Horizon NJ Health
Industry: Company
DescriptionHeadquarters: Pennington, NJ Parent organization: Horizon Blue Cross Blue Shield of New Jersey
Horizon NJ Health List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Horizon NJ Health. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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Horizon NJ Health Employees
Employee
Years
Job
Industry
Anthony Magdalinski Anthony Magdalinski's Horizon NJ Health Experience September 2014 - May 2015
Job Corporate Counsel at Horizon Blue Cross Blue Shield of New Jersey
Industry Legal Services
Experience
Horizon Blue Cross Blue Shield of New Jersey September 2015 - Present
Horizon NJ Health September 2014 - May 2015
Medical-Legal Partnerships at Philadelphia Legal Assistance September 2013 - May 2015
Horizon Blue Cross Blue Shield of New Jersey May 2014 - August 2014
University of Pennsylvania May 2013 - August 2013
The Ohio State University August 2010 - June 2012
Ohio House of Representatives September 2011 - April 2012
Nationalties Service Center June 2011 - September 2011
Skills
Healthcare Provider..., Health Insurance, Regulatory Analysis, Statutory Interpretation, Contract Analysis, Memorandum Drafting, General Insurance, Legal Contract Review, Written & Oral..., Legal Research Skills, LexisNexis Professional..., Legal Writing, Client Interviews, Client Advocation, Appeals, Legal Issues, Negotiation, Microsoft Office, Interviews, Event Planning, Policy, Community Outreach, Research, Public Speaking
Education
Drexel UniversityThomas R. Kline School of Law 2013 — 2015
Doctor of Law (JD), Health Law Concentration, Third Year Law Student
The Ohio State University 2008 — 2012
B.S. Arts and Sciences, Political Science, Portuguese, International Security and Intelligence
University of Akron School of Law
Doctor of Law (J.D.), 1L
Horizon Blue Cross Blue Shield of New Jersey September 2015 - Present
Horizon NJ Health September 2014 - May 2015
Medical-Legal Partnerships at Philadelphia Legal Assistance September 2013 - May 2015
Horizon Blue Cross Blue Shield of New Jersey May 2014 - August 2014
University of Pennsylvania May 2013 - August 2013
The Ohio State University August 2010 - June 2012
Ohio House of Representatives September 2011 - April 2012
Nationalties Service Center June 2011 - September 2011
Skills
Healthcare Provider..., Health Insurance, Regulatory Analysis, Statutory Interpretation, Contract Analysis, Memorandum Drafting, General Insurance, Legal Contract Review, Written & Oral..., Legal Research Skills, LexisNexis Professional..., Legal Writing, Client Interviews, Client Advocation, Appeals, Legal Issues, Negotiation, Microsoft Office, Interviews, Event Planning, Policy, Community Outreach, Research, Public Speaking
Education
Drexel UniversityThomas R. Kline School of Law 2013 — 2015
Doctor of Law (JD), Health Law Concentration, Third Year Law Student
The Ohio State University 2008 — 2012
B.S. Arts and Sciences, Political Science, Portuguese, International Security and Intelligence
University of Akron School of Law
Doctor of Law (J.D.), 1L
Alminda D'Agostino Alminda D'Agostino's Horizon NJ Health Experience January 2005 - Present
Job Community Health Education Consultant at Horizon NJ Health
Industry Hospital & Health Care
Experience
Horizon NJ Health January 2005 - Present
Alzheimer's Association® September 2002 - December 2004
Skills
Training and..., Fluent is Spanish, ·Proficient in..., Health Education, Healthcare, Qualitative Research, Prevention, Medicaid, Disease Management, PowerPoint, Wellness, SPSS, Nutrition, Spanish, Community Outreach, Data Analysis, Public Health, Health Promotion, Community Health, Public Speaking, Program Development, Microsoft Excel, Grant Writing
Education
Walden University 2005 — 2014
PhD, Public Health, 4.0
University of Puerto Rico 2000 — 2002
MPH, Public Health
University of Puerto Rico 1995 — 2000
BA, Science
