Tufts Health Plan
Industry: Company
DescriptionTufts Health Plan is a Massachusetts-based health insurance company under Tufts Associated Health Plans, Inc. with headquarters in Watertown. As of March 31, 2016, the nonprofit health insurer had 1,072,000 members. The Tufts Health Plan network includes 91 hospitals and 29,000 health care providers. CEO: Thomas Croswell (Jan 2016–) Headquarters: Watertown, Massachusetts, United States Number of employees: 2,400 Founded: 1979 Subsidiaries: Tufts Health Public Plans, Inc., Integra Partners Holdings, LLC
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Tufts Health Plan Employees
Employee
Years
Job
Industry
Cindy del Moral Cindy del Moral's Tufts Health Plan Experience 2006 - 2008
Job Vice President Managed Care at Steward Health Care
Industry Insurance
Experience
Steward Health Care June 2012 - Present
Blue Cross Blue Shield of Rhode Island 2009 - April 2012
Harvard Pilgrim Health Care 2007 - 2009
Tufts Health Plan 2006 - 2008
Sutter Health 2000 - 2006
UC Davis 1984 - 2000
UC Davis 1984 - 2000
Education
University of Phoenix
Master of Business Administration (MBA)
Steward Health Care June 2012 - Present
Blue Cross Blue Shield of Rhode Island 2009 - April 2012
Harvard Pilgrim Health Care 2007 - 2009
Tufts Health Plan 2006 - 2008
Sutter Health 2000 - 2006
UC Davis 1984 - 2000
UC Davis 1984 - 2000
Education
University of Phoenix
Master of Business Administration (MBA)
Sam Riga's Tufts Health Plan Experience October 2013 - November 2013
Job Human Resources at Eversource Energy
Industry Utilities
Experience
Eversource Energy November 2013 - Present
Tufts Health Plan October 2013 - November 2013
Portsmouth Police Department May 2013 - August 2013
Atrio Properties GMAC Real Estate May 2011 - September 2012
Skills
Organizational..., Conflict Resolution, Community Outreach, Orientation Programs, Leadership, Team Leadership, Leadership Development, Fundraising, Research, Microsoft Office, Microsoft Excel, Microsoft Word, Political Science, Public Policy, Mentoring, Team Building, Philanthropy, Communication, Event Planning, Public Speaking, Public Relations, Source Intelligence, Government, PeopleSoft, PowerPoint, Management, Social Media, Customer Service
Education
University of New Hampshire 2009 — 2013
Bachelor of Arts (BA), Political Science and Government with Business Concentration
Eversource Energy November 2013 - Present
Tufts Health Plan October 2013 - November 2013
Portsmouth Police Department May 2013 - August 2013
Atrio Properties GMAC Real Estate May 2011 - September 2012
Skills
Organizational..., Conflict Resolution, Community Outreach, Orientation Programs, Leadership, Team Leadership, Leadership Development, Fundraising, Research, Microsoft Office, Microsoft Excel, Microsoft Word, Political Science, Public Policy, Mentoring, Team Building, Philanthropy, Communication, Event Planning, Public Speaking, Public Relations, Source Intelligence, Government, PeopleSoft, PowerPoint, Management, Social Media, Customer Service
Education
University of New Hampshire 2009 — 2013
Bachelor of Arts (BA), Political Science and Government with Business Concentration
Pam Doucette Pam Doucette's Tufts Health Plan Experience August 2010 - Present
Job Director of Enterprise Architecture at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan August 2010 - Present
Tufts Health Plan 2002 - 2010
Monster, Inc. 2005 - 2005
Addison Wesley Longman 1990 - 1998
Houghton Mifflin 1986 - 1990
Skills
HIPAA, Business Analysis, Enterprise Architecture, Healthcare Information..., SDLC, Process Improvement, Vendor Management, Integration, SOA, Agile Methodologies, Software Project..., IT Strategy, Data Warehousing, Visio, Project Management, Requirements Gathering, Systems Analysis, Requirements Analysis, IT Management, Business Requirements, Project Portfolio..., Data Modeling
Education
University of New Hampshire 1982 — 1986
Tufts Health Plan August 2010 - Present
Tufts Health Plan 2002 - 2010
Monster, Inc. 2005 - 2005
Addison Wesley Longman 1990 - 1998
Houghton Mifflin 1986 - 1990
Skills
HIPAA, Business Analysis, Enterprise Architecture, Healthcare Information..., SDLC, Process Improvement, Vendor Management, Integration, SOA, Agile Methodologies, Software Project..., IT Strategy, Data Warehousing, Visio, Project Management, Requirements Gathering, Systems Analysis, Requirements Analysis, IT Management, Business Requirements, Project Portfolio..., Data Modeling
Education
University of New Hampshire 1982 — 1986
Anne Marie Ludovici-Connolly, M.S. Anne Marie Ludovici-Connolly, M.S.'s Tufts Health Plan Experience December 2011 - March 2013
Job Author, Speaker, Consultant:Health,WellBeing and Behavior Change
Industry Health, Wellness and Fitness
Experience
AMLC Consulting December 2011 - Present
Career Press Inc July 2014 - Present
Human Kinetics 2009 - Present
University of Rhode Island 2008 - Present
Tufts Health Plan December 2011 - March 2013
Aon Hewitt June 2008 - December 2011
Office of the Governor State of RI 2005 - 2008
University of Rhode Island 1998 - 2005
Wakefield Health and Fitness Center 1985 - 1995
IDEA 1989 - 1993
Skills
Health, Wellness and..., Strategic Consulting, Marketing Strategy, Strategic Planning, Beneift Consulting, Health Behavior Change, Conference Speaking, Employee Engagement, Financial Analysis, Health Promotion, Healthcare, Research, Coaching, Program Development, Leadership Development, Fundraising, Non-profits, Teaching, Health Managment..., Health, Wellness, Public Speaking, Mentoring, Employee Wellness, Behavior Change, Wellness Coaching, Team Building, Public Relations, Nonprofits, Employee Benefits, Change Management, Leadership, Program Evaluation, Corporations, Entrepreneurship, Event Planning, Data Analysis, Marketing, Training, Health Policy, Program Management, Sales, Organizational..., Public Health, Analysis, Grant Writing, Community Outreach, Health Education, Policy, Grants
Education
University of Rhode Island, M.S, Kinesiology 1999 — 2002
M.S., Kinesiology, concentration Psycho/ Social Aspects of Health Behavior Change
University of Rhode Island - College of Business Administration 1979 — 1983
BA, Business Adminstration, Concentration-Marketing Managment
AMLC Consulting December 2011 - Present
Career Press Inc July 2014 - Present
Human Kinetics 2009 - Present
University of Rhode Island 2008 - Present
Tufts Health Plan December 2011 - March 2013
Aon Hewitt June 2008 - December 2011
Office of the Governor State of RI 2005 - 2008
University of Rhode Island 1998 - 2005
Wakefield Health and Fitness Center 1985 - 1995
IDEA 1989 - 1993
Skills
Health, Wellness and..., Strategic Consulting, Marketing Strategy, Strategic Planning, Beneift Consulting, Health Behavior Change, Conference Speaking, Employee Engagement, Financial Analysis, Health Promotion, Healthcare, Research, Coaching, Program Development, Leadership Development, Fundraising, Non-profits, Teaching, Health Managment..., Health, Wellness, Public Speaking, Mentoring, Employee Wellness, Behavior Change, Wellness Coaching, Team Building, Public Relations, Nonprofits, Employee Benefits, Change Management, Leadership, Program Evaluation, Corporations, Entrepreneurship, Event Planning, Data Analysis, Marketing, Training, Health Policy, Program Management, Sales, Organizational..., Public Health, Analysis, Grant Writing, Community Outreach, Health Education, Policy, Grants
Education
University of Rhode Island, M.S, Kinesiology 1999 — 2002
M.S., Kinesiology, concentration Psycho/ Social Aspects of Health Behavior Change
University of Rhode Island - College of Business Administration 1979 — 1983
BA, Business Adminstration, Concentration-Marketing Managment
Ryan Chiavetta Ryan Chiavetta's Tufts Health Plan Experience October 2012 - December 2012
Job Online/Web Producer at HealthLeaders Media
Industry Writing and Editing
Experience
HealthLeaders Media March 2013 - Present
Tufts Health Plan October 2012 - December 2012
Tufts Health Plan August 2012 - September 2012
NESN January 2012 - May 2012
Best Buy June 2011 - January 2012
The New Hampshire September 2010 - December 2011
Skills
Editing, Blogging, Social Media, Writing, Sports Writing, Microsoft Office, Research, Time Management, Storytelling, HTML, Sports History, Publishing, Public Speaking, Publications, Newsletters, Journalism, Interviews, Sports, Marketing Communications, Adobe Creative Suite, Copy Editing, Editorial, News Writing, Social Networking, Sales, Content Strategy, WordPress, Web Content, Creative Writing, Proofreading, Photoshop, Media Relations, Newspapers, Microsoft Word, Interview Skills, Web Content Management
Education
University of New Hampshire 2008 — 2012
Bachelor's degree, Journalism
Pinkerton Academy 2004 — 2008
High School Diploma
HealthLeaders Media March 2013 - Present
Tufts Health Plan October 2012 - December 2012
Tufts Health Plan August 2012 - September 2012
NESN January 2012 - May 2012
Best Buy June 2011 - January 2012
The New Hampshire September 2010 - December 2011
Skills
Editing, Blogging, Social Media, Writing, Sports Writing, Microsoft Office, Research, Time Management, Storytelling, HTML, Sports History, Publishing, Public Speaking, Publications, Newsletters, Journalism, Interviews, Sports, Marketing Communications, Adobe Creative Suite, Copy Editing, Editorial, News Writing, Social Networking, Sales, Content Strategy, WordPress, Web Content, Creative Writing, Proofreading, Photoshop, Media Relations, Newspapers, Microsoft Word, Interview Skills, Web Content Management
Education
University of New Hampshire 2008 — 2012
Bachelor's degree, Journalism
Pinkerton Academy 2004 — 2008
High School Diploma
Kirsten M. Straitiff's Tufts Health Plan Experience March 2010 - Present
Job at Tufts Health Plan Medicare Preferred
Industry Insurance
Experience
Tufts Health Plan March 2010 - Present
Neighborhood Health Plan May 2007 - July 2009
Evercare a division of United Healthcare January 2006 - May 2007
Oxford Health Plans a division of United Healthcare November 2002 - January 2006
Oxford Health Plans a division of United Healthcare August 1995 - November 2002
Education
North Middlesex Regional High School 1983 — 1985
University of Phoenix
Tufts Health Plan March 2010 - Present
Neighborhood Health Plan May 2007 - July 2009
Evercare a division of United Healthcare January 2006 - May 2007
Oxford Health Plans a division of United Healthcare November 2002 - January 2006
Oxford Health Plans a division of United Healthcare August 1995 - November 2002
Education
North Middlesex Regional High School 1983 — 1985
University of Phoenix
Matt Taglieri, CPA Matt Taglieri, CPA's Tufts Health Plan Experience July 2014 - May 2015
Job Manager, Accounting at Dusa Pharmaceuticals
Industry Accounting
Experience
Dusa Pharmaceuticals June 2015 - Present
Tufts Health Plan July 2014 - May 2015
Tufts Health Plan April 2010 - July 2014
Spire Corporation July 2008 - March 2010
Acme Wholesale, Inc. October 2006 - July 2008
Yoshida, Croyle and Sokolski, PC September 2004 - October 2006
Nathan Wechsler & Company July 2002 - June 2004
Skills
General Ledger, Financial Analysis, Auditing, Access, Accounts Receivable, Accounts Payable, Bank Reconciliation, Accruals, CPA, Financial Statements, Invoicing, Management, Microsoft Excel, Payroll, Tax
Education
University of New Hampshire -- Peter T. Paul College of Business and Economics 1998 — 2002
Bachelor's, Accounting and Finance
Dusa Pharmaceuticals June 2015 - Present
Tufts Health Plan July 2014 - May 2015
Tufts Health Plan April 2010 - July 2014
Spire Corporation July 2008 - March 2010
Acme Wholesale, Inc. October 2006 - July 2008
Yoshida, Croyle and Sokolski, PC September 2004 - October 2006
Nathan Wechsler & Company July 2002 - June 2004
Skills
General Ledger, Financial Analysis, Auditing, Access, Accounts Receivable, Accounts Payable, Bank Reconciliation, Accruals, CPA, Financial Statements, Invoicing, Management, Microsoft Excel, Payroll, Tax
Education
University of New Hampshire -- Peter T. Paul College of Business and Economics 1998 — 2002
Bachelor's, Accounting and Finance
Kara Coluccio Kara Coluccio's Tufts Health Plan Experience 1998 - 1999
Job
Industry Staffing and Recruiting
Experience
Ivy Advisors, LLC February 2013 - Present
Catalyst Advisors LLC 2010 - 2013
Russell Reynolds Associates 2004 - 2010
PhRMA 2002 - 2003
AcademyHealth February 2001 - August 2002
Harvard Pilgrim Health Care 1999 - 2000
Brigham and Women's Hospital 1997 - 2000
Tufts Health Plan 1998 - 1999
Skills
Research, Biotechnology, Recruiting, Clinical Development, Healthcare, Lifesciences, Medical Affairs, Public Health, Clinical Trials, Pharmaceutical Industry, Business Development, Drug Development, R&D, Oncology, Regulatory Affairs, Executive Search, Biopharmaceuticals, Leadership, Interviews, CTMS, Life Sciences
Education
University of Pennsylvania School of Medicine 2002 — 2004
Masters, Bioethics
University of Pennsylvania
BA, History and Sociology of Science
Ivy Advisors, LLC February 2013 - Present
Catalyst Advisors LLC 2010 - 2013
Russell Reynolds Associates 2004 - 2010
PhRMA 2002 - 2003
AcademyHealth February 2001 - August 2002
Harvard Pilgrim Health Care 1999 - 2000
Brigham and Women's Hospital 1997 - 2000
Tufts Health Plan 1998 - 1999
Skills
Research, Biotechnology, Recruiting, Clinical Development, Healthcare, Lifesciences, Medical Affairs, Public Health, Clinical Trials, Pharmaceutical Industry, Business Development, Drug Development, R&D, Oncology, Regulatory Affairs, Executive Search, Biopharmaceuticals, Leadership, Interviews, CTMS, Life Sciences
Education
University of Pennsylvania School of Medicine 2002 — 2004
Masters, Bioethics
University of Pennsylvania
BA, History and Sociology of Science
Joleen Miller Joleen Miller's Tufts Health Plan Experience May 2010 - Present
Job Account Manager at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan May 2010 - Present
Starkweather & Shepley September 2008 - May 2010
Blue Cross Blue Shield of RI July 2003 - September 2008
Skills
Health Insurance, Claim, Insurance, Employee Benefits, Benefits Administration, Strategic Planning, Sales, Customer Service, Brokers, New Business Development, Disability Insurance, Health Savings Accounts, Managed Care, Medicare, Underwriting, Management, Long-term Care, Workers Compensation, COBRA, Health Care Reform, Provider Relations
Education
University of Rhode Island - College of Business Administration 1999 — 2003
BS, Marketing, General Business, Philosophy
St. Mary Academy Bay View
Tufts Health Plan May 2010 - Present
Starkweather & Shepley September 2008 - May 2010
Blue Cross Blue Shield of RI July 2003 - September 2008
Skills
Health Insurance, Claim, Insurance, Employee Benefits, Benefits Administration, Strategic Planning, Sales, Customer Service, Brokers, New Business Development, Disability Insurance, Health Savings Accounts, Managed Care, Medicare, Underwriting, Management, Long-term Care, Workers Compensation, COBRA, Health Care Reform, Provider Relations
Education
University of Rhode Island - College of Business Administration 1999 — 2003
BS, Marketing, General Business, Philosophy
St. Mary Academy Bay View
Nicole Begnal Nicole Begnal's Tufts Health Plan Experience May 2014 - Present
Job Summer Intern at Tufts Health Plan
Industry Financial Services
Experience
Tufts Health Plan May 2014 - Present
Gap Inc. May 2013 - January 2014
Hennessey News Co. November 2011 - May 2013
Skills
Project Planning, Time Management, Retail, PowerPoint, Teamwork, Microsoft Word, Social Networking, Inventory Management, Customer Service, Microsoft Excel, Microsoft Office, Event Planning, Critical Thinking
Education
University of South Carolina-Columbia 2013 — 2017
Bachelor of Science (BS), International Business
Scituate High School 2009 — 2013
Tufts Health Plan May 2014 - Present
Gap Inc. May 2013 - January 2014
Hennessey News Co. November 2011 - May 2013
Skills
Project Planning, Time Management, Retail, PowerPoint, Teamwork, Microsoft Word, Social Networking, Inventory Management, Customer Service, Microsoft Excel, Microsoft Office, Event Planning, Critical Thinking
Education
University of South Carolina-Columbia 2013 — 2017
Bachelor of Science (BS), International Business
Scituate High School 2009 — 2013
Peter Hess Peter Hess's Tufts Health Plan Experience 2001 - 2006
Job Senior Account Executive at Cross Insurance
Industry Insurance
Experience
Cross Insurance 2014 - Present
Paychex 2013 - 2014
Fallon Community Health Plan 2006 - 2012
Tufts Health Plan 2001 - 2006
Tufts Health Plan 1997 - 2001
Tufts Health Plan 1996 - 1997
Auditel, Inc. 1994 - 1995
Kalb Voorhis June 1993 - June 1993
Skills
Health Insurance, Sales, Employee Benefits, Insurance, Account Management, Healthcare, Managed Care, Health Savings Accounts, Disability Insurance, Brokers, Medicare, Sales Presentations, Sales Operations, Life Insurance, Health Policy, Corporate Sales..., Customer Service
Education
University of New Hampshire
Bachelor of Science, Resource Economics
University of New Hampshire
Associate of Applied Science, Applied Business Management
Cross Insurance 2014 - Present
Paychex 2013 - 2014
Fallon Community Health Plan 2006 - 2012
Tufts Health Plan 2001 - 2006
Tufts Health Plan 1997 - 2001
Tufts Health Plan 1996 - 1997
Auditel, Inc. 1994 - 1995
Kalb Voorhis June 1993 - June 1993
Skills
Health Insurance, Sales, Employee Benefits, Insurance, Account Management, Healthcare, Managed Care, Health Savings Accounts, Disability Insurance, Brokers, Medicare, Sales Presentations, Sales Operations, Life Insurance, Health Policy, Corporate Sales..., Customer Service
Education
University of New Hampshire
Bachelor of Science, Resource Economics
University of New Hampshire
Associate of Applied Science, Applied Business Management
Sarah Ann Cregg Sarah Ann Cregg's Tufts Health Plan Experience 2001 - Present
Job Account Manager at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan 2001 - Present
Museum of Fine Arts, Boston 2003 - 2010
Skills
Insurance, Customer Service, Healthcare, Strategic Planning, Employee Benefits, Managed Care, Health Insurance, Sales, Health Savings Accounts, Disability Insurance, Provider Relations, HIPAA, Health Policy, COBRA, Medicare
Education
University of New Hampshire 1996 — 2000
BA, Studio Art
Tufts Health Plan 2001 - Present
Museum of Fine Arts, Boston 2003 - 2010
Skills
Insurance, Customer Service, Healthcare, Strategic Planning, Employee Benefits, Managed Care, Health Insurance, Sales, Health Savings Accounts, Disability Insurance, Provider Relations, HIPAA, Health Policy, COBRA, Medicare
Education
University of New Hampshire 1996 — 2000
BA, Studio Art
Peter Bonaccorsi Peter Bonaccorsi's Tufts Health Plan Experience November 2012 - Present
Job Director, Member Services Public Plans at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan November 2012 - Present
Network Health September 2001 - November 2012
Skills
Employee Development, Member Relations, Provider Relations, Collaborative Problem..., Dispute Resolution
Education
University of Rhode Island
Bachelor’s Degree, Consumer Science, Marketing
Tufts Health Plan November 2012 - Present
Network Health September 2001 - November 2012
Skills
Employee Development, Member Relations, Provider Relations, Collaborative Problem..., Dispute Resolution
Education
University of Rhode Island
Bachelor’s Degree, Consumer Science, Marketing
Raymond Bouchard, AHFI Raymond Bouchard, AHFI's Tufts Health Plan Experience April 2000 - August 2001
Job Investigator, Organized Fraud Division, DHECC
Industry Insurance
Experience
Deepwater Horizon Economic Claims Center Sr. InvestigatorBlueCross BlueShield of TennesseeJune 2007 - November 2012
Raymond Bouchard Investigations October 2003 - June 2007
Blue Cross and Blue Shield of Massachusetts August 2001 - October 2003
Tufts Health Plan April 2000 - August 2001
UnitedHealthcare April 1999 - April 2000
Rhode Island Ethics Commission March 1992 - April 1999
Skills
Electronic Warfare..., Claim, Insurance, Health Insurance, Fraud, Private Investigations, Auditing, Medicare, Background Checks, Enforcement, Surveillance, Claims Management, Analysis, Medicaid, Healthcare, Risk Assessment, Investigation, Investigative Research, Managed Care, Health Care Fraud, Criminal Law, Forensic Analysis, Evidence, Data Analysis, Criminal Investigations, Criminal Justice, Policy, Internal Investigations, Interviews, Claim Investigation, Risk Management, Investigative Reporting, Medical Compliance, Executive Protection, Firearms, Interrogation, Fraud Detection, Workers Compensation, Corporate Security, Certified Fraud Examiner, Training, Workplace Violence, Physical Security, Medicare Part D, Computer Forensics, Government, Subrogation, Expert Witness, Special Investigations, Health Policy
Education
University of Rhode Island 1987 — 1990
Bachelor of Arts (B.A.), Journalism
Deepwater Horizon Economic Claims Center Sr. InvestigatorBlueCross BlueShield of TennesseeJune 2007 - November 2012
Raymond Bouchard Investigations October 2003 - June 2007
Blue Cross and Blue Shield of Massachusetts August 2001 - October 2003
Tufts Health Plan April 2000 - August 2001
UnitedHealthcare April 1999 - April 2000
Rhode Island Ethics Commission March 1992 - April 1999
Skills
Electronic Warfare..., Claim, Insurance, Health Insurance, Fraud, Private Investigations, Auditing, Medicare, Background Checks, Enforcement, Surveillance, Claims Management, Analysis, Medicaid, Healthcare, Risk Assessment, Investigation, Investigative Research, Managed Care, Health Care Fraud, Criminal Law, Forensic Analysis, Evidence, Data Analysis, Criminal Investigations, Criminal Justice, Policy, Internal Investigations, Interviews, Claim Investigation, Risk Management, Investigative Reporting, Medical Compliance, Executive Protection, Firearms, Interrogation, Fraud Detection, Workers Compensation, Corporate Security, Certified Fraud Examiner, Training, Workplace Violence, Physical Security, Medicare Part D, Computer Forensics, Government, Subrogation, Expert Witness, Special Investigations, Health Policy
Education
University of Rhode Island 1987 — 1990
Bachelor of Arts (B.A.), Journalism
Tara (Nutile) Maden Tara (Nutile) Maden's Tufts Health Plan Experience 1998 - 2000
Job Manager, Performance Measurement at Dartmouth Hitchcock
Industry Hospital & Health Care
Experience
Dartmouth Hitchcock Medical Center November 2010 - Present
Dartmouth Hitchcock Medical Center May 2005 - November 2010
Dartmouth Hitchcock Medical Center January 2002 - May 2005
Anthem 2001 - 2002
Anthem 2000 - 2001
Tufts Health Plan 1998 - 2000
Tufts Health Plan 1996 - 1998
Tufts Health Plan 1994 - 1996
Skills
Healthcare Information..., EMR, Health Insurance, Healthcare Management, Healthcare, Project Management, Hospitals, Strategic Planning, Data Analysis, Process Improvement, Quality Improvement, Epic Systems, Physician Relations, Physicians, Revenue Cycle, HIPAA, Leadership, EHR, Managed Care, Management, Medicare, Healthcare Consulting
Education
University of New Hampshire 1989 — 1993
BS, Health Management and Policy
Dartmouth Hitchcock Medical Center November 2010 - Present
Dartmouth Hitchcock Medical Center May 2005 - November 2010
Dartmouth Hitchcock Medical Center January 2002 - May 2005
Anthem 2001 - 2002
Anthem 2000 - 2001
Tufts Health Plan 1998 - 2000
Tufts Health Plan 1996 - 1998
Tufts Health Plan 1994 - 1996
Skills
Healthcare Information..., EMR, Health Insurance, Healthcare Management, Healthcare, Project Management, Hospitals, Strategic Planning, Data Analysis, Process Improvement, Quality Improvement, Epic Systems, Physician Relations, Physicians, Revenue Cycle, HIPAA, Leadership, EHR, Managed Care, Management, Medicare, Healthcare Consulting
Education
University of New Hampshire 1989 — 1993
BS, Health Management and Policy
Mark S. Gaunya, GBA, LIA Mark S. Gaunya, GBA, LIA's Tufts Health Plan Experience 2003 - 2005
Job Nationally Recognized Benefits Advisor, Author and Consultant on Healthcare Consumerism and Benefits Compliance
Industry Insurance
Experience
Borislow Insurance May 2005 - Present
Massachusetts Health Connector March 2015 - Present
Masschusetts Association of Health Underwriters June 2009 - June 2013
Destiny Health March 2000 - March 2005
Tufts Health Plan 2003 - 2005
CIGNA HealthCare Benefits 1998 - 2000
Blue Cross Blue Shield of National Capital Area 1994 - 1998
Therapeutic Healthcare 1989 - 1994
Skills
Innovative Problem..., Strategic Planning, Building Relationships, Published Author, Public speaking, Healthcare Reform, Benefits Negotiation, Visionary, Disability Insurance, Public Speaking, Health Savings Accounts, Public Policy, Employee Benefits, Health Care Reform, Insurance, Group Insurance, Life Insurance, Health Insurance, Management, Healthcare, Long-term Care, Negotiation, Start-ups, COBRA, Leadership, Managed Care, Underwriting, Brokers, Sales, Term Life Insurance, Workers Compensation, Medicare, 401k, Health Policy, Small Business, Strategic Partnerships, ERISA, Retirement Planning, Risk Management, Account Management, Benefits Administration, Voluntary Employee..., Commercial Insurance, Dentistry, Human Resources, Self-funded, Critical Illness, Group Medical, Long Term Care Insurance, Accident
Education
University of Rhode Island - College of Business Administration 1985 — 1989
Bachelors, Finance
Borislow Insurance May 2005 - Present
Massachusetts Health Connector March 2015 - Present
Masschusetts Association of Health Underwriters June 2009 - June 2013
Destiny Health March 2000 - March 2005
Tufts Health Plan 2003 - 2005
CIGNA HealthCare Benefits 1998 - 2000
Blue Cross Blue Shield of National Capital Area 1994 - 1998
Therapeutic Healthcare 1989 - 1994
Skills
Innovative Problem..., Strategic Planning, Building Relationships, Published Author, Public speaking, Healthcare Reform, Benefits Negotiation, Visionary, Disability Insurance, Public Speaking, Health Savings Accounts, Public Policy, Employee Benefits, Health Care Reform, Insurance, Group Insurance, Life Insurance, Health Insurance, Management, Healthcare, Long-term Care, Negotiation, Start-ups, COBRA, Leadership, Managed Care, Underwriting, Brokers, Sales, Term Life Insurance, Workers Compensation, Medicare, 401k, Health Policy, Small Business, Strategic Partnerships, ERISA, Retirement Planning, Risk Management, Account Management, Benefits Administration, Voluntary Employee..., Commercial Insurance, Dentistry, Human Resources, Self-funded, Critical Illness, Group Medical, Long Term Care Insurance, Accident
Education
University of Rhode Island - College of Business Administration 1985 — 1989
Bachelors, Finance
Michael Dewhirst Michael Dewhirst's Tufts Health Plan Experience January 2014 - Present
Job Provider Services Supervisor at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan January 2014 - Present
Tufts Health Plan January 2013 - January 2014
Tufts Health Plan July 2011 - January 2013
ExxonMobil July 2010 - September 2011
Education
University of Rochester 2006 — 2010
Bachelor of Arts (B.A.), Psychology, 2010
Medfield High School 2002 — 2006
High School Diploma, 2006
Tufts Health Plan January 2014 - Present
Tufts Health Plan January 2013 - January 2014
Tufts Health Plan July 2011 - January 2013
ExxonMobil July 2010 - September 2011
Education
University of Rochester 2006 — 2010
Bachelor of Arts (B.A.), Psychology, 2010
Medfield High School 2002 — 2006
High School Diploma, 2006
Caroline Wilcox Caroline Wilcox's Tufts Health Plan Experience May 2008 - Present
Job Human Resources Manager at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan May 2008 - Present
John Hancock Financial Services November 2004 - April 2008
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Outlook, Budgets, Strategic Planning
Education
UNC Chapel Hill
Tufts Health Plan May 2008 - Present
John Hancock Financial Services November 2004 - April 2008
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Outlook, Budgets, Strategic Planning
Education
UNC Chapel Hill
Mary O'Toole Mahoney Mary O'Toole Mahoney's Tufts Health Plan Experience August 2013 - Present
Job Vice President, Deputy General Counsel at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan August 2013 - Present
A Place To Turn 2008 - June 2014
Tufts Health Plan 1995 - 2013
McCormack & Epstein 1992 - 1995
Walkup, Shelby, Bastian, Melodia, Kelly, Echeverria & Link 1990 - 1992
California Court of Appeals 1991 - 1991
San FranDistrict Attorney 1989 - 1989
New York Hospital - Cornell Medical Center 1986 - 1988
Skills
Medicare, Health Policy, Managed Care, Health Insurance, Insurance, HIPAA, Healthcare, Health Care Reform, Policy, Healthcare Management, Healthcare Information..., Data Privacy, HMO, Corporate Governance, Finance/Tax, Business Transactions, Intercompany..., Executive Compensation, Enterprise Risk...
Education
University of San Francisco 1988 — 1991
Doctor of Law (J.D.)
University of Scranton 1982 — 1986
B.S., Nursing, Philosophy
Tufts Health Plan August 2013 - Present
A Place To Turn 2008 - June 2014
Tufts Health Plan 1995 - 2013
McCormack & Epstein 1992 - 1995
Walkup, Shelby, Bastian, Melodia, Kelly, Echeverria & Link 1990 - 1992
California Court of Appeals 1991 - 1991
San FranDistrict Attorney 1989 - 1989
New York Hospital - Cornell Medical Center 1986 - 1988
Skills
Medicare, Health Policy, Managed Care, Health Insurance, Insurance, HIPAA, Healthcare, Health Care Reform, Policy, Healthcare Management, Healthcare Information..., Data Privacy, HMO, Corporate Governance, Finance/Tax, Business Transactions, Intercompany..., Executive Compensation, Enterprise Risk...
Education
University of San Francisco 1988 — 1991
Doctor of Law (J.D.)
University of Scranton 1982 — 1986
B.S., Nursing, Philosophy
Russell T. Kopp's Tufts Health Plan Experience 1984 - 2003
Job Senior Vice President Finance at Beacon Health Options
Industry Insurance
Experience
Beacon Health Options January 2015 - Present
Beacon Health Strategies October 2009 - December 2014
Network Health July 2006 - October 2009
Unitedhealthcare 2003 - 2005
Tufts Health Plan 1984 - 2003
Harvard Community Health Plan 1980 - 1984
Beth Israel Deaconess Medical Center 1978 - 1980
Massachusetts Rate Setting Commission 1976 - 1978
Arthur Young 1973 - 1975
Skills
Certified Public...
Education
University of Pennsylvania - The Wharton School 1971 — 1973
MBA, Finance
University of Rhode Island 1967 — 1971
BS, Mechanical Engineering
Ridgewood HS 1965 — 1967
Beacon Health Options January 2015 - Present
Beacon Health Strategies October 2009 - December 2014
Network Health July 2006 - October 2009
Unitedhealthcare 2003 - 2005
Tufts Health Plan 1984 - 2003
Harvard Community Health Plan 1980 - 1984
Beth Israel Deaconess Medical Center 1978 - 1980
Massachusetts Rate Setting Commission 1976 - 1978
Arthur Young 1973 - 1975
Skills
Certified Public...
Education
University of Pennsylvania - The Wharton School 1971 — 1973
MBA, Finance
University of Rhode Island 1967 — 1971
BS, Mechanical Engineering
Ridgewood HS 1965 — 1967
Dennis Malkowski's Tufts Health Plan Experience 1985 - 2001
Job Owner, Refocus Software
Industry Information Technology and Services
Experience
Refocus Software January 2002 - Present
Dell Services at Harvard Pilgrim Health Care May 2006 - April 2011
Anthem BCBS of Virginia February 2002 - March 2006
Tufts Health Plan 1985 - 2001
Education
Academy for Healthcare Management
Fellow
University of Rhode Island
BA, Mathematics
Refocus Software January 2002 - Present
Dell Services at Harvard Pilgrim Health Care May 2006 - April 2011
Anthem BCBS of Virginia February 2002 - March 2006
Tufts Health Plan 1985 - 2001
Education
Academy for Healthcare Management
Fellow
University of Rhode Island
BA, Mathematics
Jean DiBattista, CISSP, CBCP, PMP's Tufts Health Plan Experience August 2001 - May 2007
Job Director, Privacy and Data Protection at Physicians Interactive
Industry Biotechnology
Experience
Physicians Interactive March 2015 - Present
Verisk Health August 2013 - March 2015
BJ's Wholesale Club August 2012 - January 2013
Inflexxion October 2010 - May 2012
Abt Bio-Pharma Solutions, Inc. April 2008 - May 2010
Modis/Onpoint (Consulting for Genzyme) September 2007 - February 2008
Kforce (For Biogen Idec) July 2007 - September 2007
Tufts Health Plan August 2001 - May 2007
Lucent Technologies August 2000 - August 2001
CellTech/Medeva Pharmaceutical January 1995 - July 2000
Skills
CISSP, BCBP, PMP, Disaster Recovery, Security, Vendor Management, Business Continuity, Information Security, SDLC, Program Management, IT Management, Leadership, Enterprise Software, Information Technology, Project Management, Cross-functional Team..., Risk Assessment, Management, Quality Assurance, Project Planning, Strategy, Integration, Testing, Training, Computer Security, Cloud Computing, SaaS, Analysis, SharePoint, Networking, Process Improvement, Telecommunications, Business Continuity..., Databases, Software Documentation, Visio, ITIL, Business Analysis, IT Strategy, Risk Management, Business Process, Business Process..., Software Project...
Education
University of Phoenix 1998 — 2001
Bachelor's degree, Business Administration and Management, General
Physicians Interactive March 2015 - Present
Verisk Health August 2013 - March 2015
BJ's Wholesale Club August 2012 - January 2013
Inflexxion October 2010 - May 2012
Abt Bio-Pharma Solutions, Inc. April 2008 - May 2010
Modis/Onpoint (Consulting for Genzyme) September 2007 - February 2008
Kforce (For Biogen Idec) July 2007 - September 2007
Tufts Health Plan August 2001 - May 2007
Lucent Technologies August 2000 - August 2001
CellTech/Medeva Pharmaceutical January 1995 - July 2000
Skills
CISSP, BCBP, PMP, Disaster Recovery, Security, Vendor Management, Business Continuity, Information Security, SDLC, Program Management, IT Management, Leadership, Enterprise Software, Information Technology, Project Management, Cross-functional Team..., Risk Assessment, Management, Quality Assurance, Project Planning, Strategy, Integration, Testing, Training, Computer Security, Cloud Computing, SaaS, Analysis, SharePoint, Networking, Process Improvement, Telecommunications, Business Continuity..., Databases, Software Documentation, Visio, ITIL, Business Analysis, IT Strategy, Risk Management, Business Process, Business Process..., Software Project...
Education
University of Phoenix 1998 — 2001
Bachelor's degree, Business Administration and Management, General
Noel Dyer's Tufts Health Plan Experience 1999 - 2007
Job Implementation Manager at Ingenix
Industry Hospital & Health Care
Experience
OptumInsight May 2007 - Present
Tufts Health Plan 1999 - 2007
Skills
Healthcare Information..., Program Management, Healthcare, Managed Care, HIPAA, Health Insurance, Medicare, Process Improvement, Informatics, Healthcare Consulting, EHR, Healthcare Industry, Healthcare Management, Provider Relations
Education
University of Rochester 1995 — 1999
OptumInsight May 2007 - Present
Tufts Health Plan 1999 - 2007
Skills
Healthcare Information..., Program Management, Healthcare, Managed Care, HIPAA, Health Insurance, Medicare, Process Improvement, Informatics, Healthcare Consulting, EHR, Healthcare Industry, Healthcare Management, Provider Relations
Education
University of Rochester 1995 — 1999
Alexandra Koffman's Tufts Health Plan Experience 1998 - 2002
Job RN, MSN
Industry Hospital & Health Care
Experience
Quincy College 2006 - Present
Faulkner Hospital November 2005 - Present
Brigham and Women's Hospital March 2002 - November 2005
Tufts Health Plan 1998 - 2002
Skills
Case Management, Basic Life Support, Database Management, Hospitals, Clinical Research, Case Managment, Telemetry, Surgery, Healthcare, Patient Safety, Healthcare Management, Public Health, Utilization Management, EMR, Informatics, Managed Care, Medicare, Nursing Education, Quality Improvement
Education
University of Colorado 2013 — 2013
HIT Certificate, Health Informatics
University of Phoenix 2004 — 2006
MSN, Nursing- GPA 3.83
St Josephs College Windham , MA 1990 — 1992
BS, HCA
Quincy College 2006 - Present
Faulkner Hospital November 2005 - Present
Brigham and Women's Hospital March 2002 - November 2005
Tufts Health Plan 1998 - 2002
Skills
Case Management, Basic Life Support, Database Management, Hospitals, Clinical Research, Case Managment, Telemetry, Surgery, Healthcare, Patient Safety, Healthcare Management, Public Health, Utilization Management, EMR, Informatics, Managed Care, Medicare, Nursing Education, Quality Improvement
Education
University of Colorado 2013 — 2013
HIT Certificate, Health Informatics
University of Phoenix 2004 — 2006
MSN, Nursing- GPA 3.83
St Josephs College Windham , MA 1990 — 1992
BS, HCA
Tom Bellevue's Tufts Health Plan Experience March 2012 - Present
Job Manager of Sales Technology and Reporting
Industry Hospital & Health Care
Experience
Tufts Health Plan March 2012 - Present
Tufts Health Plan March 2005 - March 2012
Skills
Health Insurance, Healthcare, Healthcare Information..., Process Improvement, Business Analysis, Data Analysis, Healthcare Management, Claim, Requirements Gathering, Requirements Analysis, Analysis, Business Requirements, Access, SQL, Microsoft Excel, Health Savings Accounts, Cognos, Insurance, Managed Care
Education
University of New Hampshire -- Peter T. Paul College of Business and Economics 1987 — 1991
Business Admin
Tufts Health Plan March 2012 - Present
Tufts Health Plan March 2005 - March 2012
Skills
Health Insurance, Healthcare, Healthcare Information..., Process Improvement, Business Analysis, Data Analysis, Healthcare Management, Claim, Requirements Gathering, Requirements Analysis, Analysis, Business Requirements, Access, SQL, Microsoft Excel, Health Savings Accounts, Cognos, Insurance, Managed Care
Education
University of New Hampshire -- Peter T. Paul College of Business and Economics 1987 — 1991
Business Admin
Pat Blanch's Tufts Health Plan Experience June 2012 - November 2013
Job Board Member at Spring House Boston
Industry Insurance
Experience
SpringHouse Boston December 2014 - Present
Liberty Mutual Insurance April 2014 - Present
Tufts Health Plan June 2012 - November 2013
WorkersComp Analytics LLC November 2011 - June 2012
Coventry Worker's Comp Services September 2009 - April 2011
The Bostonian Group May 2007 - September 2008
Harvard Pilgrim Health Care 2004 - 2007
Eye Care Excellence 2000 - 2004
Blue Cross Blue Shield of Massachusetts April 1985 - July 1999
Skills
Account Management, Marketing Strategy, Healthcare, Employee Benefits, Product Management, Sales Management, Strategic Planning, Contract Management, Operations Management, Workers Compensation, Leadership, Business Development, Product Development, Business Strategy, Business Intelligence, Team Building, Insurance, Management, Sales, Strategy, Management Consulting, Analysis, Business Planning, Contract Negotiation, Consulting, Process Improvement, Analytics, Mergers & Acquisitions, Vendor Management, Health Insurance, Managed Care, Risk Management, PPO, Medicare, Provider Relations, Claim, Healthcare Industry, Health Care Reform, HMO, Utilization Management, Healthcare Consulting, Network Development, Medicaid, Pharmacy Benefit...
Education
University of North Carolina at Chapel Hill
BS, Health Education
SpringHouse Boston December 2014 - Present
Liberty Mutual Insurance April 2014 - Present
Tufts Health Plan June 2012 - November 2013
WorkersComp Analytics LLC November 2011 - June 2012
Coventry Worker's Comp Services September 2009 - April 2011
The Bostonian Group May 2007 - September 2008
Harvard Pilgrim Health Care 2004 - 2007
Eye Care Excellence 2000 - 2004
Blue Cross Blue Shield of Massachusetts April 1985 - July 1999
Skills
Account Management, Marketing Strategy, Healthcare, Employee Benefits, Product Management, Sales Management, Strategic Planning, Contract Management, Operations Management, Workers Compensation, Leadership, Business Development, Product Development, Business Strategy, Business Intelligence, Team Building, Insurance, Management, Sales, Strategy, Management Consulting, Analysis, Business Planning, Contract Negotiation, Consulting, Process Improvement, Analytics, Mergers & Acquisitions, Vendor Management, Health Insurance, Managed Care, Risk Management, PPO, Medicare, Provider Relations, Claim, Healthcare Industry, Health Care Reform, HMO, Utilization Management, Healthcare Consulting, Network Development, Medicaid, Pharmacy Benefit...
Education
University of North Carolina at Chapel Hill
BS, Health Education
Padrick Shaughnessey's Tufts Health Plan Experience August 2002 - Present
Job Associate Contract Manager at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan August 2002 - Present
Tufts Health Plan March 2001 - July 2002
Tufts Health Plan March 1999 - February 2001
Tufts Health Plan February 1998 - February 1999
Skills
Managed Care, Healthcare, Contract Negotiation, Health Policy, Strategy, Medicare, Analysis, Management
Education
New Hampshire Technical College
University of New Hampshire
Bachelor of Arts, Political Science
Tufts Health Plan August 2002 - Present
Tufts Health Plan March 2001 - July 2002
Tufts Health Plan March 1999 - February 2001
Tufts Health Plan February 1998 - February 1999
Skills
Managed Care, Healthcare, Contract Negotiation, Health Policy, Strategy, Medicare, Analysis, Management
Education
New Hampshire Technical College
University of New Hampshire
Bachelor of Arts, Political Science
Diane Burke Hayes's Tufts Health Plan Experience May 2002 - Present
Job Executive Assistant at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan May 2002 - Present
Skills
Office Management, Event Planning, Site Coordination, Travel Planning, Events Coordination, Meeting Planning, Office Administration, Microsoft Office, Meeting Scheduling, Administrative..., Microsoft Word, Microsoft Excel, PowerPoint, Visio, Access, Adobe Acrobat, Document Management, Training, Mentoring, Calendaring, Webinars, Customer Service
Education
University of Phoenix
Business Management, 3.81
Meeting Planning Foundations Summit
Certificate, Meeting and Event Planning, Attendance qualifies for 5.75 Clock Hour Credits
Tufts Health Plan May 2002 - Present
Skills
Office Management, Event Planning, Site Coordination, Travel Planning, Events Coordination, Meeting Planning, Office Administration, Microsoft Office, Meeting Scheduling, Administrative..., Microsoft Word, Microsoft Excel, PowerPoint, Visio, Access, Adobe Acrobat, Document Management, Training, Mentoring, Calendaring, Webinars, Customer Service
Education
University of Phoenix
Business Management, 3.81
Meeting Planning Foundations Summit
Certificate, Meeting and Event Planning, Attendance qualifies for 5.75 Clock Hour Credits
Alexander Layton's Tufts Health Plan Experience December 2010 - February 2012
Job Student at University of South Alabama
Industry Writing and Editing
Experience
Dana Farber Cancer Institute February 2012 - August 2012
Tuft's Health Plan December 2010 - February 2012
Skills
Creative Writing, Editing, Blogging, Social Media, Photoshop, Copy Editing, Facebook, Proofreading, Journalism, Photography, Adobe Creative Suite, Social Networking
Education
University of South Alabama 2003 — 2010
Bachelor of Arts, English
Dana Farber Cancer Institute February 2012 - August 2012
Tuft's Health Plan December 2010 - February 2012
Skills
Creative Writing, Editing, Blogging, Social Media, Photoshop, Copy Editing, Facebook, Proofreading, Journalism, Photography, Adobe Creative Suite, Social Networking
Education
University of South Alabama 2003 — 2010
Bachelor of Arts, English
Dale Champagne's Tufts Health Plan Experience 1991 - 1995
Job Financial Specialist at USG
Industry Real Estate
Experience
USG April 2010 - Present
Boston Properties April 2005 - April 2010
REIT Management & Research January 2001 - April 2005
Nova Biomedical August 1996 - December 2000
Tufts Health Plan 1991 - 1995
Skills
Account Reconciliation, Invoicing, Accounting, Budgets, Accounts Receivable, Finance, Property Management, Financial Analysis, Financial Reporting, Microsoft Excel
Education
University of New Hampshire -- Peter T. Paul College of Business and Economics 1986 — 1990
USG April 2010 - Present
Boston Properties April 2005 - April 2010
REIT Management & Research January 2001 - April 2005
Nova Biomedical August 1996 - December 2000
Tufts Health Plan 1991 - 1995
Skills
Account Reconciliation, Invoicing, Accounting, Budgets, Accounts Receivable, Finance, Property Management, Financial Analysis, Financial Reporting, Microsoft Excel
Education
University of New Hampshire -- Peter T. Paul College of Business and Economics 1986 — 1990
Jim Gallagher's Tufts Health Plan Experience 1994 - 1996
Job Senior Vice President Business Development &Healthcare Strategist at Langrand and Company
Industry Marketing and Advertising
Experience
Langrand and Company May 2015 - Present
Blue Cross & Blue Shield of Rhode Island January 2012 - August 2014
Blue Cross Blue Shield January 2007 - January 2012
Tufts Health Plan 1994 - 1996
Skills
Managed Care, Health Insurance, Insurance, Medicare, Medicaid, Healthcare, Employee Benefits, HIPAA, Healthcare Information..., Healthcare Management, Provider Relations, Market Research, Healthcare Industry, Long-term Care, Workers Compensation, Health Policy, Disease Management, Health Savings Accounts, Underwriting, Hospitals, Healthcare Consulting, Brokers, Leadership, Management, Strategic Planning
Education
University of Rhode Island 1998 — 2002
Master of Business Administration
University of Rhode Island 1990 — 1994
Bachelor of Science (BS)
Langrand and Company May 2015 - Present
Blue Cross & Blue Shield of Rhode Island January 2012 - August 2014
Blue Cross Blue Shield January 2007 - January 2012
Tufts Health Plan 1994 - 1996
Skills
Managed Care, Health Insurance, Insurance, Medicare, Medicaid, Healthcare, Employee Benefits, HIPAA, Healthcare Information..., Healthcare Management, Provider Relations, Market Research, Healthcare Industry, Long-term Care, Workers Compensation, Health Policy, Disease Management, Health Savings Accounts, Underwriting, Hospitals, Healthcare Consulting, Brokers, Leadership, Management, Strategic Planning
Education
University of Rhode Island 1998 — 2002
Master of Business Administration
University of Rhode Island 1990 — 1994
Bachelor of Science (BS)
Caroline Wilcox's Tufts Health Plan Experience Employee Relations ConsultantJohn Hancock Life Insurance Company
Job Human Resources Manager at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan Employee Relations ConsultantJohn Hancock Life Insurance Company
Education
University of North Carolina at Chapel Hill
Tufts Health Plan Employee Relations ConsultantJohn Hancock Life Insurance Company
Education
University of North Carolina at Chapel Hill
Robert Merrigan's Tufts Health Plan Experience
Job Senior Business Analyst at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan
Skills
Requirements Gathering, Business Requirements, Access, Database Administration, Visio, SDLC, Data Analysis, Crystal Reports, Database Design, Collaborative Problem..., Analytics, Business Analysis
Education
University of New Hampshire 1995 — 1999
Tufts Health Plan
Skills
Requirements Gathering, Business Requirements, Access, Database Administration, Visio, SDLC, Data Analysis, Crystal Reports, Database Design, Collaborative Problem..., Analytics, Business Analysis
Education
University of New Hampshire 1995 — 1999
Lisa Gorton (Seidel)'s Tufts Health Plan Experience March 2004 - January 2005
Job Independent Consultant at Rodan + Fields Dermatologists
Industry Hospital & Health Care
Experience
McKesson Health Solutions February 2005 - Present
Rodan + Fields Dermatologists September 2013 - Present
Tufts Health Plan March 2004 - January 2005
Specialty Personnel Services, INC. May 2002 - March 2004
Baystate Medical Center October 2000 - March 2002
Shriners Hospitals for Children May 1999 - February 2001
Baystate Medical Center April 1995 - September 2000
Town of Ware April 1996 - February 2000
Baystate Medical Center March 1992 - September 1995
Rockwood Dialysis Center (BMA of Richmond) April 1990 - July 1991
Skills
Microsoft Word, EHR, Health Insurance, Nursing, Managed Care, HIPAA, Healthcare, Healthcare Information..., Case Managment, EMR, Healthcare Consulting, Quality Improvement, Hospitals, Medicare, Home Care, Medicaid, Training, Team Building, CPT, Acute Care, Public Health, Clinical Research, Disease Management, Informatics, Inpatient, ICU, Revenue Cycle, Healthcare Management, Medical Coding, Meditech, Software Documentation, Medical/Surgical, Medical Terminology, Utilization Management, ICD-10, Surgery, Healthcare Industry, ICD-9, Critical Care, Pediatrics, Medicine, Medical Billing, Patient Education, Orthopedic, Patient Advocacy, Clinical Development, HCPCS, Physicians, Mentoring, Cerner
Education
University of Phoenix 2008 — 2009
Associate's Degree, BSN, As and Bs
Universal Class 2003 — 2003
Medical Billing and Coding, Passed
Albany Medical Center School of Nursing 1980 — 1984
RN, Nursing
McKesson Health Solutions February 2005 - Present
Rodan + Fields Dermatologists September 2013 - Present
Tufts Health Plan March 2004 - January 2005
Specialty Personnel Services, INC. May 2002 - March 2004
Baystate Medical Center October 2000 - March 2002
Shriners Hospitals for Children May 1999 - February 2001
Baystate Medical Center April 1995 - September 2000
Town of Ware April 1996 - February 2000
Baystate Medical Center March 1992 - September 1995
Rockwood Dialysis Center (BMA of Richmond) April 1990 - July 1991
Skills
Microsoft Word, EHR, Health Insurance, Nursing, Managed Care, HIPAA, Healthcare, Healthcare Information..., Case Managment, EMR, Healthcare Consulting, Quality Improvement, Hospitals, Medicare, Home Care, Medicaid, Training, Team Building, CPT, Acute Care, Public Health, Clinical Research, Disease Management, Informatics, Inpatient, ICU, Revenue Cycle, Healthcare Management, Medical Coding, Meditech, Software Documentation, Medical/Surgical, Medical Terminology, Utilization Management, ICD-10, Surgery, Healthcare Industry, ICD-9, Critical Care, Pediatrics, Medicine, Medical Billing, Patient Education, Orthopedic, Patient Advocacy, Clinical Development, HCPCS, Physicians, Mentoring, Cerner
Education
University of Phoenix 2008 — 2009
Associate's Degree, BSN, As and Bs
Universal Class 2003 — 2003
Medical Billing and Coding, Passed
Albany Medical Center School of Nursing 1980 — 1984
RN, Nursing
colin woodworth's Tufts Health Plan Experience
Job Analytic Manager at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan
Skills
Math
Education
University of Rochester
Tufts Health Plan
Skills
Math
Education
University of Rochester
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY