Horizon Blue Cross Blue Shield of NJ
Industry: Company
DescriptionHorizon Blue Cross Blue Shield of New Jersey, headquartered in Newark, New Jersey is the only licensed Blue Cross and Blue Shield Association plan in New Jersey, providing health insurance coverage to over 3.2 million people throughout all of New Jersey. Location: 3 Penn Plaza East; Newark, New Jersey Headquarters: Newark, New Jersey, United States CEO: Kevin P. Conlin (1 Jan 2018–) General counsel: Linda A. Willett Founded: 1932 Subsidiaries: Horizon NJ Health,
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Horizon Blue Cross Blue Shield of NJ Employees
HealthFirst October 2014 - Present
Horizon Blue Cross Blue Shield of NJ May 2007 - September 2014
Horizon Blue Cross Blue Shield of New Jersey September 2005 - May 2007
ACS, a Xerox Company May 2004 - September 2005
ACS, a Xerox Company April 2003 - July 2004
International Institute of New Jersey March 2001 - April 2003
Skills
PMP, SDLC, Vendor Management, Business Analysis, PMO, Project Portfolio..., Project Management, Requirements Gathering, Business Requirements, Process Improvement, Visio, Healthcare, Software Project..., Process Reengineering, Budget and Financial..., Requirements Analysis, Quality Assurance, Release and Change..., Program Management, System Testing, Regression Testing, Project Planning, Full project lifecycle..., Project Estimation, Project Finance, Business Process...
Education
Stevens Institute of Technology 2004 — 2006
Master of Science (MS), Management Information Systems, General, 3.9
Rutgers, The State University of New Jersey-Newark 1998 — 2001
Bachelor's degree, Management Information Systems, General, 3.9
Express Scripts March 2013 - Present
Express Scripts (Formerly Medco Health Solutions) September 2009 - Present
Walgreens Pharmacy July 2008 - Present
Horizon Blue Cross Blue Shield of NJ July 2008 - June 2009
Skills
Pharmacy Benefit..., Pharmacists, Medicare Part D, Managed Care, Pharmacy, Disease Management, Utilization Management, Pharmacy Automation, Medication Therapy..., Pharmaceutical Industry, Healthcare, Clinical Research, Medical Writing, Oncology, Medicare, Pharmacoeconomics
Education
Rutgers University-New Brunswick 2002 — 2008
PharmD, Pharmacy
ernest mario school of pharmacy
Doctor of Pharmacy (Pharm.D.), Pharmacy
Dun and Bradstreet January 2014 - Present
The Lemon Bowl Flag Football Tournament 2009 - 2015
ScooterBug January 2011 - January 2014
Independent/self employed March 2010 - January 2011
Madison Bancorp, Inc. June 2008 - March 2010
American Mortgage Source August 2002 - June 2008
DMW Worldwide November 2001 - June 2002
Healthaxis September 1999 - May 2001
American Express August 1998 - August 1999
Horizon Blue Cross Blue Shield of NJ July 1997 - August 1998
Skills
Direct Marketing, Online Advertising, Leadership, Business Planning, Strategic Planning, Marketing Communications, Integrated Marketing, Marketing Strategy, Marketing, B2B, New Business Development, Program Management, Advertising, Management, Strategy, Product Marketing, Budgets, Small Business, Team Building, Selling, E-commerce, Customer Service, Social Media, Social Networking, Start-ups, Sales, Public Relations, CRM, Entrepreneurship, Brand Management, Direct Sales, Online Marketing, Sales Management, Training, Social Media Marketing, Trade Shows, Customer Acquisition, Forecasting, Email Marketing, Lead Generation, Contract Negotiation, Marketing Management, SEM, P, B2B Marketing, Direct Mail, SEO, Account Management, Strategic Partnerships, Relationship Marketing
Education
Rutgers University-New Brunswick 1985 — 1989
BA, Communications
Southern Regional High School 1981 — 1985
New Jersey Citizen Action (NJCA) 2013 - Present
Township of Maplewood, NJ January 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2004 - December 2013
Maplewood First Aid Squad January 2006 - November 2012
Horizon Blue Cross Blue Shield of NJ June 1986 - April 2003
Skills
Public Speaking, Non-profits, Event Planning, Marketing Communications, Microsoft Office, Outlook, Leadership Initiatives, Community Development, Community Outreach, Nonprofits, Public Health, Social Media
Education
Benedictine University
MPH, Public Health Policy / Education
Montclair Kimberley Academy
Temple University
BA, Journalism
McKesson Health Solutions December 2012 - Present
McKesson Health Solutions August 2011 - December 2012
Portico Systems November 2008 - September 2011
Horizon Blue Cross Blue Shield of NJ 2002 - 2008
Horizon Blue Cross Blue Shield of New Jersey 2002 - 2008
Horizon Blue Cross Blue Shield of New Jersey June 2002 - June 2005
Americhoice 1999 - 2002
Ingham Regional Medical Center June 1998 - June 1999
Education
University of Michigan 1995 — 1999
MBA, Finance
Rutgers University-New Brunswick 1989 — 1993
BA, Chemistry
Summit Global Strategies, Ltd. July 2012 - Present
Medco 2003 - October 2012
Medco Health Solutions October 2003 - June 2012
Garden State Bar Association 2005 - 2006
Horizon Blue Cross Blue Shield of NJ 1992 - 2003
Horizon Blue Cross Blue Shield of New Jersey 1992 - 2003
City of New York 1991 - 1992
Skills
Business Strategy, Market Planning, Corporate Social..., Philanthropy, Client Relationship..., Environmental Policy, Government Relations, Lobbying, Strategy, Strategic Planning, Policy, Program Management, CRM, Marketing Strategy, Sustainability, Contract Negotiation, Leadership, Project Management, Managed Care, Cross-functional Team..., Healthcare, Negotiation, Mergers & Acquisitions, Health Policy, Executive Management, Healthcare Industry, Team Building, Business Development, Proposal Writing, Organizational..., Strategic Partnerships, Process Improvement, Analysis, Management Consulting, Leadership Development, Business Planning, Budgets, Fundraising, Entrepreneurship, Medicaid, Change Management, Start-ups, Management, Nonprofits, Risk Management, Governance, Strategic Communications, Public Policy, Government, Public Speaking
Education
Wharton School, University of Pennsylvania 1999 — 1999
Certificate in Financial Management, Finance and Financial Management Services
Seton Hall University School of Law 1981 — 1985
Doctor of Law (J.D.), Law
New York University Graduate School of Public Administration 1977 — 1979
Master of Public Administration (MPA), Health Policy, Planning and Administration
Saint Peter's University
Bachelor of Science (B.S.), Natural Science, Biology
Guardian Life May 2015 - Present
Cablevision January 2013 - March 2015
MetLife March 2007 - January 2013
Realogy - Coldwell Banker 2005 - 2007
Horizon Blue Cross Blue Shield of NJ 1995 - 2005
Skills
Analytics, PowerPoint, Sales Process, Strategic Planning, Coaching, Leadership Development, Financial Services, Insurance, Relationship..., Training, Succession Planning, Employee Benefits, Management, Learning Management..., Talent Management, Leadership, Organizational..., Strategy, Vendor Management, Account Management, Performance Management, Onboarding, Staff Development, Blended Learning, E-Learning, Sales, Marketing, Sales Management, Career Development, Time Management, Needs Analysis, Customer Retention, Business Planning, Program Management, Team Building, Process Improvement, CRM, Project Management
Education
Rutgers, The State University of New Jersey-Newark 1990 — 1996
BA, English
Horizon Blue Cross Blue Shield of NJ May 2008 - Present
Horizon Blue Cross Blue Shield of New Jersey March 2002 - June 2005
Horizon Blue Cross Blue Shield of New Jersey March 1998 - March 2002
Skills
Requirements Gathering, Requirements Analysis, Process Improvement, Business Process, Insurance, Health Insurance, Call Centers, Business Analysis, Business Process..., User Acceptance Testing, Business Process Design, Healthcare Information..., Medicaid
Education
Rutgers, The State University of New Jersey-Newark 1986 — 1990
BS, Accounting
OptumRx January 2011 - Present
UnitedHealthcare October 2006 - January 2011
Horizon Blue Cross Blue Shield of NJ January 2002 - October 2006
Great-West Life February 1992 - November 2001
Prudential Insurance July 1987 - February 1992
Skills
Employee Benefits, Healthcare Industry, Healthcare, Health Insurance, Pharmacy Benefit..., Managed Care, HIPAA, Health Policy, Leadership, Insurance, Management, PPO, Program Management, Medicare, Marketing, Workers Compensation, Sales, Pharmacy, Strategic Planning, Benefits Administration
Education
Saint Lawrence University 1983 — 1987
Bachelor of Arts (B.A.), Economics
Prudential Financial March 2013 - Present
Vanguard June 2012 - March 2013
KPMG March 2010 - June 2012
Horizon Blue Cross Blue Shield of NJ May 2006 - March 2010
IMS Health May 2004 - May 2006
Prudential Financial October 1990 - May 2004
Skills
Enterprise Risk..., Business Strategy, Risk Assessment, Portfolio Management, Management Consulting, Insurance, Process Improvement, Financial Modeling
Education
University of Pennsylvania 2005 — 2008
Master of Science, Organizational Dynamics: Project, Program & Portfolio Management
City University of New York September 2014 - Present
Board of Pensions April 2012 - July 2014
Ascension Health October 2011 - January 2012
Tiffany & Co. February 2011 - September 2011
Saint Barnabas Health Care System June 2010 - January 2011
Horizon Blue Cross Blue Shield of NJ September 2005 - February 2010
AXA Equitable October 1999 - September 2005
Foundation Technology Services July 1998 - July 1999
Education
Chubb Institute 1992 — 1993
Computer Programming, Computer Programming
Rutgers University-New Brunswick 1984 — 1988
Bachelors, Labor Studies
Horizon Blue Cross Blue Shield of NJ August 2011 - Present
Pitman, Klachko, Yeum, LLC April 2009 - July 2011
Financial Freedom December 2005 - November 2008
AppleOne Employment Services June 2005 - August 2005
Cerney & Ivey Engineers Inc April 2005 - June 2005
Education
Sanford Brown Institute
Diploma
Union County College
RGA Reinsurance Company October 2008 - Present
Towers Perrin August 2005 - October 2008
Milliman February 2004 - July 2005
Horizon Blue Cross Blue Shield of NJ October 1998 - February 2004
Skills
Actuarial Science, Health Insurance, Communication Skills, Partnerships, Problem Solving, Presentations, Business Strategy, Financial Risk
Education
The College of New Jersey 1994 — 1998
BA, Mathematics
MagnaCare February 2014 - Present
MagnaCare March 2008 - April 2012
CIGNA Healthcare 2000 - 2008
Horizon Blue Cross Blue Shield of NJ 1998 - 2000
Horizon Blue Cross Blue Shield of New Jersey 1996 - 2000
Horizon BCBSNJ 1992 - 2000
Skills
Employee Benefits, Health Insurance, Managed Care, Healthcare, Insurance, Leadership Development, Account Management, Benefits Administration, Brokers, Claim, Claims Management, Coaching, Contract Negotiation, Customer Service, Dentistry, Disability Insurance, Executive Management, Health Care Reform, HMO, HIPAA, Health Policy, Risk Management, Provider Relations, Sales, Sales Management, Selling, PPO, Pharmacy Benefit..., Healthcare Management, Healthcare Consulting, Life Insurance
Education
The College of New Jersey 1987 — 1991
BS, Economics
Hackensack University Medical Center January 2011 - Present
Ricoh Americas Corporation February 2008 - January 2011
Horizon Blue Cross Blue Shield of NJ 2004 - 2008
Horizon Blue Cross Blue Shield of New Jersey 1993 - 2004
Horizon Blue Cross Blue Shield of New Jersey 1987 - 1993
MD Anderson Cancer Center October 1984 - May 1987
Skills
HRIS, PeopleSoft, Talent Acquisition, Benefits Administration, SQL, E-recruitment, Training Administration, Human Capital Management, Project Planning, Process Improvement, Payroll, Performance Management, Training, Employee Relations, Applicant Tracking..., Human Resources, Recruiting, Personnel Management, Management, Integration, Leadership, Project Management, Analysis, Vendor Management
Education
University of Missouri-Columbia 1980 — 1984
Bachelor, Educational Studies in Business and Industry Personnel
William Paterson University December 2005 - Present
Horizon Blue Cross Blue Shield of NJ 1986 - 2005
Skills
Non-profits, Media Relations, Fundraising, Strategic Communications, Policy Analysis, Health Policy, Program Development, Public Policy, Healthcare, Community Outreach, Volunteer Management, Event Planning, Grant Writing, Public Speaking
Education
Seton Hall University School of Law 1997 — 1999
MSJ, Health Law
Seton Hall University
MPA, Health Policy
Saint John's University 1977 — 1981
BS, Health Administration
Horizon Blue Cross Blue Shield of New Jersey October 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2011 - June 2013
Horizon Blue Cross Blue Shield of NJ December 2005 - December 2010
Horizon Blue Cross Blue Shield of NJ October 1995 - December 2005
Prudential Insurance Company 1982 - 1995
Skills
Offshoring, Outsourcing, Program Management, Vendor Management, Process Improvement, Governance, Leadership, Strategy, Insurance, Cross-functional Team..., Change Management, Healthcare, Management, Call Centers, Contract Negotiation, Operations Management, Resource Management, Training, Business Process..., Business Analysis, Project Portfolio...
