BCBSRI Company
Industry: Insurance company
DescriptionCEO: Kim A. Keck Headquarters: Providence, RI CFO: Mark Stewart Founded: 1939 Subsidiaries: Coordinated Health Partners, Inc., Executive vice president: Kevin Splaine, Mark Stewart
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BCBSRI Employees
BCBSRI January 2014 - Present
Elevate Technology Solutions November 2013 - January 2014
State Street January 2000 - February 2013
BankBoston August 1995 - January 2000
D. Smith Associates, Inc. June 1985 - August 1995
Skills
Business Continuity..., Technical Recovery..., Data Center, Cloud Computing, Unix, Infrastructure, Management, Project Management, Access, Testing, Business Continuity, Risk Management, Disaster Recovery, Financial Risk, Vendor Management, Enterprise Risk..., Incident Management, Governance, Information Security, Risk Assessment, IT Strategy, Information Technology
Education
University of Massachusetts Boston 1985 — 1990
Bachelor of Arts (B.A.), Fine and Studio Arts
Liberty Mutual Insurance June 2015 - Present
Liberty Life Assurance Company of Boston February 2014 - June 2015
GTECH November 2010 - February 2014
BCBSRI July 2002 - July 2008
Skills
Captivate, Learning Management..., Camtasia, Instructional Design, E-Learning, Technical Writing, Quality Assurance, Training Needs Analysis, Curriculum Development, Articulate Suite, Blended Learning, Adult Learning Theory, Project Management, Learning Consultation, Lectora, Training, Train the Trainer, Change Management, Training Evaluation, Adult Learning..., ADDIE, Training Facilitation, Evaluation, E-learning..., Microsoft Office, MS Project, Gap Analysis, Corporate Learning, Process Improvement, Health Insurance, HIPAA, Training Delivery, Analysis, Instructor-led Training, Program Management
Education
Providence College 1997 — 2001
BA, Social Science
BCBSRI October 2014 - Present
Blue Cross Blue Shield of Rhode Island September 2013 - Present
Blue Cross Blue Shield of Rhode Island August 2009 - Present
Newport County YMCA May 1995 - Present
Horton Interpreting Inc. February 2006 - July 2009
GTECH March 2005 - December 2005
Skills
Health Insurance, Call Centers, Insurance, Lotus Notes, Medicare, Customer Service, Access, HIPAA, Claim, Process Improvement, Outlook, Microsoft Office, Microsoft Excel, Microsoft Word, Spanish, Data Entry, Public Speaking, PowerPoint
Education
Brown University 2005 — 2011
Arabic
University of Rhode Island 2003 — 2003
Master's program: Spanish Language Teacher Education
Rhode Island College 2002 — 2003
Post-Grad Certificate program for Secondary Education and Spanish
Community College of Rhode Island 2001 — 2001
American Sign Language
University of North Carolina at Wilmington 1996 — 2000
Bachelor of Arts (B.A.), Political Science and Spanish
Universidad San Francisco de Quito 1998 — 1998
Study Abroad, International Politics, Spanish
Harding University High School 1992 — 1996
Science Math & Technology, International Baccalaureate
Lifespan April 2011 - Present
Lifespan October 2009 - April 2011
South County Hospital VNS September 2004 - September 2010
BCBSRI September 1994 - September 2009
Skills
Change Management, Healthcare, Business Strategy, Healthcare Information..., Healthcare Management, Hospitals, HIPAA, EMR, EHR, Medicare, Managed Care, Nursing, Informatics, Revenue Cycle, Clinical Research, Healthcare Consulting, Patient Safety, Medicaid, HL7, Health Insurance, Process Improvement, Medical Billing, Medicine, Medical Records, Software Documentation, Medical Coding, Meditech, Quality Improvement, Inpatient, Physicians, Utilization Management, Health Information..., Critical Care, Health Policy, Acute Care, Physician Relations, CPOE, Cerner, ICD-9, JCAHO, Epic Systems, Provider Relations, Medical Terminology, Revenue Cycle Management, Disease Management, CPT, Home Care, Radiology, ACLS, BLS
Education
Brown University
Executive Master of Healthcare Leadership, Health/Health Care Administration/Management, GPA 4.0
University of Rhode Island
BGS, Health Services Administration
TriZetto, A Cognizant Company January 2013 - Present
BCBSRI June 2009 - November 2012
BCBSRI 2007 - 2009
BCBSRI April 1997 - April 2007
PHYSICIAN OFFICE January 1995 - January 1997
Skills
Health Insurance, Business Analysis, Business Process, HIPAA, Certified Profession..., Analysis, Claim, Management, HMO, Testing, Software Documentation, Medicare, Integration, Business Objects, Business Requirements, Databases, SDLC, Visio, Healthcare, Insurance, Business Intelligence
Education
New England Institute of Technology
Associate of Science
New England Institute of Technology
Associate of Science (A.S.)
BCBSRI March 2014 - Present
Club Z! In-Home Tutoring Services September 2013 - March 2014
Draperies Etc June 2005 - March 2014
Acosta Sales & Marketing 2011 - 2012
Skills
R, Microsoft Office, Microsoft Excel, Microsoft Word, Visual Basic, Statistics, Actuarial Science, Data Analysis, Insurance
Education
The University of Connecticut 2009 — 2013
Bachelor of Arts (B.A.), Actuarial Science
Tyngsboro High School
CVS Health July 2011 - Present
BCBSRI December 2008 - July 2011
US Navy Reserves 1987 - 2010
Bridge Technical Solutions Inc. June 2008 - December 2008
SUPERVALU 2005 - 2007
Blue Cross Blue Shield of Massachusetts 2001 - 2005
US Navy (Recalled to Active duty) 2001 - 2003
Skills
CISSP, Information Security, DoD, Healthcare, Security, Leadership, Network Security, Enterprise Architecture, Integration, Program Management, PMP, Vulnerability Assessment, Computer Security
Education
Southern Illinois University, Carbondale 2001 — 2003
Bachelor of Science, Workforce Education
Lincoln Technical Institute February 2015 - Present
University of Rhode Island March 2013 - February 2015
New England Institute of Technology July 2011 - March 2013
Healthcentric Advisors January 2010 - July 2011
BCBSRI March 2004 - January 2010
Kent County Memorial Hospital March 2001 - March 2004
Charlton Memorial Hospital. 12/1995-3/2001 December 1995 - March 2001
Skills
Healthcare, Hospitals, Clinical Research, Program Development, Program Management, Diabetes, Nursing, Healthcare Management, Disease Management, Medicare, Public Speaking, Case Managment, Healthcare Information..., Informatics, Grant Writing, Microsoft Office, Strategic Planning, Non-profits, Access, EHR, ICU, Nursing Education, Managed Care
Education
South University 2010 — 2011
MSN, Ed, Nursing, Healthcare, Education
South University 2007 — 2009
BSN, Nursing
Camden County College 1979 — 1982
RN, Nursing
Helene Fuld School of Nursing, Camden, NJ 1979 — 1982
Diploma, Registered Nursing/Registered Nurse
BCBSRI November 2011 - Present
Healthways May 2011 - October 2011
DST Health Solutions January 2007 - August 2010
Advanced Technologies & Solutions 1995 - 2010
Curry Printing 2003 - 2006
Day DDS 2003 - 2005
Intel Corportation February 1997 - September 2003
UMass Memorial Medical Center 1995 - 1997
Town of Grafton 1980 - 1993
Nemonix 1986 - 1989
Skills
Linux, Software Project..., Vendor Management, Data Center, SDLC, PMP, Networking, Integration, Telecommunications, Windows
Education
Boston University
Graduate Studies Computer Science
Northeastern University
Graduate Studies Networks and Communications
Project Management Institute
PMP
University of Massachusetts Lowell
BSET, Engineering Technology
Wentworth Institute of Technology
ASEEE, Electrical and Electronics Engineering
Worcester Polytechnic Institute
Graduate Studies Microprocessor Systems Design
Rhode Island Quality Institute March 2011 - Present
The Health and Wellness Institute/BCBSRI May 2001 - August 2010
BCBSRI 2003 - 2007
BCBSRI 2001 - 2003
Skills
Strategic Planning, Healthcare Information..., Employee Wellness, Health Insurance, Healthcare, Managed Care, EHR, Health Promotion, Health Policy, Customer-focused Service, Healthcare Management, HIPAA, Public Speaking, Process Improvement, Health Education, Leadership, Team Building, Account Management, Medicare, Employee Benefits, Wellness, Program Management, Disease Management, Program Development, Healthcare Industry, Medicaid
Education
Providence College 1985 — 1989
BS, Health Policy and Management
bcbsri September 1987 - Present
Blue Cross & Blue Shield of Rhode Island 1987 - Present
Blue Cross of RI 1987 - Present
Blue Cross & Blue Shield of RI 1987 - Present
BCBSRI 2009 - 2013
BCBSRI 2009 - 2013
BCBSRI 2009 - 2013
Skills
java, sql, mvs cobol, SQL, COBOL, Java
Education
Rhode Island College 1995 — 1998
Community College of Rhode Island 1984 — 1987
Bachelor
Brown Brothers Harriman 2012 - Present
Law Office of Thomas Alden Manson / Box-to-Box Professional Services 2012 - 2012
Blue Cross Blue Shield of Rhode Island 2010 - 2011
BCBSRI 2008 - 2010
BCBSRI 2005 - 2008
BCBSRI 2003 - 2005
BCBSRI 2001 - 2003
Tufts Health Plan 1999 - 2001
Skills
Outsourcing Management, Technology Leadership, Business Operations..., Corporate Law, Complex contract..., Vendor contract..., Leadership, Contract Negotiation, Contract Management, Vendor Management, Budgets, Policy, Employee Benefits, Strategy, Outsourcing, Enterprise Software, Finance, Governance, Training, Insurance
Education
Suffolk University Law School 1994 — 1998
JD
Westfield State University 1989 — 1993
BA, Political Science, Criminal Justice
USI Insurance Services September 2013 - Present
Allegiance Benefit Advisors Inc January 2010 - September 2013
BCBSRI March 1989 - January 2010
Skills
Employee Benefits, Labor Relations
Education
Providence College 1983 — 1985
MBA
University of Massachusetts Dartmouth 1974 — 1978
BS, Accounting
WPRI 12 Fox Providence myRITV January 2013 - Present
RPS ASA July 2005 - January 2013
BCBSRI April 1999 - July 2005
The Prout School June 1997 - March 1999
Skills
Public Speaking, Microsoft Office, Research, Microsoft Excel, Environmental Awareness, Customer Service, Program Management, Community Outreach, Contract Negotiation, Data Analysis, PowerPoint, Outlook, Public Relations, Environmental Impact..., Microsoft Word, Project Management, Nonprofits, Marketing Strategy, Social Media, Editing, Strategic Planning, New Business Development
Education
Providence College 1993 — 1997
BS, Health Policy & Management
South Kingstown High School 1990 — 1993
Diploma
BCBSRI September 2010 - Present
IPAE International Kolkata September 2001 - August 2015
GiGi's Global Specialty September 2006 - May 2010
Institute for Poverty Awareness and Education, Inc. (IPAE) January 1999 - January 2006
Skills
Writer, Artist, Public Speaking, Workshop Presentation, Produce Financial..., Effective Communicator..., Skilled at Authoring..., MS Word, Excel, Power..., Medical Transcription, Poverty Awareness and..., Produce Public..., Skilled in..., Develop and Present..., Private Art Lessons &..., Art Exhibitions since..., Microsoft Office, Photoshop, Customer Service, Art, Painting, Social Media
Education
Goddard College
Bachelor's degree, women and poverty issues
Blue Cross & Blue Shield of Rhode Island March 2015 - Present
Blue Cross & Blue Shield of Rhode Island December 2011 - March 2015
BCBSRI July 2009 - December 2011
Blue Cross & Blue Shield of Rhode Island January 2007 - July 2009
Newton-Wellesley Physician Hospital Organization January 2006 - December 2006
Medical Information Technology, Inc. June 2005 - January 2006
Skills
technology adoption, Software Training, Outreach Programs, Healthcare, Hands-on Training, Training, EHR, Informatics, Managed Care, EMR, SDLC, Hospitals, Healthcare Information..., Educational Outreach, Medicare, Health Insurance, Medicaid
Education
Providence College
BS, Health Policy & Management
University of Rhode Island
MBA
Blue Cross Blue Shield of Rhode Island November 2006 - Present
Dell Services March 2003 - November 2006
BCBSRI 1993 - 2003
Skills
SDLC, Visio, HIPAA, Process Improvement, Business Process, Software Documentation, Requirements Gathering, Requirements Analysis, Business Requirements, DB2, COBOL, Disaster Recovery, Business Analysis, Program Management, Health Insurance, PMP, Business Intelligence, Access, Insurance, ITIL, MS Project, Medicare, Lotus Notes, Systems Analysis, SharePoint, Vendor Management, Software Project..., Data Warehousing, Crystal Reports, Data Modeling, Databases, Mainframe, Integration
Education
Bristol Community College 1979 — 1981
Associates in Science, Computer Programming
Right company January 2014 - Present
Dell Perot Systems 2003 - 2011
BCBSRI 1981 - 2003
Skills
Vendor Management, Data Center, Disaster Recovery, ITIL, IT Service Management, Software Documentation, Customer Service, Innovation, Problem Solving, Quality Assurance, Teachers, Youth Ministry, IT Management, System Administration, Business Analysis, Leadership, Unix, Computer Hardware, SDLC, Team Leadership, Cloud Computing, System Deployment, Business Continuity, Operating Systems, BMC Remedy, Active Directory, Integration, Process Improvement, Windows, Servers
Education
Bryant University
Bachelor's degree, Computer/Information Technology Administration and Management
CCRI
Associate of Science (A.S.), Computer and Information Sciences and Support Services
Bridge Technical Talent April 2014 - Present
Hewlett-Packard January 2013 - April 2014
BCBSRI October 2008 - January 2013
BCBSRI February 2006 - October 2008
BCBSRI April 2004 - February 2006
ADVO September 2002 - April 2004
Cigna Healthcare June 2001 - May 2002
CIGNA Healthcare August 2000 - September 2001
Cigna Healthcare August 1998 - May 2000
Skills
Business..., Facets 4.71 (Certified..., HP Quality Center, LRSP, blueLYNCS (Pega..., MS Office Suite, SharePoint, CCMS, Softheon, HLI LEAP, Quality Center, Microsoft Office, Vendor Management, Business Analysis, Requirements Gathering, Data Warehousing, User Acceptance Testing, Visio, Analysis, Business Objects, Call Centers, Quality Assurance, Software Documentation, Testing, Training, Requirements Analysis, Business Requirements, SDLC
Education
Springfield Technical Community College 1989 — 1992
Associates, Law Enforcement
Biogen Idec January 2015 - Present
The Family Dog Bakery October 2011 - Present
Avid Technology 2013 - January 2015
BCBSRI February 2012 - January 2013
Neighborhood Health Plan 2013 - 2013
Neighborhood Health Plan 2013 - 2013
Neighborhood Health Plan 2013 - 2013
Neighborhood Health Plan 2013 - 2013
Think Frist October 2011 - December 2011
Millennium Pharmaceuticals August 2011 - October 2011
Skills
Project Management, SDLC, Program Management, Process Improvement, PMP, Management, Leadership, Human Resources, Scrum, Project Delivery, Visio, Team Building, Budgets, IT Strategy, Quality Assurance, Integration, Security, Business Process..., Agile Methodologies, IT Management, Business Intelligence, Change Management, Vendor Management, Team Leadership, Project Planning, Access, Requirements Analysis, Business Analysis, SharePoint, Software Project..., Data Analysis, CRM, Business Process, Software Documentation, Project Portfolio..., Analysis, Cross-functional Team...
Education
University of Massachusetts Boston 1989 — 1991
Cambridge College, Educational Psychology
Cambridge College 1986 — 1987
M.Ed, Counseling Psychology
Suffolk University 1977 — 1981
BS, History
SCRUM Training
BCBSRI June 2011 - Present
Blue Cross & Blue Shield of Rhode Island February 2011 - May 2011
Dunkin' Brands Inc. January 2008 - February 2011
The Casey Group January 2007 - August 2007
PFPC August 2004 - February 2007
American Student Assistance February 2004 - August 2004
OneBeacon Insurance January 2000 - February 2004
Skills
Program Management, Software Project..., Business Analysis, SDLC, PMP, Vendor Management, PMO, Project Portfolio..., Project Management, Visio, Project Planning, Project Delivery, Process Improvement, Management, Business Process, Business Intelligence, Software Development, Leadership, Quality Assurance, Team Management, MS Project, Enterprise Software, IT Strategy, Business Process...
Education
Project Management Institute 2004 — 2004
PMP certification
Boston University Questrom School of Business
Masters Certification in Project Management (PMMC)
Roger Williams University
BS
Blue Cross and Blue Shield of Minnesota July 2012 - Present
IBM September 2011 - Present
Blue Cross and Blue Shield of Minnesota September 2011 - June 2012
Land O'Lakes February 2009 - October 2009
Evergreen Investments April 2007 - January 2008
9Tech Consulting 2007 - 2008
DHS State of MN 2005 - 2008
BCBSRI November 2002 - December 2003
Reliant Energy 2001 - 2002
TSI Soft 1998 - 2000
Skills
EDI, Integration, EAI, SQL, SOA, XML, WMB, WTX, Mercator, HIPAA, Oracle SQL, WebSphere Message Broker, Datastage, Websphere, Business Analysis, SDLC, Requirements Analysis, DB2, PL/SQL, Enterprise Architecture, Data Warehousing, Solution Architecture, Oracle, ETL, Unix, WebSphere, Java Enterprise Edition
Education
University of Minnesota - Carlson School of Management 2012 — 2014
Master of Business Administration (MBA)
Indian Institute of Technology, Kharagpur 1990 — 1994
BTechHonors
Atomic Energy Central School 1976 — 1990
Blue Cross & Blue Shield of Rhode Island May 2013 - Present
BCBSRI January 2006 - May 2013
BCBSRI April 2004 - December 2005
Skills
Business Analysis, Requirements Gathering, Cross-functional Team..., Project Management, Team Building, Visio, Requirements Analysis, Process Improvement, Software Documentation, SQL, Business Intelligence, Insurance, Data Analysis, Access, Business Process..., Analytics, MS Project, Team Leadership, Change Management, Leadership, Databases, Program Management, Analysis
Education
American InterContinental University 2002 — 2003
MBA, Technology
Bryant University 1995 — 1999
BA, Computer Information Systems
CVS/Caremark January 2009 - Present
CVS/Pharnacy-CVS Corporation 1980 - Present
Frontier Systems, Inc. March 2002 - August 2008
CVS March 2002 - August 2008
BCBSRI 2008 - 2008
PricewaterhouseCoopers 1986 - 2001
Skills
COBOL, SQL, ORACLE, EZT, Requirements Analysis, Requirements Gathering, Business Requirements, Project Management, Unix, Unix Shell Scripting, UNIX utilities, Mainframe, MVS, DOS, VSAM, Problem Solving, Data Analysis, Business Analysis, Pharmaceutical Industry, Retail Sales, Retail Marketing, Health Insurance, Manufacturing, Banking, Financial Reporting
Education
Villanova University 2006 — 2008
Bachelor of Business Administration (B.B.A.)
Johnson and Wales University 1978 — 1980
Associate's degree, Computer Science
SAP August 2010 - Present
RCG Information Technology October 2009 - July 2010
Ascend Consulting March 2004 - October 2009
BCBSRI 2003 - 2004
Deloitte & Touche 1995 - 2003
Education
Colby College 1983 — 1987
Student September 2007 - Present
BCBSRI June 2004 - September 2007
Education
Johnson & Wales University 2007 — 2010
Business MGMT
United HealthCare (OPTUM) January 2015 - Present
CTS (Cognizant Technology solutions) December 2010 - January 2015
BCBSKS 2012 - 2013
BCBSRI 2004 - 2010
P.S.Consultants 2003 - 2004
SDG Software Technologies 1999 - 2003
Skills
Certified Scrum Master..., Web Services, J2EE Architecture, Core Java, EJB, Pega PRPC, WebSphere Application..., JCAPS, JSP, WebSphere ESB, MQ, MEGA, SOAP, BPM, CRM, LDAP, Pegareach, WSAD/RAD, SSO, Ratonal Software Moduler, Java Enterprise Edition, Business Process Design, ESB, Hibernate, Enterprise Architecture, JMS, Message Queue, XML, Architecture, Enterprise Software, Agile Methodologies, Spring, SOA, EAI, Websphere, Weblogic, Software Development, SDLC, Solution Architecture, Struts, JBoss Application Server, Java, Oracle, DB2, Business Process, Application Architecture, J2EE Application..., Tomcat, Design Patterns, Ant
Education
Banaras Hindu University 1992 — 1997
MS, Computer Science
DLW 1984 — 1992
School
Ava Anderson Non Toxic January 2015 - Present
Providence Equity Partners March 2008 - October 2013
BCBSRI June 2005 - March 2008
Skills
Corporate Finance, GAAP, Private Equity, Financial Analysis, Financial Reporting, Financial Modeling, Internal Controls, Auditing, Finance
Education
University of New Hampshire 1998 — 2002
Bachelor of Science (B.S.)], Business Administration, concentration in Accounting
Boston Scientific September 2015 - Present
Boston Scientific April 2008 - September 2015
BCBSRI January 2008 - April 2008
Boston Scientific October 2003 - January 2008
Phase Forward February 2001 - October 2003
ONEWORLD Software Solutions 2000 - 2001
GE Capital June 1996 - April 2000
Skills
Clinical Research, Cross-functional Team..., Management, Medical Devices, Process Improvement, Program Management, Project Management, Six Sigma, FDA, SDLC, Healthcare, Business Analysis, Pharmaceutical Industry, Clinical Trials
Education
Siena College 1992 — 1996
BS, Computer Science
Masspro January 2006 - September 2014
Masspro January 2006 - October 2009
Blue Cross & Blue Shield of Rhode Island 1993 - 2003
BCBSRI 1976 - 2003
Education
Providence College
health care administration
BCBSRI
Skills
Customer Service, Project Management, Account Management, Marketing Communications, Process Improvement, Microsoft Office, Vendor Management, Budgets, Management, Adobe Creative Suite
Education
Buffalo State College 1983 — 1987
BCBSRI March 2015 - Present
BCBSRI June 2013 - March 2015
BCBSRI January 2013 - June 2013
BCBSRI 2009 - 2012
BCBSRI 2008 - 2009
BCBSRI 2006 - 2007
BCBSRI 2003 - 2005
BCBSRI 1997 - 2003
Aetna/US Healthcare 1992 - 1997
Skills
Health Insurance, Employee Benefits, Managed Care, HMO, Medicare, Leadership, Medicare Part D, Health Savings Accounts, Insurance, Disability Insurance, Process Improvement, Account Management, Strategic Planning, Small Business, Public Speaking, Brokers, Sales, Management, Sales Operations, Training, Sales Presentations, Marketing Strategy, Analysis, Business Strategy, Program Management, Health Care Reform, Healthcare, Life Insurance, Medicaid, Health Policy, Underwriting, Long-term Care
Education
University of Rhode Island 1986 — 1989
Bachelor of Science (B.S.), Communicative Disorders
Smithfield School District November 2014 - Present
BCBSRI April 2012 - September 2014
BCBSRI April 1996 - September 2014
Skills
Insurance, Health Insurance, Managed Care, Claim, HMO, PPO, Business Analysis, HIPAA, Vendor Management, SDLC, Medicaid, Medicare, Process Improvement, Healthcare Information..., Healthcare Industry, Health Policy, Healthcare, Medicare Part D, Data Analysis, Disease Management
Education
Rhode Island College 1999 — 2003
BS, Marketing/Management
BCBSRI April 1991 - Present
Blue Cross & Blue Shield of Rhode Island April 1991 - Present
Skills
Business Analysis, SDLC, Process Improvement, Vendor Management, Visio, Requirements Analysis
Education
University of Rhode Island 1975 — 1979
BS, Political Science and Government
American Family Insurance October 2014 - December 2014
Harvard Pilgrim Healthcare March 2013 - October 2014
PNC Bank September 2012 - January 2013
BCBSRI May 2012 - August 2012
Service Link January 2011 - April 2012
OracleSSI October 2009 - May 2010
Symphony Services September 2007 - May 2009
IBM November 2006 - September 2007
Misys March 2005 - October 2006
SunGard SCT Software Solutions February 2001 - March 2005
Skills
Testing, SDLC, Agile Methodologies, QTP, SQL, Oracle, Test Automation, Requirements Analysis, Software Project..., Java, Business Intelligence, XML, Selenium, Test Cases, Oracle SQL Developer, HP QTP, Automation
Education
Bangalore University
BE, Mechanical Engineering
BCBSRI June 2010 - Present
Pyramis Global Advisors June 2006 - July 2010
Fidelity Management & Research Co January 2000 - January 2006
Fidelity Accounting & Custody Services Co January 1990 - January 2000
Skills
Data Analysis, Business Analysis, Project Management, Agile Methodologies, Strategy, Management, Operations Management, Vendor Management, Banking, Analysis, Business Process, Fixed Income, Strategic Planning, SDLC, Project Planning, Leadership, Program Management, Integration, Analytics, Process Improvement
Education
American International College 1978 — 1982
BS, Accounting
HealthEdge July 2012 - Present
PatientKeeper May 2011 - December 2011
Healthcare Automation June 2009 - March 2011
Fidelity Investments September 2005 - March 2009
BCBSRI 2004 - 2004
BlueCross BlueShield 2003 - 2004
Netbilling 2001 - 2002
Intergraph October 1990 - September 1993
Skills
Agile Methodologies, Java, Java Enterprise Edition, SQL, Subversion, Software Engineering, Distributed Systems, JavaScript, Oracle, Unix, AJAX, Software Design, Software Project..., PL/SQL, Web Applications, Hibernate, Ant, Spring, JDBC, Maven, Tomcat
Education
University of Florida
Master's degree, Computer Science
Gujarat University
Bachelor's degree, Computer Science
TriZetto Corporation July 2011 - Present
The TriZetto Group March 2010 - September 2011
Blue Cross Blue Shield of RI January 2010 - March 2010
BCBSRI February 2008 - 2009
Blue Cross & Blue Shield of Rhode Island 1984 - 2009
Education
University of Rhode Island 1972 — 1975
B. A., Psychology
University of Rhode Island
M.A., Higher Education Administration
University of Rhode Island
Blue Cross Blue Shield of Rhode Island February 2013 - Present
Blue Cross & Blue Shield of Rhode Island 1988 - Present
BCBSRI January 1988 - February 2013
Memorial Hospital of RI January 2004 - August 2005
Perot System 2003 - 2004
Skills
Analysis, Process Improvement, Business Analysis, Management, SDLC, Strategic Planning, Visio
Education
Massachusetts College of Pharmacy and Health Sciences
AS, Nuclear Medicine Technology
Providence College
BS, Business Administration
Salve Regina University
MS, Health Services Administration
Prospect Medical-RI July 2014 - Present
Blue Cross Blue Shield of Massachusetts May 2013 - July 2014
Blue Cross and Blue Shield Massachusetts May 2013 - July 2014
Aquidneck Medical Associates April 2012 - May 2013
BCBSRI December 2011 - April 2012
BCBSRI March 1995 - December 2011
BCBSRI March 1995 - January 2010
lawnwood medical center 1993 - 1995
miriam hospital 1986 - 1992
RI Hospital 1981 - 1983
Skills
Managed Care, Healthcare, Disease Management, Health, Strategic Planning, Medicare, Accreditation, Nursing, Health Insurance, Healthcare Management, Care Management, Quality Management, Utilization Management, Problem Solving, Medicaid, Patient Centered..., Electronic Health..., Data Analysis, HEDIS, EHR, Clinical Research, Medical Home, Hospitals, HIPAA, Public Health, Health Policy, Healthcare Industry, NCQA, Case Managment, Process Improvement, Employee Wellness, Healthcare Consulting, Quality Improvement, Program Management, HMO, Provider Relations, Utilization Review, Informatics, Healthcare Information..., Medicaid Managed Care, EMR, Medicare Part D, Health Education
Education
Salve Regina University 2004 — 2008
MS, Health Services Administration
Rhode Island College 1989 — 1993
BS, Nursing
St Joseph School of Nursing 1977 — 1980
RN Diploma, Nursing
Blue Cross & Blue Shield of RI BI ArchitectBlue Cross Blue Shield of Rhode Island2007 - Present
BCBSRI 2007 - Present
Education
Bryant University 1987 — 1992
MBA, Management
Bristol Elder Services September 2015 - Present
Rhode Island Community Food Bank December 2014 - September 2015
Foxwoods Resort and Casino February 2013 - May 2014
Preventure May 2010 - February 2013
Fallon Community Health Plan/Summit ElderCare 2009 - 2010
Health Integrated April 2008 - June 2009
Healthcare of Southeastern Massachusetts October 2006 - April 2008
Smiths Medical May 2005 - December 2007
Smiths Medical MD 2005 - 2007
BCBSRI 2004 - 2005
Skills
Health, Wellness, Health Promotion, Nutrition, Health Education, Disease Management, Nutrition Education, Public Health, Prevention, Employee Wellness, Nutritional Counseling, Medicare, Diabetes Management, Program Management, Corporations, Community Outreach, Healthcare, Diabetes
Education
Bridgewater State University 2000 — 2004
Master of Education, Health Promotion
Framingham State College
Bachelor of Science, Food and Nutrition
BCBSRI September 2011 - June 2012
bcbsri May 2003 - August 2011
Skills
Health Insurance, Managed Care, Medicare, Healthcare, Medicaid, Healthcare Management, Process Improvement, Health Policy, Strategic Planning, Insurance, Utilization Management, Change Management, Team Building, Healthcare Information..., NCQA, HIPAA, Disease Management, Healthcare Industry, Healthcare Consulting, Provider Relations, Clinical Research, Management, Strategy, Medicine, EHR, Leadership, HMO, Business Strategy, Hospitals, Program Management, EMR, Medicaid Managed Care, ICD-10, Provider Network..., Physicians, Medicare Part D, Quality Improvement, Patient Safety, Medical Coding, Nursing, Population Health, Network Development, Employee Benefits, Case Managment, Data Analysis, Policy, HEDIS, Revenue Cycle, Medical Billing, Physician Relations
Education
University of Rhode Island 1977 — 1981
Bachelor of Science (B.S.), Human Development, Family Studies, and Related Services
Community College of Rhode Island 1982 — 1984
Associate's degree, Registered Nursing/Registered Nurse
Blue Cross & Blue Shield of Rhode Island May 2015 - Present
Neighborhood Health Plan of Rhode Island May 2013 - Present
Blue Cross Blue Shield of RI May 2010 - April 2013
BCBSRI January 2007 - April 2010
BCBSRI January 2005 - January 2007
BCBSRI July 2002 - January 2005
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Contract Negotiation, Management, Policy, Negotiation, Employee Benefits, Health Insurance, Managed Care, Business Analysis, Healthcare, Insurance, Medicare, Process Improvement, Program Management
Education
Providence College 1998 — 2002
B.S, Health Policy and Management
BCBSRI October 2011 - Present
QualityMetric Incorporated May 2011 - October 2011
Blue Cross & Blue Shield of Rhode Island October 1984 - June 2009
Fisher Junior College; Westport Public Schools; BMC Durfee High School; Thayer Public Library September 1977 - June 1984
Skills
Software Documentation, Data Analysis
Education
University of Massachusetts Dartmouth 1975 — 1977
BA, major: Sociology; minors: Education and English
Bristol Community College 1973 — 1975
Associates, Liberal Arts
Lifespan September 2013 - Present
Lifespan 2013 - 2013
Blue Cross Blue Shield of Rhode Island June 2010 - November 2012
BCBSRI July 2001 - May 2010
Blue Cross Blue Shield of Rhode Island July 1989 - June 2001
Skills
Utilization Review, Certified Case Manager, Medicare, Health Insurance, Managed Care, Medicaid, HIPAA, Healthcare Management, Healthcare, Utilization Management, Healthcare Information..., Nursing, Medical Billing, Process Improvement, EHR, CCM, Health Education, Change Management, Customer Service, Provider Relations, Disease Management, Case Managment, HMO, Healthcare Industry, Health Policy, Insurance, Health Promotion
Education
Rhode Island College 1980 — 1984
BSN, Nursing
BCBSRI November 2013 - Present
self employed 2003 - Present
New England Medical Center/ The Boston Floating Hospital 1991 - 2002
Education
Autonomous University of Guadalajara Medical School 1980 — 1984
MD
Providence College 1975 — 1978
1978, Biology
Senior Whole Health March 2015 - Present
The Judge Group October 2012 - August 2014
AAA 2010 - 2011
MetLife January 2008 - April 2010
BCBSRI 1991 - 2007
Skills
Statistical Modeling, Statistics, Analytics, Predictive Analytics, Actuarial, Data Analysis, Insurance, Predictive Modeling, Pricing, Access, Mathematics, Analysis, SAS/SQL, Excel, Actuarial Science, Modeling, Risk, SQL, Word, General Insurance, Health Insurance, Property & Casualty..., Risk Management, Business Analysis, Financial Risk, Microsoft Word, SAS programming, Microsoft Excel, Underwriting
Education
University of Rhode Island 1987 — 1990
BS, Applied Mathematics
Case Western Reserve University 1984 — 1985
Mathematics
BCBSRI 1996 - 2011
Quincy Hospital 1986 - 1996
Skills
Develpop/deploy Quality..., Interpret compliance..., Audit medical records, Healthcare Information..., Public Health, Process Improvement, ACLS, Hospitals, Healthcare, BLS, HEDIS, Managed Care, Team Building, HIPAA, Disease Management, Software Documentation, Health Insurance, Healthcare Industry, Informatics, Analysis, Patient Safety, Medicare, Healthcare Management, Nursing, Utilization Management, Quality Improvement, Clinical Research, Microsoft Office, Medicaid, Inpatient, Customer Service, Provider Relations, NCQA, Health Policy, Medicare Part D, Physician Relations, Health Promotion, Home Care, Patient Advocacy, Ambulatory, Epic Systems, Meditech
Education
Salve Regina University
BSN, Nursing
BCBSRI August 1995 - Present
Blue Cross & Blue Shield of Rhode Island 1956 - 1995
Skills
Strategic Planning, Healthcare, Leadership, Customer Service, Microsoft Office, Microsoft Word, Microsoft Excel, Office Management, Access, Public Speaking, Project Management, Research, Process Improvement, Program Management, Management
Education
Johnson & Wales University
Accounting (no degree), Business Administration and Management, General
Redwood City High School, Redwood City, California
High School diploma, Non college prep
BCBSRI June 2006 - November 2014
Citizens Bank April 2002 - August 2005
Education
Community College of Rhode Island 2004 — 2017
Associate of Arts (AA), Psychology