Tufts Health Plan
Industry: Company
DescriptionTufts Health Plan is a Massachusetts-based health insurance company under Tufts Associated Health Plans, Inc. with headquarters in Watertown. As of March 31, 2016, the nonprofit health insurer had 1,072,000 members. The Tufts Health Plan network includes 91 hospitals and 29,000 health care providers. CEO: Thomas Croswell (Jan 2016–) Headquarters: Watertown, Massachusetts, United States Number of employees: 2,400 Founded: 1979 Subsidiaries: Tufts Health Public Plans, Inc., Integra Partners Holdings, LLC
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Tufts Health Plan Employees
Employee
Years
Job
Industry
Theresa Magellan Theresa Magellan's Tufts Health Plan Experience May 2010 - July 2011
Job
Industry Insurance
Experience
BCBS RI November 2012 - October 2014
Southcoast Health System July 2011 - November 2012
Southcoast Health System July 2011 - November 2012
Tufts Health Plan May 2010 - July 2011
Radius Mgmt Services/Roush Consulting 2005 - 2010
Diocesan Health 1992 - 2005
Skills
Aco and PCMH Development, Population Management, Healthcare, Managed Care, Strategic Planning, Healthcare Management, Hospitals, Long Term Care, Hospice, Clinical Management, Healthcare Business..., Medicare, Disease Management, Nursing, Healthcare Consulting, Insurance, Acute Care, Health Care Reform, Elder Care, Accountable Care, HMO, Home Care, Health Insurance, Case Managment, HIPAA, Healthcare Industry, Health Policy, Physician Relations, Long-term Care, Physicians, Utilization Management, Clinical Research, Quality Improvement, Healthcare Information..., Provider Relations, Leadership, Management
Education
Salve Regina University
Masters of Science (MS), Healthcare Administration
Rhode Island College
Bachelor's Degree, Registered Nursing/Registered Nurse
BCBS RI November 2012 - October 2014
Southcoast Health System July 2011 - November 2012
Southcoast Health System July 2011 - November 2012
Tufts Health Plan May 2010 - July 2011
Radius Mgmt Services/Roush Consulting 2005 - 2010
Diocesan Health 1992 - 2005
Skills
Aco and PCMH Development, Population Management, Healthcare, Managed Care, Strategic Planning, Healthcare Management, Hospitals, Long Term Care, Hospice, Clinical Management, Healthcare Business..., Medicare, Disease Management, Nursing, Healthcare Consulting, Insurance, Acute Care, Health Care Reform, Elder Care, Accountable Care, HMO, Home Care, Health Insurance, Case Managment, HIPAA, Healthcare Industry, Health Policy, Physician Relations, Long-term Care, Physicians, Utilization Management, Clinical Research, Quality Improvement, Healthcare Information..., Provider Relations, Leadership, Management
Education
Salve Regina University
Masters of Science (MS), Healthcare Administration
Rhode Island College
Bachelor's Degree, Registered Nursing/Registered Nurse
Lynn Ramos Pedotto Lynn Ramos Pedotto's Tufts Health Plan Experience January 1997 - January 2000
Job
Industry Public Relations and Communications
Experience
This is Autism: Faces from the Puzzle January 2015 - Present
Self-Employed May 2014 - Present
Autism Speaks February 2013 - Present
Jazz Institute of Chicago July 2014 - February 2015
ADAPT-Chicago Productions August 2013 - February 2015
CASA Lake County January 2011 - December 2013
Autism Speaks January 2012 - August 2012
Autism Treatment Program March 2004 - July 2009
Tufts Health Plan January 1997 - January 2000
Physicians Health Plan January 1994 - January 1997
Skills
Program Development, Community Outreach, Highly motivated..., Leadership, Fundraising, Social Media, Volunteer Management, Microsoft Word, Public Speaking, Newsletters, Recruiting, Event Management, Public Relations, Social Networking, Leadership Development, Volunteer Recruiting, Media Relations, Team Building, Blogging, Marketing, Community Development, Training, Treatment, Grant Writing, Program Management, Nonprofits, Event Planning, Press Releases, Facebook, Writing, Research
Education
Northwestern University 2015 — 2016
Master of Science (MS), Integrated Marketing Communications
Northwestern University 2013 — 2014
Post-Baccalaureate, Strategic Communication, Communications/Marketing, 4.0
Presbyterian College 1987 — 1991
B.A., History/Spanish
This is Autism: Faces from the Puzzle January 2015 - Present
Self-Employed May 2014 - Present
Autism Speaks February 2013 - Present
Jazz Institute of Chicago July 2014 - February 2015
ADAPT-Chicago Productions August 2013 - February 2015
CASA Lake County January 2011 - December 2013
Autism Speaks January 2012 - August 2012
Autism Treatment Program March 2004 - July 2009
Tufts Health Plan January 1997 - January 2000
Physicians Health Plan January 1994 - January 1997
Skills
Program Development, Community Outreach, Highly motivated..., Leadership, Fundraising, Social Media, Volunteer Management, Microsoft Word, Public Speaking, Newsletters, Recruiting, Event Management, Public Relations, Social Networking, Leadership Development, Volunteer Recruiting, Media Relations, Team Building, Blogging, Marketing, Community Development, Training, Treatment, Grant Writing, Program Management, Nonprofits, Event Planning, Press Releases, Facebook, Writing, Research
Education
Northwestern University 2015 — 2016
Master of Science (MS), Integrated Marketing Communications
Northwestern University 2013 — 2014
Post-Baccalaureate, Strategic Communication, Communications/Marketing, 4.0
Presbyterian College 1987 — 1991
B.A., History/Spanish
Mavricka Turner Mavricka Turner's Tufts Health Plan Experience April 2006 - July 2009
Job Medical Billing and Claims specialist
Industry Hospital & Health Care
Experience
Va Health Care Systems November 2013 - Present
Beacon Health Strategies May 2014 - January 2015
Commonwealth Care Alliance February 2014 - May 2014
Silverlink Communications November 2013 - February 2014
Crisp International January 2013 - August 2013
Network Health January 2012 - April 2012
Life Plans June 2010 - December 2011
Maximus Boston August 2010 - November 2010
Tufts Health Plan April 2006 - July 2009
Skills
Healthcare, Hospitals, Nursing, Cpr Certified, Medicare, Human Resources, Medicaid, Healthcare Management, Microsoft Office, Customer Service
Education
Quincy College 2012 — 2013
Associates of Science, Medical Billing and Coding
Va Health Care Systems November 2013 - Present
Beacon Health Strategies May 2014 - January 2015
Commonwealth Care Alliance February 2014 - May 2014
Silverlink Communications November 2013 - February 2014
Crisp International January 2013 - August 2013
Network Health January 2012 - April 2012
Life Plans June 2010 - December 2011
Maximus Boston August 2010 - November 2010
Tufts Health Plan April 2006 - July 2009
Skills
Healthcare, Hospitals, Nursing, Cpr Certified, Medicare, Human Resources, Medicaid, Healthcare Management, Microsoft Office, Customer Service
Education
Quincy College 2012 — 2013
Associates of Science, Medical Billing and Coding
Akil Fisher Akil Fisher's Tufts Health Plan Experience December 2013 - Present
Job Appeals and Grievances Specialist at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan December 2013 - Present
Atlantic Clinical Trials, LLC February 2013 - December 2013
Massachusetts Public Health Association January 2013 - June 2013
Regis College 2010 - 2011
Brandeis University 2005 - 2007
Skills
Microsoft Office, Mac OS, Windows, Analytical Skills, Public Health Education, Public Speaking, Public Relations, Public Policy, Public Health, Health Economics, Global Health, Data Entry, Nonprofits, Community Health, Healthcare, Health Policy, Management, Data Analysis, Grant Writing, Clinical Research, Research, Program Development, Event Planning
Education
Regis College 2009 — 2013
Bachelor's degree, Management and a minor in Public Health
Chapel Hill Chauncy Hall 2003 — 2007
Tufts Health Plan December 2013 - Present
Atlantic Clinical Trials, LLC February 2013 - December 2013
Massachusetts Public Health Association January 2013 - June 2013
Regis College 2010 - 2011
Brandeis University 2005 - 2007
Skills
Microsoft Office, Mac OS, Windows, Analytical Skills, Public Health Education, Public Speaking, Public Relations, Public Policy, Public Health, Health Economics, Global Health, Data Entry, Nonprofits, Community Health, Healthcare, Health Policy, Management, Data Analysis, Grant Writing, Clinical Research, Research, Program Development, Event Planning
Education
Regis College 2009 — 2013
Bachelor's degree, Management and a minor in Public Health
Chapel Hill Chauncy Hall 2003 — 2007
Robert Lathrop Robert Lathrop's Tufts Health Plan Experience November 2000 - May 2009
Job CFO at RG Lathrop Consulting
Industry Management Consulting
Experience
RG Lathrop Consulting June 2014 - Present
Tufts Health Plan November 2000 - May 2009
BankBoston 1996 - 2000
Commonwealth of Massachusetts, Information Technology Division 1991 - 1996
Blue Cross Blue Shield of Massachusetts 1987 - 1991
Skills
Management Consulting, Operations Management, Process Improvement, Finance, Strategic Planning, Vendor Management, Analysis, Budgets
Education
University of Rhode Island 1973 — 1974
M.B.A., Business Administration
Ohio Wesleyan University 1967 — 1971
B.A., Political Science
RG Lathrop Consulting June 2014 - Present
Tufts Health Plan November 2000 - May 2009
BankBoston 1996 - 2000
Commonwealth of Massachusetts, Information Technology Division 1991 - 1996
Blue Cross Blue Shield of Massachusetts 1987 - 1991
Skills
Management Consulting, Operations Management, Process Improvement, Finance, Strategic Planning, Vendor Management, Analysis, Budgets
Education
University of Rhode Island 1973 — 1974
M.B.A., Business Administration
Ohio Wesleyan University 1967 — 1971
B.A., Political Science
Claire O'Keeffe Claire O'Keeffe's Tufts Health Plan Experience February 2013 - February 2015
Job Quality Measurment and at Tufts Health Plan – Network Health
Industry
Experience
Tufts Health Plan – Network Health February 2015 - Present
Tufts Health Plan February 2013 - February 2015
Tufts Health Plan November 2010 - February 2013
Fanfoto Sharpshooter Imaging August 2008 - October 2010
Skills
Sales, Business Development, Project Management, Healthcare Industry, Employee Benefits, Managed Care, Relationship Management, Healthcare, Insurance, Strategic Planning, Microsoft Excel, Program Management
Education
Villanova University 2014 — 2015
Master Certificate, Project Management
Salem State University
Bachelor's degree, Psychology
Tufts Health Plan – Network Health February 2015 - Present
Tufts Health Plan February 2013 - February 2015
Tufts Health Plan November 2010 - February 2013
Fanfoto Sharpshooter Imaging August 2008 - October 2010
Skills
Sales, Business Development, Project Management, Healthcare Industry, Employee Benefits, Managed Care, Relationship Management, Healthcare, Insurance, Strategic Planning, Microsoft Excel, Program Management
Education
Villanova University 2014 — 2015
Master Certificate, Project Management
Salem State University
Bachelor's degree, Psychology
Phillip Edward Phillip Edward's Tufts Health Plan Experience July 2012 - October 2012
Job Premier Account Analyst at Granite Telecommunications
Industry Marketing and Advertising
Experience
Granite Telecommunications December 2014 - Present
Whole Foods Market May 2014 - April 2015
Patriot Energy Group January 2014 - May 2014
Barton Associates September 2013 - November 2013
Digital Bungalow October 2012 - February 2013
Tufts Health Plan July 2012 - October 2012
The Newport Summer Comedy Series June 2011 - August 2011
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Photoshop, Customer Service, Research, Social Media, Windows, Facebook
Education
Providence College 2008 — 2012
Bachelor of Science (B.S.), Marketing
Malden Catholic High School 2004 — 2008
Granite Telecommunications December 2014 - Present
Whole Foods Market May 2014 - April 2015
Patriot Energy Group January 2014 - May 2014
Barton Associates September 2013 - November 2013
Digital Bungalow October 2012 - February 2013
Tufts Health Plan July 2012 - October 2012
The Newport Summer Comedy Series June 2011 - August 2011
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Photoshop, Customer Service, Research, Social Media, Windows, Facebook
Education
Providence College 2008 — 2012
Bachelor of Science (B.S.), Marketing
Malden Catholic High School 2004 — 2008
Ashwini Bhatt Ashwini Bhatt's Tufts Health Plan Experience August 2010 - February 2011
Job Informatica Developer at CDPHP
Industry Higher Education
Experience
Maximus Inc June 2015 - Present
CDPHP April 2011 - July 2015
Tufts Health Plan August 2010 - February 2011
Source Infotech Inc. May 2010 - August 2010
NYU-HEOP September 2009 - May 2010
Universal Informatics Ltd August 2007 - May 2008
Universal Informatics August 2006 - May 2007
Skills
SQL, PHP, JavaScript, ETL Tools, Informatica, SSIS, Oracle PL/SQL..., Unix Shell Scripting, Linux, MySQL, Java, Oracle, C++, C, Operating Systems, PL/SQL, Shell Scripting
Education
Polytechnic Institute of NYU, New York 2008 — 2010
M.S, Computer Science
Rajiv Gandhi Prodyogiki Vishwavidyalaya 2003 — 2007
B.E, Electronics & Instrumentation
Maximus Inc June 2015 - Present
CDPHP April 2011 - July 2015
Tufts Health Plan August 2010 - February 2011
Source Infotech Inc. May 2010 - August 2010
NYU-HEOP September 2009 - May 2010
Universal Informatics Ltd August 2007 - May 2008
Universal Informatics August 2006 - May 2007
Skills
SQL, PHP, JavaScript, ETL Tools, Informatica, SSIS, Oracle PL/SQL..., Unix Shell Scripting, Linux, MySQL, Java, Oracle, C++, C, Operating Systems, PL/SQL, Shell Scripting
Education
Polytechnic Institute of NYU, New York 2008 — 2010
M.S, Computer Science
Rajiv Gandhi Prodyogiki Vishwavidyalaya 2003 — 2007
B.E, Electronics & Instrumentation
Mariah Smith Mariah Smith's Tufts Health Plan Experience January 2015 - Present
Job Behavioral Service Coordinator at Tufts Health Plan
Industry Health, Wellness and Fitness
Experience
Tufts Health Plan January 2015 - Present
Orriant December 2014 - February 2015
South Shore Community Action Council, Inc. May 2013 - January 2015
South Shore Hospital May 2014 - December 2014
Plymouth State University August 2012 - May 2014
UNH Cooperative Extension Nutrition Connections January 2014 - February 2014
The Common Man Family September 2013 - December 2013
Skills
Health Promotion, First Aid, CPR Certified, Customer Service, Community Outreach, Nutrition Education, Public Speaking, Microsoft Excel, Microsoft Word, Event Planning, Leadership
Education
Plymouth State University 2010 — 2014
Bachelor's Degree, Health Education and Promotion, Graduated
Richmond University, in Florence 2013 — 2013
Study Abroad
Tufts Health Plan January 2015 - Present
Orriant December 2014 - February 2015
South Shore Community Action Council, Inc. May 2013 - January 2015
South Shore Hospital May 2014 - December 2014
Plymouth State University August 2012 - May 2014
UNH Cooperative Extension Nutrition Connections January 2014 - February 2014
The Common Man Family September 2013 - December 2013
Skills
Health Promotion, First Aid, CPR Certified, Customer Service, Community Outreach, Nutrition Education, Public Speaking, Microsoft Excel, Microsoft Word, Event Planning, Leadership
Education
Plymouth State University 2010 — 2014
Bachelor's Degree, Health Education and Promotion, Graduated
Richmond University, in Florence 2013 — 2013
Study Abroad
Suzanne C Adams Suzanne C Adams's Tufts Health Plan Experience June 1997 - January 2001
Job Vice President, Employee Benefits at The Protector Group, a Marsh & McLennan Agency
Industry Insurance
Experience
The Protector Group April 2002 - Present
New England Dressage Association, Board Member November 2013 - Present
InContext Enterprises January 2001 - April 2002
Tufts Health Plan June 1997 - January 2001
Skills
Marketing Strategy, Management, Strategy, Coaching, New Business Development, Account Management, Team Building, Strategic Planning, Sales Management, Sales, Customer Service, Marketing, Negotiation, Contract Negotiation, Business Development, Team Leadership, Business Strategy, Selling, Process Improvement, Leadership, Healthcare, Customer Retention, Insurance, Budgets, Sales Process, Disability Insurance, Employee Benefits, Health Insurance, Risk Management, Health Care Reform, Performance Management, Workers Compensation
Education
Rutgers, The State University of New Jersey-New Brunswick 1981 — 1985
Bachelor of Science, animal science, agriculture, forestry and wildlife
Rutgers University-New Brunswick
Bachelors of Science, Agriculture, Business
The Protector Group April 2002 - Present
New England Dressage Association, Board Member November 2013 - Present
InContext Enterprises January 2001 - April 2002
Tufts Health Plan June 1997 - January 2001
Skills
Marketing Strategy, Management, Strategy, Coaching, New Business Development, Account Management, Team Building, Strategic Planning, Sales Management, Sales, Customer Service, Marketing, Negotiation, Contract Negotiation, Business Development, Team Leadership, Business Strategy, Selling, Process Improvement, Leadership, Healthcare, Customer Retention, Insurance, Budgets, Sales Process, Disability Insurance, Employee Benefits, Health Insurance, Risk Management, Health Care Reform, Performance Management, Workers Compensation
Education
Rutgers, The State University of New Jersey-New Brunswick 1981 — 1985
Bachelor of Science, animal science, agriculture, forestry and wildlife
Rutgers University-New Brunswick
Bachelors of Science, Agriculture, Business
Fabienne Odney Fabienne Odney's Tufts Health Plan Experience May 2013 - August 2014
Job RN Case Manager at Lawrence General Hospital
Industry Insurance
Experience
Lawrence General Hospital September 2014 - Present
Tufts Health Plan May 2013 - August 2014
Education
MCPHS University
Master of Science (MS), Nursing
Salem State University
Bachelor of Science (BS), Nursing
Lawrence General Hospital September 2014 - Present
Tufts Health Plan May 2013 - August 2014
Education
MCPHS University
Master of Science (MS), Nursing
Salem State University
Bachelor of Science (BS), Nursing
Peter Porcaro Jr Peter Porcaro Jr's Tufts Health Plan Experience April 2012 - September 2014
Job Product Planning & Strategy Specialist at Tufts Health Plan Medicare Preferred
Industry Insurance
Experience
Tufts Health Plan April 2012 - September 2014
Tufts Health Plan December 2008 - January 2012
TUFTS HEALTH PLAN August 2008 - December 2008
TUFTS HEALTH PLAN April 2005 - July 2008
TALENT PARTNERS February 2001 - July 2004
EAB October 1998 - January 2001
Skills
Microsoft Word, Microsoft Excel, Lotus Notes, Mac OS X, Supervising, Product Planning, Medicare Advantage, Medicare Appeals &..., Medicare, Managed Care, HMO, Data Analysis, Medicare Part D, Health Insurance, Training, Leadership, Call Centers, Management, HIPAA
Education
QUEENS COLLEGE 1993 — 1997
Bachelor of Studio Arts, Illustration
Queensborough Community College
Bachelor of Arts program, Fine and Studio Arts
Tufts Health Plan April 2012 - September 2014
Tufts Health Plan December 2008 - January 2012
TUFTS HEALTH PLAN August 2008 - December 2008
TUFTS HEALTH PLAN April 2005 - July 2008
TALENT PARTNERS February 2001 - July 2004
EAB October 1998 - January 2001
Skills
Microsoft Word, Microsoft Excel, Lotus Notes, Mac OS X, Supervising, Product Planning, Medicare Advantage, Medicare Appeals &..., Medicare, Managed Care, HMO, Data Analysis, Medicare Part D, Health Insurance, Training, Leadership, Call Centers, Management, HIPAA
Education
QUEENS COLLEGE 1993 — 1997
Bachelor of Studio Arts, Illustration
Queensborough Community College
Bachelor of Arts program, Fine and Studio Arts
Renee Dextradeur Renee Dextradeur's Tufts Health Plan Experience May 1999 - May 2000
Job Product Manager / Consultant
Industry Information Technology and Services
Experience
Staples 2015 - 2015
NaviNet 2012 - 2014
Trizetto 2005 - 2012
Phillips 2002 - 2005
TC Group 2001 - 2002
Buyerzone.com 2000 - 2001
Tufts Health Plan May 1999 - May 2000
Skills
Agile Methodologies, Project Planning, Product Design, Agile Project Management, Project Management, MS Project, Product Launch, Wire Framing, Cross-functional Team..., Business Process, E-commerce, Software Documentation, Software Project..., SDLC, CRM, Email Marketing, Quality Assurance, Program Management, Integration, Business Intelligence, Strategic Planning, Product Management, Requirements Analysis, Training, Analysis, Requirements Gathering, Software Development, Product Development, Enterprise Software, Marketing, Marketing Strategy, Business Strategy, User Interface Design, User Experience, Focus Groups, Product Road Mapping, Product Planning, Creative Problem Solving, Creativity, Floor Plans, Event Planning, Business Process..., Presentations, Idea Generation, Culture Change, Professional Services, Business Analysis, Visio, SaaS, Communication Skills
Education
Rhode Island College
BA
Staples 2015 - 2015
NaviNet 2012 - 2014
Trizetto 2005 - 2012
Phillips 2002 - 2005
TC Group 2001 - 2002
Buyerzone.com 2000 - 2001
Tufts Health Plan May 1999 - May 2000
Skills
Agile Methodologies, Project Planning, Product Design, Agile Project Management, Project Management, MS Project, Product Launch, Wire Framing, Cross-functional Team..., Business Process, E-commerce, Software Documentation, Software Project..., SDLC, CRM, Email Marketing, Quality Assurance, Program Management, Integration, Business Intelligence, Strategic Planning, Product Management, Requirements Analysis, Training, Analysis, Requirements Gathering, Software Development, Product Development, Enterprise Software, Marketing, Marketing Strategy, Business Strategy, User Interface Design, User Experience, Focus Groups, Product Road Mapping, Product Planning, Creative Problem Solving, Creativity, Floor Plans, Event Planning, Business Process..., Presentations, Idea Generation, Culture Change, Professional Services, Business Analysis, Visio, SaaS, Communication Skills
Education
Rhode Island College
BA
Jessica Glassman Jessica Glassman's Tufts Health Plan Experience May 2003 - May 2005
Job Vice President, Account Executive at Lockton Companies
Industry Insurance
Experience
Lockton Companies January 2007 - Present
Aon Consulting May 2005 - January 2007
Tufts Health Plan May 2003 - May 2005
CIGNA Healthcare June 2001 - May 2003
Validea December 1999 - January 2001
Skills
Employee Benefits, Insurance, Commercial Insurance, Disability Insurance, Property & Casualty..., Brokers, Health Insurance, Organic Farming, Underwriting, Workers Compensation, Health Savings Accounts, Casualty, Benefits Administration
Education
Rensselaer Polytechnic Institute at Hartford 2001 — 2003
MS, Human Resources Management
University of Connecticut 1997 — 2001
BS, Finance
Lockton Companies January 2007 - Present
Aon Consulting May 2005 - January 2007
Tufts Health Plan May 2003 - May 2005
CIGNA Healthcare June 2001 - May 2003
Validea December 1999 - January 2001
Skills
Employee Benefits, Insurance, Commercial Insurance, Disability Insurance, Property & Casualty..., Brokers, Health Insurance, Organic Farming, Underwriting, Workers Compensation, Health Savings Accounts, Casualty, Benefits Administration
Education
Rensselaer Polytechnic Institute at Hartford 2001 — 2003
MS, Human Resources Management
University of Connecticut 1997 — 2001
BS, Finance
Kathryn Outchcunis Kathryn Outchcunis's Tufts Health Plan Experience May 2012 - Present
Job Mental Health Service Coordinator at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan May 2012 - Present
Isobar February 2011 - September 2011
PETCO Animal Supplies, Inc. July 2007 - July 2011
Education
Providence College 2001 — 2005
Bachelor of Arts (B.A.), Psychology
Tufts Health Plan May 2012 - Present
Isobar February 2011 - September 2011
PETCO Animal Supplies, Inc. July 2007 - July 2011
Education
Providence College 2001 — 2005
Bachelor of Arts (B.A.), Psychology
Hemali Nigam Hemali Nigam's Tufts Health Plan Experience September 2012 - Present
Job Internal Audit at Tufts Health Plan
Industry Defense & Space
Experience
Tufts Health Plan September 2012 - Present
Raytheon September 2005 - August 2012
News Corporation March 2001 - June 2005
Take 2 Interactive July 2000 - February 2001
Skills
Sarbanes-Oxley Act, Internal Audit, Risk Assessment, Process Improvement, Business Process..., Change Management
Education
Pace University - Lubin School of Business 2001 — 2004
MBA
Tufts Health Plan September 2012 - Present
Raytheon September 2005 - August 2012
News Corporation March 2001 - June 2005
Take 2 Interactive July 2000 - February 2001
Skills
Sarbanes-Oxley Act, Internal Audit, Risk Assessment, Process Improvement, Business Process..., Change Management
Education
Pace University - Lubin School of Business 2001 — 2004
MBA
Anne Breslin Anne Breslin's Tufts Health Plan Experience October 2014 - Present
Job UM Case Coordinator at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan October 2014 - Present
Tufts Health Plan January 2011 - October 2014
Tufts Health Plan January 2001 - January 2011
Continental Cablevision 1985 - 2000
Skills
Actress/Singer/Dancer, Health Insurance, Medicare, Customer Service, Managed Care, Account Management, Call Center, Call Centers, Data Analysis, Insurance, Process Improvement, Team Building, Employee Benefits, Leadership, Strategic Planning, Software Documentation, Outlook
Education
Arlington Sr High School 1974 — 1978
Salem State College
Tufts Health Plan October 2014 - Present
Tufts Health Plan January 2011 - October 2014
Tufts Health Plan January 2001 - January 2011
Continental Cablevision 1985 - 2000
Skills
Actress/Singer/Dancer, Health Insurance, Medicare, Customer Service, Managed Care, Account Management, Call Center, Call Centers, Data Analysis, Insurance, Process Improvement, Team Building, Employee Benefits, Leadership, Strategic Planning, Software Documentation, Outlook
Education
Arlington Sr High School 1974 — 1978
Salem State College
Denise LoBello Denise LoBello's Tufts Health Plan Experience February 1996 - June 2003
Job Training Specialist at Healths Plans, Inc.
Industry Insurance
Experience
Health Plans, Inc. May 2013 - Present
Health Plans, Inc. September 2003 - May 2013
Tufts Health Plan February 1996 - June 2003
TAD Staffing Services April 1994 - January 1996
Toddler Tech Preschool May 1991 - April 1994
Skills
Business Analysis, Microsoft Word, HIPAA, PowerPoint, Customer Experience, Operations Management, Healthcare, Health Insurance, Customer Service, Training, Document Management, Member Relations, Provider Relations, Management, Insurance, Employee Benefits, Microsoft Office, Microsoft Excel, Claim, Strategic Planning, Outlook, Managed Care, Team Building, Medicare
Education
Quincy College 1992 — 1994
Early Childhood Education and Teaching
Weymouth North High School 1984 — 1988
Health Plans, Inc. May 2013 - Present
Health Plans, Inc. September 2003 - May 2013
Tufts Health Plan February 1996 - June 2003
TAD Staffing Services April 1994 - January 1996
Toddler Tech Preschool May 1991 - April 1994
Skills
Business Analysis, Microsoft Word, HIPAA, PowerPoint, Customer Experience, Operations Management, Healthcare, Health Insurance, Customer Service, Training, Document Management, Member Relations, Provider Relations, Management, Insurance, Employee Benefits, Microsoft Office, Microsoft Excel, Claim, Strategic Planning, Outlook, Managed Care, Team Building, Medicare
Education
Quincy College 1992 — 1994
Early Childhood Education and Teaching
Weymouth North High School 1984 — 1988
Jennifer Marston's Tufts Health Plan Experience 2001 - 2003
Job Provider Relations Account Manager at Senior Whole Health
Industry Medical Practice
Experience
Senior Whole Health 2014 - Present
Bianco Brothers Instruments 2013 - 2014
Strata Pathology Services Inc. 2007 - 2013
Boston Imaging 2005 - 2006
Tufts Health Plan 2001 - 2003
Skills
Client Development, HIPAA, Pathology, Health Insurance, Dermatology, ENT, Podiatry, Microsoft Excel, Microsoft Word, Microsoft Office, PowerPoint, Sales Management, Key Account Management, Business Development, Territory Penetration, Building Relationships, Manage Client..., Competitive Analysis, Client Liaison, Client Education, Physician Relations, Hospitals, Healthcare Management, Medical Practice..., Medical Imaging, Medical Diagnostics, Dermatopathology, Oral Pathology, Plastic Surgery, Dentistry, Medical Compliance, EMR, EHR, HIPPA, OSHA, Site Visits, Client Service Oriented, Client Relations Skills, Outstanding..., Strategic Communications, Event Management, Event Planning, Travel Planning, Trade Shows, Managed Care, Communication Skills, Oral & Written..., Physicians, Healthcare, Customer Service
Education
Regis College 1997 — 2001
Bachelor of Arts (B.A.), Communication, General
Senior Whole Health 2014 - Present
Bianco Brothers Instruments 2013 - 2014
Strata Pathology Services Inc. 2007 - 2013
Boston Imaging 2005 - 2006
Tufts Health Plan 2001 - 2003
Skills
Client Development, HIPAA, Pathology, Health Insurance, Dermatology, ENT, Podiatry, Microsoft Excel, Microsoft Word, Microsoft Office, PowerPoint, Sales Management, Key Account Management, Business Development, Territory Penetration, Building Relationships, Manage Client..., Competitive Analysis, Client Liaison, Client Education, Physician Relations, Hospitals, Healthcare Management, Medical Practice..., Medical Imaging, Medical Diagnostics, Dermatopathology, Oral Pathology, Plastic Surgery, Dentistry, Medical Compliance, EMR, EHR, HIPPA, OSHA, Site Visits, Client Service Oriented, Client Relations Skills, Outstanding..., Strategic Communications, Event Management, Event Planning, Travel Planning, Trade Shows, Managed Care, Communication Skills, Oral & Written..., Physicians, Healthcare, Customer Service
Education
Regis College 1997 — 2001
Bachelor of Arts (B.A.), Communication, General
Elizabeth Levasseur, LICSW Elizabeth Levasseur, LICSW's Tufts Health Plan Experience 2002 - 2005
Job CBAT Program Director at Walker
Industry Primary/Secondary Education
Experience
Wayland Public Schools September 2015 - Present
Walker March 2014 - September 2015
Walker October 2005 - March 2014
Tufts Health Plan 2002 - 2005
Skills
Crisis Intervention, Mental Health, Event Planning, Case Managment
Education
Rhode Island College 2009 — 2012
MSW, Social Work
Syracuse University 1996 — 2001
BS, Advertising
Wayland Public Schools September 2015 - Present
Walker March 2014 - September 2015
Walker October 2005 - March 2014
Tufts Health Plan 2002 - 2005
Skills
Crisis Intervention, Mental Health, Event Planning, Case Managment
Education
Rhode Island College 2009 — 2012
MSW, Social Work
Syracuse University 1996 — 2001
BS, Advertising
Elaine Zakrzewski Elaine Zakrzewski's Tufts Health Plan Experience May 2014 - Present
Job Reconciliation Analyst at Tufts Health Plan
Industry Health, Wellness and Fitness
Experience
Tufts Health Plan May 2014 - Present
Harvard Pilgrim Healthcare June 1996 - September 2013
Executive Assistant to the Vice President of Finance 1985 - 1996
Skills
Microsoft Office 2007, General Ledger, Lotus Notes, Monarch Pro, Oracle General Ledger, Accounts Payable, Account Reconciliation, MS Excel Pivot Tables, Continuous Process..., Employee Engagement, Analytical Reasoning, Year-end Close, Visio, V Lookups, Account Reconciliations, Blackline Account..., Month End Close, Mail Merge Microsoft...
Education
Regis College 1994 — 1997
Bachelor of Arts (BA), Dual Study: Business/Management and Business/Commnications
Tufts Health Plan May 2014 - Present
Harvard Pilgrim Healthcare June 1996 - September 2013
Executive Assistant to the Vice President of Finance 1985 - 1996
Skills
Microsoft Office 2007, General Ledger, Lotus Notes, Monarch Pro, Oracle General Ledger, Accounts Payable, Account Reconciliation, MS Excel Pivot Tables, Continuous Process..., Employee Engagement, Analytical Reasoning, Year-end Close, Visio, V Lookups, Account Reconciliations, Blackline Account..., Month End Close, Mail Merge Microsoft...
Education
Regis College 1994 — 1997
Bachelor of Arts (BA), Dual Study: Business/Management and Business/Commnications
Mary K. Milley Mary K. Milley's Tufts Health Plan Experience September 2004 - Present
Job Sr. Staffing Consultant at Tufts Health Plan
Industry Human Resources
Experience
tufts health plan September 2004 - Present
Fleet Bank/Bank of America August 1997 - September 2004
John Hancock December 1985 - July 1997
Skills
Talent Management, Insurance, Staffing Services, Business Networking, Human Resources, Strategy
Education
Regis College 1974 — 1978
tufts health plan September 2004 - Present
Fleet Bank/Bank of America August 1997 - September 2004
John Hancock December 1985 - July 1997
Skills
Talent Management, Insurance, Staffing Services, Business Networking, Human Resources, Strategy
Education
Regis College 1974 — 1978
Jamila Elmaksoud Jamila Elmaksoud's Tufts Health Plan Experience May 2015 - Present
Job Member Experience Servicing Support at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan May 2015 - Present
Tufts Health Plan January 2013 - May 2015
Year Up February 2012 - May 2012
Mt. Ascutney Hospital June 2006 - December 2010
Roger Williams University May 2010 - August 2010
Skills
Microsoft Office, PowerPoint, Photoshop, Communication Skills, Timely Decision Making, Resourceful..., Passion for Helping..., Passion for Quality, Team-oriented, Technical Support, Research, Nonprofits, Software Documentation, Data Entry, Access, Leadership
Education
Roger Williams University 2008 — 2012
Bachelor of Arts, Global Communication
Tufts Health Plan May 2015 - Present
Tufts Health Plan January 2013 - May 2015
Year Up February 2012 - May 2012
Mt. Ascutney Hospital June 2006 - December 2010
Roger Williams University May 2010 - August 2010
Skills
Microsoft Office, PowerPoint, Photoshop, Communication Skills, Timely Decision Making, Resourceful..., Passion for Helping..., Passion for Quality, Team-oriented, Technical Support, Research, Nonprofits, Software Documentation, Data Entry, Access, Leadership
Education
Roger Williams University 2008 — 2012
Bachelor of Arts, Global Communication
Charlene Foss Charlene Foss's Tufts Health Plan Experience July 1997 - May 2002
Job MA. Licensed Independent Clinical Social Worker
Industry Mental Health Care
Experience
Charlene B. Foss, LICSW October 2009 - Present
Ma. Licensed Clinical Social Worker October 2009 - Present
Smoc October 2006 - January 2011
SMOC July 2003 - January 2011
Tufts Health Plan July 1997 - May 2002
Skills
Counseling, Mental Health, Adults, Social Services, Public Speaking, Health, Coaching, Psychology, Mental Health Counseling, Policy, Case Managment, Counseling Psychology, Stress Management, Teaching, CBT, Life Transitions, Family Therapy, Behavioral Health, Crisis Intervention, Community Outreach, Self-esteem, Treatment, Clinical Research, Grief Counseling, Program Development, Volunteer Management, Nonprofits, Interventions, Group Therapy, Psychotherapy, Program Evaluation, Post Traumatic Stress, Therapists, Staff Development, Adolescents, EMDR, Fundraising, Healthcare, Anger Management, Dual Diagnosis, Treatment of depression, Addiction Recovery, Chemical Dependency, Psychological Assessment, DBT, Psychosocial, Co-occurring Disorders, Psychodynamic..., Adolescent Therapy, Biopsychosocial...
Education
Simmons College 2002 — 2003
MSW, Social Work
Regis College 2000 — 2003
BSW
Charlene B. Foss, LICSW October 2009 - Present
Ma. Licensed Clinical Social Worker October 2009 - Present
Smoc October 2006 - January 2011
SMOC July 2003 - January 2011
Tufts Health Plan July 1997 - May 2002
Skills
Counseling, Mental Health, Adults, Social Services, Public Speaking, Health, Coaching, Psychology, Mental Health Counseling, Policy, Case Managment, Counseling Psychology, Stress Management, Teaching, CBT, Life Transitions, Family Therapy, Behavioral Health, Crisis Intervention, Community Outreach, Self-esteem, Treatment, Clinical Research, Grief Counseling, Program Development, Volunteer Management, Nonprofits, Interventions, Group Therapy, Psychotherapy, Program Evaluation, Post Traumatic Stress, Therapists, Staff Development, Adolescents, EMDR, Fundraising, Healthcare, Anger Management, Dual Diagnosis, Treatment of depression, Addiction Recovery, Chemical Dependency, Psychological Assessment, DBT, Psychosocial, Co-occurring Disorders, Psychodynamic..., Adolescent Therapy, Biopsychosocial...