Horizon NJ Health January 2005 - Present
Alzheimer's Association® September 2002 - December 2004
Skills
Training and..., Fluent is Spanish, ·Proficient in..., Health Education, Healthcare, Qualitative Research, Prevention, Medicaid, Disease Management, PowerPoint, Wellness, SPSS, Nutrition, Spanish, Community Outreach, Data Analysis, Public Health, Health Promotion, Community Health, Public Speaking, Program Development, Microsoft Excel, Grant Writing
Education
Walden University 2005 — 2014
PhD, Public Health, 4.0
University of Puerto Rico 2000 — 2002
MPH, Public Health
University of Puerto Rico 1995 — 2000
BA, Science
Robert Casally PMP Robert Casally PMP's Horizon NJ Health Experience June 2006 - September 2014
Job Program Manager, Sr. Project Manager
Industry Insurance
Experience
Horizon NJ Health June 2006 - September 2014
SIEMENS Health Services March 2003 - June 2006
Independent Consulting Services June 1997 - March 2003
Skills
Requirements Analysis, Testing, MS Project, SDLC, Project Management, PMP, Integration, Software Documentation, Program Management, Software Development, Product Management, Business Process, Microsoft Project, Management, Leadership, Process Improvement, Vendor Management, Business Process...
Education
Project Management Institute
PMP Certification, Project Management
AT&T School of Technology
Technical Classifications, Software Development & Technology
The College of New Jersey
BA, Education
Horizon NJ Health June 2006 - September 2014
SIEMENS Health Services March 2003 - June 2006
Independent Consulting Services June 1997 - March 2003
Skills
Requirements Analysis, Testing, MS Project, SDLC, Project Management, PMP, Integration, Software Documentation, Program Management, Software Development, Product Management, Business Process, Microsoft Project, Management, Leadership, Process Improvement, Vendor Management, Business Process...
Education
Project Management Institute
PMP Certification, Project Management
AT&T School of Technology
Technical Classifications, Software Development & Technology
The College of New Jersey
BA, Education
Selmico D. Gillespie, RDH's Horizon NJ Health Experience September 2014 - Present
Job Dental Account Liasion/Auditor at Horizon NJ Health
Industry Hospital & Health Care
Experience
Goldman Periodontics September 2010 - Present
Maddali and Associates June 2007 - Present
Horizon NJ Health September 2014 - Present
Rutgers School of Dental Medicine November 2013 - September 2014
Horizon Blue Cross Blue Shield of New Jersey October 2011 - March 2013
Horizon Blue Cross Blue Shield of New Jersey June 2012 - August 2012
Horizon Blue Cross Blue Shield of New Jersey December 2003 - October 2011
American Unity Dental March 2007 - April 2011
Skills
Type 65 WPM, Computer literate, Ability to multitask, Medical Terminology, Customer Service, Bookkeeping, Microsoft Excel,..., Siebel, Digital Radiography, CPR Certified, Completion of Local..., Dentistry, HIPAA, Patient Education, Public Speaking, Health Insurance, Management, Cpr Certified, Healthcare, Infection Control, Oral Care, Radiography, Treatment, Healthcare Management
Education
Union County College
Associate of Arts and Sciences (AAS), Dental Hygiene/Hygienist
University of Medicine and Dentistry of New Jersey
Associate of Arts and Sciences (AAS), Dental Hygiene/Hygienist
Goldman Periodontics September 2010 - Present
Maddali and Associates June 2007 - Present
Horizon NJ Health September 2014 - Present
Rutgers School of Dental Medicine November 2013 - September 2014
Horizon Blue Cross Blue Shield of New Jersey October 2011 - March 2013
Horizon Blue Cross Blue Shield of New Jersey June 2012 - August 2012
Horizon Blue Cross Blue Shield of New Jersey December 2003 - October 2011
American Unity Dental March 2007 - April 2011
Skills
