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
Multicultural Community Services of the Pioneer Valley May 2013 - August 2013
Fitango August 2012 - December 2012
Mount Holyoke College January 2012 - May 2012
Mount Holyoke College September 2009 - December 2011
Harvard Pilgrim Health Care June 2011 - August 2011
Mount Holyoke College November 2008 - January 2011
Prehospital Emergency Care Educators (PECE) January 2010 - April 2010
Skills
Scanning Electron..., Fluorescence Microscopy, Evolutionary Biology, Microsoft Office, SPSS, SAS, Adobe Creative Suite, PCR, Gel Electrophoresis, Western Blotting, qPCR, science writing, HIPAA, First Responder, Community Outreach, People-oriented, Cpr Certified, Teaching, Team Leadership, Fiction Writing, poety, Qualitative Research, Higher Education, Research, Tutoring, University Teaching, Molecular Biology, R
Education
Mount Holyoke College 2008 — 2012
Bachelor of Arts (B.A.), Biology, General
Scappoose Middle School
Mount Ida College January 2015 - Present
Harvard Pilgrim Health Care October 2013 - December 2014
IKEA Group October 2013 - January 2014
IKEA Group May 2013 - October 2013
Massachusetts College of Liberal Arts January 2013 - May 2013
Massachusetts College of Liberal Arts September 2011 - May 2013
Massachusetts College of Liberal Arts September 2011 - May 2013
Massachusetts College of Liberal Arts September 2010 - September 2011
Law Office of Victor and Goldman September 2009 - August 2010
Skills
Typing, Filing, Customer Service, Customer Experience, Answering Phones, Cashiering, People Skills, Telephone Skills, Prezi, PowerPoint, Microsoft Excel, Microsoft Word, Photoshop, Xibo, Digital Photography, Fundraising, Event Planning, Public Relations, Public Speaking, Marketing, Social Media, Facebook, Social Networking
Education
Massachusetts College of Liberal Arts 2010 — 2013
Bachelor of Arts (B.A.), English/Communications
Brockton High School 2006 — 2010
High School Diploma, 12
CAPA The Global Education Network January 2015 - Present
Vista Higher Learning January 2013 - December 2014
Massachusetts Institute of Technology September 2005 - January 2013
National Educational Travel Council (NETC) May 2000 - November 2004
Fidelity Investments February 1998 - October 1999
Harvard Pilgrim Health Care January 1995 - February 1998
Harvard University, Ukrainian Research Institute March 1990 - January 1995
Skills
Employee Relations, Organizational..., Talent Management, Performance Management, Recruiting, Policy, Human Resources, Personnel Management, Employee Benefits, Employee Engagement, Management, Labor Relations, Temporary Placement, HRIS, Program Management, Career Development, Training, Onboarding, Succession Planning, Diversity & Inclusion
Education
McGill University
BA, Modern Languages
Lesley University
MA, Intercultural Relations
Caritas Medical Laboratories, LLC. March 2002 - September 2010
ACA Healthcare Management Services September 2001 - March 2002
Harvard Pilgrim Health Care June 1996 - October 2001
Brockton Credit Union October 1989 - April 1994
Skills
Customer Service, Microsoft Office, Leadership, Sales, Microsoft Word, Team Leadership, Healthcare, Medical Coding, ICD-9, Employee Training, Troubleshooting, Microsoft Excel, Outlook, Meditech, Accoubts Receivable, HIPAA, Medical Billing, Financial Analysis
Education
Brockton High School 1985 — 1989
High School, General Academics
Massasoit Community College
Computer Science
Covidien December 2014 - Present
Kelly Services December 2013 - December 2014
Doherty's Flowers November 2000 - November 2013
Norwood Medical Associates January 1997 - November 2000
Harvard Pilgrim Health Care March 1988 - February 1997
Newton Wellesley Pediactrics June 1982 - March 1988
Goddard Memorial Hospital January 1981 - June 1982
Skills
Mac and PC literate, ASCP certerifed, 60 wpm typing, Laboratory, Serology, Phlebotomy, Medicine, EKG, Customer Service, Urinalysis, Vital Signs, Hematology
Education
Massachusetts Bay Community College 1980 — 1982
Associate of Science (AS), Medical Laboratory Technology
Boston Children's Hospital December 2014 - Present
Harvard Pilgrim Health Care Institute April 2013 - December 2014
Harvard Pilgrim Health Care Institute 2011 - 2013
Harvard Pilgrim Health Care Institute 2003 - 2013
Harvard Pilgrim Health Care Institute 2005 - 2011
Harvard Pilgrim Health Care 2002 - 2005
Skills
Project Management, Proposal Writing, Health Policy, Public Health, Cross-functional Team..., Supervision, Decision Analysis, Health Services Research, Communication Skills, Large Budget Management, Procedural Development, Operational Efficiency, Grant Writing
Education
Merrimack College 1994 — 1998
Bachelor of Arts (BA), Psychology and English
U.S. Department of Commerce August 2012 - Present
U.S. Department of Commerce November 2009 - December 2012
U.S. Export Assistance Center, Denver CO March 2009 - June 2009
University of Denver October 2007 - June 2009
Harvard Pilgrim Health Care October 2005 - July 2006
New England Financial 1999 - 1999
Skills
International..., Research, Policy Analysis, Foreign Policy, International Relations, Analysis, Data Analysis, Economic Development, Economics, Export, Government, International Trade, Policy, Politics
Education
University of Denver 2007 — 2009
MA
Middlebury Institute of International Studies at Monterey 2007 — 2007
Middlebury College 1997 — 2001
BA
Newton South High School
Beth Israel Deaconess Care Organization January 2000 - Present
Harvard Pilgrim Health Care May 1989 - December 1999
Skills
Credentialing, Provider Enrollment, Cactus, Microsoft Office, Managed Care, HIPAA, Medicare, Medicare ACO, Lean Certification, Claims Resolution, Data Reconciliation, Reports, Healthcare Management, Health Insurance, Physicians, Healthcare Consulting, Medicaid, Hospitals, Healthcare
Education
Massasoit Community College 1988 — 1990
Associate's degree, Hotel, Motel, and Restaurant Management
Department of Veterans Affairs June 2008 - Present
St. Joseph's Hospital Providence, RI May 2001 - June 2008
Harvard Pilgrim Health Care May 1989 - April 2000
Skills
Policy, Hospital and Healthcare, Medicine, Nursing, Surgery, Hospitals
Education
Lesley University
Master of Science in Management
Northeastern University
Bachelor's Degree in Nursing
Covidien September 2011 - Present
Covidien May 2008 - September 2011
Harvard Pilgrim Health Care June 2007 - March 2008
Dell Perot Systems July 2006 - June 2007
Skills
Active Directory, Lotus Notes, Microsoft Office, Troubleshooting, Computer Hardware, Software Installation, Documentation, Operating Systems, Windows, PeopleSoft, IT Management, Excel, XP, Outlook, Citrix, Printers, Novell, Change Management, Microsoft Excel, Software Documentation, Hardware, Help Desk Support, Technical Support, SharePoint, Windows XP, Microsoft Windows
Education
Miami Dade College 2012 — 2016
Business Management, IS
Year Up 2006 — 2007
Network, IT
BlackBerry March 2012 - Present
Research In Motion (RIM) December 2010 - March 2012
Research In Motion April 2001 - December 2010
XMLAW, Inc. October 2004 - October 2010
EMC Services (formerly Internosis) 1999 - 2001
BostonBands.com 1998 - 2000
The Boston Consulting Group 1997 - 1999
Harvard Pilgrim Health Care 1995 - 1997
Skills
Enterprise Software, Product Management, Strategy, Program Management, Blackberry, Management, Microsoft Exchange, Go-to-market Strategy, Microsoft Office, Professional Services, IIS, Messaging Platforms, Team Leadership, Wireless, Pre-sales, Channel Partners, Mobile Technology, Internet, Firewalls, Management Consulting, Leadership, Mobile Devices, Project Management, Account Management, Executive Management, SQL, Networking, Solution Selling, BlackBerry Technologies, Microsoft Exchange..., MS Office Applications, Internet Firewall..., Development with HTML,...
Education
Southern New Hampshire University 1990 — 1993
Bachelor of Arts (B.A.), Computer Information Systems
Hesser College 1988 — 1990
Associate of Science, Computer Programming and Business Management
Novartis Institutes for BioMedical Research August 2012 - Present
Allied Barton Security June 2011 - August 2011
MKA Executive Planners July 2010 - December 2010
Harvard Pilgrim Health Care June 2006 - August 2009
Skills
Microsoft Office, Research, PowerPoint, Microsoft Excel, International Relations, Microsoft Word, Eagle Scout, Public Speaking, Social Media, Political Science, Editing, Policy Analysis, Politics, English, Program Management, Network Administration, Network Architecture
Education
Northeastern University 2008 — 2012
Bachelor of Arts (B.A.), International Affairs and Political Science, with a minor in Middle East Studies, 3.2 GPA
Meiji University 2012 — 2012
Lincoln Sudbury Regional High School 2004 — 2008
Affiliated Professional Services, Inc. (APS) June 2004 - Present
Harvard Pilgrim Health Care September 1998 - June 2004
Harvard Pilgrim Health Care 1999 - 2001
Skills
Managed Care, Healthcare, Training, Sales, Management, Customer Service, Revenue Cycle, Medicaid, Process Improvement, Medicare, Health Insurance, New Business Development, Radiology, Healthcare Information..., Healthcare Management, Analysis
Education
Newbury College
Associate., Health Administration
Morales household Staffing CoordinatorDelta T GroupApril 2011 - February 2012
Delta-T Group April 2011 - February 2012
Diversified Staffing Group July 2007 - July 2008
Diversified Staffing Group June 2007 - July 2008
Favorite Healthcare Staffing March 2001 - May 2007
Favorite Healthcare Staffing March 2001 - May 2007
Harvard Pilgrim Health Care February 2003 - December 2004
Havard Pilgrim Health Care 2003 - 2004
Politzer & HANEY April 2000 - February 2001
Skills
Hiring, Interviewing, Recruitment/Retention, Full-cycle Recruiting, Staffing Services, Temporary Staffing, Contract Recruitment, Temporary Placement, Job Fairs, Benefits Negotiation, Sourcing, Employee Relations, Human Resources, Permanent Placement, Screening Resumes, Screening, Recruiting, Interviews, New Hire Orientations, Employee Benefits, SDLC
Education
Massasoit Community College 2008 — 2010
Associate of Science (A.S.)
Katharine Gibbs School 1996 — 1998
Associate Degree, Secretarial Arts/ Medical Specialization
Edward M. Kennedy Community Health Center April 2010 - September 2012
Nordstrom November 2011 - January 2012
Dismas House April 2009 - September 2011
Harvard Pilgrim Health Care February 1981 - November 1999
Skills
Program Development, Non-profits, Community Outreach, Behavioral Health, Healthcare, Public Speaking, Customer Service, Treatment, Nonprofits, Hospitals, Case Managment, Psychotherapy, Public Health, Case Management, Social Services
Education
University of Phoenix 2007 — 2009
Associate's degree, IT, B
Monty Tech 1978 — 1980
Certificates, Computer Science
Quabbin Regonal High School 1974 — 1978
High school diploma, Business
Harvard Pilgrim Health Care February 2013 - Present
Harvard Pilgrim Health Care May 2012 - January 2013
Bright Horizons April 2011 - May 2012
Bright Horizons April 2009 - March 2011
Fidelity Investments May 2004 - February 2009
Fidelity Investments January 2000 - May 2004
Scudder Investments January 1996 - January 2000
Scudder Investments October 1993 - December 1995
Scudder Investments December 1991 - September 1993
Scudder Investments June 1990 - November 1991
Skills
Coaching, Customer Service, Program Management, Workforce Management, Call Center, Vendor Management, Team Leadership, Excel, PowerPoint, Word, Microsoft Office, Forecasting, Documentation, Customer Relations, Operations Management, Outsourcing, Project Management, Microsoft Excel, Software Documentation, Leadership, Troubleshooting, Training, Call Centers, Insurance, Integration, Visio, Management, Process Improvement, Healthcare Industry, Series 63, Series 6, Medicare Advantage, Presentations, Hiring Personnel, Personnel Management, Personnel Supervision, Personnel Selection, Call Routing, Financial Services, IEX Total View, NICE Call Recording, Technical Support, Customer Support, Help Desk Support
Education
Suffolk University - Sawyer Business School 2003 — 2006
MSA, Accounting
Suffolk University - Sawyer Business School 2001 — 2003
MSF, Finance
Suffolk University - Sawyer Business School 1998 — 2000
MBA, Business
Middlebury College 1986 — 1990
BA, Economics & Psychology
Hingham High School 1982 — 1986
Doctor On Demand, Inc December 2014 - Present
HealthTap July 2013 - Present
ACTNowPsychotherapy 1994 - Present
Songshops Coop 2007 - 2011
Songshops Coop 1996 - 2001
Harvard Pilgrim Health Care September 1994 - May 1997
The Delphi Center of Burlington May 1986 - September 1994
Greater Laurence Psychological Center September 1982 - 1987
Arlington Psychological Center 1983 - 1984
Skills
Phobias, Psychotherapy, Treatment, Family Therapy, Personal Development, Public Speaking, Writing, Couples, Psychology, Stress Management, Post Traumatic Stress, CBT, Group Therapy, Therapists, Self-esteem, Anger Management, Clinical Research, Mental Health, Child Development, Clinical Supervision, Teaching, Hypnotherapy, Life Transitions, Adolescents, Mindfulness, Blogging, Hypnosis, Counseling Psychology, EMDR, Stress, Program Development, Training
Education
Massachusetts School of Professional Psychology 1983 — 1986
PsyD, Professional Clinical Psychology
Tel Aviv University 1972 — 1976
Psychology, BA & MA
Machon L Madrichim
Tel Yehudah & CYJ
Harvard Pilgrim Health Care November 2014 - Present
Harvard Pilgrim Health Care February 2013 - Present
Harvard Pilgrim Health Care October 2011 - February 2013
Harvard Pilgrim Health Care September 2006 - September 2011
Harvard Pilgrim Health Care April 2005 - September 2006
Skills
Health Insurance, Managed Care, Healthcare, HIPAA, Medicare, Insurance, Healthcare Information..., Provider Relations, Medicaid, Employee Benefits, Benefits Administration, Process Improvement, HMO, Healthcare Management, Healthcare Industry, PPO, Health Care Reform, Claims Resolution, Telephone Skills, Customer Service
Education
Merrimack College
University of Massachusetts Boston
Law Office of Mark S. Machado February 1998 - Present
Harvard Pilgrim Health Care 1981 - 1997
Skills
Civil Litigation, Litigation, Criminal Law, Legal Research, Personal Injury, Criminal Defense, Forensic Pharmacology, Intellectual Property, Wrongful Death, Fraud, Pharmacists, Expert Witness, Legal Assistance, White Collar Criminal..., Clinical Research, Appeals, Pharmaceutical Industry, Family Law, Trial Practice, Commercial Litigation, Legal Writing, Depositions, Mediation, Courts, Product Liability, Trials, Regulatory Affairs, Pharmacy, Trusts, Criminal Justice, Informatics, Litigation Support, Legal Issues, Investigation, Pharmacy Benefit..., Pharmacology, Private Investigations, Oncology, Diabetes, Managed Care, Clinical Pharmacology, Alternative Dispute..., Constitutional Law, Evidence, Forensic Analysis, Medication Therapy..., Medicare Part D, Compounding, Medical Writing, Pharmacy Automation
Education
Massachusetts School of Law 1993 — 1997
Juris Doctorate, Majored in Litigation and Business and Corporate Law
Massachusetts College of Pharmacy and Health Sciences 1976 — 1981
BSpharm, Pharmacology
ZurickDavis Executive Search in Health Care 2008 - Present
Brill Neumann 2005 - 2008
Archaeological Institute of America January 2000 - January 2003
Harvard Pilgrim Health Care January 1999 - January 2000
Harvard Pilgrim Health Care January 1998 - January 1999
Harvard Pilgrim Health Care January 1996 - January 1998
Harvard Pilgrim Health Care January 1990 - January 1996
Harvard Pilgrim Health Care January 1986 - January 1990
Harvard Community Health Plan Hospital January 1979 - January 1986
Skills
Physicians, Managed Care, Leadership, Hospitals, Healthcare, Healthcare Management, Business Development, Contract Negotiation, Research, Network Development, Team Building, Healthcare Consulting, Healthcare Industry, HIPAA, Medicare, Strategic Planning, Healthcare Information...
Education
Yale University 1971 — 1973
MPH, Hospital Administration
Mount Holyoke College 1967 — 1971
BA
Dartmouth College Rufus Choate Scholar 1969 — 1970
Global Spectra November 2013 - Present
Law Office of Joseph C. Clermont September 2005 - Present
City of Lowell School Department May 1998 - April 2004
Harvard Pilgrim Health Care February 1994 - August 1998
Skills
Legal Writing, Management, Nonprofits, Editing, Databases, Microsoft Excel, Microsoft Office, Customer Service, Time Management, Data Entry, Microsoft Word
Education
Middlesex Community College 1998 — 2005
Associate's degree, Liberal Arts and Sciences/Liberal Studies, 3.9 GPA
Advanced Math & Science Academy Charter School September 2007 - Present
Masschusetts Pubic Schools 2002 - 2007
Bose Corporation 1999 - 2001
Fallon Community Health Plan 1996 - 1999
Harvard Pilgrim Health Care 1994 - 1996
The Rockport Company 1988 - 1993
Tri Companies 1985 - 1987
Skills
Marketing Communications, Curriculum Design, Key Account Management, Leadership, Microsoft Office, Community Outreach, PowerPoint, Problem Solving, Writing, Customer Service, Teaching, Public Speaking, Social Media, Microsoft Excel, Editing, Event Management, Strategic Planning, Research, Curriculum Development, Marketing Strategy, Creative Writing, Event Planning, Market Research, Training, Advertising, Tutoring, Classroom, E-Learning, Budgets, Program Management, Instructional Design, Staff Development, Public Relations, Educational Leadership, Higher Education, Management, Special Education, Analysis, Newsletters, Teacher Training
Education
Lesley University 2003 — 2004
Master's degree, Education, 3.9
Lesley University 1981 — 1982
Masters in Counseling Psychology, Focus: Career Counseling, 3.9
Morton Hospital and Medical Center April 2013 - Present
Harvard Pilgrim Health Care February 2003 - June 2013
Laboure College January 2011 - December 2012
Skills
Customer Service, Microsoft Excel, Microsoft Office, PowerPoint, Social Media, Customer Satisfaction, Insurance, Call Center, Healthcare, Meditech, Public Speaking, Event Planning, Microsoft Word, Strategic Planning, Data Analysis
Education
Southern New Hampshire University 2013 — 2014
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Laboure College 2010 — 2012
Associates Degree, Nursing
Bridgwater State University 1998 — 2003
BA, Communication and Dance
Mount Alvernia High School 1994 — 1998
H.S
Lesley University
Elementary Education and Teaching
Catamaran February 2003 - Present
Cardinal Health June 2001 - January 2003
Harvard Pilgrim Health Care February 1999 - June 2001
PharmaCare December 1995 - February 1999
Education
National Louis University 2006 — 2009
Bachelor's of Science, Management
Catamaran January 2013 - Present
Custom Learning Designs March 2011 - January 2013
Emerson Hospital 2004 - March 2011
Freelance 2000 - 2004
Harvard Pilgrim Health Care 1997 - 2000
Harvard Pilgrim Health Care 1996 - 1997
Veterans Administration 1994 - 1996
Skills
Medical Writing, Pharmacy, Medical Education, Pharmaceutical Industry, Managed Care
Education
Massachusetts College of Pharmacy and Health Sciences 1994 — 1996
PharmD
Northeastern University 1989 — 1994
B.S., Pharmacy
Northeastern University
Technical Writing Certificate
PreLaunch Strategy, LLC 2007 - Present
Harvard Pilgrim Health Care 1985 - 2007
Skills
Managed Care, Hospitals, Leadership, Medicine, Pharmacy, Temporary Placement, Training, Strategy, Medicare, Clinical Research, Management, Disease Management, Competitive Intelligence, Biotechnology, Healthcare, Medicaid, Health Policy, Pharmacy Benefit..., Employee Benefits, Pharmaceutical Industry, Analysis, Health Economics, Medicare Part D, Informatics, Negotiation, Public Health, HIPAA, Wellness Coaching, Healthcare Consulting, Healthcare Information..., Consulting, Pharmacists, Oncology, Healthcare Management, Pharmaceutics, Diabetes, Insurance, Healthcare Industry, Data Analysis, Compliance, Health Insurance, Pharmaceutical Sales, Strategic Planning, Competitive Analysis, Patient Safety, Quality Improvement, Process Improvement
Education
Massachusetts College of Pharmacy and Health Sciences 1960 — 1965
MultiPlan June 2007 - Present
Harvard Pilgrim Health Care 2005 - 2007
Skills
HIPAA, Managed Care, Healthcare, Medicaid, Medicare, Healthcare Management, Process Improvement, SDLC, Program Management, Visio, Health Insurance, Vendor Management, Software Documentation, Project Management, Cross-functional Team...
Education
Lesley University
Master of Science (MS), Management, Health Care
Worcester State College
Bachelor of Applied Science (BASc), Health Services
Worcester State College
Bachelor of Science (BS), Health Services Administration
Harvard Pilgrim Health Care August 2014 - Present
Lahey Hospital and Medical Center January 2013 - September 2013
Lahey Clinic Medical Center December 2003 - January 2013
Lahey Clinic Medical Center September 2000 - December 2003
Lahey Clinic Medical Center March 2000 - September 2000
Alternative Care Medical Services 1996 - 1999
Alternative Care Medical Services 1994 - 1996
Skills
Case Management, Utilization Review, Utilization Management, Health Care Regulation, Discharge Planning, Nursing, Hospitals, Management, Organization &..., Transitions of Care, Observation, Hospital Reimbursement, Customer Service, Clinical Research, Team Management, Denials and Appeals, Recovery Audit (RA), Healthcare, Inpatient
Education
University of Massachusetts Lowell
Bachelors of Science in Nursing (BSN), Magda Cum Laude
Massachusetts Bay Community College
Associates Degree, Nursing
DentaQuest December 2014 - Present
DentaQuest May 2012 - Present
The Hanover Insurance Group September 2009 - September 2011
Comcast May 2008 - September 2009
The Hanover Insurance Group June 1999 - May 2008
Harvard Pilgrim Health Care January 1990 - June 1999
Skills
ITIL, Operational Excellence, Customer Service, Call Center, Talent Management, Succession Planning, IT Service Management, Performance Management, Change Management, Coaching, Leadership Development, Customer Relations, Employee Engagement, Organizational..., Talent Acquisition, Customer Satisfaction, Six Sigma, Incident Management, Service Management, Service Desk, IT Governance, Organizational Design, Organizational..., Compensation, IT Operations, Problem Solving, CMMI, Service Delivery, Budgeting, ACD, IT Management, Operations Management, SLA, Hiring, Vendor Management, Metrics, Outsourcing, Mentoring, Budgets, Process Improvement, Call Centers, Project Management, Business Analysis, Enterprise Software, Data Center, Business Process..., PMO, Project Planning, Insurance, Team Management
Education
Merrimack College
Business Administration
Methuen High School
Northern Essex Community College
Respiratory Therapy
University of Lowell
Health Care Administration
University of Phoenix
Business Administration
Shriners Hospitals for Children June 2015 - Present
Caretenders VNA June 2014 - December 2014
Parmenter VNA and Hospice February 2013 - October 2013
All Care VNA and Hospice August 2007 - January 2013
Harvard Pilgrim Health Care 1993 - 1998
Tufts Health Plan 1986 - 1993
Skills
Healthcare, Managed Care, Healthcare Management, Home Care, Professional Account..., Developing presentations, Territory Account..., Training, Strategic Planning, Business Analysis, Strategic Account..., Client Relionship..., Cross Selling, Customized Client..., New Business Development, Leadership, Business Development, Sales, Account Management, Cardiology, Team Building, Sales Operations, Marketing Strategy, Medical Devices, Marketing
Education
Lesley University
BS, Spec. Ed
UniFirst Corporation September 1998 - Present
Harvard Pilgrim Health Care June 1989 - July 1998
Education
Somerville High School 1973 — 1976
MIT
Harvard Pilgrim Health Care October 2014 - Present
Thomson Family Adventures June 2011 - October 2014
Skills
Social Media Marketing, Email Marketing, Adventure Travel, Travel Management, Social Media, Event Planning, Tourism, Blogging, Editing, Event Management, Facebook, Leisure Travel
Education
Loyola University Maryland 2007 — 2011
Bachelor's (Magna Cum Laude), Writing, Spanish
The University of Alcala de Henares, Alcala de Henares, Spain 2010 — 2010
Maine Veterans' Homes April 2010 - Present
Maine Veterans' Homes April 2010 - November 2013
Principle Pharmacy Group August 2008 - April 2010
Kindred Healthcare 2006 - 2007
Kindred Healthcare 2005 - 2006
Kindred Healthcare 2000 - 2005
Harvard Pilgrim Health Care 1990 - 2000
Skills
Pharmacy, Pharmacy Automation, Healthcare, Pharmacists, Healthcare Management, Managed Care, Pharmacy Benefit..., Clinical Research, Medication Therapy..., Informatics, Pharmaceutical Industry, Healthcare Information..., Medicaid, Immunization, Clinical Pharmacology, Patient Counseling, Compounding, Pharmacy Practice, Hospital Pharmacy, Clinical Pharmacy, EMR, Medicare Part D, Disease Management, Pharmacy Consulting, Patient Safety, Ambulatory Care, HIPAA, Oncology, Pharmacy Education, Pharmaceutics, Community Pharmacy, Pharmacology, Medicare, Pharmacueticals, Pharmacoeconomics, Patient Education, Certified Immunizer, Utilization Management, Healthcare Consulting, Healthcare Industry, Strategic Planning, Communication, Cross-functional Team..., Compliance, Public Speaking, Relationship Management, EHR, Revenue Cycle, Strategic Financial...
Education
Southern New Hampshire University 1997 — 2000
Master of Business Administration (MBA), Finance, Marketing, Strategic Planning
Massachusetts College of Pharmacy and Health Sciences 1977 — 1981
Bachelor of Science (BS) Pharmacy, Pharmaceutical Sciences
URAC The Leader in Accreditation for Pharmacy, Case Management & Health Plans January 2012 - Present
URAC September 2009 - January 2012
Trizetto Care Advance September 2007 - December 2008
Centene Corporation June 2005 - January 2007
URAC March 2002 - June 2005
Maryland Physicians Group a Schaller Anderson Company August 1999 - September 2000
OPNET Network January 1998 - February 1999
Harvard Pilgrim Health Care 1996 - 1998
Hillhaven February 1992 - January 1995
Skills
Healthcare, Managed Care, Solution Selling, Disease Management, Medicare, Specialty Pharmacy..., Utilization Management, Medicaid, Sales Management, Accreditation, New Business Development, Healthcare Consulting, Clinical Integration, Accountable Care, Health Policy, HIPAA, Case Managment, Nursing, Healthcare Industry, Pharmacy Benefit..., Insurance, Case Management, Contract Negotiation, PPO, Quality Improvement, Physicians, Networking, Ambulatory Care, HMO, Hospitals, Health Insurance, Health Care Reform, Healthcare Information..., Leadership, Medication Therapy..., Marketing Strategy, Credentialing, Quality Management, Healthcare Management, Physician Practice..., Wellness Initiatives, Sales Excellence, Drug Therapy Management, Transition Management, Diabetes, Strategic Planning, Marketing, Business Intelligence, Patient Safety
Education
Loma Linda University 1987 — 1988
MHA, Health Care Administration
Hunter College 1969 — 1971
BS, Health Science
The Brooklyn Hospital School of Nursing 1965 — 1968
RN Diploma, Nursing
Dr. Scott Sylvia July 2010 - Present
Calenda Eyecare Center July 2010 - Present
New England College of Optometry 2001 - Present
Dr. Scott Sylvia February 1998 - Present
Harvard Pilgrim Health Care March 1987 - March 1998
Skills
Contact Lenses, Glaucoma, Refractive Surgery, Lenses, Eyewear, Retina, Wellness, Nutrition, Health, Treatment, Healthcare, Healthcare Management, Ocular Disease, Ophthalmology, Optometry, Glasses, Clinical Research
Education
New England College of Optometry 1982 — 1986
BS, OD, MBA, optometry, marketing, healthcare administrative management
Wright Communications, Inc 1984 - Present
KPlus2 November 2013 - Present
Boston College 2011 - Present
Massachusetts Institute of Technology 1984 - Present
Universitat Oberta de Catalunya (UOC) April 2015 - Present
Bay Farm Montessori Academy July 2007 - Present
St. Ann By the Sea September 1998 - May 2014
University of Southern California July 2010 - 2013
CareGroup Healthcare System 1999 - 2000
Harvard Pilgrim Health Care 1985 - 1999
Skills
Software Development, Databases, Higher Education, Strategic Planning, Agile Methodologies
Education
Massachusetts Institute of Technology 1979 — 1991
SB, Philosophy: Language and Mind
US Military Academy/West Point 1977 — 1978
Miami Dade Community College 1974 — 1978
Computer Science
Medtronic August 2015 - Present
Covidien October 2012 - Present
Covidien August 2010 - February 2013
Takeda Pharmaceuticals North America, Inc January 2000 - June 2010
Bristol-Myers Squibb Pharmaceuticals January 1999 - January 2000
Harvard Pilgrim Health Care January 1994 - January 1998
Harvard Community Health Plan January 1990 - January 1994
Skills
Product Launch, Cardiology, Managed Care, Healthcare, Diabetes, Medical Devices, Hospitals, Endocrinology, Training, Gastroenterology, Marketing, Event Planning, Advertising, Medicaid, Medicare, Community Outreach, Infectious Diseases, Pharmaceutical Sales, Pharmaceutical Industry, Pediatrics, Capital Equipment, Surgery, Contract Negotiation, Healthcare Industry, Internal Medicine, Operating Room, Employee Training, Surgeons, Sales Presentations, Hospital Sales, Disposables, Account Management, Radiology, Pulmonology, Clinical Research, Cross-functional Team..., Dermatology, Sales, Sales Operations, Urology, Budgets
Education
Rivier College 1992 — 1995
Bachelor's degree, Communications and Public Relations
Tyngsboro Jr. Sr. High School 1984 — 1988
Middlesex Community College
Associates, Science - Computer Science
Pediatric Healthcare Alliance December 2014 - Present
Harvard Pilgrim Health Care July 2013 - September 2014
Norman Parathyroid Center May 2011 - June 2013
Pediatric Healthcare Alliance October 2009 - May 2011
Walgreens Pharmacy January 2009 - April 2009
H. Lee Moffitt Cancer Center August 2003 - January 2009
Walt Disney World April 2002 - May 2003
Eye Health Services May 2000 - June 2001
The Marine Optical Group July 1989 - March 2000
Skills
*Positive Attitude, *Superior Customer..., Medical Assistant, Medical Terminology, Professional phone..., MS Windows Proficient, Strong Front Office..., *Excellent Time..., Flexible, Staff Development, Nonprofits, EMR Super User, *HIPAA Compliant, *Filing and data..., Quick learner, Team player, Self-driven, Articulate and..., Works well under..., Problem Resolution, Cash accountability, Training development..., Retail accounting..., Sales/Marketing, Critical Thinker, Hospitality, Reception, Strong client relations, Public Relations, Supervision of retail..., Excellent planner and..., Training, Hospitals, Team Building
Education
Penn Foster 2007 — 2008
Certificate, Teacher Assistant/Aide, 3.8
Remington College-Tampa Campus 2003 — 2004
Certificate, Medical/Clinical Assistant, 4.0
Massasoit Community College 1995 — 1996
None, Psychology / Human Resource Management, 3.5
Kinyon-Campbell Business School 1991 — 1992
Business Certification, Business, 3.3
Whitman-Hanson Regional High School 1985 — 1989
Diploma, College level courses
UnitedHealthcare October 2011 - Present
MedVentive September 2010 - October 2011
BMC HealthNet 2006 - September 2010
Harvard Pilgrim Health Care March 2005 - August 2006
CuraScript Pharmacy August 2004 - March 2005
Tufts Health Plan May 1999 - 2004
Skills
Strategic Planning, Program Development, Project Coordination, Medicaid, Managed Care, Medicaid Managed Care, Pharmacy, Operations Management, Healthcare Management, Healthcare, Medicare, Healthcare Information..., HIPAA, Leadership, Management, Health Insurance, Healthcare Industry, Utilization Management, Process Improvement, Pharmacy Benefit..., Pharmacists, Healthcare Consulting, Health Policy, Disease Management, Clinical Research
Education
Massachusetts College of Pharmacy and Health Sciences 1989 — 1994
PharmD
Massachusetts College of Pharmacy and Health Sciences
Keller Williams Realty, Inc. July 2015 - Present
ATC Mechanical June 2011 - Present
Harvard Pilgrim Health Care 1999 - 2010
Skills
Leadership, Recruiting, Management, Project Management, Project Planning, Sales, Microsoft Word, Outlook, Microsoft Excel, PowerPoint, Microsoft Office, Organizational..., Healthcare, Lotus Notes, Event Planning
Education
Massachusetts Academy of Real Estate 2015 — 2015
Massachusetts Licensed Real Estate Salesperson, Real Estate
Blue Hills Regional Technical
License, Cosmetology - Manicurist
Massasoit Community College
Certificate, Veterinary Assistant
Harvard Pilgrim Health Care October 2009 - Present
XOsoft 2005 - 2008
Skills
Health Education, Public Health, Program Development, Program Evaluation, Health Promotion, Case Managment, Healthcare, Mental Health, Wellness, Community Outreach, Community Health, Prevention, Adolescents, Case Management, Leadership, Behavioral Health, Treatment
Education
Buffalo State College 1980 — 1983
BA, Psychology
Long Island University, C.W. Post Campus 1978 — 1981
Psychology
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
Semi-retired March 2015 - Present
Alliance ENT, Inc January 2000 - March 2015
Harvard Pilgrim Health Care September 1989 - December 1999
HIP of NJ July 1987 - August 1989
MidMaine Medical Center July 1982 - June 1987
Skills
Board Certified, Surgery, Pediatrics, General otolaryngology, Minimally invasive..., Nasal septoplasty, Obstructive Sleep Apnea, Tonsil and adenoid..., Chronic Cough
Education
Northwestern University - The Feinberg School of Medicine 1979 — 1982
Board Certified, Otolaryngology Residency Program
University of Mississippi School of Medicine 1973 — 1977
Doctor of Medicine (MD)
Millsaps College 1970 — 1973
Chemistry
Genzyme, a Sanofi company April 2015 - Present
Genzyme, a Sanofi company March 2012 - April 2015
Genzyme March 2006 - March 2012
Genzyme, a Sanofi company November 2002 - March 2006
Genuity Networks Inc October 1999 - November 2002
John Hancock Life Insurance Company (U.S.A.) October 1997 - October 1999
Harvard Pilgrim Health Care June 1997 - October 1997
Harvard Pilgrim Health Care June 1995 - June 1997
Skills
Technical Support, Troubleshooting, Servers, Databases, Software Documentation, SQL, CRM, Citrix, Security, Help Desk Support, Information Technology, System Administration, Active Directory, Visio, Cross-functional Team..., Process Improvement
Education
Marian Court College
Associate of Science, Bookkeeping/Accounting
Salem State College
Bachelor of Science, Business Management
The Hartford June 2015 - Present
IBM August 2014 - April 2015
IBM February 2014 - July 2014
IBM August 2012 - December 2013
Pratt & Whitney August 2011 - July 2012
Dell Services October 2005 - August 2011
Harvard Pilgrim Health Care October 2005 - August 2011
ING USFS January 2005 - June 2005
Prudential Financial September 2004 - December 2004
Travelers Life and Annuity February 1992 - July 2004
Skills
DB2, COBOL, Databases, Data Warehousing, Visio, Oracle, JCL, ETL, Mainframe, SQL, Teradata Data Warehouse, Teradata, Healthcare Information..., InfoSphere Data..., IBM Provider Model, IBM Payor Model, Erwin, PowerDesigner, Data Modeling
Education
Mercy College 1979 — 1981
BS - Computer Science, Computer Science
New Horizons Computer Learning Centers (2004)
Bachelor of Science, Computer Science
Launch Pad Venture Group, LLC February 2013 - Present
Equitable Life & Casualty 2013 - Present
Copley Society of Art January 2013 - July 2014
Pivotal Strategies LLC January 2010 - December 2013
Financial Industries Corporation January 2007 - August 2008
Bankers Life & Casualty March 2003 - October 2004
Harvard Pilgrim Health Care June 1993 - June 1998
Pilgrim Health Care 1993 - 1995
Ernst & Young 1988 - 1993
Coopers & Lybrand 1976 - 1984
Skills
Mergers
Education
Miami University 1963 — 1967
BS, Corporate Finance
Harvard Pilgrim Health Care June 2013 - Present
Harvard Pilgrim Health Care March 2007 - June 2013
Harvard Pilgrim Health Care 2005 - 2007
Harvard Pilgrim Health Care 2004 - 2005
Harvard Pilgrim Health Care 2002 - 2004
WHSmith 2000 - 2001
Franklin & Wilson 1998 - 2000
Skills
Account Management, Business Development, New Business Procurement, Presentations, Engaging Public Speaker, Leadership, Team Building, Multi-cultural..., Coaching, Customer Service, Healthcare, Call Centers, Managed Care, Interviews, Public Speaking
Education
Morehouse College 1993 — 1997
Bachelor of Science (B.S.), Psychology
ADP June 2015 - Present
ADP March 2009 - June 2015
NaviNet July 2008 - February 2009
Harvard Pilgrim Health Care August 2003 - June 2008
Celox Networks 1999 - 2002
Newbridge Networks 1995 - 1999
Coopers & Lybrand Consulting 1990 - 1995
Aritech 1987 - 1990
Data General 1984 - 1987
Skills
Program Management, PMP, Software Project..., Enterprise Software, Project Management, Agile Methodologies, Management, Testing, Six Sigma, Telecommunications, Vendor Management, Scrum, Management Consulting, Start-ups, Security, Leadership, SDLC, PMO, Business Process..., Account Management, Issues Managment, Enterprise Architecture, Data Center, Release Engineering, Data Center Architecture, Data Center...
Education
Lesley University 1985 — 1987
MS, Management
Northeastern University 1978 — 1983
BS, Electrical Engineering
Harvard Pilgrim Health Care February 2015 - Present
Lawrence General Hospital January 2015 - February 2015
Saint Vincent Hospital November 2014 - December 2014
Tewksbury Hospital September 2014 - October 2014
Edith Nourse Rogers Memorial Veterans Hospital August 2014 - September 2014
Merrimack Valley Hospital September 2013 - October 2013
Walgreens August 2013 - September 2013
OSSI Dental Lab January 2006 - July 2007
Skills
Community Pharmacy, Pharmaceutical Industry, Pharmacy, Healthcare, Clinical Research
Education
Massachusetts College of Pharmacy and Health Sciences 2012 — 2015
Doctor of Pharmacy (PharmD), Pharmacy
University of Massachusetts Lowell 2007 — 2011
Bachelor's Degree, Biology/Biological Sciences, General
Harvard Pilgrim Health Care January 2012 - Present
IKEA Group June 2011 - January 2012
IKEA October 2004 - October 2006
Kohl's Department Stores October 2004 - October 2006
Skills
Customer Satisfaction, CRM, Microsoft Office, Team Leadership, Customer Service, Troubleshooting, Sales, Security, Team Building, Leadership, Management, Community Outreach, Marketing, Time Management, Process Improvement, Training, Retail, Data Entry, Call Centers
Education
Massasoit Community College 2004 — 2007
Associate's degree, Liberal Arts and Sciences/Liberal Studies
Norfolk Aggie 2000 — 2004
High School Diploma, Veterinary/Animal Health Technology/Technician and Veterinary Assistant
Primeria June 2008 - Present
Self Employed Independent Peoplesoft Consultant September 1993 - Present
Self-employed April 2013 - November 2013
Harvard Pilgrim Health Care May 1993 - June 1999
Blue Cross Blue Shield of Massachusetts April 1981 - March 1991
Skills
Personal Care, Cleaning, Personal Shopping, Managerial Finance, Childcare, Laundry, Senior Appointments, Pets
Education
Massasoit Community College 1981 — 1982
Silver lake high school 1977 — 1980
Acushnet Company System AdministratorACUSHNET COMPANY, Fairhaven, MassachusettsJanuary 2000 - Present
Harvard Pilgrim Health Care June 1995 - January 2000
IBM January 1990 - May 1995
Skills
Servers, Citrix, PeopleSoft, System Administration, Active Directory, Troubleshooting, DNS, Project Management, Windows, Software Documentation, Hyperion Enterprise, Weblogic, System Administrator, WebMetheds, RightFax, TCP/IP, GetPaid, StreamServe, IBM AS/400, Infor Smart Office
Education
New England Institute of Technology 1998 — 2000
AS, Information Technology
New England Institute of Technology 1996 — 1998
AS, Electronics
iMedX September 2013 - Present
Genesis Government Solutions June 2011 - August 2013
G.A. MORIN CONSULTING May 2006 - August 2013
Verifone / Way Systems February 2009 - February 2011
nTAG Interactive February 2007 - December 2008
Dictaphone June 2003 - May 2006
Dictaphone January 2000 - May 2003
Harvard Pilgrim Health Care January 1999 - December 1999
Harvard Pilgrim Health Care January 1998 - December 1998
Harvard Pilgrim Health Care July 1997 - December 1997
Skills
Chief Technology Officer, Chief Operations Officer, Chief Information..., Executive Management..., High Technology, IT & Internet Services, Information Technology, Cloud Computing, IT & SaaS Team..., Technological Innovation, High Scale Cloud..., Business Model..., Building World Class..., P&L Management, IT Infrastructure..., Cost Reduction, Operational Risk..., Global Technology..., Strategic Partnerships, Business Process, Change Management, IT Vision & Strategy, IT Compliance, IT Delivery, Cross Departmental Team..., Executive Relationship..., Performance Metric..., Healthcare Industry, Technology Integration, Thought Leader, Project Management, Team Leadership, Process Improvement, Leadership, Management, SaaS, Start-ups, Manufacturing, Professional Services, Business Intelligence, Executive Management, Enterprise Software, Enterprise Architecture, CRM, Strategy, Business Strategy, ERP, Virtualization, Product Management
Education
McGill University 1990 — 1994
MASTER OF BUSINESS ADMINISTRATION (M.B.A.)
Université de Montréal - Ecole polytechnique de Montréal 1981 — 1985
BACHELOR OF APPLIED SCIENCE (B.A.Sc.)
Harvard Pilgrim Health Care May 2015 - Present
Boston Healthcare for the Homeless Program November 2014 - Present
Boston University Clinical Translational Science Institute September 2014 - Present
Harvard University School of Public Health March 2014 - August 2014
PGPA Pharmacy June 2012 - July 2013
Associated Students of Michigan State University 2009 - 2013
MSU Olin Student Health Services June 2012 - August 2012
Skills
Research, Social Networking, PowerPoint, Microsoft Excel, Microsoft Word, Microsoft Office
Education
Boston University School of Public Health 2013 — 2015
Master of Public Health (MPH), Global Health
MSU 2009 — 2013
Bachelor of Science (BS), Human Biology
Cigna October 2014 - Present
Harvard Pilgrim Health Care 2009 - October 2014
Harvard Pilgrim Health Care 2006 - 2009
Harvard Pilgrim Health Care 2004 - 2006
Aetna 1999 - 2004
Aetna October 1997 - September 1999
Skills
Managed Care, Network Contracting, Provider Relations, Ancillary Contracting, Health Insurance, Healthcare Industry, Healthcare Management, Medicaid, Hospitals, Budgets, Healthcare, Insurance, Healthcare Information..., Medicare
Education
NASM
Certified Personal Trainer
Lesley College
Bachelor's degree, Business Management
Alkermes November 2013 - Present
Otsuka Pharmaceutical Companies (U.S.) January 2013 - November 2013
Endo Pharmaceuticals March 2011 - December 2012
sanofi-aventis February 2010 - March 2011
sanofi-aventis Pharmaceutical 2001 - February 2010
Eidetics January 2000 - December 2001
Harvard Pilgrim Health Care January 1987 - January 2000
Blue Cross Blue Shield of Massachusetts January 1985 - January 1987
Skills
Managed Care, Pharmaceutical Industry, Oncology, Health Economics, Diabetes, Healthcare, Pharmacy Benefit..., Medicare Part D, Medicare, Medicaid, Clinical Development, Utilization Management, Cardiovascular, Endocrinology, Pharmacy Automation, Therapeutic Areas, Neurology, Pharmacists, Clinical Research, Managed Markets, Pharmacoeconomics, Market Access, Cardiology, Pharmaceutical Sales, Clinical Pharmacology, Outcomes Research, Pharmacy, Rheumatology, Infectious Diseases, Medical Affairs, Medicine, Disease Management
Education
Massachusetts College of Pharmacy and Health Sciences 1997 — 1999
PharmD, Pharmacy
Salem State University 1984 — 1988
Master of Business Administration (MBA), Business Administration and Management, General
Massachusetts College of Pharmacy and Health Sciences 1980 — 1983
Parallon March 2015 - Present
Bank of America August 2013 - August 2014
Business Development Revenue Cycle Professional January 2012 - July 2013
NCO Financial Systems,Inc. Healthcare Services February 2010 - January 2012
Consultant July 2008 - January 2010
Trans Union November 2007 - July 2008
Emdeon January 2005 - July 2007
McKesson Health Solutions February 2002 - January 2005
Harvard Pilgrim Health Care December 1993 - January 2002
Skills
Salesforce.com, Selling, Revenue Cycle, New Business Development, Healthcare Information..., CRM, Enterprise Software, Management, Consulting, Business Development, Managing Complex Sales, Analysis, Marketing, Sales Process, Healthcare, Coaching, Account Management, Contract Negotiation, Revenue Cycle Management, Health Insurance, Building Relationships, SaaS, Outsourcing, Managed Care, Consultative Selling..., Miller Heiman, Training, Sales, Territory Development, International Sales, Clinical Decision..., Data Analytics, Treasury Services
Education
Massachusetts College of Liberal Arts 1985 — 1986
Bachelor's Degree, Business Administration and Management, General
Collective Next, LLC 2014 - Present
Family Continuity Programs 2009 - 2014
Harvard Pilgrim Health Care 2012 - 2013
NFI Massachusetts September 2008 - January 2012
Coastal Capitol Group LLC July 2010 - January 2011
LaVida Center for Outdoor Education June 2005 - May 2009
Skills
Leadership Development, Research, Leadership, Training, Microsoft Office, Public Speaking, Organizational..., Community Outreach, Human Resources, Program Development, Nonprofits, Event Planning, Policy, Teaching, Staff Development, Graphic Facilitation
Education
Massachusetts School of Professional Psychology 2012 — 2013
Master of Arts (M.A.), Organizational Psychology
Messiah College
Bachelor of Arts (B.A.), Studio Art
Harvard Pilgrim Health Care March 2008 - March 2012
Indymac Bank 2006 - 2007
Washington Mutual Bank August 2003 - June 2006
University and State Employees Credit Union December 1992 - October 1999
Dedham Savings Bank 1990 - 1992
Dedham Savings Bank 1988 - 1990
Dedham Institution for Savings 1986 - 1988
Skills
Management, Loans, Business Analysis, Customer Service, Health Insurance, Process Improvement, Access, Microsoft Excel, Microsoft Office, Outlook, Call Centers, Medicare, Leadership, Insurance, PowerPoint
Education
Northeastern University 2003 — 2008
BSBA
Massasoit Community College 2000 — 2003
ASBA
Kaiser Permanente January 2015 - Present
Banfield Pet Hospital March 2013 - January 2015
Banfield Pet Hospital October 2009 - February 2013
The Regence Group October 2007 - October 2009
Harvard Pilgrim Health Care May 2004 - September 2007
MEDITECH June 2001 - May 2004
Skills
Leadership, Data Analysis, Business Analysis, Software Documentation, Access, Process Improvement, Analysis, Healthcare, SDLC, Troubleshooting, Requirements Analysis
Education
New York University 1999 — 2001
Bachelor's Degree, Computer Science
John Ledwith March 2015 - Present
Landor August 2002 - February 2015
Harvard Pilgrim Health Care March 1995 - July 1998
Harvard Pilgrim Health Care February 1993 - March 1995
Skills
Packaging, Creative Direction, Corporate Identity, Graphic Design, Typography, Brand Development, After Effects, Visual Communication, Logo Design, Branding & Identity, Corporate Branding, Concept Development, Art Direction, Creative Strategy, Interaction Design, Experience Design, Brand Architecture, Adobe Creative Suite, InDesign, Illustrator, Advertising, Graphics, Web Design
Education
Portfolio Center 1998 — 2001
Master of Fine Arts (MFA), Graphic Design
McGill University
Harvard Pilgrim HealthCare February 1987 - Present
Harvard Pilgrim Health Care 1987 - Present
Mount Auburn Hospital June 1966 - February 1987
Mt. Auburn Hospital June 1966 - February 1987
Skills
Pharmacy, Pharmacy Benefit..., Medicaid, Health Care Reform, Managed Care, Product Development, Healthcare, Pharmaceutical Industry, Microsoft Excel, Medicare Part D, Operations Management, Disease Management, Hospitals, Healthcare Management, Medicare, Clinical Research, Utilization Management, Health Policy, Clinical Pharmacy, Oncology, Medicine, Pharmacists, Healthcare Consulting, Healthcare Industry, Pharmaceutical Sales, Informatics, HIPAA, Pharmacy Automation, Healthcare Information..., Physicians, Meditech, Healthcare Reimbursement, Patient Safety, Quality Improvement, Diabetes, EHR, Provider Relations, Ambulatory Care, Medicare/Medicaid..., Health Insurance, Revenue Cycle, Medicaid Managed Care, Health Economics, Home Infusion, Medication Therapy..., Pharmacoeconomics, Pharmacueticals, Specialty Pharmaceutical, Medication Adherence, Cardiology
Education
Northeastern University 1975 — 1977
M.S., Pharmacy
Massachusetts College of Pharmacy and Health Sciences 1961 — 1966
B.S. Pharmacy, June 1966
Doble Engineering Company June 2015 - Present
Harvard Pilgrim Health Care February 1995 - February 2012
Boston Museum of Science January 1975 - August 1993
Skills
Expertise in Shipping..., Expertise in Designing..., Word, Excel, Access, Cpr Certified, Mailroom, Copier Maintenance, Records Storage..., UPS,FedEx, Microsoft Word, Maintenance & Repair, Microsoft Excel
Education
Massachusetts Bay Community College 1973 — 1975
Cambridge High & Latin
College
Northeastern University
Compuer Software
Northeastern University
Website Design
Northeastern University
Accounting
Harvard Pilgrim Health Care June 2013 - Present
Harvard Pilgrim Health Care October 2012 - June 2013
Beacon Health Strategies June 2011 - June 2012
UnitedHealthcare September 2010 - June 2011
Sleep HealthCenters October 2006 - August 2010
UnitedHealthcare May 2005 - October 2006
Health Connecticut LLC August 1998 - April 2005
Aetna Health Plans 1994 - 1996
Skills
Managed Care, Medicare, Network Development, Medicaid, Provider Relations, Healthcare, Healthcare Management, HIPAA, Health Insurance, Hospitals, Healthcare Information..., Revenue Cycle, Physicians, Credentialing, EHR, Contract Negotiation, Medicine, Medical Devices, Clinical Research, Practice Management, CPT, Healthcare Industry, Physician Relations, Healthcare Consulting, EMR, PPO
Education
University of Hartford 2001 — 2002
MBA, Health Care
Mount Holyoke College 1990 — 1994
BA, Sociology
Healthedge April 2011 - Present
Harvard Pilgrim Health Care August 2009 - April 2011
Act3 Technologies May 2009 - September 2010
OMS SafeHarbor 2007 - 2009
Verizon 2004 - 2006
Virtusa 2002 - 2004
Lucent Technologies 2000 - 2002
Salomon Smith Barney 1997 - 2000
Skills
Web Services, Java Enterprise Edition, Agile Methodologies, XML, Scrum, SOA, Hibernate, Tomcat, Java, Software Development, Spring, EDI, Java Multi threading
Education
New Jersey Institute of Technology 1995 — 1997
M.S., Computer Science
Tufts Health Plan November 2013 - Present
P&L Professional Associates,LLC September 2009 - October 2013
BMC HealthNet Plan September 2007 - August 2009
BMC HealthNet Plan August 2005 - September 2007
BMC HealthNet Plan May 2004 - August 2005
Harvard Pilgrim Health Care April 2004 - April 2004
Skills
Communication Skills, Client Presentation, Manage Client..., Client Liaison, Customer Engagement, Managed Care, HIPAA, Provider Relations, Medicare, Health Insurance, Medicaid, Healthcare Management, Hospitals, HMO, Access, Customer Service, Healthcare, Network Development, Credentialing, PeopleSoft, Provider Network..., Provider Enrollment, Provider Education, Healthcare Industry, Strategic Planning, Management, Insurance, Health Policy, Physicians, PPO, Healthcare Consulting, Revenue Cycle, Case Management
Education
Lesley University
Bachelor of Arts (B.A.), Human Services, 3.506
Needham Chiropractic Associates August 2012 - Present
Harvard Pilgrim Health Care July 2008 - Present
Patient First Chiropractic and Physical Therapy January 2008 - August 2012
National Naval Medical Center - Bethesda MD July 2007 - November 2007
Lyons Ambulance Service May 2001 - December 2006
Skills
Motion Palpation, Extremity Adjusting, Joint Manipulation, Active Release, Graston Technique, Fascial Manipulation, Titleist Performance..., Sports Chiropractic
Education
New York Chiropractic College 2004 — 2007
Doctor of Chiropractic, Chiropractic
University of Massachusetts, Amherst 2000 — 2004
Bachelors of Science, Exercise Science
Hologic November 2012 - Present
Hologic September 2010 - November 2012
NaviNet March 2008 - October 2010
Harvard Pilgrim Health Care May 2004 - December 2007
Oracle Corporation June 1994 - April 2004
Scitex America November 1989 - March 1994
Skills
Change Management, CRM, Cross-functional Team..., Process Improvement, Business Development, Program Management, Strategic Partnerships, Strategic Planning, Healthcare, Business Intelligence, Business Analysis, Product Management, Business Process..., Business Process, Account Management, Business Strategy, Six Sigma, Leadership, Strategy, New Business Development, Data Analysis, Operations Management, Team Leadership, Management, Analytics, Management Consulting, Integration, Sales Management, Team Building, Product Launch, Project Management, Sales Operations
Education
University of Massachusetts Lowell 1987 — 1989
BS, Accounting
Middlesex Community College 1985 — 1986
Associate, Business
Massachusetts Institute of Technology - Sloan School of Management
Greater Boston Executive Program in Business and Management - 2010
Century 21 June 2004 - Present
Harvard Pilgrim Health Care January 1990 - December 1999
Education
Lesley University 1998 — 2000
Marketing, Management
CBIZ Clearview January 2014 - Present
Clearview National Partners, LLC November 2011 - Present
Altus Specialty Group December 2010 - October 2011
USI New England October 2002 - November 2010
The Protector Group Insurance Agency March 2000 - October 2002
Harvard Pilgrim Health Care March 1994 - March 2000
Blue Cross August 1990 - March 1994
Skills
Insurance, Employee Benefits, Disability Insurance, Underwriting, Health Insurance, Sales, Brokers, Management, Strategic Planning, Selling, Life Insurance, Small Business, Account Management, Marketing
Education
Worcester State University 1987 — 1990
BS, Marketing
Massachusetts College of Liberal Arts 1986 — 1988
Business
Chelmsford High School 1980 — 1984
Liberty Mutual Insurance February 2014 - Present
Aetna Life & Casualty November 2004 - December 2013
CORE, INC 2002 - 2004
Harvard Pilgrim Health Care April 1998 - 2001
Harvard Pilgrim Health Care January 1995 - 1998
Harvard Pilgrim Health Care April 1994 - December 1995
Skills
Employee Benefits, Claim, Disability Insurance, Negotiation, Contract Negotiation, Health Insurance, Public Speaking, Human Resources, Managed Care, Account Management, Provider Relations, Network Development, Workers Compensation, Management, Medicare, HMO, Claims Management, Claims, Client Relationship..., Strategic Planning, Contract Management, CRM, Strategy, Life Insurance, Health Savings Accounts
Education
Massachusetts School of Law 2005 — 2008
JD, General Practice
University of Rhode Island - College of Business Administration 1985 — 1988
Bachelor of Science, Management
Boston College High School 1979 — 1983
Commonwealth Care Alliance June 2015 - Present
Harvard Pilgrim Health Care 2001 - Present
Harvard Pilgrim Health Care April 2015 - July 2015
GE Aerospace/Lockheed Martin 1989 - 1997
United States Military Academy 1983 - 1989
US Army 1968 - 1989
Skills
Agile Methodologies, SDLC, Enterprise Architecture, Software Project..., Agile Project Management, Program Management, Integration, Healthcare Information..., SOA, PMO, Software Engineering, Cross-functional Team..., Vendor Management, Business Process, IT Strategy, Architecture, Requirements Analysis, Project Management, Business Analysis, Visio, PMP, Requirements Gathering, Scrum, Disaster Recovery, IT Management, ITIL, Business Intelligence, Software Development, Solution Architecture, Enterprise Software, Project Portfolio..., Cloud Computing, SaaS, Data Warehousing, Oracle, Web Services, Testing, Databases, SharePoint, Unix, Systems Analysis, Database Design, Data Modeling, SQL, Java Enterprise Edition, XML, EAI, Application Architecture, Software Design, ETL
Education
Purdue University 1980 — 1983
PhD, Electrical Engineering
Massachusetts Institute of Technology 1971 — 1973
MS, Electrical Engineering
United States Military Academy at West Point 1964 — 1968
Bachelor of Science, No major
Harvard Pilgrim Health Care June 2015 - Present
Anthem BCBS of NH August 2014 - June 2015
Granite Group Benefits LLC September 2002 - August 2014
Healthsource/CIGNA Healthcare 1994 - 1999
Skills
Insurance, Employee Benefits, Health Insurance, Disability Insurance, Workers Compensation, Benefits Administration, Brokers, Claim, Customer Service, Health Savings Accounts, Life Insurance, Long-term Care, Sales
Education
Merrimack College 1982 — 1987
Harvard Pilgrim Health Care July 2000 - Present
Skills
Outlook, Health Insurance, Healthcare, Insurance, Employee Benefits, Medicare, Managed Care, Strategic Planning, Account Management, Customer Service, Healthcare Industry
Education
Massachusetts Bay Community College 1988 — 1990
Magellan Health Services February 2013 - Present
Magellan Health Services 2011 - 2013
Cutler Healthcare 2008 - 2011
Aetna September 2003 - July 2008
America's Health Insurance Plans September 1999 - August 2003
Prudential Healthcare 1993 - 1999
Harvard Pilgrim Health Care 1990 - 1993
Rhode Island Group Health Association (RIGHA) 1976 - 1990
Skills
Healthcare, Medicine, Managed Care, Healthcare Management, Medicare, Healthcare Consulting, Medicaid, Disease Management, Health Policy, Health Insurance, Informatics, Physicians, Quality Improvement, Public Health
Education
Massachusetts Institute of Technology - Sloan School of Management 1988 — 1989
MS, Management
New York University School of Medicine 1969 — 1973
MD, Medicine
The University of Chicago 1965 — 1969
AB, Biology
Harvard Pilgrim Health Care, Inc. 2007 - Present
Harvard Pilgrim Health Care 1998 - 2007
Skills
Contract Negotiation, Civil Litigation, Legal Research, Legal Writing, Litigation, Commercial Litigation, Insurance
Education
New England Law Boston 2003 — 2007
JD, law
Harvard Pilgrim Health Care September 2012 - Present
Tufts Health Plan 2009 - August 2012
Harvard Pilgrim Health Care May 2007 - March 2009
Massachusetts Eye and Ear infirmary May 2006 - May 2007
Steward (Caritas) St. Elizabeth’S Medical Center/Norwood Hospital/Carney Hospital 2004 - May 2006
Steward (Caritas) St. Elizabeth’s Medical Center 2003 - 2004
Skills
SAS, Access, SQL, Excel, Word, SPSS, PowerPoint, Microsoft Excel, Harvest Contracting Tool, Quest Analytics Tool, Healthcare, Medicare, Financial Analysis, Customer Service, Analysis, Forecasting, Insurance, Managed Care, Health Insurance
Education
Lesley University
MASTER OF SCIENCE, BUSINESS WITH A SPECIALIZATION IN INFORMATION TECHNOLOGY
Regis College
BACHELOR OF ARTS IN BUSINESS MANAGEMENT BA, BUSINESS MANAGEMENT WITH A CONCENTRATION IN ECONOMICS
Brandeis University December 2012 - February 2015
Harvard University September 2008 - December 2012
William Gallagher Associates April 2007 - April 2008
Blue Cross Blue Shield of Rhode Island November 2005 - April 2007
Harvard Pilgrim Health Care 2005 - 2005
Blue Cross Blue Shield of Massachusetts June 1998 - March 2004
Skills
Policy, Healthcare, Strategic Planning, Analysis, Employee Relations, Compliance, Employee Benefits, Customer Relations, Public Relations, Negotiation, Non-profits, Public Speaking, Data Analysis, Vendor Relations, Health, Insurance, Nonprofits, Customer Service
Education
Suffolk University - Sawyer School of Management 1998 — 2002
Master, Public Administration
Merrimack College 1992 — 1996
BA, Sociology, Philosophy
Xaverian
Blue Cross & Blue Shield of Rhode Island June 2014 - Present
McKesson April 2013 - June 2014
Network Health August 2012 - April 2013
Sole Proprietor July 2012 - April 2013
Coventry WC Services 2001 - July 2012
UMass Memorial Medical Center 2000 - 2001
Harvard Pilgrim Health Care 1994 - 2000
Private Healthcare Systems 1991 - 1994
Blue Cross Blue Shield 1985 - 1991
Skills
Managed Care, Strategic Planning, Healthcare, Executive Reporting, Workers Compensation, Hospitals, Healthcare Reimbursement, Claims Management, Project Management, Team Leadership, Organizational..., Communication Skills, Multi Tasking, Best Practices, Data Analysis, Data Warehousing, Program Management, Medicaid, Analytics, Business Intelligence, Account Management, Case Managment, SDLC, Visio, Business Analysis, Access, Management, Analysis, Healthcare Industry, Claim, Provider Relations, Process Improvement, HIPAA, Healthcare Consulting, Revenue Cycle, Healthcare Information..., Healthcare Management, Disease Management, Utilization Management, Medical Billing, EHR, Software Documentation, Informatics, Physicians, EMR, Employee Benefits, Business Process..., Leadership
Education
Nichols College 1991 — 1994
MBA
Massachusetts College of Liberal Arts 1981 — 1985
BS, Business Administration, Majors: Management & Marketing
Nutrition to Fit You May 2005 - Present
Nutrition to Fit You January 2005 - Present
Swim magazine May 1995 - May 2000
Harvard Pilgrim Health Care August 1991 - May 2000
Sports/Cardiovascular Nutritionists Publication May 1999 - December 1999
Comtel Productions Inc./United States Military September 1992 - September 1997
Massachusetts General Hospital August 1986 - August 1990
Skills
Nutrition, Clinical Nutrition, Nutritional Counseling, Diabetes, Prevention, Wellness, Parenteral Nutrition, Celiac Disease, Holistic Health, Nutrition Education, Heart Disease, IBS, Treatment, Dietetics, Medical Nutrition..., Intuitive Eating, Healthcare, Fitness, Oncology, Functional Medicine, Renal Nutrition, Weight, Preventive Medicine, Weight Management, Health Promotion, Enteral Nutrition, Supplements, Sports Nutrition, Health Education
Education
MGH Institute of Health Professions 1986 — 1988
Master of Science in Nutriton, Nutrition
Simmons College 1985 — 1986
Nutrition Studies Plan IV, Nutrition
University of Maryland Baltimore 1981 — 1983
Bachelor of Science in Dental Hygiene, Dental Hygiene
Middlesex Community College 2011 — 2013
Associate's Degree, Registered Nursing/Registered Nurse
J. Jill Group May 2010 - Present
BJ's Wholesale Club August 2009 - Present
Talbots September 2000 - Present
J. Jill Group September 2000 - February 2009
Turning Point Systems, Inc February 2000 - September 2000
Cardinal Health February 1996 - February 2000
Managed Comp May 1995 - February 1996
Corporate Software Solutions August 1994 - May 1995
Harvard Pilgrim Health Care June 1994 - August 1994
Fidelity Investments March 1991 - June 1994
Education
Mount Washington College 1983 — 1984
AS, Computer Science Programming
Plymouth State University 1977 — 1981
BS, Business Administration - Management
Harvard Pilgrim Health Care November 2012 - Present
Freelance Graphic Designer and Illustrator January 2002 - Present
Boston Interactive 2010 - 2010
Skills
Illustrator, Photoshop, InDesign, Dreamweaver, Digital Illustration, Oil Painting, CSS, HTML, XHTML, JavaScript, Mudbox, Flash, Acrylic Painting, Mac OS, PC, Maya, QuarkXPress, Marker Rendering, Typography, Mac, Web Design, Final Cut Pro, Illustration, After Effects, Logo Design, Layout, Animation, Graphics, Flyers, User Interface Design, Art Direction, Posters, Image Editing
Education
Art Institute of Boston 2007 — 2010
Illustration
Montserrat College of Art
Fine Arts
Harvard Pilgrim Health Care February 2015 - Present
Harvard Pilgrim Health Care July 2014 - January 2015
Harvard Pilgrim Health Care October 2013 - July 2014
Harvard Pilgrim Health Care February 2012 - October 2013
Harvard Pilgrim Health Care March 2007 - January 2012
Neal, Gerber & Eisenberg LLP August 1998 - September 2006
Field Container 1997 - 1998
Skills
Managed Care, Health Insurance, HMO, Medicare, HRA, Health Savings Accounts, PPO, Healthcare, Insurance, Flexible Spending..., Healthcare Industry, Customer Service, Health Care Reform, Medicaid, Employee Benefits, Sales, Account Management, Health Policy, New Business Development, Healthcare Information..., Disability Insurance
Education
Loyola University of Chicago 1991 — 1996
Bachelor's degree, Education & Psychology
Victor J. Andrew High School
Harvard Pilgrim Health Care March 2005 - Present
Blue Cross and Blue Shield of Massachusetts October 1997 - March 2005
Harvard Pilgrim Health Care October 1996 - October 1997
Skills
Healthcare, Administrative..., Health Insurance, Outlook, Microsoft Excel, Microsoft Office, Microsoft Word, PowerPoint
Education
Massachusetts Bay Community College 1992 — 1994
Associate's degree, Paralegal Studies
Medford High School
Afghans by the Dozens May 2014 - Present
BIDMC April 2008 - Present
Traditions of Dedham January 2009 - July 2011
Harvard Pilgrim Health Care 1989 - 2008
Brockton Hospital March 1988 - March 1989
Medical and Techincal Research Associates 1986 - 1988
Massachusetts General Hospital 1984 - 1986
Glen Cove Hospital 1982 - 1984
Skills
Healthcare, Compliance, Managed Care, Health, Utilization Management, Process Improvement, Administration, Health Insurance, Problem Solving, Healthcare IT, Quality Management, PowerPoint, Excel, Data Analysis, Word, Change Management, Microsoft Office, Documentation, Healthcare Management, Research, HIPAA, Supervisory Skills, Outlook, Access, Clinical, Writing, Performance Improvement, Healthcare Quality, Program Management, Nursing, Hospitals, Medicare, Medicaid, Healthcare Information..., Medical/Surgical, Disease Management, Patient Safety, Healthcare Industry, Public Health, Accreditation, Clinical Research, NCQA, Provider Relations, Health Policy, Software Documentation
Education
University of Phoenix 2005 — 2007
Bachelor's, Business Management
Massasoit Community College 1998 — 2000
Associates, Nursing
Lewis E Wilson School of Practical Nursing 1981 — 1982
n/a, Nursing- LPN
LHS 1974 — 1978
High School Diploma
Optum September 2015 - Present
Neighborhood Health Plan April 2010 - August 2015
BMC HealthNet Plan 2006 - 2010
Private Healthcare Systems 2001 - 2005
HealthMarket, Inc. 2000 - 2001
Harvard Pilgrim Health Care 1999 - 2000
Harvard Pilgrim Health Care 1998 - 1999
Harvard Pilgrim Health Care 1996 - 1998
Harvard Pilgrim Health Care 1994 - 1996
Tufts-New England Medical Center 1993 - 1994
Skills
Healthcare, Cross-functional Team..., Managed Care, HIPAA, Provider Relations, PPO, Medicaid, Healthcare Management, Healthcare Information..., Leadership, Strategy, Health Insurance, Medicare, Customer Service, Healthcare Industry, Process Improvement, Business Development, Sales Operations
Education
Lesley University 1992 — 1993
MS, Business
Simmons College 1981 — 1985
BA, Healthcare Mgt
Genzyme March 2011 - Present
Radiant Global January 2009 - March 2011
Harvard Pilgrim Health Care July 2010 - February 2011
Dialogic October 2009 - July 2010
Western Union January 2009 - October 2009
Sonus Networks September 2008 - December 2008
TECHcelerate LLC May 2008 - December 2008
Accellent May 2008 - August 2008
Radiant Global January 2005 - May 2008
Haemonetics November 2006 - April 2008
Skills
PL/SQL, XML, Oracle E-Business Suite, OBIEE, Oracle Applications, Oracle Discoverer, Oracle Reports, Oracle SQL, Unix Shell Scripting, Oracle, Business Intelligence, XML Publisher, BI Publisher, Business Analysis, Unix, ERP, Oracle HR, SOA, Software Documentation, Performance Tuning, Testing, OA Framework
Education
Loyola University of Chicago 2005 — 2006
MS, Computer Science
KBNCE, Gulbarga India 1998 — 2002
Bachelor of Engineering, Computer Science
Mt. Auburn Cambridge IPA (MACIPA) April 2003 - Present
Harvard Pilgrim Health Care January 2010 - Present
Northeastern University Bouve' College of Health Sciences July 2012 - Present
Skills
Pharmacy, Managed Care, Pharmacists, Adult Immunization..., Clinical Pharmacy, Pharmacy Automation, Immunization, Hospitals, Healthcare, Patient Safety, Diabetes, Pharmacy Benefit..., Disease Management, Ambulatory Care, Clinical Pharmacology, CPOE, Medicare Part D, Patient Counseling, Inpatient, Community Pharmacy, Pharmaceutical Industry, Informatics, Clinical Research, Medicaid, Healthcare Management, Utilization Management
Education
Northeastern University 1977 — 1982
BS, Pharmacy
Massachusetts College of Pharmacy and Health Sciences 1999 — 2001
MS, Regulatory Affairs and Health Policy
St. Mary's - Lynn 1973 — 1977
High School
Acupuncture Care October 2012 - Present
Acupuncture Clinic January 1999 - Present
Pathways to Wellness 1990 - Present
New England School of Acupuncture May 1984 - Present
Acupuncture & Health Clinic January 1999 - September 2012
New England School of Acupuncture 1984 - 2011
Harvard Pilgrim Health Care 1981 - 1996
Skills
Fertility, Acupuncture, Healing, Pain Management, Allergy, Wellness, Healthcare, Holistic Health, Alternative Medicine, Chinese Herbal Medicine, Wellbeing, Herbal, Insomnia, Chronic Illness, Traditional Chinese..., Herbs, Energy Healing, Chronic Pain, Sports Injuries, Cupping, Treatment, Myofascial Release, Digestive Disorders, Stress, Pregnancy, Meditation, Nutrition, Injury, Stress Management, Sciatica, Headaches, Migraine, Back Pain, Tui Na, Infertility, Menopause, Fibromyalgia, Moxibustion, Neck Pain, Qigong, Arthritis
Education
New England School of Acupuncture 1982 — 1984
diploma, Oriental Medicine
University of Massachusetts Boston 1972 — 1976
BA, Anthropology
Coventry Health Care March 2006 - Present
Blue Cross & Blue Shield of Rhode Island December 1999 - March 2007
Harvard Pilgrim Health Care March 1993 - December 1999
Skills
Provider Relations, Managed Care, Network Development, Medicaid, Medicare, Provider Contracting, HMO, PPO, Government Programs, Credentialing, Healthcare Industry
Education
Merrimack College
BS, Management
Nielsen June 2011 - Present
TIBCO Software June 2006 - June 2011
TD Ameritrade 2011 - 2011
Thompson Reuters 2010 - 2011
Freddie Mac 2010 - 2011
Harvard Pilgrim Health Care 2010 - 2011
Credit Suisse 2010 - 2010
The Nielsen Company 2010 - 2010
Allstate 2005 - 2006
Philips August 2003 - February 2005
Skills
PMP, TIBCO, J2EE Architecture, SOA, TIBCO iProcess, Six Sigma, Java Enterprise Edition, Enterprise Architecture, ESB, PL/SQL, Eclipse, EAI, Integration, EJB, Java, Architectures, Architecture, Enterprise Software
Education
UTD 2013 — 2016
National Institute of Technology Warangal
B.Tech
Harvard Pilgrim Health Care May 2014 - Present
Connolly Healthcare October 2006 - December 2012
Concentra Preferred Systems March 1999 - July 2006
Blue Cross Blue Shield of Massachusetts March 1994 - June 1999
Skills
Medicaid, HIPAA, Medical Billing, Health Insurance, Insurance, Managed Care, medical auditing, Pharmacy Consulting, Healthcare Information..., Process Improvement, Healthcare Consulting, Healthcare Management, CPT, Clinical Outcomes, Claim, Revenue Cycle, Provider Relations, Auditing, Invoicing, Medicare
Education
Massachusetts College of Pharmacy and Health Sciences 1981 — 1987
Harvard Pilgrim Health Care October 2009 - Present
Multicultural AIDS Coalition January 2008 - Present
Gemini Group LLC March 2007 - July 2009
Skills
Graphic Design, InDesign, Logo Design, Advertising, Brochures, Web Design, Graphics, Mac, Newsletters, Dreamweaver, Illustrator, QuarkXPress, Flash, Adobe Acrobat, Posters, Flyers
Education
Massachusetts College of Art and Design 1996 — 1999
Graphic Design, Graphic Design
Cape Air November 2014 - Present
Harvard Pilgrim Health Care February 2013 - October 2014
Husch Blackwell July 2010 - November 2012
McCormick Company June 2009 - July 2010
The Leukemia & Lymphoma Society October 2008 - May 2009
Skills
Public Relations, Event Planning, Advertising, Media Relations, Event Management, Social Media Marketing, Marketing, Market Research, Fundraising, Creative Direction, Strategy, Sponsorship, Trade Shows, Management, Copywriting
Education
Missouri State University 2005 — 2009
Bachelor of Science, Public Relations
Harvard Pilgrim Health Care October 2010 - Present
Springer Science+Business Media March 2003 - May 2009
National Fire Protection Association August 1990 - November 2002
Skills
Microsoft Office, Proofreading, Microsoft Word, Marketing Communications, Microsoft Excel, Social Media
Education
Massachusetts Bay Community College
Affiliated Pediatric Practices March 2013 - Present
Masspro August 2011 - February 2013
MedVentive February 2011 - July 2011
Harvard Pilgrim Health Care 2007 - 2010
Harvard Pilgrim Health Care 2003 - 2007
Skills
Managed Care, Healthcare Information..., Utilization Management, Healthcare, Disease Management, Pharmacy Benefit..., Healthcare Management, Medicaid
Education
Massachusetts College of Pharmacy and Health Sciences 1997 — 2003
Pharm.D.
Walgreens 1999 - Present
Melrose Wakefield Hospital 1992 - 1999
Harvard Pilgrim Health Care 1989 - 1992
Skills
Pharmaceutical Industry, Pharmacists, Pharmacy, Medication Therapy..., Pharmacy Automation, Managed Care
Education
Massachusetts College of Pharmacy and Health Sciences 1984 — 1989
BS Pharmacy, 1989
Independent March 2012 - Present
Harvard Pilgrim Health Care April 2003 - March 2012
Harvard Pilgrim Health Care 2003 - 2012
Harvard Pilgrim Health Care 2003 - 2012
Harvard Pilgrim Health Care 2003 - 2012
Skills
Employee Benefits, HIPAA, Health Insurance, Healthcare, Healthcare Management, Insurance, Managed Care, Medicare, Customer Service, Health Policy, Healthcare Industry, Team Building
Education
Massasoit Community College 2004 — 2006
Law Enforcemnt, Psychology
ExHale Healthcare Advocates, Inc. January 2014 - Present
Harvard Pilgrim Health Care October 2013 - December 2013
Blue Cross Blue Shield MA November 1980 - August 2011
Skills
Managed Care, Health Insurance, Insurance, Medicare, Employee Benefits, Health Savings Accounts, Healthcare, Strategic Planning, Customer Service, Claim, Provider Relations, Public Speaking, Account Management, HMO, HIPAA, Underwriting, Medicaid, Quality Control, Quality Assurance, Account Servicing, Benefits Administration, Health Policy, Process Improvement
Education
Lesley University
B.S. in Education, Special Education
Harvard Pilgrim Health Care December 2005 - September 2009
Harvard Pilgrim Health Care September 2002 - December 2005
Harvard Pilgrim Health Care October 1997 - September 2002
Harvard Pilgrim Health Care April 1993 - October 1997
Realtron Corporation September 1991 - April 1993
Norrell Services, Inc. September 1989 - May 1991
United Temporaries, Inc. April 1984 - September 1987
Education
Bethel School of Ministry 2009 — 2011
Ministry
Lesley College
Business Management
SmartPak September 2012 - Present
Sullivan & Cogliano May 2012 - Present
Plymouth Career Center 2011 - Present
Lowe's Home Improvement 2004 - 2011
Rockland Trust Company 2003 - 2005
Houghton Mifflin Company 2002 - 2003
Koster Insurance Agency 2000 - 2002
Harvard Pilgrim Health Care 1996 - 2000
Skills
Microsoft Office, Sales, Direct Sales, Customer Service, Microsoft Word, Microsoft Access, Microsoft PowerPoint, Typing
Education
Northeastern University 1991 — 1999
Bachelor of Science (B.S.), Fine Arts and Business Administration
Massasoit Community College 1988 — 1991
Business/Secretarial
Aetna May 2014 - Present
Harvard Pilgrim Health Care August 2012 - May 2014
Coventry Health Care, an Aetna Company March 2007 - August 2012
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas December 1999 - March 2007
Harvard Pilgrim Health Care March 1993 - December 1999
St Anne’s Hospital November 1992 - March 1993
Ranken Jordan Pediatric Bridge Hospital October 1986 - November 1992
St John’s Retirement Village, Inc./Stollwood Convalescent Hospital February 1981 - October 1986
Education
Merrimack College
B.S, Business Management
Blue Cross Blue Shield of Massachusetts 2013 - Present
Hewlett-Packard 2008 - 2012
PerotSystems 2001 - 2008
Harvard Pilgrim Health Care 2000 - 2001
Harvard Pilgrim Health Care 1998 - 2000
MetLife 1997 - 1998
Harvard Pilgrim Health Care 1996 - 1997
Education
Massasoit Community College
Computer Tech/Info Management (Programming concentration), Presently maintaining 4.0 GPA
Harvard Pilgrim Health Care August 2014 - Present
US Census Bureau August 2007 - September 2013
Westover Air Reserve Base October 2004 - May 2007
Skills
Program Management, Supervisory Experience, Process Improvement, Statistical Reporting, Data Collection, Survey Research, Data Analysis, Program Evaluation, Program Budgeting, Development Of Employees, Project Tracking, Training Facilitation, Recruiting, Hiring Employees, Office Management, Federal Government, Public Policy, Government, SPSS, Qualitative Research, Research, Policy, Statistics, SAS, Test Administration
Education
Springfield College 2004 — 2007
Doctor of Philosophy (PhD), Sport and Exercise Psychology
Minnesota State University, Mankato 2003 — 2004
Masters of Science, Psychological Aspects of Sport
University of Southern Mississippi 1999 — 2002
Bachelor of Science (BS), Psychology
Harvard Pilgrim Health Care May 2012 - Present
Triple-S Salud November 2007 - February 2012
Education
McGill University 2002 — 2006
Bachelor of Science (BS), Major Physics Minor Math
Harvard Pilgrim Health Care July 1998 - Present
Skills
Photoshop, PowerPoint, Coaching, Customer Service, Insurance, Employee Benefits, Team Building, Managed Care
Education
University of Massachusetts Boston 1988 — 1991
Bachelor of Arts (BA), visual media and fine arts
Massachusetts Bay Community College 1984 — 1986
Associate's degree, Communication and Media Studies