FCHP Company

Industry: Health insurance company

Description

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

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FCHP Employees

Employee
Years
Job
Industry
Thaddeus Iwueke Thaddeus Iwueke Worcester, Massachusetts Details
Thaddeus Iwueke's FCHP Experience March 2008 - Present
Job ID Representative at Fchp
Industry Insurance
Experience
Fchp   March 2008 - Present

Skills
Microsoft Excel, Microsoft Office, Property & Casualty..., Project Management, Insurance, Risk Management, Customer Service, Account Management, Call Centers, Strategic Planning, Process Improvement, Analysis, Change Management, Training, Team Building, Banking, Access, Financial Analysis, Data Analysis, Leadership, Business Analysis

Education
Porter and chester Institute Worcester campus   2013 — 2015
Associate of Science (A.S.), Computer Networking and Technology

Assumption College   2009 — 2011
Associate's degree, Medical Billing and Coding, Credit

Manny Huda Manny Huda Greater Boston Area Details
Manny Huda's FCHP Experience 2011 - 2012
Job Senior Software Engineer
Industry Financial Services
Experience
FCHP   2011 - 2012
Fidelity Investments  January 2004 - October 2010
Fidelity  September 1999 - January 2010
Autologic Information International   December 1997 - September 1999
The Palmer Group  January 1997 - November 1997

Skills
Unix

Education
Bard College
Bachelor of Arts, Physics

University of Massachusetts Boston
Computer Science

Aida Lako Aida Lako Northborough, Massachusetts Details
Aida Lako's FCHP Experience November 2008 - May 2012
Job Senior Contract Financial Analyst at Neighborhood Health Plan
Industry Insurance
Experience
Neighborhood Health Plan  June 2015 - Present
Neighborhood Health Plan  June 2014 - June 2015
UnitedHealth Group  May 2012 - May 2014
FCHP   November 2008 - May 2012
AIM Healthcare Services, Inc.   June 2004 - July 2007

Skills
Medicare, Process Improvement, Health Insurance, HIPAA, Insurance, Healthcare, Data Analysis, Project Management, Access, Hospitals, Healthcare Management, Analysis, Medicaid, Claim, Healthcare Information..., Managed Care, Testing, Healthcare Consulting, Healthcare Industry, Contract Management, Quality Improvement, Auditing, Quality Assurance

Education
Anna Maria College   2010 — 2011
Master of Public Administration (M.P.A.), Hospital and Health Care Facilities Administration/Management

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

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

Education
Worcester State University   1994 — 1996
Business Administration

Johnson & Wales University   1992 — 1994
Business Administration

Assumption College

Erika Gossett Erika Gossett Oshkosh, Wisconsin Area Details
Erika Gossett's FCHP Experience October 2007 - May 2010
Job Independent Information Technology and Services Professional
Industry Information Technology and Services
Experience
Gossett Consulting Services   November 2007 - Present
HTMS  2007 - Present
Security Health Plan  June 2010 - August 2011
FCHP   October 2007 - May 2010
Network Health Plan  January 1997 - November 2007

Skills
Business Analysis, Process Improvement, SDLC, Business Process..., Visio, Healthcare Information..., Requirements Analysis, Management, HIPAA, Software Documentation

Education
St. Cloud State University   1992 — 1996
Bachelor of Science, Management

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

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

Education
Bridgewater State College   1978 — 1980
Social Work

Quinsigamond Community College   1976 — 1978

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

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

Education
Anna Maria College   1982 — 1986
bfa, art

Patricia Forts Patricia Forts Greater Boston Area Details
Patricia Forts's FCHP Experience 2004 - 2008
Job Director for Innovation and Strategy, Harvard Pilgrim Health Care
Industry Insurance
Experience
Fallon Community Health Plan  July 2011 - September 2015
Fallon Community Health Plan  2008 - July 2011
FCHP   2004 - 2008

