BMC HealthNet Plan
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BMC HealthNet Plan Employees
Employee
Years
Job
Industry
Barry Rock Barry Rock's BMC HealthNet Plan Experience October 2013 - Present
Job Director of Total Rewards at BMC HealthNet Plan/Well Sense Health Plan
Industry Insurance
Experience
BMC HealthNet Plan/Well Sense Health Plan August 2015 - Present
BMC HealthNet Plan October 2013 - Present
Boston Medical Center HealthNet Plan July 2012 - October 2013
BMC HealthNet Plan September 2011 - July 2012
BMC HealthNet Plan December 2008 - September 2011
OneBeacon Insurance August 2004 - December 2007
Delta Dental Insurance Company February 2001 - July 2004
Anthem 1996 - 2001
TAD Technical 1994 - 1995
Skills
Talent Acquisition, Employee Relations, Deferred Compensation, Employee Benefits, Benefits Administration, Human Resources, Talent Management, Recruiting, Performance Management, HRIS, Employee Engagement, Leadership Development, Process Improvement, Personnel Management, Applicant Tracking..., Training, Strategic Planning, Leadership, Hiring, Organizational..., Sourcing, Succession Planning, PeopleSoft, FMLA, Workforce Planning, College Recruiting, Employee Training, Onboarding, Interviews, Organizational..., Employment Law, Workers Compensation, New Hire Orientations
Education
Suffolk University 2001 — 2004
M.S., Human Resources
Thomas College 1990 — 1994
B.S, Marketing/Management
BMC HealthNet Plan/Well Sense Health Plan August 2015 - Present
BMC HealthNet Plan October 2013 - Present
Boston Medical Center HealthNet Plan July 2012 - October 2013
BMC HealthNet Plan September 2011 - July 2012
BMC HealthNet Plan December 2008 - September 2011
OneBeacon Insurance August 2004 - December 2007
Delta Dental Insurance Company February 2001 - July 2004
Anthem 1996 - 2001
TAD Technical 1994 - 1995
Skills
Talent Acquisition, Employee Relations, Deferred Compensation, Employee Benefits, Benefits Administration, Human Resources, Talent Management, Recruiting, Performance Management, HRIS, Employee Engagement, Leadership Development, Process Improvement, Personnel Management, Applicant Tracking..., Training, Strategic Planning, Leadership, Hiring, Organizational..., Sourcing, Succession Planning, PeopleSoft, FMLA, Workforce Planning, College Recruiting, Employee Training, Onboarding, Interviews, Organizational..., Employment Law, Workers Compensation, New Hire Orientations
Education
Suffolk University 2001 — 2004
M.S., Human Resources
Thomas College 1990 — 1994
B.S, Marketing/Management
Diala Nicolas Diala Nicolas's BMC HealthNet Plan Experience May 2012 - August 2012
Job Doctor of Pharmacy Student at Northeastern University
Industry Hospital & Health Care
Experience
Cape Cod Healthcare August 2013 - January 2014
CVS Pharmacy January 2013 - May 2013
BMC HealthNet Plan May 2012 - August 2012
Skills
Pharmacology, Pharmacy, Community Pharmacy, Patient Safety, Patient Education, Patient Counseling, Hospital Pharmacy, Medicaid Managed Care, Medication Therapy..., Clinical Pharmacy, Medicare Part D, Pharmacy Benefit...
Education
Northeastern University 2010 — 2016
Doctor of Pharmacy (Pharm.D.), Pharmacy, International Affairs and History Minors
Cape Cod Healthcare August 2013 - January 2014
CVS Pharmacy January 2013 - May 2013
BMC HealthNet Plan May 2012 - August 2012
Skills
Pharmacology, Pharmacy, Community Pharmacy, Patient Safety, Patient Education, Patient Counseling, Hospital Pharmacy, Medicaid Managed Care, Medication Therapy..., Clinical Pharmacy, Medicare Part D, Pharmacy Benefit...
Education
Northeastern University 2010 — 2016
Doctor of Pharmacy (Pharm.D.), Pharmacy, International Affairs and History Minors
Karin Segovia Karin Segovia's BMC HealthNet Plan Experience January 2011 - October 2012
Job Team Lead, Provider Enrollment at Steward Medical Group
Industry Insurance
Experience
Provider Network Alliance January 2014 - Present
Steward Health Care October 2012 - January 2014
BMC HealthNet Plan January 2011 - October 2012
Beacon Health Strategies March 2010 - January 2011
WellPoint October 2007 - February 2010
Skills
Credentialing, NCQA, Provider Relations, JCAHO, Data Entry, Process Improvement, Microsoft Office, Cactus, Inventory Management, Analytical Skills, Healthcare Management, HIPAA, Hospitals, Provider Enrollment, Project Management, Customer Service, Delegated Contract..., Data Management, Problem Solving, Staff Supervision, Corrective Actions, Staff Training, Medicare, CAQH, Medicaid, Teamwork, Organizational Skills, Athena, Facets, IntelliSoft, File Reviews, Software Documentation, Windows, Healthcare, Health Insurance, Training
Education
Fisher College
Health Care Management
Fairport High School
Northern Essex Community College
Provider Network Alliance January 2014 - Present
Steward Health Care October 2012 - January 2014
BMC HealthNet Plan January 2011 - October 2012
Beacon Health Strategies March 2010 - January 2011
WellPoint October 2007 - February 2010
Skills
Credentialing, NCQA, Provider Relations, JCAHO, Data Entry, Process Improvement, Microsoft Office, Cactus, Inventory Management, Analytical Skills, Healthcare Management, HIPAA, Hospitals, Provider Enrollment, Project Management, Customer Service, Delegated Contract..., Data Management, Problem Solving, Staff Supervision, Corrective Actions, Staff Training, Medicare, CAQH, Medicaid, Teamwork, Organizational Skills, Athena, Facets, IntelliSoft, File Reviews, Software Documentation, Windows, Healthcare, Health Insurance, Training
Education
Fisher College
Health Care Management
Fairport High School
Northern Essex Community College
Joseph Cason Joseph Cason's BMC HealthNet Plan Experience April 2008 - August 2014
Job Manager of Member Enrollment at BMC HealthNet Plan/Well Sense Health Plan
Industry Insurance
Experience
BMC HealthNet Plan/Well Sense Health Plan August 2014 - Present
BMC HealthNet Plan April 2008 - August 2014
BMC HealthNet Plan August 2007 - April 2008
BMC HealthNet Plan September 2006 - August 2007
JobMaster July 1996 - August 2005
Technical Resource Group January 1992 - July 1996
Skills
Medicaid, HIPAA, Health Insurance, Managed Care, Healthcare, Insurance, Healthcare Management, Process Improvement, Healthcare Information..., Access, Microsoft Excel, Outlook, Software Documentation, Business Analysis, Provider Relations, Data Analysis, Microsoft Office, Data Entry
Education
Tennessee State University 1991 — 1994
Bachelor of Arts (B.A.), History
BMC HealthNet Plan/Well Sense Health Plan August 2014 - Present
BMC HealthNet Plan April 2008 - August 2014
BMC HealthNet Plan August 2007 - April 2008
BMC HealthNet Plan September 2006 - August 2007
JobMaster July 1996 - August 2005
Technical Resource Group January 1992 - July 1996
Skills
Medicaid, HIPAA, Health Insurance, Managed Care, Healthcare, Insurance, Healthcare Management, Process Improvement, Healthcare Information..., Access, Microsoft Excel, Outlook, Software Documentation, Business Analysis, Provider Relations, Data Analysis, Microsoft Office, Data Entry
Education
Tennessee State University 1991 — 1994
Bachelor of Arts (B.A.), History
Mark Frommelt Mark Frommelt's BMC HealthNet Plan Experience April 2008 - November 2009
Job OPs/DevOps Engineer for a SaaS Product at Thomson Reuters
Industry Computer Networking
Experience
Thomson Reuters November 2009 - Present
AMF Systems, Inc. December 2005 - Present
BMC HealthNet Plan April 2008 - November 2009
McKesson Provider Technologies February 2007 - April 2008
Iron Mountain April 2005 - February 2007
LifeAccess.com September 2001 - January 2005
Northrop Grumman Aerospace Systems October 1997 - December 2000
Fidelity Investments 1995 - 1996
Skills
VMware, IIS, Active Directory, Windows Server, Enterprise Architecture, Scripting, System Architecture, Web Applications, Hardware Architecture, Application Architecture, SaaS, Release Management, Java, Perl, Puppet, System Monitoring, Agile Methodologies, ITIL, Data Center, Linux, Unix, Microsoft Exchange, SharePoint, Virtualization, Disaster Recovery, VMware ESX, Servers, Microsoft SQL Server, Apache
Education
Northeastern University 1988 — 1993
BSME Program, Mechanical Engineering
Thomson Reuters November 2009 - Present
AMF Systems, Inc. December 2005 - Present
BMC HealthNet Plan April 2008 - November 2009
McKesson Provider Technologies February 2007 - April 2008
Iron Mountain April 2005 - February 2007
LifeAccess.com September 2001 - January 2005
Northrop Grumman Aerospace Systems October 1997 - December 2000
Fidelity Investments 1995 - 1996
Skills
VMware, IIS, Active Directory, Windows Server, Enterprise Architecture, Scripting, System Architecture, Web Applications, Hardware Architecture, Application Architecture, SaaS, Release Management, Java, Perl, Puppet, System Monitoring, Agile Methodologies, ITIL, Data Center, Linux, Unix, Microsoft Exchange, SharePoint, Virtualization, Disaster Recovery, VMware ESX, Servers, Microsoft SQL Server, Apache
Education
Northeastern University 1988 — 1993
BSME Program, Mechanical Engineering
Ana Palmero Ana Palmero's BMC HealthNet Plan Experience August 2012 - December 2012
Job Credentialing Coordinator
Industry Translation and Localization
Experience
LanguageLine Solutions January 2013 - Present
Fresenius Medical Care December 2014 - June 2015
Fresenius Medical Care September 2014 - December 2014
MultiPlan June 2014 - August 2014
BMC HealthNet Plan August 2012 - December 2012
Dorchester House Multi Service Center March 2012 - July 2012
Joseph M. Smith Community Health Center October 2010 - June 2011
Masshealth November 2009 - September 2010
Sirius XM Radio Inc. January 2007 - January 2008
Skills
Fluent in English and..., Proficient in Windows..., Healthcare, Customer Service, Employee Benefits, Health Insurance, Call Centers, Hospitals, Medicine, Data Entry, Microsoft Office, PowerPoint, Microsoft Word, Microsoft Excel, Medical Terminology, Community Outreach, Public Speaking, Outlook, Event Planning, Research, Medical Billing, Teaching
Education
The Salter School-Malden Campus 2013 — 2014
Health Claims Certificate, Health/Medical Claims Examiner
Colegio Cervantes 2004 — 2008
High School Diploma, High School Diploma
LanguageLine Solutions January 2013 - Present
Fresenius Medical Care December 2014 - June 2015
Fresenius Medical Care September 2014 - December 2014
MultiPlan June 2014 - August 2014
BMC HealthNet Plan August 2012 - December 2012
Dorchester House Multi Service Center March 2012 - July 2012
Joseph M. Smith Community Health Center October 2010 - June 2011
Masshealth November 2009 - September 2010
Sirius XM Radio Inc. January 2007 - January 2008
Skills
Fluent in English and..., Proficient in Windows..., Healthcare, Customer Service, Employee Benefits, Health Insurance, Call Centers, Hospitals, Medicine, Data Entry, Microsoft Office, PowerPoint, Microsoft Word, Microsoft Excel, Medical Terminology, Community Outreach, Public Speaking, Outlook, Event Planning, Research, Medical Billing, Teaching
Education
The Salter School-Malden Campus 2013 — 2014
Health Claims Certificate, Health/Medical Claims Examiner
Colegio Cervantes 2004 — 2008
High School Diploma, High School Diploma
Amanda Giannino, CPC Amanda Giannino, CPC's BMC HealthNet Plan Experience August 2013 - June 2014
Job Client Policy Manager at iHealth Technologies
Industry Hospital & Health Care
Experience
Neighborhood Health Plan July 2015 - Present
iHealth Technologies June 2014 - June 2015
BMC HealthNet Plan August 2013 - June 2014
Physician's Professional Services November 2012 - August 2013
The Salter School March 2012 - June 2013
HMS August 2007 - November 2012
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, Medicare
Education
The Salter School-Malden Campus 2004 — 2005
Health Claims Specialist, Medical Insurance Coding Specialist/Coder
Everett High School 2001 — 2004
Neighborhood Health Plan July 2015 - Present
iHealth Technologies June 2014 - June 2015
BMC HealthNet Plan August 2013 - June 2014
Physician's Professional Services November 2012 - August 2013
The Salter School March 2012 - June 2013
HMS August 2007 - November 2012
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, Medicare
Education
The Salter School-Malden Campus 2004 — 2005
Health Claims Specialist, Medical Insurance Coding Specialist/Coder
Everett High School 2001 — 2004
Denisha Crawley Denisha Crawley's BMC HealthNet Plan Experience July 2012 - December 2012
Job Graduate of University of Massachusetts Boston
Industry Mental Health Care
Experience
Steward Health Care January 2015 - Present
BMC HealthNet Plan July 2012 - December 2012
Brigham and Women's Hospital August 2008 - December 2011
Skills
Customer Service, Healthcare, Childcare, Fundraising, Community Outreach, Nonprofits, Case Management, Mental Health, Teaching, Social Services, Program Development, Hospitals, Data Entry, Research, PowerPoint, Elder Care, Public Speaking, Staff Development, Cpr Certified, Microsoft Word, Microsoft Excel, Microsoft Office, Psychology, Social Media, Event Planning, Outlook, Social Networking
Education
University of Massachusetts Boston 2013 — 2015
Bachelor’s Degree, Psychology
Quincy College 2010 — 2012
Associate of Arts and Sciences (A.A.S.), Behavioral Sciences
Steward Health Care January 2015 - Present
BMC HealthNet Plan July 2012 - December 2012
Brigham and Women's Hospital August 2008 - December 2011
Skills
Customer Service, Healthcare, Childcare, Fundraising, Community Outreach, Nonprofits, Case Management, Mental Health, Teaching, Social Services, Program Development, Hospitals, Data Entry, Research, PowerPoint, Elder Care, Public Speaking, Staff Development, Cpr Certified, Microsoft Word, Microsoft Excel, Microsoft Office, Psychology, Social Media, Event Planning, Outlook, Social Networking
Education
University of Massachusetts Boston 2013 — 2015
Bachelor’s Degree, Psychology
Quincy College 2010 — 2012
Associate of Arts and Sciences (A.A.S.), Behavioral Sciences
Patricia Pariste Patricia Pariste's BMC HealthNet Plan Experience January 2014 - March 2014
Job HR Assistant at Regis College
Industry Civil Engineering
Experience
Regis College April 2014 - Present
BMC HealthNet Plan January 2014 - March 2014
CDM Smith May 2010 - July 2013
The Heritage on the Garden March 2009 - May 2010
Massachusetts General Hospital 2009 - 2010
Skills
Applicant Tracking..., Onboarding, HRIS, Microsoft Office, Recruiting, Process Scheduler, PeopleSoft, Scheduling, Oracle, ADP, Event Planning, New Hire Orientation, COBRA, Benefits Administration, Requisitions, Background Checks, New Hire Orientations, Human Resources, Employee Benefits
Education
Regis College 2014 — 2017
Master of Science (M.S.), Health/Health Care Administration/Management
Regis College 2006 — 2010
Bachelors of Art, Management
Regis College April 2014 - Present
BMC HealthNet Plan January 2014 - March 2014
CDM Smith May 2010 - July 2013
The Heritage on the Garden March 2009 - May 2010
Massachusetts General Hospital 2009 - 2010
Skills
Applicant Tracking..., Onboarding, HRIS, Microsoft Office, Recruiting, Process Scheduler, PeopleSoft, Scheduling, Oracle, ADP, Event Planning, New Hire Orientation, COBRA, Benefits Administration, Requisitions, Background Checks, New Hire Orientations, Human Resources, Employee Benefits
Education
Regis College 2014 — 2017
Master of Science (M.S.), Health/Health Care Administration/Management
Regis College 2006 — 2010
Bachelors of Art, Management
Rick Haggerty Rick Haggerty's BMC HealthNet Plan Experience February 2005 - February 2010
Job Springfield Public Schools Teacher, Valley Free Radio Show Host
Industry Education Management
Experience
Springfield Public Schools February 2014 - Present
Valley Free Radio October 2011 - Present
BMC HealthNet Plan February 2005 - February 2010
Advanced Healthcare Systems - D.C.S. Mental Health February 1999 - July 2004
Skills
Case Managment, Group Therapy, Clinical Supervision, Psychotherapy, Crisis Intervention, Mental Health, Motivational..., Managed Care, Treatment, Clinical Research, Hospitals, Medicare, Nursing, Program Development, Counseling Psychology, Healthcare, Healthcare Management, Utilization Management, Mindfulness, Addiction Recovery, Nonprofits, Stress Management, Stress, Anger Management, Dual Diagnosis, Utilization Review, Behavioral Health, Psychology, Social Services, Mental Health Counseling, HIPAA, Google Groups, Fundraising, Grant Writing, Adolescents, Community Outreach, Leadership, Healthcare Information..., Health Insurance, Public Health, Case Management
Education
UMASS Amherst 1992 — 1994
Master's Degree, Education
University of Massachusetts, Amherst
Masters of Education
Springfield Public Schools February 2014 - Present
Valley Free Radio October 2011 - Present
BMC HealthNet Plan February 2005 - February 2010
Advanced Healthcare Systems - D.C.S. Mental Health February 1999 - July 2004
Skills
Case Managment, Group Therapy, Clinical Supervision, Psychotherapy, Crisis Intervention, Mental Health, Motivational..., Managed Care, Treatment, Clinical Research, Hospitals, Medicare, Nursing, Program Development, Counseling Psychology, Healthcare, Healthcare Management, Utilization Management, Mindfulness, Addiction Recovery, Nonprofits, Stress Management, Stress, Anger Management, Dual Diagnosis, Utilization Review, Behavioral Health, Psychology, Social Services, Mental Health Counseling, HIPAA, Google Groups, Fundraising, Grant Writing, Adolescents, Community Outreach, Leadership, Healthcare Information..., Health Insurance, Public Health, Case Management
Education
UMASS Amherst 1992 — 1994
Master's Degree, Education
University of Massachusetts, Amherst
Masters of Education
Kimberly Lyder Kimberly Lyder's BMC HealthNet Plan Experience 2007 - 2008
Job Executive Administrator
Industry Hospital & Health Care
Experience
NEBH July 2009 - Present
Counter Intelligence May 2008 - April 2009
BMC HealthNet Plan 2007 - 2008
Skills
Healthcare, Healthcare Management, HIPAA, Hospitals, Healthcare Information..., EMR, EHR, Customer Service, Managed Care, Meditech, Patient Safety, PowerPoint, Research
Education
Regis College 2000 — 2005
BA, Biology
NEBH July 2009 - Present
Counter Intelligence May 2008 - April 2009
BMC HealthNet Plan 2007 - 2008
Skills
Healthcare, Healthcare Management, HIPAA, Hospitals, Healthcare Information..., EMR, EHR, Customer Service, Managed Care, Meditech, Patient Safety, PowerPoint, Research
Education
Regis College 2000 — 2005
BA, Biology
Stacey Hodgman's BMC HealthNet Plan Experience 2004 - 2007
Job Senior Director of Care Management at Kindred Healthcare
Industry Hospital & Health Care
Experience
Kindred Healthcare August 2012 - Present
Kindred Healthcare October 2007 - October 2012
BMC HealthNet Plan 2004 - 2007
St. Joseph Hosptial 2001 - 2003
Oxford Health Plans 1997 - 1999
Skills
Clinical Documentation..., Length of Stay..., Utilization Review, Data Analysis, Case Management, Acute Care, Clinical Documentation, Healthcare Management, Care Transitions, Case Managment, Utilization Management, Documentations, Medicare, Managed Care, Quality Improvement, Nursing, Medicaid, Elder Care, Home Care, Critical Care, Physician Relations, Healthcare, Patient Advocacy, Long-term Care, Health Education, Healthcare Consulting, JCAHO, Wound Care, Healthcare Industry, Hospitals, Disease Management, Healthcare Information..., EMR, HIPAA, Revenue Cycle, Physicians, Meditech, Inpatient, Provider Relations, ICU, Patient Safety, EHR, Nursing Education, Medical/Surgical, BLS, Long Term Acute Care, Health Policy, Clinical Research, Informatics, Medical Compliance
Education
The George Washington University School of Medicine and Health Sciences
MS, Health Sciences
Rivier College
Bachelor of Science, Healthcare Administration
Rivier College
Registered Nurse (RN)
Kindred Healthcare August 2012 - Present
Kindred Healthcare October 2007 - October 2012
BMC HealthNet Plan 2004 - 2007
St. Joseph Hosptial 2001 - 2003
Oxford Health Plans 1997 - 1999
Skills
Clinical Documentation..., Length of Stay..., Utilization Review, Data Analysis, Case Management, Acute Care, Clinical Documentation, Healthcare Management, Care Transitions, Case Managment, Utilization Management, Documentations, Medicare, Managed Care, Quality Improvement, Nursing, Medicaid, Elder Care, Home Care, Critical Care, Physician Relations, Healthcare, Patient Advocacy, Long-term Care, Health Education, Healthcare Consulting, JCAHO, Wound Care, Healthcare Industry, Hospitals, Disease Management, Healthcare Information..., EMR, HIPAA, Revenue Cycle, Physicians, Meditech, Inpatient, Provider Relations, ICU, Patient Safety, EHR, Nursing Education, Medical/Surgical, BLS, Long Term Acute Care, Health Policy, Clinical Research, Informatics, Medical Compliance
Education
The George Washington University School of Medicine and Health Sciences
MS, Health Sciences
Rivier College
Bachelor of Science, Healthcare Administration
Rivier College
Registered Nurse (RN)
Durrell Sams Durrell Sams's BMC HealthNet Plan Experience July 2007 - Present
Job Senior Business Configuration Analyst at BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan July 2007 - Present
Private Healthcare Systems August 2007 - November 2007
Network Health April 2004 - May 2007
Skills
Microsoft Word, Microsoft Excel, Microsoft Outlook, Trizetto Facets..., Type 75 WPM, Microsoft Access, Data Entry, Hospitals, Outlook, Medicaid, Insurance, Business Analysis, Access, Call Centers, Event Planning, HIPAA, Training, Claim, Managed Care, Program Management, Policy, Visio, Typing, Research, Nonprofits, Customer Service, Medicare, Lotus Notes, Microsoft Office, PowerPoint, Healthcare, Process Improvement, Provider Relations, Software Documentation
Education
Northeastern University 2007 — 2007
Madison Park Tech, Vocational High 1995 — 1999
Legal Office Procedures, Law
BMC HealthNet Plan July 2007 - Present
Private Healthcare Systems August 2007 - November 2007
Network Health April 2004 - May 2007
Skills
Microsoft Word, Microsoft Excel, Microsoft Outlook, Trizetto Facets..., Type 75 WPM, Microsoft Access, Data Entry, Hospitals, Outlook, Medicaid, Insurance, Business Analysis, Access, Call Centers, Event Planning, HIPAA, Training, Claim, Managed Care, Program Management, Policy, Visio, Typing, Research, Nonprofits, Customer Service, Medicare, Lotus Notes, Microsoft Office, PowerPoint, Healthcare, Process Improvement, Provider Relations, Software Documentation
Education
Northeastern University 2007 — 2007
Madison Park Tech, Vocational High 1995 — 1999
Legal Office Procedures, Law
Daniel Keefe's BMC HealthNet Plan Experience August 2011 - August 2011
Job Financial Representative at Fidelity Investments
Industry Financial Services
Experience
Fidelity Investments June 2012 - Present
BMC HealthNet Plan August 2011 - August 2011
Education
University of New Hampshire -- Peter T. Paul College of Business and Economics 2008 — 2012
Fidelity Investments June 2012 - Present
BMC HealthNet Plan August 2011 - August 2011
Education
University of New Hampshire -- Peter T. Paul College of Business and Economics 2008 — 2012
Holly Brese Holly Brese's BMC HealthNet Plan Experience February 2014 - February 2015
Job Sr. Auditor, Team Lead
Industry Financial Services
Experience
Connolly, LLC 2015 - Present
BMC HealthNet Plan February 2014 - February 2015
BMC HealthNet Plan October 2011 - February 2014
Brigham and Women's Hospital May 2010 - October 2011
Brigham and Women's Hospital November 2007 - May 2010
Caritas St. Elizabeth's Medical Center March 2006 - November 2007
Children's Hospital Boston June 2004 - March 2006
Skills
Healthcare, Microsoft Office, Non-profits, Customer Service, Research, Outlook, PowerPoint, Microsoft Word, Fundraising, Data Entry, Microsoft Excel, Writing, Facebook, Nonprofits, Hospitals, Insurance, Healthcare Management, Patient Safety, Office Management, Coaching, Administrative..., Payroll, Meditech, Healthcare Information..., HIPAA, Event Planning, Leadership, Program Management, Management, Time Management
Education
Simmons College 2002 — 2004
MA, Gender and Cultural Studies
Simmons College 1999 — 2003
BA, Philosophy
Connolly, LLC 2015 - Present
BMC HealthNet Plan February 2014 - February 2015
BMC HealthNet Plan October 2011 - February 2014
Brigham and Women's Hospital May 2010 - October 2011
Brigham and Women's Hospital November 2007 - May 2010
Caritas St. Elizabeth's Medical Center March 2006 - November 2007
Children's Hospital Boston June 2004 - March 2006
Skills
Healthcare, Microsoft Office, Non-profits, Customer Service, Research, Outlook, PowerPoint, Microsoft Word, Fundraising, Data Entry, Microsoft Excel, Writing, Facebook, Nonprofits, Hospitals, Insurance, Healthcare Management, Patient Safety, Office Management, Coaching, Administrative..., Payroll, Meditech, Healthcare Information..., HIPAA, Event Planning, Leadership, Program Management, Management, Time Management
Education
Simmons College 2002 — 2004
MA, Gender and Cultural Studies
Simmons College 1999 — 2003
BA, Philosophy
Jansey Dantus Jansey Dantus's BMC HealthNet Plan Experience June 2009 - August 2013
Job MPA Candidate/HR Employment Coordinator at Suffolk University
Industry Human Resources
Experience
Suffolk University November 2014 - Present
Seven Step RPO August 2013 - October 2014
BMC HealthNet Plan June 2009 - August 2013
Brackett Afterschool Program September 2007 - August 2013
BMC HealthNet Plan June 2012 - August 2012
Proyecto Montezuma (Accredited by American University) July 2012 - July 2012
Skills
Recruiting, Team Building, Microsoft Office, Marketing, PowerPoint, Microsoft Excel, Teamwork, Leadership, Customer Service, Time Management, Human Resources, Public Speaking, Market Research, Data Entry, Creative Direction, Microsoft Word, Community Outreach, Technical Recruiting
Education
Suffolk University 2015 — 2017
Master of Public Administration (MPA), Public Administration
University of Massachusetts Boston 2014 — 2015
Human Resources Management Certificate, Human Resources Management and Services
University of Massachusetts Boston 2009 — 2013
Bachelor of Science (B.S.), Business Administration and Management, General. Marketing Concentraion. Sociology Minor.
Suffolk University 2007 — 2009
Suffolk University November 2014 - Present
Seven Step RPO August 2013 - October 2014
BMC HealthNet Plan June 2009 - August 2013
Brackett Afterschool Program September 2007 - August 2013
BMC HealthNet Plan June 2012 - August 2012
Proyecto Montezuma (Accredited by American University) July 2012 - July 2012
Skills
Recruiting, Team Building, Microsoft Office, Marketing, PowerPoint, Microsoft Excel, Teamwork, Leadership, Customer Service, Time Management, Human Resources, Public Speaking, Market Research, Data Entry, Creative Direction, Microsoft Word, Community Outreach, Technical Recruiting
Education
Suffolk University 2015 — 2017
Master of Public Administration (MPA), Public Administration
University of Massachusetts Boston 2014 — 2015
Human Resources Management Certificate, Human Resources Management and Services
University of Massachusetts Boston 2009 — 2013
Bachelor of Science (B.S.), Business Administration and Management, General. Marketing Concentraion. Sociology Minor.
Suffolk University 2007 — 2009
Jaunita White's BMC HealthNet Plan Experience November 2013 - February 2014
Job Practice Assistant II at Brigham and Women's Hospital Dermatology Department
Industry Hospital & Health Care
Experience
Brigham and Women's Hospital October 2014 - Present
Massachusetts General Hospital March 2014 - September 2014
BMC HealthNet Plan November 2013 - February 2014
First Marblehead 2013 - 2013
Center For Social Policy January 2012 - July 2012
Skills
Proficient in Microsoft..., Highly detailed and..., Function well..., Capable of excelling..., Able to set priorities..., Manage multiple tasks..., Call Centers, Data Entry, Customer Service, HIPAA, Healthcare, Access, Healthcare Management, Hospitals, Research, Medical Terminology, Outlook, Finance, Nonprofits
Education
University of Massachusetts Boston 2009 — 2012
Bachelor of Arts (BA), Economics
Northeastern University 2008 — 2008
Brigham and Women's Hospital October 2014 - Present
Massachusetts General Hospital March 2014 - September 2014
BMC HealthNet Plan November 2013 - February 2014
First Marblehead 2013 - 2013
Center For Social Policy January 2012 - July 2012
Skills
Proficient in Microsoft..., Highly detailed and..., Function well..., Capable of excelling..., Able to set priorities..., Manage multiple tasks..., Call Centers, Data Entry, Customer Service, HIPAA, Healthcare, Access, Healthcare Management, Hospitals, Research, Medical Terminology, Outlook, Finance, Nonprofits
Education
University of Massachusetts Boston 2009 — 2012
Bachelor of Arts (BA), Economics
Northeastern University 2008 — 2008
Chris Ware Chris Ware's BMC HealthNet Plan Experience 2011 - 2014
Job Experienced managed health care professional
Industry Insurance
Experience
Aetna 2014 - Present
BMC HealthNet Plan 2011 - 2014
Tufts Health Plan 2005 - 2011
Tufts Health Plan 2000 - 2005
Tufts Health Plan 1998 - 2000
Tufts Health Plan 1996 - 1998
Skills
Managed Care, Data Analysis, Healthcare, Team Building, Medicare, Provider Relations, Change Management, Healthcare Information..., Vendor Management, Call Center, Healthcare Management, Health Insurance, Process Improvement, Insurance, Software Documentation, Health Policy, Employee Benefits, Customer Service, Call Centers
Education
University of Massachusetts at Lowell
BA, English
Aetna 2014 - Present
BMC HealthNet Plan 2011 - 2014
Tufts Health Plan 2005 - 2011
Tufts Health Plan 2000 - 2005
Tufts Health Plan 1998 - 2000
Tufts Health Plan 1996 - 1998
Skills
Managed Care, Data Analysis, Healthcare, Team Building, Medicare, Provider Relations, Change Management, Healthcare Information..., Vendor Management, Call Center, Healthcare Management, Health Insurance, Process Improvement, Insurance, Software Documentation, Health Policy, Employee Benefits, Customer Service, Call Centers
Education
University of Massachusetts at Lowell
BA, English
Barbara Cloutman's BMC HealthNet Plan Experience January 2012 - Present
Job Prior Authorization Clinician at BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan January 2012 - Present
Neighborhood Health Plan July 2008 - July 2011
neighborhood health plan 2008 - 2011
Devereaux House December 2005 - May 2006
North Shore July 2003 - May 2005
Blueberry Hill Healthcare October 2001 - October 2003
Bishop Fenwick High School January 2001 - October 2001
Charter Professional Services/North Shore Medical Center January 2000 - October 2001
Charter Professional Services/North Shore Medical Center January 2000 - January 2001
North Shore Medical Center/Salem Hospital January 1979 - January 2000
Skills
Quality Management, Nursing, Clinical, Health, Customer Service, Writing, Teaching, Budgeting, Mentoring, Case Management, Documentation, Public Speaking, Insurance, Fundraising, Mental Health, Word, Excel, Editing, Event Planning, Education, PowerPoint, Clinical Research, Software Documentation, Case Managment, Microsoft Word, Management, Healthcare Management, Managed Care, Utilization Management, Healthcare, Hospitals, Healthcare Information..., HIPAA, Leadership, Medicaid, Quality Improvement
Education
Salem State College 1974 — 1980
Bachelor of Arts, History and English
Salem State University 1974 — 1978
Bachelor of Science, Nursing/Biology
Girls' Latin School 1968 — 1974
High School Diploma, College preparation
BMC HealthNet Plan January 2012 - Present
Neighborhood Health Plan July 2008 - July 2011
neighborhood health plan 2008 - 2011
Devereaux House December 2005 - May 2006
North Shore July 2003 - May 2005
Blueberry Hill Healthcare October 2001 - October 2003
Bishop Fenwick High School January 2001 - October 2001
Charter Professional Services/North Shore Medical Center January 2000 - October 2001
Charter Professional Services/North Shore Medical Center January 2000 - January 2001
North Shore Medical Center/Salem Hospital January 1979 - January 2000
Skills
Quality Management, Nursing, Clinical, Health, Customer Service, Writing, Teaching, Budgeting, Mentoring, Case Management, Documentation, Public Speaking, Insurance, Fundraising, Mental Health, Word, Excel, Editing, Event Planning, Education, PowerPoint, Clinical Research, Software Documentation, Case Managment, Microsoft Word, Management, Healthcare Management, Managed Care, Utilization Management, Healthcare, Hospitals, Healthcare Information..., HIPAA, Leadership, Medicaid, Quality Improvement
Education
Salem State College 1974 — 1980
Bachelor of Arts, History and English
Salem State University 1974 — 1978
Bachelor of Science, Nursing/Biology
Girls' Latin School 1968 — 1974
High School Diploma, College preparation
Nedra Robinson Nedra Robinson's BMC HealthNet Plan Experience November 2010 - September 2013
Job Senior Patient Accounts Specialist at Boston Medical Center (BMC)
Industry Hospital & Health Care
Experience
Boston Medical Center (BMC) June 2014 - Present
BMC HealthNet Plan November 2010 - September 2013
BMC HealthNet Plan June 2009 - November 2010
Tufts Health Plan November 2007 - May 2009
Skills
Medicare, Health Insurance, Medicaid, HIPAA, Provider Relations, Managed Care, HMO, Claim, Healthcare Industry, CPT, ICD-9, Customer Service, Healthcare Information..., Claims Resolution, Medical Billing, Medical Coding, Insurance, Healthcare, Healthcare Management, HCPCS, Revenue Cycle, Medical Terminology
Education
The Salter School-Malden Campus 2008 — 2009
Professional billing training, Medical Insurance Specialist/Medical Biller
Boston Medical Center (BMC) June 2014 - Present
BMC HealthNet Plan November 2010 - September 2013
BMC HealthNet Plan June 2009 - November 2010
Tufts Health Plan November 2007 - May 2009
Skills
Medicare, Health Insurance, Medicaid, HIPAA, Provider Relations, Managed Care, HMO, Claim, Healthcare Industry, CPT, ICD-9, Customer Service, Healthcare Information..., Claims Resolution, Medical Billing, Medical Coding, Insurance, Healthcare, Healthcare Management, HCPCS, Revenue Cycle, Medical Terminology
Education
The Salter School-Malden Campus 2008 — 2009
Professional billing training, Medical Insurance Specialist/Medical Biller
Kimberly Visconti Kimberly Visconti's BMC HealthNet Plan Experience October 2010 - March 2013
Job Utilization Review Nurse at Hallmark Health System, Inc.
Industry Hospital & Health Care
Experience
Hallmark Health System, Inc. Clinical Case ManagerHallmark Health System, Inc.March 2013 - November 2013
BMC HealthNet Plan October 2010 - March 2013
Boston University Medical Center March 2006 - October 2010
North Reading Public Schools September 2002 - June 2008
Winchester Hospital October 1998 - September 2002
Berkshire Medical Center January 1994 - January 1998
Education
Saint Anselm College 1985 — 1989
Bachelor of Arts, Philosophy
Northern Essex Community College
Associate, Nursing
Hallmark Health System, Inc. Clinical Case ManagerHallmark Health System, Inc.March 2013 - November 2013
BMC HealthNet Plan October 2010 - March 2013
Boston University Medical Center March 2006 - October 2010
North Reading Public Schools September 2002 - June 2008
Winchester Hospital October 1998 - September 2002
Berkshire Medical Center January 1994 - January 1998
Education
Saint Anselm College 1985 — 1989
Bachelor of Arts, Philosophy
Northern Essex Community College
Associate, Nursing
Amanda Borchers Amanda Borchers's BMC HealthNet Plan Experience April 2007 - September 2007
Job Professional Health Care Provider and Consultant
Industry Hospital & Health Care
Experience
Partners HealthCare March 2014 - Present
Boston Medical Center June 2013 - February 2014
Cerner Corporation February 2011 - June 2013
NorthShore University HealthSystem November 2009 - February 2011
NorthShore University HealthSystem April 2008 - August 2008
BMC HealthNet Plan April 2007 - September 2007
Tufts-New England Medical Center January 2006 - July 2007
Northeastern University June 2006 - June 2007
Self Employed 1999 - 2006
NorthShore University HealthSystem June 2005 - September 2005
Skills
Nursing, Pediatrics, ACLS, Hospitals, Healthcare, PowerPoint, Data Analysis, Cpr Certified, Microsoft Office, Research, Leadership, Healthcare Management, EHR
Education
Northeastern University 2004 — 2009
BSN
Partners HealthCare March 2014 - Present
Boston Medical Center June 2013 - February 2014
Cerner Corporation February 2011 - June 2013
NorthShore University HealthSystem November 2009 - February 2011
NorthShore University HealthSystem April 2008 - August 2008
BMC HealthNet Plan April 2007 - September 2007
Tufts-New England Medical Center January 2006 - July 2007
Northeastern University June 2006 - June 2007
Self Employed 1999 - 2006
NorthShore University HealthSystem June 2005 - September 2005
Skills
Nursing, Pediatrics, ACLS, Hospitals, Healthcare, PowerPoint, Data Analysis, Cpr Certified, Microsoft Office, Research, Leadership, Healthcare Management, EHR
Education
Northeastern University 2004 — 2009
BSN
Glorivee Rodriguez's BMC HealthNet Plan Experience November 2007 - February 2012
Job Senior Provider Relations Advocate at United Healthcare
Industry Hospital & Health Care
Experience
UnitedHealthcare February 2012 - Present
BMC HealthNet Plan November 2007 - February 2012
Neighborhood Health Plan 2002 - 2007
Skills
Provider Relations, Medicaid, Managed Care, Healthcare Management, Healthcare, Health Insurance, Credentialing, Medicare, Hospitals, HIPAA, Utilization Management, HMO, Health Policy, Network Development, Process Improvement, Healthcare Information...
Education
Massasoit Community College 2000 — 2002
Associates, Administrative Information Systems
UnitedHealthcare February 2012 - Present
BMC HealthNet Plan November 2007 - February 2012
Neighborhood Health Plan 2002 - 2007
Skills
Provider Relations, Medicaid, Managed Care, Healthcare Management, Healthcare, Health Insurance, Credentialing, Medicare, Hospitals, HIPAA, Utilization Management, HMO, Health Policy, Network Development, Process Improvement, Healthcare Information...
Education
Massasoit Community College 2000 — 2002
Associates, Administrative Information Systems
Nichole P. Schiffer's BMC HealthNet Plan Experience June 2007 - July 2007
Job Manager of Operations at Broadview Ventures Inc
Industry Venture Capital & Private Equity
Experience
Broadview Ventures Inc August 2013 - Present
Boston Children's Hospital September 2012 - August 2013
Boston Children's Hospital June 2008 - August 2013
Boston Children's Hospital June 2008 - November 2008
BMC HealthNet Plan June 2007 - July 2007
Skills
Outlook, Event Planning, PowerPoint, Word, Operating Budgets, Department Budgeting, Capital Budgeting, Operations Management, Administrative..., PeopleSoft, People-oriented, Healthcare Management, Business Performance..., Microsoft Word, Microsoft Excel, Leadership, Data Analysis, Critical Care, Program Development
Education
UofPhoenix School of Management 2012 — 2014
Master of Business Administration (M.B.A.), Business Management and Healthcare Management
University of New Hampshire 2004 — 2008
Bachelor of Science (BS), Health Management and Policy
Broadview Ventures Inc August 2013 - Present
Boston Children's Hospital September 2012 - August 2013
Boston Children's Hospital June 2008 - August 2013
Boston Children's Hospital June 2008 - November 2008
BMC HealthNet Plan June 2007 - July 2007
Skills
Outlook, Event Planning, PowerPoint, Word, Operating Budgets, Department Budgeting, Capital Budgeting, Operations Management, Administrative..., PeopleSoft, People-oriented, Healthcare Management, Business Performance..., Microsoft Word, Microsoft Excel, Leadership, Data Analysis, Critical Care, Program Development
Education
UofPhoenix School of Management 2012 — 2014
Master of Business Administration (M.B.A.), Business Management and Healthcare Management
University of New Hampshire 2004 — 2008
Bachelor of Science (BS), Health Management and Policy
Jared O'Brien Jared O'Brien's BMC HealthNet Plan Experience July 2012 - July 2013
Job IT Coordinator
Industry Information Technology and Services
Experience
Triangle Inc September 2013 - Present
BMC HealthNet Plan July 2012 - July 2013
IT4, Inc. October 2011 - July 2012
Skycore LLC June 2011 - September 2011
Best Buy November 2007 - August 2011
Skills
Technical Support, Exchange, Cloud services, Managed Services, Servers, Citrix, Citrix xenapp, Networking, Java, Android, C++, HTML/CSS, Active Directory, software, hardware, software development, connectwise, zenith, kaseya, DNS, FTP, TCP/IP, IOS, BES, NAS, Desktop virtualization, Cloud Computing, vpn, ldap, sharepoint, firewalls, sonicwall, bdr, cisco, Microsoft Exchange, Windows 7, Blackberry Enterprise..., Hardware
Education
North Shore Community College 2009 — 2011
Associates; A.S, Computer Information Systems
Triangle Inc September 2013 - Present
BMC HealthNet Plan July 2012 - July 2013
IT4, Inc. October 2011 - July 2012
Skycore LLC June 2011 - September 2011
Best Buy November 2007 - August 2011
Skills
Technical Support, Exchange, Cloud services, Managed Services, Servers, Citrix, Citrix xenapp, Networking, Java, Android, C++, HTML/CSS, Active Directory, software, hardware, software development, connectwise, zenith, kaseya, DNS, FTP, TCP/IP, IOS, BES, NAS, Desktop virtualization, Cloud Computing, vpn, ldap, sharepoint, firewalls, sonicwall, bdr, cisco, Microsoft Exchange, Windows 7, Blackberry Enterprise..., Hardware
Education
North Shore Community College 2009 — 2011
Associates; A.S, Computer Information Systems
Lisa DelGreco Lisa DelGreco's BMC HealthNet Plan Experience December 2009 - June 2011
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
Connie DelRio Connie DelRio's BMC HealthNet Plan Experience July 2008 - June 2010
Job CNA/HHA at Arcadia Home Care & Staffing
Industry Hospital & Health Care
Experience
Arcadia Home Care & Staffing May 2012 - Present
Private Duty December 2011 - Present
Independence Healthcare April 2011 - December 2011
BMC HealthNet Plan July 2008 - June 2010
UMass Memorial Medical Center January 2008 - July 2008
Fallon Community Health Plan April 2006 - December 2007
Fallon Community Health Plan February 2001 - April 2006
Fallon Clinic June 2000 - February 2001
Fallon Community Health Plan August 1999 - June 2000
Fallon Community Health Plan August 1998 - August 1999
Skills
Managed Care, Medicare, HIPAA, Health Insurance, Healthcare Management, Insurance, Medicaid, Outlook, Recruiting, Customer Service
Education
Mount Wachusett Community College
Associate of Science (A.S.), Business Technology
Arcadia Home Care & Staffing May 2012 - Present
Private Duty December 2011 - Present
Independence Healthcare April 2011 - December 2011
BMC HealthNet Plan July 2008 - June 2010
UMass Memorial Medical Center January 2008 - July 2008
Fallon Community Health Plan April 2006 - December 2007
Fallon Community Health Plan February 2001 - April 2006
Fallon Clinic June 2000 - February 2001
Fallon Community Health Plan August 1999 - June 2000
Fallon Community Health Plan August 1998 - August 1999
Skills
Managed Care, Medicare, HIPAA, Health Insurance, Healthcare Management, Insurance, Medicaid, Outlook, Recruiting, Customer Service
Education
Mount Wachusett Community College
Associate of Science (A.S.), Business Technology
James Lastowski James Lastowski's BMC HealthNet Plan Experience February 2009 - Present
Job Business Intelligence Analyst and Developer
Industry Information Technology and Services
Experience
BMC HealthNet Plan February 2009 - Present
ISA Consulting May 2008 - December 2008
Jenzabar Inc. December 2002 - November 2007
Creative Computing, Inc. October 1998 - December 2002
St. Gobain - formally (Norton Company) April 1985 - October 1998
Skills
Business Intelligence, Integration, SDLC, Management, Cross-functional Team..., CRM, Data Warehousing, Cognos, Coaching, Enterprise Software, Software Documentation, Process Improvement, Analysis, Analytics, Product Management, Interviews, Software Development, Business Analysis
Education
Rhode Island College 1969 — 1976
B.A.
BMC HealthNet Plan February 2009 - Present
ISA Consulting May 2008 - December 2008
Jenzabar Inc. December 2002 - November 2007
Creative Computing, Inc. October 1998 - December 2002
St. Gobain - formally (Norton Company) April 1985 - October 1998
Skills
Business Intelligence, Integration, SDLC, Management, Cross-functional Team..., CRM, Data Warehousing, Cognos, Coaching, Enterprise Software, Software Documentation, Process Improvement, Analysis, Analytics, Product Management, Interviews, Software Development, Business Analysis
Education
Rhode Island College 1969 — 1976
B.A.
Nate Wiecha's BMC HealthNet Plan Experience June 2013 - August 2013
Job Customer Experience Account Manager
Industry Information Technology and Services
Experience
Oracle June 2014 - Present
Greenprint Strategies September 2013 - December 2013
BMC HealthNet Plan June 2013 - August 2013
MIT Security Studies Program June 2013 - August 2013
Boston University School of Medicine May 2011 - June 2011
Skills
Microsoft Excel, PowerPoint, Research, Analysis, Microsoft Word, Leadership, Data Analysis, Program Management, Foreign Policy, Public Speaking, Politics, Sales, Stata, Customer Service, Social Networking, Event Planning, Fundraising
Education
University of North Carolina at Chapel Hill 2010 — 2014
Bachelor of Arts (B.A.), Economics, Political Science
Oracle June 2014 - Present
Greenprint Strategies September 2013 - December 2013
BMC HealthNet Plan June 2013 - August 2013
MIT Security Studies Program June 2013 - August 2013
Boston University School of Medicine May 2011 - June 2011
Skills
Microsoft Excel, PowerPoint, Research, Analysis, Microsoft Word, Leadership, Data Analysis, Program Management, Foreign Policy, Public Speaking, Politics, Sales, Stata, Customer Service, Social Networking, Event Planning, Fundraising
Education
University of North Carolina at Chapel Hill 2010 — 2014
Bachelor of Arts (B.A.), Economics, Political Science
Bruce Armstrong's BMC HealthNet Plan Experience February 2009 - November 2010
Job Manager of Marketing Operations at Boston Children's Hospital
Industry Marketing and Advertising
Experience
Boston Children's Hospital 2015 - Present
Boston Medical Center HealthNet Plan November 2010 - September 2015
BMC HealthNet Plan February 2009 - November 2010
Boston Globe Media November 2005 - February 2009
Upromise May 2002 - November 2005
Staples Inc. August 1997 - October 2000
Bronner Slosberg Humphrey (now Digitas) November 1995 - May 1997
Digitas August 1990 - November 1995
Mitchell Management Systems, Inc May 1988 - May 1990
Skills
CRM, Lead Generation, Direct Marketing, Salesforce.com, Analytics, Integrated Marketing, SEO, Marketing, Multi-channel Marketing, Management, Customer Acquisition, Segmentation, Program Management, Affiliate Marketing, Analysis, Forecasting, Market Analysis, Database Marketing, Sales, Email Marketing, Digital Marketing, Business Strategy, Product Management, Sales Operations, Budgets, Strategy
Education
Worcester Polytechnic Institute 1990 — 1997
Master of Science in Management (MSM), Project Management
University of Massachusetts, Amherst 1984 — 1988
Batchelor of Science, Physics
Wayland High School 1980 — 1983
Boston Children's Hospital 2015 - Present
Boston Medical Center HealthNet Plan November 2010 - September 2015
BMC HealthNet Plan February 2009 - November 2010
Boston Globe Media November 2005 - February 2009
Upromise May 2002 - November 2005
Staples Inc. August 1997 - October 2000
Bronner Slosberg Humphrey (now Digitas) November 1995 - May 1997
Digitas August 1990 - November 1995
Mitchell Management Systems, Inc May 1988 - May 1990
Skills
CRM, Lead Generation, Direct Marketing, Salesforce.com, Analytics, Integrated Marketing, SEO, Marketing, Multi-channel Marketing, Management, Customer Acquisition, Segmentation, Program Management, Affiliate Marketing, Analysis, Forecasting, Market Analysis, Database Marketing, Sales, Email Marketing, Digital Marketing, Business Strategy, Product Management, Sales Operations, Budgets, Strategy
Education
Worcester Polytechnic Institute 1990 — 1997
Master of Science in Management (MSM), Project Management
University of Massachusetts, Amherst 1984 — 1988
Batchelor of Science, Physics
Wayland High School 1980 — 1983
Nelly M. Santiago Nelly M. Santiago's BMC HealthNet Plan Experience 2008 - 2011
Job Enrollment & Insurance Verification Specialist
Industry Hospital & Health Care
Experience
Hebrew Senior Life August 2013 - December 2013
BMC HealthNet Plan 2008 - 2011
Skills
Bilingual Proficiency, HIPAA, Medicaid, Medicare, Utilization Management, HMO, Meditech, CPT, Medical Billing, Medical Terminology, ICD-9, Health Insurance, IDX, Medicaid Managed Care, Medicare/Medicaid..., Hospitals, Healthcare, Social Services, Behavioral Health, Case Managment, Provider Relations, Healthcare Management, NCQA, electronic medical..., Clinical Research, Credentialing, EMR, Managed Care, Case Management
Education
Ahec 2012 — 2012
Certificate, Medical Interpreter
Goodwill Memorial Training 2012 — 2012
Certificate, Human Services, General
Roxbury Community College 2006 — 2007
certificate, math and science
waltham high school 1993 — 1994
diploma, general
waltham high school 1993 — 1994
diploma, general
Hebrew Senior Life August 2013 - December 2013
BMC HealthNet Plan 2008 - 2011
Skills
Bilingual Proficiency, HIPAA, Medicaid, Medicare, Utilization Management, HMO, Meditech, CPT, Medical Billing, Medical Terminology, ICD-9, Health Insurance, IDX, Medicaid Managed Care, Medicare/Medicaid..., Hospitals, Healthcare, Social Services, Behavioral Health, Case Managment, Provider Relations, Healthcare Management, NCQA, electronic medical..., Clinical Research, Credentialing, EMR, Managed Care, Case Management
Education
Ahec 2012 — 2012
Certificate, Medical Interpreter
Goodwill Memorial Training 2012 — 2012
Certificate, Human Services, General
Roxbury Community College 2006 — 2007
certificate, math and science
waltham high school 1993 — 1994
diploma, general
waltham high school 1993 — 1994
diploma, general
Julie Mann Julie Mann's BMC HealthNet Plan Experience October 1998 - June 1999
Job
Industry Hospital & Health Care
Experience
Anthem, Inc. February 2015 - Present
Self-employed January 2013 - January 2015
CorVel Corporation April 2011 - July 2012
Self-employed November 2009 - March 2011
Principal Financial Group December 2008 - November 2009
(Self-employed) July 1999 - November 2008
BMC HealthNet Plan October 1998 - June 1999
Coventry Health Care March 1997 - October 1998
Principal Health Care, Inc. June 1995 - March 1997
Skills
Managed Care, PPO, Network Development, Provider Relations, Health Policy, HMO, Healthcare, Medicaid Managed Care, Hospitals, Provider Network..., Insurance, Healthcare Consulting, Medicare, Medicaid, Leadership, Workers Compensation, Strategic Planning, Management
Education
The George Washington University School of Medicine and Health Sciences 1992 — 1995
MHSA
Bates College 1985 — 1989
BA
St. Andrew's Episcopal School 1979 — 1985
Anthem, Inc. February 2015 - Present
Self-employed January 2013 - January 2015
CorVel Corporation April 2011 - July 2012
Self-employed November 2009 - March 2011
Principal Financial Group December 2008 - November 2009
(Self-employed) July 1999 - November 2008
BMC HealthNet Plan October 1998 - June 1999
Coventry Health Care March 1997 - October 1998
Principal Health Care, Inc. June 1995 - March 1997
Skills
Managed Care, PPO, Network Development, Provider Relations, Health Policy, HMO, Healthcare, Medicaid Managed Care, Hospitals, Provider Network..., Insurance, Healthcare Consulting, Medicare, Medicaid, Leadership, Workers Compensation, Strategic Planning, Management
Education
The George Washington University School of Medicine and Health Sciences 1992 — 1995
MHSA
Bates College 1985 — 1989
BA
St. Andrew's Episcopal School 1979 — 1985
Evis Noti ,MPA Evis Noti ,MPA's BMC HealthNet Plan Experience December 2009 - February 2014
Job Member Services Supervisor at Boston Medical Center HealthNet Plan
Industry Hospital & Health Care
Experience
Boston Medical Center HealthNet Plan February 2014 - Present
BMC HealthNet Plan December 2009 - February 2014
Boston Medical Center HealthNet Plan December 2004 - December 2009
MTS, INC March 1998 - December 2004
Skills
Provider Relations, Medicaid, Utilization Management, Managed Care, Credentialing, Medicare, HIPAA, Healthcare Management, Healthcare, Healthcare Information..., Health Insurance, Case Managment, Hospitals, Medical Coding, Nursing, Revenue Cycle, Management
Education
Suffolk University 2004 — 2009
Masters, Public Administration
Faculty of Law, University of Tirana 1993 — 1997
Bachelor's degree, Law, 4.0
Boston Medical Center HealthNet Plan February 2014 - Present
BMC HealthNet Plan December 2009 - February 2014
Boston Medical Center HealthNet Plan December 2004 - December 2009
MTS, INC March 1998 - December 2004
Skills
Provider Relations, Medicaid, Utilization Management, Managed Care, Credentialing, Medicare, HIPAA, Healthcare Management, Healthcare, Healthcare Information..., Health Insurance, Case Managment, Hospitals, Medical Coding, Nursing, Revenue Cycle, Management
Education
Suffolk University 2004 — 2009
Masters, Public Administration
Faculty of Law, University of Tirana 1993 — 1997
Bachelor's degree, Law, 4.0
Nicolette Brody Nicolette Brody's BMC HealthNet Plan Experience October 2011 - April 2013
Job Senior Manager, Operations Center at American Well
Industry Hospital & Health Care
Experience
American Well April 2013 - Present
American Well April 2013 - May 2014
BMC HealthNet Plan October 2011 - April 2013
Centene Corporation June 2009 - October 2011
One2One Bodyscapes September 2008 - February 2009
Camp Walt Whitman June 2008 - August 2008
Ben & Jerry's May 2007 - May 2008
Skills
Process Improvement, Healthcare, Data Analysis, PowerPoint, Microsoft Excel, Public Speaking, Customer Service, Microsoft Office, Microsoft Word, Six Sigma, Program Management, Leadership, Software Documentation, Outlook, Training
Education
Skidmore College 2004 — 2008
B.S., Exercise Science
American Well April 2013 - Present
American Well April 2013 - May 2014
BMC HealthNet Plan October 2011 - April 2013
Centene Corporation June 2009 - October 2011
One2One Bodyscapes September 2008 - February 2009
Camp Walt Whitman June 2008 - August 2008
Ben & Jerry's May 2007 - May 2008
Skills
Process Improvement, Healthcare, Data Analysis, PowerPoint, Microsoft Excel, Public Speaking, Customer Service, Microsoft Office, Microsoft Word, Six Sigma, Program Management, Leadership, Software Documentation, Outlook, Training
Education
Skidmore College 2004 — 2008
B.S., Exercise Science
Brigid Stevens Rolfes, MS, BSN, RN Brigid Stevens Rolfes, MS, BSN, RN's BMC HealthNet Plan Experience January 2014 - Present
Job Utilization Clinician for BMCHP/Nurse at Partners HealthCare
Industry Hospital & Health Care
Experience
BMC HealthNet Plan January 2014 - Present
Partners HealthCare July 2009 - Present
Skills
Nursing, Hospitals, Inpatient, Patient Safety, EMR, BLS, Healthcare, Healthcare Management, ACLS, Acute Care, Healthcare Information..., Meditech, Medical/Surgical, Clinical Research
Education
Northeastern University 2010 — 2013
Master's degree, Nursing Administration
Simmons College 2005 — 2009
Bachelor of Science (BS), Registered Nursing/Registered Nurse
BMC HealthNet Plan January 2014 - Present
Partners HealthCare July 2009 - Present
Skills
Nursing, Hospitals, Inpatient, Patient Safety, EMR, BLS, Healthcare, Healthcare Management, ACLS, Acute Care, Healthcare Information..., Meditech, Medical/Surgical, Clinical Research
Education
Northeastern University 2010 — 2013
Master's degree, Nursing Administration
Simmons College 2005 — 2009
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Erica Vitelli Erica Vitelli's BMC HealthNet Plan Experience February 2011 - June 2014
Job Senior Clinical Administrative Coordinator
Industry Health, Wellness and Fitness
Experience
UnitedHealth Group April 2015 - Present
Dartmouth Medical Equipment July 2014 - April 2015
Bmc Healthnet Plan February 2011 - June 2014
BMC HealthNet Plan July 2009 - January 2011
Skills
Always Punctual, Dependable Team Player, Active Team Player, Conscientious, Highly detail oriented, Fast-paced, Multi Tasking, High Level Of Accuracy, Close Attention to..., Data Entry, Healthcare, Insurance, Hospitals, Community Outreach, Nursing, Customer Service, HIPAA, Microsoft Word, PowerPoint, Public Speaking
Education
Rhode Island College 2002 — 2006
Bachelor of Arts (B.A.), Mass Communication/Media Studies/Theatre Performance
UnitedHealth Group April 2015 - Present
Dartmouth Medical Equipment July 2014 - April 2015
Bmc Healthnet Plan February 2011 - June 2014
BMC HealthNet Plan July 2009 - January 2011
Skills
Always Punctual, Dependable Team Player, Active Team Player, Conscientious, Highly detail oriented, Fast-paced, Multi Tasking, High Level Of Accuracy, Close Attention to..., Data Entry, Healthcare, Insurance, Hospitals, Community Outreach, Nursing, Customer Service, HIPAA, Microsoft Word, PowerPoint, Public Speaking
Education
Rhode Island College 2002 — 2006
Bachelor of Arts (B.A.), Mass Communication/Media Studies/Theatre Performance
Tallie Gallant Tallie Gallant's BMC HealthNet Plan Experience April 2008 - September 2011
Job Experienced Result Driven Professional
Industry Insurance
Experience
With Your Company September 2011 - Present
BMC HealthNet Plan April 2008 - September 2011
Aviva 2005 - 2007
Aviva Life Insurance 2001 - 2005
Service Credit Union 2000 - 2001
New England Financial 1999 - 2000
Skills
Call Center, Training, Insurance, Management, Vendor Management, Business Analysis, Health Insurance, Customer Service, Leadership, Strategic Planning, Project Planning, Marketing, Sales, Analysis, Process Improvement, Call Centers
Education
Southern New Hampshire University 2001 — 2006
B.S, Business Administration / Organizational Leadership
University of New Hampshire 1996 — 1996
Marketing
Newbury College 1994 — 1996
AS, Merchandising and Design
With Your Company September 2011 - Present
BMC HealthNet Plan April 2008 - September 2011
Aviva 2005 - 2007
Aviva Life Insurance 2001 - 2005
Service Credit Union 2000 - 2001
New England Financial 1999 - 2000
Skills
Call Center, Training, Insurance, Management, Vendor Management, Business Analysis, Health Insurance, Customer Service, Leadership, Strategic Planning, Project Planning, Marketing, Sales, Analysis, Process Improvement, Call Centers
Education
Southern New Hampshire University 2001 — 2006
B.S, Business Administration / Organizational Leadership
University of New Hampshire 1996 — 1996
Marketing
Newbury College 1994 — 1996
AS, Merchandising and Design
Alisson DeFaria Alisson DeFaria's BMC HealthNet Plan Experience August 2012 - August 2013
Job Outreach & Marketing Specialist at Commonwealth Care Alliance
Industry Insurance
Experience
Commonwealth Care Alliance May 2014 - Present
Boston Medical Center HealthNet Plan August 2013 - April 2014
BMC HealthNet Plan August 2012 - August 2013
Attorney Joyce E. Davis January 2012 - July 2012
The Law Offices of Edwin P. Whittemore, P.C. May 2009 - March 2011
Jaile & Trifilo, LLC April 2005 - May 2009
Skills
Insurance, Legal Research, Outlook, Microsoft Excel, Microsoft Office, Customer Service, Employee Benefits, Health Insurance, Risk Management, PowerPoint, Policy, Healthcare, Program Management
Education
Universidade do Vale do Itajaí 1995 — 1999
Bachelor's degree, Business Administration and Management, General
Commonwealth Care Alliance May 2014 - Present
Boston Medical Center HealthNet Plan August 2013 - April 2014
BMC HealthNet Plan August 2012 - August 2013
Attorney Joyce E. Davis January 2012 - July 2012
The Law Offices of Edwin P. Whittemore, P.C. May 2009 - March 2011
Jaile & Trifilo, LLC April 2005 - May 2009
Skills
Insurance, Legal Research, Outlook, Microsoft Excel, Microsoft Office, Customer Service, Employee Benefits, Health Insurance, Risk Management, PowerPoint, Policy, Healthcare, Program Management
Education
Universidade do Vale do Itajaí 1995 — 1999
Bachelor's degree, Business Administration and Management, General
John Schultheis John Schultheis's BMC HealthNet Plan Experience May 2014 - Present
Job Manager of Quality Assurance at BMC HealthNet Plan
Industry Information Technology and Services
Experience
BMC HealthNet Plan May 2014 - Present
UST Global May 2011 - May 2014
Fidelity Investments September 1999 - November 2008
Fidelity Investments September 1999 - November 2008
Digital Equipment Corporation/Compaq Computer April 1986 - September 1999
Skills
SDLC, Quality Center, Software Quality..., User Acceptance Testing, Test Management, Test Automation, Quality Assurance, Program Management, Change Management, Enterprise Software, Agile Methodologies, Leadership, Software Project..., Requirements Analysis, Requirements Gathering, Agile Project Management, PMP, Release Management, Testing, Software Engineering, Test Planning, Waterfall, System Testing, Integration, Software Development, HP Quality Center, Process Improvement
Education
Ohio University
BMC HealthNet Plan May 2014 - Present
UST Global May 2011 - May 2014
Fidelity Investments September 1999 - November 2008
Fidelity Investments September 1999 - November 2008
Digital Equipment Corporation/Compaq Computer April 1986 - September 1999
Skills
SDLC, Quality Center, Software Quality..., User Acceptance Testing, Test Management, Test Automation, Quality Assurance, Program Management, Change Management, Enterprise Software, Agile Methodologies, Leadership, Software Project..., Requirements Analysis, Requirements Gathering, Agile Project Management, PMP, Release Management, Testing, Software Engineering, Test Planning, Waterfall, System Testing, Integration, Software Development, HP Quality Center, Process Improvement
Education
Ohio University
Pamela Burgess, Pharm.D. Pamela Burgess, Pharm.D.'s BMC HealthNet Plan Experience January 2007 - February 2007
Job Pharmacist
Industry Pharmaceuticals
Experience
New England Life Care February 2010 - June 2010
CVS Caremark Corporation September 2007 - October 2009
CVS Caremark Corporation January 2005 - September 2007
Brigham and Women's Hospital March 2007 - April 2007
BMC HealthNet Plan January 2007 - February 2007
Walgreens October 2006 - November 2006
Beth Israel Deaconess Medical Center September 2006 - October 2006
Dana-Farber Cancer Institute/ Brigham and Women's Hospital June 2006 - July 2006
Northeastern University May 2006 - June 2006
Harvard University Health Services January 2004 - January 2005
Skills
Pharmacy, Internal Medicine, Patient Therapy..., Customer-focused Service, Pharmaceutical Care, Pharmacology, Therapeutics, Medication..., Drug Utilization Review, Quality Assurance, Medication Adherence, Medical Information..., Drug Information Skills, Written & Verbal..., Written & Oral..., Quality Patient Care, Patient Counseling, Patient Education, Creative Problem Solving, Pharmacy Operations..., Mathematics, Personnel Supervision, Staff Development
Education
Northeastern University
Doctorate of Pharmacy; Pharm.D., Pharmacy
New England Life Care February 2010 - June 2010
CVS Caremark Corporation September 2007 - October 2009
CVS Caremark Corporation January 2005 - September 2007
Brigham and Women's Hospital March 2007 - April 2007
BMC HealthNet Plan January 2007 - February 2007
Walgreens October 2006 - November 2006
Beth Israel Deaconess Medical Center September 2006 - October 2006
Dana-Farber Cancer Institute/ Brigham and Women's Hospital June 2006 - July 2006
Northeastern University May 2006 - June 2006
Harvard University Health Services January 2004 - January 2005
Skills
Pharmacy, Internal Medicine, Patient Therapy..., Customer-focused Service, Pharmaceutical Care, Pharmacology, Therapeutics, Medication..., Drug Utilization Review, Quality Assurance, Medication Adherence, Medical Information..., Drug Information Skills, Written & Verbal..., Written & Oral..., Quality Patient Care, Patient Counseling, Patient Education, Creative Problem Solving, Pharmacy Operations..., Mathematics, Personnel Supervision, Staff Development
Education
Northeastern University
Doctorate of Pharmacy; Pharm.D., Pharmacy
Tricia Porter Tricia Porter's BMC HealthNet Plan Experience September 2010 - May 2013
Job Senior Associate at Korn/Ferry International
Industry Hospital & Health Care
Experience
Korn/Ferry International May 2013 - Present
BMC HealthNet Plan September 2010 - May 2013
Boston Medical Center HealthNet Plan September 2010 - July 2012
Hebrew Rehabilitation Center October 2005 - October 2009
HRi 2004 - 2005
Caritas Christi 2004 - 2005
Skills
Onboarding, Talent Acquisition, Leadership, Employee Benefits, Management, Recruiting, Strategic Planning, Applicant Tracking..., Talent Management, Healthcare, HRIS, Employee Relations, HIPAA, Customer Service, Training, Team Building, Process Improvement, Healthcare Management, Change Management, Software Documentation, Internet Recruiting, Technical Recruiting, Organizational..., Human Resources, Coaching, Personnel Management, College Recruiting, Deferred Compensation, Performance Management, Benefits Administration, Sourcing, Employee Engagement, Interviews, Hiring, New Hire Orientations, FMLA, Employment Law, Temporary Placement, Workforce Planning, Employee Training, Taleo
Education
Worcester State University 1996 — 1998
BS, Health Services
Stonehill College
Certification, Human Resources Management/Personnel Administration, General
Korn/Ferry International May 2013 - Present
BMC HealthNet Plan September 2010 - May 2013
Boston Medical Center HealthNet Plan September 2010 - July 2012
Hebrew Rehabilitation Center October 2005 - October 2009
HRi 2004 - 2005
Caritas Christi 2004 - 2005
Skills
Onboarding, Talent Acquisition, Leadership, Employee Benefits, Management, Recruiting, Strategic Planning, Applicant Tracking..., Talent Management, Healthcare, HRIS, Employee Relations, HIPAA, Customer Service, Training, Team Building, Process Improvement, Healthcare Management, Change Management, Software Documentation, Internet Recruiting, Technical Recruiting, Organizational..., Human Resources, Coaching, Personnel Management, College Recruiting, Deferred Compensation, Performance Management, Benefits Administration, Sourcing, Employee Engagement, Interviews, Hiring, New Hire Orientations, FMLA, Employment Law, Temporary Placement, Workforce Planning, Employee Training, Taleo
Education
Worcester State University 1996 — 1998
BS, Health Services
Stonehill College
Certification, Human Resources Management/Personnel Administration, General
Walter Ramos, JD Walter Ramos, JD's BMC HealthNet Plan Experience December 2007 - April 2010
Job President, Carney Hospital at Steward Health Care
Industry Hospital & Health Care
Experience
Steward Health Care May 2015 - Present
Dorchester House Multi Service Center November 2012 - May 2015
Massachusetts Hospital Association April 2010 - November 2012
BMC HealthNet Plan December 2007 - April 2010
Boston Public Health Commission September 1998 - November 2007
Walter J. Ramos, Attorney at Law August 1989 - September 1998
Skills
Healthcare, Health, Hospitals, Budgeting, Compliance, Administration, Contract Negotiation, Process Improvement, Policy, Healthcare Management, Budgets, Leadership, System Administration, Medicaid, Program Management, Managed Care, Health Policy, Healthcare Information..., HIPAA
Education
Center for Creative Leadership 2011 — 2012
Fellow, Intensive 10 Month Health Care Executive Leadership Program
Suffolk University Law School 1985 — 1988
Juris Doctorate, Law
Roger Williams University 1979 — 1983
BA, Political Science/Law
Steward Health Care May 2015 - Present
Dorchester House Multi Service Center November 2012 - May 2015
Massachusetts Hospital Association April 2010 - November 2012
BMC HealthNet Plan December 2007 - April 2010
Boston Public Health Commission September 1998 - November 2007
Walter J. Ramos, Attorney at Law August 1989 - September 1998
Skills
Healthcare, Health, Hospitals, Budgeting, Compliance, Administration, Contract Negotiation, Process Improvement, Policy, Healthcare Management, Budgets, Leadership, System Administration, Medicaid, Program Management, Managed Care, Health Policy, Healthcare Information..., HIPAA
Education
Center for Creative Leadership 2011 — 2012
Fellow, Intensive 10 Month Health Care Executive Leadership Program
Suffolk University Law School 1985 — 1988
Juris Doctorate, Law
Roger Williams University 1979 — 1983
BA, Political Science/Law
Elizabeth Cederquist's BMC HealthNet Plan Experience 2012 - 2012
Job Experienced Human Resources Business Partner
Industry Human Resources
Experience
Lahey Hospital & Medical Center June 2012 - Present
Lahey Hospital & Medical Center October 2013 - April 2014
BMC HealthNet Plan 2012 - 2012
Human Resources 2009 - 2012
Multiplan 2007 - 2009
Tufts Health Plan 2000 - 2007
Skills
Organizational..., Change Management, Employee Relations, Coaching, Employee Benefits, Performance Management, Talent Management, Talent Acquisition, Process Improvement, Succession Planning, Recruiting, Deferred Compensation, Personnel Management, Benefits Administration, Training, Leadership
Education
The University of Connecticut
BA, Communications
Lahey Hospital & Medical Center June 2012 - Present
Lahey Hospital & Medical Center October 2013 - April 2014
BMC HealthNet Plan 2012 - 2012
Human Resources 2009 - 2012
Multiplan 2007 - 2009
Tufts Health Plan 2000 - 2007
Skills
Organizational..., Change Management, Employee Relations, Coaching, Employee Benefits, Performance Management, Talent Management, Talent Acquisition, Process Improvement, Succession Planning, Recruiting, Deferred Compensation, Personnel Management, Benefits Administration, Training, Leadership
Education
The University of Connecticut
BA, Communications
Joan Pirraglia's BMC HealthNet Plan Experience July 2009 - April 2010
Job Senior Program Manager
Industry Information Technology and Services
Experience
Advantage Technical Resouring February 2013 - July 2014
38 Studios October 2011 - May 2012
Randstad Technologies US October 2010 - October 2011
BMC HealthNet Plan July 2009 - April 2010
The Computer Merchant December 2007 - December 2008
Perot Systems May 2006 - July 2007
GTECH Corporation September 2003 - April 2006
Lucent Technologies August 2000 - August 2003
Lucent Technologies May 1998 - July 2000
Lucent Technologies May 1996 - April 1998
Skills
Project Portfolio..., MS Project, Telecommunications, Budgets, Process Scheduler, Project Estimation, Healthcare, Primavera P6, Gambling, PMP, Vendor Management, PMO, Program Management, SDLC, Software Project..., Project Management, Agile Project Management, Business Analysis, Resource Management, PMI, Quality Assurance, Software Documentation, Business Process, Microsoft SQL Server, IT Service Management, Cross-functional Team..., Change Management, Scrum, Strategy, Business Strategy, Management, IT Strategy, Requirements Analysis, Agile Methodologies, Project Delivery, Software Development, Business Intelligence, Risk Management, Team Building, ITIL, IT Management, Team Leadership, Process Improvement, Testing, Contract Negotiation, Project Planning, Leadership, Business Process..., Certified Project..., Integration
Education
The George Washington University - School of Business 1998 — 2001
Masters, Project Management
Rhode Island College 1987 — 1992
BS, Accounting & Computer Information Systems
Advantage Technical Resouring February 2013 - July 2014
38 Studios October 2011 - May 2012
Randstad Technologies US October 2010 - October 2011
BMC HealthNet Plan July 2009 - April 2010
The Computer Merchant December 2007 - December 2008
Perot Systems May 2006 - July 2007
GTECH Corporation September 2003 - April 2006
Lucent Technologies August 2000 - August 2003
Lucent Technologies May 1998 - July 2000
Lucent Technologies May 1996 - April 1998
Skills
Project Portfolio..., MS Project, Telecommunications, Budgets, Process Scheduler, Project Estimation, Healthcare, Primavera P6, Gambling, PMP, Vendor Management, PMO, Program Management, SDLC, Software Project..., Project Management, Agile Project Management, Business Analysis, Resource Management, PMI, Quality Assurance, Software Documentation, Business Process, Microsoft SQL Server, IT Service Management, Cross-functional Team..., Change Management, Scrum, Strategy, Business Strategy, Management, IT Strategy, Requirements Analysis, Agile Methodologies, Project Delivery, Software Development, Business Intelligence, Risk Management, Team Building, ITIL, IT Management, Team Leadership, Process Improvement, Testing, Contract Negotiation, Project Planning, Leadership, Business Process..., Certified Project..., Integration
Education
The George Washington University - School of Business 1998 — 2001
Masters, Project Management
Rhode Island College 1987 — 1992
BS, Accounting & Computer Information Systems
Margaret Kibaiya's BMC HealthNet Plan Experience March 2012 - March 2013
Job Managing Partner, WJ Kibaiya Associates
Industry Information Technology and Services
Experience
WJ Kibaiya Associates May 2013 - Present
BMC HealthNet Plan March 2012 - March 2013
Tufts Health Plan November 2010 - March 2012
Courion Corporation 2008 - 2010
Blue Cross Blue Shield of Massachusetts September 2004 - November 2008
Lahey Clinic September 2001 - September 2004
Skills
SDLC, Program Management, Project Management, PMP, Vendor Management, Process Improvement, Security, Project Planning, Analysis, Management, Business Analysis, PMO, Team Leadership, Software Project..., Visio, Requirements Analysis, E-commerce, Integration, Software Documentation, Databases, Business Intelligence, Cross-functional Team..., IT Management, Strategic Planning, Information Technology, Business Process, Project Portfolio..., Business Process..., IT Strategy, MS Project, Change Management, Healthcare Information..., Enterprise Software, SharePoint, Cloud Computing, Requirements Gathering, Disaster Recovery, Consulting, Leadership, Strategy, Agile Methodologies
Education
Northeastern University 2004 — 2007
MS, Leadership
Northeastern University
BS, Health Management
WJ Kibaiya Associates May 2013 - Present
BMC HealthNet Plan March 2012 - March 2013
Tufts Health Plan November 2010 - March 2012
Courion Corporation 2008 - 2010
Blue Cross Blue Shield of Massachusetts September 2004 - November 2008
Lahey Clinic September 2001 - September 2004
Skills
SDLC, Program Management, Project Management, PMP, Vendor Management, Process Improvement, Security, Project Planning, Analysis, Management, Business Analysis, PMO, Team Leadership, Software Project..., Visio, Requirements Analysis, E-commerce, Integration, Software Documentation, Databases, Business Intelligence, Cross-functional Team..., IT Management, Strategic Planning, Information Technology, Business Process, Project Portfolio..., Business Process..., IT Strategy, MS Project, Change Management, Healthcare Information..., Enterprise Software, SharePoint, Cloud Computing, Requirements Gathering, Disaster Recovery, Consulting, Leadership, Strategy, Agile Methodologies
Education
Northeastern University 2004 — 2007
MS, Leadership
Northeastern University
BS, Health Management
Breha Riordon's BMC HealthNet Plan Experience July 2011 - October 2011
Job Director of Member Engagement
Industry Insurance
Experience
BMC HealthNet Plan/Well Sense Health Plan June 2014 - Present
BMC HealthNet Plan / Well Sense Health Plan October 2011 - June 2014
BMC HealthNet Plan July 2011 - October 2011
Tufts Health Plan December 2008 - July 2011
Tufts Health Plan May 2007 - December 2008
Mofenson Law Offices August 2005 - May 2007
Mofenson Law Offices August 2001 - August 2005
Skills
Visio, Microsoft Office, Microsoft Publisher, Lotus Notes, HIPAA, SharePoint, Health Insurance, Team Leadership, Medicaid Managed Care, Diveristy and Inclusion..., Facets, Citrix, Virtual Gateway, EVS, MS Project, CCMS, Marx, Apple OS, Training, Healthcare Management
Education
Suffolk University 1997 — 2003
Bachelor's Degree, Philosophy
St. Bernard's Central Catholic High School 1993 — 1997
BMC HealthNet Plan/Well Sense Health Plan June 2014 - Present
BMC HealthNet Plan / Well Sense Health Plan October 2011 - June 2014
BMC HealthNet Plan July 2011 - October 2011
Tufts Health Plan December 2008 - July 2011
Tufts Health Plan May 2007 - December 2008
Mofenson Law Offices August 2005 - May 2007
Mofenson Law Offices August 2001 - August 2005
Skills
Visio, Microsoft Office, Microsoft Publisher, Lotus Notes, HIPAA, SharePoint, Health Insurance, Team Leadership, Medicaid Managed Care, Diveristy and Inclusion..., Facets, Citrix, Virtual Gateway, EVS, MS Project, CCMS, Marx, Apple OS, Training, Healthcare Management
Education
Suffolk University 1997 — 2003
Bachelor's Degree, Philosophy
St. Bernard's Central Catholic High School 1993 — 1997
Jailson Ramos's BMC HealthNet Plan Experience 2006 - 2007
Job Project Manager at RR Donnelley
Industry Investment Management
Experience
RR Donnelley January 2013 - Present
RR Donnelley July 2007 - January 2013
BMC HealthNet Plan 2006 - 2007
Skills
Business Analysis, Process Improvement, Visio, Software Project..., Project Management, Cross-functional Team..., Integration, Business Process..., Business Intelligence, Product Management, SharePoint, Vendor Management, Quality Assurance, Customer Service
Education
University of Massachusetts, Amherst
RR Donnelley January 2013 - Present
RR Donnelley July 2007 - January 2013
BMC HealthNet Plan 2006 - 2007
Skills
Business Analysis, Process Improvement, Visio, Software Project..., Project Management, Cross-functional Team..., Integration, Business Process..., Business Intelligence, Product Management, SharePoint, Vendor Management, Quality Assurance, Customer Service
Education
University of Massachusetts, Amherst
Eric Hunter's BMC HealthNet Plan Experience April 2013 - Present
Job Chief Operating Officer at BMC HealthNet Plan
Industry Insurance
Experience
BMC HealthNet Plan April 2013 - Present
Hunter Resource Properties January 2007 - Present
ValueOptions March 2011 - April 2013
ValueOptions November 2009 - March 2011
Hunter Resource Strategies January 2007 - November 2009
Managed Health Services October 2007 - November 2008
Total Carolina Care- Centene May 2007 - October 2007
Schaller Anderson Healthcare December 2004 - January 2007
Heartland HealthPlan of Oklahoma January 2003 - November 2004
Schaller Anderson July 2001 - January 2003
Skills
Medicare, Healthcare, Medicaid, Managed Care, Healthcare Management, Strategic Planning, Behavioral Health, Commercial Insurance, Customer Service, Healthcare Information..., Health Insurance, Employee Benefits, HIPAA, Insurance, Network Development, Performance Improvement, Process Improvement, Team Building, Leadership, Hospitals
Education
Northeastern University 2013 — 2015
Master of Business Administration (M.B.A.)
University of Tulsa 1984 — 1989
Petroleum Engineering
Saint Leo University
BA, Business Administration
BMC HealthNet Plan April 2013 - Present
Hunter Resource Properties January 2007 - Present
ValueOptions March 2011 - April 2013
ValueOptions November 2009 - March 2011
Hunter Resource Strategies January 2007 - November 2009
Managed Health Services October 2007 - November 2008
Total Carolina Care- Centene May 2007 - October 2007
Schaller Anderson Healthcare December 2004 - January 2007
Heartland HealthPlan of Oklahoma January 2003 - November 2004
Schaller Anderson July 2001 - January 2003
Skills
Medicare, Healthcare, Medicaid, Managed Care, Healthcare Management, Strategic Planning, Behavioral Health, Commercial Insurance, Customer Service, Healthcare Information..., Health Insurance, Employee Benefits, HIPAA, Insurance, Network Development, Performance Improvement, Process Improvement, Team Building, Leadership, Hospitals
Education
Northeastern University 2013 — 2015
Master of Business Administration (M.B.A.)
University of Tulsa 1984 — 1989
Petroleum Engineering
Saint Leo University
BA, Business Administration
Sherri-Ann de Medeiros's BMC HealthNet Plan Experience 2010 - 2012
Job Senior Network Management Project Manager at Boston Medical Center HealthNet Plan
Industry Hospital & Health Care
Experience
Boston Medical Center HealthNet Plan 2012 - Present
BMC HealthNet Plan 2010 - 2012
BMC HealthNet Plan 2006 - 2010
BMC HealthNet Plan 2005 - 2006
BMC HealthNet Plan 2004 - 2005
BMC HealthNet Plan 2002 - 2004
Skills
Leadership, Healthcare, Managed Care, Provider Relations, Medicaid, Management, Strategy, Recruiting, Health Insurance, Hospitals, Credentialing, Insurance, Healthcare Industry, Community Outreach, Customer Service, Behavioral Health, Contract Management, Policy, HMO, Process Improvement, HIPAA, Medicare
Education
University of Massachusetts Dartmouth 1995 — 1999
Bachelor of Arts (BA), History
University of Massachusetts Dartmouth
Masters in Business Administration
Boston Medical Center HealthNet Plan 2012 - Present
BMC HealthNet Plan 2010 - 2012
BMC HealthNet Plan 2006 - 2010
BMC HealthNet Plan 2005 - 2006
BMC HealthNet Plan 2004 - 2005
BMC HealthNet Plan 2002 - 2004
Skills
Leadership, Healthcare, Managed Care, Provider Relations, Medicaid, Management, Strategy, Recruiting, Health Insurance, Hospitals, Credentialing, Insurance, Healthcare Industry, Community Outreach, Customer Service, Behavioral Health, Contract Management, Policy, HMO, Process Improvement, HIPAA, Medicare
Education
University of Massachusetts Dartmouth 1995 — 1999
Bachelor of Arts (BA), History
University of Massachusetts Dartmouth
Masters in Business Administration
Meredith Rosser's BMC HealthNet Plan Experience August 2010 - Present
Job Quality Program Manager at Well Sense Health Plan
Industry Hospital & Health Care
Experience
Well Sense Health Plan 2014 - Present
BMC HealthNet Plan August 2010 - Present
Lipman Hearne May 2004 - April 2009
University of Washington February 2002 - October 2003
Baker Botts LLP July 2000 - February 2002
Skills
Copywriting, Advertising, Editing, Integrated Marketing, Project Management, Marketing Communications, Cross-functional Team..., Strategy, Internal Communications, Budgets, Marketing, PowerPoint, Management, Proposal Writing, Market Research, Healthcare, Social Media, HIPAA
Education
University of Southern Mississippi 1993 — 1999
BA, Anthropology
Well Sense Health Plan 2014 - Present
BMC HealthNet Plan August 2010 - Present
Lipman Hearne May 2004 - April 2009
University of Washington February 2002 - October 2003
Baker Botts LLP July 2000 - February 2002
Skills
Copywriting, Advertising, Editing, Integrated Marketing, Project Management, Marketing Communications, Cross-functional Team..., Strategy, Internal Communications, Budgets, Marketing, PowerPoint, Management, Proposal Writing, Market Research, Healthcare, Social Media, HIPAA
Education
University of Southern Mississippi 1993 — 1999
BA, Anthropology
Koren Odierna Iskra's BMC HealthNet Plan Experience July 2005 - October 2010
Job Vice President Business Development at UnitedHealth Group
Industry Hospital & Health Care
Experience
UnitedHealth Group April 2012 - Present
UnitedHealth Group May 2010 - March 2012
BMC HealthNet Plan July 2005 - October 2010
Towers Perrin 2000 - 2003
Skills
Managed Care, Medicare, Provider Relations, Utilization Management, Medicaid, Health Insurance, Strategic Planning, Process Improvement, Health Policy, Healthcare, HIPAA, Healthcare Management, Insurance, Healthcare Information..., Hospitals, Team Building, Program Development, Healthcare Industry, Network Development, HMO, Revenue Cycle, Healthcare Consulting, PPO
Education
Yale University 2003 — 2005
MPH, International Health Management
Yale University - Yale School of Management 2003 — 2005
Yale University School of Medicine 2003 — 2005
MPH, International Public Health and Management
University of Connecticut 1995 — 1999
BA, Health Systems Management
UnitedHealth Group April 2012 - Present
UnitedHealth Group May 2010 - March 2012
BMC HealthNet Plan July 2005 - October 2010
Towers Perrin 2000 - 2003
Skills
Managed Care, Medicare, Provider Relations, Utilization Management, Medicaid, Health Insurance, Strategic Planning, Process Improvement, Health Policy, Healthcare, HIPAA, Healthcare Management, Insurance, Healthcare Information..., Hospitals, Team Building, Program Development, Healthcare Industry, Network Development, HMO, Revenue Cycle, Healthcare Consulting, PPO
Education
Yale University 2003 — 2005
MPH, International Health Management
Yale University - Yale School of Management 2003 — 2005
Yale University School of Medicine 2003 — 2005
MPH, International Public Health and Management
University of Connecticut 1995 — 1999
BA, Health Systems Management
Robert Giovanni's BMC HealthNet Plan Experience March 2009 - March 2010
Job Technical Inventory Support at CompuCom/UBS
Industry Information Technology and Services
Experience
CompuCom August 2014 - Present
SuperTech-IT 2009 - Present
Circulation Specialists Inc January 2004 - Present
AT&T November 2011 - January 2012
BMC HealthNet Plan March 2009 - March 2010
Circulation Specialists, Inc. January 2004 - February 2009
Cardiac Specialists August 2003 - December 2003
MicroWarehouse March 2001 - March 2003
MicroWarehouse July 2000 - March 2001
Connecticut Hospice Inc October 1995 - June 2000
Skills
Computer Repair, Computer Hardware..., Computer Maintenance, Windows XP, Windows 7, Windows 8, Wireless Networking, Online Advertising, Email Marketing, Customer Acquisition, Direct Marketing, Digital Marketing, Database Marketing, Direct Mail, Social Media Marketing, Lead Generation, Marketing, Advertising, Publishing, Social Media, Multi-channel Marketing, Microsoft Office, Customer Service, Networking, Management, E-commerce, Access, Sales
Education
Norwalk Community College 1995 — 1998
CompuCom August 2014 - Present
SuperTech-IT 2009 - Present
Circulation Specialists Inc January 2004 - Present
AT&T November 2011 - January 2012
BMC HealthNet Plan March 2009 - March 2010
Circulation Specialists, Inc. January 2004 - February 2009
Cardiac Specialists August 2003 - December 2003
MicroWarehouse March 2001 - March 2003
MicroWarehouse July 2000 - March 2001
Connecticut Hospice Inc October 1995 - June 2000
Skills
Computer Repair, Computer Hardware..., Computer Maintenance, Windows XP, Windows 7, Windows 8, Wireless Networking, Online Advertising, Email Marketing, Customer Acquisition, Direct Marketing, Digital Marketing, Database Marketing, Direct Mail, Social Media Marketing, Lead Generation, Marketing, Advertising, Publishing, Social Media, Multi-channel Marketing, Microsoft Office, Customer Service, Networking, Management, E-commerce, Access, Sales
Education
Norwalk Community College 1995 — 1998
Katherine McGrath's BMC HealthNet Plan Experience 2006 - 2009
Job Health Care Attorney/Regulatory Compliance
Industry Hospital & Health Care
Experience
Signature Healthcare, Brockton Ma April 2013 - Present
Amerigroup Corporation July 2010 - March 2013
BMC HealthNet Plan 2006 - 2009
Network Health 2002 - 2006
Blue Cross Blue Shield of the National Capital Area 1995 - 1997
Skills
Government Relations, Medicaid, Medicare, Healthcare, Provider Relations, Managed Care, HIPAA, Compliance, Contract Negotiation, Insurance
Education
Simmons College - Simmons School of Management 2000 — 2002
MBA, Business Administration
Yale University
MPH, Public Health
Suffolk University Law School 1977 — 1981
JD, law
Washington and Jefferson College 1971 — 1974
BA, English, Psychology
Signature Healthcare, Brockton Ma April 2013 - Present
Amerigroup Corporation July 2010 - March 2013
BMC HealthNet Plan 2006 - 2009
Network Health 2002 - 2006
Blue Cross Blue Shield of the National Capital Area 1995 - 1997
Skills
Government Relations, Medicaid, Medicare, Healthcare, Provider Relations, Managed Care, HIPAA, Compliance, Contract Negotiation, Insurance
Education
Simmons College - Simmons School of Management 2000 — 2002
MBA, Business Administration
Yale University
MPH, Public Health
Suffolk University Law School 1977 — 1981
JD, law
Washington and Jefferson College 1971 — 1974
BA, English, Psychology
Gail Evans's BMC HealthNet Plan Experience 2010 - Present
Job Director of Provider Relations at Boston Medical Center HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan 2010 - Present
Boston Medical Center HealthNet Plan April 2007 - April 2010
Neighborhood Health Plan October 1991 - April 2007
Neighborhood Health Plan 1991 - December 1996
Skills
Managed Care, Medicaid, Provider Relations, Healthcare Management, Health Insurance, Healthcare Consulting, Healthcare, Medicare, Healthcare Information..., HIPAA, Insurance, Network Development, Health Policy, Employee Benefits, Healthcare Industry, Hospitals, Process Improvement, Strategic Planning, Program Management
Education
Simmons College 1996 — 1998
MS, Health Care Administration
University of Detroit Mercy 1978 — 1981
BS, Business Administration
BMC HealthNet Plan 2010 - Present
Boston Medical Center HealthNet Plan April 2007 - April 2010
Neighborhood Health Plan October 1991 - April 2007
Neighborhood Health Plan 1991 - December 1996
Skills
Managed Care, Medicaid, Provider Relations, Healthcare Management, Health Insurance, Healthcare Consulting, Healthcare, Medicare, Healthcare Information..., HIPAA, Insurance, Network Development, Health Policy, Employee Benefits, Healthcare Industry, Hospitals, Process Improvement, Strategic Planning, Program Management
Education
Simmons College 1996 — 1998
MS, Health Care Administration
University of Detroit Mercy 1978 — 1981
BS, Business Administration
John He's BMC HealthNet Plan Experience July 2012 - September 2013
Job Lead EDI Programmer at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan – Network Health September 2013 - Present
BMC HealthNet Plan July 2012 - September 2013
Network-Health.org November 2007 - July 2012
Network Health November 2007 - June 2008
CDM August 2007 - November 2007
Northeastern University 2005 - 2007
Skills
SSRS, ETL design (SSIS), Dimen, professional BizTalk..., ASP.net programming, WCF developing, SQL programming, Design P, Ektron CMS, WPF Development, MVVM Design Pattern
Education
Northeastern University 2006 — 2008
Master Degree in Information Science, Information System
Tufts Health Plan – Network Health September 2013 - Present
BMC HealthNet Plan July 2012 - September 2013
Network-Health.org November 2007 - July 2012
Network Health November 2007 - June 2008
CDM August 2007 - November 2007
Northeastern University 2005 - 2007
Skills
SSRS, ETL design (SSIS), Dimen, professional BizTalk..., ASP.net programming, WCF developing, SQL programming, Design P, Ektron CMS, WPF Development, MVVM Design Pattern
Education
Northeastern University 2006 — 2008
Master Degree in Information Science, Information System
Karen Leibold's BMC HealthNet Plan Experience 2003 - 2006
Job Vice President, Human Resources at Covenant Health
Industry Hospital & Health Care
Experience
Covenant Health March 2015 - Present
Tufts Medical Center Physicians Organization August 2006 - February 2015
BMC HealthNet Plan 2003 - 2006
Citizen Schools 2001 - 2003
Citizen Schools 2001 - 2003
Lahey Clinic 1998 - 2001
The Stride Rite Corporation 1983 - 1996
Skills
Employee Relations, Organizational..., Onboarding, Deferred Compensation, HRIS, Healthcare, Talent Management, Benefits Administration, Clinical Research, Policy, Employee Engagement, Human Resources, Executive Coaching, Applicant Tracking..., Process Improvement, Training, Organizational Design, Payroll, Workforce Planning, Organizational..., New Hire Orientations, Employee Training, Employee Benefits, Staff Development, Program Management, Coaching, Talent Acquisition, Performance Improvement, Job Descriptions, Resume Writing, HR Policies, Leadership Development, Personnel Management, Recruiting, Interviews, HR Consulting, Performance Management, Workshop Facilitation, Training Delivery, Career Development, Leadership, Compensation & Benefit, Career Counseling, Sourcing, PeopleSoft
Education
Wheelock College
MS, Education
Northwestern University 1969 — 1974
BA, History
Covenant Health March 2015 - Present
Tufts Medical Center Physicians Organization August 2006 - February 2015
BMC HealthNet Plan 2003 - 2006
Citizen Schools 2001 - 2003
Citizen Schools 2001 - 2003
Lahey Clinic 1998 - 2001
The Stride Rite Corporation 1983 - 1996
Skills
Employee Relations, Organizational..., Onboarding, Deferred Compensation, HRIS, Healthcare, Talent Management, Benefits Administration, Clinical Research, Policy, Employee Engagement, Human Resources, Executive Coaching, Applicant Tracking..., Process Improvement, Training, Organizational Design, Payroll, Workforce Planning, Organizational..., New Hire Orientations, Employee Training, Employee Benefits, Staff Development, Program Management, Coaching, Talent Acquisition, Performance Improvement, Job Descriptions, Resume Writing, HR Policies, Leadership Development, Personnel Management, Recruiting, Interviews, HR Consulting, Performance Management, Workshop Facilitation, Training Delivery, Career Development, Leadership, Compensation & Benefit, Career Counseling, Sourcing, PeopleSoft
Education
Wheelock College
MS, Education
Northwestern University 1969 — 1974
BA, History
Alex Ng's BMC HealthNet Plan Experience June 2006 - July 2007
Job SW Sales Engineer II at Dell SonicWALL
Industry Hospital & Health Care
Experience
Dell SonicWALL April 2015 - Present
Imprivata December 2013 - Present
Boston Medical Center November 2012 - December 2013
Aruba Networks April 2012 - November 2012
Boston Medical Center February 2009 - April 2012
Boston Medical Center October 2007 - February 2009
Platform Solutions July 2007 - October 2007
BMC HealthNet Plan June 2006 - July 2007
vCentrix March 2006 - June 2006
Brigham and Women's Hospital April 2001 - February 2006
Skills
CompTIA, Network Security, CompTIA Network+, Apple Certified, WAN, VPN, VMware, CCNA, Cisco Technologies, Troubleshooting, Firewalls, Juniper, Cisco IOS, Data Center, Networking, Disaster Recovery, Citrix, Network Design, Cloud Computing, VoIP, VMware ESX, Wireless Networking, TCP/IP, DHCP, Information Security, Network Administration, Virtualization, DNS, Security, Cisco Certified, PIX, Switches, Network Architecture, Computer Hardware, System Deployment, Infrastructure, Network Engineering, OSPF, Servers, Information Technology, Microsoft Exchange, LAN-WAN, Windows Server, Hardware, System Administration, Routers
Education
University of Massachusetts Boston 1996 — 2000
Criminal Justice / MIS
South Portland High School 1992 — 1995
High School Diploma
Dell SonicWALL April 2015 - Present
Imprivata December 2013 - Present
Boston Medical Center November 2012 - December 2013
Aruba Networks April 2012 - November 2012
Boston Medical Center February 2009 - April 2012
Boston Medical Center October 2007 - February 2009
Platform Solutions July 2007 - October 2007
BMC HealthNet Plan June 2006 - July 2007
vCentrix March 2006 - June 2006
Brigham and Women's Hospital April 2001 - February 2006
Skills
CompTIA, Network Security, CompTIA Network+, Apple Certified, WAN, VPN, VMware, CCNA, Cisco Technologies, Troubleshooting, Firewalls, Juniper, Cisco IOS, Data Center, Networking, Disaster Recovery, Citrix, Network Design, Cloud Computing, VoIP, VMware ESX, Wireless Networking, TCP/IP, DHCP, Information Security, Network Administration, Virtualization, DNS, Security, Cisco Certified, PIX, Switches, Network Architecture, Computer Hardware, System Deployment, Infrastructure, Network Engineering, OSPF, Servers, Information Technology, Microsoft Exchange, LAN-WAN, Windows Server, Hardware, System Administration, Routers
Education
University of Massachusetts Boston 1996 — 2000
Criminal Justice / MIS
South Portland High School 1992 — 1995
High School Diploma
Peter Farrar's BMC HealthNet Plan Experience November 2013 - December 2014
Job Backend Engineer at Double Prime, Inc.
Industry Information Technology and Services
Experience
Double Prime, Inc. January 2015 - Present
BMC HealthNet Plan November 2013 - December 2014
LeapFrog Systems December 2012 - June 2013
Perot Systems/Dell Services May 2005 - September 2012
Concentra March 2001 - May 2005
C&K Components May 2000 - December 2000
The Learning Company April 1999 - May 2000
The Learning Company September 1998 - April 1999
The Learning Company February 1998 - September 1998
Skills
EDI, Perl, Unix, Linux, SOA, SQL, XML, Unix Shell Scripting, Java, PL/SQL, Web Services, Shell Scripting, Oracle SQL, Agile, MySQL, DB2, TIBCO, Scrum, HTML, Solaris, Enterprise Architecture, Programming, Integration, Databases, CVS, Software Development, HP-UX, Agile Methodologies, Oracle, Requirements Analysis, Apache, SDLC, ETL, Database Design, Software Engineering, Eclipse, Object Oriented Design
Education
Northeastern University 1998 — 2001
Unix/C++ Specialist Certificate, Comp Sci
Double Prime, Inc. January 2015 - Present
BMC HealthNet Plan November 2013 - December 2014
LeapFrog Systems December 2012 - June 2013
Perot Systems/Dell Services May 2005 - September 2012
Concentra March 2001 - May 2005
C&K Components May 2000 - December 2000
The Learning Company April 1999 - May 2000
The Learning Company September 1998 - April 1999
The Learning Company February 1998 - September 1998
Skills
EDI, Perl, Unix, Linux, SOA, SQL, XML, Unix Shell Scripting, Java, PL/SQL, Web Services, Shell Scripting, Oracle SQL, Agile, MySQL, DB2, TIBCO, Scrum, HTML, Solaris, Enterprise Architecture, Programming, Integration, Databases, CVS, Software Development, HP-UX, Agile Methodologies, Oracle, Requirements Analysis, Apache, SDLC, ETL, Database Design, Software Engineering, Eclipse, Object Oriented Design
Education
Northeastern University 1998 — 2001
Unix/C++ Specialist Certificate, Comp Sci
Ophelia Gibson's BMC HealthNet Plan Experience March 2008 - Present
Job Pharmacy Benefit Coordinator at Boston Medical Center
Industry Health, Wellness and Fitness
Experience
BMC Healthnet Plan March 2008 - Present
Tufts Health Plan November 2000 - February 2008
SMS Technology Lab June 2005 - November 2006
Skills
Training, Pharmacy Benefit..., Healthcare Information..., Pharmacy, Pharmacists, Quality Assurance, Analysis, Health Insurance, Project Management, Insurance, Customer Service, HIPAA, Medicaid, Managed Care, Healthcare, Employee Benefits
Education
University of Massachusetts Boston 2001 — 2005
BA, Management Information System
BMC Healthnet Plan March 2008 - Present
Tufts Health Plan November 2000 - February 2008
SMS Technology Lab June 2005 - November 2006
Skills
Training, Pharmacy Benefit..., Healthcare Information..., Pharmacy, Pharmacists, Quality Assurance, Analysis, Health Insurance, Project Management, Insurance, Customer Service, HIPAA, Medicaid, Managed Care, Healthcare, Employee Benefits
Education
University of Massachusetts Boston 2001 — 2005
BA, Management Information System
Saudy Bushell's BMC HealthNet Plan Experience 2005 - Present
Job Sr. Contracting Specialist at BMC HealthNet Plan
Industry Insurance
Experience
BMC HealthNet Plan 2005 - Present
Skills
Healthcare, Credentialing, Health Insurance, Network Development, Data Entry, Microsoft Word, Microsoft Excel, Microsoft Office, Medicaid, HIPAA, HMO, PPO, Medicare, Managed Care
Education
Northeastern University 1994 — 2010
BS, Criminal Justice
Northeastern University
BMC HealthNet Plan 2005 - Present
Skills
Healthcare, Credentialing, Health Insurance, Network Development, Data Entry, Microsoft Word, Microsoft Excel, Microsoft Office, Medicaid, HIPAA, HMO, PPO, Medicare, Managed Care
Education
Northeastern University 1994 — 2010
BS, Criminal Justice
Northeastern University
Julie Donaghey's BMC HealthNet Plan Experience May 2013 - Present
Job Manager of UM Program Oversight, Member Appeals & Grievances and Interim Manager of Utilization Management
Industry Hospital & Health Care
Experience
BMC HealthNet Plan/Well Sense Health Plan February 2014 - Present
BMC HealthNet Plan May 2013 - Present
BMC HealthNet Plan September 2007 - Present
Skills
Medicare, Appeals, Healthcare, Nonprofits, Healthcare Management, HIPAA, Managed Care, Medicaid, Healthcare Information..., Utilization Management, Health Insurance, Health Policy, Healthcare Industry, Management, Process Improvement, Hospitals, Strategic Planning, Insurance
Education
University of Massachusetts Dartmouth
Business
BMC HealthNet Plan/Well Sense Health Plan February 2014 - Present
BMC HealthNet Plan May 2013 - Present
BMC HealthNet Plan September 2007 - Present
Skills
Medicare, Appeals, Healthcare, Nonprofits, Healthcare Management, HIPAA, Managed Care, Medicaid, Healthcare Information..., Utilization Management, Health Insurance, Health Policy, Healthcare Industry, Management, Process Improvement, Hospitals, Strategic Planning, Insurance
Education
University of Massachusetts Dartmouth
Business
Berat Hyseni's BMC HealthNet Plan Experience January 2006 - August 2008
Job Currently Seeking Opportunities
Industry Security and Investigations
Experience
Securitas May 2011 - April 2014
Securitas August 2008 - May 2011
BMC HealthNet Plan January 2006 - August 2008
Securitas June 2000 - August 2008
Skills
Physical Security, Security Management, Security Operations, Security Training, Access Control, CCTV, Surveillance, Emergency Management, Enforcement, Security, Risk Assessment, Executive Protection, Law Enforcement, Protection, Alarm Systems, Asset Protection, Security Audits
Education
University of Massachusetts, Amherst 2000 — 2004
Bachelor of Arts (B.A.), Political Science and International Relations
Securitas May 2011 - April 2014
Securitas August 2008 - May 2011
BMC HealthNet Plan January 2006 - August 2008
Securitas June 2000 - August 2008
Skills
Physical Security, Security Management, Security Operations, Security Training, Access Control, CCTV, Surveillance, Emergency Management, Enforcement, Security, Risk Assessment, Executive Protection, Law Enforcement, Protection, Alarm Systems, Asset Protection, Security Audits
Education
University of Massachusetts, Amherst 2000 — 2004
Bachelor of Arts (B.A.), Political Science and International Relations
Hillary Rosenwald's BMC HealthNet Plan Experience January 2002 - December 2002
Job Senior Health Facility Planner at Defense Health Agency
Industry Hospital & Health Care
Experience
Defense Health Agency October 2013 - Present
US Army Medical Command October 2011 - October 2013
Kaiser Foundation Health Plan August 2009 - October 2011
Kaiser Foundation Health Plan August 2003 - November 2010
BMC HealthNet Plan January 2002 - December 2002
Cambridge Health Alliance April 2001 - September 2002
Institute for Spinal Disorders July 1998 - November 1999
Cedars-Sinai Medical Center June 1992 - June 1998
Skills
Project Management, Project Planning, Healthcare, Leadership, Process Improvement, Management, Program Management, Healthcare Management
Education
University of Southern California 1995 — 1997
Masters, Health Administration
State University of New York College at Buffalo 1975 — 1978
Bachelor of Science, Environmental Design
Defense Health Agency October 2013 - Present
US Army Medical Command October 2011 - October 2013
Kaiser Foundation Health Plan August 2009 - October 2011
Kaiser Foundation Health Plan August 2003 - November 2010
BMC HealthNet Plan January 2002 - December 2002
Cambridge Health Alliance April 2001 - September 2002
Institute for Spinal Disorders July 1998 - November 1999
Cedars-Sinai Medical Center June 1992 - June 1998
Skills
Project Management, Project Planning, Healthcare, Leadership, Process Improvement, Management, Program Management, Healthcare Management
Education
University of Southern California 1995 — 1997
Masters, Health Administration
State University of New York College at Buffalo 1975 — 1978
Bachelor of Science, Environmental Design
Brenda Viveiros's BMC HealthNet Plan Experience April 2009 - Present
Job Community Outreach Supervisor BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan April 2009 - Present
Skills
Community Outreach, Healthcare, Healthcare Management, Event Planning, Medicaid, Health Insurance, Managed Care
Education
Rhode Island College 2005 — 2007
Bachelor, Communications/Public Relations
BMC HealthNet Plan April 2009 - Present
Skills
Community Outreach, Healthcare, Healthcare Management, Event Planning, Medicaid, Health Insurance, Managed Care
Education
Rhode Island College 2005 — 2007
Bachelor, Communications/Public Relations
Juliane Lisenby's BMC HealthNet Plan Experience Audit and Other Party Liability SupervisorBMC HealthNet PlanMay 2007 - June 2008
Job Credit Balance Supervisor at BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan Audit and Other Party Liability SupervisorBMC HealthNet PlanMay 2007 - June 2008
Neighborhood Health Plan September 2004 - April 2007
Family Service of Greater Boston December 1999 - September 2004
Family Service of Greater Boston May 1996 - December 1999
Skills
Healthcare, Billing Systems, Customer Service, Claims Management, Medical Billing, Health Insurance, Call Center, Employee Management
Education
Suffolk University 1990 — 1994
BS, Health and Human Service
BMC HealthNet Plan Audit and Other Party Liability SupervisorBMC HealthNet PlanMay 2007 - June 2008
Neighborhood Health Plan September 2004 - April 2007
Family Service of Greater Boston December 1999 - September 2004
Family Service of Greater Boston May 1996 - December 1999
Skills
Healthcare, Billing Systems, Customer Service, Claims Management, Medical Billing, Health Insurance, Call Center, Employee Management
Education
Suffolk University 1990 — 1994
BS, Health and Human Service
Abdishukri Farah's BMC HealthNet Plan Experience August 2009 - August 2009
Job Student at Northeastern University
Industry Public Relations and Communications
Experience
Northeastern University July 2009 - Present
BMC HealthNet Plan August 2009 - August 2009
Education
Northeastern University 2009 — 2009
CPS foundation Year
Northeastern University July 2009 - Present
BMC HealthNet Plan August 2009 - August 2009
Education
Northeastern University 2009 — 2009
CPS foundation Year
Jill Halloran's BMC HealthNet Plan Experience 2008 - 2011
Job Writing and editing professional, specializing in health and medical industries
Industry Writing and Editing
Experience
eHealth Inc April 2014 - Present
Xtelligent Media February 2012 - September 2012
BMC HealthNet Plan 2008 - 2011
Agilent Technologies 1998 - 2007
Arbor Software 1995 - 1998
Skills
Newsletters, Editing, Content Development, Content Management, Copywriting, Copy Editing, Software Documentation, Proofreading, Marketing Communications, Publishing, SEO, HTML, Social Media, Research, Social Networking, Technical Writing, Email Marketing, Social Media Marketing, Marketing, Adobe Acrobat, Technical Documentation, Internal Communications, Proposal Writing, Corporate Communications, Online Help, FrameMaker, RoboHelp, Writing, Web Content
Education
Northeastern University
Master's Certificate, Technical Writing
University of Massachusetts, Amherst
B.A. Journalism/English, Journalism, English, several languages, 3.7 gpa
eHealth Inc April 2014 - Present
Xtelligent Media February 2012 - September 2012
BMC HealthNet Plan 2008 - 2011
Agilent Technologies 1998 - 2007
Arbor Software 1995 - 1998
Skills
Newsletters, Editing, Content Development, Content Management, Copywriting, Copy Editing, Software Documentation, Proofreading, Marketing Communications, Publishing, SEO, HTML, Social Media, Research, Social Networking, Technical Writing, Email Marketing, Social Media Marketing, Marketing, Adobe Acrobat, Technical Documentation, Internal Communications, Proposal Writing, Corporate Communications, Online Help, FrameMaker, RoboHelp, Writing, Web Content
Education
Northeastern University
Master's Certificate, Technical Writing
University of Massachusetts, Amherst
B.A. Journalism/English, Journalism, English, several languages, 3.7 gpa
David Goldwater's BMC HealthNet Plan Experience September 2004 - September 2005
Job Clinical Consultant pharmacist
Industry Hospital & Health Care
Experience
Omnicare of Northern Mass December 2013 - Present
Partners Pharmacy of Massachusetts September 2005 - January 2013
BMC HealthNet Plan September 2004 - September 2005
Statcare Pharmacy January 2002 - January 2004
Medisave/ Kindred Pharmacy Services January 1995 - March 2002
Omnicare/American Pharmaceutical Services 2000 - 2002
PharMerica 1984 - 1995
Skills
Pharmacists, Clinical Research, Pharmacy, Patient Safety, Pharmacy Automation, Healthcare, Hospitals, Healthcare Management, Clinical Pharmacy, Managed Care, Informatics, Diabetes, Disease Management, Pharmacy Benefit..., Inpatient, Medical Education, Ambulatory Care, Medication Therapy..., Patient Education, Utilization Management, Clinical Pharmacology, Patient Counseling, Health Policy, Evidence-based Medicine, Pyxis, Hospital Pharmacy
Education
Massachusetts College of Pharmacy and Health Sciences
Pharm BS
Omnicare of Northern Mass December 2013 - Present
Partners Pharmacy of Massachusetts September 2005 - January 2013
BMC HealthNet Plan September 2004 - September 2005
Statcare Pharmacy January 2002 - January 2004
Medisave/ Kindred Pharmacy Services January 1995 - March 2002
Omnicare/American Pharmaceutical Services 2000 - 2002
PharMerica 1984 - 1995
Skills
Pharmacists, Clinical Research, Pharmacy, Patient Safety, Pharmacy Automation, Healthcare, Hospitals, Healthcare Management, Clinical Pharmacy, Managed Care, Informatics, Diabetes, Disease Management, Pharmacy Benefit..., Inpatient, Medical Education, Ambulatory Care, Medication Therapy..., Patient Education, Utilization Management, Clinical Pharmacology, Patient Counseling, Health Policy, Evidence-based Medicine, Pyxis, Hospital Pharmacy
Education
Massachusetts College of Pharmacy and Health Sciences
Pharm BS
Kemi Olabisi's BMC HealthNet Plan Experience July 2011 - December 2014
Job Pharmacy Clinical Program Manager at BMC HealthNet Plan/Well Sense Health Plan
Industry Hospital & Health Care
Experience
Bodel Consulting February 2015 - Present
BMC HealthNet Plan/Well Sense Health Plan January 2015 - Present
BMC HealthNet Plan July 2011 - December 2014
BMC HealthNet Plan November 2009 - June 2011
Montefiore Medical Center July 2006 - August 2009
Skills
Utilization Management, Managed Care, Medicaid, Care Management, Disease Management, Clinical Pharmacy, Clinical Research, Pharmacy, Medication Therapy..., Pharmacy Benefit..., Health Insurance, Medicaid Managed Care, Medical Writing, Healthcare Management, Medicare, Healthcare
Education
Temple University School of Pharmacy 2001 — 2005
Doctor of Pharmacy (PharmD), Pharmacy
Rutgers, The State University of New Jersey-Newark 1999 — 2001
Biology
Bodel Consulting February 2015 - Present
BMC HealthNet Plan/Well Sense Health Plan January 2015 - Present
BMC HealthNet Plan July 2011 - December 2014
BMC HealthNet Plan November 2009 - June 2011
Montefiore Medical Center July 2006 - August 2009
Skills
Utilization Management, Managed Care, Medicaid, Care Management, Disease Management, Clinical Pharmacy, Clinical Research, Pharmacy, Medication Therapy..., Pharmacy Benefit..., Health Insurance, Medicaid Managed Care, Medical Writing, Healthcare Management, Medicare, Healthcare
Education
Temple University School of Pharmacy 2001 — 2005
Doctor of Pharmacy (PharmD), Pharmacy
Rutgers, The State University of New Jersey-Newark 1999 — 2001
Biology
Jennifer Stahr's BMC HealthNet Plan Experience August 2013 - Present
Job Program Manager Integrated Care Organization at Commonwealth Care Alliance
Industry Hospital & Health Care
Experience
BMC HealthNet Plan August 2013 - Present
Commonwealth Care Alliance (CCA) March 2012 - August 2013
Massachusetts Technology Collaborative July 2010 - March 2012
Astral DesignWorks 2001 - June 2010
Massachusetts Healthcare Purchaser Group 2003 - 2005
Private Healthcare Systems 1999 - 2001
Fallon Community Health Plan 1997 - 1999
Blue Cross Blue Shield of Massachusetts 1994 - 1997
Arthur D. Little 1980 - 1994
Skills
Project Management, Strategy, Healthcare, Community Outreach, Product Development, Leadership, Business Strategy, Management, Analysis, Business Planning, Healthcare Management, Team Leadership, Medicare, Cross-functional Team...
Education
University of California, Berkeley 1978 — 1980
M.S., Chemical Engineering
Massachusetts Institute of Technology 1974 — 1978
S.B., Chemistry
Massachusetts Institute of Technology 1974 — 1978
S.B., Chemical Engineering
BMC HealthNet Plan August 2013 - Present
Commonwealth Care Alliance (CCA) March 2012 - August 2013
Massachusetts Technology Collaborative July 2010 - March 2012
Astral DesignWorks 2001 - June 2010
Massachusetts Healthcare Purchaser Group 2003 - 2005
Private Healthcare Systems 1999 - 2001
Fallon Community Health Plan 1997 - 1999
Blue Cross Blue Shield of Massachusetts 1994 - 1997
Arthur D. Little 1980 - 1994
Skills
Project Management, Strategy, Healthcare, Community Outreach, Product Development, Leadership, Business Strategy, Management, Analysis, Business Planning, Healthcare Management, Team Leadership, Medicare, Cross-functional Team...
Education
University of California, Berkeley 1978 — 1980
M.S., Chemical Engineering
Massachusetts Institute of Technology 1974 — 1978
S.B., Chemistry
Massachusetts Institute of Technology 1974 — 1978
S.B., Chemical Engineering
Joseph Valerio's BMC HealthNet Plan Experience March 2010 - December 2010
Job System Administrator and Network Support Manager at WellPet
Industry Information Technology and Services
Experience
WellPet June 2015 - Present
Southern New Hampshire University August 2014 - Present
Tier1Net December 2010 - May 2015
BMC HealthNet Plan March 2010 - December 2010
Wainwright Bank 2007 - 2010
Skills
Disaster Recovery, Servers, Windows 7, Windows Server, Microsoft Office, PowerPoint, Software Documentation, Active Directory, Customer Service, Team Leadership, Outlook, Microsoft Excel, Project Management, SQL, Management, VMware ESX
Education
University of Phoenix 2008 — 2010
Masters of Information Systems, Information Technology
University of Phoenix 2007 — 2010
Masters, Information Systems
WellPet June 2015 - Present
Southern New Hampshire University August 2014 - Present
Tier1Net December 2010 - May 2015
BMC HealthNet Plan March 2010 - December 2010
Wainwright Bank 2007 - 2010
Skills
Disaster Recovery, Servers, Windows 7, Windows Server, Microsoft Office, PowerPoint, Software Documentation, Active Directory, Customer Service, Team Leadership, Outlook, Microsoft Excel, Project Management, SQL, Management, VMware ESX
Education
University of Phoenix 2008 — 2010
Masters of Information Systems, Information Technology
University of Phoenix 2007 — 2010
Masters, Information Systems
Sharon Fawcett's BMC HealthNet Plan Experience 2006 - 2008
Job Area Director of Case Management at Kindred Healthcare
Industry Hospital & Health Care
Experience
Kindred Healthcare February 2013 - Present
Kindred Healthcare December 2007 - Present
BMC HealthNet Plan 2006 - 2008
The Doctor Franklin Perkins School 2001 - 2006
Skills
Case Managment, Mental Health, Utilization Management, Nursing, Healthcare Management, Healthcare, Hospitals, Managed Care, Clinical Research, Medicaid, Psychotherapy, Medicare
Education
Smith College 2003 — 2004
Graduate Certificate in Clinical Treatment of Children and Adolescents
Simmons College 1994 — 1997
LICSW, Master of Social Work
Kindred Healthcare February 2013 - Present
Kindred Healthcare December 2007 - Present
BMC HealthNet Plan 2006 - 2008
The Doctor Franklin Perkins School 2001 - 2006
Skills
Case Managment, Mental Health, Utilization Management, Nursing, Healthcare Management, Healthcare, Hospitals, Managed Care, Clinical Research, Medicaid, Psychotherapy, Medicare
Education
Smith College 2003 — 2004
Graduate Certificate in Clinical Treatment of Children and Adolescents
Simmons College 1994 — 1997
LICSW, Master of Social Work
Margie Lorenzi's BMC HealthNet Plan Experience 2007 - 2009
Job Human Services:Social Work
Industry Hospital & Health Care
Experience
Children's Hospital Boston March 1995 - Present
Children's Hospital Boston November 2010 - November 2012
BMC HealthNet Plan 2007 - 2009
BMC HealthNet Plan 2004 - 2007
BMC HealthNet Plan 2003 - 2004
BMC HealthNet Plan 2003 - 2004
BMC HealthNet Plan 2000 - 2003
Children's Hospital Boston/Martha Elliot Health Center, 1990 - 2000
Skills
HIPAA, Medicaid, CPT, HCPCS, ICD-9, Managed Care, Provider Relations, Customer Service, Mental Health, HMO, Hospitals, Medicare, Data Entry, Utilization Management, Healthcare Information..., Training, Health Education, Community Outreach, Health Insurance, Healthcare, Social Services, Case Managment
Education
Springfield College 2005 — 2008
BA, Human Services
Children's Hospital Boston March 1995 - Present
Children's Hospital Boston November 2010 - November 2012
BMC HealthNet Plan 2007 - 2009
BMC HealthNet Plan 2004 - 2007
BMC HealthNet Plan 2003 - 2004
BMC HealthNet Plan 2003 - 2004
BMC HealthNet Plan 2000 - 2003
Children's Hospital Boston/Martha Elliot Health Center, 1990 - 2000
Skills
HIPAA, Medicaid, CPT, HCPCS, ICD-9, Managed Care, Provider Relations, Customer Service, Mental Health, HMO, Hospitals, Medicare, Data Entry, Utilization Management, Healthcare Information..., Training, Health Education, Community Outreach, Health Insurance, Healthcare, Social Services, Case Managment
Education
Springfield College 2005 — 2008
BA, Human Services
Bonnie Michitson's BMC HealthNet Plan Experience April 2004 - March 2013
Job Senior Database Administrator at Beacon Health Strategies
Industry Hospital & Health Care
Experience
Beacon Health Strategies June 2014 - Present
TSD Rental LLC, Inc April 2013 - June 2014
BMC HealthNet Plan April 2004 - March 2013
Harte-Hanks Data Technologies August 2000 - January 2003
Rational Software April 2000 - July 2000
Raytheon August 1983 - April 2000
Skills
Databases, Microsoft SQL Server, Database Administration, SQL, Technical Support, Testing, Healthcare Information..., Software Documentation, Oracle, SQL Server, Database Admin, Servers, Security, SQL Tuning, Data Migration, DTS
Education
Southern New Hampshire University 1999 — 2001
MSCS, Computer Information Systems
Southern New Hampshire University
BS, Technical Management
Franklin Institute of Boston 1980 — 1982
ASEE, Electronic Engineering
Beacon Health Strategies June 2014 - Present
TSD Rental LLC, Inc April 2013 - June 2014
BMC HealthNet Plan April 2004 - March 2013
Harte-Hanks Data Technologies August 2000 - January 2003
Rational Software April 2000 - July 2000
Raytheon August 1983 - April 2000
Skills
Databases, Microsoft SQL Server, Database Administration, SQL, Technical Support, Testing, Healthcare Information..., Software Documentation, Oracle, SQL Server, Database Admin, Servers, Security, SQL Tuning, Data Migration, DTS
Education
Southern New Hampshire University 1999 — 2001
MSCS, Computer Information Systems
Southern New Hampshire University
BS, Technical Management
Franklin Institute of Boston 1980 — 1982
ASEE, Electronic Engineering
Mike Pedro's BMC HealthNet Plan Experience May 2013 - March 2015
Job Security Analyst 1 at BMC HealthNet Plan/Well Sense Health Plan
Industry Computer Networking
Experience
BMC HealthNet Plan/Well Sense Health Plan March 2015 - Present
BMC HealthNet Plan May 2013 - March 2015
BMC HealthNet Plan May 2014 - August 2014
WB Mason March 2012 - May 2013
Compucom July 2010 - September 2011
Education
New England Institute of Technology 2005 — 2008
BA, Information Technology
BMC HealthNet Plan/Well Sense Health Plan March 2015 - Present
BMC HealthNet Plan May 2013 - March 2015
BMC HealthNet Plan May 2014 - August 2014
WB Mason March 2012 - May 2013
Compucom July 2010 - September 2011
Education
New England Institute of Technology 2005 — 2008
BA, Information Technology
Agnes Rivera-Garza's BMC HealthNet Plan Experience January 2008 - August 2011
Job Result Driven Outreach/Marketing Specialist
Industry Public Relations and Communications
Experience
Creative Solutions y Mas... September 2011 - Present
LULAC 2007 - Present
BMC HealthNet Plan January 2008 - August 2011
2010- 2011 January 2008 - August 2011
2008-2010 January 2008 - August 2011
Boston Medical Center Health Plan January 2008 - August 2011
Great Brook Valley Health Center August 2003 - January 2008
Great Brook Valley Health Center August 2003 - January 2008
Avon Products, Inc January 2000 - January 2004
Worcester Public Schools January 1997 - January 2000
Skills
Program Management, Customer Relations, Community Relations, Event Planning, Social Networking, Event Management, Team Building, Coaching, Fundraising, Healthcare, Leadership Development, Non-profits, Organizing, Public Relations, Spanish, Team Management, Team Leadership, Marketing Strategy, Guerrilla Marketing, Nonprofits, Strategic Planning, Customer Service, Community Outreach, Community Development, Program Development, Management, Marketing, Leadership, Staff Development, Training, Strategy, Policy, Microsoft Office, Research, PowerPoint, Public Speaking, Social Media, Project Planning, Volunteer Management, Grant Writing, Sales, Social Media Marketing, Microsoft Excel, Editing, Marketing Communications, Budgets, Facebook, Media Relations, Newsletters, Strategic Communications
Education
Springfield College
Master; Bachelor of Arts, Human Services Administration
Springfield College 1989 — 1991
Masters Degree, Human Services
University of Massachusetts Boston
Human Services
Creative Solutions y Mas... September 2011 - Present
LULAC 2007 - Present
BMC HealthNet Plan January 2008 - August 2011
2010- 2011 January 2008 - August 2011
2008-2010 January 2008 - August 2011
Boston Medical Center Health Plan January 2008 - August 2011
Great Brook Valley Health Center August 2003 - January 2008
Great Brook Valley Health Center August 2003 - January 2008
Avon Products, Inc January 2000 - January 2004
Worcester Public Schools January 1997 - January 2000
Skills
Program Management, Customer Relations, Community Relations, Event Planning, Social Networking, Event Management, Team Building, Coaching, Fundraising, Healthcare, Leadership Development, Non-profits, Organizing, Public Relations, Spanish, Team Management, Team Leadership, Marketing Strategy, Guerrilla Marketing, Nonprofits, Strategic Planning, Customer Service, Community Outreach, Community Development, Program Development, Management, Marketing, Leadership, Staff Development, Training, Strategy, Policy, Microsoft Office, Research, PowerPoint, Public Speaking, Social Media, Project Planning, Volunteer Management, Grant Writing, Sales, Social Media Marketing, Microsoft Excel, Editing, Marketing Communications, Budgets, Facebook, Media Relations, Newsletters, Strategic Communications
Education
Springfield College
Master; Bachelor of Arts, Human Services Administration
Springfield College 1989 — 1991
Masters Degree, Human Services
University of Massachusetts Boston
Human Services
Vickie Dempesy's BMC HealthNet Plan Experience December 2010 - Present
Job
Industry Insurance
Experience
BMC HealthNet Plan December 2010 - Present
Cooley Dickinson Practice Asso 2004 - 2010
Skills
Customer Service, Healthcare, Outlook, Leadership, Team Leadership, Project Management, Change Management, Event Management, Operations Management, Team Management, Coaching, Overseeing Projects, Interpersonal Skills, Presentation Skills
Education
University of Massachusetts, Amherst 1974 — 1980
B.A., Education
BMC HealthNet Plan December 2010 - Present
Cooley Dickinson Practice Asso 2004 - 2010
Skills
Customer Service, Healthcare, Outlook, Leadership, Team Leadership, Project Management, Change Management, Event Management, Operations Management, Team Management, Coaching, Overseeing Projects, Interpersonal Skills, Presentation Skills
Education
University of Massachusetts, Amherst 1974 — 1980
B.A., Education
Lynne Hersey's BMC HealthNet Plan Experience June 2008 - Present
Job Project Manager at BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan June 2008 - Present
Tufts Health Plan June 1996 - July 2008
Education
UMass Lowell 1992 — 1995
BA, History and English
BMC HealthNet Plan June 2008 - Present
Tufts Health Plan June 1996 - July 2008
Education
UMass Lowell 1992 — 1995
BA, History and English
Luz Lorenzi's BMC HealthNet Plan Experience August 2004 - Present
Job Senior TPL Specialist at BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan August 2004 - Present
Skills
HIPAA, Software Documentation, Health Insurance, Healthcare Information..., Outlook, Medicare, Healthcare, Healthcare Management, Managed Care, Medicaid
Education
Aquinas College, Newton Ma
Springfield College
Bachelor of Science, Human Service
BMC HealthNet Plan August 2004 - Present
Skills
HIPAA, Software Documentation, Health Insurance, Healthcare Information..., Outlook, Medicare, Healthcare, Healthcare Management, Managed Care, Medicaid
Education
Aquinas College, Newton Ma
Springfield College
Bachelor of Science, Human Service
tamara vilme's BMC HealthNet Plan Experience
Job business management at BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan
Skills
Healthcare, Managed Care, Provider Relations, Healthcare Management, Medicaid
Education
University of California, Berkeley 2001 — 2003
model, model
BMC HealthNet Plan
Skills
Healthcare, Managed Care, Provider Relations, Healthcare Management, Medicaid
Education
University of California, Berkeley 2001 — 2003
model, model
Ann Khader's BMC HealthNet Plan Experience April 2014 - Present
Job Supervisor of Claims Operation at BMC HealthNet Plan
Industry Insurance
Experience
BMC HealthNet Plan April 2014 - Present
Horizons for Homeless Children April 2012 - Present
The Outsource Group December 2012 - April 2014
Travelers of Massachusetts December 2001 - September 2011
Travelers of Massachusetts December 1995 - December 2001
Travelers of Massachusetts December 1993 - December 1995
Travelers of Massachusetts December 1992 - December 1993
Travelers of Massachusetts December 1989 - December 1992
Travelers of Massachusetts June 1986 - December 1988
Skills
Personal Injury, Bodily Injury, Management, Microsoft Excel, Microsoft Word, Outlook, Problem Solving, Property & Casualty..., Customer Service, Coaching, Insurance, Claim Investigation, Strategic Planning, Team Building, Claim, Injury, Liability, Subrogation, Claims Management, Program Management, Claims Resolution, Policy, Litigation Management, Casualty, Legal Liability, Workers' Compensation..., Workers Compensation, Claims Handling, Accident, General Insurance, Commercial Insurance, Medicare, Insurance Law, Commercial Lines, Professional Liability, Property Damage, Liability Analysis, Reinsurance, Underwriting, Product Liability, Health Insurance, Employee Benefits, Life Insurance, Mediation, Investigation, Claims Investigations, Risk Management, Fraud, Umbrella Insurance, Arbitration
Education
North Shore Community College 1988 — 1989
Business Law
BMC HealthNet Plan April 2014 - Present
Horizons for Homeless Children April 2012 - Present
The Outsource Group December 2012 - April 2014
Travelers of Massachusetts December 2001 - September 2011
Travelers of Massachusetts December 1995 - December 2001
Travelers of Massachusetts December 1993 - December 1995
Travelers of Massachusetts December 1992 - December 1993
Travelers of Massachusetts December 1989 - December 1992
Travelers of Massachusetts June 1986 - December 1988
Skills
Personal Injury, Bodily Injury, Management, Microsoft Excel, Microsoft Word, Outlook, Problem Solving, Property & Casualty..., Customer Service, Coaching, Insurance, Claim Investigation, Strategic Planning, Team Building, Claim, Injury, Liability, Subrogation, Claims Management, Program Management, Claims Resolution, Policy, Litigation Management, Casualty, Legal Liability, Workers' Compensation..., Workers Compensation, Claims Handling, Accident, General Insurance, Commercial Insurance, Medicare, Insurance Law, Commercial Lines, Professional Liability, Property Damage, Liability Analysis, Reinsurance, Underwriting, Product Liability, Health Insurance, Employee Benefits, Life Insurance, Mediation, Investigation, Claims Investigations, Risk Management, Fraud, Umbrella Insurance, Arbitration
Education
North Shore Community College 1988 — 1989
Business Law
David Miner's BMC HealthNet Plan Experience May 2010 - January 2014
Job Lead Domain Architect at Pegasystems
Industry Information Technology and Services
Experience
Pegasystems January 2014 - Present
BMC HealthNet Plan May 2010 - January 2014
Neighborhood Health Plan June 2006 - April 2010
First Health Corporation/Coventry Healthcare July 2005 - June 2006
Neighborhood Health Plan August 2002 - July 2005
Education
Northeastern University
Pegasystems January 2014 - Present
BMC HealthNet Plan May 2010 - January 2014
Neighborhood Health Plan June 2006 - April 2010
First Health Corporation/Coventry Healthcare July 2005 - June 2006
Neighborhood Health Plan August 2002 - July 2005
Education
Northeastern University
Madeline Pinnelli's BMC HealthNet Plan Experience May 2014 - Present
Job Business Configuration Analyst at BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan May 2014 - Present
BMC HealthNet Plan February 2002 - November 2013
Skills
Regression Testing, Testing, Training, SharePoint, Interviews, SQL, Health Insurance, Business Requirements, Access, Microsoft SQL Server, Outlook, Microsoft Office, Databases, Insurance, Windows, Employee Training, Analysis, Medical Coding, Medical Billing, Quality Assurance, Medical Terminology, Appeals, Claims Resolution, Customer Service, HIPAA, Medicaid, Medicaid Managed Care, HCPCS, CPT, ICD-9, ICD-10, Claim, HMO, Managed Care, NCQA, Medicare/Medicaid..., Healthcare Industry, Quality Improvement, Revenue Cycle Management
Education
Simmons College
Bachelor of Arts (BA), Psychology
BMC HealthNet Plan May 2014 - Present
BMC HealthNet Plan February 2002 - November 2013
Skills
Regression Testing, Testing, Training, SharePoint, Interviews, SQL, Health Insurance, Business Requirements, Access, Microsoft SQL Server, Outlook, Microsoft Office, Databases, Insurance, Windows, Employee Training, Analysis, Medical Coding, Medical Billing, Quality Assurance, Medical Terminology, Appeals, Claims Resolution, Customer Service, HIPAA, Medicaid, Medicaid Managed Care, HCPCS, CPT, ICD-9, ICD-10, Claim, HMO, Managed Care, NCQA, Medicare/Medicaid..., Healthcare Industry, Quality Improvement, Revenue Cycle Management
Education
Simmons College
Bachelor of Arts (BA), Psychology
Diana Burnham's BMC HealthNet Plan Experience 2002 - 2003
Job National Director of Contracts at Sleepmed, Inc.
Industry Hospital & Health Care
Experience
Sleepmed, Inc. 2006 - Present
Self-Employed 2003 - 2006
BMC HealthNet Plan 2002 - 2003
Network Health 1998 - 2002
Private Healthcare Systems 1997 - 1998
Skills
Provider Relations, New Business Development, Team Leadership, Microsoft Excel, Customer Service, Account Management, Medicare, Process Improvement, Sales Management, Team Building, Contract Negotiation, Contract Management, Healthcare Management, Leadership, Microsoft Word, Hospitals, Data Analysis, Product Development, Managed Care, HIPAA, Medicaid, Healthcare, Business Development, PowerPoint, Strategic Planning, Analysis, Practice Management, Healthcare Information..., Physician Relations
Education
University of New Hampshire
Bachelor of Arts (BA), Communication, General
Sleepmed, Inc. 2006 - Present
Self-Employed 2003 - 2006
BMC HealthNet Plan 2002 - 2003
Network Health 1998 - 2002
Private Healthcare Systems 1997 - 1998
Skills
Provider Relations, New Business Development, Team Leadership, Microsoft Excel, Customer Service, Account Management, Medicare, Process Improvement, Sales Management, Team Building, Contract Negotiation, Contract Management, Healthcare Management, Leadership, Microsoft Word, Hospitals, Data Analysis, Product Development, Managed Care, HIPAA, Medicaid, Healthcare, Business Development, PowerPoint, Strategic Planning, Analysis, Practice Management, Healthcare Information..., Physician Relations
Education
University of New Hampshire
Bachelor of Arts (BA), Communication, General
Tiffany Aleman's BMC HealthNet Plan Experience April 2012 - September 2012
Job Operating Room Facilitator at Brigham and Women's Hospital
Industry Marketing and Advertising
Experience
BMC HealthNet Plan April 2012 - September 2012
MassBay Community College December 2011 - April 2012
Vine Street Community Center July 2011 - August 2011
Resurrection Lutheran Church July 2010 - August 2010
University of Massachusetts Amherst January 2009 - May 2010
State Street June 2009 - August 2009
Bingham McCutchen June 2008 - August 2008
MyTown 2004 - 2004
Skills
Healthcare Management, Management, Research, Public Speaking, PowerPoint, Outlook, Human Resources, Employee Relations
Education
University of Massachusetts, Amherst 2007 — 2011
BACHELOR OF ARTS
Boston Latin Academy
BMC HealthNet Plan April 2012 - September 2012
MassBay Community College December 2011 - April 2012
Vine Street Community Center July 2011 - August 2011
Resurrection Lutheran Church July 2010 - August 2010
University of Massachusetts Amherst January 2009 - May 2010
State Street June 2009 - August 2009
Bingham McCutchen June 2008 - August 2008
MyTown 2004 - 2004
Skills
Healthcare Management, Management, Research, Public Speaking, PowerPoint, Outlook, Human Resources, Employee Relations
Education
University of Massachusetts, Amherst 2007 — 2011
BACHELOR OF ARTS
Boston Latin Academy
Arvind Srinivasan's BMC HealthNet Plan Experience April 2010 - April 2013
Job Programmer Analyst
Industry Information Technology and Services
Experience
Excellus BCBS July 2013 - December 2014
BMC HealthNet Plan April 2010 - April 2013
CDPHP September 2008 - March 2010
Blue Cross Blue Shield of Massachusetts 2008 - 2008
Harte-Hanks, Inc. 2006 - 2008
Skills
Cognos, Business Intelligence, Data Modeling, Data Warehousing, Requirements Analysis, Business Analysis, SQL, SDLC, ETL, Requirements Gathering, Oracle, Database Design, PL/SQL, DB2
Education
University of North Texas
Master's Degree, Information Technology
Excellus BCBS July 2013 - December 2014
BMC HealthNet Plan April 2010 - April 2013
CDPHP September 2008 - March 2010
Blue Cross Blue Shield of Massachusetts 2008 - 2008
Harte-Hanks, Inc. 2006 - 2008
Skills
Cognos, Business Intelligence, Data Modeling, Data Warehousing, Requirements Analysis, Business Analysis, SQL, SDLC, ETL, Requirements Gathering, Oracle, Database Design, PL/SQL, DB2
Education
University of North Texas
Master's Degree, Information Technology
Elene Charles's BMC HealthNet Plan Experience June 2008 - Present
Job prior auth specialist at BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan June 2008 - Present
Education
Quincy College 2010 — 2014
Human services
BMC HealthNet Plan June 2008 - Present
Education
Quincy College 2010 — 2014
Human services
Valerie Parenti's BMC HealthNet Plan Experience December 2013 - Present
Job Utilization & Review at BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan December 2013 - Present
Neighborhood Health Plan August 2002 - February 2013
St. Mary's Home for Children September 1993 - May 2002
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets
Education
Rhode Island College
Bachelor of Science (BS), Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
Roger Williams University
School Nursing
BMC HealthNet Plan December 2013 - Present
Neighborhood Health Plan August 2002 - February 2013
St. Mary's Home for Children September 1993 - May 2002
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets
Education
Rhode Island College
Bachelor of Science (BS), Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
Roger Williams University
School Nursing
Carolyn Jose,CAPM's BMC HealthNet Plan Experience July 2013 - January 2015
Job Clinical Affairs Project Manager at BMC HealthNet Plan/Well Sense Health Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan/Well Sense Health Plan June 2015 - Present
BMC HealthNet Plan/Well Sense Health Plan January 2015 - June 2015
BMC HealthNet Plan July 2013 - January 2015
Network Health January 2013 - May 2013
Granite Telecommunications June 2010 - November 2011
Northeastern University: Residential Life April 2009 - August 2009
Allied Advertising June 2008 - January 2009
Computershare June 2006 - March 2008
Skills
MS Project, CCMS, Events Coordination, Project Management, Inventory Control, Microsoft Excel, PowerPoint, Negotiation, Close Attention to..., Data Entry
Education
Northeastern University 2012 — 2014
Master's degree, Project Management
Northeastern University 2007 — 2010
Bachelor's degree, Economics
Project Management Institute
Certified Associate in Project Management, Information Technology Project Management
St. John's University
St. John's University
BMC HealthNet Plan/Well Sense Health Plan June 2015 - Present
BMC HealthNet Plan/Well Sense Health Plan January 2015 - June 2015
BMC HealthNet Plan July 2013 - January 2015
Network Health January 2013 - May 2013
Granite Telecommunications June 2010 - November 2011
Northeastern University: Residential Life April 2009 - August 2009
Allied Advertising June 2008 - January 2009
Computershare June 2006 - March 2008
Skills
MS Project, CCMS, Events Coordination, Project Management, Inventory Control, Microsoft Excel, PowerPoint, Negotiation, Close Attention to..., Data Entry
Education
Northeastern University 2012 — 2014
Master's degree, Project Management
Northeastern University 2007 — 2010
Bachelor's degree, Economics
Project Management Institute
Certified Associate in Project Management, Information Technology Project Management
St. John's University
St. John's University