Tufts Health Plan
Industry: Company
DescriptionTufts Health Plan is a Massachusetts-based health insurance company under Tufts Associated Health Plans, Inc. with headquarters in Watertown. As of March 31, 2016, the nonprofit health insurer had 1,072,000 members. The Tufts Health Plan network includes 91 hospitals and 29,000 health care providers. CEO: Thomas Croswell (Jan 2016–) Headquarters: Watertown, Massachusetts, United States Number of employees: 2,400 Founded: 1979 Subsidiaries: Tufts Health Public Plans, Inc., Integra Partners Holdings, LLC
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Tufts Health Plan Employees
Accruent April 2015 - Present
VFA November 2008 - April 2015
Delphi Technology Inc. June 2007 - November 2008
Tufts Health Plan May 2001 - June 2007
Unipower Solutions November 2000 - May 2001
Wyeth September 1998 - November 2000
American Student Assistance September 1997 - September 1998
Mass Insurance Systems, Inc. November 1996 - September 1997
Skills
SOA, XML, XPath, Architecture, XQuery, Java, XForms, XACML, Portals, Eclipse, Java Enterprise Edition, Spring, Tomcat, REST, XSLT, UML, JSP, Hibernate, Ant, Node.js, JavaScript, Sencha, CouchDB, J2EE Application..., MapReduce, SDLC, Agile Methodologies, Scrum, SOAP, SQL, Microsoft SQL Server, JSF, Oracle, Enterprise Architecture, ESB, WSDL, CVS, AJAX, JDBC, JMS, EJB, HTML 5, JBoss Application Server, Web Services, SaaS, Weblogic, JPA, Subversion, Ext JS, JSON
Education
Harvard University 2001 — 2006
Master of Liberal Arts, in Information Technology
Excelsior College 2002 — 2003
Bachelor of Arts, in Information Technology
Chernihiv State Technological University 1992 — 1996
Computer Science
Molina Healthcare March 2014 - Present
Molina Healthcare May 2013 - February 2014
Molina Healthcare September 2011 - April 2013
Abbot Entertainment June 2012 - August 2012
Tufts Health Plan February 2009 - August 2011
Paul Dewey and Media Partners July 2008 - December 2008
Verissima Productions April 2008 - July 2008
Nancy Porter Productions February 2007 - June 2007
Ben Loeterman Productions September 2006 - December 2006
Skills
Leadership, Customer Service, Healthcare, Data Entry, Social Media, Data Analysis, Program Management, Management, Marketing, PowerPoint, Public Speaking, Video, Microsoft Excel, Microsoft Office, Vendor Management, Project Management, SDLC, Business Analysis, Research
Education
Belmont University 2003 — 2006
Bachelor of Science (BS), Audio Video Production with a minor in Writing
Olympic College 2000 — 2003
MAXIMUS January 2014 - Present
Enterprise Services Consulting Group, Inc. November 2009 - Present
Road Scholar September 2013 - January 2014
Tufts Health Plan February 2013 - August 2013
Public Consulting Group April 2012 - December 2012
Fresenius Medical Care December 2009 - April 2012
CaseNET January 2009 - October 2009
Curaspan Health Group April 2007 - January 2009
L.R. McCoy & Company, Inc. May 2005 - April 2007
Provider Service Network September 2002 - January 2005
Skills
Crystal Reports, Data Warehousing, Healthcare IT, Business Analysis, Process Improvement, Visio, Software Implementation, Team Leadership, Strategic Planning, SDLC, Team Building, Program Management, SQL, Product Development, Customer Relations, Requirements Analysis, Documentation, Problem Solving, Product Management, Operations Management, Vendor Management, SQL Server, Quality Assurance, Analysis, Budgeting, Microsoft Office, Executive Management, Software Development, Agile, Integration, Mentoring, Project Planning, Cross-functional Team..., Software Project..., Data Analysis, XML, Business Intelligence, Customer Service, EMR, Process Engineering, SaaS, Change Management, Healthcare Information..., Leadership, Healthcare, Management, Software Documentation, SharePoint, Business Process..., Consulting
Education
Northeastern University 1997 — 2010
Bachelor of Science, Management
Project Management Institute 2003 — 2003
Certification, Project Management
Newbury College 1992 — 1995
Associates in Applied Science, Business Management
Assabet Valley Regional Technical School
HealthSpring of Florida, Inc dba Leon Medical Centers Health Plans June 2013 - Present
Visiting Nurse and Community Health November 2012 - June 2013
Tufts Health Plan July 2011 - November 2012
ST. ANNE'S SKILLED NURSING CENTER April 2009 - July 2011
CAC Medical Centers Homestead 2004 - 2006
Skills
Nursing, Home Care, Utilization Review, Utilization Management, HIPAA, Long-term Care
Education
Mercy Hospital School of Practical Nursing 2003 — 2004
Tufts Health Plan – Network Health October 2008 - Present
MySportsClub July 2000 - Present
Tufts Health Plan May 2001 - October 2008
Skills
Healthcare
Education
Centro Universitário Moacyr Sreder Bastos
Aetna 2005 - 2014
Tufts Health Plan 2003 - 2005
Boston Regional Medical Center 1991 - 1999
Skills
Medical Case Management, Nursing, Wellness Coaching, Disease Management, Employee Wellness, Health Fairs, Communication Skills, Software Documentation, Customer Satisfaction, Customer Retention
Education
Atlantic Union College
Bachelor's degree, Nursing
Pacific Union College
Associate's degree, Nursing
Jordan Hospital January 2012 - Present
Newton Wellesley Hospital November 2009 - Present
Balanced Tides Reiki and Sound 2007 - Present
do Terra 2013 - 2013
doTERRA Essential Oil 2013 - 2013
Dr Charles Barbara 2005 - 2009
The Hanover Insurance Group February 1995 - May 2005
Tufts Health Plan 1996 - 1997
Fallon Clinic 1994 - 1995
Newton Wellesley Hospital June 1975 - May 1994
Skills
Reiki, Teaching, Nursing, Healthcare, Utilization Management, Lifestyle Coaching, Wellness, Hospitals, Medicine, Treatment, Holistic Health, Therapists, Surgery, Rehabilitation, Health Education, Nutrition, Pain Management
Education
Assumption College
Bachelor of Arts (B.A.), Business, Management, Marketing, and Related Support Services
Tufts Health Plan November 2008 - Present
Massachusetts Department of Public Health January 2007 - October 2008
Skills
Data Entry, Healthcare, Call Centers, Customer Service
Education
Bay State College 2002 — 2003
Roxbury Community College 2000 — 2001
Arthur J. Gallagher & Co. August 2015 - Present
William Gallagher Associates February 2005 - Present
Tufts Health Plan September 2003 - February 2005
Tutfs Health Plan May 1998 - August 2003
Health New England February 1993 - April 1998
Phoenix Life Insurance Company October 1986 - January 1993
Skills
Employee Benefits, Health Care Reform, Brokers, Underwriting, Negotiation, Insurance, Benefits Administration, Management, Risk Management, Workers Compensation, Healthcare, Health Savings Accounts, Health Insurance, Disability Insurance
Education
American International College 1980 — 1986
BS, Business
Isenberg School of Management, UMass Amherst
MBA, Business
Tufts Health Plan October 2013 - Present
Elements Therapeutic Massage February 2012 - September 2013
Bettie Page Clothing October 2012 - August 2013
Marshalls November 2006 - August 2012
Bath & Body Works April 2010 - October 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Public Speaking, Editing, Java
Education
Bay State College 2010 — 2014
Bachelor's degree, Fashion Merchandising
The Salter School-Malden Campus 2009 — 2009
Certificate, Health/Medical Claims Examiner
Boston Medical Center January 2014 - December 2014
Bath & Body Works September 2009 - December 2014
Boston Medical Center January 2013 - January 2014
BMC HealthNet Plan September 2008 - March 2011
Tuft's New England Medical Center March 2007 - September 2008
Tufts Health Plan December 2005 - October 2006
Tufts Health Plan August 2003 - December 2005
Tufts Health Plan May 2001 - August 2003
Tufts Health Plan February 2001 - May 2001
Tufts Health Plan September 1999 - February 2001
Skills
Healthcare Information..., Healthcare Management, HIPAA, Healthcare, Data Analysis, Managed Care, Access, Microsoft Office, Microsoft Excel, Business Analysis, Medicare, Customer Service, Hospitals, Medisoft, Appeals, Denials, UB04, hcfa, SQL, Macess, cpt, HCPCS, ICD-9-CM, ICD-9, CPT, Medical Coding, Microsoft Word, Medicaid, Data Entry, Health Insurance, Medical Terminology, Medical Billing, Claim, Insurance, Outlook
Education
Bunker Hill Community College 2014 — 2017
Associate's degree, Business
Kaplan Career Institute-Boston 2011 — 2012
Medical Billing & Coding, Certificate
Snowden Int'l at Copley 1991 — 1995
High School, Diploma
Medical Mutual August 2013 - October 2014
PrimePay October 2012 - July 2013
Brown & Brown April 2012 - June 2012
Health New England May 2007 - July 2011
Tufts Health Plan September 1995 - March 2007
Skills
Health Insurance, Managed Care, Customer Service, Benefits Administration, Insurance, Process Improvement, Outlook, Strategic Planning, Business Analysis, Underwriting, Microsoft Office, New Business Development, Value Selling, Salesforce.com, Consultative Approach, Management, Sales Process, Sales, Employee Benefits, Sales Operations, Customer Satisfaction, Cold Calling, Health Savings Accounts, Payroll, COBRA, Brokers, Account Management
Education
Bay Path University
Bachelor of Science, Business Administration
Ludlow High School
Wilmer Hale December 2010 - Present
The Debt Exchange April 2010 - November 2010
U.S. Census Bureau -- Census Coverage Management February 2010 - April 2010
Tufts Health Plan October 2009 - February 2010
New York Power Authority May 2008 - May 2009
New York State Law Revision Commission May 2008 - August 2008
Professor Kathe Klare May 2008 - August 2008
The Honorable Margaret T. Walsh January 2008 - April 2008
New York State Bar Association May 2007 - April 2008
Dean Patricia E. Salkin September 2007 - November 2007
Skills
Legal Writing, Legal Research, Research, Non-profits, Westlaw, Fundraising, Community Outreach
Education
Albany Law School of Union University 2006 — 2009
J.D., magna cum laude, Estate Planning & Family and Elder Law, with Honors
Union College 1995 — 1999
B.A., Art History
Tufts Health Plan February 2015 - Present
Tufts Health Plan November 2012 - January 2015
MultiPlan March 2011 - October 2012
CMAL, LLC January 2006 - March 2011
Skills
Operations, Project Management, Information Management, Data Analysis, Business Intelligence, Business Management, Application Architecture, Database Administration, Programming, Testing, User Interface Design, Problem Solving, Romanian, English, SQL, Microstrategy, Integration, Management, Software Development, SDLC, Organizational Behavior, Strategy, Leadership, Business Process, Business Analysis, Analysis, Finance, Visio, Unix, Security, Access, Process Improvement, Six Sigma, Requirements Gathering, Vendor Management, Requirements Analysis, SharePoint, User Acceptance Testing, Data Warehousing, Business Process..., Software Documentation, Enterprise Architecture, Software Project..., Systems Analysis, Troubleshooting, MS Project, IT Management, Analytics, Business Process Design, Team Leadership
Education
Arizona State University, W. P. Carey School of Business 2009 — 2010
Master of Science (M.Sc.), Information Management
Arizona State University West 2006 — 2008
Bachelor of Science, Global Business
Marian Manor May 2010 - June 2013
Tufts Health Plan February 2013 - May 2013
BAMSI September 2012 - February 2013
BAMSI March 2012 - September 2012
Education
Southeastern Technical Institute 2008 — 2010
Practical Nurse Program
Massasoit Community College
Medical Professional Institute May 2014 - Present
Medical Professional Institute January 2010 - Present
Physician Associates December 2005 - January 2010
Tufts Health Plan September 1999 - December 2004
Skills
Microsoft Office, Microsoft Excel, Customer Service, Microsoft Word, PowerPoint, Cpr Certified, Higher Education, Social Networking, Social Media, Teaching, Public Speaking, Outlook, E-Learning, Accreditation, Marketing, Public Relations, Resume Writing, Budgets, Fundraising, Adult Education, Photoshop, Event Planning, Healthcare Management, ICD-9, Team Building, Student Affairs, Community Outreach, Research, Phlebotomy, Retaining Customers, Leadership, Student Development, Enrollment Management, Admissions, Staff Development, Student Recruiting, Student Financial Aid, CampusVue, Instructional Design, Curriculum Design, EKG, Student Counseling, Program Development, Career Counseling, Campus, Academic Administration, Distance Learning, Curriculum Development, Academic Advising, Career Development
Education
Medical Professional Institute 2003 — 2004
CMA, RMA, RPT, Allied Health
Fisher College 1994 — 1996
Associate of Science (A.S.), Computer Science
St. Mary's Episcopal Church November 2011 - September 2014
Episcopal Diocese of Pennsylvania October 2009 - October 2011
Veridign Health Solutions, Independence Blue Cross January 2007 - October 2010
MEDecision April 2006 - December 2006
D2Hawkeye August 2005 - April 2006
PHT Corporation March 2004 - August 2005
Solucient May 2001 - March 2004
Relevant Technologies, Inc. March 2000 - December 2000
CareTools, Inc. October 1998 - March 2000
Tufts Health Plan July 1996 - October 1998
Education
Radcliffe Institute at Harvard University 1995 — 1997
Management Certificate, Management, Non-Profit sector
The General Theological Seminary 1982 — 1985
M Div, Parish Ministry
Teachers College of Columbia University 1975 — 1976
Ed M, Human Development and Counseling
Teachers College of Columbia University 1974 — 1975
MA, Human Development and Counseling
Barnard College 1971 — 1972
BA, English
Keuka College 1968 — 1971
BA, English, Psychology, and Secondary Education
Fayetteville-Manlius High School 1964 — 1968
Bacon Wilson, P.C. May 2012 - Present
Bacon Wilson May 2011 - May 2012
Massachusetts Attorney General - Western Division January 2011 - July 2011
Magistrate Judge Kenneth Neiman August 2010 - December 2010
Eileen Z. Sorrentino March 2005 - March 2010
The Village Potter March 2001 - December 2004
Tufts Health Plan September 1996 - November 2000
Skills
Legal Writing, Employment Law, Estate Planning, Civil Litigation, Mediation, Litigation, Bankruptcy, Legal Research, Family Law, Personal Injury, Courts, Appeals, Pleadings, Westlaw, Domestic Relations
Education
Western New England University School of Law 2008 — 2012
JD, Law
Elms College 2006 — 2008
Certificate of Advanced Paralegal Studies
Allegheny College 1988 — 1992
BA, Political Science
Tufts Health Plan July 2013 - Present
Harvard Pilgrim Health Care December 2010 - July 2013
Harvard Pilgrim Health Care 2001 - 2010
Harvard Pilgrim Health Care 1995 - 2001
Harvard Pilgrim Health Care 1993 - 1995
New England Memorial Hospital May 1988 - October 1993
Skills
Customer Service, Client Service, Operations Management, Problem Solving, Team Building, Team Leadership, Staff Retention, Performance Management, Healthcare Management, Mentoring, Change Management, Quality Assurance, Staff Development, Strategic Analysis, HIPAA, NCQA, Accreditation, Managed Care, Healthcare, Vendor Relations, Metrics, Data Analysis, Internal Communications, Regulatory Requirements, Complaint Management, Software Documentation, Provider Relations, Medicare, Training, CRM, Program Management, Healthcare Industry, Analysis, Disease Management, Employee Benefits
Education
Bentley College - Elkin B. McCallum Graduate School of Business 1995 — 1999
M.B.A., Management
Massachusetts College of Pharmacy and Health Sciences 1982 — 1984
B.S., Pharmacy
Boston College 1978 — 1982
B.S., Biology
Tufts Health Plan April 2012 - Present
Perficient November 2007 - Present
Blue Cross Blue Shield of Massachusetts January 2012 - March 2012
Covance July 2008 - December 2011
Golden Rule Insurance April 2008 - July 2008
AT&T November 2007 - February 2008
Oriental Solutions Inc August 2006 - November 2007
Horace Mann August 2006 - November 2007
Eagle Creek Software Services January 2006 - July 2006
Skills
TIBCO, TIBCO iProcess, TIBCO Rendezvous, Java Enterprise Edition, TIBCO Business Studio, EAI, SOA, ESB, JMS, Middleware, WSDL, SOAP, Web Services, Enterprise Architecture, XML, Oracle, SDLC, XPath, Integration, Java, PL/SQL
Education
Univerty Of Bridgeport 2004 — 2006
Master Of Science, Computer Science and Electrical Engineering
Anna University 2000 — 2004
BS, Electrical and Electronics Engineering
Tufts Health Plan December 2012 - Present
Tufts Health Plan February 2012 - December 2012
Fidelity Investments 1999 - June 2012
ICCT/New Concept group 1999 - 2005
Fors DC February 1998 - May 1999
VoronezhElektroBank December 1994 - January 1998
Skills
Oracle RAC, Oracle PL/SQL, Oracle SQL, Oracle Enterprise..., Confio, Informatica, Agile Methodologies, Critical Thinking, Oracle Performance..., PHP, Microsoft SQL Server, Oracle, Unix, PL/SQL, SQL, Windows, Requirements Gathering, Visio, Oracle HR, Linux, Databases, Data Modeling, Toad, Data Warehousing, ETL, SOAP, Oracle Applications, Database Design, Unix Shell Scripting, Requirements Analysis, Systems Analysis, SDLC
Education
Voronezh State Technical University 1982 — 1991
PHD, Artifitial Inteligence/ expert systems
Dana Farber Cancer Institute Special Assistant to the PresidentFallon Community Health Plan2000 - 2003
Saint Francis Physician Hospital Organization 1996 - 2000
Blue Cross Blue Shield of MA December 1995 - 1996
Tufts Health Plan 1992 - 1995
Education
Bentley College - Elkin B. McCallum Graduate School of Business 1992 — 1996
MBA, Management
University of New Hampshire 1987 — 1991
BS, Health Mgmt and Policy
Tufts health plan February 2014 - Present
Tufts Health Plan 2009 - Present
MHQP 2012 - 2013
Tufts Health Plan 1996 - 2009
tufts health plan January 2007 - January 2008
Tufts Health Plan December 2005 - January 2007
Education
Tufts University School of Medicine 1988 — 1991
Physical Medicine and Rehabilitation
Albany Medical College 1983 — 1987
MD
Union College 1979 — 1983
BS, Chemistry
albany high school 1975 — 1979
John Muir Physician Network January 2011 - July 2012
Kiva.org 2010 - 2010
PeopleSoft (formerly) 1998 - 2001
Tufts Health Plan 1997 - 1998
Kaiser Permanente 1995 - 1996
BHM INTERNATIONAL, INC. 1988 - 1993
Arthur Andersen & Co. 1987 - 1988
Skills
Business Intelligence, Business Analysis, Program Management, Data Analysis, Relational Databases, Crystal Reports, Systems Analysis, Testing, SDLC, Software Project..., SQL, Data Warehousing, Test Planning, Test Cases, Data Driven Testing, Analytics, Epic Systems, SSIS, Quality Assurance, Visio, Requirements Analysis, Process Flow..., Access Database, Healthcare Analytics, Project Management, Financial Analysis, Databases, Analysis, Software Implementation, Microsoft Excel
Education
American University 1993 — 1995
MA, Applied Economics
Boston University Questrom School of Business 1983 — 1987
BSBA, Accounting
Tufts Health Plan April 2014 - Present
Tufts Health Plan June 2013 - March 2014
Education
Babson College 2004 — 2008
Business Administration, Strategic Management - Economics - Entrepreneurship
Tufts Health Plan January 2014 - Present
Massachusetts Uniform Coding and Billing Advisory Committee May 2012 - Present
Tufts Health Plan October 2007 - January 2014
Tufts Health Plan April 2006 - September 2007
Tufts Health Plan May 2005 - April 2006
Tufts Health Plan September 2004 - May 2005
Tufts Health Plan January 2004 - September 2004
Tufts Health Plan April 2002 - January 2004
Accounting Team / Roche Brothers March 2002 - March 2002
norwalk hospital March 1997 - December 2001
Skills
Informatics, Healthcare, Healthcare Management, Health Insurance, Managed Care, Process Improvement, Cross-functional Team...
Education
Northeastern University 2002 — 2003
Management Certificate, Management
Babson College 1988 — 1992
B.S. - Management, Accounting Information Systems
New Canaan High School 1984 — 1988
Hologic, Inc. February 2015 - Present
Hologic June 2008 - March 2015
BranchServ November 2005 - June 2008
Nutcracker Brands, Inc. June 2001 - November 2005
Aetna US Healthcare December 1999 - March 2001
Tufts Health Plan November 1997 - December 1999
Skills
Medical Devices, Healthcare, Hospitals, Medical Imaging, Management, Microsoft Excel, Team Building, Training, Digital Imaging, X-ray, Biomedical Engineering, DICOM, Orthopedic, Employee Benefits, Oracle Applications, Health Insurance, Medical Assisting, Job Scheduling, Export, Troubleshooting, Dispatching, Oracle E-Business Suite, Customer Service, FDA, Sales, Field Service, Supervisory Skills, Team Leadership, Complaint Investigations, Bone Densitometry, Report Writing, Oracle Reports, Oracle Agile PLM, Mobile Applications, SnagIt, Complaint Management, Aging Reports
Education
Southern New Hampshire University 2014 — 2019
Bachelor’s Degree, Business Administration, Management and Operations, 3.9
Lincoln Technical Institute-Lowell 2005 — 2005
Medical Assisting, Medical Assistant Certificate, 3.8
Dracut High School 1989 — 1993
High School Diploma
American Tower August 2015 - Present
Infogroup September 2013 - August 2015
Alegeus Technologies November 2012 - November 2013
e-Dialog October 2011 - September 2012
Tufts Health Plan June 2008 - October 2011
YMCA of Cambridge 1999 - 2011
Fidelity Investments September 2006 - May 2008
Epsilon November 2004 - September 2006
RSA The Security Division of EMC April 2004 - November 2004
RSA The Security Division of EMC January 2004 - April 2004
Skills
Requirements Analysis, SDLC, SQL, Access, Business Analysis, Databases, Oracle, Project Management, Software Documentation, Management, Integration, Unix, Analysis
Education
Babson College 1998 — 2002
Bachelors Of Science in Business Management, Management Information Systems
Lexington High School
Independent July 2015 - Present
Accretive Solutions August 2012 - June 2015
Independent Consultant January 2012 - August 2012
Dell Perot Systems 2009 - 2011
The Pentad Group 2006 - 2009
Parson Consulting 2004 - 2006
Trammell Crow Corporate Services 2000 - 2002
Reed Business Information 1996 - 2000
Tufts Health Plan 1992 - 1996
Interactive Data 1982 - 1992
Skills
Financial Analysis, Process Improvement, Management, Accounting, Project Management, ERP, Sarbanes-Oxley Act, Leadership, Finance, Business Process..., Team Building, Consulting, Mergers & Acquisitions, Business Analysis, Financial Reporting, Business Process..., Sarbanes-Oxley, Financial Services, Cross-functional Team..., Data Analysis, Vendor Management, Internal Controls, Contract Management, US GAAP, Essbase, Due Diligence, Change Management, Consolidation, Strategic Planning, Auditing, Manufacturing, Visio, Forecasting, Microsoft Excel, Revenue Recognition, Risk Management, Financial Modeling, Internal Audit, Business Intelligence, Financial Accounting, Risk Assessment, Corporate Finance, SEC filings, Analytics, Business Strategy, Strategy, Managerial Finance, Business Planning, Management Consulting
Education
Bentley College - Elkin B. McCallum Graduate School of Business
MSA, Accountancy
Fidelity Investments 2014 - Present
Fidelity Investments 2009 - 2014
Fidelity Investments 2007 - 2008
Fidelity Investments 2005 - 2007
Fidelity Investments 2001 - 2005
Interelate, Inc. November 2000 - February 2001
Claim Resolution Technologies, Inc. 1998 - November 2000
Tufts Health Plan 1996 - 1998
Automobile Insurers Bureau of Massachusetts 1993 - 1996
Skills
Direct Marketing, Database Marketing, Strategic Planning, Program Management, Capacity Planning, Financial Services, Strategy, CRM, Business Analysis, Analytics, Project Management, Segmentation, Data Analysis
Education
Bentley College - Elkin B. McCallum Graduate School of Business
MBA, Business Economics
University of Massachusetts at Lowell
BSBA, Business Administration-Economics
Kaspersky Lab April 2015 - Present
Kaspersky Lab March 2011 - Present
Eaton-Wright Line October 2009 - March 2011
EMC October 2006 - January 2009
Iron Mountain May 2004 - October 2006
Navisite 1999 - 2001
Navisite 1999 - 2001
Navisite 1999 - 2001
Tufts Health Plan 1996 - 1999
Skills
Account Management, Sales Operations, Sales Management, Disaster Recovery, CRM, New Business Development, Sales, Marketing, Business Strategy, Strategy, Computer Hardware, Channel, Solution Selling, Salesforce.com, Cloud Computing, Enterprise Software, Sales Process, Managed Services, Direct Sales, Storage, Data Center, Virtualization, Resellers, Partner Management, Strategic Partnerships, Business Alliances, Sales Presentations, Team Leadership, Security, Storage Solutions, VMware, Partner Development, SaaS, Demand Generation, Channel Sales, Management, Professional Services, Selling, Channel Partners
Education
Assumption College
Hampton University
Bridgton Academy 1989 — 1990
PG
ABRHS 1985 — 1989
High School
Tufts Health Plan May 2014 - January 2015
Tufts Health Plan July 2013 - May 2014
Tufts Health Plan March 2012 - July 2013
TripAdvisor January 2011 - May 2011
TripAdvisor October 2010 - December 2010
Starwood Hotels & Resorts Worldwide, Inc. August 2007 - January 2010
Uline January 2006 - July 2007
The Langley School August 2005 - November 2005
Armenian International Magazine June 2003 - August 2003
Office of Congressman October 2002 - May 2003
Skills
Employee Benefits, Microsoft Excel
Education
American University 2001 — 2005
Bachelor of Arts, Public Communication
Sanofi April 2015 - Present
Novartis September 2012 - March 2015
Novartis June 2006 - September 2012
Novartis July 2003 - June 2006
Greater Boston Chamber of Commerce 2001 - 2003
Fitcorp 1995 - 2001
Tufts Health Plan 1999 - 2000
Skills
Sales Management, Training & Development, Budget Management, Pharmaceutical Sales, Sales Skills Training, Mentoring, Data Analysis, Account Management, Managed Care, Product Launches, High Performance Teams, Exercise Physiology, Hypertension, Sales Effectiveness, Employee Training, Product Launch, Selling Skills, Leadership, Sales, Budgets, Business Development, Neurology, Gastroenterology, Cardiology, Rheumatology
Education
University of Massachusetts, Amherst 1989 — 1994
BS, Exercise Science
Babson College - Franklin W. Olin Graduate School of Business
Novartis Business Awareness Program: Implementing Strategy at Novartis.
Northwestern University - Kellogg School of Management 2013 — 2013
Accelerating Sales Force Performance
Tufts Health Plan Zone FacilitatorBoston Scholar Athlete ProgramAugust 2011 - Present
McKinley Preparatory High School September 2010 - April 2011
Fairlawn Rehabilitation Hospital June 2009 - September 2010
Protocol Telecommunications June 2007 - September 2007
Hassett and Donnelly Law Office May 2005 - April 2006
Skills
Management, Admissions
Education
Emmanuel College 2009 — 2011
Bachelor of Arts, Psychology; Health and Counseling
Assumption College 2007 — 2009
CVS Caremark Corporation 2012 - 2014
Spaulding Rehabilitation Hospital - Boston 2010 - 2012
Milford Regional Medical Center 2008 - 2010
Tufts Health Plan August 2006 - March 2008
Callen & Associates Legal Nurse Consultants 2003 - 2008
US Department of Health and Human Services/Center for Medicare and Medicaid Services (CMS) 1988 - 2003
Skills
Healthcare Management, Healthcare, Non-profits, Hospitals, EMR, Data Analysis, Managed Care, Budgets, Federal Government, Infection Control, Quality Management, Risk Management, Health Insurance, Compliance, Local Government, Legal Nurse Consulting, Registered Nurses, Continuous Improvement, Contract Negotiation, Contract Management, Consultants, Volunteering, Health Advocacy, Patient Safety, Quality Improvement..., EHR, Medicare, Healthcare Consulting, Healthcare Information..., Nonprofits, Medicaid, Performance Improvement, Policy, HIPAA, Clinical Research, Physicians, Revenue Cycle, Quality Improvement, Disease Management, Informatics, Healthcare Industry, Nursing, Case Managment, Public Health, Inpatient, JCAHO, Health Policy, Quality Assurance, Home Care, Utilization Management
Education
State University of New York Institute of Technology at Utica/Rome
B.S., Health Care Administration
Memorial Hospital School of Nursing
Registered Nurse Diploma, Registered Nursing/Registered Nurse
Tufts Health Plan December 2006 - Present
Tufts Health Plan December 2006 - Present
Blue Cross Blue Shield of Massachusetts March 2005 - December 2006
Brockton Internist 2003 - 2005
Lifecrare at Home March 1999 - 2003
Marian Manor Skilled Nursing and Rehab November 1999 - 2002
Correctional Medical Services 1997 - 1999
Skills
Medicare, Managed Care, Health Insurance, Utilization Management, Medicaid, Healthcare, HIPAA, Disease Management, Insurance, Healthcare Management, Claim, Case Managment
Education
Excelsior College 2012 — 2014
Associate's degree, Registered Nursing/Registered Nurse
Southeastern Technical Institute 1994 — 1997
Tufts Health Plan April 2015 - Present
Toastmasters International 2014 - Present
Tufts Health Plan April 2014 - April 2015
Tufts Health Plan January 2013 - April 2014
Tufts Health Plan - Medicare Preferred October 2012 - January 2013
The BELL Foundation March 2012 - September 2012
American International College December 2009 - May 2012
American International College Alumni Relations Office February 2012 - April 2012
MOD Boston September 2007 - August 2009
TIG Management October 2008 - February 2009
Skills
Microsoft Office, PowerPoint, Word, Excel, Event Planning, Operations Management, Program Development, Social Networking, Public Speaking, Situational Leadership, Stressful Situations, High Pressure..., Group Practice..., Customer Service, New Hire Orientations, Data Entry, Community Outreach, Writing, Presentation Development, Persuasive Presentation..., Presenter, Leadership, Leadership Development, Youth Leadership, Social Media Marketing, Communication Skills, Non-profit..., Enrollment Management, Community Service, Fundraising, Staff Development, Microsoft Word, Microsoft Excel, Marketing, Time Management, Teamwork, Event Management, Research
Education
American International College 2009 — 2012
Business Management
Excel High School at South Boston High 2002 — 2006
Infomation Technology
Tufts Health Plan April 2013 - April 2015
eHealthInsurance May 2012 - April 2013
American Classic Agency June 2009 - April 2011
Northwestern Mutual January 2008 - May 2009
Wealth Strategists July 2002 - March 2006
Skills
Health Insurance, Medicare Advantage, Medicare Part D, Licensed Life Insurance..., General Securities..., General Securities..., Retirement Planning, Insurance, Financial Services, Term Life Insurance, Finance, Teamwork, Employee Benefits, Disability Insurance, Training, Sales, Financial Analysis, Investments, Mutual Funds, Fixed Annuities, Call Centers, Medicare, Customer Service, Solution Selling, Retirement, Life Insurance
Education
Belhaven College 1999 — 2002
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Liberty University 1997 — 1999
Melbourne Central Catholic 1995 — 1997
Tufts Health Plan
Skills
Healthcare, Health Insurance, Insurance
Education
Iverson Business School and Court Reporting 2003 — 2004
Certified professional coder
Community College of Rhode Island
Nursing, Registered Nursing/Registered Nurse
Tufts Health Plan October 2013 - Present
Iron Mountain August 2013 - September 2013
WGBH June 2013 - July 2013
Seniorlink May 2013 - June 2013
Di Zhao Flutes July 2012 - April 2013
Skills
Microsoft Excel, Microsoft Word, Customer Service, English, Windows, Outlook, Teaching, Photoshop, Budgets, ADP Enterprise, Kronos, iCIMS, Salesforce, iNotes, PowerPoint
Education
Hanyang University 2011 — 2011
TESOL, ESL
Sahmyook University 2007 — 2011
Music Performance / Education, English Literature / Education, Bachelor's Degree
UMMHC November 2010 - Present
Tufts Health Plan May 2007 - November 2010
Skills
Healthcare, Hospitals, Home Care, Healthcare Management, Utilization Management, Adults, Managed Care, Non-profits, Quality Improvement, Patient Safety, Elder Care, Healthcare Industry, Medical/Surgical, Physician Relations, Patient Advocacy
Education
Anna Maria College 2009 — 2013
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Quinsigamond Community College 1992 — 1994
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Xcenda April 2014 - Present
Truven Health Analytics March 2008 - April 2014
San Diego Community College District, Institutional Research and Planning 2007 - 2008
Education Development Center, Center for Applied Ethics 2005 - 2006
Education Development Center, Center for Applied Ethics 2003 - 2005
Tufts Health Plan 2001 - 2003
Harvard University Graduate School of Education 1998 - 2001
Skills
Cross-functional Team..., Project Management, Technical Writing, Data Analysis, Health Research, Mentoring Of Staff, Quality Assurance, Manage Client..., Methodology, Resource Management, Outcomes Research, Economic Research, Market Assessments, Team Leadership, Research, Pharmaceutical Industry, Research Design, SAS programming
Education
Harvard University Graduate School of Education 1999 — 2001
EdM, Human Development and Psychology
Bates College 1993 — 1997
BA, Psychology
Data Intensity, LLC February 2015 - Present
Quintiles November 2013 - Present
Oracle October 2010 - November 2013
Phase Forward May 2009 - October 2010
HiWired, Inc March 2008 - November 2008
State Street Global Advisors June 2005 - March 2008
Tufts Health Plan October 2001 - June 2005
Deloitte Consulting January 1998 - September 2001
Skills
B2B, Cross-functional Team..., Forecasting, Strategy, Business Planning, Account Management, SaaS, Management, Program Management, Project Management, Security, CRM, Start-ups, Leadership
Education
Babson College - Franklin W. Olin Graduate School of Business 2003 — 2008
MBA, Marketing Concentration
Babson College 1993 — 1997
BS, Entrepreneurial Studies
Tufts Health Plan May 2001 - Present
Anthony Donato, Esq. May 1992 - May 1993
Skills
Office Administration, technical, Efficiency, Conscientious
Education
Sullivan and Cogliano Training Center 1999 — 2001
Certificate, Microsoft Office proficiency
Aquinas College 1992 — 1994
Associate's degree, Legal Administrative Assistant/Secretary
Tufts Health Plan September 2013 - Present
Skills
Health Insurance, Employee Benefits, HIPAA, Office Management, Outlook, Administrative..., Access, Data Entry
Education
Universidade Federal de Rondônia
UnitedHealth Group March 2013 - Present
Tufts Health Plan June 2007 - November 2012
Tufts Health Plan August 2005 - June 2007
Skills
Broad understanding of..., Strong knowledge of..., Experienced in working..., Vendor Relationship Mgmt, Experienced at managing..., ICD-10 impact analysis, Pharmacy benefit..., Project Planning, SDLC, SharePoint, Vendor Management, Process Improvement, Project Management, Health Insurance, MS Project, Management, Employee Benefits, Business Analysis, Program Management
Education
American Academy of Dramatic Arts-Los Angeles
Orange Coast College
Shire Pharmaceuticals April 2015 - Present
Tufts Health Plan June 2013 - March 2015
Plastic Omnium June 2012 - June 2013
Albion College Information Systems October 2008 - May 2012
Tau Kappa Epsilon January 2011 - January 2012
Zale Corporation December 2009 - January 2012
Skills
Budgets, Financial Forecasting, Customer Service, Data Analysis, SQL, Hyperion Enterprise, Microsoft Office, Organization, Microsoft Excel, Information Technology, Time Management, Research, Account Management, Java, Altiris, Microsoft Word, Hyperion HFM, Microsoft SQL Server, SQL Server Management..., Budget Process, Management
Education
Albion College 2008 — 2012
BA, Economics - Finance
American Homecare Federation, Incorporated September 2011 - Present
Boston Medical Center HealthNet Plan January 2007 - August 2011
Tufts Health Plan September 1998 - September 2006
Pioneer Health - The PPO May 1994 - September 1998
HMC-Health Management Center January 1992 - January 1994
Skills
Managed Care, Healthcare, Provider Relations, Insurance, Physician Relations, Health Policy, HIPAA, Medicare, Medicaid, Pharmacy Benefit..., Strategic Planning, Health Insurance, Healthcare Industry, Physicians, Negotiation, Claim, Network Development, Marketing Communications, Sales, Contract Negotiation, Employee Benefits, Training, Healthcare Information..., Medicare Part D, Hospitals, New Business Development, Marketing Strategy, Customer Service, Account Management, Key Account Management, PPO, Healthcare Management, Process Improvement, Credentialing, Healthcare Consulting, Public Speaking, Leadership, Provider Relations..., Disease Management, Utilization Management, Sales Management, Underwriting, Fully Insured Product..., Self Funded Product..., Non Profit & Fund..., Networking, Relationship-building..., Vendor Management, CPR+ software, CDHC - Consumer Driven...
Education
other 2007 — 2007
Inclusive, Life/Business Mangement Skills, Landmark Education Seminars
Massachusetts College of Liberal Arts 1983 — 1985
Bachelor of Science, Marketing
Bay Path College 1980 — 1983
A.S., Business Administration Management
Agawam High School 1976 — 1980
College Preparatory, Management
Massachusetts General Hospital November 2013 - Present
Massachusetts General Hospital August 2011 - Present
Fertility Within Reach March 2010 - Present
Resolve of the Bay State 2008 - November 2011
Massachusetts General Hospital May 2005 - October 2011
PARTNERS PSYCHIATRY AND MENTAL HEALTH (PPMH) January 2003 - April 2005
Partners HealthCare December 2002 - April 2005
TUFTS ASSOCIATED HEALTH PLANS December 2002 - April 2003
Tufts Health Plan May 2000 - October 2002
Tufts Associated Health Plans January 1999 - January 2001
Skills
Research, Microsoft Office, PeopleSoft, Leadership, Insurance, Customer Service, Consulting, Management, Networking, Quality Control, HTML, Webmaster Services, Contract Management, Teaching, Program Management, Nonprofits, Hospitals, Policy, Healthcare, Healthcare Information..., Training, Healthcare Management
Education
University of Massachusetts, Amherst 2010 — 2014
MPH, Public Health Practice
University of Massachusetts, Amherst 2010 — 2014
MPH, Public Health Practice
McLean Institute of Coaching, Wellcoaches 2009 — 2010
Certificate, Health; Wellness Coaching
Merrimack College 2000 — 2002
Certificate in Web Design
Merrimack College 1999 — 2002
CIW, Internet Design
American University 1992 — 1996
Bachelor of Arts, Psychology
American University 1992 — 1996
Bachelor of Arts, Psychology
Bunnell High School 1989 — 1992
High School Diploma
AIG April 1997 - Present
ManagedComp January 1994 - April 1997
Tufts Health Plan January 1993 - January 1996
Skills
Strategic Planning, Insurance, Managed Care, Customer Retention, Training Delivery, Event Planning
Education
Assumption College 1985 — 1989
BA
Holyoke Catholic High School 1981 — 1985
U.S. Department of Veterans Affairs February 2015 - Present
MAXIMUS December 2014 - January 2015
Massachusetts Army National Guard December 1994 - December 2014
Boston Children's Hospital September 2014 - November 2014
Partners HealthCare March 2014 - August 2014
Public Consulting Group October 2012 - January 2014
Dana-Farber Cancer Institute August 2012 - September 2012
Tufts Health Plan April 2012 - June 2012
Brockton neighborhood health center March 2012 - March 2012
EF Foundation for Foreign Study November 2011 - December 2011
Skills
Training, Outlook, Leadership, Office Management, Medical Billing, Microsoft Office, Administrative..., Customer Service, Accounts Receivable, Office Administration, Process Scheduler, Medical Coding, Personnel Supervision, Medical Terminology, Medical Records, Team Building, Transcription, Project Portfolio..., Meditech, Registration, Management, Military, Security Clearance, Analysis, Interviews, Conflict Resolution, Software Documentation, Supervisory Skills, Proficient in Microsoft..., Training & Development, Reception, Personnel Leadership, Portfolio Management, Administrative Support, General Administration, NextGen, RCMS, SMS Rumba, Scheduling, Employee Training, QuickBooks, Administrative Work, Human Resources, Healthcare, Public Speaking, Microsoft Excel, Healthcare Information..., Epic Resolute...
Education
Sanford Brown College 2011 — 2012
Certificate, Medical Billing & Coding
Ashford University 2009 — 2012
Bachelors of Arts, Organizational Management
Gibbs College 2006 — 2007
Associates, Business Administration, Accounting
Hyde Park High 1993 — 1995
High School/Secondary Diplomas and Certificates
Tufts Health Plan September 2014 - Present
Tufts Health Plan June 1999 - Present
Comcast 1997 - 1998
Polymer Technology (A Bausch & Lomb manufacturer of rigid gas permeable contact lenses/solutions) 1994 - 1996
NEBS 1992 - 1994
Chadwick Martin Bailey 1990 - 1991
Elrick & Lavidge, Inc. (A full-service market research company owned by Equifax) 1990 - 1990
Skills
Marketing Research, Market Research, Segmentation, Focus Groups, Analysis, Leadership, Primary Research, Quantitative Analytics, Qualitative Analysis, Quantitative Research, Quality Improvement, Satisfaction..., Cross-functional..., Project Management, Staff Supervision, Usability Testing, Qualitative Research
Education
Babson College 1984 — 1988
Bachelor's Degree, Marketing/Communications
Weymouth North High School 1981 — 1984
Tufts Health Plan September 2012 - Present
Harvard Pilgrim Healthcare October 2010 - September 2012
Brockton Public Schools May 2010 - September 2010
Skills
Customer Service, Healthcare, PowerPoint, Microsoft Excel, Microsoft Office, Microsoft Word, Social Media, Health Insurance, Public Speaking, Strategic Planning, Outlook, Healthcare Information...
Education
Assumption College 2006 — 2010
Marketing, Liberal Arts
Assumption College 2006 — 2010
B.A, Marketing
Tufts Health Plan July 2009 - Present
Filene's Basement February 2008 - April 2009
The Timberland Company April 2006 - November 2007
Filene's March 2005 - April 2006
Skills
Project Planning, Leadership, Coaching, Data Analysis, Analysis
Education
Assumption College 2000 — 2004
BA, Economics
VMware May 2014 - Present
Independent Consulting October 2012 - May 2014
Tufts Health Plan March 2010 - October 2012
IBM November 1999 - February 2009
Lotus Development Corporation / IBM October 1994 - November 1999
Lotus Development Corporation July 1992 - November 1994
Skills
Lotus Domino, Windows, Operating Systems, Lotus Notes, VMware, Active Directory, LDAP, HIPAA, Linux, Security, HP-UX, FTP, Unix, Solaris, SQL, XP, TCP/IP, Testing, Service Desk, Troubleshooting, Documentation, HTML, Apache, Outlook, Problem Solving, Administration, Websphere, Databases, Software Documentation, Information Security, IT Management, System Administration, Firewalls, Technical Support, Integration, VMware ESX, VPN, Access, Networking, Computer Security, Hardware, Quality Assurance, Disaster Recovery, Virtualization, Identity Management, ITIL, IT Operations, Citrix, Enterprise Architecture, IT Service Management
Education
American International College 2009 — 2010
Certificate, Microsoft Certified Network Security Professional
Computer Learning Center 1988 — 1989
Certificate, Computer Operations
Congregational Church of Littleton July 2012 - Present
self employed 2004 - 2008
Atabok/e-Parcel 2000 - 2002
Tufts Health Plan May 1999 - May 2000
Tufts Health Plan October 1994 - May 1999
Skills
Lesson Planning, Curriculum Design, Curriculum Development, Prayer, Religious Studies, Public Relations, Customer Service, Church Administration, Research, Religious Education, Bible, Teaching, Nonprofits
Education
Andover Newton Theological School 2014 — 2018
Master's Degree, Divinity/Ministry
Fitchburg State College 1988 — 1992
B.S. Ed, History - Secondary Education
CRICO/RMF December 2005 - Present
Tufts Health Plan 1995 - 2005
Skills
Patient Safety, Case Managment, Hospitals, Healthcare Information..., Public Speaking, Medicare, Clinical Research, Health Insurance, Utilization Management, Data Analysis, Research, Microsoft Office, Customer Service, Process Improvement, Strategic Planning, Policy, Microsoft Excel
Education
Bentley College - Elkin B. McCallum Graduate School of Business 1999 — 2003
Paralegal
St. Vincent School of Nursing 1983 — 1986
Nursing, Nursing
Silverlink Communications September 2014 - Present
Silverlink Communications April 2014 - September 2014
Silverlink Communications September 2013 - March 2014
Silverlink Communications May 2011 - August 2013
Silverlink Communications January 2010 - May 2011
Silverlink Communications December 2008 - December 2009
Tufts Health Plan June 2006 - December 2008
Skills
Program Management, Account Management, Professional Services, SaaS, Management, Pre-sales, Product Marketing, Strategic Planning, Healthcare, Product Management, Strategy, Data Analysis, Enterprise Software, Analytics, Salesforce.com, Start-ups, Technology Solutions, Cross-functional Team..., Team Mentoring, Software Technology, Team Leadership, Business Process..., Operational Efficiency
Education
Bates College 2002 — 2006
Psychology
The University of Adelaide 2005 — 2005
Study Abroad
Tufts Health Plan May 2013 - Present
Deloitte & Touche July 2007 - 2013
WEST & Company CPAs PC May 2006 - August 2006
Royal & SunAlliance June 2006 - July 2006
Alpin Haus May 2005 - August 2005
Skills
Internal Audit, SSAE 16, SOX 404, SOC 1, IT Audit, Internal Controls, Accounting, Risk Assessment, Financial Risk, Process Improvement
Education
Bentley University 2005 — 2007
BS, Accountancy, Law
University College Dublin 2006 — 2006
Business, History
Fulton-Montgomery Community College 2003 — 2005
AS, Business Administration
Amsterdam High School 1999 — 2003
Bentley College - Elkin B. McCallum Graduate School of Business
MSA, Accountancy
Tufts Health Plan April 2014 - Present
Tufts Health Plan March 2006 - April 2014
Tufts Health Plan March 2003 - March 2006
Tufts Health Plan October 2000 - March 2003
Tufts Health Plan February 2000 - October 2000
Skills
Health Insurance, Data Analysis, Access, Healthcare, Microsoft Excel, Managed Care, PowerPoint, Medicare Part D, Microsoft Office, Medicare, Customer Service, Insurance, Software Documentation, Public Speaking, ALUI, Medication Therapy..., Management, Pharmacy, Healthcare Management, Pharmacy Benefit..., Healthcare Information..., Hospitals, SAS programming, SPSS, Hummingbird, Crystal Reports, Cognos, R Programming
Education
1991 — 1997
Bachelor of Science, Industrial Engineer
BPK Penabur, Bandung, Indonesia 1989 — 1991
High School, Biology
Aetna April 2015 - Present
Tufts Health Plan July 2014 - April 2015
Tufts Health Plan September 2012 - July 2014
New England School of English January 2012 - August 2012
Chungdahm Learning September 2010 - November 2011
Math for America June 2009 - August 2009
Carleton College September 2006 - July 2009
Carleton College Synchronized Swimming September 2005 - June 2009
Evri June 2008 - September 2008
University of Michigan May 2007 - August 2007
Skills
Research, Teaching, Training, Tutoring, Curriculum Design, Software Documentation, Team Building, Project Planning, Data Analysis, Higher Education, Public Speaking, Nonprofits
Education
Carleton College 2005 — 2009
B.A, Computer Science and Cognitive Science; Computer Science
Eötvös Loránd University 2007 — 2007
American University
Math
SUNY Plattsburgh January 2015 - Present
SUNY Plattsburgh August 2014 - Present
Tufts Health Plan December 2007 - August 2013
John Hancock Life Insurance Company (U.S.A.) June 2007 - December 2007
Skills
Microsoft Office, Cognos, Access, PowerPoint, Excel, Word, Customer Service, Microsoft Excel, Data Analysis, Event Planning, Finance
Education
State University of New York College at Plattsburgh 2014 — 2016
Master's Degree, Student Affairs and School Counseling
Bentley College - Elkin B. McCallum Graduate School of Business 2008 — 2010
Master's, Financial Planning
SUNY Plattsburgh 2003 — 2007
BS, Business
Neighborhood Health Plan 2008 - Present
Fidelity June 2007 - 2007
Beth Israel Deaconess Medical Center 2007 - 2007
Hasbro 2006 - 2006
Blue Cross Blue Shield of Massachusetts 2005 - 2006
Tufts Health Plan 1997 - 2005
Skills
Performance Management, Employee Relations, Talent Acquisition, Human Resources, Talent Management, Employee Engagement, Management, Operations Management, Vendor Management, Recruiting, Program Management, Process Improvement, Change Management, Sourcing, Organizational..., HRIS, Program Implementation, Healthcare, Applicant Tracking...
Education
Babson College 1988 — 1992
Bachelor of Science (BS), Finance/Investments/QM
Medventive, Inc. Health Care AnalystPCHI2005 - 2006
Tufts Health Plan 1994 - 2004
Education
Bentley College - Elkin B. McCallum Graduate School of Business 1977 — 1981
Tufts Health Plan May 2011 - March 2012
St Vincent Hospital February 2011 - February 2011
Fallon Clinic October 2006 - March 2008
UnitedHealthcare April 1999 - October 2006
Skills
Microsoft Office, Microsoft Excel, Hospitals, Customer Service, Microsoft Word, PowerPoint, Strategic Planning, Project Management, Clinical Research, Healthcare Management, Public Speaking, Research, Nursing, Change Management, Utilization Management
Education
Assumption College 1989 — 1994
BSN
Anna Maria College
Master of Business Administration (MBA), Health/Health Care Administration/Management
Tufts Health Plan June 2012 - Present
Network Health June 2010 - June 2012
Network Health September 2008 - June 2010
Network Health August 2007 - August 2008
Meditech January 2007 - August 2007
Skills
Healthcare Information..., Hospitals, Healthcare, HIPAA, Healthcare Management, Medicaid, EMR, Process Improvement, Project Management, Healthcare Industry, Medicare, Informatics, Data Analysis, Microsoft Excel, Leadership, Business Analysis, Health Insurance
Education
Boston University Graduate School of Management 2008 — 2011
MBA, Health Sector Management, High Honors
University of Massachusetts Boston 2003 — 2006
BS in Management, Finance
Belaruski Dzjaržauny Ekanamièny Universitet 1997 — 2000
60% Completed, Management, Economic Cybernetics, MIS
Bose Corporation December 2012 - Present
Sunovion Pharmaceuticals Inc. July 2006 - June 2012
Tufts Health Plan September 1998 - June 2006
Tufts Health Plan 1998 - 2006
Skills
Data Analysis, Analysis, Human Resources
Education
Institute of Finance Management 1984 — 1987
Tufts Health Plan December 2007 - Present
Objectsoft Group October 2006 - November 2007
Wipro Technologies October 1997 - September 2006
Satyam Computers Ltd. August 1996 - September 1997
Aeronautical Development Agency April 1988 - August 1997
Skills
Quality Assurance..., People Management, Configuration and..., Cross-functional Team..., Decision Making, Collaborative Problem..., Critical Thinking, Delegation, Distributed Team..., Relationship Management, Performance Testing, Test Environments, CMMI, ITIL, Risk Assessment, Release Management, Department Budgeting, Agile Methodologies, Management, Testing, Quality Assurance, Scrum, SDLC, Process Improvement, XML, Disaster Recovery, MS Project, Requirements Gathering, Project Management, PMO, Oracle
Education
Indira Gandhi National Open University 1993 — 1995
Master of Business Administration (M.B.A.)
Annamalai University 1983 — 1985
Master of Science (M.Sc.)
Project Management Institute
PMP
Lawrence General Hospital August 2010 - July 2015
DMC Consulting January 2009 - July 2010
Fallon Community Health Plan 1998 - 2008
Tufts Health Plan 1995 - 1998
Skills
Managed Care, Healthcare Management, Medicaid, Healthcare Information..., Healthcare, HIPAA, Healthcare Industry, Hospitals, Health Insurance, Strategic Planning, Healthcare Consulting, Revenue Cycle, Process Improvement, Provider Relations, Insurance, Network Development, Project Management, Health Policy, Medicare, Home Care, Public Health, EMR, d, Data Analytics, Physician Relations, Operations Management, Contract Negotiation, Contract Management
Education
Assumption College 2007 — 2007
Bachelor of Arts (B.A.), Political science/History
Western New England College School of Law 1987 — 1990
JD
Northeastern University 1982 — 1984
MPA
Tufts Health Plan May 2012 - Present
Tufts Health Plan December 2009 - May 2012
Tufts Health Plan February 2009 - December 2009
Tufts Health Plan September 2005 - February 2009
Mercer Human Resource Consulting June 2004 - September 2005
Skills
Managed Care, Health Insurance, Healthcare Management, Healthcare, Data Analysis, Insurance, Healthcare Information..., Health Policy
Education
Boston University Graduate School of Management 2011 — 2014
Master of Business Administration (M.B.A.), Health Sector Management
Assumption College
Bachelor of Arts (B.A.), Mathematics
CVS Caremark Corporation October 2012 - Present
Tufts Health Plan October 2008 - October 2012
IDC 2007 - 2008
Staples 1994 - 2007
Simon and Schuster 1989 - 1994
Skills
Vendor Management, Business Analysis, Business Intelligence, SDLC, Visio, Process Improvement, Customer Service, Requirements Gathering, Cross-functional Team..., PMO, Project Coordination, Project Portfolio..., Leading Meetings, Software Project..., Requirements Analysis
Education
Becker College 2009 — 2012
BS, Business Admin
Champlain College 1984 — 1985
Associate of Science, Data Processing
University of Vermont 1982 — 1984
Boston Children's Hospital July 2015 - Present
Steward Healthcare - Steward Medical Group August 2007 - July 2015
Tufts Health Plan 2004 - 2007
MFS Investment Management 2000 - 2003
Skills
Strategic Planning, Process Improvement, Financial Analysis, Financial Modeling, Project Management, Revenue Cycle, Data Analysis, Finance, Leadership, Management, Healthcare Management, Strategy, Access, Analysis, Managerial Finance, Healthcare, Healthcare Information..., HIPAA
Education
Bentley College - Elkin B. McCallum Graduate School of Business 1995 — 1997
MBA, International Business
Boston College - Wallace E. Carroll Graduate School of Management 1987 — 1990
Highmark Blue Cross Blue Shield of Delaware December 2012 - Present
Tufts Health Plan September 2003 - November 2012
Tufts Health Plan February 2000 - September 2003
Aetna US Healthcare January 1999 - February 2000
Health Net (MD Health Plan) November 1997 - January 1999
CIGNA Healthcare January 1996 - November 1997
Skills
Negotiation, Underwriting, Critical Thinking, Health Insurance, Change Management, Insurance, Leadership, Vendor Management, Performance Management, Team Building, Analysis, Management, Process Improvement, Managed Care, Strategy, Training, Employee Benefits, Health Policy, Provider Relations
Education
Bentley College - Elkin B. McCallum Graduate School of Business 2000 — 2005
MBA, Business Management
Bentley University 1991 — 1995
MS, Business Management
Newington High School
Tufts Health Plan November 2009 - Present
Tufts Health Plan June 1995 - December 2009
American Red Cross 1992 - 1995
Skills
Employee Benefits, Health Insurance, Base Pay Administration, Executive Compensation..., Employee Benefits Design, Health & Welfare..., Leave of Absence..., I-9 audits, Sales Compensation, Total Rewards Strategies, Variable Pay Design, Employee Wellness..., Benefits Analysis, Corporate Benefits, Benefit Communication, Voluntary Products, Corporate Health, Health Fairs, Overall Wellness, HRIS Database Management, HR Policy Formulation, Time & Attendance, Payroll Conversions, EV5, Multi-state Payroll..., Enterprise eTime, Benefits Design, Health Care Reform, FMLA, ADP Payroll, Employee Wellness, Managed Care, Employee Recognition, Insurance
Education
Bentley College - Elkin B. McCallum Graduate School of Business 1992 — 1995
MBA, Management
Bentley University 1986 — 1990
BS, Accounting
Ingenix Consulting 2009 - Present
Fallon Community Health Plan May 1998 - January 2009
General Electric 1996 - 1997
Tufts Health Plan 1990 - 1995
Education
Assumption College 2004 — 2005
MBA, Business, Management
Providence College 1987 — 1991
BS, Business Administration, Healthcare
College for Financial Planning 1986 — 1989
CFP, Financial Planning
Tufts Health Plan August 1998 - August 2013
Education
Babson College - Franklin W. Olin Graduate School of Business
Masters in Business Administration, Concentration in Marketing
University of Vermont
B.S. in Business Administration, Concentration in Finance
Tufts Health Plan April 2001 - Present
Tufts Health Plan July 2000 - April 2001
Massachusetts General Hospital July 1999 - July 2000
Gregory-Portland School District March 1998 - May 1999
CCST, Inc. April 1997 - November 1997
Robertshaw October 1996 - February 1997
The Joint Commission October 1989 - July 1996
Skills
Credentialing, NCQA, Accreditation, Human Resources, Medicare, Managed Care, Provider Relations, Medicaid, HIPAA, Public Relations, Healthcare Management, Healthcare, Health Insurance, HMO, Network Development
Education
University of Phoenix 2005 — 2007
MHA, Health Administration
Benedictine University 1992 — 1993
Graduate Studies, Public Health
Governors State University 1988 — 1989
Bachelor's Degree, Health/Health Care Administration/Management
Steward Medical Group July 2014 - Present
Best Doctors February 2009 - July 2014
Tufts Health Plan 2007 - 2008
xpedx 2004 - 2006
Skills
Individual Health..., International Health..., Revenue Analysis, Financial Analysis, Monthly Close Process, Revenue Recognition, Financial Accounting, New Business Development, Healthcare Analytics, Reinsurance, Operating Budgets, Musicians, Orchestral Music, Cello, Vocalist, Church Music, Microsoft Office, SPSS, External Liaison, External Audit, Sales Commissions, New Hire Training, Account Reconciliation, Health Insurance, Physician Relations, Management, Healthcare, Employee Benefits, Great Plains Software, Financial Reporting, Process Improvement, Healthcare Consulting, Healthcare Management, Medicare, Budgets, Quality Improvement, Business Analysis, Finance, Insurance, Analysis
Education
Bentley College - Elkin B. McCallum Graduate School of Business 1999 — 2001
M.S., Accountancy
Bowdoin College 1994 — 1998
B.A., Anthropology
Emerson Hospital April 2008 - Present
Accuro Healthcare Solutions 2007 - 2008
Southern New Hampshire Medical Center 2006 - 2007
Northeast Health System January 2002 - April 2006
Northeast Health System January 2000 - January 2002
Tufts Health Plan 1998 - 2000
Winchester Hospital December 1995 - January 1998
Skills
Revenue Cycle, Healthcare, Healthcare Information..., EHR, Hospitals, Healthcare Management, Meditech, EMR, Process Improvement, Decision Support, Healthcare Consulting, Healthcare Industry, Revenue Cycle Management, Data Analysis, Health Insurance, Strategic Planning, Leadership, Software Implementation, Analysis, Business Analysis, Project Management, Medical Billing, Management, Team Building, Financial Analysis, Insurance, Microsoft Excel, Change Management, Vendor Management, Analytics, Accounts Receivable, HIPAA, Informatics, Managed Care, Sales Operations, Medicaid, Medicare, HL7
Education
Bentley College - Elkin B. McCallum Graduate School of Business 2002 — 2005
MBA IT, Information Technology
University of Massachusetts Lowell 1992 — 1996
BS, Health Administration & Education
Bath & Body Works September 2009 - Present
HealthNet Plan September 2008 - March 2011
Williams-Sonoma November 2009 - November 2010
Tuft's Medical Center March 2007 - September 2008
Tuft's Health Plan December 2005 - October 2006
Tuft's Health Plan August 2003 - 2006
Tuft's Health Plan May 2001 - August 2003
Tuft's Health Plan February 2001 - May 2001
Tuft's Health Plan January 2001 - February 2001
Tuft's Health Plan September 1999 - January 2001
Skills
Customer Service, Word, Excel, Microsoft Office, Customer Satisfaction, Access, PowerPoint
Education
Kaplan Career Institute-Boston 2011 — 2012
Muriel S. Snowden Int'l High at Copley 1991 — 1995
Diploma, International Studies
Tufts Health Plan February 2013 - Present
Fallon Community Health Plan 2005 - Present
Allmerica Financial 2002 - 2003
Allmerica Financial 1997 - 2002
Allmerica Financial 1995 - 1997
Allmerica Financial 1986 - 1995
Skills
Product Management, Healthcare Legislative..., Product Training, Presentations, Marketing Communications, Contract Management, Product Quality, Communication Skills, Analysis, Business Process..., Insurance, Leadership, Management, Marketing, Program Management, Training, Business Analysis, Vendor Management, Managed Care, Health Insurance
Education
Assumption College
Bachelor's degree, Business Management, 3.4 GPA
Quinsigamond Community College
Associate's degree, Business Technology, 3.5 GPA
Bryant University
Project Management Certificate Program
Academy of Healthcare Management
Professional, Academy for Healthcare Management (PAHM)
Burncoat High School
Tufts Health Plan March 1997 - Present
Westfield State University September 2012 - June 2014
Carson Center 1990 - Present
Holyoke Medical Center June 1992 - June 1995
Noble Hospital September 1981 - June 1992
Skills
Medicaid, Case Managment, Strategic Planning, Healthcare, Managed Care, HIPAA, Social Services, Clinical Research, Behavioral Health, Hospitals, Program Evaluation, Family Therapy, Group Therapy, Provider Relations
Education
Adelphi University 1985 — 1987
M.S.W., Social Work
Salem State University 1976 — 1980
BSW, Social Work
Tufts Health Plan February 2013 - Present
Tufts Health Plan 2006 - Present
Tufts Health Plan 2001 - 2004
Tufts Health Plan 1999 - 2001
Coastal Physician Services of the Northeast, Inc. 1991 - 1998
Coastal Physician Services of the Northeast, Inc. 1991 - 1994
Skills
Healthcare, Health Insurance, Operations Management, Business Analysis, Cross-functional Team..., Data Analysis, Employee Benefits, HIPAA, Healthcare Information..., Insurance, Leadership, Managed Care, Management, Medicare, Process Improvement, Product Management, Program Management, Team Leadership
Education
American University - Kogod School of Business 1995 — 1998
MBA
American University 1987 — 1991
BS, Business Administration
Partners HealthCare September 2014 - Present
Partners HealthCare December 2005 - September 2014
PAREXEL 2004 - December 2005
Tufts Health Plan 2003 - 2004
Tufts Health Plan 2001 - 2003
Skills
Microsoft Office, Outlook, Scheduling, Process Scheduler, Healthcare, Accounts Payable, Healthcare Information..., Management, Access, Invoicing, PowerPoint, Executive Support, Administration, Human Relationship, PeopleSoft, Data Entry, Healthcare Management, Microsoft Excel, Administrative...
Education
Anna Maria College 1998 — 2000
Major in Biology & Microbiology
Notre Dame Academy 1994 — 1998
High School Diploma, College Preparatory
Business Writing and Editing 2001 - Present
Tufts Health Plan 1996 - 2000
Massachusetts Department of Medical Security 1992 - 1996
Massachusetts House Ways and Means Committee 1989 - 1991
Deloitte & Touche 1986 - 1988
Skills
Grant Writing, Health Care, Public Policy, Editing, Proposal Writing, Journalism, Program Management, Research, Community Outreach, Grants, Strategic Planning, Healthcare, Nonprofits, Event Planning, Management, Public Speaking
Education
Brandeis University 1983 — 1987
BA, Economics
American University 1986 — 1986
Washington Semester Program in Economic Policy
WARM HEARTS SENIOR HOME CARE, INC., 2005 - 2009
QUINCY PRIMARY CARE LLC January 2002 - January 2004
PRIVATE HEALTH CARE SYSTEMS February 2000 - January 2002
Tufts Health Plan January 1999 - January 2000
Tufts Health Plan January 1996 - January 1998
BETH ISRAEL HOSPITAL January 1992 - January 1994
BLUE CROSS & BLUE SHIELD OF MA January 1989 - January 1992
Education
Babson College 1986 — 1988
MBA, Business Management
Boston University 1976 — 1980
BA, Political Science
Workplace Benefit Solutions, a HUB New England Company January 2001 - Present
Hewitt Associates 2000 - 2001
Tufts Health Plan 1995 - 2000
Travelers 1989 - 1995
Skills
Employee Benefits, Insurance, Health Insurance, Employee Relations, Training, Benefits Administration, Account Management, Selling, Leadership, Sales, Underwriting, Brokers, Disability Insurance
Education
Bates College 1984 — 1988
BA, Economics
Tufts Health Plan 2001 - Present
Tata Consultancy Services 1997 - 2001
Skills
SDLC, Business Analysis, SQL, Systems Analysis, XML, Requirements Analysis, Healthcare, PL/SQL, Unix, Databases, EDI, Java, C++, PERL, Oracle PL/SQL..., GXS AI, Gentran Integration..., Unix Shell Scripting, Oracle Pro*C, C langauge, Visual C++, UNIX SED, UNIX AWK programming, Sed, Linux, X/Motif, HIPAA Transactions, Java Enterprise Edition, Database Design, Software Project..., Weblogic, Oracle, Agile Methodologies, Perl, UML, Data Modeling, Enterprise Architecture, Artificial Intelligence, SOA, SOAP, ETL, Data Warehousing, Scrum, Web Services, Microsoft SQL Server, Software Development, WebLogic
Education
Kakatiya University 1994 — 1997
Masters, Computer Science
Andhra University
Bachelor
Harvard Pilgrim Health Care November 2014 - Present
Aon Consulting October 2005 - November 2014
Tufts Health Plan October 2003 - October 2005
BCBS of MA June 2001 - October 2003
Sun Life Financial November 1999 - June 2001
Skills
Underwriting, Insurance, Health Insurance, Employee Benefits
Education
Assumption College 1994 — 1998
BA, History
Tufts Health Plan June 2015 - Present
Tufts Health Plan January 2011 - June 2015
Tufts Health Plan March 2009 - December 2010
Tufts Health Plan June 2007 - March 2009
Tufts Health Plan March 2004 - June 2007
Tufts Health Plan September 2002 - March 2004
Syratech Corp. August 1994 - October 2001
Skills
Lotus Notes, HIPAA, Identity Management, LDAP, Windows Server, DLP, Security, Visio, FTK, Microsoft Office, Windows Server 2003, Windows Server 2008, NetIQ, Netiq Security Manager, Netiq Secure..., Symantec Endpoint..., Sentinel, Attus Watchdog Pro, RSA SecurID, Password Manager, Health Insurance, Software Documentation, Business Analysis, Healthcare, Insurance, Process Improvement, Vendor Management, SDLC
Education
American International College 2009 — 2011
IT Certification, Information Technology
Somerville High School 1992 — 1995
Tufts Health Plan 1994 - Present
The Medical Center of Central Massachusetts 1992 - 1994
UMass Memorial Medical Center 1988 - 1992
Education
Anna Maria College
Master of Business Administration (M.B.A.)
Tufts Health Plan February 2014 - Present
Relycom Inc June 2009 - April 2013
BNY Mellon 2009 - 2012
BNY Mellon 2009 - 2012
Skills
Java, Web Services, XML, SQL, Oracle, SDLC, PL/SQL, Microsoft SQL Server, Requirements Analysis, Software Project...
Education
Andhra University
Tufts Health Plan August 2013 - Present
CIGNA Group Insurance May 2011 - August 2013
Time Warner Cable September 2010 - April 2011
Pfizer February 2008 - August 2010
ADVANCED TECHNOLOGY MATERIALS, INC. March 2006 - January 2008
Education
Anna University
Bachelor's degree, Electrical, Electronics and Communications Engineering
St Mary's centenary school
Aetna July 2015 - Present
IASIS Healthcare December 2014 - June 2015
Life Care Centers of America January 2013 - November 2014
Tufts Health Plan September 1999 - January 2011
UnitedHealthcare January 1998 - May 1999
Baystate Health November 1983 - December 1997
Holyoke Medical Center September 1981 - November 1983
Skills
Nursing, Utilization Review, Managed Care, Utilization Management, Case Managment, Healthcare Management, Home Care, Prior Authorization, Medicaid, Medicare, Medicare Advantage, Health Insurance, Microsoft Excel, PowerPoint, Deliverables, Crystal Reports, Reporting & Analysis, Regulatory Guidelines, Interdepartmental..., SSRS, Health Policy, Policies & Procedures..., Staff Management, Team Building, Team Management, Accountable Care, Healthcare
Education
University of Phoenix 2002 — 2005
Master of Science Nursing (MSN), Registered Nursing/Registered Nurse, Honors: Sigma Theta Tau/National Honor Society of Nurses
University of Phoenix 2002 — 2005
Master of Business Administration (MBA), Health/Health Care Administration/Management, Honors
American International College 1977 — 1981
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Five Star Quality Care June 2005 - Present
Tufts Health Plan April 1996 - May 2003
Education
Aquinas College 1985 — 1987
Associate's degree, Executive Assistant/Executive Secretary
Tufts Health Plan May 1998 - February 2014
Framingham Youth Guidance September 1986 - May 1998
Skills
Utilization Review, Interdisciplinary..., Employee Training, Subject Matter Experts, Case Management, Program Development, Psychotherapy, Supervisory Skills, Consulting
Education
Cornell University - College of Human Ecology
Bachelor of Science (B.S.), Developmental and Child Psychology
The University of Chicago
Master's of Social Service Administration, Treatment of Individuals, Families and Groups
Bank of the West August 2013 - Present
Kaiser Permanente January 2012 - August 2013
Tufts Health Plan April 2011 - January 2012
Putnam Investments October 2010 - April 2011
The Hanover Insurance Group November 2009 - October 2010
Staples October 2008 - November 2009
Wipro Technologies September 2005 - October 2008
Skills
Data Warehousing, ETL, PL/SQL, Unix Shell Scripting, Database Design, SQL Tuning, Performance Tuning, Autosys, Informatica, Business Analysis, Stored Procedures, Databases, DB2, Data Modeling
Education
Anna University 2001 — 2005
Bachelor's degree, Electrical, Electronics and Communications Engineering, First Class with distinction
Amrita Institute Of Technology Science
Leading Health Care Provider June 2015 - Present
Tufts Health Plan April 2014 - May 2015
Tata Consultancy Services January 2010 - April 2014
Tech Mahindra (formerly Mahindra Satyam) December 2006 - January 2010
Skills
SDLC, SQL, Requirements Analysis, Oracle, Unix, PL/SQL, Informatica, Requirements Gathering, Mainframe, ITIL, Data Warehousing, ETL, XML, Agile Methodologies, Business Analysis, Tidal Enterprise..., Subversion
Education
Anna University 2002 — 2006
Bachelor of Engineering (B.E.), Electrical, Electronics and Communications Engineering