Touchstone Health
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Touchstone Health Employees
OptumHealth Education January 2015 - Present
Touchstone Health June 2013 - November 2014
Touchstone Health June 2009 - June 2013
Health Plus Inc October 2008 - June 2009
Skills
Health Policy, Marketing Communications, Public Relations, Healthcare Management, Healthcare, HIPAA, Healthcare Industry, Training, Medicare, Budgets, Managed Care, Event Planning, Public Speaking, Team Building, Leadership, HMO, Medicaid, Strategic Planning, Insurance, Health Insurance
Education
Hofstra University 2002 — 2006
Bachelor of Arts (B.A.), Broadcast Journalism
Fidelis Care June 2015 - Present
CMO - The Care Management Company of Montefiore Medical Center September 2014 - June 2015
Touchstone Health March 2013 - August 2014
CreditRiskMonitor April 2011 - March 2013
JPMorgan Chase October 2010 - April 2011
JPMorgan Chase November 2007 - October 2010
Instrumentation Laboratory May 2007 - November 2007
Skills
Analysis, Microsoft Excel, Finance, Healthcare, Access, Outlook, PowerPoint, Financial Analysis, Sales, Data Analysis, Budgets, Accounting, Process Improvement, Large-scale Data..., Quantitative Analytics, Qualitative Data, Healthcare Analytics, Mathematics, Pivot Tables, Vlookup, Microsoft Word, Microsoft Office, Priority Management, Budget Forecasts, Reporting & Analysis, Communication Skills, Financial Statement..., Ad Hoc Reporting, Business Analysis, Forecasting, Analytics, Databases, Financial Reporting, Account Reconciliation, Financial Forecasting, Variance Analysis, Hospitals, HIPAA, Accounts Receivable, WebFOCUS, IBI Webfocus, SQL, Microsoft SQL Server, Lotus Notes, Greenplum, QNXT, SQL Server Management..., SQL Server
Education
City University of New York-Herbert H. Lehman College 2008 — 2009
Bachelor of Business Administration (B.B.A.), Finance, General
Rockland Community College 2005 — 2007
Associate of Science (A.S.), Liberal Arts, Mathematics and Science
Touchstone Health November 2010 - Present
Jacobi Medical Center June 2004 - November 2010
Jacobi Medical Center June 2002 - June 2004
Skills
Medicare, HIPAA, Healthcare, Process Improvement, Managed Care, Strategic Planning, Healthcare Information..., Revenue Cycle, Call Centers, Management, Provider Relations, Project Management, Healthcare Management, Customer Service, Healthcare Consulting, Insurance, Health Insurance, Budgets, Contract Management, HMO, Utilization Management, Physicians, Physician Relations, Team Building, Leadership, EMR, Software Documentation, Hospitals, Healthcare Industry, Microsoft Excel, Training, Health Policy, Outlook, Contract Negotiation, Analysis, Clinical Research, Medicaid, EHR, Strategy, Microsoft Office, Medicaid Managed Care, PPO, Quality Improvement
Education
Fordham University 1996 — 2000
BS, Business Administration
Affinity Health Plan May 2014 - November 2014
EmblemHealth December 2012 - May 2014
Barnabas Health August 2012 - November 2012
BARNABAS HEALTH - NBI August 2012 - November 2012
Touchstone Health January 2007 - June 2012
Touchstone health HMO, Inc January 2007 - June 2012
IBM Global Services May 2006 - November 2006
IBM Global Services April 2006 - October 2006
Horizon BCBS”, QBLUE ADG June 2005 - March 2006
GMA Accessories, Inc. - Capelli NY September 1999 - August 2004
Skills
ASP.NET, XML, SSIS, VB.NET, VBA, Microsoft SQL Server, Project Management, Business Analysis, Software Project..., SQL, Requirements Gathering, Process Improvement, .NET, Data Warehousing, Troubleshooting, Oracle, Access, Requirements Analysis, Software Documentation, Visio, Web Applications, SharePoint, T-SQL, Data Analysis, Crystal Reports, Databases, ETL, Testing, Web Services
Education
Chubb Institute 2000 — 2002
Diploma, Computer Science
THE CHUBB INSTITUTE 2000 — 2002
GEORGIAN POLITECHNICAL UNIVERSITY 1984 — 1988
M.S; B.S, Electronics Engineering /Computer Science
Saqartvelos Teqnikuri Universiteti 1983 — 1988
Master, Electronic engineering, Computer science
Visiting Nurse Service of New York June 2009 - Present
WellCare June 2008 - June 2009
GHI December 2006 - June 2008
Touchstone Health February 2006 - December 2006
CenterCare (Ryan Community Health) September 2002 - January 2006
Coordinated Care Solutions January 2000 - February 2002
Americaid Community Care of NJ June 1998 - January 2000
HIP of NJ May 1995 - February 1998
Kaiser Permanente May 1987 - May 1995
Skills
Clinical Research, Case Management, Policy, Managed Care, Utilization Management, HIPAA, Healthcare Management, Provider Relations, Case Managment, Medicaid, Quality Improvement, Healthcare, Medicare, Healthcare Industry, Hospitals, Disease Management, Health Policy
Education
Northern Arizona University 1977 — 1979
Bachelor of Science, Nursing, Registered Nursing/Registered Nurse, 3.7
Feldesman Tucker Leifer Fidell LLP May 2015 - August 2015
Greater Boston Legal Services June 2014 - August 2014
The Vitality Institute May 2013 - August 2013
Yale School of Public Health January 2013 - May 2013
Touchstone Health May 2012 - August 2012
Burke Rehabilitation Hospital May 2010 - July 2010
New York Presbyterian Hospital June 2009 - August 2009
Vascular Birthmark Institute of New York June 2008 - August 2008
Education
Boston University School of Law 2013 — 2016
Juris Doctor (J.D.), Health Law Concentration
Yale School of Public Health 2011 — 2013
Master of Public Health (MPH), Health Policy and Administration
Hamilton College 2007 — 2011
BA, Biochemistry, Public Policy
EmblemHealth October 2013 - Present
Touchstone Health July 2011 - October 2013
Metropolitan Jewish Health System November 2010 - July 2011
Saint Barnabas Health Care System February 2008 - July 2011
Blue Cross Blue Shield of TN May 2005 - February 2008
United States Agency for International Development November 1999 - August 2001
Skills
Medicare, Auditing, Healthcare, Invoicing, Access, Policy, Medicaid, Insurance, Compliance, Managed Care, Project Management, Healthcare Consulting, Compliance Testing, Revenue Cycle, Outlook, Healthcare Management, Physicians, Healthcare Information..., Budgets, Financial Analysis, Health Insurance, Hospitals, Internal Controls, Process Improvement, Program Management, Internal Audit, Employee Benefits, HIPAA, Training
Education
University of Bridgeport 2001 — 2005
B.S., Finance & Accounting
School of International Business 1996 — 2000
Accounting & Audit
FLEX
The Platypus Institute July 2014 - Present
Leprechaun HCC Managment October 2005 - January 2008
Empyrean Benefit Solutions April 2004 - September 2005
Touchstone Health September 1999 - November 2004
TA Associates January 1995 - October 1997
Skills
Healthcare, Business Strategy, Start-ups, Entrepreneurship, Team Building, Venture Capital, Healthcare Management, Investments, Marketing, Leadership, Management Consulting, Data Analysis, Strategy, Strategic Partnerships, Managed Care, Management, Healthcare Consulting, Healthcare Information..., Strategic Planning, Clinical Research, Program Management, Medicine, Executive Management, Health Policy
Education
Harvard Medical School 1983 — 1987
MD, Medicine
Harvard University 1978 — 1982
BS, Biochemistry and Psychology
Bronx County District Attorney Office November 2010 - Present
Bronx County District Attorney Office January 2006 - November 2010
Genadyne Biotechnologies,INC February 2005 - November 2005
Touchstone Health January 2004 - February 2005
Montefiore Medical Center April 2003 - October 2003
City of New York, Administration for Children's Services May 1999 - April 2003
St. Dominic's Home June 1997 - April 1999
Skills
Communication, Leadership, Organizational..., Supervisory Skills, Public Speaking, Trauma Therapy, Risk Assessment, Group Therapy, Written & Oral..., Crisis Intervention, Therapists
Education
Fordham University Graduate School of Social Work 1999 — 2002
Master of Social Work (M.S.W.), Social work, Clinical concentration with a specialization in Family Court Law
St. Lawrence University 1993 — 1997
Bachelor of Science in Psychology, Major- Psychology; Minor: Caribbean and Latin American Studies and Speech & Theater
Upstate Medical University 2015 - Present
Renewal Nutrition January 2008 - April 2015
Total Care, A Today's Options Health Plan May 2013 - October 2014
Peloton LLC January 2012 - May 2013
Touchstone Health October 2008 - March 2010
Associated Healthcare Systems May 2006 - October 2008
Bristol-Myers Squibb 2004 - 2007
Skills
Strategic Planning, Healthcare, Wellness
Education
New York Chiropractic College 1995 — 1999
D.C., Chiropractic
Touchstone Health April 2014 - Present
Touchstone Health December 2011 - April 2014
Touchstone Health March 2010 - April 2014
Touchstone Health September 2008 - March 2010
Skills
Call Center, Process Scheduler, Healthcare, Customer Service, Managed Care, Process Improvement, Organizational..., Credentialing, Operational Excellence, NCQA, HEDIS, Project Management, Operations Management, Quality Assurance, Internal Audit, External Audit, Standards Compliance, Vendor Audit, Vendor Management, Quality Improvement, Health Policy, Medicaid, Call Centers, Leadership, Training, Customer Satisfaction, Team Building, Performance Management, Insurance, Management, Human Resources, Strategic Planning, Provider Relations, Coaching, Sales, Medicare, HIPAA, HMO, Employee Training, Outlook, Medicaid Managed Care, Strategy, Program Management, Disease Management, Employee Benefits, Health Insurance, PPO, Physicians, Healthcare Industry, Utilization Management
Education
Kaplan University 2012 — 2016
Bachelor's degree
Montclair State University 1999 — 2002
Bachelor's degree
Archcare April 2014 - Present
Fidelis Care September 2013 - March 2014
Lime Energy 2012 - 2013
EnerPath 2010 - 2012
Touchstone Health 2006 - 2009
EmblemHealth / GHI 2006 - 2009
WellCare 2003 - 2006
Affinity Health Plan 2001 - 2003
Megasys, Inc. 1976 - 2001
Skills
Sales
Education
St. John's University 1972 — 1976
Computer Science
Cardinal Hayes High School 1968 — 1972
Academic High School Degree, Liberal Arts and Sciences/Liberal Studies
ADP July 2015 - Present
WPS Health Insurance July 2015 - Present
WPS Health Insurance June 2013 - June 2015
Touchstone Health January 2012 - May 2013
Starbucks Coffee Company January 2011 - January 2012
Associated Students of Madison, University of Wisconsin January 2010 - May 2011
The Badger Herald February 2008 - May 2010
Skills
Blogging, Writing, Editing, Event Management, PowerPoint, Press Releases, Microsoft Office, Customer Service, Public Relations, Social Media, Event Planning, Social Media Marketing, Research, Wordpress, Media Relations, Interviewing, Public Speaking, Copy Editing, Facebook, Problem Solving, AP Style, Community Outreach, Project Management, Cold Calling, Program Implementation, WordPress, Interviews, Management, Journalism, Leadership, Marketing, Newsletters, Training, Microsoft Excel, Social Networking, Strategy
Education
University of Wisconsin-Madison 2014 — 2015
Professional Life Coaching Certificate (PLCC)
Boston University 2012 — 2014
Master’s Degree, Project Management
University of Wisconsin-Madison 2007 — 2011
Bachelor’s Degree, English, focus in Marketing, Business, Communications
New York Life Insurance Company June 2013 - June 2014
New York Life Insurance Company March 2009 - June 2013
Touchstone Health August 2008 - November 2008
Touchstone Health 2007 - 2008
Sony / ATV Music Publishing March 2006 - March 2007
EY November 2000 - July 2003
Deutsche Bank July 1998 - March 2000
Skills
Event Planning, Meeting Planning, Administration, Human Resources, Leadership, Strategic Planning, Spreadsheets, Executive Support, Office Management, Calendars, Administrative..., Administrative..., Microsoft Excel, Lotus Notes, Ariba, Outlook, Customer Service, Microsoft Office, Strategy
Education
New York University, School of Continuing & Professional Studies 2010 — 2011
Professional Certificate in Meetings, Conferences & Event Planning, Meeting, Conference & Event Management
New York University 1993 — 1998
BA, Journalism
MAZE Healthcare Communications May 2011 - Present
McCann Torre Lazur September 2009 - May 2011
Gorman Health Group December 2007 - December 2008
Touchstone Health January 2007 - December 2007
Navitus Health Solutions December 2004 - March 2006
Merck-Medco August 1996 - September 2003
Skills
Marketing, Management, Strategic Planning, Marketing Strategy, Leadership, Customer Service, Project Management, New Business Development, Managed Care, Medicare Part D, Pharmacy Benefit..., Specialty Pharmaceutical, College Recruiting, Recruiting, Technical Recruiting, Training, New Hire Processes, New Product..., Introducing New Products, Organizational..., Organizational Behavior, Advertising, Public Speaking, Public Relations, Public Policy, CMS, Cross-functional Team..., Cross-functional..., Cross Functional Team..., Cross-functional..., Healthcare Management, Medicaid, Pharmaceutical Industry, Medicare
Education
Rockville University 1993 — 1996
Master of Business Administration (M.B.A.), Business Administration and Management, General
Creighton University 1975 — 1980
Bachelor's Degree, Pharmacy
Brightpoint Health April 2014 - Present
Touchstone Health December 2011 - January 2013
Touchstone Health October 2010 - November 2011
DC 1707 Health & Welfare Local 389 January 2006 - October 2009
DC 1707 Health and Benefit Fund February 1999 - December 2005
Oxford Health Plans of White Plains February 1997 - February 1999
Skills
Healthcare, Medicare, Insurance, Employee Benefits, Data Entry, Medical Coding, HIPAA, ICD-10, Outlook, Invoicing, Managed Care, Microsoft Word, eClinical Works, Microsoft Office, Microsoft Excel, Windows, English, Customer Satisfaction, General Clerical, Medical Claims Examiner, Customer Service..., Switchboard, Medical Records, Medical Terminology, Medical Billing
Education
CUNY Hostos Community College 2013 — 2013
Electronic Health Records Certificate, Health Information/Medical Records Technology/Technician
American Training Center, Inc., Forest Hills, NY 2010 — 2010
Certificate, Medical Assistant Certificate with Phlebotomy/EKG
Ashworth Career School 2009 — 2009
Certificate, Medical Billing and Claims Program with Honors (On-line program)
Berkeley College of New York, New York, NY 1991 — 1993
Associate Degree in Applied Science – Business Administration/Office Systems Management, Business/Office Automation/Technology/Data Entry
American Express May 2014 - Present
American Express October 2011 - May 2014
Touchstone Health August 2009 - October 2011
Ingenix November 2008 - August 2009
Health Net May 2005 - May 2008
Quintiles Medical Communications May 2004 - May 2005
Skills
CRM, Cross-functional Team..., Marketing, Program Management, Project Management, Analytics, Marketing Communications, Integrated Marketing, Segmentation, Healthcare, Marketing Strategy, Vendor Management, Product Development, Social Media Marketing, Direct Marketing, Brand Management, Product Launch, Capabilities Development, Agile Methodologies, Process Improvement, Retention Strategies, Credit Cards
Education
Lehigh University
MBA, Marketing
Penn State University
BS, Hotel, Restaurant and Institutional Management
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
United Health Services April 2013 - Present
Touchstone Health October 2010 - April 2013
Clear Channel Radio 2002 - 2010
AIG 1999 - 2002
Kaiser Permanente 1994 - 1999
Skills
Business Development, Leadership, Management, Customer Service, Marketing, Account Management, Advertising, Event Planning, Marketing Communications, Public Relations, Public Speaking, Sales, Social Media Marketing, Strategic Planning, Training, Fundraising
Education
State University of New York Empire State College 2008 — 2010
BS, Management/Sales/Economics
Broome Community College
AAS, Management/Marketing/Sales
The Rowers' Code March 2011 - Present
Criterion Consulting Solutions 2007 - Present
Martin's Point Health Care 2007 - Present
Baptist Hospitals and Health Systems, Inc. 2013 - 2015
Criterion Consulting Solutions 2007 - 2015
Criterion Consulting Solutions 2007 - 2015
Touchstone Health February 2008 - February 2010
United Healthcare 2004 - 2007
Medica 2001 - 2003
Wm M Mercer 1998 - 2000
Skills
Strategy, Leadership, Start-ups, Management, Marketing Strategy, Finance, Continuous Improvement, Employee Benefits, Management Consulting, Marketing, Executive Management, Mergers & Acquisitions, Team Building, Change Management, Corporate Communications, Coaching, Strategic Planning, Insurance, Health Insurance, Project Management, Public Speaking, Healthcare, Manufacturing, Healthcare Management, New Business Development, Process Improvement, SharePoint, Leadership Development, Consulting, Program Management, Entrepreneurship, Organizational..., Negotiation, Venture Capital, Medicare, Business Analysis, Managed Care, Healthcare Information..., Turn Around Management, Product Innovation
Education
Northwestern University - Kellogg School of Management 1994 — 1994
Certificate, The Art of Venturing
Harvard University 1991 — 1991
Certificate, Harvard Negotiation Project
University of Pennsylvania - The Wharton School 1990 — 1990
Senior Executive Education Program, Healthcare
West Virginia University 1978 — 1981
Bachelor of Science in Business Administration- Accounting
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
Touchstone Health June 2014 - Present
Harriton & Furrer, LLP November 2013 - June 2014
Harriton & Furrer, LLP March 2011 - November 2013
Pace Family Court Legal Program September 2012 - December 2012
NYC Criminal Court June 2009 - August 2009
Education
Pace University School of Law 2010 — 2013
Juris Doctor (J.D.)
Muhlenberg College 2006 — 2010
Bachelor of Arts (B.A.), Political Science
Health Care Partners September 2012 - Present
UHC, AARP, BC/BS, EMBLEM, AETNA, HUMANA September 2011 - September 2012
VNSNY Choice May 2011 - August 2011
Touchstone Health July 2009 - April 2011
Elderplan July 2006 - July 2009
Atlantis Health Plan August 2005 - July 2006
Coca-Cola Enterprises 1996 - 2003
Miller Sales Network 1992 - 1995
American Institute of CPA's January 1980 - November 1986
Skills
Medicare, Insurance, Health Insurance, Benefits Administration, Long-term Care, Managed Care, Cold Calling, Hospitals, Healthcare, HIPAA, Employee Benefits, Process Improvement, Healthcare Industry, Underwriting, Medicaid, Healthcare Management, Sales, Healthcare Information..., Training, Strategic Planning, Healthcare Consulting, Team Building, Disability Insurance, Leadership, Workers Compensation, Health Policy, Marketing, Term Life Insurance, Provider Relations, HMO, Brokers, Life Insurance, Claim, Sales Management, Account Management, New Business Development, Small Business, Health Savings Accounts, New York State Licensed..., NYS Licensed Notary..., Spanish, Field Interviewer
Education
Iona College 2001 — 2002
Business Administration
City College of NYC
Electrical Engineering
Liberty Health Advantage August 2011 - Present
American Health Medicare December 2004 - July 2011
HealthCare Partners IPA September 2003 - November 2004
Touchstone Health April 1999 - September 2003
NYL Care 1994 - 1995
Skills
Medicare, Managed Care, Provider Relations, Health Insurance, HMO, Medicaid, Team Building, Risk Management, Healthcare Management, Healthcare, Performance Improvement, Account Management, Insurance, Healthcare Industry, Physicians, Employee Benefits, Network Development, Strategic Planning, Health Savings Accounts, Executive Management, Long-term Care, Credentialing, Disease Management, HIPAA, Health Care Reform, Medicare Part D, Process Improvement, Sales, Claim, Health Policy, Healthcare Consulting, Leadership, Call Centers, Workers Compensation, Utilization Management, Training, Pharmacy Benefit..., Physician Relations, Brokers, Hospitals, Revenue Cycle, Revenue Cycle Management, Practice Management, Healthcare Information..., Quality Improvement, PPO, EHR, Home Care, Medical Billing
Education
Stony Brook University 1992 — 1994
Masters, Human Resources Management
University at Albany, SUNY 1987 — 1991
BA, Psychology, Political Science
Mount St. Mary's University 1987 — 1989
UnitedHealth Group November 2010 - Present
Fidelis Care September 2009 - October 2010
Touchstone Health November 2006 - August 2009
HealthNow New York Inc. March 1999 - September 2006
Skills
Medicaid, Policy, Managed Care, Word, Excel, Customer Relations, Insurance, Microsoft Office, HMO, Coaching, PowerPoint, Public Speaking, Team Building, Marketing Strategy, Problem Solving, Lotus Notes, Team Leadership, Mentoring, Staff Development, Non-profits
Education
Binghamton University
a Bachelor's degree, Human
Broome Community College
Associate of Science Degree, Business Sales/Management
Let's Grow: Health Care Consulting for Growth May 2011 - Present
Touchstone Health November 2008 - April 2011
Health Net Northeast January 2004 - November 2008
Hospital for Special Surgery March 2003 - January 2004
UnitedHealth Group 2000 - 2003
Oxford Health Plans March 1996 - February 2000
Ogilvy & Mather January 1980 - March 1996
Skills
Strategic Planning, Consumer Insights, Analytics, Creative Problem Solving, Segmentation, Market Research, Team Building, Change Management, Product Development, New Business Development, Healthcare, Medicare, Start-ups, Customer Experience, Marketing Strategy, Direct Marketing, Competitive Analysis, Integrated Marketing, Managed Care, Product Management, Lead Generation, Strategy Development, Advertising, Market Planning, Business Strategy, Marketing Communications, Brand Development, Product Marketing, Cross-functional Team..., B2B, Creative Development, Strategy, Program Management, Medicaid, Sales, Marketing, Business Development, Brand Management, Leadership
Education
Columbia University in the City of New York 1974 — 1979
PhD, English
Boston College 1965 — 1969
BA, English
Regis High School 1961 — 1965
UnitedHealthcare Community and State February 2009 - Present
Touchstone Health September 2006 - January 2009
Amerigroup Corporation 2001 - 2006
Edgix Corporation 2000 - 2001
Skills
Strategy, Managed Care, Marketing, Healthcare Management, Business Strategy, Program Management, Strategic Planning, Medicaid, Medicare, Management, Advertising, Provider Relations, Health Insurance, Healthcare, HMO, Insurance, Training, Healthcare Industry, Call Centers, Hospitals, Team Building, PPO, Leadership, Network Development, Sales, Customer Retention, Brokers, Contract Negotiation, Healthcare Consulting, Medicare Part D, Employee Benefits, Long-term Care, Executive Management, Process Improvement, B2B, Pharmacy Benefit..., Health Savings Accounts, Mergers & Acquisitions, Healthcare Information..., Revenue Cycle, Disease Management, Account Management, HIPAA, Physician Relations, Utilization Management, Health Care Reform, Physicians, Disability Insurance, Health Policy, EHR
Education
Marist College 2010 — 2013
MPA, Masters Public Administration -Healthcare
State University of New York College at Oswego 1992 — 1996
BA in Communications, Concentration in Public Relations
CareMed Pharmaceutical Services January 2008 - Present
Gorman Health Group November 2007 - Present
AMCP 1988 - 2008
Touchstone Health January 2007 - November 2007
Euro RSCG 4D July 2006 - October 2006
Medco January 2000 - September 2003
Medco September 1998 - January 2000
Merck-Medco August 1996 - January 1998
Prudential Pharmacy Management January 1993 - May 1996
Education
Columbia University in the City of New York 1999 — 2005
PhD, Health Care Management
Columbia University - Columbia Business School 1994 — 1999
MBA, Business and Marketing
Creighton University 1977 — 1980
B&B Italia October 2014 - Present
ARTERIORS Home January 2013 - October 2014
Katie Lydon Interiors January 2013 - June 2013
L & Q Services Inc. May 2010 - October 2012
Ehrlich Wines & Spirits September 2011 - November 2011
NBPA Office August 2011 - September 2011
Gramercy Condominium June 2010 - August 2010
Touchstone Health January 2010 - May 2010
DF King August 2009 - November 2009
West Elm May 2009 - August 2009
Skills
SketchUp, Photoshop, Architectural Drafting, Freehand Sketching, Marker Rendering, 3D rendering, Microsoft Office, AutoCAD, Model Making, Revit, 3D Studio Max, Rhino 3D, Design Studio, Space-planning, Residential Homes, Commercial Interiors, Interior Lighting, Interior Photography, InDesign, Studio Designer, Space planning, Furnishings, Color Theory, Residential Design, Interior Design, Sketching, Architectural Drawings, Rendering, Photography, Space Planning, 3D Rendering
Education
New York School of Interior Design
Associate of Arts and Sciences (A.A.S.), Interior Design
New York School of Interior Design
Bachelor of Fine Arts (BFA), Interior Design
Catamaran July 2014 - Present
Touchstone Health February 2012 - March 2014
Medco Health Solutions March 2010 - December 2011
Medco December 2006 - March 2010
Touchstone Health January 2005 - December 2006
WebMD December 2003 - August 2004
Quest Diagnostics August 2001 - December 2003
Discreet Medical Solutions 2000 - 2001
Oxford Health Plans 1997 - 2000
Center for Preventive Psychiatry 1994 - 1997
Skills
Workshop Facilitation, Managed Care, Healthcare, Medicare Part D, Medicare, Hospitals, Business Development, Healthcare Information..., EHR, Product Development, EMR, Healthcare Management, Healthcare Consulting, HIPAA, Business Strategy, Pharmacy Benefit..., Healthcare Industry, Health Insurance, Management, Medicaid, Program Management, Cross-functional Team..., Pharmacy, Health Policy, Executive Management, Process Improvement, Disease Management, Contract Negotiation, Leadership
Education
Western Connecticut State University 1990 — 1995
MBA, Health Care
State University of New York at Stony Brook 1982 — 1986
BS, Geology
The National Catholic Bioethics Center
Certificate in Healthcare Ethics
Lighthouse Guild International January 2015 - Present
The Telx Group, Inc. March 2010 - October 2012
Touchstone Health April 2009 - February 2010
Gotham Seafood Corporation October 2008 - March 2009
Brune and Richard Legal June 2008 - August 2008
Empire State Development Corporation February 2008 - June 2008
Kleinberg, Kaplan, Wolff & Cohen, P.C. October 2007 - December 2007
Bank of America March 2006 - September 2007
Giglio Company May 2005 - March 2006
The Thomson Corporation June 2003 - April 2005
Skills
Outlook, PowerPoint, Customer Service, Administrative Support, Documentation, Salesforce.com, Legal Assistance, Legal Documents, Legal Research, Administrative..., Software Documentation, Legal Assistants, Microsoft Excel, Teamwork, Microsoft Office, Microsoft Word, Contract Management, Project Management, Team Building, Process Improvement, Leadership, Team Leadership, Training, Calendaring, Analysis, Time Management, Corporate Law, Windows, Professional Services, Insurance, Event Planning, Notary Public NYS, 55..., Call Centers, Healthcare, Process Scheduler, Visio, Marketing, Data Entry, Sales, Management, Access, Invoicing, Accounts Receivable, Human Resources, Accounts Payable, PeopleSoft, Policy, Proposal Writing, Finance, Employee Relations
Education
Fashion Institute of Technology 1977 — 1979
Associates, Merchandising
Bay Ridge Subaru August 2014 - Present
U.S. Census Bureau January 2014 - June 2014
Aegis July 2012 - December 2012
M.O.R.E. October 2011 - March 2012
Patch.com August 2010 - 2011
Touchstone Health October 2005 - April 2007
Aflac 2001 - 2004
Skills
Consulting, Call Center, Customer Service, Technology, Health Insurance, Property & Casualty..., Direct Sales, Recruiting, Training, Financial Services, Life Insurance, Call Centers, Employee Benefits, Marketing, Public Speaking, Sales, Insurance, Sales Management, Leadership
Education
City University of New York-Hunter College 1984 — 1989
B.A., Psychology
Nazareth Regional High School 1980 — 1984
Regents Diploma
Amerigroup November 2013 - Present
Amerigroup January 2013 - November 2013
Amerigroup Corporation August 2011 - December 2012
ReliaCare Alliance IPA, LLC. January 2011 - September 2011
Affinity Health Plan April 2009 - January 2011
MultiPlan March 2008 - April 2009
Touchstone Health August 2007 - March 2008
Pediatric and Adolescent Medicine, PA August 2001 - September 2002
Skills
Provider Relations, Contract Negotiation, Analysis, Managed Care, Medicaid, Medicare, Network Development, Healthcare Management, Healthcare, Health Insurance, Insurance, Claim, Strategic Planning, Team Building, Recruiting, Management, Executive Management, Negotiation, Leadership, Physician Relations, HMO, Hospitals, Physicians, Policy, Performance Improvement, Home Care, Health Policy, Medical Billing, Process Improvement, Healthcare Industry, Business Development, PPO, Credentialing, Revenue Cycle, Healthcare Consulting
Education
Regis University 2002 — 2005
MBA, Healthcare Management
Tulane University 1998 — 2001
BS, Legal Studies/Business Administration
Louisiana State University 1998 — 1999
Certification, Paralegal Studies
Winston Benefits Inc July 2015 - Present
VNSNY CHOICE MLTC April 2012 - December 2013
Access Medicare November 2010 - March 2011
Three Radiators Auto Shop January 2007 - November 2010
Touchstone Health September 2006 - January 2007
Food Bank 2004 - 2007
Cignature RX September 2005 - January 2006
Healthfirst, Inc June 2004 - January 2005
Skills
Bilingual, Community Outreach, Marketing, Tax Preparation, Computer Proficiency, Medicare, Training, Insurance, Employee Benefits, Health Insurance, Provider Relations, Managed Care, Healthcare, Access, Strategic Planning, Customer Service, Call Centers, Data Entry, Fundraising, HIPAA, Invoicing, Long-term Care, Medicaid, Medicare Part D, Microsoft Excel, Outlook, PowerPoint, Sales, Healthcare Industry, Network Development, PPO, Utilization Management, Medical Billing, Management, Disease Management
Education
Gibbs SchoolNew 2001 — 2002
Katherine Gibbs School 2001 — 2002
Associate Degree, Hospitality Management
New York State Life
P.S.206
P.S.206
P.S.206
Showtime Networks 2011 - Present
Arsenal May 2002 - Present
A+E Networks December 2007 - August 2011
Touchstone Health August 2002 - October 2007
Upshot June 1999 - February 2001
Grybauskas Beatrice June 1997 - June 1999
Doremus January 1997 - June 1997
Skills
Expert in Photoshop,..., Advanced knowledge of..., Experience with HTML,..., InDesign, Photoshop, Creative Strategy, Creative Development, Dreamweaver, Entertainment, B2B, Advertising, Art Direction, Creative Direction, Web Design, Corporate Identity, Logo Design, Graphic Design, Typography, Adobe Creative Suite, Logos, Video, Packaging
Education
The Cooper Union 1987 — 1992
BFA, Graphic Design & Typography / Conceptual Sculpture
Constellation Consulting Group (CCG) January 2014 - Present
Strategy&, part of the PwC network (formerly Booz & Company) November 2012 - December 2013
KPMG August 2010 - October 2012
Touchstone Health February 2010 - July 2010
Booz & Company October 2009 - January 2010
WellPoint, Inc. April 2009 - September 2009
Booz & Company July 2007 - March 2009
Buck Consultants March 2006 - July 2007
Deloitte 2002 - 2006
Skills
Business Transformation, Organizational Design, Talent Management, Strategy, Management Consulting, Business Process..., Change Management, Acquisition Integration, Personnel Management, Human Resources, Organizational..., Program Management, HR Transformation, Business Strategy, Mergers, Performance Management, Mergers & Acquisitions, Human Capital, Leadership, Restructuring, Management
Education
Hampden-Sydney College 1990 — 1994
Bachelor's Degree, Double major: Economics & Spanish, Cum Laude
Universal American April 2008 - Present
Touchstone Health 2003 - 2008
General Cable 2001 - 2003
Priceline.com 1999 - 2001
Oxford Health Plans 1994 - 1999
Skills
Process Improvement, Healthcare, Coaching, Contract Negotiation, Corporate Strategy..., Operations Management, Leadership, Project Management, Program Management, Call Centers, HIPAA, Managed Care, Disease Management, Start-ups, Medicare, Medicaid, Business Process..., Business Process, Health Insurance, Healthcare Information..., Strategy, Management, Insurance, Quality Improvement, Integration, Strategic Planning, Healthcare Management, Healthcare Industry, Team Building, Vendor Management
Education
Cornell University 2012 — 2012
Certificate in Project Leadership, Project Management
Manhattanville College 1998 — 2003
Masters, Leadership and Strategic Management
Pace University 1990 — 1993
B.A., Human Resource Management
Westchester Community College 1988 — 1990
A.S., Business Management
Touchstone Health January 2010 - Present
Clear Vision Healthcare Solutions February 2010 - December 2011
New England Fertility Institute May 2008 - December 2009
Cleary Benefits Group, Inc. February 2005 - January 2008
Oxford Health Plans / United Healthcare February 1994 - February 2005
Skills
Strategy, Healthcare, Leadership, Business Process..., Operations Management, Strategic Planning, Management, Healthcare Consulting, Health Insurance, Process Improvement, Sales, Managed Care, Insurance, Vendor Management, HIPAA, Call Center, Medicare, Clinical Research, Performance Management, Change Management
Education
Northeastern State University
Bachelor of Science, Business Administration
Bellevue Hospital Center April 2011 - Present
Bellevue Hospital Center May 2008 - May 2011
Bellevue Hospital March 2006 - May 2008
Touchstone Health 2001 - 2003
Education
Baruch College, City University of New York (CUNY) 1993 — 1997
Baruch College, City University of New York (CUNY) 1993 — 1997
Morehouse College 1988 — 1990
N/A, Business Administration
Bishop Loughlin Memorial High School 1983 — 1987
HS Diploma, Business
CenterLight Healthcare May 2013 - Present
Quest Diagnostics May 2012 - May 2013
The TriZetto Group 2001 - May 2012
Touchstone Health January 2004 - November 2005
PersonalPath Systems, Inc. (n/k/a Alere Health) 2000 - 2001
United Healthcare 1997 - 2000
ChubbHealth / Healthsource, Inc. (n/k/a Cigna) 1993 - 1997
Skills
Healthcare Information..., Managed Care, Strategic Planning, Product Marketing, New Business Development, Account Management, Healthcare Consulting, Marketing Communications, Medicare, Marketing Strategy, Product Launch, Healthcare Industry, Cross-functional Team..., Start-ups, Health Policy, Integrated Marketing, Health Insurance, HIPAA, Insurance, Leadership, Provider Relations, Training, Healthcare, Program Management, Team Building, Sales, Marketing, Executive Management, Strategy, Healthcare Management, Physicians, Network Development, Hospitals, Segmentation, Go-to-market Strategy, Medicaid, Strategic Partnerships, Revenue Cycle
Education
Stockton University
BS, Marketing
MAZE Healthcare Communications August 2011 - Present
AMCP 1988 - 2013
FMCP 1988 - 2013
Salutary Healthcare Consulting LLC May 2009 - April 2011
Torre Lazur McCann Managed Markets September 2009 - May 2010
CareMed Pharmaceutical Services August 2008 - September 2009
Gorman Health Group 2007 - 2008
Touchstone Health 2007 - 2007
Navitus Health Solutions, LLC December 2004 - March 2006
Merck-Medco January 2000 - September 2003
Skills
Oncology, Marketing Strategy, Managed Care, Health Plans, Medicare Supplements, Medicare Part D, PBM, Healthcare, Health, Health Economics, Disease Management, Utilization Management, Healthcare Management, Strategic Planning, Health Insurance, Medication Therapy..., Medicare, Cross-functional Team..., Pharmacy Operations, Strategy Development, New Business Development, Pharmacy Benefit..., Health Policy, Pharmacy, Strategy, Pharmacy Automation, HMO, Insurance, Pharmaceutical Industry, Program Management, Diabetes, Informatics, Pharmaceutical Sales, Medicaid, Healthcare Industry, Leadership, Clinical Research, Pharmacists, Cardiology, Employee Benefits, Medical Education, Hospitals, Infectious Diseases, Physicians, Business Development, Product Launch, Management, Start-ups, Healthcare Information..., HIPAA
Education
Rochville University 2006 — 2009
Masters in Pharmaceconomics
Rochville University 2003 — 2006
PhD
Rochville University 1993 — 1997
MBA
Creighton University 1977 — 1980
BSPh
Guardian Life June 2015 - Present
United Real Estate August 2013 - Present
Touchstone Health March 2014 - June 2015
Fortren Funding LLC November 2013 - February 2014
Frank Imparato Attorney at Law May 2013 - September 2013
New Jersey Business Finance Corp. October 2012 - May 2013
Group twenty-six Real Estate June 2012 - March 2013
Bonny G. Rafel LLC February 2012 - October 2012
Pellettieri Rabstein & Altman LLC August 2010 - March 2011
Superior Court of New Jersey June 2008 - August 2008
Skills
Family Law, Product Liability, Class Actions, Legal Documents, Lexis, Intellectual Property, Document Review, Torts, Paralegals, Criminal Law, Litigation Support, Notary Public, Wills, Property Law, Alternative Dispute..., Real Estate Transactions, Document Drafting, Hearings, Construction Law, Legal Advice, Motions, Depositions, Investment Properties, Residential Homes, Commercial Real Estate, Microsoft Office, Microsoft Excel, Sales, Contract Negotiation, Management, Microsoft Word, Legal Issues
Education
Rutgers, The State University of New Jersey-Camden 2003 — 2007
Bachelor of Arts (B.A.)
Thomas M. Cooley Law School J.D.
Doctor of Law (J.D.), Law
MCU July 2010 - Present
Touchstone Health August 2008 - September 2010
Skills
Business Development, Leadership, Business Strategy, Customer Service, Customer Retention, Team Management, Insurance, Business Planning, Microsoft Excel, Management, Public Speaking, Negotiation, Team Building, Social Networking, Strategic Planning, Sales
Education
Monroe College
Criminal Justice/Police Science
Monroe College
Integra Partners May 2013 - Present
H.I.T. Consultant, Independent and Contractual. June 2011 - May 2013
Automatic Data Processing Insurance Agency, Inc. 2010 - 2012
Touchstone Health 2006 - 2010
Kessler Institute for Rehabilitation December 2002 - May 2006
Skills
Healthcare, Customer Service, Medicare, HIPAA, Healthcare Management, Process Improvement, Managed Care, Health Insurance, Microsoft Office, Sales, Medicaid, Insurance, Call Center, Team Building, Meditech, Sunrise Clinical Manager, CPOE, Training, Account Management, Healthcare Consulting, Software Documentation, Cerner, Management, Data Entry, Call Centers, EMR, eMAR, Medical Records, Medical Terminology, EHR, Data Analysis, Healthcare Industry, Medical Billing, Customer Satisfaction, Healthcare Information..., Documentations, Epic Systems, Health Policy, Time Management, Software Implementation, Health Information..., GoLive, Informatics, HL7, Inpatient, Ambulatory, Physicians, Clinical Research, Hospitals, Leadership
Education
Santa Fe College 2013 — 2013
HIT Software Support
POHS Institute 2009 — 2009
Licensed, Accident and Health
Chubb Institute of Technology 2001 — 2002
Diploma, Computer Technical Support
The Academy of the Sacred Heart 1995 — 1999
HS Diploma, College/University Preparatory and Advanced High School/Secondary Diploma Program
AlphaCare of New York, Inc. August 2012 - Present
Liberty Health Advantage April 2011 - August 2013
Touchstone Health January 2005 - July 2009
Skills
Market Analysis, Creative Writing, Customer Service, Sales Management, Customer Satisfaction, Sales Operations, Direct Sales, Sales Process, Customer Retention, Compliance, Curriculum Development, Cold Calling
Education
Academy of Massage Therapy
North Rowan High School
General
Touchstone Health April 2009 - Present
Skills
Managed Care, Medicare, Health Insurance, Insurance, HMO, Healthcare Industry, Medicaid, HIPAA, Network Development, Provider Relations, Healthcare, Health Policy, Medicare Part D, Long-term Care, Healthcare Management, Team Building
Education
Molloy College 1993 — 1995
Bachelor's Degree, Business, Management, Marketing, and Related Support Services
Touchstone Health April 2014 - Present
Touchstone Health February 2012 - April 2014
Sikorsky Aircraft May 2008 - August 2011
MAdvisorySports February 2010 - May 2010
Skills
Marketing Communications, Marketing Strategy, Marketing, Social Media Marketing, Public Relations, Market Research, Marketing Research, Competitive Analysis, Market Analysis, Advertising, Online Advertising, SEM, SEO, Brand Management, Copywriting, SEO copywriting, Vendor Management, Vendor Relationships, Invoice Processing, Creative Direction, Development Of..., Time Management, Project Management, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Blogging, SEO Audits, Content Management, Web Content Optimization, Web Content Creation, Digital Marketing
Education
Pace University - Lubin School of Business 2007 — 2011
BBA, Marketing
Healthfirst October 2015 - Present
Healthfirst May 2014 - October 2015
Healthfirst October 2012 - May 2014
Healthfirst February 2011 - October 2012
Healthfirst September 2008 - February 2011
St. Francis College September 2007 - September 2008
Touchstone Health 2000 - 2007
Salisbury University 2000 - 2005
Skills
Healthcare, Hospitals, Data Analysis, Marketing Communications, Social Media, Medicare, Analytics, Product Management, PowerPoint, Management, Managed Care, Salesforce.com, Teaching, Medicaid, Digital Marketing, Healthcare Information..., Insurance, Strategic Planning, Marketing Strategy, Public Speaking, Leadership, Customer Service, New Business Development, Account Management, Marketing, Team Leadership, Process Improvement, Training, Program Management, Team Building, Sales, Lead Generation, Strategy, Access, Health Insurance, Healthcare Industry, CRM, Analysis, Outlook, Project Management, Healthcare Consulting, HIPAA, Health Policy, Network Development, Physicians, Quality Improvement, Social Media Marketing, Business Analysis, Healthcare Management, Provider Relations
Education
Villanova University 2012 — 2012
Six Sigma Green Belt
Salisbury University 2000 — 2005
BS, Athletic Training
Premera Blue Cross June 2013 - Present
United Health Care March 2004 - March 2013
Community Health Care 2003 - 2007
Touchstone Health October 2000 - August 2003
St Joseph's College September 2002 - June 2003
Touchstone Health Partnership, Inc. 2000 - 2003
The Leading Hotels of the World October 1989 - January 1999
Skills
Medicare, Medicaid, Healthcare Industry, Healthcare, Long-term Care, HIPAA, Health Policy, Insurance, Healthcare Consulting, Provider Relations, Medicare Part D, Healthcare Management, Network Development, Disease Management, Home Care, Managed Care, Elder Care, Marketing, Community Outreach, hospitality, Weddings and Events..., Medical Billing and..., Provider Contracting, Health Care...
Education
St. Joseph's College 1999 — 2001
Master of Science, Management with a concentration in Organizational Behavior
St. Joseph's College 1996 — 1998
Bachelor of Science, Health Administration
St. Joseph's College 1996 — 1998
certificate, Health Care Management
Elderplan Inc March 2015 - Present
Hebrew Hospital Home Continuum of Care March 2011 - September 2014
Touchstone Health July 2008 - October 2010
BASICS Inc (CD Outpatient Program) March 2008 - July 2008
Skills
Data Entry, Telephone Skills, Healthcare, Customer Service, Microsoft Excel, Microsoft Word, PowerPoint, Microsoft Office, Case Managment, Home Care, Sales, HIPAA, Medicaid, Medicare, Call Centers, Health Insurance, Provider Relations, Team Building, Nursing, Physicians, Medical Terminology, Outlook, Managed Care, Employee Benefits, Healthcare Consulting, Quality Improvement, Healthcare Management, Disease Management, Leadership, Utilization Management, Software Documentation, EMR, Insurance, Hospitals, Employee Relations, Credentialing, Training, Healthcare Industry, HMO, Health Policy, Healthcare Information..., Inpatient, Long-term Care, Medical Coding, Administrative..., Marketing, EHR, Elder Care, Event Planning, Management
Education
The College of New Rochelle 2011 — 2015
Bachelor of Arts (B.A.), Psychology
Modern Marketing Concepts Inc. Sales ManagerModern Marketing ConceptsSeptember 2010 - Present
Modern Marketing Concepts Inc. September 2010 - Present
Modern Marketing Concepts November 2012 - June 2014
Touchstone Health September 2009 - September 2010
Homer Optical Company May 2009 - September 2009
AstraZeneca December 2003 - January 2009
CDPHP September 2000 - November 2003
Kaiser Permanente 1995 - 2000
Kaiser Permanente 1995 - 2000
Blue Cross and Blue Shield of Western New York 1990 - 1996
Skills
Marketing Strategy, Direct Sales, Email Marketing, Direct Marketing, Marketing, Salesforce.com, Marketing Communications, New Business Development, Lead Generation, Sales Operations, Management, Leadership, Account Management, Sales, Sales Management, Strategy, Customer Service, Selling, Strategic Planning, B2B
Education
State University of New York Empire State College 2000 — 2003
BS, Marketing
Broome Community College
AAS, Marketing
Horizon Blue Cross Blue Shield of New Jersey August 2011 - Present
Halfpenny Technologies June 2010 - July 2011
Touchstone Health July 2008 - June 2010
AmeriChoice March 2006 - March 2008
Falcon Capital Partners, LLC 2000 - 2005
Advanced Health 1994 - 1996
Colonial Penn Life Insurance 1987 - 1993
Deloitte and Touche 1983 - 1987
Skills
Revenue optimization, Risk Scoring, Enrollment, Medicare Advantage, Medicaid, IBNR, Government Programs, Contract Negotiation, Dual Eligibles, Managed Long Term Care, D-SNP, Medicare, Healthcare Industry, Health Insurance, Health Policy, HMO, Leadership
Education
La Salle University 1979 — 1983
BS, Accounting / Finance
Express Scripts March 2008 - Present
Medco March 2008 - April 2012
QMed June 2007 - November 2007
Touchstone Health April 2002 - June 2007
Education
Bucknell University
Bachelor of Business Administration (B.B.A.)
M.O.R.E. January 2011 - Present
M.O.R.E. January 2011 - Present
United Health Care Medicare April 2010 - January 2011
United Healthcare Medicare April 2009 - April 2010
Touchstone Health November 2006 - April 2009
First Plus a First Medical Product April 2005 - November 2006
Skills
Team Motivator, Organizational..., Site Development, Business Coaching, Sales Management, Sales Process, Sales Presentations, Strategic Planning, Mentoring, Recruiting, New Business Development, Sales, Time Management, Marketing, Call Centers, Coaching, Team Leadership, Insurance, Customer Retention, Health Policy, Salesforce.com, Medicare, Managed Care, Team Building, Leadership, Employee Benefits, Process Improvement, Healthcare, Customer Service, Training, Management, Sales Operations, Network Development, Medicare Part D
Education
CUNY Hostos Community College 2007 — 2009
Interamericana Puerto Rico 2001 — 2003
Citi August 2015 - Present
Taproot Foundation January 2014 - Present
Touchstone Health December 2009 - August 2015
Radio Advertising Bureau October 2008 - August 2009
Terra Holdings February 2007 - October 2008
Terra Holdings June 2005 - February 2007
Skills
Press Releases, Advertising, Public Relations, Marketing, Editing, Content Management, Publications, Budgets, Public Speaking, Newsletters, Marketing Communications, Social Media Marketing, Email Marketing, Social Media, Web Content, Integrated Marketing, Business Development, Project Management, Blogging, Direct Marketing, Event Planning, Digital Media, Management, Copy Editing, Sales, Digital Marketing, Online Advertising, Strategy, Marketing Strategy, Brand Development, Event Management, Creative Direction
Education
Marymount Manhattan College 2001 — 2005
BA
DRG Claims Management LLC March 2013 - Present
Self-employed DRG validation consultant and auditor January 1990 - 2013
Compliant DRG March 2010 - December 2012
Touchstone Health 2007 - 2012
Skills
Medicare, Managed Care, Healthcare, Healthcare Consulting, Medicaid, DRG, Medical Coding, Home Care, Healthcare Industry, HIPAA, Medicaid Managed Care, Medicare Advantage, Health Insurance, Claim, Healthcare Management, Provider Relations, Long-term Care, Healthcare Information...
Education
Rutgers, The State University of New Jersey-Newark
Nursing administration
SUNY College of Health Related Professions, Syracuse New York
Registered Nursing/Registered Nurse
State University of New York at Albany
BSN, Registered Nursing/Registered Nurse
DaVita SOURCE January 2009 - Present
Touchstone Health 2005 - 2009
Baptist Health 2001 - 2005
Skills
Healthcare, Customer Service, Nonprofits, Social Media, Healthcare Management, Event Management, Event Planning, Process Improvement, Public Speaking, Marketing, Project Management, Strategic Planning, Hospitals, Healthcare Information..., Managed Care
Education
University of Arkansas
Bachelor's Degree, Microbiology, General
University of Arkansas at Little Rock
Master's Degree, Health Services Administration
Hudson Health Plan 2008 - 2009
Touchstone Health April 2007 - October 2007
TheStreet.com November 2002 - April 2007
Bond Technologies 1998 - 2002
Oxford Health Plans 1994 - 1998
Education
Dominican College of Blauvelt 1988 — 1990
BS, Business Administration
Ranger College 1985 — 1987
Business
Pershing 2008 - Present
AXA Equitable 2006 - 2008
Touchstone Health 2005 - 2006
The Daily Record 2000 - 2004
The Record 1998 - 2000
Skills
Marketing Communications, Corporate Communications, Public Relations, Social Media Marketing, Writing, Editing
Education
Seton Hall University
Master's Degree, Corporate and Public Communication
Rutgers University
Bachelor's Degree, Journalism
Navigant Consulting November 2012 - Present
Peak Healthcare Advisors, LLC June 2011 - November 2012
Centura Health November 2007 - December 2011
The Chartis Group April 2009 - January 2011
Aveta December 2003 - August 2007
Touchstone Health 2003 - 2003
Skills
Healthcare Consulting, Healthcare, Healthcare Information..., Healthcare Management, Hospitals, Managed Care, Medicare, HIPAA, Medicaid, Strategic Planning, Data Analysis, Health Insurance, Project Management, Healthcare Industry, Change Management, Start-ups, Program Management, Physicians, Revenue Cycle
Education
Seton Hall University 2013 — 2015
MHA, Healthcare Administration
University of Colorado at Boulder 1993 — 1999
BA, English Language and Literature, General
Highland Ranch High School 1991 — 1993
MedSolutions September 2013 - Present
Neuro-Medical Care, P.C. 2007 - March 2014
North Shore - LIJ Health System April 2007 - May 2013
Touchstone Health 2005 - 2006
Horizon Healthcare of NY November 2003 - October 2005
The Brooklyn Hospital Center January 1999 - January 2003
Skills
Neurophysiology, Medicine, Clinical Neurophysiology, Neurology, Clinical Research, Medical Education, Neuroscience, Hospitals, Medical Research, Board Certified, EEG
Education
Columbia University - Columbia Business School 2003 — 2005
MBA, Concentration in Economics
Sawai Man Singh Medical College 1980 — 1987
M.B., B.S., Medicine
Advanced Systems and Professionals LLC April 2004 - Present
Bookmans July 1996 - October 2008
Touchstone Health January 2002 - June 2007
MSD Capital LP November 2001 - March 2004
InfiNETways Inc. January 2000 - September 2001
Martin Progressive July 2000 - July 2001
Skills
VMware, SQL, Cisco Technologies, Virtualization, Storage, Disaster Recovery, Data Center, Microsoft Exchange, Citrix, Networking, VoIP, Linux, Servers, HP, Infrastructure
Education
Pima College 1992 — 1996
Archaeology and computer cartography
University of Arizona 1992 — 1996
Archaeology and computer cartography
Aetna November 2012 - Present
WellPoint February 2011 - November 2012
Healthfirst September 2008 - February 2011
Healthfirst December 2007 - September 2008
Touchstone Health April 2007 - October 2007
Touchstone Health July 2003 - April 2007
Touchstone Health July 2002 - July 2003
Touchstone Health October 2001 - July 2002
Touchstone Health September 2001 - October 2001
Skills
Performance Management, Disease Management, Process Improvement, Healthcare, Healthcare Management, Project Management, Team Building, Strategic Planning, Medicare, Utilization Management, Managed Care, Medicaid, Project Planning, HIPAA, Healthcare Information..., Visio, Management
Education
Northeastern University 1998 — 2001
Bachelor of Science (BSc), Psychology
Quinnipiac University 1996 — 1998
Inovalon June 2012 - Present
Inovalon November 2010 - May 2012
Touchstone Health September 2009 - November 2010
Johns Hopkins University July 2004 - June 2006
Kaiser Permanente February 2003 - May 2004
Peace Corps July 1996 - July 1998
Education
University of California, Berkeley 2000 — 2002
MIMS, Information Systems
University of California, Berkeley 1999 — 2002
MPH, Epidemiology and Biostatistics
Massachusetts Institute of Technology 2006 — 2010
M.Arch., Architecture
Brown University 1992 — 1996
BA, International Health
Independence Care System February 2015 - Present
Private October 2014 - Present
Touchstone Health January 2013 - July 2014
Touchstone Health July 2010 - January 2013
Automatic Data Processing Insurance Agency 2008 - 2009
University Health Plans, inc September 2003 - September 2007
Aetna US Health Care 1998 - July 2001
Prudential Health Care March 1993 - July 2001
Skills
Medicare, Managed Care, Medicaid, Health Insurance, Provider Relations, Healthcare, HIPAA, Insurance, HMO, Healthcare Management, Healthcare Industry, Process Improvement, Healthcare Consulting, EHR
Education
Montclair State University 2011 — 2014
Bachelor of Arts (B.A.), Sociology
Stockton University 1985 — 1990
PwC October 2014 - Present
Touchstone Health July 2012 - September 2014
MJHS March 2010 - June 2012
Touchstone Health June 2008 - March 2010
UnitedHealth Group June 2007 - May 2008
Touchstone Health Partnership, Inc. 2001 - 2007
Skills
Medicare, Medicaid, Managed Care, EMR, Healthcare, Long Term Care, Business Analysis, Contract Negotiation, Epic Systems, Software Documentation, Call Centers, Medical Terminology, Healthcare Consulting, Program Management, Health Policy, Healthcare Management, Healthcare Industry, Quality Management, Hospitals, Health Insurance, Revenue Cycle, Access, Leadership, Insurance, Team Building, Executive Management, Physicians, Home Care, EHR, Claim, Cross-functional Team..., Employee Benefits, Business Development, Healthcare Information..., Strategic Planning, Utilization Management, Public Health, Process Improvement, Disease Management, Visio, Nursing, HIPAA, Practice Management, Case Managment, Long-term Care, Performance Improvement, Medicine, Quality Improvement, Clinical Research, Medical Billing
Education
Dnipropetrovs'kij Nacional'nij Universitet 1995 — 1996
Master, Mathematics
Brighton Health Group February 2014 - Present
Touchstone Health October 2009 - February 2014
Compliant DRG October 2009 - January 2013
WellCare January 2007 - March 2009
Touchstone Health January 2003 - January 2007
Oxford Health Plans 1995 - 2003
Skills
Financial Modeling, Medicare, Financial Analysis, Medicaid, Insurance, Forecasting, Provider Relations, Managed Care, Budgets, Strategic Planning, Business Process..., Claim, Contract Negotiation, HIPAA, Sales, Healthcare, Management, Leadership, Team Building, Business Planning, Call Centers, Process Improvement, Start-ups, Analysis, Executive Management, Finance, Healthcare Consulting, Health Insurance, Business Development, HMO, Strategic Financial..., Healthcare Industry, Health Policy, Due Diligence, PPO, Network Development, Healthcare Information..., Healthcare Management, Employee Benefits, Managerial Finance, Revenue Cycle, Financial Planning
Education
Fordham Gabelli School of Business 1998 — 2000
MBA, Finance
The University of Connecticut 1988 — 1992
BS, Applied Mathematics
Touchstone Health 2009 - Present
Booz & Company 2008 - 2009
CareCore National 2007 - 2008
Touchstone Health Partnership, Inc. 2002 - 2006
WebMD 2000 - 2002
Accordant Health Services 1998 - 2000
Merck-Medco Managed Care, LLC 1993 - 1998
Skills
Vendor Management, Healthcare Information..., Team Leadership, Process Improvement, Strategic Planning, Team Building, Business Intelligence, SDLC, Quality Improvement, Project Management, Healthcare, Program Management, Business Strategy, Enterprise Architecture, Strategy, Software Development, Management, Data Center, Software Documentation, Change Management, Business Transformation, Business Operations, Technology Solutions, Regulatory Requirements, Compliance, Healthcare Analytics, Product Management, Product Development, Project Portfolio..., IT Transformation, IT Operations, Managed Care, Payer, Organizational..., Project Implementation
Education
University of Maine 1989 — 1993
Bachelor's Degree, Business Administration and Management
Horizon Blue Cross Blue Shield of New Jersey June 2015 - Present
AgeWell New York October 2014 - June 2015
Independent Consulting October 2012 - October 2014
Elderplan, Inc. June 2010 - October 2012
US Imaging Network July 2009 - July 2010
Touchstone Health July 2008 - July 2009
Group Health Inc. (GHI) March 2007 - July 2008
Touchstone Health August 2005 - March 2007
Skills
Long-term Care, Medicare, Medicare Part D, Managed Care, HIPAA, Healthcare Information..., Pharmacy, Healthcare Consulting, Medicaid, Healthcare Management, Health Insurance, Healthcare, Process Improvement, Healthcare Industry, Provider Relations, Utilization Management
Education
The New School 2001 — 2003
MPH
The New School
Master of Public Health (MPH)
MJHS January 2011 - Present
Elderplan March 2008 - January 2011
Healthfirst, Inc July 2005 - March 2008
Touchstone Health 2001 - 2005
Skills
Medicare, Health, Managed Care, Strategic Planning, Financial Analysis, Customer Relations, New Business Development, Healthcare, Team Building, Marketing Strategy, Customer Service, Sales Management, Coaching, Public Speaking, Insurance, Strategy, HIPAA, Business Strategy, Leadership Development, Outlook, Medicaid, Home Care, Marketing, Health Insurance, Healthcare Consulting, Contract Negotiation, Healthcare Information..., Provider Relations, Executive Management, Healthcare Industry, Program Management, PPO, Physicians, Training, Network Development, Management, Cross-functional Team..., Account Management, Leadership, Sales, Operations Management, Hospitals, Healthcare Management, Team Leadership, HMO, Health Policy, Process Improvement, Utilization Management, Revenue Cycle, Business Development
Education
State University of New York College at Oneonta
Diversified Management Group LLC October 2007 - Present
Exeter Health Center 2015 - 2015
Refuah Health Center 2005 - 2014
Refuah Health Center 2005 - 2014
WeCare of New York IPA 2007 - 2011
Touchstone Health 2008 - 2010
Emblem Health 2008 - 2009
Live Out Loud 2007 - 2009
Comprehensive Care Management, Corp. 2008 - 2008
WellCare Health Plans 2004 - 2007
Skills
Medicaid, Medicare, Managed Care, Healthcare, Health Policy, Network Development, Provider Relations, HIPAA, Insurance, Health Insurance, Healthcare Management, Process Improvement, Informatics, Team Building, Employee Relations, Physicians, Program Management, Claim, Hospitals, Healthcare Consulting, Management, Home Care, Healthcare Industry, Revenue Cycle, Employee Benefits, EHR, Healthcare Information..., Credentialing, Performance Improvement, Practice Management, Strategic Planning, Leadership, EMR, Physician Relations, Consulting, Quality Improvement
Education
Kaplan College-Columbus
MetroPlus Health Plan June 2008 - Present
Touchstone Health 2006 - 2008
HIP July 2000 - May 2006
Skills
Managed Care, Medicaid, Financial Analysis, Data Analysis, Analysis, Business Analysis, HIPAA, Health Insurance, Healthcare, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Healthcare Management, Insurance, Medicare, Microsoft Excel, Process Improvement, Provider Relations, Quality Improvement, Revenue Cycle, Strategic Planning
Education
City University of New York-College of Staten Island
Senior Health Partners - A Healthfirst Company September 2011 - Present
Matrix Medical Network August 2008 - April 2011
Matrix Medical Network April 2008 - July 2008
Touchstone Health August 1999 - January 2008
Greenwich Hospital March 1997 - August 1999
New York Westchester Square Medical Center March 1994 - March 1997
Skills
Nursing, Healthcare Management, Hospitals, Process Improvement, Leadership, Management, Medicaid, Medicare, Program Development, Program Management, Strategic Planning, Healthcare Industry, Coaching, Managed Care
Education
Iona College 1995 — 1997
MS, Health Care Administration
Iona College 1993 — 1995
BS, Health Care Administration
Misericordia Hospital School of Nursing - Diploma Program 1972 — 1974
RN, Nursing
Senior Health Partners, a Healthfirst Company April 2013 - Present
Matrix Medical Network May 2010 - April 2013
Matrix Medical Network July 2008 - May 2010
BlackRock November 2007 - July 2008
Touchstone Health August 2005 - October 2007
Skills
Software Documentation, Healthcare Information..., Visio, Process Improvement, Data Analysis, Business Analysis, Medicare, HIPAA, Microsoft Excel, Program Management, Customer Service, Quality Assurance, Managed Care, EMR, Requirements Gathering, SharePoint, Business Process..., Business Process Mapping, Requirements Analysis, Troubleshooting, Microsoft Office, Business Intelligence, SQL, Outlook, Microsoft Word, Tableau, PowerPoint, Microsoft SQL Server, Data Visualization, Data Validation, SSRS, Training, Health Policy, MS Project, Ad Hoc Reporting, EHR, User Acceptance Testing, Process Flow..., Lean Six Sigma, Value Stream Mapping, Pivot Tables
Education
Pace University - Lubin School of Business 2001 — 2005
Bachelor of Business Administration (BBA)
Equinox 2014 - Present
The Sports Club/LA April 2014 - November 2014
ACS, a Xerox Company 2008 - 2013
Touchstone Health 2007 - 2008
Township of Bloomfield Health & Human Services January 2007 - June 2007
Francis E Parker Memorial Home January 2007 - June 2007
Rutgers Recreation Center 2006 - 2007
YMCA 2006 - 2007
Montclair Parks and Recreation 1999 - 2005
Skills
Medicare, Policy, Wellness, Community Outreach, Health Education, Public Speaking, Nutrition, Fitness, Customer Service, Personal Training, Sales
Education
Rutgers, The State University of New Jersey-New Brunswick
B.S.
Touchstone Health April 2009 - Present
elderplan 2002 - 2008
Elderplan 2002 - 2008
Skills
Managed Care, Health Insurance, Healthcare Industry, Medicare, Sales, Hospitals, HIPAA, Healthcare Information..., Team Building, Cross-functional Team..., Healthcare, Marketing Strategy, Medicaid, New Business Development, Sales Management, Provider Relations, Insurance, Strategic Planning, HMO, Call Center, Customer Service, Healthcare Management, Process Improvement, Contract Negotiation, Business Development, EMR
Education
Queens College 1978 — 1982
Aetna September 2010 - Present
Touchstone Health August 2008 - September 2010
Flagship Global Health September 2005 - January 2008
Lenox Hill Hospital September 2003 - September 2005
Oxford Health Plans July 1996 - September 2003
Skills
Managed Care, Utilization Management, Medicare, Healthcare Management, Healthcare, Healthcare Information..., Hospitals, EMR, Disease Management, Medicaid, Health Policy, Clinical Research, Health Insurance, EHR, Healthcare Consulting, Internal Medicine, Provider Relations, Insurance, Informatics, Strategic Planning, Healthcare Industry, Medicine, Physicians
Education
Columbia University - Columbia Business School 1994 — 1996
MBA, Management
Cornell University
Mount Sinai School of Medicine
MD, Medicine
CenterLight Healthcare, Inc. April 2010 - Present
Touchstone Health February 2003 - April 2010
Neiman Associates February 1998 - February 2003
HealthSource, Inc. ( CIGNA Healthcare) February 1993 - February 1998
Skills
Quality Improvement, EMR, Provider Relations, Disease Management, Network Development, Performance Improvement, Healthcare Management, Managed Care, Strategic Planning, Medicare, Finance, Process Improvement, Healthcare, Medicaid, Management, Patient Safety, Program Management, Public Health, HMO, Practice Management, Vendor Management, Start-ups, Physicians, HIPAA, Healthcare Industry, Revenue Cycle, Informatics, Business Strategy, Contract Negotiation, Utilization Management, Team Building, Negotiation, Healthcare Consulting, Human Resources, Case Managment, Hospitals, Healthcare Information..., Employee Benefits, Health Policy, EHR, Cross-functional Team..., Networking, Data Analysis, Customer Service, Program Development, Health Insurance, Home Care, PPO, Nursing, Physician Relations
Education
Columbia University College of Physicians and Surgeons
Masters of Public Health, Healthcare Administration
Heathplus Amerigroup, a WellPoint company January 2014 - Present
Amerigroup Community Care 2007 - December 2013
Touchstone Health July 2006 - August 2007
Amerigroup Community Care February 2000 - July 2006
Skills
Health Policy, Managed Care, Healthcare Management, Medicaid, Quality Improvement, Utilization Management, Pharmacy, Healthcare, Medicare, Disease Management, Medicine, Non-profits, Hospitals, Healthcare Industry, Provider Relations, Healthcare Consulting, Nonprofits, Quality Management
Education
University of Medicine and Dentistry of New Jersey -New Jersey Medical School 1998 — 2000
Dept of family medicine, post doc, primary care health services reasearch fellow
University of Medicine and Dentistry of New Jersey -Robert Wood Johnson Medical School
School of public health, MPH, Family Health
University of the Punjab, Fatima Jinnah Medical College, Lahore, Pakistan 1976 — 1981
MD
Amerigroup Corporation January 2010 - Present
Healthfirst March 2009 - January 2010
Comprehensive Care Management Corporation March 2008 - March 2009
Amerigroup Corporation 2009 - 2009
Touchstone Health May 2006 - January 2008
WellCare of New York, Inc. August 2003 - May 2006
Education
New York University 1999 — 2003
Bachelor of Arts, Psychology
NCQA 1992 - Present
Tufts Health Plan May 2005 - March 2011
Touchstone Health Partnership July 2004 - May 2005
Touchstone Health 2004 - 2005
Fallon Clinic October 1997 - June 2004
Skills
Pharmacy, Managed Care, Medicare, Healthcare, Disease Management, Medicine, Geriatrics, Healthcare Management, Health Policy, Utilization Management, Healthcare Consulting, Provider Relations, Healthcare Information..., HIPAA, Medicaid, Health Insurance, Healthcare Industry, Hospitals, Quality Improvement, EMR, Physicians, Informatics
Education
Boston University School of Medicine 1974 — 1978
MD, Medicine
Boston University
Marwood Group and Company, LLC May 2011 - June 2012
OrthoNet, LLC November 2009 - April 2011
OrthoNet LLC January 2009 - January 2011
Touchstone Health Partnership, Inc January 2004 - January 2009
Touchstone Health 2004 - 2009
Micro Warehouse, Inc January 2000 - January 2004
Cannondale Corporation January 1993 - January 2000
KPMG US January 1989 - January 1992
Education
University of Connecticut
Masters, Business Administration; Finance
Franklin & Marshall College 1985 — 1989
Bachelor of Arts, Accounting
Health Republic Insurance of New York November 2014 - Present
Amerigroup Corporation August 2012 - March 2014
HealthPlus Amerigroup May 2012 - August 2012
HealthPlus January 2011 - May 2012
Touchstone Health November 2008 - December 2010
HIP Health Plan of New York August 1993 - October 2008
Oxford Health Plans 1989 - 1993
Skills
Regulations, Project Management, Medicare, Medicaid, Managed Care, Health Policy, HMO, Healthcare, Healthcare Management, Medicare Part D, Health Insurance, HIPAA, Provider Relations, Claim, Employee Benefits, Utilization Management, Healthcare Industry, Healthcare Consulting, Policy, Program Management, Insurance, Strategic Planning, Revenue Cycle, Hospitals, Disease Management, Leadership, Pharmacy Benefit..., Quality Improvement, Process Improvement, Credentialing, Informatics, Long-term Care, Medical Compliance, PPO, Physicians, Physician Relations, NCQA, Executive Management, HEDIS, Health Information..., Strategy, Network Development, Medicaid Managed Care, Health Care Reform, Home Care, Case Managment, Medical Billing
Education
Baruch College, City University of New York (CUNY) 2006 — 2008
MPA, Public Administration
Binghamton University 1984 — 1988
B.S., Healthcare Systems
WeiserMazars LLP February 2014 - Present
LJP Consulting January 2011 - Present
Affinity Health Plan March 2011 - February 2014
Touchstone Health October 2001 - September 2011
Touchstone Health October 2006 - January 2011
Touchstone Health Inc. New York, N.Y. March 2004 - October 2006
At Balance August 1998 - September 1999
Loeb and Troper August 1998 - September 1999
Benchmark Physician Organization February 1998 - August 1998
Healthsource NY/NJ Inc. (Formerly Chubb Health, Inc.) September 1993 - February 1996
Skills
Healthcare, Healthcare Management, Health Insurance, HIPAA, Credentialing, Healthcare Industry, Utilization Management, Insurance, Health Policy, Hospitals, Process Improvement, Healthcare Consulting, Home Care, Software Documentation, Training, Outlook, Team Building, Physicians
Education
University of Hartford 1988 — 1989
Bachelors, General
New York University
Masters in Social work
Healthfirst June 2010 - Present
ValueOptions, Inc.® July 2009 - June 2010
Touchstone Health July 2008 - July 2009
North Shore-LIJ Health System September 2006 - July 2008
Philadelphia Veterans Affairs Medical Center, Drug Dependence Treatment Unit September 1990 - February 1998
Philadelphia Veterans Affairs Medical Center September 1989 - August 1990
Penn Medicine (University of Pennsylvania Health System) September 1987 - September 1989
Education
University of Pennsylvania
MSN
University of Pennsylvania
BSN
ikaSystems July 2011 - Present
Touchstone Health June 2007 - July 2011
Skills
Medicare, Healthcare, Marketing, Managed Care, Health Insurance, Healthcare Industry, Medicaid, HIPAA, CRM, CRM Integration, Product Management, Medicare Sales, Product Road Mapping, Product Marketing
Education
Stony Brook University 2003 — 2007
BS, Psychology
EmblemHealth August 2009 - Present
Touchstone Health September 2005 - December 2009
Visiting Nurse Service of New York March 2003 - March 2006
Healthcare Partners, MSO September 2003 - September 2005
Skills
Case Managment, Medicare, Managed Care, Healthcare, Leadership, Process Improvement, Outlook, Health Insurance, Disease Management, Social Services, Healthcare Management, Home Care, HIPAA, Utilization Management, Hospitals, Mental Health, Clinical Research, Team Building, Software Documentation, Training, Medicaid, Healthcare Information...
Education
Columbia University in the City of New York 1998 — 2000
MSW, Social Work
Stony Brook University 1994 — 1998
BS, Psychology
Advanced Disposal Services June 2012 - Present
Touchstone Health January 2008 - April 2012
The Harry Fox Agency January 2000 - December 2008
Vantas, Inc. 1999 - 2000
Columbia House 1989 - 1999
Skills
Accounting, General Ledger, Accounts Payable, Variance Analysis, Account Reconciliation, Auditing, Internal Controls, Payroll, Financial Analysis, Financial Statements, Forecasting, Fixed Assets, Invoicing, Journal Entries, Finance, Internal Audit, Accruals, Budgets, Bank Reconciliation, GAAP, Analysis, Insurance, Cash Management, Cash Flow Forecasting
Education
Rutgers, The State University of New Jersey - Rutgers Business School 2013 — 2015
MBA, Global Business
Baruch College, City University of New York (CUNY) 1991 — 1998
B.B.A., Accounting
Power Memorial academy 1980 — 1984
BHM Healthcare Solutions November 2011 - Present
Touchstone Health May 2011 - June 2012
Bravo Health June 2010 - November 2010
Enhanced Care Initiatives, Inc August 2009 - April 2010
APS Healthcare 2004 - 2008
St. Juan Baptist Hospital May 2003 - April 2004
Salud Dorada and Medicare May 2003 - April 2004
Behavioral Healthcare Partners February 2000 - May 2003
Caribbean Behavioral Health Systems August 1996 - January 2000
San Juan Capestrano Hospital/CPC Hospital April 1988 - July 1996
Skills
Managed Care, Utilization Management, Disease Management, Quality Improvement, Case Managment, Credentialing, Accreditation, Start-ups, Medicare, Medicaid, Behavioral Health, NCQA, Utilization Review, Healthcare Management, Nursing, Hospitals, Healthcare, Clinical Research, Home Care, Healthcare Information...
Education
University of Puerto Rico 1997 — 2000
MHSA, Healthcare Administration
University of Puerto Rico 1972 — 1974
MSN, Medical Surgical Nursing
City University of New York-Hunter College 1967 — 1972
BSN, Nursing
Mount Sinai Hospital School of Nursitn 1967 — 1970
RN Diploma, Registered Nurse
APS Healthcare August 2010 - July 2011
Senior Health Partners February 2007 - July 2010
Touchstone Health 2005 - 2007
Health Net of the NorthEast 2003 - 2004
MetroPlus Health Plan 2001 - 2003
New York Medical Group, P.C. 1996 - 2000
Health Insurance Plan (HIP) 1980 - 1996
Education
New York University
MPA, Health Services Administration
SITA August 2009 - Present
Touchstone Health May 2007 - August 2009
First Data Commercial Services February 2000 - May 2007
Skills
Virtualization...
Education
Hofstra University 1986 — 1990
BBA, Finance
Healthfirst 2010 - Present
Touchstone Health February 2008 - Present
AmeriChoice October 1998 - February 2008
Skills
Vendor Management, Business Analysis, Medicaid, Healthcare Information..., Outlook, Managed Care, Healthcare, Hospitals, Team Leadership, HIPAA, Nonprofits, EHR, EMR, Employee Benefits, Process Scheduler, Health Policy, Leadership, SDLC, Healthcare Management, Contract Negotiation, Training, Access, Medicare, Process Improvement, Grant Writing, Contract Management, Strategic Planning, Management, Informatics, Software Documentation, Quality Improvement, Program Management, Coaching, Healthcare Consulting, Visio, MS Project, Team Building, Call Centers, Microsoft Excel, Customer Service, Case Management, Healthcare Industry, Revenue Cycle, Clinical Research, Insurance, Project Management, Event Planning, Microsoft Word, Microsoft Office, Health Insurance
Education
The New School 1994 — 1997
Master of Science, Health Services Management
St. Francis College 1991 — 1993
B. of Science, Health Services Management
Kingsborough Community College 1989 — 1991
Associate of Science, Liberal Arts
Sheepshead Bay High School 1985 — 1988
ArchCare Advantage May 2012 - Present
HHH Continuum of Care Community Based Programs July 2011 - September 2012
Touchstone Health September 2009 - January 2011
Touchstone Health April 2006 - September 2009
Touchstone Health April 2005 - April 2006
Education
St. Lawrence University
BS, Liberal Arts - Geology
Beeline April 2012 - Present
Touchstone Health January 2008 - April 2012
Ensemble Chimes Global (former Chimes Inc.) May 2005 - January 2008
Cyber Consulting Inc June 2003 - May 2005
Frontier Technologies PTE LTD, Singapore September 2002 - May 2003
Applitech Solution Limited July 2001 - September 2002
SoftGenie Limited October 1996 - July 2002
Skills
Vendor Management, SDLC, Project Management, Business Intelligence, Business Analysis, Requirements Analysis, Software Project..., SQL, Microsoft SQL Server, Integration, Healthcare, Agile Methodologies, Software Documentation, XML, Software Development, Management, Oracle, Databases
Education
The Maharaja Sayajirao University of Baroda 1987 — 1988
PG DCA, Computer Applications
The Maharaja Sayajirao University of Baroda 1983 — 1986
B.S., Mathematics, Physics and Chemistry
Vidyut Board Vidyalay 1981 — 1983
H.V.Shroff Memorial High School 1972 — 1981
High School/Secondary Diplomas and Certificates
GSP Insurance March 2012 - Present
Access Medicare July 2011 - February 2012
Touchstone Health July 2007 - April 2009
Skills
Medicare, Marketing, Networking, Managed Care, Health Insurance, Insurance, HMO, Sales, Provider Relations, Sales Management, New Business Development
Education
Isenberg School of Management, UMass Amherst 1986 — 1990
BBA, Marketing, Economics
NSLIJ CareConnect October 2014 - Present
Metropolitan Jewish Health System February 2013 - September 2014
Votiva Health LLC March 2011 - December 2012
Votiva Health February 2008 - April 2011
Guildnet November 2007 - February 2008
Touchstone Health 2006 - 2007
Fidelis Care NY 2005 - 2007
Hospice Care Network February 2002 - November 2004
North Shore-LIJ Health System 1995 - 2002
North Shore University Hospital February 1987 - November 1995
Skills
Healthcare, Case Managment, Clinical Research, Healthcare Management, Hospitals, Palliative Care, Medicaid, Treatment, Managed Care, Inpatient, Quality Improvement, Health Policy, Acute Care, Healthcare Information..., Nursing, EMR, Medicare, Disease Management, Leadership, EHR, Nursing Education, HIPAA, Home Care, Utilization Management, Medical/Surgical, Patient Safety
Education
Farmingdale State College 1989 — 1994
AAS, Nursing
Touchstone Health February 2013 - Present
Swedish Medical Center March 2011 - February 2013
Parkview Medical Center January 2010 - March 2011
Penrose St. Francis Hospital 2007 - 2010
Skills
Healthcare Management, Healthcare, Hospitals, Nursing, EMR, Medicare, Managed Care, Home Care, Healthcare Information..., Clinical Research, Utilization Management, HIPAA, Medicaid, Disease Management, EHR
Education
Crowley County High School 1996 — 2000
University of Northern Colorado
BSN, Registered Nursing/Registered Nurse
Touchstone Health August 2009 - Present
Touchstone Health 2008 - 2010
Touchstone Health September 2009 - November 2009
Touchstone Health March 2009 - August 2009
Touchstone Health September 2008 - March 2009
Touchstone Health July 2008 - September 2008
Basics Outpatient March 2008 - July 2008
Phoenix House March 2007 - November 2007
Bloomberg September 2006 - December 2006
Pan Am Mortgage March 2006 - August 2006
Education
Kaplan University ( online degree) 2006 — 2006
n/a, Business Management
City University of New York 2003 — 2004
N/A, Pre-Veterinary
McBee Associates, Inc. December 2013 - Present
Amerigroup November 2007 - Present
Touchstone Health June 2006 - November 2007
NYU Langone Medical Center September 2002 - November 2006
Skills
Hospitals, Healthcare Management, Medicaid, Medicare, HIPAA, Healthcare, Home Care, Healthcare Consulting, Managed Care, Nursing, Process Improvement, Treatment, Inpatient, Quality Improvement, Utilization Management, Health Insurance, Healthcare Industry, EHR, Outlook
Education
City University of New York-Hunter College 1998 — 2002
Bachelor's degree, Registered Nursing/Registered Nurse
ArchCare Advantage May 2012 - Present
HHH Home Care July 2011 - May 2012
Touchstone Health April 2005 - May 2011
Healthfirst April 2004 - April 2005
Skills
Healthcare, Managed Care, Health Insurance, Team Building, Marketing, Healthcare Management, Insurance, Strategic Planning, Customer Service, Leadership, Account Management, Provider Relations, Microsoft Word, Physician Relations, Hospitals, Network Development, Community Outreach, Public Relations, Public Speaking, Marketing Strategy, Training, Long-term Care, Project Management, HMO, Home Care, Medical Terminology, HIPAA, Recruiting, Sales, Event Planning, Case Managment, Team Leadership, Teamwork, Call Centers, Contract Negotiation
Education
St. Lawrence University
Bachelor of Science (BS), Liberal Arts and Sciences/Liberal Studies, 3.0
Healthfirst January 2014 - Present
Touchstone Health May 2009 - June 2011
Affinity Health Plan March 2008 - May 2009
Georgia Department of Human Resources July 2005 - February 2008
Elderplan November 2001 - December 2004
Community Healthcare Network October 1999 - February 2001
Skills
Healthcare Management, Healthcare, Medicare, Medicaid, Managed Care, HIPAA, EMR, Provider Relations, Healthcare Information..., Hospitals, EHR, HMO, Medical Transcription, Credentialing, Utilization Management, Health Insurance, Healthcare Consulting, Microsoft Excel, Outlook, Process Improvement, Insurance, Training, Software Documentation, Access, Call Centers, Case Managment, Clinical Research, Disease Management, Healthcare Industry, Home Care, Human Resources, Interviews, JCAHO, Long-term Care, Medical Billing, Medical Terminology, Medicine, Network Development, PPO, Nursing, Physician Relations, Practice Management, Program Management, Quality Improvement, Data Entry, Employee Benefits, Health Policy, ICD-9, HEDIS, Informatics
Education
SUNY at Buffalo 1995 — 1999
Bachelors of Arts, Psychology
James Madison High School 1992 — 1994
High School Diploma, 1992
Montefiore Medical Center May 2011 - Present
Montefiore Medical Center November 2010 - April 2011
Providence Rest February 2002 - May 2010
Touchstone Health February 2001 - October 2001
Health Net October 1998 - February 2001
Lawrence Hospital Center 1989 - February 1998
Skills
Utilization Management, Clinical Research, Mental Health, Managed Care, Nonprofits, Nursing
Education
Seton Hall University
BSN, Nursing
Touchstone Health April 2010 - Present
Skills
Medicare, Managed Care, Process Improvement, Accounting, Healthcare, Health Insurance, Sarbanes-Oxley Act, Healthcare Management, Medicaid, Microsoft Excel, Financial Reporting, Internal Controls, Financial Statements, Insurance, Outlook, Auditing, Managerial Finance, Budgets, Financial Analysis, Strategic Planning, Invoicing, Revenue Cycle, Microsoft Word, Healthcare Industry, Access, HIPAA, Internal Audit, Employee Benefits, Provider Relations, Healthcare Consulting, HMO, Policy, External Audit, Healthcare Information..., PPO, Risk Management, Quality Improvement, Leadership, Credentialing
Education
Fairleigh Dickinson University 1983 — 1988
Master of Business Administration (MBA), Finance, General
Montclair State University 1977 — 1981
Bachelor of Science (BS), Accounting
Safepath October 2013 - Present
Elderplan February 2012 - Present
NEW Key Realty January 2008 - Present
Touchstone Health June 2006 - January 2011
New York Life Insurance Company September 2004 - June 2006
Skills
micosoft office suite, Access,, PowerPoint skills, Excel, Bilingual language:..., Microsoft Excel, PowerPoint, Microsoft Office, Healthcare, Medicare, Access, Sales, Healthcare Management, Team Building, Leadership, Strategic Planning, Customer Service, Health Insurance, Insurance, HIPAA, HMO, Outlook, Life Insurance, Medicaid
Education
Borough of Manhattan Community College
A.A. degree, Business Administration
China management cadre college
A.A. degree, Taxation and accounting management
National Income Life Insurance Company May 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey July 2010 - July 2012
Touchstone Health November 2009 - October 2010
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop, English
Education
American InterContinental University 2005 — 2006
Associate's degree, Business Administration and Management, General
Mount Sinai Health System - Beth Israel Division June 2007 - Present
Continuum Health Partnership, Inc June 2007 - Present
Queens Borough Community College November 2010 - May 2011
Touchstone Health October 2003 - March 2007
Touchstone Health Partnership, Inc October 2003 - March 2007
Brooklyn Hospital Center January 2000 - January 2003
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking
Education
New York University 2002 — 2005
Associate of Arts and Sciences (AAS), Respiratory Care Therapy/Therapist, 3.0
New York University
Associates Degree
Advantage Techinal Resourcing June 2011 - Present
Care Core National June 2007 - May 2011
Touchstone Health 2006 - 2007
Oxford Health Plans, Inc 1998 - 2002
Education
Oakland University
B.S., Management and Information Systems, Business and Information Technology
Evraz Inc NA March 2012 - Present
Touchstone Health October 2009 - May 2011
Blue Alternative Asset Management, LLC December 2007 - May 2008
Safeway August 2003 - December 2005
Skills
Continuous Improvement, Inventory Management, Purchasing, Logistics, Supply Chain Management, Microsoft Office, Process Improvement, Microsoft Excel, Time Management
Education
Colorado State University-Pueblo 2014 — 2017
Master of Business Administration (M.B.A.)
University of Colorado at Boulder 2003 — 2007
Bachelor of Arts, Russian Studies/Linguistics
St. Petersburg State University 2006 — 2006
Russian Language and Culture
Pueblo County High School
Aegis Communications Group September 2012 - Present
Touchstone Health 2008 - 2010
Barnes & Noble 2007 - 2008
Bank of America 2004 - 2007
Mattress Giant 2000 - 2002
Compaq Computer Corporation 1997 - 2000
Education
Prairie View A&M University 1994 — 1997
Montefiore Medical Center November 2010 - Present
Montefiore Medical Center November 2010 - Present
Touchstone Health March 2010 - October 2010
VERIZON COMMUNICATIONS May 2000 - November 2008
Verizon May 2000 - May 2004
ALBANY MEDICAL CENTER HOSPITAL May 1996 - February 2000
Skills
Clinical Research, Managed Care, Healthcare Management, Public Health, Hospitals, Healthcare
Education
Iona College
Masters of Science; Bachelors of Science, Health Services Administration; Healthcare Administration
Kingsborough Community College
Montefiore Medical Center
Aetna May 2013 - Present
Amerigroup Corporation January 2010 - May 2013
Healthfirst March 2009 - January 2010
Centerlight Health System March 2008 - March 2009
Touchstone Health May 2006 - January 2008
WellCare August 2003 - May 2006
Education
New York University 1999 — 2003
Bachelor of Arts (B.A.)
Pueblo Cardiology April 2012 - Present
Timothy Cawfield, Family Practice February 2012 - April 2012
Touchstone Health February 2010 - February 2012
Skills
HIPAA, Medical Coding, Hospitals, Medicare, EMR, Healthcare, Healthcare Management, Medical Billing, EHR, Direct Patient Care, Patient Education, Quality Patient Care, Vital Signs, Medical Terminology, CPR Certified, EKG, Phlebotomy, Medical Records, Patient Safety, BLS, Healthcare Information...
Education
IntelliTec College-Pueblo Campus 2009 — 2010
Associate's Degree, Medical/Clinical Assistant
Nicolet Area Technical College 2008 — 2010
Associate's degree, Medical/Clinical Assistant
Full Circle Financial Group 2008 - 2014
Arcadian December 2006 - December 2007
Touchstone Health 2004 - 2006
Self Employed 2001 - 2004
H.I.P. of New York 1997 - 2000
Healthfirst 1994 - 1996
Skills
Insurance, Marketing, Business Management, Lead Generation, Customer Relations, Customer Retention, Provider Network..., Sales Management, Event Planning, Health Insurance
Education
New York Institute of Technology
Marketing/Marketing Management, General