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
Harvard Ash Center for Democratic Governance and Innovation November 2014 - Present
Tufts Health Plan January 2014 - November 2014
Tall Ship Adirondack III July 2013 - October 2013
Massachusetts Democratic Party February 2013 - May 2013
Obama for America August 2012 - November 2012
Massachusetts Democratic Party April 2012 - August 2012
REI April 2012 - August 2012
Printroom 2011 - 2012
Skills
Political Campaigns, Politics, Grassroots Organizing, Political Science, Public Policy, Community Outreach, Community Organizing, Social Media, Government, Political Consulting, Data Analysis, Database Administration, Data Management, Public Affairs, Public Relations, Volunteer Management, Event Planning, Policy Analysis, Strategic Communications, Speech Writing, Political Communication, Grassroots
Education
University of Colorado at Boulder 2006 — 2011
BA, International Affairs, Political Science
Comcast Cable October 2012 - Present
Comcast Cable March 2006 - October 2012
Tufts Health Plan April 2005 - March 2006
Salter School July 2004 - April 2005
Senator Olympia J. Snowe January 2003 - May 2003
Education
University of Maine at Presque Isle 2000 — 2004
Bachelor of Arts (B.A.), International Relations/Political Science
Wakefield Memorial High School 1996 — 2000
Insulet Corporation April 2014 - Present
Beacon Health Strategies December 2013 - March 2014
Tufts Health Plan September 2013 - December 2013
Microfluidics September 2008 - October 2012
Sodexo February 2005 - January 2008
Massachusetts General Hospital October 1988 - April 2004
Skills
Customer Service, Operations Management, Project Planning, Customer Support, Highly detail oriented, Account Management, Analytical Skills, Microsoft Office, Manufacturing, Procedure Manuals, Project Management, QuickBooks, Event Planning, ERP, Microsoft Word, Solidworks, MAX, Oracle Forms, Siebel, Flex Care, Claims Handling, Provider Relations, Credentialing, Quality Systems..., CAPA, FDA
Education
The University of Connecticut 1979 — 1983
Bachelor of Science (BS), Nutrition Sciences and Management
Financial Research Associates October 2013 - Present
Tufts Health Plan April 2012 - August 2013
PathStar Consulting, LLC February 2012 - March 2012
Capital DIstrict Physicians Health Plan April 2007 - January 2012
Capital District Physicians' Health Plan April 2007 - January 2012
United HealthCare November 1987 - March 2007
PacifiCare April 2004 - December 2004
PacifiCare January 2001 - March 2004
SecureHorizons USA January 1998 - December 2001
PacifiCare January 1995 - December 1997
Skills
Product Development, Product Management, Product Marketing, Market Development, Business Planning, Plan Design, Medicare, Managed Care, Medicare Supplements, Network Development, HMO, Health Plans, Expansion, PPO, Strategic Planning, Team Building, Business Strategy, Benefits, New Business Development, Marketing Strategy, Pricing, Sales Management, Market Research, Vendor Management, Health Policy, Healthcare, Medicare Part D, Provider Relations, Health Insurance, Insurance, Medicare Advantage, Strategy, Business Expansion, Leadership, Healthcare Industry, Medicaid, Business Development, Training, Program Management, Sales Operations, Strategic Partnerships, Management, Hospitals, Executive Management, Sales, Healthcare Consulting, Pharmacy Benefit..., Health Care Reform, Consulting
Education
UCLA Anderson School of Management 1976 — 1978
M.B.A., Business / Healthcare
University of California, Berkeley, Haas School of Business 1974 — 1976
B.S., Business
University of California, Santa Barbara 1972 — 1974
Tufts Health Plan May 2010 - Present
Aramark Uniform and Career Apparel May 2005 - January 2009
Analog Devices 1999 - 2005
Colonial Management Associates 1994 - 1999
Digital Equipment Corporation 1983 - 1994
Raytheon Missile Systems 1981 - 1983
Education
Union College 1977 — 1981
BS Math/Computer Science, Math, Computer Science, Classics
Noble and Greenough School 1971 — 1977
Epsilon September 2010 - Present
Bristol-Myers Squibb June 2009 - August 2010
Tufts Health Plan September 2008 - June 2009
KPIT Cummins Infosystems Limited September 2007 - August 2008
Skills
SAS, SPSS, Analytics, Data Analysis, SQL, Unix, Healthcare, Microsoft Office, PL/SQL, Data Warehousing, Requirements Analysis, Business Intelligence, Data Mining, Data Modeling, Business Analysis, Management, Analysis, SDLC, Databases, SAS programming, Visio
Education
University of Delaware
Business Administration
University of Mumbai
Statistics
Virginia Commonwealth University
Statistics
Independent Consultant April 2015 - Present
Tufts Health Plan September 2007 - Present
Buffalo & Erie County Historical Society April 2013 - Present
Brain Parade February 2014 - Present
Buffalo Entertainment & Sports Experience January 2010 - Present
The Hanover Insurance Group September 2008 - April 2015
The Hanover Insurance Group April 2000 - September 2008
The Hanover Insurance Group July 1998 - April 2000
Travelers April 1996 - July 1998
Skills
Business Strategy, Leadership Development, IT Strategy, Insurance, Leadership, Operational Excellence, Organizational..., Information Technology, Organizational..., Strategy, Time Management, Management, Integration, Risk Management, Program Management, Process Improvement, Business Process..., Vendor Management, Business Analysis, Change Management, Team Building, Cross-functional Team..., Analysis, Project Management, SDLC, Business Intelligence, Training, IT Management, Mergers & Acquisitions, Outsourcing, Strategic Planning, Disaster Recovery, Executive Management, Management Consulting, CRM, Start-ups, Performance Management, Software Documentation, Team Leadership, Business Transformation, Organizational Design, Enterprise Architecture, Requirements Analysis, Budgets, Organizational..., Coaching, Data Analysis, Talent Management, Human Resources, Medicare
Education
Tufts University 2011 — 2015
Master of Arts (M.A.), Museum Education
University of Scranton 1976 — 1978
Bachelor’s Degree, Accounting
Health Navigator Partners, LLC May 2005 - Present
The Mediation Group 2005 - Present
The Schwartz Center for Compassionate Healthcare 2005 - 2014
Tufts Health Plan November 1999 - April 2005
The Clinical Investigator Training Program, Beth Israel Deaconess Medical Center October 1993 - May 1997
Skills
Mediation, Public Speaking, Managed Care, Conflict Resolution, Health Care, Health Insurance, Healthcare, Dispute Resolution, Patient Safety, Alternative Dispute..., Training, Insurance, Healthcare Management, Program Development, Health Policy, Hospitals, Clinical Research, Research, Conflict Management
Education
Program on Health Care Negotiation and Conflict Resolution - Harvard School of Public Health 1998 — 1998
Certificate in Health Care Negotiation & Conflict Resolution
Suffolk University Law School 1978 — 1982
J.D., Law
Washington University in St. Louis 1973 — 1977
A.B. Cum Laude, History
Lenox School for Girls 1961 — 1973
Grammar School - Grades 1-12
Mercer July 2015 - Present
Commonwealth Care Alliance September 2013 - July 2015
Health Care For All March 2011 - August 2013
Commonwealth Care Alliance November 2008 - February 2011
Tufts Health Plan March 2006 - May 2008
MAXIMUS - MassHealth February 2005 - November 2005
Skills
Driven and..., Healthcare, Medical Terminology, Insurance, Customer Service, Healthcare Management, Medicare, Clinical Research, Access, Employee Benefits, HIPAA, Health Policy, Spanish, Case Managment, Program Development, Community Outreach, Social Services, Nonprofits, Case Management
Education
Universidad Central de Venezuela 1986 — 1991
Bachelor's degree, Political Science
Tufts Health Plan March 2014 - Present
CVS Caremark Corporation July 2011 - Present
CVS Caremark Corporation December 2012 - March 2014
Skills
Pharmacy, Medication Therapy..., Pharmacists, Clinical Pharmacy, Community Pharmacy, Patient Counseling, Compounding, Pharmacy Automation, Immunization, Pharmacy Practice, Certified Immunizer, Managed Care, Medicare Part D, Healthcare
Education
University of Connecticut 2005 — 2011
Doctor of Pharmacy (PharmD), Pharmacy, Molecular and Cellular Biology
Steward Health Care April 2014 - Present
Steward Health Care September 2013 - April 2014
Tufts Health Plan February 2013 - September 2013
Tufts Health Plan August 2011 - February 2013
Tufts Health Plan December 2008 - August 2011
Tufts Health Plan September 2007 - December 2008
Skills
Customer Service, Data Analysis, Microsoft Excel
Education
UMass Lowell 2009 — 2012
Masters of Business Administration
SUNY Albany 2003 — 2007
Bachelors of Science in Busniess Administration, Finance/Marketing
New Balance May 2014 - Present
New Balance December 2012 - May 2014
Tufts Health Plan August 2012 - December 2012
DU RITCHIE CENTER December 2011 - June 2012
BOMB DEALS November 2011 - February 2012
SCHOLAR SQUAD February 2011 - June 2011
UPS December 2009 - January 2010
Skills
Social Media Marketing, Digital Marketing, Email Marketing, Direct Marketing, Marketing Communications, Marketing Research, Facebook, Online Advertising, Integrated Marketing, Marketing, Advertising, Social Media, Presentations, Customer Service, Management, Market Research, Public Relations
Education
University of Denver - Daniels College of Business 2008 — 2012
Bachelor of Business Administration (BBA), Marketing
AMERICAN UNIVERSITY OF ROME
The Breakthrough Institute June 2015 - Present
Bath Iron Works May 2013 - August 2013
Tufts Health Plan June 2012 - August 2012
Skills
Research, Data Analysis, Microsoft Office, PowerPoint, Microsoft Excel, Microsoft Word, Public Speaking, Social Media, Customer Service, Leadership, Event Planning, Social Networking, Teamwork, Maching
Education
University of Maine 2010 — 2015
Bachelor of Science (B.S.), Major: Mechanical Engineering Technology with a focus in Alternative Energy, Graduated
Winchester High School
Self January 2013 - Present
Brigham and Womens Physicians Organization December 2011 - October 2012
Center for Connected Health (part of Partners Healthcare) April 2011 - October 2011
Blue Cross Blue Shield of Massachusetts 2005 - 2009
Tufts Health Plan 1998 - 2003
Tufts Health Plan 1993 - 2003
United Brands Company 1981 - 1988
New England Life 1979 - 1981
Skills
SQL, Healthcare Information..., Data Analysis, Access, Web Site Design, HTML, CSS, JavaScript, Photoshop, Dreamweaver, MS Access, VBA, Microsoft SQL Server, SAS programming, SPSS, Microsoft Word, Microsoft Excel, HEDIS, Relational Databases, Reporting Applications, Database Applications, Database Design, Health Insurance, Healthcare, Integration, Visual Basic, Visio, Web Design, SSRS
Education
University of Maine 1973 — 1978
Bachellor of Arts, Political Science and Government
Bangor High School 1972 — 1973
HS Diploma, College/University Preparatory and Advanced High School/Secondary Diploma Program
Champlain Valley Union High School 1969 — 1972
athenahealth August 2014 - Present
Tufts Health Plan March 2013 - June 2014
Owens Corning August 2012 - March 2013
Owens Corning June 2009 - March 2013
Owens Corning June 2008 - September 2008
The Ohio State University March 2008 - May 2008
The Ohio State University September 2006 - March 2008
Marathon Petroleum Company August 2007 - November 2007
Capitol Directories 2003 - 2006
Skills
SAP, Accounts Receivable, Process Improvement, SharePoint, ERP, Business Analysis, SAP ERP, SAP R/3, Project Management, SD, Access, Testing, Leadership
Education
The Ohio State University Fisher College of Business 2005 — 2009
BS, Business Administration in Management Information Systems
Citizens Disability May 2015 - Present
New England Law Boston August 2013 - August 2015
Massachusetts Board of Hearings Office of Medicaid September 2014 - December 2014
City of Waltham, MA June 2014 - August 2014
Massachusetts General Hospital November 2012 - January 2014
Tufts Health Plan April 2010 - November 2012
Tufts Health Plan December 2009 - April 2010
Morrison Law Offices January 2004 - January 2009
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Mathematics, Call Center, Cold Calling, Cpr Certified, QuickBooks, Minitab, Economics, Sociology, Facebook, LinkedIn, Basketball, Fantasy Football, Flag Football, Football, Softball, Computers, Windows, Macess, Customer Service, Customer Retention, Face-to-face, Marketing Strategy, Email, Call Centers, HIPAA, Marketing, Medicare
Education
New England School of Law 2013 — 2016
The University of Connecticut 2005 — 2009
Bachelor of Arts (B.A.), Economics
The Schwartz Center for Compassionate Healthcare 2004 - Present
Tufts Health Plan 1996 - 2004
Conference of Boston Teaching Hospitals 1993 - 1996
Massachusetts Hospital Association 1986 - 1993
Massachusetts Medical Society 1984 - 1986
American Dental Hygienists' Association 1982 - 1984
Skills
Healthcare, Non-profits, Program Management, Grant Writing, Policy, Program Evaluation, Leadership, Nonprofits, Community Outreach, Program Development, Managed Care, Public Speaking, Fundraising, Clinical Research, Public Health, Media Relations, Research, Healthcare Management, Strategic Planning, Social Media, Medicare, Organizational..., Event Planning, Healthcare Information..., Public Relations, Health Policy, Grants, Volunteer Management, Medicaid, Data Analysis, Board Development, Healthcare Consulting, Public Policy, Stewardship, Healthcare Industry, Philanthropy, Physician Relations, Coalitions, Health Care Reform, Quality Improvement, Provider Relations, Strategic Communications, Physicians, Disease Management, Network Development, Revenue Cycle, Legislative Relations, Non-profit..., Utilization Management
Education
The Heller School for Social Policy and Management at Brandeis University
Masters of Management in Human Services, Health Care Management and Policy
Tufts University
Bachelor of Arts, Political Science
Forrester Research January 2013 - Present
Forrester Research November 2010 - January 2013
Merkle Inc. June 2010 - November 2010
Forrester Research December 2008 - May 2010
Forrester Research November 2006 - December 2008
Tufts Health Plan February 1998 - August 2006
Skills
Product Management, Healthcare, E-business, Customer Intelligence, Analytics, Market Research, Competitive Intelligence, Segmentation, Data Analysis, Marketing Strategy, Competitive Analysis, Strategy, Cross-functional Team..., Start-ups, Business Strategy, Project Management, Program Management, Business Development, Marketing, Management Consulting, New Business Development, Leadership, Customer Insight, CRM, Analysis, Management, B2B, IT Strategy
Education
University of Vermont 1994 — 1997
BS
Tulane University 1991 — 1994
Tufts Health Plan February 2013 - Present
Crosstex Energy April 2010 - May 2012
Greater Media Boston May 2009 - October 2009
CBS Radio/WZLX August 2008 - May 2009
Skills
Public Relations, Internal Communications, Media Relations, Press Releases, Social Media, Email Marketing, Marketing, Marketing Communications, Budgets, Project Planning, Project Management, Management
Education
University of New Hampshire 2004 — 2008
Bachelors, Journalism
University College Dublin 2006 — 2006
English & Media Studies, Study Abroad Program
The Amundsen Group - an IMS Health company December 2013 - Present
The Amundsen Group September 2011 - December 2013
Tufts Health Plan June 2009 - July 2011
Tom Snyder Productions June 2008 - August 2008
Skills
Data Analysis, Competitive Analysis, Business Strategy, Analytics
Education
Tufts University 2005 — 2009
BA, Economics
Hawken School 1992 — 2005
Eliza Corporation March 2014 - Present
Mt Auburn Cambridge IPA February 2013 - March 2014
Partners Community Healthcare, Inc. March 2007 - February 2013
Tufts Health Plan 2005 - 2007
Kaiser Permanente 2002 - 2005
Skills
Healthcare, Healthcare Information..., HIPAA, EMR, Informatics, Clinical Research, EHR, Healthcare Management, Managed Care, Hospitals, Business Intelligence, Data Analysis, Medicaid, Healthcare Consulting, Access, Health Insurance, Process Improvement, Public Health, Health Policy, Medicare, Marketing Strategy, Analytics, Strategic Planning, Teaching, Program Development
Education
University of Massachusetts Boston 2006 — 2009
MBA, Business
University of Minnesota-Twin Cities 1998 — 2001
Bachelors, Political Science
Tufts Health Plan November 2014 - Present
Tufts Health Plan March 2012 - November 2014
Tufts Health Plan February 2008 - March 2012
Fidelity Investments February 2007 - January 2008
Capitol Films July 2006 - November 2006
WBCN May 2004 - August 2004
Skills
Insurance, Customer Service, Health Insurance, Managed Care, Medicare, Employee Benefits, Account Management, Healthcare, Microsoft Office, Process Improvement
Education
University of Connecticut 2002 — 2006
BA, Journalism
Clark & Elbing LLP April 2012 - Present
New England Folk Music Archives July 2011 - May 2012
Tufts Health Plan November 2011 - April 2012
Tufts Department of History June 2011 - September 2011
Lilly Music Library, Tufts University May 2009 - May 2011
Law Office of Iannella & Mummolo, Boston, MA June 2010 - August 2010
Department of Advancement, Tufts University May 2009 - August 2010
Connecticut Science Center, Hartford, CT May 2008 - August 2008
Division of Healthcare Quality, Baystate Medical Center, Springfield, MA May 2008 - August 2008
State of Connecticut Department of Transportation Materials Testing Lab, Rocky Hill, CT June 2006 - August 2006
Skills
Research, Editing, Writing, Microsoft Office, Excel, PowerPoint, Word, History, Spanish, Proofreading, Access
Education
Tufts University 2007 — 2011
Bachelor's, Major: History, Minor: Philosophy, magna cum laude
Education Development Center, Inc. 2001 - Present
Harvard University, Kennedy School of Government 1999 - 2001
Tufts Health Plan 1998 - 1999
Olsten Staffing 1997 - 1998
Boston Edison 1978 - 1995
Skills
Employee Relations, Performance Management, Human Resources, Onboarding, Talent Acquisition, Job Descriptions, HRIS, Personnel Management, Policy, Career Development, New Hire Orientations, HR Policies, Talent Management, Organizational..., Benefits Administration, Employee Engagement, Interviews, Employment Law, Organizational..., HR Consulting, Employee Benefits, Compensation Structure..., Labor Relations, Applicant Tracking..., Workforce Planning, Coaching Staff, Job Analysis, Job Evaluation, Coaching, Leave Administration, Strategic Policy..., Management, Compensation, Training, Recruiting
Education
University of Massachusetts Boston
BA, English
Commonwealth of Mass, State Rehabilitation Council May 2013 - Present
Public Schools of Canton, Sharon, and Easton, MA January 2009 - Present
Alan Greene, PHR, Human Resources Consulting September 2008 - March 2012
Northeastern University September 2009 - January 2010
Partners Healthcare June 2000 - August 2008
Tufts Health Plan November 1992 - February 2000
Skills
Employee Relations, Onboarding, Recruiting, Career Development, Human Resources, Organizational..., Policy, Benefits Administration, Leadership Development, Employee Benefits, HRIS, PeopleSoft, Talent Acquisition, HR Policies, Training, Resume Writing, Performance Management, Management, Talent Management, Personnel Management, Conflict Resolution, HR Consulting, Temporary Placement, New Hire Orientations, Interviews, Deferred Compensation, Workforce Planning, Consulting, Employee Engagement, College Recruiting, Employee Handbooks, Organizational..., Education, Applicant Tracking..., Employee Training, Succession Planning, Career Counseling
Education
Xavier University 1975 — 1977
MS, Crim Justice
University of Massachusetts Boston 1969 — 1973
BA, Political Science
Tufts Health Plan November 2013 - Present
Tufts Health Plan November 2013 - Present
Skills
Public Speaking, Microsoft Office, Databases, Non-profits, Fundraising, Business Analysis, Microsoft Word, Budgets, Nonprofits, Project Management, Microsoft Excel, Program Management, Leadership, Software Documentation, SQL, Budgeting, Communication, Visio, MS Project, SnagIt, SQL*Plus, Written Communication, Oral & Written..., Written & Verbal..., Project Coordination, Project Planning, Process Scheduler, PeopleSoft, People Skills, Customer Service, Sunquest, QuickBooks, Learning Quickly, QuickBase, Highly detail oriented, Use Case Analysis, Requirements Analysis, Requirements Gathering, Business Requirements, Regulatory Requirements, Data Validation, System Testing, Test Cases, Test Management, User Acceptance Testing, Stem Cells, Oracle, Customer Oriented, Small Business, Software Development
Education
University of Arizona 1988 — 1995
BS in BA, Management Information Systems
Tufts Health Plan October 2012 - Present
iSoftStone December 2010 - October 2012
TEKsystems January 2010 - October 2010
Bank of America Columbia Funds March 2009 - May 2009
Fidelity Investments June 1982 - November 2008
Skills
Financial Services, Vendor Management, SDLC, PMP, Cross-functional Team..., Requirements Analysis, Project Management, Business Analysis, Mutual Funds, Risk Management, PMO, Project Portfolio..., Requirements Gathering, Business Process..., Software Project..., Program Management, Process Improvement, Management, Visio
Education
Temple University 1969 — 1972
Bachelor of Science (BS), Health and Physical Education/Fitness
Temple University 1968 — 1972
BS, Physical Education and Health
Tufts Health Plan June 2014 - Present
Dover Coalition for Youth, Dover Youth to Youth May 2013 - May 2014
The Common Man Family May 2013 - March 2014
The Cottages of Durham September 2011 - January 2013
UNH Department of Housing May 2011 - August 2011
Skills
Social Services, Marketing, Photography, Writing, Team Leadership, Spanish-speaking, Language Teaching, Sociological Theory, Sociology, Community Outreach, Alcohol Awareness, Youth Empowerment, Youth Programs, Youth Leadership, Student Housing, Supervisory Skills, Staff Supervision, Spanish, Event Planning, Time Management, Teamwork, Social Media, Microsoft Excel, Public Speaking, PowerPoint, Customer Service, Microsoft Word, Microsoft Office
Education
University of New Hampshire 2010 — 2014
Bachelor of Arts (BA), Sociology
Universidad de Granada 2013 — 2013
Spanish Language and Literature
Berklee College of Music August 2012 - Present
The Boston Conservatory August 2010 - Present
Tufts Health Plan July 2009 - Present
Eat Well with Janel January 2009 - Present
HealthyEats.com June 2009 - January 2014
Attune Foods December 2010 - December 2013
Academy of Nutrition and Dietetics June 2011 - June 2012
Massachusetts Dietetics Association 2009 - June 2011
SNAP Nutrition December 2008 - January 2011
POM Wonderful December 2009 - May 2010
Skills
Corporate Wellness, Public Speaking, Writing, Social Media, Nutrition, Nutritional Counseling, Dietetics, Health, Wellness, Food, Teaching, Health Promotion, Nutrition Education, Blogging, Nutrition Consulting
Education
Tufts University 2005 — 2007
Syracuse University 2000 — 2004
dietetics
Artwise (Formerly Worldwise Education, Inc.) July 2013 - Present
Worldwise Education, Inc. March 2006 - July 2013
Beth Israel Deaconess Medical Center July 2005 - February 2006
Tufts Health Plan December 2004 - June 2005
Skills
Microsoft Office, Certified in Microsoft..., FileMaker, Adobe Illustrator, Photoshop, Conflict Resolution, Budget Management, National school..., Sales aspects, Vendor Management, Vendor Relationships, Financial compliance, Experience with public...
Education
University of Massachusetts, Amherst 2001 — 2004
Bachelor's Degree, Sociology
Union College 1999 — 2000
Sociology
Boston Medical Center (BMC) June 2014 - Present
BMC HealthNet Plan November 2010 - September 2013
BMC HealthNet Plan June 2009 - November 2010
Tufts Health Plan November 2007 - May 2009
Skills
Medicare, Health Insurance, Medicaid, HIPAA, Provider Relations, Managed Care, HMO, Claim, Healthcare Industry, CPT, ICD-9, Customer Service, Healthcare Information..., Claims Resolution, Medical Billing, Medical Coding, Insurance, Healthcare, Healthcare Management, HCPCS, Revenue Cycle, Medical Terminology
Education
The Salter School-Malden Campus 2008 — 2009
Professional billing training, Medical Insurance Specialist/Medical Biller
Mt. Sinai Hospital July 2014 - Present
Brigham and Women's Hospital August 2013 - June 2014
MGH Center for Addiction Medicine January 2013 - June 2013
Tufts Media Center January 2011 - May 2013
Peer Health Exchange September 2010 - May 2013
Tufts After School Tutoring and Enrichment (TASTE) September 2010 - May 2013
Tufts Mock Trial September 2009 - May 2013
San Francisco Community Clinic Consortium June 2012 - August 2012
Tufts Health Plan June 2011 - August 2011
California Women's Law Center June 2010 - August 2010
Skills
Microsoft Office, Microsoft Excel, Social Media, Public Speaking, Public Health, Research, Writing, Communication, Spanish, Teaching, Fundraising, Nonprofits, Volunteer Management, Event Planning
Education
Tufts University 2009 — 2013
Bachelor of Arts (B.A.), Sociology and Community Health
Universidad de Sevilla
Departamento de Geografía e Historia
Miramonte High School 2005 — 2009
HS Diploma
Litmus Software October 2011 - Present
TechStars Boston 2011 February 2011 - June 2011
Hangout Industries July 2010 - March 2011
Brightleaf Corporation November 2009 - July 2010
TechStars Boston 2009 May 2009 - October 2009
Tufts Health Plan 1992 - 1995
Liberty Capital 1990 - 1992
New England Window Systems 1986 - 1990
Skills
Event Management, Start-ups, Venture Capital, Program Management, Budgets, Management
Education
University of Vermont 1982 — 1986
BA, Economics
Université d'Avignon et des Pays de Vaucluse 1985 — 1985
French
Instituto Joaquín Turina (Madrid, Spain) 1981 — 1982
Senior Year of High School
Rogers & Gray Insurance Agency August 2008 - Present
Cleary Insurance, Inc. 2007 - 2008
Tufts Health Plan 2003 - 2007
Tufts Health Plan January 2000 - September 2003
Harvard Pilgrim Health Care 1998 - 2000
Harvard Pilgrim Health Care 1996 - 1998
Network Plus 1994 - 1996
U.S. Olympic Committee 1993 - 1993
Skills
Strategic Negotiations, Building Relationships, Collaborative Problem..., Service Delivery, Strategic Communications, Responsiveness, Management, Sales
Education
The University of Georgia 1989 — 1993
Bachelor of Arts, Journalism
Norwell High School 1985 — 1989
Boston Financial Data Services 2015 - Present
State Street Corporation 1997 - 2015
State Street Global Advisors 2005 - 2009
Stream International 1995 - 1997
Managed Comp 1993 - 1995
Tufts Health Plan 1991 - 1993
BayBank 1989 - 1991
Skills
Human Resources, Management, Performance Management, Training, Onboarding, Talent Acquisition, Employee Relations, Strategy, Talent Management, Financial Services, HR Transformation, Succession Planning, HR Strategy, Employee Engagement, Organizational..., Mergers & Acquisitions, Recruiting, Turnaround Operations, Change Management, Workforce Planning, Executive Compensation..., Leadership Development, Performance Appraisal, Executive Search, Strategic Leadership, Employee Benefits, Deferred Compensation, Organizational Structure
Education
University of Massachusetts
University of Massachusetts Boston
Bachelor's Degree
Blue Cross Blue Shield of Massachusetts August 2014 - Present
Tufts Health Plan September 2006 - July 2014
Bailit Health Purchasing 2005 - 2006
East Boston Neighborhood Health Center 2001 - 2004
Harvard Pilgrim Health Care 1995 - 1999
UnitedHealth Group 1992 - 1995
Commonwealth of Massachusetts 1985 - 1990
Simmons College 1981 - 1984
Skills
Medicare, Healthcare, Medicaid, Clinical Research, Healthcare Information..., Policy, Insurance, Physicians, Program Management, Utilization Management, Strategic Planning, Nursing, HIPAA, Disease Management, Managed Care, Healthcare Management, Communication Skills, Health Insurance, Healthcare Consulting, Health Policy
Education
Brandeis University, Heller - The Heller School for Social Policy and Management 1985 — 1988
Health Care Policy
University of Virginia 1977 — 1979
MSN, Nursing, Geriatric Nurse Practitioner
College of St. Theresa 1969 — 1973
BSN, Nursing
Global Partners LP April 2014 - Present
CeltiCare Health Plan of Massachusetts, Inc. October 2013 - April 2014
Tufts Health Plan December 2012 - May 2013
City of Boston January 2012 - June 2012
Congregation Kehillath Israel 2009 - April 2012
Temple Hillel B’nai Torah 2009 - 2012
Laline Isreal December 2007 - July 2008
Israel Defense Forces 2004 - 2007
Skills
Microsoft Office, Excel, Word, PowerPoint, Teaching, Curriculum Design, Customer Service, Writing, Research, Microsoft Word, Data Analysis, Training, Policy, Survey Design, Access, Leadership, Microsoft Excel
Education
University of Massachusetts Boston 2009 — 2012
B.A, Sociology, Philosophy and Law
DuVall Training and Consulting 2014 - Present
Houghton Mifflin Harcourt 2012 - 2013
AchieveGlobal 2000 - 2012
Langevin Learning Services 1998 - 2000
Tufts Health Plan 1996 - 1997
Bose Corporation 1993 - 1996
Skills
Leadership Development, Coaching, Training, Training Delivery, Soft Skills, Organizational..., Leadership, Team Building, Executive Coaching, Needs Analysis, Performance Management, Personal Development, Learning Management..., Business Coaching, Trainers, Adult Education, Workshop Facilitation, Program Management, Talent Management, Performance Improvement, Strategy, Instructional Design, Management Development, Organizational..., Employee Training, Instructor-led Training, Employee Engagement, Learning Management, Performance Consulting, Public Speaking, Recruiting, Selling, Consultative Selling, Mentoring, Adult Learning..., Social Media, Career Development..., Train the Trainer, Sales, Career Development
Education
University of Arkansas at Fayetteville
B.A.
Blue Cross Blue Shield of Massachusetts April 2014 - Present
HighPoint Solutions April 2013 - April 2014
Tufts Health Plan August 2010 - March 2013
Tufts Health Plan July 2007 - August 2010
University of Hartford May 2006 - May 2007
Skills
Project Management, Databases, Program Management, Data Analysis, Visio, Access, Business Analysis, Healthcare, Strategic Planning, Microsoft Office, Insurance, Lotus Notes, Process Improvement, Microsoft Excel, Project Planning, Research, Vendor Management, Analysis, SDLC, Business Intelligence, Requirements Gathering, Team Leadership, Requirements Analysis, Healthcare Information..., Software Documentation, Business Process...
Education
University of Hartford 2005 — 2007
Master of Arts, Communication; marketing
Istanbul Bilgi University 2000 — 2005
Bachelor of Arts, Public Relations; Business Administration
BuyerZone July 2015 - Present
Launch Academy, Inc September 2014 - Present
Tufts Health Plan December 2011 - September 2014
Tufts Health Plan March 2009 - December 2011
Professional Staffing Group October 2008 - March 2009
Lloyd Staffing May 2005 - September 2008
Skills
Ruby, Test Driven Development, SQL, Relational Databases, Pair Programming, RSpec, Web Development, JavaScript, jQuery, Git, CSS, Time Management, Microsoft Word, Physicians, Microsoft Excel, Hospitals, HTML, Social Media, Ruby on Rails
Education
State University of New York at Albany 2004 — 2007
BA, Economics
University of Colorado Boulder 2003 — 2004
Launch Academy
Tufts Health Plan August 2015 - Present
Cradles to Crayons June 2014 - September 2014
The Akshaya Patra Foundation May 2013 - December 2013
Massachusetts House of Representatives June 2013 - August 2013
Charles River Medical Associates May 2013 - August 2013
Massachusetts State Senate May 2012 - August 2012
Skills
Fundraising, Research, Social Media, Teamwork, Nonprofits, Microsoft Office, PowerPoint, Microsoft Word, Public Relations, Policy Analysis, Microsoft Excel
Education
The George Washington University 2011 — 2015
Bachelor's Degree, International Affairs, Economics
Lawrence Academy
University of Cape Town
Tufts Health Plan June 2014 - Present
Hometown Health Center February 2014 - June 2014
Martin's Point Health Care February 2014 - June 2014
Martin's Point Health Care September 2009 - December 2013
OptumHealth August 2005 - September 2009
Private Practice July 1981 - January 2005
WellPoint; Empire Blue Cross Blue Shield 2004 - 2005
CDPHP 1999 - 2004
Kaiser Foundation Health Plan October 1998 - March 1999
Ellis Hospital 1994 - 1998
Skills
Medicine, Management, Managed Care, Healthcare Management, Disease Management, Healthcare, American Board of..., TRICARE, Medicare Advantage, Quality Management, Utilization Management, Health Policy, Provider Relations, Healthcare Consulting, Hospitals, HIPAA, Healthcare Information..., Policy, Public Health, Pharmacy, Medicare, Case Managment, EHR, Physicians, Strategic Planning, NCQA, Medicaid, Health Insurance, Population Health, Family Medicine, Internal Medicine, Quality Improvement, Healthcare Industry, Medicaid Managed Care, Case Management, EMR, HMO, Network Development, PPO, Credentialing, Medicare Part D, Pharmacy Benefit..., Utilization Review, Clinical Research, Physician Relations
Education
St. Clare's Residency Program, now Ellis Hospital Family Medicine Residency 1982 — 1985
Family Medicine
Tufts University School of Medicine 1977 — 1981
Doctor of Medicine (M.D.)
University of Massachusetts Boston 1975 — 1977
Bachelor of Arts (B.A.), Biology, General
Tufts Health Plan July 2015 - Present
UnitedHealthcare April 2007 - July 2015
PPI Benefit Solutions December 2001 - April 2007
CIGNA June 1999 - December 2001
Skills
Health Insurance, Health Savings Accounts, Employee Benefits, Self-funded, Health Care Reform, Pharmacy Benefit..., Benefits Administration, COBRA, Medicare, PPO, HMO, Managed Care, Provider Relations, Health Policy, Disease Management, Account Management, Healthcare, Underwriting, Strategic Planning, Leadership, Insurance, Disability Insurance
Education
The University of Connecticut 1995 — 1999
Bachelor of Science, Health Systems Management
SCIEX August 2015 - Present
Blue Cross Blue Shield of Massachusetts August 2014 - November 2014
MAXIMUS August 2013 - August 2014
BMCHP November 2012 - May 2013
Dunkin' Brands 2008 - 2012
Tufts Health Plan 2007 - 2007
Blue Cross Blue Shield of Massachusetts 2005 - 2007
Netegrity 2001 - 2005
MEDITECH 1985 - 2001
Skills
Instructional Design, E-Learning, Training, Instructor-led Training, Strategy, Project Management, Leadership, Captivate, Management, Change Management, Team Building, Staff Development, Strategic Planning, Blended Learning, Performance Analysis, Articulate Storyline, Program Evaluation, Facilitation, Research, Webinar Development, Webinar Facilitation, WebEx, PhotoShop, Online Content Creation, Train-the-Trainer, ADDIE
Education
University of Massachusetts Boston
M.Ed., Instructional Design/Education
University of Massachusetts Boston
BA, English
Worcester Polytechnic Institute
Certificate Program, J2EE, JAVA, SQL Web Programming
Brown Brothers Harriman 2012 - Present
Law Office of Thomas Alden Manson / Box-to-Box Professional Services 2012 - 2012
Blue Cross Blue Shield of Rhode Island 2010 - 2011
BCBSRI 2008 - 2010
BCBSRI 2005 - 2008
BCBSRI 2003 - 2005
BCBSRI 2001 - 2003
Tufts Health Plan 1999 - 2001
Skills
Outsourcing Management, Technology Leadership, Business Operations..., Corporate Law, Complex contract..., Vendor contract..., Leadership, Contract Negotiation, Contract Management, Vendor Management, Budgets, Policy, Employee Benefits, Strategy, Outsourcing, Enterprise Software, Finance, Governance, Training, Insurance
Education
Suffolk University Law School 1994 — 1998
JD
Westfield State University 1989 — 1993
BA, Political Science, Criminal Justice
Kaiser Permanente April 2015 - Present
Kaiser Permanente January 2014 - Present
Meals On Wheels Atlanta June 2009 - Present
Kaiser Permanente December 2009 - December 2013
Leadership DeKalb August 2012 - June 2013
Kaiser Permanente December 2008 - December 2009
QualityTip, Inc. 2006 - November 2008
The Art Connection 2006 - 2008
Harvard Pilgrim Health Care 2003 - 2007
Tufts Health Plan 2002 - 2003
Skills
Medicare, Medicaid, Governmental Practice, Healthcare, Marketing Strategy, Market Intelligence, Health Policy, Health Insurance, Government Accounting, Budgets, Healthcare Information..., Physicians, Healthcare Management, Managed Care, Leadership, Analytics, EMR, Revenue Cycle, Business Development, HIPAA, Healthcare Industry, Management, Product Management, Strategy, Market Research, Nonprofits, Pharmacy, Business Planning, Executive Management, Healthcare Consulting, Business Process..., Public Health
Education
University of California, Berkeley 1997 — 1999
MPH, Health Policy and Management
University of California, San Francisco 1993 — 1997
PharmD, Pharmacy
University of California, Davis 1989 — 1993
BS, Biochemistry
TIAA-CREF March 2013 - Present
UMass Medical School January 2013 - March 2013
Tufts Health Plan November 2011 - May 2012
ACI Worldwide March 2011 - December 2011
Tufts Health Plan November 2010 - March 2011
Partners HealthCare February 2010 - May 2010
ING October 2007 - November 2009
Harvard Pilgrim Health Care April 2006 - October 2007
MFS Investment Management November 2004 - February 2006
State Street Global Advisors February 2004 - September 2004
Skills
Project Management, Information Technology, Healthcare Information..., Business Analysis
Education
University of Florida
MS EE, Biomedical Engineering
University of Massachusetts, Amherst
BS EE
Aetna 2011 - Present
WellPoint May 2010 - January 2011
CIGNA Healthcare August 2005 - June 2010
CIGNA Healthcare April 2001 - August 2005
Tufts Health Plan March 1996 - April 2001
US Army June 1990 - May 1996
Skills
Team Building, Strategic Planning, New Business Development, Contract Negotiation, Healthcare, Negotiation, Team Leadership, Business Strategy, Process Improvement, Data Analysis, Product Development, Operations Management, Sales Management, Six Sigma, Marketing Strategy, Problem Solving, Budgeting, Business Planning, Financial Analysis, Business Process..., Health Insurance, Forecasting, Planning, Business Intelligence, Competitive Analysis, Strategy Development, Medicare, Managed Care, Insurance, Budgets, Strategy, Marketing, Medicare Part D, Leadership, Account Management, Cross-functional Team..., Business Development, Project Planning, Executive Management, Sales, Management Consulting, HMO, Program Management, Business Analysis, Network Development, Management, Sales Operations, Health Savings Accounts, Analysis, Risk Management
Education
University of New Hampshire -- Peter T. Paul College of Business and Economics 2002 — 2005
MBA, Business Administration
United States Military Academy at West Point 1986 — 1990
BS, Management
Georgetown JR/SR High
National Consulting Firm November 2012 - Present
Dish Network November 2010 - November 2012
Seattle Software Factory, Inc September 2009 - November 2010
Fusion Alliance June 2008 - September 2009
Tufts Health Plan October 2007 - May 2008
perotsystems August 2006 - October 2007
Albertsons June 2005 - June 2006
Smartwool Corp. December 2003 - June 2005
Seattle Software Factory, Inc July 2002 - January 2004
Informatics Corporation April 2002 - July 2002
Skills
Data Warehousing, Teradata, VLDB, Dimensional Modeling, Relational Databases, Architecture, Data Modeling, Business Intelligence, Data Warehouse..., Data Marts, OLAP, Data Integration, Star Schema, Erwin, Netezza, OBIEE, Data Quality, Database Design, Data Governance, Master Data Management, OLTP, Data Profiling, Logical Data Modeling, Cubes, Databases, Dashboards, Database Development, Data Mining, Enterprise Architecture, Microsoft SQL Server, Oracle, Data Management, Architectures
Education
University of Maryland College Park 1981 — 1983
Masters
Tufts Health Plan April 2015 - Present
Verisk Health May 2013 - April 2015
McLane Foodservice Distribution, Inc. April 2012 - May 2013
New York & Company October 2012 - April 2013
McLane Foodservice Distribution, Inc. January 2011 - April 2012
WXXA Fox 23 May 2007 - October 2010
Education
State University of New York at Albany 2006 — 2010
Bachelor of Arts (B.A.), Journalism, Rhetoric and Communication
Tufts Health Plan August 2015 - Present
PRO Unlimited July 2012 - August 2015
Aardvark Systems and Programming June 2000 - June 2012
Skills
SDLC, Recruiting, Contract Recruitment, Interviews, Business Analysis, Applicant Tracking..., Deferred Compensation, Employee Benefits, Information Technology, Internet Recruiting, Cold Calling, Management, Staffing Services, Sourcing, Consulting, Talent Acquisition, Technical Recruiting, Search
Education
University of Massachusetts Boston
Business Administration, International Business
Tufts Health Plan August 2014 - Present
Tufts Health Plan 2012 - Present
Tufts Health Plan April 2010 - October 2012
Tufts Health Plan October 2005 - April 2010
Harvard Pilgrim Health Care September 1995 - May 1997
Skills
Excel, Visio, PowerPoint, Managed Care, Health Insurance, Medicare, Healthcare, Healthcare Management, Employee Benefits, Insurance, Medicaid, HIPAA, Customer Service, Hospitals, Microsoft Office, Healthcare Information..., Process Improvement, Lotus Notes, Access, Management, Microsoft Excel, Patient Advocacy
Education
Laboreau Nursing Program at Carney Hospital 1991 — 1992
Courses towards a Bachelors degree, Nursing
UMass Boston 1986 — 1988
Courses towards Bachelor Degree
Town of Barnstable November 2013 - Present
Cape Cod Healthcare August 2013 - Present
Axon Communications Inc. February 2013 - July 2013
Partners Community HealthCare, Inc. May 2007 - November 2012
Tufts Health Plan July 2005 - May 2007
Genzyme October 2001 - August 2004
Skills
Healthcare, Medical Writing, Managed Care, Health Insurance, Project Management, Customer Service, Biotechnology, Program Management, Account Management, Advertising, Marketing, Marketing Communications, Pharmaceutical Industry, Copywriting, Leadership, Medicare
Education
Tufts University School of Medicine 2004 — 2007
MS, Health Communication
The University of Georgia 1997 — 2000
Bachelor of Arts, Journalism (advertising)
Precision Advisors May 2015 - Present
Aetna November 2012 - May 2015
CIGNA September 2009 - November 2012
CVS August 1998 - July 2012
Tufts Health Plan April 2005 - September 2009
Millenium Pharmaceuticals, Inc. November 2000 - November 2002
Skills
Managed Care, Pharmacy Benefit..., Pharmacy, Utilization Management, Medicare Part D, Medicare, Specialty Pharmaceutical, Agile Project Management, Project Management, Business Strategy, Benefits Design, Customer Centric..., Pharmacy Automation, Pharmaceutical Industry, Strategy, Strategic Planning, Leadership, Healthcare
Education
University of Massachusetts Boston 2001 — 2004
M.B.A., Business Administration
University of Connecticut 1993 — 1998
B.S., Pharmacy
Humana 2014 - Present
Humana 2013 - 2014
Humana 2012 - 2013
Blue Cross Blue Shield of Massachusetts 2007 - 2012
Tufts Health Plan 2004 - 2007
Drury Hotels 1999 - 2004
Skills
Insurance, Health Insurance, Employee Benefits, Actuarial Science, Managed Care, Analysis, Statistics, Financial Analysis, Risk Management, Data Analysis, Access, Analytics, SAS, Medicare, Financial Risk, Reinsurance, Claim, Health Care Reform, Underwriting, Pricing
Education
University of Houston 1997 — 1999
M.S., Hotel and Restaurant Management
Nankai University 1993 — 1997
B.S., Economics (emphasis on Tourism Economy)
Mad*Pow July 2014 - Present
SBR Health, Inc. September 2011 - July 2014
Rock Health/XX in Health January 2012 - 2014
Tufts Health Plan June 2011 - September 2011
CDM October 2010 - February 2011
VHB 2011 - 2011
The Tuscaloosa News May 2007 - October 2010
Freedom Television May 2006 - May 2008
Skills
New Business Development, Business Strategy, Marketing, Marketing Communications, Project Management, Project Leadership, Account Management, Proposal Leadership, Proposal Generation, Community Development, Event Management, Event Planning, Public Speaking, Internal Communications, Writing Skills, Editing, Newsletters, Press Releases, Public Relations, Feature Writing, Content Development, Creative Writing, Blogging, Online Journalism, Media Relations, Multimedia, Advertising, Web Content, Newspapers, Publications, Editorial, Entrepreneurship, Business Networking
Education
University of Alabama 2004 — 2008
BS, Journalism, Creative Writing, 3.8 GPA
Anthem, Inc. 2015 - Present
Commonwealth Care Alliance 2011 - 2014
Neighborhood Health Plan September 2008 - November 2011
Neighborhood Health Plan of RI 2007 - 2008
Tufts Health Plan August 2005 - October 2007
MultiPlan 2002 - 2005
John Hancock Financial Services 1998 - 2002
Skills
Change Management, Provider Relations, Process Improvement, Strategic Planning, Negotiation, Provider Network..., Contract Negotiation, Leadership, Healthcare Management, Policy, Medicare/Medicaid..., Medicaid, Hospitals, Managed Care, Healthcare, Management, Medicare, Healthcare Industry, Healthcare Consulting, Health Insurance, Health Policy
Education
Suffolk University Law School 1989 — 1992
Doctor of Law (JD), Law
Wellesley College 1982 — 1986
Bachelor of Arts (B.A.), Political Science and Government
Tufts Health Plan September 2015 - Present
FSG May 2013 - August 2015
Triumph 2011 - 2013
American Cancer Society 1998 - 2013
self employed 1989 - 2006
Baby Diaper Service 1993 - 1995
American Cancer Society 1989 - 1991
California Nurses Association April 1988 - August 1989
Carpenter Magazine 1984 - 1987
Skills
Writing, Editing, Event Management, Project Planning, Project Implementation, Corporate Communications, Internal Communications, Community Relations, Strategic Communications, Speech Writing, Feature Writing, Annual Reports, Newsletters, Team Management, Strategic Media..., Social Media, Community Development, Public Relations, Advertising, Nonprofits, Marketing, Leadership, Public Speaking
Education
The Catholic University of America
B.A., cum laude
Universitat de València
Media Bistro Online Learning
Infographics and Data Visualization, Sept. 10 - Oct 1, 2013
Interaction Institute for Social Change
Facilitative Leadership for Social Change
Tufts Health Plan March 2015 - Present
Steward Health Care November 2013 - March 2015
EverBank July 2012 - July 2013
BAE Systems April 2012 - July 2012
Toll Brothers October 2005 - October 2011
Skills
Microsoft Excel, Microsoft Word, Microsoft Office, PowerPoint, Outlook, Contract Negotiation, Production Budgeting, Accounts Payable, Office Administration, Training, Operations Management, Process Scheduler, Recruiting, Contract Management, Hiring, Negotiation, Customer Service, Process Design, Interviews, Administrative..., Talent Acquisition, Management, Program Management, Administration, Employee Relations, Human Resources, SDLC, Onboarding
Education
University of North Florida 2002 — 2005
Bachelor of Arts (B.A.), Fine and Studio Arts
University of Florida 2000 — 2002
Telecommunications
DL STONE Consulting, LLC January 2000 - Present
Stone & Heinold Associates LLC January 2009 - December 2011
Massachusetts Health Data Consortium September 2003 - June 2009
StoneEdge Consulting February 1997 - December 2008
Scheur Management Group November 1986 - December 1996
Tufts Health Plan 1984 - 1986
Skills
Health Care Program..., Privacy and Security,..., Integration - new..., Stakeholder Consensus,..., Project Management, Health Information..., EHR, Healthcare, Healthcare Information..., Program Management, Health Policy, Management Consulting, Integration, Leadership
Education
City University of New York, Baruch
MBA, Health Care Administration
College of New Rochelle
Bachelor of Arts, Mathematics
Kenwood Academy of Sacred Heart
high school diploma
PlumChoice 2013 - Present
P.F. Cross - Consulting and Management Services 2010 - Present
Tufts Health Plan 2012 - 2013
Comcast 2005 - 2010
Showtime Networks 2004 - 2005
Nestle Waters 2002 - 2004
Citigroup 1999 - 2002
The Kessler Group 1997 - 1999
MBNA 1994 - 1997
Skills
Leadership, Call Centers, Vendor Management, Management, Sales, Telecommunications, Account Management, Call Center, Marketing, Recruiting, CRM, Coaching, Sales Management, Training, E-commerce, Team Leadership, Cross-functional Team..., Process Improvement, Sales Process, Budgets, Sales Operations, Selling, Forecasting, Operations Management, Salesforce.com
Education
University of Maine 1992 — 1995
Tufts Health Plan February 2015 - June 2015
EF Education First February 2015 - February 2015
Metropolitan Boston Housing Partnership November 2014 - November 2014
TechTarget September 2014 - October 2014
Violette Bakers January 2014 - August 2014
Hybrid Fitness Center February 2014 - March 2014
Falls Flowers, llc June 2011 - August 2013
Beth Israel Deaconess Medical Center January 2013 - March 2013
Boston University Physical Therapy Center October 2012 - December 2012
Skills
Wellness, Fitness, Cpr Certified, Nutrition, Health Education, Exercise Physiology, Interpersonal Skills, Facebook, Microsoft Office, Customer Service, Microsoft Excel
Education
Boston University 2009 — 2013
Bachelor of Science in Health Studies, Physical Therapy
University of California, Berkeley, Haas School of Business 2014 — 2014
Business
Conestoga High School 2005 — 2009
High School Diploma, Studio Art
American Red Cross 2015 — 2015
Certified Nursing Assistant
ikaSystems June 2012 - Present
Tufts Health Plan September 2011 - June 2012
Tata Consultancy Services, China July 2005 - July 2010
Skills
Oracle, SQL, Informatica, Oracle Data Integrator..., Databases, Business Analysis, SDLC, Microsoft SQL Server, PL/SQL, Business Intelligence
Education
The Maharaja Sayajirao University of Baroda 2000 — 2004
Bachelor's degree, Engineering
Convent of Jesus and Mary 1986 — 2000
High School
Wellesley College July 2013 - Present
Brigham and Women's Hospital September 2011 - Present
Tufts Health Plan November 2010 - July 2011
UMass Memorial Medical Center 2009 - 2009
Skills
Healthcare Information...
