Harvard Pilgrim Health Care
Industry: Company
DescriptionHarvard Pilgrim Health Care is a not-for-profit health services company based in the New England region of the United States. CEO: Michael Carson Headquarters: Massachusetts, United States Chief medical officer: Michael Sherman Chief information officer: Deborah A. Norton Chief legal officer: Tisa Hughes Subsidiaries: Health Plans, Inc., HPHC Holding Corporation,
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Harvard Pilgrim Health Care Employees
Harvard Pilgrim Health Care June 1982 - December 1995
Education
NYU School of Medicine
Doctor of Medicine (MD)
Syracuse University
Bachelor of Arts (B.A.)
Boston Scientific Corporation May 2006 - Present
IDX Systems Corp (Now GE Healthcare) October 1998 - April 2006
Harvard Pilgrim Health Care August 1994 - October 1998
Skills
Instructional Design, Designing online..., Designing..., Asynchronous and..., Needs Assessment, Survey writing, Project management, Vendor Management, sales training, sales management..., Instructor-led Training, Training, Project Management, Surveying, Sales Management, Needs Analysis, Technology Needs..., Designing, Cross-functional Team..., Market Development, Product Launch, Product Marketing, Medical Devices, Healthcare, Selling Skills, Product Management, E-Learning, Product Development, Management, Coaching, Sales Effectiveness, Sales, Program Management, Employee Training
Education
University of Massachusetts Boston 1994 — 1997
M.Ed., Instructional Design, 4.0 GPA
University of Bridgeport
B.S., Marketing
Harvard Pilgrim Health Care March 2015 - Present
Access Health CT 2012 - 2015
WellPoint 2011 - 2012
Aetna 2006 - 2011
Conde Nast - Parade Magazine 2004 - 2006
Dow Jones - The Wall Street Journal 2000 - 2004
Skills
Direct Marketing, Analytics, Marketing Strategy, Integrated Marketing, Managed Care, Health Insurance, Strategic Planning, Marketing Communications, Segmentation, Marketing, Digital Marketing, B2B, Advertising, Online Advertising, Competitive Analysis, Strategy, Database Marketing, Market Research, Digital Media, Customer Insight, Interactive Marketing, Marketing Research, Digital Strategy, Email Marketing, Brand Development, Direct Mail, Marketing Management, Strategic Communications, Media Planning, Relationship Marketing, Social Media, Mobile Marketing, Brand Management, Public Relations, Corporate Communications, Strategic Partnerships, Management, Leadership, Social Media Marketing, B2B Marketing, Corporate Branding, Media Relations, New Business Development, Start-ups, CRM, Copywriting, Customer Acquisition, Multi-channel Marketing, Lead Generation, Content Strategy
Education
New York University - Leonard N. Stern School of Business 2003 — 2006
MBA, Marketing/Economics
The University of Connecticut 1993 — 1998
Bachelors, Marketing
Harvard Pilgrim Health Care September 2013 - Present
Blue Cross Blue Shield of Massachusetts June 2001 - June 2012
SBC Telecom April 2000 - April 2001
United Liquors Ltd February 1996 - April 2000
Skills
Health Insurance, Health Savings Accounts, Insurance, Salesforce.com, Customer Service, Events, New Business Development, Account Management, Employee Benefits, Managed Care, Customer Satisfaction, Sales, Call Centers, Strategy, Sales Management, Strategic Planning, Sales Operations, Time Management, Customer Retention, Healthcare, Leadership, Process Improvement, Cold Calling, Team Building
Education
University of Massachusetts Boston
Bachelor of Arts, Economics
Biogen Idec December 2013 - Present
Harvard Pilgrim Health Care January 2008 - December 2013
Hypnion, Inc. March 2002 - December 2007
Education
Tufts University 1991 — 1996
Harvard Pilgrim Health Care November 2007 - Present
Blue Cross Blue Shield of Massachusetts August 2006 - October 2007
Harvard Pilgrim Health Care 2004 - 2006
CareFirst BlueCross BlueShield 2002 - 2004
Education
University of Massachusetts Boston
Harvard Pilgrim Health Care June 2012 - Present
Dana-Farber Cancer Institute June 2010 - June 2012
Dana-Farber Cancer Institute April 2008 - June 2010
Dana-Farber Cancer Institute April 2006 - April 2008
Skills
Hospital Administration, Oncology, Physician Relations, Cross-functional Team..., Healthcare, Clinical Research, Project Planning, Healthcare Management, Business Planning, HIPAA, Staff Development, Non-profits, Healthcare Information..., Project Management, Management, Leadership
Education
University of Phoenix 2008 — 2010
Master of Business Administration (M.B.A.), Business Administration and Management, General
University of Massachusetts Boston 2001 — 2004
Bachelor of Science (B.S.), Biology, General
Harvard Pilgrim Health Care February 2004 - Present
Marsh January 2000 - September 2002
United Healthcare 1992 - 1997
Education
University of Connecticut
Finance and Management Information Systems, General
University of Hartford
MBA - Accounting
Pegasystems Inc May 2009 - Present
Pegaysystems Inc April 2007 - April 2009
Patriot Healthcare November 2004 - February 2007
Pegasystems Inc February 2002 - November 2004
1mind Corp August 2000 - February 2002
Sun Life Financial August 1999 - August 2000
Blue Cross Blue Shield of NH 1998 - August 1999
Matthew Thornton Health Plan 1996 - 1998
Harvard Pilgrim Health Care 1993 - 1996
Liberty Mutual 1990 - 1993
Skills
Business Transformation, Business Process..., Process Improvement, Business Analysis, Business Strategy, Strategic Planning, New Business Development, Program Management, Project Management, Product Management, Product Development, Competitive Analysis, Team Leadership, Healthcare, Health Insurance, Pricing, Underwriting, Operations Management, Insurance, Analysis, Team Building, Management, Leadership, CRM, Start-ups, Strategy, Business Process..., Business Intelligence, SDLC, Business Process Design, Requirements Analysis, Enterprise Software, Agile Methodologies, Business Process
Education
University of Massachusetts, Amherst 1984 — 1988
Beth Israel Deaconess Medical Center October 2003 - Present
Self-employed January 1995 - October 2003
Harvard Pilgrim Health Care October 1992 - December 1994
Skills
Internal campaign..., Communications aligned..., Broad understanding of..., Expert messaging and..., Healthcare, Publications, Internal Communications, Management, Social Media, Public Relations, Copy Editing, Nonprofits, Healthcare Management, Hospitals, Newsletters, Crisis Communications
Education
University of Kansas 1978 — 1980
Bachelor of Science (BS), Journalism
MeYou Health September 2015 - Present
Harvard Pilgrim Health Care May 2013 - August 2015
Provant Health Solutions July 2007 - May 2013
Maryland Department of Health and Mental Hygiene May 2005 - July 2007
The George Washington University Center for Drug and Alcohol Eduction September 2004 - January 2005
Johns Hopkins Bloomberg School of Public Health August 2001 - June 2003
Skills
Program Implementation, Client Relationship..., Innovative Problem..., Proactivity, Program Evaluation, Data Analysis, Corporate Wellness, Strategic Planning, Wellness Industry, Clinical Data Evaluation, Customer Satisfaction, Customer Retention, Experienced Program..., Consumer Healthcare, Healthcare, Proposal Writing, Wellness, Management, CRM, Employee Wellness, Program Management, Health Policy, Leadership, Public Speaking, Strategy, Training
Education
The George Washington University School of Medicine and Health Sciences 2003 — 2005
Masters, Public Health
University of Maryland College Park 1997 — 2001
Bachelor of Arts (BA), Communications
Tufts Health Plan September 2015 - Present
athenahealth September 2014 - June 2015
Verisk Health September 2013 - July 2014
Verisk Health February 2013 - August 2013
Verisk Health July 2012 - February 2013
Harvard Pilgrim Health Care August 2011 - June 2012
Viant November 2010 - July 2011
Partners HealthCare January 2010 - October 2010
HP Masshealth September 2008 - October 2009
Nightingale September 2005 - November 2007
Skills
Software Project..., SDLC, Project Management, Agile Project Management, PMP, Program Management, Integration, Management, Business Analysis, Vendor Management, Process Improvement, Requirements Analysis, Visio, Healthcare Information..., Business Intelligence, CRM, Cloud Applications, SaaS, SFDC, Salesforce.com, Agile Methodologies, SharePoint, MS Project, Cross-functional Team..., Requirements Gathering, Salesforce.com...
