Horizon Blue Cross Blue Shield of NJ
Industry: Company
DescriptionHorizon Blue Cross Blue Shield of New Jersey, headquartered in Newark, New Jersey is the only licensed Blue Cross and Blue Shield Association plan in New Jersey, providing health insurance coverage to over 3.2 million people throughout all of New Jersey. Location: 3 Penn Plaza East; Newark, New Jersey Headquarters: Newark, New Jersey, United States CEO: Kevin P. Conlin (1 Jan 2018–) General counsel: Linda A. Willett Founded: 1932 Subsidiaries: Horizon NJ Health,
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Horizon Blue Cross Blue Shield of NJ Employees
Prudential Financial May 2013 - Present
Prudential December 2005 - Present
Prudential Financial 1999 - 2008
Prudential Financial December 2003 - December 2005
Horizon Blue Cross Blue Shield of NJ April 2003 - December 2003
New Jersey Symphony Orchestra August 1996 - June 1999
American Lung Association September 1995 - August 1996
United Nations Association May 1993 - September 1995
Skills
Writing, Internal Communications, Corporate Communications, Fundraising, Editing, Copywriting, Insurance, Non-profits, Media Relations, Social Media, Strategic Planning, Newsletters, Speech Writing, Event Management, Project Management, Public Relations, Press Releases, Strategic Communications, Marketing Communications, Nonprofits, Crisis Communications, Social Networking, Communications Planning, Content Management
Education
Drew University 1990 — 1993
B.A., Political Science
Arthur L. Johnson Regional High School 1983 — 1987
iHealth Technologies July 2012 - Present
Care Management International July 2006 - July 2012
(Self employed) January 2003 - July 2006
Horizon Blue Cross Blue Shield of NJ March 2000 - January 2003
Horizon Blue Cross Blue Shield of New Jersey May 1997 - March 2000
Raritan Bay Medical Center July 1995 - May 1998
Skills
Managed Care, Hospitals, Process Improvement, Quality Assurance, Healthcare, Clinical Research, Healthcare Information..., Product Development, Healthcare Management, HIPAA, Healthcare Consulting, Informatics
Education
Cornell University
Executive Leadership for Healthcare Professionals
Dowling College 1999 — 2002
MBA
The College of New Jersey 1991 — 1995
BSN, Nursing
Express-Scripts, formerly Medco November 2007 - Present
Horizon Blue Cross Blue Shield of NJ January 2006 - November 2007
Horizon Blue Cross Blue Shield of New Jersey January 2001 - December 2005
Skills
Healthcare, Employee Benefits, Leadership, Customer Satisfaction, Managed Care, Insurance, Account Management, Cross-functional Team..., Health Insurance, Vendor Management, Contract Negotiation, Forecasting, Process Improvement, Strategic Planning, Team Building, Marketing, Negotiation, Customer Service, Management, New Business Development, Operations Management, Human Resources, Sales, Strategy, Customer Retention, Selling, Sales Management, Business Development, Business Planning, Budgets, CRM, Pricing
Education
St. Peter's College 2005 — 2007
M.B.A, Management 2007
Drew University 1986 — 1990
B.A, Economics
New Jersey State Life and Health Producers
Respond, Inc. July 2014 - Present
District Council Collaborative Board I 2009 - Present
Camden AHEC January 2013 - June 2014
Organo Gold October 2010 - December 2012
Wholefood Farmacy 2005 - 2011
The Work Group/NJ Youth Corps - Camden October 2009 - October 2010
Horizon Blue Cross Blue Shield of NJ December 2005 - February 2008
Lockheed Martin December 1999 - December 2005
Skills
Community Outreach, Public Speaking, Microsoft Excel, Nonprofits, Event Planning, Microsoft Office, Leadership Development, Leadership, Public Relations, Volunteer Management, Fundraising, Program Development, Customer Service, Management, Strategic Planning, Marketing, Research, Social Media, Team Building, Event Management, Grant Writing, Social Media Marketing, Social Networking
Education
Thomas Edison State College 2014 — 2015
In progress, Liberal Arts/Sociology
Camden County College 2011 — 2012
Business Management/Marketing
JDT Bible College
Associates, Biblical Studies
Milton Academy
HS, College Prep
Peirce College
Hospitality Management
Horizon Blue Cross Blue Shield of New Jersey January 2015 - Present
Horizon Blue Cross Blue Shield of NJ October 2006 - January 2010
Goldman Sachs January 2005 - October 2006
VERITAS Software July 2001 - January 2005
CSC June 1998 - June 2001
Skills
Release Management, Change Management, IT Process..., IT Management, Vendor Management, Code Deployment, SDLC, ITIL v3 Foundations..., Software Project..., Enterprise Architecture, Cross-functional Team..., Enterprise Software, SQL, Testing, Unix, Databases, ITIL, Disaster Recovery
Education
Bethel University 1996 — 2000
Bachelor of Science (B.S.), Computer Science
Harvard Pilgrim Health Care April 2013 - Present
Wellmark Health Plan of Iowa November 2011 - March 2013
Wellmark September 2010 - March 2013
Horizon Blue Cross Blue Shield of NJ September 2008 - October 2010
Horizon Blue Cross Blue Shield of NJ July 2006 - September 2008
Horizon Blue Cross Blue Shield of NJ July 2001 - July 2006
Neuvis 2000 - 2000
Atlantic Pharmaceuticals July 1998 - May 1999
Skills
Process Improvement, Business Strategy, Marketing, Workshop Facilitation, Health Care Reform, Product Development, Program Management, Change Management, Leadership, Project Management, CRM, Account Management, E-business, Six Sigma, Enterprise Systems..., Healthcare, Health Policy, Management, Health Insurance, Product Management, Managed Care, Medicare, Vendor Management, Insurance, Strategic Planning, Business Process..., Strategy, Enterprise Software, Project Portfolio..., Business Process, Marketing Strategy, Business Analysis, Employee Benefits, PMO, Sales Operations
Education
Cornell University 1999 — 2001
MHA, Healthcare Administration
University of Mumbai 1994 — 1998
BE, BioMedical
Childrens Academy, Gamdevi, Mumbai 1982 — 1992
High School, High school diploma
Behavior Imaging Solutions November 2005 - Present
e-Merge Medical Technologies December 1999 - November 2005
Ride Idaho April 2001 - August 2001
Stryker Leibinger March 1992 - December 1999
Howmedica, Inc. June 1988 - March 1992
Horizon Blue Cross Blue Shield of NJ June 1986 - June 1988
Henry Heide, Inc. June 1985 - June 1986
Skills
Medical Devices, Informatics, Telemedicine, Behavioral Health, Strategic Planning, Product Development, Start-ups, Healthcare Information..., Healthcare, EHR, Clinical Research, Commercialization, Program Management, Research, Lifesciences, Healthcare Industry, Team Building, Marketing, Product Management, Change Management, Managed Care, Grants, Business Development, eHealth, HIPAA, Physicians, New Business Development, Business Strategy, Cross-functional Team..., Process Improvement, Treatment, Mental Health, Healthcare Consulting, Strategy, Orthopedic, Entrepreneurship, Project Management, Child Development, Strategic Partnerships, Healthcare Management, Leadership, Fundraising, Angel Investing, EMR, Team Leadership, Hospitals, Management, Marketing Strategy, Autism, Autism Spectrum...
Education
George Fox University 2012 — 2014
Master of Business Administration (MBA)
University of Notre Dame 1981 — 1985
BS, Biology/Chemistry ; Medical Anthropology
Saint Joseph High School 1977 — 1981
Diploma
Horizon Blue Cross Blue Shield of NJ 2007 - Present
Horizon Blue Cross Blue Shield of New Jersey 2005 - 2007
Horizon Blue Cross Blue Shield of New Jersey 1995 - 2005
Education
Centenary College 2007 — 2009
MBA, Human Resources
Upsala College 1988 — 1993
BA, Business Administration
Al-Haffar Consulting LLC 2013 - Present
Horizon Blue Cross Blue Shield of NJ 1999 - 2013
Horizon Blue Cross Blue Shield of NJ 1997 - 1999
Publishers Circulation Fulfillment for The New York Times 1992 - 1996
Skills
Health Insurance, Medicare, Customer Relations, Vendor Relations, Call Center, Direct Marketing, Inside Sales, Production, Healthcare Reform, Health Insurance..., Customer Service, Team Building, Leadership, Management, Sales, Marketing, Account Management, Health Care Reform, Call Centers, CRM, Strategy, Customer Retention, Insurance, Enterprise Software, Budgets, Vendor Management, Process Improvement, Healthcare, Business Analysis, Cross-functional Team..., Data Analysis, HIPAA, Healthcare Industry, Business Process..., Segmentation, Contract Negotiation, Health Policy, Project Management, Sales Management, Business Strategy, Negotiation, Managed Care, Employee Benefits, Direct Sales, Medicare Part D, Executive Management, Health Savings Accounts, Claim, Strategic Planning, Risk Management
Education
Dowling College 2000 — 2002
MBA, General Management
The University of Texas at Dallas 1983 — 1987
BA, Economics and Finance
Paragon February 2015 - Present
UPS October 2014 - January 2015
Novartis June 2013 - August 2013
Medical Marketing Economics, LLC (MME) 2010 - 2011
Virgin Mobile 2009 - 2009
Horizon Blue Cross Blue Shield of NJ 2007 - 2008
Bentley College 2005 - 2007
Prudential Financial 2005 - 2005
Skills
Data Analysis, Auditing, Management, Project Management, Financial Analysis, Analysis, Microsoft Office, Database Design, Business Intelligence, SQL, Market Research, Presentation Development, Information Gathering, Calculations, Troubleshooting, Social Media, Billing Process, Financial Reporting, Accounting
Education
Seton Hall University 2012 — 2014
Master of Business Administration (M.B.A.), Information Technology Management, 3.69
Bentley University 2003 — 2007
B.S., Corporate Finance and Accounting
Kearfott Corporation 2015 - 2015
Kearfott Corporation 2015 - 2015
Kearfott Corporation 2015 - 2015
UniTek Global Services-Pinnacle Wireless Division February 2013 - April 2013
Henry Bros. Electronics, Inc. August 2008 - March 2010
Berman Larson & Kane July 2006 - June 2007
Horizon Blue Cross Blue Shield of NJ June 2004 - March 2006
Norvergence, Inc. December 2002 - April 2004
Teletech/Nextel Communications November 1999 - April 2002
Norrell Staffing on Site @ Prudential Insurance 1995 - 1997
Skills
Negotiation, Contract Negotiation, Research, Talent Acquisition, Employee Relations, Sourcing, PeopleSoft, Talent Management, Coaching, Customer Service, Healthcare, Word, Team Building, Excel, Call Center, Start-ups, Applicant Tracking..., Interviewing, Hiring, Staff Development, Resume Writing, Technical Recruiting, Background Checks, Vendor Management, Employee Benefits, Strategic Planning, Succession Planning, Customer Relations, Compensation, Microsoft Excel, Recruiting, Microsoft Word, Call Centers, Interviews, Screening, Temporary Placement, Human Resources, College Recruiting, Management, Onboarding, Benefits Negotiation, Screening Resumes, Payroll, HRIS, Job Fairs, Benefits Administration, Internet Recruiting, Staffing Services, Workforce Planning, New Hire Orientations
Education
Montclair State University 1982 — 1983
Bergen Community College
Associates Degree, Liberal Arts and Sciences, General Studies and Humanities
Pascack Valley Regional
High School Diploma, Academic-College Prep
Gartner January 2013 - Present
PricewaterhouseCoopers November 2010 - January 2013
Epic June 2009 - November 2010
Rulloff's September 2007 - May 2009
Horizon Blue Cross Blue Shield of NJ June 2008 - August 2008
Skills
Healthcare Information..., Data Analysis, Process Improvement, Management Consulting, Project Management, Healthcare Consulting, Financial Analysis, Financial Modeling, Healthcare, EHR, Microsoft Excel, Program Management, Analysis, Revenue Cycle, Business Analysis, Epic Systems, Nonprofits, Leadership, Educational Leadership, Educational Technology
Education
Cornell University 2007 — 2009
MHA, The Sloan Program in Health Administration
Cornell University 2004 — 2008
BS, Policy Analysis and Management
Newark Academy 1997 — 2004
HS
Essex County College October 2012 - Present
Remnant Consulting Corp November 2009 - Present
Horizon Blue Cross Blue Shield of NJ August 2007 - November 2009
Safe Horizon June 2002 - August 2007
NYC Department of Probation March 1999 - June 2002
Skills
Performance Management, Workshop Facilitation, Instructional Design, Training, Conflict Resolution, Organizational..., Leadership Development, Program Management, Cross-functional Team..., Management, Staff Development, Recruiting, Strategy, Onboarding, Organizational..., Leadership, Management Development, Talent Management, Coaching, Executive Coaching, Employee Engagement, Succession Planning, Employee Training, Time Management
Education
Drew University 2010 — 2014
Master of Divinity (MDiv), Spiritual Formation
New York University 2006 — 2006
Certificate in Corporate Training
City University of New York-John Jay College of Criminal Justice 1990 — 1995
MPA, Public Administration
Horizon Blue Cross Blue Shield of NJ March 2006 - Present
Eagles Talent Connection, Inc. 2005 - 2006
YWCA January 2005 - July 2005
YWCA March 2001 - January 2005
University of Hartford March 1999 - March 2001
Goodwin Hotel 1998 - 1999
Skills
Office Management, Data Entry, Program Management, Public Speaking, Training, Analysis, Budgets, Invoicing, Marketing, Payroll, Policy, Access, Software Documentation, Process Improvement, Databases
Education
University of Phoenix 2010 — 2012
In Progress, Business Administration
University of Phoenix 2008 — 2010
Associates, Information Systems
Eastern Connecticut State University 2007 — 2007
Math
Alliant Insurance Services February 1998 - September 2012
NYLCare October 1996 - February 1998
IOA Re September 1994 - October 1996
Horizon Blue Cross Blue Shield of NJ September 1989 - September 1994
Skills
Health Insurance, Insurance, Underwriting, Disability Insurance, Brokers, Employee Benefits, Reinsurance, Term Life Insurance, Health Savings Accounts, Managed Care
Education
International Foundation of Employee Benefit Plans and the Wharton School of the University of Penns 1992 — 1995
Certified Employee Benefit Specialist (CEBS)
Ithaca College 1986 — 1989
BS, Finance
Clarkson University 1985 — 1986
None, Engineering
Five Star Bank May 2015 - Present
Carrols Restaurant Group January 2011 - May 2015
Carrols Restaurant Group July 2010 - January 2011
BD October 2008 - July 2010
BD June 2006 - September 2008
Riverbend Government Benefits Administrator August 2001 - June 2006
Riverbend Government Benefits Administrator August 2000 - July 2001
Horizon Blue Cross Blue Shield of NJ April 1996 - July 2000
Frontier Communications August 1995 - March 1996
Skills
Sarbanes-Oxley Act, Internal Controls, Internal Audit, Auditing, Accounting, Process Improvement, Risk Assessment, SAP, GAAP, Consolidation, Analysis, External Audit, Financial Reporting, Financial Accounting, Hyperion Enterprise, PeopleSoft, Variance Analysis, Segregation of Duties, US GAAP, HFM, Hyperion HFM, Business Process, Financial Audits, Financial Control, Quality Auditing, Forecasting, Fraud, Sarbanes-Oxley, Financial Analysis
Education
Canisius College 1991 — 1995
Bachelors, Accounting
Cardinal Health August 2013 - Present
Medco 2008 - August 2012
Medco 2006 - 2007
Medco 2004 - 2005
Horizon Blue Cross Blue Shield of NJ 2002 - 2004
Horizon Blue Cross Blue Shield of New Jersey 2001 - 2002
PointStar Consulting February 2000 - July 2001
Blue Cross and Blue Shield Association April 1995 - February 2000
Kemper Insurance July 1990 - March 1995
Skills
Go-to-market Strategy, Marketing Strategy, Health Insurance, Healthcare, Pharmaceutical Industry, Management Consulting, Pharmacy Benefit..., Managed Care, Medicare, Product Development, Medicare Part D, Cross-functional Team..., Business Development, Business Strategy, Leadership, CRM, Strategy, Process Improvement, Project Management, Medicaid, Management, Healthcare Industry, Pharmacy, Program Management, Healthcare Management, Healthcare Information..., Financial Analysis, Marketing, E-commerce, Strategic Planning, Health Policy
Education
Augustana College 1986 — 1990
BA, FINANCE AND POLY SCI
AskTroy.com September 2009 - Present
Measurement Incorporated May 2013 - Present
BJ's Wholesale Club July 2004 - May 2013
Adecco February 2004 - July 2004
Horizon Blue Cross Blue Shield of NJ January 2003 - October 2003
Bearingpoint 2000 - 2002
Skills
Access, Database Design, SQL, Databases, Microsoft Excel, Business Analysis, Forecasting
Education
Information Technology Institute 1999 — 2000
Certificate, Applied Information Technology
Central Washington University 1995 — 1997
Bachelor of Science, Mathematics
Horizon Blue Cross Blue Shield of NJ 2005 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2002 - February 2005
Horizon Blue Cross Blue Shield of New Jersey May 1998 - May 2002
Horizon Blue Cross Blue Shield of New Jersey April 1993 - May 1998
Skills
Insurance, Managed Care, Health Insurance, Business Analysis, Vendor Management, Claim, Leadership, Medicare, Healthcare, HIPAA, Employee Benefits, Sales, Process Improvement, Medicaid, Visio, Healthcare Management, Management, Healthcare Industry, Account Management
Education
College of Saint Elizabeth 1998 — 2001
Masters of Science, Health Care Administration
College of Saint Elizabeth 1982 — 1986
Bachelor of Arts, Psychology
Nutley High School 1978 — 1982
UnitedHealth Group September 2011 - Present
CBIZ April 2010 - September 2011
Centene Corporation July 2005 - March 2010
RWJUH-Rahway May 2004 - July 2005
Horizon Blue Cross Blue Shield of NJ June 2001 - May 2004
Jersey City Medical Center 1998 - 1999
Clara Maas Medical Center 1988 - 1994
Skills
Managed Care, Nursing, Healthcare Management, Healthcare, Medicare, Disease Management, Medical Coding, HIPAA, Hospitals, Cpr Certified, EMR, Utilization Management, Orthopedic, Physicians, BLS, Home Care, Physician Relations, Acute Care, Case Managment, Medical Billing, Long-term Care, Public Health, Medical Records, Healthcare Consulting, Medicaid, EHR, Medical Devices, Medical Terminology, Healthcare Information..., Healthcare Industry, Provider Relations, Medicine, Credentialing, Management, Inpatient, Critical Care, Revenue Cycle, Health Policy, Patient Safety, Health Insurance, ICU, Pediatrics, Surgery, Insurance, Practice Management, Oncology, Clinical Research, Quality Improvement, ACLS, Informatics
Education
Capella University 2013 — 2016
RN to BSN
University of Medicine and Dentistry of New Jersey 1996 — 1998
ASN, Nursing
Middlesex County College 1995 — 1998
ASN, Nursing
Union County College 1982 — 1983
Emergency Medical Technology/Technician (EMT Paramedic)
Rutgers, The State University of New Jersey-New Brunswick 1981 — 1982
Weichert, Realtors December 2014 - Present
Horizon Blue Cross Blue Shield of NJ January 2000 - August 2004
Skills
First Time Home Buyers, Relocation, Short Sales, Real Estate, Real Estate Transactions, New Home Sales, Residential Homes, Sellers, Buyers, Foreclosures, Microsoft SQL Server, Customer Service, Sales, Listings, Condos, Rentals, Single Family Homes, Buyer Representation
Education
Essex County College
Liberal Arts
Essex Community College
Gallagher Bollinger July 2014 - Present
DRG Claims Management March 2013 - June 2014
Premier Healthcare Exchange January 2010 - February 2013
Viant May 2009 - December 2009
PJX Consulting July 2007 - April 2009
NHBC April 2002 - July 2007
MCOnline February 1999 - April 2002
NPPN Planvista June 1997 - February 1999
DMR - TRECOM May 1996 - June 1997
Horizon Blue Cross Blue Shield of NJ May 1995 - April 1996
Skills
Contract Negotiation, Budgeting, P&L, Disaster Recovery, IT Management, Sales Management, Direct Sales, Budgets, Leadership, Strategy, Management, Insurance, Program Management, New Business Development, HIPAA, Income Statement, Strategic Planning, Customer Service, Healthcare, Health Insurance, Business Strategy, Healthcare Information..., Selling, Process Improvement, Integration, Team Building, Management Consulting, Account Management, Analysis, Vendor Management, Customer Satisfaction, Product Development, Sales, Cross-functional Team..., Business Analysis, Start-ups, Salesforce.com, Business Intelligence, Business Development, Consulting, Executive Management, P&L Management, Managed Care, Sales Operations, CRM
Education
Fordham University 1983 — 1987
Bachelor of Science
Iona Prep 1979 — 1983
St. Patricks 1971 — 1979
Amerigroup June 2013 - Present
Children's Hospital of The King's Daughters June 2011 - May 2012
Horizon Blue Cross Blue Shield of NJ March 2005 - May 2009
Skills
Microsoft Word, Microsoft Excel, PowerPoint, Citrix, SharePoint, Salesforce.com, Facets, Scanners, Outlook, Printers, Healthcare Management
Education
Old Dominion University 2014 — 2016
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Tidewater Community College 2012 — 2014
Currently Enrolled, Registered Nursing/Registered Nurse
Essex County College 2009 — 2011
N/A, Registered Nursing/Registered Nurse
The MENTOR Network April 2012 - Present
Camden-Gloucester Junior Chamber (Jaycees) January 2012 - Present
ACS, a Xerox Company July 2011 - June 2012
Camden-Gloucester Junior Chamber (Jaycees) April 2010 - December 2011
PSG January 2010 - February 2011
GSC-SHRM November 2010 - November 2010
Horizon Blue Cross Blue Shield of NJ June 2008 - May 2009
Horizon Blue Cross Blue Shield of NJ April 2004 - June 2008
Cooper Health System September 1999 - August 2002
Skills
Employee Benefits, Group Benefits, Public Relations, Customer Service, PowerPoint, Microsoft Excel, Siebel, Health Insurance, CRM, Team Building, Human Resources, Benefits Administration, Recruiting, Insurance, Taleo, Onboarding, Applicant Tracking..., Leadership, Interviews, New Hire Orientations, Internet Recruiting, Hiring, Sourcing, Screening, Job Fairs, Screening Resumes, Cold Calling, Time Management, Exit Interviews, Contract Recruitment, Recruitment Advertising, Management, College Recruiting, Talent Acquisition, Annual Benefit..., HRIS, Performance Management
Education
American InterContinental University 2007 — 2010
BA, Human Resource Management
Technical Institute of Camden County 1999 — 2001
Certification, Health Information and Insurance
Camden County College 1997 — 1999
Health information, Medical Coding
K & K Insurance 2010 - 2014
Express Scripts (formerly Medco) 2007 - 2010
Highmark Inc. January 2005 - September 2007
Horizon Blue Cross Blue Shield of NJ May 1993 - January 2005
Skills
Sales, Account Management, Insurance, Strategy, Sales Process, Negotiation, Property & Casualty..., Marketing, Commercial Insurance, New Business Development, Strategic Planning, Employee Benefits, Underwriting, Customer Service, Team Building, Marketing Strategy, Selling, Health Insurance, Life & Health Insurance..., Key Account Mangement, Client Retention..., Salesforce.com
Education
Albright College
BS, Business/Marketing
Quidsi Inc. November 2011 - Present
AppleOne April 2011 - October 2011
US Department of Commerce, Census Bureau September 2009 - September 2010
Department Of Commerce Census Bureau (Census 2010) September 2009 - September 2010
Department Of Commerce Census Bureau (Census 2010) July 2009 - September 2010
Horizon Blue Cross Blue Shield of NJ September 2006 - September 2009
Department Of Commerce Census Bureau (Census January 2000 - January 2000
Command Security Corporation January 1995 - January 2000
Skills
Excel, Microsoft Office, Access, Accounts Payable, Spreadsheets, Payroll, Customer Service, Word, PowerPoint, Retail, Outlook, Customer Relations, Accounts Receivable, Accounting, Supervisory Skills, Merchandising, Problem Solving, Time Management, Teamwork, Strategic Planning, E-commerce, Quickbooks, Social Networking, Account Management, Microsoft Excel, Leadership, Management, Human Resources, QuickBooks, Employee Training, Budgets, Marketing, Forecasting, Microsoft Word
Education
Essex County College 2008 — 2009
Diploma, Office Operations Support
Keyskills Learning Inc 2008 — 2008
Diploma, Computerized Financial Accounting
East Side High School 1986 — 1989
Diploma
HTMS 2007 - Present
DST Systems April 2006 - December 2007
Horizon Blue Cross Blue Shield of NJ 2001 - 2006
First Consulting Group 1996 - 2004
Skills
Health Insurance, Medicine, Health Policy, Claim, Healthcare Information..., QNXT, Amisys, Requirements Analysis, SDLC, Business Analysis, HIPAA, Requirements Gathering, Testing, Integration, Medicaid, Consulting, Business Process..., Software Documentation, Process Improvement
Education
Columbus College of Art & Design 1982 — 1986
BFA, Advertising, Illustration
Classieux Concierge LLC (formerly Collective Concepts LLC) June 2007 - Present
Global HR Concepts LLC April 2008 - Present
Rudolph Technologies April 2007 - April 2008
Actavis April 2006 - April 2007
Novartis April 2003 - April 2006
Horizon Blue Cross Blue Shield of NJ January 1999 - November 2002
Overlook Hospital 1999 - 2002
Mental Health Association 2000 - 2000
Skills
Global Human Resources..., Compensation Program..., Global Organizational..., Designs, Deferred Compensation, Employee Benefits, Talent Management, Personnel Management, Performance Management, Human Resources, Training, Team Building, Leadership Development, Coaching, Compensation, Employee Engagement, Employee Relations, Executive Coaching, HR Consulting, Job Descriptions, Interviews, Management, Onboarding, Organizational Design, Organizational..., Program Management, Policy, Strategy, Succession Planning, Talent Acquisition, Time Management, Workforce Planning, Compensation
Education
DeVry University-Illinois
Bachelor's Degree, Technical Management - Human Resources
Bloomfield College
Business Administration - HR Management
Landmark Education, Plainfield, New Jersey 2008 — 2013
World at Work 2002 — 2007
CCP, Certified Compensation Professional Designation
Health Republic Insurance of New York June 2014 - Present
EmblemHealth June 2011 - June 2014
2Plank Consulting October 2008 - June 2011
Horizon Blue Cross Blue Sheild of New Jersey March 2008 - October 2008
Horizon Blue Cross Blue Shield of NJ October 2005 - March 2008
Medco Health Solutions 2002 - 2005
Commercialware October 2000 - February 2002
Meditech December 1998 - September 2000
L. B. Evans January 1998 - December 1998
Skills
Coaching, E-commerce, Performance Management, Business Process Mapping, Business Process..., SDLC, Business Process, PMP, Project Management, PMO, Process Improvement, Insurance, Healthcare, Performance Improvement, Business Transformation, Analysis, Business Analysis, Cross-functional Team..., Leadership, Management, Management Consulting, Risk Management, Six Sigma, Strategic Planning, Strategy, Quality Assurance
Education
Fitchburg State University 1994 — 1998
Business Administration and Management, General
Integrated Healthcare Consultants January 1996 - Present
Horizon Blue Cross Blue Shield of NJ May 2003 - May 2008
Harmony Health Plan January 1995 - December 1996
Skills
Care Management, Managed Care, Medicare, Medicaid, Healthcare Management, Dusease Management, Healthcar Speaker, Healthcare Author, Home Care, Health Insurance, Nursing, Hospitals, Program Development, Process Improvement, Healthcare Information..., Behavioral Health, Healthcare Consulting
Education
College of Saint Elizabeth 1964 — 1967
RN, Nursing
St. Elizabeth Hospital Scool of Nursing 1964 — 1967
Diploma, Nursing
EmblemHealth January 2013 - Present
EmblemHealth April 2009 - January 2013
Deloitte Touche December 2006 - June 2009
Horizon Blue Cross Blue Shield of NJ November 2006 - December 2006
CMP Media LLC August 2005 - November 2006
CEI 2002 - 2006
Sprint (Formerly Nextel Telecommunications) April 2003 - August 2005
CEI 2003 - 2005
Manna Inc 2000 - 2001
Marcam/Wonderware 1997 - 2000
Skills
Software Project..., Project Planning, Process Improvement, Business Process, SDLC, Agile Methodologies, Product Development, Software Design, Business Analysis, Requirements Gathering, Software Documentation, Quality Assurance, Analysis, MS Project, Data Analysis, Vendor Management, Mobile Applications, Disaster Recovery, Risk Management
Education
Bangalore University 1989 — 1994
Bachelor Of Engineering, Electronics & Communications
Sirono May 2014 - Present
Wake Forest Baptist Health March 2011 - April 2014
Methodist Hospitals June 2009 - March 2011
Accretive Health October 2008 - June 2009
Accretive Health, Inc June 2006 - June 2009
Blue Cross Blue Shield of Michigan April 2005 - June 2006
BearingPoint, Inc January 2003 - June 2006
Horizon Blue Cross Blue Shield of NJ January 2004 - November 2004
University of Chicago Hospitals 2001 - 2003
Maxicare Healthplans, Inc 1997 - 2001
Skills
Contract Management, Managed Care, Revenue Cycle, Strategy, Healthcare Information..., Leadership, Medicare, Physicians, Healthcare, Project Management, Medicaid, Employee Relations, Healthcare Industry, Management, Hospitals, EMR, Healthcare Management, Management Consulting, Process Improvement, Analysis, HIPAA, Program Management, Employee Engagement, Epic Systems, Strategic Planning, Healthcare Consulting, Revenue Cycle Management, EHR, Physician Relations, Health Insurance, Practice Management, Performance Improvement, Consulting, Team Building, Executive Management, Contract Negotiation, Finance, Budgets, Insurance, Change Management, Informatics, Data Analysis, Training, Business Development
Education
Indiana University-Purdue University at Indianapolis 1995 — 1997
MHA, Healthcare Administration
Governors State University 1990 — 1994
BA, Business
ZAAN LLC May 2014 - Present
Metro Systems Inc. June 2013 - May 2014
Addx Corporation October 2012 - June 2013
Agilex Technologies June 2012 - October 2012
Prudential Financial January 2007 - June 2012
Brookdale Community College September 2007 - December 2008
1199 National Benefit Fund October 2006 - January 2007
Horizon Blue Cross Blue Shield of NJ August 2005 - September 2006
Middlesex Water Company January 2004 - August 2005
The Arc of Monmouth July 2000 - January 2004
Skills
Visio, Access, PowerPoint, Microsoft Office, Microsoft Excel, Project Management, Project Planning, FrontPage, Business Analysis, SDLC, Lotus Notes, Databases, SharePoint, Systems Analysis, Software Documentation, Vendor Management, SQL, Testing, HTML, Microsoft Word, Business Requirements, Quality Assurance, Quality Center, Analysis, Database Design, Test Planning, MS Project, Requirements Analysis, Process Improvement, Troubleshooting, Software Project..., Integration, Data Analysis, Requirements Gathering, Agile Methodologies, Program Management, Software Development, XML, Disaster Recovery, Business Process, Team Leadership, CRM, IT Management, IT Strategy, Data Modeling, User Acceptance Testing, Team Building, Scrum, Technical Writing, Enterprise Architecture
Education
New Jersey Institute of Technology 2005 — 2006
MS, Information Systems
New Jersey Institute of Technology 2002 — 2005
BS, Information Systems
Middlesex County College 2009 — 2009
Certificate, Interior Design
Brookdale Community College 2000 — 2003
AS, Mathematics
Cambridge International Examinations February 2015 - Present
NewlyWish May 2013 - January 2015
The College Board October 2012 - May 2013
The College Board April 2012 - October 2012
The College Board December 2010 - April 2012
The College Board October 2009 - December 2010
Horizon Blue Cross Blue Shield of NJ July 2008 - October 2009
Skills
Email Marketing, Social Media, Marketing, Marketing Communications, Copywriting, Project Management, Blogging, Event Planning, Product Management, Nonprofits, Product Marketing, SEM, Marketing Strategy, Higher Education, Advertising, Analytics, Editing, Strategic Partnerships, Editorial, Analysis, Market Research, Marketing Analytics, Program Management, Direct Mail Campaigns, Cross-functional Team..., Management, Photoshop, Business Strategy, Facebook Marketing, Pinterest, Blog Marketing, Constituent..., Lead Scoring
Education
Fordham University - Graduate School of Business Administration 2011 — 2014
MBA
Dickinson College 2004 — 2008
B.A.
Health Republic Insurance of New York August 2015 - Present
Affinity Health Plan November 2014 - August 2015
EmblemHealth October 2013 - November 2014
Horizon Blue Cross Blue Shield of New Jersey July 2010 - October 2013
Horizon Casualty Services June 2008 - July 2010
Horizon Blue Cross Blue Shield of NJ November 2006 - July 2008
NYCE Payments Solutions, LLC June 2004 - November 2006
NYCE Payments Solutions, LLC August 2002 - June 2004
Time Inc. August 2000 - August 2001
Skills
Project Management, Requirements Gathering, Requirements Analysis, Business Analysis, SQL, Requirements Management, Disaster Recovery, Software Documentation, Mainframe, Vendor Management, MS Project, Systems Analysis, Microsoft Office, SDLC, Access, Business Requirements, Business Process, Analysis, Troubleshooting, User Acceptance Testing, Visio, SharePoint, Process Improvement, Integration, TSO, CICS, PMO, Waterfall, Agile Project Management, Business Process Mapping, Quality Assurance, Databases, JCL, Microsoft Project, ITIL, Oracle, Testing, Information Technology, Business Process..., Software Project...
Education
Fairleigh Dickinson University 2015 — 2016
Bachelor’s Degree, Business of Science in Individual Studies
Quality & Productivity Solutions, Inc. 2009 — 2010
Certificate, Process Redesign Greent Belt
The Chubb Institute 1999 — 2000
Certificate, Computer Programming
Valiant Technology October 2014 - Present
Volvo Group Trucks Technology January 2014 - August 2014
Valiant Technology August 2009 - August 2012
Horizon Blue Cross Blue Shield of NJ May 2008 - August 2008
Transammonia June 2002 - August 2006
Skills
Troubleshooting, OS X, Security, Cloud Computing, Networking, Windows 7, Computer Hardware, HTML, Linux, Operating Systems, Unix, Windows Server, Active Directory, Web Development, Databases, Network Administration, Help Desk Support, SQL, Microsoft Office, Computer Security, Network Security, Embedded Systems
Education
Chalmers University of Technology 2012 — 2014
Master's degree, Computer Systems and Networks
Dickinson College 2005 — 2009
BS, Computer Science
Par Pharmaceutical January 2011 - Present
Par Pharmaceutical September 2006 - January 2011
Alpharma July 2004 - September 2006
Quest Diagnostics March 2000 - July 2004
Horizon Blue Cross Blue Shield of NJ June 1995 - March 2000
Skills
Sarbanes-Oxley Act, JD Edwards, Consolidation, US GAAP, Forecasting, Cost Accounting, Internal Controls, Financial Modeling, Financial Reporting, Cash Flow, Financial Analysis, PeopleSoft, Variance Analysis, Hyperion Enterprise, Strategic Financial..., Finance, Essbase, Analysis, Financial Planning, Hyperion, Process Improvement
Education
Seton Hall University 1996 — 2001
MBA, Accounting
Bucknell University 1991 — 1995
BA, Economics, Psychology
Merck July 2014 - August 2015
Horizon Blue Cross Blue Shield of NJ 2005 - 2014
Prudential Financial 1996 - 2002
Skills
Access, Visio, Health Insurance, SDLC, Process Improvement, HIPAA, Managed Care, Business Analysis, Insurance, Databases, Training
Education
Ashford University 2008 — 2011
B.A. in Organizational Management, B.A. in Organizational Management
Borough of Manhattan Community College 1998 — 2000
AS, Computer Operations
Mayfair Asset Management, LLC January 2006 - Present
New England Financial/AXA Advisors, LLC/Prudential Securities, Inc. July 1999 - December 2005
Conroy-Levine Healthcare Group January 1998 - June 1999
Bergen Regional Medical Center January 1995 - December 1998
St. Agnes Hospital July 1992 - December 1994
Horizon Blue Cross Blue Shield of NJ August 1989 - June 1992
TPC Holdings, Inc. June 1987 - July 1989
AT&T December 1981 - February 1987
Education
Harvard Business School 1975 — 1977
MBA, Finance, Marketing, General Management
Princeton University 1971 — 1973
BSE, Civil Engineering
United States Air Force Academy 1969 — 1971
Horizon Blue Cross Blue Shield of New Jersey March 2012 - Present
Horizon Blue Cross Blue Shield of NJ June 2002 - February 2012
Arthur Andersen LLP 1995 - 2002
Skills
Financial Modeling, Financial Analysis, Financial Reporting, Insurance, Health Insurance, Process Improvement, Accounting, Forecasting, Strategic Financial..., Analysis, Sarbanes-Oxley Act, Auditing, Internal Controls, Business Analysis, Business Process..., Enterprise Risk..., Financial Planning, Finance, Internal Audit, Leadership, Management
Education
University of Hartford 1995 — 1996
MS, Accounting
Connecticut College 1991 — 1995
BA, mathematics
HoLa
Group Strategies LLC March 2001 - December 2013
Aetna, Inc. September 1998 - March 2001
Horizon Blue Cross Blue Shield of NJ March 1995 - September 1998
Skills
Insurance, Employee Benefits, Strategy, Health Insurance, Account Management, Leadership, Project Management, Strategic Planning, Sales, Customer Service, Business Analysis, Management, Marketing, Team Building, Managed Care, Disability Insurance, Training, Microsoft Office, Brokers, New Business Development, Healthcare, Sales Management, Renewal Retention, Cross Selling
Education
Hampton University 1988 — 1992
B.S., Marketing
Ultra Electronics Flightline Systems 2013 - 2015
Janssen, Pharmaceutical Companies of Johnson and Johnson 2011 - 2013
Johnson & Johnson 2009 - 2011
Johnson & Johnson 2006 - 2009
Riverbend Government Benefits Administrator 2001 - 2006
Horizon Blue Cross Blue Shield of NJ 1994 - 2001
Skills
Auditing, Internal Audit, Finance, Internal Controls, Sarbanes-Oxley Act, Financial Reporting, Sarbanes-Oxley, Financial Audits, Process Improvement, Financial Accounting, Medicare, Medicaid, Compliance Audits, Supervisory Experience, Audit, GAAP, SAP, Compliance, Accounting, Intercompany, Variance Analysis, Cross-functional Team..., FCPA, Healthcare Compliance, Excel, Medicare/Medicaid..., Financial Analysis, Management, Account Reconciliation, Microsoft Excel, Financial Forecasting, Budgets, Financial Modeling
Education
Canisius College 1990 — 1994
BS, Accounting
New York Air National Guard October 2014 - Present
USANG December 1999 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2013 - November 2014
Horizon Blue Cross Blue Shield of NJ March 2011 - April 2013
Atlas Air December 2005 - January 2009
Skills
Private Pilot, Cpr Certified, Computer Repair, Aircraft Maintenance, Typing, Customer Service, Help Desk Support, Airports, Flights, Charter, Aviation, Airlines, Aerospace, System Administration, Operations Management, Technical Support, Software Documentation, Windows 7, Microsoft Office, Active Directory, Vendor Management
Education
Community College of the Air Force 2000 — 2004
Associate of Arts and Sciences (A.A.S.), Airframe Mechanics and Aircraft Maintenance Technology/Technician
Vaughn College of Aeronautics and Technology 1999 — 2004
Bachelor of Applied Science (BASc), Airport Management, 3.23
Origami Owl ~ Theresa Muenzel Independent Designer January 2014 - Present
Sweet Treats By Theresa October 2006 - Present
Brandy Wine Assisted Living March 2013 - May 2013
Great Bay Regional Volunteer EMS 2008 - 2008
Wal-Mart February 2004 - November 2004
Horizon Blue Cross Blue Shield of NJ April 1996 - January 2000
Skills
Customer Service, Social Networking, Microsoft Office, Leadership, Social Media, Training
Education
Brookdale Community College 2013 — 2013
Human Services, General, 3.98
Ocean County College 2006 — 2010
Wall High School 1991 — 1995
Horizon Blue Cross Blue Shield of NJ March 1997 - Present
MidAtlantic/PNC Bank 1989 - 1996
Skills
Health Insurance, Brokers, SDLC, Provider Relations, Practice Management, HIPAA, Medicare, Informatica, Data Modeling, Managed Care, Process Improvement, PMP, Vendor Management, Business Analysis, Software Documentation, Disaster Recovery, Visio, Healthcare Information..., Requirements Gathering, Business Requirements, Insurance, Medicaid, PMO, Requirements Analysis, SharePoint, Project Portfolio..., Enterprise Architecture, Integration, HMO
Education
University of Phoenix 2010 — 2013
BS, Business Management
Bergen Community College 1996 — 2001
Associates, Liberal Arts
Wristen CPA February 1982 - Present
Zonta International 2010 - 2012
Horizon Blue Cross Blue Shield of NJ July 1980 - December 1981
Skills
Tax Preparation, Tax Advisory, QuickBooks, Corporate Tax, Auditing, Non-profits, Fundraising, Tax, Accounting, Public Speaking, Small Business, Finance, General Ledger, Budgets, Financial Analysis, Payroll, Financial Reporting, Strategic Planning, Managerial Finance, Bookkeeping, Leadership, Nonprofits
Education
Cayuga County Community College 1976 — 1981
Associates, Accounting
State University of New York College at Cortland 1970 — 1974
BA, Geography, Math, Computers
Providence Health & Services 2010 - Present
The Harry Fox Agency 2006 - 2010
Horizon Blue Cross Blue Shield of NJ 2003 - 2006
Prudential Financial 2000 - 2003
Prudential Financial 1999 - 2000
Prudential Financial 1998 - 1999
Prudential Financial 1997 - 1998
Ernst & Young 1995 - 1997
The Depository Trust Company 1989 - 1994
The Depository Trust Company 1987 - 1989
Skills
PMO, Portfolio Management, Risk Management, SDLC, Process Engineering, Quality Assurance, Business Requirements, Team Building, Program Management, Coaching, Process Improvement, Vendor Management, Business Analysis, Mentoring, Governance, Team Leadership, Project Portfolio..., PMP, Business Process..., IT Governance, Contract Negotiations, Integration, Strategy, Project Management
Education
Fairleigh Dickinson University
MBA, Quantitative Analysis
Rutgers, The State University of New Jersey-New Brunswick
BS, Management
Developmental Disability Health Alliance, Inc. July 2014 - Present
MM II LLC December 2011 - July 2014
Centene Corporation March 2001 - March 2010
Horizon Blue Cross Blue Shield of NJ 1995 - 2001
Skills
Social Services, Case Managment, Managed Care, Medicaid, Case Management, Hospitals, Healthcare, Medicare, Mental Health, Healthcare Management
Education
Central Connecticut State University 1990 — 1995
Bachelor, Social Work/Psychology
CSC July 2009 - Present
Pfizer July 2009 - July 2013
Chubb Group of Insurance Companies August 2006 - May 2009
Barclays Capital June 2006 - August 2006
Horizon Blue Cross Blue Shield of NJ May 2005 - May 2006
TestPak August 2004 - April 2005
Information Technology Providers November 2002 - August 2004
CRC June 2000 - October 2002
Computer Management Associates September 1999 - May 2000
Edge Technologies May 1997 - August 1999
Skills
PeopleSoft, Vendor Management, Change Management, Project Management, MS Project, Content Management, SDLC, Business Analysis, Program Management, PMP, PMO, Requirements Analysis, Software Project..., Resource Management, Requirements Gathering, Data Warehousing, Management, Process Improvement, Outsourcing, Software Documentation, Microsoft Project
Education
Symbiosis Institute of Business Management 2002 — 2004
MBA, Human Resources
Fairleigh Dickinson University 1998 — 2000
MS, Computer Science
St. Patricks High School 1981 — 1991
Horizon Blue Cross Blue Shield of NJ November 2011 - January 2014
Horizon Blue Cross Blue Shield of NJ June 2011 - November 2011
The CIT Group June 2009 - September 2009
COBRA Power Systems, Inc June 2006 - January 2009
Skills
Spanish, Microsoft Office, Windows Services, Apple Macintosh, Mac, PowerPoint, Access, Data Analysis, Forecasting, Training, Management, Budgets, Project Planning, Analysis, Business Process, Leadership, Social Media, Microsoft Excel
Education
Pace University 2009 — 2011
B.B.A., Public Accounting, Minor in Law
Brookdale Community College 2006 — 2008
A.A.S. Degree, Business Adminstration
United Health Group Head, UHC Innovation Center of ExcellenceUnitedHealth GroupMarch 2015 - Present
United Health Group February 2014 - March 2015
UnitedHealth Group February 2011 - February 2014
Wellness & Prevention, Inc., a Johnson & Johnson company September 2009 - February 2011
Horizon Blue Cross Blue Shield of NJ January 2001 - August 2009
Horizon Blue Cross Blue Shield 2001 - 2009
Deloitte & Touche 2000 - 2001
Self-employed 1995 - 1997
Skills
White space innovation, Practical Innovation -..., Cross enterprise..., Consumer-first,..., Cross industry..., Business Development, Innovation, Strategic Planning, Strategic Partnerships, Cross-functional Team..., Healthcare, Start-ups, Vendor Management, Process Improvement, Product Development, Strategy, Executive Management, Change Management, Team Management, Leadership, Integration, Management, Innovation Development
Education
Cornell University 1998 — 2000
MHA, Healthcare Management
UniNet HealthCare Network February 2012 - Present
Alegent Health August 2008 - February 2012
Alegent Health June 2006 - June 2008
Horizon Blue Cross Blue Shield of NJ June 2005 - August 2005
Edelweiss Capital June 2001 - July 2004
India Infoline Ltd June 2000 - June 2001
National Stock Exchange of India Limited June 1996 - April 2000
Skills
Healthcare Consulting, Healthcare Management, Healthcare Information..., Process Improvement, Healthcare, Strategic Planning, Hospitals, Data Analysis, Operations Management, EMR, Program Management, Change Management, Project Management, Business Strategy, Budgets, Financial Modeling, Finance, Insurance, Business Analysis, Analysis, Leadership, Management
Education
Cornell University 2004 — 2006
Master in Health Administration, Health/Health Care Administration/Management, 3.8
University of Pune 1994 — 1996
Master in Business Administration, Finance, 3.8
University of Mumbai 1989 — 1994
Bachelor of Commerce (B.Com.), Accounting and Business/Management
Horizon Blue Cross Blue Shield of New Jersey June 2011 - Present
Horizon Blue Cross Blue Shield of NJ June 2001 - Present
Horizon Blue Cross Blue Shield of NJ February 2010 - June 2011
FoxyTrader Inc. September 1999 - May 2001
NJ Transit June 1999 - August 1999
Skills
Integration, Microsoft SQL Server, Security, SDLC, BizTalk, Requirements Analysis, Business Analysis, Web Applications, VB.NET, Risk Management, XML, Software Project..., Leadership, SQL, Management
Education
Dowling College 2002 — 2005
M.B.A, General Management
New Jersey Institute of Technology 1998 — 1999
M.S., Computer Science
Amravati University 1994 — 1998
B.S, Computer Science & Engineering
OptumInsight June 2010 - Present
Horizon Blue Cross Blue Shield of NJ 2007 - June 2010
QMed, Inc October 2002 - December 2007
SoftLink Solutions, Inc. 1997 - 2002
Cardinal Health, Inc 1997 - 1998
John Alden Life Insurance Company March 1989 - May 1992
United States Marine Corps 1985 - 1988
Skills
Health Insurance, Cognos, SQL Server, Access, Crystal Reports, Informatica, Data Analysis, Data Warehousing, SQL, Business Intelligence, Business Analysis, Databases, Data Governance, ETL, Business Objects, Excel, Visio, Healthcare IT, Problem Solving, SAS, Microsoft Office, Medicare, Data Management, Managed Care, Requirements Analysis, Database Administration, ArcGIS, Java, Programming, Microsoft SQL Server, Microsoft Excel, SDLC, Database Design, Data Modeling, Data Integration, DB2, Healthcare, Requirements Gathering, Systems Analysis, Software Documentation, SharePoint, Healthcare Information...
Education
Capella University 2013 — 2015
Bachelor of Science (B.S.), Management and Leadership
Brookdale Community College 2004 — 2010
Associate's degree, Computer Science
University of Wisconsin-Madison
Baldwin-Woodville HS
Whitlock Infrastructure Solutions April 2009 - Present
Horizon Blue Cross Blue Shield of NJ July 2007 - March 2009
NBC January 2006 - July 2007
NBC Universal 2005 - 2007
Birlasoft (India) Ltd. 2000 - 2006
GE Commercial Finance 2003 - 2005
Dmind 2000 - 2002
iGATE 1999 - 2000
Sonata Software June 1998 - November 1999
Logictech 1998 - 1998
Skills
SiteScope, DDM, ITIL, Integration, LoadRunner, BSM, CMS, ITSM, Operation Orchestration, Server Automation
Education
Bharathiar University 1996 — 1998
MBA, Systems
Annamalai University 1992 — 1996
Bachelor of Science (B.S.), Mechanical Engineering
ING U.S. June 2006 - Present
ING June 2006 - January 2011
ING June 2006 - January 2011
JPMorgan Chase August 2003 - June 2006
Horizon Blue Cross Blue Shield of NJ December 2001 - August 2003
JPMorgan Chase March 2000 - October 2001
The Hartford August 1999 - March 2000
Blue Cross and Blue Shield of Western New York January 1999 - August 1999
The Hartford July 1997 - December 1998
Reliance National August 1996 - July 1997
Skills
Data Warehousing, Data Integration, ETL, Resource Management, Data Transformation, Mentoring, Project Management, Business Analysis, IT Strategy, Vendor Management, Requirements Analysis, Risk Management, Data Services, Web Services, Data Conversion, SDLC, Defect Tracking, Enterprise Architecture, Solution Architecture, Governance, Project Oversight, Project Delivery, Health Care Systems, Financial Systems, Data Quality, RAD, Offshore Resource..., Insurance, Business Process, Databases, Management, Oracle
Education
Bryant University 1986 — 1990
Bachelor of Science, Computer Information Systems
Fair Lawn High School 1983 — 1986
Munich American Reassurance Company January 2015 - Present
Munich American Reassurance Company June 2014 - December 2014
Home Depot At Home Services March 2014 - June 2014
CARTER’S OSHKOSH B’GOSH 2013 - 2013
Assurant Solutions 2011 - 2013
Atlanta Life Financial Group 2008 - 2011
Infor Global Solutions 2006 - 2008
CIGNA 2005 - 2006
Horizon Blue Cross Blue Shield of NJ 2000 - 2005
Skills
Ability to take goals..., Financial Reporting, Accounting, GAAP, General Ledger, Internal Controls, Account Reconciliation, Oracle Discoverer, Oracle, Smartstream, PeopleSoft, Lawson General Ledger, BPCS, Consolidation, Financial Analysis, Financial Statements, Fixed Assets, Sarbanes-Oxley Act, Cash Flow, Forecasting, Statutory Accounting, Managerial Finance, Finance, Accounts Payable, Accounts Receivable, Microsoft Excel, Microsoft Office, Microsoft Word, Oracle Web ADI, F 9 Reporting tool
Education
Dowling College
MBA
Southern Connecticut State University
Bachelor of Science (BSc)
EmblemHealth April 2015 - Present
EmblemHealth August 2011 - April 2015
Horizon BCBSNJ February 2010 - August 2011
Horizon Blue Cross Blue Shield of NJ January 2009 - February 2010
Horizon Blue Cross Blue Shield of New Jersey April 2007 - January 2009
Skills
PMP, MS Project, MS Office Suite, Lotus Domino, SQL, Visual Basic, Visio, JavaScript, Java, Vendor Management, Information Technology, Microsoft Office, Change Management, Business Analysis, Analysis, SDLC, Requirements Gathering, Requirements Analysis, SharePoint
Education
Saint Peter's University 2004 — 2008
MBA, Finance
Boston University 1990 — 1995
BS, Bio-medical engineering
Prudential Financial March 2014 - Present
Federal Reserve Bank of New York July 2013 - November 2013
Neuberger Berman July 2010 - March 2013
Horizon Blue Cross Blue Shield of NJ November 2007 - March 2010
AXA Equitable April 2000 - May 2007
McKinsey & Company October 1997 - April 2000
KRYSTALTECH, INC October 1993 - October 1997
Skills
Strategic Sourcing, Vendor Management, Sourcing, Procurement, Process Improvement, Negotiation, Global Sourcing, Purchasing, Forecasting, Contract Negotiation, SAP, Business Strategy, Outsourcing, Management, Cross-functional Team..., Supply Chain Management, Sales, Budgets, Six Sigma, Product Development, Business Analysis, Strategy, Pricing, Leadership, Project Management, Contract Management, Business Process, Manufacturing, Supply Chain, Analysis, IT Management, Business Process..., Telecommunications, Change Management, Human Resources, Software Documentation, RFP, CRM, Spend Analysis, Team Building, Team Leadership, B2B
Education
Baruch College, City University of New York (CUNY) 1990 — 1993
BBA, International Marketing
Queens College 1988 — 1990
Horizon Blue Cross Blue Shield of NJ 2006 - Present
Blue Cross Blue Shield of New Jersey 1993 - 2007
Horizon Blue Cross Blue Shield of New Jersey November 2005 - December 2006
Horizon Blue Cross Blue Shield of New Jersey March 2003 - November 2005
Skills
HIPAA, Network Security, Vendor Management, SDLC, Business Analysis, Process Improvement, Project Planning, Healthcare, SharePoint, Governance, Managed Care, Integration, Disaster Recovery, IT Strategy, Business Requirements, Program Management, Leadership, PMP, Visio, IT Management, Enterprise Architecture, PMO, Software Documentation, Project Portfolio..., Information Technology, Security, ITIL, Business Process
Education
Dowling College 2000 — 2002
MBA, Management
University of Hartford 1983 — 1987
Bachelor of Science, Marketing
Horizon Blue Cross Blue Shield of NJ September 2010 - Present
Horizon Blue Cross Blue Shield of NJ March 2008 - September 2010
Horizon Blue Cross Blue Shield of NJ November 2005 - March 2008
Amdocs April 2005 - October 2005
Albertsons October 2004 - March 2005
Bristol-Myers Squibb August 2002 - September 2004
Dow Jones April 2001 - April 2002
Education
Drexel University
Precision for Value June 2013 - Present
Hobart Group Holdings March 2011 - June 2013
Horizon Blue Cross Blue Shield of NJ August 2007 - March 2011
Covance, Inc. May 2005 - August 2007
Healthstar Communications August 2002 - August 2004
Protocol Driven Healthcare, Inc. 2001 - 2001
Skills
Marketing Communications, Copywriting, Advertising, Managed Care, Corporate Communications, Integrated Marketing, Direct Mail, Copy Editing, Interactive Marketing, Creative Direction, Creative Strategy, Digital Strategy, Digital Marketing, Newsletters, Social Media
Education
Carnegie Mellon University 2004 — 2005
MA
University of Delaware 1998 — 2002
BA
Scotch Plains-Fanwood High School
UnitedHealth Group - Community & State 2008 - Present
Horizon Blue Cross Blue Shield of NJ 2005 - 2008
Aetna 1996 - 2005
Prudential Healthcare 1996 - 2005
Hitchcock Clinic - Matthew Thornton Health Plan 1991 - 1994
Skills
Managed Care, Pharmacy Automation, Medicaid, Pharmacy, Healthcare, Pharmacy Benefit..., Healthcare Industry, Pharmacists
Education
New York University - Leonard N. Stern School of Business 1981 — 1985
MBA, Management
Columbia University in the City of New York 1971 — 1976
R.Ph MBA
Katz/Pierz April 1996 - Present
Horizon Blue Cross Blue Shield of NJ 1991 - 1996
Skills
Health Insurance, Employee Benefits, Healthcare Reform, PPACA, Obamacare, Employee Wellness..., Strategic HR, HR Consulting, Compensation & Benefits..., Benchmarking, Retirement Planning, Health Savings Accounts, Term Life Insurance, Health Care Reform, Disability Insurance, Insurance, Strategic Planning, Property & Casualty..., Workers Compensation, Commercial Insurance, Investments, Employee Relations, Affordable Care Act
Education
Drexel University 1985 — 1990
BS, Finance
The American College 1999 — 2000
RHU, Registered Health Underwriter - Insurance
Drexel University - LeBow College of Business 1985 — 1990
Horizon Blue Cross Blue Shield of New Jersey January 2015 - Present
Horizon Blue Cross Blue Shield of NJ August 2007 - Present
Honeywell March 1997 - April 2007
Skills
Employee Benefits, Performance Management, Benefits Administration, Deferred Compensation, Employee Relations, PeopleSoft, Succession Planning, Talent Management, Employee Engagement, Change Management, Human Resources, Labor Relations, HR Policies, Workforce Planning, Talent Acquisition, HRIS, Team Building, Vendor Management, Policy, Budgets, Strategic Planning, Onboarding, Leadership, Process Improvement, Management, Insurance, Business Process..., Call Centers
Education
College of Saint Elizabeth 2003 — 2006
Bachelor of Science (B.S.), Business Administration, Management and Operations
Horizon Blue Cross Blue Shield of NJ April 2004 - Present
Englewood Hospital and Medical Center October 2000 - February 2004
NYU Medical Center 1999 - 2000
Continuum Health Partners 1994 - 1999
St. Luke's/Roosevelt Hospital Center 1987 - 1994
Skills
Healthcare, Nurse Recruitment, Insurance, Employee Benefits, Human Resources, Healthcare Information..., Hospitals, Healthcare Consulting, Medicare, Managed Care, HIPAA, Talent Acquisition, Healthcare Management, Health Insurance, Nursing, Recruiting, Utilization Management, Medicaid, Process Improvement, Clinical Research, Change Management, Physicians
Education
Columbia University 1985 — 1987
MA, Nursing Administration
Health Republic Insurance of New York January 2015 - Present
EmblemHealth June 2008 - Present
Affinity Health Plan August 2014 - January 2015
EmblemHealth, Inc August 2009 - December 2012
Sharp Decisions July 2008 - August 2009
Blue Cross Blue Shield of NJ October 2007 - July 2008
Horizon Blue Cross Blue Shield of NJ January 2006 - November 2007
Horizon Blue Cross Blue Shield of NJ March 2006 - September 2007
Coca-Cola Enterprises April 1999 - August 2004
Skills
SDLC, PMO, PMP, Project Management, Vendor Management, Project Planning, Business Intelligence, Risk Management, Strategy, Management, Budgets, Program Management, Software Documentation, Business Analysis, Change Management, Resource Management, Strategic Planning, Business Process, Business Requirements, MS Project, Visio, Business Process..., Project Portfolio..., IT Strategy, Process Improvement, Vendor Relationships, Databases, Microsoft Project
Education
Saint Peter's College 2002 — 2008
MBA, Information System
Saint Peter's University 2002 — 2008
MBA, Information System
Berkeley College 1999 — 2002
Ass, International Buss
Berkeley College
Associate, Applied Science
Saint Peter's College
Bachelor, General Business Administration
Novartis January 2012 - Present
Novartis June 2010 - December 2011
Novartis September 2008 - January 2011
Novartis Consumer Health April 2007 - August 2008
Ortho McNeil June 2004 - March 2007
Johnson & Johnson 1999 - 2007
Tibotec Therapeutics March 2003 - June 2004
Ortho Biotech 1999 - 2003
Horizon Blue Cross Blue Shield of NJ 1998 - 1999
Skills
Sales Effectiveness, Succession Planning, Performance Management, Pharmaceutical Industry, Human Resources, Organizational..., Talent Management, Deferred Compensation, Pharmaceutical Sales, Employee Relations, Employee Engagement, Organizational Design, Organizational..., Workforce Planning, Management, Onboarding
Education
Bellevue University 1996 — 1999
MA, Business Leadership
Rutgers University-New Brunswick 1992 — 1996
Bachelor of Science, Public Health
Johnson & Johnson June 2013 - Present
Novartis January 2013 - June 2013
AIG 2011 - January 2013
CONVATEC INC January 2009 - May 2010
Madison Square Garden September 2007 - October 2008
Horizon Blue Cross Blue Shield of NJ September 2002 - May 2006
ADP 1986 - 2002
Automatic Data Processing January 1996 - January 2000
ADP January 1988 - January 1996
Skills
Contract Negotiation, Procurement, Procure to Pay, Supplier Negotiations, Vendor Management, gxp, Pharmaceutical Industry, Procure-to-Pay, Integration, ERP, Software Documentation, Strategic Sourcing, SAP, Supplier Negotiation, Quality Assurance, Supply Chain, Project Portfolio..., Supply Chain Management, Program Management, SDLC, Mergers & Acquisitions, E-procurement, Outsourcing, Project Planning, Business Process, Sourcing, Leadership, Business Analysis, PeopleSoft, Project Management, Management, GxP, Forecasting, Ariba, Six Sigma, Business Process..., Budgets, Process Improvement, Cross-functional Team..., Contract Management, Enterprise Software, Change Management, IT Service Management, IT Strategy, Strategy, IT Management, Business Strategy, Business Intelligence, PMO, Data Analysis
Education
RUTGERS UNIVERSITY 2003 — 2006
MBA, Management Strategy and Supply Chain
Rutgers Business School 2003 — 2006
MBA, Supply Chain
Rutgers, The State University of New Jersey-Newark 2003 — 2006
MBA, Supply Chain Management
Cornell University 1973 — 1977
BSEE, Computer Systems Design
Cornell University 1973 — 1977
BSEE, Computer Systems
Saint Pats
Harlem Hospital Center November 2014 - Present
University Medical Center Princeton @ Plainsboro October 2012 - August 2014
Robert Wood Johnsson University Hospital Hamilton April 2010 - July 2012
Horizon Blue Cross Blue Shield of NJ June 2008 - March 2010
Biosite February 2004 - June 2008
Seton Medical Center November 2003 - December 2004
Saint Vincent Catholic Medical Centers August 1998 - November 2003
Ernst & Young March 1996 - August 1998
Skills
Healthcare Management, Healthcare, Nursing, Managed Care, JCAHO, Hospitals, Clinical Research, Performance Improvement, Medicaid, Disease Management, Patient Safety, EMR, Medicare, Process Improvement, HIPAA, Healthcare Information..., Accreditation, Quality Improvement, Healthcare Consulting, Physician Relations, EHR, Critical Care, Home Care, Informatics, Healthcare Industry, Physicians, Inpatient, Revenue Cycle
Education
Case Western Reserve University 1993 — 1995
Masters Degree, Acute Care Nurse Practitioner
Case Western Reserve University 1991 — 1994
Master's degree, Registered Nursing/Registered Nurse
Horizon Blue Cross Blue Shield of NJ November 1994 - Present
Horizon Blue Cross Blue Shield of New Jersey August 1992 - November 1994
Skills
Utilization Management, Medicare Part D, Health Policy, HIPAA, Health Care Reform, Medicaid Managed Care, Claims Management, Dentistry, Credentialing, Healthcare Management, Claims Resolution
Education
Dowling College 2000 — 2003
MBA
Fairleigh Dickinson University 1983 — 1987
Bachelor of Science (BS), Biology, General
Express Scripts April 2012 - Present
Medco Health Solutions, Inc May 2009 - April 2012
Horizon Blue Cross Blue Shield of NJ August 2008 - May 2009
Reliant Pharmaceuticals March 2006 - March 2008
Medco August 2001 - March 2006
Skills
Managed Care, Healthcare, Pharmaceutical Industry, Process Improvement, Project Management, Strategic Planning, Cross-functional Team..., Business Analysis, Strategy, Account Management
Education
Rutgers University-New Brunswick 2002 — 2005
MBA, Pharmacuetical Management
Fairfield University 1997 — 2001
Bachelors of Science, Information Systems
Fairfield University 1997 — 2001
Bachelors of Science, Management Information Systems, General
Legal Aid Society October 2008 - Present
Family Court of the State of Delaware February 2008 - May 2008
Horizon Blue Cross Blue Shield of NJ May 2007 - August 2007
Skills
Legal Research, Litigation, Criminal Law, Trials, Hearings, Research, Legal Writing, Westlaw, Commercial Litigation, Courts, Legal Assistance, Criminal Defense, Motions, Legal Issues, Lexis
Education
Widener University School of Law (PA) 2005 — 2008
J.D.
Colgate University 2001 — 2005
B.A., Philosophy & Religion, Africana Studies
Horizon Blue Cross Blue Shield of New Jersey July 2013 - Present
Horizon Blue Cross Blue Shield of NJ October 2006 - July 2013
Skills
Health Savings Accounts, Health Insurance, Insurance, Brokers, Employee Benefits, Underwriting, Life Insurance, Claim, Account Management, Healthcare, Health Care Reform, Health Policy, HIPAA, PPO, Pharmacy Benefit..., Benefits Administration, HMO, Claims Management, Healthcare Industry, Self-funded, Disease Management, Group Insurance, Financial Services, Financial Analysis, Strategic Planning, Strategic Financial..., Group Medical, Data Analysis, Healthcare Consulting, PeopleSoft, Salesforce.com
Education
Dowling College
Master of Business Administration (MBA), Finance, General
Rutgers, The State University of New Jersey-Newark
Matheny Medical and Educational Center 2014 - 2014
Matheny Medical and Educational Center 2014 - 2014
Horizon Blue Cross/Blue Shield July 2006 - April 2012
Horizon Blue Cross Blue Shield of NJ July 2006 - April 2012
NUI 2001 - 2003
Hoffmann-La Roche 1998 - 2001
hoffmann la roche 1997 - 2000
AT&T 1982 - 1998
Skills
Business Analysis, Medicare, SDLC, Health Insurance, Vendor Management, PMP, Process Improvement, Insurance, Change Management, PMO, Requirements Gathering, Requirements Analysis, Visio, Enterprise Architecture, Project Portfolio..., Business Requirements, Business Process..., Resource Management, Leadership, Business Process, Business Intelligence, IT Strategy, Data Warehousing, Integration, Systems Analysis, Software Documentation, Software Project..., IT Management, SharePoint, Governance, Data Modeling, Program Management, Solution Architecture, MS Project
Education
California Institute of Technology 1980 — 1981
MS
Smith College 1975 — 1979
BA, Mathematics, Magna Cum Laude, Phi Beta Kappa, with Highest Honors in Mathematics
Horizon Blue Cross Blue Shield of NJ August 2001 - Present
Freeman Public Relations August 1997 - August 2001
L.C. Williams & Associates 1994 - 1997
NBA Entertainment 1991 - 1994
Thompson McKinnon Securities 1984 - 1985
Skills
Insurance, Budgets, Visio, Business Requirements, Resource Management, PMP, Microsoft Excel, Project Management, Marketing Communications, Corporate Communications, Information Technology, Change Management, Six Sigma, HIPAA, Management Consulting, Business Process, Strategy, Project Portfolio..., Risk Management, MS Project, Analysis, Training, Agile Project Management, Quality Assurance, Team Building, Leadership, Process Engineering, Microsoft Project
Education
Montclair State University 1988 — 1991
BS, Business
Endicott College 1985 — 1986
Accounting
Hackensack University Medical Center September 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2010 - September 2011
Horizon Blue Cross Blue Shield of New Jersey April 2008 - September 2011
Horizon Blue Cross Blue Shield of NJ August 2004 - September 2011
Hoffmann-La Roche 1995 - 2004
Hoffmann-La Roche 1993 - 2000
Skills
PeopleSoft, SDLC, HRIS, Process Improvement, Vendor Management, Human Resources, Visio, SQL, Software Documentation, Requirements Gathering, Business Analysis, Access, Management, Requirements Analysis, Systems Analysis, Business Intelligence, SharePoint, Crystal Reports, Integration, Data Warehousing
Education
Essex County College 2000 — 2003
Associate's, Computer Science
Horizon Blue Cross Blue Shield of New Jersey November 2014 - Present
Ihealth Technologies July 2012 - Present
Care Management International March 2006 - July 2012
Horizon Healthcare of New York 2004 - 2006
Brigham and Women's Hospital 1998 - 2006
Horizon Blue Cross Blue Shield of NJ 2002 - 2004
McKinsey & Company 2000 - 2002
Education
Harvard T.H. Chan School of Public Health 1999 — 2001
Master of Public Health (MPH), Health/Health Care Administration/Management
Boston University School of Medicine 1990 — 1995
Doctor of Medicine (M.D.)
Xavier High School 1984 — 1988
Horizon Blue Cross Blue Shield of NJ Lead Application DeveloperHorizon Blue Cross Blue Shield of New Jersey2002 - Present
Blue Cross & Blue Shield of NJ 2002 - Present
Siebel Systems 1998 - 2002
Skills
Data Warehousing, Informatica, Business Analysis, SDLC, ETL, Disaster Recovery, Microsoft SQL Server, Systems Analysis, Enterprise Architecture, Requirements Gathering, Business Intelligence, Data Integration, Requirements Analysis, Data Modeling, Visio, Vendor Management
Education
Universiteti 'Sakartvelo' 1981 — 1986
Horizon Blue Cross Blue Shield of NJ March 1999 - Present
Skills
Storage Area Networks, Storage Architecture, Storage Virtualization, Disaster Recovery, HP XP, 3PAR, HP EVA, NetApp, IBM XIV, Brocade Routers, DWDM, Replication Technologies, Brocade Data Center..., Brocade Fibre Switches, IBM System Storage..., SDLC
Education
County College of Morris
Dover Business College
Affinity Health Plan May 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2014 - May 2015
Horizon Blue Cross Blue Sheild of New Jersey October 2012 - August 2014
Horizon Blue Cross Blue Shield of NJ October 2008 - October 2012
Horizon Blue Cross Blue Shield of NJ May 2005 - November 2008
Prudential Insurance Co. of America March 1986 - October 1994
Skills
Health Insurance, Product Marketing, Product Development, Strategic Planning, Marketing Strategy, Sales Management, Direct Marketing, Multi-channel Marketing, Budget Management, Project Portfolio..., Project Planning, Public Relations, Public Speaking, Creative Problem Solving, Creative Strategy, People Management, Advertising, Budgeting, Team Building, Copywriting, Forecasting, Team Leadership, Online Marketing, Mentoring, Qualitative Research, Retail, Writing, Research, Marketing Communications, Management, Healthcare, Leadership, Product Management, Budgets, Managed Care, Insurance
Education
Seton Hall University 1980 — 1984
BA, Communications
University of North Carolina at Chapel Hill - Kenan-Flagler Business School 1992 — 1992
Certificate, Marketing Strategy and Planning
Babson College 2009 — 2009
Certificate, Process Management and Redesign
Horizon Blue Cross Blue Shield of New Jersey March 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2010 - March 2013
Horizon Blue Cross Blue Shield of NJ July 2008 - June 2010
Horizon Blue Cross Blue Shield of NJ November 2005 - July 2008
Cendant 2003 - 2005
Prudential 1997 - 2002
Skills
Visio, Lotus Notes, Requirements Gathering, Vendor Management, Budgets, SharePoint, Access
Education
Franklin University 2008 — 2011
Bachelors, Dual Major - Business Adminstration/Human Resources Management
Madison Area Technical College 2004 — 2007
Associates, Administrative Assistant
Essex County College 1992 — 1994
Saint Clare's Health System January 2008 - Present
Horizon Blue Cross Blue Shield of NJ February 2006 - January 2008
CIGNA Health Care September 2002 - February 2005
Education
College of Saint Elizabeth 2009 — 2011
BA, Healthcare Management
The New York Times June 2010 - Present
Horizon Blue Cross Blue Shield of NJ 2001 - 2010
Covance 1993 - 2001
Skills
Altiris
Education
Bloomfield College
English as a Second Language Certificate
Rutgers, The State University of New Jersey-New Brunswick
Bachelor of Arts - English
Centerlight Health System January 2015 - Present
Centerlight Health System November 2014 - January 2015
Marcia Wade MD MMM Medical Management Consultant April 2014 - November 2014
VillageCare January 2012 - March 2014
Aetna September 2007 - June 2011
Horizon Blue Cross Blue Shield of NJ 2005 - 2007
Skills
Medicare, Healthcare Management, Healthcare, Medical Management, Utilization Management, Disease Management, Care Management, Internal Medicine, Health Insurance, Case Management, Managed Care, Medicaid, Health Policy, Physicians, Hospitals, Clinical Research, Medicine, Healthcare Information..., HIPAA, Healthcare Consulting, Medicare Advantage
Education
Tulane University School of Health Systems Management 1996 — 2000
Master’s Degree (MMM), Medical Management
Boston University Dept of Pulmonary Medicine 1981 — 1983
Pulmonary Fellowship, Pulmonology
The New York Hospital/ Cornell Medical Center 1978 — 1981
Internal medicine residency
Yale University School of Medicine 1974 — 1978
MD
Cornell University 1970 — 1974
BA with distinction in all subjects, Genetics; Biology
DirectBuy of the Palm Beaches December 2009 - Present
Prudential Ins Co September 2006 - November 2008
Prudential Financial September 2006 - September 2008
Horizon Blue Cross Blue Shield of NJ October 1997 - September 2006
Education
Caldwell University 1977 — 1978
none, Business Administration
Arizona State University 1976 — 1977
none, Business Adminsitration
Quest Capital March 2007 - Present
Horizon Blue Cross Blue Shield of NJ May 2005 - March 2008
Education
Brookdale Community College 2002 — 2003
IEEE February 2011 - Present
IEEE February 2011 - Present
Horizon Blue Cross Blue Shield of NJ 2004 - 2006
IBM September 2003 - August 2004
Fischer Systems April 2000 - August 2003
NETsolutions February 1999 - March 2000
Skills
SDLC, Software Project..., SOA, Requirements Analysis, Business Analysis, SQL, Websphere
Education
CDAC 1997 — 1998
PG Diploma in Advanced Computing
Bharathiar University 1993 — 1997
Bachelor of Engineering (BEng), Electronics and Communications Engineering
Mahatma Gandhi University 1991 — 1993
Mathematics
Horizon Blue Cross Blue Shield of NJ March 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey February 2008 - March 2012
Horizon Blue Cross Blue Shield of New Jersey May 2005 - February 2008
Horizon Blue Cross Blue Shield of New Jersey August 2003 - May 2005
Kessler Institute for Rehabilitation August 1998 - August 2003
Education
New York University 1980 — 1983
Master of Public Administration (MPA), Health Care Planning and Administration
Brandeis University 1976 — 1980
Bachelor of Arts (B.A.), General Science
Dell September 2013 - Present
Comcast Cable February 2012 - September 2013
Brinker Capital March 2007 - February 2012
Horizon Blue Cross Blue Shield of NJ December 2006 - March 2007
YASU Technologies March 2006 - December 2006
Horizon Blue Cross Blue Shield of NJ August 2005 - January 2006
Skills
Web Services, ASP.NET, C#, Microsoft SQL Server, WCF, LINQ, jQuery, SQL, ASP.NET MVC, Agile Methodologies, XML, AJAX, .NET, Entity Framework, JavaScript, PL/SQL, Software Development, CSS
Education
Virginia Polytechnic Institute and State University 2000 — 2005
Indian Institute of Technology, Madras 1996 — 2000
B. Tech, Civil Engineering
Horizon Blue Cross Blue Shield of NJ March 2003 - May 2009
Education
Berkeley College 2000 — 2002
Bachelor, Business Adminstration
Cigna October 2013 - Present
Cigna April 2012 - October 2013
Medco October 2006 - April 2012
MetLife 2002 - 2006
Prudential Insurance Company of America November 2001 - October 2002
Horizon Blue Cross Blue Shield of NJ October 1997 - November 2001
Skills
Cross-functional Team..., Strategy, Account Management, Project Management, Segmentation, Program Management, Market Research, Sales, CRM, Process Improvement, Marketing Communications, Competitive Analysis, Medicare, Team Building, Analytics, Managed Care, Marketing, Product Launch, Pharmaceutical Industry, Business Strategy, Healthcare, Product Development, Integrated Marketing, Product Marketing, Product Management, Leadership, Strategic Planning, Strategic Partnerships, Pricing, Business Development, Marketing Strategy, Vendor Management, Team Leadership, Management, Marketing Management, Healthcare Industry, Direct Marketing, E-commerce, Medicaid, Market Analysis, Employee Benefits, Start-ups, Business Planning, Market Planning, Business Analysis, Brand Management, Forecasting, Salesforce.com, Customer Retention
Education
Dowling College 1999 — 2001
MBA, Management/Marketing
Seton Hall University 1990 — 1994
BA, English Literature
Horizon Blue Cross Blue Shield of NJ 1998 - Present
Skills
PeopleSoft, Requirements Gathering, SDLC, Vendor Management, Requirements Analysis, Analysis, Business Analysis, Business Intelligence, Business Process..., Business Requirements, Process Improvement, Project Management, SharePoint, Software Documentation, Systems Analysis, Visio, Integration
Education
Ateneo de Manila University 1978 — 1982
Bachelor of Arts
St.Joseph's College
Horizon Blue Cross Blue Shield of New Jersey January 2011 - Present
Adventurers Workshop, Inc. February 2003 - November 2011
Horizon Blue Cross Blue Shield of New Jersey May 2010 - January 2011
Horizon Blue Cross Blue Shield of NJ January 2008 - August 2010
Horizon Blue Cross Blue Shield NJ 1996 - 2008
Horizon Blue Cross Blue Shield of NJ 1989 - 2006
BLUE CROSS BLUE SHIELD's Medix Inc. 1989 - 1996
Skills
Business Analysis, Project Management, Enterprise Software, SDLC, Leadership, Process Improvement, Healthcare Information..., HIPAA, Visio, EDI, Vendor Management, Requirements Gathering, Business Requirements, Business Process..., Management, Business Intelligence, Requirements Analysis
Education
Fairleigh Dickinson University 1989 — 1993
MBA, International Business
Rider University 1983 — 1987
BS, Marketing, Communications
Monique Outerbridge April 2014 - Present
Centers for Medicare & Medicaid Services August 2012 - December 2013
Centers for Medicare & Medicaid Services May 2011 - August 2012
Office of Consumer Information and Insurance Oversight, Dept of Health and Human Services June 2010 - May 2011
FDA March 2009 - July 2010
Department of Health and Human Services March 2008 - February 2009
Centers for Medicare & Medicaid Services August 2006 - March 2008
Centers for Medicare and Medicaid Services November 2000 - August 2006
Horizon Blue Cross Blue Shield of NJ September 1992 - October 2000
Skills
Insurance, Federal Government, Government, Program Management, Healthcare Information..., SDLC, Process Improvement, Business Analysis, Requirements Analysis, Enterprise Architecture, Policy Analysis, HIPAA, IT Strategy, Analysis, Business Process..., Project Management, Medicaid, Governance
Education
University of Maryland University College 2008 — 2010
Information Systems Management
Howard University 1988 — 1991
Computer Systems Engineering
Bank of America April 2012 - Present
Bank of America June 2006 - April 2012
Horizon Blue Cross Blue Shield of NJ October 1997 - June 2006
Skills
SAS, Credit, Credit Risk, Banking, Financial Analysis, Financial Risk, Access, SQL, Healthcare, SQL Server Management..., Reporting & Analysis
Education
Dowling College 2002 — 2004
MBA, General Management
Rutgers University-New Brunswick 1990 — 1995
BA, Statistics
Horizon Blue Cross Blue Shield of New Jersey July 2009 - Present
Horizon Blue Cross Blue Shield of NJ June 2008 - July 2009
Healthfirst June 2001 - March 2005
Education
Hunter College
Horizon BCBSNJ November 2008 - Present
Horizon Blue Cross Blue Shield of NJ October 1997 - November 2008
Quest Diagnostics 1995 - 1997
Skills
Process Improvement, Healthcare, Medicare, Health Insurance, Insurance, Training, Managed Care, Business Analysis, Vendor Management, Data Analysis, HIPAA
Education
College of Saint Elizabeth
MS, Management
Rutgers, The State University of New Jersey-New Brunswick
BA, Communication
Horizon Blue Cross Blue Shield of NJ March 1999 - Present
Skills
Medicare, Process Improvement, Insurance, Medicaid, Employee Benefits, Customer Service, Business Analysis, Team Building, Vendor Management
Education
Bloomfield College 1992 — 1996
Horizon Blue Cross Blue Shield of NJ
Education
American InterContinental University 2006 — 2008
AA, HCM (Health Care Management)
Horizon Blue Cross Blue Shield of New Jersey June 2010 - Present
Union County College April 2010 - Present
Horizon Blue Cross Blue Shield of NJ December 2002 - June 2010
Clara Maass Medical Center March 1993 - March 1999
Education
DeVry University 1997 — 2009
MBA, Healthcare Administration
University of Phoenix 2004 — 2007
Bachelors, Healthcare Administration
Axis Design Group International June 2010 - Present
AMTC (Actors, Models & Talent for Christ) February 2012 - December 2012
The Empower Foundation January 2011 - December 2012
The Creative Learning Center of the Lehigh Valley July 2007 - January 2010
Horizon Blue Cross Blue Shield of NJ June 2003 - August 2003
Skills
Acting, Editing, Public Speaking, Playwriting, Voice Over, Performing Arts, Theatre, Dance, Stage, Creative Writing, Singing, Television, Blogging, Social Media, Entertainment, Social Networking
Education
Drew University 2002 — 2006
B.A, English, Philosophy
The Hill School 1998 — 2002
Mt. Vernon Elementary 1991 — 1998
Mt. Vernon Elementary
EmblemHealth 2009 - Present
Horizon Blue Cross Blue Shield of NJ 2003 - 2008
American Express June 1998 - August 2003
American Express July 1995 - September 1998
Deutsche Bank April 1993 - June 1995
IBM August 1991 - April 1993
Walmart February 1991 - July 1991
SPAN Corporation July 1986 - October 1987
Skills
IT Strategy, SDLC, Enterprise Architecture, Vendor Management, EAI, Business Analysis, SOA, Data Warehousing, Business Intelligence, Integration, IT Service Management, Leadership, Solution Architecture, Enterprise Software, Architecture, ITIL, Software Development, Strategy, Information Technology, Security, Requirements Analysis, Management, PMP, Business Process, IT Management, Software Project..., Architectures
Education
Saint Peter's University 2007 — 2009
MBA, Finance
Bangalore University 1983 — 1986
Bachelor of Science
Express Scripts December 2006 - Present
Horizon Blue Cross Blue Shield of NJ 1990 - 2006
Skills
Managed Care, Medicare, Medicare Part D, Healthcare, SAS, Pharmacy Benefit..., HIPAA, Health Policy, Analysis, Process Improvement, Healthcare Information..., SDLC, Healthcare Consulting, Health Insurance, Strategic Planning, Vendor Management, Medicaid, Visio, Cross-functional Team..., Software Documentation, Business Analysis, Data Analysis, Leadership, Healthcare Industry
Education
Dowling College 1999 — 2001
MBA, Business Administration
Rutgers University-New Brunswick 1981 — 1985
BS, Mathematics
Crewel Jewels January 2007 - Present
Horizon Blue Cross Blue Shield of NJ July 1989 - May 2003
Skills
Health Insurance, Managed Care, Insurance, Healthcare
Education
Boston University 1986 — 1988
MSEd, Education
Northern Illinois University 1978 — 1982
BS Ed, Education
Horizon Blue Cross Blue Shield of NJ January 2009 - Present
Senior Reporting Analyst January 2001 - January 2008
Sales Account Consultant January 1994 - January 2001
US Navy August 1986 - July 1990
Skills
Salesforce.com, Access, SQL, HTML, Siebel, Excel, Microsoft Excel, Data Analysis, SAS, Health Insurance, Management, Employee Benefits, Sales, Business Analysis, Process Improvement, Visio, Databases, Analysis, Business Intelligence, Vendor Management, Insurance, Analytics, CRM, SDLC, Account Management, Microsoft Office..., SharePoint, InfoPath Forms, Cross-functional Team..., Program Management
Education
University of Alaska Anchorage 1989 — 1989
Central Texas College 1988 — 1988
Horizon Blue Cross Blue Shield of NJ November 2007 - Present
Aveta April 2005 - September 2007
Sealed Air Corporation September 2003 - April 2005
Altria Corporate Services, Inc. August 1993 - August 2003
Skills
Internal Controls, Internal Audit, Auditing, Sarbanes-Oxley Act, Financial Audits, General Ledger, Accounts Payable, Risk Assessment, Payroll, Analysis, Sarbanes-Oxley, Enterprise Risk..., Financial Reporting, SAP, Leadership
Education
Fordham University 1979 — 1983
BS, Accounting
IBM Global Business Services April 1997 - April 2009
IBM Global Business Services March 1994 - March 1997
Horizon Blue Cross Blue Shield of NJ December 1982 - February 1994
Skills
Cross-functional Team..., SDLC, Risk Management, Lotus Notes, Project Management, Agile Methodologies
Education
Binghamton University
Computer Science
Fragomen Del Rey Bernsen & Loewy LLP 2010 - Present
JTM Micro Enterprises January 1993 - Present
IEEE May 2001 - August 2009
Horizon Blue Cross Blue Shield of NJ July 2000 - May 2001
Exxon 1992 - 2000
Unilever April 1999 - July 1999
Johnson & Johnson February 1999 - March 1999
Brooklyn College September 1989 - June 1991
Brooklyn College September 1978 - May 1991
Brooklyn College September 1986 - July 1989
Education
City University of New York-Brooklyn College 1978 — 1984
History
Aetna August 2007 - Present
Horizon Blue Cross Blue Shield of NJ November 1998 - December 2005
Education
Brookdale Community College
AA
Horizon Blue Cross Blue Shield of NJ 2007 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2003 - September 2007
Horizon Blue Cross Blue Shield of New Jersey September 1999 - September 2003
Skills
MS Office Suite, Cooking, Microsoft Excel, Microsoft Word, PowerPoint, Gardening, Photography, Visio, Monarch Pro, Motorcycle, Camping, Data Analysis, Business Analysis, Life & Health Insurance..., Process Improvement, Microsoft Office, Project Management
Education
Dowling College 2001 — 2003
Master of Business Administration (M.B.A.), Business Administration and Management, General, 3.8
Florida International University 1991 — 1994
Bachelor's Degree, Hospitality Administration/Management
Culinary Institute of America 1988 — 1990
Associate's degree, Culinary Arts/Chef Training
Agfa Corporation November 2006 - Present
Agfa Corporation December 1997 - October 2006
Mercedes Benz USA 1993 - 1997
Mercedes-Benz of North America 1991 - 1993
Engelhard Corporation 1988 - 1991
Engelhard Corporation 1986 - 1988
Engelhard Corporation 1984 - 1986
Engelhard Corporation 1983 - 1984
Engelhard Corporation 1979 - 1983
Horizon Blue Cross Blue Shield of NJ 1977 - 1979
Education
Seton Hall University 1979 — 1983
MBA, Finance, International business
Fairleigh Dickinson University 1973 — 1977
BS, Accounting
Horizon Blue Cross Blue Shield of NJ
Skills
Insurance, Management, Marketing, Employee Benefits, Leadership, Health Insurance, Negotiation, New Business Development, Underwriting, Process Improvement
Education
Dowling College 2005 — 2008
MBA, General Management
Luca & Luca Deli & Catering Dental Claims SpecialistHorizon Blue Cross Blue Shield of NJJune 2009 - Present
Horizon Blue Cross Blue Shield of NJ February 2006 - February 2007
Horizon Blue Cross Blue Shield of NJ August 1998 - January 2006
Stephen D. Reid Associates October 1999 - April 2001
Education
Georgian Court University
Bachelor of Arts, English/Secondary Education
Horizon Blue Cross Blue Shield of NJ September 1987 - January 2011
Education
Brookdale Community College
IBM June 1995 - Present
Cognos, an IBM Company 2000 - 2008
Horizon Blue Cross Blue Shield of NJ March 1994 - October 1998
Horizon Blue Cross Blue Shield of NJ August 1989 - March 1994
Prudential Insurance March 1984 - August 1989
Prudential Insurance February 1984 - August 1989
Skills
Project Management, Requirements Gathering, Project Planning, Leadership, Software Documentation, CRM, Management, Risk Management, IT Strategy, SDLC, PMO, Business Analysis
Education
Towson University 1981 — 1983
Caldwell University
Roseville Community Charter School December 2011 - Present
Trinitas School of Nursing September 2009 - Present
Trinitas School of Nursing April 2006 - Present
Linden Lions Club July 2006 - June 2012
Community Charter School of Paterson September 2009 - December 2011
lia sophia 2007 - 2009
Horizon Blue Cross Blue Shield of NJ 2006 - 2009
Concerned Black Nurses of Newark 2007 - 2008
Clara Maas Medical Center 2004 - 2006
Clara Maass Medical Center 2004 - 2006
Skills
Nursing, Medicare, Healthcare, Healthcare Management, Home Care, Case Managment, Clinical Research, Inpatient, Hospitals, Medicaid, Managed Care, Medicine, Cpr Certified, Healthcare Information..., Nursing Education, Social Services, Medical/Surgical, Physicians, Pediatrics, Program Development, Mental Health, Patient Safety, Medical Records, Health Education, EMR, BLS, Public Health, Critical Care
Education
College of Saint Elizabeth 2007 — 2009
MSN, Nursing Education
Horizon Blue Cross Blue Shield of NJ May 2008 - April 2009
Travelers Insurance February 2007 - May 2008
Citizens Bank August 2002 - February 2007
Education
Camden County College 2001 — 2003
Communications
Macy's November 2011 - January 2012
Horizon Blue Cross Blue Shield of NJ March 2007 - October 2010
Wireless Sites NE December 2005 - March 2007
sanofi-aventis November 2005 - December 2005
Education
Bloomfield College
Bloomfield College
Horizon Blue Cross Blue Shield of New Jersey October 2014 - Present
Horizon Blue Cross Blue Shield of NJ August 1999 - Present
Skills
Insurance, Management, Process Improvement, Vendor Management, Visio, Call Centers, Business Analysis, Business Process..., Requirements Gathering, Project Management, Leadership, Health Insurance, Cross-functional Team...
Education
Thomas Edison State College 2013 — 2018
Dover Business College 1999 — 2000
Network Adminstrator, Networking, 3.8 gpa
Horizon Blue Cross Blue Shield of New Jersey June 2012 - Present
Horizon Blue Cross Blue Shield of NJ January 2009 - June 2012
Infosys Technologies Ltd 2008 - June 2012
Time Warner Cable June 2007 - August 2007
Skills
SQL Server, Oracle SQL, Business Analysis, Requirements Analysis, Business Process, Integration, SQL, SDLC, Visio, Microsoft SQL Server, Process Improvement, Software Project..., Requirements Gathering, Vendor Management
Education
Syracuse University 2004 — 2008
BS, Computer Engineering
City University London 2006 — 2007
BS, Computer Engineering
L'Oréal September 2010 - Present
L'Oreal S.A. July 2007 - September 2010
Robert Half Management Resources March 2006 - July 2007
mcgraw-hill companies 2001 - 2005
McGraw-Hill 1998 - 2001
KPMG LLP November 1996 - May 1998
Horizon Blue Cross Blue Shield of NJ November 1987 - November 1996
Education
Georgian Court University 1983 — 1987
BS, Accounting
GeBBS Healthcare Solutions September 2011 - Present
CareFirst BlueCross BlueShield 2011 - 2014
CareFirst BlueCross BlueShield 2011 - 2014
Medco February 2010 - August 2011
Horizon Blue Cross Blue Shield of NJ January 2008 - July 2009
Horizon Blue Cross Blue Shield January 2008 - July 2009
Horizon Blue Cross Blue Shield January 2008 - July 2009
Horizon Blue Cross Blue Shield January 2008 - July 2009
Horizon Blue Cross Blue Shield of New Jersey 1999 - 2009
Horizon Blue Cross Blue Shield of NJ July 1999 - January 2008
Skills
Analysis, Insurance, Medicare, Access, Customer Service, Lotus Notes, Customer Satisfaction, Spreadsheets, Healthcare, Call Centers, Word, Excel, Problem Solving, Claims, Outlook, Customer Relations, Microsoft Office, Testing, Call Center, HIPAA, SharePoint
Education
Essex County College
Associate, Science; Business Administration
Horizon Blue Cross Blue Shield of New Jersey October 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2007 - October 2010
Horizon Blue Cross Blue Shield of NJ February 2004 - August 2007
Burberry Wholesale Limited October 2001 - February 2003
Avnet Computer Marketing June 1998 - December 2000
EM Science September 1992 - June 1998
Skills
- Policy..., - Claims Handling and..., - HIPAA Privacy..., - First Level Appeal...
Education
Beaver College (Arcadia University) 1983 — 1985
Bachelors of Science, Computer Science
Bucks County Community College 1979 — 1983
Associate of Arts, Business Data Processing
Horizon Blue Cross Blue Shield of New Jersey September 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey 1990 - Present
Horizon Blue Cross Blue Shield of NJ February 2007 - September 2011
Horizon Blue Cross Blue Shield February 2007 - September 2011
Skills
Training, Team Building, Visio, Insurance, Process Improvement, Software Documentation, Business Analysis, Vendor Management, Employee Benefits, Data Analysis, Health Insurance, Project Management, Program Management, HIPAA, Call Centers, Healthcare, Business Requirements, Analysis, Medicare, SharePoint
Education
Bloomfield College 1984 — 1989
Bachelor's degree, Business/Computer Science, 3.25
Bloomfield
Bachelor's degree, Computer Science
Horizon Blue Cross Blue Shield of NJ October 2006 - Present
Skills
Utilization Management, Medicare, Nursing, Microsoft Office, Customer Service, Software Documentation, Microsoft Excel, Disease Management, Process Improvement, Public Speaking, Microsoft Word, Team Building, Management, Medicaid, Case Managment, Recruiting, Healthcare Management, Quality Improvement, Hospitals, Healthcare, Certified Case Manager, Utilization Review, Medical Case Management, NCQA, EMR, HEDIS, HMO, Patient Advocacy, Case Management, CCM
Education
Fairleigh Dickinson University 1984 — 1988
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Horizon Blue Cross Blue Shield of New Jersey 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey 2011 - 2015
Horizon Blue Cross Blue Shield of NJ 2008 - 2011
JP Morgan 2005 - 2008
UBS Investment Bank 2003 - 2005
Skills
Financial Modeling, Valuation, Equities, Investments, Capital Markets, Hedge Funds, Investment Banking, Financial Analysis, Private Equity, Corporate Finance, Managed Care, Health Insurance
Education
University of Pennsylvania - The Wharton School 1999 — 2001
MBA, Finance
Villanova University School of Law 1992 — 1995
JD, Law
Brown University 1988 — 1992
AB, Economics, Magna cum laude
Horizon Blue Cross Blue Shield of NJ June 2007 - May 2009
Horizon Blue Cross Blue Shield of New Jersey May 2007 - May 2009
Horizon Blue Cross Blue Shield of NJ January 2005 - May 2007
Horizon Blue Cross Blue Shield of NJ September 2004 - May 2005
Skills
Program Management, Leadership, Training, Management
Education
Brookdale Community College
Criminal Justice
Mindray DS USA August 2008 - Present
Horizon Blue Cross Blue Shield of NJ May 2006 - August 2008
NielsenBainbridge May 1999 - May 2006
Arthur Andersen December 1998 - May 1999
JH Cohn September 1996 - December 1998
Zarrow Zarrow & Klein December 1993 - June 1996
Education
Florida Atlantic University 1989 — 1992
Bachelor's Degree, Accounting
Carroll College 1984 — 1987
Bachelor's Degree, Finance
Horizon Blue Cross Blue Shield of NJ May 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2011 - May 2012
Horizon Blue Cross Blue Shield of New Jersey January 2008 - March 2011
Horizon Blue Cross Blue Shield of New Jersey April 2006 - January 2008
Education
Dowling College 2003 — 2005
Bachelors of Science
Horizon Blue Cross Blue Shield of NJ 2000 - 2011
Skills
Health Insurance, Insurance
Education
Husson College
FEMA September 2011 - Present
FEMA September 2011 - Present
Spherion Agency September 2009 - September 2011
Vonage January 2008 - September 2009
West-Ward Pharmaceutical July 2007 - December 2007
Horizon Blue Cross Blue Shield of NJ January 2006 - January 2007
Skills
Data Entry
Education
Cheonggang Academy
Stuart School of Business, Administration
Horizon Blue Cross Blue Shield of NJ October 2012 - Present
Education
Brookdale Community College 1989 — 1991
Business Administration