010
Skills
Six Sigma, Supply Chain Management, Lean Manufacturing, Supply Chain, Business Process..., Warehouse Management, Inventory Control, Brazilian Portuguese, Distribution Logistics, Supply Chain..., Management, Operations Management, Value Stream Mapping, Inventory Management, Customer Service, DMAIC, Logistics Management, Warehousing, Leadership, Transportation..., Operational Excellence, Transportation, Demand Forecasting, Purchasing, 3PL, Logistics, Materials Management, SAP, Customer Satisfaction, Continuous Improvement, Reverse Logistics, Shipping, Change Management, Process Improvement
Education
University of Rhode Island - College of Business Administration 2008 — 2012
Supply Chain Management
Pontifícia Universidade Católica do Rio de Janeiro 2011 — 2011
Portuguese Language and Foreign Policy
Horizon Blue Cross Blue Shield of New Jersey ModelFarai2010 - 2011
Education
Burlington County College
Colonial Life June 2015 - Present
United Medicare Advisors June 2013 - June 2014
Horizon Blue Cross Blue Shield of New Jersey November 2012 - June 2013
IAC Group May 2012 - October 2012
CeleritasWorks LLC May 2005 - August 2011
Skills
Life & Health Insurance..., Sales, Insurance, Training, Software Documentation, Property & Casualty..., Healthcare, Time Management, Microsoft Office, New Business Development
Education
Ottawa University
2005, business administration
Johnson & Johnson October 2007 - Present
Ortho-McNeil Janssen Pharmaceutical Services May 2003 - September 2007
Johnson & Johnson NCS October 2000 - May 2003
Horizon Blue Cross Blue Shield of New Jersey September 1994 - September 2000
Skills
Medical Devices, Cross-functional Team..., Managed Care, Pharmaceutical Industry, Forecasting, Analysis, Budgets
Education
Rider University 1993 — 1999
MBA, BS, Business Administration, Finance
Horizon Blue Cross Blue Shield of New Jersey April 2013 - Present
Horizon Blue Cross Blue Shield of NJ December 2011 - April 2013
Horizon Blue Cross Blue Shield of NJ October 2007 - December 2011
Horizon NJ Health September 2005 - September 2007
Baker and Taylor 2004 - 2005
R. R. Bowker LLC 2002 - 2005
RR Bowker 2002 - 2004
AT&T January 1990 - November 2001
AT&T 1993 - 1994
Skills
Troubleshooting, Cross-functional Team..., Visio, SDLC, Marketing, Quality Assurance, Leadership, SharePoint, Requirements Analysis, Process Improvement, Access, Customer Service, Vendor Management, Analysis, Oracle, Business Analysis, Management, Budgets, Business Requirements, Business Intelligence, Software Documentation, Program Management, Team Building
Education
Raritan Valley Community College 1987 — 1991
Manville High School 1983 — 1987
General
Horizon Blue Cross Blue Shield of New Jersey May 2013 - Present
Pep Boys December 2012 - May 2013
Bodek and Rhodes June 2012 - December 2012
Harte-Hanks, Inc. February 2006 - April 2012
MRM Worldwide June 2000 - February 2006
Lenape Bath January 1999 - January 2000
Skills
Packaging, Direct Mail, Web Design, Concept Development, Print On Demand, Product Design, Product Marketing, Logo Design, Brochures, 3D Printing, Trade Show Signage, Photoshop, InDesign, PowerPoint, Dreamweaver, Pharmaceutical Industry, Decorative Concrete, Model Making, Banner Ads, Creative Solutions, Microsoft Office, Communication Skills, Art Direction, Mobile Design, Web Development, Retail Marketing, Adobe Creative Suite 6, Landing Pages, HTML emails, Social Media Marketing, Project Management, Highly detail oriented, Corporate Communications, Digital Marketing, Digital Media, Email Marketing, Catalog Layout, Mobile Advertising, Creative Direction, Apparel, CSS, HTML, Adobe Creative Suite, Healthcare, Corporate Identity, QuarkXPress, Corporate Branding, Layout, Newsletters, Graphics
Education
Burlington County College 2013 — 2013
Web Design, Web Page, Digital/Multimedia and Information Resources Design
The College of New Jersey
Bachelor's Degree, Design
Horizon Blue Cross Blue Shield of New Jersey November 2012 - Present
Horizon BCBSNJ August 2006 - September 2012
Horizon BCBSNJ August 2002 - June 2006
Greater Media, Inc January 2000 - January 2003
Skills
Newsletters, Marketing Communications, Internal Communications, Marketing, Strategic Communications, Management, Project Management, Corporate Branding, Training, Public Speaking, SharePoint, Health Insurance, CMS, Business Strategy, Managed Care
Education
Rowan University 1997 — 2001
B.A, Communications; Major in Journalism, Minor in Marketing
AIG February 2011 - July 2015
Horizon Blue Cross Blue Shield of New Jersey September 2007 - February 2011
NJ Division of Criminal Justice - Office of the Insurance Fraud Prosecutor February 1999 - September 2007
NJ Division of Consumer Affairs - Office of Consumer Protection: Auto Unit March 1997 - February 1999
NJ Division of Consumer Affairs: Legalized Games Of Chance Control Commission November 1993 - March 1997
Skills
Insurance Fraud, Fraud Investigations, Field Investigations, Claims Investigations, Fraud Investigator, Claims Investigator, Investigation, Insurance Investigator, Field Investigator, Special Investigations, Workers Compensation, Property & Casualty..., Auto Fraud, Games of Chance Fraud, Microsoft Office, Customer Service, Management, Microsoft Excel, Strategic Planning, Leadership, Research, Microsoft Word, PowerPoint, Report Writing, Self-management, SIU, Time Management, Self-Starter, Reliable, Meet Deadlines, Personable, Experienced Investigator, Training, Social Media
Education
Rutgers Business School 1999 — 2002
B.S.B.A. Business Management, Business Administration and Management, General
TGI Fridays 2014 - 2015
Sony 2013 - 2014
Liberty Mutual Insurance February 2013 - October 2013
Progressive Insurance 2011 - 2012
Community Surgical Supply October 2010 - July 2011
Horizon Blue Cross Blue Shield of New Jersey June 2008 - August 2010
The Home Depot March 2003 - April 2008
Skills
Notary Public, Claims Handling, Claims Resolution, Automobile Liability, Road Traffic Law, Insurance Law, Auto Injuries, Commercial Insurance, Health Insurance, Property & Casualty..., General Insurance, Management, Account Management, Sales, Customer Service, Membership Relations, Automotive, Forklift Operator, Horticulture, Landscape Design, Pavers, Microsoft Office 2007, Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Exchange, PowerPoint
Education
Ocean County College 2002 — 2005
Associate of Science (A.S.), Educational Leadership and Administration, General
Monsignor Donovan HS 1998 — 2002
Diploma, Liberal Arts and Sciences/Liberal Studies
Rutgers University
Bachelor of Applied Science (B.A.Sc.), Sports and Exercise
Becton, Dickinson and Company February 2011 - Present
TJ Black Consulting, LLC September 2011 - Present
Johnson & Johnson August 2011 - September 2015
Quest Diagnostics October 2008 - November 2010
IHS August 2007 - October 2008
Horizon Blue Cross Blue Shield of New Jersey October 2005 - August 2007
PSEG Services Corporation September 2004 - October 2005
International Paper February 1988 - July 1999
Skills
Procurement, Purchasing, Sourcing, Contract Negotiation, Cross-functional Team..., Strategic Sourcing, Supplier Management, Vendor Relations, Contract Negotiations, Process Improvement, Negotiation, Consulting, MRO Management, Supply Chain Management, Vendor Management, Inventory Management, Global Sourcing, Supply Chain, Supply Management, Strategic Planning, Leadership, Manufacturing, Management, Management Consulting, Training, Budgets, Six Sigma, Materials Management, Change Management, Forecasting, Outsourcing, Business Process..., Continuous Improvement, Contract Management
Education
Penn State University
Bachelor of Science, Finance
Horizon Blue Cross Blue Shield of New Jersey July 2010 - Present
RCM Technologies January 1998 - July 2010
Windham School District December 2008 - September 2009
Spectrum Health System June 2009 - August 2009
Honeywell November 2008 - April 2009
Horizon Blue Cross Blue Shield of NJ August 2008 - December 2008
Tyco Fire & Building Products August 2007 - May 2008
Ann Taylor Corporation April 2007 - August 2007
MBH Solutions (Prior to RCM Acquisition) 1998 - 2007
Skills
Employee Benefits
Education
Ramapo College of New Jersey 1984 — 1988
BS
Pequannock Township High School 1981 — 1984
Preferred Medical Plan LLC October 2014 - Present
Insight Global July 2009 - April 2015
Horizon Blue Cross Blue Shield of New Jersey August 2006 - May 2009
Horizon Blue Cross Blue Shield of New Jersey July 2004 - August 2008
Skills
Healthcare Information..., Healthcare, Healthcare Management, Medical Terminology, HIPAA, Insurance, Benefits Coding &..., Business Requirement..., Business Workflows, Technical Requirements, ICD-10 SME, Requirements Analysis, New Business Development, Management, Leadership, Software Documentation, Visio
Education
Salem International University 2015 — 2016
MBA, Health Care Administration/Management, 4.0
Peirce College 2010 — 2014
BSC Business Administration (Management), Business Administration and Management, General, 3.56
Bernard Baruch 1992 — 1993
Princeton Healthcare System August 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2014 - August 2015
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Training, Management, NextGen, Citrix, Sharepoint, ICD-9, EMR, PIP, Clinical Nursing, Healthcare...
Education
Penn State University
Horizon Blue Cross Blue Shield of New Jersey June 2010 - Present
University Health Plans Centene Corporation March 2003 - June 2010
AmeriChoice of New Jersey United Healthcare September 2001 - March 2003
Healthcare USA Coventry Health Care November 1997 - September 2001
Skills
Utilization Management, Health Policy, Disease Management, Healthcare, Medicaid, Managed Care, Medicare, Provider Relations, Healthcare Information..., Clinical Research, Physicians, HIPAA, PPO, Informatics, Health Insurance, Pharmacy Benefit..., Hospitals, Case Managment, Nursing, Quality Improvement, Healthcare Management, Home Care, HMO, HEDIS, Medicine, Healthcare Industry, Healthcare Consulting, EHR, Pharmacy, Network Development
Education
Overlook Hospital 1991 — 1994
Internship & Residency Family Practice
University of Medicine and Dentistry of New Jersey -Robert Wood Johnson Medical School 1986 — 1991
MD, Medicine
Pace University 1981 — 1985
BS, Biology
Horizon Blue Cross Blue Shield of New Jersey August 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2009 - June 2012
Nelson Paterson Insurance December 2004 - August 2009
Skills
Utilization Management, Provider Relations, Healthcare Management, Medicare Part D, HMO, Medicaid, Managed Care, Employee Benefits, Healthcare, HIPAA, Health Insurance, Network Development, Medicare, Disease Management, Public Speaking, Claim, Access
Education
Saint Peter's University 2014 — 2016
Master of Business Administration (MBA), Business Administration and Management, General
St. Peter's University 2011 — 2013
Bachelor of Business Administration (B.B.A.)
Ramapo College of New Jersey 2004 — 2006
IDMWORKS June 2004 - Present
Priority Health April 2009 - September 2009
TD Bank June 2009 - August 2009
Dell September 2007 - June 2009
Horizon Blue Cross Blue Shield of NJ March 2008 - December 2008
Holland America Line January 2008 - November 2008
Baylor January 2008 - February 2008
Ithaca College November 2007 - January 2008
Horizon Blue Cross Blue Shield of New Jersey August 2006 - December 2007
Kaiser Permanente December 2005 - December 2007
Skills
Identity Management, Access Management, Role Management, Architecture, SOA, Compliance Management, Risk, Enterprise Architecture, Management, Siteminder, Project Management, Strategy, Financial Risk, Architectures, Business Continuity, Business Process, CRM, Cloud Computing, Databases, Enterprise Software, Governance, ITIL, Information Security, Integration, LDAP, Leadership, Oracle, Professional Services
Education
Pepperdine University 2000 — 2001
MBA, Management
University of Western Ontario 1992 — 1997
B.Sc Honors, Computer Science
Horizon Blue Cross Blue Shield of New Jersey November 2012 - Present
UMDNJ - University Hospital July 2010 - November 2012
New York Epilepsy & Neurology PLLC May 2006 - May 2008
WebMD January 2005 - May 2006
Irvington General Hospital August 2002 - July 2004
Saint Barnabas Medical Center October 1998 - August 2002
Skills
Healthcare Management, Healthcare, Hospitals, HIPAA, Leadership, Physicians, Budgets, Healthcare Information..., Managed Care, EMR, EHR, Health Insurance, Revenue Cycle
Education
Rutgers, The State University of New Jersey - Rutgers Business School 1997 — 2001
Master of Business Administration
UMDNJ School of Public Health 1995 — 2001
Master of Public Health, Health Care Organization and Administration
Providence College 1988 — 1992
BA, Business Economics
Horizon Blue Cross Blue Shield of New Jersey 2011 - Present
Skills
Disaster Recovery, SQL, Team Leadership, IT Strategy, IT Operations, Quality Assurance, Data Center, IT Audit, Solution Architecture, IT Management, Testing, Systems Analysis, Visio, PMP, Project Management
Education
Saint Peter's University 2015 — 2017
Master of Business Administration (MBA), Health/Health Care Administration/Management
Queen's College 2009 — 2013
Bachelor of Science (B.Sc.), Mathematics and Computer Science
St Thomas College 1993 — 2006
High school, Mathematics
Healthfirst June 2014 - Present
EmblemHealth November 2006 - June 2014
Horizon Blue Cross Blue Shield of New Jersey 2003 - 2006
The Health Plan of the Upper Ohio Valley 1993 - 2003
Skills
Managed Care, Disease Management, Healthcare Management, Health Insurance, Utilization Management, Healthcare, HEDIS, Medicare, Medicaid, Nursing, Clinical, Care Management, Medical Management, Case Management, Clinical Research, Healthcare Consulting, Provider Relations, NCQA, Certified Case Manager, Quality Improvement, HMO, Healthcare Industry, Medicaid Managed Care, Health Policy
Education
Penn State University
BS, Nursing
Wheeling Jesuit University
MBA
Delane Staffing November 2014 - Present
PM Solutions / PM College May 2014 - August 2014
Aurionpro Solutions November 2013 - May 2014
HighPoint Solutions May 2013 - August 2013
Independent Contractor September 2012 - May 2013
Horizon Blue Cross Blue Shield of New Jersey September 2010 - August 2012
PM Solutions / PM College July 2010 - August 2010
L-3 Communications June 2008 - June 2010
PM Solutions October 2007 - March 2008
The Washington Post September 2006 - September 2007
Skills
Program Management, Engineering, Projects, Information Technology, Process Improvement, PMP, Project Management, Process Engineering, MS Project, Six Sigma, Project Portfolio..., PMO, ITIL v3 Foundations..., Scrum Master Certified, Quality Assurance, Cross-functional Team..., Photography, Scrum, Strategy, Resource Management, Systems Engineering, Vendor Management, Agile Project Management, Software Documentation, Agile Methodologies, Project Planning, Business Analysis, ITIL, Leadership, Management, IT Service Management, Quality Management, Integration, Business Process, Continuous Improvement, Visio, Business Process..., Software Project..., Project Delivery, Manufacturing, Governance, Requirements Analysis, SharePoint, Testing, Data Warehousing, Product Development, Requirements Gathering, Training, Business Requirements, Analysis
Education
Rensselaer Polytechnic Institute 1983 — 1984
MS, Mechanical Engineering
Stony Brook University 1975 — 1979
BE, Mechanical Engineering
Horizon Blue Cross Blue Shield of New Jersey 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey 2000 - 2012
Horizon Blue Cross Blue Shield of New Jersey 1999 - 2000
Horizon Blue Cross Blue Shield of New Jersey 1995 - 1998
Skills
Process Improvement, Health Insurance, SDLC, Project Management, PMP, Vendor Management, Business Analysis
Education
Seton Hall University 2000 — 2002
MHA, Healthcare Administration
Rowan University 1986 — 1990
BA, Communications
Horizon Blue Cross Blue Shield of New Jersey January 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2011 - December 2013
Norris McLaughlin & Marcus September 2007 - September 2011
Skills
Corporate Law, Intellectual Property, Corporate Governance, Legal Research, Legal Writing, Mergers
Education
Providence College
Seton Hall University School of Law
J.D.
CNBC May 2015 - Present
Freelance April 2009 - April 2015
Quantum Computer Systems, Inc. September 2013 - January 2014
Horizon Blue Cross Blue Shield of New Jersey April 2007 - March 2009
Marsh Inc. October 2006 - March 2007
Coca-Cola HBC January 2003 - July 2004
Latona April 2000 - December 2002
Silway April 1999 - March 2000
Education
Pace University - Lubin School of Business 2004 — 2006
MBA
Technical University Sofia 1992 — 1997
MS
Horizon Blue Cross Blue Shield of New Jersey August 2013 - Present
Infosys Tech Ltd September 1999 - July 2013
Skills
BPM, Lombardi Teamworks, Metastorn, BizTalk, EAI, Integration Architecture, SOA, Software Project..., Program Management, Requirements Analysis, Software Development, Solution Architecture, Business Process Design, BPMN, TIBCO, Scrum, Global Delivery, ESB, SDLC, Enterprise Architecture, Business Process..., Websphere, Agile Project Management, Java Enterprise Edition, Weblogic, PMP, Requirements Gathering, Agile Methodologies, WebSphere
Education
Osmania University 1995 — 1999
B.E, Computer Science and Engineering
St. Joseph's Healthcare System June 2013 - Present
Healthfirst January 2012 - May 2013
UnitedHealth Group November 2010 - January 2012
WellPoint/ Empire Blue Cross Blue Shield May 2006 - November 2010
Horizon Blue Cross Blue Shield of New Jersey September 2002 - May 2006
Skills
Managed Care, Provider Relations, Network Development, Medicare, Medicaid, Healthcare Industry, Healthcare Consulting, Healthcare, HIPAA, Credentialing, Physician Relations, Healthcare Management, Healthcare Information..., Revenue Cycle, HMO, Health Policy, Health Insurance, PPO, Hospitals, Medicare Part D, Utilization Management, Disease Management, Physicians, Quality Improvement, Financial Analysis, Finance, Negotiation
Education
Montclair State University
Master of Business Administration (MBA)
Penn State University 1995 — 2000
BS, Labor & Indutrial Relations
LaSalle College High School 1992 — 1995
Rider Insurance Company May 2005 - Present
Horizon Blue Cross Blue Shield of New Jersey January 1993 - October 2004
Skills
Customer Service, Insurance, Health Insurance, Customer Service..., Call Centers, Outlook, Property & Casualty..., Customer Experience, Microsoft Excel, Microsoft Office, Customer Satisfaction, Call Center Development, Complaint Management, Contact Centers, Process Improvement, Risk Management, Program Management, Business Analysis, Account Management
Education
Pace University - Lubin School of Business 1985 — 1989
Bachelor of Business Administration (B.B.A.), Marketing
Horizon Blue Cross Blue Shield of New Jersey April 2015 - Present
Tekmark Global Solutions February 2014 - September 2014
iconectiv 2014 - 2014
iconectiv 2014 - 2014
TriZetto Corporation May 2008 - June 2013
Software Testing Services September 2007 - May 2008
SAIC May 2002 - October 2007
SAIC November 2001 - May 2002
Telcordia Technologies March 2000 - October 2001
Telcordia Technologies September 1999 - March 2000
Skills
Software Quality..., Testing, SDLC, Software Engineering, Integration, Microsoft Excel, Program Management, Software Development, Unix, Requirements Analysis, Test Automation, Agile Methodologies, Solution Architecture, Databases, Telecommunications, Software Measurement, Metrics, SQL
Education
Purdue University 1978 — 1979
Master of Science (MS), Computer Science
The University of Connecticut 1974 — 1978
BSEE, Computer Science
American Red Cross April 2014 - Present
Johnson & Johnson April 2013 - March 2014
Horizon Blue Cross Blue Shield of New Jersey March 2012 - March 2013
Verizon Wireless June 2009 - March 2012
Delta Corporate Services June 2008 - June 2009
Spherion December 2007 - May 2008
AT&T August 1998 - December 2007
Lucent Technologies March 1998 - July 1998
ProfitKey International August 1996 - March 1998
Skills
SDLC, Enterprise Architecture, Data Warehousing, Requirements Analysis, ETL, Business Intelligence, Microsoft SQL Server, Data Modeling, Integration, SQL, Oracle, SOA, Business Analysis, Databases, Agile Methodologies
Education
Aptech Computer 1992 — 1993
Diploma, Information and Systems Management
Osmania University 1989 — 1992
Camden County College March 2015 - Present
Winslow High School January 2014 - Present
The Perfecting Church - Perfecting Chords September 2012 - January 2014
Horizon Blue Cross Blue Shield of New Jersey March 2007 - July 2012
Horizon Blue Cross Blue Shield of New Jersey January 2004 - March 2007
Horizon Blue Cross Blue Shield of New Jersey January 2003 - March 2006
Skills
Training, Management, Analysis, Operations Management, Employee Benefits, Interviews, Call Centers, Editing, Forecasting, Managed Care, Facilities Management, Healthcare, Medicare, Medicaid, Process Improvement
Education
Rowan University 2012 — 2014
Psychology, Child Behaviorial Services
Thomas Edison State College 2011 — 2012
Psychology, Psychology
United Healthcare Director of OperationsUHG2008 - Present
All American Games 2014 - 2015
All American Games 2014 - 2015
Horizon Blue Cross Blue Shield of New Jersey 1999 - 2000
Horizon Blue Cross Blue Shield of NJ 1998 - 2000
Skills
HIPAA, Managed Care, Vendor Management, Healthcare Information..., Requirements Gathering, Medicare, Disaster Recovery, Employee Benefits, Medicaid, SDLC, Health Insurance, Visio, Business Analysis, System Administration, Healthcare Management, Healthcare, Training, Process Improvement, EHR, Team Building, Health Policy, Provider Relations, Healthcare Consulting, Insurance, Healthcare Industry, Software Documentation
Education
Penn State 1987 — 1991
CIGNA HealthCare May 1996 - Present
Cigna 1996 - Present
CIGNA Northeast Region 1996 - Present
Horizon Blue Cross Blue Shield of New Jersey October 1992 - May 1996
Skills
Health Insurance, Health Savings Accounts, Employee Benefits, Disability Insurance, Insurance, New Business Development, Brokers, Underwriting, Medicare, Health Care Reform, Dentistry, Term Life Insurance, Managed Care, Healthcare, Management, Customer Service, Account Management, Long-term Care, Claim, COBRA, Life Insurance, Health Policy, HMO, PPO, Accident, Critical Illness, Medicare Part D, Benefits Administration, Employee Wellness, 401k, Workers Compensation, Employee Wellness..., Consumer Healthcare, Group Insurance, Sales, Fixed Annuities, ERISA, Reinsurance, Retirement, Commercial Insurance, Whole Life, General Insurance, Professional Liability, Property & Casualty..., Series 6, Retirement Planning, Claims Management, Self-funded, Legal Liability
Education
Rowan University 1979 — 1981
BS Marketing, Marketing
Horizon Blue Cross Blue Shield of New Jersey December 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2010 - December 2012
Horizon BCBSNJ October 2007 - September 2010
Horizon Blue Cross Blue Shield of NJ 2007 - 2010
Skills
Health Insurance, Insurance, Healthcare, Vendor Management, Process Improvement, Strategic Planning, Account Management, Healthcare Industry, Relationship Management, Business Analysis, Business Process..., Employee Benefits, HIPAA, HMO, Health Savings Accounts, Managed Care, Medicaid, Medicare, Medicare Part D, PPO, Risk Management, Strategy, Disease Management, Health Policy, Provider Relations
Education
Penn State University 1991 — 1995
Horizon Blue Cross Blue Shield of New Jersey July 2011 - Present
Horizon Blue Cross Blue Shield August 2007 - July 2011
Washington Mutual/ Long Beach Mortgage 2006 - 2007
Skills
Health Insurance, Insurance, Employee Benefits, Account Management, Underwriting, Customer Service, Strategic Planning, Managed Care, Negotiation, New Business Development, HMO, Health Savings Accounts, Microsoft Excel, Business Analysis, Healthcare, Brokers, Disability Insurance
Education
Saint Peters College 2010 — 2013
Masters -Business Administration, Management
Rowan University 1998 — 2002
Bachelor of Science, Business Management
Horizon Blue Cross Blue Shield of New Jersey June 2010 - Present
CareFirst BlueCross BlueShield 2008 - June 2010
Wipro Technologies June 2002 - July 2008
Citi Smith Barney 2008 - 2008
Dun & Bradstreet January 2007 - December 2007
Hanesbrands Inc. 2006 - 2006
Farmers Insurance 2005 - 2006
Pitney Bowes 2004 - 2005
Skills
Business Process..., Requirements Analysis, SDLC, Business Process..., Requirements Gathering, Business Analysis, Analysis, Project Portfolio..., Vendor Management, Systems Analysis, Visio, Software Project..., PMP, PMO, User Acceptance Testing
Education
Punjabi University 1998 — 2001
Masters, Computer application
Horizon Blue Cross Blue Shield of New Jersey September 2012 - Present
Express Scripts 2014 - 2014
Express Scripts 2014 - 2014
Express Scripts 2014 - 2014
DG3 - Diversified Global Graphics Group October 2010 - August 2012
Merck & Co., Inc. (formerly Schering-Plough) December 2007 - May 2010
Schering-Plough (formerly Organon) June 2001 - December 2007
INTEL Corporation December 2000 - June 2001
Prudential October 1996 - December 2000
Education
Ramapo College of New Jersey 1992 — 1996
Bachelor of Science, Business Administratioin, Management
Project Management Institute
Project Management Professional (PMP)
Technical Certification
NT 4.0 MCSE Certification Program
TD October 2014 - Present
WellCare Health Plans March 2014 - May 2014
The AmeriHealth Caritas Family of Companies June 2011 - February 2014
Horizon Blue Cross Blue Shield of New Jersey May 2010 - June 2011
Merck April 2009 - June 2010
CIGNA Healthcare April 2008 - March 2009
Independence Blue Cross February 2004 - April 2008
The Hartford September 2000 - November 2003
Citibank September 1995 - September 2000
Skills
Program Management, PMP, SDLC, PMO, Project Management, Project Portfolio..., Vendor Management, Management, Process Improvement, Strategic Planning, Governance, Resource Management, Analysis, Portfolio Management, Strategic Leadership, Insurance, Certified Project..., Remote management
Education
Rensselaer Polytechnic Institute 1976 — 1978
MBA, Business, Operations
Shippensburg University of Pennsylvania 1968 — 1972
BA, Mathematics
Meridian Health July 2008 - Present
Merrill Lynch 2006 - 2007
Horizon Blue Cross Blue Shield of New Jersey January 2003 - October 2006
Bristol-Myers Squibb 2001 - 2003
Summit Bank 1995 - 2001
CoreStates Financial 1991 - 1995
The Howard Savings Bank 1989 - 1991
Response Analysis 1988 - 1989
Skills
Healthcare, Marketing, Strategy, Creative Direction, CRM, Marketing Strategy, Community Outreach, Market Research, Strategic Planning, Research, Managed Care, Event Planning, Public Speaking, Program Management, Social Media, Program Development, Fundraising, Team Building, Integrated Marketing, Leadership, Press Releases, Corporate Communications, Public Relations, Organizational..., Data Analysis, Hospitals, Event Management, Nonprofits, Leadership Development, Marketing Communications, Newsletters, Strategic Communications, Medicare, Media Relations, Healthcare Management, Time Management, Social Networking, Budgets, Social Media Marketing, Management
Education
Rider University 1984 — 1988
Bachelor of Science (B.S.), Marketing
Medical Resources, Inc. February 2006 - Present
Horizon Blue Cross Blue Shield of New Jersey 2000 - 2006
Horizon Blue Cross Blue Shield of NJ 2000 - 2006
JFK Medical Center 1995 - 2000
AT&T 1989 - 1995
Education
Pennsylvania State University 1985 — 1989
Altman Advisory Services May 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2013 - April 2015
Horizon Blue Cross Blue Shield of New Jersey December 2009 - April 2015
Horizon Foundation for New Jersey 2004 - 2011
Horizon Blue Cross Blue Shield of NJ March 2002 - December 2009
Horizon Healthcare of New York 2002 - 2007
Strategy&, part of the PwC network (formerly Booz & Company) 1986 - 2002
Skills
Health Care Strategy, Health Care Reform, Strategy, Affordable Care Act, Health Policy, Managed Care, Team Building, Health Insurance, Management Consulting, Insurance, Program Management, Strategic Planning, Leadership, Change Management, Cross-functional Team..., Analytics, Executive Management, Board Presentations, Foundations, Health Care Value..., Payors, Payor Provider..., Product Development, Public Relations, Strategic Public..., Advertising, Agency Selection, Executive-level..., Marketing Communications, Strategic Communications, Annual Reports, Consumerism, Healthcare, Financial Services, Project Management, Medicare
Education
Yale University - Yale School of Management 1988 — 1990
Masters in Public and Private Management (MPPM); Masters in Business Administration (MBA)
Princeton University 1982 — 1986
A.B., Economics
AtlantiCare December 2014 - Present
Rowan University School of Osteopathic Medicine July 2013 - Present
Kennedy Health System 2002 - Present
Virtua Health 2002 - Present
Rowan University School of Osteopathic Medicine July 2013 - December 2014
Horizon Blue Cross Blue Shield of New Jersey June 2011 - June 2013
Skills
Healthcare, Board Certified, BLS, Healthcare Management, Inpatient, Hospitals, Medical Education, Medicine, Healthcare Information..., Nursing, Clinical Trials, Family Medicine, Informatics, Patient Safety, Treatment, Public Health, Utilization Management, Physicians, Internal Medicine, EMR, EHR, Healthcare Consulting, Acute Care, Managed Care, HIPAA, Medicare, Disease Management, Quality Improvement
Education
University of Medicine and Dentistry of New Jersey 2004 — 2008
Masters in Public Health
Philadelphia College of Osteopathic Medicine 1995 — 1999
D.O.
Saint Joseph's University 1991 — 1995
BS, Biology
New York-Presbyterian Hospital January 2004 - Present
Management Worlds, Inc. 1998 - 2002
Horizon Blue Cross Blue Shield of New Jersey June 1984 - January 1998
Skills
Project Management, Training & Development, Training Needs Analysis, Team Leadership, Quality Assurance, Quality Improvement, Process Improvement, Process Management, DDI Certified, New Hire Orientations, Organizational Culture, Healthcare, Healthcare Information..., Management Development, Recruiting, Organizational..., Workshop Facilitation, Program Management, Strategic Planning, Training, Onboarding, Employee Training, Performance Improvement, Performance Management, Leadership Development, Team Building, Management, Succession Planning, Leadership, Healthcare Management, Employee Engagement, Talent Management, Public Speaking, Hospitals, Human Resources, Coaching, Organizational..., Instructional Design, Change Management, Clinical Research, Employee Relations
Education
Rowan University
Bachelor of Arts (B.A.), Major: English Minor: Sociology
Wentworth Douglass Hospital November 2006 - Present
University of New Hampshire January 2013 - May 2013
Riverside HealthCare October 2001 - October 2005
Carroll Hospital Center September 1995 - September 2001
Columbia Medical Plan 1994 - 1995
The Sector Corporation 1992 - 1994
Compucare 1992 - 1992
Ferranti Healthcare 1988 - 1992
Horizon Blue Cross Blue Shield of New Jersey 1985 - 1988
Skills
Healthcare, Customer Service, Process Improvement, Healthcare Information..., Leadership, Information Technology, Data Center, Hospitals, HIPAA, EMR, Strategic Planning, Security, Project Management, Team Building, Healthcare Management, Management, Practice Management, Informatics, EHR, Health Information..., HL7, Revenue Cycle, CPOE, Physicians, Healthcare Consulting, PACS, Software Implementation, Healthcare Industry
Education
Olivet Nazarene University 2003 — 2005
MBA, Business Administration
Shepherd University 1981 — 1984
BS, Business Administration, Computer Science
Glen Ridge High School 1976 — 1980
LexisNexis March 2014 - Present
Real Meat Pet Treat, LLC January 2010 - Present
Selective Insurance Company of America April 2009 - March 2014
Selective Insurance Company of America August 2007 - April 2009
Selective Insurance Company of America 2005 - 2007
Horizon Blue Cross Blue Shield of New Jersey 2003 - 2005
Prudential Financial 2001 - 2003
Skills
Excel, Contract Negotiation, Financial Analysis, Financial Planning, Financial Reporting, Project Planning, MS Office Suite, Managerial Experience, System Testing, Business Systems..., Regulatory Risk, SharePoint, Cognos, Business Intelligence, analytics, Insurance, SOX, Risk Management, Business Analysis, Process Improvement, Compliance, Vendor Management, Management, Microsoft Excel, Business Process, Forecasting, Underwriting, Accounting, Budgets, Microsoft Office, Strategic Financial..., Analysis, Workers Compensation, Sarbanes-Oxley Act, Integration, Claim, Analytics
Education
Stevens Institute of Technology 1999 — 2000
MSIS
Ramapo College of New Jersey 1986 — 1991
BS, Accounting
Xerox January 2013 - Present
Xerox March 2011 - December 2012
Aon Hewitt November 2007 - December 2010
Horizon Blue Cross Blue Shield of New Jersey December 2006 - November 2007
Horizon Blue Cross Blue Shield of New Jersey February 2003 - December 2006
Horizon Blue Cross Blue Shield of New Jersey September 1998 - February 2003
Skills
Healthcare, Payroll, Human Resources, Employee Relations, Business Analysis, Manage Client..., Provider Relations, Employee Benefits, Project Management
Education
Rider University 2005 — 2010
MBA, Human Resources, General Management
Professional of the Academy of Health Care Management 2002 — 2002
PAHM
The College of New Jersey 1996 — 1998
BA, History, Political Science
Ocean County College 1994 — 1996
AA, Liberal Arts
Golden Nugget Las Vegas April 2015 - Present
Revel Entertainment February 2012 - February 2015
Paychex March 2010 - February 2012
IMS Health June 2007 - July 2009
Horizon Blue Cross Blue Shield of New Jersey November 2005 - June 2006
Borgata Hotel Casino & Spa March 2002 - May 2005
Skills
Payroll, PeopleSoft, Customer Service, Employee Relations, New Hire Orientations, Onboarding, Microsoft Office, Microsoft Excel, Employee Benefits, HR Policies, Ultimate Software, Paychex Software, ADP Run Software, Developing & Training
Education
Rowan University 1997 — 2002
Bachelor of Business Administration (B.B.A.), Marketing
Liberty Mutual Insurance May 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2013 - May 2014
Cordjia Technology Services March 2013 - September 2013
Bayer Pharmaceuticals October 2012 - March 2013
Infosys July 2011 - October 2012
WellPoint November 2010 - June 2011
Pfizer Inc February 2010 - October 2010
WellPoint December 2009 - January 2010
Harlan January 2008 - November 2009
AMGEN April 2007 - December 2007
Skills
Data Modeling, Oracle, Data Warehousing, SQL Tuning, PL/SQL, Data Integration, Teradata, DB2, Data Migration, SDLC, Informatica
Education
University of New Haven 2005 — 2006
Masters, In Engineering
Osmania University 2000 — 2004
Bachelor in Engg, Mechanical Engineering
Horizon Blue Cross Blue Shield of New Jersey August 2014 - Present
Urner Barry May 2011 - July 2014
The Judge Group May 2007 - November 2008
Skills
Marketing
Education
Rider University 1997 — 2001
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Accenture July 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2013 - July 2014
Credit Suisse September 2011 - April 2013
Credit Suisse July 2010 - September 2011
Deutsche Bank June 2009 - August 2009
Skills
CISSP, Computer Security, Information Security, Information Technology, SQL, Unix, Risk Assessment, Risk Management, Disaster Recovery, Infrastructure
Education
Rutgers, The State University of New Jersey-New Brunswick 2007 — 2010
Masters, Computer Science
Osmania University 2003 — 2007
B.E, Computer Science
The Hyderabad Public School, Begumpet
Horizon Blue Cross Blue Shield of New Jersey 2009 - Present
Skills
Internal Controls, Auditing, Sarbanes-Oxley Act, Hyperion Enterprise, Accounting, Financial Reporting, CPA, Internal Audit, Sarbanes-Oxley, Financial Analysis, GAAP, SEC filings, Financial Audits, Variance Analysis, General Ledger, SEC Filings, Process Improvement, Business Analysis, Risk Management
Education
Pace University - Lubin School of Business 1987 — 1991
BBA, Public Accounting
UnitedHealth Group January 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2011 - January 2015
Horizon Blue Cross Blue Shield of New Jersey January 2010 - August 2011
Horizon Blue Cross Blue Shield of New Jersey June 2008 - December 2009
Imetris Corporation January 2007 - June 2008
Aetna, INC. November 2003 - December 2006
Infosys 2001 - 2004
Skills
SDLC, Requirements Analysis, Cross-functional Team..., Project Delivery, Healthcare, Health Insurance, HIPAA, Business Requirements, Business Analysis, Business Intelligence, Data Warehousing, PMP, Healthcare Information..., Medicare, Risk Management, Information Technology, Disaster Recovery, Agile Project Management, Six Sigma, Process Engineering, Solution Architecture, Enterprise Architecture, Managed Care, ITIL, Quality Assurance
Education
Punjab Engineering College
St. Anne's Convent
Horizon Blue Cross Blue Shield of New Jersey 2009 - Present
Goldman Sachs & Co. January 2006 - December 2008
Goldman Sachs & Co. July 1998 - December 2005
Goldman Sachs & Co. September 1984 - July 1998
Skills
SOX, Investment Banking, Accounting, Accounts Receivable, Process Improvement, Financial Analysis, Funding, Risk Management, Reporting & Analysis, PeopleSoft, Access, General Ledger, Mergers, Excel, Equities, Audit, Health Insurance, Business Analysis, Internal Audit, Fixed Income, Internal Controls, Settlements, Financial Statements
Education
St. John's University 1989 — 1993
MBA, Public Accounting
Pace University 1983 — 1989
BBA, Accounting Information Systems
Horizon Blue Cross Blue Shield of New Jersey October 2010 - Present
NBC Universal November 2005 - September 2010
iGATE Global Solutions November 2005 - September 2010
Novartis October 2004 - November 2005
GE Capital October 2001 - November 2002
iGATE Global Solutions August 1998 - November 2001
Skills
Leadership, Vendor Management, Requirements Gathering, Business Process, Enterprise Software, Information Technology, Information Security, Identity Management, Management, SDLC, Java, Integration, Requirements Analysis, Change Management
Education
PSG College of Technology
Engineer's Degree, E.E.E, First class with Distinction
Horizon Blue Cross Blue Shield of New Jersey December 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2010 - December 2011
Horizon Blue Cross Blue Shield of NJ September 2006 - February 2010
Horizon Blue Cross Blue Shield of New Jersey June 2002 - August 2006
Skills
Business Analysis, Data Analysis, Business Systems..., Project Management, SDLC, Visio, Vendor Management, Process Improvement, Requirements Analysis, Business Process..., Systems Analysis, Business Intelligence, SharePoint, Data Warehousing, Business Requirements, MS Project, Program Management, Insurance, Software Documentation, Analysis, Change Management, Health Insurance
Education
Symbiosis Institute of Management Studies 1997 — 1999
MBA, Human Resources and Marketing
Panjab University 1994 — 1997
Bachelors, Business Administration
Overlook Hospital March 2000 - Present
Horizon Blue Cross Blue Shield of New Jersey December 1998 - March 2000
Skills
Nursing, ACLS, BLS, Health Education
Education
Regis University
BSN, Nursing
Cardinal Innovations Healthcare Solutions March 2015 - Present
Cardinal Innovations Healthcare Solutions July 2014 - Present
Carolinas Healthcare System May 2012 - April 2014
HealthNet of Arizona July 2006 - May 2011
United Health Care January 2004 - June 2006
Horizon Blue Cross Blue Shield of New Jersey November 1997 - August 2004
Skills
Contract Management, Process Improvement, Excel, Auditing, Spreadsheets, Outlook, Compliance, Word, PowerPoint, Internal Audit, Audit, Documentation, Customer Service, Microsoft Office, Negotiation, Medicare, Telephone Skills, Customer Relations, Insurance, Health Insurance, Operations Management, Proposal Writing, Managed Care, Inventory Management, Healthcare, SAP, Data Analysis, Software Documentation, Microsoft Excel, Employee Benefits, Provider Relations
Education
DeVry Institute of Technology
Computer Information
Rowan-Cabarrus Community College
Career Readiness Certificate - Gold
Horizon Blue Cross Blue Shield of New Jersey September 2014 - Present
Offices of Dr. Patricia O'Brien D.C. October 2005 - September 2014
Hollywood Tans December 2007 - April 2011
Skills
Goal Oriented, Keen Listener, Highly personable, Self-motivated..., Outgoing, Close Attention to..., Cold Calling, Marketing, Sales, Management, Insurance, Sales Management, Employee Benefits, Time Management, Teamwork, Networking, Customer Satisfaction, Leadership, Product Development, Facebook, CRM, Social Networking, Microsoft Office, PowerPoint, Microsoft Excel, Microsoft Word
Education
Widener University 2009 — 2012
Bachelor of Science in Business Administration (B.S B.A.), Marketing
Gloucester County College 2005 — 2008
Associate, Business Administration
Camden Catholic High School 2001 — 2005
HS
Horizon Blue Cross Blue Shield of New Jersey July 1986 - Present
Education
Penn State University 1981 — 1985
B.A., Health Planning & Admistration
Horizon Blue Cross Blue Shield of New Jersey January 2011 - Present
Nordstrom June 2010 - June 2011
Skills
Curriculum Design, Curriculum Development, Public Speaking, Research, Microsoft Office, Classroom, Educational Leadership, Lesson Planning, Tutoring, Staff Development
Education
Rowan University 2003 — 2007
Bachelor of Fine Arts (B.F.A.), Secondary Education and Teaching, 3.75
Bayer HealthCare July 2014 - Present
Rutgers University July 2014 - Present
Stop & Shop Pharmacy August 2009 - August 2014
Omnicare Inc. April 2014 - May 2014
Capital Health System February 2014 - March 2014
Hackensack University Medical Center January 2014 - February 2014
Walgreens November 2013 - December 2013
Indian Health Service October 2013 - November 2013
Horizon Blue Cross Blue Shield of New Jersey September 2013 - October 2013
Hackensack University Medical Center July 2013 - August 2013
Skills
Microsoft Office, HTML, Event Planning, SharePoint, Pharmacy, Pharmaceutical Industry, Healthcare, PowerPoint, Microsoft Word, Microsoft Excel, Pharmacy Practice, Project Management, Certified Immunizer, BLS CPR Certified, Pharmacists, Community Pharmacy, Hospital Pharmacy, Managed Care, Patient Safety, Medication Therapy...
Education
Rutgers, The State University of New Jersey-New Brunswick 2008 — 2014
PharmD
Rutgers, The State University of New Jersey - Rutgers Business School
Master of Business Administration (M.B.A.)
Horizon NJ Health 2000 - 2010
Horizon Blue Cross Blue Shield of New Jersey 1983 - 1999
Skills
Medical Terminology, Hospitals, Patient Safety, Healthcare Management, Healthcare, Nursing, HIPAA, EMR, Medical Billing, Healthcare Information..., Patient Education, Medical Records
Education
Rider University
Master of Arts (M.A.), Health/Health Care Administration/Management
Sacred Heart Hospital, School of Nursing
Registered Nursing/Registered Nurse
Thomas Edison State College
Bachelor of Arts (B.A.), Nursing Administration
Capgemini Consulting January 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2011 - Present
MultiPlan December 2010 - July 2011
US Department of Health and Human Services June 2010 - December 2010
Skills
Process Improvement, Business Process Design, Agile Methodologies, Requirements Gathering, Business Process..., Strategic Planning, Business Intelligence, Business Analysis, Vendor Management, IT Strategy, CRM, Integration, SDLC, Change Management, Management Consulting, Project Management
Education
University of Illinois Springfield 2014 — 2016
Master's degree, Management Information Systems, GPA - 3.8
Rochester Institute of Technology 2007 — 2009
Master's degree, Electrical Engineering w/ minor in Computer Engineering
Horizon Blue Cross Blue Shield of New Jersey April 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2014 - Present
Independence Blue Cross January 2009 - December 2013
Independence Blue Cross 1996 - 2013
Skills
Notary Public, Business Analysis, Insurance, Credit, Finance, Mortgage Lending, Portfolio Management, Loans, Relationship Management, Management, Data Analysis, Microsoft Excel, Banking, Risk Management, Business Process, Analysis, Process Improvement, Access, SDLC, Requirements Gathering, Vendor Management, Call Centers, Business Process..., Data Entry, Analytics, Business, Microsoft Word, Change Management, Business Requirements, Requirements Analysis, Business Development, Systems Analysis, Project Management, Business Planning, Team Building, Team Management, Strategy
Education
Immaculata University 2013 — 2015
Human Performance Management, Human Performance Management
Penn State University 2011 — 2012
Temple University 1989 — 1996
Bachelor's Degree, Psychology
Aetna 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey 2006 - 2011
Empire Blue Cross Blue Shield 2001 - 2006
PricewaterhouseCoopers 1998 - 2001
Towers Watson November 1992 - April 1998
Mercer January 1989 - November 1992
Education
Penn State University 1985 — 1988
B.S., Quantitative Business Analysis
Bellevue Hospital Center September 2015 - Present
Home Care at HHC September 2010 - September 2015
Horizon Blue Cross Blue Shield of New Jersey November 2008 - October 2011
Healthfirst October 2007 - November 2008
Emblem Health (HIP) New York, NY June 1998 - October 2007
Skills
Six Sigma, Quality Management, Healthcare, Process Improvement, Healthcare Management, Operations Management, Process Engineering, Change Management, Hospitals, Mentoring, Team Building, Performance Management, Coaching, Problem Solving, Strategic Planning, Leadership Development, Documentation, Performance Improvement, Organizational..., Data Analysis, Customer Service, Quality Assurance, Budgeting, Statistics, Team Leadership, Managed Care, Visio, Kaizen Facilitation, Value Stream Mapping, Standard work, Provider Relations, Business Process..., Business Process, Cross-functional Team..., Leadership, Policy, Software Documentation, Kaizen, Standard Work, Program Management, Lean Manufacturing, Training, Credentialing, Budgets
Education
Pace University 1995 — 2000
BBA, Business Administration
ADESA July 2009 - Present
Supreme Court of the State of Indiana July 2007 - May 2009
WellPoint Lumenos Inc., VA, USA July 2006 - June 2007
Horizon Blue Cross Blue Shield of New Jersey May 2005 - June 2006
The Main Street America Group August 2004 - April 2005
Horace Mann June 2003 - July 2004
Education
Osmania University
Bachelor of Computer Science (BSc), Computers
Osmania University, India.
Master of Computer Applications (MCA), Computers
Horizon Blue Cross Blue Shield of New Jersey
Skills
Health Insurance, Insurance, Account Management, Claim, Customer Satisfaction, Health Savings Accounts, Leadership, Employee Benefits, Managed Care, Claims Management, Medicare, Customer Service, Microsoft Excel
Education
Rider University 2004 — 2005
Bachelor of Business Administration (BBA), Computer and Information Systems Security/Information Assurance, 3.8
Horizon Blue Cross Blue Shield of New Jersey June 2006 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2006 - Present
Bank of America May 2004 - May 2006
Education
Penn State University 2007 — 2012
Bachelor of Arts, Psychology
AdvantageCare Physicians January 2014 - Present
Self-Employed April 2010 - Present
Mack-Cali Realty Corporation September 2013 - September 2013
International Union of Operating Engineers June 2013 - June 2013
United Community Corporation, Inc. June 2012 - January 2013
UBS September 2006 - January 2010
Horizon Blue Cross Blue Shield of New Jersey November 2005 - May 2006
Rutgers University September 2000 - May 2005
Skills
PeopleSoft, HRIS, E-Time, Employee Benefits, Management, ADP Payroll, Payroll Administration, MS Excel Pivot Tables, Vlookup, Employee Relations, PeopleSoft CRM, Rumba, HR Policies, Client Services, Benefits Administration, Payroll, Variance Analysis, 401k, Finance, Confidentiality, Lifecycle, Data Entry, HRIS Database Management, FMLA, COBRA, WebEx, Long-Term Disability, I-9 Compliance, Call Centers, Staff Training, Negotiation, Payroll Services, Job Description Creation, Candidate Generation, Editing, Proofreading, Case Managment, Severance, Data Quality, Auditing, Employee Handbooks, Disability Claims..., Office Administration, Office Management, Microsoft Office, File Management, Corporate Communications, Communication
Education
Rutgers, The State University of New Jersey - Rutgers Business School 2000 — 2005
BS, Business Management, 3.2
Horizon Blue Cross Blue Shield of New Jersey September 2013 - Present
Rowan University September 2007 - May 2012
Oakley May 2012 - September 2013
Rowan University January 2011 - May 2012
Rowan University Auditory and Music Perception Lab September 2010 - May 2012
To Write Love on Her Arms Inc. May 2011 - August 2011
Skills
Statistical Reporting, Laboratory Research, Qualitative Research, Crisis Counseling, Grief Counseling, Foreign Language -..., Public Speaking, Social Media Marketing, Microsoft Office, Mac OS X, Data Analysis, Data Collection, Laboratory, Foreign Languages, Experimental Design, SPSS, Project Team Management, Active Listening, Data Management
Education
Rowan University 2007 — 2012
Bachelor of Arts, Psychology
Ocean County College 2007 — 2008
Hamilton NJ April 2011 - Present
State of New Jersey (Retired) October 1988 - April 2011
Equitable/HCA (Equicor) June 1987 - October 1988
Horizon Blue Cross Blue Shield of New Jersey October 1983 - June 1987
Education
Rider University 1980 — 1982
Master of Business Administration (MBA), Marketing/Finance
Rutgers, The State University of New Jersey-New Brunswick 1975 — 1980
Bachelor of Arts (BA), Economics/Political Science
Horizon Blue Cross Blue Shield of New Jersey June 2008 - Present
Education
Pace University
Adler Footcare October 2010 - Present
Prudential Healthcare May 1996 - August 2000
Horizon Blue Cross Blue Shield of New Jersey June 1973 - September 1996
Skills
Revenue Cycle, Business Analysis, Product Management, systems liaison, Invoicing, Budgets, Process Improvement, Financial Reporting, Auditing, Data Analysis, Strategic Planning, Healthcare, Financial Analysis, Managerial Finance, Forecasting, Consulting, Financial Modeling, Team Building, Operations Management
Education
Rider University
Bachelor's degree, Accounting
Department of Veterans Affairs June 2008 - Present
Department of Veterans Affairs May 2006 - June 2008
Department of Veterans Affairs January 1993 - May 2006
U.S. Department of Veterans Affairs December 1991 - January 1993
Olsen and Thompson, CPA December 1989 - May 1991
Horizon Blue Cross Blue Shield of New Jersey September 1984 - November 1989
Skills
Government, Government Contracting, Managerial Finance, Policy, Federal Government, Government Accounting, Financial Analysis, Public Administration, Government Procurement, Accounting, Budgets, Policy Analysis, Financial Reporting, FAR, Analysis, Budget Process, Auditing, Microsoft Excel, Risk Management, Data Analysis, Payroll, Accounts Receivable, Budget Reconciliation, Fiscal Policy, General Ledger, Account Reconciliation, Financial Accounting, Strategic Financial..., Sarbanes-Oxley Act, Contract Management, Budget Monitoring, Finance, Internal Audit, Spreadsheets, Cash Management, Supervisory Skills, Department Budgeting, Federal Law, Financial Statements, Accounts Payable, Internal Controls, GAAP, Executive Management, Performance Measurement, Process Improvement, Business Process..., QuickBooks, Payroll Taxes, Funding, Project Finance
Education
Columbia Southern University 2008 — 2017
Working towards MBA, Health/Health Care Administration/Management
Rider University 1980 — 1984
Bachelor of Science (B.Sc.), Accounting
Horizon Blue Cross Blue Shield of New Jersey November 2010 - Present
Education
Rider University
Horizon Blue Cross Blue Shield of New Jersey 2005 - Present
Meridian Health 1992 - 2005
VNA of Central Jersey 1988 - 1992
Skills
Customer Service, Healthcare, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Leadership, Strategic Planning, Management, Hospitals, Nursing, HIPAA, Managed Care, Medicare, Home Care, Healthcare Information...
Education
Ocean County College
Seton Hall University
New York Stock Exchange July 2015 - Present
Q30 Television May 2014 - May 2015
Horizon Blue Cross Blue Shield of New Jersey May 2014 - August 2014
Horizon Blue Cross Blue Shield of New Jersey May 2013 - August 2013
Michaels Arts and Crafts December 2007 - December 2012
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, Microsoft Office, Outlook, Telephone Skills, Time Management, Teamwork, Retail, Data Entry, Merchandising, Customer Satisfaction, Cashiering, Access, Facebook, Lotus Notes, Visio, Data Analysis, Management, Advertising, Budgets
Education
Quinnipiac University - School of Business 2011 — 2015
University College Cork 2013 — 2014
Horizon Blue Cross Blue Shield of New Jersey February 2007 - Present
Szaferman, Lakind, Blumstein, and Blader, P.C. January 2004 - February 2007
Mercer County Prosecutor's Office September 1996 - January 2004
Skills
Legal Writing, Litigation, Insurance, Corporate Law, Insurance Law
Education
Suffolk University Law School 1993 — 1996
Juris Doctor (J.D.), Cum Laude Graduate
Providence College 1987 — 1991
Bachelor of Arts (B.A.), English Language and Literature/Letters, Cum Laude Graduate
Horizon Blue Cross Blue Shield of New Jersey May 1997 - July 2012
Horizon Blue Cross Blue Shield of New Jersey 1997 - 2012
Education
Rowan University 2012 — 2014
Bachelor of Arts (B.A.), Psychology Child Behavorial Services