Education
Nashua High 1986 — 1989
University of Massachusetts Lowell
SAS September 2014 - Present
SAS December 2010 - September 2014
SAS August 2005 - December 2010
United Family Healthcare August 2004 - July 2005
CNS Inc November 2003 - August 2004
Epsilon January 2003 - November 2003
Adheris, Inc November 1999 - December 2002
Epsilon February 1997 - November 1999
Harvard Pilgrim Health Care August 1996 - February 1997
Massachusetts National Guard December 1990 - October 1996
Skills
ETL, SAS, Python, SQL, Data Analysis, Oracle SQL, Microsoft SQL Server, Database Design, Data Warehousing, Data Management, OLAP, XML, Requirements Analysis, MySQL, MongoDB, MDX, Linux
Education
Salem State University 1987 — 1991
BS, CS; Computer Science, 3.5
University of Massachusetts at Lowell 1984 — 1985
Computer Engineering
Beverly High 1982 — 1984
H.S Diploma, General Studies
Rodan + Fields July 2015 - Present
Harvard Pilgrim Health Care February 2014 - August 2014
Harvard Pilgrim Health Care July 2013 - February 2014
Harvard Pilgrim Health Care November 2009 - July 2013
Blue Cross Blue Shield of Massachusetts March 2007 - June 2009
Blue Cross Blue Shield of Massachusetts March 2000 - June 2007
Blue Cross Blue Shield of Massachusetts March 1999 - March 2000
Skills
Managed Care, Cross-functional Team..., Program Management, Project Management, Workshop Facilitation, Healthcare, Team Leadership, Health Insurance, Insurance, Medicare, Process Improvement, Sales, Management, Strategic Planning, Analysis, Training, HIPAA, Leadership
Education
University of Massachusetts, Amherst
Pinellas County Government March 2004 - Present
Harvard Pilgrim Health Care January 1999 - January 2003
US Army April 1995 - March 1999
Skills
Teaching, Government, Teamwork, Customer Satisfaction, Policy
Education
Thomas Edison State College 2007 — 2008
B.A., Liberal Arts
Private School
Sheraton Virginia Beach Oceanfront Hotel November 2013 - Present
Nancy Rosen Events January 2000 - November 2013
Distinctive Finishes January 1993 - October 2013
Harvard Pilgrim Health Care 1992 - 2000
MCI Telecommunications 1989 - 1992
Clarke Goward Fitts Advertising 1988 - 1989
Emerson Lane Fortuna Advertising 1986 - 1988
The Brookline Citizen 1985 - 1986
Skills
Wedding Planning, Corporate Events, Weddings, Celebrations, Anniversaries, Parties, Birthdays, Event Planning, Private Events, Bar/Bat Mitzvahs, Galas, Receptions, Holidays, Event Management, Baby Showers, Social Media, Sales, Customer Service, Creative Writing, Interior Design, Faux Finish, Murals, Budgets, Advertising, Food & Beverage, Floral Design, Fundraisers, Special Event, Wall Decor, Promotions, Special Events..., Destination Events, Events Coordination, Catering, Leadership, Live Events, Coordinating Events, Entertainment, Trade Shows, Hospitality, Sponsorship, Emcee, Talent Booking, Festivals, Event Producing, Social Networking, Dinners, Time Management, Fundraising
Education
University of Maine 1981 — 1985
Bachelor of Arts (BA), Journalism/Advertising
Deering High School 1978 — 1981
Four year, Communication, Journalism, and Related Programs
Arnold Worldwide January 2008 - Present
TripAdvisor May 2007 - April 2008
Transmyt Marketing May 2007 - November 2007
Puma North America May 2007 - July 2007
Boston Public Schools August 2004 - April 2007
Harvard Pilgrim Health Care January 2000 - September 2004
Conservation Law Foundation September 1996 - February 1998
Skills
Dreamweaver, Flash, Photoshop, CSS, Facebook, Graphic Design, HTML, Illustrator, InDesign, Advertising, Final Cut Pro, Microsoft Office, Microsoft Windows, Mac OS X, iOS, Android, Twitter, YouTube, Instagram, Google Plus
Education
The New England Institute of Art 2005 — 2007
Bachelor of Science, Interactive Media Design
Executive Office Of Health and Human Services-Office Of MassHealth October 2012 - Present
Highland Health Planning June 2011 - October 2012
CeltiCare Healthplan of Massachusetts June 2009 - June 2012
Children's Hospital Boston April 2005 - October 2008
Cambridge Health Alliance September 2001 - April 2005
Cambridge Health Alliance October 1998 - September 2001
Harvard Pilgrim Health Care April 1997 - October 1998
Division of Health Care Finance and Policy September 1994 - April 1997
Skills
Healthcare, Managed Care, Hospitals, Medicaid, Policy, Analysis, Healthcare Management, Healthcare Industry, Contract Negotiation, Health Policy, Healthcare Consulting, Strategic Planning, Budgets, Program Management, Managerial Finance, Financial Analysis, Financial Reporting, Medicare, Quality Improvement, Strategy, Revenue Cycle, Data Analysis, Process Improvement, Healthcare Information..., Informatics, Software Documentation, Budgeting, Financial Management, Excel, Health, Leadership, HIPAA, Start-ups, Analytics, EHR, Finance, Team Leadership, Management, Project Management
Education
Syracuse University - Maxwell School of Citizenship and Public Affairs 1993 — 1994
MPA, Health Care & Public Finance
Syracuse University 1984 — 1988
BA, Economics/Political Science
Buckingham Browne & Nichols 1978 — 1984
HS Diploma
Red Pill Systems, Inc. July 2014 - Present
Don Estes Consulting, Inc. 1989 - Present
Cutter Consortium 1998 - Present
Business Architecture Guild 2013 - Present
USPTO - Trademark Records Management (TRM) Project August 2012 - June 2014
Federal Reserve Bank of New York November 2011 - March 2013
COBOL-IT 2009 - 2013
Raincode USA Inc. 2002 - 2013
SAIC 2006 - 2012
Harvard Pilgrim Health Care 2006 - 2007
Skills
Testing, Management Consulting, Normalization, Enterprise Architecture, Software Development, SOA, Integration, SDLC, Solution Architecture, Agile Methodologies, Requirements Analysis, Cloud Computing, Pre-sales, Strategy, Unix, Architecture, Architectures, Agile Project Management, Microsoft SQL Server, Software Design, Program Management, Enterprise Software, IT Strategy, Project Management, Data Migration, COBOL, Databases, Oracle, System Architecture, Management, Business Process Design, Software Project..., Business Intelligence, Data Warehousing, IT Management, Data Modeling, Application Architecture, Requirements Gathering
Education
MIT
SB, Physics
The University of Texas at San Antonio
M.A., Educational & Clinical Psychology
Harvard Medical School October 2012 - Present
Yale University April 2011 - October 2012
Blue Cross Blue Shield of Massachusetts January 2006 - October 2009
Harvard Vanguard Medical Associates October 2000 - July 2005
Wolf, Greenfield and Sacks May 2000 - August 2000
Harvard Pilgrim Health Care December 1995 - April 2000
City of Quincy January 1990 - December 1995
City of Quincy September 1983 - January 1990
Skills
Negotiation, Talent Management, Employee Relations, HR Policies, Labor Relations, Benefits Administration, Employment Law, Performance Management, Leadership Development, Coaching, Organizational Change, Conflict Resolution, Mentoring, Union Avoidance, Legal Compliance, HR Strategy, Personnel Management, Onboarding, Change Management, Organizational..., Employee Benefits, Succession Planning, Job Descriptions, Hiring, HRIS, Strategic HR, Career Development, Employee Engagement, Management, Organizational Design, Recruiting, Interviews, Deferred Compensation, Human Resources
Education
Syracuse University - Martin J. Whitman School of Management 1977 — 1981
BS, Personnel & Industrial Relations and Marketing
Syracuse University 1977 — 1981
B.S., Personnel & Industrial Relations, Marketing
University of Massachusetts Boston 1996 — 1998
Grad Cert, Alternative Dispute Resolution
Lockport Senior High School
Affiliated Professional Svc July 2015 - Present
Affiliated Professional Services March 2012 - July 2015
Affiliated Professional Services October 2005 - March 2012
Harvard Pilgrim Health Care September 2004 - October 2005
Harvard Pilgrim Health Care January 2001 - August 2004
Harvard Pilgrim Health Care March 1999 - January 2001
Skills
Healthcare, Billing, Customer Relations, Revenue Cycle, Contract Management, Compliance, EHR, Financial Reporting, Management, Healthcare Industry, Medicare, HIPAA, Customer Service, Health Insurance, Managed Care, Healthcare Management, Provider Relations, Practice Management, Physicians, Physician Relations, Hospitals, Invoicing
Education
AAPC 2012 — 2012
Certified Physician Practice Manager (CPPM), Health/Health Care Administration/Management
University of Massachusetts Dartmouth 1992 — 1996
BA, Sociology/Criminal Justice
HealthEdge February 2015 - Present
HealthEdge December 2012 - February 2015
HealthEdge September 2007 - December 2012
Harvard Pilgrim Health Care August 2006 - September 2007
athenahealth February 2005 - September 2006
BRG Home Improvement January 2004 - January 2006
ValueOptions January 1997 - January 2005
Blue Cross Blue Shield June 1994 - January 1997
Skills
Healthcare Consulting, Healthcare, Hands-on Training, HIPAA, Healthcare Information..., Process Improvement, Medicaid, Business Analysis, Project Management, Managed Care, Practice Management, Software Implementation, Account Management, Requirements Analysis, Health Insurance, Professional Services, Analysis, EDI, Microsoft Word, SDLC, Documentation, Medicare, Business Strategy, Customer Service, Enterprise Software, Data Analysis, Software Consulting, Strategic Consulting, Revenue Improvement, Provider Relations, Provider Contracting, Software Training, Interface Design..., Direct Sales, Web Design, Administration, Healthcare IT, Customer Relations, Mentoring, Compliance, Contract Management, Business Management, Software Development, Medicaid Managed Care, Payors, Product Management, Consulting
Education
University of Hartford 1989 — 1994
Bachelors, Insurance
Oliver Ames High School 1987 — 1989
Harvard Pilgrim Health Care September 2005 - Present
Harvard Pilgrim Health Care June 2002 - August 2005
Skills
Account Management, Health Insurance, Managed Care, Sales, Employee Benefits, Leadership, Insurance, Customer Service, Health Savings Accounts, Healthcare, Life Insurance, Sales Presentations, Underwriting
Education
University of Massachusetts Dartmouth 1998 — 2002
Bachelor of Science (B.S.), Marketing
Algonquin Regional High School 1995 — 1998
High School, General Studies
Rogers & Gray Insurance Agency August 2008 - Present
Cleary Insurance, Inc. 2007 - 2008
Tufts Health Plan 2003 - 2007
Tufts Health Plan January 2000 - September 2003
Harvard Pilgrim Health Care 1998 - 2000
Harvard Pilgrim Health Care 1996 - 1998
Network Plus 1994 - 1996
U.S. Olympic Committee 1993 - 1993
Skills
Strategic Negotiations, Building Relationships, Collaborative Problem..., Service Delivery, Strategic Communications, Responsiveness, Management, Sales
Education
The University of Georgia 1989 — 1993
Bachelor of Arts, Journalism
Norwell High School 1985 — 1989
Harvard Pilgrim Health Care June 2014 - Present
Blue Cross Blue Shield of Massachusetts December 2011 - June 2014
NaviNet February 2011 - November 2011
ACS, a Xerox Company March 2008 - February 2011
MVP Health Care June 2005 - March 2008
Skills
Requirements Analysis, Access, Analysis, Software Documentation, Requirements Gathering, Project Planning, Employee Benefits, Strategic Planning, Insurance, Business Analysis, SQL, Healthcare, Program Management, Process Improvement, Databases, Testing, Data Analysis, XML, Management, Data Warehousing, SAS
Education
The Sage Colleges - Russell Sage College 2001 — 2005
BA, Mathematics and Computer Science
Harvard Pilgrim Health Care June 2015 - Present
Donoghue, Barrett & Singal October 2011 - May 2015
Dedham District Court, The Honorable Mary Hogan Sullivan May 2011 - August 2011
Brigham and Women's Hospital May 2004 - July 2010
Skills
Legal Writing, Immunology, Westlaw, Rheumatology, Data Analysis, Research, Legal Research, Regulatory Filings, Community Outreach, Health Law, Healthcare
Education
Suffolk University Law School 2010 — 2013
JD, Health/Biomedical Law
Yeshiva University 2000 — 2004
B.A., Biology, Music
Blue Cross Blue Shield of Massachusetts August 2014 - Present
Tufts Health Plan September 2006 - July 2014
Bailit Health Purchasing 2005 - 2006
East Boston Neighborhood Health Center 2001 - 2004
Harvard Pilgrim Health Care 1995 - 1999
UnitedHealth Group 1992 - 1995
Commonwealth of Massachusetts 1985 - 1990
Simmons College 1981 - 1984
Skills
Medicare, Healthcare, Medicaid, Clinical Research, Healthcare Information..., Policy, Insurance, Physicians, Program Management, Utilization Management, Strategic Planning, Nursing, HIPAA, Disease Management, Managed Care, Healthcare Management, Communication Skills, Health Insurance, Healthcare Consulting, Health Policy
Education
Brandeis University, Heller - The Heller School for Social Policy and Management 1985 — 1988
Health Care Policy
University of Virginia 1977 — 1979
MSN, Nursing, Geriatric Nurse Practitioner
College of St. Theresa 1969 — 1973
BSN, Nursing
JLL February 2015 - Present
Jones Lang Lasalle July 2012 - December 2014
Fidelity Real Estate Company May 2011 - July 2012
Independent Consultant March 2010 - May 2011
The Walsh Company, LLC June 2010 - February 2011
Independent Consultant May 2010 - June 2010
Spaceworks Architectural Intertiors February 2009 - May 2010
Harvard Pilgrim Health Care November 2008 - February 2009
Pearson Education October 2008 - February 2009
Northeastern University June 2008 - August 2008
Skills
Scheduling, Construction Management, Change Management, Logistics, Construction, Process Scheduler, Project Planning, Facilities Management, Commercial Real Estate, Marketing, Real Estate, Strategic Planning, Customer Service, Project Management, Space planning, Management, Microsoft Office, Program Management, Contract Management, Budgets, Real Estate Development, Team Building, MS Project, Contract Negotiation, Business Development, Procurement, Team Leadership, Feasibility Studies, Operations Management, Renovation, Sustainability, Value Engineering, Corporate Real Estate
Education
University of Connecticut 1980 — 1984
BA, Art History
Staples High School
Harvard Pilgrim Health Care January 1998 - Present
Braintree Hospital 1985 - 1997
Skills
Medicare, Managed Care, Healthcare, Utilization Management, Healthcare Management, Nursing, Disease Management, Rehabilitation, Medicaid, Quality Improvement, Health Education
Education
University of Massachusetts Boston 1981 — 1985
BSN, Nursing
Harvard Pilgrim Health Care June 2014 - Present
Harvard Pilgrim Health Care April 2011 - May 2014
Harvard Pilgrim Health Care March 2008 - April 2011
Harvard Pilgrim Health Care June 2002 - March 2008
Skills
Product Management, Healthcare, Process Improvement, Managed Care, Product Development, Leadership, Program Management, Health Insurance, Cross-functional Team..., Business Analysis, Vendor Management, Analysis
Education
University of Massachusetts Boston 1975 — 1979
Bachelor of Science, Biology, Business Management
University of Rhode Island January 2015 - Present
George Washington University January 2013 - Present
American Association of Colleges of Nursing January 2013 - Present
NCQA January 2013 - Present
National Committee for Quality Assurance February 1999 - December 2012
Harvard Pilgrim Health Care February 1987 - February 1999
Morton Hospital and Medical Center 1981 - 1987
Skills
Strategic Planning, Managed Care, Health Policy, Training, Healthcare, Medicaid, Nursing, Healthcare Management, Healthcare Information..., Budgets, Nonprofits, Leadership Development, Performance Improvement, Program Development, Data Analysis, Hospitals, Public Health, Quality Improvement, Disease Management, Medicare, EHR, Healthcare Consulting, Informatics
Education
University of Rhode Island 1980 — 1982
MS, Nursing
University of Massachusetts Dartmouth 1970 — 1975
BSN, Nursing
Heartland Automotive Services, Inc. March 2014 - Present
Suffolk Construction June 2014 - August 2014
Ahold June 2013 - August 2013
Harvard Pilgrim Health Care June 2012 - September 2012
Stop & Shop February 2010 - April 2012
Education
John D. O'Bryant School of Math and Science 2006 — 2010
High School Diploma
University of Massachusetts Boston 2010 — 2014
Bachelor of Science, Business Management/Business Leadership, GPA 3.4
Boston Children’s Hospital July 2015 - Present
St. Elizabeth Healthcare September 2014 - Present
Uphams Corner Health Center November 2014 - July 2015
Harvard Pilgrim Health Care November 2012 - September 2014
Clarks October 2010 - October 2012
AlliedBarton Security Services October 2009 - August 2012
Skills
Public Speaking, Sports, Strategy, Customer Service, Sales, Coaching, English, Event Planning, Editing, Healthcare, Hospitals, Criminal Justice, Crisis Communications, Criminal Law, Criminal Investigations, Crime Prevention, Criminal Defense, Critical Thinking, Crisis Intervention, Critical Care, Leadership, Team Leadership, Leadership Development, Microsoft Word, Microsoft Office, Microsoft Excel, PowerPoint, Quality Control, Social Services, Social Skills, Time Management, Team Management, Training, Writing, Interpersonal..., Interpersonal Skills, Strategic Planning, Interpreting
Education
University of Massachusetts Boston 2009 — 2014
Bachelor of Arts (B.A.), Criminal Justice and Sociology
Harvard Pilgrim Health Care May 2015 - Present
University of Phoenix November 2013 - Present
Yale New Haven Health System April 2013 - April 2015
Rutland Regional Medical Center April 2011 - March 2013
Skills
Strategic Planning, Process Improvement, EMR, Healthcare, Team Building, Change Management, Microsoft Office, Customer Service, Troubleshooting, Leadership Development, Hospitals, EHR, Healthcare Management, Healthcare Information..., Software Documentation, Public Speaking, Leadership, HIPAA, Staff Development, Medicine, Program Management, Coaching, Physicians, Access, Research, Patient Safety, Budgets, Training, Healthcare Consulting, Management, Cerner, Informatics, Performance Improvement, CPOE, Medicare, Data Analysis
Education
The George Washington University - School of Business 2011 — 2013
Master of Business Administration (M.B.A.), Healthcare
University of Phoenix 2008 — 2011
BSHA, Health Administration/Long Term Care
Essex Community College 1994 — 1995
Certificate, Phlebotomy & Medical Laboratory Technology
Catonsville Community College 1988 — 1990
Associate in Arts, Business Administration
Harvard Pilgrim Health Care March 2012 - Present
Sentient Jet March 2008 - February 2012
Wearguard, Division of Aramark 2002 - 2008
Elcom Systems 1996 - 1999
Walker Interactive Systems 1993 - 1996
Skills
SQL, PL/SQL, C#, Analysis, Database Administration, Testing, Unix, SDLC, Operating Systems, Web Services, Visio, T-SQL, Windows 7, ASP.NET, Databases, MySQL, Web Development, Web Applications, Active Directory, .NET, ERP, HTML 5, Windows, Software Documentation, Microsoft SQL Server, Access, Data Mining, Database Design, Software Development, CSS, Oracle, Data Modeling, Business Intelligence, HTML, Scrum, Business Analysis, Data Analysis, ETL, Unix Shell Scripting, Data Warehousing, Agile Methodologies, MS Project, Microsoft Office, Software Project..., Team Leadership, SSIS, Project Management, Requirements Analysis, Integration
Education
The University of New Mexico
Harvard Pilgrim Health Care 2000 - 2008
American Red Cross 1998 - 2000
Vinfen Corporation 1990 - 1993
Skills
Psychotherapy, Group Therapy, Psychology, Public Speaking, Mental Health, Treatment, Adolescents, Crisis Intervention, Program Development, Mental Health Counseling, Social Services
Education
University of Massachusetts Boston 2012 — 2016
Master's Degree, Vocational Rehabilitation Counseling/Counselor
University of Massachusetts Boston 2008 — 2012
Bachelor of Arts (BA), Psychology
University of Massachusetts Boston 1993 — 1999
Bachelor of Arts (BA), Music
Blue Cross Blue Shield of Rhode Island January 2010 - Present
Harvard Pilgrim Health Care December 1989 - January 2010
Harvard Pilgrim Health Care 1989 - 2009
Skills
Medicaid, Managed Care, Medicare, Health Insurance, Provider Relations, HMO, Healthcare Industry, PPO, Network Development, Insurance, Hospitals, Healthcare, Healthcare Management, Health Policy, HIPAA
Education
Suffolk University - Sawyer School of Management
MBA, Business Administration
Harvard Pilgrim Health Care October 2005 - Present
Harvard Pilgrim Health Care November 1994 - October 2005
Harvard Pilgrim Health Care March 1993 - October 1994
Allied Personnel Services October 1992 - March 1993
Skills
Employee Relations, Employee Benefits, Employee Engagement, Performance Management, Talent Management, Recruiting, Deferred Compensation, Human Resources, HRIS, Succession Planning
Education
UNIVERSITY OF MASSACHUSETTS 1988 — 1992
Bachelor of Science Degree, Management
University of Massachusetts Dartmouth 1988 — 1992
Bachelor of Science, Management
EDI spread the word II January 1986 - Present
Sierra Health Care, Inc June 2014 - July 2014
HealthNow March 2014 - April 2014
Anthem, Inc. September 2013 - December 2013
Sutter Physician Services May 2012 - September 2012
Trizetto Group December 2011 - February 2012
Blue Shield of California June 2011 - October 2011
Harvard Pilgrim Health Care April 2011 - June 2011
Edifecs April 2010 - March 2011
Blue Shield December 2009 - February 2010
Skills
