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
Tufts Health Plan June 2015 - Present
Humana January 2015 - May 2015
Becky Jordan State Farm June 2014 - May 2015
Photizo Group August 2014 - December 2014
Nancy Berch State Farm December 2012 - May 2014
TEI Consulting Group, Inc. October 2012 - January 2013
Logan Business Concepts, Inc. December 2011 - October 2012
Taylor & Taylor Associates May 2012 - September 2012
Springfield College January 2009 - May 2012
Randall's Farm & Greenhouse, Inc. January 2011 - December 2011
Skills
Marketing Strategy, Leadership, Microsoft Office, Public Speaking, Marketing, Customer Service, Management, Sales, Facebook, Direct Sales, Insurance, Account Management, Event Management, PowerPoint, Financial Analysis, Data Analysis, Marketing Communications, Great People Skills, Sports Management, Public Relations, Cash Flow, Product Marketing, Cash Handling, People Management, Eye, Eye For Detail, Team Motivator, SAP Xcelsius
Education
University of Kentucky 2014 — 2015
Master of Business Administration (M.B.A.), Business Administration and Management, General
Springfield College 2008 — 2012
Bachelor of Science (B.S.), Business Management, 3.98
USI Insurance Services October 2013 - Present
Tufts Health Plan August 2008 - Present
Education
Simmons College 1995 — 2000
Master of Science (M.S.)
Wheaton College 1981 — 1985
Bachelor of Arts (B.A.)
Brockton Pediatrics Inc December 2014 - Present
Henry B Burkland September 2011 - November 2014
Goodwin Procter LLP 2000 - 2003
Tufts Health Plan 1996 - 1999
Skills
Teaching, HTML, Web Design, Microsoft Office, Windows, Research, Social Media, Public Speaking, Social Networking, Project Management, Leadership, Event Planning, Editing, PowerPoint, Microsoft Excel, Microsoft Word, Analysis, Coaching, Fundraising, Software Documentation, Customer Service, Data Analysis
Education
Salem State College
Bachelor of Science (BS), Business Teacher Education
Nexamp May 2014 - March 2015
Tufts Health Plan June 2008 - January 2012
Tufts Health Plan June 2006 - June 2008
Tufts Health Plan October 2001 - June 2006
Greater Lynn Mental Health May 1999 - October 2001
Skills
Human Resources, Onboarding, Employee Benefits, Personnel Management, Process Improvement, Employee Relations, Time Management, Recruiting, Health Insurance, Organizational..., PeopleSoft, HRIS, Performance Management, Talent Acquisition, Training, Healthcare, Interviews, New Hire Orientations
Education
Lasell College 2012 — 2014
Master's degree, Business Management & Human Resource Management
Salem State University 1994 — 1999
Psychology
Lasell Village, Inc.at Lasell College March 2015 - Present
ConnectedLiving January 2014 - Present
Caring for Carcinoid Foundation 2005 - Present
Planned Parenthood League of Massachusetts March 2011 - June 2013
Fallon Community Health Plan March 2007 - March 2011
Tufts Health Plan 2006 - 2007
Tufts Health Plan 2005 - 2006
Tufts Health Plan 1998 - 2005
East Boston Neighborhood Health Center 1994 - 1998
Deloitte & Touche 1990 - 1992
Skills
Healthcare, Cancer, Strategic Planning, Managed Care, Budgets, Medicare, Nonprofits, Fundraising, Non-profits, Medicaid, Team Building, Process Improvement, Strategy, Leadership, Health Policy, Policy, Program Development, Hospitals, Healthcare Management, Healthcare Consulting, Quality Improvement, HIPAA, Physicians, Healthcare Information..., Healthcare Industry, Public Health, Disease Management, Health Insurance, Revenue Cycle, Medical Compliance, EHR, Provider Relations, Executive Management, Network Development, Performance Improvement, Operations Management
Education
Stanford University Graduate School of Business 1988 — 1990
MBA, business
Fulbright Scholar in Sweden 1986 — 1987
Researched innovative financing and care models for the elderly
Tufts University 1979 — 1983
BA, Political Science, summa cum laude
New England Quality Care Alliance (NEQCA) April 2015 - Present
Partners HealthCare November 2012 - January 2015
Partners Community HealthCare, Inc (PCHI) 2005 - 2012
Ernst and Young, LLP 1993 - 1995
Tufts Health Plan 1992 - 1994
Tufts Health Plan 1990 - 1992
Tufts Health Plan 1988 - 1992
Skills
Healthcare, Healthcare Management, Hospitals, Managed Care, Healthcare Consulting, Medicaid, Operations Management, Health Plan Operations, Physician Relations, Physician Hospital..., Operating Budgets, Medicare Advantage, Medical Management, Project Management, Problem Solving, Program Development, Program Management, Collaborative Problem..., Business Relationship..., Interpersonal Skills, Organizational..., Cross-functional Team..., Provider Network..., Capitation, Health Policy, Process Improvement, Leadership, HIPAA, EHR, Healthcare Industry
Education
Simmons College 1989 — 1993
MS, Health Care Administration
Stonehill College 1984 — 1988
BS, Health Care Administration
Tufts Health Plan September 2015 - Present
Harvard Pilgrim Health Care October 2012 - September 2015
Nationwide Insurance April 2010 - October 2012
Insurance & Financial Industry 1999 - 2010
United States Army July 1994 - April 1997
Skills
Property & Casualty..., Employee Benefits, Life Insurance, Fixed Annuities, Voluntary Employee..., Health Insurance, Long-term Care, Sales Prospecting, Sales, Management, Professional..., Commercial Insurance, Term Life Insurance, Account Management, Disability Insurance, Insurance, Marketing, Small Business, Homeowners, Health Savings Accounts, Professional Liability, Liability, Whole Life, Commercial Lines, Umbrella Insurance, Coaching, Sales Management, Workers Compensation, Casualty, Brokers, Underwriting
Education
Southern New Hampshire University
B.S., Business Administration
Southern New Hampshire University
Certificate - Human Resource Management
State of New Hampshire
Life, Accident, Health / Property & Casualty producers license
The American College
LUTCF
The Community College of Vermont
A.A., Liberal Studies
Delta Dental of Massachusetts February 1999 - Present
Tufts Health Plan October 1997 - February 1999
Stream International 1995 - 1997
CIGNA 1985 - 1995
Frank B. Hall 1984 - 1985
CIGNA 1982 - 1983
Skills
Group Insurance, Relationship Management, Self-funded, Benefits Administration, Vendor Management, Health Care Reform, HMO, Insurance, Health Insurance, Employee Benefits, PPO, Management, Human Resources, Medicare, Leadership, Program Management
Education
Salve Regina University 1978 — 1982
Bachelor of Science (BS), Management, Minor - Economics
Covidien February 2015 - Present
CVS Caremark, Woonsocket, RI October 2014 - February 2015
Genzyme/Sanofi March 2012 - April 2014
Millennium Pharmaceuticals October 2011 - March 2012
Tufts Health Plan January 2011 - May 2011
Dell Services October 2008 - October 2010
Genzyme Corporation April 2008 - October 2008
EMC2 October 2007 - April 2008
Dell Services August 2006 - October 2007
Bose Corporation 2004 - 2006
Skills
PMP, Project Portfolio..., Agile Project Management, Software Documentation, Quality Assurance, Requirements Analysis, Process Improvement, Risk Management, IT Management, Business Process, Visio, Testing, Telecommunications, Project Delivery, Project Planning, Business Intelligence, Team Leadership, Disaster Recovery, User Acceptance Testing, Management, Software Development, Unix, Leadership, Scrum, ITIL, Business Analysis, Strategy, Resource Management, Oracle, Training, Budgets, Agile Methodologies, Project Management
Education
DRI International
CBCP, Business Continuity
Suffolk University - Sawyer School of Management
MBA, Business Administration and Management, General
Wheaton College (MA)
BA, Economics
Tufts Health Plan March 2014 - Present
Tufts Health Plan August 2013 - December 2013
Procter & Gamble November 2009 - October 2012
Procter & Gamble June 2003 - October 2009
Enterprise Rent-A-Car June 1999 - June 2003
Skills
Health Care..., Training, Analytical Skills, Reports, Oral & Written..., Written & Oral..., Key Account Management, Key Account Development, Microsoft Office, Strategic Planning, Sales Force Development, Sales, Endocrinology, Rheumatology
Education
Springfield College 1995 — 1999
Bachelor of Science (BS), Sport Management
Tufts Health Plan April 2005 - Present
Skills
Microsoft Word, HIPAA, PowerPoint, Visio, Lotus Notes, Data Analysis, Research, Insurance, Microsoft Office, Process Improvement, Software Documentation, Managed Care, Microsoft Excel, Analysis, Customer Service, Access, Healthcare, Vendor Management, Project Planning, Strategic Planning, Sales, Medicare, Medicaid, Data Entry, Health Insurance, Provider Relations, Call Centers
Education
Suffolk University
Tufts Health Plan September 2012 - Present
PriMedia, Inc. Marketing and Communications May 2010 - August 2012
Madison Square Garden August 2009 - December 2009
Independence Investments June 2009 - August 2009
Primedia Marketing and Communications March 2009 - June 2009
Skills
Advertising, Marketing, Social Media, Marketing Communications, Online Advertising, Microsoft Office, PowerPoint, Facebook, Event Planning, Public Relations, Microsoft Excel, Customer Service, Strategic Planning, Branding & Identity, Media Relations, Market Research, Sales, Management
Education
Saint John's University - Peter J. Tobin College of Business 2006 — 2010
BS, Marketing, Concentration in Integrated Marketing
Tufts Health Plan September 2012 - Present
American e-Rate Solutions, LLC August 2012 - Present
Tufts Health Plan July 2010 - Present
Starbucks April 2006 - September 2009
Starbucks August 2005 - April 2006
Starbucks September 1999 - August 2005
Education
Simmons College 1998 — 2002
BA, History, English
Tufts Health Plan December 2008 - Present
Barnes & Noble College Booksellers September 2008 - September 2010
Barnes & Noble College Booksellers 2008 - 2010
Circle K May 2004 - April 2009
Farragut Afterschool Program September 2004 - May 2008
Skills
Journalism, Writing, Photography, Sales, Social Media, Customer Service, Microsoft Excel, Customer Satisfaction, HIPAA, Photoshop, Microsoft Office, InDesign, Time Management
Education
Simmons College 2004 — 2008
Bachelor's, Art, Photography, Communications, French
Town of Wellesley March 2009 - Present
Babson College January 2012 - Present
Margaret Metzger JD January 2000 - Present
Tufts Health Plan 1988 - 1999
Nutter, McLennen & FIsh LLP September 1977 - March 1988
Skills
Non-profits, Healthcare, Program Development, Public Speaking, Community Outreach, Nonprofits, Leadership Development, Policy, Leadership, Training, Fundraising, Grant Writing, Management, Strategic Planning, Program Evaluation, Strategy, Higher Education, Staff Development, Organizational..., Teaching, Research, Entrepreneurship, Coaching, Mental Health, Program Management, Event Planning, Psychology
Education
The George Washington University Law School 1974 — 1977
JD, law
Smith College 1970 — 1974
AB, government
Tufts Health Plan June 2013 - Present
Robbins Library February 2011 - Present
Prospect Hill Academy Charter School 2010 - 2012
Ready...Set...Get Going! 2009 - 2011
Your Next Quest 2007 - 2011
Arlington, Mass. Chamber of Commerce April 2003 - July 2009
The Boston Globe Advertising Dept. 2004 - 2007
Middlesex BEAT 2002 - 2004
Knit Out 2002 February 2002 - October 2002
Schwartz Communications 2000 - 2001
Skills
Writing, Public Speaking, Public Relations, Marketing Communications, Program Development, Seminars, Idea Generation, Community Building, Social Media Marketing, Blogging, Social Networking, Advertising, Teaching, Social Media, Marketing, Program Management, Entrepreneurship, Time Management, Training, Editing, Nonprofits
Education
Stonehill College
B.A., English, Secondary Education
SP Fiber Technologies October 2014 - Present
SP Fiber Technologies January 2014 - September 2014
SP Fiber Technologies September 2012 - December 2013
Microsoft March 2012 - November 2012
TrueBlue Inc. September 2011 - December 2011
RTI International June 2010 - September 2011
Tufts Health Plan June 2008 - May 2010
The Mentor Network February 2005 - May 2008
Electronic Data Systems December 2003 - January 2005
EDS/Boston Scientific 2001 - 2004
Skills
Crystal Reports, SSIS, ITIL, OnBase, SQL, Change Management, Windows, SQL Server, Troubleshooting, Process Improvement, Customer Relations, Analysis, Problem Solving, Customer Service, Databases, Data Analysis, IT Service Management, Cloud Computing, Microsoft SQL Server, Quality Assurance, Program Management, Active Directory, Vendor Management, Disaster Recovery
Education
ITIL v3 Foundation 2010 — 2010
Foundation Certified
Springfield Technical Community College 1995 — 1998
Manufacturing Engineering, Manufacturing Engineering Technology/Technician
Kennison & Associates November 2010 - Present
Massachusetts Department of Conservation and Recreation April 2007 - Present
Bricks4Kidz January 2013 - May 2015
Solutions Review October 2013 - January 2014
Patch.com November 2010 - June 2012
Tufts Health Plan November 2009 - February 2010
Harvard Graduate School of Arts & Sciences November 2007 - January 2009
Hilton Garden Inn November 2006 - April 2007
Jared the Galleria of Jewelry November 2006 - December 2006
Skills
Editing, Newsletters, Public Speaking, Customer Service, Teaching, Nonprofits, Microsoft Office, History, Government, Management, Social Networking, Volunteer Management
Education
Springfield College 2014 — 2015
Master of Science (M.S.), Organizational Management and Leadership
University of Maryland College Park 2002 — 2006
Bachelor of Arts, History
Health Plans, Inc. August 2013 - Present
Tufts Health Plan September 2012 - August 2013
Tufts Health Plan August 2011 - August 2012
Tufts Health Plan February 2010 - August 2011
Tufts Health Plan December 2008 - February 2010
Reagle Players 2005 - 2008
Skills
Health Insurance, Insurance, Medicare, Claim, Provider Relations, HMO, NCQA, Employee Benefits, Marketing, HIPAA, Call Centers, Human Resources, Leadership, Healthcare, Management, Customer Service, PPO, Coaching, Training, Sales
Education
Southern New Hampshire University 2013 — 2017
Bachelor of Science (BS), Health/Health Care Administration/Management
Empire Beauty School- Waltham, MA 2007 — 2007
Certificate, Aesthetics
University of Massachusetts at Lowell 2005 — 2007
Leanna Hamill, Attorney at Law, P.C. 2004 - Present
Tufts Health Plan 1997 - 2004
Skills
Estate Planning, Elder Law, Guardianship, Estate Administration, Medicaid, Conservatorships, Appeals, Estate Law, Legal Assistance, Insurance, Health Insurance, Elder Care, Mediation, Trusts, Wills, Dispute Resolution, Powers of Attorney, Special Needs Trusts, Health Care Proxies
Education
Suffolk University Law School 2000 — 2004
JD, Cum Laude
UC Davis 1994 — 1996
BA
Mt Auburn Hospital April 2014 - Present
Steward Medical Group March 2011 - February 2012
Multi Plan January 2007 - January 2011
Surgi-Care, Inc January 2004 - January 2007
Athena Health January 2001 - October 2002
Tufts Health Plan January 1999 - October 1999
Chartwell Home Therapy 1998 - 1999
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, English, Windows, Outlook, HTML, Medical Billing, Medical Terminology
Education
Salem State University 2012 — 2013
Certificate, Medical Billing and Coding
Mass Bay Community College 1992 — 1994
A.A, Communications
Tufts Health Plan January 2014 - Present
Tufts Health Plan January 2012 - January 2014
Tufts Health Plan May 2005 - December 2011
Consulting Services August 2003 - December 2004
Skills
Systems Thinking, Organizational Knowledge, Problem identification, Analyzing, Solving/Innovative..., Programming languages..., SQL, Visual Studio..., MS Access, MS Excel, Cognos, Crystal Reporting, Analysis, Microsoft Excel
Education
University of Phoenix 2009 — 2011
Master's degree, Management Information Systems, 3.97
Salem State College 1999 — 2003
Bachelor's degree, Business Administration, Management and Operations - Minor in Computer Science
Perceptive Informatics, Inc. February 2013 - Present
Perceptive Informatics October 2008 - February 2013
Perceptive Informatics March 2006 - September 2008
Perceptive Informatics November 2005 - March 2006
Pfizer May 2004 - August 2005
Perceptive Informatics March 2003 - May 2004
Perceptive Informatics July 2002 - May 2004
Perceptive Informatics March 2001 - July 2002
Tufts Health Plan September 2000 - March 2001
Tufts Health Plan April 2000 - September 2000
Skills
Contract Negotiation, Management, Proposal Writing, Training, Contract Management, Budgets, Negotiation, Pricing, Cross-functional Team...