Type 65 WPM, Computer literate, Ability to multitask, Medical Terminology, Customer Service, Bookkeeping, Microsoft Excel,..., Siebel, Digital Radiography, CPR Certified, Completion of Local..., Dentistry, HIPAA, Patient Education, Public Speaking, Health Insurance, Management, Cpr Certified, Healthcare, Infection Control, Oral Care, Radiography, Treatment, Healthcare Management
Education
Union County College
Associate of Arts and Sciences (AAS), Dental Hygiene/Hygienist
University of Medicine and Dentistry of New Jersey
Associate of Arts and Sciences (AAS), Dental Hygiene/Hygienist
Adele McCloskey Adele McCloskey's Horizon NJ Health Experience September 2011 - March 2012
Job Director of Clinical Practice Women's & Children's Institute Cooper University Hospital
Industry Hospital & Health Care
Experience
Cooper University Hospital October 2014 - Present
Cooper Hospital January 2013 - Present
Horizon NJ Health September 2011 - March 2012
Bayada Home Care Services November 2007 - September 2011
Weisman Children's Rehabilitation Hospital October 2003 - September 2011
Gentiva Health Services February 2001 - October 2003
NBN Infusions/Newborn Nurses June 1995 - February 2001
NBN Infusions/Newborn Nurses January 1993 - June 1995
NBN Infusions December 1991 - January 1993
Newborn Nurses January 1991 - December 1991
Skills
Clinical Research, Managed Care, Physician Relations, Pediatrics, Patient Education, Nursing, ICU, Home Care, Healthcare, Nursing Care, Medicare, Healthcare Management, HIPAA, EMR, Emergency Room
Education
Thomas Edison State College 2011 — 2014
MSN, Nursing
Thomas Edison State College 2008 — 2011
MSN, BSN
Beth Israel School of Nursing 1982 — 1984
AAS, Nursing
Hunter College
Thomas Edison State College
Bachelor, Liberal Arts
Cooper University Hospital October 2014 - Present
Cooper Hospital January 2013 - Present
Horizon NJ Health September 2011 - March 2012
Bayada Home Care Services November 2007 - September 2011
Weisman Children's Rehabilitation Hospital October 2003 - September 2011
Gentiva Health Services February 2001 - October 2003
NBN Infusions/Newborn Nurses June 1995 - February 2001
NBN Infusions/Newborn Nurses January 1993 - June 1995
NBN Infusions December 1991 - January 1993
Newborn Nurses January 1991 - December 1991
Skills
Clinical Research, Managed Care, Physician Relations, Pediatrics, Patient Education, Nursing, ICU, Home Care, Healthcare, Nursing Care, Medicare, Healthcare Management, HIPAA, EMR, Emergency Room
Education
Thomas Edison State College 2011 — 2014
MSN, Nursing
Thomas Edison State College 2008 — 2011
MSN, BSN
Beth Israel School of Nursing 1982 — 1984
AAS, Nursing
Hunter College
Thomas Edison State College
Bachelor, Liberal Arts
Karl Weimer, MPH Karl Weimer, MPH's Horizon NJ Health Experience June 2014 - March 2015
Job Director, DSNP Stars Member Navigators
Industry Hospital & Health Care
Experience
UnitedHealth Group March 2015 - Present
Horizon NJ Health June 2014 - March 2015
UnitedHealthcare, Quality Management and Performance January 2013 - June 2014
UnitedHealthcare, Quality Management and Performance September 2012 - January 2013
UnitedHealthCare Community & State March 2010 - September 2012
MEDai February 2007 - March 2010
Center for Health Care Strategies January 2005 - February 2007
Horizon NJ Health 2003 - 2004
Horizon Blue Cross Blue Shield of New Jersey July 2001 - March 2003
Personal Path Systems March 2000 - April 2001
Skills
Medicaid, Managed Care, Healthcare, Healthcare Information..., Medicare, Health Insurance, Healthcare Management, Data Analysis, HIPAA, Analysis, Informatics, Strategic Planning, SAS, Process Improvement, Leadership, Health Policy, Quality Improvement, HEDIS, Disease Management, Clinical Research, Program Management, Healthcare Industry, Healthcare Consulting
Education
University of Pittsburgh 1993 — 1995
MPH, Epidemiology
University of Massachusetts Boston 1989 — 1991
BA, Cum Laude, Sociology
New England College-Arundel (UK) 1985 — 1987
DNF, English
New Hope-Solebury High School 1979 — 1985
