Shanequa Knight resumes & CV records
Resumes
Shanequa J Knight
Location:
111 Adelphi St, Roselle, NJ 07203
Industry:
Insurance
Work:
Amerihealth Administrators
Oct 2014 - Mar 2015
Project Coordinator Amerihealth Nj Oct 2014 - Mar 2015
Appeals Specialist Amerihealth Nj Sep 2014 - Oct 2014
Appeals and Grievance Specialist Horizon Blue Cross Blue Shield of New Jersey Apr 2010 - Jan 2014
Compliance Auditor Horizon Blue Cross Blue Shield of New Jersey Sep 2008 - Apr 2010
Compliance Administrator Horizon Blue Cross Blue Shield of New Jersey Apr 2007 - Sep 2008
Executive and Regulatory Appeals Analyst Horizon Blue Cross Blue Shield of New Jersey Nov 2005 - Apr 2007
Pharmacy Utilization Specialist Horizon Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Customer Service Representative Horizon Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Appeals Specialist Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Compliance Auditor Ii Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Compliance Administrator Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Executive and Regulatory Appeals Analyst Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Customer Service Representative Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Pharmacy Utilization Specialist
Project Coordinator Amerihealth Nj Oct 2014 - Mar 2015
Appeals Specialist Amerihealth Nj Sep 2014 - Oct 2014
Appeals and Grievance Specialist Horizon Blue Cross Blue Shield of New Jersey Apr 2010 - Jan 2014
Compliance Auditor Horizon Blue Cross Blue Shield of New Jersey Sep 2008 - Apr 2010
Compliance Administrator Horizon Blue Cross Blue Shield of New Jersey Apr 2007 - Sep 2008
Executive and Regulatory Appeals Analyst Horizon Blue Cross Blue Shield of New Jersey Nov 2005 - Apr 2007
Pharmacy Utilization Specialist Horizon Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Customer Service Representative Horizon Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Appeals Specialist Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Compliance Auditor Ii Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Compliance Administrator Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Executive and Regulatory Appeals Analyst Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Customer Service Representative Blue Cross Blue Shield of New Jersey Mar 1999 - Nov 2005
Pharmacy Utilization Specialist
Education:
Kean University 2006 - 2008
Bachelors, Bachelor of Arts, Public Administration Union County College 2004 - 2006
Associates, Liberal Arts, Liberal Studies
Bachelors, Bachelor of Arts, Public Administration Union County College 2004 - 2006
Associates, Liberal Arts, Liberal Studies
Skills:
Letters, Regulations, Provider Relations, Compliance Training, Art, Jersey, Corrective Actions, Workflow, Human Resources, Employee Benefits, Yahoo, Executive Management, Medicaid, Insurance, Rights, Vendors, Site Visits, Account Management, Compliance Monitoring, Medicare, Hipaa, Detail Oriented Problem Solver, Reviews, Legal Writing, Prior Authorizations, Business Services, Business Analysis, Trade Unions, Resolve Issues, Software Documentation, Adjustments, Federal Regulations, Healthcare, Utilization, Vendor Management, Process Improvement, Claim, County, Compliance, Medicine, Case Management, Hmo, Goal Oriented Individual With Strong Leadership Capabilities, Complaints, Policy, Managed Care, Provider Networks, Customer Service, Horizon, Regulatory Agencies, Contractual Agreements, Management, Measurements, Documentation, Prior Authorization, Pharmacy, Appeals, Science, System Monitoring, Public Administration, Reporting, Health Insurance, Lessons Learned, Investigation, Eligibility, Evaluation, Presentations, Analysis, Written, Coordinated, Coordinate, Access, Resolve, Internal Audit
Interests:
Arts and Culture
Health
Health
Shanequa Knight - Linden, NJ
Work:
AmeriHealth Administrators Oct 2014 to 2000
PROJECT COORDINATOR AmeriHealth - Cranbury, NJ Sep 2014 to Oct 2014
APPEALS SPECIALIST Horizon Blue Cross Blue Shield of New Jersey 2010 to 2014
COMPLIANCE AUDITOR Horizon Blue Cross Blue Shield of New Jersey - Newark, NJ 1999 to 2014 Horizon Blue Cross Blue Shield of New Jersey 2008 to 2010
COMPLIANCE ADMINISTRATOR Horizon Blue Cross Blue Shield of New Jersey - Newark, NJ 2007 to 2008
EXECUTIVE & REGULATORY APPEALS ANALYST Horizon Blue Cross Blue Shield of New Jersey - Newark, NJ 2005 to 2007
PHARMACY UTILIZATION SPECIALIST Horizon Blue Cross Blue Shield of New Jersey - Newark, NJ 2002 to 2005
PEND SPECIALIST, HORIZON BCBS OF NJ
PROJECT COORDINATOR AmeriHealth - Cranbury, NJ Sep 2014 to Oct 2014
APPEALS SPECIALIST Horizon Blue Cross Blue Shield of New Jersey 2010 to 2014
COMPLIANCE AUDITOR Horizon Blue Cross Blue Shield of New Jersey - Newark, NJ 1999 to 2014 Horizon Blue Cross Blue Shield of New Jersey 2008 to 2010
COMPLIANCE ADMINISTRATOR Horizon Blue Cross Blue Shield of New Jersey - Newark, NJ 2007 to 2008
EXECUTIVE & REGULATORY APPEALS ANALYST Horizon Blue Cross Blue Shield of New Jersey - Newark, NJ 2005 to 2007
PHARMACY UTILIZATION SPECIALIST Horizon Blue Cross Blue Shield of New Jersey - Newark, NJ 2002 to 2005
PEND SPECIALIST, HORIZON BCBS OF NJ
Education:
Kean University - Union, NJ 2008
B.A. in Public Administration Union County College - Cranford, NJ 2006
A.S. in Liberal Studies
B.A. in Public Administration Union County College - Cranford, NJ 2006
A.S. in Liberal Studies