EDI, Business Analysis, Business Requirements, HIPAA, Healthcare Information..., Testing, Databases, Data Warehousing, User Acceptance Testing, Vendor Management, Healthcare, DB2, Quality Assurance, Integration, Analysis, Medicaid, MS Project, PMO, Requirements Gathering, Requirements Analysis, X12, Healthcare Industry, Visio, Training, Data Migration, Software Project..., COBOL, Software Documentation, Business Process, SharePoint, Systems Analysis, SQL, Software Implementation, Enterprise Architecture, Resource Management, Data Modeling, Medicaid Managed Care, IT Strategy, Solution Architecture, Test Planning, Healthcare IT
Education
University of North Texas 1975 — 1978
MBA, Management
Texas Christian University 1969 — 1973
BS, Physics major, Math minor
Kaiser Permanente April 2015 - Present
Kaiser Permanente January 2014 - Present
Meals On Wheels Atlanta June 2009 - Present
Kaiser Permanente December 2009 - December 2013
Leadership DeKalb August 2012 - June 2013
Kaiser Permanente December 2008 - December 2009
QualityTip, Inc. 2006 - November 2008
The Art Connection 2006 - 2008
Harvard Pilgrim Health Care 2003 - 2007
Tufts Health Plan 2002 - 2003
Skills
Medicare, Medicaid, Governmental Practice, Healthcare, Marketing Strategy, Market Intelligence, Health Policy, Health Insurance, Government Accounting, Budgets, Healthcare Information..., Physicians, Healthcare Management, Managed Care, Leadership, Analytics, EMR, Revenue Cycle, Business Development, HIPAA, Healthcare Industry, Management, Product Management, Strategy, Market Research, Nonprofits, Pharmacy, Business Planning, Executive Management, Healthcare Consulting, Business Process..., Public Health
Education
University of California, Berkeley 1997 — 1999
MPH, Health Policy and Management
University of California, San Francisco 1993 — 1997
PharmD, Pharmacy
University of California, Davis 1989 — 1993
BS, Biochemistry
Neighborhood Health Plan July 2015 - Present
Neighborhood Health Plan June 2014 - July 2015
Harvard Pilgrim HealthCare August 2012 - May 2014
Harvard Pilgrim Health Care April 2005 - July 2012
CVS Caremark March 2003 - March 2005
CVS Caremark Corporation January 2000 - February 2003
CVS Caremark Corporation March 1998 - December 2000
Skills
Pharmacy Benefit..., Medicare Part D, Managed Care, Healthcare Industry, Healthcare, Health Insurance, Project Management, Management, Healthcare Information..., Employee Benefits, Medicaid, Leadership, Medicare, HIPAA, Insurance, Process Improvement
Education
University of Massachusetts Lowell 1985 — 1990
BS Business Management, International Marketing
CentriHealth, Inc. May 2006 - Present
Harvard Pilgrim Health Care April 2005 - April 2006
United Health Care/Health Partners Health Plan August 2000 - March 2005
HealthTrio 2000 - 2005
Education
University of Arizona 1973 — 1975
B.S., Natural Resource Recreation
TIAA-CREF March 2013 - Present
UMass Medical School January 2013 - March 2013
Tufts Health Plan November 2011 - May 2012
ACI Worldwide March 2011 - December 2011
Tufts Health Plan November 2010 - March 2011
Partners HealthCare February 2010 - May 2010
ING October 2007 - November 2009
Harvard Pilgrim Health Care April 2006 - October 2007
MFS Investment Management November 2004 - February 2006
State Street Global Advisors February 2004 - September 2004
Skills
Project Management, Information Technology, Healthcare Information..., Business Analysis
Education
University of Florida
MS EE, Biomedical Engineering
University of Massachusetts, Amherst
BS EE
Harvard Pilgrim Health Care July 2013 - Present
Za Restaurant August 2011 - Present
Applebee's February 2012 - June 2012
Target July 2010 - January 2012
Beth Israel Deaconess Medical Center September 2008 - September 2009
Massachusetts General Hospital July 2001 - January 2008
Quest Diagnostics August 2000 - July 2001
ACE Employment Services Pvt. Ltd. November 1999 - August 2000
Remedy Intelligent Staffing March 1999 - October 1999
Skills
Time Management, Microsoft Word, Microsoft Office, Management, Customer Service, Customer Engagement, Databases, Human Resources, Research, Microsoft Excel, PowerPoint, Testing, Windows, Sales, Data Entry, Fundraising, Staff Development, Leadership, Call Centers, Community Outreach
Education
University of Massachusetts Boston 2000 — 2003
B.A., Psychology
National Urban League
Baystate Medical Center September 2010 - Present
Harvard Pilgrim Health Care September 2005 - May 2010
Harvard Medical School July 2002 - September 2005
Tufts University School of Medicine December 1992 - June 2002
Tufts Center for the Study of Drug Development November 1984 - December 1992
Skills
Process Improvement, Research, Program Management, Grants, Change Management, Team Building, Budgets, Strategic Planning, Public Speaking, Financial Analysis, Healthcare, Leadership, Negotiation, Training, Event Planning, Human Resources, Fundraising, Policy, Nonprofits, Management, Program Development, Staff Development, Customer Service, Project Management, Data Analysis
Education
The Ohio State University 1980 — 1981
M.A., Public Policy/ Political Science
University of Mass at Amherst
Bachelor of Arts, Political Science
Tufts Health Plan August 2014 - Present
Tufts Health Plan 2012 - Present
Tufts Health Plan April 2010 - October 2012
Tufts Health Plan October 2005 - April 2010
Harvard Pilgrim Health Care September 1995 - May 1997
Skills
Excel, Visio, PowerPoint, Managed Care, Health Insurance, Medicare, Healthcare, Healthcare Management, Employee Benefits, Insurance, Medicaid, HIPAA, Customer Service, Hospitals, Microsoft Office, Healthcare Information..., Process Improvement, Lotus Notes, Access, Management, Microsoft Excel, Patient Advocacy
Education
Laboreau Nursing Program at Carney Hospital 1991 — 1992
Courses towards a Bachelors degree, Nursing
UMass Boston 1986 — 1988
Courses towards Bachelor Degree
OMAM (Old Mutual Asset Management) September 2013 - Present
Atlantic Equity Solutions February 2013 - December 2014
Exemplar Companies Inc December 2012 - March 2014
Ernst & Young April 2011 - August 2012
Trombly Business Law February 2010 - January 2011
Harvard Pilgrim Health Care August 2002 - March 2010
Custom Wireless 2002 - 2002
Cabot Corporation 2000 - 2002
Grant Thornton LLP 1998 - 2000
Landa & Altsher 1994 - 1998
Skills
CPA, Attorneys, M&A analysis, SEC filings, Securities, Business Transactions, Financial Analysis, legal contract review, Healthcare Reimbursement, Microsoft Excel, Auditing, Accounting, Legal Contract Review, Internal Controls, US GAAP, GAAP
Education
Suffolk University Law School 2005 — 2009
JD, Law
Bentley University 1996 — 1998
MST, Taxation
University of Massachusetts at Amherst - Isenberg School of Management 1989 — 1993
BA, Accounting
Harvard Pilgrim Health Care October 2015 - Present
Rebound Physical Therapy October 2013 - October 2015
Harvard Pilgrim Health Care May 2012 - January 2013
Darque Tan October 2011 - January 2012
Skills
Multi Tasking, Customer Satisfaction, Organizational..., Office Management, Time Management, Telephone Skills, Administrative..., Phone Etiquette, Office Administration, Training, Teamwork, People Skills, Customer Service, Customer Experience, Microsoft Word, Filing, Employee Training, Building Relationships, Microsoft Office, Data Entry, Outlook, PowerPoint, Microsoft Excel, Spreadsheets, Administrative..., Team Leadership
Education
Union County Vocational Technical School 2004 — 2006
license, Cosmetology/Cosmetologist, General
Arthur L. Johnson High School 2001 — 2005
9-12
RxAnte, LLC July 2014 - Present
ME Senior Insurance March 2013 - Present
Northeast Community Care/ Arcadian Health Plan September 2007 - December 2012
Northeast Community Care/ Arcadian Health Plan January 2007 - September 2007
Humana July 2006 - January 2007
Maine Center for Integrated Rehabilitation December 2004 - December 2005
Seligman Data Corp 2002 - 2004
Harvard Pilgrim Health Care May 1997 - December 2001
Skills
Photoshop, Windows, HTML, Budgets, C++, C, Strategic Planning, Java, Medicare, Insurance, Health Insurance, HIPAA, Hospitals, Provider Relations, Managed Care, Medicaid, Access, Employee Benefits, Healthcare Industry, Training, Team Building, Healthcare
Education
University of Southern California 1987 — 1989
Master of Arts (M.A.), Communication Management
University of Massachusetts Boston 1977 — 1981
Bachelor's Degree, Magna Cum Laude, History/ American Studies
Stoughton High School (Massachusetts)
Diploma
Harvard Pilgrim Health Care October 2012 - Present
Self-Employed November 2011 - October 2012
Kaplan Test Prep and Admissions July 2010 - November 2011
Kaplan Test Prep and Admissions November 2007 - July 2010
Skills
SAS, Microsoft Excel, Access, Financial Analysis, Health Insurance, Higher Education, American Cuisine, Microsoft Office, Defensive Driving, VBA, Actuarial Science, Teaching, Sat, Test Preparation, American culture, Tutoring
Education
University of Massachusetts at Lowell 2009 — 2010
Master of Science (M.S.), Applied Mathematics, 3.7
University of Massachusetts at Lowell 2004 — 2009
Bachelor of Science (B.S.), Mathematical Science, 3.3
Constance Festo Lafond floral photography January 2013 - Present
Festo Lafond Art Studio April 2012 - Present
Complete Body by Connie Pilates August 2011 - Present
Skin to Soul April 2012 - January 2013
Zen Muscular Therapy & Wellness June 2011 - May 2012
HealthcareSource May 2010 - March 2011
New England Medical Insurance Agency 2008 - 2011
Harvard Pilgrim Health Care 1992 - 2008
Greater Boston Area January 1986 - January 2000
Harvard Health & Fitness, Harvard University January 1991 - January 1996
Skills
Sales, Marketing, Strength Training, Conducting Interviews, Fitness, Public Relations, Customer Service, Coaching, Teaching, Facebook, Stretching, Healthcare, Account Management, Pilates, Core Strength, Watercolor, Salesforce.com, Fitness Training, Selling, Personal Training, Sales Management
Education
Alexander Technique 2011 2011 — 2015
Pilates Method Alliance 2011 — 2011
Mat Certified, pilates
Boston Repertory Ballet
Ballet
Institute of Contemporary Dance
Kenesiology, Luigi Technique, Jazz
University of Connecticut
Fine Arts, Sociology
PharMerica January 2010 - Present
PharMerica November 2002 - December 2009
Harvard Pilgrim Health Care July 1998 - January 2000
Skills
Operations Management, Strategic Planning, Customer Service, Team Building, Business Process..., Analysis, Training & Development, Software Documentation, Training, Hospitals, Human Resources, New Business Development, Employee Training, Recruiting, Contract Negotiation, Healthcare, Change Management, Project Planning, Cross-functional Team..., Leadership, Business Process, Call Centers, Vendor Management, Business Analysis, Budgets, Program Management, Management, Executive Management, Project Management, CRM, Forecasting, Data Analysis, Strategy, Account Management, Team Leadership, Performance Management
Education
University of Florida 1996 — 1998
MBA
University of Mass
BA, Economics
Harvard Pilgrim Health Care February 2013 - Present
Harvard Pilgrim Health Care August 1998 - January 2013
Harvard Pilgrim Health Care 1997 - 1998
Harvard Pilgrim Health Care 1990 - 1997
Skills
Healthcare, Health Insurance, Compliance, Managed Care, Nursing, Provider Relations, Medicaid, Medicare, Healthcare Management, HIPAA, Utilization Management, Hospitals, Health Policy, Program Development, Patient Safety, Insurance, Case Managment, Employee Benefits, Analysis, Home Care, Health Promotion, Healthcare Consulting, Physician Relations, EHR, Informatics, Policy, Proposal Writing, Software Documentation, Medicine, Quality Improvement, Program Management, Physicians, EMR, Accreditation, Program Evaluation, Process Improvement, Training, Management, Performance Improvement, Public Health, Healthcare Industry, Revenue Cycle, Health Education, Wellness, Community Health, Network Development, Credentialing, NCQA, HEDIS, Quality Management
Education
University of Massachusetts Lowell 1973 — 1978
BSN, Nursing
Harvard Pilgrim Health Care January 2014 - Present
University of Massachusetts Amherst September 2011 - Present
Malcolm X Cultural Center January 2011 - April 2013
University of Massachusetts Amherst 2010 - 2012
University of Massachusetts Amherst March 2011 - August 2011
Verizon Corporation August 2010 - January 2011
Abercrombie & Fitch January 2007 - January 2011
Microsoft March 2010 - May 2010
Skills
Microsoft Office, Excel, Word, PowerPoint, Photoshop, Event Planning, Event Management, Event Marketing, Public Speaking, Keynote, Team Leadership, Mentoring, Microsoft Excel, Social Networking, Facebook, Microsoft Word
Education
University of Massachusetts, Amherst 2009 — 2013
Biology & Psychology Specializing Neuroscience, 3.4
SPH Analytics (formerly The Myers Group) July 2004 - Present
Harvard Pilgrim Health Care June 1992 - September 2004
Skills
Managed Care, Strategic Planning, Marketing, Business Development, Survey Research, Product Development, Marketing Strategy, Market Research, HEDIS, Market Analysis, Project Management, Marketing Communications, NCQA, Health Policy, Quantitative Research, Healthcare Consulting, Medicare, Data Analysis, Disease Management, Healthcare, Medicaid, Healthcare Industry, Marketing Research
Education
University of Massachusetts Boston
McCrea's Candies July 2013 - Present
Viridian Energy May 2012 - Present
Sustainable Life Solutions October 2009 - April 2011
Mary Kay Cosmetics January 2002 - June 2009
Harvard Pilgrim Health Care 1995 - 2000
Caritas Norwood Hospital 1993 - 1995
Skills
Customer Retention, Direct Marketing, Software Documentation, Teamwork, Volunteer Management, Data Entry, Environmental Consulting, Credentialing, Social Media Marketing, Leadership, Team Building, Small Business, Team Leadership, Management, Social Networking, Training, Fundraising
Education
University of Massachusetts, Amherst 1989 — 1993
BA, Art History, Psychology
General Dynamics Mission Systems June 2015 - Present
Next Step Living January 2015 - May 2015
Diman Regional Vocational Technical High School November 2014 - May 2015
Fall River Public Schools September 2014 - January 2015
MIET Healhcare May 2014 - November 2014
The Society for Human Advancement Through Rehabilitation Engineering September 2013 - May 2014
UMass Dartmouth October 2009 - May 2014
UMass Dartmouth August 2013 - August 2013
UMass Dartmouth August 2012 - August 2012
Harvard Pilgrim Health Care September 2006 - May 2009
Skills
C++, Programming, C, Microsoft Office, Data Analysis, Teamwork, SQL, Linux, Solidworks, PowerPoint, Matlab, C#, HTML 5, PHP, Unix, CSS, XML, XSLT, Visual Studio, Databases, VHDL, Xilinx ISE, Assembly Language, Microsoft Excel, Microsoft Word, English, Spanish, Multisim, Soldering, Accounts Payable, Accounts Receivable, HTML, SolidWorks
Education
University of Massachusetts Dartmouth 2009 — 2014
Bachelor of Science (B.S.), Computer Engineering
North Cambridge Catholic High School 2005 — 2009
High School, Student Work Study Program
Beacon Health Strategies January 2014 - Present
Trigyn Technologies August 2011 - January 2014
LoadSpring Solutions, Inc. July 2010 - May 2011
TSD May 2009 - July 2010
Next Jump February 2005 - May 2009
Deloitte January 2001 - February 2005
Level 3 Communications May 1999 - January 2001
Harvard Pilgrim Health Care 1997 - 1999
Skills
Windows, Network Administration, Vendor, Servers, Operating Systems, Switches, Firewalls, Troubleshooting, ASA, Computer Hardware, Cisco, Hardware, DNS, System Administration, Active Directory, Microsoft Office, Laptops, HP, TCP/IP, VMware, DHCP, Network Security, Workstations, SAN, Windows Server, High Availability, Disaster Recovery, VMware ESX, Windows Server 2003, XP, Virtualization, Data Center, Citrix, Security, Windows Server 2008, Backup Exec, IIS, ITIL, Cloud Computing, Antivirus, SQL Server, Blackberry Enterprise..., Desktop Support, Windows 7, vSphere, IT Operations, Server Architecture, Software Installation, IT Management, Storage
Education
University of Massachusetts Dartmouth 1993 — 1997
Bachelors, Business Management, Business Information Systems
Bishop Connolly High School 1989 — 1993
High School
Harvard Pilgrim Health Care July 2009 - September 2013
Building#19 Corporation April 2008 - January 2009
The Pohly Company September 2007 - April 2008
Foreign Motors West May 2005 - January 2007
Skills
Advertising, Newsletters, Brochures, New Business Development, Public Relations, Online Advertising, Creative Direction, Photoshop, PowerPoint, Microsoft Office, Facebook, Social Media, Research, Customer Service, Social Media Marketing, Microsoft Word, Microsoft Excel, Copywriting, Sales, Time Management, Online Marketing, Social Networking, Marketing Communications, Marketing, Market Research, Leadership, E-commerce, Management, Team Building
Education
Suffolk University 2004 — 2008
Bachelor's of Science (BS), Advertising
University of Massachusetts Dartmouth 2001 — 2003
The Bromfield School 1997 — 2001
Harvard Pilgrim Health Care 2014 - Present
Qualidigm 1999 - 2015
Hypertension Practice, Yale-New Haven Hospital 1998 - 2013
Qualidigm 1992 - 1999
VA - Connecticut Health System 1996 - 1997
Primary Care Group 1993 - 1996
St. Mary's Hospital 1990 - 1993
University of Connecticut School of Medicine 1988 - 1990
Skills
Healthcare Quality..., Applied Health Services..., Healthcare..., Non-profit..., Healthcare Management, Healthcare, Healthcare Consulting, Healthcare improvement, Hospitals, Public Speaking, EHR, Medicine, Clinical Research, Physicians, EMR, Quality Improvement, Healthcare Information..., Patient Safety, Disease Management, Public Health, Utilization Management, Health Policy, Primary Care
Education
University of Connecticut Graduate School 1987 — 1992
Master of Public Health (M.P.H.), Public Health
The University of Connecticut School of Medicine 1980 — 1984
Doctor of Medicine (M.D.), Medicine
The University of Connecticut 1975 — 1979
Bachelor of Science (B.S.), Biology
Maine Insurance Benefits Group January 2014 - Present
Maine Community Health Options September 2013 - Present
Anthem March 2014 - Present
Harvard Pilgrim Health Care June 2011 - Present
Aetna January 2012 - Present
UnitedHealthcare September 2011 - Present
Assurant December 2013 - Present
Washington National Insurance Company February 2014 - Present
Mutual of Omaha 2014 - Present
Assurity Life January 2014 - Present
Skills
Medicare, Health Insurance, Supplemental Insurance, Life Insurance, Disability Insurance, Vision Insurance, Dental Insurance, Insurance, Long Term Care Insurance, Term Life Insurance, Time Management, Close Attention to..., Whole Life, Dentistry, Dependable Team Player, Customer Retention, Highly motivated..., Customer Service
Education
University of Maine at Machias 1991 — 1996
BS, Accounting
Belfast Area High School 1986 — 1990
Atrius Health March 2012 - Present
Harvard Pilgrim 2010 - March 2012
Harvard Pilgrim Health Care 2008 - 2010
Harvard Pilgrim Health Care 2005 - 2007
Harvard Pilgrim Health Care 2003 - 2005
Harvard Pilgrim Health Care 2001 - 2003
Harvard Pilgrim Health Care 1995 - 2001
Appalachian Mountain Club 1990 - 1995
Skills
Medicare, Healthcare, Business Strategy, Competitive Analysis, Leadership, Process Improvement, Health Insurance, Insurance, Healthcare Information..., Managed Care, Medicaid, Healthcare Industry, Health Policy, Healthcare Consulting
Education
Boston University, MBA 1993 — 1995
MBA, HealthCare
University of California, Berkeley 1984 — 1987
BA, Economics, Business, Political Science
CVS Caremark Corporation February 2014 - Present
Harvard Pilgrim Health Care June 2015 - September 2015
Fluent Grp August 2013 - May 2014
UMass Boston Student Government May 2012 - May 2014
Macy's September 2012 - November 2013
Blue Cross Blue Shield of Massachusetts July 2010 - September 2011
Skills
Microsoft Office, Research, PowerPoint, Microsoft Excel, Customer Service, Computer Maintenance, Art, Microsoft WIndows, OneNote, OneDrive, Data Entry, Time Management, Program Management, Public Speaking, Recruiting, Event Planning, Microsoft Word, Leadership, Teamwork, Fundraising, Social Networking, Social Media
Education
UMass Boston 2011 — 2016
Bachelor of Science / Bachelor of Arts, Information Technology & Arts
Brighton High School 2010 — 2011
AP Calculus, AP Chemistry, Eng Honors 2, Physics Honors
Harvard Pilgrim Health Care October 2013 - Present
State Street September 1998 - August 2005
Paul Arpin Van Lines February 1998 - September 1998
Compass Bank September 1995 - February 1998
Skills
Employment Law, Human Resources, Employee Relations, New Hire Orientations
Education
University of Massachusetts Dartmouth 1991 — 1995
B.S., Human Resources
JS Consulting July 2010 - Present
Blue Cross Blue Shield of Massachusetts January 2006 - December 2009
Harvard Pilgrim Health Care March 2003 - December 2005
Price Waterhouse Coopers June 1999 - March 2003
Skills
Actuarial Science, Health Insurance, Financial Analysis, Insurance, Employee Benefits, Health Care Reform, Analytics, Finance, Analysis, Pricing, Management Consulting, Managerial Finance, Financial Risk, Management, Auditing, Process Improvement, Risk Management, Healthcare
Education
Tufts University 1995 — 1999
BS, Mathematics & Economics
Chelmsford High School
State of Massachusetts March 2015 - Present
Harvard Pilgrim Health Care March 2014 - March 2015
Blue Cross Blue Shield of Michigan January 2012 - March 2014
Skills
Quality Assurance, SDLC, Requirements Analysis, Requirements Gathering, Business Planning, Cross-functional Team..., Project Management, Change Management, RFQ Development, Mainframe Testing, SQL, Analysis, User Acceptance Testing, W3C Accessibility, Test Automation, Manual Testing, Training Manuals, Risk Management, Vendor Management, Team Leadership, Business Process..., Agile & Waterfall..., Data Analysis, Microsoft Office, Microsoft Project, Defect Life Cycle, HIX/IES
Education
Sreenidhi Institute of Science & Technology
Bachelor's degree, Biotechnology
The University of Texas at Arlington
Master's degree, Health/Health Care Administration/Management
Connect Again (The WJW Group) March 2013 - Present
Podcast - Mighty Married Moms January 2012 - Present
Web Strategy NOW April 2013 - June 2015
Inflexxion August 2012 - March 2013
Tufts University October 2010 - April 2012
Tufts University, School of Medicine September 2010 - April 2012
Academic Clinical Placement Programs July 2002 - October 2010
Harvard Pilgrim Health Care January 1997 - January 1998
Skills
Wellness Coaching, Education, Wellness, Presenter, Program Development, Lasting Relationships, Organizational Learning, Experiential Learning
Education
Northeastern University 2005 — 2007
Master of Education, MEd/Adult and Organizational Learning concentration
Sales Dominance
University of Massachusetts Boston
Bachelor of Science, Nursing
University of Massachusetts, North Adams
Liberal Arts
NewYork-Presbyterian Hospital April 2004 - Present
Sickle Cell Disease Association of America,Philadelphia/Delaware Valley Chapter 2002 - 2004
Deloitte 2000 - 2001
Harvard Pilgrim Health Care 1998 - 2000
Harvard Pilgrim Health Care 1995 - 1998
Harvard Pilgrim Health Care 1994 - 1995
St. Christopher's Hospital for Children 1993 - 1993
Skills
Healthcare, Grants Management, Project Management, Fundraising, Academic Medical Centers, Leadership, Management, Strategic Planning, Program Management, Research, Nonprofits, Budgets, Team Building, Analysis, Healthcare Information..., Project Planning, Data Analysis, Public Health, Hospitals, Healthcare Management, Grants, Program Development, Public Speaking, Program Evaluation, Process Improvement, Clinical Research, Financial Analysis
Education
Temple University - Fox School of Business and Management 1992 — 1994
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Temple University - Fox School of Business and Management
Bachelor’s Degree, International Business/Business Law
Cigna July 2008 - Present
Law Firm of Michael A. Lockaby June 2007 - July 2008
Wellpoint, Inc. July 2006 - June 2007
UnitedHealth Group May 2005 - June 2006
Regional Water Authority July 2003 - May 2005
Law Office of Shelby L. Leek June 2000 - May 2005
Gale Group February 2001 - May 2002
Event Zero July 2000 - November 2000
Harvard Pilgrim Health Care February 1992 - November 1999
Polaroid April 1987 - August 1990
Skills
SDLC, Project Planning, Cross-functional Team..., Training, Risk Management, Vendor Management, Process Improvement, Project Management, Program Management, Change Management, Project Portfolio..., Software Project..., Resource Management
Education
Suffolk University Law School
Juris Doctor (J.D.), Law
University of Hartford
Master of Business Administration (M.B.A.), Business Administration
University of Norh Carolina at Charlotte
HDMS March 2008 - Present
HDMS September 2004 - March 2008
Partners Community Healthcare Inc 2003 - August 2004
Private Healthcare Systems 2002 - 2003
W3Health 2000 - 2002
Harvard Pilgrim Health Care 1998 - 2000
Skills
Healthcare Information..., Informatics
Education
University of Massachusetts Lowell 1996 — 1998
MS, Hleath Service Administration
Taipei Medical University 1991 — 1995
BS, Nursing
Broadway Asia 2010 - Present
Niko Entertainment 2009 - 2010
UnitedHealth Group 2002 - 2008
Horizon Blue Cross Blue Shield of New Jersey 2001 - 2002
Concentra Managed Care 1998 - 2001
Fortis Healthcare 1997 - 1998
Harvard Pilgrim Health Care 1994 - 1997
Skills
Network Development, Provider Relations, Managed Care, Medicaid, HMO, Healthcare, PPO, Medicare, Health Insurance, Insurance, Hospitals, Healthcare Management, HIPAA, Change Management, Team Building, Strategic Planning, Contract Negotiation, Broadway, Entertainment Industry, Management, Analysis, Sales
Education
Harvard School of Public Health 1998 — 1998
Completed Training in Negotiation and Conflict Resolution
Tufts University 1986 — 1990
Bachelor of Science (BS), Psychology
The Conference Board 2003 - Present
FM Global February 1998 - Present
Toastmasters FM Global Glossophobes Club July 2011 - June 2012
Harvard Pilgrim Health Care May 1991 - February 1998
Pugh Roberts Associates (Subsidiary of PA Consulting) March 1988 - May 1991
Abt Associates 1987 - 1987
Skills
Competitive Intelligence, Market Research, Economics, Strategic Planning..., Strategic Planning, Quantitative Analytics, Focus Groups, Marketing Research, Analytics, Competitive Analysis, Product Development, Cross-functional Team..., Data Analysis, PowerPoint, International Business, Product Marketing, Consumer Behaviour, Team Leadership, Online Research, Strategic Consulting, Business Planning, Questionnaire Design, Marketing Strategy, Strategy, Project Management, Marketing Management, Business Strategy, Qualitative Research, Insurance, Quantitative Research, Business Development, Management Consulting, Statistics, Financial Analysis, Analysis, Management, Business Analysis, Market Intelligence, Customer Insight, Risk Management, Business Intelligence, Research, Market Analysis, Marketing, Forecasting, Financial Modeling, New Business Development, Strategic Thinking, Leadership, Product Management
Education
The London School of Economics and Political Science (LSE) 1985 — 1986
M.Sc., Economics
University of Essex 1982 — 1985
B.A., Economics
Harvard University Health Services March 2000 - Present
Harvard Pilgrim Health Care March 1989 - November 1999
Education
University of California, Berkeley 1971 — 1972
MPH, Health planning and administration
The University of Chicago 1963 — 1967
BA, Political Science
SUNRx, subsidiary of MedImpact Healthcare Systems, Inc. April 2015 - Present
SUNRx; Subsidiary of MedImpact Healthcare Systems, Inc. November 2012 - Present
MedImpact Healthcare Systems, Inc. 2008 - November 2012
San Diego Hospice and The Institute for Palliative Medicine 2006 - 2008
Sharp HealthCare 2001 - 2006
CliniComp, Intl. 2000 - 2001
Professional Staff Management 1999 - 2000
Harvard Pilgrim Health Care 1987 - 1997
Pilgrim Health Care 1993 - 1995
Pilgrim Health Care 1987 - 1993
Skills
Pharmacy Benefit..., Healthcare, Healthcare Management, Managed Care, Strategy, Sales Operations, Strategic Planning, Marketing, Leadership, Sales, Marketing Strategy, Account Management, Mergers & Acquisitions, Medicaid Managed Care, Hospitals, Medicare Part D, Product Development, Medicaid, HIPAA, Recruiting, Utilization Management, Selling, Business Planning, Business Development, Fundraising, Budgets, Project Management, Healthcare Information..., Sales Management, Health Insurance, Healthcare Consulting, Medicare, Performance Management, 340B, Pharmacy, Pharmaceutical Industry, Healthcare Industry, Disease Management, Program Management, Employee Benefits, Health Policy, Pharmacy Automation, Cross-functional Team..., Insurance, Process Improvement, Team Building
Education
University of Massachusetts Dartmouth 1978 — 1983
Bachelor of Arts (B.A.), Industrial and Organizational Psychology
Holy Family High School
at home July 2013 - Present
American Express Centurion Bank February 2011 - July 2013
American Express August 1999 - February 2011
Advanced Programming Resources June 1997 - August 1999
Harvard Pilgrim Health Care November 1991 - May 1997
Lockheed Martin May 1977 - March 1991
John Hancock February 1972 - May 1977
Skills
Excel, Analytics, Data Warehousing, Information Management, SAS, Risk Management, Data Mining, Data Analysis, Credit Risk, SQL, MIS, SAS/SQL, Credit Cards, SAS programming, Business Analytics, Statistics, Credit
Education
University of Massachusetts Lowell 1993 — 1997
MS (incomplete), Health Services Administration
University of Massachusetts Lowell 1965 — 1969
BS, Industrial Management
Perot Systems Coordinated Services LeadPerot System2005 - Present
Harvard Pilgrim Health Care 2005 - Present
american Digital 1987 - 1992
Education
University of Massachusetts Dartmouth 1978 — 1980
Biogen idec network engineerharvard pilgrim health care1996 - 2000
Harvard Pilgrim Health Care 1996 - 2000
Harvard Pilgrim Health Care 1996 - 2000
Education
University of Massachusetts Lowell 1981 — 1983
GTE Sylvania Technical School 1981 — 1982
Certificate, Computers
Scripps Health October 2013 - Present
Avation Health November 2012 - November 2013
Sharp HealthCare October 2012 - November 2013
Concerro, an API Healthcare Company July 2011 - September 2012
Independent Consulting October 2010 - June 2011
WebMD July 2000 - October 2010
Harvard Pilgrim Health Care July 1987 - December 1999
Skills
Contract Negotiation, Project Management, Healthcare Management, Account Management, Quality Improvement, Infection Control, Process Improvement, Team Building, Healthcare Information..., Strategic Planning, Healthcare, Strategic Partnerships, Decision Support, New Business Development, Hospitals, Program Management
Education
University of California, Los Angeles - School of Public Health
MPH, Population Health/International Health
California State University San Diego
BS, Nursing
Consulting Healthcare Analyst June 2011 - Present
Spiritual Eats January 2011 - Present
Harvard Pilgrim Health Care January 2005 - December 2009
Brigham and Women's Hospital April 2001 - December 2004
Tufts Health Plan May 1998 - April 2001
U.S. Census Bureau February 1997 - May 1998
Skills
Healthcare, Public Health, Healthcare Management, Healthcare Information..., Managed Care, Research, Clinical Data Management, Presentations, Oral & Written..., Data Analysis, Community Outreach, Public Speaking, Clinical Research
Education
UMass Boston 1999 — 2001
Masters Degree, Survey Research and Design
University of Connecticut
Bachelor of Applied Science (B.A.Sc.), Actuarial Science/Mathematics
Institute for Integrative Nutrition 2011 — 2012
Certification, Holistic Nutrition
Newton-Wellesley Hospital May 2015 - Present
Steward Health Care - Carney Hospital December 2014 - March 2015
Massachusetts Eye and Ear Infirmary May 2011 - December 2014
Massachusetts Eye and Ear Infirmary June 2010 - May 2011
Massachusetts Eye and Ear Infirmary November 2008 - June 2010
Dana-Farber Cancer Institute August 2004 - January 2008
Promotion Marketing Association November 2002 - July 2003
Harvard Pilgrim Health Care March 1997 - June 2001
Skills
Patient Relations, Office Management, Customer Relations, Database Management, Community Outreach, Vendor Relations, Inventory Management, Staff Supervision, Donor Recognition, Donor Management, Public Speaking, Program Management, Program Development, Educational Outreach, Senior Services, Elder Services, HIPAA, IDX, Centricity, Appointment Scheduling, Computer Software..., Front Office, Software Implementation, Health Insurance, Member Retention, Donor Rercruitment, Member Recruitment, Customer Service, ADI, Ultipro, Recruiting, Database Admin, GE CENTRICITY, McKesson Business..., Leadership, EMR, EHR, Revenue Cycle, Healthcare Management, Meditech
Education
UMass Lowell 2013 — 2015
Master of Science (MS), Health Informatics & Management, 3.94
University of Massachusetts Boston 1998 — 2002
BA, Theatre Arts/Communication Studies
Professional Staffing Group August 2008 - Present
Bella Pallina June 2005 - Present
Harvard Pilgrim Health Care August 2000 - June 2004
Harvard Pilgrim Health Care October 1997 - July 2000
Harvard Pilgrim Health Care January 1995 - September 1997
Harvard Community Health Plan July 1993 - December 1994
Skills
Project Management, Business Analysis, Business Process..., Customer Service, Procedure Manuals, Budget Setting, Budget Management, Supervisory Skills, Document Drafting, PowerPoint, Microsoft Office, Research, Microsoft Word, Microsoft Excel, Contract Management, Contract Negotiation, Contractors
Education
University of Massachusetts Boston
Bachelor’s Degree, Psychology
Blue Cross Blue Shield of Massachusetts Foundation May 2013 - Present
Blue Cross & Blue Shield of Massachusetts 2007 - May 2013
Urban Medical Group 2005 - 2009
Audrey Shelto Consulting Services 2003 - 2007
Neighborhood Health Plan 1995 - 2001
Harvard Pilgrim Health Care 1990 - 1992
Massachusetts Department of Mental Health 1987 - 1990
Skills
Managed Care, Medicaid, Healthcare, Health Policy, Medicare, Health Insurance, Healthcare Consulting, HIPAA, Process Improvement, Wellness, Disease Management, Policy, Healthcare Information..., Healthcare Industry, Healthcare Management, Team Leadership, Program Management, Quality Improvement, Utilization Management, Change Management
Education
Brandeis University, Heller - The Heller School for Social Policy and Management 1980 — 1982
Masters
The University of Connecticut 1973 — 1977
Bachelor of Arts (B.A.), Psychology
Suffolk University, Sawyer Business School 1995 - Present
Suffolk University 1993 - Present
Suffolk Univeristy 1991 - Present
Brandeis University 1992 - 1993
Harvard Pilgrim Health Care 1984 - 1992
United Counseling Service 1973 - 1979
Skills
Policy, Grants, Health Policy, Mental Health, Program Management, Healthcare Management, Political Campaigns, Teaching, Research, Public Speaking, Leadership, Higher Education, Public Policy, Training, Workshop Facilitation, Community Outreach, Program Development, Program Evaluation
Education
The George Washington University 1979 — 1983
DPA, Public administration and health administration
The University of Chicago 1971 — 1973
MA in Social Service Administration, Social work, group work, community organizing
Williams College 1967 — 1971
BA, Political Science
Plymouth Rock Assurance September 2009 - Present
Harvard Pilgrim Health Care 2011 - 2011
Harvard Pilgrim Health Care 2011 - 2011
Fidelity Investments August 2006 - October 2009
Wellington Management 2005 - 2006
ACI Worldwide 1999 - 2003
Fidelity Investments October 1997 - September 1999
Skills
Java Enterprise Edition, Spring
Education
University of Detroit Mercy 1994 — 1996
Master's, management
University of Mysore
University of Rochester Medical Center 1990 - Present
Harvard Pilgrim Health Care 1984 - 1990
Skills
Obstetrics, Epidemiology, OB/GYN, Public Health, Pregnancy, Gynecology
Education
University of Rochester 1997 — 2001
Master of Public Health (M.P.H.), Epidemiology/Biostatistics
University of California, Los Angeles 1976 — 1980
Doctor of Medicine (MD)
University of California, San Diego 1972 — 1976
Bachelor's degree, Biology
Atlantis Sports Club & Spa July 2013 - Present
Commonwealth of Massachusetts January 2009 - July 2013
Stepstone Mortgage Company January 2003 - December 2007
The Gillette Company 1994 - 1999
Harvard Pilgrim Health Care 1989 - 1992
Fidelity Investments 1985 - 1989
Education
Salem State College 1992 — 1993
Teacher Certification Program, Secondary Education Certification; History
University of Massachusetts Boston 1981 — 1984
B.A., History
Takeda Oncology April 2015 - Present
Sanofi September 2005 - March 2015
Genzyme November 2007 - April 2011
Genzyme September 2006 - November 2007
The Gillette Company, a division of Procter & Gamble February 2000 - September 2005
Boston Scientific February 1999 - February 2000
Harvard Pilgrim Health Care April 1996 - February 1999
Skills
Oncology, Biotechnology, Medical Devices, Cross-functional Team..., Process Improvement, Administartion, Coordinating Events, Onboarding, Purchasing Negotiation, SharePoint, Administrative..., Leadership, Training, Accounting, Administration, Management, PeopleSoft, Software Documentation, Clinical Development, Administrative..., Sales
Education
Harvard University - Extension School 2005 — 2010
Graduate Certificate, Management
University of Massachusetts at Lowell 1987 — 1992
Bachelor of Science in Business Administration, Business Administration
Wheelock College August 2012 - Present
Wheelock College March 2012 - August 2012
Connected Beginnings Training Institute April 2011 - March 2012
Massachusetts General Hospital April 2009 - March 2012
Sun Life Financial April 2008 - February 2009
Harvard Pilgrim Health Care September 2007 - April 2008
Tufts Health Plan August 2007 - September 2007
University of Maine March 2005 - May 2007
MBNA America June 2002 - August 2003
MBNA America October 2001 - June 2002
Skills
Mac OS X, Microsoft Office, Salesforce Administrator, HTML, Customer Service, Non-profits, Drupal, Windows, Website Updating, WYSIWYG layout tools, Databases, OS X, WordPress
Education
University of Maine 2002 — 2007
BS
Harvard Pilgrim Health Care December 2012 - Present
Donaldson Inc December 2005 - July 2012
Accenture March 2004 - December 2005
Best Buy January 1992 - March 2004
Skills
Payroll, CPP, Leadership, Deferred Compensation, Employee Relations, Human Resources, PeopleSoft, Performance Management, HRIS, Process Improvement, Benefits Administration, FMLA, Personnel Management
Education
The University of Texas at El Paso
University of Minnesota-Twin Cities
Blue Cross & Blue Shield of Rhode Island Multimedia DesignerBlue Cross & Blue Shield of Rhode IslandJune 2009 - Present
Harvard Pilgrim Health Care June 2004 - July 2009
CDM Smith April 2002 - April 2004
OneBeacon Insurance February 1998 - October 2002
Skills
Microsoft Office, Advertising, Marketing Communications, Social Media, PowerPoint, Healthcare, Creative Direction, Brochures, InDesign, Logo Design, Art Direction, Layout, Marketing, Collateral, Graphic Design, Graphics, Typography
Education
University of Massachusetts Dartmouth 1992 — 1997
BFA, Graphic Design, Graphic Design/Typography, 3.7
University of Massachusetts Dartmouth 1992 — 1996
BFA, Illustration, Illustration, 3.7
Partners HealthCare June 2014 - Present
Boston Children's Hospital February 2014 - June 2014
Harvard Pilgrim Health Care February 2009 - February 2014
Beth Israel Deaconess Medical Center November 2013 - January 2014
Newton Wellesley Hospital August 2012 - August 2012
Harvard Pilgrim Health Care May 2007 - February 2009
Blue Cross Blue Shield of Massachusetts November 2005 - May 2007
Skills
Provider Relations, Managed Care, Healthcare Management, Leadership, Strategic Planning, Team Building, Microsoft Office, Salesforce.com, Account Management, Network Development, Microsoft Excel, PowerPoint, Utilization Management, Disease Management, HIPAA, Training, Medical Coding, Healthcare Information..., Medicaid, Medicare Part D, Case Management, Claim, Process Improvement, HMO, Medical Billing, Hospitals, Credentialing, Healthcare Reimbursement, Quality Improvement, Medical Compliance, Medicare/Medicaid..., Wellness, Utilization Review
Education
AHIMA Coding Basics Program 2011 — 2012
Certified Coding Associate (CCA) 2012, Certified Coding Specialist (CCS) 2013, Medical Billing and Coding
University of Massachusetts Boston 1994 — 1999
B.A. English Literature
Harvard Pilgrim Health Care Vice President Information Systems, Risk Management and Quality ManagementNewton-Wellesley Hospital1985 - 1998
Education
University of California, Berkeley, Haas School of Business 1980 — 1982
MBA, Business
Harvard Pilgrim Health Care Foundation 2005 - Present
Boston University School of Medicine 1988 - Present
Center for Multicultural Training in Psychology September 1982 - Present
Harvard Pilgrim Health Care 2000 - 2005
Harvard Vanguard Medical Associates January 1982 - December 2000
Skills
Healthcare, Public Health, Managed Care, Community Health, Healthcare Management, Health Disparities, Health Equity, Epidemiology, Mental Health, Social Services, Psychology, Grants, Teaching, Psychotherapy, Treatment, Population Health, Grant Writing, Program Development, Training, Interventions, Informatics, Family Therapy, Community Outreach, Adolescents, Community, Medicine, Cultural Competency, Program Evaluation
Education
University of Maine 1963 — 1967
B.A., Psychology
Harvard Pilgrim Health Care April 2015 - Present
Harvard Pilgrim Health Care July 2013 - April 2015
Harvard Pilgrim Health Care September 2010 - 2013
Harvard Pilgrim Health Care 2004 - 2010
Harvard Pilgrim Health Care 2001 - 2004
Harvard Vanguard Medical Associates 1997 - 2001
Harvard Vanguard Medical Associates 1997 - 2001
Skills
Medicare, Team Building, Product Development, Healthcare, Disease Management, Managed Care, Health Policy, Health Insurance, Process Improvement, Product Management, Organizational..., Medicaid, Healthcare Information..., Healthcare Consulting, Healthcare Management, Healthcare Industry
Education
University of Maryland College Park 1975 — 1980
Ph.D., Clinical Psychology
University of Maryland College Park 1970 — 1974
B.S., Psychology
Harvard Pilgrim Health Care January 2009 - Present
Chicago and Washington, D.C. 2006 - 2008
Hinckley, Allen & Tringale, Health Strategies, Boston 2002 - 2006
Anthem Blue Cross Blue Shield (formerly Blue Cross Blue Shield of Maine) 1989 - 2002
Bernstein Shur Sawyer & Nelson 1987 - 1989
Maine Legislature 1979 - 1987
Skills
Health Insurance, HMO, Managed Care, Healthcare, Marketing, Strategic Planning, Medicare, Provider Relations, Process Improvement, Medicaid, Policy, Healthcare Industry, PPO, Healthcare Management, Healthcare Information..., Health Policy, Public Speaking, Leadership
Education
University of Maine School of Law
J.D.
University of Maryland College Park
B.A., Government & Politics
Harvard Pilgrim Health Care March 2013 - Present
Pilgrim Insurance November 1997 - September 2009
Skills
Insurance, Claim, Claim Investigation, Claims Management, Liability, Commercial Insurance, Subrogation, Commercial Lines, Underwriting, Workers Compensation, Casualty Insurance, Employee Benefits, Legal Liability
Education
University of Central Florida 1991 — 1995
Bachelor of Science (BS), Criminal Justice/Police Science
Boston College High School 1988 — 1991
Neighborhood Health Plan June 2015 - Present
Harvard Pilgrim Health Care September 2013 - May 2015
Harvard Pilgrim Health Care July 2012 - September 2013
Harvard Pilgrim Health Care 2007 - 2012
Harvard Pilgrim Health Care 2003 - 2007
Alas Marketing & Communications 2001 - 2003
Skills
Product Management, Project Management, Healthcare, Product Marketing, Competitive Analysis, Business Strategy, Cross-functional Team..., Strategic Planning, Market Planning, Analytics, Marketing Strategy, Health Insurance, Strategy, Healthcare Information..., Program Management, Market Research
Education
Syracuse University
BS, Marketing, Architecture
The Tuck School of Business at Dartmouth
MBA
Aetna Student Health January 2013 - March 2015
Aetna Student Health January 2011 - December 2012
Aetna Student Health December 2003 - December 2010
The Chickering Group September 1999 - November 2003
One Health Plan of Massachusetts, Inc March 1997 - September 1999
Harvard Pilgrim Health Care April 1994 - March 1997
Pilgrim Health Care Inc. July 1993 - April 1994
Skills
Managed Care, Contract Negotiation, Operations Management, Cost Management, Strategic Planning, Account Management, Business Analysis, Employee Benefits, Health Insurance, Healthcare, Healthcare Management, Insurance, Leadership, Medicare, Network Development, Process Improvement, Provider Relations, Vendor Management, Credentialing
Education
University of Massachusetts, Amherst 1986 — 1990
Bachelor’s Degree, Elementary Education and Teaching
M/V Hoodwink December 2011 - Present
Northeast Delta Dental June 1999 - September 2011
Harvard Pilgrim Health Care October 1996 - May 1998
Education
University of Massachusetts at Lowell 1997 — 2001
Bachelor of Science Business Administration, Accounting
Bristol Plymouth Regional Vocational Technical High School
High School Diploma, Commercial and Advertising Art
athenahealth May 2015 - Present
Neighborhood Health Plan November 2013 - March 2015
Harvard Pilgrim Health Care September 2012 - November 2013
Harvard Pilgrim Health Care October 2010 - September 2012
Skills
Health Insurance, Healthcare, Customer Service, Sales, Microsoft Office, Editing, Building Relationships, Lotus Notes, Following Up, Leadership, Insurance, Medicare, Accounts Receivable, Claim, Time Management, Employee Benefits, Account Management, Management, Outlook, Managed Care, Brokers, HIPAA, PowerPoint, Healthcare Industry, Process Improvement
Education
University of Massachusetts Boston 2013 — 2016
Master of Business Administration (MBA)
University of Massachusetts Boston 2006 — 2010
Bachelor of Arts, English
Oliver Ames High School 2002 — 2006
High School Diploma
UnitedHealth Group April 2014 - Present
Harvard Pilgrim Health Care December 2012 - March 2014
Sun Life Financial January 2011 - December 2012
Bank of America January 2010 - December 2010
Education
Temple University - Fox School of Business and Management
MS, Actuarial Science
Harvard Pilgrim Health Care March 1994 - September 1999
Houghton Mifflin Harcourt March 1989 - March 1994
Education
University of Connecticut
B.A., Journalism
Neighborhood Health Plan 2013 - Present
Harvard Pilgrim Health Care 2003 - 2012
Allmerica Financial 1999 - 2003
Sun Life Financial 1990 - 1999
Skills
Process Improvement, SDLC, Business Analysis, Cross-functional Team..., Vendor Management, Visio, Change Management, Data Analysis, Project Management, Team Building, Program Management, Healthcare
Education
UMass Dartmouth 1986 — 1990
Bachelor's degree, Economics
Harvard Pilgrim Health Care July 1996 - Present
Blue Cross/Blue Shield 1986 - 1996
Lawrence Visiting Nurse Association 1982 - 1986
Skills
Wellness, Nutrition, Health Education, Fitness, Nutrition Education, Health Promotion, Healthcare, Utilization Management, Provider Relations, Healthcare Management, Managed Care, Community Health, Nursing, HEDIS, Health Communication, Clinical Research, Medicare
Education
University of Massachusetts at Lowell 1984 — 1986
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
UMass Medical School June 2015 - Present
Family Pharmacy June 2013 - Present
Dana-Farber Cancer Institute July 2010 - December 2012
Pointe Medical Services July 2005 - May 2010
Harvard University July 2003 - July 2005
Harvard Pilgrim Health Care May 1999 - June 2003
Skills
Clinical Research, Healthcare, Hospitals, Healthcare Management, Patient Safety, Oncology, Cancer, Compounding, Data Entry, Training, Informatics, Patient Education, Clinical Trials, Chemotherapy, IV, Pharmacueticals, Pharmacy, Prescription
Education
Somerville High School 1994 — 1998
High School Diploma
UMass Boston
Harvard Pilgrim Health Care May 2014 - Present
Skills
Health Insurance, Employee Benefits, Insurance, Account Management, Customer Service, Managed Care, Health Savings Accounts, Employee Benefits Design, Healthcare, Benefits Administration, Brokers, Underwriting, Workers Compensation, Medicare, Sales
Education
Thomas College 1986 — 1992
BS
Dr. William H Langfield January 1982 - Present
Dr. William H. Langfield, Jr., Optometrist 1982 - Present
Harvard Pilgrim Health Care 1989 - 1999
International Ladies Garment Workers Union 1986 - 1989
Fall River Comunity Development Center 1983 - 1986
Upper Cape Ophthalmology 1979 - 1982
Skills
Public Speaking
Education
Pacific University College of Optometry 1975 — 1979
O.D., Optometric Science
University of Massachusetts Dartmouth 1968 — 1974
BS, Biology/Biological Sciences, General
Georgia Department of Public Health November 2012 - Present
Harvard Pilgrim Health Care 2011 - 2012
Georgia Department of Public Health February 2009 - July 2011
Education
The George Washington University School of Public Health and Health Sciences 2001 — 2002
MPH, Epidemiology
The University of Georgia 1996 — 2000
BS, Biology
Boston Scientific March 2004 - September 2011
Harvard Pilgrim Health Care May 1999 - April 2004
Skills
Business Analysis, GUI, SDLC Workflow
Education
University at Albany 1995 — 1999
BS, Business
Tufts Health Plan April 2014 - Present
Minuteman Health, Inc. September 2013 - April 2014
Harvard Pilgrim Health Care February 2001 - September 2013
Quebec Blue Cross 1995 - January 2001
Skills
Health Insurance, Underwriting, Insurance, Actuarial Science, Actuaries, Reinsurance, Managed Care, Employee Benefits, Claim, Disability Insurance, Brokers, Risk Management, Health Policy, HMO
Education
Université Laval / Laval University
B.S., Actuarial Science
Harvard Pilgrim Health Care 2002 - 2012
Harvard Pilgrim Health Care June 1998 - November 2000
Harvard Pilgrim Health Care 1995 - 1998
CIGNA 1986 - 1990
CIGNA 1982 - 1985
Skills
Healthcare Analytics, Staff Management and..., Direct Sales, Agile Project Management, Financial Reporting, Financial Modeling, SAS/SQL, Microsoft Office, Business Planning, Budget Analysis, Reporting Design, Health Economics, Policy Analysis, Sales Presentations, Price Negotiation, Business Strategy, Group Insurance..., Economic Analysis, Benefit Cost Analysis, Claims Reserves, Trend Analysis, Sales
Education
University of Rhode Island - College of Arts and Sciences 1991 — 1992
Master of Arts (M.A.), Economics
The University of Connecticut School of Business 1982 — 1985
Master of Business Administration (MBA), Business Administration and Management, General
University of Rhode Island - College of Business Administration 1977 — 1981
Bachelor of Science (BS), Finance
Private Practice January 2001 - Present
The Strengthening Health Institute 2000 - 2003
Harvard Vanguard Medical Associates 1996 - 1999
Harvard Pilgrim Health Care 1992 - 1996
Coopers & Lybrand July 1991 - August 1991
Beth Israel Hospital 1987 - 1990
Skills
Healthcare, Healthcare Management, Hospitals, Healthcare Information..., Wellness, Managed Care, Healthcare Consulting, Clinical Research, Public Health, Nutrition, Nursing
Education
University of Chicago Graduate School of Business 1990 — 1992
Master of Business Administration (M.B.A.), Finance and Health Care Management
University of Pennsylvania, School of Nursing
Bachelor of Science (B.S.), Nursing