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
NxStage Medical August 2014 - Present
Tufts Health Plan November 2013 - August 2014
Tufts Health Plan June 2013 - November 2013
Tufts Health Plan September 2008 - June 2013
Anthem BCBS of NH July 2006 - August 2008
Anthem BCBS of NH July 2005 - July 2006
Skills
Analysis, Forecasting, Financial Analysis, Budgets, Financial Modeling, Budgeting, Essbase, Excel, Healthcare, PowerPoint, Financial Planning, Word, Databases, Corporate Finance, Microsoft Office, Planning, Problem Solving, Modeling, Strategic Planning, Writing, P&L, Data Analysis, Transfer Pricing, Cost Allocation, Presentations, Financial Product..., Strategic Financial..., Finance, Microsoft Excel, Management
Education
Brown University 1997 — 2001
BA, Classics, Organizational Behavior and Management
University of Massachusetts at Amherst - Isenberg School of Management 2009 — 2013
Master of Business Administration (MBA), Finance, 4.0
Merrill Lynch July 2011 - 2014
Tufts Health Plan 1996 - 1997
IDS Financial Services, Inc 1987 - 1991
Education
Bridgewater State College
Boston Medical Center (BMC) July 2015 - Present
Tufts Medical Center June 2014 - July 2015
Tufts Health Plan September 2013 - May 2014
Project Hope March 2013 - September 2013
BT October 2007 - February 2013
Independence Route Daycare September 2005 - October 2007
First Notice Systems June 2003 - September 2005
Suffolk County District Attorney Daniel Conley's Office June 2002 - August 2002
Skills
Customer Service, Customer Support, Data Entry, Call Centers, Telephone Skills, Teleconferencing, WebEx, Live Meeting, Childcare, Receptionist Duties, Ushering, Claims Handling, Social Networking, Team Leadership, PowerPoint, Time Management, Microsoft Word, Editing
Education
Lincoln Technical Institute-Somerville 2008 — 2009
Certificate, Criminal Justice/Law Enforcement Administration
Bunker Hill Community College 2002 — 2003
n/a, Criminal Justice/Law Enforcement Administration
Jeremiah E. Burke High School 1998 — 2002
Diploma, Computer Technology/Computer Systems Technology
Bunker Hill Community College September 2012 - September 2013
Sears, Roebuck & Co December 2006 - July 2007
Tufts Health Plan December 1999 - July 2007
Brian’s Place Restaurant March 1988 - July 2007
Skills
Micorsoft Word, Excel,..., Military, Customer Service, Food & Beverage, HIPAA, Health, Network Security, Office Management, Restaurants, Windows, Time Management, Management, Human Resources, Customer Satisfaction, Microsoft Excel, Microsoft Office, Microsoft Word, PowerPoint, Strategic Planning, Access, Public Speaking, Teamwork, Outlook, Event Planning, Hardworking
Education
Bunker Hill Community College 2012 — 2014
Cerificate, Computers and Office Management
Scituate High School
Biogen May 2014 - Present
Tufts Health Plan October 2000 - May 2014
Gilman, McLaughlin & Hanrahan March 1998 - September 2000
Heidlage & Reece 1996 - 1998
Nexsen Pruet Jacobs & Pollard (now Nexsen Pruet LLC) September 1993 - January 1996
Education
Boston University School of Law 1989 — 1992
JD
Wellesley College 1985 — 1989
B.A., Political Science and French
Caribou High
Lynn Economic Oportunity November 2012 - Present
OfficeTeam March 2012 - August 2012
Tufts Health Plan 2011 - 2012
Elizabeth Peabody House May 2009 - July 2011
Skills
Community Outreach, Nonprofits, Event Planning, Public Speaking, Microsoft Office, Teaching, PowerPoint, Microsoft Word, Microsoft Excel, Resume Writing, Research, Outlook, Curriculum Development, Non-profits, Volunteer Management, Fundraising
Education
Bunker Hill Community College 2010 — 2012
Associate of Arts (AA), Elementary Education and Teaching
Hampton University 2002 — 2004
Psychology
Fallon Health July 2010 - Present
Tufts Health Plan February 2008 - July 2010
Skills
Healthcare, Insurance, Claim, Access, Data Analysis, Analysis, Medicare, Health Insurance, Microsoft Office, SQL, SPSS
Education
Society of Actuaries
Fellow of the Society of Actuaries - FSA
Boston University - Metropolitan College 2002 — 2004
Master's degree, Actuarial Science, GPA of 3.6
University of Massachusetts Lowell 1999 — 2001
Bachelor's degree, Accounting and Finance, GPA of 3.8, Magna Cum Laude
Boston Globe Media Partners July 2014 - Present
Boston Architectural College December 2013 - July 2014
Tufts Health Plan September 2013 - November 2013
Flextronics March 2012 - February 2013
Skills
OS X, Music, Computer Hardware, Computer Repair, Mac, Photoshop, Video Editing, Digital Photography, Customer Satisfaction, Networking, Audio Engineering, Audio Editing, Windows 7, XP, Customer Service, Music Production, Active Directory, Adobe Creative Suite
Education
Bunker Hill Community College 2008 — 2011
Network Technician & Administration, computers, network
West Roxbury High School 2004 — 2005
Diploma
Malden High School 2001 — 2003
Watertown Middle School 1998 — 2001
Blue Cross & Blue Shield of Rhode Island May 2013 - Present
True Benefit June 2012 - May 2013
Tufts Health Plan September 2008 - February 2013
Education
Bryant University
Johnson & Wales University
Rally Health / Audax Health May 2014 - Present
Audax Health January 2012 - Present
Active Health Management October 2006 - October 2010
ActiveHealth Management October 2006 - March 2010
Uniprise June 2005 - April 2006
Towers Perrin 1997 - 2005
Hewitt Associates January 1990 - December 1996
Tufts Health Plan June 1988 - December 1989
Metropolitan Life May 1987 - June 1988
Skills
Managed Care, Healthcare, Healthcare Information..., Health Insurance, Health Policy, Disease Management, Informatics, Employee Benefits, Strategic Planning, Healthcare Consulting, Analytics, Healthcare Industry, Process Improvement, Healthcare Management, Cross-functional Team..., Business Strategy, Business Development, Medicare, Insurance, Product Management, Account Management, EHR, User Experience Design, Sales, Strategy, Executive Management
Education
Clark University 1985 — 1987
MBA, Finance
Bowdoin College 1979 — 1983
BS, Biochemistry
Massachusetts Institute of Technology (MIT) October 2015 - Present
Boston Muay Thai Academy July 2013 - Present
Tufts Health Plan December 2014 - October 2015
Boston University October 2014 - December 2014
Massachusetts College of Art August 2014 - October 2014
Pfizer April 2014 - June 2014
Bunker Hill Community College October 2008 - September 2013
Glasgow Caledonian University July 2011 - August 2011
Partners HealthCare June 2008 - September 2008
Fenway Printers March 2006 - May 2006
Skills
Microsoft Office, Microsoft Word, Event Planning, Higher Education, PowerPoint, Public Speaking, Research, Customer Service, Microsoft Excel, Data Analysis, Teaching, IT Support..., Computer Forensics..., Network Administration, Systems Analysis, System Design, Typing Speed 98%..., Web Design (HTML5/CSS3), Visual Basic/GUI..., Perl Script, Database Design, Oracle PL/SQL..., Linux System..., Information Security, Ethical Hacker, Microsoft Access, Windows 7, OS X, Windows Server, PC Hard Drive Imaging..., Linux, Databases, Access, Computer Hardware, XP, Windows, Windows XP, Wireless Networking, Ubuntu, System Administration, Active Directory, Terminal Services, Remote Desktop, Microsoft Exchange, Router Configuration, Firewalls, DNS/MX Record..., VPN Configuration, VMWare Virtualization, Technical Documentation
Education
Wentworth Institute of Technology 2014 — 2016
Master of Science (M.Sc.), Technology Management
University of Massachusetts Boston 2010 — 2013
Bachelor of Science (BS), Information Technology (System Administration)
Glasgow Caledonian University 2011 — 2011
Workstudy, Ethical Hacking
Bunker Hill Community College 2009 — 2010
Associate of Science (A.S.), Database Programming and Administration
Cisco Networking Academy 2008 — 2009
Preparation for CCNA
Bunker Hill Community College 2006 — 2009
Associate of Science (A.S.), Computer Support Specialist
ITT Technical Institute - Boston North 2004 — 2006
Associate of Science (A.S.), Multimedia
Tufts Health Plan August 2015 - Present
EBS Capstone April 2011 - August 2015
Seaport Realty Group August 2010 - April 2011
GKR Residential June 2008 - August 2010
Skills
Employee Benefits, Benefits Administration, Event Management, Health Insurance, Employee Relations, Management, Underwriting, Account Management, Office Administration, Administrative..., Office Management, Insurance, Appointment Scheduling, Payroll, Sales, Customer Service, Outlook
Education
Bunker Hill Community College 2012 — 2013
Accounting and Finance
Massachusetts College of Pharmacy and Health Sciences 2007 — 2008
Tufts Health Plan April 2010 - Present
Tufts Health Plan January 2006 - April 2010
Tufts Health Plan May 2005 - January 2006
Cloverleaf Communications October 2001 - May 2005
Salary.com 2000 - 2001
Skills
Employee Benefits, Employee Relations, Workforce Planning, Talent Management, Performance Management, Benefits Administration, Applicant Tracking..., Employee Engagement, Succession Planning, Talent Acquisition, Recruiting, Human Resources, Taleo, Employee Recognition, Onboarding, New Hire Orientations, HR Policies, ADP Payroll, FMLA, Employee Surveys, Open Enrollment, Workers Compensation, Job Coaching, Employee Handbooks, Change Management, Health Insurance, Call Centers, Hiring
Education
Brandeis University 1998 — 2000
BA
Informatica 2014 - August 2015
Tufts Health Plan 2007 - 2014
Tufts Health Plan 2005 - 2007
SeeBeyond Technology Systems 2001 - 2005
SeeBeyond Technology 1998 - 2001
Skills
HIPAA, Healthcare Information..., Healthcare, Process Improvement, Program Management, Business Analysis, SDLC, Vendor Management, Integration, Project Management, Business Intelligence, Strategic Planning, Insurance, Change Management, IT Strategy, Leadership, Management, Call Centers, Medicare, PMO, CRM, Analytics, Visio, Strategy, Cross-functional Team..., Requirements Analysis
Education
Boston University Questrom School of Business
Master’s Degree, Health Care Administration
Emmanuel College
BA, Major English Literature, Minor Fine Arts
Tufts Health Plan March 2014 - Present
Tufts Medical Center February 2013 - March 2014
Mass. Society for Medical Research January 2013 - March 2014
Conservation Law Foundation October 2012 - December 2013
Northeastern University Office of General Counsel March 2012 - May 2012
Office of the Attorney General, Environmental Protection Division September 2011 - November 2011
Mass Department of Environmental Protection March 2011 - May 2011
Suffolk Superior Court September 2010 - November 2010
New England Aquarium June 2007 - May 2010
The Lyric Stage Company of Boston 2006 - 2009
Skills
Legal Research, Legal Writing, Westlaw, Courts, Litigation, Mediation, Administrative Law, Civil Litigation, Appeals, Environmental Law, Legal Issues, Criminal Law, Public Policy, Policy Analysis, Intellectual Property, Environmental Policy, Legislative Relations
Education
Northeastern University School of Law 2009 — 2012
Juris Doctor
Brandeis University 2003 — 2007
Bachelor of Arts (B.A.), English Literature and Creative Writing Double Major
TMNA Services, LLC. (TMNAS) February 2015 - Present
Hannover Re May 2014 - August 2014
Starbucks November 2012 - August 2013
Tufts Health Plan February 2012 - September 2012
Skills
PowerPoint, Microsoft Excel, Microsoft Word, Microsoft Office, Customer Service, Access, Teamwork, Time Management, Social Media, Public Speaking, Data Analysis, Outlook, Financial Analysis, Leadership, Research, Social Networking, Facebook, Accounting, Event Planning, HTML
Education
Temple University - Fox School of Business and Management 2013 — 2014
Boston University 2005 — 2009
Bachelor of Science (BS), Cinematography and Film/Video Production
Tufts Health Plan November 2014 - Present
Deloitte Consulting July 2012 - October 2014
Cigna June 2011 - August 2011
Partners HealthCare December 2006 - July 2010
Hayes Management Consulting August 2005 - July 2010
Skills
Management Consulting, Business Analysis, Marketing, Healthcare, Business Strategy, Data Analysis, Project Management, Marketing Strategy, Cross-functional Team..., Analysis, Process Improvement, Strategic Planning, Clinical Systems..., Consulting
Education
Duke University - The Fuqua School of Business 2010 — 2012
MBA, Strategy, Marketing
Brown University 2002 — 2005
BA, Business Economics
Tufts Health Plan April 2012 - Present
T-Mobile November 2008 - April 2012
Foot Locker December 2005 - November 2009
Skills
Healthcare, Medicare, Healthcare Management, Sales, Case Management, Training, Health Insurance, Medicaid, Insurance, HIPAA, Public Speaking, Case Managment, Health Policy, Managed Care, Health Promotion, Health Education, Customer Service, Account Management, Relationship Management, Wellness, Management, Microsoft Office
Education
University of Massachusetts Boston 2010 — 2014
Bachelor of Science (B.S.), Management - Leadership and Organizational Change
Bunker Hill Community College 2007 — 2010
Associate of Arts (A.A.), Business Administration and Management
Belmont High School 2003 — 2007
Biogen March 2015 - Present
Tufts Health Plan July 2013 - March 2015
State of Connecticut PCA Waiver Program May 2008 - January 2015
AVID Technical Resources January 2013 - May 2013
Skills
Recruiting, Training, Team Building, Team Management, Sales, Team Leadership, Interviews, Talent Acquisition, Creative Writing, Applied Psychology, Technical Recruiting, Applicant Tracking..., Management, Career Development, Leadership Development, Online Research, IT Recruitment, Contract Recruitment, Screening, Sales Process, Sourcing, Time Management, Leadership, Event Planning, Program Management, Social Networking, Hiring, Appointment Scheduling, Computer Information..., Internet Recruiting, Benefits Negotiation, Screening Resumes, Account Management, Employee Relations, Resume Writing, New Hire Orientations, PowerPoint, iCIMS, Lotus Notes, Office Administration, VirtualEdge, ADP, HRIS, Human Resources, Onboarding
Education
Bryant University 2008 — 2012
Bachelor of Arts (B.A.), Applied Psychology
Rocky Hill High School 2004 — 2008
Tufts Health Plan November 2014 - Present
Maggie Cleland August 2013 - Present
Towson University August 2008 - May 2010
Arlington Education and Employment Program (REEP) with Towson Unviersity July 2007 - December 2008
Arlington Education and Employment Program 2003 - 2005
English Language Schools and Home Business June 2001 - July 2003
Lado International College June 1996 - April 2001
Skills
Teaching, Instructional Design, Training, Coaching, Adult Education, Public Speaking, ESL, Staff Development, Program Development, E-Learning, Project Management, Accreditation, Leadership, Needs Analysis, Blogging, Delivering Workshops, Intercultural..., Grant Writing, Time Management, Fundraising, Community Outreach, Program Management, Nonprofits, Editing, Theatre, Acting, Writing, Leadership Development, Research, Microsoft Office, Event Planning
Education
Towson University 2005 — 2008
MFA, Theatre, 4.0
Brown University 1989 — 1993
BA, Comparative Literature, 4.0
Tufts Health Plan September 2012 - Present
Tufts Health Plan April 2008 - June 2012
Tufts Health Plan September 2004 - April 2008
Tufts Health Plan April 2001 - September 2004
First Consulting Group 2000 - 2001
Tufts Health Plan 1998 - 2000
Partners Healthcare 1995 - 1996
Blue Cross Blue Shield 1991 - 1996
Skills
Broad health care..., Extensive expertise in..., Strong relationship..., Managing complex..., Healthcare, Strategy, Program Management, Healthcare Industry, Strategic Planning, Training, Leadership, Health Insurance, Health Policy, Management, Vendor Management, HMO, Change Management, Product Development, PMO, Analysis, Business Analysis, Claim, Medicaid, Data Analysis, Marketing, Networking, Visio, Healthcare Consulting, Insurance, Medicare, Managed Care, Health Care Reform, Healthcare Information...
Education
Bridgewater State University
Master’s Degree, Industrial Psychology
Denneen & Company June 2000 - Present
Big Sister Association of Greater Boston 2009 - 2015
Big Sisters Boston 2008 - 2015
Tufts Health Plan 1994 - 2000
Skills
Marketing Strategy, Strategic Planning, Competitive Analysis, Strategic Partnerships, Business Strategy, Healthcare, Leadership
Education
Brown University 1977 — 1981
Bachelor's Degree, Biomedical Ethics
Stanford University Graduate School of Business
Master of Business Administration (M.B.A.), General Management
Aetna July 2014 - Present
Aetna May 2010 - Present
Aetna 2007 - May 2010
CIGNA Healthcare 2000 - 2007
Emory Healthcare 1993 - 1996
Tufts Health Plan 1990 - 1993
Skills
Network Development, Provider Relations, Managed Care, HMO, Medicare, PPO, Healthcare, Health Policy, Medicaid, Health Insurance, Contract Negotiation, Healthcare Industry, HIPAA, Healthcare Consulting, Credentialing, Healthcare Management, EMR, Physician Relations, Process Improvement, Physicians, Revenue Cycle, Medicare Part D, Healthcare Information..., Hospitals, Informatics, Pharmacy Benefit..., Practice Management, Quality Improvement, EHR, Utilization Management, Disease Management, Medical Billing, Revenue Cycle Management, Insurance, Claim, Medicine, Employee Benefits
Education
Georgia State University 1995 — 1999
MBA
Brandeis University 1983 — 1987
BA, Biology
Tufts Health Plan April 2011 - Present
Beacon Health Strategies May 2010 - August 2010
BMC HealthNet Plan October 2007 - August 2009
BMC HealthNet Plan July 2006 - September 2007
Ohio Department of Job & Family Services - Office of Medicaid August 2005 - May 2006
Skills
Healthcare Management, Medicare, Managed Care, Medicaid, Hospitals, Data Analysis, Health Insurance, Healthcare Industry, Public Health, Leadership, Strategy, Analytics
Education
Boston University Graduate School of Management 2009 — 2011
MBA/MPH, Health Care Management
Boston University School of Public Health 2008 — 2011
MPH, Health Care Policy and Mangement
The College of Wooster 2000 — 2004
B.A., Communication Studies
Boston Benefit Partners, LLC June 2014 - Present
Boston Benefit Partners, LLC February 2011 - June 2014
BlueCross BlueShield of Massachusetts July 2009 - January 2011
BlueCross BlueShield of MA March 2005 - July 2009
Tufts Health Plan August 2003 - March 2005
Tufts Health Plan March 1998 - July 2003
Tufts Health Plan June 1996 - March 1998
Boston Department of Health and Hospitals May 1994 - June 1996
Boston Department of Health and Hospitals October 1992 - May 1994
Skills
Informatics, Training, Health Insurance
Education
Boston University School of Public Health
Master of Public Health, Epidemiology/Biostatistics and Social; Behavioral Sciences
Brandeis University
Bachelor of Arts, Biology
UMass Boston Center for Collaborative Leadership
2009 Fellow Emerging Leaders Program
Aetna December 2013 - Present
Tufts Health Plan August 2010 - December 2013
Circles April 2010 - July 2010
EF Educational Tours March 2010 - March 2010
By Appointment Only, Inc. October 2009 - December 2009
ProMedDx, LLC May 2006 - February 2009
Skills
Customer Service, Call Center, Insurance, Sales, Leadership, Market Research, Business Development, Outlook, Sales Management, Training, Data Entry, Process Improvement, Customer Satisfaction, Direct Marketing
Education
Bryant University 2004 — 2008
B.S. Business Administration, Marketing
Tufts Health Plan August 2012 - Present
Power Advocate, Inc. 2008 - July 2012
Deloitte 2002 - September 2008
Deloitte Consulting 2002 - 2008
BancBoston Robertson Stephens 1997 - 1999
JPMorgan Chase 1995 - 1997
Education
Boston University Graduate School of Management 2000 — 2002
MBA, Marketing
Bowdoin College 1990 — 1994
BA, Government/History
MITRE 2000 - Present
Tufts Health Plan December 1988 - August 1999
Skills
Program Management, Network Security, IT Management, Management, System Deployment, Service Delivery, Service Management, Systems Engineering, IT Operations, Information Technology, IT Service Management, Leadership, Telecommunications, Integration, Security, Strategy, ITIL, Enterprise Architecture, IT Strategy
Education
Lesley University 1997 — 1999
BS, Management
Bridgewater State College 1984 — 1986
InterSystems August 2013 - Present
Tufts Health Plan February 2012 - April 2013
Reper LLC May 2012 - December 2012
NASA August 2011 - December 2011
Skills
Computers, Data, Data Visualization, SQL, programming, science, Programming
Education
Brown University 2006 — 2011
Bachelor of Science (BSc), Astrophysics
Tufts Health Plan March 2015 - September 2015
Partners HealthCare January 2015 - March 2015
Dell at HPHC July 2013 - February 2014
Commonwealth of Massachusetts December 2012 - June 2013
Blue Cross Blue Shield of Massachusetts June 2012 - November 2012
Life and Specialty Ventures, LLC, Holding Company of Blue Cross Blue Shield November 2011 - June 2012
IRHA, Inc. June 2008 - November 2011
Fidelity Investments June 2007 - June 2008
Brown Brothers Harriman & Co. August 2006 - September 2006
John Hancock May 2005 - May 2006
Skills
Requirements Gathering, User Acceptance Testing, Project Coordination, Visio, Financial Analysis, Bloomberg, Project Management, Microsoft Office, Business Analysis, SDLC, Business Requirements, Process Improvement, Financial Modeling, Risk Management, Vendor Management, Business Process..., Analysis, Portfolio Management, SharePoint, Business Process, Software Documentation, Requirements Analysis, Cross-functional Team...
Education
Boston University Questrom School of Business 1992 — 1996
BSBA/BA in IR, Finance and Intl management, International Relations and Economics
Premier Medical Group May 2011 - Present
Premier Medical Group May 2005 - Present
NBHD June 2004 - March 2005
Ameripath April 2003 - December 2003
Tufts Health Plan March 1997 - September 2002
Education
Bristol Community College 1980 — 1982
Associates, Management
CeltiCare Health Plan January 2014 - Present
Senior Whole Health June 2007 - January 2014
Rotary International District 7950 July 2010 - June 2013
Tufts Health Plan 2000 - 2007
Milton Public Library 2003 - 2006
East Congregational Church, Milton, MA 2000 - 2003
Norfolk and Dedham Group 1984 - 1998
Skills
Server Administration, .NET, Data Warehousing, SQL Server, Databases, Insurance, Systems Analysis, Healthcare IT, Microsoft SQL Server, Training, Crystal Reports, Healthcare Information..., Access, SDLC, Web Applications, Project Management, Business Analysis, Analysis, Leadership, T-SQL, SQL, Requirements Analysis, Business Intelligence, Data Analysis
Education
Boston University Questrom School of Business 1980 — 1984
MBA, Information Systems
State University of New York at Albany 1974 — 1976
Bachelor of Arts, Economics
Oxford Academy 1970 — 1972
college prepatory
Tufts Health Plan June 2012 - Present
Skills
Project Portfolio..., SDLC, PMP, PMO, Call Center, Program Management
Education
PMI.org 2003 — 2007
PMP, Project Management Professional Certification
California State University - Irvine
Certificate, Project Management
University of California - Long Beach 2001 — 2002
Training and Facilitation Certification
Cambridge College 1997 — 1997
BA, OS
Lifetime Brands June 2015 - Present
Dovetail Health March 2015 - May 2015
Shoebuy.com April 2012 - February 2015
Philips Lifeline December 2007 - April 2012
Tufts Health Plan February 2005 - December 2007
Hospitality industry November 1998 - February 2005
US Navy March 1992 - October 1998
Skills
Call Centers, Customer Service, Team Building, Vendor Management, Training, Coaching, Process Improvement, Project Management, Data Analysis, Management, Business Analysis, Leadership, Human Resources, Call Center, Strategic Planning, Analysis, Personnel Management, Operations Management, HIPAA, Requirements Analysis, Writing SOPs, Cross-functional Team..., Customer Satisfaction, Quality Assurance
Education
Cambridge College 2006 — 2010
Master's degree
Georgia State University 1999 — 2003
Blue Cross & Blue Shield of Rhode Island October 2014 - Present
Blue Cross & Blue Shield of Rhode Island November 2012 - October 2014
Blue Cross & Blue Shield of Rhode Island June 2007 - November 2012
Blue Cross & Blue Shield of Rhode Island May 2006 - November 2007
Blue Cross & Blue Shield of Rhode Island June 2001 - May 2006
Blue Cross & Blue Shield of Rhode Island May 2000 - June 2001
Tufts Health Plan September 1998 - May 2000
Skills
Insurance, Health Insurance, Customer Service, Account Management, Business Strategy, Coaching, Strategic Planning, Sales Management, Analysis, Business Analysis, Business Planning, CRM, Call Centers, Data Analysis, Healthcare, Leadership, Leadership Development, Managed Care, Management, Microsoft Excel, Performance Management, Process Improvement, Project Planning, Public Speaking, Recruiting, Sales Operations, Training, Vendor Management, Forecasting, Employee Relations
Education
Bryant University 2010 — 2011
•Executive Learning Development Center, •PTC:100 Train the Trainer- Training Design & Delivery
Brown University 2005 — 2006
Certification- Instructional Design, •Certified in Training Fundamentals, Assessing Needs, Curriculum Design, Learning Technologies, Ass
University of Rhode Island 1992 — 1997
Bachelor of Arts (B.A.), History
American Board of Optometry October 2013 - Present
Westwood Eyecare & Optical June 1984 - Present
Commonwealth of Massachusetts September 2010 - Present
Massachusetts Vision Foundation 2007 - Present
Prima Eye Group 2012 - 2013
Vision Source 2009 - 2013
Tufts Health Plan 2000 - 2005
Massachusetts Society of Optometrists 2002 - 2004
Massachusetts Society of Optometrists 2000 - 2002
Massachusetts Society of Optometrists 1998 - 2000
Skills
Vision and Medical Eye..., Team Leadership, Businees Strategy and..., Eyewear, Highest..., Contact Lenses..., Corneal Refractive..., Optometry, Healthcare, Clinical Research, Strategic Planning, Nonprofits, EMR, Physicians, Pediatrics, Public Speaking, Managed Care, Treatment, Eyewear
Education
New England College of Optometry 1980 — 1984
OD, Doctor of Optometry, Eye Care, Eye Health, Contact Lenses
Boston University 1976 — 1980
Bachelor of Arts (BA), Biology/Biological Sciences
PointClickCare January 2014 - Present
PointRight Inc. August 2011 - January 2014
Tufts Health Plan August 2010 - July 2011
Tufts Health Plan November 2004 - August 2010
Skills
HIPAA, Managed Care, Health Insurance, Healthcare, Medicare, Data Analysis, Employee Benefits, Health Policy, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Healthcare Management, Hospitals, Insurance, Medicaid, Management, Process Improvement
Education
Bryant University 1993 — 1997
Bachelor of Science, Management
Celtic Insurance Company February 2011 - January 2013
CeltiCare Health Plan May 2009 - October 2011
Wellpoint April 2007 - April 2009
Tufts Health Plan December 1995 - March 2007
Prudential Healthcare 1990 - 1996
Skills
Medicare, Healthcare Management, Medicaid, Health Insurance, HIPAA, Healthcare, Managed Care, Insurance, Health Policy, PPO, Hospitals, Healthcare Industry, Healthcare Consulting, Process Improvement
Education
Boston University - School of Management 1992 — 1995
MBA
University of Massachusetts Lowell 1982 — 1987
BSN
EMC November 2012 - Present
Thurkills Vision (Band) 2011 - Present
Pulse Magazine Worcester June 2009 - Present
Jenn Russo Photography April 2003 - Present
John Hancock Life Insurance Company (U.S.A.) December 2006 - October 2012
Tufts Health Plan December 1998 - December 2006
Skills
Photography, Creative Writing, Journalism, Editing, Organizing, Microsoft Office, Expense Management, Travel Management, Master Scheduling, Calendaring, Typing, Transcription, Celebrity Interviews, Digital Media, Marketing Strategy, Artist Booking, Curating, English grammar, Linguistics, Language Skills, Spanish, Cooking, Singing, Jewelry Making, Oil Painting, Concert Photography, Concert Promotion, Concerts, Facebook, Interviews, Proofreading, Social Networking, Management, Talent Booking, Event Planning, Social Media, Press Releases, Editorial, Entertainment, Publishing, Blogging, Marketing, Publicity
Education
Bridgewater State College 2005 — 2009
B.A., English
Harvard Pilgrim Health Care November 2013 - Present
Harvard Pilgrim Health Care November 2011 - October 2013
Blue Cross Blue Shield of Massachusetts April 2008 - April 2011
Blue Cross Blue Shield of Massachusetts April 2006 - April 2008
The Bard Group, LLC (now Navigant Consulting) September 2002 - March 2006
Blue Shield of California December 1999 - May 2001
Tufts Health Plan September 1996 - December 1999
Concord Monitor August 1994 - August 1996
Skills
Cross-functional Team..., Strategy, Strategic Planning, Project Management, Leadership, Managed Care, Marketing Strategy, Healthcare, Program Management, Analysis, Management Consulting, Insurance, Business Strategy, Marketing, Business Development
Education
The Heller School for Social Policy and Management at Brandeis University 2001 — 2002
MBA, Health Care, Business
Bowdoin College 1990 — 1994
LC Enterprises January 2004 - Present
Kaplan Career Institute September 2009 - June 2012
Beth Israel Deaconess Medical Center November 2000 - January 2004
Tufts Health Plan January 1996 - January 2000
Skills
Health Insurance, Medical Billing, Medical Coding, Life Insurance, Medicare, Insurance, Healthcare, ICD-9, CPT, Medicaid, Medical Terminology, HIPAA, Revenue Cycle, Hospitals, Outlook, Employee Benefits, Customer Service, Healthcare Management, Microsoft Excel, Healthcare Information..., Online Marketing, Real Estate, Sales, Management, SEO, ORM, real estate sales, Training, Access, Analysis
Education
Cambridge College 2006 — 2011
B.S, Business Managment
Computer Processing Institute 1995 — 1996
Certificate, Medical Office Management
Lexington High School 1988 — 1992
High School Diploma, General Studies
DentaQuest September 2013 - Present
Tufts Health Plan Foundation March 2012 - August 2013
Tufts Health Plan March 2012 - August 2013
Tufts Health Plan Foundation October 2007 - February 2012
Tufts Health Plan 2006 - February 2012
Skills
Health Insurance, Insurance, Health Care Reform, Medicaid, Managed Care, Litigation, Nonprofits, Healthcare, Medicare, Employee Benefits, Health Policy
Education
University of Chicago Law School 1982 — 1985
JD, Law
Brandeis University 1978 — 1982
BA, Economics
Voxent July 2014 - Present
Eisenhower Fellowships September 2012 - Present
Network Health March 2013 - February 2014
Tufts Health Plan February 2014 - July 2014
Network Health January 2011 - March 2013
Network Health February 2005 - January 2011
Network Health February 2004 - January 2005
Staples April 2000 - February 2004
The Parthenon Group 1999 - 2000
John Snow Inc 1994 - 1997
Skills
Marketing Strategy, Strategy, Market Research, Public Relations, Segmentation, Marketing Analytics, Marketing, Positioning, Direct Marketing, Managed Care, Healthcare, Cross-functional Team..., Media Relations, Business Strategy, Marketing Communications, Research, Analytics, Corporate Communications, Public Speaking, Team Leadership, Team Building, Organizational Structure, Global Health, Leadership, Program Management, Product Management, Business Development, Market Analysis, Management, Strategic Planning, Strategic Partnerships, Nonprofits
Education
Harvard Business School 1997 — 1999
MBA, Distinction
Brown University 1990 — 1994
AB, Bioethics
Buckingham Browne and Nichols 1986 — 1990
Massachusetts General Hospital November 2014 - Present
New England Baptist Hospital March 2011 - December 2013
Children's Hospital Boston November 2004 - March 2011
Caritas Christi Health Care January 1999 - January 2004
Tufts Health Plan January 1996 - January 1999
Massachusetts Eye and Ear Infirmary January 1991 - January 1996
Skills
Healthcare Management, Managed Care, Strategic Planning, Hospitals, Market Research, Marketing Strategy, Market Analysis, Social Media Marketing, Digital Marketing, Hospital Contracting, Provider Relations, Provider Network..., Analysis, Marketing, Informatics, Health Policy, Healthcare Industry, Program Development, Healthcare, Healthcare Consulting, Clinical Research, Leadership, Strategy, Management, Nonprofits, Data Analysis, Patient Safety, Budgets, Fundraising, Physicians, Revenue Cycle, CRM, EMR, EHR, Competitive Analysis, Healthcare Information...
Education
Bradford College 1986 — 1990
Bachelor of Science (BS), Marketing and Communications
Marianapolis Prep School 1982 — 1986
Partners HealthCare Development Office July 2008 - November 2014
Tufts Health Plan August 2006 - July 2008
Blue Cross and Blue Shield of MA August 2005 - August 2006
Hewlett-Packard June 1995 - September 2005
Skills
Organizational..., Talent Management, Leadership Development, Performance Management, Succession Planning, Change Management, Strategy, Organizational..., Team Building, Talent Acquisition, Instructional Design, Leadership, Management, Strategic Planning, Training, Training Delivery, Employee Engagement, Staff Development, Healthcare, Project Management, Vendor Management, Employee Training, Onboarding, Process Improvement, Program Management, Executive Coaching, Employee Relations, Integration, Performance Improvement, Workshop Facilitation, Recruiting, Human Resources, Organizational Design, Career Development, Workforce Planning, Management Development, MBTI, 360 Feedback
Education
Bridgewater State University
University of Massachusetts Boston
M Ed, Instructional Design in Business
Tufts Health Plan August 2014 - Present
Skills
R, SPSS, Data Analysis, Web Design, JavaScript, CSS, HTML, Marketing Research, SEO, Google Analytics, Google Adwords, CMS, Social Media Marketing, Hootsuite, Statistical Modeling, Experimental Design, Linear Regression, Logistic Regression, ANOVA, SurveyMonkey, Ektron, WordPress, Kentico, Scoop.It, Project Management, Marketing Communications, arpReach, Adobe Illustrator, Adobe Photoshop, Access, WBS, Microsoft Publisher, Microsoft Excel, Microsoft Office, Smartsheet
Education
Clark University 2012 — 2014
Master of Science (M.S.), Social Media & Marketing Communication
Cambridge College 2011 — 2012
Bachelor of Science (B.S.), Business Administration and Management, General
Shandong University of Science and Technology 2008 — 2011
International Economy and Trade
Harvard University 2014 — 2015
Statistics
CGI September 2014 - Present
AuraPlayer January 2014 - August 2014
East Coast Alpine September 2011 - March 2014
Tufts Health Plan June 2013 - August 2013
Tufts Health Plan July 2012 - September 2012
Tufts Health Plan June 2011 - August 2011
Skills
Customer Service, Microsoft Office, Microsoft Excel, HIPAA, PowerPoint, Microsoft Word, Access, Insurance, Outlook, Health Insurance, Data Analysis, Lotus Notes
Education
Boston University - School of Management 2010 — 2014
Bachelor of Business Administration (B.B.A.), Management Information Systems
Austin Preparatory School
Skills & Thrills July 2015 - Present
BCTV August 2012 - January 2014
Justice is Mind August 2012 - September 2012
WPKZ AM 1280 / 105.3 FM August 2012 - September 2012
Health Alliance Hospital, August 2010 - November 2010
Surgi-Care Inc. November 2006 - January 2010
Tufts Health Plan January 2001 - November 2006
Quest Diagnostics April 1998 - January 2001
Cambridge Center Marriott September 1992 - September 1997
Skills
Avid Media Composer, Problem Solving, Video Production, Team Building, Studio Camera Operation, Exceptional Communicator, Audio Post Production, Track Record Of..., Scripting, Customer Service, Video Editing, Teleprompter, Adobe Audition, Proactive self-starter, Switched Digital Video, Creativity, Mackie, Microsoft Office, Pro Tools, Mac OS, Studio Lighting, Audio Compression, A1, Audio Editing, A2, Shure, Marantz, Recording, Camera Operating, Editing, Broadcast Television, Video, Television, Broadcast, Radio, Camera
Education
Mount Wachusett Community College 2011 — 2012
Associate of Science (AS), Broadcast and Electronic Media, 3.3
Bunker Hill Community College 1989 — 1991
Communication and Media Studies
Somerville High School
Eliza Corporation August 2015 - Present
Tufts Health Plan December 2012 - Present
Tufts Health Plan August 2010 - December 2012
IntrinsiQ, LLC June 2008 - June 2010
SUEZ LNG 2003 - 2008
Skills
Data Analysis, Healthcare, SAS, Statistics, Medicare, Research, Healthcare Analytics, SAS Certified Base...
Education
Tufts University 2005 — 2007
Master of Public Health (M.P.H.), Epidemiology & Biostatistics
Brandeis University 1997 — 2001
Bachelor of Arts (BA), Psychology
Tufts Health Plan September 2013 - Present
Consultant December 2010 - Present
Tufts Health Plan – Network Health December 2011 - September 2013
MA Department of Children and Families September 2001 - December 2010
Vinfen Corporation January 2001 - June 2001
Westwood Lodge Hospital August 1999 - January 2001
Westwood Pembroke Health System (currently UHS facility) January 1996 - January 2001
MA Department of Chlldren and Families (formerly DSS) September 1991 - February 1999
International Health Specialists September 1995 - January 1998
J.T. Language Institute Taipei, Taiwan, R.O.C. September 1989 - September 1990
Skills
Adoption, Foster Care Services, Guardianship, Subsidy, Adoption Assistance, Mental Health Counseling, Elder Care Services, Partial Hospital..., Cross-functional Team..., Leadership Development, Organizational..., Social Work, GLBT Advocacy, Child Welfare, Government, Clinical Supervision, Supervisory Skills, Psychological Assessment, Psychology, Adults, Foster Care, Social Services, Psychotherapy, Child Development, Customer Insight, Therapists, Healthcare Management, Program Development, Hospitals, Leadership, Clinical Research, Interviews, Compassion, Health Insurance, Behavioral Health, Mental Health, Community Outreach, Case Management, Healthcare, Nonprofits, Crisis Intervention
Education
Cambridge College 1994 — 1996
M.Ed. LMHC program, mental health, counseling, education
Suffolk University 1978 — 1982
B.S., psychology
Richmond, The American International University in London 1980 — 1980
Certificate, Human Relations in Industry
Tufts Health Plan
Skills
Insurance, Health Insurance, Healthcare, HIPAA
Education
Bunker Hill Community College
Lawrence High School
Quincy High School
Tufts Health Plan March 2013 - Present
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, Outlook, Data Entry
Education
Bunker Hill Community College
Tufts Health Plan May 2013 - August 2014
BT Conferencing October 2007 - February 2013
Radio Shack December 2003 - June 2007
Skills
Health Insurance, Customer Service, Insurance, Call Centers, Outlook, Claim, Data Entry, Microsoft Office, Leadership, Microsoft Excel
Education
Bunker Hill Community College 2008 — 2015
Associate’s Degree, Business Management
The TJX Companies, Inc. May 2015 - Present
Tufts Health Plan December 2013 - December 2014
Acclaro May 2012 - November 2013
Lionbridge Technologies December 1998 - May 2012
ITO NEUMANN & VON ZASTROW GMBH January 1996 - November 1996
Skills
International Program..., Multimedia Prgrams, ISO 13485, Multilingual, Scheduling, Internationalization, Globalization, Localization, Program Management, Process Scheduler, Website Localization, Cross-functional Team..., Project Management, Quality Assurance, Budgets, Trados, Management, Process Improvement, PMP, Strategy, Terminology, Technical Translation, Software Project..., Testing, Team Leadership, Localization Testing
Education
Universität Osnabrück 1997 — 1998
Masters of Business
Almeda University 2002 — 2004
MBA
Brigham Young University 1990 — 1996
BA
Middlebury Institute of International Studies at Monterey 1996 — 1997
MAT
Tufts Health Plan March 2015 - Present
Tufts Health Plan October 2012 - February 2015
Tufts Health Plan April 2011 - October 2012
Tufts Health Plan July 2008 - April 2011
Tufts Health Plan July 2007 - July 2008
Tufts Health Plan July 2006 - July 2007
Tufts Health Plan September 2005 - July 2006
Concentra 2003 - 2005
Skills
Health Insurance, Data Analysis, Analysis, Medicare, Managed Care, Healthcare, Insurance, Marketing, Medicaid, Strategic Planning, Healthcare Consulting, Medicare Part D, Microsoft Excel, Training, HMO, Provider Relations, HIPAA, Healthcare Industry, Healthcare Information..., Revenue Cycle, Claim, Healthcare Management, Employee Benefits, PPO
Education
Brown University 1998 — 2002
BA, Political Science
Tufts Health Plan June 2015 - Present
Independent Health Care Advisor 2007 - Present
Fallon Community Health Plan August 2009 - January 2012
Network Health Plan January 2009 - August 2009
Fidelis SeniorCare Inc 2006 - 2007
Senior Whole Health 2004 - 2006
MEDITECH 2003 - 2004
Neighborhood Health Plan of Rhode Island 1994 - 2002
Skills
Leadership, Healthcare, Strategic Planning, Business Development, Marketing Strategy, Marketing, Management, Customer Service, Medicare, Team Leadership, Sales Operations, Sales, Fundraising, Analysis, Community Outreach, Medicaid, HIPAA, Managed Care, Training, Team Building, Healthcare Management, Health Insurance, Nonprofits, Healthcare Information..., Process Improvement, Insurance, Hospitals, Public Speaking, Event Planning, Program Management, Social Media, Healthcare Consulting, Home Care, Healthcare Industry, Start-ups, Public Relations, Marketing Communications, New Business Development, Problem Solving, Project Management, Consulting, Account Management, Data Analysis, Long-term Care, Relationship Building, Strategy, Employee Benefits, Mentoring, Event Management, Leadership Development
Education
Fisher College 2012 — 2014
Bachelor of Science (BS), Health/Health Care Administration/Management
Bryant University 2007 — 2007
License in Life and Health
Fisher College 2001 — 2003
Associate of Science (A.S.), Health Information/Medical Records Administration/Administrator
CeltiCare Health Plan of Massachusetts, Inc. June 2015 - Present
Truth Be Told 2013 - Present
Tufts Health Plan August 2010 - Present
Tufts Health Plan June 2008 - August 2010
Skills
Auditing, Internal Audit, Microsoft Excel, Health Insurance, Process Improvement, Customer Service, Insurance, Leadership, Microsoft Office, Outlook, Event Planning, Healthcare, Research, Microsoft Word, Data Entry, Team Building, Claim
Education
Bunker Hill Community College
Business Management
NetApp August 2010 - Present
eBay November 2008 - June 2009
Chordiant Software July 2007 - June 2008
eBay, Inc January 2006 - July 2007
Kronos Incorporated September 2002 - July 2005
Lightbridge (acquired by Authorize.net) 2001 - 2002
The Thoreau Club 2000 - 2001
FairMarket (acquired by eBay) 1999 - 2000
Tufts Health Plan 1994 - 1999
WCRB - Charles River Broadcasting, Inc. 1993 - 1994
Skills
HRIS, Human Resources, PeopleSoft, Employee Benefits, Onboarding, Vendor Management, SaaS, Change Management, CRM, Applicant Tracking..., Project Management, Leadership, Databases, SDLC, Analytics, SuccessFactors, Strategic Partnerships, Strategy, Business Analysis, Process Improvement, Requirements Analysis, Integration, Cross-functional Team..., Consulting, SAP, Business Analytics, Red Carpet, Solution Implementation, HRIS Database Management, 24x7 Production Support, HCM Processes & Forms, BRDs, Process Flow..., Focal Point, HR Project Management, Vendor Relations
Education
Cambridge College 1998 — 1999
MBA, Management
Emerson College 1989 — 1993
BA, Mass Communications
Concord Carlisle High School 1985 — 1989
Tufts Health Plan September 2008 - Present
Beth Israel Deaconess Medical Center February 2009 - March 2011
Massachusetts Department of Public Health September 2006 - June 2008
BU School of Public Health/Boston Medical Center April 2005 - August 2006
BU School of Public Health/Boston Medical Center March 2004 - April 2005
Health Unlimited August 2002 - April 2003
Skills
Healthcare, Program Management
Education
Boston University School of Public Health 2004 — 2006
MPH, Epidemiology, Biostatistics
Brandeis University 1998 — 2002
BA, Anthropology and History
Tufts Health Plan 2007 - Present
Picis Inc. September 2003 - June 2005
Open Market January 2000 - April 2001
Sybase September 1997 - January 2000
Skills
Management, Software Documentation, Customer Service, Health Insurance, SQL, Technical Support, Sales, Access, New Business Development, Databases, Oracle
Education
Boston University 2002 — 2002
Certificate, Oracle and Microsoft Solutions Developer
Boston University 1980 — 1983
BS, Computer Science
Tufts Health Plan November 2012 - Present
Cedar Hill Health Care Center July 2012 - January 2013
Art of Care August 2011 - June 2012
CVS Pharmacy September 2007 - July 2010
Keane, Inc. November 2001 - January 2007
American Student Assitance August 1992 - November 2001
Skills
Customer Service, Invoicing, PeopleSoft, SAP, Meditech, Healthcare, Project Management, Accounts Receivable, File Management, Pharmacy, Oracle Applications, Call Center
Education
Bunker Hill Community College 2005 — 2009
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Lexington High School 1986 — 1988
Tufts Health Plan March 2013 - Present
Tufts Health Plan September 2011 - March 2013
Tufts Health Plan July 2010 - September 2011
Boston Financial Data Services August 1997 - December 2008
Skills
Customer Relations, Medicare, Customer Service, Call Center, Problem Solving, Microsoft Office, Insurance, Process Improvement, Research, Coaching, Healthcare, Mutual Funds, Adjustments, Constructive Feedback, Reliability, Team Leadership, Team Building, Team Management, PowerPoint, Call Centers, Lotus Notes, Microsoft Excel, Health Insurance, Transfer Agency, Managed Care, Management, Access
Education
Salem State College 1992 — 1997
B.S., Psychology
Bunker Hill Community College 1989 — 1992
A.S., Human Services
Pfizer October 2011 - Present
Pfizer October 2009 - October 2011
Wyeth January 2005 - October 2009
Wyeth February 2001 - January 2005
Eye Care Excellence June 2000 - February 2001
CIGNA Healthcare November 1998 - June 2000
Tufts Health Plan December 1996 - November 1998
Tufts Health Plan December 1995 - November 1998
Tufts Health Plan December 1995 - December 1996
Doctor's Hospital December 1994 - July 1995
Skills
Pharmaceutical Sales, Managed Care, Account Management, Product Launch, Psychiatry, Cardiology, Gastroenterology, Nursing, Healthcare, Hospitals
Education
Bowling Green State University 1988 — 1992
Medical College of Ohio 1988 — 1992
Bachelor of Science (BS), Nursing
Dynamic Strength and Conditioning 2014 - Present
RSA The Security Division of EMC May 2013 - January 2015
PC Connection Sales Corporation May 2009 - May 2013
GovConnection, Inc July 2006 - May 2009
Genzyme Corporation January 2000 - July 2006
Tufts Health Plan February 1998 - December 1999
Beth Israel Deaconess & Children's Medical Care Center July 1996 - February 1998
Skills
Program Management, Contract Negotiation, Contract Management, Training, Management, Software Documentation, Proposal Writing, Sales
Education
Bridgewater State University 1992 — 1996
Bachelor of Science, Physical Education
Tufts Health Plan December 2008 - Present
ACI Worldwide June 2006 - December 2008
ACI Worldwide (formerly P&H Soutions) 2006 - 2008
Skills
Software Project..., Change Management, SDLC, CRM, Program Management, Management, Leadership, Vendor Management, Team Management, Project Portfolio..., Troubleshooting, Business Intelligence, Product Lifecycle..., Databases, ETL, Requirements Analysis, Training, Integration
Education
Bridgewater State University 1978 — 1980
Kindred Healthcare June 2010 - Present
Sager Electronics April 2010 - May 2010
NewBridge on the Charles April 2009 - November 2009
Various Companies October 2003 - April 2009
Caritas Good Samaritan Medical Center July 2002 - October 2003
Caritas Good Samaritan Medical Center July 2002 - October 2003
Caritas Good Samaritan 2002 - 2003
Reardon Associates May 2000 - July 2002
Brockton Hospital 2002 - 2002
Tufts Health Plan 2000 - 2001
Skills
Employee Relations, Talent Acquisition, HRIS, Applicant Tracking..., Onboarding, Behavioral Interviewing, Job Fairs, Interviewing Skills, Sourcing, Recruiting, Human Resources, New Hire Orientations, Screening Resumes, Temporary Placement, Interviews, Performance Management, College Recruiting, Benefits Administration, Deferred Compensation, Personnel Management, Staffing Services, Internet Recruiting, Employee Benefits, Screening, Taleo, Management, Talent Management, Workforce Planning, Technical Recruiting, Executive Search, Benefits Negotiation
Education
Lesley University 1995 — 1997
Master of Business Administration (M.B.A.), Human Resources Management and Services
Curry College
SPHR, SHRM Learning System
Bentley College
Bryant University
Bachelor of Science, Business Administration; Human Resource Management
Lesley University
Master of Science, Human Resource Management
Circles October 2003 - December 2006
PerkinElmer September 2002 - October 2002
Gibbs College May 2002 - June 2002
Tufts Health Plan October 2001 - May 2002
Lightbridge May 2000 - April 2001
UPS September 1999 - April 2000
RSC 1998 - 1998
Skills
Event Planning, Aseptic Technique, Laboratory, Leadership, DNA extraction, Biotechnology, Cell Culture, Analysis, Western Blotting, DNA Extraction, Microsoft Office, Microsoft Excel, Customer Service, Microsoft Word, Biochemistry, Training, Project Management
Education
Boston University School of Medicine 2007 — 2008
Biomedical Laboratory Sciences
Gibbs College 2001 — 2003
AA, Visual Communications
Middlesex Community College 1997 — 1998
Certificate, Office Skills
Tufts Health Plan June 2015 - Present
Tufts Health Plan February 2015 - May 2015
Tufts Health Plan February 2013 - January 2015
Tufts Health Plan February 2012 - January 2013
Tufts Health Plan February 2008 - February 2012
Tufts Health Plan May 2005 - January 2008
Tufts Health Plan October 2003 - April 2005
Skills
Health Insurance, Healthcare, Managed Care, Data Analysis, Business Analysis, Project Management, Healthcare Information..., Program Management, Customer Service
Education
Boston University Questrom School of Business 2008 — 2012
Master of Business Administration (MBA), Health Sector Management
College of the Holy Cross 1999 — 2003
Bachelor of Arts (BA), Sociology and Pre-Medical Studies
Tufts Health Plan November 2008 - Present
Fallon Health November 2005 - Present
Skills
HIPAA, Process Improvement, Call Centers, Visio, Software Documentation, Medicare, Vendor Management, Lotus Notes, Business Analysis, SDLC, Active Directory, Disaster Recovery, SharePoint, Access
Education
Bryant University 1985 — 1989
Bachelor's degree, Business/Managerial Economics
Partners Health Care at Home September 2014 - Present
VNA Care Network & Hospice September 2013 - September 2014
VNA of Boston May 2007 - September 2013
HealthAlliance Hospital 1999 - 2007
Tufts Health Plan 1998 - 1999
UMassMemorial Health Care 1990 - 1998
Skills
Healthcare, Healthcare Management, Home Care, Managed Care, Nursing
Education
Boston University Graduate School of Management
MBA, Health Care Management
University of Pennsylvania
BSN, Nursing
Tufts Health Plan January 1996 - Present
Skills
Health Insurance, Sales Management, Customer Service, Managed Care, Insurance, Medicare, Health Savings Accounts, HIPAA, Program Management, Employee Benefits, Microsoft Excel, Training
Education
Bridgewater State University 1990 — 1993
BS, Management Science
Massasoit Community College 1988 — 1990
AS, MARKETING
FOXBORO HIGH SCHOOL 1984 — 1988
NCQA 1992 - Present
Tufts Health Plan May 2005 - March 2011
Touchstone Health Partnership July 2004 - May 2005
Touchstone Health 2004 - 2005
Fallon Clinic October 1997 - June 2004
Skills
Pharmacy, Managed Care, Medicare, Healthcare, Disease Management, Medicine, Geriatrics, Healthcare Management, Health Policy, Utilization Management, Healthcare Consulting, Provider Relations, Healthcare Information..., HIPAA, Medicaid, Health Insurance, Healthcare Industry, Hospitals, Quality Improvement, EMR, Physicians, Informatics
Education
Boston University School of Medicine 1974 — 1978
MD, Medicine
Boston University
Centers for Medicare & Medicaid Services February 2014 - Present
Clark Law Group, PLLC June 2013 - January 2014
AARP September 2012 - May 2013
Office of the Attorney General of the State of New York January 2012 - May 2012
Lincoln Square Legal Services August 2011 - December 2011
America's Health Insurance Plans (AHIP) June 2011 - July 2011
New York City Council January 2011 - April 2011
Tufts Health Plan June 2010 - July 2010
Tufts Health Plan September 2008 - July 2009
Skills
Compliance, Healthcare, Research, Writing, Non-profits, Government, HIV, Administrative Law, Policy, Legal Writing, Policy Analysis, Public Policy, Legal Research
Education
Fordham University School of Law 2009 — 2012
J.D., Law
Brown University 2003 — 2007
B.A., Psychology
Tufts Health Plan Manager, Data & Information ManagementTufts Health PlanFebruary 2005 - September 2008
Tufts Health Plan 2003 - January 2005
Tufts Health Plan September 2001 - January 2003
Tufts Health Plan January 1996 - August 2001
Tufts Health Plan October 1994 - December 1995
Tufts Health Plan October 1990 - September 1994
Tufts Health Plan January 1988 - September 1990
Massachusetts Hospital Association August 1986 - December 1987
Massachusetts Hospital Association September 1983 - July 1986
Education
Boston University
M.A, Economics
Boston University Questrom School of Business
MBA
Wheaton College (MA) 1979 — 1983
B.A., Mathematics, Psychology
Boston Heart Diagnostics June 2013 - Present
Tufts Health Plan December 2007 - May 2013
Capital One 2007 - 2007
Skills
Managed Care, Business Analysis, SAS, Health Insurance, Data Analysis
Education
University of Connecticut
Brown University
Tufts Health Plan November 2008 - Present
Tufts Health Plan November 2008 - Present
Cambridge College 2015 - 2015
Cambridge College 2015 - 2015
Cambridge College 2015 - 2015
Cambridge College 2014 - 2015
Cambridge College 2014 - 2015
Cambridge College 2013 - 2015
National Mortgage Exchange February 2002 - March 2008
Brigham and Women's Hospital December 1988 - April 2000
Skills
Process Improvement, Underwriting, Microsoft Excel, Customer Service, Outlook, Finance, Sales, Insurance, Microsoft Office, Recruiting, Health Insurance, Residential Mortgages, PowerPoint, Microsoft Word, Office Management, Troubleshooting, Healthcare, Problem Solving, Access, Attention To Detail, Excel, Word, Multiple Project..., Streamlining Operations
Education
Cambridge College 2014 — 2016
Bachelor of Science (B.S.)
Newbury College 1997 — 1999
GE Energy June 2010 - Present
WebMD April 2007 - October 2008
GE Energy September 2007 - May 2008
Landry Benefits Consulting August 2005 - April 2007
Kanawha Healthcare Solutions June 2001 - April 2005
PARTNERS National Health Plans of North Carolina, Inc. June 1995 - April 1999
Harris Methodist Health Plan September 1994 - May 1995
Tufts Health Plan October 1992 - September 1994
CIGNA (formerly Equicor) March 1985 - September 1992
Metropolitan Life Insurance Company June 1983 - March 1985
Skills
Team Leadership, Strategy, Employee Benefits, Insurance
Education
Bowdoin College 1979 — 1983
BA, Government and Legal Studies
Conference of Boston Teaching Hospitals September 2005 - Present
Tufts Health Plan September 1997 - August 2005
Boston City Council August 1994 - September 1997
Skills
Public Health, Legislation, Government, Grants, Grant Writing, Healthcare Industry, Public Speaking, Fundraising, Volunteer Management, Program Management, Healthcare Consulting, HIPAA
Education
Boston University - School of Management 1990 — 1993
MBA, Public and Non-profit Management
University of Massachusetts Boston 1981 — 1985
BS, Management
Supreme Health Care Services January 2009 - Present
Matrix Solicitors LLP 2007 - 2014
CareFirst BCBS, MD 2010 - 2011
Novantus eHealth Systems Ltd. August 2005 - December 2008
Amerigroup Corp May 2002 - July 2005
Amerigroup Corporation January 2001 - May 2002
Amerigroup Corp January 2001 - May 2002
Tufts Health Plan May 1997 - December 2000
Tufts Health Plan November 1995 - May 1997
Claims Overload Inc August 1988 - June 1995
Skills
Budgeting, Executive Management, Decision Support, Contract Management, Business Planning, Customer Relations, Customer Service, Management Consulting, Financial Analysis, Performance Management, Healthcare Management, Strategic Planning, Process Improvement, Medicaid, Medicare, Healthcare, ERP, Analysis, Managed Care, Workflow Analysis, Healthcare IT, Operations Management, Performance Improvement, Data Analysis, Healthcare Information..., Administration, Change Management, Healthcare Industry, Business Process..., Cost Analysis, EMR, Health Insurance, Policy, Financial Management, Policy Analysis, Budgets, Management, Utilization Management, Hospitals, Team Building, Project Management, HIPAA, Strategy, Software Documentation, Disease Management, Program Management, Training, Healthcare Consulting, Revenue Cycle, Organizational...
Education
Simmons College 1996 — 1999
MHA/M.Sc, Health Care Administration
Bowie State University 1985 — 1988
BS, Business Administration; Economics and Finance
Mayflower Sch, 75/80 set
Tufts Health Plan June 2006 - Present
John Hancock March 2000 - June 2006
MDSI March 1999 - February 2000
Skills
SDLC, Agile Methodologies, Enterprise Architecture, Software Development, Enterprise Software, Data Warehousing, Java Enterprise Edition, Performance Tuning, Performance Testing, Testing, Integration, Requirements Analysis, Websphere, Architecture, System Testing, SOA, Unix, Web Applications, Data Center, Regression Testing, ETL, Performance Engineering, Test Planning, Weblogic, JBOSS, Apache, Loadrunner, SiteScope, Mobile Performance..., Stormrunner
Education
Brandeis University
M.A, Computer Science
Simon Fraser University
Washington University in St. Louis
B.S (Dual major), Computer Science/Systems Science & Mathematics
DIRECTV January 1998 - Present
Tufts Health Plan January 1996 - December 1998
Skills
SharePoint, System Administration, Computer Hardware, Network Administration, Technical Support, Program Management, Analysis, Testing, Microsoft Exchange, Windows, Vendor Management, Networking, Business Intelligence, Training
Education
Cambridge College 1996 — 1997
CNA, MCP, Windows NT and Novel Systems Administration
Abovian Number 2 1976 — 1985
Diploma, General Education
DentaQuest 2014 - Present
Dovetail Health 2013 - 2014
CeltiCare 2009 - 2013
MAXIMUS 2008 - 2009
Tufts Health Plan October 1985 - January 2007
Skills
Medicaid, Revenue Cycle, Provider Relations, Network Development, Healthcare Information..., Physician Relations, Managed Care, Health Policy, Revenue Cycle Management, Healthcare, HIPAA, Healthcare Industry, Medicare, Program Development, Public Health, Health Insurance, Process Improvement, Healthcare Management, Healthcare Consulting, Insurance, Hospitals, Disease Management, EHR
Education
Boston University - School of Management
MBA
Brigham and Women's Hospital, Office of the President June 2015 - Present
Boston University Graduate School of Management August 2013 - May 2015
2014 Health and Life Sciences Conference, Boston University March 2014 - November 2014
Massachusetts General Hospital 2014 - 2014
Mass Insight Global Partnerships April 2010 - May 2013
Tufts Health Plan 2013 - 2013
Day Health Strategies 2013 - 2013
Self-Employed 2008 - 2010
Beacon Hill Institute for Public Policy Research June 2008 - August 2008
Skills
Research, Strategic Planning, Data Analysis, Politics, Program Development, Public Speaking, Strategic Communications, Policy Analysis, Healthcare, Quantitative Research, Project Management, Community Outreach, Program Management, Healthcare Management, Market Research, Microsoft Excel, PowerPoint
Education
Boston University - School of Management 2013 — 2015
Master of Business Administration (MBA); Master of Science in Information Systems (MSIS), Health/Health Care Administration/Management
Tufts University 2004 — 2008
Bachelors, Psychology, Russian/East European Studies
BB&N 1990 — 2004
High School Diploma
Alicare Medical Management Claims ManagerNeighborhood Health Plan2003 - 2005
Tufts Health Plan 1993 - 2000
Education
Bridgewater State University 1967 — 1971
BA, English
Masada Inc. November 2012 - Present
Masada Inc. January 2011 - Present
DentaQuest August 2012 - November 2012
HP Enterprise Services November 2010 - August 2012
Grayson Technical High School October 2010 - December 2010
Grayston Technical High School July 2010 - December 2010
MedVentive/CVO August 2007 - February 2010
Neighborhood Health Plan August 2005 - March 2007
Tufts Health Plan August 2001 - August 2005
Harvard Pilgrim HealthCare August 1995 - August 2001
Skills
Administration, Customer Service, Healthcare, Word, Customer Presentations, Staff Training, Research, Medicaid, PPO, HMO, CMO, Medicare, System Administration, Microsoft Word, Access, Training, Management, Policy, Process Improvement
Education
Cambridge College 2001 — 2003
Masters in Management, Entreprenuership/Small Business
Johnson & Wales University 1985 — 1989
Bachelor of Science, FoodService Management
Johnson and Wales University 1985 — 1989
Bachelor, Science Foodservice Management
Montclair High School 1978 — 1982
High School Diploma
Harvard Pilgrim Health Care August 2004 - Present
Massachusetts Eye and Ear Infirmary June 2001 - August 2004
Tufts Health Plan April 1996 - June 2001
Skills
Process Engineering, Budgeting, Excel, Business Process, Microsoft Excel, Microsoft Office, Management, Technical Writing, Analysis, Budgets, Vendor Management, Cross-functional Team..., Project Management, Leadership, Process Improvement, MS Project, Business Analysis, Healthcare, Microsoft Project, HIPAA
Education
Bridgewater State University
B.S.B.M, Accounting & Finance
Blue Cross & Blue Shield of Rhode Island August 2015 - Present
Commonwealth of Massachusetts September 2014 - May 2015
Dell October 2012 - July 2014
CVS Caremark Corporation April 2012 - October 2012
Fidelity Investments July 2011 - April 2012
Harvard University April 2011 - July 2011
Tufts University November 2010 - April 2011
Tufts Health Plan August 2010 - October 2010
HP Enterprise Services February 2007 - June 2010
Partners HealthCare January 2006 - January 2007
Skills
Information Security..., Product Management, Project Planning, Project Implementation, Project Delivery, Software Project..., Program Management, Business Analysis, SDLC, Integration, Vendor Management, Visio, Project Management, Business Process, Requirements Analysis, Management, Information Technology, Agile Methodologies, Process Improvement, Enterprise Software, IT Strategy
Education
Boston University - Metropolitan College
Quincy College
Tufts Health Plan December 2000 - Present
Skills
Health Insurance, Insurance, Macess, Customer Service, Call Center, Outlook, Access, Microsoft Excel, PPO, Healthcare, Workshop Facilitation, Data Analysis, PowerPoint, Microsoft Office, Network Development, HMO, Microsoft Word, Provider Relations, Self-funded, Sales
Education
Bunker Hill Community College
Partners HealthCare February 2014 - Present
Brigham and Women's Hospital January 2011 - February 2014
Brigham & Women's Hospital July 2006 - March 2011
Tufts Health Plan November 2005 - July 2006
Brigham & Women's Hospital December 2001 - November 2005
St. Louis STD/HIV Prevention Training Center July 1998 - May 1999
Skills
Clinical Research, Epidemiology, Healthcare, Program Management, Research, Patient Safety, Analysis, Health Promotion, Public Health, Health Equity, Quality Improvement, Data Analysis
Education
Boston University - School of Management 2010 — 2012
MBA, Health Sector and Public/Non-Profit Management
Boston University School of Public Health 1999 — 2001
MPH, Social and Behavioral Studies
Washington University in St. Louis 1995 — 1999
AB, Anthropology, Biology Minor
Bunker Hill Community College Radiographer IIChildrens Hospital BostonMay 2006 - Present
NaviMedix, Inc 2000 - 2004
Tufts Health Plan 1995 - 2000
Skills
X-ray, Healthcare, Radiography, Computed Tomography, Patient Safety, Radiology, PACS, Medical Imaging, Clinical Research, Training
Education
Capella University 2013 — 2017
Doctor of Education (EdD), Educational Leadership and Administration, General
University of Massachusetts Boston 2008 — 2010
Master of Education (MEd), Instructional Design and Curriculum
Bunker Hill Community College 2004 — 2006
AS, Radiologic Technology
University of New Hampshire 1990 — 1994
B.S., Health Management and Policy
Capella
Tufts Health Plan June 2007 - Present
Tufts Health Plan 2007 - Present
Skills
Managed Care, Health Insurance, Account Management, Insurance
Education
Boston University
BS, Computer Science
BNY Mellon February 2015 - Present
State Street Corporation June 2006 - May 2014
Healthways March 2003 - June 2006
Tufts Health Plan February 2002 - March 2003
Pfizer January 2001 - December 2001
Verizon Wireless January 2000 - January 2001
Skills
Financial Modeling, Business Analysis, Financial Risk, Analysis, Valuation, Banking, Forecasting, Capital Markets, Capital and RWA..., Regulatory & Economic..., Budgeting & Forecasting, Financial Planning &..., SNL, Spotfire, Khalix..., Financial Services, Due Diligence, Capital Structure, Balance Sheet Strategy, New Business and..., Basel I/II/III, Finance, Corporate Finance, Management, Economics, Financial Planning
Education
Brandeis International Business School 2004 — 2005
Master of Science, Finance
University of Massachusetts at Lowell 1996 — 2000
Barchelor of Science, Finance / MIS
St. Mary's College, Kisubi (Uganda) 1983 — 1990
High School Certificate (HSC), French, Economics, Math & Art, HSC (Form 6))
Tufts Health Plan July 2001 - January 2012
Tufts Health Plan July 2001 - January 2012
Education
Bunker Hill Community College 1986 — 2006
Business Management
Tufts Health Plan 1998 - Present
Tufts Health Plan May 1994 - June 1998
BASF IT Services 1987 - March 1995
SCA Services March 1981 - May 1987
Skills
Strategic Planning, Insurance, Business Analysis, Health Insurance, Healthcare, Managed Care, Process Improvement, Access, Visio, HIPAA, Software Documentation, Training, SDLC, Vendor Management, Program Management, Data Analysis, Risk Management
Education
Bunker Hill Community College 1981 — 1988
Associates Degree, Business Management
Somerville Public Schools September 2013 - Present
Tufts Health Plan December 2010 - June 2012
Bank of America April 2007 - April 2010
Wild Oats Markets May 2004 - January 2007
Shaws Supermarkets April 2003 - April 2004
Tags Hardware, Inc June 2000 - March 2003
Star Market January 1997 - August 2000
Skills
Cashiering, Microsoft Office, Customer Service, Front-end, Inventory Control, Leadership, Mathematics, Operations Management, Problem Solving, Recruiting, Creative Writing, Internet, Lotus Notes, Office Management, Twitter, Writing, Training, Hiring, Data Entry, Sales
Education
Bunker Hill Community College
Associate of Science (A.S.), Business Administration and Management, General
Lowell General Hospital September 2014 - Present
ADG, Inc. September 2013 - September 2014
Granite State Health Plan October 2012 - September 2013
Tufts Health Plan 1992 - 2001
Tufts Health Plan 1992 - 2001
Tufts Health Plan 1992 - 2001
Tufts Health Plan 1992 - 2001
Tufts Health Plan 1992 - 2001
Skills
Cross-functional Team..., Communication Skills, Regulatory Affairs, Regulatory Submissions, Regulatory Requirements, Regulatory Analysis, Regulatory Documentation, Regulatory Filings, Regulatory Policy, Health Care Compliance, medicare compliance, Medicaid Managed Care, site visit preparation, Requirements Analysis, Risk Assessment, Risk Management, Project Management, Collaborative Problem..., Medicare, Healthcare Management
Education
Simmons College 1986 — 1990
Bachelor of Arts (BA), Political Science and Government
Brandeis University
Graduate Studies in Health Policy
Tufts Health Plan 2002 - 2006
JPMorgan Chase 1998 - 2002
Education
California State University-Chico 1993 — 1996
Bachelor of Science (B.S.), Dual Degree in Health Services Administration and Community Health Education
Department of Veterans Affairs June 2008 - Present
Department of Veterans Affairs June 2004 - June 2008
Tufts Health Plan May 2001 - January 2004
Skills
Computers, Communication, Recruiting, Microsoft Excel, Accounts Payable, Account Reconciliation, Accounts Receivable
Education
Bunker Hill Community College 2006 — 2008
Newbury College 1995 — 1997
Business/Managerial Economics
Tufts Health Plan February 2014 - Present
Neighborhood Health Plan May 2006 - February 2014
American Eagle Airlines September 2002 - May 2006
Skills
Healthcare, Customer Service, Software Documentation, Process Improvement, Data Analysis, Healthcare Information..., HIPAA, Leadership, Access, Hospitals, Insurance, Healthcare Management, Training, Data Entry, Managed Care
Education
Bunker Hill Community College
Commonwealth Care Alliance November 2013 - Present
Maximus Inc July 2011 - Present
Tufts Health Plan October 2009 - October 2010
The WayBuilders Inc November 2007 - May 2009
Skills
Customer Service..., Counseling
Education
Cambridge College 2000 — 2004
Bachelor of Arts (BA), Family and Community Services
UMass Boston 1997 — 1997
Certificate Program, Substance Abuse/Addiction Counseling