BMC HealthNet Plan
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BMC HealthNet Plan Employees
Healthsense 2015 - 2015
Partners HealthCare 2014 - 2014
Network Health 2013 - 2014
BMC HealthNet Plan 2013 - 2013
Blue Cross & Blue Shield 2005 - 2012
Picis 2004 - 2005
Eclipsys Corporation 2002 - 2003
Corex Technologies 2001 - 2001
Cambridge Technology Partners 1997 - 2000
Skills
SDLC, Business Analysis, Requirements Analysis, Agile Methodologies, SQL, Process Improvement, User Acceptance Testing, Databases, Business Requirements, Program Management, Data Analysis, Insurance, Testing, Quality Assurance, Software Quality..., Test Automation, Test Planning, HP Quality Center, Regression Testing, Requirements Gathering, Integration
Education
Harvard University
Master's degree, Information Management Systems
Boston University
BSBA, Management Information Systems (MIS)
Neighborhood Health Plan June 2008 - Present
BMC HealthNet Plan June 2005 - June 2007
East Boston Neighborhood Health Center March 2004 - April 2005
Skills
Computer Proficiency, Microsoft Office, Microsoft Excel, Microsoft Word, Community Outreach, Customer Service, Problem Solving, Investigation, Sales, Organizational..., Project Coordination, PowerPoint, Troubleshooting, Training, Communication, Meeting Planning, Goal Oriented, Service Providers, Client Liason, Bilingual, Service Improvement, Provider Relations, Medicaid, HIPAA, Healthcare, Healthcare Management, Claims Resolution, Health Insurance, HMO, Medicaid Managed Care, Healthcare Information..., Network Development, Healthcare Industry, Insurance, Healthcare Reimbursement, Managed Care, Medicare, Process Improvement, Team Building, Leadership
Education
Bunker Hill Community College 1998 — 2000
Brockton High School 1996 — 1998
Diploma, Accounting
BMC HealthNet Plan April 2011 - Present
Marino Center for Integrative Health April 2010 - April 2011
Neighborhood Health Plan March 2008 - July 2009
Massachusetts General Hospital 2006 - 2008
Tufts Health Plan 2000 - 2006
Tufts Health Plan 1998 - 2000
Skills
Healthcare, Project Management, Strategic Planning, Management, Managed Care, Health Insurance, Project Planning, Leadership
Education
Bentley University 2013 — 2013
Taking Charge Womem's Executive Leadership Program
Cortiva Institute-Boston 2010 — 2011
Licensed Massage Therapist
Suffolk University - Sawyer Business School 1995 — 1999
MBA, Business/ Health Administration
Stonehill College 1990 — 1994
BA, Healthcare Administration
VillageCare June 2013 - Present
Tufts Medical Center February 2012 - June 2013
BMC HealthNet Plan December 2010 - January 2012
Boston Children's Hospital January 2008 - October 2010
Skills
Healthcare, Nonprofits, Hospitals, Healthcare Management, PowerPoint, Community Outreach, Technical Support, Fundraising, Program Development, Research, Access, Outlook, Event Planning
Education
University of Massachusetts Dartmouth 2009 — 2010
BA, Marketing
Cambridge College 2007 — 2010
BMC HealthNet Plan June 2013 - Present
Federal Home Loan Bank of Boston June 2012 - May 2013
RBS Citizens NA May 2008 - December 2011
Computershare 2001 - 2006
Skills
Business Continuity, Risk Management, Disaster Recovery, Business Continuity..., SharePoint, IT Audit, Banking, Financial Risk, Operational Risk..., Financial Analysis, Internal Audit, Microsoft Office, Visio, LDRPS, Accounting, Compliance, Lotus Notes, IT Asset Management, IT Risk Management, Tax Forms, Information Security, Root Cause Analysis, Business Resilience, Data Center...
Education
University of Phoenix 2004 — 2005
Bachelor of Science (BS), Business Administration, Management and Operations
Johnson and Wales University 1999 — 2001
Associate of Arts (AA), Accounting
Commonwealth Care Alliance May 2015 - Present
BMC HealthNet Plan June 2014 - February 2015
Network Health November 2012 - June 2014
North Shore Community College January 2010 - June 2013
Network Health October 2008 - November 2012
Greater Lawrence Family Health Center January 2005 - June 2007
Lawrence General Hospital 1999 - 2005
Skills
Healthcare Management, Hospitals, Nursing, Managed Care, HIPAA, Medicaid, EMR, Medicare, Case Management, Medical Terminology, Inpatient, BLS
Education
Capella University 2010 — 2015
Master of Science in Nursing, Nursing Education
University of Massachusetts Boston 2006 — 2008
Bachelors degree, Nursing Science
Middlesex Community College 1987 — 1989
Associate degree in nursing, Nursing
Granite Dolphin Actuarial Services September 2015 - Present
BMC HealthNet Plan April 2013 - September 2015
Blue Cross Blue Shield of Massachusetts January 2006 - February 2013
Skills
Health Insurance, Employee Benefits, Pricing, Financial Reporting, Analysis, Healthcare, Forecasting, Actuarial, SAS, Insurance, Actuarial Science, Data Analysis, Financial Analysis, Management, Strategic Financial..., Access, Risk Management, Underwriting, Claim, Reinsurance
Education
Boston University 1999 — 2004
Ph.D., Mathematics, 4.0
Università di Bologna
Laurea, Mathematics
Boston Medical Center January 2014 - December 2014
Bath & Body Works September 2009 - December 2014
Boston Medical Center January 2013 - January 2014
BMC HealthNet Plan September 2008 - March 2011
Tuft's New England Medical Center March 2007 - September 2008
Tufts Health Plan December 2005 - October 2006
Tufts Health Plan August 2003 - December 2005
Tufts Health Plan May 2001 - August 2003
Tufts Health Plan February 2001 - May 2001
Tufts Health Plan September 1999 - February 2001
Skills
Healthcare Information..., Healthcare Management, HIPAA, Healthcare, Data Analysis, Managed Care, Access, Microsoft Office, Microsoft Excel, Business Analysis, Medicare, Customer Service, Hospitals, Medisoft, Appeals, Denials, UB04, hcfa, SQL, Macess, cpt, HCPCS, ICD-9-CM, ICD-9, CPT, Medical Coding, Microsoft Word, Medicaid, Data Entry, Health Insurance, Medical Terminology, Medical Billing, Claim, Insurance, Outlook
Education
Bunker Hill Community College 2014 — 2017
Associate's degree, Business
Kaplan Career Institute-Boston 2011 — 2012
Medical Billing & Coding, Certificate
Snowden Int'l at Copley 1991 — 1995
High School, Diploma
Woodmark Pharmacy of Massachusetts June 2013 - Present
BMC HealthNet Plan October 2012 - July 2013
Post Acute Partners December 2012 - June 2013
West River Pharm June 2010 - May 2012
Mount Auburn Hospital November 2009 - August 2011
Northeast Health February 2009 - November 2009
Harvard Vanguard Medical Associates / Atrius Health Care November 1992 - December 2008
Skills
Active Listening, Staff Development, Communication, Patient Counseling, Direct Patient Care, Management of Personel..., Customer Service, Social Perceptiveness, Systems Evaluation, Complex Problem Solving, Geriatrics, Pharmacy, Managed Care, Pharmacists, Medicare Part D, Clinical Pharmacy, Medication Therapy..., Healthcare Management, Compounding, Immunization, Hospital Pharmacy, Pyxis, Pharmacy Education, Patient Education, Clinical Pharmacology, Inpatient, Patient Safety
Education
Massachusetts College of Pharmacy and Health Sciences 1975 — 1980
BS, Pharmacy
The Boston Consulting Group January 2015 - Present
The Boston Consulting Group October 2012 - December 2014
CBRE October 2011 - September 2012
BMC HealthNet Plan June 2011 - September 2011
Hill Holliday January 2011 - April 2011
Sun Life Financial July 2010 - August 2010
Sun Life Financial June 2009 - August 2009
Sun Life Financial June 2008 - August 2008
Weber Shandwick July 2007 - August 2007
Education
Bentley University 2007 — 2011
Bachelor of Science, Marketing
Universitat Pompeu Fabra 2010 — 2010
Coursework in EU Finance, International Marketing, and Spanish
Boston Latin Academy
Bottom Line
Orbotech January 2014 - Present
Freelance Web Designer (Self-employed) March 2012 - March 2015
New York City Human Resources Administration/Social Services Department September 2011 - September 2013
BMC HealthNet Plan 2010 - October 2010
Jouret & Samito LLP January 2009 - August 2010
Sheff Law Offices September 2009 - December 2009
Rhode Island Superior Court June 2009 - August 2009
Proskauer Rose LLP July 2007 - June 2008
ABC News June 2006 - August 2006
Jennifer Lawless for Congress 2005 - 2006
Skills
Web Design, Health Law, CSS3, HTML 5, Github, Twitter Bootstrap, Wireframes, Balsamiq, CSS, Logo Design, HTML, User Experience, Legal Research, Legal Writing, Westlaw, Litigation, Research, Civil Litigation, Courts, Corporate Law, Mediation
Education
Boston University School of Law 2008 — 2011
JD
Brown University 2003 — 2007
BA, Political Science
Massachusetts Department of Transportation September 2014 - Present
LeapFrog Systems December 2013 - September 2014
BMC HealthNet Plan January 2013 - November 2013
Healthways July 2011 - August 2012
UMass Medical School March 2010 - July 2011
Service Employees International Union, Local 888 August 2009 - March 2010
Biogen Idec June 2007 - October 2008
Staples January 2007 - October 2008
Monster Worldwide June 2006 - June 2007
OnProcess Technology April 2004 - April 2006
Skills
CRM, Project Planning, Customer Service, Cross-functional Team..., Call Center, PMP, SDLC, Vendor Management, Project Management, Management, Integration, Sales Operations, Testing, Enterprise Software, Program Management, Call Centers, Leadership, Strategy, Process Improvement, Business Analysis, Recruiting, Databases, E-commerce, Software Development, Budgets, Business Intelligence, Telecommunications, Networking, PMO, Software Documentation, SharePoint
Education
PMI 2007 — 2007
PMP Certification
Berklee College of Music 1982 — 1986
Results Communications and Research December 2013 - Present
BMC HealthNet Plan August 2009 - November 2013
BMC HealthNet Plan April 2008 - August 2009
Expansion Consulting March 2008 - August 2009
Results Communications and Research February 2008 - August 2009
Network Health 2005 - 2008
Best Doctors 2004 - 2005
Bay State Federal Savings Bank 1999 - 2003
Blue Cross Blue Shield of Massachusetts 1991 - 1998
Blue Cross Blue Shield of Massachusetts 1991 - 1998
Skills
Social Media, Marketing Communications, Internal Communications, Advertising, Budgeting, Sales Support, Secondary Research, Primary Research, Press Release..., Newsletters, Trade Shows, Event Planning, Public Relations, Marketing Strategy, Market Research, Strategic Planning, Online Marketing, Social Media Marketing, Healthcare, Brand Development, Non-profits, Writing, Media Relations, Lead Generation, Event Management, Editing, Integrated Marketing, PowerPoint, Research, Corporate Communications, Copywriting, B2B, Direct Marketing, Digital Marketing, Email Marketing, SEO, Social Networking, Outlook, Product Marketing, Community Relations, Promotions, Team Building, Marketing Management, Content Development, Strategic Communications, Team Leadership, Microsoft Office, Fundraising, Nonprofits
Education
Boston University Graduate School of Management 1985 — 1989
MBA, marketing, finance
Katherine Gibbs School 1982 — 1983
Business Management/Administrative Skills, Business Administration
University of Connecticut 1978 — 1982
BA, French
Katherine Gibbs School
St.Paul Catholic High School
BMC HealthNet Plan December 2013 - Present
Cengage Learning January 2013 - October 2013
Pork and Mead Magazine December 2011 - December 2012
Knowledge Universe October 2011 - December 2012
GuardUp! July 2012 - August 2012
Ivy Schools International Academy August 2010 - April 2012
Etonkids International Education Group August 2008 - July 2010
Blue Ocean Network April 2010 - June 2010
Mort Crim Communications January 2007 - June 2007
CompUSA March 2002 - March 2005
Skills
Public Speaking, Journalism, Critical Thinking, Microsoft Office, Word, Writing, Technical Writing, Creative Writing, Feature Writing, Speech Writing, Report Writing, Interviewing, Acting, Hosting, Excel, Premiere, Photoshop, Photography, Television, Teaching English, Teaching/mentoring, Teaching Skills, Computer Hardware, Short Sales, Sales Support, Customer Satisfaction, Customer Experience, Customer Retention, Multitasker, Diligent, Trusted, Professional..., Lotus Notes, SEO, Wordpress, Multi Tasking, Teaching, Microsoft Excel, Feature Articles, Interviews, Teaching English as a..., Copy Editing, Microsoft Word, Blogging, Research, Press Releases
Education
Oakland University 2004 — 2008
BA, Journalism, 3.5
China Foreign Affairs University 2006 — 2006
Certificate of Completion, Chinese Studies, 4.0
Harvard Pilgrim Health Care April 2013 - Present
BMC HealthNet Plan March 2012 - April 2013
Harvard Pilgrim Health Care February 2009 - March 2012
Skills
Health Care Regulation,..., Employee Benefits, Health Insurance, Medicare, HIPAA, Medicaid, Customer Service, Healthcare Industry, Healthcare, Process Improvement
Education
Bridgewater State College
BMC HealthNet Plan July 2014 - Present
BMC HealthNet Plan January 2012 - July 2014
BMC HealthNet Plan July 2007 - January 2012
BMC HealthNet Plan September 2005 - July 2007
Skills
Fluent in English,..., Capable of working with..., Experience as a teacher..., PowerPoint, Analysis, Research, Program Management, Leadership, Visio, Software Documentation, Medicaid, Microsoft Office, Management, Contract Management, HIPAA, Healthcare, Data Analysis
Education
Boston University 2012 — 2016
Bachelor of Science (BS), Management Studies
University of Massachusetts, Amherst 2001 — 2005
Mathematics and Education
Bridgewater State University
Applied Mathematics
Fallon Health August 2015 - Present
Fallon Community Health Plan May 2013 - August 2015
BMC HealthNet Plan October 2009 - May 2013
BMC HealthNet Plan May 2008 - August 2009
Dartmouth Medical Equipment January 2002 - May 2008
Skills
Medicare, Managed Care, Healthcare, Health Policy, HIPAA, Utilization Management, Provider Relations, Durable Medical..., Credentialing, CPT, Network Development, Medical Coding, HMO, Epic Systems, Health Insurance, Microsoft Office 2007, Healthcare Management, CCMS, Facets, HEDIS, NCQA, ICD-9, Software Documentation, Microsoft Publisher, WebEx, Healthcare Industry, Claims Resolution, Medicaid, microsoft office 2010, CAU, Senior Care Options, Dual eligibles, Care Management, Aging Services Access..., Case Net, TruCare, Adult Day Health, Adult Foster Care, Case Management, Medical Billing, Insurance, Disease Management, HCPCS, Physician Relations, Medicare/Medicaid..., Health Information..., Health Care Reform, JCAHO, CPR Certified
Education
Bristol Community College
UMass Dartmouth
Tufts Health Plan April 2011 - Present
Beacon Health Strategies May 2010 - August 2010
BMC HealthNet Plan October 2007 - August 2009
BMC HealthNet Plan July 2006 - September 2007
Ohio Department of Job & Family Services - Office of Medicaid August 2005 - May 2006
Skills
Healthcare Management, Medicare, Managed Care, Medicaid, Hospitals, Data Analysis, Health Insurance, Healthcare Industry, Public Health, Leadership, Strategy, Analytics
Education
Boston University Graduate School of Management 2009 — 2011
MBA/MPH, Health Care Management
Boston University School of Public Health 2008 — 2011
MPH, Health Care Policy and Mangement
The College of Wooster 2000 — 2004
B.A., Communication Studies
MFS Investment Management December 2014 - Present
BMC HealthNet Plan March 2014 - May 2014
City of Boston July 2013 - March 2014
Pinkberry Ventures, Inc July 2011 - February 2013
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets, Editing, Java
Education
Massachusetts College of Liberal Arts 2006 — 2010
Bachelor of Arts (BA), Public Relations, Advertising, and Applied Communication
State of Connecticut June 2012 - Present
Adelbrook May 2008 - Present
United States Air Force March 2003 - Present
Citi September 2006 - March 2008
Brightside for Families and Children March 2004 - October 2006
Subaru of America November 2003 - May 2004
BMC HealthNet Plan January 1999 - May 2003
AmeriCredit Financial Services January 2001 - February 2003
Farmstead Telephone Group August 1996 - January 1999
Skills
Software Documentation, Customer Service, Leadership, Training, Outlook, Customer Satisfaction, Process Improvement, Team Building, Microsoft Excel, PowerPoint, Microsoft Office, Insurance
Education
Community College of the Air Force 2007 — 2007
Certificate, Foods, Nutrition, and Wellness Studies, General
Community College of the Air Force 2003 — 2003
Certificate, Health/Health Care Administration/Management
Charter Oak State College
Associate of Science (AS), General Studies
Charter Oak State College
Bachelor's degree, American/United States Studies/Civilization
Southern Illinois University, Carbondale
Bachelor's degree, Workforce Development and Training
BMC HealthNet Plan October 2012 - Present
Harvard Vanguard Medical Associates June 2012 - Present
Blue Cross Blue Shield of Massachusetts August 1992 - September 2012
Skills
Utilization Management, Medical Policy..., Emergency Medicine, Case Management, Disease Management, Healthcare Information..., Healthcare, Hospitals, Medicine, Urgent Care, Quality Improvement, Leadership, Healthcare Management, Policy, Public Health, Managed Care, Clinical Research
Education
Boston University School of Medicine 1977 — 1981
Medical Degree, Medicine
Brandeis University 1972 — 1976
Bachelor of Arts (BA), Biology
Collette January 2011 - Present
BMC HealthNet Plan October 2006 - January 2011
Volunteer Center of Rhode Island February 1999 - October 2006
Points of Light Foundation 2002 - 2005
University of Rhode Island 1998 - 1999
United Way of Rhode Island March 1992 - December 1998
March of Dimes September 1990 - March 1992
Skills
Community Relations, Relationship Development, Adult Education, Program Development, Public Speaking, Community Outreach, Inter-personal, Fundraising, Public Relations, Volunteer Management, Program Management, Non-profits, Community Development, Nonprofits, Event Management, Event Planning, Leadership, Training, Organizational..., Strategic Planning, Team Building, Management, Budgets, Marketing, Grant Writing, Staff Development, Marketing Communications, Social Networking, Social Media, Editing, Leadership Development, Strategy, Media Relations, Newsletters, Proposal Writing
Education
Roger Williams University 2010 — 2015
MS
Harvard Business School 2014 — 2014
Certficiate
LeadershipRI 2006 — 2006
Certificate
Harvard Business School 2005 — 2006
Certificate
RI Foundation Fellowship 2005 — 2005
Certificate
University of Rhode Island 1998 — 2002
MA
Boston College - Wallace E. Carroll Graduate School of Management 1996 — 1996
Certificate
University of Rhode Island 1986 — 1990
BA
Naperville North High School 1982 — 1986
High School Degree
Alegeus Technologies March 2014 - Present
Sr. .Net Developer March 2013 - March 2014
BMC HealthNet Plan June 2009 - February 2013
Liberty International Underwriters November 2005 - May 2009
Prudential Financial October 2005 - October 2006
SPIE March 2005 - September 2005
IBM May 2004 - February 2005
Tejari January 2003 - January 2004
ConceptTech Group January 2001 - January 2003
Tower Technologies January 1999 - January 2001
Skills
MS BizTalk 2004/2006 R2, ASP.Net, C#, EDI, Facets 451 /HIPAA..., ASP.NET MVC, ASP.NET AJAX, Client Relations..., Enterprise Resource..., Service-Oriented..., ASP.NET, HIPAA, Microsoft SQL Server, T-SQL, Web Services, Databases
Education
Harvard University 2007 — 2010
Master of Liberal Arts
Mohammad Ali Jinah University 1998 — 2000
Master of Science
BMC HealthNet Plan May 2014 - Present
BMC HealthNet Plan April 2012 - May 2014
Blue Cross Blue Shield of Massachusetts March 2011 - March 2012
BMC HealthNet Plan 2009 - 2010
BMC HealthNet Plan December 2008 - July 2009
Beacon Health Strategies July 2006 - April 2007
ValueOptions January 2002 - July 2006
Skills
Social Services, Medicaid, Case Managment, Behavioral Health, Healthcare Management, Strategic Planning, Team Building, Managed Care, Program Development, Healthcare Information..., Health Insurance, Case Management, HIPAA, Healthcare, Medicare
Education
Boston College 1994 — 1996
Masters of Social Work, Clinical
University of Vermont 1989 — 1993
Bachelor of Arts, Sociology
Blue Cross Blue Shield of Rhode Island March 2011 - Present
BMC HealthNet Plan 2008 - November 2010
Education
Clark University 2006 — 2006
Biopolymers Facility, Department of Genetics, Harvard Medical School October 2011 - Present
Sweet Auburn soaps 2007 - Present
BMC HealthNet Plan 2008 - 2009
BMC HealthNet Plan 2006 - 2008
BMC HealthNet Plan 2003 - 2006
John Hancock Life Insurance Company (U.S.A.) 1999 - 2002
Skills
Budget, Community Outreach, Management, Access, Training, Social Media, Event Planning, Research, Public Speaking, Project Management, Team Building, Fundraising, Healthcare, Program Development, Marketing, Customer Service, Microsoft Excel, Marketing Strategy, Nonprofits, Budgets, Event Management
Education
Emerson College 1997 — 2000
MA, Integrated Marketing Comunication
University of Southern Maine 1988 — 1992
BA, Communication w/Media Arts Specialization
U-Conn/CMHC March 2012 - Present
Aetna Better Health January 2011 - February 2012
Hampden County Sheriff's Department February 2007 - October 2010
BMC HealthNet Plan March 2002 - February 2007
United Healthcare June 1999 - March 2002
Skills
Provider Relations, Behavioral Health, Data Analysis, Managed Care, Utilization Management, Medicaid, Health, Care Management, Network Development, Case Management, Healthcare, Mental Health, Administration, Provider Contracting, Health Insurance, Supervisory Skills, Healthcare Management, Clinical, Program Development, Team Building, Customer Relations, Hospitals, Coaching, Insurance, Strategic Planning, Budgeting, Medical Management, Nursing, Negotiation, Contract Negotiation, Mentoring, Treatment, Leadership, Health Policy, HIPAA, Clinical Research, Medicare
Education
Western New England University 2001 — 2007
MBA, Healthcare
American International College 1994 — 1997
BS/BSN, Nursing/ Psych.
East Longmeadow High
Boston University September 2012 - Present
BMC HealthNet Plan May 2013 - August 2013
Beth Israel Deaconess Medical Center July 2010 - August 2010
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Laboratory, Data Analysis, Teaching, Microsoft Office, Spanish, Public Speaking, Higher Education, Data Entry, Analysis
Education
Boston University 2011 — 2015
The Taco Truck January 2015 - Present
Bentley University September 2014 - Present
BMC HealthNet Plan June 2013 - September 2013
Boston Common Frog Pond June 2010 - August 2010
Skills
Marketing, Leadership Development, Customer Service, Blogging, Social Media Marketing, Media, iMovie, Digital Marketing, Marketing Strategy, Social Media, Event Planning, Facebook, PowerPoint, Community Outreach, Recruiting, Teamwork
Education
Bentley University 2011 — 2015
Bentley University 2011 — 2015
Media & Culture Concentration: Marketing
Hill Holliday January 2014 - April 2014
Brigham and Women's Hospital- Channing Lab November 2007 - December 2013
BMC HealthNet Plan June 2013 - August 2013
Talented and Gifted Program June 2012 - August 2012
CVS Caremark Corporation October 2011 - May 2012
Skills
Spanish, Word
Education
Boston University 2010 — 2014
Marketing and Organizational Behavior
Boston Latin Academy
QualChoice September 2015 - Present
Amerigroup March 2014 - June 2015
CDPHP July 2013 - February 2014
The TriZetto Group October 2011 - July 2013
Care First BC/BS July 2011 - September 2011
BMC HealthNet Plan August 2008 - February 2011
BMCHP August 2008 - February 2011
DST Health Solutions May 2007 - April 2008
DST May 2007 - April 2008
ConnectiCare January 2001 - January 2006
Skills
Software Documentation, Testing, Healthcare Information..., Training, Business Process, Leadership, Disaster Recovery, Business Requirements, Healthcare, Medicaid, Insurance, Analysis, Databases, Management, Access, Health Insurance, SDLC, Visio, Business Analysis, Medicare, Process Improvement, HIPAA, Vendor Management, Consulting, Documentation, Requirements Analysis
Education
CCSU
Computer Science, MIS
Central Connecticut State University
MIS, M.I.S
TUNXIS COMMUNITY COLLEGE
A.S, Business Administration/Data Processing
Campus Entertainment, LLC September 2012 - Present
Sneakers for Success September 2011 - Present
Vers Clothing January 2010 - Present
Service Desk August 2012 - May 2013
Hill Holliday June 2012 - August 2012
BMC HealthNet Plan June 2011 - August 2011
University of Massachusetts Amherst Dining Commons January 2011 - May 2011
Niketown Boston October 2007 - April 2009
Skills
Social Media Marketing, Selling, Marketing Communications, Entrepreneurship, Social Entrepreneurship, Social Networking
Education
Isenberg School of Management, UMass Amherst 2009 — 2013
Isenberg School of Management
Bachelor of Business Administration, Marketing
University of Massachusetts, Amherst
Phillips Academy August 2012 - Present
BMC HealthNet Plan September 2011 - August 2012
BMC HealthNet Plan 2007 - 2011
BMC HealthNet Plan 2002 - 2007
Boston Communications Group 2000 - 2002
FleetBoston and Legacy 1992 - 2000
Skills
Compliance, Employee Engagement, Benefits, Business Process, Employee Relations, Strategy, Employee Benefits, Leadership Development, Organizational..., Process Improvement, Benefits Administration, Performance Management, Training, Human Resources, Deferred Compensation, Management, Onboarding, Talent Management, Leadership, HRIS
Education
Lesley University
Masters of Science, Training and Development
Merrimack College
Bachelors of Arts, Sociology
BMC HealthNet Plan December 2013 - Present
Boston Medical Center December 2013 - Present
Boston University School of Medicine December 2013 - Present
Boston University November 2009 - Present
UMass Medical School August 2004 - Present
South End Community Health Center August 2009 - November 2013
Family Health Center of Worcester 2004 - 2009
University of Connecticut Health Center 1999 - 2004
Skills
Public Health, Healthcare, Healthcare Management, Medical Education, Treatment, Prevention, Board Certified, Patient Education, Family Medicine, Evidence-based Medicine, Patient Safety, Quality Improvement, EMR, Informatics, Disease Management, Epidemiology, Health Policy, Medical Research, Pediatrics, Physicians, Program Development
Education
Harvard School of Public Health 2011 — 2013
SM, HCM
The University of Connecticut Health Center 2001 — 2004
Family Medicine, Family Medicine Residency Program
The University of Connecticut Health Center 1999 — 2001
None, General Surgery Residency Program
Universidad Central de Venezuela 1989 — 1996
Doctor of Medicine (M.D.)
San Ignacio 1978 — 1988
Bachelor of Science (BS)
CRICO September 2014 - Present
Boston Financial Data Services March 2014 - July 2014
BMC HealthNet Plan January 2013 - November 2013
BMC HealthNet Plan March 2009 - January 2013
Fidelity Investments September 2007 - December 2008
First Marblehead February 2005 - October 2007
Acadian Asset Management October 2006 - September 2007
American Student Assistance November 1998 - July 2004
American Student Assistance 1998 - 2004
Skills
Test Automation, Databases, Visio, User Acceptance Testing, Microsoft SQL Server, Defect Tracking, Process Improvement, Software Documentation, SharePoint, Test Management, Software Project..., WinRunner, QA Management, Healthcare Information..., Business Process..., VSS, Release Management, Vendor Management, Business Intelligence, Software Quality..., QA Engineering, Information Technology, VMware, Project Portfolio..., Environment Management, Quality Center, ALM, Management, Agile Testing, SQL, Regression Testing
Education
Bridgewater State University 1994 — 1996
MEd, Health Promotion
Worcester State University 1989 — 1991
MEd, Secondary Education
Isenberg School of Management, UMass Amherst 1983 — 1987
BBA, Marketing
NYC Health and Hospitals Corporation March 2015 - Present
NYU Langone Medical Center July 2013 - March 2015
NYU Langone Medical Center March 2012 - June 2013
NYU Langone Medical Center July 2010 - March 2012
BMC HealthNet Plan January 2009 - July 2010
BMC HealthNet Plan June 2008 - August 2008
Fenway Community Health January 2008 - May 2008
Skills
Program Development, Project Management, Quality Measurement, Pay For Performance, Healthcare Quality, Healthcare Strategy, Healthcare Management, Public Health, Managed Care, Healthcare, Medicaid, Hospitals, Medicare, Pay for Performance, Product Quality, Nursing, Clinical Research, HIPAA, Program Management, Health Policy
Education
Boston University 2007 — 2008
MPH
Connecticut College 2002 — 2006
BA, Anthropology
Neighborhood Diabetes February 2014 - Present
Insulet Corporation March 2013 - Present
BMC HealthNet Plan July 2012 - October 2012
City of Springfield, Massachusetts 2008 - 2012
Skills
Munis, Customer Service, Process Improvement, Software Documentation, Management, Employee Benefits
Education
Springfield Technical Community College 2004 — 2006
Associate's degree, Early Childhood Education and Teaching
Johnson and Wales University 2002 — 2004
Business Marketing
Cathedral High School 1998 — 2002
UnitedHealthcare June 2013 - Present
BMC HealthNet Plan December 2002 - June 2013
Southcoast Hospitals Group June 1999 - December 2002
Skills
Program Development, Healthcare, Hospitals, Community Outreach, Healthcare Management, Community Development, Medicaid, Medicare, Mental Health, Managed Care, Case Management, Utilization Management, Public Health, HIPAA
Education
Bristol Community College
Associates, Business Administration/Marketing
Sun Life Financial June 2015 - Present
Boston University April 2013 - September 2014
BMC HealthNet Plan December 2012 - April 2013
American International College September 2010 - May 2012
American International College January 2009 - May 2012
CVS Caremark Corporation February 2011 - February 2012
Rite Aid Pharmacy September 2007 - August 2009
Education
American International College 2013 — 2015
Master of Business Administration (M.B.A.), Small Business Administration/Management
American International College 2008 — 2012
Bachelor of Science in Business Administration, Healthcare Management
Randstad USA June 2014 - Present
The MENTOR Network November 2010 - June 2014
BMC HealthNet Plan February 2008 - July 2009
Biogen Idec September 2007 - December 2007
HCA September 2001 - February 2007
Concord Hospital 1998 - 2001
Lundgren Chiropractic 1996 - 1998
Skills
Outlook, Administrative Support, PowerPoint, Word, Event Planning, Excel, Administration, Access, Customer Service, Research, Editing, Database Administration, Documentation, Scheduling, Writing, Teamwork, Team Building, Visio, Billing, Windows, Office Management, Compliance, Healthcare, Lotus Notes, Payroll, Strategic Planning, Conferences, Microsoft Office, Supervisory Skills, Administrative..., Software Documentation, Employment Law, Microsoft Word, Microsoft Excel, Invoicing
Education
University of Massachusetts Lowell 2014 — 2014
Certificate of Paralegal Studies, Paralegal, 3.85
Kaplan University 2009 — 2011
Bachelors of Science, Legal Studies, General, GPA 3.80
Mount Washington College 1991 — 1993
Associates, Business Science - Legal/Medical, GPA 3.75
DentaQuest June 2014 - Present
CIRCOR International, Inc. January 2014 - June 2014
BMC HealthNet Plan March 2013 - January 2014
DentaQuest 2007 - 2013
Mollica Residence 2000 - 2006
Agfa 1998 - 1999
Bayer 1996 - 1998
Agfa 1989 - 1996
Skills
Training, Recruiting, PowerPoint, HRIS, Human Resources, Administrative..., Software Documentation, Deferred Compensation, Employee Relations, Process Improvement, Policy, Interviews, New Hire Orientations, Employee Benefits
Education
Bentley University 1991 — 1991
Human Resources Certificate Program
Northeastern University
Human Resources
Im Wonderfully Made July 2014 - Present
Jewelz August 2009 - Present
Kalamazoo psychiatric Hospital 2008 - Present
BMC March 2000 - September 2008
BMC HealthNet Plan 1998 - 2000
Skills
Medical Transcription, Typing, Office Administration, Schedules, Telephone Triage, Administrative..., Admissions Counseling, Critical Care, Crisis Intervention, Patient Education, Vital Signs, Healthcare, Triage, Software Documentation, Behavioral Health, Nursing Care, Hospitals, Cardiac Monitoring, Fundraising, Cardiac Care, IABP, Treatment, Direct Patient Care, Fetal Monitoring, Cpr Certified, Medical Terminology, CPR Certified, Grant Writing, Volunteer Management, Nonprofits, Event Planning
Education
Everest Kalamazoo 1997 — 1997
Certification for Medical Assistant, Registered Medical Assistant
Kalamazoo Institute of Arts
Metal and Jewelry Arts
Kalamazoo Valley Community College
Registered Nursing/Registered Nurse
BMC HealthNet Plan December 2013 - Present
CVS Caremark Corporation September 2006 - February 2013
Elite Traveler June 2009 - August 2009
Steel Media August 2007 - November 2007
Skills
Customer Satisfaction, Social Media, Sales, Telephone Skills, Social Networking, Newsletters, Customer Service, Microsoft Word, Microsoft Excel, PowerPoint, Photoshop, Training, Social Media Marketing, Photography, Cashiering, Microsoft Office, Teamwork, Spanish, Facebook, Outlook, Data Entry, Retail, Blogging, Online Marketing, Creative Writing, Email Marketing, Market Research
Education
Hunter College The University of New York 2007 — 2011
Bachelor of Arts, Media Studies and Art Studio
Fordham University 2005 — 2007
Marketing and economics
BMC HealthNet Plan/Well Sense Health Plan January 2015 - Present
BMC HealthNet Plan January 2014 - January 2015
BMC HealthNet Plan April 2012 - January 2014
BMC HealthNet Plan/Well Sense Health Plan March 2011 - April 2012
Target November 2010 - March 2011
Target April 2007 - November 2010
Blue Cross Blue Shield of Massachusetts July 2005 - December 2007
Blue Cross Blue Shield of Massachusetts July 2004 - August 2004
Skills
Customer Service, Outlook, Data Entry, Microsoft Word, PowerPoint, HIPAA, Microsoft Excel, Microsoft Office, Supervisory Skills, Health Insurance, Time Management, Administrative..., Telephone Skills
Education
Boston University 2007 — 2011
Criminal Justice
Boston Children's Hospital October 2012 - July 2015
Boston Children's Hospital August 2011 - September 2012
Boston Children's Hospital August 2010 - August 2011
BMC HealthNet Plan June 2008 - August 2008
Skills
Healthcare Information..., Healthcare, Hospitals, Healthcare Management, EMR, Clinical Research, Epic Systems, SPSS, Microsoft Excel, PowerChart, PowerPoint, Data Analysis, Public Health, Neurology, Access, Public Speaking, Research
Education
Boston University School of Medicine 2015 — 2017
Master of Science (M.S.), Genetic Counseling/Counselor
University of New Hampshire 2005 — 2009
Bachelor of Science, Health Management and Policy
Noble and Greenough 1999 — 2005
High School Diploma
Casa Esperanza April 2015 - Present
TimeCapsule Photography September 2008 - Present
Fogo de Chão November 2013 - June 2015
New England Tractor Trailer Training School (NETTTS) February 2014 - March 2015
Individual Enrichment Program -MCLA June 2014 - July 2014
BMC HealthNet Plan November 2013 - February 2014
Harvard Medical School October 2013 - October 2013
Harvard University Alumni Affairs August 2013 - September 2013
MCLA Individual Enrichment Program June 2012 - July 2013
MCLA Office of the President January 2013 - May 2013
Skills
Bilingual-English/Spanis..., Microsoft Office, Photoshop, Photography, iMovie, iPhoto, Editing, Proofreading, Event Planning, Event Photography, Coordinating Events, Organizational..., Leadership, Team Building, Public Relations, Community Outreach, Advertising, Publicity, Facebook, Social Networking, Press Releases, Final Cut Pro, Social Media Marketing, Social Media, Publications, Sales, Marketing Communications, Time Management, International Relations, Video, Data Entry, Media Relations, Public Speaking, Student Development, Broadcast, Microsoft Publisher, Video Production, Digital Photography, Spanish, PowerPoint, Internal Communications, Image Editing, Marketing, Creative Writing, AP Style, Laser Scanning, Event Management, APA Style, Student Recruiting, Strategic Communications
Education
Suffolk University College of Arts and Science 2013 — 2015
Master's Degree, Public Relations, Advertising, and Applied Communication, Graduate Student
Massachusetts College of Liberal Arts 2009 — 2013
Bachelor of Arts (B.A.), English and Communications, 3.4
Polytechnic of Namibia 2012 — 2012
Non Diploma Purposes, Communication and Media Studies, N/A
BMC HealthNet Plan 2009 - Present
IMS Health 2005 - 2008
Pharmetics inc. 2000 - 2005
J&J 1998 - March 2000
Skills
Financial Analysis, Financial Reporting, Accounting, PeopleSoft, Forecasting, Budgets, Payroll, Revenue Recognition, Cognos, Healthcare, Consolidated Financial..., Great Plains Software, Corporate Budgeting, Sarbanes-Oxley Act, Variance Analysis, GAAP
Education
Babson College - Franklin W. Olin Graduate School of Business 1998 — 1998
Master of Business Administration (MBA)
UMass Boston
Bachelor's degree, Accounting
H.C. Starck November 2012 - May 2015
CIRCOR International, Inc. 2015 - 2015
BMC HealthNet Plan July 2012 - October 2012
GSI Group October 2011 - April 2012
EMD Serono, Inc. January 2011 - October 2011
The Broad Institute May 2009 - June 2010
Broad Institute March 2008 - May 2009
H.P. Hood February 2006 - January 2008
Children's Hospital June 2001 - April 2006
Fresenius Medical Care August 1995 - June 2001
Skills
Benefits Administration, HRIS, Compensation, COBRA, ERISA, Leave of Absence..., FMLA, ADA compliance, Employee Benefits, Wellness, Outsourcing, Vendor Management, Deferred Compensation, Employee Relations, New Hire Orientations, Applicant Tracking..., Onboarding, Human Resources, Personnel Management, Policy, Succession Planning, Payroll, HR Policies, Legal Compliance, Compensation & Benefit, Job Descriptions, Management, Talent Management, Workforce Planning, Talent Acquisition, ADP Payroll, Performance Management, Labor Relations, PeopleSoft, Exit Interviews, Employee Engagement, Job Evaluation, Executive Pay, HR Consulting, Organizational..., Employment Law, Recruiting, HR Transformation, Strategic HR
Education
Boston University 1984 — 1989
BS, Human Resources
Middlesex Community College 1980 — 1982
Associates, Business Administration
City Sports February 2015 - Present
Pfizer October 2014 - December 2014
American Student Assistance May 2008 - July 2014
BMC HealthNet Plan June 2005 - May 2008
Bank of America June 1999 - December 2004
United States Marine Corps July 1977 - August 1981
Skills
Windows Server, HP Server..., Asset Management, LANDesk Management Suite, LANDesk Asset Lifecycle..., Vendor Management, Logistics, Franklin Covey Project..., Document Imaging, PGP Secure Mail, Proofpoint, Kofax Capture software, EMC Application XTender, SQL Server Management..., SolarWinds Network..., Microsoft Exchange, HP Systems Insight..., Active Directory, Citrix XenApp, SDLC, VMware, Good Mobile Messaging, Symantec Netbackup, Change Management, Disaster Recovery, Visio, APC UPS, Liebert, Data Center, Data Center..., Data Center Operations, Data Center Relocation, Barracuda Spam Firewall, barracuda cloud backup, dell kace, Dell Computers, compellent, veeam
Education
Boston University 2005 — 2005
MCSE Program
Saddleback College 1978 — 1980
Accounting
Salem State College 1976 — 1977
BMC HealthNet Plan January 2014 - Present
The Greeley Company March 2013 - January 2014
Beacon Partners August 2010 - March 2013
Merrill Lynch February 2010 - May 2010
Gragil Associates, Inc June 2008 - August 2009
Gragil Associates, Inc June 2005 - August 2007
Skills
Advertising, Promotions, Trade Shows, Marketing Strategy, Social Media, Email Marketing, Event Planning, Webinars, Marketing, Sales, Marketing Research, Blogging, Media Planning, Integrated Marketing, Healthcare, Marketing Communications
Education
Fairfield University 2006 — 2010
BS, Marketing
Fairfield University 2006 — 2010
Bachelor of Science, Marketing, Management
Australian Catholic UniversityBrisbane 2008 — 2009
Marketing
NH Department of Health and Human Services, Bureau of Developmental Services February 2014 - Present
BMC HealthNet Plan October 2012 - February 2014
NH Department of Health and Human Services: Bureau of Developmental Services February 2011 - October 2012
NH Department of Health and Human Services, Bureau of Developmental Services February 2006 - February 2011
New Hampshire Board of Nursing September 2003 - February 2006
NH Department of Health and Human Services July 1997 - September 2003
Skills
Health Care Systems, Nursing Management, Health Insurance, Public Administration, Medicaid, Medicaid Managed Care, Developmental..., Early Intervention, Home and Community..., Healthcare Management, Hospitals, Program Development, Policy, Community Outreach, Leadership, Nonprofits, Social Services, Behavioral Health, Case Managment, Nursing, Medicare, Clinical Research, Public Health, Managed Care, Utilization Management, Case Management, HIPAA, Mental Health, Healthcare Information..., Provider Relations, Treatment, Crisis Intervention, Network Development, Medicine, HEDIS, Healthcare
Education
Excelsior College 2005 — 2012
Master of Science, Nursing: Clinical Systems Management, Graduate GPA 4.0
New England Deaconess Hospital School of Nursing: Graduate: 1982 1979 — 1982
RN Diploma, Registered Nursing/Registered Nurse
BMC HealthNet Plan October 2013 - Present
BMC HealthNet Plan July 2012 - October 2013
BMC HealthNet Plan November 2011 - June 2012
BMC HealthNet Plan January 2011 - November 2011
BMC HealthNet Plan May 2009 - January 2011
BMC HealthNet Plan March 2008 - May 2009
New England Baptist Hospital September 2007 - March 2008
MIT July 2006 - September 2007
Skills
HRIS, Abra, ADP Payroll, SuccessFactors, SumTotal, Open Hire, Compensation, Access, Excel, Reporting & Analysis, Deferred Compensation, Microsoft Excel, OpenHire, Process Improvement, HIPAA, Employee Relations, Payroll
Education
Gordon College 2002 — 2006
B.S., Mathematics, Psychology
Haverhill High School
South Shore Mental Health June 2010 - December 2011
Harvard Medical School December 2009 - August 2010
BMC HealthNet Plan March 2007 - October 2009
Harvard Pilgrim Health Care 1995 - 2007
Chadwick's of Boston 1989 - 1994
Morse Shoe 1984 - 1988
Alfred Publishing Company 1980 - 1982
Skills
Interviews, Sourcing, Recruiting, Career Development, Coaching, Human Resources, Hiring, Temporary Placement, Management, Healthcare, Employee Relations, Time Management, Employee Benefits, Onboarding
Education
City University of New York-Herbert H. Lehman College
BMC HealthNet Plan May 2014 - Present
Cambridge Health Alliance May 2012 - August 2013
Boston Medical Center September 2007 - May 2012
Whittier Street Health Center May 2006 - July 2007
Whittier Street Health Center November 2003 - May 2006
Pine Street Inn June 2001 - June 2003
Boston Health Care for the Homeless Program July 1996 - June 2001
Brookline Visiting Nurse Service 1984 - 1996
Skills
Nursing, Case Management, Patient Advocacy, Healthcare, Public Health, Healthcare Management, Community Outreach, Informatics, Quality Improvement, Medical/Surgical, Patient Safety, Home Care, Healthcare Information..., Pediatrics, EMR, Health, Nurses, Adults, Women's Health, Homelessness, Underserved populations, Special Populations, Program Management, Program Development, Clinical Supervision, Research, Education, Health Education, PCMHI, Patient Centered..., Communication Skills, Networking
Education
Boston College 1994 — 1996
MS
Boston College 1979 — 1983
BSN
BMC HealthNet Plan May 2012 - Present
Skills
Program Management, Agile Project Management, Project Portfolio..., SDLC, Business Analysis, Process Improvement, Vendor Management, Requirements Analysis, Software Project..., PMO, Leadership, PMP, Requirements Gathering, Business Process..., Resource Management, MS Project
Education
Bryant University 2008 — 2009
Master's Certification, Project Management
The George Washington University - School of Business 2006 — 2006
Professional Certificate, Business Analysis
University of New Haven 1986 — 1990
Bachelor in Science, Management Information Systems
Blue Cross Blue Shield of Massachusetts November 2014 - Present
Blue Cross Blue Shield of Massachusetts October 2013 - October 2014
Blue Cross Blue Shield of Massachusetts August 2012 - October 2013
Blue Cross Blue Shield of Massachusetts October 2008 - August 2012
Boston Medical Center HealthNet Plan February 2008 - October 2008
BMC HealthNet Plan November 2007 - February 2008
Boston Medical Center HealthNet Plan February 2006 - October 2007
Boston Medical Center HealthNet Plan January 2005 - February 2006
Thom Boston Metro Early Intervention September 2003 - January 2005
Department of Social Services July 2002 - August 2003
Skills
Certificate in the..., Certified Interqual..., Healthcare, Clinical, Behavioral Health, Treatment, Documentation, Health, Motivational..., Utilization Management, Managed Care, Mental Health, Clinical Supervision, Program Development, Case Managment, Clinical Research, Case Management, Disease Management, Group Therapy, HIPAA, Health Insurance, Health Policy, Healthcare Consulting, Healthcare Information..., Healthcare Management, Home Care, Medicaid, Leadership, Medicare, Mental Health Counseling, Policy, Provider Relations, Psychotherapy, Quality Improvement, Software Documentation
Education
Boston College Graduate School of Social Work 2000 — 2002
MSW
Boston University 1994 — 1998
BS Elem Ed, Early Education
BMC HealthNet Plan October 2011 - Present
BMC HealthNet Plan September 2010 - October 2011
Logan Britton August 2010 - September 2010
Recombinant Data Corp April 2010 - July 2010
TriZetto Group November 2006 - March 2010
Trizetto November 2006 - March 2010
Children's Hospital Boston November 2001 - November 2006
VideoShare Inc. (defunct) 1999 - 2001
Skills
Data Warehousing, SDLC, Microsoft SQL Server, Business Intelligence, SQL, SSIS, Requirements Analysis, Databases, Database Design, Business Analysis, Software Project..., Agile Methodologies, Oracle, Visio, Process Improvement
Education
Pennsylvania State University-Great Valley Graduate Center 1995 — 1997
MBA, Business Administration
Alfred University 1990 — 1994
BS, Ceramic Engineering
Southern New Hampshire University November 2014 - Present
NH Department of Health & Human Services December 2012 - Present
Strobe Approach Lighting Technology, LLC. October 2010 - December 2012
BMC HealthNet Plan September 2008 - November 2009
BMC HealthNet Plan May 2005 - September 2008
BMC HealthNet Plan February 2002 - May 2005
KANA Inc October 2000 - February 2002
BJ's Wholesale October 1998 - October 2000
New Boston Systems April 1998 - October 1999
Au Bon Pain Inc January 1995 - April 1998
Skills
Disaster Recovery..., Business Continuity..., HIPAA Security..., Mass Data Breach Law..., IT Project Management..., IT Program Management..., Data Center Design &..., IT Strategy Development..., IT Purchasing &..., Vendor Management (10..., Cisco Hardware..., eCRM Software..., Avaya Systems..., Data Center Management..., IT Security (5 years ), Vmware & Citrix (4..., IT Security Assessment..., Data Center Relocation..., Security Policy &..., MS Exchange (6 years ), EMC SAN Implementation..., Disaster Recovery, Business Intelligence, Data Center, IT Strategy, Program Management, IT Management, Servers, VMware, Project Management, Security, HIPAA, Virtualization, Training, Windows Server, Microsoft Exchange, ITIL, Enterprise Software, Strategic Planning, Networking, Process Improvement, Enterprise Architecture, IT Operations, Information Technology, SDLC, Management Consulting, Management, CRM, Cisco Technologies
Education
Daniel Webster College 2004 — 2007
MBA, Business Administration
Daniel Webster College 2002 — 2007
BS, Managed Information Systems
PVMHS
Dana Farber Cancer Institute May 2013 - Present
Organizational Consultant August 2012 - April 2013
Pine Manor College September 2011 - July 2012
BMC Healthnet Plan January 2007 - September 2011
Neighborhood Health Plan August 2003 - December 2006
Harvard Pilgrim Health Care 1991 - 2000
Skills
Healthcare, Healthcare Management, Managed Care, Medicaid, Healthcare Information..., Performance Management, Talent Management, Organizational..., Program Development, Employee Benefits, Employee Relations, Strategic Planning, Medicare, Non-profits, HRIS, Health Care Reform
Education
Boston University
Master of Arts (M.A.), Psychology
Mount Holyoke College
Bachelor of Arts (B.A.), Politics
Hertz 2010 - Present
BMC HealthNet Plan August 2007 - August 2009
Education
Boston University Questrom School of Business 2000 — 2004
Chelsea High School
International Recruiter March 2013 - Present
BMC HealthNet Plan July 2012 - March 2013
Management Sciences for Health July 2007 - July 2012
Brigham and Women's Hospital May 2007 - July 2007
NSTAR August 2006 - January 2007
UNICCO Service Company 2003 - 2005
Instituto Cultural Dominico Americano August 2002 - June 2003
Caribbean International Headwear January 2001 - January 2002
TJX Companies 1997 - 2000
Skills
Applicant Tracking..., Human Resources, Employee Relations, Recruiting, Healthcare, Onboarding, Talent Acquisition, Organizational..., PeopleSoft, Performance Management, HRIS, Succession Planning, Interviews, College Recruiting, Training, Employment Law, Talent Management, New Hire Orientations, HR Policies, Sourcing, Career Counseling, Employee Benefits, Management, Recruitment Advertising, Screening, Temporary Staffing, Temporary Placement
Education
Universidad Mundial 1981 — 1986
Early Education
State Street April 2015 - Present
state street corporation December 2012 - Present
State Street February 2008 - December 2012
BMC HealthNet Plan 2003 - 2007
State Street Corporation January 1991 - October 2002
Skills
Alternative Investments, Bloomberg, Equities, Financial Analysis, Financial Services, Fixed Income, Fund Accounting, Insurance, Investments, Leadership, Management, Mutual Funds, Private Equity, Process Improvement, Team Management, Training, Finance, Hedge Funds
Education
Northeastern University 1994 — 2002
Bachelor of Business Administration (B.B.A.), Business Administration, Management and Operations
Bryant College 1988 — 2000
Accounting
Bryant University 1988 — 2000
Marketing
Scituate Highschool 1984 — 1988
Highschool Diploma
BMC HealthNet Plan/Well Sense Health Plan September 2014 - Present
BMC HealthNet Plan/Well Sense Health Plan October 2012 - September 2014
BMC HealthNet Plan September 2010 - September 2012
BMC HealthNet Plan July 2007 - August 2010
BMC HealthNet Plan December 2004 - June 2007
Peter J. Kelly M.D.,P.C November 1997 - December 2004
Skills
Managed Care, Health Insurance, Healthcare, Medicaid, Healthcare Management, Provider Relations, Insurance, Process Improvement
Education
Bay Path University
Tufts Health Plan November 2013 - Present
P&L Professional Associates,LLC September 2009 - October 2013
BMC HealthNet Plan September 2007 - August 2009
BMC HealthNet Plan August 2005 - September 2007
BMC HealthNet Plan May 2004 - August 2005
Harvard Pilgrim Health Care April 2004 - April 2004
Skills
Communication Skills, Client Presentation, Manage Client..., Client Liaison, Customer Engagement, Managed Care, HIPAA, Provider Relations, Medicare, Health Insurance, Medicaid, Healthcare Management, Hospitals, HMO, Access, Customer Service, Healthcare, Network Development, Credentialing, PeopleSoft, Provider Network..., Provider Enrollment, Provider Education, Healthcare Industry, Strategic Planning, Management, Insurance, Health Policy, Physicians, PPO, Healthcare Consulting, Revenue Cycle, Case Management
Education
Lesley University
Bachelor of Arts (B.A.), Human Services, 3.506
Beacon Health Strategies November 2011 - Present
Beacon Health Strategies February 2009 - March 2012
Beacon Health Strategies September 2007 - February 2009
BMC HealthNet Plan February 2006 - September 2007
MBHP September 1998 - February 2006
ValueOptions 1998 - 2006
Skills
Cognos, Data Warehousing, Data Analysis, Business Intelligence, Crystal Reports, Business Analysis, ETL, Healthcare, SDLC, Data Modeling, Access, Business Objects
Education
Northeastern University 2012 — 2014
Master of Science (M.S.), Health Care Informatics
Boston University 1995 — 1999
Bachelor of Science (BS), Health Sciences
BMC HealthNet Plan February 2012 - Present
BMC HealthNet Plan December 2009 - February 2012
BMC HealthNet Plan October 2008 - December 2009
BMC HealthNet Plan 2007 - 2008
BMC HealthNet Plan 2004 - 2007
Brockton Area Multi-Services, Inc October 2002 - October 2003
Child and Family Services, Inc October 1996 - October 2001
Skills
Behavioral Health, Managed Care, Government Liaison, Clinical Integration, Vendor Relations, Contract Management, Crisis Intervention, Medicaid, Provider Relations, Healthcare, Program Management, HEDIS, Clinical, Clinical Supervision, Training, HIPAA, Clinical Research, Hospitals, Treatment, Healthcare Management, Process Improvement, Leadership, Health Insurance, Management, Clinical Psychology
Education
Salem State University 1994 — 1996
MSW, Social Work
Allegheny College 1989 — 1993
BA, psychology
MultiPlan November 2013 - Present
MultiPlan April 2010 - November 2013
MultiPlan July 2008 - April 2010
MultiPlan December 2007 - July 2008
BMC HealthNet Plan October 2004 - December 2007
Dean College July 2003 - August 2004
Skills
Instructional Design, Training Delivery, Project Planning, Project Management, Performance Management, Program Management, Management, Workshop Facilitation, Instructor-led Training, Leadership Development, Staff Development, WebEx, Camtasia, Toolbook, Webinar Development, Webinars, Human Resources, Organizational..., Talent Management, Team Building, Consulting, Curriculum Development, Software Documentation, Event Planning, E-Learning
Education
Suffolk University 2002 — 2003
Master of Education, Administration of Higher Education
Emmanuel College 1998 — 2002
BA, Educational Studies
Carver High School
Boston Medical Center HealthNet Plan March 2012 - Present
BMC HealthNet Plan July 2004 - March 2012
BMC HealthNet Plan December 2002 - July 2004
Skills
Provider Relations, Managed Care, Medicaid, Medicare, Healthcare Management, Hospitals, Healthcare, Network Development, Credentialing, Utilization Management, Health Insurance, Contract Management, Healthcare Industry, Disease Management
Education
Bristol Community College
BMC HealthNet Plan May 2012 - Present
GE Healthcare (formerly IDX Systems Corporation) January 2006 - March 2012
IDX Systems Corporation (now GE Healthcare) 1999 - 2006
IDX Systems Corporation (now GE Healthcare) 1996 - 1999
Medical Intelligence/GMIS January 1993 - January 1996
Skills
Editing, Documentation, Microsoft Office, Writing, Instructional Design, Healthcare, Software Training, Nursing, Course Development, Training Delivery, Public Speaking, Customer Focus, Hands-on Training, Software Documentation, Employee Engagement, Team-oriented, Training, Process Improvement, Leadership, HIPAA, Healthcare Information..., Project Management, Team Leadership, Cross-functional Team..., Technical Writing, Instructor-led Training, Informatics, Hospitals
Education
Boston College 2009 — 2010
Certificate, RN Refresher Certificate
Northeastern University 1979 — 1984
Bachelor of Science, Nursing
OptumCare - UnitedHealth Group July 2014 - Present
UnitedHealthcare September 2010 - July 2014
UnitedHealthcare March 2009 - September 2010
Harvard Pilgrim Health Care June 2006 - March 2009
BMC HealthNet Plan February 2005 - December 2005
Harvard Pilgrim Health Care February 2002 - February 2005
Skills
Account Management, Group Presentations, Claims, Contract Management, Network Development, Medicaid, HIPAA, Revenue Cycle, Insurance, Process Improvement, PPO, Medicare, Healthcare Information..., Healthcare Industry, Hospitals, Credentialing, Team Leadership, Management, Utilization Management, EHR, Policy, Physicians
Education
Boston University 1989 — 1994
Bachelor of Science, Health Studies
Boston University
Bachelor of Science (B.S.), Health Studies
BMC HealthNet Plan April 2011 - Present
BMC HealthNet Plan March 2010 - May 2011
BMC HealthNet Plan December 2007 - March 2010
American Student Assistance April 2007 - August 2007
Massachusetts Eye and Ear Infirmary 2005 - 2007
Fallon Clinic 2002 - 2005
IDX Systems 1999 - 2001
IDX Systems 1997 - 1999
Skills
Databases, Data Analysis, Microsoft Excel, Healthcare Information..., HIPAA, Healthcare, SDLC, Software Documentation, SharePoint, Vendor Management, Microsoft SQL Server, Business Analysis, Visio, Requirements Gathering, Testing, HL7, SQL, Crystal Reports, Medicaid, Database Design, Epic Systems, User Acceptance Testing, Disaster Recovery, Active Directory, Quality Assurance, Business Intelligence, Access, Hospitals, Troubleshooting, Analysis, Data Warehousing, Process Improvement, Requirements Analysis, Servers
Education
Boston University 1987 — 1992
Bachelor of Science (BS), Science Teacher Education/General Science Teacher Education
Senior Whole Health July 2015 - Present
Lesley University October 2013 - Present
American Jewish Committee November 2014 - January 2015
Biogen Idec October 2014 - October 2014
Optum Healthcare 2014 - 2014
Randstad October 2008 - October 2013
Mount Ida College November 2005 - April 2011
USA Athletes International October 2005 - July 2010
BMC HealthNet Plan December 2005 - July 2008
Genzyme June 2005 - December 2005
Skills
PowerPoint, Marketing, Microsoft Excel, Microsoft Office, Customer Service, Microsoft Word, Social Media, Coaching, Public Speaking
Education
Marist College 1989 — 1999
Natick High School
BMC HealthNet Plan Attending PhysicianBaystate Health1988 - Present
Skills
Public Health, Hospitals, Healthcare, Clinical Research, Healthcare Management, Public Speaking, Program Development, Community Outreach, Healthcare Information..., Teaching
Education
Amherst College
New York Presbyterian Hospital April 2011 - Present
New York Presbyterian Hospital January 2009 - April 2011
Columbia University Mailman School of Public Health September 2008 - January 2009
BMC HealthNet Plan June 2008 - August 2008
Honeywell 2005 - 2007
Skills
Healthcare Information..., Hospitals, EHR, Healthcare Management, Public Health, Public Speaking, Clinical Research, Research, Critical Care, ACLS, Medicine, Healthcare, Quality Patient Care, Patient Safety, Oncology, Pediatrics, EMR, Program Development, Data Analysis, ICU, Inpatient, HIPAA, Informatics, Program Evaluation, BLS, Healthcare Consulting, Acute Care, Managed Care, Nursing, Community Outreach
Education
Columbia University Mailman School of Public Health 2007 — 2009
MPH, Health Policy & Management (Management track)
Fairleigh Dickinson University-Florham Campus 2003 — 2007
BS, Biology/Chemistry
Signature Healthcare Corporation January 2009 - Present
Boston Medical Center HealthNet Plan June 2005 - December 2008
BMC HealthNet Plan 2005 - 2008
Children's Hospital Boston 2000 - 2005
United Healthcare 1997 - 2000
Lawrence & Memorial Hospital 1997 - 1997
Braintree Hospital Rehabilitation Network 1995 - 1997
Education
Bryant University
BMC HealthNet Plan April 2013 - March 2015
MultiPlan 2006 - 2012
Private Healthcare Systems 1990 - 2006
Skills
Managed Care, Provider Network..., Physician Network..., Contract Management, Provider Relations, Provider Education, Provider Support, IPA/PHO, Ancillary and..., Contract Lifecycle..., Leadership and Mentoring, Communication Skills, Microsoft Office, Salesforce.com, Healthcare, Healthcare Information..., Hospitals, Healthcare Management, Network Development, Medicaid, Cross-functional Team..., Healthcare Industry, PPO, Medicaid Managed Care, ACA/PCMO Contracting, Management, Strategy, Medicare, HIPAA, Health Insurance
Education
Lesley College
Master of Science in Applied Management
Saint Anselm College
Bachelor of Arts (BA), Political Science
BMC HealthNet Plan April 2014 - Present
MassBike April 2013 - Present
Single Volunteers Boston October 2012 - Present
Towers Watson October 2012 - March 2014
WGBH 2012 - 2013
ikaSystems February 2011 - October 2012
Beth Israel Deaconess Medical Center August 2008 - February 2011
Joslin Diabetes Center November 2007 - August 2008
Healthways, Inc November 2004 - November 2007
Tufts Health Plan April 1997 - October 2004
Skills
Case Management, Disease Management, Medical Management, Managed Care, Utilization Management, Healthcare IT, Program development, Clinical Consulting, Healthcare Information..., Case Managment, Program Development, Healthcare, Hospitals, Management, Healthcare Management, Medicaid, Medicare, Healthcare Industry, Quality Improvement, Home Care, Leadership, EHR, Nursing, Acute Care, Medicine, Software Documentation, Clinical Research, Healthcare Consulting, Health Policy, HIPAA, Data Analysis, EMR
Education
Lesley University 2001 — 2002
BSM, Business Management
University of Kentucky 1984 — 1987
ADN, Nursing
Marion County High School 1978 — 1981
BMC HealthNet Plan October 2009 - Present
Gardner Resources Consulting, LLC November 2008 - October 2009
Dell Perot Systems June 2003 - November 2008
Blue Cross Blue Shield of Rhode Island August 1994 - June 2003
Skills
Business Analysis, EDI, Visio, HIPAA, Quality Assurance
Education
Johnson and Wales University 1997 — 2005
Bachelor of Science, Information Science, 3.97
BMC HealthNet Plan December 2013 - Present
Steward Health Care June 2012 - December 2013
Health Dialog November 2010 - June 2012
Health Dialog June 2009 - November 2010
Health Dialog August 2007 - June 2009
Kaiser Permanente February 2006 - August 2007
Skills
Informatics, Disease Management, Healthcare Information..., Clinical Research, Healthcare, Statistics, Data Analysis, Process Improvement, Healthcare Management, Utilization Management, Medicare, Managed Care, Health Policy, Analytics, Quality Assurance
Education
Boston College 2001 — 2005
BMC HealthNet Plan March 2013 - Present
BMC HealthNet Plan October 2009 - March 2013
Blue Cross Blue Shield of Massachusetts September 2007 - October 2009
Neighborhood Health Plan October 2006 - September 2007
MBHP January 2001 - October 2006
Greater Lynn Mental Health and Retardation Assn June 1987 - December 2000
Skills
Process Improvement, HIPAA, Medicaid, Healthcare Management, Behavioral Health, Visio
Education
Salem State University 1991 — 1993
MS, Counseling and Psychological Services
Gordon College 1983 — 1987
BS, Sociology, Music Education
BMC HealthNet Plan Medical DirectorMagellan Health Services2001 - 2006
Education
Tufts University School of Medicine 1983 — 1987
MD, Medicine
Cornell University 1977 — 1981
AB, Chemistry
Ascension School 1966 — 1971
elementary
BMC HealthNet Plan QI Program Manager, Credentialing Project ManagerTufts Health PlanJuly 1997 - November 2007
Skills
Managed Care, Credentialing, Medicare, Utilization Management, Accreditation, Healthcare Management, Medicaid, HIPAA, Healthcare Information..., Provider Relations, Health Insurance, Healthcare
Education
Boston University 1999 — 2002
MPH, Public Health
Stonehill College 1993 — 1997
BA, Health Care Administration
Optum September 2015 - Present
Neighborhood Health Plan April 2010 - August 2015
BMC HealthNet Plan 2006 - 2010
Private Healthcare Systems 2001 - 2005
HealthMarket, Inc. 2000 - 2001
Harvard Pilgrim Health Care 1999 - 2000
Harvard Pilgrim Health Care 1998 - 1999
Harvard Pilgrim Health Care 1996 - 1998
Harvard Pilgrim Health Care 1994 - 1996
Tufts-New England Medical Center 1993 - 1994
Skills
Healthcare, Cross-functional Team..., Managed Care, HIPAA, Provider Relations, PPO, Medicaid, Healthcare Management, Healthcare Information..., Leadership, Strategy, Health Insurance, Medicare, Customer Service, Healthcare Industry, Process Improvement, Business Development, Sales Operations
Education
Lesley University 1992 — 1993
MS, Business
Simmons College 1981 — 1985
BA, Healthcare Mgt
Commonwealth Care Alliance May 2015 - Present
Accountable Care Associates August 2013 - March 2015
BMC HealthNet Plan November 2005 - August 2013
BMC HealthNet Plan November 2005 - 2013
BMC HealthNet Plan November 2005 - 2013
Skills
Nursing, Utilization Management, Managed Care, Medical Billing, Healthcare, Healthcare Management, Clinical Research, Medicare, Disease Management, Medicaid, Case Managment, Care Management, Clinical Reimbursement..., Medical Coding, HIPAA, Medicine, Informatics, Inpatient, Hospitals, Utilization Review, Healthcare Industry, Wound Care, Medical/Surgical, Medical Terminology, Meditech, Healthcare Information..., Acute Care, Surgery, Provider Relations, Patient Advocacy, Critical Care, Pediatrics, Home Care, Epic Systems, Health Insurance, Case Management
Education
Holyoke Community College 1992 — 1996
Associate of Arts and Sciences (AAS), Liberal Arts and Sciences/Liberal Studies
Holyoke Community College
Associate of Science (A.S.), Registered Nursing/Registered Nurse
BMC HealthNet Plan March 2010 - Present
Boston Medical Center HealthNet Plan 2010 - Present
BMC HealthNet March 2010 - June 2011
HighPoint Treatment Center, Plymouth, MA February 2004 - March 2005
Education
Boston University 1986 — 1989
Graduate School of Education, Adult and Continuing Education
Emmanuel College
BS, Psychology
Tufts Health Plan – Network Health July 2008 - Present
Network Health October 2010 - July 2013
Network Health July 2008 - October 2010
BMC HealthNet Plan April 2004 - June 2008
Tufts Health Plan 1998 - 2003
Skills
Data Analysis, Healthcare Information..., HIPAA, Healthcare, Software Documentation, Health Insurance
Education
Gibbs College 2000 — 2002
Associates, Multimedia and Visual Communications
Gibbs College-Boston 2000 — 2002
Associate of Arts (AA), Design and Visual Communications, General
BMC HealthNet Plan April 2011 - Present
BMC HealthNet Plan November 2009 - April 2011
Priority Health 1995 - 2005
Skills
Visio, Medicaid, Healthcare Information..., Managed Care, Healthcare, Process Improvement, SDLC, Health Insurance, Project Management, Training, Business Process..., Data Analysis, Business Analysis, HIPAA, Project Portfolio...
Education
Davenport University
Fallon Health March 2015 - Present
Accountable Care Associates September 2013 - February 2015
BMC HealthNet Plan September 2012 - September 2013
Holyoke Visiting Nurses Association May 2011 - September 2012
Institute of Integrative Nutrition May 2011 - May 2012
Holyoke Visiting Nurses Association 2007 - 2011
Skills
Healthcare, Managed Care, Wellness, Wellness Coaching, Disease Management, Nursing, Case Management, Medicaid, Medicare
Education
College of Our Lady of the Elms 1995 — 1999
BSN, Nursing
Beacon Health Strategies March 2010 - Present
BMC HealthNet Plan 2005 - 2010
Skills
Case Managment, Behavioral Health, Crisis Intervention, Medicaid, Mental Health, Utilization Management, Case Management, Motivational..., Clinical Research, Healthcare Management, Clinical Supervision, Disease Management, Managed Care, Social Services
Education
Cambridge College 1996 — 1998
M.Ed., psychocology
BMC HealthNet Plan/Well Sense Health Plan November 2014 - Present
Center for Living & Working, inc. September 2014 - Present
BMC HealthNet Plan July 2014 - November 2014
Network Health November 2012 - June 2014
Witness Victim Service Center September 2011 - August 2012
Boston Medical Center December 2008 - July 2011
Emmaus Inc. September 2007 - May 2008
Skills
Non-profit Board..., Non-profit Leadership, Non-profit Fund..., Non-profit Consulting, SPSS, Microsoft Office, Non-profit Program..., Program Evaluation, Strategic Planning, Public Speaking, Program Management, Research, Training, Community Outreach, Clinical Research, Grant Writing, Program Development, Healthcare, Case Management, Nonprofits, Grants, Management
Education
Case Western Reserve University 2011 — 2012
Master of Science in Social Administration, Community and Social Development Social Work
Bridgewater State College 2004 — 2008
Bachelor of Science, Social Work and Sociology
UMass Memorial Health Care, Inc August 2013 - Present
BMC HealthNet Plan December 2011 - August 2013
Network Health April 2011 - December 2011
Tufts Health Plan November 2005 - April 2011
UMass Memorial Medical Center May 2001 - November 2005
Education
Framingham State University 1990 — 1994
B.A., Public Administration
U.S. Department of State April 2012 - Present
United States Department of Defense July 2011 - April 2012
Steven Douglas Associates September 2010 - April 2012
US Army June 2009 - July 2010
NeighborWorks America July 2007 - August 2008
Neighborhood Health Plan February 2007 - July 2007
Sabre Corporation November 2004 - February 2007
BMC HealthNet Plan September 2000 - November 2004
Skills
Management, Disaster Recovery, Databases, Microsoft SQL Server, Business Intelligence, SharePoint, Database Administration, T-SQL, Data Warehousing, Windows, SQL, Virtualization, SSIS, Enterprise Architecture, SSRS, Performance Tuning, HTML, Windows Server, SQL Tuning, C++, VMware ESX, Data Center, Servers, Data Warehouse..., SDLC, PowerPoint, F5 BigIP, Windows Server 2008 R2, Java, Microsoft SQL Server..., Strategic Planning, .NET C#, SQL Server DBA, Microsoft SQL Server..., High Availability..., EMC Storage Solutions, Negotiation, BMC Remedy, Capacity Planning, Data Modeling, Active Directory, Data Migration, Team Leadership, Security, Enterprise Software, Budgets, ETL, Testing, Integration, .NET
Education
Northeastern University 2003 — 2005
Master of Science (MS), Information Technology
Atlantic Union College 1992 — 1996
Bachelor of Arts (BA), History
Atlantic Union College 1992 — 1996
Bachelor's degree, History, 3.0
John Hancock Financial Services July 2014 - Present
BMC HealthNet Plan June 2013 - July 2014
BMC HealthNet Plan September 2011 - May 2013
Bridgewater State College Police Dept September 2009 - May 2011
Kelly Gym September 2008 - May 2011
BMC HealthNet Plan 2010 - 2010
Veteran's Administration Hospital June 2008 - August 2008
St. Basil's September 2007 - May 2008
Brigham & Woman's Hospital July 2006 - August 2006
Skills
Marketing Communications, Advertising, Social Media, Facebook, Social Networking, Microsoft Office, PowerPoint, Customer Service, Microsoft Word, Public Relations, Event Planning, Event Management, Team Leadership, Leadership, Marketing, Newsletters, Research
Education
Bridgewater State College 2007 — 2011
BS, Business Management
Bridgewater State College 2007 — 2011
B.A, Business Management; Marketing
Bridgewater State College 2007 — 2011
Bachelor's degree, marketing
Bridgewater State University 2007 — 2011
BS, Marketing
BMC HealthNet Plan/Well Sense Health Plan December 2013 - Present
BMC HealthNet Plan February 2007 - February 2012
Harvard Pilgrim Health Care 1998 - 2007
Commonwealth Automobile Reinsurers 1995 - 1998
Skills
Health Insurance, Healthcare, Medicaid, Medicare, Managed Care, Process Improvement, HIPAA, Insurance, Financial Analysis, Provider Network..., Trend Analysis, Leadership, Project Management, Contract Negotiation
Education
Babson College - Franklin W. Olin Graduate School of Business 1998 — 2001
MBA, Finance
Fairfield University 1990 — 1994
BS, Math major, Biology minor
BMC HealthNet Plan May 2014 - Present
Steward Health Care November 2013 - April 2014
Steward Health Care January 2012 - October 2013
Tufts Health Plan January 2008 - January 2012
Tufts Health Plan April 2001 - December 2007
Boston Public Health Commission March 2000 - April 2001
JRI July 1997 - February 2000
Beth Israel Deaconess Medical Center August 1993 - December 1995
Skills
SPSS, Healthcare, Research, Non-profits, Microsoft Office
Education
Boston University 1997 — 2002
MPH, Health Services
Brandeis University 1990 — 1993
BA, Sociology
UnitedHealth July 2015 - Present
Blue Cross Blue Shield of Massachusetts March 2015 - July 2015
Blue Cross Blue Shield of Massachusetts September 2013 - March 2015
Genworth Financial/CareScout October 2011 - December 2012
On Time Cleaning Services December 2008 - June 2012
BMC HealthNet Plan July 2007 - August 2009
BMC HealthNet Plan July 2005 - July 2007
Skills
Provider Relations, Medicare, Medicaid, Healthcare, Credentialing, Claims Resolution, Customer Service, Team Building, Recruiting, Contract Management, Microsoft Office, Microsoft Word, Management, Claim, Leadership
Education
Dean College 2001 — 2005
Associates, Business
BMC HealthNet Plan/Well Sense Health Plan September 2014 - Present
BMC HealthNet Plan January 2012 - September 2014
ikaSystems September 2011 - December 2011
Tufts Health Plan July 2009 - September 2011
Tufts Health Plan July 2008 - July 2009
Muscular Therapy Institute July 2001 - May 2004
Origins Natural Resources January 1998 - January 2001
Skills
Process Improvement, Software Documentation, Team Building, Instructional Design, Leadership, Call Center, Customer Service, Coaching Staff, Internal Communications, Health Insurance, Managed Care, Quality Assurance, Operational Efficiency, Employee Training, Performance Management, Training Delivery
Education
Muscular Therapy Institute 1999 — 2001
Certificate, Muscular Therapy
Colby-Sawyer College
Speech Communications
Boston Medical Center Health Net Plan July 2010 - Present
Boston Medical Center Health Net Plan July 2003 - Present
BMC HealthNet Plan January 2006 - January 2012
Provider Relations March 2008 - July 2010
Skills
Business Analysis, Medical Billing, SDLC, Revenue Cycle, ICD-9, Data Entry, Microsoft Excel, Cognos, Project Management, Microsoft Office, Customer Service, SharePoint, Crystal Reports, Healthcare Industry, EHR, HIPAA, Auditing, Healthcare Information...
Education
Laboure College 2008 — 2010
CCS-P, Health Care
UMass Boston 1991 — 1993
Management in Human Services
Centene Corporation December 2013 - Present
Pyramid Builders March 2013 - May 2013
Brockton VA health care system February 2012 - March 2013
BMC HealthNet 2006 - 2010
BMC HealthNet Plan 2006 - 2007
Skills
Case Managment, Psychotherapy, Life Transitions, Mental Health, Group Therapy, Clinical Research, Crisis Intervention, Treatment, Clinical Supervision, Motivational..., Counseling Psychology, Healthcare Management, Medicaid, Behavioral Health, Social Services
Education
University of Massachusetts Boston, PMP program 2013 — 2013
Completed course work for certification, Project Management
Boston College 1995 — 1998
MSW, clinical social work
BMC HealthNet Plan November 2004 - Present
Southcoast Hospitals Group June 1981 - May 2004
Southcoast Health System & Southcoast Hospitals Group 1981 - May 2004
Skills
Nursing, Medical/Surgical, Disease Management, Medicaid, Case Management, Case Managment, Healthcare Management, Hospitals, Managed Care, Psychiatry
Education
BCC. Bridgewater 1979 — 1981
Associate of Science (AS), Registered Nursing/Registered Nurse
Bridgewater State University
BMC HealthNet Plan August 2004 - August 2006
Education
Boston College 1994 — 1996
MSW
Boston College 1991 — 1995
BA, Sociology
BMC HealthNet Plan May 2012 - Present
Tufts Health Plan June 2002 - May 2012
Skills
Health Insurance, Insurance, HIPAA, Managed Care, Medicaid, Health Policy, Process Improvement, Network Development, Public Speaking, Training, Healthcare, Healthcare Industry, Customer Service, Microsoft Excel, Microsoft Word, PowerPoint, Microsoft Office, Data Entry, Lotus Notes, Outlook, Call Centers, Claim, Call Center, Healthcare Management, HMO, Claims Resolution, Claim Investigation, Medical Terminology, Call Center Development, PPO, E-Learning, Instructor-led Training, Instructional Design, Camtasia
Education
Lesley University 2008 — 2012
Bachelor of Arts (B.A.), American Studies
J&G Inc May 2014 - Present
BMC HealthNet Plan February 2014 - May 2014
Automobile Insurers Bureau of Massachusetts March 2013 - June 2013
Enservio September 2011 - July 2012
Twins Enterprise, Inc June 2004 - September 2011
Skills
Desktop Administration, Wireless Networking, Remote Desktop, Cisco VPN, Microsoft Office 2007, Office 365, Windows 7, Windows XP Pro, Laptops, RDP, Active Directory, Networking, Desktop Support..., Software Installation, Hardware Testing, Active Directory..., Help Desk Support, XP, Windows Server, Troubleshooting, VMware, Backup & Restore, Mobile Device Management, ActiveSync, Vendor Relationships, Mobile Devices, Microsoft Servers, Virtualization, Blackberry Enterprise..., Backup Exec, Servers, Customer Service, Hardware, Microsoft Exchange, Account Management, Microsoft Excel, Leadership
Education
Boston University 2003 — 2004
Desktop Support Certification, Information Technology
BMC HealthNet Plan April 2002 - Present
Open Market 1998 - 2001
Digital Equipment Corporation 1983 - 1998
Skills
Data Warehousing, Healthcare Analytics, cognos, Microsoft SQL Server
Education
Bentley College 1984 — 1990
Bachelor of Science (B.S.), Computer Information Systems
BMC HealthNet Plan March 2010 - Present
Skills
Healthcare, Healthcare Management, Hospitals, Managed Care, Nursing, HIPAA, Medicaid, Medicare, Utilization Management, Mental Health
Education
St Lukes Hospital School of Nursing 1971 — 1974
Nursing, Registered Nursing/Registered Nurse
Well Sense Health Plan May 2015 - Present
Well Sense Health Plan February 2014 - May 2015
Xerox November 2013 - January 2014
BMC HealthNet Plan May 2013 - November 2013
NH Healthy Kids Corp. April 2003 - July 2012
Skills
Customer Service, Nonprofits, Medicaid, Managed Care, Team Building, Healthcare
Education
Loyola University of Chicago 1999 — 2000
University of NH 1995 — 1999
Bachelor of Arts (B.A.), Classics and Classical Languages, Literatures, and Linguistics
Members Plus Credit Union December 2012 - Present
BMC HealthNet Plan June 2012 - September 2012
TD February 2012 - July 2012
Skills
Banking, Credit, Loans, Commercial Banking, Consumer Lending, Financial Analysis, Mortgage Banking, Finance, Risk Management, Accounting
Education
Pine Manor College 2007 — 2009
Blue Hills Regional Technical School 2003 — 2007
Graphic Design
BMC HealthNet Plan September 2007 - Present
Education
Jefferson State Community College 1982 — 1984
Associate's degree, Registered Nursing/Registered Nurse, B