Blue Cross and Blue Shield of RI
Industry: Insurance company
DescriptionCEO: Kim A. Keck Headquarters: Providence, RI CFO: Mark Stewart Founded: 1939 Subsidiaries: The Health & Wellness Institute, LLC, Executive vice president: Kevin Splaine, Mark Stewart
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Blue Cross and Blue Shield of RI Employees
Sterrett Copy Creative 1996 - Present
Blue Cross and Blue Shield of RI 1991 - 1996
Jalbert Design Group 1987 - 1991
Flanders and Skeffington 1984 - 1987
Skills
Advertising, Creative Direction, Social Media Content..., Web Content, Copywriting, Brand Development, Direct Mail, Email Marketing, Blogging, Writing, Marketing Communications, Magazines, Social Networking, Brochures, Marketing, Editorial, Social Media Marketing, Corporate Branding, Brand Management, Newsletters, Content Strategy, New Media, Online Marketing, Creative Strategy, Publications, Social Media, Advertorials, Promotions, Editing, Press Releases, B2B Marketing, Creative Writing, Publishing, Direct Marketing, Integrated Marketing, Copy Editing, Facebook, Corporate Communications, Strategic Communications, Creative Development
Education
New England College 1980 — 1984
BA, Advertising, Communications, Journalism
White Light Consulting LLC November 2012 - Present
Blue Cross and Blue Shield of RI July 2009 - September 2012
Blue Cross and Blue Shield of RI October 2006 - July 2009
Blue Cross and Blue Shield of RI March 2006 - October 2006
Blue Cross and Blue Shield of RI July 2005 - March 2006
Commonwealth of Massachusetts Executive Office of Health and Human Services February 2005 - July 2005
Mastercard Advisors (Formerly Watch Hill Partners, Inc.) July 2003 - February 2005
Various August 2001 - July 2003
Siebel Systems September 2000 - August 2001
Siebel Systems June 2000 - September 2000
Skills
Data Integration, Vendor Relationships, Health Insurance, Business Analysis, Insurance, SDLC, Vendor Management, Business Intelligence, Medicare, Process Improvement, Managed Care, HIPAA, Medicaid, Health Policy, Requirements Gathering, Program Management, Analytics, Enterprise Architecture, IT Strategy, Business Process..., PMO, Healthcare Industry, Management Consulting, Requirements Analysis, PMP, Project Management, Data Analysis, Software Project..., Visio, Data Warehousing, Change Management, Project Portfolio..., Strategic Planning, Integration, Business Requirements, Network Development, Provider Relations, Disease Management, Healthcare Information..., CRM, Software Documentation
Education
Harvard University 2007 — 2012
ALMM, Master of Liberal Arts, Management
Brown University 2003 — 2004
Certificate, Management
Northwestern University 1985 — 1989
BA, Political Science
Blue Cross and Blue Shield of RI May 2010 - Present
UnitedHealth Group October 2008 - May 2010
Kent Regency Center March 2008 - October 2008
Summerlin Hospital June 2007 - February 2008
Charlton Memorial Hospital July 2001 - June 2007
South County Hospital January 1995 - July 2001
Charlton Memorial Hospital January 1992 - January 1995
Skills
Nursing, Healthcare, Case Management, Hospitals, Utilization Management, Health, Acute Care, Inpatient, Wellness, Telemetry, Quality Improvement, Rehabilitation, Home Care, Disease Management, Patient Advocacy, Medicine, Medical-Surgical
Education
Community College of Rhode Island 1989 — 1992
Associates Degree, Science
Bristol Community College 1982 — 1984
General Studies
Women and Infants Hospital January 2005 - Present
Women and Infants Hospital January 2003 - March 2005
Blue Cross and Blue Shield of RI January 2001 - January 2003
Cross Country/TravCorp November 1999 - January 2001
Children's Hospital of Boston October 1997 - November 1999
Franciscian Childrens Hospital and Rehabilitation Center January 1997 - January 1999
Huggins Hospital January 1996 - January 1997
Skills
Hospitals, Surgery, Program Management, Physicians, CPR Certified, Medicine, Case Management, Nursing, Healthcare, Inpatient, Pediatrics, NRP, Acute Care, Patient Safety, Registered Nurses, Home Care, Patient Advocacy, Healthcare Management, BLS
Education
University of New Hampshire 1991 — 1995
BSN, Registered Nursing/Registered Nurse
NHPRI October 2013 - Present
NHPRI October 2012 - October 2013
Blue Cross and Blue Shield of RI October 2010 - October 2012
Blue Cross and Blue Shield of RI June 2008 - October 2010
Blue Cross and Blue Shield of RI August 2007 - June 2008
Blue Cross and Blue Shield of RI October 2006 - August 2007
Gateway Healthcare Inc May 2006 - October 2006
Skills
PC SAS, SAS Enterprise Guide, Microsoft Office - Word..., Microsoft Office -..., Microsoft Office -..., Microsoft Office -..., TriZetto Facets core..., HP Quality Center, WorkSite MP, SharePoint, SAS SQL, Quality Center, SAS, Microsoft Excel, Business Analysis, Visio, Requirements Analysis, Data Analysis, Microsoft Office, Healthcare, Data Warehousing, SQL, PowerPoint, Access, Microsoft Word, Insurance, Claim, Process Improvement, Analysis, SDLC, Software Documentation, Management, Healthcare Information..., HIPAA, Managed Care, MS Project, Databases, Healthcare Management, Health Insurance, Medicare, Medicaid, Program Management, Microsoft SQL Server, Business Requirements, Health Policy, Vendor Management, Crystal Reports, HMO, Requirements Gathering, Healthedge HealthRules...
Education
University of Rhode Island 2009 — 2012
MBA, Business Administration and Management, General
University of Rhode Island 2010 — 2011
Graduate Certificate, Human Resources
Rhode Island College 2001 — 2006
Bachelor of Science, Chemical Dependency/Addiction Studies
Rhode Island College 2001 — 2006
Bachelor of Arts, Psychology
Rhode Island Quality Institute September 2012 - Present
Rhode Island Free Clinic July 2012 - September 2012
Xerox Services May 2007 - August 2012
Blue Cross and Blue Shield of RI 2000 - 2006
NHPRI 1997 - 1999
South County Hospital 1994 - 1997
Brown University 1989 - 1993
Skills
Healthcare Information..., Program Management, Process Improvement, Project Management, Healthcare Management, HIPAA, Business Analysis, Analysis, Data Analysis, Managed Care, Informatics, Medicaid, Visio, Government, Analytics, Public Health, Access, Business Intelligence, SQL, Requirements Analysis, Software Documentation, Team Building, Program Evaluation
Education
University of Rhode Island 2008 — 2009
Certificate, Biotechnology
Rhode Island College 1985 — 1988
BS, Computer Information Systems
Brooks/Eckerd Pharmacy May 2005 - Present
Blue Cross and Blue Shield of RI March 2001 - May 2005
Education
Rhode Island College 1996 — 2001
Community College of Rhode Island 1996 — 1998
Blue Cross and Blue Shield of RI January 2009 - July 2009
CVS October 2007 - August 2008
Fidelity Investments February 2006 - August 2007
Ciber Inc. (Citizens Bank & CVS) July 2004 - February 2006
Skills
COBOL, DB2, VSAM, Documentation, Analysis, Testing, Excel, Visio, MVS, SAS, SQL, JCL
Education
Community College of Rhode Island 1981 — 1984
A.S., Progamming
Gorman Health Group February 2015 - Present
Martin's Point Health Care July 2011 - October 2014
Blue Cross and Blue Shield of RI April 1999 - July 2011
US Navy August 1996 - April 1999
Skills
Analysis, Health Insurance, Data Analysis, Insurance, Healthcare IT, Medicare Part D, Health Plans, Health Policy, Healthcare Information..., Team Leadership, Process Improvement, HIPAA, Leadership, Management, Healthcare Industry, Business Analysis, Team Building, Claim, Provider Relations, Medicare, Medicaid, Healthcare, Managed Care, Employee Benefits, Utilization Management, Disease Management, Healthcare Management, Informatics, Healthcare Consulting, Quality Improvement, EHR, Network Development, Pharmacy Benefit..., Medical Billing, Credentialing, Health Care Reform, Medical Coding, Physicians, Revenue Cycle, Healthcare Analytics, Hospitals, Program Management, Strategic Planning, Software Documentation, Consulting, Training, Vendor Management, Business Process...
Education
Edinboro University of Pennsylvania 1992 — 1996
BS/AS, Economics / Biomedical Equipment Repair
Edinboro University of Pennsylvania
Roger Williams Radiation Therapy - Urologic Specialists of NE October 2002 - Present
Blue Cross and Blue Shield of RI June 1995 - October 2002
South County Eye Physicians & Surgeons July 1985 - June 1995
Skills
Management, Budgets, Physicians, Microsoft Excel, Accounts Receivable, Training, Medical Billing, Healthcare, Accounting, Customer Service, CPT, Invoicing, ICD-9, Microsoft Word, Microsoft Office, Account Management, Outlook, Data Entry, Medical Coding
Education
University of Rhode Island - College of Business Administration 1986 — 1991
Bachelor of Science (BS), Accounting
North Kingstown High School 1982 — 1986
Blue Cross and Blue Shield of RI July 2008 - December 2013
Skills
Insurance, Health Insurance, Actuarial Science, Pricing, Managed Care, Medicare, Health Policy, Analytics, Analysis, Management, Claim, Healthcare Industry, Employee Benefits
Education
Tufts University
B.A, Economics
UnitedHealthcare March 2014 - Present
UnitedHealthcare October 2012 - March 2014
UnitedHealthcare December 2011 - November 2012
United Health Care April 2010 - January 2012
Blue Cross and Blue Shield of RI November 1999 - February 2010
Skills
Provider Relations, Health Insurance, Managed Care, Provider Network..., Medicare, Utilization Management, Medicare Part D, HMO, Medicaid, Claim, Health Policy, Healthcare, Disease Management, Healthcare Industry, Revenue Cycle, Network Development, Healthcare Information..., Insurance, Employee Wellness, HIPAA, Healthcare Management, Healthcare Consulting
Education
University of Rhode Island
BA, Communications/Marketing
Gorman Health Group October 2014 - Present
Gorman Health Group July 2011 - October 2014
Blue Cross and Blue Shield of RI June 2010 - June 2011
Governors Hill Condominium Association 2007 - June 2011
Blue Cross and Blue Shield of RI 2005 - June 2010
Blue Cross and Blue Shield of RI 2000 - 2005
Blue Cross and Blue Shield of RI 1997 - 2000
Blue Cross and Blue Shield of Rhode Island January 1988 - January 1997
Geoffrey Distributing Company January 1984 - January 1988
Cranston City Hall April 1985 - January 1986
Skills
Medicare, Health Insurance, Managed Care, Insurance, Health Policy, Healthcare, Process Improvement, HIPAA, Medicaid, Strategic Planning, Healthcare Information..., Healthcare Management, Medicare Part D, Team Building, Business Analysis, Healthcare Consulting, Software Documentation, Business Process..., Training, Leadership, Employee Training, Call Centers, Policy, Management, Cross-functional Team..., Visio, Hospitals, Revenue Cycle, Vendor Management, Business Process, Healthcare Industry
Education
Johnson & Wales University
Tunstall Americas November 2013 - August 2015
Adecco / MetLife January 2013 - September 2013
Insight Global / CVS Caremark October 2010 - November 2010
Blue Cross and Blue Shield of RI August 2009 - February 2010
Newport County YMCA August 2006 - January 2008
General Nutrition Center August 2005 - March 2006
Enterprise Rent a Car of RI January 2001 - July 2005
Enterprise Rent-A-Car 2001 - 2005
General Nutrition Center November 1998 - March 2000
Looking Upwards June 1995 - February 1999
Skills
Management, Sales, Data Entry, Employee Benefits, Customer Service, Call Centers, Human Resources, Sales Management, Health Insurance, Retail, Account Management, Employee Relations, Recruiting, Team Leadership, Team Building, Training, Employee Training, Customer Satisfaction, Insurance, Strategic Planning
Education
Gordon College
Bachelor of Arts, Psychology
AmeriCorps VISTA August 2015 - Present
Rhode Island Council for the Humanities June 2015 - Present
UC Santa Cruz January 2015 - March 2015
Blue Cross and Blue Shield of RI February 2014 - October 2014
with Heather Lee 2013 - 2014
Skills
Research, Social Media, Community Outreach, Non-profits, Public Speaking, Photoshop, InDesign, Video Editing, Oral History, Higher Education
Education
Brown University 2008 — 2012
Bachelor of Arts (B.A.), Ethnic Studies
Citizens Bank August 2014 - Present
Citizens Bank October 2007 - August 2014
Brooks Eckerd Pharmacy May 2005 - September 2007
Blue Cross and Blue Shield of RI March 2001 - May 2005
Skills
MS Project, SQL, Business Analysis, Visio, Project Management, Software Documentation, Oracle, Windows, Databases, Analysis, Data Warehousing, Business Requirements, Team Building, Management, Troubleshooting, Visual Basic, Access, Financial Risk, Microsoft Office
Education
Rhode Island College 1997 — 2001
MIS, Computer Information Systems
Blue Cross and Blue Shield of RI 2008 - Present
Blue Cross & Blue Shield of Rhode Island January 2007 - January 2009
Skills
Microsoft Excel, Microsoft Office, Microsoft Word, Access, Data Analysis, Visio, Outlook, Analysis, PowerPoint, Software Documentation, Healthcare, Insurance, Research, Process Improvement, Business Analysis
Education
University of Rhode Island 1998 — 2002
Bachelor of Science (BS), Anthropology
Visiting Nurse Home Care February 2013 - Present
Blue Cross and Blue Shield of RI January 2005 - November 2011
Blue Cross and Blue Shield of RI January 2002 - January 2005
Blue Cross and Blue Shield of RI January 1997 - January 2002
Aetna Health Plans January 1995 - January 1997
MetLife Insurance January 1995 - January 1996
Aetna Health Plans January 1987 - January 1995
Skills
Lotus Notes, Management, Health Insurance, Customer Service, Leadership, Microsoft Excel, Program Management, Team Building, Recruiting, Project Planning, Process Improvement, Marketing, Insurance, Healthcare, HIPAA, Employee Benefits, Coaching, Budgets, Analysis
Education
Katherine Gibbs School
Paralegal Certificate
Rhode Island College
Coursework towards a Major in Education and a Minor in Math