BMCHP Company
Description
Address: 529 Main St #500, Boston, MA 02129 Hours: Closed ⋅ Opens 8AM Fri Thursday8AM–6PMFriday8AM–6PMSaturdayClosedSundayClosedMonday8AM–6PMTuesday8AM–6PMWednesday8AM–6PMSuggest an edit Unable to add this file. Please check that it is a valid photo. Phone: (617) 748-6000: Category: : Website: : : : Place name: : Website: http://www.bmchp.org/ Category: Insurance agency Suggest an editUnable to add this file. Please check that it is a valid photo. Unable to add this file. Please check that it is a valid photo. Questions & answers Ask a question Q: Why doesn't the member service phone number on the back of the card work. Everytime I have called it I end up on hold. The longest I could take was 90 minutes plus so I hung up. I have been calling this for 3 weeks not a single live conversation. A: Call their main number in BostonSee all questions (33) Add a photoThanks for sharing!Your photo will be posted publicly on Google.Contribute MoreDoneUpload public photos of BMC HealthNet Plan Posting publicly on the Web Write a review Reviews"They dont deserve even 1 star from this family." "They go through a list of doctor's closest to you and just pick that one." "BMC/Envision refuse to allow me to refill the medication until day 15." View all Google reviews
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BMCHP Employees
Employee
Years
Job
Industry
Robert DaSilva CSM Robert DaSilva CSM's BMCHP Experience November 2013 - September 2014
Job Project Director at McKesson
Industry Hospital & Health Care
Experience
BMCHP November 2013 - September 2014
McKesson April 2012 - October 2013
CIGNA Healthcare November 2008 - April 2012
Pfizer Pharmaceuticals January 2008 - September 2008
Aetna February 2007 - December 2007
CIGNA October 2006 - December 2007
United Health Group August 2004 - June 2006
Computerworld September 2000 - February 2002
Fort James Corporation 1998 - 2000
Ocean Spray Cranberries April 1994 - April 1998
Skills
IS Governance, Program Management, IT Transformation, Application Development, Executive Management, PMO, Strategic Planning, IT Strategy, Change Management, Asset Management, Team Building, Human Capital Management, Mentoring, Social Networking, Social Media, Integration, Business Process, Re-engineering, Project Portfolio..., IT Management, Business Transformation, Acquisition Integration, SDLC, Software Project..., IT Governance, Governance, Management, Leadership, Strategy
Education
Northeastern University 1990 — 1995
State of the art Program
Boston University 1980 — 1982
Post Graduate Work
University of Massachusetts, Amherst 1965 — 1969
BA, Sociolology, Archeology
BMCHP November 2013 - September 2014
McKesson April 2012 - October 2013
CIGNA Healthcare November 2008 - April 2012
Pfizer Pharmaceuticals January 2008 - September 2008
Aetna February 2007 - December 2007
CIGNA October 2006 - December 2007
United Health Group August 2004 - June 2006
Computerworld September 2000 - February 2002
Fort James Corporation 1998 - 2000
Ocean Spray Cranberries April 1994 - April 1998
Skills
IS Governance, Program Management, IT Transformation, Application Development, Executive Management, PMO, Strategic Planning, IT Strategy, Change Management, Asset Management, Team Building, Human Capital Management, Mentoring, Social Networking, Social Media, Integration, Business Process, Re-engineering, Project Portfolio..., IT Management, Business Transformation, Acquisition Integration, SDLC, Software Project..., IT Governance, Governance, Management, Leadership, Strategy
Education
Northeastern University 1990 — 1995
State of the art Program
