Fallon Community Health Plan
Industry: Health insurance company
DescriptionFounded in 1977, Fallon Health is a Worcester, Massachusetts-based provider of health insurance and health care services. In partnership with Weinberg Campus, Fallon Health also operates Fallon Health Weinberg, a health insurance company based in Amherst, New York. CEO: Richard P. Burke Headquarters: Worcester, Massachusetts, United States Chief compliance officer: James Gentile Chief medical officer: Carolyn Langer SVPs: James Gentile, Carolyn Langer, Jill Lebow, David Przesiek, Emily West Subsidiaries: Fallon Health & Life Assurance, Fallon Total Care Inc.
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Fallon Community Health Plan Employees
Vibram Group November 2014 - Present
BNY Mellon May 2012 - October 2014
BNY Mellon January 2012 - May 2012
MarketOne International May 2009 - October 2011
Fallon Community Health Plan March 2006 - March 2007
Public Sector Partners May 2004 - March 2006
Primary Mortgage Resource June 2001 - April 2004
Skills
Customer Service, Microsoft Office, Excel, Word, PowerPoint, Problem Solving, Administration, Event Planning, Outlook, Editing, Microsoft Word, Microsoft Excel, Community Outreach, Management, Marketing, Nonprofits, Public Speaking, Quality Assurance, Research, Software Documentation, System Administration, Time Management, Training, Data Entry, Administrative..., Access, Data Analysis, Office Management, Social Media, Telephone Skills, Windows, Lotus Notes, Team Building, Social Networking
Education
Boston Latin School 1997 — 2001
Diploma, College Prep Curriculum
Fallon Community Health Plan 2009 - Present
Education
Ashford University 2012 — 2016
Fallon Community Health Plan May 2008 - Present
Polar Beverages June 2004 - May 2008
Allmerica Financial August 1981 - June 2004
Skills
Access, Insurance, Analysis, Budgets, Data Analysis, Software Documentation, Process Improvement, Databases, Data Warehousing, Forecasting, Health Insurance, Strategic Planning, Microsoft Excel, Time Management, Market Research, Business Analysis, Microsoft Word, Medicaid, Healthcare, Microsoft Office, Requirements Analysis, Outlook, Research, Medicare, Analytics, PowerPoint, Database Administration, Marketing, HMO, Network Development, Database Design, Healthcare Industry, Provider Relations, Health Care Reform, Healthcare Analytics, SharePoint, SQL, PPO, Software Project..., Analysis Services, Training, Visio, HIPAA, Managed Care, Management
Education
Assumption College 2008 — 2011
Bachelor of Business Administration (B.B.A.), Accounting and Finance
Nichols College
Bachelor of Business Administration (B.B.A.), Accounting and Finance
Fallon Community Health Plan August 2010 - Present
UMass Memorial Medical Center August 2002 - November 2009
Ministry Health Care August 2000 - August 2002
Hays Medical Center August 1999 - August 2000
North Star Camp for Boys June 1999 - August 1999
Skills
Pediatric Intensive Care, Pediatric Nursing, Case Managment, Utilization Management, Utilization Review, Medicare, Nursing, Inpatient, Healthcare, Medicaid, Home Care, Quality Improvement, Healthcare Management, Microsoft Word, Healthcare Information..., Long-term Care, Elder Care, HIPAA, Healthcare Consulting, Healthcare Industry, Managed Care, Disease Management, Provider Relations, Case Management, Physician Relations, Meditech
Education
American Sentinel University, Denver 2011 — 2014
Master's Degree, Nursing - Case Management
Chamberlain College of Nursing-St Louis Campus 2010 — 2011
Bachelor of Science in Nursing (B.S.N.)
Quinsigamond Community College 1996 — 1999
Associate of Science in Nursing (A.S.N.)
Fairfield University 1985 — 1989
Bachelor of Arts (B.A.), Economics
Hanover Insurance July 2009 - Present
From the Heart January 2008 - Present
Lutheran Social Services of New England May 2000 - August 2006
Fallon Community Health Plan July 1997 - April 2000
Skills
Training, Management, Coaching, encourager, Communication, Coordination, Organization, Office Management, Love to Learn, Mentoring, Teaching, Listening to customers, Consulting, Nonprofits, Writing, women's ministry, Community Outreach
Education
Assumption College
International School of Brussels 1969 — 1971
HS Diploma
AVID Technical Resources February 2015 - Present
LeapFrog Systems June 2013 - November 2014
Cognizant Technology Solutions November 2011 - March 2013
Fallon Community Health Plan July 2011 - October 2011
Coldwell Banker Residential Brokerage December 2007 - February 2011
System Sanity Inc. July 2000 - September 2007
Sargent Manufacturing September 1998 - February 1999
Cigna Retirement and Investment Services January 1998 - May 1998
Southern New England Telephone September 1996 - December 1997
Bankers Trust March 1995 - June 1996
Skills
Visio, Microsoft SQL Server, Visual Basic, SharePoint, DB2, XML, JAD, Agile Methodologies, Oracle, UML, Use Case Analysis, Unix, HTML, SDLC, Requirements Analysis, SQL, Data Warehousing, Testing, Requirements Gathering, Software Project..., Integration, Quality Assurance, Business Analysis, Data Modeling, Database Design, Databases, Vendor Management, Project Management, Interface Specification, JavaScript, Web Applications, Access, .NET, Business Requirements, ASP.NET, Information Technology, Business Intelligence, Management, Consulting, Software Development, Enterprise Software
Education
Arizona State University 1981 — 1985
MBA, Computer Information Systems
California Institute of Integral Studies 1973 — 1975
MA, Counseling Psychology
Antioch University 1968 — 1972
BA, Communications
United HeathCare April 2015 - Present
Baystate Medicaid Services August 2014 - Present
Baystate Medicaid Services August 2014 - Present
Consulting Support Services, LLC June 2014 - July 2014
Fallon Total Care March 2013 - April 2014
Fallon Community Health Plan 2011 - March 2013
Rehabilitative Resources Inc 2010 - 2011
Skills
Computer Proficiency, Training, Teaching, Supervising, Health Insurance, Medicare, Medicaid, Managed Care, Healthcare, HIPAA, Hospitals, Provider Relations, PPO, Healthcare Management, Public Speaking, Community Outreach, Customer Service, Event Planning, Leadership, Marketing, Nonprofits, Insurance
Education
American Public University System 2011 — 2016
Master's degree, Public Health
Salter College-West Boylston 2009 — 2010
Associate's Degree, Medical Office Management/Administration
University of Massachusetts, Amherst 1997 — 2002
Bachelor of Science (BS), Apparel Marketing
TJX February 2014 - Present
Fallon Community Health Plan March 2013 - November 2013
Boston Scientific January 2011 - February 2013
OnProcess Technology June 2008 - December 2010
Plexus Corporation September 2006 - May 2008
Electronic Data Systems October 2005 - September 2006
Electronic Data Systems January 2005 - October 2005
Skills
Business Analysis, Software Documentation, Business Process, Program Management, Process Improvement, Project Management, Call Centers, Business Development, Analytics, Visio, Vendor Management, Cross-functional Team..., Business Intelligence, Access, Business Process...
Education
Bryant University 2002 — 2006
MBA, Business
College of the Holy Cross 1998 — 2002
BA, Major: Psychology; Minor: Economics
Fallon Community Health Plan June 2010 - Present
Fallon Health November 1998 - May 2010
MEDIA PLAY March 1996 - April 1999
Skills
Insurance, Customer Service, Health Insurance, Healthcare, Medicare, Medical Coding, Medical Billing, Retail, HIPPA, Medical Compliance
Education
Assumption College 2009 — 2010
Billing and Coding Certificate, Business Administration and Management, General
Assumption College
UnitedHealth Group March 2014 - Present
Apex Systems January 2014 - March 2014
Fallon Community Health Plan December 2010 - December 2013
CVS Caremark Corporation June 2009 - November 2010
The Hanover Insurance Group July 2007 - April 2009
Spencer Technologies September 2006 - July 2007
3Com Corporation June 2005 - November 2005
3Com Corporation June 2000 - June 2005
3Com September 1999 - June 2000
Fidelity Investments June 1999 - September 1999
Skills
Project Management, CRM, Siebel, SAP, IVR, Portals, Process Simulation, Business Analysis, Process Improvement, Visio, Vendor Management, Software Documentation, Program Management, Call Center, Requirements Analysis, Call Centers, Business Process, Integration, SDLC, Cross-functional Team..., Analysis, Testing, Databases, Business Requirements, Requirements Gathering, Business Intelligence, PMP, Data Warehousing, Systems Analysis, IT Strategy, SQL, Disaster Recovery, Information Technology, User Acceptance Testing, Business Objects, Waterfall, SharePoint, Access, PMO, Crystal Reports, Enterprise Architecture, Project Planning, Management, Training, Software Project..., Business Process...
Education
University of Massachusetts, Amherst 1993 — 1996
B.A., Political Science
Bay Path University 1992 — 1993
Paralegal Studies
Fallon Community Health Plan November 2012 - Present
Fallon Community Health Plan November 2010 - November 2012
Fallon Community Health Plan March 2008 - December 2010
Fallon Community Health Plan May 2002 - March 2008
Fallon Community Health Plan April 2000 - March 2003
Golub Corporation June 1992 - May 2000
Skills
Health Insurance, Medicare, Insurance, Process Improvement, Healthcare, Customer Service, Management, Training, Analysis, Strategy, Leadership, Project Planning, Employee Benefits, New Business Development, Organizational...
Education
Becker College 1992 — 1996
BS, Legal Study
Villanova University
Certification, Project Management
Fallon Community Health Plan March 2012 - May 2012
GBS Insurance Agency, Inc., Webster, MA 01501 June 2008 - July 2010
Delta Dental of Rhode Island, Providence, RI 02904 December 2004 - June 2008
Harvard Pilgrim Health Care December 1990 - November 2004
MetLife, North Attleboro, MA April 1989 - November 1990
Education
Johnson & Wales University 1991 — 1993
MBA, International Business
Johnson & Wales University 1988 — 1991
BS, Management
Bryant University 2005 — 2005
Certificate, Six Sigma - Green Belt Certification
Fallon Community Health Plan January 2009 - Present
Travelers January 2002 - January 2009
Education
Assumption College 2002 — 2005
Certificate, Paralegal Studies
University of Colorado Boulder 1990 — 1993
Bachelor's, Spanish
University of Colorado Boulder 1990 — 1993
Bachelor's, Environmental Studies
ikaSystems April 2015 - Present
Fallon Community Health Plan November 2012 - Present
SeaChange International February 2012 - October 2012
Sunovion Pharmaceuticals Inc. January 2011 - December 2011
Waters Corporation July 2010 - January 2011
Iron Mountain Digital October 2007 - May 2010
RSA, The Security Division of EMC April 1999 - October 2007
CogniMed, Inc February 1999 - April 1999
Compaq Computer Corporation June 1998 - January 1999
Qualis Research Associates October 1998 - December 1998
Skills
RoboHelp, Software Documentation, Technical Communication, Procedural Documentation, Technical Writing, Technical Documentation, FrameMaker, Manuals, Content Management, Testing, Online Help, Adobe Acrobat, Cross-functional Team..., Scrum, Quality Assurance, Editing, HTML, Dreamweaver, SharePoint, DITA, Single Sourcing, XML, Agile Methodologies, MS Project, Captivate, User Experience, Requirements Analysis, Web Content, Usability, MadCap Flare, JIRA, CMS, Visio, SnagIt, SDLC, Usability Testing, Guides, WebWorks
Education
University of Massachusetts, Amherst 1998 — 1999
Certificate, Technical Writing
Anna Maria College 1979 — 1983
Bachelor, Accounting; Liberal Arts
Millbury Savings Bank April 2007 - Present
Fidelity Investments September 1999 - April 2007
Fallon Community Health Plan June 1997 - September 1999
Paul Revere Insurance Group October 1995 - April 1997
Greenberg, Rosenblatt, Kull & Bitsoli, P.C. May 1992 - October 1995
Skills
Marketing Strategy, Marketing Communications, Copywriting, Direct Marketing, Product Management, Vendor Relations, Public Relations, Corporate Communications, Internal Communications, Strategic Communications, Brand Development, Integrated Marketing, Online Marketing, Digital Marketing, Segmentation, Email Marketing
Education
Boston University 1986 — 1990
B.S., Journalism
Millbury Memorial High School 1982 — 1986
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
CTG Health Solutions November 2014 - Present
Fallon Community Health Plan October 2011 - Present
EHR Concepts April 2012 - May 2013
EHR Concepts October 2011 - May 2013
UMass Memorial Medical Center August 2006 - October 2011
UMass Memorial Medical Center July 1995 - August 2006
Skills
EHR, Healthcare Information..., EMR, HIPAA, Healthcare, Ambulatory, Hospitals, Healthcare Management, CPOE, Practice Management, Medical Terminology, Clinical Workflow, Inpatient, Patient Safety, Go Live Support, GoLive, EMR Training, Software Documentation, Dragon Naturally..., Nursing, Medical Technology, Medical Billing, IDX, Medical Coding, Health Information..., Software Implementation, Healthcare Consulting, Training, HL7, Revenue Cycle, Ambulatory Care, Health Information..., NextGen, Healthcare Industry, ICD-10, ICD-9, Documentations, End User Training, Crystal Reports, Cpr Certified, CPT, Interfaces, Soarian Clinicals, Consulting, Citrix, Clinical Research, Healthcare Information..., eRx, Enterprise Software, Hands-on Training
Education
Quinsigamond Community College 2008 — 2010
RN, Nursing, 3.82
Assumption College 1992 — 1995
Associate's degree, Health/Health Care Administration/Management, 4.0
Literacy Volunteers of South Central Massachusetts November 2011 - Present
Southbridge Redevelopment Authority 2008 - Present
Literacy Volunteers of South Central Mass 2009 - 2010
Fallon Community Health Plan 2007 - 2009
Fallon Community Health Plan 2006 - 2007
Literacy Volunteers of the Tri-Community 2004 - 2005
Fallon Healthcare System 2000 - 2003
Saint Vincent Hospital 1993 - 2000
Fallon Clinic 1991 - 1993
Commerce Insurance Company 1983 - 1988
Skills
Training, Employee Benefits, Recruiting, Human Resources, Fundraising, Editing, Program Management, Deferred Compensation, Software Documentation, Budgets, Personnel Management, FMLA, Disability Insurance, Grants, Nonprofits, Leadership, Policy, Event Planning, Team Building, Administration, Public Speaking, Process Improvement, Employee Relations, Talent Acquisition, Project Management, Volunteer Management, Microsoft Excel, System Administration
Education
Assumption College 1998 — 2000
Certificate, Human Resources Management
Framingham State University
Elementary Education
Worcester State College
BA, English
Boles Group March 2014 - July 2014
Celerity November 2013 - February 2014
Dell@Harvard Pilgrim November 2012 - November 2013
APC /Schneider - Electric May 2012 - October 2012
KForce @ Fallon 2011 - 2012
Fallon Community Health Plan 2011 - 2012
Raytheon October 2009 - November 2009
State Street September 2008 - May 2009
Robert Half 2008 - 2009
Market America 2008 - 2009
Education
University of Massachusetts Dartmouth 1972 — 1974
BS MAN, Business Management
Bristol Community College 1970 — 1972
Assoc . Business Management, Management
Green Belt, Villanova University
Villanova University
Master's Certificate, Project Management
Fallon Community Health Plan Executive Director, NaviCareFallon HealthFebruary 2014 - Present
Fallon Community Health Plan May 2011 - May 2012
Senior Living Residences October 2008 - May 2011
Senior Living Residences 2008 - 2009
Gold Star Guardians October 2003 - October 2008
Skills
Community Outreach, Healthcare, Elder Care, Non-profits
Education
Boston College 2001 — 2004
Masters, social work
Brandeis University 1997 — 2000
Bachelors, Psychology/ Sociology
National Grid October 2009 - Present
WWB Properties 2003 - Present
National Grid April 2008 - October 2009
National Grid September 2005 - April 2008
National Grid September 1995 - September 2005
Fallon Community Health Plan March 1992 - September 1995
Multibank Service Corp March 1988 - March 1992
Citizens Bank May 1986 - March 1992
Paul Revere Insurance July 1983 - May 1986
Skills
Smart Grid, Risk Management, Energy, Internal Audit, Management, NERC, Internal Controls, Auditing, Project Planning, Governance, Business Analysis, PeopleSoft, Project Management, Security, Program Management, Business Process, Vendor Management, SDLC, Process Improvement, Sarbanes-Oxley Act, Analysis, Training, Leadership, Information Technology, Business Process..., Financial Risk, Sarbanes-Oxley, Testing, Electricity Markets, Change Management, Utility Industry, Demand Response, Electric Power, CIP
Education
Nichols College 1979 — 1983
BSBA, Management Information Systems
Boston University
Certificate, Project Managment
Fallon Community Health Plan December 2012 - Present
Fallon Community Health Plan 2004 - December 2012
Aggregate Industries January 1997 - May 2004
Concrete Service 1997 - 2004
Fallon Community Health Plan 1993 - 1997
Skills
Employee Benefits, Strategic Planning, Market Research, Health Insurance, Market Analysis, Marketing, Marketing Strategy, New Business Development, Market Intelligence, Insurance, Analysis, Competitive Intelligence, Data Analysis, Managed Care, Analytics, Competitive Analysis, Healthcare, Management, Process Improvement, Business Analysis
Education
Boston University Questrom School of Business 1991 — 1993
MBA, Health Care
Hobart and William Smith Colleges 1987 — 1991
BA, Economics and Sociology
Worcester Academy 1983 — 1987
Fallon Community Health Plan August 2014 - Present
Visiting Nurse Association & Hospice of Northern Berkshire October 2010 - March 2014
Berkshire Visiting Nurse Association April 2002 - October 2009
Visiting Nurse Association & Hospice of Northern Berkshire 1986 - 2001
Skills
Medical Records, Quality Improvement, Infection Control, Healthcare, Nursing, Internal Audit, Health Education, Home Care, CPR/AED certified, Patient Advocacy, Patient Education, Patient Safety, Medical Coding
Education
Boston University 1975 — 1979
Bachelor of Science in Nursing (BSN), Registered Nursing/Registered Nurse
Fallon Community Health Plan February 2012 - Present
LL Bean Outdoor Discovery School May 2011 - Present
LL Bean December 2008 - Present
LogixHealth October 2010 - February 2012
AthenaHealth December 2003 - February 2009
Neighborhood Health Plan August 2003 - November 2003
ValueOptions November 2001 - March 2003
Beacon Health Strategies November 1999 - October 2001
Harvard Pilgrim Health Care 1996 - 1999
Skills
Microsoft Excel, Project Management, Microsoft Word, Training, Manuals, Process Improvement, HIPAA, Customer Service, Data Analysis
Education
Bunker Hill Community College 1984 — 1988
A.S., Business Administration
Saugus High School 1981 — 1984
Self-employed February 2014 - Present
Lifespan/Physicians Professional Service Orgnaization 1997 - 2014
Fallon Community Health Plan 1988 - 1997
Skills
Healthcare, Healthcare Management, Medicine, Hospitals, Public Health, Clinical Research, Medical Education, Healthcare Information..., EMR, Healthcare Consulting, Physicians, Patient Safety, Strategic Planning, Public Speaking, EHR
Education
Boston University School of Medicine 1973 — 1977
Doctor of Medicine (MD)
Boston University 1969 — 1973
Bachelor's degree, Mathematics
Fallon Community Health Plan January 2008 - Present
Fallon Clinic 1998 - 2006
Saint Vincent Hospital 1994 - 2000
Skills
Recruiting, Talent Acquisition, Technical Recruiting, Internet Recruiting, Benefits Negotiation, Healthcare recruiting
Education
Assumption College 2005 — 2007
Human Resource Management
Quinsigamond Community College 1982 — 1984
Business
Holy Name
Fallon Health September 2014 - Present
Fallon Health March 2014 - October 2014
Fallon Community Health Plan May 2012 - March 2014
Skills
Access, SAS programming, Data Analysis, Medicare Advantage, Health Insurance, Risk Adjustment, Business Objects, Microsoft Office, Visio, Business Intelligence, Insurance, Customer Service, Process Improvement, Business Analysis, Microsoft Excel, Financial Risk, Management, Analysis
Education
Assumption College 2012 — 2014
Master of Business Administration (MBA), Accounting and Finance, Economics
College of the Holy Cross 2005 — 2009
Competitve Goals Hockey Training August 2010 - Present
Rigali Roofing & Exteriors October 2013 - Present
John Dillon explosive power skating March 2003 - Present
Assistant Laccrose 2013 - 2013
Marian highschool November 2012 - 2013
U.S Reflectors May 2011 - July 2012
Egg Rock May 2009 - August 2009
Fallon Community Health Plan May 2008 - August 2008
Skills
Sports, Sports Management, Sports Marketing, Athletics, Scouting, Sports Coaching, Hockey, Event Management, Coaching, Microsoft Excel, Microsoft Word, Advertising, Sales, Fundraising, Marketing, Market Research, Event Planning, Social Networking, Customer Service, Leadership, Microsoft Office, PowerPoint, Time Management
Education
Becker College 2010 — 2015
Bachelor’s Degree, Marketing and management Concetration
Staples October 2014 - Present
Randstad Technologies US June 2012 - October 2014
Fallon Community Health Plan January 2011 - May 2012
Biogen Idec August 2010 - January 2011
Workscape, Inc. September 2006 - August 2010
SunGard Insurance Systems October 2000 - September 2006
W. A. Wilde Company September 1996 - October 2000
Skills
PMP, SDLC, Software, Software Project..., Project Management, Risk Management, Managing Meetings, MS Project, Project Planning, Project Execution, Process Improvement, Communication, Project Status Reporting, Business Process..., SharePoint, Customer Satisfaction, Managing Deliverables, Deadline Driven, Manage Client..., Team Leadership, Business Analysis, Requirements Gathering, Requirements Analysis, Budget Management, Vendor Management, Databases, Resource Management, SaaS, Scrum, Enterprise Architecture, IT Strategy, Budgets
Education
Worcester Polytechnic Institute 2006 — 2009
Certificate, Project Management
Bucks County Community College
Associate's Degree, Liberal Arts
St. Vincent Hospital at WMC July 2008 - Present
Fallon Community Health Plan 2005 - 2008
FCHP 2005 - 2008
Athol Memorial Hospital 2000 - 2005
St. Vincent Hospital 1996 - 2000
Skills
Human Resources, Employee Relations, Recruiting, Applicant Tracking..., Healthcare, Leadership, Nursing, Hospitals, HIPAA, Healthcare Management, Process Improvement, Healthcare Information..., Clinical Research, Policy, EMR, New Hire Orientations, Acute Care, Job Fairs, BLS, Benefits Administration, Personnel Management, College Recruiting, Meditech, Managed Care
Education
Worcester State University 1994 — 1996
Business Administration
Johnson & Wales University 1992 — 1994
Business Administration
Assumption College
Massachusetts Executive Office of Health & Human Services March 2015 - Present
Epstein Becker & Green, P.C. February 2008 - February 2015
Fallon Community Health Plan February 2008 - February 2015
MA Attorney General's Office 2002 - 2008
Republic of Palau 1998 - 1999
U.S. Department of Justice, Antitrust Division 1991 - 1998
Fried Frank 1987 - 1991
Education
American University Washington College of Law 1984 — 1987
Doctor of Law (JD)
Colgate University 1977 — 1981
BA, International Relations
Fallon Community Health Plan 2010 - Present
Astrazeneca R&D January 2006 - March 2009
AstraZeneca R&D February 2005 - January 2006
AstraZeneca R&D February 2003 - February 2005
astrazeneca November 1999 - January 2003
Boston Financial Data Systems July 1996 - September 1999
Skills
ITIL, Incident Management, Change Management, Service Delivery, Problem Management, Configuration Management, Help Desk Support, CRM, Supply Management, IT Management, Software Documentation, SharePoint, Vendor Management, Disaster Recovery, Project Management, Business Analysis, IT Service Management, Active Directory, Troubleshooting, Process Improvement, Service Management
Education
Bryant University
Business Administration, Management, Economics, Accounting, English, Communications, Psychology, Mathematics, others
Heritage Senior Living January 2014 - Present
Presbyterian Senior Living December 2011 - December 2013
Bringing Elder Care Home May 1999 - December 2011
LoJack Corporation 2009 - 2010
Bringing Elder Care Home May 1998 - September 2009
VNA Private Care August 2006 - May 2009
Evercare, a division of United Health Care September 2004 - August 2006
Bringing Elder Care Home January 1999 - August 2006
Fallon Community Health Plan May 1997 - September 2000
Visiting Nurse Affiliates of Cambridge 1990 - 1995
Skills
Executive Management, Strategic Planning, Marketing Strategy, Healthcare, Team Building, Fundraising, Business Development, Start-ups, Public Speaking, Leadership, Program Management, Business Planning, Management, Event Planning, Marketing, Community Outreach, Elder Care, Nonprofits, Program Development, Public Relations, Budgets, Social Media, Contract Negotiation, Grants, Research, Medicare, Customer Service, Hospitals, Training, Grant Writing, Staff Development, Policy, Media Relations, Case Managment, Leadership Development, Organizational..., Project Planning, Teaching, Healthcare Consulting, Medicaid, Sales, Seniors, Volunteer Management, Managed Care, Community Development, Healthcare Management, Home Care, Long-term Care, Human Resources, Healthcare Industry
Education
Boston University 1974 — 1976
MA, Urban Affairs
Saint Peter's University 1968 — 1972
BS, Urban Studies and English
Saint Vincent Hospital February 2008 - Present
Life Care Center of Auburn 2007 - 2008
Fallon Community Health Plan 1996 - 2005
Skills
Medical/Surgical, Telemetry, Nursing, Healthcare, Hospitals, Customer Service, Cardiac, Acute Care, Medicare, CPOE, Healthcare Management, Wound Care, BLS, ACLS, EKG, Direct Patient Care, IV, Inpatient, Meditech
Education
Becker College 2004 — 2006
Associates, Nursing
University of Massachusetts, Amherst 1992 — 1996
Bachelor of Science (B.S.), Biology, General
Northeastern University 1990 — 1992
ValueOptions May 2006 - Present
Fallon Community Health Plan January 1998 - March 2006
Fallon Clinic 1987 - 1997
Skills
Healthcare, Clinical Research, Medicaid, Medicare, Treatment, Hospitals, Healthcare Information..., Quality Improvement, HIPAA, Family Therapy, Psychotherapy, Home Care, Public Health, Health Insurance, Behavioral Health, Case Management, Program Development, Healthcare Management, Social Services, Mental Health
Education
Worcester State University 1972 — 1977
Bachelor's degree, Psychology and English
Anna Maria College
Masters Counseling Psych
Project Management Institute September 2013 - Present
Project Management Institute November 2007 - August 2013
International Institute of Buffalo 2003 - 2007
Rich Products September 2002 - February 2006
Boston Scientific May 1998 - May 2002
The Frontier Group 1996 - 1998
Fallon Community Health Plan 1991 - 1996
Skills
Strategic Communications, Communication Training, Corporate Communications, Marketing, Copywriting, Marketing Communications, Strategic Planning, Cross-functional Team..., Public Relations, Strategy, Mergers & Acquisitions, Internal Communications, Communications..., Thought Leadership, Integrated Marketing, Brand Management, Digital Marketing, Email Marketing, Content Management, Media Relations, Crisis Communications, Project Management
Education
Boston University 1992 — 1995
M.S., Mass Communication
University of Iowa 1982 — 1987
B.S., Journalism
Pegasystems, Inc. October 2014 - Present
Assumption College January 2013 - Present
Stowe & Degon LLC May 2013 - October 2014
Fallon Community Health Plan October 2007 - May 2013
Association of Certified Fraud Examiners - Rhode Island Chapter August 2009 - July 2012
Hanover Insurance Company September 2006 - October 2007
Sansiveri, Kimball & McNamee, LLP March 2003 - August 2006
Hanover Insurance Company/Allmerica Financial December 1995 - March 2003
Hanover Insurance Company/Allmerica 1995 - 2003
Allmerica Financial 1995 - 2003
Skills
Implementation and..., Corporate Fraud..., Testifying in civil and..., Internal Audit, Forensic Accounting, Litigation Support, Leadership, Finance, Management, Business Process, Training, Insurance, Investigation, Claim, COSO, Accounting, Financial Reporting, Process Improvement, Management Consulting, Testimony, Certified Fraud Examiner, Business Continuity, Civil Litigation, Strategic Financial..., Business Analysis, Account Reconciliation, Risk Management, Data Analysis, Financial Risk, Financial Analysis, Medicare, Model Audit Rule, General Ledger, Analysis, Criminal Investigations, Business Process...
Education
Assumption College 2007 — 2012
Master of Business Administration (MBA), Concentration: Management, 4.0
Assumption College 1986 — 1990
BA, Accounting and Communications
Auburn High 1982 — 1986
General college prep.
Fallon Community Health Plan November 2012 - Present
Boston College August 2010 - November 2012
Walmart May 2010 - August 2010
State Street July 2005 - December 2008
State Street October 2000 - June 2005
State Street May 1992 - February 1996
GTE July 1991 - April 1992
CSC April 1986 - May 1991
NEC 1984 - April 1986
Naval Postgraduate School 1982 - 1984
Skills
PMP, Agile, Risk Management, SDLC, Lean Initiatives, MS Project, MS Office Suite, Mainframe, COBOL, PL/1, DB2, CICS, Project Management, Resource Allocation, User Requirements, Functional..., IBM Mainframe, TSO, MVS, JCL, VSAM, HTML, SharePoint
Education
Quality & Productivity Solutions, Inc.
PMP, Lean Six Sigma, Agile, Risk Management
Bentley University
Bachelor of Science, Computer Information Systems
North High School
CRC Health Group August 2013 - May 2015
Fallon Community Health Plan October 2009 - February 2012
Catasys September 2006 - September 2009
Hythiam, Inc March 2006 - September 2009
Hythiam, Inc March 2006 - September 2009
Empire Psychological Services May 1996 - February 2006
Spectrum Health Systems, Inc. January 1998 - January 2000
Quinsigamond Community College 1999 - 1999
Devereux 1995 - 1998
St. Vincent's Hospital Division of Alcohol & Drug Services 1995 - 1996
Skills
Behavioral Health, Mental Health, Program Development, Case Management, Healthcare, Training, Strategic Planning, Clinical Research, Case Managment, Healthcare Management, Community Outreach, Coaching, Treatment, Psychotherapy, Nonprofits, Medicaid, Motivational..., Crisis Intervention, Mental Health Counseling, Medicare, Public Speaking, Disease Management, Team Building, Executive Coaching, Hospitals, Leadership Development, Healthcare Information..., Disabilities, Non-profit..., Group Therapy, Psychological Assessment, Psychology, Program Evaluation, Adolescents, Family Therapy, Workshop Facilitation, Behavioral Problems, CBT, Staff Development, PowerPoint, Organizational..., Vocational..., Wellness, Pervasive Developmental..., Marketing Strategy, Product Marketing, Marketing Communications
Education
Hypnosis Motivation Institute 2015 — 2015
Clinical Hypnotherapist
Wilmington National University 2002 — 2004
Master of Business Administration (MBA), Organizational Behavior Studies
California Southern University 1997 — 2000
Doctor of Psychology (Psy.D.), Clinical Psychology, 3.94 GPA
Assumption College 1995 — 1996
Certificate of Advanced Graduate Studies, Vocational Rehabilitation Counseling
Assumption College 1994 — 1996
Master of Arts (M.A.), Vocational Rehabilitation Counseling/Counselor
Albertus Magnus College 1988 — 1992
Bachelor of Arts (B.A.), Psychology and Sociology
Fallon Community Health Plan October 2011 - Present
Central Mass Dance Academy/Karon Shea Model Management August 2009 - Present
Younique by Carla September 2014 - September 2015
Assumption College November 2006 - January 2011
New England Eye Clinic February 2005 - November 2006
Spectrum Health Systems, Inc. September 2001 - December 2004
UMass Memorial Medical Center May 1993 - September 2001
Skills
Event Planning, Customer Service, Management, Access, PowerPoint, Social Media, Microsoft Office, Time Management, Microsoft Excel, Team Building, Leadership, Event Management, Community Outreach, Marketing, Administrative..., Project Management, Social Networking, Healthcare, Human Resources, Windows, Team Leadership, Inventory Management, Administration, Microsoft Word, Research, Invoicing, Payroll, Project Planning, Budgets, Social Media Marketing, Accounts Payable, Teaching, Data Analysis, Accounts Receivable, Program Management, Information Technology, Healthcare Information..., QNXT
Education
Assumption College
Fitchburg State College
CDR Associates, a Xerox Company April 2015 - Present
UnitedHealthcare June 2013 - April 2015
Fallon Community Health Plan March 2013 - May 2013
Consumer United February 2013 - March 2013
eHealthInsurance June 2012 - January 2013
Boston University South Campus Residence Hall Association September 2010 - May 2012
Casa Esperanza, Inc. June 2011 - April 2012
Boston University Office of Financial Assistance September 2008 - April 2012
Casa Esperanza, Inc November 2010 - March 2011
Boston University West Campus Residence Hall Association January 2010 - May 2010
Skills
Microsoft PowerPoint, Microsoft Word, Customer Service, Event Planning, Sales, Medicare, Spanish, Social Networking, Public Speaking, Microsoft Excel, PowerPoint, Leadership, Insurance, Management, Training, Marketing, Budgets, Entrepreneurship, Teaching, Nonprofits
Education
Boston University - School of Management 2008 — 2012
Bachelor of Science (BS), Business Administration and Management
Clinton High School 2004 — 2008
High School Diploma, General Education
St Vincent Hospital July 2013 - Present
Fallon Community Health Plan September 2008 - Present
Heywood Hospital September 2006 - September 2008
St. Vincent Hospital May 1969 - September 2006
Skills
Case Management, Nursing, Healthcare, Hospitals, Clinical Research, Home Care, Disease Management, ACLS, ICU, Medicaid, IV, Utilization Review, Acute Care, Healthcare Management, Medicare, Patient Safety, Inpatient
Education
Worcester State College 2004 — 2007
Master of Science (MS), Healthcare Administration
Anna Maria College 1996 — 1998
BSN, Registered Nursing/Registered Nurse
The BizPal Company May 2014 - Present
Delaware Life July 2014 - September 2015
Millennium Consulting February 2014 - May 2014
Fallon Community Health Plan November 2008 - November 2013
UMass Memorial Medical Center November 2007 - November 2008
Commerce Insurance Company January 2003 - November 2007
SAIC September 2000 - January 2003
Commerce Insurance Company November 1997 - March 2000
Hanover Insurance September 1993 - April 1997
The Paul Revere Life Insurance Company March 1990 - September 1993
Skills
Leadership, Business Strategy, IT Strategy, Ability to bring a..., Critical Thinking, Strategic Planning, Digital Strategy, Vision Creation, Strategic Vision, Decisiveness, Visionary, Vision Development, Strategic Thinking, Team Building, Visionary Thinking, Business Management, Process Improvement, Business Analysis, Requirements Analysis, Team Leadership, Data Analysis, Dealing with Ambiguity, Communication Skills, Project Management, Sales, Problem Solving, Pitching Ideas, Cross-team Collaboration, Hit the Ground Running, Directing Others, Fast Learner, Strategic Consulting, Consulting, Management Consulting, Software Consulting, Social Media, Business Planning, Writing, SWOT analysis, Cost Benefit Analysis, Entrepreneurship, Ability to quickly..., Intrapreneurial, Technology Skills, Business Acumen, Trend Researching, Researching New..., Management, Strategy, Vendor Management
Education
Bay Path University 2008 — 2011
MBA, Entrepreneurial Thinking & Innovative Practice
Nichols College 1990 — 1994
Bachelor of Science (B.S.), Business Administration with Management Information Systems Specialization
Becker Junior College 1980 — 1980
Paralegal Certificate
SHS
SHS
Royale Care Inc March 2012 - Present
Fallon Community Health Plan September 2009 - 2011
Webster Five Cents Savings Bank June 2005 - May 2008
Skills
Microsoft Office, PowerPoint, Microsoft Word, Microsoft Excel, Customer Service, Outlook, Event Planning, Administrative..., Office Management, Public Speaking, Data Entry, Research, Event Management, Non-profits, Process Scheduler
Education
Becker College 2012 — 2015
Bachelor of Applied Science (B.A.Sc.), Registered Nursing/Registered Nurse
Doherty Memorial High School
Fallon Health September 2015 - Present
Fallon Health September 2013 - Present
Fallon Health July 2012 - September 2013
Central Phlebotomy Service, Inc. May 2008 - July 2013
City of Worcester July 2011 - September 2011
Abercrombie & Fitch May 2009 - August 2009
Fallon Community Health Plan May 2006 - September 2006
Skills
Technical Writing, Documentation, Data Entry, Document Design, Group Presentations, Managing Groups, Medical Terminology, Medical Billing, Medical Records, HIPAA, Healthcare, Insurance, Teamwork, Customer Satisfaction, Managed Care, Provider Relations, Health Insurance, Healthcare Industry
Education
Assumption College 2008 — 2012
BS, Business Administration and Management, General
Notre Dame Academy 2004 — 2008
High school
Adelante Worcester May 2014 - Present
Fallon Community Health Plan March 2009 - Present
Hispanic-American Chamber of Commerce April 2013 - December 2013
Fallon Community Health Plan July 2006 - March 2009
United Way of Central Massachusetts May 2002 - July 2006
Centro Las Americas 2000 - 2002
Skills
Health Insurance, Insurance, Employee Benefits, Customer Service, Microsoft Office, Strategic Planning, Project Management, Healthcare, Microsoft Excel, Public Relations, Marketing Communications, Data Analysis, Team Building, Event Management, PowerPoint, Account Management
Education
Anna Maria College 2012 — 2015
Master of Public Administration (M.P.A.), Health/Health Care Administration/Management
Worcester State University 1997 — 2002
BS, Sociology and Urban Studies
Fallon Health September 2013 - Present
Fallon Community Health Plan November 2010 - Present
Fallon Community Health Plan January 2005 - November 2010
Skills
Team Building, Organization, People Skills, Presentations, Insurance, Managed Care, Medicaid, Customer Service, Process Improvement, Provider Relations, Employee Benefits
Education
Becker College 1996 — 1996
Associate's degree, Business Administration and Management, General
Worcester State College
Fallon Community Health Plan September 1987 - Present
FCHP February 1982 - 1987
Skills
Insurance, Employee Benefits, Account Management, Health Care Reform, Medicare, Disability Insurance, Underwriting, Customer Service, Medicaid, Healthcare, Sales, New Business Development, Sales Presentations, Strategic Planning, Direct Sales
Education
Bridgewater State College 1978 — 1980
Social Work
Quinsigamond Community College 1976 — 1978
Fallon Community Health Plan October 2008 - July 2014
Blue Cross Blue Shield of Massachusetts 1980 - 2007
Skills
Health Insurance, Healthcare, Medicare, Managed Care, Insurance, Process Improvement, Healthcare Information..., Vendor Management, HIPAA
Education
Boston College - Carroll School of Management
Master of Business Administration (MBA)
University of Notre Dame
Bachelor's degree
Fallon Community Health Plan September 2012 - Present
Fallon Community Health Plan September 2011 - September 2012
Fallon Community Health Plan July 2009 - September 2011
United States Department of Treasury February 2007 - December 2007
Healey for Governor Committee August 2006 - December 2006
Office of Governor Mitt Romney, Commonwealth of Massachusetts January 2006 - August 2006
Office of Governor Mitt Romney, Commonwealth of Massachusetts March 2004 - January 2006
Office of Governor Mitt Romney, Commonwealth of Massachusetts January 2003 - March 2004
Romney for Governor 2002 May 2002 - December 2002
Skills
Program Management, Project Management, Business Analysis, Process Improvement, Strategic Planning, Public Policy, Vendor Management, Leadership, Healthcare, Cross-functional Team..., IT Strategy, Marketing, Analysis, Data Analysis, Integration, Strategy, Change Management, Business Intelligence, Requirements Analysis, Requirements Gathering, Advance Planning
Education
Boston University Questrom School of Business 2007 — 2009
MBA, Concentrations in Finance and Strategy/Business Analysis
University of Maryland - Robert H. Smith School of Business 1998 — 2001
BS, Transportation/Logistics and Marketing
CuraMedica, LLC 2006 - Present
Fallon Community Health Plan November 2012 - July 2013
Fallon Community Health Plan February 2011 - November 2012
Worcester Art Museum 2003 - 2006
Assumption College 2002 - 2006
Skills
Event Planning, Fundraising, Non-profits, Public Speaking, Volunteer Management, Microsoft Office, Community Outreach, Social Media, Recruiting, Customer Service, Strategic Planning, Program Development, Nonprofits, Training, Coaching
Education
Assumption College 1982 — 1986
BA, Business Management
Anna Maria College
MBA
Send Out Cards - Independent Distributor February 2008 - Present
Fallon Community Health Plan 2006 - Present
Reliv International 2002 - Present
Nerium International February 2013 - March 2014
Florence Sawyer School in Bolton, MA September 2010 - March 2014
Skills
Healthcare, Nutrition, Health, Wellness, Program Development, Public Speaking, Marketing Research, Wellness Coaching, Fitness, Coaching, Product Marketing, Small Business, Management, Clinical Research, Event Planning, Skin Care, Entrepreneurship, Customer Service, Leadership Development, Marketing, Fundraising, Social Networking, Team Building, Nonprofits, Training
Education
Assumption College 1996 — 2001
MBA, Concentration in International Business
Northeastern University 1964 — 1978
BS Health Science, Medical Technology
Tufts Health Plan Network Health January 2014 - Present
Aetna November 2011 - December 2013
Aetna May 2010 - November 2011
Aetna February 2009 - May 2010
APS Healthcare January 2005 - February 2009
Fallon Community Health Plan 2001 - 2004
Medspan Health Options 2000 - 2001
Tufts Health Plan 1995 - 2000
Chartwell Home Therapies 1992 - 1994
Tokos Medical 1987 - 1992
Skills
Managed Care, Disease Management, Utilization Management, Medicare, Case Managment, HIPAA, Healthcare, Health Insurance, HMO, Healthcare Information..., Healthcare Management, Healthcare Consulting, Clinical Research, Health Policy, Medicaid, Program Management, EHR, Home Care, Informatics, Hospitals, EMR, Nursing, Health Education, Public Health, Healthcare Industry, Physician Relations, Medicine, Quality Improvement, Provider Relations, Wellness, Behavioral Health, Case Management
Education
Boston University 1983 — 1987
MS, Nursing
University of Massachusetts, Amherst 1979 — 1983
BSN, Nursing
James Madison High School 1976 — 1979
Diploma
Fallon Community Health Plan September 2011 - Present
YWCA Central Massachusetts September 2012 - Present
Ecotarium August 2012 - Present
Worcester County District Attorney's Office April 2005 - August 2011
Skills
Non-profits, Public Policy, Community Outreach, Fundraising, Public Speaking, Media Relations, Public Relations, Strategic Communications, Event Planning, Volunteer Management, Community Development, Strategic Planning, Program Development, Healthcare, Press Releases, Event Management, Legislative Relations, Policy, Nonprofits, Political Campaigns, Speech Writing, Policy Analysis
Education
Suffolk University Law School 1998 — 2001
J.D.
American University 1994 — 1998
BA, International Studies
Fidelity Investments August 2015 - Present
Fallon Community Health Plan (FCHP) January 2014 - August 2015
Fallon Community Health Plan February 2013 - December 2013
Fallon Community Health Plan October 2011 - February 2013
The Sole Proprietor June 2007 - October 2011
Worcester Restaurant Group June 2007 - October 2011
Smith & Jones Idea Agency January 2011 - April 2011
Skills
•QNXT, Microsoft..., Insurance, Research, Competitive Analysis, Managed Care, Health Insurance, HIPAA, Healthcare Information..., Healthcare, Medicare, Healthcare Management, Medicaid, Customer Service, Provider Relations, Hospitals, Account Management, Software Documentation, Data Entry
Education
Worcester State College 2012 — 2014
Master of Science (MS), Health/Health Care Administration/Management
Assumption College 2007 — 2011
Bachelors of Arts, English; Mass Communications
Tufts Health Plan June 2015 - Present
Independent Health Care Advisor 2007 - Present
Fallon Community Health Plan August 2009 - January 2012
Network Health Plan January 2009 - August 2009
Fidelis SeniorCare Inc 2006 - 2007
Senior Whole Health 2004 - 2006
MEDITECH 2003 - 2004
Neighborhood Health Plan of Rhode Island 1994 - 2002
Skills
Leadership, Healthcare, Strategic Planning, Business Development, Marketing Strategy, Marketing, Management, Customer Service, Medicare, Team Leadership, Sales Operations, Sales, Fundraising, Analysis, Community Outreach, Medicaid, HIPAA, Managed Care, Training, Team Building, Healthcare Management, Health Insurance, Nonprofits, Healthcare Information..., Process Improvement, Insurance, Hospitals, Public Speaking, Event Planning, Program Management, Social Media, Healthcare Consulting, Home Care, Healthcare Industry, Start-ups, Public Relations, Marketing Communications, New Business Development, Problem Solving, Project Management, Consulting, Account Management, Data Analysis, Long-term Care, Relationship Building, Strategy, Employee Benefits, Mentoring, Event Management, Leadership Development
Education
Fisher College 2012 — 2014
Bachelor of Science (BS), Health/Health Care Administration/Management
Bryant University 2007 — 2007
License in Life and Health
Fisher College 2001 — 2003
Associate of Science (A.S.), Health Information/Medical Records Administration/Administrator
Fallon Health November 2011 - July 2014
Fallon Health October 2010 - November 2011
Fallon Community Health Plan December 2008 - October 2010
Westboro Tennis & Swim Club 2002 - 2008
Skills
Customer Service, Microsoft Office, Microsoft Excel, Management, Training, Microsoft Word, PowerPoint, Insurance, Data Analysis, Healthcare, Business Analysis, Onboarding, Outlook, Research, Marketing, Public Speaking, Process Improvement, Health Insurance, Leadership, Medicare, Sales, Call Centers, Policy, Customer Retention, Strategic Planning, Communication
Education
Boston University 2014 — 2016
MPH Canidate Health Policy & Management, Health Policy
University of Massachusetts Boston 2005 — 2008
BA, Psychology
Fallon Community Health Plan 1998 - Present
fchp October 1998 - July 2015
Skills
Advertising, Healthcare, Newsletters, Copywriting, Marketing Communications, Social Media, Medicare, Process Improvement, Marketing, Direct Mail, Managed Care, Employee Benefits, Creative Concept Design, Health Insurance, Adobe Creative Suite, Insurance
Education
Anna Maria College 1982 — 1986
bfa, art
PAREXEL International November 2014 - Present
Harvard Pilgrim Health Care November 2012 - September 2014
ikaSystems October 2011 - October 2012
Fallon Community Health Plan June 2011 - August 2011
Aetna November 2010 - December 2010
Xerox January 2010 - July 2010
CaseNET – a privately held start-up 2009 - 2009
Pfizer February 2008 - September 2008
Fidelity Investments March 2004 - July 2006
Xerox February 1995 - September 2003
Skills
Management, Requirements Analysis, Analysis, SDLC, Business Analysis, MS Project, Software Project..., Cross-functional Team..., Project Management, Mentoring, Microsoft SQL Server, Agile Methodologies, Requirements Gathering, PMO, Process Improvement, Business Process..., Integration, Vendor Management, Leadership
Education
Binghamton University 1987 — 1990
Bachelor of Science, Industrial Engineering Technology
CVS Caremark Corporation December 2013 - Present
Fallon Community Health Plan April 2013 - October 2013
IBM October 2012 - March 2013
Blue Cross Blue Shield of Massachusetts February 2012 - October 2012
Iron Mountain August 2011 - February 2012
Dell Services September 2010 - July 2011
MultiPlan (Private Healthcare Systems) July 2003 - July 2010
Private Healthcare Systems June 2003 - October 2006
Reed Business 2000 - 2002
Harvard Pilgrim Health Care 1996 - 1997
Skills
Software Project..., SDLC, PMP, Quality Assurance, Team Building, Business Analysis, PMO, Agile Methodologies, Project Management, Project Portfolio..., Process Improvement, Software Quality..., Systems Analysis, Quality Center, Visio, Software Documentation, MS Project, Program Management, Management, CRM, Strategy, Integration, Requirements Gathering, Requirements Analysis, Testing, User Acceptance Testing, Enterprise Software
Education
Boston University 1986 — 1990
BS in Computer Science
Fallon Community Health Plan Learning ManagerFallon Community Health Plan1992 - Present
Fallon Community Health Plan 1992 - Present
Education
Anna Maria College 1961 — 1965
Fallon Health January 2013 - June 2015
Fallon Community Health Plan May 2010 - December 2012
Fallon Community Health Plan January 2004 - June 2009
Fallon Clinic August 1988 - December 2003
Fallon Clinic 2001 - 2001
Skills
Executive Coaching, Executive Search, Strategy, Organizational..., Project Planning, Leadership, Project Management, Healthcare, HIPAA, Onboarding, Training, Legal Compliance, HR Policies, Organizational Design, Vendor Management, Program Management, New Hire Orientations, Executive Pay, Employee Engagement, Strategic Planning, Deferred Compensation, Personnel Management, Management, Health Insurance, Technical Recruiting, Career Development, Succession Planning, Applicant Tracking..., Coaching, Human Capital, Employee Relations, Performance Improvement, Sourcing, Team Building, Temporary Placement, Workforce Planning, Executive Development, Process Improvement, College Recruiting, MBTI
Education
William James College 2015 — 2016
Currently enrolled
William James College 2009 — 2010
MA
Anna Maria College 1995 — 2000
MBA
Utica College 1984 — 1986
B.S.
CCL
Certification
HCI SWP
Bay State Elder Law, P.C. September 2004 - Present
Critical Care Systems International, Inc. August 2006 - April 2009
Wilson & Orcutt, P.C. May 2001 - September 2004
MetLife 2000 - 2001
Fallon Community Health Plan May 1999 - December 2000
Office of the Attorney General - Massachusetts August 1990 - January 1993
Skills
Elder Law, Estate Planning, Medicaid, Trusts, Long Term Care, Professional Licensure..., Long-term Care, Guardianship, Insurance, Powers of Attorney, Legal Issues, Litigation, Healthcare Industry, Home Care, Healthcare Management, Elder Care, Medicare, Wills, Defense, Managed Care, Asset Protection, Estate Administration, Healthcare, Health Policy, HIPAA, Corporate Law, LLC, Legal Assistance, Healthcare Consulting, Hearings, Attorneys
Education
Boston College Law School 1987 — 1990
JD, Law
Framingham State University 1985 — 1987
BS, Nursing
Lasell College 1983 — 1985
Assoc., Nursing
Lincoln-Sudbury 1976 — 1980
Allscripts (Formerly Eclipsys) January 2006 - Present
Allscripts (formerly Eclipsys) January 2006 - October 2010
McKesson Health Solutions 2004 - 2006
Unicare 2003 - 2004
Fallon Community Health Plan 2003 - 2003
Parker International 1999 - 2002
Skills
Primary Research, Salesforce.com, Market Research, Competitive Intelligence, Oracle Applications, Siebel, Writing, Sales Operations, Sales Support Tools, Executive Reporting, Financial Forecasting, Marketing Strategy, CRM Integration, CRM, Healthcare Information..., Healthcare Industry, EHR, EMR, Healthcare Analytics, Sales Process, Marketing Communications, Managed Care, Hospital Information..., Strategic Planning, Business Strategy, Team Building, Team Leadership, Strategic Communications, Communication, Competitive Analysis, Management, Analysis, Strategy, Leadership, Marketing Research, Forecasting
Education
Boston University
MS, Public Relations and Market Research
Syracuse University
BA, Polical Science and English
Multiplan January 2009 - Present
Fallon Community Health Plan October 2007 - December 2008
Private Healthcare Systems August 2000 - September 2007
MultiPlan/PHCS October 2006 - 2007
CareTools 1998 - 2000
Skills
SDLC, HIPAA, PMP, Vendor Management, MS Project, Software Project..., PMO, Requirements Analysis, Healthcare, Program Management, Process Improvement, User Acceptance Testing, Business Analysis, SharePoint, Requirements Gathering, Software Documentation, Project Portfolio..., Visio, Agile Methodologies, Integration, Data Warehousing, Quality Assurance, Project Management, Business Requirements, Business Process..., Disaster Recovery, IT Strategy, Healthcare Information..., Leadership, Business Process, Testing, Resource Management, Cross-functional Team..., Waterfall, IT Management, Scrum, Analysis, Agile Project Management, Business Intelligence, Software Development, Business Process Design, Change Management, ITIL, Information Technology, Systems Analysis, Databases, Enterprise Architecture
Education
State University of New York at Albany 1992 — 1994
MPA, Public Administration
State University of New York at Binghamton 1988 — 1992
Bachelor's degree, Political Science and Government
Fallon Community Health Plan August 2008 - Present
eClinicalWorks December 2004 - August 2008
HealthDrive August 2004 - December 2004
Skills
Healthcare, Visio, Project Management, Software Implementation, Software Documentation, Strategic Planning, Process Improvement, Product Management, Requirements Analysis, Vendor Management, Team Building, MS Project, Enterprise Software, Customer Service, Leadership, Business Analysis, Healthcare Information..., Software Project...
Education
Bryant University 2008 — 2009
Project Management Certification Program, Project Management
University of New Hampshire 2000 — 2004
BA, Communication
Shrewsbury High School 1996 — 2000
Fallon Health December 2010 - Present
Group Benefit Strategy (GBS) September 2010 - December 2010
Fallon Community Health Plan December 2009 - September 2010
Fallon Health August 2005 - December 2009
Fallon Health December 2002 - August 2005
Fallon Health January 1999 - December 2002
Skills
Health Insurance, Employee Benefits, Insurance, Claim, Underwriting, Marketing, Medicare, Sales, Account Management, Brokers, Management, Healthcare, PPO, HMO, Analysis, Health Care Reform, Managed Care
Education
Nichols College 2011 — 2013
MBA, Masters of Business Adminstration, 3.97 GPA
Becker College 2000 — 2008
Bachelors of Science, Business Adminstration
Self employed September 2011 - May 2013
Humedica 2009 - 2010
Human Services Management Corporation 2008 - 2009
Fallon Community Health Plan 2006 - 2008
Beth Israel Deaconess Medical Center October 2004 - October 2006
Partners HealthCare 2001 - 2004
Rational Software 2000 - 2001
Eagle Investment Systems 1999 - 2000
Skills
Business Analysis, Business Intelligence, Data Analysis, Data Warehousing, Healthcare, Healthcare Information..., Informatics, SDLC, SQL, Team Leadership
Education
Boston University 1997 — 1999
MS
Boston University 1993 — 1997
Bangor High School
Patterson Veterinary April 2012 - Present
Fallon Community Health Plan August 2009 - April 2012
Environmental Fire Protection, Inc February 2008 - June 2009
Environmental Fire Protection 2008 - 2009
The Hanover Insurance Group March 2006 - February 2008
Lifegas LLC May 2003 - March 2006
New England Newspaper Supply Co January 1986 - January 2003
Skills
Accounting, Analysis, Auditing, Cash Flow, Customer Service, Finance, Financial Analysis, Financial Reporting, Forecasting, Health Insurance, Internal Controls, Management, Process Improvement, Training
Education
Becker College 2007 — 2010
Bachelor of Science; enrolled, Business Management
Blue Cross and Blue Shield of MA May 2000 - Present
CIGNA Health and Life Insurance Company September 1997 - May 2000
Unicare May 1997 - September 1997
Fallon Community Health Plan July 1995 - May 1997
Skills
Health Insurance, Insurance, Employee Benefits, Disability Insurance, Health Savings Accounts, Strategic Planning, Customer Service, Brokers, Underwriting, Account Management, Life Insurance, Leadership, Managed Care, Benefits Administration, Process Improvement, Management
Education
Providence College 1991 — 1995
Bachelor of Applied Science (BASc), Marketing and Finance
Anna Maria College 1996 — 1998
Master of Business Administration (M.B.A.), Business/Health Care Administration
Lawrence General Hospital August 2010 - July 2015
DMC Consulting January 2009 - July 2010
Fallon Community Health Plan 1998 - 2008
Tufts Health Plan 1995 - 1998
Skills
Managed Care, Healthcare Management, Medicaid, Healthcare Information..., Healthcare, HIPAA, Healthcare Industry, Hospitals, Health Insurance, Strategic Planning, Healthcare Consulting, Revenue Cycle, Process Improvement, Provider Relations, Insurance, Network Development, Project Management, Health Policy, Medicare, Home Care, Public Health, EMR, d, Data Analytics, Physician Relations, Operations Management, Contract Negotiation, Contract Management
Education
Assumption College 2007 — 2007
Bachelor of Arts (B.A.), Political science/History
Western New England College School of Law 1987 — 1990
JD
Northeastern University 1982 — 1984
MPA
Fallon Community Health Plan August 2011 - Present
ASA American Student Assistance August 2008 - December 2009
First Marblehead Corporation April 2005 - March 2008
Skills
Database Analysis, Business Process Design, Business Analysis, Systems Analysis, Business Intelligence, BPMN, IBM iSeries, Data Analysis, Oracle, DB2, Requirements Gathering, Integration, SDLC, Vendor Management, Microsoft SQL Server, Visio, Business Process, Requirements Analysis
Education
Bryant University 2008 — 2008
Business Analysis BABOK
Boston University 2007 — 2007
BPM
Kharkov University
MS, Computer Science, Engineering
Fallon Community Health Plan December 2012 - March 2013
Skills
Microsoft Office
Education
Bentley College
BS, Accounting
Bentley University
Dell, Inc. at Harvard Pilgrim Health Care account 2009 - 2012
nSight, Inc. at Hewlett-Packard account January 2008 - March 2009
Perot Systems at Harvard Pilgrim Health Care account August 2006 - December 2007
Fallon Community Health Plan 2005 - 2006
Education
Auburn University
Master, Computer Science
MHQP April 2003 - Present
Massachusetts Health Quality Partners 2003 - Present
Fallon Community Health Plan 2002 - 2003
Blue Cross Blue Shield of Massachusetts June 1986 - August 1997
BCBS Massachusetts 1986 - 1997
Skills
Healthcare, Healthcare Management, Managed Care, Medicare, Public Health, Clinical Research, Process Improvement, Non-profits, Healthcare Consulting, Strategic Planning, Quality Improvement, Medicaid, EHR, Health Policy, EMR, Program Management, Data Analysis
Education
Harvard University School of Public Health 1978 — 1980
Master of Public Health (MPH), Health Services Administration
Boston College
Master of Arts (M.A.), Sociology
Public Sector Partners August 2009 - Present
PORTFOLIO RESEARCH October 2007 - May 2009
TMS August 2006 - April 2007
Fallon Community Health Plan November 2004 - August 2006
BANG(!) SOFTWARE SOLUTIONS January 1996 - January 2004
REALWORLD CORPORATION January 1994 - January 1996
Unisys 1984 - 1993
Skills
SQL Server, Visual Basic, SSIS, C#, Visio, VBA, Access, WinForms, OLAP, COBOL, Database Management, ODS, Business Intelligence, .NET, SQL, ETL, Database Design, Data Warehousing, SSRS, Visual Studio, T-SQL, XML, Databases, Stored Procedures, DTS, Erwin, Programming, OLTP, PL/SQL, VB.NET, Database Development, Data Modeling, UML, Relational Databases, NUnit, Requirements Analysis, Microsoft SQL Server, Testing, Systems Analysis, TFS, DBMS, IIS, Oracle, Agile Methodologies, SDLC, WPF, JavaScript, Software Development, LINQ, Unix
Education
Bentley University 1975 — 1994
BS, Computer Information Systems
BOSTON UNIVERSITY
NORTHEASTERN UNIVERSITY
Grace Cottage Hospital February 2011 - Present
Greenleaf Consulting January 2009 - March 2011
Tufts Health Plan 2000 - 2008
BJ's Wholesale Club 1999 - 2000
Applied Management Systems 1998 - 2000
IDX Systems 1998 - 1999
Fallon Community Health Plan 1992 - 1997
Harvard Pilgrim Health Care 1989 - 1992
Education
Boston University 1995 — 1995
M Ed, Human Resources Education
Worcester State University 1971 — 1974
BA, Biology
Bancroft School of Massage Therapy April 2015 - Present
Soothe Massage Therapy June 2012 - Present
Fallon Community Health Plan September 2010 - October 2013
Bancroft School of Massage therapy February 2011 - March 2012
Fallon Community Health Plan April 2006 - September 2010
Fallon Community Health Plan April 2007 - April 2010
Fallon Community Health Plan September 2006 - March 2007
Fallon Community Health Plan March 2003 - August 2006
MBHP 1999 - 2003
Boston University 1996 - 1998
Skills
Therapeutic Massage, Deep Tissue Massage, Swedish, Relaxation, Trigger Point Therapy, Chair Massage, Management, Anatomy, Healthcare Information..., Hydrotherapy, Myofascial, Business Intelligence, Healthcare, Pain Management, Injury, Wellness, Treatment, Software Documentation
Education
Bancroft School of Massage Therapy 2011 — 2012
Diploma, Massage Therapy
Boston University 1991 — 1998
BA Psychology, focus on Physiological Psychology
Cranston High School East 1988 — 1991
athenahealth March 2014 - Present
Fallon Community Health Plan 2010 - 2013
Fallon Community Health Plan 2006 - 2010
Fallon Community Health Plan (FCHP) 2006 - 2007
SunGard 2003 - 2006
SunGard 2000 - 2003
Fleet Bank 1993 - 2000
Skills
Business Analysis, Process Improvement, Health Insurance, Vendor Management, SDLC, Visio, Requirements Analysis, Data Analysis, Project Management, Cross-functional Team..., Healthcare Information..., Strategic Planning, Business Process..., Requirements Gathering, Business Intelligence, Business Process, Insurance, Managed Care
Education
Boston College - Wallace E. Carroll Graduate School of Management 1984 — 1986
Master of Business Administration (MBA), Finance & Strategic Management
Boston University Questrom School of Business 1979 — 1981
BSBA, Finance
Independence Blue Cross April 2007 - Present
Harvard Pilgrim Health Care April 2004 - March 2007
Fallon Community Health Plan 2001 - 2004
Harvard Pilgrim Health Care 2000 - 2001
Harvard Pilgrim Health Care 1996 - 1999
Education
Boston University School of Medicine 1994 — 1997
MPH, Public Health Care
University of South Carolina-Columbia 1983 — 1987
BA, Journalism
StaffMasters May 2013 - July 2014
Staffmark February 2010 - October 2012
Henry Schein 2005 - 2008
Fallon Community Health Plan 1997 - 2005
Skills
Recruiting, Benefits Administration, Managed Care, Technical Recruiting, Talent Acquisition, Healthcare, Account Management, Call Center, Insurance, Training, Employee Benefits, Applicant Tracking..., Temporary Staffing, Staffing Services, Temporary Placement, Internet Recruiting, Contract Recruitment, Permanent Placement, Human Resources, Team Building, Employee Relations, Executive Search, Job Fairs, Cold Calling, Interviews, Hiring, Screening Resumes, Resume Writing, Screening, Staff Augmentation, Recruitment Advertising, Call Centers, Sales, Sales Management
Education
Becker College 1996 — 2000
Assumption College 1996 — 1997
Fallon Community Health Plan 2008 - Present
United Natural Foods 2004 - 2008
DIGITAL BROADBAND COMMUNICATIONS 1999 - 2000
Navisite 1995 - 1997
Vicor Corporation 1992 - 1994
Skills
CISSP, Networking, Security, Team Management
Education
Boston University 1985 — 1991
BA, MS
Harvard Pilgrim Health Care January 2015 - Present
Fallon Community Health Plan August 2013 - January 2015
Fallon Community Health Plan April 2008 - August 2013
Fallon Community Health Plan August 2005 - April 2008
Fallon Community Health Plan March 1997 - August 2005
Fallon Community Health Plan January 1995 - February 1997
Fallon Community Health Plan January 1992 - January 1995
Education
Emerson College 1993 — 1996
MA, Marketing Communications
Assumption College 1987 — 1991
BA, English and Spanish
Boston University 2006 — 2006
Certificate in Project Management
UMass Memorial Medical Center December 2014 - Present
UMass Memorial Medical Center January 2011 - November 2014
Fallon Community Health Plan May 2008 - January 2011
Fallon Community Health Plan July 2001 - May 2008
Harvard Pilgrim Health Care 1994 - 2001
Skills
Managed Care, Provider Relations, Network Development, Contract Negotiation, Medicare, HIPAA, Medicaid, Utilization Management, Healthcare Industry, Health Policy, Healthcare Management, Health Insurance
Education
Assumption College 1994 — 1998
MBA
University of Massachusetts Dartmouth 1987 — 1991
BS, Marketing
Ingenix Consulting 2009 - Present
Fallon Community Health Plan May 1998 - January 2009
General Electric 1996 - 1997
Tufts Health Plan 1990 - 1995
Education
Assumption College 2004 — 2005
MBA, Business, Management
Providence College 1987 — 1991
BS, Business Administration, Healthcare
College for Financial Planning 1986 — 1989
CFP, Financial Planning
Fallon Community Health Plan October 2005 - May 2010
Bank of America 2003 - 2005
Fleet Bank 1999 - 2003
Fleet Bank 1997 - 1999
Fleet Bank 1995 - 1997
Skills
Training, Requirements Analysis, SDLC, Visio, Process Improvement, Vendor Management, Software Project..., Integration, Business Analysis, Business Process..., Project Management, Program Management, Management, Leadership, IT Strategy, Software Documentation, Business Intelligence, Change Management, Requirements Gathering, PMP, Team Building, Business Process, Project Portfolio..., SharePoint, Cross-functional Team..., Strategic Planning, Healthcare, PMO, Customer Service, Risk Management, Project Planning, Software Development, Analysis, Agile Methodologies
Education
Boston University
Master's degree, Social Work
Framingham State University
Bachelor's degree, Psychology
Fresenius Medical Care February 2012 - Present
CVS Caremark Corporation January 2009 - January 2012
CVS Caremark and Universal American dba Prescription Pathway May 2006 - December 2008
Fallon Community Health Plan August 1998 - May 2006
United Healthcare December 1996 - July 1998
Skills
Managed Care, Medicaid, Medicare, Medicare Part D, HIPAA, Pharmacy Benefit..., Healthcare, Health Insurance, Provider Relations, Insurance, Healthcare Management, Process Improvement, Health Policy, Healthcare Information..., Healthcare Industry
Education
Suffolk University Law School 2001 — 2005
Juris Doctor
Clark University 1992 — 1994
Master of Health Administration
Bryant University 1988 — 1992
BS, Finance, Economics
Fallon Community Health Plan 2007 - Present
Fallon Community Health Plan January 2007 - May 2008
Education
American International College 1985 — 1987
Marketing, Mathematics
Albertus Magnus College 1980 — 1982
Harvard Vanguard Medical Associates March 2011 - Present
Fallon Community Health Plan November 1994 - May 2009
Federal Deposit Insurance Corporation 1992 - 1994
Education
Becker College 2009 — 2011
Business Administration
Reliant Medical Group May 2013 - Present
Blue Cod Technologies December 2008 - May 2013
Blue Cod Technologies December 2006 - December 2008
Fallon Community Health Plan 2001 - 2006
Florida Gulf Coast University May 1997 - April 2001
Liberty Mutual March 1995 - May 1997
MassMutual Financial Group March 1993 - March 1995
Skills
Enterprise Architecture, Microsoft SQL Server, Software Development, Testing, Databases, Oracle, Process Improvement, Data Modeling, Database Design, Project Management, Data Warehousing, Business Intelligence, Servers, SaaS, Management, Training, SDLC, Networking, Cloud Computing, Storage, ITIL, Business Analysis, Programming
Education
American International College 1989 — 1992
BSBA, Management Information Systems
Fallon Community Health Plan January 2011 - Present
ClientView LLC March 2010 - December 2010
HealthEMaps September 2009 - December 2010
Project Management Institute 2009 - 2010
Washington Mills August 2008 - December 2008
IOR Global Services May 2006 - October 2008
Alcatel October 1988 - March 2002
Skills
SDLC, Program Management, Proposal Writing, Analysis, Start-ups, Project Planning, Management Consulting, Process Improvement, Management, Business Intelligence, Project Management, Business Analysis, PMI, Business Planning, Software Project..., Integration, Business Process..., PMP, Visio
Education
Brandeis University 2007 — 2008
Master of Science, Project and Program Management
University of Colorado Boulder 1984 — 1988
Bachelor of Science, Applied Mathmatics
Fresenius Medical Care November 2014 - Present
University of Massachusetts Medical School August 2013 - November 2014
Steward Health Care (f.k.a. Caritas Christi Hospitals) December 2010 - August 2013
Molecular November 2009 - July 2010
Fallon Community Health Plan June 2008 - March 2009
Multiplan (f/k/a Private Healthcare Systems) December 2006 - May 2008
Private Healthcare Systems September 2000 - December 2006
Skills
Project Management, Human Resources, Process Improvement, Healthcare, Information Technology, Personnel Management, Mergers & Acquisitions, Corporate Law, Employment Law, Data Analysis, Regulatory Compliance, Policy Design, Contract Law, Strategy, Leadership, Management, Family Law, HR Policies, Software Documentation, SDLC, Change Management, Strategic Planning, Budgets, Organizational..., Quality Assurance, Program Management
Education
Massachusetts School of Law
Juris Doctorate, Magna Cum Laude, Valedictorian
Saint Anselm College
BA, Psychology, Cum Laude
Project Management Institute
PMP, Project Management Certification (2002)
Boston University
Suffolk University
Fallon Community Health Plan October 2007 - Present
Stratus Technologies 2005 - October 2007
ePresense/Banyan 1999 - 2003
Education
Boston College
BA, Social Sciences
State of Vermont October 2013 - Present
State of Vermont October 2011 - October 2013
Banking, Securities, Insurance, and Health Care Administration August 2011 - January 2012
GJM Health Care Consulting April 2011 - August 2011
Health Care For All December 2008 - April 2011
Health Care For All December 2008 - April 2011
Health Law Advocates March 2007 - December 2008
Health Law Advocates 2007 - 2008
Fallon Community Health Plan February 2006 - March 2007
Huntington Theatre 1998 - 2002
Skills
Healthcare, Health Care Reform, Public Policy, Policy, Health Policy, Healthcare Consulting, Nonprofits, Community Outreach, Health Law, Program Development, Legal Research, Coalitions, Policy Analysis, Employee Benefits, Legislative Relations, Medicaid, Courts, Research, Program Evaluation, Budgets, Health Insurance, Insurance, Public Speaking, Fundraising, Program Management, Non-profits, Healthcare Management, Grants, Grant Writing, Legal Writing, Medicare, Public Health
Education
Boston University
Boston University
Bachelor of Science, Religion
Suffolk University Law School
Suffolk University Law School
Juris Doctor, Biomedical and Health Law
Fallon Community Health Plan Program Manager, New Product IntroductionPrime Computer1980 - 1990
Education
Assumption College
Tufts Health Plan February 2013 - Present
Fallon Community Health Plan 2005 - Present
Allmerica Financial 2002 - 2003
Allmerica Financial 1997 - 2002
Allmerica Financial 1995 - 1997
Allmerica Financial 1986 - 1995
Skills
Product Management, Healthcare Legislative..., Product Training, Presentations, Marketing Communications, Contract Management, Product Quality, Communication Skills, Analysis, Business Process..., Insurance, Leadership, Management, Marketing, Program Management, Training, Business Analysis, Vendor Management, Managed Care, Health Insurance
Education
Assumption College
Bachelor's degree, Business Management, 3.4 GPA
Quinsigamond Community College
Associate's degree, Business Technology, 3.5 GPA
Bryant University
Project Management Certificate Program
Academy of Healthcare Management
Professional, Academy for Healthcare Management (PAHM)
Burncoat High School
Cardinal Strategies 2003 - Present
Fallon Community Health Plan 2001 - 2003
UMass Memorial Medical Center 1998 - 2000
UMass Medical School 1993 - 1998
Congressman John Olver June 1991 - February 1993
Skills
Nonprofits, Strategic Planning, Government, Public Speaking, Research, Public Relations, Public Policy, Policy, Non-profits, Project Management, Public Affairs, Politics, Community Outreach, Political Campaigns, Legislative Relations, Healthcare
Education
Boston College
BA
University of Massachusetts, Amherst
Sepracor 2008 - 2009
Fallon Community Health Plan October 2005 - September 2008
Education
Assumption College 2003 — 2005
BBA, Business
Auburn Senior High School 1978 — 1982
Assumption College
Business
Tiffany & Co. August 2013 - Present
Superior Cake Products March 2012 - August 2013
Kadant Solutions February 2010 - March 2012
Fallon Community Health Plan October 1999 - January 2009
Peterson Oil (formally Marane Oil) January 1997 - October 1999
Bell Simons (formally McNally Supply) September 1995 - January 1997
Skills
Accounting, General Ledger, Reconciliation, Quickbooks, Account Reconciliation, Reconciling, Excel, Microsoft Office, Cognos, Cash Flow, Accounts Payable, Accounts Receivable, Negotiation, PowerPoint, Accruals, Journal Entries, Billing, Payroll, Invoicing, Customer Service, QuickBooks, QuickBooks ProAdvisor, Great Plains Software, Fixed Assets, Microsoft Excel
Education
Nichols College 2010 — 2015
Master of Business Administration (MBA), Accounting and Finance
Assumption College 2000 — 2008
BA, Accounting
Fidelity Investments June 2007 - Present
Fallon Community Health Plan 2000 - 2007
Education
Assumption College
BS
Fallon Community Health Plan November 2007 - Present
Health New England October 1992 - October 2007
Concord Assabet Adolescent Services March 1986 - September 1991
Visiting Nurse Association of Boston 1977 - 1986
Skills
Health Insurance, Hospitals, Teaching, Healthcare, Medicare, Medicaid, Managed Care, Community Outreach, Provider Relations, Physicians, Utilization Management, HIPAA, Healthcare Management
Education
Boston University 1968 — 1972
BA, Education
Fallon Community Health Plan February 2012 - Present
Fallon Community Health Plan March 2010 - February 2012
PMI Central Mass Chapter November 2009 - October 2010
Fallon Community Health Plan August 2007 - February 2010
PMI Central Mass Chapter November 2008 - October 2009
Quinsigamond Community College January 2008 - December 2008
PMI Central Mass Chapter November 2006 - October 2008
Fallon Community Health Plan August 2005 - August 2007
University of Massachusetts Medical Schoo January 2001 - August 2004
Skills
Program Management, Process Improvement, Project Management, PMP, MS Project, MS Office Suite, Strong Communication..., Microsoft Office, Business Analysis, Management, Change Management, Software Development, Leadership, Healthcare, Project Planning, Vendor Management, Insurance, Cross-functional Team..., Strategic Planning, Health Insurance, Healthcare Information..., Customer Service, Managed Care
Education
Boston University
Project Management Certificate, Project Management
Colby College
BA, Economics
Northeastern University
MBA
Reliant Medical Group December 2014 - Present
Fallon Community Health Plan February 2012 - September 2014
Fallon Community Health Plan April 2008 - February 2012
Skills
Medicare, Health Insurance, Managed Care, Strategic Planning, Medicaid, Utilization Management, Regulatory Requirements, Appeals and grievances, Network Development, Disease Management, Health Policy, HIPAA, Health Care Reform, Provider Relations, Healthcare, Insurance, Process Improvement, Healthcare Information..., Customer Service
Education
Becker College
Brightstar May 2011 - Present
InfoLogitech Inc September 2006 - April 2012
CHS October 2010 - April 2011
Prommis Solutions June 2010 - September 2010
American Safety January 2010 - May 2010
Fallon Community Health Plan August 2009 - December 2009
Skills
BizTalk, SQL Server, Visual Studio, EDI, Web Services, TFS, Microsoft SQL Server, Integration, SharePoint, .NET, Enterprise Architecture, SDLC, WCF, C#, SSRS, Oracle
Education
Anna University
Bachelor of Science
Mississippi State University
MS
Fallon Community Health Plan March 2010 - Present
Washtenaw County Public Health Department May 2009 - August 2009
Ypsilanti Meals on Wheels May 2009 - August 2009
Luella Hannan Memorial Foundation September 2008 - April 2009
Youth Alternatives Ingraham July 2007 - July 2008
Skills
Fundraising, Grant Writing, Social Services, Community Organizing, Event Planning, Marketing, Program Development, Community Outreach, Case Managment, Non-profits
Education
University of Michigan 2008 — 2009
MSW, Aging and Community Organizing
Boston College 2005 — 2006
MS, Administrative Studies
Hamilton College 2000 — 2004
BA, English, Dance
Fallon Community Health Plan April 2011 - Present
Unum January 1989 - Present
Education
Leicester High School 1984 — 1987
Becker College
Business Admin.
Strategic Accounting & Tax Service, LLC 1999 - Present
Fallon Community Health Plan 2008 - 2009
City of Worcester 1999 - 2008
Benoit & Usher, PC 1997 - 1999
Skills
Tax Return Preparation, Non-profits, LLC, Payroll, Income Tax, Tax Preparation, Bookkeeping, Tax Returns, Tax, Corporate Tax, Accounting, Tax Research, S Corporations, Tax Compliance, Tax Services, Small Business, IRS, Partnership Taxation, Payroll Taxes, Individual Taxation, Quickbooks, Small Business..., Federal Tax, Trusts, Start-ups, Entrepreneur, Tax Accounting, Tax Audits, Business Tax, Nonprofits, Strategic Financial..., GAAP, Cash Flow, Financial Reporting, Financial Analysis, Financial Statements, Sarbanes-Oxley Act, QuickBooks, US GAAP, Internal Controls, Auditing
Education
Assumption College 1993 — 1997
Bachelor of Arts, Accounting
Fallon Community Health Plan Director of Disease ManagementUMass Correctional Health2007 - 2009
Education
Framingham State University 2008 — 2010
MSN
Anna Maria College 2004 — 2008
BSN
Assumption College 1999 — 2004
Associates, Certificate in Health Care Management
Worcester hahnemann Hospital School of Nursing 1974 — 1977
Diploma, Nursing
Fallon Community Health Plan February 2007 - Present
Fallon Community Health Plan October 2001 - February 2007
Fallon Community Health Plan August 1998 - October 2001
Skills
Customer Service, Data Entry, Service Desk, Incident Management, IDX, NextGen, Health Insurance, Call Centers, Software Documentation
Education
Bentley College 1993 — 1997
BS, Management
Bentley University 1993 — 1997
Bachelor of Science (BS), Business Administration and Management, General
Burncoat High School 1989 — 1993
Health Partners/ Park Nicollet February 2013 - Present
CMSA 1998 - Present
North Memorial Health Care October 2012 - February 2013
Accretive Health March 2010 - September 2011
Fallon Community Health Plan 1996 - 2007
Skills
Healthcare, Home Care, Case Management, Direct Marketing, Disease Management, Managed Care, Medicare, Medicaid, Healthcare Information..., EMR, EHR, Healthcare Consulting, Physician Relations, Inpatient, Clinical Research, HIPAA, Health Education, Patient Advocacy, Patient Education
Education
Anna Maria College 1994 — 1996
BSN, Nursing
Lasell College 1973 — 1975
AS, Nursing
Fallon Health August 2014 - Present
Fallon Community Health Plan June 2012 - August 2014
Target November 2007 - June 2012
UMass Medical School December 2010 - June 2011
Charlton Performing Arts 2010 - 2011
Assumption College 2003 - 2007
Skills
Customer Service, Retail, Outlook, Data Entry, PowerPoint, Microsoft Word, Microsoft Office, Microsoft Excel, Public Speaking, Access, Event Planning, Sales, Leadership, Social Media, Time Management, Editing, Research, Medical Terminology, Telephone Skills
Education
Assabet Valley Continuing Education 2009 — 2011
certificate of completion, Comprehensive Medical Coding Career Preparation
Assumption College 2003 — 2007
Bachelor of Arts, History
Academy of Managed Care Pharmacy 1998 - 2011
UMass Medical School February 2010 - March 2010
Fallon Community Health Plan September 2005 - October 2009
Fallon Clinic April 1991 - September 2005
Skills
Contract Negotiation, Disease Management, Medical Coding, Medicare Part D, Healthcare, Utilization Management, Pharmacy Benefit..., Medicaid, Healthcare Consulting, Pharmacy, Medicare, Pharmacology, Clinical Research, Managed Care, Medication Therapy..., Healthcare Information..., Pharmacy Automation, Pharmacists, Hospitals, Healthcare Management, Health Policy, Access
Education
Anna Maria College 2001 — 2005
MBA, General Business
Massachusetts College of Pharmacy and Health Sciences 1977 — 1980
BS, Pharmacy
The University of Connecticut 1973 — 1977
Pharmacy
Neopost New England January 2010 - October 2011
Consolidated Business Products September 2008 - January 2010
Automated Business Solutions, Inc. September 2006 - September 2008
Hypertronics April 2006 - September 2006
Klipsch Group, Inc. November 2004 - February 2006
Neopost September 2001 - November 2004
Starnex Inc. February 2000 - June 2001
Fallon Community Health Plan October 1997 - February 2000
Consolidated Group April 1995 - October 1997
Skills
Account Management, Sales, New Business Development, Business Development, Salesforce.com, Solution Selling, Direct Sales, Sales Operations, Sales Process, Sales Management, Customer Service, Cold Calling, CRM, B2B, Customer Satisfaction, Customer Retention, Sales Presentations, Lead Generation, Managed Print Services, Selling, Building Relationships, Key Account Management, Product Marketing, Retail, Major Accounts, Channel Partners
Education
Assumption College 1988 — 1992
BA
Fallon Community Health Plan January 2008 - Present
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, Research, Outlook, Public Speaking, Strategic Planning, Negotiation, Editing, ACO delivery system..., Program Evaluation
Education
Boston University
Bachelor of Arts (B.A.), Urban Studies/Affairs
Coventry Health Care, an Aetna Company September 2014 - Present
McKesson Health Solutions December 2013 - September 2014
UnitedHealth Group May 2013 - December 2013
Fallon Community Health Plan October 2012 - March 2013
Skills
Case Managment, Utilization Management, Home Care, Hospice, Discharge Planning and..., Medicare/Medicaid..., Medicare Advantage, Nursing, Healthcare, Medicare, Case Management, Managed Care, Hospitals, Long-term Care, Patient Advocacy, HIPAA, Healthcare Management, Healthcare Information..., Disease Management
Education
American Sentinel University 2011 — 2012
Master of Science (MS), Nursing Case Management
UnitedHealth Group April 2015 - Present
UnitedHealth Group April 2013 - April 2015
Fallon Community Health Plan 2012 - 2013
Skills
Community Outreach, Medicare, Health Insurance, Healthcare, Medicaid, Program Development, HIPAA, Managed Care, Account Management
Education
Assumption College