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
UnitedHealth Group July 2014 - Present
Northeastern University January 2010 - May 2014
John Hancock Financial Services January 2013 - June 2013
Northeastern University ResNet July 2012 - December 2012
Tufts Health Plan January 2012 - June 2012
Northeastern University July 2009 - August 2009
Skills
Windows, Security, Active Directory, Access, Tableau, Lotus Notes, Windows 7, Troubleshooting, HTML, Java, Microsoft Office, VBA, Excel Pivot, HP-UX, Windows Server, Wiki Markup
Education
Northeastern University 2009 — 2014
Bachelor of Science, Information Science, Graduated, January 2014
Avon High School 2005 — 2009
High School Diploma
Tufts Health Plan June 2010 - Present
Life Care Centers of America May 2007 - August 2008
Wingate Healthcare May 2005 - May 2007
Skills
Communication Skills, Leadership, Customer Service, Computers, Healthcare, Medicare, Nursing, Training, Case Management, Employee Benefits, Policy, Clinical Research, Disease Management, Managed Care, Medicaid, Patient Advocacy, Utilization Review, HIPAA, Home Care, Patient Safety, EMR, Healthcare Information..., Hospitals
Education
Northern Essex Community College 1991 — 1993
Associate of Science, Registered Nursing/Registered Nurse
Tewksbury Hospital School of Practical Nursing 1984 — 1985
Licensed Practical Nursing
Essential Touch Therapeutic Massage June 2009 - Present
Tufts Health Plan 1997 - Present
Micheal Blakely Productions 2011 - 2015
Greater Love Tabernacle Church 2011 - 2013
Essential Touch Therapeutic Massage at Bayshore Athletic Club August 2011 - December 2011
Cortiva Institute-Muscular therapy institute April 2008 - June 2009
Skills
Swedish, Holistic Health, Wellness, Therapeutic Massage, Healthcare, Wellbeing, Trigger Point Therapy, Deep Tissue Massage, Sports Injuries, Customer Service, Healing, Stress Management, Health Education, Marketing, Neuromuscular Therapy, HIPAA, Wellness Coaching, Therapists, Leadership, Treatment, Team Building, Managed Care, Pain Management
Education
Cortiva Institute of Massage Therapy 2008 — 2009
Professional Massage Therapy Diploma, Massage Therapy
Northeastern University 1988 — 1995
Athletic Training/Trainer
Tufts Health Plan April 2015 - Present
Childcare Provider April 2013 - March 2015
ClubPlanet.com October 2013 - November 2014
DJ Magazine Canada January 2013 - October 2013
Magnum PR October 2012 - March 2013
Vibe Magazine September 2012 - March 2013
Racked NY August 2011 - October 2012
Harris Publications, Elektro/elektrodaily.com April 2012 - September 2012
Nordstrom Rack April 2010 - August 2010
The Village Voice January 2010 - May 2010
Skills
Blogging, Press Releases, Social Media, Editorial, Journalism, Music Industry, Music, Copy Editing, Editing, Social Media Marketing, Facebook, Social Networking, Writing, Creative Writing, Customer Service, Event Planning, Microsoft Office, HTML, SLR, Online Marketing, Mac, Interviews, Twitter, Web Content Management, Web Content Creation, Website Development, Nightlife, Dance, Content Management, Childcare, AP Style, Online Journalism, Music Journalism, Google Analytics, SEO, Media Relations, Social Media Strategy, Content Marketing, digital fluency
Education
New York University 2008 — 2012
Bachelor's Degree, Journalism and Psychology
Seminole High School 2007 — 2008
TUFTS HEALTH PLAN February 2012 - August 2012
AlliedBarton Security Services February 2011 - May 2011
Skills
Microsoft Office
Education
New England School of Law 2012 — 2015
MBA/ JD, Immigration Law & Criminal Law
Northeastern University 2006 — 2011
Bachelor's of Science, Criminal Justice, Human Services, Sociology
TomTom January 2014 - February 2014
Discovery Labware, Inc. l A Corning Subsidiary July 2013 - December 2013
The Cadmus Group, Inc. July 2013 - July 2013
iGATE Technologies, Inc. (formerly Patni Americas, Inc.) November 2010 - August 2012
Thermo Fisher Scientific January 2008 - November 2010
Tufts Health Plan January 2006 - December 2007
Quantum Leap Packaging January 2004 - January 2006
Skills
Microsoft Office..., Invoicing, Concur, Peoplesoft, Global Travel..., Sharepoint, PeopleSoft, SharePoint, Spreadsheets, Accounts Payable, Access, Executive..., Executive Support, Office Administration, Office Management, Calendaring, Data Entry, Telephone Skills, Time Management, Administrative..., Office Equipment, Confidentiality, Filing, Microsoft Excel, Microsoft Office, Travel Arrangements, Calendars, Human Resources, Payroll, Expenses, Microsoft Office 2007, Process Scheduler, Lotus Notes, Expense Reports, Recruiting, Training, QuickBooks, Microsoft Word, PowerPoint, Software Documentation, Fax, Management, Internet Explorer, Accounts Receivable, Invoice Processing, File Management, Adobe Acrobat, Travel Planning, Microsoft Publisher, Outlook
Education
Northeastern University
Bachelor of Science (B.S.), Marketing
Hewlett-Packard October 2013 - Present
WAS1, llc January 2013 - Present
Edifecs November 2010 - November 2012
Emblem Health (Formerly GHI) August 2005 - November 2010
Keane June 2004 - July 2005
Tufts Health Plan June 2004 - July 2005
Univeristy of Mass Medical March 2004 - June 2004
Sybase / Commonwealth of Mass DMA March 2002 - December 2003
IBC Blue Cross & Blue Shield of PA May 2001 - March 2002
Avicon May 2000 - June 2001
Skills
EDI, HIPAA, EDIFACT, X12, SDLC, Software Documentation, Integration, Business Analysis, Business Requirements
Education
Northeastern University
BS
The Home for Little Wanderers October 2013 - Present
CBRE March 2014 - August 2014
Tufts Health Plan October 2013 - January 2014
MediaHunter PR October 2012 - April 2013
Karmaloop.com December 2012 - January 2013
Saint John's University August 2010 - December 2012
American Eagle Outfitters October 2011 - March 2012
Skills
Social Media, Event Planning, Coordinating Events, Facebook, Public Relations, Social Networking, Event Management, Time Management, Customer Service, Blogging, PowerPoint, Organization, Press Releases, Editing, Microsoft Word, Creative Writing, Sales
Education
Northeastern University 2013 — 2015
Master of Arts (M.A.), Corporate Communication, Project Management
Saint John's University 2009 — 2013
Bachelor of Science (B.S.), Public Relations
Keller Williams RE June 2014 - Present
Scrap It Simple, Inc. January 2006 - Present
Rita Bohan, Realtor June 2005 - December 2008
Standard Duplicating Machines Corp January 2000 - July 2003
Tufts Health Plan February 1998 - December 1999
Tufts Health Plan April 1995 - February 1998
Skills
Customer Service, Project Management, Accounts Receivable, Fundraising, Accounts Payable, Leadership, Negotiation, Account Management, Team Building, Event Management, Budgets, Process Improvement, Strategic Planning, Microsoft Excel, Social Media Marketing, Microsoft Word, Hospitality, Financial Analysis, Social Media, Sales, Public Speaking, Forecasting, Purchasing, Photography, Accounting, Microsoft Office, Operations Management, Financial Reporting, QuickBooks, Teaching, Small Business, PowerPoint, Coaching, Event Planning, New Business Development, Visio, Management, Email Marketing, Inventory Management, Marketing, Photoshop, Blogging, Outlook, Public Relations, Training, Recruiting, Sales Management, Real Estate, Retail, Payroll
Education
Nichols College 1984 — 1988
B.S., Accounting / Finance, 3.96
Tufts Health Plan November 2006 - Present
Spaulding North Shore- was Shaughnessy Kaplan 2001 - 2006
Harborside Healthcare 1999 - 2001
HealthSource Plus 1997 - 1999
WellPoint 1996 - 1997
Blue Cross Blue Shield of Massachusetts 1994 - 1996
Unlimited Success Inc. 1993 - 1994
Skills
CCM, CRRN, Utilization Management, Case Management, Healthcare, Medicare, Medicaid, Patient Advocacy, Home Care, Managed Care, Palliative Care, Disease Management, Nursing, Healthcare Management, Quality Improvement, HIPAA, Patient Safety, Utilization Review, EMR, Hospitals, Elder Care, Certified Case Manager, Provider Relations, Case Managment
Education
Salem State College 1992 — 1994
BSN, Nursing
North Shore Community College 1985 — 1987
ADN, Nursing
Premier Research July 2014 - Present
Premier Research January 2014 - July 2014
Northeastern University D'Amore McKim School of Business July 2013 - December 2013
MIT Center for Environmental Health Sciences January 2013 - June 2013
Fenway Community Health January 2012 - June 2012
Tufts Health Plan January 2011 - June 2011
Skills
AccessData Certified..., WinHex, Java, Access, SQL, OBIEE, Technical Documentation, Oracle Discoverer, Oracle Clinical, Dreamweaver, Photoshop, Printers, Python, HTML, Windows Server, VirtualBox, EndNote, Microsoft Office
Education
University of Rhode Island 2014 — 2015
Graduate Certificate, Digital Forensics
Northeastern University 2009 — 2013
Bachelor of Science (B.S.), Computer Science, 3.29/4.00
IBM April 2015 - Present
Deloitte June 2014 - December 2014
DockYard January 2014 - May 2014
InsightSquared January 2013 - June 2013
Tufts Health Plan January 2012 - June 2012
Best Buy August 2011 - December 2011
MassMutual Financial Group June 2009 - August 2009
Skills
SQL, HTML 5, JavaScript, CSS, Computer Repair, Software Development, Project Management, Program Management, Microsoft Office, iOS, Event Planning, Networking, Java, Public Speaking, Strategy, Troubleshooting, Oracle, Databases
Education
Northeastern University 2010 — 2015
Bachelor's Degree, Dual Major in Information Science & Business Finance
Central MA Agency on Aging December 2013 - Present
Vytek USA July 2005 - May 2013
Hi-Gear Products September 2004 - July 2005
Tufts Health Plan February 1994 - January 2003
Waltham/Weston Deaconess Hospital 1988 - 1994
The Federal Savings Bank 1979 - 1988
Skills
Photoshop, Illustrator, QuarkXPress, Microsoft Office, Laser Engraving, Laser Cutting, Visio, Adobe Acrobat, Knowledge of InDesign, Brochures, Software Documentation, Editing, Leadership, Public Speaking, Social Media, Microsoft Word, Customer Service, Event Planning, Business Development, Strategic Planning, Coaching
Education
Mount Wachusett Community College and Northeastern University 2003 — 2004
Graphic Designer Certificate, Graphic Design
Northeastern University
Associate's degree, Management Information Systems, General
Boston Children's Hospital September 2015 - Present
Dana-Farber Cancer Institute November 2014 - Present
Boston Children's Hospital August 2013 - November 2014
Children's Hospital Boston July 2011 - July 2013
Children's Hospital Boston July 2010 - July 2011
DaVita March 2010 - June 2010
United Health Group November 2009 - March 2010
Tufts Health Plan November 2004 - September 2009
Skills
Employee Benefits, Health Insurance, Hospitals, Healthcare, Nonprofits, Process Improvement, Process Scheduler, Data Analysis, Outlook, Provider Relations, Customer Service, Insurance, Management, Policy, Healthcare Management, Healthcare Information..., Medicare, Call Centers, Prior Authorization, Access, Software Documentation, Managed Care, Blood Pressure, Medical Terminology, Mental Health, Employee Training, Supervisory Skills, Progeny Pedigree..., Epic Systems
Education
Northeastern University 2013 — 2015
Bachelor's of Science, Psychology, 3.8 GPA
Quincy College 2010 — 2012
Associates, Psychology
VSP November 2000 - Present
Tufts Health Plan January 1996 - November 2000
Skills
Health Insurance, Insurance, Healthcare, Employee Benefits, Selling, Management, Sales, Brokers, Health Savings Accounts, Account Management, Strategic Planning, HIPAA
Education
Nichols College
Business
Tufts Health Plan March 2012 - Present
Tufts Health Plan January 2006 - March 2012
Tufts Health Plan 2001 - 2006
Skills
Product Development, Relationship Management, Managed Care, Insurance, Employee Benefits, Project Management, Health Insurance, Healthcare, Process Improvement, Program Management, Cross-functional Team..., Sales, Management, Training, Sales Operations, Marketing
Education
Northeastern University 1992 — 1997
BS, Psychology
Thornton Academy 1988 — 1992
Town of Belmont August 2015 - Present
Tufts Health Plan September 2013 - August 2015
Tufts Health Plan March 2010 - August 2013
Tufts Health Plan September 2008 - March 2010
Real Acquisitions & Development LLC January 1996 - September 2008
Great Point Energy 2008 - 2008
Kraft Foods June 1995 - December 1995
Marriott Hotels May 1990 - September 1993
Skills
Microsoft Excel, Management, Financial Analysis, Finance, Leadership, Insurance, Health Insurance, Accounting, Access, Microsoft Word, Microsoft Office, PowerPoint, Strategic Planning, Account Management, Customer Service, Analysis, Process Improvement, Sales, Forecasting, Medicare, Contract Negotiation, HIPAA, Business Planning, Vendor Management, Team Building, Lotus Notes, Healthcare, Employee Benefits, Risk Management, Business Analysis, Data Analysis
Education
Northeastern University 1993 — 1997
Bachelor of Science, Marketing
Aetna February 2015 - Present
Newell Advisory Group June 2014 - June 2015
Providence College May 2013 - May 2014
Tufts Health Plan July 2011 - September 2013
Island Oasis October 2010 - July 2011
Self Employed (Part Time) January 2007 - October 2010
Pool 'N Play June 2004 - October 2010
Clear Channel Communications January 2010 - May 2010
The Gold Group June 2009 - August 2009
Skills
Marketing, Online Advertising, Integrated Marketing, Advertising, Social Media, Strategic Planning, Management, Customer Service, Digital Marketing, Product Development, Public Relations, Online Marketing..., Facebook, Leadership, Inbound Marketing, Marketing Management, HubSpot, Digital Media, Budget, Project Management, Market Planning, Marketing Strategy
Education
New York University (Cert: Digital Marketing), Providence College (MBA), Suffolk University (BS)
New York University 2014 — 2015
Certificate in Digital Marketing
Providence College 2012 — 2014
Master of Business Administration (M.B.A.), Business Administration and Management: Strategic Marketing
Suffolk University 2007 — 2010
Bachelor of Science, Communication: Advertising
Oliver Ames 2003 — 2006
insurance Partners healthcare - temp. PositionPartners HealthCareJune 2014 - Present
Tufts Health Plan 1999 - 2013
One Health Plan of Mass 1997 - 1999
Blue Cross and Blue Shield of Massachusetts 1995 - 1997
Harvard Vanguard Medical Associates 1986 - 1995
Skills
Familiar with Microsoft..., Medicare, Medical Billing, Training, Health Insurance, Administration, Analysis, Claim, Human Resources, Medical Records, Databases, Telephone Skills, Auditing, Fax, Insurance, HIPAA
Education
Newbury College 1988 — 2002
Bachelor of Science, Health/Health Care Administration/Management, Summa Cum Laude
Aquinas College 1983 — 1986
Associate of Science (AS), Medical Secretarial, B
Fleet Services Group, Inc December 2007 - Present
RELIANT MORTGAGE CO January 2006 - January 2008
NINETY NINE RESTUARANTS June 2001 - June 2006
AMIGO'S MEXICAN CANTINA September 2004 - March 2005
H.C. LENDING March 2003 - September 2004
COMPREHENSIVE IDENTIFICATION PRODUCTS January 2000 - June 2002
COMPREHENSIVE IDENTIFICATION PRODUCTS November 1999 - January 2000
Tufts Health Plan December 1997 - November 1999
Tufts Health Plan November 1996 - November 1997
Skills
Management, Training, Sales, Outlook, Microsoft Excel, Marketing, Accounts Payable, Transportation, PowerPoint, Process Scheduler, Customer Service, Microsoft Word, Microsoft Office, Analysis, Sales Management, Sales Operations, Process Improvement, Payroll
Education
North Shore Community College
WAKEFIELD HIGH SCHOOL
Tufts Health Plan July 2000 - Present
Wellesley Information Services June 1998 - June 2000
Skills
Cognos, Business Analysis, SQL, Insurance, Process Improvement, Healthcare Information..., Training, Medicare, Health Insurance, Healthcare, Business Requirements, Requirements Gathering, HIPAA, Visio, Access, Databases
Education
Northeastern University 1993 — 1998
Batchelor of Science, Communication Studies, Concentration in Radio and Television
Verisk Health July 2014 - Present
Fidelity Investments March 2014 - June 2014
Tufts Health Plan June 2012 - March 2014
ING, Retirement Services July 2011 - May 2012
RBSCitizens February 2011 - July 2011
Pearson Education June 2010 - December 2010
PNC Global Investment Servicing (formerly PFPC) 1999 - February 2009
Prelude Systems January 2000 - March 2000
First Data Corporation 1994 - 1999
American Express Information Services 1990 - 1992
Skills
Online Help, Technical Writing, Adobe Acrobat, Manuals, Project Management, Training, System Administration, Software Documentation, RoboHelp, Content Development, Management, Content Management, Visio, FrameMaker, MadCap Flare, Technical Documentation, Security, Project Planning, Captivate, SharePoint, Information Architecture, Instructional Design, Technical Communication, User Experience
Education
Northeastern University
Masters in Technical & Professional Writing
University of Massachusetts, Amherst
BA, English/Journalism
Highmount Capital July 2013 - January 2015
Tufts Health Plan July 2012 - December 2012
Wedgewood Swim and Tennis June 2008 - September 2011
Skills
IP Networking, SQL, Microsoft SQL Server, Microsoft Office, Powershell, Cisco Technologies, System Administration, Windows Server, Linux System..., Help Desk Support, Network Security
Education
Northeastern University 2010 — 2015
Bachelor's degree, Infomation Science
Bedford High School 2006 — 2010
Accounting Management Solutions, Inc. October 2014 - Present
HRe-sources/HRsolutions January 2009 - Present
SHRN January 2012 - January 2013
Philips/Color Kinetics October 2006 - August 2008
Logica October 2003 - June 2006
CGI October 2000 - April 2003
Tufts Health Plan August 1991 - December 1999
Skills
Talent Management, Change Management, Mergers, Leadership, Customer Retention, Human Capital, Talent Acquisition, Onboarding, HRIS, Workforce Planning, Organizational Design, Employee Relations, Organizational..., Employee Engagement, Benefits Administration, Human Resources, Strategy, Performance Management, Management, Start-ups, Outsourcing, Mergers & Acquisitions, Executive Management, Coaching
Education
Northeastern University
B.S., Leadership
Tufts Health Plan July 2012 - Present
Accretive Health April 2007 - July 2012
TRC Companies, Inc. August 2003 - April 2007
BearingPoint July 2001 - August 2003
St. Vincent's Medical Center NY May 2000 - June 2001
Skills
Revenue Cycle, Account Management, Hospital Operations, Healthcare Management, Performance Improvement, Product Development, Business Process..., Healthcare Information..., Medicare Advantage, Health Insurance, Analysis, HIPAA, Hospitals, Managed Care, Project Management, Medicare
Education
New York University 1999 — 2001
MPA, Healthcare Finance and Management
Stony Brook University
BA, Social Sciences
Brigham and Women's Hospital February 2013 - Present
Tufts Health Plan September 2000 - January 2005
Skills
HIPAA, Healthcare Information..., Healthcare Management, Healthcare, Cross-functional Team..., Management, Managed Care, Healthcare Consulting, CPT, Hospitals, Medicare
Education
Northeastern University 1995 — 2001
Bachelor of Science (BS), Health Information/Medical Records Administration/Administrator
Hall High
Salem State University January 2015 - Present
Health Dialog July 2013 - May 2014
Tufts Health Plan April 2012 - June 2013
University of Massachusetts August 2007 - March 2012
Analogic Corporation August 2005 - August 2007
Fidelity Investments August 2004 - August 2005
Brandeis University October 2001 - October 2002
Bunker Hill Community College April 1989 - March 2000
State Office of the Comptroller October 1987 - April 1989
Commonwealth of Massachusetts January 1986 - February 1987
Skills
ADP Payroll, PeopleSoft, Payroll, Human Resources, Employee Benefits, Training, Access, Accounting, Auditing, Financial Reporting, Management, Data Entry, Software Documentation, Lotus Notes, Analysis, Budgets, HRIS, Applicant Tracking...
Education
Northeastern University
Salem State University
Bachelor of Science Degree, Business Administration
University of Massachusetts Boston
work, Instructional Design
NutriSavings August 2012 - Present
UnitedHealth Group September 2010 - Present
AllOne Health October 2007 - January 2009
Milliman June 2006 - May 2007
McKesson Health Solutions 1996 - 2006
Senior Healthcare Planning Group 1994 - 1996
ManagedComp 1992 - 1994
Tufts Health Plan 1987 - 1991
Skills
Healthcare, Medicare, Insurance, Consultative Selling, Health, Salesforce.com, Health Insurance, Contract Negotiations, Managed Care, Healthcare IT, New Business Development, Healthcare Information..., Start-ups, Strategic Planning, SaaS, Healthcare Management, Negotiation, Contract Negotiation, CRM, Selling, Sales, Recruiting, Business Development, Strategy
Education
Northeastern University 1974 — 1979
Bachelor of Science, Political Science/Public Administration
Tufts Health Plan February 2012 - Present
BCBSMA 2002 - 2012
Genuity 1998 - 2002
Brown Brothers Harriman 1994 - 1997
Bank of Boston 1989 - 1994
The Boston Company 1983 - 1989
Skills
Vendor Management, PMP, Business Process..., PMO, SDLC, Project Portfolio..., Requirements Analysis, Software Project..., Management, Requirements Gathering, Information Technology, IT Strategy, Business Process, Enterprise Architecture, Process Improvement
Education
Boston University 2000 — 2000
Certificate Program, Project Management
Northeastern University 1983 — 1986
Bachelor's degree, Business Administration and Management, General
Babson College February 2015 - Present
Brandeis University December 2013 - February 2014
New England Carpenters Benefit Funds April 2013 - November 2013
Tufts Health Plan January 2013 - April 2013
The Law Office of Andrew J. Turco 2012 - 2013
Skills
Legal Research, Legal Writing, Litigation, Microsoft Excel, Civil Litigation, Higher Education, Medical Claims, Medical Terminology, Event Planning, Event Management
Education
Northern Essex Community College 2010 — 2012
Associate of Science (A.S.), Paralegal Studies
Currently Available for new Opportunities Systems EngineerPAREXELJuly 2012 - February 2013
DentaQuest November 2007 - February 2010
Harvard Pilgrim Health Care October 2006 - March 2007
Tufts Health Plan March 1992 - February 2006
Fresenius Medical Care July 1988 - March 1992
Skills
Unix, Disaster Recovery, Servers, Troubleshooting, Integration, Computer Hardware, Operating Systems, VMware, Technical Support, Security, Firewalls, Virtualization, Network Security, Software Documentation, Visio, Linux, VMware ESX, High Availability, Red Hat Linux, Software Installation, Capacity Planning, Performance Management, Project Management, HP-UX, Shell Scripting, File Transfer, Oracle Database...
Education
Rutgers University 1986 — 1988
Bachelor of Arts (BA), Computer Science
Northeastern University 1982 — 1985
Chemical Engineering
Martin's Point Health Care July 2014 - Present
Martin's Point Health Care March 2013 - July 2014
Martin's Point Health Care May 2011 - March 2013
Tufts Health Plan October 2009 - December 2010
Skills
Health Insurance, Insurance, Medicare, Managed Care, Call Centers, Employee Benefits, Claim, Process Improvement, Customer Service, HIPAA, Business Analysis, Healthcare, Vendor Management, Microsoft Excel, Data Analysis
Education
Northeastern University 2007 — 2009
Bachelor of Arts (B.A.), Cultural Anthropology
Portland State University 2006 — 2007
Bachelor of Arts (B.A.)
Sun Life Financial September 2015 - Present
Sun Life Financial January 2014 - September 2015
Symetra August 2012 - December 2013
Symetra March 2012 - July 2012
Sun Life Financial September 2011 - March 2012
Sun Life Financial September 2006 - September 2011
Blue Cross Blue Shield of Massachusetts January 2001 - July 2006
Tufts Health Plan January 1997 - January 1999
Skills
Process Improvement, Insurance, Quality Assurance, Customer Service, Training, Analysis, Policy, New Business Development, Vendor Management, Claim, Business Analysis, Compliance, Problem Solving, Staff Mentoring, Term Life Insurance, Team Building, SharePoint, Mentoring
Education
Newbury College 2000 — 2005
Bachelor's, Legal
Tufts Health Plan September 2015 - Present
Federal Reserve Bank of Boston December 2011 - Present
Epsilon June 2010 - August 2011
Fidelity Investments September 2006 - January 2009
Biogen Idec November 2004 - September 2006
CVS Caremark Corporation April 2003 - November 2004
Fleet Boston Financial February 1999 - April 2003
BankBoston June 1997 - February 1999
Harte Hanks May 1994 - June 1997
BayBank Systems, Inc. May 1985 - June 1994
Skills
SQL, Project Management, Linux, SDLC, Perl, Oracle, SAS, Data Warehousing, Unix, Microsoft SQL Server
Education
Northeastern University 1976 — 1981
Bachelor's degree, Mathematics and Computer Science, 3.0
Tufts Health Plan June 2014 - Present
Tufts Health Plan January 2013 - June 2014
State Street January 2012 - June 2012
Tufts Health Plan January 2011 - June 2011
Westchester County Department of Public Safety May 2009 - September 2009
Skills
Microsoft Office, Research, Troubleshooting, SQL, Testing, Windows, Outlook, Active Directory, Access, Management, Microsoft Word, Security, Identity Management, System Administration, Customer Service, PowerPoint, Microsoft Excel
Education
Harvard Extension School 2013 — 2016
Master of Arts (MA), General Management
Northeastern University 2008 — 2012
BS, Criminal Justice, Minor in Computer Science
Tufts Health Plan 2008 - Present
Tufts Health Plan October 2007 - April 2008
First American eAppraiseIT 2007 - 2007
First American eAppraiseIT 2006 - 2006
First American eAppraiseIT 2004 - 2005
University of Oregon Printing and Mailing Services 1999 - 2003
Skills
Visio, Software Documentation, Microsoft Office, Microsoft Word, SharePoint, Process Improvement, Proofreading, PowerPoint, Lotus Notes, Word, Writing, Documentation, Strategic Planning, Business Process Mapping, Workflow & Systems..., Staff Management, Medicare Advantage, Business Analysis, User Acceptance Testing, Customer Service, Insurance, Health Insurance
Education
Northeastern University
Undergraduate Certificate, Technical Writing
University of Oregon - Charles H. Lundquist College of Business
Bachelor's Degree, Management and Marketing
Massachusetts General Hospital October 2013 - Present
Tufts Health Plan June 2014 - Present
Tufts Health Plan August 2012 - June 2014
Massachusetts General Hospital August 2005 - October 2013
Tufts Health Plan July 2011 - August 2012
Tufts Health Plan April 2008 - June 2011
Institute for Healthcare Improvement July 2006 - December 2006
Skills
Research, Project Management, Management, Organizational..., French, Medicare, Employee Benefits, Analysis, Multi Tasking, Organizational..., Organization, Organizational..., Haitian Creole, HIPAA
Education
Northeastern University 2010 — 2011
Master of Science (MS), Organizational Leadership
Northeastern University 2003 — 2008
Bachelor's degree, Social Work; healthcare policy
BMC HealthNet Plan/Well Sense Health Plan August 2015 - Present
Emerson Hospital October 2012 - February 2015
Network Health July 2008 - May 2012
MedVentive November 2004 - July 2008
Thomson Medstat February 2004 - November 2004
Provider Service Network (Division of Beth Israel Deaconess) 2001 - 2004
Provider Service Network (Division of Beth Israel Deaconess) January 1999 - 2001
Tufts Health Plan June 1996 - December 1998
Tufts Health Plan May 1994 - June 1996
Information Strategies/McGraw-Hill/HCIA November 1990 - February 1994
Skills
Managed Care, Healthcare, HEDIS, Access, Clinical Research, Medicaid, Healthcare Information..., Hospitals, HIPAA, Medicare, Healthcare Management, Process Improvement, Healthcare Consulting, Consulting, Data Analysis, Health Insurance, Strategic Planning, Healthcare Industry, Business Analysis, Management, Analysis
Education
Yale University School of Public Health 1987 — 1989
M.P.H., Health Policy and Resources
Northeastern University 1980 — 1985
B.S., Business Administration/Marketing
Tufts Health Plan June 2015 - Present
Robert Half Technology March 2015 - June 2015
Beacon Hill Technologies 2013 - 2015
Partners HealthCare 2014 - 2014
Dell Services 2011 - 2012
SimplexGrinnell 2011 - 2012
Health Dialog September 2010 - April 2011
Independent May 2008 - October 2010
UMass Memorial Medical Center February 2010 - July 2010
UMass Memorial Medical Center April 2009 - February 2010
Skills
Quality Assurance, SDLC, Software Documentation, Testing, User Acceptance Testing, Requirements Gathering, SharePoint, Test Planning, Software Quality..., Team Building, Process Improvement, Databases, Team Leadership, Six Sigma, Test Automation, Business Process, Requirements Analysis, Quality Center, Systems Analysis, Analysis, SQL, Integration, Agile Methodologies, Project Planning, Business Analysis, Vendor Management, Data Warehousing, Business Requirements, Scrum, Microsoft SQL Server, System Testing, Waterfall, Business Process..., Regression Testing, Program Management, Business Intelligence, Oracle, Test Cases, Software Development, Test Strategy, Software Project..., Management, MS Project, Defect Tracking, Software Implementation, Agile Project Management, IT Management, Manual Testing, Epic Systems, Epic Inpatient Orders
Education
Niagara University
Commerce
MultiPlan October 2014 - Present
MultiPlan January 2014 - September 2014
Tufts Health Plan September 2013 - December 2013
Leisure Secondary Education Services February 2011 - May 2013
BELL foundation July 2012 - August 2012
Faulkner Hospital January 2010 - September 2010
Harvard Air Quality June 2007 - August 2007
Skills
Research, Customer Service, Microsoft Excel, Time Management, Teaching, Microsoft Word, PowerPoint, Community Outreach, Event Planning, Microsoft Office, Public Speaking, Data Entry, Nonprofits, Communication, Data Analysis, Outlook, Teamwork, Social Media, Access, Event Management, Project Support, Administrative...
Education
University of Massachusetts, Amherst 2010 — 2013
Bachelor of Arts (B.A.), History
University of Massachusetts, Amherst 2010 — 2013
Minor, Anthropology
Northeastern University 2009 — 2010
Biology, General
Vistaprint August 2014 - Present
Pioneer Investments July 2013 - May 2014
Wayfair July 2012 - December 2012
Tufts Health Plan January 2011 - June 2011
Skills
SQL, OS X, Microsoft Office, Data Analysis, Social Media, Marketing, Eclipse, Photoshop, Facebook, Microsoft Excel, E-commerce, Merchandising, Offshore Operations, Team Management, Sales Analysis, PowerPoint, Microsoft Word, Windows, SPSS, Business Development, Account Management, Strategic Partnerships
Education
Northeastern University 2009 — 2014
Bachelor of Science, Information Science and Marketing
The American University of Rome 2012 — 2012
VNA Hospice and Home Health August 2015 - Present
Natick Public Schools October 2014 - June 2015
Tufts Health Plan December 2008 - April 2012
Education
Cambridge College 2001 — 2003
Master of Education (M.Ed.), Elementary Education and Teaching
Northeastern University 1994 — 1998
Bachelor, Communication Studies
Winchester High School 1989 — 1993
H.S. Diploma
AmeriCorps, AIDS United, Institute of Women & Ethnic Studies August 2014 - July 2015
Annie Wright Schools January 2014 - June 2014
Not Your Average Joe's July 2013 - December 2013
Tufts Health Plan July 2013 - September 2013
Pathfinder International January 2013 - June 2013
The Village Smokehouse September 2012 - June 2013
Boston Life January 2011 - June 2011
Grassroots Campaigns June 2010 - August 2010
DW Accounting September 2005 - June 2009
Skills
Microsoft Office, Research, Social Media, Fundraising, Blogging, Editing, HIV Prevention, Client Counseling, Community Outreach, Mac OS X, Oral & Written..., Office Management, Customer Service, Latin American Studies, Time Management, Program Coordination
Education
Northeastern University 2009 — 2014
Bachelor's Degree, International Affairs
Annie Wright School 2005 — 2009
American Renal Associates April 2012 - Present
THE MENTOR NETWORK September 2011 - January 2012
Genzyme Genetics July 2004 - July 2011
Genzyme Genetics 2004 - 2011
The CCS Companies December 2003 - July 2004
Tufts Health Plan September 2002 - August 2003
Tufts Health Plan May 2001 - August 2003
TUFTS HEALTH PLAN / SECURE HORIZONS January 1996 - January 2003
Tufts Health Plan January 2000 - January 2001
Tufts Health Plan January 1997 - January 2000
Skills
Team Building, Communication &..., Coaching & Mentoring, CPT, ICD-9, Medical Billing, Outlook, Medicaid, Customer Service, Healthcare, Management, Data Entry, Invoicing, Insurance, Leadership, Medical Coding
Education
Northern Essex Community College 1985 — 1986
Business, Program
Liberty Mutual Insurance February 2015 - Present
MultiPlan January 2013 - February 2015
Bingham McCutchen June 2008 - December 2012
Bingham McCutchen April 2007 - June 2008
Tufts Health Plan September 2006 - December 2006
Skills
Legal Research, Westlaw, Legal Writing, Document Review, Litigation, Records Management, Litigation Support, Paralegals, Legal Assistance, Lexis
Education
Northeastern University 2007 — 2007
Paralegal Certificate
The University of Connecticut 2001 — 2006
Bachelor of Arts, Political Science
First Priority Credit Union January 2009 - Present
Tufts Health Plan June 2008 - January 2009
Eastern Bank June 2007 - June 2008
Hilltop Steakhouse January 1995 - January 2008
COMMONWEALTH OF MASS January 1986 - January 1988
Newbury College January 1985 - January 1986
Education
Newbury College 1981 — 1983
Associate Degree, Applied Science/Travel & Tourism
Tufts Health Plan May 2013 - Present
Ernst & Young June 2007 - April 2013
Education
Northeastern University 2008 — 2009
MSA, Accounting
Providence College 2004 — 2008
BS, Accounting
Tufts Health Plan October 2014 - Present
Tufts Health Plan July 2006 - October 2014
Reminder Publications, Inc. November 2003 - July 2006
Skills
Graphic Design, User Interface Design, Graphics, Marketing, InDesign, Corporate Branding, Information Design, Illustrator, Photoshop, HTML, CSS, Web Design, Creative Direction, Adobe Creative Suite
Education
Northeastern University 1998 — 2003
B.S., Media Arts and Design
Rhythm Pharmaceuticals October 2010 - Present
Nomir Medical Technologies, Inc. June 2008 - March 2010
MacroChem Corporation July 2006 - May 2008
Arts and Flowers December 2002 - May 2005
athenahealth 2001 - 2002
Tufts Health Plan 1997 - 2001
Boston Scientific 1993 - 1997
Skills
Certified Microsoft..., Office Management, Microsoft Office, Administrative Support, Outlook, Administrative..., Vendor Management, Administrative..., Contract Management, Human Resources, QuickBooks, Regulatory Submissions, Administration, Customer Service
Education
Northeastern University 1988 — 1993
Bachelor of Science, Business Administration
Our Lady of Lourdes 1984 — 1988
ProQuest April 2014 - Present
Innovative Interfaces, Inc. 2011 - March 2014
EBSCO Information Services 2008 - 2011
Infotrieve 2006 - 2008
HNW 2003 - 2004
Tufts Health Plan 2002 - 2003
Brains and Braun 1998 - 2003
Wordworks 1995 - 1998
CSC Index 1992 - 1995
Skills
Libraries, Interlibrary Loan, Research, Writing, Online Publishing, Library, Reference Services, Electronic Resources, Metadata, Technical Services, Library Science, Magazines, Publications, Library Automation, Periodicals, Library Management, Information Retrieval, Editing, Editorial, Taxonomy, Newsletters, Syndicated Data Analysis, Books, Administration, Cataloging, Indexing, Content Management, Knowledge Management, Collection Development, Digital Libraries, Social Media, Information Management, Unix, Publishing, Web 2.0, Digital Asset Management, Databases, Ebooks, History, Information Architecture, Vendor Management, Project Management
Education
Pratt Institute 2004 — 2006
MLIS, Library Science
Northeastern University 1987 — 1992
BA, Bachelor of Arts in Communication
"Special K" Tutoring Service September 2010 - Present
HR Block January 2007 - January 2012
Eclipsys Corporation August 2000 - August 2004
Tufts Health Plan October 1998 - August 2000
Education
Northeastern University
Bachelor of Arts, Liberal Arts
Tufts Health Plan June 2015 - Present
MHM Services, Inc. December 2014 - Present
Corrections.com September 2014 - December 2014
MHM Services, Inc. July 2012 - September 2014
MHM Services, Inc. August 2009 - June 2012
MHM Services, Inc. September 2007 - August 2009
Boston Red Sox April 2004 - October 2008
Skills
Data Analysis, Criminal Justice, SPSS, Qualitative Research, Quantitative Research, PowerPoint, Program Management, Microsoft Office, Contract Management, Program Coordination, Quantitative Analysis, Research Design, Criminology, Analysis, Quantitative Analytics, Editing, Database Management, Quality Improvement, SharePoint, Basecamp, Program Evaluation, Training, Management, Public Speaking, Policy, Program Development, Project Management, Microsoft Excel
Education
Northeastern University 2009 — 2010
Master of Science, Criminal Justice
Northeastern University 2003 — 2006
Bachelor of Science, Criminal Justice
Tufts Health Plan August 2013 - Present
Transamerica Retirement Solutions July 2008 - July 2013
Sovereign Bank June 2006 - July 2008
Zebra Shuttle August 2004 - June 2006
Skills
Defined Benefit, Employee Benefits, ERISA, Benefits Administration, Non-Qualified Deferred..., Pensions, Pension Administration, Qualified Retirement..., Retirement, Credit, Loans, Financial Analysis, Analysis, Training, Banking, Access, Finance, Business Analysis, Microsoft Excel, Insurance, Management, Process Improvement, Data Analysis
Education
Northeastern University 2010 — 2012
Masters of Science, Healthcare Informatics
University of Massachusetts, Amherst 2002 — 2006
Bachelors, Corporate Finance
Tufts Health Plan July 2015 - Present
Tufts Health Plan February 2014 - June 2015
Blue Cross Blue Shield of Massachusetts October 2013 - January 2014
Tufts Health Plan June 2009 - October 2013
Tufts Health Plan February 2008 - June 2009
Tufts Health Plan 1996 - 1998
Skills
Medicare, Managed Care, Health Insurance, Medicaid, Healthcare, Provider Relations, Insurance, HIPAA, Employee Benefits, Healthcare Management, Healthcare Industry, Healthcare Information..., Disease Management, Pharmacy Benefit..., Medicare Part D, Process Improvement
Education
Northeastern University
Business Administration
Tufts Health Plan April 2010 - March 2012
Tufts Health Plan October 2006 - April 2010
Shawmut Design and Construction June 2002 - October 2006
Skills
Marketing Communications, Online Advertising, Advertising, Writing, Marketing, Editing, Strategic Planning
Education
Northeastern University 1998 — 2003
B.S., Marketing and Management
Pascack Hills High School
Tufts Health Plan May 2015 - Present
Rodan + Fields Dermatologists July 2014 - Present
Contract - Freelance 2007 - Present
Diamond Edge Construction 2001 - Present
Tufts Health Plan February 2013 - April 2015
Exolytic, Inc. 2009 - December 2014
G360Link October 2012 - September 2013
Arigo March 2012 - April 2012
Dynamis United F.C. 2005 - 2012
Arigo July 2009 - October 2011
Skills
Technical Writing, Press Releases, Editing, Software Documentation, Technical Communication, Writing, Information Architecture, Social Media, Internal Communications, Communications, Copywriting, User Documentation, Usability, Ghostwriting, HTML, Web Content, Dreamweaver, Blogging, Content Management, Communication, Leadership, Newsletters, Microsoft Office
Education
Northeastern University 2007 — 2009
Masters of Science, Technical Communication
University of Hartford 2003 — 2007
Bachelors of Art, Professional and Technical Writing, Gender Studies
Austin Preparatory School 1999 — 2003
High School Diploma
Ventyx, an ABB company May 2013 - March 2015
Acton Networkers Group May 2011 - April 2013
Tufts Health Plan June 2012 - December 2012
Computer Consulting Operations Specialists, Inc., aka CC-OPS 2008 - 2010
Computer Consulting Operations Specialists, Inc., aka CC-OPS 2007 - 2010
Computer Consulting Operations Specialists, Inc., aka CC-OPS 2006 - 2007
CSC 2003 - 2006
Motorola 1997 - 2003
Motorola 1988 - 1997
Motorola 1984 - 1988
Skills
Process Improvement, IT Service Management, Software Documentation, Project Management, ITIL, Troubleshooting, Training, Customer Satisfaction, Cross-functional Team..., IT Operations, Recruiting, Data Analysis, Microsoft Office, Technical Writing, IT Management, Team Management, Service Level Agreements, BMC Remedy, CRM, Technical Support, Program Management, Coaching, Staff Development, Customer Service, Team Leadership, Software Installation, Performance Management, Management, Leadership, Desktop Management, Training Skills, Presentations, Customer Driven, Asset Management, CRM software, Vendor Management, Databases, Networking
Education
Northeastern University
Certificate, Technical Writing
State University of New York College at Oswego
B.A., Sociology
State University of New York at Albany
Master of Public Administration, Human Resources
WJ Kibaiya Associates May 2013 - Present
BMC HealthNet Plan March 2012 - March 2013
Tufts Health Plan November 2010 - March 2012
Courion Corporation 2008 - 2010
Blue Cross Blue Shield of Massachusetts September 2004 - November 2008
Lahey Clinic September 2001 - September 2004
Skills
SDLC, Program Management, Project Management, PMP, Vendor Management, Process Improvement, Security, Project Planning, Analysis, Management, Business Analysis, PMO, Team Leadership, Software Project..., Visio, Requirements Analysis, E-commerce, Integration, Software Documentation, Databases, Business Intelligence, Cross-functional Team..., IT Management, Strategic Planning, Information Technology, Business Process, Project Portfolio..., Business Process..., IT Strategy, MS Project, Change Management, Healthcare Information..., Enterprise Software, SharePoint, Cloud Computing, Requirements Gathering, Disaster Recovery, Consulting, Leadership, Strategy, Agile Methodologies
Education
Northeastern University 2004 — 2007
MS, Leadership
Northeastern University
BS, Health Management
Tufts Health Plan May 2010 - Present
Tufts Health Plan 2005 - 2010
Nortel Networks 2000 - 2005
Tufts Health Plan 1997 - 2000
Prudential Healthcare May 1987 - October 1997
Skills
Excel, Access, Requirements Analysis, Analysis, Customer Relations, Word, PowerPoint, Microsoft Office, Lotus Notes, Business Analysis, Databases, Testing, User Acceptance Testing, Requirements Gathering, Business Requirements, sas, Customer Service, Program Management, CRM, Data Analysis, Analytics, Business Process, Visio, Management, Software Documentation, SDLC, Microsoft Excel, Process Improvement, Team Management
Education
Northern Essex Community College 1986 — 1989
Associate's Degree, Business Administration and Management, General
Granite Medical Group April 2014 - Present
Granite Medical Group October 2010 - April 2014
Atrius Health/Harvard Vanguard Medical Associates December 2007 - December 2009
Exeter Health Resources September 2001 - August 2002
Harvard Vanguard Medical Associates 1997 - 2001
Tufts Health Plan April 1997 - September 1997
Harvard Pilgrim Healthcare 1996 - 1997
Boston Medical Center 1996 - 1997
Harvard Pilgrim Healthcare 1995 - 1996
Harvard Pilgrim Healthcare 1994 - 1995
Skills
Epic Systems, Healthcare, Ambulatory Care, EMR, Business Analysis, Project Management, Process Improvement, Software Implementation, Healthcare Management, Analysis, Microsoft Office
Education
University of Massachusetts Boston 1991 — 1993
Spanish w/concentration in Healthcare
Northeastern University 1987 — 1988
Universidad Complutense de Madrid 1986 — 1987
Spanish
University of Arizona
Blue Cross Blue Shield of Massachusetts August 2013 - Present
Tufts Health Plan February 2012 - August 2013
Tufts Health Plan March 2010 - February 2012
Tufts Health Plan September 2005 - March 2010
Tufts Health Plan April 2004 - September 2005
Harvard Pilgrim Health Care 1997 - 2000
Skills
Strong Facilitation..., Organization, Healthcare Reimbursement, Healthcare Industry, Task-oriented, Coding Standards, Program Management, Medicare, Provider Relations
Education
University of Massachusetts Boston 2003 — 2005
Northeastern University
Edward M. Kennedy Community Health Center January 2015 - Present
UHealthSolutions July 2012 - April 2014
Cambridge Police Review and Advisory Board 2004 - June 2013
UHealthSolutions September 2007 - July 2012
Tufts Health Plan August 2002 - September 2007
Skills
Healthcare, Healthcare Information..., HIPAA, Program Management, Program Implementation, Training, Visio, Data Analysis, Program Development, Software Documentation, Process Improvement, Insurance, Social Media, Vendor Management, Leadership, Business Analysis, SDLC, Health Insurance, Customer Service
Education
Northeastern University 1987 — 1992
Bachelor of Science (B.S.), Criminal Justice
Immaculate High School 1983 — 1987
HS diploma
St. Joseph's School 1976 — 1983
Tufts Health Plan October 2004 - June 2012
Ingalls Document Service September 1993 - October 2004
Skills
Writing, Technical Writing, FrameMaker, Microsoft Word, Information Graphics, RoboHelp, Dreamweaver, Health Insurance, Call Center Architecture
Education
Northeastern University 1991 — 1993
MPTW, Technical Writing
Worcester Polytechnic Institute 1960 — 1964
BS, Electrical Engineering
Tufts Health Plan May 2014 - Present
Kathy Burger Project Management Consulting November 2011 - Present
Boston's Best Chimney September 2014 - November 2014
Tufts Health Plan Medicare Preferred April 2012 - April 2014
Boston Standard Plumbing and Heating July 2012 - November 2012
Dorchester Collegiate Academy Charter School November 2011 - June 2012
Blue Cross Blue Shield of Massachusetts October 2007 - July 2011
Tufts Health Plan September 2001 - October 2007
Keane, Inc January 1996 - October 2007
Lifeline December 2000 - April 2001
Skills
Program Management, Process Improvement, Management Consulting, Data Analysis, Vendor Management, Software Project..., Business Requirements, System Requirements, Business Analysis
Education
Northeastern University 1993 — 1998
BSBA, Management Information Systems
Northeastern University 1993 — 1995
Certificate, Management
Computer Systems Institute 1984 — 1985
Associate's degree, Specialized Business Systems Analysis
Computer Systems Institute 1984 — 1985
Certificate of Proficiency, Accounting
Fidelity Investments June 2012 - Present
Fidelity Investments October 2006 - June 2012
Tufts Health Plan 1998 - 2006
Skills
Securities, Human Resources, Mutual Funds, ERISA, Mergers & Acquisitions, Employee Benefits, Vendor Management, Data Privacy, Privacy Law
Education
Northeastern University School of Law 1992 — 1995
Doctor of Law (JD)
Tufts Health Plan September 2012 - Present
BDesigned January 2005 - Present
Boston Architectural College January 2009 - December 2011
SLR Architecture August 2007 - September 2011
Koo de Kir Design Studio July 2009 - August 2011
Wentworth Institute of Technology September 2007 - December 2009
Royer Architects March 2005 - August 2007
Skills
Adobe Creative Suite, AutoCAD, Mac OS X, Windows, Project Management, Organization, Microsoft Office, SketchUp, Architecture, Photoshop, OS X, Interior Architecture, Drawing, CAD, Architectures
Education
Northeastern University 2003 — 2004
Master of Architecture (M.Arch.), Architecture
Northeastern University 1998 — 2003
Bachelor's degree, Architecture
Tufts Health Plan September 2004 - Present
QualChoice September 2000 - August 2004
Skills
Health Insurance, Underwriting, Insurance, Disability Insurance, Contract Negotiation, Employee Benefits, Medicaid, Claim, Process Improvement
Education
North Park University 1995 — 1999
BA, English-Writing
Tufts Health Plan 2012 - Present
Sun Life Financial 2010 - 2011
Deloitte 2005 - 2009
John Hancock June 2004 - July 2005
State Street Research January 2000 - August 2003
Skills
Requirements Analysis, Risk Management, Requirements Gathering, Data Analysis, Visio, Sarbanes-Oxley Act, SDLC, Business Analysis, Process Improvement, Business Process, Analysis, Business Intelligence, Business Process..., Management Consulting, Vendor Management
Education
Suffolk University - Sawyer Business School 2002 — 2004
MBA
Northeastern University 1992 — 1997
Massachusetts Health Connector April 2009 - Present
Tufts Health Plan 1994 - 1998
Skills
Health Care Reform, Managed Care, Employee Benefits, Health Insurance, Health Policy, Health Savings Accounts, Healthcare, Disability Insurance, Insurance, PPO, New Business Development, Strategic Planning, HIPAA, Healthcare Information..., Hospitals, Brokers, Medicare Part D, Claim, Medicaid, Sales, Healthcare Management, Management, Health Insurance..., Healthcare Consulting, Healthcare Industry, Training, Account Management, Medicare, Long-term Care, COBRA, Flexible Spending..., Self-funded, HMO
Education
Northeastern University
The Heller School for Social Policy and Management at Brandeis University
Graduate, Health & Social Policy
Tufts Health Plan January 2010 - Present
Integrated Pharmacy Solutions September 2006 - December 2009
Brooks Eckerd Pharmacy July 2005 - December 2007
Skills
Managed Care, Pharmacy Automation, Pharmacy, Pharmacists, Medication Therapy..., Clinical Pharmacy, Pharmacy Benefit..., Medicare Part D, Healthcare Management, Clinical Research
Education
Northeastern University 1999 — 2005
PharmD, Pharmacy
Pope John XXIII 1995 — 1999
Tufts Health Plan Senior Accountant/System AdministratorPathfinder International1994 - 1999
Skills
Financial Analysis, Accounting, Auditing, Microsoft Excel, Sarbanes-Oxley Act
Education
Northeastern University 2000 — 2005
BS, Accounting
Northeastern University 2000 — 2005
BS, Accounting
National Grid 2012 - 2013
Hebert Confections 2006 - 2012
Tufts Health Plan February 2000 - August 2001
The Moseley Group 1999 - 2000
General Cinema Theatres 1992 - 1999
Waters Corporation 1986 - 1992
Skills
Supply Chain Management, Project Management, Commodity Risk..., Process Improvement, Strategic Negotiations, JIT, Communication, Supplier Performance, Team Building, Cost Reduction/Avoidance, Sourcing, Purchasing, Supply Chain, Management, Program Management, Cross-functional Team..., Budgets
Education
Northeastern University
Bachelor of Science (BS), Marketing
Tufts Health Plan April 2012 - Present
Town of Winchester 2010 - Present
Blue Cross Blue Shield of Massachusetts June 2011 - February 2012
C & W Industries, Inc January 1981 - January 2011
Midas International January 1975 - January 1981
Skills
Human Resources, Cost Benefit, Budgets, Marketing, Management, Strategy, Team Building, Leadership, Business Analysis, Management Consulting, Inventory Management, Public Speaking, Account Management, Operations Management, Customer Service, Program Management, Project Management, Sales Management, Social Media, Product Development, Business Strategy
Education
Northeastern University 1970 — 1975
Bachelor of Science, Business
Tufts Health Plan October 2013 - Present
Apple June 2007 - September 2014
Tufts Health Plan Foundation October 2010 - October 2013
Tufts Health Plan January 2010 - October 2010
Skills
OS X, iWork, Legal Research, Legal Writing, Social Media, Mac OS X, Research, iLife, Mediation, Program Management, Management, Human Rights, Health Law, Sports Law, Legal Issues, Westlaw, Editing, Social Networking, Public Speaking, Program Evaluation, Grant Reviewing, Grant Monitoring, International Law, Lexis, eDiscovery, Document Production, Mac, iPhone
Education
New England Law Boston 2005 — 2008
J.D., Law
University of Illinois at Urbana-Champaign 2000 — 2003
B.A., History, Political Science
Tufts Health Plan 2005 - Present
Tufts Health Plan 1995 - 2005
EDS 1990 - 1995
Skills
HIPAA, Healthcare Information..., SDLC, Medicare, Health Insurance, PL/SQL, Provider Relations, Healthcare, Managed Care, Medicaid, Health Policy, Access, Data Warehousing, Healthcare Industry
Education
Computer Learning Center
Northeastern University
DentaQuest & Delta Dental of Massachusetts June 2015 - Present
Tufts Health Plan April 2006 - June 2015
Boston Office of the Attorney General August 1992 - March 2006
Middlesex County District Attorney's Office March 1986 - August 1992
Skills
Medicaid, Fraud, Medicare, Health Policy, Health Insurance, Health Care Fraud, Healthcare, Managed Care, Provider Relations, PPO, HMO, Healthcare Industry, Investigation, Medical Compliance, Claim, HIPAA, Medicare Part D, Enforcement, Trials, Leadership, Government, Health Law, Health Care Reform, Healthcare Reimbursement, Healthcare Consulting, Pharmacy Benefit...
Education
New England Law Boston 1982 — 1985
Juris Doctorate, Law
Northeastern University 1979 — 1982
Bachelor of Science, Highest Honors,, Biology/Criminal Justice
Indepencence Holding Company 2000 - Present
IHC Group 2000 - Present
Independence Holding Company October 2000 - April 2011
Gen Re Life Health 1995 - 2000
General Reinsurance Corp 1995 - 2000
Tufts Health Plan 1984 - 1995
Skills
Underwriting, Employee Benefits, Pricing, Insurance, Captives, Product Development, Excess, Reserving, Brokerage, Executive Management, Health Insurance, Expert Witness, Due Diligence, Budgeting, Claims Management, Reinsurance, Stop Loss
Education
New England Conservatory of Music 1958 — 1965
BM, MM, Applied Music
Tufts Health Plan-Network Health September 2014 - Present
Tufts Health Plan August 2012 - September 2014
Northeastern University September 2011 - August 2014
Tufts Health Plan April 2009 - August 2012
Cambridge Health Alliance June 2008 - January 2009
Skidmore College January 2007 - May 2008
Skills
Research, PowerPoint, Word, Outlook, MPH Candidate-..., Microsoft Word, Behavioral Health, Public Speaking, Nonprofits, Healthcare, SPSS, Program Development, Program Evaluation, Data Analysis, Public Health
Education
Northeastern University 2011 — 2014
Master's degree, Public Health
Skidmore College 2004 — 2008
BA, Psychology, Government
Pegasystems July 2015 - Present
Pegasystems September 2013 - June 2015
Endurance International Group May 2009 - July 2013
IBM June 2008 - March 2009
Tufts Health Plan January 2007 - June 2007
Sun Life Financial January 2006 - August 2006
Skills
Editing, Software Documentation, Customer Service, Quality Assurance, Training, Analysis, Technical Writing, HTML, Social Media, Content Management
Education
Northeastern University 2004 — 2009
Bachelor’s Degree, English, Minor in Business Administration
Tufts Health Plan October 2012 - Present
tufts health plan January 1999 - October 2012
Education
Northeastern University
BSBA, Business
Northeastern University January 2014 - Present
Metro Boston Area 2012 - Present
Tufts Health Plan 2013 - 2013
MultiPlan October 2009 - November 2012
Girl Scouts of Connecticut March 2009 - May 2009
Western Connecticut State University September 2006 - December 2008
Western Connecticut State University May 2008 - August 2008
Skills
Event Planning, Social Media, Editing, Social Networking, Customer Service, PowerPoint, Budgets, Public Relations, Outlook, Microsoft Excel, Microsoft Office, Leadership, Strategic Planning, Sales
Education
Western Connecticut State University 2005 — 2009
Bachelor’s Degree, Communication
Northeastern University
Master’s Degree, Corporate and Organizational Communication
Tufts Health Plan November 1998 - Present
Johnny Appleseed's Inc November 1989 - October 1998
Skills
Project Management, Customer Service, Real Estate, Construction Management, Facilities Management, Mission Critical..., Building Codes, Team Leadership
Education
New Jersey Institute of Technology
Bachelor of Architecture (BArch), Architecture
HomeServe USA February 2014 - Present
SupportSeven April 2011 - February 2014
Monster May 2008 - April 2011
Tufts Health Plan July 1999 - May 2008
Skills
Business Analysis, Customer Service, Strategic Planning, Leadership, Analytics, Management, Forecasting, Process Scheduler, Operations Management, Salesforce.com, Call Centers, Program Management, Training, CRM, Workforce Management, Process Improvement
Education
Northeastern University
Bachelors of Science, Business Management
Crown Drug Co. January 2007 - Present
Tufts Health Plan July 2012 - December 2012
Tufts Health Plan August 2010 - July 2012
Salem State College September 2009 - May 2010
Crown Drug Company September 2002 - January 2007
Skills
Customer Service, Insurance, Pharmacy, PowerPoint, Microsoft Office, Microsoft Excel, Data Entry, Microsoft Word, Access, Research, Outlook, Public Speaking, Healthcare
Education
Northeastern University 2011 — 2012
Master of Science, Regulatory Affairs for Drugs, Biologics, and Medical Devices
Salem State University 2006 — 2010
Bachelor of Science, Business Administration-Management
EBSCO Information Services December 2013 - Present
EBSCO Information Services April 2013 - December 2013
EBSCO Information Services June 2011 - May 2013
EBSCO Information Services September 2010 - June 2011
Chipotle Mexican Grill January 2008 - May 2010
Tufts Health Plan February 2009 - May 2009
Moment Point Press September 2008 - December 2008
Skills
Online Marketing, Online Advertising, Social Media Marketing, Editing, Business Development, Social Media, Microsoft Office, Management, Marketing
Education
Newbury College 2005 — 2009
Corporate Communications
Tufts Health Plan April 2004 - Present
Tufts Health Plan September 2013 - July 2015
Tufts Health Plan June 2011 - September 2013
Tufts Health Plan October 2007 - June 2011
Tufts Health Plan January 2006 - October 2007
Tufts Health Plan April 2005 - January 2006
Tufts Health Plan January 2005 - April 2005
Tufts Health Plan June 2004 - January 2005
Tufts Health Plan April 2004 - June 2004
Brooks Automation November 2000 - May 2003
Skills
Employee Benefits, Payroll, HRIS, Benefits Administration, ADP Payroll, Applicant Tracking..., HR Policies, Onboarding, Workforce Planning, Taleo
Education
Northeastern University
Bachelor of Science (BS), Management
Northeastern University
Associate of Science (AS), Human Resource Management
Tufts Health Plan January 2002 - Present
Skills
HP-UX, Unix, Linux
Education
Northeastern University
Inovalon November 2012 - Present
Tufts Health Plan July 2011 - September 2012
Blue Cross Blue Shield of Massachusetts July 2010 - June 2011
UMass Dartmouth September 2008 - April 2010
UMass Dartmouth May 2008 - August 2008
UMass Dartmouth February 2008 - May 2008
Skills
Application Development, ETL, Business Process..., Database Development, Visual Studio, Rational Rose, SQL, Oracle, Databases
Education
University of Massachusetts Dartmouth 2007 — 2009
MS, Computer Science
North Maharashtra University 2001 — 2006
BE, Computer Engineering
Beth Israel Deaconess Medical Center March 2011 - Present
Cambridge Health Alliance September 2005 - December 2010
Cambridge Health Alliance September 2005 - December 2010
Tufts Health Plan September 2001 - February 2005
Tufts Health Plan September 2001 - February 2004
Skills
Provider Relations, Managed Care, Credentialing, Physicians, Healthcare Management, Medicare, Medicaid, Healthcare, HIPAA
Education
North Shore Community College
Associates, Liberal Arts
Tufts Health Plan September 1994 - Present
Skills
Medicare, Email Marketing, Managed Care, Employee Benefits, Health Insurance, Microsoft Excel, Provider Relations, HIPAA, Process Improvement, Insurance, Microsoft Word, Strategic Planning, PowerPoint, Medicaid, Microsoft Office, Lotus Notes, Dreamweaver, Customer Service, Internal Communications, Healthcare, Healthcare Information..., Project Management
Education
Northeastern University 1978 — 1981
Associate, Fine Arts
Art Institute of Boston 1973 — 1976
Photography
Partners HealthCare May 2015 - Present
Dirty Deeds Done Dirt Cheap 2010 - March 2015
Contracting - Different companies November 2007 - December 2009
Perot Systems January 2002 - October 2007
Rockland Trust 1998 - 2001
Harvard Pilgrim Health Care 1997 - 1998
Occupational Health & Rehab 1996 - 1997
Tufts Health Plan 1991 - 1997
Skills
Windows XP, Servers, Technical Support, Computer Hardware, Laptops, Windows 7, Hardware, VMware, Help Desk Support, Operating Systems, Troubleshooting, Service Delivery, Disaster Recovery, BMC Remedy, Dell Computers, IT Service Management, Software Installation, Heat Call Logging
Education
Northeastern University 1980 — 1982
Computer Engineering
Hingham High School
HS Diploma, Standard -College Prep
Tufts Health Plan September 2015 - Present
Massachusetts Alliance of Portuguese Speakers January 2009 - Present
American Councils for International Education 2009 - 2012
TV Globo International January 2008 - December 2008
TV Gazeta May 2006 - December 2007
Skills
Media Relations, Press Releases, Editing, Public Relations, Non-profits, Social Media, Fundraising, Public Speaking, Event Planning, Event Management, Social Media Marketing, Program Development, Spanish, Portuguese, English, Broadcast Journalism, Translation, Internal Communications, Facebook, Nonprofits, Blogging, Politics, Grant Writing, Social Networking, Journalism, Strategic Communications, Copywriting, Community Outreach, International Relations, Corporate Communications, Volunteer Management
Education
Northeastern University 2012 — 2013
Master's degree, Global Affairs and International Studies
Northeastern University 2011 — 2011
Graduate Certificate, Digital Video
Lincoln Peak Partners February 2015 - Present
Red Hat May 2014 - September 2014
Bank of America May 2013 - May 2014
Steward Health Care August 2012 - May 2013
Centene Corporation March 2011 - September 2012
Tufts Health Plan October 2010 - March 2011
Harmon Law Offices, P.C. August 2010 - October 2010
Skills
Microsoft Office, Customer Relations, Linux, Troubleshooting, Fast Learning, Data Analysis, Pc Software, Process Improvement, Efficiency Improvement, Customer Service, Technical Support, Software, Quality Assurance, Performance Improvement
Education
University of Massachusetts Boston 2010 — 2012
Information Technology: Architecture, Management, Alumni
University of Massachusetts Lowell 2009 — 2010
Bachelors, Management information systems
Northern Essex Community College 2007 — 2009
Associates, CIS: Information Technology
Tufts Health Plan 1990 - 2000
Skills
Microsoft Office, Hospitals, Healthcare, Customer Service, Microsoft Word, Healthcare Management, Managed Care, Healthcare Information..., Leadership, Strategic Planning, Medicare, HIPAA, Process Improvement, Medicaid, Case Management
Education
Northeastern University 1979 — 1984
Bachelor of Science, Registered Nursing/Registered Nurse, 3.5
Northeastern University 1979 — 1984
Bachelor of science Nursing, Registered Nursing/Registered Nurse
HMS April 2011 - Present
Tufts Health Plan October 2007 - January 2010
Comcast Cable October 2006 - October 2007
Lightbridge 2001 - 2005
Skills
Microsoft Office, PowerPoint, Microsoft Word, Microsoft Excel, Customer Service, Teamwork, Healthcare, Windows, Outlook, Social Media, Account Management
Education
Southern New Hampshire University
Accounting
North Shore Community College 2001 — 2003
Associate of Science (A.S.), Criminal Justice and Corrections
Lynn Classical High School
Harvard Vanguard / Atrius Health Inc. March 2000 - Present
Tufts Health Plan 1992 - 1999
Education
Northeastern University
New England Baptist Hospital October 2011 - Present
Harvard Vanguard Medical Associates April 2009 - July 2009
PharMerica January 2009 - March 2009
Tufts Health Plan October 2007 - January 2009
Action for Boston Community Development June 2004 - November 2007
Skills
Clinical Research, Community Outreach, Customer Service, Fundraising, Invoicing, Program Development
Education
Northeastern University
Pearlman Associates Inc. 2010 - 2011
Tufts Health Plan 2003 - 2009
Nortel Networks 2000 - 2002
Education
Northeastern University
Bachelor's degree, Business Administration and Management, General
Tufts Health Plan October 2001 - Present
Maguire Group Inc. January 1995 - September 2001
SMMA Symmes Maini & McKee Associates June 1994 - December 1994
Maguire Group Inc. January 1992 - June 1994
Buckley Associates Inc. January 1990 - December 1991
Skills
PowerPoint, Photoshop, HVAC, CAD, Video Editing, Computer Repair, cctv desgined and setup, Website Development, Photography, AutoCAD, Microsoft Office, Microsoft Excel, Project Management, AutoDesk Revit, AutoDesk FM, FMSystem, FMInteract, AutoCAD MAPS3D, 20-20 Design, Security System Design...
Education
Clark University 2000 — 2001
LAN Administration/CNE Certificate, Computer/Information Technology Administration and Management, A+
Northeastern University 1988 — 1994
Bachelor of Science (B.S.), Mechanical Engineering
Brockton High School 1984 — 1988
High School Diploma, Math, Science, Physics, Robotics and Electronic
Tufts Health Plan January 2013 - Present
MetroWest Medical Center 2006 - Present
MetroWest Medical Center 2006 - Present
Partners HealthCare May 2007 - September 2012
BTHR Solutions 2001 - 2005
Lincoln Financial Advisors 2002 - 2004
Boston Scientific 1999 - 2000
Boston Scientific 1999 - 2000
Baybank 1988 - 1994
Skills
Medical Coding, Program Management, Database Administration, Patient Advocacy, Compliance Testing, MS Access, PeopleSoft, Microsoft Excel, PowerPoint, Meditech, CPMS, Medicaid, Disease Management, Employee Benefits, Training, Management
Education
Westfield State University 1985 — 1987
Business, fiance
North Shore Community College 1982 — 1984
Bachelor Degree, Business Management
Reading High School
Bank of America December 2006 - Present
Tufts Health Plan March 1998 - December 2006
MBTA Employees Credit Union February 1989 - March 1998
Skills
Mortgage Banking, Banking, Conflict Resolution, Operations Management, Building Relationships, Customer Escalation..., Customer Service, Operational Risk..., Customer Experience, Web Chat, Product Support, Customer Support, Health Insurance, Public Speaking
Education
Northeastern University
Business Administration and Management, General
University of Massachusetts Boston
Biology, General
PHCS Multiplan Co. 2007 - 2008
Tufts Health Plan 2002 - April 2007
Skills
Microsoft Office, PowerPoint, Microsoft Word, Research, Public Speaking, Facebook
Education
Northeastern University 2007 — 2014
Bank of America August 2005 - Present
Tufts Health Plan March 1991 - August 2005
Skills
Leadership, Sales, Analysis, Call Center, Management, Training, Software Documentation, Call Centers, Banking, Customer Experience, Team Management, Consumer Lending, Insurance, Coaching, Customer Service, Quality Assurance, Risk Management, Customer Satisfaction, Team Leadership, Credit, Process Improvement, Financial Services, Employee Benefits, Retail Banking, Relationship Management, Loans, Performance Management
Education
Northeastern University
Tufts Health Plan February 2013 - Present
Hallmark Health System, Inc. November 2011 - February 2013
Beverly Hospital October 2006 - November 2011
Winchester Hospital June 2005 - October 2006
Skills
Problem Solving, Organization, Teaching, Clinical Supervision, Pharmacology, Pyxis, Meditech, Clinical Pharmacy, Hospital Pharmacy, Internal Medicine, Managed Care, Medicare Prescription..., Utilization Management, Pharmacy, Pharmacists, Hospitals, Clinical Research, IV, Medicare Part D, Medication Therapy..., Critical Care, Patient Safety, Patient Education, Clinical Pharmacology, Compounding, Pharmacy Benefit...
Education
Northeastern University 1998 — 2004
Doctor of Pharmacy (PharmD), Pharmacy
The MathWorks August 2007 - Present
Tufts Health Plan October 1997 - August 2007
Keyport Life Insurance Company September 1994 - October 1997
Skills
Quality Assurance, Software Quality..., Testing, Test Planning, Agile Methodologies, SDLC, User Acceptance Testing, System Testing, Scrum, Requirements Analysis, QTP, SQL, Test Cases, Manual Testing, Regression Testing, Test Strategy
Education
Northeastern University 1979 — 1984
Bachelor of Science (BS), Business Administration
Private Company December 2005 - Present
Tufts Health Plan June 2001 - July 2003
Tufts Health Plan February 1999 - June 2001
Education
Univerisity of Phoenix 2002 — 2005
Master of Business Administration (MBA)
Norfolk State University 1991 — 1997
Tufts Health Plan May 2003 - Present
Coldwell Banker Real Estate 2001 - 2003
Corporate Interiors October 1998 - October 2001
Skills
Customer Service, Administrative..., Real Estate
Education
Northeastern University, Aquinas Junior College 1987 — 1991
Bachelor of Science, Business Administration and Management, General