Education
The University of Connecticut 2005 — 2009
BS, Health Care Management
CareCore National 2012 - 2014
Tufts Health Plan 2008 - 2012
Tufts Health Plan 2006 - 2008
Tufts Health Plan 1997 - 2006
Aetna Health Plans 1993 - 1997
Skills
Managed Care, Healthcare, Healthcare Management, Medicare, Health Insurance, Vendor Management, Contract Negotiation, Contract Management, Program Management, Pharmacy, Strategic Planning, Leadership, Management, Strategy, Analysis, Hospitals, Project Management, Budgets, Performance Management, Employee Benefits, Training, Healthcare Information..., Team Leadership, Process Improvement, HIPAA, Healthcare Consulting, Healthcare Industry, Data Analysis, Informatics, Insurance, Cross-functional Team..., Team Building
Education
Tufts University
Bachelor of Science (BS), Psychology, Premedical Studies
Harvard University Extension School
Graduate Certificate in Applied Science, Computer Science
Highland Management/Winchester Hospital February 2012 - April 2013
Partners HealthCare December 2004 - February 2012
Verispan, L.L.C. February 2003 - December 2004
Tufts Health Plan September 1997 - October 1999
Blue Cross Blue Shield of Massachusetts November 1993 - August 1997
Skills
Healthcare, Six Sigma, Visio, Clinical Research, Analytics, Training, Process Improvement, Process Improvement..., Health care program ..., Physician and hospital..., Analysis, Management, Project Management, Business Analysis, Business Requirements, Leadership, Managed Care, Healthcare IT
Education
Cambridge University, UK
M.Phil., Economics
Tufts Health Plan July 2009 - Present
UT Medicine August 2008 - July 2009
UT Health Science Center at San Antonio July 2005 - August 2008
BAE Systems (Previously MTC Technologies) April 2005 - June 2005
American Airlines May 2004 - April 2005
American Airlines June 2000 - April 2004
WebLink Wireless May 1999 - May 2000
Anachem, Inc. June 1996 - May 1999
Skills
Project Management, Management, Architecture, Program Management, Business Analysis, Process Improvement, Project Planning, Vendor Management, Cross-functional Team..., Requirements Analysis, Business Process..., SDLC, Integration, Management Consulting, IT Strategy, Software Project..., PMO, Software Development, Leadership, PMP, IT Management, Project Portfolio..., Business Process, Requirements Gathering, Business Intelligence, Enterprise Architecture, Agile Methodologies, Agile Project Management, Analysis, SOA, Data Warehousing, Systems Analysis
Education
The University of Texas at Austin - The Red McCombs School of Business
MBA
The University of Texas at Dallas
M.S., Computer Science
Indian Institute of Chemical Technology
PhD
HR Collaborative January 2000 - Present
Ironwood Pharmaceuticals 2008 - 2011
NovaDel Pharma Inc. 2006 - 2008
ActivBiotics February 2001 - December 2007
Dynogen Pharmaceuticals, Inc. January 2005 - August 2006
Tufts Health Plan 1998 - 2001
ManagedComp 1994 - December 1997
Community Newspaper Company 1993 - 1995
Tufts Health Plan 1990 - 1994
Parker Brothers 1981 - 1983
Skills
Talent Management, Human Resources, Organizational..., HRIS, Deferred Compensation, Change Management, Employee Benefits, Leadership, Consulting, Pharmaceutical Industry, Biotechnology, Talent Acquisition
Education
Union College 1975 — 1978
BA, English
Lahey Hospital & Medical Center June 2012 - Present
Lahey Hospital & Medical Center October 2013 - April 2014
BMC HealthNet Plan 2012 - 2012
Human Resources 2009 - 2012
Multiplan 2007 - 2009
Tufts Health Plan 2000 - 2007
Skills
Organizational..., Change Management, Employee Relations, Coaching, Employee Benefits, Performance Management, Talent Management, Talent Acquisition, Process Improvement, Succession Planning, Recruiting, Deferred Compensation, Personnel Management, Benefits Administration, Training, Leadership
Education
The University of Connecticut
BA, Communications
Securityminders Corporation 1996 - Present
Technology Leaders Association 2007 - Present
FordDirect 2015 - 2015
Crown Castle 2014 - 2014
Duquesne Light Company 2013 - 2013
UnitedHealth Group 2012 - 2013
Tufts Health Plan 2011 - 2011
3M 2010 - 2010
CompTIA 2008 - 2010
DeVry University 2008 - 2008
Skills
Information Security, Information Security..., Disaster Recovery, Computer Security, Network Security, Identity Management, Enterprise Architecture, Firewalls, IT Strategy, Risk Management, Security, Project Management, Risk Assessment, Application Security, IT Management, IT Audit, Cloud Computing, Strategic Planning, IDS, Executive Management, Management Consulting, Data Privacy, Computer Forensics, Project Planning, Published Author, Privacy Policies, Business Continuity..., Information Security..., Physical Security, Security Management, Malware Analysis, Wireless Security, Identity Federation, Social Engineering, Ethical Hacker, Philanthropy, Information Security..., Access Control..., Humanitarian, IT Governance, Identity Theft, Managerial Finance, Phishing Attacks, Information Assurance, Board of Directors, Business Strategy, Governance, CISM, Information Technology
Education
University of Iowa
BA, Geology/Geophysics
Blue Cross Blue Shield May 2007 - Present
Tufts Health Plan October 2004 - April 2007
Skills
Health Insurance, Managed Care, Customer Service, Medicare, Employee Benefits, Public Speaking
Education
University of Connecticut
Bachelor's Degree, Bachelors of Arts
Bearly Read Books 2007 - Present
Fallon Community Health Plan 1999 - 2007
Delta Dental 1997 - 1999
Tufts Health Plan 1991 - 1997
Skills
Health Insurance, Insurance, Customer Service, Marketing, Account Management, HIPAA, Sales, Team Building, Event Planning, Cross-functional Team..., Marketing Communications, Microsoft Word, Strategic Planning, Healthcare, Social Networking, Event Management, Employee Benefits, Managed Care, Leadership, Negotiation, Medicare, Process Improvement, Management, Long-term Care, Medicaid, Fundraising, Data Analysis
Education
University of Bridgeport 1983 — 1987
BS, Education and English
Blue Cross Blue Shield of MA February 2015 - Present
Blue Cross Blue Shield of Massachusetts July 2011 - February 2015
Partners HealthCare System, Inc. 2008 - July 2011
Partners Healthcare System 2007 - 2008
Partners Healthcare System 2006 - 2007
Tufts Health Plan 2001 - 2006
MassPRO 1999 - 2001
Skills
Project Managment, Managed Care, Healthcare Consulting, Healthcare, HIPAA, Health Insurance, Data Analysis, Hospitals, Facility reimbursement, Healthcare Industry
Education
Boston University Continuing Education Center 2011 — 2012
Certificate, Project Management
The University of Texas Health Science Center at Houston 1995 — 1998
Master's degree, Public Health
University of Houston 1992 — 1995
B.S., Biology
Tufts Health Plan February 2014 - Present
Tufts Health Plan May 2007 - January 2014
Towers Perrin April 2006 - May 2007
Skills
Health Insurance, Insurance, Claim, Employee Benefits, Reinsurance, Disability Insurance
Education
The University of Tennessee at Chattanooga 1995 — 1999
MBA
Tufts Health Plan January 2015 - Present
Tufts Health Plan November 2012 - Present
Greenough Communications October 2001 - April 2012
The Headline Group (now Edelman Atlanta) 1996 - 2001
Golin/Harris Communications 1995 - 1996
Skills
Media Relations, Strategic Communications, Public Relations, Corporate Communications, Internal Communications, Marketing Communications, Social Media, Press Releases, Crisis Communications, Social Media Marketing, Strategy, Nonprofits, Analyst Relations, Copywriting, Marketing, Start-ups, Messaging, Blogging, Social Networking, Event Planning, B2B, Thought Leadership, Social Media Measurement, Corporate Citizenship, Corporate Social..., Volunteer Management, Workplace Giving
Education
Tufts University 1991 — 1995
BS, Economics
Boston College Center for Corporate Citizenship
The Brattle Group 1999 - Present
Tufts Health Plan 1998 - 1999
NSTAR (Formerly Boston Edison) 1994 - 1998
Filene's 1989 - 1994
The Stop & Shop Companies, Inc. 1985 - 1989
The Stop & shop Companies, Inc. 1980 - 1985
Skills
Employee Relations, Succession Planning, Deferred Compensation, Organizational..., Organizational..., Labor Relations, Talent Management, Onboarding, Performance Management, Employee Benefits, Human Resources
Education
The University of Chicago
BA, Psychology
Tulane University
MPH, Health Administration/Management
Comcast March 2006 - Present
Tufts Health Plan November 2005 - March 2006
Education
University of Maine 2000 — 2004
BA, Internation Relations - Political Science
Tufts Health Plan March 2007 - Present
Tufts Health Plan October 2003 - March 2007
Tufts Health Plan November 1999 - October 2003
Tufts Health Plan June 1998 - November 1999
Skills
Healthcare Consulting, Pharmacy, Managed Care, Health Policy, Healthcare, Healthcare Information..., Health Insurance, Medicare, Healthcare Management, Medicaid, Healthcare Industry, Program Management, Medicare Part D, Process Improvement, Strategic Planning, HIPAA, Pharmacy Benefit...
Education
The Heller School for Social Policy and Management at Brandeis University
MBA
Tufts University
B.S.
WebMD National Director, SalesWebMD Health Services2006 - Present
CIGNA Strategy, Product & Marketing 2005 - 2005
Cap Gemini Ernst & Young 1999 - 2003
Tufts Health Plan 1993 - 1997
Education
University of Arizona
United Healthcare December 2010 - Present
Tufts Health Plan August 2008 - December 2010
Blue Cross Blue Shield of Massachusetts 2007 - 2008
Buck Consultants 2003 - 2007
Skills
Actuarial Science, Health Insurance
Education
The University of Texas at Austin 2000 — 2003
Master's degree, Operations Research
Tianjin University 1994 — 1998
Bachelor of Science (BS), Engineering/Industrial Management
Dowling Houy LLC January 2014 - Present
Diversified Project Management October 2011 - January 2014
Tufts Health Plan August 2009 - October 2011
Cubellis June 2004 - August 2009
ADD Inc 2000 - 2004
Skills
Space planning, Submittals, Interior Architecture, Interior Design, Space-planning, Furniture, Sustainable Design, Design Research, LEED, SketchUp, Architectural Design, LEED AP, AutoCAD, Architectures
Education
University of Maine
Tufts Health Plan December 2013 - Present
Coventry Health Care June 2008 - December 2013
First Marblehead April 2004 - May 2008
Alpine Pharmaceuticals, Inc. 2002 - 2003
PCi Corporation 2001 - 2002
Skills
Crystal Reports, Access, VBA, SSRS, Visio, SSIS, SQL Server, Visual Basic, Excel, SQL, Word, T-SQL, Microsoft Office, Databases, Visual Studio, Outlook, PL/SQL, Writing, Microsoft Excel, Requirements Gathering, Process Improvement, Project Management, Microsoft SQL Server
Education
University of Colorado Boulder 1996 — 2000
BA, European History
Tufts Health Plan January 2014 - Present
Tufts Health Plan March 2009 - December 2013
Suffolk Law School Intellectual Property Clinic September 2012 - May 2013
Tufts Health Plan May 2008 - March 2009
Tufts Health Plan March 2005 - May 2008
Tufts Health Plan April 2004 - February 2005
Skills
Data Analysis, Insurance, SDLC, HIPAA, Medicare, Health Insurance, Process Improvement, Quality Assurance, Visio, Access, Oracle CRM, CRM databases, Access Database, Intellectual Property, SQL, Business Analysis, CRM
Education
Suffolk University Law School 2010 — 2013
Doctor of Law (JD), Intellectual Property Law
University of Notre Dame - Mendoza College of Business 1999 — 2003
BBA, Management Information Systems
Azhvas Inc 2011 - Present
Tufts Health Plan 2013 - 2014
tieBridge 2009 - 2011
Qualcomm May 2008 - December 2008
GetLisa Information Services September 2007 - May 2008
Wipro September 2004 - December 2006
Skills
C++, Java, Eclipse, C, .NET, Visual Studio, Matlab, Software Development, SQL, PHP, XML, Android, Embedded Systems, C#, AJAX, IIS, Algorithms, Perl, Unix, Shell Scripting, Microsoft SQL Server, Actuate, Oracle
Education
University of Colorado at Boulder 2007 — 2008
Masters, Electrical Engineering (Communication and Signal Processing)
University of Madras 2000 — 2004
Bachelors, Electronics and Communication Engineering
Tufts Health Plan 2008 - Present
Skills
Data Warehousing, PL/SQL, Oracle, Database Design, Data Modeling, ETL, SDLC, SQL, Databases, Agile Methodologies, Integration, Business Analysis
Education
1983 — 1988
Commonwealth of Massachusetts October 2008 - February 2009
EDS Group May 2005 - September 2008
Public Consulting Group September 2004 - April 2005
Tufts Health Plan October 2001 - September 2004
Education
Union College 1994 — 1998
BA, Political Science/Sociology
Boston University
Masters in Public Health, Public Health
Harbor Health Services June 2012 - Present
Harbor Health Services August 2007 - December 2012
cambridge college 2005 - 2007
Tufts Health Plan October 1995 - June 2006
massave 1993 - 1995
Skills
NCQA Med Home appl, Med Home applications, Grant Writing, Grants, Spanish, Public Health, Fundraising, Public Relations, Community Outreach, Program Development, Proposal Writing, Psychology, Public Speaking, Clinical Research, Community Organizing, Non-profits, Healthcare, Workshop Facilitation, Organizational..., Policy Analysis, Staff Development, Strategic Planning, Policy, Management, Nonprofits, Volunteer Management, Program Evaluation
Education
University of Massachusetts Boston 1984 — 1986
MBA, Health
The University of Kansas 1976 — 1981
BS, Economics
Independent 2012 - Present
CIGNA Healthcare 2011 - 2012
Bottomline Technologies 2010 - 2010
Fidelity Investments 1997 - 2009
Tufts Health Plan 1992 - 1997
Astea (formally The Data Group Corporation) 1988 - 1992
Metropolitan Life (formally New England Life) 1984 - 1988
Education
Syracuse University
BS, Information Systems
Westbrook College
AA, Liberal Arts
Tufts Health Plan August 2008 - Present
Tufts Health Plan February 2003 - February 2008
Tufts Health Plan August 2000 - February 2003
Blue Cross Blue Shield of MA January 1993 - January 1997
Tufts Health Plan 1989 - 1991
Tufts Health Plan 1986 - 1989
Skills
Health Insurance, Managed Care, Building Relationships, Employee Benefits, Sales, Medicare, Utilization Management, Insurance, HIPAA, Disability Insurance, Healthcare, Claim, Health Savings Accounts, Underwriting
Education
Syracuse University
B.S.
Syracuse University
Tufts Health Plan October 2003 - Present
Gadsby Hannah LLP October 1999 - October 2003
Hanify & King, P.C. September 1995 - October 1999
Skills
Health Insurance, Negotiation, Insurance, Managed Care, Legal Research, Healthcare, Employee Benefits, HIPAA, Sales Management, Writing, Helping Clients Succeed, Medicare, Medicaid, Analysis, Claim, Health Policy, Health Care Reform, Healthcare Industry, Management
Education
Suffolk University Law School 1991 — 1994
JD, Law
Wesleyan University 1986 — 1990
BA, Sociology
Consulting Healthcare Analyst June 2011 - Present
Spiritual Eats January 2011 - Present
Harvard Pilgrim Health Care January 2005 - December 2009
Brigham and Women's Hospital April 2001 - December 2004
Tufts Health Plan May 1998 - April 2001
U.S. Census Bureau February 1997 - May 1998
Skills
Healthcare, Public Health, Healthcare Management, Healthcare Information..., Managed Care, Research, Clinical Data Management, Presentations, Oral & Written..., Data Analysis, Community Outreach, Public Speaking, Clinical Research
Education
UMass Boston 1999 — 2001
Masters Degree, Survey Research and Design
University of Connecticut
Bachelor of Applied Science (B.A.Sc.), Actuarial Science/Mathematics
Institute for Integrative Nutrition 2011 — 2012
Certification, Holistic Nutrition
Neighborhood Health Plan January 2005 - Present
Tufts Health Plan February 2001 - December 2004
Skills
Medicaid, Disease Management, Healthcare, Medicare, Medicare Part D, Healthcare Management, Managed Care, Utilization Management, NCQA, Pharmacy Benefit..., Healthcare Industry, Medication Therapy..., Pharmacy, Pharmacists, Health Policy, Clinical Research, Medicaid Managed Care, HMO, Quality Improvement, HIPAA, Informatics, Healthcare Consulting, Healthcare Information...
Education
University of Kansas
Doctor of Pharmacy (Pharm.D.)
Chico's FAS, Inc. June 2014 - Present
State Farm March 2012 - May 2014
Kohl's Department Stores September 2010 - February 2012
Walmart September 2009 - November 2010
Amazon August 2008 - August 2009
Tufts Health Plan November 2007 - July 2008
Chase July 2006 - October 2007
Kaiser Permanente October 2005 - July 2006
USAA February 2005 - October 2005
Surgical Information Systems October 2003 - January 2005
Skills
HP QTP, WinRunner, ALM, QC Tools, JIRA, Mobile Testing, Agile Methodologies, Scrum, Agile & Waterfall..., SharePoint, BPT, SQL, SQL Server Management..., Oracle, Toad, Unix Services, VBScript
Education
University of Madras 1996 — 2001
Bachelor of Engineering (B.E.), Computer Science
CareCredit July 2009 - Present
CareCredit, A Division of GE Money August 2008 - May 2009
CareCredit, A Division of GE Money January 2007 - August 2008
CareCredit, A Division of GE Money August 2004 - January 2007
Capital One Healthcare Financing May 2000 - August 2004
Tufts Health Plan September 1997 - May 2000
Tufts Health Plan January 1996 - August 1997
Skills
Business Development, Sales Management, Sales, Account Management, New Business Development, Strategic Planning, Marketing Strategy, Competitive Analysis, Salesforce.com, Marketing, Cross-functional Team..., Team Building, Sales Operations, Sales Process, CRM
Education
University of Louisville 1988 — 1992
Bachelor of Arts, English
Tufts Health Plan July 2013 - Present
Foundations of Strength January 2010 - July 2013
BlueShield of Northeastern New York January 2013 - April 2013
Capital District Physicians' Health Plan (CDPHP) October 2012 - December 2012
Steward Health Care July 2012 - October 2012
Northeast Rehabilitation Health Network June 2009 - June 2011
American International College July 2008 - July 2009
Skills
Lecturer, Group Instructor, Public Address, Qualitative Research, Public Speaking, Public Health, Wellness Coaching, Wellness Programs, Corporate Wellness, Strength Training, Personal Training, Ergonomics, Rehabilitation, Injury Rehabilitation, Healthcare, Healthcare Management, Health Coaching, Wellness Consulting, Wellness, Leadership, Employee Wellness, Corporations, Prevention, Program Development, Data Analysis, Health Education, Microsoft Excel, PowerPoint, Cpr Certified
Education
Union Graduate College 2011 — 2013
MBA, Healthcare Management
UMass Amherst 2004 — 2008
Bachelor's, Kinesiology
Union Graduate College
Master of Science (MS), Healthcare Data Analytics
Northern Human Services 2004 - Present
Tufts Health Plan 1996 - 2002
Tufts Health Plan 1995 - 2002
Skills
Employee Relations, Organizational..., Human Resources, Talent Management, Recruiting, Public Speaking, Payroll, Non-profits, Employee Training, Change Management, Training, Social Media, Mediation, Technical Recruiting, Resume Writing, Health Insurance, Research, Employee Benefits, Talent Acquisition, Benefits Administration, Employee Recognition, Analysis, Interviews, Editing, Conflict Resolution, Performance Management, Team Building, Applicant Tracking..., Grant Writing
Education
Wheaton College (MA) 1978 — 1982
BA, Art/Econimics
University College Dublin 1980 — 1980
Irish Studies
Physicians Interactive June 2014 - Present
Natural Standard March 2013 - June 2013
Provant 2013 - 2013
Solutions4Health January 2012 - October 2012
MediMedia USA January 2010 - January 2011
WebMD January 2007 - January 2010
STAT!Ref The Premier Healthcare e-source 2006 - 2007
InSight Health Corp. 2003 - 2006
Children's Hospital Boston 2001 - 2003
Tufts Health Plan 1993 - 1995
Skills
Account Management, Consultative Selling, Relationship Development, Healthcare, Health, Project Implementation, Project Management, Healthcare Information..., Fitness, Selling, Business Development, Public Health, Strategic Planning, Wellness, Start-ups, Strategic Partnerships, Product Launch, Marketing Strategy, Entrepreneurship, Analytics, Product Marketing, Executive Management, Strategy, Cross-functional Team..., Marketing, Employee Wellness, New Business Development, Sales, Program Management, Business Strategy, Marketing Communications, Health Promotion, Consulting, Business Planning, Process Improvement, B2B, Social Networking, Online Marketing, Solution Selling, Team Leadership, Contract Negotiation, Sales Presentations, Vendor Management, Hospitals, Management
Education
Tufts University School of Medicine 2008 — 2008
NA, Health Behavior and Communication
University of New Hampshire 1994 — 1996
Masters in Health Administration, Health/Health Care Administration/Management
University of Colorado at Boulder 1988 — 1992
BS, Business Administration
Needham High School
WGBH November 2012 - Present
WGBH July 2010 - December 2012
Tufts Health Plan February 2009 - July 2010
Circles January 2007 - January 2009
Circles June 2006 - January 2007
Circles March 2003 - June 2006
Circles June 2002 - March 2003
Circles May 2000 - June 2002
Finlay Fine Jewelry May 1997 - May 2000
WBLK Raido August 1996 - May 1997
Skills
Salesforce.com, Process Improvement, Customer Service, Call Centers, Customer Satisfaction, Customer Experience, Strategy, Call Center, Social Media, Outlook, Problem Solving, Management, Customer Relations, Instructional Design, Change Management, Mentoring, Social Media Marketing, Fundraising, Retail, Word, PowerPoint, Excel, Strategic Planning, Microsoft Office, Marketing Communications, Public Speaking, Sage, Avaya, Call Center Development, SaaS, Training, Leadership, CRM, Program Management, Sales, Operations Management, Time Management, Product Management, Product Marketing, Social Networking, Business Strategy, Marketing, Facebook, Email Marketing, Team Leadership, Marketing Strategy, Negotiation, Team Building, Online Marketing, Nonprofits
Education
Syracuse University 1992 — 1996
BS, Communication
Wheelock College August 2012 - Present
Wheelock College March 2012 - August 2012
Connected Beginnings Training Institute April 2011 - March 2012
Massachusetts General Hospital April 2009 - March 2012
Sun Life Financial April 2008 - February 2009
Harvard Pilgrim Health Care September 2007 - April 2008
Tufts Health Plan August 2007 - September 2007
University of Maine March 2005 - May 2007
MBNA America June 2002 - August 2003
MBNA America October 2001 - June 2002
Skills
Mac OS X, Microsoft Office, Salesforce Administrator, HTML, Customer Service, Non-profits, Drupal, Windows, Website Updating, WYSIWYG layout tools, Databases, OS X, WordPress
Education
University of Maine 2002 — 2007
BS
Sudbury United Methodist Church April 2014 - Present
Parmenter Community Health Care January 2008 - March 2013
Goodnow Lilbrary November 2004 - February 2007
Tufts Health Plan June 1991 - April 1999
Skills
Salesforce.com, Word, Customer Relations, Healthcare, Social Media, Web Content, Documentation, Strategic Planning, Problem Solving, Change Management, Process Improvement, Non-profits, Software Documentation, Technical Writing, Customer Service, Bidding For Good..., Nonprofits, Microsoft Word, Facebook, Editing, Management, Public Relations
Education
SUNY Albany
Graduate work, Russian Language & Literature
University of Massachusetts, Amherst
BA, Soviet and Eastern European Studies
U.S. Bank September 2013 - Present
Fifth Third Bank March 2010 - September 2013
Fifth Third Securities March 2010 - September 2013
HSBC Consumer Lending August 2007 - March 2009
Tufts Health Plan September 2004 - December 2006
Skills
Consumer Lending, Retail Banking, Sales Management, Financial Advisory, New Business Development, Coaching
Education
Universitat Pompeu Fabra 2007 — 2007
Spanish
University of Massachusetts, Amherst 1999 — 2003
BS, Sociology
Tufts Health Plan August 2015 - Present
Golden Liiving Center June 2011 - Present
Memorial Hospital of RI - Pediatric Primary Care June 2014 - August 2015
Greenwood Care and Rehabilitation Center October 2009 - January 2014
UMass Medical School May 2013 - December 2013
Greenville Skilled Nursing & Rehabilitation October 2007 - February 2011
Elmhurst Extended Care May 2006 - June 2008
Morgan Health Center November 2005 - May 2006
Skills
Yoga, Clinical Research, Nursing, Theatre, Inpatient, IV, Pediatrics, Home Care, Healthcare, Wound Care, Mental Health, Patient Advocacy, Acute Care, Hospitals, Medication...
Education
University of Belgrade
Mika Mitrovic Sabac
Tufts Health Plan 1992 - Present
Education
The Heller School for Social Policy and Management at Brandeis University
Masters in Management of Human Services
Tufts University 1980 — 1984
Bachelor's degree, Biology, General
Partners HealthCare April 2014 - Present
Emerson College August 2011 - Present
Verisk Health August 2012 - January 2014
Tufts Health Plan October 2010 - July 2012
Le Cordon Bleu College of Culinary Arts, Boston January 2011 - May 2011
The Ohio State University September 2007 - June 2009
Greatex & Co. October 2002 - February 2007
Skills
Teaching, PowerPoint, Public Speaking, Excel, Writing, Microsoft Office, Higher Education, Social Media, Event Planning, Community Outreach, Editing, Research, Curriculum Design, Facebook, Training, Microsoft Excel, Data Analysis
Education
The Ohio State University 2007 — 2009
M.A, Communication
32BJ SEIU October 2013 - Present
Vogel Farina April 2013 - August 2013
Tufts Health Plan October 2007 - February 2013
Fuji Corporation 2003 - 2006
Skills
Access, Health Insurance, Data Analysis, Insurance, Microsoft Office, Customer Service, Analysis, Microsoft Excel, HIPAA, Management, Outlook, Medicare, Business Analysis, Microsoft Word, Process Improvement, Healthcare
Education
University of Massachusetts Boston
Dana-Farber Cancer Institute December 2011 - January 2013
Tufts Health Plan December 2010 - November 2011
Club Demonstration Services September 2009 - June 2010
Skills
Health Insurance, Patient Advocacy, Administrative Office..., ICD-9, Prior Authorization, Radiology, Member Relations, Microsoft Office, Customer Service, Marketing Communications, PowerPoint, Microsoft Excel, Event Planning, Microsoft Word, Sales, Event Management, Healthcare
Education
University of Massachusetts Boston 2006 — 2010
Bachelor of Business Administration (BBA)
Scituate High School 2002 — 2006
High School Diploma
Tufts Health Plan August 2012 - October 2013
Coventry Health Care November 2011 - August 2012
CVS Caremark January 2010 - September 2011
RS Creative Solutions Inc January 2007 - December 2009
Syratech Corporation January 2005 - January 2006
Skills
Variance Analysis, Financial Modeling, Financial Analysis, Forecasting, Financial Reporting, Budgeting, SAP, Access, Excel, Process Improvement, Cash Flow, PeopleSoft, Corporate Finance, Accruals, Cognos, Financial Forecasting, P&L, Microsoft Excel
Education
University of Maryland - Robert H. Smith School of Business 2002 — 2005
Bachelor of Science, Finance
Region 4b Medical Reserve Corps January 2006 - Present
Cambridge Public Health Department August 2005 - Present
Watertown Health Department July 2004 - January 2005
The Conrad Group August 2002 - August 2003
Tufts Health Plan August 2001 - July 2002
Bergin Correctional Institution September 1999 - May 2001
Skills
Emergency Management, Disaster Response, Preparedness, Public Speaking, Public Health, NIMS, Homeland Security, Public Safety, Emergency Services, Policy, Strategic Planning, Incident Command, Training, Cpr Certified, Hospitals, Program Development, Project Planning, Government, Emergency Medicine, Mental Health, Healthcare, CBRN, First Aid, Management, Risk Assessment, EMS, Community Outreach, Epidemiology, Medicine, Crisis Management, First Responder, Supervisory Skills, CPR Certified, Leadership
Education
Boston University School of Public Health 2004 — 2005
Master of Public Health (MPH), Management and Public Policy
The University of Connecticut 1997 — 2001
Bachelor's degree, Psychology, CJ, Concentration in developmental psych, early childhood and aging
Newton North High School 1994 — 1997
Tufts Health Plan August 2008 - Present
University of Connecticut October 2006 - July 2008
Upward Bound June 2006 - July 2008
Skills
Data Analysis, SPSS, Insurance
Education
The University of Connecticut 2006 — 2008
MS, Actuarial Science
The University of Connecticut 2006 — 2008
Master's degree, Actuarial Science
University of New Hampshire 2003 — 2006
BS, Interdisciplinary Mathematics: Statistics
University of New Hampshire 2002 — 2006
Bachelor's of Science, Interdisciplinary Mathematics; Statistics
Regent's College
University of Tampa 2002 — 2002
Tufts Health Plan 2007 - Present
Health Dialog 2005 - 2007
Ingenix, UnitedHealthGroup 2004 - 2005
IHCIS 2002 - 2004
Skills
Disease Management, Pharmacy Benefit..., SAS, Healthcare Information..., Managed Care, Health Insurance, Healthcare Management, Informatics, Process Improvement, Medicare, Predictive Analytics, Healthcare, Data Analysis, HIPAA, Healthcare Consulting, Health Policy, Access, SAS programming
Education
University at Albany, SUNY 1998 — 2000
MPH, Health Policy and Administration, Epidemiology
American University of Armenia 1995 — 1997
MPH, Public Health
Yerevan State University
Ph.D., Genetics
Yerevan State University
BS, Biology
Tufts Health Plan May 2014 - Present
Tufts Health Plan April 2012 - Present
Skills
Microsoft Office, Microsoft Excel, Lotus Notes
Education
University of Massachusetts Boston 2001 — 2003
Human Serice
Medical Healthcare Solutions November 2011 - Present
Logix Health 2008 - 2011
Tufts Health Plan 1985 - 1990
Skills
Medical Billing, HIPAA, Medicare, Invoicing, Healthcare Information..., Medicaid, EHR, EMR, Health Insurance, Data Entry, Healthcare Management, Revenue Cycle, Customer Service, Medical Terminology, Microsoft Excel, Clinical Research, Access, CPR Certified, Healthcare Consulting, Meditech, Provider Relations, Telephone Skills, Process Improvement
Education
University of Connecticut 1978 — 1982
Bachelor of Science (BS), Animal Sciences
Tufts Health Plan June 2012 - Present
Susquehanna University August 2010 - Present
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Books, Coordination, Customer Service, Composition, PowerPoint, Facebook, Editing, Public Speaking, Time Management, Higher Education, Outlook, Student Development, Residence Life, Leadership, Teaching, Research
Education
Susquehanna University 2008 — 2012
Tufts Health Plan April 2014 - Present
Minuteman Health, Inc. September 2013 - April 2014
Harvard Pilgrim Health Care February 2001 - September 2013
Quebec Blue Cross 1995 - January 2001
Skills
Health Insurance, Underwriting, Insurance, Actuarial Science, Actuaries, Reinsurance, Managed Care, Employee Benefits, Claim, Disability Insurance, Brokers, Risk Management, Health Policy, HMO
Education
Université Laval / Laval University
B.S., Actuarial Science
Tufts Health Plan 2006 - Present
Skills
Medicare, Health Insurance, Insurance, Employee Benefits, Managed Care, Healthcare, Account Management, HIPAA, Process Improvement
Education
Union College 1999 — 2004
Bachelor, English
Suffield Academy
Humana July 2013 - Present
Tufts Health Plan January 2013 - May 2013
Humana June 2012 - January 2013
Humana October 2009 - June 2012
Humana June 2008 - October 2009
Education
University of Kentucky 2006 — 2008
Master of Arts (M.A.), Mathematics
University of Kentucky 2002 — 2006
Bachelor of Science (B.S.), Mathematics