Fallon Community Health Plan

Industry: Health insurance company

Description

Founded in 1977, Fallon Health is a Worcester, Massachusetts-based provider of health insurance and health care services. In partnership with Weinberg Campus, Fallon Health also operates Fallon Health Weinberg, a health insurance company based in Amherst, New York. CEO: Richard P. Burke Headquarters: Worcester, Massachusetts, United States Chief compliance officer: James Gentile Chief medical officer: Carolyn Langer SVPs: James Gentile, Carolyn Langer, Jill Lebow, David Przesiek, Emily West Subsidiaries: Fallon Health & Life Assurance, Fallon Total Care Inc.

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Fallon Community Health Plan Employees

Employee
Years
Job
Industry
Erica Abel Erica Abel Greater Boston Area Details
Erica Abel's Fallon Community Health Plan Experience March 2006 - March 2007
Job Executive Administrative Assistant for the CEO and VP
Industry Marketing and Advertising
Experience
Vibram Group  November 2014 - Present
BNY Mellon  May 2012 - October 2014
BNY Mellon  January 2012 - May 2012
MarketOne International  May 2009 - October 2011
Fallon Community Health Plan   March 2006 - March 2007
Public Sector Partners  May 2004 - March 2006
Primary Mortgage Resource   June 2001 - April 2004

Skills
Customer Service, Microsoft Office, Excel, Word, PowerPoint, Problem Solving, Administration, Event Planning, Outlook, Editing, Microsoft Word, Microsoft Excel, Community Outreach, Management, Marketing, Nonprofits, Public Speaking, Quality Assurance, Research, Software Documentation, System Administration, Time Management, Training, Data Entry, Administrative..., Access, Data Analysis, Office Management, Social Media, Telephone Skills, Windows, Lotus Notes, Team Building, Social Networking

Education
Boston Latin School   1997 — 2001
Diploma, College Prep Curriculum

Lisa Ortolani Lisa Ortolani Tupper Lake, New York Details
Lisa Ortolani's Fallon Community Health Plan Experience 2009 - Present
Job Claims Specialist at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan   2009 - Present

Education
Ashford University   2012 — 2016

Penny Krawczyk Penny Krawczyk Greater Boston Area Details
Penny Krawczyk's Fallon Community Health Plan Experience May 2008 - Present
Job Provider Network & Development/Market Research Analyst
Industry Insurance
Experience
Fallon Community Health Plan   May 2008 - Present
Polar Beverages  June 2004 - May 2008
Allmerica Financial  August 1981 - June 2004

Skills
Access, Insurance, Analysis, Budgets, Data Analysis, Software Documentation, Process Improvement, Databases, Data Warehousing, Forecasting, Health Insurance, Strategic Planning, Microsoft Excel, Time Management, Market Research, Business Analysis, Microsoft Word, Medicaid, Healthcare, Microsoft Office, Requirements Analysis, Outlook, Research, Medicare, Analytics, PowerPoint, Database Administration, Marketing, HMO, Network Development, Database Design, Healthcare Industry, Provider Relations, Health Care Reform, Healthcare Analytics, SharePoint, SQL, PPO, Software Project..., Analysis Services, Training, Visio, HIPAA, Managed Care, Management

Education
Assumption College   2008 — 2011
Bachelor of Business Administration (B.B.A.), Accounting and Finance

Nichols College
Bachelor of Business Administration (B.B.A.), Accounting and Finance

Michelle Gour Michelle Gour Worcester, Massachusetts Details
Michelle Gour's Fallon Community Health Plan Experience August 2010 - Present
Job Senior Nurse Case Manager at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan   August 2010 - Present
UMass Memorial Medical Center  August 2002 - November 2009
Ministry Health Care  August 2000 - August 2002
Hays Medical Center  August 1999 - August 2000
North Star Camp for Boys  June 1999 - August 1999

Skills
Pediatric Intensive Care, Pediatric Nursing, Case Managment, Utilization Management, Utilization Review, Medicare, Nursing, Inpatient, Healthcare, Medicaid, Home Care, Quality Improvement, Healthcare Management, Microsoft Word, Healthcare Information..., Long-term Care, Elder Care, HIPAA, Healthcare Consulting, Healthcare Industry, Managed Care, Disease Management, Provider Relations, Case Management, Physician Relations, Meditech

Education
American Sentinel University, Denver   2011 — 2014
Master's Degree, Nursing - Case Management

Chamberlain College of Nursing-St Louis Campus   2010 — 2011
Bachelor of Science in Nursing (B.S.N.)

Quinsigamond Community College   1996 — 1999
Associate of Science in Nursing (A.S.N.)

Fairfield University   1985 — 1989
Bachelor of Arts (B.A.), Economics

Michelle Lord Samples Michelle Lord Samples Greater Boston Area Details
Michelle Lord Samples's Fallon Community Health Plan Experience July 1997 - April 2000
Job Owner, From the Heart ~ encourager, coach, mentor, teacher
Industry Professional Training & Coaching
Experience
Hanover Insurance  July 2009 - Present
From the Heart  January 2008 - Present
Lutheran Social Services of New England  May 2000 - August 2006
Fallon Community Health Plan   July 1997 - April 2000

Skills
Training, Management, Coaching, encourager, Communication, Coordination, Organization, Office Management, Love to Learn, Mentoring, Teaching, Listening to customers, Consulting, Nonprofits, Writing, women's ministry, Community Outreach

Education
Assumption College

International School of Brussels   1969 — 1971
HS Diploma

Harry Mishkin Harry Mishkin Greater Boston Area Details
Harry Mishkin's Fallon Community Health Plan Experience July 2011 - October 2011
Job Senor Business Analyst (Consultant) at the Secretary of the Commonwealth, MA
Industry Information Technology and Services
Experience
AVID Technical Resources  February 2015 - Present
LeapFrog Systems  June 2013 - November 2014
Cognizant Technology Solutions  November 2011 - March 2013
Fallon Community Health Plan   July 2011 - October 2011
Coldwell Banker Residential Brokerage  December 2007 - February 2011
System Sanity Inc.   July 2000 - September 2007
Sargent Manufacturing  September 1998 - February 1999
Cigna Retirement and Investment Services  January 1998 - May 1998
Southern New England Telephone  September 1996 - December 1997
Bankers Trust  March 1995 - June 1996

Skills
Visio, Microsoft SQL Server, Visual Basic, SharePoint, DB2, XML, JAD, Agile Methodologies, Oracle, UML, Use Case Analysis, Unix, HTML, SDLC, Requirements Analysis, SQL, Data Warehousing, Testing, Requirements Gathering, Software Project..., Integration, Quality Assurance, Business Analysis, Data Modeling, Database Design, Databases, Vendor Management, Project Management, Interface Specification, JavaScript, Web Applications, Access, .NET, Business Requirements, ASP.NET, Information Technology, Business Intelligence, Management, Consulting, Software Development, Enterprise Software

Education
Arizona State University   1981 — 1985
MBA, Computer Information Systems

California Institute of Integral Studies   1973 — 1975
MA, Counseling Psychology

Antioch University   1968 — 1972
BA, Communications

Emily Fant Emily Fant Worcester, Massachusetts Details
Emily Fant's Fallon Community Health Plan Experience 2011 - March 2013
Job Licensed health insurance producer
Industry Insurance
Experience
United HeathCare  April 2015 - Present
Baystate Medicaid Services   August 2014 - Present
Baystate Medicaid Services   August 2014 - Present
Consulting Support Services, LLC   June 2014 - July 2014
Fallon Total Care  March 2013 - April 2014
Fallon Community Health Plan   2011 - March 2013
Rehabilitative Resources Inc  2010 - 2011

Skills
Computer Proficiency, Training, Teaching, Supervising, Health Insurance, Medicare, Medicaid, Managed Care, Healthcare, HIPAA, Hospitals, Provider Relations, PPO, Healthcare Management, Public Speaking, Community Outreach, Customer Service, Event Planning, Leadership, Marketing, Nonprofits, Insurance

Education
American Public University System   2011 — 2016
Master's degree, Public Health

Salter College-West Boylston   2009 — 2010
Associate's Degree, Medical Office Management/Administration

University of Massachusetts, Amherst   1997 — 2002
Bachelor of Science (BS), Apparel Marketing

Lisa Fleury Jaworski, MBA Lisa Fleury Jaworski, MBA Greater Boston Area Details
Lisa Fleury Jaworski, MBA's Fallon Community Health Plan Experience March 2013 - November 2013
Job Business Analyst
Industry Information Technology and Services
Experience
TJX  February 2014 - Present
Fallon Community Health Plan   March 2013 - November 2013
Boston Scientific  January 2011 - February 2013
OnProcess Technology  June 2008 - December 2010
Plexus Corporation  September 2006 - May 2008
Electronic Data Systems  October 2005 - September 2006
Electronic Data Systems  January 2005 - October 2005

Skills
Business Analysis, Software Documentation, Business Process, Program Management, Process Improvement, Project Management, Call Centers, Business Development, Analytics, Visio, Vendor Management, Cross-functional Team..., Business Intelligence, Access, Business Process...

Education
Bryant University   2002 — 2006
MBA, Business

College of the Holy Cross   1998 — 2002
BA, Major: Psychology; Minor: Economics

Cormier Jaimee Cormier Jaimee Worcester, Massachusetts Details
Cormier Jaimee's Fallon Community Health Plan Experience June 2010 - Present
Job Claims Auditor at Fallon Health
Industry Insurance
Experience
Fallon Community Health Plan   June 2010 - Present
Fallon Health  November 1998 - May 2010
MEDIA PLAY  March 1996 - April 1999

Skills
Insurance, Customer Service, Health Insurance, Healthcare, Medicare, Medical Coding, Medical Billing, Retail, HIPPA, Medical Compliance

Education
Assumption College   2009 — 2010
Billing and Coding Certificate, Business Administration and Management, General

Assumption College

Tanya Neslusan Tanya Neslusan Greater Boston Area Details
Tanya Neslusan's Fallon Community Health Plan Experience December 2010 - December 2013
Job Business Systems Analyst/Project Manager
Industry Information Technology and Services
Experience
UnitedHealth Group  March 2014 - Present
Apex Systems  January 2014 - March 2014
Fallon Community Health Plan   December 2010 - December 2013
CVS Caremark Corporation  June 2009 - November 2010
The Hanover Insurance Group  July 2007 - April 2009
Spencer Technologies  September 2006 - July 2007
3Com Corporation  June 2005 - November 2005
3Com Corporation  June 2000 - June 2005
3Com  September 1999 - June 2000
Fidelity Investments  June 1999 - September 1999

Skills
Project Management, CRM, Siebel, SAP, IVR, Portals, Process Simulation, Business Analysis, Process Improvement, Visio, Vendor Management, Software Documentation, Program Management, Call Center, Requirements Analysis, Call Centers, Business Process, Integration, SDLC, Cross-functional Team..., Analysis, Testing, Databases, Business Requirements, Requirements Gathering, Business Intelligence, PMP, Data Warehousing, Systems Analysis, IT Strategy, SQL, Disaster Recovery, Information Technology, User Acceptance Testing, Business Objects, Waterfall, SharePoint, Access, PMO, Crystal Reports, Enterprise Architecture, Project Planning, Management, Training, Software Project..., Business Process...

Education
University of Massachusetts, Amherst   1993 — 1996
B.A., Political Science

Bay Path University   1992 — 1993
Paralegal Studies

Kim Lapierre Kim Lapierre Greater Boston Area Details
Kim Lapierre's Fallon Community Health Plan Experience November 2012 - Present
Job Service Improvement Program Manager at Fallon Community Health Plan
Industry Hospital & Health Care
Experience
Fallon Community Health Plan   November 2012 - Present
Fallon Community Health Plan   November 2010 - November 2012
Fallon Community Health Plan   March 2008 - December 2010
Fallon Community Health Plan   May 2002 - March 2008
Fallon Community Health Plan   April 2000 - March 2003
Golub Corporation  June 1992 - May 2000

Skills
Health Insurance, Medicare, Insurance, Process Improvement, Healthcare, Customer Service, Management, Training, Analysis, Strategy, Leadership, Project Planning, Employee Benefits, New Business Development, Organizational...

Education
Becker College   1992 — 1996
BS, Legal Study

Villanova University
Certification, Project Management

William Bjerke William Bjerke Providence, Rhode Island Area Details
William Bjerke's Fallon Community Health Plan Experience March 2012 - May 2012
Job Insurance/ Benefits Professional
Industry Insurance
Experience
Fallon Community Health Plan   March 2012 - May 2012
GBS Insurance Agency, Inc., Webster, MA 01501   June 2008 - July 2010
Delta Dental of Rhode Island, Providence, RI 02904   December 2004 - June 2008
Harvard Pilgrim Health Care  December 1990 - November 2004
MetLife, North Attleboro, MA   April 1989 - November 1990

Education
Johnson & Wales University   1991 — 1993
MBA, International Business

Johnson & Wales University   1988 — 1991
BS, Management

Bryant University   2005 — 2005
Certificate, Six Sigma - Green Belt Certification

Joanna Tivnan Joanna Tivnan Greater Boston Area Details
Joanna Tivnan's Fallon Community Health Plan Experience January 2009 - Present
Job Member Connect at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan   January 2009 - Present
Travelers  January 2002 - January 2009

Education
Assumption College   2002 — 2005
Certificate, Paralegal Studies

University of Colorado Boulder   1990 — 1993
Bachelor's, Spanish

University of Colorado Boulder   1990 — 1993
Bachelor's, Environmental Studies

Karen Healey Karen Healey Greater Boston Area Details
Karen Healey's Fallon Community Health Plan Experience November 2012 - Present
Job at
Industry Computer Software
Experience
ikaSystems  April 2015 - Present
Fallon Community Health Plan   November 2012 - Present
SeaChange International  February 2012 - October 2012
Sunovion Pharmaceuticals Inc.  January 2011 - December 2011
Waters Corporation  July 2010 - January 2011
Iron Mountain Digital  October 2007 - May 2010
RSA, The Security Division of EMC  April 1999 - October 2007
CogniMed, Inc  February 1999 - April 1999
Compaq Computer Corporation  June 1998 - January 1999
Qualis Research Associates   October 1998 - December 1998

Skills
RoboHelp, Software Documentation, Technical Communication, Procedural Documentation, Technical Writing, Technical Documentation, FrameMaker, Manuals, Content Management, Testing, Online Help, Adobe Acrobat, Cross-functional Team..., Scrum, Quality Assurance, Editing, HTML, Dreamweaver, SharePoint, DITA, Single Sourcing, XML, Agile Methodologies, MS Project, Captivate, User Experience, Requirements Analysis, Web Content, Usability, MadCap Flare, JIRA, CMS, Visio, SnagIt, SDLC, Usability Testing, Guides, WebWorks

Education
University of Massachusetts, Amherst   1998 — 1999
Certificate, Technical Writing

Anna Maria College   1979 — 1983
Bachelor, Accounting; Liberal Arts

Lynne Feiz Lynne Feiz Greater Boston Area Details
Lynne Feiz's Fallon Community Health Plan Experience June 1997 - September 1999
Job Vice President, Marketing & Retail Sales Officer at Millbury Savings Bank
Industry Banking
Experience
Millbury Savings Bank  April 2007 - Present
Fidelity Investments  September 1999 - April 2007
Fallon Community Health Plan   June 1997 - September 1999
Paul Revere Insurance Group  October 1995 - April 1997
Greenberg, Rosenblatt, Kull & Bitsoli, P.C.   May 1992 - October 1995

Skills
Marketing Strategy, Marketing Communications, Copywriting, Direct Marketing, Product Management, Vendor Relations, Public Relations, Corporate Communications, Internal Communications, Strategic Communications, Brand Development, Integrated Marketing, Online Marketing, Digital Marketing, Segmentation, Email Marketing

Education
Boston University   1986 — 1990
B.S., Journalism

Millbury Memorial High School   1982 — 1986

Jessica Medeiros Jessica Medeiros North Dartmouth, Massachusetts Details
Jessica Medeiros's Fallon Community Health Plan Experience May 2013 - August 2015
Job at
Industry Hospital & Health Care
Experience
Fallon Health  August 2015 - Present
Fallon Community Health Plan   May 2013 - August 2015
BMC HealthNet Plan  October 2009 - May 2013
BMC HealthNet Plan  May 2008 - August 2009
Dartmouth Medical Equipment   January 2002 - May 2008

Skills
Medicare, Managed Care, Healthcare, Health Policy, HIPAA, Utilization Management, Provider Relations, Durable Medical..., Credentialing, CPT, Network Development, Medical Coding, HMO, Epic Systems, Health Insurance, Microsoft Office 2007, Healthcare Management, CCMS, Facets, HEDIS, NCQA, ICD-9, Software Documentation, Microsoft Publisher, WebEx, Healthcare Industry, Claims Resolution, Medicaid, microsoft office 2010, CAU, Senior Care Options, Dual eligibles, Care Management, Aging Services Access..., Case Net, TruCare, Adult Day Health, Adult Foster Care, Case Management, Medical Billing, Insurance, Disease Management, HCPCS, Physician Relations, Medicare/Medicaid..., Health Information..., Health Care Reform, JCAHO, CPR Certified

Education
Bristol Community College

UMass Dartmouth

Susan Thibeault, RN Susan Thibeault, RN Greater Boston Area Details
Susan Thibeault, RN's Fallon Community Health Plan Experience October 2011 - Present
Job EHR Concepts Subject Matter Expert Allscripts Touchworks Enterprise EHR at EHR Concepts Instructor EHR Academy
Industry Information Services
Experience
CTG Health Solutions  November 2014 - Present
Fallon Community Health Plan   October 2011 - Present
EHR Concepts  April 2012 - May 2013
EHR Concepts  October 2011 - May 2013
UMass Memorial Medical Center  August 2006 - October 2011
UMass Memorial Medical Center  July 1995 - August 2006

Skills
EHR, Healthcare Information..., EMR, HIPAA, Healthcare, Ambulatory, Hospitals, Healthcare Management, CPOE, Practice Management, Medical Terminology, Clinical Workflow, Inpatient, Patient Safety, Go Live Support, GoLive, EMR Training, Software Documentation, Dragon Naturally..., Nursing, Medical Technology, Medical Billing, IDX, Medical Coding, Health Information..., Software Implementation, Healthcare Consulting, Training, HL7, Revenue Cycle, Ambulatory Care, Health Information..., NextGen, Healthcare Industry, ICD-10, ICD-9, Documentations, End User Training, Crystal Reports, Cpr Certified, CPT, Interfaces, Soarian Clinicals, Consulting, Citrix, Clinical Research, Healthcare Information..., eRx, Enterprise Software, Hands-on Training

Education
Quinsigamond Community College   2008 — 2010
RN, Nursing, 3.82

Assumption College   1992 — 1995
Associate's degree, Health/Health Care Administration/Management, 4.0

Holly Christo Holly Christo Southbridge, Massachusetts Details
Holly Christo's Fallon Community Health Plan Experience 2007 - 2009
Job Training & Coaching Professional
Industry Nonprofit Organization Management
Experience
Literacy Volunteers of South Central Massachusetts   November 2011 - Present
Southbridge Redevelopment Authority   2008 - Present
Literacy Volunteers of South Central Mass   2009 - 2010
Fallon Community Health Plan   2007 - 2009
Fallon Community Health Plan   2006 - 2007
Literacy Volunteers of the Tri-Community   2004 - 2005
Fallon Healthcare System   2000 - 2003
Saint Vincent Hospital  1993 - 2000
Fallon Clinic  1991 - 1993
Commerce Insurance Company  1983 - 1988

Skills
Training, Employee Benefits, Recruiting, Human Resources, Fundraising, Editing, Program Management, Deferred Compensation, Software Documentation, Budgets, Personnel Management, FMLA, Disability Insurance, Grants, Nonprofits, Leadership, Policy, Event Planning, Team Building, Administration, Public Speaking, Process Improvement, Employee Relations, Talent Acquisition, Project Management, Volunteer Management, Microsoft Excel, System Administration

Education
Assumption College   1998 — 2000
Certificate, Human Resources Management

Framingham State University
Elementary Education

Worcester State College
BA, English

William Boles William Boles Greater Boston Area Details
William Boles's Fallon Community Health Plan Experience 2011 - 2012
Job Searching for Data Analyst , Business Systems Analyst , and Project Manager roles
Industry Information Technology and Services
Experience
Boles Group   March 2014 - July 2014
Celerity  November 2013 - February 2014
Dell@Harvard Pilgrim   November 2012 - November 2013
APC /Schneider - Electric   May 2012 - October 2012
KForce @ Fallon   2011 - 2012
Fallon Community Health Plan   2011 - 2012
Raytheon  October 2009 - November 2009
State Street  September 2008 - May 2009
Robert Half  2008 - 2009
Market America  2008 - 2009

Education
University of Massachusetts Dartmouth   1972 — 1974
BS MAN, Business Management

Bristol Community College   1970 — 1972
Assoc . Business Management, Management

Green Belt, Villanova University

Villanova University
Master's Certificate, Project Management

Leanna Moran Leanna Moran Greater Boston Area Details
Leanna Moran's Fallon Community Health Plan Experience Executive Director, NaviCareFallon HealthFebruary 2014 - Present
Job Executive Director, NaviCare at Fallon Health
Industry Hospital & Health Care
Experience
Fallon Community Health Plan   Executive Director, NaviCareFallon HealthFebruary 2014 - Present
Fallon Community Health Plan   May 2011 - May 2012
Senior Living Residences  October 2008 - May 2011
Senior Living Residences  2008 - 2009
Gold Star Guardians   October 2003 - October 2008

Skills
Community Outreach, Healthcare, Elder Care, Non-profits

Education
Boston College   2001 — 2004
Masters, social work

Brandeis University   1997 — 2000
Bachelors, Psychology/ Sociology

William Breault William Breault Greater Boston Area Details
William Breault's Fallon Community Health Plan Experience March 1992 - September 1995
Job NERC CIP Compliance Program Manager
Industry Utilities
Experience
National Grid  October 2009 - Present
WWB Properties   2003 - Present
National Grid  April 2008 - October 2009
National Grid  September 2005 - April 2008
National Grid  September 1995 - September 2005
Fallon Community Health Plan   March 1992 - September 1995
Multibank Service Corp   March 1988 - March 1992
Citizens Bank  May 1986 - March 1992
Paul Revere Insurance  July 1983 - May 1986

Skills
Smart Grid, Risk Management, Energy, Internal Audit, Management, NERC, Internal Controls, Auditing, Project Planning, Governance, Business Analysis, PeopleSoft, Project Management, Security, Program Management, Business Process, Vendor Management, SDLC, Process Improvement, Sarbanes-Oxley Act, Analysis, Training, Leadership, Information Technology, Business Process..., Financial Risk, Sarbanes-Oxley, Testing, Electricity Markets, Change Management, Utility Industry, Demand Response, Electric Power, CIP

Education
Nichols College   1979 — 1983
BSBA, Management Information Systems

Boston University
Certificate, Project Managment

Vicki Triola Vicki Triola Greater Boston Area Details
Vicki Triola's Fallon Community Health Plan Experience December 2012 - Present
Job Manager of Market Intelligence and Positioning at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan   December 2012 - Present
Fallon Community Health Plan   2004 - December 2012
Aggregate Industries  January 1997 - May 2004
Concrete Service   1997 - 2004
Fallon Community Health Plan   1993 - 1997

Skills
Employee Benefits, Strategic Planning, Market Research, Health Insurance, Market Analysis, Marketing, Marketing Strategy, New Business Development, Market Intelligence, Insurance, Analysis, Competitive Intelligence, Data Analysis, Managed Care, Analytics, Competitive Analysis, Healthcare, Management, Process Improvement, Business Analysis

Education
Boston University Questrom School of Business   1991 — 1993
MBA, Health Care

Hobart and William Smith Colleges   1987 — 1991
BA, Economics and Sociology

Worcester Academy   1983 — 1987

Deborah Wineberg Deborah Wineberg Pittsfield, Massachusetts Area Details
Deborah Wineberg's Fallon Community Health Plan Experience August 2014 - Present
Job Transitions of Care Coordinator at Fallon Community Health Plan
Industry Hospital & Health Care
Experience
Fallon Community Health Plan   August 2014 - Present
Visiting Nurse Association & Hospice of Northern Berkshire   October 2010 - March 2014
Berkshire Visiting Nurse Association   April 2002 - October 2009
Visiting Nurse Association & Hospice of Northern Berkshire   1986 - 2001

Skills
Medical Records, Quality Improvement, Infection Control, Healthcare, Nursing, Internal Audit, Health Education, Home Care, CPR/AED certified, Patient Advocacy, Patient Education, Patient Safety, Medical Coding

Education
Boston University   1975 — 1979
Bachelor of Science in Nursing (BSN), Registered Nursing/Registered Nurse

David Matayabas David Matayabas Greater Boston Area Details
David Matayabas's Fallon Community Health Plan Experience February 2012 - Present
Job EDI Analyst all aspects of healthcare transactions
Industry Retail
Experience
Fallon Community Health Plan   February 2012 - Present
LL Bean Outdoor Discovery School   May 2011 - Present
LL Bean  December 2008 - Present
LogixHealth  October 2010 - February 2012
AthenaHealth  December 2003 - February 2009
Neighborhood Health Plan  August 2003 - November 2003
ValueOptions  November 2001 - March 2003
Beacon Health Strategies  November 1999 - October 2001
Harvard Pilgrim Health Care  1996 - 1999

Skills
Microsoft Excel, Project Management, Microsoft Word, Training, Manuals, Process Improvement, HIPAA, Customer Service, Data Analysis

Education
Bunker Hill Community College   1984 — 1988
A.S., Business Administration

Saugus High School   1981 — 1984

Joel Kaufman Joel Kaufman Worcester, Massachusetts Details
Joel Kaufman's Fallon Community Health Plan Experience 1988 - 1997
Job Neurologist
Industry Hospital & Health Care
Experience
Self-employed  February 2014 - Present
Lifespan/Physicians Professional Service Orgnaization   1997 - 2014
Fallon Community Health Plan   1988 - 1997

Skills
Healthcare, Healthcare Management, Medicine, Hospitals, Public Health, Clinical Research, Medical Education, Healthcare Information..., EMR, Healthcare Consulting, Physicians, Patient Safety, Strategic Planning, Public Speaking, EHR

Education
Boston University School of Medicine   1973 — 1977
Doctor of Medicine (MD)

Boston University   1969 — 1973
Bachelor's degree, Mathematics

Lisa (Saucier) Rosenkrantz Lisa (Saucier) Rosenkrantz Greater Boston Area Details
Lisa (Saucier) Rosenkrantz's Fallon Community Health Plan Experience January 2008 - Present
Job Senior Recruiter at Fallon Health
Industry Human Resources
Experience
Fallon Community Health Plan   January 2008 - Present
Fallon Clinic  1998 - 2006
Saint Vincent Hospital  1994 - 2000

Skills
Recruiting, Talent Acquisition, Technical Recruiting, Internet Recruiting, Benefits Negotiation, Healthcare recruiting

Education
Assumption College   2005 — 2007
Human Resource Management

Quinsigamond Community College   1982 — 1984
Business

Holy Name

Caitlin Johnson Caitlin Johnson Worcester, Massachusetts Details
Caitlin Johnson's Fallon Community Health Plan Experience May 2012 - March 2014
Job Reporting Analyst (Actuarial Department) at Fallon Health
Industry Insurance
Experience
Fallon Health  September 2014 - Present
Fallon Health  March 2014 - October 2014
Fallon Community Health Plan   May 2012 - March 2014

Skills
Access, SAS programming, Data Analysis, Medicare Advantage, Health Insurance, Risk Adjustment, Business Objects, Microsoft Office, Visio, Business Intelligence, Insurance, Customer Service, Process Improvement, Business Analysis, Microsoft Excel, Financial Risk, Management, Analysis

Education
Assumption College   2012 — 2014
Master of Business Administration (MBA), Accounting and Finance, Economics

College of the Holy Cross   2005 — 2009

Jay Alera Jay Alera Shrewsbury, Massachusetts Details
Jay Alera's Fallon Community Health Plan Experience May 2008 - August 2008
Job Assistant Hockey Operation, Head Coach of Competitive Goals Hockey Training
Industry Sports
Experience
Competitve Goals Hockey Training   August 2010 - Present
Rigali Roofing & Exteriors   October 2013 - Present
John Dillon explosive power skating   March 2003 - Present
Assistant Laccrose   2013 - 2013
Marian highschool   November 2012 - 2013
U.S Reflectors   May 2011 - July 2012
Egg Rock   May 2009 - August 2009
Fallon Community Health Plan   May 2008 - August 2008

Skills
Sports, Sports Management, Sports Marketing, Athletics, Scouting, Sports Coaching, Hockey, Event Management, Coaching, Microsoft Excel, Microsoft Word, Advertising, Sales, Fundraising, Marketing, Market Research, Event Planning, Social Networking, Customer Service, Leadership, Microsoft Office, PowerPoint, Time Management

Education
Becker College   2010 — 2015
Bachelor’s Degree, Marketing and management Concetration

Janice Melchiore Janice Melchiore Greater Boston Area Details
Janice Melchiore's Fallon Community Health Plan Experience January 2011 - May 2012
Job IT Project Manager with PMP, ACP & SCM Certifications
Industry Information Technology and Services
Experience
Staples  October 2014 - Present
Randstad Technologies US  June 2012 - October 2014
Fallon Community Health Plan   January 2011 - May 2012
Biogen Idec  August 2010 - January 2011
Workscape, Inc.   September 2006 - August 2010
SunGard Insurance Systems  October 2000 - September 2006
W. A. Wilde Company   September 1996 - October 2000

Skills
PMP, SDLC, Software, Software Project..., Project Management, Risk Management, Managing Meetings, MS Project, Project Planning, Project Execution, Process Improvement, Communication, Project Status Reporting, Business Process..., SharePoint, Customer Satisfaction, Managing Deliverables, Deadline Driven, Manage Client..., Team Leadership, Business Analysis, Requirements Gathering, Requirements Analysis, Budget Management, Vendor Management, Databases, Resource Management, SaaS, Scrum, Enterprise Architecture, IT Strategy, Budgets

Education
Worcester Polytechnic Institute   2006 — 2009
Certificate, Project Management

Bucks County Community College
Associate's Degree, Liberal Arts

Ermis Amparo Ermis Amparo Greater Boston Area Details
Ermis Amparo's Fallon Community Health Plan Experience 2005 - 2008
Job Nurse Recruiter at St. Vincent Hospital
Industry Human Resources
Experience
St. Vincent Hospital at WMC   July 2008 - Present
Fallon Community Health Plan   2005 - 2008
FCHP  2005 - 2008
Athol Memorial Hospital  2000 - 2005
St. Vincent Hospital  1996 - 2000

Skills
Human Resources, Employee Relations, Recruiting, Applicant Tracking..., Healthcare, Leadership, Nursing, Hospitals, HIPAA, Healthcare Management, Process Improvement, Healthcare Information..., Clinical Research, Policy, EMR, New Hire Orientations, Acute Care, Job Fairs, BLS, Benefits Administration, Personnel Management, College Recruiting, Meditech, Managed Care

Education
Worcester State University   1994 — 1996
Business Administration

Johnson & Wales University   1992 — 1994
Business Administration

Assumption College

Jesse Caplan Jesse Caplan Greater Boston Area Details
Jesse Caplan's Fallon Community Health Plan Experience February 2008 - February 2015
Job General Counsel at Massachusetts Executive Office of Health & Human Services
Industry Law Practice
Experience
Massachusetts Executive Office of Health & Human Services   March 2015 - Present
Epstein Becker & Green, P.C.   February 2008 - February 2015
Fallon Community Health Plan   February 2008 - February 2015
MA Attorney General's Office  2002 - 2008
Republic of Palau  1998 - 1999
U.S. Department of Justice, Antitrust Division   1991 - 1998
Fried Frank  1987 - 1991

Education
American University Washington College of Law   1984 — 1987
Doctor of Law (JD)

Colgate University   1977 — 1981
BA, International Relations

Fred Bains Fred Bains Greater Boston Area Details
Fred Bains's Fallon Community Health Plan Experience 2010 - Present
Job I.T. Security and Systems Administrator at Fallon Community Health Plan
Industry Information Technology and Services
Experience
Fallon Community Health Plan   2010 - Present
Astrazeneca R&D  January 2006 - March 2009
AstraZeneca R&D  February 2005 - January 2006
AstraZeneca R&D  February 2003 - February 2005
astrazeneca  November 1999 - January 2003
Boston Financial Data Systems   July 1996 - September 1999

Skills
ITIL, Incident Management, Change Management, Service Delivery, Problem Management, Configuration Management, Help Desk Support, CRM, Supply Management, IT Management, Software Documentation, SharePoint, Vendor Management, Disaster Recovery, Project Management, Business Analysis, IT Service Management, Active Directory, Troubleshooting, Process Improvement, Service Management

Education
Bryant University
Business Administration, Management, Economics, Accounting, English, Communications, Psychology, Mathematics, others

John Paul Marosy John Paul Marosy Bethlehem, Pennsylvania Details
John Paul Marosy's Fallon Community Health Plan Experience May 1997 - September 2000
Job Regional Director of Operations at Heritage Senior Living
Industry Hospital & Health Care
Experience
Heritage Senior Living  January 2014 - Present
Presbyterian Senior Living  December 2011 - December 2013
Bringing Elder Care Home   May 1999 - December 2011
LoJack Corporation  2009 - 2010
Bringing Elder Care Home   May 1998 - September 2009
VNA Private Care   August 2006 - May 2009
Evercare, a division of United Health Care   September 2004 - August 2006
Bringing Elder Care Home   January 1999 - August 2006
Fallon Community Health Plan   May 1997 - September 2000
Visiting Nurse Affiliates of Cambridge   1990 - 1995

Skills
Executive Management, Strategic Planning, Marketing Strategy, Healthcare, Team Building, Fundraising, Business Development, Start-ups, Public Speaking, Leadership, Program Management, Business Planning, Management, Event Planning, Marketing, Community Outreach, Elder Care, Nonprofits, Program Development, Public Relations, Budgets, Social Media, Contract Negotiation, Grants, Research, Medicare, Customer Service, Hospitals, Training, Grant Writing, Staff Development, Policy, Media Relations, Case Managment, Leadership Development, Organizational..., Project Planning, Teaching, Healthcare Consulting, Medicaid, Sales, Seniors, Volunteer Management, Managed Care, Community Development, Healthcare Management, Home Care, Long-term Care, Human Resources, Healthcare Industry

Education
Boston University   1974 — 1976
MA, Urban Affairs

Saint Peter's University   1968 — 1972
BS, Urban Studies and English

Nadine Spence Nadine Spence Greater Boston Area Details
Nadine Spence's Fallon Community Health Plan Experience 1996 - 2005
Job Registered Nurse looking to refine my skills while caring for the physical and emotional needs of my patients
Industry Hospital & Health Care
Experience
Saint Vincent Hospital  February 2008 - Present
Life Care Center of Auburn   2007 - 2008
Fallon Community Health Plan   1996 - 2005

Skills
Medical/Surgical, Telemetry, Nursing, Healthcare, Hospitals, Customer Service, Cardiac, Acute Care, Medicare, CPOE, Healthcare Management, Wound Care, BLS, ACLS, EKG, Direct Patient Care, IV, Inpatient, Meditech

Education
Becker College   2004 — 2006
Associates, Nursing

University of Massachusetts, Amherst   1992 — 1996
Bachelor of Science (B.S.), Biology, General

Northeastern University   1990 — 1992

Ann Phelan Ann Phelan Spencer, Massachusetts Details
Ann Phelan's Fallon Community Health Plan Experience January 1998 - March 2006
Job SrVP Clinical Operations at ValueOptions
Industry Health, Wellness and Fitness
Experience
ValueOptions  May 2006 - Present
Fallon Community Health Plan   January 1998 - March 2006
Fallon Clinic  1987 - 1997

Skills
Healthcare, Clinical Research, Medicaid, Medicare, Treatment, Hospitals, Healthcare Information..., Quality Improvement, HIPAA, Family Therapy, Psychotherapy, Home Care, Public Health, Health Insurance, Behavioral Health, Case Management, Program Development, Healthcare Management, Social Services, Mental Health

Education
Worcester State University   1972 — 1977
Bachelor's degree, Psychology and English

Anna Maria College
Masters Counseling Psych

Cindy Anderson Cindy Anderson Greater Philadelphia Area Details
Cindy Anderson's Fallon Community Health Plan Experience 1991 - 1996
Job Vice President, Brand Management at Project Management Institute
Industry Marketing and Advertising
Experience
Project Management Institute  September 2013 - Present
Project Management Institute  November 2007 - August 2013
International Institute of Buffalo  2003 - 2007
Rich Products  September 2002 - February 2006
Boston Scientific  May 1998 - May 2002
The Frontier Group  1996 - 1998
Fallon Community Health Plan   1991 - 1996

Skills
Strategic Communications, Communication Training, Corporate Communications, Marketing, Copywriting, Marketing Communications, Strategic Planning, Cross-functional Team..., Public Relations, Strategy, Mergers & Acquisitions, Internal Communications, Communications..., Thought Leadership, Integrated Marketing, Brand Management, Digital Marketing, Email Marketing, Content Management, Media Relations, Crisis Communications, Project Management

Education
Boston University   1992 — 1995
M.S., Mass Communication

University of Iowa   1982 — 1987
B.S., Journalism

Phil Benvenuti, CIA, CFE, MBA Phil Benvenuti, CIA, CFE, MBA Greater Boston Area Details
Phil Benvenuti, CIA, CFE, MBA's Fallon Community Health Plan Experience October 2007 - May 2013
Job Sr. Director of Internal Audit at Pegasystems, Inc.
Industry Accounting
Experience
Pegasystems, Inc.   October 2014 - Present
Assumption College  January 2013 - Present
Stowe & Degon LLC  May 2013 - October 2014
Fallon Community Health Plan   October 2007 - May 2013
Association of Certified Fraud Examiners - Rhode Island Chapter   August 2009 - July 2012
Hanover Insurance Company  September 2006 - October 2007
Sansiveri, Kimball & McNamee, LLP   March 2003 - August 2006
Hanover Insurance Company/Allmerica Financial   December 1995 - March 2003
Hanover Insurance Company/Allmerica   1995 - 2003
Allmerica Financial  1995 - 2003

Skills
Implementation and..., Corporate Fraud..., Testifying in civil and..., Internal Audit, Forensic Accounting, Litigation Support, Leadership, Finance, Management, Business Process, Training, Insurance, Investigation, Claim, COSO, Accounting, Financial Reporting, Process Improvement, Management Consulting, Testimony, Certified Fraud Examiner, Business Continuity, Civil Litigation, Strategic Financial..., Business Analysis, Account Reconciliation, Risk Management, Data Analysis, Financial Risk, Financial Analysis, Medicare, Model Audit Rule, General Ledger, Analysis, Criminal Investigations, Business Process...

Education
Assumption College   2007 — 2012
Master of Business Administration (MBA), Concentration: Management, 4.0

Assumption College   1986 — 1990
BA, Accounting and Communications

Auburn High   1982 — 1986
General college prep.

Rosa Napoletano, PMP Rosa Napoletano, PMP Worcester, Massachusetts Details
Rosa Napoletano, PMP's Fallon Community Health Plan Experience November 2012 - Present
Job Business Systems Analyst at Fallon Community Health Plan
Industry Information Technology and Services
Experience
Fallon Community Health Plan   November 2012 - Present
Boston College  August 2010 - November 2012
Walmart  May 2010 - August 2010
State Street  July 2005 - December 2008
State Street  October 2000 - June 2005
State Street  May 1992 - February 1996
GTE  July 1991 - April 1992
CSC  April 1986 - May 1991
NEC  1984 - April 1986
Naval Postgraduate School  1982 - 1984

Skills
PMP, Agile, Risk Management, SDLC, Lean Initiatives, MS Project, MS Office Suite, Mainframe, COBOL, PL/1, DB2, CICS, Project Management, Resource Allocation, User Requirements, Functional..., IBM Mainframe, TSO, MVS, JCL, VSAM, HTML, SharePoint

Education
Quality & Productivity Solutions, Inc.
PMP, Lean Six Sigma, Agile, Risk Management

Bentley University
Bachelor of Science, Computer Information Systems

North High School

Traci-Marie Sweet, Psy.D., MBA Traci-Marie Sweet, Psy.D., MBA Jefferson, Massachusetts Details
Traci-Marie Sweet, Psy.D., MBA's Fallon Community Health Plan Experience October 2009 - February 2012
Job Addiction Treatment Expert, Organizational Development Professional, MBA in Organizational Behavior, Psy.D. Clin. Psych.
Industry Hospital & Health Care
Experience
CRC Health Group  August 2013 - May 2015
Fallon Community Health Plan   October 2009 - February 2012
Catasys  September 2006 - September 2009
Hythiam, Inc  March 2006 - September 2009
Hythiam, Inc  March 2006 - September 2009
Empire Psychological Services   May 1996 - February 2006
Spectrum Health Systems, Inc.   January 1998 - January 2000
Quinsigamond Community College  1999 - 1999
Devereux  1995 - 1998
St. Vincent's Hospital Division of Alcohol & Drug Services   1995 - 1996

Skills
Behavioral Health, Mental Health, Program Development, Case Management, Healthcare, Training, Strategic Planning, Clinical Research, Case Managment, Healthcare Management, Community Outreach, Coaching, Treatment, Psychotherapy, Nonprofits, Medicaid, Motivational..., Crisis Intervention, Mental Health Counseling, Medicare, Public Speaking, Disease Management, Team Building, Executive Coaching, Hospitals, Leadership Development, Healthcare Information..., Disabilities, Non-profit..., Group Therapy, Psychological Assessment, Psychology, Program Evaluation, Adolescents, Family Therapy, Workshop Facilitation, Behavioral Problems, CBT, Staff Development, PowerPoint, Organizational..., Vocational..., Wellness, Pervasive Developmental..., Marketing Strategy, Product Marketing, Marketing Communications

Education
Hypnosis Motivation Institute   2015 — 2015
Clinical Hypnotherapist

Wilmington National University   2002 — 2004
Master of Business Administration (MBA), Organizational Behavior Studies

California Southern University   1997 — 2000
Doctor of Psychology (Psy.D.), Clinical Psychology, 3.94 GPA

Assumption College   1995 — 1996
Certificate of Advanced Graduate Studies, Vocational Rehabilitation Counseling

Assumption College   1994 — 1996
Master of Arts (M.A.), Vocational Rehabilitation Counseling/Counselor

Albertus Magnus College   1988 — 1992
Bachelor of Arts (B.A.), Psychology and Sociology

Carla DeSantis Carla DeSantis Worcester, Massachusetts Details
Carla DeSantis's Fallon Community Health Plan Experience October 2011 - Present
Job Disease Management Support Coordinator
Industry Executive Office
Experience
Fallon Community Health Plan   October 2011 - Present
Central Mass Dance Academy/Karon Shea Model Management   August 2009 - Present
Younique by Carla   September 2014 - September 2015
Assumption College  November 2006 - January 2011
New England Eye Clinic   February 2005 - November 2006
Spectrum Health Systems, Inc.   September 2001 - December 2004
UMass Memorial Medical Center  May 1993 - September 2001

Skills
Event Planning, Customer Service, Management, Access, PowerPoint, Social Media, Microsoft Office, Time Management, Microsoft Excel, Team Building, Leadership, Event Management, Community Outreach, Marketing, Administrative..., Project Management, Social Networking, Healthcare, Human Resources, Windows, Team Leadership, Inventory Management, Administration, Microsoft Word, Research, Invoicing, Payroll, Project Planning, Budgets, Social Media Marketing, Accounts Payable, Teaching, Data Analysis, Accounts Receivable, Program Management, Information Technology, Healthcare Information..., QNXT

Education
Assumption College

Fitchburg State College

Gabriel Rivas Jr Gabriel Rivas Jr Greater Boston Area Details
Gabriel Rivas Jr's Fallon Community Health Plan Experience March 2013 - May 2013
Job Recovery Analyst at CDR Associates, a Xerox Company
Industry Hospital & Health Care
Experience
CDR Associates, a Xerox Company  April 2015 - Present
UnitedHealthcare  June 2013 - April 2015
Fallon Community Health Plan   March 2013 - May 2013
Consumer United  February 2013 - March 2013
eHealthInsurance  June 2012 - January 2013
Boston University South Campus Residence Hall Association   September 2010 - May 2012
Casa Esperanza, Inc.   June 2011 - April 2012
Boston University Office of Financial Assistance  September 2008 - April 2012
Casa Esperanza, Inc  November 2010 - March 2011
Boston University West Campus Residence Hall Association   January 2010 - May 2010

Skills
Microsoft PowerPoint, Microsoft Word, Customer Service, Event Planning, Sales, Medicare, Spanish, Social Networking, Public Speaking, Microsoft Excel, PowerPoint, Leadership, Insurance, Management, Training, Marketing, Budgets, Entrepreneurship, Teaching, Nonprofits

Education
Boston University - School of Management   2008 — 2012
Bachelor of Science (BS), Business Administration and Management

Clinton High School   2004 — 2008
High School Diploma, General Education

Marie Felice Marie Felice Greater Boston Area Details
Marie Felice's Fallon Community Health Plan Experience September 2008 - Present
Job RN Case Manager at St Vincent Hospital
Industry Hospital & Health Care
Experience
St Vincent Hospital  July 2013 - Present
Fallon Community Health Plan   September 2008 - Present
Heywood Hospital  September 2006 - September 2008
St. Vincent Hospital  May 1969 - September 2006

Skills
Case Management, Nursing, Healthcare, Hospitals, Clinical Research, Home Care, Disease Management, ACLS, ICU, Medicaid, IV, Utilization Review, Acute Care, Healthcare Management, Medicare, Patient Safety, Inpatient

Education
Worcester State College   2004 — 2007
Master of Science (MS), Healthcare Administration

Anna Maria College   1996 — 1998
BSN, Registered Nursing/Registered Nurse

Becky Bruso, MBA Becky Bruso, MBA Southbridge, Massachusetts Details
Becky Bruso, MBA's Fallon Community Health Plan Experience November 2008 - November 2013
Job Business Solutions Service Provider
Industry Management Consulting
Experience
The BizPal Company   May 2014 - Present
Delaware Life  July 2014 - September 2015
Millennium Consulting  February 2014 - May 2014
Fallon Community Health Plan   November 2008 - November 2013
UMass Memorial Medical Center  November 2007 - November 2008
Commerce Insurance Company  January 2003 - November 2007
SAIC  September 2000 - January 2003
Commerce Insurance Company  November 1997 - March 2000
Hanover Insurance  September 1993 - April 1997
The Paul Revere Life Insurance Company  March 1990 - September 1993

Skills
Leadership, Business Strategy, IT Strategy, Ability to bring a..., Critical Thinking, Strategic Planning, Digital Strategy, Vision Creation, Strategic Vision, Decisiveness, Visionary, Vision Development, Strategic Thinking, Team Building, Visionary Thinking, Business Management, Process Improvement, Business Analysis, Requirements Analysis, Team Leadership, Data Analysis, Dealing with Ambiguity, Communication Skills, Project Management, Sales, Problem Solving, Pitching Ideas, Cross-team Collaboration, Hit the Ground Running, Directing Others, Fast Learner, Strategic Consulting, Consulting, Management Consulting, Software Consulting, Social Media, Business Planning, Writing, SWOT analysis, Cost Benefit Analysis, Entrepreneurship, Ability to quickly..., Intrapreneurial, Technology Skills, Business Acumen, Trend Researching, Researching New..., Management, Strategy, Vendor Management

Education
Bay Path University   2008 — 2011
MBA, Entrepreneurial Thinking & Innovative Practice

Nichols College   1990 — 1994
Bachelor of Science (B.S.), Business Administration with Management Information Systems Specialization

Becker Junior College   1980 — 1980
Paralegal Certificate

SHS

SHS

Marian Ndille Marian Ndille Worcester, Massachusetts Details
Marian Ndille's Fallon Community Health Plan Experience September 2009 - 2011
Job Administrative Secretary at Royale Care Inc
Industry Hospital & Health Care
Experience
Royale Care Inc   March 2012 - Present
Fallon Community Health Plan   September 2009 - 2011
Webster Five Cents Savings Bank  June 2005 - May 2008

Skills
Microsoft Office, PowerPoint, Microsoft Word, Microsoft Excel, Customer Service, Outlook, Event Planning, Administrative..., Office Management, Public Speaking, Data Entry, Research, Event Management, Non-profits, Process Scheduler

Education
Becker College   2012 — 2015
Bachelor of Applied Science (B.A.Sc.), Registered Nursing/Registered Nurse

Doherty Memorial High School

Connery Byrne Connery Byrne Greater Boston Area Details
Connery Byrne's Fallon Community Health Plan Experience May 2006 - September 2006
Job Ancillary Contract Manager at Fallon Health
Industry Hospital & Health Care
Experience
Fallon Health  September 2015 - Present
Fallon Health  September 2013 - Present
Fallon Health  July 2012 - September 2013
Central Phlebotomy Service, Inc.   May 2008 - July 2013
City of Worcester  July 2011 - September 2011
Abercrombie & Fitch  May 2009 - August 2009
Fallon Community Health Plan   May 2006 - September 2006

Skills
Technical Writing, Documentation, Data Entry, Document Design, Group Presentations, Managing Groups, Medical Terminology, Medical Billing, Medical Records, HIPAA, Healthcare, Insurance, Teamwork, Customer Satisfaction, Managed Care, Provider Relations, Health Insurance, Healthcare Industry

Education
Assumption College   2008 — 2012
BS, Business Administration and Management, General

Notre Dame Academy   2004 — 2008
High school

Brendaliz Torres Brendaliz Torres Greater Boston Area Details
Brendaliz Torres's Fallon Community Health Plan Experience March 2009 - Present
Job at
Industry Insurance
Experience
Adelante Worcester   May 2014 - Present
Fallon Community Health Plan   March 2009 - Present
Hispanic-American Chamber of Commerce   April 2013 - December 2013
Fallon Community Health Plan   July 2006 - March 2009
United Way of Central Massachusetts  May 2002 - July 2006
Centro Las Americas  2000 - 2002

Skills
Health Insurance, Insurance, Employee Benefits, Customer Service, Microsoft Office, Strategic Planning, Project Management, Healthcare, Microsoft Excel, Public Relations, Marketing Communications, Data Analysis, Team Building, Event Management, PowerPoint, Account Management

Education
Anna Maria College   2012 — 2015
Master of Public Administration (M.P.A.), Health/Health Care Administration/Management

Worcester State University   1997 — 2002
BS, Sociology and Urban Studies

Lea Frantz Lea Frantz Worcester, Massachusetts Details
Lea Frantz's Fallon Community Health Plan Experience November 2010 - Present
Job Fallon Heath
Industry Insurance
Experience
Fallon Health  September 2013 - Present
Fallon Community Health Plan   November 2010 - Present
Fallon Community Health Plan   January 2005 - November 2010

Skills
Team Building, Organization, People Skills, Presentations, Insurance, Managed Care, Medicaid, Customer Service, Process Improvement, Provider Relations, Employee Benefits

Education
Becker College   1996 — 1996
Associate's degree, Business Administration and Management, General

Worcester State College

kathy fournier kathy fournier Greater Boston Area Details
kathy fournier's Fallon Community Health Plan Experience September 1987 - Present
Job Account Manager at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan   September 1987 - Present
FCHP  February 1982 - 1987

Skills
Insurance, Employee Benefits, Account Management, Health Care Reform, Medicare, Disability Insurance, Underwriting, Customer Service, Medicaid, Healthcare, Sales, New Business Development, Sales Presentations, Strategic Planning, Direct Sales

Education
Bridgewater State College   1978 — 1980
Social Work

Quinsigamond Community College   1976 — 1978

Rick Commander Rick Commander Greater Boston Area Details
Rick Commander's Fallon Community Health Plan Experience October 2008 - July 2014
Job SVP & COO, Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan   October 2008 - July 2014
Blue Cross Blue Shield of Massachusetts  1980 - 2007

Skills
Health Insurance, Healthcare, Medicare, Managed Care, Insurance, Process Improvement, Healthcare Information..., Vendor Management, HIPAA

Education
Boston College - Carroll School of Management
Master of Business Administration (MBA)

University of Notre Dame
Bachelor's degree

Jonathan Horka Jonathan Horka Greater Boston Area Details
Jonathan Horka's Fallon Community Health Plan Experience September 2012 - Present
Job Senior Business Consultant at Fallon Health
Industry Hospital & Health Care
Experience
Fallon Community Health Plan   September 2012 - Present
Fallon Community Health Plan   September 2011 - September 2012
Fallon Community Health Plan   July 2009 - September 2011
United States Department of Treasury  February 2007 - December 2007
Healey for Governor Committee   August 2006 - December 2006
Office of Governor Mitt Romney, Commonwealth of Massachusetts   January 2006 - August 2006
Office of Governor Mitt Romney, Commonwealth of Massachusetts   March 2004 - January 2006
Office of Governor Mitt Romney, Commonwealth of Massachusetts   January 2003 - March 2004
Romney for Governor 2002   May 2002 - December 2002

Skills
Program Management, Project Management, Business Analysis, Process Improvement, Strategic Planning, Public Policy, Vendor Management, Leadership, Healthcare, Cross-functional Team..., IT Strategy, Marketing, Analysis, Data Analysis, Integration, Strategy, Change Management, Business Intelligence, Requirements Analysis, Requirements Gathering, Advance Planning

Education
Boston University Questrom School of Business   2007 — 2009
MBA, Concentrations in Finance and Strategy/Business Analysis

University of Maryland - Robert H. Smith School of Business   1998 — 2001
BS, Transportation/Logistics and Marketing

Vickie Thebeau Vickie Thebeau Greater Boston Area Details
Vickie Thebeau's Fallon Community Health Plan Experience November 2012 - July 2013
Job Business Partner, CuraMedica, LLC
Industry Consumer Goods
Experience
CuraMedica, LLC   2006 - Present
Fallon Community Health Plan   November 2012 - July 2013
Fallon Community Health Plan   February 2011 - November 2012
Worcester Art Museum  2003 - 2006
Assumption College  2002 - 2006

Skills
Event Planning, Fundraising, Non-profits, Public Speaking, Volunteer Management, Microsoft Office, Community Outreach, Social Media, Recruiting, Customer Service, Strategic Planning, Program Development, Nonprofits, Training, Coaching

Education
Assumption College   1982 — 1986
BA, Business Management

Anna Maria College
MBA

Gail Zayka Gail Zayka Greater Boston Area Details
Gail Zayka's Fallon Community Health Plan Experience 2006 - Present
Job Health Educator and Distributor
Industry Health, Wellness and Fitness
Experience
Send Out Cards - Independent Distributor  February 2008 - Present
Fallon Community Health Plan   2006 - Present
Reliv International  2002 - Present
Nerium International  February 2013 - March 2014
Florence Sawyer School in Bolton, MA   September 2010 - March 2014

Skills
Healthcare, Nutrition, Health, Wellness, Program Development, Public Speaking, Marketing Research, Wellness Coaching, Fitness, Coaching, Product Marketing, Small Business, Management, Clinical Research, Event Planning, Skin Care, Entrepreneurship, Customer Service, Leadership Development, Marketing, Fundraising, Social Networking, Team Building, Nonprofits, Training

Education
Assumption College   1996 — 2001
MBA, Concentration in International Business

Northeastern University   1964 — 1978
BS Health Science, Medical Technology

Helene Forte Helene Forte Greater Boston Area Details
Helene Forte's Fallon Community Health Plan Experience 2001 - 2004
Job at
Industry Health, Wellness and Fitness
Experience
Tufts Health Plan Network Health  January 2014 - Present
Aetna  November 2011 - December 2013
Aetna  May 2010 - November 2011
Aetna  February 2009 - May 2010
APS Healthcare  January 2005 - February 2009
Fallon Community Health Plan   2001 - 2004
Medspan Health Options  2000 - 2001
Tufts Health Plan  1995 - 2000
Chartwell Home Therapies  1992 - 1994
Tokos Medical  1987 - 1992

Skills
Managed Care, Disease Management, Utilization Management, Medicare, Case Managment, HIPAA, Healthcare, Health Insurance, HMO, Healthcare Information..., Healthcare Management, Healthcare Consulting, Clinical Research, Health Policy, Medicaid, Program Management, EHR, Home Care, Informatics, Hospitals, EMR, Nursing, Health Education, Public Health, Healthcare Industry, Physician Relations, Medicine, Quality Improvement, Provider Relations, Wellness, Behavioral Health, Case Management

Education
Boston University   1983 — 1987
MS, Nursing

University of Massachusetts, Amherst   1979 — 1983
BSN, Nursing

James Madison High School   1976 — 1979
Diploma

Christie Bik Christie Bik Greater Boston Area Details
Christie Bik's Fallon Community Health Plan Experience September 2011 - Present
Job Director of Government Relations at Fallon Health
Industry Insurance
Experience
Fallon Community Health Plan   September 2011 - Present
YWCA Central Massachusetts  September 2012 - Present
Ecotarium  August 2012 - Present
Worcester County District Attorney's Office  April 2005 - August 2011

Skills
Non-profits, Public Policy, Community Outreach, Fundraising, Public Speaking, Media Relations, Public Relations, Strategic Communications, Event Planning, Volunteer Management, Community Development, Strategic Planning, Program Development, Healthcare, Press Releases, Event Management, Legislative Relations, Policy, Nonprofits, Political Campaigns, Speech Writing, Policy Analysis

Education
Suffolk University Law School   1998 — 2001
J.D.

American University   1994 — 1998
BA, International Studies

Sara Paulsen Sara Paulsen Greater Boston Area Details
Sara Paulsen's Fallon Community Health Plan Experience February 2013 - December 2013
Job Communications Analyst at Fidelity Investments
Industry Hospital & Health Care
Experience
Fidelity Investments  August 2015 - Present
Fallon Community Health Plan (FCHP)   January 2014 - August 2015
Fallon Community Health Plan   February 2013 - December 2013
Fallon Community Health Plan   October 2011 - February 2013
The Sole Proprietor   June 2007 - October 2011
Worcester Restaurant Group   June 2007 - October 2011
Smith & Jones Idea Agency   January 2011 - April 2011

Skills
•QNXT, Microsoft..., Insurance, Research, Competitive Analysis, Managed Care, Health Insurance, HIPAA, Healthcare Information..., Healthcare, Medicare, Healthcare Management, Medicaid, Customer Service, Provider Relations, Hospitals, Account Management, Software Documentation, Data Entry

Education
Worcester State College   2012 — 2014
Master of Science (MS), Health/Health Care Administration/Management

Assumption College   2007 — 2011
Bachelors of Arts, English; Mass Communications

Julia Santos Julia Santos Providence, Rhode Island Area Details
Julia Santos's Fallon Community Health Plan Experience August 2009 - January 2012
Job Senior Community Relationship Manager / Business Deelopment at Tufts Health Plan – Network Health
Industry Hospital & Health Care
Experience
Tufts Health Plan  June 2015 - Present
Independent Health Care Advisor   2007 - Present
Fallon Community Health Plan   August 2009 - January 2012
Network Health Plan  January 2009 - August 2009
Fidelis SeniorCare Inc  2006 - 2007
Senior Whole Health  2004 - 2006
MEDITECH  2003 - 2004
Neighborhood Health Plan of Rhode Island  1994 - 2002

Skills
Leadership, Healthcare, Strategic Planning, Business Development, Marketing Strategy, Marketing, Management, Customer Service, Medicare, Team Leadership, Sales Operations, Sales, Fundraising, Analysis, Community Outreach, Medicaid, HIPAA, Managed Care, Training, Team Building, Healthcare Management, Health Insurance, Nonprofits, Healthcare Information..., Process Improvement, Insurance, Hospitals, Public Speaking, Event Planning, Program Management, Social Media, Healthcare Consulting, Home Care, Healthcare Industry, Start-ups, Public Relations, Marketing Communications, New Business Development, Problem Solving, Project Management, Consulting, Account Management, Data Analysis, Long-term Care, Relationship Building, Strategy, Employee Benefits, Mentoring, Event Management, Leadership Development

Education
Fisher College   2012 — 2014
Bachelor of Science (BS), Health/Health Care Administration/Management

Bryant University   2007 — 2007
License in Life and Health

Fisher College   2001 — 2003
Associate of Science (A.S.), Health Information/Medical Records Administration/Administrator

Janice Peters Janice Peters Worcester, Massachusetts Details
Janice Peters's Fallon Community Health Plan Experience December 2008 - October 2010
Job MPH Student at Boston University
Industry Insurance
Experience
Fallon Health  November 2011 - July 2014
Fallon Health  October 2010 - November 2011
Fallon Community Health Plan   December 2008 - October 2010
Westboro Tennis & Swim Club   2002 - 2008

Skills
Customer Service, Microsoft Office, Microsoft Excel, Management, Training, Microsoft Word, PowerPoint, Insurance, Data Analysis, Healthcare, Business Analysis, Onboarding, Outlook, Research, Marketing, Public Speaking, Process Improvement, Health Insurance, Leadership, Medicare, Sales, Call Centers, Policy, Customer Retention, Strategic Planning, Communication

Education
Boston University   2014 — 2016
MPH Canidate Health Policy & Management, Health Policy

University of Massachusetts Boston   2005 — 2008
BA, Psychology

Craig Roscoe Craig Roscoe Greater Boston Area Details
Craig Roscoe's Fallon Community Health Plan Experience 1998 - Present
Job creative director at fchp
Industry Health, Wellness and Fitness
Experience
Fallon Community Health Plan   1998 - Present
fchp  October 1998 - July 2015

Skills
Advertising, Healthcare, Newsletters, Copywriting, Marketing Communications, Social Media, Medicare, Process Improvement, Marketing, Direct Mail, Managed Care, Employee Benefits, Creative Concept Design, Health Insurance, Adobe Creative Suite, Insurance

Education
Anna Maria College   1982 — 1986
bfa, art

Vincent E Troisi Vincent E Troisi Greater Boston Area Details
Vincent E Troisi's Fallon Community Health Plan Experience June 2011 - August 2011
Job Senior Project Manager at PAREXEL
Industry Information Technology and Services
Experience
PAREXEL International  November 2014 - Present
Harvard Pilgrim Health Care  November 2012 - September 2014
ikaSystems  October 2011 - October 2012
Fallon Community Health Plan   June 2011 - August 2011
Aetna  November 2010 - December 2010
Xerox  January 2010 - July 2010
CaseNET – a privately held start-up   2009 - 2009
Pfizer  February 2008 - September 2008
Fidelity Investments  March 2004 - July 2006
Xerox  February 1995 - September 2003

Skills
Management, Requirements Analysis, Analysis, SDLC, Business Analysis, MS Project, Software Project..., Cross-functional Team..., Project Management, Mentoring, Microsoft SQL Server, Agile Methodologies, Requirements Gathering, PMO, Process Improvement, Business Process..., Integration, Vendor Management, Leadership

Education
Binghamton University   1987 — 1990
Bachelor of Science, Industrial Engineering Technology

Bill Servey Bill Servey Greater Boston Area Details
Bill Servey's Fallon Community Health Plan Experience April 2013 - October 2013
Job Senior Project Manager at CVS Caremark Corporation
Industry Hospital & Health Care
Experience
CVS Caremark Corporation  December 2013 - Present
Fallon Community Health Plan   April 2013 - October 2013
IBM  October 2012 - March 2013
Blue Cross Blue Shield of Massachusetts  February 2012 - October 2012
Iron Mountain  August 2011 - February 2012
Dell Services  September 2010 - July 2011
MultiPlan (Private Healthcare Systems)   July 2003 - July 2010
Private Healthcare Systems  June 2003 - October 2006
Reed Business  2000 - 2002
Harvard Pilgrim Health Care  1996 - 1997

Skills
Software Project..., SDLC, PMP, Quality Assurance, Team Building, Business Analysis, PMO, Agile Methodologies, Project Management, Project Portfolio..., Process Improvement, Software Quality..., Systems Analysis, Quality Center, Visio, Software Documentation, MS Project, Program Management, Management, CRM, Strategy, Integration, Requirements Gathering, Requirements Analysis, Testing, User Acceptance Testing, Enterprise Software

Education
Boston University   1986 — 1990
BS in Computer Science

Berthiaume Cheryl Berthiaume Cheryl Greater Boston Area Details
Berthiaume Cheryl's Fallon Community Health Plan Experience Learning ManagerFallon Community Health Plan1992 - Present
Job Learning Manager at Fallon Community Health Plan
Industry Human Resources
Experience
Fallon Community Health Plan   Learning ManagerFallon Community Health Plan1992 - Present
Fallon Community Health Plan   1992 - Present

Education
Anna Maria College   1961 — 1965

Linda StJohn Linda StJohn Greater Boston Area Details
Linda StJohn's Fallon Community Health Plan Experience May 2010 - December 2012
Job Leadership Development and Coaching
Industry Human Resources
Experience
Fallon Health  January 2013 - June 2015
Fallon Community Health Plan   May 2010 - December 2012
Fallon Community Health Plan   January 2004 - June 2009
Fallon Clinic  August 1988 - December 2003
Fallon Clinic  2001 - 2001

Skills
Executive Coaching, Executive Search, Strategy, Organizational..., Project Planning, Leadership, Project Management, Healthcare, HIPAA, Onboarding, Training, Legal Compliance, HR Policies, Organizational Design, Vendor Management, Program Management, New Hire Orientations, Executive Pay, Employee Engagement, Strategic Planning, Deferred Compensation, Personnel Management, Management, Health Insurance, Technical Recruiting, Career Development, Succession Planning, Applicant Tracking..., Coaching, Human Capital, Employee Relations, Performance Improvement, Sourcing, Team Building, Temporary Placement, Workforce Planning, Executive Development, Process Improvement, College Recruiting, MBTI

Education
William James College   2015 — 2016
Currently enrolled

William James College   2009 — 2010
MA

Anna Maria College   1995 — 2000
MBA

Utica College   1984 — 1986
B.S.

CCL
Certification

HCI SWP

Cathleen Summers Cathleen Summers Greater Boston Area Details
Cathleen Summers's Fallon Community Health Plan Experience May 1999 - December 2000
Job Managing Partner, Bay State Elder Law, P.C.
Industry Legal Services
Experience
Bay State Elder Law, P.C.   September 2004 - Present
Critical Care Systems International, Inc.   August 2006 - April 2009
Wilson & Orcutt, P.C.   May 2001 - September 2004
MetLife  2000 - 2001
Fallon Community Health Plan   May 1999 - December 2000
Office of the Attorney General - Massachusetts  August 1990 - January 1993

Skills
Elder Law, Estate Planning, Medicaid, Trusts, Long Term Care, Professional Licensure..., Long-term Care, Guardianship, Insurance, Powers of Attorney, Legal Issues, Litigation, Healthcare Industry, Home Care, Healthcare Management, Elder Care, Medicare, Wills, Defense, Managed Care, Asset Protection, Estate Administration, Healthcare, Health Policy, HIPAA, Corporate Law, LLC, Legal Assistance, Healthcare Consulting, Hearings, Attorneys

Education
Boston College Law School   1987 — 1990
JD, Law

Framingham State University   1985 — 1987
BS, Nursing

Lasell College   1983 — 1985
Assoc., Nursing

Lincoln-Sudbury   1976 — 1980

Sherri Carpineto Sherri Carpineto Greater Boston Area Details
Sherri Carpineto's Fallon Community Health Plan Experience 2003 - 2003
Job Sales Operations and Market Research Leader
Industry Hospital & Health Care
Experience
Allscripts (Formerly Eclipsys)   January 2006 - Present
Allscripts (formerly Eclipsys)   January 2006 - October 2010
McKesson Health Solutions  2004 - 2006
Unicare  2003 - 2004
Fallon Community Health Plan   2003 - 2003
Parker International   1999 - 2002

Skills
Primary Research, Salesforce.com, Market Research, Competitive Intelligence, Oracle Applications, Siebel, Writing, Sales Operations, Sales Support Tools, Executive Reporting, Financial Forecasting, Marketing Strategy, CRM Integration, CRM, Healthcare Information..., Healthcare Industry, EHR, EMR, Healthcare Analytics, Sales Process, Marketing Communications, Managed Care, Hospital Information..., Strategic Planning, Business Strategy, Team Building, Team Leadership, Strategic Communications, Communication, Competitive Analysis, Management, Analysis, Strategy, Leadership, Marketing Research, Forecasting

Education
Boston University
MS, Public Relations and Market Research

Syracuse University
BA, Polical Science and English

Linda Gordon-Cohen Linda Gordon-Cohen Greater Boston Area Details
Linda Gordon-Cohen's Fallon Community Health Plan Experience October 2007 - December 2008
Job Lead Project Manager
Industry Information Technology and Services
Experience
Multiplan  January 2009 - Present
Fallon Community Health Plan   October 2007 - December 2008
Private Healthcare Systems  August 2000 - September 2007
MultiPlan/PHCS   October 2006 - 2007
CareTools  1998 - 2000

Skills
SDLC, HIPAA, PMP, Vendor Management, MS Project, Software Project..., PMO, Requirements Analysis, Healthcare, Program Management, Process Improvement, User Acceptance Testing, Business Analysis, SharePoint, Requirements Gathering, Software Documentation, Project Portfolio..., Visio, Agile Methodologies, Integration, Data Warehousing, Quality Assurance, Project Management, Business Requirements, Business Process..., Disaster Recovery, IT Strategy, Healthcare Information..., Leadership, Business Process, Testing, Resource Management, Cross-functional Team..., Waterfall, IT Management, Scrum, Analysis, Agile Project Management, Business Intelligence, Software Development, Business Process Design, Change Management, ITIL, Information Technology, Systems Analysis, Databases, Enterprise Architecture

Education
State University of New York at Albany   1992 — 1994
MPA, Public Administration

State University of New York at Binghamton   1988 — 1992
Bachelor's degree, Political Science and Government

Kelly Kelly, PMP Kelly Kelly, PMP Greater Boston Area Details
Kelly Kelly, PMP's Fallon Community Health Plan Experience August 2008 - Present
Job Product Manager III at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan   August 2008 - Present
eClinicalWorks  December 2004 - August 2008
HealthDrive  August 2004 - December 2004

Skills
Healthcare, Visio, Project Management, Software Implementation, Software Documentation, Strategic Planning, Process Improvement, Product Management, Requirements Analysis, Vendor Management, Team Building, MS Project, Enterprise Software, Customer Service, Leadership, Business Analysis, Healthcare Information..., Software Project...

Education
Bryant University   2008 — 2009
Project Management Certification Program, Project Management

University of New Hampshire   2000 — 2004
BA, Communication

Shrewsbury High School   1996 — 2000

Jason Fortin, MBA Jason Fortin, MBA Greater Boston Area Details
Jason Fortin, MBA's Fallon Community Health Plan Experience December 2009 - September 2010
Job Account Executive, Fallon Health
Industry Hospital & Health Care
Experience
Fallon Health  December 2010 - Present
Group Benefit Strategy (GBS)   September 2010 - December 2010
Fallon Community Health Plan   December 2009 - September 2010
Fallon Health  August 2005 - December 2009
Fallon Health  December 2002 - August 2005
Fallon Health  January 1999 - December 2002

Skills
Health Insurance, Employee Benefits, Insurance, Claim, Underwriting, Marketing, Medicare, Sales, Account Management, Brokers, Management, Healthcare, PPO, HMO, Analysis, Health Care Reform, Managed Care

Education
Nichols College   2011 — 2013
MBA, Masters of Business Adminstration, 3.97 GPA

Becker College   2000 — 2008
Bachelors of Science, Business Adminstration

Emily Snow-Bebas Emily Snow-Bebas Greater Boston Area Details
Emily Snow-Bebas's Fallon Community Health Plan Experience 2006 - 2008
Job
Industry Computer Software
Experience
Self employed  September 2011 - May 2013
Humedica  2009 - 2010
Human Services Management Corporation  2008 - 2009
Fallon Community Health Plan   2006 - 2008
Beth Israel Deaconess Medical Center  October 2004 - October 2006
Partners HealthCare  2001 - 2004
Rational Software  2000 - 2001
Eagle Investment Systems  1999 - 2000

Skills
Business Analysis, Business Intelligence, Data Analysis, Data Warehousing, Healthcare, Healthcare Information..., Informatics, SDLC, SQL, Team Leadership

Education
Boston University   1997 — 1999
MS

Boston University   1993 — 1997

Bangor High School

Lori Pinto Lori Pinto Greater Boston Area Details
Lori Pinto's Fallon Community Health Plan Experience August 2009 - April 2012
Job Account Services Manager at Patterson Veterinary
Industry Financial Services
Experience
Patterson Veterinary  April 2012 - Present
Fallon Community Health Plan   August 2009 - April 2012
Environmental Fire Protection, Inc   February 2008 - June 2009
Environmental Fire Protection   2008 - 2009
The Hanover Insurance Group  March 2006 - February 2008
Lifegas LLC   May 2003 - March 2006
New England Newspaper Supply Co   January 1986 - January 2003

Skills
Accounting, Analysis, Auditing, Cash Flow, Customer Service, Finance, Financial Analysis, Financial Reporting, Forecasting, Health Insurance, Internal Controls, Management, Process Improvement, Training

Education
Becker College   2007 — 2010
Bachelor of Science; enrolled, Business Management

Julianne Peris Julianne Peris Greater Boston Area Details
Julianne Peris's Fallon Community Health Plan Experience July 1995 - May 1997
Job Account Executive at Blue Cross and Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross and Blue Shield of MA  May 2000 - Present
CIGNA Health and Life Insurance Company  September 1997 - May 2000
Unicare  May 1997 - September 1997
Fallon Community Health Plan   July 1995 - May 1997

Skills
Health Insurance, Insurance, Employee Benefits, Disability Insurance, Health Savings Accounts, Strategic Planning, Customer Service, Brokers, Underwriting, Account Management, Life Insurance, Leadership, Managed Care, Benefits Administration, Process Improvement, Management

Education
Providence College   1991 — 1995
Bachelor of Applied Science (BASc), Marketing and Finance

Anna Maria College   1996 — 1998
Master of Business Administration (M.B.A.), Business/Health Care Administration

Dan Concaugh Dan Concaugh Greater Boston Area Details
Dan Concaugh's Fallon Community Health Plan Experience 1998 - 2008
Job VP Network and Business Development and Management at FCHP
Industry Hospital & Health Care
Experience
Lawrence General Hospital  August 2010 - July 2015
DMC Consulting  January 2009 - July 2010
Fallon Community Health Plan   1998 - 2008
Tufts Health Plan  1995 - 1998

Skills
Managed Care, Healthcare Management, Medicaid, Healthcare Information..., Healthcare, HIPAA, Healthcare Industry, Hospitals, Health Insurance, Strategic Planning, Healthcare Consulting, Revenue Cycle, Process Improvement, Provider Relations, Insurance, Network Development, Project Management, Health Policy, Medicare, Home Care, Public Health, EMR, d, Data Analytics, Physician Relations, Operations Management, Contract Negotiation, Contract Management

Education
Assumption College   2007 — 2007
Bachelor of Arts (B.A.), Political science/History

Western New England College School of Law   1987 — 1990
JD

Northeastern University   1982 — 1984
MPA

Sofiya Rudayev Sofiya Rudayev Providence, Rhode Island Area Details
Sofiya Rudayev's Fallon Community Health Plan Experience August 2011 - Present
Job Consulting Services
Industry Information Technology and Services
Experience
Fallon Community Health Plan   August 2011 - Present
ASA American Student Assistance   August 2008 - December 2009
First Marblehead Corporation  April 2005 - March 2008

Skills
Database Analysis, Business Process Design, Business Analysis, Systems Analysis, Business Intelligence, BPMN, IBM iSeries, Data Analysis, Oracle, DB2, Requirements Gathering, Integration, SDLC, Vendor Management, Microsoft SQL Server, Visio, Business Process, Requirements Analysis

Education
Bryant University   2008 — 2008
Business Analysis BABOK

Boston University   2007 — 2007
BPM

Kharkov University
MS, Computer Science, Engineering

Deanne Shaffer Deanne Shaffer Greater Boston Area Details
Deanne Shaffer's Fallon Community Health Plan Experience December 2012 - March 2013
Job Contractor
Industry Insurance
Experience
Fallon Community Health Plan   December 2012 - March 2013

Skills
Microsoft Office

Education
Bentley College
BS, Accounting

Bentley University

Funing Zhang Funing Zhang Greater Boston Area Details
Funing Zhang's Fallon Community Health Plan Experience 2005 - 2006
Job Consultant at Partners HealthCare
Industry Information Technology and Services
Experience
Dell, Inc. at Harvard Pilgrim Health Care account   2009 - 2012
nSight, Inc. at Hewlett-Packard account   January 2008 - March 2009
Perot Systems at Harvard Pilgrim Health Care account   August 2006 - December 2007
Fallon Community Health Plan   2005 - 2006

Education
Auburn University
Master, Computer Science

Janice Singer Janice Singer Greater Boston Area Details
Janice Singer's Fallon Community Health Plan Experience 2002 - 2003
Job Vice President of Programs & Operations at MHQP
Industry Medical Practice
Experience
MHQP   April 2003 - Present
Massachusetts Health Quality Partners  2003 - Present
Fallon Community Health Plan   2002 - 2003
Blue Cross Blue Shield of Massachusetts  June 1986 - August 1997
BCBS Massachusetts   1986 - 1997

Skills
Healthcare, Healthcare Management, Managed Care, Medicare, Public Health, Clinical Research, Process Improvement, Non-profits, Healthcare Consulting, Strategic Planning, Quality Improvement, Medicaid, EHR, Health Policy, EMR, Program Management, Data Analysis

Education
Harvard University School of Public Health   1978 — 1980
Master of Public Health (MPH), Health Services Administration

Boston College
Master of Arts (M.A.), Sociology

Dan Lavigueur Dan Lavigueur Greater Boston Area Details
Dan Lavigueur's Fallon Community Health Plan Experience November 2004 - August 2006
Job ETL Manager at Public Sector Partners
Industry Computer Software
Experience
Public Sector Partners  August 2009 - Present
PORTFOLIO RESEARCH   October 2007 - May 2009
TMS  August 2006 - April 2007
Fallon Community Health Plan   November 2004 - August 2006
BANG(!) SOFTWARE SOLUTIONS   January 1996 - January 2004
REALWORLD CORPORATION  January 1994 - January 1996
Unisys  1984 - 1993

Skills
SQL Server, Visual Basic, SSIS, C#, Visio, VBA, Access, WinForms, OLAP, COBOL, Database Management, ODS, Business Intelligence, .NET, SQL, ETL, Database Design, Data Warehousing, SSRS, Visual Studio, T-SQL, XML, Databases, Stored Procedures, DTS, Erwin, Programming, OLTP, PL/SQL, VB.NET, Database Development, Data Modeling, UML, Relational Databases, NUnit, Requirements Analysis, Microsoft SQL Server, Testing, Systems Analysis, TFS, DBMS, IIS, Oracle, Agile Methodologies, SDLC, WPF, JavaScript, Software Development, LINQ, Unix

Education
Bentley University   1975 — 1994
BS, Computer Information Systems

BOSTON UNIVERSITY

NORTHEASTERN UNIVERSITY

Carol Williams Fay Carol Williams Fay Glens Falls, New York Area Details
Carol Williams Fay's Fallon Community Health Plan Experience 1992 - 1997
Job Human Resources Director at Grace Cottage Hospital
Industry Hospital & Health Care
Experience
Grace Cottage Hospital  February 2011 - Present
Greenleaf Consulting   January 2009 - March 2011
Tufts Health Plan  2000 - 2008
BJ's Wholesale Club  1999 - 2000
Applied Management Systems  1998 - 2000
IDX Systems  1998 - 1999
Fallon Community Health Plan   1992 - 1997
Harvard Pilgrim Health Care  1989 - 1992

Education
Boston University   1995 — 1995
M Ed, Human Resources Education

Worcester State University   1971 — 1974
BA, Biology

Jennifer (Dyer) Durkin, LMT Jennifer (Dyer) Durkin, LMT Worcester, Massachusetts Details
Jennifer (Dyer) Durkin, LMT's Fallon Community Health Plan Experience September 2010 - October 2013
Job Massage Therapist
Industry Health, Wellness and Fitness
Experience
Bancroft School of Massage Therapy  April 2015 - Present
Soothe Massage Therapy   June 2012 - Present
Fallon Community Health Plan   September 2010 - October 2013
Bancroft School of Massage therapy  February 2011 - March 2012
Fallon Community Health Plan   April 2006 - September 2010
Fallon Community Health Plan   April 2007 - April 2010
Fallon Community Health Plan   September 2006 - March 2007
Fallon Community Health Plan   March 2003 - August 2006
MBHP  1999 - 2003
Boston University  1996 - 1998

Skills
Therapeutic Massage, Deep Tissue Massage, Swedish, Relaxation, Trigger Point Therapy, Chair Massage, Management, Anatomy, Healthcare Information..., Hydrotherapy, Myofascial, Business Intelligence, Healthcare, Pain Management, Injury, Wellness, Treatment, Software Documentation

Education
Bancroft School of Massage Therapy   2011 — 2012
Diploma, Massage Therapy

Boston University   1991 — 1998
BA Psychology, focus on Physiological Psychology

Cranston High School East   1988 — 1991

Jeffrey Larocca Jeffrey Larocca Greater Boston Area Details
Jeffrey Larocca's Fallon Community Health Plan Experience 2010 - 2013
Job Integration Program Manager
Industry Insurance
Experience
athenahealth  March 2014 - Present
Fallon Community Health Plan   2010 - 2013
Fallon Community Health Plan   2006 - 2010
Fallon Community Health Plan (FCHP)   2006 - 2007
SunGard  2003 - 2006
SunGard  2000 - 2003
Fleet Bank  1993 - 2000

Skills
Business Analysis, Process Improvement, Health Insurance, Vendor Management, SDLC, Visio, Requirements Analysis, Data Analysis, Project Management, Cross-functional Team..., Healthcare Information..., Strategic Planning, Business Process..., Requirements Gathering, Business Intelligence, Business Process, Insurance, Managed Care

Education
Boston College - Wallace E. Carroll Graduate School of Management   1984 — 1986
Master of Business Administration (MBA), Finance & Strategic Management

Boston University Questrom School of Business   1979 — 1981
BSBA, Finance

John Deeves John Deeves Greater Philadelphia Area Details
John Deeves's Fallon Community Health Plan Experience 2001 - 2004
Job Senior Director at Independence Blue Cross
Industry Insurance
Experience
Independence Blue Cross  April 2007 - Present
Harvard Pilgrim Health Care  April 2004 - March 2007
Fallon Community Health Plan   2001 - 2004
Harvard Pilgrim Health Care  2000 - 2001
Harvard Pilgrim Health Care  1996 - 1999

Education
Boston University School of Medicine   1994 — 1997
MPH, Public Health Care

University of South Carolina-Columbia   1983 — 1987
BA, Journalism

Jennifer Salaun Jennifer Salaun Greenville, South Carolina Area Details
Jennifer Salaun's Fallon Community Health Plan Experience 1997 - 2005
Job Account Manager
Industry Staffing and Recruiting
Experience
StaffMasters  May 2013 - July 2014
Staffmark  February 2010 - October 2012
Henry Schein  2005 - 2008
Fallon Community Health Plan   1997 - 2005

Skills
Recruiting, Benefits Administration, Managed Care, Technical Recruiting, Talent Acquisition, Healthcare, Account Management, Call Center, Insurance, Training, Employee Benefits, Applicant Tracking..., Temporary Staffing, Staffing Services, Temporary Placement, Internet Recruiting, Contract Recruitment, Permanent Placement, Human Resources, Team Building, Employee Relations, Executive Search, Job Fairs, Cold Calling, Interviews, Hiring, Screening Resumes, Resume Writing, Screening, Staff Augmentation, Recruitment Advertising, Call Centers, Sales, Sales Management

Education
Becker College   1996 — 2000

Assumption College   1996 — 1997

Rick Sin Rick Sin Greater Boston Area Details
Rick Sin's Fallon Community Health Plan Experience 2008 - Present
Job Senior Security Analyst at Fallon Community Health Plan
Industry Information Technology and Services
Experience
Fallon Community Health Plan   2008 - Present
United Natural Foods  2004 - 2008
DIGITAL BROADBAND COMMUNICATIONS  1999 - 2000
Navisite  1995 - 1997
Vicor Corporation  1992 - 1994

Skills
CISSP, Networking, Security, Team Management

Education
Boston University   1985 — 1991
BA, MS

Kathleen Tivnan Kathleen Tivnan Greater Boston Area Details
Kathleen Tivnan's Fallon Community Health Plan Experience August 2013 - January 2015
Job Senior Contract Manager at Harvard Pilgrim Health Care
Industry Insurance
Experience
Harvard Pilgrim Health Care  January 2015 - Present
Fallon Community Health Plan   August 2013 - January 2015
Fallon Community Health Plan   April 2008 - August 2013
Fallon Community Health Plan   August 2005 - April 2008
Fallon Community Health Plan   March 1997 - August 2005
Fallon Community Health Plan   January 1995 - February 1997
Fallon Community Health Plan   January 1992 - January 1995

Education
Emerson College   1993 — 1996
MA, Marketing Communications

Assumption College   1987 — 1991
BA, English and Spanish

Boston University   2006 — 2006
Certificate in Project Management

Kathy (Murray) Bien Kathy (Murray) Bien Greater Boston Area Details
Kathy (Murray) Bien's Fallon Community Health Plan Experience May 2008 - January 2011
Job Director, Managed Care Contracting at UMass Memorial Medical Center
Industry Hospital & Health Care
Experience
UMass Memorial Medical Center  December 2014 - Present
UMass Memorial Medical Center  January 2011 - November 2014
Fallon Community Health Plan   May 2008 - January 2011
Fallon Community Health Plan   July 2001 - May 2008
Harvard Pilgrim Health Care  1994 - 2001

Skills
Managed Care, Provider Relations, Network Development, Contract Negotiation, Medicare, HIPAA, Medicaid, Utilization Management, Healthcare Industry, Health Policy, Healthcare Management, Health Insurance

Education
Assumption College   1994 — 1998
MBA

University of Massachusetts Dartmouth   1987 — 1991
BS, Marketing

Charlie Boutin Charlie Boutin Greater Boston Area Details
Charlie Boutin's Fallon Community Health Plan Experience May 1998 - January 2009
Job Managing Director, Health and Human Services Consulting at Ingenix Consulting
Industry Insurance
Experience
Ingenix Consulting  2009 - Present
Fallon Community Health Plan   May 1998 - January 2009
General Electric  1996 - 1997
Tufts Health Plan  1990 - 1995

Education
Assumption College   2004 — 2005
MBA, Business, Management

Providence College   1987 — 1991
BS, Business Administration, Healthcare

College for Financial Planning   1986 — 1989
CFP, Financial Planning

Donna (Fagan) Lang Donna (Fagan) Lang Greater Boston Area Details
Donna (Fagan) Lang's Fallon Community Health Plan Experience October 2005 - May 2010
Job Sr Project Manager, PMP
Industry Hospital & Health Care
Experience
Fallon Community Health Plan   October 2005 - May 2010
Bank of America  2003 - 2005
Fleet Bank  1999 - 2003
Fleet Bank  1997 - 1999
Fleet Bank  1995 - 1997

Skills
Training, Requirements Analysis, SDLC, Visio, Process Improvement, Vendor Management, Software Project..., Integration, Business Analysis, Business Process..., Project Management, Program Management, Management, Leadership, IT Strategy, Software Documentation, Business Intelligence, Change Management, Requirements Gathering, PMP, Team Building, Business Process, Project Portfolio..., SharePoint, Cross-functional Team..., Strategic Planning, Healthcare, PMO, Customer Service, Risk Management, Project Planning, Software Development, Analysis, Agile Methodologies

Education
Boston University
Master's degree, Social Work

Framingham State University
Bachelor's degree, Psychology

Scott Haring Scott Haring Greater Boston Area Details
Scott Haring's Fallon Community Health Plan Experience August 1998 - May 2006
Job Sr Director of Ethics and Compliance at Fresenius Medical Care
Industry Pharmaceuticals
Experience
Fresenius Medical Care  February 2012 - Present
CVS Caremark Corporation  January 2009 - January 2012
CVS Caremark and Universal American dba Prescription Pathway   May 2006 - December 2008
Fallon Community Health Plan   August 1998 - May 2006
United Healthcare  December 1996 - July 1998

Skills
Managed Care, Medicaid, Medicare, Medicare Part D, HIPAA, Pharmacy Benefit..., Healthcare, Health Insurance, Provider Relations, Insurance, Healthcare Management, Process Improvement, Health Policy, Healthcare Information..., Healthcare Industry

Education
Suffolk University Law School   2001 — 2005
Juris Doctor

Clark University   1992 — 1994
Master of Health Administration

Bryant University   1988 — 1992
BS, Finance, Economics

Gia Taylor Gia Taylor Springfield, Massachusetts Area Details
Gia Taylor's Fallon Community Health Plan Experience 2007 - Present
Job Retention sales at FCHP
Industry Insurance
Experience
Fallon Community Health Plan   2007 - Present
Fallon Community Health Plan   January 2007 - May 2008

Education
American International College   1985 — 1987
Marketing, Mathematics

Albertus Magnus College   1980 — 1982

Curtis Brothers Curtis Brothers Greater Boston Area Details
Curtis Brothers's Fallon Community Health Plan Experience November 1994 - May 2009
Job Analyst at Harvard Vanguard Medical Associates
Industry Insurance
Experience
Harvard Vanguard Medical Associates  March 2011 - Present
Fallon Community Health Plan   November 1994 - May 2009
Federal Deposit Insurance Corporation  1992 - 1994

Education
Becker College   2009 — 2011
Business Administration

Rick Shonak Rick Shonak Greater Boston Area Details
Rick Shonak's Fallon Community Health Plan Experience 2001 - 2006
Job Manager, Applications and Business Intelligence at Reliant Medical Group
Industry Information Technology and Services
Experience
Reliant Medical Group  May 2013 - Present
Blue Cod Technologies  December 2008 - May 2013
Blue Cod Technologies  December 2006 - December 2008
Fallon Community Health Plan   2001 - 2006
Florida Gulf Coast University  May 1997 - April 2001
Liberty Mutual  March 1995 - May 1997
MassMutual Financial Group  March 1993 - March 1995

Skills
Enterprise Architecture, Microsoft SQL Server, Software Development, Testing, Databases, Oracle, Process Improvement, Data Modeling, Database Design, Project Management, Data Warehousing, Business Intelligence, Servers, SaaS, Management, Training, SDLC, Networking, Cloud Computing, Storage, ITIL, Business Analysis, Programming

Education
American International College   1989 — 1992
BSBA, Management Information Systems

Alicia Ernst Alicia Ernst Greater Boston Area Details
Alicia Ernst's Fallon Community Health Plan Experience January 2011 - Present
Job Project Manager at Fallon Community Health Plan
Industry Management Consulting
Experience
Fallon Community Health Plan   January 2011 - Present
ClientView LLC   March 2010 - December 2010
HealthEMaps   September 2009 - December 2010
Project Management Institute  2009 - 2010
Washington Mills  August 2008 - December 2008
IOR Global Services  May 2006 - October 2008
Alcatel  October 1988 - March 2002

Skills
SDLC, Program Management, Proposal Writing, Analysis, Start-ups, Project Planning, Management Consulting, Process Improvement, Management, Business Intelligence, Project Management, Business Analysis, PMI, Business Planning, Software Project..., Integration, Business Process..., PMP, Visio

Education
Brandeis University   2007 — 2008
Master of Science, Project and Program Management

University of Colorado Boulder   1984 — 1988
Bachelor of Science, Applied Mathmatics

Kristen Veitch, JD, PMP Kristen Veitch, JD, PMP Greater Boston Area Details
Kristen Veitch, JD, PMP's Fallon Community Health Plan Experience June 2008 - March 2009
Job Senior Project Director at University of Massachusetts Medical School
Industry Hospital & Health Care
Experience
Fresenius Medical Care  November 2014 - Present
University of Massachusetts Medical School  August 2013 - November 2014
Steward Health Care (f.k.a. Caritas Christi Hospitals)   December 2010 - August 2013
Molecular  November 2009 - July 2010
Fallon Community Health Plan   June 2008 - March 2009
Multiplan (f/k/a Private Healthcare Systems)   December 2006 - May 2008
Private Healthcare Systems  September 2000 - December 2006

Skills
Project Management, Human Resources, Process Improvement, Healthcare, Information Technology, Personnel Management, Mergers & Acquisitions, Corporate Law, Employment Law, Data Analysis, Regulatory Compliance, Policy Design, Contract Law, Strategy, Leadership, Management, Family Law, HR Policies, Software Documentation, SDLC, Change Management, Strategic Planning, Budgets, Organizational..., Quality Assurance, Program Management

Education
Massachusetts School of Law
Juris Doctorate, Magna Cum Laude, Valedictorian

Saint Anselm College
BA, Psychology, Cum Laude

Project Management Institute
PMP, Project Management Certification (2002)

Boston University

Suffolk University

Dorothy A. Vandette Dorothy A. Vandette Greater Boston Area Details
Dorothy A. Vandette's Fallon Community Health Plan Experience October 2007 - Present
Job Sr. Executive Assistant at Fallon Community Health Plan
Industry Hospital & Health Care
Experience
Fallon Community Health Plan   October 2007 - Present
Stratus Technologies  2005 - October 2007
ePresense/Banyan   1999 - 2003

Education
Boston College
BA, Social Sciences

Georgia Maheras Georgia Maheras Montpelier, Vermont Details
Georgia Maheras's Fallon Community Health Plan Experience February 2006 - March 2007
Job Executive Director, Green Mountain Care Board at State of Vermont
Industry Hospital & Health Care
Experience
State of Vermont  October 2013 - Present
State of Vermont  October 2011 - October 2013
Banking, Securities, Insurance, and Health Care Administration   August 2011 - January 2012
GJM Health Care Consulting   April 2011 - August 2011
Health Care For All  December 2008 - April 2011
Health Care For All  December 2008 - April 2011
Health Law Advocates  March 2007 - December 2008
Health Law Advocates  2007 - 2008
Fallon Community Health Plan   February 2006 - March 2007
Huntington Theatre   1998 - 2002

Skills
Healthcare, Health Care Reform, Public Policy, Policy, Health Policy, Healthcare Consulting, Nonprofits, Community Outreach, Health Law, Program Development, Legal Research, Coalitions, Policy Analysis, Employee Benefits, Legislative Relations, Medicaid, Courts, Research, Program Evaluation, Budgets, Health Insurance, Insurance, Public Speaking, Fundraising, Program Management, Non-profits, Healthcare Management, Grants, Grant Writing, Legal Writing, Medicare, Public Health

Education
Boston University

Boston University
Bachelor of Science, Religion

Suffolk University Law School

Suffolk University Law School
Juris Doctor, Biomedical and Health Law

Sharon Ferro Sharon Ferro Greater Boston Area Details
Sharon Ferro's Fallon Community Health Plan Experience Program Manager, New Product IntroductionPrime Computer1980 - 1990
Job Network Development Operations Manager at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan   Program Manager, New Product IntroductionPrime Computer1980 - 1990

Education
Assumption College

Christine Nugent Christine Nugent Greater Boston Area Details
Christine Nugent's Fallon Community Health Plan Experience 2005 - Present
Job at
Industry Insurance
Experience
Tufts Health Plan  February 2013 - Present
Fallon Community Health Plan   2005 - Present
Allmerica Financial  2002 - 2003
Allmerica Financial  1997 - 2002
Allmerica Financial  1995 - 1997
Allmerica Financial  1986 - 1995

Skills
Product Management, Healthcare Legislative..., Product Training, Presentations, Marketing Communications, Contract Management, Product Quality, Communication Skills, Analysis, Business Process..., Insurance, Leadership, Management, Marketing, Program Management, Training, Business Analysis, Vendor Management, Managed Care, Health Insurance

Education
Assumption College
Bachelor's degree, Business Management, 3.4 GPA

Quinsigamond Community College
Associate's degree, Business Technology, 3.5 GPA

Bryant University
Project Management Certificate Program

Academy of Healthcare Management
Professional, Academy for Healthcare Management (PAHM)

Burncoat High School

Bill Rosen Bill Rosen Springfield, Massachusetts Area Details
Bill Rosen's Fallon Community Health Plan Experience 2001 - 2003
Job Owner, Cardinal Strategies
Industry Government Relations
Experience
Cardinal Strategies   2003 - Present
Fallon Community Health Plan   2001 - 2003
UMass Memorial Medical Center  1998 - 2000
UMass Medical School  1993 - 1998
Congressman John Olver   June 1991 - February 1993

Skills
Nonprofits, Strategic Planning, Government, Public Speaking, Research, Public Relations, Public Policy, Policy, Non-profits, Project Management, Public Affairs, Politics, Community Outreach, Political Campaigns, Legislative Relations, Healthcare

Education
Boston College
BA

University of Massachusetts, Amherst

Mary Hutchings Mary Hutchings Greater Boston Area Details
Mary Hutchings's Fallon Community Health Plan Experience October 2005 - September 2008
Job Human Resources Professional
Industry Human Resources
Experience
Sepracor  2008 - 2009
Fallon Community Health Plan   October 2005 - September 2008

Education
Assumption College   2003 — 2005
BBA, Business

Auburn Senior High School   1978 — 1982

Assumption College
Business

Susan Hebert-D'Amato Susan Hebert-D'Amato Greater Boston Area Details
Susan Hebert-D'Amato's Fallon Community Health Plan Experience October 1999 - January 2009
Job Cost Accountant II at Tiffany & Co.
Industry Luxury Goods & Jewelry
Experience
Tiffany & Co.   August 2013 - Present
Superior Cake Products   March 2012 - August 2013
Kadant Solutions   February 2010 - March 2012
Fallon Community Health Plan   October 1999 - January 2009
Peterson Oil (formally Marane Oil)   January 1997 - October 1999
Bell Simons (formally McNally Supply)   September 1995 - January 1997

Skills
Accounting, General Ledger, Reconciliation, Quickbooks, Account Reconciliation, Reconciling, Excel, Microsoft Office, Cognos, Cash Flow, Accounts Payable, Accounts Receivable, Negotiation, PowerPoint, Accruals, Journal Entries, Billing, Payroll, Invoicing, Customer Service, QuickBooks, QuickBooks ProAdvisor, Great Plains Software, Fixed Assets, Microsoft Excel

Education
Nichols College   2010 — 2015
Master of Business Administration (MBA), Accounting and Finance

Assumption College   2000 — 2008
BA, Accounting

Melissa VanderBaan Melissa VanderBaan Greater Boston Area Details
Melissa VanderBaan's Fallon Community Health Plan Experience 2000 - 2007
Job Senior Director, Communications and Education at Fidelity Investments
Industry Financial Services
Experience
Fidelity Investments  June 2007 - Present
Fallon Community Health Plan   2000 - 2007

Education
Assumption College
BS

Conni Rancke Conni Rancke Springfield, Massachusetts Area Details
Conni Rancke's Fallon Community Health Plan Experience November 2007 - Present
Job Contract Manager at Fallon Community Health Plan
Industry Hospital & Health Care
Experience
Fallon Community Health Plan   November 2007 - Present
Health New England  October 1992 - October 2007
Concord Assabet Adolescent Services   March 1986 - September 1991
Visiting Nurse Association of Boston  1977 - 1986

Skills
Health Insurance, Hospitals, Teaching, Healthcare, Medicare, Medicaid, Managed Care, Community Outreach, Provider Relations, Physicians, Utilization Management, HIPAA, Healthcare Management

Education
Boston University   1968 — 1972
BA, Education

Debra Wallace Debra Wallace Greater Boston Area Details
Debra Wallace's Fallon Community Health Plan Experience February 2012 - Present
Job Business Development and Implementation Director at Fallon Health
Industry Hospital & Health Care
Experience
Fallon Community Health Plan   February 2012 - Present
Fallon Community Health Plan   March 2010 - February 2012
PMI Central Mass Chapter  November 2009 - October 2010
Fallon Community Health Plan   August 2007 - February 2010
PMI Central Mass Chapter  November 2008 - October 2009
Quinsigamond Community College  January 2008 - December 2008
PMI Central Mass Chapter  November 2006 - October 2008
Fallon Community Health Plan   August 2005 - August 2007
University of Massachusetts Medical Schoo   January 2001 - August 2004

Skills
Program Management, Process Improvement, Project Management, PMP, MS Project, MS Office Suite, Strong Communication..., Microsoft Office, Business Analysis, Management, Change Management, Software Development, Leadership, Healthcare, Project Planning, Vendor Management, Insurance, Cross-functional Team..., Strategic Planning, Health Insurance, Healthcare Information..., Customer Service, Managed Care

Education
Boston University
Project Management Certificate, Project Management

Colby College
BA, Economics

Northeastern University
MBA

Linda Aiello Linda Aiello Greater Boston Area Details
Linda Aiello's Fallon Community Health Plan Experience February 2012 - September 2014
Job Practice Manager at Reliant Medical Group
Industry Insurance
Experience
Reliant Medical Group  December 2014 - Present
Fallon Community Health Plan   February 2012 - September 2014
Fallon Community Health Plan   April 2008 - February 2012

Skills
Medicare, Health Insurance, Managed Care, Strategic Planning, Medicaid, Utilization Management, Regulatory Requirements, Appeals and grievances, Network Development, Disease Management, Health Policy, HIPAA, Health Care Reform, Provider Relations, Healthcare, Insurance, Process Improvement, Healthcare Information..., Customer Service

Education
Becker College

Venkata Praveen Puvadi Venkata Praveen Puvadi Greater Chicago Area Details
Venkata Praveen Puvadi's Fallon Community Health Plan Experience August 2009 - December 2009
Job
Industry Information Technology and Services
Experience
Brightstar  May 2011 - Present
InfoLogitech Inc   September 2006 - April 2012
CHS  October 2010 - April 2011
Prommis Solutions  June 2010 - September 2010
American Safety   January 2010 - May 2010
Fallon Community Health Plan   August 2009 - December 2009

Skills
BizTalk, SQL Server, Visual Studio, EDI, Web Services, TFS, Microsoft SQL Server, Integration, SharePoint, .NET, Enterprise Architecture, SDLC, WCF, C#, SSRS, Oracle

Education
Anna University
Bachelor of Science

Mississippi State University
MS

Michelle Gucciardi Michelle Gucciardi Greater Boston Area Details
Michelle Gucciardi's Fallon Community Health Plan Experience March 2010 - Present
Job Social Worker at Fallon Health
Industry Hospital & Health Care
Experience
Fallon Community Health Plan   March 2010 - Present
Washtenaw County Public Health Department  May 2009 - August 2009
Ypsilanti Meals on Wheels   May 2009 - August 2009
Luella Hannan Memorial Foundation  September 2008 - April 2009
Youth Alternatives Ingraham  July 2007 - July 2008

Skills
Fundraising, Grant Writing, Social Services, Community Organizing, Event Planning, Marketing, Program Development, Community Outreach, Case Managment, Non-profits

Education
University of Michigan   2008 — 2009
MSW, Aging and Community Organizing

Boston College   2005 — 2006
MS, Administrative Studies

Hamilton College   2000 — 2004
BA, English, Dance

Tami Goodney Tami Goodney Greater Boston Area Details
Tami Goodney's Fallon Community Health Plan Experience April 2011 - Present
Job Administrative Assistant at Unum
Industry Insurance
Experience
Fallon Community Health Plan   April 2011 - Present
Unum  January 1989 - Present

Education
Leicester High School   1984 — 1987

Becker College
Business Admin.

Michael Conrad, EA Michael Conrad, EA Greater Boston Area Details
Michael Conrad, EA's Fallon Community Health Plan Experience 2008 - 2009
Job President, Strategic Accounting & Tax Service, LLC
Industry Accounting
Experience
Strategic Accounting & Tax Service, LLC   1999 - Present
Fallon Community Health Plan   2008 - 2009
City of Worcester  1999 - 2008
Benoit & Usher, PC   1997 - 1999

Skills
Tax Return Preparation, Non-profits, LLC, Payroll, Income Tax, Tax Preparation, Bookkeeping, Tax Returns, Tax, Corporate Tax, Accounting, Tax Research, S Corporations, Tax Compliance, Tax Services, Small Business, IRS, Partnership Taxation, Payroll Taxes, Individual Taxation, Quickbooks, Small Business..., Federal Tax, Trusts, Start-ups, Entrepreneur, Tax Accounting, Tax Audits, Business Tax, Nonprofits, Strategic Financial..., GAAP, Cash Flow, Financial Reporting, Financial Analysis, Financial Statements, Sarbanes-Oxley Act, QuickBooks, US GAAP, Internal Controls, Auditing

Education
Assumption College   1993 — 1997
Bachelor of Arts, Accounting

Bonnie White MSN, RN, CCM, PAHM Bonnie White MSN, RN, CCM, PAHM Greater Boston Area Details
Bonnie White MSN, RN, CCM, PAHM's Fallon Community Health Plan Experience Director of Disease ManagementUMass Correctional Health2007 - 2009
Job Nurse Case Manager at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan   Director of Disease ManagementUMass Correctional Health2007 - 2009

Education
Framingham State University   2008 — 2010
MSN

Anna Maria College   2004 — 2008
BSN

Assumption College   1999 — 2004
Associates, Certificate in Health Care Management

Worcester hahnemann Hospital School of Nursing   1974 — 1977
Diploma, Nursing

Michael Triggs Michael Triggs Greater Boston Area Details
Michael Triggs's Fallon Community Health Plan Experience February 2007 - Present
Job IT Help Desk Analyst at FCHP
Industry Information Technology and Services
Experience
Fallon Community Health Plan   February 2007 - Present
Fallon Community Health Plan   October 2001 - February 2007
Fallon Community Health Plan   August 1998 - October 2001

Skills
Customer Service, Data Entry, Service Desk, Incident Management, IDX, NextGen, Health Insurance, Call Centers, Software Documentation

Education
Bentley College   1993 — 1997
BS, Management

Bentley University   1993 — 1997
Bachelor of Science (BS), Business Administration and Management, General

Burncoat High School   1989 — 1993

Wendy Wilson RN BSN CCM Wendy Wilson RN BSN CCM Greater Minneapolis-St. Paul Area Details
Wendy Wilson RN BSN CCM's Fallon Community Health Plan Experience 1996 - 2007
Job Methodist Hospital Park Nicollet
Industry Hospital & Health Care
Experience
Health Partners/ Park Nicollet   February 2013 - Present
CMSA  1998 - Present
North Memorial Health Care  October 2012 - February 2013
Accretive Health  March 2010 - September 2011
Fallon Community Health Plan   1996 - 2007

Skills
Healthcare, Home Care, Case Management, Direct Marketing, Disease Management, Managed Care, Medicare, Medicaid, Healthcare Information..., EMR, EHR, Healthcare Consulting, Physician Relations, Inpatient, Clinical Research, HIPAA, Health Education, Patient Advocacy, Patient Education

Education
Anna Maria College   1994 — 1996
BSN, Nursing

Lasell College   1973 — 1975
AS, Nursing

Luke Desautels Luke Desautels Worcester, Massachusetts Details
Luke Desautels's Fallon Community Health Plan Experience June 2012 - August 2014
Job Claims Data Entry Clerk at Fallon Health
Industry Hospital & Health Care
Experience
Fallon Health  August 2014 - Present
Fallon Community Health Plan   June 2012 - August 2014
Target  November 2007 - June 2012
UMass Medical School  December 2010 - June 2011
Charlton Performing Arts   2010 - 2011
Assumption College  2003 - 2007

Skills
Customer Service, Retail, Outlook, Data Entry, PowerPoint, Microsoft Word, Microsoft Office, Microsoft Excel, Public Speaking, Access, Event Planning, Sales, Leadership, Social Media, Time Management, Editing, Research, Medical Terminology, Telephone Skills

Education
Assabet Valley Continuing Education   2009 — 2011
certificate of completion, Comprehensive Medical Coding Career Preparation

Assumption College   2003 — 2007
Bachelor of Arts, History

Bonnie May Bonnie May Greater Boston Area Details
Bonnie May's Fallon Community Health Plan Experience September 2005 - October 2009
Job Clinical Pharmacist
Industry Pharmaceuticals
Experience
Academy of Managed Care Pharmacy  1998 - 2011
UMass Medical School  February 2010 - March 2010
Fallon Community Health Plan   September 2005 - October 2009
Fallon Clinic  April 1991 - September 2005

Skills
Contract Negotiation, Disease Management, Medical Coding, Medicare Part D, Healthcare, Utilization Management, Pharmacy Benefit..., Medicaid, Healthcare Consulting, Pharmacy, Medicare, Pharmacology, Clinical Research, Managed Care, Medication Therapy..., Healthcare Information..., Pharmacy Automation, Pharmacists, Hospitals, Healthcare Management, Health Policy, Access

Education
Anna Maria College   2001 — 2005
MBA, General Business

Massachusetts College of Pharmacy and Health Sciences   1977 — 1980
BS, Pharmacy

The University of Connecticut   1973 — 1977
Pharmacy

Denis Herlihy Denis Herlihy Greater Boston Area Details
Denis Herlihy's Fallon Community Health Plan Experience October 1997 - February 2000
Job Account Manager at HR Technology Advisors, LLC
Industry Information Technology and Services
Experience
Neopost New England  January 2010 - October 2011
Consolidated Business Products   September 2008 - January 2010
Automated Business Solutions, Inc.   September 2006 - September 2008
Hypertronics  April 2006 - September 2006
Klipsch Group, Inc.   November 2004 - February 2006
Neopost  September 2001 - November 2004
Starnex Inc.   February 2000 - June 2001
Fallon Community Health Plan   October 1997 - February 2000
Consolidated Group  April 1995 - October 1997

Skills
Account Management, Sales, New Business Development, Business Development, Salesforce.com, Solution Selling, Direct Sales, Sales Operations, Sales Process, Sales Management, Customer Service, Cold Calling, CRM, B2B, Customer Satisfaction, Customer Retention, Sales Presentations, Lead Generation, Managed Print Services, Selling, Building Relationships, Key Account Management, Product Marketing, Retail, Major Accounts, Channel Partners

Education
Assumption College   1988 — 1992
BA

Mark Russoniello Mark Russoniello Greater Boston Area Details
Mark Russoniello's Fallon Community Health Plan Experience January 2008 - Present
Job Vice President of Medical Economics at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan   January 2008 - Present

Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, Research, Outlook, Public Speaking, Strategic Planning, Negotiation, Editing, ACO delivery system..., Program Evaluation

Education
Boston University
Bachelor of Arts (B.A.), Urban Studies/Affairs

Katherine Brodeur Katherine Brodeur Pompano Beach, Florida Details
Katherine Brodeur's Fallon Community Health Plan Experience October 2012 - March 2013
Job UM Nurse Consultant at Coventry Health Care, an Aetna Company
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company  September 2014 - Present
McKesson Health Solutions  December 2013 - September 2014
UnitedHealth Group  May 2013 - December 2013
Fallon Community Health Plan   October 2012 - March 2013

Skills
Case Managment, Utilization Management, Home Care, Hospice, Discharge Planning and..., Medicare/Medicaid..., Medicare Advantage, Nursing, Healthcare, Medicare, Case Management, Managed Care, Hospitals, Long-term Care, Patient Advocacy, HIPAA, Healthcare Management, Healthcare Information..., Disease Management

Education
American Sentinel University   2011 — 2012
Master of Science (MS), Nursing Case Management

Rod Payva Rod Payva Greater Boston Area Details
Rod Payva's Fallon Community Health Plan Experience 2012 - 2013
Job Senior Account Manager
Industry Insurance
Experience
UnitedHealth Group  April 2015 - Present
UnitedHealth Group  April 2013 - April 2015
Fallon Community Health Plan   2012 - 2013

Skills
Community Outreach, Medicare, Health Insurance, Healthcare, Medicaid, Program Development, HIPAA, Managed Care, Account Management

Education
Assumption College

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