HPHC Company
Industry: Company
DescriptionHarvard Pilgrim Health Care is a not-for-profit health services company based in the New England region of the United States. Customer service: 1 (888) 333-4742 CEO: Michael Carson Headquarters: Massachusetts Chief medical officer: Michael Sherman Chief information officer: Deborah A. Norton Subsidiaries: Health Plans, Inc., HPHC Holding Corporation,
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HPHC Employees
Magellan Health Services July 2013 - Present
OptumRx 2010 - Present
OptumRx December 2012 - July 2013
OptumRx July 2008 - August 2010
HPHC 1998 - 2009
Skills
Proposal Writing, Pharmacy Benefit..., Management, Team Mentoring, RFP experience, Strategic Communications, Editing, Microsoft Applications, Onboarding, Project Management Plan, Healthcare, Employee Benefits, Health Insurance
Education
Johnson & Wales University-Online 2005 — 2007
Master of Business Administration (M.B.A.), Global Leadership, 3.85
Bain Capital April 2013 - May 2015
ASA December 2011 - April 2013
Nokia December 2010 - December 2011
Nokia October 2009 - December 2010
Nokia October 2008 - October 2009
HPHC May 2006 - December 2007
MIDWEST NATIONAL LIFE INSURANCE COMPANY January 2006 - November 2006
Blue Cross Blue Shield of Massachusetts June 2003 - November 2005
BLUE CROSS BLUE SHIELD MASSACHUSETTS September 2001 - November 2003
BLUE CROSS BLUE SHIELD MASSACHUSETTS June 2000 - September 2001
Skills
Project Facilitation, Program Management, IT Operations, Agile Methodologies, Project Management, SDLC, ITIL Certified, ITIL Implementation, PMI, Program Facilitation, Negotiation, Senior Program..., Senior Stakeholder..., Software Quality..., Vendor Management, Release Management, SharePoint, Quality Assurance, ITIL, Change Management, IT Service Management, Process Improvement, Security, Service Delivery, Software Development, Enterprise Software, Testing, Management, Software Documentation, Integration, SaaS, Agile Project Management, Training, Solution Architecture, Leadership
Education
Brandeis University 1993 — 1997
Bachelors, sociology, English, Creative Writing
Brandeis University 1993 — 1997
Sociology, sociology
Brandeis University 1993 — 1997
BA, English, Sociology and Creative Writing
HPHC ETL SpecialistHarvard Pilgrim Health Care2004 - 2008
Perot Systems 2004 - 2008
Education
Acharya Nagarjuna University 1983 — 1987
QSSI May 2012 - Present
HPHC 2012 - 2012
BCBSNC 2010 - 2011
BCBSNC 2010 - 2011
Edifecs 2010 - 2011
BCBSMA 2010 - 2010
Skills
EDIFACT, Testing, EDI, Integration, Requirements Gathering, HIPAA, Business Analysis, Quality Assurance, PL/SQL, Data Migration, SOA, Requirements Analysis, ETL, Unix Shell Scripting, SDLC
Education
Silicon Valley University 2007 — 2008
Master's degree, Computer Science
JNTU
HPHC January 2001 - Present
Harvard Pilgrim Health Care 2001 - Present
Beth Israel Deaconess Medical Center 1988 - 1997
Blue Cross Blue Shield of Massachusetts 1972 - 1986
Skills
Healthcare, Healthcare Information..., Healthcare Management, Process Improvement
Education
Eastern Nazarene College 1994 — 1996
BS, Business Administration
Lesley University
Health Care Administration, Masters Program
HPHC May 2014 - Present
NXTLoan First American Mortgage Trust March 2014 - May 2014
NXTLoan First American Mortgage Trust May 2012 - May 2014
NXTLoan First American Mortgage Trust August 2011 - May 2014
NXTLoan First American Mortgage Trust December 2011 - February 2014
First American Mortgage Trust August 2009 - November 2011
Lixin Tax and Financial Services June 2008 - July 2009
Boston University September 2007 - May 2008
Skills
Actuarial Science, Financial Reporting, Modeling, Mortgage Lending, Analysis, Financial Risk, Valuation, FHA, Mortgage Banking, Data Analysis, Credit Analysis, Residential Mortgages, VBA, Access, Financial Analysis, Finance, Insurance, Healthcare, SQL, Strategic Financial..., SAS, Databases, Loans
Education
Boston University 2007 — 2009
MS, Actuarial Science
Beihang University 2003 — 2007
BE, Software Engineering
Axon Communications Inc. June 2015 - Present
Axon Communications Inc. March 2009 - Present
Souther Property Management October 2006 - July 2010
HPHC 1993 - 2006
Skills
Health Insurance, Managed Care, Insurance, Medicare, Microsoft Excel, Customer Service, Marketing, Team Building, Advertising, Healthcare, Leadership, Social Media, Marketing Strategy, Public Speaking, Process Improvement, Program Management, Strategic Planning, Healthcare Management, HIPAA, Management, Training, Healthcare Information..., Microsoft Office, Sales, Communication, Hospitals, Cross-functional Team..., Medicaid, Healthcare Industry, Medicare Advantage, Provider Relations
Education
Hingham High School 1976 — 1980
Diploma, General
Eastern Nazarene College
Business Administration and Management, General
HPHC November 1995 - Present
Harvard Pilgrim Health Care November 1988 - November 1995
Liberty Mutual Insurance June 1986 - November 1988
Skills
Managed Care, Medicare, Healthcare, Medicaid
Education
Saint Michael's College 1982 — 1986
HPHC November 2005 - Present
Quincy Medical Center October 1993 - February 2002
Education
Bentley College - Elkin B. McCallum Graduate School of Business 1989 — 1992
MBA, Management
Stonehill College 1984 — 1988
BS, Health Care Adminstration
HPHC Senior Financial AnalystHarvard Pilgrim Health Care2006 - Present
Fallon Community Health Plan (FCHP), Worcester, MA 2001 - 2006
Education
University of Massachusetts Lowell 1993 — 1995
M.S, Electrical Engineer
Harbor Medical Associates July 2012 - Present
Harbor Medical Associates August 2011 - July 2012
Harbor Medical Associates May 2010 - August 2011
Harbor Medical Associates November 2009 - May 2010
South Shore Hospital May 2002 - November 2009
South Shore Hospital November 1999 - May 2002
HPHC 1995 - 1999
Skills
Operations Management, Team Building
Education
Bentley College - Elkin B. McCallum Graduate School of Business 1995 — 1999
MBA, Management
Emmanuel College 1988 — 1993
BS, Health Care Administration
Mount Auburn Nursing School 1969 — 1972
RN, Nursing
"Weight" No Longer, llc April 2012 - Present
Pediatric Associates, Inc 2008 - Present
Nurse Telephone Triage Service July 2008 - 2012
Providence Pediatrics January 2000 - 2008
HPHC 1993 - 2000
RI Hospital 1982 - 1992
Education
Rhode Island College 1978 — 1982
BSN, Nursing