Tufts Health Plan

Industry: Company

Description

Tufts Health Plan is a Massachusetts-based health insurance company under Tufts Associated Health Plans, Inc. with headquarters in Watertown. As of March 31, 2016, the nonprofit health insurer had 1,072,000 members. The Tufts Health Plan network includes 91 hospitals and 29,000 health care providers. CEO: Thomas Croswell (Jan 2016–) Headquarters: Watertown, Massachusetts, United States Number of employees: 2,400 Founded: 1979 Subsidiaries: Tufts Health Public Plans, Inc., Integra Partners Holdings, LLC

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Tufts Health Plan Employees

Employee
Years
Job
Industry
Alison Amorello Alison Amorello Boston, Massachusetts Details
Alison Amorello's Tufts Health Plan Experience November 2012 - February 2014
Job Stylist at Bella Bridesmaids, Writer
Industry Writing and Editing
Experience
Bella Bridesmaid  January 2013 - Present
Tufts Health Plan   November 2012 - February 2014
Milo.com  November 2011 - February 2012
ACLE  2011 - 2012
US Jesco International, Ltd., Inc.   August 2011 - November 2011
Emmanuel College  September 2009 - May 2011

Skills
Creative Writing, Copy Editing, Editing, Fiction, Blogging, Journalism, Non-fiction, Proofreading, Freelance Writing, Short Stories, Fiction Writing, Novels, Copywriting, Web Content, Feature Articles, Graphic Design, Magazine Design, Public Speaking, Storytelling, Publications, Fundraising

Education
Lesley University   2015 — 2017
Master of Fine Arts (MFA), Creative Nonfiction

Emmanuel College   2007 — 2011
Bachelor of Arts (BA), Writing & Literature

Linda Brenner Linda Brenner Greater Boston Area Details
Linda Brenner's Tufts Health Plan Experience October 2013 - Present
Job Director, Population Health and Quality Measurement at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan   October 2013 - Present
CeltiCare Health Plan of Massachusetts - Centene Corporation   November 2009 - September 2013
New England Quality Care Alliance  February 2009 - November 2009
Masspro  November 2006 - January 2009
Harvard Pilgrim Health Care  2004 - 2006
Harvard Pilgrim Health Care  2000 - 2004
Harvard Pilgrim Health Care  1997 - 2000

Skills
NCQA, Population Health, Performance Improvement, Accreditation, HEDIS, Quality Management, E-health programs, CMS Project..., Healthcare Management, CAHPS, Health Promotion, Disease Management, Healthcare, Medicaid, Program Management, Physicians, Health Insurance, HIPAA, Managed Care, Healthcare Information..., Medicare

Education
Framingham State College
MA, Health Care Administration

Hartwick College
BSN, Nursing

Tulani Milton Tulani Milton Cambridge, Massachusetts Details
Tulani Milton's Tufts Health Plan Experience June 2001 - May 2003
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Beth Israel Deaconess Medical Center  May 2003 - Present
BIDMC  2003 - 2012
Tufts Health Plan   June 2001 - May 2003

Education
Daytona Beach Community College

Ryan Seneff Ryan Seneff Boston, Massachusetts Details
Ryan Seneff's Tufts Health Plan Experience June 2014 - Present
Job Corporate Strategy Analyst at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   June 2014 - Present
Duke University  September 2011 - May 2014
Sovereign's Capital  August 2013 - December 2013
MENTOR/National Mentoring Partnership  June 2013 - August 2013
Duke University Center for Slavic, Eurasian, and Eastern European Studies   January 2012 - May 2013

Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Public Speaking, Data Analysis, Non-profits..., Photoshop, Social Networking, Writing, Proofreading, Wordsmithing

Education
Duke University   2010 — 2014
Bachelor of Arts (B.A.), Russian Studies

Matthew Geraghty Matthew Geraghty Greater Boston Area Details
Matthew Geraghty's Tufts Health Plan Experience November 2012 - February 2013
Job release of information specialist at HealthPort Technologies
Industry Hospital & Health Care
Experience
HealthPort Technologies  September 2015 - Present
Geraghty Entertainment   January 2007 - Present
great road veterinary hospital   December 2010 - Present
Fallon Health  October 2014 - July 2015
Boston University  August 2014 - September 2014
Kelly Services  May 2014 - September 2014
Shire Pharmaceuticals  August 2013 - April 2014
pangea Catering   September 2010 - July 2013
Tufts Health Plan   November 2012 - February 2013
ManpowerGroup  June 2012 - October 2012

Skills
disc jockey, Microsoft Office, Microsoft Excel, PowerPoint, Outlook, Data Entry, Research, Telephone Skills, Microsoft Word, Document Imaging, Medical Terminology, Scanners, Document Conversion, Copying, Mail Sorting, Customer Service, Social Media, Event Planning, Social Networking, Facebook, Live Events, Dog Walking, Public Speaking

Education
Mount Wachusett Community College   2009 — 2010
certificate, Medical Office Management/Administration

Dean College   2004 — 2006
Associate of Arts (AA), Communication and Media Studies

francis parker charter school   2000 — 2004
High School, High School/Secondary Diplomas and Certificates

Emily Savaria Emily Savaria Greater Boston Area Details
Emily Savaria's Tufts Health Plan Experience 2005 - January 2013
Job Account Management professional seeking new opportunity.
Industry Insurance
Experience
Tufts Health Plan   2005 - January 2013
Tufts Health Plan   2002 - 2005
Tufts Health Plan   2000 - 2002
Waltham Hospital  2000 - 2000

Skills
Employee Benefits, Health Insurance, Account Management, Customer Service, Healthcare, Strategic Planning, Contract Negotiation, Negotiation, Analysis, Medicare, Claim, Managed Care, Provider Relations, Health Care Reform, HMO, Health Savings Accounts, Process Improvement, Underwriting, Insurance, Management

Education
Framingham State College
BA, Psychology

Michael Feeney RN,CPC,CPC-P Michael Feeney RN,CPC,CPC-P Abington, Massachusetts Details
Michael Feeney RN,CPC,CPC-P's Tufts Health Plan Experience December 1996 - July 1999
Job RN Auditor/Certified Professional Coder/Quality Coach at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts  January 2002 - Present
AAPC  2012 - 2013
Company Theatre Centre for the Arts   1990 - 2013
BIDMC Needham (FKA Deaconess Glover Hospital)   July 1999 - October 2004
Tufts Health Plan   December 1996 - July 1999

Skills
CPC,CPC-P, RN, Training Delivery, Microsoft Office, HCC Audit, CPT,HCPCS, ICD-9 coding, Medical Billing, Job Coaching, Multitasking Skills, Data Analysis

Education
Fisher College   1994 — 1998
Associate's degree, Science

Signature Healthcare Brockton Hospital School of Nursing   1994 — 1998
Diploma, Registered Nursing/Registered Nurse

Dena Miller Dena Miller Greater Boston Area Details
Dena Miller's Tufts Health Plan Experience August 2009 - June 2011
Job Sr. Vice President, Clinical Operations Evolent Health
Industry Hospital & Health Care
Experience
Evolent Health  2014 - 2015
Fallon Total Care  December 2013 - July 2014
Fallon Total Care  January 2013 - December 2013
Fallon Community Health Plan  January 2012 - January 2013
Harrington Hospital  June 2011 - January 2012
Tufts Health Plan   August 2009 - June 2011
Tufts Health Plan   January 2006 - July 2009

Skills
Utilization Management, Healthcare, Nursing, Clinical, Mental Health, Care Management, Behavioral Health, Hospitals, Healthcare Management, Inpatient, Medicare, Clinical Research, HIPAA, Medicaid, Managed Care, Revenue Cycle, Home Care, Program Development, Disease Management, Leadership, EMR, Healthcare Consulting, Healthcare Information..., Health Insurance, Social Services, Public Speaking, Case Managment, Healthcare Industry

Education
University of Massachusetts-Worcester   1992 — 1994
MS in Health Care Administration, Nursing

Fitchburg State College   1985 — 1987
BSN, Nursing

Michelle Morani Michelle Morani Greater Boston Area Details
Michelle Morani's Tufts Health Plan Experience 1992 - 2000
Job Line HR Operations Manager at Fidelity Investments
Industry Human Resources
Experience
Fidelity Investments  2011 - Present
Fidelity Investments  May 2010 - December 2011
Fidelity Investments  February 2008 - May 2010
Fidelity Investments  2007 - 2008
WellPoint  2004 - 2007
Boston Medical Technologies  2000 - 2002
Tufts Health Plan   1992 - 2000

Skills
Data Analysis, Employee Benefits, Vendor Management, Onboarding, HRIS, Business Analysis, SDLC, Project Management, Employee Relations, Talent Management, Performance Management, Benefits Administration, Program Management, Visio, Workforce Planning, Organizational..., Business Process..., Databases, Human Resources, Analysis, Process Improvement

Education
Suffolk University   1991 — 1994
BA, Sociology

Emmanuel College   1990 — 1991
BA, Sociology

Matignon High School   1986 — 1990
High School Diploma, College Prep

Kathleen Doherty Kathleen Doherty Greater Boston Area Details
Kathleen Doherty's Tufts Health Plan Experience October 2000 - February 2015
Job
Industry Insurance
Experience
Tufts Health Plan   October 2000 - February 2015
Tufts Health Plan   February 1998 - October 2000
The Commonwealth of Masschusetts   May 1997 - February 1998
Prudential Healthcare  March 1989 - May 1997

Skills
Licensed Massage..., Business Analysis, Process Improvement, SDLC, Healthcare Information..., Cross-functional Team..., Requirements Analysis, Program Management, IT Management, Software Documentation, CRM, Leadership, Management, Training, Project Management, Enterprise Software, Project Planning, Performance Management, Business Process..., Vendor Management, Health Insurance, Managed Care

Education
Emmanuel College   1997 — 1998
B.S, Management

Harvard University Extension School   1989 — 1991
None, Matriculation

Chamberlayne Jr. College   1983 — 1985
A.A.S, Retail Management

The Massage School   2010 — 2011

Andrea Lassoff-Donahue Andrea Lassoff-Donahue Greater Boston Area Details
Andrea Lassoff-Donahue's Tufts Health Plan Experience January 2014 - January 2015
Job Healthcare Compliance Specialst
Industry Hospital & Health Care
Experience
Tufts Health Plan   January 2014 - January 2015
Commonwealth Care Alliance  April 2013 - October 2013
athenahealth  May 2004 - December 2012
Claim Assist/CCS Companies   April 2001 - May 2004
John Hancock Mutual Life Insurance Company  January 1999 - January 2001

Skills
Medicare/Medicaid..., Healthcare, EHR, Healthcare Information..., Revenue Cycle, HIPAA, Healthcare Consulting, Healthcare Industry, HL7, Practice Management, EMR, Medicare, Analysis, Cross-functional Team..., Informatics, Medical Billing, Managed Care

Education
Northeastern University School of Law   1992 — 1995
Doctor of Law (J.D.)

Emory University   1983 — 1987
Bachelor of Arts (B.A.), International/Global Studies

Shrikant Joshi Shrikant Joshi Greater Boston Area Details
Shrikant Joshi's Tufts Health Plan Experience August 1997 - February 2001
Job Application Support Engineer at Titian Software
Industry Information Technology and Services
Experience
Titian Software   June 2013 - Present
Fidelity Investments  April 2012 - May 2013
Quantronix Inc   February 2001 - April 2012
Wellington Management  February 2001 - February 2012
Tufts Health Plan   August 1997 - February 2001
WIPRO Ltd  1997 - 2001
Hewlett-Packard  June 1996 - August 1997
Blue Star Ltd.  1995 - 1997
Bajaj Auto Ltd  1991 - 1995

Skills
IT Project Management, Business Analysis, Requirements Analysis, Testing, Quality Assurance, Documentation, Problem Solving, SQL, Unix, Integration, Perl, Oracle SQL, Programming, Systems Analysis, SDLC, Project Planning, Windows, Linux, HTML, ETL, JavaScript, COBOL, SQL Server, PL/SQL, Software Development, Data, Root Cause Analysis, Troubleshooting, Incident Management, Problem Management, Project Management, Application Support, Production Support, Operations Management, Technical Support, Software Documentation, Agile Methodologies, Enterprise Architecture, Data Warehousing, Data Modeling, Software Project..., Requirements Gathering, Analysis

Education
Doctor Babasaheb Ambedkar Marathwada University   1993 — 1995
MBA, Finance

Government Engineering College Aurangabad, Maharashtra, India   1987 — 1991
Bachelor of Engineering, Computer Science and Engineering

J. E.S. College, Jalna, Maharashtra, India

Cristina (Villa) Hazar Cristina (Villa) Hazar Atlanta, Georgia Details
Cristina (Villa) Hazar's Tufts Health Plan Experience October 2002 - April 2004
Job Design Director at Atlanta Magazine Custom Media
Industry Publishing
Experience
Atlanta Magazine  July 2015 - Present
Villa Graphics   April 2004 - Present
Nside Publications  November 2013 - April 2015
Nside Publications  January 2011 - November 2013
LifeExtension   March 2009 - July 2010
Pulte, Del Webb, DiVosta Homes   June 2006 - September 2008
Tufts Health Plan   October 2002 - April 2004

Skills
Advertising, Direct Mail, QuarkXPress, Graphic Design, Logo Design, Brochures, Newsletters, Copywriting, Adobe Creative Suite, Flash, Web Design, Press Releases, Magazines, Art Direction, Photography, Layout, Graphics, Typography, Posters, Marketing, Flyers

Education
Washington University in St. Louis   1988 — 1992
BA, Architecture

Emerson College
Graduate Certificate, Publishing, A

Kennesaw State University
Web Design Certificate, Web Page, Digital/Multimedia and Information Resources Design

Charles Desper Charles Desper Boston, Massachusetts Details
Charles Desper's Tufts Health Plan Experience August 2012 - December 2012
Job Web Designer at Meditech
Industry Graphic Design
Experience
MEDITECH  January 2013 - Present
Tufts Health Plan   August 2012 - December 2012
Social Boston Sports  May 2012 - August 2012
Social Boston Sports  January 2012 - April 2012
Advance Auto Parts  August 2008 - August 2011

Skills
Photoshop, Illustrator, After Effects, Dreamweaver, JavaScript, jQuery, Print Design, Web Design, Adobe Creative Suite, HTML, HTML 5, CSS3, Interactive Design, User Experience Design, Flash, InDesign, Mac OS X, Windows 7, Windows XP Professional, Microsoft Office, Graphic Design, User Interface Design

Education
Emmanuel College   2010 — 2012
Bachelor of Fine Arts (BFA), Graphic Design and Technology, 3.45

Franklin Pierce University   2009 — 2010
Graphic Communications, 3.5

Peninsula Catholic High School   2004 — 2008
High School Diploma

David M. Baker, Esq. David M. Baker, Esq. Winchester, Massachusetts Details
David M. Baker, Esq.'s Tufts Health Plan Experience June 1993 - October 1994
Job Experienced Attorney at Law Offices of David M. Baker, P.C. with focus on Criminal Defense, Litigation & Estate Planning
Industry Law Practice
Experience
Law Offices of David M. Baker, P.C.   July 2010 - Present
Middlesex District Attorney's Office  July 2007 - July 2010
MA Attorney General's Office  1998 - 2007
Tufts Health Plan   June 1993 - October 1994

Skills
Criminal Defense, Criminal Law, Trials, Courts, White Collar Criminal..., Personal Injury, Estate Planning, Civil Litigation, Business Litigation, Corporate Law, Litigation, Trial Practice, Motions, Legal Writing, Personal Injury..., Consumer Law, Jury Trials, Contract Negotiation, Settlement Agreements, Torts, Appeals, Powers of Attorney, Wrongful Death, Probate, DUI Defense, Commercial Litigation, Arbitration, Trusts, Health Care Proxies, Living Will, Automobile Accidents, Public Liability, Criminal Procedure, Product Liability, Depositions

Education
Massachusetts School of Law   2003 — 2006
Juris Doctor, Law

Dickinson College   1989 — 1993
BA, History

Belmont Hill School   1985 — 1989
High School

Michelle McDonough Michelle McDonough Greater Boston Area Details
Michelle McDonough's Tufts Health Plan Experience 1995 - 1999
Job Underwriting Consultant
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts  May 2013 - Present
Blue Cross Blue Shield of Massachusetts  July 2012 - May 2013
BCBSMA  August 2008 - July 2012
BCBSMA  May 2006 - August 2008
BCBSNC  2006 - May 2006
BCBSMA  2003 - 2005
BCBSMA  May 2000 - June 2003
Sun Life Financial  1999 - 2000
Tufts Health Plan   1995 - 1999
Consolidated Group  1991 - 1994

Skills
Underwriting, Health Insurance, Insurance, Employee Benefits, Prevention and Wellness, Account Management, National Account Mana, Risk Selection, stop loss, Risk Management, Reinsurance, Managed Care, Health Care Reform, Financial Analysis, Healthcare, Claim, Strategy, Disability Insurance, Financial Risk, HIPAA, Brokers, Stop Loss, Life Insurance, Health Savings Accounts, Medicare, Health Policy, PPO, HMO, Group Insurance, Financial Services, Self-funded

Education
Framingham State University   1990 — 1994
Bachelor, Economics

Wayland High School   1982 — 1985
High School

Jane E Gagne Jane E Gagne Greater Boston Area Details
Jane E Gagne's Tufts Health Plan Experience 2001 - 2005
Job Program Manager, Patient Safety Education Administration
Industry Hospital & Health Care
Experience
CRICO/Risk Management Foundation of the Harvard Medical Institutions   2013 - Present
CRICO/Risk Management Foundation of the Harvard Medical Institutions   2009 - 2013
CRICO/Risk Management Foundation of the Harvard Medical Institutions   2008 - 2009
North Shore Medical Center  2005 - 2008
Tufts Health Plan   2001 - 2005
Tufts Health Plan   1997 - 2001
Tufts Health Plan   1996 - 1997
Salem Visiting Nurse Association   1995 - 1996
Salem Visiting Nurse Association   1994 - 1995

Skills
Healthcare, Leadership, Patient Safety, Managed Care, Quality Improvement, Healthcare Information..., Healthcare Management, Strategic Planning, Hospitals, Program Management, Non-profits, Public Speaking, Customer Service, Patient Advocacy, Nonprofits, Utilization Management, Data Analysis, Event Planning, Public Relations, Risk Management, Customer Satisfaction, Conflict Resolution, Patient Safety..., Operations Management, Continuing Education, Facilitators, Curriculum Design, Health Education, Project Management, Process Improvement, Patient Satisfaction, Complaint Management, Complaint Investigations, Patient Relations

Education
Emmanuel College
Bachelor’s Degree, Business Administration

Salem State College

David Themo David Themo Greater Boston Area Details
David Themo's Tufts Health Plan Experience October 2011 - Present
Job Member Retention Specialist at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   October 2011 - Present
Tufts Health Plan   July 2008 - September 2011
The Jones Group Inc.  October 2004 - May 2008
Movado Group, Inc  May 2002 - September 2004

Skills
Outreach Services, Customer Service, Medicare, Community Outreach, Customer Relations, Public Speaking, Presentations, Microsoft Excel, Microsoft Word, Lotus Notes, PowerPoint, Software Documentation, Data Analysis, Insurance, Employee Benefits, Time Management, Access, Sales, Data Entry, Analysis, Outlook

Education
Framingham State University   2010 — 2012
Master of Arts, Public Administration

University of Massachusetts Boston   2004 — 2008
Bachelor of Arts, Sociology, East Asian Studies

Al Gorton Al Gorton Greater Boston Area Details
Al Gorton's Tufts Health Plan Experience June 2015 - Present
Job HighSpirited Project Analyst | Success in Project Execution, Process Optimization and Strategy
Industry Hospital & Health Care
Experience
Tufts Health Plan   June 2015 - Present
Boston Medical Center  March 2014 - December 2014
Amnesty International USA  September 2013 - December 2013
University of Pittsburgh - PA Child Welfare Resource Center   May 2011 - August 2011
United States Senate, Office of Senator Robert P. Casey, Jr.   May 2010 - July 2010

Skills
Community Outreach, Project Analysis, Process Improvement, Database Administration, Microsoft Office, Research, Policy, Training, Proposal Writing, Child Welfare, Public Speaking, Press Releases, Social Media, International Relations, Politics, SPSS, Interviews, PowerPoint, Microsoft Excel

Education
Elizabethtown College   2009 — 2013
Bachelor of Arts (BA), Political Science and Government

Vesalius College   2012 — 2012
International Affairs

Debra Polansky Debra Polansky Needham Heights, Massachusetts Details
Debra Polansky's Tufts Health Plan Experience 1992 - 1996
Job Manager, Patient Access Services at Brigham & Women's Hospital
Industry Hospital & Health Care
Experience
Brigham & Women's Hospital   2007 - Present
Brigham and Women's Hospital  2005 - 2007
Brigham and Women's Hospital  2001 - 2005
Partners Community Healthcare, Inc. (PCHI)   1996 - 2001
Tufts Health Plan   1992 - 1996

Education
Framingham State College   1989 — 1991
Bachelor of Arts (B.A.), English Language and Literature, General

Edward Alejandro Edward Alejandro Greater New York City Area Details
Edward Alejandro's Tufts Health Plan Experience January 2003 - November 2003
Job Sr. Regional Claims Manager
Industry Insurance
Experience
MAPFRE Insurance  February 2013 - Present
MAPFRE Insurance  November 2010 - February 2013
GEICO  December 2006 - November 2010
GEICO  December 2003 - December 2006
Tufts Health Plan   January 2003 - November 2003
Tufts Health Plan   August 2001 - January 2003
Tufts Health Plan   December 1998 - August 2001

Skills
Insurance, Claim, Health Insurance, Underwriting, Call Center, Training, Claims Management, Property & Casualty..., Casualty, Management, Microsoft Excel, Call Centers, Claim Investigation, General Insurance, Leadership, Liability, Subrogation, Customer Service, Microsoft Office, Casualty Insurance

Education
Farmingdale State University of New York   2005 — 2011
BA, Business Management

Nassau Community College   2002 — 2004
AAS, Markting

Patricia Tierney BSN, MHA,RN-C,CCM Patricia Tierney BSN, MHA,RN-C,CCM Greater Boston Area Details
Patricia Tierney BSN, MHA,RN-C,CCM's Tufts Health Plan Experience September 2011 - Present
Job Team manager at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan   September 2011 - Present
Delta Projects, Inc.   July 2000 - Present
Mutlticultural Home Care   August 2009 - August 2011
Harvard Pilgrim Health Care  2008 - 2009
Life Plans  2007 - 2008
Tufts Health Plan   2002 - 2006
Gentiva Health Services  2000 - 2002
Waltham VNA   1981 - 1998
Waltham VNA   1982 - 1989

Skills
Certifed Case Manager, Medicare and Medicaid..., InterQual, Board Certified Nurse..., Nursing, Healthcare, Case Managment, Hospitals, Utilization Management, Healthcare Management, Managed Care, Home Care, Disease Management, Medicaid, HEDIS, Clinical Research, Healthcare Industry, Physicians, Social Services, Case Management, Mental Health, Inpatient, Medicare, Quality Improvement, HIPAA, Public Health, Health Education, Elder Care, Healthcare Consulting, Policy

Education
Framingham State College   1985 — 1987
Masters, Health Care Administration

Northeastern University   1974 — 1980
BSN, Nursing

Kayte Eddy Kayte Eddy Stoneham, Massachusetts Details
Kayte Eddy's Tufts Health Plan Experience August 2014 - Present
Job Quality Assurance Analyst at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan   August 2014 - Present
Tufts Health Plan   June 2012 - August 2014
Nordstrom  March 2011 - April 2012

Skills
Retail, Microsoft Office, Visual Merchandising, Sales, Microsoft Excel, Merchandising, Inventory Management, HIPAA, Customer Service, Outlook

Education
Fisher College   2005 — 2009
Bachelors, Business/ Fashion Merchandising

Matignon High School   2001 — 2005
High School Diaploma, College/University Preparatory and Advanced High School/Secondary Diploma Program

Patty Blake Patty Blake Greater Boston Area Details
Patty Blake's Tufts Health Plan Experience September 1994 - Present
Job President Senior Products at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan   September 1994 - Present
PacifiCare Health Systems  1993 - 1994
PacifiCare Health Systems  1987 - 1993

Skills
Health Policy, Healthcare Management, Health Insurance, Cross-functional Team..., Medicare, Managed Care, Healthcare Information..., Leadership, Healthcare, Healthcare Industry, Medicaid, HIPAA, Contract Negotiation, Change Management

Education
University of California, Los Angeles - The Anderson School of Management   1985 — 1988
MBA, Marketing

University of California, Los Angeles - Fielding School of Public Health   1985 — 1988
MPH, Healthcare Administration

University of Massachusetts, Amherst   1980 — 1981
BS, Public Health

Framingham State University   1977 — 1980
Medical technology

Jeanna Raikunen Jeanna Raikunen Watertown, Massachusetts Details
Jeanna Raikunen's Tufts Health Plan Experience August 2015 - Present
Job Provider Account Coordinator at
Industry Insurance
Experience
Tufts Health Plan   August 2015 - Present
Tufts Health Plan   September 2014 - September 2015
Tufts Health Plan   April 2013 - September 2014
The Bridge of Central MA  September 2011 - February 2013
Justice Resource Institute  May 2012 - December 2012

Skills
Healthcare, Clinical Research, DBT, Administration, Analysis, Crisis Intervention, Group Therapy, Case Management, Psychology, Customer Service

Education
Fitchburg State College   2006 — 2011
Bachelor of Science (BS), Psychology

Fitchburg State University   2006 — 2011
Bachelor of Science (B.S.), Psychology

Thomas Cunniffe Thomas Cunniffe Greater Boston Area Details
Thomas Cunniffe's Tufts Health Plan Experience June 2013 - Present
Job Director, Customer Relations at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan   June 2013 - Present
Tufts Health Plan   September 2012 - June 2013
Neighborhood Health Plan  August 2011 - August 2012
Neighborhood Health Plan  March 2008 - July 2011

Skills
Staff Development, Business Strategy, Call Center Development, Healthcare, Strategic Planning, Health Insurance, Managed Care, Customer Service, Call Centers, Leadership, Training, Medicaid, Medicare, Management, Employee Benefits, Quality Assurance, Cross-functional Team..., Strategy, Provider Relations, Sales

Education
University of Massachusetts at Amherst - Isenberg School of Management   2008 — 2012
MBA, Business Administration

Fordham University   1988 — 1992
Bachelor of Arts, English, Art History

Brian Guagnini Brian Guagnini Greater Boston Area Details
Brian Guagnini's Tufts Health Plan Experience June 2004 - August 2005
Job Senior Plan Sales Executive, Consumer Sales Division at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan  January 2011 - Present
Fallon Community Health Plan  August 2005 - December 2010
Tufts Health Plan   June 2004 - August 2005
Rogers & Gray Insurance Agency  November 2003 - June 2004
Tufts Health Plan   August 2001 - November 2003

Skills
Account Management, Employee Benefits, Benefits Administration, Health Insurance, Customer Service, Sales, Insurance, Microsoft Office, Team Building, Healthcare, Strategic Planning, Management, Lead Generation, Negotiation, Marketing, Managed Care

Education
Framingham State College   1987 — 1989
Bachelor of Arts, in Graphic Design; Media Communications

Westfield State University   1985 — 1987
B.A.

Julie Motley Julie Motley Gaithersburg, Maryland Details
Julie Motley's Tufts Health Plan Experience October 2011 - April 2013
Job Sales and Management Professional, Interior Design, Health Insurance, Restaurant Management
Industry Insurance
Experience
Guggenheim Investments  August 2013 - Present
Tufts Health Plan   October 2011 - April 2013
GDC HOME  April 2006 - August 2011
Toucan Reef   October 2004 - April 2006

Skills
Sales, Sales Presentations, Management, Time Management, Employee Benefits, Budgets, Process Scheduler, Payroll, Health Insurance, Customer Service, Salesforce.com, Call Centers, Account Management, Marketing, Training, Social Networking, Building Relationships, Customer Satisfaction, Leadership, Public Speaking, Recruiting, Strategic Planning, Data Entry

Education
Emmanuel College
BSBA, Business Administration and Management, General, Magna Cum Laude

Hawkeye Institute of Technology
Associate of Arts (A.A.), Interior Design

Marge Queenan Marge Queenan Greater Boston Area Details
Marge Queenan's Tufts Health Plan Experience July 2013 - Present
Job Sales Program Manager at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   July 2013 - Present
CIO Executive Council  2011 - 2012
CIGNA Healthcare  2008 - 2011
Fletcher Ltd   2004 - 2007
Raytheon  2002 - 2004
Epsilon  1998 - 2001

Skills
Account Management, CRM, Program Management, Cross-functional Team..., Process Improvement, Strategy, Sales Operations, Organization Skills, Marketing, Salesforce.com, Leadership, Sales, Project Management, Compliance, Health Insurance

Education
Babson College - Franklin W. Olin Graduate School of Business
MBA, Management

Framingham State University
B.A., Political Science

Judy Roberts Judy Roberts Houston, Texas Details
Judy Roberts's Tufts Health Plan Experience January 1999 - March 2002
Job Sr. Compensation Analyst, CEVA Logistics
Industry Logistics and Supply Chain
Experience
CEVA Logistics  October 2012 - Present
PNC Financial Services Group  June 2008 - June 2009
John Hancock Financial Services  March 2007 - June 2008
BJ's Wholesale Club  2005 - 2007
Clark Consulting (now Pearl Meyer & Partners)   2002 - 2005
Tufts Health Plan   January 1999 - March 2002
Blue Cross Blue Shield of Massachusetts  1985 - 1991

Skills
Deferred Compensation, Performance Management, Human Resources, Executive Pay, Employee Relations, HRIS, Payroll, Negotiation, Budgets, Compensation, Talent Acquisition, Compliance, Hiring, Executive Compensation, Budgeting, Data Analysis, HR Policies, HR Strategy, Benchmarking, Market Analysis, Job Descriptions, Equity Analysis, Merit/Promotions, Personnel Management, Onboarding, Management, Employee Benefits

Education
Framingham State College   1995 — 1999
BS, English

Ashland High School
College prep

Andrea Richman,CPC-P, CCA Andrea Richman,CPC-P, CCA Greater Boston Area Details
Andrea Richman,CPC-P, CCA's Tufts Health Plan Experience February 2014 - Present
Job Manager, Provider Reimbursement and EDI Operations at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   February 2014 - Present
Tufts Health Plan   February 2010 - February 2014
Tufts Health Plan   September 2005 - February 2010
Tufts Health Plan   July 2000 - September 2005
Osco Drug  1998 - 2000
CVS Caremark Corporation  September 1997 - August 1998
LaVerdieres Drug Store   September 1989 - September 1993

Skills
Medical Coding, ICD-9, CPT, HCPCS, ICD-10, Insurance, Managed Care, Health Insurance, Healthcare Information..., Medical Terminology, Healthcare Reimbursement, Coders, Health Information..., Program Management, Healthcare Management, HMO, Analysis, Medicaid, HIPAA, Inpatient, Ambulatory, EMR, Medical Billing, Utilization Management

Education
Fisher College   2012 — 2014
Associate of Science (AS), Health Information Technology

University of Maine   1991 — 1993
Liberal Arts and Sciences, General Studies and Humanities

Caribou High School   1987 — 1991

Deborah Whitehead Deborah Whitehead Greater Boston Area Details
Deborah Whitehead's Tufts Health Plan Experience January 2002 - April 2004
Job CLEVEL HEALTHCARE EXECUTIVE MANAGED CARE, SPECIALTY PHARMACY, BIOTECHNOLOGY
Industry Pharmaceuticals
Experience
DAW & Associates & BioPharmRx   2006 - Present
Express Scripts / CuraScript Specialty Pharmacy   2005 - 2005
Tufts Health Plan   January 2002 - April 2004
Express Scripts / CuraScript Specialty Pharmacy   2004 - 2004
Tufts Health Plan   2002 - 2003
Tufts Health Plan   1999 - 2002
Tufts Health Plan   1995 - 1998
Tufts Health Plan   1989 - 1995
Brigham & Women’s Hospital   January 1984 - January 1988
Brigham and Women's Hospital  January 1984 - January 1986

Skills
Managed Care, Healthcare, Strategic Planning, Leadership, Pharmaceutical Industry, Hospitals, Management, Strategy, Contract Negotiation..., Reimbursement and..., Product Development and..., Sales and Marketing..., Market Research and..., Operations Management, Strategic Planning and..., Federal and State..., Formulary, Rebate and..., Strategic Partnerships..., Pharmacy and Medical..., Outpatient Hospital and..., Driving Results, Business Strategy, Contract Negotiation, Contract Management, Strategy Execution, Product Development, Product Launch, Sales Management, Sales Strategy, Marketing Strategy, Marketing Research, Marketing Communications, Sales Operations, Strategy Implementation, Federal & State..., Formulary, Strategic Partnerships, Program Development, Benefits Administration, Pharmacy Benefit..., Healthcare Reimbursement, Healthcare Compliance, Healthcare Management, Customer Centric..., Creative Solutions, New Business..., Change Management, Market Share, Lead Change, Strategic Leadership

Education
Duke University
Masters, Health Administration

University of Vermont
Bachelor of Arts, Economics

Kathleen Marinucci Kathleen Marinucci Norwood, Massachusetts Details
Kathleen Marinucci's Tufts Health Plan Experience September 2013 - Present
Job Clinical Specialist
Industry Hospital & Health Care
Experience
Tufts Health Plan   September 2013 - Present
BioScrip  January 2012 - Present
Cardinal Health  January 2005 - Present
Genesis HealthCare  May 2012 - September 2012
Golden Living Dedham   January 2011 - January 2012
Infusion Nurses Society  January 2006 - January 2011
Caritas Health Care   February 2006 - May 2006
Harrington House   January 2004 - January 2005
Becton-Dickinson  January 1999 - January 2004
NeighborCare  January 1997 - January 1999

Skills
Home Care, Nursing, Hospitals, Healthcare, Medical Devices, Surgery, Clinical Research

Education
Fitchburg State University

Cathy (Koepper) Connelly Cathy (Koepper) Connelly Greater Boston Area Details
Cathy (Koepper) Connelly's Tufts Health Plan Experience 1991 - 1995
Job Director, Alliance Management at Genzyme, a Sanofi company
Industry Biotechnology
Experience
Genzyme, a Sanofi company  March 2015 - Present
Genzyme  2005 - March 2015
AAIPharma/MTRA   1997 - 2005
DSR Marketing Group   1996 - 1997
Charles River Hospital  1995 - 1996
Tufts Health Plan   1991 - 1995
Harvard Pilgrim Health Care  1988 - 1991
The Job Connection   1987 - 1988
Catholic Charitable Bureau   1986 - 1987

Skills
Biotechnology, Protocol Development, Clinical Trials, Observational Research, Patient Registries, Project Management, Business Process..., Team Leadership, Planning, Global Operations, Change Management, Clinical Research, Consultancy, Quality Management, Project Planning, Protocol, Observational Studies, Clinical Development, Regulatory Affairs, CTMS, EDC, Regulatory Submissions, GCP, FDA, Pharmaceutical Industry, Medical Devices, Lifesciences, Technology Transfer, Market Access, 21 CFR Part 11, Infectious Diseases, Therapeutic Areas, Clinical Data Management, Clinical Study Design, Clinical Operations, Cancer, Medical Writing, Vaccines, Pharmacovigilance, Clinical Monitoring, Hematology, ICH-GCP, CRF design, Life Sciences

Education
Massachusetts Institute of Technology - Sloan School of Management   2012 — 2014
Master of Business Administration (M.B.A.)

Framingham State University   1980 — 1984
BA, Sociology

Carlo Petrosino Carlo Petrosino Greater Boston Area Details
Carlo Petrosino's Tufts Health Plan Experience May 2014 - Present
Job IS Senior Project Manager at Tufts hea
Industry Insurance
Experience
Tufts Health Plan   May 2014 - Present
Neighborhood Health Plan  February 2004 - May 2014
Blue Cross Blue Shield of Ilinois   August 2000 - January 2004

Skills
SDLC, PMO, Business Analysis, Project Portfolio..., Vendor Management, Program Management, Software Project..., Leadership, Team Building, Cross-functional Team..., Process Improvement, Project Management, Visio, PMP

Education
DePaul University   1987 — 1990
BA, Political Science Major, BA Minor

Bachelor's Degree

Colleen Michaels-Walsh Colleen Michaels-Walsh Greater Boston Area Details
Colleen Michaels-Walsh's Tufts Health Plan Experience 2006 - 2010
Job Customer Service Care Specialist at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan  May 2012 - Present
Weight Watchers  January 2012 - Present
Tufts Health Plan   2006 - 2010
Blue Cross Blue Shield of Massachusetts  2005 - 2006
Harvard Pilgrim Health Care  1985 - 2005

Skills
Medicare, Healthcare Management, Managed Care, Health Insurance, HIPAA, Healthcare, Medicaid, Insurance, Employee Benefits, Data Entry, Leadership, Team Leadership, Training, Policy, Program Management, Management, Customer Service, Call Centers, Software Documentation, Access, Healthcare Industry, Community Outreach

Education
Millenium Training Institute   2011 — 2012
Certificate in Medical Administration - Coding and Billing

Emerson College   1990 — 2012
Bachelors, Communications

Wareham High School   1976 — 1977
High School Dipolma, Business

Rebecca Levanduski Rebecca Levanduski Greater Boston Area Details
Rebecca Levanduski's Tufts Health Plan Experience September 2008 - March 2012
Job VP Head, Accountable Care Solutions Insurance Marketing at Aetna
Industry Insurance
Experience
Aetna  April 2012 - Present
Tufts Health Plan   September 2008 - March 2012
tufts health plan   1994 - September 2008
Professional Media Services   May 1988 - April 1994
Ingalls Advertising BBDO   March 1986 - March 1988
LehmanMillet  1981 - 1983

Skills
Medicare, Product Marketing, Managed Care, Strategic Planning, Marketing Strategy, Strategy, Leadership, Medicaid, Integrated Marketing, Analytics, Health Insurance, Marketing Communications, Insurance, B2B, Health Policy, Employee Benefits, Marketing, Cross-functional Team..., Digital Marketing, Brokers, Healthcare, Medicare Part D, Account Management, Public Relations, Lead Generation, Direct Marketing, Strategic Communications, PPO, Social Media Marketing, Competitive Analysis, New Business Development, Brand Development, Email Marketing, Research, Advertising, Social Media

Education
Harvard Business School   2000 — 2000
Executive Program, Women Leading Business

Troy Area Senior High School   1970 — 1972

Elmira College
Marketing

Susan Sirois Ellis Susan Sirois Ellis Greater Boston Area Details
Susan Sirois Ellis's Tufts Health Plan Experience June 2013 - Present
Job Original Digital Native, Trainer & Communicator, Writer, Project Manager: Tell a Good Story; Engage the World
Industry Public Relations and Communications
Experience
Tufts Health Plan   June 2013 - Present
Harvard Kennedy School of Government  May 2013 - Present
Harvard Kennedy School  September 2011 - May 2013
Spherion  August 2010 - October 2011
Hegan Roessle Group  August 2011 - September 2011
Harvard University  August 2010 - July 2011
Bedford Town Taxi News   April 2010 - June 2011
Clever Girl Communications   January 2009 - August 2010
Bedford Chamber of Commerce   2008 - 2010
Boston Productions  1998 - 2001

Skills
Microsoft Office, SharePoint, Writing, Multimedia, Editing, Event Management, Teaching, Social Media, Social Media Marketing, Social Networking, Marketing Communications, Content Development, Journalism, New Media, Corporate Communications, Strategic Communications, Video, Project Planning, Public Relations, Internal Communications, Publishing, Management, Proofreading, Strategic Partnerships, Facebook, Publications, Web Content, Newsletters, Copy Editing, Marketing, Fundraising, WordPress, Publicity, Web Content Management, Copywriting, Content Strategy, Creative Writing, Proposal Writing, Content Management

Education
Harvard University   2013 — 2017
Master’s Degree, Digital Media and Educational Design

Corporate Learning Group   2013 — 2014
PMP Certification (2017), Project Management

Harvard University   2000 — 2006
ALB, Liberal Arts

Emerson College   1986 — 1988
Writing, Public Relations

University of Massachusetts Lowell   1975 — 1986
Associates, Business

Carissa Guertin McKenna Carissa Guertin McKenna Greater Boston Area Details
Carissa Guertin McKenna's Tufts Health Plan Experience September 2007 - June 2009
Job Clinical Consulting Supervisor at McBee Associates
Industry Hospital & Health Care
Experience
McBee Associates, Inc.   August 2015 - Present
NVNA and Hospice  October 2010 - August 2015
Partners HealthCare  September 2009 - October 2010
Tufts Health Plan   September 2007 - June 2009
VNA of Cape Cod  March 2007 - September 2007
Blue Cross Blue Shield of Massachusetts  September 2005 - March 2007
South Shore Skin Center   August 2002 - September 2005

Skills
COS-C (Certified OASIS..., HCS-D (Homecare Coding..., ICCM (Integrated..., Hospitals, Nursing, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Cerner, HealthWyse, Wound Care, Case Managment, Disease Management, Healthcare, Healthcare Management, Medical/Surgical, Clinical Research, EMR, Medical Coding, Medicare, Software Documentation, Managed Care, Medicaid, JCAHO, Home Care, HIPAA, Healthcare Information..., Elder Care, Leadership, Patient Advocacy, Registered Nurses, Quality Improvement, Utilization Management, Patient Education

Education
Fitchburg State College   1994 — 1998
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse

Fitchburg State University   1994 — 1998
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse

Janice Hodges Janice Hodges Kingston, Massachusetts Details
Janice Hodges's Tufts Health Plan Experience June 2000 - June 2003
Job Account Management, Financial Client Manager Health Care,Tactical Sales
Industry Aviation & Aerospace
Experience
Caton Connector Corp  August 2012 - April 2015
General Motors / Tracy Motors, Inc.   October 1998 - August 2012
Tufts Health Plan   June 2000 - June 2003
Tech Etch, Inc  July 1995 - January 1998

Skills
Accounts Payable, Accounts Receivable, Account Management, Health Care Finance..., Strategic Planning, Sales Management, Team Building, Inventory Management, Customer Service, Finance, Sales, Accounting, Manufacturing, Invoicing, Forecasting, Pricing, Federal Government..., Negotiation, Business Planning, Business Strategy, Management, New Business Development

Education
Florida Community College at Jacksonville   1993 — 1994

US Military   1984 — 1987
Business Administration and Management, General

Melissa Luongo Melissa Luongo Greater Boston Area Details
Melissa Luongo's Tufts Health Plan Experience September 2005 - Present
Job Account Manager Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   September 2005 - Present
Tufts Health Plan   July 2004 - September 2005
Massachusetts Rehabilitation Commission  January 2003 - January 2004

Skills
Marketing Communications, Public Relations, Editing, Health Insurance, Healthcare, Account Management, Sales, Customer Service, Employee Benefits, Insurance, Program Management, Advertising, Budgets, Marketing

Education
Emerson College   1999 — 2003
B.S., Marketing Communications: Advertising & Public Relations

Hudson High School   1995 — 1999

Heather Braswell McMahon Heather Braswell McMahon Atlanta, Georgia Details
Heather Braswell McMahon's Tufts Health Plan Experience November 2004 - May 2006
Job Content Strategist Structured Content Strategy and Systems at IBM
Industry Internet
Experience
IBM  August 2014 - Present
Huge  April 2013 - August 2014
InterContinental Hotels Group (IHG)   January 2010 - April 2013
Aspen Marketing Services  August 2009 - December 2009
360i  May 2007 - July 2009
iProspect  May 2006 - May 2007
Tufts Health Plan   November 2004 - May 2006
WestWayne Advertising  May 2004 - June 2004
The Winfield Consulting Group   November 2000 - July 2002
Bates Worldwide Advertising  September 1999 - November 2000

Skills
Content Strategy, Website Copy, SEO, PPC, Web Content, Copywriting, SEM, User Experience, Advertising, Writing, Newsletters, Interactive Marketing, Agile, iRise, Scrum, Interactive Strategy, Digital Strategy, Accessibility, Wireframes, Agile Methodologies, Site Maps, Marketing Copy, Project Management, Social Media, Social Media Marketing, Information Architecture, Creative Direction, Facebook, Blogging, Marketing Strategy, Content Development, Web Analytics, Conversion Optimization, Web Development, Mobile Devices, User-centered Design, User Interface, Editing, Web Project Management, Creative Strategy, Content Management, Usability Testing, Digital Marketing

Education
The University of Georgia   2002 — 2003
Master of Mass Communication, Advertising

Emory University   1995 — 1999
Bachelor of Arts, English

Jennifer Fucci Jennifer Fucci Greater Boston Area Details
Jennifer Fucci's Tufts Health Plan Experience June 1998 - November 1999
Job Passionate Corporate Recruiter Extraordinaire for Bright Horizons!
Industry Human Resources
Experience
Bright Horizons  September 2013 - Present
Bright Horizons  February 2013 - September 2013
Bright Horizons  March 2010 - September 2013
Hertz  October 2008 - November 2009
The Walker School  April 2006 - October 2008
New England Conservatory  November 1999 - April 2006
Tufts Health Plan   June 1998 - November 1999

Skills
Onboarding, Recruiting, Employee Relations, Employee Benefits, College Recruiting, Applicant Tracking..., Talent Acquisition, Deferred Compensation, New Hire Orientations, FMLA, HRIS, Benefits Administration, Resume Writing, Human Resources, Talent Management, Taleo, Workforce Planning, Behavioral Interviewing, Job Fairs, Performance Management, Management, Personnel Management, Interviews, Sourcing, Hiring

Education
Emmanuel College   2003 — 2005
Masters of Science, HR Management

Stonehill College   1994 — 1998
BS, Interdisciplinary Studies

Newton North   1990 — 1994
College Prep

Catherine Wooliscroft Catherine Wooliscroft Newton, Massachusetts Details
Catherine Wooliscroft's Tufts Health Plan Experience August 2014 - Present
Job Appeals and Grievances Supervisor at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   August 2014 - Present
Tufts Health Plan   November 2012 - August 2014
Tufts Health Plan   November 2010 - November 2012
Tufts Health Plan   December 2007 - November 2010
Professional Staffing Group  August 2006 - December 2007
Albion & Edinboro Newspapers   September 2005 - June 2006

Skills
Data Entry, Customer Service, Editing, Proofreading, HIPAA, Customer Satisfaction, Microsoft Office, Research, Claim, Speed Typing, Employee Training, Writing, General Office Skills, Coaching, Making Deadlines, Project Management, Problem Solving, Interpersonal..., Health Insurance

Education
Edinboro University of Pennsylvania   2000 — 2005
Bachelor of Arts (B.A.), English Writing and Literature

General McLane High School   1997 — 2000
High School Degree, General Studies

Ricardo Burton Ricardo Burton Burlington, Massachusetts Details
Ricardo Burton's Tufts Health Plan Experience July 2007 - January 2008
Job Business Intelligence Account Manager at Oracle
Industry Computer Software
Experience
Oracle  March 2015 - Present
IBM  May 2011 - March 2015
IBM Cognos Software Solutions   February 2008 - May 2011
Tufts Health Plan   July 2007 - January 2008
Endicott College  December 2006 - June 2007

Skills
Event Planning, Social Media, Salesforce.com, Microsoft Office, PowerPoint, Sales, CRM, Program Management, Leadership, Management, Sales Operations, Sales Process, Account Management

Education
Endicott College   2004 — 2006
Bachelors of Arts, Psychology

University of New Hampshire   2002 — 2004
School, Business and Economics

Sandra Buck Sandra Buck Jamaica Plain, Massachusetts Details
Sandra Buck's Tufts Health Plan Experience January 2013 - September 2013
Job Speech Language Pathologist, Clinical Fellow at Easter Seals Massachusetts
Industry Hospital & Health Care
Experience
Easter Seals Massachusetts  September 2015 - Present
MassTex Imaging  May 2015 - August 2015
Boston Public Schools  January 2015 - May 2015
Boston Children's Hospital  July 2014 - December 2014
Emerson College  September 2013 - July 2014
Emerson College - RSLHC   January 2014 - June 2014
G  January 2014 - May 2014
Tufts Health Plan   January 2013 - September 2013
Dickinson College Psychology Department   August 2011 - May 2012
Drs Care   June 2010 - August 2010

Skills
Research, Data Analysis, PowerPoint, Microsoft Office, Public Speaking, Customer Service, Training, Data Entry, Neuroscience, Microsoft Word, Microsoft Excel, Leadership, Teaching, AAC, Client Counseling

Education
Emerson College   2013 — 2015
Master's Degree, Speech-Language Pathology/Pathologist

Dickinson College   2008 — 2012
Bachelor's Degree, Neuroscience and Biology

Lori Paul Lori Paul Greater Boston Area Details
Lori Paul's Tufts Health Plan Experience 2004 - 2007
Job Sr. Director HR Strategic Initiatives at Comcast
Industry Telecommunications
Experience
Comcast  January 2013 - Present
Comcast Cable  November 2007 - Present
Comcast  November 2007 - April 2010
Tufts Health Plan   2004 - 2007
Elliot Hospital  2000 - 2004
BAE Systems  1995 - 1999
KPMG Peat Marwick  1993 - 1995

Education
Emmanuel College   1987 — 1991
BA, English Communications

Coreen Knowles Coreen Knowles New York, New York Details
Coreen Knowles's Tufts Health Plan Experience December 2010 - June 2011
Job Graduate student, Child Development & Social Work
Industry Mental Health Care
Experience
New York Presbyterian Hospital  April 2014 - August 2015
UCLA  August 2012 - August 2013
Franciscan Hospital for Children  June 2011 - April 2012
Tufts Health Plan   December 2010 - June 2011
Apple Retail  October 2007 - October 2010
Massachusetts General Hospital  January 2010 - May 2010

Skills
Research, Cpr Certified, Nonviolent Crisis..., Creative Arts, Customer Service, Crisis Intervention, Adolescents, Social Networking, Microsoft Office, Clinical Research, Therapists, Teaching, Mental Health, Social Media, Psychology, SPSS, Program Development

Education
Sarah Lawrence College   2015 — 2017
Master of Arts (M.A.), Child Development

Salem State University   2007 — 2010
Bachelor of Science, Psychology

Emmanuel College   2006 — 2007
NA, NA

Kristie Chung Kristie Chung Cambridge, Massachusetts Details
Kristie Chung's Tufts Health Plan Experience September 2013 - August 2014
Job M.S. Candidate, MIT School of Engineering & Sloan School of Management
Industry Information Technology and Services
Experience
Tufts Health Plan   September 2013 - August 2014
Providence Health & Services  February 2010 - June 2013
The Seattle Times  February 2009 - February 2010

Skills
Information Technology, Systems Analysis, System Design, System Architecture, System Integration, Enterprise Architecture, Enterprise application, SDLC, ITIL v3 Foundations..., Optimization, Systems Thinking, Healthcare Information..., Data Analysis, IT Operations, MS Project, MS Excel Pivot Tables, MS Office Suite, Document Management, POS system, Finance Applications, Forecasting, EPSI, Kronos, Epic Systems, Microsoft Dynamics, Enterprise Software, Integration, Project Management, Business Analysis, Requirements Analysis, Analysis, Program Management, Process Improvement, Systems Design

Education
Massachusetts Institute of Technology   2014 — 2015
Master of Science (S.M.), System Design and Management

Florida Institute of Technology
Bachelor of Science (B.S.), Computer Information Systems

Paul Kasuba Paul Kasuba Watertown, Massachusetts Details
Paul Kasuba's Tufts Health Plan Experience July 2010 - Present
Job SVP/CMO at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   July 2010 - Present

Skills
Managed Care, Disease Management, Health Insurance, Medicare, Healthcare, Healthcare Management, Healthcare Information..., Strategic Planning, Health Policy, Physicians, Long-term Care, Medicaid, Healthcare Industry, Hospitals, Healthcare Consulting, Professional Mentoring, Leadership, Coaching

Education
Tufts University School of Medicine   1980 — 1984
Doctor of Medicine (M.D.)

Duke University   1976 — 1980
Bachelor of Arts (BA), Political Science

Elena Goudey Elena Goudey Greater Boston Area Details
Elena Goudey's Tufts Health Plan Experience 1995 - 1999
Job Tour & Hospitality Coordinator
Industry Furniture
Experience
AIS  May 1999 - Present
AIS  October 2005 - September 2007
AIS  May 2000 - October 2005
Tufts Health Plan   1995 - 1999

Skills
Sales, Microsoft Office, Team Building, Furniture, Customer Service, Interior Design, Sales Presentations, Space planning, Management, Event Planning, Account Management, Project Management, Contract Negotiation, Customer Satisfaction, New Business Development, Space-planning

Education
Framingham State University   1993 — 1995
Bachelor of Science, Business Administration

University of Massachusetts, Amherst   1990 — 1993
Bachelor of Science (B.S.), Business

Adam Marks Adam Marks Greater Boston Area Details
Adam Marks's Tufts Health Plan Experience April 1999 - April 2000
Job Manager, End User Services at Integramed America
Industry Hospital & Health Care
Experience
Integramed America  February 2015 - Present
RSC/IntegraMed America, Inc.   September 2001 - February 2015
Open Ratings  April 2000 - December 2000
Tufts Health Plan   April 1999 - April 2000
Dow Jones, Market Systems Technology   May 1997 - December 1998

Skills
Healthcare, Vendor Management, Strategic Planning, Team Building, Process Improvement, Healthcare Management, Executive Management, Project Management, Software Implementation, Change Management, Management, Operations Management, Business Development, Team Leadership, Leadership, Training, Quality Assurance, Product Management, Analysis, IT Management, Management Consulting, CRM, Strategy, Risk Management, Business Analysis, Contract Negotiation, Software Documentation, Salesforce.com, Integration, Healthcare Information..., Business Intelligence, Recruiting, Program Management, Mergers & Acquisitions, Budgets, System Administration, Business Process..., Organizational..., Forecasting, Data Analysis, SDLC, Disaster Recovery, Data Center

Education
Framingham State College   1990 — 1994
BA, English

Brandeis University, Rabb - The Rabb School of Continuing Studies
Information Technology Management

Alison Bengel Alison Bengel Greater Boston Area Details
Alison Bengel's Tufts Health Plan Experience 2015 - Present
Job Senior Manager, Marketing at Tufts Health Plan
Industry Public Relations and Communications
Experience
Tufts Health Plan   2015 - Present
National Brain Tumor Society  2012 - Present
PerkinElmer, Inc.   2008 - 2012
EMD Millipore Corporation  2007 - 2008
Network Health  2003 - 2006

Skills
Brand Management, Marketing Communications, Content Strategy &..., Integrated Marketing, Public Relations, Segmentation, Team Management, Internal Communications, Collateral, Marketing Strategy, Strategy, Product Marketing, Teamwork, Marketing, Strategic Communications, Leadership, Entrepreneurship, Management, Digital Marketing, Media Relations

Education
Suffolk University - Sawyer School of Management
MBA, International Business

Emerson College
BS, Management Communications & Public Relations

Ryan Milliken Ryan Milliken Auburn, Massachusetts Details
Ryan Milliken's Tufts Health Plan Experience October 2014 - February 2015
Job CIP at F.W. Webb Company
Industry Wholesale
Experience
F.W. Webb Company   February 2015 - Present
Tufts Health Plan   October 2014 - February 2015
Lucky Strike/Jillian's Boston   May 2011 - December 2013
Emmanuel College  September 2007 - May 2011

Skills
Analytical Skills, Organization, Strategic Planning, Customer Service, Social Networking, Public Speaking

Education
Emmanuel College   2007 — 2011
Bachelor of Arts (B.A.), History, Cum Laude

Kidus Mezgebu Kidus Mezgebu Cambridge, Massachusetts Details
Kidus Mezgebu's Tufts Health Plan Experience January 2013 - May 2013
Job Faculty Assistant at Harvard Graduate School of Education
Industry Higher Education
Experience
Harvard Graduate School of Education  May 2013 - Present
Tufts Health Plan   January 2013 - May 2013
Harvard Graduate School of Education- Strategic Education Research Partnership   August 2012 - January 2013
Denison University  September 2011 - May 2012
Harvard Graduate School of Education- Center on the Developing Child   June 2011 - August 2011

Skills
Community Outreach, Fundraising, Higher Education, Microsoft Excel, Microsoft Office, Nonprofits, Public Speaking, Research, Customer Service, Teaching

Education
Harvard University Graduate School of Education   2015 — 2017
Master of Education (M.Ed.), Education Policy and Management

Denison University
Bachelor of Arts (B.A.)

Michele Montalvo Michele Montalvo Greater Boston Area Details
Michele Montalvo's Tufts Health Plan Experience December 2005 - December 2006
Job Human Resources Business Partner at UMass Memorial Medical Center
Industry Human Resources
Experience
UMass Memorial Medical Center  September 2011 - Present
Newton Wellesley Hospital  February 2007 - September 2011
Tufts Health Plan   December 2005 - December 2006
Regional Administrator   May 2002 - December 2005

Skills
Onboarding, Human Resources, Personnel Management, Talent Acquisition, Talent Management, Benefits Administration, Employee Relations, Applicant Tracking..., Employee Benefits, HRIS, Healthcare, PeopleSoft, Recruiting, Temporary Placement, Sourcing, Technical Recruiting

Education
Cambridge College   2010 — 2012
Masters, Management

Emmanuel College   1996 — 1999
BS, Business Administration

Louis Saledas Louis Saledas Greater Boston Area Details
Louis Saledas's Tufts Health Plan Experience July 2010 - October 2010
Job Managing Partner at On Course Marketing, LLC
Industry Market Research
Experience
On Course Marketing, LLC   June 2014 - Present
The Concept Group  April 2012 - Present
St Nicholas Greek Orthodox Church  2010 - Present
Tufts Health Plan   July 2010 - October 2010
Harvard Pilgrim Health Care  December 1995 - July 2010
Harvard Pilgrim Health Care, Wellesley MA   January 2003 - January 2006
Harvard Pilgrim Health Care  January 1999 - January 2002
Harvard Pilgrim Health Care  December 1995 - January 1999
TJX  1991 - 1995

Skills
SWOT analysis, Strategic Planning, Business Planning, Market Intelligence, Market Planning, Competitive Intelligence, Marketing Strategy, Segmentation, Competitive Analysis, Market Analysis, Secondary Research, Healthcare, New Business Development, Analysis, Market Research, Strategy, Data Analysis, Executive Management, Forecasting, Product Development, Managed Care, Leadership, Marketing Research, Business Intelligence, Analytics, Project Management, Financial Analysis, Consulting, Product Management, Strategic Partnerships, Marketing, Management

Education
Framingham State University   1981 — 1987
BS, Economics

Maura Buxton Maura Buxton Greater Boston Area Details
Maura Buxton's Tufts Health Plan Experience July 2009 - Present
Job Senior Enterprise Innovation Analyst at CVS Caremark Corporation
Industry Market Research
Experience
CVS Caremark Corporation  August 2013 - Present
Tufts Health Plan   July 2009 - Present
BzzAgent  September 2008 - November 2008
Compete, Inc.   2006 - 2007
Aberdeen Group  2005 - 2007
Pert Survey Research  2004 - 2005

Skills
Market Research, Competitive Intelligence, Competitive Analysis, Strategy, Analytics, Customer Insight, Business Strategy, Product Marketing, Product Management

Education
Emerson College   2001 — 2004

Benjamin Kodish Benjamin Kodish Greater Atlanta Area Details
Benjamin Kodish's Tufts Health Plan Experience 2002 - 2005
Job Director FTI Consulting / Health Solutions at FTI Consulting
Industry Hospital & Health Care
Experience
FTI Consulting  April 2014 - Present
FTI Consulting  March 2006 - Present
Tufts Health Plan   2002 - 2005

Skills
Revenue Cycle, Data Analysis, Healthcare

Education
Emory University   2005 — 2006

University of Connecticut   1998 — 2002
B.S., Healthcare Management

Alex Newbold Alex Newbold Nashua, New Hampshire Details
Alex Newbold's Tufts Health Plan Experience April 2006 - September 2007
Job Looking to restart my career
Industry Hospital & Health Care
Experience
IntelliSoft Group  February 2015 - May 2015
Adecco, Google  March 2013 - July 2013
Stay at home dad  October 2010 - March 2013
Centene Corporation  November 2007 - October 2010
Tufts Health Plan   April 2006 - September 2007

Skills
Customer Service, Research, Healthcare, Health Insurance, Microsoft Office, Management, Technical Writing, Project Management, Medicaid, Public Speaking, Insurance, Microsoft Excel, Training, Software Documentation

Education
Fitchburg State College   1992 — 1996
Bachelor, History

Westford Academy   1989 — 1992
College/University Preparatory and Advanced High School/Secondary Diploma Program

Michele (Fitzmaurice) Gerroir Michele (Fitzmaurice) Gerroir Greater Boston Area Details
Michele (Fitzmaurice) Gerroir's Tufts Health Plan Experience 2006 - Present
Job Program Manager III at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan   2006 - Present
Tufts Health Plan   2004 - 2006
Tufts Health Plan   2001 - 2004
Tufts Health Plan   1997 - 2001
Tufts Health Plan   1992 - 1997

Skills
Analysis, Process Improvement, Healthcare, Program Management, Data Analysis, Business Analysis, Cross-functional Team..., Visio, Software Documentation, Managed Care, HIPAA, Health Insurance, Management, Healthcare Information..., Business Process..., Vendor Management

Education
Framingham State University   1990 — 1991

Arlington High School   1986 — 1990

Sarah Woodward Sarah Woodward Greater Boston Area Details
Sarah Woodward's Tufts Health Plan Experience November 1997 - Present
Job Underwriting Consultant at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   November 1997 - Present
Harvard Pilgrim Health Care  May 1992 - October 1997

Skills
Claim, Managed Care, Health Insurance, Underwriting, Insurance, Employee Benefits, Medicare, Group Insurance, Healthcare, Health Care Reform, Disability Insurance, Brokers, Actuarial Science, Reinsurance

Education
Framingham State University   1990 — 1994

Jody Curtin Jody Curtin Greater Boston Area Details
Jody Curtin's Tufts Health Plan Experience 1994 - 2009
Job Advisor at Digital Benefit Advisors
Industry Insurance
Experience
Digital Benefit Advisors  August 2013 - Present
Northwestern Group Associates   2006 - Present
Northwestern Group Associates   2006 - Present
Strategic Employee Benefit Services  2006 - Present
Northwestern Group Associates   July 2006 - August 2013
Northwestern Group Associates   July 2006 - August 2013
Northwestern Group Associates   July 2006 - August 2013
Tufts Health Plan   1994 - 2009
Tufts Health Plan   May 1994 - July 2006

Skills
Health Insurance, Managed Care, Health Savings Accounts, Provider Relations, Health Care Reform, Employee Benefits, Insurance, PPO, Life Insurance, Disability Insurance, Healthcare Industry, HIPAA, Dental Insurance, Healthcare Reimbursement, Manage Client..., COBRA, Group Insurance, Voluntary Employee..., Benefits Administration

Education
Framingham State College   1977 — 1980

Holy Cross Academy, Brookline

Marc Spooner Marc Spooner Greater Boston Area Details
Marc Spooner's Tufts Health Plan Experience February 2014 - Present
Job President, Commercial Products at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   February 2014 - Present
Tufts Health Plan   March 2012 - February 2014
Tufts Health Plan   March 2007 - March 2012
Tufts Health Plan   January 2007 - March 2007
Tufts Health Plan   October 2004 - January 2007
Deloitte Consulting  September 1996 - October 2004

Education
Harvard Business School   1998 — 2000
Masters in Business Administration

Duke University   1992 — 1996
BA, Public Policy

Martha Entwisle Martha Entwisle Greater Boston Area Details
Martha Entwisle's Tufts Health Plan Experience 1983 - 2007
Job Director of Finance at Steward Health Care
Industry Hospital & Health Care
Experience
Steward Health Care  Accounting SupervisorCaritas Physician NetworkAugust 2007 - February 2013
Tufts Health Plan   1983 - 2007

Skills
Budgets, Microsoft Excel, Managed Care, HIPAA, Medicare, Process Improvement, Financial Analysis, Customer Service, Strategic Planning, Healthcare, Management, Revenue Cycle, Access, Insurance, Hospitals

Education
Framingham State University   2000 — 2008

nasson   1972 — 1976

Bob Huxley Bob Huxley Greater Boston Area Details
Bob Huxley's Tufts Health Plan Experience September 2015 - Present
Job Reporting Analyst BI Access/SQL developer Available
Industry Computer Software
Experience
Tufts Health Plan   September 2015 - Present
Cisco Systems  December 2012 - October 2014
Cobham Advanced Electronic Solutions  June 2012 - October 2012
Massachusetts Clean Water Trust   February 2012 - March 2012
The Hanover Insurance Group  August 2011 - September 2011
Franklin Pierce University  August 2009 - November 2009
Fidelity Investments  October 2008 - May 2009
Hewlett Packard  February 2008 - August 2008
Wellington Management  December 2007 - February 2008
Thermo Fisher Scientific  November 2007 - November 2007

Skills
Process Improvement, Business Analysis, Analysis, SQL, Requirements Analysis, Microsoft SQL Server, Windows, Analytics, SDLC, Access, Software Documentation, ERP, Oracle, Databases, Program Management, SharePoint, Business Intelligence, Testing, Training

Education
Fitchburg State College   1972 — 1975
BS in Ed, English

New Horizons   2010 — 2011
N/A, SQL BI

Quinsigamond Community College   1970 — 1972
Associate's Degree, Liberal Arts

Dawn Ehst Dawn Ehst Greater Boston Area Details
Dawn Ehst's Tufts Health Plan Experience July 1999 - October 2009
Job Systems Support United Way Cape Cod
Industry Human Resources
Experience
Cape Cod Volunteers   June 2013 - Present
Tufts Health Plan   July 1999 - October 2009
Parametric Technology Corporation (PTC)   1995 - 1999

Education
Eastern Nazarene College   1971 — 1975
Bachelor's degree, English/Language Arts Teacher Education

Keonia Dukes Keonia Dukes Providence, Rhode Island Area Details
Keonia Dukes's Tufts Health Plan Experience January 2005 - Present
Job Senior Accountant at Tufts Health Plan
Industry Accounting
Experience
Tufts Health Plan   January 2005 - Present
Tufts Health Plan   May 2001 - January 2005
Children's Hospital  1999 - 2001
BankBoston  1997 - 1999

Skills
Financial Analysis, Medicare, Healthcare, Auditing, Accounting, Sarbanes-Oxley Act, General Ledger, Variance Analysis, Internal Controls, Financial Reporting, Financial Accounting, Accounts Payable, Internal Audit, Tax, QuickBooks, Access, Healthcare Consulting, Managed Care

Education
University of Phoenix   2010 — 2012
MSA, Accountancy

Emmanuel College   2006 — 2008
BSBA, Business

Beth Wellnitz Beth Wellnitz Greater Boston Area Details
Beth Wellnitz's Tufts Health Plan Experience November 2007 - Present
Job Senior Account Manager at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   November 2007 - Present
Private HealthCare Systems / Multiplan   August 1997 - November 2007
O'Neill Finnegan & Jordan   1993 - 1997
Hartstein & Associates   1990 - 1993

Skills
Medicaid, HMO, Vendor Management, Healthcare Industry, PPO, Marketing Communications, Healthcare Information..., Provider Relations, Managed Care, Underwriting, Sales, Customer Service, Health Care Reform

Education
Elizabethtown College
B.S, Business Management

Demetrius Dicks, MD Demetrius Dicks, MD New Haven, Connecticut Details
Demetrius Dicks, MD's Tufts Health Plan Experience June 1999 - August 1999
Job Assistant Professor, Department of Diagnostic Radiology at Yale University School of Medicine
Industry Hospital & Health Care
Experience
Yale University School of Medicine  July 2013 - Present
University of Washington  July 2012 - June 2013
University of Washington  March 2009 - June 2012
UCSF Medical Center  July 2006 - June 2008
UCSF Medical Center  June 2005 - June 2008
Mayo Clinic  July 2003 - May 2005
Cyberedit, Inc   November 2001 - May 2005
Stanford University Medical Center  1998 - 2003
Tufts Health Plan   June 1999 - August 1999

Skills
MRI, Radiology, Clinical Research, Digital Imaging, Board Certified, Medical Education, Medical Imaging, Ultrasound, Cardiovascular Imaging, Computed Tomography, High resolution chest CT, Cardiac MRI, Radiography, Epidemiology, Cancer, Medicine, PACS, Healthcare Information..., Hospitals

Education
Stanford University School of Medicine   1998 — 2003
MD, Medicine

Emory University   1994 — 1998
B.S., Biology

Lorna J. Keith Lorna J. Keith Greater Boston Area Details
Lorna J. Keith's Tufts Health Plan Experience August 2009 - Present
Job Sr Manager, Clinical Services Business Implementation at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   August 2009 - Present
Arbella Insurance Group  March 1990 - April 2001
Wang Laboratories  1984 - 1990

Skills
PMP, SDLC, Process Improvement, Business Analysis, Vendor Management, Visio, Project Management, Requirements Analysis, Data Warehousing, Integration, Requirements Gathering, Business Intelligence, Program Management, Enterprise Architecture, Cross-functional Team..., Data Modeling, ETL, IT Strategy, Management, Change Management

Education
Northeastern University   2012 — 2015
Master's degree, Health Informatics

Framingham State College
BS Education

Gina Fawcett Gina Fawcett Manchester, New Hampshire Details
Gina Fawcett's Tufts Health Plan Experience April 2011 - July 2012
Job Health Insurance Analyst
Industry Insurance
Experience
Anthem, Inc.   March 2015 - Present
DentaQuest  December 2013 - October 2014
Consultant  June 2013 - November 2013
Tufts Health Plan   April 2011 - July 2012
Tufts Health Plan   June 2008 - April 2011
Tufts Health Plan   September 2006 - July 2008
Blue Cross Blue Shield of Massachusetts  July 2004 - August 2006

Skills
Health Insurance, Medicare, Medicare Advantage, Medicare Prescription..., Medicare Part D, Managed Care, TRICARE, HMO, CMS, PPO, NCQA, Health Care Reform, Customer Service, Customer Satisfaction, Public Speaking, Appeals, Medical Terminology, Grievances, Employee Training, Peer Mentoring, Data Analysis, Microsoft Office, Microsoft Excel, Team Building, ICD-9, PowerPoint, Outlook, Process Improvement, Lotus Notes, HIPAA, Healthcare Industry, Provider Relations, Healthcare, Health Policy, Training, Claims Resolution, Claim

Education
Fitchburg State College   1999 — 2002
3 years of study Business Management, Bachelors program

Essex Agricultural & Technical Institute   1995 — 1999
High School Diploma, Animal Sciences / Agricultural Business

Jose Aquino Jose Aquino Greater Boston Area Details
Jose Aquino's Tufts Health Plan Experience September 2014 - Present
Job Field Sales Management
Industry Insurance
Experience
Tufts Health Plan   September 2014 - Present
UnitedHealthcare Community Plan  December 2011 - August 2014
UnitedHealthcare/Evercare   April 2009 - December 2011
Jackson Health System/JMH Health Plan   April 2008 - April 2009
WellCare/Staywell Health Plan of Florida   February 2006 - March 2008
WellCare/Staywell Health Plan of Florida   May 2004 - March 2006
Regis House  January 2002 - May 2004

Skills
Managed Care, Medicare, Medicaid, HMO, Fundraising, Product Marketing, Sales Management, Sales Support, Health Education, Leadership, Sales, Sales Operations, Management, Team Building, Strategic Planning, Marketing, Healthcare Management, Healthcare Industry, Healthcare, Health Insurance, HIPAA, Event Planning, Customer Service, Community Outreach

Education
Florida International University   2002 — 2004
Masters, Public Health

University of Massachusetts Lowell   1996 — 2001
Bachelors, Community Health

Brockton High School   1992 — 1996
HS Diploma, n/a

Andrea Murphy BSN RN CCM Andrea Murphy BSN RN CCM Greater Boston Area Details
Andrea Murphy BSN RN CCM's Tufts Health Plan Experience onsite case managerBlue Cross Blue Shield of Ma1994 - 1996
Job senior specialty case manager at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan   onsite case managerBlue Cross Blue Shield of Ma1994 - 1996
Metrowest Medical Center Natick   1980 - 1995
St Louis City Hospital   1975 - 1980

Skills
Managed Care, Healthcare, Hospitals, Healthcare Management, Nursing, Healthcare Information..., Utilization Management, Case Managment, Home Care, HIPAA, Disease Management, Healthcare Consulting, Medical/Surgical, Ambulatory, Medicare, Medicaid, EMR

Education
Framingham State University   1982 — 1985
health care administration;graduate studies

Saint Louis University   1971 — 1975
BSN, Nursing

Darren DeHimer Darren DeHimer Greater Boston Area Details
Darren DeHimer's Tufts Health Plan Experience August 2012 - Present
Job Account Manager at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   August 2012 - Present
Tufts Health Plan   June 2010 - July 2012
Tufts Health Plan   August 2009 - June 2010

Skills
Managed Care, Employee Benefits, Customer Service, Medicare, Insurance, Health Insurance, Underwriting, Claim, Leadership, Workers Compensation, Client Representation

Education
Excelsior College
BS, Business Management, Anthropology

Anne (Coakley) Furtado Anne (Coakley) Furtado Greater Boston Area Details
Anne (Coakley) Furtado's Tufts Health Plan Experience 1986 - 1998
Job Business Analyst at DiagnosisONE, Inc
Industry Medical Devices
Experience
Alere Analytics (formerly DiagnosisONE, Inc)   October 2012 - Present
Philips  April 2007 - October 2012
PMS  November 2004 - April 2007
Philips  May 1998 - November 2004
Tufts Health Plan   1986 - 1998

Skills
Wordpress, BuddyPress, SAP R/3, SAP BW, SAP FI/CO Configuration, Business Objects, Business Intelligence, Business Analysis, ITIL Certified, PRINCE2, PowerPoint, Visio, Microsoft Office, Oracle SQL, PL/SQL, Unix Shell Scripting, Agile Methodologies, Access, Process Improvement, Databases, Business Process, WordPress, SAP ERP, Management, Requirements Analysis, Project Management, Integration

Education
Emmanuel College   2002 — 2007
BSBA, Business Administration

Tewksbury Memorial High School   1978 — 1981

Stephanie Sisto Stephanie Sisto Greater Boston Area Details
Stephanie Sisto's Tufts Health Plan Experience October 2005 - January 2007
Job Health Care Administration
Industry Hospital & Health Care
Experience
TKT SOFTWARE SERVICES, INC.   June 2011 - December 2012
Action, Inc.   January 2010 - April 2011
Tufts Health Plan   October 2005 - January 2007
Tufts Health Plan   September 2004 - August 2005
Athena Health  December 2000 - January 2003

Skills
Managed Care, Healthcare, Health Insurance, Medicare, Sales, Insurance, Strategic Planning, Customer Service, HIPAA, Analysis, Management, Employee Benefits, Process Improvement, Marketing, Nonprofits, Data Analysis, Program Management

Education
Simmons College   2000 — 2004
MHA, Healthcare Administation

Gettysburg College   1989 — 1993
Bachelor's degree, Psychology

Waltham High School

Waltham High School

Cynthia Laggis Cynthia Laggis Greater Boston Area Details
Cynthia Laggis's Tufts Health Plan Experience October 2011 - Present
Job CS Integration Program Manager, Medicare Preferred at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   October 2011 - Present
McKesson  2000 - 2011
Mariner Health Care  1994 - 1999

Skills
Managed Care, Healthcare, Utilization Management, Medicaid, HIPAA, Clinical Research, Medicare, Healthcare Consulting, Healthcare Information..., Disease Management, Hospitals, Healthcare Management, Informatics, Nursing, Revenue Cycle, Healthcare Industry, Patient Advocacy, Home Care, EHR, Patient Safety, EMR, Physician Relations, Medicine, Patient Education, Acute Care, Quality Improvement, Inpatient, Case Management, Health Education, Health Insurance, Physicians, Health Policy, Provider Relations, Ambulatory, Medical Coding, ICD-9, Medical Billing, Pediatrics

Education
Simmons College, MHA
MHA, Master in Health Care Administration

Fitchburg State College   1976 — 1980
RN, BSN, Nursing

Erica Waite Clay Erica Waite Clay Greater Boston Area Details
Erica Waite Clay's Tufts Health Plan Experience April 2003 - March 2005
Job PhD Candidate at Tufts University
Industry Higher Education
Experience
Tufts University  September 2007 - May 2013
Emmanuel College  September 2008 - May 2011
Emmanuel College  January 2008 - May 2011
Tufts University  June 2006 - June 2007
Tufts Health Plan   April 2003 - March 2005

Skills
Dynamical Systems, Chaos Theory, Mathematics, Research, Teaching, Curriculum Design, Tutoring

Education
Tufts University   2008 — 2015
Doctor of Philosophy (Ph.D.)

Tufts University   2005 — 2007
Master’s Degree

Emmanuel College   1998 — 2003
B.A.

Masconomet   1993 — 1997

Deborah LaValley Deborah LaValley Woonsocket, Rhode Island Details
Deborah LaValley's Tufts Health Plan Experience 1996 - 2003
Job Director, Enterprise Patient Safety at CVS Health
Industry Hospital & Health Care
Experience
CVS Health  May 2013 - Present
CRICO  January 2006 - May 2013
HealthAlliance Hospital  March 2003 - January 2006
Tufts Health Plan   1996 - 2003

Skills
Patient Safety, Healthcare, Program Management, Process Improvement, Risk Management, Public Speaking, Data Mining, SharePoint, Non-profits, Strategic Planning, Project Management, Microsoft Excel

Education
Fitchburg State College   1974 — 1978
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse

Thera Dozier Thera Dozier Greater Boston Area Details
Thera Dozier's Tufts Health Plan Experience December 2007 - September 2008
Job Administrative Assistant / Student Services at North DuPage Special Education Cooperative
Industry Hospital & Health Care
Experience
North DuPage Special Education Cooperative  Administrative Assistant / Student ServicesNorth DuPage Special Education CooperativeFebruary 2014 - Present
Commonwealth Hematology Oncology  September 2009 - January 2013
Brockton Hospital  September 2008 - September 2009
Tufts Health Plan   December 2007 - September 2008

Education
Endicott College   2002 — 2006
Bachelors, Psychology

Lena Likhterman Lena Likhterman Greater Boston Area Details
Lena Likhterman's Tufts Health Plan Experience 1998 - 2003
Job Senior Data Quality Assurance Analyst at Network Health
Industry Hospital & Health Care
Experience
Tufts Health Plan – Network Health  July 2008 - Present
Network Health  October 2010 - July 2013
Network Health  July 2008 - October 2010
BMC HealthNet Plan  April 2004 - June 2008
Tufts Health Plan   1998 - 2003

Skills
Data Analysis, Healthcare Information..., HIPAA, Healthcare, Software Documentation, Health Insurance

Education
Gibbs College   2000 — 2002
Associates, Multimedia and Visual Communications

Gibbs College-Boston   2000 — 2002
Associate of Arts (AA), Design and Visual Communications, General

Brettan Middleton Brettan Middleton Greater Boston Area Details
Brettan Middleton's Tufts Health Plan Experience February 2015 - Present
Job MHM
Industry Hospital & Health Care
Experience
Tufts Health Plan   February 2015 - Present
Neighborhood Health Plan  May 2011 - June 2012
Neighborhood Health Plan  October 2007 - May 2011
United Health Care  October 2006 - October 2007

Skills
Medicare, Medical Billing, Medical Coding, Medicaid, Claim, Insurance, CPT, ICD-9, Provider Relations, Analysis, Employee Benefits, HCPCS, Medical Records, Microsoft Excel, Management, HIPAA, Invoicing, Healthcare, Managed Care, Auditing, Health Insurance, Revenue Cycle, Customer Service, PowerPoint, Microsoft Word, Healthcare Management, Team Building

Education
New England College of Business and Finance   2013 — 2014
Master of Healthcare Management, Long Term Care Administration/Management, 3.70

Attended New England College of Business and Finance   2008 — 2013
BSBA, Business Administration and Management, General, 3.59

Fitchburg State University   2004 — 2006
Biology

Scott Azzalina Scott Azzalina Greater Boston Area Details
Scott Azzalina's Tufts Health Plan Experience November 2012 - Present
Job System Engineer at Tufts Health Plan
Industry Computer Software
Experience
Tufts Health Plan   November 2012 - Present
Hallmark Health System, Inc.   June 2007 - November 2012
US Army  January 2002 - January 2006

Skills
Healthcare Information..., SQL, Microsoft Office, EMR, Microsoft SQL Server, Meditech, Business Analysis, Networking, Information Technology, Lotus Notes, SDLC, Active Directory, System Administration, Databases, Healthcare, Healthcare Management, Systems Analysis, Computer Hardware, Customer Service, IT Management, Citrix, Troubleshooting, EHR, Process Improvement, Integration, Informatics, Software Documentation, VPN, Agile Methodologies, Access, Technical Support, System Deployment, Software Implementation, PACS, Network Administration, Disaster Recovery

Education
DeVry University   2007 — 2011
Bachelor's degree, Computer Informaton Systems

Judith Abbruzzese Judith Abbruzzese Quincy, Massachusetts Details
Judith Abbruzzese's Tufts Health Plan Experience August 2001 - March 2010
Job Oracle SQL Server Database Developer
Industry Information Technology and Services
Experience
Connolly Healthcare  October 2012 - Present
Sabre Holdings  March 2011 - May 2012
Granite Telecommunications  January 2011 - March 2011
B. Donelin Financial Services Inc.   April 2010 - December 2010
Tufts Health Plan   August 2001 - March 2010
Verizon  January 1980 - August 2001

Skills
PL/SQL, SQL, SQL Tuning, Unix, Oracle, Database Design, Data Modeling, Data Migration, Problem Solving, Microsoft SQL Server, Data Warehousing, Business Intelligence, SharePoint, Requirements Analysis, Databases, T-SQL, SDLC, Process Improvement, Enterprise Architecture, Business Analysis, Integration, ETL, Testing, UML, Systems Analysis, Data Warehouse..., Business Requirements, Analysis, SSRS, Visio, MS Project, Crystal Reports, Requirements Gathering, Software Project..., Access, Software Documentation, Business Objects, Database Administration, Informatica, Data Integration, Erwin, Stored Procedures, Data Mining, Visual Basic, SSIS, Agile Methodologies, Management, Oracle SQL Developer

Education
Emmanuel College   1975 — 1980
B.A, Mathematics and Chemistry

Archbishop Williams High School

Jeffrey Smagula Jeffrey Smagula Greater Boston Area Details
Jeffrey Smagula's Tufts Health Plan Experience June 2014 - Present
Job Senior Associate General Counsel at Tufts Health Plan
Industry Legal Services
Experience
Tufts Health Plan   June 2014 - Present
EMD Millipore  June 2012 - May 2014
EMD Millipore  October 2006 - May 2012
WilmerHale  September 1999 - October 2006

Education
Georgetown University Law Center   1996 — 1999
JD, Law

Harvard University   1992 — 1996
AB, Government

Jonathan Lamoureux Jonathan Lamoureux Greater Boston Area Details
Jonathan Lamoureux's Tufts Health Plan Experience 1994 - 1998
Job VP Client/Customer Service and Enrollment at Arthur J. Gallagher & Co.
Industry Insurance
Experience
Arthur J. Gallagher & Co.   December 2012 - Present
Arthur J. Gallagher & Co.   July 2008 - December 2012
Lamoureux Healthcare Solutions   2006 - 2008
Perot Systems / Harvard Pilgrim Health Care   2001 - 2005
Partners Healthcare  1998 - 2001
Tufts Health Plan   1994 - 1998
Cross Country Group  1993 - 1997

Skills
Insurance, Leadership, Customer Service, Healthcare, Employee Benefits, Strategic Planning, Account Management, Team Building, Health Insurance, Team Leadership, Business Strategy, Project Management, Microsoft Office, Process Improvement, Data Analysis, Process Engineering, Cross-functional Team..., Microsoft Excel, Public Speaking, Microsoft Word, Staff Development, Flash Animation, Product Development, Program Implementation, Compliance, Affordable Care Act, Employee Training, Event Planning, Event Management, Live Events, Training, Management, CRM, Analysis, Call Centers, Sales

Education
Emmanuel College   1997 — 2001
Bachelor of Science (B.S.), BSBA-Cum Laude, Business/Econ

Somerville High School   1986 — 1991

RONALD REIDY RONALD REIDY Greater Boston Area Details
RONALD REIDY's Tufts Health Plan Experience November 2005 - April 2011
Job Contract Manager at UMass Memorial Health Care, Inc
Industry Insurance
Experience
UMass Memorial Health Care, Inc  August 2013 - Present
BMC HealthNet Plan  December 2011 - August 2013
Network Health  April 2011 - December 2011
Tufts Health Plan   November 2005 - April 2011
UMass Memorial Medical Center  May 2001 - November 2005

Education
Framingham State University   1990 — 1994
B.A., Public Administration

Eric Alexson Eric Alexson Greater Boston Area Details
Eric Alexson's Tufts Health Plan Experience 2004 - 2007
Job Managed Care Sr. Financial Analyst at Partners HealthCare
Industry Hospital & Health Care
Experience
Partners HealthCare  January 2007 - Present
Tufts Health Plan   2004 - 2007
Tufts Health Plan   2002 - 2004
Risk Based Solutions   2001 - 2002
The Bostonian Group  2000 - 2001
Tufts Health Plan   1996 - 2000
Tufts Health Plan   1991 - 1996

Skills
Healthcare, Hospitals, Process Improvement, Data Analysis, Financial Analysis, Microsoft Excel, Access, Microsoft Word

Education
Fitchburg State College   1985 — 1989
Bachelor of Science, History

Brian Brannelly Brian Brannelly Greater Boston Area Details
Brian Brannelly's Tufts Health Plan Experience August 2013 - July 2015
Job Manager of Tufts Medicare Preferred Call Center
Industry Insurance
Experience
Tufts Health Plan   August 2013 - July 2015
Tufts Health Plan   January 1999 - August 2013

Skills
Call Centers, HIPAA, HMO, Health Insurance, Insurance, Medicaid, Medicare, Provider Relations, Employee Benefits

Education
Framingham State University

waltham High school

waltham High school

Susan Alvarez Susan Alvarez Greater Boston Area Details
Susan Alvarez's Tufts Health Plan Experience UnderwriterTHP2000 - Present
Job Underwriter at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   UnderwriterTHP2000 - Present

Skills
Health Insurance, Underwriting

Education
Framingham State College   1991 — 1995
BA, Business Administration

Aaron Casey Aaron Casey Greater Boston Area Details
Aaron Casey's Tufts Health Plan Experience April 2008 - November 2008
Job EDP Clerk II at State of Boston Department of Mental Health
Industry Security and Investigations
Experience
State of Boston Department of Mental Health   January 2012 - Present
US Security Associates  January 2010 - January 2012
Wings over Somerville   March 2008 - February 2009
Tufts Health Plan   April 2008 - November 2008
OfficeMax  April 2006 - November 2007
City Year  January 2005 - November 2005

Skills
Windows Server 03/08, Linux, Windows 7, Vista, XP

Education
Kaplan Career Institute   2010 — 2011
Computers/IT

Fisher College   2006 — 2007
Business, Marketing, Business Major

Shenandoah Valley Academy   1999 — 2003
High School, Science

Benise Donahue, PMP Benise Donahue, PMP Greater Boston Area Details
Benise Donahue, PMP's Tufts Health Plan Experience July 2015 - Present
Job Senior Project Manager at Tufts Health Plan Operations Division
Industry Insurance
Experience
Tufts Health Plan   July 2015 - Present
Tufts Health Plan   November 2002 - Present
Operations Up!- Tufts Health Plan   August 2014 - Present
Tufts Health Plan   July 2009 - Present
Tufts Health Plan   April 2011 - July 2012

Skills
Healthcare, Health Insurance, HIPAA, Healthcare Management, Managed Care, Project Management, Medicare, Strategic Planning, ICD-10, PMP, Health Policy, Healthcare Information..., Process Improvement, Management, Healthcare Consulting, Quality Improvement, EMR, Medicaid, EHR, Disease Management, Utilization Management, Healthcare Industry, Provider Relations, Medicare Part D, Project Portfolio..., Project Development, Project Expertise, Risk Management, Team leadership, Work flow Planning, Relationship building, Strategic objectives, Deadline management, Added value, Mentoring, Change management, Transformation

Education
Framingham State College
BA, Liberal Arts

Steve Cherenfant Steve Cherenfant Greater Boston Area Details
Steve Cherenfant's Tufts Health Plan Experience January 2011 - April 2011
Job Project Coordinator
Industry Financial Services
Experience
Citizens Financial Group, Inc.   May 2015 - Present
Pena Madridsta Boston   March 2014 - Present
Citizens Financial Group, Inc.   February 2014 - November 2014
John Hancock Financial Services  October 2011 - June 2013
Wells Fargo  May 2011 - September 2011
Tufts Health Plan   January 2011 - April 2011
State Street  February 2010 - March 2010
State Street  June 2008 - July 2009
Fisher College  September 2007 - December 2007

Skills
Customer Service, Call Centers, Microsoft Excel, Microsoft Office, Software Documentation, PowerPoint, Office Management, Long Term Care Insurance, Office Administration, Data Entry, Microsoft Word, Outlook, Teamwork, Time Management, Insurance, Clerical Skills, General Office Duties, Claim Analysis, Call Center, FileNet, Remedy, Technical Issues, RACF, Rumba, SharePoint, Binders, Sorting, LifePro, Scanners, FileMaker, Highly detail oriented, Project Delivery, Citrix, Mainframe, Validation, Oracle E-Business Suite, Event Planning

Education
Endicott College   2012 — 2014
Master of Business Administration (M.B.A.), Operations Management

Fisher College   2004 — 2008
Bachelor of Science (BS), Business Management

Malden Catholic High School   2000 — 2004
High School Diploma

Darrell Crawford Darrell Crawford Midland, Texas Details
Darrell Crawford's Tufts Health Plan Experience June 2012 - May 2013
Job Team Lead Guar/Acid
Industry Oil & Energy
Experience
PfP Industries   August 2014 - Present
Bosch  January 2014 - August 2014
Tufts Health Plan   June 2012 - May 2013
Carolina By Product   January 2008 - July 2009
Atlantic Southeast   December 2004 - January 2008
Hertz Car Rental  July 2004 - October 2006

Skills
Inventory Management, Sales Management, Sales, Merchandising, Account Management, Customer Service, Sales Operations, Purchasing, Retail, Inventory Control, Grocery, Outside Sales

Education
Fort Valley State University   2003 — 2007
Bachelor's degree, Mass Communication

Ronald E Mcnair Highschool   1999 — 2003
diploma, Applied Mathematics

Carolyn Backus Carolyn Backus Belmont, Massachusetts Details
Carolyn Backus's Tufts Health Plan Experience September 2005 - Present
Job Member services specialist at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   September 2005 - Present

Education
Drew University   1974 — 1978
Bachelor of Science (BS), English Language and Literature/Letters

Kristen Brooks Kristen Brooks Hopkinton, Massachusetts Details
Kristen Brooks's Tufts Health Plan Experience October 2012 - November 2012
Job Sales Representative at Red Hawk Fire&Security
Industry Public Safety
Experience
Red Hawk Fire&Security  September 2013 - Present
Advanced Safety Systems   November 2012 - September 2013
Tufts Health Plan   October 2012 - November 2012
Robert Half Accountemps  2012 - October 2012
Cintas Fire Safety   August 2010 - August 2011
Siemens Fire Safety  September 2008 - July 2010
SimplexGrinnell  2005 - 2007

Skills
Sales, Customer Retention, Customer Service, Accounting, Account Management, Recruiting, Team Building, Sales Presentations, Salesforce.com, Sales Management, Business Development, Contract Negotiation, Operations Management, Cold Calling, Customer Satisfaction, Sales Process, Direct Sales

Education
Fitchburg State College   2002 — 2005
Bachelor of Science (BS), Business Administration, Management and Operations

Mount Wachusett Community College   1999 — 2002
Associate's degree, Accounting and Finance

Nikole Xerikos Nikole Xerikos Watertown, Massachusetts Details
Nikole Xerikos's Tufts Health Plan Experience January 2011 - Present
Job production support specialist at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan   January 2011 - Present
Tufts Health Plan   May 2009 - January 2011
Ruby Tuesday  May 2008 - January 2009

Skills
Microsoft Office, Microsoft Excel, Outlook, Customer Service, PowerPoint

Education
Framingham State College   2007 — 2008
psychology

irena Skillman Fine irena Skillman Fine Spring Hill, Florida Details
irena Skillman Fine's Tufts Health Plan Experience February 2004 - May 2006
Job receptionist at hernando childrens
Industry Medical Practice
Experience
hernando childrens   October 2012 - Present
outcomes inc  June 2006 - May 2007
Tufts Health Plan   February 2004 - May 2006

Skills
fluent in Russian

Education
Framingham State College   1989 — 1995
Associate's degree, Criminal Justice and Corrections

Christopher Chiappetta Christopher Chiappetta Greater Boston Area Details
Christopher Chiappetta's Tufts Health Plan Experience 2011 - Present
Job Provider Information Associate at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan   2011 - Present

Skills
Customer Service, Microsoft Excel, Strategic Planning

Education
Politenik Negrei Bali   2009 — 2010
Indonesian Language and Culture

University of North Carolina at Wilmington
Bachelor of Arts (B.A.), Political Science

Edith Cowan University

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