Honors, English Language and Literature, General
UnitedHealth Group March 2015 - Present
Horizon NJ Health June 2014 - March 2015
UnitedHealthcare, Quality Management and Performance January 2013 - June 2014
UnitedHealthcare, Quality Management and Performance September 2012 - January 2013
UnitedHealthCare Community & State March 2010 - September 2012
MEDai February 2007 - March 2010
Center for Health Care Strategies January 2005 - February 2007
Horizon NJ Health 2003 - 2004
Horizon Blue Cross Blue Shield of New Jersey July 2001 - March 2003
Personal Path Systems March 2000 - April 2001
Skills
Medicaid, Managed Care, Healthcare, Healthcare Information..., Medicare, Health Insurance, Healthcare Management, Data Analysis, HIPAA, Analysis, Informatics, Strategic Planning, SAS, Process Improvement, Leadership, Health Policy, Quality Improvement, HEDIS, Disease Management, Clinical Research, Program Management, Healthcare Industry, Healthcare Consulting
Education
University of Pittsburgh 1993 — 1995
MPH, Epidemiology
University of Massachusetts Boston 1989 — 1991
BA, Cum Laude, Sociology
New England College-Arundel (UK) 1985 — 1987
DNF, English
New Hope-Solebury High School 1979 — 1985
Honors, English Language and Literature, General
James Robinson, Jr., MHA's Horizon NJ Health Experience January 2011 - March 2012
Job Director of Medicaid Claims...TMG Health
Industry Hospital & Health Care
Experience
TMG Health February 2014 - Present
CNSI April 2012 - February 2014
Horizon NJ Health January 2011 - March 2012
America's Health Choice November 2006 - April 2009
Maxicare Health Plan January 1998 - January 2001
Dental Network Services January 1996 - January 1998
CMS/Tenet Healthcare January 1994 - January 1996
Skills
Strategic Technology..., Healthcare, Medicare, Medicaid, Policy, Computer Claims Systems, Adjusters, HIPAA, Health Policy, Employee Benefits, Visio, Utilization Management, Strategic Planning, Healthcare Information..., Managed Care, Network Development, Healthcare Management, Leadership, Access, Claim, Healthcare Consulting, Analysis, Provider Relations, Health Insurance, HMO, Insurance, Medicaid Managed Care, Healthcare Industry, PPO, EHR, Training, Process Improvement, Program Management, Software Documentation, Medical Compliance, EMR, Management, Requirements Analysis, Revenue Cycle, Call Centers, System Administration, Medical Coding, Revenue Cycle Management, ICD-9, Practice Management, Healthcare Analytics, Claims Management, Performance Improvement, Executive Management, Project Management
Education
University of La Verne 1996 — 1999
Masters, Healthcare Administration
University of La Verne 1992 — 1996
Bachelor of Science, Healthcare Management
TMG Health February 2014 - Present
CNSI April 2012 - February 2014
Horizon NJ Health January 2011 - March 2012
America's Health Choice November 2006 - April 2009
Maxicare Health Plan January 1998 - January 2001
Dental Network Services January 1996 - January 1998
CMS/Tenet Healthcare January 1994 - January 1996
Skills
Strategic Technology..., Healthcare, Medicare, Medicaid, Policy, Computer Claims Systems, Adjusters, HIPAA, Health Policy, Employee Benefits, Visio, Utilization Management, Strategic Planning, Healthcare Information..., Managed Care, Network Development, Healthcare Management, Leadership, Access, Claim, Healthcare Consulting, Analysis, Provider Relations, Health Insurance, HMO, Insurance, Medicaid Managed Care, Healthcare Industry, PPO, EHR, Training, Process Improvement, Program Management, Software Documentation, Medical Compliance, EMR, Management, Requirements Analysis, Revenue Cycle, Call Centers, System Administration, Medical Coding, Revenue Cycle Management, ICD-9, Practice Management, Healthcare Analytics, Claims Management, Performance Improvement, Executive Management, Project Management
Education
University of La Verne 1996 — 1999
Masters, Healthcare Administration
