Tufts Health Plan
Industry: Company
DescriptionTufts Health Plan is a Massachusetts-based health insurance company under Tufts Associated Health Plans, Inc. with headquarters in Watertown. As of March 31, 2016, the nonprofit health insurer had 1,072,000 members. The Tufts Health Plan network includes 91 hospitals and 29,000 health care providers. CEO: Thomas Croswell (Jan 2016–) Headquarters: Watertown, Massachusetts, United States Number of employees: 2,400 Founded: 1979 Subsidiaries: Tufts Health Public Plans, Inc., Integra Partners Holdings, LLC
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Tufts Health Plan Employees
Tufts Health Plan February 2012 - Present
Number 1 Source September 2009 - January 2012
Cape Cod Commission May 2010 - September 2010
Skills
IT Management, Microsoft Excel, Project Management, UAT coordination, Constant Contact, Microsoft Office, User Acceptance Testing, Interpersonal..., QuickBooks, Enterprise Architecture, Research, Typing, User Experience, PowerPoint, Accurate Data Entry, Social Media, Lotus Notes, HP Application..., Databases
Education
University of Massachusetts, Amherst 2008 — 2010
Bachelor of Arts (B.A.), Sociology
Community College of Vermont 2006 — 2008
Associate's degree, Business/Managerial Economics
Massachusetts Health Connector March 2015 - Present
Tufts Health Plan – Network Health February 2014 - March 2015
Network Health April 2013 - October 2014
Tufts Health Plan July 2012 - April 2013
Northeastern University 2007 - July 2012
Clinton Health Access Initiative January 2012 - May 2012
Clinton Health Access Initiative September 2011 - December 2011
Northeastern University September 2011 - December 2011
MSH 2009 - 2010
Skills
Non-profits, Program Development, Event Planning, Community Outreach, Microsoft Office, Fundraising, Research, Marketing, Public Speaking, Social Networking, Event Management, Social Media, Social Media Marketing, Policy Analysis, Public Relations, Volunteer Management, Data Analysis, Nonprofits, Microsoft Excel, Editing, Dog Bites, Strategic Planning, Children's Books, Monsters, PowerPoint, Spanish, Knitwear, Healthcare, SPSS, Higher Education, Grant Writing, Facebook, Blogging
Education
Northeastern University 2008 — 2011
Global Studies and International Affairs, Global Health & Development
Tulane University 1999 — 2003
BA, English, Psychology
BC High
Corvinus University of Budapest
Wompatuck Elementary
PLS Financial Services December 2013 - August 2014
Tufts Health Plan May 2013 - August 2013
LifePlans, Inc. February 2013 - April 2013
MetLife 2000 - 2011
New England Financial January 1997 - October 2000
Skills
Management, Life Insurance, Leadership
Education
Cambridge College 2007 — 2009
Master's degree, Management - Leadership in Human & Organizational Dynamics, 4.0
Newbury College 2000 — 2004
Bachelor's degree, Business Administration and Management, General
Tufts Health Plan June 2014 - Present
Education
Columbia University - Columbia Business School 2005 — 2006
MBA
Syracuse University - Martin J. Whitman School of Management 1999 — 2003
BS
Tufts Health Plan May 2014 - Present
Best Buy June 2012 - Present
Avon Cosmetics September 2009 - Present
Tufts Health Plan October 2013 - May 2014
IBM July 2012 - September 2013
SSGA March 2010 - June 2012
SSGA June 2000 - March 2010
Lappen's Discount Auto Parts June 1998 - September 2000
Youville Hospital January 1994 - June 2000
Beth Israel Deaconess Medical Center January 1989 - November 1993
Skills
Business Analysis, IT Security..., Active Directory, Windows 7, CA Provisioning Manager, Edifecs, Lotus Notes, Information Technology, Microsoft Office, Networking, Linux, Unix Security, Security, Software Documentation, Sungard iWorks Formworks, Sungard iWorks Macess, Documentation, Asset Management, Technical Liaison, Lawson Security Software, Vendor Management, Troubleshooting, Adobe Acrobat, SDLC, Windows 8, BMC Service Desk Express, Technical Support, Disaster Recovery
Education
The George Washington University - School of Business 2008 — 2008
Continuing Ed., Project Management
Clark University 2002 — 2002
Master's Certificate, Web Development/Client Server
Northeastern University 1995 — 2000
BSBA, Management/MIS
Lakeland Community College 1984 — 1987
AS, Medical Technology
Steward Health Care Network February 2015 - Present
Minichiello Consulting, LLC May 2013 - Present
Boston University School of Public Health 2008 - Present
Steward Health Care Network October 2013 - February 2015
Heathcare Financial Management Association, MA/RI Chapter 2010 - 2013
Accountable Care Associates November 2011 - November 2012
HealthAlliance with Physicians, Inc. 1996 - November 2011
Tufts Health Plan 1994 - 1996
Skills
Healthcare, Informatics, Policy, Managed Care, Leadership, Healthcare Management, Utilization Management, Management, Strategic Planning, Program Development, Data Analysis, Strategy, Hospitals, Physicians, Community Outreach, HIPAA, Quality Improvement, Healthcare Information..., Healthcare Industry, Governance, Medicare, Health Policy, Negotiation, Operations Management, Managerial Finance, Healthcare Consulting, Public Speaking, Accountable Care, Program Evaluation, Patient Safety, Change Management, Research, Case Managment, Performance Improvement, Six Sigma, Medicine, EMR, Analysis, Inpatient
Education
Northeastern University - Graduate School of Business Administration 1992 — 1994
MBA
Northeastern University 1984 — 1990
Bachelor of Science, Engineering Technology
UnitedHealthcare - Community Plans March 2011 - Present
Marrano Real Estate, LTD. June 2005 - Present
athenahealth August 2009 - March 2011
Boston Medical Center HealthNet Plan September 2007 - August 2009
Neighborhood Health Plan September 2006 - September 2007
Neighborhood Health Plan May 2004 - September 2006
Tufts Health Plan 2003 - 2004
Harvard Pilgrim Health Care 1995 - 2002
Skills
Healthcare, Cross-functional Team..., Leadership, Healthcare Management, Program Management, Management, Contract Negotiation, Provider Relations, Project Management, Recruiting, Strategy, Contract Management, Analysis, Hospitals, Sales Operations, Process Improvement, Credentialing, Managed Care, Medicare, Insurance, Medicaid, Customer Service, Health Insurance, Team Building, Healthcare Industry, Policy, HIPAA, Strategic Planning
Education
Cambridge College 2013 — 2015
Master of Business Administration (M.B.A.)/Healthcare Administration, Healthcare Administration
Newbury College 1996 — 2004
Bachelors, Healthcare Administration
Tufts Health Plan January 2015 - Present
MassBay Community College January 2006 - Present
Tufts Health Plan August 2014 - January 2015
Blue Cross Blue Shield of Massachusetts October 2010 - August 2014
AM B Care May 2003 - April 2012
Skills
Public Speaking, Healthcare, Teaching, Healthcare Management, Research, Training, HIPAA, Higher Education, Staff Development, Data Analysis, Program Evaluation, Healthcare Information..., Curriculum Development, Adult Education, Curriculum Design, Student Affairs, EMR, Customer Service, EHR, ICD-9, Management, Distance Learning, University Teaching, Hospitals, Leadership, Medicare, ICD-10, CMS Risk Adjustment
Education
Clark University 2003 — 2004
Master Certificate Medical Coding and Billing
Massachusetts Department of Corrections October 2008 - Present
Tufts Health Plan May 2001 - October 2008
AutoZone May 2002 - May 2003
Skills
Coaching, Desktop Application..., Customer Service, IT Hardware Support, Information System, Security, Law Enforcement..., Public Safety, Team Building, Security Operations, Security Management, Law Enforcement, Surveillance, Technical Support, Training
Education
Columbia Southern University 2008 — 2013
B.S. Information Technology, Information Technology
Madison Vocational High School 1986 — 1989
High school deploma, Automotive Engineering Technology/Technician
Tufts Health Plan January 2015 - May 2015
Tutors for All September 2014 - January 2015
Colby College August 2010 - May 2014
Colby College August 2010 - May 2014
Colby College August 2010 - May 2014
Colby College June 2012 - August 2012
Colby College January 2011 - May 2011
Skills
Solid computer skills, Clerical Skills, Organizational Change, Team Leadership, Event planning, Social media, Public speaking, Volunteering, Non-profit, Fund raising, Grant writing, Research, Technology, Community outreach, Tutoring, Translation: english to..., Nonprofits, Event Planning, French
Education
Colby College 2010 — 2014
Bachelor of Arts (B.A.), International Relations, Human rights, French, Italian
United World College of Adriatic, Italy 2008 — 2010
International Baccalaureate
MassHousing July 2015 - Present
NXTLoan First American Mortgage Trust April 2014 - July 2015
First American Mortgage Trust August 2012 - July 2015
Tufts Health Plan May 2010 - August 2012
Tufts Health Plan July 2011 - January 2012
Telefund October 2009 - March 2010
Corinthian Colleges December 2008 - September 2009
Key Bank May 2008 - October 2008
Key Bank April 2005 - May 2008
Skills
Customer Service, Call Centers, Analysis, Sales, Mortgage Lending, CRM, Project Planning, Call Center, Data Analysis, Microsoft Excel, Loss Mitigation, Healthcare, Insurance, Project Management, Relationship Management, Microsoft Word, Mortgage Servicing, HUD Foreclosures, Escrow, Mortgage Banking, Loan Servicing, Short Sales, FHA financing
Education
Castleton University 1996 — 1999
Fine Arts/ Business Marketing
Franklin High school 1992 — 1996
Aledade, Inc. May 2015 - Present
RxAnte, LLC August 2014 - May 2015
RxAnte, Inc. August 2013 - July 2014
RxAnte, Inc. July 2012 - July 2013
Tufts Health Plan September 2011 - July 2012
Health Dialog December 2010 - August 2011
Health Dialog June 2010 - December 2010
Health Dialog June 2008 - June 2010
Alliance for Health Reform August 2006 - December 2006
UMass Memorial Medical Center June 2006 - August 2006
Skills
Microsoft Office 2007, Budgeting, Time Management, Capacity Planning, Project Coordination, Business Requirements, Training & Development, SharePoint, SAS, SAS programming, Project Management, Budgets, Microsoft Office, Access, Healthcare Information..., Program Management, Analytics, Healthcare Management, Data Analysis, Process Improvement, Relationship Management, Product Development, Product Management, Healthcare, Health Policy, CRM, Account Management, Forecasting, Managed Care
Education
Muskie School of Public Service 2009 — 2011
M.P.P., Public Policy & Management
Muskie School of Public Service 2009 — 2011
Graduate Certificate, Nonprofit Management
Academy for Healthcare Management (AHIP) 2009 — 2009
Professional Certificate
Cornell University 2004 — 2008
B.A., Biology & Society
Algonquin Regional High School 2000 — 2004
Genesis HealthCare January 2015 - Present
Curry College January 2013 - May 2014
Partners HealthCare January 2011 - December 2012
Boston PainCare Center July 2008 - November 2010
Tufts Health Plan September 2006 - July 2008
Tufts Health Plan June 2005 - August 2006
Boston Children's Hospital May 2004 - August 2004
Skills
Nursing Care, Healthcare, Managed Care, Treatment, Healthcare Management, Healthcare Information..., HIPAA, Patient Advocacy, Interpersonal Skill, Spanish-speaking, Positive Team Player, Microsoft Word, PowerPoint, Data Analysis, Microsoft Office, Microsoft Excel, Electronic Medical..., Customer Service, Hospitals, Medical Records, EMR
Education
Curry College 2013 — 2014
Bachelor of Science (B.S.) in Nursing
Massachusetts Bay Community College 2009 — 2012
Science Prerequisites for Nursing
Stonehill College 2001 — 2005
Bachelor of Arts (B.A.), Health Care Administration, Spanish
Andover High School 1997 — 2001
High School
Tufts Health Plan January 2014 - Present
Fallon Community Health Plan September 2012 - January 2014
Tufts Health Plan November 2011 - September 2012
Cape Verdean Assoiciation 2008 - 2012
Health Care For All April 2011 - November 2011
CSCV/Brockton Adult Day Health June 2010 - November 2011
Senior Whole Health August 2006 - July 2009
Old Colony Elderly Services August 2004 - August 2006
Massachusetts General Hospital March 1999 - March 2004
Skills
Non-profits, Healthcare, Public Speaking, Event Planning, Medicare, Community Outreach, Recruiting, Access, Case Managment, Conflict Resolution, Event Management, Data Analysis, Healthcare Management, Fundraising, Managed Care, Market Research, Marketing, Mental Health, Microsoft Office, Microsoft Word, Nonprofits, PowerPoint, Program Development, Program Management, Sales, Social Services, Research, Spanish, Team Building, Teamwork, Time Management, Strategic Planning, Customer Service
Education
Cambridge College 2009 — 2014
Masters, Healthcare Management
Curry College
Health Sciences
Cambridge Mayor David Maher Re-Election 2012 September 2011 - January 2012
Tufts Health Plan January 2000 - January 2011
Boston Communication Group 1995 - 1999
Skills
Call Center, Customer Service, HIPAA, Lotus Notes, Troubleshooting, Health Insurance, Technical Support, Microsoft Office, Mac OS X, Windows, Event Photography, Gardening, Computer Repair, Computer Maintenance, Hatha Yoga, Woodworking
Education
Harvard University Extension School 2004 — 2005
Understanding Computers and The Internet, B
Clark University 2001 — 2002
A+ Certification, A
New England School of Photography 1995 — 2000
Color Processing, Portraiture and Fashion Photography
Northeastern University 1984 — 1990
Bachelor of Engineering Candidate, Electrical, Electronic and Communications Engineering Technology/Technician
Wentworth Institute of Technology 1980 — 1982
Associate of Applied Science, Electronics Engineering
Tufts Health Plan November 2013 - Present
DPM Consulting January 2013 - October 2013
Constant Contact January 2007 - December 2012
Raytheon January 2002 - December 2006
Groopeez November 2000 - November 2001
GTECH January 1999 - November 2000
Citibank October 1996 - December 1998
Federal Reserve Bank of Boston May 1991 - June 1994
Skills
Key Performance..., Performance Management, Cash Management, Treasury, Segmentation, Incentives, Financial Modeling, Forecasting, Financial Analysis, Strategic Planning, Mergers, Start-ups, Change Management, Operations Management, Analytics, Business Strategy, Small Business Online..., Strategic Financial..., Capital Markets, Corporate Finance, Acquisitions, SAAS, Strategy, Mergers & Acquisitions, Finance, Analysis, Corporate Development, Business Intelligence, SaaS, Venture Capital, Management, Leadership, Financial Planning
Education
Duke University - The Fuqua School of Business 1994 — 1996
Master of Business Administration (MBA)
Clark University 1987 — 1991
BA, Economics
University of Sussex 1989 — 1990
Jr Year Abroad
Partners HealthCare January 2014 - Present
Leidos Health June 2012 - January 2014
Family Continuity 2007 - 2012
Northeast Health 2005 - 2007
Tufts Health Plan 1999 - 2005
Skills
Group Therapy, Training, Case Managment, Healthcare Information..., EHR, Epic Systems, Ambulatory Care, Project Management, Management, Medical Billing, Family Therapy, Individual Counselling, Clinical Supervision, Microsoft Office, Workflow, Community Mental Health, Mental Health Counseling
Education
Cambridge College
Master of Education, Mental Health Counseling
Salem State University
Bachelor of Science, Psychology; Organizational Psychology
USI Insurance Services LLC 2011 - Present
Central Area Health Education Center, Inc. 2011 - Present
Hartford Hospital Young Leaders Advisory Council October 2012 - Present
Community Health Charities of New England 2010 - 2013
The Health Consultants Group/HCG Services 2005 - 2011
Northwestern Mutual 2003 - 2005
CIGNA Healthcare 1999 - 2003
Tufts Health Plan 1998 - 1999
Skills
Health Insurance, Insurance Administration, Disability Insurance, Employee Benefits, ERISA, Group Medical, Welfare Plans, Benefits Strategy, Life Insurance, Employee Relations, Benefits Administration, Strategic Planning, Brokers, Insurance, Business Development, Healthcare, Underwriting, Account Management, 401k, Financial Services, Workers Compensation, Long-term Care, Property & Casualty..., Medicare, Leadership, Retirement, Managed Care, Executive Management, Claim, Retirement Planning, Small Business, Term Life Insurance, Employee Wellness, COBRA, Financial Advisory, Commercial Insurance, Health Care Reform, Strategic Financial..., Risk Management, Consulting, Health Policy, Customer Service, Management, Sales, Team Building, Training
Education
Central Connecticut State University
BA
Northeastern University
Cheshire High School
Tufts Health Plan 2010 - 2015
Tufts Health Plan November 2010 - March 2013
Us Veterans Health Administration March 2000 - November 2010
Mass Behavioral Health Partnership 1996 - 2000
MetroWest Medical Center 1989 - 1996
New England Memorial Hospital 1985 - 1989
Charles River Hospital 1980 - 1986
Skills
Healthcare, Healthcare Management, Hospitals, Insurance
Education
Columbia University College of Physicians and Surgeons 1961 — 1965
M.D.
The Suka Group January 2011 — Present
Navanti Group August 2014 — November 2014
Google April 2012 — April 2013
Harvard University January 2007 — April 2012
Tufts Health Plan September 2006 — December 2006
Harvard Medical School, Northeastern School of Law June 2004 — September 2006
Dartmouth College, Geisel School of Medicine January 2003 — January 2004
Radisson 2002 — 2003
Hyatt Hotels Corporation (formerly Amerisuites) 2001 — 2002
Sheraton 1999 — 2000
Skills
Data Analysis, Project Management, Strategy, Start-ups, Research, Policy Analysis, Management Consulting, Editing, Higher Education, Fundraising, Nonprofits, Program Development, Proposal Writing, Community Outreach, Non-profits, Public Speaking, Program Evaluation, Qualitative Research, International Relations, Teaching, Spanish, Volunteer Management, Copy Editing, Cross-cultural Teams, Event Planning, Workshop Facilitation, Thought Leadership, Interdisciplinary...
Education
Dartmouth College 2000 — 2004
B.A., Linguistics & Cognitive Science; Political History & Theory (Independent)
Harvard University 2002 — 2008
Continuing Education Classes, Business Management, Philosophy, Government, Arabic
Elevate Communications August 2015 - Present
StandStand July 2014 - Present
Harvard University August 2014 - December 2014
Tufts Health Plan February 2014 - May 2014
Tufts Health Plan July 2012 - February 2014
Tufts Health Plan August 2011 - July 2012
Harvard University July 2006 - June 2012
Harvard University May 2011 - August 2011
Massachusetts General Hospital October 2009 - June 2010
Harvard University January 2006 - August 2008
Skills
Research, Data Analysis, Analysis, Management, Project Management, Leadership, Higher Education, Process Improvement, Change Management, Non-profits, Public Speaking, PowerPoint, Program Management, Editing, Budgets, Marketing, Event Management, Microsoft Excel, Entrepreneurship, Healthcare, Recruiting, Financial Analysis, Databases, Financial Services, Wine
Education
Simmons College - Simmons School of Management 2008 — 2010
MBA, General Management
Harvard University Graduate School of Education 2005 — 2006
New York University 1999 — 2001
B.A., French Literature; Dramatic Literature, Theater History, and the Cinema
University of Minnesota-Twin Cities 1997 — 1999
Université Paul Valéry (Montpellier III) 1998 — 1998
French language and culture
Damascus University
Arabic Language
Università per Stranieri di Perugia
Italian language and culture
State Street Global Advisors January 2015 - June 2015
Tufts Health Plan January 2014 - June 2014
Management Information System Department August 2012 - December 2012
Arizona Football March 2012 - December 2012
Skills
SQL, HTML, Access, Training, Microsoft Word, Excels, PowerPoint, Web Development, Visio, Leadership, Teamwork, Database Design, Microsoft Access, Informatica, Relational Data Modeling, Lotus Notes, Expression Web, CSS Javascript, ERD, Social Networking, Oracle SQL Developer, Photoshop, Systems Analysis, XML, DFD, Microsoft Excel, SDLC, PL/SQL, Fixed Income, Business Analysis, Unix, VBA
Education
D'Amore-McKim School of Business at Northeastern University 2013 — 2016
Bachelor of Business Administration (BBA), Management Information Systems, General, 3.4
University of Arizona, Eller College of Management 2011 — 2012
General Education, Management Information Systems, General, 3.6
Tufts Health Plan September 2014 - Present
American Student Assistance December 2006 - Present
Cytyc May 2005 - December 2006
Arch Wireless 1998 - 2004
Skills
Access, Program Management, Cognos, Microsoft Excel, Business Analysis, Business Intelligence, Project Management, Financial Analysis, Requirements Gathering
Education
State University of New York at Albany 1994 — 1997
Masters in Business Administration, Operations Management and Supervision
State University of New York College at Oneonta 1988 — 1992
Bachelor of Science, Psychology
Cornell University
Certificate, Financial Management
Project Management Institute
PMP, Project Manager Professional
Commonwealth Care Alliance January 2015 - Present
Wakely Consulting Group May 2011 - December 2014
Tufts Health Plan May 2010 - May 2011
Commonwealth Health Insurance Connector Authority November 2006 - May 2010
Massachusetts Division of Health Care Finance and Policy May 2005 - November 2006
Harvard University September 2003 - June 2005
Community Catalyst, Inc. September 2004 - May 2005
Skills
Healthcare, Strategic Planning, Medicaid, Research, Policy Analysis
Education
Harvard University Kennedy School of Government 2003 — 2005
Master of Public Policy, Health Care Policy, Financial Management
Columbia University in the City of New York 1998 — 2002
BA, History
Talbots August 2012 - Present
Gap Inc./Gap March 2012 - July 2012
99 Restaurant January 2012 - March 2012
Tufts Health Plan September 2011 - December 2011
Genworth Financial July 2011 - September 2011
Beat Da' Wrap January 2011 - July 2011
Savoury Lane February 2010 - January 2011
Subway November 2008 - May 2009
Party Needs November 2006 - May 2008
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Photoshop
Education
Cape Cod Community College 2012 — 2014
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
Waltham High School 2003 — 2007
High School Diploma
Middlesex Community College
Liberal Arts and Sciences/Liberal Studies
Tufts Health Plan September 2013 - January 2015
Curtis Industries 2008 - 2012
WRTA (The Local Connection) 2005 - 2007
IPG Photonics 2002 - 2005
Skills
Sales Management, Trade Shows, Sales, Business Development, Customer Service, Marketing Strategy, Marketing, New Business Development, Account Management, Product Development, Social Media, Marketing Management, Online Advertising, Event Planning, Market Research
Education
Clark University 2008 — 2016
Master of Science (M.S.), Public Administration
Golden Gate University 1992 — 1996
Bachelor of Science (B.S.), Marketing
Fresenius Medical Care April 2011 - Present
MAXIMUS, Inc. November 2009 - March 2011
Mass. Chapter of International Society for Performance Improvement January 2008 - December 2010
Sapient Corp. October 2007 - October 2008
Tufts Health Plan September 2002 - August 2007
Verizon Information Resources, Inc. 1991 - 2001
NYNEX Information Resources, Inc. 1988 - 1990
Skills
Organizational..., Leadership Development, Performance Management, Training, Instructional Design, Talent Management, Employee Engagement, Leadership, Program Management, E-Learning, Human Resources, Organizational Design, Workforce Planning, Performance Improvement, Learning Management, Training Delivery, Onboarding, Staff Development, Career Development, Instructor-led Training, Management, Workshop Facilitation, Strategy, CRM, Coaching, Policy, Organizational..., Executive Coaching, Employee Benefits, Succession Planning, Adult Education, Needs Analysis, Budgets, Software Documentation, Strategic Planning, Employee Training, Talent Development, Budget Management, Technical Training, Online Training, Software Training, Curriculum Development, Curriculum Design, Mentoring, Hands-on Training
Education
Texas A&M University
MS, Industrial/Organizational Psychology
American Society for Training & Development
Certified Professional in Learning and Perfomance
Springfield College
BS, Psychology
Colby Sawyer College
Associate of Arts (A.A.), Liberal Arts and Sciences/Liberal Studies
Senior Whole Health January 2014 - Present
Meridian Health Plan July 2012 - January 2014
Tufts Health Plan June 2011 - July 2012
New Hampshire Hospital Association, Foundation for Healthy Communities June 2010 - February 2012
Blue Cross and Blue Shield of Rhode Island September 2009 - April 2010
Neighborhood Health Plan August 2009 - September 2009
Health New England August 2009 - September 2009
Blue Cross Blue Shield of Massachusetts May 1997 - June 2009
Matthew Thornton Health Plan / BCBSNH August 1994 - May 1997
Massachusetts Department of Public Health May 1991 - August 1994
Skills
Health Plan Quality..., Hospital Quality..., NCQA, CMS Compliance, PMO Leadership, Product Planning, Trend Mitigation, Health Promotion, Quality Improvement, Health Policy, PMO, Hospitals, Disease Management, Healthcare, Healthcare Consulting, Managed Care, Medicare, Utilization Management, Medicaid, Healthcare Industry
Education
Northwestern University - Kellogg School of Management 2008 — 2008
Health Care
D'Amore-McKim School of Business at Northeastern University 2000 — 2001
MBA, Finance, Healthcare
University of Massachusetts 1991 — 1992
none, Public Health
University of New Hampshire 1981 — 1986
Bachelor of Arts (BA), Zoology/Animal Biology
EMC October 2011 - Present
Epsilon November 2009 - September 2011
Tufts Health Plan February 2003 - November 2009
Genuity (formerly BBN planet and GTE internetworing) September 1997 - February 2003
Genuity 1996 - 2003
Onward Technologies 1996 - 1997
Computervision 1986 - 1993
Skills
Oracle, Unix, ETL, Integration, Cross-functional Team...
Education
University of Wisconsin-Madison 1979 — 1984
Choate Rosemary Hall 1977 — 1979
Long Ridge School 1971 — 1974
Mercer September 2014 - Present
Tufts Health Plan January 2013 - August 2014
Tufts Health Plan October 2012 - December 2012
Skills
Leadership, Microsoft Office, Microsoft Excel, PowerPoint, Time Management, Public Speaking, Customer Service, Social Networking, Microsoft Word, Event Planning, Facebook, Team Leadership, Event Management, Social Media, Strategic Planning, Public Relations, Teamwork, Customer Satisfaction, Data Entry, Management, Outlook, Marketing
Education
Coastal Carolina University 2008 — 2012
Bachelor of Science, Business Management
Arlington Catholic High School 2004 — 2008
H.S. Diploma
Shire Pharmaceuticals June 2014 - Present
Shire Pharmaceuticals August 2012 - June 2014
Shire Pharmaceuticals July 2011 - August 2012
Tufts Health Plan April 2010 - July 2011
State Street Corporation November 2007 - April 2010
Skills
MS Office Suite, Lotus Notes, Access, Adobe Acrobat, Process Improvement, Leadership, Data Analysis, Forecasting, Salesforce.com, CRM, Strategy, Customer Service, Customer Satisfaction, Account Management, Vendor Relationships, Data Stewardship, Program Management, Reimbursement, Trending, Strategic Planning, Project Management, Microsoft Office, Microsoft Excel, Marketing
Education
Curry College 2010 — 2012
MASTERS, BUSINESS ADMINSTRATION
Saint Joseph's College 2004 — 2007
BACHELOR OF ARTS, BUSINESS ADMINISTRATION
UMass Med School-Commonwealth Medicine October 2006 - December 2013
Pembroke Hospital 2005 - 2006
Tufts Health Plan 1988 - 1998
Skills
Healthcare, Public Health, Mental Health, Treatment, Medicine, Social Services, Healthcare Management, Health Policy, Healthcare Information..., Managed Care, Quality Improvement, Informatics, Program Management, Government, Policy, Medicaid
Education
University of California, Berkeley 1979 — 1981
MA, Demography
Central Connecticut State University 1977 — 1979
BA, Sociology
Alimera Sciences February 2015 - Present
ThromboGenics November 2012 - January 2015
Transgenomic (Formerly PGxHealth) June 2008 - July 2012
ArthroCare 2006 - 2008
EMD Serono, Inc. 1997 - 2006
EMD Serono, Inc. 2002 - 2002
EMD Serono, Inc. 1997 - 2002
Beech Street 1995 - 1997
Tufts Health Plan 1994 - 1995
Good Samaritan Medical Center September 1992 - September 1993
Skills
Customer Relations, Managed Care, Sales Support, Healthcare, Outstanding Customer..., Team Leadership, Leadership Development, Patient-centered care, Patient Experience, Sales Operations, Product Development, Quality Patient Care, Neurology, Customer Service, Biotechnology, Urology, Infectious Diseases, Leadership, Clinical Research, Pharmaceutical Sales, Endocrinology, Strategy, Surgery, Product Launch, Cardiology, Clinical Development, Pharmaceutical Industry, Training, Medical Devices, Clinical Trials, Lifesciences, Process Improvement, Retina
Education
Northeastern University - Graduate School of Business Administration 2000 — 2003
MBA
Stonehill College 1989 — 1993
BS, Health Care Administration
Notre Dame Catholic High School
Notre Dame Catholic High School
Notre Dame Catholic High School
Notre Dame Catholic High School
Neighborhood Health Plan August 2013 - Present
Neighborhood Health Plan March 2010 - Present
Tufts Health Plan May 2005 - August 2008
Blue Cross Blue Shield of Massachusetts February 2000 - May 2005
Skills
Accounting, Training, Provider Relations, Medicaid, Program Management, Human Resources, HIPAA, Healthcare, Health Insurance, Medicare, Managed Care
Education
Cambridge College 2010 — 2013
Bachelor of Science (BS), Business, Management, Marketing, and Related Support Services, 3.85
Tufts Health Plan September 2014 - Present
CareSource Management Group November 2008 - Present
CareSource Management Group January 2013 - December 2013
Tufts Health Plan November 1995 - May 2008
Tufts Health Plan May 2002 - April 2006
Tufts Health Plan July 2003 - March 2004
Tufts Health Plan November 1995 - May 2002
IntelleTravel International January 1995 - November 1995
Ciba Corning Diagnostics November 1989 - June 1994
Corning Medical November 1981 - December 1988
Skills
Strategic Planning, Healthcare, Business Development, Sales Operations, Marketing, Contract Negotiation, Advertising, Management, Sales Management, Leadership, Managed Care, Start-ups, Account Management, Change Management, Innovation Management, CRM, Customer Experience, Project Planning, Customer Service, Health Insurance, Direct Sales, Marketing Strategy, Sales, Call Center, New Business Development, Selling, Outsourcing, Forecasting, Customer Satisfaction, Lead Change, Enterprise Software, Training, HIPAA, Call Centers, Brand Management, Media Relations, Developing New Markets
Education
D'Amore-McKim School of Business at Northeastern University 2003 — 2004
MBA, Global Business
University of Massachusetts Lowell 1975 — 1979
BEd, music education
Medfield High School
Hugh School Diploma
Keolis Commuter Services February 2014 - Present
Tufts Health Plan June 2007 - August 2013
Lightbridge Inc January 2001 - February 2007
Suffolk County Sheriff's Department November 1989 - January 2001
Skills
Talent Acquisition, Employee Relations, Strategic Planning, Recruiting, Performance Management, Organizational..., Employee Benefits, Business Strategy, Leadership, Onboarding, Leadership Development, Training, Applicant Tracking..., Team Building, Organizational..., Human Resources
Education
Northeastern University 1996 — 1999
MBA, Business
Cornell University 2009 — 2010
Cornell Certified Diversity Professional- CCDP
Suffolk University 1982 — 1986
BS, Industrial & Organizational Psychology
Tufts Health Plan April 2015 - Present
Homesite Insurance September 2014 - April 2015
Steward Health Care August 2012 - September 2014
Mercer May 2012 - August 2012
Knights of Columbus July 2011 - May 2012
Avis Budget Group April 2011 - June 2011
BlueCross BlueShield of MA April 2008 - April 2011
BNY Mellon June 2007 - April 2008
Skills
Employee Benefits, Public Policy, Finance, Analysis, Data Analysis, Policy Analysis, Accounting, PowerPoint, Microsoft Excel, Grassroots Organizing
Education
College of the Holy Cross 2003 — 2007
Bachelors, Economics
Tufts Health Plan October 2013 - Present
Integra Partners September 2015 - Present
MedSolis February 2013 - Present
Independent March 2013 - September 2013
Inova Health System December 2012 - February 2013
Amerigroup September 2010 - December 2012
HP Enterprise Services March 2008 - June 2010
Hamilton Health Center 1992 - 2008
APS Healthcare 2005 - 2007
Pennsylvania Department of Public Welfare 1995 - 2003
Skills
Healthcare Management, Managed Care, Disease Management, Medicaid, Healthcare IT, Profit & Loss Management, CEO, Contract Negotiation, Healthcare Information..., Team Building, CEOs, Healthcare, Income Statement, Health Policy, Medicaid Managed Care, P&L Management, Program Management, Process Improvement, Business Development, Leadership, Informatics, Health Insurance, Healthcare Industry, Healthcare Consulting, Strategic Planning, Utilization Management, Policy, EHR, HIPAA, Quality Improvement, Public Health, Medicare, Hospitals, Medicine, Clinical Research, Physicians, Strategy, Management
Education
University of St. Francis 1994 — 1997
MHSA, Health Services Administration
Columbia University College of Physicians and Surgeons 1980 — 1984
MD, Medicine
Dartmouth College 1977 — 1980
AB, Chemistry
IBM May 2014 - Present
NHP May 2012 - August 2012
PricewaterhouseCoopers January 2012 - April 2012
Tufts Health Plan September 2011 - December 2011
Coe College Computer Services January 2010 - June 2011
Nassif House May 2010 - August 2010
The Birkey Investment Fund, Cedar Rapids, IA August 2010 - 2010
Skills
QuickBooks, Java, Eclipse, SAS, QNXT, Microsoft Office
Education
Southern New Hampshire University 2012 — 2014
Master of Science (MS), Information Technology
Coe College 2007 — 2011
Bachelors of Arts, Economics and Business
Handled with Care Transitions 2005 - Present
Tufts Health Plan 2008 - 2009
OnProcess Technology 2006 - 2007
Brown Brothers Harriman & Co 2001 - 2005
Putnam Investments 1998 - 2001
Cross Country Automotive Services 1994 - 1999
Skills
Sales, Program Management, Training, Sales Management, Management, Employee Benefits, Recruiting, Strategy, Analysis, Project Planning, Software Documentation, Microsoft Office, Insurance, Change Management, New Business Development, SDLC, Business Process, Time Management, Business Analysis, Team Leadership
Education
Clark University 1984 — 1987
BA
UCLA
sweetgreen September 2015 - Present
sweetgreen May 2015 - Present
Mother of Two February 2014 - Present
SJB Gifts (Custom made Gift Baskets) March 2013 - Present
BMC HealthNet Plan/Well Sense Health Plan December 2013 - February 2014
Tufts Health Plan September 2013 - December 2013
Fidelity Investments January 2013 - June 2013
Historic Tours of America April 2011 - August 2012
Sephora Beauty Authority October 2010 - April 2011
Sunglass Hut March 2010 - April 2011
Skills
Event Planning, Customer Service, Management, Social Media, Event Management, Sales, Strategic Planning, Microsoft Excel, Project Management, Leadership, Public Speaking, Budgets, PowerPoint, Training, Teamwork, Time Management, Social Networking, Communication, Research, Facebook
Education
Cambridge College 2012 — 2013
Year Up Program, Information Technology
Newton South High School 2002 — 2006
Diploma, All requirements fulfilled to Graduate
MD Anderson Cancer Center March 2012 - Present
MD Anderson Cancer Center September 2010 - March 2012
Signature Consultants October 2007 - November 2007
The Wellspring Group March 2007 - September 2007
Workscape August 2006 - March 2007
Tufts Health Plan February 2001 - August 2006
Texas Mutual Insurance Company September 1999 - December 2000
Arthritis Diagnostic and Treatment Center November 1997 - July 1999
Trinity Health August 1996 - June 1997
Hawaii Medical Service Association October 1993 - December 1995
Skills
Healthcare IT, HIPAA, Healthcare, Budgeting, Visio, MS Project, Software Project..., Business Analysis, health informatics, Healthcare Information..., SDLC, Access, Business Requirements, Insurance, Management, Process Improvement, Software Documentation, Project Management, Hospitals, Requirements Gathering, EMR, Data Analysis, Training, Program Management, Customer Service, Requirements Analysis, Strategic Planning, Healthcare Management, User Acceptance Testing, Systems Analysis, Business Process..., Consulting, Vendor Management
Education
The University of Texas Health Science Center at Houston 2009 — 2010
Graduate Certificate, Health Informatics
Central Michigan University 1996 — 1998
MSA, Healthcare Administration
University of Hawaii at Manoa 1991 — 1993
BA, English
Mililani High School 1985 — 1989
Cornell University August 2015 - Present
Tufts Health Plan February 2014 - July 2015
Tufts Health Plan July 2013 - February 2014
Tufts Health Plan July 2012 - July 2013
Tufts Health Plan June 2011 - August 2011
Royal Real Estate January 2004 - January 2009
Skills
Microsoft Office, Higher Education, Public Speaking, PowerPoint, Microsoft Excel, Healthcare, Microsoft Word, Nonprofits, Program Management, Program Development, Project Management, Strategic Planning, Analysis
Education
Cornell University Graduate School 2015 — 2017
Master’s Degree, Sloan Program in Health Administration
University of Massachusetts, Amherst 2008 — 2012
Bachelor's Degree, Business Management & Public Health Sciences, Suma Cum Laude; Commonwealth Honors College with Greatest Distinction
Christ College - Bangalore 2011 — 2011
Indian Culture, Business, Health
Danish Institute for Study Abroad 2010 — 2010
Corporate Sustainability, Health Systems
Tufts Health Plan August 2015 - Present
Boston Children's Hospital March 2015 - July 2015
The Sole Proprietor July 2014 - March 2015
The Committee to Elect Harriette L. Chandler October 2014 - November 2014
The Committee to Elect Moses Dixon April 2014 - September 2014
City of Worcester January 2014 - May 2014
Husky Deli June 2013 - August 2013
Argosy Cruises June 2013 - August 2013
Camp Burton and Conference Center June 2012 - September 2012
The Riptide, Vashon Island High School Newspaper September 2009 - February 2010
Skills
Research, Microsoft Office, Community Outreach, Public Speaking, Event Planning, PowerPoint, Politics, Social Media, Microsoft Word, Policy, Adobe Design Programs, Final Cut Pro, Legal Research, Public Relations, Editing, Scheduling
Education
Clark University 2010 — 2014
Bachelor of Arts (B.A.), Political Science
The University of Stirling 2013 — 2013
Comparative Politics, Great Political Thinkers, Scottish Society
Vashon Island High School 2006 — 2010
High school diploma
Tufts Health Plan February 2013 - Present
KarenDrummey.com April 2001 - Present
WSI Corporation June 2012 - January 2013
Vistaprint January 2007 - June 2012
Gemini Properties February 2004 - January 2007
Computer Warehouse December 2001 - February 2003
Massachusetts Bar Association November 2000 - November 2001
The Casual Cup November 1995 - November 1998
Skills
Articulate Storyline, Articulate Studio, Captivate, Lectora, SnagIt, Word, Photoshop, PowerPoint, Excel, Social Media, Audacity, Quickbooks, Goldmine, Instructional Design, Dreamweaver, E-learning, Adult Education, Adobe Acrobat, Microsoft Office, HTML, Editing, Customer Relations, Video, Teaching, Outlook, Online Training, Camtasia, RoboHelp, Microsoft Word, E-Learning, Blended Learning, Software Documentation, Customer Service, Web Design, Training, Technical Writing, ADDIE, Online Marketing, Email Marketing, Needs Analysis, Blogging, Content Development, Learning Management..., Instructor-led Training
Education
Clark University
Certificate, Web Site Design
University of Massachusetts, Amherst
M. Ed., Organizational Development
University of Massachusetts, Amherst
B.S., Psychology
Tufts Health Plan October 1997 - Present
Skills
Business Analysis, Process Improvement, SDLC, Microsoft Excel, Analysis, Requirements Analysis, SQL, Vendor Management, Program Management, Java, HTML, CSS, Javascript, DBMS, Agile, UML, Electronic Data...
Education
Colorado Technical University 2013 — 2016
Bachelor of Science (BS), Information Technology, Software Systems Engineering, 3.95 GPA
Clark University 1999 — 2000
Certificate - Client Server Application Development, Information Technology
Liberty Mutual Insurance June 2015 - Present
Liberty Mutual Insurance September 2014 - June 2015
Liberty Mutual Insurance November 2012 - September 2014
Tufts Health Plan June 2012 - November 2012
Tufts Health Plan January 2012 - June 2012
Unum May 2010 - December 2011
Education
Colgate University 2006 — 2010
BA, Mathematics, Economics
Harvard Vanguard Medical Associates 2007 - Present
Harvard Vanguard Medical Associates 2005 - 2007
Tufts Health Plan 2002 - 2005
Verizon Information Services 1997 - 2001
Cerner Corporation 1995 - 1997
Skills
Instructional Design, Epic Systems, Training Delivery, Webinar Presentation, Process Improvement, EMR Training, EHR, Healthcare Information..., Curriculum Development, Project Management, Project Planning, Leadership, Program Management
Education
UMass Boston 1993 — 1995
Master of Education (M.Ed.), Instructional Design
Cornell University
Bachelor of Science (B.S.), Nutrition Sciences
MeYou Health August 2014 - Present
Heywood Hospital November 2011 - Present
Tufts Health Plan August 2011 - August 2014
Cornerstone Advisors January 2011 - November 2011
Beacon Partners 2010 - February 2011
MEDITECH April 2007 - September 2010
UMass Boston 2005 - 2007
UMass Boston February 2006 - September 2006
Skills
CPOE, EMR, EHR, Ambulatory, Meditech, Healthcare Information..., Informatics, Software Documentation, Inpatient, Hospitals, Clinical Research, Physicians, HIPAA, Nursing, Healthcare Consulting, HL7
Education
Villanova University 2010 — 2011
Master Certificate, IT\IS Project Management
University of Massachusetts Boston 2003 — 2006
B.A., Psychology
Colby Sawyer College
Simmons Online - Simmons College September 2015 - Present
City Year March 2014 - August 2015
John Hancock Manulife February 2014 - May 2014
Tufts Health Plan April 2013 - January 2014
Health Leads March 2013 - June 2013
Shawmut Design and Construction November 2012 - February 2013
Group Insurance Commission February 2012 - November 2012
PatientKeeper, Inc. August 2006 - January 2012
various September 2005 - August 2006
Monitor Software February 2005 - September 2005
Skills
Information Architecture, Copy Editing, Copywriting, FrameMaker, Adobe Acrobat, HTML, Visio, RoboHelp, SnagIt, Dreamweaver, Captivate, Photoshop, Editing, QuarkXPress, Word, Agile, PowerPoint, Excel, ClearCase, Online Help, Manuals, Technical Documentation, Writing, Instructional Design, Paint Shop Pro, Software Documentation, Technical Writing, Technical Communication, Guides, Tutorials, Content Management, Document Design, Information Mapping, Documentation, Release Notes, Scrum, InDesign, Mac, Online Help Development, XML, Single Sourcing, Webwork, Localization, Publishing, Reference Manuals, Style Guides, Information Design, Web Content, Indexing, E-learning
Education
UMass Boston 2011 — 2012
N/A
Colby-Sawyer College
A.A. Magna Cum Laude
University College Dublin
B.A. (Hons)
Tufts Health Plan August 2011 - May 2012
Tufts Health Plan June 2008 - July 2011
Skills
Writing, Creative Writing, Customer Service, Communication, Microsoft Word, Analysis, Investigation, Close Attention to..., problem solving, Problem Solving
Education
Colorado State University 2002 — 2007
Bachelor's degree, History
Riverside Boat Club June 2010 - Present
Tufts Health Plan January 2013 - May 2015
Vesper Boat Club June 2012 - August 2012
Community Rowing, Inc, Spaulding Rehabilitation Hospital, and Harvard Medical School February 2012 - June 2012
Community Rowing, Inc September 2010 - June 2012
University of Michigan, Internal Medicine Department April 2010 - June 2010
Allegheny General Hospital June 2007 - December 2007
Skills
Program Curriculum..., Program Registration..., Youth Travel..., Website Design, Financial Reporting, Video Editing, VO2max Testing, Lactate Testing, Research Coordination, Neuropsychological..., Data Analysis, Data Coding, Statistical Analysis, Powerview, Dartfish, Smart Oar, Event Management, Corporate Event..., Volunteer Coordination, Excel, Web Design, Fundraising, Coaching, Research, Volunteer Management, Sports, Microsoft Excel, Statistics
Education
Institute for Rowing Leadership 2011 — 2012
Advanced Certificate, Rowing Leadership
Carnegie Mellon University 2005 — 2009
Bachelor of Science (BS), Psychology and Biology
Tufts Health Plan April 2014 - Present
Tufts Health Plan May 2012 - April 2014
Tufts Health Plan January 2011 - May 2012
Tufts Health Plan November 2010 - January 2011
Professional Staffing Group April 2010 - January 2011
Professional Staffing Group April 2010 - November 2010
Trivia Buff 2009 - 2010
Moviestop August 2009 - December 2009
Westfield State College February 2006 - October 2008
St. Joseph's Summer Theatre March 2006 - August 2008
Skills
Medicare, Microsoft Excel, Public Speaking, Leadership, Time Management, Conflict Resolution, Lotus Notes, Healthcare, Health Insurance, Macess, Team Leadership, Diamond, CCMS, Recruiting, Nonprofits, Operations Management, HMO, ICD-9, Statistical Reporting, Medicare Advantage, Business Efficiency, Treasury Management, Film History, Political Geography, Trivia, Kickball, Employee Benefits, Toastmasters, Member of Toastmasters, Microsoft Access, Oracle Reports, SQL, Access Database, Business Analysis, Budgets, Siebel, Access
Education
Northeastern University - Graduate School of Business Administration 2011 — 2016
MBA, Healthcare Management
Westfield State University 2009 — 2011
Bachelor of Science (B.S.), Business Administration and Management, General
Westfield State College 2005 — 2010
Bachelor of Arts (B.A.), Liberal Arts and Sciences/Liberal Studies
Needham HS 2001 — 2005
HS Diploma, General Studies
First Data Corporation March 2014 - Present
Hill and Partners Inc. July 2011 - September 2013
Nimlok MA December 2004 - July 2011
Champion Exposition Services June 1995 - 2004
Tufts Health Plan 1993 - 1994
Skills
Trade Shows, Marketing Communications, Integrated Marketing, Event Management, Marketing, Lead Generation, Account Management, Sales, Social Media, Marketing Strategy, Strategic Planning, Advertising, B2B, Email Marketing, Digital Marketing, Direct Marketing, Event Planning, Marketing Management, New Business Development, Online Advertising, Online Marketing, Product Marketing, Public Relations, Salesforce.com, Social Media Marketing
Education
Curry College 1994 — 1995
BS, Communication and Design
Northeastern University 1991 — 1994
Tufts Health Plan January 2014 - Present
Girl Scouts of Eastern Massachusetts September 1995 - Present
Policy Analysis Inc August 2011 - January 2014
Economic Student Advisory Board September 2009 - May 2011
Colorado College Economics Department November 2010 - December 2010
Family in Waban, MA July 2010 - August 2010
Mosaic September 2008 - June 2009
Monroe Salt Works May 2008 - August 2008
Temple Emanuel September 2005 - May 2007
Temple Mishkan Tefilah September 2003 - May 2007
Skills
Spanish, Teaching, Research, Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Stata
Education
Colorado College 2007 — 2011
BA, Mathematical Economics
MedTouch January 2012 - Present
Tufts Health Plan July 2011 - January 2012
e-Dialog May 2008 - February 2011
Web Freelancer 2003 - 2011
Staples 2006 - 2008
City Year 2001 - 2003
WGBH 2000 - 2001
CitySoft January 1999 - February 2000
Skills
CSS, HTML 5, jQuery, JavaScript, User Experience, PHP, Front-end, Drupal, Adobe Creative Suite, User Interface, Flash, Databases, MySQL, WordPress, HTML5, SEO, Adobe Fireworks, Web Analytics, Joomla, XHTML, ColdFusion, Ruby on Rails, AJAX, User Interface Design, Responsive Designs, Premiere, .NET, Ruby, jQuery Mobile, jQuery UI, Sony Vegas, Adobe Edge, AngularJS
Education
Clark University 1999 — 2001
Fine Arts
Clark University Computer Institute 1999 — 2000
Certificate, Web/Graphic Designs
CONMED Corporation April 2014 - Present
MedTech Association October 2014 - Present
ProCure Treatment Centers Inc. July 2008 - July 2014
Epstein Becker & Green November 2003 - July 2008
Hinman Straub P.C. June 2002 - September 2002
Tufts Health Plan May 2001 - August 2001
MVP Health Care June 2000 - September 2000
Independent Health September 1998 - June 2000
Skills
Health Law, Legal Writing, Corporate Governance, Corporate Law, Privacy Law, Litigation, Policy, Health Care Compliance, Legal Research, Healthcare, Civil Litigation, Administrative Law, Legal Compliance, Product Liability, Litigation Management, Trademarks, Health Care Fraud, Employment Law, Mergers & Acquisitions, FCPA, Copyright Law, Mediation, Medicaid, Medicare, Medical Compliance, Mergers, Strategic Planning, Business Planning, Problem Analysis, Problem Solving, Health Care Regulation, Healthcare Management, Healthcare Reimbursement, Medicare/Medicaid..., Physician Relations, Health Care Systems, Stark, Anti-Kickback Statute, False Claims, Medical Devices
Education
Syracuse University College of Law 2001 — 2003
Doctor of Law (J.D.), Law
Colgate University 1994 — 1998
Bachelor of Arts, Political Science
IMS Health December 2014 - Present
IMS Health December 2013 - November 2014
The Amundsen Group January 2012 - December 2013
The Amundsen Group January 2010 - December 2011
The Amundsen Group May 2007 - December 2009
Tufts Health Plan January 2007 - April 2007
Skills
Data Analysis, Healthcare, ETL, IT Management, Microsoft SQL Server, SQL, Program Management, Data Modeling, Business Analysis, Business Intelligence, Management
Education
Cornell University 2002 — 2007
B.A. cum laude, Psychology, Neuroscience
Massachusetts General Hospital July 2013 - Present
Starling Advisors March 2013 - Present
Massachusetts General Hospital June 2011 - July 2013
Arcadia Solutions March 2009 - May 2011
Arcadia Solutions March 2007 - March 2009
Tufts Health Plan September 2006 - March 2007
Skills
Operations Management, Process Evaluation, Healthcare Management, Business Intelligence, Strategic Planning, Data Analysis, Program Management, Process Improvement, Project Management, Hospitals, Epidemiology, Program Evaluation, Health Policy, Strategy, Healthcare, EHR, Healthcare Information..., Healthcare Consulting, Change Management
Education
Yale University 2009 — 2011
Masters of Public Health, Health Management
Dartmouth College 2002 — 2006
A.B., Anthroplogy, Self Designed Minor in Health Policy
Blue Cross Blue Shield of Massachusetts June 2009 - Present
Blue Cross Blue Shield of Massachusetts March 2007 - June 2009
Tufts Health Plan August 2005 - March 2007
Aetna 2002 - 2005
Aetna 2001 - 2002
Skills
Data Analysis, Analysis, Health Insurance, Data Warehousing, Business Analysis, Healthcare Information..., Cognos, Microsoft Excel, Microsoft Office, PowerPoint, Databases, Vendor Management, Microsoft Word, Microsoft SQL Server, Underwriting, Outlook, Database Design, Informatics, Leadership, Access, Process Improvement, Managed Care, Claim, Analytics, Healthcare
Education
Suffolk University 2008 — 2011
MHA, Healthcare
Central Connecticut State University 1996 — 2001
BA, Mathematics and Economics
Independent Healthcare Consulting September 2013 - Present
Network Health January 2008 - July 2013
Tufts Health Plan 1996 - 2006
Harvard Community Health Plan 1992 - 1996
Harvard Pilgrim Healthcare 1992 - 1996
Skills
Insurance, Managed Care, Underwriting, Leadership, Management, Project Planning, Process Improvement, Budgets, Health Insurance, Actuarial Science, Medicaid, Employee Benefits, Healthcare, Medicare, Forecasting, Pricing
Education
D'Amore-McKim School of Business at Northeastern University 1977 — 1980
MBA, Business
Tufts Health Plan May 2014 - Present
Tufts Health Plan November 2012 - April 2014
Tufts Health Plan January 2011 - November 2012
Tufts Health Plan January 2009 - January 2011
Women Unlimited, Inc. December 2009 - May 2010
Tufts Health Plan August 2005 - January 2009
Partners HealthCare System 2001 - August 2005
Avega, a MedAssets Company 1998 - 2001
Skills
Provider Contracting, Contract Negotiation, Strategic Planning, Product Strategy, Business Analysis, Management, Provider Relations, Healthcare Consulting, Health Insurance, Network Development, Healthcare Management, Medicare, Healthcare, Corporate Finance, Strategic Financial..., Decision Support, Managed Care, Healthcare Industry, PPO, Strategy
Education
Clark University I UMass Medical School 1997 — 1998
MHA, Health Administration
Clark University 1993 — 1997
BA, Psychology
University of London 1996 — 1996
Birkbeck College
Tufts Health Plan April 2014 - Present
Tufts Health Plan February 2013 - April 2014
Tufts Health Plan September 2011 - January 2013
Division of Health Care Finance and Policy February 2010 - October 2011
Division of Health Care Finance and Policy April 2008 - February 2010
Division of Health Care Finance and Policy July 2002 - March 2008
Executive Office of Health and Human Services, MA 2003 - 2003
U.S. Department of Health and Human Services June 1999 - September 2002
Congressman Marty Meehan's Office 1995 - 1997
Skills
Healthcare, Medicaid, Policy, Medicare, Health Policy, Healthcare Information...
Education
Columbia University - School of International and Public Affairs
Ithaca College
Maplewood Senior Living April 2015 - Present
Benchmark Senior Living October 2014 - April 2015
Wingate Healthcare February 2013 - August 2014
HealthBridge Management September 2007 - January 2013
Sunrise Senior Living March 2003 - September 2006
Tufts Health Plan March 2000 - March 2003
Skills
Budgets, Case Managment, Clinical Research, Community Outreach, Competitive Analysis, Customer Service, Elder Care, Event Planning, Fundraising, Healthcare, Healthcare Information..., Healthcare Management, Home Care, Hospitals, Long-term Care, Managed Care, Marketing, Marketing Strategy, Medicaid, Medicare, Nonprofits, Nursing, Physician Relations, Program Development, Public Speaking, Team Building
Education
Curry College 1988 — 1992
Tufts Health Plan July 2007 - Present
YMCA Boston Achievers 2012 - 2015
ARKS New England 2005 - 2008
Crohn's & Colitis Foundation of America May 2007 - July 2007
Warm Spirit 2006 - 2007
City of Boston 1986 - 2000
Skills
Strategic Planning, Employee Benefits, Marketing, Grant Writing, Medicare, Insurance, Coaching, Managed Care, Account Management, Marketing Strategy, Event Planning, Leadership Development, PowerPoint, Training, Leadership, Sales, Recruiting, Process Improvement, Data Analysis, Outlook, Analysis, Medicare Part D, Medicaid, Program Management, Provider Relations, Disability Insurance, CRM, HIPAA, Call Centers, HMO, Claim, Healthcare Industry
Education
Cambridge College 1993 — 1995
Medford High School 1967 — 1971
College Prep
Brigham and Women's Physicians Organization August 2007 - Present
BWPO June 2004 - August 2007
Tufts Health Plan 2001 - 2004
Tufts Health Plan 1998 - 2001
Skills
Managed Care, Network Development, Physicians, Healthcare Management, Medicare, Healthcare, Health Insurance, Strategic Planning, Medicine, Healthcare Information..., Healthcare Consulting, Informatics, Medicaid, Strategy, Clinical Research, Hospitals, Program Development, Healthcare Industry, Data Analysis, Health Policy, EMR, EHR, Medical Education, Physician Relations, Public Health, Quality Improvement, Revenue Cycle, Patient Safety, Disease Management, Nursing, Epidemiology, Practice Management, Leadership, Team Leadership
Education
Dartmouth College 1977 — 1981
Bachelor of Arts (B.A.), Chemistry with Environmental Studies
Bose Corporation January 2014 - Present
Bose Corporation June 2005 - January 2014
Tufts Health Plan April 1999 - May 2005
Skills
PMO, Project Portfolio..., Program Management, Process Improvement
Education
Cornell University 1992 — 1994
MRP, Master of Regional Planning
Yale New Haven Hospital July 2012 - Present
Center for Outcomes Research and Evaluation (Yale/YNHH) August 2011 - July 2012
New England Research Institutes, Inc. (NERI) June 2008 - August 2011
New England Research Institutes, Inc. (NERI) June 2007 - June 2008
Commonwealth of Massachusetts/EOHHS IT January 2006 - June 2007
Tufts Health Plan November 2004 - December 2005
Mailman School of Public Health, Columbia University 2002 - 2003
Skills
Data Management, SAS, Data Analysis, Clinical Research, Project Management
Education
Columbia University - Mailman School of Public Health 2001 — 2004
MPH, Sociomedical Sciences
University of Massachusetts, Amherst 1994 — 1998
BA, Anthropology
Boston Scientific Scientific Communications Project ManagerBoston ScientificJanuary 2008 - November 2012
Tufts Health Plan July 2004 - 2007
Tufts Health Plan September 2003 - July 2004
Skills
Health Insurance, Healthcare, Medical Devices, Process Improvement, Visio, Managed Care
Education
Coastal Carolina University 1996 — 2000
Tufts Health Plan July 2014 - Present
Tufts Health Plan January 2012 - June 2014
Tufts Health Plan March 2007 - December 2011
Tufts Health Plan 2005 - 2007
Tufts Health Plan 2001 - 2005
Education
Clark University
Oracle 8.0 Database Administration Certificate
University of Massachusetts, Amherst
Bachelor of Science
SCAN Health Plan February 2014 - Present
Barnsdall Art Center Student Advisory Committee (BACSAC) November 2011 - Present
Ticpics June 2013 - Present
Venice Arts July 2012 - April 2013
UCLA October 2004 - December 2010
UCLA April 2004 - October 2004
Soul City June 2003 - September 2003
Tufts Health Plan May 2000 - August 2002
Tufts Health Plan July 1998 - May 2000
Tufts Health Plan October 1997 - June 1998
Skills
Public Health, Program Evaluation, Health Education, Conflict Resolution, Customer Service, Community Health, Data Analysis, Management, Project Management, Project Coordination, Creative Solutions, Questionnaire Design, Mediation, Creative Writing, Critical Thinking, Supervisory Experience, Relationship Management, Photography, Problem Solving, Youth Mentoring, Art Education, Networking, Interpersonal Skills, Liaison, Program Design and..., Metalsmithing, Research Interviewer..., Hiring Employees, Volunteer Management, Training
Education
University of California, Los Angeles 2002 — 2004
MPH, Public Health
Curry College 1989 — 1993
BA, Major: Sociology Minors: Photography and English.
Barnsdall Art Center
Faulkner Consulting Group 2011 - Present
Self-employed 2001 - September 2012
Tufts Health Plan 1997 - 2001
Mercer Management Consulting 1991 - 1996
Skills
Strategy, Nonprofits, Healthcare, Strategic Planning
Education
Harvard University, John F. Kennedy School of Government 1996 — 1998
MPP, Health Policy
Dartmouth College 1987 — 1991
Tufts Health Plan December 2008 - Present
Appleseed Consumer Insight June 2008 - December 2008
Market Opinion Research 1993 - 1998
CSC Healthcare Systems, Inc. 1992 - 1993
Professional Research Consultants 1990 - 1991
Education
Clarkson University 1984 — 1988
BS, Technical Writing
PrismHR September 2015 - Present
Tufts Health Plan June 2013 - September 2015
PFERD INC. May 2004 - January 2013
PFERD INC. March 2002 - April 2004
Anderson Power Products October 1995 - February 2002
Micron Separations/Osmonics March 1992 - October 1995
Skills
Product Development, Product Management, Product Marketing, Customer Service..., Customer-focused, Operation Efficiencies, Strategic Planning, Coaching, Management, Sales Operations, Pricing, Cross-functional Team..., Competitive Analysis, Business Development, New Business Development, Leadership, Operations Management, Program Management, Customer Satisfaction, Sales, CRM, Process Improvement, Team Building
Education
Clark University 2013 — 2013
Master of Science (MS), Information Technology
Nichols College 2001 — 2003
MBA
Emmanuel College
BS, Business Administration
Milliman Advanced Risk Technologies May 2012 - Present
Deerwalk Inc October 2011 - May 2012
Verisk Health May 2010 - April 2011
Verisk Health September 2008 - April 2010
DxCG/Urix/Verisk Health January 2005 - August 2008
Tufts Health Plan 1998 - 2002
BCBSMA Health Center Division 1996 - 1999
Skills
Healthcare Information..., Healthcare Consulting, Healthcare, Managed Care, Solution Selling, Predictive Modeling, Insurance, Informatics, Strategic Planning, Healthcare Industry, Business Development
Education
College of the Holy Cross 1970 — 1974
BA
University of California, Berkeley
MPH
University of Pennsylvania
MA
Ohio University September 2007 - Present
athenahealth 2007 - 2007
Tufts Health Plan 2006 - 2007
Education
Colby College 2002 — 2006
BA - Honors, Philosophy, English
Tufts Health Plan February 2015 - Present
Harvard Pilgrim Health Care December 2008 - February 2015
Viper Consulting Inc. September 2005 - November 2008
Vicor 2008 - 2008
Momenta 2007 - 2008
iRobot 2007 - 2008
Cognex Corporation 2007 - 2008
SoundBite Communications 2006 - 2008
Moldflow 2006 - 2008
Vitale, Caturano & Company 2005 - 2006
Skills
Process Improvement, Compliance, Sarbanes-Oxley Act, Risk Management, Business Process..., Internal Audit, Security, HIPAA, Internal Controls, Auditing, Management, Risk Assessment, Business Process, Governance, Team Building, Financial Reporting, Insurance, Healthcare, IT Audit
Education
Curry College 2003 — 2005
BA, Communications
Dean College 2000 — 2002
Tufts Health Plan April 2010 - Present
Tufts Health Plan December 2008 - April 2010
Skills
Health Insurance, Insurance, Provider Relations, Account Management
Education
College of the Holy Cross 2004 — 2008
Bachelor of Arts, Sociology
Tufts Health Plan - Network Health July 2013 - Present
Fidelity Investments November 2006 - June 2013
Tufts Health Plan February 2004 - November 2006
Fidelity Investments September 2002 - February 2004
Exodus Communications January 1999 - February 2002
Cahners Publishing August 1998 - January 1999
Electronic Data Systems September 1996 - August 1998
Skills
Project Management, Program Management, Business Analysis, Presenting to Senior..., Critical Thinking, Vendor Management, Agile Project Management, Requirements Analysis, Software Development..., SQL, MS Project, Visio, Software Project..., PMP, Agile Methodologies, Leadership, Business Strategy, Requirements Gathering, SDLC
Education
Northeastern University - Graduate School of Business Administration 1995 — 1996
MBA, Finance, Business
University of Massachusetts, Amherst 1986 — 1990
BA, Political Science
Tufts Health Plan 2012 - Present
Covington & Burling LLP 2008 - 2012
U.S. District Court for the Southern District of New York 2007 - 2008
Education
Columbia Law School 2004 — 2007
J.D., Law
Harvard University 1999 — 2003
A.B., Government
Classical High School, Providence, RI 1995 — 1999
Cape Cod Healthcare / Cape Cod Health Network August 2010 - Present
Lowell General PHO September 2009 - August 2010
Blue Cross Blue Shield of Massachusetts 2007 - 2009
Blue Cross Blue Shield of MA 2003 - 2007
Tufts Health Plan 2000 - 2003
Tufts Health Plan 1999 - 2000
Children's Hospital Boston 1997 - 1999
Partners HealthCare 1995 - 1997
Massachusetts General Hospital 1994 - 1995
Skills
Analysis, Financial Modeling, Leadership, Management, Contract Negotiation, Finance, Project Planning, Negotiation, Managed Care
Education
Suffolk University - Sawyer Business School 1997 — 2000
MBA, Health Administration
College of the Holy Cross 1990 — 1994
BA, Biology
Lanyon February 2015 - Present
Tufts Health Plan June 2014 - February 2015
P3I November 2011 - June 2014
Healthcare Source December 2010 - November 2011
USCG October 2002 - April 2010
Skills
NIST, Information Assurance, DIACAP, CISSP, Vulnerability Assessment, FISMA, Computer Security, Information Security, Network Security, Information Security..., Security, CompTIA, COMSEC, Vulnerability Management, Security+, Military Experience, Threat & Vulnerability..., Operational Risk..., DoD, Network, Network Engineering, McAfee, Nessus, Security Policy, Vulnerability Scanning
Education
Capella University 2010 — 2013
MS, Information Assurance
ECPI University 2007 — 2010
BS, Networking and Security Managment
SANS
FOR508, Advanced Digital Forensics and Incident Response
Tufts Health Plan September 2006 - Present
Tufts Health Plan January 1996 - September 2006
Tufts Health Plan July 1993 - January 1996
Computerland (formerly Nynex Business Centers) September 1991 - July 1993
Skills
Business Requirements, Requirements Gathering, Lotus Notes, Business Analysis, Process Improvement, Email, Email Archiving, Email Strategy, Email Encryption, Call Center, Call Center Architecture, Mobile Technology, Project Planning, Collaborative Problem..., Call Centers, Software Documentation, Healthcare Information..., Business Intelligence, Requirements Analysis, Vendor Management
Education
Clark University
Tufts Health Plan March 2014 - Present
Blue Cross Blue Shield of Massachusetts 2012 - March 2014
Blue Cross Blue Shield of Massachusetts October 2003 - September 2012
Blue Cross Blue Shield of Massachusetts 2003 - 2008
Merck Pharmaceuticals 2001 - 2003
Skills
Managed Care, Utilization Management, Project Management, Healthcare, Medicaid, Health Policy, Clinical Research, Strategy, Leadership, Healthcare Management, Disease Management, Program Management, Cross-functional Team..., Software Documentation, Process Improvement, Health Insurance, Management
Education
Tufts University 1998 — 2000
MS/MPH, Nutritional Sciences
Cornell University 1994 — 1998
BS, Nutritional Sciences
MPH, MS, RD
UMass Memorial Healthcare, Inc October 2011 - Present
Healthcare Financial Management Association (HFMA) June 2014 - Present
UMass Memorial Health Care, Inc July 2005 - October 2011
Tufts Health Plan 1995 - 1997
Skills
Healthcare, Healthcare Management, Inpatient, Analysis, Physicians, Revenue Cycle, Financial Analysis, Budgets, Strategic Planning, Healthcare Information..., Clinical Research, Forecasting, Hospitals, Healthcare Consulting
Education
Clark University
MHA
Tufts Health Plan receptionistArlington Lithograph1990 - 1997
Quinsept Inc. September 1986 - September 1990
Education
Clark University 1996 — 1997
Client/Server Development Certificate Program
Arlington High School 1982 — 1986
High School
Cambridge Health Alliance February 2011 - Present
Inman Pharmacy May 1998 - February 2011
Tufts Health Plan 2001 - 2004
Chartwell Home Therapies 1995 - 1998
Skills
Healthcare, Hospitals, EMR, EHR, Healthcare Information..., Epic Systems, Informatics, HIPAA, Meditech, Pharmacy, Health Insurance, Analysis, Data Analysis, Healthcare Management, Managed Care
Education
Northeastern University
Clark University 1998 — 1999
Computer Network Engineering
Blue Cross Blue Shield of Massachusetts March 2015 - Present
Blue Cross Blue Shield of Massachusetts November 2012 - March 2015
Blue Cross Blue Shield of Massachusetts July 2010 - November 2012
Blue Cross Blue Shield of Massachusetts July 2007 - July 2010
Blue Cross Blue Shield of Massachusetts August 2005 - July 2007
Tufts Health Plan April 2005 - July 2005
Favorite Healthcare Staffing July 2003 - March 2005
Women and Infants Hospital June 1989 - November 2002
Skills
Case Management, Utilization Management, Clinical Research, Management, Managed Care, Healthcare, Health Policy, Medicare, Healthcare Information..., Health Insurance, HIPAA, Healthcare Management, Medicaid, Hospitals, Insurance, Quality Improvement
Education
Roger Williams University School of Law
Doctor of Law (J.D.)
Rhode Island College
Bachelor's degree, Registered Nursing/Registered Nurse
Community College of Rhode Island
Associate's degree, Registered Nursing/Registered Nurse
University of Rhode Island 1980 — 1984
Zoology/Animal Biology
Barrington High School 1977 — 1980
High School Diploma
Partners HealthCare May 2013 - Present
UMass Medical School 2009 - April 2013
UMass Medical School 2006 - 2009
UMass Medical School 2005 - 2006
UMass Medical School 2001 - 2004
Tufts Health Plan 1995 - 2000
Skills
Program Development, Public Health, Practice Coaching, Population Health, Project Management, Program Management, Managed Care, Training, Nonprofits, Community Outreach, Health Promotion, Grant Writing, Policy, Healthcare, Prevention
Education
Clark University
BA, Sociology
University of Wisconsin-Madison
MSSW, Health Care Concentration
Tufts Health Plan November 2014 - Present
Tufts Health Plan November 2014 - Present
New England Sinai Hospital July 2005 - Present
Skills
Healthcare Management, Nursing, Management
Education
Curry College 2014 — 2015
Tufts Health Plan July 2014 - Present
Skills
Healthcare Analytics, Public Policy, Statistics, Government Operations, SAS, Health Economics, Healthcare, Public Health
Education
Harvard T.H. Chan School of Public Health 2005 — 2007
MS, Health Policy and Management
Columbia University in the City of New York
BA, Mathematics-Statistics
Tufts Health Plan January 1999 - Present
Allied Security Corporation 1997 - 1998
First Security 1993 - 1997
US Navy 1986 - 1991
Skills
Security, Lotus Notes, Vendor Management, Customer Service, Troubleshooting, Microsoft Office, Process Improvement, Software Documentation, Visio
Education
Capella University 2007 — 2010
Master of Science (M.S.), Computer/Information Technology Administration and Management
Capella University 2006 — 2007
Bachelor of Science (B.S.), Network Information Technology
Baycare Health Partners July 2014 - Present
Consolidated Health Plans July 2013 - July 2014
Consolidated Health Plans January 2007 - June 2013
Macy's East December 1998 - January 2007
Massachusetts Hospital Association December 1994 - June 1996
Tufts Health Plan May 1986 - December 1994
Skills
Insurance, Employee Benefits, Microsoft Office, Health Policy, Hospitals, Customer Service, PowerPoint, Healthcare, Account Management, Microsoft Word, Microsoft Excel, Management, Sales, Team Leadership, Outlook, Social Media, Team Building, Policy, Strategic Planning, Training, Contract Negotiation, Coaching, HIPAA, Teamwork, Public Speaking, Leadership, Brokers, Process Improvement, PPO, Benefits Administration
Education
College of the Holy Cross 1981 — 1985
BA, Pre-med, French
Tufts Health Plan February 2014 - Present
Ledgewood Rehabilitation and Skilled Nursing Center October 2011 - February 2014
Ledgewood Rehabilitation and Skilled Nursing Center September 2013 - December 2013
Kindred Transitional Care and Rehabilitation Center- Blueberry Hill March 2013 - 2013
Ledgewood Rehabilitation and Skilled Nursing Center April 2010 - October 2011
Skills
Healthcare, Nursing, Medicare, Managed Care, Home Care, Nursing Management, Utilization Management, Nursing Process, Healthcare Management, Senior Executive..., Medicine, Long-term Care, Patient Advocacy, Physician Relations, Elder Care
Education
Curry College 2005 — 2009
Bachelor of Science in Nursing
Boston University School of Medicine Student September 2014 - Present
Mass Health Quality Partners 2015 - 2015
Tufts Health Plan November 2007 - June 2014
John Hancock Financial Service March 1997 - November 2007
Skills
Program Management, Program Development, Community Outreach, Data Analysis, Strategic Planning, Teaching, Research, Microsoft Office, Health Insurance, Insurance, Management, Fundraising
Education
Clark University 1971 — 1974
BA, Applied Mathematics
Bentley University
Tufts Health Plan March 2002 - Present
Tufts Health Plan April 1998 - March 2002
Queen Elizabeth II Health Sciences Centre November 1995 - April 1998
Education
Dalhousie University
MBA, Management Information Systems
Dalhousie University
BA (Honours), Political Science
Tufts Health Plan August 2014 - Present
Millennium Pharmaceuticals February 2013 - August 2014
City Sports July 2012 - April 2013
SEKIDS ENGLISH SCHOOL April 2011 - April 2012
REAL ESTATE INNER CIRCLE August 2010 - January 2011
Skills
Social Media, Microsoft Excel, PowerPoint, Microsoft Office, Public Speaking, Microsoft Access, Analysis
Education
Clark University 2010 — 2011
MBA, Finance
Clark University 2007 — 2011
Bachelor of Arts, Business Administration
Elmira College 2005 — 2007
Bachelor of Arts, Business Management
HCL Technologies / State Street November 2014 - Present
Veterans Transportation Services January 2011 - November 2014
Constant Contact September 2008 - January 2011
Geek Squad / Best Buy, Watertown, MA September 2004 - September 2008
Tufts Health Plan January 2000 - January 2004
EDS (Electronic Data Systems) January 1999 - January 2000
US Army January 1993 - January 1999
Skills
Windows Remote Desktop, Remote Troubleshooting, Windows 7 Migration, Customer Service, Remote Access, Management, Microsoft Office, Remote Desktop, Team Building, Troubleshooting, Java Web Services, Customer Satisfaction, Training, Marketing, Leadership, Computer Repair, Desktop Computers, Wireless Networking, Data Migration, IT Solutions, Microsoft Operating..., Windows 7, Apple Software, Technical Support, Performance Enhancement, Disaster Recovery, Data Recovery, Hardware Diagnostics, Computer Diagnostics, Oracle Applications, Mac & PC platforms, PC building, Software Installation, Laptops
Education
Clark University 1999 — 1999
PC Service and Repair Certificate
Waltham High School 1988 — 1993
High School Diploma, General, 12
Tufts Health Plan November 2009 - Present
Public Consulting Group 2006 - 2009
Skills
Management Consulting, Business Process..., Business Analysis, Project Management, Insurance, Health Insurance, Healthcare Information..., Business Case Modelling, Requirements Gathering, Data Analysis, SDLC
Education
Clark University 2007 — 2009
MBA
College of the Holy Cross 2002 — 2006
BA, Political science
BMC HealthNet Plan/Well Sense Health Plan September 2014 - Present
BMC HealthNet Plan January 2012 - September 2014
ikaSystems September 2011 - December 2011
Tufts Health Plan July 2009 - September 2011
Tufts Health Plan July 2008 - July 2009
Muscular Therapy Institute July 2001 - May 2004
Origins Natural Resources January 1998 - January 2001
Skills
Process Improvement, Software Documentation, Team Building, Instructional Design, Leadership, Call Center, Customer Service, Coaching Staff, Internal Communications, Health Insurance, Managed Care, Quality Assurance, Operational Efficiency, Employee Training, Performance Management, Training Delivery
Education
Muscular Therapy Institute 1999 — 2001
Certificate, Muscular Therapy
Colby-Sawyer College
Speech Communications
Leo Orsi November 2014 - Present
PAREXEL International March 2012 - November 2014
Tufts Health Plan September 2007 - January 2012
Dynamics Research Corporation 2004 - September 2007
NORESCO June 2003 - March 2005
State Street May 2002 - June 2003
Arthur D. Little June 1987 - April 2002
Skills
Procurement, Contract Management, Purchasing, Sourcing, Negotiation, Process Improvement, Contract Negotiation, Vendor Management, Strategic Sourcing, Project Management, Cross-functional Team..., Talent Acquisition, Change Management, Recruiting, Program Management, Strategic Planning, Business Analysis, Technical Recruiting, Human Resources, Strategy, Subcontracts Management, Leadership
Education
Northeastern University
Bachelor's degree, Biology/Biological Sciences, General
Northeastern University - Graduate School of Business Administration
MBA
Tufts Health Plan August 2012 - Present
TIC Business Consultants October 2011 - February 2012
Boys and Girls Clubs of Boston July 2011 - November 2011
Wainwright Bank and Trust June 2010 - March 2011
Nike Town Boston July 2006 - May 2010
Blackstone Community Center June 2007 - June 2009
Skills
Sales, Human Resources, Disaster Recovery, Printers, Marketing, Troubleshooting, Information Technology, Servers
Education
Network Technology Academy Institute 2014 — 2015
CCNA (In Progress), Networking
N\A 2013 — 2014
Network Plus Certification
Curry College 2006 — 2010
Bachlors of Arts, Information Technology
Unemployed May 2012 - Present
Tufts Health Plan July 2011 - September 2011
Education
Champlain College 2008 — 2012
Bachelor of Science (B.S.), Computer Software Engineering, 3.0
Blue Cross Blue Shield of Massachusetts July 2011 - Present
Blue Cross Blue Shield of Massachusetts November 2004 - June 2011
Tufts Health Plan January 2002 - October 2004
Education
Colby College
BA, Economics
Northeastern University
MBA
Tufts Health Plan February 2011 - Present
Education
Curry College 2010 — 2012
Bachelor's degree, Registered Nursing/Registered Nurse
Quincy College 2000 — 2002
ASN, Registered Nursing/Registered Nurse
SOFTRAX, Inc. January 2015 - Present
Harvard University June 2014 - November 2014
Fidelity Investments February 2014 - May 2014
Tufts Health Plan January 2013 - October 2013
Omgeo, LLC December 2003 - November 2012
Various Companies in MA and RI March 2002 - November 2003
JPMorgan Chase/Arrakis February 2000 - February 2002
Fidelity Investments March 1996 - February 2000
Skills
Technical Documentation, Technical Writing, Online Help, FrameMaker, RoboHelp, Adobe Acrobat, Acrolinx, Desktop Publishing, API, Microsoft Word, HTML, Dreamweaver, Visio, SnagIt, Unix, Java, JavaScript, MadCap Flare, Securities Market, Financial Services, XML, Content Management, Single Sourcing, Management, Software Documentation, Typography, Document Management, Training Management, E-Learning, Manuals, Agile Methodologies, DITA, Information Architecture, Guides, Editing, User Documentation, Information Development, Release Notes, FrontPage, Content Development
Education
Connecticut College
Bachelor of Arts (B.A.), Classics and French
Simmons College
Master of Science (M.S.), Library and Information Science, 3.89
Continuing Education 2002 — 2013
Tufts Health Plan 2011 - Present
Consumers Union 2005 - April 2006
Skills
Health Insurance, Medicare, Employee Benefits, Managed Care, Claim, HIPAA, Healthcare, Customer Service, Access, Lotus Notes, Outlook, Microsoft Excel, Microsoft Office, Data Analysis, Microsoft Word, PowerPoint
Education
Columbia University Mailman School of Public Health 2005 — 2006
Master of Public Health (MPH), SocioMedical Sciences
Teachers College of Columbia University 2003 — 2005
Master of Arts (M.A.), Health Education
University of New Hampshire 1999 — 2003
Bachelor of Science (BS), Health Management and Policy
Tufts Health Plan October 1998 - Present
Waltham VNA 1993 - 1998
Fairfax Hospital Northen Virgina 1990 - 1993
Skills
Utilization Management, Managed Care, Disease Management, Healthcare, Health Insurance, Healthcare Management, Provider Relations, Case Managment, HIPAA, Nursing, Home Care, Utilization Review, HMO, Healthcare Information..., Hospitals, Health Policy, Insurance, Long-term Care
Education
St. Elizabeth School of Nursing 1987 — 1990
Diploma, Registered Nursing/Registered Nurse
Curry College
Bachelor's of Science, Nursing Science