BCBSMA Company
Industry: Company
DescriptionBlue Cross Blue Shield of Massachusetts is a state licensed private health insurance company under the Blue Cross Blue Shield Association with headquarters in Boston. Headquarters: Boston, MA CEO: Andrew Dreyfus (Sep 7, 2010–) Revenue: 6.8 billion USD (2015) Founder: Blue Cross Blue Shield Association Subsidiaries: Blue Cross and Blue Shield of Massachusetts HMO Blue Inc., Blue Benefit Administrators of Massachusetts Parent organization: Blue Cross Blue Shield Association
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BCBSMA Employees
Employee
Years
Job
Industry
Andrew Winkler, PMP Andrew Winkler, PMP's BCBSMA Experience 1994 - 1997
Job Director, Quality and Compliance Services at HighPoint Solutions
Industry Pharmaceuticals
Experience
HighPoint Solutions 2015 - Present
Bioventus October 2012 - December 2014
Business & Decision 2011 - 2012
HighPoint Solutions 2010 - 2011
PPD 2010 - 2010
BCBSNC 2009 - 2010
Sepracor 1999 - 2009
Prism Rehab Systems 1997 - 1999
BCBSMA 1994 - 1997
Skills
Data Warehousing, Data Integration, Program Management, Project Management, IT Management, Project Portfolio..., Business Analysis, Data Modeling, Business Process, Medical Devices, Data Governance, PMP, QlikView, Life Sciences, Clinical Data Management, IT Portfolio Management, Aggregate Spend, Healthcare, Technical Support, Software Implementation, Applications Support, Cloud Computing, Capability Maturity..., IT Governance, Strategic Prioritization, Data Visualization, Data Profiling, Computer System..., Oracle AERS, IRMS, Medical Information, Budget Management, Data Quality, EDI, Disease Management..., Total Quality..., Continuous Quality..., CGEIT, Technical Project..., Physician Transparency, Audits, Pharmaceuticals, Public Health..., Data Discovery, CTMS, BusinessObjects, InfoPath, HP Quality Center (HPQC), R&D, Data Analysis
Education
Suffolk University - Sawyer Business School
MA
Drew University
BA
ISACA
CGEIT (Certified in the Governance of Enterprise IT)
Project Management Institute
PMP (Project Management Professional)
HighPoint Solutions 2015 - Present
Bioventus October 2012 - December 2014
Business & Decision 2011 - 2012
HighPoint Solutions 2010 - 2011
PPD 2010 - 2010
BCBSNC 2009 - 2010
Sepracor 1999 - 2009
Prism Rehab Systems 1997 - 1999
BCBSMA 1994 - 1997
Skills
Data Warehousing, Data Integration, Program Management, Project Management, IT Management, Project Portfolio..., Business Analysis, Data Modeling, Business Process, Medical Devices, Data Governance, PMP, QlikView, Life Sciences, Clinical Data Management, IT Portfolio Management, Aggregate Spend, Healthcare, Technical Support, Software Implementation, Applications Support, Cloud Computing, Capability Maturity..., IT Governance, Strategic Prioritization, Data Visualization, Data Profiling, Computer System..., Oracle AERS, IRMS, Medical Information, Budget Management, Data Quality, EDI, Disease Management..., Total Quality..., Continuous Quality..., CGEIT, Technical Project..., Physician Transparency, Audits, Pharmaceuticals, Public Health..., Data Discovery, CTMS, BusinessObjects, InfoPath, HP Quality Center (HPQC), R&D, Data Analysis
Education
Suffolk University - Sawyer Business School
MA
Drew University
BA
ISACA
CGEIT (Certified in the Governance of Enterprise IT)
Project Management Institute
PMP (Project Management Professional)
Kathi Jalbert Kathi Jalbert's BCBSMA Experience 1991 - 2009
Job Account Executive, AVP at Eastern Benefits Group
Industry Insurance
Experience
Eastern Benefits Group 2010 - Present
BCBSMA 1991 - 2009
Prudential Pru-Care 1987 - 1989
Skills
Benefits Insurance..., Licensed Life & Health..., Employee Benefits, Health Insurance, Brokers, Disability Insurance, Insurance, 401k, Underwriting, Commercial Insurance, Health Savings Accounts, Life Insurance, Term Life Insurance, Benefits Administration, Customer Service, Account Management, Managed Care, Sales, Umbrella Insurance
Education
Southern Connecticut State University 1981 — 1986
Bachelor's degree
Eastern Benefits Group 2010 - Present
BCBSMA 1991 - 2009
Prudential Pru-Care 1987 - 1989
Skills
Benefits Insurance..., Licensed Life & Health..., Employee Benefits, Health Insurance, Brokers, Disability Insurance, Insurance, 401k, Underwriting, Commercial Insurance, Health Savings Accounts, Life Insurance, Term Life Insurance, Benefits Administration, Customer Service, Account Management, Managed Care, Sales, Umbrella Insurance
Education
Southern Connecticut State University 1981 — 1986
Bachelor's degree
Jeff Syrek Jeff Syrek's BCBSMA Experience October 2005 - April 2008
Job Vice President, System Contracting and Contract Finance at New England Quality Care Alliance
Industry Hospital & Health Care
Experience
Tufts Medical Center December 2012 - Present
New England Quality Care Alliance December 2012 - Present
New England Quality Care Alliance May 2008 - December 2012
BCBSMA October 2005 - April 2008
BCBSMA February 2001 - October 2005
Newton-Wellesley Hospital 1996 - 2001
Private Healthcare Systems 1995 - 1995
Beverly Hospital 1994 - 1995
Skills
Financial Planning, Negotiation, Forecasting, Healthcare, Hospitals, Strategic Planning, Analysis, Strategic Financial..., Leadership, Cross-functional Team..., Medicare, Healthcare Management, Healthcare Information..., Policy, Insurance, Program Management, Revenue Cycle, Management, Contract Negotiation, Clinical Research, Strategy, Budgets, Managed Care, Informatics, Physicians
Education
Union Graduate College - School of Management 1992 — 1994
MBA
Albany Law School of Union University 1991 — 1992
University of Rochester 1987 — 1991
BA
Tufts Medical Center December 2012 - Present
New England Quality Care Alliance December 2012 - Present
New England Quality Care Alliance May 2008 - December 2012
BCBSMA October 2005 - April 2008
BCBSMA February 2001 - October 2005
Newton-Wellesley Hospital 1996 - 2001
Private Healthcare Systems 1995 - 1995
Beverly Hospital 1994 - 1995
Skills
Financial Planning, Negotiation, Forecasting, Healthcare, Hospitals, Strategic Planning, Analysis, Strategic Financial..., Leadership, Cross-functional Team..., Medicare, Healthcare Management, Healthcare Information..., Policy, Insurance, Program Management, Revenue Cycle, Management, Contract Negotiation, Clinical Research, Strategy, Budgets, Managed Care, Informatics, Physicians
Education
Union Graduate College - School of Management 1992 — 1994
MBA
Albany Law School of Union University 1991 — 1992
University of Rochester 1987 — 1991
BA
Sally Okoniewski Sally Okoniewski's BCBSMA Experience March 2007 - March 2008
Job Strategic Program Management
Industry Information Technology and Services
Experience
Harvard Business School September 2014 - Present
Executive Consulting June 2013 - June 2014
Collaborative Consulting July 2012 - May 2013
The Medicare NewsGroup February 2007 - February 2013
State of MA - HCQCC November 2009 - June 2012
Upromise / Sallie Mae April 2008 - May 2009
BCBSMA March 2007 - March 2008
Copyright Clearance Center August 2005 - November 2006
Various May 2000 - August 2005
Keane, Inc 1995 - 2000
Education
Lehigh University
BS
Babson College 1993 — 1996
none
Harvard Business School September 2014 - Present
Executive Consulting June 2013 - June 2014
Collaborative Consulting July 2012 - May 2013
The Medicare NewsGroup February 2007 - February 2013
State of MA - HCQCC November 2009 - June 2012
Upromise / Sallie Mae April 2008 - May 2009
BCBSMA March 2007 - March 2008
Copyright Clearance Center August 2005 - November 2006
Various May 2000 - August 2005
Keane, Inc 1995 - 2000
Education
Lehigh University
BS
Babson College 1993 — 1996
none
Raja Kandaswami Raja Kandaswami's BCBSMA Experience June 2011 - Present
Job Director, Business Inteligence at BCBSMA
Industry Information Technology and Services
Experience
BCBSMA June 2011 - Present
BCBSMA April 2004 - May 2011
Citi 2000 - 2004
Skills
Data Warehousing, Business Intelligence, Data Warehouse..., Data Integration, Cognos, OLAP, ETL
Education
Bangalore University 1991 — 1995
Cognos TM1
BCBSMA June 2011 - Present
BCBSMA April 2004 - May 2011
Citi 2000 - 2004
Skills
Data Warehousing, Business Intelligence, Data Warehouse..., Data Integration, Cognos, OLAP, ETL
Education
Bangalore University 1991 — 1995
Cognos TM1
Rhonda Matlack Rhonda Matlack's BCBSMA Experience 2004 - 2006
Job Senior Manager, Consulting at Cerner Corporation
Industry Hospital & Health Care
Experience
Cerner Corporation February 2015 - Present
Siemens Healthcare May 2012 - January 2015
Consulting Services September 2006 - April 2012
Beacon Partners January 2010 - July 2011
Acuity October 2006 - September 2008
BCBSMA 2004 - 2006
Northwestern Human Services January 2002 - December 2003
Integra Inc January 1998 - October 2002
Harvard Pilgrim Health Care 1991 - 1995
South Shore Mental Health January 1988 - December 1991
Skills
Simplification of..., Quality delivery of on..., Ability to develop a..., Skill set in clinical,..., Versatility and..., Preventative risk..., Innovative Thinking, Common sense alignment..., Operational Efficiency, Priority Management, Clinical Research, EMR, Strategy, Leadership, Managed Care, Strategic Planning, Vendor Management, Program Management, Hospitals, Healthcare, Health Information..., EHR, Revenue Cycle, Physicians, Medicaid, Healthcare Information..., HL7, Healthcare Consulting, HIPAA
Education
West Virginia University 1986 — 1988
Masters, Counseling Psychology
Bridgewater College 1982 — 1986
BS, Psychology
Cerner Corporation February 2015 - Present
Siemens Healthcare May 2012 - January 2015
Consulting Services September 2006 - April 2012
Beacon Partners January 2010 - July 2011
Acuity October 2006 - September 2008
BCBSMA 2004 - 2006
Northwestern Human Services January 2002 - December 2003
Integra Inc January 1998 - October 2002
Harvard Pilgrim Health Care 1991 - 1995
South Shore Mental Health January 1988 - December 1991
Skills
Simplification of..., Quality delivery of on..., Ability to develop a..., Skill set in clinical,..., Versatility and..., Preventative risk..., Innovative Thinking, Common sense alignment..., Operational Efficiency, Priority Management, Clinical Research, EMR, Strategy, Leadership, Managed Care, Strategic Planning, Vendor Management, Program Management, Hospitals, Healthcare, Health Information..., EHR, Revenue Cycle, Physicians, Medicaid, Healthcare Information..., HL7, Healthcare Consulting, HIPAA
Education
West Virginia University 1986 — 1988
Masters, Counseling Psychology
Bridgewater College 1982 — 1986
BS, Psychology
Larry Ragland's BCBSMA Experience June 1998 - January 2007
Job Senior Account Manager Employee Benefits at CIP Group in Cambridge, Massachusetts
Industry Insurance
Experience
CIP Group January 2010 - Present
BCBSMA June 1998 - January 2007
Wellpoint/John Hancock 1989 - 1998
Provident Life & Accident Insurance Co 1986 - 1989
Skills
Insurance Blogger, Health Insurance, Insurance, Leadership, Healthcare, Underwriting, Employee Benefits, Sales, Team Building, Management, Training, New Business Development, Budgets, Customer Service, Disability Insurance, Health Savings Accounts, Negotiation, Medicare, Business Networking, Brokers, Policy, Software Documentation, Sales Management, Reinsurance, Risk Management, Account Management, Process Improvement, Benefits Administration, Managed Care, Business Development
Education
Boston University 1969 — 1973
BS in Education, cum laude, Education/History
CIP Group January 2010 - Present
BCBSMA June 1998 - January 2007
Wellpoint/John Hancock 1989 - 1998
Provident Life & Accident Insurance Co 1986 - 1989
Skills
Insurance Blogger, Health Insurance, Insurance, Leadership, Healthcare, Underwriting, Employee Benefits, Sales, Team Building, Management, Training, New Business Development, Budgets, Customer Service, Disability Insurance, Health Savings Accounts, Negotiation, Medicare, Business Networking, Brokers, Policy, Software Documentation, Sales Management, Reinsurance, Risk Management, Account Management, Process Improvement, Benefits Administration, Managed Care, Business Development
Education
Boston University 1969 — 1973
BS in Education, cum laude, Education/History
Sue Coronella's BCBSMA Experience September 2014 - Present
Job Director, HMM Training and Professional Communicationsat BCBSMA
Industry Insurance
Experience
BCBSMA September 2014 - Present
Blue Cross Blue Shield of Massachusetts November 2013 - September 2014
Blue Cross Blue Shield of Massachusetts April 2013 - November 2013
BCBSMA 2001 - 2010
Skills
Health Insurance, Strategic Planning, Customer Service, Software Documentation, Call Centers, Marketing Communications, Social Media, Organizational..., Public Speaking, Training, Leadership, Process Improvement, Program Management, Insurance, Coaching, Healthcare, Employee Benefits
Education
Northeastern University
Leadership
BCBSMA September 2014 - Present
Blue Cross Blue Shield of Massachusetts November 2013 - September 2014
Blue Cross Blue Shield of Massachusetts April 2013 - November 2013
BCBSMA 2001 - 2010
Skills
Health Insurance, Strategic Planning, Customer Service, Software Documentation, Call Centers, Marketing Communications, Social Media, Organizational..., Public Speaking, Training, Leadership, Process Improvement, Program Management, Insurance, Coaching, Healthcare, Employee Benefits
Education
Northeastern University
Leadership
Michelle McDonough's BCBSMA Experience August 2008 - July 2012
Job Underwriting Consultant
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts May 2013 - Present
Blue Cross Blue Shield of Massachusetts July 2012 - May 2013
BCBSMA August 2008 - July 2012
BCBSMA May 2006 - August 2008
BCBSNC 2006 - May 2006
BCBSMA 2003 - 2005
BCBSMA May 2000 - June 2003
Sun Life Financial 1999 - 2000
Tufts Health Plan 1995 - 1999
Consolidated Group 1991 - 1994
Skills
Underwriting, Health Insurance, Insurance, Employee Benefits, Prevention and Wellness, Account Management, National Account Mana, Risk Selection, stop loss, Risk Management, Reinsurance, Managed Care, Health Care Reform, Financial Analysis, Healthcare, Claim, Strategy, Disability Insurance, Financial Risk, HIPAA, Brokers, Stop Loss, Life Insurance, Health Savings Accounts, Medicare, Health Policy, PPO, HMO, Group Insurance, Financial Services, Self-funded
Education
Framingham State University 1990 — 1994
Bachelor, Economics
Wayland High School 1982 — 1985
High School
Blue Cross Blue Shield of Massachusetts May 2013 - Present
Blue Cross Blue Shield of Massachusetts July 2012 - May 2013
BCBSMA August 2008 - July 2012
BCBSMA May 2006 - August 2008
BCBSNC 2006 - May 2006
BCBSMA 2003 - 2005
BCBSMA May 2000 - June 2003
Sun Life Financial 1999 - 2000
Tufts Health Plan 1995 - 1999
Consolidated Group 1991 - 1994
Skills
Underwriting, Health Insurance, Insurance, Employee Benefits, Prevention and Wellness, Account Management, National Account Mana, Risk Selection, stop loss, Risk Management, Reinsurance, Managed Care, Health Care Reform, Financial Analysis, Healthcare, Claim, Strategy, Disability Insurance, Financial Risk, HIPAA, Brokers, Stop Loss, Life Insurance, Health Savings Accounts, Medicare, Health Policy, PPO, HMO, Group Insurance, Financial Services, Self-funded
Education
Framingham State University 1990 — 1994
Bachelor, Economics
Wayland High School 1982 — 1985
High School
Benilde Vasconcelos Benilde Vasconcelos's BCBSMA Experience June 2005 - June 2011
Job Analyst, IT Operations Management & Administration
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts June 2011 - Present
BCBSMA June 2005 - June 2011
Skills
Visio, Health Insurance, SDLC, PMO, Employee Benefits, Insurance, Microsoft Word, Process Improvement
Education
Emmanuel College 2007 — 2010
Master's of Science, Management
Northeastern University 1996 — 2001
Bachelor of Arts, Psychology
Blue Cross Blue Shield of Massachusetts June 2011 - Present
BCBSMA June 2005 - June 2011
Skills
Visio, Health Insurance, SDLC, PMO, Employee Benefits, Insurance, Microsoft Word, Process Improvement
Education
Emmanuel College 2007 — 2010
Master's of Science, Management
Northeastern University 1996 — 2001
Bachelor of Arts, Psychology
Thomas Nehez PMP Thomas Nehez PMP's BCBSMA Experience March 2008 - April 2011
Job Project Manager
Industry Information Technology and Services
Experience
Ferguson Enterprises 2012 - Present
Wells Fargo Advisors February 2014 - May 2014
PC Connection April 2011 - July 2012
BCBSMA March 2008 - April 2011
Liberty Mutual July 2005 - July 2007
Axcelis Technologies June 2000 - July 2005
Skills
Cross-functional Team..., SDLC, Business Process..., PMO, Project Management, Management, Risk Management, Team Building, Resource Management, Data Warehousing, Contract Management, Strategic Planning, Enterprise Software, Vendor Management, Product Management, PMP
Education
Eastern Nazarene College 2000 — 2005
Bachelor of Science (BS), Business Administration and Management, General
Lakeland Community College 1971 — 1973
Ferguson Enterprises 2012 - Present
Wells Fargo Advisors February 2014 - May 2014
PC Connection April 2011 - July 2012
BCBSMA March 2008 - April 2011
Liberty Mutual July 2005 - July 2007
Axcelis Technologies June 2000 - July 2005
Skills
Cross-functional Team..., SDLC, Business Process..., PMO, Project Management, Management, Risk Management, Team Building, Resource Management, Data Warehousing, Contract Management, Strategic Planning, Enterprise Software, Vendor Management, Product Management, PMP
Education
Eastern Nazarene College 2000 — 2005
Bachelor of Science (BS), Business Administration and Management, General
Lakeland Community College 1971 — 1973
Jung Yueh Jung Yueh's BCBSMA Experience April 2011 - July 2015
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
Elizabeth Van Hoven's BCBSMA Experience July 2010 - October 2010
Job AVP IT Project Manager at Salem Five Bank
Industry Information Technology and Services
Experience
Salem Five Bank September 2015 - Present
Biogen February 2015 - Present
Harvard Business School February 2013 - February 2015
Mahindra Satyam February 2013 - 2014
BCBSMA July 2010 - October 2010
Liberty Mutual Insurance October 2009 - June 2010
CAE Solutions Corporation February 2007 - October 2008
Philips October 1999 - September 2005
Skills
Process Improvement, Risk Management, Change Management, Integration, Management, Project Management, Consulting
Education
Boston University 2005 — 2005
Master Certification, Project Management
Salem Five Bank September 2015 - Present
Biogen February 2015 - Present
Harvard Business School February 2013 - February 2015
Mahindra Satyam February 2013 - 2014
BCBSMA July 2010 - October 2010
Liberty Mutual Insurance October 2009 - June 2010
CAE Solutions Corporation February 2007 - October 2008
Philips October 1999 - September 2005
Skills
Process Improvement, Risk Management, Change Management, Integration, Management, Project Management, Consulting
Education
Boston University 2005 — 2005
Master Certification, Project Management
chetan singh thakur's BCBSMA Experience 2010 - 2010
Job Bussiness Systems Analyst at QSSI
Industry Information Technology and Services
Experience
QSSI May 2012 - Present
HPHC 2012 - 2012
BCBSNC 2010 - 2011
BCBSNC 2010 - 2011
Edifecs 2010 - 2011
BCBSMA 2010 - 2010
Skills
EDIFACT, Testing, EDI, Integration, Requirements Gathering, HIPAA, Business Analysis, Quality Assurance, PL/SQL, Data Migration, SOA, Requirements Analysis, ETL, Unix Shell Scripting, SDLC
Education
Silicon Valley University 2007 — 2008
Master's degree, Computer Science
JNTU
QSSI May 2012 - Present
HPHC 2012 - 2012
BCBSNC 2010 - 2011
BCBSNC 2010 - 2011
Edifecs 2010 - 2011
BCBSMA 2010 - 2010
Skills
EDIFACT, Testing, EDI, Integration, Requirements Gathering, HIPAA, Business Analysis, Quality Assurance, PL/SQL, Data Migration, SOA, Requirements Analysis, ETL, Unix Shell Scripting, SDLC
Education
Silicon Valley University 2007 — 2008
Master's degree, Computer Science
JNTU
Kim Olson's BCBSMA Experience 2004 - 2009
Job VP, Business Operations, MCO Segment at Catamaran
Industry Hospital & Health Care
Experience
Catamaran July 2012 - Present
Catalyst Rx February 2012 - Present
FutureScripts, a Catalyst Rx Company September 2010 - February 2012
Catalyst Health June 2010 - September 2010
KO Consulting September 2009 - June 2010
BCBSMA 2004 - 2009
BCBSMA 2001 - 2004
BCBSMA 1999 - 2001
metrowest medical center 1986 - 1997
Skills
Contract Negotiation, Profit/Loss..., Health Policy, Strategic Planning, Disease Management, Leadership, Managed Care, HIPAA, Program Management, Healthcare, Process Improvement, Pharmacy Benefit..., Strategy, Healthcare Management, Healthcare Information..., Pharmacy, Integration, Healthcare Industry, Medicare, Medicaid
Education
Boston University 1982 — 1986
MBA, Health Care Concentration
Catamaran July 2012 - Present
Catalyst Rx February 2012 - Present
FutureScripts, a Catalyst Rx Company September 2010 - February 2012
Catalyst Health June 2010 - September 2010
KO Consulting September 2009 - June 2010
BCBSMA 2004 - 2009
BCBSMA 2001 - 2004
BCBSMA 1999 - 2001
metrowest medical center 1986 - 1997
Skills
Contract Negotiation, Profit/Loss..., Health Policy, Strategic Planning, Disease Management, Leadership, Managed Care, HIPAA, Program Management, Healthcare, Process Improvement, Pharmacy Benefit..., Strategy, Healthcare Management, Healthcare Information..., Pharmacy, Integration, Healthcare Industry, Medicare, Medicaid
Education
Boston University 1982 — 1986
MBA, Health Care Concentration
E. Todd Quigley's BCBSMA Experience May 2005 - July 2007
Job Communications Manager at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts November 2013 - Present
Blue Cross Blue Shield of Massachusetts September 2011 - November 2013
Blue Cross Blue Shield of Massachusetts July 2007 - November 2011
BCBSMA May 2005 - July 2007
Balzotti Publications January 2002 - September 2005
Eliot Community Human Services 2000 - 2004
Skills
Strategic Communications, Internal Communications, Change Management, Health Insurance, Editing, Program Management, Organizational..., Corporate Communications, Web Content Management, Press Releases, Stakeholder Engagement, Website Development, Social Media, Training, Marketing, Project Management, Policy, Management, Leadership
Education
Curry College
Communications
Plymouth North High School
Blue Cross Blue Shield of Massachusetts November 2013 - Present
Blue Cross Blue Shield of Massachusetts September 2011 - November 2013
Blue Cross Blue Shield of Massachusetts July 2007 - November 2011
BCBSMA May 2005 - July 2007
Balzotti Publications January 2002 - September 2005
Eliot Community Human Services 2000 - 2004
Skills
Strategic Communications, Internal Communications, Change Management, Health Insurance, Editing, Program Management, Organizational..., Corporate Communications, Web Content Management, Press Releases, Stakeholder Engagement, Website Development, Social Media, Training, Marketing, Project Management, Policy, Management, Leadership
Education
Curry College
Communications
Plymouth North High School
Roland Waz Roland Waz's BCBSMA Experience 2008 - 2009
Job
Industry Management Consulting
Experience
Deloitte July 2004 - Present
Deloitte Consulting July 2004 - September 2012
ALICO 2009 - 2010
Talecris Biotherapeutics, Inc. 2009 - 2009
BCBSMA 2008 - 2009
Goldman Sachs September 2001 - August 2002
Lucent Technologies/Agere Systems April 2000 - May 2001
Skills
Business Intelligence, Integration, Business Process Design, IT Strategy, Project Management, Business Transformation, Data Warehousing, Business Process..., Analytics, Management Consulting, PMO, SDLC, Business Requirements, Business Analysis, System Requirements, System Design, Requirements Gathering, PMP, Project Portfolio..., Consulting, Management, System Development, Visio, Asset Managment, Divestitures, Mergers, Performance Measurement, Investment Management, Partnership Accounting, Corporate Finance, Finance Transformation, Workday, Private Equity, Mutual Funds, Institutional..., ERP, Business Process, Business Process..., Program Management, Requirements Analysis, Strategy, Enterprise Architecture, Process Improvement, Agile Methodologies
Education
Lehigh University 2003 — 2004
M.S.
Lehigh University 2001 — 2003
B.S.
Deloitte July 2004 - Present
Deloitte Consulting July 2004 - September 2012
ALICO 2009 - 2010
Talecris Biotherapeutics, Inc. 2009 - 2009
BCBSMA 2008 - 2009
Goldman Sachs September 2001 - August 2002
Lucent Technologies/Agere Systems April 2000 - May 2001
Skills
Business Intelligence, Integration, Business Process Design, IT Strategy, Project Management, Business Transformation, Data Warehousing, Business Process..., Analytics, Management Consulting, PMO, SDLC, Business Requirements, Business Analysis, System Requirements, System Design, Requirements Gathering, PMP, Project Portfolio..., Consulting, Management, System Development, Visio, Asset Managment, Divestitures, Mergers, Performance Measurement, Investment Management, Partnership Accounting, Corporate Finance, Finance Transformation, Workday, Private Equity, Mutual Funds, Institutional..., ERP, Business Process, Business Process..., Program Management, Requirements Analysis, Strategy, Enterprise Architecture, Process Improvement, Agile Methodologies
Education
Lehigh University 2003 — 2004
M.S.
Lehigh University 2001 — 2003
B.S.
Kerri Donnelly's BCBSMA Experience 1992 - 1997
Job BCBSTreasury Operations
Industry Hospital & Health Care
Experience
BCBS April 2014 - Present
BCBS January 2013 - Present
The Thoracic Associates February 2007 - May 2012
BCBSMA 1992 - 1997
The Recuperative Center 1988 - 1993
Skills
Healthcare, Hospitals, Healthcare Management, Managed Care, Revenue Cycle, Healthcare Information..., HIPAA, Contract Negotiation, Medical Coding, Medicare, EHR, Medical Billing, Insurance, EMR, Healthcare Industry, Healthcare Consulting
Education
Boston College
Bachelors in Business Management, Accounting
Cambridge College
one year of Master of Business Administration (MBA)
BCBS April 2014 - Present
BCBS January 2013 - Present
The Thoracic Associates February 2007 - May 2012
BCBSMA 1992 - 1997
The Recuperative Center 1988 - 1993
Skills
Healthcare, Hospitals, Healthcare Management, Managed Care, Revenue Cycle, Healthcare Information..., HIPAA, Contract Negotiation, Medical Coding, Medicare, EHR, Medical Billing, Insurance, EMR, Healthcare Industry, Healthcare Consulting
Education
Boston College
Bachelors in Business Management, Accounting
Cambridge College
one year of Master of Business Administration (MBA)
Dawn DiMartino Dawn DiMartino's BCBSMA Experience 1995 - 1997
Job Masters of Social Work with strong interest in neurobiology and mindbody therapies
Industry Health, Wellness and Fitness
Experience
Boston Veteran Administration Hospital September 2013 - Present
Yoga Dawn September 2010 - Present
The Home for Little Wanderers 2014 - 2014
The Home for Little Wanderers 2014 - 2014
Home for Little Wanderers September 2012 - May 2013
SSW September 2011 - May 2012
Iron Mountain July 2007 - July 2010
AT&T March 1997 - September 2006
BCBSMA 1995 - 1997
Skills
Integrated Marketing, Leadership, Program Management, Marketing, B2B, Change Management, Team Building, Budgets, Fundraising, Go-to-market Strategy, Staff Development, Lead Generation, Strategic Partnerships, Strategy, Marketing Strategy, Salesforce.com, Product Marketing, Business Development
Education
Simmons College - School of Social Work 2011 — 2014
Masters of Social Work
Simmons College - Simmons School of Management 1994 — 1996
MBA
Boston College
Bachelor of Arts, Magna Cum Laude
Boston Veteran Administration Hospital September 2013 - Present
Yoga Dawn September 2010 - Present
The Home for Little Wanderers 2014 - 2014
The Home for Little Wanderers 2014 - 2014
Home for Little Wanderers September 2012 - May 2013
SSW September 2011 - May 2012
Iron Mountain July 2007 - July 2010
AT&T March 1997 - September 2006
BCBSMA 1995 - 1997
Skills
Integrated Marketing, Leadership, Program Management, Marketing, B2B, Change Management, Team Building, Budgets, Fundraising, Go-to-market Strategy, Staff Development, Lead Generation, Strategic Partnerships, Strategy, Marketing Strategy, Salesforce.com, Product Marketing, Business Development
Education
Simmons College - School of Social Work 2011 — 2014
Masters of Social Work
Simmons College - Simmons School of Management 1994 — 1996
MBA
Boston College
Bachelor of Arts, Magna Cum Laude
Nancy Carlucci, LICSW, Psy.D., CCM Nancy Carlucci, LICSW, Psy.D., CCM's BCBSMA Experience March 2010 - January 2012
Job Director of Case Management at Blue Cross Blue Shield MA
Industry Insurance
Experience
Blue Cross Blue Shield MA January 2012 - Present
BCBSMA March 2010 - January 2012
Network Health September 2005 - April 2010
Skills
Managed Care, NCQA, Disease Management, Medicaid, Provider Relations, HEDIS, Healthcare, Case Managment, Healthcare Management, Evaluation, Healthcare Industry, Health Insurance, Behavioral Health, Management, Quality Improvement, Leadership, Public Health, Case Management, Social Services, Psychotherapy, HIPAA, Team Building, Health Policy, Program Development, Healthcare Consulting, Case Management Services, Team Leadership, Performance Management, Staff Development
Education
Antioch New England Graduate School, Antioch University 1995 — 2000
Psy.D., Clinical Psychology
Simmons School of Social Work 1987 — 1989
Master of Social Work (MSW)
Rutgers University
Bachelor of Arts (B.A.)
Blue Cross Blue Shield MA January 2012 - Present
BCBSMA March 2010 - January 2012
Network Health September 2005 - April 2010
Skills
Managed Care, NCQA, Disease Management, Medicaid, Provider Relations, HEDIS, Healthcare, Case Managment, Healthcare Management, Evaluation, Healthcare Industry, Health Insurance, Behavioral Health, Management, Quality Improvement, Leadership, Public Health, Case Management, Social Services, Psychotherapy, HIPAA, Team Building, Health Policy, Program Development, Healthcare Consulting, Case Management Services, Team Leadership, Performance Management, Staff Development
Education
Antioch New England Graduate School, Antioch University 1995 — 2000
Psy.D., Clinical Psychology
Simmons School of Social Work 1987 — 1989
Master of Social Work (MSW)
Rutgers University
Bachelor of Arts (B.A.)
julia hsia's BCBSMA Experience August 2001 - June 2005
Job SAS, Database, Mainframe Consultant
Industry Information Technology and Services
Experience
Boston Symphony Orchestra March 2009 - Present
Harvard Museum of Natural History March 2009 - Present
Hewlett-Packard August 2007 - December 2008
Information Resources Inc February 2007 - May 2007
IHCIS/UHG February 2006 - June 2006
Houghton Mifflin August 2005 - October 2005
BCBSMA August 2001 - June 2005
Putnam Investments April 2000 - January 2001
City of Boston January 2000 - April 2000
Harvard University December 1998 - August 1999
Education
Barnard College, Columbia University
B.A, Mathematics
Harvard University
MS, computer science
Boston Symphony Orchestra March 2009 - Present
Harvard Museum of Natural History March 2009 - Present
Hewlett-Packard August 2007 - December 2008
Information Resources Inc February 2007 - May 2007
IHCIS/UHG February 2006 - June 2006
Houghton Mifflin August 2005 - October 2005
BCBSMA August 2001 - June 2005
Putnam Investments April 2000 - January 2001
City of Boston January 2000 - April 2000
Harvard University December 1998 - August 1999
Education
Barnard College, Columbia University
B.A, Mathematics
Harvard University
MS, computer science
S. Elizabeth Gonzalez's BCBSMA Experience September 2006 - September 2007
Job Senior Manager, Steward Health Care
Industry Insurance
Experience
Steward Health Care March 2015 - Present
Deloitte January 2013 - February 2015
Tufts Health Plan January 2011 - January 2013
Hewitt Associates October 2007 - February 2011
BCBSMA September 2006 - September 2007
BCBSMA September 2004 - September 2006
BCBSMA May 2002 - September 2004
Skills
Actuarial Science, Health Insurance, Employee Benefits, Managed Care, Statistics, Healthcare, Management Consulting, Strategy
Education
Boston University 1998 — 2002
Steward Health Care March 2015 - Present
Deloitte January 2013 - February 2015
Tufts Health Plan January 2011 - January 2013
Hewitt Associates October 2007 - February 2011
BCBSMA September 2006 - September 2007
BCBSMA September 2004 - September 2006
BCBSMA May 2002 - September 2004
Skills
Actuarial Science, Health Insurance, Employee Benefits, Managed Care, Statistics, Healthcare, Management Consulting, Strategy
Education
Boston University 1998 — 2002
Christina Liscombe Christina Liscombe's BCBSMA Experience October 2007 - August 2008
Job Project Manager Health & Medical Management
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts October 2013 - Present
Blue Cross Blue Shield of Massachusetts April 2012 - October 2013
Blue Cross Blue Shield of Massachusetts August 2008 - April 2012
BCBSMA October 2007 - August 2008
Skills
Healthcare, Project Management, Process Improvement, Strategic Planning, Health Insurance, Non-profits, Microsoft Office, Data Analysis, Leadership Development, Research, Nonprofits, Outlook, PowerPoint, Leadership, Analysis, Customer Service, Microsoft Excel, Management, Visio, Microsoft Word, Program Management, Strategy
Education
Simmons College - Simmons School of Management 2010 — 2014
MBA, Health/Health Care Administration/Management
Fitchburg State University 2003 — 2007
BS, Communications
Blue Cross Blue Shield of Massachusetts October 2013 - Present
Blue Cross Blue Shield of Massachusetts April 2012 - October 2013
Blue Cross Blue Shield of Massachusetts August 2008 - April 2012
BCBSMA October 2007 - August 2008
Skills
Healthcare, Project Management, Process Improvement, Strategic Planning, Health Insurance, Non-profits, Microsoft Office, Data Analysis, Leadership Development, Research, Nonprofits, Outlook, PowerPoint, Leadership, Analysis, Customer Service, Microsoft Excel, Management, Visio, Microsoft Word, Program Management, Strategy
Education
Simmons College - Simmons School of Management 2010 — 2014
MBA, Health/Health Care Administration/Management
Fitchburg State University 2003 — 2007
BS, Communications
Mary Maureen Nolan, PMP Mary Maureen Nolan, PMP's BCBSMA Experience 2002 - 2012
Job Sr IT Project Manager at Tufts Health Plan
Industry
Experience
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
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
David Rudick's BCBSMA Experience April 1995 - Present
Job Provider Relations Manager at BCBSMA
Industry Health, Wellness and Fitness
Experience
BCBSMA April 1995 - Present
Consolidated Health Plans 1992 - 1995
Preferred Medical Evaluations 1989 - 1992
Various Insurance Companies (Liberty Mutual, Sentry) 1983 - 1989
Groton Dunstable Regional School District 1981 - 1983
Skills
Customer Service, Microsoft Office, Insurance, Data Analysis, Access, Process Improvement, Analysis, Project Management, Program Management, Business Analysis, Strategic Planning, Change Management, Leadership, Risk Management, Management, Team Building, Microsoft Excel, Healthcare Management, Health Insurance, Healthcare, Microsoft Word, General Insurance, Marketing Communications, Property & Casualty..., Training, Policy, Coaching, HIPAA, Software Documentation
Education
Worcester State College
N/A, Chemistry, Photography 3
Fitchburg State College 1976 — 1981
Bachelor of Science, Geography
BCBSMA April 1995 - Present
Consolidated Health Plans 1992 - 1995
Preferred Medical Evaluations 1989 - 1992
Various Insurance Companies (Liberty Mutual, Sentry) 1983 - 1989
Groton Dunstable Regional School District 1981 - 1983
Skills
Customer Service, Microsoft Office, Insurance, Data Analysis, Access, Process Improvement, Analysis, Project Management, Program Management, Business Analysis, Strategic Planning, Change Management, Leadership, Risk Management, Management, Team Building, Microsoft Excel, Healthcare Management, Health Insurance, Healthcare, Microsoft Word, General Insurance, Marketing Communications, Property & Casualty..., Training, Policy, Coaching, HIPAA, Software Documentation
Education
Worcester State College
N/A, Chemistry, Photography 3
Fitchburg State College 1976 — 1981
Bachelor of Science, Geography
Kathleen Goonan Kathleen Goonan's BCBSMA Experience 1992 - 1998
Job CEO, Goonan Performance Strategies, LLC
Industry Hospital & Health Care
Experience
Goonan Performance Strategies February 2011 - Present
Mongan Institute for Health Policy, Massachusetts General Hospital/Partners 2003 - Present
MGH Center for Performance Excellence 2003 - August 2011
American Society for Quality 2011 - 2011
Institute for Healthcare Improvement 2000 - 2002
BCBSMA 1992 - 1998
Skills
Leadership, Change Management, Strategic Planning, Healthcare, Strategic Partnerships, Operational Excellence, Healthcare Management, Hospitals, Healthcare Information..., Clinical Research, Research, Quality Improvement, Healthcare Consulting, Public Health, EMR, Patient Safety, Lifesciences, Nonprofits, Informatics, Board of Director..., Business Strategy, Quality Management, Oncology, Critical Care, Business Process..., Pediatrics, Health Policy, Medical Devices, Disease Management, Strategy, Management Consulting, Organizational..., Managed Care, Executive Coaching, Project Management, HIPAA, Internal Medicine, Medicare, Case Managment, Physician Relations, EHR, Medical Education, Medicine, Physicians, Revenue Cycle, Healthcare Industry, Performance Improvement, Inpatient, Health Information..., Malcolm Baldrige
Education
University of California, Davis 1978 — 1982
M.D., Medicine
Stanford University
University of California, Santa Cruz
Goonan Performance Strategies February 2011 - Present
Mongan Institute for Health Policy, Massachusetts General Hospital/Partners 2003 - Present
MGH Center for Performance Excellence 2003 - August 2011
American Society for Quality 2011 - 2011
Institute for Healthcare Improvement 2000 - 2002
BCBSMA 1992 - 1998
Skills
Leadership, Change Management, Strategic Planning, Healthcare, Strategic Partnerships, Operational Excellence, Healthcare Management, Hospitals, Healthcare Information..., Clinical Research, Research, Quality Improvement, Healthcare Consulting, Public Health, EMR, Patient Safety, Lifesciences, Nonprofits, Informatics, Board of Director..., Business Strategy, Quality Management, Oncology, Critical Care, Business Process..., Pediatrics, Health Policy, Medical Devices, Disease Management, Strategy, Management Consulting, Organizational..., Managed Care, Executive Coaching, Project Management, HIPAA, Internal Medicine, Medicare, Case Managment, Physician Relations, EHR, Medical Education, Medicine, Physicians, Revenue Cycle, Healthcare Industry, Performance Improvement, Inpatient, Health Information..., Malcolm Baldrige
Education
University of California, Davis 1978 — 1982
M.D., Medicine
Stanford University
University of California, Santa Cruz
Tammy Tantillo's BCBSMA Experience April 2007 - April 2012
Job Training and Documentation Specialists at Blue Cross Blue Shield of Massachusetts
Industry Health, Wellness and Fitness
Experience
Blue Cross Blue Shield of Massachusetts April 2012 - Present
BCBSMA April 2007 - April 2012
Blue Cross Blue Shield of Massachusetts September 2005 - April 2007
ATS Mobile Electronics 2000 - 2005
Skills
Insurance, Data Entry, Customer Service, Healthcare, Training Skills, Sales Management, Training, Sales, Analysis
Education
Quincy College 1997 — 1998
WINNISQUAM 1990 — 1996
Blue Cross Blue Shield of Massachusetts April 2012 - Present
BCBSMA April 2007 - April 2012
Blue Cross Blue Shield of Massachusetts September 2005 - April 2007
ATS Mobile Electronics 2000 - 2005
Skills
Insurance, Data Entry, Customer Service, Healthcare, Training Skills, Sales Management, Training, Sales, Analysis
Education
Quincy College 1997 — 1998
WINNISQUAM 1990 — 1996
Lisa DelGreco Lisa DelGreco's BCBSMA Experience January 1986 - January 1996
Job IT Project Specialist at Southcoast Health System & Southcoast Hospitals Group
Industry Program Development
Experience
Southcoast Health System & Southcoast Hospitals Group March 2014 - Present
Steward Health Care April 2012 - November 2013
BMC HealthNet Plan December 2009 - June 2011
BMC HealthNet Plan November 2008 - December 2009
WearGuard May 2006 - April 2008
WearGuard September 2000 - May 2006
WearGuard January 1997 - September 2000
BCBSMA January 1986 - January 1996
Skills
Training &..., Performance Improvement, Customer Service, Instructional Design, Needs Analysis, Program Facilitation, Sales Skills Training, Training, Management, Organizational..., Selling Skills, Leadership, Software Documentation, Sales, Program Management, Project Planning, Employee Relations, Cross-functional Team..., Time Management, Process Improvement, Team Building, Coaching, Quality Assurance, Healthcare, Performance Management, Leadership Development, Employee Training, Marketing Strategy, Training & Development
Education
University of Massachusetts Dartmouth
Bachelor's, English with a Writing Concentration
Southcoast Health System & Southcoast Hospitals Group March 2014 - Present
Steward Health Care April 2012 - November 2013
BMC HealthNet Plan December 2009 - June 2011
BMC HealthNet Plan November 2008 - December 2009
WearGuard May 2006 - April 2008
WearGuard September 2000 - May 2006
WearGuard January 1997 - September 2000
BCBSMA January 1986 - January 1996
Skills
Training &..., Performance Improvement, Customer Service, Instructional Design, Needs Analysis, Program Facilitation, Sales Skills Training, Training, Management, Organizational..., Selling Skills, Leadership, Software Documentation, Sales, Program Management, Project Planning, Employee Relations, Cross-functional Team..., Time Management, Process Improvement, Team Building, Coaching, Quality Assurance, Healthcare, Performance Management, Leadership Development, Employee Training, Marketing Strategy, Training & Development
Education
University of Massachusetts Dartmouth
Bachelor's, English with a Writing Concentration
Debra Weafer, CCP, CBP Debra Weafer, CCP, CBP's BCBSMA Experience March 2008 - June 2011
Job Vice President, Compensation and Benefits at BCBSMA
Industry Human Resources
Experience
Blue Cross Blue Shield of Massachusetts June 2011 - June 2011
BCBSMA March 2008 - June 2011
BCBSMA November 1999 - March 2008
BCBSMA October 1997 - November 1999
Lifespan May 1993 - October 1997
The Kendall Company May 1983 - May 1993
Education
Northeastern University
BSBA, Management
Blue Cross Blue Shield of Massachusetts June 2011 - June 2011
BCBSMA March 2008 - June 2011
BCBSMA November 1999 - March 2008
BCBSMA October 1997 - November 1999
Lifespan May 1993 - October 1997
The Kendall Company May 1983 - May 1993
Education
Northeastern University
BSBA, Management
Alan Krumholz Alan Krumholz's BCBSMA Experience 1992 - 1997
Job SemiRetired and Principal K Square Consulting
Industry Medical Practice
Experience
K Square Consulting July 2014 - Present
FSH/Mayo June 2001 - 2014
Mayo Clinic Health System in La Crosse 2001 - 2014
Health Tradition Health Plan 2001 - 2014
ACMQ February 2011 - February 2013
Qualchoice of VA and UVa Med School 1997 - 2000
Blue Cross Blue Shield of Massachusetts 1994 - 1997
BCBSMA 1992 - 1997
Skills
Healthcare Management, Healthcare Information..., Informatics, Managed Care
Education
State University of New York Downstate Medical Center College of Medicine 1972 — 1976
MD, medicine
K Square Consulting July 2014 - Present
FSH/Mayo June 2001 - 2014
Mayo Clinic Health System in La Crosse 2001 - 2014
Health Tradition Health Plan 2001 - 2014
ACMQ February 2011 - February 2013
Qualchoice of VA and UVa Med School 1997 - 2000
Blue Cross Blue Shield of Massachusetts 1994 - 1997
BCBSMA 1992 - 1997
Skills
Healthcare Management, Healthcare Information..., Informatics, Managed Care
Education
State University of New York Downstate Medical Center College of Medicine 1972 — 1976
MD, medicine
Karen McKinnon Karen McKinnon's BCBSMA Experience April 2009 - September 2011
Job RN Case Manager
Industry Hospital & Health Care
Experience
Brigham and Women's Hospital July 2015 - Present
UMass Memorial Medical Center November 2014 - Present
Commonwealth Care Alliance September 2011 - Present
Mollen Immunization Clinics August 2011 - Present
Brigham and Women's Hospital May 2015 - July 2015
Brigham and Women's Hospital May 2015 - May 2015
Commonwealth Care Alliance February 2013 - November 2014
BCBSMA April 2009 - September 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Internet, Case Managment, Medical Coding, Medical Terminology, Fraud Detection, eClinical Works, EMR, Medical Records, Public Health, Compliance, Medicare, Medicaid, Patient Advocacy, Epic Systems, Utilization Review, Health Policy, HEDIS, Long-term Care, Medical Compliance, Meditech, Elder Care, Inpatient, Hospitals, Nursing, Orthopedic, HIPAA, Healthcare, Quality Improvement, Home Care, Managed Care, Nursing Education, Patient Safety, Clinical Research, Disease Management, Health Education, Provider Relations, Health Insurance, Gerontology, Medicaid Managed Care, Community Health, Medical Case Management, Case Management, Medical/Surgical, Acute Care, Healthcare Information..., Orthopedics, Healthcare Management
Education
Laboure College 2001 — 2004
Registered Nursing/Registered Nurse
Brigham and Women's Hospital July 2015 - Present
UMass Memorial Medical Center November 2014 - Present
Commonwealth Care Alliance September 2011 - Present
Mollen Immunization Clinics August 2011 - Present
Brigham and Women's Hospital May 2015 - July 2015
Brigham and Women's Hospital May 2015 - May 2015
Commonwealth Care Alliance February 2013 - November 2014
BCBSMA April 2009 - September 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Internet, Case Managment, Medical Coding, Medical Terminology, Fraud Detection, eClinical Works, EMR, Medical Records, Public Health, Compliance, Medicare, Medicaid, Patient Advocacy, Epic Systems, Utilization Review, Health Policy, HEDIS, Long-term Care, Medical Compliance, Meditech, Elder Care, Inpatient, Hospitals, Nursing, Orthopedic, HIPAA, Healthcare, Quality Improvement, Home Care, Managed Care, Nursing Education, Patient Safety, Clinical Research, Disease Management, Health Education, Provider Relations, Health Insurance, Gerontology, Medicaid Managed Care, Community Health, Medical Case Management, Case Management, Medical/Surgical, Acute Care, Healthcare Information..., Orthopedics, Healthcare Management
Education
Laboure College 2001 — 2004
Registered Nursing/Registered Nurse
Julie Scansaroli's BCBSMA Experience August 2008 - June 2011
Job Account Service Consultant at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts June 2011 - Present
BCBSMA August 2008 - June 2011
Blue Cross Blue Shield of Massachusetts December 2005 - August 2008
Blue Cross Blue Shield of Massachusetts February 2005 - December 2005
Chadwicks of Boston June 2004 - January 2005
Skills
Insurance, Customer Service, Account Management, Microsoft Excel, Leadership, Process Improvement, Outlook, PowerPoint, Microsoft Office, Access, Healthcare, Social Media, Analysis, Public Speaking, Call Centers, Marketing, Social Media Marketing, Data Analysis, Email Marketing, Managed Care, Employee Benefits, HIPAA, Sales
Education
Salve Regina University 2000 — 2004
Bachelor of Science (B.S.), Business Administration and Management, General
Massasoit Community College 2014 — 2015
Certificate, Human Resources Management/Personnel Administration, General, A
Blue Cross Blue Shield of Massachusetts June 2011 - Present
BCBSMA August 2008 - June 2011
Blue Cross Blue Shield of Massachusetts December 2005 - August 2008
Blue Cross Blue Shield of Massachusetts February 2005 - December 2005
Chadwicks of Boston June 2004 - January 2005
Skills
Insurance, Customer Service, Account Management, Microsoft Excel, Leadership, Process Improvement, Outlook, PowerPoint, Microsoft Office, Access, Healthcare, Social Media, Analysis, Public Speaking, Call Centers, Marketing, Social Media Marketing, Data Analysis, Email Marketing, Managed Care, Employee Benefits, HIPAA, Sales
Education
Salve Regina University 2000 — 2004
Bachelor of Science (B.S.), Business Administration and Management, General
Massasoit Community College 2014 — 2015
Certificate, Human Resources Management/Personnel Administration, General, A
Susan Frodigh Susan Frodigh's BCBSMA Experience 1981 - 1997
Job Executive Assistant at TFC Financial Management
Industry Investment Management
Experience
TFC Financial Management 2008 - Present
SSgA 1998 - 2008
BCBSMA 1981 - 1997
Education
Katharine Gibbs School
Northeastern University
Bachelor's-English
TFC Financial Management 2008 - Present
SSgA 1998 - 2008
BCBSMA 1981 - 1997
Education
Katharine Gibbs School
Northeastern University
Bachelor's-English
Genesis Giraldo's BCBSMA Experience June 2010 - August 2010
Job Client Service Executive focused on Business Development at Nielsen
Industry Marketing and Advertising
Experience
Nielsen January 2014 - Present
Nielsen June 2012 - December 2013
Denison University May 2011 - May 2012
Denison University September 2010 - May 2012
Hill Holliday June 2011 - August 2011
BCBSMA June 2010 - August 2010
World Teach June 2009 - August 2009
Skills
Community Outreach, Project Management, Consumer Insight, Data Analysis, Research, Thought Leadership, Bilingual, Multilingual, Spanish, Strategy, Management, Social Networking, Editing, PowerPoint, Public Speaking, Event Planning, Nonprofits, Microsoft Office, Social Media
Education
Denison University 2008 — 2012
Bachelor of Arts, Communication & International Studies
Goldsmiths College, U. of London 2011 — 2011
Bachelor of Arts, Communication
Nielsen January 2014 - Present
Nielsen June 2012 - December 2013
Denison University May 2011 - May 2012
Denison University September 2010 - May 2012
Hill Holliday June 2011 - August 2011
BCBSMA June 2010 - August 2010
World Teach June 2009 - August 2009
Skills
Community Outreach, Project Management, Consumer Insight, Data Analysis, Research, Thought Leadership, Bilingual, Multilingual, Spanish, Strategy, Management, Social Networking, Editing, PowerPoint, Public Speaking, Event Planning, Nonprofits, Microsoft Office, Social Media
Education
Denison University 2008 — 2012
Bachelor of Arts, Communication & International Studies
Goldsmiths College, U. of London 2011 — 2011
Bachelor of Arts, Communication
Darcey Fahey's BCBSMA Experience 2001 - 2011
Job Manager, Fulfillment at Propel Marketing
Industry Marketing and Advertising
Experience
Propel Marketing April 2014 - Present
Propel Marketing September 2013 - April 2014
Propel Marketing May 2013 - September 2013
OfferBeam, Corporation 2011 - August 2013
Mercer Management Consulting April 2012 - May 2013
Mercer Management Consulting 2011 - 2012
BCBSMA 2001 - 2011
Iron Mountain 2000 - 2001
Tufts Health Plan 1997 - 2000
Skills
Strategy, Social Media, Sales, Business Development, Analytics, Event Management, CRM, Operations Management, Integration, Business Process, Vendor Management, Management, Account Management, Program Management, Process Improvement
Education
Regis College 1993 — 1997
BA, Political Science
Propel Marketing April 2014 - Present
Propel Marketing September 2013 - April 2014
Propel Marketing May 2013 - September 2013
OfferBeam, Corporation 2011 - August 2013
Mercer Management Consulting April 2012 - May 2013
Mercer Management Consulting 2011 - 2012
BCBSMA 2001 - 2011
Iron Mountain 2000 - 2001
Tufts Health Plan 1997 - 2000
Skills
Strategy, Social Media, Sales, Business Development, Analytics, Event Management, CRM, Operations Management, Integration, Business Process, Vendor Management, Management, Account Management, Program Management, Process Improvement
Education
Regis College 1993 — 1997
BA, Political Science
Kristin McCarthy Kristin McCarthy's BCBSMA Experience June 2009 - August 2009
Job Manager, Health Reform Practice at Avalere Health
Industry Law Practice
Experience
Avalere Health February 2014 - Present
Massachusetts Health Connector February 2012 - February 2014
Middlesex Probate and Family Court October 2011 - February 2012
Massachusetts Executive Office of Health and Human Services June 2010 - August 2010
BCBSMA June 2009 - August 2009
Burns McClellan October 2005 - August 2007
Skills
Legal Research, Public Relations, Public Policy, Public Speaking, Healthcare, Policy Analysis, Nonprofits, Editing, Strategic Communications, PowerPoint, Government, Legal Writing
Education
Suffolk University Law School 2008 — 2011
J.D., cum laude
Trinity College-Hartford 2001 — 2005
B.A., Political Science with honors
Holton-Arms School
Avalere Health February 2014 - Present
Massachusetts Health Connector February 2012 - February 2014
Middlesex Probate and Family Court October 2011 - February 2012
Massachusetts Executive Office of Health and Human Services June 2010 - August 2010
BCBSMA June 2009 - August 2009
Burns McClellan October 2005 - August 2007
Skills
Legal Research, Public Relations, Public Policy, Public Speaking, Healthcare, Policy Analysis, Nonprofits, Editing, Strategic Communications, PowerPoint, Government, Legal Writing
Education
Suffolk University Law School 2008 — 2011
J.D., cum laude
Trinity College-Hartford 2001 — 2005
B.A., Political Science with honors
Holton-Arms School
Bridget Henry Bridget Henry's BCBSMA Experience April 2011 - Present
Job IT Systems Analyst
Industry Insurance
Experience
BCBSMA April 2011 - Present
BCBSMA September 1995 - April 2011
Blue Cross Blue Shield of Massachusetts April 1994 - September 1995
Blue Cross Blue Shield of Massachusetts July 1991 - April 1994
Skills
Healthcare Information..., SQL, Visio, SharePoint, Software Project..., Unix, Databases, Testing, Process Improvement, MS Project, Software Documentation, Requirements Analysis, Program Management, Crystal Reports, Microsoft Office, Business Intelligence, Business Requirements, Microsoft Excel, Data Analysis, PMO, Integration, Vendor Management
Education
Mount Holyoke College 1987 — 1991
BA, English
Fontbonne Academy
BCBSMA April 2011 - Present
BCBSMA September 1995 - April 2011
Blue Cross Blue Shield of Massachusetts April 1994 - September 1995
Blue Cross Blue Shield of Massachusetts July 1991 - April 1994
Skills
Healthcare Information..., SQL, Visio, SharePoint, Software Project..., Unix, Databases, Testing, Process Improvement, MS Project, Software Documentation, Requirements Analysis, Program Management, Crystal Reports, Microsoft Office, Business Intelligence, Business Requirements, Microsoft Excel, Data Analysis, PMO, Integration, Vendor Management
Education
Mount Holyoke College 1987 — 1991
BA, English
Fontbonne Academy
Janet Spiegel Janet Spiegel's BCBSMA Experience May 2014 - Present
Job Senior Consultant, Business Consulting Group at BCBSMA
Industry Insurance
Experience
BCBSMA May 2014 - Present
Skills
Project Management, Process Improvement, Facilitations, Writing, Editing, Copy Editing, Journalism, Facilitators, Project Planning, Web Content, Newsletters, Editorial, Cross-functional Team..., Content Development, Content Management, Management, Training, Leadership, Strategic Planning, Business Process..., Copywriting, Program Management, Interviews
Education
Simmons College 2007 — 2011
Masters, Communication Management
Rollins College 1994 — 1998
Bachelors, English
BCBSMA May 2014 - Present
Skills
Project Management, Process Improvement, Facilitations, Writing, Editing, Copy Editing, Journalism, Facilitators, Project Planning, Web Content, Newsletters, Editorial, Cross-functional Team..., Content Development, Content Management, Management, Training, Leadership, Strategic Planning, Business Process..., Copywriting, Program Management, Interviews
Education
Simmons College 2007 — 2011
Masters, Communication Management
Rollins College 1994 — 1998
Bachelors, English
Lauri Tenney's BCBSMA Experience 1991 - 1999
Job Director, Benefits
Industry Human Resources
Experience
EMC January 2011 - Present
EMC August 2000 - January 2011
BCBSMA 1991 - 1999
Skills
Benefits Administration, Deferred Compensation, Human Resources, Employee Relations, PeopleSoft, Employee Engagement, Vendor Management, Benefits Negotiation, Incentive Programs, Compensation & Benefit, Employee Benefits, HRIS
Education
Framingham State College 1986 — 1991
Bachelor of Arts (B.A.), English Language and Literature/Letters
EMC January 2011 - Present
EMC August 2000 - January 2011
BCBSMA 1991 - 1999
Skills
Benefits Administration, Deferred Compensation, Human Resources, Employee Relations, PeopleSoft, Employee Engagement, Vendor Management, Benefits Negotiation, Incentive Programs, Compensation & Benefit, Employee Benefits, HRIS
Education
Framingham State College 1986 — 1991
Bachelor of Arts (B.A.), English Language and Literature/Letters
Cherie Green's BCBSMA Experience 2005 - August 2012
Job Manager, Human Resources Service Center at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts November 2011 - Present
BCBSMA 2005 - August 2012
American Red Cross 2002 - 2005
Skills
Onboarding, Employee Relations, Talent Acquisition, Leadership Development, Organizational..., Succession Planning, Applicant Tracking..., Technical Recruiting, Employee Benefits, Deferred Compensation, Recruiting, Personnel Management, Human Resources, Performance Management, Benefits Administration, PeopleSoft, Employee Engagement, Interviews, HRIS, Workforce Planning, Change Management, Organizational..., Talent Management, Career Development
Education
Fitchburg State University 1987 — 1991
BS, Sociology
Blue Cross Blue Shield of Massachusetts November 2011 - Present
BCBSMA 2005 - August 2012
American Red Cross 2002 - 2005
Skills
Onboarding, Employee Relations, Talent Acquisition, Leadership Development, Organizational..., Succession Planning, Applicant Tracking..., Technical Recruiting, Employee Benefits, Deferred Compensation, Recruiting, Personnel Management, Human Resources, Performance Management, Benefits Administration, PeopleSoft, Employee Engagement, Interviews, HRIS, Workforce Planning, Change Management, Organizational..., Talent Management, Career Development
Education
Fitchburg State University 1987 — 1991
BS, Sociology
Steve Edens's BCBSMA Experience 2004 - June 2009
Job PSAIL Senior Consultant and Manager
Industry Computer Software
Experience
PSAIL September 2009 - Present
PSAIL Technology Inc April 1994 - Present
Blue Cross Blue Shield of Massachusetts December 2004 - June 2009
BCBSMA 2004 - June 2009
GRX Technologies January 2002 - March 2003
Nextera 1999 - 2001
IBM July 1981 - April 1994
Skills
Enterprise Architecture, Java Enterprise Edition, Business Process Design, Software Development, SOA, SDLC, Business Process..., System Architecture, HIPAA, JMS, Business Architecture, SOAP, Integration, Business Process, PMO, Enterprise Software, TOGAF
Education
University of Florida - Warrington College of Business Administration 1978 — 1981
MBA, Information Technology and Quantitative Management
University of North Carolina at Chapel Hill 1971 — 1975
Bachelor of Arts (B.A.), Political Science
Myers Park 1968 — 1971
High School, Surviving
PSAIL September 2009 - Present
PSAIL Technology Inc April 1994 - Present
Blue Cross Blue Shield of Massachusetts December 2004 - June 2009
BCBSMA 2004 - June 2009
GRX Technologies January 2002 - March 2003
Nextera 1999 - 2001
IBM July 1981 - April 1994
Skills
Enterprise Architecture, Java Enterprise Edition, Business Process Design, Software Development, SOA, SDLC, Business Process..., System Architecture, HIPAA, JMS, Business Architecture, SOAP, Integration, Business Process, PMO, Enterprise Software, TOGAF
Education
University of Florida - Warrington College of Business Administration 1978 — 1981
MBA, Information Technology and Quantitative Management
University of North Carolina at Chapel Hill 1971 — 1975
Bachelor of Arts (B.A.), Political Science
Myers Park 1968 — 1971
High School, Surviving
Bernard Piccione's BCBSMA Experience February 2005 - December 2008
Job CIO, EVP
Industry Insurance
Experience
MagnaCare August 2011 - 2014
APA October 2009 - August 2011
BCBSMA February 2005 - December 2008
Houghton Mifflin Harcourt 2001 - 2005
GE Healthcare November 1999 - November 2001
Skills
Enterprise Architecture, Vendor Management, IT Operations, IT Strategy, SDLC, Governance, Team Leadership, Outsourcing, Disaster Recovery, Strategy, Management, Business Continuity, Cost-savings, PMP, Enterprise Software, Strategic Planning, Program Management, Leadership, Integration, Product Development, Business Process..., IT Service Management, Testing, Process Improvement, Team Building, PMO, Project Planning, Business Analysis, Quality Assurance, Business Transformation, Requirements Analysis, Oracle, IT Management, SharePoint, Project Portfolio..., Business Intelligence, Visio, Software Development, Data Warehousing, Software Project..., Change Management, MS Project, Business Process, Healthcare Information..., Information Technology, Project Management, Infrastructure, HIPAA, Cloud Computing, Data Center
Education
Babson College 2004 — 2004
Boston University 1994 — 1996
MSCS, Computer Sciences
MagnaCare August 2011 - 2014
APA October 2009 - August 2011
BCBSMA February 2005 - December 2008
Houghton Mifflin Harcourt 2001 - 2005
GE Healthcare November 1999 - November 2001
Skills
Enterprise Architecture, Vendor Management, IT Operations, IT Strategy, SDLC, Governance, Team Leadership, Outsourcing, Disaster Recovery, Strategy, Management, Business Continuity, Cost-savings, PMP, Enterprise Software, Strategic Planning, Program Management, Leadership, Integration, Product Development, Business Process..., IT Service Management, Testing, Process Improvement, Team Building, PMO, Project Planning, Business Analysis, Quality Assurance, Business Transformation, Requirements Analysis, Oracle, IT Management, SharePoint, Project Portfolio..., Business Intelligence, Visio, Software Development, Data Warehousing, Software Project..., Change Management, MS Project, Business Process, Healthcare Information..., Information Technology, Project Management, Infrastructure, HIPAA, Cloud Computing, Data Center
Education
Babson College 2004 — 2004
Boston University 1994 — 1996
MSCS, Computer Sciences
Anna Zeissig's BCBSMA Experience 1997 - 2002
Job Senior Manager at Philips Healthcare
Industry Medical Devices
Experience
Philips Healthcare April 2014 - Present
Dartmouth College 2013 - 2013
Merrill Lynch 2010 - 2012
Fidelity Investments 2006 - 2009
TriZetto, A Cognizant Company 2005 - 2006
Harvard Pilgrim Healthcare 2004 - 2005
TriZetto Group 2003 - 2004
BCBSMA 1997 - 2002
Skills
Cross-functional Team..., SDLC, Process Improvement, Program Management, Healthcare, Leadership, Healthcare Information..., Business Process, Project Management, Strategy, Consulting, Product Management, Integration, PMP, Management, PMO, Relationship Management, Product Innovation, CRM, Business Process..., Change Management, Healthcare Operations, Requirements Analysis, Vendor Management, Risk Management, Analysis, Agile Methodologies, Lean Management, Medical Devices, Health Insurance, Performance Metrics, KPI Dashboards
Education
Suffolk University - Sawyer School of Management 2000 — 2002
Master of Business Administration (M.B.A.), Finance
Texas A&M University 1992 — 1996
Bachelor of Science (B.S.)
Philips Healthcare April 2014 - Present
Dartmouth College 2013 - 2013
Merrill Lynch 2010 - 2012
Fidelity Investments 2006 - 2009
TriZetto, A Cognizant Company 2005 - 2006
Harvard Pilgrim Healthcare 2004 - 2005
TriZetto Group 2003 - 2004
BCBSMA 1997 - 2002
Skills
Cross-functional Team..., SDLC, Process Improvement, Program Management, Healthcare, Leadership, Healthcare Information..., Business Process, Project Management, Strategy, Consulting, Product Management, Integration, PMP, Management, PMO, Relationship Management, Product Innovation, CRM, Business Process..., Change Management, Healthcare Operations, Requirements Analysis, Vendor Management, Risk Management, Analysis, Agile Methodologies, Lean Management, Medical Devices, Health Insurance, Performance Metrics, KPI Dashboards
Education
Suffolk University - Sawyer School of Management 2000 — 2002
Master of Business Administration (M.B.A.), Finance
Texas A&M University 1992 — 1996
Bachelor of Science (B.S.)
Julie Berry's BCBSMA Experience May 2003 - September 2008
Job
Industry Information Technology and Services
Experience
Steward Health Care August 2013 - Present
Steward Healthcare July 2011 - Present
Partners HealthCare System, Inc. 2009 - July 2011
BCBSMA May 2003 - September 2008
Houghton Mifflin 2000 - 2003
Lightbridge 1994 - 2000
Novasoft 1993 - 1994
TASC 1988 - 1993
Skills
Process Improvement, Enterprise Software, Disaster Recovery, Management, Security, Vendor Management, Data Center, Cloud Computing, Team Building, IT Strategy, Leadership, Integration, Strategy, Information Technology, Strategic Planning, Healthcare Information..., SDLC, Enterprise IT Strategy, Healthcare Management, Enterprise Architecture, SaaS, Outsourcing, Information Security, Program Management, Project Management, Information Security..., IT Management
Education
Suffolk University 1982 — 1986
BSBA
Steward Health Care August 2013 - Present
Steward Healthcare July 2011 - Present
Partners HealthCare System, Inc. 2009 - July 2011
BCBSMA May 2003 - September 2008
Houghton Mifflin 2000 - 2003
Lightbridge 1994 - 2000
Novasoft 1993 - 1994
TASC 1988 - 1993
Skills
Process Improvement, Enterprise Software, Disaster Recovery, Management, Security, Vendor Management, Data Center, Cloud Computing, Team Building, IT Strategy, Leadership, Integration, Strategy, Information Technology, Strategic Planning, Healthcare Information..., SDLC, Enterprise IT Strategy, Healthcare Management, Enterprise Architecture, SaaS, Outsourcing, Information Security, Program Management, Project Management, Information Security..., IT Management
Education
Suffolk University 1982 — 1986
BSBA
Greg MacGilpin's BCBSMA Experience 2003 - 2004
Job Director of PBM Operations MedMetrics Health Partners
Industry Hospital & Health Care
Experience
MedMetrics Health Partners, Inc. March 2006 - Present
Episcopal Diocese of Western Massachusetts 2001 - 2010
PSP/UMass 2004 - 2006
BCBSMA 2003 - 2004
Almerica Financial 1993 - 2003
Allmerica Financial 1999 - 2001
Education
The George Washington University 2000 — 2001
Masters
Central New England College
BSA
Curry College
BA
MedMetrics Health Partners, Inc. March 2006 - Present
Episcopal Diocese of Western Massachusetts 2001 - 2010
PSP/UMass 2004 - 2006
BCBSMA 2003 - 2004
Almerica Financial 1993 - 2003
Allmerica Financial 1999 - 2001
Education
The George Washington University 2000 — 2001
Masters
Central New England College
BSA
Curry College
BA
Amanda Sicvol's BCBSMA Experience September 2003 - March 2007
Job Director of Marketing at TyraTech, Inc.
Industry Consumer Goods
Experience
TyraTech, Inc. December 2014 - Present
TyraTech, Inc. March 2014 - December 2014
Burt's Bees October 2011 - February 2014
Burt's Bees May 2010 - December 2011
Burt's Bees May 2007 - May 2010
BCBSMA September 2003 - March 2007
Partners Healthcare System, Inc. May 2001 - September 2003
Education
Case Western Reserve University - Weatherhead School of Management 1999 — 2001
B.A., Political Science
Case Western Reserve University School of Law 1998 — 2001
J.D., Health Law
Case Western Reserve University 1995 — 1997
B.A., Political Science
TyraTech, Inc. December 2014 - Present
TyraTech, Inc. March 2014 - December 2014
Burt's Bees October 2011 - February 2014
Burt's Bees May 2010 - December 2011
Burt's Bees May 2007 - May 2010
BCBSMA September 2003 - March 2007
Partners Healthcare System, Inc. May 2001 - September 2003
Education
Case Western Reserve University - Weatherhead School of Management 1999 — 2001
B.A., Political Science
Case Western Reserve University School of Law 1998 — 2001
J.D., Health Law
Case Western Reserve University 1995 — 1997
B.A., Political Science
Sarah Meserve's BCBSMA Experience November 2001 - Present
Job Worksite Benefit Consultant
Industry Insurance
Experience
BCBSMA November 2001 - Present
Skills
Employee Benefits, Payroll, Strategic Planning, Health Insurance, Insurance, Benefits Administration, Sales, Disability Insurance, Healthcare, Customer Service, Term Life Insurance, Critical Illness, Life Insurance
Education
Northeastern University 2004 — 2006
BCBSMA November 2001 - Present
Skills
Employee Benefits, Payroll, Strategic Planning, Health Insurance, Insurance, Benefits Administration, Sales, Disability Insurance, Healthcare, Customer Service, Term Life Insurance, Critical Illness, Life Insurance
Education
Northeastern University 2004 — 2006
Anubhav Dahiya's BCBSMA Experience May 2006 - March 2008
Job Strategy Development, Integration and Architecture at Florida Blue
Industry Insurance
Experience
Florida Blue October 2014 - Present
Florida Blue April 2008 - Present
Blue Cross Blue Shield of Florida April 2008 - October 2014
BCBSMA May 2006 - March 2008
United Healthcare May 2005 - May 2006
Starcom Products October 2004 - May 2005
Bharati Vidyapeeth's College of Engineering July 2002 - January 2003
Communication Electronic July 2001 - December 2002
Telcom Finance India Limited 2001 - 2002
Skills
Requirements Analysis, SDLC, Data Warehousing, Business Analysis, Business Intelligence, ETL, Business Requirements, Strategy, IT Business Strategy, Strategic Program..., Business Architecture, Business Strategy, Software Project..., Vendor Management, Management, Agile Methodologies, Business Process, Enterprise Architecture, Strategic Planning, Team Building, Project Management
Education
New Jersey Institute of Technology 2003 — 2004
MS, Computer Science
Kurukshetra University 1997 — 2001
BTech, Computer Sc and Engg
M M Engineering College, Mullana 1997 — 2001
Bachelor of Engineering (B.E.), Computer Science
Banasthali Public School 1983 — 1997
High School, science
Florida Blue October 2014 - Present
Florida Blue April 2008 - Present
Blue Cross Blue Shield of Florida April 2008 - October 2014
BCBSMA May 2006 - March 2008
United Healthcare May 2005 - May 2006
Starcom Products October 2004 - May 2005
Bharati Vidyapeeth's College of Engineering July 2002 - January 2003
Communication Electronic July 2001 - December 2002
Telcom Finance India Limited 2001 - 2002
Skills
Requirements Analysis, SDLC, Data Warehousing, Business Analysis, Business Intelligence, ETL, Business Requirements, Strategy, IT Business Strategy, Strategic Program..., Business Architecture, Business Strategy, Software Project..., Vendor Management, Management, Agile Methodologies, Business Process, Enterprise Architecture, Strategic Planning, Team Building, Project Management
Education
New Jersey Institute of Technology 2003 — 2004
MS, Computer Science
Kurukshetra University 1997 — 2001
BTech, Computer Sc and Engg
M M Engineering College, Mullana 1997 — 2001
Bachelor of Engineering (B.E.), Computer Science
Banasthali Public School 1983 — 1997
High School, science
Kevin Rego's BCBSMA Experience 2008 - 2009
Job Director of Infrastructure
Industry Information Technology and Services
Experience
Candescent Health Build of Infrastructure and support architectureDirector IT OperationsCrimson HexagonDecember 2012 - July 2015
Nanigans November 2011 - December 2012
Acquia April 2009 - November 2011
Viximo August 2008 - April 2009
Blue Cross Blue Shield of Massachusetts July 2008 - 2009
BCBSMA 2008 - 2009
Blue Cross Blue Shield MA 2007 - 2008
Worldwinner.com May 2005 - July 2007
BBN/GTEI/Genuity 1998 - 2003
Level 3 Communications 2002 - 2002
Skills
MySQL, Linux, Agile Methodologies, PHP, Cloud Computing, Product Management, Web Development, Apache, HTML, Project Management, Perl, SQL, Unix, Web Applications, System Administration, Scrum, Nagios, Dev Ops, Servers, Data Center, Virtualization, Network Security
Education
University of Massachusetts at Lowell 1990 — 1995
Bachelor of Science, Atmospheric Sciences and Meteorology
Candescent Health Build of Infrastructure and support architectureDirector IT OperationsCrimson HexagonDecember 2012 - July 2015
Nanigans November 2011 - December 2012
Acquia April 2009 - November 2011
Viximo August 2008 - April 2009
Blue Cross Blue Shield of Massachusetts July 2008 - 2009
BCBSMA 2008 - 2009
Blue Cross Blue Shield MA 2007 - 2008
Worldwinner.com May 2005 - July 2007
BBN/GTEI/Genuity 1998 - 2003
Level 3 Communications 2002 - 2002
Skills
MySQL, Linux, Agile Methodologies, PHP, Cloud Computing, Product Management, Web Development, Apache, HTML, Project Management, Perl, SQL, Unix, Web Applications, System Administration, Scrum, Nagios, Dev Ops, Servers, Data Center, Virtualization, Network Security
Education
University of Massachusetts at Lowell 1990 — 1995
Bachelor of Science, Atmospheric Sciences and Meteorology
Joanne Angevine's BCBSMA Experience July 1994 - 2001
Job Sales Executive at BCBSMA
Industry Insurance
Experience
BlueCross BlueShield of Massachusetts 2005 - Present
The Bostonian Group 2001 - 2002
Blue Cross Blue Shield of Massachusetts 1996 - 2001
BCBSMA July 1994 - 2001
Fringe Benefit Design 1991 - 1994
Paul Revere 1989 - 1991
Skills
Disability Insurance, Benefits Administration, Employee Benefits, Underwriting, Health Insurance, Health Savings Accounts, Insurance
Education
University of Massachusetts, Amherst 1983 — 1987
Economics
BlueCross BlueShield of Massachusetts 2005 - Present
The Bostonian Group 2001 - 2002
Blue Cross Blue Shield of Massachusetts 1996 - 2001
BCBSMA July 1994 - 2001
Fringe Benefit Design 1991 - 1994
Paul Revere 1989 - 1991
Skills
Disability Insurance, Benefits Administration, Employee Benefits, Underwriting, Health Insurance, Health Savings Accounts, Insurance
Education
University of Massachusetts, Amherst 1983 — 1987
Economics
Richard Csongor's BCBSMA Experience 1995 - Present
Job Advanced Systems EE at EDS
Industry Computer Software
Experience
thetalkingcard.com March 2007 - Present
BCBSMA 1995 - Present
HP Enterprise Services 2000 - 2010
Blue Cross / Blue Shield 1994 - 1995
Bay State Healthcare 1991 - 1993
Skills
SDLC, Unix, Business Analysis, Requirements Analysis, Integration, SQL, Vendor Management, Data Warehousing, Oracle, Software Project..., Program Management, Process Improvement
Education
Bentley College 1983 — 1985
Computer Information Systems
Hamilton Wenham Regional High School 1979 — 1982
Diploma
thetalkingcard.com March 2007 - Present
BCBSMA 1995 - Present
HP Enterprise Services 2000 - 2010
Blue Cross / Blue Shield 1994 - 1995
Bay State Healthcare 1991 - 1993
Skills
SDLC, Unix, Business Analysis, Requirements Analysis, Integration, SQL, Vendor Management, Data Warehousing, Oracle, Software Project..., Program Management, Process Improvement
Education
Bentley College 1983 — 1985
Computer Information Systems
Hamilton Wenham Regional High School 1979 — 1982
Diploma
Ralph Bevilacqua's BCBSMA Experience January 2008 - Present
Job Director at BCBSMA
Industry Insurance
Experience
BCBSMA January 2008 - Present
Skills
Health Insurance, Insurance, Process Improvement, Call Centers, Healthcare, Managed Care, Medicare, Employee Benefits, HIPAA, Leadership, Vendor Management, Business Analysis, Strategic Planning, Health Policy, Management
Education
University of Massachusetts Boston 1994 — 1998
BCBSMA January 2008 - Present
Skills
Health Insurance, Insurance, Process Improvement, Call Centers, Healthcare, Managed Care, Medicare, Employee Benefits, HIPAA, Leadership, Vendor Management, Business Analysis, Strategic Planning, Health Policy, Management
Education
University of Massachusetts Boston 1994 — 1998
James McPhee's BCBSMA Experience 1995 - 1997
Job PPO Product Manager at Blue Cross and Blue Shield of MA
Industry Insurance
Experience
Blue Cross and Blue Shield of Massachusetts November 2010 - Present
Blue Cross Blue Shield of Massachusetts August 2004 - November 2010
Blue Cross Blue Shield of MA February 2001 - 2004
BCBSMA 1995 - 1997
BCBSMA 1995 - 1997
Skills
Insurance, Business Analysis, Program Management, SDLC, Process Improvement, Vendor Management, Underwriting, Visio, Managed Care, Medicare, Healthcare, Requirements Analysis
Education
Bridgewater State College 1985 — 1990
Bachelor's degree, Communictions
Blue Cross and Blue Shield of Massachusetts November 2010 - Present
Blue Cross Blue Shield of Massachusetts August 2004 - November 2010
Blue Cross Blue Shield of MA February 2001 - 2004
BCBSMA 1995 - 1997
BCBSMA 1995 - 1997
Skills
Insurance, Business Analysis, Program Management, SDLC, Process Improvement, Vendor Management, Underwriting, Visio, Managed Care, Medicare, Healthcare, Requirements Analysis
Education
Bridgewater State College 1985 — 1990
Bachelor's degree, Communictions
Janelle Miller's BCBSMA Experience May 2003 - April 2009
Job Sr. Product Manager for Clinical Content at PointClickCare
Industry Hospital & Health Care
Experience
PointClickCare April 2013 - Present
Milliman Care Guidelines April 2009 - April 2013
BCBSMA May 2003 - April 2009
McKesson Health Solutions April 1998 - May 2003
Tufts Health Plan 1995 - 1999
Sarasota Memorial Hospital 1993 - 1995
ResCare 1992 - 1993
The American College of Medical Quality 1989 - 1992
Skills
Utilization Management, Healthcare Information..., Managed Care, Healthcare, Disease Management, Medicare, Healthcare Management, Hospitals, EMR, Health Insurance, Process Improvement, Case Managment
Education
Nova Southeastern University 2001 — 2003
MBA, Business
University of Massachusetts at Lowell 1969 — 1973
BSN, Nursing
PointClickCare April 2013 - Present
Milliman Care Guidelines April 2009 - April 2013
BCBSMA May 2003 - April 2009
McKesson Health Solutions April 1998 - May 2003
Tufts Health Plan 1995 - 1999
Sarasota Memorial Hospital 1993 - 1995
ResCare 1992 - 1993
The American College of Medical Quality 1989 - 1992
Skills
Utilization Management, Healthcare Information..., Managed Care, Healthcare, Disease Management, Medicare, Healthcare Management, Hospitals, EMR, Health Insurance, Process Improvement, Case Managment
Education
Nova Southeastern University 2001 — 2003
MBA, Business
University of Massachusetts at Lowell 1969 — 1973
BSN, Nursing
Chun-Li Wu's BCBSMA Experience February 1981 - Present
Job Sr. Benefit Systems Analyst at bcbsma
Industry Hospital & Health Care
Experience
bcbsma February 1981 - Present
Skills
Healthcare, Process Improvement, HIPAA, Managed Care
Education
Fooyin University 1969 — 1974
Nursing, Registered Nursing/Registered Nurse and Nurse Midwife
bcbsma February 1981 - Present
Skills
Healthcare, Process Improvement, HIPAA, Managed Care
Education
Fooyin University 1969 — 1974
Nursing, Registered Nursing/Registered Nurse and Nurse Midwife
Abbie Statsky-Frank's BCBSMA Experience 1993 - 2001
Job Business Analyst at Vista Healthplan
Industry Hospital & Health Care
Experience
Vista Healthplan Business AnalystVista Health Plan2005 - Present
Vista 2005 - Present
Vista Healthplans 2004 - Present
BCBSMA 1993 - 2001
Blue Cross Blue Shield of Massachusetts 1993 - 2001
Education
Boston University Questrom School of Business 1985 — 1989
Vista Healthplan Business AnalystVista Health Plan2005 - Present
Vista 2005 - Present
Vista Healthplans 2004 - Present
BCBSMA 1993 - 2001
Blue Cross Blue Shield of Massachusetts 1993 - 2001
Education
Boston University Questrom School of Business 1985 — 1989
Roberta Zackman's BCBSMA Experience Director, Provider and Network RelationsBCBSMAJanuary 1991 - Present
Job Project Manager at Blue Cross Blue Shield of MASS
Industry Hospital & Health Care
Experience
BCBSMA Director, Provider and Network RelationsBCBSMAJanuary 1991 - Present
Park Health Care Services August 1986 - August 1991
The Continental Group (Continental Can) March 1980 - June 1989
Education
Cambridge College 1992 — 1994
BCBSMA Director, Provider and Network RelationsBCBSMAJanuary 1991 - Present
Park Health Care Services August 1986 - August 1991
The Continental Group (Continental Can) March 1980 - June 1989
Education
Cambridge College 1992 — 1994
Caroline Prindeville's BCBSMA Experience February 2011 - July 2014
Job
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts July 2014 - Present
BCBSMA February 2011 - July 2014
BCBSMA March 2009 - February 2011
ARAMARK 2006 - March 2009
LoJack 2000 - 2006
Lexington Insurance 1998 - 2000
Gillette 1998 - 1998
Skills
Employee Relations, Employee Engagement, Talent Management, Coaching, Organizational..., Organizational..., Workforce Planning, Change Management, Project Planning
Education
State University of New York College at Fredonia 1994 — 1998
Blue Cross Blue Shield of Massachusetts July 2014 - Present
BCBSMA February 2011 - July 2014
BCBSMA March 2009 - February 2011
ARAMARK 2006 - March 2009
LoJack 2000 - 2006
Lexington Insurance 1998 - 2000
Gillette 1998 - 1998
Skills
Employee Relations, Employee Engagement, Talent Management, Coaching, Organizational..., Organizational..., Workforce Planning, Change Management, Project Planning
Education
State University of New York College at Fredonia 1994 — 1998
Jagan Madhav's BCBSMA Experience August 2009 - Present
Job Consultant
Industry Computer Software
Experience
BCBSMA August 2009 - Present
Education
Sheffield Hallam University 2005 — 2006
BCBSMA August 2009 - Present
Education
Sheffield Hallam University 2005 — 2006
Debra Fernandes's BCBSMA Experience April 1993 - Present
Job Director, Federal Employee Program at BCBSMA
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts July 2009 - Present
BCBSMA April 1993 - Present
Skills
Health Insurance, Managed Care, Medicare, Healthcare Information..., Insurance, Program Management, Healthcare Management, Health Policy, Medicaid, HIPAA, Provider Relations, Policy, Healthcare, Process Improvement, PPO, HMO, Claim, Employee Benefits, Healthcare Industry, Data Analysis, Healthcare Consulting, SDLC, Network Development, Vendor Management
Education
Curry College
Bachelor of Arts (B.A.), Business Administration and Management, General
Northeastern University
Certificate in Business Management
Blue Cross Blue Shield of Massachusetts July 2009 - Present
BCBSMA April 1993 - Present
Skills
Health Insurance, Managed Care, Medicare, Healthcare Information..., Insurance, Program Management, Healthcare Management, Health Policy, Medicaid, HIPAA, Provider Relations, Policy, Healthcare, Process Improvement, PPO, HMO, Claim, Employee Benefits, Healthcare Industry, Data Analysis, Healthcare Consulting, SDLC, Network Development, Vendor Management
Education
Curry College
Bachelor of Arts (B.A.), Business Administration and Management, General
Northeastern University
Certificate in Business Management
Melinda Roth's BCBSMA Experience 1990 - 1992
Job Owner, Heart's Desire
Industry Arts and Crafts
Experience
Heart's Desire September 2004 - Present
Olam Tikvah Synagogue 2000 - Present
Gesher - JDS 2000 - Present
BCBSMA 1990 - 1992
Travelers Insurance Companies 1988 - 1991
Associates Financial Services Company, Inc. 1984 - 1988
Skills
Hebrew, Microsoft Excel, Newsletters, Strategic Planning, Non-profits, Microsoft Office, Social Media, Customer Service, Fundraising, Program Development, Nonprofits, Leadership
Education
University of Texas Health Science Center at Dallas 1982 — 1984
MA, Instructional Design
The Ohio State University 1976 — 1980
Bachelor of Arts (B.A.), Communication, General
Heart's Desire September 2004 - Present
Olam Tikvah Synagogue 2000 - Present
Gesher - JDS 2000 - Present
BCBSMA 1990 - 1992
Travelers Insurance Companies 1988 - 1991
Associates Financial Services Company, Inc. 1984 - 1988
Skills
Hebrew, Microsoft Excel, Newsletters, Strategic Planning, Non-profits, Microsoft Office, Social Media, Customer Service, Fundraising, Program Development, Nonprofits, Leadership
Education
University of Texas Health Science Center at Dallas 1982 — 1984
MA, Instructional Design
The Ohio State University 1976 — 1980
Bachelor of Arts (B.A.), Communication, General
Lucy Casale's BCBSMA Experience August 2010 - Present
Job Provider services
Industry Hospital & Health Care
Experience
Herbalife December 2012 - Present
BCBSMA August 2010 - Present
Education
augustana college 2000 — 2001
Herbalife December 2012 - Present
BCBSMA August 2010 - Present
Education
augustana college 2000 — 2001
Lisa Gorman's BCBSMA Experience May 2008 - Present
Job Senior Director Provider Network Management at BCBSMA
Industry Hospital & Health Care
Experience
BCBSMA May 2008 - Present
Blue Cross Blue Shield of Massachusetts 1990 - Present
Skills
Managed Care, Provider Relations, Health Insurance, Network Development, Medicare, Healthcare Management, Healthcare, Medicaid, Case Managment
Education
University of Massachusetts Dartmouth 1986 — 1990
BS, Marketing
BCBSMA May 2008 - Present
Blue Cross Blue Shield of Massachusetts 1990 - Present
Skills
Managed Care, Provider Relations, Health Insurance, Network Development, Medicare, Healthcare Management, Healthcare, Medicaid, Case Managment
Education
University of Massachusetts Dartmouth 1986 — 1990
BS, Marketing
Gretchen Oehme's BCBSMA Experience 1972 - 2008
Job IT Professional Health Care Insurance Industry
Industry Information Technology and Services
Experience
Blue Cross Blue Shield of Massachusetts 1972 - 2008
Blue Cross Blue Shield of MA 1972 - 2008
BCBSMA 1972 - 2008
Education
Eastern Nazarene College
Blue Cross Blue Shield of Massachusetts 1972 - 2008
Blue Cross Blue Shield of MA 1972 - 2008
BCBSMA 1972 - 2008
Education
Eastern Nazarene College
Kim Rosen, LICSW's BCBSMA Experience November 1992 - May 1999
Job Owner, Kim Rosen, LICSW Clinical Social Worker
Industry Hospital & Health Care
Experience
Kim Rosen, LICSW 1992 - Present
Gosnold on Cape Cod May 1999 - November 1999
BCBSMA November 1992 - May 1999
BCBSMA November 1992 - May 1999
American Psych Management/Hurst Associates April 1990 - November 1992
Addiction Recovery Corporation/Choate Health Systems April 1990 - November 1992
Addiction Recovery Corporation/Choate Health Systems April 1990 - November 1992
Lynn Youth Resource Bureau September 1988 - April 1990
Preterm Health Services June 1987 - December 1989
Wellesley College Counseling Center September 1987 - May 1988
Skills
Social Services, Treatment, Case Management, Mental Health, Psychotherapy, Family Therapy, Group Therapy, Case Managment, Crisis Intervention, Life Transitions, Clinical Research, Stress, CBT, Community Outreach, Mental Health Counseling
Education
Simmons College 1986 — 1988
MSW, Social Work
Ithaca College 1980 — 1984
BA, Sociology
White Plains HS 1976 — 1980
Kim Rosen, LICSW 1992 - Present
Gosnold on Cape Cod May 1999 - November 1999
BCBSMA November 1992 - May 1999
BCBSMA November 1992 - May 1999
American Psych Management/Hurst Associates April 1990 - November 1992
Addiction Recovery Corporation/Choate Health Systems April 1990 - November 1992
Addiction Recovery Corporation/Choate Health Systems April 1990 - November 1992
Lynn Youth Resource Bureau September 1988 - April 1990
Preterm Health Services June 1987 - December 1989
Wellesley College Counseling Center September 1987 - May 1988
Skills
Social Services, Treatment, Case Management, Mental Health, Psychotherapy, Family Therapy, Group Therapy, Case Managment, Crisis Intervention, Life Transitions, Clinical Research, Stress, CBT, Community Outreach, Mental Health Counseling
Education
Simmons College 1986 — 1988
MSW, Social Work
Ithaca College 1980 — 1984
BA, Sociology
White Plains HS 1976 — 1980
Sharon Krysta's BCBSMA Experience September 1997 - April 2005
Job Informatics Consultant at BCBSMA
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts 2005 - Present
BCBSMA September 1997 - April 2005
Skills
Health Insurance, Underwriting, Managed Care, Provider Relations, Medicare, Business Analysis, Employee Benefits, Healthcare, Insurance, HIPAA
Education
University of Connecticut 1985 — 1990
Blue Cross Blue Shield of Massachusetts 2005 - Present
BCBSMA September 1997 - April 2005
Skills
Health Insurance, Underwriting, Managed Care, Provider Relations, Medicare, Business Analysis, Employee Benefits, Healthcare, Insurance, HIPAA
Education
University of Connecticut 1985 — 1990
Jennifer Rowley (Baker)'s BCBSMA Experience December 2007 - November 2009
Job MBA graduate with experience in HR, PM, and Entreprenuership
Industry Management Consulting
Experience
Contract Associates January 2013 - September 2013
Contract Associates June 2010 - January 2013
BCBSMA December 2007 - November 2009
BCBSMA April 2006 - December 2007
Skills
Change Management, Strategic Planning, Human Resources, Organizational..., Business Process..., Software Project..., Technology, Employee Training, Training, Process Improvement, Management, Project Management, Business Development, Operations Management, Cross-functional Team..., Marketing, Coaching, Recruiting
Education
Simmons College - Simmons School of Management 2005 — 2008
MBA
University of Massachusetts Boston 1999 — 2002
B.A, Psychology
Westboro High School
Contract Associates January 2013 - September 2013
Contract Associates June 2010 - January 2013
BCBSMA December 2007 - November 2009
BCBSMA April 2006 - December 2007
Skills
Change Management, Strategic Planning, Human Resources, Organizational..., Business Process..., Software Project..., Technology, Employee Training, Training, Process Improvement, Management, Project Management, Business Development, Operations Management, Cross-functional Team..., Marketing, Coaching, Recruiting
Education
Simmons College - Simmons School of Management 2005 — 2008
MBA
University of Massachusetts Boston 1999 — 2002
B.A, Psychology
Westboro High School
Orlando Zayas's BCBSMA Experience September 2005 - May 2006
Job Account Executive at Infoblox
Industry Computer & Network Security
Experience
Infoblox August 2012 - Present
Infoblox May 2006 - October 2012
BCBSMA September 2005 - May 2006
Houghton Mifflin October 2003 - September 2005
DIGINET February 2002 - October 2003
CAIS Internet June 2000 - February 2002
Allegiance Telecom July 1999 - June 2000
SkyCache - Cidera July 1998 - July 1999
GE Spacenet May 1998 - July 1998
Skills
Security, Network Security, Data Center, DNS, Cloud Computing, Virtualization, Firewalls, DHCP, Cisco Technologies, Computer Security, Information Security, IP, WAN, Network Architecture, TCP/IP, Routing, Network Design, VPN, VMware, Networking, Solution Selling
Education
Strayer University (VA)
Bachelor of Business Administration (BBA)
Frederick Community College 1995 — 1997
AA, Gen Studies
UMUC
Infoblox August 2012 - Present
Infoblox May 2006 - October 2012
BCBSMA September 2005 - May 2006
Houghton Mifflin October 2003 - September 2005
DIGINET February 2002 - October 2003
CAIS Internet June 2000 - February 2002
Allegiance Telecom July 1999 - June 2000
SkyCache - Cidera July 1998 - July 1999
GE Spacenet May 1998 - July 1998
Skills
Security, Network Security, Data Center, DNS, Cloud Computing, Virtualization, Firewalls, DHCP, Cisco Technologies, Computer Security, Information Security, IP, WAN, Network Architecture, TCP/IP, Routing, Network Design, VPN, VMware, Networking, Solution Selling
Education
Strayer University (VA)
Bachelor of Business Administration (BBA)
Frederick Community College 1995 — 1997
AA, Gen Studies
UMUC
Aisha Yasin's BCBSMA Experience 2007 - 2014
Job Business Consultant at Blue Cross Blue Shield of Massachusetts
Industry Hospital & Health Care
Experience
Blue Cross Blue Shield of Massachusetts January 2012 - Present
BCBSMA 2007 - 2014
Blue Cross Blue Shield of Massachusetts July 2008 - December 2011
Skills
Contract Management, Healthcare, Excel, HIPAA, Contract Negotiation, Managed Care, Word, Vendor Management, Microsoft Office, Analysis, Risk Management, Insurance, Negotiation, PowerPoint, RFP, Financial Analysis, Customer Relations, Pricing, Research, Process Improvement, Budgeting
Education
Simmons College - Simmons School of Management 1999 — 2001
MBA, Marketing and Entreprenuership
Johnson C. Smith University - JCSU
The Park School
Blue Cross Blue Shield of Massachusetts January 2012 - Present
BCBSMA 2007 - 2014
Blue Cross Blue Shield of Massachusetts July 2008 - December 2011
Skills
Contract Management, Healthcare, Excel, HIPAA, Contract Negotiation, Managed Care, Word, Vendor Management, Microsoft Office, Analysis, Risk Management, Insurance, Negotiation, PowerPoint, RFP, Financial Analysis, Customer Relations, Pricing, Research, Process Improvement, Budgeting
Education
Simmons College - Simmons School of Management 1999 — 2001
MBA, Marketing and Entreprenuership
Johnson C. Smith University - JCSU
The Park School
Frances Joseph's BCBSMA Experience 2001 - Present
Job Director at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts July 2005 - Present
BCBSMA 2001 - Present
Skills
Analysis, Vendor Management, Insurance, Data Analysis, Health Insurance, Process Improvement, SDLC, Cross-functional Team..., Managed Care, Business Analysis, PMO, Leadership, Risk Management, Program Management, Business Process...
Education
University of Massachusetts Boston 1979 — 1983
Blue Cross Blue Shield of Massachusetts July 2005 - Present
BCBSMA 2001 - Present
Skills
Analysis, Vendor Management, Insurance, Data Analysis, Health Insurance, Process Improvement, SDLC, Cross-functional Team..., Managed Care, Business Analysis, PMO, Leadership, Risk Management, Program Management, Business Process...
Education
University of Massachusetts Boston 1979 — 1983
Didzis Voldins's BCBSMA Experience April 2005 - Present
Job Attorney at BCBSMA
Industry Insurance
Experience
BCBSMA April 2005 - Present
Choate, Hall & Stewart September 2001 - December 2004
Ropes & Gray LLP October 1995 - June 1998
Skills
Insurance, Claim, Litigation, Legal Research, Employment Law, Mediation, Medicaid, Legal Writing, Workers Compensation, Health Insurance, Civil Litigation, Medicare
Education
Boston University School of Law 1998 — 2001
Doctor of Law (J.D.), Health/Health Care Administration/Management
Harvard College 1990 — 1994
Bachelor of Arts (B.A.), Economics
BCBSMA April 2005 - Present
Choate, Hall & Stewart September 2001 - December 2004
Ropes & Gray LLP October 1995 - June 1998
Skills
Insurance, Claim, Litigation, Legal Research, Employment Law, Mediation, Medicaid, Legal Writing, Workers Compensation, Health Insurance, Civil Litigation, Medicare
Education
Boston University School of Law 1998 — 2001
Doctor of Law (J.D.), Health/Health Care Administration/Management
Harvard College 1990 — 1994
Bachelor of Arts (B.A.), Economics
Jessica Heeger's BCBSMA Experience Application Systems AnalystBlue Cross Blue Shield of MA2005 - Present
Job Application System Analyst at BCBSMA
Industry Information Technology and Services
Experience
BCBSMA Application Systems AnalystBlue Cross Blue Shield of MA2005 - Present
Education
Bucknell University 1995 — 1999
BCBSMA Application Systems AnalystBlue Cross Blue Shield of MA2005 - Present
Education
Bucknell University 1995 — 1999
Jodie Ryberg's BCBSMA Experience Event ManagerBlue Cross Blue Shield of Massachusetts2008 - Present
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
Adrienne McGrath's BCBSMA Experience US Benefits ManagerPAREXEL InternationalJune 2003 - June 2005
Job Senior Account Executive at BCBSMA
Industry Insurance
Experience
BCBSMA US Benefits ManagerPAREXEL InternationalJune 2003 - June 2005
Education
Babson College 1974 — 1976
BCBSMA US Benefits ManagerPAREXEL InternationalJune 2003 - June 2005
Education
Babson College 1974 — 1976
Thach Tran's BCBSMA Experience September 2009 - April 2010
Job Founder/Owner at Tiny Otaku
Industry Information Technology and Services
Experience
Tiny Otaku January 2012 - Present
Retired and Loving It! April 2010 - January 2012
BCBSMA September 2009 - April 2010
Harvard Medical School September 2008 - September 2009
Smithsonian Institution November 2005 - September 2008
Skills
Security, CISSP, Network Security, Computer Security, Vulnerability Assessment, Information Security, Intrusion Detection, Firewalls, IPS, IDS, Information Assurance, Information Security..., Networking, Enterprise Architecture, Incident Response, ITIL, Disaster Recovery, Network Architecture, Cisco Technologies
Education
Salem State University 1996 — 2002
Tiny Otaku January 2012 - Present
Retired and Loving It! April 2010 - January 2012
BCBSMA September 2009 - April 2010
Harvard Medical School September 2008 - September 2009
Smithsonian Institution November 2005 - September 2008
Skills
Security, CISSP, Network Security, Computer Security, Vulnerability Assessment, Information Security, Intrusion Detection, Firewalls, IPS, IDS, Information Assurance, Information Security..., Networking, Enterprise Architecture, Incident Response, ITIL, Disaster Recovery, Network Architecture, Cisco Technologies
Education
Salem State University 1996 — 2002
Lidia Asparouhova's BCBSMA Experience June 2003 - April 2006
Job Associate Actuary at Milliman
Industry Insurance
Experience
Milliman September 2014 - Present
Sibson Consulting April 2006 - June 2014
BCBSMA June 2003 - April 2006
Skills
Program Management, Employee Benefits
Education
Boston University 2002 — 2004
M.S., Actuarial Science
Lake Forest College 1997 — 2001
B.S., Economics and Computer Science
Milliman September 2014 - Present
Sibson Consulting April 2006 - June 2014
BCBSMA June 2003 - April 2006
Skills
Program Management, Employee Benefits
Education
Boston University 2002 — 2004
M.S., Actuarial Science
Lake Forest College 1997 — 2001
B.S., Economics and Computer Science
Joanne Cullen's BCBSMA Experience July 2011 - July 2014
Job Senior IT Project Manager at Harvard Pilgrim Health Care
Industry Insurance
Experience
Harvard Pilgrim Health Care April 2015 - Present
Boston Financial Data Services July 2014 - April 2015
BCBSMA July 2011 - July 2014
Fidelity Investments November 1998 - June 2011
Fidelity Investments April 2000 - June 2003
Massachusetts Financial Services 1988 - 1998
Skills
Relationship Management, Team Building, Project Management, Requirements Analysis, Process Improvement, Management, CRM, Leadership, Team Management, Budgets, Vendor Management, SDLC, Software Documentation, Business Analysis, Program Management, Financial Services, PMP, PMO, Risk Management, Visio, Software Project..., Business Process..., Project Portfolio..., IT Strategy, Requirements Gathering, Integration, Analysis, Analytics
Education
Bentley College - Elkin B. McCallum Graduate School of Business 1994 — 1996
MSCIS
Saint Michael's College 1983 — 1987
BA, Economics
Milton High School
Harvard Pilgrim Health Care April 2015 - Present
Boston Financial Data Services July 2014 - April 2015
BCBSMA July 2011 - July 2014
Fidelity Investments November 1998 - June 2011
Fidelity Investments April 2000 - June 2003
Massachusetts Financial Services 1988 - 1998
Skills
Relationship Management, Team Building, Project Management, Requirements Analysis, Process Improvement, Management, CRM, Leadership, Team Management, Budgets, Vendor Management, SDLC, Software Documentation, Business Analysis, Program Management, Financial Services, PMP, PMO, Risk Management, Visio, Software Project..., Business Process..., Project Portfolio..., IT Strategy, Requirements Gathering, Integration, Analysis, Analytics
Education
Bentley College - Elkin B. McCallum Graduate School of Business 1994 — 1996
MSCIS
Saint Michael's College 1983 — 1987
BA, Economics
Milton High School
Celeste Lee's BCBSMA Experience June 2009 - May 2012
Job Sr. Director of Grantmaking at Blue Cross Blue Shield of MA Foundation
Industry Health, Wellness and Fitness
Experience
Blue Cross Blue Shield of MA Foundation May 2012 - Present
BCBSMA June 2009 - May 2012
BCBSMA September 2007 - June 2009
BCBSMA Foundaion June 2001 - September 2007
Skills
Program Evaluation, Health Insurance, Managed Care, Healthcare, Vendor Management, Insurance, Process Improvement, Medicaid, Strategic Planning, Health Policy, Program Management, Employee Benefits, Grant, Strategic Communications, Strategy, Leadership, Public Speaking, Marketing, Grants, Provider Relations
Education
Harvard University Graduate School of Education 1995 — 1996
MEd, Adminstration & Policy
University of New Hampshire 1972 — 1974
BA, Engish
Bradford College 1970 — 1972
AA, Liberal Arts
Blue Cross Blue Shield of MA Foundation May 2012 - Present
BCBSMA June 2009 - May 2012
BCBSMA September 2007 - June 2009
BCBSMA Foundaion June 2001 - September 2007
Skills
Program Evaluation, Health Insurance, Managed Care, Healthcare, Vendor Management, Insurance, Process Improvement, Medicaid, Strategic Planning, Health Policy, Program Management, Employee Benefits, Grant, Strategic Communications, Strategy, Leadership, Public Speaking, Marketing, Grants, Provider Relations
Education
Harvard University Graduate School of Education 1995 — 1996
MEd, Adminstration & Policy
University of New Hampshire 1972 — 1974
BA, Engish
Bradford College 1970 — 1972
AA, Liberal Arts
Gino B's BCBSMA Experience January 2011 - September 2013
Job Service Level Analyst at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts September 2013 - Present
BCBSMA January 2011 - September 2013
Skills
SAS, Data Analysis
Education
University of Massachusetts Boston
Sociology
Blue Cross Blue Shield of Massachusetts September 2013 - Present
BCBSMA January 2011 - September 2013
Skills
SAS, Data Analysis
Education
University of Massachusetts Boston
Sociology
Mary MacAdam's BCBSMA Experience 2001 - Present
Job Senior Account Executive, Blue Cross and Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross and Blue Shield of MA Program Manager, Sales OperationsBlue Cross and Blue Shield of MassachusettsMay 2013 - Present
Blue Cross Blue Shield of Massachusetts 2001 - Present
BCBSMA 2001 - Present
Skills
Health Insurance, Medicare, Insurance, Health Savings Accounts, Employee Benefits, Underwriting, Disability Insurance, Brokers, Health Care Reform, Claim, Managed Care, Customer Service, Healthcare, Program Management
Education
Northeastern University
MBA
Northeastern University
Certificate, Project Management
University of Rhode Island
Bachelor of Science, Marketing
Blue Cross and Blue Shield of MA Program Manager, Sales OperationsBlue Cross and Blue Shield of MassachusettsMay 2013 - Present
Blue Cross Blue Shield of Massachusetts 2001 - Present
BCBSMA 2001 - Present
Skills
Health Insurance, Medicare, Insurance, Health Savings Accounts, Employee Benefits, Underwriting, Disability Insurance, Brokers, Health Care Reform, Claim, Managed Care, Customer Service, Healthcare, Program Management
Education
Northeastern University
MBA
Northeastern University
Certificate, Project Management
University of Rhode Island
Bachelor of Science, Marketing
Elizabeth Emery's BCBSMA Experience
Job Senior Manager at BCBSMA
Industry Insurance
Experience
BCBSMA
Skills
Process Improvement, Vendor Management, Program Management, Health Insurance, Business Analysis, Insurance, SDLC, Management, Healthcare, Project Management
Education
Emmanuel College
BCBSMA
Skills
Process Improvement, Vendor Management, Program Management, Health Insurance, Business Analysis, Insurance, SDLC, Management, Healthcare, Project Management
Education
Emmanuel College
Raja Chilakamarri's BCBSMA Experience September 2010 - Present
Job Sr. Business Analyst at BCBSMA
Industry Information Technology and Services
Experience
BCBSMA September 2010 - Present
HP Enterprise Services August 1995 - April 2011
EDS January 1994 - August 1995
Education
Board of CPA 1994 — 1994
CPA, Accounting
Acharya Nagarjuna University 1976 — 1978
Masters In Accounting, ACCOUNTING
BCBSMA September 2010 - Present
HP Enterprise Services August 1995 - April 2011
EDS January 1994 - August 1995
Education
Board of CPA 1994 — 1994
CPA, Accounting
Acharya Nagarjuna University 1976 — 1978
Masters In Accounting, ACCOUNTING
Stephen Shay's BCBSMA Experience September 1990 - Present
Job Senior Director, Labor Affairs at BCBSMA
Industry Hospital & Health Care
Experience
BCBSMA September 1990 - Present
Skills
Insurance, Managed Care, Medicare, Employee Benefits, Health Insurance, Healthcare, HIPAA, Healthcare Information..., Health Policy, Medicaid, Healthcare Industry, Provider Relations
Education
Northeastern University 1998 — 2000
Master of Business Administration (MBA), Business Administration and Management, General
Boston College 1976 — 1980
Bachelor of Applied Science (BASc), Economics/Marketing
BCBSMA September 1990 - Present
Skills
Insurance, Managed Care, Medicare, Employee Benefits, Health Insurance, Healthcare, HIPAA, Healthcare Information..., Health Policy, Medicaid, Healthcare Industry, Provider Relations
Education
Northeastern University 1998 — 2000
Master of Business Administration (MBA), Business Administration and Management, General
Boston College 1976 — 1980
Bachelor of Applied Science (BASc), Economics/Marketing
Danielle Wray's BCBSMA Experience January 2000 - Present
Job Account Executive at BCBSMA
Industry Insurance
Experience
BCBSMA January 2000 - Present
The Chikering Group March 1997 - January 2000
Education
Hartwick College
BCBSMA January 2000 - Present
The Chikering Group March 1997 - January 2000
Education
Hartwick College
Monalisa Mohanty's BCBSMA Experience January 1999 - December 2002
Job Sr Clinical Director, Specialty Solutions at Express Scripts
Industry Hospital & Health Care
Experience
Express Scripts March 2014 - Present
Express Scripts January 2013 - February 2014
Express Scripts April 2012 - December 2012
Medco/Accredo September 2009 - April 2012
Humana Pharmacy Solutions 2007 - 2009
Pfizer May 2003 - June 2007
BCBSMA January 1999 - December 2002
Walgreens Pharmacy January 1994 - December 1996
Harvard Community HealthCare 1991 - 1993
Skills
Pharmacy, Leadership, Program Management, Pharmacy Benefit..., Healthcare, Clinical Research, Hospitals, Pharmaceutical Industry, Project Planning, Pharmacists, Management, Managed Care, Strategy, Product Development, Disease Management, Process Improvement, Medicaid, Health Insurance, Pharmacoeconomics, Utilization Management, Outcomes Research, Clinical Pharmacy, Pharmacy Automation, Health Policy, Home Care, Healthcare Consulting, Medicare, Patient Education, Healthcare Information..., Clinical Trials, Medication Therapy..., Policy, Healthcare Management, Healthcare Industry, Pharmaceutical Sales, Product Management, Strategic Planning, Cross-functional Team..., Business Development, HIPAA, Informatics, Marketing, Diabetes, Medicare Part D, Physicians
Education
Brandeis University, Heller - The Heller School for Social Policy and Management 2004 — 2007
Massachusetts College of Pharmacy and Health Sciences 1991 — 1993
Pharmacy
Michigan State University
Express Scripts March 2014 - Present
Express Scripts January 2013 - February 2014
Express Scripts April 2012 - December 2012
Medco/Accredo September 2009 - April 2012
Humana Pharmacy Solutions 2007 - 2009
Pfizer May 2003 - June 2007
BCBSMA January 1999 - December 2002
Walgreens Pharmacy January 1994 - December 1996
Harvard Community HealthCare 1991 - 1993
Skills
Pharmacy, Leadership, Program Management, Pharmacy Benefit..., Healthcare, Clinical Research, Hospitals, Pharmaceutical Industry, Project Planning, Pharmacists, Management, Managed Care, Strategy, Product Development, Disease Management, Process Improvement, Medicaid, Health Insurance, Pharmacoeconomics, Utilization Management, Outcomes Research, Clinical Pharmacy, Pharmacy Automation, Health Policy, Home Care, Healthcare Consulting, Medicare, Patient Education, Healthcare Information..., Clinical Trials, Medication Therapy..., Policy, Healthcare Management, Healthcare Industry, Pharmaceutical Sales, Product Management, Strategic Planning, Cross-functional Team..., Business Development, HIPAA, Informatics, Marketing, Diabetes, Medicare Part D, Physicians
Education
Brandeis University, Heller - The Heller School for Social Policy and Management 2004 — 2007
Massachusetts College of Pharmacy and Health Sciences 1991 — 1993
Pharmacy
Michigan State University
Maria Ng's BCBSMA Experience 2007 - 2008
Job Financial and Corporate Reporting Analyst
Industry Hospital & Health Care
Experience
Harvard Pilgrim Health Care August 2009 - Present
BCBSMA 2007 - 2008
Blue Cross Blue Shield of Massachusetts 2004 - 2007
Blue Cross Blue Shield of MA 2000 - 2004
Massachusetts Water Resources Authority 1998 - 2000
Boston Housing Authority 1996 - 1998
Beth Israel Deaconess Medical Center 1990 - 1996
Skills
Budgets, Health Insurance, Process Improvement, Healthcare, Insurance
Education
Boston College
Bachelor of Science
Harvard Pilgrim Health Care August 2009 - Present
BCBSMA 2007 - 2008
Blue Cross Blue Shield of Massachusetts 2004 - 2007
Blue Cross Blue Shield of MA 2000 - 2004
Massachusetts Water Resources Authority 1998 - 2000
Boston Housing Authority 1996 - 1998
Beth Israel Deaconess Medical Center 1990 - 1996
Skills
Budgets, Health Insurance, Process Improvement, Healthcare, Insurance
Education
Boston College
Bachelor of Science
Gary Shramek's BCBSMA Experience 1999 - 2002
Job Specialty Account Director at BristolMyers Squibb
Industry Pharmaceuticals
Experience
Bristol-Myers Squibb August 2003 - Present
BCBSMA 1999 - 2002
PharmaCare 1994 - 1999
Kaiser Permanente 1986 - 1993
Skills
Pharmacy, Healthcare, Pharmacy Benefit..., Managed Care, Pharmaceutical Industry, Program Management, Strategy, Clinical Research, Pharmaceutics, Training, Clinical Trials, Diabetes, Pharmaceutical Sales, Oncology, Cardiology, Hospitals, Product Launch, Pharmacists, Medicare, Healthcare Information..., Strategic Planning
Education
Northeastern University 1969 — 1974
BS in Pharmacy, Pharmacy, Graduated with Honors
Bristol-Myers Squibb August 2003 - Present
BCBSMA 1999 - 2002
PharmaCare 1994 - 1999
Kaiser Permanente 1986 - 1993
Skills
Pharmacy, Healthcare, Pharmacy Benefit..., Managed Care, Pharmaceutical Industry, Program Management, Strategy, Clinical Research, Pharmaceutics, Training, Clinical Trials, Diabetes, Pharmaceutical Sales, Oncology, Cardiology, Hospitals, Product Launch, Pharmacists, Medicare, Healthcare Information..., Strategic Planning
Education
Northeastern University 1969 — 1974
BS in Pharmacy, Pharmacy, Graduated with Honors
Marni Dente's BCBSMA Experience 1994 - 1997
Job Healthcare Consultant
Industry Computer Software
Experience
Caremetrics October 2012 - Present
Dell Services Healthcare November 2009 - October 2012
Firestar Software Inc. November 2005 - June 2009
deNovis 2001 - 2004
Affiliated Physicians Group 2000 - 2001
The Croes Oliva Group 1999 - 2000
Public Consulting Group 1997 - 1999
BCBSMA 1994 - 1997
Education
Simmons College 1994 — 1997
MS, Health Care Administration
Isenberg School of Management, UMass Amherst 1985 — 1989
BBA, Finance
Caremetrics October 2012 - Present
Dell Services Healthcare November 2009 - October 2012
Firestar Software Inc. November 2005 - June 2009
deNovis 2001 - 2004
Affiliated Physicians Group 2000 - 2001
The Croes Oliva Group 1999 - 2000
Public Consulting Group 1997 - 1999
BCBSMA 1994 - 1997
Education
Simmons College 1994 — 1997
MS, Health Care Administration
Isenberg School of Management, UMass Amherst 1985 — 1989
BBA, Finance
David Dance's BCBSMA Experience January 2004 - August 2011
Job Senior Infrastructure Project Manager
Industry Health, Wellness and Fitness
Experience
Blue Cross Blue Shield of Massachusetts August 2011 - Present
BCBSMA January 2004 - August 2011
JP Morgan Chase August 2003 - December 2004
Skills
Program Management, Portfolio Management, PMO, Project Management, Vendor Management, Information Security, Business Analysis, Management, Data Center, IT Operations, SDLC, Security, Information Technology, Six Sigma, IT Strategy, PMP, IT Management, Project Portfolio..., Disaster Recovery, Enterprise Architecture, Integration, Visio, Process Improvement, ITIL, Requirements Analysis, Software Project..., Infrastructure, Requirements Gathering, Project Delivery, Business Process..., Outsourcing, Governance, Business Intelligence, IT Service Management, SharePoint, Business Process, Software Documentation, Solution Architecture, Agile Project Management, Cloud Computing, Business Continuity, Data Warehousing, Enterprise Software, System Deployment, Resource Management
Education
University of Massachusetts Boston 2007 — 2008
Management
Virginia Polytechnic Institute and State University 1978 — 1982
Engineering, Technology
Blue Cross Blue Shield of Massachusetts August 2011 - Present
BCBSMA January 2004 - August 2011
JP Morgan Chase August 2003 - December 2004
Skills
Program Management, Portfolio Management, PMO, Project Management, Vendor Management, Information Security, Business Analysis, Management, Data Center, IT Operations, SDLC, Security, Information Technology, Six Sigma, IT Strategy, PMP, IT Management, Project Portfolio..., Disaster Recovery, Enterprise Architecture, Integration, Visio, Process Improvement, ITIL, Requirements Analysis, Software Project..., Infrastructure, Requirements Gathering, Project Delivery, Business Process..., Outsourcing, Governance, Business Intelligence, IT Service Management, SharePoint, Business Process, Software Documentation, Solution Architecture, Agile Project Management, Cloud Computing, Business Continuity, Data Warehousing, Enterprise Software, System Deployment, Resource Management
Education
University of Massachusetts Boston 2007 — 2008
Management
Virginia Polytechnic Institute and State University 1978 — 1982
Engineering, Technology
Barb (Ward) Anketell's BCBSMA Experience June 1999 - March 2012
Job Chief Operations Officer at Provant Health Solutions
Industry Health, Wellness and Fitness
Experience
Provant Health Solutions, LLC January 2015 - Present
Provant Health Solutions, LLC April 2012 - January 2015
BCBSMA June 1999 - March 2012
Private Healthcare Systems 1995 - 1999
Private Healthcare Systems June 1996 - January 1998
Private Healthcare Systems March 1995 - June 1996
Small Business Service Bureau 1990 - 1995
Skills
Call Center, Change Management, Leadership, Program Management, Management, Healthcare, Strategic Planning, Health Insurance, Managed Care, Training, Strategy, Healthcare Management, Process Improvement, Business Analysis, Data Analysis
Education
Suffolk University
BSJ, Marketing & Public Relations
Marian High School, Framingham, Ma
College Prep High School
Provant Health Solutions, LLC January 2015 - Present
Provant Health Solutions, LLC April 2012 - January 2015
BCBSMA June 1999 - March 2012
Private Healthcare Systems 1995 - 1999
Private Healthcare Systems June 1996 - January 1998
Private Healthcare Systems March 1995 - June 1996
Small Business Service Bureau 1990 - 1995
Skills
Call Center, Change Management, Leadership, Program Management, Management, Healthcare, Strategic Planning, Health Insurance, Managed Care, Training, Strategy, Healthcare Management, Process Improvement, Business Analysis, Data Analysis
Education
Suffolk University
BSJ, Marketing & Public Relations
Marian High School, Framingham, Ma
College Prep High School
Colleen Bradford's BCBSMA Experience January 2006 - Present
Job Account Service Consultant at BCBSMA
Industry Insurance
Experience
BCBSMA January 2006 - Present
Education
Merrimack College 2001 — 2005
Sociology
BCBSMA January 2006 - Present
Education
Merrimack College 2001 — 2005
Sociology
Debbie Grassia's BCBSMA Experience October 1986 - Present
Job at
Industry Insurance
Experience
BCBSMA October 1986 - Present
BCBSMA October 1986 - Present
Education
Simmons College 1979 — 1983
BSN, Nursing
BCBSMA October 1986 - Present
BCBSMA October 1986 - Present
Education
Simmons College 1979 — 1983
BSN, Nursing
Laura Kinlin's BCBSMA Experience 1996 - Present
Job Operations Manager at BCBSMA
Industry Insurance
Experience
BCBSMA 1996 - Present
CIGNA Group Insurance 1987 - 1995
Skills
Process Improvement, Change Management, Business Process...
Education
Northeastern University
Bachelor Degree
BCBSMA 1996 - Present
CIGNA Group Insurance 1987 - 1995
Skills
Process Improvement, Change Management, Business Process...
Education
Northeastern University
Bachelor Degree
Karen Hewitt's BCBSMA Experience February 2005 - January 2013
Job Sr. Manager; Corporate Wellbeing Manager at Raytheon
Industry Insurance
Experience
Raytheon September 2013 - Present
BCBSMA February 2005 - January 2013
Texas Instruments February 1988 - February 2005
Skills
Vendor Management, Wellness, Fitness, Employee Benefits, Program Management, Health, Corporations, Benefits Administration, Process Improvement, Strategic Planning, Cross-functional Team..., Human Resources, Healthcare, Employee Wellness, Customer Service, Leadership, Analysis, Managed Care, Health Insurance, Nutrition, Health Care Reform, Insurance, Employee Engagement, Fitness Consulting, Fitness Instruction, Fitness Training
Education
Suffolk University - Sawyer Business School
MBA, Organizational Behavior
University of Rhode Island
Bachelors of Science, Food Science and Dietetics
Raytheon September 2013 - Present
BCBSMA February 2005 - January 2013
Texas Instruments February 1988 - February 2005
Skills
Vendor Management, Wellness, Fitness, Employee Benefits, Program Management, Health, Corporations, Benefits Administration, Process Improvement, Strategic Planning, Cross-functional Team..., Human Resources, Healthcare, Employee Wellness, Customer Service, Leadership, Analysis, Managed Care, Health Insurance, Nutrition, Health Care Reform, Insurance, Employee Engagement, Fitness Consulting, Fitness Instruction, Fitness Training
Education
Suffolk University - Sawyer Business School
MBA, Organizational Behavior
University of Rhode Island
Bachelors of Science, Food Science and Dietetics
Jonathan Dost, Sr.'s BCBSMA Experience 1985 - 1988
Job President a MyCloudHost.BIZ
Industry Information Technology and Services
Experience
MyCloudHost.BIZ May 1995 - Present
Primary Health Care 1988 - 1992
BCBSMA 1985 - 1988
Skills
Strategic Planning, Cloud Computing, Networking, SaaS, Data Center, Program Management, New Business Development, Computer Hardware, IP, Disaster Recovery, Management, Wireless Networking, Business Development, Network Security, Solution Selling, Project Management, Training
Education
Stonehill College 1984 — 1988
BSBA, Business
Dean College 1982 — 1984
ASBA, Business
MyCloudHost.BIZ May 1995 - Present
Primary Health Care 1988 - 1992
BCBSMA 1985 - 1988
Skills
Strategic Planning, Cloud Computing, Networking, SaaS, Data Center, Program Management, New Business Development, Computer Hardware, IP, Disaster Recovery, Management, Wireless Networking, Business Development, Network Security, Solution Selling, Project Management, Training
Education
Stonehill College 1984 — 1988
BSBA, Business
Dean College 1982 — 1984
ASBA, Business
Patti Myers's BCBSMA Experience December 1973 - Present
Job Director at Blue Cross Blue Shield of Massachusets
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts December 2009 - Present
Blue Cross and Blue Shield of Massachusetts 2002 - Present
BCBSMA December 1973 - Present
Skills
Health Insurance, Managed Care, Insurance, Program Management, Medicare, Employee Benefits, Leadership, Business Analysis, HIPAA, Healthcare, Process Improvement, SDLC
Education
Suffolk University
Journalism
Blue Cross Blue Shield of Massachusetts December 2009 - Present
Blue Cross and Blue Shield of Massachusetts 2002 - Present
BCBSMA December 1973 - Present
Skills
Health Insurance, Managed Care, Insurance, Program Management, Medicare, Employee Benefits, Leadership, Business Analysis, HIPAA, Healthcare, Process Improvement, SDLC
Education
Suffolk University
Journalism
Ramya Moorthy's BCBSMA Experience February 2010 - December 2011
Job Sr. Information Specialist at Alcon Laboratories, Inc.
Industry Information Technology and Services
Experience
Alcon Laboratories, Inc. December 2011 - Present
BCBSMA February 2010 - December 2011
Cognizant Technology Solutions June 2008 - December 2011
Cognizant Technology Solutions August 2004 - May 2008
Skills
Project Management, Business Analysis, Customer Engagement, Business Development, Requirements Analysis, Consulting, Requirements Gathering, CRM, Testing, User Acceptance Testing, Java Enterprise Edition, Healthcare, Business Process..., Enterprise Software, SDLC
Education
America's Health Insurance Plans Center for Insurance Education and Professional Development 2006 — 2009
FAHM, Fellow in Academy of Healthcare Management
University of Madras 2000 — 2004
B.Tech, Information Technology
Alcon Laboratories, Inc. December 2011 - Present
BCBSMA February 2010 - December 2011
Cognizant Technology Solutions June 2008 - December 2011
Cognizant Technology Solutions August 2004 - May 2008
Skills
Project Management, Business Analysis, Customer Engagement, Business Development, Requirements Analysis, Consulting, Requirements Gathering, CRM, Testing, User Acceptance Testing, Java Enterprise Edition, Healthcare, Business Process..., Enterprise Software, SDLC
Education
America's Health Insurance Plans Center for Insurance Education and Professional Development 2006 — 2009
FAHM, Fellow in Academy of Healthcare Management
University of Madras 2000 — 2004
B.Tech, Information Technology
Conrad DaCosta, MCJ, CFE's BCBSMA Experience January 2006 - June 2009
Job Lead Data Business Solutions Analyst at USAA
Industry Financial Services
Experience
USAA March 2013 - Present
USAA September 2012 - Present
USAA July 2010 - September 2012
USAA November 2009 - July 2010
BCBSMA January 2006 - June 2009
BCBSMA September 2001 - January 2006
BCBSMA February 2000 - September 2001
Skills
Risk Management
Education
Association of Certified Fraud Examiners
CFE, Fraud prevention, detection and investigation
Utica College 2007 — 2008
Economic Crime Investigation coursework
Boston University 2003 — 2005
MCJ, Criminal Justice
London School of Hygiene and Tropical Medicine, U. of London 1997 — 1999
MS, Health Services Management
Purdue University - Krannert School of Management 1987 — 1991
BSM, Finance
USAA March 2013 - Present
USAA September 2012 - Present
USAA July 2010 - September 2012
USAA November 2009 - July 2010
BCBSMA January 2006 - June 2009
BCBSMA September 2001 - January 2006
BCBSMA February 2000 - September 2001
Skills
Risk Management
Education
Association of Certified Fraud Examiners
CFE, Fraud prevention, detection and investigation
Utica College 2007 — 2008
Economic Crime Investigation coursework
Boston University 2003 — 2005
MCJ, Criminal Justice
London School of Hygiene and Tropical Medicine, U. of London 1997 — 1999
MS, Health Services Management
Purdue University - Krannert School of Management 1987 — 1991
BSM, Finance
Steve MacKinnon, PMP's BCBSMA Experience February 2006 - March 2010
Job Principal Project Manager at PAREXEL
Industry Insurance
Experience
PAREXEL June 2015 - Present
Boston Medical Center (BMC) February 2015 - May 2015
Fresenius Medical Care July 2014 - January 2015
Center for Health Care Financing Center for Health Care Financing (University of Mass,) July 2013 - June 2014
Harvard Pilgrim Health Care April 2012 - June 2013
ikaSystems September 2010 - April 2012
BCBSMA February 2006 - March 2010
Blue Cross Blue Shield of Massachusetts 2006 - March 2010
Skills
SDLC, PMO, Software Project..., Business Analysis, Requirements Analysis, Healthcare Information..., HIPAA, Vendor Management, Visio, Process Improvement, Requirements Gathering, Healthcare
Education
Babson College - Franklin W. Olin Graduate School of Business 1994 — 1998
MBA, Marketing
University of Massachusetts, Amherst 1984 — 1988
BA, English and Political Science
PAREXEL June 2015 - Present
Boston Medical Center (BMC) February 2015 - May 2015
Fresenius Medical Care July 2014 - January 2015
Center for Health Care Financing Center for Health Care Financing (University of Mass,) July 2013 - June 2014
Harvard Pilgrim Health Care April 2012 - June 2013
ikaSystems September 2010 - April 2012
BCBSMA February 2006 - March 2010
Blue Cross Blue Shield of Massachusetts 2006 - March 2010
Skills
SDLC, PMO, Software Project..., Business Analysis, Requirements Analysis, Healthcare Information..., HIPAA, Vendor Management, Visio, Process Improvement, Requirements Gathering, Healthcare
Education
Babson College - Franklin W. Olin Graduate School of Business 1994 — 1998
MBA, Marketing
University of Massachusetts, Amherst 1984 — 1988
BA, English and Political Science
Charles McGrath's BCBSMA Experience June 2002 - December 2007
Job Charlie
Industry Computer Games
Experience
Stoneham Auxiliary Fire Dept September 2012 - Present
C McGrath Photography October 2010 - Present
BCBSMA June 2002 - December 2007
Stream October 2000 - June 2002
General Ambulnce October 2001 - December 2001
US Army June 1982 - June 1988
Skills
Security Clearance, Physical Security, Military, Call Centers, Technical Support, Social Networking, Photoshop, Web Development
Education
Wentworth Institute of Technology 1999 — 2001
Computer Science
Northeastern University 1988 — 1998
EMT, Emergency Medical Technician
Stoneham Auxiliary Fire Dept September 2012 - Present
C McGrath Photography October 2010 - Present
BCBSMA June 2002 - December 2007
Stream October 2000 - June 2002
General Ambulnce October 2001 - December 2001
US Army June 1982 - June 1988
Skills
Security Clearance, Physical Security, Military, Call Centers, Technical Support, Social Networking, Photoshop, Web Development
Education
Wentworth Institute of Technology 1999 — 2001
Computer Science
Northeastern University 1988 — 1998
EMT, Emergency Medical Technician
Frankie Meaney's BCBSMA Experience 1984 - 2009
Job Director, Provider Education and Communications at Blue Cross and Blue Shield of Massachusetts
Industry Public Relations and Communications
Experience
Blue Cross and Blue Shield of Massachusetts September 2014 - Present
BCBSMA 1984 - 2009
Skills
Strategic Planning, Insurance, Health Insurance, Business Analysis, Healthcare, Managed Care, Leadership, Cross-functional Team..., Team Building, Employee Benefits, Strategy, Process Improvement
Education
Simmons College 1980 — 1984
B.S., Management
Blue Cross and Blue Shield of Massachusetts September 2014 - Present
BCBSMA 1984 - 2009
Skills
Strategic Planning, Insurance, Health Insurance, Business Analysis, Healthcare, Managed Care, Leadership, Cross-functional Team..., Team Building, Employee Benefits, Strategy, Process Improvement
Education
Simmons College 1980 — 1984
B.S., Management
Bridget McKenzie's BCBSMA Experience September 2004 - October 2011
Job Director Business Advisor ServicesPopulation Analytics at McKesson
Industry Hospital & Health Care
Experience
McKesson February 2013 - Present
Medventive now McKesson January 2012 - Present
BCBSMA September 2004 - October 2011
Inclusive of Utilization September 2004 - October 2011
McKesson Health Solutions 2009 - 2011
Quincy College January 2001 - January 2005
Whittier Street Health Center June 2001 - September 2004
Whittier Street Health Center 2001 - 2004
Whittier Street Health Center January 2001 - January 2002
the Homeless Program January 1999 - January 2001
Skills
Healthcare, Managed Care, Program Management, Disease Management, HIPAA, Clinical Research, Healthcare Information..., Medicaid, Healthcare Management, Healthcare Consulting, Health Insurance, Nursing
Education
Boston College
Masters, Community Health Nursing
Boston College 1983 — 1987
BSN, Nursing
Boston College
Bachelor of Science, Nursing
McKesson February 2013 - Present
Medventive now McKesson January 2012 - Present
BCBSMA September 2004 - October 2011
Inclusive of Utilization September 2004 - October 2011
McKesson Health Solutions 2009 - 2011
Quincy College January 2001 - January 2005
Whittier Street Health Center June 2001 - September 2004
Whittier Street Health Center 2001 - 2004
Whittier Street Health Center January 2001 - January 2002
the Homeless Program January 1999 - January 2001
Skills
Healthcare, Managed Care, Program Management, Disease Management, HIPAA, Clinical Research, Healthcare Information..., Medicaid, Healthcare Management, Healthcare Consulting, Health Insurance, Nursing
Education
Boston College
Masters, Community Health Nursing
Boston College 1983 — 1987
BSN, Nursing
Boston College
Bachelor of Science, Nursing
Ann Rega's BCBSMA Experience 1983 - Present
Job Business Consultant at Blue Cross Blue Shield of Massachusetts
Industry Hospital & Health Care
Experience
Blue Cross Blue Shield of Massachusetts 1983 - Present
BCBSMA 1983 - Present
Skills
Health Insurance
Education
College of the Holy Cross 1974 — 1978
BA, Mathematics
Blue Cross Blue Shield of Massachusetts 1983 - Present
BCBSMA 1983 - Present
Skills
Health Insurance
Education
College of the Holy Cross 1974 — 1978
BA, Mathematics
Kenn McClune's BCBSMA Experience June 2011 - October 2013
Job Associate Actuary at Excellus BCBS
Industry Financial Services
Experience
Excellus BCBS June 2015 - Present
Monroe Plan January 2014 - June 2015
BCBSMA June 2011 - October 2013
MIB Solutions, Inc. 2009 - June 2011
Seneca Allegany Casino & Hotel January 2007 - August 2008
Skills
Actuarial Exams, SAS, Actuarial Science, Insurance, SAS programming, R, VBA, Data Analysis, Financial Analysis, Reinsurance, Life Insurance, Access, Analysis, Statistics, Microsoft Excel, Health Insurance, Analytics, Risk Management, Financial Risk, Microsoft Office
Education
Boston University 2008 — 2011
M.S., Actuarial Science
Rochester Institute of Technology 2002 — 2006
B.S., Mathematics
Excellus BCBS June 2015 - Present
Monroe Plan January 2014 - June 2015
BCBSMA June 2011 - October 2013
MIB Solutions, Inc. 2009 - June 2011
Seneca Allegany Casino & Hotel January 2007 - August 2008
Skills
Actuarial Exams, SAS, Actuarial Science, Insurance, SAS programming, R, VBA, Data Analysis, Financial Analysis, Reinsurance, Life Insurance, Access, Analysis, Statistics, Microsoft Excel, Health Insurance, Analytics, Risk Management, Financial Risk, Microsoft Office
Education
Boston University 2008 — 2011
M.S., Actuarial Science
Rochester Institute of Technology 2002 — 2006
B.S., Mathematics
Bernadette Green McKinsey's BCBSMA Experience December 2010 - Present
Job Director, AQC Support & Improvement
Industry Insurance
Experience
BCBSMA December 2010 - Present
BCBSMA January 1990 - December 2010
Skills
Nursing, Healthcare, Health Policy, Managed Care, Utilization Management, Healthcare Management, Healthcare Information..., Insurance, Disease Management, Provider Relations, Case Managment, HIPAA, Medicaid, Quality Improvement, NCQA, Medicare, Program Management
Education
Boston University
MPH, Health Care Services
Northeastern University
BSN, Nursing
BCBSMA December 2010 - Present
BCBSMA January 1990 - December 2010
Skills
Nursing, Healthcare, Health Policy, Managed Care, Utilization Management, Healthcare Management, Healthcare Information..., Insurance, Disease Management, Provider Relations, Case Managment, HIPAA, Medicaid, Quality Improvement, NCQA, Medicare, Program Management
Education
Boston University
MPH, Health Care Services
Northeastern University
BSN, Nursing
Don Cummings's BCBSMA Experience November 1987 - Present
Job ASC at BCBSMA
Industry Insurance
Experience
BCBSMA November 1987 - Present
United States Army March 1986 - February 1990
Skills
Health Insurance, Public Speaking, Microsoft Office, Program Management, Healthcare, Customer Service
Education
Boston College 2011 — 2013
Master's degree, Business Administration and Management, General
Boston College 2005 — 2009
BA, Corporate Systems
US Army Quarter Master School 1987 — 1987
Diploma, Material Control & Accounting
BCBSMA November 1987 - Present
United States Army March 1986 - February 1990
Skills
Health Insurance, Public Speaking, Microsoft Office, Program Management, Healthcare, Customer Service
Education
Boston College 2011 — 2013
Master's degree, Business Administration and Management, General
Boston College 2005 — 2009
BA, Corporate Systems
US Army Quarter Master School 1987 — 1987
Diploma, Material Control & Accounting
Pamela Berman's BCBSMA Experience April 2000 - Present
Job Account Executive at BCBSMA
Industry Insurance
Experience
BCBSMA April 2000 - Present
Education
Boston University
BCBSMA April 2000 - Present
Education
Boston University
Vanessa House's BCBSMA Experience January 2015 - Present
Job EDiscovery Manager
Industry Hospital & Health Care
Experience
BCBSMA January 2015 - Present
The MENTOR Network November 2012 - April 2015
The MENTOR Network March 2008 - November 2012
CVS Caremark Corporation January 2007 - March 2008
Reebok June 2003 - December 2006
Reebok July 2001 - May 2003
Gordon Brothers Group December 2000 - July 2001
Delta Dental Plan of Massachusetts 1992 - 2000
Skills
Paralegals, Litigation, Litigation Support, Document Management, Legal Assistance, File Management, Access, Microsoft Office, Document Review, Employment Law, Legal Documents, Policy, Leadership, Microsoft Word, Microsoft Excel, PowerPoint
Education
The George Washington University 2010 — 2011
Masters of Paralegal Studies
Boston University
Bachelors of Science in Paralegal Studies
BCBSMA January 2015 - Present
The MENTOR Network November 2012 - April 2015
The MENTOR Network March 2008 - November 2012
CVS Caremark Corporation January 2007 - March 2008
Reebok June 2003 - December 2006
Reebok July 2001 - May 2003
Gordon Brothers Group December 2000 - July 2001
Delta Dental Plan of Massachusetts 1992 - 2000
Skills
Paralegals, Litigation, Litigation Support, Document Management, Legal Assistance, File Management, Access, Microsoft Office, Document Review, Employment Law, Legal Documents, Policy, Leadership, Microsoft Word, Microsoft Excel, PowerPoint
Education
The George Washington University 2010 — 2011
Masters of Paralegal Studies
Boston University
Bachelors of Science in Paralegal Studies
Tricia Brogioli's BCBSMA Experience February 1998 - Present
Job Analysts at BCBSMA
Industry Insurance
Experience
BCBSMA February 1998 - Present
Blue Cross Blue Shield of Massachusetts 1998 - Present
Blue Cross Blue Shield 1998 - Present
Skills
Business Analysis, Requirements Analysis, Requirements Gathering, Analytics, Visio, Vendor Management, Business Intelligence
Education
University of Massachusetts Dartmouth 1989 — 1993
BCBSMA February 1998 - Present
Blue Cross Blue Shield of Massachusetts 1998 - Present
Blue Cross Blue Shield 1998 - Present
Skills
Business Analysis, Requirements Analysis, Requirements Gathering, Analytics, Visio, Vendor Management, Business Intelligence
Education
University of Massachusetts Dartmouth 1989 — 1993
Susan McGowan's BCBSMA Experience October 2000 - Present
Job Program Leader at BCBSMA
Industry Insurance
Experience
BCBSMA October 2000 - Present
Skills
Medicare, HIPAA
Education
Massachusets College of Pharmacy and Health Services 2007 — 2009
Master's degree, Applied Natural Products
Rhode Island College 1980 — 1984
Bachelor's degree, Registered Nursing/Registered Nurse
BCBSMA October 2000 - Present
Skills
Medicare, HIPAA
Education
Massachusets College of Pharmacy and Health Services 2007 — 2009
Master's degree, Applied Natural Products
Rhode Island College 1980 — 1984
Bachelor's degree, Registered Nursing/Registered Nurse
Ryan Dice's BCBSMA Experience June 2007 - May 2010
Job Client Marketing Analyst at Highmark
Industry Insurance
Experience
Highmark June 2012 - Present
Blue Cross Blue Shield of Massachusetts May 2010 - June 2012
BCBSMA June 2007 - May 2010
BCBSMA December 2006 - June 2007
Skills
Insurance, Health Insurance, Microsoft Office, Healthcare, Project Management, Marketing Strategy, Marketing, Presentation Development, Innovation, Leadership, Data Analysis, Process Improvement, Sales, Product Marketing, Creative Direction
Education
Kutztown University of Pennsylvania 2000 — 2004
BA, Political Science
Highmark June 2012 - Present
Blue Cross Blue Shield of Massachusetts May 2010 - June 2012
BCBSMA June 2007 - May 2010
BCBSMA December 2006 - June 2007
Skills
Insurance, Health Insurance, Microsoft Office, Healthcare, Project Management, Marketing Strategy, Marketing, Presentation Development, Innovation, Leadership, Data Analysis, Process Improvement, Sales, Product Marketing, Creative Direction
Education
Kutztown University of Pennsylvania 2000 — 2004
BA, Political Science
Deanna Lamontagne's BCBSMA Experience August 2010 - March 2011
Job Health Management Clinical Quality Program Manager at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts August 2014 - Present
Blue Cross Blue Shield of Massachusetts March 2011 - September 2014
BCBSMA August 2010 - March 2011
Blue Cross Blue Shield of Massachusetts March 2007 - August 2010
Blue Cross Blue Shield of Massachusetts November 2001 - August 2007
Skills
Visio, Risk Management, Microsoft Office, Insurance, User Acceptance Testing, Customer Relations, Data Analysis, Program Management, Problem Solving, Performance Management, Customer Service, Vendor Management, Team Leadership, Process Improvement, SDLC, Coaching, Word, Budgeting, PowerPoint, Business Process..., Business Analysis, Change Management, Healthcare, Budgets, Health Insurance, Requirements Analysis, Requirements Gathering, Operations Management, Software Documentation, PMO
Education
SIM Regional Leadership Forum 2014 — 2014
Bridgewater State College
Bachelor of Science (B.S.), Psychology
Worcester State College
Blue Cross Blue Shield of Massachusetts August 2014 - Present
Blue Cross Blue Shield of Massachusetts March 2011 - September 2014
BCBSMA August 2010 - March 2011
Blue Cross Blue Shield of Massachusetts March 2007 - August 2010
Blue Cross Blue Shield of Massachusetts November 2001 - August 2007
Skills
Visio, Risk Management, Microsoft Office, Insurance, User Acceptance Testing, Customer Relations, Data Analysis, Program Management, Problem Solving, Performance Management, Customer Service, Vendor Management, Team Leadership, Process Improvement, SDLC, Coaching, Word, Budgeting, PowerPoint, Business Process..., Business Analysis, Change Management, Healthcare, Budgets, Health Insurance, Requirements Analysis, Requirements Gathering, Operations Management, Software Documentation, PMO
Education
SIM Regional Leadership Forum 2014 — 2014
Bridgewater State College
Bachelor of Science (B.S.), Psychology
Worcester State College
Denise DeMaina CFE, AHFI, HCAFA's BCBSMA Experience October 2005 - April 2009
Job Senior Program Manager for Fraud Investigation & Prevention at Blue Cross and Blue Shield of Massachusetts (Retired)
Industry Health, Wellness and Fitness
Experience
Blue Cross and Blue SHield of Massachusetts June 2009 - Present
BCBSMA October 2005 - April 2009
Blue Cross and Blue Shield of Massachusetts, Inc October 1992 - September 2005
Skills
Managed Care, Insurance, Medicaid, HIPAA, Health Insurance, Healthcare, Healthcare Management, Medicare Part D, Healthcare Information..., Healthcare Consulting
Education
University of Massachusetts Boston 1980 — 1984
Bachelor of Arts (BA), Sociology
Blue Cross and Blue SHield of Massachusetts June 2009 - Present
BCBSMA October 2005 - April 2009
Blue Cross and Blue Shield of Massachusetts, Inc October 1992 - September 2005
Skills
Managed Care, Insurance, Medicaid, HIPAA, Health Insurance, Healthcare, Healthcare Management, Medicare Part D, Healthcare Information..., Healthcare Consulting
Education
University of Massachusetts Boston 1980 — 1984
Bachelor of Arts (BA), Sociology
Kathie Sullivan's BCBSMA Experience 1985 - 2011
Job Business Analylst IV at HP
Industry Information Technology and Services
Experience
HP Senior Business AnalystHP1992 - Present
BCBSMA 1985 - 2011
Education
Massasoit Community College 1983 — 1985
Associate in Business, English
HP Senior Business AnalystHP1992 - Present
BCBSMA 1985 - 2011
Education
Massasoit Community College 1983 — 1985
Associate in Business, English
Priyanka Kanchana's BCBSMA Experience February 2010 - December 2010
Job Associate Manager
Industry Information Technology and Services
Experience
UST Global December 2013 - Present
Virginia State Police Association October 2013 - December 2013
Anthem March 2012 - September 2013
Anthem January 2011 - November 2012
BCBSMA February 2010 - December 2010
Express Scripts May 2009 - February 2010
20th Century Fox September 2008 - April 2009
Skills
Testing, EDI, Quality Assurance, HIPAA, System Testing, Test Planning, SDLC, Healthcare, Quality Center, Web Testing, Regression Testing, User Acceptance Testing, Test Management, Agile Methodologies, Requirements Gathering, Software Quality..., Software Project..., IBM Rational, Business Requirements, Rational Tools, Web Services Testing, Health Information...
Education
NBKR 1999 — 2003
Btech, Civil
Sri Venkateswara University 1999 — 2003
Bachelor of Technology, Bachelor's in Civil Engineering
UST Global December 2013 - Present
Virginia State Police Association October 2013 - December 2013
Anthem March 2012 - September 2013
Anthem January 2011 - November 2012
BCBSMA February 2010 - December 2010
Express Scripts May 2009 - February 2010
20th Century Fox September 2008 - April 2009
Skills
Testing, EDI, Quality Assurance, HIPAA, System Testing, Test Planning, SDLC, Healthcare, Quality Center, Web Testing, Regression Testing, User Acceptance Testing, Test Management, Agile Methodologies, Requirements Gathering, Software Quality..., Software Project..., IBM Rational, Business Requirements, Rational Tools, Web Services Testing, Health Information...
Education
NBKR 1999 — 2003
Btech, Civil
Sri Venkateswara University 1999 — 2003
Bachelor of Technology, Bachelor's in Civil Engineering
Charles McGrath's BCBSMA Experience June 2002 - December 2007
Job Volunteer Firefighter Stoneham Auxiliary Fire Department
Industry Photography
Experience
Cmcgrathphotography October 2011 - Present
Stoneham Auxiliary Fire Department August 2012 - Present
Jagartdesigns September 2002 - Present
BCBSMA June 2002 - December 2007
Stream Global Services 2000 - 2002
General Ambulance 2000 - 2002
US Army October 1982 - June 1988
US Army June 1982 - October 1982
Skills
Access, Business Analysis, Database Administration, Microsoft Office, Leadership, Sales, Management, Microsoft Excel, Team Building, Training, HTML, Fire Management
Education
Wentworth Institute of Technology 1998 — 2000
CS, Computer Science
Wentworth Institute of Technology 1998 — 2000
Computer Science
Massasoit Community College 1987 — 1989
Fire Science Technology, 3.75
Northeastern University 1987 — 1987
Emergency Medical Technician, Emergency Care Attendant (EMT Ambulance), 4.0
Cmcgrathphotography October 2011 - Present
Stoneham Auxiliary Fire Department August 2012 - Present
Jagartdesigns September 2002 - Present
BCBSMA June 2002 - December 2007
Stream Global Services 2000 - 2002
General Ambulance 2000 - 2002
US Army October 1982 - June 1988
US Army June 1982 - October 1982
Skills
Access, Business Analysis, Database Administration, Microsoft Office, Leadership, Sales, Management, Microsoft Excel, Team Building, Training, HTML, Fire Management
Education
Wentworth Institute of Technology 1998 — 2000
CS, Computer Science
Wentworth Institute of Technology 1998 — 2000
Computer Science
Massasoit Community College 1987 — 1989
Fire Science Technology, 3.75
Northeastern University 1987 — 1987
Emergency Medical Technician, Emergency Care Attendant (EMT Ambulance), 4.0
Margaret (Peg) Kenney's BCBSMA Experience January 1990 - Present
Job Sr. Business Analyst at BCBSMA
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts January 1990 - Present
BCBSMA January 1990 - Present
Blue Cross Blue Shield of Massachusetts 1990 - 2011
Blue Cross Blue Shield of Massachusetts 1990 - 2011
Blue Cross Blue Shield of MA 1990 - 2010
Education
Fisher College 1996 — 1998
Business
Blue Cross Blue Shield of Massachusetts January 1990 - Present
BCBSMA January 1990 - Present
Blue Cross Blue Shield of Massachusetts 1990 - 2011
Blue Cross Blue Shield of Massachusetts 1990 - 2011
Blue Cross Blue Shield of MA 1990 - 2010
Education
Fisher College 1996 — 1998
Business
shivaji pokala's BCBSMA Experience May 2008 - Present
Job Software Engineer at BCBSMA
Industry Insurance
Experience
BCBSMA May 2008 - Present
Capital One May 2006 - May 2008
Skills
Matlab, C++, J2EE, Perl, Interwoven, WCM, XSLT, Java Enterprise Edition, SQL, IBM Content Manager, Websphere
Education
University of Nevada-Reno
MS, Electrical Engineering
University of Nevada-Reno
MS, Physics
BCBSMA May 2008 - Present
Capital One May 2006 - May 2008
Skills
Matlab, C++, J2EE, Perl, Interwoven, WCM, XSLT, Java Enterprise Edition, SQL, IBM Content Manager, Websphere
Education
University of Nevada-Reno
MS, Electrical Engineering
University of Nevada-Reno
MS, Physics
Ireneusz Tomaszewski's BCBSMA Experience 2004 - 2005
Job Senior Research Analyst at Independent Health
Industry Insurance
Experience
Independent Health January 2013 - Present
HealthNow New York Inc. November 2005 - January 2013
BCBSMA 2004 - 2005
Automobile Insurers Bureau of Massachusetts May 2001 - June 2004
Skills
SAS, Data Analysis, Cognos, Healthcare, Managed Care, Analytics, SQL, Analysis, Insurance, Business Analysis, Data Modeling, Business Intelligence
Education
University at Albany, School of Public Health 2009 — 2014
Masters in Public Health, Health Policy & Management
State University of New York at Albany 1995 — 1999
Bachelor of Science, Business Administration
Independent Health January 2013 - Present
HealthNow New York Inc. November 2005 - January 2013
BCBSMA 2004 - 2005
Automobile Insurers Bureau of Massachusetts May 2001 - June 2004
Skills
SAS, Data Analysis, Cognos, Healthcare, Managed Care, Analytics, SQL, Analysis, Insurance, Business Analysis, Data Modeling, Business Intelligence
Education
University at Albany, School of Public Health 2009 — 2014
Masters in Public Health, Health Policy & Management
State University of New York at Albany 1995 — 1999
Bachelor of Science, Business Administration
Ellen Esteban's BCBSMA Experience 2006 - 2012
Job Senior Proposal Writer at BCBSMA
Industry Insurance
Experience
Blue Cross and Blue Shield of Massachusetts Inc. 2012 - Present
BCBSMA 2006 - 2012
Skills
Health Policy, Health Insurance, Managed Care, Proposal Writing, Employee Benefits, Medicare, Problem Solving, HIPAA, Visio, Access, Analysis, Leadership, Strategic Planning, Program Management, Management, Claim, Process Improvement, Vendor Management, Project Management
Education
McGill University 1973 — 1977
BA, History
Blue Cross and Blue Shield of Massachusetts Inc. 2012 - Present
BCBSMA 2006 - 2012
Skills
Health Policy, Health Insurance, Managed Care, Proposal Writing, Employee Benefits, Medicare, Problem Solving, HIPAA, Visio, Access, Analysis, Leadership, Strategic Planning, Program Management, Management, Claim, Process Improvement, Vendor Management, Project Management
Education
McGill University 1973 — 1977
BA, History
Bob Swanton's BCBSMA Experience
Job Director Member Health Metrics at BCBSMA
Industry Insurance
Experience
BCBSMA
Skills
Medicare, Health Insurance, Managed Care
Education
Bentley University
MCIS
BCBSMA
Skills
Medicare, Health Insurance, Managed Care
Education
Bentley University
MCIS
Thomas Savard's BCBSMA Experience 2011 - 2011
Job Change Management , GIS:Global Information Services
Industry Information Technology and Services
Experience
John Hancock Life Insurance Company (U.S.A.) April 2012 - Present
Fidelity Investments November 1997 - October 2011
Blue Cross Blue Shield of Massachusetts November 2011 - 2011
BCBSMA 2011 - 2011
Fidelity Investments November 1997 - May 2005
Skills
Release Management, SDLC, Software Project..., Process Improvement, JCL, Team Building, Change Management, Requirements Analysis, System Testing, DB2, Agile Methodologies, Quality Assurance, Software Configuration..., Mainframe, COBOL, Solution Architecture, Requirements Gathering
Education
New England Institute of Technology 1996 — 1998
associate of Science in CIS, cis
John Hancock Life Insurance Company (U.S.A.) April 2012 - Present
Fidelity Investments November 1997 - October 2011
Blue Cross Blue Shield of Massachusetts November 2011 - 2011
BCBSMA 2011 - 2011
Fidelity Investments November 1997 - May 2005
Skills
Release Management, SDLC, Software Project..., Process Improvement, JCL, Team Building, Change Management, Requirements Analysis, System Testing, DB2, Agile Methodologies, Quality Assurance, Software Configuration..., Mainframe, COBOL, Solution Architecture, Requirements Gathering
Education
New England Institute of Technology 1996 — 1998
associate of Science in CIS, cis
Michael Dent's BCBSMA Experience January 2001 - June 2008
Job Manager, Service Quality at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts August 2013 - Present
Blue Cross Blue Shield of Massachusetts August 2011 - August 2013
Blue Cross Blue Shield of Massachusetts June 2008 - August 2011
BCBSMA January 2001 - June 2008
Ann & hope June 1997 - January 2001
Skills
Health Insurance, Insurance, Claim, Medicare, Employee Benefits, Customer Service, HIPAA, Outlook, Call Centers, Process Improvement, Managed Care, Healthcare, Leadership, Health Policy, HMO, Medicare Part D, Provider Relations, Medicaid, Claims Resolution, Health Savings Accounts, PPO, Underwriting, Benefits Administration, COBRA, Disability Insurance, Healthcare Management, Software Documentation, Coaching, Quality Assurance, Access, Brokers, NCQA, Data Analysis, Analysis, Vendor Management, Business Requirements, Risk Management, Onboarding, Health Care Reform, Business Analysis, Management, Project Management, Microsoft Office, Team Building, Strategic Planning, Program Management
Education
Computer Education Institute 2001 — 2003
Bunker Hill Community College 1998 — 2000
Blue Cross Blue Shield of Massachusetts August 2013 - Present
Blue Cross Blue Shield of Massachusetts August 2011 - August 2013
Blue Cross Blue Shield of Massachusetts June 2008 - August 2011
BCBSMA January 2001 - June 2008
Ann & hope June 1997 - January 2001
Skills
Health Insurance, Insurance, Claim, Medicare, Employee Benefits, Customer Service, HIPAA, Outlook, Call Centers, Process Improvement, Managed Care, Healthcare, Leadership, Health Policy, HMO, Medicare Part D, Provider Relations, Medicaid, Claims Resolution, Health Savings Accounts, PPO, Underwriting, Benefits Administration, COBRA, Disability Insurance, Healthcare Management, Software Documentation, Coaching, Quality Assurance, Access, Brokers, NCQA, Data Analysis, Analysis, Vendor Management, Business Requirements, Risk Management, Onboarding, Health Care Reform, Business Analysis, Management, Project Management, Microsoft Office, Team Building, Strategic Planning, Program Management
Education
Computer Education Institute 2001 — 2003
Bunker Hill Community College 1998 — 2000
April Knapp's BCBSMA Experience September 2011 - December 2011
Job Team Lead for Medicare Part B Customer Service at HP Enterprise Services
Industry Insurance
Experience
HP Enterprise Services January 2012 - Present
BCBSMA September 2011 - December 2011
Blue Cross Blue Shield of Massachusetts September 2011 - December 2011
Skills
Health Insurance, Insurance, Managed Care, Employee Benefits, Medicare, Health Savings Accounts, Provider Relations, Underwriting, Claim, Disability Insurance, Health Policy, Healthcare
Education
University of Massachusetts, Amherst 2007 — 2011
BA, Psychology
HP Enterprise Services January 2012 - Present
BCBSMA September 2011 - December 2011
Blue Cross Blue Shield of Massachusetts September 2011 - December 2011
Skills
Health Insurance, Insurance, Managed Care, Employee Benefits, Medicare, Health Savings Accounts, Provider Relations, Underwriting, Claim, Disability Insurance, Health Policy, Healthcare
Education
University of Massachusetts, Amherst 2007 — 2011
BA, Psychology
Libing Shi's BCBSMA Experience January 2005 - October 2011
Job Senior Manager of HEDIS Operation and Improvement at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts January 2013 - Present
Electric Insurance Company November 2011 - January 2013
BCBSMA January 2005 - October 2011
Education
University of Cincinnati 1999 — 2001
Master, Statistics
Blue Cross Blue Shield of Massachusetts January 2013 - Present
Electric Insurance Company November 2011 - January 2013
BCBSMA January 2005 - October 2011
Education
University of Cincinnati 1999 — 2001
Master, Statistics
Pamela Kadmiri's BCBSMA Experience March 2000 - December 2014
Job Medical and Dental Insurance Claims Professional
Industry Medical Practice
Experience
BCBSMA March 2000 - December 2014
Skills
Customer Service, Healthcare, Insurance, Health Insurance, Outlook, Management, Process Improvement, Medicare, Training, Data Entry, Claims processor, HIPAA, Employee Benefits, Access, Medicaid, Data Analysis, Call Centers, Project Management, Software Documentation, Microsoft Office, Program Management
Education
Newbury College 1993 — 1994
Certificate, Medical Office
BCBSMA March 2000 - December 2014
Skills
Customer Service, Healthcare, Insurance, Health Insurance, Outlook, Management, Process Improvement, Medicare, Training, Data Entry, Claims processor, HIPAA, Employee Benefits, Access, Medicaid, Data Analysis, Call Centers, Project Management, Software Documentation, Microsoft Office, Program Management
Education
Newbury College 1993 — 1994
Certificate, Medical Office
Linda Merullo's BCBSMA Experience November 1984 - Present
Job Analyst at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts May 2005 - Present
BCBSMA November 1984 - Present
WebMD April 2000 - February 2005
Education
Massachusetts Bay Community College 1982 — 1985
Naick High School
Blue Cross Blue Shield of Massachusetts May 2005 - Present
BCBSMA November 1984 - Present
WebMD April 2000 - February 2005
Education
Massachusetts Bay Community College 1982 — 1985
Naick High School
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY