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.
Fallon Community Health Plan List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Fallon Community Health Plan. You can filter them based on skills, years of employment, job, education, department, and prior employment.
Fallon Community Health Plan Salaries. You can even request information on how much does Fallon Community Health Plan pay if you want to. Learn about salaries, pros and cons of working for Fallon Community Health Plan directly from the past employees.
Find People by Employers You can rekindle an old relationship, reconnect with a long-lost friend, former boss, business acquaintance who might be useful in your new line of work. With our employee database, the possibilities are endless. All you have to do is type in a couple of keywords and we'll bring you the exact information you wanted!
431 Fallon Community Health Plan employees in database. Find out everything there's to know about Fallon Community Health Plan employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Fallon Community Health Plan Employees
Employee
Years
Job
Industry
Shefena Kong Shefena Kong's Fallon Community Health Plan Experience November 2007 - June 2010
Job Consultant HTMS, an Emdeon Company, Project Manager Emdeon Business Services
Industry Information Technology and Services
Experience
HTMS June 2010 - Present
Fallon Community Health Plan November 2007 - June 2010
The Revere Group June 2007 - June 2010
Wellington Mgt Co LLP July 2006 - January 2007
RINET Company, LLC June 2005 - December 2005
Robeco Investment Management June 2004 - December 2004
Skills
Business Analysis, Business Intelligence, Healthcare Information..., Vendor Management, Software Project..., SharePoint, Software Documentation, SQL, SDLC, Requirements Gathering, Requirements Analysis, Project Portfolio..., Project Management, Program Management, Process Improvement, Integration
Education
Northeastern University 2002 — 2007
Finance, MIS
Middletown High School 1999 — 2002
HTMS June 2010 - Present
Fallon Community Health Plan November 2007 - June 2010
The Revere Group June 2007 - June 2010
Wellington Mgt Co LLP July 2006 - January 2007
RINET Company, LLC June 2005 - December 2005
Robeco Investment Management June 2004 - December 2004
Skills
Business Analysis, Business Intelligence, Healthcare Information..., Vendor Management, Software Project..., SharePoint, Software Documentation, SQL, SDLC, Requirements Gathering, Requirements Analysis, Project Portfolio..., Project Management, Program Management, Process Improvement, Integration
Education
Northeastern University 2002 — 2007
Finance, MIS
Middletown High School 1999 — 2002
Jasmine Vega Jasmine Vega's Fallon Community Health Plan Experience June 2007 - January 2008
Job Administrative Assistant at The Department of Youth Services
Industry Public Safety
Experience
The Department of Youth Services/ Y.O.U. Inc. February 2011 - Present
Friendly Mover's March 2011 - November 2011
Colin's Barbershop June 2010 - November 2011
Centro Las Americas August 2008 - July 2010
Community Healthlink Inc. February 2008 - June 2009
The Bridge of Central Mass. February 2008 - May 2009
Fallon Community Health Plan June 2007 - January 2008
Ken's Food, Inc. March 2007 - May 2007
Protocol Communications November 2006 - April 2007
World Finer Foods/Millbrook Distribution Services April 2004 - October 2006
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, PowerPoint, Customer Service, Outlook, Data Entry, Administrative..., Research, Bilingual, Cpr Certified, Administrative...
Education
Nichols College 2015 — 2017
Master of Business Administration (M.B.A.), Accounting and Finance
Nichols College 2010 — 2015
Bachelor’s Degree, Business Administration and Management, General, 3.3 GPA
Quinsigamond Community College 2004 — 2007
Associate's degree, Business Administration and Management, General
The Department of Youth Services/ Y.O.U. Inc. February 2011 - Present
Friendly Mover's March 2011 - November 2011
Colin's Barbershop June 2010 - November 2011
Centro Las Americas August 2008 - July 2010
Community Healthlink Inc. February 2008 - June 2009
The Bridge of Central Mass. February 2008 - May 2009
Fallon Community Health Plan June 2007 - January 2008
Ken's Food, Inc. March 2007 - May 2007
Protocol Communications November 2006 - April 2007
World Finer Foods/Millbrook Distribution Services April 2004 - October 2006
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, PowerPoint, Customer Service, Outlook, Data Entry, Administrative..., Research, Bilingual, Cpr Certified, Administrative...
Education
Nichols College 2015 — 2017
Master of Business Administration (M.B.A.), Accounting and Finance
Nichols College 2010 — 2015
Bachelor’s Degree, Business Administration and Management, General, 3.3 GPA
Quinsigamond Community College 2004 — 2007
Associate's degree, Business Administration and Management, General
Jaime Recore's Fallon Community Health Plan Experience 2005 - 2007
Job Operations Training & Analysis at BNY Mellon
Industry Financial Services
Experience
BNY Mellon August 2011 - Present
Upromise 2007 - 2011
Fallon Community Health Plan 2005 - 2007
PNC 2003 - 2005
Skills
Customer Service, Coaching, Technology, Project Planning, Process Improvement, Building Relationships, Mutual Funds, 529 Plans, Finance, Analysis, Financial Services, Call Centers, Investments, Securities
Education
Nichols College
Bachelor of Science (BS), Business Administration
BNY Mellon August 2011 - Present
Upromise 2007 - 2011
Fallon Community Health Plan 2005 - 2007
PNC 2003 - 2005
Skills
Customer Service, Coaching, Technology, Project Planning, Process Improvement, Building Relationships, Mutual Funds, 529 Plans, Finance, Analysis, Financial Services, Call Centers, Investments, Securities
Education
Nichols College
Bachelor of Science (BS), Business Administration
Laura Spencer Laura Spencer's Fallon Community Health Plan Experience July 2005 - November 2007
Job Seasoned Social media PR & Digital Professional
Industry Public Relations and Communications
Experience
Spencer McMillan Public Relations March 2013 - Present
Walt Disney World October 2008 - March 2013
Disney Destinations 2008 - March 2013
YMCA of Central Massachusetts November 2007 - October 2008
Fallon Community Health Plan July 2005 - November 2007
Worcester Regional Transit Authority December 2004 - July 2005
East Coast Salons July 1995 - July 2005
Saint Vincent Hospital September 1999 - March 2005
New England Mobile Book Fair September 1993 - July 1995
Addison Wesley Publishing Company May 1988 - September 1993
Skills
Outsourcing, Content Strategy, Brand Loyalty, Social Networking, Blogging, New Media, Publicity, Marketing Communications, Social Media Measurement, Internal Communications, Social Media, Outsourcing Management, Email Marketing, Online Marketing, Advertising, Editing, Copy Editing, Event Planning, Public Speaking, Online Advertising, Facebook, Sales, Public Relations, Publishing, Healthcare, Charities, Fundraising, Nonprofits, Pinterest, Copywriting, Presenter, Spokesperson, Project Management, Non-profits, Change Management, Keynote, Panel Discussions, Television, Radio, Quote, Brand Management, Branding & Identity, Broadcast Television, Brand Awareness, Multi-channel Marketing, Television News, Speech Writing, Radio Host, Web Hosting, Hosting
Education
Simmons College 1984 — 1988
BA, Communications/Business
Spencer McMillan Public Relations March 2013 - Present
Walt Disney World October 2008 - March 2013
Disney Destinations 2008 - March 2013
YMCA of Central Massachusetts November 2007 - October 2008
Fallon Community Health Plan July 2005 - November 2007
Worcester Regional Transit Authority December 2004 - July 2005
East Coast Salons July 1995 - July 2005
Saint Vincent Hospital September 1999 - March 2005
New England Mobile Book Fair September 1993 - July 1995
Addison Wesley Publishing Company May 1988 - September 1993
Skills
Outsourcing, Content Strategy, Brand Loyalty, Social Networking, Blogging, New Media, Publicity, Marketing Communications, Social Media Measurement, Internal Communications, Social Media, Outsourcing Management, Email Marketing, Online Marketing, Advertising, Editing, Copy Editing, Event Planning, Public Speaking, Online Advertising, Facebook, Sales, Public Relations, Publishing, Healthcare, Charities, Fundraising, Nonprofits, Pinterest, Copywriting, Presenter, Spokesperson, Project Management, Non-profits, Change Management, Keynote, Panel Discussions, Television, Radio, Quote, Brand Management, Branding & Identity, Broadcast Television, Brand Awareness, Multi-channel Marketing, Television News, Speech Writing, Radio Host, Web Hosting, Hosting
Education
Simmons College 1984 — 1988
BA, Communications/Business
Maggie Lapan Maggie Lapan's Fallon Community Health Plan Experience March 2009 - November 2009
Job HR Assistant Seeking Next Opportunity
Industry Human Resources
Experience
David's Bridal April 2010 - Present
Courion Corporation November 2009 - June 2015
David's Bridal December 2008 - April 2010
Fallon Community Health Plan March 2009 - November 2009
Kelly HRfirst May 2008 - December 2008
Advocates Inc. January 2008 - May 2008
Chiro Care Plus January 2007 - March 2008
Simmons College September 2006 - December 2007
Simmons College June 2007 - November 2007
Skills
Event Planning, Human Resources, Customer Service, Time Management, PowerPoint, Fundraising, Management, Team Building, Microsoft Excel, Public Speaking, Employee Benefits, Office Administration, Data Entry, Strategy, Blogging, Coordinating Events, Confidentiality, Logistics, Creativity, Cross-functional..., Microsoft Word, Excel, Word, ADP HRB, Exit Interviews, Onboarding, Annual Reports, Digital Signage, Company Newsletters, CRM
Education
Simmons College 2004 — 2008
BA, Sociology
Brattleboro Union High School 2000 — 2004
College Prep
David's Bridal April 2010 - Present
Courion Corporation November 2009 - June 2015
David's Bridal December 2008 - April 2010
Fallon Community Health Plan March 2009 - November 2009
Kelly HRfirst May 2008 - December 2008
Advocates Inc. January 2008 - May 2008
Chiro Care Plus January 2007 - March 2008
Simmons College September 2006 - December 2007
Simmons College June 2007 - November 2007
Skills
Event Planning, Human Resources, Customer Service, Time Management, PowerPoint, Fundraising, Management, Team Building, Microsoft Excel, Public Speaking, Employee Benefits, Office Administration, Data Entry, Strategy, Blogging, Coordinating Events, Confidentiality, Logistics, Creativity, Cross-functional..., Microsoft Word, Excel, Word, ADP HRB, Exit Interviews, Onboarding, Annual Reports, Digital Signage, Company Newsletters, CRM
Education
Simmons College 2004 — 2008
BA, Sociology
Brattleboro Union High School 2000 — 2004
College Prep
Anne Doyle Anne Doyle's Fallon Community Health Plan Experience March 2007 - March 2011
Job President at Lasell Village, Inc.
Industry Health, Wellness and Fitness
Experience
Lasell Village, Inc.at Lasell College March 2015 - Present
ConnectedLiving January 2014 - Present
Caring for Carcinoid Foundation 2005 - Present
Planned Parenthood League of Massachusetts March 2011 - June 2013
Fallon Community Health Plan March 2007 - March 2011
Tufts Health Plan 2006 - 2007
Tufts Health Plan 2005 - 2006
Tufts Health Plan 1998 - 2005
East Boston Neighborhood Health Center 1994 - 1998
Deloitte & Touche 1990 - 1992
Skills
Healthcare, Cancer, Strategic Planning, Managed Care, Budgets, Medicare, Nonprofits, Fundraising, Non-profits, Medicaid, Team Building, Process Improvement, Strategy, Leadership, Health Policy, Policy, Program Development, Hospitals, Healthcare Management, Healthcare Consulting, Quality Improvement, HIPAA, Physicians, Healthcare Information..., Healthcare Industry, Public Health, Disease Management, Health Insurance, Revenue Cycle, Medical Compliance, EHR, Provider Relations, Executive Management, Network Development, Performance Improvement, Operations Management
Education
Stanford University Graduate School of Business 1988 — 1990
MBA, business
Fulbright Scholar in Sweden 1986 — 1987
Researched innovative financing and care models for the elderly
Tufts University 1979 — 1983
BA, Political Science, summa cum laude
Lasell Village, Inc.at Lasell College March 2015 - Present
ConnectedLiving January 2014 - Present
Caring for Carcinoid Foundation 2005 - Present
Planned Parenthood League of Massachusetts March 2011 - June 2013
Fallon Community Health Plan March 2007 - March 2011
Tufts Health Plan 2006 - 2007
Tufts Health Plan 2005 - 2006
Tufts Health Plan 1998 - 2005
East Boston Neighborhood Health Center 1994 - 1998
Deloitte & Touche 1990 - 1992
Skills
Healthcare, Cancer, Strategic Planning, Managed Care, Budgets, Medicare, Nonprofits, Fundraising, Non-profits, Medicaid, Team Building, Process Improvement, Strategy, Leadership, Health Policy, Policy, Program Development, Hospitals, Healthcare Management, Healthcare Consulting, Quality Improvement, HIPAA, Physicians, Healthcare Information..., Healthcare Industry, Public Health, Disease Management, Health Insurance, Revenue Cycle, Medical Compliance, EHR, Provider Relations, Executive Management, Network Development, Performance Improvement, Operations Management
Education
Stanford University Graduate School of Business 1988 — 1990
MBA, business
Fulbright Scholar in Sweden 1986 — 1987
Researched innovative financing and care models for the elderly
Tufts University 1979 — 1983
BA, Political Science, summa cum laude
Kim Cutting's Fallon Community Health Plan Experience July 2005 - Present
Job Provider Relations at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan July 2005 - Present
SBSB 1995 - 2004
Skills
HIPAA, Health Insurance, Healthcare, Medicaid, Utilization Management, Managed Care, Medicare, Provider Relations, Healthcare Information..., Long-term Care, Medicare Part D, Healthcare Management, Healthcare Consulting, Healthcare Industry, Disease Management, Health Policy, Customer Service
Education
Quinsigamond Community College
Associate's Degree, General Studies
Fallon Community Health Plan July 2005 - Present
SBSB 1995 - 2004
Skills
HIPAA, Health Insurance, Healthcare, Medicaid, Utilization Management, Managed Care, Medicare, Provider Relations, Healthcare Information..., Long-term Care, Medicare Part D, Healthcare Management, Healthcare Consulting, Healthcare Industry, Disease Management, Health Policy, Customer Service
Education
Quinsigamond Community College
Associate's Degree, General Studies
Parag Kurlawala Parag Kurlawala's Fallon Community Health Plan Experience December 2010 - May 2011
Job Sr. BI Developer at Amazon Robotics
Industry Information Technology and Services
Experience
Amazon Robotics March 2015 - Present
Epsilon (ADS Alliance Data System Inc) June 2011 - March 2015
Fallon Community Health Plan December 2010 - May 2011
Wellsfargo May 2009 - November 2010
Skills
SQL Server, SSIS, Batch Processing, SSAS, Database Design, PL/SQL, Visual Studio, SDLC, Visio, SQL, ETL, SSRS, Window Batch Scripting, Microsoft SQL Server, Analysis Services, SharePoint, Business Intelligence, Databases, Data Warehousing, Oracle, Agile Methodologies, XML, Integration, Business Analysis, Testing, Oracle SQL Developer, Requirements Analysis, Systems Analysis, TFS, Data Modeling, T-SQL, OLAP, Data Analysis, Requirements Gathering
Education
University of Massachusetts at Lowell 2006 — 2009
MS
K.J.Somaiya College of Engineering 2002 — 2006
B.E.
Amazon Robotics March 2015 - Present
Epsilon (ADS Alliance Data System Inc) June 2011 - March 2015
Fallon Community Health Plan December 2010 - May 2011
Wellsfargo May 2009 - November 2010
Skills
SQL Server, SSIS, Batch Processing, SSAS, Database Design, PL/SQL, Visual Studio, SDLC, Visio, SQL, ETL, SSRS, Window Batch Scripting, Microsoft SQL Server, Analysis Services, SharePoint, Business Intelligence, Databases, Data Warehousing, Oracle, Agile Methodologies, XML, Integration, Business Analysis, Testing, Oracle SQL Developer, Requirements Analysis, Systems Analysis, TFS, Data Modeling, T-SQL, OLAP, Data Analysis, Requirements Gathering
Education
University of Massachusetts at Lowell 2006 — 2009
MS
K.J.Somaiya College of Engineering 2002 — 2006
B.E.
Allison Lavigne Allison Lavigne's Fallon Community Health Plan Experience May 2011 - August 2012
Job ABA Therapist
Industry Mental Health Care
Experience
Venture Community Services January 2015 - Present
ServiceNet February 2013 - May 2013
Fallon Community Health Plan May 2011 - August 2012
Skills
Data Analysis, Health Insurance, Access, HIPAA, Insurance, Medicare, Microsoft Excel, PowerPoint, Claim, Statistics, Microsoft Word, Case Management, Quantitative Analytics, Data Entry, Medical Terminology, Employee Benefits
Education
University of Massachusetts, Amherst 2009 — 2013
Bachelor's degree, Psychology
Venture Community Services January 2015 - Present
ServiceNet February 2013 - May 2013
Fallon Community Health Plan May 2011 - August 2012
Skills
Data Analysis, Health Insurance, Access, HIPAA, Insurance, Medicare, Microsoft Excel, PowerPoint, Claim, Statistics, Microsoft Word, Case Management, Quantitative Analytics, Data Entry, Medical Terminology, Employee Benefits
Education
University of Massachusetts, Amherst 2009 — 2013
Bachelor's degree, Psychology
Elizabeth Sjogren Elizabeth Sjogren's Fallon Community Health Plan Experience August 2009 - August 2011
Job Microbiology Analyst at Microbac Laboratories, Inc.
Industry Biotechnology
Experience
Microbac Laboratories, Inc. June 2013 - Present
Worcester Polytechnic Institute June 2013 - April 2014
University of Massachusetts Amherst July 2012 - May 2013
Massachusetts Higher Education Consortium July 2012 - January 2013
Fallon Community Health Plan August 2009 - August 2011
Lucky Brand Jeans 2008 - 2009
Skills
Customer Service, Organization, Microsoft Office, General Chemistry, Public Speaking, Community Outreach, Telecommunications, Online Research, Statistics, Aseptic Technique, Environmental Monitoring, Laboratory Safety
Education
University of Massachusetts, Amherst 2011 — 2013
Bachelor of Science (B.S.), Biology, General
Quinsigamond Community College 2009 — 2011
Associate of Arts (A.A.), Liberal Arts and Sciences/Liberal Studies
Microbac Laboratories, Inc. June 2013 - Present
Worcester Polytechnic Institute June 2013 - April 2014
University of Massachusetts Amherst July 2012 - May 2013
Massachusetts Higher Education Consortium July 2012 - January 2013
Fallon Community Health Plan August 2009 - August 2011
Lucky Brand Jeans 2008 - 2009
Skills
Customer Service, Organization, Microsoft Office, General Chemistry, Public Speaking, Community Outreach, Telecommunications, Online Research, Statistics, Aseptic Technique, Environmental Monitoring, Laboratory Safety
Education
University of Massachusetts, Amherst 2011 — 2013
Bachelor of Science (B.S.), Biology, General
Quinsigamond Community College 2009 — 2011
Associate of Arts (A.A.), Liberal Arts and Sciences/Liberal Studies
Christine Grondalski Christine Grondalski's Fallon Community Health Plan Experience 2013 - Present
Job Senior Director, Risk Adjustment & Analytics at Fallon Health
Industry Insurance
Experience
Fallon Health August 2014 - Present
Fallon Community Health Plan 2013 - Present
Fallon Community Health Plan 2006 - 2013
Fallon Health 2003 - 2006
Fallon Community Health Plan 1998 - 2003
Blue Cross Blue Shield of Massachusetts 1994 - 1998
Blue Cross Blue Shield of Massachusetts May 1993 - September 1994
Skills
Risk Adjustment, CMS Payment, Medicare Advantage, Health Insurance, Medicare, Managed Care, Microsoft Excel, Access, HIPAA, Insurance, Data Analysis, Medicaid Managed Care, Medicare Prescription..., Team Leadership, Vendor Relationships, Software Implementation, Medicaid, Leadership, Healthcare, Analysis, Healthcare Industry, Analytics, Strategy, Financial Risk
Education
University of Massachusetts, Amherst 1987 — 1991
Bachelor of Arts (BA), English Language and Literature, General
Fallon Health August 2014 - Present
Fallon Community Health Plan 2013 - Present
Fallon Community Health Plan 2006 - 2013
Fallon Health 2003 - 2006
Fallon Community Health Plan 1998 - 2003
Blue Cross Blue Shield of Massachusetts 1994 - 1998
Blue Cross Blue Shield of Massachusetts May 1993 - September 1994
Skills
Risk Adjustment, CMS Payment, Medicare Advantage, Health Insurance, Medicare, Managed Care, Microsoft Excel, Access, HIPAA, Insurance, Data Analysis, Medicaid Managed Care, Medicare Prescription..., Team Leadership, Vendor Relationships, Software Implementation, Medicaid, Leadership, Healthcare, Analysis, Healthcare Industry, Analytics, Strategy, Financial Risk
Education
University of Massachusetts, Amherst 1987 — 1991
Bachelor of Arts (BA), English Language and Literature, General
Jill Starbard Jill Starbard's Fallon Community Health Plan Experience January 2002 - September 2003
Job Peoplesoft Benefits Administration Consultant at Accenture
Industry Human Resources
Experience
Staples May 2013 - February 2015
Staples January 2011 - April 2013
Staples September 2008 - January 2011
Staples February 2005 - August 2008
Staples April 2003 - February 2005
Fallon Community Health Plan January 2002 - September 2003
Corning Incorporated January 1999 - September 2002
Skills
Benefits Design, Benefits Strategy, Employee Benefits, Chess, PeopleSoft, Access, HRIS, Benefits Administration, New Hire Orientations, Human Resources, FMLA, Onboarding, Employee Relations, Deferred Compensation, Compensation & Benefit, Team Building, Process Improvement, Management, Training
Education
University of Maine 1988 — 1993
BA, History
Fryeburg Academy 1983 — 1987
Staples May 2013 - February 2015
Staples January 2011 - April 2013
Staples September 2008 - January 2011
Staples February 2005 - August 2008
Staples April 2003 - February 2005
Fallon Community Health Plan January 2002 - September 2003
Corning Incorporated January 1999 - September 2002
Skills
Benefits Design, Benefits Strategy, Employee Benefits, Chess, PeopleSoft, Access, HRIS, Benefits Administration, New Hire Orientations, Human Resources, FMLA, Onboarding, Employee Relations, Deferred Compensation, Compensation & Benefit, Team Building, Process Improvement, Management, Training
Education
University of Maine 1988 — 1993
BA, History
Fryeburg Academy 1983 — 1987
Melissa Flis Melissa Flis's Fallon Community Health Plan Experience 2005 - 2005
Job Compliance Specialist
Industry Hospital & Health Care
Experience
UMass Memorial Medical Center August 2011 - Present
Salter College November 2009 - 2012
Genzyme Genetics November 2005 - July 2011
Fallon Community Health Plan 2005 - 2005
Skills
Teaching, Problem Solving, Healthcare, Managed Care, Medical Coding, Medical Terminology, Medicaid, Medicare, Microsoft Word, Microsoft Excel, E/M coding, Leadership, Medical Billing, Invoicing
Education
Gardner High School
Worcester State College 1998 — 2001
Bachelor of Science, Psychology
Salter College-West Boylston 2005 — 2006
Certification, Medical Billing/Coding
UMass Memorial Medical Center August 2011 - Present
Salter College November 2009 - 2012
Genzyme Genetics November 2005 - July 2011
Fallon Community Health Plan 2005 - 2005
Skills
Teaching, Problem Solving, Healthcare, Managed Care, Medical Coding, Medical Terminology, Medicaid, Medicare, Microsoft Word, Microsoft Excel, E/M coding, Leadership, Medical Billing, Invoicing
Education
Gardner High School
Worcester State College 1998 — 2001
Bachelor of Science, Psychology
Salter College-West Boylston 2005 — 2006
Certification, Medical Billing/Coding
Colleen Stowell's Fallon Community Health Plan Experience 2010 - 2012
Job QNXT Configuration Consultant at Catalyst Solutions A Healthcare Consulting Company
Industry Hospital & Health Care
Experience
Catalyst Solutions - A Healthcare Consulting Company October 2014 - Present
Neighborhood Health Plan November 2013 - October 2014
Fallon Community Health Plan 2010 - 2012
Fallon Community Health Plan 2005 - 2010
Fallon Community Health Plan 2002 - 2005
Skills
Health Insurance, Claims Resolution, Healthcare Reimbursement, Computer Proficiency, Problem Solving, Critical Thinking, Organizational..., ICD-9, Testing, Business Intelligence, Healthcare, Business Requirements, PPO, IDX, Systems Analysis, Business Analysis
Education
Quinsigamond Community College
Catalyst Solutions - A Healthcare Consulting Company October 2014 - Present
Neighborhood Health Plan November 2013 - October 2014
Fallon Community Health Plan 2010 - 2012
Fallon Community Health Plan 2005 - 2010
Fallon Community Health Plan 2002 - 2005
Skills
Health Insurance, Claims Resolution, Healthcare Reimbursement, Computer Proficiency, Problem Solving, Critical Thinking, Organizational..., ICD-9, Testing, Business Intelligence, Healthcare, Business Requirements, PPO, IDX, Systems Analysis, Business Analysis
Education
Quinsigamond Community College
Katherine Dalton-Hoffman Katherine Dalton-Hoffman's Fallon Community Health Plan Experience March 2011 - September 2012
Job
Industry Marketing and Advertising
Experience
D50 Media September 2012 - October 2014
Fallon Community Health Plan March 2011 - September 2012
Cengage Learning September 2009 - April 2011
Pearson July 2008 - August 2009
Skills
Copy Editing, Blogging, Press Releases, Social Media, Social Networking, Facebook, Editing, Copywriting, Publishing, Media Relations, Social Media Marketing, Proofreading, Digital Marketing, Editorial, Online Advertising, Content Strategy, PowerPoint, Digital Strategy, Public Relations, Online Marketing, Marketing Communications, Event Planning, Wordpress, Creative Writing, Web Content, Corporate Communications, Content Development, Marketing, Event Management, SEO, Google Analytics, Writing, Marketing Strategy, Google Adwords, Strategy
Education
University of Massachusetts, Amherst 2004 — 2008
2008
D50 Media September 2012 - October 2014
Fallon Community Health Plan March 2011 - September 2012
Cengage Learning September 2009 - April 2011
Pearson July 2008 - August 2009
Skills
Copy Editing, Blogging, Press Releases, Social Media, Social Networking, Facebook, Editing, Copywriting, Publishing, Media Relations, Social Media Marketing, Proofreading, Digital Marketing, Editorial, Online Advertising, Content Strategy, PowerPoint, Digital Strategy, Public Relations, Online Marketing, Marketing Communications, Event Planning, Wordpress, Creative Writing, Web Content, Corporate Communications, Content Development, Marketing, Event Management, SEO, Google Analytics, Writing, Marketing Strategy, Google Adwords, Strategy
Education
University of Massachusetts, Amherst 2004 — 2008
2008
Kristy Barnes's Fallon Community Health Plan Experience August 2004 - September 2005
Job CL Middle Market Underwriting Technician at The Hanover Insurance Group
Industry Insurance
Experience
The Hanover Insurance Group June 2013 - Present
The Hanover Insurance Group January 2011 - Present
The Hanover Insurance Group March 2006 - January 2011
Fallon Community Health Plan August 2004 - September 2005
Skills
Demonstrates..., Adept in verbal and..., Executes flexibility..., Skilled in research,..., Utilizes a positive,..., Training, Time Management, Claim, Management, Underwriting, Umbrella Insurance, Casualty Insurance, Liability, Property & Casualty..., Insurance
Education
The University of Connecticut 2000 — 2004
Bachelor of Science, Business Administration and Management, General
The Hanover Insurance Group June 2013 - Present
The Hanover Insurance Group January 2011 - Present
The Hanover Insurance Group March 2006 - January 2011
Fallon Community Health Plan August 2004 - September 2005
Skills
Demonstrates..., Adept in verbal and..., Executes flexibility..., Skilled in research,..., Utilizes a positive,..., Training, Time Management, Claim, Management, Underwriting, Umbrella Insurance, Casualty Insurance, Liability, Property & Casualty..., Insurance
Education
The University of Connecticut 2000 — 2004
Bachelor of Science, Business Administration and Management, General
Elizabeth Murtha Elizabeth Murtha's Fallon Community Health Plan Experience October 2008 - September 2012
Job Project Manager, Compensation at CVS Health
Industry Human Resources
Experience
Independent and through contract agencies 2014 - 2014
Fallon Community Health Plan (FCHP) September 2012 - November 2013
Fallon Community Health Plan October 2008 - September 2012
Workscape January 2006 - October 2008
Workscape September 2003 - January 2006
State Street September 2001 - July 2003
Independant Consultant January 1998 - September 2001
Corporate Software 1995 - 1997
Cabot Corporation June 1994 - January 1996
Towers Perrin September 1989 - June 1993
Skills
Performance Management, Compensation program..., Data analysis, modeling..., Business analysis, Job and organization..., Human Resources..., Conflict Resolution, Innovative..., Leveraging technology, Software product..., Power user of MS Access...
Education
BHS
Wheaton College (MA)
BA, Major: Psychology; Minors: Math and Economics
University of Massachusetts Boston 2007 — 2009
Graduate Certificate Program in Dispute Resolution (pending)
Independent and through contract agencies 2014 - 2014
Fallon Community Health Plan (FCHP) September 2012 - November 2013
Fallon Community Health Plan October 2008 - September 2012
Workscape January 2006 - October 2008
Workscape September 2003 - January 2006
State Street September 2001 - July 2003
Independant Consultant January 1998 - September 2001
Corporate Software 1995 - 1997
Cabot Corporation June 1994 - January 1996
Towers Perrin September 1989 - June 1993
Skills
Performance Management, Compensation program..., Data analysis, modeling..., Business analysis, Job and organization..., Human Resources..., Conflict Resolution, Innovative..., Leveraging technology, Software product..., Power user of MS Access...
Education
BHS
Wheaton College (MA)
BA, Major: Psychology; Minors: Math and Economics
University of Massachusetts Boston 2007 — 2009
Graduate Certificate Program in Dispute Resolution (pending)
marcia simpson marcia simpson's Fallon Community Health Plan Experience March 1995 - Present
Job clinical assistant at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan March 1995 - Present
Skills
Healthcare Information..., Customer Service, Outlook, Medical Records, Access, Microsoft Excel, Hospitals, Microsoft Office, Microsoft Word, PowerPoint, Data Analysis, EMR, Administrative..., Claim, Visio, Team Building, Training
Education
Salter College-West Boylston
Fallon Community Health Plan March 1995 - Present
Skills
Healthcare Information..., Customer Service, Outlook, Medical Records, Access, Microsoft Excel, Hospitals, Microsoft Office, Microsoft Word, PowerPoint, Data Analysis, EMR, Administrative..., Claim, Visio, Team Building, Training
Education
Salter College-West Boylston
Soubhagya Nayak Soubhagya Nayak's Fallon Community Health Plan Experience 2011 - 2012
Job Software Engineer at Cerner Corporation
Industry Computer Software
Experience
Cerner Corporation August 2012 - Present
Fallon Community Health Plan 2011 - 2012
TCS Manufacturing Inc. September 2010 - December 2010
Skills
Data Warehousing, Hadoop, HBase, Crunch, Hive, Java, Informatica, Business Objects, SAS, Unix, PL/SQL, ETL, SQL, Data Modeling, Databases, XML, Oracle, Eclipse
Education
Rochester Institute of Technology 2008 — 2012
MS, Information Technology
Cerner Corporation August 2012 - Present
Fallon Community Health Plan 2011 - 2012
TCS Manufacturing Inc. September 2010 - December 2010
Skills
Data Warehousing, Hadoop, HBase, Crunch, Hive, Java, Informatica, Business Objects, SAS, Unix, PL/SQL, ETL, SQL, Data Modeling, Databases, XML, Oracle, Eclipse
Education
Rochester Institute of Technology 2008 — 2012
MS, Information Technology
Patricia Connors's Fallon Community Health Plan Experience 2006 - 2007
Job Walk Across Campus Coordinator at Boston College
Industry Computer Software
Experience
Boston College February 2014 - Present
CAPS, Inc. July 2010 - Present
LTC Solutions, Inc. August 2007 - July 2009
Fallon Community Health Plan 2006 - 2007
Prudential Insurance 2001 - 2006
Metropolitan Life Insurance Company April 1998 - October 2001
John Hancock Life Insurance Company (U.S.A.) 1996 - 1998
Skills
Spanish, Public Speaking, Insurance, New Business Development, Employee Benefits, Sales Management, Sales, Business Development, Cold Calling, Long-term Care, Disability Insurance, Sales Process, Brokers, Management, Marketing Strategy
Education
Regis College 1977 — 1981
BA, Math/Spanish
Boston College February 2014 - Present
CAPS, Inc. July 2010 - Present
LTC Solutions, Inc. August 2007 - July 2009
Fallon Community Health Plan 2006 - 2007
Prudential Insurance 2001 - 2006
Metropolitan Life Insurance Company April 1998 - October 2001
John Hancock Life Insurance Company (U.S.A.) 1996 - 1998
Skills
Spanish, Public Speaking, Insurance, New Business Development, Employee Benefits, Sales Management, Sales, Business Development, Cold Calling, Long-term Care, Disability Insurance, Sales Process, Brokers, Management, Marketing Strategy
Education
Regis College 1977 — 1981
BA, Math/Spanish
Matthew Chamberlain Matthew Chamberlain's Fallon Community Health Plan Experience August 2011 - June 2012
Job Customer Service Operations Supervisor at DentaQuest
Industry Information Technology and Services
Experience
DentaQuest July 2012 - Present
Fallon Community Health Plan August 2011 - June 2012
Compu-Call Inc. April 2009 - July 2011
State Street November 2005 - March 2009
Hanover and Allmerica Financial June 1999 - 2005
Harvard Pilgrim Health Care October 1995 - June 1999
Skills
Process Improvement, Program Management, Project Management, Leadership, CRM, Management, Enterprise Software, Sales, Requirements Analysis, Vendor Management, Customer Satisfaction, Requirements Gathering, IT Service Management, Call Centers, Security
Education
University of Rochester 1991 — 1995
BS, Engineering
DentaQuest July 2012 - Present
Fallon Community Health Plan August 2011 - June 2012
Compu-Call Inc. April 2009 - July 2011
State Street November 2005 - March 2009
Hanover and Allmerica Financial June 1999 - 2005
Harvard Pilgrim Health Care October 1995 - June 1999
Skills
Process Improvement, Program Management, Project Management, Leadership, CRM, Management, Enterprise Software, Sales, Requirements Analysis, Vendor Management, Customer Satisfaction, Requirements Gathering, IT Service Management, Call Centers, Security
Education
University of Rochester 1991 — 1995
BS, Engineering
John Monte John Monte's Fallon Community Health Plan Experience July 2002 - May 2011
Job VP Health Plan Operations Mercy Care Plan
Industry Insurance
Experience
Mercy Care Plan October 2011 - Present
Fallon Community Health Plan July 2002 - May 2011
ValueOptions 1996 - 2002
Skills
Employee Benefits, Leadership, Medicare, Health Insurance, HIPAA, Healthcare Information..., EDI, Healthcare, Process Improvement, Healthcare Management, Vendor Management, Program Management, Customer Service, Medicaid, Insurance, Managed Care
Education
Siena College 1985 — 1988
Bachelor of Science (B.S.), Economics
Mercy Care Plan October 2011 - Present
Fallon Community Health Plan July 2002 - May 2011
ValueOptions 1996 - 2002
Skills
Employee Benefits, Leadership, Medicare, Health Insurance, HIPAA, Healthcare Information..., EDI, Healthcare, Process Improvement, Healthcare Management, Vendor Management, Program Management, Customer Service, Medicaid, Insurance, Managed Care
Education
Siena College 1985 — 1988
Bachelor of Science (B.S.), Economics
Ron Weeden Ron Weeden's Fallon Community Health Plan Experience 2011 - 2013
Job Director of Finance at Humana
Industry Insurance
Experience
Humana September 2014 - Present
AvMed Health Plans 2013 - 2014
Fallon Community Health Plan 2011 - 2013
CVS Caremark Corporation 2000 - 2011
Fallon Community Health Plan 1998 - 2000
Reliant Medical Group 1995 - 1997
Skills
Microsoft Excel, Essbase, Access, PowerPoint, PeopleSoft, Financial Modeling, Finance, Forecasting, Analysis, Strategic Financial..., Microsoft Office, Training, Management
Education
Nichols College 1995 — 1996
MBA, Management
University of Florida - Warrington College of Business Administration 1988 — 1992
BSBA, Finance
Humana September 2014 - Present
AvMed Health Plans 2013 - 2014
Fallon Community Health Plan 2011 - 2013
CVS Caremark Corporation 2000 - 2011
Fallon Community Health Plan 1998 - 2000
Reliant Medical Group 1995 - 1997
Skills
Microsoft Excel, Essbase, Access, PowerPoint, PeopleSoft, Financial Modeling, Finance, Forecasting, Analysis, Strategic Financial..., Microsoft Office, Training, Management
Education
Nichols College 1995 — 1996
MBA, Management
University of Florida - Warrington College of Business Administration 1988 — 1992
BSBA, Finance
Aguirre, Edis Aguirre, Edis's Fallon Community Health Plan Experience October 2011 - Present
Job EMC Storage / Networker Administrator
Industry Information Technology and Services
Experience
Fallon Community Health Plan October 2011 - Present
Giga Second 2011 - January 2012
Satyam 2007 - 2010
Satyam 2007 - 2010
IT Gillette 2000 - 2007
Skills
Disaster Recovery, VMware, NAS, EMC Storage, AIX, HP-UX, SAN, Solaris, Servers, Storage, Storage Area Networks, Unix, VMware ESX, Windows Server
Education
Quincy College 1996 — 1999
Computer Science
EMC
Fallon Community Health Plan October 2011 - Present
Giga Second 2011 - January 2012
Satyam 2007 - 2010
Satyam 2007 - 2010
IT Gillette 2000 - 2007
Skills
Disaster Recovery, VMware, NAS, EMC Storage, AIX, HP-UX, SAN, Solaris, Servers, Storage, Storage Area Networks, Unix, VMware ESX, Windows Server
Education
Quincy College 1996 — 1999
Computer Science
EMC
Elaine Rousseau Elaine Rousseau's Fallon Community Health Plan Experience 2002 - 2004
Job Care Management Nurse Manager with Expertise in Geriatric Care and Medicare Compliance
Industry Hospital & Health Care
Experience
Beth Israel Deaconess Hospital-Needham 2013 - Present
Tufts Health Plan 2009 - 2013
Tufts Health Plan 2005 - 2008
Tufts Health Plan 2004 - 2005
Becker College 2004 - 2005
Fallon Community Health Plan 2002 - 2004
Providence House of Millbury Nursing Home 1998 - 2002
University Commons Nursing Care Center 1994 - 1998
UMass Memorial Medical Center 1989 - 1994
Skills
Medicare, Healthcare, Nursing, Case Managment, Healthcare Management, Process Improvement, Health Care Regulations, Leadership, Training, Utilization Review, Managed Care, Health Insurance, Healthcare Industry, Project Management, Patient Advocacy, Physicians, Utilization Management, Elder Care, Health Care Systems, JCAHO, Long-term Care, NCQA, Quality Improvement, Acute Care, Physician Relations, EMR, Case Management
Education
University of Massachusetts Medical School
MS, Nursing Administration
Worcester State College
BSN, Nursing
Beth Israel Deaconess Hospital-Needham 2013 - Present
Tufts Health Plan 2009 - 2013
Tufts Health Plan 2005 - 2008
Tufts Health Plan 2004 - 2005
Becker College 2004 - 2005
Fallon Community Health Plan 2002 - 2004
Providence House of Millbury Nursing Home 1998 - 2002
University Commons Nursing Care Center 1994 - 1998
UMass Memorial Medical Center 1989 - 1994
Skills
Medicare, Healthcare, Nursing, Case Managment, Healthcare Management, Process Improvement, Health Care Regulations, Leadership, Training, Utilization Review, Managed Care, Health Insurance, Healthcare Industry, Project Management, Patient Advocacy, Physicians, Utilization Management, Elder Care, Health Care Systems, JCAHO, Long-term Care, NCQA, Quality Improvement, Acute Care, Physician Relations, EMR, Case Management
Education
University of Massachusetts Medical School
MS, Nursing Administration
Worcester State College
BSN, Nursing
Haley Marshall Haley Marshall's Fallon Community Health Plan Experience June 2009 - August 2009
Job Behavioral Health Support Specialist
Industry Mental Health Care
Experience
Partners Community Physicians Organization, Massachusetts General Hospital June 2014 - August 2015
Domestic Violence Services Network January 2014 - February 2015
Arbour Health Counseling August 2013 - June 2014
Youth Villages June 2012 - August 2013
MA Department of Children and Families January 2012 - May 2012
UMass Amherst Campus Recreation September 2010 - May 2012
University Health Services Center for Health Promotion August 2010 - May 2011
Fallon Community Health Plan June 2009 - August 2009
Skills
PowerPoint, Microsoft Office, Fundraising, Customer Service, Cpr Certified, Crisis Management, Non-Violent Crisis..., CPI trained, First Aid, Adolescents, Education, Health Education, Program Development, Epidemiology, Dictation, Social Networking, Excel, Research, Time Management, Activity Coordination, Psychology, Microsoft Excel, Community Outreach, Volunteer Management, CPR Certified, Medical Transcription
Education
University of Massachusetts, Amherst 2008 — 2012
Bachelor of Science (B.S.), Public Health, 3.863
Partners Community Physicians Organization, Massachusetts General Hospital June 2014 - August 2015
Domestic Violence Services Network January 2014 - February 2015
Arbour Health Counseling August 2013 - June 2014
Youth Villages June 2012 - August 2013
MA Department of Children and Families January 2012 - May 2012
UMass Amherst Campus Recreation September 2010 - May 2012
University Health Services Center for Health Promotion August 2010 - May 2011
Fallon Community Health Plan June 2009 - August 2009
Skills
PowerPoint, Microsoft Office, Fundraising, Customer Service, Cpr Certified, Crisis Management, Non-Violent Crisis..., CPI trained, First Aid, Adolescents, Education, Health Education, Program Development, Epidemiology, Dictation, Social Networking, Excel, Research, Time Management, Activity Coordination, Psychology, Microsoft Excel, Community Outreach, Volunteer Management, CPR Certified, Medical Transcription
Education
University of Massachusetts, Amherst 2008 — 2012
Bachelor of Science (B.S.), Public Health, 3.863
Russ Bozek Russ Bozek's Fallon Community Health Plan Experience February 2008 - September 2008
Job Director, Claims Strategy & Innovation at Liberty Mutual Insurance
Industry Information Technology and Services
Experience
Liberty Mutual Insurance June 2014 - Present
Accenture June 2013 - May 2014
Accenture September 2008 - June 2013
Fallon Community Health Plan February 2008 - September 2008
Fallon Community Health Plan November 2006 - February 2008
Accenture April 2004 - November 2006
Meditech 2003 - 2004
TJX 2002 - 2002
Skills
Business Analysis, SDLC, Process Improvement, Requirements Analysis, Visio, Project Management, Business Process..., Program Management, Business Intelligence, Integration, IT Strategy, SharePoint, Requirements Gathering, Vendor Management, Software Project..., Testing, Business Transformation, Agile Methodologies, Business Process, PMO, Management, Consulting, Strategy, Leadership, Analysis, Data Analysis, ITIL, Microsoft Office, Change Management, Software Documentation, E-commerce, Management Consulting, Disaster Recovery, Strategic Planning, CRM, Microsoft Excel, Business Strategy, Customer Service, SQL
Education
Nichols College 2007 — 2010
MBA, Business Administration
Worcester Polytechnic Institute 1999 — 2003
BS, Management Information Systems
Plymouth North 1995 — 1999
High School Diploma
Liberty Mutual Insurance June 2014 - Present
Accenture June 2013 - May 2014
Accenture September 2008 - June 2013
Fallon Community Health Plan February 2008 - September 2008
Fallon Community Health Plan November 2006 - February 2008
Accenture April 2004 - November 2006
Meditech 2003 - 2004
TJX 2002 - 2002
Skills
Business Analysis, SDLC, Process Improvement, Requirements Analysis, Visio, Project Management, Business Process..., Program Management, Business Intelligence, Integration, IT Strategy, SharePoint, Requirements Gathering, Vendor Management, Software Project..., Testing, Business Transformation, Agile Methodologies, Business Process, PMO, Management, Consulting, Strategy, Leadership, Analysis, Data Analysis, ITIL, Microsoft Office, Change Management, Software Documentation, E-commerce, Management Consulting, Disaster Recovery, Strategic Planning, CRM, Microsoft Excel, Business Strategy, Customer Service, SQL
Education
Nichols College 2007 — 2010
MBA, Business Administration
Worcester Polytechnic Institute 1999 — 2003
BS, Management Information Systems
Plymouth North 1995 — 1999
High School Diploma
Jeffrey DeAlmo Jeffrey DeAlmo's Fallon Community Health Plan Experience May 2004 - August 2012
Job Editor/writer
Industry Insurance
Experience
Aetna April 2014 - Present
PAREXEL August 2013 - March 2014
The Creative Group October 2012 - January 2013
Fallon Community Health Plan May 2004 - August 2012
Professional Staffing Group September 2003 - May 2004
Health Ink & Vitality Communications September 2003 - April 2004
WJAR Channel 10 April 1997 - July 2000
Beacon Communications May 1996 - July 1997
Skills
Microsoft Office, Adobe Acrobat, Adobe Photoshop, Writing, Medical Writing, Copy Editing, Copywriting, Formatting Documents, Newsletters, Editing, Proofreading, Marketing Communications, Content Writing, Internal Communications, Corporate Communications, Editorial
Education
Rhode Island College 1991 — 1996
Bachelor's degree, Mass Communications
Aetna April 2014 - Present
PAREXEL August 2013 - March 2014
The Creative Group October 2012 - January 2013
Fallon Community Health Plan May 2004 - August 2012
Professional Staffing Group September 2003 - May 2004
Health Ink & Vitality Communications September 2003 - April 2004
WJAR Channel 10 April 1997 - July 2000
Beacon Communications May 1996 - July 1997
Skills
Microsoft Office, Adobe Acrobat, Adobe Photoshop, Writing, Medical Writing, Copy Editing, Copywriting, Formatting Documents, Newsletters, Editing, Proofreading, Marketing Communications, Content Writing, Internal Communications, Corporate Communications, Editorial
Education
Rhode Island College 1991 — 1996
Bachelor's degree, Mass Communications
Jeffrey Kraines, M.D.'s Fallon Community Health Plan Experience 1998 - 2002
Job Biotechnology, Pharma, Device, Healthcare Executive
Industry Hospital & Health Care
Experience
Health Dialog November 2013 - April 2014
Genzyme 2004 - 2012
Jeffrey L Kraines, MD 2000 - 2004
Fallon Community Health Plan 1998 - 2002
Blue Cross Blue Shield of Massachusetts 1995 - 1998
Private Healthcare Systems 1989 - 1995
Education
University of Chicago - The Pritzker School of Medicine
Doctor of Medicine (M.D.)
Wesleyan University
Bachelor of Arts (B.A.)
Health Dialog November 2013 - April 2014
Genzyme 2004 - 2012
Jeffrey L Kraines, MD 2000 - 2004
Fallon Community Health Plan 1998 - 2002
Blue Cross Blue Shield of Massachusetts 1995 - 1998
Private Healthcare Systems 1989 - 1995
Education
University of Chicago - The Pritzker School of Medicine
Doctor of Medicine (M.D.)
Wesleyan University
Bachelor of Arts (B.A.)
Nicole Visnick Nicole Visnick's Fallon Community Health Plan Experience January 2010 - August 2010
Job Marketing Communications Coordinator at Instrumentation Laboratory
Industry Marketing and Advertising
Experience
Instrumentation Laboratory February 2015 - Present
NE Moves Mortgage, LLC December 2012 - January 2015
Samiotes Consultants, Inc. January 2012 - December 2012
CooperVision November 2010 - December 2011
Fallon Community Health Plan January 2010 - August 2010
U.S. Gymnastics Training Camps July 2003 - August 2009
The College at Brockport State University Of New York 2005 - 2009
The College at Brockport State University Of New York 2005 - 2009
Skills
Access, Microsoft Excel, Digital Marketing, SEO, Social Media, Marketing, Marketing Strategy, Facebook, Blogging, Photoshop, Social Media Marketing, Customer Service, Microsoft Office, Marketing Communications, Event Planning, LinkedIn Development, Management, Sales
Education
State University of New York College at Brockport 2005 — 2009
Bachelors of Science, Marketing
Natick High School
Instrumentation Laboratory February 2015 - Present
NE Moves Mortgage, LLC December 2012 - January 2015
Samiotes Consultants, Inc. January 2012 - December 2012
CooperVision November 2010 - December 2011
Fallon Community Health Plan January 2010 - August 2010
U.S. Gymnastics Training Camps July 2003 - August 2009
The College at Brockport State University Of New York 2005 - 2009
The College at Brockport State University Of New York 2005 - 2009
Skills
Access, Microsoft Excel, Digital Marketing, SEO, Social Media, Marketing, Marketing Strategy, Facebook, Blogging, Photoshop, Social Media Marketing, Customer Service, Microsoft Office, Marketing Communications, Event Planning, LinkedIn Development, Management, Sales
Education
State University of New York College at Brockport 2005 — 2009
Bachelors of Science, Marketing
Natick High School
Regina White Regina White's Fallon Community Health Plan Experience June 2012 - May 2014
Job Operations Manager for the Acquired Brain Injury (ABI) and Money Follows The Person (MFP) Waiver Unit
Industry Hospital & Health Care
Experience
UMass Medical School May 2014 - Present
Fallon Community Health Plan June 2012 - May 2014
Providence Health and Services August 2009 - January 2013
The Key Program, Inc June 2008 - May 2009
Skills
Program Evaluation, Microsoft Word, Nonprofits, Microsoft Office, SPSS, Medicaid, Statistics, Data Analysis, Research, PowerPoint, Healthcare, Case Management, Event Planning, Fundraising, Health Education, Healthcare Management, Hospitals, Leadership, Program Development, Mental Health, Outlook, Process Improvement, Public Speaking, Qualitative Research
Education
Assumption College 2014 — 2015
Master’s Degree, Health Advocacy
University of Massachusetts, Amherst 2004 — 2008
BA, Communication, Sociology
UMass Medical School May 2014 - Present
Fallon Community Health Plan June 2012 - May 2014
Providence Health and Services August 2009 - January 2013
The Key Program, Inc June 2008 - May 2009
Skills
Program Evaluation, Microsoft Word, Nonprofits, Microsoft Office, SPSS, Medicaid, Statistics, Data Analysis, Research, PowerPoint, Healthcare, Case Management, Event Planning, Fundraising, Health Education, Healthcare Management, Hospitals, Leadership, Program Development, Mental Health, Outlook, Process Improvement, Public Speaking, Qualitative Research
Education
Assumption College 2014 — 2015
Master’s Degree, Health Advocacy
University of Massachusetts, Amherst 2004 — 2008
BA, Communication, Sociology
Peter Hess Peter Hess's Fallon Community Health Plan Experience 2006 - 2012
Job Senior Account Executive at Cross Insurance
Industry Insurance
Experience
Cross Insurance 2014 - Present
Paychex 2013 - 2014
Fallon Community Health Plan 2006 - 2012
Tufts Health Plan 2001 - 2006
Tufts Health Plan 1997 - 2001
Tufts Health Plan 1996 - 1997
Auditel, Inc. 1994 - 1995
Kalb Voorhis June 1993 - June 1993
Skills
Health Insurance, Sales, Employee Benefits, Insurance, Account Management, Healthcare, Managed Care, Health Savings Accounts, Disability Insurance, Brokers, Medicare, Sales Presentations, Sales Operations, Life Insurance, Health Policy, Corporate Sales..., Customer Service
Education
University of New Hampshire
Bachelor of Science, Resource Economics
University of New Hampshire
Associate of Applied Science, Applied Business Management
Cross Insurance 2014 - Present
Paychex 2013 - 2014
Fallon Community Health Plan 2006 - 2012
Tufts Health Plan 2001 - 2006
Tufts Health Plan 1997 - 2001
Tufts Health Plan 1996 - 1997
Auditel, Inc. 1994 - 1995
Kalb Voorhis June 1993 - June 1993
Skills
Health Insurance, Sales, Employee Benefits, Insurance, Account Management, Healthcare, Managed Care, Health Savings Accounts, Disability Insurance, Brokers, Medicare, Sales Presentations, Sales Operations, Life Insurance, Health Policy, Corporate Sales..., Customer Service
Education
University of New Hampshire
Bachelor of Science, Resource Economics
University of New Hampshire
Associate of Applied Science, Applied Business Management
Olivia Perelez Olivia Perelez's Fallon Community Health Plan Experience November 2010 - June 2011
Job Professional Customer Service Representative
Industry Financial Services
Experience
Fallon Community Health Plan November 2010 - June 2011
PNC GLOBAL INVESTMENT SERVICE October 1998 - October 2009
Fleet Bank January 1996 - March 1998
CONEY ISLAND HOSPITAL July 1983 - June 1995
Skills
Spanish, Customer Service
Education
Quinsigamond Community College 2011 — 2012
current student, General Studies
Fallon Community Health Plan November 2010 - June 2011
PNC GLOBAL INVESTMENT SERVICE October 1998 - October 2009
Fleet Bank January 1996 - March 1998
CONEY ISLAND HOSPITAL July 1983 - June 1995
Skills
Spanish, Customer Service
Education
Quinsigamond Community College 2011 — 2012
current student, General Studies
Christine Profita Orok's Fallon Community Health Plan Experience June 2004 - April 2005
Job Director, Engagement Management at Alere Analytics
Industry Hospital & Health Care
Experience
Alere Analytics January 2014 - Present
IMS Health April 2011 - January 2014
Blue Cross Blue Shield of MA August 2005 - April 2011
Fallon Community Health Plan June 2004 - April 2005
Harvard Pilgrim Health Care November 2000 - May 2004
Harvard Pilgrim Health Care 1988 - 2004
Harvard Pilgrim Health Care November 1997 - November 2000
Harvard Pilgrim Health Care July 1994 - November 1997
Skills
Process Improvement, Product Management, Program Management, Leadership, Business Analysis, Business Process, Health Policy, Healthcare, Managed Care, Health Insurance, SDLC, Process Engineering, Software Documentation, Business Planning, Team Leadership, Strategic Planning, TQM, Healthcare Management, Management, Performance Management, Healthcare Industry, Strategic Partnerships, Resource Management, Project Management, Process Management, Software Development..., Cross Functional Team..., Manage Client..., Employee Benefits, Medicaid, Healthcare Consulting, Health Plan Operations, High Deductible Health..., Internal Communications, Consumer Healthcare, Product Development, Account Management, Healthcare Information..., Vendor Relations, Health Benefits..., Lean Tools, New Product..., Professional Services, Engagement Management, Employee Management, Cross-functional Team..., Vendor Management, HIPAA, Strategy, Medicare
Education
University of New Hampshire 1981 — 1985
B.S, Health Administration and Planning
Alere Analytics January 2014 - Present
IMS Health April 2011 - January 2014
Blue Cross Blue Shield of MA August 2005 - April 2011
Fallon Community Health Plan June 2004 - April 2005
Harvard Pilgrim Health Care November 2000 - May 2004
Harvard Pilgrim Health Care 1988 - 2004
Harvard Pilgrim Health Care November 1997 - November 2000
Harvard Pilgrim Health Care July 1994 - November 1997
Skills
Process Improvement, Product Management, Program Management, Leadership, Business Analysis, Business Process, Health Policy, Healthcare, Managed Care, Health Insurance, SDLC, Process Engineering, Software Documentation, Business Planning, Team Leadership, Strategic Planning, TQM, Healthcare Management, Management, Performance Management, Healthcare Industry, Strategic Partnerships, Resource Management, Project Management, Process Management, Software Development..., Cross Functional Team..., Manage Client..., Employee Benefits, Medicaid, Healthcare Consulting, Health Plan Operations, High Deductible Health..., Internal Communications, Consumer Healthcare, Product Development, Account Management, Healthcare Information..., Vendor Relations, Health Benefits..., Lean Tools, New Product..., Professional Services, Engagement Management, Employee Management, Cross-functional Team..., Vendor Management, HIPAA, Strategy, Medicare
Education
University of New Hampshire 1981 — 1985
B.S, Health Administration and Planning
Deborah Bai Lannon's Fallon Community Health Plan Experience 2006 - 2006
Job
Industry Public Relations and Communications
Experience
Marketing Communications Collaborative July 2007 - Present
CISCRP - Center for Information and Study on Clinical Research Participation March 2009 - May 2009
Inflexxion January 2007 - April 2007
Fallon Community Health Plan 2006 - 2006
Yankee IABC June 2000 - January 2005
PAREXEL International 2003 - 2005
Genzyme 2001 - 2003
Partners HealthCare - Newton Wellesley Hospital March 2000 - September 2000
Harvard Pilgrim Health Care 1994 - 1998
Skills
Advertising, Marketing, Healthcare, Marketing Communications, Marketing Strategy, Public Relations, Corporate Communications, Market Research
Education
Simmons College 1991 — 1994
MBA
Rhode Island School of Design 1974 — 1976
BFA
Syracuse University
Marketing Communications Collaborative July 2007 - Present
CISCRP - Center for Information and Study on Clinical Research Participation March 2009 - May 2009
Inflexxion January 2007 - April 2007
Fallon Community Health Plan 2006 - 2006
Yankee IABC June 2000 - January 2005
PAREXEL International 2003 - 2005
Genzyme 2001 - 2003
Partners HealthCare - Newton Wellesley Hospital March 2000 - September 2000
Harvard Pilgrim Health Care 1994 - 1998
Skills
Advertising, Marketing, Healthcare, Marketing Communications, Marketing Strategy, Public Relations, Corporate Communications, Market Research
Education
Simmons College 1991 — 1994
MBA
Rhode Island School of Design 1974 — 1976
BFA
Syracuse University
Annamaria Salisbury's Fallon Community Health Plan Experience March 2010 - March 2013
Job Senior Director of Operations at Fallon Health
Industry Hospital & Health Care
Experience
Fallon Health September 2015 - Present
Fallon Health March 2013 - Present
Fallon Community Health Plan March 2010 - March 2013
Memorial Hospital of RI September 2008 - March 2010
Fellowship Health Resources December 2006 - March 2008
Fellowship Health Resources January 1999 - December 2006
Fellowship Health Resources December 1996 - January 1999
Fellowship Health Resources July 1995 - December 1996
Skills
Community Outreach, Program Development, Healthcare Management, Social Services, Public Speaking, Mental Health, Cpr Certified, Medicare, Program Evaluation, Crisis Intervention, Customer Service, Non-profits, Adults, Event Planning, Microsoft Word, Microsoft Excel, Healthcare, Volunteer Management, Hospitals, Policy, Medicaid, Training, Emergency Services, Operating Budgets, PACE, Nonprofits, Case Management, Management, HIPAA, Strategic Planning, Program Management, Team Building
Education
University of Rhode Island 2003 — 2007
Master of Public Administration (M.P.A.), Non-Profit/Public/Organizational Management
Rhode Island College 1991 — 1999
Bachelor of Social Work, Clinical/Medical Social Work
Fallon Health September 2015 - Present
Fallon Health March 2013 - Present
Fallon Community Health Plan March 2010 - March 2013
Memorial Hospital of RI September 2008 - March 2010
Fellowship Health Resources December 2006 - March 2008
Fellowship Health Resources January 1999 - December 2006
Fellowship Health Resources December 1996 - January 1999
Fellowship Health Resources July 1995 - December 1996
Skills
Community Outreach, Program Development, Healthcare Management, Social Services, Public Speaking, Mental Health, Cpr Certified, Medicare, Program Evaluation, Crisis Intervention, Customer Service, Non-profits, Adults, Event Planning, Microsoft Word, Microsoft Excel, Healthcare, Volunteer Management, Hospitals, Policy, Medicaid, Training, Emergency Services, Operating Budgets, PACE, Nonprofits, Case Management, Management, HIPAA, Strategic Planning, Program Management, Team Building
Education
University of Rhode Island 2003 — 2007
Master of Public Administration (M.P.A.), Non-Profit/Public/Organizational Management
Rhode Island College 1991 — 1999
Bachelor of Social Work, Clinical/Medical Social Work
Sarah Wesolowski's Fallon Community Health Plan Experience 2008 - 2013
Job Fulfillment Specialist at Barton Associates Inc.
Industry Staffing and Recruiting
Experience
Barton Associates Inc. December 2014 - Present
Westwood Lodge Hospital December 2013 - December 2014
Fallon Community Health Plan 2008 - 2013
St Vincent Radiological Associates June 2002 - December 2008
Skills
Customer Service, Third Party Billing, Health Insurance, Microsoft Word, Microsoft Excel, Online Research, People Skills, Detailed Organization, Professional Experience
Education
Quinsigamond Community College 2004 — 2007
Associate's degree, Business Administration and Management, General
Wachusett Regional High School 2000 — 2004
Diploma
Barton Associates Inc. December 2014 - Present
Westwood Lodge Hospital December 2013 - December 2014
Fallon Community Health Plan 2008 - 2013
St Vincent Radiological Associates June 2002 - December 2008
Skills
Customer Service, Third Party Billing, Health Insurance, Microsoft Word, Microsoft Excel, Online Research, People Skills, Detailed Organization, Professional Experience
Education
Quinsigamond Community College 2004 — 2007
Associate's degree, Business Administration and Management, General
Wachusett Regional High School 2000 — 2004
Diploma
Drew Weng Drew Weng's Fallon Community Health Plan Experience October 2002 - June 2007
Job Senior Manager Middleware Technology at Fresenius Medical Care
Industry Information Technology and Services
Experience
Fresenius Medical Care June 2015 - Present
Fresenius Medical Care January 2012 - Present
Winchester Hospital August 2008 - January 2012
Fallon Community Health Plan October 2002 - June 2007
ValueOptions July 1999 - October 2002
Massachusetts Behavioral Health Partnership May 1996 - July 1999
General Cinema Corp 1988 - 1990
Skills
Technical Project..., Healthcare IT, ITIL Certified, Healthcare Information..., HIPAA, SDLC, Process Improvement, Visio, Business Analysis, Program Management, Business Intelligence, Disaster Recovery, Health Information..., ITIL, Requirements Analysis, EHR, Software Project..., Integration, Change Management, Strategic Planning, Informatics, Virtualization, Active Directory, Data Analysis, Project Management, Data Center, Security, Information Technology, SharePoint
Education
Northeastern University 1986 — 1990
Computer Science
Fresenius Medical Care June 2015 - Present
Fresenius Medical Care January 2012 - Present
Winchester Hospital August 2008 - January 2012
Fallon Community Health Plan October 2002 - June 2007
ValueOptions July 1999 - October 2002
Massachusetts Behavioral Health Partnership May 1996 - July 1999
General Cinema Corp 1988 - 1990
Skills
Technical Project..., Healthcare IT, ITIL Certified, Healthcare Information..., HIPAA, SDLC, Process Improvement, Visio, Business Analysis, Program Management, Business Intelligence, Disaster Recovery, Health Information..., ITIL, Requirements Analysis, EHR, Software Project..., Integration, Change Management, Strategic Planning, Informatics, Virtualization, Active Directory, Data Analysis, Project Management, Data Center, Security, Information Technology, SharePoint
Education
Northeastern University 1986 — 1990
Computer Science
Lisa Saucier Lisa Saucier's Fallon Community Health Plan Experience October 1998 - April 2013
Job Administrative Assistant
Industry Insurance
Experience
Sonora Quest Laboratories/ Laboratory Sciences of Arizona August 2015 - Present
JBS Swift February 2015 - June 2015
Athena Diagnostics, Inc. September 2014 - January 2015
Fallon Community Health Plan October 1998 - April 2013
Skills
Insurance, Health Insurance, Managed Care, Advertising, Software Documentation, HIPAA, Management, Fax, Medicare, Microsoft Office, Multi-line Phone, Account Management
Education
Salter College-West Boylston 2013 — 2015
Medical Insurance Specialist/Medical Biller
Marshalltown High School 1987 — 1991
Diploma, General Studies
Sonora Quest Laboratories/ Laboratory Sciences of Arizona August 2015 - Present
JBS Swift February 2015 - June 2015
Athena Diagnostics, Inc. September 2014 - January 2015
Fallon Community Health Plan October 1998 - April 2013
Skills
Insurance, Health Insurance, Managed Care, Advertising, Software Documentation, HIPAA, Management, Fax, Medicare, Microsoft Office, Multi-line Phone, Account Management
Education
Salter College-West Boylston 2013 — 2015
Medical Insurance Specialist/Medical Biller
Marshalltown High School 1987 — 1991
Diploma, General Studies
Audrey Sefakis Audrey Sefakis's Fallon Community Health Plan Experience May 2000 - October 2002
Job Director of Care Management at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan March 2015 - Present
Genesis HealthCare November 2002 - March 2015
Fallon Community Health Plan May 2000 - October 2002
Health Alliance with Physicians May 1998 - May 2000
Gardner VNA March 1991 - August 1997
Skills
Case Management, Time Management, Project Management, Staff Supervision, Training & Development, Coaching, Utilization Management, Case Managment, Healthcare, Employee Training, Nursing, Medicare, Leadership, Healthcare Management, Hospitals, Medicaid, Home Care, Managed Care, HIPAA, Elder Care
Education
Simmons College 1983 — 1987
BSN, Nursing
Oakmont Regional High School
HS Diploma, Math and Science
Tufts Health Plan March 2015 - Present
Genesis HealthCare November 2002 - March 2015
Fallon Community Health Plan May 2000 - October 2002
Health Alliance with Physicians May 1998 - May 2000
Gardner VNA March 1991 - August 1997
Skills
Case Management, Time Management, Project Management, Staff Supervision, Training & Development, Coaching, Utilization Management, Case Managment, Healthcare, Employee Training, Nursing, Medicare, Leadership, Healthcare Management, Hospitals, Medicaid, Home Care, Managed Care, HIPAA, Elder Care
Education
Simmons College 1983 — 1987
BSN, Nursing
Oakmont Regional High School
HS Diploma, Math and Science
William Combes William Combes's Fallon Community Health Plan Experience March 2011 - November 2012
Job Business Analyst CVS Health
Industry Hospital & Health Care
Experience
CVS Health January 2014 - Present
Fallon Community Health Plan March 2011 - November 2012
The Fenton Group 2009 - 2009
Skills
Microsoft Office, Customer Service, Healthcare, Management, Social Media Marketing, Microsoft Excel, Team Leadership, Access, Microsoft Word, Research
Education
Saint Anselm College 2006 — 2010
CVS Health January 2014 - Present
Fallon Community Health Plan March 2011 - November 2012
The Fenton Group 2009 - 2009
Skills
Microsoft Office, Customer Service, Healthcare, Management, Social Media Marketing, Microsoft Excel, Team Leadership, Access, Microsoft Word, Research
Education
Saint Anselm College 2006 — 2010
Jenn Zajac Jenn Zajac's Fallon Community Health Plan Experience February 2012 - October 2013
Job Development Services Gift & Biographical Coordinator at Worcester Polytechnic Institute
Industry Accounting
Experience
Worcester Polytechnic Institute May 2015 - Present
Fallon Community Health Plan (FCHP) November 2013 - August 2014
Fallon Community Health Plan February 2012 - October 2013
The Hanover Insurance Group November 2010 - January 2012
The Hanover Insurance Group February 2010 - November 2010
Southbridge Public Schools August 2008 - December 2009
Sturbridge Host Hotel and Conference Center May 2006 - December 2008
Nichols College May 2005 - August 2006
Skills
Customer Service, Communication, Adobe Acrobat, SharePoint, Microsoft Office, Accounts Receivable, Outlook, Marketing, Management, Microsoft Word, Microsoft Excel, Leadership, Program Management, Employee Benefits, Strategic Planning, PowerPoint, Training, Time Management, Public Speaking, Research, Invoicing, Team Building, Accounting
Education
Nichols College 2011 — 2014
Master's Degree, MBA
Nichols College 2004 — 2008
Bachelor's Degree, Management, Marketing
Southbridge High School 2000 — 2004
High School Diploma
Worcester Polytechnic Institute May 2015 - Present
Fallon Community Health Plan (FCHP) November 2013 - August 2014
Fallon Community Health Plan February 2012 - October 2013
The Hanover Insurance Group November 2010 - January 2012
The Hanover Insurance Group February 2010 - November 2010
Southbridge Public Schools August 2008 - December 2009
Sturbridge Host Hotel and Conference Center May 2006 - December 2008
Nichols College May 2005 - August 2006
Skills
Customer Service, Communication, Adobe Acrobat, SharePoint, Microsoft Office, Accounts Receivable, Outlook, Marketing, Management, Microsoft Word, Microsoft Excel, Leadership, Program Management, Employee Benefits, Strategic Planning, PowerPoint, Training, Time Management, Public Speaking, Research, Invoicing, Team Building, Accounting
Education
Nichols College 2011 — 2014
Master's Degree, MBA
Nichols College 2004 — 2008
Bachelor's Degree, Management, Marketing
Southbridge High School 2000 — 2004
High School Diploma
Bonnie Brady-Lucia's Fallon Community Health Plan Experience 1992 - 1998
Job Vice President, Marketing Strategy
Industry Hospital & Health Care
Experience
EBSCO Health July 2012 - Present
Wolters Kluwer Health UpToDate February 2007 - September 2012
Fallon Community Health Plan 1992 - 1998
Skills
Product Marketing, Public Relations, Multi-channel Marketing, Corporate Branding, SEM, Lead Generation, Marketing Communications, Lyris, Expression Engine, Drupal, Responsive web design, Direct Marketing, Strategic Partnerships, Competitive Analysis, Marketing, Web Design, SEO, Content Development, Strategy, Marketing Strategy, Business Development, ExpressionEngine, Integrated Marketing, Healthcare, Leadership, Marketing Management, Product Management
Education
University of Massachusetts, Amherst
Bachelor of Arts (BA), Major: Communications Minors: English and Psychology, Graduated Cum Laude
EBSCO Health July 2012 - Present
Wolters Kluwer Health UpToDate February 2007 - September 2012
Fallon Community Health Plan 1992 - 1998
Skills
Product Marketing, Public Relations, Multi-channel Marketing, Corporate Branding, SEM, Lead Generation, Marketing Communications, Lyris, Expression Engine, Drupal, Responsive web design, Direct Marketing, Strategic Partnerships, Competitive Analysis, Marketing, Web Design, SEO, Content Development, Strategy, Marketing Strategy, Business Development, ExpressionEngine, Integrated Marketing, Healthcare, Leadership, Marketing Management, Product Management
Education
University of Massachusetts, Amherst
Bachelor of Arts (BA), Major: Communications Minors: English and Psychology, Graduated Cum Laude
Rich Lundin's Fallon Community Health Plan Experience October 2009 - February 2010
Job Lead Quality Manager IT at TIAACREF
Industry Information Technology and Services
Experience
TIAA-CREF April 2013 - Present
Wolverine World Wide June 2011 - February 2013
Dextrys June 2010 - June 2011
Citizens Bank March 2010 - May 2010
Fallon Community Health Plan October 2009 - February 2010
Fidelity Investments January 2006 - November 2008
Fidelity Investments January 2001 - January 2006
Fidelity Investments January 2000 - January 2001
Fidelity Investments January 1999 - January 2000
Fidelity Investments January 1995 - January 1999
Skills
CICS, VSAM, SDLC, ETL, MS Project, Mainframe, JCL, Offshore Management, Offshore Resource..., Offshore Operations, Outsourcing Management, Production Support, Job Scheduling, Data masking, DB2/SQL, DB2, Data Masking, COBOL, IBM Mainframe, Endeavor, MVS, TSO, Program Management, Process Improvement, User Acceptance Testing, Data Warehousing, Software Development, Quality Assurance, Testing, IT Management, Business Process..., Microsoft Project, Software Project..., Business Analysis
Education
Quinsigamond Community College 1984 — 1990
Associate, Computer Infomation Systems
Quinsigamond Community College 1983 — 1990
Associate of Arts and Sciences (AAS), Information Technology
TIAA-CREF April 2013 - Present
Wolverine World Wide June 2011 - February 2013
Dextrys June 2010 - June 2011
Citizens Bank March 2010 - May 2010
Fallon Community Health Plan October 2009 - February 2010
Fidelity Investments January 2006 - November 2008
Fidelity Investments January 2001 - January 2006
Fidelity Investments January 2000 - January 2001
Fidelity Investments January 1999 - January 2000
Fidelity Investments January 1995 - January 1999
Skills
CICS, VSAM, SDLC, ETL, MS Project, Mainframe, JCL, Offshore Management, Offshore Resource..., Offshore Operations, Outsourcing Management, Production Support, Job Scheduling, Data masking, DB2/SQL, DB2, Data Masking, COBOL, IBM Mainframe, Endeavor, MVS, TSO, Program Management, Process Improvement, User Acceptance Testing, Data Warehousing, Software Development, Quality Assurance, Testing, IT Management, Business Process..., Microsoft Project, Software Project..., Business Analysis
Education
Quinsigamond Community College 1984 — 1990
Associate, Computer Infomation Systems
Quinsigamond Community College 1983 — 1990
Associate of Arts and Sciences (AAS), Information Technology
Kathy Tefft Kathy Tefft's Fallon Community Health Plan Experience August 2007 - Present
Job RN Home Care Manager at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan August 2007 - Present
Gentiva Health Services July 2005 - July 2007
supervisor 2000 - 2005
Skills
HIPAA, Healthcare Information..., Healthcare Management, Medicare, Medicaid, Hospitals, Managed Care, Nursing, Utilization Management, EMR, Health Insurance, Home Care, Clinical Research, Healthcare
Education
University of Massachusetts, Amherst
BSN, Registered Nursing/Registered Nurse
University of Massachusetts, Amherst
Fallon Community Health Plan August 2007 - Present
Gentiva Health Services July 2005 - July 2007
supervisor 2000 - 2005
Skills
HIPAA, Healthcare Information..., Healthcare Management, Medicare, Medicaid, Hospitals, Managed Care, Nursing, Utilization Management, EMR, Health Insurance, Home Care, Clinical Research, Healthcare
Education
University of Massachusetts, Amherst
BSN, Registered Nursing/Registered Nurse
University of Massachusetts, Amherst
Erin O'Malley Erin O'Malley's Fallon Community Health Plan Experience June 2011 - August 2011
Job Social Concierge & Marketing Coordinator at SocialMadeSimple
Industry Public Relations and Communications
Experience
SocialMadeSimple January 2014 - Present
Pet Chance May 2013 - December 2013
Old Timer Restaurant August 2007 - March 2013
Abercrombie & Fitch November 2011 - November 2012
Clinton Summer Enrichment Program June 2012 - July 2012
Fallon Community Health Plan June 2011 - August 2011
Hollister Co. December 2009 - August 2010
The Item October 2009 - May 2010
Skills
Persuasive Writing, Public Speaking, Interpersonal..., Dependablity, Organization, Creativity, Detail Oriented, Diligence, Time Management, Perseverance, Teamwork, Diligent, Research, Goal Oriented, Critical Thinking, Social Media Marketing, Press Releases, Interviews, Blogging, Social Media, Facebook
Education
University of Massachusetts, Amherst 2010 — 2013
Communication
SocialMadeSimple January 2014 - Present
Pet Chance May 2013 - December 2013
Old Timer Restaurant August 2007 - March 2013
Abercrombie & Fitch November 2011 - November 2012
Clinton Summer Enrichment Program June 2012 - July 2012
Fallon Community Health Plan June 2011 - August 2011
Hollister Co. December 2009 - August 2010
The Item October 2009 - May 2010
Skills
Persuasive Writing, Public Speaking, Interpersonal..., Dependablity, Organization, Creativity, Detail Oriented, Diligence, Time Management, Perseverance, Teamwork, Diligent, Research, Goal Oriented, Critical Thinking, Social Media Marketing, Press Releases, Interviews, Blogging, Social Media, Facebook
Education
University of Massachusetts, Amherst 2010 — 2013
Communication
Ron LaRiviere Ron LaRiviere's Fallon Community Health Plan Experience 2001 - 2007
Job Sr. Financial Analyst at SimpliVity Corporation
Industry Accounting
Experience
Weetabix 2011 - 2014
Partners HealthCare 2010 - 2011
AstraZeneca (via Randstad) 2007 - 2009
Fallon Community Health Plan 2001 - 2007
DataProfit 2000 - 2001
Deloitte Consulting 1997 - 2000
Skills
Financial Reporting, Planning, Budgeting, Accounting, Budgets, Forecasting, Process Improvement, Project Planning, Business Intelligence, Microsoft Excel, Finance, Human Resources, Cost Accounting, Time Management, Financial Analysis, Analysis, Managerial Finance, Business Process..., Financial Modeling, Business Analysis, Hyperion Planning
Education
Marlboro
Plymouth State University
BS, Business Management
Southern New Hampshire University
MBA, Accounting
Weetabix 2011 - 2014
Partners HealthCare 2010 - 2011
AstraZeneca (via Randstad) 2007 - 2009
Fallon Community Health Plan 2001 - 2007
DataProfit 2000 - 2001
Deloitte Consulting 1997 - 2000
Skills
Financial Reporting, Planning, Budgeting, Accounting, Budgets, Forecasting, Process Improvement, Project Planning, Business Intelligence, Microsoft Excel, Finance, Human Resources, Cost Accounting, Time Management, Financial Analysis, Analysis, Managerial Finance, Business Process..., Financial Modeling, Business Analysis, Hyperion Planning
Education
Marlboro
Plymouth State University
BS, Business Management
Southern New Hampshire University
MBA, Accounting
Peter Doe MCTS's Fallon Community Health Plan Experience August 2008 - October 2009
Job PC Technician at J.F. White Contracting Co.
Industry Construction
Experience
J.F. White Contracting Co. November 2010 - Present
Fallon Community Health Plan August 2008 - October 2009
Charles River Laboratories September 2006 - July 2008
Geek Squad October 2005 - September 2006
TJX March 2005 - June 2005
Skills
Imaging, Active Directory, Servers, Troubleshooting, System Administration, Windows, Microsoft Office, Computer Hardware, Operating Systems, XP, Customer Service, Word, Excel, Problem Solving, Desktop Support, TCP/IP, Windows 7, Laptops, Hardware, Outlook, PowerPoint, DNS, DHCP, Technical Support, Digital Imaging, Microsoft Word, VPN, LAN-WAN, Software Installation, Software Documentation, Printers, Information Technology, System Deployment, Storage, Cisco Technologies, Help Desk Support, Citrix, Microsoft Exchange, Windows Server, Microsoft Excel, Network Administration, Shoretel, Citrix Metaframe, VMware, Disaster Recovery, IIS, VMware ESX, Networking, Firewalls, Data Center
Education
Clark University Computer Career Institute 2004 — 2005
Master certificate Awarded, PC & Networking Design Master Certificate Program
Quinsigamond Community College 2000 — 2003
Associates Degree, Business Administration/Marketing Program
J.F. White Contracting Co. November 2010 - Present
Fallon Community Health Plan August 2008 - October 2009
Charles River Laboratories September 2006 - July 2008
Geek Squad October 2005 - September 2006
TJX March 2005 - June 2005
Skills
Imaging, Active Directory, Servers, Troubleshooting, System Administration, Windows, Microsoft Office, Computer Hardware, Operating Systems, XP, Customer Service, Word, Excel, Problem Solving, Desktop Support, TCP/IP, Windows 7, Laptops, Hardware, Outlook, PowerPoint, DNS, DHCP, Technical Support, Digital Imaging, Microsoft Word, VPN, LAN-WAN, Software Installation, Software Documentation, Printers, Information Technology, System Deployment, Storage, Cisco Technologies, Help Desk Support, Citrix, Microsoft Exchange, Windows Server, Microsoft Excel, Network Administration, Shoretel, Citrix Metaframe, VMware, Disaster Recovery, IIS, VMware ESX, Networking, Firewalls, Data Center
Education
Clark University Computer Career Institute 2004 — 2005
Master certificate Awarded, PC & Networking Design Master Certificate Program
Quinsigamond Community College 2000 — 2003
Associates Degree, Business Administration/Marketing Program
Satish V. Bulusu Satish V. Bulusu's Fallon Community Health Plan Experience June 2011 - December 2013
Job Sr. Solutions Analyst at Blue Cross Blue Shield of Massachusetts
Industry Information Technology and Services
Experience
Blue Cross Blue Shield of Massachusetts June 2014 - Present
Fallon Community Health Plan June 2011 - December 2013
Fallon Community Health Plan (FCHP) June 2011 - December 2013
Blue Cross Blue Shield of Nebraska August 2010 - June 2011
City of Omaha May 2010 - June 2011
University of Nebraska at Omaha August 2009 - December 2010
Ocwen Financial Solutions February 2006 - March 2008
Skills
Microsoft SQL Server, Databases, SQL, SSIS, Business Intelligence, SSRS, Scrum, Business Analysis, Business Requirements, Data Analysis, Agile Project Management, Agile Methodologies, Crystal Reports, ETL, Functional..., Oracle PL/SQL..., Oracle Warehouse Builder, Team Building, Team Leadership, Communication Skills, Critical Thinking, Public Health, Visual Analytics, Mind Mapping, Requirements Analysis, SDLC, Visio, Data Warehousing, Systems Analysis, Software Documentation, Database Design
Education
University of Nebraska at Omaha 2009 — 2011
Master of Science, Information Systems and Quantitative Analysis (ISQA)
Visvesvaraya Technological University
Bachelor of Engineering (B.E.), Electrical and Electronics Engineering
Blue Cross Blue Shield of Massachusetts June 2014 - Present
Fallon Community Health Plan June 2011 - December 2013
Fallon Community Health Plan (FCHP) June 2011 - December 2013
Blue Cross Blue Shield of Nebraska August 2010 - June 2011
City of Omaha May 2010 - June 2011
University of Nebraska at Omaha August 2009 - December 2010
Ocwen Financial Solutions February 2006 - March 2008
Skills
Microsoft SQL Server, Databases, SQL, SSIS, Business Intelligence, SSRS, Scrum, Business Analysis, Business Requirements, Data Analysis, Agile Project Management, Agile Methodologies, Crystal Reports, ETL, Functional..., Oracle PL/SQL..., Oracle Warehouse Builder, Team Building, Team Leadership, Communication Skills, Critical Thinking, Public Health, Visual Analytics, Mind Mapping, Requirements Analysis, SDLC, Visio, Data Warehousing, Systems Analysis, Software Documentation, Database Design
Education
University of Nebraska at Omaha 2009 — 2011
Master of Science, Information Systems and Quantitative Analysis (ISQA)
Visvesvaraya Technological University
Bachelor of Engineering (B.E.), Electrical and Electronics Engineering
Holly Ventura Holly Ventura's Fallon Community Health Plan Experience January 2001 - January 2003
Job Senior Administrative Assistant at Genzyme
Industry Insurance
Experience
The Hanover Insurance Group January 2008 - April 2010
Boston Scientific Corporation January 2005 - January 2008
Fallon Community Health Plan January 2001 - January 2003
Fidelity Investments January 1999 - January 2001
Intel January 1987 - January 1999
Digital Equipment Corporation 1987 - 1999
Skills
Access, Process Improvement, Software Documentation, Training, Project Management, Human Resources, Microsoft Excel, Marketing Communications, Account Management, Strategic Planning, Program Management, Fundraising, Microsoft Office, Management, Customer Service, Sales, Leadership, Team Building
Education
Clinton High School
Business Curriculum
Quinsigamond Community College
Quinsigamond Community College
Early Childhood Education
The Hanover Insurance Group January 2008 - April 2010
Boston Scientific Corporation January 2005 - January 2008
Fallon Community Health Plan January 2001 - January 2003
Fidelity Investments January 1999 - January 2001
Intel January 1987 - January 1999
Digital Equipment Corporation 1987 - 1999
Skills
Access, Process Improvement, Software Documentation, Training, Project Management, Human Resources, Microsoft Excel, Marketing Communications, Account Management, Strategic Planning, Program Management, Fundraising, Microsoft Office, Management, Customer Service, Sales, Leadership, Team Building
Education
Clinton High School
Business Curriculum
Quinsigamond Community College
Quinsigamond Community College
Early Childhood Education
Mike Keeler's Fallon Community Health Plan Experience August 2008 - March 2010
Job Consultant at CignaHealthSpring
Industry Information Technology and Services
Experience
FlexTech, Inc May 1998 - Present
Cigna-HealthSpring April 2013 - December 2013
Independent Living Systems July 2012 - March 2013
Molina Healthcare July 2010 - June 2012
HTMS August 2008 - April 2010
Fallon Community Health Plan August 2008 - March 2010
Health Alliance Medical Plans May 2007 - July 2008
Physicians Health Plan November 2006 - April 2007
Mercy Health Plans July 2004 - October 2006
Unisys April 2003 - February 2004
Skills
SQL, Healthcare, Business Analysis, Healthcare Information..., Managed Care, Medicare, Medicaid, SSIS, Crystal Reports, Technical Analysis, Health Insurance, Healthcare Industry, HIPAA, QNXT, Testing, Healthcare Consulting
Education
Saginaw Valley State University 1972 — 1976
BS, Mechanical Engeering
FlexTech, Inc May 1998 - Present
Cigna-HealthSpring April 2013 - December 2013
Independent Living Systems July 2012 - March 2013
Molina Healthcare July 2010 - June 2012
HTMS August 2008 - April 2010
Fallon Community Health Plan August 2008 - March 2010
Health Alliance Medical Plans May 2007 - July 2008
Physicians Health Plan November 2006 - April 2007
Mercy Health Plans July 2004 - October 2006
Unisys April 2003 - February 2004
Skills
SQL, Healthcare, Business Analysis, Healthcare Information..., Managed Care, Medicare, Medicaid, SSIS, Crystal Reports, Technical Analysis, Health Insurance, Healthcare Industry, HIPAA, QNXT, Testing, Healthcare Consulting
Education
Saginaw Valley State University 1972 — 1976
BS, Mechanical Engeering
Michael Wooton Michael Wooton's Fallon Community Health Plan Experience 2002 - 2002
Job Director, IS Physician Client Services at Tenet Healthcare
Industry Hospital & Health Care
Experience
Tenet Healthcare May 2014 - Present
LHP Hospital Group June 2012 - May 2014
Dell April 2012 - June 2012
Dell November 2009 - April 2012
Perot Systems August 2008 - November 2009
Perot Systems May 2007 - July 2008
Centennial Medical Center 2006 - 2008
Fallon Community Health Plan 2002 - 2002
Fallon Clinic 2000 - 2002
Tenet Healthcare 1998 - 1999
Skills
IT Management, IT Operations, Hospitals, Disaster Recovery, ITIL, Program Management, VMware, Integration, Process Improvement, Healthcare Information..., Project Management, Vendor Management, Korean, Healthcare Management, PMO, EMR, HIPAA, Change Management, Management, Business Analysis, HL7, PMP, IT Service Management, Outsourcing, Troubleshooting, Business Intelligence, Data Center, Software Documentation, Cerner, EHR, Information Technology, SharePoint, IT Strategy, SDLC, CPOE, Business Continuity, Informatics, Enterprise Architecture, Cloud Computing, Project Portfolio..., Networking, Service Delivery, Security, Business Process..., Virtualization, Cross-functional Team..., Healthcare Consulting, Health Information..., Software Implementation, Revenue Cycle
Education
Rowan University 1990 — 1994
Bachelor of Arts (BA)
Glassboro High School 1986 — 1989
Tenet Healthcare May 2014 - Present
LHP Hospital Group June 2012 - May 2014
Dell April 2012 - June 2012
Dell November 2009 - April 2012
Perot Systems August 2008 - November 2009
Perot Systems May 2007 - July 2008
Centennial Medical Center 2006 - 2008
Fallon Community Health Plan 2002 - 2002
Fallon Clinic 2000 - 2002
Tenet Healthcare 1998 - 1999
Skills
IT Management, IT Operations, Hospitals, Disaster Recovery, ITIL, Program Management, VMware, Integration, Process Improvement, Healthcare Information..., Project Management, Vendor Management, Korean, Healthcare Management, PMO, EMR, HIPAA, Change Management, Management, Business Analysis, HL7, PMP, IT Service Management, Outsourcing, Troubleshooting, Business Intelligence, Data Center, Software Documentation, Cerner, EHR, Information Technology, SharePoint, IT Strategy, SDLC, CPOE, Business Continuity, Informatics, Enterprise Architecture, Cloud Computing, Project Portfolio..., Networking, Service Delivery, Security, Business Process..., Virtualization, Cross-functional Team..., Healthcare Consulting, Health Information..., Software Implementation, Revenue Cycle
Education
Rowan University 1990 — 1994
Bachelor of Arts (BA)
Glassboro High School 1986 — 1989
Jill Goulet's Fallon Community Health Plan Experience November 2006 - February 2014
Job Insurance Innovator
Industry Insurance
Experience
Sinclair RiskMangement March 2014 - Present
Sinclair Risk and Financial Management March 2014 - Present
Fallon Community Health Plan November 2006 - February 2014
Fallon Community Health Plan March 2006 - February 2014
Tufts Health Plan February 2002 - February 2006
Skills
Property & Casualty..., Commercial Insurance, General Insurance, Underwriting, Liability, Health Insurance, Brokers, Life Insurance, Legal Liability, Disability Insurance, Casualty, Professional Liability, Term Life Insurance, Commercial Lines, Claim, Umbrella Insurance, Workers Compensation, Fixed Annuities, Reinsurance
Education
Providence College 1996 — 2000
Markting / Communications
Saint Anselm College
Sinclair RiskMangement March 2014 - Present
Sinclair Risk and Financial Management March 2014 - Present
Fallon Community Health Plan November 2006 - February 2014
Fallon Community Health Plan March 2006 - February 2014
Tufts Health Plan February 2002 - February 2006
Skills
Property & Casualty..., Commercial Insurance, General Insurance, Underwriting, Liability, Health Insurance, Brokers, Life Insurance, Legal Liability, Disability Insurance, Casualty, Professional Liability, Term Life Insurance, Commercial Lines, Claim, Umbrella Insurance, Workers Compensation, Fixed Annuities, Reinsurance
Education
Providence College 1996 — 2000
Markting / Communications
Saint Anselm College
Jacqueline Bath's Fallon Community Health Plan Experience June 2011 - August 2011
Job Workplace Coordinator at Fitbit
Industry Health, Wellness and Fitness
Experience
Fitbit September 2014 - Present
CBS Radio November 2013 - July 2014
Regional Environmental Council 2011 - 2012
Delta Gamma January 2011 - December 2011
Fallon Community Health Plan June 2011 - August 2011
Skills
Event Planning, Social Media, Microsoft Office, Public Speaking, PowerPoint, Microsoft Excel, Social Networking, Facebook, Microsoft Word, Customer Service
Education
Syracuse University 2009 — 2013
Bachelor of Science (BS), Dietetics and Clinical Nutrition Services
The University of New South Wales 2012 — 2012
Fitbit September 2014 - Present
CBS Radio November 2013 - July 2014
Regional Environmental Council 2011 - 2012
Delta Gamma January 2011 - December 2011
Fallon Community Health Plan June 2011 - August 2011
Skills
Event Planning, Social Media, Microsoft Office, Public Speaking, PowerPoint, Microsoft Excel, Social Networking, Facebook, Microsoft Word, Customer Service
Education
Syracuse University 2009 — 2013
Bachelor of Science (BS), Dietetics and Clinical Nutrition Services
The University of New South Wales 2012 — 2012
Patricia Flannery-Goodwin's Fallon Community Health Plan Experience June 2011 - Present
Job Communications Specialist at Fallon Community Health Plan
Industry Broadcast Media
Experience
Fallon Community Health Plan June 2011 - Present
WFXT-TV; FOX 25 News September 2002 - June 2011
WHDH-TV; 7NBC News March 2002 - September 2002
WHDH-TV; 7NBC News February 2001 - March 2002
WHDH-TV March 2000 - January 2001
WHDH-TV June 1999 - December 1999
Salem State College January 1998 - December 1999
Skills
Video Production, Broadcast, Journalism
Education
Salem State University 1995 — 2000
Salem State University
Bachelor of Science
Fallon Community Health Plan June 2011 - Present
WFXT-TV; FOX 25 News September 2002 - June 2011
WHDH-TV; 7NBC News March 2002 - September 2002
WHDH-TV; 7NBC News February 2001 - March 2002
WHDH-TV March 2000 - January 2001
WHDH-TV June 1999 - December 1999
Salem State College January 1998 - December 1999
Skills
Video Production, Broadcast, Journalism
Education
Salem State University 1995 — 2000
Salem State University
Bachelor of Science
Julie Sullivan Owens's Fallon Community Health Plan Experience 2001 - 2004
Job Consultant strategic planning and project management for health care clients
Industry Hospital & Health Care
Experience
Julie Owens 2004 - Present
Fallon Community Health Plan 2001 - 2004
Deloitte 1999 - 2001
Health Care Strategy Associates 1995 - 1998
Skills
Cross-functional Team..., Financial Modeling, Strategy, Analytics, Business Analysis, Business Process..., Management Consulting, Process Improvement, Business Intelligence
Education
Northwestern University - Kellogg School of Management 1998 — 1999
MBA
Stonehill College 1991 — 1995
bsba, Marketing
Methuen High School 1987 — 1991
Julie Owens 2004 - Present
Fallon Community Health Plan 2001 - 2004
Deloitte 1999 - 2001
Health Care Strategy Associates 1995 - 1998
Skills
Cross-functional Team..., Financial Modeling, Strategy, Analytics, Business Analysis, Business Process..., Management Consulting, Process Improvement, Business Intelligence
Education
Northwestern University - Kellogg School of Management 1998 — 1999
MBA
Stonehill College 1991 — 1995
bsba, Marketing
Methuen High School 1987 — 1991
Betty Ann Sharp's Fallon Community Health Plan Experience 1999 - 2007
Job President at Bearly Read Books
Industry Retail
Experience
Bearly Read Books 2007 - Present
Fallon Community Health Plan 1999 - 2007
Delta Dental 1997 - 1999
Tufts Health Plan 1991 - 1997
Skills
Health Insurance, Insurance, Customer Service, Marketing, Account Management, HIPAA, Sales, Team Building, Event Planning, Cross-functional Team..., Marketing Communications, Microsoft Word, Strategic Planning, Healthcare, Social Networking, Event Management, Employee Benefits, Managed Care, Leadership, Negotiation, Medicare, Process Improvement, Management, Long-term Care, Medicaid, Fundraising, Data Analysis
Education
University of Bridgeport 1983 — 1987
BS, Education and English
Bearly Read Books 2007 - Present
Fallon Community Health Plan 1999 - 2007
Delta Dental 1997 - 1999
Tufts Health Plan 1991 - 1997
Skills
Health Insurance, Insurance, Customer Service, Marketing, Account Management, HIPAA, Sales, Team Building, Event Planning, Cross-functional Team..., Marketing Communications, Microsoft Word, Strategic Planning, Healthcare, Social Networking, Event Management, Employee Benefits, Managed Care, Leadership, Negotiation, Medicare, Process Improvement, Management, Long-term Care, Medicaid, Fundraising, Data Analysis
Education
University of Bridgeport 1983 — 1987
BS, Education and English
Ken Stockwell's Fallon Community Health Plan Experience December 2011 - Present
Job Principal ETL Developer at Fallon Health
Industry Information Technology and Services
Experience
Fallon Community Health Plan December 2011 - Present
Collaborative Consulting November 2007 - December 2011
Keane Inc. February 1998 - October 2007
Skills
Data Warehousing, Business Intelligence, SQL Server, Business Analysis, ETL, Databases, SSIS, Requirements Analysis, Data Modeling, Informatica, Microsoft SQL Server, SQL, SDLC, Oracle, Requirements Gathering, SSAS 2008
Education
Trent University 1991 — 1995
Fallon Community Health Plan December 2011 - Present
Collaborative Consulting November 2007 - December 2011
Keane Inc. February 1998 - October 2007
Skills
Data Warehousing, Business Intelligence, SQL Server, Business Analysis, ETL, Databases, SSIS, Requirements Analysis, Data Modeling, Informatica, Microsoft SQL Server, SQL, SDLC, Oracle, Requirements Gathering, SSAS 2008
Education
Trent University 1991 — 1995
Maura Armstrong McNamara's Fallon Community Health Plan Experience April 2012 - February 2014
Job Operations Manager, Joslin Diabetes Center
Industry Hospital & Health Care
Experience
Joslin Diabetes Center January 2015 - Present
Children's Friend March 2013 - Present
Fallon Health February 2014 - January 2015
Fallon Community Health Plan April 2012 - February 2014
Anna Maria College October 2012 - May 2013
UHealthSolutions October 2007 - April 2012
Becker College October 2008 - March 2011
Fright Catalog October 2007 - November 2008
Sigarms Inc. June 2007 - July 2007
Families in Transition October 2006 - February 2007
Skills
Healthcare, Non-profits, Customer Service, Clinical Research, Social Media, Microsoft Excel, Microsoft Office, Microsoft Word, Program Development, Data Analysis, Higher Education, Event Planning, Program Management, Business Development, Research, Community Outreach, Nonprofits, Fundraising, Training, Management, Mental Health, Leadership Development, Leadership
Education
University of New Hampshire -- Peter T. Paul College of Business and Economics 2006 — 2007
MBA, Marketing, Market Research
University of Massachusetts Dartmouth 2001 — 2005
B.S., Marketing, Sociology
Auburn High School 1998 — 2001
High School Diploma
Joslin Diabetes Center January 2015 - Present
Children's Friend March 2013 - Present
Fallon Health February 2014 - January 2015
Fallon Community Health Plan April 2012 - February 2014
Anna Maria College October 2012 - May 2013
UHealthSolutions October 2007 - April 2012
Becker College October 2008 - March 2011
Fright Catalog October 2007 - November 2008
Sigarms Inc. June 2007 - July 2007
Families in Transition October 2006 - February 2007
Skills
Healthcare, Non-profits, Customer Service, Clinical Research, Social Media, Microsoft Excel, Microsoft Office, Microsoft Word, Program Development, Data Analysis, Higher Education, Event Planning, Program Management, Business Development, Research, Community Outreach, Nonprofits, Fundraising, Training, Management, Mental Health, Leadership Development, Leadership
Education
University of New Hampshire -- Peter T. Paul College of Business and Economics 2006 — 2007
MBA, Marketing, Market Research
University of Massachusetts Dartmouth 2001 — 2005
B.S., Marketing, Sociology
Auburn High School 1998 — 2001
High School Diploma
Sean Lyons's Fallon Community Health Plan Experience June 1998 - July 2012
Job Director Managed Care, Integrated Markets at Kindred Healthcare
Industry Insurance
Experience
Kindred Healthcare January 2015 - Present
Harvard Pilgrim Health Care November 2013 - January 2015
Amedisys Home Health and Hospice July 2012 - May 2013
Fallon Community Health Plan June 1998 - July 2012
AMI Leasing June 1994 - May 1998
Skills
Medicare, Managed Care, Utilization Management, Provider Relations, Medicaid
Education
Nichols College 2000 — 2002
MBA, Business
Nichols College 1990 — 1994
Bachelor of Science (B.S.)
Tahanto Regional High School 1986 — 1990
Kindred Healthcare January 2015 - Present
Harvard Pilgrim Health Care November 2013 - January 2015
Amedisys Home Health and Hospice July 2012 - May 2013
Fallon Community Health Plan June 1998 - July 2012
AMI Leasing June 1994 - May 1998
Skills
Medicare, Managed Care, Utilization Management, Provider Relations, Medicaid
Education
Nichols College 2000 — 2002
MBA, Business
Nichols College 1990 — 1994
Bachelor of Science (B.S.)
Tahanto Regional High School 1986 — 1990
Al Smith, III's Fallon Community Health Plan Experience April 2013 - June 2015
Job Sponsored Project Specialists at Johns Hopkins University
Industry Higher Education
Experience
Johns Hopkins University June 2015 - Present
Fallon Community Health Plan April 2013 - June 2015
University of South Florida December 2009 - January 2013
Congressional Black Caucus Foundation May 2011 - July 2011
Skills
Research, Public Speaking, PowerPoint, Microsoft Office, Microsoft Word, Non-profits, Community Outreach, Microsoft Excel, Public Policy, Higher Education, Public Relations, Editing, Customer Service, International Relations, Social Media, Strategic Communications, Program Development, Outlook, Teaching, Press Releases, Leadership, Policy, Nonprofits, Government, Event Planning, Policy Analysis, Volunteer Management
Education
University of South Florida 2009 — 2012
Bachelor of Science (BS), Political Science
Hillsborough Community College 2006 — 2008
Associates Degree, Liberal Arts
Johns Hopkins University June 2015 - Present
Fallon Community Health Plan April 2013 - June 2015
University of South Florida December 2009 - January 2013
Congressional Black Caucus Foundation May 2011 - July 2011
Skills
Research, Public Speaking, PowerPoint, Microsoft Office, Microsoft Word, Non-profits, Community Outreach, Microsoft Excel, Public Policy, Higher Education, Public Relations, Editing, Customer Service, International Relations, Social Media, Strategic Communications, Program Development, Outlook, Teaching, Press Releases, Leadership, Policy, Nonprofits, Government, Event Planning, Policy Analysis, Volunteer Management
Education
University of South Florida 2009 — 2012
Bachelor of Science (BS), Political Science
Hillsborough Community College 2006 — 2008
Associates Degree, Liberal Arts
Jawahar Retnasamy's Fallon Community Health Plan Experience March 2005 - November 2006
Job Consultant at Towers Watson
Industry Computer Software
Experience
Towers Watson September 2013 - Present
NASDAQ OMX October 2011 - August 2013
Invacare May 2011 - September 2011
Blue Cod Technologies October 2009 - May 2011
Veritude January 2009 - October 2009
Sapphire Technologies January 2007 - January 2009
Fallon Community Health Plan March 2005 - November 2006
HealthBanks January 2004 - December 2004
Infobahn March 2003 - April 2004
Ascend Consulting 2003 - 2004
Skills
Microsoft Commerce..., ASP.NET MVC, C#, SQL Server, ASP.NET MVC3, IIS 7.5, jQuery, NHibernate, IoC, TeamCity, Log4Net, Lucene, Solr, Microsoft SQL Server, IIS, WCF, Test Driven Development, SDLC, Agile Methodologies, Continuous Integration, Spring, AJAX, Design Patterns, Subversion, Log4j, .NET, Entity Framework
Education
Hindustan College of Engineering 1990 — 1994
Bachelor Of Engg., Electornics & Communication Engg.
University of Madras 1990 — 1994
Bachelor of Engineering, Elecronics & Communication Engineering
Alpha Matriculation Higher Secondary School 1988 — 1990
HSC Academic, Science
Towers Watson September 2013 - Present
NASDAQ OMX October 2011 - August 2013
Invacare May 2011 - September 2011
Blue Cod Technologies October 2009 - May 2011
Veritude January 2009 - October 2009
Sapphire Technologies January 2007 - January 2009
Fallon Community Health Plan March 2005 - November 2006
HealthBanks January 2004 - December 2004
Infobahn March 2003 - April 2004
Ascend Consulting 2003 - 2004
Skills
Microsoft Commerce..., ASP.NET MVC, C#, SQL Server, ASP.NET MVC3, IIS 7.5, jQuery, NHibernate, IoC, TeamCity, Log4Net, Lucene, Solr, Microsoft SQL Server, IIS, WCF, Test Driven Development, SDLC, Agile Methodologies, Continuous Integration, Spring, AJAX, Design Patterns, Subversion, Log4j, .NET, Entity Framework
Education
Hindustan College of Engineering 1990 — 1994
Bachelor Of Engg., Electornics & Communication Engg.
University of Madras 1990 — 1994
Bachelor of Engineering, Elecronics & Communication Engineering
Alpha Matriculation Higher Secondary School 1988 — 1990
HSC Academic, Science
Ralph Santoro's Fallon Community Health Plan Experience May 2013 - Present
Job Senior Director, Total Rewards
Industry Financial Services
Experience
Fallon Community Health Plan May 2013 - Present
Fallon Community Health Plan November 2009 - May 2013
FIDELITY INVESTMENTS, Marlborough, MA May 2005 - November 2009
UNIVERSITY of MASSACHUSETTS MEDICAL SCHOOL, Worcester, MA August 2002 - May 2005
SIMPLEX TIME RECORDER Co., Westminster, MA August 1997 - August 2001
SAINT VINCENT HOSPITAL/FALLON HEALTHCARE SYSTEM, Worcester, MA June 1994 - August 1997
SAINT VINCENT HOSPITAL, Worcester, MA August 1988 - June 1994
SIMPLEX TIME RECORDER Co., Gardner, MA August 1984 - August 1988
Skills
Employee Benefits, Pensions, Defined Benefit, Benefits Administration, Deferred Compensation, Executive Pay, Human Resources
Education
University of Massachusetts, Amherst 1972 — 1976
Fallon Community Health Plan May 2013 - Present
Fallon Community Health Plan November 2009 - May 2013
FIDELITY INVESTMENTS, Marlborough, MA May 2005 - November 2009
UNIVERSITY of MASSACHUSETTS MEDICAL SCHOOL, Worcester, MA August 2002 - May 2005
SIMPLEX TIME RECORDER Co., Westminster, MA August 1997 - August 2001
SAINT VINCENT HOSPITAL/FALLON HEALTHCARE SYSTEM, Worcester, MA June 1994 - August 1997
SAINT VINCENT HOSPITAL, Worcester, MA August 1988 - June 1994
SIMPLEX TIME RECORDER Co., Gardner, MA August 1984 - August 1988
Skills
Employee Benefits, Pensions, Defined Benefit, Benefits Administration, Deferred Compensation, Executive Pay, Human Resources
Education
University of Massachusetts, Amherst 1972 — 1976
Karen Antonell's Fallon Community Health Plan Experience May 2008 - August 2010
Job Former Director, Healogics
Industry Medical Devices
Experience
Healogics August 2011 - October 2013
Fallon Community Health Plan May 2008 - August 2010
Boston Medical Products June 2006 - June 2008
Publicis Selling Solutions January 2005 - June 2006
Skills
Marketing Strategy, Product Development, Marketing, Marketing Communications, B2B, Social Media Marketing, Business Strategy, Digital Marketing, Advertising, Strategic Planning, Mobile Marketing, Email Marketing, Entrepreneurship, Customer Insight, Consultative Sales..., Financial Reporting and..., Human Resources, Business Relationship..., Sales Presentations, Direct Sales, Medical Devices, Pharmaceutical Sales, Wound Care, Strategic Partnerships, Account Management, Sales Operations, New Business Development, Product Launch, Healthcare Industry, Healthcare, Forecasting, Public Relations, Operations Management, Leadership Development, Strategy, Business Planning, Managed Care
Education
State University of New York Empire State College
B.S. Business Management/Economics, Business Management
Healogics August 2011 - October 2013
Fallon Community Health Plan May 2008 - August 2010
Boston Medical Products June 2006 - June 2008
Publicis Selling Solutions January 2005 - June 2006
Skills
Marketing Strategy, Product Development, Marketing, Marketing Communications, B2B, Social Media Marketing, Business Strategy, Digital Marketing, Advertising, Strategic Planning, Mobile Marketing, Email Marketing, Entrepreneurship, Customer Insight, Consultative Sales..., Financial Reporting and..., Human Resources, Business Relationship..., Sales Presentations, Direct Sales, Medical Devices, Pharmaceutical Sales, Wound Care, Strategic Partnerships, Account Management, Sales Operations, New Business Development, Product Launch, Healthcare Industry, Healthcare, Forecasting, Public Relations, Operations Management, Leadership Development, Strategy, Business Planning, Managed Care
Education
State University of New York Empire State College
B.S. Business Management/Economics, Business Management
Roy Ahlen's Fallon Community Health Plan Experience October 2011 - Present
Job Sr. Data Analyst at Fallon Community Health Plan
Industry Information Technology and Services
Experience
Fallon Community Health Plan October 2011 - Present
Wells Fargo/Wachovia November 2009 - May 2011
Massachusetts Mutual Financial Services September 2008 - October 2009
Wachovia Corporation 2003 - 2008
PFPC Global Fund Services 1999 - 2003
First Data Corporation 1995 - 1999
Allmerica Financial (Formally the State Mutual Life Assurance Company) 1978 - 1995
Skills
Testing, SDLC, Software Documentation, Test Planning, User Acceptance Testing, Databases
Education
Rutgers, The State University of New Jersey-Newark
MBA, Accounting
Upsala College
BS, Geology/Chemistry
Worcester Polytechnic Institute
Certificate Program, Unix/C/C++
Fallon Community Health Plan October 2011 - Present
Wells Fargo/Wachovia November 2009 - May 2011
Massachusetts Mutual Financial Services September 2008 - October 2009
Wachovia Corporation 2003 - 2008
PFPC Global Fund Services 1999 - 2003
First Data Corporation 1995 - 1999
Allmerica Financial (Formally the State Mutual Life Assurance Company) 1978 - 1995
Skills
Testing, SDLC, Software Documentation, Test Planning, User Acceptance Testing, Databases
Education
Rutgers, The State University of New Jersey-Newark
MBA, Accounting
Upsala College
BS, Geology/Chemistry
Worcester Polytechnic Institute
Certificate Program, Unix/C/C++
Melanie Doerr's Fallon Community Health Plan Experience 1999 - Present
Job Data Modeler at FCHP
Industry Information Technology and Services
Experience
Fallon Community Health Plan 1999 - Present
Central Mass HealthCare 1985 - 1999
Education
Worcester State University 1984 — 1990
University of Massachusetts at Lowell
Fallon Community Health Plan 1999 - Present
Central Mass HealthCare 1985 - 1999
Education
Worcester State University 1984 — 1990
University of Massachusetts at Lowell
Susan Randall-Johnson's Fallon Community Health Plan Experience April 2011 - March 2012
Job Senior Director of Medical Management at Fallon Health
Industry Hospital & Health Care
Experience
Fallon Health September 2014 - Present
Fallon Health March 2012 - September 2014
Fallon Community Health Plan April 2011 - March 2012
Fallon Community Health Plan October 2008 - April 2011
Tufts Health Plan June 2006 - October 2008
Tufts Health Plan October 1989 - October 2008
Human Resource Institute 1987 - 1989
Skills
Leadership, Healthcare, Change Management, Team Building, Management, Managed Care, Risk Management, Policy, Operational Efficiency
Education
University of Massachusetts, Amherst 1983 — 1987
Fallon Health September 2014 - Present
Fallon Health March 2012 - September 2014
Fallon Community Health Plan April 2011 - March 2012
Fallon Community Health Plan October 2008 - April 2011
Tufts Health Plan June 2006 - October 2008
Tufts Health Plan October 1989 - October 2008
Human Resource Institute 1987 - 1989
Skills
Leadership, Healthcare, Change Management, Team Building, Management, Managed Care, Risk Management, Policy, Operational Efficiency
Education
University of Massachusetts, Amherst 1983 — 1987
Gulshan Dudani's Fallon Community Health Plan Experience January 2013 - February 2013
Job IT Program Director RMS EMD, IT Operations Portfolio at Charles River Laboratories
Industry Information Technology and Services
Experience
Charles River Laboratories April 2015 - Present
Iron Mountain February 2013 - March 2015
Fallon Community Health Plan January 2013 - February 2013
PAREXEL August 2009 - December 2012
Parexel International - Perceptive Informatics 2009 - December 2012
IBM November 2000 - May 2009
Hay Group January 1997 - April 1999
Skills
Management, Microsoft SQL Server, Data Warehousing, Software Development, Databases, MS Project, PL/SQL, DB2, Process Improvement, Requirements Analysis, Project Management, Quality Assurance, Unix, Agile Methodologies, Microsoft Project
Education
Pune Institute of Computer Technology 1987 — 1991
Bachelor's degree, Information Technology
Pune Institute of Computer Technology 1987 — 1991
Bachelor's degree, Computer Engineering
Charles River Laboratories April 2015 - Present
Iron Mountain February 2013 - March 2015
Fallon Community Health Plan January 2013 - February 2013
PAREXEL August 2009 - December 2012
Parexel International - Perceptive Informatics 2009 - December 2012
IBM November 2000 - May 2009
Hay Group January 1997 - April 1999
Skills
Management, Microsoft SQL Server, Data Warehousing, Software Development, Databases, MS Project, PL/SQL, DB2, Process Improvement, Requirements Analysis, Project Management, Quality Assurance, Unix, Agile Methodologies, Microsoft Project
Education
Pune Institute of Computer Technology 1987 — 1991
Bachelor's degree, Information Technology
Pune Institute of Computer Technology 1987 — 1991
Bachelor's degree, Computer Engineering
Elizabeth Bellows Riley's Fallon Community Health Plan Experience 1996 - 2000
Job Director, Provider Relations
Industry Hospital & Health Care
Experience
Fallon Health March 2011 - Present
Fidelity Investments July 2000 - March 2011
Fidelity Investments July 2000 - June 2003
Fallon Community Health Plan 1996 - 2000
Skills
Employee Benefits, System Administration, Health Insurance, Medicaid, Program Management, Risk Management, Change Management, Leadership, Relationship Management, Analysis, Managed Care, Healthcare, Management, Healthcare Management, Vendor Management, Budgets, Account Management, Benefits Administration, Business Planning, Business Process..., Call Centers, Cross-functional Team..., Customer Service, HIPAA, Hospitals, Medicare, Process Improvement, Provider Relations, Strategic Planning, Team Building, Healthcare Industry, Data Analysis, Financial Services, Network Development, Health Care Reform
Education
Other
Stonehill College
BA
Fallon Health March 2011 - Present
Fidelity Investments July 2000 - March 2011
Fidelity Investments July 2000 - June 2003
Fallon Community Health Plan 1996 - 2000
Skills
Employee Benefits, System Administration, Health Insurance, Medicaid, Program Management, Risk Management, Change Management, Leadership, Relationship Management, Analysis, Managed Care, Healthcare, Management, Healthcare Management, Vendor Management, Budgets, Account Management, Benefits Administration, Business Planning, Business Process..., Call Centers, Cross-functional Team..., Customer Service, HIPAA, Hospitals, Medicare, Process Improvement, Provider Relations, Strategic Planning, Team Building, Healthcare Industry, Data Analysis, Financial Services, Network Development, Health Care Reform
Education
Other
Stonehill College
BA
Russell Munson, M.D.'s Fallon Community Health Plan Experience May 2013 - August 2013
Job Chief Medical Officer at HealthyCT
Industry Hospital & Health Care
Experience
HealthyCT August 2013 - Present
Fallon Community Health Plan May 2013 - August 2013
Fallon Community Health Plan July 2011 - August 2013
Steward Health Care (Caritas Christi Saint Anne's Hospital) 2008 - 2011
BMC HealthNet Plan (BMCHP) 2007 - 2008
Boston Medical Center HealthNet Plan 2006 - 2008
Anthem Blue Cross Blue Shield CT / Wellpoint 2002 - 2006
Middlesex Hospital 1997 - 2002
Middlesex Hospital 1982 - 2002
Skills
Managed Care, Medicare, Medicaid, Healthcare Management, Health Policy, Healthcare, Quality Improvement, Hospitals, Disease Management, Medicine, Healthcare Consulting, Medicaid Managed Care, HIPAA, Accountable Care, Case Managment, Utilization Management, Credentialing, Health Insurance, Physicians, Physician Relations, NCQA, Inpatient, Health Information..., Provider Relations, Revenue Cycle, Healthcare Industry, Leadership, Patient Safety, PPO, Case Management, Public Health, Healthcare Information..., Informatics, Health Care Reform, Network Development, HMO, ACOs, Clinical Integration...
Education
University of Pittsburgh School of Medicine 1975 — 1979
MD
Wesleyan University 1971 — 1975
AB, Biology
Middlesex Hospital FP Residency
HealthyCT August 2013 - Present
Fallon Community Health Plan May 2013 - August 2013
Fallon Community Health Plan July 2011 - August 2013
Steward Health Care (Caritas Christi Saint Anne's Hospital) 2008 - 2011
BMC HealthNet Plan (BMCHP) 2007 - 2008
Boston Medical Center HealthNet Plan 2006 - 2008
Anthem Blue Cross Blue Shield CT / Wellpoint 2002 - 2006
Middlesex Hospital 1997 - 2002
Middlesex Hospital 1982 - 2002
Skills
Managed Care, Medicare, Medicaid, Healthcare Management, Health Policy, Healthcare, Quality Improvement, Hospitals, Disease Management, Medicine, Healthcare Consulting, Medicaid Managed Care, HIPAA, Accountable Care, Case Managment, Utilization Management, Credentialing, Health Insurance, Physicians, Physician Relations, NCQA, Inpatient, Health Information..., Provider Relations, Revenue Cycle, Healthcare Industry, Leadership, Patient Safety, PPO, Case Management, Public Health, Healthcare Information..., Informatics, Health Care Reform, Network Development, HMO, ACOs, Clinical Integration...
Education
University of Pittsburgh School of Medicine 1975 — 1979
MD
Wesleyan University 1971 — 1975
AB, Biology
Middlesex Hospital FP Residency
Gillian Kies's Fallon Community Health Plan Experience March 2011 - Present
Job Senior Market Planning Analyst at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan March 2011 - Present
Fallon Community Health Plan July 2006 - March 2011
Blue Cross Blue Shield of Massachusetts May 2002 - June 2006
Blue Cross Blue Shield of Massachusetts April 1999 - May 2002
Blue Cross August 1997 - April 1999
Skills
Health Insurance, Business Analysis, Process Improvement
Education
University of Connecticut
Fallon Community Health Plan March 2011 - Present
Fallon Community Health Plan July 2006 - March 2011
Blue Cross Blue Shield of Massachusetts May 2002 - June 2006
Blue Cross Blue Shield of Massachusetts April 1999 - May 2002
Blue Cross August 1997 - April 1999
Skills
Health Insurance, Business Analysis, Process Improvement
Education
University of Connecticut
Melody McKissick's Fallon Community Health Plan Experience October 2008 - January 2010
Job ECM/EDI ANALYST DST HealthSolutions
Industry Information Technology and Services
Experience
DST Health Solutions July 2013 - Present
American Medical Association June 2011 - January 2013
Molina Medicaid Solutions (formerly a division of Unisys Corporation) April 2010 - October 2010
Molina Medicaid Solutions (formerly a division of Unisys Corporation) 2010 - October 2010
Molina Medicaid Solutions (formerly a division of Unisys Corporation) 2010 - August 2010
Fallon Community Health Plan October 2008 - January 2010
FCHP 2008 - January 2010
VTR 2008 - 2009
BCBSMT May 2008 - August 2008
HMSA 2006 - 2008
Skills
Agile Methodologies, BizTalk, Business Analysis, Business Intelligence, Business Requirements, Change Management, Claim, EDI, Employee Benefits, HIPAA, Healthcare, Healthcare Information..., ICD-10, IT Strategy, Integration, Medicaid, Medicare, Microsoft SQL Server, Process Improvement, QNXT, Quality Assurance, Requirements Analysis, Requirements Gathering, SDLC, SQL, SharePoint, Systems Analysis, Testing, Vendor Management, Visio
Education
Stephen F. Austin State University 1976 — 1981
BA, Sociology, Criminal Justice
DST Health Solutions July 2013 - Present
American Medical Association June 2011 - January 2013
Molina Medicaid Solutions (formerly a division of Unisys Corporation) April 2010 - October 2010
Molina Medicaid Solutions (formerly a division of Unisys Corporation) 2010 - October 2010
Molina Medicaid Solutions (formerly a division of Unisys Corporation) 2010 - August 2010
Fallon Community Health Plan October 2008 - January 2010
FCHP 2008 - January 2010
VTR 2008 - 2009
BCBSMT May 2008 - August 2008
HMSA 2006 - 2008
Skills
Agile Methodologies, BizTalk, Business Analysis, Business Intelligence, Business Requirements, Change Management, Claim, EDI, Employee Benefits, HIPAA, Healthcare, Healthcare Information..., ICD-10, IT Strategy, Integration, Medicaid, Medicare, Microsoft SQL Server, Process Improvement, QNXT, Quality Assurance, Requirements Analysis, Requirements Gathering, SDLC, SQL, SharePoint, Systems Analysis, Testing, Vendor Management, Visio
Education
Stephen F. Austin State University 1976 — 1981
BA, Sociology, Criminal Justice
Nancy Sorenson's Fallon Community Health Plan Experience April 2011 - Present
Job Sr. Director, Provider Reimbursement & Database Management at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan April 2011 - Present
Fallon Community Health Plan January 2005 - April 2011
Fallon Community Health Plan October 2000 - January 2005
Skills
Health Insurance, Medicare, Managed Care
Education
Nichols College
MBA, Business Adminstration
Fallon Community Health Plan April 2011 - Present
Fallon Community Health Plan January 2005 - April 2011
Fallon Community Health Plan October 2000 - January 2005
Skills
Health Insurance, Medicare, Managed Care
Education
Nichols College
MBA, Business Adminstration
Frank Burgos's Fallon Community Health Plan Experience March 2013 - Present
Job Telecommunications Administrator at Fallon Community Health Plan
Industry Information Technology and Services
Experience
Fallon Community Health Plan March 2013 - Present
Fallon Community Health Plan April 2006 - October 2012
Fallon Community Health Plan March 2006 - April 2007
Fallon Community Health Plan March 2005 - March 2006
PFPC Global Fund Services May 1998 - April 2005
PFPC Global Fund Services May 2000 - March 2005
PFPC May 1998 - March 2004
Skills
Troubleshooting, Customer Service, Windows, Microsoft Office, Blackberry Enterprise..., Bilingual, Siemens, Dell Desktops, Symantec, Checkpoint, Computer Hardware, Laptops, Citrix, XenServer, lc-win, Mac OS X, PGP, VMware, Active Directory, Norton Ghost, OCS, lync, Disaster Recovery, Dell Computers, IIS, Windows Server, Verint V11, Siemens HiPath, Siemens Xpressions, VoIP, TCP/IP, IP PBX, punch blocks, station management, Call Routing, Openscape, Phonemail, Remote Desktop, Telecommunications, Hardware, Integration, Visio, Management, Security, Vendor Management, SDLC, Data Center, Software Documentation, Databases, Access
Education
Worcester Polytechnic Institute Cont. Ed 2004 — 2004
Quinsigamond Community College
Associate's degree, Human Services
Quinsigamond Community College 1994 — 1996
Associated, Human Services
Burncoat Senior High School
High School Diploma
Fallon Community Health Plan March 2013 - Present
Fallon Community Health Plan April 2006 - October 2012
Fallon Community Health Plan March 2006 - April 2007
Fallon Community Health Plan March 2005 - March 2006
PFPC Global Fund Services May 1998 - April 2005
PFPC Global Fund Services May 2000 - March 2005
PFPC May 1998 - March 2004
Skills
Troubleshooting, Customer Service, Windows, Microsoft Office, Blackberry Enterprise..., Bilingual, Siemens, Dell Desktops, Symantec, Checkpoint, Computer Hardware, Laptops, Citrix, XenServer, lc-win, Mac OS X, PGP, VMware, Active Directory, Norton Ghost, OCS, lync, Disaster Recovery, Dell Computers, IIS, Windows Server, Verint V11, Siemens HiPath, Siemens Xpressions, VoIP, TCP/IP, IP PBX, punch blocks, station management, Call Routing, Openscape, Phonemail, Remote Desktop, Telecommunications, Hardware, Integration, Visio, Management, Security, Vendor Management, SDLC, Data Center, Software Documentation, Databases, Access
Education
Worcester Polytechnic Institute Cont. Ed 2004 — 2004
Quinsigamond Community College
Associate's degree, Human Services
Quinsigamond Community College 1994 — 1996
Associated, Human Services
Burncoat Senior High School
High School Diploma
Sorin Buhaescu's Fallon Community Health Plan Experience February 2006 - Present
Job Datawarehouse Admin at Fallon Community Health Plan
Industry Hospital & Health Care
Experience
Fallon Community Health Plan February 2006 - Present
MIRIX INGENIERIE November 2004 - January 2006
TcInf, SA February 1999 - November 2004
FORTUS Iasi February 1989 - January 1999
Skills
Data Warehousing, Oracle Warehouse Builder, UNIX, Oracle Enterprise Linux, Oracle Certified DBA, Autosys, Databases, Oracle RAC, Oracle Enterprise..., EMC Networker, EMC Storage, Unix, Oracle, Solaris, Linux, XML, AIX, HP-UX, PL/SQL, ETL, SQL, Database Design, Database Administration, SQL*Plus, Disaster Recovery, DB2, Analysis Services, Performance Tuning, T-SQL, Integration, Data Modeling, Microsoft SQL Server, Requirements Analysis, SSRS, Visio, Data Migration, Software Project..., SDLC, Informatica, Data Warehouse..., SSIS, Business Intelligence, Data Integration, Systems Analysis, Crystal Reports, Business Objects, Dimensional Modeling, Toad, Requirements Gathering, Cognos
Education
1993 — 1998
Bachelor
Fallon Community Health Plan February 2006 - Present
MIRIX INGENIERIE November 2004 - January 2006
TcInf, SA February 1999 - November 2004
FORTUS Iasi February 1989 - January 1999
Skills
Data Warehousing, Oracle Warehouse Builder, UNIX, Oracle Enterprise Linux, Oracle Certified DBA, Autosys, Databases, Oracle RAC, Oracle Enterprise..., EMC Networker, EMC Storage, Unix, Oracle, Solaris, Linux, XML, AIX, HP-UX, PL/SQL, ETL, SQL, Database Design, Database Administration, SQL*Plus, Disaster Recovery, DB2, Analysis Services, Performance Tuning, T-SQL, Integration, Data Modeling, Microsoft SQL Server, Requirements Analysis, SSRS, Visio, Data Migration, Software Project..., SDLC, Informatica, Data Warehouse..., SSIS, Business Intelligence, Data Integration, Systems Analysis, Crystal Reports, Business Objects, Dimensional Modeling, Toad, Requirements Gathering, Cognos
Education
1993 — 1998
Bachelor
Tanya Kowalczyk's Fallon Community Health Plan Experience September 2008 - April 2009
Job Career Services and Human Resources Professional
Industry Human Resources
Experience
Salter College August 2015 - Present
Porter & Chester Institute July 2010 - July 2015
Fallon Community Health Plan September 2008 - April 2009
ARBOR Associates 2006 - 2008
@Work Medical Services 2004 - 2006
Partnership Employment 2002 - 2004
Skills
Recruiting, Employee Relations, Talent Acquisition, Account Management, Internet Recruiting, Executive Search, Job Fairs, Onboarding, Staffing Services, Human Resources, Training, Resume Writing, Healthcare, Performance Management, Benefits Administration, New Hire Orientations, Talent Management, HRIS, Coaching, Event Planning, Leadership Development, Admissions, Adult Education, Career Development..., Permanent Placement, Team Building, Career Counseling, Nonprofits, Leadership, Staff Development, Teamwork, Interviews, Management, Personnel Management
Education
Quinnipiac University
BA, English
Salter College August 2015 - Present
Porter & Chester Institute July 2010 - July 2015
Fallon Community Health Plan September 2008 - April 2009
ARBOR Associates 2006 - 2008
@Work Medical Services 2004 - 2006
Partnership Employment 2002 - 2004
Skills
Recruiting, Employee Relations, Talent Acquisition, Account Management, Internet Recruiting, Executive Search, Job Fairs, Onboarding, Staffing Services, Human Resources, Training, Resume Writing, Healthcare, Performance Management, Benefits Administration, New Hire Orientations, Talent Management, HRIS, Coaching, Event Planning, Leadership Development, Admissions, Adult Education, Career Development..., Permanent Placement, Team Building, Career Counseling, Nonprofits, Leadership, Staff Development, Teamwork, Interviews, Management, Personnel Management
Education
Quinnipiac University
BA, English
Donna Ferro's Fallon Community Health Plan Experience February 2007 - Present
Job LICSW, Geriactric Social Work Manager
Industry Health, Wellness and Fitness
Experience
Fallon Community Health Plan February 2007 - Present
Skills
Case Managment
Education
Rutgers University 1999 — 2001
Master of Social Work (MSW)
Fallon Community Health Plan February 2007 - Present
Skills
Case Managment
Education
Rutgers University 1999 — 2001
Master of Social Work (MSW)
Monica Brennan's Fallon Community Health Plan Experience November 2011 - December 2013
Job Nurse Case Manager at Central Mass Independent Physician Association, LLC
Industry Hospital & Health Care
Experience
Central Mass Independent Physician Association, LLC January 2014 - Present
Fallon Community Health Plan November 2011 - December 2013
Fallon Community Health Plan December 2009 - November 2011
Life Care Centers of America January 2007 - December 2009
Skills
Certified Case Manager, Case Managment, Managed Care, Medicare, Medicaid, Healthcare, Inpatient, Acute Care, Clinical Research, Utilization Review, Utilization Management, Disease Management, Insurance, Home Care, Leadership, Nursing, Healthcare Management, Patient Advocacy, Case Management
Education
Framingham Hospital School of Nursing
RN, nursing
Salve Regina University
BSN, Nursing
Central Mass Independent Physician Association, LLC January 2014 - Present
Fallon Community Health Plan November 2011 - December 2013
Fallon Community Health Plan December 2009 - November 2011
Life Care Centers of America January 2007 - December 2009
Skills
Certified Case Manager, Case Managment, Managed Care, Medicare, Medicaid, Healthcare, Inpatient, Acute Care, Clinical Research, Utilization Review, Utilization Management, Disease Management, Insurance, Home Care, Leadership, Nursing, Healthcare Management, Patient Advocacy, Case Management
Education
Framingham Hospital School of Nursing
RN, nursing
Salve Regina University
BSN, Nursing
Frank Mausolf's Fallon Community Health Plan Experience November 2012 - Present
Job Contract Manager at Fallon Community Health Plan
Industry Hospital & Health Care
Experience
Fallon Community Health Plan November 2012 - Present
Fallon Community Health Plan March 2011 - November 2012
Fallon Community Health Plan September 2008 - March 2011
Skills
Medicaid, Process Improvement, Healthcare, Strategic Planning, Medicare, Health Insurance, Managed Care, Healthcare Information..., Insurance, Vendor Management, Analysis, HIPAA, Program Management, Customer Service, Leadership
Education
Nichols College 2010 — 2011
MBA, Business
University at Albany, SUNY 2006 — 2008
BA, Public Policy
Fallon Community Health Plan November 2012 - Present
Fallon Community Health Plan March 2011 - November 2012
Fallon Community Health Plan September 2008 - March 2011
Skills
Medicaid, Process Improvement, Healthcare, Strategic Planning, Medicare, Health Insurance, Managed Care, Healthcare Information..., Insurance, Vendor Management, Analysis, HIPAA, Program Management, Customer Service, Leadership
Education
Nichols College 2010 — 2011
MBA, Business
University at Albany, SUNY 2006 — 2008
BA, Public Policy
Tracey Tubert's Fallon Community Health Plan Experience 1990 - March 1996
Job Ambulatory Risk Manager at NewtonWellesley Hospital
Industry Insurance
Experience
ProMutual Group March 1996 - March 2014
Fallon Community Health Plan 1990 - March 1996
Skills
Insurance, Medical Malpractice, Professional Liability, Credentialing, Risk Management, Claim, Commercial Insurance, Liability, Reinsurance, Legal Liability, Litigation Management, Casualty, Workers Compensation, Casualty Insurance
Education
University of Massachusetts, Amherst 1979 — 1983
BS, Microbiology
ProMutual Group March 1996 - March 2014
Fallon Community Health Plan 1990 - March 1996
Skills
Insurance, Medical Malpractice, Professional Liability, Credentialing, Risk Management, Claim, Commercial Insurance, Liability, Reinsurance, Legal Liability, Litigation Management, Casualty, Workers Compensation, Casualty Insurance
Education
University of Massachusetts, Amherst 1979 — 1983
BS, Microbiology
Art Nawrocki's Fallon Community Health Plan Experience September 2011 - November 2013
Job Project Manager at CVS Caremark Corporation
Industry Information Technology and Services
Experience
CVS Caremark Corporation December 2013 - Present
Fallon Community Health Plan September 2011 - November 2013
Blue Cod Technologies May 2009 - August 2011
The Hanover Insurance Group December 2006 - December 2008
Hanover Insurance 1981 - December 2008
The Hanover Group 2001 - 2008
Hanover Insurance 1981 - 2008
Hanover 1981 - 2008
Allmerica Financial 1981 - 2008
Allmerica Financial 1981 - 2008
Education
University of Massachusetts, Amherst 1975 — 1979
BA, Labor Relations & Economics
CVS Caremark Corporation December 2013 - Present
Fallon Community Health Plan September 2011 - November 2013
Blue Cod Technologies May 2009 - August 2011
The Hanover Insurance Group December 2006 - December 2008
Hanover Insurance 1981 - December 2008
The Hanover Group 2001 - 2008
Hanover Insurance 1981 - 2008
Hanover 1981 - 2008
Allmerica Financial 1981 - 2008
Allmerica Financial 1981 - 2008
Education
University of Massachusetts, Amherst 1975 — 1979
BA, Labor Relations & Economics
Lisa Mancini Peare's Fallon Community Health Plan Experience May 1993 - March 2007
Job Senior Vice President, Communications and Education at Fidelity Investments
Industry Financial Services
Experience
Fidelity Investments June 2015 - Present
Fidelity Investments March 2007 - June 2015
Fallon Community Health Plan May 1993 - March 2007
Education
Salve Regina University 1992 — 1993
MS, Healthcare Management
Salve Regina University 1988 — 1992
BS, Healthcare Management
Fidelity Investments June 2015 - Present
Fidelity Investments March 2007 - June 2015
Fallon Community Health Plan May 1993 - March 2007
Education
Salve Regina University 1992 — 1993
MS, Healthcare Management
Salve Regina University 1988 — 1992
BS, Healthcare Management
David Rieck's Fallon Community Health Plan Experience 1999 - 2004
Job CFO at Give Kids The World
Industry Nonprofit Organization Management
Experience
Give Kids The World CFOMainstream Construction Group2005 - 2008
Fallon Community Health Plan 1999 - 2004
Boston Univ - School of Dental Medicine 1996 - 1999
Connecticut Community Care Inc 1981 - 1988
Education
University of Hartford
MBA, Finance
Western Michigan University
BBA, Management / Marketing
Give Kids The World CFOMainstream Construction Group2005 - 2008
Fallon Community Health Plan 1999 - 2004
Boston Univ - School of Dental Medicine 1996 - 1999
Connecticut Community Care Inc 1981 - 1988
Education
University of Hartford
MBA, Finance
Western Michigan University
BBA, Management / Marketing
Howard Corday's Fallon Community Health Plan Experience 2000 - 2005
Job Paralegal at Benson Law Group
Industry Legal Services
Experience
Benson Law Group August 2012 - Present
Law office of James A. Miller September 2009 - August 2012
Law Office of Michelle B. Carron 2006 - 2008
Fallon Community Health Plan 2000 - 2005
Skills
Press Releases, Writing, Public Relations, Legal Research
Education
Syracuse University 1968 — 1972
B.S., Communications
Northeastern University
Paralegal Certificate
Benson Law Group August 2012 - Present
Law office of James A. Miller September 2009 - August 2012
Law Office of Michelle B. Carron 2006 - 2008
Fallon Community Health Plan 2000 - 2005
Skills
Press Releases, Writing, Public Relations, Legal Research
Education
Syracuse University 1968 — 1972
B.S., Communications
Northeastern University
Paralegal Certificate
Robert P. Lemelin's Fallon Community Health Plan Experience November 2010 - March 2013
Job Experienced Business Professional
Industry Executive Office
Experience
eClinicalWorks February 2015 - Present
North East Great Dane January 2014 - February 2015
Fallon Community Health Plan November 2010 - March 2013
Finish Line June 2009 - October 2010
Eastern Professional Hockey League (EPHL), Jersey Rockhoppers September 2008 - April 2009
Hollister Company June 2008 - February 2009
New England Surge, Professional Indoor Football Inc. April 2008 - August 2008
D’Accord Goaltending Schools June 2002 - June 2008
Mid-Atlantic Hockey League (MAHL), Valley Forge Freedom September 2007 - April 2008
TD Banknorth Garden May 2006 - August 2006
Skills
Marketing, Training, Management, Sales, Time Management, Customer Service, Microsoft Office, Budgets, Microsoft Excel, Microsoft Word, Retail, Sports, Sales Management, Event Planning, Event Management, Public Speaking, Market Research, Team Leadership, Process Improvement, Business Planning, Social Networking
Education
Nichols College 2004 — 2007
BSBA, Sport Management
Saint Anselm College 2002 — 2004
Pomfret School 2001 — 2002
Pingree School 1997 — 2001
eClinicalWorks February 2015 - Present
North East Great Dane January 2014 - February 2015
Fallon Community Health Plan November 2010 - March 2013
Finish Line June 2009 - October 2010
Eastern Professional Hockey League (EPHL), Jersey Rockhoppers September 2008 - April 2009
Hollister Company June 2008 - February 2009
New England Surge, Professional Indoor Football Inc. April 2008 - August 2008
D’Accord Goaltending Schools June 2002 - June 2008
Mid-Atlantic Hockey League (MAHL), Valley Forge Freedom September 2007 - April 2008
TD Banknorth Garden May 2006 - August 2006
Skills
Marketing, Training, Management, Sales, Time Management, Customer Service, Microsoft Office, Budgets, Microsoft Excel, Microsoft Word, Retail, Sports, Sales Management, Event Planning, Event Management, Public Speaking, Market Research, Team Leadership, Process Improvement, Business Planning, Social Networking
Education
Nichols College 2004 — 2007
BSBA, Sport Management
Saint Anselm College 2002 — 2004
Pomfret School 2001 — 2002
Pingree School 1997 — 2001
Kevin Grozio's Fallon Community Health Plan Experience September 2011 - Present
Job VP, Underwriting & Actuarial at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan September 2011 - Present
ConnectiCare May 1999 - September 2011
United HealthCare 1996 - 1999
Skills
Medicare, Actuarial Science, Insurance, Underwriting, Health Insurance, Managed Care, Medicaid, Strategic Planning, Data Analysis, Reinsurance, Benefits Administration, Brokers, Claim, Employee Benefits, HIPAA, Health Care Reform, Health Policy, Life Insurance, Health Savings Accounts, Medicare Part D, Network Development, Process Improvement, Property, Provider Relations
Education
University of Hartford 1992 — 1996
BSBA, Actuarial Science
Fallon Community Health Plan September 2011 - Present
ConnectiCare May 1999 - September 2011
United HealthCare 1996 - 1999
Skills
Medicare, Actuarial Science, Insurance, Underwriting, Health Insurance, Managed Care, Medicaid, Strategic Planning, Data Analysis, Reinsurance, Benefits Administration, Brokers, Claim, Employee Benefits, HIPAA, Health Care Reform, Health Policy, Life Insurance, Health Savings Accounts, Medicare Part D, Network Development, Process Improvement, Property, Provider Relations
Education
University of Hartford 1992 — 1996
BSBA, Actuarial Science
Lucy Walsh's Fallon Community Health Plan Experience 1997 - 2001
Job Director of Finance at MIT Medical
Industry Higher Education
Experience
MIT Medical September 2013 - Present
MIT July 2006 - September 2013
UnitedHealthcare September 2002 - July 2006
United Healthcare 2002 - 2006
Fallon Community Health Plan 1997 - 2001
Skills
PPO, Health Policy, HIPAA, Healthcare, Managed Care, Healthcare Information..., Medicare, Hospitals, Strategic Planning, Healthcare Management, Public Speaking, Revenue Cycle, Health Insurance, Insurance
Education
Suffolk University - Sawyer Business School 1983 — 1987
MBS, Business Administration
Millersville University of Pennsylvania 1976 — 1980
BS, Sociology/social work
MIT Medical September 2013 - Present
MIT July 2006 - September 2013
UnitedHealthcare September 2002 - July 2006
United Healthcare 2002 - 2006
Fallon Community Health Plan 1997 - 2001
Skills
PPO, Health Policy, HIPAA, Healthcare, Managed Care, Healthcare Information..., Medicare, Hospitals, Strategic Planning, Healthcare Management, Public Speaking, Revenue Cycle, Health Insurance, Insurance
Education
Suffolk University - Sawyer Business School 1983 — 1987
MBS, Business Administration
Millersville University of Pennsylvania 1976 — 1980
BS, Sociology/social work
Patrick Fitzmaurice's Fallon Community Health Plan Experience October 2012 - December 2012
Job New to the Portland Area, looking for new opportunities
Industry Financial Services
Experience
Taxware December 2014 - April 2015
Shake Shack December 2013 - December 2014
Fallon Community Health Plan October 2012 - December 2012
Lowell Parks and Recreation Day Camp Supervisor June 2009 - August 2009
Automatic Data Processing, Inc January 2007 - January 2008
Skills
Microsoft Office, Customer Service, Microsoft Word, Microsoft Excel, PowerPoint, Food & Beverage, Cooking, Restaurants, Writing/Editing, Research, Economics, Quantitative Research, Forecasting
Education
University of Massachusetts, Amherst
BA, Economics
Taxware December 2014 - April 2015
Shake Shack December 2013 - December 2014
Fallon Community Health Plan October 2012 - December 2012
Lowell Parks and Recreation Day Camp Supervisor June 2009 - August 2009
Automatic Data Processing, Inc January 2007 - January 2008
Skills
Microsoft Office, Customer Service, Microsoft Word, Microsoft Excel, PowerPoint, Food & Beverage, Cooking, Restaurants, Writing/Editing, Research, Economics, Quantitative Research, Forecasting
Education
University of Massachusetts, Amherst
BA, Economics
Derek Broszeit's Fallon Community Health Plan Experience October 2012 - April 2014
Job Navicare Clinical Management at Fallon Health
Industry Insurance
Experience
Fallon Health April 2014 - Present
Fallon Community Health Plan October 2012 - April 2014
Fallon Community Health Plan August 2009 - October 2012
Hanover Insurance April 2004 - July 2009
Skills
Management, Vendor Management, Liability, Commercial Insurance, Healthcare, Health Insurance, Property & Casualty..., Process Improvement, Microsoft Excel, Claim, HIPAA
Education
University of Hartford 1998 — 2002
Bachelors of Arts, Mass Communications
Fallon Health April 2014 - Present
Fallon Community Health Plan October 2012 - April 2014
Fallon Community Health Plan August 2009 - October 2012
Hanover Insurance April 2004 - July 2009
Skills
Management, Vendor Management, Liability, Commercial Insurance, Healthcare, Health Insurance, Property & Casualty..., Process Improvement, Microsoft Excel, Claim, HIPAA
Education
University of Hartford 1998 — 2002
Bachelors of Arts, Mass Communications
Karissa Gokarn's Fallon Community Health Plan Experience November 2011 - June 2015
Job Registered Dietitian
Industry Hospital & Health Care
Experience
Fallon Community Health Plan November 2011 - June 2015
HealthBridge Management October 2010 - November 2011
RADIUS SPECIALTY HOSPITAL May 2010 - October 2010
Sodexo June 2008 - August 2008
Skills
Health Promotion, Public Health, Nutritional Counseling, Nutrition Education, Clinical Research
Education
Simmons College 2009 — 2010
Dietetic Internship, Nutrition
The University of Connecticut 2005 — 2009
B.S., Nutritional Sciences
Fallon Community Health Plan November 2011 - June 2015
HealthBridge Management October 2010 - November 2011
RADIUS SPECIALTY HOSPITAL May 2010 - October 2010
Sodexo June 2008 - August 2008
Skills
Health Promotion, Public Health, Nutritional Counseling, Nutrition Education, Clinical Research
Education
Simmons College 2009 — 2010
Dietetic Internship, Nutrition
The University of Connecticut 2005 — 2009
B.S., Nutritional Sciences
Amy Greeno's Fallon Community Health Plan Experience November 2010 - Present
Job Telecommunications Professional
Industry Telecommunications
Experience
Fallon Community Health Plan November 2010 - Present
Verizon December 1999 - June 2010
W.E.B. DuBois Library August 1997 - May 1998
Education
UMass Amherst 1994 — 1998
BA, Music
University of Massachusetts, Amherst 1994 — 1998
BA, Music
Fallon Community Health Plan November 2010 - Present
Verizon December 1999 - June 2010
W.E.B. DuBois Library August 1997 - May 1998
Education
UMass Amherst 1994 — 1998
BA, Music
University of Massachusetts, Amherst 1994 — 1998
BA, Music
Patrick Donahue's Fallon Community Health Plan Experience April 2008 - Present
Job Senior Director, Network Development & Contracting at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan April 2008 - Present
Caritas Christi Health Care 2001 - 2008
Harvard Pilgrim Health Care, Inc. 1995 - 2001
Health Advantage 1993 - 1996
Skills
Network Development, Managed Care, Medicare, Medicaid, Provider Relations, Healthcare, Healthcare Industry, PPO, HIPAA, Health Insurance, HMO, Credentialing, Healthcare Information..., Health Policy, Healthcare Management, Healthcare Consulting, Process Improvement, Hospitals, Insurance, Strategic Planning, Management, Leadership
Education
University of Massachusetts Dartmouth 1980 — 1985
MBA, Business Administration
University of Massachusetts Dartmouth
Fallon Community Health Plan April 2008 - Present
Caritas Christi Health Care 2001 - 2008
Harvard Pilgrim Health Care, Inc. 1995 - 2001
Health Advantage 1993 - 1996
Skills
Network Development, Managed Care, Medicare, Medicaid, Provider Relations, Healthcare, Healthcare Industry, PPO, HIPAA, Health Insurance, HMO, Credentialing, Healthcare Information..., Health Policy, Healthcare Management, Healthcare Consulting, Process Improvement, Hospitals, Insurance, Strategic Planning, Management, Leadership
Education
University of Massachusetts Dartmouth 1980 — 1985
MBA, Business Administration
University of Massachusetts Dartmouth
Paul Medeiros's Fallon Community Health Plan Experience January 2007 - June 2010
Job Provider Network Contracting Manager
Industry Insurance
Experience
Boston Medical Center HealthNet Plan 2012 - Present
Network Health November 2010 - August 2012
Fallon Community Health Plan January 2007 - June 2010
Fallon Community Health Plan April 2001 - January 2007
United Healthcare December 1993 - December 1999
RIGHA 1987 - 1990
Skills
Project Management, Healthcare, Recruiting, Health Insurance, Leadership, Analysis, Provider Relations, Medicare, Medicaid, Managed Care, Management, Insurance, Process Improvement
Education
University of Rhode Island
BS & MS, Resource Economics
Boston Medical Center HealthNet Plan 2012 - Present
Network Health November 2010 - August 2012
Fallon Community Health Plan January 2007 - June 2010
Fallon Community Health Plan April 2001 - January 2007
United Healthcare December 1993 - December 1999
RIGHA 1987 - 1990
Skills
Project Management, Healthcare, Recruiting, Health Insurance, Leadership, Analysis, Provider Relations, Medicare, Medicaid, Managed Care, Management, Insurance, Process Improvement
Education
University of Rhode Island
BS & MS, Resource Economics
Claudia Reavis's Fallon Community Health Plan Experience February 1984 - Present
Job Provider Reimbursement Analyst I at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan February 1984 - Present
FCHP 1984 - Present
Fallon Community Health Plan (FCHP) 1984 - 2014
Reliant Medical Group February 1984 - February 2003
Skills
Certified Professional..., Cetified Medical..., HIPAA, Managed Care, Healthcare Information..., Medicare, Insurance, Provider Relations, Health Insurance, Healthcare, Process Improvement, Business Analysis, Analysis, Microsoft Office
Education
Quinsigamond Community College 1974 — 1975
David Hale Fanning Trade 1968 — 1972
Fallon Community Health Plan February 1984 - Present
FCHP 1984 - Present
Fallon Community Health Plan (FCHP) 1984 - 2014
Reliant Medical Group February 1984 - February 2003
Skills
Certified Professional..., Cetified Medical..., HIPAA, Managed Care, Healthcare Information..., Medicare, Insurance, Provider Relations, Health Insurance, Healthcare, Process Improvement, Business Analysis, Analysis, Microsoft Office
Education
Quinsigamond Community College 1974 — 1975
David Hale Fanning Trade 1968 — 1972
Michael Allain's Fallon Community Health Plan Experience March 2011 - April 2013
Job Human Resources Professional
Industry Human Resources
Experience
Hannaford Bros. Co. April 2013 - Present
Fallon Community Health Plan March 2011 - April 2013
Hannaford Bros. Co. December 2010 - February 2012
Hannaford Bros. Co. April 2003 - December 2010
Skills
Kronos, PeopleSoft, Benefits Administration, HRIS, Employee Relations, Compensation, HR Policies, Outlook, Word, Excel, PowerPoint, Access, Basic, HTML, SQL, Payroll, Employee Benefits, Customer Service, Microsoft Office, Leadership, Hiring, Management
Education
University of Massachusetts Dartmouth
Bachelor of Science (B.S.), Human Resources Management
Hannaford Bros. Co. April 2013 - Present
Fallon Community Health Plan March 2011 - April 2013
Hannaford Bros. Co. December 2010 - February 2012
Hannaford Bros. Co. April 2003 - December 2010
Skills
Kronos, PeopleSoft, Benefits Administration, HRIS, Employee Relations, Compensation, HR Policies, Outlook, Word, Excel, PowerPoint, Access, Basic, HTML, SQL, Payroll, Employee Benefits, Customer Service, Microsoft Office, Leadership, Hiring, Management
Education
University of Massachusetts Dartmouth
Bachelor of Science (B.S.), Human Resources Management
Debra Pacific's Fallon Community Health Plan Experience September 1998 - March 2003
Job Data Entry Clerk at National Grid
Industry Retail
Experience
National Grid October 2012 - Present
AJ Wright August 2008 - February 2011
Fairlawn Rehab Hospital, Worcester, MA March 2003 - March 2006
Fallon Community Health Plan September 1998 - March 2003
Skills
Microsoft Word, Excel, Windows, Microsoft Excel, Access, Data Entry, Outlook, Teamwork, Microsoft Office, Time Management, PowerPoint, Customer Service, Leadership, Data Analysis
Education
Quinsigamond Community College 2011 — 2012
Medical Office Certificate, Health
Fisher Junior College 1984 — 1986
Certificate, Computer Science
National Grid October 2012 - Present
AJ Wright August 2008 - February 2011
Fairlawn Rehab Hospital, Worcester, MA March 2003 - March 2006
Fallon Community Health Plan September 1998 - March 2003
Skills
Microsoft Word, Excel, Windows, Microsoft Excel, Access, Data Entry, Outlook, Teamwork, Microsoft Office, Time Management, PowerPoint, Customer Service, Leadership, Data Analysis
Education
Quinsigamond Community College 2011 — 2012
Medical Office Certificate, Health
Fisher Junior College 1984 — 1986
Certificate, Computer Science
Stephen Kelleher's Fallon Community Health Plan Experience 2002 - 2006
Job Associate Director, Network Management at UnitedHealthcare
Industry Hospital & Health Care
Experience
UnitedHealthcare 2011 - Present
UnitedHealthcare 2010 - 2011
Partners HealthCare 2006 - 2010
Fallon Community Health Plan 2002 - 2006
Harvard Pilgrim Health Care 1996 - 2001
Skills
Provider Relations, Managed Care, Healthcare Management, Network Development, Medicaid, Medicare, Health Insurance, Contract Negotiation, Employee Benefits, HIPAA, Healthcare Consulting, Healthcare Industry, Healthcare, Healthcare Information..., Hospitals, Revenue Cycle
Education
Salve Regina University
Master of Science (MS)
Salve Regina University
Bachelor of Science (BS)
Suffolk University - Sawyer Business School
Master of Health Administration (MHA)
UnitedHealthcare 2011 - Present
UnitedHealthcare 2010 - 2011
Partners HealthCare 2006 - 2010
Fallon Community Health Plan 2002 - 2006
Harvard Pilgrim Health Care 1996 - 2001
Skills
Provider Relations, Managed Care, Healthcare Management, Network Development, Medicaid, Medicare, Health Insurance, Contract Negotiation, Employee Benefits, HIPAA, Healthcare Consulting, Healthcare Industry, Healthcare, Healthcare Information..., Hospitals, Revenue Cycle
Education
Salve Regina University
Master of Science (MS)
Salve Regina University
Bachelor of Science (BS)
Suffolk University - Sawyer Business School
Master of Health Administration (MHA)
Bill Dennett's Fallon Community Health Plan Experience February 2003 - Present
Job Manager Formulary Development at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan February 2003 - Present
Skills
Use of Access, SQL..., Formulary Development, Claims Analysis, Analysis, Formulary, Medicare Part D, Health Insurance, Process Improvement, Software Documentation
Education
The University of Connecticut
BS, Pharmacy
Fallon Community Health Plan February 2003 - Present
Skills
Use of Access, SQL..., Formulary Development, Claims Analysis, Analysis, Formulary, Medicare Part D, Health Insurance, Process Improvement, Software Documentation
Education
The University of Connecticut
BS, Pharmacy
Robert Vayo's Fallon Community Health Plan Experience September 1985 - August 2006
Job Internal Audit at Senior Whole Health
Industry Insurance
Experience
Senior Whole Health September 2012 - Present
Mass Mutual May 2007 - January 2012
Fallon Community Health Plan September 1985 - August 2006
Mass Rating Bureaus November 1982 - September 1985
Skills
Ethical Leadership, Create Audit Department, Leadership Development, Risk Assessment, Compliance, Internal Audit, Insurance, Risk Management, Internal Controls, Financial Analysis, Accounting, Sarbanes-Oxley Act, Business Process..., HIPAA, Enterprise Risk..., Analysis, Auditing, Process Improvement, Governance
Education
Nichols College 1993 — 1996
MBA, Business
Salem State College 1978 — 1983
BSBA, Accounting
Senior Whole Health September 2012 - Present
Mass Mutual May 2007 - January 2012
Fallon Community Health Plan September 1985 - August 2006
Mass Rating Bureaus November 1982 - September 1985
Skills
Ethical Leadership, Create Audit Department, Leadership Development, Risk Assessment, Compliance, Internal Audit, Insurance, Risk Management, Internal Controls, Financial Analysis, Accounting, Sarbanes-Oxley Act, Business Process..., HIPAA, Enterprise Risk..., Analysis, Auditing, Process Improvement, Governance
Education
Nichols College 1993 — 1996
MBA, Business
Salem State College 1978 — 1983
BSBA, Accounting
Sheila (Arel) Despres's Fallon Community Health Plan Experience November 2009 - Present
Job Sr Rehab Manager at Fallon Community Health Plan
Industry Medical Practice
Experience
Fallon Community Health Plan November 2009 - Present
Skills
Medicare, Case Management, Healthcare, Healthcare Management, Managed Care, Long-term Care, Home Care, Claim, Insurance, Hospitals, Elder Care, Nonprofits, Healthcare Information..., Inpatient, Claims Management, Program Development, Employee Benefits
Education
University of Massachusetts Lowell 1980 — 1984
Bachelor of Science (BS), Physical Therapy/Therapist
Fallon Community Health Plan November 2009 - Present
Skills
Medicare, Case Management, Healthcare, Healthcare Management, Managed Care, Long-term Care, Home Care, Claim, Insurance, Hospitals, Elder Care, Nonprofits, Healthcare Information..., Inpatient, Claims Management, Program Development, Employee Benefits
Education
University of Massachusetts Lowell 1980 — 1984
Bachelor of Science (BS), Physical Therapy/Therapist
Holly Wilder-Raposa's Fallon Community Health Plan Experience September 2003 - March 2006
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Saint Vincent Hospital October 2007 - October 2011
Saint Vincent Hospital July 2006 - October 2007
Fallon Community Health Plan September 2003 - March 2006
Skills
Strong verbal/written..., Ability to supervise..., Multitasker, Microsoft Office, Accessibility, trustworthy, Meditech, Medhost, MIDAS, IDX, Customer Service, Customer Satisfaction, Patient Satisfaction, Troubleshooting, Training & Development, Volunteer Management, Managed Care, Healthcare, HIPAA, Process Improvement, Hospitals
Education
University of Massachusetts Dartmouth 2001 — 2003
Bachelors Degree, English with a concentration on Journalism and Communication
Trinity College of Vermont 1998 — 2001
Saint Vincent Hospital October 2007 - October 2011
Saint Vincent Hospital July 2006 - October 2007
Fallon Community Health Plan September 2003 - March 2006
Skills
Strong verbal/written..., Ability to supervise..., Multitasker, Microsoft Office, Accessibility, trustworthy, Meditech, Medhost, MIDAS, IDX, Customer Service, Customer Satisfaction, Patient Satisfaction, Troubleshooting, Training & Development, Volunteer Management, Managed Care, Healthcare, HIPAA, Process Improvement, Hospitals
Education
University of Massachusetts Dartmouth 2001 — 2003
Bachelors Degree, English with a concentration on Journalism and Communication
Trinity College of Vermont 1998 — 2001
Andrew Brent's Fallon Community Health Plan Experience 2005 - 2011
Job Senior Product Development Specialist at ikaSystems
Industry Computer Software
Experience
ikaSystems 2011 - Present
Fallon Community Health Plan 2005 - 2011
Tufts Health Plan 1998 - 2005
Skills
Medicare, Business Analysis, Process Improvement, Insurance, Managed Care, Project Management, Strategic Planning, Microsoft Office, Healthcare, Data Analysis, Microsoft Excel, Access, Healthcare Management, Forecasting, Product Management, Cross-functional Team..., Microsoft SQL Server
Education
Stonehill College 1991 — 1995
BA, Heathcare Administration
ikaSystems 2011 - Present
Fallon Community Health Plan 2005 - 2011
Tufts Health Plan 1998 - 2005
Skills
Medicare, Business Analysis, Process Improvement, Insurance, Managed Care, Project Management, Strategic Planning, Microsoft Office, Healthcare, Data Analysis, Microsoft Excel, Access, Healthcare Management, Forecasting, Product Management, Cross-functional Team..., Microsoft SQL Server
Education
Stonehill College 1991 — 1995
BA, Heathcare Administration
Joshua McCabe's Fallon Community Health Plan Experience August 2013 - Present
Job Member Services at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan August 2013 - Present
Travelers of Massachusetts August 2008 - November 2011
Travelers of Massachusetts January 2003 - August 2008
Tatnuck Park at Worcester 2001 - 2002
Skills
Insurance, Quality Assurance, Process Improvement, Customer Service, Medicare, Medicaid, Medicare Part D, Medicaid Managed Care, Healthcare Management, Analysis, Claims Handling, Claim
Education
Quinsigamond Community College 2001 — 2002
Business Management
West Boylston High School 1998 — 2002
Fallon Community Health Plan August 2013 - Present
Travelers of Massachusetts August 2008 - November 2011
Travelers of Massachusetts January 2003 - August 2008
Tatnuck Park at Worcester 2001 - 2002
Skills
Insurance, Quality Assurance, Process Improvement, Customer Service, Medicare, Medicaid, Medicare Part D, Medicaid Managed Care, Healthcare Management, Analysis, Claims Handling, Claim
Education
Quinsigamond Community College 2001 — 2002
Business Management
West Boylston High School 1998 — 2002
Nicholas Titone's Fallon Community Health Plan Experience April 2001 - Present
Job Director of Underwriting at Fallon Community Health Plan
Industry Insurance
Experience
Fallon Community Health Plan April 2001 - Present
Sun Life Financial May 2000 - April 2001
Allmerica Financial June 1987 - November 1999
Education
University of Massachusetts, Amherst 1980 — 1984
Bachelor of Science (BS), Economics
Fallon Community Health Plan April 2001 - Present
Sun Life Financial May 2000 - April 2001
Allmerica Financial June 1987 - November 1999
Education
University of Massachusetts, Amherst 1980 — 1984
Bachelor of Science (BS), Economics
Heather Mercon's Fallon Community Health Plan Experience 2009 - 2011
Job Insurance Professional
Industry Insurance
Experience
Fallon Community Health Plan 2009 - 2011
Small Business Service Bureau July 2006 - July 2009
Education
South High Community School 1989 — 1993
Salter College-West Boylston
Salter College-West Boylston
Fallon Community Health Plan 2009 - 2011
Small Business Service Bureau July 2006 - July 2009
Education
South High Community School 1989 — 1993
Salter College-West Boylston
Salter College-West Boylston
Carolyn Ridlon's Fallon Community Health Plan Experience March 2008 - April 2010
Job Medical Biller at Edward M. Kennedy Community Health Center
Industry Hospital & Health Care
Experience
Edward M. Kennedy Community Health Center January 2013 - Present
Saint Vincent Hospital April 2010 - November 2012
Fallon Community Health Plan March 2008 - April 2010
Education
Salter College-West Boylston 2006 — 2007
Certificate in Medical Billing and Coding, Medical Billing and Coding
Edward M. Kennedy Community Health Center January 2013 - Present
Saint Vincent Hospital April 2010 - November 2012
Fallon Community Health Plan March 2008 - April 2010
Education
Salter College-West Boylston 2006 — 2007
Certificate in Medical Billing and Coding, Medical Billing and Coding
Brenda Yaffe's Fallon Community Health Plan Experience 2007 - 2010
Job Business Systems Analyst at ikaSystems
Industry Computer Software
Experience
ikaSystems November 2010 - Present
Fallon Community Health Plan 2007 - 2010
Public Sector Partners, Inc 2005 - 2007
Skills
PL/SQL, HP Quality Center, Data Mining, Systems Analysis, Systems Testing, Requirements Gathering, Software Project..., System Testing, Testing, Microsoft SQL Server, SDLC, Business Analysis, Requirements Analysis, Databases, SQL, Agile Methodologies, Software Documentation, Visio
Education
Simmons College - Simmons School of Management
Master of Business Administration (MBA), Business Administration and Management, General
University of Massachusetts, Amherst
Bachelor of Arts (BA), Education
ikaSystems November 2010 - Present
Fallon Community Health Plan 2007 - 2010
Public Sector Partners, Inc 2005 - 2007
Skills
PL/SQL, HP Quality Center, Data Mining, Systems Analysis, Systems Testing, Requirements Gathering, Software Project..., System Testing, Testing, Microsoft SQL Server, SDLC, Business Analysis, Requirements Analysis, Databases, SQL, Agile Methodologies, Software Documentation, Visio
Education
Simmons College - Simmons School of Management
Master of Business Administration (MBA), Business Administration and Management, General
University of Massachusetts, Amherst
Bachelor of Arts (BA), Education
Thao Vang's Fallon Community Health Plan Experience 2012 - 2013
Job Quality Control Manager
Industry Insurance
Experience
Fallon Community Health Plan 2012 - 2013
Senior Provider Services Representative 2012 - 2013
Reliant Medical Group 2010 - 2012
Skills
Healthcare, Microsoft Word, PowerPoint, Customer Service
Education
University of Phoenix 2007 — 2011
Bachelor of Science (BS), Business Management
Fallon Community Health Plan 2012 - 2013
Senior Provider Services Representative 2012 - 2013
Reliant Medical Group 2010 - 2012
Skills
Healthcare, Microsoft Word, PowerPoint, Customer Service
Education
University of Phoenix 2007 — 2011
Bachelor of Science (BS), Business Management
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