Tufts Health Plan

Industry: Company

Description

Tufts 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

Employee
Years
Job
Industry
Vlad Mangeym Vlad Mangeym Greater Boston Area Details
Vlad Mangeym's Tufts Health Plan Experience May 2001 - June 2007
Job Director, Architecture at Accruent
Industry Computer Software
Experience
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

Rob Rabe Rob Rabe Los Angeles, California Details
Rob Rabe's Tufts Health Plan Experience February 2009 - August 2011
Job Technical Writer at Molina Healthcare
Industry Hospital & Health Care
Experience
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

Kerrie Richards Kerrie Richards Greater Boston Area Details
Kerrie Richards's Tufts Health Plan Experience February 2013 - August 2013
Job Manager, EDI MAXIMUS
Industry Information Technology and Services
Experience
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

ERIKA SOCARRAS ERIKA SOCARRAS Miami, Florida Details
ERIKA SOCARRAS's Tufts Health Plan Experience July 2011 - November 2012
Job Case Coordinator at HealthSpring of Florida, Inc dba Leon Medical Centers Health Plans
Industry Health, Wellness and Fitness
Experience
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

Naide Nascimento Naide Nascimento Greater Boston Area Details
Naide Nascimento's Tufts Health Plan Experience May 2001 - October 2008
Job
Industry Health, Wellness and Fitness
Experience
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

Nancy Kaufman Nancy Kaufman Greater Seattle Area Details
Nancy Kaufman's Tufts Health Plan Experience 2003 - 2005
Job RN Case Manager
Industry Hospital & Health Care
Experience
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

Wendy Caves, RN, BA, HN-BC Wendy Caves, RN, BA, HN-BC Greater Boston Area Details
Wendy Caves, RN, BA, HN-BC's Tufts Health Plan Experience 1996 - 1997
Job Owner at Balanced Tides Reiki and Sound
Industry Health, Wellness and Fitness
Experience
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

Charice Cain Charice Cain Greater Boston Area Details
Charice Cain's Tufts Health Plan Experience November 2008 - Present
Job Provider services at Tufts Health Plan
Industry Insurance
Experience
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

Jeff Ursprung Jeff Ursprung Greater Boston Area Details
Jeff Ursprung's Tufts Health Plan Experience September 2003 - February 2005
Job Area Senior Vice President at Arthur J. Gallagher & Co.
Industry Insurance
Experience
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

Chanelle Robinson Chanelle Robinson Medford, Massachusetts Details
Chanelle Robinson's Tufts Health Plan Experience October 2013 - Present
Job Member Services Associate at Tufts Health Plan
Industry Insurance
Experience
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

Rebekah Alford Rebekah Alford Boston, Massachusetts Details
Rebekah Alford's Tufts Health Plan Experience December 2005 - October 2006
Job Medical Billing & Coding
Industry Hospital & Health Care
Experience
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

Caroline Shields Caroline Shields Hartford, Connecticut Area Details
Caroline Shields's Tufts Health Plan Experience September 1995 - March 2007
Job Account Management
Industry Insurance
Experience
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

Ruth E. Green, Esq. Ruth E. Green, Esq. Greater Boston Area Details
Ruth E. Green, Esq.'s Tufts Health Plan Experience October 2009 - February 2010
Job J.D., Albany Law School
Industry Law Practice
Experience
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

Matthew Raica, M.Sc. Matthew Raica, M.Sc. Greater Boston Area Details
Matthew Raica, M.Sc.'s Tufts Health Plan Experience February 2015 - Present
Job Manager, Enrollment and Premium Billing Operations Senior Products at Tufts Health Plan
Industry Insurance
Experience
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

Chimere Goldsboro Chimere Goldsboro Greater Boston Area Details
Chimere Goldsboro's Tufts Health Plan Experience February 2013 - May 2013
Job Licensed Pratical Nurse
Industry Hospital & Health Care
Experience
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

Diana Johnson Diana Johnson Greater Boston Area Details
Diana Johnson's Tufts Health Plan Experience September 1999 - December 2004
Job Director of Allied Health at Medical Professional Institute
Industry Hospital & Health Care
Experience
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

Carol Gadsden Carol Gadsden Mamaroneck, New York Details
Carol Gadsden's Tufts Health Plan Experience July 1996 - October 1998
Job Rector, St. Thomas Episcopal Church
Industry Religious Institutions
Experience
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

Kathryn Crouss Kathryn Crouss Springfield, Massachusetts Area Details
Kathryn Crouss's Tufts Health Plan Experience September 1996 - November 2000
Job Employment and litigation associate at Bacon Wilson, P.C.
Industry Law Practice
Experience
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

Michael Fopiano Michael Fopiano Greater Boston Area Details
Michael Fopiano's Tufts Health Plan Experience July 2013 - Present
Job Health care executive; Experienced operations specialist; Staff optimizer; Innovative problemsolver
Industry Insurance
Experience
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

Jaswant Krishnamoorthy (Krishna) Jaswant Krishnamoorthy (Krishna) Austin, Texas Details
Jaswant Krishnamoorthy (Krishna)'s Tufts Health Plan Experience April 2012 - Present
Job Senior EDIFECS/TIBCO Consultant at Tufts Health Plan
Industry Computer Software
Experience
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

Vladimir Kriger Vladimir Kriger Greater Boston Area Details
Vladimir Kriger's Tufts Health Plan Experience December 2012 - Present
Job sr Oracle DBA at Tufts Health Plan
Industry Investment Management
Experience
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

Elizabeth Guerra Elizabeth Guerra Greater Boston Area Details
Elizabeth Guerra's Tufts Health Plan Experience 1992 - 1995
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
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

Debra Poskanzer, MD, CHIE Debra Poskanzer, MD, CHIE Greater Boston Area Details
Debra Poskanzer, MD, CHIE's Tufts Health Plan Experience February 2014 - Present
Job Vice President, Medical Management and Quality at Tufts health plan
Industry Insurance
Experience
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

Alicia Murray Alicia Murray San Francisco Bay Area Details
Alicia Murray's Tufts Health Plan Experience 1997 - 1998
Job Sr Business Intelligence Analyst at John Muir Health
Industry Information Technology and Services
Experience
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

Eric Camfield Eric Camfield Greater Boston Area Details
Eric Camfield's Tufts Health Plan Experience April 2014 - Present
Job Experienced Medicare & Medicaid Compliance Analyst
Industry Hospital & Health Care
Experience
Tufts Health Plan   April 2014 - Present
Tufts Health Plan   June 2013 - March 2014

Education
Babson College   2004 — 2008
Business Administration, Strategic Management - Economics - Entrepreneurship

Eric Moffat Eric Moffat Greater Boston Area Details
Eric Moffat's Tufts Health Plan Experience January 2014 - Present
Job Manager, Provider Reporting Commercial
Industry Insurance
Experience
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

Kerryann Johnson Kerryann Johnson Greater Boston Area Details
Kerryann Johnson's Tufts Health Plan Experience November 1997 - December 1999
Job Post Market Surveillance Quality Engineer 1 at Hologic, Inc.
Industry Medical Devices
Experience
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

Stephen Tripi Stephen Tripi Greater Boston Area Details
Stephen Tripi's Tufts Health Plan Experience June 2008 - October 2011
Job Business Systems Analyst (Contractor) at American Tower
Industry Marketing and Advertising
Experience
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

Dianne Camara Dianne Camara Greater Boston Area Details
Dianne Camara's Tufts Health Plan Experience 1992 - 1996
Job Accounting | Consulting | Business Analysis | System design, testing & documentation | M3
Industry Accounting
Experience
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

Jeffrey Strong Jeffrey Strong Greater Boston Area Details
Jeffrey Strong's Tufts Health Plan Experience 1996 - 1998
Job Director, Sales Opportunities Delivery at Fidelity Investments
Industry Financial Services
Experience
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

Jarrett Brathwaite Jarrett Brathwaite Greater Boston Area Details
Jarrett Brathwaite's Tufts Health Plan Experience 1996 - 1999
Job
Industry Information Technology and Services
Experience
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

Ani Khatchadourian Ani Khatchadourian Greater Boston Area Details
Ani Khatchadourian's Tufts Health Plan Experience May 2014 - January 2015
Job Ani.jerikian@gmail.con
Industry Hospital & Health Care
Experience
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

Marc Bacon Marc Bacon East Brunswick, New Jersey Details
Marc Bacon's Tufts Health Plan Experience 1999 - 2000
Job Director of Incentive Compensation at Sanofi
Industry Pharmaceuticals
Experience
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

Pamela Mobley Pamela Mobley Greater Boston Area Details
Pamela Mobley's Tufts Health Plan Experience Zone FacilitatorBoston Scholar Athlete ProgramAugust 2011 - Present
Job Zone Facilitator at Boston Scholar Athlete Program
Industry Education Management
Experience
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

Patricia Callen, RN, BSHCA, LNC Patricia Callen, RN, BSHCA, LNC Greater Boston Area Details
Patricia Callen, RN, BSHCA, LNC's Tufts Health Plan Experience August 2006 - March 2008
Job Healthcare Management and Quality | Regulatory Oversight | Infection Control | Risk Management
Industry Hospital & Health Care
Experience
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

Suzanne Ahern Suzanne Ahern Greater Boston Area Details
Suzanne Ahern's Tufts Health Plan Experience December 2006 - Present
Job Team Manager at Tufts Health Plan
Industry Insurance
Experience
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

Shantae Romain Shantae Romain Greater Boston Area Details
Shantae Romain's Tufts Health Plan Experience April 2015 - Present
Job Enrollment Supervisor at Tufts Health Plan | Future Entrepreneur ...#limitless
Industry Hospital & Health Care
Experience
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

Michael (Ben) Jones Michael (Ben) Jones Center Conway, New Hampshire Details
Michael (Ben) Jones's Tufts Health Plan Experience April 2013 - April 2015
Job Insurance
Industry Capital Markets
Experience
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

Melissa Sepulveda Melissa Sepulveda Woonsocket, Rhode Island Details
Melissa Sepulveda's Tufts Health Plan Experience
Job Medical Claims Coder at Tufts Health Plan
Industry Insurance
Experience
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

Benita Kwon Benita Kwon Greater Boston Area Details
Benita Kwon's Tufts Health Plan Experience October 2013 - Present
Job Payroll Specialist at Tufts Health Plan
Industry Human Resources
Experience
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

Michele Koller Michele Koller Greater Boston Area Details
Michele Koller's Tufts Health Plan Experience May 2007 - November 2010
Job Case Manager at UMMHC
Industry Hospital & Health Care
Experience
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

Kimberly Ruiz Kimberly Ruiz Greater San Diego Area Details
Kimberly Ruiz's Tufts Health Plan Experience 2001 - 2003
Job Manager, Medical Communications at Xcenda
Industry Research
Experience
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

Haig Soghigian Haig Soghigian Raleigh-Durham, North Carolina Area Details
Haig Soghigian's Tufts Health Plan Experience October 2001 - June 2005
Job Director of Operations at Data Intensity
Industry Information Technology and Services
Experience
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

Michelle Plourde Michelle Plourde Worcester, Massachusetts Details
Michelle Plourde's Tufts Health Plan Experience May 2001 - Present
Job Administrative Assistant III at Tufts Health Plan
Industry Insurance
Experience
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

Marynesia Gusman Marynesia Gusman Greater Boston Area Details
Marynesia Gusman's Tufts Health Plan Experience September 2013 - Present
Job Community Relationship Manager
Industry Consumer Services
Experience
Tufts Health Plan   September 2013 - Present

Skills
Health Insurance, Employee Benefits, HIPAA, Office Management, Outlook, Administrative..., Access, Data Entry

Education
Universidade Federal de Rondônia

Deborah LaNette Synan Deborah LaNette Synan Irvine, California Details
Deborah LaNette Synan's Tufts Health Plan Experience June 2007 - November 2012
Job Senior Project Manager at UnitedHealth Group OptumRx
Industry Insurance
Experience
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

Troy Ferrio Troy Ferrio Boston, Massachusetts Details
Troy Ferrio's Tufts Health Plan Experience June 2013 - March 2015
Job Financial Analyst at Shire Pharmaceuticals
Industry Hospital & Health Care
Experience
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

Lisa Ann Liberatore Lisa Ann Liberatore Hartford, Connecticut Area Details
Lisa Ann Liberatore's Tufts Health Plan Experience September 1998 - September 2006
Job Payer Relations Manager
Industry Pharmaceuticals
Experience
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

Sandra O'Keefe Sandra O'Keefe Greater Boston Area Details
Sandra O'Keefe's Tufts Health Plan Experience May 2000 - October 2002
Job Program Director, Disease Management Quality Improvement
Industry Hospital & Health Care
Experience
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

Beth Bartley Beth Bartley Greater New York City Area Details
Beth Bartley's Tufts Health Plan Experience January 1993 - January 1996
Job Account Manager, AIG Major Accounts
Industry Insurance
Experience
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

Alisha Miller Alisha Miller Greater Boston Area Details
Alisha Miller's Tufts Health Plan Experience April 2012 - June 2012
Job Medical Support Assistant at U.S. Department of Veterans Affairs
Industry Hospital & Health Care
Experience
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

Wendy Jacobsen Wendy Jacobsen Watertown, Massachusetts Details
Wendy Jacobsen's Tufts Health Plan Experience September 2014 - Present
Job Senior Manager, Market Intelligence at Tufts Health Plan
Industry Insurance
Experience
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

Sean Whalen Sean Whalen Greater Boston Area Details
Sean Whalen's Tufts Health Plan Experience September 2012 - Present
Job Account Coordinator at Tufts Health Plan
Industry Hospital & Health Care
Experience
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

Katelyn Dwyer Katelyn Dwyer Greater Boston Area Details
Katelyn Dwyer's Tufts Health Plan Experience July 2009 - Present
Job Health Care Analyst at Tufts Health Plan
Industry Consumer Goods
Experience
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

Paul Dell'Anno Paul Dell'Anno Somerville, Massachusetts Details
Paul Dell'Anno's Tufts Health Plan Experience March 2010 - October 2012
Job Tech Ops at VMware
Industry Computer Software
Experience
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

Gary Gumuchian Gary Gumuchian Greater Boston Area Details
Gary Gumuchian's Tufts Health Plan Experience May 1999 - May 2000
Job Director of Christian Education at Congregational Church of Littleton
Industry Religious Institutions
Experience
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

Michelle Bondurant Michelle Bondurant Greater Denver Area Details
Michelle Bondurant's Tufts Health Plan Experience 1995 - 2005
Job Manager Risk Management/Clinical Coding
Industry Legal Services
Experience
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

John Pambianchi John Pambianchi Greater Boston Area Details
John Pambianchi's Tufts Health Plan Experience June 2006 - December 2008
Job Director of Implementation Services at Silverlink Communications
Industry Computer Software
Experience
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

Kristin Harrison Kristin Harrison Greater Boston Area Details
Kristin Harrison's Tufts Health Plan Experience May 2013 - Present
Job Internal Audit at Tufts Health Plan
Industry Accounting
Experience
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

David Muliawan David Muliawan Greater Boston Area Details
David Muliawan's Tufts Health Plan Experience April 2014 - Present
Job Senior Business/Data Analyst at Tufts Health Plan
Industry Insurance
Experience
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

Liza Styles Liza Styles Greater New Orleans Area Details
Liza Styles's Tufts Health Plan Experience July 2014 - April 2015
Job at
Industry Hospital & Health Care
Experience
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

Chris Gebhardt Chris Gebhardt Plattsburgh, New York Details
Chris Gebhardt's Tufts Health Plan Experience December 2007 - August 2013
Job Center for Student Involvement Project HELP Coordinator, Global Education Office Intern
Industry Education Management
Experience
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

Natasha Volf Natasha Volf Greater Boston Area Details
Natasha Volf's Tufts Health Plan Experience 1997 - 2005
Job Vendor Management and Implementation
Industry Hospital & Health Care
Experience
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

Barbara Durkin Barbara Durkin Greater Boston Area Details
Barbara Durkin's Tufts Health Plan Experience 1994 - 2004
Job Health Data Analyst at Medventive, Inc.
Industry Computer Software
Experience
Medventive, Inc.   Health Care AnalystPCHI2005 - 2006
Tufts Health Plan   1994 - 2004

Education
Bentley College - Elkin B. McCallum Graduate School of Business   1977 — 1981

Helen Noonan Helen Noonan Greater Boston Area Details
Helen Noonan's Tufts Health Plan Experience May 2011 - March 2012
Job experienced UM/CM management, Quality Management
Industry Hospital & Health Care
Experience
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

Pavel Kazlouski, MBA Pavel Kazlouski, MBA Greater Boston Area Details
Pavel Kazlouski, MBA's Tufts Health Plan Experience June 2012 - Present
Job Director, Reimbursement & Business Configuration at Network Health
Industry Information Technology and Services
Experience
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

Trupti Khanderia Trupti Khanderia Greater Boston Area Details
Trupti Khanderia's Tufts Health Plan Experience September 1998 - June 2006
Job Compensation Analyst at Bose Corporation
Industry Consumer Electronics
Experience
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

Subbu (Subramanian) Santhanam Subbu (Subramanian) Santhanam Greater Boston Area Details
Subbu (Subramanian) Santhanam's Tufts Health Plan Experience December 2007 - Present
Job Manager/Architect
Industry Information Technology and Services
Experience
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

Dan Concaugh Dan Concaugh Greater Boston Area Details
Dan Concaugh's Tufts Health Plan Experience 1995 - 1998
Job VP Network and Business Development and Management at FCHP
Industry Hospital & Health Care
Experience
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

Laura Nikopoulos Laura Nikopoulos Greater Boston Area Details
Laura Nikopoulos's Tufts Health Plan Experience May 2012 - Present
Job Senior Manager, Contracting Strategy & Analytics at Tufts Health Plan
Industry Hospital & Health Care
Experience
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

Jennifer (Wood) Doran PMP Jennifer (Wood) Doran PMP Greater Boston Area Details
Jennifer (Wood) Doran PMP's Tufts Health Plan Experience October 2008 - October 2012
Job Senior Project Analyst at CVS Caremark Corporation
Industry Information Services
Experience
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

Anna Camarata Anna Camarata Greater Boston Area Details
Anna Camarata's Tufts Health Plan Experience 2004 - 2007
Job Director Controller at Boston Children's Physician Organization at Boston Children's Hospital
Industry Accounting
Experience
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

Matthew Agdish Matthew Agdish Greater Philadelphia Area Details
Matthew Agdish's Tufts Health Plan Experience September 2003 - November 2012
Job Director of Underwriting & Consulting
Industry Insurance
Experience
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

Kristine Martel Kristine Martel Greater Boston Area Details
Kristine Martel's Tufts Health Plan Experience November 2009 - Present
Job Director, Human Resources at Tufts Health Plan
Industry Human Resources
Experience
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

Charlie Boutin Charlie Boutin Greater Boston Area Details
Charlie Boutin's Tufts Health Plan Experience 1990 - 1995
Job Managing Director, Health and Human Services Consulting at Ingenix Consulting
Industry Insurance
Experience
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

Jean Knapp Jean Knapp Greater Boston Area Details
Jean Knapp's Tufts Health Plan Experience August 1998 - August 2013
Job AVP, Budgeting & Financial Planning at Tufts Health Plan
Industry Insurance
Experience
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

Christine Chambers Christine Chambers Greater Boston Area Details
Christine Chambers's Tufts Health Plan Experience April 2001 - Present
Job Credentialing Supervisor at Tufts Health Plan
Industry Hospital & Health Care
Experience
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

Erica Finn Erica Finn Greater Boston Area Details
Erica Finn's Tufts Health Plan Experience 2007 - 2008
Job Senior Financial Business Analyst at Steward Medical Group
Industry Hospital & Health Care
Experience
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

Joseph Salerno Joseph Salerno Greater Boston Area Details
Joseph Salerno's Tufts Health Plan Experience 1998 - 2000
Job Director Revenue Cycle at Emerson Hospital
Industry Hospital & Health Care
Experience
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

Rebekah Alford Rebekah Alford Greater Boston Area Details
Rebekah Alford's Tufts Health Plan Experience December 2005 - October 2006
Job Reimbursement/Configuration Analyst
Industry Hospital & Health Care
Experience
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

Christine Nugent Christine Nugent Greater Boston Area Details
Christine Nugent's Tufts Health Plan Experience February 2013 - Present
Job at
Industry Insurance
Experience
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

Carmel Steger Carmel Steger Springfield, Massachusetts Area Details
Carmel Steger's Tufts Health Plan Experience March 1997 - Present
Job Adjunct Faculty at Westfield State University
Industry Insurance
Experience
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

Gretchen Medeiros Gretchen Medeiros Greater Boston Area Details
Gretchen Medeiros's Tufts Health Plan Experience February 2013 - Present
Job Director, Operations Business Implementation at Tufts Health Plan
Industry Hospital & Health Care
Experience
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

Ana Ulchak Ana Ulchak Greater Boston Area Details
Ana Ulchak's Tufts Health Plan Experience 2003 - 2004
Job PROMs Administrative & Operations Assistant at Partners HealthCare
Industry Hospital & Health Care
Experience
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

Amy Halzel Willis Amy Halzel Willis Greater Boston Area Details
Amy Halzel Willis's Tufts Health Plan Experience 1996 - 2000
Job Owner at Business Writing and Editing
Industry Writing and Editing
Experience
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

Mary Canigiani Mary Canigiani Greater Boston Area Details
Mary Canigiani's Tufts Health Plan Experience January 1999 - January 2000
Job Hospital & Health Care Professional
Industry
Experience
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

R. David Larrivee R. David Larrivee Greater Boston Area Details
R. David Larrivee's Tufts Health Plan Experience 1995 - 2000
Job Principal Consultant at Workplace Benefit Solutions, A HUB New England Company
Industry Insurance
Experience
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

Narasimha Ponduru Narasimha Ponduru Greater Boston Area Details
Narasimha Ponduru's Tufts Health Plan Experience 2001 - Present
Job Software Consultant at Tufts Health Plan
Industry Computer Software
Experience
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

Heather Mullen Heather Mullen Greater Boston Area Details
Heather Mullen's Tufts Health Plan Experience October 2003 - October 2005
Job Senior Underwriter Harvard Pilgrim
Industry Insurance
Experience
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

Peter Sterianos Peter Sterianos Greater Boston Area Details
Peter Sterianos's Tufts Health Plan Experience June 2015 - Present
Job Sr. Information Security Engineer at Tufts Health Plan
Industry Insurance
Experience
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

Kenneth Saad Kenneth Saad Greater Boston Area Details
Kenneth Saad's Tufts Health Plan Experience 1994 - Present
Job Reimbursement Consultant, Actuarial Services at Tufts Health Plan
Industry Insurance
Experience
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.)

Narasimham Nandula Narasimham Nandula Westborough, Massachusetts Details
Narasimham Nandula's Tufts Health Plan Experience February 2014 - Present
Job Sr Software Engineer at Tufts Health Plan
Industry Financial Services
Experience
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

Ajith Kumar Singireddy Ajith Kumar Singireddy Watertown, Massachusetts Details
Ajith Kumar Singireddy's Tufts Health Plan Experience August 2013 - Present
Job Sr Informatica Developer at Tufts Health Plan
Industry Insurance
Experience
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

Linda Orcutt Linda Orcutt Phoenix, Arizona Area Details
Linda Orcutt's Tufts Health Plan Experience September 1999 - January 2011
Job Clinical Supervisor at Aetna
Industry Hospital & Health Care
Experience
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

Plant Carol Plant Carol Holbrook, Massachusetts Details
Plant Carol's Tufts Health Plan Experience April 1996 - May 2003
Job Medical Secretary at Five Star Quality Care
Industry Hospital & Health Care
Experience
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

Judy Herzig-Marx Judy Herzig-Marx Greater Boston Area Details
Judy Herzig-Marx's Tufts Health Plan Experience May 1998 - February 2014
Job
Industry Mental Health Care
Experience
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

Naveena Natarajan Naveena Natarajan Dublin, California Details
Naveena Natarajan's Tufts Health Plan Experience April 2011 - January 2012
Job Asst. Vice President, Sr. ETL Developer at Bank of the West
Industry Information Technology and Services
Experience
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

Srinivasan Vijayaragavan Srinivasan Vijayaragavan Greater Boston Area Details
Srinivasan Vijayaragavan's Tufts Health Plan Experience April 2014 - May 2015
Job Senior Informatica Consultant
Industry Information Technology and Services
Experience
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

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