Boston Medical Center HealthNet Plan
Address: 529 Main St #500, Boston, MA 02129 Hours: Closed ⋅ Opens 8AM Martin Luther King Jr. Day might affect these hoursMonday(Martin Luther King Jr. Day)8AM–6PMHours might differTuesday8AM–6PMWednesday8AM–6PMThursday8AM–6PMFriday8AM–6PMSaturdayClosedSundayClosedSuggest an edit Unable to add this file. Please check that it is a valid photo. Phone: (617) 748-6000: : : : Place name: Category: : Website: : 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)
Boston Medical Center HealthNet Plan List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Boston Medical Center HealthNet Plan. You can filter them based on skills, years of employment, job, education, department, and prior employment.
Boston Medical Center HealthNet Plan Salaries. You can even request information on how much does Boston Medical Center HealthNet Plan pay if you want to. Learn about salaries, pros and cons of working for Boston Medical Center HealthNet Plan directly from the past employees.
Find People by Employers You can rekindle an old relationship, reconnect with a long-lost friend, former boss, business acquaintance who might be useful in your new line of work. With our employee database, the possibilities are endless. All you have to do is type in a couple of keywords and we'll bring you the exact information you wanted!
100 Boston Medical Center HealthNet Plan employees in database. Find out everything there's to know about Boston Medical Center HealthNet Plan employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Boston Medical Center HealthNet Plan Employees
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
Boston Medical Center HealthNet Plan November 2013 - Present
Genome International Corporation January 2007 - Present
EMD Serono, Inc. May 2013 - November 2013
Boston Medical Center HealthNet Plan 2010 - 2013
Baxter International Inc. 2008 - 2010
ACNielsen 2008 - 2008
Baxter International Inc. October 2007 - December 2007
Aon 2007 - 2007
Skills
Business Intelligence, Data Warehousing, Dashboard, Cognos, T-SQL, T-SQL Stored Procedures, PL/SQL, Oracle, Dimensional Modeling, Data Modeling, Requirements Gathering, Requirements Analysis, ETL, Microsoft SQL Server, SQL, Toad, Business Analysis, Agile Methodologies, OLAP, Data Analysis, Cubes, Informatica, Business Objects, SSIS, Data Marts, Datastage, SDLC
Education
Jawaharlal Nehru University
Bachelor of Technology (BTech), Electronics and Communications Engineering
The University of Memphis
Master of Science (M.S.) in Business Administration, Specialization in Management Information Systems
Thomas Jefferson University Hospitals March 2015 - Present
Geisinger Health Plan December 2009 - February 2015
Boston Medical Center Healthnet Plan February 2004 - September 2009
RK, Inc. 1999 - 2004
Private Healthcare Systems (PHCS) 1993 - 1999
Blue Cross Blue Shield of MA 1990 - 1993
CIGNA Healthcare 1986 - 1990
Kaiser Permanente 1983 - 1986
Skills
Management, Leadership Development, Managed Care, Project Planning, Change Management, Strategy, Healthcare Management, Leadership, Strategic Planning, Medicaid, Healthcare, Business Process, Healthcare Information..., Informatics, Data Analysis, Management Consulting, Project Management, Customer Service, Team Building, Business Analysis, Cross-functional Team..., Insurance, Business Strategy, Program Management, Process Improvement, Analytics, Hospitals, Medicare, Start-ups, HIPAA, Business Process..., Executive Management, Consulting, Healthcare Consulting, Healthcare Industry, Health Insurance, Business Intelligence, Vendor Management
Education
Weatherhead School of Management at Case Western Reserve University 1983 — 1986
MS, Operations Research
Case Western Reserve University
BS, Management
Franqui Consulting...Positioning Nonprofits for Success January 2005 - Present
Child Care Resource Center, Inc. July 2009 - January 2013
Child Care Resource Center, Inc. April 2008 - June 2009
New England Hemophilia Association April 2007 - April 2008
University of Massachusetts Medical School/Commonwealth Medicine/Office of Community Programs March 2006 - July 2006
Boston Medical Center HealthNet Plan November 2002 - March 2005
Children's Friend, Inc. March 1991 - June 2001
Skills
Non-profit Board..., Nonprofits, Fundraising, Capacity Building, Organizational..., Team Building, Management Consulting, Board Development, Executive Management, Donor Engagement, Human Resource..., Executive Transition, Resource Management, Communicaitons, Annual Giving, Grant Writing, Training, Staff Development, Grants, Strategic Planning, Corporate Communications, Public Speaking, Strategy, Philanthropy, Community Development, Program Development
Education
Boston University School of Social Work
Masters of Science in Social Services
City University of New York-Herbert H. Lehman College
Bachelor of Science (B.S.)
Boston Medical Center HealthNet Plan February 2013 - July 2013
MassHealth Office of Long Term Care April 2006 - January 2013
Division of Medical Assistance July 1998 - April 2006
Department of Mental Retardation January 1992 - June 1998
Department of Mental Retardation January 1994 - June 1994
Skills
Team building, Organizational..., Verbal and written..., Program Development, Program Management, Administration, Social Services, Healthcare, Team Building, Training, Operations Management, Case Management, Policy
Education
Salem State University 1993 — 1996
Masters in Social Work, Social Work
University of Massachusetts Boston 1987 — 1990
Masters Degree, Human Services Administration
University of Massachusetts, Amherst
Bachelor, Science; Psychology
Partners HealthCare at Home March 2011 - Present
Partners Home Care September 2009 - March 2011
Boston Medical Center HealthNet Plan December 2008 - July 2009
Boston Medical Center HealthNet Plan August 2005 - July 2009
Skills
Experience with the...
Education
University of Connecticut
BS, Physical Therapy
Northeastern University May 2015 - Present
Newark Beth Israel Medical Center January 2013 - Present
Boston Medical Center HealthNet Plan September 2013 - December 2013
CVS Pharmacy May 2011 - November 2012
Skills
Healthcare, Healthcare Management, Team Leadership, Customer Service, Management, Teamwork, Public Speaking, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Research, Pharmaceutical Industry, Community Pharmacy, Managed Care, Hospital Pharmacy, Patient Counseling
Education
Northeastern University 2010 — 2016
Doctor of Pharmacy (PharmD), Pharmaceutical Sciences
Union County Vocational Technical School 2006 — 2010
High School Diploma, Academy for Information Technology
UnitedHealthcare - Community Plans March 2011 - Present
Marrano Real Estate, LTD. June 2005 - Present
athenahealth August 2009 - March 2011
Boston Medical Center HealthNet Plan September 2007 - August 2009
Neighborhood Health Plan September 2006 - September 2007
Neighborhood Health Plan May 2004 - September 2006
Tufts Health Plan 2003 - 2004
Harvard Pilgrim Health Care 1995 - 2002
Skills
Healthcare, Cross-functional Team..., Leadership, Healthcare Management, Program Management, Management, Contract Negotiation, Provider Relations, Project Management, Recruiting, Strategy, Contract Management, Analysis, Hospitals, Sales Operations, Process Improvement, Credentialing, Managed Care, Medicare, Insurance, Medicaid, Customer Service, Health Insurance, Team Building, Healthcare Industry, Policy, HIPAA, Strategic Planning
Education
Cambridge College 2013 — 2015
Master of Business Administration (M.B.A.)/Healthcare Administration, Healthcare Administration
Newbury College 1996 — 2004
Bachelors, Healthcare Administration
Boston Medical Center HealthNet Plan November 2011 - Present
CNA Insurance Company 1986 - 2004
Skills
Litigation, Mediation, Legal Research, Legal Writing, Westlaw, Employment Law, Claim, Civil Litigation, Courts, Legal Assistance, Insurance, Policy, Nonprofits
Education
Northeastern University 1973 — 1978
Bachelor of Arts (B.A.), Human Services, General
Vapotherm April 2015 - Present
Holland & Knight LLP May 2012 - April 2015
Medtronic/Salient Surgical Technologies October 2010 - May 2012
Preti Flaherty Beliveau & Pachios, LLP 2008 - October 2010
Joslin Diabetes Center May 2007 - August 2007
Boston Medical Center HealthNet Plan January 2007 - April 2007
American Cancer Society May 2006 - August 2006
Skills
Litigation, Employment Law, Contract Negotiation, Health Law, Corporate Law, Arbitration, Medical Devices, Mergers & Acquisitions, Healthcare, Legal Compliance, Nonprofits, Legal Research, Mediation, Leadership, Appeals, Legal Issues, Policy, Licensing, Trials, Hearings
Education
Boston University School of Law 2005 — 2008
J.D., Concentration in Health Law
Purdue University 2000 — 2005
BA, Journalism, History
Catholic Health Initiatives June 2014 - March 2015
Catholic Health Initiatives April 2013 - May 2014
Boston Medical Center HealthNet Plan March 2012 - January 2013
Kaiser Foundation Health Plan 2008 - July 2012
Great-West Healthcare 2007 - 2008
Fidelity Investments 2004 - 2007
GE Healthcare 2000 - August 2002
IDX Systems 2000 - 2002
Thomson Healthcare 1996 - 1999
Arthur D. Little, Inc. August 1992 - May 1996
Skills
Process Improvement, Program Management, Project Portfolio..., Team Building, Change Management, Strategic Planning, Operations Management, Cross-functional Team..., Vendor Management, Mentoring, PMO, Business Strategy, Management, Project Management, Consulting, Strategy, Healthcare, Six Sigma, Training, PMP, Business Process...
Education
Simmons College - Simmons School of Management 1989 — 1993
MBA, Finance
State University of New York College at Potsdam
B.S., Mathematics
Boston Medical Center HealthNet Plan May 2012 - Present
Institute for Healthcare Improvement June 2010 - May 2012
BCBS of Massachusetts May 2005 - May 2010
Valley Medical Group, PC January 2000 - May 2005
MHQP 2000 - 2005
Northeast Permanente Medical Group July 1990 - December 1999
Skills
Healthcare
Education
IHI Improvement Advisor Wave 5 2007 — 2007
Thomas Jefferson University 1986 — 1989
Residency in Family Medicine
Boston University School of Medicine 1982 — 1986
MD, Medicine
Trinity College-Hartford 1978 — 1982
BS, Mathematics and Computer Science
NNHS 1975 — 1978
Blue Cross Blue Shield of Massachusetts February 2012 - Present
Blue Cross Blue Shield May 2010 - December 2012
Boston Medical Center HealthNet Plan April 2010 - June 2010
Boston Medical HealthNet Plan July 2007 - 2010
Skills
Managed Care, Provider Relations
Education
Stonehill College 1994 — 1998
BA, Health Adminstration
J E Burke High School 1990 — 1994
General
American Academy of Professional Coders
CPC, Medical Coding
UnitedHealthcare Community Plan - Massachusetts & Rhode Island July 2010 - Present
Boston Medical Center HealthNet Plan December 2006 - March 2010
Capital Blue Cross April 2003 - December 2006
HealthNet November 1999 - March 2002
DCH Health Services/CareMore Medical Group January 1998 - November 1999
DCH Health Services/CareMore Medical Group September 1993 - January 1998
Deloitte & Touche Management Consulting June 1990 - September 1993
Skills
Budgeting, Pricing, Business Planning, Customer Relations, Contract Management, Marketing Strategy, Budgets, Customer Service
Education
University of Southern California - Marshall School of Business 1988 — 1990
MBA, Marketing & Finance
University of California, Irvine 1983 — 1987
BS, Mathematics
University of California, Irvine 1983 — 1987
BA, Economics
Medical University of South Carolina October 2015 - Present
National Association of Orthopaedic Nurses May 2014 - Present
Berkshire Health Systems 2014 - September 2015
Berkshire Health Systems December 2008 - 2014
Canyon Ranch July 2007 - December 2008
Boston Medical Center HealthNet Plan September 2002 - August 2007
Skills
Orthopedic, Healthcare Management, Hospitals, Nursing, Clinical Research, Chair National..., Six Sigma, Public Speaking, Poster Presentations, Program Management, EMR, Nursing Education, Meditech, Case Management, Leadership, Inpatient, Managed Care
Education
Colorado Technical University 2004 — 2006
Master of Business Administration, Healthcare Management
University of the State of New York- Regents 1984 — 1986
Bachelor of Science, Nursing
Trinity Engineering Associates, Inc. October 2014 - Present
GE Aviation August 2012 - November 2013
Booz Allen Hamilton October 2010 - October 2011
Northeastern University September 2008 - June 2009
Boston Medical Center HealthNet Plan November 2007 - May 2008
Half International March 2007 - September 2007
Ultimate Staffing Services/Ledgent December 2006 - March 2007
Skills
Windows 7, Microsoft Office, Adobe Creative Suite, Microsoft Excel, Customer Service, Recruiting, Research, Marketing, Administrative..., Editing, Outlook, PowerPoint, Microsoft Word, Management, Event Planning, Budgets, Process Scheduler, Administrative...
Education
School of the Museum of Fine Arts 2012 — 2014
Graphic Design Certificate, Graphic Design
North Shore Community College 2010 — 2014
Graphic Design Certificate, Graphic Design
Johnson and Wales University 1998 — 2002
A.S, Retail Marketing & Management; Fashion Merchandising
Johnson & Wales University 1998 — 2001
Bachelor in Science, Retail Marketing & Management
Lexington High School 1994 — 1998
Fallon Health June 2015 - Present
Partners HealthCare January 2013 - June 2015
Partners HealthCare September 2009 - January 2013
Boston Medical Center HealthNet Plan January 2007 - August 2009
Private Healthcare Systems April 2004 - January 2007
Private Healthcare Systems, Inc. May 2002 - April 2004
John Hancock Financial January 2001 - January 2002
Private Healthcare Systems January 1998 - January 2001
Private Healthcare Systems, Inc. May 1996 - January 1998
Private Healthcare Systems January 1994 - May 1996
Skills
Process Improvement, Project Management, Change Management, User Acceptance Testing, Analysis, Cross-functional Team..., Testing, Business Requirements, Project Planning, Management, Leadership, HIPAA, Healthcare Information..., Training, Healthcare, Software Documentation, Visio, SDLC, Healthcare Management, Business Analysis
Education
Regis College 1989 — 1993
B.A, Business Administration
Advocates, Inc. 2012 - January 2014
Boston Public Health Commission August 2010 - February 2012
Boston Medical Center HealthNet Plan April 2008 - February 2010
Massachusetts Behavioral Health Partnership August 2007 - July 2008
WestBridge Community Services January 2002 - January 2007
Cambridge Health Alliance January 2001 - January 2002
CASPAR Emergency Service Center June 1998 - July 2001
Skills
Mental Health Counseling, Board Certified Art..., Clinical Program Manager, Licensed Mental Health..., Licensed Substance..., Behavioral Health..., Motivational..., Stages of Change, Community Outreach..., Program for Assertive..., Residential and..., MAP Certified, CBFS and CBFS..., Wellness and Recovery, Dual Diagnosis, Cultural Sensitvity, Verbal De-escalation, Written & Verbal..., DBT, Behavioral Health, Addiction Recovery, CBT, Adolescents, Case Management, Clinical Research, Clinical Supervision, Counseling Psychology, Crisis Intervention, Group Therapy, Mental Health, Play Therapy, Psychology, Psychotherapy, Social Services
Education
Lesley University 1997 — 2000
Master of Arts (M.A.), Counseling Psychology
Framingham State College
Bachelor's degree, Psychology
Riverworks Credit Union August 2014 - Present
BOSTON MEDICAL CENTER HEALTHNET PLAN November 2013 - April 2014
Enquiron January 2013 - September 2013
Skills
Social Media Marketing, Advertising, Customer Service, CRM, Social Networking, Social Media, Microsoft Office, Microsoft Excel, Market Research, Retail, Marketing, Leadership, PowerPoint, Teamwork, Event Planning, Team Building, Team Leadership, Information Technology, Public Speaking, Microsoft Word, Research, Project Planning
Education
Fisher College 2009 — 2015
Bachelor's of science, Business, Management, Marketing, and Related Support Services
PwC August 2015 - Present
GSK June 2014 - August 2014
Alnylam Pharmaceuticals July 2012 - July 2013
Alnylam Pharmaceuticals March 2010 - July 2012
ArQule August 2009 - March 2010
Pleiad Devices January 2008 - July 2008
Boston Medical Center HealthNet Plan February 2007 - August 2007
Northeastern University-Division of Techology Transfer 2004 - 2005
Skills
Clinical Trials, Pharmaceutical Industry, Clinical Research, Biotechnology, Clinical Development, Drug Development, CRO, FDA, Microsoft Office, Immunology
Education
Duke University - The Fuqua School of Business 2013 — 2015
Master of Business Administration (MBA), Health Sector Management
Northeastern University 2004 — 2009
B.S., Pharmaceutical Industry-Pharmaceutical Sciences and Economics
Boston Medical Center HealthNet Plan February 2013 - Present
Boston Medical Center HealthNet Plan December 2007 - Present
Tufts Health Plan 1998 - 2007
Oxford Health Plans 1994 - 1998
Skills
Managed Care, Vendor Management, Leadership, Data Analysis, Training, Program Management, Medicine, Project Management, Cross-functional Team..., Hospitals, Budgets, Health Insurance, Clinical Research, Medicaid, Provider Relations, Strategic Planning, Healthcare, Management, Behavioral Health, Process Improvement, HIPAA, Recruiting, Medicare, Business Analysis, Healthcare Information..., Employee Benefits, Customer Service, Contract Management, Teamwork, Visio, Software Documentation, Team Building, Policy
Education
University of Massachusetts, Amherst 1989 — 1994
BA, Political Science
American School Foundation, Mexico City 1988 — 1989
Cushing Academy 1986 — 1987
Fay School 1982 — 1986
Boston Medical Center HealthNet Plan February 2014 - Present
Conservation Services Group June 2012 - February 2014
United Natural Foods April 2012 - June 2012
Harvard Business Publishing September 2011 - April 2012
CW Capital November 2009 - April 2011
Edgewater Technology July 2006 - November 2008
American Student Assistance 2005 - 2008
Unicom 2004 - 2005
Skills
Quality Assurance, Test Planning, Scrum, SDLC, Quality Center, Agile Methodologies, Requirements Analysis, Testing, Software Documentation, Business Analysis, SQL, Databases, Requirements Gathering, Manual Testing, Test Cases, Regression Testing, Software Quality..., Rally Software, Test Strategy, User Acceptance Testing
Education
Northeastern University
BS
Worcester Polytechnic Institute
Clark University
Urban College of Boston March 2015 - Present
Endicott College March 2013 - Present
Urban College of Boston June 2012 - Present
Boston Medical Center HealthNet Plan May 2014 - March 2015
La Alianza Hispana July 2009 - December 2013
La Alianza Hispana June 2009 - October 2012
Calaf Communications May 2000 - January 2012
Cambridge College July 2004 - May 2009
Executive Office of Health And Human Services, Massachusetts September 1996 - June 2004
Univision of New England May 1994 - September 1995
Skills
Intercultural..., Workforce Development, Public Speaking, Strategic Planning, Fundraising, Grant Writing, Higher Education, Program Development, Public Relations, Community Outreach, Non-profits, Teaching, Writing, Team Building, Coaching, Leadership Development, Mentoring, Spanish, Staff Development, Program Management, Administration, Adult Education, Editing, E-learning, Social Media, Customer Relations, Newsletters, Grants, PowerPoint, Media Relations, Microsoft Office, Customer Service, Nonprofits, Leadership, Educational Leadership, Curriculum Development, Community Development, Social Services, Community Organizing, System Administration, Training, Management, E-Learning, Curriculum Design, Program Evaluation, Volunteer Management, Research, Event Planning, Policy, Career Counseling
Education
Northcentral University 2010 — 2017
Ed.D., Educational Leadership, Doctoral Candidate, 3.96 GPA
Cambridge College 2008 — 2009
Ed.D. student, Educational Leadership
Emerson College 1977 — 1980
M.A., Mass Communications, TV production
Beacon Health Strategies July 2013 - Present
Beacon Health Strategies July 2010 - July 2013
Boston Medical Center HealthNet Plan April 2006 - July 2010
Boston Medical Center HealthNet Plan July 2003 - March 2006
Skills
Microsoft SQL Server, Cognos, Crystal Reports, Healthcare Analytics, Financial Analysis
Education
Tianjin University 1996 — 2010
University of Delaware 2001 — 2003
Master, Public Health
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 Medical Center HealthNet Plan June 2014 - Present
Boston Medical Center HealthNet Plan September 2012 - June 2014
Intrax January 2010 - July 2012
Intrax October 2007 - January 2010
Harvard Law School November 2005 - August 2007
Skills
Partnership Development, New Channel Development, Customer Research, Pay-per-click management, Strategic Planning, Search Engine..., Website Copy, Website Testing, Landing Page..., Email Marketing, User Interface, Marketing Copy, PPC, Social Media Marketing, Social Media, SEO, Product Development, Online Advertising, Lead Generation, Digital Marketing, Marketo, Google Adwords, Web Project Management, Salesforce.com, Advertising, Marketing, Leadership, Marketing Strategy, Strategy, CRM, Management, Nonprofits, Marketing Communications, Press Releases, Partnerships, Anthropology
Education
Tufts University 2000 — 2004
BA, Anthropology and Communications, Cum Laude
Universita per Stranieri di Siena 2003 — 2003
n/a, Italian Language
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
Massachusetts General Hospital April 2010 - Present
South Shore Mental Health September 2006 - March 2009
Boston Medical Center HealthNet Plan April 2006 - July 2007
South Shore Mental Health September 2002 - August 2006
Cambridge Health Alliance September 2001 - June 2002
Skills
Group Therapy, Mental Health, Crisis Intervention, Psychotherapy, Social Services, Case Managment, Clinical Supervision, Program Management, DBT, Treatment, Psychology, Program Development, Therapists, Hospitals, Interventions, Healthcare, Psychological Assessment, Motivational..., Psychiatry, Behavioral Health, Case Management
Education
Boston College 1997 — 1999
MSW, Social Work
Simmons College 1993 — 1997
BA, Psychology
Center for Group Studies NY,New York
In process of completing 9 training weekends in Modern Psychoanalytic Group Therapy., Psychoanalytic Group Therapy
Blue Cross Blue Shield of Massachusetts 2002 - 2013
Boston Medical Center, HealthNet Plan 2000 - 2002
Harvard Pilgrim Health Care 1988 - 2000
Neurobehavioral Asociates 1994 - 1999
Skills
Microsoft Word, Healthcare Information..., HIPAA, Healthcare, Healthcare Management, Process Improvement, Health Insurance, Managed Care
Education
Curry College
Bachelor of Science, Nursing
Labore Nursing School
Associate Degree Nursing
Stonehill College
Substance Abuse Counseling Certificate
Turner Travel International October 2001 - Present
Biogen March 2015 - Present
Stinger Ghaffarian Technologies (SGT) January 2012 - March 2015
John Hancock Life Insurance Company (USA) February 2011 - January 2012
New York Life Management Investments LLC July 2010 - January 2011
Massachusetts Department Of Transportation October 2008 - April 2010
Boston Medical Center Healthnet Plan November 2007 - August 2008
Harvard Pilgrim Health Care April 2006 - July 2007
Putnam Investment 2000 - 2001
Investors Bank & Trust December 1998 - July 2000
Skills
SDLC, Documentation, User Acceptance Testing, Business Requirements, Application Design, Software Documentation, Business Analysis, Requirements Gathering, Integration, Business Process, Agile Methodologies, MS Project, SharePoint, Process Improvement, Testing, Visio, Software Requirements, Microsoft Project, Project Management
Education
Bentley University 1979 — 1982
BS, Computer Information Systems & Managerial Finance
Boston University 1978 — 1979
Bachelor of Science (BS), Computer Information Systems/Managerial Finance
Jeremiah E Burke
Jeremiah E Burke
UNION BANCAIRE PRIVEE ASSET MANAGEMENT January 2008 - January 2011
UNION BANCAIRE PRIVEE ASSET MANAGEMENT January 2007 - January 2008
DENTAQUEST VENTURES June 2006 - September 2006
BOSTON MEDICAL CENTER HEALTHNET PLAN June 2005 - September 2005
Skills
Excel, Outlook, PowerPoint, Word, Data Analysis, Business Analysis, Access, SQL, Visio, Analysis, Business Intelligence, Business Objects, Writing, VBA, Data Mining, Microsoft Office, Business Process, Process Improvement, Data Migration, Databases, SharePoint, Financial Analysis, Statistics, SSRS, MS Project, HTML, Salesforce.com, Forecasting, Problem Solving
Education
Union College 2002 — 2006
BA, Philosophy, History
American Homecare Federation, Incorporated September 2011 - Present
Boston Medical Center HealthNet Plan January 2007 - August 2011
Tufts Health Plan September 1998 - September 2006
Pioneer Health - The PPO May 1994 - September 1998
HMC-Health Management Center January 1992 - January 1994
Skills
Managed Care, Healthcare, Provider Relations, Insurance, Physician Relations, Health Policy, HIPAA, Medicare, Medicaid, Pharmacy Benefit..., Strategic Planning, Health Insurance, Healthcare Industry, Physicians, Negotiation, Claim, Network Development, Marketing Communications, Sales, Contract Negotiation, Employee Benefits, Training, Healthcare Information..., Medicare Part D, Hospitals, New Business Development, Marketing Strategy, Customer Service, Account Management, Key Account Management, PPO, Healthcare Management, Process Improvement, Credentialing, Healthcare Consulting, Public Speaking, Leadership, Provider Relations..., Disease Management, Utilization Management, Sales Management, Underwriting, Fully Insured Product..., Self Funded Product..., Non Profit & Fund..., Networking, Relationship-building..., Vendor Management, CPR+ software, CDHC - Consumer Driven...
Education
other 2007 — 2007
Inclusive, Life/Business Mangement Skills, Landmark Education Seminars
Massachusetts College of Liberal Arts 1983 — 1985
Bachelor of Science, Marketing
Bay Path College 1980 — 1983
A.S., Business Administration Management
Agawam High School 1976 — 1980
College Preparatory, Management
City of Worcester June 2010 - Present
Cenpatico June 2013 - October 2014
Cenpatico November 2011 - June 2013
Kindred Healthcare December 2010 - November 2011
Gorman Health Group January 2010 - December 2010
Boston Medical Center HealthNet Plan August 2000 - August 2009
Boston Medical Center HealthNet Plan April 2006 - October 2007
Boston Medical Center HealthNet Plan October 2001 - April 2006
Boston Medical Center HealthNet Plan August 2000 - October 2001
Saint Vincent Hospital November 1997 - August 2000
Skills
Managed Care, Contract Negotiation, Provider Relations, Strategic Planning, Medicaid Managed Care, Strategy, Leadership, Management, Training, Health Policy, Medicare, Healthcare, Recruiting, Program Management, Medicaid, EMR, Healthcare Management, Team Building, Health Care Reform, Coaching, Change Management, HIPAA, Hospitals, Policy, Customer Service, Business Intelligence, Health Insurance, Healthcare Industry, Budgets, Marketing Strategy
Education
Suffolk University - Sawyer School of Management 1991 — 1995
MPA, Healthcare
Tufts University 1985 — 1987
MA, Counseling Psychology
Boston College 1979 — 1983
Bachelors in Arts, Psychology
Winthrop High School 1976 — 1979
High School, College
Schlumberger-Doll Research October 2010 - Present
Boston Medical Center HealthNet Plan September 2005 - December 2009
Private 2004 - 2005
The Gillette Company January 1999 - January 2004
Gillette 1973 - 1999
State Street Bank September 1970 - November 1973
Skills
Customer Service, Organization, Online Research, Property Management, Healthcare, PeopleSoft, Outlook, Lotus Notes, Administrative..., Access, HIPAA, Process Scheduler
Education
Northeastern University
Bachelor of Science Degree, Business Administration, Management
GoldenTree Asset Management June 2012 - Present
Sandstone Capital August 2009 - May 2012
Boston Medical Center HealthNet Plan May 2008 - July 2009
Skills
Bloomberg, Asset Management, Microsoft Excel
Education
Boston College 2005 — 2009
BA, Economics
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
Lahey Health February 2015 - Present
Spruceton Consulting October 2013 - Present
Neighborhood Health Plan (Partners HealthCare) January 2012 - October 2013
Boston Medical Center HealthNet Plan September 2008 - December 2011
The Brattle Group April 2005 - August 2008
Welch's January 2000 - April 2005
Welch's October 1996 - December 1999
WQMR-FM Radio October 1990 - October 1996
Skills
Vendor Management, Disaster Recovery, IT Strategy, Enterprise Architecture, Data Center, Virtualization, Project Management, Cloud Computing, Integration, Strategic Planning, Contract Negotiation, Cross-functional Team..., Servers, Business Intelligence, Project Portfolio..., ERP, VMware, Budgets, SOA, Security, Databases, Software Development, Agile Methodologies, Networking, Business process..., Analysis and process..., Controls and compliance, Collaborative Problem..., Enterprise technologies, Enterprise system..., Data Standards, Active Directory, Global strategic..., Videoconferencing..., Mobile services, Data Center management, Enterprise..., Wireless services, Voice services (VOIP), Service Desk management, Software as a service..., Business Process
Education
New York Institute of Technology
MS, High Honors
Central Connecticut State University
BA
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
Pine Street Inn August 2010 - Present
Maloney Properties August 2008 - March 2010
Springwell, Inc. October 2003 - March 2008
Match-Up Interfaith Volunteers 1994 - 2008
Boston Medical Center HealthNet Plan March 2002 - May 2003
Family Service of Greater Boston July 1989 - February 2002
Skills
Non-profits, Case Managment, Community Outreach, Customer Service, Nonprofits, Outlook, Program Management, Research, Social Services, Strategic Planning, Supervisory Skills, Team Building, Training, Case Management, Conflict Resolution, Crisis Intervention, Editing, Marketing, Microsoft Excel, Microsoft Office, Mental Health, Microsoft Word, Organizational..., PowerPoint, Program Development, Project Management, Public Relations, Public Speaking
Education
Brandeis University, Heller - The Heller School for Social Policy and Management 1988 — 1989
Master, Non-Profit/Public/Organizational Management
Brandeis University 1982 — 1986
A.B., Medical Sociology
Herricks 1978 — 1982
Boston Medical Center HealthNet Plan September 2012 - Present
Skills
Start-ups, Product Management, Agile Methodologies, Software Development, Microsoft SQL Server, Product Development, XML, C#, SQL, Business Analysis, Strategy, Cross-functional Team..., Business Strategy, Web Applications, SDLC, Medical Devices, Management, Healthcare Information..., Strategic Planning, Program Management, SaaS, Integration, Business Intelligence, JavaScript
Education
University of Massachusetts Dartmouth 1996 — 2000
BS, Engineering
Wintac Software by Intac International May 2014 - Present
University of Massachusetts at Lowell July 2007 - Present
Storiant January 2013 - May 2014
CrunchTime! Information Systems June 2011 - September 2012
OP40 Holdings, Inc April 2011 - January 2012
Constant Contact April 2009 - June 2011
Rulestream July 2007 - March 2009
Avaya January 2004 - June 2007
Boston Medical Center HealthNet Plan March 2003 - January 2004
Cross Country Automotive Services 2004 - 2004
Skills
REST, Software Engineering, Java Enterprise Edition, Web Services, Java, Spring, Databases, Distributed Systems, Cloud Computing, HTML, Software Design, SaaS, SQL, .NET, Architecture, XML, Software Development, Linux, JavaScript, Scrum, JRuby, Agile Methodologies, C#, Tomcat, Eclipse, jQuery, Ruby, NoSQL, Snowboarding, VoIP, SIP, Agile, SOA, AJAX, MySQL, Subversion, OOP, Enterprise Architect, Virtualization, Virtual Teams, Backbone.js, Open Source, Amazon Web Services, Web Applications, JBoss Application Server, Spring Framework, Web Development, Management, Amazon Web Services...
Education
Bentley College - Elkin B. McCallum Graduate School of Business 1996 — 1998
MBA, MIS
University of Massachusetts Dartmouth 1987 — 1991
BS, Marketing
Connolly 1982 — 1986
Blue Cross Blue Shield of Massachusetts November 2014 - Present
Blue Cross Blue Shield of Massachusetts October 2013 - October 2014
Blue Cross Blue Shield of Massachusetts August 2012 - October 2013
Blue Cross Blue Shield of Massachusetts October 2008 - August 2012
Boston Medical Center HealthNet Plan February 2008 - October 2008
BMC HealthNet Plan November 2007 - February 2008
Boston Medical Center HealthNet Plan February 2006 - October 2007
Boston Medical Center HealthNet Plan January 2005 - February 2006
Thom Boston Metro Early Intervention September 2003 - January 2005
Department of Social Services July 2002 - August 2003
Skills
Certificate in the..., Certified Interqual..., Healthcare, Clinical, Behavioral Health, Treatment, Documentation, Health, Motivational..., Utilization Management, Managed Care, Mental Health, Clinical Supervision, Program Development, Case Managment, Clinical Research, Case Management, Disease Management, Group Therapy, HIPAA, Health Insurance, Health Policy, Healthcare Consulting, Healthcare Information..., Healthcare Management, Home Care, Medicaid, Leadership, Medicare, Mental Health Counseling, Policy, Provider Relations, Psychotherapy, Quality Improvement, Software Documentation
Education
Boston College Graduate School of Social Work 2000 — 2002
MSW
Boston University 1994 — 1998
BS Elem Ed, Early Education
Minuteman Health July 2014 - Present
Neighborhood Health Plan January 2010 - November 2012
Boston Medical Center HealthNet Plan November 2008 - January 2010
Private Healthcare Systems February 1998 - February 2007
Healthsource/Cigna January 1996 - November 1997
Blue Cross Blue Shield MA January 1993 - January 1996
Blue Cross Blue Shield of Massachusetts 1989 - 1993
Skills
Revenue Cycle, Data Analysis, Medicaid Managed Care, Health Policy
Education
UNH 1970 — 1974
Bachelor of Science (BS), Public Health
SUNY Albany
Master's degree
UnitedHealth Group - Optum Complex Population Management December 2014 - Present
UnitedHealthcare October 2010 - Present
athenahealth June 2010 - October 2010
athenahealth February 2009 - June 2010
Boston Medical Center HealthNet Plan February 2007 - February 2009
Crosby Benefit Systems June 2005 - July 2006
Genuity August 2000 - February 2002
Harvard Pilgrim HealthCare April 1998 - February 2001
Harvard Pilgrim HealthCare September 1997 - November 1998
Blue Cross Blue Shield Of Massachusetts June 1992 - November 1997
Skills
Strategic Planning, Healthcare, Cross-functional Team..., CRM, Account Management, Insurance, Process Improvement, New Business Development, Leadership, Project Management, Customer Service, Team Building, Managed Care, Marketing Strategy, Contract Negotiation, Enterprise Software, Sales Management, Management, Healthcare Information..., Marketing, E-commerce, Coaching, Sales, Business Process
Education
Cambridge College 2007 — 2010
MM, Masters Management- HealthCare
University of Massachusetts Boston 1978 — 1983
BS, Management/MIS
Core Health LLC May 2013 - October 2014
Senior Whole Health September 2012 - April 2013
Senior Whole Health February 2008 - August 2012
Boston Medical Center HealthNet Plan 2001 - 2007
Education
University of Massachusetts
BA, Political Science
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
Boston Medical Center HealthNet Plan March 2006 - Present
The Hartford Financial Insurance Group, Hartford, CT November 1999 - October 2005
The Hartford 1999 - 2005
United Healthcare, Hartford, CT January 1998 - November 1999
Education
DeVry University 2010 — 2011
Bachelor of Science, Health Care Information Systems
University of Phoenix 2006 — 2006
Boston Medical Center October 2011 - Present
Boston Medical Center HealthNet Plan June 2009 - October 2011
Northeastern University February 2007 - June 2009
MedVentive 2005 - 2006
Care Group Provider Service Network June 2001 - June 2005
McKesson Corporation January 1999 - July 2001
Harvard Pilgrim Health Care June 1992 - June 1999
Education
University of Rochester School of Medicine and Dentistry 1976 — 1980
Doctor of Medicine (MD)
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
Boston Medical Center Healthnet Plan July 2008 - Present
Clean Harbors September 2003 - July 2008
Putnam Investments August 2002 - September 2003
Deutsche Asset Management June 2001 - July 2002
Scudder Stevens & Clark 1997 - 2002
Scudder Kemper Investments June 1997 - June 2001
PC-PLUS Technologies, Inc. January 1993 - June 1997
Skills
VMware ESX, Fibre Channel, SAN, Cloud Computing, Cisco Technologies, Servers, Citrix, Windows Server, VDI, Data Center, EMC Storage, Integration, Dell PowerEdge Servers, Active Directory, Hardware, VMware Infrastructure, Microsoft Exchange, VMware, Operating Systems, Management, Infrastructure, Switches, DNS, Technical Support, Group Policy, Network Administration, Networking, Enterprise Architecture, Enterprise Software, SCCM, Compellent, vSphere, ESXi, QSI, Trizetto, Brocade Fibre Switches, Arista, Cisco IOS, DHCP, DNS Server, Print Servers, RSA Security
Education
Boston University 1994 — 1995
Novell/LAN Certification
Northeastern University 1988 — 1993
MIS
IRCDA July 2014 - Present
Brigham and Women's Hospital May 2008 - July 2014
Network Health November 2004 - May 2008
Boston Medical Center HealthNet Plan April 2002 - April 2004
Skills
Managed Care, Nonprofits, Strategic Planning, Healthcare, HIPAA, Hospitals, Public Health, Healthcare Information..., Medicaid, Healthcare Management, Quality Improvement, Program Management, Network Development, Process Improvement
Education
Florida State University 1995 — 1997
MPA, Public Administration
Grinnell College 1985 — 1989
BA, Sociology
University of Chicago Lab School
University of Massachusetts Boston
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 March 2012 - Present
BMC HealthNet Plan July 2004 - March 2012
BMC HealthNet Plan December 2002 - July 2004
Skills
Provider Relations, Managed Care, Medicaid, Medicare, Healthcare Management, Hospitals, Healthcare, Network Development, Credentialing, Utilization Management, Health Insurance, Contract Management, Healthcare Industry, Disease Management
Education
Bristol Community College
IBM Global Services October 2014 - Present
Lighthouse Academies September 2013 - April 2014
Versatile Communications April 2012 - August 2013
Navisite September 2005 - April 2009
Morrison Mahoney LLP April 2005 - October 2005
Boston Medical Center Healthnet Plan June 2004 - April 2005
Mellon Bank November 2004 - December 2004
Biogen Idec January 2004 - May 2004
Hewlett Packard Compaq Digital Equipment 1997 - 2002
Skills
Active Directory, Windows Server, Servers, Microsoft Exchange, Citrix, VPN, Technical Support, Windows XP, Windows 7, Blackberry Enterprise..., Troubleshooting, HP, System Administration, Help Desk Support, System Deployment, Microsoft Certified..., Storage, Storage Area Networks, Windows XP Pro, SAN
Education
University of Louisiana at Lafayette
B.S., Business Administration
Louisiana State University and Agricultural and Mechanical College
Geology
New Horizons 2010 — 2010
70-662- Exchange Server 2010, Configuring
Boston Medical Center Healthnet Plan January 2010 - Present
Boston Medical Center Healthnet Plan January 2010 - Present
Pearson Education September 2005 - October 2009
American Student Assistance November 2002 - September 2005
Excelergy March 2000 - November 2002
Keane May 1998 - January 2000
Skills
Quality Center, Testing, Test Automation, Test Planning, Quality Assurance, WinRunner, Test Cases, Regression Testing, Defect Tracking, Test Execution, Manual Testing, Agile Methodologies, Test Strategy, SDLC, Agile Testing, VBScript, User Acceptance Testing, SQL, Web Applications, Scrum, Performance Testing, Software Quality..., System Testing, QTP, Waterfall, Test Management, Business Requirements, Functional Testing
Education
Bryant University 1995 — 1998
BS in BA, Computer Information Systems
Boston University
Master's Degree, Computer Information Systems
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
Boston Medical Center HealthNet Plan / Well Sense Health Plan November 2014 - Present
Boston Medical Center HealthNet Plan October 2007 - Present
Harvard Pilgrim Health Care March 1995 - October 2007
Massachusetts Department of Public Health, Office of Disability Prevention 1989 - 1991
Education
Northeastern University School of Law 1991 — 1994
J.D.
Yale School of Public Health 1983 — 1985
MPH, Health Administration
Connecticut College 1979 — 1983
Signature Healthcare Corporation January 2009 - Present
Boston Medical Center HealthNet Plan June 2005 - December 2008
BMC HealthNet Plan 2005 - 2008
Children's Hospital Boston 2000 - 2005
United Healthcare 1997 - 2000
Lawrence & Memorial Hospital 1997 - 1997
Braintree Hospital Rehabilitation Network 1995 - 1997
Education
Bryant University
Stallergenes, Inc. April 2012 - Present
Stallergenes June 2011 - April 2012
Boston Medical Center HealthNet Plan July 2008 - February 2010
Praecis Pharmaceuticals 1999 - 2007
Serono Laboratories, Inc. December 1980 - April 1999
Education
Bryant & Stratton
Neighborhood Health Plan April 2007 - Present
Boston Medical Center HealthNet Plan July 2004 - March 2007
Skills
Customer Service, Healthcare, Healthcare Management, Health Insurance, Strategic Planning, Managed Care, Medicaid, Software Documentation, Process Improvement, Team Building, Project Management, HIPAA, Change Management, Cross-functional Team..., Performance Management, Training, Data Analysis, Account Management, Medicare, Recruiting, Nonprofits, Insurance, Provider Relations, Leadership, HMO
Education
Cambridge College 2003 — 2005
Master, Management/Finances
Northeastern University 1999 — 2003
Bachellor, Health Management
Boynton Healthcare Management Solutions, LLC - Independent Healthcare Consulting June 2014 - Present
American Academy of Professional Coders April 2015 - Present
American Academy of Professional Coders June 2009 - Present
United Health Care March 2010 - June 2014
American Academy of Professional Coders April 2011 - April 2013
MassBay Community College January 2005 - September 2011
Fisher College 2011 - 2011
Fallon Community Health Plan July 2007 - February 2010
Boston Medical Center HealthNet Plan June 2006 - July 2007
Clark University, CCI June 2004 - February 2007
Skills
Medical Coding, Healthcare Information..., Healthcare, Healthcare Industry, Medical Billing, ICD-10, Practice Management, EMR, Health Policy, Health Insurance, EHR, Medical Records, Informatics, Hospitals, ICD-9, CPT, Software Documentation, Provider Relations, Healthcare Management, Health Information..., HIPAA, Healthcare Reimbursement, Health Information..., Meditech, Epic Systems, Training, Health Education, Physicians, Managed Care, Project Management, Medical Terminology, Leadership, Process Improvement, Accountable Care, Engaging Public Speaker, Clinical Research, Claim, ICD-10 Implementation..., Provider Education, Published Author, Health Communication, Inpatient, Medical Compliance, Documentations, Ambulatory, Utilization Management, Radiology, Healthcare..., Revenue Cycle Management, Medicare
Education
Fisher College 2007 — 2009
Bachelor's, Health Care Management
Fisher College 2006 — 2008
AS in HIT, Health Information Technology
Seton Hall University School of Law
MJ, Health, Hospital and Biotech Law
Boston Medical Center HealthNet Plan 2014 - Present
Liberty Mutual 2010 - 2013
Liberty Mutual Insurance 2007 - 2010
Liberty Mutual Insurance 2003 - 2007
MetLife Auto & Home 1999 - 2003
St Paul Companies 1994 - 2000
Skills
Segmentation, Customer Insight, Marketing Research, Analytics, Market Research, Direct Marketing, Competitive Analysis, Marketing Strategy, Competitive Intelligence, Database Marketing, CRM, Market Analysis, Data Analysis, Marketing Communications, Digital Marketing, Marketing Management, Marketing, Product Management, Strategy, Customer Experience, Customer Satisfaction, Customer Acquisition, Integrated Marketing, Strategic Planning
Education
Saint Mary's University of Minnesota
Bachelor of Applied Science (B.A.Sc.), Business Administration and Management, General
University of Missouri-Kansas City
Professional Direct Marketer Certification
HealthyCT August 2013 - Present
Fallon Community Health Plan May 2013 - August 2013
Fallon Community Health Plan July 2011 - August 2013
Steward Health Care (Caritas Christi Saint Anne's Hospital) 2008 - 2011
BMC HealthNet Plan (BMCHP) 2007 - 2008
Boston Medical Center HealthNet Plan 2006 - 2008
Anthem Blue Cross Blue Shield CT / Wellpoint 2002 - 2006
Middlesex Hospital 1997 - 2002
Middlesex Hospital 1982 - 2002
Skills
Managed Care, Medicare, Medicaid, Healthcare Management, Health Policy, Healthcare, Quality Improvement, Hospitals, Disease Management, Medicine, Healthcare Consulting, Medicaid Managed Care, HIPAA, Accountable Care, Case Managment, Utilization Management, Credentialing, Health Insurance, Physicians, Physician Relations, NCQA, Inpatient, Health Information..., Provider Relations, Revenue Cycle, Healthcare Industry, Leadership, Patient Safety, PPO, Case Management, Public Health, Healthcare Information..., Informatics, Health Care Reform, Network Development, HMO, ACOs, Clinical Integration...
Education
University of Pittsburgh School of Medicine 1975 — 1979
MD
Wesleyan University 1971 — 1975
AB, Biology
Middlesex Hospital FP Residency
Boston Medical Center HealthNet Plan May 2001 - Present
Baystate Medical Practices September 1988 - Present
Education
Amherst College
PD Medical Management Consulting November 2008 - Present
Urology Group of Western New England February 2002 - November 2008
Boston Medical Center HealthNet Plan June 2000 - November 2001
Education
Western New England University 1976 — 1980
MBA, Business Administration
American International College 1970 — 1974
BA, Biology - Medical Technology
Boston Medical Center HealthNet Plan January 2014 - Present
Boston Medical Center HealthNet Plan December 2012 - December 2013
Boston Medical Center HealthNet Plan June 2007 - December 2012
Standard Register November 1999 - September 2005
Harvard Pilgrim Health Care February 1997 - November 1999
Skills
Medicaid, Account Management, Leadership, Recruiting, Customer Service, Troubleshooting, Team Building, Health Insurance, Healthcare, Outlook, Process Improvement, Management, HIPAA, Microsoft Office, Managed Care, Training, Call Centers
Education
Eastern Nazarene College 2007 — 2007
Certificate, Human Resources
University of Massachusetts Boston 2003 — 2007
BA, Psychology
Kindred Healthcare 2008 - Present
Cambridge Health Alliance June 2007 - June 2008
Boston Medical Center HealthNet Plan 2003 - 2006
VNA of Boston 1977 - 1992
Skills
Healthcare Management, Healthcare, Medicare, Managed Care, Medicaid, Healthcare Information..., Nursing
Education
Cambridge College 1996 — 1997
masters, management
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
Course Hero, Inc. September 2014 - August 2015
Course Hero, Inc. May 2013 - August 2015
Williams-Sonoma, Inc. November 2011 - May 2015
Inman Pharmacy January 2008 - July 2011
Boston Medical Center HealthNet Plan January 2009 - May 2009
Boston Medical Center April 2007 - August 2007
Skills
Microsoft Office, Data Analysis, Event Planning, Research, Organization, Leadership, Community Outreach, Analysis, Nonprofits, Microsoft Excel, Social Media, Data Entry, Professional..., Recruiting, PowerPoint, Customer Service, Public Speaking, Event Management, Databases, Management
Education
Northeastern University
B.S, Biology
Parsons School of Design
Graphic Design
University of the Pacific 2004 — 2005
Bioengineering
Boston Medical Center HealthNet Plan September 2013 - Present
Fidelity Investments March 2007 - August 2013
PriceWaterhouseCoopers LLP October 2005 - March 2007
Deloitte & Touche LLP October 1996 - October 2005
Coopers & Lybrand Tax 1988 - 1996
Skills
Mutual Funds, Investments, Series 7, Asset Managment, Tax, Bloomberg, Talent Acquisition, Talent Management, Leadership, Financial Services, Mergers & Acquisitions
Education
Bentley College
Regis College
Baystate Health August 2012 - Present
VNA and Hospice of Cooley-Dickinson March 2010 - July 2012
Boston Medical Center HealthNet Plan November 2005 - July 2009
Baystate VNA and Hospice 2002 - November 2005
Baystate VNA and Hospice 2001 - 2002
Baystate VNA and Hospice 1992 - 2001
Baystate VNA and Hospice 1988 - 1992
Baystate VNA and Hospice 1983 - 1988
Baystate VNA and Hospice 1980 - 1983
Baystate VNA and Hospice 1975 - 1980
Skills
Teaching Skills, Nursing, Clinical, Health, Case Management, Teaching Adults, HHA Education, Case Managment, Clinical Research, Healthcare Management, Healthcare, Medicare, EMR, Healthcare Information..., Teaching, Hospitals, ICU, Home Care, Utilization Management, Medicine, Managed Care, Patient Safety, Elder Care, Critical Care, Acute Care
Education
Fitchburg State University 1971 — 1975
Bachelor of Science, Nursing
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
BMC HealthNet Plan March 2010 - Present
Boston Medical Center HealthNet Plan 2010 - Present
BMC HealthNet March 2010 - June 2011
HighPoint Treatment Center, Plymouth, MA February 2004 - March 2005
Education
Boston University 1986 — 1989
Graduate School of Education, Adult and Continuing Education
Emmanuel College
BS, Psychology
Beacon Health Strategies January 2010 - Present
Boston Medical Center Healthnet Plan March 2008 - September 2010
MBHP June 2007 - March 2008
ValueOptions March 2005 - June 2007
Carney Hospital February 2003 - February 2005
OB/NICU October 2002 - January 2003
New England Medical Center 2001 - 2003
Neighborhood Health Center December 1999 - February 2001
Carney Hospital May 1995 - November 1999
Skills
Psychotherapy, Crisis Intervention, Adolescents, Mental Health, Therapists, Healthcare, Case Managment, Clinical Research, Hospitals, Inpatient, Case Management, Dual Diagnosis, Treatment, Program Development, Interventions, Harm Reduction
Education
Boston College 1993 — 1995
M.S.W, Clinical Social Work
Cornell University
B.S, Human Development and Family Studies
Boston Medical Center HealthNet Plan March 2013 - Present
BlueCross BlueShield of RI May 2006 - April 2013
Chainstore Maintenance August 2002 - March 2006
AQM Information Solutions April 2001 - August 2002
Marketing Specialists 1997 - 2001
Skills
Microsoft Office (Word,..., Accounts Receivable and..., Third Party Billing, VPN, Citrix Metaframe, Facets, Knock-Your-Socks-Off..., Medical and Dental..., Direct Sales, Diffusing Skills..., Public Speaking, Lotus Notes, Supervising, Operations Management, Remote Access, Administrative..., Medical Terminology, Customer Service, Provider Relations, Training, Onyx, Diversity & Inclusion, Health Insurance, Dental Terminology, Call Centers, Healthcare, Insurance, Leadership, Management, Microsoft Office, Microsoft Word, Outlook, Process Improvement, Team Building, Microsoft Excel, Administrative...
Education
Endicott College 2013 — 2015
MBA with concentration in Healthcare Management, MBA Healthcare Management
Fisher College 2009 — 2012
Bachelor of Science (BS), Business Administration/Leadership
Network Health A DIVISION OF TUFTS HEALTH PLAN July 2012 - Present
Boston Medical Center HealthNet Plan November 2010 - June 2012
Adheris, Inc. February 2000 - August 2010
Skills
Managed Care, Medicaid, Pharmaceutical Industry, Microsoft SQL Server, SQL, Healthcare Information..., Data Analysis, Business Analysis, HIPAA, Healthcare, Microsoft Office, Project Management, Data Warehousing, Informatics, Process Improvement, Databases, Software Documentation
Education
Lesley University 1999 — 2002
MIS, Masters of Management In Information Technology
Boston Medical Center HealthNet Plan April 2014 - Present
Neighborhood Health Plan June 2012 - April 2014
Neighborhood Health Plan 2010 - 2012
Neighborhood Health Plan 2007 - 2010
Evercare (UHC) December 2006 - June 2007
SleepMed, Inc June 2004 - December 2006
Beacon Health Strategies LLC October 2000 - September 2003
Harvard Pilgrim Health Care 1997 - 2000
Harvard Pilgrim Health Care 1994 - 1997
Harvard Pilgrim Health Care 1991 - 1994
Skills
Training, Provider Relations, HIPAA, Program Management, Health Insurance, Managed Care, Software Documentation, Leadership, PPO, HMO, Management, Medicare, Customer Service, Medicaid, Team Building, Recruiting, Contract Management, Microsoft Office, Business Development, Research, Hospitals, Outlook, PowerPoint, Contract Negotiation, Network Development, Process Improvement, Credentialing, Access, Policy, Training Delivery, Healthcare Industry, Project Management, Project Planning, Creative Problem Solving, Problem Solving, Healthcare, Healthcare Management
Education
College for America at SNHU 2014 — 2016
Healthcare administration
Corporate Education Group/ Duke University Managment Training Program 2013 — 2014
Certificate in Project Management, Project Management
Aquinas College
Wheelock College
Early Childhood Education
Genesis HealthCare June 2015 - Present
Genesis HealthCare August 2010 - Present
Genesis HealthCare June 2009 - August 2010
Boston Medical Center HealthNet Plan June 2008 - August 2008
Skills
Healthcare Management, Healthcare, Hospitals, Nursing, Clinical Research, Physician Relations, Community Outreach, Medicare, Fundraising, Healthcare Information..., Event Planning, Outlook, Time Management, Staff Development, Public Speaking, Process Scheduler, PowerPoint, EMR, Medicaid, Elder Care, Managed Care, Medical Terminology, Public Relations
Education
University of New Hampshire
Bachelor's
Centene Corporation March 2014 - Present
Boston Medical Center HealthNet Plan April 2013 - March 2014
Boston Medical Center HealthNet Plan April 2012 - March 2013
Catholic Medical Center May 2009 - April 2012
Skills
Revenue Cycle, Healthcare Management, Healthcare, Hospitals, Medicare, Contract Negotiation, Contract Management, Network Administration, Medicaid, Managed Care
Education
Bishop Guertin High School
Bishop Guertin High School
Plymouth State University
Master of Business Administration (MBA)
University of New Hampshire 2005 — 2009
Bachelor of Science, Health Management and Policy
Boston Medical Center HealthNet Plan 2012 - Present
Network Health November 2010 - August 2012
Fallon Community Health Plan January 2007 - June 2010
Fallon Community Health Plan April 2001 - January 2007
United Healthcare December 1993 - December 1999
RIGHA 1987 - 1990
Skills
Project Management, Healthcare, Recruiting, Health Insurance, Leadership, Analysis, Provider Relations, Medicare, Medicaid, Managed Care, Management, Insurance, Process Improvement
Education
University of Rhode Island
BS & MS, Resource Economics
Agero, Inc. April 2015 - Present
Notary Public October 2011 - Present
Agero, Inc. August 2012 - March 2015
Agero, Inc. June 2011 - August 2012
Marshalls Department Store March 2006 - November 2011
Bentley University November 2007 - May 2011
Boston Medical Center HealthNet Plan June 2010 - August 2010
Harvard Pilgrim Health Care June 2009 - August 2009
Harvard Pilgrim Health Care December 2008 - January 2009
Harvard Pilgrim Health Care June 2008 - August 2008
Skills
PowerPoint, Microsoft Excel, Microsoft Word, Spanish, Time Management, Databases, Community Outreach, Microsoft Office, Social Media, Outlook, Access, Financial Analysis
Education
Bentley University 2007 — 2011
Bachelor's degree, Marketing & Law
Two Girls Dishing Decorative Baskets October 2009 - Present
Boston Medical Center HealthNet Plan December 2003 - March 2010
Healthcare Administrative Partners September 2001 - May 2003
Education
Northern Essex Community College 1991 — 1993
Associate, Desktop Publishing & Commercial Art
Boston Medical Center HealthNet Plan February 2009 - Present
Boston Medical Center HealthNet Plan February 2009 - September 2011
Partners HealthCare 2006 - 2007
Tufts Health Plan February 1994 - September 2006
Skills
SDLC, Visio, Data Warehousing, ETL, Access, SQL, Windows 7, Software Documentation, Disaster Recovery, SharePoint, Active Directory, Healthcare Information..., Databases
Education
Bentley College 1977 — 1981
Bachelor of Science (BS), Computer Information Systems
Arlington Catholic High School 1973 — 1977
College Prep, Mathematics and Computer Science
Boston Medical Center Healthnet Plan 2010 - 2012
Skills
Communication Skills, Social Skills, Customer Service, Punctuation, Management, Microsoft Excel, Microsoft Office, Avaya, JWalk, OnBase, CCMS, Sales, Public Speaking, Marketing
Education
New England College 2005 — 2009
Bachelor's degree, Communication, General