WellCare of New York
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WellCare of New York Employees
WellCare of New York March 2013 - November 2014
NY Access Medicare September 2012 - February 2013
Fidelis Care January 2010 - June 2011
Humana September 2007 - December 2008
Xerox 2006 - August 2007
CIGNA January 2005 - January 2006
Channel P.C February 2003 - August 2004
EmblemHealth November 2000 - January 2003
Skills
Project Management, Organization, Analytics, Corporate Finance, Presentations, Data Analysis, Analysis, Customer Retention, Strategy, Management, Leadership, Finance, Process Improvement, Cross-functional Team..., Customer Service, Training, Vendor Management, Health Insurance, Healthcare, HIPAA, Employee Benefits, Healthcare Management, Managed Care, Medicare, Strategic Planning
Education
Pontificia Universidad Católica Madre y Maestra 1997 — 2000
Bachelor's degree, Marketing/Marketing Management, General, 2.97
Visiting Nurse Service of New York October 2012 - Present
Visiting Nurse Service of New York July 2011 - October 2012
The Visiting Nurse Service of New York May 2010 - July 2011
Visiting Nurse Service of New York November 2007 - May 2010
Wellcare of New york February 2006 - August 2007
Skills
Managed Care, Medicare, Healthcare, Health Insurance, Healthcare Management, Hospitals, Healthcare Consulting, HIPAA, Healthcare Information..., Home Care, Network Development, Healthcare Industry, Elder Care, Team Leadership, Sales, Performance Improvement, Sales Process, Team Building, Health Policy, Insurance, EMR, Nursing, Case Managment, Long-term Care, HMO, Physicians, Medicaid, Disease Management, Business Planning, Revenue Cycle, Utilization Management, EHR, Medical Billing, Quality Improvement, Practice Management, Physician Relations, Critical Care, Medical Terminology, PPO, Credentialing, Patient Safety, Provider Relations, Patient Advocacy, Clinical Research, Acute Care, Informatics, Medicare Part D, Revenue Cycle Management, Wound Care, Inpatient
Education
Ucmm 1982 — 1986
bachelor, Hotel Managment
City University of New York
NYU Langone Medical Center July 2014 - Present
McBee Associates, Inc. January 2006 - July 2014
MD-X Solutions (currently Med Assets) February 2004 - January 2006
Wellcare of New York 2003 - 2004
Skills
Healthcare, Hospitals, Clinical, Nurses, Nursing, Case Management, Documentation, Health, Microsoft Office, Managed Care, Healthcare Consulting, Healthcare Industry, Clinical Research, Healthcare Information..., Revenue Cycle, EMR, Medicare, Medicaid, HIPAA, EHR, Software Documentation
Education
Seton Hall University
BSN, Nursing
The Institute for Human Development May 2004 - Present
WellCare of New York October 1994 - July 1997
JBJ, Inc. June 1984 - October 1992
Skills
Workshops, Courses, Stress Management, Public Speaking, Psychotherapy, Mental Health, Psychology, Counseling Psychology, Self-esteem, Group Therapy, Mental Health Counseling, Anger Management, Personal Development, Life Transitions, Community Outreach, Google Groups, Case Managment, Social Services, Career Development, Treatment, Case Management, Program Development
Education
Miami University 1969 — 1972
MS, Counseling
Seton Hall University 1965 — 1969
BA, Psychology
Centerlight Health System October 2014 - Present
North Shore-LIJ Health Plan October 2013 - October 2014
Visiting Nurse Service of New York November 2011 - November 2013
New York Blood Center 2008 - 2010
Wellcare of New York 2007 - 2008
UnitedHealthcare of New York (AmeriChoice Division) 2005 - 2007
UnitedHealthcare of New York 2004 - 2005
UnitedHealthcare of New York 2003 - 2004
Skills
Coaching, Team Leadership, Managed Care, Medicaid, Healthcare, Hospitals, Medicare, Territory, Sales Management, Customer Relations, New Business Development, Community Outreach, Account Management, Leadership, Long-term Care, Management, Marketing, Nursing, Physician Relations, Physicians, Recruiting, Sales, Sales Operations, Strategic Planning, Team Building, Training, Home Care, Healthcare Management, Healthcare Information..., Business Development, Customer Service, Elder Care, Employee Benefits, HIPAA, Healthcare Consulting, Healthcare Industry
Education
College of New Rochelle
Bachelor of Arts, Communications
Hofstra University
Law
Bennington School November 2012 - Present
JHS Michelangelo September 2012 - November 2012
WELLCARE OF NEW YORK January 2005 - January 2009
HEALTHFIRST HEALTH MGMT ORGANIZATION January 2003 - August 2004
Skills
speak, read and write..., English, French,...
Education
Mercy College 2010 — 2013
Master of Science (M.S.), Education (Teach English as a Second Language)
Binghamton University 1995 — 2000
Bachelor's degree, Economisc and Spanish
Binghamton University
Bachelor of Arts, Economics and Spanish
Universidad de Sevilla
Mercy College
Master of Science
Senior Citizen Advisors of New York January 2009 - Present
Senior Citizen Advisors of New York January 2009 - Present
Liberty Health Advantage 2007 - 2007
Wellcare of New York 2004 - 2007
Health First January 2002 - December 2003
Affinity Health Plan 2000 - 2002
Skills
Health Insurance, Managed Care, Insurance, Medicare, Medicaid, Healthcare, Sales Management, Strategic Planning, Team Building, Employee Benefits, New Business Development, Life Insurance, Coaching, Healthcare Management, Marketing, Management, Training, Leadership, Marketing Strategy, Recruiting
Education
Baruch College
Bachelor of Arts (B.A.), Business, Management, Marketing, and Related Support Services
MVP Health Care January 2006 - Present
GHI June 1999 - November 2005
Wellcare of New York September 1998 - June 1999
The Colonial Craftsman September 1987 - September 1998
Philliber Research Associates - PRA January 1997 - March 1998
SUNY Ulster January 1987 - December 1996
SUNY New Paltz January 1994 - May 1994
Colonial Williamsburg Foundation May 1986 - August 1987
Skills
Access, Data Analysis, Research, Analysis, Databases, Non-profit..., Fine Woodworking, Non-profit Leadership, Instruction, Software Documentation, Editing, Business Process..., Project Management, Business Requirements, Training, Process Improvement, Leadership, Program Management, Business Analysis, Requirements Gathering
Education
University at Albany, SUNY 1990 — 1997
SUNY Ulster 1987 — 1990
AAS
State University of New York at New Paltz 1981 — 1984
BA
State University of New York at Delhi 1980 — 1981
AAS
Bio Products Laboratory April 2014 - Present
Aptalis September 2007 - March 2014
Aptalis Pharma September 2007 - March 2014
Bio Products Laboratory 2014 - 2014
Wellcare of New York 2006 - 2007
Healthfirst 2003 - 2006
Skills
Pharmaceutical Sales, Medical Devices, Managed Care, Pharmaceutical Industry, Gastroenterology, Direct Sales, Sales Operations, Selling Skills, Product Launch, Cardiology, Sales Effectiveness, Pharmaceutics, Sales, Sales Process, Sales Force Development, Hospital Sales, Oncology
Education
City University of New York-Herbert H. Lehman College 2000 — 2003
Bachelor of Science, Computer Science
Healthfirst September 2010 - Present
ArchCare November 2009 - September 2010
Archcare Advantage November 2009 - September 2010
WellCare of New York August 2008 - May 2009
HIP Health Plan of New York 1999 - 2008
NYLCare 1994 - 1998
American Health Foundation 1988 - 1994
Education
University of Michigan 1975 — 1980
Ph.D.
City University of New York-Brooklyn College 1971 — 1975
BA
High Ridge Studio March 2013 - Present
Mad Gardeners, Inc January 1993 - Present
Frederick W. Vanderbilt Garden Association January 2011 - September 2015
Betsy Jacaruso Studio and Gallery January 2007 - September 2015
Wilderstein Preservation May 2010 - March 2011
Emblem Health/GHI HMO September 2003 - March 2010
Frederick W Vanderbilt Garden Association March 2003 - March 2006
WellCare of New York July 1995 - June 2003
Rollins Garden Center April 1994 - December 1994
The Bedford Gallery, Shrub Oak Gallery & Aardvark Art Supply January 1978 - April 1994
Skills
InDesign, Newsletters, Layout, Graphics, Illustration, Art, Editing, Publishing, Public Relations, Access, PowerPoint, Data Entry
Education
Betsy Jacaruso Studio 2008 — 2015
Watercolor painting classes
Woodstock School of Art 2013 — 2013
Artistic Anatomy class
Woodstock School of Art 2009 — 2009
Landscape watercolor painting classes
Institute of Ecosystem Studies 1991 — 1992
Certificate in Landscape Design
Silvermine Guild 1989 — 1990
Landscape watercolor classes & seminar
Pels School of Art 1973 — 1974
Certificate in Commercial Art & Design
Bowling Green State University 1968 — 1969
M.A., European Diplomatic History and Latin American History
College of Mount Saint Vincent 1964 — 1968
B.A., History; minor in Elementary Education
Stellar Managed Care Consulting 1997 - Present
WellCare of New York 1994 - 1997
Preferred Health Strategies 1988 - 1994
Empire Blue Cross 1985 - 1988
Ernst & Whinney 1984 - 1985
Lutheran Hospital Society of Southern California 1982 - 1984
Skills
Qualitative market..., Pharmaceutical Industry, Managed Markets, Brand Strategy, Broad range of..., Healthcare, Brand Architecture, Managed Care, Qualitative Research, Market Analysis, Market Research, Pharmaceutical Sales, Strategy, Product Launch, Diabetes, Strategic Planning, Sales Effectiveness, Health Policy, Medicaid, Pharmacy Benefit..., Medicare Part D, Health Economics, Disease Management
Education
University of California, Los Angeles 1981 — 1982
Masters of Public Health (MPH), Health Planning & Policy
University of California, San Diego 1974 — 1981
Doctor of Philosophy (Ph.D.), Medical Sociology
Colgate University 1969 — 1973
Bachelor of Arts (B.A.), Sociology
FirstCare Walk-In Medical Center January 2008 - Present
BCE Healthcare Advisors January 2001 - Present
Blue Cross of NEPA September 1994 - April 1997
Wellcare of New York June 1989 - November 1992
Skills
Healthcare Management, Healthcare, Medicine, Patient Safety, Clinical Research, Revenue Cycle, Healthcare Information..., Healthcare Consulting, Hospitals, Managed Care, HIPAA, EMR, EHR, Medicaid, Medicare, Healthcare Industry, Revenue Cycle Management, Medical Billing, Acute Care, Emergency Medicine
Education
Marist College MBA 1989 — 1993
MBA, Health Services Administration
State University of New York Upstate Medical University 1961 — 1965
Doctor of Medicine (MD)
EmblemHealth July 2009 - Present
University at Albany May 1995 - Present
EmblemHealth April 2003 - 2009
Pine Street Dental January 2002 - April 2003
WellCare of New York January 1996 - November 2001
Skills
Managed Care, Disease Management, Health Insurance, Healthcare, Utilization Management, Teaching, Quality Assurance, Public Speaking, Case Management, Public Health, Provider and Member..., Leadership, Health Outcome Survey, QARR and HEDIS, Education, Health Care Management, Quality Improvement and..., Behavioral Health, Health Policy, Data Analysis, Insurance, Program Management, Cross Functional Team...
Education
University at Albany
MSW and LMSW. MBA. MS in Reading Literacy
Benefits Advisor 2012 - Present
Health Plus Amerigroup 2010 - 2012
VNS Choice 2007 - 2009
Wellcare of New York 2005 - 2007
National Income Life Insurance company (NILICO) June 2004 - March 2005
Filenes’s Basement October 2003 - June 2004
Skills
Marketing Strategy, Online Marketing, Customer Relations, Managed Care, Life Insurance, Health Insurance, Healthcare Management, Finance, Medicare, Medicaid, Long-term Care, Customer Service, Claim, Insurance, Management, Employee Benefits
Education
Baruch College
Bachelor of Business Administration (B.B.A.), Finance and Financial Management Services
Ciy College
Master's degree, Business/Managerial Economics
H&R block 2011 - Present
wellcare of New York March 2007 - June 2008
Education
Alvernia University 2011 — 2012
Bachelor's degree, Accounting
Berks Technical Institute 2009 — 2011
Associate's degree, Business Management
VNSNY CHOICE Health Plans October 2010 - Present
WellCare of New York October 2006 - August 2010
Skills
Provider Relations, Health Policy, Managed Care, Medicaid, Credentialing, HIPAA, Health Insurance, Recruiting, Medicare, Medicare Part D, Healthcare, Healthcare Industry, Revenue Cycle, Network Development, Healthcare Consulting, HMO
Education
Keller Graduate School of Management of DeVry University 2015 — 2017
Master's Business Administration in Human Services
New York University 2002 — 2006
Bachelor's degree, Mass Communication/Media Studies