University of La Verne 1992 — 1996
Bachelor of Science, Healthcare Management
Dorenda Laws's Horizon NJ Health Experience November 2014 - Present
Job Nursing mental health care
Industry Mental Health Care
Experience
Horizon NJ Health November 2014 - Present
State of New Jersey mental health October 2012 - Present
State New Jersey mental healthcare July 2006 - Present
Skills
Mental Health Counseling, Healthcare, Hospitals, Psychotherapy, Social Services, Psychiatric Care, Chemical Dependency, Chronic Illness, Health Promotion, Counseling Psychology, Medical/Surgical, Treatment of depression, Psychological Assessment, Mental Health, Behavioral Health, Inpatient, CPR Certified, Program Development, Motivational..., Health Education, Nonprofits, Rehabilitation, Nursing, Psychiatry, Case Management, Treatment
Education
University of Phoenix 2014 — 2016
Master of Business Administration (M.B.A.), Management finance marketing
University of Phoenix 2007 — 2008
Nursing Lpn, Psychiatric/Mental Health Nurse/Nursing
High school Trenton Central high school 1995 — 1999
None, Adult Health Nurse/Nursing
Horizon NJ Health November 2014 - Present
State of New Jersey mental health October 2012 - Present
State New Jersey mental healthcare July 2006 - Present
Skills
Mental Health Counseling, Healthcare, Hospitals, Psychotherapy, Social Services, Psychiatric Care, Chemical Dependency, Chronic Illness, Health Promotion, Counseling Psychology, Medical/Surgical, Treatment of depression, Psychological Assessment, Mental Health, Behavioral Health, Inpatient, CPR Certified, Program Development, Motivational..., Health Education, Nonprofits, Rehabilitation, Nursing, Psychiatry, Case Management, Treatment
Education
University of Phoenix 2014 — 2016
Master of Business Administration (M.B.A.), Management finance marketing
University of Phoenix 2007 — 2008
Nursing Lpn, Psychiatric/Mental Health Nurse/Nursing
High school Trenton Central high school 1995 — 1999
None, Adult Health Nurse/Nursing
Terris Moss, LPN, MS, MBA, PMP's Horizon NJ Health Experience June 2011 - May 2015
Job Manager of Special Projects at QualCare Inc.
Industry Pharmaceuticals
Experience
QualCare Inc. August 2015 - Present
George Washington University May 2011 - Present
MOSS Consulting, LLC June 2004 - Present
Horizon NJ Health June 2011 - May 2015
Amicus Therapeutics May 2011 - June 2011
various December 2000 - May 2011
PAREXEL May 2010 - January 2011
Feabhas June 2009 - May 2010
Aerotek Scientific June 2008 - June 2009
On Assignment Clinical Research 2007 - May 2008
Skills
Pharmaceutical Industry, Six Sigma, Oncology, Clinical Research, Clinical Trials, Regulatory Affairs, Neurology, Project Management, Diabetes, Hematology, Endocrinology, CRO, Clinical Development, CTMS, Dermatology, Biotechnology, HIPAA, Cross-functional Team..., Healthcare, Medical Writing, Drug Development, Medicine, Process Improvement, Regulatory Submissions, Therapeutic Areas, Informatics, Protocol, Quality Assurance, Infectious Diseases, Healthcare Information..., Lifesciences, Training, Managed Care, Program Management, FDA, Cancer, Analysis, Data Management, Cardiology, Strategy, Clinical Data Management, Medical Devices, Physicians, Nursing, Management, Clinical Operations, Project Implementation, Leadership, GCP, SOP
Education
UMDNJ - Rutgers University School of Health Related Professions 2009 — 2016
Doctor of Philosophy (PhD) Candidate, Biomedical Informatics Focus on Clinical Outcomes and Healthcare Quality, A
Global Leadership College 2013 — 2013
Certification, Information Technology Project Management
The George Washington University School of Medicine and Health Sciences 2012 — 2013
Masters Certification, Healthcare Quality, A
The George Washington University School of Medicine and Health Sciences 2005 — 2007
M.S., Clinical Research Administration, A
Kennedy Western University 2004 — 2006
MBA, Business, A
Douglass College, Rutgers University
BA, Communications
Union County College
Nursing, Licensed Practical Nurse, B
QualCare Inc. August 2015 - Present
George Washington University May 2011 - Present
MOSS Consulting, LLC June 2004 - Present
Horizon NJ Health June 2011 - May 2015
Amicus Therapeutics May 2011 - June 2011
various December 2000 - May 2011
PAREXEL May 2010 - January 2011
Feabhas June 2009 - May 2010
Aerotek Scientific June 2008 - June 2009
On Assignment Clinical Research 2007 - May 2008
Skills
Pharmaceutical Industry, Six Sigma, Oncology, Clinical Research, Clinical Trials, Regulatory Affairs, Neurology, Project Management, Diabetes, Hematology, Endocrinology, CRO, Clinical Development, CTMS, Dermatology, Biotechnology, HIPAA, Cross-functional Team..., Healthcare, Medical Writing, Drug Development, Medicine, Process Improvement, Regulatory Submissions, Therapeutic Areas, Informatics, Protocol, Quality Assurance, Infectious Diseases, Healthcare Information..., Lifesciences, Training, Managed Care, Program Management, FDA, Cancer, Analysis, Data Management, Cardiology, Strategy, Clinical Data Management, Medical Devices, Physicians, Nursing, Management, Clinical Operations, Project Implementation, Leadership, GCP, SOP
Education
UMDNJ - Rutgers University School of Health Related Professions 2009 — 2016
Doctor of Philosophy (PhD) Candidate, Biomedical Informatics Focus on Clinical Outcomes and Healthcare Quality, A
Global Leadership College 2013 — 2013
Certification, Information Technology Project Management
The George Washington University School of Medicine and Health Sciences 2012 — 2013
Masters Certification, Healthcare Quality, A
The George Washington University School of Medicine and Health Sciences 2005 — 2007
M.S., Clinical Research Administration, A
Kennedy Western University 2004 — 2006
MBA, Business, A
Douglass College, Rutgers University
BA, Communications
Union County College
Nursing, Licensed Practical Nurse, B
Brooke Konkle's Horizon NJ Health Experience November 2013 - January 2014
Job Marine biologist
Industry Oil & Energy
Experience
Texas A&M University-Corpus Christi September 2014 - December 2014
Horizon NJ Health November 2013 - January 2014
Bracco April 2013 - July 2013
Advertising Specialty Institute February 2012 - April 2013
Graduate School of Oceanography October 2010 - May 2011
University of Rhode Island September 2010 - May 2011
University of Rhode Island September 2009 - May 2011
Skills
Autoclave, Centrifugation, Field Work, Data Entry, Dishwashing, DNA sequencing, Chromatography, Gel Electrophoresis, HPLC, Inventory, GLP, PCR, Microscopy, Pipetting, Laboratory Skills, Open Water Diver, Identification, Agarose Gel..., DNA Sequencing, Microsoft Word
Education
University of Rhode Island 2007 — 2011
Bachelor of Science (B.S.), Marine Biology, 3.4
Mediterranean Center for Arts and Sciences 2010 — 2010
Texas A&M University-Corpus Christi September 2014 - December 2014
Horizon NJ Health November 2013 - January 2014
Bracco April 2013 - July 2013
Advertising Specialty Institute February 2012 - April 2013
Graduate School of Oceanography October 2010 - May 2011
University of Rhode Island September 2010 - May 2011
University of Rhode Island September 2009 - May 2011
Skills
Autoclave, Centrifugation, Field Work, Data Entry, Dishwashing, DNA sequencing, Chromatography, Gel Electrophoresis, HPLC, Inventory, GLP, PCR, Microscopy, Pipetting, Laboratory Skills, Open Water Diver, Identification, Agarose Gel..., DNA Sequencing, Microsoft Word
Education
University of Rhode Island 2007 — 2011
Bachelor of Science (B.S.), Marine Biology, 3.4
Mediterranean Center for Arts and Sciences 2010 — 2010
Fred DiOrio, DMD Fred DiOrio, DMD's Horizon NJ Health Experience September 2013 - Present
Job Director, Dental Horizon NJ Health
Industry Hospital & Health Care
Experience
Horizon NJ Health September 2013 - Present
Skills
Dentistry, Medicaid Managed Care, Management, Leadership, Dental Insurance, EMT, CPR Certified
Education
University of Medicine and Dentistry of New Jersey 1975 — 1978
DMD, Dentistry
Horizon NJ Health September 2013 - Present
Skills
Dentistry, Medicaid Managed Care, Management, Leadership, Dental Insurance, EMT, CPR Certified
Education
University of Medicine and Dentistry of New Jersey 1975 — 1978
DMD, Dentistry
Carol Chernack's Horizon NJ Health Experience 2002 - Present
Job Writer PR Specialist at Horizon NJ Health
Industry Hospital & Health Care
Experience
Horizon NJ Health/Horizon Blue Cross Blue Shield of NJ September 2002 - Present
Horizon NJ Health 2002 - Present
Blue Cross Blue Shield 2002 - Present
Horizon Blue Cross Blue Shield of New Jersey 2001 - Present
New Jersey State Nurses Association (American Nurses Association) 1990 - August 2002
Education
University of Colorado Boulder
BA; Grad School, English, French, Oceanography, Art
Horizon NJ Health/Horizon Blue Cross Blue Shield of NJ September 2002 - Present
Horizon NJ Health 2002 - Present
Blue Cross Blue Shield 2002 - Present
Horizon Blue Cross Blue Shield of New Jersey 2001 - Present
New Jersey State Nurses Association (American Nurses Association) 1990 - August 2002
Education
University of Colorado Boulder
BA; Grad School, English, French, Oceanography, Art
Susan Ebner's Horizon NJ Health Experience August 2011 - Present
Job Healthcare Administrator with extensive experience in both provider and payer professional services reimbursement.
Industry Insurance
Experience
Horizon NJ Health August 2011 - Present
Health Net September 2007 - May 2010
UMDNJ-RWJMS-RWJ University Medical Group April 1997 - August 2007
Skills
Medicaid, Managed Care, Network Development, Credentialing, Provider Relations, Physicians, Healthcare, Contract Negotiation, HMO, Medicare
Education
Tulane University 1979 — 1981
M.P.H. and M.S.W., Public Health and Social Work
Horizon NJ Health August 2011 - Present
Health Net September 2007 - May 2010
UMDNJ-RWJMS-RWJ University Medical Group April 1997 - August 2007
Skills
Medicaid, Managed Care, Network Development, Credentialing, Provider Relations, Physicians, Healthcare, Contract Negotiation, HMO, Medicare
Education
Tulane University 1979 — 1981
M.P.H. and M.S.W., Public Health and Social Work
Patrick Marchetti's Horizon NJ Health Experience October 2006 - June 2008
Job Health Data Analyst at Horzion NJ Health / HEDIS Lead
Industry Hospital & Health Care
Experience
Horzion NJ Health June 2008 - Present
Horizon NJ Health October 2006 - June 2008
Adecco Staffing Resources January 2006 - October 2006
Skills
Healthcare, Healthcare Information..., Healthcare Management, Public Health, HIPAA, EMR, Data Analysis, Managed Care, EHR, Informatics, Medicaid, Access, Health Insurance, Healthcare Industry, Software Documentation, Process Improvement, Disease Management, Health Policy, Medicaid Managed Care, NCQA
Education
The College of New Jersey 2001 — 2005
Bachelor of Science (B.S.), Health and Exercise Science
Horzion NJ Health June 2008 - Present
Horizon NJ Health October 2006 - June 2008
Adecco Staffing Resources January 2006 - October 2006
Skills
Healthcare, Healthcare Information..., Healthcare Management, Public Health, HIPAA, EMR, Data Analysis, Managed Care, EHR, Informatics, Medicaid, Access, Health Insurance, Healthcare Industry, Software Documentation, Process Improvement, Disease Management, Health Policy, Medicaid Managed Care, NCQA
Education
The College of New Jersey 2001 — 2005
Bachelor of Science (B.S.), Health and Exercise Science
ERIC HOGAN's Horizon NJ Health Experience November 2000 - January 2007
Job Manager, Network Development at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care October 2011 - Present
Eric Hogan Consulting December 2010 - October 2011
Catholic Health East July 2007 - October 2010
Horizon NJ Health November 2000 - January 2007
Skills
Pennsylvania Accident...
Education
UCSD
Bachelor of Arts (BA), Urban Studies/Affairs (with emphasis in Health Planning)
University of Southern California
Master of Public Administration, Certificate in Health Service Administration
Coventry Health Care October 2011 - Present
Eric Hogan Consulting December 2010 - October 2011
Catholic Health East July 2007 - October 2010
Horizon NJ Health November 2000 - January 2007
Skills
Pennsylvania Accident...
Education
UCSD
Bachelor of Arts (BA), Urban Studies/Affairs (with emphasis in Health Planning)
University of Southern California
Master of Public Administration, Certificate in Health Service Administration
Deltrois Newborn's Horizon NJ Health Experience May 2013 - Present
Job Medicaid Manager at Horizon NJ Health
Industry Insurance
Experience
Horizon NJ Health May 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey 2011 - March 2013
Horizon Blue Cross Blue Shield of New Jersey 2000 - 2013
VA Hospital East Orange,NJ January 1979 - December 1988
Skills
HMO, Medicare Part D, Medicare, Disease Management, Medicaid, Health Care Reform, Managed Care, Health Insurance, Health Policy, Pharmacy Benefit..., HIPAA, Healthcare Consulting, Insurance, Healthcare Management, Healthcare Information..., Healthcare, Long-term Care, Dentistry, Provider Relations, Network Development, Utilization Management, Claims Resolution
Education
University of Phoenix 2004 — 2008
BS, Business Management
Horizon NJ Health May 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey 2011 - March 2013
Horizon Blue Cross Blue Shield of New Jersey 2000 - 2013
VA Hospital East Orange,NJ January 1979 - December 1988
Skills
HMO, Medicare Part D, Medicare, Disease Management, Medicaid, Health Care Reform, Managed Care, Health Insurance, Health Policy, Pharmacy Benefit..., HIPAA, Healthcare Consulting, Insurance, Healthcare Management, Healthcare Information..., Healthcare, Long-term Care, Dentistry, Provider Relations, Network Development, Utilization Management, Claims Resolution
Education
University of Phoenix 2004 — 2008
BS, Business Management
Gail Coplein's Horizon NJ Health Experience
Job Case Manager at Horizon NJ Health
Industry Hospital & Health Care
Experience
Horizon NJ Health
Skills
Managed Care, Healthcare, Case Management, Discharge Planning, Documentation, Nursing, Public Speaking, Research, Mental Health, PowerPoint, Customer Service, Word, Care Management, Problem Solving, Excel, Nurses, Disability Management, Public Health, Medicaid, Medicare, Healthcare Management
Education
University of Massachusetts, Amherst
Master of Public Health (MPH)
University of Miami
JD, Law
University of Pennsylvania
Bachelor of Arts (B.A.), History
Horizon NJ Health
Skills
Managed Care, Healthcare, Case Management, Discharge Planning, Documentation, Nursing, Public Speaking, Research, Mental Health, PowerPoint, Customer Service, Word, Care Management, Problem Solving, Excel, Nurses, Disability Management, Public Health, Medicaid, Medicare, Healthcare Management
Education
University of Massachusetts, Amherst
Master of Public Health (MPH)
University of Miami
JD, Law
University of Pennsylvania
Bachelor of Arts (B.A.), History
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY