Horizon Blue Cross Blue Shield of NJ

Industry: Company

Description

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

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Horizon Blue Cross Blue Shield of NJ Employees

Employee
Years
Job
Industry
Rebecca Bari Rebecca Bari Phoenix, Arizona Details
Rebecca Bari's Horizon Blue Cross Blue Shield of NJ Experience March 2007 - September 2009
Job Clinical Consultant
Industry Insurance
Experience
Cigna  July 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey  March 2014 - June 2015
Horizon Blue Cross Blue Shield of New Jersey  November 2011 - March 2014
Horizon Blue Cross Blue Shield of New Jersey  September 2009 - November 2011
Horizon Blue Cross Blue Shield of NJ   March 2007 - September 2009
Kimball Medical Center  January 2001 - March 2008
1199SEIU Benefit and Pension Funds  September 2006 - March 2007
Burnt Tavern Rehabilitation Center   May 1994 - December 2000

Skills
Healthcare, Healthcare Management, Nursing, Case Managment, Hospitals, Medicare, Utilization Management, Disease Management, Home Care, Clinical Research, Acute Care, Quality Improvement, Managed Care, Inpatient, Medicine, Critical Care, Healthcare Industry, Health Insurance, EMR, Medical/Surgical, HIPAA, Insurance, Health Policy, Home Infusion, Health Education, ICU, Telemetry, Utilization Review, Wellness, Program Development, Certified Case Manager, Sales, Public Health, Healthcare Consulting, Patient Advocacy, Case Management, Medical-Surgical

Education
University of Phoenix   2003 — 2006
BSN, Nursing

Ocean County College   2001 — 2003
AAS, Nursing

Ocean County Vocational and Technical Schools   1993 — 1994
Certificate of completion, Practical Nursing

Marilyn Samuel Marilyn Samuel Greater New York City Area Details
Marilyn Samuel's Horizon Blue Cross Blue Shield of NJ Experience October 2007 - Present
Job IT Security Analyst at Horizon Blue Cross Blue Shield of NJ
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of NJ   October 2007 - Present
Horizon BCBS  2007 - Present
JPMorgan Chase  July 2005 - July 2007
IBM- Assigned to JPMorganChase   April 2003 - July 2005
JPMorganChase  June 1995 - April 2003

Skills
Active Directory, Disaster Recovery

Education
LaGuardia Community College   1989 — 1995
A.S, Computer Science

Victor Cioni Victor Cioni Greater New York City Area Details
Victor Cioni's Horizon Blue Cross Blue Shield of NJ Experience 1995 - 2005
Job IT Manager Order Management & eCommerce Fulfillment at Toys R Us
Industry Information Technology and Services
Experience
Toys R Us  March 2015 - Present
LexisNexis Martindale-Hubbell  2008 - September 2014
Borough Of Washington   2006 - 2010
Borough Of Washington   2006 - 2010
LexisNexis  August 2007 - July 2008
Advogent  October 2006 - June 2007
Cardinal Health  July 2005 - October 2006
Horizon Blue Cross Blue Shield of NJ   1995 - 2005

Skills
CRM, SDLC, Business Analysis, Management, Integration, Team Management, Business Process, Project Management, Release Management, Agile Methodologies, Strategy, Business Requirements, Oracle, Cross-functional Team..., Analysis, Agile Project Management, Product Management, Testing, Requirements Gathering, Vendor Management, Requirements Analysis, Quality Assurance, Leadership, Visio, Salesforce.com, SDLC Lifecycle, Off Shore team..., Solution Implementation, Microsoft Dynamics, salesforce, Supply Chain Management, ATG Commerce

Education
New Jersey Institute of Technology   1998 — 2000
MBA, MBA, Information Technology

Rutgers, The State University of New Jersey-Newark   1991 — 1995
BS, Business

Belleville   1983 — 1987

Belleville Senior High   1983 — 1987

Nichole LoPresti Nichole LoPresti Greater Philadelphia Area Details
Nichole LoPresti's Horizon Blue Cross Blue Shield of NJ Experience October 2007 - January 2011
Job
Industry Government Relations
Experience
New Jersey Apartment Association  December 2014 - Present
Tonio Burgos & Associates, Inc.   January 2011 - December 2014
Horizon Blue Cross Blue Shield of NJ   October 2007 - January 2011
Chamber of Commerce Southern New Jersey  March 2005 - October 2007
Office of Assemblyman Greenwald   April 2003 - March 2005

Skills
Government Relations, Community Outreach, Policy, Government, Politics, Lobbying, Legislative Relations, Public Policy, Message Development, Political Consulting, Public Affairs, Budgets, Policy Analysis, Fundraising, Association Management, Public Relations, Strategic Communications, Grassroots Organizing, Leadership, Nonprofits, Political Science, Legislation, Health Policy, Public Speaking, Public Administration, Coalitions, Legislative Research, Community Organizing, Press Releases, Crisis Management, Corporate Communications, Economic Development, Grant Writing, Media Relations, Non-profits, State Government, Research, Crisis Communications, Program Evaluation, Legal Research, Strategic Planning, Newsletters, Local Government, Political Campaigns, Governmental Affairs, Volunteer Management, Program Management, Political Communication

Education
Villanova University   2003 — 2004
MA, Political Science

Mount St. Mary's University   1999 — 2003
BA, Political Science

Nicole Romer Nicole Romer Greater New York City Area Details
Nicole Romer's Horizon Blue Cross Blue Shield of NJ Experience October 2010 - Present
Job Inpatient Case Management at Horizon Blue Cross Blue Shield of NJ
Industry Hospital & Health Care
Experience
Healing Hands  October 2014 - Present
Horizon Blue Cross Blue Shield of NJ   October 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey  October 2010 - Present
Jackson School District, Goetz Middle School   November 2007 - June 2010
Shore Rehabilitation Institute  May 2001 - October 2006

Skills
Management, Sales, Microsoft Office, Microsoft Word, TPX, Lotus Notes, Healthcare, Registered Nurses

Education
Jersey City Universtiy   2001 — 2003
Bachelor's Degree, Health Professions and Related Clinical Sciences, Other, 3.0

Ocean County College   1994 — 2001
Associate's Degree, Associate science, 3.0

Andres Rosero Andres Rosero Greater New York City Area Details
Andres Rosero's Horizon Blue Cross Blue Shield of NJ Experience January 2011 - January 2013
Job Logistics Industry
Industry Transportation/Trucking/Railroad
Experience
TRAC Intermodal  January 2013 - Present
Horizon Blue Cross Blue Shield of NJ   January 2011 - January 2013
Maximum Quality Foods  May 2011 - September 2011
Mark Architectural Lighting   August 2010 - January 2011
G&A Services, LLC   January 2007 - January 2010
Bergen Discount Shippers   January 2010 - 2010

Skills
Accounts Receivable, QuickBooks, Auditing, Bookkeeping, Insurance, Accounting, Account Reconciliation, Access, Lotus Notes, HIPAA, Microsoft Office, Cash Flow, Spreadsheets, Microsoft Excel, General Ledger

Education
New Jersey Institute of Technology   2007 — 2012
Business Management, Business Administration and Management, General

New Jersey Institute of Technology
Bachelor's degree, Accounting and Business/Management

Joseph Rubino - PMP Joseph Rubino - PMP Greater New York City Area Details
Joseph Rubino - PMP's Horizon Blue Cross Blue Shield of NJ Experience June 2007 - April 2008
Job Director Quality Project Management & Release Management at Optum Technology
Industry Information Technology and Services
Experience
Optum Technology  December 2014 - Present
EmblemHealth - NYC   March 2009 - December 2014
Cleary Gottlieb Steen & Hamilton LLP  April 2008 - April 2009
Horizon Blue Cross Blue Shield of NJ   June 2007 - April 2008
TmaxSoft  February 2007 - June 2007
unitedhealth group  November 2002 - February 2007
Verizon Wireless  April 1998 - April 2002
Prudential  April 1984 - April 1998

Skills
ERP, Communications Planning, PMO, Process Improvement, Cross-functional Team..., Change Management, Risk Management, Leadership, PMP, SDLC, Vendor Management, Project Portfolio..., Program Management, Business Process..., MS Project, Business Analysis, Software Project..., IT Management, Visio, IT Strategy

Education
New Jersey Institute of Technology   1996 — 2000
MS, Management Information Systems

Montclair State University   1989 — 1995
BS, Business Administration

Nancy Waltermire Nancy Waltermire Greater New York City Area Details
Nancy Waltermire's Horizon Blue Cross Blue Shield of NJ Experience August 2005 - February 2009
Job Chief Compliance/Privacy Officer at North American Medical Management of Illinois
Industry Insurance
Experience
North American Medical Management of Illinois   2013 - Present
Optimus Health Analytics, LLC   March 2013 - September 2013
InnovaCare, Inc.   January 2011 - March 2013
Horizon Blue Cross Blue Shield  August 2005 - August 2010
Horizon Blue Cross Blue Shield of NJ   August 2005 - February 2009
Horizon Blue Cross Blue Shield  January 2005 - January 2009
AmeriChoice Health Plan of New Jersey   January 2000 - July 2005
Medical Records  October 1998 - December 1999
HIP Health Plan of New Jersey   February 1992 - July 1999

Skills
Federal Regulations, State Compliance, Medicare Part D Program..., Medicaid Managed Care..., Provider Contracting, Hospital Contracting, Medicare Advantage..., Project Management, Project Implementation, Compliance Audits, Compliance Management, Medicare Compliance, Medicaid Compliance, CMS Medicare Managed..., Delegation Oversight,..., Dual Eligible..., Product Development, Customer Service, Regulatory Submissions, Regulatory Affairs, Regulatory Requirements, Health Care Fraud, Medicare Prescription..., Medicare/Medicaid..., HIPAA, Privacy Compliance, Health Care Compliance, Bid Preparation, Risk Assessment, Operational Due..., Due Diligence, Medicare, Managed Care, Medicaid, PPO, Management, Regulations, Medicare Part D, Quality Auditing, CMS Audits, Affordable Care Act, Affordable Care..., RFP experience, Policy, Claim, Medical Compliance, Health Care Reform, Healthcare Management, Healthcare, Compliance

Education
Middlesex County CollegeRaritan Valley Community College   1994 — 1997

Middlesex County CollegeRaritan Valley Community College   1983 — 1985

Raritan Valley Community College   1980 — 1983
Associates, Nursing

Melanie A. Rhodes Melanie A. Rhodes Greater New York City Area Details
Melanie A. Rhodes's Horizon Blue Cross Blue Shield of NJ Experience 2005 - 2009
Job Product Support Analyst at Delta Dental of New Jersey
Industry Hospital & Health Care
Experience
Delta Dental of New Jersey  May 2015 - Present
PSGCNJ  September 2014 - Present
Panasonic Industrial Devices Sales Company of America  2010 - 2014
HORIZON BLUE CROSS BLUE SHIELD OF NJ   2005 - 2009
WEYERHAEUSER COMPANY  2004 - 2005
INDEPENDENT CONSULTING  2002 - 2004
CIT Group, Inc.   1995 - 2002
FINOVA Capital Corporation  1990 - 1995

Skills
Secondary Research, Analysis, Market Research, Market Analysis, Cross-functional Team..., Process Improvement, Management, Strategic Partnerships, Marketing Communications, Sales Analysis, Project Planning, Pivot Tables, Vlookup, Macro, Lead Generation, Expense Reports, Program Management, Data Collection & Mining, Report Writing, Salesforce.com..., Constant Contact, Macros, Rep commissions, Budget Monitoring, Oracle Discoverer, Company Research, Needs Assessment, Problem Solving, Oracle Reports, Competitive Landscape, Market Share Analysis, Market Intelligence, Pricing Strategy, Market Needs Analysis, Target Marketing, Customer Satisfaction, Performance Metrics, Training & Development, Customer Service, Inside Sales, Health Insurance, Business Analysis, Medicare Advantage, Database Marketing, Company Newsletters, Six Sigma, Data Collection, Leadership, Strategic Planning, Strategy

Education
Rutgers Business School Executive Education   2015 — 2015
Mini-MBA, Digital Marketing

Kean University
Bachelor's of Science Degree, Management Science Major; Minor in Training and Development, 3.78

Union County College
Multiple MS Professional certifications, Continuing Education

Gary C. Ingala, PMP Gary C. Ingala, PMP Greater New York City Area Details
Gary C. Ingala, PMP's Horizon Blue Cross Blue Shield of NJ Experience December 2009 - September 2010
Job Director, Project and Portfolio Management at ADP
Industry Information Technology and Services
Experience
ADP  September 2010 - Present
Horizon Blue Cross Blue Shield of NJ   December 2009 - September 2010
KPMG  September 2007 - September 2009
KPMG  September 2000 - September 2007
Remax Property Center  January 2004 - January 2006

Skills
IT Management, Leadership, Team Building, Training, Performance Improvement, Financial Risk, Vendor Management, PMP, SDLC, PMO, Process Improvement, Business Analysis, Sarbanes-Oxley Act, MS Project, Project Management, Project Portfolio..., Program Management, ITIL, Project Delivery, Project Finance, Project Planning, Service Delivery, Service Management, IT Service Management, Risk Management, Risk Assessment, Integration, Business Process, CRM, Cross-functional Team..., SharePoint, Enterprise Software, Management, Strategy, Business Process..., Information Technology, IT Strategy

Education
Montclair State University   1996 — 2000
BS, Business Administration

Bergen Catholic   1991 — 1995

John Neuwirth John Neuwirth Greater New York City Area Details
John Neuwirth's Horizon Blue Cross Blue Shield of NJ Experience 2005 - Present
Job Account Executive, National Division
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   2005 - Present
Horizon Blue Cross Blue Shield of NJ   1992 - 2005
Empire BCBS of NY   1986 - 1991

Skills
Strategic Consulting, Financial Analysis, Legislative Research, Healthcare, Insurance, Customer Relations, Negotiation, Account Management, Business Strategy, Customer Service, Management, Sales, Leadership, Health Insurance, Underwriting, Strategy, Managed Care, Employee Benefits, Benefits Administration, Brokers, Strategic Planning, Health Savings Accounts, Medicare, Health Care Reform, Group Insurance, PPO, Claim, Disability Insurance, Self-funded, HMO, Provider Relations, Workers Compensation, Life Insurance, Medicare Part D, Health Policy, Long-term Care, Property & Casualty..., Disease Management, Medicaid, Healthcare Industry, Pharmacy Benefit..., Term Life Insurance, HIPAA, Commercial Insurance, Network Development, Claims Management, Group Medical, Process Improvement, Vendor Management, Healthcare Consulting

Education
Thunderbird School of Global Management   1974 — 1975
Int'l MBA, Int'l Economics and Marketing

Ohio Wesleyan University   1968 — 1972
Bachelor of Arts, Philosophy and French

The Taft School   1965 — 1968
Secondary School, Secondary School Curriculum

James Nance, Jr. James Nance, Jr. Greater New York City Area Details
James Nance, Jr.'s Horizon Blue Cross Blue Shield of NJ Experience April 2000 - September 2005
Job President of Remnant Consulting Corporation
Industry Management Consulting
Experience
Bowne  March 2007 - Present
Remnant Consulting Corp   September 2005 - Present
Avaya  October 2005 - February 2007
Horizon Blue Cross Blue Shield of NJ   April 2000 - September 2005

Skills
Analysis, Business Analysis, Leadership, Management, Outsourcing, PMP, Process Improvement, Program Management, Project Management, SDLC, Six Sigma, Strategy, Team Leadership, Vendor Management

Education
New Jersey Institute of Technology   1994 — 1997
BS, Industrial Engineering

Susan Berkenbush Susan Berkenbush Greater New York City Area Details
Susan Berkenbush's Horizon Blue Cross Blue Shield of NJ Experience May 2008 - January 2014
Job Director, IT Strategic Sourcing Management at KPMG LLP
Industry Financial Services
Experience
KPMG LLP  July 2014 - Present
Saint Peter's University  May 2014 - Present
Horizon Blue Cross Blue Shield of NJ   May 2008 - January 2014
Horizon Blue Cross Blue Shield of NJ   September 2006 - April 2008

Skills
Vendor Management, Process Improvement, Outsourcing, Leadership, Strategic Sourcing, Strategy, Management, Program Management, Procurement, Sourcing, Change Management, Business Process..., Cross-functional Team..., Project Portfolio..., Contract Management, Training, Negotiation, RFP, Supply Management, Forecasting, Data Analysis, Risk Management, Supplier Negotiation, Vendor Contracts, Payroll, Policy Writing, Contingent Workforce, PeopleSoft, Talent Management, RFP Design, Corporate Communications, Six Sigma, Performance Management, IT Strategy, Higher Education, Business Ethics, Marketing Communications, Supplier Diversity, Diversity & Inclusion, Non-profit Volunteering, Mentoring

Education
Saint Peter's University   2010 — 2012
Master of Business Administration (MBA), Management, 4.0

Rutgers, The State University of New Jersey-Newark   2009 — 2010
Certificate, Mini MBA - Business Essentials

Montclair State University
BA, English, Cum Laude

Jane M. Buonocore, SPHR, CCP Jane M. Buonocore, SPHR, CCP Greater New York City Area Details
Jane M. Buonocore, SPHR, CCP's Horizon Blue Cross Blue Shield of NJ Experience 2007 - 2009
Job Human Resource Manager at Eaton Corporation (formerly Cooper Industries)
Industry Human Resources
Experience
Eaton Corporation (formerly Cooper Industries)   June 2011 - Present
Robert Half Management Resources  2010 - 2011
Horizon Blue Cross Blue Shield of NJ   2007 - 2009
Vantagen, LLC (formerly Parente HR Services, LLC)   2003 - 2007
JPMorgan Chase  2001 - 2003
JPMorgan Chase  1999 - 2001
FleetBoston Financial (now Bank of America)   1996 - 1999
National Westminster Bank (acquired by FleetBoston Financial)   1987 - 1996

Skills
Career Counseling, Deferred Compensation, Employee Benefits, Employee Relations, Human Resources, Labor Relations, Management, Onboarding, PeopleSoft, Performance Management, Personnel Management, Policy, Project Management, Succession Planning, Talent Management

Education
New York University
Certificate in Business Management

Muhlenberg College
BA, Communications & Spanish

Rutgers, The State University of New Jersey-New Brunswick
MS, Human Resources Management & Labor Relations

Charles Felts Charles Felts Greater New York City Area Details
Charles Felts's Horizon Blue Cross Blue Shield of NJ Experience March 1988 - March 1991
Job Chief Operating Officer at FNA Insurance Services, Inc.
Industry Insurance
Experience
FNA Insurance Services, Inc.   July 2014 - Present
Trendshift   February 2009 - June 2014
C+A Employee Benefit Solutions   March 1991 - June 2014
One Global Med   January 2009 - May 2012
BenefitMall  1999 - 2003
Horizon Blue Cross Blue Shield of NJ   March 1988 - March 1991
People Express Airlines  November 1984 - December 1987

Skills
Business Development, Client Acquisition, Client Advocacy, Health Insurance, Employee Benefits, Insurance, Brokers, Underwriting, Life Insurance, Medicare, New Business Development, Executive Management, Customer Acquisition, Strategy, 401k, Management, Healthcare, Leadership, Health Savings Accounts, Managed Care, Small Business, Consulting, Benefits Administration, Professional Liability, Retirement, Account Management, Insurance Brokerage, General Insurance, Property & Casualty..., Long Term Care Insurance, Reinsurance, Financial Services, Commercial Insurance, Workers Compensation, Accident, Universal Life, Health Policy, Whole Life, Claims Management, Fixed Annuities, Customer Retention, Cross-functional Team..., Strategic Planning, Strategic Partnerships, Senior Executive..., Change Management, Mergers & Acquisitions, Joint Ventures, C-Level Presentations, Contract Negotiation

Education
Toward Excellence Program, People Express Airlines   1985 — 1987

Radford University   1976 — 1981
♦ Business with Concentration in Marketing Management

Erskine Longshaw Erskine Longshaw Marlboro, New Jersey Details
Erskine Longshaw's Horizon Blue Cross Blue Shield of NJ Experience February 2007 - Present
Job Electronic Enrollment at Horizon Blue Cross Blue Shield of NJ
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   February 2007 - Present
Horizon Blue Cross Blue Shield  February 2007 - Present
MasterFoods USA - A Mars Co   May 2005 - February 2007
AIG American General  February 1998 - May 2005

Skills
CCNA, OCP, SQL , & PLSQL, Access, Analysis, Databases, Program Management, Unix, Visio, User Acceptance Testing, Training, Requirements Gathering, Troubleshooting, Management

Education
AIG American

Center

Computer Career Training Center

Ocean County College

Ocean County College

Rich Bagger Rich Bagger Greater New York City Area Details
Rich Bagger's Horizon Blue Cross Blue Shield of NJ Experience November 1991 - August 1993
Job Senior Vice President, Corporate Affairs and Market Access at Celgene
Industry Biotechnology
Experience
Celgene  January 2012 - Present
State of New Jersey  January 2010 - January 2012
Pfizer  August 1993 - January 2010
State of New Jersey  January 2002 - January 2003
State of New Jersey  January 1992 - January 2002
Horizon Blue Cross Blue Shield of NJ   November 1991 - August 1993
McCarter & English, LLP   June 1985 - November 1991
US House of Representatatives Committee on Aging   November 1982 - September 1983

Skills
Legislative Relations, Public Policy, Public Affairs, Policy, Government, Lobbying, Strategy, Business Planning, Strategic Communications, Policy Analysis, Politics, Corporate Communications, Market Access, Media Relations, Political Campaigns, Public Relations, Regulatory Affairs, Strategic Planning, Crisis Communications, Crisis Management, Public Speaking, Nonprofits, Leadership Development, Speech Writing, Leadership, Fundraising, Pharmaceutical Industry, Community Outreach, Coalitions, Press Releases, Internal Communications, Governmental Affairs, Message Development, Executive Management, Reputation Management, Grassroots Organizing, Litigation, Corporate Social..., International Relations, Legislation, Proposal Writing, Political Communication, Communication Training, Spokesperson, Communications Planning, Thought Leadership, Community Development, State Government, Licensing, Health Economics

Education
Rutgers University School of Law - Newark   1983 — 1986
J.D., Law

Princeton University   1978 — 1982
A.B., Public and International Affairs

Anthony Giampapa Anthony Giampapa Greater New York City Area Details
Anthony Giampapa's Horizon Blue Cross Blue Shield of NJ Experience April 1999 - March 2000
Job Client Service Manager at Xerox
Industry Human Resources
Experience
Xerox  March 2000 - Present
Xerox  March 2000 - Present
Affiliated Computer Services  2000 - Present
Mellon HR Solutions (formerly PWC)   2000 - Present
ACS (Formerly Mellon HR&IS, PwC - Unifi Network)   March 2000 - January 2010
Affiliated Computer Services  March 2000 - January 2010
PricewaterhouseCoopers  2000 - 2004
Horizon Blue Cross Blue Shield of NJ   April 1999 - March 2000
Prudential Healthcare  May 1998 - April 1999

Skills
Business Process, Cross-functional Team..., RFP, Outsourcing, Vendor Management, Benefits Administration, Employee Benefits, Defined Benefit, Call Center, Process Improvement, Relationship Management, Performance Management, Change Management, BPO, Account Management, Project Management, Operations Management, Service Delivery, Business Process..., Human Resources, Shared Services, Leadership, Offshoring, Team Leadership, Team Management, Business Process..., Management, Training, Customer Service, Consulting, Pensions, Strategic Planning, Customer Satisfaction, Management Consulting, Project Delivery, HRO, Governance, Service Management, Resource Management, Requirements Analysis, Strategy, Outsourcing Management, Process Engineering, Global Delivery, Business Requirements, Solution Selling, Sourcing, Analysis, Call Centers, CRM

Education
Montclair State University   1994 — 1998
BS, Mathematics

Bloomfield High School   1990 — 1994

Felicia Couch Felicia Couch Trenton, New Jersey Details
Felicia Couch's Horizon Blue Cross Blue Shield of NJ Experience June 2000 - May 2010
Job Business Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Hospital & Health Care
Experience
Horizon Blue Cross Blue Shield of New Jersey  May 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey  2010 - Present
Horizon Blue Cross Blue Shield of NJ   June 2000 - May 2010
Capital Health System  1990 - 2000

Skills
Certified Professional..., Claim, Healthcare, Medicaid, Policy, Managed Care, Revenue Cycle, Disease Management, Physicians, Network Development, Utilization Management, Process Scheduler, Medicaid Managed Care

Education
Mercer County Community College
Business Admin, Nursing

Notre Dame High School

Esther Udechukwu RD,CDE. Esther Udechukwu RD,CDE. Anchorage, Alaska Area Details
Esther Udechukwu RD,CDE.'s Horizon Blue Cross Blue Shield of NJ Experience January 2006 - January 2014
Job Clinical Nutrition & Diabetes Prevention
Industry Hospital & Health Care
Experience
Bristol Bay Area Health Corporation  November 2014 - Present
Horizon Blue Cross Blue Shield of NJ   January 2006 - January 2014
Essex County Visiting Nurse   March 2003 - November 2008
Dietitian in Private Practice   February 2004 - October 2006
Brookhaven Health Care   September 2004 - July 2006
Hospital Center @ Orange, NJ   May 2002 - February 2005
Trinitas Hospital Elizabeth NJ   September 1999 - April 2004

Skills
Clinical Nutrition, Health and Wellness..., Nutrition Consulting..., Renal Nutrition, Oncology Nutrition, Pediatric Nutrition, Gerontology Nutrition, Weight Management and..., Gastrointestinal..., Healthcare, Wellness, Clinical Research, Nutrition, Pediatrics

Education
Rutgers, The State University of New Jersey-Newark   2012 — 2015
Master's degree-In progress, Biomedical Sciences

Montclair State University
Bachelor of Science (BS), Dietetics and Clinical Nutrition

John Newton, CMDSM, MQC John Newton, CMDSM, MQC Lexington, Kentucky Details
John Newton, CMDSM, MQC's Horizon Blue Cross Blue Shield of NJ Experience 1983 - 1989
Job Service Delivery Specialist at Ricoh Americas Corporation
Industry Printing
Experience
Ricoh Americas Corporation  October 2014 - Present
Ricoh Americas Corporation  December 2011 - Present
IKON Office Solutions  December 2011 - May 2012
Pitney Bowes  December 2006 - January 2011
University of California  June 1991 - February 1993
Horizon Blue Cross Blue Shield of NJ   1983 - 1989

Skills
Document Imaging, Managed Print Services, Document Management, Solution Selling, Direct Mail

Education
Kean University   1974 — 1976

Irvington high school

Iwona Pratas Iwona Pratas Greater New York City Area Details
Iwona Pratas's Horizon Blue Cross Blue Shield of NJ Experience January 2001 - March 2007
Job Manager, Human Resources (Human Resources Generalist) at BristolMyers Squibb, Princeton, New Jersey
Industry Pharmaceuticals
Experience
Bristol-Myers Squibb, Princeton, New Jersey   September 2010 - Present
Bristol-Myers Squibb  June 2008 - Present
Bristol-Myers Squibb Co.  March 2007 - Present
Horizon Blue Cross Blue Shield of NJ   January 2001 - March 2007

Education
Kean University   1996 — 2000

Bishop Ahr   1992 — 1996
HS, College Prep

Michael P. Rubino Michael P. Rubino Greater New York City Area Details
Michael P. Rubino's Horizon Blue Cross Blue Shield of NJ Experience April 2001 - January 2006
Job Marketing Communications Specialist/Owner, MSL MarCom, LLC
Industry Writing and Editing
Experience
MSL MarCom, LLC   February 2009 - Present
Horizon Blue Cross Blue Shield of NJ   April 2001 - January 2006
HOLDCOM  April 1996 - April 2001

Skills
Copywriting, Newsletters, Corporate Communications, Marketing Communications, Proofreading, Brochures, Editing, Direct Mail, Marketing, Logo Design, Collateral, Corporate Identity, Books, Flyers, Sales, Campaigns, Marketing Copy, Internal Communications, Email Marketing

Education
Montclair State University
Bachelor of Arts (B.A.), Political Science and Journalism

Joakim Rivas Joakim Rivas Greater New York City Area Details
Joakim Rivas's Horizon Blue Cross Blue Shield of NJ Experience July 2006 - November 2007
Job Program Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey  December 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey  December 2010 - December 2014
Horizon Blue Cross Blue Shield  November 2007 - December 2010
Horizon Blue Cross Blue Shield of NJ   July 2006 - November 2007
Horizon Blue Cross Blue Shield of NJ   April 2003 - June 2006

Skills
Health Insurance, Medicare, Healthcare

Education
St. Peter's College   2006 — 2007
MSA, Masters of Science in Accountancy

St. Peter's College   2004 — 2006
MBA, Masters in Business Administration and Management

Kean University   1997 — 2000
BA, Psychology

Andrea Murray Andrea Murray Greater Detroit Area Details
Andrea Murray's Horizon Blue Cross Blue Shield of NJ Experience March 2003 - October 2006
Job BLUE CROSS BLUE SHIELD/BLUECARD SENIOR SYSTEMS ANALYST/PRODUCTION SUPPORT
Industry Hospital & Health Care
Experience
Blue Cross Blue Shield of Michigan  May 2011 - Present
Empire Blue Cross Blue Shield of NY   December 2010 - April 2011
CareFirst Blue Cross Blue Shield of Maryland   July 2010 - November 2010
Affiliated Computer Services  September 2009 - September 2010
MedAssets  April 2010 - June 2010
Jacobson Solutions  May 2009 - July 2009
Emblem Health  May 2009 - May 2009
Jacobson Solutions  August 2008 - January 2009
Horizon Blue Cross Blue Shield  September 2000 - August 2008
Horizon Blue Cross Blue Shield of NJ   March 2003 - October 2006

Skills
Microsoft Office, Technical Writing, Benchmarking, Health Insurance, Process Improvement, HIPAA, Managed Care, Medicare, Insurance, Business Analysis, Project Management, Business Process..., Healthcare, Access, Employee Benefits, Claim, Healthcare Information..., Analysis, Change Management, Medicaid, Strategic Planning, Benefits Administration, Auditing, Data Analysis, Recruiting, Team Building, Policy, Healthcare Management, Microsoft Excel, Training, Quality Assurance, Management, Outlook, Call Center, Applicant Tracking..., Coaching, Performance Improvement, Business Intelligence, Team Leadership, Performance Management, Customer Service, Budgets, Requirements Analysis, Consulting, MS Project, Leadership, Account Management, Operations Management, PowerPoint, Microsoft Word

Education
Saint Peters College   2009 — 2013
Bachelors of Science, Mgt Science

Kean University

Saint Peters College
Bachelors of Science

Avraham Crane Avraham Crane Greater New York City Area Details
Avraham Crane's Horizon Blue Cross Blue Shield of NJ Experience July 1998 - December 1998
Job Software Developer at Business Licenses, LLC
Industry Information Technology and Services
Experience
Business Licenses, LLC  March 2013 - August 2014
Price Manager   May 2010 - March 2013
BC Consulting Services, Inc.   January 2009 - January 2010
Robert Half Technology  June 2009 - July 2009
McCarter & English, LLP   January 1999 - October 2008
Horizon Blue Cross Blue Shield of NJ   July 1998 - December 1998

Skills
Access, Visual Studio, .NET, Microsoft SQL Server, XML, VB.NET, JavaScript, Databases, Visual Basic, MySQL, Crystal Reports, HTML, VBScript, VBA, Programming, SQL, Troubleshooting, Software Development, Visio, Database Design, Business Analysis, System Administration, Business Intelligence, Analysis, Windows, Program Management, Data Modeling, Software Documentation, Software Project..., T-SQL, C#, PHP, Database Administration

Education
The Chubb Institute   1996 — 1998
Diploma, Computer Programming, GPA 3.42

New York University   1986 — 1990
BA, Political Science

Gregg Quinn Gregg Quinn Greater New York City Area Details
Gregg Quinn's Horizon Blue Cross Blue Shield of NJ Experience August 2008 - December 2008
Job Manager, HRIS and Shared Services at Horizon Blue Cross Blue Shield of New Jersey
Industry Human Resources
Experience
Horizon Blue Cross Blue Shield of New Jersey  July 2010 - Present
RCM Technologies  January 1998 - July 2010
Windham School District  December 2008 - September 2009
Spectrum Health System  June 2009 - August 2009
Honeywell  November 2008 - April 2009
Horizon Blue Cross Blue Shield of NJ   August 2008 - December 2008
Tyco Fire & Building Products  August 2007 - May 2008
Ann Taylor Corporation  April 2007 - August 2007
MBH Solutions (Prior to RCM Acquisition)   1998 - 2007

Skills
Employee Benefits

Education
Ramapo College of New Jersey   1984 — 1988
BS

Pequannock Township High School   1981 — 1984

Feceleste Casado Feceleste Casado Morris Plains, New Jersey Details
Feceleste Casado's Horizon Blue Cross Blue Shield of NJ Experience January 2011 - Present
Job at
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey  September 2015 - Present
Horizon BCBSNJ  February 2013 - Present
Horizon Blue Cross Blue Shield of NJ   January 2011 - Present
Horizon Blue Cross Blue Shield of NJ   January 2006 - January 2011

Skills
Research & Analysis, Standards Compliance, Contract Management, PMO, Budgets, MS Project, Visio, PMP, Process Scheduler, Risk Management, Analysis, SharePoint, Quality Assurance, Lotus Notes, Requirements Gathering, Management, Leadership, Business Requirements, Change Management, Healthcare, Team Leadership, Health Insurance, Vendor Management, Teamwork, Cross-functional Team..., Team Building, Requirements Analysis, Risk Assessment, Process Improvement, Software Documentation, Business Process..., Data Analysis, SDLC, Managed Care, Strategy, Governance, Strategic Planning, User Acceptance Testing, Microsoft Excel, Project Delivery, Business Process, HIPAA, Scope Management, PMBOK, Strategic Thinking, Business Strategy, Risk Analysis, Troubleshooting, Healthcare Management, Customer Service

Education
Project Estimating and Scheduling – International Institute for Learning, Inc   2011 — 2011

Montclair State University
BA, English

Passaic High School

Saint Peter's University
MBA, International Business

Rita Moniodes Rita Moniodes Greater New York City Area Details
Rita Moniodes's Horizon Blue Cross Blue Shield of NJ Experience March 1990 - January 2004
Job Career Coach | Resume Specialist | Leadership Development
Industry Professional Training & Coaching
Experience
Right Management  2011 - Present
Right Management  August 2008 - October 2010
American Water - Northeast Region   May 2005 - February 2007
Pocono Medical Center  2004 - 2005
Horizon Blue Cross Blue Shield of NJ   March 1990 - January 2004

Skills
Talent Management, Coaching, Training, Career Counseling, Performance Management, Career Management, Staff Development, Onboarding, Resume Writing, Interviews, Leadership Development, Job Search Strategies, Job Coaching, Management, Change Management, Workshop Facilitation, Project Management, Program Management, Career Development, Career Transitions, Vendor Management, Employee Engagement, Outplacement, Problem Solving, Supervision, Teaching, Training Needs Analysis, Written & Oral..., Screening Resumes, Program Development, Career Development..., Conflict Resolution, Instructional Design, Targeted Selection, Course/Curriculum..., Large Group Facilitation, Course Evaluation, proj, Executive Coaching, MBTI, Executive Development, Management Development, Interview Preparation, Strategy, 360 Feedback, Organizational..., Human Resources, Personnel Management, Culture Change, Leadership

Education
Kean University
Bachelor Degree

Paul Bedi (paul@idmworks.com) Paul Bedi (paul@idmworks.com) Miami, Florida Details
Paul Bedi (paul@idmworks.com)'s Horizon Blue Cross Blue Shield of NJ Experience March 2008 - December 2008
Job Identity Management Subject Matter Expert
Industry Information Technology and Services
Experience
IDMWORKS  June 2004 - Present
Priority Health  April 2009 - September 2009
TD Bank  June 2009 - August 2009
Dell  September 2007 - June 2009
Horizon Blue Cross Blue Shield of NJ   March 2008 - December 2008
Holland America Line  January 2008 - November 2008
Baylor  January 2008 - February 2008
Ithaca College  November 2007 - January 2008
Horizon Blue Cross Blue Shield of New Jersey  August 2006 - December 2007
Kaiser Permanente  December 2005 - December 2007

Skills
Identity Management, Access Management, Role Management, Architecture, SOA, Compliance Management, Risk, Enterprise Architecture, Management, Siteminder, Project Management, Strategy, Financial Risk, Architectures, Business Continuity, Business Process, CRM, Cloud Computing, Databases, Enterprise Software, Governance, ITIL, Information Security, Integration, LDAP, Leadership, Oracle, Professional Services

Education
Pepperdine University   2000 — 2001
MBA, Management

University of Western Ontario   1992 — 1997
B.Sc Honors, Computer Science

Dennys Valdez Dennys Valdez Greater New York City Area Details
Dennys Valdez's Horizon Blue Cross Blue Shield of NJ Experience August 2004 - November 2006
Job IT GOS Support Lead at Celgene
Industry Information Technology and Services
Experience
Celgene / Cognizant   August 2012 - Present
Celgene / Phoenix Technology   July 2011 - September 2012
QER Web Design Studios   November 2010 - September 2011
Zurich / CompuCom   December 2010 - May 2011
Quest Diagnostics Inc.  June 2009 - October 2009
Horizon Blue Cross Blue Shield of NJ   August 2004 - November 2006

Skills
Troubleshooting, Windows, Integration, Customer Service, Microsoft Office, Project Management, Microsoft Excel, Software Documentation, Remote User Support, Team Leadership, Project Coordination, Knowledge Management, ITIL Process..., Mobile Technology, ITIL v3 Foundations..., ITIL, Management, System Administration, Outlook, Windows XP, Computer Hardware

Education
New Jersey Institute of Technology   2011 — 2013
Master of Business Administration (MBA), Management Information Systems, General, 3.6

Rutgers, The State University of New Jersey-New Brunswick   2011 — 2012
Web Database Developer Certificate

DeVry University   2007 — 2009
Computer Information Systems, Database Management

Paulius Mikalainis Paulius Mikalainis Greater New York City Area Details
Paulius Mikalainis's Horizon Blue Cross Blue Shield of NJ Experience August 2006 - Present
Job BIG DATA Analyst and SAS Programmer at Horizon Blue Cross Blue Shield of NJ and Health, Wellness and Fitness Consultant
Industry Health, Wellness and Fitness
Experience
Horizon Blue Cross Blue Shield of NJ   August 2006 - Present
Medical Marketing Research International Ltd (MMRI) / Medical Marketing Studies US Inc (MMS)   October 2005 - July 2006

Skills
SQL, Java, PHP, Visual Basic, MS Office Suite, SAS, NetBeans, Eclipse, Software Design, RUP, Unix, Apache, Hadoop, Tomcat, Health Insurance, Medical Coding, medical cost trend, Medical Claims, Medical ROI, Medical Cost Savings, Provider Network, Medicine, Spend Management, Medical Billing

Education
New Jersey Institute of Technology   2007 — 2010
MS, Computer Science

US Coast Guard Academy   2001 — 2005
BS, Operation Research and Computer Analysis

General Jonas Zemaitis Military Academy   1999 — 2001
N/A, Management

Debra Catino Debra Catino Greater New York City Area Details
Debra Catino's Horizon Blue Cross Blue Shield of NJ Experience May 2007 - Present
Job National Account Executive at Horizon Blue Cross Blue Shield of NJ
Industry Hospital & Health Care
Experience
Horizon Blue Cross Blue Shield of NJ   May 2007 - Present
Horizon Blue Cross Blue Shield of New Jersey  May 2006 - January 2007
Empire Blue Cross  2001 - 2006
Empire Blue Cross  May 1998 - August 2001

Skills
Managed Care, Health Insurance, Insurance, Medicare, Healthcare, Employee Benefits, Health Savings Accounts, Process Improvement, Brokers, Strategic Planning, Underwriting, Account Management, Management, Health Care Reform, HIPAA

Education
Saint Peter's University   2007 — 2009
Masters, Risk Management, 4.0

Kean University   1989 — 1993
Bachelor of Business Administration (BBA), Business, Management, Marketing, and Related Support Services

Indra (Mona) Bhattacharya Indra (Mona) Bhattacharya Hilo, Hawaii Details
Indra (Mona) Bhattacharya's Horizon Blue Cross Blue Shield of NJ Experience August 2009 - February 2010
Job Founder of The Lumen Octave
Industry Nonprofit Organization Management
Experience
The Lumen Octave   December 2011 - Present
Bliss Instinct   June 2010 - Present
March of Dimes  2010 - July 2011
Horizon Blue Cross Blue Shield of NJ   August 2009 - February 2010
EDIMS, LLC  July 2008 - May 2009
Sourcegen   July 2008 - 2009
Programmer Resources INTL INC  2006 - 2007
Mastercard Worldwise   2005 - 2007
Integrated Global Systems   2006 - 2006

Skills
Project Management, Business Analysis, SDLC, Vendor Management, Visio, Program Management, Leadership, Requirements Analysis, Management, Agile Methodologies, Software Project..., Enterprise Software, Team Building, Requirements Gathering, PMO, Quality Assurance, CRM

Education
Monash University
Bachelor’s Degree, Psychology

North Dakota State University
Masters, Organizational Crisis Communication

Elena Picinic Elena Picinic Greater New York City Area Details
Elena Picinic's Horizon Blue Cross Blue Shield of NJ Experience April 1991 - August 2000
Job
Industry Hospital & Health Care
Experience
Newark Beth Israel Medical Center  January 2015 - Present
Newark Beth Israel Medical Center  July 2008 - Present
Riverbend Government Benefits Administrators   September 2000 - July 2008
Horizon Blue Cross Blue Shield of NJ   April 1991 - August 2000

Skills
Accounting, Hospitals, Process Improvement, Microsoft Office

Education
Montclair State University   1986 — 1991
BS, Business Administration/Accounting

Paramus Catholic High School   1982 — 1986

Kathleen Sherman, MA, LAC Kathleen Sherman, MA, LAC Greater New York City Area Details
Kathleen Sherman, MA, LAC's Horizon Blue Cross Blue Shield of NJ Experience June 2008 - November 2009
Job Therapist / Intensive Inhome Clinician at ASun Star Consulting
Industry Individual & Family Services
Experience
ASun Star Consulting   June 2014 - Present
New York University  2008 - Present
Merck  November 2009 - October 2011
Horizon Blue Cross Blue Shield of NJ   June 2008 - November 2009
Avaya Inc.  January 2002 - February 2008
New York University  2000 - 2007
Deloitte & Touche  August 1999 - December 2001

Skills
Training, Leadership, Leadership Development, Program Management, Recruiting, Employee Training, Performance Management, Human Resources, Staff Development, Cross-functional Team..., Career Counseling, Project Management, Budgets, Instructional Design, Project Planning, Psychotherapy, Team Management, Teaching, Consulting, Business Strategy

Education
New York University   1996 — 1999
Master of Arts (MA), Applied Psychology

New York University - Leonard N. Stern School of Business   1984 — 1988
Bachelor of Science (BS), Computer Information Systems and Personnel Management

Willam Paterson University

Evan Weiss Evan Weiss United States Details
Evan Weiss's Horizon Blue Cross Blue Shield of NJ Experience February 2006 - July 2008
Job Senior Product Manager at Amazon
Industry Marketing and Advertising
Experience
Amazon  April 2014 - Present
FedEx  March 2011 - March 2014
Thunderhead  November 2010 - March 2011
Buzzhunter (Formerly 2creativ)   September 2010 - March 2011
Soccer Without Borders  December 2009 - November 2010
Penn State University  August 2008 - June 2010
eChinaChem   June 2009 - October 2009
Horizon Blue Cross Blue Shield of NJ   February 2006 - July 2008
Xerox  June 2004 - August 2004

Skills
Product Management, Digital Marketing, Marketing Strategy, Mobile Devices, Social Media, Strategic Planning, Business Strategy, Marketing, Emerging Technologies, Product Development, Marketing Management, Business Planning

Education
Penn State University   2008 — 2010
MBA, Marketing, Finance

Ithaca College
Bachelors of Science, Communications

Rhoda Ondov, MS, PMP, MFT, CPC Rhoda Ondov, MS, PMP, MFT, CPC Greater New York City Area Details
Rhoda Ondov, MS, PMP, MFT, CPC's Horizon Blue Cross Blue Shield of NJ Experience July 2007 - April 2008
Job Owner at Ondov Relationship Coaching
Industry Health, Wellness and Fitness
Experience
Ondov Relationship Coaching   April 2015 - Present
Raritan Valley Community College  September 2011 - April 2015
NJAMFT   2010 - April 2015
Catholic Charities  September 2013 - December 2013
Center for Assessment and Treatment, A New Jerey Non-Profit Corp.   December 2011 - September 2013
MetLife  March 2011 - November 2011
SAFE in Hunterdon  July 2009 - April 2010
AT&T  October 2008 - March 2009
HIP  April 2008 - June 2008
Horizon Blue Cross Blue Shield of NJ   July 2007 - April 2008

Skills
Cross-functional Team..., Process Improvement, Project Management, Integration, Software Project..., PMP, Leadership, Product Management, Governance, Outsourcing, Change Management, IT Strategy, Coaching, Training, Software Documentation, Instruction, Certified Project..., Program Management, PMI, SDLC, Vendor Management, Psychotherapy, Business Analysis, Project Portfolio..., Budgets, Service Delivery, Parenting Skills..., ADHD, Treatment of depression, Anxiety Disorders, Couples Counseling, Behavior Management, Mental Health Counseling, Adolescent Therapy, Family Therapy, Substance Use Disorders, Autism Spectrum..., Group Therapy, Instructor-led Training, Suicidal Ideation, Multicultural..., Anger Management, Counseling Psychology, Grief Counseling, Conflict Management, Parent-child..., Parenthood, Legislative Affairs, Project Recovery, Recovery from Infidelity

Education
Kean University   2004 — 2007
Professional Diploma, Marriage and Family Therapy/Counseling

Kean University   2004 — 2007
MA Equivalency, Behavioral Psychology

Stevens Institute of Technology   1997 — 2000
MS, Management - Project Management

Rutgers University-New Brunswick   1970 — 1975
BS, Computer Science

Teaneck High School

Monica Hopkins MBA, MPM Monica Hopkins MBA, MPM Greater New York City Area Details
Monica Hopkins MBA, MPM's Horizon Blue Cross Blue Shield of NJ Experience July 2008 - March 2011
Job PMO Analyst at New York Life Insurance Company
Industry Information Technology and Services
Experience
New York Life Insurance Company  October 2014 - Present
The Depository Trust & Clearing Corporation  May 2014 - August 2014
Bridgewater Associates  September 2013 - May 2014
FJA-US  March 2012 - June 2013
NBCUniversal, Inc.   December 2011 - March 2012
Column Technologies  March 2011 - October 2011
Horizon Blue Cross Blue Shield of NJ   July 2008 - March 2011
Horizon Blue Cross Blue Shield of New Jersey  May 2006 - July 2008

Skills
Visio, Vendor Management, Business Analysis, MS Project, Project Management, SDLC, Process Improvement, Business Process..., Access, PMO, PMP, Program Management, Lotus Notes, Change Management, Microsoft Office, Data Analysis, SharePoint, Project Planning, Software Project..., Outlook

Education
Keller Graduate School of Management   2007 — 2009
MBA, Business Administration

Keller Graduate School of Management   2007 — 2009
Master, Project Management

Miami University   1998 — 2002
BS, Management Information Systems

Frederick Douglass Academy   1994 — 1998
High School Diploma

Jonathan Calindas Jonathan Calindas Greater New York City Area Details
Jonathan Calindas's Horizon Blue Cross Blue Shield of NJ Experience 1995 - 1999
Job Programmer at Theatre Development Fund
Industry Computer Software
Experience
Theatre Development Fund  December 2008 - Present
StayinFront inc.  July 2006 - March 2008
Cuchipinoy Productions   October 2002 - January 2006
Lehman Brothers  August 1999 - March 2005
Neuberger Berman  July 1999 - March 2005
Horizon Blue Cross Blue Shield of NJ   1995 - 1999

Skills
Requirements Analysis, SDLC, SQL

Education
New Jersey Institute of Technology   1993 — 1999
Bachelor of Applied Science (B.A.Sc.), Computer and Information Sciences

Pegeen Butterfield Pegeen Butterfield Greater New York City Area Details
Pegeen Butterfield's Horizon Blue Cross Blue Shield of NJ Experience January 1988 - May 1993
Job Assistant Director Bill Audit at Premier Healthcare Exchange, Inc.
Industry Medical Practice
Experience
Premier Healthcare Exchange, Inc.   January 2013 - Present
Summit Medical Group  January 2012 - December 2012
Managed Health Care Associates, Inc.   January 2009 - September 2011
Medco health  February 1999 - December 2008
Care Advantage  March 1996 - July 1999
Horizon Blue Cross Blue Shield of New Jersey  January 1993 - April 1996
Horizon Blue Cross Blue Shield of NJ   January 1988 - May 1993

Skills
Managed Care, Healthcare, Hospitals, Healthcare Information..., Pharmacy Benefit..., Clinical Research, Medicare, Pharmaceutical Industry, Healthcare Management, EMR, Disease Management, HIPAA, Cross-functional Team..., Health Policy, Healthcare Industry, Medicaid, Pharmacy

Education
Indiana University Bloomington   1980 — 1985
BSN, Nursing

Indiana University Bloomington   1980 — 1985
BSN, Nursing

Indiana University-Purdue University at Indianapolis   1980 — 1985
bsn, nursing

Lacordaire Academy for Women   1976 — 1980
high school, science

Rebecca Lindenberger Rebecca Lindenberger Greater Philadelphia Area Details
Rebecca Lindenberger's Horizon Blue Cross Blue Shield of NJ Experience May 2008 - August 2008
Job Senior IT Analyst at Endo Pharmaceuticals
Industry Pharmaceuticals
Experience
Endo Pharmaceuticals  July 2013 - Present
Endo Pharmaceuticals  October 2011 - July 2013
University of Pennsylvania Health System  October 2010 - October 2011
University of Pennsylvania Health System  November 2009 - October 2010
Horizon Blue Cross Blue Shield of NJ   May 2008 - August 2008

Skills
Cross-functional Team..., SharePoint, Salesforce.com, Pharmaceutical Industry, CRM, Vendor Management, Process Improvement, Computer System..., Document Management, System Implementations, Compliance, Learning Management..., Project Management, Veeva, 21 CFR Part 11, GxP, Software Documentation, Analysis, SDLC

Education
Penn State University   2005 — 2009
B.S., Supply Chain and Information Systems

Pina Svehla Pina Svehla Toms River, New Jersey Details
Pina Svehla's Horizon Blue Cross Blue Shield of NJ Experience May 2005 - July 2007
Job Development Assistant
Industry Marketing and Advertising
Experience
Jersey Shore Council, Boy Scouts of America  September 2011 - Present
United Minds, LLC   July 2007 - June 2011
newark now/financial empowerment center   2007 - 2010
Teach Our Children Foundation   2007 - 2010
Horizon Blue Cross Blue Shield of NJ   May 2005 - July 2007
United Minds, LLC   May 2006 - May 2007
Island Beach Motor Lodge   March 2003 - May 2005
Law Office of Frank J Zazzaro   September 2002 - November 2003

Skills
Event Management, Nonprofits, Training, Management, Program Management, Budgets, Advertising, Proposal Writing, Grant Writing, Customer Service, Research, Fundraising, Event Planning, Volunteer Management, Public Relations, Non-profits

Education
Ocean County College   2004 — 2006
Associates, Liberal Arts and Sciences/Liberal Studies

Ocean County College   2003 — 2005
Associates Degree, Liberal Arts

College of St. Elizabeth

Caitlin Nulty Caitlin Nulty Greater Philadelphia Area Details
Caitlin Nulty's Horizon Blue Cross Blue Shield of NJ Experience November 2007 - September 2012
Job Senior Associate at BAYADA Home Health Care
Industry Human Resources
Experience
BAYADA Home Health Care  July 2015 - Present
BAYADA Home Health Care  October 2012 - Present
Horizon Blue Cross Blue Shield of NJ   November 2007 - September 2012
Astic Productions   August 2006 - April 2007

Skills
Scheduling, Fundraising, Event Planning, Healthcare, Non-profits, Hiring, PeopleSoft, Applicant Tracking..., E-Verify, Sourcing, Reference Checking, Background Checks, MS Office, PeopleFluent, Recruiting, Human Resources, Talent Acquisition, Leadership, Process Scheduler, Employee Relations, Microsoft Office, Training, Management, Onboarding, Nonprofits, Talent Management, Customer Service

Education
Mount St. Mary's University   2002 — 2006
BS

Peter Lippa Peter Lippa Greater New York City Area Details
Peter Lippa's Horizon Blue Cross Blue Shield of NJ Experience February 2008 - August 2008
Job IT Consultant Program Manager
Industry Information Technology and Services
Experience
DIGISEC   March 2008 - Present
Horizon Blue Cross Blue Shield of NJ   February 2008 - August 2008
SAFE BioPharma Association  August 2007 - March 2008
PEARSON PUBLISHING  October 2004 - June 2006
NOVARTIS PHARMACEUTICALS INFORMATION TECHNOLOGY   May 2002 - July 2004

Education
New York University - Polytechnic School of Engineering   1978 — 1979
M.Sc., Computer Science

New York University - Polytechnic School of Engineering   1976 — 1978
B.Sc., ELECTRICAL ENGINEERING WITH CONCENTRATION IN POWER ENGINEERING

"ORT" SYNGALOWSKY   1966 — 1972
PRACTICAL ENGINEER, ELECTRICAL POWER ENGINEERING

John Szabo, MBA, PMP, ITIL John Szabo, MBA, PMP, ITIL Middletown, New Jersey Details
John Szabo, MBA, PMP, ITIL's Horizon Blue Cross Blue Shield of NJ Experience February 2008 - February 2011
Job Vice President Principal Project/Program Manager at BNY Mellon
Industry Information Technology and Services
Experience
BNY Mellon  March 2015 - Present
Wyndham Worldwide  September 2013 - February 2015
EmblemHealth  February 2011 - September 2013
Horizon Blue Cross Blue Shield of NJ   February 2008 - February 2011
Horizon Blue Cross Blue Shield of NJ   August 2006 - February 2008
Delta Corporate Services, Inc.   May 2003 - August 2006
Telcordia Technologies  2000 - 2002
Lucent Technologies  1998 - 2000
Bellcore  1997 - 1998
MCI  1996 - 1997

Skills
Visio, Business Analysis, Business Intelligence, IT Management, Integration, Program Management, Vendor Management, SDLC, MS Project, Project Management, CRM, Management, Process Improvement, Software Documentation, Software Development, Information Technology, PMO, Software Project..., IT Strategy, Project Portfolio..., Requirements Analysis, Resource Management, Oracle, SQL, Enterprise Software, Business Requirements, Analysis, Project Planning, Systems Analysis, Disaster Recovery, Enterprise Architecture, PMP, Telecommunications, ITIL, Governance, Business Process..., Requirements Gathering, Data Warehousing, Agile Project Management, Solution Architecture, Budgets, Access, Testing, IT Operations, SharePoint, Architectures, Team Management, System Deployment, Project Delivery, Agile Application...

Education
Marymount University   1992 — 1994
MBA, Information Management

Montclair State University   1983 — 1988
BS, Mathematics (Minor: Computer Science)

Cedar Ridge HS   1979 — 1983

Anthony Stramaglia Anthony Stramaglia Greater New York City Area Details
Anthony Stramaglia's Horizon Blue Cross Blue Shield of NJ Experience September 2006 - December 2006
Job Systems and Support Engineer
Industry Information Technology and Services
Experience
Thomson Reuters  February 2008 - Present
RTP Technology  February 2008 - November 2009
Premiere Global Services  October 2007 - January 2008
Horizon Blue Cross Blue Shield of NJ   September 2006 - December 2006
Ernst & Young  January 2005 - July 2006
Netspectations / 3rd Data LLC   January 2004 - 2005
Inter-Com, Inc   January 2002 - December 2003
AT&T  March 1997 - September 2000

Skills
ITIL, Solaris, VMware, Servers, Windows Server, Red Hat Linux, Virtualization, Troubleshooting, Security, Linux, Operating Systems, Windows, IIS, Data Center, TCP/IP, Unix, System Administration, SAN, Hardware, Cloud Computing, Networking

Education
Fairleigh Dickinson University-Florham Campus   1997 — 2002
BS

Raritan Valley Community College   1989 — 1994
AAS

Laura Zvara Lawlor Laura Zvara Lawlor Washington D.C. Metro Area Details
Laura Zvara Lawlor's Horizon Blue Cross Blue Shield of NJ Experience February 2001 - Present
Job
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of NJ   February 2001 - Present
Horizon Blue Cross Blue Shield of New Jersey  2001 - Present
GetWell:) Network   August 2005 - February 2006
GetWellNetwork  2003 - 2004
National Basketball Association  September 1997 - February 2001
National Basketball Association  1997 - 2001
Seton Hall University  1995 - 1997

Skills
Project Portfolio..., PMP, PMO, Process Improvement, SDLC, Program Management, ICD-10, Resource Management, Strategy, Vendor Management, Requirements Gathering, Management, Quality Assurance, Project Management, Cross-functional Team..., CRM, Visio, Business Analysis, Project Planning, HIPAA

Education
New Jersey Institute of Technology   2000 — 2001
MS

Seton Hall University   1992 — 1993
M. Ed.

Villanova University   1987 — 1991
BA

Joseph Dubow CPA/CGMA/MBA/Six Sigma Black Belt Joseph Dubow CPA/CGMA/MBA/Six Sigma Black Belt Greater New York City Area Details
Joseph Dubow CPA/CGMA/MBA/Six Sigma Black Belt's Horizon Blue Cross Blue Shield of NJ Experience 1980 - 1981
Job Senior Vice President Finance & Treasurer at Altegrity
Industry Financial Services
Experience
Altegrity  2013 - Present
JS Dubow CPA   2012 - 2014
D&B  2010 - 2012
Fiserv Investment Services  2007 - 2010
Ingersoll Rand  1991 - 2007
A&P  1988 - 1991
SmithKline Beecham  1983 - 1988
Kings Super Markets  1981 - 1983
Horizon Blue Cross Blue Shield of NJ   1980 - 1981

Skills
New Business Development, Corporate Accounting, Financial Reporting, Corporate Financial..., Strategic Planning, Corporate Budgeting, Forecasting, Corporate Finance, SEC Filings, Mergers & Acquisitions..., Sarbanes-Oxley, Internal Controls, P&L Financial Management, Revenue Recognition, Pricing, Expense Management, Balance Sheet Review, Working Capital..., Cash Flow Forecasting, Performance Metrics, Financial Close Process, Global Operations, Project Management, Six Sigma Black Belt, Business Process..., Process Improvement, Change Management, Problem Solving, Training, Recruiting, Team Leadership, Team Building, Mentoring, Six Sigma, Analysis, Analytics, Auditing, Business Planning, Cross-functional Team..., Due Diligence, Executive Management, Finance, Financial Analysis, Financial Modeling, Leadership, Management, Mergers, P, SEC filings, Sarbanes-Oxley Act

Education
Fairleigh Dickinson University-Metropolitan Campus   1985 — 1988
MBA, Accounting & Tax

Montclair State University   1978 — 1980
BS, Accounting

University of Dayton   1975 — 1978
Accounting

Jeffrey Creegan Jeffrey Creegan Greater New York City Area Details
Jeffrey Creegan's Horizon Blue Cross Blue Shield of NJ Experience 2002 - 2006
Job Owner at Village Irrigation LLC
Industry Retail
Experience
Toys "R" Us   July 2008 - April 2013
Toys R Us, Inc.   May 2006 - June 2008
Horizon Blue Cross Blue Shield of NJ   2002 - 2006
Horizon Blue Cross Blue Shield of NJ   1998 - 2002

Skills
Management, Customer Service, Call Centers, Retail, Outsourcing, Income Statement, Vendor Management, Team Building, Leadership, Store Management, Budgets, Inventory Management, Process Improvement, Cross-functional Team..., P&L Management, Team Leadership, Strategic Planning, Sales, Customer Satisfaction, Operations Management

Education
Lycoming College   1991 — 1995
BA, Business Administration - Marketing

Denise de los Reyes, RN, BSN Denise de los Reyes, RN, BSN Greater New York City Area Details
Denise de los Reyes, RN, BSN's Horizon Blue Cross Blue Shield of NJ Experience April 2008 - March 2013
Job Senior Business Systems Analyst
Industry Hospital & Health Care
Experience
Independent Living Systems, LLC  March 2013 - Present
Horizon Blue Cross Blue Shield of NJ   April 2008 - March 2013
Horizon Blue Cross Blue Shield of NJ   February 2007 - April 2008
Horizon Blue Cross Blue Shield of NJ   May 2002 - August 2006
Horizon Blue Cross Blue Shield of NJ   May 1998 - May 2002
Robert Wood Johnson University Hospital  1994 - 2002
Meadowlands Hospital Medical Center  1994 - 1994
Touro-Infirmary  1992 - 1994

Skills
Healthcare Management, Utilization Management, Managed Care, Process Improvement, Data Analysis, Medicare, Disease Management, Clinical Research, Health Policy, Healthcare Information..., HIPAA, Inpatient, Healthcare, SharePoint, Requirements Gathering, Visio, Long-term Care, Business Requirements, Software Documentation, Analysis, Troubleshooting, Quality Assurance, HMO, Nursing, Quality Improvement, Home Care, Systems Analysis, Requirements Analysis, Claim, Health Insurance, Business Analysis, Software Implementation, Gap Analysis, Informatics, Medicaid, Provider Relations, Utilization Review, Data Mining

Education
University of Scranton   2012 — 2015
MBA, Health/Health Care Administration/Management

New Jersey City University   1994 — 1997
Bachelor of Science in Nursing

Ann May School of Nursing   1989 — 1992
Diploma, Nursing

Jean Zheng Jean Zheng Greater New York City Area Details
Jean Zheng's Horizon Blue Cross Blue Shield of NJ Experience March 2006 - March 2013
Job Lead Business System Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey  April 2013 - Present
Horizon Blue Cross Blue Shield of NJ   March 2006 - March 2013
Horizon Blue Cross Blue Shield of New Jersey  June 2003 - March 2006
Horizon Blue Cross Blue Shield of NJ   December 2000 - June 2003
Lab Vantage Inc.   April 1999 - December 2000
Accutest  December 1994 - April 1999
Enseco Incorporated   October 1993 - August 1994
Applied Wastewater Technologies   May 1991 - October 1993

Skills
SDLC, Microsoft SQL Server, SQL, Enterprise Architecture

Education
New Jersey Institute of Technology
Master of Science

Tongji University
Bachelor of Science

Bryan Scipio Bryan Scipio Greater New York City Area Details
Bryan Scipio's Horizon Blue Cross Blue Shield of NJ Experience August 2007 - Present
Job SENIOR INVESTIGATOR at Horizon Blue Cross Blue Shield of NJ
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   August 2007 - Present

Skills
Claims, Background Checks, Claim, Health Insurance

Education
Montclair State University   1983 — 1987
Bachelor of Arts (B.A.), Communication and Media Studies

Vanessa Phipps Vanessa Phipps Greater New York City Area Details
Vanessa Phipps's Horizon Blue Cross Blue Shield of NJ Experience June 2008 - Present
Job Sr. Learning Consultant at Horizon Blue Cross Blue Shield of NJ
Industry Professional Training & Coaching
Experience
Horizon Blue Cross Blue Shield of NJ   June 2008 - Present
sanofi-aventis  1997 - 2008
Aventis Pharmaceuticals  2000 - 2005
Rhone-Poulenc Rorer  1997 - 2000

Skills
Workshop Facilitation, Performance Management, New Hire Orientations, Leadership Development, Employee Engagement, Curriculum Design, Training, Talent Management, Program Management, Change Management, Leadership, Human Resources, Employee Benefits, Vendor Management, Organizational..., Employee Relations, Organizational Design, Strategy, Executive Coaching, Management, Organizational..., Succession Planning, Personnel Management, Workforce Planning, Talent Acquisition, Onboarding, HRIS, Employee Training, Management Development, Culture Change

Education
Lincoln University   1974 — 1978

Gaurav Poudyal Gaurav Poudyal Chicago, Illinois Details
Gaurav Poudyal's Horizon Blue Cross Blue Shield of NJ Experience March 2008 - December 2012
Job Information Technology and Management Consultant
Industry Information Technology and Services
Experience
Deloitte Consulting  February 2013 - Present
Horizon Blue Cross Blue Shield of NJ   March 2008 - December 2012
Comcast  December 2007 - February 2008
Blue Cross Blue Shield of Rhode Island  February 2007 - October 2007
Maine Department of Health and Human Services  July 2006 - November 2006

Skills
Management Consulting, Technology Consulting, Consulting, Information Technology, IT Strategy, Software Development, Software Project..., Enterprise Software, Business Process, SDLC, Requirements Gathering, Visio, SharePoint, Systems Analysis, Software Documentation, Data Analysis, Business Analysis, Process Improvement, UML, Quality Assurance, Requirements Analysis, Data Modeling, User Acceptance Testing, Databases, Testing, Healthcare, Business Process..., Process Flow, Agile & Waterfall..., MS Project, Project Planning, Business Requirements, SQL, Access, Business Intelligence, Project Management, Integration, Analysis, Data Warehousing, Business Logic, Product Management, Application Lifecycle..., Leadership, Business Development, Business Process Design, Scrum, Agile Methodologies, Program Management, Strategy

Education
Minnesota State University, Mankato   2001 — 2005
BS, Computer Science Management Information Systems

Minnesota State University, Mankato
Bachelor of Science (B.S.), Computer Science Management Information Systems

Linus Joseph Linus Joseph Greater New York City Area Details
Linus Joseph's Horizon Blue Cross Blue Shield of NJ Experience March 2005 - August 2006
Job Currently not seeking employment
Industry Investment Management
Experience
Personal Sabbatical  February 2013 - Present
Elliott Management Corporation  February 2010 - February 2013
Max Capital Group   April 2009 - February 2010
Associated Press  August 2006 - April 2009
Horizon Blue Cross Blue Shield of NJ   March 2005 - August 2006
Hoffmann-La Roche  January 2004 - March 2005
Partsearch Technologies  September 2003 - January 2004

Education
University of North Texas   2000 — 2003
MS, Computer Science

Mahatma Gandhi University   1994 — 1998
BS, Civil Engineering

Alison Handler Alison Handler Greater New York City Area Details
Alison Handler's Horizon Blue Cross Blue Shield of NJ Experience 2000 - 2001
Job Senior Account Executive at Novo Nordisk A/S
Industry Pharmaceuticals
Experience
Novo Nordisk A/S  September 2012 - Present
Pfizer  September 2006 - September 2012
Pfizer  2001 - 2006
Horizon Blue Cross Blue Shield of NJ   2000 - 2001

Skills
Pharmacy Benefit..., Pharmaceutical Industry, Pharmacy, Pharmaceutical Sales, Oncology, Diabetes, Medicare Part D, Infectious Diseases, Disease Management, Market Access, Pharmacists, Healthcare, Medical Writing, Managed Care, Strategy

Education
Nova Southeastern University   1998 — 2000
PharmD, Clinical, Hospital, and Managed Care Pharmacy

Rutgers, The State University of New Jersey - Ernest Mario School of Pharmacy   1991 — 1996
Bachelor of Science (B.S.), Pharmacy

John P. Stevens High School   1987 — 1991

Vijay Cheruvu Vijay Cheruvu Greater New York City Area Details
Vijay Cheruvu's Horizon Blue Cross Blue Shield of NJ Experience July 2007 - August 2010
Job Senior Account Director, Government Programs at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth  June 2013 - Present
Cognizant Technology Solutions  August 2010 - May 2013
Horizon Blue Cross Blue Shield of NJ   July 2007 - August 2010
CareGain, a Division of Fiserv   September 2005 - June 2007
Cognizant Technology Solutions  May 1997 - August 2005

Education
Osmania University
Bachelors of Science, Statistics

Justin DeJoseph Justin DeJoseph Greater New York City Area Details
Justin DeJoseph's Horizon Blue Cross Blue Shield of NJ Experience 2007 - 2007
Job Sourcing Manager
Industry Oil & Energy
Experience
BP  2012 - Present
Avis Budget Group  October 2009 - January 2013
Schering-Plough Pharmaceuticals  2009 - 2009
Panasonic Corporation of North America  2007 - 2009
Cleary Gottlieb Steen & Hamilton LLP  April 2005 - April 2007
Horizon Blue Cross Blue Shield of NJ   2007 - 2007

Skills
Strategic Sourcing, Contract Negotiation, Sourcing, Procurement, RFP, Contract Management, E-procurement, Global Sourcing, Negotiation, Outsourcing, Project Management, Purchasing, Risk Management, Spend Analysis, Supplier Evaluation, Supply Management, Team Building, Vendor Management, eSourcing, Cross-functional Team..., Change Management

Education
New Jersey Institute of Technology   1998 — 2003
Bachelor's degree, Accounting and Business/Management

Benanti, Frank, MBA, CISA Benanti, Frank, MBA, CISA Greater New York City Area Details
Benanti, Frank, MBA, CISA's Horizon Blue Cross Blue Shield of NJ Experience Sr. Lead Systems AuditorHorizon Blue Cross Blue Shield of New Jersey2005 - Present
Job Sr. Lead Systems Auditor at Horizon Blue Cross Blue Shield of NJ
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   Sr. Lead Systems AuditorHorizon Blue Cross Blue Shield of New Jersey2005 - Present
Mellon Bank  February 2004 - May 2005
Buck Consultants (subsidiary of Mellon Bank)   1999 - 2004
Buck Consultants  1999 - 2004

Education
New Jersey Institute of Technology   2002 — 2007
MBA, Information Technology

New Jersey Institute of Technology   1993 — 1999
Bachelor of Science, Management and Information Systems

Stanley Croughter Stanley Croughter Greater New York City Area Details
Stanley Croughter's Horizon Blue Cross Blue Shield of NJ Experience 1998 - 2000
Job Director of Operations Consumer Portals United Healthcare
Industry Internet
Experience
United Healthcare  Director of OperationsUHG2008 - Present
All American Games  2014 - 2015
All American Games  2014 - 2015
Horizon Blue Cross Blue Shield of New Jersey  1999 - 2000
Horizon Blue Cross Blue Shield of NJ   1998 - 2000

Skills
HIPAA, Managed Care, Vendor Management, Healthcare Information..., Requirements Gathering, Medicare, Disaster Recovery, Employee Benefits, Medicaid, SDLC, Health Insurance, Visio, Business Analysis, System Administration, Healthcare Management, Healthcare, Training, Process Improvement, EHR, Team Building, Health Policy, Provider Relations, Healthcare Consulting, Insurance, Healthcare Industry, Software Documentation

Education
Penn State   1987 — 1991

Ruth A. Paige Ruth A. Paige Greater New York City Area Details
Ruth A. Paige's Horizon Blue Cross Blue Shield of NJ Experience 2008 - Present
Job at Horizon BCBSNJ
Industry Insurance
Experience
Horizon BCBSNJ  September 2008 - Present
Horizon Blue Cross Blue Shield of NJ   2008 - Present
Iota Phi Theta Fraternity, Inc.   1991 - Present
Horizon BCBSNJ  November 2002 - September 2008

Skills
Process Improvement, Service Operations, Program Management, Nonprofits, Microsoft Excel, Medicare, Leadership, Project Management, Microsoft Office, Managed Care, Customer Service, Business Analysis, Health Insurance, Vendor Management, Visio, Community Outreach, Public Speaking, Cross-functional Team..., Team Building, Strategic Planning, Process Management, Leadership Development, Team Leadership, Training, Healthcare, Research, Management, Insurance, Fundraising, Analysis, Active Directory, Risk Management, Access, Sales, Coaching, PowerPoint, Event Planning, Technical Support, Budgets, HIPAA, Customer Satisfaction, Change Management, Provider Relations, Software Documentation, Medicare Part D, Medicaid

Education
Kean University

James Mele James Mele Greater New York City Area Details
James Mele's Horizon Blue Cross Blue Shield of NJ Experience December 2008 - March 2012
Job Director, Application & Systems at HEALTHFIRST NY
Industry Information Technology and Services
Experience
HEALTHFIRST NY   May 2012 - Present
Horizon Blue Cross Blue Shield of NJ   December 2008 - March 2012
The Reserve Funds  March 2008 - December 2008
1199SEIU Benefit & Pension Funds   October 2002 - March 2008
Empire Blue Cross Blue Shield  March 1991 - October 2002

Skills
Requirements Gathering, SDLC, Business Analysis, Visio, Business Process..., Leadership, Requirements Analysis, Vendor Management, Software Development, HIPAA, Healthcare Information..., Process Improvement, Software Project..., Business Intelligence, Program Management

Education
Mount Saint Mary College
MBA, Business Administration

Mount Saint Mary College   1992 — 1997
BS Accounting and Business Administration

Tim Donald Tim Donald Greater New York City Area Details
Tim Donald's Horizon Blue Cross Blue Shield of NJ Experience 2007 - 2010
Job Director, MCR Initiatives Horizon BCBSNJ
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey  December 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey  September 2010 - December 2012
Horizon BCBSNJ  October 2007 - September 2010
Horizon Blue Cross Blue Shield of NJ   2007 - 2010

Skills
Health Insurance, Insurance, Healthcare, Vendor Management, Process Improvement, Strategic Planning, Account Management, Healthcare Industry, Relationship Management, Business Analysis, Business Process..., Employee Benefits, HIPAA, HMO, Health Savings Accounts, Managed Care, Medicaid, Medicare, Medicare Part D, PPO, Risk Management, Strategy, Disease Management, Health Policy, Provider Relations

Education
Penn State University   1991 — 1995

Tim Donald Tim Donald Greater New York City Area Details
Tim Donald's Horizon Blue Cross Blue Shield of NJ Experience September 2010 - December 2012
Job Director, Medical Cost & Quality Strategy Administration
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   September 2010 - December 2012
Horizon Blue Cross Blue Shield of NJ   September 2007 - September 2010
Horizon Blue Cross Blue Shield of NJ   October 2005 - September 2007
Horizon Blue Cross Blue Shield of NJ   December 2003 - October 2005

Skills
Health Insurance, Insurance, Managed Care, Medicare, Employee Benefits, Claim, Medicaid, Healthcare, HIPAA, Team Building, SDLC, Vendor Management, Strategic Planning, Risk Management, Business Analysis, Analysis, Software Documentation, Call Centers, Process Improvement, PMP, Strategy, Healthcare Consulting, Leadership, HMO, Health Care Reform, PPO, Visio, Medicare Part D, Provider Relations, Health Savings Accounts

Education
Penn State University   1991 — 1995
BS, Business Manangement

Jennifer Stauffer Sherrod Jennifer Stauffer Sherrod Greater New York City Area Details
Jennifer Stauffer Sherrod's Horizon Blue Cross Blue Shield of NJ Experience 1997 - 1999
Job Director of Customer Marketing at Prudential Financial
Industry Insurance
Experience
Prudential  1999 - Present
Horizon Blue Cross Blue Shield of NJ   1997 - 1999
Ogilvy and Mather  1996 - 1997
Creative Marketing Alliance  1994 - 1996
TMP Worldwide  1993 - 1994

Education
Monmouth University   1988 — 1992

Williamstown High School

Anu Boddakayala Anu Boddakayala Greater New York City Area Details
Anu Boddakayala's Horizon Blue Cross Blue Shield of NJ Experience August 2001 - October 2003
Job Programmer at iMM
Industry Financial Services
Experience
iMM  November 2003 - Present
Horizon Blue Cross Blue Shield of NJ   August 2001 - October 2003

Skills
Agile Methodologies, .NET, Java, Quality Center, SDLC, Banking, Microsoft SQL Server, Business Intelligence, Software Development, SQL, Oracle, Management, HTML, XML, ASP.NET, Business Analysis, JavaScript, UML, C#

Education
Osmania University

Doreen Healy Doreen Healy Greater Chicago Area Details
Doreen Healy's Horizon Blue Cross Blue Shield of NJ Experience July 2006 - January 2007
Job Sr. HCM Consultant at DM Healy Consulting
Industry Computer Software
Experience
DM Healy Consulting   January 2013 - Present
Kraft Foods  April 2009 - December 2012
Kaiser Permanente  January 2009 - April 2009
Kraft Foods  January 2007 - December 2008
Horizon Blue Cross Blue Shield of NJ   July 2006 - January 2007
Kaiser Foundation Health Plan  October 2005 - July 2006
BCBSNJ   2006 - 2006
GE  February 2004 - September 2005
ADP  2003 - 2004
Kaiser Permanente  September 1997 - May 1999

Skills
Testing, Benefits Administration, Payroll, SAP, PeopleSoft, Data Conversion, SAP HR, Human Resources, Cross-functional Team..., Employee Benefits, Analysis, ERP, Personnel Management, SQL, Business Process

Education
Mundelein College

Northern Illinois University
Acccounting

Nicholas Starinsky Nicholas Starinsky Greater New York City Area Details
Nicholas Starinsky's Horizon Blue Cross Blue Shield of NJ Experience May 2004 - January 2013
Job Senior Operations Engineer / ControlM consultant at OSP Group
Industry Information Technology and Services
Experience
FULLBEAUTY Brands  December 2012 - Present
Horizon Blue Cross Blue Shield of NJ   May 2004 - January 2013
Pfizer  June 2001 - April 2004
Merrill Lynch  October 1999 - April 2001
Pfizer  October 1996 - June 1999
Sills Cummis Epstein & Gross  December 1995 - October 1996
Pharm-Ethics   June 1995 - December 1995

Skills
CMDB, Windows, IIS, SharePoint, ITIL, Automation, Architecture, System Administration, Workload Automation, Control-M, Slackware, Microsoft SQL Server, Windows Server, Disaster Recovery, Servers, Troubleshooting, Oracle, Testing, Databases, Integration, IT Management, Software Documentation, DevOps, SQL Server, Network Administration, SDLC, Visio, Security, Enterprise Architecture, Requirements Analysis, SQL, Architectures, Networking

Education
New Jersey Institute of Technology   1992 — 1995

Passaic High School

Candy Nelson Candy Nelson Greater New York City Area Details
Candy Nelson's Horizon Blue Cross Blue Shield of NJ Experience Senior AccountantErnst & Young1983 - 1985
Job Audit Manager at Horizon Blue Cross Blue Shield of NJ
Industry Hospital & Health Care
Experience
Horizon Blue Cross Blue Shield of NJ   Senior AccountantErnst & Young1983 - 1985

Education
Pace University - Lubin School of Business   1979 — 1983

Richard Craine Richard Craine Greater New York City Area Details
Richard Craine's Horizon Blue Cross Blue Shield of NJ Experience January 2008 - Present
Job EPMO Manager
Industry Insurance
Experience
Horizon BCBS  January 2010 - Present
Horizon Blue Cross Blue Shield of NJ   January 2008 - Present
RCQ Enterprises, Inc   October 2007 - December 2009
Horizon Blue Cross Blue Shield of NJ   February 2005 - January 2008
Coalition For Care Management   April 2002 - February 2005
esavio (Formerly: Netera)   1999 - 2001
Lancomp / Netera / Esavio   1999 - 2001
Hoffmann-La Roche  April 1991 - July 1999

Education
Rutgers, The State University of New Jersey-Newark   1992 — 1997
MBA, Business

Penn State University   1983 — 1987
BA, Theatre

Jamillah Thompson Jamillah Thompson Greater New York City Area Details
Jamillah Thompson's Horizon Blue Cross Blue Shield of NJ Experience Medical AdministratorSaint Barnabas Medical CenterJanuary 1994 - February 1998
Job Auditor at Horizon Blue Cross Blue Shield of NJ
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   Medical AdministratorSaint Barnabas Medical CenterJanuary 1994 - February 1998

Education
Saint Peter's University
Master of Business Administration (MBA), Risk Management

Montclair State University
Bachelor of Arts (BA)

Carrie Ivler Carrie Ivler Greater New York City Area Details
Carrie Ivler's Horizon Blue Cross Blue Shield of NJ Experience 2000 - 2006
Job Chief Information Officer at Medical Resources, Inc.
Industry Hospital & Health Care
Experience
Medical Resources, Inc.   February 2006 - Present
Horizon Blue Cross Blue Shield of New Jersey  2000 - 2006
Horizon Blue Cross Blue Shield of NJ   2000 - 2006
JFK Medical Center  1995 - 2000
AT&T  1989 - 1995

Education
Pennsylvania State University   1985 — 1989

Nathan Drapkin Nathan Drapkin Greater New York City Area Details
Nathan Drapkin's Horizon Blue Cross Blue Shield of NJ Experience 2007 - 2013
Job Vice President, National Sales Team
Industry Health, Wellness and Fitness
Experience
Cigna  October 2013 - Present
Horizon Blue Cross Blue Shield of NJ   2007 - 2013
Aetna  2004 - 2007
Aon Hewitt  1999 - 2004
PricewaterhouseCoopers  1996 - 1999

Skills
Strategy, Health Insurance, Employee Benefits, Cross-functional Team..., New Business Development, Sales Management

Education
New Jersey Institute of Technology - School of Management   1998 — 2003
Masters, Information Systems Management

Kean University   1991 — 1995
Bachelors, Finance and Economics

Larry Altman Larry Altman Greater New York City Area Details
Larry Altman's Horizon Blue Cross Blue Shield of NJ Experience March 2002 - December 2009
Job Health Care Executive | Strategist | Marketer | Health Care Reform and Health Transformation Expert
Industry Hospital & Health Care
Experience
Altman Advisory Services   May 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey  April 2013 - April 2015
Horizon Blue Cross Blue Shield of New Jersey  December 2009 - April 2015
Horizon Foundation for New Jersey   2004 - 2011
Horizon Blue Cross Blue Shield of NJ   March 2002 - December 2009
Horizon Healthcare of New York  2002 - 2007
Strategy&, part of the PwC network (formerly Booz & Company)   1986 - 2002

Skills
Health Care Strategy, Health Care Reform, Strategy, Affordable Care Act, Health Policy, Managed Care, Team Building, Health Insurance, Management Consulting, Insurance, Program Management, Strategic Planning, Leadership, Change Management, Cross-functional Team..., Analytics, Executive Management, Board Presentations, Foundations, Health Care Value..., Payors, Payor Provider..., Product Development, Public Relations, Strategic Public..., Advertising, Agency Selection, Executive-level..., Marketing Communications, Strategic Communications, Annual Reports, Consumerism, Healthcare, Financial Services, Project Management, Medicare

Education
Yale University - Yale School of Management   1988 — 1990
Masters in Public and Private Management (MPPM); Masters in Business Administration (MBA)

Princeton University   1982 — 1986
A.B., Economics

Joseph Pinho Joseph Pinho Greater New York City Area Details
Joseph Pinho's Horizon Blue Cross Blue Shield of NJ Experience 1983 - 1996
Job Retired in Florida
Industry Hospital & Health Care
Experience
Florida  August 2015 - Present
Montefiore Medical Center  June 2000 - July 2015
Elderplan, Inc  1999 - 2000
NYLCare Health Plans  1996 - 1999
Horizon Blue Cross Blue Shield of NJ   1983 - 1996

Skills
Medicare, Medicaid, Hospitals, Healthcare Information..., HIPAA, EMR, Health Policy, Process Improvement, Strategic Planning, Network Development, Financial Analysis, Budgets, Physician Relations, Physicians

Education
Montclair State University   1978 — 1982
Bachelor of Science (B.S.), Accounting

Neethu Shenoy Neethu Shenoy Washington D.C. Metro Area Details
Neethu Shenoy's Horizon Blue Cross Blue Shield of NJ Experience August 2008 - May 2009
Job Sr Information Security Consultant at Freddie Mac
Industry Information Technology and Services
Experience
Freddie Mac  November 2013 - Present
Federal Communications Commission  June 2013 - November 2013
Freddie Mac  April 2011 - June 2013
Fannie Mae  November 2009 - March 2011
Merck  October 2009 - November 2009
Prudential Financial, Inc  June 2009 - November 2009
Cognizant Technology Solutions (CTS)   August 2008 - November 2009
Horizon Blue Cross Blue Shield of NJ   August 2008 - May 2009
Discover Financial Services  September 2008 - October 2008
Capital One  March 2008 - August 2008

Skills
ITIL, SDLC, Business Analysis, Program Management, PMO, Risk Management, Business Process..., IT Service Management, Requirements Analysis, Service Delivery, Project Portfolio..., Change Management, Quality Assurance, Team Management, Outsourcing, Six Sigma, Management, Resource Management, Process Engineering, Governance, Project Management, Software Documentation, Project Planning, Analysis, Release Management, Business Process, Software Project..., Business Process..., Process Management

Education
University of Maryland University College   2012 — 2014
Master of Science (MS), Cyber Security

Manipal Institute of Technology   1996 — 2000
Bachelors in Engineering, Electronics and Telecommunications

Villanova University
Six Sigma- Green Belt, Green Belt - Six Sigma

Peter Morey Peter Morey Greater New York City Area Details
Peter Morey's Horizon Blue Cross Blue Shield of NJ Experience April 2009 - Present
Job Director of Product Development & Management at Horizon Blue Cross Blue Shield of NJ
Industry Health, Wellness and Fitness
Experience
Horizon Blue Cross Blue Shield of NJ   April 2009 - Present
Horizon Blue Cross Blue Shield of New Jersey  2009 - Present
ActiveHealth Management  December 2007 - March 2009
Aetna  2003 - 2007

Skills
Health Insurance, Insurance, Managed Care, Product Development, Leadership, Medicare, Process Improvement, Employee Benefits, Healthcare, HIPAA, Management, Health Policy, Disease Management, Product Management, Health Care Reform, HMO, Health Savings Accounts, Medicaid

Education
New York Law School   1993 — 1996
JD, Law

University of Michigan   1981 — 1983
MHSA, Health Planning & Policy Analysis

Providence College   1977 — 1981
Bachelor of Science (BS), Health Services Administration

Rhonda. Bushrod Rhonda. Bushrod Washington D.C. Metro Area Details
Rhonda. Bushrod's Horizon Blue Cross Blue Shield of NJ Experience January 1990 - September 1999
Job Bushines Analyst at NCAS
Industry Insurance
Experience
NCAS  May 2000 - Present
NCAS  May 2000 - Present
Horizon Blue Cross Blue Shield of NJ   January 1990 - September 1999

Education
Montclair State University   1975 — 1979
BS, Biology

Emie Quijano Emie Quijano Greater New York City Area Details
Emie Quijano's Horizon Blue Cross Blue Shield of NJ Experience February 2008 - Present
Job Information Security Analyst at Horizon Blue Cross Blue Shield of NJ
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of NJ   February 2008 - Present
Horizon BCBS  February 2007 - February 2008
Metropolitan Bank and Trust Company  September 2004 - January 2007
American Express  2000 - 2003

Skills
Information Security, CISSP, Computer Security, IT Service Management, Firewalls, Security Awareness, Security, Information Technology, Application Security, IDS, Networking, PCI DSS, Disaster Recovery, Information Security..., Network Security, ISO 27001, IT Audit

Education
Eulogio Rodriguez Institute of Science and Technology
Bachelor of Science in Electronics & Communications Engineering, Electronics and Communications Engineering

New York University
Java, Computer Programming, Vendor/Product Certification

Srinath Devulapalli Srinath Devulapalli Austin, Texas Area Details
Srinath Devulapalli's Horizon Blue Cross Blue Shield of NJ Experience December 2006 - March 2007
Job Software Development Senior Engineer at Dell
Industry Computer Software
Experience
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

Christina Llambelis Christina Llambelis Greater New York City Area Details
Christina Llambelis's Horizon Blue Cross Blue Shield of NJ Experience August 2003 - August 2005
Job PeopleSoft Functional Analyst at NYC HHC
Industry Government Administration
Experience
NYC Health and Hospitals Corporation  May 2011 - Present
DCAS - NYC   June 2010 - May 2011
DoITT - New York City   March 2009 - June 2010
FISA City of New York   April 2007 - March 2009
Citigroup  August 2005 - April 2007
Horizon Blue Cross Blue Shield of NJ   August 2003 - August 2005
Merrill Lynch  June 1996 - July 2003

Skills
PeopleSoft, Requirements Gathering, Business Analysis, SDLC, Visio, Requirements Analysis, HRIS, SharePoint, Crystal Reports, Systems Analysis, Vendor Management, Software Documentation, Project Management

Education
Pace University - Lubin School of Business   1998 — 2002
Master of Business Administration (M.B.A.), Human Resources Management and Information Systems

Syracuse University   1992 — 1996
BA, Internation Relations/Political Science

Shealette Jackson Shealette Jackson Greater New York City Area Details
Shealette Jackson's Horizon Blue Cross Blue Shield of NJ Experience February 2005 - Present
Job Senior Contract Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   February 2005 - Present
Horizon Blue Cross Blue Shield of NJ   May 1999 - February 2005
Paterson Public School  September 1998 - April 1999

Skills
Employee Benefits, Medicare, Health Insurance, Access, HIPAA, Interviews, Managed Care, Insurance, Data Analysis, Lotus Notes, Medicaid, Healthcare, Health Policy, Healthcare Reform, Managed Care Plans, Provider Relations, Management, Process Improvement, Leadership, Training, Customer Service, Sales, Strategic Planning, Claim, Program Management, Microsoft Office

Education
Ramapo College of New Jersey   1990 — 1995
Bachelor, Fine Arts

Peter Lippa Peter Lippa Greater New York City Area Details
Peter Lippa's Horizon Blue Cross Blue Shield of NJ Experience February 2007 - August 2007
Job Sr. IT Consultant Infrastructure Program Manager
Industry Pharmaceuticals
Experience
Bank of America  December 2011 - Present
J.P. Morgan Chase   May 2010 - Present
Horizon Blue Cross Blue Shield of NJ   February 2007 - August 2007
Horizon Blue Cross Blue Shield  2007 - 2007
Pearson Custom Publishing  October 2004 - June 2006
NOVARTIS PHARMACEUTICALS TECHNOLOGY DEPARTMENT   May 2002 - July 2004
Morgan Stanley  1994 - 2002
Morgan Stanley  1994 - 2002
Morgan Stanley  1994 - 2002
Salomon Brothers  1990 - 1994

Skills
PMO, SDLC, Process Development, Vendor Management, PMP, Disaster Recovery, Project Portfolio..., Project Delivery, Waterfall, Program Management, Stakeholder Management, Agile, Software Project..., Resource Management, Application Development, Business Analysis, Agile Project Management, PMI, MS Project, Requirements Gathering, Project Planning, CMM, Business Requirements, Risk Management, Enterprise Architecture, Process Engineering, RUP, Risk Mitigation, Visio, Requirements Analysis, IT Strategy, Clarity, PMBOK, Process Improvement, ITIL, Business Process, Gap Analysis, IT Management, Data Warehousing, SharePoint, Integration, Project Implementation, Change Management, Outsourcing, Team Building, Documentation, RFP

Education
New York University - Polytechnic School of Engineering   1978 — 1979
M.Sc., Computer Science

New York University - Polytechnic School of Engineering   1976 — 1978
B.Sc., ELECTRICAL POWER ENGINEERING

"ORT" SYNGALOWSKY   1966 — 1972
PRACTICAL ENGINEER, ELECTRICAL POWER ENGINEERING

Shavonne Weathers Shavonne Weathers Greater New York City Area Details
Shavonne Weathers's Horizon Blue Cross Blue Shield of NJ Experience October 1998 - Present
Job Supervisor at Horizon Blue Cross Blue Shield of NJ
Industry Health, Wellness and Fitness
Experience
Horizon Blue Cross Blue Shield of NJ   October 1998 - Present

Education
Kean University

Nancy DesRosiers Nancy DesRosiers Greater New York City Area Details
Nancy DesRosiers's Horizon Blue Cross Blue Shield of NJ Experience April 2007 - December 2008
Job Financial Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Health, Wellness and Fitness
Experience
Horizon Blue Cross Blue Shield of New Jersey  January 2009 - Present
Horizon Blue Cross Blue Shield of NJ   April 2007 - December 2008
Horizon Blue Cross Blue Shield of New Jersey  May 2006 - April 2007

Skills
Financial Analysis, Business Analysis, Financial Reporting, Analysis, Forecasting, Six Sigma, Sarbanes-Oxley Act, Process Improvement, Microsoft Excel, PeopleSoft, Financial Modeling, Data Analysis, Auditing, Risk Management, Customer Service, Green Belt Certification, Insurance Risk

Education
St. Peter's College   2010 — 2012
MBA, Risk Management

Montclair State University   2001 — 2005
BS, Finance and Management

Robert Lawrie Robert Lawrie Long Valley, New Jersey Details
Robert Lawrie's Horizon Blue Cross Blue Shield of NJ Experience August 2005 - Present
Job Senior Hospital Contract Manager at Horizon Blue Cross Blue Shield of NJ
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   August 2005 - Present
Deborah Heart and Lung Center  January 1998 - August 2005
Deborah Heart and Lung Center  January 1997 - January 1998
Deborah Heart and Lung Center  May 1995 - January 1997
Magee Rehabilitation  1992 - 1992

Skills
DRG, Managed Care, Leadership, Project Management, Medicaid, Healthcare Management, HIPAA, Medicare, Health Insurance, Healthcare Consulting, Healthcare, Hospitals, Network Contracting, Provider Relations, Healthcare Industry, HMO, Network Development, PPO, Health Policy, Inpatient, Policy, Healthcare Reimbursement, Strategic Planning, Physician Relations, Physicians, Strategy, Medicare/Medicaid..., Health Care Reform, Process Improvement, Revenue Cycle, Hospital Contracting, Charge Master, Financial Modeling, Governmental Affairs

Education
Widener University   1992 — 1995
MBA, Health and Medical Services Administration

La Salle University   1988 — 1992
BA, Political Science

Mendham High School   1984 — 1988

Nancy McGrath Nancy McGrath Greater New York City Area Details
Nancy McGrath's Horizon Blue Cross Blue Shield of NJ Experience March 2008 - Present
Job Operations Manager Horizon Blue Cross Blue Shield of NJ
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   March 2008 - Present
Horizon Blue Cross Blue Shield of NJ   May 2006 - March 2008
Horizon Blue Cross Blue Shield of NJ   April 1995 - May 2006
Horizon Blue Cross Blue Shield of NJ   August 1993 - April 1995

Skills
Vendor Management, Call Center, Call Centers, Quality Assurance, Cross-functional Team..., Access, Coaching, Leadership, Customer Service, Process Improvement, Business Analysis, Outsourcing, Program Management, Change Management, Business Process..., Operations Management, Insurance, Management

Education
Ocean County College   1979 — 1984
Associates, Chemical Engineering

The University of Kansas   1977 — 1977
engineering

Woodbridge Senior High School

Valerie Love Valerie Love Greater New York City Area Details
Valerie Love's Horizon Blue Cross Blue Shield of NJ Experience December 2007 - April 2012
Job Manager Contract Issuance and Product Administration at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey  April 2012 - Present
Horizon Blue Cross Blue Shield of NJ   December 2007 - April 2012

Skills
Business Requirements, SDLC, PMP, SharePoint, Project Portfolio..., Enterprise Architecture, Resource Management, Software Documentation, PMO, Management

Education
Montclair State University   1982 — 1986

Cynthia Nunez Cynthia Nunez Allentown, Pennsylvania Area Details
Cynthia Nunez's Horizon Blue Cross Blue Shield of NJ Experience 2002 - 2011
Job Continuous Education & Customer Development
Industry E-Learning
Experience
Victaulic  2011 - Present
Horizon Blue Cross Blue Shield of NJ   2002 - 2011

Skills
Instructional Design, E-Learning, Training Delivery, Blended Learning, Lectora, Needs Analysis, Technical Writing, Training, CRM, Coaching, Leadership, Project Management, Captivate, Management, Strategic Planning, Program Management, Mentoring, Team Building, Software Documentation, Process Improvement

Education
New Jersey City University   1981 — 1985
BFA, Communication Design & Technology

Joseph Gunn Joseph Gunn Greater New York City Area Details
Joseph Gunn's Horizon Blue Cross Blue Shield of NJ Experience December 2004 - June 2007
Job Transportation Security Officer at US Department of Homeland Security
Industry Accounting
Experience
US Department of Homeland Security  May 2012 - Present
Barnes & Noble College Booksellers  April 2011 - May 2011
Medical Resources, Inc.   2007 - May 2009
Horizon Blue Cross Blue Shield of NJ   December 2004 - June 2007
Covanta Energy  November 1997 - December 2004

Skills
Account Reconciliation, General Ledger, Financial Reporting, Variance Analysis, Accounting, Accounts Payable, Accounts Receivable, Fixed Assets, Sales & Use Tax..., SOX Compliancy, PeopleSoft, QuickBooks, Multiple Entity..., Customer Service, Customer Engagement, Aviation Security, Sarbanes-Oxley Act, Process Improvement, Team Building

Education
Kean University   1988 — 1990
BS, Accounting

Raritan Valley Community College   2009 — 2009
Certificate, QuickBooks Certification

MSI Education Services   2009 — 2009
Certificate, MS Office 2007 Certification

Edward Acosta Edward Acosta Greater New York City Area Details
Edward Acosta's Horizon Blue Cross Blue Shield of NJ Experience 1996 - 2007
Job Product Manager at Express Scripts
Industry Pharmaceuticals
Experience
Express Scripts  January 2013 - Present
Medco  December 2009 - January 2013
Medco Health Solutions  November 2007 - December 2009
Horizon Blue Cross Blue Shield of NJ   1996 - 2007

Skills
SDLC, Cross-functional Team..., Software Implementation, Software Project..., Process Improvement, Requirements Gathering, Quality Assurance, Business Analysis, 21 CFR Part 11, Program Management, Data Analysis, Product Management, Vendor Management, Pharmaceutical Industry, Analysis, Healthcare, Health Insurance, Managed Care

Education
New Jersey City University
Bachelor of Science, Business Management

Susan de la Motte (most recent) Susan de la Motte (most recent) Greater New York City Area Details
Susan de la Motte (most recent)'s Horizon Blue Cross Blue Shield of NJ Experience February 1997 - February 2001
Job Staffing Consultant at Daiichi Sankyo, Inc
Industry Pharmaceuticals
Experience
Daiichi Sankyo, Inc  August 2014 - Present
Daiichi Sankyo, Inc.   August 2010 - April 2014
BD  March 2010 - August 2010
Daiichi Sankyo  February 2002 - May 2009
The Rosen Group  February 2001 - January 2002
Horizon Blue Cross Blue Shield of NJ   February 1997 - February 2001

Skills
Talent Acquisition, Recruiting, Applicant Tracking..., Sourcing, Human Resources, Interviews, Executive Search, Temporary Placement, Management, Training, Cross-functional Team..., Strategy, Leadership, Corporate Communications, Employee Benefits, Finance, Pharmaceutical Industry, Performance Management, Talent Management, Onboarding, Employee Relations, Internet Recruiting, Public Relations, Healthcare, Employee Engagement, Succession Planning, Organizational..., Technical Recruiting, HRIS, Deferred Compensation, Clinical Development, Organizational..., Pharmaceutical Sales

Education
Montclair State University   1987 — 1991
Psychology

venu tummala venu tummala Greater New York City Area Details
venu tummala's Horizon Blue Cross Blue Shield of NJ Experience June 2002 - Present
Job Tech Lead at Horizon Blue Cross Blue Shield of NJ
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   June 2002 - Present
horizon bluecross   2002 - 2008
Goldman Sachs  January 1999 - May 2002

Education
National Institute of Technology Durgapur   1976 — 1981
BE, Electrical Engineering

University of Burdwan   1976 — 1981
B Tech, Electrical Engineering

Ken Plotnick Ken Plotnick Greater New York City Area Details
Ken Plotnick's Horizon Blue Cross Blue Shield of NJ Experience November 1985 - Present
Job System Engineer at Horizon Blue Cross Blue Shield of NJ
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   November 1985 - Present
Horizon BCBSNJ  1985 - Present
Horizon Blue Cross Blue Shield  1985 - Present
Horizon Blue Cross Blue Shield of New Jersey  1985 - Present
BLUE CROSS BLUE SHIELD's Medix Inc.   1985 - 1995
softtran   1980 - 1985
IBM  1979 - 1980

Skills
Enterprise Architecture, Software Development, Database Design, Architecture, PMP, SDLC, Visio, C#, Vendor Management, Requirements Analysis, Process Improvement, Project Planning, Software Documentation, EDI, Health Insurance, EAI, Virtualization, Software Project..., Architectures, Requirements Gathering, Management, Disaster Recovery, Business Analysis, Integration

Education
New York University   1976 — 1980
BS, Computer Applications

roosevelt high school   1973 — 1976

Ken Plotnick Ken Plotnick Greater New York City Area Details
Ken Plotnick's Horizon Blue Cross Blue Shield of NJ Experience Manager Desktop Engineering and MessagingHorizon Blue Cross Blue Shield of New JerseyAugust 2014 - Present
Job Manager Desktop Engineering and Messaging at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   Manager Desktop Engineering and MessagingHorizon Blue Cross Blue Shield of New JerseyAugust 2014 - Present
Softtran   June 1980 - November 1985

Education
New York University   1976 — 1980
BS, Computer Applications and Information Systems

Susan Singleton Susan Singleton Greater New York City Area Details
Susan Singleton's Horizon Blue Cross Blue Shield of NJ Experience September 1992 - April 2014
Job HRISELM Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey  April 2014 - Present
Horizon Blue Cross Blue Shield of NJ   September 1992 - April 2014

Education
Saint Peter's University
Master of Business Administration (M.B.A.)

Montclair State University
Bachelor's Degree

Edward McArdle Edward McArdle Greater New York City Area Details
Edward McArdle's Horizon Blue Cross Blue Shield of NJ Experience 1986 - 1990
Job COO at Armada Health Care
Industry Pharmaceuticals
Experience
IHPNetwork, Inc.   2010 - Present
Armada Health Care  April 2005 - 2009
Managed Health Care Associates, Inc.   June 1999 - January 2004
NeighborCare  1998 - 1999
Vitalink  1996 - 1998
CompuPharm   1994 - 1996
Automated Pharmaceutical Services   1990 - 1994
Horizon Blue Cross Blue Shield of NJ   1986 - 1990

Skills
Sales Management, Pharmaceutical Industry, Managed Care, New Business Development, Business Development, Pharmacy Benefit..., Sales Operations, Pharmaceutical Sales, Data Analysis, Healthcare, Product Launch

Education
Manhattan College   1970 — 1979
MBA

Manhattan College
BS, Marketing and Economics

David DeVose David DeVose Greater New York City Area Details
David DeVose's Horizon Blue Cross Blue Shield of NJ Experience July 2006 - March 2008
Job Business Systems Analyst, Corporate Supply Chain Applications at K. Hovnanian Homes
Industry Information Technology and Services
Experience
K. Hovnanian Homes  July 2014 - Present
NYC Department of Education  October 2013 - July 2014
NYC Department of Education  May 2011 - October 2013
NYC Department of Small Business Services  June 2009 - June 2011
Horizon Blue Cross Blue Shield of NJ   July 2006 - March 2008
NASDAQ Stock Market  March 2008 - 2008
Horizon Blue Cross Blue Shield of NJ   May 2005 - July 2006

Skills
CRM, Business Analysis, Requirements Analysis, Process Improvement, Project Management, Requirements Gathering, HTML, Change Management, Access, Training, Strategy, Public Speaking, Product Management, Analytics, SQL, Program Management, Management, Enterprise Software, Strategic Planning, Business Requirements, SDLC, Vendor Management, Analysis, Leadership, Consulting, Oracle ERP, JDE Enterprise One, Business Intelligence, Integration, Business Process..., Software Project...

Education
Saint Peter's University   2005 — 2007
Bachelor's, International Business

Kaplan University
Bachelor of Arts, Business Management

Richard Popiel, M.D., M.B.A Richard Popiel, M.D., M.B.A Portland, Oregon Area Details
Richard Popiel, M.D., M.B.A's Horizon Blue Cross Blue Shield of NJ Experience November 2000 - May 2012
Job Executive Vice President & Corporate Chief Medical Officer at Cambia Health Solutions
Industry Executive Office
Experience
Cambia Health Solutions  January 2013 - Present
Cambia Health Solutions / Regence Health Plans   October 2012 - February 2013
AdvancedHealthCare Solutions   June 2012 - October 2012
Horizon Healthcare Innovations, LLC   April 2010 - May 2012
Horizon Blue Cross Blue Shield of NJ   November 2000 - May 2012
Horizon Blue Cross Blue Shield of New Jersey  October 2000 - May 2010
The Permanente Medical Group  1997 - 2000
Ohio Permanente Medical Group  1993 - 1997

Skills
Disease Management, Managed Care, Healthcare Consulting, Healthcare Management, Health Insurance, Healthcare Information..., Healthcare, Utilization Management, Practice Management, Medicare, EHR, Health Policy, Internal Medicine, Medicine, Informatics, Clinical Research, Provider Relations, Physicians, Revenue Cycle, HIPAA, Strategic Leadership, Hospitals, Leadership, Medicaid, Quality Improvement, Nursing, Physician Relations, Healthcare Industry

Education
Northwestern University - Kellogg School of Management
MBA, Healthcare

The George Washington University
BS, Biology

The George Washington University School of Medicine and Health Sciences
MD, Medicine

J Edward Smith J Edward Smith Greater New York City Area Details
J Edward Smith's Horizon Blue Cross Blue Shield of NJ Experience 2006 - 2011
Job Corporate Transactional Attorney
Industry Legal Services
Experience
Horizon Blue Cross Blue Shield of NJ   2006 - 2011
Honeywell Aerospace  2004 - 2005
Honeywell Aerospace  2001 - 2005
Honeywell  1997 - 2001
Cahill Gordon & Reindel  1993 - 1997
PwC  1985 - 1990

Skills
Mergers, Finance, SEC, Tax, Joint Ventures, IT Outsourcing, Procurement, Real Estate Transactions, Corporate Governance, Corporate Law, Treasury Management, Insurance, Contract Management, International Business, Mergers & Acquisitions, Licensing, Securities

Education
New York University School of Law   1990 — 1993
JD, Law

The University of Texas at Austin - Red McCombs School of Business   1984 — 1985
MPA, Public Accounting with Tax Specialty

The University of Texas at Austin   1980 — 1984
BBA, Accounting

Catherine Czar Catherine Czar Greater New York City Area Details
Catherine Czar's Horizon Blue Cross Blue Shield of NJ Experience 1994 - 1997
Job Independent Healthcare Insurance Professional
Industry Insurance
Experience
Wayne Consulting Group, Inc.   2003 - Present
DirectCare Medical Services LLC   1998 - 2003
NYLCare Health Plans  September 1997 - September 1998
Horizon Blue Cross Blue Shield of NJ   1994 - 1997

Education
New York University   1997 — 1999
MA., Psychology

Rutgers, The State University of New Jersey-Newark   1974 — 1977
B.A., Psycology and Education

Raghavender Rao Benkal, PMP Raghavender Rao Benkal, PMP Greater New York City Area Details
Raghavender Rao Benkal, PMP's Horizon Blue Cross Blue Shield of NJ Experience
Job BSA at Horizon Blue Cross Blue Shield of NJ
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ  

Skills
PMP, Vendor Management, Programme Governance, Software Project..., PMO, Oracle, SDLC, Project Management, Risk Management, Business Analysis, MS Project

Education
New York University   2007 — 2008
Certificate in Busienss Project Management, Project Management

Osmania University   1989 — 1991
M.Sc, Instrumentaton

Murthy Valluri Murthy Valluri Greater New York City Area Details
Murthy Valluri's Horizon Blue Cross Blue Shield of NJ Experience November 2006 - September 2014
Job Consultant at IBM Global Services
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of NJ   November 2006 - September 2014
Horizon Blue Cross Blue Shield of New Jersey  June 1998 - July 2006
IBSS  2004 - 2006

Skills
SDLC, Databases, Requirements Analysis, Database Design, Business Intelligence, Software Project..., SOA, Solution Architecture, Requirements Gathering, Data Warehousing, Business Analysis, Data Modeling, Enterprise Architecture, ETL, PL/SQL

Education
Nagpur University
Bachelor of Engineering (BE) In Electronics and Communications

Maureen Eng Maureen Eng Greater New York City Area Details
Maureen Eng's Horizon Blue Cross Blue Shield of NJ Experience May 2006 - April 2010
Job Administrator Home health at Seabrook
Industry Hospital & Health Care
Experience
Seabrook   April 2010 - October 2014
Horizon Blue Cross Blue Shield of NJ   May 2006 - April 2010
Robert Wood Johnson University Hospital  2001 - 2006

Skills
HIPAA, Medicare, Revenue Cycle, Home Care, Healthcare, Nursing, Managed Care, Healthcare Management, Medical Billing, Hospitals, Team Building, Clinical Research, Process Improvement, Customer Service, Healthcare Information..., Outlook, Health Insurance, Case Managment, Medicaid, Disease Management, EMR, Provider Relations, Public Health, Policy, Case Management, Utilization Management, BLS, Program Development

Education
New York University
Master of Arts (M.A.) in Nursing, Nursing Education

Rutgers, The State University of New Jersey-Newark
Bachelor of Science Nursing

Sue-Ellen Levavy Sue-Ellen Levavy Greater New York City Area Details
Sue-Ellen Levavy's Horizon Blue Cross Blue Shield of NJ Experience September 1989 - February 1994
Job Senior Business Analyst at EmblemHealth
Industry Hospital & Health Care
Experience
Technisource  June 2010 - April 2011
InSys Consulting Services, Inc  August 2009 - June 2010
IBM Global Business Services  May 1999 - April 2009
IBM Global Business Services  March 1994 - April 1999
Horizon Blue Cross Blue Shield of NJ   September 1989 - February 1994

Education
Kean University
Post Baccalaureate Certificate, computer science

New York University
Master of Arts, Education

Wellesley College
Bachelor of Arts, Music

Colleen Fergsuon Colleen Fergsuon Greater New York City Area Details
Colleen Fergsuon's Horizon Blue Cross Blue Shield of NJ Experience 2004 - 2005
Job Implementation Consultant at CIGNA Healthcare
Industry Insurance
Experience
CIGNA Healthcare  July 2005 - Present
Horizon Blue Cross Blue Shield of NJ   2004 - 2005
Healthnet, Inc.   August 2003 - September 2004

Skills
Employee Benefits, Call Centers, Health Savings Accounts

Education
Ocean County College   2002 — 2006
Associates, Business Administration

Frederick Ambrogio Frederick Ambrogio Westwood, New Jersey Details
Frederick Ambrogio's Horizon Blue Cross Blue Shield of NJ Experience July 2005 - September 2011
Job Principal at OUTSIDETHEBOX COMMUNICATIONS
Industry Human Resources
Experience
OUTSIDE-THE-BOX COMMUNICATIONS   2012 - Present
comedy  1998 - Present
Davis & Company  September 2011 - 2012
Horizon Blue Cross Blue Shield of NJ   July 2005 - September 2011

Skills
Newsletters, Corporate Communications, Internal Communications, Strategic Communications, Television, Public Speaking, Video, Copywriting, Editing, Employee Engagement, Human Resources, Marketing, Marketing Communications, Coaching, Public Relations, Creative Writing, Training, Strategic Planning, Program Management, Social Media, Entrepreneurship, Event Management, Speech Writing, Research

Education
New England College
Bachelor of Arts (BA), English and Communications

Cindy Lukenda Cindy Lukenda Greater New York City Area Details
Cindy Lukenda's Horizon Blue Cross Blue Shield of NJ Experience March 1993 - August 2008
Job Owner at SadieCake Cupcakes
Industry Insurance
Experience
SadieCake Cupcakes   2011 - Present
MCCC Hotel Restaurant & Management Program   September 2009 - December 2010
Horizon Blue Cross Blue Shield of NJ   March 1993 - August 2008
Enterprise Rent-A-Car  1988 - February 1993

Skills
Insurance, Health Insurance, Medicare, Process Improvement, Employee Benefits, Managed Care, Healthcare, Team Building, Business Analysis, Medicaid, Vendor Management, Customer Service, Strategic Planning, Claim

Education
Mercer County Community College   2009 — 2010
Professional Baking Certficate, Culinary

University of Richmond   1983 — 1988
BA, Journalism

Prasanta Kothakota Prasanta Kothakota Cleveland/Akron, Ohio Area Details
Prasanta Kothakota's Horizon Blue Cross Blue Shield of NJ Experience May 2002 - July 2003
Job Sr. Software Systems Engineer at Verizon Wireless formerly Alltel
Industry Information Technology and Services
Experience
Verizon Wireless - formerly Alltel  August 2003 - Present
Cummins Inc.  2013 - 2014
Cummins Inc.  2013 - 2014
Horizon Blue Cross Blue Shield of NJ   May 2002 - July 2003
Lucent Technologies  November 2000 - February 2002
Intel - Dialogic   May 2000 - September 2000

Skills
Siebel

Education
Norwegian University of Science and Technology (NTNU)   1992 — 1993
PG Diploma, Electrical Distribution Systems

Jawaharlal Nehru Technological University   1982 — 1986
B.Tech, Electrical And Electronics Engineering

Clarice Holmes Clarice Holmes Greater New York City Area Details
Clarice Holmes's Horizon Blue Cross Blue Shield of NJ Experience August 1996 - November 2008
Job AVP, Care Management at QualCare Alliance Networks Inc.
Industry Hospital & Health Care
Experience
Partners in Care, Corp.   June 2013 - June 2014
Medecision  May 2010 - June 2013
Medecision  November 2008 - May 2010
Horizon Blue Cross Blue Shield of NJ   August 1996 - November 2008
CareAdvantage, Inc.   August 1996 - August 2002
St. Peter's University Hospital   September 1993 - September 1996
Middlesex County Vocational And Technical School   August 1988 - September 1995
Aetna Health Plans  1989 - 1993
Robert Wood Johnson University Hospital, JFK Medical Center and Others   May 1980 - September 1990

Skills
Utilization Management, Disease Management, Care Management, Managed Care, Healthcare Management, Healthcare, Nursing, Clinical, Process Improvement, Quality Management, Quality Assurance, Compliance, Six Sigma, Health, Business Process..., Mentoring, Team Building, Data Analysis, Change Management, Healthcare IT, Case Management, Healthcare Information..., Clinical Research, Case Managment, Medicaid, Health Insurance, Vendor Management, EHR, Healthcare Consulting, HIPAA, Leadership, Healthcare Industry, Training, Software Documentation, Medicare, EMR, Informatics, Inpatient, Revenue Cycle, Hospitals

Education
University of Phoenix   2005 — 2006
Bachelor's degree, Business, Management, Marketing, and Related Support Services

Middlesex County College   1985 — 1987
Bachelor of Applied Science (B.A.Sc.), Registered Nursing/Registered Nurse

The College of New Jersey   1979 — 1982
Nursing Science

Jamey Perry Jamey Perry Greater New York City Area Details
Jamey Perry's Horizon Blue Cross Blue Shield of NJ Experience September 2008 - July 2012
Job Medicare Analyst at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey  June 2013 - Present
Nike  June 2012 - Present
Horizon Blue Cross Blue Shield of New Jerseyt   July 2012 - June 2013
Horizon Blue Cross Blue Shield of NJ   September 2008 - July 2012
Horizon Blue Cross Blue Shield of New Jersey  October 2007 - September 2008
ATT  February 2003 - October 2007
Best Buy  October 2001 - May 2005

Skills
HIPAA, Healthcare, Health Insurance, Managed Care, Access, Insurance, Medicare, Customer Service, Account Management, Business Analysis

Education
Kaplan University   2010 — 2012
Associates Paralegal Studies, Paralegal Stiudies, 3.98 G.P.A.0

New Jersey Institute of Technology   1998 — 2001
Statistics and Actuarial Studies

William Clemis William Clemis Greater New York City Area Details
William Clemis's Horizon Blue Cross Blue Shield of NJ Experience January 2008 - June 2009
Job Quality Manager at Xerox
Industry Human Resources
Experience
Xerox  November 2010 - Present
Horizon Blue Cross Blue Shield of NJ   January 2008 - June 2009
AXA Equitable  2007 - 2008
Mellon HR Solutions  September 1996 - October 2007
ACS  2005 - 2007
PWC  2002 - 2005
Kwasha Lipton  1996 - 2002

Skills
Training, Team Building, Customer Service, Staff Development, Employee Engagement, CRM, Process Improvement, Performance Management, Project Management, Call Center, Change Management, Coaching, Quality Assurance, Lotus Notes, Microsoft Office, Vendor Management, Visio, Organizational..., Human Resources, Business Analysis

Education
Montclair State University   1988 — 1993
BA, History/Film

Rutgers University – Camden
Certificate, Human Resources & Web Design

Crista O'Donnell Crista O'Donnell Greater New York City Area Details
Crista O'Donnell's Horizon Blue Cross Blue Shield of NJ Experience 1998 - 2001
Job Account Manager at Delta Dental of NJ
Industry Insurance
Experience
Delta Dental of NJ  February 2014 - Present
Horizon BCBSNJ  July 2009 - February 2014
Horizon BCBSNJ  May 2001 - December 2009
Horizon Blue Cross Blue Shield of NJ   1998 - 2001
Horizon Blue Cross Blue Shield of NJ   1994 - 1998

Skills
Health Insurance, Employee Benefits, Sales, Management, Insurance, Dentistry, Health Savings Accounts, Customer Retention, Brokers, Claim, Managed Care, Workers Compensation, HMO, Medicare, Disability Insurance, PPO, Self-funded, Health Care Reform, Underwriting

Education
Muhlenberg College   1988 — 1992
B.A.

Robin L. Pickett, PMP Robin L. Pickett, PMP Greater New York City Area Details
Robin L. Pickett, PMP's Horizon Blue Cross Blue Shield of NJ Experience 2001 - 2006
Job Program Manager at AIG
Industry Insurance
Experience
AIG  October 2012 - Present
BlueCross BlueShield of SC  2010 - 2012
Merck  September 2006 - November 2010
Horizon Blue Cross Blue Shield of NJ   2001 - 2006
AT&T  February 1985 - June 2001
Jordan Baris   1997 - 1998
AT&T Commercial Markets   1993 - 1995

Skills
Agile Methodologies, SDLC, Project Portfolio..., PMO, PMP, Vendor Management, SharePoint, CMMI, Project Delivery, Risk Management, Communication Skills, Portfolio Management, Staff Supervision, Waterfall, Kaizen, Healthcare Management, Telecommunications, Call Centers, Pharmaceutical Industry, Consulting, Coaching, Staff Mentor, Project Manager..., Business Process, User Acceptance Testing, Software Documentation, Project Management, Integration, Requirements Gathering, Agile Project Management, Requirements Analysis, Software Project..., Visio

Education
Montclair State University   1981 — 1986
BS, Industrial Psychology

SAID RAMADAN SAID RAMADAN Greater New York City Area Details
SAID RAMADAN's Horizon Blue Cross Blue Shield of NJ Experience June 2006 - Present
Job RN BSN MBA at Horizon Blue Cross Blue Shield of NJ
Industry Hospital & Health Care
Experience
Horizon Blue Cross Blue Shield of NJ   June 2006 - Present

Skills
Nurse Case Management, HIPAA, Patient Safety, Patient Education, Patient Advocacy, Direct Patient Care, Disease Management, Medicine, BLS, ACLS, Healthcare, Healthcare Management, Quality Improvement, Epic Systems, Healthcare Information..., Utilization Management, Customer Service, Medicaid, Health Insurance, Medicare, Hospitals, Process Improvement, Home Care, Managed Care, Leadership, Nursing, Medical Terminology, Case Managment, Medical Records, Management, EHR, Medical/Surgical, Medical Billing, Critical Care, Strategic Planning, Cpr Certified, Clinical Research, Microsoft Excel, Informatics, Long-term Care, EMR, Pediatrics

Education
Monmouth University   2014 — 2017
Family Nurse Practitioner

Saint Peter's University   2006 — 2010
Master of Business Administration (MBA), Finance, and Management

Rutgers, The State University of New Jersey-Newark   2000 — 2004
Bachelor of Applied Science (B.A.Sc.), Registered Nursing/Registered Nurse

Simrita Mehroke Simrita Mehroke Greater New York City Area Details
Simrita Mehroke's Horizon Blue Cross Blue Shield of NJ Experience September 2006 - February 2010
Job Director Prov. Reimbursement Implementation at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey  December 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey  March 2010 - December 2011
Horizon Blue Cross Blue Shield of NJ   September 2006 - February 2010
Horizon Blue Cross Blue Shield of New Jersey  June 2002 - August 2006

Skills
Business Analysis, Data Analysis, Business Systems..., Project Management, SDLC, Visio, Vendor Management, Process Improvement, Requirements Analysis, Business Process..., Systems Analysis, Business Intelligence, SharePoint, Data Warehousing, Business Requirements, MS Project, Program Management, Insurance, Software Documentation, Analysis, Change Management, Health Insurance

Education
Symbiosis Institute of Management Studies   1997 — 1999
MBA, Human Resources and Marketing

Panjab University   1994 — 1997
Bachelors, Business Administration

April Green April Green Greater New York City Area Details
April Green's Horizon Blue Cross Blue Shield of NJ Experience June 1993 - Present
Job Supervisor at Horizon Blue Cross Blue Shield of New Jersey
Industry Information Technology and Services
Experience
Horizon Blue Cross Blue Shield of New Jersey  October 2012 - Present
Horizon Blue Cross Blue Shield of NJ   June 1993 - Present

Skills
SDLC, HIPAA, Visio, Databases, Access, Data Analysis

Education
St. Peter's College
MBA Healthcare Administration

Montclair State University
BS, MIS

Maurice Cupido Maurice Cupido Allentown, Pennsylvania Area Details
Maurice Cupido's Horizon Blue Cross Blue Shield of NJ Experience March 2010 - Present
Job Information Security Analyst at Metlife Bank, N.A.
Industry Banking
Experience
Horizon Blue Cross Blue Shield of NJ   March 2010 - Present
MetLife Bank  December 2007 - Present
MetLife Financial Services  December 2007 - December 2009
Metlife Bank  December 2007 - December 2009
Yardville National Bank  October 2006 - October 2007
CI-Group  June 2005 - July 2006
JPMorgan Chase  September 2004 - June 2005
Staples Superstore   July 2000 - September 2004
THE OFFICE  January 2000 - July 2000
Globix  December 1998 - March 1999

Education
New Jersey City University   2001 — 2005
B.A., Graphic Design

New Jersey City University
Bachelor of Arts 2005, Graphic Design

Marymount Manhattan College

Anita Coogan Anita Coogan Greater New York City Area Details
Anita Coogan's Horizon Blue Cross Blue Shield of NJ Experience 1985 - 1994
Job Information Technology and Services Professional
Industry Information Technology and Services
Experience
IBM Global Services  March 1994 - May 2009
Horizon Blue Cross Blue Shield of NJ   1985 - 1994

Education
Kean University   1997 — 1999
MS, Information Systems

Kean University   1982 — 1986
BS, Dual Degrees BS in Computer Science and Management Science

Chubb Institute of Computer Programming   1982 — 1982

Tracey Sessa Tracey Sessa Greater New York City Area Details
Tracey Sessa's Horizon Blue Cross Blue Shield of NJ Experience January 1989 - October 2010
Job General Manager at Magellan Health Services
Industry Insurance
Experience
Magellan Health Services  October 2010 - Present
Horizon Blue Cross Blue Shield of NJ   January 1989 - October 2010

Skills
Medicare, Managed Care, Healthcare, Health Insurance, Insurance, Operations Management, Strategic Leadership, Team Leadership, Access, Account Management, Analysis, Behavioral Health, Benefits Administration, Brokers, Call Centers, Case Management, Case Managment, Claim, Claims Management, Clinical Research, Contract Negotiation, Data Analysis, Disease Management, EHR, EMR, Employee Benefits, Employee Relations, Executive Management, HIPAA, Health Policy, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Healthcare Management, Home Care, Hospitals, Informatics, Leadership, Management, Medicaid, Medical Billing, Medicine, Mental Health, Nursing, Performance Improvement, Physician Relations, Physicians, Process Improvement, Training, Vendor Management

Education
Mount St. Mary's University   1983 — 1987
BA, Sociology/Business

Mount St. Mary's University   1983 — 1987
Bachelor's degree, Sociology/Business

Kim LaPietra Kim LaPietra Greater New York City Area Details
Kim LaPietra's Horizon Blue Cross Blue Shield of NJ Experience March 2006 - Present
Job Director, Physician Operations and Data management, Blue Cross Blue Shield of NJ
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   March 2006 - Present
Horizon Blue Cross Blue Shield of New Jersey  July 2003 - March 2006
Horizon Blue Cross Blue Shield of New Jersey  July 2000 - July 2003

Skills
Process Improvement, Vendor Management, Medicaid, Master Data Management, Program Management, Provider Relations, Health Insurance, Management, Integration, Medicare, Healthcare, Project Management, PMO, Insurance, Claim, Utilization Management, Leadership, Managed Care, PMP

Education
Kean University   2006 — 2008
M.P.A, Health Services Administration

Christopher Weldin Christopher Weldin Greater New York City Area Details
Christopher Weldin's Horizon Blue Cross Blue Shield of NJ Experience May 2005 - October 2010
Job Sales Forecasting Manager at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of New Jersey  March 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey  October 2010 - Present
Horizon Blue Cross Blue Shield of NJ   May 2005 - October 2010

Skills
Actuarial Science, Insurance, Health Insurance, Underwriting, Claim, Risk Management, Employee Benefits, Medicare, Enterprise Risk..., Financial Risk, Forecasting, Financial Modeling, Financial Reporting, Financial Analysis, Strategic Financial..., Access

Education
Montclair State University   2000 — 2004
Bachelor of Science (B.S.), Applied Mathematics

Norman Mendoza Norman Mendoza Greater New York City Area Details
Norman Mendoza's Horizon Blue Cross Blue Shield of NJ Experience March 2006 - March 2013
Job Sr. IT Consultant at VDX Inc.
Industry Pharmaceuticals
Experience
VDX Inc.  June 2015 - Present
Phoenix Technology Partners, LLC   August 2013 - May 2015
Horizon Blue Cross Blue Shield of NJ   March 2006 - March 2013
PSEG  August 2004 - March 2006
Philips Lighting  August 2001 - August 2004
Philips Lighting  September 1997 - August 2001

Skills
Wise Installer, Altiris, Windows 7, XP, Troubleshooting, Infrastructure..., Technical Support, DNS, Databases, TCP/IP, System Administration, Help Desk Support, Security, Network Security, Visio, Operating Systems, Windows XP

Education
Middlesex County College   1990 — 1997
Associate, Business

Richard Rispoli Richard Rispoli Greater New York City Area Details
Richard Rispoli's Horizon Blue Cross Blue Shield of NJ Experience 1985 - 2006
Job Sales Vice President at Aetna
Industry Insurance
Experience
Aetna  December 2006 - Present
Horizon BCBSNJ  June 1984 - December 2006
Horizon Blue Cross Blue Shield of NJ   1985 - 2006
Horizon Blue Cross Blue Shield of New Jersey  1982 - 2006

Skills
HMO, Group Health, PBM, National Accounts, Medical Management, Renewals, Health Plans, Medicare Supplements, Disease Management, Managed Care, Health Insurance, PPO, Consultative Selling, Brokers, Medicare, Health Savings Accounts, Healthcare Industry, Health Policy, Insurance, Sales, Health Care Reform, Underwriting, Selling, Claim, Benefits Administration, Employee Benefits, Healthcare, Disability Insurance, Self-funded, Pharmacy Benefit..., Life Insurance, COBRA, HIPAA, Long-term Care, Group Insurance, Medicare Part D, Workers Compensation, Flexible Spending..., Group Medical, Marketing Strategy, Accident, Fixed Annuities, Management, 401k, Sales Presentations

Education
Montclair State University   1976 — 1981
BS, Business

Karl Rettschlag Karl Rettschlag Greater New York City Area Details
Karl Rettschlag's Horizon Blue Cross Blue Shield of NJ Experience January 2003 - Present
Job Database Administrator/ Business Systems Analyst III at Horizon Blue Cross Blue Shield of NJ
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   January 2003 - Present
FKI Logistics/White Systems   January 2000 - January 2002

Skills
Database Administration, Databases, Database Design, PL/SQL, Oracle, Business Intelligence, Access, Visual Basic, Process Improvement, Project Management

Education
Kean University   1995 — 1999
BS, Computer Information Systems

Union County College   1989 — 1994
AAS, Computer Information Systems

Westfield High School   1986 — 1989
Diploma, General

Michael Puerari Michael Puerari Greater New York City Area Details
Michael Puerari's Horizon Blue Cross Blue Shield of NJ Experience October 1984 - November 1994
Job Disaster Recovery Specialist at Tradition
Industry Information Technology and Services
Experience
Compagnie Financiere Tradition  July 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey  February 2010 - June 2015
Ernst & Young  January 1996 - November 2009
PHP Healthcare Coporation   November 1994 - December 1996
Horizon Blue Cross Blue Shield of NJ   October 1984 - November 1994

Skills
Project Management, Networking, Team Management, Process Improvement, System Monitoring, Disaster Recovery, Management, Information Technology, Risk Management, Program Management, Troubleshooting, Software Documentation, Business Process, Visio, Leadership, Data Center, Enterprise Software, Telecommunications, Servers, Business Continuity, IT Management

Education
Saint Peter's University   2013 — 2016
Master of Business Administration (MBA), Management Information Systems

Kean University   1979 — 1983
Bachelor of Science, Computer Science

Sharon McCudden Sharon McCudden Greater New York City Area Details
Sharon McCudden's Horizon Blue Cross Blue Shield of NJ Experience 2003 - 2008
Job Associate DirectorSupply Chain Management at BristolMyers Squibb
Industry Program Development
Experience
Bristol-Myers Squibb  October 2013 - Present
AT&T Mobility  October 2012 - Present
Village Care of New York  October 2010 - Present
Sigma Imaging , Inc   1990 - March 2011
KePRO  January 2008 - January 2010
Horizon Blue Cross Blue Shield of NJ   2003 - 2008
Finacial Services Inc   2000 - 2003

Skills
Healthcare, Program Management, Strategic Planning, Process Improvement, Leadership, Management, Cross-functional Team..., Managed Care, Organizational..., Project Management, SDLC, Strategy, Team Building, Training, Vendor Management

Education
Monmouth University
Psychology

Jordan Drayton Jordan Drayton Marlton, New Jersey Details
Jordan Drayton's Horizon Blue Cross Blue Shield of NJ Experience January 2011 - January 2012
Job Field Organizer, NJ Democrats
Industry Primary/Secondary Education
Experience
TOWNSHIP SCHOOL DISTRICT   September 2010 - Present
Cares program   July 2012 - January 2014
Horizon Blue Cross Blue Shield of New Jersey  January 2011 - January 2012
HORIZON BLUE CROSS BLUE SHIELD OF NJ   January 2011 - January 2012
SWARTZ LEGAL, LLC   June 2010 - June 2011
CENTRASTATE HOSPITAL   July 2007 - December 2010
Lincoln University Campus   January 2009 - May 2010
BLOCKBUSTER VIDEO  March 2006 - August 2006
CORZINE CONNECTION   September 2005 - February 2006

Skills
Political Campaigns, Canvassing, Volunteer Coordinating, Blackberry, Customer Service, Fundraising, Public Relations, PowerPoint, Microsoft Office, Event Management, Word, Excel, Event Planning, Program Management, Volunteer Management

Education
Brookdale Community College   2013 — 2014
Paralegal certificate

Lincoln University   2006 — 2010
Bachaelor, Political Science, History

Lincoln University   2006 — 2010
Bachelor of Science, Political Science

Academy Charter High School   2004 — 2006
Diploma, Academics

Liz Jamiolkowski Liz Jamiolkowski Greater New York City Area Details
Liz Jamiolkowski's Horizon Blue Cross Blue Shield of NJ Experience 2005 - Present
Job Vendor Services Administrator at Horizon Blue Cross Blue Shield of New Jersey
Industry Insurance
Experience
Horizon Blue Cross Blue Shield of NJ   2005 - Present
Horizon Blue Cross Blue Shield of New Jersey  1974 - Present

Skills
Medicare, Managed Care, Health Insurance, Health Policy, Healthcare, Healthcare Consulting, Employee Benefits, Medicaid, HIPAA, Health Savings Accounts, Provider Relations, Process Improvement, Disease Management

Education
Montclair State University
BS, Nutrition

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