Horizon Blue Cross Blue Shield of New Jersey

Industry: Company

Description

Horizon Blue Cross Blue Shield of New Jersey, headquartered in Newark, New Jersey is the only licensed Blue Cross and Blue Shield Association plan in New Jersey, providing health insurance coverage to over 3.2 million people throughout all of New Jersey. Location: 3 Penn Plaza East; Newark, New Jersey Headquarters: Newark, New Jersey, United States CEO: Kevin P. Conlin (1 Jan 2018–) General counsel: Linda A. Willett Founded: 1932 Subsidiaries: Horizon NJ Health,

Horizon Blue Cross Blue Shield of New Jersey List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Horizon Blue Cross Blue Shield of New Jersey. You can filter them based on skills, years of employment, job, education, department, and prior employment.

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2,058 Horizon Blue Cross Blue Shield of New Jersey employees in database. Find out everything there's to know about Horizon Blue Cross Blue Shield of New Jersey employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.

Horizon Blue Cross Blue Shield of New Jersey Employees

Employee
Years
Job
Industry
Kathy Davis Kathy Davis Berkeley Heights, New Jersey Details
Kathy Davis's Horizon Blue Cross Blue Shield of New Jersey Experience September 1985 - October 1996
Job Assistant Vice President at Hub International
Industry Insurance
Experience
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

Justin Fiedler Justin Fiedler Tampa/St. Petersburg, Florida Area Details
Justin Fiedler's Horizon Blue Cross Blue Shield of New Jersey Experience January 1995 - December 2002
Job Managing Partner at FGroup Solutions
Industry Marketing and Advertising
Experience
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

Sonal Mewawala Sonal Mewawala United States Details
Sonal Mewawala's Horizon Blue Cross Blue Shield of New Jersey Experience March 2013 - Present
Job at
Industry Hospital & Health Care
Experience
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

Robert Caswell Robert Caswell Cape Coral, Florida Details
Robert Caswell's Horizon Blue Cross Blue Shield of New Jersey Experience January 2010 - January 2014
Job Accountant
Industry Insurance
Experience
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

Robert McIlvride Robert McIlvride Austin, Texas Area Details
Robert McIlvride's Horizon Blue Cross Blue Shield of New Jersey Experience January 2011 - August 2011
Job Data Architect Consultant at Banorte
Industry Information Technology and Services
Experience
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

Kelly DuHart Kelly DuHart Trenton, New Jersey Details
Kelly DuHart's Horizon Blue Cross Blue Shield of New Jersey Experience January 2015 - Present
Job Hospital Account Executive at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Jill Murray, PMP Jill Murray, PMP Greater Philadelphia Area Details
Jill Murray, PMP's Horizon Blue Cross Blue Shield of New Jersey Experience 2003 - 2004
Job Sr. Project Manager, BTS Professinal ServicesPerm at Independence Blue Cross
Industry Pharmaceuticals
Experience
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

Dee Rago RN, BSN, MA Dee Rago RN, BSN, MA Greater New York City Area Details
Dee Rago RN, BSN, MA's Horizon Blue Cross Blue Shield of New Jersey Experience August 2003 - August 2010
Job Director Utilization Management at Horizon NJ Health
Industry Insurance
Experience
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

Holly Bundy Holly Bundy Greater New York City Area Details
Holly Bundy's Horizon Blue Cross Blue Shield of New Jersey Experience March 2008 - March 2009
Job Behavioral Assistant at Ocean Mental Health Services, Inc.
Industry Hospital & Health Care
Experience
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

Ellen S. Dobek Ellen S. Dobek Farmingdale, New Jersey Details
Ellen S. Dobek's Horizon Blue Cross Blue Shield of New Jersey Experience June 2006 - Present
Job Senior Managed Care Coordinator at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Karl Schmidt, CSSBB Karl Schmidt, CSSBB Greater Philadelphia Area Details
Karl Schmidt, CSSBB's Horizon Blue Cross Blue Shield of New Jersey Experience February 2014 - Present
Job BPI Delivery Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Hospital & Health Care
Experience
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

Courtney Elefante Courtney Elefante Zionsville, Indiana Details
Courtney Elefante's Horizon Blue Cross Blue Shield of New Jersey Experience September 2000 - January 2001
Job Administrative Professional
Industry Medical Practice
Experience
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

Jamie Giglio Jamie Giglio Raleigh, North Carolina Details
Jamie Giglio's Horizon Blue Cross Blue Shield of New Jersey Experience 1995 - 2008
Job Health Plan Strategy Consultant at Deloitte
Industry Management Consulting
Experience
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

Damien Suttles Damien Suttles Greater New York City Area Details
Damien Suttles's Horizon Blue Cross Blue Shield of New Jersey Experience May 2012 - Present
Job Claims Auditor III at Horizon Blue Cross Blue Shield
Industry Insurance
Experience
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

Jack Morrell Jack Morrell Greater Denver Area Details
Jack Morrell's Horizon Blue Cross Blue Shield of New Jersey Experience May 2013 - August 2013
Job Healthcare Professional
Industry Hospital & Health Care
Experience
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

Ijeoma Gayle Nwafili, MBA Ijeoma Gayle Nwafili, MBA Maplewood, New Jersey Details
Ijeoma Gayle Nwafili, MBA's Horizon Blue Cross Blue Shield of New Jersey Experience June 2008 - Present
Job Sales Executive 1 at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Catherine Singiser Catherine Singiser Greater Philadelphia Area Details
Catherine Singiser's Horizon Blue Cross Blue Shield of New Jersey Experience May 2014 - Present
Job MLTSS RN I with Horizon BCBS of NJ
Industry Hospital & Health Care
Experience
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)

Nicole Romer Nicole Romer Greater New York City Area Details
Nicole Romer's Horizon Blue Cross Blue Shield of New Jersey Experience October 2010 - Present
Job Inpatient Case Management at Horizon Blue Cross Blue Shield of NJ
Industry Hospital & Health Care
Experience
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

Sean K Walsh Sean K Walsh Allentown, Pennsylvania Area Details
Sean K Walsh's Horizon Blue Cross Blue Shield of New Jersey Experience January 1992 - March 1994
Job Mainframe Production Support at UnitedHealth Group | OPTUM
Industry Information Technology and Services
Experience
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

Jill Ventura Jill Ventura Greater Philadelphia Area Details
Jill Ventura's Horizon Blue Cross Blue Shield of New Jersey Experience September 2010 - Present
Job Manager Medicare Membership at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Margaret K. Palumbo Margaret K. Palumbo Greater New York City Area Details
Margaret K. Palumbo's Horizon Blue Cross Blue Shield of New Jersey Experience 2010 - 2012
Job Director, Business Optimization at Healthfirst
Industry Insurance
Experience
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

Kimberly Spruiell Kimberly Spruiell Maplewood, New Jersey Details
Kimberly Spruiell's Horizon Blue Cross Blue Shield of New Jersey Experience April 2011 - October 2011
Job Luxury Goods & Jewelry Professional
Industry Luxury Goods & Jewelry
Experience
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

Vicky Bhalerao Vicky Bhalerao Greater New York City Area Details
Vicky Bhalerao's Horizon Blue Cross Blue Shield of New Jersey Experience July 2011 - Present
Job Business System analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Information Technology and Services
Experience
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

Jennifer Meekins Jennifer Meekins Greater New York City Area Details
Jennifer Meekins's Horizon Blue Cross Blue Shield of New Jersey Experience March 2011 - March 2013
Job Dental Claims Specialist at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Shadette Berardi Shadette Berardi Greater Philadelphia Area Details
Shadette Berardi's Horizon Blue Cross Blue Shield of New Jersey Experience 1995 - 1998
Job Benefit Consultant Supervisor at Marsh & McLennan Companies, Inc.
Industry Insurance
Experience
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

Nydia Cruz Nydia Cruz Greater New York City Area Details
Nydia Cruz's Horizon Blue Cross Blue Shield of New Jersey Experience October 2011 - September 2013
Job Chief of Staff, Office Manager, Executive Support Leader
Industry Executive Office
Experience
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

Lisandra Gutierrez Lisandra Gutierrez Bloomfield, New Jersey Details
Lisandra Gutierrez's Horizon Blue Cross Blue Shield of New Jersey Experience November 2007 - Present
Job Administratve Assistant at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Judith Reid Judith Reid Greater New York City Area Details
Judith Reid's Horizon Blue Cross Blue Shield of New Jersey Experience June 2013 - October 2013
Job Snr Project Coordinator
Industry Pharmaceuticals
Experience
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

Colleen Imbert Colleen Imbert Greater New York City Area Details
Colleen Imbert's Horizon Blue Cross Blue Shield of New Jersey Experience July 2013 - Present
Job Account Consultant, Horizon Blue Cross Blue Shield of NJ
Industry Insurance
Experience
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

Rebecca McCue, MBA Rebecca McCue, MBA Greater New York City Area Details
Rebecca McCue, MBA's Horizon Blue Cross Blue Shield of New Jersey Experience March 2015 - Present
Job Recruiting Coordinator at Horizon Blue Cross Blue Shield
Industry Human Resources
Experience
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

Leondra Mcclendon Leondra Mcclendon Trenton, New Jersey Details
Leondra Mcclendon's Horizon Blue Cross Blue Shield of New Jersey Experience September 2011 - Present
Job Managed care coordinator at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Danyelle Hinton Danyelle Hinton Beverly, New Jersey Details
Danyelle Hinton's Horizon Blue Cross Blue Shield of New Jersey Experience March 2008 - Present
Job Supervisor HCM at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Chelsea Capstraw Chelsea Capstraw Greater New York City Area Details
Chelsea Capstraw's Horizon Blue Cross Blue Shield of New Jersey Experience 1997 - 2004
Job Admission Officer Seton Hall University
Industry Retail
Experience
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

Sanjeev Bagga Sanjeev Bagga Greater New York City Area Details
Sanjeev Bagga's Horizon Blue Cross Blue Shield of New Jersey Experience 2011 - 2011
Job SVP Program & Project Governance at Citi
Industry Information Technology and Services
Experience
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

Fawnette Worrell Fawnette Worrell Riverside, New Jersey Details
Fawnette Worrell's Horizon Blue Cross Blue Shield of New Jersey Experience September 1999 - Present
Job Owner, TotalCare By Fawnette
Industry Apparel & Fashion
Experience
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

Sharon McIntyre Sharon McIntyre Hillside, New Jersey Details
Sharon McIntyre's Horizon Blue Cross Blue Shield of New Jersey Experience February 1998 - March 2001
Job customer service rep at Verizon
Industry Telecommunications
Experience
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

Ronald Bright Ronald Bright Greater New York City Area Details
Ronald Bright's Horizon Blue Cross Blue Shield of New Jersey Experience August 2014 - Present
Job Horizon Blue Cross Blue Shield NJ
Industry Media Production
Experience
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

John Eustor John Eustor Greater New York City Area Details
John Eustor's Horizon Blue Cross Blue Shield of New Jersey Experience November 2009 - May 2010
Job Senior Certified Principal Lotus Notes/Domino Developer at Horizon Blue Cross Blue Shield of New Jersey
Industry Computer Software
Experience
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

Wyatt Kasserman Wyatt Kasserman Greater New York City Area Details
Wyatt Kasserman's Horizon Blue Cross Blue Shield of New Jersey Experience October 2007 - March 2009
Job Doctor of Physical Therapy Candidate New York University Class of 2016
Industry Hospital & Health Care
Experience
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

Aidan Jones Aidan Jones Greater New York City Area Details
Aidan Jones's Horizon Blue Cross Blue Shield of New Jersey Experience September 2011 - December 2011
Job Senior Project Manager at Bemac, LLC
Industry Information Technology and Services
Experience
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

Maurice Adams Maurice Adams Greater New York City Area Details
Maurice Adams's Horizon Blue Cross Blue Shield of New Jersey Experience June 2015 - August 2015
Job INROADS Cashier/ Investments Interns at Horizon Blue Cross Blue Shield of New Jersey
Industry Financial Services
Experience
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

Rebecca Manning Rebecca Manning Bethlehem, Pennsylvania Details
Rebecca Manning's Horizon Blue Cross Blue Shield of New Jersey Experience July 2011 - August 2011
Job Regional Manager of Operations Support at NFI
Industry Logistics and Supply Chain
Experience
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

Rasheidah Ricks Rasheidah Ricks Greater Philadelphia Area Details
Rasheidah Ricks's Horizon Blue Cross Blue Shield of New Jersey Experience ModelFarai2010 - 2011
Job Model@ B1 Models NYC
Industry Apparel & Fashion
Experience
Horizon Blue Cross Blue Shield of New Jersey   ModelFarai2010 - 2011

Education
Burlington County College

Kris Cossins Kris Cossins Lenexa, Kansas Details
Kris Cossins's Horizon Blue Cross Blue Shield of New Jersey Experience November 2012 - June 2013
Job Agency Development Manager at Colonial Life
Industry Insurance
Experience
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

Don Bartolucci Don Bartolucci Allentown, Pennsylvania Area Details
Don Bartolucci's Horizon Blue Cross Blue Shield of New Jersey Experience September 1994 - September 2000
Job Contract Manager at Johnson & Johnson
Industry Pharmaceuticals
Experience
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

Rob Walkoviak Rob Walkoviak Greater New York City Area Details
Rob Walkoviak's Horizon Blue Cross Blue Shield of New Jersey Experience April 2013 - Present
Job Data Reporting Analyst III at Horizon Blue Cross Blue Shield
Industry Insurance
Experience
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

Bob Bertothy Bob Bertothy Greater Philadelphia Area Details
Bob Bertothy's Horizon Blue Cross Blue Shield of New Jersey Experience May 2013 - Present
Job Graphic Designer
Industry Graphic Design
Experience
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

Paul T. Salus Jr. Paul T. Salus Jr. Greater New York City Area Details
Paul T. Salus Jr.'s Horizon Blue Cross Blue Shield of New Jersey Experience November 2012 - Present
Job Manager, Enterprise Communications at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Jon Flanagan Jon Flanagan Union, New Jersey Details
Jon Flanagan's Horizon Blue Cross Blue Shield of New Jersey Experience September 2007 - February 2011
Job Experienced Investigator with 22+ years conducting various types of fraud investigations: State of NJ & Private Co's.
Industry Insurance
Experience
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

Marcus Velazquez Marcus Velazquez Lakewood, New Jersey Details
Marcus Velazquez's Horizon Blue Cross Blue Shield of New Jersey Experience June 2008 - August 2010
Job Medical and/or Auto Insurance Claims Representative
Industry Insurance
Experience
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

Tom Black, C.P.M. Tom Black, C.P.M. Greater New York City Area Details
Tom Black, C.P.M.'s Horizon Blue Cross Blue Shield of New Jersey Experience October 2005 - August 2007
Job Senior Associate at Performance Consulting Associates
Industry Management Consulting
Experience
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

Gregg Quinn Gregg Quinn Greater New York City Area Details
Gregg Quinn's Horizon Blue Cross Blue Shield of New Jersey Experience July 2010 - Present
Job Manager, HRIS and Shared Services at Horizon Blue Cross Blue Shield of New Jersey
Industry Human Resources
Experience
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

Martina Rojas Martina Rojas Pompano Beach, Florida Details
Martina Rojas's Horizon Blue Cross Blue Shield of New Jersey Experience August 2006 - May 2009
Job Senior Business Analyst/Project Manager at Preferred Medical Plan LLC
Industry Information Technology and Services
Experience
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

Aimee Torres Aimee Torres Burlington, New Jersey Details
Aimee Torres's Horizon Blue Cross Blue Shield of New Jersey Experience May 2014 - August 2015
Job Hospitalist Practice Manager
Industry Hospital & Health Care
Experience
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

Mark Calderon, MD | Physician Executive Mark Calderon, MD | Physician Executive Greater New York City Area Details
Mark Calderon, MD | Physician Executive's Horizon Blue Cross Blue Shield of New Jersey Experience June 2010 - Present
Job Vice President, Chief Medical Officer Horizon NJ Health
Industry Insurance
Experience
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

John Victory John Victory New Milford, New Jersey Details
John Victory's Horizon Blue Cross Blue Shield of New Jersey Experience August 2014 - Present
Job Data Reporting Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Paul Bedi (paul@idmworks.com) Paul Bedi (paul@idmworks.com) Miami, Florida Details
Paul Bedi (paul@idmworks.com)'s Horizon Blue Cross Blue Shield of New Jersey Experience August 2006 - December 2007
Job Identity Management Subject Matter Expert
Industry Information Technology and Services
Experience
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

Maryellen McHugh Maryellen McHugh Newark, New Jersey Details
Maryellen McHugh's Horizon Blue Cross Blue Shield of New Jersey Experience November 2012 - Present
Job Team Leader, Provider Correspondence at Horizon Blue Cross Blue Shield of New Jersey
Industry Hospital & Health Care
Experience
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

Yohan Ponniah Yohan Ponniah Corona, New York Details
Yohan Ponniah's Horizon Blue Cross Blue Shield of New Jersey Experience 2011 - Present
Job IT Infrastructure Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Kathy Parsons Kathy Parsons Greater New York City Area Details
Kathy Parsons's Horizon Blue Cross Blue Shield of New Jersey Experience 2003 - 2006
Job AVP, Care Management, Integrated Products, Healthfirst
Industry Health, Wellness and Fitness
Experience
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

Lee Whiteman, PMP, CSM, ITIL Lee Whiteman, PMP, CSM, ITIL Trenton, New Jersey Details
Lee Whiteman, PMP, CSM, ITIL's Horizon Blue Cross Blue Shield of New Jersey Experience September 2010 - August 2012
Job Project Manager at Delane Staffing
Industry Information Technology and Services
Experience
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

Heidi Newman, MHA, PMP Heidi Newman, MHA, PMP Greater New York City Area Details
Heidi Newman, MHA, PMP's Horizon Blue Cross Blue Shield of New Jersey Experience 2012 - Present
Job Senior Project Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Erin Elko Erin Elko Newark, New Jersey Details
Erin Elko's Horizon Blue Cross Blue Shield of New Jersey Experience January 2014 - Present
Job Assistant General Counsel at Horizon Blue Cross Blue Shield of New Jersey
Industry Law Practice
Experience
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.

Hristo Hristov Hristo Hristov Greater New York City Area Details
Hristo Hristov's Horizon Blue Cross Blue Shield of New Jersey Experience April 2007 - March 2009
Job Web Developer at CNBC
Industry Information Technology and Services
Experience
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

Kiran Mohan Nori Kiran Mohan Nori Newark, New Jersey Details
Kiran Mohan Nori's Horizon Blue Cross Blue Shield of New Jersey Experience August 2013 - Present
Job Manager, Information Technology II
Industry Information Technology and Services
Experience
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

Thomas J Barnes III Thomas J Barnes III Greater New York City Area Details
Thomas J Barnes III's Horizon Blue Cross Blue Shield of New Jersey Experience September 2002 - May 2006
Job Director, Managed Care Services at St. Joseph's Healthcare System
Industry Hospital & Health Care
Experience
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

Yolonda Suber-Brown Yolonda Suber-Brown Greater New York City Area Details
Yolonda Suber-Brown's Horizon Blue Cross Blue Shield of New Jersey Experience January 1993 - October 2004
Job Manager at Rider Insurance Company
Industry Insurance
Experience
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

Ann (Galgowski) Lech Ann (Galgowski) Lech Greater New York City Area Details
Ann (Galgowski) Lech's Horizon Blue Cross Blue Shield of New Jersey Experience April 2015 - Present
Job Business System Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Computer Software
Experience
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

Srikanth Mamidi Srikanth Mamidi Raleigh-Durham, North Carolina Area Details
Srikanth Mamidi's Horizon Blue Cross Blue Shield of New Jersey Experience March 2012 - March 2013
Job Senior Informatica Architect at American Red Cross
Industry Information Technology and Services
Experience
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

April Bey April Bey Greater Philadelphia Area Details
April Bey's Horizon Blue Cross Blue Shield of New Jersey Experience March 2007 - July 2012
Job at
Industry Nonprofit Organization Management
Experience
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

Stanley Croughter Stanley Croughter Greater New York City Area Details
Stanley Croughter's Horizon Blue Cross Blue Shield of New Jersey Experience 1999 - 2000
Job Director of Operations Consumer Portals United Healthcare
Industry Internet
Experience
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

Raymond Kordell Raymond Kordell Greater New York City Area Details
Raymond Kordell's Horizon Blue Cross Blue Shield of New Jersey Experience October 1992 - May 1996
Job New Business Manager at CIGNA HealthCare
Industry Insurance
Experience
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

Tim Donald Tim Donald Greater New York City Area Details
Tim Donald's Horizon Blue Cross Blue Shield of New Jersey Experience December 2012 - Present
Job Director, MCR Initiatives Horizon BCBSNJ
Industry Insurance
Experience
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

Cheryl Frugard Cheryl Frugard Greater New York City Area Details
Cheryl Frugard's Horizon Blue Cross Blue Shield of New Jersey Experience July 2011 - Present
Job Horizon Blue Cross Blue Shield of NJ at Ho
Industry Insurance
Experience
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

Ritu Verma, CBAP Ritu Verma, CBAP Greater New York City Area Details
Ritu Verma, CBAP's Horizon Blue Cross Blue Shield of New Jersey Experience June 2010 - Present
Job Vice President (Professional Development) IIBA(NJ)
Industry Insurance
Experience
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

David Orsini, PMP David Orsini, PMP Greater New York City Area Details
David Orsini, PMP's Horizon Blue Cross Blue Shield of New Jersey Experience September 2012 - Present
Job IT Project Manager ll at Horizon Blue Cross Blue Shield of New Jersey
Industry Information Technology and Services
Experience
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

Harry W. Sheaffer, III., PMP Harry W. Sheaffer, III., PMP Greater Philadelphia Area Details
Harry W. Sheaffer, III., PMP's Horizon Blue Cross Blue Shield of New Jersey Experience May 2010 - June 2011
Job Senior Technology Project Manager at TD
Industry Management Consulting
Experience
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

Laura Ahern Laura Ahern Greater New York City Area Details
Laura Ahern's Horizon Blue Cross Blue Shield of New Jersey Experience January 2003 - October 2006
Job Director, Community Outreach at Meridian Health
Industry Hospital & Health Care
Experience
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

Carrie Ivler Carrie Ivler Greater New York City Area Details
Carrie Ivler's Horizon Blue Cross Blue Shield of New Jersey Experience 2000 - 2006
Job Chief Information Officer at Medical Resources, Inc.
Industry Hospital & Health Care
Experience
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

Larry Altman Larry Altman Greater New York City Area Details
Larry Altman's Horizon Blue Cross Blue Shield of New Jersey Experience April 2013 - April 2015
Job Health Care Executive | Strategist | Marketer | Health Care Reform and Health Transformation Expert
Industry Hospital & Health Care
Experience
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

Donna DiBruno, DO, MPH, FACOI Donna DiBruno, DO, MPH, FACOI Greater Philadelphia Area Details
Donna DiBruno, DO, MPH, FACOI's Horizon Blue Cross Blue Shield of New Jersey Experience June 2011 - June 2013
Job Atlanticare hospitalist
Industry Hospital & Health Care
Experience
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

Gloria Turner Gloria Turner Greater New York City Area Details
Gloria Turner's Horizon Blue Cross Blue Shield of New Jersey Experience June 1984 - January 1998
Job Learning and Development Consultant at New YorkPresbyterian Hospital
Industry Hospital & Health Care
Experience
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

Jeff Pollock Jeff Pollock Greater Boston Area Details
Jeff Pollock's Horizon Blue Cross Blue Shield of New Jersey Experience 1985 - 1988
Job Vice President of Information Technology / CIO at Wentworth Douglass Hospital
Industry Hospital & Health Care
Experience
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

Jim Bederka Jim Bederka Greater New York City Area Details
Jim Bederka's Horizon Blue Cross Blue Shield of New Jersey Experience 2003 - 2005
Job Regional Account Manager at LexisNexis
Industry Insurance
Experience
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

Michael McDow Michael McDow Greater Philadelphia Area Details
Michael McDow's Horizon Blue Cross Blue Shield of New Jersey Experience December 2006 - November 2007
Job Team Lead Xerox Global Leveraged Operations
Industry Human Resources
Experience
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

Andrei Santos Andrei Santos Atlantic City, New Jersey Details
Andrei Santos's Horizon Blue Cross Blue Shield of New Jersey Experience November 2005 - June 2006
Job Payroll Analyst at Golden Nugget Atlantic City, NJ
Industry Gambling & Casinos
Experience
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

Srinath K Srinath K Greater New York City Area Details
Srinath K's Horizon Blue Cross Blue Shield of New Jersey Experience September 2013 - May 2014
Job Technical Team Lead at Liberty Mutual Insurance
Industry Information Technology and Services
Experience
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

Alyson Rolls Alyson Rolls Toms River, New Jersey Details
Alyson Rolls's Horizon Blue Cross Blue Shield of New Jersey Experience August 2014 - Present
Job Administrative Assistant II @ HorizonBCBSNJ
Industry Hospital & Health Care
Experience
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

Anantha Addanki Anantha Addanki Greater New York City Area Details
Anantha Addanki's Horizon Blue Cross Blue Shield of New Jersey Experience April 2013 - July 2014
Job Security Strategy and Risk Management Consultant at Accenture
Industry Insurance
Experience
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

Tom Protentis Tom Protentis Greater New York City Area Details
Tom Protentis's Horizon Blue Cross Blue Shield of New Jersey Experience 2009 - Present
Job Manager, Financial Reporting at Horizon Blue Cross Blue Shield of New Jersey
Industry Pharmaceuticals
Experience
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

Gaurav Kapoor Gaurav Kapoor Greater New York City Area Details
Gaurav Kapoor's Horizon Blue Cross Blue Shield of New Jersey Experience August 2011 - January 2015
Job Director, UnitedHealth Group
Industry Hospital & Health Care
Experience
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

Alejandro (Allen) Rodriguez Alejandro (Allen) Rodriguez Greater New York City Area Details
Alejandro (Allen) Rodriguez's Horizon Blue Cross Blue Shield of New Jersey Experience 2009 - Present
Job Financial Services Professional
Industry Financial Services
Experience
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

Lakshmi Arumugam, CISSP Lakshmi Arumugam, CISSP Greater New York City Area Details
Lakshmi Arumugam, CISSP's Horizon Blue Cross Blue Shield of New Jersey Experience October 2010 - Present
Job Senior I&AM & Security Architect
Industry Information Technology and Services
Experience
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

Simrita Mehroke Simrita Mehroke Greater New York City Area Details
Simrita Mehroke's Horizon Blue Cross Blue Shield of New Jersey Experience December 2011 - Present
Job Director Prov. Reimbursement Implementation at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Susan Buteas Susan Buteas Greater New York City Area Details
Susan Buteas's Horizon Blue Cross Blue Shield of New Jersey Experience December 1998 - March 2000
Job Registered Nurse at Overlook Hospital
Industry Hospital & Health Care
Experience
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

Anthony Valles Anthony Valles Concord, North Carolina Details
Anthony Valles's Horizon Blue Cross Blue Shield of New Jersey Experience November 1997 - August 2004
Job Manager at Cardinal Innovations Healthcare Solutions
Industry Hospital & Health Care
Experience
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

Allison Wiedmayer Allison Wiedmayer Greater Philadelphia Area Details
Allison Wiedmayer's Horizon Blue Cross Blue Shield of New Jersey Experience September 2014 - Present
Job Managed Care Coordinator at Horizon Blue Cross Blue Shield
Industry Marketing and Advertising
Experience
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

Margaret Palumbo Margaret Palumbo United States Details
Margaret Palumbo's Horizon Blue Cross Blue Shield of New Jersey Experience July 1986 - Present
Job Pharmacy Consultant at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   July 1986 - Present

Education
Penn State University   1981 — 1985
B.A., Health Planning & Admistration

Stephanie Zaidinski Stephanie Zaidinski Audubon, New Jersey Details
Stephanie Zaidinski's Horizon Blue Cross Blue Shield of New Jersey Experience January 2011 - Present
Job Managed Care Coordinator I
Industry Insurance
Experience
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

Andrianna Guo, Pharm.D. Andrianna Guo, Pharm.D. Greater New York City Area Details
Andrianna Guo, Pharm.D.'s Horizon Blue Cross Blue Shield of New Jersey Experience September 2013 - October 2013
Job Rutgers PostDoctoral Fellow in Corporate & Government Customers at Bayer HealthCare
Industry Pharmaceuticals
Experience
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.)

Barbara Mussell Barbara Mussell Greater New York City Area Details
Barbara Mussell's Horizon Blue Cross Blue Shield of New Jersey Experience 1983 - 1999
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
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

Kanwal Singh Kanwal Singh Greater New York City Area Details
Kanwal Singh's Horizon Blue Cross Blue Shield of New Jersey Experience June 2011 - Present
Job Lead Consultant
Industry Management Consulting
Experience
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

Raphael Chandler Raphael Chandler Trenton, New Jersey Details
Raphael Chandler's Horizon Blue Cross Blue Shield of New Jersey Experience April 2014 - Present
Job Business Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Kathy McKinnon Kathy McKinnon Greater New York City Area Details
Kathy McKinnon's Horizon Blue Cross Blue Shield of New Jersey Experience 2006 - 2011
Job Experienced Insurance Executive, Actuary, and Consultant
Industry Insurance
Experience
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

Elvis Durazzo Elvis Durazzo Greater New York City Area Details
Elvis Durazzo's Horizon Blue Cross Blue Shield of New Jersey Experience November 2008 - October 2011
Job DSRIP Program Director
Industry Hospital & Health Care
Experience
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

Vanitha Veshala Vanitha Veshala Carmel, Indiana Details
Vanitha Veshala's Horizon Blue Cross Blue Shield of New Jersey Experience May 2005 - June 2006
Job Sr. Programmer Analyst at ADESA
Industry Automotive
Experience
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

Richard Whyte Richard Whyte Greater New York City Area Details
Richard Whyte's Horizon Blue Cross Blue Shield of New Jersey Experience
Job Business Systems Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

Shatisha Quarles Shatisha Quarles Greater Philadelphia Area Details
Shatisha Quarles's Horizon Blue Cross Blue Shield of New Jersey Experience June 2006 - Present
Job Client Services at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

DeeAnna Warrington DeeAnna Warrington New York, New York Details
DeeAnna Warrington's Horizon Blue Cross Blue Shield of New Jersey Experience November 2005 - May 2006
Job HRIS Analyst at AdvantageCare Physicians
Industry Human Resources
Experience
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

James Monia James Monia Toms River, New Jersey Details
James Monia's Horizon Blue Cross Blue Shield of New Jersey Experience September 2013 - Present
Job Call Center Service Associate at Horizon Blue Cross Blue Shield of New Jersey
Industry Consumer Services
Experience
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

Michael Angelini Michael Angelini Trenton, New Jersey Details
Michael Angelini's Horizon Blue Cross Blue Shield of New Jersey Experience October 1983 - June 1987
Job Retired!!! at Hamilton NJ
Industry Insurance
Experience
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

Ray Abadia Ray Abadia Fair Lawn, New Jersey Details
Ray Abadia's Horizon Blue Cross Blue Shield of New Jersey Experience June 2008 - Present
Job NASCO Benefit Coder at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   June 2008 - Present

Education
Pace University

Arthur Salom Arthur Salom Westfield, New Jersey Details
Arthur Salom's Horizon Blue Cross Blue Shield of New Jersey Experience June 1973 - September 1996
Job Billing Liaison at Adler Footcare
Industry Medical Practice
Experience
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

Heather Middleton Heather Middleton Far Hills, New Jersey Details
Heather Middleton's Horizon Blue Cross Blue Shield of New Jersey Experience September 1984 - November 1989
Job Financial Manager at Department of Veterans Affairs
Industry Government Administration
Experience
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

Victoria Moseley Victoria Moseley Mount Laurel, New Jersey Details
Victoria Moseley's Horizon Blue Cross Blue Shield of New Jersey Experience November 2010 - Present
Job Utilization Management at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey   November 2010 - Present

Education
Rider University

Phyllis Newmeyer Phyllis Newmeyer Point Pleasant Beach, New Jersey Details
Phyllis Newmeyer's Horizon Blue Cross Blue Shield of New Jersey Experience 2005 - Present
Job RN Case Manager at Horizon Blue Cross/Blue Shield of NJ
Industry Insurance
Experience
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

Katelyn Hayes Katelyn Hayes Ramsey, New Jersey Details
Katelyn Hayes's Horizon Blue Cross Blue Shield of New Jersey Experience May 2014 - August 2014
Job Student at Quinnipiac University School of Business
Industry Financial Services
Experience
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

Tom Eschleman Tom Eschleman Titusville, New Jersey Details
Tom Eschleman's Horizon Blue Cross Blue Shield of New Jersey Experience February 2007 - Present
Job Assistant General Counsel at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
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

April Bey April Bey Sicklerville, New Jersey Details
April Bey's Horizon Blue Cross Blue Shield of New Jersey Experience May 1997 - July 2012
Job Insurance Professional
Industry Insurance
Experience
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

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