Private Healthcare Systems
Industry: Company
DescriptionFounded: 1985 Parent organization: MultiPlan, Inc. Subsidiary: Statewide Independent PPO Inc.
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Private Healthcare Systems Employees
Fidelity Investments September 2001 - Present
Bank of America April 2001 - September 2001
MFS Investment Management June 2000 - March 2001
Hasbro June 1999 - June 2000
John Hancock Financial Services May 1998 - June 1999
Private Healthcare Systems September 1997 - May 1998
Fleet Bank 1989 - 1997
Bank of Boston 1987 - 1989
Skills
SQL, Oracle, Databases, Data Warehousing, Sybase, Microsoft SQL Server, Agile Methodolgy, Agile Application..., Mutual Funds, Trade Compliance, Compliance, Code of Ethics, Financial Services, SDLC, Informatica, Agile Methodologies, Database Design, ETL, Requirements Gathering, Data Modeling, Toad, Requirements Analysis, Software Project...
Education
Providence College 1983 — 1987
Bachelor of Science (BS), Mathematics and Computer Science
PRIVATE March 2010 - March 2012
Private Healthcare Systems 2010 - 2012
Education
University of Houston 2011 — 2016
Doctor of Pharmacy (PharmD), Pharmacy
San Jacinto College 2008 — 2010
Associate of Arts (A.A.), Human Biology
Meharry Medical College April 2015 - Present
Meharry Medical College November 2008 - April 2015
DeVry University 2007 - 2008
Centerstone 2005 - 2007
Private Healthcare Systems 2002 - 2005
Skills
Behavioral Health, Executive Level..., Higher Education..., Human Resources, Managed Health Care, Microsoft Office, Interviews, Personnel Management, Administrative..., Payroll, Management, Microsoft Excel, Administration, Public Speaking
Education
University of Phoenix 2003 — 2005
Bachelor of Science (BS), Business Management
Nashville State Community College 1991 — 1993
Associate of Applied Science, Business Management-Financial Services
The Music and Dance Suite July 2004 - Present
The TriZetto Group 2002 - 2004
Options Services Group 1996 - 2002
HealthCare Compare Corp. 1992 - 1993
Private Healthcare Systems 1990 - 1992
Skills
Customer Service, Microsoft Excel, Process Improvement, Event Planning, Microsoft Word, Contract Negotiation, Time Management, Administration, Customer Experience, Project Coordination, Office Management, Account Management
Education
Northern Illinois University 1985 — 1989
B.S., Health Services; Business Administration, Cum Laude
Benet Academy
Peter J. Paulus III, Esq. March 2009 - Present
US Small Business Administration August 2008 - February 2009
Hermes Sargent Bates, LLP May 2007 - June 2008
US Small Business Administration 2006 - 2007
Dedman School of Law 2002 - 2005
Humana 1999 - 2001
Community Physicians Network 1998 - 1999
John Alden Life Insurance Company 1994 - 1997
Private Healthcare Systems 1992 - 1994
INTEGRIS Health 1991 - 1992
Skills
Legal Research, Civil Litigation, Estate Planning, Preparation of Wills, Managed Care, Healthcare Management, Health Insurance, Health Insurance..., medicaid, Elder Law, Workers Compensation, Commercial Litigation
Education
Southern Methodist University Dedman School of Law 2002 — 2005
Doctor of Law (JD), Law
Trinity University 1989 — 1991
Master's of Science, Health/Health Care Administration/Management, 3.8
The University of Texas at Arlington 1987 — 1989
Bachelor's Degree, Psychology, magna cum laude
University of Arizona 1978 — 1981
Keller Williams Realty 2007 - Present
Keller Williams Realty 2007 - Present
RN Transcription Services 2002 - 2006
Private Healthcare Systems 1992 - 1995
Women's OB/GYN 1991 - 1992
Jewish Hospital & St. Mary's HealthCare 1989 - 1991
Georgetown University Medical Center 1985 - 1989
Skills
Residential Real Estate, Military Relocations, Townhomes, Move Up Buyers, Buyers, Relocation Buyers, SFR, Vacation Homes, New Homes, Waterfront, Seller Representation, HUD, National Association of..., Listing Homes, Income Properties, Listings, Buyer Representation, Real Estate License, New Home Sales, Residential Homes
Education
Georgetown University 1982 — 1986
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse
Private Healthcare Systems 2011 - Present
Private April 2002 - Present
Skills
CPR Certified, Healthcare, Periodontics, Treatment, Teeth Whitening, Patient Education, Oral Surgery
Education
Tallahassee Community College 1999 — 2002
Associate's degree, Dental Hygiene/Hygienist
Cigna Healthcare August 2004 - Present
Private Healthcare Systems April 2001 - November 2002
The Cancer Institute of New Jersey 1997 - 2000
Blue Cross & Blue Shield of Rhode Island 1986 - 1997
Skills
Strategic Communications, Adult Education, Strategic Planning, Health Care..., Project Delivery, Training Delivery, Managed Care, Performance Improvement, Leadership, Health Policy, Healthcare Industry, Employee Benefits, Health Insurance, Process Improvement, Healthcare, Provider Relations, Insurance, Strategy, Medicare, HIPAA, Program Management, Medicaid
Education
Suffolk University Law School
Juris Doctor (J.D.), Law
Providence College
Bachelor's Degree, Health Services Administration
True Benefit February 2013 - Present
Massachusetts Association Chamber of Commerce Executives January 2013 - February 2013
NauTech ITS January 2012 - December 2012
Neighborhood Health Plan February 2007 - December 2011
Fidelity Investments (Fidelity Human Resource Services) February 2004 - February 2007
Aon Consulting September 1999 - December 2003
Private Healthcare Systems September 1998 - September 1999
UnitedHealthcare January 1990 - December 1996
Skills
Project Management, Account Management, Client Development, Employee Benefits, Operations Management, Program Management, Program Development, Vendor Management, Health Insurance, Business Analysis, Business Development, Small Business, Insurance, Managed Care, Healthcare, New Business Development, Management, Process Improvement, Product Management
Education
Trinity College-Hartford
MA, Economics
University of Hartford 1983 — 1987
BSBA, Economics and Finance
UMass Lowell
Hershey Medical Center October 2011 - Present
Hershey Medical Center April 2002 - October 2011
Cape Cod Healthcare October 1994 - February 1998
Barnstable County Hospital January 1990 - April 1994
Private Healthcare Systems April 1988 - December 1989
Caritas St. Elizabeth's Medical Center June 1985 - 1987
Skills
Nursing, Healthcare, Hospitals, BLS, Patient Safety, Inpatient, Medical/Surgical, Patient Education, Acute Care
Education
Penn State University 1981 — 1985
Bachelor of Science (BS), Registered Nursing/Registered Nurse
MultiPlan October 2006 - May 2008
Private Healthcare Systems September 1997 - October 2006
Private Healthcare Systems May 1992 - August 1997
Data General September 1981 - May 1992
Vee Arc Corp. 1977 - 1980
Skills
HIPAA, Requirements Analysis, Microsoft SQL Server, Oracle, Databases, Disaster Recovery, Windows XP, SDLC, Windows Server, Software Project...
Education
Quinsigamond Community College 1979 — 1983
A.S, Computer Maint., Electronics Tech.
Northeastern University
B.S, Management Information Systems - Business Admin
New Horizons Training Center 2008 — 2009
MCSA - Wndows Server 2003
NRA Instructor Certification
Certified NRA Instructor - Basic Pistol Shooting
DaVita November 2013 - Present
DaVita September 2012 - November 2013
DaVita May 2011 - September 2012
DaVita May 2010 - May 2011
DaVita November 2009 - May 2010
Harpeth Capital June 2007 - August 2007
American Student Assistance March 2004 - July 2006
Private Healthcare Systems January 2003 - March 2004
Education
Vanderbilt University - Owen Graduate School of Management 2006 — 2008
MBA
Stonehill College 1999 — 2002
BA, Economics
Partners HealthCare June 2012 - Present
Partners HealthCare May 2012 - June 2012
Partners HealthCare January 2012 - May 2012
Partners HealthCare February 2009 - December 2011
American Renal Associates October 2007 - January 2009
North Shore Medical Center June 2001 - October 2007
Private Healthcare Systems October 1998 - June 2001
Skills
Revenue Cycle, Healthcare, Epic Systems, Hospitals, Revenue Cycle Management, Hospital Revenue Cycle, Healthcare Information..., Medical Billing, HIPAA, Systems Analysis, System Testing, Business Analysis, Business Process, Requirements Analysis, Coordination, Innovation, Resolute Hospital..., Non-profits, Project Management, ICD-9, CPT, Medicaid, Software Implementation, Medicare, Medicare/Medicaid..., Siemens Soarian, Behavioral Interviewing, Diversity & Inclusion, Mentoring Council Member, Mentoring Program Lead, Change Management, Interviews, Networking, Management Liason, Recruitment and..., Co-Chair, Program Launch, Leadership Development, High Potential..., High Potential Programs, High Potential..., Bench Strength, Enhance Organizational..., Cultural Diversity, Cultural Competency, Cultural Awareness, Cultural Sensitivity, Cultural Management, Cultural Analysis
Education
Salem State University
Management Information Systems
St. Mary's Regional Jr./Sr. High School
Private Healthcare Systems January 2014 - Present
Seneca College January 2014 - Present
Circle of Care January 2013 - February 2013
Skills
Teaching, Research, Public Speaking, PowerPoint, Microsoft Office, Microsoft Word, Customer Service, Microsoft Excel, Outlook, English, Strategic Planning, Windows, Budgets, Editing, Photoshop
Education
Seneca College of Applied Arts and Technology 2014 — 2016
Autism & Behaviour, Health and Physical Education/Fitness, postgraduate
Seneca College of Applied Arts and Technology 2013 — 2015
Autism and Behaviour, Behavioral Aspects of Health, Postgraduate Program
BMC HealthNet Plan July 2007 - Present
Private Healthcare Systems August 2007 - November 2007
Network Health April 2004 - May 2007
Skills
Microsoft Word, Microsoft Excel, Microsoft Outlook, Trizetto Facets..., Type 75 WPM, Microsoft Access, Data Entry, Hospitals, Outlook, Medicaid, Insurance, Business Analysis, Access, Call Centers, Event Planning, HIPAA, Training, Claim, Managed Care, Program Management, Policy, Visio, Typing, Research, Nonprofits, Customer Service, Medicare, Lotus Notes, Microsoft Office, PowerPoint, Healthcare, Process Improvement, Provider Relations, Software Documentation
Education
Northeastern University 2007 — 2007
Madison Park Tech, Vocational High 1995 — 1999
Legal Office Procedures, Law
MorphoTrust USA July 2013 - January 2014
Staples April 2012 - June 2012
American Tower August 2010 - March 2012
Genzyme Genetics March 2009 - July 2010
Fidelity Investments March 2004 - November 2008
PAREXEL February 2002 - January 2003
Putnam Investments January 2001 - September 2001
Ciber June 2000 - January 2001
Putnam Investments September 1999 - June 2000
Private Healthcare Systems January 1999 - September 1999
Skills
Project Management, Information Technology, Finance, Cross-functional Team..., Data Warehousing
Education
Project Management Institute
Certificate, Project Management Professional
Northeastern University
BSBA, Management Information Systems
Chelmsford schools
HMS Holding July 2009 - Present
hms 2008 - Present
The TriZetto Group 2006 - July 2009
NHIC/EDS - CA Medicare 2002 - 2007
NHIC EDS August 2002 - 2006
McKesson 1999 - 2006
deNovis 2000 - 2002
HPR 1995 - 2000
McKesson Health Solutions 1995 - 2000
Private Healthcare Systems 1985 - 1992
Skills
Project Implementation, Healthcare Information..., Healthcare, Process Improvement, SDLC, Business Analysis, Enterprise Software, Product Management, HIPAA, Managed Care, Medicare, Business Intelligence, SaaS, Cross-functional Team..., Strategic Planning, Vendor Management, Healthcare Industry, Medicaid, Integration, Software Project..., EHR
Education
Harvard University 1991 — 1996
Bachelor Art, English
Fenn College (CSU)
RN, Huron Hospital Sch Nursing
SusanJubbphotography.com June 2012 - Present
Private Healthcare Systems September 1995 - April 2001
Creative Office Pavilion August 1994 - September 1995
Business Interiors August 1987 - August 1994
Skills
Photography, Portrait Photography, Microsoft Office, Weddings, Social Media, Microsoft Excel, Process Improvement, Adobe Photoshop Elements, Sports Photography, Office space planning, AutoCAD, Photos, Photoshop Elements, Family Photography, Studio Lighting, Lifestyle Photography, Mac, Graphic Design, Studio Photography, Space planning, Architectural..., Event Photography
Education
Ithaca College 1979 — 1983
Bachelor of Science (B.S.), Personnel and Industrial Relations
Fallon Health June 2015 - Present
Partners HealthCare January 2013 - June 2015
Partners HealthCare September 2009 - January 2013
Boston Medical Center HealthNet Plan January 2007 - August 2009
Private Healthcare Systems April 2004 - January 2007
Private Healthcare Systems, Inc. May 2002 - April 2004
John Hancock Financial January 2001 - January 2002
Private Healthcare Systems January 1998 - January 2001
Private Healthcare Systems, Inc. May 1996 - January 1998
Private Healthcare Systems January 1994 - May 1996
Skills
Process Improvement, Project Management, Change Management, User Acceptance Testing, Analysis, Cross-functional Team..., Testing, Business Requirements, Project Planning, Management, Leadership, HIPAA, Healthcare Information..., Training, Healthcare, Software Documentation, Visio, SDLC, Healthcare Management, Business Analysis
Education
Regis College 1989 — 1993
B.A, Business Administration
Bose Corporation April 2013 - October 2014
VidSys, Inc. July 2012 - March 2013
BuyerZone.com February 2009 - June 2012
Pactolus Communications Software March 2008 - December 2008
Private Healthcare Systems September 2002 - March 2008
Tilion January 2001 - June 2002
UCMS April 2000 - January 2001
Atex September 1997 - March 2000
Algonquin Round Table April 1919 - October 1929
Skills
Software Development, Agile Methodologies, Scrum, Requirements Analysis, Design Patterns, Java, J2EE, JPA, Hibernate, Spring, Web Services, XML, SQL, Oracle, MySQL, SQL Server, REST, Maven, Ant
Education
Harvard University
Extension School
University of Massachusetts, Amherst
Bachelor's degree
Maxwell Health October 2014 - Present
Digital Benefit Advisors/Digital Benefits Marketplace February 2013 - November 2013
Baystate Financial Services, LLC March 2004 - December 2012
Choice Strategies, a division of WageWorks 2002 - 2004
Arthur J. Gallagher and Co. 2001 - 2002
Aetna 2000 - 2001
Allmerica 1999 - 2001
Private Healthcare Systems 1998 - 1999
Blue Cross Blue Shield of Massachusetts May 1991 - November 1997
Benefits Consultant 1988 - 1991
Skills
Senior Executive..., Leadership, Employee Benefits, Health Insurance, Health Insurance..., Benefits Negotiation, Benefits Administration, Self Directed Work Teams, Disability Insurance, Life Insurance, Insurance, Sales, Account Management, Employee Wellness, Employee Engagement, Human Resources, Employee Relations, 401k, CRM, Management, New Business Development, Project Management, Change Management, Licensed Life & Health...
Education
Northeastern University 1983 — 1985
MPA, Public Administration
Utica College of Syracuse University 1979 — 1982
Bachelor's degree, Political Science and Government
Rome Catholic High 1976 — 1978
Coldwell Banker Residential Brokerage May 2012 - Present
Coldwell Banker Residential Brokerage March 2003 - April 2012
Real Estate 2002 - 2011
InfoMedics 1999 - 2001
Private Healthcare Systems 1992 - 1999
Skills
Real Estate, Sellers, Selling, Residential, Buying, First Time Home Buyers, Relocation, Negotiation, Condos, ABR, Realty, Investment Properties
Education
Suffolk University 1998 — 2000
MBA, Management
Suffolk University - Sawyer School of Management 1982 — 1987
Bachelor of Business Administration (BBA), Business Administration and Management, General, Summa Cum Laude
Archbishop Williams High School 1979 — 1982
Private Healthcare Systems August 2009 - Present
Oyster Bar April 2009 - July 2009
Dekalb County Central United School District January 2008 - March 2009
2008 - Buffalo Wild Wings Bar & Grill August 2007 - August 2008
Education
Ivy Tech Community College 2006 — 2011
Medical Assisting & Phlebotomy
2005-2007 Indiana Purdue University of Fort Wayne
GYN Computer Systems Parkview Occupational Health Computer Systems
Talisys October 2013 - Present
Broadridge Financial Solutions April 2012 - October 2013
Broadridge May 2000 - March 2012
Private Healthcare Systems May 1991 - January 2000
United States Army Reserve May 1982 - January 1997
Presbyterian St. Lukes Medical Center September 1989 - April 1991
Humana August 1986 - August 1989
Skills
Business Analysis, Functional..., Portfolio Management, Requirements Gathering, Business Requirements, Tax Reporting, Requirements Analysis, User Acceptance Testing, Business Process Design, Requirements..., Documentation, Requirements Management, Functional Design, Process Mapping, Functional Analysis, Business Process, Software Project..., Product Management, Operations Management, Health Plan Operations, Health plan contracts, Contractual Agreements, Software Documentation, SaaS, Service Bureau, Client Relations Skills, Strategic Planning, Agile Methodologies, Project Management, Vendor Management, Financial Services, Process Improvement, Finance, SDLC, Cross-functional Team..., Requirement..., Quality Assurance, Business Process Mapping, CRM, Management, Systems Analysis, Equities, Securities, Back Office, Software Development, Leadership, Mutual Funds, Strategy, Business Process..., Product Requirements
Education
University of Phoenix 1992 — 1997
MBA, Business Administration
Texas Tech University 1981 — 1986
BBA - Finance, Finance
Coronado High School, El Paso 1978 — 1981
Diploma, General Studies
St. Callistus School August 2005 - Present
St. Joseph School, Placentia August 2004 - June 2005
Our Lady of Pillar Catholic School August 2003 - June 2004
Immaculate Heart of Mary Catholic School August 2000 - June 2003
St. Irenaeus Catholic School January 2000 - June 2000
Private Healthcare Systems January 1993 - January 1999
St. Mary's Catholic Church August 1991 - November 1993
CIGNA Healthcare May 1983 - August 1991
Skills
Public Speaking, Creative Writing, Teaching, Medical Training, CPR First Aid Cerified...
Education
Long Island University, C.W. Post Campus 1973 — 2000
Master of Arts, English-Secondary Education
Molloy College 1970 — 1972
Bachelor of Arts, English-Secondary Education
Nassau Community College 1967 — 1969
Transfered, English
Clinical Wound Solutions LLC April 2010 - Present
Growing Success, Inc. July 2012 - February 2013
SendOutCards January 2010 - January 2012
Sunflower Consulting Services January 2009 - March 2010
ERC Commercial Roofing & Sheet Metal 2005 - 2008
Primax Recoveries, Inc. March 1998 - July 2003
Private HealthCare Systems September 1990 - November 1997
Skills
Motivational Speaking, Time Management, Customer Retention, People Development, Personal Development, Personal Training, Public Speaking, Writing, Resume Writing
Education
Kendall College 2009 — 2012
Business Management
Orange Coast College 1990 — 1995
Associates, Business & Sociology
NHHS
Market America October 2010 - Present
Market America Unfranchise Owner October 2010 - Present
Private Healthcare Systems September 2002 - Present
CVS Pharmacy July 2008 - June 2009
New England Jewelry May 2005 - July 2007
Not Your Average Joe's August 2003 - July 2007
Education
Norfolk County Aggricultural HS 1995 — 2001
N/A, Arboriculture
Quincy College
Accounting
Lexington Christian Academy September 2015 - Present
H.U.M.A.N. Healthy Vending February 2012 - Present
MultiPlan, Inc. April 2007 - Present
Private Healthcare Systems October 2004 - March 2006
Private Healthcare Systems May 2003 - October 2004
Private Healthcare Systems May 2001 - October 2003
Sun Associates June 2000 - March 2001
The Chestnut Hill School August 1997 - June 1999
The Park School - Brookline, MA August 1996 - June 1997
Skills
Dynamic Facilitator,..., Instructional Design, Curriculum Development, Certified Behavioral..., Training, Program Management, Staff Development, Teaching, Project Management, Leadership Development, Management, Strategic Planning, Analysis, Strategy, Personnel Management, Performance Improvement, Workshop Facilitation
Education
Harvard University Graduate School of Education 1999 — 2000
M.Ed., Human Development, Program Evaluation
Wellesley College 1992 — 1996
B.A., Psychology, Educational Studies
Physicians of Cape Cod March 2014 - Present
SPAULDING OF CAPE COD January 2001 - Present
Private Healthcare Systems January 1988 - Present
ROCKVILLE GENERAL HOSPITAL January 1972 - Present
CAPE COD HOSPITAL EXTENDED CARE January 1999 - January 2001
VISITING NURSE ASSOCIATION OF CENTRAL & OUTER CAPE COD, INC January 1995 - January 1999
UMASS ADOLESCENT TREATMENT PROGRAM January 1992 - January 1995
McLean Hospital January 1989 - January 1992
Emerson Hospital January 1981 - January 1989
Lowell General Hospital January 1979 - January 1981
Skills
Hospitals, Healthcare Management, Healthcare
Education
Middlesex Community College
New Britain General Hospital School of Nursing
Diploma, Nursing
Northeastern University
BS, Nursing
Norwich State Hospital
Circle Home, Inc. (formerly VNA of Greater Lowell) August 2013 - Present
DOMA Vector Services, LLC 2011 - January 2013
NaviNet July 2006 - February 2009
Private Healthcare Systems August 2001 - March 2004
United Healthcare January 1995 - February 2000
Skills
Business Analysis, Healthcare, SDLC, Process Improvement, Requirements Analysis, Technical Training, Clinical Data Management, Healthcare Information..., Program Management, Testing, HIPAA, Analysis, Management, Project Management
Education
John Carroll University 1987 — 1993
BS, Biology
Lakeland Community College 1985 — 1987
AAS, Medical Technology
Monarch HealthCare August 2013 - Present
Harbor Health Systems April 2009 - July 2013
UnitedHealth Group October 2005 - April 2009
StrataCare 2003 - 2005
Private Healthcare Systems 2003 - 2003
UC Irvine Medical Center 2002 - 2003
EOS Group - HealthNet 1997 - 2002
Skills
Customer Relations, Business Analysis, Managed Care, Healthcare, Process Improvement, Project Management, Account Management, Data Analysis, Program Management, Team Building, Product Management, Change Management, Customer Service, Leadership, Capitation, Workers Compensation, Strategic Planning, HMO, PPO, Business Development, Microsoft Office, Team Leadership, Analysis, Training, Quality Assurance
Education
University of Phoenix 2004 — 2006
BSBM, Business Management
Saddleback College 2002 — 2006
Business Management, Undergraduate
Eli Lilly April 2004 - Present
US Ancillary & Evaluation July 1997 - April 2004
Med-Eval June 1993 - July 1997
Private Healthcare Systems November 1992 - May 1993
CapitalCare May 1991 - October 1992
Skills
Pharmaceutical Sales, Sales, Sales Management, Strategic Planning, Direct Sales, New Business Development, Marketing Strategy, Osteoporosis
Education
Penn State University 1987 — 1991
B.S., Hospital Policy & Administration
Worcester Polytechnic Institute July 2015 - Present
Worcester Polytechnic Institute June 2011 - July 2015
Cutler Associates, Inc. 2005 - June 2011
Private Healthcare Systems 2004 - 2005
Ciminelli Development Company 1999 - 2004
Ingram Micro 1996 - 1999
Skills
Marketing Communications, Marketing Strategy, Social Media, Marketing, Social Media Marketing, Event Planning, Email Marketing, Market Research, Public Relations
Education
Rutgers, The State University of New Jersey - Rutgers Business School 2014 — 2014
Mini-MBA - Digital Marketing
State University of New York at Buffalo - School of Management 1997 — 2000
MBA, Marketing
University at Buffalo 1994 — 1996
BA, Economics
ShoreGroup, Inc. June 2010 - Present
Self Employed April 2003 - June 2010
Infimed September 2005 - February 2006
Private Healthcare Systems April 2001 - April 2003
IDX Systems Corp April 1994 - April 2001
Skills
Software Quality..., Quality Assurance, SDLC, Test Automation, Software Configuration..., Databases, Enterprise Software, Defect Tracking, Agile Methodologies, Testing, Configuration Management, Software Quality, Requirements Analysis, Software Development, Integration
Education
State University of New York College at Cortland 1988 — 1992
Dual B.A., Economics & Management Science
Private Healthcare Systems March 2014 - July 2015
STG International, Inc. November 2013 - March 2014
Washington Metropolitan Area Transit Authority (WMATA/METRO) November 2012 - September 2013
CRAssociates April 2010 - July 2012
Federal Government Contractor August 2009 - March 2010
Federal Government Contractor September 2008 - August 2009
Virginia Hospital Center July 2007 - June 2008
BestPractices, Inc. March 2006 - March 2007
Health Net Federal Services January 2005 - October 2005
Skills
Medical Staff..., Prime Source..., Government Contracting, Credentialing, Data Entry, Contract Recruitment, Health Care Recruiting, Resume Writing, Sourcing, Healthcare, Human Resources, Interviews, Applicant Tracking..., Hospitals, Software Documentation, Training, Recruiting, Talent Acquisition, Management, Temporary Placement, Physicians, Time Management, Background Checks, Policy, Managed Care, Employee Benefits, Onboarding, Benefits Administration, Healthcare Management, Job Fairs, Temporary Staffing, Hiring, Taleo, Employee Relations, Screening, HRIS, College Recruiting, New Hire Orientations, Internet Recruiting, PeopleSoft, Technical Recruiting, Full-life Cycle..., Staffing Services, Spreadsheets, Job Descriptions, Screening Resumes, Corporate Recruiting, Workforce Planning, JCAHO, Administration
Education
Gar-Field
Diploma
Northern Virginia Community College
Office Systems Technology
Woodbridge Business Institute
Medical Secretary
Grupo Konecta February 2009 - February 2013
ClaimAssist March 2001 - February 2007
Private Healthcare Systems June 1998 - March 2001
Harvard Medical School January 1990 - September 1993
Skills
Customer Service, Microsoft Excel, Microsoft Word, Microsoft Office, PowerPoint, Research, Data Analysis, Statistics, Cell Biology, Customer Satisfaction, Computer Repair, Electronics, Mechanical..., Healthcare, Insurance, Problem Solving, EMR
Education
State University of New York at New Paltz 1980 — 1986
Bachelor's Degree, Biology, 3.02
New York State Regents program in Pre-electrical Engineering at Levittown Division High School
High School, Pre-Engineering
Physicians Interactive December 2012 - January 2015
InfoMedics, Inc. January 1996 - November 2012
Private Healthcare Systems 1988 - January 1996
General Electric Consulting Services March 1988 - August 1990
The Travelers Insurance Company July 1983 - March 1988
Skills
Project Management, Client Co-ordination, Pharmaceutical Industry, Cross-functional Team..., Leadership, Relational Databases, Strategic Communications, Technology Integration, Management, Strategic Planning, Managed Care, Healthcare, Process Improvement, CRM, Program Management, Strategy, Account Management, Business Analysis, Business Development, Salesforce.com, SDLC, SaaS, Large Systems..., Client Services, Sales Engineering, Data Security, Desktop Application..., Integration
Education
Providence College 1979 — 1983
Bachelor of Science, Business Administration / Finance
Comcast Cable June 2002 - February 2015
Comcast Cable June 2002 - February 2015
Comcast Cable June 2002 - February 2015
Comcast Cable June 2002 - February 2015
Genuity Solutions January 2000 - May 2002
Private Healthcare Systems August 1997 - December 2000
Merrimack Montessori Learning Center June 1988 - August 1998
Skills
Customer Satisfaction, Call Centers, Customer Service, Team Building, Telecommunications
Education
Middlesex Community College 1987 — 1993
Associate of Science (AS), Early Childhood Education and Teaching
Surplus Technolgy Solutions LLC. February 1997 - Present
US Edge September 2010 - May 2011
TriNET Systems April 2010 - August 2010
Wellington Management October 2007 - April 2010
Cytyc Corporation March 2003 - December 2006
Surebridge Inc January 2000 - January 2003
CSC Consulting January 1997 - September 2000
Private Healthcare Systems January 1992 - January 1997
Skills
Servers, VoIP, Data Center, Management, Asset Recovery, Computer Recycling, Recycling, Electronics, Buyouts, Liquidation, bankruptcy liquidations, Consumer Electronics, Electronics Repair, Assets Recovery, Active Directory, Call Centers, System Administration, Telecommunications
Education
Avaya University
Certificates, Several Avaya Certifications
Mass Bay Community College
Massachusetts Bay Community College
Business Administration
Norhteastern University State of the Art Program
Several Computer related courses
MorphoTrust ™ USA March 2012 - Present
L1 Identity Solutions April 2006 - Present
Pfizer September 2001 - December 2005
PictureTel April 1995 - May 2001
Private Healthcare Systems June 1993 - March 1995
Lechmere 1990 - 1992
Education
Newbury College 1994 — 1996
Associates, Accounting
SUNRx 340B March 2015 - Present
Almost Family, Inc. / Mederi- Caretenders February 2014 - January 2015
Truven Health Analytics (Formerly the Healthcare Business of Thomson Reuters) November 2010 - November 2012
Amedisys Home Health & Hospice July 2006 - October 2010
Heartland Home Health & Hospice Inc. July 2004 - July 2006
InfoMedics July 1996 - July 1998
Harvard Pilgrim Health Care July 1994 - July 1996
Private Healthcare Systems July 1988 - July 1994
Dana-Farber Cancer Institute July 1985 - July 1988
Skills
Healthcare, Managed Care, Healthcare Information..., Hospitals, Salesforce.com, Account Management, Social Media Marketing, EHR, HIPAA, Medicare, EMR, Home Care, Sales Presentations, Health Insurance, Product Marketing, Clinical Trials, Healthcare Management, Healthcare Consulting, Clinical Research, Informatics, Sales Operations, Diabetes, Strategy, Sales, Cardiology, Oncology, Medicine, Revenue Cycle, Medical Devices, Client Development, Manage Client..., Client Relations Skills, Client Presentation, Medicaid, Physicians, Healthcare Industry, Nursing, Physician Relations, Employee Benefits, Marketing, Pharmaceutical Sales, Product Launch, Orthopedic, Sales Force Development, Selling, Long-term Care, Pharmaceutical Industry, Cold Calling, Capital Equipment, Sales Process
Education
University of North Carolina at Chapel Hill 1986 — 1988
Master's of Public Health, Health Policy and Administration
State University of New York College at Cortland 1981 — 1985
Bachelor's degree, Health Science
Dana-Farber Cancer Institute February 2008 - Present
Retail Business Owner July 2006 - January 2008
Private Healthcare Systems November 2005 - March 2006
Blue Cross Blue Shield of Massachusetts March 2005 - September 2005
Tufts Health Plan February 2003 - March 2005
Fleet Bank July 2001 - January 2003
South Shore Hospital October 2000 - June 2001
Harvard Pilgrim Health Care July 1994 - September 2000
Pilgrim Health Care November 1989 - June 1995
Jordan Hospital June 1983 - October 1989
Skills
PMP, MCTS, MS Project, SDLC, Project Management, Project Portfolio..., Software Project..., PMO, Cross-functional Team..., Healthcare Information..., Resource Management, Certified Project..., Budgets, Leadership, Integration
Education
Boston University School of Public Health 2004 — 2005
Coursework in Healthcare Finance and Biostatistics
Hiram College
BS, English
Andover Newton Theological School
MDiv, Theology
RealPage, Inc. August 2011 - October 2014
MyNewPlace September 2008 - August 2011
Bear River Associates 2007 - 2008
Telephia Inc 2002 - 2006
Versata 1997 - 2001
Private Healthcare Systems 1995 - 1997
Skills
Software Development, Product Management, Agile Methodologies, Quality Assurance, XML, Databases, Start-ups, QA Engineering, SQL, Software Quality..., Test Automation, Enterprise Software, Software Project..., Java, Integration, Web Applications, Testing, Unix, Scrum, Salesforce.com, SDLC, Mobile Applications, SaaS
Education
Robert Morris University
Bachelor's Degree, Major: Computer Science / Minor: Quantitative Business Analysis/Operations Research
Private Healthcare Systems October 2013 - Present
Jerdiggity Interactive Web Browser (Search Engine) March 2008 - Present
Skills
Social Networking, Home Health Agencies, Blogging, Poetry, Web Design, Therapeutic Massage, Cooking, Entrepreneurship, Bar Management, CNAS, Medical First Aid..., Cpr Certified
Education
Argosy University-Phoenix Online Division 2011 — 2012
Associate's degree, Nursing Education
Pima Medical Institute-Denver 1991 — 1993
Associate's degree, Veterinary Medicine
Statesboro-Bulloch Parks & Recreation August 2014 - Present
Revolution Gym August 2014 - Present
Private Healthcare Systems July 2013 - August 2014
Heavenly Ham March 2011 - May 2013
Bernie's August 2007 - February 2012
The Anderson House January 2010 - July 2011
Skills
Microsoft Office, PowerPoint, Social Media, Public Speaking, Event Planning, Research, Public Relations, Microsoft Word, Facebook, Photoshop, Microsoft Excel, Editing, Social Networking, InDesign, Budgeting, Video Editing, Interpersonal..., Recruiting, Advertising, Illustrator, Instagram, Twitter, Newsletters, Press Releases, Customer Service, Social Media Marketing
Education
Georgia Southern University 2011 — 2014
Bachelor of Science (B.S.), Public Relations
Georgia Southern University 2011 — 2014
Bachelor’s Degree, Public Relations
Beacon Health Strategies January 2015 - Present
BMCHP August 2011 - December 2014
Software Quality Associates August 2010 - June 2011
Advantage Technical Resourcing November 2006 - August 2010
Keane Inc. March 2004 - December 2006
Cue Data Services May 2002 - January 2004
Private Healthcare Systems March 2000 - April 2002
Skills
Microsoft SQL Server, Toad, Cognos, Visual Studio, Visual Basic, C#, SQL, PL/SQL, Microsoft Office, Microsoft Excel, Microsoft Word, Visio, Oracle, Unix, HTML Scripting, Healthcare Information..., Business Communications, User Acceptance Testing, SDLC, Integration, Databases, Business Intelligence, Data Warehousing, Process Improvement, Quality Assurance, Requirements Analysis
Education
Strayer University
Bachelor of Science (BS) - Concentration in application development, Management Information Systems, General
Strayer University
Injured Workers Pharmacy July 2010 - Present
Injured Workers Pharmacy May 2005 - July 2010
Injured Workers Pharmacy January 2005 - May 2005
Private Healthcare Systems July 2004 - January 2005
Skills
Accounting, ADP Workforce Now..., Accounts Payable, Accounts Receivable
Education
American Payroll Association 2013 — 2014
Fundamental Payroll Certification, Fundamental Payroll Certification
US Career Institute 2008 — 2014
Certification, Accounting Specialist, A
San Joaquin Valley College-Bakersfield 1998 — 2000
Associate of Science (A.S.), Health Care Insurance Specialist
Bakersfield High School 1994 — 1998
High School, Regular Diploma
Pegasystems September 2011 - Present
RE Moulton, Inc. January 2007 - September 2011
Private Healthcare Systems November 2002 - September 2006
Hubbard & Preston Insurance Brokerage October 2001 - November 2002
US Refresh May 2000 - September 2001
Metropolitan Credit Union September 1995 - May 2000
Flynn Insurance Agency November 1991 - September 1995
Skills
Microsoft Office, Attention To Detail, Strong Communicator, Salesforce.com, Project Management, Recruiting, Sales, Human Resources, Strategy, Project Planning, Strategic Planning, Marketing
Education
Middlesex Community College 1989 — 1991
A.S, Business Administration; Marketing
Stoneham high school 1986 — 1989
Abt Associates August 2010 - Present
Ropes & Gray LLP 2007 - July 2010
Private Health Care Systems (purchased by Multiplan, Inc.) 2002 - 2007
Private Healthcare Systems 1997 - 2002
Private Healthcare Systems 1995 - 1997
Deloitte & Touche 1994 - 1995
New England Tractor Trailer 1993 - 1994
Needel Welch & Stone 1988 - 1993
Skills
Business Process..., Financial Reporting, Financial Analysis, Team Leadership, System Implementations, Mergers & Acquisitions, Corporate Tax, Automation
Education
Stonehill College 1984 — 1988
BSBA, Accounting
Lake Forest Graduate School of Management 2013 - Present
William Rainey Harper College 2013 - Present
Independent Consultant 2009 - Present
US Army 1993 - 2013
Large community based hospital 2003 - 2009
US Oncology 2000 - 2003
CorSolutions January 1998 - January 2000
Private Healthcare Systems January 1995 - January 1998
HealthNetwork March 1994 - August 1995
Skills
Managed Care, Healthcare, Healthcare Information..., Hospitals, Healthcare Management, Healthcare Industry, Medicare, Pharmacy Benefit..., Healthcare Consulting, Clinical Research, HIPAA, Medicaid, Health Insurance, EMR, Revenue Cycle, EHR, Health Policy, Strategic Planning, Provider Relations, Physicians, Team Building, Strategy, Leadership, Training
Education
Northwestern University 2009 — 2011
Graduate Certificate, Business Analyst
Naval Postgraduate School 2010 — 2010
SSDCO Certificate, Stability, Security and Development in Complex Operations
Loyola University Chicago School of Law 2001 — 2005
MJ, Health Law
Lake Forest Graduate School of Management 1997 — 2000
MBA
Northern Illinois University 1990 — 1993
BA, German, Economics
William Rainey Harper College 1987 — 1989
Associate of Arts (A.A.), Liberal Arts and Sciences/Liberal Studies
GSN Games 2014 - Present
GSN Games 2012 - 2014
GSN Games 2010 - 2012
WorldWinner/GSN 2007 - 2010
All Seasons Services 2006 - 2007
KaBloom.com, LTD 2002 - 2006
Dutch Flower Garden 1999 - 2002
Winston Flowers 1995 - 1999
Private Healthcare Systems 1992 - 1995
Coopers & Lybrand 1988 - 1992
Skills
Product Management, Start-ups, Digital Media, Budgets, Strategic Partnerships, Financial Analysis, Forecasting, Financial Reporting, Strategic Planning, Financial Modeling, Finance
Education
University of Massachusetts at Amherst - Isenberg School of Management 1984 — 1988
BBA, Accounting
Gaudet & Hughes, Inc. October 2010 - Present
Daniel E. Gaudet, CPA, Inc. October 2010 - October 2013
O'Toole & Company, P.C. September 2005 - October 2010
Houghton Mifflin August 2004 - September 2005
Private Healthcare Systems July 2002 - August 2004
O'Toole & Company, P.C. June 1998 - July 2002
Skills
Accounting, Tax, Financial Reporting, Bookkeeping, Business Advisory, Small Business, Individual, Non-profits, Nonprofits, CPA, Tax Preparation, Internal Controls, GAAP, Tax Returns, Financial Statements, Corporate Tax, Revenue Recognition, General Ledger, Cash Flow, Fixed Assets, Financial Accounting, Accountants, Accounts Receivable, US GAAP, Strategic Financial..., Financial Analysis
Education
Merrimack College 1998 — 2001
Bachelor of Science, Accounting
Methuen High School
Community Health July 2014 - Present
American Renal Associates April 2007 - April 2014
Specialized Receivables 2005 - 2007
Private Healthcare Systems 2002 - 2005
Rovia 2000 - 2002
Student Advantage 1999 - 2000
Lowell General Hospital 1994 - 1999
Boston Medical Center 1993 - 1994
Skills
Enterprise Mobility, IT Enabled Business..., Enterprise Architecture, Information Technology, Strategic Planning, HIPAA, Disaster Recovery, Business Intelligence, Start-ups, Chief Information..., Chief Technology Officer, Vice President of..., Chief Information..., Strategic IT Planning &..., Business Integration,..., Enterprise..., IT Project & Portfolio..., Mergers, Acquisitions &..., Business Continuity &..., Data Warehouse &..., Extensive Clinical,..., Compliance (HIPAA,..., Hospital, Ambulatory &..., Chief Security Officer, Hospital & Ambulatory..., Large Scale Computing &..., Integration, Process Improvement, Business Process..., Healthcare, Project Portfolio..., EHR, Healthcare Information..., Vendor Management, Project Management, SDLC, Cloud Computing, Healthcare Management, Health Information..., Outsourcing, Management, ITIL, Leadership, IT Strategy, Program Management, SaaS, Data Center, Change Management, Governance, Strategy
Education
Massachusetts Institute of Technology - Sloan School of Management 2005 — 2005
Executive Education - Building, Leading and Sustaining the Innovative Organization
University of Massachusetts Lowell 1996 — 1998
Master of Business Administration (M.B.A.), Business Administration and Management, General, 3.85
Lesley College 1988 — 1992
Bachelor's Degree, Business Administration and Management, General, 3.8
Marsh Risk and Insurance Services May 2000 - Present
PriceWaterhouse Coopers 1999 - 2000
Private Healthcare Systems 1995 - 1999
BPS Healthcare 1993 - 1995
Maxicare Health Plans 1991 - 1993
Skills
Risk Management, Freight, Product Liability, D&O, Insurance
Education
Northeastern University 1982 — 1987
Bachelor of Science, Economics
Brookline High School 1978 — 1982
Scott & White Health Plan June 2014 - Present
Ed White Consulting June 2011 - June 2014
North Texas Specialty Physicians January 2012 - November 2012
Universal American 2008 - 2011
St. Luke's Episcopal Health System 2007 - 2008
ppoNEXT 2003 - 2007
Mason White & Associates 2000 - 2003
System Health Providers 1999 - 2000
Private Healthcare Systems 1992 - 1999
Blue Cross and Blue Shield of Louisiana 1990 - 1992
Skills
Operations Management, Business Development, Managed Care Network..., Managed Care, Business Relationship..., Network Administration, Contract Negotiation, Finance, Provider Relations, Medicare, Medicaid, Healthcare Management, Credentialing, Healthcare, Network Development, Hospitals, Revenue Cycle, Healthcare Industry, Claims Processing..., Commercial Insurance, Physicians, PPO, HMO, Insurance, Healthcare Consulting, HIPAA, Health Insurance, Strategy, Healthcare Information..., Health Policy, Physician Relations, Performance Improvement, Provider Network..., Management, Team Building, Accountable Care, Turn Around Management, Health Savings Accounts, Employee Benefits, Ambulatory Care, Leadership, EMR, Practice Management, Informatics, Quality Improvement, Process Improvement, Accreditation, Health Information..., EHR, Executive Management
Education
St. Thomas High School
The University of Dallas
MBA
University of Houston
BS
Texas A&M University
Hamilton, Brook, Smith & Reynolds, P.C. August 1997 - Present
Harrington Catalog September 1994 - February 1996
Private Healthcare Systems September 1990 - September 1994
Skills
iManage, Legal Assistance, Legal Documents, Legal Research, Patent Prosecution, Docketing, Administrative..., Intellectual Property, Presentations, Integration of...
Education
Middlesex Community College 1988 — 1990
Associate, Secretarial Sciences
Cubist Pharmaceuticals May 2007 - July 2015
Private Healthcare Systems September 1989 - October 2006
Skills
Microsoft Office, Customer Service, Microsoft Word, Teamwork, Pharmaceutical Industry, Microsoft Excel
Education
Middlesex Community College
Certificate, Computerized bookkeeping
Catholic Weymouth Collaborative September 2014 - Present
Saint Jerome Parish January 2012 - Present
Self-employed 2001 - Present
Self-employed 2007 - 2014
St. Catherine of Siena Parish 2010 - 2011
St. Mary of the Hills School 2010 - 2011
St. Ann Parish 2001 - 2010
Sacred Heart Parish 1996 - 2010
Private Healthcare Systems 2000 - 2001
Neighborhood Health Plan 1997 - 2000
Skills
Writing, Editing, Singing, Piano, Music, Teaching, Copywriting, Journalism, Corporate Communications, Copy Editing, Newsletters, Columnist, Musical Theatre, Vocal, Classical, Music Theory, Music Education, Choral
Education
New England Conservatory of Music 1991 — 1993
M.M., Voice performance
State University of New York College at Potsdam 1987 — 1991
B.M., Music Education
Olympia High School
Theological Institute for the New Evangelization, St. John's Seminary
World Travel Holdings May 2012 - Present
World Travel Holdings (WTH/NLG) January 2009 - May 2012
World Travel Holdings (WTH) - Formerly National Leisure Group (NLG) February 2007 - January 2009
Private Healthcare Systems September 2006 - February 2007
NLG June 2003 - April 2006
Cap Gemini Ernst and Young 1999 - 2002
Johnson and Johnson Professional 1997 - 1998
Skills
Problem Solving, Process Engineering, Integration, Analysis
Education
Rensselaer Polytechnic Institute 1994 — 1998
BS, Biomedical Engineering
Tufts Health Plan November 2007 - August 2008
PAREXEL December 2006 - October 2007
PRIVATE HEALTHCARE SYSTEMS January 2005 - December 2006
NEW ENGLAND BUSINESS SERVICE INC. September 1998 - August 2004
Education
Providence College
BSBA, Management
Elliot Whittier Insurance Services LLC January 2005 - Present
Atlantic Referal Exchange 2006 - 2008
Fidelity Investments 2000 - 2005
Private Healthcare Systems August 1998 - December 2000
Skills
Workers Compensation, General Liability, Bonds, Professional Malpractice, Group Benefits, Insurance, Risk, Sales, 401k, Health Insurance, Disability Insurance, Small Business, Legal Liability, Employee Benefits, Umbrella Insurance, Management, Brokers, Professional Liability, Claim, Property & Casualty..., Life Insurance, Long-term Care, Commercial Insurance, Health Savings Accounts, Employment Practices..., Accident, Risk Management, Financial Risk, Commercial Lines, Casualty, Underwriting, Retirement, General Insurance, Strategic Financial..., Fixed Annuities, Property, Liability, Inland Marine, Casualty Insurance
Education
Stonehill College 1994 — 1998
Omgeo July 2013 - Present
Fidelity Investments January 2011 - February 2012
Fidelity Investments July 2007 - January 2011
Fidelity Investments January 2005 - July 2007
Manulife Financial 2004 - 2004
Fidelity Investments 2001 - 2004
Sybase 2000 - 2001
Private Healthcare Systems 1998 - 1999
John Hancock 1998 - 1999
Fidelity Investments 1996 - 1998
Skills
Databases, Web Services, Java, Requirements Gathering, Systems Analysis, Requirements Analysis, SQL, SDLC, Oracle, Management, Data Warehousing, Agile Methodologies, Business Analysis, Software Project..., JavaScript, PL/SQL, ETL, Microsoft SQL Server, Solution Architecture, Analysis, Sybase, Linux, Database Design, Business Intelligence, Integration, Visio, SharePoint, Unix, Software Development, Perl, Project Management
Education
Massachusetts Institute of Technology 1988 — 1992
MultiPlan October 2006 - Present
Private Healthcare Systems November 1999 - October 2006
Skills
HIPAA, PPO, Provider Relations, Managed Care, Network Development, Healthcare Industry, Healthcare Consulting, Medicaid, Vendor Management, Healthcare, Healthcare Information..., Credentialing, Medicare, Program Management, HMO, Health Insurance, Software Documentation
Education
Northeastern University
Baylor Scott & White Health January 2013 - Present
HealthTexas Provider Network 2000 - Present
Texas Health Resources/Harris Methodist Select 1996 - 2000
HEC/Equifax January 1993 - December 1995
Aetna January 1992 - December 1992
Private Healthcare Systems 1989 - December 1991
Skills
Managed Care, Healthcare, Healthcare Management, Hospitals, Healthcare Consulting, Medicaid, Medicare, Health Insurance, Credentialing, Insurance, Healthcare Industry, Process Improvement, Strategic Planning, Leadership, Physician Relations
Education
Texas Woman's University 2004 — 2006
MBA, Business Administration
The University of Texas at Austin
BBA, Management
MultiPlan, Inc. Vice President and Associate General CounselPHCS/MultiPlan1995 - Present
Private Healthcare Systems September 1995 - October 2006
Pullman and Comley September 1987 - September 1995
Education
The George Washington University 1984 — 1987
JD, Law
The George Washington University Law School 1984 — 1987
Northeastern University 1979 — 1984
Political Science
MultiPlan,Inc November 2013 - Present
MultiPlan, Inc July 2007 - November 2013
Private Healthcare Systems September 1999 - June 2007
Private Healthcare Systems January 1998 - September 1999
PHCS June 1997 - January 1998
Anthem BC BS April 1994 - February 1996
Skills
Quality Assurance, Management, Business Process, Leadership, Cross-functional Team..., HIPAA, Project Management, Access, Software Project..., SDLC, User Acceptance Testing, Employee Benefits, Outsourcing, Time Management, Software Documentation, Healthcare, Requirements Analysis, Customer Service, Human Resources, Business Analysis, Databases, Software Development, Visio
Education
Lesley University 1988 — 1991
Master of Science, Training and Development
Worcester State University 1973 — 1975
BA, Cum Laude, Bachelors of Arts, English; Secondary Education Certificiate
Iowa State University 1970 — 1973
Dairy Science, Pre Veterinary Medicine
Meridian Health Plan September 2014 - Present
Russian School of Mathematics September 2004 - Present
Staples 2005 - August 2014
Watts Water Technologies 2004 - 2005
Avery Dennison 2001 - 2003
Kilcreggan 2001 - 2001
Private Healthcare Systems 2000 - 2000
Natural Micro Systems Inc 1999 - 2000
Staples 1995 - 1999
Mass Save 1993 - 1994
Skills
Progress 4GL, Mfg Pro, Databases, SQL, Database Design, Software Development, Java, Agile Methodologies, Programming, SDLC, Perl, Linux, Unix, Requirements Analysis, Software Project..., Data Warehousing, Visual Basic, MFG-Pro, OpenEdge, Symix, Syteline ERP, Integration
Education
Odessa National 'I.I. Mecnikov' University 1986 — 1991
MS, Mechanical Engineering and CS
Partners HealthCare June 2015 - Present
Partners HealthCare February 2015 - June 2015
NaviNet April 2013 - December 2014
Brigham and Women's Hospital June 2011 - April 2013
New England Baptist Hospital June 2007 - May 2011
BU School of Medicine March 2005 - June 2007
PAREXEL International December 2003 - March 2005
InfoMedics, Inc. May 1996 - November 2003
Private Healthcare Systems November 1992 - May 1996
Skills
Clinical Research, Clinical Trials, Project Management, Healthcare, Leadership, Healthcare Information..., Informatics, Epidemiology, Strategic Planning, Data Analysis, Training, Master Data Management, Data Governance, Business Process..., Research Management
Education
Tufts University 1981 — 1983
MS, Nutrition
Harvard University 1976 — 1980
BA, Anthropology
Lincoln Sudbury Regional High School
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas September 2013 - Present
Health Management Associates, Inc. February 2012 - September 2013
HCA June 2002 - February 2012
Scottsdale PHO March 2001 - October 2001
Health Net June 2000 - March 2001
CIGNA Healthcare October 1998 - June 2000
United Healthcare May 1995 - October 1998
Private Healthcare Systems March 1994 - May 1995
Prudential Healthcare May 1991 - March 1994
Skills
Medicare, Managed Care, Physicians, Healthcare Management, Healthcare, Process Improvement, Hospitals, Project Management, Healthcare Consulting, Coaching, Executive Management, Provider Relations, Physician Relations, Leadership, Medicaid, Revenue Cycle, Data Analysis, Team Building, Strategy, Healthcare Information..., Strategic Planning, Health Policy, Network Development, Health Insurance, EHR, Healthcare Industry, HIPAA
Education
University of California, Berkeley 1989 — 1992
MPP, MPH, Health and Public Policy
The Johns Hopkins University 1985 — 1989
BA, Biology
Employee Benefits January 2010 - Present
The Standard September 2007 - December 2008
Coordinated Benefits Company July 2002 - October 2006
Great-West/First Allmerica May 1998 - July 2002
Private Healthcare Systems March 1997 - May 1998
Skills
Employee Benefits, Health Insurance, Sales, Disability Insurance, Customer Service, Health Savings Accounts, Insurance, Benefits Administration, Underwriting, Term Life Insurance, Medicare, 401k, HIPAA, Retirement Planning, Group Insurance, Property & Casualty...
Education
Northern Illinois University 1990 — 1994
BS, Health Administration, Business Administration Minor
Alleman HIgh School
MultiPlan April 2014 - Present
MultiPlan January 2009 - April 2014
MultiPlan June 2006 - January 2009
Private Healthcare Systems 1997 - 2007
Skills
Network Development, Managed Care, Provider Relations, Customer Service, Healthcare, Leadership, Healthcare Management, Operations Management, Project Management, Vendor Management, Credentialing, Medicare, Employee Benefits, HIPAA, Physicians, Revenue Cycle, Contract Negotiation, Software Documentation, Data Analysis, HMO, Medicaid, Account Management, Analysis, Insurance, Executive Management, PPO, Hospitals, Claim, Quality Assurance, Team Building, Process Improvement, Program Management, Healthcare Consulting, Health Policy, Health Insurance, Training, Medical Billing, Business Analysis, Healthcare Information..., Strategic Planning, Access, Call Centers, Healthcare Industry, Cross-functional Team..., Change Management
Education
Southern New Hampshire University 2000 — 2005
Bachelor of Business Administration (BBA), Business Studies
Merrimack High School 1985 — 1989
Assurant Health June 1997 - Present
Private Healthcare Systems September 1992 - June 1997
Central Mass Health Care 1990 - 1993
Education
The University of Connecticut School of Business 1982 — 1986
Celgene July 2014 - Present
Consultant, Sanofi- Aventis October 2010 - Present
Pfizer, Inc November 2005 - December 2010
Pfizer, Inc January 2004 - November 2005
Royal Health Care December 2001 - March 2003
Hospital for Joint Diseases January 1998 - June 2001
Private Healthcare Systems August 1994 - March 1998
Education
Hofstra University
Master of Arts, Health Administration
Ithaca College
Bachelor of Arts, Sociology
RSA Security July 2007 - Present
Rational Software 2001 - 2007
Private Healthcare Systems 1999 - 2001
Education
Northeastern University 2003 — 2007
HDMS March 2008 - Present
HDMS September 2004 - March 2008
Partners Community Healthcare Inc 2003 - August 2004
Private Healthcare Systems 2002 - 2003
W3Health 2000 - 2002
Harvard Pilgrim Health Care 1998 - 2000
Skills
Healthcare Information..., Informatics
Education
University of Massachusetts Lowell 1996 — 1998
MS, Hleath Service Administration
Taipei Medical University 1991 — 1995
BS, Nursing
William Raveis Real Estate 2011 - Present
AllOne Health January 2009 - 2011
AllOne Health 2009 - 2011
Universal American 2006 - 2008
Private Healthcare Systems 2002 - 2006
EBS Insurance Brokers 2000 - 2002
Prudential Healthcare 1992 - 1999
Skills
Sales, Employee Benefits, Healthcare, Health Insurance, Account Management, Managed Care, Salesforce.com, New Business Development, Insurance, Strategic Planning, Sales Management, Leadership
Education
Tufts University 1983 — 1987
Bachelor of Arts (B.A.)
Northfield Mount Hermon 1983 — 1983
MCG Health LLC May 2008 - Present
McKesson Health Solutions August 1997 - November 2007
McKesson Health Solutions 2000 - 2003
McKesson Health Solutions (HPR) 1997 - 2000
Private Healthcare Systems July 1991 - July 1997
Skills
Team Building, Healthcare Information..., Software Development, Managed Care, Client/server, Informatics, Software Implementation, Healthcare Consulting, Revenue Cycle, HIPAA, EHR
Education
Salem State University 1971 — 1975
BSN, Nursing
Nuance Communications February 2014 - Present
QuadraMed June 2008 - February 2014
QuadraMed October 2005 - June 2008
Private Healthcare Systems June 2004 - September 2005
First Health August 1995 - March 2000
CCN 1995 - 2000
Skills
Managed Care, Project Management, Healthcare Information..., Healthcare, Process Improvement, SDLC, Revenue Cycle, Healthcare Management, Software Implementation, Software Project..., Program Management, Informatics, Healthcare Consulting, HIPAA, Strategic Planning, Hospitals, Medicaid, IT Management, Cross-functional Team..., Project Portfolio..., Agile Methodologies, PMP, Health Insurance, Medicare, Visio, SharePoint, Contract Management, Leadership, Business Analysis, Management, Agile Project Management, Healthcare Industry, Enterprise Software, PMO, Business Process, IT Strategy, Software Documentation, Health Information..., CRM, Software Development
Education
North Central College 1984 — 1988
Bachelor of Arts (BA), Communication
Fallon Community Health Plan 2008 - Present
Multiplan January 2004 - Present
Private Healthcare Systems 2004 - Present
MultiPlan 2004 - Present
Private Healthcare Systems / Multiplan 2004 - 2008
Flexxperts 1997 - 2003
Education
Merrimack College 1993 — 1998
Topco Indirect Spend Solutions January 2012 - Present
TopSource LLC May 2008 - January 2012
Fidelity Investments July 2000 - January 2008
Private Healthcare Systems October 1994 - June 2000
Mercy HealthPlan June 1990 - July 1993
Skills
Project Management, Sourcing, Vendor Management, Supply Management, Process Improvement, Procurement, Ariba, Outsourcing, Change Management, Team Building, Retail, Strategic Sourcing, Finance
Education
The University of Connecticut School of Business 1988 — 1990
MBA, Healthcare Management
University of Connecticut 1975 — 1980
BS, Medical Technology/Biology
MultiPlan April 2011 - Present
UnitedHealthcare May 2008 - September 2009
Private Healthcare Systems 2003 - 2007
Skills
Network Development, Healthcare Management, Provider Relations, PPO, Credentialing, Managed Care, Healthcare Industry, Healthcare Consulting, Medicare, Health Insurance, Health Policy, Healthcare, Hospitals, HIPAA, Healthcare Information..., HMO, Insurance, Claim, Contract Negotiation, Healthcare Reimbursement, Physicians
Education
San Diego State University-California State University 1995 — 1997
M.P.H., Healthcare Administration
University of California, Los Angeles 1990 — 1995
Bachelor of Science (B.S.), Anthropology
Martin's Point Health Care October 2014 - Present
Martin's Point Health Care October 2011 - Present
Martin's Point Health Care October 2009 - October 2011
CGI April 2004 - October 2009
Private Healthcare Systems 2002 - 2003
I-many, Inc. 2001 - 2002
Skills
Project Management, SDLC, PMP, Requirements Gathering, Business Analysis, Healthcare Information..., Program Management, Software Project..., Process Improvement, Requirements Analysis, HIPAA, Business Process..., Business Intelligence, Project Portfolio..., Data Warehousing, Business Process, Vendor Management, Change Management, Professional Scrum..., Lean IT, Lean Thinking, Information Technology, Team Management, Department Budgeting, IT Strategy
Education
University of Southern Maine 2010 — 2014
Master of Public Health (MPH)
University of Southern Maine 2010 — 2013
Master of Business Administration (MBA), Concentration in Health Policy Management
Northeastern University 1999 — 2004
BS, Business Administation, Management Information Systems
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
Health Plans, Inc. April 2015 - Present
Minuteman Health, Inc. August 2013 - April 2015
Apria Healthcare January 2012 - August 2013
VHA April 2011 - January 2012
Health Plans Inc, A Harvard Pilgrim Company April 2010 - April 2011
American Health Holding June 2007 - January 2010
Private Healthcare Systems April 2001 - June 2007
Solucient (Thomson) 2000 - 2001
InterQual 1999 - 2000
PHCS 1985 - 1997
Skills
Active R.N. license, Certified Professional..., Medicare, Medicaid, Healthcare Information..., Hospitals, Healthcare Consulting, Managed Care, Performance Improvement, Accreditation, Healthcare, Healthcare Management, Employee Benefits, Utilization Management
Education
Lesley University
Bachelor's degree, Business Administration and Management, General
Laboure College 1974 — 1976
Associate's degree, Nursing
National Grid Company October 2011 - Present
Guardium Inc May 2007 - September 2010
Private Healthcare Systems June 1999 - April 2007
Skills
Movex, Outlook, Process Improvement, Financial Analysis, PowerPoint, Forecasting, Training
Education
Gujarat University 1970 — 1978
Bachelor of Commerce (B.Com.), Accounting and Auditing
Gujarat University
Master of Commerce, Accounting and Finance
Essence Healthcare September 2012 - Present
VHA June 2011 - September 2012
Arcadian Health Plan November 2009 - June 2011
UnitedHealthcare June 2006 - October 2009
UnitedHealthcare September 2004 - June 2006
Private Healthcare Systems August 1998 - September 2004
Pyramid Life Insurance Company 1996 - 1998
Principal Health Care January 1995 - January 1996
Principal Health Care September 1994 - January 1995
Principal Health Care August 1992 - September 1994
Skills
Contract Management, Contract Negotiations, Revenue Management, Network Development, Medicare, Managed Care, Health Insurance, Healthcare Consulting, Contract Negotiation, Healthcare Management, Provider Relations, HMO, PPO, Hospitals, Healthcare Industry, Healthcare, Physician Relations, Healthcare Reimbursement, Process Improvement, Revenue Analysis, Revenue Cycle, Physicians
Education
University of Kansas 2000 — 2003
Masters, Business Administration; information systems
Vanderbilt University 1983 — 1987
BA, Communication
Rockhurst Hight School 1979 — 1983
MultiPlan March 2007 - Present
Private Healthcare Systems March 2006 - March 2007
Children"s National Medical Center 1996 - 1999
Kaiser Foundation Health Plan 1994 - 1996
Travelers Insurance 1989 - 1994
Skills
Contract Negotiation, Network Development, Provider Relations, Healthcare, Strategic Planning, HIPAA, HMO, PPO, Healthcare Industry, Managed Care, Healthcare Consulting, Medicare, Medicaid, Credentialing, Healthcare Management, Physicians
Education
Temple University - Fox School of Business and Management 1976 — 1980
MBA, Health Care Administration
Marquette University 1965 — 1969
B.A., Sociology, Psychology
Suffolk University September 2010 - Present
College Hype Screen Printing and Embroidery January 2011 - 2014
Framingham State University February 2009 - September 2010
Fresenius Medical Care September 2006 - February 2009
Private Healthcare Systems May 2004 - August 2006
Kutchin & Rufo, P.C January 2002 - January 2004
Ryan, Coughlin & Betke, LLP June 2001 - January 2002
Barron and Stadfeld October 2000 - May 2001
Skills
Higher Education, Student Financial Aid, Research, Social Media, Community Outreach, Higher Education..., Datatel, Social Media Marketing, Admissions, Healthcare, Policy, Student Affairs, Public Speaking, Microsoft Office, Student Loans, Debt Management, Management, Fundraising, Editing, Program Development, Enrollment Management, Student Development, Regulatory Affairs, Non-profits, PowerPoint, Microsoft Excel, Microsoft Word, Outlook, Customer Service, PowerFAIDS, ImageNOW, Banner, Legal Research, Organizational..., Organizational Behavior, Human Resources, Academic Advising, Nonprofits
Education
Suffolk University - Sawyer School of Management 2013 — 2016
Master's Degree, Public Administration
Suffolk University 1997 — 2001
Bachelor's Degree, History (History & Law); Minor in Women's Studies
Blackstone Millville
MultiPlan January 2004 - Present
Private Healthcare Systems February 1995 - August 2000
Education
Mission Viejo High School
The University of Texas at Dallas
BA
Humana July 2010 - Present
Humana Inc. January 2006 - July 2010
Humana Inc. 2002 - 2009
United States Marine Corps May 1970 - October 2000
Private Health Care Systems 1991 - 1999
Private Healthcare Systems 1991 - 1998
Skills
Medicare, Managed Care, Health Insurance, Leadership, Management, Employee Benefits, Medicare Part D, Account Management, Disability Insurance, Training, Sales Management, New Business Development, Life Insurance, Insurance, Marketing, Term Life Insurance, Strategy, Network Development, Long-term Care, Healthcare, Team Building, Marketing Strategy, Health Savings Accounts, Underwriting, Sales, Process Improvement, Selling, Fixed Annuities, Customer Service, Medicaid, Claim, HIPAA, Business Development, Strategic Planning, Healthcare Industry
Education
Rush University 1979 — 1981
Master of Science (M.S.), Health Systems Management
University of Southern California 1977 — 1978
No degree, Health Systems Management
John Carroll University 1966 — 1970
Bachelor of Arts (BA), English Language and Literature/Letters
Blue Cross & Blue Shield of Rhode Island 2009 - 2013
Private Healthcare Systems July 1998 - October 2008
Education
Tufts University 1992 — 1999
Ph.D., Mechanical Engineering
Insulet Corporation March 2005 - Present
Power Buying Dealers April 1995 - September 2001
private healthcare systems 1990 - 1995
Education
Rivier College 2007 — 2009
BS, Business Administration
AT&T January 2013 - Present
AT&T April 2008 - February 2013
AT&T January 2004 - April 2008
SBC Pacific Bell November 2000 - January 2004
Sprint PCS June 1999 - November 2000
Private Healthcare Systems June 1995 - May 1999
Skills
Telecommunications, Wireless, Sales, Solution Selling, Direct Sales, Management, Training, Sales Management, Managed Services, VoIP, Call Centers, Unified Communications, Marketing, Customer Service, Customer Experience, Sales Operations, Selling, IP, Competitive Analysis, Team Building, Mobile Devices, Customer Retention, Cold Calling, Leadership, Product Development, Strategic Planning, Negotiation, Sales Process, Product Management, Strategic Partnerships, Telephony, Broadband, Product Marketing, Vendor Management, Team Leadership, Ethernet, Strategy, Six Sigma, Green Belt, Customer Satisfaction
Education
The University of Phoenix 1997 — 1999
Bachelors in Business Information Systems
ITT Technical Institute-San Diego 1995 — 1997
Electrical and Electronics Engineering
. October 2015 - Present
Centene Corporation January 2015 - October 2015
Centene Corporation July 2014 - January 2015
Advocate healthcare August 2012 - July 2014
VERUS Practice July 2011 - April 2012
MacNeal Health Network March 2010 - September 2011
Molecular Imaging April 2009 - January 2010
Concentra Preferred System May 2006 - June 2008
Private Healthcare Systems October 2005 - February 2006
Skills
Medical Billing, Medical Terminology, Healthcare, Medical Coding, CPT, ICD-9, Medicare, HIPAA, Customer Service, Data Entry, Medical Records, Microsoft Excel, Microsoft Word, Medicaid, Microsoft Office, HCPCS, Medisoft, Healthcare Management, EMR, Hospitals, Accounts Receivable, Claim, Insurance, Healthcare Reimbursement, ICD-10, Charge Entry, Home Care, Denials, Revenue Cycle, Medicare/Medicaid..., A/R collections, EHR, Healthcare Information..., Healthcare Industry, Managed Care, Process Improvement
Education
Rasmussen College-Illinois 2012 — 2014
Associate's Degree, Health Information Technology
Everest College 2007 — 2008
Medical Administrative Assistant, Diploma
RSA The Security Division of EMC April 2010 - Present
CASNET 2012 - 2013
RSA The Security Division of EMC July 2007 - April 2010
Rational Software January 2001 - July 2007
Private Healthcare Systems 1999 - 2001
Skills
ClearQuest, Perforce, Test Automation, ClearCase, JIRA, QTP, VBScript, Java, Eclipse, Visual Studio, HTML + CSS, MSTest, TestNG, Quality Center, Bugzilla, Visual Basic, JSP, Hudson, VMware ESX, VMware Fusion
Education
Northeastern University
B.S.B.A, Management Information Systems, 3.64
HCA Physician Services August 2011 - Present
MultiPlan (formerly Viant) July 2008 - December 2010
Viant June 2007 - July 2008
Private Healthcare Systems (PHCS) October 2002 - December 2007
Amerigroup Corporation January 2007 - July 2007
Private Healthcare Systems May 1998 - October 2002
Pan American LIfe Insurance Company April 1995 - May 1998
Aetna April 1991 - May 1994
Education
University of St. Francis 1995 — 1998
Masters, Healthcare Administration
Michigan State University 1980 — 1984
B.A., Business Administration
Blue Cross & Blue Shield of Rhode Island June 2014 - Present
McKesson April 2013 - June 2014
Network Health August 2012 - April 2013
Sole Proprietor July 2012 - April 2013
Coventry WC Services 2001 - July 2012
UMass Memorial Medical Center 2000 - 2001
Harvard Pilgrim Health Care 1994 - 2000
Private Healthcare Systems 1991 - 1994
Blue Cross Blue Shield 1985 - 1991
Skills
Managed Care, Strategic Planning, Healthcare, Executive Reporting, Workers Compensation, Hospitals, Healthcare Reimbursement, Claims Management, Project Management, Team Leadership, Organizational..., Communication Skills, Multi Tasking, Best Practices, Data Analysis, Data Warehousing, Program Management, Medicaid, Analytics, Business Intelligence, Account Management, Case Managment, SDLC, Visio, Business Analysis, Access, Management, Analysis, Healthcare Industry, Claim, Provider Relations, Process Improvement, HIPAA, Healthcare Consulting, Revenue Cycle, Healthcare Information..., Healthcare Management, Disease Management, Utilization Management, Medical Billing, EHR, Software Documentation, Informatics, Physicians, EMR, Employee Benefits, Business Process..., Leadership
Education
Nichols College 1991 — 1994
MBA
Massachusetts College of Liberal Arts 1981 — 1985
BS, Business Administration, Majors: Management & Marketing
Huntsville Executive Search President/CEOEntrepreneurial VenturesJanuary 2007 - December 2008
Blue Cross of Northeastern PA January 1989 - December 2006
Blue Cross of Northeastern PA January 1989 - December 2006
Private Healthcare Systems January 1987 - October 1989
Private Healthcare Systems January 1987 - October 1989
Private Healthcare Systems January 1987 - October 1989
Private Healthcare Systems January 1987 - October 1989
Education
Southern Methodist University - Cox School of Business
MBA, Marketing, Finance
MultiPlan October 2010 - Present
Multiplan March 2007 - October 2010
Private Healthcare Systems 2001 - 2006
Skills
PPO, Managed Care, HIPAA, Health Insurance, Medicare, Process Improvement, Provider Relations, Claim, Network Development, Healthcare Industry, Medicaid, Healthcare, Medical Billing, Credentialing, HMO, Insurance
Education
Greater Lowell Technical School 1980 — 1984
Early Childhood Education
United Healthcare November 2006 - Present
Trustmark Life Insurance Company November 1999 - November 2006
Oxford Health Plans April 1998 - November 1998
Private Healthcare Systems May 1991 - November 1997
Education
Quinlan School of Business, Loyola University Chicago 1993 — 1996
MBA, Healthcare Economics
University of Illinois at Urbana-Champaign 1985 — 1989
Bachelor, Communication/Business
Inova Health System November 2006 - Present
Inova Health System 2006 - Present
MNCPPC 2002 - 2010
Private Healthcare Systems 1997 - 2006
Skills
Healthcare, Hospitals, Physician Relations, Healthcare Information..., Healthcare Management, Healthcare Consulting, Healthcare Industry, Orthopedic, HIPAA
Education
Hood College 1990 — 1994
BA, Law and Political Science
Self- Employed April 2012 - Present
Red & White Creamery Cafe LLC October 2005 - August 2010
Private Healthcare Systems August 2004 - August 2005
Statewide Independent PPO 1994 - 2004
POMCO Group December 1991 - July 1994
Skills
Revenue Cycle, Health Information..., Medical Coding, ICD-9, Healthcare Information..., Strategic Planning, Claims Resolution, Medical Audits
Education
SUNY Polytechnic Institute 1984 — 1986
BPS, Health Information management
State University of New York at Delhi 1968 — 1971
AAS, Business Administration
Allstate 2013 - Present
CruiseOne April 2009 - July 2013
Allstate 2011 - 2012
United States Department of Commerce, US Census Bureau 2010 - 2011
Farmers Insurance 2007 - 2010
Private Healthcare Systems 2001 - 2007
CAPP Care/ Beach Street 1997 - 2001
United Healthcare / Metrahealth / Travelers 1990 - 1997
Skills
Selling, Cruises, Sales, Marketing, Insurance, Account Management, Incentive Travel
Education
Illinois Producers License
Life, Health, Property & Casualty
Rutgers University
Bachelor's degree, Anthropology
Provant Health Solutions, LLC January 2015 - Present
Provant Health Solutions, LLC April 2012 - January 2015
BCBSMA June 1999 - March 2012
Private Healthcare Systems 1995 - 1999
Private Healthcare Systems June 1996 - January 1998
Private Healthcare Systems March 1995 - June 1996
Small Business Service Bureau 1990 - 1995
Skills
Call Center, Change Management, Leadership, Program Management, Management, Healthcare, Strategic Planning, Health Insurance, Managed Care, Training, Strategy, Healthcare Management, Process Improvement, Business Analysis, Data Analysis
Education
Suffolk University
BSJ, Marketing & Public Relations
Marian High School, Framingham, Ma
College Prep High School
Alkermes May 2015 - Present
Insulet Corporation March 2006 - May 2015
Power Buying Dealers Eastern Region Inc April 1996 - September 2001
Private Healthcare Systems February 1991 - April 1996
Skills
Medical Devices, Healthcare, Sales, Managed Care, Management, Product Launch, Cross-functional Team..., Training
Education
Rivier College 2007 — 2009
B.A., Business Administration
Private Healthcare Systems Implementation of an Enterprise Risk Management and Risk Reduction Program.memberFraternal Order of Police - Federal Officer's LodgeOctober 2005 - Present
U.S. Government March 2005 - January 2014
Florida Agency for Health Care Administration March 2012 - March 2013
State of Florida April 2011 - March 2012
U.S. Department of Defense June 2005 - 2010
US Navy February 1998 - March 2006
Chipola Aviation 2002 - 2003
Bay Medical Center 1999 - 2001
Shelby Co Tn Sheriff Office 1997 - 1999
Skills
Criminal Investigations, Policy, Policy Analysis, Medical Malpractice, Investigation, Surveillance, Physical Security, Executive Protection, Evidence, Government, Risk Assessment, Security Management, Counterterrorism, Corporate Security, Firearms, Interrogation, Force Protection, Weapons, Tactics, Federal Law Enforcement, Patrol, Close Protection, Protection, Asset Protection, Intelligence, Counterintelligence, Personal Protection, Tactical Operations, Access Control, Counter Surveillance, Security Clearance, Law Enforcement..., Emergency Management, Security Operations, Homeland Security, Fraud, Private Investigations, Criminal Justice, Enforcement, Internal Investigations, Criminal Law, Current ACLS..., Law Enforcement, Police, Crime Prevention, Background Checks
Education
Boston University
Paralegal, legal studies
Gulf Coast Community College 1999 — 2001
Certification, Paramedic
Southeast Missouri State University
criminal justice, political science
University of South Florida
risk management
TakeCare Insurance Company, Inc. February 2015 - Present
Veiovis LLC June 2009 - Present
TakeCare Insurance Company, Inc. June 2009 - February 2015
Disney Interactive Media Group May 2008 - June 2009
Macrosearch Inc. DBA Macrostaff 2005 - 2008
Private Healthcare Systems October 2003 - April 2005
eProject 2002 - 2003
Nordstrom Cosmetic Buying Office September 2000 - August 2002
Skills
Employee Relations, New Hire Orientations, Customer Service, Training, Recruiting, Employee Benefits, Human Resources, Project Planning, Management, Access, Leadership, Healthcare, Personnel Management, Temporary Placement, Performance Management, Benefits Administration, Interviews
Education
Seattle University 2006 — 2008
Master's
Seattle University 1998 — 2002
Bachelor's
Academy of Our Lady of Guam 1994 — 1998
High School Diploma
Central DuPage Hospital May 2007 - Present
Private Health Care Systems May 1998 - May 2007
Private Healthcare Systems 1998 - 2007
Freidman, Eisenstein, Raemer, Schwartz Public Accounting Firm September 1994 - May 1998
Skills
Managed Care, Healthcare Management, Healthcare, Hospitals, Medicaid, Network Development, Medicare, Nursing, Healthcare Information..., Clinical Research, EMR, Provider Relations, HIPAA, Home Care, Medical Terminology, EHR, Revenue Cycle, Medical Coding, ICD-9, PPO
Education
University of St. Francis 1986 — 1989
MHA, Health care
Moravian College 1978 — 1982
BA, Sociology/Business
Cubist Pharmaceuticals May 2007 - Present
Private Healthcare Systems January 1989 - January 2007
Skills
Clinical Data Management, Pharmaceutical Industry, Clinical Trials, Sop, Biostatistics, CRO, SOP
Education
Middlesex Community College
Certificate
Fidelity Investments September 2010 - March 2014
Animal Rescue League of NH September 2009 - 2010
Corporate Education Group d/b/a Tech Skills March 2009 - August 2009
Fidelity Investments May 2006 - November 2008
Private Healthcare Systems April 2002 - May 2006
Compaq Corporation (Hewlett-Packard) September 2001 - March 2002
Liberty Mutual (Risktrac Division) 1997 - 2001
Digital Equipment Corporation 1989 - 1996
Skills
Technical Writing, Project Management, Course Development, Software Documentation, SharePoint, Training, Leadership, Editing, Business Analysis, Team Leadership, Software Project..., Quality Assurance, Strategy, E-Learning, Technical Documentation, Management, Human Resources, Research, Visio, Program Management, Policy, Risk Management, Process Improvement, Vendor Management, Performance Consulting
Education
Burdett College/Bay State College
Business
Rivier College
English
University of Lowell
Business
Private Healthcare Systems July 2009 - Present
Ocean Bank August 2005 - August 2009
Education
Rivier College 2006 — 2009
Associate of Science, Nursing
Plymouth State University 2001 — 2005
Bachelor of Arts, Communications
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
BMC HealthNet Plan August 2013 - Present
Commonwealth Care Alliance (CCA) March 2012 - August 2013
Massachusetts Technology Collaborative July 2010 - March 2012
Astral DesignWorks 2001 - June 2010
Massachusetts Healthcare Purchaser Group 2003 - 2005
Private Healthcare Systems 1999 - 2001
Fallon Community Health Plan 1997 - 1999
Blue Cross Blue Shield of Massachusetts 1994 - 1997
Arthur D. Little 1980 - 1994
Skills
Project Management, Strategy, Healthcare, Community Outreach, Product Development, Leadership, Business Strategy, Management, Analysis, Business Planning, Healthcare Management, Team Leadership, Medicare, Cross-functional Team...
Education
University of California, Berkeley 1978 — 1980
M.S., Chemical Engineering
Massachusetts Institute of Technology 1974 — 1978
S.B., Chemistry
Massachusetts Institute of Technology 1974 — 1978
S.B., Chemical Engineering
Beacon Health Strategies June 2014 - Present
ConforMIS, Inc. July 2012 - June 2014
Anthem Blue Cross September 2008 - December 2012
Anthem Blue Cross January 2012 - July 2012
BCBS MA July 2007 - September 2008
Fidelity Investments 2000 - 2006
Private Healthcare Systems 1995 - 2000
Skills
Healthcare, Managed Care, Provider Relations, Medicare, Health Insurance, Medicaid, Management, Cross-functional Team..., HIPAA, Health Policy, Healthcare Industry, Hospitals, Leadership, Medical Devices, Network Development, Strategic Planning
Education
Holy Family University 1988 — 1990
BA, Marketing/Management
Father Judge High School 1979 — 1983
Diploma, General Education
Virgin Pulse January 2015 - Present
Provant July 2013 - April 2014
Mulitplan August 2011 - June 2013
Viant July 2008 - August 2011
MultiPlan May 2006 - July 2008
Private Healthcare Systems May 1993 - May 2006
Skills
Provider Relations, Network Development, Managed Care, Health Insurance, Medicaid, Healthcare Industry, HMO, HIPAA, Medicare, Healthcare Consulting, Healthcare, Process Improvement, PPO, Healthcare Management, SDLC, Insurance, Vendor Management, Healthcare Information..., Claim, Employee Benefits, Management, Strategy, Health Policy
Education
Northeastern University 1996 — 2004
BSBA
Shawsheen Tech 1978 — 1982
Iron Mountain August 2004 - May 2010
Mystis Solutions June 2002 - May 2004
NETWORK PLUS August 1999 - January 2002
Iron Mountain June 1997 - August 1999
Private Healthcare Systems September 1992 - June 1997
Other Companies July 1972 - September 1992
Skills
Business Analysis, Data Center, Enterprise Software, Process Improvement, Budgets, Software Development, Disaster Recovery, Agile Methodologies, Project Management, Oracle, Vendor Management, Cloud Computing, Telecommunications, Testing, Management, SDLC, CRM, Databases, SaaS
Education
Northeastern University 1962 — 1967
BSEE, Electrical Engineering
Randstad Sourceright US May 2011 - November 2013
Neighborhood Health Plan of Massachusetts, Inc January 2007 - June 2010
Beacon Health Strategies April 2002 - December 2006
The Law Office of Samuel Rotondi September 1998 - January 2000
Private Healthcare Systems January 1995 - August 1998
Skills
Temporary Staffing, Staffing Services, Leadership, Human Resources, Applicant Tracking..., Permanent Placement, Sourcing, Strategy
Education
Merrimack College 1989 — 1993
Bachelor of Arts Degree, Sociology
Burlington High School
Geisinger Health Plan December 2014 - Present
Geisinger Health Plan February 2012 - December 2014
HCR ManorCare September 2010 - February 2012
HCR ManorCare November 2005 - September 2010
Maryland Physicians Care February 2005 - November 2005
Kaiser Permanente May 2004 - February 2005
Kaiser Permanente December 2001 - May 2004
Kaiser Permanente November 2000 - December 2001
Private Healthcare Systems June 2000 - November 2000
Private Healthcare Systems January 1997 - June 2000
Skills
Complex Contract..., Key Account Management, High-Level Relationship..., Business Process..., Sales, Revenue Cycle Management, Expense Management, ACHE Member, Contract Negotiation, Managed Care, Medicaid, Provider Relations, Network Development, Cross-functional Team..., Physicians, Leadership, Health Policy, Healthcare Management, Hospitals, PPO, HIPAA, Health Insurance, Process Improvement, Medicare, Account Management, Healthcare
Education
Villanova University 2014 — 2016
Master of Business Administration (M.B.A.), Strategic Management
University of Maryland Baltimore County 1993 — 1995
Mount St. Mary's University
Bachelor of Science, Business Administration
Law Office of Jason D. Brush, Esquire November 2012 - Present
iGATE Global Solutions (formerly Patni Americas, Inc.) January 2011 - April 2012
SBLI of Massachusetts August 1999 - August 2010
Private Healthcare Systems January 1998 - January 1999
Arbella Insurance Group January 1996 - January 1998
Skills
General Corporate..., Management Of Outside..., General Legal, Non-compete Agreements, Non-disclosure..., Insurance Policies, Privacy Policies, Drafting Policies, Fraud, Complaint Investigations, Employee Relations
Education
Massachusetts School of Law 1993 — 1996
Juris Doctorate
Providence College 1989 — 1993
Bachelor's Degree
Burlington High School 1985 — 1989
Private Healthcare Systems, Inc 1997 - 2000
Private Healthcare Systems 1996 - 1997
Private Healthcare Systems June 1992 - 1996
Education
Northeastern University 1998 — 2003
Master of Science in Taxation, Taxation
Northeastern University 1994 — 1997
Bachelor of Science in Accounting, Accounting
Newbury College 1991 — 1993
Associate's degree, Accounting and Business/Management
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas April 2014 - Present
Fresenius Medical Care January 2011 - April 2014
Platinum Health Care LLC March 2008 - January 2011
Allied Benefit Systems October 2007 - February 2008
Private Healthcare Systems 2006 - 2008
Skills
Auditing, Account Reconciliation, Internal Controls, Accounts Payable, PeopleSoft, Accounts..., Claims Auditing, Healthcare Industry, Medicare/Medicaid..., Nursing Homes, Sarbanes-Oxley Act, Internal Audit, Supervisory Skills, Acute Care, Dialysis, Joint Ventures, Billing Systems, Claims Resolution, Change Management, Organizational..., Healthcare Reimbursement, Medicare, Accounts Receivable, Medicaid, Revenue Cycle, Journal Entries, HIPAA, PowerPoint, Microsoft Excel, Training, Analysis, Accounting, Customer Service, Leadership, Process Improvement, Research
Education
Oakton Community College 2009 — 2009
Certificate, Pharmacy Technician
Villanova University 2009 — 2009
Certificate, Six Sigma Green Belt
North Park University 2004 — 2006
Masters, Business Administration
Robert Morris College
Bachelor of Business Administration (BBA), Health/Health Care Administration/Management
SuperMedia LLC October 2005 - Present
Verizon May 2004 - October 2005
Private Healthcare Systems 1987 - 1998
Skills
Salesforce.com, CRM, Sales Process, Online Advertising, Sales Operations, Training, Sales, Leadership, New Business Development, Marketing, Team Building, Coaching, Program Management, Time Management, Lead Generation, Cold Calling, Customer Retention, B2B, Sales Presentations, Selling, Account Management
Education
Regis College 1979 — 1982
Bachelorâs Degree, Psychology
Matignon High School
Self-Employed May 2015 - Present
Sutter Health EAP November 2011 - April 2015
Wells Fargo April 2000 - January 2011
Private Healthcare Systems 1994 - March 2000
Education
Cal Poly Pomona
BA, Behavioral Sciences
Phillips Graduate Institute
MA, Marriage Family Therapy
WebMD Health Services August 2011 - Present
WebMD Health Services March 2010 - August 2011
WebMD Health Services January 2009 - March 2010
WebMD Health Services September 2006 - December 2008
Private Healthcare Systems April 2004 - September 2006
CIGNA Healthcare October 2001 - April 2004
CIGNA Healthcare June 2000 - October 2001
Skills
Business Analysis, SDLC, Software Project..., Agile Methodologies, Project Management, Business Requirements, Requirements Gathering, Process Improvement, Business Process..., Program Management, Requirements Analysis, PMP, Cross-functional Team..., Quality Assurance, Vendor Management, SharePoint, Project Portfolio..., Business Process, MS Project, Visio, Microsoft SQL Server, Software Documentation, Integration, Business Intelligence, Agile Project Management, Project Planning
Education
Villanova University 2012 — 2012
Master Certification in IS/IT Project Management
Villanova University 2011 — 2011
Master Certificate in Business Analysis
Salve Regina University 1996 — 2000
BS, Business Administration
MKS Instruments June 2014 - Present
Babcock Power May 2012 - May 2014
Varian Semiconductor November 2004 - May 2012
BBA US Holdings, Inc. August 1999 - November 2004
Private Healthcare Systems June 1998 - August 1999
Vitale, Caturano and Company February 1995 - June 1998
Skills
Corporate Tax, International Tax, ASC 740 (FAS 109), IRS Audit Management, FIN 48, Foreign Tax Credit, Earnings & Profits, FAS 123R, SEC filings, Financial Reporting, Accounting, R&D Credit, IRC Section 199
Education
Salem State College
Network Health LLC March 2007 - Present
Private Healthcare Systems February 2005 - March 2007
Skills
SQL, Oracle, PL/SQL, Unix, XML, .NET, C#, Microsoft SQL Server, SSIS
Education
Northeastern University
Bachelor's degree, Management Information Systems & Computer Science, 3.72
Essex county welfare 2010 - Present
Private Healthcare Systems June 2004 - January 2007
Education
Rutgers University
Bachelor of Science (BS), Sociology and criminal justice
Aetna Contract NegotiatorAetna2005 - 2012
Comprehensive Health Services 2004 - 2005
Private Healthcare Systems 1999 - 2004
Skills
Network Development, Provider Relations, HMO, PPO, Health Insurance, Managed Care, Contract Negotiation, Physician Relations, Healthcare Industry, Healthcare
Education
James Madison University
Bachelor of Science (B.S.), Health Services Administration, Public Health, Business Administration
BNY Mellon February 2007 - Present
The 401(k) Company March 2006 - December 2006
Private Healthcare Systems November 2003 - March 2006
Skills
Financial Services, Mutual Funds, Asset Management, Process Improvement, Investments, Portfolio Management, Securities, 401k, Building Relationships, Microsoft Office, Retirement Planning, Risk Management, ERISA, Strategy, Retirement, Banking, Equities, Fixed Income, Strategic Planning, Nonprofits, Management, Project Management
Education
Northeastern University
Access Informatics Consulting January 2014 - Present
Apria Healthcare d/b/a Valescent Health LLC April 2012 - November 2013
MultiPlan October 2005 - March 2012
Private Healthcare Systems March 2002 - October 2005
Asset Quality Systems, Inc January 1985 - February 2002
Skills
Leadership, Strategic Planning, Financial Modeling, Healthcare Reimbursement, Healthcare Management, Healthcare Analytics, Business Analysis, Financial Reporting, Strategy, Healthcare Industry, Healthcare Information..., Start-ups, Integration, Managed Care, HIPAA, Medicaid, Process Improvement, Medicare, Healthcare Information..., Access, Healthcare, Management, Analysis, Healthcare Consulting, Hospitals, Health Insurance, Contract Negotiation
Education
Whittemore School of Business and Economics, University of New Hampshire 1976 — 1980
Bachelor of Arts (B.A.), Economics
Southern New Hampshire University 1981 — 1983
Master of Business Administration (M.B.A.), Computer and Information Sciences and Support Services
Private Healthcare Systems September 1988 - Present
KUWAIT January 2000 - October 2009
Education
Sardar Patel University
Doctor of Medicine (M.D.)
Coventry Health Care February 2006 - Present
Private Healthcare Systems September 2000 - March 2005
American Medical Security January 1994 - September 2000
Skills
Cross-functional Team..., Managed Care, Provider Network..., Medicare Advantage, Medicaid Managed Care, Workers Compensation, HMO, PPO, Health Plan Operations, New Business Development, Profit Maximization, Compliance, Marketing Strategy, Market Analysis, Healthcare Management, Strategic Planning, Business Strategy, Acquisition Integration, Analytics, Kaizen, Negotiation, Contract Negotiation, Newsletters, Quality Assurance, Restructuring
Education
New Mexico Institute of Mining and Technology
Winchester Hospital 2012 - Present
Health Plans, Inc. 2010 - 2012
Network Health 2008 - 2008
American Health Holding 2007 - 2007
Private Healthcare Systems 2001 - 2007
Skills
Healthcare Information..., Healthcare Management, Healthcare, EMR, Hospitals
Education
Northeastern University
MS/MBA
Sacred Heart University
BSN
Exeter Hospital 2002 - Present
Alicare Medical Management March 1994 - September 2002
Private Healthcare Systems June 1988 - March 1994
Winchester Hospital June 1984 - June 1988
Education
University of Massachusetts Boston 1981 — 1984
Bachelors of Science, Nursing
Middlesex Community College 1979 — 1981
Associate's degree, Medical/Clinical Assistant
Private Healthcare Systems 1996 - 2001
Oxford Health Plans 1994 - 1996
Pacific Bell FitWorks 1992 - 1994
Pro-Fitness 1990 - 1992
Education
Springfield College 1985 — 1989
Bachelor of Science (BS), Health Fitness
Northside Hospital April 2005 - Present
Private Healthcare Systems 1997 - 2005
Skills
Network Development, Healthcare, Managed Care, Healthcare Consulting, Healthcare Management, Hospitals, HIPAA, Revenue Cycle, Healthcare Industry
Education
The University of Georgia
Bachelor of Business Administration (BBA)