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
Employee
Years
Job
Industry
Elysia Stauffer Elysia Stauffer's Neighborhood Health Plan Experience August 2015 - Present
Job Social Care Manager at Neighborhood Health Plan
Industry Mental Health Care
Experience
Neighborhood Health Plan August 2015 - Present
Fallon Total Care February 2014 - July 2015
Spectrum Health Systems, Inc. September 2013 - February 2014
Family Continuity Program August 2012 - October 2013
Community Healthlink Inc February 2012 - July 2012
Clinic with a Heart September 2011 - January 2012
Nebraska Wesleyan University September 2009 - December 2009
Madonna Rehabilitation Hospital September 2009 - December 2009
Skills
Spanish-speaking, Adolescents, Family Therapy, Mental Health, Dual Diagnosis, Mental Health Counseling, Behavioral Health, Crisis Intervention, Psychology, Treatment, Motivational..., Adolescent Therapy, Cpr Certified, Community Outreach, Case Management, Nonprofits, Social Services
Education
Nebraska Wesleyan University 2008 — 2011
Bachelor's degree, Psychology and Spanish
Universidad Nacional de Costa Rica 2010 — 2010
Framingham High School 2004 — 2008
High School Diploma, General Courses
Neighborhood Health Plan August 2015 - Present
Fallon Total Care February 2014 - July 2015
Spectrum Health Systems, Inc. September 2013 - February 2014
Family Continuity Program August 2012 - October 2013
Community Healthlink Inc February 2012 - July 2012
Clinic with a Heart September 2011 - January 2012
Nebraska Wesleyan University September 2009 - December 2009
Madonna Rehabilitation Hospital September 2009 - December 2009
Skills
Spanish-speaking, Adolescents, Family Therapy, Mental Health, Dual Diagnosis, Mental Health Counseling, Behavioral Health, Crisis Intervention, Psychology, Treatment, Motivational..., Adolescent Therapy, Cpr Certified, Community Outreach, Case Management, Nonprofits, Social Services
Education
Nebraska Wesleyan University 2008 — 2011
Bachelor's degree, Psychology and Spanish
Universidad Nacional de Costa Rica 2010 — 2010
Framingham High School 2004 — 2008
High School Diploma, General Courses
Kelli Schmitz Kelli Schmitz's Neighborhood Health Plan Experience September 2014 - Present
Job Education and Training Fellow at Circle of Health International
Industry Hospital & Health Care
Experience
Circle of Health International January 2015 - Present
Neighborhood Health Plan September 2014 - Present
Project Solve, Boston University School of Public Health November 2013 - December 2014
Second Harvest Food Bank of Northwest North Carolina August 2012 - June 2013
Helt Law Group June 2012 - July 2012
Loyola University Chicago Libraries October 2009 - July 2012
Skills
Voyager, Microsoft Office, Microsoft Excel, Presentations, Public Speaking, Community Outreach, Community Organizing, Non-profit Volunteer, Non-profit Leadership, Advocacy, Grant Writing, SPSS, Nonprofits, Public Health, Program Development, Research, Blogging, Volunteer Management
Education
Boston University School of Public Health 2013 — 2015
Master of Public Health (MPH), International Health/Maternal and Child Health
Loyola University of Chicago 2009 — 2012
Bachelor of Arts (B.A.), History, International Studies, minor in Bioethics
Circle of Health International January 2015 - Present
Neighborhood Health Plan September 2014 - Present
Project Solve, Boston University School of Public Health November 2013 - December 2014
Second Harvest Food Bank of Northwest North Carolina August 2012 - June 2013
Helt Law Group June 2012 - July 2012
Loyola University Chicago Libraries October 2009 - July 2012
Skills
Voyager, Microsoft Office, Microsoft Excel, Presentations, Public Speaking, Community Outreach, Community Organizing, Non-profit Volunteer, Non-profit Leadership, Advocacy, Grant Writing, SPSS, Nonprofits, Public Health, Program Development, Research, Blogging, Volunteer Management
Education
Boston University School of Public Health 2013 — 2015
Master of Public Health (MPH), International Health/Maternal and Child Health
Loyola University of Chicago 2009 — 2012
Bachelor of Arts (B.A.), History, International Studies, minor in Bioethics
Kathleen Belusko Kathleen Belusko's Neighborhood Health Plan Experience September 2010 - December 2010
Job Clinical Pharmacist at UMass Memorial Medical Center
Industry Hospital & Health Care
Experience
UMass Memorial Medical Center July 2014 - Present
UMass Memorial Medical Center July 2013 - June 2014
Tufts Medical Center May 2009 - April 2013
Neighborhood Health Plan September 2010 - December 2010
Walgreens January 2010 - May 2010
Skills
Clinical Pharmacy, Pharmacy, Pharmacists, Patient Counseling, Patient Education, Inpatient, Immunization, Hospitals, Healthcare, ACLS, BLS, Trauma
Education
Northeastern University 2007 — 2013
Doctor of Pharmacy (Pharm.D.), Pharmacy
Northeastern University 2007 — 2012
BS Pharmacy Studies, Pharmacy
UMass Memorial Medical Center July 2014 - Present
UMass Memorial Medical Center July 2013 - June 2014
Tufts Medical Center May 2009 - April 2013
Neighborhood Health Plan September 2010 - December 2010
Walgreens January 2010 - May 2010
Skills
Clinical Pharmacy, Pharmacy, Pharmacists, Patient Counseling, Patient Education, Inpatient, Immunization, Hospitals, Healthcare, ACLS, BLS, Trauma
Education
Northeastern University 2007 — 2013
Doctor of Pharmacy (Pharm.D.), Pharmacy
Northeastern University 2007 — 2012
BS Pharmacy Studies, Pharmacy
Becca Nickerson Becca Nickerson's Neighborhood Health Plan Experience January 2014 - Present
Job Provider Relations Associate
Industry Hospital & Health Care
Experience
Neighborhood Health Plan January 2014 - Present
Summit Partners August 2013 - November 2013
Windsor Communities August 2012 - October 2012
WinnCompanies January 2010 - August 2012
Trip Advisor October 2009 - December 2009
Granite Telecommunications May 2009 - September 2009
The Institute of Human Performance August 2008 - November 2008
Berkshire Industries June 2003 - January 2006
Skills
Apartments, Customer Service, Property Management, Real Estate, Rentals, Blogging, Due Diligence, Social Media, Social Media Marketing, Microsoft Excel, Management Consulting, Project Planning, Project Management, Writing, Yardi Property..., MRI Software
Education
Lafayette College 2004 — 2008
General Engineering, Engineering
Farmington High School 2000 — 2004
Neighborhood Health Plan January 2014 - Present
Summit Partners August 2013 - November 2013
Windsor Communities August 2012 - October 2012
WinnCompanies January 2010 - August 2012
Trip Advisor October 2009 - December 2009
Granite Telecommunications May 2009 - September 2009
The Institute of Human Performance August 2008 - November 2008
Berkshire Industries June 2003 - January 2006
Skills
Apartments, Customer Service, Property Management, Real Estate, Rentals, Blogging, Due Diligence, Social Media, Social Media Marketing, Microsoft Excel, Management Consulting, Project Planning, Project Management, Writing, Yardi Property..., MRI Software
Education
Lafayette College 2004 — 2008
General Engineering, Engineering
Farmington High School 2000 — 2004
Bianca Fequiere's Neighborhood Health Plan Experience May 2014 - Present
Job Claim Administrator at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan May 2014 - Present
MultiPlan November 2013 - May 2014
Blue Cross Blue Shield of Massachusetts August 2013 - November 2013
Apollo International January 2011 - October 2012
Deutsches Altenheim, German Centre for Extended Care June 2011 - August 2012
KinderCare September 2009 - November 2010
Skills
Computer: Microsoft..., Healthcare: medical..., Customer Service,..., Languages:..., Trizetto, QNXT
Education
Fisher College 2012 — 2015
Bachelor of Science, Management; Healthcare Management
Neighborhood Health Plan May 2014 - Present
MultiPlan November 2013 - May 2014
Blue Cross Blue Shield of Massachusetts August 2013 - November 2013
Apollo International January 2011 - October 2012
Deutsches Altenheim, German Centre for Extended Care June 2011 - August 2012
KinderCare September 2009 - November 2010
Skills
Computer: Microsoft..., Healthcare: medical..., Customer Service,..., Languages:..., Trizetto, QNXT
Education
Fisher College 2012 — 2015
Bachelor of Science, Management; Healthcare Management
Allan Hunter Allan Hunter's Neighborhood Health Plan Experience February 2013 - September 2014
Job Business Analyst at TEKsystems
Industry Information Technology and Services
Experience
TEKsystems October 2014 - Present
Neighborhood Health Plan February 2013 - September 2014
Health Dialog December 2011 - December 2012
g2solutions April 2011 - July 2011
Benefit Strategies February 2010 - April 2011
Tufts Health Plan August 2001 - December 2009
Hewlett Packard / Agilent Andover, MA 1998 - 2000
Tidal Software October 1996 - November 1997
Diamond Multimedia 1995 - 1996
Conner Peripherals 1994 - 1995
Skills
SDLC, Data Analysis, Software Documentation, Visio, Business Analysis, Requirements Analysis, SharePoint, SQL, Healthcare Information..., Project Management, Crystal Reports, Databases, Strategic Planning, Insurance, Research, Agile Methodologies, Outlook, Analytics, Business Intelligence, Management, Healthcare, Software Development, Change Management, Quality Assurance, Business Requirements, Data Warehousing, Testing, Troubleshooting
Education
Pace University 1986 — 1986
N/A, Computer Science
Marymount Manhattan College 1980 — 1984
Bachelor of Arts, Dance
The Juilliard School 1978 — 1979
Dance
Stranahan High School 1976 — 1978
HS Diploma, General Studies
Hollywood Hills High School 1974 — 1976
TEKsystems October 2014 - Present
Neighborhood Health Plan February 2013 - September 2014
Health Dialog December 2011 - December 2012
g2solutions April 2011 - July 2011
Benefit Strategies February 2010 - April 2011
Tufts Health Plan August 2001 - December 2009
Hewlett Packard / Agilent Andover, MA 1998 - 2000
Tidal Software October 1996 - November 1997
Diamond Multimedia 1995 - 1996
Conner Peripherals 1994 - 1995
Skills
SDLC, Data Analysis, Software Documentation, Visio, Business Analysis, Requirements Analysis, SharePoint, SQL, Healthcare Information..., Project Management, Crystal Reports, Databases, Strategic Planning, Insurance, Research, Agile Methodologies, Outlook, Analytics, Business Intelligence, Management, Healthcare, Software Development, Change Management, Quality Assurance, Business Requirements, Data Warehousing, Testing, Troubleshooting
Education
Pace University 1986 — 1986
N/A, Computer Science
Marymount Manhattan College 1980 — 1984
Bachelor of Arts, Dance
The Juilliard School 1978 — 1979
Dance
Stranahan High School 1976 — 1978
HS Diploma, General Studies
Hollywood Hills High School 1974 — 1976
Evan Fennell Evan Fennell's Neighborhood Health Plan Experience July 2015 - Present
Job Communications Supervisor at Revere Hotel Boston Common
Industry Hospitality
Experience
Neighborhood Health Plan July 2015 - Present
LeaderShape, Inc. June 2015 - June 2015
Revere Hotel Boston Common November 2012 - June 2015
Hersha Hospitality November 2010 - November 2012
Newbury College September 2010 - May 2011
Target August 2008 - September 2010
Skills
Hospitality, Customer Service, Front Office, Reservations, Communication, Administration, Microsoft Office, PBX, Student Leadership, Team Leadership, Hospitality Management
Education
Newbury College 2009 — 2014
Bachelor of Science (BS), Hospitality Administration/Management
Neighborhood Health Plan July 2015 - Present
LeaderShape, Inc. June 2015 - June 2015
Revere Hotel Boston Common November 2012 - June 2015
Hersha Hospitality November 2010 - November 2012
Newbury College September 2010 - May 2011
Target August 2008 - September 2010
Skills
Hospitality, Customer Service, Front Office, Reservations, Communication, Administration, Microsoft Office, PBX, Student Leadership, Team Leadership, Hospitality Management
Education
Newbury College 2009 — 2014
Bachelor of Science (BS), Hospitality Administration/Management
Camille Bressler Camille Bressler's Neighborhood Health Plan Experience 1987 - 1996
Job Vice President for Corporate Affairs at Core Health, LLC
Industry Hospital & Health Care
Experience
Core Health, LLC January 2012 - Present
Senior Whole Health March 2004 - October 2009
Neighborhood Health Plan 1987 - 1996
Skills
Stata, Comprehensive Planning, Community Outreach, Qualitative Research, International..., Sustainability, Research, Nonprofits, Program Development, HIPAA, Grants, Customer Service, Data Analysis, Healthcare Management, Process Improvement, Policy, Training, Healthcare, Management, Strategic Planning, Public Speaking
Education
MIT 1983 — 1985
Master's degree, Architecture & Planning
University of Santa Clara 1977 — 1981
Bachelor of Arts (B.A.), Political Science
Core Health, LLC January 2012 - Present
Senior Whole Health March 2004 - October 2009
Neighborhood Health Plan 1987 - 1996
Skills
Stata, Comprehensive Planning, Community Outreach, Qualitative Research, International..., Sustainability, Research, Nonprofits, Program Development, HIPAA, Grants, Customer Service, Data Analysis, Healthcare Management, Process Improvement, Policy, Training, Healthcare, Management, Strategic Planning, Public Speaking
Education
MIT 1983 — 1985
Master's degree, Architecture & Planning
University of Santa Clara 1977 — 1981
Bachelor of Arts (B.A.), Political Science
Aurora Pando's Neighborhood Health Plan Experience April 2014 - Present
Job Clinical Pharmacy Associate at Neighborhood Health Plan
Industry Higher Education
Experience
Neighborhood Health Plan April 2014 - Present
Northeastern University July 2013 - Present
Rite Aid December 2007 - June 2013
Skills
Pharmacueticals, Goal-oriented..., Outstanding..., Computer Proficiency, SDS-PAGE, FDA GMP, GCP, HPTLC, HPLC, EPR
Education
Massachusetts College of Pharmacy and Health Sciences 2011 — 2014
Bachelor of Pharmacy (BPharm), Pharmaceutical Sciences
Neighborhood Health Plan April 2014 - Present
Northeastern University July 2013 - Present
Rite Aid December 2007 - June 2013
Skills
Pharmacueticals, Goal-oriented..., Outstanding..., Computer Proficiency, SDS-PAGE, FDA GMP, GCP, HPTLC, HPLC, EPR
Education
Massachusetts College of Pharmacy and Health Sciences 2011 — 2014
Bachelor of Pharmacy (BPharm), Pharmaceutical Sciences
Lisa-Beth Doyle, MS, RD, LDN Lisa-Beth Doyle, MS, RD, LDN's Neighborhood Health Plan Experience May 2014 - Present
Job Manager of Health and Wellness at Neighborhood Health Plan
Industry Insurance
Experience
Neighborhood Health Plan May 2014 - Present
Blue Cross Blue Shield of Massachusetts January 2004 - May 2014
New England Rehabilitation Hospital September 2001 - December 2003
Skills
Health Insurance, Disease Management, Managed Care, Healthcare, Health Promotion, Health Policy, Case Management, Employee Wellness, Medicare, Public Health, Prevention, Health Education, Behavior Change, Wellness, Employee Wellness..., Process Improvement, Leadership
Education
Framingham State College
Master of Science (MS), Food and Nutrition
University of Massachusetts, Amherst
Bachelor's degree, Sociology
Neighborhood Health Plan May 2014 - Present
Blue Cross Blue Shield of Massachusetts January 2004 - May 2014
New England Rehabilitation Hospital September 2001 - December 2003
Skills
Health Insurance, Disease Management, Managed Care, Healthcare, Health Promotion, Health Policy, Case Management, Employee Wellness, Medicare, Public Health, Prevention, Health Education, Behavior Change, Wellness, Employee Wellness..., Process Improvement, Leadership
Education
Framingham State College
Master of Science (MS), Food and Nutrition
University of Massachusetts, Amherst
Bachelor's degree, Sociology
Carolyn Burt Carolyn Burt's Neighborhood Health Plan Experience 1991 - 1993
Job Volunteer Placement Coordinator at SOAR 55, Service Opportunities After Reaching 55
Industry Nonprofit Organization Management
Experience
Career Search Inc. 1995 - 2009
Boston Housing Authority 1994 - 1995
Children's Hospital Boston 1993 - 1994
Neighborhood Health Plan 1991 - 1993
Children's Hospital Boston 1989 - 1991
Skills
Strategic Planning, Non-profits, Management Consulting, Analysis, Volunteer Management, Nonprofits, Policy, Program Development, Management, Human Resources, Healthcare, Training, Budgets, Organizational..., Software Documentation, Operations Management, Leadership, Program Management
Education
Northeastern University 1981 — 1983
Master of Public Administration, Human Resources Management
University of Massachusetts Boston 1974 — 1978
BA, Public and Community Service
Career Search Inc. 1995 - 2009
Boston Housing Authority 1994 - 1995
Children's Hospital Boston 1993 - 1994
Neighborhood Health Plan 1991 - 1993
Children's Hospital Boston 1989 - 1991
Skills
Strategic Planning, Non-profits, Management Consulting, Analysis, Volunteer Management, Nonprofits, Policy, Program Development, Management, Human Resources, Healthcare, Training, Budgets, Organizational..., Software Documentation, Operations Management, Leadership, Program Management
Education
Northeastern University 1981 — 1983
Master of Public Administration, Human Resources Management
University of Massachusetts Boston 1974 — 1978
BA, Public and Community Service
Bethany Wingren's Neighborhood Health Plan Experience April 2013 - Present
Job Provider Relations
Industry Government Administration
Experience
Neighborhood Health Plan April 2013 - Present
State of Florida April 2010 - Present
Skills
Budgets, Case Management, Account Management, Case Managment, Community Outreach, Customer Service, Government, Healthcare, Leadership, Managed Care, Management, Medicaid, Microsoft Office, Negotiation, Policy, Policy Analysis, Process Improvement, Program Management, Program Development, Public Administration, Public Policy, Sales, Public Speaking, Social Services, Strategic Planning, Team Building, Workforce Development, Training
Education
Providence College 2013 — 2015
Master's degree, Counseling
Hodges University 2010 — 2012
Interdisciplinary studies, 3.0
Neighborhood Health Plan April 2013 - Present
State of Florida April 2010 - Present
Skills
Budgets, Case Management, Account Management, Case Managment, Community Outreach, Customer Service, Government, Healthcare, Leadership, Managed Care, Management, Medicaid, Microsoft Office, Negotiation, Policy, Policy Analysis, Process Improvement, Program Management, Program Development, Public Administration, Public Policy, Sales, Public Speaking, Social Services, Strategic Planning, Team Building, Workforce Development, Training
Education
Providence College 2013 — 2015
Master's degree, Counseling
Hodges University 2010 — 2012
Interdisciplinary studies, 3.0
curtis bouyer curtis bouyer's Neighborhood Health Plan Experience March 2012 - Present
Job Provider Claims Rep at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan March 2012 - Present
Northside Hospital December 2001 - January 2012
Skills
Healthcare, Hospitals, Healthcare Management, Patient Safety, EMR, Inpatient, ACLS, Medical Terminology, Critical Care, Clinical Research, Cpr Certified
Education
Newbury College 1995 — 1996
Associate's degree
Roxbury Community College 1990 — 1992
Associates Degree, Liberal Arts & Sciences
Neighborhood Health Plan March 2012 - Present
Northside Hospital December 2001 - January 2012
Skills
Healthcare, Hospitals, Healthcare Management, Patient Safety, EMR, Inpatient, ACLS, Medical Terminology, Critical Care, Clinical Research, Cpr Certified
Education
Newbury College 1995 — 1996
Associate's degree
Roxbury Community College 1990 — 1992
Associates Degree, Liberal Arts & Sciences
Eric Kilpatrick Eric Kilpatrick's Neighborhood Health Plan Experience November 2014 - Present
Job Data Entry & Member Enrolment at Neighborhood Health Plan
Industry Insurance
Experience
Neighborhood Health Plan November 2014 - Present
McGill University November 2014 - December 2014
McGill University May 2014 - August 2014
Arts Undergraduate Society of McGill University May 2014 - August 2014
Nintendo of Canada Ltd. May 2013 - August 2013
Skills
Writing, Office Administration, Microsoft Office, Research, Critical Thinking, PowerPoint, Data Entry, Administration, Outlook, Communication, Editing, Event Planning, Microsoft Excel, Data Analysis
Education
McGill University 2010 — 2014
Bachelor of Arts (B.A.), History, GPA 3.74
Neighborhood Health Plan November 2014 - Present
McGill University November 2014 - December 2014
McGill University May 2014 - August 2014
Arts Undergraduate Society of McGill University May 2014 - August 2014
Nintendo of Canada Ltd. May 2013 - August 2013
Skills
Writing, Office Administration, Microsoft Office, Research, Critical Thinking, PowerPoint, Data Entry, Administration, Outlook, Communication, Editing, Event Planning, Microsoft Excel, Data Analysis
Education
McGill University 2010 — 2014
Bachelor of Arts (B.A.), History, GPA 3.74
Benjamin Merrill's Neighborhood Health Plan Experience February 2014 - Present
Job Quality Coordinator at Neighborhood Health Plan
Industry Insurance
Experience
Neighborhood Health Plan February 2014 - Present
Neighborhood Health Plan July 2012 - Present
Serco-NA September 2009 - June 2012
Cartridge World of Portsmouth January 2006 - May 2007
Skills
Call Centers, Training, Management, Customer Service, Performance Management, Employee Training, Process Improvement, Customer Satisfaction, Customer Experience, Quality Assurance, Team Leadership, Team Building, Call Center, Change Management, Leadership, Coaching, Employee Relations, Outlook, Contact Centers, U.S. Immigration, Business Process..., Onboarding, Talent Acquisition, Staff Development, Operations Management, Analysis, Data Analysis, Policy, Vendor Management, Sales, Health Insurance, Employment-based..., Recruiting, Cross-functional Team..., Employee Engagement, Insurance, Conflict Resolution, Workforce Management, Hiring, Strategic Planning
Education
Southern New Hampshire University 2013 — 2015
Bachelor of Arts (B.A.), English Language and Literature, General
Great Bay Community College
Liberal Arts, Business Administration and Management, General
Neighborhood Health Plan February 2014 - Present
Neighborhood Health Plan July 2012 - Present
Serco-NA September 2009 - June 2012
Cartridge World of Portsmouth January 2006 - May 2007
Skills
Call Centers, Training, Management, Customer Service, Performance Management, Employee Training, Process Improvement, Customer Satisfaction, Customer Experience, Quality Assurance, Team Leadership, Team Building, Call Center, Change Management, Leadership, Coaching, Employee Relations, Outlook, Contact Centers, U.S. Immigration, Business Process..., Onboarding, Talent Acquisition, Staff Development, Operations Management, Analysis, Data Analysis, Policy, Vendor Management, Sales, Health Insurance, Employment-based..., Recruiting, Cross-functional Team..., Employee Engagement, Insurance, Conflict Resolution, Workforce Management, Hiring, Strategic Planning
Education
Southern New Hampshire University 2013 — 2015
Bachelor of Arts (B.A.), English Language and Literature, General
Great Bay Community College
Liberal Arts, Business Administration and Management, General
Sondra Papatsoris, MSW, LCSW Sondra Papatsoris, MSW, LCSW's Neighborhood Health Plan Experience August 2012 - Present
Job Medical Social Worker at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan August 2012 - Present
Beth Israel Deaconess Medical Center July 2011 - Present
Childrens Hospital Boston February 2011 - August 2012
Skills
Medical Social Work, Discharge Planning, Social Services, Gerontology, Counseling, Palliative Care, Mental Health, Home Care, Case Managment, Crisis Intervention, Psychotherapy, Motivational..., Mental Health Counseling
Education
Simmons College 2008 — 2010
MSW, Social Work
Lesley University
Bachelor of Science (BS), Humanities/Humanistic Studies
Neighborhood Health Plan August 2012 - Present
Beth Israel Deaconess Medical Center July 2011 - Present
Childrens Hospital Boston February 2011 - August 2012
Skills
Medical Social Work, Discharge Planning, Social Services, Gerontology, Counseling, Palliative Care, Mental Health, Home Care, Case Managment, Crisis Intervention, Psychotherapy, Motivational..., Mental Health Counseling
Education
Simmons College 2008 — 2010
MSW, Social Work
Lesley University
Bachelor of Science (BS), Humanities/Humanistic Studies
Jeremiah Driscoll Jeremiah Driscoll's Neighborhood Health Plan Experience March 2006 - Present
Job Senior Trainer and CoOperator Goldsmith's Martial Arts and Fitness
Industry Health, Wellness and Fitness
Experience
Goldsmith's Martial Arts and Fitness 2011 - Present
Neighborhood Health Plan March 2006 - Present
Skills
Wellness, Mental Health, Personal Training, Teaching, Managed Care, Fitness, Healthcare, Martial Arts, Training, Insurance, Medicaid, Health Insurance, HIPAA, Program Development, Healthcare Information..., Coaching, Athletics, Medicare, Public Speaking, Provider Relations, Security, Fitness Training, Leadership, Management, Mentoring, Customer Service, Team Building, Software Documentation, Process Improvement, Strategic Planning, Microsoft Office
Education
Massachusetts Maritime Academy 1985 — 1989
Bachelor of Applied Science (BASc), Marine Engineering
Goldsmith's Martial Arts and Fitness 2011 - Present
Neighborhood Health Plan March 2006 - Present
Skills
Wellness, Mental Health, Personal Training, Teaching, Managed Care, Fitness, Healthcare, Martial Arts, Training, Insurance, Medicaid, Health Insurance, HIPAA, Program Development, Healthcare Information..., Coaching, Athletics, Medicare, Public Speaking, Provider Relations, Security, Fitness Training, Leadership, Management, Mentoring, Customer Service, Team Building, Software Documentation, Process Improvement, Strategic Planning, Microsoft Office
Education
Massachusetts Maritime Academy 1985 — 1989
Bachelor of Applied Science (BASc), Marine Engineering
Oanh Pham's Neighborhood Health Plan Experience April 2015 - Present
Job Clinical Coordinator at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan April 2015 - Present
Beth Israel Deaconess Medical Center February 2014 - April 2015
Beth Israel Deaconess Medical Center July 2012 - February 2014
Beth Israel Deaconess Medical Center August 2010 - August 2012
Jumpstart June 2009 - August 2010
Russell J. Call Children's Center June 2008 - May 2009
Skills
referral management, Healthcare Management, Insurance Authorizations, Managed Care, Office Administration, Health Insurance, Medical Records, Healthcare, Case Management, Medical Terminology, Program Development, Customer Satisfaction, Research, Microsoft Office, PowerPoint, Event Planning, Outlook, Microsoft Excel
Education
Northeastern University 2006 — 2010
Bachelor of Science, Psychology
Boston Latin Academy 2000 — 2005
HS Diploma
Neighborhood Health Plan April 2015 - Present
Beth Israel Deaconess Medical Center February 2014 - April 2015
Beth Israel Deaconess Medical Center July 2012 - February 2014
Beth Israel Deaconess Medical Center August 2010 - August 2012
Jumpstart June 2009 - August 2010
Russell J. Call Children's Center June 2008 - May 2009
Skills
referral management, Healthcare Management, Insurance Authorizations, Managed Care, Office Administration, Health Insurance, Medical Records, Healthcare, Case Management, Medical Terminology, Program Development, Customer Satisfaction, Research, Microsoft Office, PowerPoint, Event Planning, Outlook, Microsoft Excel
Education
Northeastern University 2006 — 2010
Bachelor of Science, Psychology
Boston Latin Academy 2000 — 2005
HS Diploma
Mary Harnedy Mary Harnedy's Neighborhood Health Plan Experience May 2008 - Present
Job EDI Specialist at Neighborhood Health Plan
Industry Information Technology and Services
Experience
Neighborhood Health Plan May 2008 - Present
The Colibri Group February 1997 - August 2007
Swarovski America Ltd October 1987 - February 1997
Skills
Business Analysis, Access, Documentation, Outlook, Excel
Education
iPEC 2007 — 2008
Certified Life Empowerment Coach, Life Coaching
New England Institute of Technology 1991 — 1993
AS, Computer Science
Neighborhood Health Plan May 2008 - Present
The Colibri Group February 1997 - August 2007
Swarovski America Ltd October 1987 - February 1997
Skills
Business Analysis, Access, Documentation, Outlook, Excel
Education
iPEC 2007 — 2008
Certified Life Empowerment Coach, Life Coaching
New England Institute of Technology 1991 — 1993
AS, Computer Science
Julie Myers's Neighborhood Health Plan Experience January 2015 - Present
Job Compliance Manager at Neighborhood Health Plan
Industry Legal Services
Experience
Neighborhood Health Plan January 2015 - Present
Massachusetts Attorney General's Office August 2013 - December 2014
Northeastern University, Center for Research Innovation November 2012 - May 2013
Bubalo Hiestand & Rotman, PLC June 2011 - August 2011
Massachusetts Office of the Attorney General December 2009 - February 2010
Massachusetts Superior Court June 2009 - August 2009
Mintz Levin February 2007 - August 2009
Skills
Legal Writing, Technology Transfer, Legal Research, Westlaw, Civil Litigation, Intellectual Property, Lexis, Legal Assistance, Trademarks, Patent Prosecution, Courts, Mediation, Patent Litigation, Research, Patents, Community Outreach, Litigation, Entrepreneurship
Education
Northeastern University School of Law 2009 — 2013
Doctor of Law (JD)
Tufts University School of Medicine 2011 — 2012
Master of Public Health (M.P.H.)
Cornell University 2003 — 2007
Bachelor of Arts (B.A.), Psychology/History
Neighborhood Health Plan January 2015 - Present
Massachusetts Attorney General's Office August 2013 - December 2014
Northeastern University, Center for Research Innovation November 2012 - May 2013
Bubalo Hiestand & Rotman, PLC June 2011 - August 2011
Massachusetts Office of the Attorney General December 2009 - February 2010
Massachusetts Superior Court June 2009 - August 2009
Mintz Levin February 2007 - August 2009
Skills
Legal Writing, Technology Transfer, Legal Research, Westlaw, Civil Litigation, Intellectual Property, Lexis, Legal Assistance, Trademarks, Patent Prosecution, Courts, Mediation, Patent Litigation, Research, Patents, Community Outreach, Litigation, Entrepreneurship
Education
Northeastern University School of Law 2009 — 2013
Doctor of Law (JD)
Tufts University School of Medicine 2011 — 2012
Master of Public Health (M.P.H.)
Cornell University 2003 — 2007
Bachelor of Arts (B.A.), Psychology/History
Asaad Fulton's Neighborhood Health Plan Experience March 2014 - October 2014
Job Cluster Substitute at Boston Public Schools
Industry Hospital & Health Care
Experience
Boston Public Schools October 2014 - Present
Neighborhood Health Plan March 2014 - October 2014
MAXIMUS August 2013 - March 2014
Karmaloop.com June 2012 - June 2013
H&M May 2009 - December 2012
Boston City TV January 2012 - June 2012
Boston Public Schools September 2008 - June 2009
Skills
Writing, Report Writing, Avid Media Composer, Medicaid, Medicaid Managed Care, MMIS, InDesign, Microsoft Office, Social Media..., Customer Service, Managed Care, HIX, TPR, Third Party Liability, Enrollment Management, Quality Patient Care, Avid, Video Editing, Video
Education
Northeastern University 2009 — 2013
Bachelor of Arts (BA), Journalism
Boston Public Schools October 2014 - Present
Neighborhood Health Plan March 2014 - October 2014
MAXIMUS August 2013 - March 2014
Karmaloop.com June 2012 - June 2013
H&M May 2009 - December 2012
Boston City TV January 2012 - June 2012
Boston Public Schools September 2008 - June 2009
Skills
Writing, Report Writing, Avid Media Composer, Medicaid, Medicaid Managed Care, MMIS, InDesign, Microsoft Office, Social Media..., Customer Service, Managed Care, HIX, TPR, Third Party Liability, Enrollment Management, Quality Patient Care, Avid, Video Editing, Video
Education
Northeastern University 2009 — 2013
Bachelor of Arts (BA), Journalism
Benjamin Finn Benjamin Finn's Neighborhood Health Plan Experience August 2014 - Present
Job Technology Manager
Industry Computer Software
Experience
Neighborhood Health Plan August 2014 - Present
Dell July 2013 - August 2014
Omgeo December 2011 - July 2013
Dell August 2010 - December 2011
State of South Dakota 2008 - 2010
CellExchange August 2007 - January 2008
Tamale Software 2006 - 2007
Lavastorm November 2001 - December 2006
Videoshare August 2000 - November 2001
EBT January 1996 - August 2000
Skills
SaaS, Agile Methodologies, Java Enterprise Edition, Software Development, Integration, Quality Assurance, Enterprise Software, Software Quality..., XML, SDLC, Testing, Requirements Analysis
Education
Northeastern University 1983 — 1988
Neighborhood Health Plan August 2014 - Present
Dell July 2013 - August 2014
Omgeo December 2011 - July 2013
Dell August 2010 - December 2011
State of South Dakota 2008 - 2010
CellExchange August 2007 - January 2008
Tamale Software 2006 - 2007
Lavastorm November 2001 - December 2006
Videoshare August 2000 - November 2001
EBT January 1996 - August 2000
Skills
SaaS, Agile Methodologies, Java Enterprise Edition, Software Development, Integration, Quality Assurance, Enterprise Software, Software Quality..., XML, SDLC, Testing, Requirements Analysis
Education
Northeastern University 1983 — 1988
Joe Tummino Joe Tummino's Neighborhood Health Plan Experience December 2014 - Present
Job Manager Commercial Enrollment & Account Services at Neighborhood Health Plan
Industry Insurance
Experience
Neighborhood Health Plan December 2014 - Present
Neighborhood Health Plan December 2012 - December 2014
Neighborhood Health Plan June 2011 - November 2012
Neighborhood Health Plan September 2008 - July 2011
Webster One Source 2005 - 2008
Skills
Healthcare Management, Process Improvement, Healthcare, Outlook, Employee Benefits, Customer Service, Software Documentation, Employee Relations, Training, Management, Analysis, Sales, Troubleshooting, Health Insurance, HIPAA, Microsoft Excel
Education
New England Institute of Technology
Neighborhood Health Plan December 2014 - Present
Neighborhood Health Plan December 2012 - December 2014
Neighborhood Health Plan June 2011 - November 2012
Neighborhood Health Plan September 2008 - July 2011
Webster One Source 2005 - 2008
Skills
Healthcare Management, Process Improvement, Healthcare, Outlook, Employee Benefits, Customer Service, Software Documentation, Employee Relations, Training, Management, Analysis, Sales, Troubleshooting, Health Insurance, HIPAA, Microsoft Excel
Education
New England Institute of Technology
Thomas Cunniffe Thomas Cunniffe's Neighborhood Health Plan Experience August 2011 - August 2012
Job Director, Customer Relations at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan June 2013 - Present
Tufts Health Plan September 2012 - June 2013
Neighborhood Health Plan August 2011 - August 2012
Neighborhood Health Plan March 2008 - July 2011
Skills
Staff Development, Business Strategy, Call Center Development, Healthcare, Strategic Planning, Health Insurance, Managed Care, Customer Service, Call Centers, Leadership, Training, Medicaid, Medicare, Management, Employee Benefits, Quality Assurance, Cross-functional Team..., Strategy, Provider Relations, Sales
Education
University of Massachusetts at Amherst - Isenberg School of Management 2008 — 2012
MBA, Business Administration
Fordham University 1988 — 1992
Bachelor of Arts, English, Art History
Tufts Health Plan June 2013 - Present
Tufts Health Plan September 2012 - June 2013
Neighborhood Health Plan August 2011 - August 2012
Neighborhood Health Plan March 2008 - July 2011
Skills
Staff Development, Business Strategy, Call Center Development, Healthcare, Strategic Planning, Health Insurance, Managed Care, Customer Service, Call Centers, Leadership, Training, Medicaid, Medicare, Management, Employee Benefits, Quality Assurance, Cross-functional Team..., Strategy, Provider Relations, Sales
Education
University of Massachusetts at Amherst - Isenberg School of Management 2008 — 2012
MBA, Business Administration
Fordham University 1988 — 1992
Bachelor of Arts, English, Art History
Trudy Ripin Trudy Ripin's Neighborhood Health Plan Experience 1996 - 1997
Job President/Founder
Industry Nonprofit Organization Management
Experience
Shoreline Health Solutions, LLC 2000 - Present
Fair Haven Community Health Center 1997 - 2000
Neighborhood Health Plan 1996 - 1997
Education
Harvard School of Public Health 1994 — 1997
Master of Public Health (MPH), Health Policy and Management
Stanford University 1988 — 1992
BA, Social and Behavioral Psychology
Shoreline Health Solutions, LLC 2000 - Present
Fair Haven Community Health Center 1997 - 2000
Neighborhood Health Plan 1996 - 1997
Education
Harvard School of Public Health 1994 — 1997
Master of Public Health (MPH), Health Policy and Management
Stanford University 1988 — 1992
BA, Social and Behavioral Psychology
Benjamin Mahon Benjamin Mahon's Neighborhood Health Plan Experience May 2014 - Present
Job Investment Accountant at BNY Mellon
Industry Financial Services
Experience
Neighborhood Health Plan May 2014 - Present
BNY Mellon February 2012 - May 2014
North Middlesex Savings Bank June 2009 - February 2012
Skills
Microsoft Excel, Analysis, Finance, Data Analysis, Microsoft SQL Server, SAS Programming, Microsoft Office, Management, R, Access, Investment Banking, General Ledger, Teller Operations, Microsoft Word, Accounting, Financial Analysis, Investments, Teamwork, PowerPoint, Financial Services, Trombone, Directing
Education
University of Massachusetts at Amherst - Isenberg School of Management 2007 — 2011
BBA, Accounting/Psychology
North Middlesex RHS 2003 — 2007
Neighborhood Health Plan May 2014 - Present
BNY Mellon February 2012 - May 2014
North Middlesex Savings Bank June 2009 - February 2012
Skills
Microsoft Excel, Analysis, Finance, Data Analysis, Microsoft SQL Server, SAS Programming, Microsoft Office, Management, R, Access, Investment Banking, General Ledger, Teller Operations, Microsoft Word, Accounting, Financial Analysis, Investments, Teamwork, PowerPoint, Financial Services, Trombone, Directing
Education
University of Massachusetts at Amherst - Isenberg School of Management 2007 — 2011
BBA, Accounting/Psychology
North Middlesex RHS 2003 — 2007
Stephen Doherty Stephen Doherty's Neighborhood Health Plan Experience April 2013 - Present
Job Manager Workforce Planning at Neighborhood Health Plan
Industry Insurance
Experience
Neighborhood Health Plan April 2013 - Present
Blue Cross Blue Shiled of Massachusetts March 2007 - March 2011
ADP January 2002 - March 2008
ADP January 2002 - March 2007
Fidelity Investments 2000 - 2002
Fidelity Investments January 2000 - October 2001
Scudder Investments January 1995 - January 2000
Scudder Investments 1996 - 2000
Skills
Management, Workforce Management, Process Improvement, Call Centers, Salesforce.com, Call Center, Forecasting, Temporary Placement, Analysis, Vendor Management, Leadership, Business Analysis, Training, Employee Benefits, Program Management, Insurance, Telecommunications, Sales, Team Building
Education
Massasoit Community College
Criminal Justice
University of Massachusetts Boston
Political Science
Neighborhood Health Plan April 2013 - Present
Blue Cross Blue Shiled of Massachusetts March 2007 - March 2011
ADP January 2002 - March 2008
ADP January 2002 - March 2007
Fidelity Investments 2000 - 2002
Fidelity Investments January 2000 - October 2001
Scudder Investments January 1995 - January 2000
Scudder Investments 1996 - 2000
Skills
Management, Workforce Management, Process Improvement, Call Centers, Salesforce.com, Call Center, Forecasting, Temporary Placement, Analysis, Vendor Management, Leadership, Business Analysis, Training, Employee Benefits, Program Management, Insurance, Telecommunications, Sales, Team Building
Education
Massasoit Community College
Criminal Justice
University of Massachusetts Boston
Political Science
H. Jungie Candelaria H. Jungie Candelaria's Neighborhood Health Plan Experience August 2010 - February 2013
Job Provider Network Program Manager
Industry Hospital & Health Care
Experience
Divurgent June 2015 - Present
Mercer November 2014 - January 2015
Neighborhood Health Plan August 2010 - February 2013
Neighborhood Health Plan January 2009 - August 2010
Neighborhood Health Plan 2003 - 2009
Neighorhood Health Plan 2001 - 2003
Harvard University 1994 - 1998
Harvard University September 1991 - January 1994
Skills
Healthcare Management, Medicaid, Managed Care, HIPAA, Healthcare, Healthcare Information..., Health Policy, Project Management, Analysis, Strategy, Data Analysis, Process Improvement, Healthcare Consulting, Healthcare Industry, Hospitals
Education
NYU Stern School of Business 1998 — 2000
MBA, Management and Marketing
Harvard College 1987 — 1991
BA, Biological Anthropology
Divurgent June 2015 - Present
Mercer November 2014 - January 2015
Neighborhood Health Plan August 2010 - February 2013
Neighborhood Health Plan January 2009 - August 2010
Neighborhood Health Plan 2003 - 2009
Neighorhood Health Plan 2001 - 2003
Harvard University 1994 - 1998
Harvard University September 1991 - January 1994
Skills
Healthcare Management, Medicaid, Managed Care, HIPAA, Healthcare, Healthcare Information..., Health Policy, Project Management, Analysis, Strategy, Data Analysis, Process Improvement, Healthcare Consulting, Healthcare Industry, Hospitals
Education
NYU Stern School of Business 1998 — 2000
MBA, Management and Marketing
Harvard College 1987 — 1991
BA, Biological Anthropology
Sean Hennessey's Neighborhood Health Plan Experience 1997 - 2002
Job Consultant/Owner at Meme Solutions
Industry Information Technology and Services
Experience
Meme Solutions January 2002 - Present
University of Portland January 2006 - October 2009
Outside In 2003 - 2005
Neighborhood Health Plan 1997 - 2002
Skills
Switches, Routing, Firewalls, NAC, Routers, Cisco, VPN, WAN, ASA, PIX, Network Security, CCNP, IP, CCNA, DNS, VLAN, DHCP, TCP/IP, IPSec, Servers, Ethernet, Antivirus, Troubleshooting, Active Directory, Cisco Security, Security, Cisco Technologies, Juniper, System Administration, Network Administration, Windows Server, Information Security, Hardware, Network Engineering, Wireless Networking, Storage Area Networks, Microsoft Exchange, Computer Security, Disaster Recovery, Networking, Software Installation, Penetration Testing, Juniper Technologies
Education
Goldsmiths, University of London 1991 — 1992
Film, Film, Communications
Portland State University 2011 — 2014
Bachelor's Degree, English/Writing, 3.9
Keene State College 1990 — 1991
Film, Drama
State University of New York College at Potsdam 1988 — 1989
Music, Music, Philosophy, Computer Science
Meme Solutions January 2002 - Present
University of Portland January 2006 - October 2009
Outside In 2003 - 2005
Neighborhood Health Plan 1997 - 2002
Skills
Switches, Routing, Firewalls, NAC, Routers, Cisco, VPN, WAN, ASA, PIX, Network Security, CCNP, IP, CCNA, DNS, VLAN, DHCP, TCP/IP, IPSec, Servers, Ethernet, Antivirus, Troubleshooting, Active Directory, Cisco Security, Security, Cisco Technologies, Juniper, System Administration, Network Administration, Windows Server, Information Security, Hardware, Network Engineering, Wireless Networking, Storage Area Networks, Microsoft Exchange, Computer Security, Disaster Recovery, Networking, Software Installation, Penetration Testing, Juniper Technologies
Education
Goldsmiths, University of London 1991 — 1992
Film, Film, Communications
Portland State University 2011 — 2014
Bachelor's Degree, English/Writing, 3.9
Keene State College 1990 — 1991
Film, Drama
State University of New York College at Potsdam 1988 — 1989
Music, Music, Philosophy, Computer Science
Larry McCarthy Larry McCarthy's Neighborhood Health Plan Experience March 2014 - Present
Job Clinical Manager Utilization Management at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan March 2014 - Present
Neighborhood Health Plan January 2013 - March 2014
Neighborhood Health Plan May 2000 - January 2013
Skills
Medicaid, Healthcare, Managed Care, Healthcare Management, HIPAA, Hospitals, Nursing, Medicare, Disease Management, Clinical Research, Provider Relations, Utilization Management, Case Managment, Case Management, Health Insurance, Healthcare Information..., EHR, EMR
Education
Northeastern University 1977 — 1987
BSN, Nursing
Neighborhood Health Plan March 2014 - Present
Neighborhood Health Plan January 2013 - March 2014
Neighborhood Health Plan May 2000 - January 2013
Skills
Medicaid, Healthcare, Managed Care, Healthcare Management, HIPAA, Hospitals, Nursing, Medicare, Disease Management, Clinical Research, Provider Relations, Utilization Management, Case Managment, Case Management, Health Insurance, Healthcare Information..., EHR, EMR
Education
Northeastern University 1977 — 1987
BSN, Nursing
Andrew McClure Andrew McClure's Neighborhood Health Plan Experience August 2009 - September 2009
Job Director of Quality Improvement at Senior Whole Health
Industry Hospital & Health Care
Experience
Senior Whole Health January 2014 - Present
Meridian Health Plan July 2012 - January 2014
Tufts Health Plan June 2011 - July 2012
New Hampshire Hospital Association, Foundation for Healthy Communities June 2010 - February 2012
Blue Cross and Blue Shield of Rhode Island September 2009 - April 2010
Neighborhood Health Plan August 2009 - September 2009
Health New England August 2009 - September 2009
Blue Cross Blue Shield of Massachusetts May 1997 - June 2009
Matthew Thornton Health Plan / BCBSNH August 1994 - May 1997
Massachusetts Department of Public Health May 1991 - August 1994
Skills
Health Plan Quality..., Hospital Quality..., NCQA, CMS Compliance, PMO Leadership, Product Planning, Trend Mitigation, Health Promotion, Quality Improvement, Health Policy, PMO, Hospitals, Disease Management, Healthcare, Healthcare Consulting, Managed Care, Medicare, Utilization Management, Medicaid, Healthcare Industry
Education
Northwestern University - Kellogg School of Management 2008 — 2008
Health Care
D'Amore-McKim School of Business at Northeastern University 2000 — 2001
MBA, Finance, Healthcare
University of Massachusetts 1991 — 1992
none, Public Health
University of New Hampshire 1981 — 1986
Bachelor of Arts (BA), Zoology/Animal Biology
Senior Whole Health January 2014 - Present
Meridian Health Plan July 2012 - January 2014
Tufts Health Plan June 2011 - July 2012
New Hampshire Hospital Association, Foundation for Healthy Communities June 2010 - February 2012
Blue Cross and Blue Shield of Rhode Island September 2009 - April 2010
Neighborhood Health Plan August 2009 - September 2009
Health New England August 2009 - September 2009
Blue Cross Blue Shield of Massachusetts May 1997 - June 2009
Matthew Thornton Health Plan / BCBSNH August 1994 - May 1997
Massachusetts Department of Public Health May 1991 - August 1994
Skills
Health Plan Quality..., Hospital Quality..., NCQA, CMS Compliance, PMO Leadership, Product Planning, Trend Mitigation, Health Promotion, Quality Improvement, Health Policy, PMO, Hospitals, Disease Management, Healthcare, Healthcare Consulting, Managed Care, Medicare, Utilization Management, Medicaid, Healthcare Industry
Education
Northwestern University - Kellogg School of Management 2008 — 2008
Health Care
D'Amore-McKim School of Business at Northeastern University 2000 — 2001
MBA, Finance, Healthcare
University of Massachusetts 1991 — 1992
none, Public Health
University of New Hampshire 1981 — 1986
Bachelor of Arts (BA), Zoology/Animal Biology
Anne Grossi Anne Grossi's Neighborhood Health Plan Experience June 2007 - October 2014
Job Quality Accreditation Manager at Senior Whole Health
Industry Insurance
Experience
Senior Whole Health October 2014 - Present
Neighborhood Health Plan June 2007 - October 2014
Behavioral Health Network 2002 - 2007
CLM Behavioral Health August 1999 - January 2002
Skills
Utilization Management, Quality Improvement, Medicaid, Child Development, Behavioral Health, Managed Care, Mental Health, Policy, Credentialing, NCQA, Medicare, HIPAA, Healthcare Management, Provider Relations, Healthcare Industry, Healthcare, Health Insurance, Health Care Reform, Performance Improvement, Program Evaluation, Case Management, Process Improvement
Education
McGill University
Master's Degree, Education
The University of Connecticut
Master's Degree, Clincal Social Work
Senior Whole Health October 2014 - Present
Neighborhood Health Plan June 2007 - October 2014
Behavioral Health Network 2002 - 2007
CLM Behavioral Health August 1999 - January 2002
Skills
Utilization Management, Quality Improvement, Medicaid, Child Development, Behavioral Health, Managed Care, Mental Health, Policy, Credentialing, NCQA, Medicare, HIPAA, Healthcare Management, Provider Relations, Healthcare Industry, Healthcare, Health Insurance, Health Care Reform, Performance Improvement, Program Evaluation, Case Management, Process Improvement
Education
McGill University
Master's Degree, Education
The University of Connecticut
Master's Degree, Clincal Social Work
Glorivee Rodriguez's Neighborhood Health Plan Experience 2002 - 2007
Job Senior Provider Relations Advocate at United Healthcare
Industry Hospital & Health Care
Experience
UnitedHealthcare February 2012 - Present
BMC HealthNet Plan November 2007 - February 2012
Neighborhood Health Plan 2002 - 2007
Skills
Provider Relations, Medicaid, Managed Care, Healthcare Management, Healthcare, Health Insurance, Credentialing, Medicare, Hospitals, HIPAA, Utilization Management, HMO, Health Policy, Network Development, Process Improvement, Healthcare Information...
Education
Massasoit Community College 2000 — 2002
Associates, Administrative Information Systems
UnitedHealthcare February 2012 - Present
BMC HealthNet Plan November 2007 - February 2012
Neighborhood Health Plan 2002 - 2007
Skills
Provider Relations, Medicaid, Managed Care, Healthcare Management, Healthcare, Health Insurance, Credentialing, Medicare, Hospitals, HIPAA, Utilization Management, HMO, Health Policy, Network Development, Process Improvement, Healthcare Information...
Education
Massasoit Community College 2000 — 2002
Associates, Administrative Information Systems
Keri Russo Keri Russo's Neighborhood Health Plan Experience November 2010 - March 2012
Job SharePoint Analyst (Consultant) at Timlin Enterprises
Industry Information Technology and Services
Experience
Timlin Enterprises May 2014 - Present
Jornata May 2013 - April 2014
Novartis Institutes for BioMedical Research March 2012 - April 2013
Neighborhood Health Plan November 2010 - March 2012
Neighborhood Health Plan February 2009 - November 2010
State Street Bank 2007 - 2009
Coverys November 2004 - April 2007
Procter & Gamble 1995 - 2004
Coverys July 1993 - October 1995
National Committee On Property Insurance March 1992 - July 1993
Skills
MS Office Suite, SharePoint, Website Development, Digital Photography, Event Planning, Screenwriting, Brightwork, InfoPath, Camtasia, Microsoft Office, Content Management, Business Intelligence, SharePoint Designer, Business Process, Project Management, Training, Analysis, Project Planning, Management, Project Portfolio..., Visio, Testing, Program Management, Business Analysis, Consulting, Process Improvement, Microsoft SQL Server
Education
Northeastern University 1996 — 2003
BS, Technical Communications (Technical Writing/Internet Technologies), 3.9
Timlin Enterprises May 2014 - Present
Jornata May 2013 - April 2014
Novartis Institutes for BioMedical Research March 2012 - April 2013
Neighborhood Health Plan November 2010 - March 2012
Neighborhood Health Plan February 2009 - November 2010
State Street Bank 2007 - 2009
Coverys November 2004 - April 2007
Procter & Gamble 1995 - 2004
Coverys July 1993 - October 1995
National Committee On Property Insurance March 1992 - July 1993
Skills
MS Office Suite, SharePoint, Website Development, Digital Photography, Event Planning, Screenwriting, Brightwork, InfoPath, Camtasia, Microsoft Office, Content Management, Business Intelligence, SharePoint Designer, Business Process, Project Management, Training, Analysis, Project Planning, Management, Project Portfolio..., Visio, Testing, Program Management, Business Analysis, Consulting, Process Improvement, Microsoft SQL Server
Education
Northeastern University 1996 — 2003
BS, Technical Communications (Technical Writing/Internet Technologies), 3.9
Oriana Ciko, M.B.A. Oriana Ciko, M.B.A.'s Neighborhood Health Plan Experience January 2014 - August 2014
Job Senior Analyst at National Grid
Industry Hospital & Health Care
Experience
National Grid 2014 - Present
Neighborhood Health Plan January 2014 - August 2014
Boston Medical Center August 2012 - January 2014
GOMES TRAVEL & TODAY'S INSURANCE AGENCY January 2004 - June 2012
Danvers Historical Society January 2009 - May 2009
Brother's Deli May 2000 - February 2004
Skills
Operations Management, Customer Relations, Customer Service, Problem Solving, Cash Flow, Business Process, Hiring, Budget Management, Policy Analysis, Marketing Strategy, Budgeting, Strategic Planning, Inventory Management, Customer Satisfaction, Supervisory Skills, Billing, Vendor Relations, Executive Management, Business Planning, Team Leadership, Administration, Planning, Logistics, Invoicing, Inventory Control, Account Management, Outlook, Recruiting, Budgets, Project Planning, System Administration, Management, Team Building, Sales, Analysis, Leadership
Education
Northeastern University - Graduate School of Business Administration 2010 — 2012
Master of Business Administration (M.B.A.), Intenational Management
Salem State College 2005 — 2009
Bachelor, Business Administration; Management
Peabody Veterans Memorial High School 2000 — 2004
High School Diploma, 2004
National Grid 2014 - Present
Neighborhood Health Plan January 2014 - August 2014
Boston Medical Center August 2012 - January 2014
GOMES TRAVEL & TODAY'S INSURANCE AGENCY January 2004 - June 2012
Danvers Historical Society January 2009 - May 2009
Brother's Deli May 2000 - February 2004
Skills
Operations Management, Customer Relations, Customer Service, Problem Solving, Cash Flow, Business Process, Hiring, Budget Management, Policy Analysis, Marketing Strategy, Budgeting, Strategic Planning, Inventory Management, Customer Satisfaction, Supervisory Skills, Billing, Vendor Relations, Executive Management, Business Planning, Team Leadership, Administration, Planning, Logistics, Invoicing, Inventory Control, Account Management, Outlook, Recruiting, Budgets, Project Planning, System Administration, Management, Team Building, Sales, Analysis, Leadership
Education
Northeastern University - Graduate School of Business Administration 2010 — 2012
Master of Business Administration (M.B.A.), Intenational Management
Salem State College 2005 — 2009
Bachelor, Business Administration; Management
Peabody Veterans Memorial High School 2000 — 2004
High School Diploma, 2004
Adam Giangregorio Adam Giangregorio's Neighborhood Health Plan Experience October 2009 - February 2011
Job Multimedia Designer at Brainshark, Inc.
Industry Animation
Experience
Brainshark, Inc. March 2014 - Present
Adam Canvas Studios July 2011 - Present
Adam Canvas Studios July 2014 - Present
Adam Canvas Studios April 2011 - Present
DigiNovations August 2012 - March 2014
Small Design Firm, Inc. February 2012 - April 2012
Untravel Media, Inc. June 2011 - December 2011
Small Design Firm, Inc. April 2011 - November 2011
Neighborhood Health Plan October 2009 - February 2011
Borders Books October 2008 - October 2009
Skills
Photoshop, After Effects, Illustration, Animation, Flash Animation, Character Animation, Motion Graphics, Bodypaint, Storyboarding, Stenciling, Humor, 2D graphics, Photo Editing, Camera Operator, Digital Photography, Videography, Flyer Design, Posters, Rotoscoping, Digital Animation, Face paint, Shirt Design, Computer Animation, Video, Premiere, Final Cut Pro, Traditional Animation, Art, Visual Effects, Video Editing, Flash, Compositing, Painting, Image Manipulation, Digital Illustration, Stop Motion, Cartoons
Education
Massachusetts College of Art 2003 — 2008
Bachelor of Fine Arts (BFA), Animation
Suffolk University 2002 — 2003
NESAD Foundation program
Brainshark, Inc. March 2014 - Present
Adam Canvas Studios July 2011 - Present
Adam Canvas Studios July 2014 - Present
Adam Canvas Studios April 2011 - Present
DigiNovations August 2012 - March 2014
Small Design Firm, Inc. February 2012 - April 2012
Untravel Media, Inc. June 2011 - December 2011
Small Design Firm, Inc. April 2011 - November 2011
Neighborhood Health Plan October 2009 - February 2011
Borders Books October 2008 - October 2009
Skills
Photoshop, After Effects, Illustration, Animation, Flash Animation, Character Animation, Motion Graphics, Bodypaint, Storyboarding, Stenciling, Humor, 2D graphics, Photo Editing, Camera Operator, Digital Photography, Videography, Flyer Design, Posters, Rotoscoping, Digital Animation, Face paint, Shirt Design, Computer Animation, Video, Premiere, Final Cut Pro, Traditional Animation, Art, Visual Effects, Video Editing, Flash, Compositing, Painting, Image Manipulation, Digital Illustration, Stop Motion, Cartoons
Education
Massachusetts College of Art 2003 — 2008
Bachelor of Fine Arts (BFA), Animation
Suffolk University 2002 — 2003
NESAD Foundation program
Jerè (Ward) Coleman's Neighborhood Health Plan Experience April 2008 - October 2010
Job Provider Data Integrity Coordinator at Senior Whole Health
Industry Insurance
Experience
Senior Whole Health September 2013 - Present
Steward Medical Group October 2012 - June 2013
British Airways June 2012 - September 2012
Beacon Health Strategies January 2011 - May 2011
Neighborhood Health Plan April 2008 - October 2010
Division of Professional Licensure, Electricians Board January 2007 - December 2007
Skills
Data Entry, Healthcare, Outlook, Customer Service, Microsoft Word, PowerPoint, Microsoft Excel, Administrative..., Microsoft Office, HIPAA, Medicaid, Event Planning, Software Documentation, Access
Education
Full Sail University 2008 — 2009
Entertainment Business
Bay State College 2002 — 2004
Entertainment Management
Senior Whole Health September 2013 - Present
Steward Medical Group October 2012 - June 2013
British Airways June 2012 - September 2012
Beacon Health Strategies January 2011 - May 2011
Neighborhood Health Plan April 2008 - October 2010
Division of Professional Licensure, Electricians Board January 2007 - December 2007
Skills
Data Entry, Healthcare, Outlook, Customer Service, Microsoft Word, PowerPoint, Microsoft Excel, Administrative..., Microsoft Office, HIPAA, Medicaid, Event Planning, Software Documentation, Access
Education
Full Sail University 2008 — 2009
Entertainment Business
Bay State College 2002 — 2004
Entertainment Management
Carlo Petrosino Carlo Petrosino's Neighborhood Health Plan Experience February 2004 - May 2014
Job IS Senior Project Manager at Tufts hea
Industry Insurance
Experience
Tufts Health Plan May 2014 - Present
Neighborhood Health Plan February 2004 - May 2014
Blue Cross Blue Shield of Ilinois August 2000 - January 2004
Skills
SDLC, PMO, Business Analysis, Project Portfolio..., Vendor Management, Program Management, Software Project..., Leadership, Team Building, Cross-functional Team..., Process Improvement, Project Management, Visio, PMP
Education
DePaul University 1987 — 1990
BA, Political Science Major, BA Minor
Bachelor's Degree
Tufts Health Plan May 2014 - Present
Neighborhood Health Plan February 2004 - May 2014
Blue Cross Blue Shield of Ilinois August 2000 - January 2004
Skills
SDLC, PMO, Business Analysis, Project Portfolio..., Vendor Management, Program Management, Software Project..., Leadership, Team Building, Cross-functional Team..., Process Improvement, Project Management, Visio, PMP
Education
DePaul University 1987 — 1990
BA, Political Science Major, BA Minor
Bachelor's Degree
Colleen Michaels-Walsh's Neighborhood Health Plan Experience May 2012 - Present
Job Customer Service Care Specialist at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan May 2012 - Present
Weight Watchers January 2012 - Present
Tufts Health Plan 2006 - 2010
Blue Cross Blue Shield of Massachusetts 2005 - 2006
Harvard Pilgrim Health Care 1985 - 2005
Skills
Medicare, Healthcare Management, Managed Care, Health Insurance, HIPAA, Healthcare, Medicaid, Insurance, Employee Benefits, Data Entry, Leadership, Team Leadership, Training, Policy, Program Management, Management, Customer Service, Call Centers, Software Documentation, Access, Healthcare Industry, Community Outreach
Education
Millenium Training Institute 2011 — 2012
Certificate in Medical Administration - Coding and Billing
Emerson College 1990 — 2012
Bachelors, Communications
Wareham High School 1976 — 1977
High School Dipolma, Business
Neighborhood Health Plan May 2012 - Present
Weight Watchers January 2012 - Present
Tufts Health Plan 2006 - 2010
Blue Cross Blue Shield of Massachusetts 2005 - 2006
Harvard Pilgrim Health Care 1985 - 2005
Skills
Medicare, Healthcare Management, Managed Care, Health Insurance, HIPAA, Healthcare, Medicaid, Insurance, Employee Benefits, Data Entry, Leadership, Team Leadership, Training, Policy, Program Management, Management, Customer Service, Call Centers, Software Documentation, Access, Healthcare Industry, Community Outreach
Education
Millenium Training Institute 2011 — 2012
Certificate in Medical Administration - Coding and Billing
Emerson College 1990 — 2012
Bachelors, Communications
Wareham High School 1976 — 1977
High School Dipolma, Business
Andy Cracknell Andy Cracknell's Neighborhood Health Plan Experience February 2010 - March 2010
Job HR Generalist at The Trustees of Reservations
Industry Nonprofit Organization Management
Experience
The Trustees of Reservations June 2014 - Present
Bay Cove Human Services February 2011 - June 2014
Community Servings September 2010 - January 2011
Neighborhood Health Plan February 2010 - March 2010
Neighborhood Health Plan August 2008 - August 2009
Neighborhood Health Plan August 2003 - September 2008
Neighborhood Health Plan March 2000 - April 2003
Keane, Inc May 1997 - March 2000
Skills
HRIS, Employee Benefits, Human Resources, Payroll, Benefits Administration, Employee Relations, New Hire Orientations, Organizational..., Interviews, Recruiting, Performance Management, 401k, Deferred Compensation, Coaching, Onboarding, Talent Management
Education
Emmanuel College 2007 — 2010
Masters Degree, Human Resources Management
Northeastern University 2004 — 2006
Graduate Certificate, Human Resource Management
Northeastern University 1986 — 1992
Bachelor of Science, Business Administration; HRM
The Trustees of Reservations June 2014 - Present
Bay Cove Human Services February 2011 - June 2014
Community Servings September 2010 - January 2011
Neighborhood Health Plan February 2010 - March 2010
Neighborhood Health Plan August 2008 - August 2009
Neighborhood Health Plan August 2003 - September 2008
Neighborhood Health Plan March 2000 - April 2003
Keane, Inc May 1997 - March 2000
Skills
HRIS, Employee Benefits, Human Resources, Payroll, Benefits Administration, Employee Relations, New Hire Orientations, Organizational..., Interviews, Recruiting, Performance Management, 401k, Deferred Compensation, Coaching, Onboarding, Talent Management
Education
Emmanuel College 2007 — 2010
Masters Degree, Human Resources Management
Northeastern University 2004 — 2006
Graduate Certificate, Human Resource Management
Northeastern University 1986 — 1992
Bachelor of Science, Business Administration; HRM
Steven Blethen Steven Blethen's Neighborhood Health Plan Experience March 2014 - February 2015
Job Regional Account Coordinator at EF Education First
Industry Consumer Services
Experience
EF Education First February 2015 - Present
Neighborhood Health Plan March 2014 - February 2015
Grand Circle Corporation March 2012 - January 2014
National Visa Center October 2010 - February 2012
TD Bank Group July 2010 - July 2011
People's United Bank June 2009 - February 2010
Eastern Connecticut State University August 2006 - May 2009
Skills
•Excellent..., •Offers dependability,..., •Ability to work..., •Able to manage tasks..., •Excellent verbal and..., Part Of A Team, Integrity, Management, Customer Service, Communication, Organizational Structure, Customer Satisfaction, Call Centers, Event Planning, Program Management, Human Resources, Project Planning, Research, Training, Time Management, Leadership, Conflict Resolution, Microsoft Excel
Education
Eastern Connecticut State University 2005 — 2009
Bachelor of Arts, History and Social Sciences
Enrico Fermi High School 2001 — 2005
Diploma, General Studies
EF Education First February 2015 - Present
Neighborhood Health Plan March 2014 - February 2015
Grand Circle Corporation March 2012 - January 2014
National Visa Center October 2010 - February 2012
TD Bank Group July 2010 - July 2011
People's United Bank June 2009 - February 2010
Eastern Connecticut State University August 2006 - May 2009
Skills
•Excellent..., •Offers dependability,..., •Ability to work..., •Able to manage tasks..., •Excellent verbal and..., Part Of A Team, Integrity, Management, Customer Service, Communication, Organizational Structure, Customer Satisfaction, Call Centers, Event Planning, Program Management, Human Resources, Project Planning, Research, Training, Time Management, Leadership, Conflict Resolution, Microsoft Excel
Education
Eastern Connecticut State University 2005 — 2009
Bachelor of Arts, History and Social Sciences
Enrico Fermi High School 2001 — 2005
Diploma, General Studies
Kathleen Smith's Neighborhood Health Plan Experience January 2005 - October 2008
Job Senior Communications Professional
Industry Medical Devices
Experience
CA Technologies April 2009 - February 2014
MITRE 2014 - 2014
Perfect Prose Consulting November 2008 - March 2009
Neighborhood Health Plan January 2005 - October 2008
Accellent September 2004 - January 2005
HealthPoint Wellness and Fitness Center August 2001 - January 2004
Self-employed February 2001 - August 2001
Opcenter, Wakefield, MA October 1999 - February 2001
Skills
Marketing Communications, Newsletters, Public Relations, Corporate Communications, Microsoft Office, Press Releases, Proofreading, Editing, Advertising, Marketing, Proposal Writing, Web Content, Nonprofits, Marketing Strategy, Publishing, Copywriting
Education
Framingham State College
B.S., Biology/Minor in Writing
Framingham State University
CA Technologies April 2009 - February 2014
MITRE 2014 - 2014
Perfect Prose Consulting November 2008 - March 2009
Neighborhood Health Plan January 2005 - October 2008
Accellent September 2004 - January 2005
HealthPoint Wellness and Fitness Center August 2001 - January 2004
Self-employed February 2001 - August 2001
Opcenter, Wakefield, MA October 1999 - February 2001
Skills
Marketing Communications, Newsletters, Public Relations, Corporate Communications, Microsoft Office, Press Releases, Proofreading, Editing, Advertising, Marketing, Proposal Writing, Web Content, Nonprofits, Marketing Strategy, Publishing, Copywriting
Education
Framingham State College
B.S., Biology/Minor in Writing
Framingham State University
Diana A. Villa Diana A. Villa's Neighborhood Health Plan Experience 1996 - 1998
Job Contracting and Provider Services
Industry Hospital & Health Care
Experience
Humana March 2015 - Present
Jackson Health System July 2000 - August 2014
Dimensions Healthcare 1998 - 2000
Neighborhood Health Plan 1996 - 1998
Skills
Provider Relations, Medicaid, Managed Care, Healthcare, Healthcare Management, Healthcare Information..., HIPAA, Medicare, Healthcare Consulting, EHR, Revenue Cycle, Healthcare Industry, Physician Relations, Health Insurance, EMR, HMO, Credentialing, Medical Terminology, Network Development, Process Improvement, Insurance, CPT, Management, PPO, Revenue Cycle Management, Medical Billing, Leadership
Education
Nova Southeastern University
B.S., Business Administration
Miami Dade College
Associate of Arts (AA), Business Administration and Management, General
Humana March 2015 - Present
Jackson Health System July 2000 - August 2014
Dimensions Healthcare 1998 - 2000
Neighborhood Health Plan 1996 - 1998
Skills
Provider Relations, Medicaid, Managed Care, Healthcare, Healthcare Management, Healthcare Information..., HIPAA, Medicare, Healthcare Consulting, EHR, Revenue Cycle, Healthcare Industry, Physician Relations, Health Insurance, EMR, HMO, Credentialing, Medical Terminology, Network Development, Process Improvement, Insurance, CPT, Management, PPO, Revenue Cycle Management, Medical Billing, Leadership
Education
Nova Southeastern University
B.S., Business Administration
Miami Dade College
Associate of Arts (AA), Business Administration and Management, General
Elle Pope's Neighborhood Health Plan Experience August 2015 - Present
Job Domestic Violence Program Intern at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan August 2015 - Present
Boston University School of Public Health August 2014 - Present
Haiti Hypertension Center June 2015 - August 2015
Iowa United Nations Association 2013 - 2014
Linn County Public Health Department 2013 - 2013
Center for Health Policy and Public Health June 2012 - June 2012
Cornell College 2010 - 2012
Skills
Public Speaking, Research, Student Affairs, Museums, Healthcare, Blogging, Public Health, Community Outreach, Event Planning, Nonprofits, Fundraising, Editing, Hospitals, Higher Education, Volunteer Management, Analysis, Statistical Data...
Education
Boston University School of Public Health 2014 — 2016
Master in Public Health: Global Health and Epidemiology, Global Health
Cornell College 2009 — 2013
Bachelor of Arts, Biochemistry and Molecular Biology, History
John F. Kennedy High School 2006 — 2009
Diploma
Neighborhood Health Plan August 2015 - Present
Boston University School of Public Health August 2014 - Present
Haiti Hypertension Center June 2015 - August 2015
Iowa United Nations Association 2013 - 2014
Linn County Public Health Department 2013 - 2013
Center for Health Policy and Public Health June 2012 - June 2012
Cornell College 2010 - 2012
Skills
Public Speaking, Research, Student Affairs, Museums, Healthcare, Blogging, Public Health, Community Outreach, Event Planning, Nonprofits, Fundraising, Editing, Hospitals, Higher Education, Volunteer Management, Analysis, Statistical Data...
Education
Boston University School of Public Health 2014 — 2016
Master in Public Health: Global Health and Epidemiology, Global Health
Cornell College 2009 — 2013
Bachelor of Arts, Biochemistry and Molecular Biology, History
John F. Kennedy High School 2006 — 2009
Diploma
Carol Pitts's Neighborhood Health Plan Experience July 2002 - January 2010
Job Vice President, Claims Administration at Fallon Health
Industry Hospital & Health Care
Experience
Fallon Health August 2014 - Present
Fallon Health January 2010 - August 2014
Neighborhood Health Plan July 2002 - January 2010
Neighborhood Health Plan September 1999 - June 2002
Harvard Pilgrim Health Care December 1990 - September 1999
Skills
Employee Benefits, Healthcare, Healthcare Management, Hospitals, Provider Relations, SDLC, Software Documentation, Insurance, Health Care Reform, Visio, Data Analysis, Vendor Management, Quality Assurance, Team Building, Health Insurance, Managed Care, Process Improvement
Education
Eastern Nazarene College
Associates, Business Management
Northeastern University
Bachelor of Science, Operations Technology
Fallon Health August 2014 - Present
Fallon Health January 2010 - August 2014
Neighborhood Health Plan July 2002 - January 2010
Neighborhood Health Plan September 1999 - June 2002
Harvard Pilgrim Health Care December 1990 - September 1999
Skills
Employee Benefits, Healthcare, Healthcare Management, Hospitals, Provider Relations, SDLC, Software Documentation, Insurance, Health Care Reform, Visio, Data Analysis, Vendor Management, Quality Assurance, Team Building, Health Insurance, Managed Care, Process Improvement
Education
Eastern Nazarene College
Associates, Business Management
Northeastern University
Bachelor of Science, Operations Technology
Edward Lowenstein, M.D. Edward Lowenstein, M.D.'s Neighborhood Health Plan Experience 2005 - 2006
Job Chief Medical Officer
Industry Hospital & Health Care
Experience
Florida Family Primary Care Centers of Pinellas, LLC February 2014 - Present
Coventry Health Care August 2012 - December 2012
EDI Watch June 2011 - May 2012
Centene Corporation 2011 - 2012
Aetna July 2009 - March 2010
Universal Healthcare January 2007 - July 2009
Neighborhood Health Plan 2005 - 2006
Florida Healthchoice 2000 - 2000
Physician Associates of Florida 1983 - 1999
Prudential 1983 - 1995
Skills
Pediatrics, Management, Managed Care, Medicare, Healthcare Management, Medicaid, Healthcare, Healthcare Consulting, Health Insurance, Utilization Management, Hospitals, Healthcare Information..., Clinical Research, EMR, Insurance, Physicians, Healthcare Industry, Medicine, Network Development, Medical Billing, Disease Management, Credentialing, Health Policy, Informatics, Health Economics, Home Care, Public Health, HIPAA, Provider Relations, HMO, Revenue Cycle, Physician Relations, Inpatient, Process Improvement, Practice Management, Medicare Part D, Quality Improvement, Utilization Review, Claim, Strategic Planning, EHR
Education
Jefferson Medical College of Thomas Jefferson University 1971 — 1975
M.D.
Muhlenberg College 1967 — 1971
B.S., Basic Science
Florida Family Primary Care Centers of Pinellas, LLC February 2014 - Present
Coventry Health Care August 2012 - December 2012
EDI Watch June 2011 - May 2012
Centene Corporation 2011 - 2012
Aetna July 2009 - March 2010
Universal Healthcare January 2007 - July 2009
Neighborhood Health Plan 2005 - 2006
Florida Healthchoice 2000 - 2000
Physician Associates of Florida 1983 - 1999
Prudential 1983 - 1995
Skills
Pediatrics, Management, Managed Care, Medicare, Healthcare Management, Medicaid, Healthcare, Healthcare Consulting, Health Insurance, Utilization Management, Hospitals, Healthcare Information..., Clinical Research, EMR, Insurance, Physicians, Healthcare Industry, Medicine, Network Development, Medical Billing, Disease Management, Credentialing, Health Policy, Informatics, Health Economics, Home Care, Public Health, HIPAA, Provider Relations, HMO, Revenue Cycle, Physician Relations, Inpatient, Process Improvement, Practice Management, Medicare Part D, Quality Improvement, Utilization Review, Claim, Strategic Planning, EHR
Education
Jefferson Medical College of Thomas Jefferson University 1971 — 1975
M.D.
Muhlenberg College 1967 — 1971
B.S., Basic Science
Carly Fishkin Carly Fishkin's Neighborhood Health Plan Experience April 2015 - Present
Job Supervisor of Member Enrollment at Neighborhood Health Plan
Industry Insurance
Experience
Neighborhood Health Plan April 2015 - Present
Neighborhood Health Plan November 2013 - Present
Skills
Microsoft Excel, PowerPoint, Microsoft Office, Microsoft Word, Outlook, Customer Service, Event Planning, Social Media, Research, Data Entry, Administrative..., Public Speaking, Editing, Facebook, Teamwork, Higher Education, Community Outreach, Data Analysis, Nonprofits, SPSS, Teaching
Education
Guilford College 2008 — 2012
Bachelor of Arts (B.A.), Sociology and Anthropology
Neighborhood Health Plan April 2015 - Present
Neighborhood Health Plan November 2013 - Present
Skills
Microsoft Excel, PowerPoint, Microsoft Office, Microsoft Word, Outlook, Customer Service, Event Planning, Social Media, Research, Data Entry, Administrative..., Public Speaking, Editing, Facebook, Teamwork, Higher Education, Community Outreach, Data Analysis, Nonprofits, SPSS, Teaching
Education
Guilford College 2008 — 2012
Bachelor of Arts (B.A.), Sociology and Anthropology
Amilcar Cardoso, MPS Amilcar Cardoso, MPS's Neighborhood Health Plan Experience July 2015 - Present
Job Systems Administrator at Neighborhood Health Plan
Industry Information Technology and Services
Experience
Neighborhood Health Plan July 2015 - Present
Morrison Mahoney LLP April 2013 - July 2015
Morrison Mahoney LLP October 2008 - April 2013
Morrison Mahoney LLP February 2007 - October 2008
Skills
Citrix, Technical Support, Operating Systems, Active Directory, Blackberry Enterprise..., Network Administration, Networking, Hardware, Help Desk Support, Laptops, Microsoft Exchange, Backup Exec, Altiris Deployment..., Application Packaging, Windows XP Pro, Windows 7, Windows Server, Hummingbird DM, Microsoft Office, VMware, Troubleshooting, Network Hardware, Citrix Metaframe, Accounting Applications, Summation iBlaze, pdfDocs, Wise Packaging Studio, VMware Infrastructure, LiveNote, HRIS, SCCM, Group Policy, Altiris, Symantec Antivirus, vSphere, EMC, Data Domain, Biscom, Netscaler
Education
Northeastern University 2009 — 2010
Master of Professional Studies, Informatics
Northeastern University 2000 — 2007
Bachelor of Science (B.S.), Information Technology
Fisher College 1997 — 1999
Associate of Science (A.S.), Computer Science
Neighborhood Health Plan July 2015 - Present
Morrison Mahoney LLP April 2013 - July 2015
Morrison Mahoney LLP October 2008 - April 2013
Morrison Mahoney LLP February 2007 - October 2008
Skills
Citrix, Technical Support, Operating Systems, Active Directory, Blackberry Enterprise..., Network Administration, Networking, Hardware, Help Desk Support, Laptops, Microsoft Exchange, Backup Exec, Altiris Deployment..., Application Packaging, Windows XP Pro, Windows 7, Windows Server, Hummingbird DM, Microsoft Office, VMware, Troubleshooting, Network Hardware, Citrix Metaframe, Accounting Applications, Summation iBlaze, pdfDocs, Wise Packaging Studio, VMware Infrastructure, LiveNote, HRIS, SCCM, Group Policy, Altiris, Symantec Antivirus, vSphere, EMC, Data Domain, Biscom, Netscaler
Education
Northeastern University 2009 — 2010
Master of Professional Studies, Informatics
Northeastern University 2000 — 2007
Bachelor of Science (B.S.), Information Technology
Fisher College 1997 — 1999
Associate of Science (A.S.), Computer Science
Christine Riley Christine Riley's Neighborhood Health Plan Experience September 2008 - Present
Job Senior Accountant; CPA at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan September 2008 - Present
O'Connor & Drew, P.C. January 1989 - November 1991
Skills
Accounting, Financial Analysis, CPA, Financial Reporting, Microsoft Excel
Education
Merrimack College 1984 — 1988
Bachelor of Science (B.S.), Accounting
Archbishop Williams High School
Neighborhood Health Plan September 2008 - Present
O'Connor & Drew, P.C. January 1989 - November 1991
Skills
Accounting, Financial Analysis, CPA, Financial Reporting, Microsoft Excel
Education
Merrimack College 1984 — 1988
Bachelor of Science (B.S.), Accounting
Archbishop Williams High School
Jon Dilworth Jon Dilworth's Neighborhood Health Plan Experience February 2003 - February 2004
Job Lead Analyst Telecommunications/Networking
Industry Utilities
Experience
Connecticut Natural Gas/The United Illuminating Company December 2004 - Present
The United Illuminating Company 2005 - 2015
Neighborhood Health Plan February 2003 - February 2004
Core,Inc October 1999 - January 2001
ConnectiCare March 1994 - October 1999
Hartford Steam Boiler July 1991 - November 1993
Skills
Team Management, Call Center, Cisco, Resource Management, Windows, Documentation, Healthcare, IT Operations, Project Management, ACD Management, Genesys, Interactive Intelligence, Nortel, Siemens, IVR, Intelligent Call Routing, Vendor Management, Operating Budgets, Telecommunications..., Networking, Disaster Recovery..., Visio, Windows Server, Disaster Recovery, Process Improvement, Business Analysis, Software Documentation, Information Technology, Integration, Telecommunications, Program Management, Management, Technical Support, Troubleshooting, VoIP, Call Centers, Cisco Technologies
Education
Eastern Connecticut State University
Computer Science
Manchester Community College
A.S., Computer Science
Computer Processing Institute
Connecticut Natural Gas/The United Illuminating Company December 2004 - Present
The United Illuminating Company 2005 - 2015
Neighborhood Health Plan February 2003 - February 2004
Core,Inc October 1999 - January 2001
ConnectiCare March 1994 - October 1999
Hartford Steam Boiler July 1991 - November 1993
Skills
Team Management, Call Center, Cisco, Resource Management, Windows, Documentation, Healthcare, IT Operations, Project Management, ACD Management, Genesys, Interactive Intelligence, Nortel, Siemens, IVR, Intelligent Call Routing, Vendor Management, Operating Budgets, Telecommunications..., Networking, Disaster Recovery..., Visio, Windows Server, Disaster Recovery, Process Improvement, Business Analysis, Software Documentation, Information Technology, Integration, Telecommunications, Program Management, Management, Technical Support, Troubleshooting, VoIP, Call Centers, Cisco Technologies
Education
Eastern Connecticut State University
Computer Science
Manchester Community College
A.S., Computer Science
Computer Processing Institute
Karla Valles Karla Valles's Neighborhood Health Plan Experience September 2011 - December 2011
Job SRCOSTEP Officer at Commissioned Corps of the U.S. Public Health Service
Industry Pharmaceuticals
Experience
Commissioned Corps of the U.S. Public Health Service September 2013 - Present
Walmart February 2010 - August 2013
Neighborhood Health Plan September 2011 - December 2011
Ocean View Day Hospital January 2011 - March 2011
Skills
Public Health, Pharmacy, Pharmacists, Infectious Diseases, Medication Therapy..., HIV, Immunization, Certified Immunizer, Patient Safety, Pharmacology, Diabetes, Healthcare, Cpr Certified, Community Outreach, Health Disparities
Education
Northeastern University 2008 — 2014
Doctor of Pharmacy (PharmD), Pharmacy, Magna Cum Laude
Commissioned Corps of the U.S. Public Health Service September 2013 - Present
Walmart February 2010 - August 2013
Neighborhood Health Plan September 2011 - December 2011
Ocean View Day Hospital January 2011 - March 2011
Skills
Public Health, Pharmacy, Pharmacists, Infectious Diseases, Medication Therapy..., HIV, Immunization, Certified Immunizer, Patient Safety, Pharmacology, Diabetes, Healthcare, Cpr Certified, Community Outreach, Health Disparities
Education
Northeastern University 2008 — 2014
Doctor of Pharmacy (PharmD), Pharmacy, Magna Cum Laude
Leigh Farrah's Neighborhood Health Plan Experience August 2012 - November 2013
Job Patient Intake Representative at Claimassist
Industry Banking
Experience
Total Clerical Services December 2013 - May 2014
Aerotek December 2013 - December 2013
Neighborhood Health Plan August 2012 - November 2013
Hollister, Inc June 2012 - August 2012
Randstad April 2012 - May 2012
Aerotek November 2011 - March 2012
Spherion October 2011 - October 2011
Bond Street Group, LLC July 2011 - September 2011
Crosby Benefit Systems April 2001 - December 2009
Bank of Boston 1998 - 2000
Skills
Cashiering, Customer Service, Data Entry, Data Quality, Teller, Training, Research, Telephone Skills, Call Centers
Education
Framingham State University 1985 — 1989
English
Mount Saint Joseph Academy 1984 — 1985
College
Presentation Academy 1981 — 1984
College
Total Clerical Services December 2013 - May 2014
Aerotek December 2013 - December 2013
Neighborhood Health Plan August 2012 - November 2013
Hollister, Inc June 2012 - August 2012
Randstad April 2012 - May 2012
Aerotek November 2011 - March 2012
Spherion October 2011 - October 2011
Bond Street Group, LLC July 2011 - September 2011
Crosby Benefit Systems April 2001 - December 2009
Bank of Boston 1998 - 2000
Skills
Cashiering, Customer Service, Data Entry, Data Quality, Teller, Training, Research, Telephone Skills, Call Centers
Education
Framingham State University 1985 — 1989
English
Mount Saint Joseph Academy 1984 — 1985
College
Presentation Academy 1981 — 1984
College
Anastasia Ermakova's Neighborhood Health Plan Experience September 2013 - December 2013
Job P4 Pharmacy Student at Northeastern University
Industry Hospital & Health Care
Experience
Target August 2015 - September 2015
Sanofi May 2015 - July 2015
Neighborhood Health Plan September 2013 - December 2013
Tufts Medical Center January 2013 - April 2013
Margolis Pharmacy May 2012 - August 2012
Education
Northeastern University 2010 — 2016
Doctor of Pharmacy (PharmD), Pharmacy, P4
Target August 2015 - September 2015
Sanofi May 2015 - July 2015
Neighborhood Health Plan September 2013 - December 2013
Tufts Medical Center January 2013 - April 2013
Margolis Pharmacy May 2012 - August 2012
Education
Northeastern University 2010 — 2016
Doctor of Pharmacy (PharmD), Pharmacy, P4
Luisa Puche Luisa Puche's Neighborhood Health Plan Experience February 1998 - March 2000
Job Chief Accounting Officer Interim at Brightstar
Industry Accounting
Experience
Brightstar March 2014 - Present
Brightstar Corp February 2013 - Present
Brightstar Corp. January 2012 - February 2013
Brightstar Corp. July 2010 - December 2011
Brightstar March 2010 - July 2010
D'An Financial Services March 2004 - March 2010
LEP Consulting, LLC. March 2004 - March 2010
Ernst & Young September 2000 - March 2004
Neighborhood Health Plan February 1998 - March 2000
Ernst & Young September 1992 - February 1998
Skills
Sarbanes-Oxley Act, Internal Controls, Financial Reporting, Corporate Finance, SEC filings, GAAP, Consolidation, Auditing, Accounting, Financial Accounting, Project Management, Acquisition Integration, Due Diligence, US GAAP, Financial Analysis, Finance, Financial Audits, SEC Filings, Management, Financial Statements, Strategy, Leadership, External Audit, Mergers
Education
Florida International University - College of Business Administration 1989 — 1991
Bachelors of Accounting
Miami Dade College 1988 — 1989
AA, Business
Brightstar March 2014 - Present
Brightstar Corp February 2013 - Present
Brightstar Corp. January 2012 - February 2013
Brightstar Corp. July 2010 - December 2011
Brightstar March 2010 - July 2010
D'An Financial Services March 2004 - March 2010
LEP Consulting, LLC. March 2004 - March 2010
Ernst & Young September 2000 - March 2004
Neighborhood Health Plan February 1998 - March 2000
Ernst & Young September 1992 - February 1998
Skills
Sarbanes-Oxley Act, Internal Controls, Financial Reporting, Corporate Finance, SEC filings, GAAP, Consolidation, Auditing, Accounting, Financial Accounting, Project Management, Acquisition Integration, Due Diligence, US GAAP, Financial Analysis, Finance, Financial Audits, SEC Filings, Management, Financial Statements, Strategy, Leadership, External Audit, Mergers
Education
Florida International University - College of Business Administration 1989 — 1991
Bachelors of Accounting
Miami Dade College 1988 — 1989
AA, Business
Joanna Yen Joanna Yen's Neighborhood Health Plan Experience June 2015 - Present
Job Pharmacy Intern at Neighborhood Health Plan
Industry Pharmaceuticals
Experience
Neighborhood Health Plan June 2015 - Present
Spaulding Rehabilitation Hospital April 2012 - September 2014
Tai Tung Pharmacy September 2013 - August 2014
Wakefern Food Corp. December 2012 - May 2013
St. Clare's Hospital June 2006 - June 2011
Skills
Hospitals, Inpatient, Meditech, Workflow, Omnicell, Community Pharmacy, Microsoft Office, Digication, Social Media, PDX, Medication Therapy..., Pharmacy, Customer Service
Education
Northeastern University 2010 — 2016
Pharmacy
Neighborhood Health Plan June 2015 - Present
Spaulding Rehabilitation Hospital April 2012 - September 2014
Tai Tung Pharmacy September 2013 - August 2014
Wakefern Food Corp. December 2012 - May 2013
St. Clare's Hospital June 2006 - June 2011
Skills
Hospitals, Inpatient, Meditech, Workflow, Omnicell, Community Pharmacy, Microsoft Office, Digication, Social Media, PDX, Medication Therapy..., Pharmacy, Customer Service
Education
Northeastern University 2010 — 2016
Pharmacy
Bessie A. Gray Bessie A. Gray's Neighborhood Health Plan Experience February 2001 - September 2002
Job Radiology Image Archive Supervisor at Beth Israel Deaconess Medical Center
Industry Hospital & Health Care
Experience
Boston Children's Hospital August 2005 - Present
Beth Israel Deaconess Medical Center September 2002 - Present
Neighborhood Health Plan February 2001 - September 2002
Brigham & Womens Hospital August 2000 - January 2001
Skills
Healthcare, Hospitals, Customer Service, Clinical Research, Research, Healthcare Management, PowerPoint, Leadership, Strategic Planning, Management
Education
Newbury College 1991 — 2003
Health/Health Care Administration/Management
English High School
Boston Children's Hospital August 2005 - Present
Beth Israel Deaconess Medical Center September 2002 - Present
Neighborhood Health Plan February 2001 - September 2002
Brigham & Womens Hospital August 2000 - January 2001
Skills
Healthcare, Hospitals, Customer Service, Clinical Research, Research, Healthcare Management, PowerPoint, Leadership, Strategic Planning, Management
Education
Newbury College 1991 — 2003
Health/Health Care Administration/Management
English High School
Julie Fay Julie Fay's Neighborhood Health Plan Experience 1997 - 2000
Job Communications Manager and Director of Music Ministries
Industry Religious Institutions
Experience
Catholic Weymouth Collaborative September 2014 - Present
Saint Jerome Parish January 2012 - Present
Self-employed 2001 - Present
Self-employed 2007 - 2014
St. Catherine of Siena Parish 2010 - 2011
St. Mary of the Hills School 2010 - 2011
St. Ann Parish 2001 - 2010
Sacred Heart Parish 1996 - 2010
Private Healthcare Systems 2000 - 2001
Neighborhood Health Plan 1997 - 2000
Skills
Writing, Editing, Singing, Piano, Music, Teaching, Copywriting, Journalism, Corporate Communications, Copy Editing, Newsletters, Columnist, Musical Theatre, Vocal, Classical, Music Theory, Music Education, Choral
Education
New England Conservatory of Music 1991 — 1993
M.M., Voice performance
State University of New York College at Potsdam 1987 — 1991
B.M., Music Education
Olympia High School
Theological Institute for the New Evangelization, St. John's Seminary
Catholic Weymouth Collaborative September 2014 - Present
Saint Jerome Parish January 2012 - Present
Self-employed 2001 - Present
Self-employed 2007 - 2014
St. Catherine of Siena Parish 2010 - 2011
St. Mary of the Hills School 2010 - 2011
St. Ann Parish 2001 - 2010
Sacred Heart Parish 1996 - 2010
Private Healthcare Systems 2000 - 2001
Neighborhood Health Plan 1997 - 2000
Skills
Writing, Editing, Singing, Piano, Music, Teaching, Copywriting, Journalism, Corporate Communications, Copy Editing, Newsletters, Columnist, Musical Theatre, Vocal, Classical, Music Theory, Music Education, Choral
Education
New England Conservatory of Music 1991 — 1993
M.M., Voice performance
State University of New York College at Potsdam 1987 — 1991
B.M., Music Education
Olympia High School
Theological Institute for the New Evangelization, St. John's Seminary
Richard DelVecchio's Neighborhood Health Plan Experience March 2014 - Present
Job Customer Service Supervisor at Neighborhood Health Plan
Industry Health, Wellness and Fitness
Experience
Neighborhood Health Plan March 2014 - Present
Harvard Pilgrim Health Care February 2004 - September 2013
Harvard Pilgrim Health Care December 2001 - February 2004
Harvard Pilgrim Health Care August 2001 - November 2001
Harvard Pilgrim Health Care July 2000 - July 2001
Harvard Pilgrim Health Care January 1998 - July 2000
Skills
Recruiting, Training, Coaching, Employee Benefits, Customer Service, Interviews, Call Centers, Time Management, Policy, Sales, Healthcare, Team Building, Process Improvement, Insurance, Leadership, Regulatory Affairs, Dependable Team Player, Creative Problem Solving, Customer Satisfaction, Healthcare Management
Education
Duquesne University 1988 — 1993
Bachelor of Arts (BA), English Literature
Duquesne University
Bachelor of Arts, English
Neighborhood Health Plan March 2014 - Present
Harvard Pilgrim Health Care February 2004 - September 2013
Harvard Pilgrim Health Care December 2001 - February 2004
Harvard Pilgrim Health Care August 2001 - November 2001
Harvard Pilgrim Health Care July 2000 - July 2001
Harvard Pilgrim Health Care January 1998 - July 2000
Skills
Recruiting, Training, Coaching, Employee Benefits, Customer Service, Interviews, Call Centers, Time Management, Policy, Sales, Healthcare, Team Building, Process Improvement, Insurance, Leadership, Regulatory Affairs, Dependable Team Player, Creative Problem Solving, Customer Satisfaction, Healthcare Management
Education
Duquesne University 1988 — 1993
Bachelor of Arts (BA), English Literature
Duquesne University
Bachelor of Arts, English
Allison Lathrop's Neighborhood Health Plan Experience April 1997 - October 1998
Job Systems Analyst
Industry Information Technology and Services
Experience
Genentech, Inc. July 2003 - June 2007
Genentech, Inc. July 2000 - June 2003
XOMA (US) LLC December 1998 - July 2000
Neighborhood Health Plan April 1997 - October 1998
Prudential Healthcare September 1994 - November 1997
Skills
Project Management, Strategic Planning, Cross-functional Team..., Program Management, Process Improvement, Business Analysis, Business Intelligence, Vendor Management, SDLC, Data Analysis
Education
Cornell University 1993 — 1995
M.A., Sociology
Vassar College 1987 — 1991
A.B., Sociology
Genentech, Inc. July 2003 - June 2007
Genentech, Inc. July 2000 - June 2003
XOMA (US) LLC December 1998 - July 2000
Neighborhood Health Plan April 1997 - October 1998
Prudential Healthcare September 1994 - November 1997
Skills
Project Management, Strategic Planning, Cross-functional Team..., Program Management, Process Improvement, Business Analysis, Business Intelligence, Vendor Management, SDLC, Data Analysis
Education
Cornell University 1993 — 1995
M.A., Sociology
Vassar College 1987 — 1991
A.B., Sociology
Michael Nickey's Neighborhood Health Plan Experience January 2009 - March 2011
Job Executive Director MassHealth Programs and Fallon Total Care at Fallon Health
Industry Insurance
Experience
Fallon Health July 2014 - Present
Fallon Health April 2013 - July 2014
Boston Children's Hospital November 2012 - April 2013
CVS Caremark Corporation March 2011 - November 2012
Neighborhood Health Plan January 2009 - March 2011
Neighborhood Health Plan August 2005 - January 2009
Medco 2003 - 2005
Coherent, Inc. January 1997 - August 2001
Skills
Medicaid, Medicare, Health Care Reform, Product Management, Product Development, Marketing Strategy, Contract Management, HMO, Managed Care, Healthcare, Health Insurance
Education
Dartmouth College - The Tuck School of Business at Dartmouth 2001 — 2003
MBA, Business Administration and Management, General
New Jersey Institute of Technology 1995 — 1997
Master of Science, Environmental Science
Rutgers University-New Brunswick 1991 — 1995
BS, Environmental Science
Fallon Health July 2014 - Present
Fallon Health April 2013 - July 2014
Boston Children's Hospital November 2012 - April 2013
CVS Caremark Corporation March 2011 - November 2012
Neighborhood Health Plan January 2009 - March 2011
Neighborhood Health Plan August 2005 - January 2009
Medco 2003 - 2005
Coherent, Inc. January 1997 - August 2001
Skills
Medicaid, Medicare, Health Care Reform, Product Management, Product Development, Marketing Strategy, Contract Management, HMO, Managed Care, Healthcare, Health Insurance
Education
Dartmouth College - The Tuck School of Business at Dartmouth 2001 — 2003
MBA, Business Administration and Management, General
New Jersey Institute of Technology 1995 — 1997
Master of Science, Environmental Science
Rutgers University-New Brunswick 1991 — 1995
BS, Environmental Science
Habib Tber's Neighborhood Health Plan Experience 2010 - 2012
Job Director of Information Technology at Eduventures
Industry Information Technology and Services
Experience
Eduventures September 2014 - Present
Dovetail Health March 2013 - September 2014
Data Intensity August 2012 - March 2013
Neighborhood Health Plan 2010 - 2012
AMR Research, Inc October 1999 - March 2010
Skills
Program Management, Business Intelligence, Project Management, Cross-functional Team..., Business Analysis, Cloud Computing, Analytics, Disaster Recovery, Team Leadership, IT Strategy, Vendor Management, Process Improvement, IT Management, SharePoint, SaaS, Business Process, Enterprise Software, CRM
Education
Daniel Webster College 2005 — 2007
MBA
Eastern Nazarene College
BSBA
Eduventures September 2014 - Present
Dovetail Health March 2013 - September 2014
Data Intensity August 2012 - March 2013
Neighborhood Health Plan 2010 - 2012
AMR Research, Inc October 1999 - March 2010
Skills
Program Management, Business Intelligence, Project Management, Cross-functional Team..., Business Analysis, Cloud Computing, Analytics, Disaster Recovery, Team Leadership, IT Strategy, Vendor Management, Process Improvement, IT Management, SharePoint, SaaS, Business Process, Enterprise Software, CRM
Education
Daniel Webster College 2005 — 2007
MBA
Eastern Nazarene College
BSBA
Bill Coale's Neighborhood Health Plan Experience 2005 - 2007
Job I design databases that integrate data from multiple sources into a single structure for those who report on the data
Industry Computer Software
Experience
Cell Signaling Technology (CST) September 2014 - Present
Humedica 2013 - August 2014
Bank of America 2007 - 2013
Neighborhood Health Plan 2005 - 2007
Aspen Technology 2001 - 2005
Skills
Business Intelligence, Software Development, SQL, Query Optimization, Query Tuning, Query Writing, Microsoft SQL Server, T-SQL, SQL Server Management..., Data Modeling, Visio, Data Warehousing, IT Strategy, Enterprise Software, SharePoint, HTML 5, JavaScript, CSS, MSQuery, MS Excel Pivot Tables, java, perl, Unix Shell Scripting, UNIX utilities, Perl
Education
Loyola University Maryland
MS, Computer Engineering
Penn State University
BS, Economics
Cell Signaling Technology (CST) September 2014 - Present
Humedica 2013 - August 2014
Bank of America 2007 - 2013
Neighborhood Health Plan 2005 - 2007
Aspen Technology 2001 - 2005
Skills
Business Intelligence, Software Development, SQL, Query Optimization, Query Tuning, Query Writing, Microsoft SQL Server, T-SQL, SQL Server Management..., Data Modeling, Visio, Data Warehousing, IT Strategy, Enterprise Software, SharePoint, HTML 5, JavaScript, CSS, MSQuery, MS Excel Pivot Tables, java, perl, Unix Shell Scripting, UNIX utilities, Perl
Education
Loyola University Maryland
MS, Computer Engineering
Penn State University
BS, Economics
Joseph Nash's Neighborhood Health Plan Experience October 2012 - November 2013
Job Sr. Project Manager at Network Health
Industry Information Technology and Services
Experience
Tufts Health Plan – Network Health February 2014 - Present
Neighborhood Health Plan October 2012 - November 2013
Network Health 2012 - September 2012
McKesson Health Solutions 2011 - 2012
Hewlett-Packard April 2011 - October 2011
WellPoint December 2009 - April 2011
EDS March 2008 - November 2009
Hewlett-Packard March 2008 - November 2009
Blue Cross Blue Shield of Massachusetts March 2008 - November 2009
Perot Systems September 2004 - 2007
Skills
PMP, PMO, Project Portfolio..., Project Management, Business Continuity, Disaster Recovery, Program Management, E-business, SDLC, Healthcare Information..., IT Strategy, Project Planning, IT Management, Process Improvement, Business Impact Analysis, Integration, Software Project..., Strategy, Governance, Testing, Finance, Information Technology, Leadership, Vendor Management, Business Analysis, Change Management, Visio, Requirements Gathering, Business Process, Requirements Analysis, Business Process..., Resource Management, SharePoint, Enterprise Software, MS Project, Business Intelligence, User Acceptance Testing, Enterprise Architecture, Software Documentation, Cross-functional Team..., Agile Project Management, ITIL, Project Delivery, Business Requirements, Data Warehousing, Telecommunications, Agile Methodologies, System Deployment, Systems Analysis, Management
Education
Northeastern University 1981 — 1985
Manhattan College 1972 — 1973
Warwick Valley High School
Tufts Health Plan – Network Health February 2014 - Present
Neighborhood Health Plan October 2012 - November 2013
Network Health 2012 - September 2012
McKesson Health Solutions 2011 - 2012
Hewlett-Packard April 2011 - October 2011
WellPoint December 2009 - April 2011
EDS March 2008 - November 2009
Hewlett-Packard March 2008 - November 2009
Blue Cross Blue Shield of Massachusetts March 2008 - November 2009
Perot Systems September 2004 - 2007
Skills
PMP, PMO, Project Portfolio..., Project Management, Business Continuity, Disaster Recovery, Program Management, E-business, SDLC, Healthcare Information..., IT Strategy, Project Planning, IT Management, Process Improvement, Business Impact Analysis, Integration, Software Project..., Strategy, Governance, Testing, Finance, Information Technology, Leadership, Vendor Management, Business Analysis, Change Management, Visio, Requirements Gathering, Business Process, Requirements Analysis, Business Process..., Resource Management, SharePoint, Enterprise Software, MS Project, Business Intelligence, User Acceptance Testing, Enterprise Architecture, Software Documentation, Cross-functional Team..., Agile Project Management, ITIL, Project Delivery, Business Requirements, Data Warehousing, Telecommunications, Agile Methodologies, System Deployment, Systems Analysis, Management
Education
Northeastern University 1981 — 1985
Manhattan College 1972 — 1973
Warwick Valley High School
Melissa Keefe, PHR's Neighborhood Health Plan Experience March 2007 - Present
Job Recruitment Manager at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan March 2007 - Present
Skills
Technical Recruiting, Social Media, Diversity Recruitment, Onboarding, Employee Relations, Performance Management, Healthcare, Recruiting, Talent Acquisition, Process Improvement, Talent Management, Human Resources, Management, Strategy, Employee Engagement, System Administration, Employee Benefits, College Recruiting, Training, Sourcing, Hiring, Customer Service, Team Building, Coaching, Career Counseling, PeopleSoft, Internet Recruiting, Strategic Planning, Leadership, HRIS, Staff Development, Employee Training, Contract Recruitment, Employment Law, Change Management, Career Development, Conflict Resolution, Organizational..., Interviews, Temporary Staffing, Negotiation, Deferred Compensation, Benefits Administration, Training Delivery, Account Management, Resume Writing, Workforce Planning, Applicant Tracking..., Temporary Placement
Education
Fordham University 2003 — 2006
MSEd, Counseling and Personnel Services
Florida International University 2000 — 2003
BA, Psychology
North Quincy High
Neighborhood Health Plan March 2007 - Present
Skills
Technical Recruiting, Social Media, Diversity Recruitment, Onboarding, Employee Relations, Performance Management, Healthcare, Recruiting, Talent Acquisition, Process Improvement, Talent Management, Human Resources, Management, Strategy, Employee Engagement, System Administration, Employee Benefits, College Recruiting, Training, Sourcing, Hiring, Customer Service, Team Building, Coaching, Career Counseling, PeopleSoft, Internet Recruiting, Strategic Planning, Leadership, HRIS, Staff Development, Employee Training, Contract Recruitment, Employment Law, Change Management, Career Development, Conflict Resolution, Organizational..., Interviews, Temporary Staffing, Negotiation, Deferred Compensation, Benefits Administration, Training Delivery, Account Management, Resume Writing, Workforce Planning, Applicant Tracking..., Temporary Placement
Education
Fordham University 2003 — 2006
MSEd, Counseling and Personnel Services
Florida International University 2000 — 2003
BA, Psychology
North Quincy High
Jerry Driscoll's Neighborhood Health Plan Experience April 2006 - Present
Job Manager of Back Office Services at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan April 2006 - Present
Tekstyl, Inc. May 2003 - January 2007
Clean Harbors 1997 - 2006
Education
Massachusetts Maritime Academy 1986 — 1989
Neighborhood Health Plan April 2006 - Present
Tekstyl, Inc. May 2003 - January 2007
Clean Harbors 1997 - 2006
Education
Massachusetts Maritime Academy 1986 — 1989
Richard R Thompson's Neighborhood Health Plan Experience 1999 - 2000
Job Database Administrator (SQL)
Industry Information Technology and Services
Experience
Simmons College December 2007 - Present
CELT Corporation May 2003 - July 2004
Glance Networks 2002 - 2004
Beansprout Networks April 2000 - March 2002
Neighborhood Health Plan 1999 - 2000
DigitasLBi_US 1989 - 1997
Skills
Databases, Cloud Computing, SQL, Microsoft SQL Server, Data Analysis, Microsoft Excel, Reporting & Analysis, Business Intelligence..., ETL Tools, SQL Report Writing, UniData, Communication Skills, Query Optimization, Data Conversion, MS Reporting Services, Database Design, Database Administration, Datatel, Financial Reporting, HTML, Windows
Education
Grinnell College
Humanities, Physics
Simmons College December 2007 - Present
CELT Corporation May 2003 - July 2004
Glance Networks 2002 - 2004
Beansprout Networks April 2000 - March 2002
Neighborhood Health Plan 1999 - 2000
DigitasLBi_US 1989 - 1997
Skills
Databases, Cloud Computing, SQL, Microsoft SQL Server, Data Analysis, Microsoft Excel, Reporting & Analysis, Business Intelligence..., ETL Tools, SQL Report Writing, UniData, Communication Skills, Query Optimization, Data Conversion, MS Reporting Services, Database Design, Database Administration, Datatel, Financial Reporting, HTML, Windows
Education
Grinnell College
Humanities, Physics
Ernestine Sobczak's Neighborhood Health Plan Experience 1994 - 2003
Job Business Consultant at HealthEdge
Industry Management Consulting
Experience
HealthEdge September 2012 - Present
Accenture December 2005 - September 2012
deNovis ('03-'04); Perot, BCBS of Rhode Island ('04-'05) 2003 - 2005
Neighborhood Health Plan 1994 - 2003
Blue Cross Blue Shield of MA 1990 - 1994
McDonald's Corp 1979 - 1984
Skills
Business Process Design, Operating Models, Health Insurance, Management Consulting, Consulting, Business Process..., Program Management, SDLC, Healthcare Consulting, Process Improvement, Change Management, Business Intelligence, Business Analysis, Business Process
Education
North Central College 1973 — 1977
Bachelor of Arts (BA), Accounting
HealthEdge September 2012 - Present
Accenture December 2005 - September 2012
deNovis ('03-'04); Perot, BCBS of Rhode Island ('04-'05) 2003 - 2005
Neighborhood Health Plan 1994 - 2003
Blue Cross Blue Shield of MA 1990 - 1994
McDonald's Corp 1979 - 1984
Skills
Business Process Design, Operating Models, Health Insurance, Management Consulting, Consulting, Business Process..., Program Management, SDLC, Healthcare Consulting, Process Improvement, Change Management, Business Intelligence, Business Analysis, Business Process
Education
North Central College 1973 — 1977
Bachelor of Arts (BA), Accounting
Brian Shaughnessy's Neighborhood Health Plan Experience March 2013 - April 2013
Job Database and Application Developer
Industry Information Technology and Services
Experience
Neighborhood Health Plan March 2013 - April 2013
Boston University School of Medicine October 2012 - January 2013
Convention Data Services August 2011 - August 2012
Noble Supply & Logistics March 2010 - August 2011
BIT Advisors March 2009 - April 2009
Mercer HR September 2006 - August 2008
Skills
SQL, Database Design, C#, ASP.NET
Education
Northeastern University 1998 — 2003
Neighborhood Health Plan March 2013 - April 2013
Boston University School of Medicine October 2012 - January 2013
Convention Data Services August 2011 - August 2012
Noble Supply & Logistics March 2010 - August 2011
BIT Advisors March 2009 - April 2009
Mercer HR September 2006 - August 2008
Skills
SQL, Database Design, C#, ASP.NET
Education
Northeastern University 1998 — 2003
Janet MacNeill's Neighborhood Health Plan Experience January 2010 - May 2012
Job Social Security Operations Director at Healthcare Financial, Inc.
Industry Hospital & Health Care
Experience
Healthcare Financial, Inc. June 2012 - Present
Neighborhood Health Plan January 2010 - May 2012
LeadBoston Class of 2010 at Boston Center for Communty and Justice September 2009 - May 2010
Neighborhood Health Plan May 2006 - December 2009
Neighborhood Health Plan April 2003 - April 2006
Massacusetts Behavioral Health Partnership 1996 - 2000
Skills
Quality Assurance, Process Improvement, Healthcare, Quality Management, Compliance, Business Process..., Software Documentation, HIPAA, Managed Care, Insurance, Employee Benefits, Management, Policy, Hospitals, Training, Leadership, Contract Management, Program Management, Medicaid
Education
Merrimack College 1987 — 1989
BSBA, Business
Healthcare Financial, Inc. June 2012 - Present
Neighborhood Health Plan January 2010 - May 2012
LeadBoston Class of 2010 at Boston Center for Communty and Justice September 2009 - May 2010
Neighborhood Health Plan May 2006 - December 2009
Neighborhood Health Plan April 2003 - April 2006
Massacusetts Behavioral Health Partnership 1996 - 2000
Skills
Quality Assurance, Process Improvement, Healthcare, Quality Management, Compliance, Business Process..., Software Documentation, HIPAA, Managed Care, Insurance, Employee Benefits, Management, Policy, Hospitals, Training, Leadership, Contract Management, Program Management, Medicaid
Education
Merrimack College 1987 — 1989
BSBA, Business
Katy Kehoe's Neighborhood Health Plan Experience 1999 - 2002
Job Health Care Administrator at Harvard University
Industry Hospital & Health Care
Experience
Harvard University Health Services 2006 - Present
Partners HealthCare 2002 - 2006
Neighborhood Health Plan 1999 - 2002
Hebrew SeniorLife 1998 - 1999
Education
Harvard T.H. Chan School of Public Health 1996 — 1998
MS
Dartmouth College
BA
Harvard University Health Services 2006 - Present
Partners HealthCare 2002 - 2006
Neighborhood Health Plan 1999 - 2002
Hebrew SeniorLife 1998 - 1999
Education
Harvard T.H. Chan School of Public Health 1996 — 1998
MS
Dartmouth College
BA
Maggie Schulz, Ed.M., L.I.C.S.W.'s Neighborhood Health Plan Experience October 2006 - June 2009
Job Clinical Social Worker/ Juvenile Court Clinician at Adolescent Consultation Services
Industry Mental Health Care
Experience
Adolescent Consultation Services (Middlesex County Juvenile Court Clinic) January 2015 - Present
Boston Children's Hospital April 2011 - January 2015
Children's Health Initiative October 2006 - 2014
Neighborhood Health Plan October 2006 - June 2009
Skills
Social Services, Social Media, Mental Health, Research
Education
Salem State University 2004 — 2006
M.S.W., Social Work
Harvard University Graduate School of Education 2002 — 2003
Ed.M., Human Development and Psychology
Hampshire College 1994 — 1998
Adolescent Consultation Services (Middlesex County Juvenile Court Clinic) January 2015 - Present
Boston Children's Hospital April 2011 - January 2015
Children's Health Initiative October 2006 - 2014
Neighborhood Health Plan October 2006 - June 2009
Skills
Social Services, Social Media, Mental Health, Research
Education
Salem State University 2004 — 2006
M.S.W., Social Work
Harvard University Graduate School of Education 2002 — 2003
Ed.M., Human Development and Psychology
Hampshire College 1994 — 1998
Lise Federman's Neighborhood Health Plan Experience 1996 - 1999
Job Private Consulting
Industry Hospital & Health Care
Experience
Commonwealth of Massachusetts 2002 - 2003
Neighborhood Health Plan 1996 - 1999
EOHHS 1993 - 1996
Division of Medical Assistance 1988 - 1993
Skills
Program Development, Healthcare, Non-profits
Education
University of Miami 2010 — 2011
Certificate, Patient Advocacy
Harvard University School of Public Health 1979 — 1981
Master of Science, Health Policy and Management
University of Massachusetts, Amherst 1974 — 1978
BA, Chemistry
Commonwealth of Massachusetts 2002 - 2003
Neighborhood Health Plan 1996 - 1999
EOHHS 1993 - 1996
Division of Medical Assistance 1988 - 1993
Skills
Program Development, Healthcare, Non-profits
Education
University of Miami 2010 — 2011
Certificate, Patient Advocacy
Harvard University School of Public Health 1979 — 1981
Master of Science, Health Policy and Management
University of Massachusetts, Amherst 1974 — 1978
BA, Chemistry
Cindy Cookson's Neighborhood Health Plan Experience January 2007 - Present
Job Program Manager
Industry Hospital & Health Care
Experience
Pediatric Physician Organization Children June 2014 - Present
Neighborhood Health Plan January 2007 - Present
Harvard Pilgrim 1998 - 2001
Education
Curry College
Pediatric Physician Organization Children June 2014 - Present
Neighborhood Health Plan January 2007 - Present
Harvard Pilgrim 1998 - 2001
Education
Curry College
William Hanson's Neighborhood Health Plan Experience 2007 - 2013
Job Project Manager at BCBSMA
Industry Information Technology and Services
Experience
Blue Cross Blue Shield of Massachusetts 2014 - Present
MultiPlan 2013 - 2014
Gardner Resources Group 2013 - 2013
Neighborhood Health Plan 2007 - 2013
Private Healthcare Systems 2001 - 2007
Arbella Insurance Group 1998 - 2001
Harvard Pilgrim Health Care 1996 - 1998
Pilgrim Healthcare April 1988 - September 1996
Thrivent Financial for Lutherans 1987 - 1989
Skills
HIPAA, SDLC, Healthcare Information..., Healthcare, Process Improvement, SharePoint, Business Analysis, Software Documentation, Vendor Management, Visio, Project Management, Integration, Requirements Analysis, Analysis, Leadership, Project Planning
Education
Emmanuel College
Bachleor of Science, Business Administration, 3.87
Blue Cross Blue Shield of Massachusetts 2014 - Present
MultiPlan 2013 - 2014
Gardner Resources Group 2013 - 2013
Neighborhood Health Plan 2007 - 2013
Private Healthcare Systems 2001 - 2007
Arbella Insurance Group 1998 - 2001
Harvard Pilgrim Health Care 1996 - 1998
Pilgrim Healthcare April 1988 - September 1996
Thrivent Financial for Lutherans 1987 - 1989
Skills
HIPAA, SDLC, Healthcare Information..., Healthcare, Process Improvement, SharePoint, Business Analysis, Software Documentation, Vendor Management, Visio, Project Management, Integration, Requirements Analysis, Analysis, Leadership, Project Planning
Education
Emmanuel College
Bachleor of Science, Business Administration, 3.87
Roberta Goldman-Wilkinson's Neighborhood Health Plan Experience April 2001 - May 2008
Job Vice President of Human Resources at South Shore Mental Health
Industry Human Resources
Experience
South Shore Mental Health January 2009 - Present
Neighborhood Health Plan April 2001 - May 2008
Harvard Pilgrim Health Care April 1991 - April 2001
harvard community health plan 1991 - 2001
Raytheon Missile Systems June 1986 - 1991
Skills
Employee Relations, Onboarding, Organizational..., Talent Management, Deferred Compensation, Recruiting, Performance Management, Human Resources, HRIS, Employee Engagement, Employee Benefits, Talent Acquisition, Succession Planning, Benefits Administration, Union Avoidance, Leadership, Training, Personnel Management, Strategy, Organizational..., FMLA, Career Development, Interviews, Workforce Planning, Labor Relations
Education
Cornell University 1982 — 1986
Bachelor of Science (BS), Labor and Industrial Relations
South Shore Mental Health January 2009 - Present
Neighborhood Health Plan April 2001 - May 2008
Harvard Pilgrim Health Care April 1991 - April 2001
harvard community health plan 1991 - 2001
Raytheon Missile Systems June 1986 - 1991
Skills
Employee Relations, Onboarding, Organizational..., Talent Management, Deferred Compensation, Recruiting, Performance Management, Human Resources, HRIS, Employee Engagement, Employee Benefits, Talent Acquisition, Succession Planning, Benefits Administration, Union Avoidance, Leadership, Training, Personnel Management, Strategy, Organizational..., FMLA, Career Development, Interviews, Workforce Planning, Labor Relations
Education
Cornell University 1982 — 1986
Bachelor of Science (BS), Labor and Industrial Relations
Molly Peyton's Neighborhood Health Plan Experience 2011 - Present
Job Pediatric Care Manager at Neighborhood Health Plan
Industry Health, Wellness and Fitness
Experience
Neighborhood Health Plan 2011 - Present
Medical Resources Home Health Corp 2005 - 2011
Spaulding Rehabilitation Hospital June 2001 - April 2005
Education
MGH Institute of Health Professions 1999 — 2001
DPT, Physical Therapy
University of Puget Sound 1994 — 1998
BS, Physical Education
La Pietra 1989 — 1994
Neighborhood Health Plan 2011 - Present
Medical Resources Home Health Corp 2005 - 2011
Spaulding Rehabilitation Hospital June 2001 - April 2005
Education
MGH Institute of Health Professions 1999 — 2001
DPT, Physical Therapy
University of Puget Sound 1994 — 1998
BS, Physical Education
La Pietra 1989 — 1994
Mark Mancini's Neighborhood Health Plan Experience May 2008 - January 2013
Job Human Resources Business Partner at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts January 2013 - Present
Neighborhood Health Plan May 2008 - January 2013
Corporate Executive Board 2005 - 2007
Skills
Human Resources, Performance Management, Organizational..., Employee Engagement
Education
Georgetown University 2001 — 2005
Blue Cross Blue Shield of Massachusetts January 2013 - Present
Neighborhood Health Plan May 2008 - January 2013
Corporate Executive Board 2005 - 2007
Skills
Human Resources, Performance Management, Organizational..., Employee Engagement
Education
Georgetown University 2001 — 2005
Patricia Peterson's Neighborhood Health Plan Experience October 2012 - Present
Job Manager, Appeals and Grievances at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan October 2012 - Present
Rise Health May 2011 - February 2012
Beacon Health Strategies July 2000 - February 2011
Harvard Pilgrim Health Care 1998 - 2000
Skills
HIPAA, Medicaid, Provider Relations, Call Centers, Health Insurance, Utilization Management, Disease Management, HMO, Healthcare Management, Healthcare, Managed Care
Education
Northeastern University
MEd, Counseling
Neighborhood Health Plan October 2012 - Present
Rise Health May 2011 - February 2012
Beacon Health Strategies July 2000 - February 2011
Harvard Pilgrim Health Care 1998 - 2000
Skills
HIPAA, Medicaid, Provider Relations, Call Centers, Health Insurance, Utilization Management, Disease Management, HMO, Healthcare Management, Healthcare, Managed Care
Education
Northeastern University
MEd, Counseling
Doreen Nelson's Neighborhood Health Plan Experience 2002 - Present
Job Manager at NHP
Industry Insurance
Experience
NHP July 2002 - Present
Neighborhood Health Plan 2002 - Present
Blue Cross Blue Shield of Massachusetts September 1987 - July 1999
Education
Curry College 2007 — 2010
NHP July 2002 - Present
Neighborhood Health Plan 2002 - Present
Blue Cross Blue Shield of Massachusetts September 1987 - July 1999
Education
Curry College 2007 — 2010
Steven Kotin's Neighborhood Health Plan Experience June 1995 - May 1996
Job Senior Manager at HTMS
Industry Insurance
Experience
HTMS May 2011 - Present
WellPoint December 2003 - December 2010
First Consulting Group March 1998 - December 2003
L.A. Care Health Plan September 1996 - March 1998
Neighborhood Health Plan June 1995 - May 1996
Northridge Hospital Medical Center 1990 - 1994
Skills
Analytics, Business Analysis, SDLC, Program Management, Strategy, Integration, Strategic Planning, Analysis, Enterprise Software, Leadership, Process Improvement, Business Process, Management, HIPAA, Project Portfolio..., Vendor Management, Business Process..., Healthcare Information..., Requirements Analysis, IT Strategy
Education
Harvard T.H. Chan School of Public Health 1988 — 1990
MS, Health Policy and Management
Lewis and Clark College 1986 — 1990
BA, Hispanic Studies
HTMS May 2011 - Present
WellPoint December 2003 - December 2010
First Consulting Group March 1998 - December 2003
L.A. Care Health Plan September 1996 - March 1998
Neighborhood Health Plan June 1995 - May 1996
Northridge Hospital Medical Center 1990 - 1994
Skills
Analytics, Business Analysis, SDLC, Program Management, Strategy, Integration, Strategic Planning, Analysis, Enterprise Software, Leadership, Process Improvement, Business Process, Management, HIPAA, Project Portfolio..., Vendor Management, Business Process..., Healthcare Information..., Requirements Analysis, IT Strategy
Education
Harvard T.H. Chan School of Public Health 1988 — 1990
MS, Health Policy and Management
Lewis and Clark College 1986 — 1990
BA, Hispanic Studies
Andrew Radford's Neighborhood Health Plan Experience February 2003 - May 2003
Job Clinical Research Specialist
Industry Medical Devices
Experience
Medtronic August 2015 - Present
Medtronic November 2014 - August 2015
Medtronic October 2011 - July 2014
Masonic Cancer Center, University of Minnesota July 2009 - April 2010
University of Colorado at Boulder August 2003 - March 2006
Neighborhood Health Plan February 2003 - May 2003
United Airlines June 2002 - January 2003
Colorado Mountain Express December 2000 - April 2002
Shell February 2000 - November 2000
New Zealand Defence Force November 1999 - November 2000
Skills
Software Documentation, Clinical Trials, Clinical Research, Training, Sop, Research, Analysis, Protocol, Medical Devices, FDA, Data Analysis, Customer Service, Cross-functional Team..., Databases, Microsoft Office, Testing, Cardiology, Laboratory, Lifesciences, CTMS, GCP, EDC, 21 CFR Part 11, Regulatory Affairs, Life Sciences
Education
Hennepin Technical College 2014 — 2014
Certified, Emergency Medical Responder
Anoka Technical College 2010 — 2011
Nursing, Nursing Practice
Lincoln University (NZ) 1995 — 2003
Bachelor of Resource Studies, Environmental Management
Medtronic August 2015 - Present
Medtronic November 2014 - August 2015
Medtronic October 2011 - July 2014
Masonic Cancer Center, University of Minnesota July 2009 - April 2010
University of Colorado at Boulder August 2003 - March 2006
Neighborhood Health Plan February 2003 - May 2003
United Airlines June 2002 - January 2003
Colorado Mountain Express December 2000 - April 2002
Shell February 2000 - November 2000
New Zealand Defence Force November 1999 - November 2000
Skills
Software Documentation, Clinical Trials, Clinical Research, Training, Sop, Research, Analysis, Protocol, Medical Devices, FDA, Data Analysis, Customer Service, Cross-functional Team..., Databases, Microsoft Office, Testing, Cardiology, Laboratory, Lifesciences, CTMS, GCP, EDC, 21 CFR Part 11, Regulatory Affairs, Life Sciences
Education
Hennepin Technical College 2014 — 2014
Certified, Emergency Medical Responder
Anoka Technical College 2010 — 2011
Nursing, Nursing Practice
Lincoln University (NZ) 1995 — 2003
Bachelor of Resource Studies, Environmental Management
Thomas Cunniffe's Neighborhood Health Plan Experience April 2001 - Present
Job Director of Customer Care at Neighborhood Health Plan
Industry Insurance
Experience
Neighborhood Health Plan April 2001 - Present
Division of Medical Assistance May 1997 - April 2001
Education
Isenberg School of Management, UMass Amherst 2007 — 2010
MBA, Business Administration
Fordham University
Neighborhood Health Plan April 2001 - Present
Division of Medical Assistance May 1997 - April 2001
Education
Isenberg School of Management, UMass Amherst 2007 — 2010
MBA, Business Administration
Fordham University
Jim Glauber's Neighborhood Health Plan Experience Physician, Central Pediatric Asthma ProgramHarvard Vanguard Medical Associates2002 - Present
Job senior medical director at Neighborhood Health Plan
Industry Medical Practice
Experience
Neighborhood Health Plan Physician, Central Pediatric Asthma ProgramHarvard Vanguard Medical Associates2002 - Present
Kaiser Permanente 1993 - 1999
Education
Harvard Medical School 1999 — 2002
Pediatric Health Services Research Fellowship
Harvard T.H. Chan School of Public Health 1999 — 2002
MPH, clinical effectiveness
University of Pennsylvania School of Medicine 1988 — 1991
Pediatric residency
University of California, San Francisco - School of Medicine
md, medicine
Neighborhood Health Plan Physician, Central Pediatric Asthma ProgramHarvard Vanguard Medical Associates2002 - Present
Kaiser Permanente 1993 - 1999
Education
Harvard Medical School 1999 — 2002
Pediatric Health Services Research Fellowship
Harvard T.H. Chan School of Public Health 1999 — 2002
MPH, clinical effectiveness
University of Pennsylvania School of Medicine 1988 — 1991
Pediatric residency
University of California, San Francisco - School of Medicine
md, medicine
Matthew O'Mara's Neighborhood Health Plan Experience March 2004 - July 2005
Job Team Lead Reporting and Information Delivery at Prudential Financial
Industry Information Technology and Services
Experience
Prudential Financial October 2014 - Present
MetLife July 2005 - November 2014
Neighborhood Health Plan March 2004 - July 2005
Neighborhood Health Plan September 2002 - March 2004
Skills
QlikView Development, QlikView, Framework Manager, Cognos, Cognos ReportNet, Shared Services, Cognos PowerPlay..., Project Management, Cognos 10.2, Cognos 8.3, Informatica, ETL, DB2/UDB, Microsoft SQL Server, Sybase, Troubleshooting, Performance Tuning, Cognos Administration, Business Intelligence, Data Warehousing, Stored Procedures, DB2, Cognos Powerplay, Impromptu, Visual FoxPro 6.0-8.0, Multi-user relational..., Oracle, Systems Analysis and..., Relational Databases, SDLC, Data Modeling, Databases, Business Analysis, SQL, Data Migration, OLAP
Education
New England Institute of Technology 2001 — 2005
Bachelor of Science Degree in Computer Information Systems, Computer Software Engineering, 3.85
Cranston High School East
Cranston High School East
Prudential Financial October 2014 - Present
MetLife July 2005 - November 2014
Neighborhood Health Plan March 2004 - July 2005
Neighborhood Health Plan September 2002 - March 2004
Skills
QlikView Development, QlikView, Framework Manager, Cognos, Cognos ReportNet, Shared Services, Cognos PowerPlay..., Project Management, Cognos 10.2, Cognos 8.3, Informatica, ETL, DB2/UDB, Microsoft SQL Server, Sybase, Troubleshooting, Performance Tuning, Cognos Administration, Business Intelligence, Data Warehousing, Stored Procedures, DB2, Cognos Powerplay, Impromptu, Visual FoxPro 6.0-8.0, Multi-user relational..., Oracle, Systems Analysis and..., Relational Databases, SDLC, Data Modeling, Databases, Business Analysis, SQL, Data Migration, OLAP
Education
New England Institute of Technology 2001 — 2005
Bachelor of Science Degree in Computer Information Systems, Computer Software Engineering, 3.85
Cranston High School East
Cranston High School East
Tracey Siegrist's Neighborhood Health Plan Experience April 2013 - Present
Job Risk Score Data Analyst at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan April 2013 - Present
Press Ganey Associates February 2011 - April 2013
Commonwealth of Massachusetts June 2007 - May 2010
Skills
Microsoft Excel, Arena Simulation..., Visual Basic, SQL, SAS, PowerPoint, 4D, Microsoft Word, Statistics, Data Analysis, Access, Analysis
Education
Kenyon College 2002 — 2006
B.A., Economics
Neighborhood Health Plan April 2013 - Present
Press Ganey Associates February 2011 - April 2013
Commonwealth of Massachusetts June 2007 - May 2010
Skills
Microsoft Excel, Arena Simulation..., Visual Basic, SQL, SAS, PowerPoint, 4D, Microsoft Word, Statistics, Data Analysis, Access, Analysis
Education
Kenyon College 2002 — 2006
B.A., Economics
Julie Bertolini's Neighborhood Health Plan Experience October 1997 - December 1999
Job Product Owner at IBM
Industry Information Technology and Services
Experience
IBM April 2015 - Present
My Book Retreat October 2009 - Present
IBM January 2012 - April 2015
IBM May 2004 - January 2012
IBM April 2010 - August 2011
BT June 2007 - September 2008
IBM April 2001 - May 2004
Physicians Insurance Agency of Massachusetts December 1999 - March 2001
Neighborhood Health Plan October 1997 - December 1999
Quincy Visiting Nurse Association May 1994 - October 1997
Skills
Marketing Communications, Editing, Writing, Web Content, Content Strategy, Agile Methodologies, Project Management, Content Development, Copy Editing, Social Media Marketing, Corporate Communications, Digital Strategy, Creative Direction, Copywriting, Web Content Management, Newsletters, Public Relations, Press Releases, SEO, Content Management, Internal Communications, CMS, Digital Marketing, Blogging, Strategic Communications, Email Marketing, Interactive Marketing, Web Analytics, Analytics, Online Marketing, Digital Media, Integrated Marketing, Web Project Management, Web 2.0, Lead Generation, B2B Marketing, Website Development, User Experience, Social Networking, Publishing, SEM, Information Architecture, Social Media, Google Analytics, Strategy, Marketing Strategy
Education
Emerson College 1997 — 2000
MA, Integrated Marketing Communications
Ithaca College 1990 — 1994
BS, Communications
IBM April 2015 - Present
My Book Retreat October 2009 - Present
IBM January 2012 - April 2015
IBM May 2004 - January 2012
IBM April 2010 - August 2011
BT June 2007 - September 2008
IBM April 2001 - May 2004
Physicians Insurance Agency of Massachusetts December 1999 - March 2001
Neighborhood Health Plan October 1997 - December 1999
Quincy Visiting Nurse Association May 1994 - October 1997
Skills
Marketing Communications, Editing, Writing, Web Content, Content Strategy, Agile Methodologies, Project Management, Content Development, Copy Editing, Social Media Marketing, Corporate Communications, Digital Strategy, Creative Direction, Copywriting, Web Content Management, Newsletters, Public Relations, Press Releases, SEO, Content Management, Internal Communications, CMS, Digital Marketing, Blogging, Strategic Communications, Email Marketing, Interactive Marketing, Web Analytics, Analytics, Online Marketing, Digital Media, Integrated Marketing, Web Project Management, Web 2.0, Lead Generation, B2B Marketing, Website Development, User Experience, Social Networking, Publishing, SEM, Information Architecture, Social Media, Google Analytics, Strategy, Marketing Strategy
Education
Emerson College 1997 — 2000
MA, Integrated Marketing Communications
Ithaca College 1990 — 1994
BS, Communications
Coleen Magrath's Neighborhood Health Plan Experience January 2003 - February 2003
Job Successful tech support/training business owner. Specialize in tech problem solving and training for 50+/Senior pop.
Industry Information Technology and Services
Experience
Digital HouseCalls June 2007 - Present
Cape Ann Chamber of Commerce December 2010 - September 2011
Ends of the Earth Imports January 2002 - April 2008
Neighborhood Health Plan January 2003 - February 2003
CVS Caremark Corporation July 2002 - August 2002
GE Asset Management September 2001 - June 2002
Chase Global Fund Services October 2000 - August 2001
Knowledge Impact October 1999 - September 2000
Quintiles Transnational Corp. Inc August 1998 - September 1999
CSC Index, Inc June 1997 - July 1999
Skills
Excel, Troubleshooting, Problem Solving, Word, Windows, Writing, Lotus Domino, Project Management, Technical Support, Training, Computer Maintenance, Software Quality..., System Administration, Microsoft Excel, Project Planning, Security, Microsoft Exchange, Event Planning, Networking, Editing, Servers, Event Management, Disaster Recovery, Databases, Customer Service, Lotus Notes, Testing, Microsoft SQL Server, Microsoft Word
Education
Harvard University Extension 1980 — 1982
Graduate courses International Relations and Japanese
Merrimack College 1975 — 1980
BA, Political Science
Digital HouseCalls June 2007 - Present
Cape Ann Chamber of Commerce December 2010 - September 2011
Ends of the Earth Imports January 2002 - April 2008
Neighborhood Health Plan January 2003 - February 2003
CVS Caremark Corporation July 2002 - August 2002
GE Asset Management September 2001 - June 2002
Chase Global Fund Services October 2000 - August 2001
Knowledge Impact October 1999 - September 2000
Quintiles Transnational Corp. Inc August 1998 - September 1999
CSC Index, Inc June 1997 - July 1999
Skills
Excel, Troubleshooting, Problem Solving, Word, Windows, Writing, Lotus Domino, Project Management, Technical Support, Training, Computer Maintenance, Software Quality..., System Administration, Microsoft Excel, Project Planning, Security, Microsoft Exchange, Event Planning, Networking, Editing, Servers, Event Management, Disaster Recovery, Databases, Customer Service, Lotus Notes, Testing, Microsoft SQL Server, Microsoft Word
Education
Harvard University Extension 1980 — 1982
Graduate courses International Relations and Japanese
Merrimack College 1975 — 1980
BA, Political Science
Denise Gallagher's Neighborhood Health Plan Experience 1991 - 1997
Job National Head of Dual Eligible at Aetna/Coventry Health Care
Industry Executive Office
Experience
Aetna/Coventry Health Care 2013 - Present
Aetna/Coventry Health Care 2011 - 2013
Complete Health Solutions 2007 - 2011
Fidelis Senior Care March 2006 - June 2007
Senior Whole Health 2003 - 2006
Amerigroup Corporation 2000 - 2003
AmeriChoice 1998 - 2000
Neighborhood Health Plan 1991 - 1997
Commonwealth of Massachusetts 1988 - 1990
Skills
Business Development, Healthcare, Human Resources, Leadership, Managed Care, Management, Medicaid, Medicare, Program Management, Start-ups, Strategic Planning, Strategy, Training, Healthcare Consulting
Education
Center for Creative Leadership
Leadership Development
Gala International 1997 — 1997
Conversatational Spanish
North Adams State College 1978 — 1980
BA, Sociololgy
Massachusetts Bay Community College 1976 — 1978
AA, Liberal Arts
Aetna/Coventry Health Care 2013 - Present
Aetna/Coventry Health Care 2011 - 2013
Complete Health Solutions 2007 - 2011
Fidelis Senior Care March 2006 - June 2007
Senior Whole Health 2003 - 2006
Amerigroup Corporation 2000 - 2003
AmeriChoice 1998 - 2000
Neighborhood Health Plan 1991 - 1997
Commonwealth of Massachusetts 1988 - 1990
Skills
Business Development, Healthcare, Human Resources, Leadership, Managed Care, Management, Medicaid, Medicare, Program Management, Start-ups, Strategic Planning, Strategy, Training, Healthcare Consulting
Education
Center for Creative Leadership
Leadership Development
Gala International 1997 — 1997
Conversatational Spanish
North Adams State College 1978 — 1980
BA, Sociololgy
Massachusetts Bay Community College 1976 — 1978
AA, Liberal Arts
Cindy Palfrey's Neighborhood Health Plan Experience October 2006 - September 2007
Job Manager of Care Management Operations and Social Care Management at BMC HealthNet Plan/Well Sense Health Plan
Industry Insurance
Experience
BMC HealthNet Plan March 2013 - Present
BMC HealthNet Plan October 2009 - March 2013
Blue Cross Blue Shield of Massachusetts September 2007 - October 2009
Neighborhood Health Plan October 2006 - September 2007
MBHP January 2001 - October 2006
Greater Lynn Mental Health and Retardation Assn June 1987 - December 2000
Skills
Process Improvement, HIPAA, Medicaid, Healthcare Management, Behavioral Health, Visio
Education
Salem State University 1991 — 1993
MS, Counseling and Psychological Services
Gordon College 1983 — 1987
BS, Sociology, Music Education
BMC HealthNet Plan March 2013 - Present
BMC HealthNet Plan October 2009 - March 2013
Blue Cross Blue Shield of Massachusetts September 2007 - October 2009
Neighborhood Health Plan October 2006 - September 2007
MBHP January 2001 - October 2006
Greater Lynn Mental Health and Retardation Assn June 1987 - December 2000
Skills
Process Improvement, HIPAA, Medicaid, Healthcare Management, Behavioral Health, Visio
Education
Salem State University 1991 — 1993
MS, Counseling and Psychological Services
Gordon College 1983 — 1987
BS, Sociology, Music Education
Charley Goheen's Neighborhood Health Plan Experience December 2010 - August 2012
Job Chief Financial Officer at Harvard Pilgrim Health Care
Industry Insurance
Experience
Harvard Pilgrim Health Care August 2012 - Present
Neighborhood Health Plan December 2010 - August 2012
Fallon Community Health Plan July 2001 - November 2010
Skills
Medicare, Medicaid, Healthcare, Process Improvement, Financial Modeling, Insurance, Finance, Business Planning, Financial Analysis, Managed Care, Healthcare Management, Strategic Planning, Data Analysis, Financial Reporting, HIPAA, Health Insurance, Hospitals, Healthcare Information..., Healthcare Industry, Health Policy, Provider Relations, PPO, Revenue Cycle, Physicians, Physician Relations, HMO, Network Development
Education
M.I.T. 1982 — 1984
MSM, Operations Management
Harvard College 1974 — 1979
A.B., Economics
Harvard Pilgrim Health Care August 2012 - Present
Neighborhood Health Plan December 2010 - August 2012
Fallon Community Health Plan July 2001 - November 2010
Skills
Medicare, Medicaid, Healthcare, Process Improvement, Financial Modeling, Insurance, Finance, Business Planning, Financial Analysis, Managed Care, Healthcare Management, Strategic Planning, Data Analysis, Financial Reporting, HIPAA, Health Insurance, Hospitals, Healthcare Information..., Healthcare Industry, Health Policy, Provider Relations, PPO, Revenue Cycle, Physicians, Physician Relations, HMO, Network Development
Education
M.I.T. 1982 — 1984
MSM, Operations Management
Harvard College 1974 — 1979
A.B., Economics
Anita Johnson, RN, BSN, CCM's Neighborhood Health Plan Experience May 2013 - Present
Job Case Manager, Care Partnership Program at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan May 2013 - Present
Neighborhood Health Plan September 2012 - May 2013
Blue Cross Blue Shield of Massachusetts May 2012 - September 2012
Supplemental Health Care December 2010 - April 2011
Massachusetts General Hospital May 2005 - September 2010
Spaulding Rehabilitation Hospital May 2001 - May 2005
Greenery Rehabilitation Center December 1997 - May 2001
Skills
Case Managment, clinical chart review, Joint Commission prep, Microsoft Office, Motivational..., Health Care Compliance, Utilization Management, Home Care, HIPAA, Nursing, Inpatient, Disease Management, Medicine, Healthcare Management, Patient Advocacy, Registered Nurses, Healthcare, Managed Care, Reviews, Medical Compliance, Patient Safety, Medical/Surgical, Oncology, Medicaid, Adult Social Care, EMR, Meditech, ACLS, JCAHO, Acute Care, Nursing Education, BLS, Healthcare Consulting, EHR, Patient Education, Quality Improvement, Healthcare Information..., Medication..., Clinical Research, Ambulatory, NCQA, Behavioral Health, Medicare, Rehabilitation, Social Services, Treatment, Utilization Review, Critical Care, IV, Case Management
Education
Northeastern University
Bachelor's of Science in Nursing, Registered Nursing/Registered Nurse
The Stony Brook School
H.S Diploma; cum laude
Neighborhood Health Plan May 2013 - Present
Neighborhood Health Plan September 2012 - May 2013
Blue Cross Blue Shield of Massachusetts May 2012 - September 2012
Supplemental Health Care December 2010 - April 2011
Massachusetts General Hospital May 2005 - September 2010
Spaulding Rehabilitation Hospital May 2001 - May 2005
Greenery Rehabilitation Center December 1997 - May 2001
Skills
Case Managment, clinical chart review, Joint Commission prep, Microsoft Office, Motivational..., Health Care Compliance, Utilization Management, Home Care, HIPAA, Nursing, Inpatient, Disease Management, Medicine, Healthcare Management, Patient Advocacy, Registered Nurses, Healthcare, Managed Care, Reviews, Medical Compliance, Patient Safety, Medical/Surgical, Oncology, Medicaid, Adult Social Care, EMR, Meditech, ACLS, JCAHO, Acute Care, Nursing Education, BLS, Healthcare Consulting, EHR, Patient Education, Quality Improvement, Healthcare Information..., Medication..., Clinical Research, Ambulatory, NCQA, Behavioral Health, Medicare, Rehabilitation, Social Services, Treatment, Utilization Review, Critical Care, IV, Case Management
Education
Northeastern University
Bachelor's of Science in Nursing, Registered Nursing/Registered Nurse
The Stony Brook School
H.S Diploma; cum laude
Sherine Ford's Neighborhood Health Plan Experience July 2010 - May 2011
Job Director, Provider Finance and Strategy at Harvard Pilgrim Heath Care
Industry Hospital & Health Care
Experience
Harvard Pilgrim Heath Care June 2011 - Present
Neighborhood Health Plan July 2010 - May 2011
Neighborhood Health Plan September 2003 - July 2010
Neighborhood Health Plan May 1999 - August 2003
Boston Medical Center June 1996 - May 1999
Boston City Hospital July 1992 - May 1996
Boston City Hospital June 1990 - June 1992
Skills
Strategy, Strategic Planning, Process Improvement, Medicaid, Managed Care, Healthcare Consulting
Education
D'Amore-McKim School of Business at Northeastern University 1992 — 1995
MBA, Finance & Accounting
Isenberg School of Management, UMass Amherst 1986 — 1990
Bachelor of Science, Finance
Boston Latin Academy
Harvard Pilgrim Heath Care June 2011 - Present
Neighborhood Health Plan July 2010 - May 2011
Neighborhood Health Plan September 2003 - July 2010
Neighborhood Health Plan May 1999 - August 2003
Boston Medical Center June 1996 - May 1999
Boston City Hospital July 1992 - May 1996
Boston City Hospital June 1990 - June 1992
Skills
Strategy, Strategic Planning, Process Improvement, Medicaid, Managed Care, Healthcare Consulting
Education
D'Amore-McKim School of Business at Northeastern University 1992 — 1995
MBA, Finance & Accounting
Isenberg School of Management, UMass Amherst 1986 — 1990
Bachelor of Science, Finance
Boston Latin Academy
Jennifer Kent Weiner's Neighborhood Health Plan Experience April 2010 - August 2015
Job Network Contracting/Business Development Lead ME/NH Region at Optum
Industry Insurance
Experience
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
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
John A. Chappell's Neighborhood Health Plan Experience October 2012 - October 2012
Job Director of Training The TLC (Training and Learning Collaborative) a collaboration between NILP and the DPC.
Industry Public Policy
Experience
The Training and Learning Collaborative January 2013 - Present
PARI Independent Living Center in Pawtucket, RI July 2012 - November 2012
Neighborhood Health Plan October 2012 - October 2012
Northeast Independent Living Program October 2010 - September 2012
Multicultural Independent Living Center of Boston April 2010 - October 2010
Massachusetts Rehabilitation Commission 2009 - March 2010
Massachusetts Rehabilitation Commission December 1984 - November 2008
Endependence Center of Tidewater 1980 - 1984
US Army Aviation Materiel Laboratories January 1965 - January 1980
Skills
Non-profits, Strategic Planning, Community Outreach, Program Development, Government, Budget Management, Public Speaking, Program Management, Team Building, Leadership, Disabilities, Training, Management, Project Management, Strategy, Project Planning, Team Leadership, Policy, Organizational..., Assistive Technology, Public Policy, Policy Analysis, Analysis, Program Evaluation, System Administration, Management Consulting, Social Media, Community Development, Workforce Development, Coalitions, Social Change, Volunteer Management, Fundraising, Resume Writing, Nonprofits, Grants, Leadership Development, Grant Writing, Social Services, Budgets, Conflict Resolution, Staff Development, Community Organizing, Proposal Writing, Workshop Facilitation, Mental Health, Non-profit..., Teaching, Career Counseling, Technical Assistance
Education
Florida Institute of Technology 1968 — 1970
BSEE, Electrical Engineering and minor in history
Old Dominion University 1962 — 1965
AASEE, Electronics Technology
The Training and Learning Collaborative January 2013 - Present
PARI Independent Living Center in Pawtucket, RI July 2012 - November 2012
Neighborhood Health Plan October 2012 - October 2012
Northeast Independent Living Program October 2010 - September 2012
Multicultural Independent Living Center of Boston April 2010 - October 2010
Massachusetts Rehabilitation Commission 2009 - March 2010
Massachusetts Rehabilitation Commission December 1984 - November 2008
Endependence Center of Tidewater 1980 - 1984
US Army Aviation Materiel Laboratories January 1965 - January 1980
Skills
Non-profits, Strategic Planning, Community Outreach, Program Development, Government, Budget Management, Public Speaking, Program Management, Team Building, Leadership, Disabilities, Training, Management, Project Management, Strategy, Project Planning, Team Leadership, Policy, Organizational..., Assistive Technology, Public Policy, Policy Analysis, Analysis, Program Evaluation, System Administration, Management Consulting, Social Media, Community Development, Workforce Development, Coalitions, Social Change, Volunteer Management, Fundraising, Resume Writing, Nonprofits, Grants, Leadership Development, Grant Writing, Social Services, Budgets, Conflict Resolution, Staff Development, Community Organizing, Proposal Writing, Workshop Facilitation, Mental Health, Non-profit..., Teaching, Career Counseling, Technical Assistance
Education
Florida Institute of Technology 1968 — 1970
BSEE, Electrical Engineering and minor in history
Old Dominion University 1962 — 1965
AASEE, Electronics Technology
Kirsten J Bicica's Neighborhood Health Plan Experience December 2013 - Present
Job Benefits Administration Specialist at Neighborhood Health Plan
Industry Health, Wellness and Fitness
Experience
Neighborhood Health Plan December 2013 - Present
Neighborhood Health Plan June 2011 - December 2013
Ultra Electronics Ocean Systems Inc. November 2006 - May 2010
CoolStuffCheap.com December 2004 - November 2006
Skills
SharePoint, SharePoint Designer, HTML, Microsoft Excel, Microsoft Word, Quick Study, Proofreading, Quality Control, User Acceptance Testing, Project Management, Information Technology, Microsoft Office, Access, Change Management, Process Improvement, Quality Assurance, Training, Technical Writing
Education
Massasoit Community College
Associate's degree, Computer Information Systems - Programming
Neighborhood Health Plan December 2013 - Present
Neighborhood Health Plan June 2011 - December 2013
Ultra Electronics Ocean Systems Inc. November 2006 - May 2010
CoolStuffCheap.com December 2004 - November 2006
Skills
SharePoint, SharePoint Designer, HTML, Microsoft Excel, Microsoft Word, Quick Study, Proofreading, Quality Control, User Acceptance Testing, Project Management, Information Technology, Microsoft Office, Access, Change Management, Process Improvement, Quality Assurance, Training, Technical Writing
Education
Massasoit Community College
Associate's degree, Computer Information Systems - Programming
Mara Sceery's Neighborhood Health Plan Experience March 2008 - Present
Job Pediatric Care Manager at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan March 2008 - Present
NorthShore University HealthSystem 2002 - 2007
Brigham and Women's Hospital 1995 - 2001
Skills
Utilization Management, Interqual Criteria, Discharge Planning, Neonatal Nursing, Managed Care, Medicaid, HIPAA, Hospitals, Nursing, Acute Care, Medical Terminology, Patient Advocacy, Program Development, Health Insurance, Health Promotion
Education
Syracuse University 1991 — 1993
Bachelors of Science in Nursing, Critical Care Nursing
New York State College Of Ceramics 1989 — 1991
BFA, Ceramic Art
Haverford College
Neighborhood Health Plan March 2008 - Present
NorthShore University HealthSystem 2002 - 2007
Brigham and Women's Hospital 1995 - 2001
Skills
Utilization Management, Interqual Criteria, Discharge Planning, Neonatal Nursing, Managed Care, Medicaid, HIPAA, Hospitals, Nursing, Acute Care, Medical Terminology, Patient Advocacy, Program Development, Health Insurance, Health Promotion
Education
Syracuse University 1991 — 1993
Bachelors of Science in Nursing, Critical Care Nursing
New York State College Of Ceramics 1989 — 1991
BFA, Ceramic Art
Haverford College
Nelson Liberty's Neighborhood Health Plan Experience September 2000 - September 2005
Job Lead Accounts Payable at Beazer Homes
Industry Food & Beverages
Experience
Beazer Homes July 2014 - Present
National DCP May 2012 - July 2014
The Community Builders, Inc. November 2005 - March 2012
Neighborhood Health Plan September 2000 - September 2005
PAREXEL 1996 - 2000
Avery Dennison 1991 - 1995
Stride Rite 1979 - 1982
Skills
Financial Reporting, Accounts Payable
Education
Suffolk University 1981 — 1984
Master of Business Administration (M.B.A.)
Northeastern University 1974 — 1979
Bachelor of Science (BS)
Beazer Homes July 2014 - Present
National DCP May 2012 - July 2014
The Community Builders, Inc. November 2005 - March 2012
Neighborhood Health Plan September 2000 - September 2005
PAREXEL 1996 - 2000
Avery Dennison 1991 - 1995
Stride Rite 1979 - 1982
Skills
Financial Reporting, Accounts Payable
Education
Suffolk University 1981 — 1984
Master of Business Administration (M.B.A.)
Northeastern University 1974 — 1979
Bachelor of Science (BS)
Brettan Middleton's Neighborhood Health Plan Experience May 2011 - June 2012
Job MHM
Industry Hospital & Health Care
Experience
Tufts Health Plan February 2015 - Present
Neighborhood Health Plan May 2011 - June 2012
Neighborhood Health Plan October 2007 - May 2011
United Health Care October 2006 - October 2007
Skills
Medicare, Medical Billing, Medical Coding, Medicaid, Claim, Insurance, CPT, ICD-9, Provider Relations, Analysis, Employee Benefits, HCPCS, Medical Records, Microsoft Excel, Management, HIPAA, Invoicing, Healthcare, Managed Care, Auditing, Health Insurance, Revenue Cycle, Customer Service, PowerPoint, Microsoft Word, Healthcare Management, Team Building
Education
New England College of Business and Finance 2013 — 2014
Master of Healthcare Management, Long Term Care Administration/Management, 3.70
Attended New England College of Business and Finance 2008 — 2013
BSBA, Business Administration and Management, General, 3.59
Fitchburg State University 2004 — 2006
Biology
Tufts Health Plan February 2015 - Present
Neighborhood Health Plan May 2011 - June 2012
Neighborhood Health Plan October 2007 - May 2011
United Health Care October 2006 - October 2007
Skills
Medicare, Medical Billing, Medical Coding, Medicaid, Claim, Insurance, CPT, ICD-9, Provider Relations, Analysis, Employee Benefits, HCPCS, Medical Records, Microsoft Excel, Management, HIPAA, Invoicing, Healthcare, Managed Care, Auditing, Health Insurance, Revenue Cycle, Customer Service, PowerPoint, Microsoft Word, Healthcare Management, Team Building
Education
New England College of Business and Finance 2013 — 2014
Master of Healthcare Management, Long Term Care Administration/Management, 3.70
Attended New England College of Business and Finance 2008 — 2013
BSBA, Business Administration and Management, General, 3.59
Fitchburg State University 2004 — 2006
Biology
Kris Stauffer, LMHC's Neighborhood Health Plan Experience November 2013 - Present
Job Social Care Manager at Neighborhood Health Plan
Industry Mental Health Care
Experience
Neighborhood Health Plan November 2013 - Present
High Point Treatment Center February 2013 - November 2013
Network Health July 2012 - October 2012
Family Continuity Program September 2008 - May 2012
SMOC/KidSpace September 2008 - October 2009
Wayside Trauma Intervention Services June 2006 - August 2007
Skills
Psychotherapy, Family Therapy, Group Therapy, Crisis Intervention, Adolescents, Mental Health, Behavioral Health, CBT, Social Services, Psychology, Treatment, Program Development, Mental Health Counseling, Community Outreach, Grief Counseling, Counseling Psychology
Education
Gordon Conwell Theological Seminary 2005 — 2008
MA, Counseling
University of Nebraska-Lincoln
Bachelor of Science (B.S.), Secondary Education and Teaching
Neighborhood Health Plan November 2013 - Present
High Point Treatment Center February 2013 - November 2013
Network Health July 2012 - October 2012
Family Continuity Program September 2008 - May 2012
SMOC/KidSpace September 2008 - October 2009
Wayside Trauma Intervention Services June 2006 - August 2007
Skills
Psychotherapy, Family Therapy, Group Therapy, Crisis Intervention, Adolescents, Mental Health, Behavioral Health, CBT, Social Services, Psychology, Treatment, Program Development, Mental Health Counseling, Community Outreach, Grief Counseling, Counseling Psychology
Education
Gordon Conwell Theological Seminary 2005 — 2008
MA, Counseling
University of Nebraska-Lincoln
Bachelor of Science (B.S.), Secondary Education and Teaching
Sharon Kailher's Neighborhood Health Plan Experience June 2013 - August 2014
Job
Industry Mental Health Care
Experience
Neighborhood Health Plan June 2013 - August 2014
Arbour Fuller Hospital 2006 - June 2013
Skills
Mental Health, Adolescents, Teaching, Behavioral Health, Crisis Intervention, Clinical Supervision, Social Services
Education
Laboure College
Associate of Science (A.S.), Registered Nursing/Registered Nurse
University of Maine
Bachelor of Arts (B.A.), Social Work
Neighborhood Health Plan June 2013 - August 2014
Arbour Fuller Hospital 2006 - June 2013
Skills
Mental Health, Adolescents, Teaching, Behavioral Health, Crisis Intervention, Clinical Supervision, Social Services
Education
Laboure College
Associate of Science (A.S.), Registered Nursing/Registered Nurse
University of Maine
Bachelor of Arts (B.A.), Social Work
Barbara (E-mail)'s Neighborhood Health Plan Experience 1992 - 1999
Job Project Manager at Catholic Health Services
Industry Hospital & Health Care
Experience
Catholic healthe Services, Inc March 2004 - Present
Baptist Health South Florida July 2000 - March 2004
Neighborhood Health Plan 1992 - 1999
Skills
Healthcare Information..., EHR, Healthcare, Process Improvement, EMR, PMP, Project Management, Program Management, Healthcare Management, HIPAA, Hospitals, Visio, Software Documentation, Vendor Management, Informatics, Business Analysis, Change Management, PMO
Education
St. Thomas University 2010 — 2012
Bachelor's degree, Organizational Leadership
Miami Dade College 1979 — 1982
Associate of Arts (A.A.), Business/Commerce, General
Catholic healthe Services, Inc March 2004 - Present
Baptist Health South Florida July 2000 - March 2004
Neighborhood Health Plan 1992 - 1999
Skills
Healthcare Information..., EHR, Healthcare, Process Improvement, EMR, PMP, Project Management, Program Management, Healthcare Management, HIPAA, Hospitals, Visio, Software Documentation, Vendor Management, Informatics, Business Analysis, Change Management, PMO
Education
St. Thomas University 2010 — 2012
Bachelor's degree, Organizational Leadership
Miami Dade College 1979 — 1982
Associate of Arts (A.A.), Business/Commerce, General
Latonya Ahanon's Neighborhood Health Plan Experience July 2007 - August 2007
Job registration at Good Samaritan Foundation
Industry Fund-Raising
Experience
Good Samaritan Foundation November 2007 - Present
Good Samaritan Hospital November 2007 - Present
Neighborhood Health Plan July 2007 - August 2007
Skills
Hospitals
Education
Jeremiah E. Burke High School 1984 — 1988
Diploma, computer science; computer programming, Business Mgt. and English
Newbury College
Associate of Computer Science, Business Management
Northeastern University
Bachelor's degree, Computer Science
Good Samaritan Foundation November 2007 - Present
Good Samaritan Hospital November 2007 - Present
Neighborhood Health Plan July 2007 - August 2007
Skills
Hospitals
Education
Jeremiah E. Burke High School 1984 — 1988
Diploma, computer science; computer programming, Business Mgt. and English
Newbury College
Associate of Computer Science, Business Management
Northeastern University
Bachelor's degree, Computer Science
Sarah Rocca Vento's Neighborhood Health Plan Experience February 2014 - September 2015
Job Sr Operations Specialist at Harvard Pilgrim Health Care
Industry Insurance
Experience
Harvard Pilgrim Health Care September 2015 - Present
Sarah J Photography July 2012 - Present
Neighborhood Health Plan February 2014 - September 2015
Harvard Pilgrim Health Care January 2011 - February 2014
Harvard Pilgrim Health Care 2006 - January 2011
Harvard Pilgrim Health Care 2003 - 2006
Harvard Pilgrim Health Care 2001 - 2003
Advanced Cable Ties, Inc 1999 - 2001
Skills
Management, Customer Service, Microsoft Excel, Microsoft Word, Oracle, Healthcare, Team Building, Business Analysis, Data Analysis, Business Process, Process Improvement, Software Documentation, Analysis, Visio, IT Management, Program Management, Leadership
Education
Center for Cross Cultural Studies 1999 — 1999
Spanish
Gordon College 1994 — 1999
BA, Spanish
New York Institute of Photography
Photography
Harvard Pilgrim Health Care September 2015 - Present
Sarah J Photography July 2012 - Present
Neighborhood Health Plan February 2014 - September 2015
Harvard Pilgrim Health Care January 2011 - February 2014
Harvard Pilgrim Health Care 2006 - January 2011
Harvard Pilgrim Health Care 2003 - 2006
Harvard Pilgrim Health Care 2001 - 2003
Advanced Cable Ties, Inc 1999 - 2001
Skills
Management, Customer Service, Microsoft Excel, Microsoft Word, Oracle, Healthcare, Team Building, Business Analysis, Data Analysis, Business Process, Process Improvement, Software Documentation, Analysis, Visio, IT Management, Program Management, Leadership
Education
Center for Cross Cultural Studies 1999 — 1999
Spanish
Gordon College 1994 — 1999
BA, Spanish
New York Institute of Photography
Photography
Doreen Nelson, MBA's Neighborhood Health Plan Experience July 2002 - November 2011
Job Health Insurance Professional
Industry Insurance
Experience
Neighborhood Health Plan RI April 2013 - Present
Southcoast VNA January 2012 - September 2012
Neighborhood Health Plan July 2002 - November 2011
Blue Cross Blue Shield of Massachusetts September 1987 - June 2002
Skills
Process Improvement, Healthcare, Change Management, Insurance, Business Strategy, Team Building, Coaching, Health Insurance, Medicaid, Leadership Development, HIPAA, Business Process..., Call Center, Vendor Management, PowerPoint, Data Analysis
Education
Curry College 2011 — 2013
MBA
Curry College 2007 — 2010
BA, Management
Neighborhood Health Plan RI April 2013 - Present
Southcoast VNA January 2012 - September 2012
Neighborhood Health Plan July 2002 - November 2011
Blue Cross Blue Shield of Massachusetts September 1987 - June 2002
Skills
Process Improvement, Healthcare, Change Management, Insurance, Business Strategy, Team Building, Coaching, Health Insurance, Medicaid, Leadership Development, HIPAA, Business Process..., Call Center, Vendor Management, PowerPoint, Data Analysis
Education
Curry College 2011 — 2013
MBA
Curry College 2007 — 2010
BA, Management
Monica Ratan's Neighborhood Health Plan Experience November 2013 - Present
Job IT Project Manager at Neighborhood Health Plan
Industry
Experience
Neighborhood Health Plan November 2013 - Present
John Hancock Financial Services February 2012 - August 2013
John Hancock Financial Services August 2011 - December 2011
The Norfolk & Dedham Group® November 2010 - August 2011
Revere IT LLC July 2003 - August 2011
UMass Health June 2010 - October 2010
The Oberoi Group June 1999 - May 2003
Skills
Agile Methodologies, Business Analysis, Visio, Requirements Gathering, Business Requirements, Business Process, UML
Education
Southern New Hampshire University 2003 — 2005
Master's degree, International Business
Narsee Monjee Institute of Management Studies 1999 — 2000
Diploma, Business Administration and Management, General
Oberoi School of Management 1997 — 1999
Executive Development & Advanced Management Training
University of Mumbai 1994 — 1997
Bachelor of Arts (B.A.), Economics
Neighborhood Health Plan November 2013 - Present
John Hancock Financial Services February 2012 - August 2013
John Hancock Financial Services August 2011 - December 2011
The Norfolk & Dedham Group® November 2010 - August 2011
Revere IT LLC July 2003 - August 2011
UMass Health June 2010 - October 2010
The Oberoi Group June 1999 - May 2003
Skills
Agile Methodologies, Business Analysis, Visio, Requirements Gathering, Business Requirements, Business Process, UML
Education
Southern New Hampshire University 2003 — 2005
Master's degree, International Business
Narsee Monjee Institute of Management Studies 1999 — 2000
Diploma, Business Administration and Management, General
Oberoi School of Management 1997 — 1999
Executive Development & Advanced Management Training
University of Mumbai 1994 — 1997
Bachelor of Arts (B.A.), Economics
Julie Kilgour's Neighborhood Health Plan Experience December 2006 - July 2010
Job Front Desk Receptionist at Miracle Ear
Industry Hospital & Health Care
Experience
Miracle Ear February 2015 - Present
Gosnold on Cape Cod October 2013 - October 2014
Doctors' Management Service Inc. May 2013 - October 2013
PartyLite August 2012 - May 2013
Atlantic Primary Care January 2012 - March 2012
Neighborhood Health Plan December 2006 - July 2010
Blue Cross & Blue Shield of Massachusetts2004 August 2004 - November 2006
Skills
Administrative..., Health Insurance, HIPAA, Hospitals, Analysis, Lotus Notes, Social Media, Management, Customer Service, Teller Operations, Social Networking, QuickBooks, Cpr Certified, Strategic Planning, Public Speaking, Microsoft Office, Graphic Design, PowerPoint, Healthcare, Outlook, Process Improvement, Data Entry, Training, Medical Terminology, Typing, Banking, Microsoft Excel, Facebook, 10 Key, Microsoft Word, Retail, Sales, Teamwork, Visio, Administration, Telephone Skills, Administrative...
Education
Lincoln Technical Institute 2011 — 2012
Medical Assisting Certificate, Medical Assisting
Lincoln Technical Institute 2011 — 2012
Medical Assisting
Gordon College 1993 — 1994
Social Work/Music
Curry College 1990 — 1992
Social Work
Curry College 1990 — 1992
Liberal Arts Coursework
Miracle Ear February 2015 - Present
Gosnold on Cape Cod October 2013 - October 2014
Doctors' Management Service Inc. May 2013 - October 2013
PartyLite August 2012 - May 2013
Atlantic Primary Care January 2012 - March 2012
Neighborhood Health Plan December 2006 - July 2010
Blue Cross & Blue Shield of Massachusetts2004 August 2004 - November 2006
Skills
Administrative..., Health Insurance, HIPAA, Hospitals, Analysis, Lotus Notes, Social Media, Management, Customer Service, Teller Operations, Social Networking, QuickBooks, Cpr Certified, Strategic Planning, Public Speaking, Microsoft Office, Graphic Design, PowerPoint, Healthcare, Outlook, Process Improvement, Data Entry, Training, Medical Terminology, Typing, Banking, Microsoft Excel, Facebook, 10 Key, Microsoft Word, Retail, Sales, Teamwork, Visio, Administration, Telephone Skills, Administrative...
Education
Lincoln Technical Institute 2011 — 2012
Medical Assisting Certificate, Medical Assisting
Lincoln Technical Institute 2011 — 2012
Medical Assisting
Gordon College 1993 — 1994
Social Work/Music
Curry College 1990 — 1992
Social Work
Curry College 1990 — 1992
Liberal Arts Coursework
John Scullane's Neighborhood Health Plan Experience June 2012 - July 2014
Job Data Entry
Industry Hospital & Health Care
Experience
Sports of Boston, LLC July 2009 - Present
Neighborhood Health Plan June 2012 - July 2014
The Mayo Group August 2011 - May 2012
North Suburban Eye Associates May 2011 - July 2011
MFS / The Hartford July 2007 - January 2009
Skills
Publishing, Microsoft Excel, Copy Editing, Editing, Journalism, Blogging, Spreadsheets, News Writing, Storytelling, WordPress, Social Media, Facebook
Education
Northeastern University 2005 — 2010
BS, Mathematics
Northeastern University 2005 — 2010
BS, Mathematics
Sports of Boston, LLC July 2009 - Present
Neighborhood Health Plan June 2012 - July 2014
The Mayo Group August 2011 - May 2012
North Suburban Eye Associates May 2011 - July 2011
MFS / The Hartford July 2007 - January 2009
Skills
Publishing, Microsoft Excel, Copy Editing, Editing, Journalism, Blogging, Spreadsheets, News Writing, Storytelling, WordPress, Social Media, Facebook
Education
Northeastern University 2005 — 2010
BS, Mathematics
Northeastern University 2005 — 2010
BS, Mathematics
Derek Price's Neighborhood Health Plan Experience October 2014 - Present
Job Manager of Business Intelligence & Reporting at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan October 2014 - Present
Neighborhood Health Plan October 2013 - September 2014
Neighborhood Health Plan November 2011 - September 2013
Neighborhood Health Plan October 2010 - October 2011
Neighborhood Health Plan October 2009 - October 2010
Catamaran April 2007 - October 2009
Skills
SQL, SSRS, SSIS, Microsoft Excel, Report Builder, Visio, Data Modeling, VBA, Business Intelligence..., Business Intelligence, Data Warehousing
Education
Fitchburg State University 2000 — 2005
BA, Mathematics
Neighborhood Health Plan October 2014 - Present
Neighborhood Health Plan October 2013 - September 2014
Neighborhood Health Plan November 2011 - September 2013
Neighborhood Health Plan October 2010 - October 2011
Neighborhood Health Plan October 2009 - October 2010
Catamaran April 2007 - October 2009
Skills
SQL, SSRS, SSIS, Microsoft Excel, Report Builder, Visio, Data Modeling, VBA, Business Intelligence..., Business Intelligence, Data Warehousing
Education
Fitchburg State University 2000 — 2005
BA, Mathematics
Kayla Carvalho's Neighborhood Health Plan Experience October 2006 - December 2007
Job Account Recruiting Manager at Aerotek
Industry Staffing and Recruiting
Experience
Aerotek December 2013 - Present
Aerotek August 2012 - December 2013
Konica Minolta Business Solutions U.S.A., Inc. September 2010 - August 2012
PSC - Charlotte, NC August 2009 - August 2010
PSC - Providence, RI July 2008 - August 2009
Neighborhood Health Plan October 2006 - December 2007
Skills
Recruiting, Account Management, Business Networking, Document Management, Contract Negotiation, Temporary Placement, Marketing Strategy, Screening Resumes, Talent Management, Interviews
Education
Gibbs College 2006 — 2008
Associates Degree, Business Management
Aerotek December 2013 - Present
Aerotek August 2012 - December 2013
Konica Minolta Business Solutions U.S.A., Inc. September 2010 - August 2012
PSC - Charlotte, NC August 2009 - August 2010
PSC - Providence, RI July 2008 - August 2009
Neighborhood Health Plan October 2006 - December 2007
Skills
Recruiting, Account Management, Business Networking, Document Management, Contract Negotiation, Temporary Placement, Marketing Strategy, Screening Resumes, Talent Management, Interviews
Education
Gibbs College 2006 — 2008
Associates Degree, Business Management
Barbara Colombo's Neighborhood Health Plan Experience March 2002 - Present
Job
Industry Information Technology and Services
Experience
Neighborhood Health Plan March 2002 - Present
Coldwell Banker Residential Brokerage 2013 - 2013
Brigham & Women's Hosp and Good Samaritan Medical Center June 1995 - December 2002
Mass. Eye and Ear Infirmary June 1999 - February 2002
Own Business January 1988 - June 2000
Education
Northeastern University
Quincy College
Neighborhood Health Plan March 2002 - Present
Coldwell Banker Residential Brokerage 2013 - 2013
Brigham & Women's Hosp and Good Samaritan Medical Center June 1995 - December 2002
Mass. Eye and Ear Infirmary June 1999 - February 2002
Own Business January 1988 - June 2000
Education
Northeastern University
Quincy College
Virginia Thompson RN, BSN, CCM's Neighborhood Health Plan Experience 2012 - Present
Job Pediatric Care Manager at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan 2012 - Present
South Shore Women's Health December 2003 - September 2011
South Shore Hospital September 2002 - March 2003
South Shore Hospital September 1981 - August 1987
Brockton Hospital June 1979 - August 1981
Skills
OB/GYN, Trizetto, Medical Case Management, Telephone Triage, BLS, EHR, Ambulatory, Med/Surg, Epic Systems, Acute Care, Medical/Surgical, Patient Advocacy, Triage, Medication..., Medicine, Nursing Education, Healthcare, Disease Management, Nursing, Registered Nurses, Medical-Surgical, Healthcare Management
Education
Curry College 2005 — 2011
BSN, Nursing
Signature Healthcare Brockton Hospital School of Nursing 1976 — 1979
Diploma, Nursing
Neighborhood Health Plan 2012 - Present
South Shore Women's Health December 2003 - September 2011
South Shore Hospital September 2002 - March 2003
South Shore Hospital September 1981 - August 1987
Brockton Hospital June 1979 - August 1981
Skills
OB/GYN, Trizetto, Medical Case Management, Telephone Triage, BLS, EHR, Ambulatory, Med/Surg, Epic Systems, Acute Care, Medical/Surgical, Patient Advocacy, Triage, Medication..., Medicine, Nursing Education, Healthcare, Disease Management, Nursing, Registered Nurses, Medical-Surgical, Healthcare Management
Education
Curry College 2005 — 2011
BSN, Nursing
Signature Healthcare Brockton Hospital School of Nursing 1976 — 1979
Diploma, Nursing
David Miner's Neighborhood Health Plan Experience June 2006 - April 2010
Job Lead Domain Architect at Pegasystems
Industry Information Technology and Services
Experience
Pegasystems January 2014 - Present
BMC HealthNet Plan May 2010 - January 2014
Neighborhood Health Plan June 2006 - April 2010
First Health Corporation/Coventry Healthcare July 2005 - June 2006
Neighborhood Health Plan August 2002 - July 2005
Education
Northeastern University
Pegasystems January 2014 - Present
BMC HealthNet Plan May 2010 - January 2014
Neighborhood Health Plan June 2006 - April 2010
First Health Corporation/Coventry Healthcare July 2005 - June 2006
Neighborhood Health Plan August 2002 - July 2005
Education
Northeastern University
Renee Pomerleau's Neighborhood Health Plan Experience 2009 - 2009
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
The Rested Mind July 2014 - Present
Neighborhood Health Plan 2009 - 2009
Bluecross Blueshield of Mass November 2005 - August 2007
Skills
Healthcare, Medical Terminology, Cpr Certified, Healthcare Management, Hospitals, Nursing, Medical Billing, Customer Service, HIPAA, Data Entry, EMR, Microsoft Office, Medical Records, ICD-9, CPT, Medical Coding, Patient Safety, Meditech, EHR, Health Insurance
Education
Massasoit Community College 2011 — 2013
Liberal Arts, Medical Insurance Specialist/Medical Biller
Massasoit Community College 2010 — 2012
Associate of Science (A.S.), Liberal Arts and Sciences/Liberal Studies
The Rested Mind July 2014 - Present
Neighborhood Health Plan 2009 - 2009
Bluecross Blueshield of Mass November 2005 - August 2007
Skills
Healthcare, Medical Terminology, Cpr Certified, Healthcare Management, Hospitals, Nursing, Medical Billing, Customer Service, HIPAA, Data Entry, EMR, Microsoft Office, Medical Records, ICD-9, CPT, Medical Coding, Patient Safety, Meditech, EHR, Health Insurance
Education
Massasoit Community College 2011 — 2013
Liberal Arts, Medical Insurance Specialist/Medical Biller
Massasoit Community College 2010 — 2012
Associate of Science (A.S.), Liberal Arts and Sciences/Liberal Studies
Jennifer Calcano's Neighborhood Health Plan Experience 2008 - Present
Job Quality Control Lead Analyst at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan 2008 - Present
Neighborhood Health Plan 2006 - 2008
Neighborhood Health Plan January 2004 - January 2006
Skills
Bilingual, Technical Writing, Call Center, Microsoft Excel, Medical Terminology, Health Insurance, Data Analysis, Pivot Tables, Operations Training, Event Planning
Education
Emmanuel College
Neighborhood Health Plan 2008 - Present
Neighborhood Health Plan 2006 - 2008
Neighborhood Health Plan January 2004 - January 2006
Skills
Bilingual, Technical Writing, Call Center, Microsoft Excel, Medical Terminology, Health Insurance, Data Analysis, Pivot Tables, Operations Training, Event Planning
Education
Emmanuel College
Marilyn Gersin's Neighborhood Health Plan Experience February 2002 - Present
Job Care Manager at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan February 2002 - Present
Bridgewater Goddard Park Medical December 1988 - February 2002
Goddard Memorial Hospital July 1981 - December 1988
Skills
Healthcare, Patient Advocacy, EHR, Home Care, Healthcare Management, Medicaid, Healthcare Information..., HIPAA, Utilization Management, ACLS, Inpatient, BLS, Medical/Surgical, Managed Care, Hospitals, Acute Care, Nursing, Clinical Research, Medicare, EMR, Patient Safety, Disease Management
Education
UMass Boston 1991 — 1995
BSN, Registered Nursing/Registered Nurse
Massasoit Community College 1979 — 1981
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Neighborhood Health Plan February 2002 - Present
Bridgewater Goddard Park Medical December 1988 - February 2002
Goddard Memorial Hospital July 1981 - December 1988
Skills
Healthcare, Patient Advocacy, EHR, Home Care, Healthcare Management, Medicaid, Healthcare Information..., HIPAA, Utilization Management, ACLS, Inpatient, BLS, Medical/Surgical, Managed Care, Hospitals, Acute Care, Nursing, Clinical Research, Medicare, EMR, Patient Safety, Disease Management
Education
UMass Boston 1991 — 1995
BSN, Registered Nursing/Registered Nurse
Massasoit Community College 1979 — 1981
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Atiya Niles's Neighborhood Health Plan Experience October 2008 - Present
Job Telephonic Inpatient Care Manager at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan October 2008 - Present
Visiting Nurse Association of Boston June 2007 - October 2008
Boston Medical Center June 2006 - June 2007
Skills
Case Managment, Home Care, Medicaid Managed Care
Education
Curry College 2003 — 2006
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Neighborhood Health Plan October 2008 - Present
Visiting Nurse Association of Boston June 2007 - October 2008
Boston Medical Center June 2006 - June 2007
Skills
Case Managment, Home Care, Medicaid Managed Care
Education
Curry College 2003 — 2006
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Shannon Follett's Neighborhood Health Plan Experience April 2008 - September 2010
Job Manager, Network Management at UnitedHealth Group
Industry Hospital & Health Care
Experience
UnitedHealth Group October 2012 - Present
UnitedHealth Group September 2010 - October 2012
Neighborhood Health Plan April 2008 - September 2010
Beacon Health Strategies November 2006 - April 2008
Beacon Health Strategies November 2004 - November 2006
Skills
Leadership, HIPAA, Health Insurance, Healthcare, Management, Provider Relations, Training
Education
Massachusetts College of Liberal Arts 1992 — 1996
Bachelor of Science (BS), Psychology
Massachusetts College of Liberal Arts 1992 — 1996
Bachelor of Science (BS), Sociology
UnitedHealth Group October 2012 - Present
UnitedHealth Group September 2010 - October 2012
Neighborhood Health Plan April 2008 - September 2010
Beacon Health Strategies November 2006 - April 2008
Beacon Health Strategies November 2004 - November 2006
Skills
Leadership, HIPAA, Health Insurance, Healthcare, Management, Provider Relations, Training
Education
Massachusetts College of Liberal Arts 1992 — 1996
Bachelor of Science (BS), Psychology
Massachusetts College of Liberal Arts 1992 — 1996
Bachelor of Science (BS), Sociology
Marilyn Hintsa's Neighborhood Health Plan Experience April 2002 - May 2014
Job UM/Medicare Advantage/BCBSMA
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts May 2014 - Present
Neighborhood Health Plan April 2002 - May 2014
Blue Cross Blue Shield of Massachusetts 1988 - 2001
Quincy Medical Center 1982 - 1988
Skills
Health Insurance, Managed Care, HIPAA, Provider Relations, Insurance, Medical Billing, HMO, Utilization Management, Medical Coding, Healthcare, Healthcare Management, CPT, ICD-9, Revenue Cycle, Healthcare Information..., HCPCS, Auditing, Software Documentation, EHR, Medicaid
Education
Northeastern University 1977 — 1982
BSN, Registered Nursing/Registered Nurse
Blue Cross Blue Shield of Massachusetts May 2014 - Present
Neighborhood Health Plan April 2002 - May 2014
Blue Cross Blue Shield of Massachusetts 1988 - 2001
Quincy Medical Center 1982 - 1988
Skills
Health Insurance, Managed Care, HIPAA, Provider Relations, Insurance, Medical Billing, HMO, Utilization Management, Medical Coding, Healthcare, Healthcare Management, CPT, ICD-9, Revenue Cycle, Healthcare Information..., HCPCS, Auditing, Software Documentation, EHR, Medicaid
Education
Northeastern University 1977 — 1982
BSN, Registered Nursing/Registered Nurse
Sandra Waldron's Neighborhood Health Plan Experience January 1991 - November 2014
Job Marketing Specialist at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan January 1991 - November 2014
Skills
Customer Service, Process Improvement, Healthcare, Medical Terminology
Education
Newbury College 1983 — 1987
Bachelor's Degree, Tourism and Travel Services Management
Neighborhood Health Plan January 1991 - November 2014
Skills
Customer Service, Process Improvement, Healthcare, Medical Terminology
Education
Newbury College 1983 — 1987
Bachelor's Degree, Tourism and Travel Services Management
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY