Fallon Community Health Plan
Industry: Health insurance company
DescriptionFounded 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
Christine Therrien Christine Therrien's Fallon Community Health Plan Experience August 1999 - February 2006
Job experienced Administrative Assistant
Industry Executive Office
Experience
United States Postal Service March 2012 - March 2013
unemployed February 2012 - March 2012
University of Massachusetts Medical School Cancer Research Office November 2011 - February 2012
AF Maloney Elementary School October 2011 - October 2011
Faith Casler Associates 2010 - 2011
WVU November 2007 - July 2009
PRA International May 2006 - May 2007
Fallon Community Health Plan August 1999 - February 2006
Fallon Community Health Plan August 1999 - February 2006
Skills
MS Office Suite, Excel, Word, PowerPoint, Access, Dreamweaver, Illustrator, Microsoft Office, Microsoft Excel, Data Entry, Human Resources, Software Documentation, Administrative..., Microsoft Word, Time Management, Spreadsheets, Customer Service, Training, Administration
Education
Fisher College 1992 — 1994
AS, Business
United States Postal Service March 2012 - March 2013
unemployed February 2012 - March 2012
University of Massachusetts Medical School Cancer Research Office November 2011 - February 2012
AF Maloney Elementary School October 2011 - October 2011
Faith Casler Associates 2010 - 2011
WVU November 2007 - July 2009
PRA International May 2006 - May 2007
Fallon Community Health Plan August 1999 - February 2006
Fallon Community Health Plan August 1999 - February 2006
Skills
MS Office Suite, Excel, Word, PowerPoint, Access, Dreamweaver, Illustrator, Microsoft Office, Microsoft Excel, Data Entry, Human Resources, Software Documentation, Administrative..., Microsoft Word, Time Management, Spreadsheets, Customer Service, Training, Administration
Education
Fisher College 1992 — 1994
AS, Business
Patrick Rapuano Patrick Rapuano's Fallon Community Health Plan Experience June 2012 - August 2012
Job Medical Student at Columbia University College of Physicians and Surgeons
Industry Medical Practice
Experience
Yale School of Medicine January 2014 - May 2015
Tenwek Hospital October 2013 - December 2013
Tonj Eye Team Outreach November 2013 - November 2013
College of the Holy Cross August 2011 - May 2013
Fallon Community Health Plan June 2012 - August 2012
Lions Eye Bank of Delaware Valley May 2010 - January 2012
Wills Eye Hospital June 2009 - August 2009
Skills
Microsoft Excel, Latin, Leadership, Rowing, PowerPoint, Microsoft Word, Communication Skills, MCAT, Strategic Planning, Research
Education
Columbia University College of Physicians and Surgeons 2015 — 2019
Doctor of Medicine (M.D.)
College of the Holy Cross 2009 — 2013
B.A., Classics, Health Professions Advisory Program
Episcopal Academy 1999 — 2009
Yale School of Medicine January 2014 - May 2015
Tenwek Hospital October 2013 - December 2013
Tonj Eye Team Outreach November 2013 - November 2013
College of the Holy Cross August 2011 - May 2013
Fallon Community Health Plan June 2012 - August 2012
Lions Eye Bank of Delaware Valley May 2010 - January 2012
Wills Eye Hospital June 2009 - August 2009
Skills
Microsoft Excel, Latin, Leadership, Rowing, PowerPoint, Microsoft Word, Communication Skills, MCAT, Strategic Planning, Research
Education
Columbia University College of Physicians and Surgeons 2015 — 2019
Doctor of Medicine (M.D.)
College of the Holy Cross 2009 — 2013
B.A., Classics, Health Professions Advisory Program
Episcopal Academy 1999 — 2009
Joy Mover, Singer/Songwriter Joy Mover, Singer/Songwriter's Fallon Community Health Plan Experience January 1995 - August 2000
Job Join Joy's List @ http://www.joymover.com/ for a Free Download & be first to hear her new EP 'Sweets' Coming Soon!
Industry Music
Experience
Joy Mover Music: Singer/Songwriter November 2009 - Present
WebMD July 2008 - November 2009
RelayHealth September 2002 - March 2007
Fallon Community Health Plan January 1995 - August 2000
Skills
Recording, Music, Composition, Songs, Sound, Music Industry, Vocal, Guitar, Singing, Musical Theatre, Songwriting, Music Production, Record Labels, Keyboards, Studio Recording, Radio, Entertainment, Music Supervision, Music Publishing, Band, Drums, Original Music, Improvisation, POP, Entrepreneurship, Rock, Social Networking, Jazz, Lyrics, Voice Over, Soundtrack, Guitarist, Creative Direction, Piano, Film Scoring, A&R, Television, Concerts, Music Licensing, Social Media Marketing, Licensing, Radio Broadcasting, Audio Engineering, Creative Problem Solving, Musicians, New Media, Song Production, Vocalist, Blues, Bass
Education
Harvard University 1981 — 1989
BA, Cum Laude, Psychology, Philosophy
University of Massachusetts at Lowell 2002 — 2005
MS., Health Services Administration, Valedictorian, Health Care Informatics, Quality, Organizational Behavior
Simmons College
Masters Program, Graduate School of Health Care Administration
Joy Mover Music: Singer/Songwriter November 2009 - Present
WebMD July 2008 - November 2009
RelayHealth September 2002 - March 2007
Fallon Community Health Plan January 1995 - August 2000
Skills
Recording, Music, Composition, Songs, Sound, Music Industry, Vocal, Guitar, Singing, Musical Theatre, Songwriting, Music Production, Record Labels, Keyboards, Studio Recording, Radio, Entertainment, Music Supervision, Music Publishing, Band, Drums, Original Music, Improvisation, POP, Entrepreneurship, Rock, Social Networking, Jazz, Lyrics, Voice Over, Soundtrack, Guitarist, Creative Direction, Piano, Film Scoring, A&R, Television, Concerts, Music Licensing, Social Media Marketing, Licensing, Radio Broadcasting, Audio Engineering, Creative Problem Solving, Musicians, New Media, Song Production, Vocalist, Blues, Bass
Education
Harvard University 1981 — 1989
BA, Cum Laude, Psychology, Philosophy
University of Massachusetts at Lowell 2002 — 2005
MS., Health Services Administration, Valedictorian, Health Care Informatics, Quality, Organizational Behavior
Simmons College
Masters Program, Graduate School of Health Care Administration
Mary T. Mathieu, MSN RN CCM's Fallon Community Health Plan Experience October 2012 - Present
Job
Industry Hospital & Health Care
Experience
Fallon Health June 2015 - Present
Fallon Community Health Plan October 2012 - Present
Fallon Health January 2013 - June 2015
Mathieu Enterprises January 2008 - September 2012
Nashoba Valley Medical Center, a Steward Family Hospital 2005 - September 2012
Fitchburg State University January 2010 - May 2012
United Health Group May 2011 - October 2011
Emerson Hospital 2001 - 2004
Birchwood Care Center (currently Golden Living Center) April 1996 - February 1999
Sunbelt Living Center East Orlando May 1993 - April 1996
Skills
Nursing, Case Management, Utilization Management, Utilization Review, Nursing Education, Healthcare, Home Care, Healthcare Management, Hospitals, Informatics, Patient Advocacy, Disease Management, Patient Safety, Medicaid, Inpatient, Medicare, Healthcare Information..., Managed Care, EMR, Quality Improvement, Elder Care, Acute Care, Mental Health, EHR, Meditech, Telemetry, Healthcare Consulting, Microsoft Office, Physician Relations, PowerPoint, Long-term Care, Medical/Surgical, BLS, Medicine, CPR Certified, Legal Consulting, Palliative Care, Excel, Intermediate French, Vermont RN Licensure, MA RN Licensure, Clinical Instructor -..., Clinical Instructor -..., Clinical Instructor -..., Clinical Documentation...
Education
Framingham State University 2010 — 2012
MSN May 2012, Nursing Leadership
University of Florida 1993 — 1994
Graduate Pathopharmacology
University of Massachusetts Boston 1984 — 1989
BSN, Nursing
Emmanuel College 1980 — 1981
One year of study, Music Therapy
Fallon Health June 2015 - Present
Fallon Community Health Plan October 2012 - Present
Fallon Health January 2013 - June 2015
Mathieu Enterprises January 2008 - September 2012
Nashoba Valley Medical Center, a Steward Family Hospital 2005 - September 2012
Fitchburg State University January 2010 - May 2012
United Health Group May 2011 - October 2011
Emerson Hospital 2001 - 2004
Birchwood Care Center (currently Golden Living Center) April 1996 - February 1999
Sunbelt Living Center East Orlando May 1993 - April 1996
Skills
Nursing, Case Management, Utilization Management, Utilization Review, Nursing Education, Healthcare, Home Care, Healthcare Management, Hospitals, Informatics, Patient Advocacy, Disease Management, Patient Safety, Medicaid, Inpatient, Medicare, Healthcare Information..., Managed Care, EMR, Quality Improvement, Elder Care, Acute Care, Mental Health, EHR, Meditech, Telemetry, Healthcare Consulting, Microsoft Office, Physician Relations, PowerPoint, Long-term Care, Medical/Surgical, BLS, Medicine, CPR Certified, Legal Consulting, Palliative Care, Excel, Intermediate French, Vermont RN Licensure, MA RN Licensure, Clinical Instructor -..., Clinical Instructor -..., Clinical Instructor -..., Clinical Documentation...
Education
Framingham State University 2010 — 2012
MSN May 2012, Nursing Leadership
University of Florida 1993 — 1994
Graduate Pathopharmacology
University of Massachusetts Boston 1984 — 1989
BSN, Nursing
Emmanuel College 1980 — 1981
One year of study, Music Therapy
Deeanna Leite's Fallon Community Health Plan Experience March 2013 - November 2013
Job Senior Event Coordinator at Fallon Health
Industry Insurance
Experience
Fallon Health September 2014 - Present
The Hanover Insurance Group January 2014 - July 2014
Fallon Community Health Plan March 2013 - November 2013
Law Office of Patricia MacIsaac November 2009 - January 2013
Skills
Microsoft Office, Management, Leadership, Healthcare, Customer Service, Microsoft Excel
Education
Clark University 2011 — 2012
Master of Public Administration (MPA)
Clark University 2007 — 2011
Bachelor's degree, Psychology
Fallon Health September 2014 - Present
The Hanover Insurance Group January 2014 - July 2014
Fallon Community Health Plan March 2013 - November 2013
Law Office of Patricia MacIsaac November 2009 - January 2013
Skills
Microsoft Office, Management, Leadership, Healthcare, Customer Service, Microsoft Excel
Education
Clark University 2011 — 2012
Master of Public Administration (MPA)
Clark University 2007 — 2011
Bachelor's degree, Psychology
Janice Luisi's Fallon Community Health Plan Experience October 1999 - March 2002
Job Executive Assistant, Legal Department at Harvard Vanguard Medical Associates
Industry Executive Office
Experience
Harvard Vanguard Medical Associates November 2013 - Present
Coretelligent February 2013 - September 2013
Sourcentra October 2012 - January 2013
Universal American / CHCS Services, Inc. (Senior Market Healthcare products & programs) August 2002 - July 2012
Fallon Community Health Plan October 1999 - March 2002
Staples, Inc January 1999 - October 1999
Harvard Pilgrim Health Care February 1993 - December 1998
Factory Merchants Malls, developer and operator of outlet malls October 1991 - February 1993
Westin Hotels & Resorts November 1988 - September 1991
The Resource Group, Inc. September 1986 - November 1988
Skills
Executive Level..., Project Management, Customer Service, Office Management, Travel Management, Heavy Calendaring, Handle Confidential..., Health Insurance, Medical Terminology, Event Planning, Minute Taking, Team-oriented, Autonomous, HIPAA, Outlook, Microsoft Office, Visio, Leadership, Software Documentation, Access, Process Improvement, Benefits Administration, Administrative..., Project Planning, Microsoft Word, Employee Benefits, Insurance, Executive..., HRIS, Analysis, Budgets, Human Resources, Management, Vendor Management, Recruiting, Employee Relations, Training, Microsoft Excel, PeopleSoft, Team Leadership, Team Building, Accounts Payable, Applicant Tracking..., System Administration, Interviews, Process Scheduler, Call Centers, PowerPoint, New Hire Orientations, Concur
Education
Northeastern University 1996 — 1998
Business Administration and Management, General
Dean College 1984 — 1985
Visual and Performing Arts
Harvard Vanguard Medical Associates November 2013 - Present
Coretelligent February 2013 - September 2013
Sourcentra October 2012 - January 2013
Universal American / CHCS Services, Inc. (Senior Market Healthcare products & programs) August 2002 - July 2012
Fallon Community Health Plan October 1999 - March 2002
Staples, Inc January 1999 - October 1999
Harvard Pilgrim Health Care February 1993 - December 1998
Factory Merchants Malls, developer and operator of outlet malls October 1991 - February 1993
Westin Hotels & Resorts November 1988 - September 1991
The Resource Group, Inc. September 1986 - November 1988
Skills
Executive Level..., Project Management, Customer Service, Office Management, Travel Management, Heavy Calendaring, Handle Confidential..., Health Insurance, Medical Terminology, Event Planning, Minute Taking, Team-oriented, Autonomous, HIPAA, Outlook, Microsoft Office, Visio, Leadership, Software Documentation, Access, Process Improvement, Benefits Administration, Administrative..., Project Planning, Microsoft Word, Employee Benefits, Insurance, Executive..., HRIS, Analysis, Budgets, Human Resources, Management, Vendor Management, Recruiting, Employee Relations, Training, Microsoft Excel, PeopleSoft, Team Leadership, Team Building, Accounts Payable, Applicant Tracking..., System Administration, Interviews, Process Scheduler, Call Centers, PowerPoint, New Hire Orientations, Concur
Education
Northeastern University 1996 — 1998
Business Administration and Management, General
Dean College 1984 — 1985
Visual and Performing Arts
Jessica Grupposo Jessica Grupposo's Fallon Community Health Plan Experience February 2007 - May 2012
Job Senior Manager, Client Services
Industry Computer Software
Experience
Becker College August 2015 - Present
Virgin Pulse November 2013 - Present
Philips Healthcare, Philips Home Monitoring May 2012 - November 2013
Fallon Community Health Plan February 2007 - May 2012
United Healthcare 2005 - 2007
@Work Medical Services 2005 - 2007
Partnership Employment February 2005 - October 2005
Medical Staffing Network, Inc. 2003 - 2005
John Leonard Employment Services 2002 - 2003
Skills
Account Management, Leadership, Marketing, Healthcare, Business Development, Strategic Planning, Management, Customer Service, Sales, Health Insurance, Insurance, Recruiting, Contract Negotiation, Medicare, Salesforce.com, Team Building, Public Speaking, Non-profits, SaaS, Client Services, Employee Wellness...
Education
Nichols College 2012 — 2014
Master of Business Administration (MBA), Marketing
Nichols College
Master of Science (MS), Organizational Leadership
Becker College August 2015 - Present
Virgin Pulse November 2013 - Present
Philips Healthcare, Philips Home Monitoring May 2012 - November 2013
Fallon Community Health Plan February 2007 - May 2012
United Healthcare 2005 - 2007
@Work Medical Services 2005 - 2007
Partnership Employment February 2005 - October 2005
Medical Staffing Network, Inc. 2003 - 2005
John Leonard Employment Services 2002 - 2003
Skills
Account Management, Leadership, Marketing, Healthcare, Business Development, Strategic Planning, Management, Customer Service, Sales, Health Insurance, Insurance, Recruiting, Contract Negotiation, Medicare, Salesforce.com, Team Building, Public Speaking, Non-profits, SaaS, Client Services, Employee Wellness...
Education
Nichols College 2012 — 2014
Master of Business Administration (MBA), Marketing
Nichols College
Master of Science (MS), Organizational Leadership
Patti Cedrone's Fallon Community Health Plan Experience November 2010 - November 2013
Job Clinical Director at Walker
Industry Individual & Family Services
Experience
Walker November 2013 - Present
Fallon Community Health Plan November 2010 - November 2013
The Home for Little Wanderers June 2007 - November 2010
Bay State Community Services, Inc. August 2005 - June 2007
The Home for Little Wanderers June 2002 - August 2005
JRI March 1998 - June 2002
The Devereux Foundation April 1997 - March 1998
Skills
Program Development, Case Management, Supervisory Skills, Team Building, Team Leadership, Microsoft Office, Clinical Supervision, Organizational Behavior, Building Relationships, Program Management, Oral & Written..., Highly motivated..., Work Well Independently, Team-oriented, Supervisory Experience, Adolescents, Mental Health, Social Services, Case Managment, Program Evaluation, Nonprofits, Staff Development, Policy, Healthcare, Leadership, Family Therapy, Behavioral Health, Therapists, Group Therapy, Community Outreach, Clinical Research
Education
UMass Amherst 2009 — 2012
Masters, Business Administration
Lesley College 1991 — 1996
Masters, Counseling Psychology
Walker November 2013 - Present
Fallon Community Health Plan November 2010 - November 2013
The Home for Little Wanderers June 2007 - November 2010
Bay State Community Services, Inc. August 2005 - June 2007
The Home for Little Wanderers June 2002 - August 2005
JRI March 1998 - June 2002
The Devereux Foundation April 1997 - March 1998
Skills
Program Development, Case Management, Supervisory Skills, Team Building, Team Leadership, Microsoft Office, Clinical Supervision, Organizational Behavior, Building Relationships, Program Management, Oral & Written..., Highly motivated..., Work Well Independently, Team-oriented, Supervisory Experience, Adolescents, Mental Health, Social Services, Case Managment, Program Evaluation, Nonprofits, Staff Development, Policy, Healthcare, Leadership, Family Therapy, Behavioral Health, Therapists, Group Therapy, Community Outreach, Clinical Research
Education
UMass Amherst 2009 — 2012
Masters, Business Administration
Lesley College 1991 — 1996
Masters, Counseling Psychology
Sandra Dussault Sandra Dussault's Fallon Community Health Plan Experience November 2008 - Present
Job Manager, Provider Analysis & Credentialing at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan November 2008 - Present
Fallon Community Health Plan March 2005 - November 2008
Fallon Community Health Plan November 1997 - March 2005
Skills
Managed Care, Medicare, Medicaid, Healthcare, Insurance, Credentialing, Health Insurance, HIPAA, Healthcare Industry, Health Policy, Provider Relations, Healthcare Information..., Quality Improvement, Healthcare Consulting, Healthcare Management, Process Improvement
Education
Dean College 1985 — 1987
Associate's degree
Nichols College
Bachelor's degree, Business Administration and Management, General
Fallon Community Health Plan November 2008 - Present
Fallon Community Health Plan March 2005 - November 2008
Fallon Community Health Plan November 1997 - March 2005
Skills
Managed Care, Medicare, Medicaid, Healthcare, Insurance, Credentialing, Health Insurance, HIPAA, Healthcare Industry, Health Policy, Provider Relations, Healthcare Information..., Quality Improvement, Healthcare Consulting, Healthcare Management, Process Improvement
Education
Dean College 1985 — 1987
Associate's degree
Nichols College
Bachelor's degree, Business Administration and Management, General
Charis Wallace Charis Wallace's Fallon Community Health Plan Experience July 2008 - April 2011
Job
Industry Marketing and Advertising
Experience
Dynamic Solutions Business Desk AssistantCape Cod TimesSeptember 2011 - July 2012
Fallon Community Health Plan July 2008 - April 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Photoshop, Public Speaking
Education
Suffolk University 2005 — 2008
Bachelor of Science (B.S.), Communications and Journalism -Media Concentration
Emmanuel College
Dynamic Solutions Business Desk AssistantCape Cod TimesSeptember 2011 - July 2012
Fallon Community Health Plan July 2008 - April 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Photoshop, Public Speaking
Education
Suffolk University 2005 — 2008
Bachelor of Science (B.S.), Communications and Journalism -Media Concentration
Emmanuel College
Peggy Oehlmann Peggy Oehlmann's Fallon Community Health Plan Experience 1998 - 1999
Job Quality Improvement Advisor at VHQC
Industry Hospital & Health Care
Experience
VHQC October 2014 - Present
Discern Health October 2012 - October 2012
Community Health Integrated Partnership September 2010 - September 2012
Treatment Research Institute 2009 - 2010
Self-employed 2008 - 2009
Association For Community Affiliated Plans 2003 - 2007
Center for Health Care Strategies, Inc. 1999 - 2003
Fallon Community Health Plan 1998 - 1999
Partners HealthCare 1997 - 1998
Skills
Project Management, Health Policy, Medicaid, Managed Care, Policy Analysis, Healthcare Information..., Medical Home, Non-profits, PCMH Transformation, Healthcare, Program Evaluation, Performance Improvement, Quality Management, Quality Reporting, Cultural Competency, HIPAA, Strategic Planning, Value Based Purchasing, Pay-For-Performance, Medicare, Program Management, Nonprofits, Healthcare Industry, Fundraising, EHR, Pay for Performance, Utilization Management, Training, Public Policy, Quality Improvement, Policy, Strategy, Leadership, Public Health, EMR, Healthcare Consulting, Clinical Research, Disease Management, Health Services Research
Education
Harvard T.H. Chan School of Public Health 1995 — 1997
MS
Tulane University 1989 — 1993
BA
Matignon High School 1986 — 1989
VHQC October 2014 - Present
Discern Health October 2012 - October 2012
Community Health Integrated Partnership September 2010 - September 2012
Treatment Research Institute 2009 - 2010
Self-employed 2008 - 2009
Association For Community Affiliated Plans 2003 - 2007
Center for Health Care Strategies, Inc. 1999 - 2003
Fallon Community Health Plan 1998 - 1999
Partners HealthCare 1997 - 1998
Skills
Project Management, Health Policy, Medicaid, Managed Care, Policy Analysis, Healthcare Information..., Medical Home, Non-profits, PCMH Transformation, Healthcare, Program Evaluation, Performance Improvement, Quality Management, Quality Reporting, Cultural Competency, HIPAA, Strategic Planning, Value Based Purchasing, Pay-For-Performance, Medicare, Program Management, Nonprofits, Healthcare Industry, Fundraising, EHR, Pay for Performance, Utilization Management, Training, Public Policy, Quality Improvement, Policy, Strategy, Leadership, Public Health, EMR, Healthcare Consulting, Clinical Research, Disease Management, Health Services Research
Education
Harvard T.H. Chan School of Public Health 1995 — 1997
MS
Tulane University 1989 — 1993
BA
Matignon High School 1986 — 1989
Anna Farnsworth's Fallon Community Health Plan Experience February 2008 - October 2013
Job Marketing and Graphics
Industry Marketing and Advertising
Experience
Glickman Kovago and Company October 2013 - 2015
Fallon Community Health Plan February 2008 - October 2013
Comrex Corporation February 2002 - February 2008
Healthtrax Fitness & Wellness 1997 - 2002
Skills
Marketing, Team Building, Healthcare, Strategic Planning, Customer Service, Outlook, Microsoft Office, PowerPoint, Microsoft Excel, Market Research, Photoshop, Illustrator, Management, InDesign, Microsoft Word, Insurance, Leadership, Leadership Development, Dreamweaver, Process Improvement, Employee Benefits, Project Management, Budgets, Program Management, Nonprofits, Public Speaking, Teaching, Business Analysis, Health Insurance, Access, Data Analysis, Training, Time Management, Human Resources, Troubleshooting, Event Planning, Data Entry, Analysis, Administration, Recruiting, Fundraising, Coaching, Software Documentation, Social Networking, Customer Satisfaction, Employee Relations, Office Management, Process Scheduler
Education
Lunenburg High School 1976 — 1980
Fitchburg State College 2001 — 2003
Web Design
The Art Institutes-Boston 2006 — 2007
Graphic Design
Fitchburg State College 2000 — 2017
BSAD, Business Administration and Management
Glickman Kovago and Company October 2013 - 2015
Fallon Community Health Plan February 2008 - October 2013
Comrex Corporation February 2002 - February 2008
Healthtrax Fitness & Wellness 1997 - 2002
Skills
Marketing, Team Building, Healthcare, Strategic Planning, Customer Service, Outlook, Microsoft Office, PowerPoint, Microsoft Excel, Market Research, Photoshop, Illustrator, Management, InDesign, Microsoft Word, Insurance, Leadership, Leadership Development, Dreamweaver, Process Improvement, Employee Benefits, Project Management, Budgets, Program Management, Nonprofits, Public Speaking, Teaching, Business Analysis, Health Insurance, Access, Data Analysis, Training, Time Management, Human Resources, Troubleshooting, Event Planning, Data Entry, Analysis, Administration, Recruiting, Fundraising, Coaching, Software Documentation, Social Networking, Customer Satisfaction, Employee Relations, Office Management, Process Scheduler
Education
Lunenburg High School 1976 — 1980
Fitchburg State College 2001 — 2003
Web Design
The Art Institutes-Boston 2006 — 2007
Graphic Design
Fitchburg State College 2000 — 2017
BSAD, Business Administration and Management
Dena Miller's Fallon Community Health Plan Experience January 2012 - January 2013
Job Sr. Vice President, Clinical Operations Evolent Health
Industry Hospital & Health Care
Experience
Evolent Health 2014 - 2015
Fallon Total Care December 2013 - July 2014
Fallon Total Care January 2013 - December 2013
Fallon Community Health Plan January 2012 - January 2013
Harrington Hospital June 2011 - January 2012
Tufts Health Plan August 2009 - June 2011
Tufts Health Plan January 2006 - July 2009
Skills
Utilization Management, Healthcare, Nursing, Clinical, Mental Health, Care Management, Behavioral Health, Hospitals, Healthcare Management, Inpatient, Medicare, Clinical Research, HIPAA, Medicaid, Managed Care, Revenue Cycle, Home Care, Program Development, Disease Management, Leadership, EMR, Healthcare Consulting, Healthcare Information..., Health Insurance, Social Services, Public Speaking, Case Managment, Healthcare Industry
Education
University of Massachusetts-Worcester 1992 — 1994
MS in Health Care Administration, Nursing
Fitchburg State College 1985 — 1987
BSN, Nursing
Evolent Health 2014 - 2015
Fallon Total Care December 2013 - July 2014
Fallon Total Care January 2013 - December 2013
Fallon Community Health Plan January 2012 - January 2013
Harrington Hospital June 2011 - January 2012
Tufts Health Plan August 2009 - June 2011
Tufts Health Plan January 2006 - July 2009
Skills
Utilization Management, Healthcare, Nursing, Clinical, Mental Health, Care Management, Behavioral Health, Hospitals, Healthcare Management, Inpatient, Medicare, Clinical Research, HIPAA, Medicaid, Managed Care, Revenue Cycle, Home Care, Program Development, Disease Management, Leadership, EMR, Healthcare Consulting, Healthcare Information..., Health Insurance, Social Services, Public Speaking, Case Managment, Healthcare Industry
Education
University of Massachusetts-Worcester 1992 — 1994
MS in Health Care Administration, Nursing
Fitchburg State College 1985 — 1987
BSN, Nursing
Smitha Dugyala Smitha Dugyala's Fallon Community Health Plan Experience June 2010 - Present
Job Senior Data Analyst at Fallon Community Health Plan
Industry Hospital & Health Care
Experience
Fallon Community Health Plan June 2010 - Present
Fallon Community Health Plan (FCHP) December 2007 - May 2010
Skills
Business Intelligence, Data Warehousing, Business Analysis, SQL, Databases, Oracle, Data Modeling, Microsoft SQL Server, Crystal Reports, Analytics, Healthcare Information..., Business Objects, Team Building, Data Analysis, Alteryx
Education
Kakatiya University
Bachelor's degree, Computer Engineering
Fallon Community Health Plan June 2010 - Present
Fallon Community Health Plan (FCHP) December 2007 - May 2010
Skills
Business Intelligence, Data Warehousing, Business Analysis, SQL, Databases, Oracle, Data Modeling, Microsoft SQL Server, Crystal Reports, Analytics, Healthcare Information..., Business Objects, Team Building, Data Analysis, Alteryx
Education
Kakatiya University
Bachelor's degree, Computer Engineering
Julianne Posco's Fallon Community Health Plan Experience August 2008 - July 2010
Job Owner at PoscoCreative
Industry Graphic Design
Experience
PoscoCreative May 2013 - Present
Fallon Community Health Plan August 2008 - July 2010
Fallon Community Health Plan April 2004 - September 2008
folio exhibits 1999 - 2001
Skills
Web Design, Graphic Design, Graphics, Brand Development, Book Illustration, Vector Illustration, Book Design, Marketing, Advertising, Social Media, Creativity, Newsletters, Project Management, Social Media Marketing, Online Advertising, Copywriting, Direct Mail, HTML, Social Networking, Email Marketing, Art, Adobe Creative Suite, Customer Service, Brochures, Creative Direction, Marketing Communications, Corporate Branding, Layout
Education
Mount Wachusett Community College 1997 — 1999
Associate of Science (A.S.), Computer Graphic Design
Strayer University (VA) 1990 — 1991
Certificate, Computer Information Systems
PoscoCreative May 2013 - Present
Fallon Community Health Plan August 2008 - July 2010
Fallon Community Health Plan April 2004 - September 2008
folio exhibits 1999 - 2001
Skills
Web Design, Graphic Design, Graphics, Brand Development, Book Illustration, Vector Illustration, Book Design, Marketing, Advertising, Social Media, Creativity, Newsletters, Project Management, Social Media Marketing, Online Advertising, Copywriting, Direct Mail, HTML, Social Networking, Email Marketing, Art, Adobe Creative Suite, Customer Service, Brochures, Creative Direction, Marketing Communications, Corporate Branding, Layout
Education
Mount Wachusett Community College 1997 — 1999
Associate of Science (A.S.), Computer Graphic Design
Strayer University (VA) 1990 — 1991
Certificate, Computer Information Systems
Amy Alexandra Clark Amy Alexandra Clark's Fallon Community Health Plan Experience February 2013 - May 2013
Job Marketing Assistant
Industry Marketing and Advertising
Experience
KL Jack & Co. March 2015 - Present
Retail August 2013 - May 2015
Cougar Field Hockey 2008 - 2015
Peaks Island Children's Workshop September 2013 - September 2014
Fallon Community Health Plan February 2013 - May 2013
Worcester Sharks October 2011 - April 2012
Skills
Microsoft Office, PowerPoint, Microsoft Excel, Sports, Customer Service, Google Analytics, Google Adwords, Social Media Marketing, Digital Photography, Basic HTML, Social Networking, Research, CSS, Social Media, Team Leadership, Digital Media, Product Marketing, Spanish, Outlook, Leadership, Marketing, Microsoft Word, Communication, Excel, Writing Skills, Spreadsheets, Situational Leadership, Detail Oriented, Administrative Duties, Sales, Photoshop, Organizational Design, Internet Research, Communication Skills, Personality, Promotions, Great People Skills, Organizational Skills, Multitasker, Data Entry, Retail, Insurance, First Aid, Cpr Certified, Time Management, Fundraising, Facebook, Blog Marketing, Writing
Education
Clark University 2008 — 2012
Bachelor's, Sociology; Law
Murdoch University 2011 — 2011
Sociology
Portland High School 2004 — 2008
KL Jack & Co. March 2015 - Present
Retail August 2013 - May 2015
Cougar Field Hockey 2008 - 2015
Peaks Island Children's Workshop September 2013 - September 2014
Fallon Community Health Plan February 2013 - May 2013
Worcester Sharks October 2011 - April 2012
Skills
Microsoft Office, PowerPoint, Microsoft Excel, Sports, Customer Service, Google Analytics, Google Adwords, Social Media Marketing, Digital Photography, Basic HTML, Social Networking, Research, CSS, Social Media, Team Leadership, Digital Media, Product Marketing, Spanish, Outlook, Leadership, Marketing, Microsoft Word, Communication, Excel, Writing Skills, Spreadsheets, Situational Leadership, Detail Oriented, Administrative Duties, Sales, Photoshop, Organizational Design, Internet Research, Communication Skills, Personality, Promotions, Great People Skills, Organizational Skills, Multitasker, Data Entry, Retail, Insurance, First Aid, Cpr Certified, Time Management, Fundraising, Facebook, Blog Marketing, Writing
Education
Clark University 2008 — 2012
Bachelor's, Sociology; Law
Murdoch University 2011 — 2011
Sociology
Portland High School 2004 — 2008
Arelis Gomes's Fallon Community Health Plan Experience September 2012 - January 2014
Job Community Relationship Manager at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan January 2014 - Present
Fallon Community Health Plan September 2012 - January 2014
Tufts Health Plan November 2011 - September 2012
Cape Verdean Assoiciation 2008 - 2012
Health Care For All April 2011 - November 2011
CSCV/Brockton Adult Day Health June 2010 - November 2011
Senior Whole Health August 2006 - July 2009
Old Colony Elderly Services August 2004 - August 2006
Massachusetts General Hospital March 1999 - March 2004
Skills
Non-profits, Healthcare, Public Speaking, Event Planning, Medicare, Community Outreach, Recruiting, Access, Case Managment, Conflict Resolution, Event Management, Data Analysis, Healthcare Management, Fundraising, Managed Care, Market Research, Marketing, Mental Health, Microsoft Office, Microsoft Word, Nonprofits, PowerPoint, Program Development, Program Management, Sales, Social Services, Research, Spanish, Team Building, Teamwork, Time Management, Strategic Planning, Customer Service
Education
Cambridge College 2009 — 2014
Masters, Healthcare Management
Curry College
Health Sciences
Tufts Health Plan January 2014 - Present
Fallon Community Health Plan September 2012 - January 2014
Tufts Health Plan November 2011 - September 2012
Cape Verdean Assoiciation 2008 - 2012
Health Care For All April 2011 - November 2011
CSCV/Brockton Adult Day Health June 2010 - November 2011
Senior Whole Health August 2006 - July 2009
Old Colony Elderly Services August 2004 - August 2006
Massachusetts General Hospital March 1999 - March 2004
Skills
Non-profits, Healthcare, Public Speaking, Event Planning, Medicare, Community Outreach, Recruiting, Access, Case Managment, Conflict Resolution, Event Management, Data Analysis, Healthcare Management, Fundraising, Managed Care, Market Research, Marketing, Mental Health, Microsoft Office, Microsoft Word, Nonprofits, PowerPoint, Program Development, Program Management, Sales, Social Services, Research, Spanish, Team Building, Teamwork, Time Management, Strategic Planning, Customer Service
Education
Cambridge College 2009 — 2014
Masters, Healthcare Management
Curry College
Health Sciences
Charis Wallace Charis Wallace's Fallon Community Health Plan Experience July 2008 - April 2011
Job Business Desk Assistant at Cape Cod Times
Industry Writing and Editing
Experience
Cape Cod Times September 2011 - Present
Fallon Community Health Plan July 2008 - April 2011
Skills
Photography, Bartending, Journalism, Marketing Communications
Education
Suffolk University 2005 — 2008
BS, Communications and Journalism
Emmanuel College 2003 — 2004
Cape Cod Times September 2011 - Present
Fallon Community Health Plan July 2008 - April 2011
Skills
Photography, Bartending, Journalism, Marketing Communications
Education
Suffolk University 2005 — 2008
BS, Communications and Journalism
Emmanuel College 2003 — 2004
Omar A. Williams Omar A. Williams's Fallon Community Health Plan Experience June 2000 - October 2004
Job Strategy and Marketing Professional
Industry Management Consulting
Experience
3M August 2014 - Present
Kelley School of Business August 2012 - May 2014
3M May 2013 - August 2013
Biogen Idec, Inc. February 2009 - June 2012
The Siegfried Group, LLP November 2005 - January 2009
Carlin, Charron & Rosen, LLP (DBA Grand Thornton, LLP) October 2004 - November 2005
Fallon Community Health Plan June 2000 - October 2004
Skills
Strategic Financial..., Business Planning, Financial Analysis, Forecasting, Budget, Problem Solving, Coaching Staff, Management, Budgets, Strategy, Business Strategy, Business Process..., Internal/External..., Business Development, Cross-functional Team..., Mentoring, Financial Statements, Data Analysis, Sarbanes-Oxley Act, Strategic Planning, Internal Controls, Accounting, Financial Modeling, Competitive Analysis, Analysis, Marketing, Leadership, Financial Planning
Education
Indiana University - Kelley School of Business 2012 — 2014
Master of Business Administration (MBA), Marketing & Strategic Management
Worcester State College 2001 — 2002
Graduate Certificate, Accounting
Clark University 1996 — 2000
BA, Economics
3M August 2014 - Present
Kelley School of Business August 2012 - May 2014
3M May 2013 - August 2013
Biogen Idec, Inc. February 2009 - June 2012
The Siegfried Group, LLP November 2005 - January 2009
Carlin, Charron & Rosen, LLP (DBA Grand Thornton, LLP) October 2004 - November 2005
Fallon Community Health Plan June 2000 - October 2004
Skills
Strategic Financial..., Business Planning, Financial Analysis, Forecasting, Budget, Problem Solving, Coaching Staff, Management, Budgets, Strategy, Business Strategy, Business Process..., Internal/External..., Business Development, Cross-functional Team..., Mentoring, Financial Statements, Data Analysis, Sarbanes-Oxley Act, Strategic Planning, Internal Controls, Accounting, Financial Modeling, Competitive Analysis, Analysis, Marketing, Leadership, Financial Planning
Education
Indiana University - Kelley School of Business 2012 — 2014
Master of Business Administration (MBA), Marketing & Strategic Management
Worcester State College 2001 — 2002
Graduate Certificate, Accounting
Clark University 1996 — 2000
BA, Economics
Seth Lewin Seth Lewin's Fallon Community Health Plan Experience October 2008 - February 2012
Job Vice President and Chief Medical Officer at NYCHSRO/MedReview
Industry Hospital & Health Care
Experience
NYCHSRO/MedReview February 2012 - Present
McKesson / InterQual January 2003 - 2014
Fallon Community Health Plan October 2008 - February 2012
Alicare Medical Management Inc. 1994 - 2008
Skills
Managed Care, Utilization Management, Health Policy, Disease Management, Case Managment, Medicaid, Provider Relations, Healthcare Management, Healthcare, Health Insurance, Hospitals, Insurance, Healthcare Information..., Healthcare Consulting, PPO, Informatics, NCQA, Healthcare Industry, HIPAA, HMO, Physicians, EMR, Home Care, Credentialing, Medicine, Case Management
Education
Georgetown University School of Medicine 1968 — 1972
Doctor of Medicine (M.D.)
Postgraduate (M.D.) 1968 — 1972
Doctor of Medicine (M.D.)
NYCHSRO/MedReview February 2012 - Present
McKesson / InterQual January 2003 - 2014
Fallon Community Health Plan October 2008 - February 2012
Alicare Medical Management Inc. 1994 - 2008
Skills
Managed Care, Utilization Management, Health Policy, Disease Management, Case Managment, Medicaid, Provider Relations, Healthcare Management, Healthcare, Health Insurance, Hospitals, Insurance, Healthcare Information..., Healthcare Consulting, PPO, Informatics, NCQA, Healthcare Industry, HIPAA, HMO, Physicians, EMR, Home Care, Credentialing, Medicine, Case Management
Education
Georgetown University School of Medicine 1968 — 1972
Doctor of Medicine (M.D.)
Postgraduate (M.D.) 1968 — 1972
Doctor of Medicine (M.D.)
Susan Spencer Susan Spencer's Fallon Community Health Plan Experience March 1990 - September 1998
Job Reporter at Worcester Telegram & Gazette
Industry Writing and Editing
Experience
Worcester Telegram & Gazette September 2011 - Present
Susan Spencer Art and Word October 2006 - January 2012
Cape Healing Arts Magazine January 2011 - October 2011
Worcester Telegram & Gazette 2006 - September 2011
Blackstone Valley Chamber of Commerce Education Foundation July 2000 - December 2006
United Way of Central Massachusetts September 1998 - June 2000
Fallon Community Health Plan March 1990 - September 1998
Massachusetts Rate Setting Commission 1985 - 1990
Skills
Press Releases, Copywriting, Newsletters, Editorial, Non-profits, Publications, Grants, Grant Writing, Nonprofits, Community Outreach, Research, Facebook, Magazines, Newspapers, Interviews, Publishing, Storytelling, Photography, Leadership, Copy Editing
Education
Harvard T.H. Chan School of Public Health 1982 — 1984
M.S., Health Policy and Management
Dartmouth College 1977 — 1981
B.A., Psychology
Worcester Telegram & Gazette September 2011 - Present
Susan Spencer Art and Word October 2006 - January 2012
Cape Healing Arts Magazine January 2011 - October 2011
Worcester Telegram & Gazette 2006 - September 2011
Blackstone Valley Chamber of Commerce Education Foundation July 2000 - December 2006
United Way of Central Massachusetts September 1998 - June 2000
Fallon Community Health Plan March 1990 - September 1998
Massachusetts Rate Setting Commission 1985 - 1990
Skills
Press Releases, Copywriting, Newsletters, Editorial, Non-profits, Publications, Grants, Grant Writing, Nonprofits, Community Outreach, Research, Facebook, Magazines, Newspapers, Interviews, Publishing, Storytelling, Photography, Leadership, Copy Editing
Education
Harvard T.H. Chan School of Public Health 1982 — 1984
M.S., Health Policy and Management
Dartmouth College 1977 — 1981
B.A., Psychology
Holly Maloney's Fallon Community Health Plan Experience January 2008 - March 2008
Job Supervisor for Not Your Average Joe's
Industry Restaurants
Experience
Not Your Average Joes August 2009 - Present
Barcelona Wine Bar September 2013 - January 2014
Uno Chicago Grill May 2008 - May 2009
Fallon Community Health Plan January 2008 - March 2008
Skills
Restaurants, Customer Service, Restaurant Management, Microsoft Office, Bartending, Food & Beverage, Microsoft Excel, Microsoft Word, PowerPoint, Food Service, Hospitality, Menu Development, Food, Time Management, Inventory Management, Event Planning, Management, Social Networking, Customer Satisfaction, Leadership
Education
Framingham State College 2008 — 2017
Marketing/Marketing Management- Spanish
Emmanuel College 2007 — 2008
General Studies
Westborough High School 2005 — 2007
Dipolma
Not Your Average Joes August 2009 - Present
Barcelona Wine Bar September 2013 - January 2014
Uno Chicago Grill May 2008 - May 2009
Fallon Community Health Plan January 2008 - March 2008
Skills
Restaurants, Customer Service, Restaurant Management, Microsoft Office, Bartending, Food & Beverage, Microsoft Excel, Microsoft Word, PowerPoint, Food Service, Hospitality, Menu Development, Food, Time Management, Inventory Management, Event Planning, Management, Social Networking, Customer Satisfaction, Leadership
Education
Framingham State College 2008 — 2017
Marketing/Marketing Management- Spanish
Emmanuel College 2007 — 2008
General Studies
Westborough High School 2005 — 2007
Dipolma
Shaun Goguen Shaun Goguen's Fallon Community Health Plan Experience December 2010 - August 2013
Job Experienced Reporting and Programming Analyst
Industry Hospital & Health Care
Experience
SimplexGrinnell April 2015 - Present
Lightower Fiber Networks December 2013 - November 2014
Fallon Community Health Plan December 2010 - August 2013
Conversent/One Communications January 2000 - January 2009
The Schofield Group January 1998 - January 2000
Skills
Visual Studio, Visual Basic, SharePoint, Business Intelligence, SQL, Databases, Microsoft SQL Server, Data Warehousing, Access, Unix, Visio, Requirements Analysis, Oracle, Software Development, SDLC, Business Analysis, Software Documentation, SSRS, Crystal Reports, ETL, Analytics, Data Analysis, Process Improvement, Call Center, Telecommunications, Financial Analysis, MS Project, Integration, SSIS, Forecasting, Troubleshooting, Windows Server, PL/SQL, Analysis, Budgets, Dashboard, Customer Satisfaction, Cloud Computing, Invoicing, ERP, Management, T-SQL, Strategic Planning, Data Modeling, Systems Analysis, Business Intelligence..., Requirements Gathering, Enterprise Software, Disaster Recovery
Education
Mount Wachusett Community College 1996 — 1999
Associates, Computer Information Systems CIS - Programming Concentration
SimplexGrinnell April 2015 - Present
Lightower Fiber Networks December 2013 - November 2014
Fallon Community Health Plan December 2010 - August 2013
Conversent/One Communications January 2000 - January 2009
The Schofield Group January 1998 - January 2000
Skills
Visual Studio, Visual Basic, SharePoint, Business Intelligence, SQL, Databases, Microsoft SQL Server, Data Warehousing, Access, Unix, Visio, Requirements Analysis, Oracle, Software Development, SDLC, Business Analysis, Software Documentation, SSRS, Crystal Reports, ETL, Analytics, Data Analysis, Process Improvement, Call Center, Telecommunications, Financial Analysis, MS Project, Integration, SSIS, Forecasting, Troubleshooting, Windows Server, PL/SQL, Analysis, Budgets, Dashboard, Customer Satisfaction, Cloud Computing, Invoicing, ERP, Management, T-SQL, Strategic Planning, Data Modeling, Systems Analysis, Business Intelligence..., Requirements Gathering, Enterprise Software, Disaster Recovery
Education
Mount Wachusett Community College 1996 — 1999
Associates, Computer Information Systems CIS - Programming Concentration
![dhananjay[DJ] nagarkar PMP,CSM,ITIL®,eMBA(candidate)](https://cdn.bearsofficialsstore.com/li/webp/12852712.webp)
dhananjay[DJ] nagarkar PMP,CSM,ITIL®,eMBA(candidate) dhananjay[DJ] nagarkar PMP,CSM,ITIL®,eMBA(candidate)'s Fallon Community Health Plan Experience November 2010 - May 2011
Job Sr. Consultant (Project Manager Healthcare) at CGI
Industry Hospital & Health Care
Experience
CGI April 2015 - Present
Raytheon September 2014 - April 2015
Hewlett Packard (SLED - State and Local deparmtent) July 2014 - September 2014
HP Enterprise Services September 2012 - September 2014
HP Enterprise Services May 2011 - September 2014
Hewlett-Packard State & Local Enterprise Services, Inc. May 2012 - September 2012
HP Enterprise Services February 2012 - May 2012
Hewlett-Packard June 2011 - February 2012
Fallon Community Health Plan November 2010 - May 2011
SimplexGrinnell April 2010 - November 2010
Skills
PMP, Requirements Analysis, Integration, Business Analysis, PMO, Telecommunications, Requirements Gathering, Program Management, Scrum, Analysis, Testing, Business Requirements, Software Project..., Software Development, Portals, Health Insurance, Agile Project Management, Waterfall, Systems Analysis, HRIS, Agile, Web Development, SCM certified
Education
PMP 2008 — 2020
PMP, Project Management
Strayer University - Jack Welch Management Institute - Executive Master of Business Administration 2013 — 2015
Executive MBA, EMBA
VILLANOVA UNIVERSITY 2008 — 2008
Contract Management Certification, Commercial Contract Management
University of Mumbai 1989 — 1994
B.E in Electronics/Telecom, Telecom
mgm COLLEGE 1989 — 1993
Bachelors Degree, Electrical, Electronics and Communications Engineering
ICL COLEGE 1987 — 1989
Highschool, science
Jack Welch Management Institute
Master of Business Administration, Leadership, finance, communications, managerial economics
CERTFICATION ITIL®
ITIL® V3, ITIL
Fr.Agnel
IES School
High school
CGI April 2015 - Present
Raytheon September 2014 - April 2015
Hewlett Packard (SLED - State and Local deparmtent) July 2014 - September 2014
HP Enterprise Services September 2012 - September 2014
HP Enterprise Services May 2011 - September 2014
Hewlett-Packard State & Local Enterprise Services, Inc. May 2012 - September 2012
HP Enterprise Services February 2012 - May 2012
Hewlett-Packard June 2011 - February 2012
Fallon Community Health Plan November 2010 - May 2011
SimplexGrinnell April 2010 - November 2010
Skills
PMP, Requirements Analysis, Integration, Business Analysis, PMO, Telecommunications, Requirements Gathering, Program Management, Scrum, Analysis, Testing, Business Requirements, Software Project..., Software Development, Portals, Health Insurance, Agile Project Management, Waterfall, Systems Analysis, HRIS, Agile, Web Development, SCM certified
Education
PMP 2008 — 2020
PMP, Project Management
Strayer University - Jack Welch Management Institute - Executive Master of Business Administration 2013 — 2015
Executive MBA, EMBA
VILLANOVA UNIVERSITY 2008 — 2008
Contract Management Certification, Commercial Contract Management
University of Mumbai 1989 — 1994
B.E in Electronics/Telecom, Telecom
mgm COLLEGE 1989 — 1993
Bachelors Degree, Electrical, Electronics and Communications Engineering
ICL COLEGE 1987 — 1989
Highschool, science
Jack Welch Management Institute
Master of Business Administration, Leadership, finance, communications, managerial economics
CERTFICATION ITIL®
ITIL® V3, ITIL
Fr.Agnel
IES School
High school
Bethany Daly's Fallon Community Health Plan Experience November 2011 - Present
Job Sr. EDI Coordinator at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan November 2011 - Present
Fallon Community Health Plan June 2006 - November 2011
St. Vincent Hospital August 2002 - June 2006
Skills
EDI, Business Analysis, Crystal Reports, HIPAA
Education
Clark University 1998 — 2002
BA, Business Management
Burncoat High School 1994 — 1998
Fallon Community Health Plan November 2011 - Present
Fallon Community Health Plan June 2006 - November 2011
St. Vincent Hospital August 2002 - June 2006
Skills
EDI, Business Analysis, Crystal Reports, HIPAA
Education
Clark University 1998 — 2002
BA, Business Management
Burncoat High School 1994 — 1998
Audra Tella Audra Tella's Fallon Community Health Plan Experience 1997 - 2006
Job Manager Contract Administration at Philips Lifeline
Industry Medical Devices
Experience
Philips Lifeline June 2014 - Present
Philips Lifeline September 2007 - Present
Public Sector Partners January 2007 - September 2007
Fallon Community Health Plan 1997 - 2006
Skills
Healthcare, Medicare, Healthcare Information..., Hospitals, Process Improvement, HIPAA, Medical Devices, Sales Management, Leadership, Cross-functional Team..., Software Documentation, Healthcare Industry, Managed Care, Medicaid, Team Building, Quality Assurance, Healthcare Management, Informatics, Data Analysis, Strategic Planning, Training, Visio, Project Management, Business Analysis, Access, Program Management, Analysis, Call Centers, Management, Account Management, CRM, Business Process..., Product Management, Strategy, Vendor Management, Change Management
Education
Fitchburg State College
Bachelor of Science, Communications/Media
Northeastern University
Certificate, Paralegal
Villanova University
Masters Certificate, Government Contract Management
Philips Lifeline June 2014 - Present
Philips Lifeline September 2007 - Present
Public Sector Partners January 2007 - September 2007
Fallon Community Health Plan 1997 - 2006
Skills
Healthcare, Medicare, Healthcare Information..., Hospitals, Process Improvement, HIPAA, Medical Devices, Sales Management, Leadership, Cross-functional Team..., Software Documentation, Healthcare Industry, Managed Care, Medicaid, Team Building, Quality Assurance, Healthcare Management, Informatics, Data Analysis, Strategic Planning, Training, Visio, Project Management, Business Analysis, Access, Program Management, Analysis, Call Centers, Management, Account Management, CRM, Business Process..., Product Management, Strategy, Vendor Management, Change Management
Education
Fitchburg State College
Bachelor of Science, Communications/Media
Northeastern University
Certificate, Paralegal
Villanova University
Masters Certificate, Government Contract Management
Michele Nolli Michele Nolli's Fallon Community Health Plan Experience June 2009 - September 2012
Job Infrastructure Sr. Project Manager at The Hanover Insurance Group
Industry Information Technology and Services
Experience
The Hanover Insurance Group September 2012 - Present
Fallon Community Health Plan June 2009 - September 2012
TuringSMI April 2008 - December 2008
Staples 2005 - April 2008
Staples 2002 - 2004
Staples 1999 - 2002
Staples 1996 - 1999
Skills
Customer Service, Mergers, SEC compliance, ITIL, Incident Management, Project Management, IT Service Management, Payment Industry, IT Management, Process Improvement, Vendor Management, Management, Mergers & Acquisitions, Call Centers, System Administration, Disaster Recovery, Service Delivery, Project Portfolio..., Cross-functional Team..., Program Management, Requirements Analysis, Integration, CRM, IT Operations, SDLC, Software Documentation, Change Management, Analysis, SEC, Service Desk, Team Leadership, BMC Remedy, IT Strategy, Information Technology, Strategy, Business Analysis, Help Desk Support, Technical Support, PMO, Leadership, SharePoint, Data Center, Problem Management, PMP, Business Process
Education
HDI 2011 — 2011
Certificate, Support Center Director
The George Washington University - School of Business 2004 — 2006
Master's Certificate, IT Project Management
Clark University 2003 — 2004
Certificate, Business Analyst
The Hanover Insurance Group September 2012 - Present
Fallon Community Health Plan June 2009 - September 2012
TuringSMI April 2008 - December 2008
Staples 2005 - April 2008
Staples 2002 - 2004
Staples 1999 - 2002
Staples 1996 - 1999
Skills
Customer Service, Mergers, SEC compliance, ITIL, Incident Management, Project Management, IT Service Management, Payment Industry, IT Management, Process Improvement, Vendor Management, Management, Mergers & Acquisitions, Call Centers, System Administration, Disaster Recovery, Service Delivery, Project Portfolio..., Cross-functional Team..., Program Management, Requirements Analysis, Integration, CRM, IT Operations, SDLC, Software Documentation, Change Management, Analysis, SEC, Service Desk, Team Leadership, BMC Remedy, IT Strategy, Information Technology, Strategy, Business Analysis, Help Desk Support, Technical Support, PMO, Leadership, SharePoint, Data Center, Problem Management, PMP, Business Process
Education
HDI 2011 — 2011
Certificate, Support Center Director
The George Washington University - School of Business 2004 — 2006
Master's Certificate, IT Project Management
Clark University 2003 — 2004
Certificate, Business Analyst
Sharon Mattus PMP MBA's Fallon Community Health Plan Experience June 2012 - June 2015
Job Contract Project Manager @ UMass Memorial
Industry Hospital & Health Care
Experience
Fallon Community Health Plan June 2012 - June 2015
Beehive Media April 2012 - June 2012
Analgesic Solutions July 2010 - February 2012
Analgesic Solutions July 2010 - June 2011
Delta Dental of RI October 2006 - April 2009
WHIMSICAL WALLS October 2000 - May 2006
PharmaCare December 1998 - September 1999
PharmaCare September 1996 - December 1998
PharmaCare January 1996 - December 1998
Skills
Account Management, Project Management, Six Sigma, Software Development, Database Administration, Customer Service, Business Operations, Benefits Administration, Vendor Management, Process Improvement, Business Analysis, Risk Management, SharePoint, PMP, Data Analysis, PMO, Program Management, Project Portfolio..., Cross-functional Team..., SDLC, Management, Integration
Education
Assumption College 1993 — 1998
MBA, Business Management
Massachusetts College of Liberal Arts 1983 — 1987
B.A, Mathematics
Fallon Community Health Plan June 2012 - June 2015
Beehive Media April 2012 - June 2012
Analgesic Solutions July 2010 - February 2012
Analgesic Solutions July 2010 - June 2011
Delta Dental of RI October 2006 - April 2009
WHIMSICAL WALLS October 2000 - May 2006
PharmaCare December 1998 - September 1999
PharmaCare September 1996 - December 1998
PharmaCare January 1996 - December 1998
Skills
Account Management, Project Management, Six Sigma, Software Development, Database Administration, Customer Service, Business Operations, Benefits Administration, Vendor Management, Process Improvement, Business Analysis, Risk Management, SharePoint, PMP, Data Analysis, PMO, Program Management, Project Portfolio..., Cross-functional Team..., SDLC, Management, Integration
Education
Assumption College 1993 — 1998
MBA, Business Management
Massachusetts College of Liberal Arts 1983 — 1987
B.A, Mathematics
Ellen Baxendale Ellen Baxendale's Fallon Community Health Plan Experience August 1997 - November 2005
Job Computer Software Professional
Industry Computer Software
Experience
Fallon Community Health Plan August 1997 - November 2005
UnumProvident Corporation, Worcester, MA April 1991 - August 1997
The DATA Group Corporation, a NYNEX Company, Burlington, MA January 1988 - October 1990
Skills
COBOL, Structured Analysis, Software Documentation, Visio, Requirements Analysis, Access, Quality Assurance, Process Improvement, Healthcare Information..., Integration, HTML, Testing, Business Analysis, Agile Methodologies, Data Analysis, Unix, Software Development, HIPAA, Crystal Reports, Health Insurance, Software Project...
Education
Clarion University of Pennsylvania 1969 — 1973
MS, Mathamatics/Compiter science
Fallon Community Health Plan August 1997 - November 2005
UnumProvident Corporation, Worcester, MA April 1991 - August 1997
The DATA Group Corporation, a NYNEX Company, Burlington, MA January 1988 - October 1990
Skills
COBOL, Structured Analysis, Software Documentation, Visio, Requirements Analysis, Access, Quality Assurance, Process Improvement, Healthcare Information..., Integration, HTML, Testing, Business Analysis, Agile Methodologies, Data Analysis, Unix, Software Development, HIPAA, Crystal Reports, Health Insurance, Software Project...
Education
Clarion University of Pennsylvania 1969 — 1973
MS, Mathamatics/Compiter science
Debra Mulcahy Debra Mulcahy's Fallon Community Health Plan Experience January 1997 - September 2003
Job Realtor at ERA Key Realty Services
Industry Real Estate
Experience
ERA Key Realty Services November 2003 - Present
Fallon Community Health Plan January 1997 - September 2003
Education
Nichols College 1992 — 1996
Bachelor, Managment
Oxford High School 1981 — 1984
Diploma, General
ERA Key Realty Services November 2003 - Present
Fallon Community Health Plan January 1997 - September 2003
Education
Nichols College 1992 — 1996
Bachelor, Managment
Oxford High School 1981 — 1984
Diploma, General
Alyssa Rogalski's Fallon Community Health Plan Experience January 2007 - January 2007
Job Account Executive at LogMeIn
Industry Computer Software
Experience
LogMeIn December 2014 - Present
SmartBear Software November 2012 - November 2014
MetLife April 2011 - November 2012
MetLife June 2009 - August 2011
Student City September 2008 - December 2008
Fallon Community Health Plan January 2007 - January 2007
TJX January 2006 - January 2006
Education
Endicott College 2005 — 2009
BS, Business Administration, Marketing
John Cabot University - Rome 2007 — 2007
LogMeIn December 2014 - Present
SmartBear Software November 2012 - November 2014
MetLife April 2011 - November 2012
MetLife June 2009 - August 2011
Student City September 2008 - December 2008
Fallon Community Health Plan January 2007 - January 2007
TJX January 2006 - January 2006
Education
Endicott College 2005 — 2009
BS, Business Administration, Marketing
John Cabot University - Rome 2007 — 2007
julie leary's Fallon Community Health Plan Experience April 2005 - April 2007
Job sales at bhr life
Industry Insurance
Experience
bhr life April 2007 - Present
Fallon Community Health Plan April 2005 - April 2007
Harvard Pilgrim Health Care April 1994 - April 2005
Skills
Fundraising, Public Relations, Account Management
Education
Fitchburg State College 1981 — 1985
BS, communications media
bhr life April 2007 - Present
Fallon Community Health Plan April 2005 - April 2007
Harvard Pilgrim Health Care April 1994 - April 2005
Skills
Fundraising, Public Relations, Account Management
Education
Fitchburg State College 1981 — 1985
BS, communications media
Teresa Sullivan, PHR's Fallon Community Health Plan Experience June 2009 - September 2009
Job Human Resources Generalist at Black Box Network Services
Industry Information Technology and Services
Experience
Black Box Network Services February 2015 - Present
Presidio October 2010 - February 2015
Genesis Rehab Services September 2009 - October 2010
Fallon Community Health Plan June 2009 - September 2009
SHRM January 2009 - June 2009
Skills
Human Resources, Recruiting, HRIS, Talent Acquisition, Onboarding, Applicant Tracking..., Personnel Management, Technical Recruiting, Vendor Management, Hiring, Payroll
Education
Framingham State College
Bachelor's Degree, Business Administration
Black Box Network Services February 2015 - Present
Presidio October 2010 - February 2015
Genesis Rehab Services September 2009 - October 2010
Fallon Community Health Plan June 2009 - September 2009
SHRM January 2009 - June 2009
Skills
Human Resources, Recruiting, HRIS, Talent Acquisition, Onboarding, Applicant Tracking..., Personnel Management, Technical Recruiting, Vendor Management, Hiring, Payroll
Education
Framingham State College
Bachelor's Degree, Business Administration
Hao Wang Hao Wang's Fallon Community Health Plan Experience 2003 - 2006
Job Chief Information Officer at The Research Foundation for State University of New York
Industry Higher Education
Experience
The Research Foundation for SUNY April 2013 - Present
The State University of New York April 2013 - December 2013
Accenture April 2012 - April 2013
New York State Office of Mental Health August 2008 - April 2012
Accenture February 2006 - August 2008
SAFE Health July 2004 - February 2006
Fallon Community Health Plan 2003 - 2006
Watson Wyatt Worldwide February 2001 - November 2002
Massachusetts Institute of Technology 1994 - 1998
Skills
General Administration, Informatics, IT Strategy, Healthcare Information..., IT Management, Business Intelligence, Governance, Enterprise Architecture, Business Process..., Program Management, Management Consulting, Healthcare, PMO, Leadership, Business Transformation, Databases, Enterprise Software, Software Development, Information Technology, Analysis, Government, SDLC, Strategy, Management, Data Warehousing, Security, Strategic Planning, Business Strategy, Integration, Policy, Business Analysis, Administrative Work, Consulting, Project Management, Process Improvement, Change Management, Cloud Computing, Data Analysis, Business Development, Networking, Vendor Management, Public Speaking
Education
Harvard University 1998 — 2000
MPA, Public Administration
Massachusetts Institute of Technology 1994 — 1998
PhD, Electronic Materials & Optoelectronics
Peking University 1986 — 1990
BS, Physicis
The Research Foundation for SUNY April 2013 - Present
The State University of New York April 2013 - December 2013
Accenture April 2012 - April 2013
New York State Office of Mental Health August 2008 - April 2012
Accenture February 2006 - August 2008
SAFE Health July 2004 - February 2006
Fallon Community Health Plan 2003 - 2006
Watson Wyatt Worldwide February 2001 - November 2002
Massachusetts Institute of Technology 1994 - 1998
Skills
General Administration, Informatics, IT Strategy, Healthcare Information..., IT Management, Business Intelligence, Governance, Enterprise Architecture, Business Process..., Program Management, Management Consulting, Healthcare, PMO, Leadership, Business Transformation, Databases, Enterprise Software, Software Development, Information Technology, Analysis, Government, SDLC, Strategy, Management, Data Warehousing, Security, Strategic Planning, Business Strategy, Integration, Policy, Business Analysis, Administrative Work, Consulting, Project Management, Process Improvement, Change Management, Cloud Computing, Data Analysis, Business Development, Networking, Vendor Management, Public Speaking
Education
Harvard University 1998 — 2000
MPA, Public Administration
Massachusetts Institute of Technology 1994 — 1998
PhD, Electronic Materials & Optoelectronics
Peking University 1986 — 1990
BS, Physicis
Brian Guagnini's Fallon Community Health Plan Experience January 2011 - Present
Job Senior Plan Sales Executive, Consumer Sales Division at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan January 2011 - Present
Fallon Community Health Plan August 2005 - December 2010
Tufts Health Plan June 2004 - August 2005
Rogers & Gray Insurance Agency November 2003 - June 2004
Tufts Health Plan August 2001 - November 2003
Skills
Account Management, Employee Benefits, Benefits Administration, Health Insurance, Customer Service, Sales, Insurance, Microsoft Office, Team Building, Healthcare, Strategic Planning, Management, Lead Generation, Negotiation, Marketing, Managed Care
Education
Framingham State College 1987 — 1989
Bachelor of Arts, in Graphic Design; Media Communications
Westfield State University 1985 — 1987
B.A.
Fallon Community Health Plan January 2011 - Present
Fallon Community Health Plan August 2005 - December 2010
Tufts Health Plan June 2004 - August 2005
Rogers & Gray Insurance Agency November 2003 - June 2004
Tufts Health Plan August 2001 - November 2003
Skills
Account Management, Employee Benefits, Benefits Administration, Health Insurance, Customer Service, Sales, Insurance, Microsoft Office, Team Building, Healthcare, Strategic Planning, Management, Lead Generation, Negotiation, Marketing, Managed Care
Education
Framingham State College 1987 — 1989
Bachelor of Arts, in Graphic Design; Media Communications
Westfield State University 1985 — 1987
B.A.
Janine O'Connor, FLMI Janine O'Connor, FLMI's Fallon Community Health Plan Experience October 2000 - March 2006
Job National Accounts Implementation Manager at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts March 2013 - Present
Blue Cross Blue Cross Blue Shield of Rhode Island July 2006 - October 2012
Fallon Community Health Plan October 2000 - March 2006
Safeco Insurance August 1995 - June 2000
Consolidated Group, Incorporated January 1991 - August 1995
CIGNA Corporation November 1988 - January 1991
Mass Mutual Life Insurance Co July 1983 - November 1988
American United Life September 1981 - July 1983
Skills
Insurance, Underwriting, Brokers, Cross-functional Team..., Management, Team Leadership, Customer Service, Health Insurance, Negotiation, Pricing, Managed Care, Employee Benefits, Product Development
Education
Butler University
Bachelor of Science, Business Administration
Northeastern University
Graduate Certificate, Strategic Internet Management
Salve Regina University
Master of Science, Health Care Administration
Blue Cross Blue Shield of Massachusetts March 2013 - Present
Blue Cross Blue Cross Blue Shield of Rhode Island July 2006 - October 2012
Fallon Community Health Plan October 2000 - March 2006
Safeco Insurance August 1995 - June 2000
Consolidated Group, Incorporated January 1991 - August 1995
CIGNA Corporation November 1988 - January 1991
Mass Mutual Life Insurance Co July 1983 - November 1988
American United Life September 1981 - July 1983
Skills
Insurance, Underwriting, Brokers, Cross-functional Team..., Management, Team Leadership, Customer Service, Health Insurance, Negotiation, Pricing, Managed Care, Employee Benefits, Product Development
Education
Butler University
Bachelor of Science, Business Administration
Northeastern University
Graduate Certificate, Strategic Internet Management
Salve Regina University
Master of Science, Health Care Administration
Reina Rago's Fallon Community Health Plan Experience 1996 - 1999
Job Senior Educator
Industry Higher Education
Experience
Advanced Math & Science Academy Charter School September 2007 - Present
Masschusetts Pubic Schools 2002 - 2007
Bose Corporation 1999 - 2001
Fallon Community Health Plan 1996 - 1999
Harvard Pilgrim Health Care 1994 - 1996
The Rockport Company 1988 - 1993
Tri Companies 1985 - 1987
Skills
Marketing Communications, Curriculum Design, Key Account Management, Leadership, Microsoft Office, Community Outreach, PowerPoint, Problem Solving, Writing, Customer Service, Teaching, Public Speaking, Social Media, Microsoft Excel, Editing, Event Management, Strategic Planning, Research, Curriculum Development, Marketing Strategy, Creative Writing, Event Planning, Market Research, Training, Advertising, Tutoring, Classroom, E-Learning, Budgets, Program Management, Instructional Design, Staff Development, Public Relations, Educational Leadership, Higher Education, Management, Special Education, Analysis, Newsletters, Teacher Training
Education
Lesley University 2003 — 2004
Master's degree, Education, 3.9
Lesley University 1981 — 1982
Masters in Counseling Psychology, Focus: Career Counseling, 3.9
Advanced Math & Science Academy Charter School September 2007 - Present
Masschusetts Pubic Schools 2002 - 2007
Bose Corporation 1999 - 2001
Fallon Community Health Plan 1996 - 1999
Harvard Pilgrim Health Care 1994 - 1996
The Rockport Company 1988 - 1993
Tri Companies 1985 - 1987
Skills
Marketing Communications, Curriculum Design, Key Account Management, Leadership, Microsoft Office, Community Outreach, PowerPoint, Problem Solving, Writing, Customer Service, Teaching, Public Speaking, Social Media, Microsoft Excel, Editing, Event Management, Strategic Planning, Research, Curriculum Development, Marketing Strategy, Creative Writing, Event Planning, Market Research, Training, Advertising, Tutoring, Classroom, E-Learning, Budgets, Program Management, Instructional Design, Staff Development, Public Relations, Educational Leadership, Higher Education, Management, Special Education, Analysis, Newsletters, Teacher Training
Education
Lesley University 2003 — 2004
Master's degree, Education, 3.9
Lesley University 1981 — 1982
Masters in Counseling Psychology, Focus: Career Counseling, 3.9
Mark High's Fallon Community Health Plan Experience 1989 - 1996
Job Leasing Consultant at Madison Luxury Apartments
Industry Religious Institutions
Experience
Madison Luxury Apartments June 2015 - Present
Cana Commnity Church June 2014 - Present
Whitney Place Assisted Living March 2014 - May 2015
The Navigators September 2007 - June 2014
New Balance REACH The Beach Relay Series May 2011 - March 2013
Woodville Baptist Church 1999 - 2007
Fallon Community Health Plan 1989 - 1996
Skills
Pastoral Care, Preaching, Counseling, Teaching Adults, Project Planning, Project Management, Leadership Development, Leadership, Discipleship, Coaching, Biblical Studies, Theology, Psychotherapy, Community Outreach, Church Events, Missions, Pastoral Counseling, Youth Ministry, Volunteer Management, Nonprofits, Conflict Resolution, Fundraising, Religion, Teaching, Public Speaking, Gospel
Education
Andover-Newton Divinity School 1996 — 2000
M. Div., Pastoral Ministry
Clark University 1992 — 1996
B.A., Philosophy
Weston High School 1976 — 1979
Madison Luxury Apartments June 2015 - Present
Cana Commnity Church June 2014 - Present
Whitney Place Assisted Living March 2014 - May 2015
The Navigators September 2007 - June 2014
New Balance REACH The Beach Relay Series May 2011 - March 2013
Woodville Baptist Church 1999 - 2007
Fallon Community Health Plan 1989 - 1996
Skills
Pastoral Care, Preaching, Counseling, Teaching Adults, Project Planning, Project Management, Leadership Development, Leadership, Discipleship, Coaching, Biblical Studies, Theology, Psychotherapy, Community Outreach, Church Events, Missions, Pastoral Counseling, Youth Ministry, Volunteer Management, Nonprofits, Conflict Resolution, Fundraising, Religion, Teaching, Public Speaking, Gospel
Education
Andover-Newton Divinity School 1996 — 2000
M. Div., Pastoral Ministry
Clark University 1992 — 1996
B.A., Philosophy
Weston High School 1976 — 1979
Ashish Kasturia Ashish Kasturia's Fallon Community Health Plan Experience April 2008 - November 2010
Job Architect, Analytics and Information Management at Wipro Technologies
Industry Information Technology and Services
Experience
eGency, LLC March 2013 - Present
Wipro Technologies March 2013 - Present
Fidelity Investments July 2012 - March 2013
Source One Professionals 2005 - March 2013
Massachusetts Department of Unemployment Assistance February 2011 - July 2012
Fallon Community Health Plan April 2008 - November 2010
Ameripath Inc July 2006 - March 2008
ADVO Inc. March 2006 - July 2006
Johnson Controls Inc. 2004 - 2006
saras america 2002 - 2004
Skills
Business Intelligence, Data Warehousing, Data Warehouse..., Data Modeling, Dimensional Modeling, ETL, Data Integration, Business Analysis, Systems Analysis, Oracle Warehouse Builder, Databases, Database Design, Microsoft SQL Server, Informatica, SDLC, PL/SQL, Oracle, SQL, Requirements Analysis, Unix, Integration, Analytics, Requirements Gathering, Software Development, Enterprise Software, Enterprise Architecture, SSIS
Education
Western Michigan University 2000 — 2002
MS
Maharashtra Institute of Technology 1995 — 1999
Bachelor of Engineering
eGency, LLC March 2013 - Present
Wipro Technologies March 2013 - Present
Fidelity Investments July 2012 - March 2013
Source One Professionals 2005 - March 2013
Massachusetts Department of Unemployment Assistance February 2011 - July 2012
Fallon Community Health Plan April 2008 - November 2010
Ameripath Inc July 2006 - March 2008
ADVO Inc. March 2006 - July 2006
Johnson Controls Inc. 2004 - 2006
saras america 2002 - 2004
Skills
Business Intelligence, Data Warehousing, Data Warehouse..., Data Modeling, Dimensional Modeling, ETL, Data Integration, Business Analysis, Systems Analysis, Oracle Warehouse Builder, Databases, Database Design, Microsoft SQL Server, Informatica, SDLC, PL/SQL, Oracle, SQL, Requirements Analysis, Unix, Integration, Analytics, Requirements Gathering, Software Development, Enterprise Software, Enterprise Architecture, SSIS
Education
Western Michigan University 2000 — 2002
MS
Maharashtra Institute of Technology 1995 — 1999
Bachelor of Engineering
Garth Rosenberg, MD FACS Garth Rosenberg, MD FACS's Fallon Community Health Plan Experience 2010 - 2011
Job Board Certified Vascular Surgeon, Phlebologist, Vein Professional: Capitol Vein & Laser Centers
Industry Medical Practice
Experience
Capitol Vein & Laser January 2000 - Present
Covidien 2001 - March 2014
BTG International January 2011 - 2012
American College of Phlebology 2006 - 2012
FREDERICK MEMORIAL HEALTHCARE SYSTEMS 2000 - 2012
Fallon Community Health Plan 2010 - 2011
Omnia Education, Inc. January 2010 - December 2010
VNUS Medical Technologies 2000 - 2010
Hackett Hemwall 2009 - 2009
Epsicopal Hospital Philadelphia 1994 - 2000
Skills
Surgery, Teaching, Healthcare, Clinical Research, Hospitals, Board Certified, Vascular Surgery, Endovascular, Phlebology, Treatment, Physicians, Sclerotherapy, Medical Education, Medicine, Healthcare Management, Medical Devices, Healthcare Information..., Clinical Trials, General Surgery, EMR, Hardware Diagnostics, Wound Care, Minimally Invasive..., Vascular
Education
Case Western Reserve University School of Medicine 1979 — 1983
MD
University of Michigan 1975 — 1979
BS, Zoology
Capitol Vein & Laser January 2000 - Present
Covidien 2001 - March 2014
BTG International January 2011 - 2012
American College of Phlebology 2006 - 2012
FREDERICK MEMORIAL HEALTHCARE SYSTEMS 2000 - 2012
Fallon Community Health Plan 2010 - 2011
Omnia Education, Inc. January 2010 - December 2010
VNUS Medical Technologies 2000 - 2010
Hackett Hemwall 2009 - 2009
Epsicopal Hospital Philadelphia 1994 - 2000
Skills
Surgery, Teaching, Healthcare, Clinical Research, Hospitals, Board Certified, Vascular Surgery, Endovascular, Phlebology, Treatment, Physicians, Sclerotherapy, Medical Education, Medicine, Healthcare Management, Medical Devices, Healthcare Information..., Clinical Trials, General Surgery, EMR, Hardware Diagnostics, Wound Care, Minimally Invasive..., Vascular
Education
Case Western Reserve University School of Medicine 1979 — 1983
MD
University of Michigan 1975 — 1979
BS, Zoology
Kristen Adam Kristen Adam's Fallon Community Health Plan Experience March 2007 - June 2015
Job Senior Contract Manager at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan March 2007 - June 2015
UnitedHealthcare September 2005 - March 2007
Federal Medical Center Devens April 2001 - September 2005
Skills
Negotiation, Medicaid, Management, Contract Management, Provider Relations, Budgets, Recruiting, Policy, Administration, Medicare, Durable Medical..., Healthcare, Managed Care, Contract Negotiation, Auditing, Financial Audits, Customer Relations, Relationship Management, Process Improvement, Health Insurance, Hospitals, HIPAA, Healthcare Industry, Insurance, Healthcare Consulting, Health Policy
Education
Castleton State College 1988 — 1993
Bachelor of Science (B.S.), Biology, General
Castleton State College 1988 — 1993
Bachelor of Science (B.S.), Biology /Chemistry
Fallon Community Health Plan March 2007 - June 2015
UnitedHealthcare September 2005 - March 2007
Federal Medical Center Devens April 2001 - September 2005
Skills
Negotiation, Medicaid, Management, Contract Management, Provider Relations, Budgets, Recruiting, Policy, Administration, Medicare, Durable Medical..., Healthcare, Managed Care, Contract Negotiation, Auditing, Financial Audits, Customer Relations, Relationship Management, Process Improvement, Health Insurance, Hospitals, HIPAA, Healthcare Industry, Insurance, Healthcare Consulting, Health Policy
Education
Castleton State College 1988 — 1993
Bachelor of Science (B.S.), Biology, General
Castleton State College 1988 — 1993
Bachelor of Science (B.S.), Biology /Chemistry
Allison Mastrovito (Santom) Esq. Allison Mastrovito (Santom) Esq.'s Fallon Community Health Plan Experience May 2010 - Present
Job Manager of Member Appeals & Grievances at Fallon Health
Industry Insurance
Experience
Fallon Community Health Plan May 2010 - Present
Self Employed June 2009 - Present
Fallon Community Health Plan March 2008 - May 2010
Fallon Community Health Plan December 2007 - March 2008
Skills
Grievances, Appeals, Health Insurance, Medicare, Provider Relations, Medicaid, Insurance, HIPAA, Managed Care, Visio, Claim, Requirements Gathering, Process Improvement, Health Policy
Education
Massachusetts School of Law 2005 — 2008
Juris Doctor
University of New England 2001 — 2004
Bachelor of Arts, Psychology
Spm
Fallon Community Health Plan May 2010 - Present
Self Employed June 2009 - Present
Fallon Community Health Plan March 2008 - May 2010
Fallon Community Health Plan December 2007 - March 2008
Skills
Grievances, Appeals, Health Insurance, Medicare, Provider Relations, Medicaid, Insurance, HIPAA, Managed Care, Visio, Claim, Requirements Gathering, Process Improvement, Health Policy
Education
Massachusetts School of Law 2005 — 2008
Juris Doctor
University of New England 2001 — 2004
Bachelor of Arts, Psychology
Spm
Jeannette Frey Jeannette Frey's Fallon Community Health Plan Experience August 2007 - April 2011
Job Corporate Counsel at Best Doctors, Inc.
Industry Hospital & Health Care
Experience
Best Doctors, Inc. August 2012 - Present
Health Dialog April 2011 - August 2012
Fallon Community Health Plan August 2007 - April 2011
Tufts Health Plan August 2006 - August 2007
Tufts Health Plan January 2002 - August 2006
Tufts Health Plan August 1999 - January 2002
Office of the Massachusetts Attorney General August 1997 - August 1999
Massachusetts General Hospital 1997 - 1997
Skills
HIPAA, Privacy Law, Medicare, Healthcare, Managed Care, Training, Health Insurance, Health Policy, Healthcare Management, Privacy Compliance, Healthcare Information..., Data Privacy, Privacy Policies, Privacy Regulations, Legal Compliance, Vendor Contracts, Information Security, Risk Assessment, Policy, Compliance, Social Media, Insurance, Online Privacy, Patient-Centered..., HITECH, Records Management, Project Management, Website Privacy, Business Associate..., HIPAA Security, Provider Relations, Development & delivery..., Medicare Advantage, PCI Standards, Contract Negotiation
Education
Suffolk University Law School 1996 — 2000
JD, cum laude, Health and Biomedical Law Concentration
Ithaca College 1988 — 1992
BS, Administration of Health Services
Best Doctors, Inc. August 2012 - Present
Health Dialog April 2011 - August 2012
Fallon Community Health Plan August 2007 - April 2011
Tufts Health Plan August 2006 - August 2007
Tufts Health Plan January 2002 - August 2006
Tufts Health Plan August 1999 - January 2002
Office of the Massachusetts Attorney General August 1997 - August 1999
Massachusetts General Hospital 1997 - 1997
Skills
HIPAA, Privacy Law, Medicare, Healthcare, Managed Care, Training, Health Insurance, Health Policy, Healthcare Management, Privacy Compliance, Healthcare Information..., Data Privacy, Privacy Policies, Privacy Regulations, Legal Compliance, Vendor Contracts, Information Security, Risk Assessment, Policy, Compliance, Social Media, Insurance, Online Privacy, Patient-Centered..., HITECH, Records Management, Project Management, Website Privacy, Business Associate..., HIPAA Security, Provider Relations, Development & delivery..., Medicare Advantage, PCI Standards, Contract Negotiation
Education
Suffolk University Law School 1996 — 2000
JD, cum laude, Health and Biomedical Law Concentration
Ithaca College 1988 — 1992
BS, Administration of Health Services
Connie DelRio Connie DelRio's Fallon Community Health Plan Experience April 2006 - December 2007
Job CNA/HHA at Arcadia Home Care & Staffing
Industry Hospital & Health Care
Experience
Arcadia Home Care & Staffing May 2012 - Present
Private Duty December 2011 - Present
Independence Healthcare April 2011 - December 2011
BMC HealthNet Plan July 2008 - June 2010
UMass Memorial Medical Center January 2008 - July 2008
Fallon Community Health Plan April 2006 - December 2007
Fallon Community Health Plan February 2001 - April 2006
Fallon Clinic June 2000 - February 2001
Fallon Community Health Plan August 1999 - June 2000
Fallon Community Health Plan August 1998 - August 1999
Skills
Managed Care, Medicare, HIPAA, Health Insurance, Healthcare Management, Insurance, Medicaid, Outlook, Recruiting, Customer Service
Education
Mount Wachusett Community College
Associate of Science (A.S.), Business Technology
Arcadia Home Care & Staffing May 2012 - Present
Private Duty December 2011 - Present
Independence Healthcare April 2011 - December 2011
BMC HealthNet Plan July 2008 - June 2010
UMass Memorial Medical Center January 2008 - July 2008
Fallon Community Health Plan April 2006 - December 2007
Fallon Community Health Plan February 2001 - April 2006
Fallon Clinic June 2000 - February 2001
Fallon Community Health Plan August 1999 - June 2000
Fallon Community Health Plan August 1998 - August 1999
Skills
Managed Care, Medicare, HIPAA, Health Insurance, Healthcare Management, Insurance, Medicaid, Outlook, Recruiting, Customer Service
Education
Mount Wachusett Community College
Associate of Science (A.S.), Business Technology
KERRY STOCKWELL KERRY STOCKWELL's Fallon Community Health Plan Experience 1997 - 1999
Job Senior Project Manager at Fidelity Investments
Industry Financial Services
Experience
Fidelity Investments March 1999 - Present
Fidelity Investments March 1999 - 2000
Fallon Community Health Plan 1997 - 1999
Laboratory For Electronics (LFE) 1995 - 1997
Independent Wire and Cable, Inc. (ICI) 1988 - 1995
State Mutual Life Insurance Company January 1986 - January 1988
Education
Mount Wachusett Community College 1984 — 1986
Associates, Executive Secretarial, Minor in Art
Fidelity Investments March 1999 - Present
Fidelity Investments March 1999 - 2000
Fallon Community Health Plan 1997 - 1999
Laboratory For Electronics (LFE) 1995 - 1997
Independent Wire and Cable, Inc. (ICI) 1988 - 1995
State Mutual Life Insurance Company January 1986 - January 1988
Education
Mount Wachusett Community College 1984 — 1986
Associates, Executive Secretarial, Minor in Art
Bidur Shrestha Bidur Shrestha's Fallon Community Health Plan Experience September 2008 - March 2009
Job Reports Developer at LifeSynch/Humana
Industry Computer Software
Experience
LifeSynch/Humana June 2011 - Present
Cetera Financial Group February 2011 - July 2011
Greenville County Schools August 2010 - January 2011
Trimark United East May 2009 - August 2010
Fallon Community Health Plan September 2008 - March 2009
BCBSNC November 2007 - March 2008
AG Edwards/Wachovia Securities December 2006 - August 2007
Skills
Crystal Reports, Visio, Databases
Education
The University of Findlay 2003 — 2005
MBA
Kathmandu University 1998 — 2001
BBA, Management
LifeSynch/Humana June 2011 - Present
Cetera Financial Group February 2011 - July 2011
Greenville County Schools August 2010 - January 2011
Trimark United East May 2009 - August 2010
Fallon Community Health Plan September 2008 - March 2009
BCBSNC November 2007 - March 2008
AG Edwards/Wachovia Securities December 2006 - August 2007
Skills
Crystal Reports, Visio, Databases
Education
The University of Findlay 2003 — 2005
MBA
Kathmandu University 1998 — 2001
BBA, Management
Sarika Aggarwal's Fallon Community Health Plan Experience August 2013 - September 2015
Job Chief Medical Officer and SVP of Population Health, XG Health Solutions
Industry Hospital & Health Care
Experience
UMass Memorial Medical Center July 1992 - Present
Fallon Community Health Plan August 2013 - September 2015
Skills
Healthcare, Internal Medicine, Hospitals, Healthcare Management
Education
Harvard School of Public Health 2013 — 2015
Masters in Health Care Management
UMass Memorial Medical Center July 1992 - Present
Fallon Community Health Plan August 2013 - September 2015
Skills
Healthcare, Internal Medicine, Hospitals, Healthcare Management
Education
Harvard School of Public Health 2013 — 2015
Masters in Health Care Management
Grimley Kathleen Grimley Kathleen's Fallon Community Health Plan Experience December 2012 - Present
Job Sr. Program Support Coordinator at Fallon Health
Industry Insurance
Experience
Fallon Community Health Plan December 2012 - Present
Sr. Program Support Coordinator at Fallon Health December 2012 - Present
Saint Anne's Hospital May 2009 - December 2012
Steward Saint Anne's Hospital May 2009 - December 2012
Skills
Microsoft Excel, Program Management, Time Management, Event Planning, Customer Service, Community Outreach, Process Improvement, Public Speaking, Training, Nonprofits
Education
Katharine Gibbs School 2001 — 2003
Certificate as Executive Assistant, Office Management and Supervision
Fallon Community Health Plan December 2012 - Present
Sr. Program Support Coordinator at Fallon Health December 2012 - Present
Saint Anne's Hospital May 2009 - December 2012
Steward Saint Anne's Hospital May 2009 - December 2012
Skills
Microsoft Excel, Program Management, Time Management, Event Planning, Customer Service, Community Outreach, Process Improvement, Public Speaking, Training, Nonprofits
Education
Katharine Gibbs School 2001 — 2003
Certificate as Executive Assistant, Office Management and Supervision
Chandrakant Modha's Fallon Community Health Plan Experience January 2011 - Present
Job VP of Accounting at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan January 2011 - Present
Fallon Community Health Plan January 2011 - February 2012
Enhanced Care Initiatives, Inc December 2009 - December 2010
Aetna March 2005 - December 2009
Director of Financial Planning & analysis March 2005 - December 2008
Skills
Financial Analysis, Strategic Planning, Process Improvement, Insurance, Microsoft Excel, Data Analysis, Microsoft Office, Customer Service, Leadership, Team Building, Business Intelligence, Change Management, PowerPoint, Team Leadership, Accounting, Strategic Financial..., Financial Accounting, Forecasting, Medicare, Healthcare, Cost Accounting, Risk Management, Coaching, Access
Education
Louisiana State University
Bachelor's degree, Accounting and Finance
Fallon Community Health Plan January 2011 - Present
Fallon Community Health Plan January 2011 - February 2012
Enhanced Care Initiatives, Inc December 2009 - December 2010
Aetna March 2005 - December 2009
Director of Financial Planning & analysis March 2005 - December 2008
Skills
Financial Analysis, Strategic Planning, Process Improvement, Insurance, Microsoft Excel, Data Analysis, Microsoft Office, Customer Service, Leadership, Team Building, Business Intelligence, Change Management, PowerPoint, Team Leadership, Accounting, Strategic Financial..., Financial Accounting, Forecasting, Medicare, Healthcare, Cost Accounting, Risk Management, Coaching, Access
Education
Louisiana State University
Bachelor's degree, Accounting and Finance
Mike Kiritsy Mike Kiritsy's Fallon Community Health Plan Experience May 2012 - August 2012
Job MD/MBA Candidate at New York University School of Medicine and NYU Stern School of Business
Industry Hospital & Health Care
Experience
New York University June 2013 - August 2013
Novel Energy Solutions June 2013 - August 2013
Fallon Community Health Plan May 2012 - August 2012
Georgetown University September 2009 - May 2012
Fallon Community Health Plan May 2011 - November 2011
Fallon Community Health Plan May 2009 - August 2009
Fallon Community Health Plan May 2008 - August 2008
Skills
Microsoft Office, Visio, Data Analysis, Microsoft Excel, Customer Service, PowerPoint, Windows, Microsoft Word, SharePoint, Outlook, Research, Software Documentation, Networking, Teamwork, Leadership, Teaching
Education
New York University - Leonard N. Stern School of Business 2015 — 2017
Master of Business Administration (M.B.A.)
New York University 2012 — 2017
Doctor of Medicine (M.D.)
Georgetown University 2008 — 2012
Bachelor of Science (BS), Human Science
New York University June 2013 - August 2013
Novel Energy Solutions June 2013 - August 2013
Fallon Community Health Plan May 2012 - August 2012
Georgetown University September 2009 - May 2012
Fallon Community Health Plan May 2011 - November 2011
Fallon Community Health Plan May 2009 - August 2009
Fallon Community Health Plan May 2008 - August 2008
Skills
Microsoft Office, Visio, Data Analysis, Microsoft Excel, Customer Service, PowerPoint, Windows, Microsoft Word, SharePoint, Outlook, Research, Software Documentation, Networking, Teamwork, Leadership, Teaching
Education
New York University - Leonard N. Stern School of Business 2015 — 2017
Master of Business Administration (M.B.A.)
New York University 2012 — 2017
Doctor of Medicine (M.D.)
Georgetown University 2008 — 2012
Bachelor of Science (BS), Human Science
Deborah DeLuca, CSA's Fallon Community Health Plan Experience May 2015 - Present
Job Navicare Navigator at Fallon Community Health Plan
Industry Hospital & Health Care
Experience
Fallon Community Health Plan May 2015 - Present
Fallon Community Health Plan May 2015 - Present
Emeritus February 2014 - February 2015
Gentiva Health Services July 2013 - February 2014
Oncology Rehab Partners LLC April 2012 - July 2013
Philips Lifeline July 2006 - September 2011
Philips Lifeline March 2005 - July 2006
Philips Lifeline January 2003 - March 2005
Lahey Clinic January 2000 - January 2001
Skills
Marketing Strategy, New Business Development, Territory Planning, Market Foresight, Learning Agility, Customer Focus, Customer Presentations, Listening Skills, Cross-functional Team..., Healthcare, Strategic Planning, Medical Devices, Consultative Selling, Customer Oriented, Sales Operations, CRM, Hospitals, Sales, Selling, Strategy, Marketing, Time Management, Customer Service, Healthcare Management, Team Building, Market Development, Home Care, Sales Management, Business Development, Management, Program Management, Training, Public Speaking, Sales Process, Elder Care
Education
Michigan State University
Bachelor of Arts, Business/Tourism
Michigan State University
Bachelor of Arts Business and Tourism, Tourism and Travel Services Management
Fallon Community Health Plan May 2015 - Present
Fallon Community Health Plan May 2015 - Present
Emeritus February 2014 - February 2015
Gentiva Health Services July 2013 - February 2014
Oncology Rehab Partners LLC April 2012 - July 2013
Philips Lifeline July 2006 - September 2011
Philips Lifeline March 2005 - July 2006
Philips Lifeline January 2003 - March 2005
Lahey Clinic January 2000 - January 2001
Skills
Marketing Strategy, New Business Development, Territory Planning, Market Foresight, Learning Agility, Customer Focus, Customer Presentations, Listening Skills, Cross-functional Team..., Healthcare, Strategic Planning, Medical Devices, Consultative Selling, Customer Oriented, Sales Operations, CRM, Hospitals, Sales, Selling, Strategy, Marketing, Time Management, Customer Service, Healthcare Management, Team Building, Market Development, Home Care, Sales Management, Business Development, Management, Program Management, Training, Public Speaking, Sales Process, Elder Care
Education
Michigan State University
Bachelor of Arts, Business/Tourism
Michigan State University
Bachelor of Arts Business and Tourism, Tourism and Travel Services Management
Carmela Semonelli's Fallon Community Health Plan Experience 2004 - 2006
Job Senior Manager, Product Management at IMS Health
Industry Information Technology and Services
Experience
IMS Health October 2011 - Present
IMS Health January 2009 - October 2011
IMS Health October 2007 - December 2008
MetroWest Medical Center March 2007 - September 2007
Fallon Community Health Plan 2004 - 2006
Northshore International Insurance Services, Inc. 1998 - 2004
Skills
Medicaid, Medicare, Analytics, Healthcare Management, Managed Care, Healthcare, Training, Health Economics, Data Analysis, Technical Information, Contract Negotiation, Health Policy, Management, Hospitals, Clinical Research, Data Management, Methodology, Big Data, Customer Service, Account Management, Medical Terminology, Healthcare Information..., Fullfillment, Contract Management, Pharmaceutical Industry, Analysis, OMOP
Education
University of Phoenix 2010 — 2013
Degree program, Healthcare Administration
Lesley College
IMS Health October 2011 - Present
IMS Health January 2009 - October 2011
IMS Health October 2007 - December 2008
MetroWest Medical Center March 2007 - September 2007
Fallon Community Health Plan 2004 - 2006
Northshore International Insurance Services, Inc. 1998 - 2004
Skills
Medicaid, Medicare, Analytics, Healthcare Management, Managed Care, Healthcare, Training, Health Economics, Data Analysis, Technical Information, Contract Negotiation, Health Policy, Management, Hospitals, Clinical Research, Data Management, Methodology, Big Data, Customer Service, Account Management, Medical Terminology, Healthcare Information..., Fullfillment, Contract Management, Pharmaceutical Industry, Analysis, OMOP
Education
University of Phoenix 2010 — 2013
Degree program, Healthcare Administration
Lesley College
Lesley Russell Lesley Russell's Fallon Community Health Plan Experience 2007 - 2007
Job Experienced Office Manager and Administrative Professional
Industry Renewables & Environment
Experience
Brookfield Renewable Energy Group February 2012 - June 2015
Brookfield Renewable Energy Group May 2008 - January 2011
Fallon Community Health Plan 2007 - 2007
Vidsys, Inc. 2006 - 2006
BIO-key International, Inc. 2002 - 2005
BIO-key International, Inc. 1997 - 2002
Skills
Renewable Energy, Energy, Customer Service, Office Management, Budgets, Project Management, Project Planning, Acting Notary Public..., Process Improvement, Microsoft Excel, Microsoft Office, Analysis, Financial Reporting, Strategic Planning
Education
Framingham State College
Undergraduate work including Business, Psychology, and Sociology
University of Massachusetts Lowell
Project Management Training Program, 2003
Brookfield Renewable Energy Group February 2012 - June 2015
Brookfield Renewable Energy Group May 2008 - January 2011
Fallon Community Health Plan 2007 - 2007
Vidsys, Inc. 2006 - 2006
BIO-key International, Inc. 2002 - 2005
BIO-key International, Inc. 1997 - 2002
Skills
Renewable Energy, Energy, Customer Service, Office Management, Budgets, Project Management, Project Planning, Acting Notary Public..., Process Improvement, Microsoft Excel, Microsoft Office, Analysis, Financial Reporting, Strategic Planning
Education
Framingham State College
Undergraduate work including Business, Psychology, and Sociology
University of Massachusetts Lowell
Project Management Training Program, 2003
James Marengo's Fallon Community Health Plan Experience November 2007 - February 2008
Job Sr. Business Analyst at Spaulding Composites
Industry Mechanical or Industrial Engineering
Experience
Spaulding Composites August 2014 - Present
FlexEnergy Energy Systems January 2013 - August 2014
Syndeo Technologies August 2011 - January 2013
JVT Advisors July 2011 - January 2013
Measured Progress September 2008 - January 2011
Fallon Community Health Plan November 2007 - February 2008
Hewlett-Packard February 2007 - November 2007
The Monitor Group April 2006 - November 2006
Hewlett-Packard including Compaq and Digital Equipment Corp. August 1996 - November 2004
Skills
Project Management, Process Improvement, ERP, MS Project, Business Analysis, Documentations, Quality Assurance, Testing, Epicor ERP Software, Purchasing, Requirements Analysis, Syteline ERP, Analysis, Leadership, Deltek Costpoint ERP..., Business Process..., Process documentation, Management, Program Management, Cross-functional Team..., Enterprise Software, Product Management, Microsoft Project
Education
Daniel Webster College 2003 — 2005
MBA, Business
Daniel Webster College 2000 — 2002
BS, Operations Management
Worcester Polytechnic Institute
Worcester Polytechnic Institute
Spaulding Composites August 2014 - Present
FlexEnergy Energy Systems January 2013 - August 2014
Syndeo Technologies August 2011 - January 2013
JVT Advisors July 2011 - January 2013
Measured Progress September 2008 - January 2011
Fallon Community Health Plan November 2007 - February 2008
Hewlett-Packard February 2007 - November 2007
The Monitor Group April 2006 - November 2006
Hewlett-Packard including Compaq and Digital Equipment Corp. August 1996 - November 2004
Skills
Project Management, Process Improvement, ERP, MS Project, Business Analysis, Documentations, Quality Assurance, Testing, Epicor ERP Software, Purchasing, Requirements Analysis, Syteline ERP, Analysis, Leadership, Deltek Costpoint ERP..., Business Process..., Process documentation, Management, Program Management, Cross-functional Team..., Enterprise Software, Product Management, Microsoft Project
Education
Daniel Webster College 2003 — 2005
MBA, Business
Daniel Webster College 2000 — 2002
BS, Operations Management
Worcester Polytechnic Institute
Worcester Polytechnic Institute
Garvin Asimwe Garvin Asimwe's Fallon Community Health Plan Experience October 2009 - August 2010
Job Co Founder at Maisha Media
Industry Public Relations and Communications
Experience
Maisha Media September 2015 - Present
Staples September 2013 - September 2015
East African Community Outreach January 2010 - September 2014
Fallon Community Health Plan October 2009 - August 2010
Skills
Management, Microsoft Excel, Microsoft Office, Customer Service, Data Analysis, Strategic Planning, Business Analysis, Leadership, Program Management, PowerPoint, Financial Analysis, Microsoft Word, Research, Financial Modeling, Valuation, Teamwork, Salesforce.com, Siebel, AS400 system, Sales, Team Building, Adobe Design Programs, Magento, RapidMiner, Knime, Microsoft Project, Google Analytics, Google Adwords, Google Merchant Center, Google Docs, Google Webmaster Tools, User Interface Design, CRM, A++, Interviews, Recruiting, Account Management, Time Management, Marketing, Marketing Strategy, Strategy, Social Media, New Business Development, Analysis, Social Media Marketing, Public Speaking
Education
DeVry University 2010 — 2016
Bachelor's degree, Computer and Information Systems Security/Information Assurance
South High Community School 2007 — 2009
High School Diploma, General Studies
Maisha Media September 2015 - Present
Staples September 2013 - September 2015
East African Community Outreach January 2010 - September 2014
Fallon Community Health Plan October 2009 - August 2010
Skills
Management, Microsoft Excel, Microsoft Office, Customer Service, Data Analysis, Strategic Planning, Business Analysis, Leadership, Program Management, PowerPoint, Financial Analysis, Microsoft Word, Research, Financial Modeling, Valuation, Teamwork, Salesforce.com, Siebel, AS400 system, Sales, Team Building, Adobe Design Programs, Magento, RapidMiner, Knime, Microsoft Project, Google Analytics, Google Adwords, Google Merchant Center, Google Docs, Google Webmaster Tools, User Interface Design, CRM, A++, Interviews, Recruiting, Account Management, Time Management, Marketing, Marketing Strategy, Strategy, Social Media, New Business Development, Analysis, Social Media Marketing, Public Speaking
Education
DeVry University 2010 — 2016
Bachelor's degree, Computer and Information Systems Security/Information Assurance
South High Community School 2007 — 2009
High School Diploma, General Studies
Michael Cutroni Michael Cutroni's Fallon Community Health Plan Experience April 1998 - July 1999
Job Chief Financial Officer at Consumers Mutual Insurance of Michigan
Industry Insurance
Experience
Consumers Mutual Insurance of Michigan May 2015 - Present
Universal American May 2009 - April 2015
Universal American September 2008 - May 2009
Universal American January 2006 - August 2008
Lovelace Health Plan August 2003 - December 2005
TeraHealth July 1999 - August 2003
Fallon Community Health Plan April 1998 - July 1999
Fallon Community Health Plan July 1995 - March 1998
Fallon Community Health Plan 1986 - July 1995
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Public Speaking, Budgets, Strategic Planning, Analysis, Forecasting, Finance, Auditing, Financial Reporting, Accounting, Financial Analysis, Sarbanes-Oxley Act, Internal Audit
Education
Clark University 1990 — 1993
Master of Business Administration (M.B.A.), Accounting
College of the Holy Cross 1983 — 1987
Bachelor of Arts (B.A.), Economics
Consumers Mutual Insurance of Michigan May 2015 - Present
Universal American May 2009 - April 2015
Universal American September 2008 - May 2009
Universal American January 2006 - August 2008
Lovelace Health Plan August 2003 - December 2005
TeraHealth July 1999 - August 2003
Fallon Community Health Plan April 1998 - July 1999
Fallon Community Health Plan July 1995 - March 1998
Fallon Community Health Plan 1986 - July 1995
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Public Speaking, Budgets, Strategic Planning, Analysis, Forecasting, Finance, Auditing, Financial Reporting, Accounting, Financial Analysis, Sarbanes-Oxley Act, Internal Audit
Education
Clark University 1990 — 1993
Master of Business Administration (M.B.A.), Accounting
College of the Holy Cross 1983 — 1987
Bachelor of Arts (B.A.), Economics
Craig Artman's Fallon Community Health Plan Experience December 2012 - November 2013
Job Experienced IT Manager
Industry Information Technology and Services
Experience
Seniorlink May 2014 - Present
Fallon Community Health Plan December 2012 - November 2013
Columbus Communications Inc April 2012 - November 2012
Produban/Banco Santander March 2011 - April 2012
Independent Consultant August 2009 - March 2011
Haley & Aldrich December 2008 - August 2009
KeyCorp August 2007 - December 2008
KeyCorp June 2005 - August 2007
KeyCorp July 2001 - June 2005
KeyCorp March 1999 - July 2001
Skills
Vendor Management, ITIL, Management, Incident Management, Information Technology, Leadership, Help Desk Support, Enterprise Software, Customer Service, IT Management, Call Center, SharePoint, Servers, Disaster Recovery, System Administration, Business Analysis, Cross-functional Team..., IT Relationship..., Team Building, Software Documentation, Integration, IT Strategy, Security, Process Improvement, IT Service Management, Data Center, Troubleshooting, Call Centers, SDLC, Service Desk, Staff Development, Visio, IT Operations, Help Desk Management, Customer Service..., Windows Server, Technical Support, Business Continuity, Customer Relations
Education
Indiana University-Southeast
BGS, Humanities
Seniorlink May 2014 - Present
Fallon Community Health Plan December 2012 - November 2013
Columbus Communications Inc April 2012 - November 2012
Produban/Banco Santander March 2011 - April 2012
Independent Consultant August 2009 - March 2011
Haley & Aldrich December 2008 - August 2009
KeyCorp August 2007 - December 2008
KeyCorp June 2005 - August 2007
KeyCorp July 2001 - June 2005
KeyCorp March 1999 - July 2001
Skills
Vendor Management, ITIL, Management, Incident Management, Information Technology, Leadership, Help Desk Support, Enterprise Software, Customer Service, IT Management, Call Center, SharePoint, Servers, Disaster Recovery, System Administration, Business Analysis, Cross-functional Team..., IT Relationship..., Team Building, Software Documentation, Integration, IT Strategy, Security, Process Improvement, IT Service Management, Data Center, Troubleshooting, Call Centers, SDLC, Service Desk, Staff Development, Visio, IT Operations, Help Desk Management, Customer Service..., Windows Server, Technical Support, Business Continuity, Customer Relations
Education
Indiana University-Southeast
BGS, Humanities
Nathan Howard Nathan Howard's Fallon Community Health Plan Experience March 2008 - January 2011
Job Senior Consultant & Principal Software Engineer
Industry Information Technology and Services
Experience
MorphoTrust USA™ December 2011 - Present
Tri-State Christian Academy May 2002 - April 2014
Fallon Community Health Plan March 2008 - January 2011
Charles River Laboratories November 2005 - March 2008
United Natural Foods Incorporated November 2003 - November 2005
Skills
.NET, Microsoft SQL Server, IIS, WCF, BizTalk, C#, Visio, SQL Server 2000-2008, .NET Framework, OOP, HTML, JavaScript, ASP.NET, XML, Windows, Scrum, Design Patterns, SOA Patterns, ASP.NET AJAX, HTML + CSS, XML Schema, XSLT, SSAS, Apache, Joomla, TFS, X12 EDI, HL7, Linux, FreeBSD, Visual Studio, Agile Methodologies
Education
Eastern Connecticut State University 2001 — 2003
BS MATH, Mathematics and Computer Science
Three Rivers Community Technical College 1997 — 1999
AS EET, Electrical Engineering
MorphoTrust USA™ December 2011 - Present
Tri-State Christian Academy May 2002 - April 2014
Fallon Community Health Plan March 2008 - January 2011
Charles River Laboratories November 2005 - March 2008
United Natural Foods Incorporated November 2003 - November 2005
Skills
.NET, Microsoft SQL Server, IIS, WCF, BizTalk, C#, Visio, SQL Server 2000-2008, .NET Framework, OOP, HTML, JavaScript, ASP.NET, XML, Windows, Scrum, Design Patterns, SOA Patterns, ASP.NET AJAX, HTML + CSS, XML Schema, XSLT, SSAS, Apache, Joomla, TFS, X12 EDI, HL7, Linux, FreeBSD, Visual Studio, Agile Methodologies
Education
Eastern Connecticut State University 2001 — 2003
BS MATH, Mathematics and Computer Science
Three Rivers Community Technical College 1997 — 1999
AS EET, Electrical Engineering
Karyn Riopel Karyn Riopel's Fallon Community Health Plan Experience June 2011 - Present
Job Business Consultant at Fallon Community Health Plan
Industry Hospital & Health Care
Experience
Fallon Health August 2012 - Present
Fallon Community Health Plan June 2011 - Present
Sunovion Pharmaceuticals Inc. September 2002 - June 2011
CIGNA Healthcare 1996 - 1998
Skills
Project Management, CPT, Customer Service, Utilization Management, Process Improvement, Contract Management, SaaS, Training, Leadership, Management, Time Management, Cross-functional Team..., Sales Management, Medical Billing & Coding, Internal Audit, Business Process..., Process Analysis, Software Documentation, CRM, Analysis, Business Development, Business Intelligence, Business Requirements, Operations Management, New Business Development, Product Launch, Healthcare, Pharmaceutical Industry, Consulting, Budgets, Business Process, Business Analysis, Strategic Planning, Managed Care, Medical Devices, Account Management, Sales Operations, Program Management, Vendor Management, Team Building, Strategy, Change Management
Education
Nichols College 1999 — 2001
BS, Business Administration: MIS
Quinsigamond Community College 1997 — 1999
Associates, Business Administration
Shepherd Hill Regional High School 1990 — 1996
General Ed, General Studies
Fallon Health August 2012 - Present
Fallon Community Health Plan June 2011 - Present
Sunovion Pharmaceuticals Inc. September 2002 - June 2011
CIGNA Healthcare 1996 - 1998
Skills
Project Management, CPT, Customer Service, Utilization Management, Process Improvement, Contract Management, SaaS, Training, Leadership, Management, Time Management, Cross-functional Team..., Sales Management, Medical Billing & Coding, Internal Audit, Business Process..., Process Analysis, Software Documentation, CRM, Analysis, Business Development, Business Intelligence, Business Requirements, Operations Management, New Business Development, Product Launch, Healthcare, Pharmaceutical Industry, Consulting, Budgets, Business Process, Business Analysis, Strategic Planning, Managed Care, Medical Devices, Account Management, Sales Operations, Program Management, Vendor Management, Team Building, Strategy, Change Management
Education
Nichols College 1999 — 2001
BS, Business Administration: MIS
Quinsigamond Community College 1997 — 1999
Associates, Business Administration
Shepherd Hill Regional High School 1990 — 1996
General Ed, General Studies
Nancy Kirkpatrick-Acquista's Fallon Community Health Plan Experience January 2008 - March 2012
Job RN, CPCH, COC, Clinical Compliance Coordinator at Boston Children's Hospital
Industry Hospital & Health Care
Experience
Boston Children's Hospital March 2012 - Present
Fallon Community Health Plan January 2008 - March 2012
Senior Whole Health January 2007 - January 2008
Public Sector Partners / UMMS June 2004 - January 2007
UMass Memorial Medical Center November 2000 - June 2004
Allmerica Financial 1998 - July 2000
Allmerica Financial 1996 - 1998
Fatima Hospital 1985 - 1986
Fatima Hospital 1985 - 1986
Skills
Medicare Compliance, Medical Coding, Medical Record Review, Medicare, Compliance, Hospitals, Healthcare Management, Nursing, Insurance, Microsoft Office, Customer Service, Managed Care, Medical Records, Medical Billing, Healthcare, Case Managment, Medicaid, Paralegals, Legal Nurse Consulting, HIPAA, Software Documentation, Case Management, Home Care, Health Insurance
Education
AAPC 2012 — 2012
CPC-H, Medical Insurance Coding Specialist/Coder
Kaplan University 2010 — 2011
Certificate, Forensic Nursing
Saint Joseph's College 2008 — 2011
BS elig, Criminal Justice
Northeastern University 2005 — 2006
Paralegal, Legal
Mount Wachusett Community College 1978 — 1980
AS/ADN, Nursing Science
David Hale Fanning School of Health and Technical Occupations 1976 — 1977
LPN, Nursing
North HS
North HS
Boston Children's Hospital March 2012 - Present
Fallon Community Health Plan January 2008 - March 2012
Senior Whole Health January 2007 - January 2008
Public Sector Partners / UMMS June 2004 - January 2007
UMass Memorial Medical Center November 2000 - June 2004
Allmerica Financial 1998 - July 2000
Allmerica Financial 1996 - 1998
Fatima Hospital 1985 - 1986
Fatima Hospital 1985 - 1986
Skills
Medicare Compliance, Medical Coding, Medical Record Review, Medicare, Compliance, Hospitals, Healthcare Management, Nursing, Insurance, Microsoft Office, Customer Service, Managed Care, Medical Records, Medical Billing, Healthcare, Case Managment, Medicaid, Paralegals, Legal Nurse Consulting, HIPAA, Software Documentation, Case Management, Home Care, Health Insurance
Education
AAPC 2012 — 2012
CPC-H, Medical Insurance Coding Specialist/Coder
Kaplan University 2010 — 2011
Certificate, Forensic Nursing
Saint Joseph's College 2008 — 2011
BS elig, Criminal Justice
Northeastern University 2005 — 2006
Paralegal, Legal
Mount Wachusett Community College 1978 — 1980
AS/ADN, Nursing Science
David Hale Fanning School of Health and Technical Occupations 1976 — 1977
LPN, Nursing
North HS
North HS
Tina Ladrie's Fallon Community Health Plan Experience March 2008 - July 2010
Job Medicare Sales Representative at Harvard Pilgrim HealthCare
Industry Insurance
Experience
Harvard Pilgrim Health Care August 2013 - Present
eHealthInsurance April 2013 - August 2013
Genworth Financial March 2011 - April 2013
Fallon Community Health Plan March 2008 - July 2010
Palley Advertising 2001 - 2006
Skills
Health Insurance, Marketing Communications, Advertising, Public Relations, Insurance, Social Media Marketing, Social Media, Account Management
Education
Fitchburg State College 1986 — 1990
BS, Communications/Media
Harvard Pilgrim Health Care August 2013 - Present
eHealthInsurance April 2013 - August 2013
Genworth Financial March 2011 - April 2013
Fallon Community Health Plan March 2008 - July 2010
Palley Advertising 2001 - 2006
Skills
Health Insurance, Marketing Communications, Advertising, Public Relations, Insurance, Social Media Marketing, Social Media, Account Management
Education
Fitchburg State College 1986 — 1990
BS, Communications/Media
Linda Gallic - Gadilauskas Linda Gallic - Gadilauskas's Fallon Community Health Plan Experience August 2011 - March 2013
Job Seeking new opportunities!
Industry Hospital & Health Care
Experience
Real Living Barbera Associates January 2014 - Present
Home Loan Investment Bank April 2013 - January 2014
Fallon Community Health Plan August 2011 - March 2013
Bob's Stores September 2009 - October 2011
Skills
Sales, Customer Service, Retail, Merchandising, Time Management, Inventory Management, Visual Merchandising, Fashion, Microsoft Office, Retail Sales, Strategic Planning
Education
State University of New York at Albany 1983 — 1984
Business, Management, Marketing, and Related Support Services
Nassau Community College
Real Living Barbera Associates January 2014 - Present
Home Loan Investment Bank April 2013 - January 2014
Fallon Community Health Plan August 2011 - March 2013
Bob's Stores September 2009 - October 2011
Skills
Sales, Customer Service, Retail, Merchandising, Time Management, Inventory Management, Visual Merchandising, Fashion, Microsoft Office, Retail Sales, Strategic Planning
Education
State University of New York at Albany 1983 — 1984
Business, Management, Marketing, and Related Support Services
Nassau Community College
Coleen E Toronto Coleen E Toronto's Fallon Community Health Plan Experience 2005 - 2009
Job Assistant Professor at Curry College
Industry Higher Education
Experience
Curry College July 2012 - Present
MCPHS June 2011 - August 2012
Boston College August 2010 - July 2012
Kaplan Test Prep and Admissions 2010 - 2011
Curry College 2009 - 2010
Charles River Oncology 2008 - 2010
UMass Medical School 2003 - 2010
Wellesley College 2007 - 2009
Fallon Community Health Plan 2005 - 2009
Home Nutritional Services, Chartwell and Coram 1988 - 2003
Skills
Nursing Education, Higher Education, Research, Community Health, Home Infusion, BLS, PowerPoint, Clinical Research, Home Care, Cpr Certified, Medical/Surgical, Teaching, Health Promotion, Medical Terminology, ICU, Hospitals, Mental Health, Public Health, Patient Safety, Patient Education, Critical Care, Patient Advocacy, Medical-Surgical, Healthcare, Nursing, Health Education, Public Speaking, CPR Certified
Education
UMass Dartmouth 2012 — 2016
Doctor of Philosophy (PhD), Nursing Education
Framingham State College 2008 — 2010
MSN, Nursing Education
Northeastern University 1982 — 1988
BSN, Nursing
Framingham Union Hospital School of Nursing 1977 — 1980
Diploma, Nursing
Curry College July 2012 - Present
MCPHS June 2011 - August 2012
Boston College August 2010 - July 2012
Kaplan Test Prep and Admissions 2010 - 2011
Curry College 2009 - 2010
Charles River Oncology 2008 - 2010
UMass Medical School 2003 - 2010
Wellesley College 2007 - 2009
Fallon Community Health Plan 2005 - 2009
Home Nutritional Services, Chartwell and Coram 1988 - 2003
Skills
Nursing Education, Higher Education, Research, Community Health, Home Infusion, BLS, PowerPoint, Clinical Research, Home Care, Cpr Certified, Medical/Surgical, Teaching, Health Promotion, Medical Terminology, ICU, Hospitals, Mental Health, Public Health, Patient Safety, Patient Education, Critical Care, Patient Advocacy, Medical-Surgical, Healthcare, Nursing, Health Education, Public Speaking, CPR Certified
Education
UMass Dartmouth 2012 — 2016
Doctor of Philosophy (PhD), Nursing Education
Framingham State College 2008 — 2010
MSN, Nursing Education
Northeastern University 1982 — 1988
BSN, Nursing
Framingham Union Hospital School of Nursing 1977 — 1980
Diploma, Nursing
Bruce Wahle's Fallon Community Health Plan Experience 1994 - 1995
Job Office Manager at Electrical Design & Installation, Inc.
Industry Human Resources
Experience
Electrical Design and Installation, Inc. 2010 - Present
Worcester B'nai Brith Cemetery December 2012 - Present
Fleet Safety Services, Inc. 2009 - 2011
City of Worcester 2003 - July 2008
Netflix November 2007 - 2008
NAPAC, Inc. January 2002 - October 2007
Solectron Corporation 1999 - 2001
PresMet Corpration 1996 - 1998
Fallon Community Health Plan 1994 - 1995
Skills
Employee Benefits, Resume Writing, Team Building, Employee Relations, Organizational..., Recruiting, Career Counseling, HRIS, Human Resources, Interviews, Onboarding, Talent Acquisition, Talent Management, Applicant Tracking..., Sourcing, College Recruiting, Succession Planning, Personnel Management, Temporary Placement, Deferred Compensation, Benefits Administration, New Hire Orientations
Education
Clark University 1984 — 1989
Government - American Politics
Electrical Design and Installation, Inc. 2010 - Present
Worcester B'nai Brith Cemetery December 2012 - Present
Fleet Safety Services, Inc. 2009 - 2011
City of Worcester 2003 - July 2008
Netflix November 2007 - 2008
NAPAC, Inc. January 2002 - October 2007
Solectron Corporation 1999 - 2001
PresMet Corpration 1996 - 1998
Fallon Community Health Plan 1994 - 1995
Skills
Employee Benefits, Resume Writing, Team Building, Employee Relations, Organizational..., Recruiting, Career Counseling, HRIS, Human Resources, Interviews, Onboarding, Talent Acquisition, Talent Management, Applicant Tracking..., Sourcing, College Recruiting, Succession Planning, Personnel Management, Temporary Placement, Deferred Compensation, Benefits Administration, New Hire Orientations
Education
Clark University 1984 — 1989
Government - American Politics
Kris Bostek's Fallon Community Health Plan Experience January 2012 - February 2014
Job Vice President, Senior Care Services at Fallon Health
Industry Hospital & Health Care
Experience
Fallon Health August 2015 - Present
Fallon Health February 2014 - Present
Fallon Community Health Plan January 2012 - February 2014
UHealthSolutions October 2010 - January 2012
UHealthSolutions April 2009 - October 2010
UHealthSolutions October 2006 - April 2009
UnitedHealth Group June 2003 - October 2006
Unum 1999 - 2003
Skills
Nonprofits, Healthcare, Internal Communications, Strategic Planning, Fundraising, Leadership, Marketing Communications, Strategic Communications, Public Speaking, Event Planning, Program Management, Project Management
Education
Northwestern University - Kellogg School of Management 2013 — 2014
AHIP Executive Leadership Program
Clark University
Master's degree, Health/Health Care Administration/Management
Saint Michael's College
Bachelor of Arts (B.A.), Economics
Fallon Health August 2015 - Present
Fallon Health February 2014 - Present
Fallon Community Health Plan January 2012 - February 2014
UHealthSolutions October 2010 - January 2012
UHealthSolutions April 2009 - October 2010
UHealthSolutions October 2006 - April 2009
UnitedHealth Group June 2003 - October 2006
Unum 1999 - 2003
Skills
Nonprofits, Healthcare, Internal Communications, Strategic Planning, Fundraising, Leadership, Marketing Communications, Strategic Communications, Public Speaking, Event Planning, Program Management, Project Management
Education
Northwestern University - Kellogg School of Management 2013 — 2014
AHIP Executive Leadership Program
Clark University
Master's degree, Health/Health Care Administration/Management
Saint Michael's College
Bachelor of Arts (B.A.), Economics
Maryana Arsenault Maryana Arsenault's Fallon Community Health Plan Experience January 1980 - August 1983
Job Consultant Strategy, Operations, Governance
Industry Health, Wellness and Fitness
Experience
Best Practice Partner January 2014 - Present
United Way of York County September 2013 - November 2013
HomeHealth Visiting Nurses August 1986 - September 2013
VNA Central Massachusetts 1983 - 1986
Fallon Community Health Plan January 1980 - August 1983
Skills
Healthcare, Program Development, Non-profits, Medicare, Public Speaking, Fundraising, Home Care, Nursing, Strategic Planning, Public Relations, Community Outreach, Healthcare Management, Elder Care, Healthcare Consulting, Hospitals, Nonprofits, Program Management, Case Managment, Public Health, Clinical Research, Healthcare Information..., Marketing, Disease Management, Medicaid, Managed Care, Leadership, Quality Improvement, Healthcare Industry, Physician Relations, Case Management
Education
Clark University 1977 — 1979
MPA, Public Administration/Business
Temple University
BSW, Social Work
Best Practice Partner January 2014 - Present
United Way of York County September 2013 - November 2013
HomeHealth Visiting Nurses August 1986 - September 2013
VNA Central Massachusetts 1983 - 1986
Fallon Community Health Plan January 1980 - August 1983
Skills
Healthcare, Program Development, Non-profits, Medicare, Public Speaking, Fundraising, Home Care, Nursing, Strategic Planning, Public Relations, Community Outreach, Healthcare Management, Elder Care, Healthcare Consulting, Hospitals, Nonprofits, Program Management, Case Managment, Public Health, Clinical Research, Healthcare Information..., Marketing, Disease Management, Medicaid, Managed Care, Leadership, Quality Improvement, Healthcare Industry, Physician Relations, Case Management
Education
Clark University 1977 — 1979
MPA, Public Administration/Business
Temple University
BSW, Social Work
Carole Rodenstein Carole Rodenstein's Fallon Community Health Plan Experience January 2012 - July 2014
Job Solution Delivery Director at ikaSystems
Industry Information Technology and Services
Experience
ikaSystems March 2015 - Present
Fallon Community Health Plan January 2012 - July 2014
Massachusetts eHealth Institute October 2009 - December 2011
Blue Cross Blue Shield of Massachusetts May 2002 - February 2009
Massachusetts eHealth Collaborative November 2004 - March 2007
Informio 2000 - 2001
FleetBoston Financial 1993 - 2000
IBM 1984 - 1993
Skills
Vendor Management, SDLC, Cross-functional Team..., Leadership, Project Management, Integration, Healthcare Information..., Healthcare, Business Analysis, Project Portfolio..., Strategy, Program Management, PMO, Process Improvement, Strategic Planning, PMP, Business Process, Data Center, HIPAA, Business Intelligence, Analysis, IT Strategy, Management, EMR, Quality Assurance, Mergers & Acquisitions, Enterprise Software, Healthcare IT, Change Management, Outsourcing, Project Planning, Infrastructure..., IT Operations, IT Outsourcing, IT Solutions, IT Management, User Acceptance Testing, Compliance, Governance, Hardware, Consulting, Strategic Partnerships, Agile Project Management, Agile & Waterfall..., Six Sigma, Test Management, CIO Advisory Services
Education
D'Amore-McKim School of Business at Northeastern University 1982 — 1984
MBA, IT and Marketing
Rutgers University-New Brunswick 1978 — 1982
BA, Biochemistry
ikaSystems March 2015 - Present
Fallon Community Health Plan January 2012 - July 2014
Massachusetts eHealth Institute October 2009 - December 2011
Blue Cross Blue Shield of Massachusetts May 2002 - February 2009
Massachusetts eHealth Collaborative November 2004 - March 2007
Informio 2000 - 2001
FleetBoston Financial 1993 - 2000
IBM 1984 - 1993
Skills
Vendor Management, SDLC, Cross-functional Team..., Leadership, Project Management, Integration, Healthcare Information..., Healthcare, Business Analysis, Project Portfolio..., Strategy, Program Management, PMO, Process Improvement, Strategic Planning, PMP, Business Process, Data Center, HIPAA, Business Intelligence, Analysis, IT Strategy, Management, EMR, Quality Assurance, Mergers & Acquisitions, Enterprise Software, Healthcare IT, Change Management, Outsourcing, Project Planning, Infrastructure..., IT Operations, IT Outsourcing, IT Solutions, IT Management, User Acceptance Testing, Compliance, Governance, Hardware, Consulting, Strategic Partnerships, Agile Project Management, Agile & Waterfall..., Six Sigma, Test Management, CIO Advisory Services
Education
D'Amore-McKim School of Business at Northeastern University 1982 — 1984
MBA, IT and Marketing
Rutgers University-New Brunswick 1978 — 1982
BA, Biochemistry
RJ Bartsch RJ Bartsch's Fallon Community Health Plan Experience 2008 - 2010
Job Director of Software Development at Oz Development, Inc.
Industry Information Technology and Services
Experience
Oz Development, Inc. 2013 - Present
Best Doctors 2011 - 2013
Fallon Community Health Plan 2008 - 2010
Fallon Community Health Plan 2006 - 2008
Fallon Community Health Plan 2004 - 2006
Kewill 1999 - 2002
X23 Technologies 1997 - 1999
ProCD 1996 - 1997
Electronic Press 1994 - 1996
Skills
.NET, ASP.NET, SQL, Design Patterns, OOP, C#, C++, EAI, TDD, XP, Online Advertising, Social Media Marketing, Client/server, Continuous Integration, Technology Integration, Scrum, Integration, Agile Methodologies, SDLC, SOA, Software Development, Software Project..., Databases, Web Applications, Agile Project Management, ETL, Microsoft SQL Server, Team Leadership, Enterprise Architecture, Cross-functional Team..., Business Intelligence, Process Improvement, Project Management, Test Driven Development, Enterprise Software, Data Warehousing, XML, Visio, IT Strategy, T-SQL, IT Management, Requirements Analysis, SharePoint, Systems Analysis, Business Analysis, Agile Application..., E-commerce, Strategy, Visual Basic, Data Modeling
Education
Massachusetts Institute of Technology - Sloan School of Management 2007 — 2008
Executive Certificate, Management and Leadership
Northeastern University 1991 — 1996
BS, Philosophy & Religion (Concentration: Logic)
Oz Development, Inc. 2013 - Present
Best Doctors 2011 - 2013
Fallon Community Health Plan 2008 - 2010
Fallon Community Health Plan 2006 - 2008
Fallon Community Health Plan 2004 - 2006
Kewill 1999 - 2002
X23 Technologies 1997 - 1999
ProCD 1996 - 1997
Electronic Press 1994 - 1996
Skills
.NET, ASP.NET, SQL, Design Patterns, OOP, C#, C++, EAI, TDD, XP, Online Advertising, Social Media Marketing, Client/server, Continuous Integration, Technology Integration, Scrum, Integration, Agile Methodologies, SDLC, SOA, Software Development, Software Project..., Databases, Web Applications, Agile Project Management, ETL, Microsoft SQL Server, Team Leadership, Enterprise Architecture, Cross-functional Team..., Business Intelligence, Process Improvement, Project Management, Test Driven Development, Enterprise Software, Data Warehousing, XML, Visio, IT Strategy, T-SQL, IT Management, Requirements Analysis, SharePoint, Systems Analysis, Business Analysis, Agile Application..., E-commerce, Strategy, Visual Basic, Data Modeling
Education
Massachusetts Institute of Technology - Sloan School of Management 2007 — 2008
Executive Certificate, Management and Leadership
Northeastern University 1991 — 1996
BS, Philosophy & Religion (Concentration: Logic)
Nick Santoro Nick Santoro's Fallon Community Health Plan Experience October 2011 - September 2013
Job Assurance Senior at Marcum LLP
Industry Accounting
Experience
Marcum LLP January 2014 - Present
Braver PC November 2013 - January 2014
Fallon Community Health Plan October 2011 - September 2013
Fallon Community Health Plan May 2011 - August 2011
Columbia Tech June 2010 - August 2010
15-40 Connection June 2010 - August 2010
Merrimack College September 2008 - December 2008
Skills
QuickBooks, Data Analysis, Access, Accounting, Microsoft Excel, Financial Analysis, PowerPoint, Marketing, Social Media, Outlook, Auditing
Education
Clark University 2011 — 2013
MBA, Accounting
University of Massachusetts Dartmouth 2009 — 2011
Bachelor Of Science, Accounting
Merrimack College 2007 — 2009
Business Administration
Saint John's High School 2003 — 2007
Marcum LLP January 2014 - Present
Braver PC November 2013 - January 2014
Fallon Community Health Plan October 2011 - September 2013
Fallon Community Health Plan May 2011 - August 2011
Columbia Tech June 2010 - August 2010
15-40 Connection June 2010 - August 2010
Merrimack College September 2008 - December 2008
Skills
QuickBooks, Data Analysis, Access, Accounting, Microsoft Excel, Financial Analysis, PowerPoint, Marketing, Social Media, Outlook, Auditing
Education
Clark University 2011 — 2013
MBA, Accounting
University of Massachusetts Dartmouth 2009 — 2011
Bachelor Of Science, Accounting
Merrimack College 2007 — 2009
Business Administration
Saint John's High School 2003 — 2007
Geraldine Zang, SPHR's Fallon Community Health Plan Experience March 2011 - May 2013
Job
Industry Human Resources
Experience
Shire Pharmaceuticals April 2014 - Present
Fallon Health May 2013 - March 2014
Fallon Community Health Plan March 2011 - May 2013
Fallon Community Health Plan February 2011 - March 2011
BJ's Wholesale Club January 2010 - January 2011
BJ's Wholesale Club July 2008 - January 2010
BJ's Wholesale Club May 2004 - July 2008
HRI December 2003 - May 2004
Home Depot July 2002 - December 2003
Beacon Education Management October 2000 - June 2002
Skills
Benefits Administration, Human Resources, Legal Compliance, Sourcing, Union Avoidance, FMLA, Labor Relations, Executive Search, Leadership Development, New Hire Orientations, Personnel Management, Change Management, Conflict Resolution, Coaching, Employee Relations, Technical Recruiting, Internet Recruiting, Succession Planning, EEO, Affirmative Action, SPHR, Training, HR Policies, HRIS, Interviews, Hiring, Resume Writing, Vendor Management, Employee Training, Management
Education
Cornell University
B.S.
SUNY Buffalo Law School
J.D.
Shire Pharmaceuticals April 2014 - Present
Fallon Health May 2013 - March 2014
Fallon Community Health Plan March 2011 - May 2013
Fallon Community Health Plan February 2011 - March 2011
BJ's Wholesale Club January 2010 - January 2011
BJ's Wholesale Club July 2008 - January 2010
BJ's Wholesale Club May 2004 - July 2008
HRI December 2003 - May 2004
Home Depot July 2002 - December 2003
Beacon Education Management October 2000 - June 2002
Skills
Benefits Administration, Human Resources, Legal Compliance, Sourcing, Union Avoidance, FMLA, Labor Relations, Executive Search, Leadership Development, New Hire Orientations, Personnel Management, Change Management, Conflict Resolution, Coaching, Employee Relations, Technical Recruiting, Internet Recruiting, Succession Planning, EEO, Affirmative Action, SPHR, Training, HR Policies, HRIS, Interviews, Hiring, Resume Writing, Vendor Management, Employee Training, Management
Education
Cornell University
B.S.
SUNY Buffalo Law School
J.D.
Brant Harmon's Fallon Community Health Plan Experience July 2011 - September 2013
Job Principal Program Manager at EMC
Industry Information Technology and Services
Experience
EMC July 2015 - Present
EMC October 2013 - July 2015
Fallon Community Health Plan July 2011 - September 2013
The Hanover Insurance Group March 2008 - July 2011
The Hanover Insurance Group January 2007 - March 2008
The Hanover Insurance Group August 2001 - November 2006
The Hanover Insurance Group March 2000 - July 2001
The Hanover Insurance Group July 1998 - February 2000
Skills
Human Resources, Insurance, Management, Software Project..., Project Management, Process Improvement, Change Management, SDLC, Business Process, Vendor Management, Business Intelligence, Call Centers, PMP, PMO, Business Analysis, Data Warehousing, Agile Methodologies, Program Management, Requirements Gathering, Software Development, Business Process..., Project Portfolio...
Education
University of Massachusetts at Amherst - Isenberg School of Management 2001 — 2006
MBA, Business Administration
Isenberg School of Management, UMass Amherst 1994 — 1998
BA, Marketing
Wachusett Regional High School 1991 — 1994
NOLS
EMC July 2015 - Present
EMC October 2013 - July 2015
Fallon Community Health Plan July 2011 - September 2013
The Hanover Insurance Group March 2008 - July 2011
The Hanover Insurance Group January 2007 - March 2008
The Hanover Insurance Group August 2001 - November 2006
The Hanover Insurance Group March 2000 - July 2001
The Hanover Insurance Group July 1998 - February 2000
Skills
Human Resources, Insurance, Management, Software Project..., Project Management, Process Improvement, Change Management, SDLC, Business Process, Vendor Management, Business Intelligence, Call Centers, PMP, PMO, Business Analysis, Data Warehousing, Agile Methodologies, Program Management, Requirements Gathering, Software Development, Business Process..., Project Portfolio...
Education
University of Massachusetts at Amherst - Isenberg School of Management 2001 — 2006
MBA, Business Administration
Isenberg School of Management, UMass Amherst 1994 — 1998
BA, Marketing
Wachusett Regional High School 1991 — 1994
NOLS
Charles Pettirossi, MBA, PMP's Fallon Community Health Plan Experience 2011 - 2012
Job IT Professional
Industry Pharmaceuticals
Experience
AbbVie September 2014 - Present
Fresenius Medical Care January 2014 - September 2014
Terumo Cardiovascular Systems 2012 - January 2014
Fallon Community Health Plan 2011 - 2012
Boston Scientific 2008 - 2011
Merrill Corporation 1999 - 2008
Skills
Software Project..., Business Analysis, Business Process, Process Improvement, Testing, Leadership, Project Planning, Enterprise Software, Requirements Gathering, Integration, Quality Assurance, Project Management, Computer System..., Program Management, PMO, Project Management Body..., Systems Development..., Systems Design, User Acceptance Testing, Software Testing, End User Training, Electronic Lab Notebooks, IDBS, eWorkbook Suite, Manufacturing Execution..., Camstar, PrisymID, Prisymedica, Software Validation, Microsoft Project, Data Analysis, Requirements Analysis, Problem Solving, Visio, SharePoint, MS Project, Software Documentation, Good Manufacturing..., 21 CFR Part 11, Analysis, Technical Writing, Risk Management, Project Controls, Business Justification, Vendor Management, Resource Acquisition, Change Management, Business Process...
Education
Clark University
MBA
University of Massachusetts, Amherst
BA
AbbVie September 2014 - Present
Fresenius Medical Care January 2014 - September 2014
Terumo Cardiovascular Systems 2012 - January 2014
Fallon Community Health Plan 2011 - 2012
Boston Scientific 2008 - 2011
Merrill Corporation 1999 - 2008
Skills
Software Project..., Business Analysis, Business Process, Process Improvement, Testing, Leadership, Project Planning, Enterprise Software, Requirements Gathering, Integration, Quality Assurance, Project Management, Computer System..., Program Management, PMO, Project Management Body..., Systems Development..., Systems Design, User Acceptance Testing, Software Testing, End User Training, Electronic Lab Notebooks, IDBS, eWorkbook Suite, Manufacturing Execution..., Camstar, PrisymID, Prisymedica, Software Validation, Microsoft Project, Data Analysis, Requirements Analysis, Problem Solving, Visio, SharePoint, MS Project, Software Documentation, Good Manufacturing..., 21 CFR Part 11, Analysis, Technical Writing, Risk Management, Project Controls, Business Justification, Vendor Management, Resource Acquisition, Change Management, Business Process...
Education
Clark University
MBA
University of Massachusetts, Amherst
BA
Mickael Benita's Fallon Community Health Plan Experience January 2006 - April 2008
Job Experienced IT Executive
Industry Information Technology and Services
Experience
CarMax August 2015 - Present
BJ's Wholesale Club October 2013 - August 2015
BJ's Wholesale Club May 2008 - October 2013
Fallon Community Health Plan January 2006 - April 2008
Fallon Community Health Plan March 2003 - December 2006
ValueOptions January 1999 - October 2002
Skills
Business Intelligence, Data Warehousing, Cognos, IT Strategy, Data Modeling, ETL, Business Analysis, Requirements Analysis, SDLC, Database Design, Data Analysis, Business Process..., Analytics, Business Process, Teradata, Microstrategy, Building Relationships, Team Building, Team Leadership, Negotiation, Databases, Integration, Oracle, SQL, Project Management, Microsoft SQL Server, Database Administration, Disaster Recovery, Vendor Management, Information Technology, Data Quality, Performance Benchmarking, Software Development, Agile Methodologies, IT Management, Data Warehouse..., Strategy, Business Objects, Requirements Gathering, Enterprise Architecture, Data Integration, Scrum, Master Data Management, Solution Architecture, Software Project..., Dimensional Modeling, Management, Program Management
Education
Institut Supérieur de Gestion 1996 — 1997
MBA
Institut Superieur de Gestion 1994 — 1996
BBA
CarMax August 2015 - Present
BJ's Wholesale Club October 2013 - August 2015
BJ's Wholesale Club May 2008 - October 2013
Fallon Community Health Plan January 2006 - April 2008
Fallon Community Health Plan March 2003 - December 2006
ValueOptions January 1999 - October 2002
Skills
Business Intelligence, Data Warehousing, Cognos, IT Strategy, Data Modeling, ETL, Business Analysis, Requirements Analysis, SDLC, Database Design, Data Analysis, Business Process..., Analytics, Business Process, Teradata, Microstrategy, Building Relationships, Team Building, Team Leadership, Negotiation, Databases, Integration, Oracle, SQL, Project Management, Microsoft SQL Server, Database Administration, Disaster Recovery, Vendor Management, Information Technology, Data Quality, Performance Benchmarking, Software Development, Agile Methodologies, IT Management, Data Warehouse..., Strategy, Business Objects, Requirements Gathering, Enterprise Architecture, Data Integration, Scrum, Master Data Management, Solution Architecture, Software Project..., Dimensional Modeling, Management, Program Management
Education
Institut Supérieur de Gestion 1996 — 1997
MBA
Institut Superieur de Gestion 1994 — 1996
BBA
Catherine Foy's Fallon Community Health Plan Experience 2007 - November 2013
Job Experienced Contract Manager & Heath Care Professional
Industry Hospital & Health Care
Experience
Cenpatico March 2014 - Present
Fallon Community Health Plan 2007 - November 2013
Anthem Blue Cross and Blue Shield 2005 - 2007
Kaiser Permanente 2001 - 2004
The Urman Company 1998 - 1999
University of Colorado Hospital 1993 - 1998
Skills
Provider Relations, Managed Care, Health Insurance, Healthcare Industry, Medicare, Insurance, Process Improvement, Strategy, Health Policy, Healthcare, Employee Benefits, Medicaid, Contract Negotiation, Network Development
Education
Colorado State University 1985 — 1986
Master of Science (MS)
Colorado State University
Bachelor of Science (BS)
Cenpatico March 2014 - Present
Fallon Community Health Plan 2007 - November 2013
Anthem Blue Cross and Blue Shield 2005 - 2007
Kaiser Permanente 2001 - 2004
The Urman Company 1998 - 1999
University of Colorado Hospital 1993 - 1998
Skills
Provider Relations, Managed Care, Health Insurance, Healthcare Industry, Medicare, Insurance, Process Improvement, Strategy, Health Policy, Healthcare, Employee Benefits, Medicaid, Contract Negotiation, Network Development
Education
Colorado State University 1985 — 1986
Master of Science (MS)
Colorado State University
Bachelor of Science (BS)
Nitu Srivastava Kumar's Fallon Community Health Plan Experience June 2011 - October 2011
Job Global Compensation Analyst at Management Sciences for Health
Industry Human Resources
Experience
Management Sciences for Health March 2012 - Present
Fallon Community Health Plan June 2011 - October 2011
PHILIPS December 2008 - March 2011
EMC Corporation May 2006 - November 2008
Digital Federal Credit Union September 2003 - February 2006
Education
Emmanuel College
MS
Management Sciences for Health March 2012 - Present
Fallon Community Health Plan June 2011 - October 2011
PHILIPS December 2008 - March 2011
EMC Corporation May 2006 - November 2008
Digital Federal Credit Union September 2003 - February 2006
Education
Emmanuel College
MS
Patricia Forts's Fallon Community Health Plan Experience July 2011 - September 2015
Job Director for Innovation and Strategy, Harvard Pilgrim Health Care
Industry Insurance
Experience
Fallon Community Health Plan July 2011 - September 2015
Fallon Community Health Plan 2008 - July 2011
FCHP 2004 - 2008
Education
College of the Holy Cross
Bachelor’s Degree, Cum Laude
Fallon Community Health Plan July 2011 - September 2015
Fallon Community Health Plan 2008 - July 2011
FCHP 2004 - 2008
Education
College of the Holy Cross
Bachelor’s Degree, Cum Laude
Joseph Austin's Fallon Community Health Plan Experience September 2011 - January 2012
Job President at Universal Patient Key, Inc
Industry Information Technology and Services
Experience
Universal Patient Key May 2014 - Present
Sterling Software Consultants January 2006 - May 2014
Fallon Community Health Plan September 2011 - January 2012
Delta Dental of Rhode Island July 2011 - September 2011
Shire HGT April 2011 - June 2011
ClearCycle, Inc September 2008 - November 2010
Health Market Science 2008 - 2009
University of Massachusetts Medical School 2006 - 2007
Fresenius Medical Care 2006 - 2006
Pharmetrics 2004 - 2006
Skills
Databases, Management, Data Warehousing, Requirements Analysis, PL/SQL
Education
Clark University 1968 — 1976
Universal Patient Key May 2014 - Present
Sterling Software Consultants January 2006 - May 2014
Fallon Community Health Plan September 2011 - January 2012
Delta Dental of Rhode Island July 2011 - September 2011
Shire HGT April 2011 - June 2011
ClearCycle, Inc September 2008 - November 2010
Health Market Science 2008 - 2009
University of Massachusetts Medical School 2006 - 2007
Fresenius Medical Care 2006 - 2006
Pharmetrics 2004 - 2006
Skills
Databases, Management, Data Warehousing, Requirements Analysis, PL/SQL
Education
Clark University 1968 — 1976
Steve Rousseau's Fallon Community Health Plan Experience December 2009 - July 2010
Job Bringing New Ideas to Healthcare as a proud part of Geneia
Industry Information Services
Experience
Geneia February 2015 - Present
Partners HealthCare February 2014 - January 2015
Globoforce May 2013 - December 2013
Vanguard Health Systems April 2012 - April 2013
ikaSystems July 2010 - April 2012
Fallon Community Health Plan December 2009 - July 2010
athenahealth August 2009 - December 2009
QualityMetric Incorporated October 2007 - August 2009
Healthways May 2007 - September 2007
Pharmetrics April 2004 - May 2007
Skills
Health Insurance, Data Management, Data Warehousing, Employee Benefits, Healthcare, Data Analysis, Healthcare IT, Documentation, Business Analysis, Process Improvement, HIPAA, Strategic Planning, Healthcare Information..., Analytics, Analysis, Visio, Managed Care, Product Development, Business Intelligence, Access, Customer Relations, Program Management, Vendor Management, Account Management, Hospitals, Insurance, Research, Cross-functional Team..., Excel, Problem Solving, Vendor Relations, Health, Team Building, Medicare, SSRS, Meditech, Meditech DR, MedHost, Visual Studio, T-SQL, PL/SQL, hospital information..., Microsoft Excel, Software Documentation, Hospital Information..., Customer Service, Project Management, Business Process, Management, Databases
Education
The University of Edinburgh 2015 — 2018
Master’s Degree, Master in Public Health
University of Massachusetts, Amherst 2007 — 2009
Master Public Health
Clark University 1994 — 1996
MBA, Accounting, Finance
Clark University 1991 — 1994
BA, Economics, Mgmt, Education
Worcester Polytechnic Institute 1990 — 1992
Engineering
Somerset High School
Geneia February 2015 - Present
Partners HealthCare February 2014 - January 2015
Globoforce May 2013 - December 2013
Vanguard Health Systems April 2012 - April 2013
ikaSystems July 2010 - April 2012
Fallon Community Health Plan December 2009 - July 2010
athenahealth August 2009 - December 2009
QualityMetric Incorporated October 2007 - August 2009
Healthways May 2007 - September 2007
Pharmetrics April 2004 - May 2007
Skills
Health Insurance, Data Management, Data Warehousing, Employee Benefits, Healthcare, Data Analysis, Healthcare IT, Documentation, Business Analysis, Process Improvement, HIPAA, Strategic Planning, Healthcare Information..., Analytics, Analysis, Visio, Managed Care, Product Development, Business Intelligence, Access, Customer Relations, Program Management, Vendor Management, Account Management, Hospitals, Insurance, Research, Cross-functional Team..., Excel, Problem Solving, Vendor Relations, Health, Team Building, Medicare, SSRS, Meditech, Meditech DR, MedHost, Visual Studio, T-SQL, PL/SQL, hospital information..., Microsoft Excel, Software Documentation, Hospital Information..., Customer Service, Project Management, Business Process, Management, Databases
Education
The University of Edinburgh 2015 — 2018
Master’s Degree, Master in Public Health
University of Massachusetts, Amherst 2007 — 2009
Master Public Health
Clark University 1994 — 1996
MBA, Accounting, Finance
Clark University 1991 — 1994
BA, Economics, Mgmt, Education
Worcester Polytechnic Institute 1990 — 1992
Engineering
Somerset High School
Stuart H. Bentkover, MD, FACS's Fallon Community Health Plan Experience January 1993 - January 1998
Job Owner, Bentkover Facial Plastic Surgery and Laser Center
Industry Medical Practice
Experience
Bentkover Facial Plastic Surgery and Laser Center March 2002 - Present
Fallon Clinic July 1979 - March 2002
Fallon Clinic 1985 - 2000
Fallon Community Health Plan January 1993 - January 1998
Fallon Clinic 1989 - 1993
Skills
Rhinoplasty, Revision Rhinoplasty, Facial Rejuvenation..., Aesthetics, Chemical Peels, Healthcare, Wound Care, Restylane, Clinical Research, Skin Care, Radiesse, Facial Rejuvenation, Surgery, Facial Plastic, Skin Cancer, Neck, Skin, Cancer, Board Certified, Facelift, Liposuction, Fillers, Laser Resurfacing, Surgeons, Blepharoplasty, Laser Surgery, Dermal Fillers, Healthcare Consulting, EMR, Beauty Industry, Brow Lift, Cosmetics, ENT, Facial Plastic &..., Fat Grafting, Laser Hair Removal, Lip Augmentation, Medical Education, Medicine, Otoplasty, Physicians, Practice Management, Reconstruction, Sculptra, Skin Care Products, Tattoo Removal, Plastic Surgery
Education
Harvard Medical School, Massachussets Eye and Ear Infirmary 1976 — 1979
Residency in Otolaryngology and Facial Plastic Surgery
Harvard Medical School 1974 — 1976
Residency in General Surgery
Mount Sinai School of Medicine of New York University 1970 — 1974
MD, Doctor of Medicine
Princeton University 1966 — 1970
AB, Biochemical Sciences
Bentkover Facial Plastic Surgery and Laser Center March 2002 - Present
Fallon Clinic July 1979 - March 2002
Fallon Clinic 1985 - 2000
Fallon Community Health Plan January 1993 - January 1998
Fallon Clinic 1989 - 1993
Skills
Rhinoplasty, Revision Rhinoplasty, Facial Rejuvenation..., Aesthetics, Chemical Peels, Healthcare, Wound Care, Restylane, Clinical Research, Skin Care, Radiesse, Facial Rejuvenation, Surgery, Facial Plastic, Skin Cancer, Neck, Skin, Cancer, Board Certified, Facelift, Liposuction, Fillers, Laser Resurfacing, Surgeons, Blepharoplasty, Laser Surgery, Dermal Fillers, Healthcare Consulting, EMR, Beauty Industry, Brow Lift, Cosmetics, ENT, Facial Plastic &..., Fat Grafting, Laser Hair Removal, Lip Augmentation, Medical Education, Medicine, Otoplasty, Physicians, Practice Management, Reconstruction, Sculptra, Skin Care Products, Tattoo Removal, Plastic Surgery
Education
Harvard Medical School, Massachussets Eye and Ear Infirmary 1976 — 1979
Residency in Otolaryngology and Facial Plastic Surgery
Harvard Medical School 1974 — 1976
Residency in General Surgery
Mount Sinai School of Medicine of New York University 1970 — 1974
MD, Doctor of Medicine
Princeton University 1966 — 1970
AB, Biochemical Sciences
Angela Braaten's Fallon Community Health Plan Experience July 2004 - August 2004
Job Applications/Systems Analyst II at UMass Memorial Medical Center
Industry Computer Software
Experience
UMass Memorial Medical Center December 2010 - June 2012
MEDITECH August 2010 - December 2010
MEDITECH February 2007 - December 2010
Phillips Realty April 2006 - December 2010
Westaff May 2006 - February 2007
Boston Globe Media Group August 2005 - April 2006
Page Chiropractic Health Center March 2005 - September 2005
Fallon Community Health Plan July 2004 - August 2004
Accurate Resource Group April 2004 - August 2004
Southbridge Credit Union January 2004 - April 2004
Skills
Meditech, EHR, Process Improvement, Training, Healthcare Information..., Project Management, CRM, Integration, Leadership
Education
University of Massachusetts at Lowell
MBA, Information Technology
Nichols College
BSBA, Marketing and Human Resource Management
UMass Memorial Medical Center December 2010 - June 2012
MEDITECH August 2010 - December 2010
MEDITECH February 2007 - December 2010
Phillips Realty April 2006 - December 2010
Westaff May 2006 - February 2007
Boston Globe Media Group August 2005 - April 2006
Page Chiropractic Health Center March 2005 - September 2005
Fallon Community Health Plan July 2004 - August 2004
Accurate Resource Group April 2004 - August 2004
Southbridge Credit Union January 2004 - April 2004
Skills
Meditech, EHR, Process Improvement, Training, Healthcare Information..., Project Management, CRM, Integration, Leadership
Education
University of Massachusetts at Lowell
MBA, Information Technology
Nichols College
BSBA, Marketing and Human Resource Management
Amy Siegel Wood's Fallon Community Health Plan Experience September 2012 - Present
Job Senior Training Consultant Fallon Health
Industry Hospital & Health Care
Experience
Fallon Community Health Plan September 2012 - Present
Tufts Health Plan October 2006 - November 2008
Finelight 2005 - 2006
Skills
Healthcare, Health Insurance, Coaching, Customer Service, Strategic Planning, Public Speaking, Call Center, Performance Management, Social Media, Management, Writing, Microsoft Office, Marketing Communications, Research, Marketing Strategy, Training, Microsoft Word, Managed Care, Medicare, Insurance
Education
Indiana University Bloomington 2001 — 2005
Bachelor of Science (B.S.), Nutrition Sciences/Biology
Fallon Community Health Plan September 2012 - Present
Tufts Health Plan October 2006 - November 2008
Finelight 2005 - 2006
Skills
Healthcare, Health Insurance, Coaching, Customer Service, Strategic Planning, Public Speaking, Call Center, Performance Management, Social Media, Management, Writing, Microsoft Office, Marketing Communications, Research, Marketing Strategy, Training, Microsoft Word, Managed Care, Medicare, Insurance
Education
Indiana University Bloomington 2001 — 2005
Bachelor of Science (B.S.), Nutrition Sciences/Biology
Maureen Anderson's Fallon Community Health Plan Experience April 1999 - May 2001
Job Account Executive at Spire
Industry Printing
Experience
Spire April 2009 - Present
LVI, the new LaVigne, Inc. October 2008 - April 2009
LVI May 2002 - October 2008
Fallon Community Health Plan April 1999 - May 2001
Skills
Direct Marketing, Direct Mail, Pre-press, Advertising, QuarkXPress, Corporate Gifts, Account Management, B2B, Adobe Acrobat, Marketing Strategy, Marketing, Lead Generation, Integrated Marketing, Email Marketing, Project Management, Catalogs, Print Management, Graphic Design, Variable Data Printing, Packaging, Sales, Digital Printing, Offset Printing
Education
College of the Holy Cross 1980 — 1984
Bachelor of Arts (B.A.), English Language and Literature, General
Spire April 2009 - Present
LVI, the new LaVigne, Inc. October 2008 - April 2009
LVI May 2002 - October 2008
Fallon Community Health Plan April 1999 - May 2001
Skills
Direct Marketing, Direct Mail, Pre-press, Advertising, QuarkXPress, Corporate Gifts, Account Management, B2B, Adobe Acrobat, Marketing Strategy, Marketing, Lead Generation, Integrated Marketing, Email Marketing, Project Management, Catalogs, Print Management, Graphic Design, Variable Data Printing, Packaging, Sales, Digital Printing, Offset Printing
Education
College of the Holy Cross 1980 — 1984
Bachelor of Arts (B.A.), English Language and Literature, General
Richard Schulz's Fallon Community Health Plan Experience 2008 - 2008
Job Director, IT Technical Services
Industry Information Technology and Services
Experience
Univita Health Inc August 2014 - Present
Google April 2012 - November 2013
TxVia 2010 - June 2012
TxVia 2009 - November 2010
Fallon Community Health Plan 2008 - 2008
Vista Healthplan 2005 - 2008
Internet Billing Company (iBill) 2004 - 2005
Internet Billing Company (iBill) 2003 - 2004
Internet Billing Company (iBill) 2002 - 2003
Pediatrix Medical Group 2000 - 2002
Skills
Business Intelligence, Analytics, SQL, SQL Server, Business Analysis, Process Improvement, Access, Risk Management, Visual Studio, Analysis, Microsoft Office, Data Analysis, Visio, Data Warehousing, Databases, PostgreSQL, Jasper Reports, Crystal Reports, OLAP, Data Mining, Database Design, Data Management, Fraud Analysis, Microsoft SQL Server, Electronic Payment..., Electronic Payments, Product Management, Financial Analysis, Healthcare Information..., Healthcare Industry, Healthcare Analytics, Business Process..., Payment Systems, Agile Methodologies, Requirements Gathering, Data Modeling, SDLC, Fraud
Education
Nova Southeastern University 2011 — 2013
Masters of Computer Science
Florida Atlantic University
Bachelors of Business Administration
Univita Health Inc August 2014 - Present
Google April 2012 - November 2013
TxVia 2010 - June 2012
TxVia 2009 - November 2010
Fallon Community Health Plan 2008 - 2008
Vista Healthplan 2005 - 2008
Internet Billing Company (iBill) 2004 - 2005
Internet Billing Company (iBill) 2003 - 2004
Internet Billing Company (iBill) 2002 - 2003
Pediatrix Medical Group 2000 - 2002
Skills
Business Intelligence, Analytics, SQL, SQL Server, Business Analysis, Process Improvement, Access, Risk Management, Visual Studio, Analysis, Microsoft Office, Data Analysis, Visio, Data Warehousing, Databases, PostgreSQL, Jasper Reports, Crystal Reports, OLAP, Data Mining, Database Design, Data Management, Fraud Analysis, Microsoft SQL Server, Electronic Payment..., Electronic Payments, Product Management, Financial Analysis, Healthcare Information..., Healthcare Industry, Healthcare Analytics, Business Process..., Payment Systems, Agile Methodologies, Requirements Gathering, Data Modeling, SDLC, Fraud
Education
Nova Southeastern University 2011 — 2013
Masters of Computer Science
Florida Atlantic University
Bachelors of Business Administration
Heather Ball's Fallon Community Health Plan Experience July 2001 - October 2006
Job Senior Account Manager at Benefit Development Group a Risk Strategies Company
Industry Insurance
Experience
Benefit Development Group a Risk Strategies Company July 2015 - Present
Benefit Development Group November 2006 - July 2015
Fallon Community Health Plan July 2001 - October 2006
Skills
Health Insurance, Employee Benefits, Sales Presentations, Account Management, Sales, Health Care Reform, Human Resources, Analysis, Customer Service, Marketing, Insurance, Medicare, Healthcare, Strategy, Management, Strategic Planning, Marketing Strategy, Brokers, Disability Insurance, Group Insurance, Flexible Spending..., Health Savings Accounts, Benefits Administration
Education
Clark University 1997 — 2001
Benefit Development Group a Risk Strategies Company July 2015 - Present
Benefit Development Group November 2006 - July 2015
Fallon Community Health Plan July 2001 - October 2006
Skills
Health Insurance, Employee Benefits, Sales Presentations, Account Management, Sales, Health Care Reform, Human Resources, Analysis, Customer Service, Marketing, Insurance, Medicare, Healthcare, Strategy, Management, Strategic Planning, Marketing Strategy, Brokers, Disability Insurance, Group Insurance, Flexible Spending..., Health Savings Accounts, Benefits Administration
Education
Clark University 1997 — 2001
Elizabeth Giangrande's Fallon Community Health Plan Experience 2002 - 2007
Job Public Engagement Manager at Destination Worcester, Massachusetts
Industry Marketing and Advertising
Experience
Destination Worcester and Worcester Cultural Coalition September 2014 - Present
City of Worcester - Worcester Public Library December 2012 - August 2014
Fidelity Investments 2007 - 2010
Fallon Community Health Plan 2002 - 2007
Worcester Common Outlets 1998 - 2002
Skills
Marketing Communications, Communication, Consulting, Public Relations, Event Planning, Graphic Design, Branding, Advertising, Copywriting, Corporate Communications, Customer Service, Internal Communications, Editing, Leadership, Management, Marketing, Newsletters, Public Speaking, Strategic Communications, Social Media
Education
Clark University 2002 — 2005
Master of Science, Professional Communication
Westfield State University 1990 — 1994
Bachelor of Science, Business Management and Marketing
Becker College
Certificate in Graphic Design
Destination Worcester and Worcester Cultural Coalition September 2014 - Present
City of Worcester - Worcester Public Library December 2012 - August 2014
Fidelity Investments 2007 - 2010
Fallon Community Health Plan 2002 - 2007
Worcester Common Outlets 1998 - 2002
Skills
Marketing Communications, Communication, Consulting, Public Relations, Event Planning, Graphic Design, Branding, Advertising, Copywriting, Corporate Communications, Customer Service, Internal Communications, Editing, Leadership, Management, Marketing, Newsletters, Public Speaking, Strategic Communications, Social Media
Education
Clark University 2002 — 2005
Master of Science, Professional Communication
Westfield State University 1990 — 1994
Bachelor of Science, Business Management and Marketing
Becker College
Certificate in Graphic Design
Elizabeth Billings's Fallon Community Health Plan Experience 2008 - Present
Job Data Warehouse Programmer
Industry Information Technology and Services
Experience
Fallon Community Health Plan 2008 - Present
Market Models 2004 - 2006
Watch Captain 2001 - 2004
Quadrant Corporation 2001 - 2004
Brewer Yacht Yard Group 1999 - 2001
Skills
Data Warehousing, Analytics, Software Development, Team Management, Microsoft SQL Server, Visio, SQL, SDLC, Business Intelligence, Business Analysis, Requirements Analysis, SharePoint, Databases, Requirements Gathering, SSIS, Data Modeling, PL/SQL, ETL
Education
Franklin & Marshall College 1986 — 1990
BA, Art and Minor in Anthropology
Regents College - London UK 1989 — 1989
Rocky Hill School 1982 — 1986
Fallon Community Health Plan 2008 - Present
Market Models 2004 - 2006
Watch Captain 2001 - 2004
Quadrant Corporation 2001 - 2004
Brewer Yacht Yard Group 1999 - 2001
Skills
Data Warehousing, Analytics, Software Development, Team Management, Microsoft SQL Server, Visio, SQL, SDLC, Business Intelligence, Business Analysis, Requirements Analysis, SharePoint, Databases, Requirements Gathering, SSIS, Data Modeling, PL/SQL, ETL
Education
Franklin & Marshall College 1986 — 1990
BA, Art and Minor in Anthropology
Regents College - London UK 1989 — 1989
Rocky Hill School 1982 — 1986
Frank J. Mausolf's Fallon Community Health Plan Experience September 2005 - April 2010
Job Senior Vice President of Claim and Call Center Operations at CareCore National
Industry Insurance
Experience
CareCore National May 2014 - Present
CareCore National January 2010 - May 2014
Fallon Community Health Plan September 2005 - April 2010
Uniprise May 2002 - September 2005
Warehouse Services, Inc. 2000 - 2002
Skills
Leadership, Organizational..., Team Leadership, Leadership Development, Cross-functional Team..., Strategic Leadership, Situational Leadership, Claims Management, Claims Resolution, Claims Handling, Claim, Managed Care, Medicare, Healthcare, Health Insurance, Call Centers, Customer Service, Operations Management, Change Management, Strategic Planning, Succession Planning, Manufacturing..., Military Leadership, Military Operations, Military Experience, Six Sigma, Six Sigma Black Belt, Six Sigma Champion
Education
Columbus State University 1988 — 1990
BS, Political Science
CareCore National May 2014 - Present
CareCore National January 2010 - May 2014
Fallon Community Health Plan September 2005 - April 2010
Uniprise May 2002 - September 2005
Warehouse Services, Inc. 2000 - 2002
Skills
Leadership, Organizational..., Team Leadership, Leadership Development, Cross-functional Team..., Strategic Leadership, Situational Leadership, Claims Management, Claims Resolution, Claims Handling, Claim, Managed Care, Medicare, Healthcare, Health Insurance, Call Centers, Customer Service, Operations Management, Change Management, Strategic Planning, Succession Planning, Manufacturing..., Military Leadership, Military Operations, Military Experience, Six Sigma, Six Sigma Black Belt, Six Sigma Champion
Education
Columbus State University 1988 — 1990
BS, Political Science
Andrew Zorzi's Fallon Community Health Plan Experience 2008 - Present
Job DBA at Fallon Health
Industry Information Technology and Services
Experience
Fallon Community Health Plan 2008 - Present
Multiplan January 2004 - Present
Private Healthcare Systems 2004 - Present
MultiPlan 2004 - Present
Private Healthcare Systems / Multiplan 2004 - 2008
Flexxperts 1997 - 2003
Education
Merrimack College 1993 — 1998
Fallon Community Health Plan 2008 - Present
Multiplan January 2004 - Present
Private Healthcare Systems 2004 - Present
MultiPlan 2004 - Present
Private Healthcare Systems / Multiplan 2004 - 2008
Flexxperts 1997 - 2003
Education
Merrimack College 1993 — 1998
Angela Annie Boynton's Fallon Community Health Plan Experience July 2007 - February 2010
Job Principal at Boynton Healthcare Management Solutions, LLC Independent Healthcare Consulting
Industry Hospital & Health Care
Experience
Boynton Healthcare Management Solutions, LLC - Independent Healthcare Consulting June 2014 - Present
American Academy of Professional Coders April 2015 - Present
American Academy of Professional Coders June 2009 - Present
United Health Care March 2010 - June 2014
American Academy of Professional Coders April 2011 - April 2013
MassBay Community College January 2005 - September 2011
Fisher College 2011 - 2011
Fallon Community Health Plan July 2007 - February 2010
Boston Medical Center HealthNet Plan June 2006 - July 2007
Clark University, CCI June 2004 - February 2007
Skills
Medical Coding, Healthcare Information..., Healthcare, Healthcare Industry, Medical Billing, ICD-10, Practice Management, EMR, Health Policy, Health Insurance, EHR, Medical Records, Informatics, Hospitals, ICD-9, CPT, Software Documentation, Provider Relations, Healthcare Management, Health Information..., HIPAA, Healthcare Reimbursement, Health Information..., Meditech, Epic Systems, Training, Health Education, Physicians, Managed Care, Project Management, Medical Terminology, Leadership, Process Improvement, Accountable Care, Engaging Public Speaker, Clinical Research, Claim, ICD-10 Implementation..., Provider Education, Published Author, Health Communication, Inpatient, Medical Compliance, Documentations, Ambulatory, Utilization Management, Radiology, Healthcare..., Revenue Cycle Management, Medicare
Education
Fisher College 2007 — 2009
Bachelor's, Health Care Management
Fisher College 2006 — 2008
AS in HIT, Health Information Technology
Seton Hall University School of Law
MJ, Health, Hospital and Biotech Law
Boynton Healthcare Management Solutions, LLC - Independent Healthcare Consulting June 2014 - Present
American Academy of Professional Coders April 2015 - Present
American Academy of Professional Coders June 2009 - Present
United Health Care March 2010 - June 2014
American Academy of Professional Coders April 2011 - April 2013
MassBay Community College January 2005 - September 2011
Fisher College 2011 - 2011
Fallon Community Health Plan July 2007 - February 2010
Boston Medical Center HealthNet Plan June 2006 - July 2007
Clark University, CCI June 2004 - February 2007
Skills
Medical Coding, Healthcare Information..., Healthcare, Healthcare Industry, Medical Billing, ICD-10, Practice Management, EMR, Health Policy, Health Insurance, EHR, Medical Records, Informatics, Hospitals, ICD-9, CPT, Software Documentation, Provider Relations, Healthcare Management, Health Information..., HIPAA, Healthcare Reimbursement, Health Information..., Meditech, Epic Systems, Training, Health Education, Physicians, Managed Care, Project Management, Medical Terminology, Leadership, Process Improvement, Accountable Care, Engaging Public Speaker, Clinical Research, Claim, ICD-10 Implementation..., Provider Education, Published Author, Health Communication, Inpatient, Medical Compliance, Documentations, Ambulatory, Utilization Management, Radiology, Healthcare..., Revenue Cycle Management, Medicare
Education
Fisher College 2007 — 2009
Bachelor's, Health Care Management
Fisher College 2006 — 2008
AS in HIT, Health Information Technology
Seton Hall University School of Law
MJ, Health, Hospital and Biotech Law
Jesse Letarte's Fallon Community Health Plan Experience 2011 - 2011
Job Medicare Sales Supervisor at eHealth Inc
Industry Insurance
Experience
eHealth Inc October 2014 - Present
eHealthInsurance July 2013 - September 2014
eHealthInsurance April 2012 - July 2013
Fallon Community Health Plan 2011 - 2011
Atlas Landscapes June 2009 - July 2010
Bose August 2008 - December 2008
Comcast July 2007 - March 2008
Sleepy's August 2006 - July 2007
Workers' Credit Union September 2005 - August 2006
Skills
Competitive Analysis, Account Management, Call Centers, Leadership, Management, Sales, Sales Management, Sales Process, Solution Selling, Team Building, Time Management, Customer Service, Technical Support, Training
Education
Fitchburg State College 2004 — 2009
Bachelor of Arts (BA), Business Administration and Management, General
Fitchburg State University
Bachelor of Arts, Business Management
eHealth Inc October 2014 - Present
eHealthInsurance July 2013 - September 2014
eHealthInsurance April 2012 - July 2013
Fallon Community Health Plan 2011 - 2011
Atlas Landscapes June 2009 - July 2010
Bose August 2008 - December 2008
Comcast July 2007 - March 2008
Sleepy's August 2006 - July 2007
Workers' Credit Union September 2005 - August 2006
Skills
Competitive Analysis, Account Management, Call Centers, Leadership, Management, Sales, Sales Management, Sales Process, Solution Selling, Team Building, Time Management, Customer Service, Technical Support, Training
Education
Fitchburg State College 2004 — 2009
Bachelor of Arts (BA), Business Administration and Management, General
Fitchburg State University
Bachelor of Arts, Business Management
Judith Butterworth-Kremer, CEBS, PMP's Fallon Community Health Plan Experience January 2011 - June 2015
Job Sr. Project Manager for Apex Systems at Voya Financial
Industry Insurance
Experience
Apex Systems June 2015 - Present
Fallon Community Health Plan January 2011 - June 2015
Dell Perot Systems April 2009 - August 2010
Fidelity Investments September 2007 - July 2008
Fidelity Investments 2005 - 2007
Fidelity Investments 1999 - 2005
CIGNA 1987 - 1991
Cigna Financial Partners 1983 - 1985
Skills
Human Resources, Program Management, Business Analysis, Business Process..., Cross-functional Team..., MS Project, Project Management, CRM, Leadership, PMO, Process Improvement, Management, SharePoint, PMP, Vendor Management, SDLC, Risk Management
Education
Central Connecticut State University
BS, Education English
Nutley High School
Apex Systems June 2015 - Present
Fallon Community Health Plan January 2011 - June 2015
Dell Perot Systems April 2009 - August 2010
Fidelity Investments September 2007 - July 2008
Fidelity Investments 2005 - 2007
Fidelity Investments 1999 - 2005
CIGNA 1987 - 1991
Cigna Financial Partners 1983 - 1985
Skills
Human Resources, Program Management, Business Analysis, Business Process..., Cross-functional Team..., MS Project, Project Management, CRM, Leadership, PMO, Process Improvement, Management, SharePoint, PMP, Vendor Management, SDLC, Risk Management
Education
Central Connecticut State University
BS, Education English
Nutley High School
Reina O'Connor's Fallon Community Health Plan Experience 1996 - 1999
Job English Teacher at Advanced Math & Science Academy
Industry Education Management
Experience
Advanced Math & Science Academy English and World Literature TeacherAdvanced Math & Science Academy Charter School2008 - 2010
Grafton, Northborough and Franklin public schools 2002 - 2009
Fallon Community Health Plan 1996 - 1999
Education
Lesley University 1980 — 1982
Masters in Counseling and Masters in Education, Counseling and Education
Advanced Math & Science Academy English and World Literature TeacherAdvanced Math & Science Academy Charter School2008 - 2010
Grafton, Northborough and Franklin public schools 2002 - 2009
Fallon Community Health Plan 1996 - 1999
Education
Lesley University 1980 — 1982
Masters in Counseling and Masters in Education, Counseling and Education
Fran Wheeler's Fallon Community Health Plan Experience August 2013 - October 2014
Job Provider Reimbursement Data Specialist at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Health September 2014 - Present
Fallon Community Health Plan August 2013 - October 2014
Infinity Valet Services June 2012 - March 2013
Fallon 2000 - 2013
S & K Valet June 2008 - May 2012
Comrex Corporation June 2011 - December 2011
PCSMA August 2006 - October 2010
S & K Valet 2008 - 2010
Charles River Laboratories August 2006 - April 2007
Skills
Outlook, Pharmaceutical Industry, Microsoft Office, CRO, Document Management, Spreadsheets, Lotus Notes, Human Resources, Data Analysis, Administrative..., Telephone Skills, Customer Service, Time Management, Adobe Acrobat, Event Planning, Administrative..., Access, Management, Microsoft Excel, PowerPoint, Microsoft Word, Sales, Software Documentation, Team Building, Training
Education
Framingham State University 1999 — 2004
Bachelors, Graphic Design with a minor is Computer Science
Fallon Health September 2014 - Present
Fallon Community Health Plan August 2013 - October 2014
Infinity Valet Services June 2012 - March 2013
Fallon 2000 - 2013
S & K Valet June 2008 - May 2012
Comrex Corporation June 2011 - December 2011
PCSMA August 2006 - October 2010
S & K Valet 2008 - 2010
Charles River Laboratories August 2006 - April 2007
Skills
Outlook, Pharmaceutical Industry, Microsoft Office, CRO, Document Management, Spreadsheets, Lotus Notes, Human Resources, Data Analysis, Administrative..., Telephone Skills, Customer Service, Time Management, Adobe Acrobat, Event Planning, Administrative..., Access, Management, Microsoft Excel, PowerPoint, Microsoft Word, Sales, Software Documentation, Team Building, Training
Education
Framingham State University 1999 — 2004
Bachelors, Graphic Design with a minor is Computer Science
Nancy Sorenson, MBA, CHIE's Fallon Community Health Plan Experience April 2011 - Present
Job Sr. Director, Provider Reimbursement & Data Management at Fallon Community Health Plan
Industry Hospital & Health Care
Experience
Fallon Community Health Plan April 2011 - Present
Skills
Health Insurance, Medicare, Managed Care, Medicaid, HIPAA, Healthcare, Insurance, Process Improvement, Healthcare Management, Health Policy, Claim, HMO, Utilization Management, Network Development, Healthcare Information..., Business Analysis, Vendor Management, Strategic Planning, Program Management
Education
Nichols College
MBA, Business Administration
Fallon Community Health Plan April 2011 - Present
Skills
Health Insurance, Medicare, Managed Care, Medicaid, HIPAA, Healthcare, Insurance, Process Improvement, Healthcare Management, Health Policy, Claim, HMO, Utilization Management, Network Development, Healthcare Information..., Business Analysis, Vendor Management, Strategic Planning, Program Management
Education
Nichols College
MBA, Business Administration
Brent Miklavic's Fallon Community Health Plan Experience Contract ManagerFallon community Health Plan2008 - Present
Job Contract Manager at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan Contract ManagerFallon community Health Plan2008 - Present
CVS/Caremark October 2000 - February 2008
Harvard Pilgrim Health Care February 1994 - April 2000
Blue Cross Blue Shield of Massachusetts 1985 - 1994
Education
Isenberg School of Management, UMass Amherst 1980 — 1984
BS, Management
Fallon Community Health Plan Contract ManagerFallon community Health Plan2008 - Present
CVS/Caremark October 2000 - February 2008
Harvard Pilgrim Health Care February 1994 - April 2000
Blue Cross Blue Shield of Massachusetts 1985 - 1994
Education
Isenberg School of Management, UMass Amherst 1980 — 1984
BS, Management
Dennis Batey MD's Fallon Community Health Plan Experience 2002 - 2007
Job President & CEO of The Batey Group
Industry Insurance
Experience
The Batey Group June 2013 - Present
Presbyterian Healthcare Services 2007 - 2013
Fallon Community Health Plan 2002 - 2007
The Preferred Health Network 2000 - 2002
The Preferred Health Network 1997 - 2000
FHP of Utah 1994 - 1997
FHP of New Mexico 1989 - 1994
Valley Medical Care 1984 - 1989
U.S. Public Health Service Commissioned Corps 1982 - 1984
UCSF 1980 - 1982
Skills
Health Insurance, Medicare, Medicaid, Regulatory Affairs, Governance, Strategic Planning, Growth Strategies, Critical Thinking, Organizational..., Change Management, Collaboration, Team Building, Team-oriented, Customer Oriented, Interdisciplinary..., Physician Relations, Business Process..., Decision Analysis, Medical Case Management, Quality Management, Healthcare Information..., Consulting, Presentations, Contract Negotiation, Risk Management, Leadership, Health Policy, Managed Care, Hospitals, Insurance, Strategy, Healthcare, Case Managment, Public Speaking, Management, Medicine, HMO, Healthcare Consulting, Pharmacy Benefit..., Team Building..., HIPAA, Healthcare Industry, Utilization Management, Provider Relations, Informatics, EHR, Process Improvement, Revenue Cycle, EMR, Quality Improvement
Education
The University of New Mexico
Master of Business Administration (MBA), Business Administration and Management, General
UCSF
Family Practice, Fresno Family Practice Residency Program
Oregon Health and Science University School of Medicine
Doctor of Medicine (M.D.), Medicine
Harvard University
Master of Science (M.S.), Applied Mathematics
University of San Francisco
Bachelor of Science (B.S.), Computer Science
The Batey Group June 2013 - Present
Presbyterian Healthcare Services 2007 - 2013
Fallon Community Health Plan 2002 - 2007
The Preferred Health Network 2000 - 2002
The Preferred Health Network 1997 - 2000
FHP of Utah 1994 - 1997
FHP of New Mexico 1989 - 1994
Valley Medical Care 1984 - 1989
U.S. Public Health Service Commissioned Corps 1982 - 1984
UCSF 1980 - 1982
Skills
Health Insurance, Medicare, Medicaid, Regulatory Affairs, Governance, Strategic Planning, Growth Strategies, Critical Thinking, Organizational..., Change Management, Collaboration, Team Building, Team-oriented, Customer Oriented, Interdisciplinary..., Physician Relations, Business Process..., Decision Analysis, Medical Case Management, Quality Management, Healthcare Information..., Consulting, Presentations, Contract Negotiation, Risk Management, Leadership, Health Policy, Managed Care, Hospitals, Insurance, Strategy, Healthcare, Case Managment, Public Speaking, Management, Medicine, HMO, Healthcare Consulting, Pharmacy Benefit..., Team Building..., HIPAA, Healthcare Industry, Utilization Management, Provider Relations, Informatics, EHR, Process Improvement, Revenue Cycle, EMR, Quality Improvement
Education
The University of New Mexico
Master of Business Administration (MBA), Business Administration and Management, General
UCSF
Family Practice, Fresno Family Practice Residency Program
Oregon Health and Science University School of Medicine
Doctor of Medicine (M.D.), Medicine
Harvard University
Master of Science (M.S.), Applied Mathematics
University of San Francisco
Bachelor of Science (B.S.), Computer Science
Jay DeLuco's Fallon Community Health Plan Experience 2012 - 2013
Job Data Analyst
Industry Information Services
Experience
Senior Systems, Inc. 2013 - 2014
Fallon Community Health Plan 2012 - 2013
Aspect Software June 2011 - July 2012
Hologic April 2009 - June 2011
Hologic September 2007 - April 2009
Cytyc April 2003 - September 2007
Cytyc April 2001 - April 2003
Setra Systems April 1997 - April 2001
Skills
Business Intelligence, OBIEE, Microsoft SQL Server, Data Warehousing, SSRS, SSIS, Troubleshooting, Data Integration
Education
University of Massachusetts Lowell
BS, Information Systems
Middlesex Community College 1995 — 1997
AS, CAD Technology
Senior Systems, Inc. 2013 - 2014
Fallon Community Health Plan 2012 - 2013
Aspect Software June 2011 - July 2012
Hologic April 2009 - June 2011
Hologic September 2007 - April 2009
Cytyc April 2003 - September 2007
Cytyc April 2001 - April 2003
Setra Systems April 1997 - April 2001
Skills
Business Intelligence, OBIEE, Microsoft SQL Server, Data Warehousing, SSRS, SSIS, Troubleshooting, Data Integration
Education
University of Massachusetts Lowell
BS, Information Systems
Middlesex Community College 1995 — 1997
AS, CAD Technology
Theresa Morse's Fallon Community Health Plan Experience January 2005 - January 2009
Job Technical Project Manager, Senior | Enterprise Execution and Transformation
Industry Hospital & Health Care
Experience
Anthem, Inc. August 2013 - Present
CEI (ceiamerica.com) May 2012 - August 2013
HealthWyse April 2007 - May 2012
Lowell General Hospital January 2008 - April 2009
Fallon Community Health Plan January 2005 - January 2009
US Navy 1986 - 2000
Skills
Strategic Planning &..., Project Management, Performance Management, Change Management, Client Relations, Presentations, Team Leadership &..., Quantitative &..., Communications & Public..., Healthcare, Healthcare Management, Healthcare IT, HIPAA, Dream Team, Microsoft Projects, Microsoft Office, Documentation, Client, Healthcare Information..., Strategic Planning, Program Management, Management, Software Documentation, Operations Management, Project Planning, Process Improvement, Informatics
Education
Capella University 2007 — 2011
Ph.D, HealthCare Administration
Western New England College 2005 — 2007
MBA, Healthcare Administration
Anthem, Inc. August 2013 - Present
CEI (ceiamerica.com) May 2012 - August 2013
HealthWyse April 2007 - May 2012
Lowell General Hospital January 2008 - April 2009
Fallon Community Health Plan January 2005 - January 2009
US Navy 1986 - 2000
Skills
Strategic Planning &..., Project Management, Performance Management, Change Management, Client Relations, Presentations, Team Leadership &..., Quantitative &..., Communications & Public..., Healthcare, Healthcare Management, Healthcare IT, HIPAA, Dream Team, Microsoft Projects, Microsoft Office, Documentation, Client, Healthcare Information..., Strategic Planning, Program Management, Management, Software Documentation, Operations Management, Project Planning, Process Improvement, Informatics
Education
Capella University 2007 — 2011
Ph.D, HealthCare Administration
Western New England College 2005 — 2007
MBA, Healthcare Administration
Walter Mlynaryk's Fallon Community Health Plan Experience 1998 - 2005
Job Senior Specialist, Informatics at ConvergeHealth by Deloitte
Industry Hospital & Health Care
Experience
ConvergeHEALTH by Deloitte 2010 - Present
Neighborhood Health Plan 2009 - 2010
Blue Cross Blue Shield of Massachusetts 2005 - 2008
Fallon Community Health Plan 1998 - 2005
CSC 1996 - 1998
Ernst&Young 1986 - 1990
Skills
Healthcare, Managed Care, Health Insurance, Healthcare Information..., HIPAA, Healthcare Management, Medicare, Informatics, Policy, Data Analysis, Process Improvement, Healthcare Consulting, EMR, EHR, Program Management, Business Analysis, Divorce Law, Management, Project Management, Women's Studies
Education
Clark University 1996 — 1998
M.H.A.
McGill University
B.Sc., followed by 3 years in the McGill School of Medicine
ConvergeHEALTH by Deloitte 2010 - Present
Neighborhood Health Plan 2009 - 2010
Blue Cross Blue Shield of Massachusetts 2005 - 2008
Fallon Community Health Plan 1998 - 2005
CSC 1996 - 1998
Ernst&Young 1986 - 1990
Skills
Healthcare, Managed Care, Health Insurance, Healthcare Information..., HIPAA, Healthcare Management, Medicare, Informatics, Policy, Data Analysis, Process Improvement, Healthcare Consulting, EMR, EHR, Program Management, Business Analysis, Divorce Law, Management, Project Management, Women's Studies
Education
Clark University 1996 — 1998
M.H.A.
McGill University
B.Sc., followed by 3 years in the McGill School of Medicine
Wendy Wilson Miller's Fallon Community Health Plan Experience June 2009 - Present
Job Coordinator, Member Appeals & Grievances at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan June 2009 - Present
Gencorp Insurance Group September 2005 - June 2008
Telamon Insurance & Financial Network February 2002 - August 2005
Clinical Data 1980 - 1982
Skills
Customer Relations, Account Management
Education
Lasell College 1976 — 1978
Associate of Science, Medical Secretarial
Tyrone Area High School 1966 — 1976
Fallon Community Health Plan June 2009 - Present
Gencorp Insurance Group September 2005 - June 2008
Telamon Insurance & Financial Network February 2002 - August 2005
Clinical Data 1980 - 1982
Skills
Customer Relations, Account Management
Education
Lasell College 1976 — 1978
Associate of Science, Medical Secretarial
Tyrone Area High School 1966 — 1976
Catherine Andrade's Fallon Community Health Plan Experience September 2003 - Present
Job Case Manager at FCHP
Industry Insurance
Experience
Fallon Community Health Plan September 2003 - Present
FCHP 2003 - Present
Skills
Motivational..., Computers, Case Managment, Health Insurance, Certified Case Manager, Customer Service, Utilization Management
Education
College of Our Lady of the Elms 1980 — 1982
BSN
Fitchburg State College 1976 — 1980
Fallon Community Health Plan September 2003 - Present
FCHP 2003 - Present
Skills
Motivational..., Computers, Case Managment, Health Insurance, Certified Case Manager, Customer Service, Utilization Management
Education
College of Our Lady of the Elms 1980 — 1982
BSN
Fitchburg State College 1976 — 1980
Charley Goheen's Fallon Community Health Plan Experience July 2001 - November 2010
Job Chief Financial Officer at Harvard Pilgrim Health Care
Industry Insurance
Experience
Harvard Pilgrim Health Care August 2012 - Present
Neighborhood Health Plan December 2010 - August 2012
Fallon Community Health Plan July 2001 - November 2010
Skills
Medicare, Medicaid, Healthcare, Process Improvement, Financial Modeling, Insurance, Finance, Business Planning, Financial Analysis, Managed Care, Healthcare Management, Strategic Planning, Data Analysis, Financial Reporting, HIPAA, Health Insurance, Hospitals, Healthcare Information..., Healthcare Industry, Health Policy, Provider Relations, PPO, Revenue Cycle, Physicians, Physician Relations, HMO, Network Development
Education
M.I.T. 1982 — 1984
MSM, Operations Management
Harvard College 1974 — 1979
A.B., Economics
Harvard Pilgrim Health Care August 2012 - Present
Neighborhood Health Plan December 2010 - August 2012
Fallon Community Health Plan July 2001 - November 2010
Skills
Medicare, Medicaid, Healthcare, Process Improvement, Financial Modeling, Insurance, Finance, Business Planning, Financial Analysis, Managed Care, Healthcare Management, Strategic Planning, Data Analysis, Financial Reporting, HIPAA, Health Insurance, Hospitals, Healthcare Information..., Healthcare Industry, Health Policy, Provider Relations, PPO, Revenue Cycle, Physicians, Physician Relations, HMO, Network Development
Education
M.I.T. 1982 — 1984
MSM, Operations Management
Harvard College 1974 — 1979
A.B., Economics
Webler Patty's Fallon Community Health Plan Experience June 2008 - Present
Job Writer/Project Manager at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan June 2008 - Present
Education
Colgate University
BA, International relations
Fallon Community Health Plan June 2008 - Present
Education
Colgate University
BA, International relations
Connie Tague's Fallon Community Health Plan Experience August 2006 - January 2009
Job Access Case Manager at Holyoke Medical Center
Industry Hospital & Health Care
Experience
Holyoke Medical Center December 2014 - 2015
Qualidigm October 2010 - July 2014
Qualidigm October 2010 - July 2014
Fallon Community Health Plan August 2006 - January 2009
TriPath Imaging 2000 - 2003
Mercy Medical Center 1999 - 2000
Hartford Hospital PHO 1996 - 1998
Holyoke Hospital 1967 - 1985
Skills
Clinical Research, Research, Strategic Planning, Hospitals, Process Improvement, Oncology, Nursing, Disease Management, Healthcare, Case Managment, Inpatient, Managed Care, Medical Records, Home Care, Program Development, Healthcare Management, Medical/Surgical, Utilization Management, Public Health, Medicare, Medicaid, EHR, HIPAA, Quality Improvement, Patient Safety, Healthcare Industry, Medicine, Critical Care, Health Education, Nursing Education, Policy, ICD-9, Physicians, Healthcare Consulting, Wound Care, Informatics, Case Management, Data Entry, ICU, Treatment, Acute Care, Patient Education, Meditech, Accreditation, Revenue Cycle, CPT, Medical Coding, Physician Relations, Medical-Surgical
Education
University of Massachusetts, Amherst 1992 — 1996
MBA, business
College of Our Lady of the Elms 1988 — 1991
Bachelor's degree, Business
Mercy Hospital School of Nursing 1964 — 1967
professional nursing
Holyoke Medical Center December 2014 - 2015
Qualidigm October 2010 - July 2014
Qualidigm October 2010 - July 2014
Fallon Community Health Plan August 2006 - January 2009
TriPath Imaging 2000 - 2003
Mercy Medical Center 1999 - 2000
Hartford Hospital PHO 1996 - 1998
Holyoke Hospital 1967 - 1985
Skills
Clinical Research, Research, Strategic Planning, Hospitals, Process Improvement, Oncology, Nursing, Disease Management, Healthcare, Case Managment, Inpatient, Managed Care, Medical Records, Home Care, Program Development, Healthcare Management, Medical/Surgical, Utilization Management, Public Health, Medicare, Medicaid, EHR, HIPAA, Quality Improvement, Patient Safety, Healthcare Industry, Medicine, Critical Care, Health Education, Nursing Education, Policy, ICD-9, Physicians, Healthcare Consulting, Wound Care, Informatics, Case Management, Data Entry, ICU, Treatment, Acute Care, Patient Education, Meditech, Accreditation, Revenue Cycle, CPT, Medical Coding, Physician Relations, Medical-Surgical
Education
University of Massachusetts, Amherst 1992 — 1996
MBA, business
College of Our Lady of the Elms 1988 — 1991
Bachelor's degree, Business
Mercy Hospital School of Nursing 1964 — 1967
professional nursing
Susan Bielak's Fallon Community Health Plan Experience May 2011 - November 2013
Job Retired Reporting Analyst
Industry Market Research
Experience
Fallon Community Health Plan May 2011 - November 2013
NetScout Systems February 2010 - May 2010
SimplexGrinnell May 2004 - May 2009
Skills
Requirements Gathering, Forecasting, Market Analysis, Databases, Budgets, Business Analysis, Pricing, Segmentation, Analytics, Project Management, Management, Marketing, Project Planning, Strategy, Training, Analysis
Education
Mount Wachusett Community College 1993 — 1996
Business, Marketing
Fallon Community Health Plan May 2011 - November 2013
NetScout Systems February 2010 - May 2010
SimplexGrinnell May 2004 - May 2009
Skills
Requirements Gathering, Forecasting, Market Analysis, Databases, Budgets, Business Analysis, Pricing, Segmentation, Analytics, Project Management, Management, Marketing, Project Planning, Strategy, Training, Analysis
Education
Mount Wachusett Community College 1993 — 1996
Business, Marketing
Peishih Chang's Fallon Community Health Plan Experience April 2008 - Present
Job Data Warehouse Consultant
Industry Information Technology and Services
Experience
Fallon Community Health Plan April 2008 - Present
Skills
Microsoft SQL Server, Data Warehousing, SQL, Data Modeling, SDLC, Oracle, Oracle Warehouse Builder, Business Intelligence, ETL, Data Warehouse..., Leadership, SSRS, Business Objects, Database Design, Informatica, PL/SQL, Requirements Analysis
Education
Pace University 1998 — 2001
Master of Business Administration (MBA), Management Information Systems, Marketing
New Jersey Institute of Technology
PhD, Information Systems
Fallon Community Health Plan April 2008 - Present
Skills
Microsoft SQL Server, Data Warehousing, SQL, Data Modeling, SDLC, Oracle, Oracle Warehouse Builder, Business Intelligence, ETL, Data Warehouse..., Leadership, SSRS, Business Objects, Database Design, Informatica, PL/SQL, Requirements Analysis
Education
Pace University 1998 — 2001
Master of Business Administration (MBA), Management Information Systems, Marketing
New Jersey Institute of Technology
PhD, Information Systems
Jennifer Stahr's Fallon Community Health Plan Experience 1997 - 1999
Job Program Manager Integrated Care Organization at Commonwealth Care Alliance
Industry Hospital & Health Care
Experience
BMC HealthNet Plan August 2013 - Present
Commonwealth Care Alliance (CCA) March 2012 - August 2013
Massachusetts Technology Collaborative July 2010 - March 2012
Astral DesignWorks 2001 - June 2010
Massachusetts Healthcare Purchaser Group 2003 - 2005
Private Healthcare Systems 1999 - 2001
Fallon Community Health Plan 1997 - 1999
Blue Cross Blue Shield of Massachusetts 1994 - 1997
Arthur D. Little 1980 - 1994
Skills
Project Management, Strategy, Healthcare, Community Outreach, Product Development, Leadership, Business Strategy, Management, Analysis, Business Planning, Healthcare Management, Team Leadership, Medicare, Cross-functional Team...
Education
University of California, Berkeley 1978 — 1980
M.S., Chemical Engineering
Massachusetts Institute of Technology 1974 — 1978
S.B., Chemistry
Massachusetts Institute of Technology 1974 — 1978
S.B., Chemical Engineering
BMC HealthNet Plan August 2013 - Present
Commonwealth Care Alliance (CCA) March 2012 - August 2013
Massachusetts Technology Collaborative July 2010 - March 2012
Astral DesignWorks 2001 - June 2010
Massachusetts Healthcare Purchaser Group 2003 - 2005
Private Healthcare Systems 1999 - 2001
Fallon Community Health Plan 1997 - 1999
Blue Cross Blue Shield of Massachusetts 1994 - 1997
Arthur D. Little 1980 - 1994
Skills
Project Management, Strategy, Healthcare, Community Outreach, Product Development, Leadership, Business Strategy, Management, Analysis, Business Planning, Healthcare Management, Team Leadership, Medicare, Cross-functional Team...
Education
University of California, Berkeley 1978 — 1980
M.S., Chemical Engineering
Massachusetts Institute of Technology 1974 — 1978
S.B., Chemistry
Massachusetts Institute of Technology 1974 — 1978
S.B., Chemical Engineering
Emily McGinn's Fallon Community Health Plan Experience February 2008 - August 2008
Job Postdoctoral Fellow at Lafayette College
Industry Writing and Editing
Experience
Lafayette College June 2014 - Present
University of Oregon September 2008 - June 2014
Top Agent Magazine December 2010 - May 2014
Fallon Community Health Plan February 2008 - August 2008
Broker Agent Magazine September 2006 - January 2008
Checkerboard May 2003 - July 2006
Skills
Editing, Public Relations, Copy Editing, Publishing, Microsoft Office, Marketing Communications, Newsletters, Press Releases, Editorial, PowerPoint, Teaching, InDesign, Adobe Creative Suite, Writing, Proofreading, Copywriting
Education
University of Oregon 2008 — 2014
Doctor of Philosophy (Ph.D.), Comparative Literature
Clark University 2006 — 2007
MA, English
Clark University 1999 — 2003
BA, English
Lafayette College June 2014 - Present
University of Oregon September 2008 - June 2014
Top Agent Magazine December 2010 - May 2014
Fallon Community Health Plan February 2008 - August 2008
Broker Agent Magazine September 2006 - January 2008
Checkerboard May 2003 - July 2006
Skills
Editing, Public Relations, Copy Editing, Publishing, Microsoft Office, Marketing Communications, Newsletters, Press Releases, Editorial, PowerPoint, Teaching, InDesign, Adobe Creative Suite, Writing, Proofreading, Copywriting
Education
University of Oregon 2008 — 2014
Doctor of Philosophy (Ph.D.), Comparative Literature
Clark University 2006 — 2007
MA, English
Clark University 1999 — 2003
BA, English
Rebecca Winn's Fallon Community Health Plan Experience October 2011 - Present
Job Industrial/Organizational Psychology, Project/ Program Management, Academic Advising
Industry Hospital & Health Care
Experience
Fallon Community Health Plan October 2011 - Present
Fallon Community Health Plan August 2010 - October 2011
Home Healthcare, Hospice, and Community Services December 2007 - August 2009
Monadnock OBGYN December 2001 - December 2007
Monadnock Community Hospital July 2003 - December 2006
Skills
Project Management, Project Implementation, Team Facilitation, Talent Management, Organization &..., Strategic Communications, Self-motivated..., Self-directed Learning, Self-discipline, High Achiever, Academic honors, Program Management
Education
Argosy University Chicago 2010 — 2011
Master of Arts Industrial/Organizational Psychology, Industrial/Organizational Psychology; Human Resources, 3.97 GPA - summa cum laude
Argosy University Chicago 2008 — 2010
Bachelor of Arts, Clincal Psychology, 4.0 GPA
Mount Wachusett Community College 2001 — 2003
Associates in Science, Executive Office Administration
Fallon Community Health Plan October 2011 - Present
Fallon Community Health Plan August 2010 - October 2011
Home Healthcare, Hospice, and Community Services December 2007 - August 2009
Monadnock OBGYN December 2001 - December 2007
Monadnock Community Hospital July 2003 - December 2006
Skills
Project Management, Project Implementation, Team Facilitation, Talent Management, Organization &..., Strategic Communications, Self-motivated..., Self-directed Learning, Self-discipline, High Achiever, Academic honors, Program Management
Education
Argosy University Chicago 2010 — 2011
Master of Arts Industrial/Organizational Psychology, Industrial/Organizational Psychology; Human Resources, 3.97 GPA - summa cum laude
Argosy University Chicago 2008 — 2010
Bachelor of Arts, Clincal Psychology, 4.0 GPA
Mount Wachusett Community College 2001 — 2003
Associates in Science, Executive Office Administration
Ellen Briggs RN CCM's Fallon Community Health Plan Experience July 2011 - February 2012
Job Clinical Manager, NaviCare Program
Industry Hospital & Health Care
Experience
Fallon Health March 2012 - Present
Fallon Community Health Plan July 2011 - February 2012
Auburn VNA November 1993 - July 2011
Skills
Medicaid, Medicare, Case Management, Managed Care
Education
Massachusetts Bay Community College 1987 — 1990
ADN, Nursing
Lake Forest College 1977 — 1981
BA, Comparative World Literature
Suffolk University
The Winsor School
Fallon Health March 2012 - Present
Fallon Community Health Plan July 2011 - February 2012
Auburn VNA November 1993 - July 2011
Skills
Medicaid, Medicare, Case Management, Managed Care
Education
Massachusetts Bay Community College 1987 — 1990
ADN, Nursing
Lake Forest College 1977 — 1981
BA, Comparative World Literature
Suffolk University
The Winsor School
Wisniewski Ivona's Fallon Community Health Plan Experience November 2012 - Present
Job Director of Senior Care Eligibility and Enrollment Services at Fallon Health
Industry Insurance
Experience
Fallon Health August 2014 - Present
Fallon Community Health Plan November 2012 - Present
Fallon Health 2010 - Present
Skills
Insurance, Process Improvement, Managed Care, Health Insurance, Medicaid, Employee Benefits, HIPAA, Medicare, Healthcare, Utilization Management, Provider Relations, Network Development, Long-term Care, Healthcare Management, Health Policy, Management, Customer Service
Education
Clark University 1989 — 1993
Fallon Health August 2014 - Present
Fallon Community Health Plan November 2012 - Present
Fallon Health 2010 - Present
Skills
Insurance, Process Improvement, Managed Care, Health Insurance, Medicaid, Employee Benefits, HIPAA, Medicare, Healthcare, Utilization Management, Provider Relations, Network Development, Long-term Care, Healthcare Management, Health Policy, Management, Customer Service
Education
Clark University 1989 — 1993
Sarah Ireland's Fallon Community Health Plan Experience 1998 - 2005
Job RN, BSN, CCM
Industry Hospital & Health Care
Experience
Outer Cape Health Services January 2014 - Present
Sarah Ireland Consulting, LLC April 2012 - Present
Whittier Rehabilitation Hospital October 2007 - December 2013
Whittier Rehabilitation Hospital October 2007 - December 2013
Essex healthcare 2005 - 2007
Fallon Community Health Plan 1998 - 2005
Skills
Clinical Research, Disease Management, Nursing Education, Rehabilitation, Acute Care, BLS, EMR, Healthcare Information..., Hospitals, Mental Health, Inpatient, Cpr Certified, Nursing Management, Health Education, Medical/Surgical, Healthcare Consulting, Registered Nurses, Health Insurance, Nursing Care, Healthcare, Nursing, Healthcare Management, Home Care, Patient Advocacy, Managed Care, Patient Safety, Medicare, Medicaid, CPR Certified, Medical-Surgical
Education
Framingham State University 1999 — 2004
Bachelors degree in nursing, nursing
CCMC
CCM, Certification in Case Management
Outer Cape Health Services January 2014 - Present
Sarah Ireland Consulting, LLC April 2012 - Present
Whittier Rehabilitation Hospital October 2007 - December 2013
Whittier Rehabilitation Hospital October 2007 - December 2013
Essex healthcare 2005 - 2007
Fallon Community Health Plan 1998 - 2005
Skills
Clinical Research, Disease Management, Nursing Education, Rehabilitation, Acute Care, BLS, EMR, Healthcare Information..., Hospitals, Mental Health, Inpatient, Cpr Certified, Nursing Management, Health Education, Medical/Surgical, Healthcare Consulting, Registered Nurses, Health Insurance, Nursing Care, Healthcare, Nursing, Healthcare Management, Home Care, Patient Advocacy, Managed Care, Patient Safety, Medicare, Medicaid, CPR Certified, Medical-Surgical
Education
Framingham State University 1999 — 2004
Bachelors degree in nursing, nursing
CCMC
CCM, Certification in Case Management
Cecile Favreau's Fallon Community Health Plan Experience May 1981 - July 1995
Job Manager of Business Risk & Quality Reporting at Universityof Virginia Physicians Group
Industry Hospital & Health Care
Experience
Universityof Virginia Physicians Group December 2014 - Present
UVA Health System February 2012 - Present
Cengage Learning January 2005 - Present
UMass Memorial Medical Center October 2004 - January 2012
Salter College MA February 2003 - August 2011
Blue Cross Blue Shield of Massachusetts July 1998 - November 2002
MedPartners September 1997 - July 1998
BlueCross BlueShield of Mass July 1995 - September 1997
Fallon Community Health Plan May 1981 - July 1995
Skills
Healthcare, HIPAA, Compliance, Medical Coding, Medical Billing, CPT, ICD-9-CM, ICD-10, EHR, E-Learning, Health Insurance, Policy, Software Documentation, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Physicians, Hospitals, Healthcare Management, Teaching, Process Improvement, Healthcare Information..., Financial Analysis, Budgets, Analysis, Data Analysis, Risk Management, Access, Customer Service, EMR, Training, Managed Care, Inpatient
Education
Nichols College 1995 — 1999
Master of Business Administration (M.B.A.), Business Administration and Management, General
Worcester State College 1985 — 1993
Bachelor of Science (B.S.), Accounting/Finance
Quinebaug Valley Community College 1978 — 1983
Associates in Secretarial Science, Medical Administrative/Executive Assistant and Medical Secretary
Universityof Virginia Physicians Group December 2014 - Present
UVA Health System February 2012 - Present
Cengage Learning January 2005 - Present
UMass Memorial Medical Center October 2004 - January 2012
Salter College MA February 2003 - August 2011
Blue Cross Blue Shield of Massachusetts July 1998 - November 2002
MedPartners September 1997 - July 1998
BlueCross BlueShield of Mass July 1995 - September 1997
Fallon Community Health Plan May 1981 - July 1995
Skills
Healthcare, HIPAA, Compliance, Medical Coding, Medical Billing, CPT, ICD-9-CM, ICD-10, EHR, E-Learning, Health Insurance, Policy, Software Documentation, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Physicians, Hospitals, Healthcare Management, Teaching, Process Improvement, Healthcare Information..., Financial Analysis, Budgets, Analysis, Data Analysis, Risk Management, Access, Customer Service, EMR, Training, Managed Care, Inpatient
Education
Nichols College 1995 — 1999
Master of Business Administration (M.B.A.), Business Administration and Management, General
Worcester State College 1985 — 1993
Bachelor of Science (B.S.), Accounting/Finance
Quinebaug Valley Community College 1978 — 1983
Associates in Secretarial Science, Medical Administrative/Executive Assistant and Medical Secretary
Claire Beauregard's Fallon Community Health Plan Experience December 2009 - Present
Job Senior Navigator at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan December 2009 - Present
Technical Sales & Service, Inc. 1986 - 2007
New England Molders, Inc. 1997 - 2005
Skills
Strategic Planning, Project Management, Process Improvement, Medicare, Account Management, Customer Service, Insurance, Managed Care, Team Building, Medicaid, Utilization Management, Program Management, Microsoft Office Suite, CaseNET, QNXT, EPIC, QuickBooks/Peachtree, IDX, Health Insurance
Education
Eastern Nazarene College 1998 — 2000
Hudson Catholic High School 1969 — 1973
Fallon Community Health Plan December 2009 - Present
Technical Sales & Service, Inc. 1986 - 2007
New England Molders, Inc. 1997 - 2005
Skills
Strategic Planning, Project Management, Process Improvement, Medicare, Account Management, Customer Service, Insurance, Managed Care, Team Building, Medicaid, Utilization Management, Program Management, Microsoft Office Suite, CaseNET, QNXT, EPIC, QuickBooks/Peachtree, IDX, Health Insurance
Education
Eastern Nazarene College 1998 — 2000
Hudson Catholic High School 1969 — 1973
Beverly Boyd's Fallon Community Health Plan Experience 1997 - 1999
Job Hospice RN Case Manager at Steward Health Care
Industry Hospital & Health Care
Experience
Beacon Hospice, an Amedisys company July 2015 - Present
Steward Health Care January 2014 - June 2015
Cambridge Health Alliance 2005 - November 2013
Massachusetts Eye and Ear Infirmary 1999 - 2005
Fallon Community Health Plan 1997 - 1999
Skills
Nursing, BLS, Inpatient, Acute Care, Hospitals, Medical/Surgical, Telemetry, Nursing Education
Education
Fitchburg State College
BS Nursing, Registered Nursing/Registered Nurse
Beacon Hospice, an Amedisys company July 2015 - Present
Steward Health Care January 2014 - June 2015
Cambridge Health Alliance 2005 - November 2013
Massachusetts Eye and Ear Infirmary 1999 - 2005
Fallon Community Health Plan 1997 - 1999
Skills
Nursing, BLS, Inpatient, Acute Care, Hospitals, Medical/Surgical, Telemetry, Nursing Education
Education
Fitchburg State College
BS Nursing, Registered Nursing/Registered Nurse
Luann Bechard's Fallon Community Health Plan Experience July 2012 - December 2012
Job Lab Technician at Parklund Labs Inc.
Industry Medical Devices
Experience
Parklund Labs November 1998 - Present
Fallon Community Health Plan July 2012 - December 2012
Parklund Labs Inc January 1999 - January 2011
Skills
HCC Coding, Scan Medical Documents, cpt, ICD-9, HCPCS, Dental Technology, Healthcare Management, Medical Terminology, Medical Records, CPT, HIPAA, Medisoft, Medicine, Medical Coding, Anatomy, Healthcare, Meditech, EHR, Telephone Skills, Healthcare Information..., Human Anatomy, Health Insurance, EMR, Physiology, Hospitals, Data Entry, Medicaid, Medicare
Education
American Academy of Professional Coders (AAPC) 2010 — 2012
CPC-A Certified, Medical Coding
Assabet Valley Center for Continuing Education 2010 — 2010
Certification, Medical Coding
Assabet Valley Center for Continuing Education 2009 — 2010
Medical coding Certificate, Medical Coding
Quinsigamond Community College 1993 — 1993
Certification, Biotechnology Technician
Middlesex Community College 1990 — 1990
Associate of Science Degree, Dental Laboratory Technology
Parklund Labs November 1998 - Present
Fallon Community Health Plan July 2012 - December 2012
Parklund Labs Inc January 1999 - January 2011
Skills
HCC Coding, Scan Medical Documents, cpt, ICD-9, HCPCS, Dental Technology, Healthcare Management, Medical Terminology, Medical Records, CPT, HIPAA, Medisoft, Medicine, Medical Coding, Anatomy, Healthcare, Meditech, EHR, Telephone Skills, Healthcare Information..., Human Anatomy, Health Insurance, EMR, Physiology, Hospitals, Data Entry, Medicaid, Medicare
Education
American Academy of Professional Coders (AAPC) 2010 — 2012
CPC-A Certified, Medical Coding
Assabet Valley Center for Continuing Education 2010 — 2010
Certification, Medical Coding
Assabet Valley Center for Continuing Education 2009 — 2010
Medical coding Certificate, Medical Coding
Quinsigamond Community College 1993 — 1993
Certification, Biotechnology Technician
Middlesex Community College 1990 — 1990
Associate of Science Degree, Dental Laboratory Technology
Patrick Flattery's Fallon Community Health Plan Experience March 2012 - December 2013
Job Senior Municipal Account Coordinator at Fallon Health
Industry Insurance
Experience
Fallon Health April 2015 - Present
Fallon Health January 2014 - April 2015
Fallon Community Health Plan March 2012 - December 2013
Worcester Tornadoes January 2012 - March 2012
Mullins Militia February 2010 - April 2011
Worcester Tornadoes May 2009 - September 2010
Oxford High School December 2007 - February 2008
Skills
Sports Marketing, Sports Management, Sports, Baseball, Ticket Sales, Athletics, Facebook, Event Planning, Event Management, Social Media, Social Media Marketing, Public Speaking, Marketing, Microsoft Office, Social Networking
Education
University of Massachusetts at Amherst - Isenberg School of Management 2007 — 2011
Bachelor of Science (B.S.), Sport Management
Fallon Health April 2015 - Present
Fallon Health January 2014 - April 2015
Fallon Community Health Plan March 2012 - December 2013
Worcester Tornadoes January 2012 - March 2012
Mullins Militia February 2010 - April 2011
Worcester Tornadoes May 2009 - September 2010
Oxford High School December 2007 - February 2008
Skills
Sports Marketing, Sports Management, Sports, Baseball, Ticket Sales, Athletics, Facebook, Event Planning, Event Management, Social Media, Social Media Marketing, Public Speaking, Marketing, Microsoft Office, Social Networking
Education
University of Massachusetts at Amherst - Isenberg School of Management 2007 — 2011
Bachelor of Science (B.S.), Sport Management
Hari Tejomurtula,MBA,PMP,PSM's Fallon Community Health Plan Experience 2013 - 2013
Job Associate DirectorBPM/Program Manager
Industry Computer Software
Experience
Merck 2012 - 2015
Sanofi 2012 - 2014
Fallon Community Health Plan 2013 - 2013
Medco May 2011 - 2012
Express Scripts 2011 - 2012
Chartis June 2008 - May 2011
Mahindra Satyam September 2007 - June 2008
Heartbeat Experts 2006 - 2007
Compuware 2001 - 2006
Skills
PMP, Agile Project Management, SDLC, Scrum, Agile Methodologies, Software Project..., Requirements Analysis, PMO, Enterprise Architecture, Vendor Management, Program Management, Business Analysis, Systems Analysis, Integration, PSM, BPM, Pegasystems PRPC, Java Enterprise Edition, Appian, Analytics, Business Development, JavaScript, Java, Leadership, Strategic Planning, Problem Solving, SOA, UML, User Interface, User Acceptance Testing, Business Intelligence, Requirements Gathering, Resource Management, CMMI, Business Process Design, Solution Architecture, Enterprise Software, Management, Project Management, Quality Assurance, IT Strategy, Software Development, Technical Recruiting, Oracle, SQL
Education
Davenport University 2003 — 2005
Master of Business Administration (M.B.A.), Management Information Systems, General
Osmania University 2003 — 2005
Master of Science (M.Sc.), Electronics
Osmania University
Bachelor of Science (B.S.)
Merck 2012 - 2015
Sanofi 2012 - 2014
Fallon Community Health Plan 2013 - 2013
Medco May 2011 - 2012
Express Scripts 2011 - 2012
Chartis June 2008 - May 2011
Mahindra Satyam September 2007 - June 2008
Heartbeat Experts 2006 - 2007
Compuware 2001 - 2006
Skills
PMP, Agile Project Management, SDLC, Scrum, Agile Methodologies, Software Project..., Requirements Analysis, PMO, Enterprise Architecture, Vendor Management, Program Management, Business Analysis, Systems Analysis, Integration, PSM, BPM, Pegasystems PRPC, Java Enterprise Edition, Appian, Analytics, Business Development, JavaScript, Java, Leadership, Strategic Planning, Problem Solving, SOA, UML, User Interface, User Acceptance Testing, Business Intelligence, Requirements Gathering, Resource Management, CMMI, Business Process Design, Solution Architecture, Enterprise Software, Management, Project Management, Quality Assurance, IT Strategy, Software Development, Technical Recruiting, Oracle, SQL
Education
Davenport University 2003 — 2005
Master of Business Administration (M.B.A.), Management Information Systems, General
Osmania University 2003 — 2005
Master of Science (M.Sc.), Electronics
Osmania University
Bachelor of Science (B.S.)
Rich Toomey, CPA MSA's Fallon Community Health Plan Experience May 2011 - August 2011
Job Senior Tax Accountant at Kreischer Miller
Industry Accounting
Experience
Kreischer Miller July 2014 - Present
Kreischer Miller January 2013 - July 2014
College of the Holy Cross September 2008 - December 2012
Fallon Community Health Plan May 2011 - August 2011
Massachusetts State Police May 2009 - August 2009
Skills
Microsoft Word, Microsoft Excel, PowerPoint, Microsoft Office, Research, Data Analysis, Public Speaking, Facebook, Social Media, Outlook, Customer Service, Accounting, Editing, Social Networking
Education
Northeastern University, Graduate School of Professional Accounting 2012 — 2012
Master of Science, Accounting
College of the Holy Cross 2008 — 2012
Bachelor of Arts, Accounting
Kreischer Miller July 2014 - Present
Kreischer Miller January 2013 - July 2014
College of the Holy Cross September 2008 - December 2012
Fallon Community Health Plan May 2011 - August 2011
Massachusetts State Police May 2009 - August 2009
Skills
Microsoft Word, Microsoft Excel, PowerPoint, Microsoft Office, Research, Data Analysis, Public Speaking, Facebook, Social Media, Outlook, Customer Service, Accounting, Editing, Social Networking
Education
Northeastern University, Graduate School of Professional Accounting 2012 — 2012
Master of Science, Accounting
College of the Holy Cross 2008 — 2012
Bachelor of Arts, Accounting
Casey Bogan's Fallon Community Health Plan Experience May 2013 - Present
Job Navigator for NaviCare at Fallon Community Health Plan
Industry Individual & Family Services
Experience
Fallon Community Health Plan May 2013 - Present
Elder Services of Worcester Area, Inc. July 2012 - May 2013
Elder Services of Worcester Area, Inc. July 2011 - July 2012
Elder Services of Worcester Area, Inc. July 2010 - July 2011
Skills
Case Managment, Psychology, Healthcare, Microsoft Office, Customer Service, Home Care, Elder Care, Coaching, Life Transitions, Case Management, Mental Health, Program Management, Social Services
Education
Worcester State College 2007 — 2010
Bachelors, Psychology
Mount Wachusett Community College 2005 — 2007
Fallon Community Health Plan May 2013 - Present
Elder Services of Worcester Area, Inc. July 2012 - May 2013
Elder Services of Worcester Area, Inc. July 2011 - July 2012
Elder Services of Worcester Area, Inc. July 2010 - July 2011
Skills
Case Managment, Psychology, Healthcare, Microsoft Office, Customer Service, Home Care, Elder Care, Coaching, Life Transitions, Case Management, Mental Health, Program Management, Social Services
Education
Worcester State College 2007 — 2010
Bachelors, Psychology
Mount Wachusett Community College 2005 — 2007
Sharon Nolli's Fallon Community Health Plan Experience January 2010 - Present
Job Outreach Coordinator at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan January 2010 - Present
Skills
Sales and Marketing, Expertise in working..., Knowledge of the Elder...
Education
Clark University
Bachelor's degree
Rensselaer Polytechnic Institute
Certificate in Management
Fallon Community Health Plan January 2010 - Present
Skills
Sales and Marketing, Expertise in working..., Knowledge of the Elder...
Education
Clark University
Bachelor's degree
Rensselaer Polytechnic Institute
Certificate in Management
Christine Filo's Fallon Community Health Plan Experience November 2012 - July 2014
Job Director of Service Delivery at Fallon Health
Industry Insurance
Experience
Fallon Health July 2014 - Present
Fallon Community Health Plan November 2012 - July 2014
Fallon Community Health Plan April 2011 - November 2012
Skills
Health Insurance, Medicare, Visio, Insurance, Medicaid, Managed Care, SDLC, HIPAA, Provider Relations, Business Analysis, Requirements Gathering, Claim
Education
Nichols College 2003 — 2005
Master of Business Administration (M.B.A.), Business Administration and Management, General
Fallon Health July 2014 - Present
Fallon Community Health Plan November 2012 - July 2014
Fallon Community Health Plan April 2011 - November 2012
Skills
Health Insurance, Medicare, Visio, Insurance, Medicaid, Managed Care, SDLC, HIPAA, Provider Relations, Business Analysis, Requirements Gathering, Claim
Education
Nichols College 2003 — 2005
Master of Business Administration (M.B.A.), Business Administration and Management, General
Elleen Ebiwa's Fallon Community Health Plan Experience April 2015 - Present
Job Business Systems Analyst at Fallon Community Health Plan
Industry Information Technology and Services
Experience
Fallon Community Health Plan April 2015 - Present
Commonweath of Massachusetts- (Operational Services Division -OSD) June 2014 - February 2015
Riverzedge Arts September 2011 - September 2014
Framingham State University September 2009 - May 2013
Skills
Microsoft Office, HTML, C, Microsoft Excel, Windows, JavaScript, PowerPoint, Microsoft Word, Customer Service, Programming, Java, Familiar with Oracle...
Education
Framingham State University 2009 — 2014
Bachelor of Science (B.S.), Business and Information Technology
Lingnan University 2013 — 2013
Foreign Exchange Program- Study Abroad Hong Kong, Economics, Marketing, History, Service Learning
Fallon Community Health Plan April 2015 - Present
Commonweath of Massachusetts- (Operational Services Division -OSD) June 2014 - February 2015
Riverzedge Arts September 2011 - September 2014
Framingham State University September 2009 - May 2013
Skills
Microsoft Office, HTML, C, Microsoft Excel, Windows, JavaScript, PowerPoint, Microsoft Word, Customer Service, Programming, Java, Familiar with Oracle...
Education
Framingham State University 2009 — 2014
Bachelor of Science (B.S.), Business and Information Technology
Lingnan University 2013 — 2013
Foreign Exchange Program- Study Abroad Hong Kong, Economics, Marketing, History, Service Learning
Francis Nichols's Fallon Community Health Plan Experience March 2002 - May 2005
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Van Pool Transportation, LLC December 2013 - Present
HealthAlliance Hospital (UMass Medical Center Member Hospital) 2011 - 2013
North Country Health System June 2009 - September 2010
Hubbard Regional Hospital and Health System May 2005 - June 2009
Fallon Community Health Plan March 2002 - May 2005
Fallon Community Health Plan January 2001 - March 2002
Blackstone Canal Bicycles/Milford Bicycles July 1996 - December 2000
Central Mass Health Care/Health Source of Massachusetts June 1995 - June 1996
Fallon Community Health Plan November 1988 - June 1995
Worcester City Hospital July 1988 - November 1988
Skills
Healthcare, Healthcare Information..., Management, Process Improvement, Change Management, Hospitals, Business Analysis, Microsoft Excel, Analysis
Education
Nichols College 1979 — 1984
Bachelor of Science in Business Administration, Business Administration/Accounting
Van Pool Transportation, LLC December 2013 - Present
HealthAlliance Hospital (UMass Medical Center Member Hospital) 2011 - 2013
North Country Health System June 2009 - September 2010
Hubbard Regional Hospital and Health System May 2005 - June 2009
Fallon Community Health Plan March 2002 - May 2005
Fallon Community Health Plan January 2001 - March 2002
Blackstone Canal Bicycles/Milford Bicycles July 1996 - December 2000
Central Mass Health Care/Health Source of Massachusetts June 1995 - June 1996
Fallon Community Health Plan November 1988 - June 1995
Worcester City Hospital July 1988 - November 1988
Skills
Healthcare, Healthcare Information..., Management, Process Improvement, Change Management, Hospitals, Business Analysis, Microsoft Excel, Analysis
Education
Nichols College 1979 — 1984
Bachelor of Science in Business Administration, Business Administration/Accounting
Coventry Health Care
Premera Blue Cross
Medical Mutual of Ohio
Medical Mutual
Unicare
Coventry Healthcare
Fallon Health
Moda Health