Education
Stonehill College 1994 — 1998
B.A, Health Care Administration
Massachusetts Health Connector May 2015 - Present
Massachusetts Health Connector November 2012 - Present
Massachusetts Health Connector April 2012 - November 2012
Massachusetts Health Connector September 2010 - April 2012
Tufts Health Plan November 2007 - September 2010
Tufts Health Plan November 2005 - November 2007
AIM Healthcare October 2004 - November 2005
University of Connecticut June 2002 - October 2004
Skills
Strategic Planning, Healthcare, Public Speaking, Managed Care, Customer Service, Program Management, Microsoft Office, Health Insurance, PowerPoint, Microsoft Excel, Process Improvement, HIPAA, Strategy, Policy, Leadership, Account Management, Management, Vendor Management
Education
Simmons College - Simmons School of Management 2007 — 2009
MBA, Business Administration and Management, General
Syracuse University 1998 — 2002
B.S., Education
Tufts Health Plan 2012 - 2013
Education
Suffolk University 2006 — 2009
Sociology
Roxbury Community College 2002 — 2006
Associate of Arts and Sciences (AAS), Criminal Justice
Applied Systems May 2004 - Present
Field Eddy Insurance November 2000 - May 2004
CashMD.com April 2000 - November 2000
Tufts Health Plan April 1995 - May 1999
Skills
Business Analysis, Problem Solving, Business Process..., Solution Selling, Computer Software..., Accounting, Enterprise Software
Education
MBA Western New England College
Master of Business Administration (MBA), Business Administration, Management and Operations
Salve Regina University 1978 — 1982
Bachelor of Science (BS), Business Administration and Management, General
Healthcare May 2015 - Present
Tufts Health Plan July 2013 - May 2015
Partners HealthCare (Dana-Farber Cancer Institute sponsored staff) August 2008 - July 2013
Reed Business Information October 2006 - August 2008
Reed Business Information December 1999 - October 2006
Reed Business Information May 1998 - December 1999
Liberty Mutual Insurance January 1997 - May 1998
PNC Bank September 1995 - January 1997
Skills
Essbase, Forecasting, PeopleSoft, Financial Analysis, Process Improvement, Accounting, Visio, Internal Controls, Hyperion Enterprise, Business Process, Financial Reporting, Budgets, SharePoint, Finance, Business Intelligence, Business Objects, Access, Managerial Finance, Sarbanes-Oxley Act, Strategic Financial..., Oracle Applications, BABOK, Project Management, QuickBase, MS Project, PowerPoint, Leadership, SDLC, Business Analysis, HIPAA, Healthcare, Integration, Healthcare Information..., Vendor Management, ERP, Testing, SQL, CRM, Requirements Analysis, Analysis, Program Management, HCM, Ravenflow, Livelink, Requirements Gathering, Data Analysis, Management, Software Project..., Training, Software Documentation
Education
Suffolk University - Sawyer School of Management 2000 — 2006
MBA, Business Administration and Management, General
Siena College 1991 — 1995
Bachelor of Science (B.S.), Finance
IronHealth October 2010 - Present
OneBeacon Professional Insurance May 2007 - May 2010
Harvard Pilgrim Health Care January 2007 - May 2007
RBS-Re September 2003 - December 2006
Alan Gray, Inc. May 2002 - September 2003
Tufts Health Plan April 2000 - April 2002
Skills
Insurance, Claim, Medicare, Underwriting, Health Insurance, Managed Care, Workers Compensation, Employee Benefits, Reinsurance, Healthcare, Risk Management, Provider Relations, Claims Management, Process Improvement, Strategic Planning
Education
Suffolk University - Sawyer Business School 2004 — 2009
MPA- Health Spring 09, Public Administration and Healthcare
University of Massachusetts, Amherst 1995 — 1999
Bachelors of Arts, History, Minor, Sociology
MVP Health Care July 2010 - Present
MVP Health Care September 2007 - July 2010
Blue Cross and Blue Shield of MA 2005 - 2007
Blue Cross and Blue Shield of MA 2004 - 2006
Blue Cross Blue Shield of Massachusetts June 2000 - March 2004
Tufts Health Plan 1998 - 2000
EmblemHealth January 1996 - October 1997
Kaiser Permanente (Community Health Plan) August 1991 - January 1996
Skills
Business Planning, Marketing, Integration, Leadership, Business Development, Health Insurance, Strategy, Medicare, Managed Care, Medicaid, Healthcare Industry, Insurance, Project Planning, Employee Benefits, Benefits Administration, Business Process..., Program Management, Provider Relations, Product Marketing, Strategic Planning, Customer Retention, Healthcare, Sales, Management
Education
Skidmore College 1986 — 1990
BA, Business
The Sage Colleges-Sage Graduate School
Masters in Health Care Admin
Cooley Dickinson PHO April 2007 - Present
Tufts Health Plan 2000 - 2007
The Boston Center for Physical Therapy & Sports Medicine 1999 - 2000
Center for Training and Development, Harvard University 1998 - 1998
Center for Organizational Learning 1994 - 1997
Skills
Health Insurance, Managed Care, Medicare, Healthcare, Healthcare Management, Data Analysis, Hospitals, Insurance, Project Management, Strategic Planning, Budgets, Research, Analysis, Negotiation, Contract Negotiation, EHR, Provider Relations, Microsoft Office, Public Speaking, Event Planning, Health Policy, Nonprofits, HIPAA
Education
Simmons College - Simmons School of Management 1997 — 1998
MBA
University of Massachusetts Boston 1988 — 1990
B.A.
University of California, Davis 1984 — 1986
Tufts Health Plan 2015 - Present
Network Health October 2013 - January 2015
Tufts Health Plan September 2010 - October 2013
City of Haverhill 2000 - 2010
Skills
Healthcare Management, Leadership, Management, Medicaid, Medicare, Nursing, Utilization Management
Education
Simmons College 1981 — 1985
B.S.N., Nursing
Tufts Health Plan February 2011 - May 2015
UnitedHealth Group 2006 - 2011
UnitedHealth Group 2004 - 2006
UnitedHealth Group 2002 - 2004
Skills
Project Management, Quality Assurance, Business Analysis, Research, User Acceptance Testing
Education
University of Hartford 1997 — 1999
The Hartt School of Music- Performance Arts Management
Schenectady County Community College
Liberal Arts and Sciences/Liberal Studies
New York Military Academy 1992 — 1995
High School
Tufts health plan 2014 - Present
MEDITECH November 2011 - January 2014
P & JV Management Corporation January 2011 - October 2011
Joe Green Home Solutions, Inc. May 2010 - November 2010
Skills
Marketing, Event Planning, CRM, Email Marketing, Online Marketing, Online Advertising, Social Media, Public Relations, Public Speaking, Event Management, MEDITECH Software, Customer Service, Problem Solving, Business Travel, Product Support, Testing, Software Implementation, Software Documentation, Project Management, EHR, Healthcare, Editing
Education
Salem State College 2007 — 2011
Bachelor of Business Administration (B.B.A.), Marketing
Lasell College
Master of Science (MS), Management, concentrating on Elder Care Management
EdAssist, a Bright Horizons Solution at Work November 2014 - Present
Tufts Health Plan April 2012 - October 2014
Giacomo, Inc. November 2003 - April 2012
Aflac January 2010 - January 2011
MIT Sloan School of Management 2001 - 2002
Skills
Event Planning, Social Media, Marketing, Sales, Spa, Customer Service, Fundraising, Public Speaking, Microsoft Office, Event Management, Public Relations, Social Media Marketing, Research, PowerPoint, Outlook, Facebook, Social Networking, Direct Marketing, Retail, Training, Management, CRM, Marketing Communications, SEM
Education
Suffolk University 2003 — 2008
Bachelor of Science, Communications
Cambridge Health Alliance March 2015 - Present
Tufts Health Plan July 2014 - March 2015
Tufts Health Plan May 2013 - July 2014
Comprehensive Psychiatric Associates June 2012 - May 2013
Massachusetts General Hospital September 2011 - June 2012
Harvard School of Public Health January 2011 - June 2011
Tutors for All September 2010 - December 2010
Bedford Village June 2008 - August 2010
Jumpstart October 2008 - May 2010
Skills
Clinical Research, Mental Health, SPSS, Literature Reviews, Community Outreach, Leadership, Healthcare, HIPAA, Health Policy, Medicare, Patient Advocacy, Elder Care, Healthcare Management, Medicare Part D, Medicare Advantage, Appeals, Health Insurance, Medical Billing, Medical Coding, Medical Necessity, Case Managment, Customer Experience, Regulatory Guidelines, CMS, Escalation Resolution, Medical Terminology
Education
Simmons College 2008 — 2012
B.A, Psychology
Tufts Health Plan March 2015 - Present
Genesis HealthCare November 2002 - March 2015
Fallon Community Health Plan May 2000 - October 2002
Health Alliance with Physicians May 1998 - May 2000
Gardner VNA March 1991 - August 1997
Skills
Case Management, Time Management, Project Management, Staff Supervision, Training & Development, Coaching, Utilization Management, Case Managment, Healthcare, Employee Training, Nursing, Medicare, Leadership, Healthcare Management, Hospitals, Medicaid, Home Care, Managed Care, HIPAA, Elder Care
Education
Simmons College 1983 — 1987
BSN, Nursing
Oakmont Regional High School
HS Diploma, Math and Science
Healthcare Consultant 2014 - Present
Harvard Pilgrim Health Care 2011 - 2013
Blue Cross and Blue Shield of MA 2010 - 2011
Tufts Health Plan 2000 - 2010
Skills
Medicaid, Disease Management, Provider Relations, Health Policy, Managed Care, Healthcare, Network Development, Medicare, Health Insurance, Case Managment, Healthcare Information..., Hospitals, HIPAA, Healthcare Industry, Clinical Research, Healthcare Management, Informatics, Process Improvement, Program Management, Strategic Planning, Healthcare Consulting, Public Speaking, Utilization Management
Education
Simmons College - Simmons School of Management
MBA, R.N.
Fiera Capital Global Asset Management June 2015 - Present
Morgan Stanley Wealth Management February 2013 - June 2015
Tufts Health Plan June 2012 - December 2012
Workbridge Associates December 2011 - June 2012
Skills
Finance, Networking, Investment Management, Wealth Management, Key Client Relationships, Account Management, Social Networking, Social Media
Education
Saint Lawrence University 2006 — 2010
BA, Government, African Studies
Lockheed Martin Industrial Defender April 2015 - Present
COMMONWEALTH SEARCH GROUP May 2006 - Present
Thomson Reuters 2004 - 2006
Tufts Health Plan 2004 - 2006
Skills
Technical Recruiting, Permanent Placement, Sales Recruitment, Contract Recruitment, Cloud Computing, SaaS, Java, SOA, .NET, Web Applications, Web Application Security, Embedded Systems, Linux, SQL, Microsoft, C#, Ruby on Rails, User Interface Design, User Interface, Web Development, Web Design, Database Administration, Recruiting, Networking, Computer Security, Security, Information Security, Network Security, Sourcing, Screening, Temporary Staffing, Applicant Tracking..., Internet Recruiting, Staffing Services, Management, Executive Search, Information Technology, Talent Acquisition, IT Recruitment, SDLC, Marketing, Marketing Strategy, Social Media Marketing, Digital Marketing, Software Product..., PeopleSoft, Cold Calling, Resource Management, Professional Services, Staff Augmentation
Education
Stonehill College 2000 — 2004
Bachelor's Degree, Business Administration and Management, General
Roots and Branches of your Tree May 1991 - Present
HealthSouth 2001 - 2003
HealthSouth 2000 - 2003
St. Mary's Medical Center 2000 - 2001
Cape Cod Healthcare 1999 - 2000
Tufts Health Plan 1998 - 1999
Allmerica Financial 1997 - 1998
UMass Memorial Medical Center 1994 - 1998
Welborn Baptist Hospital May 1991 - August 1994
Skills
Healthcare, Home Care, Nursing, Inpatient, Case Managment, Public Speaking, Utilization Review, Patient Advocacy, Hospitals, Critical Care, Palliative Care, Patient Safety, Telemetry, Healthcare Management, Wound Care, Utilization Management, Rehabilitation, Physicians, ACLS, Medicare, ICU, Case Management, Management
Education
University of Southern Indiana 1991 — 1992
BSN, Nursing, 3.5
University of Southern Indiana 1989 — 1991
ASN, Nursing
Southeast Missouri State University 1988 — 1989
Pre-nursing
Tufts Health Plan April 2015 - Present
Tufts Health Plan August 2013 - April 2015
Tufts Health Plan February 2013 - August 2013
Tufts Health Plan December 2011 - February 2013
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Community Outreach, Nonprofits, PowerPoint, Customer Service
Education
St. Lawrence University 2007 — 2011
Bachelor of Science (BS), Psychology
Proctor Academy 2003 — 2007
Tufts Health Plan September 2013 - August 2014
Bricks 4 Kidz January 2013 - July 2013
Orange County Department of Education 2012 - 2013
Skills
Curriculum Design, Patient Care, Teaching
Education
Simmons College 2014 — 2017
Master of Science, Nursing
University of California, Berkeley 2006 — 2010
Bachelor of Arts (B.A.), Integrative Biology
Health Care Compliance & Accreditation June 2013 - January 2014
Tufts Health Plan October 2008 - May 2013
Network Health October 2007 - October 2008
URAC 2005 - 2008
MultiPlan (formerly Private Healthcare Systems) May 1996 - October 2007
Tufts Health Plan 1991 - 1996
Assured Health Systems 1988 - 1991
Skills
Medicaid, Medicare, HIPAA, Quality Assurance, Managed Care, Healthcare Management, Training, Change Management, Healthcare Information..., Healthcare, Leadership, Insurance, Provider Relations, Disease Management, Utilization Management, Utilization Review, Healthcare Industry, Credentialing, Process Improvement, Health Insurance, Health Policy, HMO, Medicare Part D, Pharmacy Benefit..., Quality Improvement, PPO, Medical Compliance, Medicaid Managed Care, Network Development, Healthcare Consulting
Education
University of North Carolina at Chapel Hill
Master of Public Health (M.P.H.), Health Policy and Administration
Slippery Rock University of Pennsylvania
Bachelor of Arts (BA), French and Geology
Dana-Farber Cancer Institute April 2013 - Present
Tufts Health Plan September 2012 - March 2013
Wayside Youth & Family Support Network June 2010 - March 2013
Citizen Schools September 2011 - June 2012
Citizen Schools September 2011 - June 2012
Tufts University June 2009 - May 2010
Tufts University October 2006 - May 2009
City of Portsmouth, NH June 2002 - August 2008
Skills
Volunteer Management, Community Outreach, Teaching, Youth Development, Mental Health, Data Entry, Nonprofits, Leadership, Curriculum Design
Education
Simmons College Graduate Studies 2015 — 2018
Masters, Social Work
Tufts University 2006 — 2010
BA, Clinical Psychology
NRG Energy May 2012 - Present
Tufts Health Plan June 2008 - May 2012
Circles November 2006 - June 2008
Hagerstown Suns Baseball Club, LLC 2002 - 2003
SNHU 2001 - 2002
Skills
Databases, Microsoft Excel, SQL, Process Improvement, Business Analysis, Microsoft Office, Analysis, Data Analysis, Software Documentation, Customer Satisfaction, Project Management, Team Leadership, Public Speaking, Call Centers
Education
Southern New Hampshire University 1999 — 2003
Sport Management
Wilton HS
Wilton HS
Cloverleaf Fire Dept. January 2015 - Present
Galena Park Fire Department October 2014 - Present
Smith & Burgess October 2012 - May 2013
Quorum Business Solutions September 2010 - September 2012
Cricket Communications September 2009 - September 2010
Perficient October 2008 - September 2010
Tufts Health Plan July 2009 - September 2009
Oncor Electric Delivery February 2009 - June 2009
Perficient August 2008 - December 2008
Skills
CPR Certified, Structural Firefighting, Hazmat Operations, PHTLS Certified
Education
San Jacinto College 2014 — 2015
Emergency Medical Technology/Technician (EMT Paramedic)
University of Houston-Downtown 2003 — 2008
Bachelor of Science (BS), Computer Science
Fieldstone Marketing September 2014 - Present
Pound Rockout Workout, LLC May 2013 - Present
Cornerstone HR, LLC January 2014 - June 2014
Powder Horn Family Camping Resort May 2010 - October 2013
Tufts Health Plan January 2009 - February 2010
Enterprise Rent-A-Car June 2008 - January 2009
Skills
Illustrator, Customer Service, Outlook, Social Media, Photoshop, Mac OS, Hospitality, Human Resources, Management, Interviews, Social Media Marketing
Education
Franklin Pierce University 2004 — 2008
Bachelor of Science, Business Management
Southern Maine Community College 2013 — 2015
Associate of Science (AS), Culinary Arts/Chef Training
Rangeley Lakes Regional School 2000 — 2004
New Balance November 2014 - Present
Millennium Partners Sports Club Management June 2013 - October 2014
Puma May 2012 - August 2012
Experian April 2010 - November 2011
Tufts Health Plan November 2009 - February 2010
Ace Insurance, HSBC, Deloitte & Touche June 2008 - August 2008
Bermuda Sloop Foundation June 2008 - August 2008
Research.bm May 2007 - August 2007
Belmont Hills Golf Club June 2006 - August 2006
Dunkley's Dairy January 2003 - January 2006
Skills
Public Relations, Management, Marketing, Salesforce.com, Advertising, Social Media, Brand Management, Blogging, Lead Generation, Online Marketing, Sales, Email Marketing, Social Media Marketing, Online Advertising, Market Research, Digital Marketing
Education
Suffolk University - Sawyer School of Management 2012 — 2013
Master of Business Administration (MBA), Marketing/Marketing Management, General
Fairfield University 2005 — 2009
Business Bachelor of Science, Marketing, Finance
Tabor Academy
Liberty Mutual Insurance July 2015 - Present
Dell May 2013 - Present
Tufts Health Plan May 2014 - July 2015
Goodman and Goodman LLC February 2013 - April 2013
Secure Talent Contracted to Dell Equallogic June 2009 - January 2013
Northern Cyclones August 2009 - April 2010
Bishop Guertin High School April 2006 - January 2008
Skills
studying accounting, Accounting, Servers, Software Documentation, Microsoft Excel, Troubleshooting, Financial Accounting, Financial Reporting, Networking, Management, Switches, Financial Analysis, Microsoft Word, Microsoft Office, PowerPoint, Operating Systems, Corporate Finance, Time Management, Project Management, Presentations, Dell PowerEdge Servers, Teamwork
Education
Stonehill College 2010 — 2014
Bachelor of Business Administration (B.B.A.), Accounting
Bishop Guertin High School 2005 — 2009
Palladian Health, LLC January 2012 - Present
Medical Reimbursement Systems, Inc July 2007 - April 2010
Tufts Health Plan 1986 - 2007
Skills
Healthcare, Process Improvement, Healthcare Information..., Data Analysis, HIPAA, Health Insurance, Healthcare Management, Managed Care
Education
State University of New York College at Buffalo
Silverlink Communications March 2015 - Present
Liaison International September 2014 - March 2015
MultiPlan January 2014 - August 2014
Tufts Health Plan October 2013 - January 2014
Innovative Artists April 2011 - June 2013
Upright Citizens Brigade Theatre January 2011 - March 2012
mOcean March 2011 - January 2012
Trailer Park July 2009 - January 2010
Trailer Park October 2007 - July 2009
Thomas Winter Cooke, Inc April 2007 - August 2007
Skills
Video, Screenwriting, Television, Theatre, Final Cut Pro, Video Production, Film, Film Production, Creative Writing, Entertainment, New Media, Digital Media, Blogging, Acting, Storytelling, Facebook, Copywriting, Content Strategy, Video Editing, Microsoft Office, Microsoft Excel, PowerPoint, Photoshop, Social Media..., Editorial, Editing, Press Releases, Final Draft, Social Networking, Social Media
Education
St. Lawrence University 2000 — 2004
BA, English Writing
Upright Citizens Brigade Theatre 2009 — 2012
Sketch Writing, Improvisation, Video Production, Improv, Sketch Writing, Video Production
IHS November 2001 - Present
Forrester Research 2000 - 2001
Tufts Health Plan 1995 - 2000
Massachusetts House of Representatives 1991 - 1995
New York State Assembly 1990 - 1991
Skills
Market Research, Competitive Intelligence, Analytics, Business Strategy, Economics, Competitive Analysis, Data Analysis, Market Analysis, Strategic Planning, Business Development, Analysis, New Business Development, Management Consulting, Product Development, Product Management, Research, Thought Leadership, Marketing Strategy, Forecasting, Project Management
Education
Suffolk University 1992 — 1993
Syracuse University 1986 — 1990
Bachelor of Arts (B.A.), Political Science and Government
Yardi May 2015 - Present
Pentana Solutions (formerly Reynolds & Reynolds) February 2007 - January 2015
Key Auto Group September 2004 - May 2006
Key Auto Group 2004 - 2006
Staples October 2003 - September 2004
Moutain Air Corporation April 2002 - October 2002
EDS Group October 2000 - October 2001
ServiceSoft, Inc. (acquired by KANA Software) August 1994 - September 2000
Tufts Health Plan October 1993 - April 1994
GenRad January 1992 - September 1993
Skills
Business Acumen, Customer Service, Operations Management, Sales, SharePoint, Software Implementation, Account Management, IT Strategy, Sales Management, Process Improvement, Project Management, Negotiation, CRM, Management, ERP, Team Leadership, Professional Services, Software Documentation, Automotive, Retail, Customer Satisfaction, Training, Business Intelligence, Analysis, Project Planning, Change Management, IT Service Management, Business Analysis, Forecasting, Team Management, Business Planning, New Business Development, ITIL, Program Management, Troubleshooting, Solution Selling, Quality Assurance, System Administration, Management Consulting, Business Strategy, Business Process, Integration, Call Centers, Product Development, Business Process..., Team Building, Coaching, Cloud Computing, Business Development
Education
Southern New Hampshire University 1981 — 1985
Bachelor of Science, Business Management
EBSCO Publishing November 2008 - Present
Landfall Research & Editorial Services 2006 - 2008
Tufts Health Plan 2003 - 2006
Health Advances 2000 - 2003
Tufts Health Plan 1998 - 2000
Indexing and Editorial Services 1993 - 1998
Congressional Information Service (CIS) 1982 - 1993
Skills
Access, Databases, Research, Editing, Management, Social Media, XML, Libraries, Adobe Acrobat, CSS, Agile Methodologies
Education
Simmons College 1993 — 1995
MSLIS
University of Pacific -- College of Pacific
BA
Medidata Solutions December 2013 - Present
Oracle November 2010 - December 2013
Perceptive Informatics a PAREXEL International comany June 2008 - June 2010
Tufts Health Plan February 2008 - May 2008
Meditech May 2005 - February 2008
Polar Bevarages June 2002 - November 2003
Northwestern Mutual 2002 - 2002
Citadel Broadcasting 2000 - 2001
Skills
SDLC, Project Management, Business Process, Software Documentation, Project Planning, Management, Process Improvement, Integration, Testing, Software Project..., Leadership, Data Management, Clinical Trials, Quality Assurance, Business Analysis, Problem Solving, Team Leadership, Document Management, Microsoft Office, Program Management, Vendor Management, IT Management, 21 CFR Part 11, SaaS, Scheduling, Documentation, Healthcare IT, Change Management, MS Project, Customer Relations, Account Management, Mentoring, PowerPoint, Excel, Software Implementation, Word, IVR, IRT, Cross-functional Team..., SharePoint, Team Management, Project Delivery, Time Management, Trial Management, Clinical Data Management, Professional Services..., Software Implementation..., Software Integrations, Outlook, Proces
Education
University of Rhode Island 1999 — 2001
Bachelors, Communications
Springfield College 1996 — 1997
Bridgton Academy 1995 — 1996
Steward Health Care August 2013 - Present
Steward Health Care System November 2010 - August 2013
Steward Health Care October 2012 - July 2013
Jordan Hospital October 2009 - October 2010
Jordan Hospital January 2009 - September 2009
Caritas Christi Network Services October 2004 - January 2009
Caritas Christi Health Care March 2000 - October 2004
Primary Care LLC October 1999 - February 2000
Tufts Health Plan December 1996 - October 1999
Cerner Corporation December 1995 - December 1996
Skills
Meditech, Hospitals, Managed Care, Health, Access, Healthcare Information..., CPOE, Healthcare Management, Healthcare, EMR, Revenue Cycle, HIPAA, Healthcare Consulting, EHR, Project Management, Informatics, Clinical Research, HL7, Process Improvement, Medical Records, Physicians, Ambulatory, Physician Relations, Medicare, Health Information..., Cerner, Medicaid, Account Management
Education
Stonehill College 1987 — 1991
BS, Health Care Administration
Bishop Feehan High School 1983 — 1987
Biogen May 2015 - Present
Vertex Pharmaceuticals February 2015 - May 2015
Vertex Pharmaceuticals February 2011 - February 2015
Purdue Pharma L.P. August 2009 - January 2011
Tufts Health Plan August 2008 - August 2009
Sepracor January 2003 - March 2007
Sepracor May 2001 - December 2002
Searle March 2000 - October 2000
Searle April 1996 - March 2000
General Binding Corporation February 1995 - March 1996
Education
Southern Methodist University - Cox School of Business 1992 — 1994
MBA, Finance & International Business
University of Illinois at Urbana-Champaign 1981 — 1986
BA, Finance & Economics (double major)
BMC HealthNet Plan/Well Sense Health Plan June 2014 - Present
BMC HealthNet Plan / Well Sense Health Plan October 2011 - June 2014
BMC HealthNet Plan July 2011 - October 2011
Tufts Health Plan December 2008 - July 2011
Tufts Health Plan May 2007 - December 2008
Mofenson Law Offices August 2005 - May 2007
Mofenson Law Offices August 2001 - August 2005
Skills
Visio, Microsoft Office, Microsoft Publisher, Lotus Notes, HIPAA, SharePoint, Health Insurance, Team Leadership, Medicaid Managed Care, Diveristy and Inclusion..., Facets, Citrix, Virtual Gateway, EVS, MS Project, CCMS, Marx, Apple OS, Training, Healthcare Management
Education
Suffolk University 1997 — 2003
Bachelor's Degree, Philosophy
St. Bernard's Central Catholic High School 1993 — 1997
Centene Corporation June 2012 - Present
United Health Group March 2011 - July 2012
Towers Watson August 2007 - March 2011
Towers Perrin August 2007 - December 2009
Signature Medical Group January 2007 - July 2007
Tufts Health Plan June 2006 - December 2006
Signature Medical Group January 2006 - May 2006
Skills
SAS/SQL, Access, Excel, VBA, Actuarial Science, Health Insurance, PowerPoint, Mathematics, Actuarial, SAS, Financial Modeling, Data Analysis, Employee Benefits, Insurance, Word, Statistics, Lotus Notes, Pricing, Problem Solving, Outlook, Health, SQL, Microsoft Excel, Managed Care
Education
Southern Illinois University, Edwardsville 1999 — 2005
B.S., Mathematics
BMC HealthNet Plan/Well Sense Health Plan March 2013 - Present
BMC HealthNet Plan/Well Sense Health Plan February 2008 - March 2013
Tufts Health Plan March 2005 - February 2008
Brigham and Women's Hospital June 2002 - March 2005
Skills
Healthcare Management, Health Insurance, Microsoft Excel, Healthcare Information..., HIPAA, Utilization Management, Medicaid, Managed Care, Customer Service, Microsoft Word, Disease Management, Provider Relations, Healthcare, Process Improvement, Medicare, Hospitals, Healthcare Industry, Health Policy, HMO, HEDIS, Project Management
Education
Simmons College 2007 — 2010
M.H.A., Masters in Health Administration
University of New Hampshire 1998 — 2002
B.A., Spanish and Premed
Tufts Health Plan June 2013 - Present
Starwood Vacation Ownership December 2007 - Present
Starwood Vacation Ownership 2007 - 2012
HSBC 2001 - 2006
JPMorgan Chase 1989 - 2000
Skills
Team Building, Risk Management, Banking, Financial Analysis, Credit, Budgets, Portfolio Management, Finance, Forecasting, Mortgage Lending, Call Center, Management, Sales, Process Improvement, Credit Risk, Executive Management, Call Centers, Financial Risk, Credit Cards, Leadership, Strategic Planning, New Business Development, Financial Modeling, Negotiation, Strategic Financial..., Credit Analysis, Relationship Management, Customer Service, Financial Services, Strategy, Operations Management, Change Management, Project Management, Vendor Management, Analysis, Mergers & Acquisitions, Business Planning, Loans, Accounting, Managerial Finance, Due Diligence, Accounts Receivable, Business Development, Cash Flow, Cash Management, Customer Satisfaction, Business Process..., Financial Reporting, Business Analysis, Restructuring
Education
Stonehill College 1975 — 1979
Bachelor of Science in Business Administration, Accounting
Milton High
Tufts Health Plan
Skills
Employee Benefits, HIPAA, Business Intelligence, Healthcare Information..., Health Insurance, Healthcare Management, Managed Care, Healthcare, Medicare, Medicaid, Leadership, Healthcare Consulting
Education
Stanford University 1974 — 1980
University of Virginia 1970 — 1974
BA, Economics
Tufts Health Plan November 2012 - Present
Tufts Health Plan 2005 - October 2012
Skills
Employee Relations, Performance Management, Organizational..., Onboarding, Training, Healthcare, Insurance, Talent Management, Change Management, Employee Engagement, Leadership, Instructional Design, Team Building, Staff Development, Vendor Management
Education
Skidmore College
Bachelor's degree, Psychology
Tufts Health Plan April 2014 - Present
Tufts Health Plan October 2005 - Present
Spaulding Rehabilitation Hospital September 2001 - October 2005
Skills
Managed Care, Medicaid, Medicare, Health Insurance, Disease Management, Healthcare, Healthcare Management, Patient Safety, Healthcare Industry, Quality Improvement, Physicians, Health Policy, Provider Relations, HIPAA, Process Improvement, Hospitals, Healthcare Information...
Education
Suffolk University - Sawyer Business School 2003 — 2006
MBA
University of New Hampshire 1997 — 2001
BS Health Management and Policy
Tufts Health Plan 2008 - Present
Blue Cross Blue Shield of Massachusetts 2005 - 2008
Harvard Pilgrim Health Care 1995 - 2005
Skills
Cross-functional Team..., Healthcare, Negotiation, Physicians, Leadership, Program Management, Health Insurance, Hospitals, Medicare, Strategy, Managed Care, Medicaid, PPO, Contract Negotiation, Process Improvement, HIPAA, Healthcare Management
Education
Salem State University
B.S., Business Administrtion
Suffolk University
M.Ed.
Suffolk University
M.Ed.
Lavastorm Analytics September 2013 - Present
Jumptap (acquired by Millennial Media) June 2012 - June 2013
Covidien February 2012 - May 2012
Philips May 2011 - December 2011
Nuance Communications August 2009 - May 2011
(Please see below) February 2005 - May 2009
Tufts Health Plan 2001 - February 2005
The Forum Corporation 1999 - 2000
Skills
Talent Acquisition, Start-ups, Leadership, Recruiting, CRM, Management, Program Management, Healthcare, Team Management, Business Development, Customer Service, Advertising, Employee Relations, Team Leadership, Entrepreneurship, Interviews, Human Resources, Talent Management, Business Analysis, Consulting, Strategy
Education
Stonehill College
B.A., Political Science & Women's Studies
Tufts Health Plan November 2010 - Present
EDS February 2008 - October 2010
Perot Systems December 2002 - January 2008
Vigil Technologies April 2000 - May 2001
Applix February 1999 - April 2000
Skills
CRM, SDLC, PMO, PMP, Software Project..., Vendor Management, Program Management, Requirements Analysis, Business Analysis, Project Portfolio..., Process Improvement, Agile Methodologies, Integration, Project Management, Visio, Enterprise Architecture, IT Management, Project Planning
Education
Southern New Hampshire University 1981 — 1985
Bachelor of Science (BS), Management Information Systems
John Hancock Retirement Plan Services November 2014 - Present
Fidelity Investments December 2012 - November 2014
Sun Life Financial September 2011 - December 2012
New York Life Retirement Plan Services October 2007 - September 2011
Workscape 2006 - 2007
Fidelity Investments March 2000 - March 2006
Tufts Health Plan January 1998 - March 2000
Skills
Marketing Communications, Employee Benefits, 401k, Marketing, Corporate Communications, Strategic Communications, Direct Mail, Marketing Strategy, Vendor Management, Integrated Marketing, Financial Services, Internal Communications, Direct Marketing, Mutual Funds, Email Marketing, Sales, Series 6, Product Marketing, Strategic Planning, Retirement, Insurance
Education
Stonehill College 1992 — 1996
BA, Communication
Xaverian Brothers High School 1988 — 1992
Four Points Realty March 2006 - Present
RE/MAX of New England 2001 - 2006
Frank Middleton Real Estate 1997 - 2001
VNA Care Network & Hospice 1993 - 1998
Tufts Health Plan 1988 - 1993
Skills
REO, Foreclosures, Residential Homes, Listings, Real Estate, Property, Property Management, Short Sales, First Time Home Buyers, Commercial Real Estate, Buyer Representation, Real Property, Single Family Homes, Seller Representation, ABR
Education
Stonehill College 1984 — 1988
Bachelors, Major: Accouting Minor: MIS
Oliver Associates January 1999 - Present
Tufts Health Plan January 1999 - September 2006
NECX June 1996 - January 1999
Tufts Health Plan November 1993 - May 1996
Bank of Boston January 1993 - October 1993
ISI Systems, Inc. November 1988 - January 1993
BayBanks, Inc. November 1987 - November 1988
Wheaton College August 1983 - June 1985
Skills
Succession Planning, MBTI, Strategic Planning, Talent Management, Staff Development, Executive Coaching, Training, Management, Performance Management, Organizational..., Coaching, Leadership Development, Management Consulting, Employee Training, Management Development, Workshop Facilitation, Career Development
Education
Wheaton College (MA) 1979 — 1983
BA, French, Astronomy
Salem State University
Master’s Degree, MEd, Community Counseling
Blue Cross and Blue Shield of MA July 2010 - Present
Blue Cross & Blue Shield of Massachusetts July 2009 - August 2010
Tufts Health Plan 1995 - 1998
Skills
Managed Care, Health Insurance, HIPAA, Medicaid, Insurance, Medicare, Healthcare Industry, Healthcare Management, Leadership, Training, Employee Benefits, Healthcare Consulting, Healthcare, Program Management
Education
Salve Regina University 1988 — 1992
BS, Education
Dana-Farber Cancer Institute January 2013 - Present
Partners HealthCare January 2013 - Present
LifePlans, Inc. 2008 - 2012
Tufts Health Plan January 2000 - June 2007
Tufts Health Plan 1994 - 2000
Skills
Requirements Gathering, Systems Analysis, Program Management, Testing, Business Process, Team Building, Change Management, Customer Service, Healthcare Management, Databases
Education
Simmons College
MSW
University of Massachusetts, Amherst
B.S
Tufts Health Plan July 2015 - Present
Tufts Health Plan March 2006 - July 2015
Education
Suffolk University - Sawyer Business School 2008 — 2011
MBA
University of New Hampshire -- Peter T. Paul College of Business and Economics
BS, Business Administration, Finance
Tufts Health Plan June 2014 - Present
Skills
Provider Relations, Medicare, Managed Care, Health Insurance, Healthcare, Healthcare Industry, HIPAA, Healthcare Management, Health Policy, Medicaid, Disease Management
Education
Simmons College
BSN, 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
NaviNet May 2011 - Present
CVS Caremark Corporation September 2010 - November 2010
Blue Cross and Blue Shield July 2006 - November 2008
Tufts Health Plan July 1999 - July 2006
Skills
Quality Assurance, Employee Benefits, Training, Leadership, Customer Service, Employee Training, Team Leadership, Healthcare Information..., Process Improvement, Requirements Analysis, Business Analysis, Software Project..., Healthcare, HIPAA, Agile Methodologies, Program Management
Education
Stonehill College 1995 — 1999
BA of arts, Psychology, Healthcare Administration
Tufts Health Plan 1995 - Present
Tufts Health Care Institute 2004 - Present
Bird Corporation 1987 - 1995
Omni Hotels Corporation 1982 - 1987
Skills
Corporate Finance, Treasury, Risk Management, Treasury Management, Financial Services, Financial Analysis, Enterprise Risk..., Financial Modeling, Mergers & Acquisitions, Insurance, Underwriting, Portfolio Management, Finance, Investments, Health Insurance, Accounting, Process Improvement, Strategic Planning
Education
Suffolk University - Sawyer School of Management
M.B.A., Finance
Southern New Hampshire University
B.S., Management & Finance
Dartmouth-Hitchcock April 2015 - Present
Lowell General PHO 2012 - April 2015
Steward Health Care Network 2010 - 2012
Health Dialog 2001 - 2010
Tufts Health Plan 1999 - 2001
Tufts Health Plan 1998 - 1999
Harvard Pilgrim Health Care 1996 - 1998
Harvard Pilgrim Health Care 1996 - 1998
Skills
Healthcare Management, Public Speaking, Leadership Development, Program Management, CPOE, Healthcare, Cross-functional Team..., Research, Business Process..., Managed Care, HIPAA, Healthcare Information...
Education
Stonehill College 1988 — 1991
Bachelor of Science, Health Care Administration
Network Health March 2008 - August 2012
Tufts Health Plan January 1993 - January 2001
ConnectiCare April 1987 - April 1988
Healthways, Inc. June 1985 - May 1987
Skills
Managed Care, Healthcare, Medicaid
Education
City University of New York-Baruch College & Mount Sinai School of Medicine 1983 — 1985
Master of Business Administration, Health Care Adminstration
Simmons College 1976 — 1980
B.A.
Scarsdale High School
Grey2k.Org International January 2014 - Present
Open Table.org June 2013 - Present
TJ Maxx September 2006 - November 2010
Tufts Health Plan August 1998 - August 2002
WGBY channel 57 June 1989 - September 1989
Skills
Video Production, Sales, Social Media, Event Planning, Camera Operating, Graphic Design, Public Speaking, Facebook
Education
Simmons College 1984 — 1991
B.A., Communications and Women's Studies
Simmons College 1984 — 1991
B.A. Communications and Women's Studies
Boston Medical Center (BMC) July 2015 - Present
Steward Health Care 2010 - Present
Tufts Medical Center September 2013 - July 2015
Caritas Good Samaritan Medical Center 2008 - 2010
Acushnet Company 2007 - 2009
MACIPA, Inc 2002 - 2007
Tufts Health Plan 1998 - 2002
Boston Edison 1986 - 1997
Skills
Healthcare, Leadership, Management, Clinical Research, Program Development, Process Improvement, Research, Medicaid, Recruiting, HIPAA, Healthcare Information..., Hospitals, Nursing, Utilization Management
Education
University of Massachusetts Dartmouth 1993 — 1996
MBA
Salem State University 1977 — 1981
BSN, Nursing
Nashoba Regional High School
Network Health 2009 - Present
Network Health 2009 - Present
Tufts Health Plan April 2008 - April 2009
Tufts Health Plan 2008 - 2009
Tufts Health Plan 2008 - 2009
Blue Cross Blue Shield of Massachusetts December 2003 - April 2008
Education
Simmons College - Simmons School of Management 1990 — 1992
Masters, Health Care Administration
Tufts Health Plan February 2014 - Present
Tufts Health Plan November 1999 - February 2014
Skills
Health Insurance, Medicare
Education
Boston University
Bachelor of Arts (B.A.)
Smith College
MSW
Lahey Hospital & Medical Center August 2013 - Present
Tufts Health Plan March 2009 - May 2013
Pupil Personnel Services July 2012 - August 2012
Brigham and Women's Hospital April 2005 - October 2005
Beth Israel Deaconess Medical Center September 2003 - March 2005
Tufts Health Plan March 2002 - June 2002
Lynnfield Public Schools September 2000 - June 2002
Harvard Risk Management Foundation November 1998 - December 1999
Beth Israel Deaconess Medical Center 1986 - 1994
Beth Israel Deaconess Medical Center 1985 - 1986
Skills
Nursing, Clinical Research, Patient Education, Healthcare, Medicine, Medical Records, Quality Improvement, Critical Care
Education
Suffolk University - Sawyer Business School 1987 — 1992
MPA/Health, Health Administration
VNS of Newport and Bristol Counties June 2015 - Present
VNS of Newport & Bristol Counties May 2013 - Present
Tufts Health Plan July 2012 - December 2012
American TeleCare March 2010 - May 2012
Philips Healthcare December 2006 - December 2009
HealthTouch, Inc. January 1995 - November 2006
Skills
Healthcare, Medical Devices, Healthcare Information..., Hospitals, Clinical Research, Healthcare Management, EMR, Managed Care, Home Care, Nursing, Healthcare Consulting, Healthcare Industry, Medicine, HIPAA, Medicare
Education
Salve Regina University
MS, Health Care Administration
University of Rhode Island
BSN, Nursing
EvergreenHealth January 2015 - Present
Bellevue Hospital Center July 2011 - August 2014
Catholic Guardian Society and Home Bureau November 2009 - July 2011
Lahey Clinic September 2008 - May 2009
MAB Community Services September 2007 - May 2008
Tufts Health Plan September 2004 - September 2007
Skills
Child Welfare, Case Managment, Psychosocial, Social Services, Healthcare, Mediation, Mental Health, Hospitals, Adolescents, Treatment, Clinical Supervision, Crisis Intervention, Training, Therapists, Community Outreach, Psychotherapy, Foster Care, CBT, Motivational..., Behavioral Health, Nonprofits, Group Therapy, Mental Health Counseling, Youth Development, Family Therapy, Psychology, DBT, Case Management
Education
Simmons College 2006 — 2009
Master, Social Work
University of Notre Dame 2000 — 2004
Bachelor of Arts, Psychology
DentaQuest January 2015 - July 2015
DentaQuest January 2011 - December 2014
DentaQuest April 2006 - December 2014
DentaQuest January 2002 - March 2006
Delta Dental of Massachusetts November 2000 - January 2002
Tufts Health Plan July 1991 - November 2000
Skills
Health Insurance, Insurance, Employee Benefits, Health Care Reform, Leadership, Strategic Planning, Medicare, Health Savings Accounts, Sales Management, Group Insurance, Underwriting, PPO, HMO, Account Management, Managed Care, New Business Development, Provider Relations, Team Building, Process Improvement, Management, Sales, Long-term Care, Vendor Management, Healthcare, Benefits Administration, Life Insurance, Medicaid, COBRA, Health Policy, HIPAA, Healthcare Industry, Brokers, Private Exchanges, Sales Organization..., Strategic Partnerships, Team Leadership, Medicaid Managed Care
Education
Suffolk University - Sawyer School of Management 1992 — 1995
Masters Degree, Business and Public Administation
University of Massachusetts 1987 — 1991
BS, Management (concentration in Marketing)
Plus One February 2011 - Present
Fitness Works at Work November 2007 - January 2011
The Health and Wellness Institute September 2006 - October 2007
Blue Cross and Blue Shield of Rhode Island September 2005 - December 2006
Fitness Together September 2004 - September 2005
Wellness Connection September 2000 - May 2001
Tufts Health Plan January 1997 - January 1999
Reebok International Ltd January 1992 - January 1996
Fitcorp Fitness Centers January 1988 - January 1992
Skills
Corporate Wellness, Health Promotion, Fitness, Health Education, Corporations, Wellness, Healthcare, Program Evaluation, Behavior Change, Wellness Coaching, Employee Wellness, Personal Training, Exercise Physiology, Fitness Training, Nutrition Education, Nutrition, Strength Training, Nutritional Counseling, Weight Training, Prevention, Lifestyle, Sports Nutrition, Yoga, Lifestyle Coaching
Education
Tufts University School of Medicine
Master of Science Degree, Health Communication
Springfield College
Bachelor of Science Degree, Health Fitness
Alegeus Technologies March 2014 - Present
Recombinant Data Corp January 2012 - March 2014
FIS (formerly Metavante Technologies) September 2007 - September 2011
Tufts Health Plan 1996 - 2007
Dun & Bradstreet Software 1986 - 1996
Skills
Quality Assurance, Testing, SQL, Test Automation, Software Quality..., Agile Methodologies, Scrum, Manual Testing, Business Analysis
Education
State University of New York College at Plattsburgh
B.S., Business Administration-Accounting
Comforce Staffing Services July 2012 - Present
Tufts Health Plan October 2010 - June 2012
Skills
Medicare, Talent Acquisition, Recruiting, Sales
Education
State University of New York College at Plattsburgh 2000 — 2005
Bachelor of Arts (B.A.), History
Tufts Health Plan November 2014 - Present
KPMG US July 2014 - November 2014
KPMG US October 2012 - July 2014
Beta Alpha Psi March 2011 - May 2012
Suffolk University September 2010 - December 2011
Suffolk University September 2008 - December 2011
UniBank for Savings August 2007 - December 2011
Massachusetts IOLTA Committee January 2010 - May 2011
KPMG Audit 2011 - 2011
Dunkin Donuts January 2006 - August 2009
Skills
Tax Preparation, Leadership, Project Management, Social Skills, Accounting, Microsoft Office, Microsoft Word, Customer Service, Financial Reporting, Access, Financial Analysis, Research, Social Media, General Ledger, Account Reconciliation, Wordpress, Bloomberg, RedDot, Constant Contact, WordPress, Finance
Education
Suffolk University - Sawyer School of Management 2012 — 2012
Master of Science, Accounting
Suffolk University - Sawyer School of Management 2008 — 2012
Bachelors, Accounting, Finance
Brigham and Women's Hospital May 2007 - Present
Tufts Health Plan April 2004 - May 2007
Skills
Case Management, Healthcare, Nursing, Hospitals, Nurses, Inpatient, Acute Care, Surgery, Research, Managed Care, Orthopedics, Clinical Research, Adults, Ambulatory, Patient Safety, Medical/Surgical, Nursing Education, Case Managment, BLS, Orthopedic, Utilization Management
Education
Salve Regina University 1976 — 1980
BSN, Nursing
Tufts Health Plan September 1999 - Present
Metropolitan Figure Skating School November 1990 - February 1995
Skills
Health Insurance, Managed Care, Insurance, Employee Benefits, HIPAA, Healthcare, HMO, Health Care Reform, Claim, PPO
Education
Stonehill College 1992 — 1996
Health Care Administration
Ursuline Academy 1988 — 1992
Tufts Health Plan 1995 - Present
Skills
Medicare, Health Insurance, Employee Relations, Performance Management, Talent Management, Employee Benefits, Insurance, Process Improvement, Healthcare, Managed Care, Call Centers, Leadership, Recruiting, Training
Education
Skidmore College 1988 — 1992
Bachelor's degree, Psychology
St. Elizabeth Medical Center/Steward Health Care May 2013 - Present
Steward Health Care January 2012 - May 2013
Cambridge Health Alliance June 2008 - January 2012
Harvard Vanguard Medical Associates November 2007 - June 2008
MedVentive formerly PSN January 2005 - November 2007
Tufts Health Plan June 2001 - December 2004
Tufts Health Plan March 1999 - June 2001
Skills
MORRISEY, Cactus, INTELLICRED, Epic Systems, Athena, Windows 7, Microsoft Office, Microsoft Excel, Microsoft Word, Access, Credentialing, EMR, Health Insurance, Healthcare Management, Hospitals, HIPAA, Medicaid
Education
Salem State University 1993 — 1994
Business Administration and Management, General
South Boston High 1989 — 1993
Diploma
Hartford HealthCare May 2013 - Present
Wakely Consulting Group October 2010 - May 2013
Massachusetts Health Insurance Connector Authority July 2006 - October 2010
Tufts Health Plan January 1996 - January 2006
Skills
Managed Care, Healthcare Information..., Healthcare, Medicaid, HIPAA, Health Insurance, Healthcare Management, Medicare, Healthcare Consulting, Healthcare Industry, Hospitals, Health Policy, Revenue Cycle, Employee Benefits
Education
Suffolk University - Sawyer Business School 1992 — 1996
MBA, Healthcare
Traditions May 2012 - Present
Traditions at Dedham April 2012 - Present
Norman Sweling February 2008 - March 2012
Tufts Health Plan January 1997 - September 2006
Skills
Personal Care Services, Medication Reminders, Entertainment, Exercise, Therapeutic Recreation, Care Plans
Education
Simmons College 1994 — 1995
UMass Boston 1990 — 1994
BS, Human Services, General
ikaSystems 2011 - Present
Fallon Community Health Plan 2005 - 2011
Tufts Health Plan 1998 - 2005
Skills
Medicare, Business Analysis, Process Improvement, Insurance, Managed Care, Project Management, Strategic Planning, Microsoft Office, Healthcare, Data Analysis, Microsoft Excel, Access, Healthcare Management, Forecasting, Product Management, Cross-functional Team..., Microsoft SQL Server
Education
Stonehill College 1991 — 1995
BA, Heathcare Administration
The Hartford January 2007 - Present
Tufts Health Plan April 2005 - December 2006
Brown Brothers Harriman July 2003 - April 2005
Skills
Business Requirements, Functional..., Solution Design, User Acceptance Testing, System Integration..., Compliance, Technical Writing, Sales Support, Project Implementation, Contract Writing, Database Development, Product Marketing, Financial Accounting
Education
Suffolk University 2001 — 2004
Bachelor of Science (B.S.), Communication and Media Studies
Tufts Health Plan October 2013 - Present
Tufts Health Plan October 2009 - October 2013
The Mayo Group January 2008 - October 2009
PFPC (Currently BNY Mellon) July 2006 - January 2008
Skills
HTML, CSS, Research, Microsoft Office, Data Analysis, Social Media, Microsoft Excel, PowerPoint, Public Speaking, Customer Service, Microsoft Word, Editing, JavaScript
Education
Southern New Hampshire University 2013 — 2014
Bachelor of Science (B.S.), Information Technology: Database Management
Southern New Hampshire University 2010 — 2012
Bachelor of Science (B.S.), Accounting and Finance
Lawrence General Hospital May 2015 - Present
Winchester Hospital January 2004 - May 2015
Freeport Health Network April 1998 - July 2003
Tufts Health Plan April 1996 - October 1997
Tufts Health Plan July 1995 - April 1996
Tufts Health Plan July 1993 - July 1995
Skills
Employee Relations, Human Resources, New Hire Orientations, Recruiting, Organizational...
Education
University of Massachusetts Lowell 1994 — 1997
Master of Business Administration (M.B.A.)
Stonehill College 1989 — 1993
Bachelor of Arts (B.A.), Communication, General
Tufts Health Plan 2011 - 2012
Blaire House of Tewksbury June 2010 - April 2011
Education
Shawsheen School of Practical Nursing 2007 — 2008
LPN, Nursing
Shawsheen Valley Regional Vocational Technical School 2002 — 2006
Diploma
MultiPlan May 2008 - March 2010
Tufts Health Plan January 1989 - April 2008
Skills
Microsoft Excel, PowerPoint, Teaching, Photoshop, Public Speaking
Education
Wells College, Aurora, N.Y. 1970 — 1974
Bachelor of Arts, Religious Studies
Simmons College
Masters Degree, Healthcare Administration
Elbit Systems of America July 2007 - Present
BAE Systems Information Technology September 2003 - July 2007
Tufts Health Plan January 2002 - September 2003
Skills
Program Oversight, Cost Management, Schedule Control, Scope Management, Customer Engagement, Customer Support, Cross-functional Team..., Program Management, Program Development, Contract Negotiation, Government Contracting, Government Proposals, Proposal Generation, Earned Value Management, Security Clearance, Requirements Management, CMMI, MRP, Navy, DoD, Systems Engineering, ITAR, Information Assurance, Materials Management, Team Leadership, Proposal Writing, Cost Benefit, Defense, Budgets, Management, Electronic Warfare, Requirements Analysis, FAR, PMP, Government, Avionics, MS Project, Leadership, Aerospace, Top Secret, System Design, Military, Engineering Management, Defence, Configuration Management, C4ISR, Air Force, Microsoft Project, Systems Design
Education
Southern New Hampshire University 2011 — 2013
Master of Business Administration (MBA)
University of West Florida 1996 — 2001
BS, Psychology
Coventry Workers' Comp Services April 2006 - Present
Tufts Health Plan August 1999 - April 2006
Partners HealthCare 1989 - August 1998
Skills
Health Insurance, Managed Care, Insurance, Claim, Workers Compensation, Process Improvement, Business Analysis, Healthcare, Data Analysis, SDLC, Analysis, Business Process, Business Process..., Software Documentation
Education
Simmons College 1994 — 1998
Master's degree, Health/Health Care Administration/Management
Southern New Hampshire University 1989 — 1994
Bachelor's degree, Business Administration, Management and Operations
Lowell Public Schools September 2010 - July 2012
EMC Corporation/TAC Worldwide May 2008 - April 2009
Harvard Pilgrim Health Plan January 2007 - December 2007
Iron Mountain / Accountemps May 2006 - February 2007
Tufts Health Plan December 2004 - May 2006
TAC Worldwide Companies January 1993 - August 2003
Skills
General Ledger, Financial Modeling, Internal Controls, Finance, Management, Access, Account Reconciliation, Forecasting, Accounting, Financial Reporting, Variance Analysis, Microsoft Excel, PowerPoint, Analysis, Cash Flow, Accounts Receivable, Payroll, Accounts Payable, QuickBooks, Financial Analysis, Sarbanes-Oxley Act, Auditing
Education
Suffolk University
MBA, Finance
Clark Uniersity
BA, Economics
Tufts Health Plan May 2013 - Present
Church November 2010 - May 2013
Adler Cohen Harvey Wakeman & Guekguezian, LLP June 2001 - February 2009
Education
Suffolk University 1994 — 1995
Paralegal Certificate
Suffolk University 1988 — 1993
Bachelor’s Degree
Tufts Health Plan 1992 - Present
The Boston Company 1990 - 1992
Taylor, Anderson & Travers 1983 - 1990
Skills
Corporate Governance, Paralegals, Management, Communication, Legal Research, Analytical Skills
Education
St. Lawrence University 1979 — 1983
Bachelor of Science (B.S.), Psychology
Andersen Consulting December 1997 - December 1998
Tufts Health Plan February 1993 - September 1997
Thomson Financial August 1989 - March 1992
Education
Suffolk University
University of Massachusetts at Lowell
IT Gurus Atlanta December 2013 - Present
Tufts Health Plan July 2008 - December 2011
Education
Suffolk University
Bachelor of Business Administration (B.B.A.)
Crossroads Business Services April 2013 - Present
Brecher Wyner Simons Fox & Bolan, LLP October 2012 - April 2013
Tufts Health Plan December 1994 - September 2002
Education
Stonehill College 1986 — 2000
Bachelor of Arts (B.A.), English Language and Literature/Letters
Boston Children's Hospital July 2007 - Present
Tufts Health Plan July 1999 - July 2007
Franciscan Hospital for Children July 1980 - July 2000
Education
University of Massachusetts Boston 1997 — 2000
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Suffolk University 1976 — 1981
Bachelor of Arts (B.A.), Political Science and Government