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
Fahrenheit IT February 2015 - Present
Medical Leave of Absence December 2014 - February 2015
Allegient, LLC July 2014 - December 2014
CGI July 2013 - July 2014
Harvard Pilgrim Health Care June 2008 - July 2013
Dell Services (formerly Perot Systems) June 2008 - July 2013
Indecon Solutions January 2008 - June 2008
Golden Rule Insurance (a United Healthcare company) January 2008 - June 2008
Conseco Insurance Group January 2006 - January 2008
Harvard Pilgrim Health Care February 2003 - January 2006
Skills
Healthcare, PMO, PMP, SDLC, Vendor Management, Software Development, Program Management, Project Planning, MS Project, Visio, Software Project..., Certified Scrum Master..., Process Improvement, IT Service Management, IT Strategy, Integration, Business Process, Budgets, Requirements Analysis, Information Technology, ITIL, SharePoint, Project Management, Leadership, Cross-functional Team..., Agile Methodologies, Requirements Gathering, Agile Project Management, Outsourcing, Business Analysis, IT Management, Management, Project Portfolio..., Change Management, Business Process..., Enterprise Architecture, Testing, Enterprise Software, Analysis, Microsoft Project
Education
Indiana University-Purdue University at Indianapolis 1970 — 1971
Computer Science
Taylor University 1966 — 1968
Physics
Project Management Institute (PMI)
PMP, Project Management
Lumeris 2013 - Present
Universal American 2010 - 2013
Universal American 2009 - 2010
Harvard Pilgrim Health Care 2002 - 2009
Harvard Pilgrim Health Care 2002 - 2002
Harvard Pilgrim Health Care 1997 - 2002
Blue Cross/Blue Shield of Maine 1996 - 1997
Blue Cross Blue Shield of Maine 1995 - 1996
FHP, Inc 1992 - 1995
FHP, Inc 1990 - 1992
Skills
Strategy, Healthcare Consulting, Medicare, Medicaid, Healthcare, Healthcare Industry, Employee Benefits, Managed Care, HMO, Healthcare Management, Insurance, Leadership, Network Development, Health Insurance, Hospitals, Provider Relations, HIPAA, Strategic Planning, Budgets, Cross-functional Team..., Physician Relations, Policy, Management, Consulting
Education
Husson College
Master's Degree, Business
Health Leadership Development
University of Maine at Farmington
Bachelor's Degree, Community Health Education
Northeastern University July 2015 - Present
EMC January 2015 - July 2015
Harvard Pilgrim Health Care June 2014 - January 2015
Northeastern University January 2014 - May 2014
Cognizant Technology Solutions May 2013 - July 2013
Cognizant Technology Solutions November 2010 - April 2013
Cognizant Technology Solutions November 2009 - October 2010
Skills
Requirements Analysis, SDLC, Test Automation, User Acceptance Testing, Functional Testing, SQL, Team Management, STLC, Agile Testing, Test Effort Estimation, Test Planning, Regression Testing, Unit Testing, System Integration..., Analysis, Test Management, Pega PRPC, PL/SQL, Business Process..., Requirements Gathering, Business Analysis, Microsoft Office, Microsoft Excel, Data Analysis, Project Management
Education
D’Amore-McKim School of Business 2013 — 2015
Master of Business Administration (M.B.A.), Supply Chain and Operations
Jadavpur University 2005 — 2009
Bachelor of Engineering (B.E.), Electronics and Telecommunication Engineering
New Roots 2013 - Present
Wellthie Inc. 2013 - Present
Independent Advisory October 2010 - Present
Castlight Health January 2008 - September 2009
Intuit 2006 - 2008
Humana 2002 - 2006
Strategic Consulting, Inc. 1999 - 2002
Harvard Pilgrim Health Care 1997 - 1999
Harvard Medical School 1995 - 1997
Education
Harvard University
Graduate Work at Extension School--Philosophy, Comparative Religion, Classics
St. Lawrence University
Bachelor of Arts (B.A.), Philosophy, Cum Laude
Hamilton College
DentaQuest March 2014 - Present
Harvard Pilgrim Health Care July 2012 - March 2014
Blue Cross Blue Shield of Massachusetts August 2005 - July 2012
Blue Cross Blue Shield 2004 - July 2012
Tufts Health Plan December 2000 - August 2005
Community Newspaper Company May 1999 - December 2000
Skills
Strategy, Cross-functional Team..., Product Management, Marketing Communications, Marketing, Marketing Strategy, Leadership, Product Marketing, Strategic Planning, Internal Communications, Sales, Market Planning, Process Improvement, Health Insurance, Healthcare, Analytics, Managed Care, Product Development, Event Management, Project Management, Multi-channel Marketing, Budgets, Sales Management
Education
University of Massachusetts at Amherst - Isenberg School of Management 2004 — 2007
MBA
The University of Connecticut
Bachelor of Arts (B.A.)
Harvard Pilgrim Health Care May 2014 - Present
Stevens-German Library September 2007 - February 2012
Kohl’s Department Store December 2010 - December 2011
Hartwick College October 2009 - December 2011
Hartwick College September 2010 - May 2011
Dr. J. Jeremy Wisnewski September 2009 - May 2010
Skills
Microsoft Word, PowerPoint, Social Media, Research, Microsoft Office, Customer Service, Photoshop, Editing, Tutoring, Microsoft Excel, Windows, Event Management, Event Planning, Mac, Teaching, Human Rights, Blogging, Proofreading, Creative Writing, Lotus Notes
Education
Hartwick College 2007 — 2012
Bachelor of Arts, Philosophy
Marshfield High School 2003 — 2007
High School Diploma
Harvard Health Publications 2001 - Present
Fiction and Non-Fiction Projects 2001 - Present
Advanced Practice Strategies (APS) September 2012 - October 2013
Colette Phillips Communications January 2010 - July 2012
Harvard Pilgrim Health Care 1990 - 2000
Skills
Editing, Medical Writing, Women's Health, Emergency Medicine, Exercise, Public Health, Oncology, Magazine Articles, Speech Writing, Medical Communications, Healthcare, Medicine, Newsletters, Freelance Writing, Publications, Proofreading, Magazines, Infectious Diseases, Science Journalism, Manuscript, CME, Publication Planning, Publishing, Writing
Education
Hampshire College 1978 — 1982
B.A., Legal Studies and Public Policy
Bio-Rad Laboratories 2004 - 2014
MJ Research Inc. 2000 - 2004
Vertex Pharmaceuticals 1999 - 2000
Reebok 1991 - 1994
Forum Europe Ltd. 1990 - 1991
APM Consulting Ltd. 1989 - 1990
Apple June 1988 - August 1988
Laurie International Ltd. 1987 - 1988
Harvard Pilgrim Health Care June 1987 - August 1987
MIT 1983 - 1986
Education
The University of Chicago - Booth School of Business
MBA, Finance, Marketing, Health Care
Harvard University
Bachelor of Arts (BA), Honors, Concentration: Physical Sciences
Harvard Pilgrim Health Care December 2002 - Present
Skills
Healthcare, Access, HIPAA, Healthcare Information..., Data Analysis, Visio, Data Management, Public Health, Process Improvement, SAS, Program Management, Budget Process, MicroStrategy Reporting, Microsoft Excel
Education
Goucher College 1995 — 1999
Bachelor's Degree, Arts Administration & Dance Performance/Choreography
Tufts Health Plan September 2015 - Present
Biogen Idec March 2015 - April 2015
Blue Cross Blue Shield of Massachusetts February 2014 - January 2015
EOHHS at Commonwealth of Massachusetts / UMass Medical School May 2013 - February 2014
New England Law Boston August 2009 - January 2013
Harvard Pilgrim Health Care July 2006 - August 2009
MatrixOne February 2005 - May 2006
Deval Patrick Campaign 2005 - 2006
Adams Streets Synagogue 2003 - 2006
Aegis Associates 2003 - 2004
Skills
Legal Writing, Mediation, Public Speaking, Legal Research, Social Media, Problem Solving, Program Development, Program Management, Project Management, Public Policy, Government, Policy, Community Outreach, Research, Politics, Policy Analysis, Westlaw, Legal Issues, Political Campaigns, Legislation, Trademarks, Copyright Law, Strategic Communications, Employment Law, Political Science, Negotiation, Document Review, Volunteer Management, Onboarding, Lexis, Litigation, Editing, Licensing, Spanish, Immigration Law, Civil Litigation, Courts, Legal Assistance, Legislative Relations, Trials, Event Planning, Administrative Law, Social Networking, Contract Negotiation, Legal Advice, Legal Compliance, Corporate Governance, Privacy Law, Litigation Support, Healthcare Information...
Education
New England School of Law 2009 — 2012
Doctorate in Law (J.D.), Intellectual Property Law, Contract Law
Harvard University
A.L.B., Government
Divorce Mediation Training Associates 2012 — 2012
Certified Trained, Divorce Mediation
National Committee for Quality Assurance September 2011 - Present
AHRQ January 2006 - August 2011
Harvard Medical School 1994 - 2005
Harvard Pilgrim Health Care 1991 - 2005
Brigham and Women's Hospital 1991 - 1994
Skills
Health Services Research, Evidence-based Medicine, Epidemiology, Informatics, Clinical Trials, Quality Improvement, Health Policy, Medicine, Healthcare Management, Disease Management, Public Health, Managed Care, Patient Safety, Performance Measurement, Healthcare Consulting, Medical Education, Clinical Research, Physicians, EHR, Internal Medicine, EMR
Education
Harvard Kennedy School of Government 1990 — 1991
MPP, Health Policy
Harvard Medical School 1986 — 1991
MD
Yale University 1981 — 1985
BA, English
Lee Real Estate 2002 - Present
Hayes, Inc. 1999 - 2003
Harvard Pilgrim Health Care September 1996 - April 1999
Skills
Vacation Rental, Real Estate, Rentals, Investment Properties, Luxury, Sellers, Condos, Vacation Homes, Townhomes, New Home Sales, Relocation, Online Advertising, Direct Sales, Interior Design, Residential Homes, Ski, Golf
Education
The Dartmouth Institute for Health Policy & Clinical Practice 1996 — 1997
MS, Health Policy
Hampshire College 1987 — 1992
MS, Public Policy & Medical Anthropology
The Putney School 1983 — 1987
New England Quality Care Alliance July 2014 - Present
PwC November 2011 - June 2014
UnitedHealth Group June 2007 - November 2011
UnitedHealth Group November 2004 - June 2007
Harvard Pilgrim Health Care 2004 - June 2004
salomon 1997 - 2002
Skills
Oracle SQL, SQL Server, VBA, Excel, Access, Metrics, Data Analysis, Data Mining, Reporting & Analysis, SharePoint, Managing Others, Microsoft SQL Server, Microsoft Excel, Analysis, Financial Reporting, Forecasting, Business Analysis, Financial Analysis, Management, Databases, SQL, Leadership
Education
Northeastern University 2002 — 2004
Master of Business Administration (MBA)
Ithaca College 1993 — 1997
bs, sport managment
st johns prep 1989 — 1993
Massachusetts Health Quality Partners May 2014 - March 2015
Beth Israel Deaconess Health Care January 2014 - May 2014
Harvard Pilgrim Health Care 2001 - 2012
Massachusetts Division of Medical Assistance July 1992 - October 1994
Skills
Healthcare, Program Evaluation, Writing, Public Speaking, Strategic Planning, Policy Analysis, Editing, Managed Care, Nonprofits, Policy, Health Policy, Program Management, Medicaid, Community Outreach, Training, Leadership, Project Management
Education
Harvard T.H. Chan School of Public Health 1990 — 1992
MS, Health Policy and Management
Wesleyan University 1982 — 1986
Bachelor of Arts, English
Biotechnology and Pharmaceutical Companies January 2012 - Present
AnaptysBio August 2013 - December 2013
VentiRx Pharmaceuticals May 2007 - December 2011
Targeted Molecules Corporation 2001 - 2005
Harvard Pilgrim Health Care 1995 - 1998
PricewaterhouseCoopers 1991 - 1995
Skills
Finance, Financial Planning, Accounting, CPA, Life Sciences, Biotechnology, Healthcare, Strategic Financial..., Start-ups
Education
University of Notre Dame
B.B.A. Bachelor of Business Administration
Harvard University School of Public Health
S.M. Master of Science, Health Policy and Management
Commonwealth Care Alliance September 2010 - Present
Gennius 2006 - 2012
Health Dialog October 2007 - August 2010
Massachusetts eHealth Collaborative 2004 - 2009
InterMed Health Advisors September 2003 - October 2007
Masspro 2005 - 2007
Alliance for Health Care Improvement 2000 - 2007
Network Health 2003 - 2006
Clinician Support Technology September 2000 - September 2003
Harvard Pilgrim Health Care 1995 - August 2000
Skills
Quality Management, Managed Care, Medical Management, Healthcare Management, Health, Health Insurance, Medicare, Performance Improvement, Healthcare Information..., Disease Management, Medicaid, Strategy, Revenue Cycle, Strategic Planning, Health Policy, Healthcare, EMR, Clinical Research, Hospitals, Management, Healthcare Consulting, Process Improvement, Leadership, Utilization Management, Provider Relations, EHR, Informatics, HIPAA, Quality Improvement, Physicians, Public Health, Health Information..., Patient Safety, Nursing, Epic Systems, Healthcare Industry
Education
Stanford University School of Medicine 1985 — 1987
RWJ Clinical Scholar, Health Policy
Tufts University School of Medicine 1976 — 1982
MD, Medicine
Harvard University, John F. Kennedy School of Government 1978 — 1980
MPP, Public Policy
Tufts University 1972 — 1976
BSE, Engineering - Public Health
Delta Dental of Rhode Island March 2007 - Present
Providence Business News January 2005 - March 2007
Harvard Pilgrim Health Care August 1996 - September 2004
Petry Television June 1983 - June 1991
Skills
Medicare, Insurance, Health Insurance, Managed Care, Employee Benefits, HIPAA, Healthcare, Access, Claim, Benefits Administration, Medicaid, Visio, Software Documentation, Outlook, Process Improvement, Brokers, Disability Insurance, Public Speaking, Team Building, Leadership, Event Planning, Strategic Planning, Customer Service
Education
Iona College
Bachelor of Business Administration (B.B.A.), Marketing and Advertising
Informed Medical Decisions Foundation 2007 - Present
Health Dialog 2004 - 2007
Harvard Pilgrim Health Care 1995 - 1999
Skills
Disease Management, Managed Care, Public Health, Healthcare, Health Policy, Healthcare Management
Education
Harvard University
Fellowship in Gastroenterology
The Johns Hopkins University School of Medicine
MD
University of Pennsylvania
BA
University of Vermont
Internal Medicine Residency and Fellowship in Psychosomatic Medicine
Harvard Pilgrim Health Care September 2014 - Present
The National Graduate School October 2007 - August 2014
The National Graduate School of Quality Management June 2009 - July 2010
The National Graduate School of Quality Management October 2007 - June 2009
Skills
Research, Quality Management, Quality System, Program Management, Strategic Planning, Business Process..., Leadership, Change Management, Organizational..., Management, Process Improvement, Continuous Improvement, Security Clearance, Data Analysis, Six Sigma, Project Management, Training, Leadership Development, DoD, Cross-functional Team..., PMP, Team Building, Coaching, Quality Assurance, Project Planning, E-Learning, Public Speaking, Team Leadership, Analysis, Operations Management, Government
Education
The National Graduate School 2011 — 2012
Master's degree, Quality Systems Management
Johnson State College 2003 — 2007
Bachelor's degree, Business Administration and Management, General
Tufts Health Plan September 2011 - Present
Delta Projects, Inc. July 2000 - Present
Mutlticultural Home Care August 2009 - August 2011
Harvard Pilgrim Health Care 2008 - 2009
Life Plans 2007 - 2008
Tufts Health Plan 2002 - 2006
Gentiva Health Services 2000 - 2002
Waltham VNA 1981 - 1998
Waltham VNA 1982 - 1989
Skills
Certifed Case Manager, Medicare and Medicaid..., InterQual, Board Certified Nurse..., Nursing, Healthcare, Case Managment, Hospitals, Utilization Management, Healthcare Management, Managed Care, Home Care, Disease Management, Medicaid, HEDIS, Clinical Research, Healthcare Industry, Physicians, Social Services, Case Management, Mental Health, Inpatient, Medicare, Quality Improvement, HIPAA, Public Health, Health Education, Elder Care, Healthcare Consulting, Policy
Education
Framingham State College 1985 — 1987
Masters, Health Care Administration
Northeastern University 1974 — 1980
BSN, Nursing
Molina Healthcare, Washington March 2014 - Present
PeaceHealth 2006 - 2014
HealthVentures 2006 - 2014
Group Health Cooperative 2001 - 2005
Harvard Pilgrim Health Care 1999 - 2001
Harvard Pilgrim Health Care of New England 1997 - 2001
Harvard Community Health Plan 1992 - 1997
Harvard Community Health Plan 1988 - 1992
Harvard Community Health Plan 1985 - 1988
United Cerebral Palsy 1978 - 1981
Skills
Healthcare, Strategic Planning, Leadership Development, Hospitals, Leadership, Strategy, Team Building, Management Consulting, Process Improvement, Policy, Public Speaking, Non-profits, Fundraising, Program Management, Nonprofits, Healthcare Management, Program Development, Budgets, Marketing Strategy, Change Management, Contract Negotiation, Healthcare Industry, Project Management, Budget, Marketing, Public Relations
Education
Harvard School of Public Health
MS, Health Policy and Management
Stanford University
BA, Economics
Harvard Pilgrim Health Care August 2011 - Present
Fannie Mae 2010 - December 2011
CareFirst BlueCross BlueShield 2008 - 2010
Teleonto Technologies Pvt Ltd 2006 - 2008
Kido Software Pvt Ltd 2004 - 2005
Skills
SDLC, Web Services, TIBCO Rendezvous, TIBCO iProcess, TIBCO, SOA, ESB, EAI, JMS, Enterprise Architecture, SOAP, Middleware, PL/SQL, WSDL, JDBC, Integration
Education
Kakatiya University
B Sc, Computers
University of Madras
MCA, Computers
Vanderbilt University Medical Center October 2013 - Present
Vanderbilt University Medical Center October 2011 - October 2013
Harvard Pilgrim Health Care August 2006 - February 2011
Health Research and Analysis January 2005 - July 2006
Children's Hospital of New Orleans August 2004 - December 2004
Tulane School of Public Health Epidemiology Department July 2003 - May 2004
Skills
Data Analysis, Statistics, Biostatistics, SAS, Epidemiology, R, Stata, Research, Public Health, Health Policy
Education
Harvard T.H. Chan School of Public Health 2010 — 2011
SM, Biostatistics
Tulane University School of Medicine 2003 — 2004
MPH, Epidemiology
Sewanee-The University of the South 1998 — 2002
BA, International Studies
Dell Services / Harvard Pilgrim Health Care March 2011 - Present
Perot Systems June 1999 - March 2011
Harvard Pilgrim Health Care June 1992 - October 1999
Adams-Russell June 1987 - June 1992
Spalding Worldwide Sport October 1984 - June 1987
American Municipal Systems October 1982 - October 1984
University of Massachusetts January 1979 - January 1981
US Army January 1976 - January 1979
Skills
SQL, XML, Databases, Perl, EDI, IT Service Management, Business Analysis, Microsoft SQL Server, Technical Support, Troubleshooting, SDLC, Requirements Analysis, Scripting, Windows Server, Agile Methodologies, Business Intelligence, Java, Integration, Software Project..., Process Improvement, Program Management, Shell Scripting, Software Documentation, FTP, Java Script, Encryption Software, Data Mining, Healthcare, Financial Applications, Oracle SQL Developer, Subversion, Cognos, COBOL, TIBCO BusinessWorks, JavaScript
Education
University of Massachusetts at Amherst - Isenberg School of Management 1979 — 1981
Bachelor of Business Administration (BBA), Business Administration and Management, General, 3.0
University of Massachusetts Lowell
Lahey Health December 2014 - Present
Wakefield Interfaith Food Pantry June 2013 - Present
Massachusetts Eye and Ear Infirmary June 1996 - December 2013
Harvard Pilgrim Health Care 1992 - 1996
Travelers 1989 - 1992
Managed Health Care Services, Inc. 1988 - 1989
MGH Professional Services Corporation 1985 - 1988
Massachusetts General Hospital 1978 - 1982
Skills
Hospitals, Managed Care, Physicians, Analysis, Program Management, Nursing, Healthcare, Healthcare Information..., Healthcare Management, EMR, HIPAA, EHR, Revenue Cycle, Healthcare Consulting, Clinical Research, Healthcare Industry, Informatics, Time Management, Proposal Writing, Pediatrics, Health Policy
Education
Harvard University School of Public Health
SM, Health Policy and Management
Washington State University
BSN, Nursing, President's List.
Harvard Pilgrim Health Care August 2001 - Present
PwC March 1996 - August 2001
Skills
Heathcare, HIPAA, Business Process..., IT Project & Program..., Operations Management, Managed Care, Cross-functional Team..., Agile Methodologies, Claims Management, Oracle Health Insurance
Education
Indiana University of Pennsylvania 1979 — 1983
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Harvard Pilgrim Health Care January 1995 - Present
Skills
Healthcare, Customer Service, Process Improvement, Team Building, Health Insurance, HIPAA, Call Centers, Medicare, Managed Care, PowerPoint, Microsoft Word, Customer Satisfaction, Lotus Notes, Leadership, Team Leadership, Insurance, HMO, PPO, Health Savings Accounts, Claims Resolution, COBRA
Education
Framingham State College
Massasoit Community College
Associate's degree
Notre Dame Academy
High School
G&A Partners 2015 - Present
Willis 2014 - 2015
Lockton Companies 2012 - 2014
Paychex 2010 - 2012
Humana 2004 - 2010
Harvard Pilgrim Health Care 2001 - 2004
HealthAmerica 1999 - 2001
Neighborhood Health Partnership (Now UHC) 1996 - 1999
Empire Blue Cross & Blue Shield 1990 - 1995
Metropolitan Life Insurance Company 1984 - 1990
Skills
Underwriting Policy &..., Financial Risk..., Strategic Planning, Product Development, Training & Consulting, Team Building, Vendor Relations, Underwriting, Pricing, Insurance, Employee Benefits, Disability Insurance, Leadership, Health Insurance, Management, Brokers, Claim, Actuarial Science, Workers Compensation, Strategy, Account Management, Budgets, Executive Management, Process Improvement, Managed Care, Customer Retention, Medicare, Finance, Life Insurance, Health Savings Accounts, Benefits Administration, Financial Risk, HMO, Term Life Insurance, Reinsurance, Long-term Care, Commercial Insurance, Group Insurance, Property & Casualty..., Liability, Professional Liability, Claims Management, Legal Liability, Casualty, General Insurance, Health Care Reform, Self-funded
Education
Health Insurance Association of America (HIAA) 1977 — 1979
HIAA Associate, Group Life and Health Insurance
Iona College
Business Administration and Management, General
Pace University
Accounting and Finance
Mintz Levin September 2014 - Present
Massachusetts Health Policy Commission January 2014 - April 2014
Mintz Levin May 2013 - July 2013
Office of Attorney General Martha Coakley, Health Care Division June 2012 - August 2012
Office of Governor Deval Patrick February 2011 - July 2011
Office of Governor Deval Patrick November 2010 - January 2011
Office of Governor Deval Patrick May 2009 - October 2010
Geneva Centre for Security Policy (GCSP) January 2008 - April 2008
Harvard Pilgrim Health Care 2007 - 2008
Skills
Public Policy
Education
Boston College Law School 2011 — 2014
Doctor of Law (JD)
McGill University 2005 — 2009
BA, Joint Honors in Political Science and International Development
Kent State University 2008 — 2008
Geneva Semester Program, Study Abroad
Genzyme April 2007 - Present
Harvard Pilgrim Health Care March 2005 - April 2007
WellPoint May 2003 - March 2005
Skills
Managed Care, Cross-functional Team..., Team Building, Executive Management, Management, Clinical Research, Diabetes, Pharmaceutical Industry, Leadership, Process Improvement, Regulatory Affairs, Biotechnology, Medical Affairs, Healthcare, Medicine, Program Management, Clinical Trials, Clinical Development, Lifesciences, Oncology
Education
Keene State College 1998 — 2002
BA, Psychology
Keene State College 1998 — 2002
AS, Chemical Dependency
Harvard Pilgrim Health Care December 2014 - Present
Beacon Health Strategies October 2013 - December 2014
United Health Group 2010 - October 2013
HP Enterprise Services 2010 - 2011
Blue Cross & Blue Shield of Rhode Island 2007 - 2010
Blue Cross & Blue Shield of Rhode Island 2004 - 2007
Blue Cross & Blue Shield of Rhode Island 2001 - 2004
Skills
Project Management, Hospitals, Contract Negotiation, Healthcare, Healthcare Industry, Medicare, Business Process..., Program Management, Software Documentation, Team Building, Medicaid, Process Improvement, Public Speaking, Leadership, Contract Management, Visio, Strategy, Business Analysis, Management, Change Management, Strategic Planning, Business Strategy, Operations Management, Vendor Management, CRM, Employee Benefits, Provider Relations, Health Policy, Data Analysis, SDLC, Managed Care, HIPAA, Utilization Management, Healthcare Information..., Training, Policy, Healthcare Management, Cross-functional Team..., Revenue Cycle, Health Insurance, Analysis, Customer Service
Education
Southern New Hampshire University 2013 — 2015
Master of Business Administration (MBA), Concentration in Healthcare Policy Management
Johnson and Wales University 2006 — 2011
Bachelors, Business Management
Harvard Pilgrim Health Care Provider Contracting Planning ConsultantHarvard Pilgrim Health CareFebruary 1999 - October 2011
Southboro Medical Group May 1990 - February 1999
Children's Hospital New Orleans 1984 - 1985
Massachusetts General Hospital April 1982 - 1984
Education
Framingham State University 1994 — 1996
MHA, Health Administration
University of New England
B.S, Business Administration
Proskauer Rose LLP May 2015 - July 2015
Harvard Pilgrim Health Care May 2014 - April 2015
Harvard Law School Center for Health Law & Policy Innovation September 2014 - December 2014
New York Legal Assistance Group May 2014 - August 2014
Legal Services of Southern Piedmont June 2013 - August 2013
Legal Aid of North Carolina June 2012 - July 2012
Carolinas Healthcare System May 2011 - August 2011
Skills
Research, Healthcare, PowerPoint, Microsoft Office, Microsoft Word, Microsoft Excel, Family Law, Trials, Public Speaking, Social Media, Training
Education
Harvard Law School 2013 — 2016
Doctor of Law (JD)
Duke University 2009 — 2013
Bachelor of Science (B.S.), Psychology
Harvard Pilgrim Health Care March 2015 - Present
Fidelity Investments September 2008 - June 2014
SQA January 2003 - April 2007
TIAA-CREF March 2006 - January 2007
Brooktrout Technology October 2004 - May 2005
Citizens Bank January 2004 - April 2004
Millennium Pharmaceuticals December 2001 - June 2003
SQATTEAM January 1998 - 2003
Virtusa June 2001 - September 2001
Constant Contact November 1999 - April 2001
Skills
Quality Assurance, Software Process..., Application Lifecycle..., Management, Change Management, Agile Methodologies, Test Data, Test Automation, Software Quality..., Metrics Reporting, Testing, Test Management Tool, Unix, Integration, Process Improvement, Software Development, Oracle, Requirements Analysis, SQL, Business Analysis, Software Project...
Education
La Salle University
BA
MFA - Moody, Famiglietti & Andronico January 2014 - Present
Harvard Pilgrim Health Care May 2012 - August 2012
Gravity Switch January 2012 - May 2012
Amherst Media September 2011 - May 2012
Skills
Operations Management, Microsoft Office, PowerPoint, Microsoft Excel, Financial Analysis, Customer Service, Finance, Accounting, GAAP, Financial Audits
Education
University of Massachusetts at Amherst - Isenberg School of Management
Master of Science in Accounting, 3.6 GPA
University of Massachusetts at Amherst - Isenberg School of Management 2009 — 2013
BBA, Accounting
WellPet July 2011 - August 2014
Lowell Sun Charities Golden Gloves January 2014 - January 2014
Fishman Corporation February 2013 - January 2014
SOCIETÀ DANTE ALIGHIERI, Comitato di Saragozza December 2013 - December 2013
Education Development Center August 2012 - October 2012
Harvard Pilgrim Health Care January 2012 - May 2012
ProSportsBlogging.com April 2010 - May 2012
Sasaki Associates December 2011 - December 2011
Trinity Marketing October 2011 - December 2011
Covidien September 2010 - January 2011
Skills
Logo Design, InDesign, QuarkXPress, Illustrator, Brochures, Layout, Packaging, Pre-press, Catalogs, Newsletters, Dreamweaver, Typography, Flash, Advertising, HTML, Production, Troubleshooting, Adobe Creative Suite, Adobe Acrobat, Graphic Design, Photoshop, Web Design, Illustration, Mac, Photography, Art Direction, Print Production, Corporate Identity, Posters, Graphics, Retouching, CSS, Logos, Creative Direction, Facebook, Email Marketing, Social Media, Direct Mail, Flyers, Brand Development, Microsoft Office, Digital Photography, Banners, Print Collateral, Marketing Materials, Flash Animation, Publishing, Visual Communication, Business Cards, Invitations
Education
Keene State College 1992 — 1996
Graphic Design, Minor: Art
San Diego City College 2002 — 2003
Web Design/Multimedia Certificate, Web Design/Multimedia
Amherst High School 1988 — 1992
High School Diploma
Dahlborg Healthcare Leadership Group July 2015 - Present
NICHQ April 2013 - July 2015
NICHQ October 2011 - April 2013
Hygeia Foundation d/b/a True North Health Center December 2005 - September 2011
Network Health Corporation September 2003 - December 2005
Martin's Point Health Care 1999 - 2003
ML Strategies, Inc. 1997 - 1999
Beech Street Corporation 1995 - 1997
Harvard Pilgrim Health Care 1993 - 1995
Take Care Inc. January 1992 - September 1993
Skills
Healthcare, Analysis, Healthcare Management, Program Development, Hospitals, Health, Performance Improvement, Public Speaking, Strategic Planning, Process Improvement, Team Building, Leadership Development, Managed Care, Non-profits, Employee Relations, Medicare, Organizational..., Community Relations, HIPAA, Change Management, Medicaid, Health Insurance, Budgeting, Policy, Executive Coaching, Business Strategy, Grant Writing, Coaching, Program Management, Mentoring, Public Health, Staff Development, Contract Negotiation, Marketing Strategy, Research, Administration, Fundraising, Business Planning, New Business Development, Problem Solving, Performance Management, Quality Management, Program Evaluation, Budgets, Leadership, Clinical Research, Nonprofits, Physicians, Health Policy, Quality Improvement
Education
Lesley University 1995 — 1997
Master of Science (MS), Health Services Management, 3.97
Stonehill College 1984 — 1988
Bachelor of Science (BS), Health Care Administration
Terpsicore Dance, Inc June 2009 - Present
City of South Portland,Maine 2005 - Present
University of Southern Maine September 1997 - Present
University of Southern Maine September 1997 - Present
Bowdoin Medical Group October 2008 - 2011
Portland High School Arts and Technology Center 2001 - 2005
Bowdoin College September 2004 - December 2004
Falmouth Family Practice September 1997 - September 2004
Bates College 2002 - 2004
Harvard Pilgrim Health Care September 1992 - August 1997
Skills
Choreography, Dance, Modern Dance, Ballet, Contemporary Dance, Healthcare, Tap, Teaching, Jazz, Training, Performing Arts, Theatre, Jazz Dance, Clinical Trials, Editing, Social Networking, Acting, Flexibility Training, Event Planning, Art, Community Outreach, Stage, Public Speaking, Dance Education, Customer Service, Core Strength, Social Media, Musical Theatre
Education
Goddard College 2002 — 2004
Masters Degree, Dance
Southern New Hampshire Technical College 1992 — 1993
CNA, Clinical Assistant
The Boston Conservatory 1986 — 1991
BFA, Dance
Healthcare Businesswomen’s Association 2013 - Present
Meetings & Events International 2013 - 2014
Sabbatical 2011 - 2013
Abbott Laboratories 2004 - 2011
Synovate 1999 - 2004
Harvard Pilgrim Health Care 1995 - 1998
Brigham and Women's Hospital 1989 - 1995
Skills
Market Research, Competitive Intelligence, Pharmaceutical Industry, Oncology, Global Marketing, Market Analysis, Segmentation, Neuroscience, Marketing Research, Product Development, Market Planning, Product Launch, Business Development, Commercialization, Competitive Analysis, Outcomes Research, Market Access, Customer Insight, Clinical Development, Brand Management, Analysis, Ethnography, Healthcare Analytics, FMCG, Global Drug Development, Comparative Market..., International Business..., Patient Advocacy, Volunteering, Non-profit Volunteering, Patient Support
Education
Lesley University
Master of Arts (M.A.), Intercultural Relations
University of Geneva
Ecole de Langue et de Civilisation Françaises, Certificat de français
University of Illinois at Chicago
Bachelor's of Science (B.S.), Information & Decision Sciences
Deloitte Consulting August 2010 - Present
PricewaterhouseCoopers, LLP May 2000 - August 2010
Harvard Pilgrim Health Care August 1997 - May 2000
Centers for Medicare & Medicaid Services September 1993 - August 1997
Skills
Medicare Part D, HIPAA, Medicare Supplements, Internal Controls, Medicare, Managed Care, Compliance, Medicaid, Health, Healthcare, Process Improvement, Healthcare Management, Health Insurance, Policy, Insurance, Employee Benefits, Enterprise Risk..., IT Strategy, Sarbanes-Oxley Act, Business Process..., Health Policy, Healthcare Industry, Leadership, Program Management, Project Management, Strategy, Management Consulting, Consulting, Strategic Planning, Healthcare Consulting, Performance Improvement, Business Strategy, Business Process
Education
University of California, Berkeley 1991 — 1993
Master in Public Health, Health Policy and Administration
Harvard University 1981 — 1985
B.A., History (American) and Science (Biology)
Belmont High School 1977 — 1981
New Horizons Computer Learning Centers 2013 - 2014
RetroFit Technologies (Consultant through Robert Half) 2012 - 2013
InnoCentive 2009 - 2012
Genzyme (Consultant through Randstad) 2007 - 2009
Merge Healthcare 2003 - 2007
WR Grace 2002 - 2003
Perot Systems 2000 - 2001
Perot Systems 1999 - 2000
Harvard Pilgrim Health Care 1999 - 1999
Harvard Pilgrim Health Care 1997 - 1999
Skills
System Administration, Troubleshooting, Analysis, Windows, Microsoft Office, Customer Service, Management, Active Directory, Microsoft Word, Security, Administration, Problem Solving, Customer Relations, HTML, Outlook, Word, PowerPoint, Excel, Network Administration, Network Security, Backup Solutions, Backup & Restore, Online Backup, Offsite Backup, Microsoft SQL Server, Windows Server, Server Administration, Blackberry Enterprise..., Unix, Technical Support, Software Documentation, Windows XP, Infrastructure
Education
New Horizons Computer Learning Center 2014 — 2014
CompTIA Security+ Certification and CCENT
Johnson & Wales University
Associate’s Degree
Northeastern University
Bachelor’s Degree
Waltham Senior High
Ethics and Strategy Group 2008 - Present
Harvard Pilgrim Health Care 2000 - Present
Harvard Medical School 1970 - Present
Harvard Community Health Plan 1979 - 1986
Skills
Public Health, Workshop Facilitation, Hospitals, Healthcare, Health Policy, Ethics, Medicine, Policy, Bioethics, Healthcare Management, Program Development, Strategy, Healthcare Information..., Program Evaluation, Clinical Research, Physicians
Education
Stanford University Graduate School of Business 1983 — 1983
Executive Program
Harvard Medical School 1960 — 1964
Harvard University 1956 — 1960
BA, Philosophy & Psychology
Harvard Pilgrim Health Care October 2015 - Present
The Difference Card January 2015 - September 2015
Workplace Benefit Solutions, A HUB International Company March 2012 - December 2014
Aetna Student Health April 2008 - March 2012
Aetna Student Health March 2006 - April 2008
The Hartford Customer Services Group December 2005 - March 2006
The Hartford February 2004 - November 2005
Skills
Health Insurance, Insurance, Employee Benefits, Account Management, Process Improvement, Underwriting, New Business Development, Strategic Planning, Sales, Relationship Management, Project Management, Marketing, Business Analysis, Direct Sales, Disability Insurance, Lead Generation, Leadership, Vendor Management, Marketing Strategy, Sales Management, Business Development, Management, Training, Healthcare, Strategy, Negotiation
Education
Lehigh University - College of Business and Economics 1997 — 2001
BS, Marketing
The Gugenheim Group August 2005 - Present
Harvard Pilgrim Health Care 2012 - 2013
Giga Information Group January 2001 - April 2003
Occupational Health + Rehabilitation April 1998 - January 2001
Harvard Pilgrim Health Care May 1991 - April 1998
Skills
Budgets, Business Intelligence, Business Strategy, CRM, Data Management, Data Warehousing, Integration, Leadership, Management, PMO, Project Management, Strategy, Project Planning, Program Management, Business Analysis, Process Improvement
Education
Lesley University 1992 — 1994
MS, Business Management
University of Massachusetts Lowell 1980 — 1985
BS, Management Information Systems
Norfolk Southern Corporation April 2015 - Present
The Home Depot January 2013 - March 2015
Elavon, Inc. October 2011 - January 2013
T-Mobile March 2011 - October 2011
AT&T Mobility 2008 - February 2011
tmobile 2006 - 2008
Harvard Pilgrim Health Care 2007 - 2007
Cisco Systems April 2005 - June 2006
Agilent Technologies 2002 - 2004
Skills
SDLC, Agile Methodologies, Integration, Oracle, Software Project..., Enterprise Architecture, Requirements Analysis, SOA, Solution Architecture, Unix
Education
Georgia State University - J. Mack Robinson College of Business 2015 — 2018
Master of Business Administration (MBA)
STJIT 1992 — 1996
BE, Electronics and Communication
CKNC 1989 — 1992
B.Sc, Mathematics
Flare Capital Partners April 2015 - Present
Massachusetts General Hospital June 2010 - Present
The Step 1 Method June 2005 - Present
Harvard Pilgrim Health Care May 2013 - May 2015
ImplementHIT June 2009 - May 2012
Skills
Healthcare, Hospitals, Healthcare Information..., EMR, Medicine, Physicians, Clinical Research, EHR, Healthcare Management, Informatics, Public Health, Venture Capital, Healthcare Consulting, Health Policy, Board Certified, Internal Medicine, Pediatrics, HIPAA, Lifesciences, Managed Care, Medical Education, Healthcare Industry, Oncology
Education
Harvard Business School 2010 — 2012
MBA, Business
Massachusetts General Hospital 2007 — 2010
Residency, Internal Medicine
Morehouse School of Medicine 2003 — 2007
MD, Medicine
University of California, San Diego 1998 — 2003
BS, Biology
Harvard Pilgrim Health Care September 2013 - Present
Harvard Pilgrim Health Care April 2011 - September 2013
Harvard Pilgrim Health Care January 2010 - July 2011
Harvard Pilgrim Health Care July 2004 - January 2010
Harvard Pilgrim Health Care November 2001 - July 2004
Harvard Pilgrim Health Care March 1995 - November 2001
Stericycle March 1994 - March 1995
Bionostics July 1992 - July 1994
Bionostics August 1991 - July 1992
Skills
Managed Care, Healthcare Information..., Process Improvement, Healthcare, Business Analysis, Agile Methodologies, Leadership, SDLC, Visio, Enterprise Architecture, Integration, Requirements Analysis, Cross-functional Team..., Vendor Management, Business Process..., Software Documentation, Project Management, Contract Negotiation, Customer Oriented, Affordable Care Act, PMO, Software Project..., IT Strategy, Business Intelligence, PMP, Program Management, Strategy, Strategic Planning, Health Insurance, Training, Insurance, Consulting, HIPAA, Management, Analysis, Team Leadership
Education
Hobart and William Smith Colleges 1987 — 1991
BS, Summa Cum Laude, Biology, Math, Psychology, Chemistry
Dell March 2013 - Present
Harvard Pilgrim Health Care April 2014 - Present
UL (Underwriter Laboratories) March 2013 - March 2014
Tata Consultancy Services December 2010 - March 2013
Motorola Solutions December 2010 - March 2013
Oracle July 2008 - December 2010
Oracle July 2007 - July 2008
SMSCountry Networks January 2007 - March 2007
Skills
Oracle iProcurement, Oracle Purchasing, Oracle E-Business Suite, Requirements Analysis, Business Process, PL/SQL, Integration, Solution Architecture, Oracle Support, Oracle, Oracle Sourcing, Oracle iExpenses, Oracle iSupplier Portal, ITIL Process, Oracle AME, Oracle GRC, Oracle Subledger..., Financials Accounting..., ITIL Certified, ITIL Service Strategy, Quest STAT Tool, Business Analysis, Requirements Gathering, ERP, Oracle Applications, Data Migration, ITIL, Software Documentation, SQL, SDLC, Consulting, Testing, Management, Software Development, Enterprise Software, Analysis, Vendor Management, Software Project..., Business Intelligence, Leadership, Unix, Strategy
Education
Jawaharlal Nehru Technological University 2003 — 2007
Bachelor's Degree, Computer Science
National Cancer Institute (NCI) June 2014 - Present
Harvard Pilgrim Health Care February 2015 - May 2015
Gordon Research Conferences January 2013 - June 2014
Yale University August 2012 - May 2014
Yale University September 2009 - May 2014
Bristol-Myers Squibb, Princeton, New Jersey June 2010 - August 2010
Plexxikon Inc. May 2008 - August 2008
Skills
Biochemistry, Cell Biology, Protein Purification, Fluorescence Microscopy, Molecular Cloning, High Throughput..., Molecular Biology, Cell Culture, Cell, Protein Expression, Mammalian Cell Culture, Cell Based Assays, Bacterial Culture, Protein Biochemistry, Multi-color Flow..., Epidemiology, Biostatistics, Population Studies
Education
Harvard T.H. Chan School of Public Health 2014 — 2015
Masters of Public Health (MPH), Quantitative Methods
Yale University 2009 — 2014
Doctor of Philosophy (Ph.D.), Cell Biology
University of California, Berkeley 2005 — 2009
BA, Molecular and Cellular Biology
Harvard Pilgrim Health Care February 2013 - Present
Harvard Pilgrim Health Care April 2002 - 2012
Brigham School of Nursing Alumni Ass'n 1990 - 2010
Harvard Pilgrim Health Care April 1998 - January 2002
Brigham & Women's Hospital May 1978 - October 1995
Caremark Home Infusion Therapies 1990 - 1995
Skills
Managed Care, Healthcare Management, Utilization Management, HIPAA, Healthcare Industry, Disease Management, Healthcare Information..., Health Insurance, Nursing, EHR, EMR, Healthcare, Healthcare Consulting, Hospitals, Quality Improvement, Program Management, Physicians
Education
Lesley University 2000 — 2002
Masters, Management
University of Massachusetts Boston 1980 — 1984
BSN, Nursing
Harvard Pilgrim Health Care August 1997 - Present
Nova Marketing 1996 - 1997
Tri Companies 1993 - 1996
Grossman's 1990 - 1993
Skills
Health Insurance, Internal Communications, Marketing Communications, Newsletters, Strategic Communications, Web Content, Editing, Healthcare, Corporate Communications, Copy Editing, Copywriting, Web Content Management, Marketing, Email Marketing, Media Relations, Crisis Communications, Digital Marketing, Advertising
Education
Franklin & Marshall College 1987 — 1990
BA, English
Richard J Perry MD Consulting July 2014 - Present
Harvard Pilgrim Health Care June 2012 - July 2014
Southern Maine Internal Medicine January 2007 - November 2012
PrimeCare Physician Associates August 2000 - January 2007
Coastal Medical June 1984 - June 2000
Skills
Medicine, Public Health, Physicians, Healthcare, Utilization Management, Evidence-based Medicine, Disease Management, Hospitals, Health Policy, Patient Safety, Quality Improvement, Prevention, Treatment, Physician Relations, Medical Education, Medicare, HIPAA, Strategic Planning
Education
Brown University Program in Medicine 1980 — 1983
Internship and Residency, Internal Medicine Residency Program
Jefferson Medical College of Thomas Jefferson University
Doctor of Medicine (MD)
University of Pennsylvania
Bachelor of Arts (BA), magna cum laude
The University of Edinburgh
South Shore Hospital 1999 - Present
Harvard Pilgrim Health Care 1987 - 1997
MFS Investment Management 1985 - 1987
Skills
Integration, Meditech, Healthcare Information..., HL7, EMR, Troubleshooting, EHR, Process Improvement, Software Implementation, Healthcare, Access, Health Information..., HIPAA, Software Documentation, Hospitals, Analysis, SDLC, Visio, Rhapsody, eGate, Interfaces
Education
Ithaca College 1980 — 1985
BA, Philosophy (The Few, The Proud)
Wayland HS
Harvard Pilgrim Health Care January 2014 - Present
Harvard Pilgrim Health Care February 2013 - January 2014
Harvard Pilgrim Health Care September 2012 - February 2013
TJX December 2002 - September 2012
TJX August 2000 - December 2002
The Salvation Army January 2000 - July 2000
Skills
Microsoft Office, Lotus Notes, Org Plus, Kronos Payroll, PowerPoint, Access, Cognos Connection, Oracle E-Business Suite, Microsoft Excel, OneNote, Premiere, Flash, Corel Photopaint, Kronos, Retail, Sales
Education
Framingham State University 2008 — 2012
Bachelor's degree, Business Administration and Management, General
Husson College 1992 — 1994
Accounting
Harvard Pilgrim Health Care June 2015 - Present
Harvard Pilgrim Health Care January 2015 - May 2015
Harvard Pilgrim Health Care April 2013 - December 2014
Sleep HealthCenters June 2011 - January 2013
OfficeMax January 2011 - May 2011
Hollins University January 2011 - February 2011
Wyndham Robertson Library, Hollins University August 2007 - February 2011
Skills
Computer Proficiency, Typing, Research, Training, Phone Etiquette, Patient Support, Sleep Medicine, Library Science, Education, Creative Writing, Microsoft Office, Health Insurance, Customer Service, Healthcare, Managed Care
Education
Southern New Hampshire University 2012 — 2014
Master of Business Administration (MBA), Healthcare Management
Hollins University 2007 — 2011
Bachelor of Arts (B.A.), Psychology
Lifespan April 2014 - Present
Lifespan March 2005 - March 2014
Bank of America October 2002 - October 2004
Fleet Bank October 1997 - October 2004
Harvard Pilgrim Health Care August 1993 - October 1997
Varian Semiconductor September 1988 - August 1990
Raytheon Missile Systems March 1986 - March 1988
Skills
Healthcare Information..., Business Analysis, Healthcare, Requirements Analysis, Software Project..., Visio, Project Management, Data Analysis
Education
Gordon College 1983 — 1988
BS, Computer Science, Minor in Political Studies
InSITE October 2013 - May 2015
Sands Capital Management June 2014 - January 2015
IndexIQ June 2013 - August 2013
Harvard Pilgrim Health Care 2010 - 2012
Grant Thornton LLP (Formerly CCR LLP) 2008 - 2010
Education
Georgetown University 2012 — 2015
Doctor of Law (J.D.)
Worcester State University 2006 — 2008
B.S, Business Administration
May Center for Evaluation and Treatment January 2006 - July 2015
Family Friends Health Care March 2009 - June 2009
Massachusetts School of Professional Psychology September 2004 - January 2006
Perot Systems Healthcare Services May 2002 - September 2004
Harvard Pilgrim Health Care September 2000 - May 2002
Skills
Non-profits, Program Development, Nonprofits, Project Management, Marketing, Social Services, Management, Analysis, workshop facilitation, Event Planning, Data Analysis, Fundraising, Workshop Facilitation, Community Outreach
Education
Lasell College 2007 — 2009
Master's Degree, Management & Elder Care Marketing
University of Connecticut 1995 — 1999
B.A., Psychology
AmTrust Financial Services, Inc. (AFSI) May 2015 - Present
Coranet Corp January 2009 - May 2015
Clare Rose, Inc. May 2007 - September 2008
Anna Jaques Hospital June 2005 - August 2005
Harvard Pilgrim Health Care June 2003 - August 2003
Skills
Marketing, Marketing Strategy, Management, Social Media, Advertising, Event Planning, Microsoft Office, Public Relations, Event Management, Social Media Marketing, Microsoft Excel, Facebook
Education
Hofstra University 2003 — 2007
BBA, Marketing
Dana-Farber Cancer Institute February 2008 - Present
Retail Business Owner July 2006 - January 2008
Private Healthcare Systems November 2005 - March 2006
Blue Cross Blue Shield of Massachusetts March 2005 - September 2005
Tufts Health Plan February 2003 - March 2005
Fleet Bank July 2001 - January 2003
South Shore Hospital October 2000 - June 2001
Harvard Pilgrim Health Care July 1994 - September 2000
Pilgrim Health Care November 1989 - June 1995
Jordan Hospital June 1983 - October 1989
Skills
PMP, MCTS, MS Project, SDLC, Project Management, Project Portfolio..., Software Project..., PMO, Cross-functional Team..., Healthcare Information..., Resource Management, Certified Project..., Budgets, Leadership, Integration
Education
Boston University School of Public Health 2004 — 2005
Coursework in Healthcare Finance and Biostatistics
Hiram College
BS, English
Andover Newton Theological School
MDiv, Theology
Harvard Pilgrim Health Care September 2015 - Present
Hospital for Special Surgery June 2015 - August 2015
Harvard University September 2014 - May 2015
Harvard University January 2014 - May 2014
Massachusetts General Hospital June 2012 - August 2013
Massachusetts General Hospital May 2010 - August 2011
Skills
Population Studies, Clinical Research, Atlas.ti, Stata, Microsoft Excel, Event Planning, Presentations, Survey Design, Focus Groups, Western Blotting, PCR, Molecular Cloning, Microsoft Word, Microscopy, PowerPoint, Agarose Gel..., DNA extraction, Tissue Culture, Site-directed..., Primer Design, DNA sequencing, ELISA, Autoclave, Media Preparation, Centrifugation, Microscopes, Bacterial Transformation, Spectrophotometry, French, Weight Training, Hockey, Sports Nutrition
Education
Harvard University 2011 — 2015
Bachelor’s Degree, Organismic and Evolutionary Biology, Global Health and Health Policy, Magna Cum Laude with Highest Honors
Winchester High School 2007 — 2010
Anthem / WellPoint June 2013 - Present
PricewaterhouseCoopers 2007 - June 2013
Aetna 2012 - 2012
WellPoint 2012 - 2012
Harvard Pilgrim Health Care 2012 - 2012
Excellus BCBS 2012 - 2012
EmblemHealth 2011 - 2011
Independent Health 2011 - 2011
Express Scripts 2011 - 2011
Pfizer 2009 - 2009
Skills
Compliance, Business Process..., Health Insurance, Revenue Cycle, SDLC, Hospitals, Vendor Management, Management Consulting, Insurance, Auditing, Internal Audit, Project Management, Strategy, Access
Education
Hofstra University 2004 — 2007
MBA, Health Services Management
Siena College 2001 — 2004
BA
The London School of Economics and Political Science (LSE) 2003 — 2003
Certificate of Completion, Economics and Foreign Policy Analysis
Litchfield Hills Research, LLC March 1997 - Present
Quantessential Research, LLC March 1994 - March 1997
Blue Cross Blue Shield of Massachusetts May 1992 - March 1994
Harvard Pilgrim Health Care January 1989 - May 1992
Institute For Scientific Studies May 1985 - September 1986
Itek Corporation September 1980 - October 1985
Skills
Financial Modeling, Strategic Planning, Investment Banking, Financial Analysis, Equities, Equity Research, Competitive Analysis, Business Strategy, Research, Analysis, Portfolio Management, Due Diligence, Corporate Finance, Machinist, Cabinet maker, Financial Markets, Equity Valuation, Investments, Investment Advisory, Securities, Finance, Strategy, IPO, Mergers & Acquisitions, Capital Markets, Valuation, Bloomberg, Hedge Funds, Alternative Investments, Private Equity, Investor Relations, Strategic Financial..., Corporate Development, Venture Capital, Fixed Income, Asset Management, Investment Strategies, Private Placements, Series 63, Mutual Funds, Asset Allocation, Series 7, Trading, Investment Management, Financial Services, Business Valuation, Options, Equity Trading, Wealth Management, Financial Advisory
Education
Indiana University - Kelley School of Business
MBA, Finance
NHTI, Concord's Community College
AE, Electrical Engineering
New England College
BA, Business
Blue Cross Blue Shield Massachusetts Clinical Instructor, Population Health and Clinical EpidemiologyHarvard Medical SchoolJanuary 2000 - Present
Blue Health Intelligence January 2011 - January 2013
Intelimedix, LLC January 2007 - January 2013
Harvard Pilgrim Health Care 1985 - 2005
Skills
Healthcare, Informatics, Healthcare Management, Healthcare Information..., Epidemiology
Education
Harvard School of Public Health
MS
University of Colorado School of Medicine
MD
Harvard Pilgrim Health Care 2015 - Present
Suffolk University Law School 2011 - 2014
Suffolk University Law School January 2007 - January 2011
Raytheon 2005 - 2007
Sunoco 2002 - 2005
Skills
Analysis, Forecasting, Management, Budgets, Financial Analysis, Data Analysis, Event Planning, Higher Education, Organizational..., Six Sigma, Purchasing, Strategic Planning, Project Management, Program Management, Process Improvement, Project Planning, Research, Microsoft Excel, Team Building, Cross-functional Team..., Microsoft Office, PowerPoint, Access, Enrollment Management, Financial Modeling, Space Planning, Outside Sales, Networking, Social Networking, Marketing, Leadership
Education
Suffolk University - Sawyer School of Management 2010 — 2012
MBA
Lehigh University 1998 — 2002
BS, Business Information Systems
CSC 2007 - Present
TRICARE (TMA)/Defense Health Agency 2003 - 2005
The National Academies - Institute of Medicine 2001 - 2002
Massachusetts General Hospital (MGH)/Partners 1999 - 2000
Harvard Pilgrim Health Care 1996 - 1999
Boston Children's Hospital 1990 - 1994
Abt Associates 1987 - 1990
Skills
Editing, Marketing Communications, Corporate Communications, Media Relations, Copy Editing, Copywriting, Proposal Writing, Leadership, Event Planning, Interviews, Strategic Planning, Web Content, Research, Public Relations, Journalism, Writing, Digital Marketing, Speech Writing, Report Writing, Creative Writing, Resume Writing, Technical Writing, Project Management, Interviewing Subject..., Strategy, Nonprofits, Government, Microsoft Office, Analysis, Brochures, Brand Development, Health, Medicine, Information Technology, Public Policy, publishing, Strategic Communications, Fundraising, Publications, Grant Writing, Social Media, Newsletters, Feature Articles, Internal Communications, Policy Analysis, Content Development, Community Outreach, Press Releases, Content Management, Content Strategy
Education
Harvard University
Bachelor's, Psychology
The Holton-Arms School
Stryker May 2012 - Present
Medco Health Solutions August 2005 - November 2012
Medco Health Solutions August 2006 - January 2009
Medco Health Solutions August 2005 - August 2006
Harvard Pilgrim Health Care January 2003 - August 2005
Aramark Uniform Services May 2001 - February 2003
Protocol 1998 - 2001
Skills
Organizational..., Organizational..., Leadership Development, Talent Management, Performance Management, Employee Engagement, Instructional Design, Coaching, Succession Planning, Team Building, Cross-functional Team..., Training, Workshop Facilitation, Process Improvement, Talent Acquisition, Change Management, Executive Coaching, Business Development, Culture Change, Deferred Compensation, Personnel Management, Human Resources, Training Delivery, Organizational Design, Management Development, Needs Analysis, Employee Relations, Onboarding, Leadership, Strategy, E-Learning, Career Development, Employee Training, Performance Improvement, Workforce Planning, Learning Management, Interviews, 360 Feedback, Recruiting, HRIS, Staff Development
Education
Lesley University 1998 — 2000
MS, Training & Development
Tufts University 1991 — 1995
BS, Biology Psychology
Health Literacy Worldwide June 2015 - Present
Healthy Thinking Group USA June 2015 - Present
Health Literacy Worldwide December 2014 - May 2015
inVentiv Health - Adheris, Inc. February 2014 - December 2014
inVentiv Health - Adheris, Inc. January 2013 - February 2014
inVentiv Health - Adheris, Inc. 2006 - December 2012
Harvard Pilgrim Health Care 2005 - 2006
Harvard Medical School 1999 - 2001
Skills
Business Strategy, Business Analytics, Program Management, Analysis, Business Development, Data Analysis, Market Research, Analytics, Strategy, Cross-functional Team..., Strategic Planning, Business Intelligence, Pharmaceutical Industry, Forecasting, Segmentation, Management, Leadership, Healthcare, Strategic Partnerships
Education
Harvard University 1999 — 2003
White Mountain School
Harvard Pilgrim Health Care July 2001 - Present
Harvard Pilgrim Health Care 1997 - 2008
Blue Cross and Blue Shield of Massachusetts 1985 - 1997
Skills
Managed Care, Medicare, Health Insurance, Healthcare, Healthcare Management, Healthcare Industry, Insurance, Healthcare Consulting, HMO, Public Health, Account Management, PPO, Project Management, Leadership, Sales, Medicare Part D, Social Security, Training, HIPAA, Health Care Reform, Employee Relations, Health Policy, Employee Benefits, Healthcare Information..., Revenue Cycle, Provider Relations, Physicians
Education
Harvard T.H. Chan School of Public Health 1987 — 1989
Certificate, Public Health
Stonehill College 1981 — 1985
BS, Health Care Administration and Marketing
Cardinal Spellman H.S. 1977 — 1981
ACF Solutions April 2014 - Present
Plan International USA February 2011 - April 2014
Neighborhood Health Plan of RI September 2008 - February 2011
Harvard Pilgrim Health Care May 1998 - May 2008
Tufts Health Plan October 1997 - May 1998
Harvard Pilgrim Health Care March 1993 - October 1997
National Medical Care July 1990 - March 1993
Maguire Group Inc. July 1989 - July 1990
United Liquors August 1987 - August 1989
Skills
Databases, Project Management, Vendor Management, HIPAA, SDLC, Business Analysis, Microsoft SQL Server, SalesForce, Process Improvement, Business Intelligence, Program Management, CRM, Salesforce.com, Analysis, Software Project..., Consulting, Integration, Requirements Analysis, Cloud Computing, Business Requirements
Education
Johnson & Wales University 1993 — 1996
BS, Computer Science
Harvard Pilgrim Health Care June 2012 - Present
City Year July 2011 - June 2012
City Year August 2010 - June 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Public Speaking, Budgets
Education
James Madison University 2008 — 2010
Bachelor of Science (B.S.), Kinesiology and Exercise Science
Plum Healthcare Consulting January 2011 - Present
Well Sense Health Plan July 2012 - June 2015
BMC HealthNet Plan/Well Sense Health Plan April 2012 - July 2012
Harvard Pilgrim Health Care January 1999 - July 2011
Harvard Pilgrim Health Care, formerly, Havard Community Health Plan 1985 - 1999
Skills
Management Consulting, Leadership, Provider Relations, Provider Contracting, Team Building, Staff Development, Operations Management, Coaching, Problem Solving, Contract Negotiation, Managed Care, Healthcare, Strategic Planning, Medicare, Medicaid, Claims, Health Insurance, Network Development, Compliance, Health, Negotiation, PPO, Claim, Healthcare Management, Health Policy, HIPAA, Disease Management, Data Analysis, Management, Strategy, Employee Benefits, Performance Management, Organizational..., Hospitals, Change Management, Healthcare Industry, Budgets, Policy, Home Care, Process Improvement, Healthcare Information..., Insurance, Performance Improvement, Contract Management, Medical Billing, Revenue Cycle, Physicians, Quality Improvement, HMO, EMR
Education
Harvard University
The Program on Negotiation for Senior Executives
Suffolk University
BSBA, Management
University of Toledo
Concentration in Nursing
MJ Investments June 2011 - Present
Novartis Pharma AG July 2008 - October 2012
Novartis Pharma AG 2005 - 2008
Novartis AG 2001 - 2005
Rxcentric 1999 - 2001
BCBS of MA 1996 - 1998
Harvard Pilgrim Health Care 1986 - 1996
Skills
Pharmaceuticals, Healthcare, Online Marketing, Managed Care, Product Launch, Organizational..., Strategic Planning, Competitive Analysis, Marketing Strategy, Business Strategy, Budgeting, New Business Development, Pharmaceutical Industry, IT Strategy, Strategic Thinking, Business Development, Budgets, Strategy, Change Management, Management Consulting, Leadership, Cross-functional Team..., Account Management, Management, Business Planning, Start-ups, Market Analysis, Product Management, Market Research, Mergers & Acquisitions, Entrepreneurship, Analytics, Executive Management
Education
Harvard Business School 1986 — 1988
MBA
On Course Marketing, LLC June 2014 - Present
The Concept Group April 2012 - Present
St Nicholas Greek Orthodox Church 2010 - Present
Tufts Health Plan July 2010 - October 2010
Harvard Pilgrim Health Care December 1995 - July 2010
Harvard Pilgrim Health Care, Wellesley MA January 2003 - January 2006
Harvard Pilgrim Health Care January 1999 - January 2002
Harvard Pilgrim Health Care December 1995 - January 1999
TJX 1991 - 1995
Skills
SWOT analysis, Strategic Planning, Business Planning, Market Intelligence, Market Planning, Competitive Intelligence, Marketing Strategy, Segmentation, Competitive Analysis, Market Analysis, Secondary Research, Healthcare, New Business Development, Analysis, Market Research, Strategy, Data Analysis, Executive Management, Forecasting, Product Development, Managed Care, Leadership, Marketing Research, Business Intelligence, Analytics, Project Management, Financial Analysis, Consulting, Product Management, Strategic Partnerships, Marketing, Management
Education
Framingham State University 1981 — 1987
BS, Economics
Northrop Grumman Corporation March 2009 - Present
HARVARD PILGRIM HEALTH CARE November 1995 - July 2000
Harvard Pilgrim Healthcare 1995 - 2000
DIGITAS (Formally BRONNER, SLOSBERG, HUMPHREY) June 1991 - November 1995
Skills
Advertising, Integrated Marketing, Marketing Communications, Direct Marketing, Direct Mail, Media Planning, Marketing Strategy, Marketing
Education
Providence College 1983 — 1987
BS, Business Administration, Cum Laude, Marketing
Ithaca College 1986 — 1986
London Center, Semester Abroad
Claraview, a division of Teradata July 2011 - Present
Claraview July 2008 - June 2011
Claraview March 2006 - June 2008
Target February 2005 - March 2006
Harvard Pilgrim Health Care August 2004 - February 2005
Georgetown University Medical Center June 2003 - July 2004
Skills
Data Warehousing, Business Intelligence, Data Modeling, Teradata, Data Integration, ETL, Oracle, DB2, Master Data Management, Databases, Data Migration, OLAP, Data Quality, Datastage, Netezza
Education
George Mason University 2001 — 2003
MS, Bioinformatics
Institute of Public Enterprise 1997 — 1999
MBA, Marketing and MIS
Big Lots June 2014 - Present
Freddie Mac July 2012 - June 2014
VSoft Consulting Group Inc August 2004 - June 2014
PPL Corporation March 2012 - June 2012
Ryder System, Inc. May 2010 - December 2011
Harvard Pilgrim Health Care October 2009 - May 2010
NV Energy November 2007 - September 2009
Retail Ventures Inc March 2007 - November 2007
FedEx January 2005 - March 2007
Publix September 2004 - January 2005
Skills
Microstrategy, Data Warehousing, Data Modeling, ETL, Business Intelligence, Teradata, Netezza, Greenplum, Microsoft SQL Server, Oracle, Dimensional Modeling, OLAP, Data Warehouse..., PL/SQL, Business Intelligence..., Dashboard, Unix Shell Scripting, Hadoop, Big Data, Data Integration, SSIS, Erwin, DB2, Business Objects, Data Marts, Analysis Services, Vizio, Remedy ITSM, Cubes, MicroStrategy
Education
Northern Illinois University 2001 — 2003
Master of Science, Electrical Engineering, A
Northern Illinois University - College of Business 2001 — 2003
Master of Science (M.S.), Electrical Engineering
Jawaharlal Nehru Technological University 1997 — 2001
Bachelor of Technology (B.Tech.), Electronics & Communication Engg, A
Osmania University 1996 — 1997
Bachelor of Science (B.Sc.), Electrical, Electronics and Communications Engineering
St Mary High School 1983 — 1993
SSC, SSC
Mylan Specialty December 2012 - Present
Abbott Diabetes Care October 2009 - December 2012
Abbott Laboratories January 2003 - April 2009
Abbott Laboratories April 2001 - December 2002
Professional Detailing, Inc June 2000 - April 2001
Harvard Pilgrim Health Care November 1994 - January 2000
Blue Cross Blue Shield 1990 - 1996
Skills
Hospitals, Anesthesia, Pharmacists, Sales Effectiveness, Pharmaceutical Industry, Pain Management, Surgeons, Sales, Nursing, Medical Devices, Healthcare, Account Management, Managed Care, Orthopedic, Selling, Pharmaceutical Sales, Endocrinology, Hospital Sales
Education
QHS
University of Massachusetts at Amherst - Isenberg School of Management
Bachelor of Business Administration, Marketing
LAL Language Centres July 2011 - Present
EducateALL Consulting Services June 1994 - Present
Action for Boston Community Development October 2006 - October 2010
Harvard Graduate School of Education September 2007 - June 2008
VSA arts June 2004 - January 2006
VSA arts 2004 - 2006
VSA arts of Massachusetts August 1999 - May 2004
Arthur D. Little May 1993 - October 1994
EBECC September 1989 - May 1993
Harvard Pilgrim Health Care 1978 - 1983
Skills
Teaching, Staff Development, Public Speaking, Community Outreach, Curriculum Design, Higher Education, Adult Education, Curriculum Development, Program Development, Classroom, Nonprofits, Program Evaluation, Grant Writing, Non-profits, Research, Child Development, Leadership Development, Organizational..., Program Management, Tutoring, Coaching, ESL/TESOL Language..., Educational Testing..., 10 Years Health Care..., Facility Management, Board of Directors, Board Development, Grants, Career Counseling, Fundraising, Volunteer Management, ESL, Educational Leadership, Teacher Training
Education
Harvard University Graduate School of Education 1993 — 1994
Master of Education (M.Ed.)
Lesley University 1989 — 1993
Bachelor of Science (B.S.)
University of South Carolina-Columbia
Associate of Science (A.S.)
South Shore Music Circus December 2014 - Present
EdTechTeacher May 2014 - October 2014
Mintz Levin May 2010 - May 2014
Mintz Levin August 2003 - May 2010
Amadeus May 2001 - August 2003
St. Elizabeth's Medical Center August 2000 - May 2001
Harvard Pilgrim Health Care September 1996 - January 2000
Skills
Microsoft Office, Troubleshooting, Customer Service, Active Directory, Research, Executive Level..., Heavy Calendaring, Expense Reports, Financial Analysis, Spreadsheets, PowerPoint, Formatting Documents, Proofreading, Administrative..., Outlook
Education
Lasell College 1997 — 2000
AS
Scituate High
Tufts Health Plan November 1997 - Present
Harvard Pilgrim Health Care May 1992 - October 1997
Skills
Claim, Managed Care, Health Insurance, Underwriting, Insurance, Employee Benefits, Medicare, Group Insurance, Healthcare, Health Care Reform, Disability Insurance, Brokers, Actuarial Science, Reinsurance
Education
Framingham State University 1990 — 1994
Broadcast Music, Inc. (BMI) March 2014 - Present
EmblemHealth November 2013 - March 2014
Cigna November 2011 - October 2013
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas November 2009 - November 2011
Bank of America April 2009 - November 2009
Michaels Stores, Inc. October 2006 - April 2009
McKesson June 2006 - October 2006
Harvard Pilgrim Health Care May 2005 - June 2006
Skills
Datastage, Data Warehousing, Teradata, ETL, Data Modeling, Data Integration, DB2, Data Warehouse..., Informatica, Oracle, SDLC, Business Intelligence, Data Quality, Data Governance, Cognos
Education
Illinois Institute of Technology 2002 — 2003
M.S, Chemical Engineering
D.V.R college of Engineering, Hyd,India 1997 — 2001
B.Tech, Chemical Engineering
Mercury Systems March 2014 - July 2015
American Dental Partners January 2013 - March 2014
Teknor Apex Company April 2010 - January 2013
Various Companies January 2008 - April 2010
New England Compensation Consortium 2008 - 2010
Harvard Vanguard Medical Associates January 2000 - January 2008
Harvard Pilgrim Health Care June 1997 - January 2000
MIT January 1987 - April 1997
Skills
Deferred Compensation, HRIS, Benefits Administration, Employee Benefits, Executive Pay, Compensation Structure..., Incentive Programs, Total Rewards, Compensation Structures, Compensation & Benefit, Payroll, Strategy, Leadership, Performance Management, Personnel Management, Onboarding, Compensation & Benefits
Education
Lesley University
HR & Systems Management
Ohio Wesleyan University
BA, Economics & Management
University at Buffalo July 2013 - Present
Farm Sanctuary September 2009 - September 2012
National Initiative for Children's Healthcare Quality 2008 - 2009
World Society for the Protection of Animals-USA 2006 - 2008
Network Health 2000 - 2006
Harvard Pilgrim Health Care 1998 - 2000
Women and Children's Hospital of Buffalo July 1987 - March 1994
Skills
Non-profits, Healthcare, Public Speaking, Pediatrics, Fundraising, Editing, Hospitals, Emergency Medicine, Grant Writing, Healthcare Management, Program Management, Community Outreach, Nonprofits, Strategic Planning, Hospital Medicine, Marketing Strategy, Research, Program Development, Leadership Development, Hospital Contracting, Medicine, Public Health, Animals, Humane Education, Healthcare improvement, Healthcare Industry, Disaster Medicine, Health Policy, Public Policy, Community Development, Non-profit..., Grants, Policy Analysis, Philanthropy, Program Evaluation, Quality Improvement, Grassroots Organizing, Board Development
Education
University of Rochester - William E. Simon Graduate School of Business Administration 1992 — 1994
MBA
Icahn School of Medicine at Mount Sinai 1975 — 1979
MD, Medicine
Massachusetts Institute of Technology 1971 — 1975
S.B., Life Sciences
CSC - Workday Practice - Integration Team December 2014 - Present
CSC April 1999 - Present
CSC August 2014 - November 2014
Omnicare April 2011 - July 2014
Harvard Pilgrim Health Care September 2009 - December 2010
ATPCO 2005 - 2009
PJM 2003 - 2004
ETS 2002 - 2003
First USA 1999 - 2001
Vanguard 1998 - 1999
Skills
SDLC, Enterprise Architecture, Data Warehousing, IT Strategy, Data Modeling, Requirements Analysis, Business Intelligence, SOA, Solution Architecture, Database Design, Software Project..., Integration, Databases, IT Management, ETL, Systems Analysis, Software Development, Business Analysis, Oracle, PMP, Agile Methodologies, Unix, Visio, Requirements Gathering, DB2, SharePoint, Microsoft SQL Server, SQL, Data Migration, ITIL
Education
La Salle University 1981 — 1985
Bachelor's degree, Computer Science
La Salle University 1981 — 1985
BS, Computer Science
Lightship Health, LLC October 2012 - Present
Vermont Information Technology Leaders, Inc. 2009 - October 2012
Lightship Health, LLC 2008 - 2009
Harvard Pilgrim Health Care 2000 - 2008
Lexant Corporation 1996 - 1998
Harvard Community Health Plan 1992 - 1996
HCHP 1989 - 1996
Skills
Healthcare Information..., Health Information..., Healthcare, Managed Care, Health Policy, Strategy, Leadership, Health Insurance, Strategic Planning, Informatics, EHR, Healthcare Industry, Consulting, Health Care Reform, Management Consulting, Healthcare Consulting, Medicine, Healthcare Management, Medicaid, Physicians, Revenue Cycle, Quality Improvement, Physician Relations, Medicare, Practice Management, HIPAA, Public Health, Provider Relations, Utilization Management, EMR, Pharmacy Benefit..., HMO, Performance Improvement
Education
Harvard Medical School 1975 — 1979
University of California, San Francisco - School of Medicine
Harvard Vanguard Medical Associates May 2013 - Present
The Medical Group 2000 - April 2013
Harvard Vanguard Medical Associates 1995 - 2000
Harvard Pilgrim Health Care 1991 - 1999
Harvard Community Health Plan 1991 - 1994
Skills
Healthcare, EHR, Process Improvement, Financial Analysis, Budgets, Cross-functional Team..., Change Management, Project Management, Revenue Cycle, Analysis, Healthcare Information..., Business Strategy, Finance, Team Building, Program Management, Practice Management
Education
Lafayette College 1987 — 1991
BA, History, minor in Health Care
Health Plans, Inc. January 2009 - Present
eAnswers, Inc. October 1999 - Present
One Beacon Insurance 2001 - 2004
Maxsol 1999 - 2001
Harvard Pilgrim Health Care 1996 - 1999
Northrop Company 1990 - 1996
Northrop Grumman 1980 - 1988
GE 1982 - 1987
GE 1982 - 1987
Firestone Tire and Rubber Company 1976 - 1980
Skills
Program Management, Management, Project Management, Leadership, Business Process, Business Intelligence, Vendor Management, Process Improvement, Business Development, Professional Services
Education
Worcester Polytechnic Institute 1972 — 1976
BSME, Mechanical Enginering
Notre Dame High School 1969 — 1972
Isenberg School of Management, UMass Amherst
MBA, Marketing and Strategic Planning
Big Y Foods, Inc January 2012 - Present
Projections 1999 - Present
Travelers August 2010 - January 2012
MassMutual Financial Group 2005 - 2009
MassMutual Financial Group 1997 - 2005
Harvard Pilgrim Health Care 1994 - 1997
State Street Global Advisors 1992 - 1994
Harvard Community Health Plan 1990 - 1992
Hedberg Data Systems, Inc 1989 - 1990
Tele-Composition, Inc 1987 - 1989
Skills
Database Administration, Microsoft SQL Server, Database Design, Unix, Data Warehousing, SQL, Data Modeling, SDLC, Disaster Recovery, Databases, SSIS, Testing, Unix Shell Scripting, Shell Scripting, Sybase, HTML, Systems Analysis, SQL Server, Process Automation, SQL Tuning, Teradata, Mentoring, Database Development
Education
Hofstra University
Bachelor's Degree, Computer Science
Harvard Pilgrim Health Care April 2009 - Present
Harvard Pilgrim Health Care 2004 - April 2009
Harvard Pilgrim Health Care 2001 - 2004
Harvard Pilgrim Health Care 1997 - 2001
Skills
Enterprise Architecture, Enterprise Software, Data Quality, Information Architecture, Data Warehousing, Strategy, Data Architecture, Data Integration, SDLC, Information Management, Qualitative Research, Project Management, Data Management, Analytics, Master Data Management, Management, Databases, Data Modeling, Data Governance, Requirements Gathering, Business Intelligence, IT Strategy, Governance, ETL, Business Analysis, Database Design, Requirements Analysis
Education
University of Virginia 1990 — 2007
Ph.D., Anthropology
The Catholic University of America 1987 — 1990
M.A., Anthropology
Goshen College 1980 — 1984
B.A., Sociology
State Street Corp January 2006 - Present
Harvard Pilgrim Health Care July 2005 - December 2005
Jubilant Organosys Ltd July 2002 - October 2003
Skills
Financial Reporting
Education
Harvard University 2004 — 2004
Certificate course, Managerial Accounting
M. S. University - Baroda 2000 — 2002
MBA, Finance
M. S. University - Baroda 1997 — 2000
BBA, Management
PacificSource Health Plan September 2002 - March 2015
Harvard Pilgrim Health Care 1999 - 2002
Harvard Pilgrim Healthcare 1999 - 2002
Skills
Team Building, Strategy, Medicare, Medicaid, Managed Care, Insurance, Brokers, Business Intelligence, Change Management, Claim, Employee Benefits, Enterprise Software, Finance, HIPAA, Health Insurance, Health Policy, Healthcare, Process Improvement, Program Management, Strategic Planning, Healthcare Information..., Public Speaking, Provider Relations
Education
Harvard University 1983 — 1988
Bachelor's Degree, Mathematics and the Comparative Study of Religion
Fallon Community Health Plan Contract ManagerFallon community Health Plan2008 - Present
CVS/Caremark October 2000 - February 2008
Harvard Pilgrim Health Care February 1994 - April 2000
Blue Cross Blue Shield of Massachusetts 1985 - 1994
Education
Isenberg School of Management, UMass Amherst 1980 — 1984
BS, Management
Liberty Mutual Insurance December 2014 - Present
Liberty Mutual Insurance July 2013 - December 2014
Classic Cargo May 2011 - June 2013
Harvard Pilgrim Health Care 1996 - 2007
Skills
Health Insurance, Insurance, Sales, Managed Care, Healthcare, Account Management, Customer Service, Employee Benefits, Strategic Planning, Leadership
Education
Framingham State College 1989 — 1993
Fashion Merchandising and Design
Harvard Pilgrim Health Care February 2015 - Present
Providence Alaska Medical Center January 2014 - Present
Alaska Trauma and Acute Care Surgery July 2013 - Present
Waldo County General Hospital August 2009 - January 2015
Baldrige Foundation 2015 - 2015
Waterbury Hospital March 2006 - July 2009
Sedlack Surgery July 1995 - March 2006
United States Navy July 1990 - July 1995
Skills
Surgery, Hospitals, Healthcare Management, Medical Education, Clinical Research, EMR, Critical Care, Medicine, Healthcare, Patient Safety, Healthcare Information..., Informatics
Education
University of Massachusetts, Amherst 2013 — 2015
Master of Business Administration (M.B.A.)
Georgetown University School of Medicine 1985 — 1990
Surgery, General Surgery Residency
Washington University School of Medicine in St. Louis 1981 — 1985
MD, Medicine
Northwestern University 1977 — 1981
BA, Chemistry
Datafactz Inc. October 2011 - Present
Lunexa August 2011 - September 2011
Disney Interactive Media Group August 2011 - September 2011
Lowe's April 2011 - July 2011
Datafactz Inc. March 2008 - July 2011
Zilliant May 2010 - March 2011
Harvard Pilgrim Health Care January 2010 - March 2010
.Silverton Casino & Hotel December 2008 - December 2009
Con-Way Entrprise/Menlo Worldwide Logistics March 2008 - November 2008
Skills
Data Warehousing, Microstrategy, Business Intelligence, OLAP, Dimensional Modeling, SQL, Apache Spark, Python, Scala, Machine Learning
Education
University of South Alabama 2005 — 2007
MSCIS, Information Systems
Jawaharlal Nehru Technological University 2002 — 2005
B.Tech, Computer Sciences and Engineering
BIDMC - CardioVascular Institute 2009 - Present
Cambridge Health Alliance September 2005 - February 2008
Massachusetts League of Community Health Centers September 1997 - July 2005
Harvard Pilgrim Health Care July 1987 - April 1997
Education
Harvard T.H. Chan School of Public Health 1983 — 1985
M.S., Health Policy & Management
Network Coverage, Inc. June 2015 - Present
Automation Concepts and Technologies July 2011 - June 2015
TJX November 2010 - July 2011
Fidelity Investments July 2005 - June 2010
Fidelity Investments July 2000 - July 2005
State Street Bank July 1999 - July 2000
Harvard Pilgrim Health Care July 1997 - July 1999
Skills
CISSP, CSSA, MCSE
Education
Isenberg School of Management, UMass Amherst
B.B.A.
University of Massachusetts, Amherst
B.B.A
GE Healthcare 2008 - Present
GE Healthcare April 2006 - April 2008
IDX Systems (now GE Healthcare IT) January 2004 - April 2006
IDX Systems Corporation (now GE Healthcare IT) February 2001 - January 2004
Perot Systems (Harvard Pilgrim Account) October 1999 - January 2001
Harvard Pilgrim Health Care October 1998 - October 1999
Cheung Gu High School September 1996 - August 1998
Youngnam Foreign Language Institute June 1995 - July 1996
Saint Clement High School September 1993 - June 1995
Skills
Healthcare Information..., Healthcare, Training, Instructional Design, Management, Six Sigma, Customer Education, Software Documentation, Coaching, Healthcare Consulting, Program Management, FrameMaker, Technical Writing, SnagIt, Hands-on Training, Project Management, Training Delivery, Strategy, Leadership, Process Improvement, Cross-functional Team..., E-Learning, Captivate, Blended Learning, Organizational..., Learning Management..., RoboHelp, Team Building, Learning Management, Technical Training, Instructor-led Training
Education
Northeastern University 2010 — 2010
Business
University of Massachusetts Boston 2001 — 2005
Master of Education (M.Ed.), Instructional Design, 4.0
Franklin Pierce College 1992 — 1992
Certificate of Secondary Education, Education, 3.7
Saint Anselm College 1988 — 1992
Bachelor's degree, English
Harvard Pilgrim Health Care May 2013 - Present
IMS Health July 2005 - April 2013
Pharmetrics 2001 - 2005
Harvard Pilgrim Health Care 1991 - 2001
Skills
SAS, Data Management, Analytics, Data Analysis, Data Warehousing, Programming, Pharmaceutical Industry, Analysis, SAS Programming, SQL, Healthcare, Healthcare Information..., Databases
Education
Harvard T.H. Chan School of Public Health 1988 — 1991
MS, Health Policy & Management
University of California, Santa Cruz 1983 — 1987
BA, Economics
Lahey Hospital & Medical Center April 2014 - Present
Winchester Hospital October 2011 - April 2014
Lowell General PHO June 2009 - October 2011
Harvard Pilgrim Health Care June 2007 - June 2009
Tufts Health Plan 2005 - 2007
Tufts Health Plan 2003 - 2005
Tufts Health Plan 2001 - 2003
Tufts Health Plan 1998 - 1999
Tufts Health Plan 1997 - 1998
Skills
Managed Care, Healthcare Management, Healthcare, Hospitals, Medicare, Revenue Cycle, Meditech, EHR, HIPAA, Healthcare Consulting, SAS, Health Insurance, Data Analysis, Access, MedAssets, Healthcare Information..., Pay for Performance, Risk Management
Education
Illinois State University
Bachelor of Science (BS), Health Information Management
University of Massachusetts at Lowell
Master of Science (MS), Health Management & Policy
UCSF September 2011 - Present
Children's Mercy Hospital October 2008 - July 2011
Harvard Pilgrim Health Care July 2007 - July 2008
Harvard University August 2005 - July 2008
Project Bread - The Walk for Hunger 2007 - 2007
Harvard Pilgrim Health Care November 2002 - June 2006
Education
Harvard University 2005 — 2007
MSPH, Public Health
Harvard T.H. Chan School of Public Health 2004 — 2007
MSPH, Society, Human Dev and Health
University of Chicago 1998 — 2001
Bachelor of Arts (B.A.), Anthropology
Harvard Pilgrim Health Care August 2012 - Present
Neighborhood Health Plan December 2010 - August 2012
Fallon Community Health Plan July 2001 - November 2010
Skills
Medicare, Medicaid, Healthcare, Process Improvement, Financial Modeling, Insurance, Finance, Business Planning, Financial Analysis, Managed Care, Healthcare Management, Strategic Planning, Data Analysis, Financial Reporting, HIPAA, Health Insurance, Hospitals, Healthcare Information..., Healthcare Industry, Health Policy, Provider Relations, PPO, Revenue Cycle, Physicians, Physician Relations, HMO, Network Development
Education
M.I.T. 1982 — 1984
MSM, Operations Management
Harvard College 1974 — 1979
A.B., Economics
Kewill Inc April 1999 - Present
Kewill Systems April 1999 - Present
Harvard Pilgrim Health Care October 1997 - March 1999
NOL April 1996 - September 1997
Ordnance Factory Medak September 1989 - April 1996
Skills
Software Development, Business Analysis, Project Management, JavaScript, Databases, HTML, Integration, PL/SQL, SDLC
Education
Jawaharlal Nehru Technological University 1989 — 1993
B.Tech, Electronics and Communications Engineering
Govt. Polytechnic MasabTank 1985 — 1988
Diploma, Electronic and Communications Engineering Technology/Technician
Novartis Institutes for BioMedical Research March 2012 - Present
Microsoft January 2008 - March 2012
Fast Search Transfer June 2006 - December 2008
Harvard Pilgrim Health Care January 2004 - June 2006
Thomson CompuMark January 1985 - January 2002
Business Research Corporation 1983 - 1985
Skills
Perl, SharePoint, Software Development, Enterprise Software, C#, Solution Architecture, Microsoft SQL Server
Education
Framingham State University 1978 — 1983
BS, Computer Science
Harvard Pilgrim Health Care June 2012 - August 2012
Yale New Haven Hospital May 2011 - June 2011
Yale University School of Medicine 2008 - 2011
Skills
Research, Medicine, Microsoft Excel, Direct Patient Care, Statistics, Western Blotting, Non-profit Volunteering, PowerPoint, Community Outreach, Hospital Operations, Molecular Biology, Teaching, Data Analysis, Public Health, Public Speaking, Biochemistry, Clinical Research, Microsoft Office
Education
Harvard Medical School 2011 — 2015
MD
Yale University 2007 — 2011
BS, Molecular Biophysics and Biochemistry
University of New England College of Osteopathic Medicine August 2011 - Present
South Shore PHO March 2009 - March 2010
Tri-County Pediatric Associates June 1984 - December 2009
Harvard Pilgrim Health Care 2000 - 2009
Skills
Higher Education, Teaching, Curriculum Design, Curriculum Development, Instructional Design, Educational Technology
Education
Georgetown University School of Medicine 1962 — 1966
Doctor of Medicine (MD), Medicine
Harvard Pilgrim Health Care October 2012 - Present
Harvard Pilgrim Health Care March 2010 - October 2012
Partners Healthcare System November 2007 - February 2010
Aetna Inc. April 2007 - October 2007
Aetna Inc. June 2005 - March 2007
Education
Hamilton College 2001 — 2005
Bachelor of Arts, Mathematics
Harvard Pilgrim Health Care August 2011 - Present
Merrimack Special Education Center March 2009 - September 2010
Skills
PowerPoint, Microsoft Excel, Customer Service, Microsoft Office, Microsoft Word, Outlook, Social Media, Healthcare, Team Building, Process Improvement, Photoshop, Data Entry, Leadership
Education
Grand Canyon University
Bachelor’s Degree, Special Education and Teaching
Nuance Communications Medical TranscriptionistWebmedx/NuanceMay 2005 - Present
AHDI 2006 - 2009
St. Joseph's Hospital and Medical Center April 2001 - May 2005
Barrow Neurosurgical Associates June 2000 - April 2001
Western Asset Management/WAM Development January 1998 - June 2000
Perfect Match Temporary Agency December 1996 - January 1998
Harvard Pilgrim Health Care 1994 - 1996
Skills
Medical Transcription, Medical Terminology, Transcription, Editing, Healthcare, Microsoft Office, Writing, Documentation, Health Information..., EHR
Education
Gateway Community College 1999 — 2001
Certificate, Medical Transcription/Transcriptionist, 4.0
AIA (ING) September 2011 - Present
ING September 2011 - June 2013
AXA January 2010 - September 2011
ING January 2009 - January 2010
ING January 2008 - January 2009
AIG June 2006 - January 2008
Harvard Pilgrim Health Care August 2005 - May 2006
Great Eastern Life November 1999 - November 2000
Great Eastern Life March 1997 - November 1999
Skills
Risk Management, Actuarial Science, Insurance, Financial Risk, Capital Management, Investments, Prophet, SAS, GLM, GLMM, SQL, VB.NET, VBA, C++, DLL, Microsoft Office, Access, Actuarial Exams, Microsoft Excel
Education
Georgia State University 2004 — 2005
Doctor of Philosophy (Ph.D.), Risk Management
University of Nebraska-Lincoln 2001 — 2003
Master's Degree, Applied Statistics
University of Nebraska-Lincoln 1994 — 1997
Bachelor's Degree, Actuarial Science
JPA Health Communications July 2013 - Present
Pfizer August 2011 - July 2012
Denterlein Public Affairs February 2008 - August 2011
Tufts Health Plan January 1998 - July 2007
Harvard Pilgrim Health Care 1996 - 1997
Skills
Crisis Communications, Strategic Communications, Communications Planning, Media Relations, Corporate Communications, Public Relations, Press Releases, Editing, Public Speaking, Social Media, Strategic Planning, Marketing Communications, Public Policy, Leadership, Internal Communications, Community Outreach, Nonprofits, Strategy, Government
Education
Harvard University Kennedy School of Government 2009 — 2010
MPA, Public Administration
Simmons College 1995 — 1997
MA, French
Simmons College 1989 — 1993
BA, International Management and French
Harvard Pilgrim Health Care September 2015 - Present
Sarah J Photography July 2012 - Present
Neighborhood Health Plan February 2014 - September 2015
Harvard Pilgrim Health Care January 2011 - February 2014
Harvard Pilgrim Health Care 2006 - January 2011
Harvard Pilgrim Health Care 2003 - 2006
Harvard Pilgrim Health Care 2001 - 2003
Advanced Cable Ties, Inc 1999 - 2001
Skills
Management, Customer Service, Microsoft Excel, Microsoft Word, Oracle, Healthcare, Team Building, Business Analysis, Data Analysis, Business Process, Process Improvement, Software Documentation, Analysis, Visio, IT Management, Program Management, Leadership
Education
Center for Cross Cultural Studies 1999 — 1999
Spanish
Gordon College 1994 — 1999
BA, Spanish
New York Institute of Photography
Photography
Rhodes Technologies Sr. Administrative Assistant to VP & GMRhodes Pharmaceuticals2006 - Present
Harvard Pilgrim Health Care 1986 - 1999
Skills
Pharmaceutical Industry
Education
Johnson & Wales University 1985 — 1991
Community Enterprises, Inc. Director, Provider ContractingHealth New England1998 - 2007
Harvard Pilgrim Health Care 1996 - 1998
Feeley & Driscoll, P.C. 1995 - 1996
Cooley Dickinson Hospital 1988 - 1993
Education
Western New England College School of Law 2002 — 2006
JD
Isenberg School of Management, UMass Amherst 1985 — 1989
MBA
University of Bridgeport 1979 — 1983
BS
Harvard Pilgrim Health Care January 2013 - Present
Beth Israel Deaconess Physician Organization August 2011 - January 2013
South Shore Hospital 2006 - September 2011
Harvard Pilgrim Health Care 1990 - 2006
Harvard Pilgrim Health Care January 1998 - January 1999
Harvard Pilgrim Health Care January 1995 - January 1997
Harvard Pilgrim Health Care January 1993 - January 1994
Pilgrim Health Care January 1992 - January 1993
Skills
Medicaid, Managed Care, Data Analysis, Healthcare, Analysis, Leadership, Hospitals, Process Improvement, Financial Analysis, Healthcare Information..., HIPAA, Management, Business Process, Strategic Planning, Medicare
Education
Framingham State College
Bachelor of Science
Harvard Pilgrim Health Care December 2011 - Present
Skills
Healthcare, Healthcare Management, PowerPoint, Managed Care, Microsoft Excel, Microsoft Office, Medicare, Social Media, Customer Service, Management, Business Process, Hospitals, Analysis, Training, Leadership, Process Improvement
Education
Stonehill College 2000 — 2003
Bachelor's
Ithaca College 1999 — 2000
Silver Lake Regional High School 1995 — 1999
Harvard Pilgrim Health Care 2004 - Present
Lawrence General Hospital November 2008 - June 2011
Home health VNA 1995 - 2004
Lawrence General Hospital 1976 - 1995
Lawrence memorial Hospital June 1973 - May 1976
Skills
Healthcare, Disease Management, Healthcare Management, Utilization Management, Nursing, Managed Care, Health Education, Medicare, Health, Hospitals, Public Health, Health Promotion, Medicaid, Community Health, Healthcare Information..., Wellness, Provider Relations, HEDIS, Clinical Research, Home Care
Education
Lawrence Memorial Hospital School of Nursing 1970 — 1973
Diploma, Nursing
BIDCO LLC November 2008 - Present
South Shore PHO October 2005 - May 2008
Harvard Pilgrim Health Care February 1994 - October 2005
Skills
Contract Negotiation, Financial Analysis, Strategic Thinking, Managed Care, Contract Management, Healthcare, Healthcare Industry, Hospitals
Education
Harvard School of Public Health 1984 — 1985
Master's degree, Health Policy and Management
University of Bridgeport
Bachelor of Science, Medical Technology
Newfield House August 2012 - Present
Newfield House 2012 - 2013
Harvard Pilgrim Health Care October 1996 - September 2001
Skills
Writing, MS Word, Microsoft Excel, Skilled telemarketer, People Skills, Patience, Kindness, Diplomacy, Consistency, High Quality Standards, Goal Oriented, Smiling
Education
Massachusetts College of Art 1978 — 1981
none, Graphic Design
Framingham State College 1972 — 1974
none