Education
Seton Hall University
University of Phoenix
Horizon Blue Cross Blue Shield of New Jersey September 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey July 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2010 - Present
Horizon Blue Cross Blue Shield of NJ February 2004 - Present
Horizon Blue Cross Blue Shield of New Jersey 2003 - August 2011
Horizon Blue Cross Blue Shield of NJ February 2000 - February 2005
Skills
Managed Care, Health Insurance, Insurance, Employee Benefits, Medicare, Medicaid, Healthcare, Provider Relations, Claim, HIPAA, PPO, Utilization Management, Healthcare Management, Credentialing, Health Savings Accounts, Instructional Design, Leadership, Coaching, Training, Process Improvement, Health Policy
Education
The Johns Hopkins University - Carey Business School 2007 — 2008
Valsayn Teachers' College 1980 — 1983
Teacher Education, Education
St Augustine Girls' High School
Laureate Education June 2009 - October 2011
Harley-Davidson, Inc. November 2006 - August 2008
Horizon Blue Cross Blue Shield of NJ February 2004 - October 2006
CareFirst BlueCross BlueShield May 2001 - February 2004
Computer Sciences Corporation September 1981 - May 2001
Skills
Security, Information Technology, Information Security, Leadership, Service Delivery, Software Documentation, Risk Management, Cross-functional Team..., Data Center, Change Management, Troubleshooting, Management, Governance, IT Strategy, Computer Security, Cloud Computing, Information Security..., Risk Assessment, Team Building, Integration, IT Audit, Network Security, IT Management, Business Analysis, Disaster Recovery, Privacy Law, Government, Infrastructure, Vendor Management, Software Development, Integrated Marketing, ISO 27001, ITIL, Budgets, SDLC, Strategic Planning, HIPAA, Visio, Project Management, Policy, Team Leadership, CISSP, Sarbanes-Oxley Act, Enterprise Architecture, Program Management, Process Improvement, Manufacturing
Education
University of Maryland University College 1996 — 2008
BS - Cum Laude, Computer and Information Science
Cape Elizabeth High School 1972 — 1976
Princeton Innovators October 2009 - Present
Princeton Innovation Center May 2009 - Present
Axeleo November 2013 - May 2014
Lyon Innovateurs May 2012 - February 2014
iEnterprises, Inc. April 2008 - October 2009
Transformation Associates, LLC January 2008 - March 2008
Carrier Web Services, LLC July 2006 - January 2008
Horizon Blue Cross Blue Shield of NJ March 2005 - November 2006
Microsolutions Development Corporation March 1994 - July 2005
Richard A. Eisner & Company March 1992 - March 1994
Education
Rutgers University 1986 — 1990
BS, Business Economics
Horizon Blue Cross Blue Shield of NJ October 2002 - Present
Passaic City Redevelopment Board September 2012 - Present
Passaic County Board of Elections January 2008 - January 2014
City of Passaic September 2006 - August 2012
Horizon Blue Cross Blue Shield of NJ November 2002 - November 2007
Skills
Security Operations, VPN, HIPAA, Application Security, CompTIA Security+, Software Documentation, Access, Security, Visio, Knowledge Management, Process Improvement, Business Analysis, Program Management, Vendor Management, Disaster Recovery, PMP, Healthcare, Policy, Project Management, Crystal Reports, Governance, Healthcare Information..., Management, Public Speaking, Enterprise Software, Leadership, Information Technology
Education
Rutgers, The State University of New Jersey-Newark 2000 — 2007
History
Morgan Stanley Investment Management sourced through EEI August 2015 - Present
ibLEAN, LLC January 2010 - Present
Business and Professional Women of Summit September 2010 - April 2015
ADP January 2014 - July 2014
Horizon Blue Cross Blue Shield of New Jersey May 2013 - December 2013
HSBC Commercial Banking sourced through Randstad Consulting December 2012 - April 2013
CIT May 2011 - October 2012
Citi August 2010 - May 2011
Horizon Blue Cross Blue Shield of NJ June 2010 - September 2010
Utopia, Inc. February 2009 - May 2009
Skills
Data Governance, Project Management, PMP, Master Data Management, Business Process..., DMAIC, DFSS, Program Management, Business Process..., Process Improvement, Change Management, Cross-functional Team..., SDLC, Business Analysis, PMI, Six Sigma, Requirements Analysis, PMO, Team Leadership, Project Portfolio..., ITIL, Strategic Planning, Business Intelligence, SAP, Resource Management, Enterprise Architecture, Integration, Testing, Management, Leadership, MS Project, Governance, Project Planning, Enterprise Software, Software Documentation, Software Project..., Analytics, IT Strategy, Business Process, Training, Vendor Management, Risk Management, Management Consulting, IT Management, IT Operations, Outsourcing, Business Transformation, Information Technology, Data Quality, Microsoft Project
Education
The George Washington University 1995 — 1996
Masters Certification in Project Management, Project Management
Chubb Institute 1988 — 1989
Computer Programming, Computer Science
Southern Methodist University
BA, English Literature / Business
The Baldwin School
High School, College Preparatory
Tufts University
Advanced Management Program, Global Technology
Universidad Iberoamericana, Ciudad de México
Mexican Social Anthropology
Towers Watson 2013 - Present
Wellpoint 2010 - 2012
Horizon Blue Cross Blue Shield of NJ 2007 - 2010
Medco 2000 - 2007
Saint Clare's Health System 1996 - 2000
LibertyHealth Jersey City Medical Center 1993 - 1995
Consumer Health Services 1992 - 1993
Bayshore Community Hospital 1990 - 1992
Cathedral Health Care System 1988 - 1990
Frankford Hospital 1986 - 1988
Skills
Data Mining, Marketing & Strategic..., Data Management, Strategic Planning, Client Counseling, Financial Analysis, Data Analysis, Financial Modeling, Executive Reporting, Business Activity..., External Audit, Performance Management, Forecasting, Medicare, Program Management, Analytics, CRM, Analysis, Managed Care, Strategy, Healthcare, Healthcare Industry, Process Improvement, Management, Cross-functional Team...
Education
Xavier University 1983 — 1986
MA Master of Health and Hospital Administration, Health & Hospital Administration
University of Cincinnati College of Business 1978 — 1982
BA Bachelor of Arts, Marketing
American Water September 2004 - Present
Horizon Blue Cross Blue Shield of NJ May 1990 - October 2003
Mortgage Services of America June 1986 - May 1990
Education
Saint Joseph's University 1982 — 1984
MS, Health Care Administration
Rutgers University-New Brunswick 1979 — 1982
BA, Psychology
Bank of Tokyo-Mitsubishi UFJ November 2012 - Present
Horizon Blue Cross Blue Shield of NJ April 2008 - August 2008
JPMorgan Chase January 2005 - June 2007
IBM Global Services April 2003 - December 2004
JPMorgan Chase February 2001 - March 2003
Skills
PMP, SDLC, ITIL, Business Process..., PMO, Program Management, Outsourcing, Risk Management, Change Management, Project Management, Cross-functional Team..., Management, Quality Assurance, Information Technology, Project Planning
Education
University of Teesside
B Sc. (Hons), Computer Science
Horizon Blue Cross Blue Shield of NJ September 2003 - Present
Aetna March 1999 - December 2002
Prudential Insurance January 1991 - March 1999
Skills
Insurance, Health Insurance
Education
Saint Peter's University 2010 — 2012
Horizon Blue Cross Blue Shield of New Jersey April 2012 - Present
Horizon Blue Cross Blue Shield of NJ March 1989 - April 2012
New Britain Red Sox March 1984 - March 1989
Skills
Healthcare, Insurance, Managed Care, Public Speaking, Microsoft Office, Relationship Management, Health Insurance, Strategic Planning, Team Building, Employee Benefits, Medicare, Program Management, Business Process..., Vendor Management, Cross-functional Team...
Education
University of Notre Dame 1978 — 1982
BA, Psychology
Marist High School 1974 — 1978
Horizon Blue Cross Blue Shield of New Jersey April 2013 - Present
Horizon Blue Cross Blue Shield of NJ December 2011 - April 2013
Horizon Blue Cross Blue Shield of NJ October 2007 - December 2011
Horizon NJ Health September 2005 - September 2007
Baker and Taylor 2004 - 2005
R. R. Bowker LLC 2002 - 2005
RR Bowker 2002 - 2004
AT&T January 1990 - November 2001
AT&T 1993 - 1994
Skills
Troubleshooting, Cross-functional Team..., Visio, SDLC, Marketing, Quality Assurance, Leadership, SharePoint, Requirements Analysis, Process Improvement, Access, Customer Service, Vendor Management, Analysis, Oracle, Business Analysis, Management, Budgets, Business Requirements, Business Intelligence, Software Documentation, Program Management, Team Building
Education
Raritan Valley Community College 1987 — 1991
Manville High School 1983 — 1987
General
IDMWorks August 2013 - Present
FishNet Security October 2010 - August 2013
RBA Consulting March 2010 - October 2010
Optimos August 2009 - March 2010
Safety-Kleen Systems June 2006 - December 2009
Texas Instruments May 2004 - May 2006
InConvergence August 2001 - July 2005
KSolutions Inc January 2001 - August 2001
Horizon Blue Cross Blue Shield of NJ October 1998 - January 2001
Citibank March 1997 - September 1998
Skills
Active Directory..., SAML 2.0, Forefront UAG, Forefront TMG, Identity Management, SharePoint 2010, MOSS 2007, Microsoft Technologies, Network Security, PingFederate, SharePoint, Deployment, Architecture, Enterprise Architecture, SOA, SQL Server, IIS, Business Intelligence, .NET, Web Services, Portals, Active Directory, Integration, SDLC, Cloud Computing, SQL, Visual Studio, EAI, SSRS, Solution Architecture, Security, BizTalk, ADFS 2.0, Microsoft Office..., Microsoft SQL Server, System Deployment, Project Management, TFS, SharePoint Designer, Powershell, SSIS, Infrastructure, Requirements Analysis, Business Process, Visio, Networking, Governance, TMG, SharePoint Server
Education
The University of Texas at Arlington 1991 — 1995
The Chubb Institute 1988 — 1991
Associates, Computer Operations and Computer Programming
St Aedans 1980 — 1984
Arkadium January 2015 - Present
MediaRadar August 2012 - January 2015
Magnets.com May 2009 - August 2012
Authentic Response September 2008 - April 2009
Guideline September 2006 - May 2008
Horizon Blue Cross Blue Shield of NJ March 2005 - September 2006
The Advisory Board Company September 2003 - March 2005
Skills
SEO, B2B Marketing, Organic Search, B2B eCommerce, Public Relations, Online Marketing, Lead Generation, Online Lead Generation, Direct Marketing, Email Marketing, Marketing Management, Conversion Optimization, Strategic Planning, Marketing Strategy, Call Center Development, Sales Management, SEM, Media Relations, Marketing Communications, E-commerce, B2B, Market Research, Strategy, Digital Media, Strategic Partnerships, Social Media Marketing
Education
University of Maryland College Park 1998 — 2002
Bachelor of Arts (B.A.), Marketing, Public Relations, Psychology, 3.57
JP Stevens HS 1994 — 1998
SocialWellth September 2014 - Present
MetroPlus Health Plan April 2014 - September 2014
Horizon Blue Cross Blue Shield of NJ March 2009 - April 2014
Nippon Life Benefits December 2007 - March 2009
Wellpoint June 2006 - May 2007
OptumHealth Financial Services December 2002 - June 2006
RTP Technology February 2000 - October 2002
Skills
Product Marketing, Cross-functional Team..., Marketing Strategy, Leadership, Product Development, Start-ups, Management, Program Management, Account Management, B2B, Social Networking, Strategic Planning, Sales Management, Sales, Influential, Marketing, Healthcare, P&L Management, SaaS, Negotiation, Vendor Management, Health Policy, Health Care Reform, Health Management, Social Media Marketing, Consumer Behaviour, Retail Marketing, Budgets, Sales Operations, Business Analysis, Health Insurance, Process Improvement, Strategy, Business Development, Employee Benefits, Product Management, Consulting
Education
Saint John's University - Peter J. Tobin College of Business 1998 — 2001
Bachelors, Finance
St. John's University 1995 — 2001
Bachelor's of Science Finance, Finance, General
Centerlight Health System December 2010 - Present
Horizon Blue Cross Blue Shield of NJ July 2002 - November 2010
JP Morgan Chase March 2002 - June 2002
PSEG November 2000 - February 2002
e-enable technologies 1997 - November 2000
Skills
SDLC, Business Analysis, PMP, Project Management, Vendor Management, Software Project..., Requirements Gathering, Waterfall, PMO, Agile Methodologies, Integration, Data Warehousing, Requirements Analysis, Change Management, Cross-functional Team..., Quality Assurance, Program Management, Process Improvement, Visio, Business Requirements, Management, Business Process, Business Process..., Leadership, Software Documentation, Consulting
Education
Saint Peter's University 2005 — 2007
MBA, Management
Project Management Institute (PMI) 2006 — 2006
PMP, Project Management Certification
Punjab Technical University
Bachelor of Science (B.S.), Computer Science and Engineering
Cerner Corporation February 2015 - Present
Siemens Medical Solutions 1981 - Present
Siemens Medical 1981 - 2010
Horizon Blue Cross Blue Shield of NJ July 1974 - July 1980
Skills
Management, Account Management, Enterprise Software, Strategic Planning, Contract Negotiation, Marketing, Human Resources, Customer Service, Accounts Receivable, Healthcare Information..., Medical Devices, Cross-functional Team..., Healthcare, Product Management, Process Improvement, EMR
Education
St. Ambrose University 1968 — 1972
BS Degree, Health Physical Education & Recreation
Con Edison February 2011 - Present
Vector Systems Inc August 1999 - Present
American Red Cross July 2010 - February 2011
New York Life Investments December 2009 - July 2010
Horizon Blue Cross Blue Shield of NJ June 2009 - November 2009
Sovereign Bank, Dorchester, MA March 2008 - May 2009
Firestone August 2007 - October 2007
Royal Canin, St. Charles, MO June 2007 - August 2007
Cushman & Wakefield January 2007 - May 2007
Wellcare Health Plans, Tampa, Florida May 2006 - January 2007
Skills
BizTalk, SQL Server, IBM MQ Series, ESB, .NET, SOA, EDI, HIPAA, Software Design, Microsoft Office Visio, RSA, Microsoft SQL Server, XSLT, C#, ASP.NET, Service-oriented..., BM DB2, Systems Analysis, Enterprise Application..., SCOM, BAM, XML, WebSphere MQ, Visio, Integration, Visual Studio, Enterprise Architecture, EAI, RSA Security, Data Integration, SQL, ASP, Design Patterns, Architecture, SOAP, PL/SQL, Databases, Oracle, Enterprise Software, DB2, Data Modeling, Web Services, WCF, Middleware, SDLC
Education
University of Calicut 1987 — 1993
Bachelor's degree
St. Michaels Anglo Indian Boys High School, Kannur 1982 — 1987
Benchworks January 2008 - Present
Boyle Bros., Inc. October 1999 - January 2008
Heartland Fields, LLC April 2001 - November 2005
Horizon Blue Cross Blue Shield of NJ December 1993 - October 1999
Our Lady of Lourdes Medical Center July 1990 - December 1993
Skills
Management, Marketing, Marketing Strategy, Project Management, Strategy, Public Relations, Strategic Planning, Sales, Advertising, Event Management, Account Management, Press Releases, Marketing Communications
Education
Salisbury University 1986 — 1990
B.A., Communication Arts, Human Relations, Psychology
Integra LifeSciences November 2014 - Present
Aquinas Academy 2012 - Present
Integra LifeSciences December 2012 - November 2014
Down Town West Orange Business Alliance 2008 - 2013
IFF March 2011 - December 2012
Horizon Blue Cross Blue Shield of NJ February 2008 - December 2010
Horizon BCBSNJ February 2008 - July 2008
Marsh July 2006 - February 2008
Cendant Corporation 2001 - 2006
Skills
Talent Management, Performance Management, Project Management, Deferred Compensation, Talent Acquisition, Succession Planning, Employee Relations, HRIS, Onboarding, Employee Engagement, Employee Benefits, Human Resources, Workforce Planning, Organizational..., Organizational Design, Change Management, Management, Labor Relations, Interviews, Recruiting, Leadership, Technical Recruiting, Mergers, Policy, Strategic Planning
Education
Seton Hall University 1997 — 1999
BS, Business Management
Fairleigh Dickinson University-Metropolitan Campus
MBA, Mangement
IAC April 2015 - Present
National Basketball Association April 2012 - April 2015
Xpresspa February 2010 - May 2012
JWT November 2008 - September 2009
Cohn & Wolfe September 2006 - November 2008
Horizon Blue Cross Blue Shield of NJ April 2004 - September 2006
Enterprise Rent-A-Car October 2000 - April 2004
Skills
New Hire Orientations, Payroll, Temporary Placement, Hiring, Interviews, Employee Benefits, Sourcing, Policy, Management, Employee Relations, Human Resources, Personnel Management, Leadership, Recruiting, Budgets, Strategic Planning, HRIS, FMLA, Training, PeopleSoft, HR Policies
Education
University of Arizona 1996 — 2000
Bachelor of Arts, Communications
Folsom High School 1996 — 1999
Sabino High School 1995 — 1996
Taykey June 2014 - Present
Media Storm April 2011 - June 2014
Neo@Ogilvy June 2009 - April 2011
T3 June 2008 - June 2009
Carat September 2007 - June 2008
Horizon Blue Cross Blue Shield of NJ June 2005 - September 2007
Initiative March 2003 - June 2005
Skills
Omniture, Analytics, Digital Strategy, Digital Marketing, Digital Media, Web Analytics, Google Analytics, SEM, Online Advertising, Media Planning, comScore, Customer Insight, Mobile Marketing, SAS, Interactive Marketing
Education
Rutgers University-New Brunswick 1998 — 2002
B.A., Communication/Psychology
MCIC Vermont, Inc. April 2010 - Present
WellPoint June 2006 - October 2007
Horizon Blue Cross Blue Shield of NJ January 2000 - June 2006
Horizon Blue Cross Blue Shield of NJ April 1998 - January 2000
Horizon Blue Cross Blue Shield of NJ April 1996 - April 1998
Horizon Blue Cross Blue Shield of NJ August 1993 - April 1996
Skills
Business Objects, Data Management, Process Improvement, Data Analysis, Master Data Management, Data Integration, Data Modeling, Databases, Access, Visio, Data Quality, Analysis, Project Management, Data Warehouse..., Crystal Reports, Business Requirements, ETL, Requirements Gathering, Requirements Analysis, SharePoint, SDLC, Systems Analysis, Business Intelligence, Data Warehousing, Financial Analysis, Dashboard, Business Analysis, Insurance, Business Process, Data Governance, Microsoft Excel, SSIS, Healthcare Information..., SSRS, Risk Management
Education
Rutgers, The State University of New Jersey-Newark 1989 — 1991
MBA, Marketing
Rutgers University-New Brunswick 1985 — 1989
BS, Management
Alere Health (a subsidiary of Optum Consumer Solutions) January 2015 - Present
Alere Health, LLC February 2013 - January 2015
Alere Health, LLC April 2012 - February 2013
Alere Health, LLC January 2008 - April 2012
Alere Health, LLC (formerly Paradigm Health) June 2007 - December 2007
Horizon Blue Cross Blue Shield of NJ November 2002 - June 2007
Horizon Blue Cross Blue Shield of NJ September 1999 - November 2002
Horizon Blue Cross Blue Shield of NJ February 1998 - September 1999
Horizon Blue Cross Blue Shield of New Jersey April 1995 - February 1998
Horizon Blue Cross Blue Shield of New Jersey August 1993 - April 1995
Education
Stevens Institute of Technology 1998 — 2005
Master’s Degree, Management
Rutgers University-New Brunswick 1989 — 1993
Bachelor’s Degree, English and Political Science
Oracle February 2015 - Present
Scholastic May 2014 - February 2015
Scholastic March 2013 - May 2014
Scholastic November 2012 - March 2013
Campbell Soup Company February 2010 - November 2012
Campbell Soup Company March 2006 - February 2010
AIG June 2005 - March 2006
Horizon Blue Cross Blue Shield of NJ March 2003 - June 2005
Delta Corporate Services July 2000 - March 2003
Skills
Cloud Computing, Enterprise Architecture, Websphere, SOA, Middleware, E-commerce, Java Enterprise Edition, Java, IT Management, Integration, Technical Architecture, Software Project..., Infrastructure, WebSphere Portal, Project Management, Office 365, ITIL, Vendor Management, Operations Management, Internet Infrastructure, Web Infrastructure, System Architecture, Web Security, Web Application Security, Tivoli Access Manager, ITIL Certified, SAML, LDAP, IT Strategy, Java WebSphere..., Identity Federation, Chef, Docker, DevOps
Education
Rider University 2008 — 2014
Bachelor of Business Administration (BBA), CIS
The University of Connecticut
Horizon Blue Cross Blue Shield of NJ July 2005 - January 2014
PDI April 2000 - February 2005
NEC, Inc. March 1997 - April 2000
Alliance Entertainment March 1994 - December 1996
Skills
Newsletters, Logo Design, Layout, Graphics, Brochures, web banner ad design, Posters, Corporate Communications, Direct Marketing, Graphic Design, Advertising, Magazines, Catalogs, Flyers, Creative Direction, Collateral, Banners, Pre-press, Corporate Branding, Adobe Acrobat, Direct Mail, Corporate Identity, Publications, Mac, Adobe Creative Suite
Education
Rutgers, The State University of New Jersey-Newark 1988 — 1992
Bachelor's, Graphic Design, Photography
Roselle Catholic HS 1985 — 1988
Regional Cancer Care Associates, LLC May 2015 - Present
The Managed Care Partnership Group, LLC April 2015 - Present
Amerigroup New Jersey November 2014 - April 2015
Oscar Insurance August 2013 - October 2014
AmeriHealth Insurance Co of NJ January 2008 - August 2013
CIGNA May 2005 - January 2008
Empire Blue Cross and Blue Shield September 2003 - May 2005
Horizon Blue Cross Blue Shield of NJ March 2002 - September 2003
Oxford Health Plans March 2000 - March 2002
Skills
Managed Care, Network Development, Provider Relations, Contract Negotiations, Provider Contracting, Strategic Planning, Financial Analysis, Data Analysis, Negotiation, Business Strategy, Change Management, Contract Negotiation, PPO, Healthcare, Health Insurance, HMO, Medicare, Healthcare Management, Healthcare Information..., Healthcare Consulting, Health Policy, Employee Benefits, Team Building, Disease Management, Quality Improvement, Benefits Administration, Health Care Reform, Health Information..., Performance Improvement, Strategy, Product Development, Credentialing, HIPAA, EMR, Healthcare Industry, Medicaid, Utilization Management, Hospitals, Physicians, Physician Relations, Revenue Cycle, Medicare Part D, Revenue Cycle Management, Practice Management, Informatics, Pharmacy Benefit..., Insurance, EHR, Medical Billing, Home Care
Education
Rutgers, The State University of New Jersey-Newark
MBA, Management
The College of New Jersey 1995 — 1999
BS, Business Administration
Bergen Catholic High School
College Prep
Horizon Blue Cross Blue Shield of NJ December 2007 - Present
QMed, Inc November 2002 - November 2007
Great-West Life March 1993 - March 2002
Skills
Resource Management, Quality Assurance, CRM, Management, Health Insurance, Data Warehousing, Medicare, ETL, Managed Care, Business Intelligence, Data Analysis, Business Analysis, Access, Requirements Gathering, Software Documentation, Program Management, Leadership, Business Requirements
Education
Rutgers University-New Brunswick 1983 — 1985
StoneMor Partners, L.P. October 2014 - Present
NRG Energy June 2008 - October 2014
Integra LifeSciences June 2013 - December 2013
Horizon Blue Cross Blue Shield of NJ October 2006 - June 2008
BJ's Wholesale Club December 2004 - October 2006
Skills
Deferred Compensation, HRIS, Employee Benefits, Executive Pay, Human Resources, Benefits Administration, Succession Planning, Labor Relations, Compensation Structures, PeopleSoft, Recruiting, Workforce Planning, Onboarding, Screening, Incentive Programs, Employee Engagement, Interviews, Salary, Talent Management, Personnel Management, New Hire Orientations, Performance Management, Applicant Tracking..., Talent Acquisition, Workers Compensation, Compensation
Education
Rutgers, The State University of New Jersey-New Brunswick 2010 — 2013
Master's Degree, Labor & Employment Relations
Rutgers, The State University of New Jersey-New Brunswick
Bachelor's Degree, Labor Studies & History
Mazzie & Associates January 1987 - Present
Rotary January 2004 - September 2008
RL Day & Co CPA's 1986 - 1987
Stephen P Radics & Co CPA's 1983 - 1985
Horizon Blue Cross Blue Shield of NJ September 1979 - September 1980
Skills
Auditing, Tax, Accounting, Team Building, Forensic Accounting, Management, CPA, Strategic Financial..., Tax Preparation, Strategic Planning, Entrepreneurship, Small Business, Corporate Finance, Financial Statements, Income Tax, Loans, Investments, Due Diligence, Financial Analysis, Management Consulting, Business Planning, Managerial Finance, Risk Management, Budgets, Start-ups, Financial Planning
Education
Rutgers University-New Brunswick 1975 — 1979
BA, Economics
Foot Locker, Inc October 2006 - Present
footlocker 2006 - Present
Ann Taylor, Inc. January 2002 - October 2006
Ann Taylor Stores 2002 - 2006
Prudential Financial 1996 - 2002
Prudential Financial October 1996 - December 2001
Horizon Blue Cross Blue Shield of NJ 1991 - 1993
HORIZON BLUE CROSS BLUE SHIELD 1989 - 1992
Skills
Employee Benefits, Deferred Compensation, HRIS, Pensions, Retirement Planning, Human Resources, Management, Process Improvement, Employee Relations, Performance Management, PeopleSoft, Succession Planning, Benefits Administration, Workforce Planning, Talent Management, Leadership, Onboarding, Personnel Management, Executive Pay, New Hire Orientations, Employee Engagement
Education
Rutgers University-New Brunswick 1984 — 1988
Janssen, Pharmaceutical Companies of Johnson and Johnson October 2014 - Present
Janssen, Pharmaceutical Companies of Johnson and Johnson April 2011 - October 2014
Janssen, Pharmaceutical Companies of Johnson and Johnson September 2007 - April 2011
Janssen, Pharmaceutical Companies of Johnson and Johnson February 2006 - September 2007
Janssen, Pharmaceutical Companies of Johnson and Johnson September 2000 - February 2006
Janssen, Pharmaceutical Companies of Johnson and Johnson January 1999 - September 2000
Janssen, Pharmaceutical Companies of Johnson and Johnson September 1997 - January 1999
Horizon Blue Cross Blue Shield of NJ 1993 - 1997
Skills
Hospital Sales, Pharmaceutical Sales, Urology, Sales Effectiveness, Gastroenterology, Neurology, Salesforce.com, Pharmaceutical Industry, Cardiology, Managed Care
Education
Seton Hall University 1989 — 1993
Bachelor's degree, Political Science and Government
Horizon Blue Cross Blue Shield of New Jersey January 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2011 - Present
Horizon Blue Cross Blue Shield of NJ September 2001 - September 2011
Skills
Investigations, Security, Business Continuity, Corporate Security, Emergency Management, Fraud, Information Security, Disaster Recovery, Surveillance, Program Management, HIPAA, Security Awareness, Vulnerability Assessment, Leadership, Computer Security, Business Continuity..., Information Security..., Enterprise Risk..., Facilities Management, Security Management, Security Audits, Risk Assessment, Computer Forensics, PCI DSS, Vulnerability Management, Penetration Testing, Security Policy, Private Investigations, Investigation
Education
Saint Peter's University 1982 — 1986
BS, Business Management
Seton Hall University
MPA, Criminal Justice
Novo Nordisk A/S December 2011 - Present
Novo Nordisk A/S October 2011 - December 2011
Novo Nordisk October 2008 - September 2011
Novo Nordisk October 2007 - October 2008
Saint Barnabas Health Care System 2007 - 2008
Horizon Blue Cross Blue Shield of NJ June 2006 - June 2007
Rutgers University 2006 - 2007
Horizon Blue Cross Blue Shield of New Jersey 2006 - 2007
Skills
Medical Affairs, Managed Care, Clinical Trials, Diabetes, Pharmacists, Pharmaceutical Industry, Internal Medicine, Clinical Development, Pharmacovigilance
Education
Rutgers, The State University of New Jersey-New Brunswick 2000 — 2006
PharmD, Pharmacy
Horizon Blue Cross Blue Shield July 2008 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2004 - July 2008
Horizon Blue Cross Blue Shield of NJ January 2004 - July 2008
Education
Saint Peter's University 2010 — 2014
Masters Business Administration, Management, 3.975
St. Peter's College 2005 — 2009
BSA, Business
IIL 2006 — 2007
PMP, Project Management
Horizon Blue Cross Blue Shield of NJ May 2008 - Present
EmblemHealth January 2003 - May 2008
CIGNA September 2001 - December 2002
CIGNA June 2000 - September 2001
Skills
Health Insurance, Insurance, Employee Benefits, Account Management, Managed Care, Brokers, CRM, Leadership, New Business Development, Sales, Healthcare, Management, Health Savings Accounts, Medicare, Cross-functional Team..., Customer Retention, Underwriting, Fluent in Chinese..., Salesforce.com, Claim
Education
Rutgers Business School 1996 — 2000
Bachelor of Science (B.S.), Marketing
Horizon Blue Cross Blue Shield of NJ June 2009 - Present
Deloitte & Touche LLP September 2003 - March 2009
The Schonbraun McCann Group January 2003 - June 2003
Eisai June 2002 - January 2003
Skills
Financial Reporting, Insurance, Management, Sarbanes-Oxley Act, Auditing, Process Improvement, Business Analysis, Accounting, Leadership, Finance, Financial Analysis, Health Insurance, Human Resources, Business Process..., Time Management, GAAP, Internal Controls, Risk Management, PeopleSoft
Education
Seton Hall University 2002 — 2003
MS in Accounting, Accounting
Rutgers University-New Brunswick 1998 — 2002
BS in Accounting, Accounting, Minor in Spanish
Bergenfield High School 1994 — 1998
AmeriHealth Caritas April 2014 - Present
Horizon Blue Cross Blue Shield of NJ March 2005 - January 2014
Horizon Blue Cross Blue Shield of NJ July 2001 - March 2005
Aetna March 1998 - July 2001
Skills
Call Centers, Process Improvement, Business Analysis, Workforce Management, Management, Leadership, Training, Forecasting, Contact Centers, Data Analysis, Strategy, Enterprise Software, IVR, Business Strategy, Vendor Management, Insurance, Visio, Access, Avaya, Business Process...
Education
St. Peter's College
Bachelor of Science (B.S.), Business Administration
St. Peter's University
Master of Business Administration (M.B.A.), Risk Management
Horizon Blue Cross Blue Shield of New Jersey January 2013 - Present
Horizon Blue Cross Blue Shield of NJ August 2009 - December 2012
CIGNA International June 1996 - July 2009
Arthur Andersen 1992 - 1996
Skills
Healthcare, Managed Care, Service Operations, Customer Service..., Controllers, Financial Analysis, Financial Reporting, Leadership, Enrollment Management, Enrollment Services, Billing Systems, Billing Process, Customer Retention, Call Center..., Vendor Management, BPO, Business Analysis, Business Process..., Call Centers, Employee Benefits, HIPAA, Health Insurance, Healthcare Consulting, Insurance, Management, Process Improvement, Project Management, Strategy, Training, Workforce Management
Education
The University of Connecticut 1988 — 1992
Bachelor of Science, Accounting
Solid State Logic May 2012 - Present
Geller & Company March 2012 - May 2012
Wilkhahn Inc. October 2008 - February 2012
Horizon Blue Cross Blue Shield of NJ January 2006 - October 2008
Skills
Account Management, Accounting, Auditing, Finance, Financial Analysis, Financial Reporting, Forecasting, Internal Controls, Microsoft Excel, Inventory Management, Microsoft Office, Outlook, SAP
Education
Seton Hall University 2000 — 2002
Masters in International Relations, International Relations and Business
Hankook Tire America Corp. June 2013 - Present
Archive Systems, Inc. 2011 - 2013
Taproot Foundation June 2010 - 2012
Human Resource Capital Advisors LLC 2010 - 2011
Johnson & Johnson Health Care Systems August 2003 - March 2009
J&J Health Care Systems August 2001 - October 2003
Johnson & Johnson Health Care Systems Inc. 1999 - 2001
Johnson & Johnson 1997 - 1999
Horizon Blue Cross Blue Shield of NJ 1994 - 1996
Skills
Talent Management, Employee Engagement, Employee Relations, Organizational..., Leadership, HRIS, Change Management, Human Resources, Deferred Compensation, Succession Planning, Recruiting, Employee Benefits, Strategy, Management, Compensation & Benefit, ADP Payroll, Compensation, Affirmative Action, Performance Management, Employee Surveys, Business Strategy, Organizational...
Education
Rutgers University-New Brunswick 2010 — 2010
Mini-MBA, Business
University of Michigan 2004 — 2004
Human Resources Executive Program
Columbia High School
Roger Williams University
BA, Psychology
NetCom Information Technology February 2000 - Present
Horizon Blue Cross Blue Shield of NJ June 1998 - March 2000
YAR Communications May 1997 - June 1998
Word Management, Corp September 1995 - May 1997
Lenz & Riecker, Inc September 1994 - September 1995
Consumers' Buyline March 1992 - September 1994
Skills
CSS, jQuery, XHTML, SEO, WordPress, AJAX, Cloud Computing, CMS, HTML, SharePoint, Web Development, Web Design, PHP, JavaScript, Microsoft SQL Server, User Interface Design, Business Analysis, Salesforce.com, CRM, System Administration, Team Leadership, Microsoft Office, Network Administration, Technology Guru, Enterprise Software, Security
Education
SAE Institute of Technology-New York 2013 — 2014
Audio Engineering
College of Saint Rose 1987 — 1991
BS, Music
Horizon Blue Cross Blue Shield of New Jersey August 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2008 - September 2010
Horizon Blue Cross Blue Shield of NJ November 2004 - June 2008
Horizon Blue Cross Blue Shield of New Jersey January 2002 - October 2004
Horizon Blue Cross Blue Shield of New Jersey November 1999 - January 2002
Horizon Blue Cross Blue Shield of New Jersey April 1998 - November 1999
Education
Saint Peter's University 2014 — 2017
Master of Business Administration (MBA), Healthcare Administration and Risk Management
Rutgers, The State University of New Jersey-Newark 2002 — 2008
Bachelor of Science (BS), Management and Global Business
Horizon Blue Cross Blue Shield of NJ October 1999 - October 2010
Horizon Blue Cross Blue Shield of New Jersey October 1999 - October 2010
Skills
Team Building, Marketing, Public Relations, Advocate, Americans with...
Education
Saint Peter's University 1995 — 1998
Appalachian Trail Conservancy August 2010 - Present
Clinilabs, Inc March 2007 - July 2010
AMC Theatres May 2004 - December 2006
Horizon Blue Cross Blue Shield of NJ May 2006 - September 2006
Pearson Education 2005 - 2005
Skills
Strategic Planning, Research, Marketing Strategy, Marketing Communications, Public Relations, Email Marketing, Web Design, Web Development, Graphic Design, Sales, Social Media Marketing, Marketing, Digital Marketing, Video, Advertising, Event Planning, Press Releases, Microsoft Office, Editing, Social Media, Budgets, Customer Service, Non-profit..., Event Management, Public Speaking, Trade Shows, Salesforce.com, Fundraising, Media Relations, Leadership, Management, Blogging, Social Networking, Volunteer Management, Online Advertising, Training, Nonprofits
Education
Rutgers, The State University of New Jersey-Newark 2003 — 2007
BA, Marketing
Prudential Financial July 2015 - Present
AIG 2013 - July 2015
Guardian Life Insurance Company 2009 - 2013
PricewaterhouseCoopers 2004 - 2009
Horizon Blue Cross Blue Shield of NJ 2003 - 2004
Citco Fund Services 2003 - 2003
Skills
Internal Audit, Auditing, CISA, Risk Assessment, Information Security, Business Process, Sarbanes-Oxley, Banking, Capital Markets, Management, Sarbanes-Oxley Act, Enterprise Risk..., COBIT, Risk Management, Governance, Financial Analysis, Financial Risk, Business Process..., IT Audit, Internal Controls, Business Analysis, Operational Risk..., SAS70, SDLC, Accounting, Due Diligence, Identity Management, ServiceNow, Tivoli Identity Manager, Tivoli Access Manager, RACF, Active Directory, SailPoint, HIPAA, FileNet, Business Objects, Access Control, Access Control...
Education
Rutgers, The State University of New Jersey-Newark 1994 — 1998
Bachelor of Science (B.S.), Accounting & MIS
QMed, Inc. September 2005 - Present
Horizon Blue Cross Blue Shield of NJ 2000 - 2005
Education
University of South Carolina-Columbia 1990 — 1992
University of Pennsylvania 1983 — 1987
BSN, Nursing
Horizon Blue Cross Blue Shield of NJ July 1982 - Present
Education
Rutgers, The State University of New Jersey-Newark
Horizon Blue Cross Blue Shield of New Jersey January 2012 - Present
Horizon Blue Cross Blue Shield of NJ August 2002 - January 2012
Skills
Health Insurance, Benefits Administration, Employee Benefits, Claim, HIPAA, Insurance, Managed Care, Process Improvement, Healthcare, Medicare, Vendor Management, Access, Call Centers
Education
Rutgers, The State University of New Jersey-Camden 2008 — 2011
MA, MPA, Public Administration, Criminal Justice
Horizon Blue Cross Blue Shield of New Jersey November 2010 - Present
Horizon Blue Cross Blue Shield of NJ January 2007 - November 2010
Horizon BCBSNJ 1995 - 2007
Skills
SQL, Informatics, Health Insurance, Project Management, Healthcare, Unix, Management, SAS Programming, Health Care Reform, Statistical Data..., Data Analysis, Vendor Management, Process Improvement
Education
Saint Peter's University 2004 — 2007
MBA, Finance
Rutgers, The State University of New Jersey-Newark 1995 — 1999
BS, Management
Emblem Health July 2009 - Present
Horizon Blue Cross Blue Shield of NJ June 2000 - June 2009
Skills
SDLC, Vendor Management, PMO, Visio, Project Portfolio..., PMP, Process Improvement, Business Analysis, MS Project, Program Management, Change Management, Resource Management, Business Process..., Software Project..., Requirements Gathering, Business Requirements, Business Process, Requirements Analysis, SharePoint, Governance, Enterprise Architecture, IT Strategy, Business Intelligence, Process Engineering, Software Documentation, IT Management, Cross-functional Team...
Education
Stevens Institute of Technology 1994 — 1997
Masters, Technology Management
Stevens Institute of Technology 1990 — 1994
Bachelors, Chemical Biology
Arthur J. Gallagher & Co. March 2014 - Present
Horizon Blue Cross Blue Shield of NJ March 2005 - June 2008
Education
The Catholic University of America
Astellas Pharma August 2013 - Present
GE Healthcare August 2011 - August 2013
Takeda Pharmaceuticals January 2011 - August 2011
Takeda Pharmaceuticals January 2008 - December 2010
Takeda Pharmaceuticals December 2006 - January 2008
CVS/Caremark May 2004 - December 2006
Caremark March 2002 - May 2003
Horizon Blue Cross Blue Shield of NJ 2000 - 2002
Skills
Outcomes Research, Pharmacoeconomics, Health Economics, Pharmaceutical Industry, Managed Care, Pharmacy, Pharmacy Benefit..., Market Access, Diabetes, Pharmacists, Oncology, Healthcare, Immunology, Therapeutic Areas, Rheumatology, Medical Affairs, Patient Outcomes, Infectious Diseases, Clinical Development
Education
Rutgers University-New Brunswick 2000 — 2002
Post Doctorate Fellowship, Pharmacoeconomics & Managed Care
University of Illinois at Chicago 1994 — 2000
Doctor of Pharmacy, Pharmacy
Wisconsin Department of Health Services 2008 - Present
Wisconsin Department of Health Services October 2007 - February 2008
Horizon Blue Cross Blue Shield of NJ July 2004 - August 2007
Skills
Government, Public Policy, Policy Analysis, Policy, Medicaid, Politics, Community Outreach, Public Administration, Legislative Relations, Program Evaluation, Nonprofits, Strategic Communications
Education
Syracuse University 2003 — 2004
MPA, Public Administration
Syracuse University 1999 — 2003
BA, Political Science and Policy Studies
Horizon Blue Cross Blue Shield of NJ 2008 - Present
The Childrens Hospital of Philadelphia 2002 - 2008
Capital Health System 1999 - 2002
Cooper University Hospital 1995 - 1999
Cooper University Hospital 1990 - 1995
Cooper University Hospital 1987 - 1990
Cooper University Hospital 1985 - 1987
Somerset Medical Center June 1984 - June 1985
Skills
Case Managment, Managed Care, Pediatrics, Healthcare Management, Healthcare, Nursing, Hospitals, Clinical Research, EHR, Case Management, Healthcare Information..., Medicaid, HIPAA, Inpatient, Patient Safety, Training, Oncology
Education
Immaculata High School
The College of New Jersey
BSN, Nursing
Horizon BlueCrossBlueShiled NJ June 2009 - Present
Horizon Blue Cross Blue Shield of NJ March 2006 - Present
Horizon BCBSNJ 1988 - 2008
Horizon Blue Cross Blue Shield of NJ May 2001 - March 2006
Horizon Blue Cross Blue Shield of NJ October 1998 - May 2001
Horizon Blue Cross Blue Shield of NJ January 1998 - October 1998
Skills
Strategic Planning, Medicaid, Medicare, Managed Care, Health Insurance, Disease Management, Process Improvement, PMP, Leadership, HIPAA, Healthcare, Call Centers, Management, Healthcare Industry, PMO, Healthcare Consulting, Access, Vendor Management, Insurance, Provider Relations
Education
Rider University 1982 — 1986
B.A., Business Administration and German
PWC June 2015 - Present
PWC August 2012 - Present
APS Healthcare, a subsidiary of Universal American October 2011 - August 2012
APS Healthcare, a subsidiary of Universal American April 2010 - September 2011
Medco Health November 2009 - April 2010
Medco June 2007 - November 2009
Rider University January 2006 - May 2007
Horizon Blue Cross Blue Shield of NJ May 2004 - May 2005
Rider University 2003 - 2005
Skills
Access, Process Improvement, Project Management, Budgets, Microsoft Excel, Essbase, Hyperion Enterprise, Data Analysis, Financial Reporting, Vendor Management, PeopleSoft, Microsoft Office, Visio, PowerPoint, Outlook, Financial Analysis, Software Documentation, Lotus Notes, Finance, Hyperion Planning, Healthcare, Six Sigma, Business Analysis, Customer Service, Microsoft Word, Program Management, Project Planning, SAP, Management, Cross-functional Team..., Strategic Financial..., Quality Assurance, Analysis, Payroll, Requirements Analysis, Leadership, Integration, Internal Audit, Accounts Payable, Accounting, Business Planning, JD Edwards, General Ledger, SharePoint, SQL, Human Resources, Visual Basic, Databases, Hyperion
Education
Rider University 2001 — 2007
M.B.A, Manangement/Finance/Healthcare Administration
Rider University 2001 — 2007
Master, Business Administration; Concentration Finance/Healthcare Administration
Rider University 2001 — 2005
Bachelor of Science, Management
Horizon Blue Cross Blue Shield of NJ March 2004 - Present
Skills
Health Insurance, Healthcare, Managed Care, Process Improvement, Data Analysis, Medicaid
Education
Rutgers University-New Brunswick 1999 — 2003
Bachelor of Arts (B.A.), Psychology
Rutgers, The State University of New Jersey-New Brunswick 1999 — 2003
Bachelor of Arts (B.A.), Psychology
Deloitte Consulting May 2008 - Present
GES Exposition Services July 2007 - April 2008
Horizon Blue Cross Blue Shield of NJ December 1996 - July 2007
Skills
Financial Modeling, Financial Reporting, Business Process..., Financial Analysis, Sarbanes-Oxley Act, Risk Management, Managerial Finance, Internal Controls, Forecasting, Finance, Auditing, Accounting, Corporate Finance, Internal Audit, Consolidation
Education
Saint Peter's University 2003 — 2007
Masters, Accounting
Rutgers, The State University of New Jersey-Newark 1997 — 2003
Bachelors, Accounting
Critchlow Labour College
Quality MetRx November 2013 - Present
CarePoint Health - Bayonne Medical Center July 2012 - November 2013
Richmond University Medical Center December 2009 - July 2012
Affinity Health Plan June 2008 - November 2009
McCabe Ambulance Service January 2008 - April 2009
Horizon Blue Cross Blue Shield of NJ May 2007 - June 2008
Liberty Healthcare July 2005 - January 2007
Newark Beth Israel Medical Center December 1998 - June 2005
UMDNJ September 1997 - December 1998
Skills
Healthcare Management, Nursing, Healthcare, Hospitals, EMR, Healthcare Information..., Quality Improvement, Clinical Research, Critical Care, Managed Care, Pediatrics, Acute Care, Case Managment, Informatics, Disease Management, BLS, Mental Health, Inpatient, Program Development, Nursing Education, Public Health, Emergency Medicine, Medicare, Patient Safety, Medicaid, ACLS, Healthcare Consulting, JCAHO, EHR, Health Education, HIPAA, Meditech, Surgery, Physician Relations, Medical/Surgical, ICU, Cpr Certified, Case Management, Epic Systems, Medical Records, Medical Terminology, PALS, Patient Education, Revenue Cycle
Education
Rutgers, The State University of New Jersey-Newark 1992 — 1997
BS, Nursing
Verizon Wireless February 2003 - Present
RecruitSoft July 2001 - October 2001
Horizon Blue Cross Blue Shield of NJ September 1995 - June 2000
Skills
Microsoft Office 2007, Visio
Education
Syracuse University 1987 — 1991
B.A., Psychology
Horizon Blue Cross Blue Shield of NJ March 2007 - Present
Telcordia Technologies October 1988 - March 2007
Skills
Financial Analysis, PeopleSoft, Financial Reporting, Process Improvement, Sarbanes-Oxley Act, Forecasting, Business Analysis, Financial Modeling, Analysis, Business Process..., Access, Mergers, Finance, Cross-functional Team..., Strategic Financial..., Risk Management, Vendor Management
Education
Southern Connecticut State University 1979 — 1983
Sayreville High
Sayreville High
Horizon Blue Cross Blue Shield of NJ January 1998 - Present
University Medical Group 1987 - 2007
Skills
Process Improvement, Visio, Medicaid, SharePoint, Vendor Management, SDLC, Requirements Gathering, Business Requirements, Access, Business Analysis, Software Documentation, Medicare, Data Analysis, HIPAA, Requirements Analysis
Education
Thomas Edison State College
Business Administration and Management, General
Thomas Edison State College
Horizon Blue Cross Blue Shield of New Jersey September 2011 - Present
Horizon Blue Cross Blue Shield of New Jersey June 2010 - September 2011
Horizon Blue Cross Blue Shield of NJ February 2008 - June 2010
Horizon NJ Health January 2000 - February 2008
Education
Rutgers University-New Brunswick 1993 — 1999
BA, Computer Science
Law Offices of Styliades & Jackson August 2009 - Present
Richard D. Millet & Associates LLC January 2007 - 2009
Horizon Blue Cross Blue Shield of NJ November 2002 - January 2007
Skills
Civil Litigation, Litigation, Legal Writing, Legal Research, Westlaw, Courts, Depositions, Claim, Automobile Accidents, Public Speaking, Motions, Trials, Personal Injury, Customer Service, Microsoft Office, Insurance Law, Trial Practice, Personal Injury..., Liability
Education
Seton Hall University School of Law 2002 — 2006
J.D., Law
Seton Hall University 1998 — 2002
BA, Political Science
Horizon Blue Cross Blue Shield of New Jersey December 2014 - Present
Horizon Blue Cross Blue Shield of NJ February 2008 - Present
WMC Mortgage October 2003 - February 2008
Skills
Customer Service, Insurance, Access, Business Analysis, Employee Benefits, Management, Microsoft Office, New Business Development, Process Improvement, Risk Management, Vendor Management
Education
Saint Peter's University
Business Management
RCM Technologies April 2008 - Present
MBH Solutions, Inc May 1997 - April 2008
Horizon Blue Cross Blue Shield of NJ September 1994 - May 1997
Skills
PeopleSoft, SQR, PeopleTools, Crystal Reports, PeopleCode, Requirements Analysis, Vendor Management, Oracle, Business Process, ERP, Data Conversion, Business Intelligence, Business Analysis, Integration, HRIS, Payroll, SDLC, Process Improvement, Requirements Gathering, Benefits Administration, ADP Payroll
Education
The College of New Jersey 1990 — 1994
BS, Computer Information Systems
Horizon Blue Cross Blue Shield of NJ August 2008 - Present
MFX Fairfax 2007 - 2008
Prudential Financial 2006 - 2007
MetLife 2004 - 2006
Household International 2002 - 2004
Accenture September 1983 - March 1992
Education
University of Maryland - Robert H. Smith School of Business 1981 — 1983
MBA
University of Michigan 1973 — 1978
BA
Superior Court of New Jersey November 2008 - Present
LAPP Group June 1997 - August 2008
Lapp USA 1997 - 2008
Horizon Blue Cross Blue Shield of NJ June 1993 - February 1997
E&Y 1997 - 1997
Education
Rutgers University-New Brunswick 1985 — 1987
BS, Justice
Horizon Blue Cross Blue Shield of NJ Dental Network ManagerHorizon Blue Cross Blue Shield of New Jersey2000 - Present
Skills
Dental Insurance, Health Insurance, Healthcare, Managed Care, Network Development, Medicare, Dentistry, Insurance, HIPAA, Provider Relations
Education
Syracuse University 1983 — 1987
BA, Broadcast Journalism/Policy Studies
Horizon Blue Cross Blue SHield of NJ Manager of Systems and DatabasesHorizon Blue Cross Blue Shield of New JerseyMarch 2002 - Present
Skills
SDLC, Vendor Management
Education
Rutgers University-New Brunswick 1998 — 2003
Bachelor, Computer Science
Horizon Blue Cross Blue Shield of NJ Lead AuditorHorizon2008 - Present
Ernst & Young 2004 - 2008
Skills
Internal Controls, Sarbanes-Oxley Act, Process Improvement, Internal Audit
Education
Saint Peter's University
Express Scripts May 2013 - Present
Express Scripts April 2012 - May 2013
Horizon Blue Cross Blue Shield of NJ 1984 - 1997
Skills
Pharmacy Benefit..., Medicare Part D, Managed Care, Pharmacy, Pharmacy Automation, Pharmacists, Medicare, Medicaid, Cross-functional Team..., Pharmaceutical Industry, Disease Management, Healthcare, Process Improvement, Healthcare Industry
Education
Rutgers University-New Brunswick
Biology/Biological Sciences, General
Horizon Blue Cross Blue Shield of NJ 2004 - 2007
Education
Rutgers, The State University of New Jersey-Newark 1990 — 1992
BS, Nursing
Horizon Blue Cross Blue Shield of NJ March 2009 - Present
UnitedHealthcare Specialty Benefits (UNH) January 2007 - March 2009
Education
University of Richmond - Robins School of Business 1975 — 1979
BS, Finance and Management
University of Pennsylvania - The Wharton School
Wharton Executive Program
CIT January 2013 - Present
CIT August 2011 - December 2012
Verto Advisors LLC August 2009 - July 2011
Arch Insurance Group May 2003 - July 2009
Horizon Blue Cross Blue Shield of NJ March 2002 - February 2003
Prudential HealthCare/Aetna August 1997 - November 2001
CSC Consulting November 1988 - July 1997
Price Waterhouse June 1983 - October 1988
Skills
Compliance, AML, Bank Secrecy Act, Risk Management, Business Intelligence, Management, Business Analysis, Data Warehousing, SDLC, Vendor Management, Databases, Enterprise Architecture, Leadership, Program Management, IT Strategy, Team Building, Process Improvement, Requirements Analysis, Data Modeling, Financial Reporting, Project Management, Consulting, Strategic Planning, Insurance
Education
Wharton School, University of Pennsylvania 1979 — 1983
BS, Management/Decision Sciences
Stevens Institute of Technology 1997 — 2000
MS, Telecommunications Management
Anthem August 2004 - Present
Anthem 2004 - Present
AmeriHealth July 1997 - August 2004
Independence Blue Cross 1997 - 2004
Horizon Blue Cross Blue Shield of NJ January 1989 - August 1996
Skills
Underwriting, Training, Management, Health Insurance, Employee Benefits
Education
The University of Texas at Arlington 2007 — 2012
MBA
Rutgers University-New Brunswick 1984 — 1988
B.A., Economics
Horizon Blue Cross Blue Shield of NJ Director, Network OperationsNYSE1994 - 2006
Nichmen America Inc 1993 - 1994
Skills
Disaster Recovery, Penetration Testing, Information Security..., Enterprise Architecture, Vendor Management, Information Security, Data Center, SDLC, Vulnerability Assessment
Education
Stevens Institute of Technology 1988 — 1992
ME
Horizon Blue Cross Blue Shield of NJ January 2005 - Present
Skills
Insurance, Health Insurance, Employee Benefits, Healthcare, Strategic Planning, Leadership, Process Improvement, Managed Care
Education
The Catholic University of America 1985 — 1989
BA
Holy Ghost Prep 1981 — 1985
Tullett Prebon December 2012 - Present
TD May 2011 - December 2012
Neuberger Berman August 2009 - May 2011
Computershare February 2009 - July 2009
Macquarie Bank February 2006 - November 2008
Carlin Financial Group February 2002 - September 2005
United Software July 1998 - September 2001
Horizon Blue Cross Blue Shield of NJ August 1996 - August 1998
Skills
Blackberry, Desktop Computers, Project Managers, Applications, Remedy User, Trading Systems, Bloomberg, STP, Fixed Income, Commodity Markets, Forex, Technical Support
Education
University of Calcutta 1993 — 1996
Bachelors, Commerce
Rutgers, The State University of New Jersey-Newark 1997 — 1999
Associate, Information System
The Chubb Institute 2000 — 2001
Diploma, Network Engineering and Data Communication
Atlantic Valley Volleyball Club January 2002 - Present
NASCO October 2000 - Present
NASCO October 2000 - Present
Horizon Blue Cross Blue Shield of NJ June 1988 - October 2000
Horizon Blue Cross Blue Shield of New Jersey June 1988 - October 2000
Skills
Insurance, Health Insurance, Account Management, Process Improvement, Sales, Business Analysis, Team Building, Workshop Facilitation, Strategic Planning, Customer Service, Networking, Leadership, Project Management, Change Management, Training, Vendor Management, Management, Customer Satisfaction, Coaching, Strategy, Program Management, Analysis, Business Process..., Team Leadership, Cross-functional Team..., PMO, Visio
Education
Rutgers, The State University of New Jersey-Newark 1976 — 1980
bs, business administration
Seton Hall Preparatory School 1972 — 1976
HS Diploma, College Prep
Horizon Blue Cross Blue Shield of NJ June 1982 - Present
Skills
Process Improvement, Insurance, Medicaid, HIPAA, Medicare, Health Insurance, Claim, Healthcare, Access, Claims Management, Health Policy, Healthcare Industry, Leadership, Management
Education
Rutgers University-New Brunswick 1979 — 1981
BA,MEd, English
Internet Company January 2009 - Present
Shoptoearn.net/christheo January 2009 - Present
Horizon Blue Cross Blue Shield of NJ December 1994 - January 1998
Education
Rutgers University-New Brunswick 1989 — 1993
BS, Environmental Science/Economics
MotherhoodFullofDreams.com July 2014 - Present
Chico's FAS, Inc. October 2007 - Present
Being Latino May 2014 - August 2015
Horizon Blue Cross Blue Shield of NJ September 2000 - June 2007
Skills
Onboarding, Human Resources, Employee Relations, Benefits Administration, Employee Benefits, Healthcare, Health Insurance, Recruiting, Applicant Tracking..., HRIS, HR Policies, Management, Succession Planning, Performance Management, Interviews, Leadership, Team Building, Social Media, Social Media Marketing, Creative Writing, News Writing, Blogging, Editorial Consulting
Education
Rutgers University-New Brunswick 1994 — 2000
Bachelors, Communication
Plainfield High School 1990 — 1994
Highmark Delaware October 2012 - Present
BlueCross BlueSheild Delaware June 2009 - October 2012
Horizon Blue Cross Blue Shield of NJ January 2004 - June 2009
Coventry Health Care 1996 - 2003
Coventry Health Care of Delaware 1996 - 2003
CIGNA Healthcare 1993 - 1996
Skills
Managed Care, Health Insurance, Medicare, Medicaid, Network Development, Provider Relations, Insurance, Healthcare, HIPAA, Health Policy, HMO, Healthcare Management, Disease Management, PPO, Healthcare Consulting, Revenue Cycle, Healthcare Industry
Education
Rutgers, The State University of New Jersey-Camden 1982 — 1986
BA, Business
Audubon High School 1976 — 1982
The Leapfrog Group June 2013 - Present
WHF Healthcare, L.L.C. January 2009 - Present
Carlisle & Associates January 2010 - January 2013
Aetna Better Health 2009 - 2011
The Leapfrog Group 2005 - 2010
WHF Healthcare 2009 - 2009
The Leapfrog Group 2009 - 2009
Horizon Blue Cross Blue Shield of NJ 2004 - 2009
Empire Blue Cross Blue Shield 2000 - 2004
Skills
Medicare, Health Policy, Managed Care, Healthcare, Medicaid, Healthcare Consulting, Healthcare Information..., Physicians, Utilization Management, Strategy, HIPAA, Provider Relations, Credentialing, PPO, Network Development, Hospitals, Medical Billing, Data Analysis, Informatics, Healthcare Industry, Patient Safety, Healthcare Management, EHR, Health Insurance, Revenue Cycle, Practice Management
Education
Temple University - Fox School of Business and Management 1972 — 1977
MBA, Healthcare Administration
Rutgers University September 2014 - Present
Verizon Wireless (Worldwide Wireless) September 2010 - December 2010
Horizon Blue Cross Blue Shield of NJ May 2005 - August 2010
Skills
Microsoft Word, Microsoft Excel, PowerPoint, Access, PeopleSoft, Financial Reporting, Insurance, Lotus Notes, Peachtree
Education
Rutgers University-New Brunswick 2014 — 2017
Human Resources Management & French, Global HR
Tarrant County College 2012 — 2014
Associate of Arts (AA), General Studies, 3.3
AmeriHealth Caritas July 2015 - Present
HCL America October 2014 - July 2015
Infosys Public Services November 2011 - October 2014
Horizon Blue Cross Blue Shield of NJ November 2008 - November 2011
Affinity Health Plan August 2008 - November 2008
Cognizant Technology Solutions March 1998 - August 2008
Skills
Medicare, Medicaid, Software Project..., Healthcare, SDLC
Education
Symbiosis institute of Management Studies 2004 — 2006
c-PGDBA, Information Technology
VSKrishna
Horizon Blue Cross Blue Shield of New Jersey March 2010 - September 2014
Weichert Realtors 2004 - March 2013
Horizon Blue Cross Blue Shield of NJ 1999 - 2003
Education
Rutgers University-New Brunswick 1985 — 1989
BA, Political Science
Horizon Blue Cross Blue Shield of New Jersey February 2011 - Present
Horizon Blue Cross Blue Shield of NJ July 2007 - February 2011
Skills
Process Improvement, Insurance, Health Insurance, Business Analysis, Requirements Gathering, SDLC, Risk Management, Software Documentation, Business Process, Business Process..., Management, Vendor Management, Visio, Program Management, Requirements Analysis, Healthcare, PMO, HIPAA, IT Strategy, PMP, Project Portfolio...
Education
Temple University 1982 — 1987
Bachelor of Business Administration (B.B.A.), Accounting and Finance
Elderplan August 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey April 2010 - Present
Horizon Blue Cross Blue Shield of New Jersey December 2009 - November 2010
Horizon Blue Cross Blue Shield of NJ July 2007 - November 2009
Fidelis Care June 2006 - July 2007
Education
Saint Peter's University 2008 — 2010
MBA, Management/Risk Management
Stonehill College 2002 — 2006
BA, Health Care Administration
Horizon Blue Cross Blue Shield of New Jersey May 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey May 2012 - May 2014
Horizon Blue Cross Blue Shield of NJ March 2010 - April 2012
Skills
Management, Process Improvement, Leadership, Project Management, Business Analysis, Analysis, Public Speaking, Research, Access, Sales, Managed Care, Healthcare Management, Healthcare Information..., Health Insurance, Medicare, Healthcare, HIPAA, Data Analysis
Education
SUNY Stony Brook 1995 — 1997
MSN, Nursing (Midwifery)
University of Michigan 1980 — 1984
BSN
Allstate Sales Group April 2014 - Present
Horizon Blue Cross Blue Shield of NJ September 1987 - January 2014
Skills
Telephony, Vendor Management, Disaster Recovery, Project Management, SDLC, Visio, Process Improvement, Requirements Gathering, VMware, MS Project, Call Center, ITIL, Business Analysis, Requirements Analysis, Data Center, Access, Active Directory, Call Centers, IT Management, Software Documentation, Customer Service, Systems Analysis, Servers, SharePoint
Education
University of Delaware 1983 — 1987
Bachelor of Science Business Administration, Marketing/Marketing Management, General
Ridge High School
Healthfirst February 2015 - Present
HHH Choices Health Plan May 2012 - Present
EmblemHealth July 2009 - February 2012
Horizon Blue Cross Blue Shield of NJ February 2007 - May 2009
Fidelis Care of New York 2006 - 2007
Group Health Incorporated July 2004 - December 2006
Great-West - 2001 - July 2004
Skills
Network Development, Medicaid, Managed Care, Healthcare, Credentialing, Healthcare Industry, Provider Relations, Health Insurance, Medicare, HMO, Health Policy, PPO, Healthcare Consulting, Utilization Management, Disease Management, HIPAA, Physicians, Physician Relations, Revenue Cycle, Healthcare Management, Medicare Part D, Practice Management, Quality Improvement, Medical Billing, Pharmacy Benefit...
Education
Seton Hall University
BA, Political Science, Philosophy
Defense Contract Audit Agency December 2014 - Present
Toby's Tax & Accounting Services January 2005 - Present
Amida Care Inc, New York July 2012 - December 2013
UnitedHealthcare May 2010 - July 2012
Horizon Blue Cross Blue Shield of NJ October 2008 - May 2009
Group Health Inc (GHI)/ Emblem Health July 2005 - October 2008
Lorelei Personnel 1999 - 2000
Lorelei Personnel 1999 - 2000
Skills
Credentialing, Access, Provider Relations, Microsoft Office, PPO, Hospitals, Credentialing Software:..., Communication Skills...., Leadership Skills..., BREAKTHROUGH Management..., Recruiting, Quality Improvement, Policy, Managed Care, Medicare, Medicaid, Healthcare Management, HIPAA, Healthcare, Tax Accounting, NCQA
Education
Strayer University-Pennsylvania 2007 — 2009
Master of Business Administration (M.B.A.), Finance, General
Strayer University-Pennsylvania 2004 — 2006
Master's degree, Accounting
UNIVERSITY OF YAOUNDE 1988 — 1992
Bachelor's degree, GEOGRAPHY/ECONOMICS
HealthFirst August 2014 - Present
Emblem Healthcare January 2014 - August 2014
Horizon Blue Cross Blue Shield of NJ January 2006 - January 2014
Horizon Blue Cross Blue Shield of NJ March 1993 - January 2014
Skills
PMP, Project Management, PMO, SDLC, Project Portfolio..., Business Requirements, Vendor Management, Business Process, Management, Resource Management, Information Technology, Program Management, Business Process..., Requirements Gathering, Visio, Process Improvement, Requirements Analysis, IT Strategy, Waterfall, Gap Analysis, Certified Project..., Business Analysis, MS Project, IT Management, SharePoint, Software Documentation, User Acceptance Testing, Cross-functional Team..., Software Project..., Project Delivery, Agile Project Management, Business Intelligence, Data Warehousing, Planview, Systems Analysis, Governance, Integration, Business Process Design, Risk Management, Software Implementation, Enterprise Architecture, Change Management, Government Programs
Education
University of Maryland College Park 1984 — 1988
BA, Liberal Arts - Political Science
St. John Vianney
Phoenix PBM June 2015 - Present
Connect Health Solutions August 2014 - May 2015
Prescription Corporation of America December 2012 - August 2014
Prescription Corporation of America January 2011 - August 2014
Horizon Blue Cross Blue Shield of NJ 1999 - 2009
Horizon Blue Cross Blue Shield of NJ March 2006 - December 2008
Horizon Blue Cross Blue Shield of NJ 1994 - 1999
Horizon Blue Cross Blue Shield of NJ 1992 - 1994
Horizon Blue Cross Blue Shield of NJ 1984 - 1992
Constitutional State Services 1983 - 1984
Skills
Health Insurance, Managed Care, Medicare, Medical Billing, Healthcare, Provider Relations, Medicaid, Process Improvement, Strategy, Call Centers, Leadership, HIPAA, Healthcare Consulting, Team Building, Strategic Planning, Vendor Management, Employee Benefits, Management, Insurance, Healthcare Industry, Cross-functional Team..., Account Management, Customer Service, Health Policy, Negotiation, Budgets, Analysis, Human Resources, Utilization Management, Policy, Training, Pharmacy Benefit..., Claim, Customer Satisfaction, Project Planning, Claims Management, HMO, Network Development, Disease Management, Physicians, Executive Management, Interviews, Medicare Part D, Pharmacy, Healthcare Information..., Revenue Cycle, Data Analysis, Healthcare Management, Program Management, Quality Improvement
Education
Seton Hall University 1971 — 1973
Liberal Arts
Health Republic Insurance of New Jersey April 2014 - Present
CCF November 2011 - Present
Horizon Blue Cross Blue Shield of NJ April 2000 - January 2003
Skills
Leadership, Photoshop, Strategic Planning, Health Insurance, Public Speaking, Management
Education
Thomas Edison State College 1994 — 1999
BA, Philosophy, Religon, Literature
Horizon Blue Cross Blue Shield of New Jersey 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey 2008 - 2013
Horizon Blue Cross Blue Shield of NJ 2003 - 2008
Horizon Blue Cross Blue Shield of NJ 1997 - 2003
Horizon Blue Cross Blue Shield of NJ 1996 - 1997
Skills
Hospitals, Strategic Planning, Management, Program Management, Budget, Managed Care, Healthcare, Process Improvement, Health Insurance, Leadership, Healthcare Industry, Training, EMR, Business Process..., Budgets, Analysis, Insurance, Medicaid, Network Development, Strategy, Access, Negotiation, Vendor Management, Physicians, Business Strategy, Recruiting, Medicare, Healthcare Consulting, Provider Relations, Healthcare Information..., Business Analysis, Cross-functional Team..., Project Management
Education
University of Medicine and Dentistry of New Jersey -New Jersey Medical School 1994 — 1998
MS, Biomedical Informatics
Stockton University 1986 — 1990
BA, Business-Marketing
The Learning Gate March 2014 - Present
DA Performance Consulting LLC 2011 - Present
Horizon Blue Cross Blue Shield of NJ 2005 - 2010
Aventis 2000 - 2003
AT&T 1999 - 2000
AT&T 1996 - 1998
AT&T 1994 - 1996
Skills
Succession Planning, Talent Management, Onboarding, Leadership Development, Performance Management, Organizational..., Executive Coaching, Human Resources, Management Development, 360 Feedback, Training, HR Transformation, Leadership, Organizational..., Culture Change, Strategy, Career Counseling, Change Management, Team Building, Organizational Design, Career Management, Interviews, Employee Benefits, Benefits Administration, Recruiting, Coaching, Performance Improvement, Employee Relations, New Hire Orientations, HRIS, Workshop Facilitation, Instructional Design, Conflict Resolution, Talent Acquisition, Project Management, Workforce Planning, Applicant Tracking..., Employee Engagement, College Recruiting, Policy, Employee Training, Training Delivery, HR Policies, Personnel Management, Deferred Compensation, Resume Writing, Career Development, PeopleSoft, Employment Law, Executive Pay
Education
Rutgers University-New Brunswick
MLIS, Library Science
University of North Carolina at Greensboro
BA, Education
Horizon Blue Cross Blue Shield of NJ May 1995 - Present
Horizon Blue Cross Blue Shield of New Jersey 1995 - Present
Skills
Employee Benefits, Health Insurance, Managed Care, Medicare, Brokers, Account Management, Health Savings Accounts, Insurance, Strategic Planning, Claim, Sales, Term Life Insurance, Disability Insurance, Selling, Workers Compensation, Underwriting, Marketing, Life Insurance, Customer Service, Management, Business Analysis, Property & Casualty..., Salesforce.com, Healthcare, Sales Management, Team Building, Vendor Management, Leadership, Long-term Care, Process Improvement, Commercial Insurance, New Business Development
Education
Rutgers, The State University of New Jersey-Newark
Horizon Blue Cross Blue Shield of NJ October 2008 - Present
Consumer Health Network/Consolidated Services Group January 1996 - October 2008
Empire Blue Cross Blue Shield 1987 - 1995
Deloitte & Touche 1978 - 1987
Skills
Vendor Management, Insurance, Process Improvement, Medicare, Health Insurance, Healthcare, Managed Care, Medicaid, Risk Management, Healthcare Industry, Project Management, Claim, Provider Relations, Program Management, HIPAA, Business Analysis, Employee Benefits, Healthcare Consulting, Health Policy, HMO, Revenue Cycle, Long-term Care, Underwriting, Disease Management, Healthcare Information..., Access, Business Process..., Medicare Part D, PMO, Workers Compensation, Visio, Healthcare Management, Executive Management, Strategic Planning, Data Analysis, Software Documentation, Sarbanes-Oxley Act, Leadership, Call Centers
Education
St. Francis College
BS, Accounting
St. Francis College
Allergan April 2012 - Present
Actavis October 2010 - April 2012
Watson Pharmaceuticals October 2009 - October 2010
Virgin Mobile USA July 2008 - May 2010
Realogy August 2006 - June 2008
Cendant January 2005 - August 2006
Horizon Blue Cross Blue Shield of NJ January 2003 - January 2005
Ladenburg Thalmann January 2001 - October 2002
Education
Seton Hall University 1996 — 2000
B.S. Business Administration, Concentration: Marketing
HealthPlus Amerigroup November 2014 - Present
Krusche Consulting LLC January 2013 - October 2014
Horizon Blue Cross Blue Shield of NJ 2005 - 2012
KPMG 2001 - 2005
Depository Trust and Clearing Corporation (DTCC) 1999 - 2000
Ernst & Young 1997 - 1997
Viacom 1993 - 1997
Skills
Talent Management, Onboarding, Employee Engagement, Performance Management, Employee Relations, Human Resources, Change Management, Training, Coaching, Leadership, Employment Law, Team Building, Management, Workshop Facilitation, Succession Planning, Talent Acquisition, PeopleSoft, Talent Development, Recruiting, Leadership Development, Executive Coaching, Personnel Management, Conflict Resolution, CRM, Organizational..., Interviews, Organizational..., HRIS, Workforce Planning, Benefits Administration, Performance Improvement
Education
Seton Hall University
Master's degree, Counseling Psychology, 3.88
Seton Hall University
Bachelor's degree, Communication, General, 3.73
Horizon Blue Cross Blue Shield of New Jersey October 2010 - Present
Horizon Blue Cross Blue Shield of NJ February 2008 - September 2010
Horizon Blue Cross Blue Shield of NJ January 2006 - February 2008
Horizon Blue Cross Blue Shield of New Jersey July 2004 - January 2006
Norvergence May 2003 - June 2004
Nextel June 1998 - October 2002
Nextel January 1996 - June 1998
Skills
SQL, Access, Monarch, Business Management, SOX, Billing, Internal Controls, Documentation, Process Improvement, Healthcare, Insurance, Business Process..., Business Analysis, Risk Management, Financial Reporting, Budgeting, Vendor Management, General Ledger, Accounts Receivable, Excel, Cognos, Accounting, Forecasting, MS Project, Financial Analysis, Microsoft Excel, Budgets, Software Documentation, Data Analysis, Project Management, Management, Integration, Team Building, Training, Healthcare Industry, Visio, Medicare, Databases, Provider Relations, Health Insurance, HMO, Analysis, Sarbanes-Oxley Act
Education
Saint Peter's University 2011 — 2014
MBA, Risk Management
Seton Hall University 1988 — 1992
BA, Communications (Journalism & Public Speaking), Criminal Justice
St. Peter's Prep
EXL LLC March 1993 - Present
World Access April 1990 - January 1992
Horizon Blue Cross Blue Shield of NJ August 1989 - April 1990
Skills
Insurance, Underwriting, Employee Benefits, Risk Management, General Insurance, Strategic Planning, Reinsurance, Brokers, Health Insurance, Claim, New Business Development, Financial Analysis, Marketing Strategy, Financial Risk, Account Management, Management, Portfolio Management, Healthcare, Analysis, Claims Management, Relationship Management
Education
Vanderbilt University - Owen Graduate School of Management 1987 — 1989
MBA, Marketing
University at Albany, SUNY 1981 — 1985
BA, Politcal Science, English
Comodo February 2010 - Present
Comodo July 2009 - January 2010
Horizon Blue Cross Blue Shield of NJ February 2008 - July 2009
horizon bcbs 2008 - 2009
Q1043 2008 - 2009
Hennion & Walsh August 2007 - October 2007
Education
University of Hartford 2003 — 2007
BS, Economics / Finance
Horizon Blue Cross Blue Shield of NJ November 1993 - Present
Skills
Access, Data Analysis, Excel, Process Improvement, Word, SQL, Microsoft Office, Salesforce.com, SAS, Microsoft Excel, Business Process..., Business Intelligence
Education
University at Albany, SUNY 1989 — 1993
BS, Business Administration
Horizon Blue Cross Blue Shield of NJ
Skills
HIPAA, Insurance, Visio, Analysis, Access, Vendor Management
Education
St. Peter's College
MS Accounting, Accounting
University Hospital- UMDNJ December 2010 - Present
EmblemHealth/ HIP Health Plan of New York May 2001 - November 2009
Horizon Blue Cross Blue Shield of NJ September 1991 - April 2001
T & M Graphics, Inc., Edison, NJ August 1986 - September 1991
Education
Saint Joseph's College 1999 — 2005
Bachelor of Science in Professional Arts, Health Care Administration
Hospital School of Nursing
Nursing, Professional nursing
The Hackett Group April 2015 - Present
The Hackett Group January 2014 - March 2015
NASDAQ OMX July 2012 - December 2013
Tyco Flow Control November 2010 - August 2012
Tyco Flow Control June 2010 - November 2010
Horizon Blue Cross Blue Shield of NJ May 2008 - August 2008
Skills
Strategy, Financial Modeling, Valuation, Corporate Development, Financial Analysis, Competitive Analysis, Leadership, Capital IQ, Business Valuation, Competitive Intelligence, Cross-functional Team..., Presentation Building, Capital Markets, Marketing Strategy, Negotiation, Finance, Due Diligence, Acquisition Integration, Microsoft Office, M&A experience, Corporate Finance, Emerging Markets, Business Process Design, Procurement..., Management Consulting, Teamwork, Thomson One, Strategic Planning, Hands-on Problem Solver, International Business, Market Research, Spend Analysis, BIQ, Coupa Certified
Education
Rutgers University-New Brunswick 2006 — 2010
B.S., Finance
Horizon Blue Cross Blue Shield of New Jersey January 2003 - Present
Horizon Blue Cross Blue Shield of NJ 2003 - Present
Skills
Medicare, Insurance, Health Insurance, Contract Negotiation
Education
Rutgers, The State University of New Jersey-New Brunswick
Comprehensive Psychological & Wellness Center, LLC March 2011 - Present
Horizon Blue Cross Blue Shield of NJ January 2005 - January 2014
Skills
Mental Health Counseling, Customer Satisfaction, Case Managment, Team Building, Employee Training, Recruiting, Teaching, Supervisory Experience, Small Business, Listening to customers, Organization, Customer Service, Social Services, Case Management
Education
Rutgers University-New Brunswick 1995 — 1999
Master's degree & Bachelor's degree, Social Work & Psychology
Richard Stockton College of New Jersey 1988 — 1990
Bachelor of Arts (BA), Business Administration, Management and Operations