Boston University 1980 — 1982
Post Graduate Work
University of Massachusetts, Amherst 1965 — 1969
BA, Sociolology, Archeology
Maureen Arkle Maureen Arkle's BMCHP Experience June 2010 - April 2011
Job Management Consultant
Industry Hospital & Health Care
Experience
HouseWorks January 2014 - Present
Arkle Consulting Group January 2008 - Present
Marino Center for Integrative Health March 2011 - August 2013
HouseWorks February 2011 - April 2011
BMCHP June 2010 - April 2011
Commonwealth Health Insurance Connector Authority January 2008 - July 2010
Network Health August 2009 - January 2010
Tufts Health Plan 1988 - 2007
Skills
Program Development, Nonprofits, Healthcare, Operations Management, Managed Care, Management Consulting, Healthcare Consulting, Strategy, Business Development, Cross-functional Team..., Business Process..., Leadership, Health Policy, Healthcare Information..., Governance, Medicaid, Strategic Planning, Healthcare Industry, Health Insurance, Medicare, EMR, Hospitals
Education
University of Massachusetts, Amherst 1986 — 1987
MPH, Masters in Health Policy and Management
University of Massachusetts, Amherst 1984 — 1986
BS, Public Health
HouseWorks January 2014 - Present
Arkle Consulting Group January 2008 - Present
Marino Center for Integrative Health March 2011 - August 2013
HouseWorks February 2011 - April 2011
BMCHP June 2010 - April 2011
Commonwealth Health Insurance Connector Authority January 2008 - July 2010
Network Health August 2009 - January 2010
Tufts Health Plan 1988 - 2007
Skills
Program Development, Nonprofits, Healthcare, Operations Management, Managed Care, Management Consulting, Healthcare Consulting, Strategy, Business Development, Cross-functional Team..., Business Process..., Leadership, Health Policy, Healthcare Information..., Governance, Medicaid, Strategic Planning, Healthcare Industry, Health Insurance, Medicare, EMR, Hospitals
Education
University of Massachusetts, Amherst 1986 — 1987
MPH, Masters in Health Policy and Management
University of Massachusetts, Amherst 1984 — 1986
BS, Public Health
William J. Curry III William J. Curry III's BMCHP Experience 2014 - 2015
Job Graphic & Web Design; Business Consultation
Industry Graphic Design
Experience
BMCHP 2014 - 2015
Wellsense 2014 - 2015
Wellsense 2014 - 2015
Wellsense 2014 - 2015
MILTON TIMES, INC February 2005 - May 2013
VERITUDE/Computershare December 2007 - May 2008
EMAIFO 2000 - 2007
Fairfield Language Technologies February 2004 - June 2005
Banner Publications, INC September 2002 - January 2005
Needham Animal Hospital, INC July 1988 - June 2003
Skills
Web Design, InDesign, Graphic Design, Adobe Acrobat, Editorial, Illustrator, Mac, Layout, Photoshop, Typography, Proofreading, Dreamweaver, HTML 5, Project Management, Customer Service, Microsoft Word, Internet, Fetch, FileMaker Pro
Education
The New England Institute of Art
Hampton University
BachelorofArts, Graphic Design
The Noble and Greenough School
High School Diploma
Jackson School, Newton, MA
BMCHP 2014 - 2015
Wellsense 2014 - 2015
Wellsense 2014 - 2015
Wellsense 2014 - 2015
MILTON TIMES, INC February 2005 - May 2013
VERITUDE/Computershare December 2007 - May 2008
EMAIFO 2000 - 2007
Fairfield Language Technologies February 2004 - June 2005
Banner Publications, INC September 2002 - January 2005
Needham Animal Hospital, INC July 1988 - June 2003
Skills
Web Design, InDesign, Graphic Design, Adobe Acrobat, Editorial, Illustrator, Mac, Layout, Photoshop, Typography, Proofreading, Dreamweaver, HTML 5, Project Management, Customer Service, Microsoft Word, Internet, Fetch, FileMaker Pro
Education
The New England Institute of Art
Hampton University
BachelorofArts, Graphic Design
The Noble and Greenough School
High School Diploma
Jackson School, Newton, MA
Bruce Cote Bruce Cote's BMCHP Experience November 2012 - May 2013
Job ILT/WBT Development Consulting
Industry Education Management
Experience
SCIEX August 2015 - Present
Blue Cross Blue Shield of Massachusetts August 2014 - November 2014
MAXIMUS August 2013 - August 2014
BMCHP November 2012 - May 2013
Dunkin' Brands 2008 - 2012
Tufts Health Plan 2007 - 2007
Blue Cross Blue Shield of Massachusetts 2005 - 2007
Netegrity 2001 - 2005
MEDITECH 1985 - 2001
Skills
Instructional Design, E-Learning, Training, Instructor-led Training, Strategy, Project Management, Leadership, Captivate, Management, Change Management, Team Building, Staff Development, Strategic Planning, Blended Learning, Performance Analysis, Articulate Storyline, Program Evaluation, Facilitation, Research, Webinar Development, Webinar Facilitation, WebEx, PhotoShop, Online Content Creation, Train-the-Trainer, ADDIE
Education
University of Massachusetts Boston
M.Ed., Instructional Design/Education
University of Massachusetts Boston
BA, English
Worcester Polytechnic Institute
Certificate Program, J2EE, JAVA, SQL Web Programming
SCIEX August 2015 - Present
Blue Cross Blue Shield of Massachusetts August 2014 - November 2014
MAXIMUS August 2013 - August 2014
BMCHP November 2012 - May 2013
Dunkin' Brands 2008 - 2012
Tufts Health Plan 2007 - 2007
Blue Cross Blue Shield of Massachusetts 2005 - 2007
Netegrity 2001 - 2005
MEDITECH 1985 - 2001
Skills
Instructional Design, E-Learning, Training, Instructor-led Training, Strategy, Project Management, Leadership, Captivate, Management, Change Management, Team Building, Staff Development, Strategic Planning, Blended Learning, Performance Analysis, Articulate Storyline, Program Evaluation, Facilitation, Research, Webinar Development, Webinar Facilitation, WebEx, PhotoShop, Online Content Creation, Train-the-Trainer, ADDIE
Education
University of Massachusetts Boston
M.Ed., Instructional Design/Education
University of Massachusetts Boston
BA, English
Worcester Polytechnic Institute
Certificate Program, J2EE, JAVA, SQL Web Programming
Michele Abell Michele Abell's BMCHP Experience August 2008 - February 2011
Job Facets Configuration Consultant at QualChoice
Industry Hospital & Health Care
Experience
QualChoice September 2015 - Present
Amerigroup March 2014 - June 2015
CDPHP July 2013 - February 2014
The TriZetto Group October 2011 - July 2013
Care First BC/BS July 2011 - September 2011
BMC HealthNet Plan August 2008 - February 2011
BMCHP August 2008 - February 2011
DST Health Solutions May 2007 - April 2008
DST May 2007 - April 2008
ConnectiCare January 2001 - January 2006
Skills
Software Documentation, Testing, Healthcare Information..., Training, Business Process, Leadership, Disaster Recovery, Business Requirements, Healthcare, Medicaid, Insurance, Analysis, Databases, Management, Access, Health Insurance, SDLC, Visio, Business Analysis, Medicare, Process Improvement, HIPAA, Vendor Management, Consulting, Documentation, Requirements Analysis
Education
CCSU
Computer Science, MIS
Central Connecticut State University
MIS, M.I.S
TUNXIS COMMUNITY COLLEGE
A.S, Business Administration/Data Processing
QualChoice September 2015 - Present
Amerigroup March 2014 - June 2015
CDPHP July 2013 - February 2014
The TriZetto Group October 2011 - July 2013
Care First BC/BS July 2011 - September 2011
BMC HealthNet Plan August 2008 - February 2011
BMCHP August 2008 - February 2011
DST Health Solutions May 2007 - April 2008
DST May 2007 - April 2008
ConnectiCare January 2001 - January 2006
Skills
Software Documentation, Testing, Healthcare Information..., Training, Business Process, Leadership, Disaster Recovery, Business Requirements, Healthcare, Medicaid, Insurance, Analysis, Databases, Management, Access, Health Insurance, SDLC, Visio, Business Analysis, Medicare, Process Improvement, HIPAA, Vendor Management, Consulting, Documentation, Requirements Analysis
Education
CCSU
Computer Science, MIS
Central Connecticut State University
MIS, M.I.S
TUNXIS COMMUNITY COLLEGE
A.S, Business Administration/Data Processing
Sharlyne Woodbury Sharlyne Woodbury's BMCHP Experience July 2008 - May 2014
Job Underwriting at ACIC
Industry Hospital & Health Care
Experience
Atlantic Charter Insurance Company June 2014 - Present
BMCHP July 2008 - May 2014
BMCHP June 2008 - February 2012
Fanning Personnel & Comforce Staffing, Professional Staffing Group (PSG), and Preferred Temporaries November 2005 - July 2008
Skills
SQL, Microsoft SQL Server, Access, Process Improvement, Data Analysis, Databases, SharePoint, Software Documentation, Analysis, Microsoft Office, Microsoft Excel
Education
Northeastern University 2000 — 2004
BA, Political Science
Institute of Public Administration
Internship, Irish Studies/Irish Parliament Internship
Atlantic Charter Insurance Company June 2014 - Present
BMCHP July 2008 - May 2014
BMCHP June 2008 - February 2012
Fanning Personnel & Comforce Staffing, Professional Staffing Group (PSG), and Preferred Temporaries November 2005 - July 2008
Skills
SQL, Microsoft SQL Server, Access, Process Improvement, Data Analysis, Databases, SharePoint, Software Documentation, Analysis, Microsoft Office, Microsoft Excel
Education
Northeastern University 2000 — 2004
BA, Political Science
Institute of Public Administration
Internship, Irish Studies/Irish Parliament Internship
Walter Kinslow Walter Kinslow's BMCHP Experience August 2011 - December 2014
Job EDI Production Analyst at Beacon Health Strategies
Industry Information Technology and Services
Experience
Beacon Health Strategies January 2015 - Present
BMCHP August 2011 - December 2014
Software Quality Associates August 2010 - June 2011
Advantage Technical Resourcing November 2006 - August 2010
Keane Inc. March 2004 - December 2006
Cue Data Services May 2002 - January 2004
Private Healthcare Systems March 2000 - April 2002
Skills
Microsoft SQL Server, Toad, Cognos, Visual Studio, Visual Basic, C#, SQL, PL/SQL, Microsoft Office, Microsoft Excel, Microsoft Word, Visio, Oracle, Unix, HTML Scripting, Healthcare Information..., Business Communications, User Acceptance Testing, SDLC, Integration, Databases, Business Intelligence, Data Warehousing, Process Improvement, Quality Assurance, Requirements Analysis
Education
Strayer University
Bachelor of Science (BS) - Concentration in application development, Management Information Systems, General
Strayer University
Beacon Health Strategies January 2015 - Present
BMCHP August 2011 - December 2014
Software Quality Associates August 2010 - June 2011
Advantage Technical Resourcing November 2006 - August 2010
Keane Inc. March 2004 - December 2006
Cue Data Services May 2002 - January 2004
Private Healthcare Systems March 2000 - April 2002
Skills
Microsoft SQL Server, Toad, Cognos, Visual Studio, Visual Basic, C#, SQL, PL/SQL, Microsoft Office, Microsoft Excel, Microsoft Word, Visio, Oracle, Unix, HTML Scripting, Healthcare Information..., Business Communications, User Acceptance Testing, SDLC, Integration, Databases, Business Intelligence, Data Warehousing, Process Improvement, Quality Assurance, Requirements Analysis
Education
Strayer University
Bachelor of Science (BS) - Concentration in application development, Management Information Systems, General
Strayer University
Sudakar Sundararajan Sudakar Sundararajan's BMCHP Experience May 2006 - August 2007
Job Technical Lead at MITRE
Industry Information Technology and Services
Experience
MITRE September 2011 - Present
Massachusetts Department of Revenue August 2007 - September 2011
BMCHP May 2006 - August 2007
Xchanging December 2006 - June 2007
Vedas 2002 - 2003
Skills
Microsoft SQL Server, .NET, ASP.NET, SOA, Software Development, Oracle, Web Applications, Requirements Analysis, XSLT, IIS, ASP, Crystal Reports, Agile Methodologies, Architectures, Business Analysis, C#, Distributed Systems, SDLC, Software Project..., T-SQL, Visio, Visual Basic, Web Services, XML
Education
University of Madras 1991 — 1994
BSC, Computer Science
Boston University
MITRE September 2011 - Present
Massachusetts Department of Revenue August 2007 - September 2011
BMCHP May 2006 - August 2007
Xchanging December 2006 - June 2007
Vedas 2002 - 2003
Skills
Microsoft SQL Server, .NET, ASP.NET, SOA, Software Development, Oracle, Web Applications, Requirements Analysis, XSLT, IIS, ASP, Crystal Reports, Agile Methodologies, Architectures, Business Analysis, C#, Distributed Systems, SDLC, Software Project..., T-SQL, Visio, Visual Basic, Web Services, XML
Education
University of Madras 1991 — 1994
BSC, Computer Science
Boston University
Karla Chavez's BMCHP Experience March 2013 - Present
Job Manager of Business Configuration at BMCHP
Industry Hospital & Health Care
Experience
BMCHP March 2013 - Present
Boston Medical Center HealthNet Plan June 2010 - December 2011
BMC Health Net Plan 2001 - 2010
Skills
Project Management, Cross-functional Team..., Business Process..., Business Analysis, Data Analysis, HIPAA, Business Intelligence, Healthcare, Healthcare Information..., Healthcare Management, Hospitals, Managed Care, Medicaid, Medicare, Process Improvement, Quality Assurance, Health Insurance, SDLC, Software Documentation, Testing, Vendor Management, Visio
Education
Northeastern University 2004 — 2007
BMCHP March 2013 - Present
Boston Medical Center HealthNet Plan June 2010 - December 2011
BMC Health Net Plan 2001 - 2010
Skills
Project Management, Cross-functional Team..., Business Process..., Business Analysis, Data Analysis, HIPAA, Business Intelligence, Healthcare, Healthcare Information..., Healthcare Management, Hospitals, Managed Care, Medicaid, Medicare, Process Improvement, Quality Assurance, Health Insurance, SDLC, Software Documentation, Testing, Vendor Management, Visio
Education
Northeastern University 2004 — 2007
Catherine Flaherty's BMCHP Experience August 2011 - Present
Job Director of Provider Audit and Other Party Liability
Industry Insurance
Experience
BMCHP August 2011 - Present
Boston Medical Center Healthnet Plan October 2008 - August 2011
Guardian Life Insurance April 1988 - June 2008
Benemax 2008 - 2008
Skills
Health Insurance, Medicare, Managed Care, Medicaid, Strategy, Provider Relations
Education
University of Massachusetts Boston 1988 — 1991
BMCHP August 2011 - Present
Boston Medical Center Healthnet Plan October 2008 - August 2011
Guardian Life Insurance April 1988 - June 2008
Benemax 2008 - 2008
Skills
Health Insurance, Medicare, Managed Care, Medicaid, Strategy, Provider Relations
Education
University of Massachusetts Boston 1988 — 1991
Cara Eldredge's BMCHP Experience August 2008 - December 2009
Job Director, Corporate Strategy and Product Development
Industry Hospital & Health Care
Experience
Beacon Health Options January 2015 - Present
Beacon Health Strategies February 2013 - December 2014
Beacon Health Strategies 2012 - 2013
Beacon Health Strategies 2010 - 2012
BMCHP August 2008 - December 2009
MBHP November 2006 - August 2008
Responsive Centers for Psychology and Learning September 2002 - June 2006
Skills
Excel, PowerPoint, SharePoint, Word, Healthcare, Strategic Planning, HIPAA, Process Improvement, Managed Care, Compliance, Documentation, Customer Relations, Microsoft Office, Data Analysis, Program Management, Visio, Healthcare Management, Quality Assurance, Contract Management, Problem Solving, Insurance, Policy, Quality Management, Medicaid, Supervisory Skills, Team Leadership, Mentoring, Outlook, Mental Health, Software Documentation, Leadership, Medicare, Treatment, Provider Relations, Behavioral Health, Customer Service
Education
Harvard University 2006 — 2006
Psychology
Avila University 1999 — 2001
M.S., Counseling Psychology
University of Colorado Denver 1995 — 1998
BA, Psychology
Beacon Health Options January 2015 - Present
Beacon Health Strategies February 2013 - December 2014
Beacon Health Strategies 2012 - 2013
Beacon Health Strategies 2010 - 2012
BMCHP August 2008 - December 2009
MBHP November 2006 - August 2008
Responsive Centers for Psychology and Learning September 2002 - June 2006
Skills
Excel, PowerPoint, SharePoint, Word, Healthcare, Strategic Planning, HIPAA, Process Improvement, Managed Care, Compliance, Documentation, Customer Relations, Microsoft Office, Data Analysis, Program Management, Visio, Healthcare Management, Quality Assurance, Contract Management, Problem Solving, Insurance, Policy, Quality Management, Medicaid, Supervisory Skills, Team Leadership, Mentoring, Outlook, Mental Health, Software Documentation, Leadership, Medicare, Treatment, Provider Relations, Behavioral Health, Customer Service
Education
Harvard University 2006 — 2006
Psychology
Avila University 1999 — 2001
M.S., Counseling Psychology
University of Colorado Denver 1995 — 1998
BA, Psychology
Michele Abell's BMCHP Experience August 2008 - Present
Job at BMCHP
Industry Computer Software
Experience
BMCHP August 2008 - Present
DST May 2007 - April 2008
ConnectiCare 1990 - 2007
Education
Central Connecticut State University 2000 — 2005
BMCHP August 2008 - Present
DST May 2007 - April 2008
ConnectiCare 1990 - 2007
Education
Central Connecticut State University 2000 — 2005
Cindi Scollins's BMCHP Experience February 2010 - April 2011
Job Vice President Health Services Florida Wellcare
Industry Hospital & Health Care
Experience
WellCare Health Plans 2013 - Present
Deloitte Consulting September 2011 - July 2013
BMCHP February 2010 - April 2011
CLS Consulting 1983 - 2009
WellPoint 1990 - 1993
Skills
Hospitals, Healthcare, Management, Healthcare Consulting, Managed Care, Program Management, Leadership, Healthcare Information..., Healthcare Management, Medicare, Clinical Research, Disease Management, Nursing, Strategy, HIPAA, Business Planning, Medicaid, Healthcare Industry, Health Insurance
Education
Peter Bent brigham Hospital School of Nursing 1977 — 1980
Registered Nurse, Nursing
Boston University School of Public Health
Masters Public Health, Maternal/Child Health and Leadership
Lesley University
Management, Management
WellCare Health Plans 2013 - Present
Deloitte Consulting September 2011 - July 2013
BMCHP February 2010 - April 2011
CLS Consulting 1983 - 2009
WellPoint 1990 - 1993
Skills
Hospitals, Healthcare, Management, Healthcare Consulting, Managed Care, Program Management, Leadership, Healthcare Information..., Healthcare Management, Medicare, Clinical Research, Disease Management, Nursing, Strategy, HIPAA, Business Planning, Medicaid, Healthcare Industry, Health Insurance
Education
Peter Bent brigham Hospital School of Nursing 1977 — 1980
Registered Nurse, Nursing
Boston University School of Public Health
Masters Public Health, Maternal/Child Health and Leadership
Lesley University
Management, Management
Kevin Welch's BMCHP Experience 2003 - January 2011
Job at Health Care Quality Metrics
Industry Hospital & Health Care
Experience
HCQM - Health Care Quality Metrics January 2011 - Present
Boston Medical Center HealthNet Plan 2003 - January 2011
BMCHP 2003 - January 2011
Kaiser Permanente Mid-Atlantic 1998 - 2003
PHP Healthcare 1998 - 1999
Skills
Managed Care, Medicaid, Clinical Research, Healthcare Information..., Healthcare Consulting, Analytics, Healthcare, Healthcare Management, Analysis, HIPAA, Quality Improvement, Medicare, Healthcare Analytics, Strategic Planning, Health Insurance, HEDIS, Business Analysis, Data Analysis, Inspiring People, Portrait Photography, Change Management, EHR, EMR, Informatics, Nonprofits, Performance Improvement, Healthcare Industry, Process Improvement, Program Development, Policy, Health Policy, Program Management, Quality Management
Education
Boston College
BA, Psychology, Sociology
NCSU, UNC, Duke
MS, ABD, Clinical Psychology, Statistics, Sociology
North Carolina State University
HCQM - Health Care Quality Metrics January 2011 - Present
Boston Medical Center HealthNet Plan 2003 - January 2011
BMCHP 2003 - January 2011
Kaiser Permanente Mid-Atlantic 1998 - 2003
PHP Healthcare 1998 - 1999
Skills
Managed Care, Medicaid, Clinical Research, Healthcare Information..., Healthcare Consulting, Analytics, Healthcare, Healthcare Management, Analysis, HIPAA, Quality Improvement, Medicare, Healthcare Analytics, Strategic Planning, Health Insurance, HEDIS, Business Analysis, Data Analysis, Inspiring People, Portrait Photography, Change Management, EHR, EMR, Informatics, Nonprofits, Performance Improvement, Healthcare Industry, Process Improvement, Program Development, Policy, Health Policy, Program Management, Quality Management
Education
Boston College
BA, Psychology, Sociology
NCSU, UNC, Duke
MS, ABD, Clinical Psychology, Statistics, Sociology
North Carolina State University
Hjordus Glover's BMCHP Experience September 2007 - April 2010
Job Senior Provider Service Representative at Dell / Harvard Pilgrim HealthCare
Industry Hospital & Health Care
Experience
Dell / Harvard Pilgrim HealthCare July 2011 - Present
BMCHP September 2007 - April 2010
NHP September 2004 - September 2007
Blue Cross Blue Shield July 2001 - August 2002
Delta Dental Plan of MA May 1998 - July 2001
Skills
Autism Spectrum..., Sensory Integration, Speech Therapy, Music Therapy, Relaxation Techniques, CNA, Real Estate, Advocacy, Building Relationships, Customer Engagement, Customer Service, Healthcare, Mental Health, Healthcare Reimbursement, PowerPoint, excel, Windows, HEDIS, Credentialing, Medicare, Medicaid Managed Care, Mental Health Care, Special Education, QuickBase, FileNet, FileMaker, Implementer, Occupational Therapy, Health Insurance, Insurance, Medicaid, Claim, Managed Care, HIPAA, Outlook, Medical Terminology, Provider Relations, Data Entry, ICD-9, Microsoft Word, Microsoft Office, PPO, HMO, Public Speaking, Hospitals, Non-profits, Negotiation, Community Outreach, Call Center, Event Planning
Education
Newbury College
Associate
University of Massachusetts Boston
Bachelor's degree, Liberal Arts and Sciences/Liberal Studies
Dell / Harvard Pilgrim HealthCare July 2011 - Present
BMCHP September 2007 - April 2010
NHP September 2004 - September 2007
Blue Cross Blue Shield July 2001 - August 2002
Delta Dental Plan of MA May 1998 - July 2001
Skills
Autism Spectrum..., Sensory Integration, Speech Therapy, Music Therapy, Relaxation Techniques, CNA, Real Estate, Advocacy, Building Relationships, Customer Engagement, Customer Service, Healthcare, Mental Health, Healthcare Reimbursement, PowerPoint, excel, Windows, HEDIS, Credentialing, Medicare, Medicaid Managed Care, Mental Health Care, Special Education, QuickBase, FileNet, FileMaker, Implementer, Occupational Therapy, Health Insurance, Insurance, Medicaid, Claim, Managed Care, HIPAA, Outlook, Medical Terminology, Provider Relations, Data Entry, ICD-9, Microsoft Word, Microsoft Office, PPO, HMO, Public Speaking, Hospitals, Non-profits, Negotiation, Community Outreach, Call Center, Event Planning
Education
Newbury College
Associate
University of Massachusetts Boston
Bachelor's degree, Liberal Arts and Sciences/Liberal Studies
Lina Ribeiro's BMCHP Experience April 2010 - August 2010
Job Provider Relations Representative at Senior Whole Health
Industry Hospital & Health Care
Experience
Senior Whole Health August 2010 - Present
Senior Whole Health 2010 - 2012
BMCHP April 2010 - August 2010
Boston Medical Center HealthNet Plan 2005 - 2009
Skills
Provider Relations, Managed Care, Healthcare, Medicaid, Healthcare Management, Credentialing, Customer Service, Microsoft Excel, Claims Resolution, Provider Enrollment, Provider Education, Provider Network..., Network Development, HMO, Medicare, Accountable Care, HIPAA, Health Insurance, Healthcare Industry, Healthcare Information...
Education
Quincy College 1992 — 1994
Associate's degree
Senior Whole Health August 2010 - Present
Senior Whole Health 2010 - 2012
BMCHP April 2010 - August 2010
Boston Medical Center HealthNet Plan 2005 - 2009
Skills
Provider Relations, Managed Care, Healthcare, Medicaid, Healthcare Management, Credentialing, Customer Service, Microsoft Excel, Claims Resolution, Provider Enrollment, Provider Education, Provider Network..., Network Development, HMO, Medicare, Accountable Care, HIPAA, Health Insurance, Healthcare Industry, Healthcare Information...
Education
Quincy College 1992 — 1994
Associate's degree
Renee Holmes's BMCHP Experience 2006 - 2009
Job Manager Payer Contract Compliance at DanaFarber Cancer Institute
Industry Hospital & Health Care
Experience
Dana-Farber Cancer Institute August 2012 - Present
Dana-Farber Cancer Institute October 2010 - August 2012
BMCHP 2006 - 2009
Education
Emmanuel College
Master's degree, Business Administration and Management, General
University of Massachusetts, Amherst
Bachelor's degree, Economics
Dana-Farber Cancer Institute August 2012 - Present
Dana-Farber Cancer Institute October 2010 - August 2012
BMCHP 2006 - 2009
Education
Emmanuel College
Master's degree, Business Administration and Management, General
University of Massachusetts, Amherst
Bachelor's degree, Economics
MariLynn Herman's BMCHP Experience Retired Nurse Care ManagerBMC HealthNet Plan2008 - 2014
Job CM Select at BMCHP
Industry Medical Practice
Experience
BMCHP Retired Nurse Care ManagerBMC HealthNet Plan2008 - 2014
Skills
Healthcare Management, Managed Care, Healthcare Information..., Hospitals, Content Management, Medicare, HIPAA, Healthcare, Disease Management, Nursing
Education
Emmanuel College
BSN, Registered Nursing/Registered Nurse
BMCHP Retired Nurse Care ManagerBMC HealthNet Plan2008 - 2014
Skills
Healthcare Management, Managed Care, Healthcare Information..., Hospitals, Content Management, Medicare, HIPAA, Healthcare, Disease Management, Nursing
Education
Emmanuel College
BSN, Registered Nursing/Registered Nurse