Education
Simmons College 2002 — 2003
MSW, Social Work
Regis College 2000 — 2003
BSW
Kyle Giorgi's Tufts Health Plan Experience July 2013 - Present
Job Credentialing/Provider Information at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan July 2013 - Present
Eastern Taxidermy December 2012 - July 2013
Bunim Murray Productions April 2012 - May 2012
MasterChef March 2012 - April 2012
The Voice November 2011 - March 2012
American Idol Productions September 2011 - 2011
Skills
Microsoft Office, Adobe Creative Suite, Final Cut Pro, Pro Tools, Canon, Apple, Windows 7, Facebook, Twitter, Videography, Video Production
Education
Quinnipiac University 2007 — 2011
B.A., Film, Video, and Interactive Media
Tufts Health Plan July 2013 - Present
Eastern Taxidermy December 2012 - July 2013
Bunim Murray Productions April 2012 - May 2012
MasterChef March 2012 - April 2012
The Voice November 2011 - March 2012
American Idol Productions September 2011 - 2011
Skills
Microsoft Office, Adobe Creative Suite, Final Cut Pro, Pro Tools, Canon, Apple, Windows 7, Facebook, Twitter, Videography, Video Production
Education
Quinnipiac University 2007 — 2011
B.A., Film, Video, and Interactive Media
Anna Stepper Anna Stepper's Tufts Health Plan Experience December 2013 - Present
Job Project Coordinator at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan December 2013 - Present
Red Moon Marketing January 2013 - November 2013
Arthur Elliott Marketing Group August 2012 - December 2012
Ratcliffe Golf Services June 2012 - August 2012
Callaway Golf April 2011 - August 2011
Meadow Creek Golf Club April 2011 - August 2011
Callaway Golf April 2010 - August 2010
Skills
Customer Service
Education
Queens University of Charlotte 2009 — 2013
Bachelor of Business Administration (B.B.A.), Marketing
Tufts Health Plan December 2013 - Present
Red Moon Marketing January 2013 - November 2013
Arthur Elliott Marketing Group August 2012 - December 2012
Ratcliffe Golf Services June 2012 - August 2012
Callaway Golf April 2011 - August 2011
Meadow Creek Golf Club April 2011 - August 2011
Callaway Golf April 2010 - August 2010
Skills
Customer Service
Education
Queens University of Charlotte 2009 — 2013
Bachelor of Business Administration (B.B.A.), Marketing
Mawuena Davies Mawuena Davies's Tufts Health Plan Experience January 2014 - April 2014
Job Photography and Marketing
Industry Photography
Experience
Preview Properties August 2013 - Present
Mdaviesphotography 2011 - Present
Constant Contact April 2014 - July 2014
Tufts Health Plan January 2014 - April 2014
LocalVox May 2013 - July 2013
Christian Science Publishing Society January 2012 - April 2013
New Balance Tulsa January 2009 - October 2011
PIR: Principia Internet Radio January 2007 - November 2008
Emmis Communications: KPNT-105.7 The Point June 2008 - August 2008
Principia College May 2007 - August 2008
Skills
Photography, Photoshop, French, Advertising, Social Media Marketing, Portrait Photography, Event Photography, International Relations, Salesforce.com, Customer Service, Manage Client..., Radio Broadcasting, Sales, Music, Project Management, Project Planning, Social Media, Marketing, Event Planning, Marketing Strategy, Digital Media, Newsletters, Leadership, Editing
Education
Principia College 2004 — 2008
B.A. Mass Communication; French Minor, Social Media, Media Law & Ethics, Broadcasting, Internet Radio(hosting/programming)
Tulsa Community College
Certificate Program, Photography
Preview Properties August 2013 - Present
Mdaviesphotography 2011 - Present
Constant Contact April 2014 - July 2014
Tufts Health Plan January 2014 - April 2014
LocalVox May 2013 - July 2013
Christian Science Publishing Society January 2012 - April 2013
New Balance Tulsa January 2009 - October 2011
PIR: Principia Internet Radio January 2007 - November 2008
Emmis Communications: KPNT-105.7 The Point June 2008 - August 2008
Principia College May 2007 - August 2008
Skills
Photography, Photoshop, French, Advertising, Social Media Marketing, Portrait Photography, Event Photography, International Relations, Salesforce.com, Customer Service, Manage Client..., Radio Broadcasting, Sales, Music, Project Management, Project Planning, Social Media, Marketing, Event Planning, Marketing Strategy, Digital Media, Newsletters, Leadership, Editing
Education
Principia College 2004 — 2008
B.A. Mass Communication; French Minor, Social Media, Media Law & Ethics, Broadcasting, Internet Radio(hosting/programming)
Tulsa Community College
Certificate Program, Photography
Bobbi Stewart Bobbi Stewart's Tufts Health Plan Experience August 2009 - Present
Job PreCertification Nurse at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan August 2009 - Present
Skills
IV Certified, Phlebotomy, Alzheimers/Dementia, Healthcare, HIPAA, Nursing, Utilization Review, Provider Relations, HEDIS, Health Insurance, Home Care
Education
Quincy College 1990 — 1992
Diploma Nursing Program, Licensed Practical Nurse
Sacred Heart High School 1977 — 1980
Tufts Health Plan August 2009 - Present
Skills
IV Certified, Phlebotomy, Alzheimers/Dementia, Healthcare, HIPAA, Nursing, Utilization Review, Provider Relations, HEDIS, Health Insurance, Home Care
Education
Quincy College 1990 — 1992
Diploma Nursing Program, Licensed Practical Nurse
Sacred Heart High School 1977 — 1980
Melissa Reddick Melissa Reddick's Tufts Health Plan Experience January 2014 - Present
Job Customer Relations
Industry Health, Wellness and Fitness
Experience
Tufts Health Plan January 2014 - Present
Tufts Health Plan Medicare Preferred September 2013 - December 2013
Honey Brook Organic Farm May 2012 - November 2013
DC Distributors January 2013 - August 2013
Habitat for Humanity Burlington County May 2007 - December 2012
Habitat for Humanity Burlington County, NJ January 2010 - December 2011
Habitat for Humanity Burlington County, NJ March 2009 - September 2009
Skills
Non-profits, Microsoft Office, Public Speaking, Writing, Volunteer Coordination, Volunteer Management, Customer Service, Community Organizing, Administration, Customer Relations, Problem Solving, Database Management, Community Service, Cashiering, Policy, Nonprofits, Team Building, Program Development, Farms, Conflict Resolution, Training, PowerPoint, Community Engagement, Event Management, Youth Development
Education
Burlington County College 2008 — 2012
Associate of Science (A.S.), Liberal Arts and Sciences/Liberal Studies
Rutgers University-New Brunswick 2006 — 2007
Engineering
Tufts Health Plan January 2014 - Present
Tufts Health Plan Medicare Preferred September 2013 - December 2013
Honey Brook Organic Farm May 2012 - November 2013
DC Distributors January 2013 - August 2013
Habitat for Humanity Burlington County May 2007 - December 2012
Habitat for Humanity Burlington County, NJ January 2010 - December 2011
Habitat for Humanity Burlington County, NJ March 2009 - September 2009
Skills
Non-profits, Microsoft Office, Public Speaking, Writing, Volunteer Coordination, Volunteer Management, Customer Service, Community Organizing, Administration, Customer Relations, Problem Solving, Database Management, Community Service, Cashiering, Policy, Nonprofits, Team Building, Program Development, Farms, Conflict Resolution, Training, PowerPoint, Community Engagement, Event Management, Youth Development
Education
Burlington County College 2008 — 2012
Associate of Science (A.S.), Liberal Arts and Sciences/Liberal Studies
Rutgers University-New Brunswick 2006 — 2007
Engineering
William Earl Amis Jr III. William Earl Amis Jr III.'s Tufts Health Plan Experience April 2010 - June 2010
Job Natural Gratitued, Appreciation Manager
Industry Professional Training & Coaching
Experience
Amis Interactive Communities January 1982 - Present
Amis Interactive Communities January 1976 - Present
Bizz Blogging Buzz January 2009 - September 2015
Bizz Blogging Buzz 1997 - September 2015
Tufts Health Plan April 2010 - June 2010
U.S. Census Bureau April 2009 - January 2010
CCS Companies July 2006 - October 2007
Marsh & Mclennon September 2005 - April 2006
First Marblehead Education Resources April 2004 - December 2004
Equiserve January 2003 - May 2003
Skills
Customer Service, Data Entry, Outlook, Time Management, Customer Satisfaction, Training, Payroll, Coaching, Social Media Marketing, Small Business, Marketing, Sales, Blogging, Team Building, Social Media, Microsoft Office, Microsoft Excel, Facebook, Team Leadership, Call Centers, Teamwork, Management Consulting, Human Resources, Entrepreneurship, Business Development, Microsoft Word, Budgets, Retail, Social Networking, Recruiting, Leadership Development, Employee Benefits, Online Advertising, Access, Public Speaking, Accounting, Leadership, Management, Public Relations, Employee Training, Marketing Strategy, Insurance, Databases, Program Management, Customer Retention, Personal Development, Call Center, Technical Support, Software Documentation, Event Planning
Education
Online Learning Readiness 2011 — 2012
Certification, Computer Programming
Bryman Institute 2006 — 2007
Certification, Medical Assistant
East Coast Medical Educators 2001 — 2002
Certificate, Emergency Medical Technician
U.S. Treasury Tax Law, Boston, MA 1989 — 1998
Certificate, Business and Personal Tax
Roxbury Community College 1990 — 1992
Criminal Justice
Boston Jobs Academy, Boston, MA 1988 — 1989
Certificate, Employee Relations
Tulan University, 400 Veterans Avenue, Biloxi, MS 1987 — 1988
Certificate, Personnel Specialist, E3
West Roxbury High, W.Roxbury, MA 1979 — 1982
Diploma, Business and College Courses
Amis Interactive Communities January 1982 - Present
Amis Interactive Communities January 1976 - Present
Bizz Blogging Buzz January 2009 - September 2015
Bizz Blogging Buzz 1997 - September 2015
Tufts Health Plan April 2010 - June 2010
U.S. Census Bureau April 2009 - January 2010
CCS Companies July 2006 - October 2007
Marsh & Mclennon September 2005 - April 2006
First Marblehead Education Resources April 2004 - December 2004
Equiserve January 2003 - May 2003
Skills
Customer Service, Data Entry, Outlook, Time Management, Customer Satisfaction, Training, Payroll, Coaching, Social Media Marketing, Small Business, Marketing, Sales, Blogging, Team Building, Social Media, Microsoft Office, Microsoft Excel, Facebook, Team Leadership, Call Centers, Teamwork, Management Consulting, Human Resources, Entrepreneurship, Business Development, Microsoft Word, Budgets, Retail, Social Networking, Recruiting, Leadership Development, Employee Benefits, Online Advertising, Access, Public Speaking, Accounting, Leadership, Management, Public Relations, Employee Training, Marketing Strategy, Insurance, Databases, Program Management, Customer Retention, Personal Development, Call Center, Technical Support, Software Documentation, Event Planning
Education
Online Learning Readiness 2011 — 2012
Certification, Computer Programming
Bryman Institute 2006 — 2007
Certification, Medical Assistant
East Coast Medical Educators 2001 — 2002
Certificate, Emergency Medical Technician
U.S. Treasury Tax Law, Boston, MA 1989 — 1998
Certificate, Business and Personal Tax
Roxbury Community College 1990 — 1992
Criminal Justice
Boston Jobs Academy, Boston, MA 1988 — 1989
Certificate, Employee Relations
Tulan University, 400 Veterans Avenue, Biloxi, MS 1987 — 1988
Certificate, Personnel Specialist, E3
West Roxbury High, W.Roxbury, MA 1979 — 1982
Diploma, Business and College Courses
Ann-Marie Hayes Ann-Marie Hayes's Tufts Health Plan Experience 1995 - 2001
Job Substitute Teacher at Wayland Public Schools
Industry Fund-Raising
Experience
Wayland Public Schools April 2014 - Present
Wayland Public Schools September 2012 - Present
The Sweet Maze January 2011 - Present
Wayland Public Schools July 2012 - August 2012
Tufts Health Plan 1995 - 2001
Skills
Special Education, Elementary and Middle..., Fundraising, Contract Negotiation, Public Speaking, Non-profits, Public Relations, Philanthropy
Education
Simmons College 1992 — 1995
Master's degree, Health Care Administration
Providence College 1986 — 1990
Business Administration and Humanities
Wayland Public Schools April 2014 - Present
Wayland Public Schools September 2012 - Present
The Sweet Maze January 2011 - Present
Wayland Public Schools July 2012 - August 2012
Tufts Health Plan 1995 - 2001
Skills
Special Education, Elementary and Middle..., Fundraising, Contract Negotiation, Public Speaking, Non-profits, Public Relations, Philanthropy
Education
Simmons College 1992 — 1995
Master's degree, Health Care Administration
Providence College 1986 — 1990
Business Administration and Humanities
Elder A. Vickie Boisseau Elder A. Vickie Boisseau's Tufts Health Plan Experience 1985 - 2015
Job Regional Director at Organization Intersex International
Industry Health, Wellness and Fitness
Experience
Worcester State University September 2013 - Present
Organization Intersex International November 2012 - Present
Presbyterian Church (USA) 2006 - Present
Trans Conferences 2003 - Present
National Amusements January 1992 - Present
Boston Casting 1991 - Present
Tufts Health Plan 1985 - 2015
Tufts Health Plan 1985 - 2015
Tufts Health Plan 1985 - 2015
Tufts Health Plan 1985 - 2015
Skills
Public Speaker, Public Speaking, Peer Counseling, Community Outreach, Client Advocacy, Peer Support, Program Development, Non-profits, Fundraising, Volunteer Management, Editing, Nonprofits, Workshop Facilitation, Leadership, Time Management, Mental Health, Teaching, Psychotherapy, Program Management, Community Organizing, Research, Community Development, Leadership Development, Event Planning, Social Networking, Social Services, Social Justice, Conflict Resolution, Training, Case Management, Program Evaluation, Staff Development, Case Managment, Public Relations, Non-profit..., Organizational..., Grant Writing, Google Groups, Psychology, Coaching, Crisis Intervention, Facebook, Group Therapy, Public Policy, Newsletters, Social Media, Creative Writing, Higher Education, Adolescents, Blogging
Education
Quinsigamond Community College 2009 — 2013
Human Services, Human Services, A+ 3.93 GPA
Human Awareness Institute 2005 — 2012
Human Awareness, relationships
Worcester State University
Worcester State University September 2013 - Present
Organization Intersex International November 2012 - Present
Presbyterian Church (USA) 2006 - Present
Trans Conferences 2003 - Present
National Amusements January 1992 - Present
Boston Casting 1991 - Present
Tufts Health Plan 1985 - 2015
Tufts Health Plan 1985 - 2015
Tufts Health Plan 1985 - 2015
Tufts Health Plan 1985 - 2015
Skills
Public Speaker, Public Speaking, Peer Counseling, Community Outreach, Client Advocacy, Peer Support, Program Development, Non-profits, Fundraising, Volunteer Management, Editing, Nonprofits, Workshop Facilitation, Leadership, Time Management, Mental Health, Teaching, Psychotherapy, Program Management, Community Organizing, Research, Community Development, Leadership Development, Event Planning, Social Networking, Social Services, Social Justice, Conflict Resolution, Training, Case Management, Program Evaluation, Staff Development, Case Managment, Public Relations, Non-profit..., Organizational..., Grant Writing, Google Groups, Psychology, Coaching, Crisis Intervention, Facebook, Group Therapy, Public Policy, Newsletters, Social Media, Creative Writing, Higher Education, Adolescents, Blogging
Education
Quinsigamond Community College 2009 — 2013
Human Services, Human Services, A+ 3.93 GPA
Human Awareness Institute 2005 — 2012
Human Awareness, relationships
Worcester State University
Leigh Gaspar's Tufts Health Plan Experience 1998 - 2005
Job Executive Director, Advancement Relations at Bentley University
Industry Higher Education
Experience
Bentley University January 2014 - Present
Bentley University November 2009 - Present
Bentley University May 2005 - November 2009
Tufts Health Plan 1998 - 2005
Skills
Event Planning, Event Management, Marketing Communications, Volunteer Management, Program Management, Advertising, Team Building, Social Media, Leadership, Strategy, Nonprofits, Strategic Planning, Press Releases, Management, Project Management, Fundraising, Alumni Relations, Public Relations
Education
Providence College 1992 — 1996
BA
Bentley University January 2014 - Present
Bentley University November 2009 - Present
Bentley University May 2005 - November 2009
Tufts Health Plan 1998 - 2005
Skills
Event Planning, Event Management, Marketing Communications, Volunteer Management, Program Management, Advertising, Team Building, Social Media, Leadership, Strategy, Nonprofits, Strategic Planning, Press Releases, Management, Project Management, Fundraising, Alumni Relations, Public Relations
Education
Providence College 1992 — 1996
BA
Gretchen Reynard Gretchen Reynard's Tufts Health Plan Experience March 2012 - Present
Job Clinical Director, Tufts Health Plan Senior Care Options
Industry Hospital & Health Care
Experience
Tufts Health Plan March 2012 - Present
UnitedHealthcare June 2004 - February 2012
Urban Medical Group January 2002 - June 2004
Skills
Medicare, Managed Care, Medicaid, Insurance, Healthcare Consulting, Healthcare, Strategic Planning, Clinical Research, Healthcare Management, Disease Management, Home Care, Customer Service, Nursing, Quality Improvement, Utilization Management, HIPAA, Health Policy, Provider Relations
Education
Regis College 1998 — 2001
Masters of Science in Nursing, Family Nurse Practitioner
Saint Michael's College 1994 — 1998
Bachelor of Arts (B.A.), English Language and Literature, General
Tufts Health Plan March 2012 - Present
UnitedHealthcare June 2004 - February 2012
Urban Medical Group January 2002 - June 2004
Skills
Medicare, Managed Care, Medicaid, Insurance, Healthcare Consulting, Healthcare, Strategic Planning, Clinical Research, Healthcare Management, Disease Management, Home Care, Customer Service, Nursing, Quality Improvement, Utilization Management, HIPAA, Health Policy, Provider Relations
Education
Regis College 1998 — 2001
Masters of Science in Nursing, Family Nurse Practitioner
Saint Michael's College 1994 — 1998
Bachelor of Arts (B.A.), English Language and Literature, General
Ed Spater Ed Spater's Tufts Health Plan Experience 2008 - 2015
Job Benefits Coordinator at Colonial Life
Industry Insurance
Experience
Colonial Life January 2012 - Present
HealthSource RI October 2013 - Present
Blue Cross & Blue Shield of Rhode Island 2005 - Present
Tufts Health Plan 2008 - 2015
Allstate Financial Services, LLC November 2009 - January 2012
Oceanstate Financial Services July 2007 - October 2009
MW Financial Group Ltd. November 2006 - June 2007
Skills
Employee Benefits, Benefits Administration, COBRA, Health Insurance, Workers Compensation, Disability Insurance, 401k, Insurance, Health Savings Accounts, Human Resources, Employee Wellness, Health Care Reform, Term Life Insurance, Critical Illness, Life Insurance, Sales, Long-term Care
Education
Rhode Island School of Design 1980 — 1982
Certificate of Culinary Arts, Culinary Arts/Chef Training
University of Rhode Island 1977 — 1980
Colonial Life January 2012 - Present
HealthSource RI October 2013 - Present
Blue Cross & Blue Shield of Rhode Island 2005 - Present
Tufts Health Plan 2008 - 2015
Allstate Financial Services, LLC November 2009 - January 2012
Oceanstate Financial Services July 2007 - October 2009
MW Financial Group Ltd. November 2006 - June 2007
Skills
Employee Benefits, Benefits Administration, COBRA, Health Insurance, Workers Compensation, Disability Insurance, 401k, Insurance, Health Savings Accounts, Human Resources, Employee Wellness, Health Care Reform, Term Life Insurance, Critical Illness, Life Insurance, Sales, Long-term Care
Education
Rhode Island School of Design 1980 — 1982
Certificate of Culinary Arts, Culinary Arts/Chef Training
University of Rhode Island 1977 — 1980
Jason Weisberg's Tufts Health Plan Experience August 2014 - Present
Job Supervisor, Provider Services at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan August 2014 - Present
Tufts Health Plan June 2013 - July 2014
Tufts Health Plan February 2011 - May 2013
Tufts Health Plan September 2010 - January 2011
Leary & Company Inc. Public Relations April 2010 - August 2010
Medi-Services, Inc December 2009 - January 2010
Skills
Health Insurance, Provider Relations, Medical Coding, Medicare, Coordination of Benefits, Sales, Claim, Employee Benefits, Insurance, PPO, Managed Care, Access, Customer Service, HMO
Education
Roger Williams University 2006 — 2010
Bachelor of Applied Science (B.A.Sc.), Business Administration and Management, General
Newton South High School
Tufts Health Plan August 2014 - Present
Tufts Health Plan June 2013 - July 2014
Tufts Health Plan February 2011 - May 2013
Tufts Health Plan September 2010 - January 2011
Leary & Company Inc. Public Relations April 2010 - August 2010
Medi-Services, Inc December 2009 - January 2010
Skills
Health Insurance, Provider Relations, Medical Coding, Medicare, Coordination of Benefits, Sales, Claim, Employee Benefits, Insurance, PPO, Managed Care, Access, Customer Service, HMO
Education
Roger Williams University 2006 — 2010
Bachelor of Applied Science (B.A.Sc.), Business Administration and Management, General
Newton South High School
Patricia Leddy Patricia Leddy's Tufts Health Plan Experience October 2013 - Present
Job Marketing Manager at Tufts Health Plan
Industry Financial Services
Experience
Tufts Health Plan October 2013 - Present
Tufts Health Plan 2013 - 2015
Automatic Data Processing, Inc. June 2003 - December 2012
DWS Investments (formerly Scudder Investments) 1998 - 2003
TLA Inc. 1995 - 1998
Fidelity Investments 1994 - 1995
Scudder, Stevens & Clark, Inc. 1986 - 1994
Skills
Marketing Management, Marketing Strategy, Marketing Communications, Email Marketing, Marketing, Brand Awareness, Corporate Branding, Brand Developement, Brand Management, Project Management, management, Training Delivery, Communication Training, Personal Development, Product Management, Product Marketing, Management, B2B, Competitive Analysis, Brand Development, Leadership, Cross-functional Team..., Strategy
Education
Suffolk University
MBA
Providence College
Bachelor of Science (B.S.), Marketing
Tufts Health Plan October 2013 - Present
Tufts Health Plan 2013 - 2015
Automatic Data Processing, Inc. June 2003 - December 2012
DWS Investments (formerly Scudder Investments) 1998 - 2003
TLA Inc. 1995 - 1998
Fidelity Investments 1994 - 1995
Scudder, Stevens & Clark, Inc. 1986 - 1994
Skills
Marketing Management, Marketing Strategy, Marketing Communications, Email Marketing, Marketing, Brand Awareness, Corporate Branding, Brand Developement, Brand Management, Project Management, management, Training Delivery, Communication Training, Personal Development, Product Management, Product Marketing, Management, B2B, Competitive Analysis, Brand Development, Leadership, Cross-functional Team..., Strategy
Education
Suffolk University
MBA
Providence College
Bachelor of Science (B.S.), Marketing
Sagine Coriolan Sagine Coriolan's Tufts Health Plan Experience June 2012 - November 2012
Job Member Services Coordinator
Industry Hospital & Health Care
Experience
Best Doctors November 2012 - August 2013
Tufts Health Plan June 2012 - November 2012
RuffaloCODY September 2010 - May 2012
Skills
Chemistry, Organic Chemistry, Physics, Biology, English, Cpr Certified, Typing, Blood Pressure, Fundraising
Education
Rutgers, The State University of New Jersey-Newark 2013 — 2014
Master's Degree, Biomedical Sciences, General
Tufts University 2008 — 2012
Bachelor of Arts (B.A.), Pre-Medicine/Pre-Medical Studies
Best Doctors November 2012 - August 2013
Tufts Health Plan June 2012 - November 2012
RuffaloCODY September 2010 - May 2012
Skills
Chemistry, Organic Chemistry, Physics, Biology, English, Cpr Certified, Typing, Blood Pressure, Fundraising
Education
Rutgers, The State University of New Jersey-Newark 2013 — 2014
Master's Degree, Biomedical Sciences, General
Tufts University 2008 — 2012
Bachelor of Arts (B.A.), Pre-Medicine/Pre-Medical Studies
Katherine Murdock Katherine Murdock's Tufts Health Plan Experience March 2013 - Present
Job Appeals and Grievances Specialist at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan March 2013 - Present
Tufts Health Plan August 2010 - March 2013
Crotched Mountain Foundation October 2009 - December 2009
TJ Maxx June 2009 - August 2009
State Farm Insurance June 2009 - August 2009
State Farm Insurance June 2009 - August 2009
Sterling Corporation June 2008 - August 2008
Sterling Corporation April 2008 - August 2008
Laser Process, Mfg. June 2004 - August 2007
Skills
PowerPoint, Customer Service, Healthcare, Microsoft Office, Mental Health, Outlook, Microsoft Word, Social Media, Microsoft Excel
Education
Saint Anselm College 2006 — 2010
Bachelor of Arts, English
Saint Anselm College 2006 — 2010
Bachelor of Arts, English
Tufts Health Plan March 2013 - Present
Tufts Health Plan August 2010 - March 2013
Crotched Mountain Foundation October 2009 - December 2009
TJ Maxx June 2009 - August 2009
State Farm Insurance June 2009 - August 2009
State Farm Insurance June 2009 - August 2009
Sterling Corporation June 2008 - August 2008
Sterling Corporation April 2008 - August 2008
Laser Process, Mfg. June 2004 - August 2007
Skills
PowerPoint, Customer Service, Healthcare, Microsoft Office, Mental Health, Outlook, Microsoft Word, Social Media, Microsoft Excel
Education
Saint Anselm College 2006 — 2010
Bachelor of Arts, English
Saint Anselm College 2006 — 2010
Bachelor of Arts, English
John M. Killion's Tufts Health Plan Experience January 2000 - January 2001
Job Vice President, Payer Contracting & Provider Network Development at Reliant Medical Group
Industry Hospital & Health Care
Experience
Reliant Medical Group March 2015 - Present
Beth Israel Deaconess Care Organization (BIDCO) September 2013 - March 2015
Theranos Inc. May 2011 - September 2013
Blue Cross Blue Shield of Massachusetts July 2009 - May 2011
Mult-Service Eating Disorder Association January 2008 - May 2011
Blue Cross Blues Shield of MA June 2003 - July 2009
Blue Cross Blue Shield of MA June 2001 - June 2003
Blue Cross and Blue Shield of Massachusetts January 2001 - January 2003
Tufts Health Plan January 2000 - January 2001
Harvard Pilgrim Health Care January 1999 - January 2000
Skills
Healthcare, Medicare, Provider Relations, Managed Care, Medicaid, Physicians, Hospitals, HMO, Healthcare Consulting, Utilization Management, Healthcare Industry, PPO, Health Insurance, Network Development, Health Policy, Healthcare Management, HIPAA, Home Care, HEDIS, Meditech, Pharmacy Benefit..., Disease Management, Medical Billing, ICD-9, Patient Advocacy, Healthcare Information..., Contract Negotiation, Medical Compliance, Credentialing, Physician Relations, Insurance, Strategic Planning, Medicine, Quality Improvement, EMR, Practice Management, Medicaid Managed Care, Patient Safety, EHR, JCAHO, Pharmacy Automation, Pharmacy, Revenue Cycle, Training, Medicare Part D, Informatics, Medical Coding, Revenue Cycle Management, CPT, Healthcare Reimbursement
Education
Providence College
Bachelor of Science Health Care Administration, Health Care Administration
Reliant Medical Group March 2015 - Present
Beth Israel Deaconess Care Organization (BIDCO) September 2013 - March 2015
Theranos Inc. May 2011 - September 2013
Blue Cross Blue Shield of Massachusetts July 2009 - May 2011
Mult-Service Eating Disorder Association January 2008 - May 2011
Blue Cross Blues Shield of MA June 2003 - July 2009
Blue Cross Blue Shield of MA June 2001 - June 2003
Blue Cross and Blue Shield of Massachusetts January 2001 - January 2003
Tufts Health Plan January 2000 - January 2001
Harvard Pilgrim Health Care January 1999 - January 2000
Skills
Healthcare, Medicare, Provider Relations, Managed Care, Medicaid, Physicians, Hospitals, HMO, Healthcare Consulting, Utilization Management, Healthcare Industry, PPO, Health Insurance, Network Development, Health Policy, Healthcare Management, HIPAA, Home Care, HEDIS, Meditech, Pharmacy Benefit..., Disease Management, Medical Billing, ICD-9, Patient Advocacy, Healthcare Information..., Contract Negotiation, Medical Compliance, Credentialing, Physician Relations, Insurance, Strategic Planning, Medicine, Quality Improvement, EMR, Practice Management, Medicaid Managed Care, Patient Safety, EHR, JCAHO, Pharmacy Automation, Pharmacy, Revenue Cycle, Training, Medicare Part D, Informatics, Medical Coding, Revenue Cycle Management, CPT, Healthcare Reimbursement
Education
Providence College
Bachelor of Science Health Care Administration, Health Care Administration
Jessica Kellner Jessica Kellner's Tufts Health Plan Experience January 2014 - June 2014
Job Independent Consultant
Industry Health, Wellness and Fitness
Experience
Rodan and Fields Dermatologists November 2014 - Present
BACTES Imaging Solutions June 2013 - Present
Tufts Health Plan January 2014 - June 2014
The Landing restaurant May 2011 - January 2013
Skills
Leadership, Healthcare, Customer Service, Management, Microsoft Office, Marketing, Microsoft Word, Sales
Education
Quinnipiac University 1999 — 2003
Bachelor's degree, Social services
Rodan and Fields Dermatologists November 2014 - Present
BACTES Imaging Solutions June 2013 - Present
Tufts Health Plan January 2014 - June 2014
The Landing restaurant May 2011 - January 2013
Skills
Leadership, Healthcare, Customer Service, Management, Microsoft Office, Marketing, Microsoft Word, Sales
Education
Quinnipiac University 1999 — 2003
Bachelor's degree, Social services
Erik Schaefer Erik Schaefer's Tufts Health Plan Experience April 2015 - Present
Job Health Insurance Representative and Pastor
Industry Insurance
Experience
Tufts Health Plan April 2015 - Present
Christ Community Church September 2012 - Present
Tufts Health Plan November 2013 - April 2015
Tufts Health Plan January 2013 - November 2013
Tufts Health Plan October 2012 - December 2012
Parallon Business Solutions September 2009 - August 2012
Jefferson County Public Schools January 2010 - December 2010
Bethlehem Baptist Church October 2006 - July 2008
Caterpillar Logistics Services, Inc. January 2005 - January 2006
Northwestern College January 2002 - January 2005
Skills
Customer Service, Teaching, Telephone Manner, Team-oriented, Microsoft Office, Microsoft Word, Research, Self Management, Account Management, Problem Solving, Leadership, Leadership Development, Editing, Theology, Training, Microsoft Excel, Team Building
Education
The Southern Baptist Theological Seminary 2008 — 2011
Master of Divinity (MDiv), Biblical and Theological Studies
The Bethlehem Institute 2006 — 2008
Graduate, Certificate of Vocational Eldership Training
Northwestern College 2002 — 2005
Bachelor of Arts (BA), Pastoral Studies and Bible
Tufts Health Plan April 2015 - Present
Christ Community Church September 2012 - Present
Tufts Health Plan November 2013 - April 2015
Tufts Health Plan January 2013 - November 2013
Tufts Health Plan October 2012 - December 2012
Parallon Business Solutions September 2009 - August 2012
Jefferson County Public Schools January 2010 - December 2010
Bethlehem Baptist Church October 2006 - July 2008
Caterpillar Logistics Services, Inc. January 2005 - January 2006
Northwestern College January 2002 - January 2005
Skills
Customer Service, Teaching, Telephone Manner, Team-oriented, Microsoft Office, Microsoft Word, Research, Self Management, Account Management, Problem Solving, Leadership, Leadership Development, Editing, Theology, Training, Microsoft Excel, Team Building
Education
The Southern Baptist Theological Seminary 2008 — 2011
Master of Divinity (MDiv), Biblical and Theological Studies
The Bethlehem Institute 2006 — 2008
Graduate, Certificate of Vocational Eldership Training
Northwestern College 2002 — 2005
Bachelor of Arts (BA), Pastoral Studies and Bible
Dan Bussison's Tufts Health Plan Experience November 2012 - Present
Job Provider Specialist at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan November 2012 - Present
Excellent Moving and Storage May 2012 - August 2012
Bally Total Fitness October 2009 - December 2010
Vitruvean LLC August 2008 - September 2009
Skills
Customer service, Sales Operations, Direct Sales, Office Management, Distribution Logistics, Insurance, Food & Beverage, Personal Training, Exercise Instruction, Automotive Repair
Education
Plymouth State University 2003 — 2007
Ex Phys, Health, 3.2
Tufts Health Plan November 2012 - Present
Excellent Moving and Storage May 2012 - August 2012
Bally Total Fitness October 2009 - December 2010
Vitruvean LLC August 2008 - September 2009
Skills
Customer service, Sales Operations, Direct Sales, Office Management, Distribution Logistics, Insurance, Food & Beverage, Personal Training, Exercise Instruction, Automotive Repair
Education
Plymouth State University 2003 — 2007
Ex Phys, Health, 3.2
Kathleen LaForce Kathleen LaForce's Tufts Health Plan Experience September 2010 - June 2012
Job Provider Audit Manager at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts May 2015 - Present
Blue Cross Blue Shield of Massachusetts June 2012 - May 2015
Tufts Health Plan September 2010 - June 2012
Skills
Health Insurance, Project Management, Healthcare, Nursing, Health Policy, Healthcare Information..., Medicaid, Utilization Management, Clinical Research, Leadership, Insurance, Training, Managed Care, Process Improvement
Education
Quincy College
Nursing
Blue Cross Blue Shield of Massachusetts May 2015 - Present
Blue Cross Blue Shield of Massachusetts June 2012 - May 2015
Tufts Health Plan September 2010 - June 2012
Skills
Health Insurance, Project Management, Healthcare, Nursing, Health Policy, Healthcare Information..., Medicaid, Utilization Management, Clinical Research, Leadership, Insurance, Training, Managed Care, Process Improvement
Education
Quincy College
Nursing
Shanita Williams Shanita Williams's Tufts Health Plan Experience September 2013 - April 2015
Job Life Agreement Rep at John Hancock Life Insurance Company (U.S.A.)
Industry Financial Services
Experience
Tufts Health Plan September 2013 - April 2015
Computershare February 2012 - June 2014
John Hancock Life Insurance Company (U.S.A.) January 2011 - August 2012
The Census Bureau of Massachusetts June 2010 - October 2010
Elliot Community Human Svc February 2007 - March 2010
Education
Roxbury Community College
Associate of Arts (A.A.), Human Services, General
Tufts Health Plan September 2013 - April 2015
Computershare February 2012 - June 2014
John Hancock Life Insurance Company (U.S.A.) January 2011 - August 2012
The Census Bureau of Massachusetts June 2010 - October 2010
Elliot Community Human Svc February 2007 - March 2010
Education
Roxbury Community College
Associate of Arts (A.A.), Human Services, General
Barbara Turner-Chambers Barbara Turner-Chambers's Tufts Health Plan Experience September 2008 - October 2011
Job Team Lead Pediatric Integrated Care Management Program at Partners HealthCare
Industry Hospital & Health Care
Experience
Partners HealthCare September 2013 - Present
Partners Community Healthcare Inc. June 2012 - September 2013
Compass Medical October 2011 - June 2012
Tufts Health Plan September 2008 - October 2011
Brockton VNA October 1989 - September 2008
Boston Children's Hospital July 1987 - October 1989
Massachusetts General Hospital July 1986 - October 1987
Skills
Nursing, Utilization Management, Disease Management, Managed Care, Medicaid, Medicare, Case Managment, Healthcare Management, Home Care, Patient Advocacy, Palliative Care, EMR, Hospitals, Patient Safety, Healthcare
Education
Quinnipiac University - School of Business 2012 — 2022
Master of Science (MS), Organizational Leadership
Russell Sage College 1982 — 1986
BSN, Nursing
Partners HealthCare September 2013 - Present
Partners Community Healthcare Inc. June 2012 - September 2013
Compass Medical October 2011 - June 2012
Tufts Health Plan September 2008 - October 2011
Brockton VNA October 1989 - September 2008
Boston Children's Hospital July 1987 - October 1989
Massachusetts General Hospital July 1986 - October 1987
Skills
Nursing, Utilization Management, Disease Management, Managed Care, Medicaid, Medicare, Case Managment, Healthcare Management, Home Care, Patient Advocacy, Palliative Care, EMR, Hospitals, Patient Safety, Healthcare
Education
Quinnipiac University - School of Business 2012 — 2022
Master of Science (MS), Organizational Leadership
Russell Sage College 1982 — 1986
BSN, Nursing
Valerie Horgan Valerie Horgan's Tufts Health Plan Experience September 2002 - August 2003
Job Manager
Industry Hospital & Health Care
Experience
American Renal Associates April 2012 - Present
THE MENTOR NETWORK September 2011 - January 2012
Genzyme Genetics July 2004 - July 2011
Genzyme Genetics 2004 - 2011
The CCS Companies December 2003 - July 2004
Tufts Health Plan September 2002 - August 2003
Tufts Health Plan May 2001 - August 2003
TUFTS HEALTH PLAN / SECURE HORIZONS January 1996 - January 2003
Tufts Health Plan January 2000 - January 2001
Tufts Health Plan January 1997 - January 2000
Skills
Team Building, Communication &..., Coaching & Mentoring, CPT, ICD-9, Medical Billing, Outlook, Medicaid, Customer Service, Healthcare, Management, Data Entry, Invoicing, Insurance, Leadership, Medical Coding
Education
Northern Essex Community College 1985 — 1986
Business, Program
American Renal Associates April 2012 - Present
THE MENTOR NETWORK September 2011 - January 2012
Genzyme Genetics July 2004 - July 2011
Genzyme Genetics 2004 - 2011
The CCS Companies December 2003 - July 2004
Tufts Health Plan September 2002 - August 2003
Tufts Health Plan May 2001 - August 2003
TUFTS HEALTH PLAN / SECURE HORIZONS January 1996 - January 2003
Tufts Health Plan January 2000 - January 2001
Tufts Health Plan January 1997 - January 2000
Skills
Team Building, Communication &..., Coaching & Mentoring, CPT, ICD-9, Medical Billing, Outlook, Medicaid, Customer Service, Healthcare, Management, Data Entry, Invoicing, Insurance, Leadership, Medical Coding
Education
Northern Essex Community College 1985 — 1986
Business, Program
Eve Fleming-Nagle Eve Fleming-Nagle's Tufts Health Plan Experience February 2013 - Present
Job Senior Project Manager, Clinical Svcs Strategy & Execution at Tufts Health Plan
Industry Information Technology and Services
Experience
Tufts Health Plan February 2013 - Present
PatientKeeper August 2009 - February 2013
DELL Systems June 2007 - July 2009
UMass Memorial Medical Center October 1998 - June 2007
MEDITECH, Inc. 1994 - 1998
Skills
Project Management, Software Implementation, Management, Employee Training, Healthcare Information..., Meditech, HL7, EHR, HIPAA, Software Project..., SDLC, Healthcare, Cross-functional Team..., Process Improvement, Business Analysis, Program Management, Software Documentation, Hospitals, Agile Methodologies, Enterprise Software, Leadership, Project Planning, Disaster Recovery
Education
Duke University Management Trng / Corporate Education Grp 2013 — 2014
Post Graduate Certificate, Project Management
Roger Williams University
BA, Psychology/Business Administration
Springfield College
MS, Industrial/Organizational Psychology
Tufts Health Plan February 2013 - Present
PatientKeeper August 2009 - February 2013
DELL Systems June 2007 - July 2009
UMass Memorial Medical Center October 1998 - June 2007
MEDITECH, Inc. 1994 - 1998
Skills
Project Management, Software Implementation, Management, Employee Training, Healthcare Information..., Meditech, HL7, EHR, HIPAA, Software Project..., SDLC, Healthcare, Cross-functional Team..., Process Improvement, Business Analysis, Program Management, Software Documentation, Hospitals, Agile Methodologies, Enterprise Software, Leadership, Project Planning, Disaster Recovery
Education
Duke University Management Trng / Corporate Education Grp 2013 — 2014
Post Graduate Certificate, Project Management
Roger Williams University
BA, Psychology/Business Administration
Springfield College
MS, Industrial/Organizational Psychology
Sarah Wedge Maguire Sarah Wedge Maguire's Tufts Health Plan Experience May 1997 - November 1998
Job Manager, Medical Staff Services at South Texas Health System
Industry Hospital & Health Care
Experience
South Texas Health System July 2013 - Present
South Texas Health System February 2012 - May 2015
South Texas Health System September 2011 - February 2012
Doctors Hospital at Renaissance February 2007 - September 2011
Fairview Health Services August 2003 - October 2007
Zumbrota Health Care November 1998 - May 2003
Tufts Health Plan May 1997 - November 1998
Prudential Healthcare February 1996 - May 1997
Lowell General Hospital May 1987 - September 1995
Boston Children's Hospital August 1985 - January 1987
Skills
Quality Management, Healthcare Management, Nursing, Healthcare Information..., Healthcare, Hospitals
Education
Rush University 1982 — 1984
Bachelor of Science (B.S.), Nursing
Ripon College 1978 — 1982
Bachelor of Arts (B.A.), Psychology
South Texas Health System July 2013 - Present
South Texas Health System February 2012 - May 2015
South Texas Health System September 2011 - February 2012
Doctors Hospital at Renaissance February 2007 - September 2011
Fairview Health Services August 2003 - October 2007
Zumbrota Health Care November 1998 - May 2003
Tufts Health Plan May 1997 - November 1998
Prudential Healthcare February 1996 - May 1997
Lowell General Hospital May 1987 - September 1995
Boston Children's Hospital August 1985 - January 1987
Skills
Quality Management, Healthcare Management, Nursing, Healthcare Information..., Healthcare, Hospitals
Education
Rush University 1982 — 1984
Bachelor of Science (B.S.), Nursing
Ripon College 1978 — 1982
Bachelor of Arts (B.A.), Psychology
Carly Perkins Carly Perkins's Tufts Health Plan Experience June 2014 - August 2015
Job Candidate for Juris Doctor, May 2018
Industry Law Practice
Experience
Tufts Health Plan June 2014 - August 2015
Women and Infant's Hospital PHO August 2013 - May 2014
Providence College September 2012 - May 2014
Providence College September 2010 - May 2014
The Children's Place July 2008 - January 2014
Pat's Pizza Family Restaurant June 2011 - August 2013
Rhode Island Hospital January 2013 - May 2013
Skills
Spanish, PowerPoint, Microsoft Word, Outlook, eClinical Works, QuickBooks, Customer Service, Public Speaking, Research
Education
Northeastern University School of Law 2015 — 2018
Doctor of Law (J.D.), Health Law
Providence College 2010 — 2014
Bachelor of Science (BS), Health Policy and Management, Focus in Sociology and Spanish
Gorham High School 2006 — 2010
College track
Tufts Health Plan June 2014 - August 2015
Women and Infant's Hospital PHO August 2013 - May 2014
Providence College September 2012 - May 2014
Providence College September 2010 - May 2014
The Children's Place July 2008 - January 2014
Pat's Pizza Family Restaurant June 2011 - August 2013
Rhode Island Hospital January 2013 - May 2013
Skills
Spanish, PowerPoint, Microsoft Word, Outlook, eClinical Works, QuickBooks, Customer Service, Public Speaking, Research
Education
Northeastern University School of Law 2015 — 2018
Doctor of Law (J.D.), Health Law
Providence College 2010 — 2014
Bachelor of Science (BS), Health Policy and Management, Focus in Sociology and Spanish
Gorham High School 2006 — 2010
College track
Ginny Dolan-Horgan Ginny Dolan-Horgan's Tufts Health Plan Experience September 1996 - December 2000
Job Director, Performance Improvement at North Shore Medical Center
Industry Hospital & Health Care
Experience
North Shore Medical Center June 2004 - Present
Tufts Health Plan September 1996 - December 2000
Skills
Patient Safety, Quality Improvement, Healthcare Management, Nursing, EHR, Healthcare, Hospitals
Education
Boston College 1980 — 1981
MSN, Nursing
Salem State University
Bachelor of Science (B.S.), Nursing Practice
North Shore Medical Center June 2004 - Present
Tufts Health Plan September 1996 - December 2000
Skills
Patient Safety, Quality Improvement, Healthcare Management, Nursing, EHR, Healthcare, Hospitals
Education
Boston College 1980 — 1981
MSN, Nursing
Salem State University
Bachelor of Science (B.S.), Nursing Practice
Darcey Fahey's Tufts Health Plan Experience 1997 - 2000
Job Manager, Fulfillment at Propel Marketing
Industry Marketing and Advertising
Experience
Propel Marketing April 2014 - Present
Propel Marketing September 2013 - April 2014
Propel Marketing May 2013 - September 2013
OfferBeam, Corporation 2011 - August 2013
Mercer Management Consulting April 2012 - May 2013
Mercer Management Consulting 2011 - 2012
BCBSMA 2001 - 2011
Iron Mountain 2000 - 2001
Tufts Health Plan 1997 - 2000
Skills
Strategy, Social Media, Sales, Business Development, Analytics, Event Management, CRM, Operations Management, Integration, Business Process, Vendor Management, Management, Account Management, Program Management, Process Improvement
Education
Regis College 1993 — 1997
BA, Political Science
Propel Marketing April 2014 - Present
Propel Marketing September 2013 - April 2014
Propel Marketing May 2013 - September 2013
OfferBeam, Corporation 2011 - August 2013
Mercer Management Consulting April 2012 - May 2013
Mercer Management Consulting 2011 - 2012
BCBSMA 2001 - 2011
Iron Mountain 2000 - 2001
Tufts Health Plan 1997 - 2000
Skills
Strategy, Social Media, Sales, Business Development, Analytics, Event Management, CRM, Operations Management, Integration, Business Process, Vendor Management, Management, Account Management, Program Management, Process Improvement
Education
Regis College 1993 — 1997
BA, Political Science
Cynthia Sprogis Cynthia Sprogis's Tufts Health Plan Experience 2004 - 2007
Job Sr Project Manager at MGH
Industry Hospital & Health Care
Experience
Massachusetts General Hospital January 2007 - Present
Tufts Health Plan 2004 - 2007
Tufts Health Plan 2001 - 2004
Tufts Health Plan 1999 - 2001
Harvard Pilgrim Health Care 1997 - 1998
Harvard Pilgrim Health Care 1996 - 1997
Harvard Pilgrim Health Care 1995 - 1996
Harvard Pilgrim Health Care 1992 - 1995
Harvard Pilgrim Health Care 1989 - 1992
Massachusetts Eye and Ear Infirmary 1985 - 1989
Skills
Leadership, Team Building, Project Management, Coaching, Management, Healthcare, Strategy, Workshop Facilitation, Hospitals, Managed Care, Process Improvement, Healthcare Management, Customer Service, Human Resources, Cross-functional Team..., Data Analysis, Program Management, Interviews, Change Management
Education
Plymouth State University
AS, Business
Salem State University
BS, Business
Massachusetts General Hospital January 2007 - Present
Tufts Health Plan 2004 - 2007
Tufts Health Plan 2001 - 2004
Tufts Health Plan 1999 - 2001
Harvard Pilgrim Health Care 1997 - 1998
Harvard Pilgrim Health Care 1996 - 1997
Harvard Pilgrim Health Care 1995 - 1996
Harvard Pilgrim Health Care 1992 - 1995
Harvard Pilgrim Health Care 1989 - 1992
Massachusetts Eye and Ear Infirmary 1985 - 1989
Skills
Leadership, Team Building, Project Management, Coaching, Management, Healthcare, Strategy, Workshop Facilitation, Hospitals, Managed Care, Process Improvement, Healthcare Management, Customer Service, Human Resources, Cross-functional Team..., Data Analysis, Program Management, Interviews, Change Management
Education
Plymouth State University
AS, Business
Salem State University
BS, Business
Brian Burchill's Tufts Health Plan Experience October 1995 - February 1999
Job Regional Vice President, Sales
Industry Health, Wellness and Fitness
Experience
Healthways February 2015 - Present
Harvard Pilgrim Health Care October 2001 - January 2015
CIGNA Health Care March 2000 - October 2001
New England Employee Benefits Group March 1999 - February 2000
Tufts Health Plan October 1995 - February 1999
Pilgrim Health Care August 1988 - October 1995
Skills
Health Insurance, Managed Care, Healthcare, Medicare, Healthcare Industry, HIPAA, Hospitals, Customer Service, Healthcare Management, Healthcare Consulting, Sales, Employee Benefits, Insurance, Employee Wellness..., Wellbeing, Disease Management, Wellness Coaching
Education
Providence College 1981 — 1985
Bachelor of Science (B.S.), Health Services Administration
Franklin High Shool 1977 — 1981
Healthways February 2015 - Present
Harvard Pilgrim Health Care October 2001 - January 2015
CIGNA Health Care March 2000 - October 2001
New England Employee Benefits Group March 1999 - February 2000
Tufts Health Plan October 1995 - February 1999
Pilgrim Health Care August 1988 - October 1995
Skills
Health Insurance, Managed Care, Healthcare, Medicare, Healthcare Industry, HIPAA, Hospitals, Customer Service, Healthcare Management, Healthcare Consulting, Sales, Employee Benefits, Insurance, Employee Wellness..., Wellbeing, Disease Management, Wellness Coaching
Education
Providence College 1981 — 1985
Bachelor of Science (B.S.), Health Services Administration
Franklin High Shool 1977 — 1981
Trish Murphy, CPC, HCS-D, COS-C, CCA Trish Murphy, CPC, HCS-D, COS-C, CCA's Tufts Health Plan Experience December 2011 - June 2013
Job HCC Physician Auditor III at Blue Cross Blue Shield of Massachusetts
Industry Hospital & Health Care
Experience
Blue Cross Blue Shield of Massachusetts June 2013 - Present
Fazzi Associates September 2009 - Present
Tufts Health Plan December 2011 - June 2013
VNA of Boston July 2008 - December 2009
Partners HealthCare May 2007 - January 2008
VNA Care Network October 2005 - May 2007
Skills
ICD-10, Medical Coding, CPT, ICD-9, Medicare, Clinical Research, Inpatient, Software Documentation, Training, Healthcare Management
Education
Clark University CCI 2005 — 2005
Master Certification, Medical Coding and Billing Specialist, ICD-9 and CPT coding
Quinnipiac University 1997 — 2002
B.S. Health Science Studies
Blue Cross Blue Shield of Massachusetts June 2013 - Present
Fazzi Associates September 2009 - Present
Tufts Health Plan December 2011 - June 2013
VNA of Boston July 2008 - December 2009
Partners HealthCare May 2007 - January 2008
VNA Care Network October 2005 - May 2007
Skills
ICD-10, Medical Coding, CPT, ICD-9, Medicare, Clinical Research, Inpatient, Software Documentation, Training, Healthcare Management
Education
Clark University CCI 2005 — 2005
Master Certification, Medical Coding and Billing Specialist, ICD-9 and CPT coding
Quinnipiac University 1997 — 2002
B.S. Health Science Studies
Tamar Karaguesian Tamar Karaguesian's Tufts Health Plan Experience January 2014 - Present
Job Member Service Supervisor at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan January 2014 - Present
Tufts Health Plan May 2011 - Present
Skills
Employee Benefits, Performance Management, Employee Relations
Education
Queens College
Bachelor's degree, Major in Psychology
Tufts Health Plan January 2014 - Present
Tufts Health Plan May 2011 - Present
Skills
Employee Benefits, Performance Management, Employee Relations
Education
Queens College
Bachelor's degree, Major in Psychology
Michael De Gruchy Michael De Gruchy's Tufts Health Plan Experience February 2012 - August 2012
Job Data Architect
Industry Information Technology and Services
Experience
Evariant December 2014 - July 2015
SCIO Health Analytics® August 2014 - December 2014
Pratt & Whitney August 2012 - August 2014
Tuft’s Health Plan February 2012 - August 2012
Travelers June 2011 - January 2012
Aetna February 2010 - June 2011
UnitedHealth Group December 2007 - December 2009
Skills
Data Warehousing, SDLC, Data Modeling, Business Analysis, Business Intelligence, Consulting, Requirements Analysis, Oracle, Vendor Management, DB2, Master Data Management, ETL, Data Integration, Data Warehouse..., Databases, Integration, Agile Methodologies, Microsoft SQL Server, Business Objects, Analytics, Dimensional Modeling, Teradata, IT Strategy, Management, Architecture, Enterprise Architecture, Solution Architecture, Leadership, Requirements Gathering, Software Project..., Analysis
Education
Rutgers University-New Brunswick 1996 — 2007
Computer Science, Philosophy
Evariant December 2014 - July 2015
SCIO Health Analytics® August 2014 - December 2014
Pratt & Whitney August 2012 - August 2014
Tuft’s Health Plan February 2012 - August 2012
Travelers June 2011 - January 2012
Aetna February 2010 - June 2011
UnitedHealth Group December 2007 - December 2009
Skills
Data Warehousing, SDLC, Data Modeling, Business Analysis, Business Intelligence, Consulting, Requirements Analysis, Oracle, Vendor Management, DB2, Master Data Management, ETL, Data Integration, Data Warehouse..., Databases, Integration, Agile Methodologies, Microsoft SQL Server, Business Objects, Analytics, Dimensional Modeling, Teradata, IT Strategy, Management, Architecture, Enterprise Architecture, Solution Architecture, Leadership, Requirements Gathering, Software Project..., Analysis
Education
Rutgers University-New Brunswick 1996 — 2007
Computer Science, Philosophy
Michael R. Mauger Michael R. Mauger's Tufts Health Plan Experience September 2010 - May 2012
Job Data Automation Engineer at Humedica/OptumAnalytics
Industry Information Technology and Services
Experience
Humedica/OptumAnalytics (UHG) November 2013 - Present
TechTarget October 2012 - June 2013
Tufts Health Plan September 2010 - May 2012
Fidelity Investments March 2007 - April 2010
Professional Alternative December 2003 - June 2008
Fidelity Investments September 2005 - April 2007
Bank of America December 2003 - August 2005
Valassis 1 to 1 Solutions November 2002 - November 2003
Fidelity Investments January 1999 - January 2002
Quadris Consulting 1995 - 1999
Skills
Databases, Architecture, Data Analysis, Software Design, PL/SQL, SQL, Database Design, Data Warehousing, Unix, Oracle SQL, Shell Scripting, Perl, Linux, Analysis, Problem Solving, Analytics, Data Mining, Relational Databases, Unix Shell Scripting, ETL, Oracle, Business Intelligence
Education
Rensselaer Polytechnic Institute 1980 — 1984
BS, Computer and Systems Engineering
Humedica/OptumAnalytics (UHG) November 2013 - Present
TechTarget October 2012 - June 2013
Tufts Health Plan September 2010 - May 2012
Fidelity Investments March 2007 - April 2010
Professional Alternative December 2003 - June 2008
Fidelity Investments September 2005 - April 2007
Bank of America December 2003 - August 2005
Valassis 1 to 1 Solutions November 2002 - November 2003
Fidelity Investments January 1999 - January 2002
Quadris Consulting 1995 - 1999
Skills
Databases, Architecture, Data Analysis, Software Design, PL/SQL, SQL, Database Design, Data Warehousing, Unix, Oracle SQL, Shell Scripting, Perl, Linux, Analysis, Problem Solving, Analytics, Data Mining, Relational Databases, Unix Shell Scripting, ETL, Oracle, Business Intelligence
Education
Rensselaer Polytechnic Institute 1980 — 1984
BS, Computer and Systems Engineering
Andrew Maglione's Tufts Health Plan Experience March 2012 - October 2014
Job Law Clerk at Donoghue Barrett & Singal
Industry Legal Services
Experience
Donoghue Barrett & Singal August 2015 - Present
Nelson Mullins May 2015 - August 2015
Donoghue, Barrett & Singal October 2014 - May 2015
Tufts Health Plan March 2012 - October 2014
Mapfre Commerce Insurance Insurance Company November 2011 - March 2012
Education
Suffolk University Law School 2012 — 2016
Juris Doctor, Law
Providence College 2007 — 2011
BA, Public and Community Service, Philosophy, Business, magna cum laude
Donoghue Barrett & Singal August 2015 - Present
Nelson Mullins May 2015 - August 2015
Donoghue, Barrett & Singal October 2014 - May 2015
Tufts Health Plan March 2012 - October 2014
Mapfre Commerce Insurance Insurance Company November 2011 - March 2012
Education
Suffolk University Law School 2012 — 2016
Juris Doctor, Law
Providence College 2007 — 2011
BA, Public and Community Service, Philosophy, Business, magna cum laude
Sourabh Gupta Sourabh Gupta's Tufts Health Plan Experience April 2010 - July 2010
Job
Industry Information Technology and Services
Experience
Kaiser Permanente September 2015 - Present
CSC September 2011 - October 2013
Premier Health Partners September 2011 - June 2012
TMG Health April 2011 - September 2011
Innovative Systems Group April 2011 - September 2011
Lockheed Martin February 2011 - April 2011
Centers for Medicare & Medicaid Services February 2011 - April 2011
Caterpillar Inc. July 2010 - January 2011
Accenture July 2010 - January 2011
Tufts Health Plan April 2010 - July 2010
Skills
Enterprise Architecture, Solution Architecture, Big Data Analytics, Business Intelligence, Data Warehousing, Hadoop, Data Modeling, ETL, Requirements Analysis, Business Analysis, ERP, SDLC, CRM, Data Integration, Cassandra, Requirements Gathering, Data Quality, Master Data Management, Data Migration, Business Process, Data Architecture, SOA, IT Strategy, Performance Tuning, Integration, Agile Methodologies, Oracle
Education
Ohio State University 2002 — 2004
BS
Rajiv Gandhi Prodyogiki Vishwavidyalaya 2000 — 2002
Bachelor’s Degree
Vaishnav Academy 1993 — 2000
High School
Kaiser Permanente September 2015 - Present
CSC September 2011 - October 2013
Premier Health Partners September 2011 - June 2012
TMG Health April 2011 - September 2011
Innovative Systems Group April 2011 - September 2011
Lockheed Martin February 2011 - April 2011
Centers for Medicare & Medicaid Services February 2011 - April 2011
Caterpillar Inc. July 2010 - January 2011
Accenture July 2010 - January 2011
Tufts Health Plan April 2010 - July 2010
Skills
Enterprise Architecture, Solution Architecture, Big Data Analytics, Business Intelligence, Data Warehousing, Hadoop, Data Modeling, ETL, Requirements Analysis, Business Analysis, ERP, SDLC, CRM, Data Integration, Cassandra, Requirements Gathering, Data Quality, Master Data Management, Data Migration, Business Process, Data Architecture, SOA, IT Strategy, Performance Tuning, Integration, Agile Methodologies, Oracle
Education
Ohio State University 2002 — 2004
BS
Rajiv Gandhi Prodyogiki Vishwavidyalaya 2000 — 2002
Bachelor’s Degree
Vaishnav Academy 1993 — 2000
High School
Jill Goulet's Tufts Health Plan Experience February 2002 - February 2006
Job Insurance Innovator
Industry Insurance
Experience
Sinclair RiskMangement March 2014 - Present
Sinclair Risk and Financial Management March 2014 - Present
Fallon Community Health Plan November 2006 - February 2014
Fallon Community Health Plan March 2006 - February 2014
Tufts Health Plan February 2002 - February 2006
Skills
Property & Casualty..., Commercial Insurance, General Insurance, Underwriting, Liability, Health Insurance, Brokers, Life Insurance, Legal Liability, Disability Insurance, Casualty, Professional Liability, Term Life Insurance, Commercial Lines, Claim, Umbrella Insurance, Workers Compensation, Fixed Annuities, Reinsurance
Education
Providence College 1996 — 2000
Markting / Communications
Saint Anselm College
Sinclair RiskMangement March 2014 - Present
Sinclair Risk and Financial Management March 2014 - Present
Fallon Community Health Plan November 2006 - February 2014
Fallon Community Health Plan March 2006 - February 2014
Tufts Health Plan February 2002 - February 2006
Skills
Property & Casualty..., Commercial Insurance, General Insurance, Underwriting, Liability, Health Insurance, Brokers, Life Insurance, Legal Liability, Disability Insurance, Casualty, Professional Liability, Term Life Insurance, Commercial Lines, Claim, Umbrella Insurance, Workers Compensation, Fixed Annuities, Reinsurance
Education
Providence College 1996 — 2000
Markting / Communications
Saint Anselm College
Carlos Amezquita's Tufts Health Plan Experience July 2011 - July 2015
Job Associate Mercer Marketplace
Industry Hospital & Health Care
Experience
Mercer July 2015 - Present
Tufts Health Plan July 2011 - July 2015
Tufts Health Plan December 2008 - July 2011
M.A.L. Transportation August 2007 - November 2008
YMCA of Greater New York May 2006 - August 2007
Ebenezer Realty Inc. April 2005 - May 2006
SUNY Maritime College March 2004 - February 2005
SUNY Downstate Medical Center April 1998 - March 2004
Skills
Training, Health Insurance, Customer Service, Marketing, Microsoft Excel, Employee Benefits, Public Speaking, Call Centers, Data Entry, Employee Relations, Microsoft Power Point, Microsoft Access, Microsoft Office, Clear understanding of..., Supervisory Experience, Sales, Time Management, Process Improvement, Healthcare, Medicare, HIPAA, Management, Data Analysis, Leadership
Education
Rocky Mountain College of Art + Design (RMCAD) 2015 — 2019
Bachelor's Of Arts, Graphic Design
George W. Wingate High School 1990 — 1994
High School Diploma, Flight Technology, Computer Tech
Mercer July 2015 - Present
Tufts Health Plan July 2011 - July 2015
Tufts Health Plan December 2008 - July 2011
M.A.L. Transportation August 2007 - November 2008
YMCA of Greater New York May 2006 - August 2007
Ebenezer Realty Inc. April 2005 - May 2006
SUNY Maritime College March 2004 - February 2005
SUNY Downstate Medical Center April 1998 - March 2004
Skills
Training, Health Insurance, Customer Service, Marketing, Microsoft Excel, Employee Benefits, Public Speaking, Call Centers, Data Entry, Employee Relations, Microsoft Power Point, Microsoft Access, Microsoft Office, Clear understanding of..., Supervisory Experience, Sales, Time Management, Process Improvement, Healthcare, Medicare, HIPAA, Management, Data Analysis, Leadership
Education
Rocky Mountain College of Art + Design (RMCAD) 2015 — 2019
Bachelor's Of Arts, Graphic Design
George W. Wingate High School 1990 — 1994
High School Diploma, Flight Technology, Computer Tech
Daniel Ciruolo Daniel Ciruolo's Tufts Health Plan Experience January 2015 - Present
Job Supervisor, Provider Account Management at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan January 2015 - Present
Tufts Health Plan May 2011 - January 2015
Tufts Health Plan August 2008 - May 2011
Skills
Medicare, Software Documentation, Lotus Notes, Technical Writing, Insurance, Access, Process Improvement, Data Analysis, Medicaid, Visio, Employee Benefits, Requirements Gathering, Microsoft Office, Customer Service, Customer Service..., Copy Editing, Training, Microsoft Excel, Public Speaking, Healthcare, Research, PowerPoint, Management
Education
Salem State University 2011 — 2014
Master of Business Administration (M.B.A.), Business Administration and Management, General
Saint Anselm College 2004 — 2008
Bachelor of Arts (B.A.), Psychology
Tufts Health Plan January 2015 - Present
Tufts Health Plan May 2011 - January 2015
Tufts Health Plan August 2008 - May 2011
Skills
Medicare, Software Documentation, Lotus Notes, Technical Writing, Insurance, Access, Process Improvement, Data Analysis, Medicaid, Visio, Employee Benefits, Requirements Gathering, Microsoft Office, Customer Service, Customer Service..., Copy Editing, Training, Microsoft Excel, Public Speaking, Healthcare, Research, PowerPoint, Management
Education
Salem State University 2011 — 2014
Master of Business Administration (M.B.A.), Business Administration and Management, General
Saint Anselm College 2004 — 2008
Bachelor of Arts (B.A.), Psychology
Christine Tilley Han's Tufts Health Plan Experience July 1997 - August 2000
Job VP of Marketing at Lycos, Inc.
Industry Internet
Experience
Lycos, Inc. April 2012 - October 2014
NameMedia May 2010 - December 2011
NameMedia October 2008 - May 2010
NameMedia October 2005 - October 2008
iProspect August 2004 - October 2005
iProspect July 2003 - August 2004
Lycos August 2000 - February 2003
Tufts Health Plan July 1997 - August 2000
Skills
Web Analytics, SEM, SEO, PPC, Online Advertising, E-commerce, Email Marketing, Digital Marketing, Google Analytics, Online Marketing, Lead Generation, Analytics, Omniture, Social Media Marketing, Organic Search, Marketing Strategy, Mobile Advertising, Strategy, Digital Media, Web Marketing, Affiliate Marketing, Start-ups, Social Media, Salesforce.com, Website Development, Advertising, Marketing, Mobile Marketing, Mobile Devices
Education
Providence College 1993 — 1997
BS
Lycos, Inc. April 2012 - October 2014
NameMedia May 2010 - December 2011
NameMedia October 2008 - May 2010
NameMedia October 2005 - October 2008
iProspect August 2004 - October 2005
iProspect July 2003 - August 2004
Lycos August 2000 - February 2003
Tufts Health Plan July 1997 - August 2000
Skills
Web Analytics, SEM, SEO, PPC, Online Advertising, E-commerce, Email Marketing, Digital Marketing, Google Analytics, Online Marketing, Lead Generation, Analytics, Omniture, Social Media Marketing, Organic Search, Marketing Strategy, Mobile Advertising, Strategy, Digital Media, Web Marketing, Affiliate Marketing, Start-ups, Social Media, Salesforce.com, Website Development, Advertising, Marketing, Mobile Marketing, Mobile Devices
Education
Providence College 1993 — 1997
BS
Arthur Roberge's Tufts Health Plan Experience November 2007 - August 2008
Job BSA|IT|Analyst|Project|Developer|Support| Database|Systems|Management
Industry Computer Software
Experience
Tufts Health Plan November 2007 - August 2008
PAREXEL December 2006 - October 2007
PRIVATE HEALTHCARE SYSTEMS January 2005 - December 2006
NEW ENGLAND BUSINESS SERVICE INC. September 1998 - August 2004
Education
Providence College
BSBA, Management
Tufts Health Plan November 2007 - August 2008
PAREXEL December 2006 - October 2007
PRIVATE HEALTHCARE SYSTEMS January 2005 - December 2006
NEW ENGLAND BUSINESS SERVICE INC. September 1998 - August 2004
Education
Providence College
BSBA, Management
Jane Gitto's Tufts Health Plan Experience Business Implemenation Program ManagerTufts Health Plan1995 - Present
Job Project Manager at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan Business Implemenation Program ManagerTufts Health Plan1995 - Present
Tufts Health Plan 1995 - 2010
Education
Quinnipiac University 1991 — 1995
Tufts Health Plan Business Implemenation Program ManagerTufts Health Plan1995 - Present
Tufts Health Plan 1995 - 2010
Education
Quinnipiac University 1991 — 1995
Elaina Puopolo's Tufts Health Plan Experience October 1996 - May 2000
Job Account Manager Epilepsy, Lundbeck
Industry Pharmaceuticals
Experience
Lundbeck September 2014 - Present
Sunovion Pharmaceuticals Inc. December 2010 - September 2014
UCB Inc July 2008 - December 2010
Abbott Laboratories June 2006 - August 2008
GlaxoSmithKline November 2003 - June 2006
AstraZeneca May 2000 - November 2003
Tufts Health Plan October 1996 - May 2000
Tufts Health Plan October 1996 - November 1998
Skills
Managed Care, Psychiatry, Pharmaceutical Sales, Neurology, Gastroenterology, Hospitals, Selling, Hospital Sales, Sales Operations
Education
Saint Michael's College 1992 — 1996
Bachelor of Arts, Political Science
Lundbeck September 2014 - Present
Sunovion Pharmaceuticals Inc. December 2010 - September 2014
UCB Inc July 2008 - December 2010
Abbott Laboratories June 2006 - August 2008
GlaxoSmithKline November 2003 - June 2006
AstraZeneca May 2000 - November 2003
Tufts Health Plan October 1996 - May 2000
Tufts Health Plan October 1996 - November 1998
Skills
Managed Care, Psychiatry, Pharmaceutical Sales, Neurology, Gastroenterology, Hospitals, Selling, Hospital Sales, Sales Operations
Education
Saint Michael's College 1992 — 1996
Bachelor of Arts, Political Science
Andrew Hostetter's Tufts Health Plan Experience November 2011 - December 2013
Job Senior Medical Economist, Risk Adjustment and Clinical Analytics at Senior Whole Health
Industry Insurance
Experience
Senior Whole Health January 2014 - Present
Tufts Health Plan November 2011 - December 2013
Security Health Plan June 2010 - November 2011
IMS Health June 2007 - March 2010
Skills
Healthcare, Insurance, Data Analysis, Predictive Modeling, Program Evaluation, Medicare Risk Adjustment, SAS, SQL, Statistical Software, Business Intelligence..., Data Modeling, Unix Shell Scripting
Education
University of Massachusetts at Lowell 2005 — 2009
M.S. Mathematics, Probability and Statistics
Rensselaer Polytechnic Institute 1999 — 2004
B.S. Management, Financial Systems
Senior Whole Health January 2014 - Present
Tufts Health Plan November 2011 - December 2013
Security Health Plan June 2010 - November 2011
IMS Health June 2007 - March 2010
Skills
Healthcare, Insurance, Data Analysis, Predictive Modeling, Program Evaluation, Medicare Risk Adjustment, SAS, SQL, Statistical Software, Business Intelligence..., Data Modeling, Unix Shell Scripting
Education
University of Massachusetts at Lowell 2005 — 2009
M.S. Mathematics, Probability and Statistics
Rensselaer Polytechnic Institute 1999 — 2004
B.S. Management, Financial Systems
Brian Ringuette's Tufts Health Plan Experience March 1999 - Present
Job IT Relationship Manager, Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan March 1999 - Present
Education
Providence College 1987 — 1991
BS, Accounting
Tufts Health Plan March 1999 - Present
Education
Providence College 1987 — 1991
BS, Accounting
Lisa Hazerjian's Tufts Health Plan Experience May 1993 - January 1994
Job Senior Instructional Designer/Project Manager at EMC
Industry Computer Hardware
Experience
EMC August 2009 - Present
Iconics December 2008 - July 2009
Micros-Retail (Datavantage) October 2001 - November 2008
TJX October 1999 - October 2001
TJX January 1994 - October 1999
Tufts Health Plan May 1993 - January 1994
Connecticut Mutual May 1990 - May 1993
The Hartford Courant July 1983 - May 1990
Skills
SnagIt, Articulate Studio, Storyline, Software Documentation, Instructional Design, E-Learning, Online Help, Technical Documentation, Testing, Project Management, Quality Assurance, Integration, Databases, Captivate, Training, Technical Training, Needs Analysis, Management, Technical Writing, Program Management
Education
The University of Connecticut 1985 — 1987
Roger Williams University 1983 — 1985
EMC August 2009 - Present
Iconics December 2008 - July 2009
Micros-Retail (Datavantage) October 2001 - November 2008
TJX October 1999 - October 2001
TJX January 1994 - October 1999
Tufts Health Plan May 1993 - January 1994
Connecticut Mutual May 1990 - May 1993
The Hartford Courant July 1983 - May 1990
Skills
SnagIt, Articulate Studio, Storyline, Software Documentation, Instructional Design, E-Learning, Online Help, Technical Documentation, Testing, Project Management, Quality Assurance, Integration, Databases, Captivate, Training, Technical Training, Needs Analysis, Management, Technical Writing, Program Management
Education
The University of Connecticut 1985 — 1987
Roger Williams University 1983 — 1985
Rena Freedman's Tufts Health Plan Experience 1997 - 2000
Job NonProfit Organization Management Professional
Industry Nonprofit Organization Management
Experience
MAXIMUS, Inc 2007 - Present
MAXIMUS January 2011 - July 2013
Tufts Health Plan 1997 - 2000
Harvard Pilgrim Healthcare 1989 - 1997
Harvard Pilgrim Health Care 1989 - 1997
Skills
Healthcare, Leadership, Invoicing, Program Management, Access, Strategic Planning, Customer Service, Medicare, Nonprofits, Training, Managed Care, Budgets, Medicaid, Financial Analysis, Employee Benefits, Performance Management, Policy, Project Management, Process Improvement, Business Analysis, HIPAA, Cross-functional Team...
Education
Northwestern University 1968 — 1970
MAXIMUS, Inc 2007 - Present
MAXIMUS January 2011 - July 2013
Tufts Health Plan 1997 - 2000
Harvard Pilgrim Healthcare 1989 - 1997
Harvard Pilgrim Health Care 1989 - 1997
Skills
Healthcare, Leadership, Invoicing, Program Management, Access, Strategic Planning, Customer Service, Medicare, Nonprofits, Training, Managed Care, Budgets, Medicaid, Financial Analysis, Employee Benefits, Performance Management, Policy, Project Management, Process Improvement, Business Analysis, HIPAA, Cross-functional Team...
Education
Northwestern University 1968 — 1970
Janelle Miller's Tufts Health Plan Experience 1995 - 1999
Job Sr. Product Manager for Clinical Content at PointClickCare
Industry Hospital & Health Care
Experience
PointClickCare April 2013 - Present
Milliman Care Guidelines April 2009 - April 2013
BCBSMA May 2003 - April 2009
McKesson Health Solutions April 1998 - May 2003
Tufts Health Plan 1995 - 1999
Sarasota Memorial Hospital 1993 - 1995
ResCare 1992 - 1993
The American College of Medical Quality 1989 - 1992
Skills
Utilization Management, Healthcare Information..., Managed Care, Healthcare, Disease Management, Medicare, Healthcare Management, Hospitals, EMR, Health Insurance, Process Improvement, Case Managment
Education
Nova Southeastern University 2001 — 2003
MBA, Business
University of Massachusetts at Lowell 1969 — 1973
BSN, Nursing
PointClickCare April 2013 - Present
Milliman Care Guidelines April 2009 - April 2013
BCBSMA May 2003 - April 2009
McKesson Health Solutions April 1998 - May 2003
Tufts Health Plan 1995 - 1999
Sarasota Memorial Hospital 1993 - 1995
ResCare 1992 - 1993
The American College of Medical Quality 1989 - 1992
Skills
Utilization Management, Healthcare Information..., Managed Care, Healthcare, Disease Management, Medicare, Healthcare Management, Hospitals, EMR, Health Insurance, Process Improvement, Case Managment
Education
Nova Southeastern University 2001 — 2003
MBA, Business
University of Massachusetts at Lowell 1969 — 1973
BSN, Nursing
Nani Hunjan McDonnell's Tufts Health Plan Experience July 1999 - October 2007
Job Vice President, National Accounts at PointClickCare
Industry Hospital & Health Care
Experience
PointClickCare September 2013 - Present
PointRight Inc. October 2010 - Present
PointRight August 2008 - October 2010
United Healthcare October 2007 - July 2008
Tufts Health Plan July 1999 - October 2007
PacifiCare Health Systems 1996 - 1999
Skills
Managed Care, Healthcare, Health Insurance, Access, Account Management, Analysis, Business Analysis, Business Development
Education
Punahou School
University of California, Los Angeles
University of Southern California
PointClickCare September 2013 - Present
PointRight Inc. October 2010 - Present
PointRight August 2008 - October 2010
United Healthcare October 2007 - July 2008
Tufts Health Plan July 1999 - October 2007
PacifiCare Health Systems 1996 - 1999
Skills
Managed Care, Healthcare, Health Insurance, Access, Account Management, Analysis, Business Analysis, Business Development
Education
Punahou School
University of California, Los Angeles
University of Southern California
Kathy Magno's Tufts Health Plan Experience
Job Financial Coordinator at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan
Skills
Health Insurance, Healthcare
Education
Providence College 1986 — 1990
Tufts Health Plan
Skills
Health Insurance, Healthcare
Education
Providence College 1986 — 1990
Ellie Brady's Tufts Health Plan Experience 1996 - 2006
Job Data Warehousing Test Lead at Blue Cross Blue Shield of Rhode Island
Industry Computer Software
Experience
Blue Cross Blue Shield of Rhode Island June 2009 - Present
John Hancock Life Insurance Company (U.S.A.) November 2007 - May 2009
McKesson Health Solutions December 2006 - October 2007
Tufts Health Plan 1996 - 2006
Skills
SDLC, User Acceptance Testing, Business Analysis, Requirements Analysis, Testing
Education
Providence College 1992 — 1996
Blue Cross Blue Shield of Rhode Island June 2009 - Present
John Hancock Life Insurance Company (U.S.A.) November 2007 - May 2009
McKesson Health Solutions December 2006 - October 2007
Tufts Health Plan 1996 - 2006
Skills
SDLC, User Acceptance Testing, Business Analysis, Requirements Analysis, Testing
Education
Providence College 1992 — 1996
Kathy Eld's Tufts Health Plan Experience January 1989 - Present
Job Director, Client Services at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan January 1989 - Present
Skills
Health Insurance, Insurance, Employee Benefits
Education
Regis College 1984 — 1988
Wellesley High School 1981 — 1984
Tufts Health Plan January 1989 - Present
Skills
Health Insurance, Insurance, Employee Benefits
Education
Regis College 1984 — 1988
Wellesley High School 1981 — 1984
Stephen Camper, JD, CIPP's Tufts Health Plan Experience April 2014 - Present
Job Medicaid Compliance Officer, Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan April 2014 - Present
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. April 2013 - April 2014
Kaiser Foundation Health Plan of Ohio August 2010 - April 2013
MedSolutions January 2009 - April 2010
Hartford Life January 2007 - June 2008
HealthMarkets January 2005 - January 2007
Health Net August 1999 - January 2005
Health Net August 1999 - September 2000
Oxford Health Plans January 1998 - August 1999
Blue Cross Blue Shield Texa April 1994 - January 1998
Skills
HIPAA, Medicaid, Insurance, Medicare, Contract Negotiation, ERISA, Managed Care, Healthcare, Claim, Employee Benefits, Privacy Law, Healthcare Management, Health Policy, Health Care Reform, Health Insurance, Healthcare Industry, Hospitals, Physicians, Compliance, Health Law, Leadership, Legal Writing, Legal Compliance, Licensing, Life Insurance, Management, Medical Compliance, Policy, Relationship Management, Training, Analysis, Healthcare Consulting, Provider Relations
Education
University of North Texas Health Science Center at Fort Worth 1995 — 1997
MPH
Saint Louis University School of Law 1987 — 1991
J.D.
University of California, Los Angeles 1980 — 1984
Tufts Health Plan April 2014 - Present
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. April 2013 - April 2014
Kaiser Foundation Health Plan of Ohio August 2010 - April 2013
MedSolutions January 2009 - April 2010
Hartford Life January 2007 - June 2008
HealthMarkets January 2005 - January 2007
Health Net August 1999 - January 2005
Health Net August 1999 - September 2000
Oxford Health Plans January 1998 - August 1999
Blue Cross Blue Shield Texa April 1994 - January 1998
Skills
HIPAA, Medicaid, Insurance, Medicare, Contract Negotiation, ERISA, Managed Care, Healthcare, Claim, Employee Benefits, Privacy Law, Healthcare Management, Health Policy, Health Care Reform, Health Insurance, Healthcare Industry, Hospitals, Physicians, Compliance, Health Law, Leadership, Legal Writing, Legal Compliance, Licensing, Life Insurance, Management, Medical Compliance, Policy, Relationship Management, Training, Analysis, Healthcare Consulting, Provider Relations
Education
University of North Texas Health Science Center at Fort Worth 1995 — 1997
MPH
Saint Louis University School of Law 1987 — 1991
J.D.
University of California, Los Angeles 1980 — 1984
Erika Puda's Tufts Health Plan Experience January 1994 - October 1997
Job Secretary at UMass Memorial Medical Center
Industry Marketing and Advertising
Experience
UMass Memorial Medical Center February 2015 - Present
Northbridge Public Schools January 2008 - Present
Excel Physical Therapy & Rehabilitation May 2012 - November 2012
UnitedHealthcare October 1997 - August 1998
Tufts Health Plan January 1994 - October 1997
Education
Saint Bonaventure University 1988 — 1992
Bachelor of Business Administration, Marketing
UMass Memorial Medical Center February 2015 - Present
Northbridge Public Schools January 2008 - Present
Excel Physical Therapy & Rehabilitation May 2012 - November 2012
UnitedHealthcare October 1997 - August 1998
Tufts Health Plan January 1994 - October 1997
Education
Saint Bonaventure University 1988 — 1992
Bachelor of Business Administration, Marketing
Kathy Dudley Youngs's Tufts Health Plan Experience November 1995 - Present
Job Program Manager Clinical Outcomes at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan November 1995 - Present
Tufts Health Plan November 1995 - Present
BC/BS of Ma 1992 - 1995
Skills
Healthcare, Program Management, Leadership, Management, Healthcare Management, Clinical Research, Managed Care, Medicare, Healthcare Information..., Health Policy, Healthcare Consulting, Hospitals, Medicaid, Insurance, Utilization Management, Disease Management, EHR, Health Insurance, Process Improvement, HIPAA
Education
Regis College 1979 — 1981
Nursing
St. Elizabeths School of Nursing 1977 — 1980
Nursing, College/University Preparatory and Advanced High School/Secondary Diploma Program
Woburn High School 1972 — 1977
Diploma
Tufts Health Plan November 1995 - Present
Tufts Health Plan November 1995 - Present
BC/BS of Ma 1992 - 1995
Skills
Healthcare, Program Management, Leadership, Management, Healthcare Management, Clinical Research, Managed Care, Medicare, Healthcare Information..., Health Policy, Healthcare Consulting, Hospitals, Medicaid, Insurance, Utilization Management, Disease Management, EHR, Health Insurance, Process Improvement, HIPAA
Education
Regis College 1979 — 1981
Nursing
St. Elizabeths School of Nursing 1977 — 1980
Nursing, College/University Preparatory and Advanced High School/Secondary Diploma Program
Woburn High School 1972 — 1977
Diploma
Lisa (Lisa Wolk) Warren's Tufts Health Plan Experience March 2014 - Present
Job Project Implementation Specialist Senior at Tufts Health Plan
Industry Health, Wellness and Fitness
Experience
Tufts Health Plan March 2014 - Present
Tufts Health Plan November 2012 - March 2014
Grand Circle Corporation February 2011 - October 2012
JPMorgan Chase July 2008 - December 2008
JPMorgan Chase June 2007 - July 2008
JPMorgan Chase May 2006 - June 2007
Brown Brothers Harriman 2004 - 2006
Blue Man Group 2004 - 2005
Skills
Microsoft Excel, Financial Analysis, Data Analysis, Research, Microsoft Office, Forecasting, Staffing Plans, Workforce Management, Aspect, Business Analysis, Management, Team Building, Program Management
Education
Northwestern University 2000 — 2004
Bachelor of Arts, Economics
Silver Lake 1996 — 2000
Tufts Health Plan March 2014 - Present
Tufts Health Plan November 2012 - March 2014
Grand Circle Corporation February 2011 - October 2012
JPMorgan Chase July 2008 - December 2008
JPMorgan Chase June 2007 - July 2008
JPMorgan Chase May 2006 - June 2007
Brown Brothers Harriman 2004 - 2006
Blue Man Group 2004 - 2005
Skills
Microsoft Excel, Financial Analysis, Data Analysis, Research, Microsoft Office, Forecasting, Staffing Plans, Workforce Management, Aspect, Business Analysis, Management, Team Building, Program Management
Education
Northwestern University 2000 — 2004
Bachelor of Arts, Economics
Silver Lake 1996 — 2000
Jennifer Carbone's Tufts Health Plan Experience 2001 - 2007
Job Director of Provider Service at Blue Cross Blue Shield of Massachusetts
Industry Hospital & Health Care
Experience
Blue Cross Blue Shield of Massachusetts April 2013 - Present
Blue Cross Blue Shield of Massachusetts February 2012 - Present
Blue Cross Blue Shield of Massachusetts April 2007 - February 2012
Tufts Health Plan 2001 - 2007
Harvard Pilgrim Health Care 1995 - 2001
John Hancock Life Insurance Company (U.S.A.) 1991 - 1993
Skills
Healthcare, Health Insurance, Insurance, Managed Care, Call Centers, Knowledge Sharing, Process Improvement, Management, Strategy, Call Center, Mentoring
Education
Salem State College 1987 — 1991
Bachelor of Science (BS), Business Administration, Management and Marketing
Blue Cross Blue Shield of Massachusetts April 2013 - Present
Blue Cross Blue Shield of Massachusetts February 2012 - Present
Blue Cross Blue Shield of Massachusetts April 2007 - February 2012
Tufts Health Plan 2001 - 2007
Harvard Pilgrim Health Care 1995 - 2001
John Hancock Life Insurance Company (U.S.A.) 1991 - 1993
Skills
Healthcare, Health Insurance, Insurance, Managed Care, Call Centers, Knowledge Sharing, Process Improvement, Management, Strategy, Call Center, Mentoring
Education
Salem State College 1987 — 1991
Bachelor of Science (BS), Business Administration, Management and Marketing
Laura Ryder's Tufts Health Plan Experience September 2014 - Present
Job Program Manager, Health Programs, Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan September 2014 - Present
Blue Cross Blue Shield of Massachusetts 2012 - 2014
Blue Cross Blue Shield of Massachusetts 2007 - 2012
Blue Cross Blue Shield of Massachusetts 2006 - 2007
Blue Cross Blue Shield of Massachusetts 2004 - 2006
Education
Quincy College 1992 — 1995
Associate of Arts and Sciences (A.A.S.), Registered Nursing/Registered Nurse
Tufts Health Plan September 2014 - Present
Blue Cross Blue Shield of Massachusetts 2012 - 2014
Blue Cross Blue Shield of Massachusetts 2007 - 2012
Blue Cross Blue Shield of Massachusetts 2006 - 2007
Blue Cross Blue Shield of Massachusetts 2004 - 2006
Education
Quincy College 1992 — 1995
Associate of Arts and Sciences (A.A.S.), Registered Nursing/Registered Nurse
Heather (Dunn) Cooke's Tufts Health Plan Experience March 1998 - May 2002
Job Healthcare Contract Manager at Blue Cross Blue Shield of MA
Industry Hospital & Health Care
Experience
Blue Cross Blue Shield of Massachusetts August 2006 - Present
Blue Cross Blue Shield of Massachusetts June 2003 - May 2005
Tufts Health Plan March 1998 - May 2002
Tufts Health Plan September 1996 - March 1998
Tufts Health Plan March 1996 - September 1996
Cost Care, Inc August 1994 - March 1996
Cost Care Inc. September 1993 - August 1994
Skills
Contract Negotiation, Managed Care, MS Project, Visio, Pharmacy, Medicare, Health Policy, Program Management, Microsoft Office, Provider Relations, Project Management, Healthcare Management, Management, Process Improvement
Education
Providence College 1989 — 1993
Bachelor of Arts (B.A.), Economics
Somerset High School 1985 — 1989
Blue Cross Blue Shield of Massachusetts August 2006 - Present
Blue Cross Blue Shield of Massachusetts June 2003 - May 2005
Tufts Health Plan March 1998 - May 2002
Tufts Health Plan September 1996 - March 1998
Tufts Health Plan March 1996 - September 1996
Cost Care, Inc August 1994 - March 1996
Cost Care Inc. September 1993 - August 1994
Skills
Contract Negotiation, Managed Care, MS Project, Visio, Pharmacy, Medicare, Health Policy, Program Management, Microsoft Office, Provider Relations, Project Management, Healthcare Management, Management, Process Improvement
Education
Providence College 1989 — 1993
Bachelor of Arts (B.A.), Economics
Somerset High School 1985 — 1989
Gabriela Tanaka's Tufts Health Plan Experience April 2006 - August 2007
Job Customer Service, Biomerieux
Industry Biotechnology
Experience
bioMerieux August 2009 - December 2011
bioMerieux October 2007 - August 2009
Tufts Health Plan April 2006 - August 2007
Interim Healthcare 2003 - 2006
LifePlans, Inc. 2001 - 2003
Education
Salem State University 1999 — 2001
bioMerieux August 2009 - December 2011
bioMerieux October 2007 - August 2009
Tufts Health Plan April 2006 - August 2007
Interim Healthcare 2003 - 2006
LifePlans, Inc. 2001 - 2003
Education
Salem State University 1999 — 2001
Diana Hsu's Tufts Health Plan Experience December 2008 - June 2010
Job Consultant at CIBC
Industry Libraries
Experience
CIBC October 2014 - Present
New Eastern Star Education Group May 2013 - July 2014
Harvard Law School November 2011 - May 2012
Harvard University Libraries April 2011 - June 2011
Harvard Medical School February 2011 - May 2011
Harvard University Herbaria October 2010 - December 2010
Tufts Health Plan December 2008 - June 2010
William B Meyer October 2007 - October 2008
Borders Books and Music October 2007 - February 2008
RPI Helpdesk August 2006 - May 2007
Skills
Cataloging, Aleph, Library, Metadata, Customer Service, Microsoft Office, Microsoft Word, Microsoft Excel, Organization Skills, Intercultural..., Interpersonal Skills, Mandarin Chinese, Social Media
Education
Simmons College 2009 — 2011
Masters, Library and Information Science; Preservation Management
Rensselaer Polytechnic Institute 2003 — 2007
BS, Psychology
CIBC October 2014 - Present
New Eastern Star Education Group May 2013 - July 2014
Harvard Law School November 2011 - May 2012
Harvard University Libraries April 2011 - June 2011
Harvard Medical School February 2011 - May 2011
Harvard University Herbaria October 2010 - December 2010
Tufts Health Plan December 2008 - June 2010
William B Meyer October 2007 - October 2008
Borders Books and Music October 2007 - February 2008
RPI Helpdesk August 2006 - May 2007
Skills
Cataloging, Aleph, Library, Metadata, Customer Service, Microsoft Office, Microsoft Word, Microsoft Excel, Organization Skills, Intercultural..., Interpersonal Skills, Mandarin Chinese, Social Media
Education
Simmons College 2009 — 2011
Masters, Library and Information Science; Preservation Management
Rensselaer Polytechnic Institute 2003 — 2007
BS, Psychology
Marjorie Blundon's Tufts Health Plan Experience 1997 - 2003
Job Project Specialist at Massachusetts General Hospital
Industry Hospital & Health Care
Experience
Massachusetts General Hospital PHS Radiology Project ManagerPartners Healthcare2008 - Present
Tufts Health Plan 1997 - 2003
Digital Equipment Corporation 1979 - 1992
Digital Equipment Corporation 1979 - 1992
Digital Equipment Corporation 1979 - 1992
Digital Equipment Corporation 1979 - 1992
Education
Rivier College
Massachusetts General Hospital PHS Radiology Project ManagerPartners Healthcare2008 - Present
Tufts Health Plan 1997 - 2003
Digital Equipment Corporation 1979 - 1992
Digital Equipment Corporation 1979 - 1992
Digital Equipment Corporation 1979 - 1992
Digital Equipment Corporation 1979 - 1992
Education
Rivier College
Susan Murphy, PMP's Tufts Health Plan Experience July 2013 - Present
Job Project Manager, Business Implementation at Tufts Health Plan
Industry Information Technology and Services
Experience
Tufts Health Plan July 2013 - Present
OneShield 2009 - 2013
CGI Technologies & Solutions, Inc. 2003 - 2008
CGI 1998 - 2003
CGI 1994 - 1998
Fred C. Church, Insurance Agency 1984 - 1994
Skills
Project Management, Business Analysis, SDLC, Requirements Gathering, Requirements Analysis, Insurance, Vendor Management, Business Process..., Software Project..., Process Improvement, Program Management, Business Intelligence, Change Management, Business Process, PMO, SharePoint, Property & Casualty..., CRM, IT Strategy, Agile Methodologies, Underwriting, Business Requirements
Education
Rivier College
Bachelor of Science, Business Management
Tufts Health Plan July 2013 - Present
OneShield 2009 - 2013
CGI Technologies & Solutions, Inc. 2003 - 2008
CGI 1998 - 2003
CGI 1994 - 1998
Fred C. Church, Insurance Agency 1984 - 1994
Skills
Project Management, Business Analysis, SDLC, Requirements Gathering, Requirements Analysis, Insurance, Vendor Management, Business Process..., Software Project..., Process Improvement, Program Management, Business Intelligence, Change Management, Business Process, PMO, SharePoint, Property & Casualty..., CRM, IT Strategy, Agile Methodologies, Underwriting, Business Requirements
Education
Rivier College
Bachelor of Science, Business Management
Diane Clifton's Tufts Health Plan Experience July 2007 - Present
Job Technical Communications Team Lead at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan July 2007 - Present
Tufts Health Plan April 2002 - July 2007
eMed Technologies May 2000 - February 2002
Data Medic November 1998 - May 2000
GammaGraphX, Inc. June 1997 - November 1998
Tufts Health Plan January 1993 - June 1997
National Medical Care March 1990 - January 1993
Wang Laboratories May 1983 - September 1989
Skills
Technical Writing, Online Help Development, FrameMaker, Word, Web Design, HTML, RoboHelp, Captivate, Dreamweaver, Adobe Technical..., Microsoft Word, Project Management, Online Help, Technical Communication, Software Documentation, Manuals, Editing, Documentation
Education
Northeastern University 1987 — 1989
Technical Writing Certificate
Regis College 1977 — 1981
B.A., English
Tufts Health Plan July 2007 - Present
Tufts Health Plan April 2002 - July 2007
eMed Technologies May 2000 - February 2002
Data Medic November 1998 - May 2000
GammaGraphX, Inc. June 1997 - November 1998
Tufts Health Plan January 1993 - June 1997
National Medical Care March 1990 - January 1993
Wang Laboratories May 1983 - September 1989
Skills
Technical Writing, Online Help Development, FrameMaker, Word, Web Design, HTML, RoboHelp, Captivate, Dreamweaver, Adobe Technical..., Microsoft Word, Project Management, Online Help, Technical Communication, Software Documentation, Manuals, Editing, Documentation
Education
Northeastern University 1987 — 1989
Technical Writing Certificate
Regis College 1977 — 1981
B.A., English
Mark Bittig's Tufts Health Plan Experience February 2009 - July 2009
Job Principal Engineer at ACI Worldwide
Industry Financial Services
Experience
ACI Worldwide August 2009 - Present
Tufts Health Plan February 2009 - July 2009
ACI Worldwide (formerly P&H Solutions) 2005 - 2009
P&H Solutions 2001 - 2005
Politzer & Haney 1997 - 2001
Politer & Haney 1994 - 1997
Education
Penn State University 1990 — 1992
Bachelors of Science, Electrical Engineering
ACI Worldwide August 2009 - Present
Tufts Health Plan February 2009 - July 2009
ACI Worldwide (formerly P&H Solutions) 2005 - 2009
P&H Solutions 2001 - 2005
Politzer & Haney 1997 - 2001
Politer & Haney 1994 - 1997
Education
Penn State University 1990 — 1992
Bachelors of Science, Electrical Engineering
Jennifer Arseneaux's Tufts Health Plan Experience 1998 - 2005
Job Benefit Analyst at NFP Corporate Services (NY)
Industry Insurance
Experience
NFP Corporate Services (NY) January 2015 - Present
EBS Foran Insurance 2006 - Present
Tufts Health Plan 1998 - 2005
Roger Williams University 1993 - 1995
Skills
Health Savings Accounts, Insurance, Health Insurance, Medicare, Underwriting, Employee Benefits, Claim, Managed Care, Provider Relations, HIPAA, Health Care Reform, Healthcare, COBRA, Flexible Spending..., Online Enrollment, PPO, Group Insurance, Self-funded, Brokers, Workers Compensation
Education
Roger Williams University
Salem State College
NFP Corporate Services (NY) January 2015 - Present
EBS Foran Insurance 2006 - Present
Tufts Health Plan 1998 - 2005
Roger Williams University 1993 - 1995
Skills
Health Savings Accounts, Insurance, Health Insurance, Medicare, Underwriting, Employee Benefits, Claim, Managed Care, Provider Relations, HIPAA, Health Care Reform, Healthcare, COBRA, Flexible Spending..., Online Enrollment, PPO, Group Insurance, Self-funded, Brokers, Workers Compensation
Education
Roger Williams University
Salem State College
Laura Ludwig's Tufts Health Plan Experience November 2013 - Present
Job Provider Engagement Clinical Consultant at Tufts Health Plan
Industry Health, Wellness and Fitness
Experience
Tufts Health Plan November 2013 - Present
Tufts Health Plan September 2012 - November 2013
Caretenders/Almost Family May 2010 - September 2012
Season's Hospice & Palliative Care January 2009 - May 2010
East Boston Neighborhood Health Center 2000 - 2001
Skills
Home Care, Nursing, Healthcare, Healthcare Management, Managed Care, Hospitals, Medicare, Acute Care, Medicaid, Elder Care, Clinical Research, Case Management, Healthcare Information..., HIPAA, EMR, Healthcare Consulting, Utilization Management, Disease Management, Patient Advocacy, Healthcare Industry, Customer Service, Management, Strategic Planning
Education
Salem State University 1973 — 1977
Bachelors, Nursing
Tufts Health Plan November 2013 - Present
Tufts Health Plan September 2012 - November 2013
Caretenders/Almost Family May 2010 - September 2012
Season's Hospice & Palliative Care January 2009 - May 2010
East Boston Neighborhood Health Center 2000 - 2001
Skills
Home Care, Nursing, Healthcare, Healthcare Management, Managed Care, Hospitals, Medicare, Acute Care, Medicaid, Elder Care, Clinical Research, Case Management, Healthcare Information..., HIPAA, EMR, Healthcare Consulting, Utilization Management, Disease Management, Patient Advocacy, Healthcare Industry, Customer Service, Management, Strategic Planning
Education
Salem State University 1973 — 1977
Bachelors, Nursing
Radhika Madhi's Tufts Health Plan Experience October 2001 - June 2002
Job IT Manager. Digital Engineering at hibu
Industry Information Technology and Services
Experience
hibu March 2014 - Present
GSI Commerce April 2007 - March 2014
Independence Blue Cross October 2006 - February 2007
CIGNA November 2003 - September 2006
Great-West Life & Annuity Insurance September 2002 - October 2003
TUFTS Health Plan October 2001 - June 2002
Indo Hong Kong Int'l Fin Ltd. (DTC), January 1998 - August 2001
Skills
SDLC, Quality Assurance, Testing, Integration, Requirements Analysis, Agile Methodologies, Project Management, Software Project..., Business Analysis, Business Process, Quality Center, Business Requirements, Databases, Oracle, Scrum, Software Development, Software Documentation, Test Management, Vendor Management, Visio, User Acceptance Testing, SQL, Requirements Gathering, Six Sigma, Resource Management, Regression Testing, Project Portfolio..., XML, SharePoint, Test Automation, Manual Testing, Integration Testing, Six Sigma Green Belt...
Education
Osmania University 1991 — 1995
Bachelor of Commerce (B.Com.), Accounting
Osmania University
hibu March 2014 - Present
GSI Commerce April 2007 - March 2014
Independence Blue Cross October 2006 - February 2007
CIGNA November 2003 - September 2006
Great-West Life & Annuity Insurance September 2002 - October 2003
TUFTS Health Plan October 2001 - June 2002
Indo Hong Kong Int'l Fin Ltd. (DTC), January 1998 - August 2001
Skills
SDLC, Quality Assurance, Testing, Integration, Requirements Analysis, Agile Methodologies, Project Management, Software Project..., Business Analysis, Business Process, Quality Center, Business Requirements, Databases, Oracle, Scrum, Software Development, Software Documentation, Test Management, Vendor Management, Visio, User Acceptance Testing, SQL, Requirements Gathering, Six Sigma, Resource Management, Regression Testing, Project Portfolio..., XML, SharePoint, Test Automation, Manual Testing, Integration Testing, Six Sigma Green Belt...
Education
Osmania University 1991 — 1995
Bachelor of Commerce (B.Com.), Accounting
Osmania University
Jeff Holbrook's Tufts Health Plan Experience 1999 - 2000
Job Sales Executive at McKesson Health Solutions
Industry Hospital & Health Care
Experience
McKesson Health Solutions 2005 - Present
ViaCell 2001 - 2005
Ovum 2000 - 2001
Tufts Health Plan 1999 - 2000
Tufts Health Plan 1998 - 1999
Tufts Health Plan 1996 - 1998
Education
Providence College
BS, Health Policy & Management
McKesson Health Solutions 2005 - Present
ViaCell 2001 - 2005
Ovum 2000 - 2001
Tufts Health Plan 1999 - 2000
Tufts Health Plan 1998 - 1999
Tufts Health Plan 1996 - 1998
Education
Providence College
BS, Health Policy & Management
David Shemligian's Tufts Health Plan Experience 1992 - 1993
Job Property Management
Industry Real Estate
Experience
Self Employed June 2003 - Present
State Street Bank September 1995 - October 2003
Putnam Investments 1994 - 1995
Liberty Funds Group 1993 - 1994
Tufts Health Plan 1992 - 1993
Education
Providence College 1986 — 1990
BA, Sociology
The Rivers School 1982 — 1986
Liberal Arts
Self Employed June 2003 - Present
State Street Bank September 1995 - October 2003
Putnam Investments 1994 - 1995
Liberty Funds Group 1993 - 1994
Tufts Health Plan 1992 - 1993
Education
Providence College 1986 — 1990
BA, Sociology
The Rivers School 1982 — 1986
Liberal Arts
Matthew Dromgoole's Tufts Health Plan Experience October 2012 - Present
Job Senior Underwriter at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan October 2012 - Present
Towers Watson January 2012 - October 2012
Health Net June 2008 - January 2012
Kaiser Permanente October 2007 - May 2008
UnitedHealth Group March 2007 - October 2007
PacifiCare Health Systems December 2004 - February 2007
Aetna July 2001 - November 2004
Skills
Underwriting, Employee Benefits, Risk, Health Insurance
Education
Quinnipiac University - School of Business 2002 — 2010
Master of Business Administration (MBA)
Siena College 1997 — 2001
Bachelor of Science (BS), Finance
Tufts Health Plan October 2012 - Present
Towers Watson January 2012 - October 2012
Health Net June 2008 - January 2012
Kaiser Permanente October 2007 - May 2008
UnitedHealth Group March 2007 - October 2007
PacifiCare Health Systems December 2004 - February 2007
Aetna July 2001 - November 2004
Skills
Underwriting, Employee Benefits, Risk, Health Insurance
Education
Quinnipiac University - School of Business 2002 — 2010
Master of Business Administration (MBA)
Siena College 1997 — 2001
Bachelor of Science (BS), Finance
Jenna Casavant's Tufts Health Plan Experience July 2009 - December 2009
Job Support Consultant at Interactive Data
Industry Financial Services
Experience
Interactive Data October 2011 - January 2014
Interactive Data November 2010 - October 2011
Interactive Data February 2010 - November 2010
Tufts Health Plan July 2009 - December 2009
Satinbox Company June 2009 - July 2009
HLB PR April 2008 - April 2008
National Boston May 2007 - August 2007
Skills
Public Relations, PowerPoint, Proofreading, Facebook, Sales, Outlook, Blogging, Marketing, Microsoft Word, Microsoft Excel
Education
Penn State University 2004 — 2008
Bachelor of Arts, Journalism, Sociology
Woburn Memorial High School 2000 — 2004
High school diploma
Interactive Data October 2011 - January 2014
Interactive Data November 2010 - October 2011
Interactive Data February 2010 - November 2010
Tufts Health Plan July 2009 - December 2009
Satinbox Company June 2009 - July 2009
HLB PR April 2008 - April 2008
National Boston May 2007 - August 2007
Skills
Public Relations, PowerPoint, Proofreading, Facebook, Sales, Outlook, Blogging, Marketing, Microsoft Word, Microsoft Excel
Education
Penn State University 2004 — 2008
Bachelor of Arts, Journalism, Sociology
Woburn Memorial High School 2000 — 2004
High school diploma
NICOLE (Rudolph) Chamuel's Tufts Health Plan Experience 1995 - 1998
Job Senior Sales Professional at Pfizer
Industry Pharmaceuticals
Experience
Pfizer December 1998 - Present
Tufts Health Plan 1995 - 1998
Education
Quinnipiac University - School of Business
Bachelor of Science, Marketing/Health Care Management
Pfizer December 1998 - Present
Tufts Health Plan 1995 - 1998
Education
Quinnipiac University - School of Business
Bachelor of Science, Marketing/Health Care Management
Bill Pappalardo's Tufts Health Plan Experience September 2000 - Present
Job IT Director at Tufts Health Plan
Industry Information Services
Experience
Tufts Health Plan September 2000 - Present
Reasoning September 1997 - August 2000
Education
Salem State University 1978 — 1982
BS, Math / Computer Science
Tufts Health Plan September 2000 - Present
Reasoning September 1997 - August 2000
Education
Salem State University 1978 — 1982
BS, Math / Computer Science
Jean Marie Wall's Tufts Health Plan Experience June 1997 - June 1999
Job Library Asst. Paraprofessional
Industry Information Technology and Services
Experience
Elementary school September 2009 - June 2014
ACT - Company closed September 1999 - April 2001
Tufts Health Plan June 1997 - June 1999
M/A-COM 1992 - 1997
M/A-COM (Omni Spectra, Inc.) 1986 - 1992
Skills
Program Management, EDI, SQL, Business Analysis, Windows, Project Management, Microsoft Office, Customer Service, Microsoft SQL Server, HTML, Change Management, Linux, XML, Requirements Analysis, Software Development, Strategic Planning, Team Leadership, Library Instruction, Library Management, Classroom Instruction, Dewey Decimal System, Problem Solving, Time Management, School Library Media
Education
New Hampshire College
Bachelor of Science (BS), Management Information Systems, General
Rivier College
Associate of Science (A.S.), Mathematics and Computer Science
Elementary school September 2009 - June 2014
ACT - Company closed September 1999 - April 2001
Tufts Health Plan June 1997 - June 1999
M/A-COM 1992 - 1997
M/A-COM (Omni Spectra, Inc.) 1986 - 1992
Skills
Program Management, EDI, SQL, Business Analysis, Windows, Project Management, Microsoft Office, Customer Service, Microsoft SQL Server, HTML, Change Management, Linux, XML, Requirements Analysis, Software Development, Strategic Planning, Team Leadership, Library Instruction, Library Management, Classroom Instruction, Dewey Decimal System, Problem Solving, Time Management, School Library Media
Education
New Hampshire College
Bachelor of Science (BS), Management Information Systems, General
Rivier College
Associate of Science (A.S.), Mathematics and Computer Science
Maura MacLean's Tufts Health Plan Experience September 2001 - June 2005
Job Contracting Manager at CeltiCare Health Plan of Massachusetts, Inc.
Industry Hospital & Health Care
Experience
CeltiCare Health Plan of Massachusetts, Inc. March 2014 - Present
Hallmark Health System, Inc. June 2005 - March 2014
Tufts Health Plan September 2001 - June 2005
Skills
Healthcare, Healthcare Management, HIPAA, Managed Care, Hospitals, Medicare, Health Insurance, Strategic Planning, Project Management, Outlook, Microsoft Office, Team Building
Education
Regis College 1982 — 1986
Bachelor's, Biochemistry
Hendrik's Institute 1999 — 2000
Certificate, Graphic and Web Design
Barnstable High School 1979 — 1982
General, College preparatory
CeltiCare Health Plan of Massachusetts, Inc. March 2014 - Present
Hallmark Health System, Inc. June 2005 - March 2014
Tufts Health Plan September 2001 - June 2005
Skills
Healthcare, Healthcare Management, HIPAA, Managed Care, Hospitals, Medicare, Health Insurance, Strategic Planning, Project Management, Outlook, Microsoft Office, Team Building
Education
Regis College 1982 — 1986
Bachelor's, Biochemistry
Hendrik's Institute 1999 — 2000
Certificate, Graphic and Web Design
Barnstable High School 1979 — 1982
General, College preparatory
Julie Sober's Tufts Health Plan Experience January 2009 - Present
Job EDI Analyst at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan January 2009 - Present
Tufts Health Plan September 2006 - December 2008
Skills
Health Insurance, Excel, PowerPoint, Word, Customer Service, Microsoft Office, Lotus Notes, Insurance, EDI, Customer Relations, Problem Solving, Microsoft Excel, Microsoft Word, Business Analysis, Healthcare
Education
Penn State University 1997 — 2001
Business Marketing
Tufts Health Plan January 2009 - Present
Tufts Health Plan September 2006 - December 2008
Skills
Health Insurance, Excel, PowerPoint, Word, Customer Service, Microsoft Office, Lotus Notes, Insurance, EDI, Customer Relations, Problem Solving, Microsoft Excel, Microsoft Word, Business Analysis, Healthcare
Education
Penn State University 1997 — 2001
Business Marketing
Brenden Powers's Tufts Health Plan Experience November 2014 - Present
Job Healthcare Analyst at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan November 2014 - Present
State Street Alternative Investment Solutions February 2013 - October 2014
Marshfield A & H Society June 2004 - February 2012
Beecher Carlson June 2010 - August 2010
Skills
Microsoft Excel, SAS programming, PowerPoint, Project Management, SPSS, Financial Modeling, Cognos, Healthcare Analytics, Predictive Modeling, SQL, Access, Relational Databases, Microsoft Office
Education
Providence College 2008 — 2012
B.A., Business Economics; History
Boston College High School 2004 — 2008
Tufts Health Plan November 2014 - Present
State Street Alternative Investment Solutions February 2013 - October 2014
Marshfield A & H Society June 2004 - February 2012
Beecher Carlson June 2010 - August 2010
Skills
Microsoft Excel, SAS programming, PowerPoint, Project Management, SPSS, Financial Modeling, Cognos, Healthcare Analytics, Predictive Modeling, SQL, Access, Relational Databases, Microsoft Office
Education
Providence College 2008 — 2012
B.A., Business Economics; History
Boston College High School 2004 — 2008
Matthew Olander's Tufts Health Plan Experience 2013 - May 2014
Job Senior Patient Accounting Manager
Industry Hospital & Health Care
Experience
Dana-Farber Cancer Institute June 2014 - August 2015
Tufts Health Plan 2013 - May 2014
Tufts Medical Center February 2008 - November 2012
Skills
Revenue Cycle, Hospitals, Healthcare, Performance Management, Data Analysis, Management, Team Management, Staff Development, Customer Service, patient flow, KPI Dashboards, SDK, Healthcare Management, patient satisfaction, Microsoft Office, Strategic Planning, Problem Solving
Education
Providence College
BS, Marketing
Quinnipiac University - School of Business
MBA, Management
Dana-Farber Cancer Institute June 2014 - August 2015
Tufts Health Plan 2013 - May 2014
Tufts Medical Center February 2008 - November 2012
Skills
Revenue Cycle, Hospitals, Healthcare, Performance Management, Data Analysis, Management, Team Management, Staff Development, Customer Service, patient flow, KPI Dashboards, SDK, Healthcare Management, patient satisfaction, Microsoft Office, Strategic Planning, Problem Solving
Education
Providence College
BS, Marketing
Quinnipiac University - School of Business
MBA, Management
Lorraine Gagnon's Tufts Health Plan Experience November 1995 - January 1998
Job Independent Beauty Consultant at Mary Kay Cosmetics
Industry Cosmetics
Experience
Sylvan Learning Center N, Chelmsford, MA May 2004 - May 2006
Lowell School Dsitrict, Nashua School District November 2003 - April 2004
Biogen Idec March 2000 - August 2002
Fidelity Investments November 1997 - March 2000
Tufts Health Plan November 1995 - January 1998
Amherst Middle School, Amherst, NH September 1987 - June 1995
Skills
Teaching, Special Education
Education
Rivier College 1992 — 1995
M.Ed., Elementary Education
University of Massachusetts Lowell 1972 — 1976
B.A., English, Sec. Ed.
St Joseph HS Lowell, MA 1967 — 1971
Diploma, College course
Sylvan Learning Center N, Chelmsford, MA May 2004 - May 2006
Lowell School Dsitrict, Nashua School District November 2003 - April 2004
Biogen Idec March 2000 - August 2002
Fidelity Investments November 1997 - March 2000
Tufts Health Plan November 1995 - January 1998
Amherst Middle School, Amherst, NH September 1987 - June 1995
Skills
Teaching, Special Education
Education
Rivier College 1992 — 1995
M.Ed., Elementary Education
University of Massachusetts Lowell 1972 — 1976
B.A., English, Sec. Ed.
St Joseph HS Lowell, MA 1967 — 1971
Diploma, College course
Paul Reynard's Tufts Health Plan Experience September 2014 - August 2015
Job Care Manager at BIDMC / APG
Industry Hospital & Health Care
Experience
Tufts Health Plan September 2014 - August 2015
Dovetail Health July 2011 - September 2014
Nursing Student September 2008 - May 2010
Newton-Wellesley Hospital February 2009 - April 2009
New Balance Athletic Shoes, Inc April 2004 - July 2008
Putnam Investments April 2000 - April 2004
Skills
Healthcare, Customer Service, Excel, Microsoft Office, Word, Patient Education, Home Care, Wound Care, IV, Microsoft Excel, Nursing, Pediatrics, Healthcare Information..., Vital Signs, Phlebotomy, Managed Care, Medical-Surgical, Physicians, Healthcare Management, Medicine, HIPAA, Hospitals
Education
Lawrence Memorial Regis College School of Nursing 2008 — 2010
of Excellence; Associates degree, Nursing Education; Nursing
Regis College 2008 — 2010
Associates, Nursing
Towson University 1996 — 1999
Bachelor's degree, Political Science
Tufts Health Plan September 2014 - August 2015
Dovetail Health July 2011 - September 2014
Nursing Student September 2008 - May 2010
Newton-Wellesley Hospital February 2009 - April 2009
New Balance Athletic Shoes, Inc April 2004 - July 2008
Putnam Investments April 2000 - April 2004
Skills
Healthcare, Customer Service, Excel, Microsoft Office, Word, Patient Education, Home Care, Wound Care, IV, Microsoft Excel, Nursing, Pediatrics, Healthcare Information..., Vital Signs, Phlebotomy, Managed Care, Medical-Surgical, Physicians, Healthcare Management, Medicine, HIPAA, Hospitals
Education
Lawrence Memorial Regis College School of Nursing 2008 — 2010
of Excellence; Associates degree, Nursing Education; Nursing
Regis College 2008 — 2010
Associates, Nursing
Towson University 1996 — 1999
Bachelor's degree, Political Science
Peter Doolittle's Tufts Health Plan Experience January 1998 - April 2000
Job HR Business Partner at Analog Devices
Industry Semiconductors
Experience
Analog Devices April 2000 - Present
Tufts Health Plan January 1998 - April 2000
Optima Healthcare, Inc March 1992 - January 1998
Employment Connections Specialists November 1989 - March 1991
Skills
Workforce Planning, Deferred Compensation, Succession Planning, Talent Management, Employee Relations, HRIS, Onboarding, Performance Management, Talent Acquisition, Semiconductors, Training, Employee Benefits, Personnel Management, Recruiting, Human Resources
Education
Rivier University 1992 — 1995
Master of Business Administration (MBA), Business Administration and Management, General
Providence College 1979 — 1983
Bachelor of Arts (B.A.), Psychology
Analog Devices April 2000 - Present
Tufts Health Plan January 1998 - April 2000
Optima Healthcare, Inc March 1992 - January 1998
Employment Connections Specialists November 1989 - March 1991
Skills
Workforce Planning, Deferred Compensation, Succession Planning, Talent Management, Employee Relations, HRIS, Onboarding, Performance Management, Talent Acquisition, Semiconductors, Training, Employee Benefits, Personnel Management, Recruiting, Human Resources
Education
Rivier University 1992 — 1995
Master of Business Administration (MBA), Business Administration and Management, General
Providence College 1979 — 1983
Bachelor of Arts (B.A.), Psychology
Kristen Vaughan's Tufts Health Plan Experience August 2013 - Present
Job Contract Manager at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan August 2013 - Present
Tufts Health Plan January 2008 - July 2013
Tufts Health Plan January 2003 - December 2007
Skills
Managed Care, Medicare, Healthcare
Education
Providence College 1992 — 1996
BS, Healthcare Policy and Management
Tufts Health Plan August 2013 - Present
Tufts Health Plan January 2008 - July 2013
Tufts Health Plan January 2003 - December 2007
Skills
Managed Care, Medicare, Healthcare
Education
Providence College 1992 — 1996
BS, Healthcare Policy and Management
Sharon Glynn's Tufts Health Plan Experience 1987 - 1988
Job Cape Cod Healthcare
Industry Hospital & Health Care
Experience
Cape Cod Healthcare June 2014 - Present
Connolly Healthcare August 2013 - June 2014
Cape Cod Healthcare July 2009 - August 2013
Neighborhood Health Plan October 2006 - June 2009
SSPHO 2001 - 2006
Harvard Pilgrim Healthcare/Perot Systems 1994 - 2001
Medical Eye Care Associates 1990 - 1991
Tufts Health Plan 1987 - 1988
Waltham Committee 1986 - 1987
Perkins School for the Blind May 1983 - May 1986
Skills
Healthcare, Healthcare Management, Managed Care, Hospitals, Medicaid, HIPAA, Healthcare Information..., Healthcare Consulting, Medicare, EMR, EHR, Performance Improvement, Revenue Cycle, Healthcare Industry, Health Insurance, Physician Relations
Education
Northwestern University
Masters in Predictive Analytics, Predictive Analytics
UMass Boston 1992 — 1996
MBA, Business
UMass Boston 1984 — 1988
BA, Sociology
The University of Dallas 1980 — 1980
Cape Cod Healthcare June 2014 - Present
Connolly Healthcare August 2013 - June 2014
Cape Cod Healthcare July 2009 - August 2013
Neighborhood Health Plan October 2006 - June 2009
SSPHO 2001 - 2006
Harvard Pilgrim Healthcare/Perot Systems 1994 - 2001
Medical Eye Care Associates 1990 - 1991
Tufts Health Plan 1987 - 1988
Waltham Committee 1986 - 1987
Perkins School for the Blind May 1983 - May 1986
Skills
Healthcare, Healthcare Management, Managed Care, Hospitals, Medicaid, HIPAA, Healthcare Information..., Healthcare Consulting, Medicare, EMR, EHR, Performance Improvement, Revenue Cycle, Healthcare Industry, Health Insurance, Physician Relations
Education
Northwestern University
Masters in Predictive Analytics, Predictive Analytics
UMass Boston 1992 — 1996
MBA, Business
UMass Boston 1984 — 1988
BA, Sociology
The University of Dallas 1980 — 1980
Pierre Saint Paul's Tufts Health Plan Experience February 1999 - May 2008
Job Claims Operations Lead at Public Consulting Group
Industry Insurance
Experience
Public Consulting Group February 2014 - Present
Boston Medical Center HP May 2008 - May 2011
Tufts Health Plan February 1999 - May 2008
Skills
Microsoft Office, Customer Service, Microsoft Excel, Management, Microsoft Word, PowerPoint, Public Speaking, Research, Project Management, Leadership
Education
MassBay Community College 2012 — 2013
Roxbury Community College
Associate's degree, Computer Science
Public Consulting Group February 2014 - Present
Boston Medical Center HP May 2008 - May 2011
Tufts Health Plan February 1999 - May 2008
Skills
Microsoft Office, Customer Service, Microsoft Excel, Management, Microsoft Word, PowerPoint, Public Speaking, Research, Project Management, Leadership
Education
MassBay Community College 2012 — 2013
Roxbury Community College
Associate's degree, Computer Science
Kayla Galvin's Tufts Health Plan Experience June 2012 - January 2013
Job Assurance Associate at McGladrey
Industry Accounting
Experience
McGladrey October 2014 - Present
Providence College August 2013 - July 2014
Feeley & Driscoll, P.C. May 2013 - August 2013
Tufts Health Plan June 2012 - January 2013
Skills
Accounting, Auditing, Pension Funds, Tax, Fitness Training, Fitness Instruction, Microsoft Office, CCH ProSystem fx, Microsoft Excel
Education
Providence College 2013 — 2014
Master of Business Administration (MBA), Accounting and Business/Management
Providence College 2009 — 2013
Bachelor of Science (BS), Accounting, 3.52
Woburn Memorial High School 2005 — 2009
McGladrey October 2014 - Present
Providence College August 2013 - July 2014
Feeley & Driscoll, P.C. May 2013 - August 2013
Tufts Health Plan June 2012 - January 2013
Skills
Accounting, Auditing, Pension Funds, Tax, Fitness Training, Fitness Instruction, Microsoft Office, CCH ProSystem fx, Microsoft Excel
Education
Providence College 2013 — 2014
Master of Business Administration (MBA), Accounting and Business/Management
Providence College 2009 — 2013
Bachelor of Science (BS), Accounting, 3.52
Woburn Memorial High School 2005 — 2009
Kasey Reno's Tufts Health Plan Experience August 2011 - Present
Job Senior Mental Health Coordinator at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan August 2011 - Present
Brigham and Women's Hospital November 2010 - December 2011
Latham Centers, Inc. August 2008 - November 2010
Skills
Mental Health, Case Management, Social Services, Crisis Intervention, Behavioral Health, Group Therapy, Psychotherapy, Program Development, Motivational..., Adolescents, Cpr Certified, Community Outreach, Mental Health Counseling, Nonprofits, Healthcare
Education
Saint Anselm College 2004 — 2008
Bachelor of Arts (BA), Criminal Justice
Sandwich High School 2000 — 2004
Tufts Health Plan August 2011 - Present
Brigham and Women's Hospital November 2010 - December 2011
Latham Centers, Inc. August 2008 - November 2010
Skills
Mental Health, Case Management, Social Services, Crisis Intervention, Behavioral Health, Group Therapy, Psychotherapy, Program Development, Motivational..., Adolescents, Cpr Certified, Community Outreach, Mental Health Counseling, Nonprofits, Healthcare
Education
Saint Anselm College 2004 — 2008
Bachelor of Arts (BA), Criminal Justice
Sandwich High School 2000 — 2004
Jacklyn Digman's Tufts Health Plan Experience May 2011 - August 2013
Job Retirement and Benefits Financial Associate at Fidelity Investments
Industry Investment Management
Experience
Fidelity Investments June 2014 - Present
Partners HealthCare at Home & Spaulding Rehabilitation Network Careers May 2013 - January 2014
Tufts Health Plan May 2011 - August 2013
Plymouth State University September 2012 - May 2013
Skills
Data Entry, Event Planning, Time Management, Spreadsheets, Databases, PowerPoint, Microsoft Word, Customer Service, Microsoft Excel, Critical Thinking, Fundraising, Healthcare, Public Speaking, Microsoft Office, Outlook, Access, Nonprofits, Medical Records, Research, Data Analysis, Teamwork, Facebook
Education
Plymouth State University 2010 — 2014
Bachelor's degree, Accounting
Plymouth State University 2010 — 2014
Accounting
Fidelity Investments June 2014 - Present
Partners HealthCare at Home & Spaulding Rehabilitation Network Careers May 2013 - January 2014
Tufts Health Plan May 2011 - August 2013
Plymouth State University September 2012 - May 2013
Skills
Data Entry, Event Planning, Time Management, Spreadsheets, Databases, PowerPoint, Microsoft Word, Customer Service, Microsoft Excel, Critical Thinking, Fundraising, Healthcare, Public Speaking, Microsoft Office, Outlook, Access, Nonprofits, Medical Records, Research, Data Analysis, Teamwork, Facebook
Education
Plymouth State University 2010 — 2014
Bachelor's degree, Accounting
Plymouth State University 2010 — 2014
Accounting
Jill Goulet's Tufts Health Plan Experience 2002 - 2006
Job Insurance Professional
Industry Insurance
Experience
Fallon Community Health Plan (FCHP) 2006 - Present
Tufts Health Plan 2002 - 2006
Ann Taylor 2000 - 2002
Education
Providence College 1996 — 2000
Marketing/Marketing Management, General
Fallon Community Health Plan (FCHP) 2006 - Present
Tufts Health Plan 2002 - 2006
Ann Taylor 2000 - 2002
Education
Providence College 1996 — 2000
Marketing/Marketing Management, General
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY