Neighborhood Health Plan
Industry: Company
DescriptionCEO: David Segal Headquarters: Somerville, Massachusetts, United States Chief medical officer: Anton B. Dodek CFO: Joseph C. Capezza SVP: Tony James (Network Development, Integration, MGH) Founded: 1986 COO: Mark McCormick
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Neighborhood Health Plan Employees
United Service Companies May 2013 - Present
Aptara, Inc / Adecco Employment October 2010 - June 2011
VPNE Parking Solutions March 2006 - April 2010
Safety Insurance July 2002 - March 2004
Neighborhood Health Plan May 1999 - July 2002
Skills
Outlook, Microsoft Office, Data Entry, Benefits Administration, Bilingual-English/Spanis..., People Skills, Organized Multi-tasker, Auto Claims, Expense Reports, Travel Arrangements, Personal Injury, Friendly Personality, Training Support Staff, Office Management, Payroll, Customer Service, New Hire Orientations, Hiring, Training, Employee Relations, Microsoft Excel, Microsoft Word, Human Resources, Event Planning
Education
Bunker Hill Community College 2013 — 2016
Associate's Degree, Administrative Information Management
Neighborhood Health Plan April 2010 - Present
Network Health August 2008 - March 2010
Beacon Health Strategies March 2007 - August 2008
Beacon Health Strategies June 2001 - March 2007
Skills
Program Management, Healthcare, Process Improvement, Medicaid, Healthcare Management, HIPAA, Program Development, Managed Care, Data Analysis
Education
Simmons College 1990 — 1992
Master's degree, Social Work
Boston University 1984 — 1988
Bachelor's degree, Psychology and Statistics
Consultant 2013 - Present
Orion Health 2012 - 2013
MAXIMUS 2007 - August 2011
Neighborhood Health Plan 2006 - 2007
HealthDialog 2003 - 2006
museumshop.com 2002 - 2003
BabyStripes.com 2001 - 2002
espanol.com 1999 - 2001
Harlequin Software 1994 - 1999
Skills
Portuguese, Transportation, Publications, Process Improvement, Healthcare, Strategic Planning, Call Center, Project Management, Team Building, Program Management, Cross-functional Team..., Change Management, Customer Service, Operations Management, Management, Coaching, Performance Management, Healthcare Management, Data Analysis, Non-profits, Training, Leadership, Call Centers, Account Management, Recruiting, Outsourcing, Business Strategy, Quality Assurance, Strategy, Business Process..., Vendor Management, Business Analysis, Software Documentation, Team Leadership, Analysis, CRM, Employee Benefits, Project Planning, Nonprofits
Education
Boston University 2011 — 2012
Interpretation and Translation
Suffolk University 1974 — 1976
Space Planning and Design
Regis College 1969 — 1973
BA
Colegio San Silvestre, Lima, Peru
Neighborhood Health Plan September 2013 - Present
Brown University May 2012 - December 2012
Starbucks February 2008 - December 2012
Skills
Economics, Statistics, Time Management, Data Analysis, Legendary Customer..., Health Insurance..., Affordable Care Act, Probability, Medicare Prescription..., Healthcare Information..., Microsoft Excel, Underwriting, Environmental Economics, Comparative Literature, Linguistics, Polyglot, Stata, Mathematics, Microsoft CRM, Microsoft SQL Server, Health Insurance, Risk Analysis, Actuarial Science, Financial Econometrics, Beverage Development, Medicaid Managed Care, Product Lifecycle..., Cost Sharing, Customer Service, Microsoft Office, Analysis
Education
Brown University 2008 — 2012
Bachelor of Arts (B.A.), Mathematical Economics
Nicolet High School 2001 — 2006
Diploma
Centers for Disease Control and Prevention September 2010 - August 2012
HealthMap - Children's Hospital Informatics Program at Boston Children's June 2010 - August 2010
ClickDiagnostics January 2009 - May 2010
Center for International Health and Development July 2009 - January 2010
Envision EMI June 2009 - August 2009
Neighborhood Health Plan March 2009 - May 2009
Indicorps March 2008 - June 2008
SEWA Rural Hospital October 2007 - March 2008
Accelerated Rehabilitation Centers June 2006 - June 2007
SunGard/GMI June 2006 - August 2006
Skills
Epidemiology, Research, Clinical Research, International..., Global Health, Public Health
Education
Boston University 2008 — 2010
Master's in Public Health, Epidemiology and International Health
Northwestern University 2003 — 2007
Bachelor of Arts, Chemistry/Biochemistry
Partners HealthCare at Home March 2014 - Present
Visiting Nurse Association of Boston & Affiliates October 2009 - November 2013
Atrius Health April 2009 - October 2009
Quincy Medical Center 2006 - 2009
Neighborhood Health Plan 2003 - 2006
Dimock Community Health Center 2000 - 2003
Harvard Pilgrim Health Care 1993 - 2000
Ernst & Young 1986 - 1993
Massachusetts Department of Public Health 1983 - 1986
Skills
Healthcare, Healthcare Management, Business Development, Hospitals, Managed Care, EHR, EMR, HIPAA, Medicare, Project Planning, Revenue Cycle, Healthcare Industry, Patient Safety, Clinical Research, Nursing, Informatics, Home Care, Healthcare Consulting, Quality Improvement, Health Insurance, Medicaid, Community Outreach, Customer Service, Fundraising, Healthcare Information..., Hospice, Leadership, Leadership Development, Management, Nonprofits, Physician Relations, Physicians, Process Improvement, Program Development, Public Health, Public Speaking, Strategic Planning, Team Building
Education
Boston University - School of Management 1983 — 1986
MBA, Health Care Management
College of the Holy Cross 1979 — 1983
BA
Neighborhood Health Plan June 2008 - Present
BMC HealthNet Plan June 2005 - June 2007
East Boston Neighborhood Health Center March 2004 - April 2005
Skills
Computer Proficiency, Microsoft Office, Microsoft Excel, Microsoft Word, Community Outreach, Customer Service, Problem Solving, Investigation, Sales, Organizational..., Project Coordination, PowerPoint, Troubleshooting, Training, Communication, Meeting Planning, Goal Oriented, Service Providers, Client Liason, Bilingual, Service Improvement, Provider Relations, Medicaid, HIPAA, Healthcare, Healthcare Management, Claims Resolution, Health Insurance, HMO, Medicaid Managed Care, Healthcare Information..., Network Development, Healthcare Industry, Insurance, Healthcare Reimbursement, Managed Care, Medicare, Process Improvement, Team Building, Leadership
Education
Bunker Hill Community College 1998 — 2000
Brockton High School 1996 — 1998
Diploma, Accounting
BMC HealthNet Plan April 2011 - Present
Marino Center for Integrative Health April 2010 - April 2011
Neighborhood Health Plan March 2008 - July 2009
Massachusetts General Hospital 2006 - 2008
Tufts Health Plan 2000 - 2006
Tufts Health Plan 1998 - 2000
Skills
Healthcare, Project Management, Strategic Planning, Management, Managed Care, Health Insurance, Project Planning, Leadership
Education
Bentley University 2013 — 2013
Taking Charge Womem's Executive Leadership Program
Cortiva Institute-Boston 2010 — 2011
Licensed Massage Therapist
Suffolk University - Sawyer Business School 1995 — 1999
MBA, Business/ Health Administration
Stonehill College 1990 — 1994
BA, Healthcare Administration
Neighborhood Health Plan December 2014 - Present
Health Net July 2013 - March 2014
Memorial Hospital of Gardena / Avanti Hospitals March 2012 - November 2012
West Hills Hospital and Medical Center October 2010 - March 2011
Celly Services August 2009 - January 2010
SK Systems October 2007 - August 2009
Skills
Microsoft SQL Server, Software Documentation, Databases, Business Analysis, Analysis, Data Analysis, Project Management, Accounting, Testing, QuickBooks, Finance, Microsoft Excel, Oracle, SDLC, Accounts Payable, Requirements Analysis, Business Process, Training, Visio, Requirements Gathering
Education
California State University-Dominguez Hills 2007 — 2010
Master of Business Administration (MBA), Finance, 3.72
University of Mumbai 2003 — 2007
Master of Science (MS), Computer Science, 3.5
University of Mumbai 1999 — 2003
Bachelor of Science (BS), Computer Science, 3.2
UnitedHealthcare - Community Plans March 2011 - Present
Marrano Real Estate, LTD. June 2005 - Present
athenahealth August 2009 - March 2011
Boston Medical Center HealthNet Plan September 2007 - August 2009
Neighborhood Health Plan September 2006 - September 2007
Neighborhood Health Plan May 2004 - September 2006
Tufts Health Plan 2003 - 2004
Harvard Pilgrim Health Care 1995 - 2002
Skills
Healthcare, Cross-functional Team..., Leadership, Healthcare Management, Program Management, Management, Contract Negotiation, Provider Relations, Project Management, Recruiting, Strategy, Contract Management, Analysis, Hospitals, Sales Operations, Process Improvement, Credentialing, Managed Care, Medicare, Insurance, Medicaid, Customer Service, Health Insurance, Team Building, Healthcare Industry, Policy, HIPAA, Strategic Planning
Education
Cambridge College 2013 — 2015
Master of Business Administration (M.B.A.)/Healthcare Administration, Healthcare Administration
Newbury College 1996 — 2004
Bachelors, Healthcare Administration
Neighborhood Health Plan September 2013 - Present
Robbins Gioia March 2013 - September 2013
Firstgiving May 2012 - March 2013
W.B. Mason June 2010 - June 2012
Skills
Salesforce.com, Sales, Marketing, Cold Calling, Customer Service, Lead Generation, Email Marketing, Microsoft Office, Sales Process, Facebook, Account Management, Marketing Strategy, Marketing Communications, Advertising, PowerPoint, Competitive Analysis, Social Networking, Social Media, Market Research, SEO, Social Media Marketing, Microsoft CRM
Education
University of Massachusetts Boston 2014 — 2016
Master’s Degree, Healthcare Management
Bryant University 2007 — 2010
Bachelor of Business Administration (B.B.A.), Management and Marketing
Guilford College 2006 — 2007
East Boston Neighborhood Health Center February 2015 - Present
Neighborhood Health Plan June 2014 - February 2015
Bose Corporation August 2013 - March 2014
NFPA April 2013 - July 2013
NMB Group January 2012 - March 2013
Sitel October 2009 - November 2011
Pbros Solutions June 2008 - September 2009
Skills
Testing, Java, Project Management, CSS, ASP.NET, Microsoft SQL Server, Microsoft Office, HTML, Software Development, Management, Software Documentation, Databases, SharePoint, SQL
Education
Northeastern University 2013 — 2015
Master of Science (MS), Tech. Entrepreneurship
Anna University 2005 — 2008
Master of Computer Applications (MCA), Computer Science
University of Madras 2002 — 2005
Bachelor's degree, Computer Science
Cancun Restaurant July 2014 - Present
Boston Private Bank June 2014 - July 2014
Enterprise Rent-A-Car July 2013 - May 2014
Neighborhood Health Plan April 2013 - June 2013
LifePlans, Inc. January 2013 - March 2013
Skills
Customer Satisfaction, Customer Service, Sales, Customer Retention, Fleet Management, Cold Calling, Sales Management, Profit, Vehicles, Sales Process, Automotive, Account Management, Financial Analysis, Management, Sales Operations, Research
Education
College of Mount Saint Vincent 2008 — 2012
Bachelor's degree, Business Administration and Management, General
Boston College High School 2004 — 2008
Massachusetts General Hospital August 2007 - Present
Neighborhood Health Plan January 2000 - June 2007
AstraZeneca 1998 - 2000
Parsons 1996 - 1998
Fidelity Investments 1995 - 1996
Dana-Farber Cancer Institute 1990 - 1995
Fidelity Investments 1986 - 1990
Skills
Epic Cadence and..., Revenue Cycle Management, Patient Reported..., Project Management, Business Analysis, Change Management, Access, Vendor Management, Healthcare, Strategic Planning, User Acceptance Testing, Business Strategy, Business Planning, Project Planning, Data Analysis, SharePoint, SQL, MySQL, Management, Program Management, Process Improvement, Visio, Customer Satisfaction, Integration
Education
Worcester Polytechnic Institute 2000 — 2000
Client/Server Technology
Boston University 1980 — 1982
Bachelor of Arts (B.A.), Urban Studies/Affairs
University of Washington 1980 — 1982
MUP, Urban Planning
Neighborhood Health Plan February 2007 - Present
Cape Cod Health Care November 2002 - February 2007
Harvard Pilgrim Health Care 1993 - 1999
Digital Equipment Corp 1981 - 1993
Skills
Employee Relations, Human Resources, Talent Management, Performance Management, Organizational..., Healthcare, Change Management, Coaching, Team Building, Process Improvement, Employee Engagement, Onboarding, Management, Leadership Development, Training, Employee Benefits, Program Management
Education
Suffolk University - Sawyer School of Management 1979 — 1985
MBA, Management
Bryant University 1973 — 1977
B.S., Business Education
Anthem January 2015 - Present
Neighborhood Health Plan February 2012 - January 2015
Harvard Pilgrim Health Care March 2003 - February 2012
Skills
Health Insurance, Managed Care, Management, Medicaid, Claim, Cross-functional Team..., Program Management, Healthcare Management, Medicare, Strategy, Strategic Planning, Healthcare Information..., Insurance, Project Management, Microsoft Word, HIPAA, Healthcare, Customer Service, Healthcare Industry, Underwriting, Employee Benefits, Microsoft Excel, Benefits Administration, Process Improvement, Disability Insurance
Education
Clark University 1998 — 2002
Bachelor of Arts (B.A.), Communications & Culture
Pinkerton Academy 1994 — 1998
Network Health 2010 - Present
Network Health 2004 - 2010
Lawrence General Hospital 2007 - 2009
Network Health 2003 - 2004
Neighborhood Health Plan 2001 - 2003
Neighborhood Health Plan 1999 - 2001
East Boston Neighborhood Health Center 1995 - 1999
Skills
Healthcare, Solid computer skills, Customer Service, Medical Assisting, Spanish, Community Outreach, Training, Marketing Strategy, Managed Care, Medicaid, Policy, Healthcare Management, Hospitals, Management, Strategic Planning, Event Planning, Human Resources, Clinical Research, Case Managment, Time Management, Telephone Skills, Outlook, Recruiting, Email Marketing, Nonprofits, Research, Fundraising, HIPAA, Medicare, Program Development, Health Insurance, Data Entry
Education
Bay Path University 2012 — 2014
Business Administration and Management
Neighborhood Health Plan Research and Policy Development AnalystNeighborhood Health PlanJanuary 2011 - Present
Neighborhood Health Plan June 2006 - January 2011
Fenway Community Health May 2009 - July 2009
Mental Health Service Providers for Youth; at Neighborhood Health Plan August 2005 - July 2006
Grafton Job Corps February 2003 - May 2005
Skills
Program Development, Strategic Planning, Healthcare, Leadership, Training, Community Outreach, Policy, PowerPoint, Management, Process Improvement, Research, Healthcare Management, Medicaid
Education
Boston University 2007 — 2010
Masters in Public Health, Health Policy and Management
Hartwick College 2001 — 2005
BA, Psychology and Managment
Akamai Technologies June 2015 - Present
NTT DATA Corporation November 2014 - June 2015
ikaSystems May 2013 - September 2014
Neighborhood Health Plan October 2011 - May 2013
Liberty International Underwriters January 2010 - October 2011
Lincoln Financial Group April 2008 - June 2009
The Life and Annuity Group TLAG November 2007 - March 2008
Hartford Life Insurance 2002 - 2007
Hartford Life Insurance Japan 2004 - 2006
Hartford Life Japan 2004 - 2006
Skills
Business Analysis, Requirements Analysis, Testing, Requirements Gathering, Microsoft SQL Server, Visio, SDLC, SQL, Risk Management, Microsoft Excel, Stakeholder Management, C#, Microsoft Office, PowerPoint, Software Project..., Business Intelligence, Vendor Management, JIRA, Confluence, QNXT, CCA, Process Improvement, Management, Program Management, Project Management, CRM, Consulting, Information Technology, Data Warehousing, User Acceptance Testing, Agile Methodologies, Analysis, Data Analysis, Databases, IT Strategy, Quality Assurance, Software Documentation
Education
Bowdoin College 1986 — 1990
Bachelors of Arts, Government Legal Studies/Sociology Double Major
Horman Mathematical & Actuarial Solutions May 2015 - Present
Neighborhood Health Plan October 2013 - May 2015
Bankers Advisory July 2009 - May 2012
Suffolk County District Attorney's Office 2007 - 2008
Filene's August 2004 - August 2005
Skills
Compliance, Legal Research, Microsoft Office, Westlaw, Microsoft Excel, Banking, Microsoft Access, ACES/Sharepoint, Microsoft Powerpoint, Adobe, Risk Management, Trials, Commercial Litigation, Mortgage Lending, Corporate Law, Employment Law, Criminal Law, Auditing, Loans, Mediation, Civil Litigation, Credit, PowerPoint, Contract Negotiation, Government, Insurance
Education
New England School of Law 2005 — 2008
Juris Doctor
Colorado State University 2001 — 2004
B.S., Design Merchandising; Apparel & Merchandising
Mathematica Policy Research September 2014 - Present
Dovetail Health May 2011 - September 2014
Ingenix January 2005 - May 2011
Health Research, Inc (NYS Department of Health) January 2004 - January 2005
NYS Department of Health January 2004 - January 2005
Provider Service Network May 2001 - January 2004
Neighborhood Health Plan September 1999 - May 2001
Physician Practice Support, Inc June 1999 - September 1999
Novalis Corporation May 1997 - June 1999
Skills
Healthcare, SAS, Data Analysis, SQL, SSIS, ETL
Education
Boston University 1999 — 2002
MPH, Public Health - Epidemiology & Biostatistics
The Sage Colleges - Russell Sage College 1993 — 1997
BS, Biochemistry
Enrico Fermi High School
Catholic Charities of the Archdiocese of Newark September 2013 - Present
The Center for Collaborative Change December 2009 - August 2013
New Jersey Institute for Social Justice May 2008 - December 2009
St. Vincent's Hospital and Medical Center August 1996 - May 1997
Harvard Pilgrim Health Care December 1994 - July 1996
Neighborhood Health Plan June 1993 - December 1994
Education
New York University 1991 — 1993
MPA, Health Care Policy
Boston University 1984 — 1988
BS, Journalism, Sociology
Neighborhood Health Plan November 2014 - Present
Harvard Pilgrim Health Care March 2011 - Present
Health Net March 2006 - December 2010
Health Net August 2001 - March 2006
Skills
Managed Care, Health Insurance, Medicare, Insurance, Healthcare, Process Improvement, Strategic Planning, Project Management, Product Development, Cross-functional Team..., Healthcare Information..., Medicaid, Health Policy, HIPAA, Product Management, Sales, Management, Contract Negotiation, HMO, Analysis, Disease Management, Training, Medicare Part D, Software Documentation, Healthcare Industry, Pharmacy Benefit..., Leadership, Account Management, Provider Relations, Utilization Management, Health Care Reform, Health Savings Accounts, Network Development
Education
Boston College - Wallace E. Carroll Graduate School of Management 1984 — 1986
M.B.A., Marketing
Connecticut College 1977 — 1981
B.A., History
Fallon Community Health Plan February 2012 - Present
LL Bean Outdoor Discovery School May 2011 - Present
LL Bean December 2008 - Present
LogixHealth October 2010 - February 2012
AthenaHealth December 2003 - February 2009
Neighborhood Health Plan August 2003 - November 2003
ValueOptions November 2001 - March 2003
Beacon Health Strategies November 1999 - October 2001
Harvard Pilgrim Health Care 1996 - 1999
Skills
Microsoft Excel, Project Management, Microsoft Word, Training, Manuals, Process Improvement, HIPAA, Customer Service, Data Analysis
Education
Bunker Hill Community College 1984 — 1988
A.S., Business Administration
Saugus High School 1981 — 1984
Neighborhood Health Plan January 2015 - Present
Tufts University July 2013 - December 2014
Saks Fifth Avenue August 2011 - April 2013
Saks Fifth Avenue December 2010 - August 2011
Saks Fifth Avenue November 2007 - November 2010
On Assignment Lab Support 2006 - 2007
Saks Fifth Avenue January 2004 - January 2006
Skills
Human Resources, Payroll, Benefits Administration, Employee Benefits, Employee Relations, OSHA, Unemployment Claims, Microsoft Office, Recruiting, New Hire Orientations, New Hire Training, New Hire Paperwork, Sourcing, Job Postings, Sales, Management, Customer Service, Outstanding verbal, Kronos, Reports, Office Management, Phone Skills, Phone Etiquette, Retail
Education
Bradford College 1993 — 1997
Bachelor of Arts (B.A.), Human Studies
Bradford College
A, Human Studies; Psychology
Fitchburg State University
Neighborhood Health Plan May 2014 - Present
East Boston Neighborhood Health Center July 1995 - Present
Boston Medical Center December 2012 - May 2014
Winchester Hospital April 2011 - December 2012
Skills
Pediatrics, Healthcare Management, Physicians, Healthcare, Medicine, EMR, Medical Education, Hospitals, Leadership
Education
Boston University 1984 — 1989
Doctor of Medicine (MD)
Boston College 1984 — 1988
Bachelor of Science (BS), Biology, General, cum laude
EOS/CCA September 2012 - September 2013
Preventive Medical Associates November 2009 - April 2011
Boston Medical Center 2008 - 2009
Network Health 2004 - 2008
Neighborhood Health Plan 1994 - 2004
Skills
Provider Relations, Training, Healthcare, Leadership
Education
Boston University
Contract Negotiation and Business Writing Courses
Northeastern University
Health Management Degree Coursework
Regis College
Coursework completed towards a Bachelor’s Degree, Liberal Arts
Neighborhood Health Plan October 2014 - Present
Important Media May 2010 - Present
The Center for Heath Information and Analysis January 2012 - October 2014
Maine State Senator Phil Bartlett June 2006 - November 2010
Shoffner & Associates Counselors at Law May 2008 - September 2008
Gorham School Department September 2006 - June 2007
Maine State Representative David Farrington September 2004 - August 2006
Clark University October 2004 - April 2006
Skills
Research, Quantitative Analysis, Journalism, Public Policy, Government Relations, SPSS, Statistics, Excel, Political Science, Teaching, Politics, Policy Analysis, Writing, International Relations, Community Outreach, Government, Grant Writing, Public Relations, Fundraising, Non-profits, Public Speaking, Data Analysis, Microsoft Office, Spanish, Event Planning, PowerPoint, Social Media, Word, Blogging, Administration, MS Office Suite, Facebook, Editing, Outlook, Volunteer Management, Social Networking, Qualitative Research, Media Relations, Proposal Writing, Customer Relations, Access, Social Media Marketing, Press Releases, Mathematics, Technical Writing, Mac, Program Evaluation, Quantitative Analytics
Education
Northeastern University 2009 — 2010
Master of Arts, Political Science; Concentration: Public Policy and International Relations
Clark University 2002 — 2006
Bachelor of Arts, Government and International Relations; Concentration: American Government
Neighborhood Health Plan December 2012 - Present
Great Dog Rescue December 2011 - Present
Northeast Arc July 2005 - Present
Eliot Community Human Services April 2012 - August 2012
Franciscan Hospital for Children October 2011 - August 2012
North Shore Medical Center March 2010 - March 2011
Skills
Clinical Research, Social Services, Healthcare, Cpr Certified, Case Management, Leadership, Mental Health, Program Development, Treatment, First Aid, PowerPoint, Word, Community Outreach, Case Managment, Vital Signs, Patient Advocacy, Home Care, Public Health, Hospitals, Patient Safety, Patient Education, Managed Care, Health Education, Advocacy, Medicaid Managed Care, Medicaid, Affordable Housing, subsidized housing, Coordination of Care, Coordination Of...
Education
Anna Maria College 2014 — 2016
Master's Degree, Public Administration, Health Care Administration
Simmons College 2009 — 2011
Nursing
Suffolk University 2004 — 2008
Bachelor of Arts, Sociology; Criminology and Law
Neighborhood Health Plan June 2015 - Present
Neighborhood Health Plan June 2014 - June 2015
UnitedHealth Group May 2012 - May 2014
FCHP November 2008 - May 2012
AIM Healthcare Services, Inc. June 2004 - July 2007
Skills
Medicare, Process Improvement, Health Insurance, HIPAA, Insurance, Healthcare, Data Analysis, Project Management, Access, Hospitals, Healthcare Management, Analysis, Medicaid, Claim, Healthcare Information..., Managed Care, Testing, Healthcare Consulting, Healthcare Industry, Contract Management, Quality Improvement, Auditing, Quality Assurance
Education
Anna Maria College 2010 — 2011
Master of Public Administration (M.P.A.), Hospital and Health Care Facilities Administration/Management
Cambridge Health Alliance October 2014 - Present
Neighborhood Health Plan 2011 - 2014
Steward Health Care 2010 - 2010
MBTA 2008 - 2009
Partners HealthCare 2004 - 2007
Skills
Process Improvement, SharePoint, HIPAA, PeopleSoft, SQL, SAS Certified Base..., Microsoft Office..., Outlook/Word/Excel/Power..., Office Management, Telecommunications, Healthcare, Real Estate Operations, Outlook, Leadership, Management, Training, Healthcare Management
Education
Babson College 1985 — 1985
BAA, Business Management
Bunker Hill Community College 1982 — 1982
Business Communications
Autopart International 2012 - Present
J. Arthur Trudeau Memorial Center 2009 - 2011
Neighborhood Health Plan November 2006 - October 2007
Brooks Eckerd Pharmacy February 2006 - November 2006
Barnes Distribution 1999 - 2001
Liberty International 1995 - 1998
Skills
Outlook, Customer Service, Microsoft Excel, Microsoft Office, Microsoft Word, PowerPoint, Inventory Management, Budgets, Team Building, Purchasing, Access, Retail, Customer Satisfaction, Inventory Control
Education
Community College of Rhode Island
Neighborhood Health Plan June 2015 - Present
Pelham, New Hampshire January 2015 - Present
National Government Services September 2014 - December 2014
MEMIC August 2013 - April 2014
Pelham, New Hampshire May 2013 - August 2013
Riverstone Resources June 1999 - May 2013
Neighborhood Health Plan 1998 - 1999
Plymouth Rock Assurance (Bunker Hill Insurance) 1996 - 1998
Liberty Mutual Insurance 1991 - 1996
Skills
Risk Management, Insurance, Property & Casualty..., Accounting, Statutory Accounting, Financial Reporting, Analysis, Liability, Reinsurance, Management, Statutory Reporting, Enterprise Risk..., Regulatory Compliance, Leadership, Workers Compensation, Vendor Management, Human Resources, Project Management, Records Management, Auditing
Education
Boston University
Master of Business Administration (M.B.A.), Business Continuity, Security and Risk Management
Suffolk University - Sawyer Business School
BSBA, Accounting
Neighborhood Health Plan March 2014 - March 2015
Bank of America July 2013 - January 2014
Year Up March 2013 - January 2014
C.C Security 2012 - 2013
Douglas Wine & Spirits April 2012 - October 2012
Forever 21 September 2010 - August 2011
Skills
Microsoft Office 2010..., Bilingual-English/Spanis..., Soft Skills, Non-verbal Communication, Leadership Development, Problem Solving, Customer Service, Written Communication, Childcare, Security, Project Management, Data Entry, Cash Management, Sales, Call Centers, Teamwork, Human Resources, Administrative..., Public Speaking, Time Management, Microsoft Word, Training, PowerPoint, Outlook, Troubleshooting, Microsoft Excel, Social Media, Customer Satisfaction, Event Planning, Research, Strategic Planning
Education
Year Up 2013 — 2014
Associate's degree, Customer Service Management
Community College of Rhode Island 2010 — 2011
General Studies
AlphaGary Corporation March 2015 - Present
Precision Optics Corporation, Inc July 2008 - March 2015
SEPATON, Inc September 2003 - July 2008
PEGASUS SATELLITE COMMUNICATIONS March 2002 - August 2003
FUTURE ELECTRONICS CORP September 2000 - December 2001
GALAXY TIRE January 1998 - August 2000
Neighborhood Health Plan July 1996 - January 1998
NEW BOSTON SELECT GROUP December 1993 - July 1996
Skills
Budgeting, Accounting, Accounts Payable, Accounts Receivable, Financial Reporting, Payroll, Forecasting, General Ledger, Reconciliation, Accruals, Journal Entries, Cash Flow, Account Reconciliation, Controllership Functions, Budgets, Financial Analysis, Pivot Tables, Analysis, SEC filings, US GAAP, Spreadsheets, Variance Analysis, Expenses, Financial Audits, Financial Statements, Microsoft Excel, GAAP, Consolidation, Revenue Recognition, Management, Human Resources, Cost Accounting, Cash Flow Forecasting, Fixed Assets, ADP Payroll, Great Plains Software, FRx, Year-end Close, Cash, Hyperion Enterprise, Sarbanes-Oxley, Monthly Close, Auditing, Invoicing, Finance, Internal Audit, Depreciation, Bank Reconciliation, Monthly Closing, Fixed Asset Management
Education
Bentley University 1990 — 1993
BS, Accounting
Mount Ida College 1988 — 1990
A.S, Accounting; the Accounting Program
State Street Corporation February 2007 - November 2012
State Street Corporation January 2004 - February 2007
State Street Corporation January 2002 - January 2004
State Street Corporation June 1999 - January 2002
Bradlees Corporation February 1998 - June 1999
Neighborhood Health Plan November 1997 - January 1998
Packard Bell NEC August 1996 - September 1997
The Internet Connection, Inc. 1995 - 1997
Skills
Troubleshooting, BMC Remedy, IT Management, Incident Management, Integration, Disaster Recovery, Business Continuity, Technical Support, ITIL, Microsoft Office, Lotus Notes, Windows 7, Blackberry, SharePoint, VMware, XP, Team Leadership, A+ Certified, Windows XP, ITSM, Staff Supervision, Project Management, IT Service Management, IT Solutions, Consulting, Change Control, Staff Management, People Skills, Staff Mentoring, Technical Writing, Knowledge Transfer, Technical Documentation, MCP, Imaging, Live Chat, Knowledge Base, Phone Support, Executive Support, Windows XP Professional, VPN, IT Transformation, IT Outsourcing, Vendor Management..., Mobile Devices, LogMeIn, Windows 8, SCCM, Data Center, Software Documentation, Citrix
Education
University of Missouri-Kansas City 2009 — 2014
Bachelors of Liberal Arts
Bentley University 1994 — 2002
Brandeis University 1992 — 1994
Neighborhood Health Plan August 2013 - Present
Neighborhood Health Plan March 2010 - Present
Tufts Health Plan May 2005 - August 2008
Blue Cross Blue Shield of Massachusetts February 2000 - May 2005
Skills
Accounting, Training, Provider Relations, Medicaid, Program Management, Human Resources, HIPAA, Healthcare, Health Insurance, Medicare, Managed Care
Education
Cambridge College 2010 — 2013
Bachelor of Science (BS), Business, Management, Marketing, and Related Support Services, 3.85
Neighborhood Health Plan May 2012 - Present
Self March 2004 - Present
Skills
Program Development, Healthcare, Case Management, Child Advocacy, Public Speaking, Medicaid, Staff Development, Mental Health, Fundraising, Customer Service, Leadership Development, Nonprofits, Social Services, Community Outreach, Business Strategy, Process Improvement, Team Building, Program Evaluation, Treatment, Business Process..., Healthcare Information..., Managed Care, Strategic Planning, Microsoft Office, Grant Writing, Healthcare Management, Organizational..., Clinical Research
Education
Cambridge College
Master of Education (M.Ed.), Elementary Education and Teaching, K-9
Salem State University
Special Education Certification, Special Education, K-9
Press Ganey Associates July 2014 - Present
Press Ganey Associates May 2011 - Present
New York Presbyterian Hospital November 2008 - February 2011
Long Island Jewish Hospital 2004 - 2008
University of Chicago Hospitals 2001 - 2003
Neighborhood Health Plan 1999 - 2001
Arthur Andersen 1996 - 1997
University of Chicago Hospitals 1992 - 1995
Skills
Healthcare, Hospitals, Healthcare Management, Business Process..., Healthcare Information..., Nursing, Organizational..., Quality Management, Clinical Research, Process Improvement, Healthcare Consulting, Leadership, EMR, Patient Safety, Critical Care, Quality Improvement, Performance Improvement, Physician Relations, Revenue Cycle, EHR, Project Management, Radiology, Data Analysis, Team Building, Informatics, HIPAA, Inpatient, Acute Care
Education
Boston University 1997 — 1999
MPH, Public Health - Health Services
Texas Woman's University 1982 — 1984
MOT, Occupational Therapy
Iowa State University 1978 — 1982
B.S., Communicative Disorders
Humboldt High School
Neighborhood Health Plan July 2014 - Present
Tufts University March 2010 - Present
Stop & Shop 2004 - 2009
Hill Holliday 2000 - 2004
Skills
Talent Management, Onboarding, Performance Management, Organizational..., Talent Acquisition, Applicant Tracking..., Career Development, Human Resources, Employee Relations, Leadership Development, Strategic Planning, Recruiting, Diversity & Inclusion, Coaching, Interviews, Management, Conflict Resolution, Staff Development, Employee Engagement, Management Development, Career Counseling, Marketing, Organizational..., College Recruiting, Deferred Compensation
Education
Simmons School of Management 2004 — 2007
MBA, Business Administration and Management, General
Brandeis University
Bachelor of Arts (B.A.), Sociology/ Economics
NWJ Consulting June 2015 - Present
Mass. Eye and Ear June 2014 - June 2015
Senior Whole Health June 2012 - June 2014
CVS Caremark Corporation June 2010 - November 2011
Neighborhood Health Plan August 2006 - June 2010
Private Healthcare Systems April 2000 - August 2006
One Health Plan 1999 - 2000
Skills
Credentialing, Medicaid, Medicare, Healthcare Management, NCQA, Physicians, JCAHO, Accreditation, Utilization Review, Claim, Leadership, Managed Care, HIPAA, Provider Relations, Healthcare, Hospitals, Clinical Research, HEDIS, Utilization Management, Healthcare Consulting, Healthcare Industry, HMO
Education
Stonehill College 2004 — 2006
Certificate, Healthcare Management
Boston College 1995 — 2000
BSN, Nursing
Neighborhood Health Plan January 2014 - Present
Ma. Business Association/United Business Insurance agency 2007 - 2014
Skills
Disability Insurance, Health Insurance, Insurance, Health Savings Accounts, Life Insurance, Employee Benefits, Medicare, CRM, Team Building, Cloud Computing, Managed Care, Project Management, Cold Calling, Social Media, Sales Presentations, Brokers, Term Life Insurance, Program Management, Direct Sales, Property & Casualty..., Group Insurance, Group Medical
Education
Community College of Rhode Island 1997 — 1999
Ana J Candelas, Cidra PR
MA Producer License
MA Health/Accident Producer License
Neighborhood Health Plan August 2014 - Present
Steward Health Care Network December 2013 - April 2014
Mass General Hospital November 2008 - December 2013
Partners HealthCare June 2006 - November 2008
Partners HealthCare April 2001 - June 2006
Skills
Cash Management, Financial Analysis, Book Keeping, Financial Reporting, Accounting, Account Reconciliation, PeopleSoft, Variance Analysis, General Ledger, Managerial Finance, Auditing, Finance, Journal Entries, Leadership, PowerPoint, Accounts Payable, Analysis, Budgets, Microsoft Excel, Networking
Education
Suffolk University 1997 — 2000
BSBA, Accounting
Central Connecticut State University 1996 — 1997
Framingham High School 1992 — 1996
Neighborhood Health Plan July 2015 - Present
Northeast Security Inc. April 2014 - July 2015
Boloco October 2012 - September 2014
Youth Astronomy Apprenticeship July 2009 - April 2011
Youth Conservation Corps July 2008 - September 2008
Skills
Public Speaking, Accounting, Financial Accounting, Food & Beverage, Customer Service, Cash Register, Microsoft Office, Microsoft Word, Humor Writing, Writing, Editing, Animal Care, Microsoft Excel, Film Editing, Teaching, Security Operations, Film Production, Interpersonal Skills, Security Training, Physical Security, Mathematics, Surveillance, Access Control, Corporate Security, Security Management, Employee Training, Final Cut Pro, Teamwork, Interpersonal..., Photography, Food Preparation, Floor Cleaning, Business
Education
Bunker Hill Community College 2013 — 2015
Accounting
University of Massachusetts Dartmouth 2011 — 2012
Business Administration and Management, General
Neighborhood Health Plan
Skills
Process Improvement, Managed Care, Customer Service, Healthcare Management, Healthcare Information..., HIPAA, Medicare, Medicaid, Hospitals, Healthcare
Education
Providence College 1994 — 1998
Bachelor of Arts (B.A.), Spanish Language and Literature
Boston Latin School 1990 — 1994
High school diploma
Neighborhood Health Plan April 2015 - Present
Network Health June 2012 - March 2015
Network Health November 2007 - June 2012
Cambridge Health Alliance March 2005 - November 2007
The software MacKiev August 2003 - March 2004
Ophthalmic Consultants of Boston February 2001 - August 2003
Skills
Accounting, Financial Analysis, Microsoft Office, Access, SOX, Word, Financial Reporting, Outlook, Non-profits, General Ledger, Crystal Reports, Reconciliation, Business Objects, Healthcare, Tax, Spreadsheets, Account Reconciliation, Payroll, Internal Controls, GAAP, Journal Entries, Financial Accounting, Budgets, SQL Server Management..., Microsoft Excel, Microsoft Word, QuickBooks, Financial Close Process, PowerPoint, Data Analysis, Process Improvement, Software Documentation, Cost Accounting, Analysis, Auditing, Tax Accounting, Managed Care, Nonprofits, PeopleSoft, Visio, Healthcare Information...
Education
Odessa State Economics University 1993 — 1998
MS
Odessa's College of Music and Theater 1990 — 1995
BS
Neighborhood Health Plan June 2015 - Present
Verge Philanthropy Partners March 2009 - Present
New England Center for Arts and Technology March 2013 - April 2014
Brookline Community Foundation June 2010 - March 2012
The Boston Foundation December 2000 - February 2009
Greater Worcester Community Foundation September 1997 - December 2000
Committee for Boston Public Housing August 1995 - September 1997
Hattie B. Cooper Community Center June 1993 - August 1995
Boys & Girls Clubs of Boston February 1987 - June 1993
Transitional Employment Enterprises 1985 - 1987
Skills
Non-profits, Grants, Fundraising, Philanthropy, Community Development, Organizational..., Public Speaking, Program Management, Strategic Planning, Strategy, Leadership, Workshop Facilitation, Youth Development, Criminal Justice, Program Development, Policy, Public Policy, Training, Government, Community Organizing, Event Management, Research, Grant Writing, Community Outreach, Volunteer Management, Coaching, Management, Program Evaluation, Board Development, Corporate Social..., Curriculum Design, Entrepreneurship, Event Planning, Higher Education, Leadership Development, Nonprofits, Process Improvement, Public Relations, Staff Development, Workforce Development, Policy Analysis
Education
Boston University 1979 — 1983
Business Administration
Neighborhood Health Plan June 2013 - Present
MAXIMUS February 2013 - June 2013
AXA (Les Assurances ADOUHANE) June 2010 - December 2012
Education
Bunker Hill Community College 2013 — 2016
Associate's Degree, Computer Science
Institut Spécialisé de Technologie Appliquée 2007 — 2009
Undergraduate (Diploma), Business Administration
New York City Department of Health and Mental Hygiene February 2015 - Present
Boston University School of Public Health August 2013 - January 2015
Boston University School of Public Health September 2013 - December 2014
Ibis Reproductive Health May 2012 - August 2013
Harvard University September 2011 - May 2012
Neighborhood Health Plan September 2010 - March 2012
Boston University School of Medicine January 2011 - August 2011
Boston University School of Public Health 2010 - February 2011
University of Vermont June 2008 - May 2010
Skills
Literature Reviews, Microsoft Office, Data Management, SPSS data entry and..., Excel data entry and..., Qualitative data..., CSPro, Atlas.ti, Word Press, Constant Contact, WordPress, Proposal Writing, Grants, Reproductive Health, SharePoint, SAS, Participant recruitment, Proofreading, Research, Data Collection, Data Analysis, Clinical Research, Community Outreach, Public Health, Qualitative Research, Public Speaking
Education
Boston University 2010 — 2012
Master of Public Health (MPH), Social & Behavioral Sciences
University of Vermont 2006 — 2010
B.A., Psychology, Spanish
Neighborhood Health Plan April 2012 - Present
AliMed April 2009 - April 2012
Norwood Youth Soccer September 2005 - April 2012
NPA-TV January 2002 - January 2009
Mercer 2001 - 2009
D.A. ASSOCIATES June 1995 - January 2001
International Marketing Assoc and SID Network, INC. January 1996 - January 1999
Equifax January 1990 - January 1995
Examination Management Services, Inc. EMSI January 1993 - June 1994
Boston Veterans Administration Hospital July 1989 - July 1990
Skills
Strategic Planning, Management, Microsoft Office, Customer Service, Research, Finance, Editing, HTML, Payroll, Output, Project Management, Outlook, Budgets, Team Building, Event Planning, Strategy, Marketing, Sales, Leadership, Healthcare
Education
Becker College 1997 — 1998
Massachusetts Real Estate License Preparatory Courses
Saint John's University 1986 — 1987
New York Real Estate License Preparatory Courses
Wentworth Institute of Technology 1983 — 1984
Drafting and design courses
Neighborhood Health Plan August 2014 - Present
Neighborhood Health Plan April 2014 - August 2014
Neighborhood Health Plan November 2003 - August 2014
Neighborhood Health Plan 2001 - 2003
VNA of Boston 2000 - 2001
VNA of Boston 1997 - 2000
VNA of Boston 1994 - 1997
Milton Hospital 1993 - 1994
Skills
Healthcare, Healthcare Management, Medicaid, Medicare, Clinical Research, HIPAA, Quality Management, Managed Care, Nursing, Disease Management, Program Management, Insurance, NCQA, Leadership, Policy
Education
Salem State College
Master of Science, Nursing Administration
Boston University
Master of Public Health (M.P.H.), Health Policy
Central Missouri State University
Master of Science, Clinical Psychology
Neighborhood Health Plan March 2014 - September 2015
BlueCross BlueShield of Massachusetts April 2013 - November 2013
BlueCross BlueShield of Massachusetts September 2009 - April 2013
BlueCross BlueShield of Massachusetts November 2007 - September 2009
CITY OF BOSTON COMMISSION ON AFFAIRS OF THE ELDERLY December 2008 - May 2009
Masspro January 2007 - November 2007
IHS Cambridge Energy Research Associates September 2006 - December 2006
Fidelity Investments April 1999 - September 2006
Scudder Stevens and Clark 1990 - 1992
Skills
Newsletters, Healthcare, Editing, Health Promotion, Employee Wellness, Research, Healthcare Management, Cross-functional Team..., Health Communication, Clinical Research, Strategic Communications, Health Insurance, Public Speaking, Social Media, Non-profits, Marketing, Strategy, Leadership, Marketing Communications, Program Management, Proposal Writing, Nonprofits, Compassion
Education
Emerson College 2015 — 2015
Certificate, Copyediting
Emerson College 2004 — 2009
MA, Health Communication
Boston University 1985 — 1989
BA, Political Science
Cohasset High School
Cohasset High School
Neighborhood Health Plan March 2015 - Present
Neighborhood Health Plan December 2013 - March 2015
Clinton Health Access Initiative November 2011 - December 2013
Joseph M. Smith Community Health Center April 2006 - October 2011
Whitehead Institute September 2004 - February 2006
Daniel Dennis & Company LLC July 2003 - August 2004
Nuvera Fuel Cells April 2002 - June 2003
NTT DATA Americas October 2000 - March 2002
Skills
Accounts Payable, Financial Accounting, QuickBooks, Financial Reporting, Lawson General Ledger, Microsoft Dynamics SL, Great Plains Software, Non-profits, Financial Analysis, Corporate Budgeting, Capital Budgeting, Government Contract..., Cash Flow Forecasting, Cash Management, Auditing, Microsoft Excel, Cost Reporting, Tax Returns, Payroll, Accounts Receivable, Data Analysis, Budgets, Accounting, NextGen, FQHC, UDS
Education
Boston University 2002 — 2004
MS, Finance
Northeastern University 2000 — 2001
Advanced Accounting Certificate
Boston University 1995 — 1999
BA, Psychology
UnitedHeathcare Group April 2005 - Present
Neighborhood Health Plan April 1996 - January 2004
Education
American International College
BS, Marketing
Neighborhood Health Plan October 2012 - Present
PwC January 2007 - October 2012
Fidelity Investments September 1995 - December 2006
Communities for People 1993 - 1995
Skills
Organizational Design, Organizational..., Onboarding, Organizational..., Performance Management, Change Management, HRIS, Succession Planning, Leadership Development, Employee Relations, Employee Engagement, Employee Surveys, Employee Recognition, Employee Relations..., Talent Management, Human Resources
Education
Colby Sawyer College
AA, Liberal Arts
University of Rhode Island
Bachelor of Arts (BA), Psychology
AlphaCare of New York, Inc. November 2014 - Present
WellCare April 2012 - November 2014
Neighborhood Health Plan November 2011 - April 2012
Neighborhood Health Plan July 2010 - November 2011
Skills
Provider Relations, HIPAA, Medicare, Credentialing, Managed Care, Healthcare, Network Development, Medicaid, HMO, PPO, Health Insurance, Insurance, Healthcare Industry, Healthcare Management, Healthcare Consulting, Provider Education, Claims Resolution, Provider Enrollment, Provider Network..., HEDIS, IPAs, Service Providers, Provider Networks, Cactus, MCOs
Education
Baruch College 2007 — 2009
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Queensborough Community College 2004 — 2007
Associate of Arts and Sciences (A.A.S.), Marketing/Marketing Management, General
Paragon 2013 - Present
The Bull Advisory Group September 2009 - March 2013
Accenture 2006 - 2009
Liberty Mutual Insurance 1997 - 2006
Neighborhood Health Plan 1995 - 1996
Unum 1988 - 1994
Skills
Strategy, Management, Consulting, Program Management, Leadership, Business Development, Financial Services, Strategic Planning, Business Analysis, Insurance
Education
Boston University Graduate School of Management 1994 — 1996
Master of Business Administration (M.B.A.), Finance & Health Care Administration
Bates College
Bachelor's Degree
University of Oxford - Center for Medieval & Renaissance Studies
Shakespearian Literature
Next Street January 2015 - Present
Next Street December 2012 - December 2014
Blue Cross Blue Shield of Massachusetts August 2007 - April 2012
Blue Cross Blue Shield of Massachusetts October 2004 - August 2007
Neighborhood Health Plan September 1999 - March 2003
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Visio, Outlook, Lotus Notes, PowerPoint, Account Management, Strategic Planning, Healthcare, Insurance, Management, Customer Service, Program Management, Event Planning, Leadership, Public Speaking, Training
Education
Bay State College 2005 — 2007
Bachelor of Science (B.S.), Business Administration and Management, General
Bay State College 2002 — 2003
Associate of Science (A.S.), Business Administration and Management, General
Snowden International High School at Copley
Harvard Pilgrim Health Care January 2014 - Present
Neighborhood Health Plan August 2013 - December 2013
Neighborhood Health Plan August 2011 - July 2013
Neighborhood Health Plan 2007 - August 2011
Partners HealthCare 2005 - 2007
Partners HealthCare 2002 - 2005
Harvard Pilgrim Health Care 1992 - 2001
Skills
Health Insurance, Healthcare, Financial Analysis, Hospitals, Managed Care, Medicaid, HIPAA, HMO, Healthcare Management, Data Analysis, Insurance, Process Improvement, Health Care Reform, Access, Analysis, Medicaid Managed Care, Healthcare Consulting, Healthcare Industry
Education
Colby College 1988 — 1992
Biogen Idec January 2015 - Present
The Family Dog Bakery October 2011 - Present
Avid Technology 2013 - January 2015
BCBSRI February 2012 - January 2013
Neighborhood Health Plan 2013 - 2013
Neighborhood Health Plan 2013 - 2013
Neighborhood Health Plan 2013 - 2013
Neighborhood Health Plan 2013 - 2013
Think Frist October 2011 - December 2011
Millennium Pharmaceuticals August 2011 - October 2011
Skills
Project Management, SDLC, Program Management, Process Improvement, PMP, Management, Leadership, Human Resources, Scrum, Project Delivery, Visio, Team Building, Budgets, IT Strategy, Quality Assurance, Integration, Security, Business Process..., Agile Methodologies, IT Management, Business Intelligence, Change Management, Vendor Management, Team Leadership, Project Planning, Access, Requirements Analysis, Business Analysis, SharePoint, Software Project..., Data Analysis, CRM, Business Process, Software Documentation, Project Portfolio..., Analysis, Cross-functional Team...
Education
University of Massachusetts Boston 1989 — 1991
Cambridge College, Educational Psychology
Cambridge College 1986 — 1987
M.Ed, Counseling Psychology
Suffolk University 1977 — 1981
BS, History
SCRUM Training
Medalliance Medical Health Services May 2010 - Present
MOBILE HEALTH February 2009 - April 2010
Neighborhood health plan 2008 - 2008
Affinity Health Plan 2001 - 2007
Skills
Strategic Planning, Public Relations, Public Speaking, PowerPoint, Word, Team Building, Customer Relations, Marketing, Customer Service, Microsoft Word, Project Management, Medicaid, Training, Coaching, Insurance, New Business Development, Account Management, Contract Negotiation, Network Development, Management, Leadership, Recruiting, Provider Relations, Hospitals, Marketing Strategy, Healthcare, Health Insurance, Medicare, Nonprofits, Fundraising, Event Planning, Healthcare Information..., HIPAA, Program Management, Sales, Managed Care, Healthcare Consulting, HMO, Healthcare Management, Credentialing, Healthcare Industry, Employee Benefits, Process Improvement, Physician Relations, Disease Management, Health Policy, Physicians, Utilization Management, Revenue Cycle, Quality Improvement
Education
City University of New York-Baruch College 1979 — 1983
BA, Business Administration
Power Memorial Academy
High School Diploma
Neighborhood Health Plan February 2015 - Present
Neighborhood Health Plan March 2008 - Present
Harvard Pilgrim Health Care March 1985 - March 2008
Harvard Pilgrim Health Care May 2000 - July 2002
Harvard Community Health Plan 1986 - 1996
Skills
Team Leadership, Business Process, Performance Management, Photography, Medicaid, Managed Care, Cross-functional Team..., Leadership, Health Care Reform, Medicare, Healthcare Information..., Healthcare Management, Healthcare, Healthcare Industry, HIPAA, Health Policy, Health Insurance, Hospitals, Program Development, Strategic Planning, Program Management, Healthcare Consulting, Disease Management, Provider Relations, Revenue Cycle, Quality Improvement, Utilization Management, EHR, Informatics, Network Development, Pharmacy Benefit..., EMR, Credentialing, Physicians, Performance Improvement, Public Health, HMO, Home Care, Physician Relations, Integration, Process Improvement
Education
The Heller School for Social Policy and Management at Brandeis University 1982 — 1983
Master in Management, HealthCare
Brandeis University 1974 — 1978
BA, Anthropology
Vineyard Road Inc. March 2014 - Present
Vineyard Road Inc. August 2013 - March 2014
La Derniere Goutte January 2013 - June 2013
Neighborhood Health Plan July 2010 - August 2012
Pizza Stop April 2006 - July 2010
Skills
Data Analysis, Marketing, Sales, Customer Service, Event Management, Research, PowerPoint, Marketing Strategy, Market Research, Fundraising, Event Planning, Social Media, Social Media Marketing, Strategic Planning
Education
Le Cordon Bleu Paris 2012 — 2013
Wine and Management
Boston University 2007 — 2010
Bachelors, Psychology
Optum May 2014 - August 2014
Neighborhood Health Plan August 2012 - May 2014
Steward Health Care December 2011 - August 2012
Beth Israel Deaconess Medical Center February 2009 - December 2011
Deloitte Consulting July 2007 - 2009
Covidien May 2006 - September 2006
ING Romania February 2002 - September 2005
ING Romania February 2000 - February 2002
Skills
Business Analysis, Business Process, Project Portfolio..., EHR, Business Management, Customer Relations, Project Management, Management, Customer Service, Program Management, Management Consulting, CRM, Leadership, Strategy, IT Management, Analysis, Integration, Process Improvement, Consulting, Change Management, Business Process..., Strategic Planning, Training, Requirements Analysis
Education
Bentley College - Elkin B. McCallum Graduate School of Business 2005 — 2007
MBA
2000 — 2002
MS
Neighborhood Health Plan 2008 - Present
Fidelity June 2007 - 2007
Beth Israel Deaconess Medical Center 2007 - 2007
Hasbro 2006 - 2006
Blue Cross Blue Shield of Massachusetts 2005 - 2006
Tufts Health Plan 1997 - 2005
Skills
Performance Management, Employee Relations, Talent Acquisition, Human Resources, Talent Management, Employee Engagement, Management, Operations Management, Vendor Management, Recruiting, Program Management, Process Improvement, Change Management, Sourcing, Organizational..., HRIS, Program Implementation, Healthcare, Applicant Tracking...
Education
Babson College 1988 — 1992
Bachelor of Science (BS), Finance/Investments/QM
Neighborhood Health Plan 2002 - Present
Harvard Pilgrim Health Care 1987 - 2002
Skills
Healthcare Management, Healthcare, Hospitals, Utilization Management, Case Managment, Medicaid, Medicare, Managed Care, HIPAA, Healthcare Information..., Organizational..., Change Management, Provider Relations, Healthcare Consulting, Disease Management, Case Management
Education
Bryant University
MBA
Northeastern University
BS Nursing
Neighborhood Health Plan January 2010 - Present
Neighborhood Health Plan April 2003 - December 2009
Harvard Pilgrim Healthcare 1993 - 2002
Harvard Pilgrim Health Care 1993 - 2002
Risk Management Foundation for Harvard Medical Institutions 1986 - 1992
Skills
Employee Relations, Performance Management, Employee Benefits, Talent Management, HRIS, Onboarding, Management, Employee Engagement, Succession Planning, Human Resources, Deferred Compensation, Benefits Administration, Organizational..., Organizational...
Education
Archbishop Williams High School
High School
Babson College
MBA
Framingham State College
BA, English Teaching
Neighborhood Health Plan December 2013 - Present
Best Fitness Fitness Club January 2013 - April 2013
Putnam Investments August 2012 - February 2013
Putnam Investments January 2006 - August 2012
Putnam Investments January 2003 - January 2006
Putnam Investments January 2000 - January 2003
Putnam Investments February 1997 - January 2000
Skills
CRM, Management, Call Centers, Financial Services, Coaching, Mutual Funds, Series 7, Series 63, 401k, Staff Development, Securities, Process Improvement, Relationship Management, Lotus Notes, Customer Service, Retirement, Microsoft Excel, Workforce Management, Operations Management, Microsoft Office, PowerPoint, Microsoft Word, Performance Management, Business Analysis, Project Management, FINRA, Team Building, Leadership, Cross-functional Team..., Call Center, Customer Retention, Time Management, Sales, Training, Series 6
Education
Middlesex Community College 2003 — 2005
Associates, Business Administration
American International College 1997 — 2000
NA, Physical Therapy
Dana Farber Cancer Institute May 2013 - Present
Organizational Consultant August 2012 - April 2013
Pine Manor College September 2011 - July 2012
BMC Healthnet Plan January 2007 - September 2011
Neighborhood Health Plan August 2003 - December 2006
Harvard Pilgrim Health Care 1991 - 2000
Skills
Healthcare, Healthcare Management, Managed Care, Medicaid, Healthcare Information..., Performance Management, Talent Management, Organizational..., Program Development, Employee Benefits, Employee Relations, Strategic Planning, Medicare, Non-profits, HRIS, Health Care Reform
Education
Boston University
Master of Arts (M.A.), Psychology
Mount Holyoke College
Bachelor of Arts (B.A.), Politics
Citizens Bank January 2014 - Present
Coastal Medical August 2012 - January 2014
Blue Cross and Blue Shield of MA May 2004 - April 2008
Neighborhood Health Plan 2002 - 2004
Skills
Managed Care, Healthcare Information..., SAS, Healthcare, HIPAA, Data Analysis, Medicare, Health Insurance, Access, Healthcare Management, Medicaid, Process Improvement, Utilization Management, EMR, Informatics, Healthcare Consulting, Crystal Reports, Analysis, Business Analysis, Analytics, Healthcare Industry
Education
University of Rhode Island
MBA
Bryant University 1998 — 2001
Bachelor of Science in Business Administration, Computer and Information Sciences, General
Neighborhood Health Plan Senior Project Manager Network ManagerBoston Medical Center Health PlanMarch 2008 - Present
harvard pilgrim health care 1990 - Present
harvard pilgrim health care 1990 - 2007
Education
Bentley University 1975 — 1979
Neighborhood Health Plan September 2014 - Present
Neighborhood Health Plan October 2008 - September 2014
Neighborhood Health Plan October 2008 - December 2012
Neighborhood Health Plan October 2008 - August 2010
RI Department of Health June 2005 - August 2008
Taylor & Francis September 2004 - April 2005
Eagle Equipment (Now Defunct) 2003 - 2005
The Patriot Ledger November 2003 - September 2004
Skills
Content Strategy, Content Management, Publishing, Copywriting, Public Relations, Web Content Management, Online Publishing, Microsoft Office, Content Development, Data Analysis, Publications, Copy Editing, Books, Academic Publishing, Journals, SharePoint, SharePoint Designer, Print Management, InfoPath, Health Literacy, Editing, Forecasting, Customer Service, Inventory Management, Social Media, Dreamweaver, Email Marketing, Advertising, InfoPath Forms, Web Design, Project Management, MS Project, Inventory Analysis, Production Planning, Online Communications, Online Journalism, Adobe Creative Suite, Database Administration, Database Design, Permissions, Mass Mailing, Public Health, Health Insurance, Content Writing, Content Filtering, Customer Support, Project Planning, Business Analysis, Data Modeling, Leadership
Education
Oxford Brookes University 2005 — 2006
Masters, Publishing
Bridgewater State University 1999 — 2003
Bachelors, English, Business
Massachusetts General Hospital September 2014 - Present
Neighborhood Health Plan March 2004 - August 2014
BMB Associates 2001 - 2004
Skills
Information Security, Security, HIPAA, Disaster Recovery, CISSP, Information Security..., Healthcare Information..., IT Management, SDLC, System Administration, Software Documentation, SharePoint, VMware, Windows Server, Visio
Education
Boston University 2004 — 2008
Masters, Information systems security
Neighborhood Health Plan 2014 - Present
Neighborhood Health Plan of Rhode Island March 2007 - Present
Neighborhood Health Plan 2013 - 2013
Fort Riley Kansas September 1994 - January 2002
Skills
Business Analysis, Requirements Analysis, Testing, HIPAA, Healthcare, Visio, Medicaid, Healthcare Management, Healthcare Information...
Education
Bryant University 2012 — 2012
Business Analyst Certificate Program
Johnson & Wales University 2006 — 2008
National College of Business and Technology-Danville, Virginia 2001 — 2003
Associate of Science (A.S.), Computer Technology/Computer Systems Technology
Neighborhood Health Plan October 2014 - Present
Neighborhood Health Plan February 2014 - September 2014
Neighborhood Health Plan September 2011 - January 2014
Neighborhood Health Plan February 2009 - July 2011
Neighborhood Health Plan January 2007 - February 2009
TJX September 2002 - January 2007
Nationwide Insurance December 1999 - August 2002
CSX Transportation April 1998 - November 1999
Skills
Data Warehousing, SSIS, Database Design, Databases, Data Warehouse..., Microsoft SQL Server, SharePoint, Integration, Data Modeling, Business Intelligence, SQL, Architecture, T-SQL, Disaster Recovery, Data Marts, Data Management, OLAP, Data Analysis, Data Integration, ETL, Architectures, Database Administration, Requirements Analysis, Visio, SDLC
Education
Franklin University 2000 — 2002
M.S, COMPUTER SCIENCE
Bharathidasan University 1992 — 1996
Bachelor of Science, Computer Science
Neighborhood Health Plan February 2007 - Present
Cape Cod Healthcare November 2002 - February 2007
Education
Suffolk University - Sawyer Business School 1979 — 1985
MBA, Management
Bryant University 1973 — 1977
BS, Business Education
Neighborhood Health Plan July 2013 - Present
Self Employed January 2009 - Present
Massachusetts General Hospital December 2011 - December 2012
Blue Cross Blue Shield of Massachusetts December 2009 - 2011
BlackSheep Marketing 2005 - January 2009
BlackSheep Marketing February 2004 - March 2005
Skills
SEO, Copywriting, Project Management, Brand Management, Editing, Marketing Communications, Content Marketing, Social Media Marketing, Email Marketing, Social Media, Integrated Marketing, Content Strategy, Management, Newsletters, Digital Marketing, Marketing, Speech Writing, Writing
Education
Boston College 1999 — 2001
MA, English
University of Connecticut 1995 — 1999
BA, English, Creative Writing, Linguistics
Norwich Free Academy 1991 — 1995
High School Diploma
Neighborhood Health Plan NHP Account ManagerBeacon Health Strategies1997 - 2004
MBHP 1996 - 1996
MHMA 1994 - 1994
Education
Clark University
Harvard Pilgrim Health Care February 2011 - Present
Neighborhood Health Plan February 2008 - December 2010
Perot Systems October 1999 - February 2008
Harvard Pilgrim Health Care February 1991 - October 1999
Skills
SDLC, Business Analysis, Visio, Data Warehousing, Data Modeling, Requirements Analysis, Process Improvement, Business Intelligence, Software Project..., Program Management, Vendor Management, Agile Methodologies, Healthcare, PMP, IT Management, Data Analysis, Access, Analysis, IT Strategy, Integration, PMO, Project Management, Software Documentation, Leadership, Requirements Gathering, Business Process..., SharePoint, Business Process, Project Portfolio..., Agile Project Management, Business Requirements, MS Project, Healthcare Information..., Enterprise Architecture
Education
Bentley College - Elkin B. McCallum Graduate School of Business 1997 — 2002
MBA, Information Technology
Isenberg School of Management, UMass Amherst 1985 — 1989
BBA, Accounting
EMC 2013 - Present
McKesson Health Solutions May 2003 - May 2013
Neighborhood Health Plan November 1999 - May 2003
Oxford Global Resources July 1996 - November 1999
Consolidated Group April 1991 - May 1996
Education
Suffolk University 1985 — 1989
BSBA, Information Systems
Boston Latin School 1979 — 1985
High School
Neighborhood Health Plan November 2008 - Present
PHCS 1995 - 2007
Skills
Health Insurance, Healthcare, Managed Care
Education
Bridgewater State College 1983 — 1987
BS, Computer Science
Neighborhood Health Plan April 2007 - Present
Boston Medical Center HealthNet Plan July 2004 - March 2007
Skills
Customer Service, Healthcare, Healthcare Management, Health Insurance, Strategic Planning, Managed Care, Medicaid, Software Documentation, Process Improvement, Team Building, Project Management, HIPAA, Change Management, Cross-functional Team..., Performance Management, Training, Data Analysis, Account Management, Medicare, Recruiting, Nonprofits, Insurance, Provider Relations, Leadership, HMO
Education
Cambridge College 2003 — 2005
Master, Management/Finances
Northeastern University 1999 — 2003
Bachellor, Health Management
Boston Childrens Hospital January 2013 - Present
Fresenius Medical Care December 2012 - December 2013
Neighborhood Health Plan October 2002 - December 2012
Spaulding Rehabilitation Hospital 1999 - 2002
The Hug Center of New England 1993 - 1999
Franciscan Hospital for Children 1989 - 1993
Massachusetts Hospital School 1986 - 1989
Skills
Medicaid, Utilization Management, Disease Management, Quality Improvement, HIPAA, Public Health, Patient Advocacy, Program Development, JCAHO, Health Insurance, NCQA, Public Speaking, Health Promotion, Utilization Review, Health Care Systems, Home Health Agencies, Health Care Reform, Program Evaluation, Rehab, Elder Care, Staff Development, Leadership Development, Evidence-based Medicine, Musculoskeletal, Health, Allied Health
Education
Boston University 1982 — 1986
BS, Physical Therapy
Syosset 1978 — 1982
Xerox State Healthcare, LLC, Rhode Island Medicaid April 2012 - Present
Healthcentric Advisors January 2009 - April 2012
Home & Hospice Care of RI 2006 - 2008
Neighborhood Health Plan 2005 - 2006
Neighborhood Health Plan of RI 2003 - 2005
Ocean State Action Fund 2001 - 2002
Skills
Healthcare, Community Outreach, Policy, Nonprofits, Public Health, Quality Assurance, Training, Program Development, Research, Policy Analysis, Management, Program Management, Analysis, Grants, Project Planning, Public Speaking, Coaching, Grant Writing, Proposal Writing, Access, Fundraising, Hospitals
Education
Simmons College 2002 — 2003
Post Graduate Certificate in Healthcare Administration, Health/Health Care Administration/Management
Simmons College 1998 — 2000
MSW, Clinical/Medical Social Work
Boston University 1994 — 1998
BA, Sociology
St. Mary Academy-Bay View 1981 — 1994
Fordham University July 2015 - Present
Simmons College 2014 - Present
Harvard Graduate School of Education 2006 - May 2014
Project Zero - Harvard University 2008 - 2010
Neighborhood Health Plan 2008 - 2010
Neighborhood Health Plan 2008 - 2010
Franciscan Hospital for Children 2001 - 2009
Skills
Qualitative Research, Higher Education, Research, Program Evaluation, Teaching, Data Analysis, Research Design, Grant Writing, Nonprofits, Public Speaking, Program Development, Community Outreach, Psychology, Student Development, Staff Development, Grants, Leadership Development, Program Management, Teacher Training, Training, Survey Design, Event Planning
Education
Harvard University Graduate School of Education 2006 — 2013
Doctor of Education, Human Development and Education
Harvard University Graduate School of Education 2005 — 2006
Master's Degree, Risk and Prevention
Columbia University in the City of New York 2002 — 2003
Master of Social Work (M.S.W.), Advanced Generalist Practice and Programming
Boston College 1995 — 1999
Bachelor's Degree, Registered Nursing/Registered Nurse
Alere Medical Clinical ManagerNeighborhood Health PlanFebruary 2013 - Present
Neighborhood Health Plan December 2010 - Present
Caritas St. Elizabeth's Medical Center October 2004 - December 2005
Skills
Acute Care, Case Managment, Clinical Research, Disease Management, HIPAA, Health Education, Health Insurance, Health Promotion, Healthcare, Healthcare Consulting, Healthcare Information..., Healthcare Management, Home Care, Hospitals, Inpatient, Managed Care, Medicaid, Medical/Surgical, Medical Terminology, Medicare, Mental Health, Microsoft Office, Motivational..., Nursing, NCQA, Patient Safety, Nursing Education, Public Health, Treatment, Utilization Management
Education
Boston College 1987 — 1990
MS, Perinatal Nursing
Neighborhood Health Plan May 2014 - Present
CeltiCare Health Plan - Centene Corporation May 2009 - May 2014
The Cancer Center of Boston April 2004 - May 2009
Misys Healthcare Systems May 1998 - March 2003
Skills
Healthcare, Healthcare Management, Medicaid, Hospitals, Managed Care, Healthcare Information..., Provider Relations, Medicare, Network Development, Medicaid Managed Care, Credentialing, EMR, NCQA, Physicians, Healthcare Consulting, Training, Healthcare Industry, Health Insurance
Education
Aquinas College
Business Management
Quincy College
Surgical Technology
Berkeley Research Group LLC July 2015 - Present
Lahey Health 2014 - 2015
Winchester Hospital 2008 - 2014
Quincy Medical Center 2006 - 2008
Neighborhood Health Plan 2001 - 2006
Harvard Pilgrim Health Care 1994 - 2001
Franciscan Hospital for Children 1989 - 1994
The Boston Company 1987 - 1989
Skills
Healthcare Management, Healthcare, Managed Care, Healthcare Information..., Medicare, Sales, Healthcare Consulting, Hospitals, HIPAA, Strategic Planning, Management, Healthcare Industry, Leadership, Program Management
Education
Boston College - Wallace E. Carroll Graduate School of Management
MBA, Business
Providence College 1983 — 1987
BS, Business/Finance
Boston Latin School 1979 — 1983
Beacon Health Strategies, LLC June 2014 - Present
Neighborhood Health Plan May 2013 - June 2014
Salem Five Bank May 2012 - May 2013
CRICO/RMF (Risk Management Foundation of Harvard Medical Institutions) November 2009 - May 2012
Beacon Health Strategies, LLC January 2009 - December 2009
CITI (BISYS) Hedge Fund Services October 2007 - December 2008
WAY Systems, Inc. February 2007 - October 2007
Bisys Hedge Fund Services September 2005 - March 2007
Factiva -- Dow Jones March 2004 - April 2005
WorldWinner.com April 2001 - March 2004
Skills
Databases, SSIS, SSRS, Business Intelligence, MySQL, Microsoft SQL Server..., SAP Crystal Report, SAP Business Objects, Oracle 9i/10g, Linux/Unix, Windows PowerShell, Perl and Perl DBI, Unix Shell Scripting, Microsoft SQL Server, SQL
Education
Boston University 1989 — 1993
BS, MIS and Finance
Congregational Church of Temple January 2012 - Present
New Hampshire Coalition to Abolish the Death Penalty December 2013 - May 2014
Neighborhood Health Plan May 2013 - September 2013
New Hampshire House of Representatives May 2011 - December 2012
Jennifer Daler for State Rep June 2006 - December 2012
New Hampshire House of Representatives December 2006 - December 2008
Skills
Community Outreach, Strategic Planning, Nonprofits, Fundraising, Grant Writing, Program Development, Public Speaking, Volunteer Management, Social Media, Research, Community Development, Program Management, Public Policy, Teaching, Politics, Healthcare, Policy Analysis, Administration, Event Planning, Political Campaigns, Grassroots, Policy
Education
Antioch New England Graduate School, Antioch University 1997 — 1999
Master of Education (M.Ed.)
SUNY Oneonta
Bachelor of Arts (BA), Anthropology
Neighborhood Health Plan December 2014 - Present
Neighborhood Health Plan September 2011 - December 2014
Neighborhood Health Plan of Rhode Island2006-2011 March 2006 - September 2011
Neighborhood Health Plan of Rhode Island December 2004 - March 2006
Neighborhood Health Plan of Rhode Island December 2004 - March 2006
Skills
HIPAA, Medicare, Insurance, Healthcare Management, Managed Care, Medical Terminology, Affordable Care Act, Health Care Reform, Medical Billing, Process Improvement, Medicaid, Software Documentation, Management, Policy, Program Management
Education
American Academy of Professional Coders 2013 — 2013
CPC-Certified Professional Coder
Bryant University 1988 — 1992
Master of Business Administration (MBA), Health/Health Care Administration/Management
Brown University 1980 — 1984
BA, Health & Society
ConvergeHEALTH by Deloitte 2010 - Present
Neighborhood Health Plan 2009 - 2010
Blue Cross Blue Shield of Massachusetts 2005 - 2008
Fallon Community Health Plan 1998 - 2005
CSC 1996 - 1998
Ernst&Young 1986 - 1990
Skills
Healthcare, Managed Care, Health Insurance, Healthcare Information..., HIPAA, Healthcare Management, Medicare, Informatics, Policy, Data Analysis, Process Improvement, Healthcare Consulting, EMR, EHR, Program Management, Business Analysis, Divorce Law, Management, Project Management, Women's Studies
Education
Clark University 1996 — 1998
M.H.A.
McGill University
B.Sc., followed by 3 years in the McGill School of Medicine
Steward Health Care March 2015 - Present
Neighborhood Health Plan February 2014 - March 2015
Greater Baltimore Medical Center 2011 - 2014
Greater Baltimore Medical Center 2007 - 2010
Wells Fargo Bank 2006 - 2007
Bank of America 2005 - 2006
Ascent Media 2002 - 2005
Modern Videofilm 2000 - 2002
Skills
Access, Crystal Reports, VBA, Microsoft Excel, SharePoint, Microsoft SQL Server, Business Objects, SQL, Healthcare, Meditech, Financial Modeling, Databases, Hyperion Enterprise, Data Analysis, Lawson, Kreg Cost Accounting, Crystal Xcelsius 2008, Information Design Tool, Web Intelligence Rich..., Healthcare Insights, SAP Business..., Live Office, Crystal Enterprise, Heat, PowerPivot, eClinical Works, QlikView, OLAP, SSRS, SSIS, SSAS, SAS, Microsoft BI Suite, Process Improvement, Analysis, Management, Healthcare Information..., Data Warehousing, Business Intelligence, Athena, Github
Education
California State University-Long Beach 2004 — 2006
Master of Business Administration (MBA), Accounting and Finance
Ithaca College 1999 — 2000
Bachelor of Applied Science (B.A.Sc.), Communication and Media Studies
Herkimer County Community College 1996 — 1998
Associate of Arts and Sciences (AAS), Radio and Television Broadcasting Technology/Technician
JTD Consulting March 2014 - Present
Neighborhood Health Plan February 2013 - February 2014
Neighborhood Health Plan May 2008 - January 2013
JTD Consulting November 2002 - April 2008
Harvard Pilgrim Health Care January 2002 - September 2002
Harvard Pilgrim Health Care 2001 - 2002
Harvard Pilgrim Health Care 2000 - 2001
Harvard Pilgrim Health Care 1999 - 2000
HealthCare Systems Management September 1998 - August 1999
Hewlett Packard Medical Products July 1997 - September 1998
Skills
Healthcare, Leadership, Strategy, Program Management, Process Improvement, Management, Project Management, Strategic Planning, Managed Care, Product Management, Business Development, Healthcare Information..., Project Portfolio..., Health Insurance, Analytics, Healthcare Management, Integrated Marketing, Business Analysis, Analysis, PMO, HIPAA, Market Research, SDLC, Medicaid, Business Planning, Marketing, Mergers & Acquisitions, Nonprofits, Healthcare Industry, Corporate Communications, Medicare, PMP
Education
Boston University 1981 — 1984
Bachelor of Science (B.S.), Psychology
University of Vermont 1980 — 1981
Accenture February 2013 - Present
Neighborhood Health Plan May 2012 - February 2013
Ceres Technology Advisors January 2012 - March 2012
Essex Investment Management September 2010 - December 2010
Accenture July 2007 - May 2010
Skills
Microsoft Office, Capital IQ, Eviews, Programming, Mergers, Asset Management, Financial Modeling, Financial Analysis, Financial Forecasting, Economic Forecasting, Hypothesis Testing, Equity Research, Fixed Income, Equity Derivatives, Bilingual-Spanish, Data Analysis, Database Design, Application Development, Leadership, Mergers & Acquisitions, Project Management
Education
Babson College - Franklin W. Olin Graduate School of Business 2009 — 2011
MBA, Finance Concentration
Instituto Politécnico Nacional - Escuela Superior de Cómputo 1993 — 1997
B.Sc., Computer Systems Engineering
Lahey Health April 2014 - Present
Boston Medical Center October 2007 - April 2014
Beth Israel Deaconess Medical Center August 2006 - October 2007
Massachusetts General Hospital October 2005 - August 2006
Neighborhood Health Plan March 2004 - September 2005
Wellogic September 1998 - March 2004
MEDITECH February 1997 - September 1998
Skills
Epic Systems, Data Analysis, Crystal Reports, Analytics, Analysis, Software Development, Healthcare Information..., Data Warehousing, Business Intelligence, SQL, Process Improvement, SharePoint, Data Modeling, Software Documentation, Business Analysis, Business Objects, Access, Databases, Management, HL7, ETL, Project Management, SDLC, PL/SQL, Oracle, Dashboard, Microsoft SQL Server, Database Design, SSRS, Informatics, IT Strategy, Dashboards, Requirements Analysis, T-SQL, EHR, System Architecture, SSIS, EMR, Clarity, VBA, Microsoft Excel
Education
Boston University Questrom School of Business 2004 — 2009
MBA, Health Sector
Blue Cross Blue Shield of Massachusetts January 2014 - Present
Neighborhood Health Plan November 2007 - January 2014
Nieghborhood Health Plan November 2007 - July 2011
Medical Specialties Distributors, LLC September 2006 - November 2007
WearGuard January 1998 - April 2006
Skills
Accounts Receivable, Accounting, Financial Analysis, Process Improvement, Financial Reporting, Accounts Payable, Account Reconciliation, Access, PeopleSoft, Budgets, Forecasting, Auditing, Microsoft Excel, Invoicing, Payroll
Education
Bentley College 2003 — 2006
Continuing study of Accounting, Certificate of Accountancy
Eastern Nazarene College 1996 — 2000
Bachelor of Science, Management
Neighborhood Health Plan January 2015 - June 2015
TÜV SÜD America September 2014 - December 2014
Northeastern University January 2014 - April 2014
GE Capital August 2010 - August 2012
Secure Matrix June 2009 - August 2010
The Coca-Cola Company May 2008 - June 2008
Skills
Employee Engagement, Performance Management, Employee Relations, HR Policies, Personnel Management, Talent Management, Talent Acquisition, Human Resources, Management, Performance Appraisal, Talent Scouting, Mentoring, Team Management, Employee Training, Leadership, Human Capital Management, Training & Development, Analysis, Deferred Compensation, Project Management
Education
Northeastern University 2013 — 2015
MS Leadership with Project Management concentration, Organizational Leadership, GPA - 4.0
K.J. Somaiya Institute Of Management Studies and Research 2007 — 2009
Master of Business Administration (MBA), GPA-3.6
University of Mumbai 2002 — 2006
Bachelor of Engineering, Biomedical Engineering, GPA- 3.5
Fergusson College
Masada Inc. November 2012 - Present
Masada Inc. January 2011 - Present
DentaQuest August 2012 - November 2012
HP Enterprise Services November 2010 - August 2012
Grayson Technical High School October 2010 - December 2010
Grayston Technical High School July 2010 - December 2010
MedVentive/CVO August 2007 - February 2010
Neighborhood Health Plan August 2005 - March 2007
Tufts Health Plan August 2001 - August 2005
Harvard Pilgrim HealthCare August 1995 - August 2001
Skills
Administration, Customer Service, Healthcare, Word, Customer Presentations, Staff Training, Research, Medicaid, PPO, HMO, CMO, Medicare, System Administration, Microsoft Word, Access, Training, Management, Policy, Process Improvement
Education
Cambridge College 2001 — 2003
Masters in Management, Entreprenuership/Small Business
Johnson & Wales University 1985 — 1989
Bachelor of Science, FoodService Management
Johnson and Wales University 1985 — 1989
Bachelor, Science Foodservice Management
Montclair High School 1978 — 1982
High School Diploma
Omgeo May 2013 - Present
Management Sciences for Health November 2012 - May 2013
Neighborhood Health Plan February 2008 - June 2012
Beth Israel Deaconess Medical Center 2007 - 2008
Citizens Financial Group 2005 - 2007
Skills
Employee Relations, Employee Benefits, Performance Management, Onboarding, HRIS, Talent Management, Benefits Administration, Talent Acquisition, Human Resources, Strategic Planning, PeopleSoft, Project Management, Deferred Compensation, Recruiting, Employee Engagement, Temporary Placement, Succession Planning, Organizational...
Education
Cornell University 2005 — 2006
Certificate, HR--Industrial Labor Relations
Boston University Questrom School of Business 1993 — 1995
MBA, Business
Princeton University 1985 — 1989
Bachelor of Arts, Literature
Brigham & Women's Hospital September 2012 - Present
Neighborhood Health Plan September 2011 - September 2012
CMSNE Exec Board 2002 - 2012
NHPRI October 2008 - September 2011
Skills
Portuguese, Spanish, Case Management, Managed Care, Healthcare, Nursing, Medicaid, Case Managment, Healthcare Management, Healthcare Information..., Medicare, Leadership, Pediatrics, Hospitals, Public Speaking, Clinical Research, Patient Advocacy, Utilization Management, EMR, HIPAA, Social Services, Quality Improvement, Disease Management, Treatment, Healthcare Consulting, Home Care
Education
American International College 1978 — 1983
BSN, Nursing
Boston Medical Center HealthNet Plan April 2014 - Present
Neighborhood Health Plan June 2012 - April 2014
Neighborhood Health Plan 2010 - 2012
Neighborhood Health Plan 2007 - 2010
Evercare (UHC) December 2006 - June 2007
SleepMed, Inc June 2004 - December 2006
Beacon Health Strategies LLC October 2000 - September 2003
Harvard Pilgrim Health Care 1997 - 2000
Harvard Pilgrim Health Care 1994 - 1997
Harvard Pilgrim Health Care 1991 - 1994
Skills
Training, Provider Relations, HIPAA, Program Management, Health Insurance, Managed Care, Software Documentation, Leadership, PPO, HMO, Management, Medicare, Customer Service, Medicaid, Team Building, Recruiting, Contract Management, Microsoft Office, Business Development, Research, Hospitals, Outlook, PowerPoint, Contract Negotiation, Network Development, Process Improvement, Credentialing, Access, Policy, Training Delivery, Healthcare Industry, Project Management, Project Planning, Creative Problem Solving, Problem Solving, Healthcare, Healthcare Management
Education
College for America at SNHU 2014 — 2016
Healthcare administration
Corporate Education Group/ Duke University Managment Training Program 2013 — 2014
Certificate in Project Management, Project Management
Aquinas College
Wheelock College
Early Childhood Education
Boston University Medical Campus October 2008 - Present
Middlesex Community College April 2011 - February 2013
Middlesex Community College July 2010 - April 2011
Springfield Service Corporation, Inc June 2008 - August 2008
Evans Medical Foundation, Inc July 2006 - May 2008
Boston Capital February 2006 - May 2006
Neighborhood Health Plan September 2004 - February 2006
Executive Office of Transportation and Construction 1999 - 2002
Skills
Compliance, Office Administration, Microsoft Office, Customer Service, Document Management, Academic Advising, Admissions, Non-profits, Time Management, Training, Event Planning, Process Scheduler, Administrative..., Data Entry, Filing, Regulatory Compliance, Policy, Nonprofits, Research, Access, Administrative..., Community Outreach, Conflict Resolution, Editing, Employee Relations, Higher Education, Leadership, Management, Microsoft Excel, Microsoft Word, Office Management, Outlook, Organizational..., PowerPoint, Process Improvement, Program Development, Program Management, Recruiting, Resume Writing, Software Documentation, Staff Development, Strategic Planning, Student Affairs, Student Development, Supervisory Skills, Volunteer Management
Education
Lasell College 2012 — 2013
Master of Science (MS), Management
Middlesex Community College 2011 — 2011
Associate's Degree, Business Administration
MAHA Class 2006 — 2006
Homeowners information
Boston College 1999 — 2003
Bachelor of Arts (BA), Psychology
Neighborhood Health Plan April 2008 - Present
Progressive Insurance June 2000 - November 2008
Allstate Insurance January 1997 - June 2000
Skills
Medicaid, Medical Billing, Provider Relations, Health Insurance, Managed Care, Medicare, Training, HMO, Network Development, Medicaid Managed Care, PPO, Healthcare Industry, HIPAA, Credentialing, Healthcare, Healthcare Management, Healthcare Information..., Hospitals, Insurance, Process Improvement, Healthcare Consulting, Health Policy, EHR, EMR
Education
Arizona State University 1992 — 1996
BS, Psychology
Lahey Hospital & Medical Center November 2013 - Present
Fresenius Health Partners August 2012 - Present
Neighborhood Health Plan October 2011 - August 2012
Seasons Hospice and Palliative Care November 2010 - August 2011
Hospice Austin March 2009 - October 2009
Skills
Nursing, Healthcare, Hospitals, Healthcare Management, HIPAA
Education
Austin Community College 2006 — 2009
Associate's degree, Registered Nursing/Registered Nurse
Columbia University in the City of New York 1998 — 1999
Master of Arts (M.A.), Spanish and Portuguese
Rutgers, The State University of New Jersey-New Brunswick 1994 — 1998
Bachelor of Arts (B.A.), Spanish and Latin American Studies
Factultad de Medicina UANL
U.S. Department of State April 2012 - Present
United States Department of Defense July 2011 - April 2012
Steven Douglas Associates September 2010 - April 2012
US Army June 2009 - July 2010
NeighborWorks America July 2007 - August 2008
Neighborhood Health Plan February 2007 - July 2007
Sabre Corporation November 2004 - February 2007
BMC HealthNet Plan September 2000 - November 2004
Skills
Management, Disaster Recovery, Databases, Microsoft SQL Server, Business Intelligence, SharePoint, Database Administration, T-SQL, Data Warehousing, Windows, SQL, Virtualization, SSIS, Enterprise Architecture, SSRS, Performance Tuning, HTML, Windows Server, SQL Tuning, C++, VMware ESX, Data Center, Servers, Data Warehouse..., SDLC, PowerPoint, F5 BigIP, Windows Server 2008 R2, Java, Microsoft SQL Server..., Strategic Planning, .NET C#, SQL Server DBA, Microsoft SQL Server..., High Availability..., EMC Storage Solutions, Negotiation, BMC Remedy, Capacity Planning, Data Modeling, Active Directory, Data Migration, Team Leadership, Security, Enterprise Software, Budgets, ETL, Testing, Integration, .NET
Education
Northeastern University 2003 — 2005
Master of Science (MS), Information Technology
Atlantic Union College 1992 — 1996
Bachelor of Arts (BA), History
Atlantic Union College 1992 — 1996
Bachelor's degree, History, 3.0
Boehringer Ingelheim July 2012 - Present
Boehringer Ingelheim July 2007 - July 2012
Neighborhood Health Plan April 2006 - June 2007
Skills
Pharmaceutical Sales, Sales Management, Coaching, Account Management, Pharmaceutical Industry, Cardiology, Time Management, Pulmonology, Sales Effectiveness, Market Access, Hospital Sales, Marketing Strategy
Education
City University of New York-Herbert H. Lehman College 2004 — 2006
Bachelor of Science (B.S.), Health Services Administration
Converse September 2011 - March 2015
Temporary assignments 2010 - 2011
Neighborhood Health Plan February 2008 - June 2010
Biogen Idec 2007 - 2008
Skills
Medical Terminology, Outlook, HIPAA, Healthcare, Data Entry, Typing, Healthcare Management, Medical Billing, Medicaid
Education
Hennepin Technical College 1991 — 1993
English, Nursing
Anoka Technical College
Trained Medications Aide
MassHealth - Executive Office of Health and Human Services November 2014 - Present
EOHHS - MassHealth March 2013 - November 2014
Neighborhood Health Plan July 2012 - March 2013
TEKsystems April 2009 - February 2011
Skills
Medical Coding, CPT, ICD-9, Microsoft Office, Customer Service, Healthcare, Medical Terminology, Excel, Word, Medical Billing, Billing, Data Entry, PowerPoint, Documentation, EMR, Insurance, Auditing, Medicare, Administration, Accounts Receivable, HIPAA, Revenue Cycle, Access, EHR, Claims, Analysis, Clinical Documentation, Outlook, Problem Solving, Scheduling, Health Insurance
Education
Clark University 2004 — 2005
Certificate, Medical Coding & billing
Clark University 2004 — 2005
Master Medical Billing and Coding Certificate
Minuteman Health, Inc. 2013 - Present
Waltham City Council 2014 - 2015
Neighborhood Health Plan January 2007 - April 2013
Neighborhood Health Plan January 2003 - January 2007
Tufts Health Plan April 2001 - August 2002
Tufts Health Plan - Secure Horizons October 1996 - December 2000
Liberty Mutual Insurance October 1994 - April 1996
Preferred Plan of Massachusetts January 1993 - January 1994
Skills
Health Insurance, Healthcare, Medicare, Managed Care, Medicaid, Life Insurance, Health Care Reform, Contract Negotiation, Sales, Marketing, Insurance, Customer Service, Strategy, Management, Employee Benefits, Product Management
Education
Boston College 1988 — 1992
Bachelor of Arts (B.A.), Political Science
Waltham High School
High School Diploma
Neighborhood Health Plan June 2007 - Present
Skills
Healthcare, Healthcare Information..., Healthcare Management, Medicare, Provider Relations, Medicaid, Health Insurance, Credentialing, HIPAA, Healthcare Industry, Managed Care, Revenue Cycle, Medical Billing, Healthcare Consulting, EHR, Health Policy, Medicaid Managed Care
Education
Bentley University
Neighborhood Health Plan April 2014 - Present
Skills
Fundraising, Community Outreach, Social Services, Youth Development, Workforce Development, Program Management, Program Development, Job Search Strategies, Staff Development, Career Development, Workshop Facilitation, Career Counseling, Case Managment, Resume Writing, Employer Relations..., Volunteer Management, Strategic Planning, Youth Advocacy, Mock Interviews, Program Evaluation, Community Development, Community Engagement, Leadership Development, Employer Engagement, Job Search, Job Coaching, Grants, Motivational..., Non-profit Development, Networking, Plannning, At-risk, Career Assessment, Cover Letters, Cross-functional Team..., Troubleshooting, Decision Making Skills, Employment Mentoring, Special Education, Teaching Expertise, Able To Multi-task, inner city youth, Social Work, Program Planning, Program Implementation, At-Risk Youth, Coordinating Special..., Funding, Public/private..., Care Management
Education
Anna Maria College 2014 — 2016
Masters in Public Administration (MPA), Public Sector Management
Golden Gate University 2012 — 2013
Certificate in Nonprofit Management and Leadership, Nonprofit Management Program
Suffolk University 2001 — 2005
Bachelor of Science (B.S.), Developmental Psychology
Tufts Health Plan February 2014 - Present
Neighborhood Health Plan May 2006 - February 2014
American Eagle Airlines September 2002 - May 2006
Skills
Healthcare, Customer Service, Software Documentation, Process Improvement, Data Analysis, Healthcare Information..., HIPAA, Leadership, Access, Hospitals, Insurance, Healthcare Management, Training, Data Entry, Managed Care
Education
Bunker Hill Community College
Zurvita April 2013 - Present
Lewis and Morphy Real Estate June 2009 - Present
Neighborhood Health Plan 2007 - 2011
Education
Online Trading Academy 2012 — 2012
Professional Trader
Life Insurance School 2006 — 2006
Life Insurance Agent
Ivy Real Estate School 2005 — 2005
Real Estate Agent
Borough of Manhattan Community College 1998 — 2000
Liberal Arts (Business Administration)
Neighborhood Health Plan December 2013 - Present
Lahey Clinic North January 2011 - January 2013
Eliot Community Human Services January 2009 - January 2011
St Joseph Hospital January 2001 - January 2009
Deliotte & Touché Consulting Group January 1996 - January 1999
Skills
Microsoft Office, Office Administration, Organizational..., Listening to customers, Interpersonal Skill, Online Research, Payroll, Spreadsheets, Event Planning, Customer Service, Typing, Training Delivery, Travel Arrangements, Outlook, Invoicing, PowerPoint, Management, Microsoft Excel, Fax
Education
Nashua Community College 2007 — 2009
Associate's degree, Business Administration, Management and Operations
Capella University 2013 — 2015
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Tufts Medical Center May 2010 - Present
Neighborhood Health Plan November 2004 - Present
Blue Cross Blue Shield of Massachusetts October 2003 - October 2004
John Hancock Life Insurance Company May 1994 - October 2003
Skills
Healthcare, Case Management, Medicare, Medicaid Managed Care, Strategic Leadership, Collaborative Problem..., Coaching Staff, Wellness Coaching, Health Insurance, Creative Problem Solving, Balanced Scorecard, PowerPoint, Strategic Planning, Utilization Management, Patient Advocacy, HMO, Healthcare Industry, Disease Management, SharePoint, Social Services, Medicine, Clinical Research, Healthcare Management, Hospitals, Virtual Teams, Project Management, Customer Service, Coaching
Education
New England College of Business and Finance 2011 — 2014
Master of Business Administration (M.B.A.)
Boston University 1985 — 1987
Bachelor's Degree, Nursing
Neighborhood Health Plan June 2014 - Present
Comcast October 2006 - April 2014
Comcast Cable August 2009 - August 2010
Bunker Hill Community College September 2001 - January 2008
WHDH-TV February 2003 - April 2003
Skills
Customer Service, Remote Troubleshooting, Customer Retention, Video Production, Digital Video, Video Editing, Audio Post Production, Audio Visual Support, Microsoft Word, Microsoft Office, Final Cut Pro, Videography, Video, AV, Multimedia, Digital Photography, Music Videos, Photography, HD Video, Live Events, Audio Engineering, Media Production, Camera, DVD Studio Pro, OS X, Post Production, Lighting, Television, Call Centers, Technical Support, Sound, Interviews, Broadcast, Troubleshooting, Audio Editing
Education
Bunker Hill Community College 2001 — 2004
Associate of Science (AS), Digital Communication and Media/Multimedia