NYLCARE HEALTH PLANS
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NYLCARE HEALTH PLANS Employees
Employee
Years
Job
Industry
Sally Hilger Sally Hilger's NYLCARE HEALTH PLANS Experience 1990 - 1994
Job Healthcare Software Product Management and Alliances Executive
Industry Information Technology and Services
Experience
DST Health Solutions 2013 - Present
TriZetto Corporation 2009 - 2013
Kryptiq 2007 - 2008
Thomson Reuters (Healthcare Division, now known as Truven Health Analytics) 2002 - 2007
Medco Health 1997 - 2002
Erisco 1994 - 1997
NYLCare Health Plans 1990 - 1994
Education
Rutgers University
MBA, Information Systems
Seton Hall University
B.S., Finance
DST Health Solutions 2013 - Present
TriZetto Corporation 2009 - 2013
Kryptiq 2007 - 2008
Thomson Reuters (Healthcare Division, now known as Truven Health Analytics) 2002 - 2007
Medco Health 1997 - 2002
Erisco 1994 - 1997
NYLCare Health Plans 1990 - 1994
Education
Rutgers University
MBA, Information Systems
Seton Hall University
B.S., Finance
Teresa Yabar Teresa Yabar's NYLCARE HEALTH PLANS Experience March 1997 - March 1998
Job Art teacher
Industry Education Management
Experience
THE PHILADELPHIA SCHOOL DISTRICT 2002 - Present
The Prestige Group March 2000 - March 2001
NYLCare Health Plans March 1997 - March 1998
Skills
Microsoft Office, Microsoft Excel, Differentiated..., Lesson Planning, Classroom Management, Classroom, Educational Leadership, Elementary Education, Curriculum Development, Curriculum Design, Literacy, Special Education, Tutoring, Teacher Training, Educational Technology, Teaching, K-12, Staff Development, Instructional Technology, ESL, Secondary Education, Instructional Design, Smartboard, Lesson
Education
Immaculata University 2002 — 2004
Certification Program, Spanish Language and Literature
Marymount Manhattan College 1980 — 1982
Bachelor of Arts (B.A.), Spanish
Universidad de Lima 1975 — 1979
Language and Literature
THE PHILADELPHIA SCHOOL DISTRICT 2002 - Present
The Prestige Group March 2000 - March 2001
NYLCare Health Plans March 1997 - March 1998
Skills
Microsoft Office, Microsoft Excel, Differentiated..., Lesson Planning, Classroom Management, Classroom, Educational Leadership, Elementary Education, Curriculum Development, Curriculum Design, Literacy, Special Education, Tutoring, Teacher Training, Educational Technology, Teaching, K-12, Staff Development, Instructional Technology, ESL, Secondary Education, Instructional Design, Smartboard, Lesson
Education
Immaculata University 2002 — 2004
Certification Program, Spanish Language and Literature
Marymount Manhattan College 1980 — 1982
Bachelor of Arts (B.A.), Spanish
Universidad de Lima 1975 — 1979
Language and Literature
Galen Kimbrue Galen Kimbrue's NYLCARE HEALTH PLANS Experience 1990 - 1999
Job Vice President, Business Development & Alternate Channels at Aetna
Industry Insurance
Experience
Aetna October 2012 - Present
USI Insurance Services LLC June 2008 - September 2012
Aon Consulting, Inc October 2004 - May 2008
MAMSI/ Alliance PPO June 2002 - October 2004
CIGNA Group Insurance 1999 - 2001
NYLCare Health Plans 1990 - 1999
Skills
Cost Management, Disability Insurance, Risk Management, Leadership, Insurance, Health Insurance, Workers Compensation, Benefits Administration, Underwriting, Life Insurance, Financial Services, Team Building, Strategy, Long-term Care, Business Development, Strategic Planning, Management, Marketing
Education
Hampton University 1977 — 1981
BA, English
Hampton University 1977 — 1981
Bachelor of Arts (BA), English Language and Literature, General
Aetna October 2012 - Present
USI Insurance Services LLC June 2008 - September 2012
Aon Consulting, Inc October 2004 - May 2008
MAMSI/ Alliance PPO June 2002 - October 2004
CIGNA Group Insurance 1999 - 2001
NYLCare Health Plans 1990 - 1999
Skills
Cost Management, Disability Insurance, Risk Management, Leadership, Insurance, Health Insurance, Workers Compensation, Benefits Administration, Underwriting, Life Insurance, Financial Services, Team Building, Strategy, Long-term Care, Business Development, Strategic Planning, Management, Marketing
Education
Hampton University 1977 — 1981
BA, English
Hampton University 1977 — 1981
Bachelor of Arts (BA), English Language and Literature, General
Maggie Arnold Rabine, RN, BSN Maggie Arnold Rabine, RN, BSN's NYLCARE HEALTH PLANS Experience July 1995 - December 1998
Job Nurse Recruiter at St. Charles Health System
Industry Health, Wellness and Fitness
Experience
St. Charles Health System July 2014 - Present
Take Shape For Life December 2009 - Present
Heart 'n Home Hospice & Palliative Care LLC February 2012 - May 2014
Clear One Health Plans September 2007 - May 2010
Children's Hospital and Health Center April 2001 - September 2003
HEALTHradius, Inc January 1999 - May 2001
NYLCare Health Plans July 1995 - December 1998
LifeCare Solutions, Inc July 1993 - July 1995
San Diego Home IV and Hospice February 1991 - June 1995
LifeCare Solutions, Inc September 1992 - July 1993
Education
Oregon State University 2015 — 2018
Master of Business Administration (M.B.A.), Business Administration, Management and Operations
Seattle University
Bachelor of Science, Nursing
Transplant Medicine - Georgetown University Hospital
St. Charles Health System July 2014 - Present
Take Shape For Life December 2009 - Present
Heart 'n Home Hospice & Palliative Care LLC February 2012 - May 2014
Clear One Health Plans September 2007 - May 2010
Children's Hospital and Health Center April 2001 - September 2003
HEALTHradius, Inc January 1999 - May 2001
NYLCare Health Plans July 1995 - December 1998
LifeCare Solutions, Inc July 1993 - July 1995
San Diego Home IV and Hospice February 1991 - June 1995
LifeCare Solutions, Inc September 1992 - July 1993
Education
Oregon State University 2015 — 2018
Master of Business Administration (M.B.A.), Business Administration, Management and Operations
Seattle University
Bachelor of Science, Nursing
Transplant Medicine - Georgetown University Hospital
Christine McWard Christine McWard's NYLCARE HEALTH PLANS Experience 1998 - 1999
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
AIM Specialty Health June 2011 - Present
CIGNA Healthcare August 2007 - November 2010
UnitedHealthcare March 2001 - August 2007
Loyola University Physician Foundation January 1999 - March 2001
NYLCare Health Plans 1998 - 1999
Skills
Medicare, Data Analysis, Strategic Planning, Project Management, Managed Care, Team Building, Health Insurance, Provider Relations, Medicaid, Healthcare, Healthcare Management, Network Development, Hospitals, Utilization Management, Health Policy
Education
University of Illinois at Urbana-Champaign
BS, Genetics and Development
University of Illinois at Urbana-Champaign - College of Business
MBA, Finance
AIM Specialty Health June 2011 - Present
CIGNA Healthcare August 2007 - November 2010
UnitedHealthcare March 2001 - August 2007
Loyola University Physician Foundation January 1999 - March 2001
NYLCare Health Plans 1998 - 1999
Skills
Medicare, Data Analysis, Strategic Planning, Project Management, Managed Care, Team Building, Health Insurance, Provider Relations, Medicaid, Healthcare, Healthcare Management, Network Development, Hospitals, Utilization Management, Health Policy
Education
University of Illinois at Urbana-Champaign
BS, Genetics and Development
University of Illinois at Urbana-Champaign - College of Business
MBA, Finance
Brian Sutherland Brian Sutherland's NYLCARE HEALTH PLANS Experience 1987 - 1998
Job V.P. at Higginbotham
Industry Insurance
Experience
Higginbotham April 2006 - Present
Blue Cross Blue Shield of Texas 1998 - 2005
Aetna 1998 - 2000
NYLCare Health Plans 1987 - 1998
Skills
self-funded audits, compliance audits, dependent audits, Compliance, Health Insurance, Benefits, Employee Benefits, Strategic Planning, Benefits Administration, Insurance, ERISA, Healthcare, Analysis, Dental, Claims, Risk Management, Dependent, Dentistry, CRM, Health Savings Accounts, Claim, Property & Casualty..., Underwriting, Account Management, Workers Compensation, Professional Liability, Commercial Insurance, Disability Insurance, Long-term Care, Retirement Planning, Health Care Reform, COBRA, Mergers & Acquisitions, 401k, Marketing
Education
Texas A&M University 1977 — 1982
BBA, Management
Higginbotham April 2006 - Present
Blue Cross Blue Shield of Texas 1998 - 2005
Aetna 1998 - 2000
NYLCare Health Plans 1987 - 1998
Skills
self-funded audits, compliance audits, dependent audits, Compliance, Health Insurance, Benefits, Employee Benefits, Strategic Planning, Benefits Administration, Insurance, ERISA, Healthcare, Analysis, Dental, Claims, Risk Management, Dependent, Dentistry, CRM, Health Savings Accounts, Claim, Property & Casualty..., Underwriting, Account Management, Workers Compensation, Professional Liability, Commercial Insurance, Disability Insurance, Long-term Care, Retirement Planning, Health Care Reform, COBRA, Mergers & Acquisitions, 401k, Marketing
Education
Texas A&M University 1977 — 1982
BBA, Management
Bethany Seefeldt Bethany Seefeldt's NYLCARE HEALTH PLANS Experience February 1997 - January 1999
Job Retail Merchandiser at Hallmark Cards
Industry Retail
Experience
Hallmark Cards October 2013 - Present
Hallmark Marketing October 2013 - Present
Bath & Body Works May 2011 - December 2011
The Yankee Candle Company November 2000 - April 2011
C-MAC Metaltek March 2000 - September 2000
NYLCare Health Plans February 1997 - January 1999
Black & Decker 1986 - 1996
Skills
Word, Excel, PowerPoint, Retail, Merchandising, Customer Service, Microsoft Office, Visual Merchandising, Retail Management, Outlook, Store Management, Microsoft Excel, Microsoft Word, Inventory Management, Recruiting, Training, Inventory Control, Loss Prevention, Management, Sales
Education
Graceland University
Bachelor, Business
Stevenson High School, Livonia MI
Hallmark Cards October 2013 - Present
Hallmark Marketing October 2013 - Present
Bath & Body Works May 2011 - December 2011
The Yankee Candle Company November 2000 - April 2011
C-MAC Metaltek March 2000 - September 2000
NYLCare Health Plans February 1997 - January 1999
Black & Decker 1986 - 1996
Skills
Word, Excel, PowerPoint, Retail, Merchandising, Customer Service, Microsoft Office, Visual Merchandising, Retail Management, Outlook, Store Management, Microsoft Excel, Microsoft Word, Inventory Management, Recruiting, Training, Inventory Control, Loss Prevention, Management, Sales
Education
Graceland University
Bachelor, Business
Stevenson High School, Livonia MI
Tim Yanega Tim Yanega's NYLCARE HEALTH PLANS Experience 1995 - 1999
Job Advanced Health and Life Sales Specialist
Industry Pharmaceuticals
Experience
Advanced Health and Life 2010 - Present
Eisai July 2001 - April 2010
SCHWARZ PHARMACEUTICALS 2000 - 2001
NYLCARE HEALTH PLANS 1995 - 1999
Skills
Pharmaceutical Sales, Gastroenterology, Strategy, Managed Care, Neurology, Sales Operations, Pharmaceutical Industry, Selling
Education
University of Scranton
BS, Marketing
Advanced Health and Life 2010 - Present
Eisai July 2001 - April 2010
SCHWARZ PHARMACEUTICALS 2000 - 2001
NYLCARE HEALTH PLANS 1995 - 1999
Skills
Pharmaceutical Sales, Gastroenterology, Strategy, Managed Care, Neurology, Sales Operations, Pharmaceutical Industry, Selling
Education
University of Scranton
BS, Marketing
Gil Brown Gil Brown's NYLCARE HEALTH PLANS Experience 1998 - 1998
Job President and Chief Executive Officer at Hospice of Central Pennsylvania
Industry Hospital & Health Care
Experience
Hospice of Central Pennsylvania December 2013 - Present
Hospice by the Sea August 2005 - November 2013
Coordinated Care Solutions 2003 - 2004
Continuum Health Partners 2000 - 2003
New York City Health & Hospitals Corporation 1998 - 2000
NYLCare Health Plans 1998 - 1998
Aetna 1995 - 1997
Aetna 1993 - 1995
Aetna 1992 - 1993
Aetna 1991 - 1992
Skills
Budget Forecasts, Strategic Forecasting, Managed Care, Marketing, Human Resources, Federal & State..., Business Development, Information Technology, Project Management, Quality Management, Medicaid, Hospitals, Home Care, EMR, Case Management, Training, Hospice, Physicians, Healthcare, Medicare, Leadership, Healthcare Management
Education
University of Hartford 1984 — 1987
Master of Science (M.S.), Organizational Behavior Studies
Bloomsburg University of Pennsylvania 1974 — 1978
Bachelor of Arts (B.A.), Psychology
Hospice of Central Pennsylvania December 2013 - Present
Hospice by the Sea August 2005 - November 2013
Coordinated Care Solutions 2003 - 2004
Continuum Health Partners 2000 - 2003
New York City Health & Hospitals Corporation 1998 - 2000
NYLCare Health Plans 1998 - 1998
Aetna 1995 - 1997
Aetna 1993 - 1995
Aetna 1992 - 1993
Aetna 1991 - 1992
Skills
Budget Forecasts, Strategic Forecasting, Managed Care, Marketing, Human Resources, Federal & State..., Business Development, Information Technology, Project Management, Quality Management, Medicaid, Hospitals, Home Care, EMR, Case Management, Training, Hospice, Physicians, Healthcare, Medicare, Leadership, Healthcare Management
Education
University of Hartford 1984 — 1987
Master of Science (M.S.), Organizational Behavior Studies
Bloomsburg University of Pennsylvania 1974 — 1978
Bachelor of Arts (B.A.), Psychology
Jason Kent Jason Kent's NYLCARE HEALTH PLANS Experience March 1996 - January 1998
Job Consultant Leadership & Management Development
Industry Management Consulting
Experience
Proteus International January 2011 - Present
Hospitality Quotient January 2013 - Present
Jason Kent Consulting, LLC June 2008 - Present
ODN of GNY January 2007 - June 2010
Teachers College, Columbia University August 2008 - May 2009
American Express March 2004 - May 2008
Morgan Stanley January 1998 - March 2004
NYLCare Health Plans March 1996 - January 1998
Skills
Management Consulting, Leadership Development, Management Development, Problem Solving, Instructional Design, Instructor-led Training, eLearning, Articulate, Brainshark, Talent Management, Staff Development, HBDI, Social Styles, Organizational..., Organizational..., Coaching, Change Management, Performance Management, Mentoring, Process Improvement, Training, Team Building, Career Development, Management, Strategic Planning, Workshop Facilitation, Onboarding, Consulting, Executive Development, Training Delivery, Blended Learning, Performance Improvement, Employee Training, Organizational Learning, Learning Management, Adult Education, CRM, Strategy, Leadership
Education
Teachers College of Columbia University
M.A.
New York University
Certificate
Rutgers University-New Brunswick
B.A.
Proteus International January 2011 - Present
Hospitality Quotient January 2013 - Present
Jason Kent Consulting, LLC June 2008 - Present
ODN of GNY January 2007 - June 2010
Teachers College, Columbia University August 2008 - May 2009
American Express March 2004 - May 2008
Morgan Stanley January 1998 - March 2004
NYLCare Health Plans March 1996 - January 1998
Skills
Management Consulting, Leadership Development, Management Development, Problem Solving, Instructional Design, Instructor-led Training, eLearning, Articulate, Brainshark, Talent Management, Staff Development, HBDI, Social Styles, Organizational..., Organizational..., Coaching, Change Management, Performance Management, Mentoring, Process Improvement, Training, Team Building, Career Development, Management, Strategic Planning, Workshop Facilitation, Onboarding, Consulting, Executive Development, Training Delivery, Blended Learning, Performance Improvement, Employee Training, Organizational Learning, Learning Management, Adult Education, CRM, Strategy, Leadership
Education
Teachers College of Columbia University
M.A.
New York University
Certificate
Rutgers University-New Brunswick
B.A.
Cindy CJ Jones, MA Cindy CJ Jones, MA's NYLCARE HEALTH PLANS Experience October 1994 - October 1999
Job Marketing Communications Manager | Brand Strategies Expert | Project Manager | Connector of "Dots"
Industry Marketing and Advertising
Experience
Children's Medical Center May 2015 - Present
6 Stones January 2011 - Present
CJ TX Consulting January 2013 - Present
WorldVentures December 2014 - April 2015
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas April 2013 - December 2014
City of Euless March 2013 - April 2013
Aetna September 2004 - January 2013
Aetna March 2004 - September 2004
Aetna October 1999 - March 2004
NYLCare Health Plans October 1994 - October 1999
Skills
Marketing Strategy, B2B Marketing, Health Insurance, Direct Marketing, Marketing Communications, Direct Mail, Corporate Communications, Internal Communications, Marketing Management, Healthcare, Newsletters, Strategic Communications, Marketing, Integrated Marketing, Social Media Marketing, Training, Social Media, Event Planning, Advertising, Community Outreach, Event Management, Leadership, Management, Project Management, Email Marketing, Project Planning, Vendor Management, Press Releases, Strategy, Public Relations, Recruiting, Strategic Planning, Analysis, Fundraising, Social Networking, Media Relations, Brand Development, Online Marketing, Coaching, Account Management, Team Building, Budgets, Program Management, Nonprofits, Sales, Editing, Start-ups, Trade Shows, Affordable Care Act, Volunteer Management
Education
Abilene Christian University 1987 — 1989
MA, Public Relations & Business Communications
Hardin-Simmons University 1983 — 1987
BBS, Psychology & Pre-Law
Children's Medical Center May 2015 - Present
6 Stones January 2011 - Present
CJ TX Consulting January 2013 - Present
WorldVentures December 2014 - April 2015
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas April 2013 - December 2014
City of Euless March 2013 - April 2013
Aetna September 2004 - January 2013
Aetna March 2004 - September 2004
Aetna October 1999 - March 2004
NYLCare Health Plans October 1994 - October 1999
Skills
Marketing Strategy, B2B Marketing, Health Insurance, Direct Marketing, Marketing Communications, Direct Mail, Corporate Communications, Internal Communications, Marketing Management, Healthcare, Newsletters, Strategic Communications, Marketing, Integrated Marketing, Social Media Marketing, Training, Social Media, Event Planning, Advertising, Community Outreach, Event Management, Leadership, Management, Project Management, Email Marketing, Project Planning, Vendor Management, Press Releases, Strategy, Public Relations, Recruiting, Strategic Planning, Analysis, Fundraising, Social Networking, Media Relations, Brand Development, Online Marketing, Coaching, Account Management, Team Building, Budgets, Program Management, Nonprofits, Sales, Editing, Start-ups, Trade Shows, Affordable Care Act, Volunteer Management
Education
Abilene Christian University 1987 — 1989
MA, Public Relations & Business Communications
Hardin-Simmons University 1983 — 1987
BBS, Psychology & Pre-Law
Wes Ashworth Wes Ashworth's NYLCARE HEALTH PLANS Experience May 1997 - August 1997
Job Broker Associate Re/Max DFW Associates & Owner/Broker New Leaf Properties Property Management
Industry Real Estate
Experience
REMax DFW Associates May 1998 - Present
New Leaf Properties, Property Management 2006 - 2009
Nylcare Health Plans May 1997 - August 1997
Skills
Residential Homes, Real Estate, Sales, Single Family Homes, Sellers, New Home Sales, Property Management, Rentals, Foreclosures, Investment Properties, Management, REO, Buyer Representation, Property
Education
Northwood University 1988 — 1991
Bachelor's degree, Buiness
Auburn University at Montgomery 1984 — 1987
Business Management
REMax DFW Associates May 1998 - Present
New Leaf Properties, Property Management 2006 - 2009
Nylcare Health Plans May 1997 - August 1997
Skills
Residential Homes, Real Estate, Sales, Single Family Homes, Sellers, New Home Sales, Property Management, Rentals, Foreclosures, Investment Properties, Management, REO, Buyer Representation, Property
Education
Northwood University 1988 — 1991
Bachelor's degree, Buiness
Auburn University at Montgomery 1984 — 1987
Business Management
Elizabeth Armentor's NYLCARE HEALTH PLANS Experience 1998 - 1999
Job Writer and Editor at Freelance
Industry Publishing
Experience
Freelance 2006 - Present
Houghton Mifflin Harcourt August 2006 - February 2009
Texas State University 2003 - 2006
Aetna US Healthcare 1999 - 2000
NYLCare Health Plans 1998 - 1999
NYLCare Health Plans 1994 - 1998
Skills
Proofreading, Copy Editing, Publishing, Academic Publishing, Editing, Editorial, Content Development, Curriculum Development, Information Mapping, Research, Writing, Creative Writing, Educational Assessment, K-12, Higher Education, Textbooks, Publications, Literature, Books, Freelance Writing, Web Content, Fiction, Online Publishing, InCopy, Ebooks
Education
Texas State University 2003 — 2006
MFA, Creative Writing
University of Houston
BS, Psychology/Political Science
Freelance 2006 - Present
Houghton Mifflin Harcourt August 2006 - February 2009
Texas State University 2003 - 2006
Aetna US Healthcare 1999 - 2000
NYLCare Health Plans 1998 - 1999
NYLCare Health Plans 1994 - 1998
Skills
Proofreading, Copy Editing, Publishing, Academic Publishing, Editing, Editorial, Content Development, Curriculum Development, Information Mapping, Research, Writing, Creative Writing, Educational Assessment, K-12, Higher Education, Textbooks, Publications, Literature, Books, Freelance Writing, Web Content, Fiction, Online Publishing, InCopy, Ebooks
Education
Texas State University 2003 — 2006
MFA, Creative Writing
University of Houston
BS, Psychology/Political Science
Bill Guerci's NYLCARE HEALTH PLANS Experience 1991 - 1995
Job Owner, Solid Benefit Guidance
Industry Health, Wellness and Fitness
Experience
Solid Benefit Guidance 2005 - Present
GHI 2002 - 2005
Empire BlueCross Blue Shield 1996 - 2000
Empire Bluecross Blueshield 1995 - 2000
NYLCare Health Plan 1993 - 1995
Nylcare Health Plans 1991 - 1995
Price Waterhouse 1985 - 1991
Education
Manhattan College 1981 — 1985
Solid Benefit Guidance 2005 - Present
GHI 2002 - 2005
Empire BlueCross Blue Shield 1996 - 2000
Empire Bluecross Blueshield 1995 - 2000
NYLCare Health Plan 1993 - 1995
Nylcare Health Plans 1991 - 1995
Price Waterhouse 1985 - 1991
Education
Manhattan College 1981 — 1985
Eric Samaniego, MBA, MS's NYLCARE HEALTH PLANS Experience January 1995 - November 1999
Job Director, Program Solutions at Welltok
Industry Health, Wellness and Fitness
Experience
Welltok January 2014 - Present
Alere March 2005 - November 2013
Wellbridge September 2001 - March 2005
NYLCare Health Plans January 1995 - November 1999
Skills
Fitness, Employee Wellness, Wellness, Health Promotion, Wellness Coaching, Personal Training, Exercise Physiology, Health Education, Fitness Training, Nutrition, Strength Training, Healthcare, Sports Nutrition, Lifestyle, Nutritional Counseling, Nutrition Education, Operant Conditioning, Rehabilitation, Weight Training, Program Management, Lifestyle Coaching, Strategy, Corporations, Managed Care, Leadership, Functional Training, Disease Management
Education
The University of Dallas 1997 — 2000
MBA, Management
University of North Texas 1986 — 1988
MS, Exercise Physiology
University of Texas at El Paso 1981 — 1983
BS, Health and Physical Education
University of Texas at El Paso 1976 — 1980
BBA, Business Administration
Welltok January 2014 - Present
Alere March 2005 - November 2013
Wellbridge September 2001 - March 2005
NYLCare Health Plans January 1995 - November 1999
Skills
Fitness, Employee Wellness, Wellness, Health Promotion, Wellness Coaching, Personal Training, Exercise Physiology, Health Education, Fitness Training, Nutrition, Strength Training, Healthcare, Sports Nutrition, Lifestyle, Nutritional Counseling, Nutrition Education, Operant Conditioning, Rehabilitation, Weight Training, Program Management, Lifestyle Coaching, Strategy, Corporations, Managed Care, Leadership, Functional Training, Disease Management
Education
The University of Dallas 1997 — 2000
MBA, Management
University of North Texas 1986 — 1988
MS, Exercise Physiology
University of Texas at El Paso 1981 — 1983
BS, Health and Physical Education
University of Texas at El Paso 1976 — 1980
BBA, Business Administration
Joe Isais's NYLCARE HEALTH PLANS Experience January 1991 - December 1994
Job Corporate IT Director Financial Applications at Baylor Health Care System
Industry Hospital & Health Care
Experience
Baylor Health Care System January 2006 - September 2012
Baylor Health Care System January 2005 - December 2006
Baylor Health Care System January 2002 - December 2005
Baylor Health Care System March 2000 - December 2002
East Texas Medical Center January 1995 - December 1999
NYLCare Health Plans January 1991 - December 1994
Skills
Healthcare Management, HL7, Healthcare, Process Improvement, Vendor Management, Visio, Change Management, Project Management, Business Analysis, Strategic Planning, Budgets, Business Intelligence, Management, Integration, Training, Program Management, EHR, Healthcare Information...
Education
The University of Dallas 1985 — 1989
Master of Business Administration (M.B.A.), Information Technology
Lamar University 1981 — 1985
Bachelor of Business Administration (BBA), Management Information Systems, General
Stephen F. Austin State University 1980 — 1981
Management Information Systems, General
Baylor Health Care System January 2006 - September 2012
Baylor Health Care System January 2005 - December 2006
Baylor Health Care System January 2002 - December 2005
Baylor Health Care System March 2000 - December 2002
East Texas Medical Center January 1995 - December 1999
NYLCare Health Plans January 1991 - December 1994
Skills
Healthcare Management, HL7, Healthcare, Process Improvement, Vendor Management, Visio, Change Management, Project Management, Business Analysis, Strategic Planning, Budgets, Business Intelligence, Management, Integration, Training, Program Management, EHR, Healthcare Information...
Education
The University of Dallas 1985 — 1989
Master of Business Administration (M.B.A.), Information Technology
Lamar University 1981 — 1985
Bachelor of Business Administration (BBA), Management Information Systems, General
Stephen F. Austin State University 1980 — 1981
Management Information Systems, General
Joseph Pinho's NYLCARE HEALTH PLANS Experience 1996 - 1999
Job Retired in Florida
Industry Hospital & Health Care
Experience
Florida August 2015 - Present
Montefiore Medical Center June 2000 - July 2015
Elderplan, Inc 1999 - 2000
NYLCare Health Plans 1996 - 1999
Horizon Blue Cross Blue Shield of NJ 1983 - 1996
Skills
Medicare, Medicaid, Hospitals, Healthcare Information..., HIPAA, EMR, Health Policy, Process Improvement, Strategic Planning, Network Development, Financial Analysis, Budgets, Physician Relations, Physicians
Education
Montclair State University 1978 — 1982
Bachelor of Science (B.S.), Accounting
Florida August 2015 - Present
Montefiore Medical Center June 2000 - July 2015
Elderplan, Inc 1999 - 2000
NYLCare Health Plans 1996 - 1999
Horizon Blue Cross Blue Shield of NJ 1983 - 1996
Skills
Medicare, Medicaid, Hospitals, Healthcare Information..., HIPAA, EMR, Health Policy, Process Improvement, Strategic Planning, Network Development, Financial Analysis, Budgets, Physician Relations, Physicians
Education
Montclair State University 1978 — 1982
Bachelor of Science (B.S.), Accounting
Debbie Frels-WIlson's NYLCARE HEALTH PLANS Experience 1993 - 1997
Job Human Resources Professional
Industry Human Resources
Experience
Jabil February 2006 - June 2006
CCS Medical August 2005 - November 2005
Knowledge Learning Corporation October 2002 - May 2005
formerly National Petcare Centers October 1997 - March 1999
NYLCare Health Plans 1993 - 1997
Education
Texas A&M University 1989 — 1993
Bachelor of Science, Community Health Education
Jabil February 2006 - June 2006
CCS Medical August 2005 - November 2005
Knowledge Learning Corporation October 2002 - May 2005
formerly National Petcare Centers October 1997 - March 1999
NYLCare Health Plans 1993 - 1997
Education
Texas A&M University 1989 — 1993
Bachelor of Science, Community Health Education
Jennifer Grisafi's NYLCARE HEALTH PLANS Experience May 1996 - March 2000
Job Human Resource Manager at Starpoint Solutions, LLC
Industry Information Technology and Services
Experience
Starpoint Solutions, LLC September 2000 - Present
NYLCare Health Plans May 1996 - March 2000
Skills
Human Resources, Employee Benefits, Benefits Negotiation, Manage company vacation..., Administer the..., Applicant Tracking..., Administer company 401k..., Onboarding newly hired..., Onboarding, Benefits Administration, Personnel Management, Talent Management, Management, Talent Acquisition, Technical Recruiting, Internet Recruiting, Contract Recruitment, Temporary Placement, Recruiting, Vendor Management, Sourcing, Leadership, Staffing Services, College Recruiting, Permanent Placement
Education
Molloy College
Bachelors, Sociology
Starpoint Solutions, LLC September 2000 - Present
NYLCare Health Plans May 1996 - March 2000
Skills
Human Resources, Employee Benefits, Benefits Negotiation, Manage company vacation..., Administer the..., Applicant Tracking..., Administer company 401k..., Onboarding newly hired..., Onboarding, Benefits Administration, Personnel Management, Talent Management, Management, Talent Acquisition, Technical Recruiting, Internet Recruiting, Contract Recruitment, Temporary Placement, Recruiting, Vendor Management, Sourcing, Leadership, Staffing Services, College Recruiting, Permanent Placement
Education
Molloy College
Bachelors, Sociology
Brian Moffitt's NYLCARE HEALTH PLANS Experience 1996 - 1998
Job Managing Partner of HRGi/FedMed, Inc
Industry Hospital & Health Care
Experience
FedMed 2001 - Present
Medical Funding Services December 2005 - June 2010
HealthExtras 1999 - 2000
United Payors and United Providers 1998 - 1999
NYLCare Health Plans 1996 - 1998
HCFA 1993 - 1996
Skills
Healthcare, Health Insurance, Start-ups, Management, Medicare, Hospitals, HIPAA, Strategic Planning, Analysis, Insurance
Education
University of Maryland College Park 1992 — 1993
Economics
University of Delaware 1988 — 1992
BS, Economics
FedMed 2001 - Present
Medical Funding Services December 2005 - June 2010
HealthExtras 1999 - 2000
United Payors and United Providers 1998 - 1999
NYLCare Health Plans 1996 - 1998
HCFA 1993 - 1996
Skills
Healthcare, Health Insurance, Start-ups, Management, Medicare, Hospitals, HIPAA, Strategic Planning, Analysis, Insurance
Education
University of Maryland College Park 1992 — 1993
Economics
University of Delaware 1988 — 1992
BS, Economics
Denise Kaiser's NYLCARE HEALTH PLANS Experience September 1997 - May 1999
Job Experienced number cruncher who looks forward to a challenge and good dark chocolate.
Industry Accounting
Experience
Pflugerville ISD September 2007 - Present
Seton Healthcare Network April 2005 - September 2007
Seton Healthcare Network May 2004 - March 2005
Mediview, Inc. June 1999 - March 2004
NYLCare Health Plans September 1997 - May 1999
C&H Technologies, Inc. January 1995 - August 1997
The Fuji Bank, Ltd., Houston Agency July 1992 - December 1994
The Fuji Bank, Ltd., Houston Agency July 1989 - May 1992
Skills
Accounting, Microsoft Excel, Accounts Receivable, Microsoft Office, PowerPoint, Access, Microsoft Word, Outlook, Administrative..., Completed 18 hours of..., Account Reconciliation, Budgets, Invoicing, Administration, Leadership, Management, Customer Service, Process Improvement, Strategic Planning, Team Building
Education
The University of Texas at Austin - The Red McCombs School of Business 1985 — 1989
BBA, International Business/Finance, 3.0/4.0
Blinn College, Brenham, Texas
Pflugerville ISD September 2007 - Present
Seton Healthcare Network April 2005 - September 2007
Seton Healthcare Network May 2004 - March 2005
Mediview, Inc. June 1999 - March 2004
NYLCare Health Plans September 1997 - May 1999
C&H Technologies, Inc. January 1995 - August 1997
The Fuji Bank, Ltd., Houston Agency July 1992 - December 1994
The Fuji Bank, Ltd., Houston Agency July 1989 - May 1992
Skills
Accounting, Microsoft Excel, Accounts Receivable, Microsoft Office, PowerPoint, Access, Microsoft Word, Outlook, Administrative..., Completed 18 hours of..., Account Reconciliation, Budgets, Invoicing, Administration, Leadership, Management, Customer Service, Process Improvement, Strategic Planning, Team Building
Education
The University of Texas at Austin - The Red McCombs School of Business 1985 — 1989
BBA, International Business/Finance, 3.0/4.0
Blinn College, Brenham, Texas
Catherine Czar's NYLCARE HEALTH PLANS Experience September 1997 - September 1998
Job Independent Healthcare Insurance Professional
Industry Insurance
Experience
Wayne Consulting Group, Inc. 2003 - Present
DirectCare Medical Services LLC 1998 - 2003
NYLCare Health Plans September 1997 - September 1998
Horizon Blue Cross Blue Shield of NJ 1994 - 1997
Education
New York University 1997 — 1999
MA., Psychology
Rutgers, The State University of New Jersey-Newark 1974 — 1977
B.A., Psycology and Education
Wayne Consulting Group, Inc. 2003 - Present
DirectCare Medical Services LLC 1998 - 2003
NYLCare Health Plans September 1997 - September 1998
Horizon Blue Cross Blue Shield of NJ 1994 - 1997
Education
New York University 1997 — 1999
MA., Psychology
Rutgers, The State University of New Jersey-Newark 1974 — 1977
B.A., Psycology and Education
Luchina Smith Scott's NYLCARE HEALTH PLANS Experience 1995 - 1999
Job Sr Human Resources Buisness Partner at Unilever
Industry Human Resources
Experience
Unilever October 2013 - Present
LG Electronics June 2013 - October 2013
Pfizer Pharmaceuticals May 2007 - April 2013
AXA Equitable 1999 - 2007
NYLCare Health Plans 1995 - 1999
Kwasha Lipton 1993 - 1995
Deliotte & Touche 1992 - 1993
Skills
Interviews, Marketing, Human Resources, HR Policies, Benefits Administration, Performance Management, Compensation & Benefit, Time Management, Training, HR Consulting, Change Management, Recruiting, Employment Law, Personnel Management, Employee Relations, Marketing Communications, Succession Planning, PeopleSoft, HR Transformation, Labor Relations, Leadership, Pharmaceutical Industry, Deferred Compensation, Coaching, Applicant Tracking..., Talent Management, Process Improvement, Software Documentation, Staff Development, HRIS, Executive Coaching, Cross-functional Team...
Education
Colgate University
BA, Sociology/Anthropology
NYU Stern School of Business
Unilever October 2013 - Present
LG Electronics June 2013 - October 2013
Pfizer Pharmaceuticals May 2007 - April 2013
AXA Equitable 1999 - 2007
NYLCare Health Plans 1995 - 1999
Kwasha Lipton 1993 - 1995
Deliotte & Touche 1992 - 1993
Skills
Interviews, Marketing, Human Resources, HR Policies, Benefits Administration, Performance Management, Compensation & Benefit, Time Management, Training, HR Consulting, Change Management, Recruiting, Employment Law, Personnel Management, Employee Relations, Marketing Communications, Succession Planning, PeopleSoft, HR Transformation, Labor Relations, Leadership, Pharmaceutical Industry, Deferred Compensation, Coaching, Applicant Tracking..., Talent Management, Process Improvement, Software Documentation, Staff Development, HRIS, Executive Coaching, Cross-functional Team...
Education
Colgate University
BA, Sociology/Anthropology
NYU Stern School of Business
Steven Kovac's NYLCARE HEALTH PLANS Experience 1995 - 1996
Job Software Developer at ING
Industry Information Technology and Services
Experience
ING 2008 - Present
Centene Corporation 2007 - 2008
CitiStreet 2001 - 2007
iBridge Solutions 2000 - 2001
Cap Gemini Ernst & Young 1996 - 2000
Nylcare Health Plans 1995 - 1996
First Data Corporation 1995 - 1995
Education
Washington University in St. Louis 1995 — 1999
B.S.I.M., Information Technology
St. Louis Community College
ING 2008 - Present
Centene Corporation 2007 - 2008
CitiStreet 2001 - 2007
iBridge Solutions 2000 - 2001
Cap Gemini Ernst & Young 1996 - 2000
Nylcare Health Plans 1995 - 1996
First Data Corporation 1995 - 1995
Education
Washington University in St. Louis 1995 — 1999
B.S.I.M., Information Technology
St. Louis Community College
Ralph Dortilus's NYLCARE HEALTH PLANS Experience January 1998 - June 1998
Job Manager, Accounting at iN Demand
Industry Broadcast Media
Experience
iN Demand June 2010 - January 2013
iN DEMAND June 2009 - June 2010
iN DEMAND April 2006 - June 2009
iN DEMAND April 2004 - April 2006
iN DEMAND April 2003 - April 2004
iN DEMAND January 2001 - April 2003
Aetna June 1998 - June 2000
Nylcare Health Plans January 1998 - June 1998
New York Life Insurance Company January 1996 - January 1998
NYC Dept of Labor TOP Program Attorney General Office January 1994 - June 1994
Skills
Digital Media, Royalties, Accounting, Auditing, Social Media, New Media, Television, Broadcast, Entertainment, Strategic Partnerships, Budgets, Microsoft Excel, Social Media Marketing, Microsoft Office
Education
Hunter College
iN Demand June 2010 - January 2013
iN DEMAND June 2009 - June 2010
iN DEMAND April 2006 - June 2009
iN DEMAND April 2004 - April 2006
iN DEMAND April 2003 - April 2004
iN DEMAND January 2001 - April 2003
Aetna June 1998 - June 2000
Nylcare Health Plans January 1998 - June 1998
New York Life Insurance Company January 1996 - January 1998
NYC Dept of Labor TOP Program Attorney General Office January 1994 - June 1994
Skills
Digital Media, Royalties, Accounting, Auditing, Social Media, New Media, Television, Broadcast, Entertainment, Strategic Partnerships, Budgets, Microsoft Excel, Social Media Marketing, Microsoft Office
Education
Hunter College
Victoria Conboy's NYLCARE HEALTH PLANS Experience January 1996 - February 1997
Job at HighPoint Solutions
Industry Insurance
Experience
HighPoint Solutions December 2010 - June 2014
NHPN (National Healthcare Payer Network) September 2005 - September 2010
Associated Plan Administrators October 2004 - July 2005
AON - CBCA purchased Cambridge TPA division June 2000 - August 2004
AON CORPORATION June 2000 - December 2002
CoreSource February 1997 - June 2000
NYLCARE HEALTH PLANS January 1996 - February 1997
EBP HEALTHPLANS, INC October 1993 - December 1995
EBP Healthplans May 1988 - September 1993
Allstate, CIGNA, MONY, Canada Life, Mutual Benefit, plus various reinsurance companies May 1987 - May 1988
Skills
Healthcare, Process Improvement, Compliance, Contract Negotiation, HIPAA, Claims, Employee Benefits, Benefits, Vendor Management, Strategic Planning, Customer Relations, Insurance, Managed Care, Negotiation, Team Building, Business Analysis, Auditing, Health Insurance, New Business Development, Operations Management, Call Centers, Project Management, Customer Service, Claim, Leadership, Management, Training
Education
Penn State University 1976 — 1977
No Degree, Insurance & Benefit Plans
HighPoint Solutions December 2010 - June 2014
NHPN (National Healthcare Payer Network) September 2005 - September 2010
Associated Plan Administrators October 2004 - July 2005
AON - CBCA purchased Cambridge TPA division June 2000 - August 2004
AON CORPORATION June 2000 - December 2002
CoreSource February 1997 - June 2000
NYLCARE HEALTH PLANS January 1996 - February 1997
EBP HEALTHPLANS, INC October 1993 - December 1995
EBP Healthplans May 1988 - September 1993
Allstate, CIGNA, MONY, Canada Life, Mutual Benefit, plus various reinsurance companies May 1987 - May 1988
Skills
Healthcare, Process Improvement, Compliance, Contract Negotiation, HIPAA, Claims, Employee Benefits, Benefits, Vendor Management, Strategic Planning, Customer Relations, Insurance, Managed Care, Negotiation, Team Building, Business Analysis, Auditing, Health Insurance, New Business Development, Operations Management, Call Centers, Project Management, Customer Service, Claim, Leadership, Management, Training
Education
Penn State University 1976 — 1977
No Degree, Insurance & Benefit Plans
Danny Pennington's NYLCARE HEALTH PLANS Experience November 1997 - April 2000
Job Looking for new opportunities & challenges
Industry Accounting
Experience
IDC Construction, LLC 2015 - 2015
TriArc Construction August 2014 - October 2014
Small Business Administration Disaster Assistance October 2012 - July 2014
Assa Abloy Hospitality October 2013 - February 2014
UniFirst Corporation May 2012 - January 2013
Galmor's, Inc. August 2005 - August 2011
Moroch Partners August 2001 - April 2005
NylCare Health Plans November 1997 - April 2000
Skills
Human Resources, Payroll, Management, Sales, Customer Service, Office Management, Employee Relations, Time Management, Cold Calling, Employee Benefits, Applicant Tracking..., Purchasing, Negotiation, Outlook, Benefits Administration, Accounting, P&L Forecasting, Temporary Placement, Sales Management, B2B, Microsoft Excel, Microsoft Word, Office Administration, Facilties, Workers Compensation, New Hire Orientations, W-2, 1099 Preparation, G/L Reconciliations, Balance Sheet Review, P&L review, P&L Ownership, Mailroom Operations, Building Security, Customer Retention, B2B Collections, Team Building, Trucking, Truck Driving, Sales Tax, Employment Tax, Payroll Taxes, QuickBooks
Education
LeTourneau University
Bachelor of Science, Business Management
Tarrant County College
Assoc Applied Science, Business Administration
IDC Construction, LLC 2015 - 2015
TriArc Construction August 2014 - October 2014
Small Business Administration Disaster Assistance October 2012 - July 2014
Assa Abloy Hospitality October 2013 - February 2014
UniFirst Corporation May 2012 - January 2013
Galmor's, Inc. August 2005 - August 2011
Moroch Partners August 2001 - April 2005
NylCare Health Plans November 1997 - April 2000
Skills
Human Resources, Payroll, Management, Sales, Customer Service, Office Management, Employee Relations, Time Management, Cold Calling, Employee Benefits, Applicant Tracking..., Purchasing, Negotiation, Outlook, Benefits Administration, Accounting, P&L Forecasting, Temporary Placement, Sales Management, B2B, Microsoft Excel, Microsoft Word, Office Administration, Facilties, Workers Compensation, New Hire Orientations, W-2, 1099 Preparation, G/L Reconciliations, Balance Sheet Review, P&L review, P&L Ownership, Mailroom Operations, Building Security, Customer Retention, B2B Collections, Team Building, Trucking, Truck Driving, Sales Tax, Employment Tax, Payroll Taxes, QuickBooks
Education
LeTourneau University
Bachelor of Science, Business Management
Tarrant County College
Assoc Applied Science, Business Administration
Bruce A Weis's NYLCARE HEALTH PLANS Experience June 1996 - July 1998
Job Senior Business Information Specialist at The Guardian Life Insurance Company of America
Industry Insurance
Experience
The Guardian Life Insurance Company of America August 1998 - Present
NYLCARE Hea;lth Plans June 1996 - July 1998
New York Life Insurance Company June 1994 - June 1996
MetLife February 1990 - June 1994
Equicor June 1987 - May 1991
Education
University of Pittsburgh
BA, Political Science
The Guardian Life Insurance Company of America August 1998 - Present
NYLCARE Hea;lth Plans June 1996 - July 1998
New York Life Insurance Company June 1994 - June 1996
MetLife February 1990 - June 1994
Equicor June 1987 - May 1991
Education
University of Pittsburgh
BA, Political Science
Karla Zofrea's NYLCARE HEALTH PLANS Experience 1995 - 1999
Job Senior Director, MCO Operations at ArchCare
Industry Insurance
Experience
ArchCare December 2014 - Present
Independent Living Systems, LLC November 2013 - November 2014
EmblemHealth December 2008 - October 2013
GHI February 2007 - November 2008
Medco 2001 - 2007
CIGNA Healthcare 1999 - 2001
NYLCare Health Plans 1995 - 1999
Barnert Hospital 1989 - 1993
Skills
Medicare, Program Development, Program Management, Medicaid, Managed Long Term Care, Managed Care, Health Insurance, Healthcare, Medicare Part D, Medicaid Managed Care, Long-term Care, Strategic Planning, Strategy, Healthcare Management, Disease Management, Health Policy, HIPAA
Education
Rutgers, The State University of New Jersey-New Brunswick 2007 — 2007
Certification: Mini MBA Business Essentials, Post Graduate Certificate
Rutgers, The State University of New Jersey-New Brunswick 1981 — 1982
Master of Social Work (MSW), Health/Health Care Administration/Management, Master Degree
Kean University 1978 — 1980
Bachelor of Social Work, Social Work
University of Vermont 1977 — 1978
Social Work
ArchCare December 2014 - Present
Independent Living Systems, LLC November 2013 - November 2014
EmblemHealth December 2008 - October 2013
GHI February 2007 - November 2008
Medco 2001 - 2007
CIGNA Healthcare 1999 - 2001
NYLCare Health Plans 1995 - 1999
Barnert Hospital 1989 - 1993
Skills
Medicare, Program Development, Program Management, Medicaid, Managed Long Term Care, Managed Care, Health Insurance, Healthcare, Medicare Part D, Medicaid Managed Care, Long-term Care, Strategic Planning, Strategy, Healthcare Management, Disease Management, Health Policy, HIPAA
Education
Rutgers, The State University of New Jersey-New Brunswick 2007 — 2007
Certification: Mini MBA Business Essentials, Post Graduate Certificate
Rutgers, The State University of New Jersey-New Brunswick 1981 — 1982
Master of Social Work (MSW), Health/Health Care Administration/Management, Master Degree
Kean University 1978 — 1980
Bachelor of Social Work, Social Work
University of Vermont 1977 — 1978
Social Work
Michele Montes's NYLCARE HEALTH PLANS Experience January 1996 - August 1997
Job Senior Director, Training and Operations at Experian Healthcare (Formerly MPV)
Industry Hospital & Health Care
Experience
Experian Healthcare January 2013 - Present
Experian Healthcare February 2005 - December 2012
Medical Present Value February 2003 - January 2005
Medical Present Value February 2000 - January 2003
Baptist Health System September 1999 - March 2000
Baptist Health Network/Baptist PHO September 1997 - September 1999
NYLCARE Health Plans January 1996 - August 1997
Skills
Managed Care, Software Documentation, Healthcare, Training, Employee Training, E-Learning, Change Management, Healthcare Management, Contract Negotiation, Hospitals, Practice Management, Training Delivery, Public Speaking, Employee Management, Physician Relations, Healthcare Information..., Revenue Cycle, Training Development, New Hire Orientations, Human Resources, Learning Management..., Video Authoring, Content Authoring System, Human Resource...
Education
Villanova University 2013 — 2015
Master of Science (M.S.), Human Resource Development
Texas State University-San Marcos
Bachelor of Science, Healthcare Administration
Experian Healthcare January 2013 - Present
Experian Healthcare February 2005 - December 2012
Medical Present Value February 2003 - January 2005
Medical Present Value February 2000 - January 2003
Baptist Health System September 1999 - March 2000
Baptist Health Network/Baptist PHO September 1997 - September 1999
NYLCARE Health Plans January 1996 - August 1997
Skills
Managed Care, Software Documentation, Healthcare, Training, Employee Training, E-Learning, Change Management, Healthcare Management, Contract Negotiation, Hospitals, Practice Management, Training Delivery, Public Speaking, Employee Management, Physician Relations, Healthcare Information..., Revenue Cycle, Training Development, New Hire Orientations, Human Resources, Learning Management..., Video Authoring, Content Authoring System, Human Resource...
Education
Villanova University 2013 — 2015
Master of Science (M.S.), Human Resource Development
Texas State University-San Marcos
Bachelor of Science, Healthcare Administration