BlueCross BlueShield of Massachusetts
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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BlueCross BlueShield of Massachusetts Employees
Actively Seeking Employment January 2012 - Present
CareFirst BlueCross BlueShield July 2002 - January 2012
BlueCross BlueShield of North Carolina February 1994 - August 2001
Duke University Medical Center July 1992 - December 1993
BlueCross BlueShield of Massachusetts November 1986 - April 1991
Skills
Medicare, Health Insurance, Direct Patient Care, Curriculum Development..., Teaching Nurses and..., Clinical Appeals, Computer Systems..., Healthcare Information..., User Support, Training, Medicine, Healthcare, Clinical Research
Education
Boston University
Master's Degree, Nursing Practice
Hampton University
Bachelor's Degree, Registered Nursing/Registered Nurse
University of Maryland University College
Bachelor's Degree, Computer Science
BlueCross BlueShield of Massachusetts November 2013 - Present
Blue Cross Blue Shield of Massachusetts July 2009 - November 2013
Blue Cross Blue Shield of Massachusetts February 2004 - July 2009
Blue Cross Blue Shield of Massachusetts April 1989 - February 2004
State Street Bank May 1986 - January 1989
Skills
Health Insurance, Managed Care, Medicare, Insurance, Provider Relations, HIPAA, Process Improvement, Business Process..., Vendor Management, Healthcare, Business Analysis, Risk Management, Claim, Leadership
Education
Fitchburg State College 1982 — 1986
BS, Business Administration, Accounting
Plymouth Carver High School
Compass Health Analytics, Inc. 1997 - Present
Safe Passage 2006 - 2011
Abt Associates 1994 - 1997
BlueCross BlueShield of Massachusetts 1993 - 1994
American Hospital Association 1991 - 1993
American Hospital Association 1990 - 1991
Leonard Davis Institute of Health Economics 1988 - 1990
Andersen Consulting (Accenture) 1985 - 1987
Sisters of Mercy Health System 1984 - 1985
Skills
Accountable Care..., Health Insurance, Data Warehousing, Health Economics, Actuarial Consulting, Analytics, Healthcare, Project Management, Nonprofits, Insurance, Non-profits, Employee Benefits, Healthcare Consulting
Education
University of Pennsylvania 1987 — 1994
PhD, Health Economics/Insurance Economics
University of Michigan 1982 — 1984
MHSA, Health Services Administration
Northwestern University 1978 — 1982
BA, Economics
New England Employee Benefits Council December 2012 - Present
PMH Associates, Inc March 1997 - December 2012
George Beram & Co. 1991 - 1997
The Segal Company 1988 - 1991
BlueCross BlueShield of Massachusetts 1984 - 1988
Home Life Insurance Company 1979 - 1983
Skills
Employee Benefits, Insurance, Human Resources, Disability Insurance, HRIS, Payroll, Health Insurance, Benefits Administration, Leadership, Strategy, Employee Training, Management, Budgets, Consulting, Brokers, Internal Communications, Strategic Planning, Healthcare, Long-term Care, Sales, New Business Development, Business Planning, HR Consulting, Marketing
Education
Denison University 1977 — 1981
BA, Political Science - Cum Laude
Boston Benefit Partners, LLC June 2014 - Present
Boston Benefit Partners, LLC February 2011 - June 2014
BlueCross BlueShield of Massachusetts July 2009 - January 2011
BlueCross BlueShield of MA March 2005 - July 2009
Tufts Health Plan August 2003 - March 2005
Tufts Health Plan March 1998 - July 2003
Tufts Health Plan June 1996 - March 1998
Boston Department of Health and Hospitals May 1994 - June 1996
Boston Department of Health and Hospitals October 1992 - May 1994
Skills
Informatics, Training, Health Insurance
Education
Boston University School of Public Health
Master of Public Health, Epidemiology/Biostatistics and Social; Behavioral Sciences
Brandeis University
Bachelor of Arts, Biology
UMass Boston Center for Collaborative Leadership
2009 Fellow Emerging Leaders Program
Divorce Coach April 2005 - Present
Blue Cross Blue Shield of Massachusetts December 2005 - January 2011
BlueCross BlueShield of Massachusetts November 2005 - January 2011
National Charity League, Inc. 2007 - 2010
Skills
Coaching, Public Speaking, Leadership Development, Non-profits, Strategic Planning, Team Building, Executive Coaching, Fundraising, Customer Service, Event Planning, Workshop Facilitation, Program Development, Divorce, Parenting Plans
Education
International Coach Academy [ICA] 2011 — 2012
CPCP, Certified Professional Coach Program
Lesley University 1998 — 2000
Masters, Technology in Education
Drexel University - LeBow College of Business 1977 — 1982
BS, Accounting
Joslin Diabetes Center September 2012 - Present
Nutter McClennen & Fish LLP November 1998 - September 2012
BlueCross BlueShield of Massachusetts 1984 - 1997
Skills
Intellectual Property, Patent Prosecution, Licensing, Patents, Patent Litigation, Corporate Law, Joint Ventures, Corporate Governance, Trademarks, Legal Research, Due Diligence, Litigation, Patent Portfolio..., Securities Regulation, Venture Capital, Legal Writing, Mergers, Commercial Litigation, Legal Compliance, Copyright Law, Trade Secrets, Start-ups, Mergers & Acquisitions, Healthcare Industry, Clinical Trials, Privacy Law, Appeals, Health Law, Employment Law
Education
Boston University
Bachelor of Science (BS), Communications
Suffolk University Law School
Doctor of Law (JD)
Avnet October 2012 - Present
TEKsystems February 2012 - October 2012
Apex Systems October 2011 - February 2012
Apex Systems September 2011 - September 2011
Frito Lay July 2002 - October 2009
Just-A-Start House March 2003 - June 2003
Siemens Business Services February 2002 - April 2002
BlueCross BlueShield of Massachusetts January 2001 - October 2001
Entex Information Services September 1997 - January 2001
Ceridian September 1992 - September 1997
Skills
Windows 8.1, Microsoft Surface, Windows 7, VPN, Troubleshooting, Technical Support, Remote Desktop, Networking, Microsoft Exchange, Laptops, XP, Windows XP, Software Installation, Windows, System Deployment, Network Administration, Active Directory, Antivirus, Project Management, Integration, Customer Service, Administration, SCCM, Desktop Support, Deployment, Customer Relations
Education
Northeastern University 1990 — 1992
Computer Science
Wire Paladin Interim Executive Leadership March 2009 - Present
University of Massachusetts Medical School 2007 - 2009
Rlisys Practice Solutions October 1998 - October 2007
BlueCross BlueShield of Massachusetts January 1994 - October 1998
Tufts Health Plan ManagedComp January 1990 - January 1994
Aetna Partners National Health Plans January 1986 - January 1990
Skills
New Product Launches., Shareholder Value, Startups, Early Stage Companies, Turnarounds, Entrepreneurial..., Interim Management, Healthcare IT, CRM software, Profit Improvement, Sales Management, Team Building, Team Leadership, Strategy Development, Business Strategy, New Business Development, Non-profits, Start-ups, Entrepreneurship, Strategy
Education
Boston College
B.S., Economics
Boston University Questrom School of Business
MBA, Management
New York University - Leonard N. Stern School of Business
MBA, Management
Saint Thomas Health August 2013 - Present
Saint Thomas Health March 2002 - August 2013
Saint Thomas Health September 1998 - March 2002
Uniphy Healthcare October 1997 - September 1998
BlueCross BlueShield of New Hampshire (now Anthem BlueCross BlueShield) May 1996 - September 1997
Blue Cross Blue Shield of Massachusetts 1994 - May 1996
Blue Cross Blue Shield of Massachusetts 1993 - 1994
BlueCross Blue Shield of Massachuetts 1991 - 1993
BlueCross BlueShield of Massachusetts 1987 - 1991
BlueCross BlueShield of Massachusetts 1986 - 1987
Skills
HIPAA, Health Insurance, Network Development, Strategic Planning, Medicaid, Physician Relations, Revenue Cycle, Healthcare Management, Provider Relations, Process Improvement, Leadership, Contract Negotiation, Contract Reimbursement..., Pay for Performance, Managed Care, Payor Relations, Health Insurance..., Accountable Care, Ancillary Contracting, Hospital Contracting, Physician Contracting, Human Resources, Physicians, EMR, Healthcare Industry, Practice Management, Health Policy, Insurance, Quality Improvement, Policy, Medical Billing, Informatics, Medical Coding, Utilization Management, Disease Management, Patient Safety, Performance Improvement, Medicine, Cerner, Home Care, Inpatient, Bundled Payments, Network Design
Education
Boston College 1979 — 1983
B.A., Speech Communications
Neighborhood Health Plan March 2014 - September 2015
BlueCross BlueShield of Massachusetts April 2013 - November 2013
BlueCross BlueShield of Massachusetts September 2009 - April 2013
BlueCross BlueShield of Massachusetts November 2007 - September 2009
CITY OF BOSTON COMMISSION ON AFFAIRS OF THE ELDERLY December 2008 - May 2009
Masspro January 2007 - November 2007
IHS Cambridge Energy Research Associates September 2006 - December 2006
Fidelity Investments April 1999 - September 2006
Scudder Stevens and Clark 1990 - 1992
Skills
Newsletters, Healthcare, Editing, Health Promotion, Employee Wellness, Research, Healthcare Management, Cross-functional Team..., Health Communication, Clinical Research, Strategic Communications, Health Insurance, Public Speaking, Social Media, Non-profits, Marketing, Strategy, Leadership, Marketing Communications, Program Management, Proposal Writing, Nonprofits, Compassion
Education
Emerson College 2015 — 2015
Certificate, Copyediting
Emerson College 2004 — 2009
MA, Health Communication
Boston University 1985 — 1989
BA, Political Science
Cohasset High School
Cohasset High School
Karmê Chöling Shambhala Meditation Center December 2012 - Present
Mandala Services November 2009 - Present
Constant Contact February 2009 - October 2009
NaviNet July 2007 - March 2008
BlueCross BlueShield of Massachusetts February 2005 - June 2007
Growing Up Yoga September 2002 - February 2005
Rational Software November 2000 - August 2002
BeeLine Internet Resources August 1999 - October 2000
The Extraprise Group June 1998 - July 1999
Thomson Financial 1996 - 1998
Skills
Web Development, Technical Writing, Strategic Planning, Social Media, Online Marketing, Technical Training, Technical Analysis, Business Analysis, Business Process, Web Project Management, Software Project..., Email Marketing, Problem Solving, Requirements Analysis, Account Management, Product Management, Customer Relations, Agile, HTML, Team Leadership, SDLC, Process Improvement, Public Speaking, Business Strategy, Software Development, Databases, Content Management, Integration, Drupal, Wordpress, Documentation, Software Documentation, Agile Methodologies, Strategy, Cross-functional Team..., Program Management
Education
Commonwealth Corporation at Salem State College 2003 — 2003
University of Rhode Island - College of Business Administration
B.S.
Fidelity Investments September 2010 - Present
Nokia June 2008 - March 2010
Fidelity Investments May 2007 - March 2008
BlueCross BlueShield of Massachusetts August 2006 - 2007
The MathWorks July 2004 - March 2005
Putnam Investments September 2000 - March 2004
Education
Bentley University 2004 — 2005
Master of Science in Human Factors in Information Design
University of Massachusetts, Amherst 1994 — 1995
Master of Science, Interior Architecture
Boston University 1984 — 1988
Bachelor of Arts, Art History
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
Blue Cross Blue Shield of Massachusetts May 2009 - Present
BlueCross BlueShield of Massachusetts April 2006 - May 2009
BlueCross BlueShield of Massachusetts June 2003 - March 2006
Lutron Electronics June 1997 - August 2001
Skills
Business Process..., Management Consulting, Change Management, Process Improvement, Strategic Planning, Cross-functional Team..., Business Strategy, Project Management, Strategy, Organizational Design
Education
Boston College - Wallace E. Carroll Graduate School of Management 2001 — 2003
MBA
Clarkson University 1993 — 1997
B.S., Interdisciplinary Engineering & Management
Irondequoit High School 1989 — 1993
Diploma
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 November 2009 - August 2011
BlueCross BlueShield of Massachusetts September 2008 - November 2009
The Bostonian Group March 2005 - August 2008
The Chickering Group 2002 - 2005
Skills
Health Insurance, Analytics, Analysis, Insurance, Cross-functional Team..., Healthcare, Risk Management
Education
Boston University School of Public Health 2006 — 2009
MPH, Public health
University of Rochester 1998 — 2002
BlueCross BlueShield of Massachusetts 2011 - Present
Blue Cross Blue Shield of Massachusetts 2008 - 2011
Holland + Knight April 2005 - May 2008
Massachusetts Office of Consumer Affairs and Business Regulation 2001 - 2005
Massachusetts Division of Insurance 1997 - 2001
Skills
Policy, Licensing, Regulatory Affairs, Civil Litigation, Fundraising, Mediation, Corporate Law, Contract Negotiation, Public Policy, Healthcare, Nonprofits, Commercial Litigation, Insurance, Government, Public Speaking, Financial Services, Legislative Relations, Community Outreach, Appeals, Medicaid, Litigation, Health Policy, Legal Writing, Managed Care
Education
Suffolk University Law School 1988 — 1991
J.D. Cum Laude, Law
Williams College 1984 — 1988
B.A., History
Boston Latin School 1978 — 1984
Blue Cross Blue Shield of Massachusetts December 2012 - Present
Hewlett Packard Enterprise Services (Formerly EDS) August 1997 - December 2012
BlueCross BlueShield of Massachusetts 1993 - 1995
Membership Services January 1990 - January 1993
Blue Cross Blue Shield of Massachusetts January 1989 - January 1990
Document Control Center-Membership Services January 1980 - January 1988
Skills
Analysis, Business Analysis, Customer Relations, Customer Service, Data Analysis, Excel, Fundraising, Financial Analysis, Quality, Healthcare, Process Improvement, Microsoft Office, Change Management, Outlook, Photoshop, PowerPoint, Visio, Troubleshooting, Quality Center, Research, Problem Solving, Testing, Word, Business Requirements, Requirements Gathering, Software Documentation, Microsoft Word, Microsoft Excel
Education
North Shore Community College
Revere High School
Xerox State Healthcare June 2010 - Present
Massachusetts Health Connector December 2006 - June 2010
Massachusetts Health Connector December 2006 - 2010
Health and Human Services -MA November 2003 - December 2006
Health Data Policy Group January 1997 - January 2006
BLUECROSS BLUESHIELD OF MASSACHUSETTS January 1995 - January 1996
Skills
Policy Analysis, Analysis, Program Management, Leadership, Business Analysis, Change Management, Policy, Organizational..., Healthcare, Budgets, Business Process..., Process Improvement, Medicaid, Government, Management
Education
Suffolk University
Master, Health Administration
NEW HAMPSHIRE COLLEGE
Master, Business Administration
University of New Hampshire
Bachelor of Arts, Microbiology
United Healthcare April 2010 - Present
Bluecross Blueshield of Massachusetts July 2007 - April 2010
The Vermont Country Store October 2001 - July 2007
Skills
Health Insurance, Insurance, Customer Service, Call Centers, Employee Benefits, Outlook, Microsoft Excel, Data Entry, Medicare, Microsoft Office, Claim, Process Improvement
Education
Hesser College
The College of St Joseph