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
Tufts Health Plan List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Tufts Health Plan. You can filter them based on skills, years of employment, job, education, department, and prior employment.
Tufts Health Plan Salaries. You can even request information on how much does Tufts Health Plan pay if you want to. Learn about salaries, pros and cons of working for Tufts Health Plan directly from the past employees.
Find People by Employers You can rekindle an old relationship, reconnect with a long-lost friend, former boss, business acquaintance who might be useful in your new line of work. With our employee database, the possibilities are endless. All you have to do is type in a couple of keywords and we'll bring you the exact information you wanted!
1,999 Tufts Health Plan employees in database. Find out everything there's to know about Tufts Health Plan employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Tufts Health Plan Employees
Aegerion Pharmaceuticals April 2015 - Present
Keryx Biopharmaceuticals September 2014 - December 2014
Biogen Idec May 2014 - July 2014
Algeta ASA December 2012 - April 2014
Vertex Pharmaceuticals September 2009 - November 2012
Tufts Health Plan November 2005 - September 2009
Biogen Idec June 2004 - September 2005
Biogen Idec February 2001 - June 2004
Skills
Vendor Management, CRM, Data Analysis, Project Management, Software Documentation, Training, Strategic Planning, Sales Operations, Pharmaceutical Industry, Managed Care, Biotechnology, Cross-functional Team..., Analytics, Process Improvement, Call Center, Healthcare, System Administration, Business Analysis, Program Management, Medicare
Education
Boston University
Project Management
Boston University 1997 — 2001
B.S., Psychology
AltaMed January 2013 - Present
Orange County Regional Health Information Organization (OCPRHIO) August 2008 - Present
California State University, Fullerton September 2012 - Present
CalOptima February 2008 - January 2013
Healthnet/MHN October 2004 - February 2008
Consultant 2001 - 2007
Medpartners 1997 - 2001
Tufts Health Plan 1985 - 1997
Skills
EHR, Project Management, Health Information..., Healthcare Information..., Healthcare, HIPAA, Managed Care, Healthcare Management, Medicaid, Process Improvement, EMR, SDLC, Business Intelligence, Program Management, Integration, Strategic Planning, Medicare, Data Warehousing, EDI, Change Management, Leadership, Strategy, Management, IT Strategy, Team Building, Quality Improvement, Health Insurance, IT Operations, PMO, Access, Business Analysis, Data Analysis, Disaster Recovery, Enterprise Software, Health Policy, Healthcare Consulting, Hospitals, Information Technology, Performance Improvement, Policy, Privacy Regulations, Revenue Cycle, Security, SharePoint, Software Documentation, Vendor Management, Visio, Consulting, Informatics
Education
Boston University 1981 — 1985
BS
Tufts Health Plan July 2015 - Present
UMass Memorial Medical Center December 2014 - July 2015
UMass Memorial Medical Center April 2014 - November 2014
BMC Healthnet April 2013 - June 2013
Walter E. Fernald State School January 1981 - January 1984
Skills
Healthcare, Microsoft Word, PowerPoint, Outlook, Healthcare Management, Microsoft Excel, ICD-9-CM, CPT, ICD-10-CM
Education
Northeastern University
Certificate, Health Information/Medical Records Administration/Administrator
Boston University
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Joseph P. Keefe Technical School
Certificate, Medical Coding and Billing
Optum, a division of United Health Group August 2011 - Present
Focus Care July 2010 - August 2011
CMIPA (Central Massachusetts Independent Physician Association) January 2007 - July 2010
Tufts Health Plan June 2002 - December 2006
Skills
Medicare Risk Adjustment, Strategic Communications, Provider Relations, Client Relationship..., Client Communications, Healthcare Management, Health Insurance, New Business Development, Operations Management, Decision Making Skills, Product Development, Product Management, Provider Contracting, Supervisory Skills, Program Management, Healthcare Industry, Medicare, CRM, Strategic Planning, Management, Team Building, PPO, Clinical Research, Healthcare, Recruiting, Strategic Partnerships, Leadership, Contract Negotiation, EMR, Healthcare Consulting, Healthcare Information..., Medicaid, Disease Management, HIPAA, Outsourcing, EHR, Cross-functional Team..., Health Policy, Process Improvement, Health Information..., Quality Improvement, Revenue Cycle, Revenue Cycle Management, Informatics, Business Development, Physicians, Pharmacy Benefit..., Healthcare Reimbursement, Network Development, Utilization Management
Education
Boston University 1997 — 2001
Bachelor of Science, Rehabilitation & Human Services, Business Minor
Tufts Health Plan June 2015 - Present
Graduate Journal for Food Studies May 2014 - Present
Tufts Health Plan January 2014 - June 2015
Cafe Josie May 2013 - September 2013
Texas Rowing Center January 2009 - July 2013
Vince Young Steakhouse May 2012 - May 2013
Second Round, LP February 2012 - July 2012
Smith Family Chiropractic May 2011 - February 2012
YMCA January 2011 - May 2011
Skills
Event Planning, Editing, Research, Written Communication, Public Speaking, Team Leadership, PowerPoint, Fundraising, Customer Service, Microsoft Excel, Microsoft Office, Microsoft Word, Human Resources, Social Media, Marketing, Leadership
Education
Boston University 2013 — 2015
MLA, Food Policy and Gastronomy
University of Texas 2007 — 2009
Bachelor of Arts, English and Government
Freelance/Independent January 2007 - Present
Bank of America January 2002 - January 2007
GoldmanSachs March 2000 - September 2001
Cushman and Wakefield January 1999 - March 2000
Tufts Health Plan August 1997 - December 1998
Skills
Talent Management, Onboarding, Human Resources, Succession Planning, Marketing, Customer Service
Education
Boston University 1993 — 1997
BA
HealthNEXT 2009 - Present
Harvard School of Public Health 2004 - Present
The Bloomberg Healthcare Group 1995 - Present
NCQA 1991 - Present
Tufts University School of Medicine 1989 - Present
ACPE 1984 - Present
Private Healthcare Systems 1995 - 1998
Tufts Health Plan 1987 - 1995
Bloomberg Healthcare July 1977 - May 1988
Skills
Healthcare Information..., Healthcare Management, Disease Management, Health Policy, Healthcare, Hospitals, Quality Improvement, EHR, Managed Care, Patient Safety, Healthcare Consulting, Public Health, Informatics, Clinical Research, Health Insurance, Medical Education, EMR, Surgery, Internal Medicine, Pediatrics, Medicine, Physicians, Epidemiology, Medicaid, Healthcare Industry, Health Education, Board Certified
Education
Northeastern University - Graduate School of Business Administration 1989 — 1990
MBA
University of Medicine and Dentistry of New Jersey -Robert Wood Johnson Medical School 1970 — 1974
MD, Medicine
Boston University 1966 — 1970
BA, Biology
Tufts Health Plan March 2014 - Present
Skills
Elder Care, Care...
Education
Boston University 1980 — 1983
Master's degree, Gerontological Nursing
Salve Regina University 1973 — 1977
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Outcomes Research Solutions, Inc October 2009 - Present
Thomson Reuters 2003 - October 2009
Tufts Health Plan 1997 - 2003
New England Research Institutes 1993 - 1997
Skills
Managed Care, Data Analysis, Clinical Research, Healthcare, Comparative..., Outcomes Research, Healthcare Consulting, Leadership, Pharmaceutical Industry, Hospitals, Oncology, Health Policy, Analytics, Medicine, Infectious Diseases
Education
Boston University 1990 — 1992
MA
Clark University 1982 — 1985
BA
MFS Investment Management September 2013 - Present
Stride Rite July 2008 - May 2010
MEY Concessions LLC 2006 - 2007
Tufts Health Plan 2004 - 2006
Tufts Health Plan 2003 - 2004
HealthPoint Fitness and Wellness Center 2001 - 2003
Harvard Business School 1999 - 2001
Harvard Business School 1999 - 2001
Executive Connections - Dublin Ireland 1998 - 1999
Skills
Insurance, Customer Service, Research, Project Management, Human Resources, Data Entry, PowerPoint, Business Analysis, Marketing Strategy, Management, Administrative..., Microsoft Excel, Healthcare, Office Administration, Process Improvement, Start-ups, Public Speaking, Leadership
Education
Boston University 2001 — 2001
Web Development Certification, Web Page, Digital/Multimedia and Information Resources Design
Katharine Gibbs School 1995 — 1996
Corporate Assistant Certificate
Salem State University 1991 — 1994
Akamai Technologies July 2014 - Present
Shawmut Design and Construction September 2013 - July 2014
Tufts Health Plan October 2011 - August 2013
Raytheon January 2011 - June 2011
Lantheus Medical Imaging October 2008 - January 2011
Fidelity Investments April 2006 - June 2008
Fidelity Investments January 2005 - April 2006
Grace Chapel September 2003 - September 2005
Comcast Cable 2004 - 2005
The Gem Group 2003 - 2004
Skills
Organizational..., Organizational..., Change Management, Executive Coaching, Employee Engagement, Employee Relations, Employee Surveys, Employee Recognition, Recruitment/Retention, Leadership Development, Training & Development, Talent Management, Performance Management, Project Facilitation, Talent Acquisition, Executive Search, Human Capital Management, HR Strategy, Workforce Planning, Employer Branding, Organizational Design, Talent Development, Project Management, Management, Process Improvement, Personnel Management, Team Building, Strategic Planning, Coaching, Employee Training, Training, Human Resources, Succession Planning, Recruiting, Strategy, Program Management, Leadership, Organizational..., Management Consulting, Interviews, Onboarding, Consulting, 360 Feedback, Deferred Compensation, Career Development, Staff Development, Employee Benefits, Performance Improvement
Education
Boston University 1998 — 1999
Master's degree, Human Resources Management and Services, GPA: 3.96
Merrimack College 1987 — 1991
Bachelor of Science (B.S.), Marketing
Wareham Week and WarehamVillageSoup.com September 2015 - Present
Hallmark Cards November 2014 - Present
Joe Lyman, Freelance Journalist July 2010 - Present
Joe-Lyman.com July 2010 - Present
MRIGlobal February 2015 - September 2015
Blue Beetle Termite & Pest Control August 2014 - October 2014
Aetna July 2005 - September 2011
Boston University 2011 - 2011
Tufts Health Plan 2002 - 2005
Tufts Health Plan 2002 - 2005
Skills
Writing, Editing, Copy Editing, Blogging, Social Media, Journalism, Citizen Journalism, Facebook, Press Releases, Copywriting, Feature Articles, AP Style, News Writing, Proofreading, Media Relations, Web Content
Education
Boston University 2011 — 2012
Masters, Communications-Journalism
Emerson College 1997 — 1999
B.S. Communications, Advertising
Matignon High School 1990 — 1994
High School Diploma, College/University Preparatory and Advanced High School/Secondary Diploma Program
Senior Whole Health 2013 - Present
ClickSquared, Inc. 2007 - 2010
Tufts Health Plan November 2004 - February 2007
University of Massachusetts 2004 - 2004
IBM 2000 - 2003
Lotus Development Corporation 1996 - 2000
ColorAge Inc. 1993 - 1995
Skills
SaaS, Strategy, Program Management, Project Management, Cross-functional Team..., Email Marketing, Training, Marketing, Software, Healthcare, Health Insurance
Education
Boston University
Certificate
Concordia University
Bachelor of Commerce
Tufts Health Plan October 2011 - Present
Blue Cross Blue Shield of Massachusetts December 2008 - October 2011
Blue Cross Blue Shield of Massachusetts June 2005 - December 2008
Sun Life Financial June 2002 - June 2005
The Shri Ram School April 1994 - September 2000
Juvenile Diabetes Foundation 1993 - 2000
Skills
Health Insurance, Data Analysis, Actuarial Science, Analysis, Healthcare, Analytics, Managed Care, Competitive Intelligence, Process Improvement, Financial Analysis, Insurance, Cross-functional Team..., Health Care Reform, Financial Modeling, Leadership, Management, Health Policy, Business Process..., Pricing, Strategic Planning
Education
Boston University
MA, Financial Mathematics
Delhi University
MA, Mathematics
VA Medical Center March 2009 - Present
Boston University School of Public Health October 2002 - Present
The United Methodist Church July 1970 - Present
Tufts Health Plan 2002 - 2007
Education
Boston University Questrom School of Business 1989 — 1991
MBA, Health Care Policy and Public Managerment
Boston University 1974 — 1976
DMin, Biblical Foundations for Business Finance
Boston University 1969 — 1972
ThM, Ecumenics
Randolph-Macon College 1965 — 1970
Verisk Health March 2015 - Present
RxAnte, Inc. December 2012 - November 2014
Tufts Health Plan October 2009 - November 2012
Tufts Health Plan October 2005 - September 2009
Massachusetts Department of Public Health 2003 - 2005
Center for Human Genetics, Boston University Medical Center 1999 - 2002
Skills
SAS programming, Analytics, Predictive Analytics, Healthcare Management, Healthcare, Managed Care, Health Insurance, Medicare, Disease Management, Healthcare Information..., Team Management, Team Building, Data Analysis, SAS
Education
Boston University 2000 — 2002
MPH, Social and Behavioral Sciences
Salem State University 1995 — 1999
BS, Biology
Hays Companies 2012 - Present
City of Lowell April 2013 - Present
Highland Sports Association 1998 - Present
SmithFest Foundation 2010 - Present
USI New England 2006 - 2012
Tufts Health Plan 1999 - 2005
Skills
Underwriting, Risk Management, Compliance, Risk Management..., Employee Benefits, Health, Dental, Non-profits, Term Life Insurance, DJ, Baseball, Health Insurance, Self-funded, Strategic Planning, Pharmacy Benefit..., Event Planning, Dentistry, Nonprofits, Brokers, Health Care Reform, Coaching, Health Savings Accounts, Open Enrollment, New Business Development, Claim, Benefits Design, Management, Property & Casualty..., Flexible Spending..., Employee Wellness..., Employee Wellness, Life Insurance, Fundraising, FMLA, 401k, Executive Pay, ERISA, Deferred Compensation, Long-term Care, Marketing
Education
University of Massachusetts at Lowell 1997 — 2013
Bacherlors
Middlesex Community College 1997 — 2007
Associate Degree
Boston University 1995 — 1997
Bachelor of Science (BS)
Bishop Guertin 1991 — 1995
High School
Xcenda June 2014 - Present
Xcenda April 2013 - May 2014
United BioSource Corporation March 2008 - April 2013
The LandMarc Consulting Group April 2004 - March 2008
Tufts Health Plan 2005 - 2008
Harvard Medical School January 2003 - April 2005
Circadian Technologies 2003 - 2004
Yale University School of Medicine July 2000 - August 2002
UMass Medical School October 1998 - June 2000
Skills
Outcomes Research, Health Economics, Health Services Research, Literature Reviews, Health Policy, Epidemiology, Oncology, Meta-analysis, Clinical Trials, Therapeutic Areas, Public Health, Evidence-based Medicine, Clinical Research, Neuroscience, Observational Studies, Pharmacoeconomics, Infectious Diseases, Systematic Reviews, Clinical Study Design, Medical Writing, Clinical Development, Healthcare, Market Access, Global Health, Pharmaceutical Industry, Diabetes, Healthcare Consulting, Informatics, HTA, Patient Outcomes, Medicaid, Patient Reported..., Medical Devices, Lifesciences, Managed Care, Drug Development, Statistical Modeling, Cancer, Biotechnology, SAS, Biostatistics, Pharmacovigilance, Stata, Regulatory Affairs, Statistics, Data Analysis, Research, Neurology, Life Sciences
Education
Boston University 2002 — 2004
Public Health, Social & Behavioral Sciences
Clark University 1994 — 1998
B.A, Psychology
Fitch Senior High School
Natick Service Council February 2014 - Present
Full Circle Adoptions August 2011 - Present
New England Geriatrics July 2011 - April 2014
Tufts Health Plan January 1996 - August 2011
Skills
Healthcare, Case Managment, Case Management, Psychotherapy, Behavioral Health, Social Services
Education
Boston University 1990 — 1992
MSW
Clark University 1986 — 1990
BA
Steward Health Care March 2015 - Present
Deloitte January 2013 - February 2015
Tufts Health Plan January 2011 - January 2013
Hewitt Associates October 2007 - February 2011
BCBSMA September 2006 - September 2007
BCBSMA September 2004 - September 2006
BCBSMA May 2002 - September 2004
Skills
Actuarial Science, Health Insurance, Employee Benefits, Managed Care, Statistics, Healthcare, Management Consulting, Strategy
Education
Boston University 1998 — 2002
Connect for Health Colorado May 2014 - Present
CAI Health Care Consulting September 2013 - April 2014
Harvard Pilgrim Health Care October 2011 - August 2013
The Massachusetts Health Connector July 2007 - September 2011
Tufts Health Plan 2004 - 2007
MultiPlan September 2001 - July 2004
Tufts Health Plan August 1991 - October 2001
Aetna 1981 - 1991
Skills
Healthcare, Healthcare Information..., HIPAA, Medicaid, Provider Relations, Medicare, Disease Management, Health Insurance
Education
Boston University 2001 — 2003
Masters of Public Health, Health Services
Anna Hu LLC February 2010 - Present
Tufts Health Plan September 2007 - January 2010
Skills
SAS, SPSS, Excel, Microsoft Excel
Education
Boston University 2004 — 2006
Master's Degree, Actuarial Science
Yeoung-Fu Elementary School 1987 — 1993
Chung Rong?
athenahealth May 2006 - Present
Tufts Health Plan February 2004 - April 2006
Blue Cross Blue Shield of Massachusetts February 1999 - March 2003
Skills
Healthcare Information..., Data Analysis, EHR, Project Management, Healthcare, Process Improvement, Business Analysis, Program Management, HIPAA, EMR, Analysis, Revenue Cycle, Healthcare Consulting, Stata, Public Health, Cross-functional Team..., Strategic Planning, Visio
Education
Boston University 2011 — 2013
Master's degree, Criminal Justice
UMass Boston 2002 — 2005
Bachelor of Arts (B.A.), Economics
Tufts Health Plan August 2014 - Present
New York Life Insurance Company March 2013 - August 2014
Invensys 2011 - 2012
Skills
Financial Analysis, Microsoft Excel, Data Analysis, Microsoft Word, Microsoft Office, Spanish, PowerPoint, Access, Analysis, Leadership, Risk Management, Customer Service, Research, Outlook, Insurance, Training, Social Media, VBA, Sales, Account Management, Banking, Negotiation, Statistics, Strategic Planning
Education
Boston University 2008 — 2010
M.S., Actuarial Science
Boston University 2004 — 2008
B.A., Psychology
Ransom Everglades 1998 — 2004
Tufts Health Plan February 2014 - Present
Joss & Main April 2012 - April 2013
South Africa Partners January 2010 - August 2010
Boston Medical Center August 2009 - August 2010
Dana-Farber Cancer Institute 2006 - 2009
Skills
Microsoft Office, Microsoft Excel, PowerPoint, E-commerce, Social Media, Data Analysis, Retail, Customer Service, Event Planning, Microsoft Word, Project Management, Sales, Strategic Planning, Inventory Management, Research, Market Research
Education
Boston University 2008 — 2011
Master of Public Health (M.P.H.), International Public Health/International Health
Wellesley College 2002 — 2006
B.A., Spanish, Pre-Med
Setson Memorial UMC July 2013 - Present
Church 2008 - 2014
Suncook United Methodist Chruch July 2008 - June 2013
Sanbornville UMC September 2007 - July 2008
Cuddly Bear Day Care June 2000 - December 2000
Eating January 2000 - March 2000
Tufts Health Plan December 1998 - December 1999
Pep Boys December 1997 - December 1999
Skills
Preaching, Public Speaking, Discipleship, Volunteer Management, Nonprofits, Community Outreach, Teaching, Church Events, Biblical Studies, Church Growth, Religion, Missions, Pastoral Care, Theology, Pastors, Spiritual Direction, Pastoral Counseling, Church Consulting, Church Administration, Social Justice, Gospel, Liturgy, Sacred Dance, Religious Studies, Pastoral, Apologetics, Homiletics, Youth Ministry, Evangelism, Pastoring, Hermeneutics, Bible, Church History, Biblical Teaching, Discipleship Training, Mission Work, Student Ministry, Stewardship, Expository Preaching, Exegesis, Practical Theology, Chaplaincy, Bible Study
Education
United Methodist GBHE 2010 — 2015
Still working..., Religious Studis
United Methodist GBHE 2010 — 2014
Religious Studies
Boston University 2007 — 2009
MDiv, Religion
Springfield College 2005 — 2007
BS, Human Services
University of Massachusetts 1980 — 1982
B.A, Pre-Veterinary Studies
2003 to 2004Seminary Extension
Sunday School Teaching; Veterinary Technician
Kindred Rehabilitation and Transitional Care March 2013 - Present
Marlborough Hospital December 2011 - Present
New England Geriatrics 2011 - Present
Fresenius Medical Care May 2007 - January 2011
Boston Medical Center April 2006 - May 2007
LICSW, community agencies January 1995 - January 2007
Tufts Health Plan February 1998 - April 2006
FM Global 1988 - 1997
Skills
Leadership, Workshop Facilitation, Organizational..., Project Planning, Training, Talent Management, Performance Management, Program Management, Career Development, Healthcare, Management, Team Building, Coaching, Change Management, Nonprofits, Leadership Development, Instructional Design, Mental Health Counseling, Human Resources, Psychotherapy, Culture Change
Education
Boston University
Masters, Social Work; psychology
Boston University
Master of Science, Mass Communications; instructional and print media
University of Massachusetts
Bachelor of Arts, Human Services; law and counseling
Bank of America August 2012 - April 2013
Pace October 2011 - February 2012
AT&T August 2008 - February 2009
Tufts Health Plan January 2008 - June 2008
Allen-Edmonds Shoe Corporation August 2007 - January 2008
Skills
Management, Customer Service, Customer Support, Finance, Mortgage Servicing, Customer Acquisition, Customer Retention, Sales, Event Planning, Administrative Work, Data Entry, Technical Support, Health Insurance, Microsoft Office, Microsoft Word, Microsoft Excel, Outlook, PowerPoint, Lotus Notes, People Skills, Resume Writing, Public Speaking, Talent Acquisition, Process Scheduler, Screening Resumes, Digital Photography, Temporary Staffing, Staffing Services
Education
Southern New Hampshire University 2012 — 2016
Bachelor of Science (BS), International Business, 4.0
Boston University 2011 — 2011
Certificate, Paralegal Studies, A
Suffolk University - Sawyer School of Management 2004 — 2006
BSBA, Global Business & Finance, 3.0
EHS/ CRLS 1993 — 1997
High School Diploma, Regular/General High School/Secondary Diploma Program
TESARO April 2015 - Present
Tufts Health Plan August 2014 - April 2015
Addictive Behaviors Lab September 2013 - August 2014
Aflac May 2012 - May 2013
Stonehill College January 2012 - May 2013
Stonehill College February 2010 - May 2013
Social Security Administration June 2010 - August 2010
Skills
SPSS, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Adobe, Research, Customer Service, Teamwork, Photoshop, English, Windows, Human Resources, Recruiting, Psychology
Education
Boston University 2013 — 2014
Master of Arts (M.A.), Psychology
Stonehill College 2009 — 2013
Bachelor of Arts Cum Laude in Psycholgy, Major: Psychology, Minor: Business
Lorenzo de' Medici 2011 — 2011
Non-Degree Program
Arlington Catholic High School 2005 — 2009
High School Diploma
Tufts Health Plan January 2015 - Present
Tufts Health Plan August 2011 - December 2014
Tufts Health Plan November 2006 - August 2011
Tufts Health Plan October 2005 - October 2006
The Arbour Hospital October 2004 - October 2005
The Arbour Hospital November 2002 - October 2005
Skills
Healthcare, Mental Health, Insurance, Managed Care, Employee Benefits, Data Analysis, Analysis, Microsoft Office, Policy, Medicare, Organization, Hospitals, Training, Community Outreach, Process Improvement, Health Insurance
Education
Boston University
Bachelor of Arts, Psychology
Salem State University
Master of Science, Criminal Justice
Harvard Pilgrim Health Care July 2015 - Present
Tufts Health Plan March 2015 - July 2015
Rue La La January 2015 - March 2015
Kingcom LLC October 2013 - January 2015
Boston University September 2012 - December 2012
PING AN INSURANCE (GROUP) COMPANY OF CHINA ,LTD July 2011 - August 2011
China Mobile International Limited July 2008 - August 2008
Skills
VBA, Statistics, SAS, Microsoft Excel, Access, Actuarial Science, SQL, PowerPoint, Microsoft Word, Mandarin, Financial Analysis, Chinese, C++, Data Analysis, Research, Stata, Visual Basic for..., Microsoft Office
Education
Boston University 2011 — 2013
Master of sicence, Actuarial Science
Guangdong University of Technology 2006 — 2010
Bachelor of Science (BS), Computer Science
Tufts Health Plan July 2013 - Present
Network Health 2007 - June 2013
Network Health October 1999 - 2007
Sutter Health 1994 - 1999
Gartner 1992 - 1993
Cambridge Systematics January 1991 - May 1992
Skills
Healthcare Information..., Analytics, Health Information..., Data Warehousing, SAS programming, Oracle PL/SQL..., Microsoft SQL Server
Education
Boston University - Graduate School of Arts and Sciences 1991 — 1992
Master's Degree, Economics
Boston University 1987 — 1991
Bachelor's Degree, Economics
New Milford High School 1986 — 1987
High School
Deloitte Next Generation CIO Academy
R.W. Holmes Realty Co., Inc. September 2014 - Present
Goodrich Residential, LLC June 2012 - August 2014
Tufts Health Plan September 2008 - September 2009
Skills
Sales, Customer Service, Customer Satisfaction, Customer Retention, Microsoft Office, Advertising, Real Estate, Time Management, Property, Referrals, Selling, Listings, Rentals
Education
Boston University 2013 — 2015
Commercial Real Estate Certificate, Commercial Real Estate Studies
Saint Michael's College 2009 — 2012
Bachelor of Arts (BA), Political Science and Government
Matignon High School
inVentiv Health Public Relations Group July 2013 - Present
Chempetitive Group October 2012 - July 2013
MSLGROUP March 2012 - October 2012
Weber Shandwick September 2011 - March 2012
Schwartz MSL August 2010 - September 2011
Schwartz MSL August 2007 - August 2010
Schwartz MSL February 2007 - August 2007
Arnold Corporate Communications 2004 - 2006
Feinstein Kean Healthcare 2003 - 2004
Tufts Health Plan 2003 - 2003
Skills
Global Communications, Healthcare Public..., Crisis Communications, Clinical Trial...
Education
Northwestern University 2002 — 2003
MS, Journalism
Boston University 2001 — 2001
Study Abroad & Internship Program, Paris, France, French Studies
Rhodes College 1998 — 2001
BA, French
Tufts Health Plan June 2011 - Present
Bournewood Health Systems May 2007 - May 2011
Skills
Microsoft Excel, Microsoft Word, Microsoft Office, Family Therapy..., Public Speaking, Interqual Clinical..., CCMS, Lotus Notes, Team Leadership, Remote Access, Communication Skills, Organizational..., Telephone Skills, Access Database, Employee Engagement, Facility Contract..., Mental Health Counseling, Substance Use Disorders, Medical Social Work, Utilization Review, Substance Abuse...
Education
Boston University 2005 — 2007
Master of Social Work (MSW), Clinical/Medical Social Work and Family Therapy
University of Massachusetts, Amherst 2001 — 2005
Bachelor of Science (B.S.), Psychology and Sociology
MGH Institute of Health Professions May 2013 - Present
Boston Teacher Residency 2008 - 2011
Brigham & Women's Hospital/Harvard Medical School June 2007 - December 2008
Boston Medical Center June 2006 - July 2007
Boston University May 2005 - August 2005
Bay State College October 2003 - May 2004
New England Financial October 2003 - March 2004
Tufts Health Plan November 2001 - March 2002
Putnam Investments June 2000 - October 2001
HealthQuarters November 1998 - June 2000
Skills
Admissions, Admissions Counseling, Higher Education, Non-profit..., Adult Education, Healthcare Management, Health Education, Staff Development
Education
Northeastern University 2008 — 2010
Master of Education (M.Ed.), Higher Education/Higher Education Administration
Boston University
Bachelor of Science (B.S.), Sociology
Corporate Benefit Plans/HEBA June 2011 - Present
Premier College Athlete Advisory Group May 2013 - Present
Worcester Regional Chamber of Commerce 2000 - Present
Becker College October 2011 - Present
Y.O.U. Inc. 2006 - Present
USA Hockey November 2011 - Present
William Gallagher Associates August 2010 - May 2011
The Patriot Financial Group April 1999 - August 2010
College of the Holy Cross October 2007 - September 2009
Tufts Health Plan October 1996 - January 1999
Skills
Employee Benefits, Long Term Care..., Leadership, Insurance, Coaching, Recruiting, Sales, Public Speaking, Entrepreneurship, Team Building, Strategic Planning, Retirement Planning, Small Business, Healthcare, Investments, Time Management, Leadership Development, Finance, Event Planning, Health Insurance, Life Insurance, Risk Management, Hockey, Fundraising, Administration, Disability Insurance, New Business Development, Business Development, Athletics, Staff Development, Social Networking, Nonprofits, Succession Planning, Executive Pay, Non-profits, Defined Benefit, Family Advisory, Education, Athletic Recruiting, Athlete Representation
Education
Boston University
Noble and Greenough School
Tufts Health Plan May 2014 - August 2014
Tufts Health Plan April 2013 - August 2013
Tufts Health Plan May 2012 - August 2012
Skills
Microsoft Excel, Microsoft Word, Microsoft Office, Technology, Access, Time Management, Data Analysis, Management
Education
Boston University 2011 — 2015
Bachelor of Science (BS), Management Information Systems and Services, Operations Managment
Tufts Health Plan October 2013 - Present
Skills
Regulatory Affairs, Health Insurance, Contract Law, Contract Negotiation, Strategic Negotiations, Health Care Regulation, Business Litigation, Commercial Litigation, Intellectual Property, Legal Research, Securities, Negotiation, Case Analysis, Legal Writing, Arbitration, Motions, Class Actions
Education
Northeastern University School of Law 2002 — 2005
Juris Doctor
Boston University 1997 — 2001
Bachelor of Arts (B.A.)
Rocket Software September 2013 - Present
Tufts Health Plan January 2011 - September 2013
Tufts Health Plan January 2009 - January 2011
Eastern Mountain Sports January 2008 - July 2008
Skills
Customer Service, PowerPoint, Microsoft Excel, Microsoft Office, Access, Microsoft Word, Sales, Insurance, Process Improvement, Westlaw, CaseMap, PACER, Legal Research, Interviewing Skills, Training, Call Centers
Education
Boston University 2013 — 2013
Certificate, Paralegal Studies
Northeastern University 1998 — 2003
BS, College of Criminal Justice
Tufts Health Plan June 2005 - March 2011
Tufts Health Plan October 2003 - June 2005
Tufts Health Plan October 2002 - October 2003
Professional Staffing Group January 2001 - October 2002
Boston University January 1999 - January 2001
Cuffy's Co., Inc January 1994 - January 1999
Skills
Microsoft Office
Education
Boston University
Psychology and Economics
University of Massachusetts
Psychology and Economics
Tufts Health Plan Network Health January 2014 - Present
Aetna November 2011 - December 2013
Aetna May 2010 - November 2011
Aetna February 2009 - May 2010
APS Healthcare January 2005 - February 2009
Fallon Community Health Plan 2001 - 2004
Medspan Health Options 2000 - 2001
Tufts Health Plan 1995 - 2000
Chartwell Home Therapies 1992 - 1994
Tokos Medical 1987 - 1992
Skills
Managed Care, Disease Management, Utilization Management, Medicare, Case Managment, HIPAA, Healthcare, Health Insurance, HMO, Healthcare Information..., Healthcare Management, Healthcare Consulting, Clinical Research, Health Policy, Medicaid, Program Management, EHR, Home Care, Informatics, Hospitals, EMR, Nursing, Health Education, Public Health, Healthcare Industry, Physician Relations, Medicine, Quality Improvement, Provider Relations, Wellness, Behavioral Health, Case Management
Education
Boston University 1983 — 1987
MS, Nursing
University of Massachusetts, Amherst 1979 — 1983
BSN, Nursing
James Madison High School 1976 — 1979
Diploma
Bank of America January 2014 - Present
Bank of America September 2012 - December 2013
Bank of America September 2000 - August 2012
FleetBoston Financial 2000 - 2004
Daylight Systems Consulting January 2000 - September 2000
Tufts Health Plan January 1996 - December 1999
Tufts Health Plan January 1994 - December 1995
Tufts Health Plan March 1986 - December 1993
Harvard Community Health Plan September 1985 - March 1986
Harvard Community Health Plan January 1984 - September 1985
Skills
Enterprise Architecture, IT Strategy, Business Analysis, Program Management, Risk Management, IT Management, Strategic Planning, Governance
Education
BOSTON UNIVERSITY 1979 — 1982
post-graduate (part-time), PL/1 Programming, Data Structures, Software Engineering, Database Management
NORTHEASTERN UNIVERSITY 1977 — 1978
part-time, Systems Analysis and Programming
American Bankers Assoc. 1975 — 1978
n/a, various banking concepts & practices
Hobart and William Smith Colleges 1968 — 1973
BA, English Literature
Boston University School of Public Health October 2002 - Present
Tufts Health Plan 1992 - 1998
Education
Boston University Questrom School of Business 1989 — 1991
MBA, Health Care Policy and Public Managerment
Boston University 1973 — 1976
DMin, Biblical Foundations for Business Finance
Boston University 1969 — 1972
ThM, Ecumenics
Randolph-Macon College 1965 — 1969
BA, Economics
Mana Products October 2014 - Present
Mana Products March 2013 - October 2014
Skin Pathology Lab May 2010 - September 2012
Tufts Health Plan March 2010 - August 2010
Tufts Health Plan May 2006 - March 2010
Banana Republic / Gap Inc. June 2005 - October 2007
Affiliated Computer Services, Inc. June 2002 - September 2003
Skills
Microsoft Excel, Microsoft Office, Microsoft Word, Microsoft Works, PowerPoint, Mac OS X, iWork, Adobe Audition, Photoshop, Data Analysis, Research, Mathematical Analysis, Pharmacy Technicians, UPS Shipping, FedEx, Phone Skills, Customer Service, Administrative..., Proofreading, Data Entry, Retail Sales, Report Writing
Education
Boston University
Bachelor of Arts (BA), Biology, General
Beechwoods Software Inc January 2013 - January 2014
MaxMind, Inc. October 2007 - January 2013
ENSR May 2002 - October 2007
Tufts Health Plan October 1999 - March 2001
Skills
Microsoft Office 2003, Adobe Acrobat, Photoshop, Dreamweaver, Quickbooks Online, Account Management, OS X, Training, Customer Service, Business Development, Project Management, Quality Assurance, QuickBooks, Microsoft Excel, Sales, Management
Education
Boston University Computer Career Program 2001 — 2001
Certificate in Web Design, Web Design
Boston University
Massachusetts Cultural Council April 2011 - Present
Tufts Health Plan December 2008 - March 2011
The Boston Camerata June 2009 - March 2010
Chittenden Bank June 2008 - September 2008
Craftsbury Chamber Players Youth Program June 2002 - June 2008
Smugglers' Notch Resort 2003 - 2007
Skills
Nonprofits, Budgets, Microsoft Office, Social Media, Fundraising, Grant Writing, Event Management, Microsoft Excel, Community Outreach, Event Planning, Newsletters, PowerPoint, Program Development, Research
Education
Boston University 2008 — 2010
Master of Science (MS), Arts Administration
University of Vermont 2002 — 2006
BA, French, Italian
Atlantic Fish Co. April 2011 - Present
Department of Children and Famlies April 2010 - September 2010
Tufts Health Plan November 2009 - January 2010
Children's Hospital Boston September 2008 - March 2009
Education
University of Massachusetts Boston 2013 — 2015
Bachelor's Degree, Biology, General (pre-PA), 3.8 GPA
Boston University 2013 — 2013
EMT-B, EMS, EMT-B Certification
University of Massachusetts, Amherst 2004 — 2008
Bachelor of Arts, Psychology
Tufts Health Plan May 2014 - Present
Partners HealthCare January 2011 - May 2014
Boston University Medical Campus 2009 - 2011
Boston University Medical Campus 2006 - 2009
Boston University 2004 - 2006
Skills
Talent Acquisition, Applicant Tracking..., Interviewing, PeopleSoft, Hiring, OpenHire, Full-life Cycle..., University Recruitment, Employment, Behavioral Interviewing, Internet Recruiting, Screening Resumes, Reference Checking, Background Checks, HR Policies, HR Consulting, Recruiting, Interviews, Resume Writing, Employee Orientations, Employee Engagement, Onboarding, HRIS, Human Resources, Employee Relations
Education
Boston University 2006 — 2007
M.Ed., Human Resources Education
Temple University 2000 — 2004
B.A.
Biogen September 2015 - Present
athenahealth January 2014 - September 2015
athenahealth September 2012 - December 2013
Partners HealthCare System, Inc. September 2007 - August 2012
Partners HealthCare System, Inc. January 2005 - August 2007
Tufts Health Plan October 2001 - December 2004
Deloitte Consulting June 1999 - July 2001
Columbia University Medical Center August 1997 - June 1999
Massachusetts General Hospital May 1996 - August 1997
Skills
EMR, Healthcare IT, Healthcare, HL7, Ambulatory, Clinical Documentation, SNOMED, Healthcare Information..., Informatics, Clinical Research, HIPAA, EHR, Project Management, Program Management, Managed Care, Healthcare Consulting
Education
Columbia University - Joseph L. Mailman School of Public Health 1997 — 1999
MPH
Columbia University - School of International and Public Affairs 1997 — 1999
MIA
Boston University 1993 — 1997
BA
Needham High School
Tufts Health Plan February 2010 - Present
Tufts Health Plan September 2007 - February 2010
Granite Telecommunications April 2007 - June 2007
First Marblehead Education Resources 1999 - 2007
Skills
Visio, Oracle, Microsoft SQL Server, Toad, Microsoft Excel, Eclipse, IBM iSeries, Microsoft Word, Activity Diagrams, UML, SDLC, Requirements Analysis, Business Analysis, Access, User Acceptance Testing, Agile Methodologies, Testing, Vendor Management, Integration, Software Documentation, System Testing, Systems Analysis, Business Requirements, Requirements Gathering, Databases, Data Warehousing, Software Project...
Education
Boston University 2006 — 2006
Certificate, Applied Business Analysis
Northeastern University 1996 — 1999
Bachelor’s of Arts, English Literature
Southern New Hampshire University 1990 — 1992
Associate’s of Sciences, Culinary Arts
Towers Watson July 2014 - Present
Tufts Health Plan September 2011 - June 2014
Blue Cross Blue Shield of MA May 2005 - September 2011
Private Healthcare Systems (PHCS) 2004 - 2005
Level 3 Communications (Formerly Genuity) 1998 - 2003
NETC 1996 - 1998
Skills
Cross-functional Team..., Program Management, Healthcare, Strategy, Project Management, Public Health, Program Development, Managed Care, Process Improvement, Health Insurance, Data Analysis, Healthcare Management, Strategic Planning, eHealth, Healthcare Industry, Product Management, Leadership
Education
Boston University 2005 — 2008
MPH, Public Health
College of the Holy Cross
Bachelor of Arts, Sociology/Spanish
Tufts Health Plan September 2013 - Present
Tufts Health Plan August 2009 - September 2013
Partners Community Healthcare Inc. May 2006 - August 2009
Boston University School of Public Health 2003 - 2006
Education
Boston University 2003 — 2005
MPH, Health Services
University of Hartford 1998 — 2002
BS, Health Science
Tufts Health Plan 1998 - 2006
Skills
Healthcare, Case Managment, Medical Billing, Social Services, Healthcare Information..., Managed Care, Medicaid, Medicare, Insurance
Education
Boston University 1985 — 1989
Tufts Health Plan March 2008 - Present
Girl Scouts of Eastern Massachusetts 2011 - June 2015
Consulting January 2007 - October 2007
Nutter McClennen & Fish LLP September 2002 - April 2004
Hewlett-Packard November 1987 - May 2000
Skills
Grant Writing, Management, Nonprofits, Strategic Planning, Fundraising, Marketing, Training, Program Management, Customer Service, Social Networking, Customer Relations, Problem Solving, Marketing Strategy, Healthcare, Microsoft Office, Systems Management, Diversity Planning
Education
Cambridge College 2009 — 2011
BS Management Studies, Business Management
Boston University 1979 — 1983
Computer Science
Matignon High School
Shady Hill
The Public Archaeology Laboratory, Inc. April 2014 - Present
Gray & Pape, Inc. February 2015 - March 2015
The Mount Auburn Club November 2013 - September 2014
Massachusetts Department of Public Health February 2014 - March 2014
Tufts Health Plan October 2013 - January 2014
Activate Networks, Inc. January 2013 - October 2013
Cornell University June 2012 - August 2012
URS Corporation April 2009 - May 2011
Ecoplan Associates, Inc. October 2008 - December 2008
Panamerican Consultants, Inc. June 2008 - August 2008
Skills
Archaeology, Field Work, Research, History, Anthropology, GIS, Cultural Resource..., Microsoft Word, Microsoft Office, Editing, Archival Research, Photography, Writing, Historic Preservation, Gastronomy, Supervisory Skills, Word, PowerPoint, Ethnography, Report Writing, Excavation, Cultural Heritage, Qualitative Research, Topographic Mapping, Baking, Surveying, Archaeological Survey, Event Planning, Social Media
Education
Boston University 2011 — 2013
Master of Arts (M.A.), Gastronomy
Ithaca College 2000 — 2004
Bachelor of Arts (B.A.), Anthropology
The University of Texas at Austin 2004 — 2004
Archaeological Field School, Rio Bravo Conservation Area, Not for Credit
University of Pittsburgh 2003 — 2003
Semester at Sea
Tufts Health Plan September 2008 - Present
MFS October 1999 - December 2007
Education
Boston University
Tufts Health Plan March 2014 - Present
Tufts Health Plan November 2008 - February 2014
Tufts Health Plan August 2008 - October 2008
Tufts Health Plan December 2004 - July 2008
Tufts Health Plan June 2004 - November 2004
Tufts Health Plan April 2003 - May 2004
Tufts Health Plan April 2001 - March 2003
Education
Boston University 1998 — 1999
MA
Springfield College 1994 — 1998
Prime Healthcare Services April 2015 - Present
Spring Clinical Research February 2015 - Present
Future First Afterschool Program September 2014 - January 2015
Bronx Lebanon Hospital Medical Center December 2013 - January 2015
Essen Medical Associates April 2013 - July 2013
Tufts Health Plan June 2008 - June 2010
Atlantis Health Plan September 2004 - December 2006
Skills
Healthcare, Microsoft Office, Clinical Research, Medical Terminology, Strategic Planning, Research, Change Management, Project Management, Public Speaking, Strategy, Microsoft Word, PowerPoint, Customer Service, Data Analysis, Leadership, Analysis, Nonprofits, Clinical Trials, Hospitals, Management
Education
Nanyang Technological University 2015 — 2015
Certificate in Introduction to Forensic Science, Forensic Science and Technology
The Johns Hopkins University 2015 — 2015
Certificate (with distinction), Psychological First Aid
University of Michigan 2015 — 2015
Certificate in Teaching and Assessing Clinical Skills, Medicine
Boston University 2001 — 2003
Master of Public Health (MPH), International Public Health/International Health
Dow Medical College 1994 — 1999
MBBS, Bachelor of Medicine and Surgery
Scarsdale High School
Tufts Health Plan April 2014 - Present
Celticare Health Plan November 2012 - Present
Blue Cross Blue Shield MA January 2011 - August 2012
Blue Cross Blue Shield of Massachusetts September 2008 - January 2011
Blue Cross Blue Shield of Massachusetts August 2007 - September 2008
Blue Cross Blue Shield of Massachusetts January 2004 - July 2007
Beth Israel Deaconess Medical Center April 2000 - January 2004
Tufts Health Plan March 1998 - April 2000
Tufts Health Plan September 1993 - March 1998
Skills
Strategic Planning, Critical Thinking, Operations Management, Communication, Business Analysis, CCM, Clinical Program Design, Stakeholder Management, Program Implementation, Building High..., Program Management, Performance Measurement, Relationship Management, Microsoft Office, Healthcare, Cross-functional Team..., Writing content
Education
Boston University
Masters Certificate in Business Analysis
Curry College 2002 — 2004
Bachelor of Science (BS)
Lasell College
MA RN License #150322, New Hampshire RN License # 068883-21
Tufts Health Plan October 2013 - Present
Collora LLP September 2007 - October 2013
New York County District Attorney's Office September 2004 - September 2007
Skills
Litigation, Criminal Law, Criminal Defense, White Collar Criminal..., Health Law, Civil Litigation, Courts, Trials, Legal Research, Legal Writing
Education
Boston University School of Law 2001 — 2004
Doctor of Law (JD)
Boston University 1997 — 2001
BA, International Relations
Clarkstown North 1993 — 1997
Grace Cottage Hospital February 2011 - Present
Greenleaf Consulting January 2009 - March 2011
Tufts Health Plan 2000 - 2008
BJ's Wholesale Club 1999 - 2000
Applied Management Systems 1998 - 2000
IDX Systems 1998 - 1999
Fallon Community Health Plan 1992 - 1997
Harvard Pilgrim Health Care 1989 - 1992
Education
Boston University 1995 — 1995
M Ed, Human Resources Education
Worcester State University 1971 — 1974
BA, Biology
Tufts Health Plan 2007 - Present
Tufts Health Plan September 1997 - 2006
Tufts Health Plan September 1987 - September 1997
Skills
HIPAA, Medicare, Healthcare Information..., Healthcare, Managed Care, Process Improvement, Training
Education
Boston University 1973 — 1977
BSN, Nursing
Tufts Health Plan January 2012 - Present
Tufts Health Plan October 2003 - Present
Tufts Health Plan January 2003 - December 2011
Tufts Health Plan January 1999 - January 2003
JoAnn's Home Daycare January 1992 - January 1999
Education
Boston University
B.S, Health Sciences
Merck Health Specialist IITufts Health Plan2001 - 2002
Tufts Health Plan 2000 - 2001
Tufts Health Plan 1998 - 2000
CIGNA Healthcare 1997 - 1998
Education
Boston University 1999 — 2001
MPH, Public Health-Social & Behavioral Science
University of Massachusetts, Amherst 1993 — 1997
Tufts Health Plan 2006 - Present
Tufts Health Plan 2001 - 2006
Tufts Health Plan 2000 - 2001
Tufts Health Plan 1999 - 2000
Tufts Health Plan 1998 - 1999
Skills
Health Insurance, Content Strategy, Strategic Communications, Marketing Communications, Insurance, Marketing, Internal Communications, Proofreading, Newsletters, Copywriting
Education
Boston University 1994 — 1998
English, Archaeology
TUFTS HEALTH PLAN 2004 - 2005
Cambridge Cares About AIDS 2001 - 2003
AVICON GROUP 2000 - 2001
Fidelity Investments 1996 - 2000
EDS Group 1994 - 1996
USDA 1992 - 1993
Skills
New Business Development, Marketing, Team Building, Investments, Strategic Planning, Strategic Financial..., Account Management, Mutual Funds, Retirement Planning, Series 7, Sales, Customer Service
Education
Dartmouth College - The Tuck School of Business at Dartmouth
Back in Business Executive Education Program
Boston University
e-Commerce Strategy Development
University of Florida - Warrington College Of Business 1988 — 1994
Bachelor's Degree, Finance and Economics
Tufts Health Plan December 2013 - Present
Family Self-Sufficiency Center, Inc. July 2009 - Present
Tufts Health Plan June 2008 - December 2013
Belmont United Methodist Church July 2008 - December 2010
Family Self-Sufficiency Center July 1995 - June 2009
mass housing 1980 - 1989
Skills
Non-profits, Program Management, Social Services, Employee Benefits, Health Insurance, Insurance, Managed Care, HIPAA, Healthcare, Healthcare Information..., Process Improvement, Coaching, Research, Medicare, Change Management, Leadership, Nonprofits, Program Development, Organizational..., Training, Team Building
Education
Boston University 1976 — 1978
Ed.M., Adult Education, Public Policy Education
Drew University 1971 — 1975
B.A., Sociology, Psychology
Councilor-at-Large Ayanna Pressley June 2012 - Present
Councilor-at-Large Ayanna Pressley June 2010 - May 2012
Ayanna Pressley for City Council At-Large May 2011 - November 2011
Boston Children's Hospital June 2009 - January 2010
Flaherty for Mayor Committee September 2009 - November 2009
Yoon for Mayor Committee June 2009 - September 2009
Community Catalyst October 2008 - June 2009
Massachusetts House of Representatives May 2007 - September 2008
BU School of Public Health November 2005 - May 2007
Tufts Health Plan May 2001 - November 2005
Skills
Policy, Health, Policy Analysis, Community Outreach, Strategy, Leadership, Analysis, Public Policy, Research, Public Speaking, Legislation
Education
Boston University 2004 — 2007
MPH, Maternal and Child Health
Clark University 1995 — 1999
B.A., Psychology, Studio Art
Tufts Health Plan February 2009 - Present
Masspro March 2007 - January 2009
Beth Israel Deaconess Medical Center 1983 - 2007
BIDMC 1983 - 2007
Education
Boston University 1979 — 1983
BS, nursing
Tufts Health Plan May 2010 - Present
Network Health January 2006 - May 2010
Tufts Health Plan February 2005 - December 2005
Tufts Health Plan May 2001 - February 2005
Hallmark Health November 1996 - May 2001
Skills
Medicaid, Managed Care, Medicare, Provider Relations, Healthcare Management, Healthcare, HIPAA, Healthcare Consulting, Health Insurance, Healthcare Information..., Hospitals, Informatics, EHR, Data Analysis, EMR, Healthcare Industry
Education
Boston University 1995 — 1998
MPH, Healthcare Administration
Harvard University 1987 — 1991
BA, Psychology
Tufts Health Plan January 2011 - Present
Tufts Health Plan October 2008 - January 2011
Tufts Health Plan September 2004 - October 2008
Senior Whole Health September 2007 - January 2008
Children's Hospital Boston July 2002 - September 2004
Innovative Health Solutions June 2001 - July 2002
Skills
Managed Care, Health Insurance
Education
Boston University 2002 — 2004
MPH, Biostatistics; Maternal & Child Health
Hamilton College 1997 — 2001
BA, Mathematics, Psychology
Lowell Treatment Center - Arbour Health Systems November 2014 - Present
Eliot Community Human Services June 2013 - October 2014
Eliot Community Human Services September 2012 - October 2014
Eliot Community Human Services January 2008 - October 2014
The Children's Room: caring support for grieving children, teens and familiesArlington, MA September 2007 - September 2009
The Gifford School August 2006 - June 2007
2006 Men's World Curling Championship January 2002 - December 2006
Acton Cooperative School September 2000 - June 2006
Tufts Health Plan March 1994 - July 1994
Tufts Health Plan September 1990 - May 1992
Skills
Counseling Psychology, Child Development, Child Therapy, Adults, CBT, DBT, strength based..., Psycho-Education, Parent guidance, School Consultation, Behavior Modification, Adolescents, Family Therapy, Grief Counseling, Play Therapy, Clinical Supervision, Life Transitions, Psychotherapy, Behavioral Health, Group Therapy, Mental Health
Education
Lesley University 2004 — 2007
MA, Counseling Psychology, Specialization --- Professional Counseling
National Academy for Paralegal Studies 1993 — 1994
CLA, Paralegal
Boston University 1979 — 1983
BA, Psychology
athenahealth May 2004 - Present
Tufts Health Plan February 2002 - May 2004
Skills
Healthcare, Customer Relations, Microsoft Office, Access, Customer Service, Word, Excel, Coaching, Strategic Planning, Process Improvement, Research, Change Management, Insurance, PowerPoint, Call Center, Account Management, Business Analysis, Negotiation, Problem Solving, Mentoring, Healthcare IT, Team Building, Contract Negotiation, Outlook, Billing, Product Development, Business Strategy, Performance Management, Analysis, Data Analysis, Management Consulting
Education
University of Massachusetts Boston 1999 — 2001
Masters, Applied Sociology
Boston University 1995 — 1998
Bachelor of Arts
Sancta Maria Nursing Facility June 2015 - September 2015
Pediatric Assoc of Wellesley February 2013 - June 2015
Tufts Health Plan November 2012 - February 2013
By Appointment Only 2007 - 2011
M. Steinert and Sons 1999 - 2007
Northeastern University 1990 - 1999
The Boston Conservatory 1987 - 1990
The New England Conservatory 1985 - 1988
Tufts University 1984 - 1985
Skills
Medical billing, ICD-10, Red Cross 1st Aid
Education
Boston University 1982 — 1988
MM, Music
Butler University 1978 — 1982
BM, Music
Seccion Amarilla USA 2009 - 2009
Yellowbook USA July 2007 - November 2008
Summit Mortgage April 2004 - July 2007
MSA Mortgage November 2001 - April 2004
Tufts Health Plan February 2000 - November 2001
Tufts Health Plan March 1997 - February 2000
Tufts Health Plan November 1995 - March 1997
Education
Boston University 1982 — 1987
Bachelor of Science, Business Administration
Tufts Health Plan October 2014 - Present
Tufts Health Plan July 2013 - October 2014
Boston Children's Hospital Informatics Program June 2010 - July 2013
Beth Israel Deaconess Medical Center December 2008 - June 2010
Isis Parenting August 2008 - June 2010
Boston University School of Public Health June 2008 - September 2008
Skills
SAS, Data Analysis, SQL, Health Insurance, Qualitative Research, Databases, Microsoft Excel, Microsoft Office, Survey Design, Human Subjects Research, Microsoft Publisher, Quantitative Research, Grant Writing, Events Coordination, Project Management, Image Editing, Data Visualization, Predictive Modeling
Education
Harvard University School of Public Health 2011 — 2011
Boston University 2004 — 2008
BA
School for International Training 2007 — 2007
Seccion Amarilla USA 2009 - 2009
Yellowbook USA July 2007 - November 2008
Tufts Health Plan 1995 - 2001
Education
Boston University 1982 — 1987
Bachelor of Science, Business
Ingenix 2005 - 2009
Partners HealthCare 2001 - 2005
Partners HealthCare 1999 - 2001
McKesson Health Solutions (formerly HPR Inc) 1993 - 1996
Tufts Health Plan 1990 - 1993
Massachusetts General Hospital 1982 - 1985
Skills
Strategy, Managed Care, Analysis, Hospitals, Visio, Healthcare, Cross-functional Team..., HIPAA, Databases, Software Documentation, Patient Safety, Product Development, Marketing, Fundraising, SharePoint, Access, Business Intelligence, Process Improvement, Program Management, Healthcare Management, Healthcare Information..., Medicaid
Education
Boston University 1989 — 1991
MBA, Business, Healthcare
University of Pennsylvania 1979 — 1983
BS, Nursing
Celerant Consulting Contract RecruiterPhilips LifelineFebruary 2007 - July 2008
Tufts health plan 2006 - 2006
Education
Lesley University 1998 — 2001
MS, Training and Development
Boston University 1985 — 1986
MS, Rehabilitation Counseling
HOA Inc. Cask & Bottle Co. 2013 - Present
Tufts Health Plan March 2008 - Present
Tufts Health Plan 2006 - 2008
Tufts Health Plan 2003 - 2006
Skills
Pharmacy, Provider Relations, Health Insurance, Medicare, Managed Care, Health Policy, HIPAA, Healthcare, Medicaid, Healthcare Information..., Healthcare Management, Insurance
Education
Boston University 1993 — 1996
Boston University April 2015 - Present
Havard Vanguard/Atrius Health September 2011 - April 2015
Fidelity April 2006 - August 2009
Tufts Health Plan 1996 - 2006
Skills
Performance Management, Employee Engagement, Organizational..., Talent Management, Onboarding, Organizational..., Succession Planning, Organizational Design, Team Building, Coaching
Education
Boston University
Liberal Arts and Sciences, General Studies and Humanities
Northeastern University
Business Administration and Management, General
University of Massachusetts Boston
Master’s Degree, Instructional Design
CeltiCare Health and New Hampshire Healthy Families July 2009 - Present
Tufts Health Plan October 1986 - July 2009
Skills
Managed Care, Cross-functional Team..., Strategic Planning, Program Implementation, Utilization Management, Quality Improvement, Chronic Care Management, Disease Management, Staff Development, Multimillion-Dollar..., Business Unit Start-up, Public Speaking, Process Redesign, Process Improvement, Change Management, Physician Relations, Multi-million Dollar..., Pharmacy Benefit..., Training, Medicare, Medicaid, Utilization Review, Physicians, EMR, Revenue Cycle, Employee Benefits, EHR, PPO, Management, HEDIS
Education
Boston University 1976 — 1980
BSN
Tufts Health Plan June 1998 - Present
Skills
Customer Service, Direct Mail, Health Insurance, Process Improvement, Project Management, Provider Relations, Vendor Management, Marketing, HIPAA, Strategic Planning
Education
University of New Hampshire 1992 — 1993
Boston University
BA, Music
Tufts Health Plan June 2002 - Present
Skills
Health Insurance, Lotus Notes, Medicare, Customer Service, Process Improvement, Access, Technical Writing, Insurance, Managed Care, Microsoft Office, Team Building, Management, Training, Microsoft Excel, Analysis, Claim
Education
Boston University 1984 — 1988
BS, Communications
ActiveNetwork Co.,Ltd. January 2013 - Present
Monster March 2007 - December 2012
Monster Technologies March 2007 - June 2011
Private Healthcare Systems July 2000 - February 2007
Tufts Health Plan 1988 - 1998
Skills
SDLC, Databases, Microsoft SQL Server, Data Warehousing, Requirements Analysis, Software Project..., Oracle, SQL, SharePoint, Software Development, Business Analysis, Integration, Data Modeling, PowerDesigner, Business Process, ETL
Education
Boston University 2010 — 2015
Masters of Science in Computer Information Systems, Database Management and Business Intelligence
Framingham State College
Bachelor of Science (BS), Food Science
Lowell General Hospital September 2014 - Present
Lowell General Hospital April 2011 - September 2014
State of New Hampshire Office of Medicaid Business & Policy January 2008 - April 2011
Tufts Health Plan April 1999 - January 2008
Tufts Health Plan June 1998 - March 1999
Tufts Health Plan June 1997 - May 1998
Tufts Health Plan February 1996 - May 1997
Commonwealth of Massachusetts January 1995 - January 1996
Bay State Health Care November 1993 - September 1994
Bay State Health Care August 1991 - October 1993
Skills
Healthcare, Process Improvement, Managed Care, Policy, HIPAA, Data Analysis, Program Management, Analysis, Clinical Research, Medicare, Healthcare Management, Hospitals, Revenue Cycle, Research, Data Mining, Internal Audit, SQL, Data Quality, HEDIS, Healthcare Information..., Project Management, Business Analysis, Leadership, Strategy, Medicaid, Health Policy, Strategic Planning, Financial Analysis, Analytics, Insurance, Health Insurance, Healthcare Industry, Informatics, Public Health, Quality Improvement, Access, Provider Relations, Charge Description..., Medical Billing, Revenue Integrity, Revenue Enhancement, Contract Management, Revenue Analysis
Education
University of Massachusetts Lowell 1996 — 1999
MS, Health Services Administration
Boston University 1987 — 1991
BS, Communications
Boston University 1987 — 1991
BA, Psychology
Tufts Health Plan Medicare Preferred September 2013 - Present
athenahealth November 2012 - August 2013
Tufts Health Plan December 2008 - November 2012
Bank of America 2004 - 2008
Skills
Data Analysis, Health Insurance, Insurance, Business Analysis, Medicare, Analysis, Access, Process Improvement, Managed Care, Healthcare, Research, HIPAA, PowerPoint, Microsoft Excel, Microsoft Office, Requirements Gathering, Databases, Requirements Analysis, Lotus Notes, Medicaid, Healthcare Information..., Software Documentation, Leadership, Customer Service
Education
Boston University 2000 — 2004
Bachelor's degree, Economics
Partners HealthCare January 2015 - Present
Partners HealthCare 2009 - December 2014
Partners HealthCare 2006 - 2008
Partners HealthCare 2004 - 2006
Brigham and Women's Hospital 2004 - 2004
Tufts Health Plan 2001 - 2004
Tufts Medical Center 1998 - 2001
Skills
Healthcare Information..., Healthcare, Healthcare Management, Hospitals, Healthcare Consulting, EHR, Revenue Cycle, EMR, Informatics, Managed Care, HIPAA
Education
Boston University
Master of Business Administration (MBA), Business Administration and Management, General
Harvard School of Public Health
Certificate in Measurement, Design and Analysis Methods for Health Outcomes Research, Public Health
Suffolk University
Bachelor's degree, Sociology
Pegasystems June 2014 - Present
Worcester State University May 2014 - Present
SKS HeathCare Consulting January 2013 - Present
American Association of Occupational Health Nurses 2010 - October 2013
Regis College September 2007 - August 2013
WorldCare International October 2010 - June 2012
UnitedHealth Group 2009 - 2010
Tufts Health Plan 2003 - 2008
Skills
Nursing, Clinical Research, Nursing Education, Healthcare Management, Health Education, Healthcare, Healthcare Information..., Medicine, Informatics, Nursing Management, Nursing Research, Occupational Health, Program Development, Critical Care, Managed Care, Global Health, Qualitative Research, Patient Education, Physicians, EHR, BLS, ACLS, Innovation Consulting, Case Managment, EMR, Healthcare Consulting, Home Care, Patient Safety, Medicaid, Public Health, Acute Care, Patient Advocacy, Quality Improvement, Pediatrics, Inpatient, Community Health, Medical/Surgical, Medicare, Meditech, Disease Management, Technological Innovation, ICU, Case Management, Remote Second Opinions, TeleHealth/ ..., Hospitals, Leadership, Public Speaking
Education
Regis College 2009 — 2012
DNP, Nursing Leadership, Graduated
Regis College
Post Graduate Certificate, Nursing Education
Regis College 1998 — 2002
MSN, Nursing Administration and Business
Boston University 1974 — 1975
Bachelor of Science (BS), Psychology and Chemistry
Northeastern University 1970 — 1973
Associate's degree in Science, Nursing
Tufts Health Plan November 2014 - Present
Tufts Health Plan August 2009 - November 2014
Tufts Health Plan 2002 - 2009
Skills
Managed Care, Healthcare Management, HIPAA, Health Insurance, Case Managment, Disease Management, Healthcare, Process Improvement, Change Management
Education
Boston University
BSN, Nursing
Framingham State College
MA, Health Care Administration
Ohio University
BA, Psychology
BMC HealthNet Plan May 2014 - Present
Steward Health Care November 2013 - April 2014
Steward Health Care January 2012 - October 2013
Tufts Health Plan January 2008 - January 2012
Tufts Health Plan April 2001 - December 2007
Boston Public Health Commission March 2000 - April 2001
JRI July 1997 - February 2000
Beth Israel Deaconess Medical Center August 1993 - December 1995
Skills
SPSS, Healthcare, Research, Non-profits, Microsoft Office
Education
Boston University 1997 — 2002
MPH, Health Services
Brandeis University 1990 — 1993
BA, Sociology
Harvard Pilgrim Health Care May 2013 - Present
Health Management Systems May 2008 - May 2013
athenahealth February 2007 - May 2008
athenahealth January 2006 - February 2007
Private Healthcare Systems January 2005 - January 2006
Tufts Health Plan September 2001 - January 2005
Tufts Health Plan August 2000 - September 2001
Tufts Health Plan May 1998 - August 2000
Skills
Healthcare, Insurance, HIPAA, Software Documentation, Analysis, Business Analysis, Process Improvement, Access, Medicaid, Compliance, Operations Management, Problem Solving, Customer Relations, Lotus Notes, Mentoring, Quality Assurance, Program Management, Customer Service, Staff Management, MicroStrategy Reporting, Supervisory Experience, Macess, Amisys, Auditing, PowerPoint, Excel, Word, Microsoft Office, Team Building, Account Management, Research, Hospitals, Health Insurance, Contract Management, Call Centers, Health Policy, Billing, Documentation, xRPM, Ingenix, Revenue Cycle, Claim, Encoding, Agile Project Management, Agile Methodologies, Oracle, Project Management
Education
Boston University 2014 — 2016
Graduate Certificate, Project Management
Emmanuel College 2007 — 2012
Master of Science, Management
Emmanuel College 2002 — 2004
Bachelor of Science, Business Administration
Harvard Pilgrim Health Care July 2007 - Present
Tufts Health Plan February 1995 - March 2007
Internation School Services, Dubai, UAE July 1975 - June 1978
Skills
Provider Relations, Healthcare, Managed Care, Health Care Reform, Health Insurance, Healthcare Information..., Health Policy, Medicare, HIPAA, HMO, Medicaid, Healthcare Industry, Insurance, Process Improvement, Employee Benefits, Hospitals, Pharmacy Benefit..., Healthcare Management
Education
Boston University
Master of Education, Health Education
The Massachusetts Renaissance Company July 2008 - Present
Aetna July 2005 - September 2011
Tufts Health Plan February 2002 - September 2005
Skills
Arabic, Spanish, Multimedia Journalism, Journalism, Broadcast Journalism, Teaching, Clown
Education
Boston University 2011 — 2013
Communications, Journalism
Emerson College 1999 — 2000
Advertiser, Advertising