Education
College of the Holy Cross
Bachelor’s Degree, Cum Laude

Bruce McGregor Bruce McGregor Greater Boston Area Details
Bruce McGregor's FCHP Experience May 2005 - Present
Job Sales Executive at Fallon Health
Industry Insurance
Experience
FCHP   May 2005 - Present
United Healthcare  September 1997 - May 2005
Consolidated Group  February 1991 - October 1997

Skills
Health Insurance, Health Savings Accounts, Insurance, Access, Account Management, Employee Benefits, Medicare, Managed Care, Underwriting, Healthcare, Customer Service, Disability Insurance, Health Care Reform, Brokers, Provider Relations, Long-term Care, Life Insurance

Education
Nichols College
MBA, Business Management

Assumption College   1984 — 1988

Leslie Fish Leslie Fish United States Details
Leslie Fish's FCHP Experience January 1991 - Present
Job VP of Pharmacy Services at Fallon Health
Industry Medical Practice
Experience
FCHP   January 1991 - Present

Skills
Formulary design and..., Pharmacy benefit design, Medication utilization..., Drug trend analysis, Medication marketing..., Rebate contracting and..., Pharmacy benefit..., Medicare pharmacy..., Medicaid pharmacy..., Pharmacy legislative..., Pharmacy cost of care..., Medication therapy...

Education
Massachusetts College of Pharmacy and Health Sciences   1976 — 1980
RPh, pharmacy

Elizabeth Charest Elizabeth Charest Greater Boston Area Details
Elizabeth Charest's FCHP Experience 1999 - 2000
Job Second Grade Teacher
Industry Education Management
Experience
none  January 2011 - Present
RIS the paper house  2002 - 2003
FCHP   1999 - 2000
LaVigne Inc.   1990 - 1999

Education
Anna Maria College   2009 — 2011
MEd, Elementary Education

Framingham State University

Christine Laliberte Christine Laliberte Greater Boston Area Details
Christine Laliberte's FCHP Experience 2001 - Present
Job retrospective claims nurse review at FCHP
Industry Insurance
Experience
FCHP   2001 - Present
Jewish Healthcare Rehab   1998 - 2001

Skills
Clinical Research, Medical Coding, Microsoft Office, Insurance, Claim, Customer Service, Healthcare, Medicare, Managed Care, Medicaid

Education
Clark University   1981 — 1983
MHA

Seattle University   1977 — 1981
BSN, Cum Laude honors

Melody McKissick Melody McKissick Dallas/Fort Worth Area Details
Melody McKissick's FCHP Experience 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

Danette Prosser Danette Prosser Greater Boston Area Details
Danette Prosser's FCHP Experience 1999 - 2003
Job Experienced Business/Systems Analyst
Industry Information Technology and Services
Experience
McKesson Health Solutions  February 2014 - Present
Fidelity Investments  November 2011 - February 2014
Fidelity Investments  July 2010 - November 2011
Fidelity Investments  2009 - 2010
Public Sector Partners  February 2007 - October 2009
University of Massachusetts Medical School  2004 - 2007
UMass Medical School  2004 - 2007
FCHP   1999 - 2003
ExecuTrain of Worcester and RI   1996 - 1999
Fallon Clinic  1993 - 1996

Skills
SDLC, Requirements Analysis, Business Requirements, Business Analysis, SQL, Software Project..., Business Process..., Java, Databases, Systems Analysis, Database Design, Microsoft SQL Server, Visio, Software Documentation, Visual Basic, Oracle, Analysis, Software Development, Project Management, Web Services, Requirements Gathering, Testing, Process Improvement, Agile Methodologies, Business Objects, Quality Assurance, Program Management

Education
The University of South Dakota   1988 — 1990
BS, Criminal Justice, communications

Elizabeth Malko Elizabeth Malko Arlington, Virginia Details
Elizabeth Malko's FCHP Experience June 2008 - May 2013
Job Executive Vice President at Evolent Health
Industry Hospital & Health Care
Experience
Evolent Health  December 2014 - Present
Evolent Health  May 2013 - Present
FCHP   June 2008 - May 2013
WellPoint  2001 - 2008

Skills
Managed Care, Health Policy, Hospitals, Healthcare Management, Healthcare, Medicine, Medicare, Disease Management, Utilization Management, Leadership, Medicaid, Healthcare Industry, Health Insurance, Quality Improvement, Healthcare Information..., Network Development, Provider Relations, Internal Medicine, Pharmacy Benefit..., Physician Relations, Public Health, Healthcare Consulting, Clinical Research, Physicians, HIPAA, Informatics, Medical Education, Health Care Reform, EMR, HMO, EHR

Education
The University of Connecticut Health Center   1985 — 1989
MD, Medicine

The University of Connecticut Health Center   1985 — 1989
MD, Medicine

Rensselaer Polytechnic Institute   1978 — 1979
M.Eng. Env. Eng, Environmental Engineering

Rensselaer Polytechnic Institute   1974 — 1979
BS Bio; M Eng

Rensselaer Polytechnic Institute   1974 — 1978
B.S., Biology

Sowmya Karunakaran Sowmya Karunakaran Greater Boston Area Details
Sowmya Karunakaran's FCHP Experience Application DeveloperFallon Community Health Plan
Job Application Developer at FCHP
Industry Information Technology and Services
Experience
FCHP   Application DeveloperFallon Community Health Plan

Education
Bangalore University   1997 — 2001
BE, Computer Science

Worcester Polytechnic Institute

Catherine Andrade Catherine Andrade Greater Boston Area Details
Catherine Andrade's FCHP Experience 2003 - Present
Job Case Manager at FCHP
Industry Insurance
Experience
Fallon Community Health Plan  September 2003 - Present
FCHP   2003 - Present

Skills
Motivational..., Computers, Case Managment, Health Insurance, Certified Case Manager, Customer Service, Utilization Management

Education
College of Our Lady of the Elms   1980 — 1982
BSN

Fitchburg State College   1976 — 1980

Ginny Kula Ginny Kula Greater Boston Area Details
Ginny Kula's FCHP Experience 1988 - 2002
Job Director of Pharmacy MNGT at MBHP
Industry Mental Health Care
Experience
MBHP  June 2002 - Present
MBHP  June 2002 - Present
FCHP (Fallon Community Health Plan)   June 1988 - June 2002
FCHP   1988 - 2002
Becker College  September 1994 - June 2000

Skills
Disease Management, Clinical Research, Medicare Part D, Medicare, Health Policy, Healthcare Information..., HIPAA, Patient Safety, Treatment, Psychiatry, Patient Education, Quality Improvement, Medicine, Psychotherapy, Mental Health, Utilization Management, Pharmacy Benefit..., Managed Care, Pharmacy, Behavioral Health, Program Development

Education
Massachusetts College of Pharmacy and Health Sciences   1968 — 1973
BS Pharmacy, Pharmacy

Massachusetts College of Pharmacy and Health Sciences   1968 — 1973
Pharmacy

Jonathan Breed Jonathan Breed Worcester, Massachusetts Details
Jonathan Breed's FCHP Experience November 2010 - November 2013
Job Project Manager
Industry Wireless
Experience
Worad Inc   August 2014 - Present
FCHP   November 2010 - November 2013
Federal Heath Sign Co.  October 2005 - August 2007

Skills
Program Management, Software Documentation, Business Process, Project Management, Project Planning, Budgets, Account Management, Manufacturing, Customer Service, Data Analysis, Analysis, Business Process..., Lean Manufacturing, Lean Management, Lean Operations, Lean Thinking, LEED Projects

Education
Worcester State College
Bachelor's, Business Administration

Mountview

Quinsigamond Community College
Associate of Arts (AA), General Studies

Peggy McHugh Peggy McHugh Greater Boston Area Details
Peggy McHugh's FCHP Experience June 2008 - Present
Job Provider Data Auditor at FCHP
Industry Insurance
Experience
FCHP   June 2008 - Present
eClinicalWorks  August 2004 - June 2008
Data General  1981 - 1987

Skills
EHR, Healthcare, HIPAA, Software Implementation, Visio, Software Documentation, Project Management, Process Improvement, Business Analysis, Healthcare Information..., Team Building, Troubleshooting, Informatics, Health Insurance, Data Analysis, Customer Service

Education
Assumption College
Bachelor's, Liberal Science

Claudia Reavis Claudia Reavis Greater Boston Area Details
Claudia Reavis's FCHP Experience 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

Alma Sheehan Alma Sheehan Holden, Massachusetts Details
Alma Sheehan's FCHP Experience August 2009 - November 2012
Job Reimbursement Specialist at HealthDrive Corporation
Industry Insurance
Experience
HealthDrive Corporation  August 2015 - Present
Southboro Medical Group  April 2014 - May 2015
Reliant Medical Group  November 2012 - February 2014
FCHP   August 2009 - November 2012
Small Business Insurance Agency  March 2005 - October 2009

Skills
Insurance, Employee Benefits, Health Insurance, Customer Service, Microsoft Office, Microsoft Excel, Outlook, Training, Access, HIPAA

Education
Salter College-West Boylston   2005 — 2007
Certification, Legal Assistant/Paralegal, 3.9

Salter College-West Boylston   2005 — 2007
Certificate, Legal Assistant/Paralegal, 3.9

Brandi LaPLant Brandi LaPLant Sutton, Massachusetts Details
Brandi LaPLant's FCHP Experience 1999 - Present
Job Manager, Medicare Sales Operations at fallonhealth
Industry Insurance
Experience
fallonhealth   August 1999 - Present
FCHP   1999 - Present

Skills
Process Improvement, Health Insurance, Management, Insurance, Managed Care, Strategic Planning, Sales Operations, Account Management, Employee Benefits

Education
Becker College
Bachelor’s Degree, Bachelor of Science in Business Administration, Management Concentration

Jacqueline Cabral Jacqueline Cabral North Dartmouth, Massachusetts Details
Jacqueline Cabral's FCHP Experience
Job Nurse Case Manager at fchp
Industry Hospital & Health Care
Experience
fchp  

Skills
Nursing, Healthcare, Disease Management, Healthcare Management, Case Management, Hospitals, Managed Care, Customer Service, Healthcare Information..., Clinical Research, Home Care, Medicare, Mental Health, Utilization Management, HIPAA, Medicaid

Education
St Joseph School of Nursing   1995 — 1998
Registered Nursing/Registered Nurse

Bridgewater State University   1987 — 1990
Bachelor of Science (BS), Special Education and Teaching

Linda Peirce Linda Peirce Southbridge, Massachusetts Details
Linda Peirce's FCHP Experience March 1994 - May 1999
Job Office Administrator at Elm Street Congregational Church
Industry Religious Institutions
Experience
Elm Street Congregational Church   February 2000 - Present
Elm Street Congregational Church   February 2000 - Present
Brookfield Congregational Church   March 2005 - October 2010
FCHP   March 1994 - May 1999

Skills
Organized Multi-tasker, Professional attitude, Microsoft Office..., Dependable Team Player

Education
Rob Roy Academy-Worcester   1977 — 1978
Cosmotology, Cosmotologist

Quinsigamond Community Collage
Accounting

Southbridge High
GED

Katherine Tefft Katherine Tefft Leominster, Massachusetts Details
Katherine Tefft's FCHP Experience August 2007 - Present
Job RN Home Care Manager at FCHP
Industry Hospital & Health Care
Experience
FCHP   August 2007 - Present
Gentiva Health Services  March 2005 - June 2007
apple Valley Nursing home   January 2000 - July 2005

Skills
Healthcare, Hospitals, Nursing, Healthcare Management, Clinical Research, Healthcare Information..., BLS, EMR, Patient Safety, Critical Care, ACLS, Inpatient, Medicine, Pediatrics, Cpr Certified, Public Health, Treatment, HIPAA, Acute Care, Medical Terminology

Education
Mount Wachusett Community College
Associate's degree, Registered Nursing/Registered Nurse

University of Massachusetts, Amherst
Bachelor of Science (BS), Registered Nursing/Registered Nurse

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