New York-Presbyterian Community Health Plan

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New York-Presbyterian Community Health Plan Employees

Employee
Years
Job
Industry
Marshlyn Walters Marshlyn Walters Greater New York City Area Details
Marshlyn Walters's New York-Presbyterian Community Health Plan Experience 2007 - 2009
Job UM Specialist at Wellpoint
Industry Hospital & Health Care
Experience
Anthem, Inc.   January 2014 - Present
Anthem  2010 - Present
New York Presbyterian Community Health Plan  2007 - 2009
Metropolitan Jewish Health Systems  2005 - 2007
Iona Realty, Inc   2003 - 2005

Skills
PeopleSoft, Benefits Administration, Recruiting, Human Resources, Outlook, Process Improvement, Data Entry, Microsoft Excel, Software Documentation, Employee Benefits, Management, Customer Service, PowerPoint, Coaching, Talent Acquisition, Administration, Deferred Compensation

Education
Long Island University   2009 — 2011
M.S Human Resource Management, Human Resource Management

Touro College   2005 — 2009
Bachelor's degree, Psychology

Touro College   2006 — 2008
AS, Human Services

Glenny Minier Glenny Minier Greater New York City Area Details
Glenny Minier's New York-Presbyterian Community Health Plan Experience July 2007 - July 2009
Job Administrative Support/Medical Biller and Coder between jobs who wants me?
Industry Information Technology and Services
Experience
n/a - between jobs - who wants me?   March 1998 - Present
Visiting Nurse Service of New York  July 2012 - September 2012
New York Presbyterian Community Health Plan  July 2007 - July 2009
Community Premier Plus Health Plan   July 2006 - July 2007
Mariano Nevarez-Tapia MD PC   May 2001 - November 2004

Skills
􏰀 Customer Service 􏰀..., Microsoft Office, Customer Service, Windows 7, Microsoft Excel, Outlook, Microsoft Word, PowerPoint, Teamwork, System Administration, Process Improvement, Windows Server, Team Leadership

Education
City University of New York-Herbert H. Lehman College   2009 — 2012
Bachelor's Degree, Health Services Administration, 3.25

Borough of Manhattan Community College New York   1998 — 2009
Associate's Degree, Business Administration and Management, General, 2.98

The Career Center   2005 — 2005
Certificate Program, Medical Billing and Coding, N/A

Lisa Branch Lisa Branch Greater New York City Area Details
Lisa Branch's New York-Presbyterian Community Health Plan Experience October 2005 - July 2009
Job Senior Claims Adjuster at EmblemHealth
Industry Hospital & Health Care
Experience
EmblemHealth  October 2011 - Present
Touchstone Health  December 2009 - September 2011
New York Presbyterian Community Health Plan  October 2005 - July 2009
Continuum Health Partners  2001 - 2005

Skills
Medical Claims, Medicare, Medicaid, HMO, Provider Relations, Customer Service, Network Development, Healthcare Consulting, Claims Management, Managed Care, Data Entry, Insurance, Call Centers, Revenue Cycle, Healthcare Information..., Employee Benefits, Utilization Management, PPO, Access, Medical Billing

Education
City University of New York City College   1984 — 1989
Bachelor's Degree, Sociology

High School of Music and Arts   1980 — 1983
Diploma, Instrumental Music

Charles Cowles Charles Cowles Baltimore, Maryland Area Details
Charles Cowles's New York-Presbyterian Community Health Plan Experience 2005 - 2009
Job Health Insurance Specialist, Center for Medicare and Medicaid Services at U.S. Department of Health and Human Services
Industry Insurance
Experience
U.S. Department of Health and Human Services   March 2010 - Present
Touchstone Health  2009 - 2009
New York Presbyterian Community Health Plan  2005 - 2009
Northeastern Asset Recovery   2005 - 2005
Aetna  2003 - 2004
Aetna  2002 - 2003
Value Options  2001 - 2001
Waterbury Hospital  2001 - 2001
NexClaim Technologies   2000 - 2001
NexClaim Technologies   1999 - 2000

Skills
Insurance, Health Insurance, Analysis, Managed Care, Software Documentation, HIPAA, Access, Medicare, Training, Employee Benefits, Medicaid, Data Analysis, Human Resources, Healthcare, Management, Policy, Health Policy, Leadership, Strategy

Education
The University of Connecticut   1970 — 1975
BA, English

Southern Connecticut State University
MA, English

Susy Alvarez Susy Alvarez Tampa/St. Petersburg, Florida Area Details
Susy Alvarez's New York-Presbyterian Community Health Plan Experience April 2008 - March 2009
Job Credentialing Specialist Professional
Industry Insurance
Experience
Wellcare  March 2015 - Present
Corinthian Medical IPA   August 2013 - Present
Fidelis Care  November 2012 - December 2012
Amidacare   October 2011 - August 2012
Office Team/Memorial Sloan Kettering Cancer Center   July 2009 - March 2010
New York-Presbyterian Community Health Plan   April 2008 - March 2009
Temporary Excellence   November 2006 - March 2008

Skills
Healthcare, Microsoft Office, HIPAA, Customer Service, Data Entry, Administrative Office..., Medicaid, Bilingual-English/Spanis..., Office Organizing, HMO, Managed Care, Healthcare Management, Access, Medicare, Clerical Skills, Outlook, Employee Benefits

Education
Plaza College   2004 — 2006
Associate Degree, Information Science

Plaza College   2004 — 2006
ASSOCIATE DEGREE; High School, INFORMATION SCIENCE; 2004

Viane Bello Viane Bello Kennesaw, Georgia Details
Viane Bello's New York-Presbyterian Community Health Plan Experience November 2000 - April 2009
Job EPSDT Coordinator II at Centene Corporation
Industry Hospital & Health Care
Experience
Centene Corporation  October 2012 - Present
Centene Corporation  April 2010 - October 2012
New York Presbyterian Community Health Plan  November 2000 - April 2009

Skills
Managed Care, Medicaid, Provider Relations, HEDIS, Medicare, EPSDT, Disease Management, Bilingual-English/Spanis..., Qualified Bilingual..., Process Improvement, Project Management, Affordable Care Act, Healthcare Consulting, Medicare Part D, Network Development, Credentialing, Health Policy, Medicaid Managed Care

Education
Kaplan University-Davenport Campus   2014 — 2016
Master's Degree, Health/Health Care Administration/Management

Mercy College   2007 — 2009
BS

Mercy College   2007 — 2009
Bachelor's degree, Organizational Leadership

Catherine Reyes Catherine Reyes Greater New York City Area Details
Catherine Reyes's New York-Presbyterian Community Health Plan Experience 2007 - 2009
Job Benefits Analyst at New York Presbyterian Hospital
Industry Hospital & Health Care
Experience
New York-Presbyterian Hospital  July 2015 - Present
New York Presbyterian Hospital  May 2003 - Present
New York Presbyterian Community Health Plan  2007 - 2009

Skills
Healthcare, Access, Excel, Word, Microsoft Office, Microsoft Word, Management, Marketing, Microsoft Excel, Human Resources, Leadership, Training, Outlook, Team Building, Employee Relations, Process Improvement, Employee Benefits, Healthcare Management, Managed Care, HIPAA, Medicare

Education
State University of New York Empire State College   2012 — 2014
Bachelor's Degree

Pedro Estevez Pedro Estevez Greater New York City Area Details
Pedro Estevez's New York-Presbyterian Community Health Plan Experience November 2004 - July 2007
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
New York Presbyterian  July 2007 - March 2009
New York Presbyterian Community Health Plan  November 2004 - July 2007
Community Premier Plus  2004 - 2007
Gertrude H   January 1999 - November 2004
Harlem Hospital  January 1998 - January 1999
Union Hospital  January 1992 - January 1998
Dr. Francisco Lavandier Hospital. Pediatric Department   January 1989 - January 1990

Skills
Microsoft Word, Healthcare, Managed Care, Hospitals, Clinical Research, Physicians, Home Care, ICD-9, Customer Service, Healthcare Management, Inpatient

Education
Universidad Autónoma del Estado de México   1986 — 1989
Postgraduate, Pediatrics

Universidad Autónoma de Santo Domingo   1974 — 1982
Doctor, Medicine

Angela Crowe Angela Crowe Greater New York City Area Details
Angela Crowe's New York-Presbyterian Community Health Plan Experience 2007 - April 2011
Job Director, Network ProgramsCommunity Plan at UnitedHealthcare
Industry Hospital & Health Care
Experience
UnitedHealthcare  February 2012 - Present
United Healthcare Community Plan  February 2011 - March 2012
New York-Presbyterian Community Health Plan   2007 - April 2011
Community Premier Plus  2004 - 2007
Atlantis Health Plan  2004 - 2004
US Family Health Plan  2002 - 2003
CSC Healthcare Group  2000 - 2002
Blue Cross Blue Shield of AL   1996 - 2000

Skills
Leadership, Team Building, Management, Process Improvement, Healthcare, Networking, Change Management, Strategic Planning, Training, Insurance, Program Management, Customer Service, Project Management, Data Analysis, Access, Healthcare Management, Medicaid, Medicare

Education
Birmingham-Southern College   1999 — 2002
MPPM, Healthcare Management

Birmingham-Southern College   1990 — 1994

Muscle Shoals High School   1986 — 1990

Mark Spiegel Mark Spiegel Greater New York City Area Details
Mark Spiegel's New York-Presbyterian Community Health Plan Experience 2006 - 2009
Job Associate Medical Director, FidelisCare
Industry Medical Practice
Experience
FidelisCare   2011 - Present
New York Presbyterian Hospital  1979 - Present
New York Institute of Technology  2009 - Present
Vaughn College  2011 - Present
Geel Community Services  1993 - Present
The Epilepsy Foundation of Metropolitan New York   September 2003 - 2012
New York Presbyterian Community Health Plan  2006 - 2009
1199 National Benefit Fund for Hospital and Health Care Employees   1992 - 2009
AHRC New York City  1996 - 2004
Arms Acres Outpatient Clinic for Substance Abuse (Manhattan)   1996 - 2000

Skills
Medical Education, Clinical, Public Health, Healthcare Information..., Healthcare, Clinical Research, Mental Health, Medicine, Treatment, Hospitals, Psychology, Psychotherapy, Psychiatry, Healthcare Management, Informatics, Wellness, Internal Medicine

Education
Joan & Sanford I. Weill Medical College of Cornell University
MD

Yale University
BA

DeanNa Harris, CPCS, CPMSM DeanNa Harris, CPCS, CPMSM Greater New York City Area Details
DeanNa Harris, CPCS, CPMSM's New York-Presbyterian Community Health Plan Experience October 2003 - July 2004
Job Assistant Director, Credentialing at CMO The Care Management Company of Montefiore Medical Center
Industry Hospital & Health Care
Experience
CMO - The Care Management Company of Montefiore Medical Center  March 2015 - Present
Columbia University Medical Center  July 2013 - February 2015
Mount Sinai Medical Center  June 2011 - July 2013
Care To Care LLC  October 2009 - June 2011
CMO - The Care Management Company of Montefiore Medical Center  November 2006 - October 2009
Affinity Health Plan  August 2004 - November 2006
New York Presbyterian Community Health Plan  October 2003 - July 2004
Red Sky Interactive  1998 - 2001

Skills
Healthcare, Managed Care, Healthcare Management, Medicaid, Credentialing, Hospitals, HIPAA, Healthcare Consulting, Medicare, Provider Relations, Microsoft Excel, Microsoft Word, Healthcare Information..., Healthcare Industry, Physician Relations, Physicians, Revenue Cycle, EMR

Education
City University of New York-Baruch College - Zicklin School of Business   2000 — 2006
BBA, Human Resource

CUNY New York City College of Technology   1994 — 1996
Associate of Arts and Sciences (AAS), Accounting

Judith C. Wimmer Judith C. Wimmer Greater New York City Area Details
Judith C. Wimmer's New York-Presbyterian Community Health Plan Experience October 1999 - July 2009
Job Director of Clinical and Medical Operations at OptumHealth
Industry Hospital & Health Care
Experience
OptumHealth  July 2009 - Present
New York-Presbyterian Community Health Plan   October 1999 - July 2009

Education
Clemson University   1989 — 1993
BSN, Nursing

Carol Hitz Carol Hitz Brooklyn, New York Details
Carol Hitz's New York-Presbyterian Community Health Plan Experience November 2005 - July 2009
Job Social Worker at UnitedHealth Group
Industry Mental Health Care
Experience
UnitedHealth Group  June 2015 - Present
Park Slope Center for Mental Health  December 2014 - March 2015
VNSNY  July 2013 - November 2013
Amerigroup Corporation  July 2009 - July 2013
New York-Presbyterian Community Health Plan   November 2005 - July 2009

Skills
Quality Management, Medicaid, Medicare, Healthcare Management, Managed Care, HIPAA, Healthcare, Healthcare Information..., Healthcare Consulting, Healthcare Industry, Hospitals, EMR, Health Policy, Revenue Cycle, Health Insurance, Provider Relations, Utilization Management, Home Care, Physician Relations, Microsoft Office, Microsoft Excel, Disease Management, HMO, Informatics, Customer Service

Education
University of Nebraska-Lincoln   2015 — 2019
Master's degree, Social Work

University of Nebraska at Omaha
Master of Social Work (MSW), Social Work

Jacqueline Forbes (Jones) Jacqueline Forbes (Jones) Washington D.C. Metro Area Details
Jacqueline Forbes (Jones)'s New York-Presbyterian Community Health Plan Experience 1999 - 2002
Job Accreditation/Regulatory Manager at Children's National Medical Center
Industry Hospital & Health Care
Experience
Children's National Medical Center  August 2004 - Present
New York Presbyterian Community Health Plan  1999 - 2002

Education
Central Michigan University   1996 — 1999
Master of Science (M.Sc.), Hospital and Health Care Facilities Administration/Management

Baruch College, City University of New York (CUNY)   1983 — 1990
BBA, Operations Management