Tufts Health Plan
Industry: Company
DescriptionTufts Health Plan is a Massachusetts-based health insurance company under Tufts Associated Health Plans, Inc. with headquarters in Watertown. As of March 31, 2016, the nonprofit health insurer had 1,072,000 members. The Tufts Health Plan network includes 91 hospitals and 29,000 health care providers. CEO: Thomas Croswell (Jan 2016–) Headquarters: Watertown, Massachusetts, United States Number of employees: 2,400 Founded: 1979 Subsidiaries: Tufts Health Public Plans, Inc., Integra Partners Holdings, LLC
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Tufts Health Plan Employees
Employee
Years
Job
Industry
Emily Levine Emily Levine's Tufts Health Plan Experience October 2010 - August 2012
Job Cheesemonger at The Ploughman
Industry Food & Beverages
Experience
The Ploughman August 2015 - Present
From The Ground Brewery May 2015 - August 2015
Via Quadronno August 2014 - August 2015
Mealku January 2014 - July 2014
Batch Bakehouse July 2013 - November 2013
Moka September 2012 - August 2013
S2 Pizza Bar October 2012 - March 2013
Tufts Health Plan October 2010 - August 2012
Clean Water Action May 2009 - August 2009
United for a Fair Economy February 2009 - May 2009
Skills
Community Organizing, Community Outreach, Grant Writing, Public Health, Customer Service, Recruiting, Social Justice, Political Campaigns, Food & Beverage, Microsoft Office, Management, Web Content, E-blast, Retail, Office Administration, Social Media, Event Planning, Leadership, Training
Education
Lesley University 2005 — 2010
BS, Global Studies
NYU Steinhardt School of Culture, Education, and Human Development
Master's Degree, Food Studies
The Ploughman August 2015 - Present
From The Ground Brewery May 2015 - August 2015
Via Quadronno August 2014 - August 2015
Mealku January 2014 - July 2014
Batch Bakehouse July 2013 - November 2013
Moka September 2012 - August 2013
S2 Pizza Bar October 2012 - March 2013
Tufts Health Plan October 2010 - August 2012
Clean Water Action May 2009 - August 2009
United for a Fair Economy February 2009 - May 2009
Skills
Community Organizing, Community Outreach, Grant Writing, Public Health, Customer Service, Recruiting, Social Justice, Political Campaigns, Food & Beverage, Microsoft Office, Management, Web Content, E-blast, Retail, Office Administration, Social Media, Event Planning, Leadership, Training
Education
Lesley University 2005 — 2010
BS, Global Studies
NYU Steinhardt School of Culture, Education, and Human Development
Master's Degree, Food Studies
Irene Dunbar Irene Dunbar's Tufts Health Plan Experience July 2014 - Present
Job Credentialing Specialist at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan July 2014 - Present
Tufts Health Plan January 2012 - Present
Skills
Medical Assistant, Cpr Certified, First Aid, Microsoft Office..., Aseptic Medical..., HIPAA Training,..., EKG Certified, Venipuncture/Injections, Vital Signs, Microsoft Excel, Clinical Office...
Education
Lincoln Technical Institute-Somerville 2008 — 2009
Certified Medical Assistant, Medical/Clinical Assistant
Andover College Portland Maine 1995 — 1996
Paralegal Studies, Paralegal
Tufts Health Plan July 2014 - Present
Tufts Health Plan January 2012 - Present
Skills
Medical Assistant, Cpr Certified, First Aid, Microsoft Office..., Aseptic Medical..., HIPAA Training,..., EKG Certified, Venipuncture/Injections, Vital Signs, Microsoft Excel, Clinical Office...
Education
Lincoln Technical Institute-Somerville 2008 — 2009
Certified Medical Assistant, Medical/Clinical Assistant
Andover College Portland Maine 1995 — 1996
Paralegal Studies, Paralegal
Kristie Helms Kristie Helms's Tufts Health Plan Experience 2002 - 2004
Job VP, Global Head of Marketing Promotions & Social Media at State Street
Industry Financial Services
Experience
State Street December 2007 - Present
State Street December 2007 - Present
Rogerson Communities July 2004 - December 2007
Tufts Health Plan 2002 - 2004
Scor Re 2000 - 2001
Marsh & McLennan Companies 1998 - 2000
United Cerebral Palsy New York City May 1996 - August 1998
The Paris Post-Intelligencer May 1993 - February 1996
Skills
Marketing Communications, Promotional Marketing, Social Media Marketing, Social Media, Marketing Strategy, Data Analysis, Integrated Marketing..., Digital Marketing, Internal Communications, Data Mining, Multi-channel Marketing, Multi-media Marketing..., Content Management, Content Marketing, Content Strategy, Corporate Communications, Facebook, Community Outreach, Integrated Marketing, Intranet, Digital Media, Writing, Public Relations, Twitter, Blogging, Social Networking, Brand Awareness, Corporate Blogging, Internet, Radian6, Photoshop, Actiance, BuddyMedia, Digital Communication..., Strategic Communications, Dreamweaver, Illustrator, Adobe Creative Suite, Online Marketing, Editing, Management, Leadership, Newsletters, Nonprofits, Public Speaking, Press Releases, Strategy, Media Relations, Marketing, Event Planning
Education
Simmons College 2007 — 2009
Masters, Communications Management
New York University 1998 — 1999
Certificate, Public Relations
Murray State University 1989 — 1993
BS, Print Journalism
State Street December 2007 - Present
State Street December 2007 - Present
Rogerson Communities July 2004 - December 2007
Tufts Health Plan 2002 - 2004
Scor Re 2000 - 2001
Marsh & McLennan Companies 1998 - 2000
United Cerebral Palsy New York City May 1996 - August 1998
The Paris Post-Intelligencer May 1993 - February 1996
Skills
Marketing Communications, Promotional Marketing, Social Media Marketing, Social Media, Marketing Strategy, Data Analysis, Integrated Marketing..., Digital Marketing, Internal Communications, Data Mining, Multi-channel Marketing, Multi-media Marketing..., Content Management, Content Marketing, Content Strategy, Corporate Communications, Facebook, Community Outreach, Integrated Marketing, Intranet, Digital Media, Writing, Public Relations, Twitter, Blogging, Social Networking, Brand Awareness, Corporate Blogging, Internet, Radian6, Photoshop, Actiance, BuddyMedia, Digital Communication..., Strategic Communications, Dreamweaver, Illustrator, Adobe Creative Suite, Online Marketing, Editing, Management, Leadership, Newsletters, Nonprofits, Public Speaking, Press Releases, Strategy, Media Relations, Marketing, Event Planning
Education
Simmons College 2007 — 2009
Masters, Communications Management
New York University 1998 — 1999
Certificate, Public Relations
Murray State University 1989 — 1993
BS, Print Journalism
Sarah San Clemente Sarah San Clemente's Tufts Health Plan Experience April 1999 - September 2000
Job Office Manager at Attitudes Dance & Fitness
Industry Fine Art
Experience
Attitudes Dance & Fitness May 2013 - Present
Otherworld September 2002 - Present
Tundo Corporation September 2000 - March 2002
Tufts Health Plan April 1999 - September 2000
Skills
Painting, Fundraising, Event Planning, Newsletters, Microsoft Excel, Microsoft Word, Outlook, Management, Volunteer Management, Social Media, Program Management
Education
Hesser College 2002 — 2006
Associate's degree, Interior Design & Business Development
Attitudes Dance & Fitness May 2013 - Present
Otherworld September 2002 - Present
Tundo Corporation September 2000 - March 2002
Tufts Health Plan April 1999 - September 2000
Skills
Painting, Fundraising, Event Planning, Newsletters, Microsoft Excel, Microsoft Word, Outlook, Management, Volunteer Management, Social Media, Program Management
Education
Hesser College 2002 — 2006
Associate's degree, Interior Design & Business Development
Maxwell Hoevenaar Maxwell Hoevenaar's Tufts Health Plan Experience August 2013 - Present
Job Provider Specialist at Tufts Health Plan
Industry Management Consulting
Experience
Tufts Health Plan August 2013 - Present
Neighborhood Pay Services January 2013 - May 2013
UNregular Radio September 2012 - December 2012
Lesley University May 2010 - May 2012
Skills
Research, Microsoft Office, PowerPoint, Public Speaking, Higher Education, Leadership, Marketing
Education
Lesley University 2009 — 2013
Bachelor of Arts (B.A.), Business Administration and Management, General
Tufts Health Plan August 2013 - Present
Neighborhood Pay Services January 2013 - May 2013
UNregular Radio September 2012 - December 2012
Lesley University May 2010 - May 2012
Skills
Research, Microsoft Office, PowerPoint, Public Speaking, Higher Education, Leadership, Marketing
Education
Lesley University 2009 — 2013
Bachelor of Arts (B.A.), Business Administration and Management, General
Michael Caney Michael Caney's Tufts Health Plan Experience February 2008 - Present
Job Underwriting at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan February 2008 - Present
Aetna January 2005 - February 2008
AAA June 2003 - January 2005
Skills
Health Insurance, Underwriting, Insurance, Health Savings Accounts, Claim, Medicare, Employee Benefits, Disability Insurance, Workers Compensation, Actuarial Science, Brokers, Reinsurance, Provider Relations, Managed Care, HMO, Microsoft Excel, Customer Service, Process Improvement
Education
The University of Connecticut School of Business 2002 — 2004
Finance and Sales
Merrimack College 2000 — 2002
Tufts Health Plan February 2008 - Present
Aetna January 2005 - February 2008
AAA June 2003 - January 2005
Skills
Health Insurance, Underwriting, Insurance, Health Savings Accounts, Claim, Medicare, Employee Benefits, Disability Insurance, Workers Compensation, Actuarial Science, Brokers, Reinsurance, Provider Relations, Managed Care, HMO, Microsoft Excel, Customer Service, Process Improvement
Education
The University of Connecticut School of Business 2002 — 2004
Finance and Sales
Merrimack College 2000 — 2002
Lydia Froese Lydia Froese's Tufts Health Plan Experience 2007 - 2009
Job Customer Service Operations, Sales Support at Siemens Healthcare Diagnostics
Industry Medical Devices
Experience
Siemens Healthcare Diagnostics February 2011 - Present
Tufts Health Plan 2007 - 2009
Office of the Massachusetts Attorney General Thomas Riley September 1999 - June 2004
Skills
Insurance, CRM, Mediation, Sales Operations, Customer Satisfaction, Negotiation, Sales, Interviews, Legal Assistance, Research, Invoicing, Medical Devices, Insurance Law, Healthcare, Contract Negotiation, Customer Service, Outlook, Microsoft Office, Microsoft Excel, Management
Education
Massachusetts School of Law 1995 — 1999
Doctor of Law (JD), Law
Northeastern University 1992 — 1995
Bachelor of Science (BS), Business Administration and Management, General
Siemens Healthcare Diagnostics February 2011 - Present
Tufts Health Plan 2007 - 2009
Office of the Massachusetts Attorney General Thomas Riley September 1999 - June 2004
Skills
Insurance, CRM, Mediation, Sales Operations, Customer Satisfaction, Negotiation, Sales, Interviews, Legal Assistance, Research, Invoicing, Medical Devices, Insurance Law, Healthcare, Contract Negotiation, Customer Service, Outlook, Microsoft Office, Microsoft Excel, Management
Education
Massachusetts School of Law 1995 — 1999
Doctor of Law (JD), Law
Northeastern University 1992 — 1995
Bachelor of Science (BS), Business Administration and Management, General
Anja Shaughnessey, Pharm.D.'s Tufts Health Plan Experience June 2006 - Present
Job Senior Clinical Pharmacist, Clinical Pharmacy Services at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan June 2006 - Present
St. Joseph Hospital, Nashua June 2004 - June 2012
CVS Caremark Corporation June 2002 - February 2005
Resident Care Pharmacy October 2003 - June 2004
CVS Caremark Corporation May 1996 - June 2002
VEM Sachsenwerk June 1992 - December 1992
VEM Sachsenwerk September 1989 - May 1992
Skills
Managed Care, Pharmacists, Clinical Pharmacy, Specialty..., Pharmacy Benefit..., Benefits Design, Data Analysis, RFP, Formulary Management, Utilization Management, Biotechnology, Pipeline Analysis, Formulary Development, Strategic Planning, Medicare Part D, Medication Therapy..., Microsoft Office, PowerPoint, Writing, Patient Safety, Hospitals, Medication Adherence, Patient Counseling, Compounding, Medication..., Drug Interactions, Community Pharmacy, Drug Information, Disease Management, Pharmacy Automation, Informatics, Medicare, Patient Education, Diabetes
Education
Northeastern University 1996 — 2002
Doctor of Pharmacy (Pharm.D.)
Middlesex Community College 1994 — 1996
Associate of Science
Berufsschule Pirna 1989 — 1992
Abitur & Diploma, Toolmaker with Abitur
Tufts Health Plan June 2006 - Present
St. Joseph Hospital, Nashua June 2004 - June 2012
CVS Caremark Corporation June 2002 - February 2005
Resident Care Pharmacy October 2003 - June 2004
CVS Caremark Corporation May 1996 - June 2002
VEM Sachsenwerk June 1992 - December 1992
VEM Sachsenwerk September 1989 - May 1992
Skills
Managed Care, Pharmacists, Clinical Pharmacy, Specialty..., Pharmacy Benefit..., Benefits Design, Data Analysis, RFP, Formulary Management, Utilization Management, Biotechnology, Pipeline Analysis, Formulary Development, Strategic Planning, Medicare Part D, Medication Therapy..., Microsoft Office, PowerPoint, Writing, Patient Safety, Hospitals, Medication Adherence, Patient Counseling, Compounding, Medication..., Drug Interactions, Community Pharmacy, Drug Information, Disease Management, Pharmacy Automation, Informatics, Medicare, Patient Education, Diabetes
Education
Northeastern University 1996 — 2002
Doctor of Pharmacy (Pharm.D.)
Middlesex Community College 1994 — 1996
Associate of Science
Berufsschule Pirna 1989 — 1992
Abitur & Diploma, Toolmaker with Abitur
Katie Lockwood Katie Lockwood's Tufts Health Plan Experience January 2013 - May 2013
Job LPN
Industry Higher Education
Experience
Tufts Health Plan January 2013 - May 2013
Fitchburg State University November 2011 - January 2013
Reliant Medical Group June 2008 - November 2011
Skills
EMR, Phlebotomy, Computer Proficiency, Communication Skills, Cpr Certified, Long Term Acute Care, Ambulatory Care, Wound Care, Internal Medicine, Pediatrics, School Nursing, Prior Authorization
Education
Monty Tech 2003 — 2004
LPN, Practical Nursing, Vocational Nursing and Nursing Assistants
Gardner High School 1997 — 2001
High School/Secondary Diplomas and Certificates
Tufts Health Plan January 2013 - May 2013
Fitchburg State University November 2011 - January 2013
Reliant Medical Group June 2008 - November 2011
Skills
EMR, Phlebotomy, Computer Proficiency, Communication Skills, Cpr Certified, Long Term Acute Care, Ambulatory Care, Wound Care, Internal Medicine, Pediatrics, School Nursing, Prior Authorization
Education
Monty Tech 2003 — 2004
LPN, Practical Nursing, Vocational Nursing and Nursing Assistants
Gardner High School 1997 — 2001
High School/Secondary Diplomas and Certificates
Maureen Leone Maureen Leone's Tufts Health Plan Experience October 1991 - July 1998
Job Product Application Specialist
Industry Furniture
Experience
Kimball Office September 2015 - Present
Cushman & Wakefield September 2014 - September 2015
Office Resources, Inc. July 1998 - September 2014
Tufts Health Plan October 1991 - July 1998
Peabody Office Furniture October 1987 - September 1991
Skills
Microsoft Office, Excel, AutoCAD, Interior Design, Budgets, Account Management, Furnishings, Space-planning, Project Management, Move Planning, Sales, Team Building, Sales Management, New Business Development, Marketing, Business Development, Facilities Management, Submittals, Systems Furniture, FF&E, Floor Plans, Space Planning
Education
Mount Ida College 1984 — 1987
A.A., plus Cerfiticate
Northeastern University 1981 — 1982
Kimball Office September 2015 - Present
Cushman & Wakefield September 2014 - September 2015
Office Resources, Inc. July 1998 - September 2014
Tufts Health Plan October 1991 - July 1998
Peabody Office Furniture October 1987 - September 1991
Skills
Microsoft Office, Excel, AutoCAD, Interior Design, Budgets, Account Management, Furnishings, Space-planning, Project Management, Move Planning, Sales, Team Building, Sales Management, New Business Development, Marketing, Business Development, Facilities Management, Submittals, Systems Furniture, FF&E, Floor Plans, Space Planning
Education
Mount Ida College 1984 — 1987
A.A., plus Cerfiticate
Northeastern University 1981 — 1982
Allan Hunter Allan Hunter's Tufts Health Plan Experience August 2001 - December 2009
Job Business Analyst at TEKsystems
Industry Information Technology and Services
Experience
TEKsystems October 2014 - Present
Neighborhood Health Plan February 2013 - September 2014
Health Dialog December 2011 - December 2012
g2solutions April 2011 - July 2011
Benefit Strategies February 2010 - April 2011
Tufts Health Plan August 2001 - December 2009
Hewlett Packard / Agilent Andover, MA 1998 - 2000
Tidal Software October 1996 - November 1997
Diamond Multimedia 1995 - 1996
Conner Peripherals 1994 - 1995
Skills
SDLC, Data Analysis, Software Documentation, Visio, Business Analysis, Requirements Analysis, SharePoint, SQL, Healthcare Information..., Project Management, Crystal Reports, Databases, Strategic Planning, Insurance, Research, Agile Methodologies, Outlook, Analytics, Business Intelligence, Management, Healthcare, Software Development, Change Management, Quality Assurance, Business Requirements, Data Warehousing, Testing, Troubleshooting
Education
Pace University 1986 — 1986
N/A, Computer Science
Marymount Manhattan College 1980 — 1984
Bachelor of Arts, Dance
The Juilliard School 1978 — 1979
Dance
Stranahan High School 1976 — 1978
HS Diploma, General Studies
Hollywood Hills High School 1974 — 1976
TEKsystems October 2014 - Present
Neighborhood Health Plan February 2013 - September 2014
Health Dialog December 2011 - December 2012
g2solutions April 2011 - July 2011
Benefit Strategies February 2010 - April 2011
Tufts Health Plan August 2001 - December 2009
Hewlett Packard / Agilent Andover, MA 1998 - 2000
Tidal Software October 1996 - November 1997
Diamond Multimedia 1995 - 1996
Conner Peripherals 1994 - 1995
Skills
SDLC, Data Analysis, Software Documentation, Visio, Business Analysis, Requirements Analysis, SharePoint, SQL, Healthcare Information..., Project Management, Crystal Reports, Databases, Strategic Planning, Insurance, Research, Agile Methodologies, Outlook, Analytics, Business Intelligence, Management, Healthcare, Software Development, Change Management, Quality Assurance, Business Requirements, Data Warehousing, Testing, Troubleshooting
Education
Pace University 1986 — 1986
N/A, Computer Science
Marymount Manhattan College 1980 — 1984
Bachelor of Arts, Dance
The Juilliard School 1978 — 1979
Dance
Stranahan High School 1976 — 1978
HS Diploma, General Studies
Hollywood Hills High School 1974 — 1976
Amy Doucette's Tufts Health Plan Experience March 2015 - Present
Job Payroll Specialist at Tufts Health Plan
Industry Human Resources
Experience
Tufts Health Plan March 2015 - Present
BigTown Gallery November 2013 - February 2015
BigTown Gallery September 2013 - February 2015
Creative Habitat January 2013 - January 2015
BigTown Gallery June 2012 - September 2013
Middlebury College September 2011 - May 2012
Middlebury College September 2011 - May 2012
Middlebury College May 2009 - May 2012
Middlebury College November 2011 - February 2012
Maine High Adventure, BSA May 2011 - August 2011
Skills
Adobe Creative Suite, Art, Photography, Microsoft Office, Stage Management, SketchUp, FileMaker, Painting, Drawing, Art History, Mac, Socail Media, Constant Contact, Adobe Lightroom, Conservation Framing, Hand Tools, Hand Drafting, Screen Printing, Sketching, Set Design, Social Media
Education
Middlebury College 2009 — 2012
Bachelor of Arts (B.A.), History of Art & Architecture, Architectural Studies, Studio Art
Danish Institute For Study Abroad 2011 — 2011
Pre-Architecture
Tufts Health Plan March 2015 - Present
BigTown Gallery November 2013 - February 2015
BigTown Gallery September 2013 - February 2015
Creative Habitat January 2013 - January 2015
BigTown Gallery June 2012 - September 2013
Middlebury College September 2011 - May 2012
Middlebury College September 2011 - May 2012
Middlebury College May 2009 - May 2012
Middlebury College November 2011 - February 2012
Maine High Adventure, BSA May 2011 - August 2011
Skills
Adobe Creative Suite, Art, Photography, Microsoft Office, Stage Management, SketchUp, FileMaker, Painting, Drawing, Art History, Mac, Socail Media, Constant Contact, Adobe Lightroom, Conservation Framing, Hand Tools, Hand Drafting, Screen Printing, Sketching, Set Design, Social Media
Education
Middlebury College 2009 — 2012
Bachelor of Arts (B.A.), History of Art & Architecture, Architectural Studies, Studio Art
Danish Institute For Study Abroad 2011 — 2011
Pre-Architecture
Brian Demerjian Brian Demerjian's Tufts Health Plan Experience August 2015 - Present
Job Graphic Designer at Tufts Health Plan
Industry Graphic Design
Experience
Tufts Health Plan August 2015 - Present
Rickenbacker Resources March 2015 - August 2015
adidas group September 2014 - March 2015
Bentley University July 2014 - August 2014
Advanced Technology Solutions December 2013 - May 2014
Museum of Fine Arts, Boston June 2013 - August 2013
Skills
Graphic Design, Photoshop, Dreamweaver, Illustrator, InDesign, Logo Design, Web Design, Illustration, Photography, Typography, Graphics Layout, HTML, CSS, Adobe Acrobat, Adobe Creative Suite, Mac
Education
University of Massachusetts at Lowell 2009 — 2013
Bachelor of Fine Arts (B.F.A.), Graphic Design, 3.2
Montana State University-Bozeman 2011 — 2012
Graphic Design
Tufts Health Plan August 2015 - Present
Rickenbacker Resources March 2015 - August 2015
adidas group September 2014 - March 2015
Bentley University July 2014 - August 2014
Advanced Technology Solutions December 2013 - May 2014
Museum of Fine Arts, Boston June 2013 - August 2013
Skills
Graphic Design, Photoshop, Dreamweaver, Illustrator, InDesign, Logo Design, Web Design, Illustration, Photography, Typography, Graphics Layout, HTML, CSS, Adobe Acrobat, Adobe Creative Suite, Mac
Education
University of Massachusetts at Lowell 2009 — 2013
Bachelor of Fine Arts (B.F.A.), Graphic Design, 3.2
Montana State University-Bozeman 2011 — 2012
Graphic Design
Claire Levesque Claire Levesque's Tufts Health Plan Experience February 2014 - Present
Job Chief Medical Officer, Commercial Products at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan February 2014 - Present
Emerging Leaders Program at University of Massachusetts September 2013 - June 2014
Network Health September 2013 - May 2014
Tufts Health Plan 2009 - February 2014
Quincy Medical Center 2007 - 2009
Boston NeuroBehavioral Associates 1998 - 2005
Jewish Memorial Hospital (now Radius) 2002 - 2004
Boston Medical Center 1990 - 1996
Skills
Healthcare, Disease Management, Managed Care, Utilization Management, Health Insurance, Neurology, Geriatrics, Healthcare Industry, Medicare, Health Policy, Physicians, Healthcare Consulting, Medicaid, Medicine, HIPAA, Informatics
Education
University of Vermont College of Medicine 1980 — 1984
MD, Medicine
Michigan State University 1971 — 1975
B.S., Biology
University of Virginia
Tufts Health Plan February 2014 - Present
Emerging Leaders Program at University of Massachusetts September 2013 - June 2014
Network Health September 2013 - May 2014
Tufts Health Plan 2009 - February 2014
Quincy Medical Center 2007 - 2009
Boston NeuroBehavioral Associates 1998 - 2005
Jewish Memorial Hospital (now Radius) 2002 - 2004
Boston Medical Center 1990 - 1996
Skills
Healthcare, Disease Management, Managed Care, Utilization Management, Health Insurance, Neurology, Geriatrics, Healthcare Industry, Medicare, Health Policy, Physicians, Healthcare Consulting, Medicaid, Medicine, HIPAA, Informatics
Education
University of Vermont College of Medicine 1980 — 1984
MD, Medicine
Michigan State University 1971 — 1975
B.S., Biology
University of Virginia
Jung Yueh Jung Yueh's Tufts Health Plan Experience July 2015 - Present
Job Informatics Consultant at BCBSMA
Industry Human Resources
Experience
Tufts Health Plan July 2015 - Present
BCBSMA April 2011 - July 2015
AonHewitt November 2010 - December 2010
Hewitt Associates 2000 - December 2010
JSA Technologies 2001 - 2007
Northeastern University 1995 - 1999
Skills
Teaching, Health Care Reform, Technical Research, Pensions, Retirement, SAS, Data Analysis, Statistics, Health Insurance, SQL, Analytics
Education
Northeastern University 1995 — 1999
MS, Computer Science
Massachusetts Institute of Technology 1991 — 1995
SB, Mathematics
Tufts Health Plan July 2015 - Present
BCBSMA April 2011 - July 2015
AonHewitt November 2010 - December 2010
Hewitt Associates 2000 - December 2010
JSA Technologies 2001 - 2007
Northeastern University 1995 - 1999
Skills
Teaching, Health Care Reform, Technical Research, Pensions, Retirement, SAS, Data Analysis, Statistics, Health Insurance, SQL, Analytics
Education
Northeastern University 1995 — 1999
MS, Computer Science
Massachusetts Institute of Technology 1991 — 1995
SB, Mathematics
Maureen Menery's Tufts Health Plan Experience September 2011 - Present
Job Clinical Manager, Tufts Health Plan Senior Care Options
Industry Hospital & Health Care
Experience
Tufts Health Plan September 2011 - Present
Home Health VNA September 2002 - September 2011
Skills
Nursing
Education
Loyola University New Orleans
Master of Science (M.S.), Nursing Administration
Tufts Health Plan September 2011 - Present
Home Health VNA September 2002 - September 2011
Skills
Nursing
Education
Loyola University New Orleans
Master of Science (M.S.), Nursing Administration
Kelly Fay's Tufts Health Plan Experience June 2005 - Present
Job Healthcare Data Consultant at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan June 2005 - Present
Tufts Health Plan May 2000 - June 2005
Tufts Health Plan June 1999 - April 2000
Tufts Health Plan 1998 - 1999
Tufts Health Plan 1998 - 1999
Skills
Health Insurance, Managed Care, Medicare, Insurance, Employee Benefits, Healthcare, HIPAA, Provider Relations, Healthcare Information..., Healthcare Management, Underwriting, Process Improvement, Claim, Health Policy, Healthcare Consulting, Data Analysis, Business Analysis, Healthcare Industry, Analysis
Education
Lesley University 2002 — 2005
BS, Business Management
Chelmsford High School
Tufts Health Plan June 2005 - Present
Tufts Health Plan May 2000 - June 2005
Tufts Health Plan June 1999 - April 2000
Tufts Health Plan 1998 - 1999
Tufts Health Plan 1998 - 1999
Skills
Health Insurance, Managed Care, Medicare, Insurance, Employee Benefits, Healthcare, HIPAA, Provider Relations, Healthcare Information..., Healthcare Management, Underwriting, Process Improvement, Claim, Health Policy, Healthcare Consulting, Data Analysis, Business Analysis, Healthcare Industry, Analysis
Education
Lesley University 2002 — 2005
BS, Business Management
Chelmsford High School
Tine Christensen Tine Christensen's Tufts Health Plan Experience November 2014 - Present
Job Director of Corporate Strategy at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan November 2014 - Present
Cisco Systems February 2010 - November 2014
OnPoint Consulting 2009 - 2010
Oliver Wyman 2005 - 2009
Mercer Management Consulting 2003 - 2005
Mercer Management Consulting 2000 - 2002
Dell Computer June 1999 - August 1999
Mercer Management Consulting 1995 - 1998
Hill & Barlow 1991 - 1995
Skills
Strategy, Marketing Strategy, Business Strategy, Business Planning, Go-to-market Strategy, Product Management, Customer Insight, Product Development, Management Consulting, Health Care and..., Growth Strategies, Market Sizing and..., IT Strategy, Project Management, New Business Development, Team Management, Start-ups, Analytics, Telecommunications, Segmentation, Leadership, Market Entry and..., Service Provider..., New Offer Evaluation..., Technology Strategy, Customer and Market..., Network Transformation..., Cloud Computing, Small and Medium..., Consulting, Competitive Analysis, Strategic Planning
Education
MIT Sloan 1998 — 2000
MBA
Mount Holyoke College 1989 — 1991
BA magna cum laude
Tufts Health Plan November 2014 - Present
Cisco Systems February 2010 - November 2014
OnPoint Consulting 2009 - 2010
Oliver Wyman 2005 - 2009
Mercer Management Consulting 2003 - 2005
Mercer Management Consulting 2000 - 2002
Dell Computer June 1999 - August 1999
Mercer Management Consulting 1995 - 1998
Hill & Barlow 1991 - 1995
Skills
Strategy, Marketing Strategy, Business Strategy, Business Planning, Go-to-market Strategy, Product Management, Customer Insight, Product Development, Management Consulting, Health Care and..., Growth Strategies, Market Sizing and..., IT Strategy, Project Management, New Business Development, Team Management, Start-ups, Analytics, Telecommunications, Segmentation, Leadership, Market Entry and..., Service Provider..., New Offer Evaluation..., Technology Strategy, Customer and Market..., Network Transformation..., Cloud Computing, Small and Medium..., Consulting, Competitive Analysis, Strategic Planning
Education
MIT Sloan 1998 — 2000
MBA
Mount Holyoke College 1989 — 1991
BA magna cum laude
Alex M. Lu Alex M. Lu's Tufts Health Plan Experience November 2011 - December 2011
Job Barista at Starbucks
Industry Nonprofit Organization Management
Experience
Starbucks May 2013 - Present
Lembu Real Estate December 2012 - March 2013
S2 Security Corporation September 2012 - October 2012
Freelance English Teaching January 2012 - August 2012
Tufts Health Plan November 2011 - December 2011
Youth Services of Windham County September 2010 - September 2011
Ningbo University of Technology June 2009 - August 2009
Farm & Wilderness Foundation, Inc. June 2008 - August 2008
Dana-Farber Cancer Institute June 2007 - August 2007
Skills
Community Outreach, Creative Writing, Cultural Competency, Youth Development, Collaboration, Anti-racism, Administrative Work
Education
Mount Holyoke College 2006 — 2010
B.A., Anthropology, English
Starbucks May 2013 - Present
Lembu Real Estate December 2012 - March 2013
S2 Security Corporation September 2012 - October 2012
Freelance English Teaching January 2012 - August 2012
Tufts Health Plan November 2011 - December 2011
Youth Services of Windham County September 2010 - September 2011
Ningbo University of Technology June 2009 - August 2009
Farm & Wilderness Foundation, Inc. June 2008 - August 2008
Dana-Farber Cancer Institute June 2007 - August 2007
Skills
Community Outreach, Creative Writing, Cultural Competency, Youth Development, Collaboration, Anti-racism, Administrative Work
Education
Mount Holyoke College 2006 — 2010
B.A., Anthropology, English
Donna Leccese Donna Leccese's Tufts Health Plan Experience December 2004 - June 2006
Job Executive Assistant
Industry Hospital & Health Care
Experience
Fresenius Medical Care April 2013 - Present
ModusLink (contract) October 2012 - March 2013
Autodesk, Inc. September 2006 - December 2011
Tufts Health Plan December 2004 - June 2006
TriNET Systems, Inc. May 2004 - December 2004
Reed Business Information (formerly Cahner’s Publishing), Newton, MA September 2002 - June 2003
Skills
MS Office 2010, Concur, Taleo, SharePoint, Ariba, Lotus Notes, LiveMeeting, GoTo Meeting, Adobe Acrobat, Kronos, Vurv, RFP's / Proposals, Sales Contracts, Salesforce.com, HRIS, ADP, Polycom, RFP, SAP
Education
Mass. Bay Community
Assocs., Secretarial Science
Middlesex Community College
Fresenius Medical Care April 2013 - Present
ModusLink (contract) October 2012 - March 2013
Autodesk, Inc. September 2006 - December 2011
Tufts Health Plan December 2004 - June 2006
TriNET Systems, Inc. May 2004 - December 2004
Reed Business Information (formerly Cahner’s Publishing), Newton, MA September 2002 - June 2003
Skills
MS Office 2010, Concur, Taleo, SharePoint, Ariba, Lotus Notes, LiveMeeting, GoTo Meeting, Adobe Acrobat, Kronos, Vurv, RFP's / Proposals, Sales Contracts, Salesforce.com, HRIS, ADP, Polycom, RFP, SAP
Education
Mass. Bay Community
Assocs., Secretarial Science
Middlesex Community College
Rebecca Lopez Rebecca Lopez's Tufts Health Plan Experience October 2010 - Present
Job Talent Acquisition Specialist at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan October 2010 - Present
BayCare Health System March 2008 - July 2009
Credit Restoration brokers, LLC June 2002 - June 2007
Skills
Employee Relations, Employee Benefits, Insurance, Onboarding, Recruiting, Health Insurance, Human Resources, Taleo, New Hire Orientations, Healthcare, Applicant Tracking..., Process Improvement, Talent Management, Talent Acquisition, Performance Management, HIPAA, HRIS, Lotus Notes, College Recruiting, Training, PeopleSoft, ADP Payroll, FMLA
Education
Massachusetts Bay Community College 2009 — 2013
St. Petersburg College 2008 — 2009
Tufts Health Plan October 2010 - Present
BayCare Health System March 2008 - July 2009
Credit Restoration brokers, LLC June 2002 - June 2007
Skills
Employee Relations, Employee Benefits, Insurance, Onboarding, Recruiting, Health Insurance, Human Resources, Taleo, New Hire Orientations, Healthcare, Applicant Tracking..., Process Improvement, Talent Management, Talent Acquisition, Performance Management, HIPAA, HRIS, Lotus Notes, College Recruiting, Training, PeopleSoft, ADP Payroll, FMLA
Education
Massachusetts Bay Community College 2009 — 2013
St. Petersburg College 2008 — 2009
Julie Anne Bonee Julie Anne Bonee's Tufts Health Plan Experience September 2004 - October 2007
Job Product Manager McKesson Connected Care & Analytics at McKesson
Industry Information Technology and Services
Experience
McKesson August 2015 - Present
McKesson Provider Technologies August 2011 - Present
TBR Associates October 2008 - August 2011
Tufts Health Plan September 2004 - October 2007
Education
Loyola University of Chicago 1998 — 2002
BBA, Marketing
n/a
McKesson August 2015 - Present
McKesson Provider Technologies August 2011 - Present
TBR Associates October 2008 - August 2011
Tufts Health Plan September 2004 - October 2007
Education
Loyola University of Chicago 1998 — 2002
BBA, Marketing
n/a
Charles Malovrh Charles Malovrh's Tufts Health Plan Experience 2001 - 2002
Job Senior Program Manager at Oracle
Industry Computer Software
Experience
Oracle February 2010 - Present
Sun Microsystems 2003 - February 2010
Tufts Health Plan 2001 - 2002
Corporate Renaissance 1995 - 2001
Systems Thinking Collaborative August 1997 - August 2000
GKA August 1996 - August 1997
Stone & Webster 1973 - 1994
Skills
Program Management, Six Sigma
Education
Massachusetts Institute of Technology - Sloan School of Management 1986 — 1987
MS, Management of Technology
Massachusetts Institute of Technology 1972 — 1974
MS, Civil Engineering
University of Minnesota-Twin Cities 1968 — 1972
BS, Civil Engineering
Oracle February 2010 - Present
Sun Microsystems 2003 - February 2010
Tufts Health Plan 2001 - 2002
Corporate Renaissance 1995 - 2001
Systems Thinking Collaborative August 1997 - August 2000
GKA August 1996 - August 1997
Stone & Webster 1973 - 1994
Skills
Program Management, Six Sigma
Education
Massachusetts Institute of Technology - Sloan School of Management 1986 — 1987
MS, Management of Technology
Massachusetts Institute of Technology 1972 — 1974
MS, Civil Engineering
University of Minnesota-Twin Cities 1968 — 1972
BS, Civil Engineering
Carla Stigliano Carla Stigliano's Tufts Health Plan Experience February 2004 - February 2005
Job Hospice Coordinator
Industry Hospital & Health Care
Experience
United Health Group September 2008 - Present
United Health Group May 2007 - September 2008
United Health Group April 2005 - May 2007
Tufts Health Plan February 2004 - February 2005
United Health Group August 2000 - February 2004
Education
Massachusetts Bay Community College 1997 — 2003
University of Phoenix
United Health Group September 2008 - Present
United Health Group May 2007 - September 2008
United Health Group April 2005 - May 2007
Tufts Health Plan February 2004 - February 2005
United Health Group August 2000 - February 2004
Education
Massachusetts Bay Community College 1997 — 2003
University of Phoenix
Izzat Jarudi Izzat Jarudi's Tufts Health Plan Experience October 2010 - Present
Job Consultant at Tufts Health Plan
Industry Management Consulting
Experience
Tufts Health Plan October 2010 - Present
The Boston Consulting Group July 2009 - June 2010
Computational Cognitive Neuroscience Lab, Georgetown University January 2005 - July 2005
Center for Strategic and International Studies September 2004 - December 2004
Skills
Management Consulting, Data Analysis, Strategy, Business Strategy, Research, Business Analysis, Program Management, Organizational..., Entrepreneurship, Analysis, Business Process..., Strategic Planning, Project Management, Leadership, Change Management, Analytics, Business Development, Consulting, Management, Start-ups
Education
Yale University 2005 — 2009
PhD, Cognitive and Social Psychology
Massachusetts Institute of Technology 2000 — 2004
BS, Brain and Cognitive Science
Tufts Health Plan October 2010 - Present
The Boston Consulting Group July 2009 - June 2010
Computational Cognitive Neuroscience Lab, Georgetown University January 2005 - July 2005
Center for Strategic and International Studies September 2004 - December 2004
Skills
Management Consulting, Data Analysis, Strategy, Business Strategy, Research, Business Analysis, Program Management, Organizational..., Entrepreneurship, Analysis, Business Process..., Strategic Planning, Project Management, Leadership, Change Management, Analytics, Business Development, Consulting, Management, Start-ups
Education
Yale University 2005 — 2009
PhD, Cognitive and Social Psychology
Massachusetts Institute of Technology 2000 — 2004
BS, Brain and Cognitive Science
Debbie Kriteman's Tufts Health Plan Experience 1986 - 1993
Job Experienced business development, client management professional.
Industry Hospital & Health Care
Experience
Shriners Hospitals for Children June 2015 - Present
Caretenders VNA June 2014 - December 2014
Parmenter VNA and Hospice February 2013 - October 2013
All Care VNA and Hospice August 2007 - January 2013
Harvard Pilgrim Health Care 1993 - 1998
Tufts Health Plan 1986 - 1993
Skills
Healthcare, Managed Care, Healthcare Management, Home Care, Professional Account..., Developing presentations, Territory Account..., Training, Strategic Planning, Business Analysis, Strategic Account..., Client Relionship..., Cross Selling, Customized Client..., New Business Development, Leadership, Business Development, Sales, Account Management, Cardiology, Team Building, Sales Operations, Marketing Strategy, Medical Devices, Marketing
Education
Lesley University
BS, Spec. Ed
Shriners Hospitals for Children June 2015 - Present
Caretenders VNA June 2014 - December 2014
Parmenter VNA and Hospice February 2013 - October 2013
All Care VNA and Hospice August 2007 - January 2013
Harvard Pilgrim Health Care 1993 - 1998
Tufts Health Plan 1986 - 1993
Skills
Healthcare, Managed Care, Healthcare Management, Home Care, Professional Account..., Developing presentations, Territory Account..., Training, Strategic Planning, Business Analysis, Strategic Account..., Client Relionship..., Cross Selling, Customized Client..., New Business Development, Leadership, Business Development, Sales, Account Management, Cardiology, Team Building, Sales Operations, Marketing Strategy, Medical Devices, Marketing
Education
Lesley University
BS, Spec. Ed
Audrey Brewer Audrey Brewer's Tufts Health Plan Experience October 2010 - January 2011
Job Cashier at Dunkin Donuts
Industry Food & Beverages
Experience
Dunkin Donuts October 2012 - Present
Brigham and Women's Hospital July 2012 - August 2012
H&R Block November 2011 - April 2012
Tufts Health Plan October 2010 - January 2011
Skills
CPR Certified and First..., EKG, Strep tests and..., Patient preparation and..., Scheduling and other..., Knowledge of HIPAA and..., Medical Terminology,..., Phlebotomy, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Internet, Medisoft
Education
Millennium Training Institute 2011 — 2012
CMA, Medical/Clinical Assistant
Community Academy 2007 — 2010
High School Diploma, Regular/General High School/Secondary Diploma Program
Dunkin Donuts October 2012 - Present
Brigham and Women's Hospital July 2012 - August 2012
H&R Block November 2011 - April 2012
Tufts Health Plan October 2010 - January 2011
Skills
CPR Certified and First..., EKG, Strep tests and..., Patient preparation and..., Scheduling and other..., Knowledge of HIPAA and..., Medical Terminology,..., Phlebotomy, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Internet, Medisoft
Education
Millennium Training Institute 2011 — 2012
CMA, Medical/Clinical Assistant
Community Academy 2007 — 2010
High School Diploma, Regular/General High School/Secondary Diploma Program
William Malvasi William Malvasi's Tufts Health Plan Experience May 2012 - August 2014
Job Call Center Escalations/Customer Service Specialist
Industry Consumer Services
Experience
Liaison International November 2014 - Present
Tufts Health Plan May 2012 - August 2014
Tufts Health Plan September 2008 - April 2012
The Listener Group September 2007 - June 2008
Louisiana Relay January 2005 - June 2006
Skills
Microsoft Office, Lotus Notes, EXP Macess, Customer Service, Process Management, Blogging, Management, Call Center, Research, Microsoft Excel, Editing, Microsoft Word, Social Media, Project Management, Access, Healthcare, Proofreading, Account Management, Copy Editing, HTML, Marketing Strategy, Journalism, Diamond, MACESS, CCMS, Medicare, Health Insurance, PowerPoint, HIPAA, Visio, Process Improvement, Macess, Call Centers, Employee Benefits, Sales, Provider Relations, Outlook, Data Entry, Insurance, Health Policy
Education
Mount Washington College 2003 — 2004
Radio and Television Broadcasting
Liaison International November 2014 - Present
Tufts Health Plan May 2012 - August 2014
Tufts Health Plan September 2008 - April 2012
The Listener Group September 2007 - June 2008
Louisiana Relay January 2005 - June 2006
Skills
Microsoft Office, Lotus Notes, EXP Macess, Customer Service, Process Management, Blogging, Management, Call Center, Research, Microsoft Excel, Editing, Microsoft Word, Social Media, Project Management, Access, Healthcare, Proofreading, Account Management, Copy Editing, HTML, Marketing Strategy, Journalism, Diamond, MACESS, CCMS, Medicare, Health Insurance, PowerPoint, HIPAA, Visio, Process Improvement, Macess, Call Centers, Employee Benefits, Sales, Provider Relations, Outlook, Data Entry, Insurance, Health Policy
Education
Mount Washington College 2003 — 2004
Radio and Television Broadcasting
Nadeen Baddar's Tufts Health Plan Experience February 2013 - November 2013
Job Clinical Program Manager at Medimpact
Industry Pharmaceuticals
Experience
MedImpact Healthcare Systems, Inc. August 2015 - Present
Fallon Total Care February 2014 - February 2015
Tufts Health Plan February 2013 - November 2013
CVS Caremark Corporation January 2011 - January 2013
CVS Caremark Corporation November 2009 - May 2010
VA Medical Center June 2008 - June 2009
Walgreens September 2005 - February 2009
Skills
Utilization Management, Time Management, Healthcare, Data Analysis, Medicare Part D, Inpatient, Clinical Research, Pharmacists, Pharmacy Benefit..., Pharmacueticals, Clinical Pharmacy, Medication Therapy..., Pharmacy Automation, Community Pharmacy, Patient Counseling, Pharmaceutical Industry, Disease Management
Education
Massachusetts College of Pharmacy and Health Sciences 2003 — 2008
Pharm.D., Pharmacy
MedImpact Healthcare Systems, Inc. August 2015 - Present
Fallon Total Care February 2014 - February 2015
Tufts Health Plan February 2013 - November 2013
CVS Caremark Corporation January 2011 - January 2013
CVS Caremark Corporation November 2009 - May 2010
VA Medical Center June 2008 - June 2009
Walgreens September 2005 - February 2009
Skills
Utilization Management, Time Management, Healthcare, Data Analysis, Medicare Part D, Inpatient, Clinical Research, Pharmacists, Pharmacy Benefit..., Pharmacueticals, Clinical Pharmacy, Medication Therapy..., Pharmacy Automation, Community Pharmacy, Patient Counseling, Pharmaceutical Industry, Disease Management
Education
Massachusetts College of Pharmacy and Health Sciences 2003 — 2008
Pharm.D., Pharmacy
Mary (Little) Craig Mary (Little) Craig's Tufts Health Plan Experience January 1993 - January 1999
Job Manager Performance Based Contracting at UnitedHealth Group
Industry Medical Devices
Experience
UnitedHealth Group July 2012 - Present
Arena Footing Plus January 2012 - Present
Read Custom Soils April 2011 - Present
Covidien July 2009 - September 2010
Covidien January 2001 - January 2002
Comcast (AT&T January 1999 - January 2001
Tufts Health Plan January 1993 - January 1999
Healthcare Service of NE January 1991 - January 1993
Kendall Healthcare January 1988 - January 1990
Skills
Strategic Planning, Customer Relations, Sales Operation, Data Warehousing, Management, Data Analysis, databases, Sales Compensation, Sales Compensation..., sales compensation..., Strategic Thinking, Contract Negotiation, Contract Management, Business Operations, Acquisition Integration, Large Systems..., JD Edwards, Cognos, Sales Analysis, Marketing Analytics, Healthcare Analytics, Patient Care Medical..., Accountable Care..., Performance Management, Six Sigma, Sales Operations, CRM, Process Improvement, Accountable Care, Customer Service, Sales, Project Management, Databases, Cross-functional Team..., Training, Start-ups, Leadership, Analysis
Education
Providence College 1989 — 1992
MBA, finance, marketing
Lynchburg College 1975 — 1979
BA, management
Harrisonburg High School 1971 — 1975
UnitedHealth Group July 2012 - Present
Arena Footing Plus January 2012 - Present
Read Custom Soils April 2011 - Present
Covidien July 2009 - September 2010
Covidien January 2001 - January 2002
Comcast (AT&T January 1999 - January 2001
Tufts Health Plan January 1993 - January 1999
Healthcare Service of NE January 1991 - January 1993
Kendall Healthcare January 1988 - January 1990
Skills
Strategic Planning, Customer Relations, Sales Operation, Data Warehousing, Management, Data Analysis, databases, Sales Compensation, Sales Compensation..., sales compensation..., Strategic Thinking, Contract Negotiation, Contract Management, Business Operations, Acquisition Integration, Large Systems..., JD Edwards, Cognos, Sales Analysis, Marketing Analytics, Healthcare Analytics, Patient Care Medical..., Accountable Care..., Performance Management, Six Sigma, Sales Operations, CRM, Process Improvement, Accountable Care, Customer Service, Sales, Project Management, Databases, Cross-functional Team..., Training, Start-ups, Leadership, Analysis
Education
Providence College 1989 — 1992
MBA, finance, marketing
Lynchburg College 1975 — 1979
BA, management
Harrisonburg High School 1971 — 1975
Amit Jajoo Amit Jajoo's Tufts Health Plan Experience July 2012 - March 2013
Job Sr. Oracle DBA at Tufts Health Plan
Industry Pharmaceuticals
Experience
Tufts Health Plan July 2012 - March 2013
J.P. Morgan February 2012 - July 2012
IDEXX Laboratories October 2011 - January 2012
Sanofi-Aventis December 2008 - July 2011
Johnson & Johnson February 2008 - August 2008
Patni Computer Services May 2006 - January 2008
Bristish American Tobacco Australia 2005 - 2006
e-Serve International 2004 - 2006
Education
Aptech Computer Education 2004 — 2008
Advanced diploma in Software Engg., Information Technology
National College 1997 — 2002
B.Sc, Chemistry
Tufts Health Plan July 2012 - March 2013
J.P. Morgan February 2012 - July 2012
IDEXX Laboratories October 2011 - January 2012
Sanofi-Aventis December 2008 - July 2011
Johnson & Johnson February 2008 - August 2008
Patni Computer Services May 2006 - January 2008
Bristish American Tobacco Australia 2005 - 2006
e-Serve International 2004 - 2006
Education
Aptech Computer Education 2004 — 2008
Advanced diploma in Software Engg., Information Technology
National College 1997 — 2002
B.Sc, Chemistry
robin richman robin richman's Tufts Health Plan Experience March 1993 - June 2001
Job Former VIce President of Physician Relations at Massachusetts Hospital Association
Industry Health, Wellness and Fitness
Experience
Massachusetts Hospital Association August 2013 - May 2014
Fallon Clinic December 2007 - May 2013
Harvard Vanguard Medical Associates November 2004 - November 2007
Tufts Health Care Institute June 2002 - October 2004
Tufts Health Plan March 1993 - June 2001
Skills
Disease Management, Patient Safety, Medicine, Physician Relations, Diabetes, Program Management, Program Development, Strategy, Healthcare Management, Healthcare, Credentialing, Risk Management, Clinical Research, EMR, HIPAA, Health Policy, Healthcare Consulting, Healthcare Information..., Hospitals, Managed Care, Medical Education, Nonprofits, Physicians, Public Health, Public Speaking
Education
Temple University School of Medicine 1972 — 1976
MD, medicine
Muhlenberg College 1969 — 1972
B.S, biology
Massachusetts Hospital Association August 2013 - May 2014
Fallon Clinic December 2007 - May 2013
Harvard Vanguard Medical Associates November 2004 - November 2007
Tufts Health Care Institute June 2002 - October 2004
Tufts Health Plan March 1993 - June 2001
Skills
Disease Management, Patient Safety, Medicine, Physician Relations, Diabetes, Program Management, Program Development, Strategy, Healthcare Management, Healthcare, Credentialing, Risk Management, Clinical Research, EMR, HIPAA, Health Policy, Healthcare Consulting, Healthcare Information..., Hospitals, Managed Care, Medical Education, Nonprofits, Physicians, Public Health, Public Speaking
Education
Temple University School of Medicine 1972 — 1976
MD, medicine
Muhlenberg College 1969 — 1972
B.S, biology
Heather Schadegg Heather Schadegg's Tufts Health Plan Experience 2000 - 2002
Job Product Owner at HealthcareSource
Industry Information Technology and Services
Experience
HealthcareSource December 2009 - Present
HealthCareSource 2003 - 2008
MIT Lincoln Laboratory 2003 - 2005
Tufts Health Plan 2000 - 2002
Lahey Clinic 1998 - 2000
Lahey Clinic 1997 - 1998
Harvard University 1996 - 1997
Skills
Certified Scrum Product..., Applicant Tracking..., Product Management, Enterprise Software, SaaS, Scrum, Agile Methodologies, Salesforce.com, Solution Selling, Software Development, Software Project..., Professional Services, TFS, Recruiting, Start-ups, Human Resources, CRM, SDLC, Lead Generation, Sales Enablement, Go-to-market Strategy, Software Industry, Demand Generation
Education
Mount Holyoke College 1990 — 1995
BA
HealthcareSource December 2009 - Present
HealthCareSource 2003 - 2008
MIT Lincoln Laboratory 2003 - 2005
Tufts Health Plan 2000 - 2002
Lahey Clinic 1998 - 2000
Lahey Clinic 1997 - 1998
Harvard University 1996 - 1997
Skills
Certified Scrum Product..., Applicant Tracking..., Product Management, Enterprise Software, SaaS, Scrum, Agile Methodologies, Salesforce.com, Solution Selling, Software Development, Software Project..., Professional Services, TFS, Recruiting, Start-ups, Human Resources, CRM, SDLC, Lead Generation, Sales Enablement, Go-to-market Strategy, Software Industry, Demand Generation
Education
Mount Holyoke College 1990 — 1995
BA
jim barkafski jim barkafski's Tufts Health Plan Experience 2000 - 2008
Job provider relations field representative at Unison Health Plan
Industry Insurance
Experience
United Healthcare May 2006 - Present
tufts health plan 2000 - 2008
tufts health plan 2000 - 2006
hr logic 2000 - 2002
cellular one 1999 - 2000
Education
Loyola University Maryland 1992 — 1996
B.A., Economics
United Healthcare May 2006 - Present
tufts health plan 2000 - 2008
tufts health plan 2000 - 2006
hr logic 2000 - 2002
cellular one 1999 - 2000
Education
Loyola University Maryland 1992 — 1996
B.A., Economics
Meaghan Clements's Tufts Health Plan Experience October 2007 - January 2012
Job Community Support Counselor at Riverside Community Care
Industry Mental Health Care
Experience
Riverside Community Care July 2015 - Present
Tupperware July 2015 - Present
Tufts Health Plan October 2007 - January 2012
Cavanaugh Insurance Agency January 2004 - August 2007
Skills
Health Insurance, Customer Service, Insurance, Lotus Notes, Microsoft Office, Outlook, PowerPoint, Customer Relations, Claims, Administration, Health, Employee Benefits, Scheduling, Problem Solving, Supervisory Skills, Customer Satisfaction, Call Center, Healthcare, Documentation, Benefits, Mentoring, Writing, Photoshop, Process Improvement, Workers Compensation, Medicare, Account Management, Microsoft Excel, Microsoft Word, Call Centers, Claim, System Administration, Software Documentation, Policy, Training, Voluntourism, Volunteering, Fundraising, Leadership, Team Leadership, Team Building, Troubleshooting, Community Service, Community Outreach, Community Engagement, Recruiting, Sales, Data Analysis, Time Management, HIPAA
Education
University of Massachusetts, Boston 2012 — 2015
Bachelor of Arts (B.A.), Sociology and Psychology, Summa Cum Laude
Massasoit Community College 2004 — 2005
Certificate, Photography
Bridgewater State University 1999 — 2001
Business Management
Randolph High School
Riverside Community Care July 2015 - Present
Tupperware July 2015 - Present
Tufts Health Plan October 2007 - January 2012
Cavanaugh Insurance Agency January 2004 - August 2007
Skills
Health Insurance, Customer Service, Insurance, Lotus Notes, Microsoft Office, Outlook, PowerPoint, Customer Relations, Claims, Administration, Health, Employee Benefits, Scheduling, Problem Solving, Supervisory Skills, Customer Satisfaction, Call Center, Healthcare, Documentation, Benefits, Mentoring, Writing, Photoshop, Process Improvement, Workers Compensation, Medicare, Account Management, Microsoft Excel, Microsoft Word, Call Centers, Claim, System Administration, Software Documentation, Policy, Training, Voluntourism, Volunteering, Fundraising, Leadership, Team Leadership, Team Building, Troubleshooting, Community Service, Community Outreach, Community Engagement, Recruiting, Sales, Data Analysis, Time Management, HIPAA
Education
University of Massachusetts, Boston 2012 — 2015
Bachelor of Arts (B.A.), Sociology and Psychology, Summa Cum Laude
Massasoit Community College 2004 — 2005
Certificate, Photography
Bridgewater State University 1999 — 2001
Business Management
Randolph High School
Christopher Riche Christopher Riche's Tufts Health Plan Experience April 2004 - June 2007
Job Sales Executive
Industry Insurance
Experience
Fallon Health June 2007 - June 2015
Tufts Health Plan April 2004 - June 2007
Tufts Health Plan February 1999 - April 2004
Skills
Health Insurance, Managed Care, Employee Benefits, Health Care Reform, Underwriting, Group Insurance, Account Management, Group Medical, Health Savings Accounts, COBRA, HMO, Sales Presentations, Flexible Spending..., Commercial Insurance, PPO, HIPAA, Brokers, Employee Wellness..., FSA, Insurance, Medicare
Education
Merrimack College 1990 — 1994
Bachelor of Arts (B.A.), Psychology
Ridgewood High Schhol 1986 — 1990
Fallon Health June 2007 - June 2015
Tufts Health Plan April 2004 - June 2007
Tufts Health Plan February 1999 - April 2004
Skills
Health Insurance, Managed Care, Employee Benefits, Health Care Reform, Underwriting, Group Insurance, Account Management, Group Medical, Health Savings Accounts, COBRA, HMO, Sales Presentations, Flexible Spending..., Commercial Insurance, PPO, HIPAA, Brokers, Employee Wellness..., FSA, Insurance, Medicare
Education
Merrimack College 1990 — 1994
Bachelor of Arts (B.A.), Psychology
Ridgewood High Schhol 1986 — 1990
Steven Bucchianeri's Tufts Health Plan Experience May 1999 - 2004
Job
Industry Hospital & Health Care
Experience
UnitedHealthcare October 2011 - Present
MedVentive September 2010 - October 2011
BMC HealthNet 2006 - September 2010
Harvard Pilgrim Health Care March 2005 - August 2006
CuraScript Pharmacy August 2004 - March 2005
Tufts Health Plan May 1999 - 2004
Skills
Strategic Planning, Program Development, Project Coordination, Medicaid, Managed Care, Medicaid Managed Care, Pharmacy, Operations Management, Healthcare Management, Healthcare, Medicare, Healthcare Information..., HIPAA, Leadership, Management, Health Insurance, Healthcare Industry, Utilization Management, Process Improvement, Pharmacy Benefit..., Pharmacists, Healthcare Consulting, Health Policy, Disease Management, Clinical Research
Education
Massachusetts College of Pharmacy and Health Sciences 1989 — 1994
PharmD
Massachusetts College of Pharmacy and Health Sciences
UnitedHealthcare October 2011 - Present
MedVentive September 2010 - October 2011
BMC HealthNet 2006 - September 2010
Harvard Pilgrim Health Care March 2005 - August 2006
CuraScript Pharmacy August 2004 - March 2005
Tufts Health Plan May 1999 - 2004
Skills
Strategic Planning, Program Development, Project Coordination, Medicaid, Managed Care, Medicaid Managed Care, Pharmacy, Operations Management, Healthcare Management, Healthcare, Medicare, Healthcare Information..., HIPAA, Leadership, Management, Health Insurance, Healthcare Industry, Utilization Management, Process Improvement, Pharmacy Benefit..., Pharmacists, Healthcare Consulting, Health Policy, Disease Management, Clinical Research
Education
Massachusetts College of Pharmacy and Health Sciences 1989 — 1994
PharmD
Massachusetts College of Pharmacy and Health Sciences
KimSu Marder's Tufts Health Plan Experience December 2013 - Present
Job Care Management Relationship Manager at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan December 2013 - Present
Tufts Health Plan February 2013 - December 2013
Tufts Health Plan June 2011 - February 2013
Tufts Health Plan May 2010 - June 2011
Tufts Health Plan 2008 - May 2010
The Herb Chambers Companies. May 2006 - April 2008
Skills
Healthcare Management, Nursing, Healthcare, Patient Advocacy, Medicare, Disease Management, Healthcare Information..., HIPAA, Medical Terminology, Managed Care, Home Care, Case Managment, Management, Medical/Surgical, Provider Relations, Clinical Research, Medicaid, Utilization Review, Utilization Management, Health Insurance, Healthcare Consulting, Quality Improvement, Health Policy, EMR, Case Management, Healthcare Industry, Patient Safety, Elder Care, Patient Education, Hospitals, Physicians, Long-term Care, Palliative Care
Education
Regis College, Masters candidate, Nurse Practitioner 2015 — 2017
Psychiatric Mental Health Nurse Practitioner, 4.0
Regis College 1998 — 2000
AS, Nursing
Lesley University 1974 — 1978
BS Education, education, 3.6
Tufts Health Plan December 2013 - Present
Tufts Health Plan February 2013 - December 2013
Tufts Health Plan June 2011 - February 2013
Tufts Health Plan May 2010 - June 2011
Tufts Health Plan 2008 - May 2010
The Herb Chambers Companies. May 2006 - April 2008
Skills
Healthcare Management, Nursing, Healthcare, Patient Advocacy, Medicare, Disease Management, Healthcare Information..., HIPAA, Medical Terminology, Managed Care, Home Care, Case Managment, Management, Medical/Surgical, Provider Relations, Clinical Research, Medicaid, Utilization Review, Utilization Management, Health Insurance, Healthcare Consulting, Quality Improvement, Health Policy, EMR, Case Management, Healthcare Industry, Patient Safety, Elder Care, Patient Education, Hospitals, Physicians, Long-term Care, Palliative Care
Education
Regis College, Masters candidate, Nurse Practitioner 2015 — 2017
Psychiatric Mental Health Nurse Practitioner, 4.0
Regis College 1998 — 2000
AS, Nursing
Lesley University 1974 — 1978
BS Education, education, 3.6
james barkafski james barkafski's Tufts Health Plan Experience February 2002 - January 2006
Job Account Representative
Industry Hospital & Health Care
Experience
Geisinger Health Plan December 2014 - Present
UnitedHealth Group May 2006 - March 2014
Tufts Health Plan February 2002 - January 2006
Skills
Medicare, Managed Care, Medicaid, HIPAA, Healthcare, Provider Relations, Health Insurance, Healthcare Management, Health Policy, HMO, Healthcare Industry, Hospitals, Healthcare Consulting, Network Development, Physician Relations, Insurance, Claim, Healthcare Reimbursement, Medical Compliance, Credentialing, Customer Service
Education
Loyola University Maryland 1992 — 1996
Bachelor of Arts (B.A.), Economics
Geisinger Health Plan December 2014 - Present
UnitedHealth Group May 2006 - March 2014
Tufts Health Plan February 2002 - January 2006
Skills
Medicare, Managed Care, Medicaid, HIPAA, Healthcare, Provider Relations, Health Insurance, Healthcare Management, Health Policy, HMO, Healthcare Industry, Hospitals, Healthcare Consulting, Network Development, Physician Relations, Insurance, Claim, Healthcare Reimbursement, Medical Compliance, Credentialing, Customer Service
Education
Loyola University Maryland 1992 — 1996
Bachelor of Arts (B.A.), Economics
Srinivas Ganti Srinivas Ganti's Tufts Health Plan Experience January 1999 - April 2004
Job Solutions consultant B2B | MFT | Data | Analytics | Mobile at Independent
Industry Information Technology and Services
Experience
Confidential August 2012 - Present
Confidential August 2006 - April 2013
Confidential October 2011 - July 2012
Citi June 2011 - October 2011
Cardinal Health October 2008 - June 2011
IBM Global Services March 2005 - September 2007
Cardinal Health April 2004 - March 2005
Wipro Technologies October 1997 - March 2005
Tufts Health Plan January 1999 - April 2004
Skills
Managed File Transfer, IBM B2B SI 5.2, Big Data, API Development, Integration, B2B, EDI, Python, Django, GXS Application..., APIs, Enterprise Architecture, Enterprise Software, Java, Web Services, DB2, IBM iSeries, Software Development, IT Strategy, XML, Testing, Websphere, Architecture, SI, Solution Architecture, X12, Data Integration, SOA, Servers, Data Migration, Data Warehousing, EDIFACT, Apache, SAP, IDOC, Unix, Microsoft SQL Server, Requirements Analysis, Virtualization, Architectures, B2B Integration, B2B eCommerce, GXS Enterprise Gateway, Business Intelligence, Technology Integration, Integration Testing, System Integration..., CRM Integration, Integration Architecture, Vendor Management
Education
Nagpur University 1992 — 1996
Bachelors of Engineering
MIT
Confidential August 2012 - Present
Confidential August 2006 - April 2013
Confidential October 2011 - July 2012
Citi June 2011 - October 2011
Cardinal Health October 2008 - June 2011
IBM Global Services March 2005 - September 2007
Cardinal Health April 2004 - March 2005
Wipro Technologies October 1997 - March 2005
Tufts Health Plan January 1999 - April 2004
Skills
Managed File Transfer, IBM B2B SI 5.2, Big Data, API Development, Integration, B2B, EDI, Python, Django, GXS Application..., APIs, Enterprise Architecture, Enterprise Software, Java, Web Services, DB2, IBM iSeries, Software Development, IT Strategy, XML, Testing, Websphere, Architecture, SI, Solution Architecture, X12, Data Integration, SOA, Servers, Data Migration, Data Warehousing, EDIFACT, Apache, SAP, IDOC, Unix, Microsoft SQL Server, Requirements Analysis, Virtualization, Architectures, B2B Integration, B2B eCommerce, GXS Enterprise Gateway, Business Intelligence, Technology Integration, Integration Testing, System Integration..., CRM Integration, Integration Architecture, Vendor Management
Education
Nagpur University 1992 — 1996
Bachelors of Engineering
MIT
Alexis Shaw, PMP and CSM's Tufts Health Plan Experience February 2001 - November 2004
Job Project management Consultant
Industry Information Technology and Services
Experience
Geologics at National Grid June 2015 - Present
Mondo Consulting December 2014 - Present
Commonwealth of Massachusetts May 2011 - February 2014
Kronos January 2011 - March 2011
Compri Consulting April 2010 - December 2010
MultiPlan April 2008 - November 2009
Perot Systems June 2005 - April 2008
Tufts Health Plan February 2001 - November 2004
BayBank Systems 1989 - 2001
FLEETBOSTON (BANKBOSTON & BAYBANK) April 1989 - August 2000
Skills
Quality Assurance, Testing, Vendor Management, Visio, Requirements Analysis, Project Management, MS Project, Project Portfolio..., Project Planning, Software Project..., Project Finance, Program Management, Agile Methodologies, Business Process, Requirements Gathering, PMO, Integration, Software Development, Leadership, Agile Project Management, Business Process..., CRM, Oracle, IT Strategy, Project Delivery, Resource Management, SharePoint, IT Management, Strategy, Management, PMP, SDLC, Scrum
Education
Bentley University/Boston University 2002 — 2003
Project Management Certificate, Project Management
Montgomery County Community College
Northeastern University
Villanova University
Geologics at National Grid June 2015 - Present
Mondo Consulting December 2014 - Present
Commonwealth of Massachusetts May 2011 - February 2014
Kronos January 2011 - March 2011
Compri Consulting April 2010 - December 2010
MultiPlan April 2008 - November 2009
Perot Systems June 2005 - April 2008
Tufts Health Plan February 2001 - November 2004
BayBank Systems 1989 - 2001
FLEETBOSTON (BANKBOSTON & BAYBANK) April 1989 - August 2000
Skills
Quality Assurance, Testing, Vendor Management, Visio, Requirements Analysis, Project Management, MS Project, Project Portfolio..., Project Planning, Software Project..., Project Finance, Program Management, Agile Methodologies, Business Process, Requirements Gathering, PMO, Integration, Software Development, Leadership, Agile Project Management, Business Process..., CRM, Oracle, IT Strategy, Project Delivery, Resource Management, SharePoint, IT Management, Strategy, Management, PMP, SDLC, Scrum
Education
Bentley University/Boston University 2002 — 2003
Project Management Certificate, Project Management
Montgomery County Community College
Northeastern University
Villanova University
Jennifer Thoren Jennifer Thoren's Tufts Health Plan Experience September 1996 - August 1997
Job Supervisor, Provider Specialists at Care.com
Industry Consumer Services
Experience
Care.com February 2015 - Present
Care.com February 2014 - Present
Care.com November 2012 - February 2014
Care.com February 2011 - November 2012
Executive Office of Elder Affairs May 2004 - January 2006
Executive Office of Elder Affairs November 2001 - May 2004
Massachusetts Medical Society (Physician Health Services) August 1997 - October 2001
Tufts Health Plan September 1996 - August 1997
Tufts Health Plan May 1995 - August 1997
Skills
Program Management, Program Development, Senior Services, Senior Housing, Provider Network..., Provider Relations, Credentialing
Education
Lesley University 2000 — 2003
Master of Science (MS), Health Services Management
University of Massachusetts, Amherst 1990 — 1994
Bachelor of Arts (B.A.), English
Care.com February 2015 - Present
Care.com February 2014 - Present
Care.com November 2012 - February 2014
Care.com February 2011 - November 2012
Executive Office of Elder Affairs May 2004 - January 2006
Executive Office of Elder Affairs November 2001 - May 2004
Massachusetts Medical Society (Physician Health Services) August 1997 - October 2001
Tufts Health Plan September 1996 - August 1997
Tufts Health Plan May 1995 - August 1997
Skills
Program Management, Program Development, Senior Services, Senior Housing, Provider Network..., Provider Relations, Credentialing
Education
Lesley University 2000 — 2003
Master of Science (MS), Health Services Management
University of Massachusetts, Amherst 1990 — 1994
Bachelor of Arts (B.A.), English
Francesha Leary's Tufts Health Plan Experience October 2000 - January 2007
Job Sr. Business Analyst at Comcast
Industry Chemicals
Experience
Comcast July 2012 - Present
KRONOS INTERNATIONAL INC. January 2007 - May 2011
Tufts Health Plan October 2000 - January 2007
Skills
Cognos, Business Objects, Visio, Business Analysis, Access, Process Improvement, Business Intelligence, Data Warehousing, Lotus Notes, Software Documentation, Data Analysis, Business Process..., End User Training, Systems Analysis, SharePoint, Databases, SAP
Education
Southern New Hampshire University 2005 — 2008
Bachelors, Business
Middlesex Community College
Associate's degree, Business Administration, Management and Operations
Comcast July 2012 - Present
KRONOS INTERNATIONAL INC. January 2007 - May 2011
Tufts Health Plan October 2000 - January 2007
Skills
Cognos, Business Objects, Visio, Business Analysis, Access, Process Improvement, Business Intelligence, Data Warehousing, Lotus Notes, Software Documentation, Data Analysis, Business Process..., End User Training, Systems Analysis, SharePoint, Databases, SAP
Education
Southern New Hampshire University 2005 — 2008
Bachelors, Business
Middlesex Community College
Associate's degree, Business Administration, Management and Operations
Dolores Anoli's Tufts Health Plan Experience June 2012 - Present
Job U/X Professional
Industry Insurance
Experience
Tufts Health Plan June 2012 - Present
Tufts Health Plan March 2007 - June 2012
Kutchin & Rufo, P.C. March 2005 - November 2006
Mass State College Building Authority September 2003 - September 2004
Skills
XHTML, CSS, JavaScript, jQuery, PHP, Dreamweaver, Fireworks, Photoshop, MS Project, Word, Excel, PowerPoint, User Experience, Microsoft Word, Adobe Creative Suite, Microsoft Excel, Web Analytics, Adobe Fireworks, Web Design, User Interface, Project Management, WordPress, Information Architecture, HTML, Editing, User Interface Design, Cross-functional..., Vendor Management, Vendor Relationships, Persona, Product Naming, Concept Generation, brainstorming, B2B Marketing, B2C marketing, Content Strategy, Usability, Interactive Marketing, Analytics, Mobile Devices, Email Marketing, Usability Testing, SEO, Wireframes, Digital Marketing, E-commerce, Online Marketing, SEM, Content Management, Marketing
Education
Tufts University
BFA/BSEd, Fine Arts/Art Education
IBM 2013 — 2013
IBM Connect 2013
Nielsen Norman Group 2012 — 2012
Usability Week 2012
The New England Institute of Art 2008 — 2009
Advanced Website Development Certificate, Website Development
The New England Institute of Art 2006 — 2006
Website Development Certificate, Website Development
Tufts University/School of the Museum of Fine Arts, Boston
BFA/BSEd, Fine Art; Art Education
Merrimack College
Studied Psychology and Education
Tufts Health Plan June 2012 - Present
Tufts Health Plan March 2007 - June 2012
Kutchin & Rufo, P.C. March 2005 - November 2006
Mass State College Building Authority September 2003 - September 2004
Skills
XHTML, CSS, JavaScript, jQuery, PHP, Dreamweaver, Fireworks, Photoshop, MS Project, Word, Excel, PowerPoint, User Experience, Microsoft Word, Adobe Creative Suite, Microsoft Excel, Web Analytics, Adobe Fireworks, Web Design, User Interface, Project Management, WordPress, Information Architecture, HTML, Editing, User Interface Design, Cross-functional..., Vendor Management, Vendor Relationships, Persona, Product Naming, Concept Generation, brainstorming, B2B Marketing, B2C marketing, Content Strategy, Usability, Interactive Marketing, Analytics, Mobile Devices, Email Marketing, Usability Testing, SEO, Wireframes, Digital Marketing, E-commerce, Online Marketing, SEM, Content Management, Marketing
Education
Tufts University
BFA/BSEd, Fine Arts/Art Education
IBM 2013 — 2013
IBM Connect 2013
Nielsen Norman Group 2012 — 2012
Usability Week 2012
The New England Institute of Art 2008 — 2009
Advanced Website Development Certificate, Website Development
The New England Institute of Art 2006 — 2006
Website Development Certificate, Website Development
Tufts University/School of the Museum of Fine Arts, Boston
BFA/BSEd, Fine Art; Art Education
Merrimack College
Studied Psychology and Education
Amir Sehic Amir Sehic's Tufts Health Plan Experience October 2012 - February 2013
Job MS, PMP, CSPO, CSM, AWS CSA Assoc., Sr. Technical Architect at Perficient, Inc.
Industry Computer Software
Experience
Kaiser Permanente April 2015 - Present
Perficient, Inc. December 2004 - Present
Halliburton August 2014 - March 2015
Vantiv December 2013 - June 2014
World Vision March 2013 - November 2013
tw telecom February 2013 - March 2013
Tufts Health Plan October 2012 - February 2013
Cricket Communications November 2010 - September 2012
Wells Fargo Home Mortgage September 2010 - October 2010
Cricket Communications June 2009 - August 2010
Education
Rensselaer Polytechnic Institute 1994 — 1996
Master of Science (MS), Computer Science
Maharishi University of Management 1991 — 1994
Bachelor of Science (BS), Computer Science
Kaiser Permanente April 2015 - Present
Perficient, Inc. December 2004 - Present
Halliburton August 2014 - March 2015
Vantiv December 2013 - June 2014
World Vision March 2013 - November 2013
tw telecom February 2013 - March 2013
Tufts Health Plan October 2012 - February 2013
Cricket Communications November 2010 - September 2012
Wells Fargo Home Mortgage September 2010 - October 2010
Cricket Communications June 2009 - August 2010
Education
Rensselaer Polytechnic Institute 1994 — 1996
Master of Science (MS), Computer Science
Maharishi University of Management 1991 — 1994
Bachelor of Science (BS), Computer Science
Scott Dietz's Tufts Health Plan Experience March 1994 - September 1998
Job Graphic Designer at Q Marketing
Industry Building Materials
Experience
Q Marketing May 2015 - Present
Mid-Cape Home Centers February 2001 - April 2015
Freelance September 1998 - October 2003
Beach Road Publishing February 2000 - October 2000
Tufts Health Plan March 1994 - September 1998
Inside Out Communications Advertising Agency October 1990 - September 1993
Create & Design Advertising Agency October 1987 - August 1990
Skills
Graphic Design, Adobe Creative Suite, QuarkXPress, Pagemaker, Logo Design, Brochures, Advertising, Magazines, Direct Mail, Newspaper, Newsletters, Annual Reports, Logos, Business Cards, Art Direction, Catalogs, Stationery, Creative Direction, Corporate Branding, Invitations, Adobe Acrobat, Graphics, Flyers, Corporate Identity, Posters, InDesign, Typography, Social Media Marketing, Press Releases, Project Management, Marketing, Email Marketing, Copywriting, Photography, Social Media, Publishing, Trade Shows, Illustration, Art
Education
University of Bridgeport 1986 — 1988
BFA in Advertising & Graphic Design, Minor in Photography
Mohawk Valley Community College 1984 — 1986
AAS in Graphic Communications & Design, Graphic Design & Marketing
Q Marketing May 2015 - Present
Mid-Cape Home Centers February 2001 - April 2015
Freelance September 1998 - October 2003
Beach Road Publishing February 2000 - October 2000
Tufts Health Plan March 1994 - September 1998
Inside Out Communications Advertising Agency October 1990 - September 1993
Create & Design Advertising Agency October 1987 - August 1990
Skills
Graphic Design, Adobe Creative Suite, QuarkXPress, Pagemaker, Logo Design, Brochures, Advertising, Magazines, Direct Mail, Newspaper, Newsletters, Annual Reports, Logos, Business Cards, Art Direction, Catalogs, Stationery, Creative Direction, Corporate Branding, Invitations, Adobe Acrobat, Graphics, Flyers, Corporate Identity, Posters, InDesign, Typography, Social Media Marketing, Press Releases, Project Management, Marketing, Email Marketing, Copywriting, Photography, Social Media, Publishing, Trade Shows, Illustration, Art
Education
University of Bridgeport 1986 — 1988
BFA in Advertising & Graphic Design, Minor in Photography
Mohawk Valley Community College 1984 — 1986
AAS in Graphic Communications & Design, Graphic Design & Marketing
Jennifer Irizarry Pharm.D's Tufts Health Plan Experience August 2012 - October 2013
Job Clinical pharmacist
Industry Pharmaceuticals
Experience
BriovaRx at Catamaran October 2014 - Present
MCPHS Boston January 2010 - Present
Dovetail Health October 2013 - March 2014
Tufts Health Plan August 2012 - October 2013
CVS Pharmacy February 2012 - July 2012
Hannaford Bros May 2009 - February 2012
CVS Pharmacy March 2005 - December 2008
Massachusetts Eye and Ear Infirmary July 2002 - April 2005
South Coastal Animal Health 2002 - 2002
Education
Massachusetts College of Pharmacy and Health Sciences 2004 — 2009
Doctor of Pharmacy (Pharm.D.)
Regis College 1992 — 1996
Bachelor of Science (BSc), Biology, General
BriovaRx at Catamaran October 2014 - Present
MCPHS Boston January 2010 - Present
Dovetail Health October 2013 - March 2014
Tufts Health Plan August 2012 - October 2013
CVS Pharmacy February 2012 - July 2012
Hannaford Bros May 2009 - February 2012
CVS Pharmacy March 2005 - December 2008
Massachusetts Eye and Ear Infirmary July 2002 - April 2005
South Coastal Animal Health 2002 - 2002
Education
Massachusetts College of Pharmacy and Health Sciences 2004 — 2009
Doctor of Pharmacy (Pharm.D.)
Regis College 1992 — 1996
Bachelor of Science (BSc), Biology, General
Sadia Asif Sadia Asif's Tufts Health Plan Experience July 2015 - Present
Job Pharmacy
Industry Pharmaceuticals
Experience
Tufts Health Plan July 2015 - Present
CVS Caremark Corporation August 2010 - Present
Dependable Cleaners July 2008 - March 2012
Target July 2010 - August 2010
Simmons College February 2010 - May 2010
Blue Cross Blue Shield of Massachusetts February 2010 - May 2010
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Pharmacy, Pharmaceutics, Chemistry, Microsoft Office, Research, Team Building, Molecular Biology, Human Resources, Teaching, Customer Service, English, Pharmaceutical Industry, Healthcare, Compounding, Inventory Management, Data Entry, Pharmacy Automation, Access, Pharmacists, Data Analysis
Education
Massachusetts College of Pharmacy and Health Sciences 2011 — 2014
Bachelor in Pharmaceutical Sciences, Pharmaceutical Sciences
Simmons College 2007 — 2011
B.S., Chemistry
Brighton High School 2003 — 2007
High School
Tufts Health Plan July 2015 - Present
CVS Caremark Corporation August 2010 - Present
Dependable Cleaners July 2008 - March 2012
Target July 2010 - August 2010
Simmons College February 2010 - May 2010
Blue Cross Blue Shield of Massachusetts February 2010 - May 2010
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Pharmacy, Pharmaceutics, Chemistry, Microsoft Office, Research, Team Building, Molecular Biology, Human Resources, Teaching, Customer Service, English, Pharmaceutical Industry, Healthcare, Compounding, Inventory Management, Data Entry, Pharmacy Automation, Access, Pharmacists, Data Analysis
Education
Massachusetts College of Pharmacy and Health Sciences 2011 — 2014
Bachelor in Pharmaceutical Sciences, Pharmaceutical Sciences
Simmons College 2007 — 2011
B.S., Chemistry
Brighton High School 2003 — 2007
High School
Cynthia Mailhiot's Tufts Health Plan Experience February 2011 - February 2012
Job Medicare Compliance Analyst
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts May 2014 - Present
UnitedHealth Group November 2012 - April 2014
Tufts Health Plan February 2011 - February 2012
Tufts Health Plan July 2009 - March 2011
Gemini Industries, Inc December 2008 - April 2009
Questex Media Group, Inc June 2008 - December 2008
Skills
Medicare Prescription..., Analysis, Training, Healthcare, Management, Software Documentation, Medicare, Health Insurance, Outlook, PowerPoint, Payroll, Human Resources, Employee Benefits, Project Coordination, Research, Invoicing, Email Marketing
Education
Northeastern University 2009 — 2011
Health Management, Healthcare, Management
Massachusetts Bay Community College 2004 — 2006
Associate in Science, Allied Health
Blue Cross Blue Shield of Massachusetts May 2014 - Present
UnitedHealth Group November 2012 - April 2014
Tufts Health Plan February 2011 - February 2012
Tufts Health Plan July 2009 - March 2011
Gemini Industries, Inc December 2008 - April 2009
Questex Media Group, Inc June 2008 - December 2008
Skills
Medicare Prescription..., Analysis, Training, Healthcare, Management, Software Documentation, Medicare, Health Insurance, Outlook, PowerPoint, Payroll, Human Resources, Employee Benefits, Project Coordination, Research, Invoicing, Email Marketing
Education
Northeastern University 2009 — 2011
Health Management, Healthcare, Management
Massachusetts Bay Community College 2004 — 2006
Associate in Science, Allied Health
Belinda Post's Tufts Health Plan Experience September 1999 - February 2002
Job Experienced medical records administrator and medical administrative assistant
Industry Hospital & Health Care
Experience
Newton-Wellesley Hospital February 2014 - June 2014
Partners Healthcare at Home February 2013 - January 2014
Harvard Vanguard Medical Associates September 2012 - October 2012
alternative solutions inc. March 2012 - October 2012
Newton Wellesley Psychiatry February 2002 - June 2011
Tufts Health Plan September 1999 - February 2002
Blue Cross Blue Shield of Massachusetts January 1974 - June 1980
Skills
Medical Records, Medical Administrative..., Claims Management, Insurance, Billing, Customer Service, Scheduling, Outlook, Word, Referrals, Health, Claims, Data Entry
Education
Lesley University
Bachelor of Science, Organizational Behavior
Lesley University
Organizational Behavior Studies
Newton-Wellesley Hospital February 2014 - June 2014
Partners Healthcare at Home February 2013 - January 2014
Harvard Vanguard Medical Associates September 2012 - October 2012
alternative solutions inc. March 2012 - October 2012
Newton Wellesley Psychiatry February 2002 - June 2011
Tufts Health Plan September 1999 - February 2002
Blue Cross Blue Shield of Massachusetts January 1974 - June 1980
Skills
Medical Records, Medical Administrative..., Claims Management, Insurance, Billing, Customer Service, Scheduling, Outlook, Word, Referrals, Health, Claims, Data Entry
Education
Lesley University
Bachelor of Science, Organizational Behavior
Lesley University
Organizational Behavior Studies
Angelica Vergados Angelica Vergados's Tufts Health Plan Experience August 2011 - January 2012
Job Sr. Instructional Design and eLearning Consultant at New Directions, Staffing Services
Industry Professional Training & Coaching
Experience
New Directions, Staffing Services June 2013 - Present
Direct Focus Consulting March 2001 - Present
Tufts Health Plan August 2011 - January 2012
Clarity Consultants May 2010 - March 2011
Wayside Professionals, Inc. September 2010 - January 2011
nSightworks Consultants, Burlington, MA August 2006 - November 2010
Clarity Consultants November 2006 - December 2009
West Valley Technology April 2007 - August 2007
SDI Corp. February 2002 - November 2005
Willmott Associates, July 1999 - June 2005
Skills
Instructional Design, Captivate, E-Learning, SharePoint, Technical Writing, Instructor-led Training, Training, Learning Management, Learning Management..., Software Documentation, Performance Management, Leadership Development, Technical Training, SCORM, Leadership, Consulting
Education
Mount Saint Mary College
BA, Elementary Educatioin, English, and History
New School for Social Research
MA, Media Arts Education & Administration
New Directions, Staffing Services June 2013 - Present
Direct Focus Consulting March 2001 - Present
Tufts Health Plan August 2011 - January 2012
Clarity Consultants May 2010 - March 2011
Wayside Professionals, Inc. September 2010 - January 2011
nSightworks Consultants, Burlington, MA August 2006 - November 2010
Clarity Consultants November 2006 - December 2009
West Valley Technology April 2007 - August 2007
SDI Corp. February 2002 - November 2005
Willmott Associates, July 1999 - June 2005
Skills
Instructional Design, Captivate, E-Learning, SharePoint, Technical Writing, Instructor-led Training, Training, Learning Management, Learning Management..., Software Documentation, Performance Management, Leadership Development, Technical Training, SCORM, Leadership, Consulting
Education
Mount Saint Mary College
BA, Elementary Educatioin, English, and History
New School for Social Research
MA, Media Arts Education & Administration
Suhaily Penix Suhaily Penix's Tufts Health Plan Experience November 2011 - May 2014
Job Student at MassBay Community College
Industry Biotechnology
Experience
Tufts Health Plan November 2011 - May 2014
Florida Department of Corrections July 2005 - July 2011
Marion County Health Department November 2006 - August 2008
Sovereign Bank April 2001 - June 2004
Skills
Healthcare, Microsoft Office, PowerPoint, Customer Service, Teaching, Public Speaking, Microsoft Word, Outlook, Team Building, Microsoft Excel, Life Sciences, Process Improvement, Clinical Research, Data Entry
Education
Massachusetts Bay Community College 2012 — 2015
Associate of Science (A.S.), Forensic Science and Technology
Tufts Health Plan November 2011 - May 2014
Florida Department of Corrections July 2005 - July 2011
Marion County Health Department November 2006 - August 2008
Sovereign Bank April 2001 - June 2004
Skills
Healthcare, Microsoft Office, PowerPoint, Customer Service, Teaching, Public Speaking, Microsoft Word, Outlook, Team Building, Microsoft Excel, Life Sciences, Process Improvement, Clinical Research, Data Entry
Education
Massachusetts Bay Community College 2012 — 2015
Associate of Science (A.S.), Forensic Science and Technology
Erica Conti Erica Conti's Tufts Health Plan Experience October 2000 - October 2003
Job Employee Benefits Consultant at Marsh and McLennan Agency, locally known as Bostonian Group
Industry Insurance
Experience
Marsh & McLennan Agency (known locally as Bostonian Group) December 2014 - Present
Tudor Risk Services, LLC (acquired) November 2012 - March 2014
Hub International February 2010 - November 2012
WillisHRH November 2006 - February 2010
Marsh & McLennan Agency (Mercer Health & Benefits) October 2003 - October 2006
Tufts Health Plan October 2000 - October 2003
CIGNA HealthCare October 1998 - October 2000
Skills
Employee Benefits, Health Care Reform, Health Insurance, Health Savings Accounts, Disability Insurance, Benefits Administration, Insurance, COBRA, Negotiation, Risk Management, Underwriting, Healthcare, Brokers, Account Management, Life Insurance, Strategy, Workers Compensation, Strategic Planning, Term Life Insurance, ERISA, Medicare, Open Enrollment
Education
Lesley University 1999 — 2003
MBA, General Management
Stonehill College 1991 — 1995
BA, Health Care Administration
Marsh & McLennan Agency (known locally as Bostonian Group) December 2014 - Present
Tudor Risk Services, LLC (acquired) November 2012 - March 2014
Hub International February 2010 - November 2012
WillisHRH November 2006 - February 2010
Marsh & McLennan Agency (Mercer Health & Benefits) October 2003 - October 2006
Tufts Health Plan October 2000 - October 2003
CIGNA HealthCare October 1998 - October 2000
Skills
Employee Benefits, Health Care Reform, Health Insurance, Health Savings Accounts, Disability Insurance, Benefits Administration, Insurance, COBRA, Negotiation, Risk Management, Underwriting, Healthcare, Brokers, Account Management, Life Insurance, Strategy, Workers Compensation, Strategic Planning, Term Life Insurance, ERISA, Medicare, Open Enrollment
Education
Lesley University 1999 — 2003
MBA, General Management
Stonehill College 1991 — 1995
BA, Health Care Administration
Chris Liljestrand Chris Liljestrand's Tufts Health Plan Experience March 2009 - May 2009
Job Research/Administration Assistant at Aeon Fund
Industry Financial Services
Experience
Aeon Family of Funds October 2014 - Present
Pool Docs March 2014 - May 2014
Boston Beer Company July 2012 - May 2013
Boston Beer Company April 2010 - July 2012
First Wind January 2010 - March 2010
At Your Service Event Staffing November 2008 - November 2009
Tufts Health Plan March 2009 - May 2009
Tufts Health Plan December 2008 - March 2009
Skills
Microsoft Office, Customer Service, Customer Relations, Brewery, Forklift Operator, Bartending, Databases, Excel, PowerPoint, Word, Microsoft Excel, Facebook, Market Research, Event Management
Education
Monmouth University 2013 — 2015
Master of Business Administration (MBA), Finance, General, Graduate School
Skidmore College 2004 — 2008
BA, Classics
Advanced Studies in England 2006 — 2006
Study Abroad Program
Oxford University 2006 — 2006
Study Abroad Program
Aeon Family of Funds October 2014 - Present
Pool Docs March 2014 - May 2014
Boston Beer Company July 2012 - May 2013
Boston Beer Company April 2010 - July 2012
First Wind January 2010 - March 2010
At Your Service Event Staffing November 2008 - November 2009
Tufts Health Plan March 2009 - May 2009
Tufts Health Plan December 2008 - March 2009
Skills
Microsoft Office, Customer Service, Customer Relations, Brewery, Forklift Operator, Bartending, Databases, Excel, PowerPoint, Word, Microsoft Excel, Facebook, Market Research, Event Management
Education
Monmouth University 2013 — 2015
Master of Business Administration (MBA), Finance, General, Graduate School
Skidmore College 2004 — 2008
BA, Classics
Advanced Studies in England 2006 — 2006
Study Abroad Program
Oxford University 2006 — 2006
Study Abroad Program
Bianca DiPersio Bianca DiPersio's Tufts Health Plan Experience July 2013 - July 2015
Job Clinical Social Work Intern at Valley Collaborative High School
Industry Individual & Family Services
Experience
Valley Collaborative High School July 2015 - Present
Tufts Health Plan July 2013 - July 2015
Ranalli Household September 2007 - July 2013
MASSPIRG January 2010 - December 2011
Curriculum Associates September 2004 - January 2008
Skills
Research, Customer Service, Public Speaking, Microsoft Office, Sales, PowerPoint, Microsoft Word, Data Entry, Fundraising, Community Outreach, Proposal Writing, Editing, Nonprofits
Education
Salem State University 2015 — 2017
Master's degree, Social Work
University of Massachusetts at Lowell 2010 — 2012
Bachelor of Arts, Psychology/ Minor Socilogy
Middlesex Community College
Associates of Arts, Psychology
Valley Collaborative High School July 2015 - Present
Tufts Health Plan July 2013 - July 2015
Ranalli Household September 2007 - July 2013
MASSPIRG January 2010 - December 2011
Curriculum Associates September 2004 - January 2008
Skills
Research, Customer Service, Public Speaking, Microsoft Office, Sales, PowerPoint, Microsoft Word, Data Entry, Fundraising, Community Outreach, Proposal Writing, Editing, Nonprofits
Education
Salem State University 2015 — 2017
Master's degree, Social Work
University of Massachusetts at Lowell 2010 — 2012
Bachelor of Arts, Psychology/ Minor Socilogy
Middlesex Community College
Associates of Arts, Psychology
Arjun Munirathnam Arjun Munirathnam's Tufts Health Plan Experience February 2014 - November 2014
Job BI Consultant at Creative Computing Inc.
Industry Information Technology and Services
Experience
Creative Computing February 2014 - Present
Acushnet Company March 2015 - May 2015
The Cooperative Bank of Cape Cod 2015 - 2015
Tufts Health Plan February 2014 - November 2014
MetLife August 2012 - December 2013
Kohler Co. March 2012 - July 2012
Skills
Data Warehousing, Business Intelligence, Cognos, Business Analysis, SQL, ETL, Requirements Analysis, SDLC, Data Analysis, Oracle, Data Modeling, Informatica, Project Management, Core Banking, Retail Banking, Scrum, Microsoft SQL Server, Business Intelligence...
Education
Middlesex University 2008 — 2019
Master's degree, International Business Management
Visvesvaraya Technological University
Bachelor of Engineering (BE), Electrical, Electronics and Communications Engineering
Creative Computing February 2014 - Present
Acushnet Company March 2015 - May 2015
The Cooperative Bank of Cape Cod 2015 - 2015
Tufts Health Plan February 2014 - November 2014
MetLife August 2012 - December 2013
Kohler Co. March 2012 - July 2012
Skills
Data Warehousing, Business Intelligence, Cognos, Business Analysis, SQL, ETL, Requirements Analysis, SDLC, Data Analysis, Oracle, Data Modeling, Informatica, Project Management, Core Banking, Retail Banking, Scrum, Microsoft SQL Server, Business Intelligence...
Education
Middlesex University 2008 — 2019
Master's degree, International Business Management
Visvesvaraya Technological University
Bachelor of Engineering (BE), Electrical, Electronics and Communications Engineering
Amy Marsh Amy Marsh's Tufts Health Plan Experience 2001 - 2006
Job HRIS Assistant
Industry Human Resources
Experience
CDM Smith October 2012 - Present
Fresenius Medical Care April 2011 - June 2012
Fresenius Medical Care February 2008 - April 2011
Fresenius Medical Care January 2007 - February 2008
Tufts Health Plan 2001 - 2006
Skills
Employee Benefits, Healthcare, Benefits Administration, HRIS, Taleo, Payroll, Lotus Notes, HIPAA, Human Resources, Health Insurance, Recruiting, ADP Payroll, Microsoft Excel, PeopleSoft
Education
Merrimack College 1996 — 2000
Bachelor of Arts (B.A.), Sociology
CDM Smith October 2012 - Present
Fresenius Medical Care April 2011 - June 2012
Fresenius Medical Care February 2008 - April 2011
Fresenius Medical Care January 2007 - February 2008
Tufts Health Plan 2001 - 2006
Skills
Employee Benefits, Healthcare, Benefits Administration, HRIS, Taleo, Payroll, Lotus Notes, HIPAA, Human Resources, Health Insurance, Recruiting, ADP Payroll, Microsoft Excel, PeopleSoft
Education
Merrimack College 1996 — 2000
Bachelor of Arts (B.A.), Sociology
Justin Doucette Justin Doucette's Tufts Health Plan Experience October 2008 - Present
Job Inside Sales at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan October 2008 - Present
Comcast 2006 - 2008
Verizon 1996 - 2006
Skills
Sales, Customer Service, Customer Satisfaction, B2B, Insurance, Account Management, Call Centers, Process Improvement, Business Development, Healthcare, Medicare, Customer Retention, Health Insurance
Education
Merrimack College
Tufts Health Plan October 2008 - Present
Comcast 2006 - 2008
Verizon 1996 - 2006
Skills
Sales, Customer Service, Customer Satisfaction, B2B, Insurance, Account Management, Call Centers, Process Improvement, Business Development, Healthcare, Medicare, Customer Retention, Health Insurance
Education
Merrimack College
Allison Sreter Allison Sreter's Tufts Health Plan Experience May 2012 - December 2012
Job Marketing Manager, Accountable Care Solutions at Aetna
Industry Insurance
Experience
Aetna December 2012 - Present
Tufts Health Plan May 2012 - December 2012
Tufts Health Plan May 2011 - May 2012
Tufts Health Plan July 2008 - May 2011
Tufts Health Plan August 2007 - July 2008
Cephalon November 2006 - April 2007
Skills
Advertising, Direct Marketing, Marketing, Marketing Strategy, Email Marketing, Marketing Analytics, Segmentation, Print Production Process, Oracle CRM, Lead Generation, Direct Mail, Analytics, Brand Development, Medicare, Strategic Communications, Sales, Integrated Marketing, Budgets
Education
Merrimack College 2003 — 2007
Bachelor of Arts, Communictions Studies
Aetna December 2012 - Present
Tufts Health Plan May 2012 - December 2012
Tufts Health Plan May 2011 - May 2012
Tufts Health Plan July 2008 - May 2011
Tufts Health Plan August 2007 - July 2008
Cephalon November 2006 - April 2007
Skills
Advertising, Direct Marketing, Marketing, Marketing Strategy, Email Marketing, Marketing Analytics, Segmentation, Print Production Process, Oracle CRM, Lead Generation, Direct Mail, Analytics, Brand Development, Medicare, Strategic Communications, Sales, Integrated Marketing, Budgets
Education
Merrimack College 2003 — 2007
Bachelor of Arts, Communictions Studies
Grace DaCosta Grace DaCosta's Tufts Health Plan Experience October 2006 - December 2008
Job Medical receptionist
Industry Hospital & Health Care
Experience
Cambridge Health Alliance November 2014 - Present
Tufts Health Plan October 2006 - December 2008
Skills
Insurance, Claim, Health Insurance, Commercial Insurance, Medicare, PPO, HMO, Provider Relations, Call Center, Medicaid, Customer Service, HIPAA, Healthcare Information..., Healthcare
Education
Lincoln Technical Institute-Somerville 2006 — 2007
medical coding & billing
AAPC
Cambridge Health Alliance November 2014 - Present
Tufts Health Plan October 2006 - December 2008
Skills
Insurance, Claim, Health Insurance, Commercial Insurance, Medicare, PPO, HMO, Provider Relations, Call Center, Medicaid, Customer Service, HIPAA, Healthcare Information..., Healthcare
Education
Lincoln Technical Institute-Somerville 2006 — 2007
medical coding & billing
AAPC
Ed Twiss's Tufts Health Plan Experience September 2003 - May 2006
Job Manager, Quality Engineering (Transaction Hub) at Allscripts Healthcare, LLC
Industry Information Technology and Services
Experience
Allscripts December 2011 - March 2014
Quarterline Consulting Services December 2010 - November 2011
Fidelity Investments May 2006 - October 2010
Tufts Health Plan September 2003 - May 2006
Lucent Technologies February 2001 - February 2003
Tibersoft 2000 - 2001
XyEnterprise Solutions Inc. 1998 - 2000
Elcom Systems Inc. 1995 - 1998
Skills
QTP, Quality Center, ClearQuest, Waterfall, Agile, Testing, User Acceptance Testing, Test Cases, SDLC, Agile Methodologies, Requirements Analysis, Software Quality..., Test Automation, Quality Assurance, Software Development, Integration
Education
B.S.B.A MIS, Northeastern University
B.S.B.A, Management Information Systems
Certificate in Project Management, Boston University
Project Management Certificate Program
Massasoit Community College
A.A.S, Computer Science
Allscripts December 2011 - March 2014
Quarterline Consulting Services December 2010 - November 2011
Fidelity Investments May 2006 - October 2010
Tufts Health Plan September 2003 - May 2006
Lucent Technologies February 2001 - February 2003
Tibersoft 2000 - 2001
XyEnterprise Solutions Inc. 1998 - 2000
Elcom Systems Inc. 1995 - 1998
Skills
QTP, Quality Center, ClearQuest, Waterfall, Agile, Testing, User Acceptance Testing, Test Cases, SDLC, Agile Methodologies, Requirements Analysis, Software Quality..., Test Automation, Quality Assurance, Software Development, Integration
Education
B.S.B.A MIS, Northeastern University
B.S.B.A, Management Information Systems
Certificate in Project Management, Boston University
Project Management Certificate Program
Massasoit Community College
A.A.S, Computer Science
Russell Houldin's Tufts Health Plan Experience March 2006 - May 2007
Job Architect / Tech Lead at Fidelity Investments
Industry Computer Software
Experience
Fidelity Investments June 2014 - Present
Novartis Institutes for Biomedical Research January 2012 - March 2014
Fidelity Investments August 2010 - December 2011
Fidelity Investments June 2007 - July 2010
Tufts Health Plan March 2006 - May 2007
Fulcrum Analytics July 2005 - February 2006
Fidelity Investments September 2003 - June 2005
Pfizer October 1997 - February 2003
Skills
Oracle, PL/SQL, Data Warehousing, Database Design, Data Modeling, Unix, Databases, SQL, ETL, Apache Spark, Python, Linux, Java, R, MATLAB, Solaris, SDLC, Perl, Unix Shell Scripting, Shell Scripting, Business Intelligence...
Education
Massachusetts Institute of Technology 1976 — 1983
BS, Computer Science
Fidelity Investments June 2014 - Present
Novartis Institutes for Biomedical Research January 2012 - March 2014
Fidelity Investments August 2010 - December 2011
Fidelity Investments June 2007 - July 2010
Tufts Health Plan March 2006 - May 2007
Fulcrum Analytics July 2005 - February 2006
Fidelity Investments September 2003 - June 2005
Pfizer October 1997 - February 2003
Skills
Oracle, PL/SQL, Data Warehousing, Database Design, Data Modeling, Unix, Databases, SQL, ETL, Apache Spark, Python, Linux, Java, R, MATLAB, Solaris, SDLC, Perl, Unix Shell Scripting, Shell Scripting, Business Intelligence...
Education
Massachusetts Institute of Technology 1976 — 1983
BS, Computer Science
Sumitra Sivaram's Tufts Health Plan Experience December 2012 - Present
Job Sr Project Manager Strategy and Execution at Tufts Health Plan
Industry Health, Wellness and Fitness
Experience
Tufts Health Plan December 2012 - Present
Blue Cross and Blue Shield of Massachusetts 2005 - Present
Blue Cross Blue Shield of MA June 2005 - 2008
Skills
Healthcare, Process Improvement, Healthcare Information..., Program Management, SDLC, Strategy and..., Health Insurance
Education
Long Island University, C.W. Post Campus 2004 — 2005
MS Health Administration, 3.86
State University of New York College at Buffalo 1999 — 2001
MS Computer Science
University of Mumbai 1995 — 1999
Bachelors in Computer Engineering
VESIT 1995 — 1999
Bachelors in Computer Engineering
Tufts Health Plan December 2012 - Present
Blue Cross and Blue Shield of Massachusetts 2005 - Present
Blue Cross Blue Shield of MA June 2005 - 2008
Skills
Healthcare, Process Improvement, Healthcare Information..., Program Management, SDLC, Strategy and..., Health Insurance
Education
Long Island University, C.W. Post Campus 2004 — 2005
MS Health Administration, 3.86
State University of New York College at Buffalo 1999 — 2001
MS Computer Science
University of Mumbai 1995 — 1999
Bachelors in Computer Engineering
VESIT 1995 — 1999
Bachelors in Computer Engineering
David SanClemente's Tufts Health Plan Experience April 2000 - December 2002
Job Vice President of information Technology/CIO at Sonesta Hotels
Industry Information Technology and Services
Experience
Reit Management & Research LLC March 2012 - Present
Sonesta Hotels March 2012 - May 2015
Five Star Quality Care March 2012 - April 2014
REIT Management and Research 2008 - March 2012
Comcast Cable May 2003 - January 2008
Tufts Health Plan April 2000 - December 2002
PAREXEL International 1995 - 2000
Oracle 1995 - 1997
IRI Software 1991 - 1995
Ameritrust, N/A 1987 - 1991
Skills
VoIP, Cisco, Telecommunications, Security, Active Directory, Cisco Technologies, Project Management, IT Operations, Leadership, Windows Server, VMware, Vendor Management, Networking, Firewalls, Technical Support, Data Center, Management, Microsoft Exchange
Education
Marietta College 1980 — 1984
BS, Computer Science
Lawrence Academy 1976 — 1980
HS
Reit Management & Research LLC March 2012 - Present
Sonesta Hotels March 2012 - May 2015
Five Star Quality Care March 2012 - April 2014
REIT Management and Research 2008 - March 2012
Comcast Cable May 2003 - January 2008
Tufts Health Plan April 2000 - December 2002
PAREXEL International 1995 - 2000
Oracle 1995 - 1997
IRI Software 1991 - 1995
Ameritrust, N/A 1987 - 1991
Skills
VoIP, Cisco, Telecommunications, Security, Active Directory, Cisco Technologies, Project Management, IT Operations, Leadership, Windows Server, VMware, Vendor Management, Networking, Firewalls, Technical Support, Data Center, Management, Microsoft Exchange
Education
Marietta College 1980 — 1984
BS, Computer Science
Lawrence Academy 1976 — 1980
HS
Vanessa Shaller's Tufts Health Plan Experience January 1997 - January 1999
Job Assistant Vice President, Pediatric Specialties
Industry Hospital & Health Care
Experience
Carolinas Healthcare System March 2014 - Present
Carolinas Healthcare System September 2012 - Present
Children's Healthcare of Atlanta May 2010 - August 2012
Levitt Healthcare Affiliates July 2006 - May 2010
BDO Seidman, LLP 2005 - 2006
Gill/Balsano Consulting 2002 - 2005
Physician's Medical Services Corp January 1999 - January 2000
Tufts Health Plan January 1997 - January 1999
Skills
Healthcare, Strategic Planning, Hospitals, Non-profits, Financial Analysis, Financial Modeling, Healthcare Management, Forecasting, Management Consulting, Leadership, Healthcare Information..., Healthcare Consulting, Program Management, EMR, Data Analysis, Nonprofits
Education
Emory University, Rollins School of Public Health 2000 — 2001
Masters of Public Health, Health Policy and Management
McGill University 1993 — 1997
Bachelor of Arts, Psychology
Carolinas Healthcare System March 2014 - Present
Carolinas Healthcare System September 2012 - Present
Children's Healthcare of Atlanta May 2010 - August 2012
Levitt Healthcare Affiliates July 2006 - May 2010
BDO Seidman, LLP 2005 - 2006
Gill/Balsano Consulting 2002 - 2005
Physician's Medical Services Corp January 1999 - January 2000
Tufts Health Plan January 1997 - January 1999
Skills
Healthcare, Strategic Planning, Hospitals, Non-profits, Financial Analysis, Financial Modeling, Healthcare Management, Forecasting, Management Consulting, Leadership, Healthcare Information..., Healthcare Consulting, Program Management, EMR, Data Analysis, Nonprofits
Education
Emory University, Rollins School of Public Health 2000 — 2001
Masters of Public Health, Health Policy and Management
McGill University 1993 — 1997
Bachelor of Arts, Psychology
Katherine Journeay's Tufts Health Plan Experience September 2008 - Present
Job IT Sr. Relationship Manager at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan September 2008 - Present
Sawyerhill Ecovillage 2004 - November 2009
Tufts Health Plan 2000 - September 2008
Skills
Business Requirements, SDLC, Requirements Analysis, Technical Writing, Access, Agile Methodologies, User Acceptance Testing, User Experience, Data Analysis, Business Process, Analysis, CRM, Business Analysis, Healthcare Information..., Management, Process Improvement, Program Management, Leadership
Education
Mount Holyoke College 1987 — 1991
BA, English
Tufts Health Plan September 2008 - Present
Sawyerhill Ecovillage 2004 - November 2009
Tufts Health Plan 2000 - September 2008
Skills
Business Requirements, SDLC, Requirements Analysis, Technical Writing, Access, Agile Methodologies, User Acceptance Testing, User Experience, Data Analysis, Business Process, Analysis, CRM, Business Analysis, Healthcare Information..., Management, Process Improvement, Program Management, Leadership
Education
Mount Holyoke College 1987 — 1991
BA, English
Bryan Chan, RPh's Tufts Health Plan Experience October 2012 - Present
Job Manager, Pharmacy Utilization Management
Industry Pharmaceuticals
Experience
Tufts Health Plan October 2012 - Present
Hallmark Health System, Inc. August 2011 - October 2012
Walmart.com January 2004 - September 2011
Walgreens July 1997 - August 2004
Skills
Cpr Certified, Pharmacy, Healthcare, Utilization Management, Medication Therapy..., Pharmacists, Pharmacy Automation, Patient Safety, Pharmacy Benefit..., Clinical Research, Hospitals, Managed Care, Healthcare Management, Diabetes, Community Pharmacy, Patient Education, Clinical Pharmacology, Compounding, Medicare Part D, Hospital Pharmacy, Commercial Health Plans, NCQA, JCAHO, Sales Operations, Optical Center..., Vendor Relationships, Vendor Contracts, Pharmaceutics, Retail Buying, Team Building, Immunization
Education
Massachusetts College of Pharmacy and Health Sciences 1995 — 1997
BS Pharmacy, Pharmacy, Pharmaceutical Sciences, and Administration
Tufts Health Plan October 2012 - Present
Hallmark Health System, Inc. August 2011 - October 2012
Walmart.com January 2004 - September 2011
Walgreens July 1997 - August 2004
Skills
Cpr Certified, Pharmacy, Healthcare, Utilization Management, Medication Therapy..., Pharmacists, Pharmacy Automation, Patient Safety, Pharmacy Benefit..., Clinical Research, Hospitals, Managed Care, Healthcare Management, Diabetes, Community Pharmacy, Patient Education, Clinical Pharmacology, Compounding, Medicare Part D, Hospital Pharmacy, Commercial Health Plans, NCQA, JCAHO, Sales Operations, Optical Center..., Vendor Relationships, Vendor Contracts, Pharmaceutics, Retail Buying, Team Building, Immunization
Education
Massachusetts College of Pharmacy and Health Sciences 1995 — 1997
BS Pharmacy, Pharmacy, Pharmaceutical Sciences, and Administration
Sherry Daley's Tufts Health Plan Experience December 2001 - December 2012
Job Business Analyst at Blue Cross Blue Shield of Massachusetts
Industry Health, Wellness and Fitness
Experience
Blue Cross Blue Shield of Massachusetts December 2012 - Present
Tufts Health Plan December 2001 - December 2012
Perot Systems January 2001 - November 2001
Carefirst BCBS 1999 - 2000
Healthsource New Hampshire/Cigna Healthcare November 1989 - September 1999
Healthway Medical Plan 1986 - 1988
Skills
Analysis, Budgets, Claim, Data Analysis, Health Insurance, Healthcare, Healthcare Information..., Insurance, Leadership, Managed Care, Management, Medicaid, Medicare, Project Management, Human Resources, Process Improvement
Education
New Hampshire College 1996 — 1999
Management
Massasoit Community College 1982 — 1984
Blue Cross Blue Shield of Massachusetts December 2012 - Present
Tufts Health Plan December 2001 - December 2012
Perot Systems January 2001 - November 2001
Carefirst BCBS 1999 - 2000
Healthsource New Hampshire/Cigna Healthcare November 1989 - September 1999
Healthway Medical Plan 1986 - 1988
Skills
Analysis, Budgets, Claim, Data Analysis, Health Insurance, Healthcare, Healthcare Information..., Insurance, Leadership, Managed Care, Management, Medicaid, Medicare, Project Management, Human Resources, Process Improvement
Education
New Hampshire College 1996 — 1999
Management
Massasoit Community College 1982 — 1984
Denise Labo's Tufts Health Plan Experience May 2002 - December 2002
Job Sr. Prinicipal Consultant at NTT DATA
Industry Information Technology and Services
Experience
NTT DATA January 2008 - Present
Keane, Inc. January 2008 - March 2009
Tufts Health Plan, Inc. January 2003 - December 2007
Tufts Health Plan May 2002 - December 2002
Tufts Health Plan, Inc. November 2001 - April 2002
Tufts Health Plan May 1996 - October 2001
Tufts Health Plan May 1991 - April 1996
Skills
Data Warehousing, Business Intelligence, Program Management, IT Strategy, Vendor Management, SQL, Integration, Requirements Analysis, Requirements Gathering, SDLC, Business Analysis, Process Improvement, Visio, Business Process..., Databases, EDI, Software Project..., Project Management, Healthcare Information...
Education
Massachusetts Bay Community College 1977 — 1978
Nursing
NTT DATA January 2008 - Present
Keane, Inc. January 2008 - March 2009
Tufts Health Plan, Inc. January 2003 - December 2007
Tufts Health Plan May 2002 - December 2002
Tufts Health Plan, Inc. November 2001 - April 2002
Tufts Health Plan May 1996 - October 2001
Tufts Health Plan May 1991 - April 1996
Skills
Data Warehousing, Business Intelligence, Program Management, IT Strategy, Vendor Management, SQL, Integration, Requirements Analysis, Requirements Gathering, SDLC, Business Analysis, Process Improvement, Visio, Business Process..., Databases, EDI, Software Project..., Project Management, Healthcare Information...
Education
Massachusetts Bay Community College 1977 — 1978
Nursing
Michelle Crawford-Cranmore's Tufts Health Plan Experience 2001 - 2003
Job 3rd/4th Grade Teacher at Somerville Public Schools
Industry Primary/Secondary Education
Experience
Boston Public Schools September 2015 - Present
Various January 2008 - Present
Somerville Public Schools July 2013 - June 2015
Public Schools of Brookline October 2011 - July 2013
Elihu Greenwood Elementary School November 2008 - June 2009
John Winthrop Elementary School March 2007 - June 2008
Boston Public Schools October 2005 - June 2006
St. Mary Cathedral School August 2003 - December 2003
Tufts Health Plan 2001 - 2003
Watertown Savings Bank 2000 - 2001
Skills
Arts, Teaching, Curriculum Design, Classroom Management, Literacy, Directing, Humanities, Visual Arts, Theatre, Classroom, Differentiated..., Elementary Education, Lesson Planning, Curriculum Development, K-12, Social Studies, Tutoring, Special Education
Education
University of Massachusetts Boston 2005 — 2008
M.Ed, Education
Massachusetts College of Liberal Arts 1996 — 2000
B.A. Fine and Performing Arts, Theatre/Theater
East Boston High School 1994 — 1996
High School Diploma
Boston Public Schools September 2015 - Present
Various January 2008 - Present
Somerville Public Schools July 2013 - June 2015
Public Schools of Brookline October 2011 - July 2013
Elihu Greenwood Elementary School November 2008 - June 2009
John Winthrop Elementary School March 2007 - June 2008
Boston Public Schools October 2005 - June 2006
St. Mary Cathedral School August 2003 - December 2003
Tufts Health Plan 2001 - 2003
Watertown Savings Bank 2000 - 2001
Skills
Arts, Teaching, Curriculum Design, Classroom Management, Literacy, Directing, Humanities, Visual Arts, Theatre, Classroom, Differentiated..., Elementary Education, Lesson Planning, Curriculum Development, K-12, Social Studies, Tutoring, Special Education
Education
University of Massachusetts Boston 2005 — 2008
M.Ed, Education
Massachusetts College of Liberal Arts 1996 — 2000
B.A. Fine and Performing Arts, Theatre/Theater
East Boston High School 1994 — 1996
High School Diploma
Betty Magny's Tufts Health Plan Experience November 2013 - Present
Job Provider Account Manager at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan November 2013 - Present
P&L Professional Associates,LLC September 2009 - October 2013
BMC HealthNet Plan September 2007 - August 2009
BMC HealthNet Plan August 2005 - September 2007
BMC HealthNet Plan May 2004 - August 2005
Harvard Pilgrim Health Care April 2004 - April 2004
Skills
Communication Skills, Client Presentation, Manage Client..., Client Liaison, Customer Engagement, Managed Care, HIPAA, Provider Relations, Medicare, Health Insurance, Medicaid, Healthcare Management, Hospitals, HMO, Access, Customer Service, Healthcare, Network Development, Credentialing, PeopleSoft, Provider Network..., Provider Enrollment, Provider Education, Healthcare Industry, Strategic Planning, Management, Insurance, Health Policy, Physicians, PPO, Healthcare Consulting, Revenue Cycle, Case Management
Education
Lesley University
Bachelor of Arts (B.A.), Human Services, 3.506
Tufts Health Plan November 2013 - Present
P&L Professional Associates,LLC September 2009 - October 2013
BMC HealthNet Plan September 2007 - August 2009
BMC HealthNet Plan August 2005 - September 2007
BMC HealthNet Plan May 2004 - August 2005
Harvard Pilgrim Health Care April 2004 - April 2004
Skills
Communication Skills, Client Presentation, Manage Client..., Client Liaison, Customer Engagement, Managed Care, HIPAA, Provider Relations, Medicare, Health Insurance, Medicaid, Healthcare Management, Hospitals, HMO, Access, Customer Service, Healthcare, Network Development, Credentialing, PeopleSoft, Provider Network..., Provider Enrollment, Provider Education, Healthcare Industry, Strategic Planning, Management, Insurance, Health Policy, Physicians, PPO, Healthcare Consulting, Revenue Cycle, Case Management
Education
Lesley University
Bachelor of Arts (B.A.), Human Services, 3.506
Charles Jeffrey Aaronian's Tufts Health Plan Experience July 2008 - Present
Job Credentialing at Tufts Health Plan
Industry Banking
Experience
Tufts Health Plan July 2008 - Present
Wells Fargo Home Mortgage June 2006 - December 2007
Wells Fargo Home Mortgage 2002 - 2007
Wells Fargo Home Mortgage 2002 - 2007
Wells Fargo Home Mortgage May 2004 - June 2006
Wells Fargo Home Mortgage December 2002 - April 2004
Workscape March 2000 - April 2002
Consolidated Group June 1986 - October 1999
Consolidated Group 1986 - 1999
Education
Merrimack College 1982 — 1983
Not completed, Business Management
Tufts Health Plan July 2008 - Present
Wells Fargo Home Mortgage June 2006 - December 2007
Wells Fargo Home Mortgage 2002 - 2007
Wells Fargo Home Mortgage 2002 - 2007
Wells Fargo Home Mortgage May 2004 - June 2006
Wells Fargo Home Mortgage December 2002 - April 2004
Workscape March 2000 - April 2002
Consolidated Group June 1986 - October 1999
Consolidated Group 1986 - 1999
Education
Merrimack College 1982 — 1983
Not completed, Business Management
Rudy Dias, CSM's Tufts Health Plan Experience November 2008 - Present
Job Project Manager at Tufts Health Plan
Industry Computer Software
Experience
Tufts Health Plan November 2008 - Present
CaseNET Inc. December 2007 - November 2008
Rocket Software 1997 - 2007
Skills
SDLC, Requirements Analysis, Software Project..., Agile Methodologies, PMP, Requirements Gathering, PMO, Enterprise Architecture, Integration, Project Portfolio..., Visio, Business Analysis
Education
University of Massachusetts Lowell 1993 — 1995
MS, Computer Science
Manipal Institute of Technology 1984 — 1988
Bachelor of Engineering., Electronics and Communication
Tufts Health Plan November 2008 - Present
CaseNET Inc. December 2007 - November 2008
Rocket Software 1997 - 2007
Skills
SDLC, Requirements Analysis, Software Project..., Agile Methodologies, PMP, Requirements Gathering, PMO, Enterprise Architecture, Integration, Project Portfolio..., Visio, Business Analysis
Education
University of Massachusetts Lowell 1993 — 1995
MS, Computer Science
Manipal Institute of Technology 1984 — 1988
Bachelor of Engineering., Electronics and Communication
Ilona Kalisky's Tufts Health Plan Experience July 1994 - August 2014
Job Clinical Content Developer at McKesson Health Solutions
Industry Hospital & Health Care
Experience
McKesson Health Solutions August 2014 - Present
Tufts Health Plan July 1994 - August 2014
Tufts Health Plan 1994 - 2002
Newton-Wellesley Hospital 1988 - 1994
Brigham and Women's Hospital 1985 - 1989
Retina Associates. Boston 1983 - 1984
Skills
Informatics, Change Management, Healthcare, Healthcare Information..., Healthcare Management, Managed Care, Medicare, Process Improvement, Software Documentation, Data Analysis, Health Policy, Clinical Research, Health Insurance, Healthcare Consulting
Education
The Heller School for Social Policy and Management at Brandeis University 2000 — 2007
Lincoln-Sudbury Regional High School
Massachusetts Bay Community College
ADN, Nursing
Worcester State University
BSN, Nursing
McKesson Health Solutions August 2014 - Present
Tufts Health Plan July 1994 - August 2014
Tufts Health Plan 1994 - 2002
Newton-Wellesley Hospital 1988 - 1994
Brigham and Women's Hospital 1985 - 1989
Retina Associates. Boston 1983 - 1984
Skills
Informatics, Change Management, Healthcare, Healthcare Information..., Healthcare Management, Managed Care, Medicare, Process Improvement, Software Documentation, Data Analysis, Health Policy, Clinical Research, Health Insurance, Healthcare Consulting
Education
The Heller School for Social Policy and Management at Brandeis University 2000 — 2007
Lincoln-Sudbury Regional High School
Massachusetts Bay Community College
ADN, Nursing
Worcester State University
BSN, Nursing
Janis Farrow Pochini's Tufts Health Plan Experience September 1999 - March 2003
Job Director, Clinical Integration, Best Doctors
Industry Hospital & Health Care
Experience
Best Doctors April 2013 - Present
Blue Cross Blue Shield August 2010 - March 2013
Blue Cross Blue Shield January 2006 - 2010
Blue Cross Blue Shield of MA November 2003 - January 2006
Best Home Care LLC April 2003 - November 2003
Tufts Health Plan September 1999 - March 2003
Visiting Nurse Association (VNA) September 1994 - April 1999
Massachusetts General Hospital 1990 - 1994
Skills
Performance Improvement, Managed Care, Quality Improvement, Health Insurance, Strategy, Program Management, Healthcare Management, Healthcare Information..., HIPAA, Case Managment, Healthcare Consulting, Revenue Cycle, Healthcare, Informatics, Strategic Planning, Health Policy, Healthcare Industry, NCQA, Pharmacy, Pharmacy Benefit..., Analysis, Training, Behavioral Health, Disease Management, Medicare Part D, Medicare, Nursing, HMO, Clinical Research, Health Care Reform, Health Education, Physicians, Provider Relations, Utilization Management, Medicaid, Medicine, EHR, Process Improvement, Hospitals, EMR, Home Care
Education
Regis College 2009 — 2013
Candidate for MSN, Nursing Leadership & HC Administration
Middlesex Community College 1983 — 1985
ADRN, Nursing
Best Doctors April 2013 - Present
Blue Cross Blue Shield August 2010 - March 2013
Blue Cross Blue Shield January 2006 - 2010
Blue Cross Blue Shield of MA November 2003 - January 2006
Best Home Care LLC April 2003 - November 2003
Tufts Health Plan September 1999 - March 2003
Visiting Nurse Association (VNA) September 1994 - April 1999
Massachusetts General Hospital 1990 - 1994
Skills
Performance Improvement, Managed Care, Quality Improvement, Health Insurance, Strategy, Program Management, Healthcare Management, Healthcare Information..., HIPAA, Case Managment, Healthcare Consulting, Revenue Cycle, Healthcare, Informatics, Strategic Planning, Health Policy, Healthcare Industry, NCQA, Pharmacy, Pharmacy Benefit..., Analysis, Training, Behavioral Health, Disease Management, Medicare Part D, Medicare, Nursing, HMO, Clinical Research, Health Care Reform, Health Education, Physicians, Provider Relations, Utilization Management, Medicaid, Medicine, EHR, Process Improvement, Hospitals, EMR, Home Care
Education
Regis College 2009 — 2013
Candidate for MSN, Nursing Leadership & HC Administration
Middlesex Community College 1983 — 1985
ADRN, Nursing
Jodie Ryberg's Tufts Health Plan Experience 1990 - 1999
Job Event Manager at BCBSMA
Industry Insurance
Experience
BCBSMA Event ManagerBlue Cross Blue Shield of Massachusetts2008 - Present
Blue Cross Blue Shield of MA 2008 - Present
Private Health Care Systems 2001 - 2007
Private Healthcare Systems, Waltham, Massachusetts 2001 - 2007
Tufts Health Plan 1990 - 1999
Skills
Insurance, Marketing Communications, Health Insurance, Event Management, Email Marketing, Trade Shows, Online Marketing, Marketing, Account Management, Social Media, Sales, Marketing Strategy, Event Planning, New Business Development, Direct Marketing, Social Media Marketing
Education
Middlesex Community College
BCBSMA Event ManagerBlue Cross Blue Shield of Massachusetts2008 - Present
Blue Cross Blue Shield of MA 2008 - Present
Private Health Care Systems 2001 - 2007
Private Healthcare Systems, Waltham, Massachusetts 2001 - 2007
Tufts Health Plan 1990 - 1999
Skills
Insurance, Marketing Communications, Health Insurance, Event Management, Email Marketing, Trade Shows, Online Marketing, Marketing, Account Management, Social Media, Sales, Marketing Strategy, Event Planning, New Business Development, Direct Marketing, Social Media Marketing
Education
Middlesex Community College
Bill Mazza's Tufts Health Plan Experience April 1993 - January 2000
Job Director, Client Services at AvMed Health Plans
Industry Insurance
Experience
AvMed Health Plans Vice President, sales & marketingFallon Community Health PlanJanuary 2000 - March 2004
Tufts Health Plan April 1993 - January 2000
Bay State Health Care June 1986 - October 1992
Education
Massachusetts College of Liberal Arts 1970 — 1974
BS, Business Administration
AvMed Health Plans Vice President, sales & marketingFallon Community Health PlanJanuary 2000 - March 2004
Tufts Health Plan April 1993 - January 2000
Bay State Health Care June 1986 - October 1992
Education
Massachusetts College of Liberal Arts 1970 — 1974
BS, Business Administration
James Curley's Tufts Health Plan Experience November 2007 - Present
Job Audit Manager at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan November 2007 - Present
PwC April 2005 - January 2007
Putnam Investments April 1999 - April 2005
Skills
Auditing, Internal Audit, Internal Controls
Education
Merrimack College 1993 — 1998
Accounting
Tufts Health Plan November 2007 - Present
PwC April 2005 - January 2007
Putnam Investments April 1999 - April 2005
Skills
Auditing, Internal Audit, Internal Controls
Education
Merrimack College 1993 — 1998
Accounting
Jeanne Murphy, RN, CCM's Tufts Health Plan Experience April 1997 - October 2004
Job Director of Care Management at BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan April 2014 - Present
MassBike April 2013 - Present
Single Volunteers Boston October 2012 - Present
Towers Watson October 2012 - March 2014
WGBH 2012 - 2013
ikaSystems February 2011 - October 2012
Beth Israel Deaconess Medical Center August 2008 - February 2011
Joslin Diabetes Center November 2007 - August 2008
Healthways, Inc November 2004 - November 2007
Tufts Health Plan April 1997 - October 2004
Skills
Case Management, Disease Management, Medical Management, Managed Care, Utilization Management, Healthcare IT, Program development, Clinical Consulting, Healthcare Information..., Case Managment, Program Development, Healthcare, Hospitals, Management, Healthcare Management, Medicaid, Medicare, Healthcare Industry, Quality Improvement, Home Care, Leadership, EHR, Nursing, Acute Care, Medicine, Software Documentation, Clinical Research, Healthcare Consulting, Health Policy, HIPAA, Data Analysis, EMR
Education
Lesley University 2001 — 2002
BSM, Business Management
University of Kentucky 1984 — 1987
ADN, Nursing
Marion County High School 1978 — 1981
BMC HealthNet Plan April 2014 - Present
MassBike April 2013 - Present
Single Volunteers Boston October 2012 - Present
Towers Watson October 2012 - March 2014
WGBH 2012 - 2013
ikaSystems February 2011 - October 2012
Beth Israel Deaconess Medical Center August 2008 - February 2011
Joslin Diabetes Center November 2007 - August 2008
Healthways, Inc November 2004 - November 2007
Tufts Health Plan April 1997 - October 2004
Skills
Case Management, Disease Management, Medical Management, Managed Care, Utilization Management, Healthcare IT, Program development, Clinical Consulting, Healthcare Information..., Case Managment, Program Development, Healthcare, Hospitals, Management, Healthcare Management, Medicaid, Medicare, Healthcare Industry, Quality Improvement, Home Care, Leadership, EHR, Nursing, Acute Care, Medicine, Software Documentation, Clinical Research, Healthcare Consulting, Health Policy, HIPAA, Data Analysis, EMR
Education
Lesley University 2001 — 2002
BSM, Business Management
University of Kentucky 1984 — 1987
ADN, Nursing
Marion County High School 1978 — 1981
Elizabeth Katcoff's Tufts Health Plan Experience January 2008 - February 2008
Job Manager, Data Center Capacity Planning at Amazon Web Services
Industry Internet
Experience
Amazon Web Services August 2014 - Present
Amazon August 2012 - August 2014
Nissan North America January 2012 - June 2012
The Amundsen Group July 2008 - May 2010
Tufts Health Plan January 2008 - February 2008
Skills
Supply Chain Management, Management Consulting, Competitive Analysis, Product Management, Data Analysis, Market Analysis, Market Research, Statistics, Strategy, Cross-functional Team..., Project Management, Strategic Planning, Forecasting, Logistics, SQL, Supply Chain Software, Capacity Planning, Capacity Management, Leadership, Supply Chain, Analytics
Education
Massachusetts Institute of Technology - Sloan School of Management 2010 — 2012
MBA, MS, Management, Engineering Systems
Massachusetts Institute of Technology 2004 — 2008
B.S., Architectural Building Technology
Amazon Web Services August 2014 - Present
Amazon August 2012 - August 2014
Nissan North America January 2012 - June 2012
The Amundsen Group July 2008 - May 2010
Tufts Health Plan January 2008 - February 2008
Skills
Supply Chain Management, Management Consulting, Competitive Analysis, Product Management, Data Analysis, Market Analysis, Market Research, Statistics, Strategy, Cross-functional Team..., Project Management, Strategic Planning, Forecasting, Logistics, SQL, Supply Chain Software, Capacity Planning, Capacity Management, Leadership, Supply Chain, Analytics
Education
Massachusetts Institute of Technology - Sloan School of Management 2010 — 2012
MBA, MS, Management, Engineering Systems
Massachusetts Institute of Technology 2004 — 2008
B.S., Architectural Building Technology
Sheryl Eilberg's Tufts Health Plan Experience September 2008 - Present
Job Supervisor at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan September 2008 - Present
Tufts Health Plan October 1998 - Present
Education
Simmons College 1989 — 1991
MSW, Social work
Lesley University 1983 — 1987
BS, Human Services
Tufts Health Plan September 2008 - Present
Tufts Health Plan October 1998 - Present
Education
Simmons College 1989 — 1991
MSW, Social work
Lesley University 1983 — 1987
BS, Human Services
Alan Dick's Tufts Health Plan Experience 1989 - 1995
Job Sr.Nurse Consultant, Professional Practice at
Industry Insurance
Experience
United Health Care November 2009 - Present
United Healthcare 2009 - Present
Evercare August 2006 - November 2009
UnitedHealth Group August 2006 - November 2009
Health Dialog January 2004 - August 2006
CIGNA Healthcare 1995 - 2002
Tufts Health Plan 1989 - 1995
Education
Merrimack College 1992 — 1996
BA, Psychology
Northern Essex Community College 1973 — 1976
AD Nursing, Nursing
United Health Care November 2009 - Present
United Healthcare 2009 - Present
Evercare August 2006 - November 2009
UnitedHealth Group August 2006 - November 2009
Health Dialog January 2004 - August 2006
CIGNA Healthcare 1995 - 2002
Tufts Health Plan 1989 - 1995
Education
Merrimack College 1992 — 1996
BA, Psychology
Northern Essex Community College 1973 — 1976
AD Nursing, Nursing
Kit Reardon's Tufts Health Plan Experience April 1998 - Present
Job Large Group, Senior Underwriter, Major Accounts at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan April 1998 - Present
Tufts Health Plan September 1993 - April 1998
The New England, Boston, MA 02117 July 1987 - September 1993
The New England, Boston, MA 02117 June 1985 - July 1987
Skills
Insurance, Managed Care, Health Insurance, Medicare, Health Care Reform, Program Management, Health Savings Accounts, Process Improvement, Account Management, Provider Relations, Employee Benefits, HIPAA, Healthcare Management, Disability Insurance, Underwriting, Claim, Workers Compensation, New Business Development, Medicaid, Healthcare
Education
Missouri State University
Liberal Arts and Sciences/Liberal Studies
Tufts Health Plan April 1998 - Present
Tufts Health Plan September 1993 - April 1998
The New England, Boston, MA 02117 July 1987 - September 1993
The New England, Boston, MA 02117 June 1985 - July 1987
Skills
Insurance, Managed Care, Health Insurance, Medicare, Health Care Reform, Program Management, Health Savings Accounts, Process Improvement, Account Management, Provider Relations, Employee Benefits, HIPAA, Healthcare Management, Disability Insurance, Underwriting, Claim, Workers Compensation, New Business Development, Medicaid, Healthcare
Education
Missouri State University
Liberal Arts and Sciences/Liberal Studies
Jacqueline (Jackie) Izzi's Tufts Health Plan Experience January 2003 - November 2008
Job Assistant at CSA Graphics
Industry Nonprofit Organization Management
Experience
CSA Graphics December 2012 - Present
Private Client November 2009 - March 2012
Centrus Premier Home Care, Inc September 2009 - November 2009
Cumberland Farms May 2009 - September 2009
Tufts Health Plan January 2003 - November 2008
Tufts Health Plan January 2001 - January 2003
Tufts Health Plan January 1998 - January 2001
Tufts Health Plan June 1996 - January 1998
Izzi's January 1982 - January 1997
Skills
Process Improvement, Training, Access, Visio, Human Resources, Management
Education
Massachusetts Bay Community College
Northeastern University
CSA Graphics December 2012 - Present
Private Client November 2009 - March 2012
Centrus Premier Home Care, Inc September 2009 - November 2009
Cumberland Farms May 2009 - September 2009
Tufts Health Plan January 2003 - November 2008
Tufts Health Plan January 2001 - January 2003
Tufts Health Plan January 1998 - January 2001
Tufts Health Plan June 1996 - January 1998
Izzi's January 1982 - January 1997
Skills
Process Improvement, Training, Access, Visio, Human Resources, Management
Education
Massachusetts Bay Community College
Northeastern University
Denise McCarthy's Tufts Health Plan Experience March 1998 - June 2008
Job Medicare Sales Representative at eHealthInsurance
Industry Insurance
Experience
eHealthInsurance May 2012 - Present
Colonial Life October 2011 - October 2012
Colonial Life March 2011 - October 2011
Colonial Life 2010 - 2011
Bankers Life and Casualty 2009 - 2010
Tufts Health Plan March 1998 - June 2008
Skills
Employee Benefits, Insurance, Accident Insurance, Disability Insurance, Critical Illness..., Supplemental Insurance, Benefits Communication, Life Insurance - Term..., Group Benefits, B2B, worksite, Recruiting, Underwriting, Critical Illness, Term Life Insurance, Medicare, Medicare Part D, Medicare Advantage, Medicare Prescription..., Health Insurance, Life Insurance, Sales
Education
Middlesex Community College
non-degreed, Business
eHealthInsurance May 2012 - Present
Colonial Life October 2011 - October 2012
Colonial Life March 2011 - October 2011
Colonial Life 2010 - 2011
Bankers Life and Casualty 2009 - 2010
Tufts Health Plan March 1998 - June 2008
Skills
Employee Benefits, Insurance, Accident Insurance, Disability Insurance, Critical Illness..., Supplemental Insurance, Benefits Communication, Life Insurance - Term..., Group Benefits, B2B, worksite, Recruiting, Underwriting, Critical Illness, Term Life Insurance, Medicare, Medicare Part D, Medicare Advantage, Medicare Prescription..., Health Insurance, Life Insurance, Sales
Education
Middlesex Community College
non-degreed, Business
Valerie Peabody's Tufts Health Plan Experience 2001 - 2005
Job Benefits Coordinator
Industry Human Resources
Experience
Billerica Public Schools March 2005 - Present
Tufts Health Plan 2001 - 2005
Crabtree & Evelyn 1998 - 2000
Avid Technology 1995 - 1998
Education
Middlesex Community College 1992 — 1994
Business
Billerica Public Schools March 2005 - Present
Tufts Health Plan 2001 - 2005
Crabtree & Evelyn 1998 - 2000
Avid Technology 1995 - 1998
Education
Middlesex Community College 1992 — 1994
Business
Jennifer Melville's Tufts Health Plan Experience September 2008 - June 2012
Job Member Services Representative
Industry Health, Wellness and Fitness
Experience
Tufts Health Plan September 2008 - June 2012
Mary Kay, Inc. August 2008 - December 2010
Skills
Medicare, Healthcare, Call Center, Customer Service, Insurance, Health Insurance, Microsoft Word, Microsoft Office, Microsoft Excel, Access, Lotus Notes, Process Improvement, PowerPoint, Account Management, Management, Research, Data Entry, Social Media, Managed Care
Education
Massachusetts Bay Community College 2008 — 2010
RN, Nursing
Elizabeth Grady School of Esthetics 2004 — 2005
Esthetics License, Esthetics and Makeup Artistry
Tufts Health Plan September 2008 - June 2012
Mary Kay, Inc. August 2008 - December 2010
Skills
Medicare, Healthcare, Call Center, Customer Service, Insurance, Health Insurance, Microsoft Word, Microsoft Office, Microsoft Excel, Access, Lotus Notes, Process Improvement, PowerPoint, Account Management, Management, Research, Data Entry, Social Media, Managed Care
Education
Massachusetts Bay Community College 2008 — 2010
RN, Nursing
Elizabeth Grady School of Esthetics 2004 — 2005
Esthetics License, Esthetics and Makeup Artistry
John Spinelli's Tufts Health Plan Experience October 2012 - Present
Job Technical Analyst for Medicare Compliance at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan October 2012 - Present
Blue Cross Blue Shield of Rhode Island March 2007 - July 2010
Skills
Medicare, Medicaid, Insurance, Health Insurance, Process Improvement, Managed Care, Health Policy, Business Analysis, Analysis, Healthcare Information..., Healthcare, Data Analysis, HIPAA, Microsoft Office, Data Validation, Strategic Planning, Program Management
Education
State University of New York at Stony Brook
MS, Urban Policy Science
State University of New York at Stony Brook
MS, Political Science - Public Policy
Long Island University, C.W. Post Campus
MS, Education; School Counseling
State University of New York at Stony Brook
BS, Earth and Space Science; Psychology
Tufts Health Plan October 2012 - Present
Blue Cross Blue Shield of Rhode Island March 2007 - July 2010
Skills
Medicare, Medicaid, Insurance, Health Insurance, Process Improvement, Managed Care, Health Policy, Business Analysis, Analysis, Healthcare Information..., Healthcare, Data Analysis, HIPAA, Microsoft Office, Data Validation, Strategic Planning, Program Management
Education
State University of New York at Stony Brook
MS, Urban Policy Science
State University of New York at Stony Brook
MS, Political Science - Public Policy
Long Island University, C.W. Post Campus
MS, Education; School Counseling
State University of New York at Stony Brook
BS, Earth and Space Science; Psychology
Rosemary Quirke's Tufts Health Plan Experience March 2006 - November 2010
Job Assistant Director of Nursing Services at Kathleen Daniel Nursing and Rehab
Industry Hospital & Health Care
Experience
Sancta Maria Nursing and Rehab December 2012 - Present
Kathleen Daniel Nursing and Rehab September 2010 - November 2012
Tufts Health Plan March 2006 - November 2010
N.E.D.A. - Rivercrest LTCF - Concord, MA March 2003 - October 2005
Kathryn Barton Nursing Home - Wayland, MA October 2000 - February 2003
Skills
Medicare, Case Managment, Nursing, Utilization Management, Software Documentation, Healthcare, Long-term Care, Clinical Research
Education
Massachusetts Bay Community College 1993 — 1996
A.D. RN, Nursing
Sancta Maria Nursing and Rehab December 2012 - Present
Kathleen Daniel Nursing and Rehab September 2010 - November 2012
Tufts Health Plan March 2006 - November 2010
N.E.D.A. - Rivercrest LTCF - Concord, MA March 2003 - October 2005
Kathryn Barton Nursing Home - Wayland, MA October 2000 - February 2003
Skills
Medicare, Case Managment, Nursing, Utilization Management, Software Documentation, Healthcare, Long-term Care, Clinical Research
Education
Massachusetts Bay Community College 1993 — 1996
A.D. RN, Nursing
Melinda Mullen's Tufts Health Plan Experience 1987 - 1994
Job Managed Care/Financial Analyst at Dedham Medical
Industry Medical Practice
Experience
Dedham Medical 1995 - Present
Tufts Health Plan 1987 - 1994
New England Deaconess Hospital 1985 - 1987
Skills
Budgets, Healthcare, Managed Care, Financial Analysis, Project Management, Insurance, Strategic Planning, Health Insurance, Customer Service, Process Improvement, Microsoft Excel, Microsoft Office, Analysis, Medicare, Negotiation, Research, HIPAA, Contract Negotiation, Business Analysis, Healthcare Management
Education
Miami University 1978 — 1982
BS Business, Accounting Finance
Dedham Medical 1995 - Present
Tufts Health Plan 1987 - 1994
New England Deaconess Hospital 1985 - 1987
Skills
Budgets, Healthcare, Managed Care, Financial Analysis, Project Management, Insurance, Strategic Planning, Health Insurance, Customer Service, Process Improvement, Microsoft Excel, Microsoft Office, Analysis, Medicare, Negotiation, Research, HIPAA, Contract Negotiation, Business Analysis, Healthcare Management
Education
Miami University 1978 — 1982
BS Business, Accounting Finance
Lois Packard's Tufts Health Plan Experience Director of After School & Vacation ProgramsLeventhal Sidman JCC1999 - 2006
Job Member service at Tufts Health Plan
Industry Consumer Services
Experience
Tufts Health Plan Director of After School & Vacation ProgramsLeventhal Sidman JCC1999 - 2006
Education
Lesley University
M.Ed., Elem. Ed. + another masters in child development & day care administration
Tufts Health Plan Director of After School & Vacation ProgramsLeventhal Sidman JCC1999 - 2006
Education
Lesley University
M.Ed., Elem. Ed. + another masters in child development & day care administration
Sherry Kelly, RPh., PharmD's Tufts Health Plan Experience July 2000 - October 2002
Job Medical Science Liaison EAST at Raptor Pharmaceutical
Industry Biotechnology
Experience
Raptor Pharmaceutical December 2012 - Present
Sanofi Pasteur March 2011 - November 2012
Genzyme May 2008 - March 2011
Genzyme May 2006 - May 2008
Express Scripts January 2003 - October 2005
Tufts Health Plan July 2000 - October 2002
Skills
Clinical Research, Medical Education, Training, Cross-functional Team..., Medicine, Clinical Trials, Medical Affairs, Pharmaceutical Industry, Pharmacy, Transplant, Pharmacists
Education
Massachusetts College of Pharmacy and Health Sciences 2002 — 2006
Pharm D, Pharmacy
Massachusetts College of Pharmacy and Allied Health Sciences 1990 — 1994
RPh., Pharmacy
Raptor Pharmaceutical December 2012 - Present
Sanofi Pasteur March 2011 - November 2012
Genzyme May 2008 - March 2011
Genzyme May 2006 - May 2008
Express Scripts January 2003 - October 2005
Tufts Health Plan July 2000 - October 2002
Skills
Clinical Research, Medical Education, Training, Cross-functional Team..., Medicine, Clinical Trials, Medical Affairs, Pharmaceutical Industry, Pharmacy, Transplant, Pharmacists
Education
Massachusetts College of Pharmacy and Health Sciences 2002 — 2006
Pharm D, Pharmacy
Massachusetts College of Pharmacy and Allied Health Sciences 1990 — 1994
RPh., Pharmacy
Catherine Maloney Harding's Tufts Health Plan Experience 1998 - 2003
Job Volunteer
Industry Higher Education
Experience
French Cultural Center July 2014 - Present
Merrimack College November 2009 - November 2010
Merrimack College November 2008 - November 2009
Bellesini Academy 2006 - 2008
Blue Cross Blue Shield 2003 - 2006
Tufts Health Plan 1998 - 2003
CIGNA 1989 - 1997
Newbury College 1983 - 1989
Filene's 1981 - 1982
Skills
Social Media, Public Speaking, Customer Service, Fundraising, Event Planning, Admissions, Event Management, PowerPoint, Microsoft Word, Leadership, Social Networking, Human Resources, Community Outreach, Program Development, Training, Student Development, Marketing Communications, Higher Education, Public Relations, Alumni Relations, Volunteer Management, Organizational..., Nonprofits, Coaching, Research, Teaching, Microsoft Office, Budgets, Team Building, Editing, Student Affairs, Grant Writing, Staff Development, Time Management, Marketing, Strategic Planning, Leadership Development, Management
Education
Merrimack College 1977 — 1981
BA
French Cultural Center July 2014 - Present
Merrimack College November 2009 - November 2010
Merrimack College November 2008 - November 2009
Bellesini Academy 2006 - 2008
Blue Cross Blue Shield 2003 - 2006
Tufts Health Plan 1998 - 2003
CIGNA 1989 - 1997
Newbury College 1983 - 1989
Filene's 1981 - 1982
Skills
Social Media, Public Speaking, Customer Service, Fundraising, Event Planning, Admissions, Event Management, PowerPoint, Microsoft Word, Leadership, Social Networking, Human Resources, Community Outreach, Program Development, Training, Student Development, Marketing Communications, Higher Education, Public Relations, Alumni Relations, Volunteer Management, Organizational..., Nonprofits, Coaching, Research, Teaching, Microsoft Office, Budgets, Team Building, Editing, Student Affairs, Grant Writing, Staff Development, Time Management, Marketing, Strategic Planning, Leadership Development, Management
Education
Merrimack College 1977 — 1981
BA
barry shapiro's Tufts Health Plan Experience August 2012 - Present
Job Musician/COB adjuster at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan August 2012 - Present
Barry Shapiro Orchestra 1984 - 2009
Skills
Music, Health Insurance, Insurance, Microsoft Excel, Music Theory
Education
New England Conservatory of Music 1978 — 1982
Bachelor of Arts (BA)
Northeastern U. 1967 — 1973
BS
Tufts Health Plan August 2012 - Present
Barry Shapiro Orchestra 1984 - 2009
Skills
Music, Health Insurance, Insurance, Microsoft Excel, Music Theory
Education
New England Conservatory of Music 1978 — 1982
Bachelor of Arts (BA)
Northeastern U. 1967 — 1973
BS
Christa Tsechrintzis's Tufts Health Plan Experience 1997 - 2000
Job Sales and Marketing Assistant at Finish Line PDS
Industry Executive Office
Experience
Finish Line PDS 2014 - Present
PennWell 2012 - 2013
Rotary Club of Lowell 2008 - 2011
Lowell Catholic High School 2008 - 2010
Peacock Players 2003 - 2007
Girls Incorporated of Greater Lowell 2000 - 2002
Tufts Health Plan 1997 - 2000
Skills
Public Relations, Event Planning, Marketing, Event Management, Fundraising, Nonprofits, Social Media, Management, Social Media Marketing, Training, Program Management, Leadership, Sales, Budgets, Human Resources, Sales Management, Social Networking, Proposal Writing
Education
Middlesex Community College 1992 — 1994
Associates, Business Administration
Finish Line PDS 2014 - Present
PennWell 2012 - 2013
Rotary Club of Lowell 2008 - 2011
Lowell Catholic High School 2008 - 2010
Peacock Players 2003 - 2007
Girls Incorporated of Greater Lowell 2000 - 2002
Tufts Health Plan 1997 - 2000
Skills
Public Relations, Event Planning, Marketing, Event Management, Fundraising, Nonprofits, Social Media, Management, Social Media Marketing, Training, Program Management, Leadership, Sales, Budgets, Human Resources, Sales Management, Social Networking, Proposal Writing
Education
Middlesex Community College 1992 — 1994
Associates, Business Administration
Annemarie Camacho's Tufts Health Plan Experience November 2000 - Present
Job Facilities Coordinator
Industry Facilities Services
Experience
Tufts Health Plan November 2000 - Present
Fleet Bank October 1996 - November 2000
Skills
Lotus Notes, Outlook, Customer Service, Microsoft Excel, Microsoft Word, PowerPoint, Vendor Management, Software Documentation, Microsoft Office, Data Entry, Analysis, Office Management, Invoicing, System Administration, Time Management, Visio
Education
Middlesex Community College 2015 — 2016
Accounting and Business/Management
Tufts Health Plan November 2000 - Present
Fleet Bank October 1996 - November 2000
Skills
Lotus Notes, Outlook, Customer Service, Microsoft Excel, Microsoft Word, PowerPoint, Vendor Management, Software Documentation, Microsoft Office, Data Entry, Analysis, Office Management, Invoicing, System Administration, Time Management, Visio
Education
Middlesex Community College 2015 — 2016
Accounting and Business/Management
Anna Mechael's Tufts Health Plan Experience June 2015 - July 2015
Job Accounting Professional
Industry Accounting
Experience
Actively seeking new opportunities in the Accounting field February 2015 - Present
Tufts Health Plan June 2015 - July 2015
GMZ Energy March 2013 - January 2015
Clinivation, Inc April 2005 - February 2011
Lexia Learning Systems, Inc August 2004 - April 2005
Skills
Accounting, Accounts Payable, Payroll, Financial Statements, Accounts Receivable, Invoicing, Employee Benefits, Human Resources, ADP Payroll, Finance, Microsoft Office, Analysis, QuickBooks, Auditing, Microsoft Excel, Bank Reconciliation, Budgets, Internal Controls, Forecasting, Variance Analysis, Cash Flow, Accruals, Fixed Assets, Data Analysis, Expenses, MS Excel Pivot Tables, Federal Grant Management, Financial Modeling, Financial Reporting
Education
Massachusetts Bay Community College
Associate’s Degree, Business and Administration
Higher School of Insurance and Banking
Masters Degree, Financial Services
Civic Higher School of Entrepreneurship and Management
Bachelors Degree, Financial Management
Actively seeking new opportunities in the Accounting field February 2015 - Present
Tufts Health Plan June 2015 - July 2015
GMZ Energy March 2013 - January 2015
Clinivation, Inc April 2005 - February 2011
Lexia Learning Systems, Inc August 2004 - April 2005
Skills
Accounting, Accounts Payable, Payroll, Financial Statements, Accounts Receivable, Invoicing, Employee Benefits, Human Resources, ADP Payroll, Finance, Microsoft Office, Analysis, QuickBooks, Auditing, Microsoft Excel, Bank Reconciliation, Budgets, Internal Controls, Forecasting, Variance Analysis, Cash Flow, Accruals, Fixed Assets, Data Analysis, Expenses, MS Excel Pivot Tables, Federal Grant Management, Financial Modeling, Financial Reporting
Education
Massachusetts Bay Community College
Associate’s Degree, Business and Administration
Higher School of Insurance and Banking
Masters Degree, Financial Services
Civic Higher School of Entrepreneurship and Management
Bachelors Degree, Financial Management
Denise Mackenzie's Tufts Health Plan Experience 1997 - 1997
Job Clinical Program Assistant at Illinois Pharmacists Association
Industry Hospital & Health Care
Experience
Animas Corporation June 2012 - Present
Illinois Pharmacists Association January 2012 - Present
Tandem Diabetes Care June 2013 - August 2014
Self Employed June 2008 - August 2014
Osco Drug 1994 - 2001
Tufts Health Plan 1997 - 1997
Skills
Medication Therapy..., Pharmacists, Pharmacy, Diabetes, Clinical Pharmacy, Pharmacy Benefit..., Managed Care, Pharmacy Automation, Disease Management, Clinical Pharmacology, Patient Counseling, Patient Education, Community Pharmacy, Healthcare, Pharmacology
Education
Massachusetts College of Pharmacy and Health Sciences 2012 — 2014
Doctor of Pharmacy (Pharm.D.), Doctor of Pharmacy
Purdue University 1989 — 1994
BS, Pharmacy
Animas Corporation June 2012 - Present
Illinois Pharmacists Association January 2012 - Present
Tandem Diabetes Care June 2013 - August 2014
Self Employed June 2008 - August 2014
Osco Drug 1994 - 2001
Tufts Health Plan 1997 - 1997
Skills
Medication Therapy..., Pharmacists, Pharmacy, Diabetes, Clinical Pharmacy, Pharmacy Benefit..., Managed Care, Pharmacy Automation, Disease Management, Clinical Pharmacology, Patient Counseling, Patient Education, Community Pharmacy, Healthcare, Pharmacology
Education
Massachusetts College of Pharmacy and Health Sciences 2012 — 2014
Doctor of Pharmacy (Pharm.D.), Doctor of Pharmacy
Purdue University 1989 — 1994
BS, Pharmacy
Sandra Ghom RN, BS, CCM's Tufts Health Plan Experience 2010 - Present
Job Transitions Care Manager, Tufts Medicare Preferred
Industry Hospital & Health Care
Experience
Tufts Health Plan 2010 - Present
Skills
Managed Care, Health Insurance, Medicare, Utilization Management, Healthcare Management, Nursing, Home Care, Patient Education, Healthcare, HIPAA, Case Management, Disease Management, Hospitals, Healthcare Information..., EMR, Patient Advocacy, Patient Safety, Elder Care, Medicaid
Education
Lesley University
Northeastern University
Tufts Health Plan 2010 - Present
Skills
Managed Care, Health Insurance, Medicare, Utilization Management, Healthcare Management, Nursing, Home Care, Patient Education, Healthcare, HIPAA, Case Management, Disease Management, Hospitals, Healthcare Information..., EMR, Patient Advocacy, Patient Safety, Elder Care, Medicaid
Education
Lesley University
Northeastern University
Lee Adler's Tufts Health Plan Experience May 2001 - October 2002
Job Customer Service Representative at LoJack Corporation
Industry Automotive
Experience
LoJack Corporation September 2013 - Present
UPS August 2011 - January 2012
Nstar Electric & Gas October 2002 - July 2009
Tufts Health Plan May 2001 - October 2002
Skills
Invoicing, Customer Service, Management, Access, Time Management, CRM, Customer Satisfaction, Call Centers, Outlook, Software Documentation, Training, Data Entry, Microsoft Word, Microsoft Excel
Education
Massachusetts Bay Community College 1985 — 1987
Associate of Science, Criminal Justice
LoJack Corporation September 2013 - Present
UPS August 2011 - January 2012
Nstar Electric & Gas October 2002 - July 2009
Tufts Health Plan May 2001 - October 2002
Skills
Invoicing, Customer Service, Management, Access, Time Management, CRM, Customer Satisfaction, Call Centers, Outlook, Software Documentation, Training, Data Entry, Microsoft Word, Microsoft Excel
Education
Massachusetts Bay Community College 1985 — 1987
Associate of Science, Criminal Justice
Michelle Gerokoulis's Tufts Health Plan Experience June 1995 - July 2000
Job Sr. Instructional Designer, Learning and Development at Electric Insurance Company
Industry Insurance
Experience
Electric Insurance Company September 2014 - Present
Electric Insurance Company May 2011 - August 2014
Marsh November 2001 - May 2011
Converge August 2000 - June 2001
Tufts Health Plan June 1995 - July 2000
Skills
Underwriting, Employee Benefits, Management, Training, Employee Training, Risk Management, Team Building, Liability, Onboarding, Call Centers, Coaching, Project Management, Insurance, General Insurance, Process Improvement, Leadership, Performance Management, Instructional Design, Change Management, Property & Casualty..., Employee Relations, Benefits Administration
Education
Middlesex Community College
AS, Business
Salem State University
BS, Business Management
Electric Insurance Company September 2014 - Present
Electric Insurance Company May 2011 - August 2014
Marsh November 2001 - May 2011
Converge August 2000 - June 2001
Tufts Health Plan June 1995 - July 2000
Skills
Underwriting, Employee Benefits, Management, Training, Employee Training, Risk Management, Team Building, Liability, Onboarding, Call Centers, Coaching, Project Management, Insurance, General Insurance, Process Improvement, Leadership, Performance Management, Instructional Design, Change Management, Property & Casualty..., Employee Relations, Benefits Administration
Education
Middlesex Community College
AS, Business
Salem State University
BS, Business Management
Jennifer Curcio's Tufts Health Plan Experience
Job Senior Account Manager at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan
Skills
Managed Care, Account Management, Health Insurance, Health Savings Accounts, Underwriting, Insurance, Medicare, Employee Benefits, Claim, Workers Compensation, Process Improvement, Disability Insurance, Brokers, Benefits Administration, Healthcare
Education
Merrimack College 1989 — 1993
BS, Business Admninistration/Marketing
Tufts Health Plan
Skills
Managed Care, Account Management, Health Insurance, Health Savings Accounts, Underwriting, Insurance, Medicare, Employee Benefits, Claim, Workers Compensation, Process Improvement, Disability Insurance, Brokers, Benefits Administration, Healthcare
Education
Merrimack College 1989 — 1993
BS, Business Admninistration/Marketing
Corey Schofield's Tufts Health Plan Experience June 2002 - May 2012
Job Operations Trainer at BMC HealthNet Plan
Industry Insurance
Experience
BMC HealthNet Plan May 2012 - Present
Tufts Health Plan June 2002 - May 2012
Skills
Health Insurance, Insurance, HIPAA, Managed Care, Medicaid, Health Policy, Process Improvement, Network Development, Public Speaking, Training, Healthcare, Healthcare Industry, Customer Service, Microsoft Excel, Microsoft Word, PowerPoint, Microsoft Office, Data Entry, Lotus Notes, Outlook, Call Centers, Claim, Call Center, Healthcare Management, HMO, Claims Resolution, Claim Investigation, Medical Terminology, Call Center Development, PPO, E-Learning, Instructor-led Training, Instructional Design, Camtasia
Education
Lesley University 2008 — 2012
Bachelor of Arts (B.A.), American Studies
BMC HealthNet Plan May 2012 - Present
Tufts Health Plan June 2002 - May 2012
Skills
Health Insurance, Insurance, HIPAA, Managed Care, Medicaid, Health Policy, Process Improvement, Network Development, Public Speaking, Training, Healthcare, Healthcare Industry, Customer Service, Microsoft Excel, Microsoft Word, PowerPoint, Microsoft Office, Data Entry, Lotus Notes, Outlook, Call Centers, Claim, Call Center, Healthcare Management, HMO, Claims Resolution, Claim Investigation, Medical Terminology, Call Center Development, PPO, E-Learning, Instructor-led Training, Instructional Design, Camtasia
Education
Lesley University 2008 — 2012
Bachelor of Arts (B.A.), American Studies
Neeti Jain's Tufts Health Plan Experience June 1997 - September 1998
Job Tech Project Solutions Cnslt; Bank of America (PMI Member)
Industry Information Technology and Services
Experience
Bank of America June 2013 - Present
Bank of America January 2012 - May 2013
Fleet Bank April 1998 - May 2000
Tufts Health Plan June 1997 - September 1998
Skills
Customer Service, Management, Banking, Microsoft Office, Financial Analysis, Outlook, Project Management, Analysis, PowerPoint, Portfolio Management, Branch Banking, Fashion, Market Research, Marketing Strategy, Customer Relations, Shopper Marketing, Internet, Photography, Sales, Visual Basic, Presentations, Rally, MS Project, SQL
Education
UMass Boston 2011 — 2013
undergrad, BS
University Of Massachusetts 2011 — 2013
Bachelor of Science, Management; Accounting/ Information system
University Of Massachusetts 2011 — 2013
Bachelor of Science, Management; Information systems
Mount Ida College 1997 — 2000
Accumulated Diploma, Business Administration; accounting
Watertown High 1996 — 1997
High School Diploma
Bank of America June 2013 - Present
Bank of America January 2012 - May 2013
Fleet Bank April 1998 - May 2000
Tufts Health Plan June 1997 - September 1998
Skills
Customer Service, Management, Banking, Microsoft Office, Financial Analysis, Outlook, Project Management, Analysis, PowerPoint, Portfolio Management, Branch Banking, Fashion, Market Research, Marketing Strategy, Customer Relations, Shopper Marketing, Internet, Photography, Sales, Visual Basic, Presentations, Rally, MS Project, SQL
Education
UMass Boston 2011 — 2013
undergrad, BS
University Of Massachusetts 2011 — 2013
Bachelor of Science, Management; Accounting/ Information system
University Of Massachusetts 2011 — 2013
Bachelor of Science, Management; Information systems
Mount Ida College 1997 — 2000
Accumulated Diploma, Business Administration; accounting
Watertown High 1996 — 1997
High School Diploma
Julie Beaudry M. Ed.'s Tufts Health Plan Experience June 2013 - January 2015
Job Associate, Partner Development at TenMarks Education, an Amazon Company
Industry Education Management
Experience
TenMarks Education, an Amazon Company January 2015 - Present
Tufts Health Plan June 2013 - January 2015
Tufts Health Plan August 2009 - June 2013
Skills
Customer Service, Microsoft Excel, Insurance, Healthcare, Process Improvement, Employee Benefits, Health Insurance, Teaching
Education
Lesley University 2011 — 2013
M Ed, Special Education
TenMarks Education, an Amazon Company January 2015 - Present
Tufts Health Plan June 2013 - January 2015
Tufts Health Plan August 2009 - June 2013
Skills
Customer Service, Microsoft Excel, Insurance, Healthcare, Process Improvement, Employee Benefits, Health Insurance, Teaching
Education
Lesley University 2011 — 2013
M Ed, Special Education
David Duplessy, MS's Tufts Health Plan Experience September 2011 - August 2013
Job Reimbursement Analyst II @Partners HealthCare
Industry Hospital & Health Care
Experience
Partners HealthCare October 2013 - Present
Tufts Health Plan September 2011 - August 2013
Tufts Health Plan August 2010 - September 2011
John Hancock Life Insurance Company (U.S.A.) January 2005 - August 2009
Skills
Microsoft Excel, Access, Public Relations, Business Analysis, Financial Analysis, Data Analysis, Accounting, Sales
Education
New England College of Business and Finance 2011 — 2012
Master of Science (M.S.), Finance, General
University of Hartford 2000 — 2005
Bachelor of Science (B.S.), Economics and Finance
Partners HealthCare October 2013 - Present
Tufts Health Plan September 2011 - August 2013
Tufts Health Plan August 2010 - September 2011
John Hancock Life Insurance Company (U.S.A.) January 2005 - August 2009
Skills
Microsoft Excel, Access, Public Relations, Business Analysis, Financial Analysis, Data Analysis, Accounting, Sales
Education
New England College of Business and Finance 2011 — 2012
Master of Science (M.S.), Finance, General
University of Hartford 2000 — 2005
Bachelor of Science (B.S.), Economics and Finance
Nathalie Wolski's Tufts Health Plan Experience March 2006 - Present
Job RN, CCM Nurse Care Manager at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan March 2006 - Present
Skills
Utilization Management, Utilization Review, Nursing, Managed Care, Healthcare Management, Disease Management, Medicare, Patient Advocacy
Education
Mount Wachusett Community College 1997 — 2000
Associate's degree, Registered Nursing/Registered Nurse
Tufts Health Plan March 2006 - Present
Skills
Utilization Management, Utilization Review, Nursing, Managed Care, Healthcare Management, Disease Management, Medicare, Patient Advocacy
Education
Mount Wachusett Community College 1997 — 2000
Associate's degree, Registered Nursing/Registered Nurse
Daniel Roberson's Tufts Health Plan Experience November 1998 - October 1999
Job Client Advocate at The Advocator Group
Industry Insurance
Experience
The Advocator Group June 2013 - Present
UpToDate, Wolters Kluwer Health July 2006 - December 2012
Liberty Mutual Insurance May 2000 - January 2006
Tufts Health Plan November 1998 - October 1999
Skills
Customer Service, Teamwork, Team Leadership, Training, Quality Assurance, Auditing, Troubleshooting, Account Reconciliation, Microsoft Office
Education
Middlesex Community College 1992 — 1995
Associate of Science (A.S.), Business Administration and Management, General
The Advocator Group June 2013 - Present
UpToDate, Wolters Kluwer Health July 2006 - December 2012
Liberty Mutual Insurance May 2000 - January 2006
Tufts Health Plan November 1998 - October 1999
Skills
Customer Service, Teamwork, Team Leadership, Training, Quality Assurance, Auditing, Troubleshooting, Account Reconciliation, Microsoft Office
Education
Middlesex Community College 1992 — 1995
Associate of Science (A.S.), Business Administration and Management, General
Lori Craddy's Tufts Health Plan Experience 2000 - 2005
Job Retired
Industry Aviation & Aerospace
Experience
Hamilton Sundstrand 2008 - 2013
UTC Power 2007 - 2010
Tufts Health Plan 2000 - 2005
Education
Middlesex Community College 1976 — 1978
Associate's degree
Westford academy 1972 — 1976
Hamilton Sundstrand 2008 - 2013
UTC Power 2007 - 2010
Tufts Health Plan 2000 - 2005
Education
Middlesex Community College 1976 — 1978
Associate's degree
Westford academy 1972 — 1976
Julie Celata's Tufts Health Plan Experience January 2004 - April 2005
Job Senior Project Manager at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts September 2005 - Present
Deloitte April 2005 - September 2005
Tufts Health Plan January 2004 - April 2005
Tufts Health Plan February 2002 - December 2003
Tufts Health Plan June 1993 - July 2002
Tufts Health Plan July 2001 - February 2002
Skills
Project Management, Management, Leadership, Analysis, Product Development, Regulatory Affairs, Cross-functional Team..., Business Development, Data Analysis, Training, Strategic Planning, Health Insurance, Project Planning, MS Project, Client Relations Skills, Healthcare
Education
Simmons College 1996 — 2001
Master's degree, Health/Health Care Administration/Management
Merrimack College 1988 — 1992
Bachelor's degree, Business Adminstration, Marketing Concentration
Blue Cross Blue Shield of Massachusetts September 2005 - Present
Deloitte April 2005 - September 2005
Tufts Health Plan January 2004 - April 2005
Tufts Health Plan February 2002 - December 2003
Tufts Health Plan June 1993 - July 2002
Tufts Health Plan July 2001 - February 2002
Skills
Project Management, Management, Leadership, Analysis, Product Development, Regulatory Affairs, Cross-functional Team..., Business Development, Data Analysis, Training, Strategic Planning, Health Insurance, Project Planning, MS Project, Client Relations Skills, Healthcare
Education
Simmons College 1996 — 2001
Master's degree, Health/Health Care Administration/Management
Merrimack College 1988 — 1992
Bachelor's degree, Business Adminstration, Marketing Concentration
Jean Valentino's Tufts Health Plan Experience 2013 - Present
Job Finance Operations Manager at Tufts Health Plan
Industry Insurance
Experience
Tufts Health Plan 2013 - Present
Tufts Health Plan 2002 - 2013
Tufts Health Plan 2000 - 2002
Tufts Health Plan 1998 - 2000
Tufts Health Plan 1996 - 1998
Tufts Health Plan 1993 - 1996
Education
Massachusetts Bay Community College
Business
Additional Training
Technical Skills:
Tufts Health Plan 2013 - Present
Tufts Health Plan 2002 - 2013
Tufts Health Plan 2000 - 2002
Tufts Health Plan 1998 - 2000
Tufts Health Plan 1996 - 1998
Tufts Health Plan 1993 - 1996
Education
Massachusetts Bay Community College
Business
Additional Training
Technical Skills:
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY