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
Ticely Funches Ticely Funches's Neighborhood Health Plan Experience August 2012 - June 2013
Job Program Assistant
Industry Civil Engineering
Experience
Comtech Systems June 2014 - Present
STAT Imaging Solutions February 2014 - May 2014
Neighborhood Health Plan August 2012 - June 2013
Skills
Customer Service, Insurance, Outlook, Training, Microsoft Excel, Microsoft Word, Process Improvement, Access, PowerPoint, Program Management
Education
Muriel S. Snowden International High School 1997 — 2001
Diploma
University of Massachusetts Boston
Comtech Systems June 2014 - Present
STAT Imaging Solutions February 2014 - May 2014
Neighborhood Health Plan August 2012 - June 2013
Skills
Customer Service, Insurance, Outlook, Training, Microsoft Excel, Microsoft Word, Process Improvement, Access, PowerPoint, Program Management
Education
Muriel S. Snowden International High School 1997 — 2001
Diploma
University of Massachusetts Boston
Joanne Landry Joanne Landry's Neighborhood Health Plan Experience October 2003 - August 2012
Job Chief Operating Officer at Aetna Better Health Louisiana
Industry Insurance
Experience
Aetna Better Health Louisiana May 2015 - Present
Commonwealth Care Alliance December 2013 - May 2015
DentaQuest August 2012 - April 2013
New England College of Business and Finance January 2011 - September 2012
Neighborhood Health Plan October 2003 - August 2012
Fidelity Investments February 2001 - April 2002
Fidelity Investments February 2001 - April 2002
Neighborhood Health Plan November 1999 - February 2001
Unicare July 1990 - November 1999
Skills
Process Improvement, Managed Care, Project Management, Healthcare Information..., Healthcare, Health Insurance, Insurance, Vendor Management, Cross-functional Team..., HIPAA, Change Management, Business Analysis, Strategic Planning, Medicare, Time Management, Team Building, Customer Satisfaction, Medicaid, Leadership, Management, Business Process..., Call Centers, Program Management
Education
Southern New Hampshire University 2006 — 2010
MBA, Global Studies, Business
Southern New Hampshire University
Bachelor of Science, Business Studies
Aetna Better Health Louisiana May 2015 - Present
Commonwealth Care Alliance December 2013 - May 2015
DentaQuest August 2012 - April 2013
New England College of Business and Finance January 2011 - September 2012
Neighborhood Health Plan October 2003 - August 2012
Fidelity Investments February 2001 - April 2002
Fidelity Investments February 2001 - April 2002
Neighborhood Health Plan November 1999 - February 2001
Unicare July 1990 - November 1999
Skills
Process Improvement, Managed Care, Project Management, Healthcare Information..., Healthcare, Health Insurance, Insurance, Vendor Management, Cross-functional Team..., HIPAA, Change Management, Business Analysis, Strategic Planning, Medicare, Time Management, Team Building, Customer Satisfaction, Medicaid, Leadership, Management, Business Process..., Call Centers, Program Management
Education
Southern New Hampshire University 2006 — 2010
MBA, Global Studies, Business
Southern New Hampshire University
Bachelor of Science, Business Studies
Jonathan Biron Jonathan Biron's Neighborhood Health Plan Experience December 2013 - Present
Job Manager, Service Operations, Neighborhood Health Plan
Industry Insurance
Experience
Neighborhood Health Plan December 2013 - Present
Harvard Pilgrim Health Care April 1994 - September 2013
Harvard Pilgrim Health Care 1994 - 2013
Skills
Call Centers, Management, Telecommunications, Mentoring, Staff Development, Staff Management, Workforce Management, Forecasting, Customer Service, Analysis, Sales Operations, Employee Engagement, Change Management, Leadership, Sales, Networking, Customer Satisfaction
Education
University of New Hampshire 1986 — 1989
Bachelor of Arts (BA), History
Neighborhood Health Plan December 2013 - Present
Harvard Pilgrim Health Care April 1994 - September 2013
Harvard Pilgrim Health Care 1994 - 2013
Skills
Call Centers, Management, Telecommunications, Mentoring, Staff Development, Staff Management, Workforce Management, Forecasting, Customer Service, Analysis, Sales Operations, Employee Engagement, Change Management, Leadership, Sales, Networking, Customer Satisfaction
Education
University of New Hampshire 1986 — 1989
Bachelor of Arts (BA), History
Ted Maddocks Ted Maddocks's Neighborhood Health Plan Experience February 2007 - December 2011
Job Retention Manager True Benefit
Industry Insurance
Experience
True Benefit February 2013 - Present
Massachusetts Association Chamber of Commerce Executives January 2013 - February 2013
NauTech ITS January 2012 - December 2012
Neighborhood Health Plan February 2007 - December 2011
Fidelity Investments (Fidelity Human Resource Services) February 2004 - February 2007
Aon Consulting September 1999 - December 2003
Private Healthcare Systems September 1998 - September 1999
UnitedHealthcare January 1990 - December 1996
Skills
Project Management, Account Management, Client Development, Employee Benefits, Operations Management, Program Management, Program Development, Vendor Management, Health Insurance, Business Analysis, Business Development, Small Business, Insurance, Managed Care, Healthcare, New Business Development, Management, Process Improvement, Product Management
Education
Trinity College-Hartford
MA, Economics
University of Hartford 1983 — 1987
BSBA, Economics and Finance
UMass Lowell
True Benefit February 2013 - Present
Massachusetts Association Chamber of Commerce Executives January 2013 - February 2013
NauTech ITS January 2012 - December 2012
Neighborhood Health Plan February 2007 - December 2011
Fidelity Investments (Fidelity Human Resource Services) February 2004 - February 2007
Aon Consulting September 1999 - December 2003
Private Healthcare Systems September 1998 - September 1999
UnitedHealthcare January 1990 - December 1996
Skills
Project Management, Account Management, Client Development, Employee Benefits, Operations Management, Program Management, Program Development, Vendor Management, Health Insurance, Business Analysis, Business Development, Small Business, Insurance, Managed Care, Healthcare, New Business Development, Management, Process Improvement, Product Management
Education
Trinity College-Hartford
MA, Economics
University of Hartford 1983 — 1987
BSBA, Economics and Finance
UMass Lowell
Theresa Pearse Theresa Pearse's Neighborhood Health Plan Experience March 2007 - April 2014
Job Managed Care Finance Manager
Industry Hospital & Health Care
Experience
Tufts Medical Center April 2014 - Present
Neighborhood Health Plan March 2007 - April 2014
Neighborhood Health Plan June 2001 - February 2007
Neighborhood Health Plan September 1997 - May 2001
Centre for Healthcare September 1992 - July 1997
Contempo Casuals July 1989 - August 1991
Skills
HMO, Provider Relations, Healthcare, Managed Care, Medicaid, Insurance, Health Insurance
Education
University of California, Riverside 1984 — 1989
BA, Administrative Studies/Accounting
Tufts Medical Center April 2014 - Present
Neighborhood Health Plan March 2007 - April 2014
Neighborhood Health Plan June 2001 - February 2007
Neighborhood Health Plan September 1997 - May 2001
Centre for Healthcare September 1992 - July 1997
Contempo Casuals July 1989 - August 1991
Skills
HMO, Provider Relations, Healthcare, Managed Care, Medicaid, Insurance, Health Insurance
Education
University of California, Riverside 1984 — 1989
BA, Administrative Studies/Accounting
Kate Perez, LICSW Kate Perez, LICSW's Neighborhood Health Plan Experience February 2011 - April 2015
Job Clinical Social Worker at Boston Children's Hospital
Industry Hospital & Health Care
Experience
Boston Children's Hospital April 2015 - Present
Neighborhood Health Plan February 2011 - April 2015
International Montessori School August 2010 - February 2011
The Dorchester House Multi-Service Center May 2010 - August 2010
Lynn Vocational Technical Institute May 2005 - August 2010
Bullying Prevention Program Coordinator March 2009 - June 2010
Action for Boston Community Development, Inc. May 2004 - August 2006
ELC August 2005 - October 2005
Bi-Cultural Language Services January 2005 - June 2005
Bunker Hill Community College October 2004 - December 2004
Skills
Patient Advocacy, Child Advocacy, Health Advocacy, Conflict Resolution, Program Development, Cross-cultural..., History, Politics, Hospitals, Case Management, Community Outreach, Fundraising, Healthcare, Healthcare Management, Leadership, Process Improvement, Public Speaking, Training, Writing, Customer Service
Education
Salem State University 2007 — 2010
Master's Degree, Clinical/Medical Social Work
Oxford House College 2005 — 2005
TESOL Certification, ESL Instruction and Curriculum Design
University of Michigan College of Literature, Science, and the Arts 1998 — 2002
Bachelor's Degree, History
Boston Children's Hospital April 2015 - Present
Neighborhood Health Plan February 2011 - April 2015
International Montessori School August 2010 - February 2011
The Dorchester House Multi-Service Center May 2010 - August 2010
Lynn Vocational Technical Institute May 2005 - August 2010
Bullying Prevention Program Coordinator March 2009 - June 2010
Action for Boston Community Development, Inc. May 2004 - August 2006
ELC August 2005 - October 2005
Bi-Cultural Language Services January 2005 - June 2005
Bunker Hill Community College October 2004 - December 2004
Skills
Patient Advocacy, Child Advocacy, Health Advocacy, Conflict Resolution, Program Development, Cross-cultural..., History, Politics, Hospitals, Case Management, Community Outreach, Fundraising, Healthcare, Healthcare Management, Leadership, Process Improvement, Public Speaking, Training, Writing, Customer Service
Education
Salem State University 2007 — 2010
Master's Degree, Clinical/Medical Social Work
Oxford House College 2005 — 2005
TESOL Certification, ESL Instruction and Curriculum Design
University of Michigan College of Literature, Science, and the Arts 1998 — 2002
Bachelor's Degree, History
Amanda Giannino, CPC Amanda Giannino, CPC's Neighborhood Health Plan Experience July 2015 - Present
Job Client Policy Manager at iHealth Technologies
Industry Hospital & Health Care
Experience
Neighborhood Health Plan July 2015 - Present
iHealth Technologies June 2014 - June 2015
BMC HealthNet Plan August 2013 - June 2014
Physician's Professional Services November 2012 - August 2013
The Salter School March 2012 - June 2013
HMS August 2007 - November 2012
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, Medicare
Education
The Salter School-Malden Campus 2004 — 2005
Health Claims Specialist, Medical Insurance Coding Specialist/Coder
Everett High School 2001 — 2004
Neighborhood Health Plan July 2015 - Present
iHealth Technologies June 2014 - June 2015
BMC HealthNet Plan August 2013 - June 2014
Physician's Professional Services November 2012 - August 2013
The Salter School March 2012 - June 2013
HMS August 2007 - November 2012
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, Medicare
Education
The Salter School-Malden Campus 2004 — 2005
Health Claims Specialist, Medical Insurance Coding Specialist/Coder
Everett High School 2001 — 2004
Joseph Mullen, MBA Joseph Mullen, MBA's Neighborhood Health Plan Experience April 2013 - Present
Job Senior Accountant at Neighborhood Health Plan
Industry Accounting
Experience
Neighborhood Health Plan April 2013 - Present
Boston Capital August 2011 - April 2013
CB Richard Ellis July 2010 - August 2011
CB Richard Ellis 2009 - June 2010
PatientKeeper 2008 - 2009
Skills
General Ledger, Accounts Payable, Financial Statements, Real Estate, Financial Reporting, Accounting, QuickBooks, Auditing, Finance, Internal Controls, Account Reconciliation, Budgets, Fixed Assets, Invoicing, Management
Education
Suffolk University - Sawyer Business School 2006 — 2007
MBA
Salve Regina University 2002 — 2006
B.S., Accounting
Vermont Academy 2000 — 2002
Pingree School 1998 — 2000
Neighborhood Health Plan April 2013 - Present
Boston Capital August 2011 - April 2013
CB Richard Ellis July 2010 - August 2011
CB Richard Ellis 2009 - June 2010
PatientKeeper 2008 - 2009
Skills
General Ledger, Accounts Payable, Financial Statements, Real Estate, Financial Reporting, Accounting, QuickBooks, Auditing, Finance, Internal Controls, Account Reconciliation, Budgets, Fixed Assets, Invoicing, Management
Education
Suffolk University - Sawyer Business School 2006 — 2007
MBA
Salve Regina University 2002 — 2006
B.S., Accounting
Vermont Academy 2000 — 2002
Pingree School 1998 — 2000
Pablo Rodriguez, MD Pablo Rodriguez, MD's Neighborhood Health Plan Experience 2006 - 2012
Job Chairman at Women &Infants Health Care Alliance
Industry Broadcast Media
Experience
Women &Infants Health Care Alliance October 2011 - Present
Latino Public Radio 2000 - Present
Women's Care July 1989 - Present
Women and Infants Hospital January 2009 - January 2012
Neighborhood Health Plan 2006 - 2012
Association of Reproductive Health Professionals 2007 - 2009
Planned Parenthood of RI 1987 - 2009
warwick vets 2000 - 2007
Rhode Island Foundation 1994 - 2005
Skills
Philanthropy, Community Outreach, Non-profits, Strategic Planning, Motivational Speaking, Reproductive Health, Fundraising, Technical Assistance, Public Speaking, Hospitals, Donations, Institutions, Nonprofits, Leadership, Grant Writing, Politics, Healthcare, Social Networking, Healthcare Management, Spanish, Event Planning, Social Media, Public Policy, Research, Leadership Development, Program Development, Medicine, Program Evaluation, Grants, Non-profit..., Public Relations, Government, Event Management, Case Managment, Policy Analysis, Time Management, Community Engagement, Community Organizing, Strategic Communications, Community Development, Board Development, Public Health, Organizational..., Volunteer Management, Health Policy, Policy, Program Management, Workshop Facilitation, Health Promotion, Staff Development
Education
State University of New York at Buffalo - School of Medicine & Biomedical Sciences 1977 — 1981
Doctor of Medicine (MD), Medicine
Universidad de Puerto Rico 1973 — 1977
Bachelor of Science (BS), Biology, General
Women &Infants Health Care Alliance October 2011 - Present
Latino Public Radio 2000 - Present
Women's Care July 1989 - Present
Women and Infants Hospital January 2009 - January 2012
Neighborhood Health Plan 2006 - 2012
Association of Reproductive Health Professionals 2007 - 2009
Planned Parenthood of RI 1987 - 2009
warwick vets 2000 - 2007
Rhode Island Foundation 1994 - 2005
Skills
Philanthropy, Community Outreach, Non-profits, Strategic Planning, Motivational Speaking, Reproductive Health, Fundraising, Technical Assistance, Public Speaking, Hospitals, Donations, Institutions, Nonprofits, Leadership, Grant Writing, Politics, Healthcare, Social Networking, Healthcare Management, Spanish, Event Planning, Social Media, Public Policy, Research, Leadership Development, Program Development, Medicine, Program Evaluation, Grants, Non-profit..., Public Relations, Government, Event Management, Case Managment, Policy Analysis, Time Management, Community Engagement, Community Organizing, Strategic Communications, Community Development, Board Development, Public Health, Organizational..., Volunteer Management, Health Policy, Policy, Program Management, Workshop Facilitation, Health Promotion, Staff Development
Education
State University of New York at Buffalo - School of Medicine & Biomedical Sciences 1977 — 1981
Doctor of Medicine (MD), Medicine
Universidad de Puerto Rico 1973 — 1977
Bachelor of Science (BS), Biology, General
Stephanie Correa Stephanie Correa's Neighborhood Health Plan Experience June 2014 - December 2014
Job Executive Assistant
Industry Financial Services
Experience
Fidelity Investments January 2015 - Present
Neighborhood Health Plan June 2014 - December 2014
Neighborhood Health Plan April 2013 - June 2014
Neighborhood Health Plan June 2011 - March 2013
Optima Health May 2008 - May 2011
Skills
Project Coordination, Access, Customer Service, Data Analysis, Event Planning, Healthcare, Microsoft Excel, Microsoft Office, Outlook, PowerPoint, SharePoint, Software Documentation, Visio, Administrative..., Analysis, Microsoft Word
Education
UMass Boston 2011 — 2014
Master's Degree, English/Creative Writing
Virginia Wesleyan College 2009 — 2011
Bachelor's Degree, Interdivisional Studies
Fidelity Investments January 2015 - Present
Neighborhood Health Plan June 2014 - December 2014
Neighborhood Health Plan April 2013 - June 2014
Neighborhood Health Plan June 2011 - March 2013
Optima Health May 2008 - May 2011
Skills
Project Coordination, Access, Customer Service, Data Analysis, Event Planning, Healthcare, Microsoft Excel, Microsoft Office, Outlook, PowerPoint, SharePoint, Software Documentation, Visio, Administrative..., Analysis, Microsoft Word
Education
UMass Boston 2011 — 2014
Master's Degree, English/Creative Writing
Virginia Wesleyan College 2009 — 2011
Bachelor's Degree, Interdivisional Studies
Sam Richardson Sam Richardson's Neighborhood Health Plan Experience September 2013 - February 2014
Job Project Manager at Pearson Learning Solutions
Industry Publishing
Experience
Pearson Learning Solutions February 2014 - Present
Neighborhood Health Plan September 2013 - February 2014
Pearson Learning Solutions May 2012 - September 2013
Custom Learning Designs December 2008 - May 2012
Pearson Learning Solutions October 2008 - December 2008
nSight, Inc. August 2008 - October 2008
Pearson Learning Solutions March 2008 - August 2008
ISKCON of New England September 2006 - October 2007
King Printing Company, Inc. May 2004 - September 2006
Metrowest Printing October 2002 - May 2004
Skills
Adobe InDesign CS5, Adobe Photoshop CS5, Microsoft Word, Enfocus Pitstop Pro, Quark, Microsoft Office 2007, PowerPoint, Articulate Presenter, Articulate Quizmaker, Creo Preps, Illustrator, Adobe Acrobat, Windows 7, Mac OS X, Project Management, Adobe Creative Suite, Publishing, Desktop Publishing, QuarkXPress, Image Editing, Template Building, Custom Publishing, Style Sheets, Book Covers, Pre-press, InDesign, OS X, Manuscript Development, Photoshop, Graphic Design, Copy Editing, Books, Proofreading, Editorial, Content Development, Web Design, Editing, Brochures, Graphics, Advertising, Microsoft Office
Education
University of Massachusetts at Lowell 2001 — 2002
The School of the Art Institute of Chicago 1987 — 1991
B.F.A.
Pearson Learning Solutions February 2014 - Present
Neighborhood Health Plan September 2013 - February 2014
Pearson Learning Solutions May 2012 - September 2013
Custom Learning Designs December 2008 - May 2012
Pearson Learning Solutions October 2008 - December 2008
nSight, Inc. August 2008 - October 2008
Pearson Learning Solutions March 2008 - August 2008
ISKCON of New England September 2006 - October 2007
King Printing Company, Inc. May 2004 - September 2006
Metrowest Printing October 2002 - May 2004
Skills
Adobe InDesign CS5, Adobe Photoshop CS5, Microsoft Word, Enfocus Pitstop Pro, Quark, Microsoft Office 2007, PowerPoint, Articulate Presenter, Articulate Quizmaker, Creo Preps, Illustrator, Adobe Acrobat, Windows 7, Mac OS X, Project Management, Adobe Creative Suite, Publishing, Desktop Publishing, QuarkXPress, Image Editing, Template Building, Custom Publishing, Style Sheets, Book Covers, Pre-press, InDesign, OS X, Manuscript Development, Photoshop, Graphic Design, Copy Editing, Books, Proofreading, Editorial, Content Development, Web Design, Editing, Brochures, Graphics, Advertising, Microsoft Office
Education
University of Massachusetts at Lowell 2001 — 2002
The School of the Art Institute of Chicago 1987 — 1991
B.F.A.
Jia Qiu Jia Qiu's Neighborhood Health Plan Experience March 2014 - June 2014
Job Senior Informatics Analyst at Aetna
Industry Hospital & Health Care
Experience
Aetna February 2015 - Present
SCIO Health Analytics® June 2014 - December 2014
Neighborhood Health Plan March 2014 - June 2014
Hartford Foundation for Public Giving July 2012 - February 2013
Rutgers University January 2010 - January 2012
Skills
SAS programming, Data Analysis, Data Management, Databases, Microsoft SQL Server, SQL, SAS/SQL, Tableau, Regression Testing, R, SAS, Statistical Modeling, Research, SAS Macro, Hive, Access, SAS Programming, Matlab
Education
Rutgers, The State University of New Jersey-New Brunswick
MS, Statistics
Aetna February 2015 - Present
SCIO Health Analytics® June 2014 - December 2014
Neighborhood Health Plan March 2014 - June 2014
Hartford Foundation for Public Giving July 2012 - February 2013
Rutgers University January 2010 - January 2012
Skills
SAS programming, Data Analysis, Data Management, Databases, Microsoft SQL Server, SQL, SAS/SQL, Tableau, Regression Testing, R, SAS, Statistical Modeling, Research, SAS Macro, Hive, Access, SAS Programming, Matlab
Education
Rutgers, The State University of New Jersey-New Brunswick
MS, Statistics
Jim Milke Jim Milke's Neighborhood Health Plan Experience July 2013 - Present
Job Senior Content and Copy Advisor
Industry Marketing and Advertising
Experience
Neighborhood Health Plan July 2013 - Present
Blue Cross Blue Shield of Massachusetts February 2013 - June 2013
Curriculum Associates July 2012 - February 2013
Wayfair July 2011 - June 2012
Jim Milke Copywriting November 2009 - June 2011
Cross Country Automotive Services June 2006 - July 2009
Jim Milke Copywriting September 2000 - June 2006
Hill Holliday Interactive / Zentropy Partners March 1998 - November 2000
Bronner Slosberg Humphrey 1996 - 1997
Weiss Whitten Stagliano 1992 - 1995
Skills
Copywriting, Email Marketing, Advertising, Interactive Marketing, Integrated Marketing, Web Content, Web Marketing, Content Management, Content Strategy, Content Development, Content Writing, Branded Content, Online Advertising, Web Design, Creative Strategy, Public Relations, Corporate Communications, Art Direction, CRM, Product Marketing, Direct Mail, Creative Direction, Digital Strategy, Digital Marketing, B2B, Direct Marketing, Interactive Advertising, Digital Media, Brand Development, Online Marketing, Google Analytics, User Experience, SEO, Corporate Branding
Education
School of Visual Arts 1991 — 1993
Advertising
University of Vermont 1984 — 1988
BA, Economics, French
Université Nice Sophia Antipolis 1986 — 1987
Economics, French
Neighborhood Health Plan July 2013 - Present
Blue Cross Blue Shield of Massachusetts February 2013 - June 2013
Curriculum Associates July 2012 - February 2013
Wayfair July 2011 - June 2012
Jim Milke Copywriting November 2009 - June 2011
Cross Country Automotive Services June 2006 - July 2009
Jim Milke Copywriting September 2000 - June 2006
Hill Holliday Interactive / Zentropy Partners March 1998 - November 2000
Bronner Slosberg Humphrey 1996 - 1997
Weiss Whitten Stagliano 1992 - 1995
Skills
Copywriting, Email Marketing, Advertising, Interactive Marketing, Integrated Marketing, Web Content, Web Marketing, Content Management, Content Strategy, Content Development, Content Writing, Branded Content, Online Advertising, Web Design, Creative Strategy, Public Relations, Corporate Communications, Art Direction, CRM, Product Marketing, Direct Mail, Creative Direction, Digital Strategy, Digital Marketing, B2B, Direct Marketing, Interactive Advertising, Digital Media, Brand Development, Online Marketing, Google Analytics, User Experience, SEO, Corporate Branding
Education
School of Visual Arts 1991 — 1993
Advertising
University of Vermont 1984 — 1988
BA, Economics, French
Université Nice Sophia Antipolis 1986 — 1987
Economics, French
Diane Aguiar Diane Aguiar's Neighborhood Health Plan Experience January 2014 - December 2014
Job Accounting Analyst
Industry Accounting
Experience
CVS Health December 2014 - Present
Neighborhood Health Plan January 2014 - December 2014
Hasbro October 2011 - December 2013
Saint Anne's Hospital October 2006 - June 2011
Skills
Customer Service, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint
Education
University of Massachusetts Dartmouth 2012 — 2014
Bachelor of Science (BS), Accounting
University of Massachusetts Dartmouth 2012 — 2014
Bachelor of Science (B.S.), Accounting
CVS Health December 2014 - Present
Neighborhood Health Plan January 2014 - December 2014
Hasbro October 2011 - December 2013
Saint Anne's Hospital October 2006 - June 2011
Skills
Customer Service, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint
Education
University of Massachusetts Dartmouth 2012 — 2014
Bachelor of Science (BS), Accounting
University of Massachusetts Dartmouth 2012 — 2014
Bachelor of Science (B.S.), Accounting
Colleen Stowell's Neighborhood Health Plan Experience November 2013 - October 2014
Job QNXT Configuration Consultant at Catalyst Solutions A Healthcare Consulting Company
Industry Hospital & Health Care
Experience
Catalyst Solutions - A Healthcare Consulting Company October 2014 - Present
Neighborhood Health Plan November 2013 - October 2014
Fallon Community Health Plan 2010 - 2012
Fallon Community Health Plan 2005 - 2010
Fallon Community Health Plan 2002 - 2005
Skills
Health Insurance, Claims Resolution, Healthcare Reimbursement, Computer Proficiency, Problem Solving, Critical Thinking, Organizational..., ICD-9, Testing, Business Intelligence, Healthcare, Business Requirements, PPO, IDX, Systems Analysis, Business Analysis
Education
Quinsigamond Community College
Catalyst Solutions - A Healthcare Consulting Company October 2014 - Present
Neighborhood Health Plan November 2013 - October 2014
Fallon Community Health Plan 2010 - 2012
Fallon Community Health Plan 2005 - 2010
Fallon Community Health Plan 2002 - 2005
Skills
Health Insurance, Claims Resolution, Healthcare Reimbursement, Computer Proficiency, Problem Solving, Critical Thinking, Organizational..., ICD-9, Testing, Business Intelligence, Healthcare, Business Requirements, PPO, IDX, Systems Analysis, Business Analysis
Education
Quinsigamond Community College
Erica Esposito Erica Esposito's Neighborhood Health Plan Experience August 2010 - July 2011
Job Lead Quality + PreBilling Coordinator at Tufts Medical Center
Industry Hospital & Health Care
Experience
Tufts Medical Center June 2012 - Present
Tufts Medical Center June 2012 - January 2013
Abbington Partners LLC. September 2011 - June 2012
Neighborhood Health Plan August 2010 - July 2011
Manet Community Health Center, Inc. June 2010 - July 2010
Skills
Management Of Direct..., System Testing, Social Networking, Networking, Training, Liasoning, Claims Resolution, Claim Cleaning, Claims Handling, Refunds, Retractions, Teamwork, Insurance Verification, Account Reconciliation, Research, Auditing, Medical Coding, Eligibility, Medical Billing, Home Infusion, Member Reimbursements, Charge Corrections, Charge Entry, Employee Engagement
Education
Super Bill Consulting 2014 — 2014
CPC Certification, CPC
The Salter School-Malden Campus 2009 — 2010
Certified Health Claims Specialist, Medical Billing and Codeing
Tufts Medical Center June 2012 - Present
Tufts Medical Center June 2012 - January 2013
Abbington Partners LLC. September 2011 - June 2012
Neighborhood Health Plan August 2010 - July 2011
Manet Community Health Center, Inc. June 2010 - July 2010
Skills
Management Of Direct..., System Testing, Social Networking, Networking, Training, Liasoning, Claims Resolution, Claim Cleaning, Claims Handling, Refunds, Retractions, Teamwork, Insurance Verification, Account Reconciliation, Research, Auditing, Medical Coding, Eligibility, Medical Billing, Home Infusion, Member Reimbursements, Charge Corrections, Charge Entry, Employee Engagement
Education
Super Bill Consulting 2014 — 2014
CPC Certification, CPC
The Salter School-Malden Campus 2009 — 2010
Certified Health Claims Specialist, Medical Billing and Codeing
Mary Driscoll-Grace Mary Driscoll-Grace's Neighborhood Health Plan Experience January 2014 - Present
Job Behavioral Health Program Manager at Neighborhood Health Plan
Industry Mental Health Care
Experience
Neighborhood Health Plan January 2014 - Present
Brigham & Womens Faulkner Hospital October 2001 - January 2014
Beacon Health Strategies July 1998 - October 2001
Options Commonworks February 1997 - July 1998
Commonwealth of Massaachusetts, Department of Social Services 1979 - 1991
Skills
Adolescents, Treatment, Healthcare, Clinical Research, Hospitals, Managed Care, Inpatient, Leadership, Utilization Review, Case Management, Mental Health, Crisis Intervention, Child Welfare, Group Therapy, Mental Health Counseling
Education
Boston College Graduate School of Social Work
Masters in Social Work, Cinical
University of Massachusetts, Amherst
Bachelor of Science (B.S.), Family and Community Services
Neighborhood Health Plan January 2014 - Present
Brigham & Womens Faulkner Hospital October 2001 - January 2014
Beacon Health Strategies July 1998 - October 2001
Options Commonworks February 1997 - July 1998
Commonwealth of Massaachusetts, Department of Social Services 1979 - 1991
Skills
Adolescents, Treatment, Healthcare, Clinical Research, Hospitals, Managed Care, Inpatient, Leadership, Utilization Review, Case Management, Mental Health, Crisis Intervention, Child Welfare, Group Therapy, Mental Health Counseling
Education
Boston College Graduate School of Social Work
Masters in Social Work, Cinical
University of Massachusetts, Amherst
Bachelor of Science (B.S.), Family and Community Services
Judy Murphy Judy Murphy's Neighborhood Health Plan Experience February 1995 - November 2000
Job Financial Systems Analyst/Senior Accountant at Marine Biological Laboratory
Industry Financial Services
Experience
Marine Biological Laboratory April 2012 - Present
American Student Assistance November 2000 - October 2011
Neighborhood Health Plan February 1995 - November 2000
Fidelity Investments February 1984 - February 1995
Skills
Non-profits, General Ledger, Financial Reporting, Accounting, Microsoft Office, Excel, Financial Analysis, Financial Management, Staff Development, Mentoring, Lawson, QuickBooks, Great Plains, Audit, Internal Controls, Finance, Financial Statements, Variance Analysis, Auditing, Payroll, Managerial Finance, Tax, Great Plains Software, Account Reconciliation, Movex, Budgets, Microsoft Excel, GAAP, Nonprofits, Process Improvement, Analysis, Cost Accounting, Hyperion Enterprise, Journal Entries, Financial Accounting, Accounts Payable, Access, Financial Modeling, Internal Audit, Payroll Taxes, Sarbanes-Oxley Act, Invoicing
Education
University of Massachusetts Boston
Bachelor of Arts, Accounting
Marine Biological Laboratory April 2012 - Present
American Student Assistance November 2000 - October 2011
Neighborhood Health Plan February 1995 - November 2000
Fidelity Investments February 1984 - February 1995
Skills
Non-profits, General Ledger, Financial Reporting, Accounting, Microsoft Office, Excel, Financial Analysis, Financial Management, Staff Development, Mentoring, Lawson, QuickBooks, Great Plains, Audit, Internal Controls, Finance, Financial Statements, Variance Analysis, Auditing, Payroll, Managerial Finance, Tax, Great Plains Software, Account Reconciliation, Movex, Budgets, Microsoft Excel, GAAP, Nonprofits, Process Improvement, Analysis, Cost Accounting, Hyperion Enterprise, Journal Entries, Financial Accounting, Accounts Payable, Access, Financial Modeling, Internal Audit, Payroll Taxes, Sarbanes-Oxley Act, Invoicing
Education
University of Massachusetts Boston
Bachelor of Arts, Accounting
Soana Pierrette Soana Pierrette's Neighborhood Health Plan Experience June 2005 - February 2006
Job Medical Records Specialist at Harbor Health Services, Inc
Industry Hospital & Health Care
Experience
Harbor Health Services, Inc September 2010 - Present
Spaulding Hospital Cambridge October 2010 - April 2011
professional staffing group June 2010 - April 2011
University of Hartford September 2009 - June 2010
Old Navy February 2006 - April 2010
University of Hartford September 2008 - June 2009
Neighborhood Health Plan June 2005 - February 2006
Skills
Microsoft Office, Customer Relations, Customer Service, Scheduling, Telephone Skills, Administration, Administrative Support, Healthcare, Inventory Management, Administrative..., Process Scheduler
Education
University of Hartford 2006 — 2010
Health Sciences
Harbor Health Services, Inc September 2010 - Present
Spaulding Hospital Cambridge October 2010 - April 2011
professional staffing group June 2010 - April 2011
University of Hartford September 2009 - June 2010
Old Navy February 2006 - April 2010
University of Hartford September 2008 - June 2009
Neighborhood Health Plan June 2005 - February 2006
Skills
Microsoft Office, Customer Relations, Customer Service, Scheduling, Telephone Skills, Administration, Administrative Support, Healthcare, Inventory Management, Administrative..., Process Scheduler
Education
University of Hartford 2006 — 2010
Health Sciences
Kirsten M. Straitiff's Neighborhood Health Plan Experience May 2007 - July 2009
Job at Tufts Health Plan Medicare Preferred
Industry Insurance
Experience
Tufts Health Plan March 2010 - Present
Neighborhood Health Plan May 2007 - July 2009
Evercare a division of United Healthcare January 2006 - May 2007
Oxford Health Plans a division of United Healthcare November 2002 - January 2006
Oxford Health Plans a division of United Healthcare August 1995 - November 2002
Education
North Middlesex Regional High School 1983 — 1985
University of Phoenix
Tufts Health Plan March 2010 - Present
Neighborhood Health Plan May 2007 - July 2009
Evercare a division of United Healthcare January 2006 - May 2007
Oxford Health Plans a division of United Healthcare November 2002 - January 2006
Oxford Health Plans a division of United Healthcare August 1995 - November 2002
Education
North Middlesex Regional High School 1983 — 1985
University of Phoenix
Jana Scholten's Neighborhood Health Plan Experience March 2014 - June 2014
Job
Industry Public Relations and Communications
Experience
MIT September 2014 - Present
Neighborhood Health Plan March 2014 - June 2014
Flywheel Marketing November 2001 - January 2014
Harvard School of Public Health 2011 - 2012
MS150 2003 - 2006
National Stroke Association 2000 - 2001
National Insurance Crime Bureau 1997 - 2000
Skills
Toastmasters, Public Speaking, Public Relations, Health, Fundraising, Volunteer Management, New Business Development, Community Outreach, Grassroots Outreach, Media Outreach, Social Media Marketing, Marketing Communications, Strategic Planning, Strategic Communications, Strategic Partnerships, Conference Speaking, Sales Support, Small Business, Spanish, Community Relations, Corporate Communications, Event Management, Program Management, Publicity, Media Relations, Media Planning, Project Planning, Project Implementation, Project Coordination, Team Coordination, Training & Development, Training Skills, Trade Shows, Coordinating Events, Program Coordination, Training, Team Building, Marketing Strategy, Entrepreneurship, Community Development, CRM, Leadership, Marketing, Management, Business Development, Proposal Writing, Strategy, Press Releases, Nonprofits, Start-ups
Education
University of Northern Iowa 1991 — 1996
Bachelor's Degree, Public Relations and Spanish
Toastmasters Intl. 2004 — 2013
CTM, Speaking, Presentations, Leadership
Landmark Education 1996 — 2006
Sales, Customer Service and Leadership, Ontology
Life Results by Growthworks 2013 — 2013
Personal Training and Development
MIT September 2014 - Present
Neighborhood Health Plan March 2014 - June 2014
Flywheel Marketing November 2001 - January 2014
Harvard School of Public Health 2011 - 2012
MS150 2003 - 2006
National Stroke Association 2000 - 2001
National Insurance Crime Bureau 1997 - 2000
Skills
Toastmasters, Public Speaking, Public Relations, Health, Fundraising, Volunteer Management, New Business Development, Community Outreach, Grassroots Outreach, Media Outreach, Social Media Marketing, Marketing Communications, Strategic Planning, Strategic Communications, Strategic Partnerships, Conference Speaking, Sales Support, Small Business, Spanish, Community Relations, Corporate Communications, Event Management, Program Management, Publicity, Media Relations, Media Planning, Project Planning, Project Implementation, Project Coordination, Team Coordination, Training & Development, Training Skills, Trade Shows, Coordinating Events, Program Coordination, Training, Team Building, Marketing Strategy, Entrepreneurship, Community Development, CRM, Leadership, Marketing, Management, Business Development, Proposal Writing, Strategy, Press Releases, Nonprofits, Start-ups
Education
University of Northern Iowa 1991 — 1996
Bachelor's Degree, Public Relations and Spanish
Toastmasters Intl. 2004 — 2013
CTM, Speaking, Presentations, Leadership
Landmark Education 1996 — 2006
Sales, Customer Service and Leadership, Ontology
Life Results by Growthworks 2013 — 2013
Personal Training and Development
Lisa Daly's Neighborhood Health Plan Experience May 1997 - August 2005
Job Manager of Operations at Focus Care Inc.
Industry Hospital & Health Care
Experience
Core Health, Inc. April 2014 - December 2014
Senior Whole Health February 2008 - April 2014
Senior Whole Health August 2005 - February 2008
Neighborhood Health Plan May 1997 - August 2005
Neighborhood Health Plan February 1992 - May 1997
Skills
Healthcare Management, HIPAA, Healthcare, Medicare, Healthcare Consulting, Management, Healthcare Information..., Process Improvement, Team Building, Microsoft Excel, Health Insurance, Program Management, Healthcare Industry, Public Speaking, Managed Care, Customer Service, Leadership, Strategic Planning
Education
Salem State University 1977 — 1982
Bachelor of Science (BS), Elementary Education and Teaching
Core Health, Inc. April 2014 - December 2014
Senior Whole Health February 2008 - April 2014
Senior Whole Health August 2005 - February 2008
Neighborhood Health Plan May 1997 - August 2005
Neighborhood Health Plan February 1992 - May 1997
Skills
Healthcare Management, HIPAA, Healthcare, Medicare, Healthcare Consulting, Management, Healthcare Information..., Process Improvement, Team Building, Microsoft Excel, Health Insurance, Program Management, Healthcare Industry, Public Speaking, Managed Care, Customer Service, Leadership, Strategic Planning
Education
Salem State University 1977 — 1982
Bachelor of Science (BS), Elementary Education and Teaching
Henry G. Brechter Henry G. Brechter's Neighborhood Health Plan Experience December 2007 - Present
Job Senior Contract Manager
Industry Hospital & Health Care
Experience
Neighborhood Health Plan December 2007 - Present
Neighborhood Health Plan December 2007 - Present
Neighborhood Health Plan December 2007 - Present
Perot Systems Healthcare Services, LLC June 2005 - December 2007
Sequoia Associates, Inc November 2006 - September 2007
Hospitalists of America, LLC November 2004 - May 2005
NAVIX Diagnostix, Inc January 2003 - May 2005
NAVIX Diagnostix, Inc. July 2001 - May 2005
NAVIX Diagnostix, Inc June 1998 - May 2005
Fresenius Medical Care-North America October 1995 - June 1998
Skills
Program Management, Process Improvement, Leadership, Hospitals, HIPAA, Software Documentation, Healthcare, Medicaid, Medicare, Managed Care, Management, Analysis, Contract Management, Contract Negotiation, Policy
Education
University of Massachusetts, Amherst 1975 — 1977
Master's degree, History
Continuing Education
B.A; Post Graduate work, Public Health Statistics/Epidemiology, Public Health Administration
University of Massachusetts, Amherst
M.A, History; German as a foreign language
Neighborhood Health Plan December 2007 - Present
Neighborhood Health Plan December 2007 - Present
Neighborhood Health Plan December 2007 - Present
Perot Systems Healthcare Services, LLC June 2005 - December 2007
Sequoia Associates, Inc November 2006 - September 2007
Hospitalists of America, LLC November 2004 - May 2005
NAVIX Diagnostix, Inc January 2003 - May 2005
NAVIX Diagnostix, Inc. July 2001 - May 2005
NAVIX Diagnostix, Inc June 1998 - May 2005
Fresenius Medical Care-North America October 1995 - June 1998
Skills
Program Management, Process Improvement, Leadership, Hospitals, HIPAA, Software Documentation, Healthcare, Medicaid, Medicare, Managed Care, Management, Analysis, Contract Management, Contract Negotiation, Policy
Education
University of Massachusetts, Amherst 1975 — 1977
Master's degree, History
Continuing Education
B.A; Post Graduate work, Public Health Statistics/Epidemiology, Public Health Administration
University of Massachusetts, Amherst
M.A, History; German as a foreign language
Barbara Cloutman's Neighborhood Health Plan Experience July 2008 - July 2011
Job Prior Authorization Clinician at BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan January 2012 - Present
Neighborhood Health Plan July 2008 - July 2011
neighborhood health plan 2008 - 2011
Devereaux House December 2005 - May 2006
North Shore July 2003 - May 2005
Blueberry Hill Healthcare October 2001 - October 2003
Bishop Fenwick High School January 2001 - October 2001
Charter Professional Services/North Shore Medical Center January 2000 - October 2001
Charter Professional Services/North Shore Medical Center January 2000 - January 2001
North Shore Medical Center/Salem Hospital January 1979 - January 2000
Skills
Quality Management, Nursing, Clinical, Health, Customer Service, Writing, Teaching, Budgeting, Mentoring, Case Management, Documentation, Public Speaking, Insurance, Fundraising, Mental Health, Word, Excel, Editing, Event Planning, Education, PowerPoint, Clinical Research, Software Documentation, Case Managment, Microsoft Word, Management, Healthcare Management, Managed Care, Utilization Management, Healthcare, Hospitals, Healthcare Information..., HIPAA, Leadership, Medicaid, Quality Improvement
Education
Salem State College 1974 — 1980
Bachelor of Arts, History and English
Salem State University 1974 — 1978
Bachelor of Science, Nursing/Biology
Girls' Latin School 1968 — 1974
High School Diploma, College preparation
BMC HealthNet Plan January 2012 - Present
Neighborhood Health Plan July 2008 - July 2011
neighborhood health plan 2008 - 2011
Devereaux House December 2005 - May 2006
North Shore July 2003 - May 2005
Blueberry Hill Healthcare October 2001 - October 2003
Bishop Fenwick High School January 2001 - October 2001
Charter Professional Services/North Shore Medical Center January 2000 - October 2001
Charter Professional Services/North Shore Medical Center January 2000 - January 2001
North Shore Medical Center/Salem Hospital January 1979 - January 2000
Skills
Quality Management, Nursing, Clinical, Health, Customer Service, Writing, Teaching, Budgeting, Mentoring, Case Management, Documentation, Public Speaking, Insurance, Fundraising, Mental Health, Word, Excel, Editing, Event Planning, Education, PowerPoint, Clinical Research, Software Documentation, Case Managment, Microsoft Word, Management, Healthcare Management, Managed Care, Utilization Management, Healthcare, Hospitals, Healthcare Information..., HIPAA, Leadership, Medicaid, Quality Improvement
Education
Salem State College 1974 — 1980
Bachelor of Arts, History and English
Salem State University 1974 — 1978
Bachelor of Science, Nursing/Biology
Girls' Latin School 1968 — 1974
High School Diploma, College preparation
Nataliya Guboglo Nataliya Guboglo's Neighborhood Health Plan Experience June 2010 - August 2010
Job
Industry Accounting
Experience
Boston Cares (Boston Earned Income Tax Credit Coalition) January 2013 - Present
COMMUNITY Jumpstart February 2012 - April 2012
Neighborhood Health Plan June 2010 - August 2010
Skills
Proposal Writing, Contract Management, Project Planning, Pricing, Customer Service, Accounting, Account Reconciliation, General Ledger, Administrative..., QuickBooks, Accounts Payable, Financial Accounting, Tax Returns
Education
Suffolk University 2011 — 2013
Bachelor of Business Administration, Accounting
Quincy College
Associates Degree, Business Administration/Accounting
Suffolk University
Bachelor of Science Degree, Accounting
Boston Cares (Boston Earned Income Tax Credit Coalition) January 2013 - Present
COMMUNITY Jumpstart February 2012 - April 2012
Neighborhood Health Plan June 2010 - August 2010
Skills
Proposal Writing, Contract Management, Project Planning, Pricing, Customer Service, Accounting, Account Reconciliation, General Ledger, Administrative..., QuickBooks, Accounts Payable, Financial Accounting, Tax Returns
Education
Suffolk University 2011 — 2013
Bachelor of Business Administration, Accounting
Quincy College
Associates Degree, Business Administration/Accounting
Suffolk University
Bachelor of Science Degree, Accounting
Alketa Mezini Xhupi Alketa Mezini Xhupi's Neighborhood Health Plan Experience September 2014 - Present
Job MD, MBA
Industry Hospital & Health Care
Experience
Neighborhood Health Plan September 2014 - Present
Landmark Medical Center December 2009 - April 2013
Brown University/ National Center of Excellence/ Women & Infants Hospital January 2006 - January 2007
Skills
Healthcare, Clinical Research, Hospitals, Medicine, Acute Care, Patient Safety, Medical/Surgical, Pediatrics, Treatment, Healthcare Management, Peer reviews, HIPAA, Quality Improvement, Management, Cross-functional Team..., Health Education, Utilization Management, Inpatient, Process Improvement, Analysts, Medical Management, Women's Health, Supervisory Skills, Emergency Care, Project Management
Education
University of Rhode Island - College of Business Administration 2012 — 2014
Master of Business Administration (MBA), General Management
Sacro Cuore University, Rome, Italy 1994 — 1996
Fellowship, OB-GYN
University of Tirana, School of Medicine 1988 — 1993
Doctor of Medicine (MD), Family Medicine
Neighborhood Health Plan September 2014 - Present
Landmark Medical Center December 2009 - April 2013
Brown University/ National Center of Excellence/ Women & Infants Hospital January 2006 - January 2007
Skills
Healthcare, Clinical Research, Hospitals, Medicine, Acute Care, Patient Safety, Medical/Surgical, Pediatrics, Treatment, Healthcare Management, Peer reviews, HIPAA, Quality Improvement, Management, Cross-functional Team..., Health Education, Utilization Management, Inpatient, Process Improvement, Analysts, Medical Management, Women's Health, Supervisory Skills, Emergency Care, Project Management
Education
University of Rhode Island - College of Business Administration 2012 — 2014
Master of Business Administration (MBA), General Management
Sacro Cuore University, Rome, Italy 1994 — 1996
Fellowship, OB-GYN
University of Tirana, School of Medicine 1988 — 1993
Doctor of Medicine (MD), Family Medicine
Sarah Voorhees's Neighborhood Health Plan Experience September 2012 - August 2013
Job Health and Prevention Educator at Boston University Sexual Assault Response & Prevention Center
Industry Program Development
Experience
Boston University Sexual Assault Response & Prevention Center August 2014 - Present
Boston University Sexual Assault Response & Prevention Center August 2013 - July 2014
Boston Area Rape Crisis Center June 2012 - September 2013
Neighborhood Health Plan September 2012 - August 2013
Boston University School of Public Health September 2012 - June 2013
Boston University Judicial Affairs June 2012 - October 2012
Boston Medical Center, Center for Refugee Health and Human Rights January 2012 - July 2012
Boston University Residence Life August 2011 - May 2012
Global Links September 2010 - July 2011
Cornell Cooperative Extension of Cortland County September 2009 - December 2009
Skills
Program Facilitation, Sexual Violence, Social Media, Program Evaluation, Crisis Management, Volunteer Management, International..., NGOs, Office Management, Injury Prevention, Student Engagement, Student Outreach, Program Development
Education
Boston University School of Public Health 2011 — 2013
Master of Public Health (MPH)
State University of New York College at Cortland 2006 — 2009
Bachelor of Arts, International Studies; Bachelor of Arts, Anthropology
Boston University Sexual Assault Response & Prevention Center August 2014 - Present
Boston University Sexual Assault Response & Prevention Center August 2013 - July 2014
Boston Area Rape Crisis Center June 2012 - September 2013
Neighborhood Health Plan September 2012 - August 2013
Boston University School of Public Health September 2012 - June 2013
Boston University Judicial Affairs June 2012 - October 2012
Boston Medical Center, Center for Refugee Health and Human Rights January 2012 - July 2012
Boston University Residence Life August 2011 - May 2012
Global Links September 2010 - July 2011
Cornell Cooperative Extension of Cortland County September 2009 - December 2009
Skills
Program Facilitation, Sexual Violence, Social Media, Program Evaluation, Crisis Management, Volunteer Management, International..., NGOs, Office Management, Injury Prevention, Student Engagement, Student Outreach, Program Development
Education
Boston University School of Public Health 2011 — 2013
Master of Public Health (MPH)
State University of New York College at Cortland 2006 — 2009
Bachelor of Arts, International Studies; Bachelor of Arts, Anthropology
Isabel Carolina Pestana Isabel Carolina Pestana's Neighborhood Health Plan Experience March 2003 - July 2005
Job Director of Marketing and Public Relations at The Villa at Saint Antoine
Industry Hospital & Health Care
Experience
The Villa at Saint Antoine July 2011 - Present
Latino Cancer Control Task Force January 2008 - June 2010
Neighborhood Health Plan of Rhode Island January 2008 - June 2010
Osteoporosis Coalition of RI January 2008 - June 2010
Powerlines Wholesales, LLC March 2007 - December 2007
Hospice By the Sea March 2006 - September 2006
Neighborhood Health Plan March 2003 - July 2005
Lockett Medical April 2002 - February 2003
EFD, Inc January 2000 - February 2002
Shannon's Designs May 1995 - February 2000
Skills
Assisted Living, Fluent Spanish, Public Speaking, Fluent Portuguese, Strategic Planning, Public Relations, Event Planning, Fundraising, Healthcare, Research, Social Media, Community Outreach, Newsletters, Program Development, Customer Service, Microsoft Office, PowerPoint, Networking Strategy, People Skills, Sales, International Relations, Nonprofits, Data Analysis, Leadership, Marketing Communications, Marketing, Editing, Grant Writing, Management, Social Networking, Spanish, Event Management, Program Management, Policy, Training, Leadership Development
Education
Zumba 2014 — 2014
Zumba Basic Instructor License, Health and Fitness
UMASS Medical Interpreter 2004 — 2005
Medical Interpretation
Salve Regina University 1983 — 1991
BA, International Relations
The Villa at Saint Antoine July 2011 - Present
Latino Cancer Control Task Force January 2008 - June 2010
Neighborhood Health Plan of Rhode Island January 2008 - June 2010
Osteoporosis Coalition of RI January 2008 - June 2010
Powerlines Wholesales, LLC March 2007 - December 2007
Hospice By the Sea March 2006 - September 2006
Neighborhood Health Plan March 2003 - July 2005
Lockett Medical April 2002 - February 2003
EFD, Inc January 2000 - February 2002
Shannon's Designs May 1995 - February 2000
Skills
Assisted Living, Fluent Spanish, Public Speaking, Fluent Portuguese, Strategic Planning, Public Relations, Event Planning, Fundraising, Healthcare, Research, Social Media, Community Outreach, Newsletters, Program Development, Customer Service, Microsoft Office, PowerPoint, Networking Strategy, People Skills, Sales, International Relations, Nonprofits, Data Analysis, Leadership, Marketing Communications, Marketing, Editing, Grant Writing, Management, Social Networking, Spanish, Event Management, Program Management, Policy, Training, Leadership Development
Education
Zumba 2014 — 2014
Zumba Basic Instructor License, Health and Fitness
UMASS Medical Interpreter 2004 — 2005
Medical Interpretation
Salve Regina University 1983 — 1991
BA, International Relations
Nicole Hodges Nicole Hodges's Neighborhood Health Plan Experience August 2011 - June 2014
Job
Industry Insurance
Experience
Neighborhood Health Plan August 2011 - June 2014
Neighborhood Health Plan December 2005 - June 2011
Skills
Customer Service, Medical Terminology, Medical Billing, Medical Transcription, ICD-10, ICD-9-CM, HIPAA, Creative Writing, Listening to customers, Problem Solving, Health Insurance, Microsoft Word, Microsoft Office, Microsoft Excel, Outlook, Keen Listener, Team Leadership, Team-oriented, Social Skills, Claim, Healthcare, Insurance, Teamwork
Education
Drinkmaster 2011 — 2011
Certificate, Mixologist
The Salter School-Malden Campus 2009 — 2010
Certification, Health Claims Specialist
Boston community leadership academy 2001 — 2005
diploma, high school
Neighborhood Health Plan August 2011 - June 2014
Neighborhood Health Plan December 2005 - June 2011
Skills
Customer Service, Medical Terminology, Medical Billing, Medical Transcription, ICD-10, ICD-9-CM, HIPAA, Creative Writing, Listening to customers, Problem Solving, Health Insurance, Microsoft Word, Microsoft Office, Microsoft Excel, Outlook, Keen Listener, Team Leadership, Team-oriented, Social Skills, Claim, Healthcare, Insurance, Teamwork
Education
Drinkmaster 2011 — 2011
Certificate, Mixologist
The Salter School-Malden Campus 2009 — 2010
Certification, Health Claims Specialist
Boston community leadership academy 2001 — 2005
diploma, high school
Edmundo Donatiu's Neighborhood Health Plan Experience August 2011 - February 2014
Job Customer Service Manager at LogistiCare
Industry Marketing and Advertising
Experience
LogistiCare March 2014 - Present
Neighborhood Health Plan August 2011 - February 2014
Teleservicios Internacional April 2000 - May 2011
Telecontact September 1997 - April 2000
Skills
Customer Service, Team Leadership, Team Building, Hiring, Coaching, Quality Assurance, Recruiting, Sales, Sales Management, Sales Operations, Staff Development, Start-ups, Strategic Planning, Teamwork, Training, Vendor Management, Process Improvement, PowerPoint, Policy, Outlook, Performance Management, Account Management, Administration, Budgets, Business Development, CRM, Call Center, Call Centers, Cross-functional Team..., Customer Experience, Customer Retention, Customer Satisfaction, Direct Sales, Employee Relations, Employee Training, Forecasting, Human Resources, Interviews, Inventory Management, Leadership, Leadership Development, Management, Microsoft Excel, Microsoft Office, Negotiation, Operations Management, Marketing Strategy, Program Management, Time Management
Education
University of Phoenix 1995 — 1997
MBA, Marketing
University of Puerto Rico 1988 — 1993
Bachelor's degree, Biology, General
LogistiCare March 2014 - Present
Neighborhood Health Plan August 2011 - February 2014
Teleservicios Internacional April 2000 - May 2011
Telecontact September 1997 - April 2000
Skills
Customer Service, Team Leadership, Team Building, Hiring, Coaching, Quality Assurance, Recruiting, Sales, Sales Management, Sales Operations, Staff Development, Start-ups, Strategic Planning, Teamwork, Training, Vendor Management, Process Improvement, PowerPoint, Policy, Outlook, Performance Management, Account Management, Administration, Budgets, Business Development, CRM, Call Center, Call Centers, Cross-functional Team..., Customer Experience, Customer Retention, Customer Satisfaction, Direct Sales, Employee Relations, Employee Training, Forecasting, Human Resources, Interviews, Inventory Management, Leadership, Leadership Development, Management, Microsoft Excel, Microsoft Office, Negotiation, Operations Management, Marketing Strategy, Program Management, Time Management
Education
University of Phoenix 1995 — 1997
MBA, Marketing
University of Puerto Rico 1988 — 1993
Bachelor's degree, Biology, General
Marlene Sargent Marlene Sargent's Neighborhood Health Plan Experience September 2014 - Present
Job Manager Reimbursement Strategy at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan September 2014 - Present
Cigna Healthcare 2006 - September 2014
MultiPlan 2005 - 2007
Anthem 1994 - 2004
Skills
Variance Analysis, Health Insurance, HIPAA, Analysis, Business Analysis, Healthcare, Financial Analysis, Data Analysis, Managed Care, Process Improvement, Medicare, Healthcare Information..., Healthcare Industry, Insurance
Education
Southern New Hampshire University 1992 — 1996
Neighborhood Health Plan September 2014 - Present
Cigna Healthcare 2006 - September 2014
MultiPlan 2005 - 2007
Anthem 1994 - 2004
Skills
Variance Analysis, Health Insurance, HIPAA, Analysis, Business Analysis, Healthcare, Financial Analysis, Data Analysis, Managed Care, Process Improvement, Medicare, Healthcare Information..., Healthcare Industry, Insurance
Education
Southern New Hampshire University 1992 — 1996
Nayda Vazquez, MSW Nayda Vazquez, MSW's Neighborhood Health Plan Experience 1998 - 2003
Job Clinician
Industry Civic & Social Organization
Experience
Non-profit Agency October 2009 - Present
Springfield College 2010 - 2013
Non-Profit Organization 2007 - 2009
Neighborhood Health Plan 1998 - 2003
Skills
Group Therapy, Bilingual, Motivational..., Self-motivated..., Individual Assessment, School Social Work, Functional Behavior..., Behavioral Intervention, Microsoft Office, Massachusetts..., Electronic Health..., Behavioral Health, Treatment, Therapists, Play Therapy, Case Management, Interventions, Social Services, Dual Diagnosis, Individual Counselling, Mental Health Counseling, Adolescents
Education
Springfield College-School of Social Work 2010 — 2013
Master's degree, Social Work
Springfield College-School of Human Services 2002 — 2010
Bachelor's degree, Human Services, General
Non-profit Agency October 2009 - Present
Springfield College 2010 - 2013
Non-Profit Organization 2007 - 2009
Neighborhood Health Plan 1998 - 2003
Skills
Group Therapy, Bilingual, Motivational..., Self-motivated..., Individual Assessment, School Social Work, Functional Behavior..., Behavioral Intervention, Microsoft Office, Massachusetts..., Electronic Health..., Behavioral Health, Treatment, Therapists, Play Therapy, Case Management, Interventions, Social Services, Dual Diagnosis, Individual Counselling, Mental Health Counseling, Adolescents
Education
Springfield College-School of Social Work 2010 — 2013
Master's degree, Social Work
Springfield College-School of Human Services 2002 — 2010
Bachelor's degree, Human Services, General
Ricauter Urdaneta Ricauter Urdaneta's Neighborhood Health Plan Experience September 2006 - September 2007
Job Remote Services Consultant at ServiceNow
Industry Translation and Localization
Experience
ServiceNow August 2013 - Present
Lionbridge Technologies June 2011 - March 2013
FAA January 2011 - May 2011
ARAMARK September 2008 - May 2011
Regis College August 2007 - May 2011
Neighborhood Health Plan September 2006 - September 2007
Cambridge College September 2005 - May 2006
Cherishment and Wakefield September 2004 - May 2005
Skills
Scheduling, Budgeting, Teamwork, Microsoft Office, Outlook, Customer Service, PowerPoint, Administration, Word, Excel, Event Planning, Public Speaking, Spanish, Writing, Non-profits, Social Networking, Budgets, Leadership, Microsoft Excel, Process Scheduler, Editing, Sales
Education
Regis College 2007 — 2011
Management, Communication, Economics
Regis College 2007 — 2011
of Bachelor of Arts, and Sciences; Business Management and Communication
Regis College 2007 — 2011
Bachelor of Arts, and Sciences; Business Management and Communication
Regis College 2007 — 2011
Bachelor of Arts, and Sciences; Business Management and Communication
ServiceNow August 2013 - Present
Lionbridge Technologies June 2011 - March 2013
FAA January 2011 - May 2011
ARAMARK September 2008 - May 2011
Regis College August 2007 - May 2011
Neighborhood Health Plan September 2006 - September 2007
Cambridge College September 2005 - May 2006
Cherishment and Wakefield September 2004 - May 2005
Skills
Scheduling, Budgeting, Teamwork, Microsoft Office, Outlook, Customer Service, PowerPoint, Administration, Word, Excel, Event Planning, Public Speaking, Spanish, Writing, Non-profits, Social Networking, Budgets, Leadership, Microsoft Excel, Process Scheduler, Editing, Sales
Education
Regis College 2007 — 2011
Management, Communication, Economics
Regis College 2007 — 2011
of Bachelor of Arts, and Sciences; Business Management and Communication
Regis College 2007 — 2011
Bachelor of Arts, and Sciences; Business Management and Communication
Regis College 2007 — 2011
Bachelor of Arts, and Sciences; Business Management and Communication
Cheryl Cassidy's Neighborhood Health Plan Experience July 2015 - Present
Job Market Intelligence Manager
Industry Insurance
Experience
Neighborhood Health Plan July 2015 - Present
Neighborhood Health Plan June 2014 - July 2015
Harvard Pilgrim HealthCare August 2012 - May 2014
Harvard Pilgrim Health Care April 2005 - July 2012
CVS Caremark March 2003 - March 2005
CVS Caremark Corporation January 2000 - February 2003
CVS Caremark Corporation March 1998 - December 2000
Skills
Pharmacy Benefit..., Medicare Part D, Managed Care, Healthcare Industry, Healthcare, Health Insurance, Project Management, Management, Healthcare Information..., Employee Benefits, Medicaid, Leadership, Medicare, HIPAA, Insurance, Process Improvement
Education
University of Massachusetts Lowell 1985 — 1990
BS Business Management, International Marketing
Neighborhood Health Plan July 2015 - Present
Neighborhood Health Plan June 2014 - July 2015
Harvard Pilgrim HealthCare August 2012 - May 2014
Harvard Pilgrim Health Care April 2005 - July 2012
CVS Caremark March 2003 - March 2005
CVS Caremark Corporation January 2000 - February 2003
CVS Caremark Corporation March 1998 - December 2000
Skills
Pharmacy Benefit..., Medicare Part D, Managed Care, Healthcare Industry, Healthcare, Health Insurance, Project Management, Management, Healthcare Information..., Employee Benefits, Medicaid, Leadership, Medicare, HIPAA, Insurance, Process Improvement
Education
University of Massachusetts Lowell 1985 — 1990
BS Business Management, International Marketing
Tamara Luna's Neighborhood Health Plan Experience January 2008 - October 2012
Job at
Industry Individual & Family Services
Experience
RCAP Solutions, Inc. June 2014 - Present
Neighborhood Health Plan January 2008 - October 2012
Ethos January 2001 - October 2007
Skills
Case Management, Social Services
Education
Regis College 1993 — 1997
BA, Sociology
RCAP Solutions, Inc. June 2014 - Present
Neighborhood Health Plan January 2008 - October 2012
Ethos January 2001 - October 2007
Skills
Case Management, Social Services
Education
Regis College 1993 — 1997
BA, Sociology
Cassie Eckhof Cassie Eckhof's Neighborhood Health Plan Experience August 2009 - May 2012
Job Director of Quality Management & Regulatory Compliance at Fresenius Medical Care
Industry Hospital & Health Care
Experience
Fresenius Medical Care May 2012 - Present
Neighborhood Health Plan August 2009 - May 2012
Massachusetts Department of Public Health 2007 - 2009
Massachusetts Behavioral Health Partnership (MBHP) 2003 - 2007
Massachusetts Behavioral Health Partnership 1999 - 2003
Harvard Pilgrim Health Care 1997 - 1999
Blue Cross Blue Shield of Massachusetts 1993 - 1996
Skills
Quality Management, Managed Care, Healthcare, Strategic Planning, Contract Management
Education
Emma Willard School 1973 — 1976
Cum Laude
Simmons College
MS
University of Massachusetts, Amherst
Fresenius Medical Care May 2012 - Present
Neighborhood Health Plan August 2009 - May 2012
Massachusetts Department of Public Health 2007 - 2009
Massachusetts Behavioral Health Partnership (MBHP) 2003 - 2007
Massachusetts Behavioral Health Partnership 1999 - 2003
Harvard Pilgrim Health Care 1997 - 1999
Blue Cross Blue Shield of Massachusetts 1993 - 1996
Skills
Quality Management, Managed Care, Healthcare, Strategic Planning, Contract Management
Education
Emma Willard School 1973 — 1976
Cum Laude
Simmons College
MS
University of Massachusetts, Amherst
Danielle Gingras Danielle Gingras's Neighborhood Health Plan Experience November 2011 - Present
Job Social Care Manager
Industry Insurance
Experience
Neighborhood Health Plan November 2011 - Present
The Key Program, Inc 2009 - Present
Massachusetts Society for the Prevention of Cruelty to Children (MSPCC) 2010 - 2011
Skills
Mental Health, Social Services, Crisis Intervention, Adolescents, Community Outreach
Education
University of Massachusetts Lowell
Bachelor of Science (B.S.), Criminal Justice and Corrections
Neighborhood Health Plan November 2011 - Present
The Key Program, Inc 2009 - Present
Massachusetts Society for the Prevention of Cruelty to Children (MSPCC) 2010 - 2011
Skills
Mental Health, Social Services, Crisis Intervention, Adolescents, Community Outreach
Education
University of Massachusetts Lowell
Bachelor of Science (B.S.), Criminal Justice and Corrections
Brendan Barca's Neighborhood Health Plan Experience February 2012 - April 2012
Job Business Development Specialist at John Hancock Investments
Industry Financial Services
Experience
John Hancock Investments September 2015 - Present
John Hancock Investments January 2014 - September 2015
John Hancock Life Insurance Company (U.S.A.) April 2012 - December 2013
Neighborhood Health Plan February 2012 - April 2012
International Tennis Hall of Fame and Museum June 2011 - August 2011
Golf Coach Direct October 2010 - April 2011
Wilson's Leather May 2008 - August 2008
Mass Premier Courts June 2006 - July 2008
Skills
Series 7, Series 63, Licensed Life Insurance..., Event Planning, Promotions, Sports, Administrative Support, Data Entry
Education
Syracuse University 2007 — 2011
Bachelor of Science, Sport Management
John Hancock Investments September 2015 - Present
John Hancock Investments January 2014 - September 2015
John Hancock Life Insurance Company (U.S.A.) April 2012 - December 2013
Neighborhood Health Plan February 2012 - April 2012
International Tennis Hall of Fame and Museum June 2011 - August 2011
Golf Coach Direct October 2010 - April 2011
Wilson's Leather May 2008 - August 2008
Mass Premier Courts June 2006 - July 2008
Skills
Series 7, Series 63, Licensed Life Insurance..., Event Planning, Promotions, Sports, Administrative Support, Data Entry
Education
Syracuse University 2007 — 2011
Bachelor of Science, Sport Management
Ann (Wooten) Monaghan, Esq.'s Neighborhood Health Plan Experience August 2009 - March 2013
Job Sr. Consultant Litigation/Risk Management
Industry Hospital & Health Care
Experience
CVS Health March 2013 - Present
Neighborhood Health Plan August 2009 - March 2013
Travelers October 2007 - August 2009
Blue Cross & Blue Shield of Rhode Island June 2003 - October 2007
Skills
Leadership, Microsoft Office, Management, Project Management, Training, Casualty Insurance, litigation management, Risk Management, Healthcare, Litigation, Insurance, Claim, Public Speaking
Education
Southern New England School of Law 2005 — 2010
Juris Doctor (J.D.)
Salve Regina University
Liberal Arts and Sciences, General Studies and Humanities
University of New Hampshire
Bachelor’s Degree, English Literature, Library Science, Cum Laude
CVS Health March 2013 - Present
Neighborhood Health Plan August 2009 - March 2013
Travelers October 2007 - August 2009
Blue Cross & Blue Shield of Rhode Island June 2003 - October 2007
Skills
Leadership, Microsoft Office, Management, Project Management, Training, Casualty Insurance, litigation management, Risk Management, Healthcare, Litigation, Insurance, Claim, Public Speaking
Education
Southern New England School of Law 2005 — 2010
Juris Doctor (J.D.)
Salve Regina University
Liberal Arts and Sciences, General Studies and Humanities
University of New Hampshire
Bachelor’s Degree, English Literature, Library Science, Cum Laude
Julie Ann (L'Europa) Dick BSN RN student FNP DNP's Neighborhood Health Plan Experience 2014 - 2015
Job Community and Public Health Practitioner
Industry Hospital & Health Care
Experience
CareLink, Division of PACE Organization March 2015 - Present
Thundermist Health Center April 2013 - February 2015
Neighborhood Health Plan 2014 - 2015
PACE Organization of Rhode Island January 2007 - April 2013
Home and Hospice Care of RI August 2011 - August 2012
CVS Pharmacy September 2001 - January 2004
Skills
Healthcare, CPR Certified, Nursing, Home Care, Patient Education, Patient Advocacy, Direct Patient Care, Microsoft Office, Microsoft Word, PowerPoint, Microsoft Excel, Customer Service, Windows, Medical Case Management, Interdisciplinary..., Geriatric Nursing, Teamwork, Hospice & Palliative..., Pain Management, Primary Health Care, Community Health Centers, Community Mental Health, Triage, Telephone Triage, clinical nursing, Quality Patient Care, Patient Outcomes, Patient Satisfaction, home based services, Program Management, Clinical Supervision, interprofessional..., Practice Transformation, Health Care Delivery..., Healthcare Management, EMR, Patient Safety, Public Health, Case Management, Hospitals
Education
University of Rhode Island 2013 — 2017
Doctor of Nursing Practice, Family Nurse Practitioner, GPA 3.8
Rhode Island College 2003 — 2007
BSN, Bachelor of Science in Nursing, Magna Cum Laude
Rhode Island College 1997 — 2001
Bachelor of Arts (BA), Psychology and Gerontology, Magna Cum Laude
University of New Hampshire 1996 — 1997
Pre-Medicine/Pre-Medical Studies
Smithfield High School 1992 — 1996
Diploma
CareLink, Division of PACE Organization March 2015 - Present
Thundermist Health Center April 2013 - February 2015
Neighborhood Health Plan 2014 - 2015
PACE Organization of Rhode Island January 2007 - April 2013
Home and Hospice Care of RI August 2011 - August 2012
CVS Pharmacy September 2001 - January 2004
Skills
Healthcare, CPR Certified, Nursing, Home Care, Patient Education, Patient Advocacy, Direct Patient Care, Microsoft Office, Microsoft Word, PowerPoint, Microsoft Excel, Customer Service, Windows, Medical Case Management, Interdisciplinary..., Geriatric Nursing, Teamwork, Hospice & Palliative..., Pain Management, Primary Health Care, Community Health Centers, Community Mental Health, Triage, Telephone Triage, clinical nursing, Quality Patient Care, Patient Outcomes, Patient Satisfaction, home based services, Program Management, Clinical Supervision, interprofessional..., Practice Transformation, Health Care Delivery..., Healthcare Management, EMR, Patient Safety, Public Health, Case Management, Hospitals
Education
University of Rhode Island 2013 — 2017
Doctor of Nursing Practice, Family Nurse Practitioner, GPA 3.8
Rhode Island College 2003 — 2007
BSN, Bachelor of Science in Nursing, Magna Cum Laude
Rhode Island College 1997 — 2001
Bachelor of Arts (BA), Psychology and Gerontology, Magna Cum Laude
University of New Hampshire 1996 — 1997
Pre-Medicine/Pre-Medical Studies
Smithfield High School 1992 — 1996
Diploma
Cori Polonski's Neighborhood Health Plan Experience September 2013 - April 2014
Job First Year Medical Student at University of Vermont College of Medicine
Industry Hospital & Health Care
Experience
Joseph M. Smith Community Health Center May 2014 - June 2015
Neighborhood Health Plan September 2013 - April 2014
Skills
Customer Service, Research, Leadership, Public Speaking, Healthcare
Education
University of Vermont College of Medicine 2015 — 2019
Doctor of Medicine (MD)
University of Connecticut 2009 — 2013
Bachelor of Science (B.S.), Physiology and Neurobiology, Spanish
Joseph M. Smith Community Health Center May 2014 - June 2015
Neighborhood Health Plan September 2013 - April 2014
Skills
Customer Service, Research, Leadership, Public Speaking, Healthcare
Education
University of Vermont College of Medicine 2015 — 2019
Doctor of Medicine (MD)
University of Connecticut 2009 — 2013
Bachelor of Science (B.S.), Physiology and Neurobiology, Spanish
Loreal Lynch Loreal Lynch's Neighborhood Health Plan Experience January 2004 - July 2005
Job VP, Marketing at Lucid
Industry Computer Software
Experience
Lucid Design Group October 2014 - Present
Shopatron October 2013 - October 2014
Shopatron April 2013 - October 2013
Engine Yard April 2012 - April 2013
QuinStreet January 2011 - April 2012
Vitrue, Inc. March 2010 - December 2010
Stanford Graduate School of Business, Stanford Social Innovation Review July 2007 - December 2010
Patriot Memory May 2006 - July 2007
Neighborhood Health Plan January 2004 - July 2005
Skills
SEO, Social Media Marketing, Copywriting, Lead Generation, Demand Generation, Customer Acquisition, Online Marketing, Web Content, Online Advertising, Email Marketing, Content Strategy, PPC, Blogging, Social Media, Analytics, Advertising, Marketing, Content Marketing, Leadership, SEM, CRM, Marketing Automation, Revenue Cycle, SaaS, B2B Marketing, Brand Management, Multi-channel Marketing, Start-ups
Education
Tufts University
Bachelor of Arts, Spanish, Communications and Media Studies
Lucid Design Group October 2014 - Present
Shopatron October 2013 - October 2014
Shopatron April 2013 - October 2013
Engine Yard April 2012 - April 2013
QuinStreet January 2011 - April 2012
Vitrue, Inc. March 2010 - December 2010
Stanford Graduate School of Business, Stanford Social Innovation Review July 2007 - December 2010
Patriot Memory May 2006 - July 2007
Neighborhood Health Plan January 2004 - July 2005
Skills
SEO, Social Media Marketing, Copywriting, Lead Generation, Demand Generation, Customer Acquisition, Online Marketing, Web Content, Online Advertising, Email Marketing, Content Strategy, PPC, Blogging, Social Media, Analytics, Advertising, Marketing, Content Marketing, Leadership, SEM, CRM, Marketing Automation, Revenue Cycle, SaaS, B2B Marketing, Brand Management, Multi-channel Marketing, Start-ups
Education
Tufts University
Bachelor of Arts, Spanish, Communications and Media Studies
Rick Pierre Rick Pierre's Neighborhood Health Plan Experience February 2015 - Present
Job Healthcare Reimbursement Analyst at Neighborhood Health Plan
Industry Financial Services
Experience
Neighborhood Health Plan February 2015 - Present
Senior Whole Health 2012 - January 2015
State Street November 2010 - October 2011
Northwestern Mutual June 2010 - May 2011
State Street June 2008 - August 2008
Skills
Bloomberg, Financial Analysis, Financial Modeling, Accounting, Fund Accounting, Strategic Financial..., Financial Reporting, Risk Management, Financial Accounting, Auditing, Microsoft Excel, Portfolio Management, Data Analysis, Access, Finance, Corporate Finance, Analysis, Budgets, Insurance, Valuation, Leadership, Private Equity, US GAAP, PowerPoint, Internal Controls, Process Improvement, Account Reconciliation, Business Analysis, Due Diligence, Internal Audit
Education
University of Massachusetts, Amherst 2006 — 2010
Bachelor's in Business Administration, Accounting
Neighborhood Health Plan February 2015 - Present
Senior Whole Health 2012 - January 2015
State Street November 2010 - October 2011
Northwestern Mutual June 2010 - May 2011
State Street June 2008 - August 2008
Skills
Bloomberg, Financial Analysis, Financial Modeling, Accounting, Fund Accounting, Strategic Financial..., Financial Reporting, Risk Management, Financial Accounting, Auditing, Microsoft Excel, Portfolio Management, Data Analysis, Access, Finance, Corporate Finance, Analysis, Budgets, Insurance, Valuation, Leadership, Private Equity, US GAAP, PowerPoint, Internal Controls, Process Improvement, Account Reconciliation, Business Analysis, Due Diligence, Internal Audit
Education
University of Massachusetts, Amherst 2006 — 2010
Bachelor's in Business Administration, Accounting
Rick Miranda Rick Miranda's Neighborhood Health Plan Experience April 2015 - Present
Job Manager Creative Services, Neighborhood Health Plan
Industry Graphic Design
Experience
Neighborhood Health Plan April 2015 - Present
Joslin Diabetes Center February 2010 - March 2015
Miranda Design Group September 2004 - February 2010
Abbott Diabetes Care (formerly MediSense) 1998 - 2004
MediSense 1992 - 1998
Skills
Creative Direction, Marketing Communications, Graphic Design, Branding & Identity, Art Direction, Marketing, Logo Design, Project Management, Illustration, Management, Corporate Branding, Advertising, Packaging, Marketing Strategy, Trade Shows, Direct Mail, Email Marketing, Adobe Creative Suite, Product Launch, Brochures, Web Design, Illustrator, InDesign, Corporate Communications, Newsletters, Photoshop, Corporate Identity, Brand Awareness, Digital Marketing, Online Advertising, Vendor Relationships, Brand Development, Graphics, Marketing Management, Brand Management, Catalogs, Copywriting, QuarkXPress, Mac, Creative Strategy, WordPress, Adobe Acrobat
Education
University of Massachusetts Dartmouth 1979 — 1983
BFA, Visual Design, Illustration, Photography
Neighborhood Health Plan April 2015 - Present
Joslin Diabetes Center February 2010 - March 2015
Miranda Design Group September 2004 - February 2010
Abbott Diabetes Care (formerly MediSense) 1998 - 2004
MediSense 1992 - 1998
Skills
Creative Direction, Marketing Communications, Graphic Design, Branding & Identity, Art Direction, Marketing, Logo Design, Project Management, Illustration, Management, Corporate Branding, Advertising, Packaging, Marketing Strategy, Trade Shows, Direct Mail, Email Marketing, Adobe Creative Suite, Product Launch, Brochures, Web Design, Illustrator, InDesign, Corporate Communications, Newsletters, Photoshop, Corporate Identity, Brand Awareness, Digital Marketing, Online Advertising, Vendor Relationships, Brand Development, Graphics, Marketing Management, Brand Management, Catalogs, Copywriting, QuarkXPress, Mac, Creative Strategy, WordPress, Adobe Acrobat
Education
University of Massachusetts Dartmouth 1979 — 1983
BFA, Visual Design, Illustration, Photography
Mike Harrahy Mike Harrahy's Neighborhood Health Plan Experience January 2009 - September 2009
Job Innovative Talent Acquisition/Management Leader
Industry Staffing and Recruiting
Experience
Bose Corp October 2006 - Present
Pegasystems October 2009 - October 2010
Neighborhood Health Plan January 2009 - September 2009
Chordiant Software February 2005 - April 2006
Charles River Ventures February 2000 - April 2002
Beacon Staffing Services, Inc. 1998 - 2000
Stratus Computer April 1999 - November 1999
Ascend Communications December 1997 - June 1998
Bay Networks July 1996 - June 1997
Source Engineering (acquired by kForce) May 1987 - September 1995
Skills
Sourcing, Recruiting, Technical Recruiting, Internet Recruiting, Talent Management, Strategic Sourcing, Human Resources, HR Software, Applicant Tracking..., Wireless Networking, Telecommunications, Networking, Juniper, Management, Onboarding, Contract Recruitment, Recruitment Advertising, Recruitment Training, Screening, Screening Resumes, Virtual Teams, Virtual Screening, Staffing Services, Temporary Staffing, Staffing Models, Permanent Staffing, Staffing Plans, Staffing Coordination, Employment, SMB Sales, Talent Acquisition, Leadership
Education
University of Massachusetts - Lowell 1976 — 1981
Bachelor of Science, Electrical Engineering
Bose Corp October 2006 - Present
Pegasystems October 2009 - October 2010
Neighborhood Health Plan January 2009 - September 2009
Chordiant Software February 2005 - April 2006
Charles River Ventures February 2000 - April 2002
Beacon Staffing Services, Inc. 1998 - 2000
Stratus Computer April 1999 - November 1999
Ascend Communications December 1997 - June 1998
Bay Networks July 1996 - June 1997
Source Engineering (acquired by kForce) May 1987 - September 1995
Skills
Sourcing, Recruiting, Technical Recruiting, Internet Recruiting, Talent Management, Strategic Sourcing, Human Resources, HR Software, Applicant Tracking..., Wireless Networking, Telecommunications, Networking, Juniper, Management, Onboarding, Contract Recruitment, Recruitment Advertising, Recruitment Training, Screening, Screening Resumes, Virtual Teams, Virtual Screening, Staffing Services, Temporary Staffing, Staffing Models, Permanent Staffing, Staffing Plans, Staffing Coordination, Employment, SMB Sales, Talent Acquisition, Leadership
Education
University of Massachusetts - Lowell 1976 — 1981
Bachelor of Science, Electrical Engineering
Anna Gribble Anna Gribble's Neighborhood Health Plan Experience September 2013 - August 2014
Job Social Work Resident at Brigham and Women's Hospital
Industry Civic & Social Organization
Experience
Center for Addiction Research and Services October 2014 - Present
Brigham and Women's Hospital September 2014 - Present
Center for Addiction Research and Services May 2014 - October 2014
Massachusetts State House - Joint Committee on Public Health May 2014 - August 2014
Neighborhood Health Plan September 2013 - August 2014
Louis D Brown Peace Institute September 2013 - May 2014
BU School of Public Health February 2013 - November 2013
Fenway Community Health May 2013 - August 2013
Rosie's Place January 2013 - May 2013
L'Arche Greater Washington, DC August 2011 - July 2012
Skills
Public Health, Community Outreach, Research, Advocacy, Microsoft Word, PowerPoint, Diversity & Inclusion, Equality & Diversity, Social Services, Data Analysis, Customer Service, Community Education, Microsoft Office, Microsoft Excel, Public Speaking, Program Evaluation, Teamwork, Grant Writing, Program Development, Nonprofits
Education
Boston University School of Social Work 2013 — 2015
Masters in Social Work, Macro
Boston University School of Public Health 2012 — 2015
Masters in Public Health, Social and Behavioral Sciences
UNC Chapel Hill 2007 — 2011
Bachelor of Arts (B.A.), Anthropology, Women's Studies, Social and Economic Justice
Center for Addiction Research and Services October 2014 - Present
Brigham and Women's Hospital September 2014 - Present
Center for Addiction Research and Services May 2014 - October 2014
Massachusetts State House - Joint Committee on Public Health May 2014 - August 2014
Neighborhood Health Plan September 2013 - August 2014
Louis D Brown Peace Institute September 2013 - May 2014
BU School of Public Health February 2013 - November 2013
Fenway Community Health May 2013 - August 2013
Rosie's Place January 2013 - May 2013
L'Arche Greater Washington, DC August 2011 - July 2012
Skills
Public Health, Community Outreach, Research, Advocacy, Microsoft Word, PowerPoint, Diversity & Inclusion, Equality & Diversity, Social Services, Data Analysis, Customer Service, Community Education, Microsoft Office, Microsoft Excel, Public Speaking, Program Evaluation, Teamwork, Grant Writing, Program Development, Nonprofits
Education
Boston University School of Social Work 2013 — 2015
Masters in Social Work, Macro
Boston University School of Public Health 2012 — 2015
Masters in Public Health, Social and Behavioral Sciences
UNC Chapel Hill 2007 — 2011
Bachelor of Arts (B.A.), Anthropology, Women's Studies, Social and Economic Justice
Janice Henry Janice Henry's Neighborhood Health Plan Experience September 2008 - November 2011
Job Director of Network Management
Industry Hospital & Health Care
Experience
Anthem, Inc. 2015 - Present
Commonwealth Care Alliance 2011 - 2014
Neighborhood Health Plan September 2008 - November 2011
Neighborhood Health Plan of RI 2007 - 2008
Tufts Health Plan August 2005 - October 2007
MultiPlan 2002 - 2005
John Hancock Financial Services 1998 - 2002
Skills
Change Management, Provider Relations, Process Improvement, Strategic Planning, Negotiation, Provider Network..., Contract Negotiation, Leadership, Healthcare Management, Policy, Medicare/Medicaid..., Medicaid, Hospitals, Managed Care, Healthcare, Management, Medicare, Healthcare Industry, Healthcare Consulting, Health Insurance, Health Policy
Education
Suffolk University Law School 1989 — 1992
Doctor of Law (JD), Law
Wellesley College 1982 — 1986
Bachelor of Arts (B.A.), Political Science and Government
Anthem, Inc. 2015 - Present
Commonwealth Care Alliance 2011 - 2014
Neighborhood Health Plan September 2008 - November 2011
Neighborhood Health Plan of RI 2007 - 2008
Tufts Health Plan August 2005 - October 2007
MultiPlan 2002 - 2005
John Hancock Financial Services 1998 - 2002
Skills
Change Management, Provider Relations, Process Improvement, Strategic Planning, Negotiation, Provider Network..., Contract Negotiation, Leadership, Healthcare Management, Policy, Medicare/Medicaid..., Medicaid, Hospitals, Managed Care, Healthcare, Management, Medicare, Healthcare Industry, Healthcare Consulting, Health Insurance, Health Policy
Education
Suffolk University Law School 1989 — 1992
Doctor of Law (JD), Law
Wellesley College 1982 — 1986
Bachelor of Arts (B.A.), Political Science and Government
Christina Rusinak's Neighborhood Health Plan Experience June 2013 - August 2013
Job Seeking health care employment in Boston, MA
Industry Higher Education
Experience
LogixHealth September 2014 - August 2015
Boston Medical Center (BMC) June 2014 - August 2014
Neighborhood Health Plan June 2013 - August 2013
Papa Razzi Restaurant May 2011 - June 2013
University of New Hampshire January 2013 - May 2013
YMCA of Greater Boston May 2009 - August 2010
Skills
Management, computer/technology, Interpersonal Skill, Problem Solving, PowerPoint, Microsoft Excel, Microsoft Word, Research, Strategic Planning, Time Management, Leadership, Quality Improvement, Multi Tasking, Data presentation, Decision Making, Communications
Education
University of New Hampshire 2010 — 2014
Bachelor of Science (B.S.), Health Management and Policy
Reading Memorial High School 2006 — 2010
Diploma, Liberal Arts
LogixHealth September 2014 - August 2015
Boston Medical Center (BMC) June 2014 - August 2014
Neighborhood Health Plan June 2013 - August 2013
Papa Razzi Restaurant May 2011 - June 2013
University of New Hampshire January 2013 - May 2013
YMCA of Greater Boston May 2009 - August 2010
Skills
Management, computer/technology, Interpersonal Skill, Problem Solving, PowerPoint, Microsoft Excel, Microsoft Word, Research, Strategic Planning, Time Management, Leadership, Quality Improvement, Multi Tasking, Data presentation, Decision Making, Communications
Education
University of New Hampshire 2010 — 2014
Bachelor of Science (B.S.), Health Management and Policy
Reading Memorial High School 2006 — 2010
Diploma, Liberal Arts
Tim Takach Tim Takach's Neighborhood Health Plan Experience May 2014 - August 2014
Job Pharmacy Intern at CarePlus CVS Pharmacy
Industry
Experience
CarePlus CVS pharmacy September 2014 - Present
Neighborhood Health Plan May 2014 - August 2014
Beth Israel Deaconess Medical Center May 2013 - May 2014
Caritas Krakenhaus January 2014 - April 2014
Senior Whole Health October 2013 - December 2013
Apothecary By Design May 2012 - December 2012
Skills
Pharmacy, Pharmacists, Medication Therapy..., Compounding, Clinical Pharmacy
Education
Northeastern University 2011 — 2017
Pharmacy
Cape Elizabeth High School 2008 — 2011
CarePlus CVS pharmacy September 2014 - Present
Neighborhood Health Plan May 2014 - August 2014
Beth Israel Deaconess Medical Center May 2013 - May 2014
Caritas Krakenhaus January 2014 - April 2014
Senior Whole Health October 2013 - December 2013
Apothecary By Design May 2012 - December 2012
Skills
Pharmacy, Pharmacists, Medication Therapy..., Compounding, Clinical Pharmacy
Education
Northeastern University 2011 — 2017
Pharmacy
Cape Elizabeth High School 2008 — 2011
Rachel Overbaugh Rachel Overbaugh's Neighborhood Health Plan Experience May 2013 - September 2013
Job Human Resources Business Partner at Velcro Industries
Industry Human Resources
Experience
Velcro Industries October 2014 - Present
Velcro Industries September 2013 - September 2014
Neighborhood Health Plan May 2013 - September 2013
Westinghouse Electric Company June 2009 - February 2013
Bovis Lend Lease June 2007 - May 2009
Skills
Onboarding, Project Planning, Employee Relations, Project Management, Microsoft Office, Analysis, Supervisory Skills, Nuclear, Performance Management, Human Resources, Recruiting, HRIS, Organizational..., Training, Deferred Compensation
Education
The University of Connecticut 2003 — 2007
BS, Psychology
Velcro Industries October 2014 - Present
Velcro Industries September 2013 - September 2014
Neighborhood Health Plan May 2013 - September 2013
Westinghouse Electric Company June 2009 - February 2013
Bovis Lend Lease June 2007 - May 2009
Skills
Onboarding, Project Planning, Employee Relations, Project Management, Microsoft Office, Analysis, Supervisory Skills, Nuclear, Performance Management, Human Resources, Recruiting, HRIS, Organizational..., Training, Deferred Compensation
Education
The University of Connecticut 2003 — 2007
BS, Psychology
Edward Weiss Edward Weiss's Neighborhood Health Plan Experience 2006 - 2008
Job Executive Director at Northeastern Pennsylvania School Districts Health Trust
Industry Insurance
Experience
Northeastern Pennsylvania School Districts Health Trust January 2015 - Present
BlueCross of Northeastern Pennsylvania June 2011 - Present
Healthcare Underwriters Group Mutual of Ohio 2008 - 2010
Neighborhood Health Plan 2006 - 2008
Skills
Employee Benefits, Dental, Professional Liability, Health Insurance, Managed Care, Account Management, Accident, Insurance, Leadership, Strategic Planning, Sales Operations, Team Building, Brokers, Sales, Claim, Claims Management, Healthcare, Customer Service
Education
BlueCross BlueShield Association
CHC, Health Insurance
Leadership Wilkes Barre
University at Albany, SUNY
MA, Social Studies Education
University at Albany, SUNY
BA, History
Northeastern Pennsylvania School Districts Health Trust January 2015 - Present
BlueCross of Northeastern Pennsylvania June 2011 - Present
Healthcare Underwriters Group Mutual of Ohio 2008 - 2010
Neighborhood Health Plan 2006 - 2008
Skills
Employee Benefits, Dental, Professional Liability, Health Insurance, Managed Care, Account Management, Accident, Insurance, Leadership, Strategic Planning, Sales Operations, Team Building, Brokers, Sales, Claim, Claims Management, Healthcare, Customer Service
Education
BlueCross BlueShield Association
CHC, Health Insurance
Leadership Wilkes Barre
University at Albany, SUNY
MA, Social Studies Education
University at Albany, SUNY
BA, History
Frederick Conroy Frederick Conroy's Neighborhood Health Plan Experience March 2008 - April 2008
Job Agent at MassMutual
Industry Financial Services
Experience
MassMutual Financial Group April 2010 - Present
Berlitz English July 2009 - Present
Bankers Life April 2009 - June 2009
Primerica Financial Services April 2008 - April 2009
Neighborhood Health Plan March 2008 - April 2008
AIG July 1998 - February 2008
US Army November 1985 - November 1988
US Army National Guard March 1983 - November 1985
Education
Thomas M. Cooley Law School 1995 — 2000
St. John's University, The Peter J. Tobin College of Business 1995 — 1997
MBA, insurance
University of Colorado Denver 1988 — 1991
Bachelor of Arts, Political Science
University of Maryland University College 1985 — 1988
University of New Hampshire 1983 — 1985
none, english
Westfield High School 1969 — 1972
College Prep, English
Oxford Seminars
MassMutual Financial Group April 2010 - Present
Berlitz English July 2009 - Present
Bankers Life April 2009 - June 2009
Primerica Financial Services April 2008 - April 2009
Neighborhood Health Plan March 2008 - April 2008
AIG July 1998 - February 2008
US Army November 1985 - November 1988
US Army National Guard March 1983 - November 1985
Education
Thomas M. Cooley Law School 1995 — 2000
St. John's University, The Peter J. Tobin College of Business 1995 — 1997
MBA, insurance
University of Colorado Denver 1988 — 1991
Bachelor of Arts, Political Science
University of Maryland University College 1985 — 1988
University of New Hampshire 1983 — 1985
none, english
Westfield High School 1969 — 1972
College Prep, English
Oxford Seminars
Gary Polonski Gary Polonski's Neighborhood Health Plan Experience August 2012 - December 2012
Job Consultant at Neighborhood Health Plan
Industry Management Consulting
Experience
Polonski Consulting May 2009 - Present
Polonski Fine Art 1983 - Present
Neighborhood Health Plan August 2012 - December 2012
Neighborhood Health Plan June 2012 - August 2012
Harvard Pilgrim Health Care March 1985 - June 2008
Skills
Recruiting, Benefits Administration, Managed Care, Process Improvement, Employee Benefits, Insurance, Leadership, Medicare, HIPAA, Performance Management, Policy, Organizational Design, Talent Management, Claim, Organizational..., Organizational..., Change Management, Vendor Management
Education
University of Massachusetts, Amherst 1977 — 1983
Bachelors, Fine Arts
MIlton High School
Polonski Consulting May 2009 - Present
Polonski Fine Art 1983 - Present
Neighborhood Health Plan August 2012 - December 2012
Neighborhood Health Plan June 2012 - August 2012
Harvard Pilgrim Health Care March 1985 - June 2008
Skills
Recruiting, Benefits Administration, Managed Care, Process Improvement, Employee Benefits, Insurance, Leadership, Medicare, HIPAA, Performance Management, Policy, Organizational Design, Talent Management, Claim, Organizational..., Organizational..., Change Management, Vendor Management
Education
University of Massachusetts, Amherst 1977 — 1983
Bachelors, Fine Arts
MIlton High School
Jocelyn Verdolino, RN BSN Jocelyn Verdolino, RN BSN's Neighborhood Health Plan Experience April 2007 - October 2007
Job Claims Nurse Review
Industry Hospital & Health Care
Experience
CIGNA March 2010 - July 2012
Neighborhood Health Plan April 2007 - October 2007
Hallmark Health System, Inc. May 2006 - April 2007
Desert Regional Medical Center January 2006 - May 2006
AllCare VNA April 2005 - December 2005
MGH April 2004 - April 2005
Mind Body Medical Institute September 1999 - April 2004
Skills
Nursing, Healthcare, Healthcare Management, Hospitals, Case Managment, Cpr Certified, Treatment, Acute Care, Medicine, Social Services, Medical Records, Surgery, Medication..., Medical/Surgical
Education
Simmons College 1999 — 2003
BSN, Nursing, Biology and Business Management
CIGNA March 2010 - July 2012
Neighborhood Health Plan April 2007 - October 2007
Hallmark Health System, Inc. May 2006 - April 2007
Desert Regional Medical Center January 2006 - May 2006
AllCare VNA April 2005 - December 2005
MGH April 2004 - April 2005
Mind Body Medical Institute September 1999 - April 2004
Skills
Nursing, Healthcare, Healthcare Management, Hospitals, Case Managment, Cpr Certified, Treatment, Acute Care, Medicine, Social Services, Medical Records, Surgery, Medication..., Medical/Surgical
Education
Simmons College 1999 — 2003
BSN, Nursing, Biology and Business Management
Charles Murphy Charles Murphy's Neighborhood Health Plan Experience July 2011 - Present
Job IT Data Governance Data Steward Manager at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan July 2011 - Present
Neighborhood Health Plan February 2008 - July 2011
Neighborhood Health Plan October 2004 - February 2008
Neighborhood Health Plan June 2001 - October 2004
Skills
System Administration, Managed Care, Healthcare Management, Process Improvement, Business Analysis, Visio, SharePoint, Software Documentation, Data Modeling, Hospitals, Analysis, Medicare, Medicaid, Medical Coding, Healthcare Information..., Medical Billing, Claims Management, External Audit, Operations Management, Microsoft SQL Server, Microsoft Excel, Data Mining, Quality System, Systems Analysis, Data Governance, Committee Liaison, Provider Relations, Insurance, HMO, Revenue Cycle
Education
Springfield College
Neighborhood Health Plan July 2011 - Present
Neighborhood Health Plan February 2008 - July 2011
Neighborhood Health Plan October 2004 - February 2008
Neighborhood Health Plan June 2001 - October 2004
Skills
System Administration, Managed Care, Healthcare Management, Process Improvement, Business Analysis, Visio, SharePoint, Software Documentation, Data Modeling, Hospitals, Analysis, Medicare, Medicaid, Medical Coding, Healthcare Information..., Medical Billing, Claims Management, External Audit, Operations Management, Microsoft SQL Server, Microsoft Excel, Data Mining, Quality System, Systems Analysis, Data Governance, Committee Liaison, Provider Relations, Insurance, HMO, Revenue Cycle
Education
Springfield College
Hector Noel Roque's Neighborhood Health Plan Experience February 2001 - October 2004
Job 20 years experience in Customer Services, Pharmaceutical & the Medical Healthcare field.
Industry Hospital & Health Care
Experience
Rotech Healthcare June 2007 - Present
Nascent Entertainment & Photography January 2009 - December 2012
Aetna March 2005 - April 2007
Neighborhood Health Plan February 2001 - October 2004
Walgreens May 1997 - February 2001
Skills
Employee Benefits, Pharmacy, Customer Service, Outlook, Process Improvement, Healthcare, Hospitals, Access, Healthcare Information..., Data Entry
Education
Roxbury Community College 1994 — 1996
Computer Science
South Boston High
Rotech Healthcare June 2007 - Present
Nascent Entertainment & Photography January 2009 - December 2012
Aetna March 2005 - April 2007
Neighborhood Health Plan February 2001 - October 2004
Walgreens May 1997 - February 2001
Skills
Employee Benefits, Pharmacy, Customer Service, Outlook, Process Improvement, Healthcare, Hospitals, Access, Healthcare Information..., Data Entry
Education
Roxbury Community College 1994 — 1996
Computer Science
South Boston High
Michelle Bernard Michelle Bernard's Neighborhood Health Plan Experience 1996 - 2003
Job Vice President of Operations at Tufts Health Plan – Network Health
Industry Insurance
Experience
Tufts Health Plan – Network Health January 2003 - Present
Neighborhood Health Plan 1996 - 2003
Education
University of Massachusetts Dartmouth 1983 — 1987
Bachelor of Science (B.S.), Business Administration and Management, General
Tufts Health Plan – Network Health January 2003 - Present
Neighborhood Health Plan 1996 - 2003
Education
University of Massachusetts Dartmouth 1983 — 1987
Bachelor of Science (B.S.), Business Administration and Management, General
Sherly Jean Baptiste Sherly Jean Baptiste's Neighborhood Health Plan Experience August 2014 - Present
Job Experienced Health Benefits Account Manager
Industry Insurance
Experience
Neighborhood Health Plan August 2014 - Present
Neighborhood Health Plan May 2008 - July 2014
Neighborhood Health Plan 2005 - 2008
Neighborhood Health Plan March 2004 - March 2005
Skills
Health Insurance, Customer Service, Process Improvement, Managed Care, HIPAA, Strategic Planning, Data Analysis, Leadership, Relationship Management, Affordable Care Act
Education
Northeastern University 2004 — 2005
Accounting and Finance
University of Massachusetts, Amherst 1992 — 1997
Bachelor of Arts (B.A.), Social Thought and Political Economy
Neighborhood Health Plan August 2014 - Present
Neighborhood Health Plan May 2008 - July 2014
Neighborhood Health Plan 2005 - 2008
Neighborhood Health Plan March 2004 - March 2005
Skills
Health Insurance, Customer Service, Process Improvement, Managed Care, HIPAA, Strategic Planning, Data Analysis, Leadership, Relationship Management, Affordable Care Act
Education
Northeastern University 2004 — 2005
Accounting and Finance
University of Massachusetts, Amherst 1992 — 1997
Bachelor of Arts (B.A.), Social Thought and Political Economy
Nigel Lyons's Neighborhood Health Plan Experience February 1999 - Present
Job IT Help Desk Analyst II / Team Lead at Neighborhood Health Plan
Industry Information Technology and Services
Experience
Neighborhood Health Plan February 1999 - Present
Skills
HIPAA, Microsoft SQL Server, SDLC, Process Improvement, Healthcare Information..., SharePoint, Software Documentation, Business Analysis, Visio, Disaster Recovery, Requirements Gathering, Integration
Education
Computer Learning Center
Northeastern University
Neighborhood Health Plan February 1999 - Present
Skills
HIPAA, Microsoft SQL Server, SDLC, Process Improvement, Healthcare Information..., SharePoint, Software Documentation, Business Analysis, Visio, Disaster Recovery, Requirements Gathering, Integration
Education
Computer Learning Center
Northeastern University
Deirdre O'Riordan's Neighborhood Health Plan Experience January 2010 - November 2012
Job Vice President Contracting and Analytics at Minuteman Health
Industry Insurance
Experience
Minuteman Health July 2014 - Present
Neighborhood Health Plan January 2010 - November 2012
Boston Medical Center HealthNet Plan November 2008 - January 2010
Private Healthcare Systems February 1998 - February 2007
Healthsource/Cigna January 1996 - November 1997
Blue Cross Blue Shield MA January 1993 - January 1996
Blue Cross Blue Shield of Massachusetts 1989 - 1993
Skills
Revenue Cycle, Data Analysis, Medicaid Managed Care, Health Policy
Education
UNH 1970 — 1974
Bachelor of Science (BS), Public Health
SUNY Albany
Master's degree
Minuteman Health July 2014 - Present
Neighborhood Health Plan January 2010 - November 2012
Boston Medical Center HealthNet Plan November 2008 - January 2010
Private Healthcare Systems February 1998 - February 2007
Healthsource/Cigna January 1996 - November 1997
Blue Cross Blue Shield MA January 1993 - January 1996
Blue Cross Blue Shield of Massachusetts 1989 - 1993
Skills
Revenue Cycle, Data Analysis, Medicaid Managed Care, Health Policy
Education
UNH 1970 — 1974
Bachelor of Science (BS), Public Health
SUNY Albany
Master's degree
Patricia Jennings's Neighborhood Health Plan Experience Account ExecutiveForrester Research2004 - 2005
Job Senior Account Executive at Neighborhood Health Plan
Industry Insurance
Experience
Neighborhood Health Plan Account ExecutiveForrester Research2004 - 2005
Tufts Health Plan 1993 - 2005
Skills
Medicare, Disability Insurance, HMO, Employee Benefits, PPO, Managed Care, Health Care Reform, Health Insurance, Healthcare Industry, Claim, HIPAA, Healthcare, Account Management, Insurance, Sales, Marketing Strategy, Benefits Administration, Medicaid, Negotiation, Data Analysis, Marketing Communications, Healthcare Management, Health Policy, Public Speaking, Process Improvement, Management, Vendor Management, Hospitals, Customer Service, Strategic Planning, Healthcare Information..., Contract Negotiation
Education
University of Massachusetts, Amherst 1989 — 1993
Neighborhood Health Plan Account ExecutiveForrester Research2004 - 2005
Tufts Health Plan 1993 - 2005
Skills
Medicare, Disability Insurance, HMO, Employee Benefits, PPO, Managed Care, Health Care Reform, Health Insurance, Healthcare Industry, Claim, HIPAA, Healthcare, Account Management, Insurance, Sales, Marketing Strategy, Benefits Administration, Medicaid, Negotiation, Data Analysis, Marketing Communications, Healthcare Management, Health Policy, Public Speaking, Process Improvement, Management, Vendor Management, Hospitals, Customer Service, Strategic Planning, Healthcare Information..., Contract Negotiation
Education
University of Massachusetts, Amherst 1989 — 1993
Dennis Quebe's Neighborhood Health Plan Experience March 2007 - June 2008
Job Vice President, Analytics Innovation at Xerox
Industry Information Technology and Services
Experience
Xerox January 2015 - Present
Xerox June 2013 - December 2014
Scott & White Health Plan August 2010 - June 2013
Axiom Systems August 2010 - June 2013
Quebe Systems, Inc. March 2008 - July 2010
eHealthPartners December 2004 - July 2008
Neighborhood Health Plan March 2007 - June 2008
WellCare January 2005 - March 2007
Aloha Care January 2002 - May 2004
Aloha Care January 2000 - January 2001
Skills
Healthcare, .NET, SQL Server, Team Leadership, C#, HIPAA, Strategic Planning, Database Design, Architecture, SQL, Software Development, Enterprise Architecture, Data Warehousing, SOA, IT Management, Team Building, Product Development, Databases, Programming, Business Strategy, Visual Studio, Problem Solving, Microsoft SQL Server, Requirements Analysis, Software Project..., SDLC, Business Analysis, IT Strategy
Education
The University of Texas at Austin 2011 — 2012
Master of Science (M.S.), Engineering, 3.96
University of Phoenix 2003 — 2005
Bachelor of Science (B.S.), Information Technology, 3.85
Xerox January 2015 - Present
Xerox June 2013 - December 2014
Scott & White Health Plan August 2010 - June 2013
Axiom Systems August 2010 - June 2013
Quebe Systems, Inc. March 2008 - July 2010
eHealthPartners December 2004 - July 2008
Neighborhood Health Plan March 2007 - June 2008
WellCare January 2005 - March 2007
Aloha Care January 2002 - May 2004
Aloha Care January 2000 - January 2001
Skills
Healthcare, .NET, SQL Server, Team Leadership, C#, HIPAA, Strategic Planning, Database Design, Architecture, SQL, Software Development, Enterprise Architecture, Data Warehousing, SOA, IT Management, Team Building, Product Development, Databases, Programming, Business Strategy, Visual Studio, Problem Solving, Microsoft SQL Server, Requirements Analysis, Software Project..., SDLC, Business Analysis, IT Strategy
Education
The University of Texas at Austin 2011 — 2012
Master of Science (M.S.), Engineering, 3.96
University of Phoenix 2003 — 2005
Bachelor of Science (B.S.), Information Technology, 3.85
Anne Horgan's Neighborhood Health Plan Experience February 2013 - Present
Job Controller at Neighborhood Health Plan
Industry Insurance
Experience
Neighborhood Health Plan February 2013 - Present
Neighborhood Health Plan September 2008 - February 2013
Neighborhood Health Plan September 2003 - September 2008
Aramark Uniform Services April 2000 - August 2003
Partners Healthcare Inc April 1992 - August 1998
Skills
Financial Analysis, Financial Reporting, Managed Care, Process Improvement, Healthcare, Human Resources, Medicaid, Accounting, Budgets
Education
Suffolk University - Sawyer Business School 1981 — 1983
MBA, Business
Stonehill College 1972 — 1976
BSBA, Accounting
Neighborhood Health Plan February 2013 - Present
Neighborhood Health Plan September 2008 - February 2013
Neighborhood Health Plan September 2003 - September 2008
Aramark Uniform Services April 2000 - August 2003
Partners Healthcare Inc April 1992 - August 1998
Skills
Financial Analysis, Financial Reporting, Managed Care, Process Improvement, Healthcare, Human Resources, Medicaid, Accounting, Budgets
Education
Suffolk University - Sawyer Business School 1981 — 1983
MBA, Business
Stonehill College 1972 — 1976
BSBA, Accounting
Pamela Linov's Neighborhood Health Plan Experience October 1994 - December 2007
Job Health Care Analyst
Industry Information Technology and Services
Experience
Massachusetts General Hospital March 2008 - Present
Neighborhood Health Plan October 1994 - December 2007
Education
University of Massachusetts Boston 1991 — 1993
Massachusetts General Hospital March 2008 - Present
Neighborhood Health Plan October 1994 - December 2007
Education
University of Massachusetts Boston 1991 — 1993
Gail Evans's Neighborhood Health Plan Experience October 1991 - April 2007
Job Director of Provider Relations at Boston Medical Center HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan 2010 - Present
Boston Medical Center HealthNet Plan April 2007 - April 2010
Neighborhood Health Plan October 1991 - April 2007
Neighborhood Health Plan 1991 - December 1996
Skills
Managed Care, Medicaid, Provider Relations, Healthcare Management, Health Insurance, Healthcare Consulting, Healthcare, Medicare, Healthcare Information..., HIPAA, Insurance, Network Development, Health Policy, Employee Benefits, Healthcare Industry, Hospitals, Process Improvement, Strategic Planning, Program Management
Education
Simmons College 1996 — 1998
MS, Health Care Administration
University of Detroit Mercy 1978 — 1981
BS, Business Administration
BMC HealthNet Plan 2010 - Present
Boston Medical Center HealthNet Plan April 2007 - April 2010
Neighborhood Health Plan October 1991 - April 2007
Neighborhood Health Plan 1991 - December 1996
Skills
Managed Care, Medicaid, Provider Relations, Healthcare Management, Health Insurance, Healthcare Consulting, Healthcare, Medicare, Healthcare Information..., HIPAA, Insurance, Network Development, Health Policy, Employee Benefits, Healthcare Industry, Hospitals, Process Improvement, Strategic Planning, Program Management
Education
Simmons College 1996 — 1998
MS, Health Care Administration
University of Detroit Mercy 1978 — 1981
BS, Business Administration
Marc Navon's Neighborhood Health Plan Experience June 1996 - May 1999
Job Managing Director at UMass Medical School
Industry Hospital & Health Care
Experience
University of Massachusetts 2002 - Present
Clinical Social Worker in Private Practice 2000 - 2013
UMass Medical School/ Commonwealth Medicine 2002 - January 2008
Neighborhood Health Plan June 1996 - May 1999
Skills
Healthcare Management, Program Evaluation, Health Policy, Clinical Research, Public Health, Healthcare Information..., Managed Care, Healthcare
Education
University of Massachusetts, Amherst 2007 — 2010
MPH, Public Health
Massachusttes Software Council 1999 — 2000
Fellowship Certificate of Completion, Software Development
Simmons College 1979 — 1981
MSW, Clinical Social Work
University of Massachusetts, Amherst 1973 — 1977
BA, Psychology
University of Massachusetts 2002 - Present
Clinical Social Worker in Private Practice 2000 - 2013
UMass Medical School/ Commonwealth Medicine 2002 - January 2008
Neighborhood Health Plan June 1996 - May 1999
Skills
Healthcare Management, Program Evaluation, Health Policy, Clinical Research, Public Health, Healthcare Information..., Managed Care, Healthcare
Education
University of Massachusetts, Amherst 2007 — 2010
MPH, Public Health
Massachusttes Software Council 1999 — 2000
Fellowship Certificate of Completion, Software Development
Simmons College 1979 — 1981
MSW, Clinical Social Work
University of Massachusetts, Amherst 1973 — 1977
BA, Psychology
Judy Tasker's Neighborhood Health Plan Experience September 2012 - Present
Job Director of Member Enrollment at Neighborhood Health Plan
Industry Insurance
Experience
Neighborhood Health Plan September 2012 - Present
Neighborhood Health Plan September 2012 - Present
Senior Whole Health January 2007 - September 2012
Senior Whole Health January 2007 - August 2012
MassHealth July 2004 - May 2006
MassHealth, Primary Care Clinician Plan August 2003 - July 2004
Massachusetts Interlocal Insurance Association August 1996 - July 2003
Commonwealth Health Alliance, Inc August 1995 - August 1996
North Central August 1994 - August 1995
Skills
Healthcare Management, Healthcare, Provider Relations, Medicare, Managed Care, Medicaid
Education
University of New Hampshire 1990 — 1994
Bachelor of Science (B.S.), Health Management and Policy
Magna Cum Laude
Bachelor of Science, Health Management and Policy
University of New Hampshire
Bachelor of Applied Science (BASc), Health/Health Care Administration/Management
Neighborhood Health Plan September 2012 - Present
Neighborhood Health Plan September 2012 - Present
Senior Whole Health January 2007 - September 2012
Senior Whole Health January 2007 - August 2012
MassHealth July 2004 - May 2006
MassHealth, Primary Care Clinician Plan August 2003 - July 2004
Massachusetts Interlocal Insurance Association August 1996 - July 2003
Commonwealth Health Alliance, Inc August 1995 - August 1996
North Central August 1994 - August 1995
Skills
Healthcare Management, Healthcare, Provider Relations, Medicare, Managed Care, Medicaid
Education
University of New Hampshire 1990 — 1994
Bachelor of Science (B.S.), Health Management and Policy
Magna Cum Laude
Bachelor of Science, Health Management and Policy
University of New Hampshire
Bachelor of Applied Science (BASc), Health/Health Care Administration/Management
Alessandra Quagliata de Vaca's Neighborhood Health Plan Experience October 1998 - November 2002
Job Executive Vice President Human Resources and Training at WinnCompanies
Industry Real Estate
Experience
WinnCompanies September 2013 - Present
Hebrew SeniorLife November 2002 - September 2013
Neighborhood Health Plan October 1998 - November 2002
ZDNET/Ziff-Davis Publishing 1993 - 1998
Skills
Organizational..., Onboarding, Nonprofits, Leadership, Health Insurance, Employee Relations, Healthcare, Human Resources, Team Building, Employee Benefits, Talent Acquisition, Management, Training, HRIS, Performance Management, Employee Engagement
Education
Tufts University 1982 — 1986
BA, International Relations
WinnCompanies September 2013 - Present
Hebrew SeniorLife November 2002 - September 2013
Neighborhood Health Plan October 1998 - November 2002
ZDNET/Ziff-Davis Publishing 1993 - 1998
Skills
Organizational..., Onboarding, Nonprofits, Leadership, Health Insurance, Employee Relations, Healthcare, Human Resources, Team Building, Employee Benefits, Talent Acquisition, Management, Training, HRIS, Performance Management, Employee Engagement
Education
Tufts University 1982 — 1986
BA, International Relations
Wendy Swirnoff's Neighborhood Health Plan Experience September 1995 - June 1997
Job Senior Communications Business Partner
Industry Writing and Editing
Experience
The MITRE Corporation October 2010 - Present
MITRE May 2006 - September 2010
Pathfinder International April 2004 - April 2006
Harvard Graduate School of Education January 2001 - March 2004
Pathfinder International September 1997 - June 2001
Neighborhood Health Plan September 1995 - June 1997
Quincy Medical Center September 1993 - September 1995
Skills
Strategic Communications, Writing, Newsletters, Proposal Writing, Publications, Internal Communications, Corporate Communications, Copy Editing, Communications Planning, Research, Non-profits, Proofreading, Editing, Crisis Communications, Web Content, Blogging, Message Development, Copywriting, Media Relations, Speech Writing, Nonprofits
Education
Boston University School of Social Work 1989 — 1991
MSW, Social Work
Washington University in St. Louis 1981 — 1985
AB, English
University of Bath 1983 — 1984
Breck 1975 — 1981
The MITRE Corporation October 2010 - Present
MITRE May 2006 - September 2010
Pathfinder International April 2004 - April 2006
Harvard Graduate School of Education January 2001 - March 2004
Pathfinder International September 1997 - June 2001
Neighborhood Health Plan September 1995 - June 1997
Quincy Medical Center September 1993 - September 1995
Skills
Strategic Communications, Writing, Newsletters, Proposal Writing, Publications, Internal Communications, Corporate Communications, Copy Editing, Communications Planning, Research, Non-profits, Proofreading, Editing, Crisis Communications, Web Content, Blogging, Message Development, Copywriting, Media Relations, Speech Writing, Nonprofits
Education
Boston University School of Social Work 1989 — 1991
MSW, Social Work
Washington University in St. Louis 1981 — 1985
AB, English
University of Bath 1983 — 1984
Breck 1975 — 1981
Catherine Pappas's Neighborhood Health Plan Experience January 2005 - Present
Job Pharmacy Director at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan January 2005 - Present
Tufts Health Plan February 2001 - December 2004
Skills
Medicaid, Disease Management, Healthcare, Medicare, Medicare Part D, Healthcare Management, Managed Care, Utilization Management, NCQA, Pharmacy Benefit..., Healthcare Industry, Medication Therapy..., Pharmacy, Pharmacists, Health Policy, Clinical Research, Medicaid Managed Care, HMO, Quality Improvement, HIPAA, Informatics, Healthcare Consulting, Healthcare Information...
Education
University of Kansas
Doctor of Pharmacy (Pharm.D.)
Neighborhood Health Plan January 2005 - Present
Tufts Health Plan February 2001 - December 2004
Skills
Medicaid, Disease Management, Healthcare, Medicare, Medicare Part D, Healthcare Management, Managed Care, Utilization Management, NCQA, Pharmacy Benefit..., Healthcare Industry, Medication Therapy..., Pharmacy, Pharmacists, Health Policy, Clinical Research, Medicaid Managed Care, HMO, Quality Improvement, HIPAA, Informatics, Healthcare Consulting, Healthcare Information...
Education
University of Kansas
Doctor of Pharmacy (Pharm.D.)
Sherryl Henkin's Neighborhood Health Plan Experience January 2005 - May 2008
Job Accounting Professional
Industry Accounting
Experience
Walker Home and School for Children Inc December 2010 - Present
Walker 2010 - 2014
Systems & Methods, Inc May 2009 - February 2010
Boston Properties November 2008 - January 2009
Neighborhood Health Plan January 2005 - May 2008
VetCor February 2001 - January 2003
CYRK Inc January 1998 - January 2002
Skills
Microsoft Office, Microsoft Dynamics, Oracle Financials, Accounts Receivable, Payroll, Invoicing, Accounting, Financial Statements, Insurance, Customer Service, Accounts Payable, Financial Reporting, General Ledger, Access, Payments, Financial Accounting, Internal Audit, Auditing, Collections, Management, Oracle E-Business Suite
Education
Quincy College 2007 — 2009
Associates, Accounting
Quincy College
Associate, Accounting
University of Miami 1970 — 1973
Walker Home and School for Children Inc December 2010 - Present
Walker 2010 - 2014
Systems & Methods, Inc May 2009 - February 2010
Boston Properties November 2008 - January 2009
Neighborhood Health Plan January 2005 - May 2008
VetCor February 2001 - January 2003
CYRK Inc January 1998 - January 2002
Skills
Microsoft Office, Microsoft Dynamics, Oracle Financials, Accounts Receivable, Payroll, Invoicing, Accounting, Financial Statements, Insurance, Customer Service, Accounts Payable, Financial Reporting, General Ledger, Access, Payments, Financial Accounting, Internal Audit, Auditing, Collections, Management, Oracle E-Business Suite
Education
Quincy College 2007 — 2009
Associates, Accounting
Quincy College
Associate, Accounting
University of Miami 1970 — 1973
Audrey Shelto's Neighborhood Health Plan Experience 1995 - 2001
Job President at Blue Cross Blue Shield of Massachusetts Foundation
Industry Hospital & Health Care
Experience
Blue Cross Blue Shield of Massachusetts Foundation May 2013 - Present
Blue Cross & Blue Shield of Massachusetts 2007 - May 2013
Urban Medical Group 2005 - 2009
Audrey Shelto Consulting Services 2003 - 2007
Neighborhood Health Plan 1995 - 2001
Harvard Pilgrim Health Care 1990 - 1992
Massachusetts Department of Mental Health 1987 - 1990
Skills
Managed Care, Medicaid, Healthcare, Health Policy, Medicare, Health Insurance, Healthcare Consulting, HIPAA, Process Improvement, Wellness, Disease Management, Policy, Healthcare Information..., Healthcare Industry, Healthcare Management, Team Leadership, Program Management, Quality Improvement, Utilization Management, Change Management
Education
Brandeis University, Heller - The Heller School for Social Policy and Management 1980 — 1982
Masters
The University of Connecticut 1973 — 1977
Bachelor of Arts (B.A.), Psychology
Blue Cross Blue Shield of Massachusetts Foundation May 2013 - Present
Blue Cross & Blue Shield of Massachusetts 2007 - May 2013
Urban Medical Group 2005 - 2009
Audrey Shelto Consulting Services 2003 - 2007
Neighborhood Health Plan 1995 - 2001
Harvard Pilgrim Health Care 1990 - 1992
Massachusetts Department of Mental Health 1987 - 1990
Skills
Managed Care, Medicaid, Healthcare, Health Policy, Medicare, Health Insurance, Healthcare Consulting, HIPAA, Process Improvement, Wellness, Disease Management, Policy, Healthcare Information..., Healthcare Industry, Healthcare Management, Team Leadership, Program Management, Quality Improvement, Utilization Management, Change Management
Education
Brandeis University, Heller - The Heller School for Social Policy and Management 1980 — 1982
Masters
The University of Connecticut 1973 — 1977
Bachelor of Arts (B.A.), Psychology
Leela Reddy, M.S. Healthcare Mgt and Policy's Neighborhood Health Plan Experience June 2013 - September 2013
Job Senior Contract Manager at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan June 2013 - September 2013
Beth Israel Deaconess Medical Center 2006 - 2007
Network Health 2003 - 2006
Suny stony brook 1998 - 2001
Skills
Managed Care, Contract Negotiation, Strategy, Medicaid, Provider Relations, Medicare, HIPAA, Healthcare Management, Healthcare, Healthcare Industry, Healthcare Information..., Hospitals, Health Insurance
Education
SUNY Stony Brook 2000 — 2002
Master of Science (M.S.), Health/Health Care Administration/Management
The University of Texas Health Science Center at San Antonio 1997 — 1999
Bachelor of Science (B.S.), Clinical Laboratory Science/Medical Technology/Technologist
Neighborhood Health Plan June 2013 - September 2013
Beth Israel Deaconess Medical Center 2006 - 2007
Network Health 2003 - 2006
Suny stony brook 1998 - 2001
Skills
Managed Care, Contract Negotiation, Strategy, Medicaid, Provider Relations, Medicare, HIPAA, Healthcare Management, Healthcare, Healthcare Industry, Healthcare Information..., Hospitals, Health Insurance
Education
SUNY Stony Brook 2000 — 2002
Master of Science (M.S.), Health/Health Care Administration/Management
The University of Texas Health Science Center at San Antonio 1997 — 1999
Bachelor of Science (B.S.), Clinical Laboratory Science/Medical Technology/Technologist
wendy zitter's Neighborhood Health Plan Experience May 2011 - Present
Job Manager Financial Planning & Analysis
Industry Hospital & Health Care
Experience
Neighborhood Health Plan May 2011 - Present
Neighborhood Health Plan December 2005 - May 2011
Harvard Pilgrim Health Care January 1996 - December 2005
Skills
Medicare, Health Insurance, Process Improvement, Managed Care, Healthcare, Healthcare Management, Medicaid, Healthcare Consulting, Analysis, Healthcare Information..., Management, Hospitals, Data Analysis
Education
Northeastern University 1990 — 1995
Bachelor of Science (BS), Finance
Neighborhood Health Plan May 2011 - Present
Neighborhood Health Plan December 2005 - May 2011
Harvard Pilgrim Health Care January 1996 - December 2005
Skills
Medicare, Health Insurance, Process Improvement, Managed Care, Healthcare, Healthcare Management, Medicaid, Healthcare Consulting, Analysis, Healthcare Information..., Management, Hospitals, Data Analysis
Education
Northeastern University 1990 — 1995
Bachelor of Science (BS), Finance
Tom DeMartini's Neighborhood Health Plan Experience January 2005 - March 2008
Job Senior Consultant at Blue Cod Technologies
Industry Information Technology and Services
Experience
Blue Cod Technologies March 2008 - May 2011
Neighborhood Health Plan January 2005 - March 2008
Thomas C. DeMartini January 1990 - December 2004
Digital Equipment Corporation 1987 - 1989
Skills
Microsoft SQL Server, SDLC
Education
Northeastern University
BS, M.I.S.
Blue Cod Technologies March 2008 - May 2011
Neighborhood Health Plan January 2005 - March 2008
Thomas C. DeMartini January 1990 - December 2004
Digital Equipment Corporation 1987 - 1989
Skills
Microsoft SQL Server, SDLC
Education
Northeastern University
BS, M.I.S.
Scott Beaudette's Neighborhood Health Plan Experience 2004 - 2007
Job Market Interface Lead CCC Programs at Cigna Healthcare
Industry Insurance
Experience
Cigna Healthcare April 2015 - Present
Aetna July 2014 - April 2015
CIGNA Healthcare May 2006 - June 2014
Neighborhood Health Plan 2004 - 2007
CIGNA HealthCare December 1997 - November 2003
Matthew Thornton Healthplan May 1995 - December 1997
Education
University of New Hampshire 1985 — 1990
Bachelors, Psychology
Springfield College
Masters, Administration
Cigna Healthcare April 2015 - Present
Aetna July 2014 - April 2015
CIGNA Healthcare May 2006 - June 2014
Neighborhood Health Plan 2004 - 2007
CIGNA HealthCare December 1997 - November 2003
Matthew Thornton Healthplan May 1995 - December 1997
Education
University of New Hampshire 1985 — 1990
Bachelors, Psychology
Springfield College
Masters, Administration
Joseph Vanesian's Neighborhood Health Plan Experience July 1993 - January 1997
Job Owner, Joseph L. Vanesian CPA
Industry Financial Services
Experience
Joseph L. Vanesian CPA January 1997 - Present
Neighborhood Health Plan July 1993 - January 1997
Greenberg Rosenblatt Kull & Bitsoli June 1989 - July 1993
BDO Seidman, LLP May 1985 - June 1989
Education
Stonehill College 1981 — 1985
BS, Business
Joseph L. Vanesian CPA January 1997 - Present
Neighborhood Health Plan July 1993 - January 1997
Greenberg Rosenblatt Kull & Bitsoli June 1989 - July 1993
BDO Seidman, LLP May 1985 - June 1989
Education
Stonehill College 1981 — 1985
BS, Business
Amy Schwartz's Neighborhood Health Plan Experience 1998 - 2001
Job Associate Vice Chancellor, Partnerships & Shared Services Initiatives at University System of NH
Industry Education Management
Experience
University System of New Hampshire January 2015 - Present
University System of NH November 2011 - January 2015
University of New Hampshire February 2001 - November 2011
Neighborhood Health Plan 1998 - 2001
Regence BlueShield 1995 - 1998
Skills
Healthcare, Health Policy, Program Development, Fundraising, Social Services, Data Analysis, Qualitative Research, Community Outreach, Public Health, Clinical Research, Grants, Higher Education, Program Evaluation, Research Design, Reducing Operating Costs, Employee Benefits, Health Care Systems, Consumer Healthcare, Written & Oral..., Financial Reporting, Report Writing, Health Plan Operations, Medical Education, Health Care Reform, Health Program Planning, Data Management, Proposal Writing, Voluntary Employee...
Education
Plymouth State University 2011 — 2014
Doctor of Education (Ed.D.), Organizational Leadership
Sarah Lawrence College 2007 — 2009
Certificate of Advanced Graduate Studies, Genetics, Genomics and Public Health
University of Hawaii at Manoa 1990 — 1992
MPH, maternal and child health
University of Hawaii at Manoa 1988 — 1990
BA, anthropology
University System of New Hampshire January 2015 - Present
University System of NH November 2011 - January 2015
University of New Hampshire February 2001 - November 2011
Neighborhood Health Plan 1998 - 2001
Regence BlueShield 1995 - 1998
Skills
Healthcare, Health Policy, Program Development, Fundraising, Social Services, Data Analysis, Qualitative Research, Community Outreach, Public Health, Clinical Research, Grants, Higher Education, Program Evaluation, Research Design, Reducing Operating Costs, Employee Benefits, Health Care Systems, Consumer Healthcare, Written & Oral..., Financial Reporting, Report Writing, Health Plan Operations, Medical Education, Health Care Reform, Health Program Planning, Data Management, Proposal Writing, Voluntary Employee...
Education
Plymouth State University 2011 — 2014
Doctor of Education (Ed.D.), Organizational Leadership
Sarah Lawrence College 2007 — 2009
Certificate of Advanced Graduate Studies, Genetics, Genomics and Public Health
University of Hawaii at Manoa 1990 — 1992
MPH, maternal and child health
University of Hawaii at Manoa 1988 — 1990
BA, anthropology
Anne Michelle Lowe's Neighborhood Health Plan Experience December 2007 - Present
Job Administrative Assistant at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan December 2007 - Present
Education
University of Houston 1999 — 2001
M Ed, Educational Administration and Supervision
University of Toledo 1989 — 1994
Bachelor, Special Education
Neighborhood Health Plan December 2007 - Present
Education
University of Houston 1999 — 2001
M Ed, Educational Administration and Supervision
University of Toledo 1989 — 1994
Bachelor, Special Education
Emma Chung's Neighborhood Health Plan Experience March 2012 - August 2015
Job Senior Healthcare Analyst at Predilytics, A Welltok Company
Industry Insurance
Experience
Predilytics, A Welltok Company August 2015 - Present
Neighborhood Health Plan March 2012 - August 2015
Commonwealth Care Alliance September 2011 - March 2012
Commonwealth Care Alliance June 2009 - September 2011
Skills
SQL, SAS, SPSS, Data Mining, Stata, Machine Learning, Clinical Research, Hospitals, Statistical Modeling, Analysis, Analytics, Data Analysis, Healthcare, Informatics, Public Health, Healthcare Information...
Education
University of Massachusetts Boston 2003 — 2010
Ph.D, Gerontology
Predilytics, A Welltok Company August 2015 - Present
Neighborhood Health Plan March 2012 - August 2015
Commonwealth Care Alliance September 2011 - March 2012
Commonwealth Care Alliance June 2009 - September 2011
Skills
SQL, SAS, SPSS, Data Mining, Stata, Machine Learning, Clinical Research, Hospitals, Statistical Modeling, Analysis, Analytics, Data Analysis, Healthcare, Informatics, Public Health, Healthcare Information...
Education
University of Massachusetts Boston 2003 — 2010
Ph.D, Gerontology
Paulette Elliott's Neighborhood Health Plan Experience June 2015 - Present
Job Staff Accountant II at Neighborhood Health Plan
Industry Accounting
Experience
Neighborhood Health Plan June 2015 - Present
Best Doctors July 2014 - June 2015
Beth Israel Deaconess Medical Center March 2011 - July 2014
State Street August 2008 - March 2011
Skills
Account Reconciliation, Financial Reporting, Accounting, Financial Analysis, General Ledger, Accounts Receivable, Variance Analysis, Internal Controls, Financial Accounting, Finance, Payroll, Microsoft Word, Financial Statements, Accounts Payable, Accruals, Process Improvement, Invoicing, Financial Audits
Education
University of Massachusetts Boston 2007 — 2010
Bachelor's in Management, Accounting
Neighborhood Health Plan June 2015 - Present
Best Doctors July 2014 - June 2015
Beth Israel Deaconess Medical Center March 2011 - July 2014
State Street August 2008 - March 2011
Skills
Account Reconciliation, Financial Reporting, Accounting, Financial Analysis, General Ledger, Accounts Receivable, Variance Analysis, Internal Controls, Financial Accounting, Finance, Payroll, Microsoft Word, Financial Statements, Accounts Payable, Accruals, Process Improvement, Invoicing, Financial Audits
Education
University of Massachusetts Boston 2007 — 2010
Bachelor's in Management, Accounting
Frank Hebert's Neighborhood Health Plan Experience March 2010 - July 2015
Job LOA Life Coach at Self Employed
Industry Insurance
Experience
Self Employed July 2015 - Present
Neighborhood Health Plan March 2010 - July 2015
Boston Seaport Toastmasters, Toastmasters International July 2014 - June 2015
HealthMarkets August 2007 - November 2008
Kaiser Permanente June 2006 - August 2007
AMERIGROUP March 2005 - April 2006
Anthem/Wellpoint December 2003 - March 2005
Oxford Health Plans March 2002 - December 2003
Oxford Health Plans (now United Healthcare) May 1999 - December 2003
United Healthcare 1998 - 1999
Skills
Process Improvement, Performance Management, Data Analysis, Leadership, Management, Strategic Planning, Team Building, Training, Healthcare, Medicaid, Risk Management, Software Documentation, Managed Care, HIPAA, Insurance, Medicare, Health Insurance, Policy
Education
Quantum Success Coaching Academy 2015 — 2016
Life Coach Certification
Keveny Memorial Academy 1972 — 1976
Southern New Hampshire University
Pursuing BA, Creative Writing major
Self Employed July 2015 - Present
Neighborhood Health Plan March 2010 - July 2015
Boston Seaport Toastmasters, Toastmasters International July 2014 - June 2015
HealthMarkets August 2007 - November 2008
Kaiser Permanente June 2006 - August 2007
AMERIGROUP March 2005 - April 2006
Anthem/Wellpoint December 2003 - March 2005
Oxford Health Plans March 2002 - December 2003
Oxford Health Plans (now United Healthcare) May 1999 - December 2003
United Healthcare 1998 - 1999
Skills
Process Improvement, Performance Management, Data Analysis, Leadership, Management, Strategic Planning, Team Building, Training, Healthcare, Medicaid, Risk Management, Software Documentation, Managed Care, HIPAA, Insurance, Medicare, Health Insurance, Policy
Education
Quantum Success Coaching Academy 2015 — 2016
Life Coach Certification
Keveny Memorial Academy 1972 — 1976
Southern New Hampshire University
Pursuing BA, Creative Writing major
Paul Jiang's Neighborhood Health Plan Experience January 2008 - September 2014
Job Corporate Director, Medical Informatics at AmeriHealth Caritas
Industry Insurance
Experience
AmeriHealth Caritas September 2014 - Present
Neighborhood Health Plan January 2008 - September 2014
Florida Blue 2002 - 2007
Blue Cross Blue Shield of Tennessee November 1998 - March 2002
Skills
In-depth knowledge of..., 15 years healthcare..., HEDIS, SAS programming, More than 10 years..., Clinical Research, Program Management, HMO, Medicaid, Managed Care, Medicare, Informatics, Healthcare Analytics, Provider Relations, Quality Assurance, Health Policy, NCQA, Utilization Management, Quality Improvement, HIPAA, Medicaid Managed Care, Healthcare Consulting, Healthcare Industry, Disease Management, Healthcare Information..., Healthcare Management
Education
University of Alabama at Birmingham
MPH, Public Health
AmeriHealth Caritas September 2014 - Present
Neighborhood Health Plan January 2008 - September 2014
Florida Blue 2002 - 2007
Blue Cross Blue Shield of Tennessee November 1998 - March 2002
Skills
In-depth knowledge of..., 15 years healthcare..., HEDIS, SAS programming, More than 10 years..., Clinical Research, Program Management, HMO, Medicaid, Managed Care, Medicare, Informatics, Healthcare Analytics, Provider Relations, Quality Assurance, Health Policy, NCQA, Utilization Management, Quality Improvement, HIPAA, Medicaid Managed Care, Healthcare Consulting, Healthcare Industry, Disease Management, Healthcare Information..., Healthcare Management
Education
University of Alabama at Birmingham
MPH, Public Health
Juliane Lisenby's Neighborhood Health Plan Experience September 2004 - April 2007
Job Credit Balance Supervisor at BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan Audit and Other Party Liability SupervisorBMC HealthNet PlanMay 2007 - June 2008
Neighborhood Health Plan September 2004 - April 2007
Family Service of Greater Boston December 1999 - September 2004
Family Service of Greater Boston May 1996 - December 1999
Skills
Healthcare, Billing Systems, Customer Service, Claims Management, Medical Billing, Health Insurance, Call Center, Employee Management
Education
Suffolk University 1990 — 1994
BS, Health and Human Service
BMC HealthNet Plan Audit and Other Party Liability SupervisorBMC HealthNet PlanMay 2007 - June 2008
Neighborhood Health Plan September 2004 - April 2007
Family Service of Greater Boston December 1999 - September 2004
Family Service of Greater Boston May 1996 - December 1999
Skills
Healthcare, Billing Systems, Customer Service, Claims Management, Medical Billing, Health Insurance, Call Center, Employee Management
Education
Suffolk University 1990 — 1994
BS, Health and Human Service
Steven Tine's Neighborhood Health Plan Experience February 2014 - Present
Job Documentation Coordinator at Neighborhood Health Plan
Industry Media Production
Experience
Neighborhood Health Plan February 2014 - Present
Neighborhood Health Plan April 2013 - February 2014
Staples November 2012 - April 2013
Staples April 2012 - November 2012
Staples August 2009 - April 2012
Education
Suffolk University 2004 — 2008
Bachelors of Science, Communication and Journalism
Neighborhood Health Plan February 2014 - Present
Neighborhood Health Plan April 2013 - February 2014
Staples November 2012 - April 2013
Staples April 2012 - November 2012
Staples August 2009 - April 2012
Education
Suffolk University 2004 — 2008
Bachelors of Science, Communication and Journalism
Brenda DiMartino's Neighborhood Health Plan Experience June 2004 - December 2010
Job Manager of Audit Operations
Industry Hospital & Health Care
Experience
Connolly Healthcare January 2011 - Present
Neighborhood Health Plan June 2004 - December 2010
Neighborhood Health Plan January 2003 - June 2004
Skills
Provider Relations, HMO, Provider Contracting, Medicaid, Managed Care, Auditing, Coordination of Benefits, Revenue Cycle, Healthcare Industry, PPO, HIPAA, Team Building, Medicare, Health Insurance, Claim, Healthcare Consulting
Education
Oral Roberts University 1986 — 1990
Bachelor's degree, psycholo
Connolly Healthcare January 2011 - Present
Neighborhood Health Plan June 2004 - December 2010
Neighborhood Health Plan January 2003 - June 2004
Skills
Provider Relations, HMO, Provider Contracting, Medicaid, Managed Care, Auditing, Coordination of Benefits, Revenue Cycle, Healthcare Industry, PPO, HIPAA, Team Building, Medicare, Health Insurance, Claim, Healthcare Consulting
Education
Oral Roberts University 1986 — 1990
Bachelor's degree, psycholo
So Ling Balschi's Neighborhood Health Plan Experience 1999 - 2008
Job Director IT, Infrastructure Service Management
Industry Hospital & Health Care
Experience
Molina Healthcare August 2008 - Present
Unisys November 2008 - June 2012
Neighborhood Health Plan 1999 - 2008
University of Alabama at Birmingham Health System 1988 - 1999
New England Medical Center, Boston, MA 1984 - 1988
Skills
HIPAA, Healthcare Information..., EHR, Healthcare, Medicaid, IT Service Management, Visio, Healthcare Management, Managed Care, Process Improvement, SDLC, EDI, Medicare, Software Documentation, Disaster Recovery, Health Insurance, Informatics, Leadership, ITIL, PMP, Databases, Management, IT Strategy, HL7, Business Process
Education
University of Alabama at Birmingham 1994 — 1997
Master of Science, Health Informatics
Northeastern University 1984 — 1986
Bachelor of Science, Computer Science
Molina Healthcare August 2008 - Present
Unisys November 2008 - June 2012
Neighborhood Health Plan 1999 - 2008
University of Alabama at Birmingham Health System 1988 - 1999
New England Medical Center, Boston, MA 1984 - 1988
Skills
HIPAA, Healthcare Information..., EHR, Healthcare, Medicaid, IT Service Management, Visio, Healthcare Management, Managed Care, Process Improvement, SDLC, EDI, Medicare, Software Documentation, Disaster Recovery, Health Insurance, Informatics, Leadership, ITIL, PMP, Databases, Management, IT Strategy, HL7, Business Process
Education
University of Alabama at Birmingham 1994 — 1997
Master of Science, Health Informatics
Northeastern University 1984 — 1986
Bachelor of Science, Computer Science
Debbi Pacheco's Neighborhood Health Plan Experience April 2007 - December 2007
Job Configuration Specialist, Provider Management at Kaiser Permanente
Industry Information Technology and Services
Experience
Kaiser Permanente December 2011 - Present
KMN Consulting, LLC March 2007 - Present
St Mary's Health Plan January 2011 - August 2011
HTMS September 2010 - January 2011
Neighborhood Health Plan April 2007 - December 2007
HealthTrio January 2000 - March 2007
Monument Systems June 1998 - December 1999
Sunquest Information Systems October 1996 - June 1998
Strategic Medical Services May 1994 - September 1996
Foundation Health Plan January 1993 - April 1994
Education
Pima Community College 1982 — 1985
Associates Degree, Accounting
Kaiser Permanente December 2011 - Present
KMN Consulting, LLC March 2007 - Present
St Mary's Health Plan January 2011 - August 2011
HTMS September 2010 - January 2011
Neighborhood Health Plan April 2007 - December 2007
HealthTrio January 2000 - March 2007
Monument Systems June 1998 - December 1999
Sunquest Information Systems October 1996 - June 1998
Strategic Medical Services May 1994 - September 1996
Foundation Health Plan January 1993 - April 1994
Education
Pima Community College 1982 — 1985
Associates Degree, Accounting
Yung-En Fung's Neighborhood Health Plan Experience September 2012 - January 2013
Job Pharmacist at CVS Health
Industry Pharmaceuticals
Experience
CVS Health September 2015 - Present
CVS Pharmacy May 2011 - August 2015
Tufts Medical Center January 2012 - February 2013
Neighborhood Health Plan September 2012 - January 2013
Teavana October 2010 - January 2011
Gervais - Lincoln October 2008 - May 2009
Skills
Pharmacy, Sales, Medication Therapy..., Pharmacists, Patient Counseling
Education
Northeastern University 2009 — 2015
Doctor of Pharmacy (PharmD)
Chelmsford High School 2005 — 2009
High School Diploma
CVS Health September 2015 - Present
CVS Pharmacy May 2011 - August 2015
Tufts Medical Center January 2012 - February 2013
Neighborhood Health Plan September 2012 - January 2013
Teavana October 2010 - January 2011
Gervais - Lincoln October 2008 - May 2009
Skills
Pharmacy, Sales, Medication Therapy..., Pharmacists, Patient Counseling
Education
Northeastern University 2009 — 2015
Doctor of Pharmacy (PharmD)
Chelmsford High School 2005 — 2009
High School Diploma
James Connors's Neighborhood Health Plan Experience December 2013 - Present
Job Senior Contract Manager at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan December 2013 - Present
CeltiCare Health Plan of Massachusetts July 2010 - December 2013
South Shore Physician Hospital Organization July 2008 - July 2010
EBPA January 2005 - June 2008
Healthcare Value Management, Inc. June 1995 - December 2004
Skills
Contract Negotiation, Medicaid, Managed Care, Healthcare Management, Healthcare, Hospitals, Network Development, Healthcare Consulting, PPO, Medicare, Provider Relations, HIPAA, Insurance, Revenue Cycle, Healthcare Industry, Physicians, Healthcare Information...
Education
University of New Hampshire 1993 — 1995
Masters Health Administration, Healthcare
Suffolk University 1973 — 1979
Finance, BS in Banking and Finance
Neighborhood Health Plan December 2013 - Present
CeltiCare Health Plan of Massachusetts July 2010 - December 2013
South Shore Physician Hospital Organization July 2008 - July 2010
EBPA January 2005 - June 2008
Healthcare Value Management, Inc. June 1995 - December 2004
Skills
Contract Negotiation, Medicaid, Managed Care, Healthcare Management, Healthcare, Hospitals, Network Development, Healthcare Consulting, PPO, Medicare, Provider Relations, HIPAA, Insurance, Revenue Cycle, Healthcare Industry, Physicians, Healthcare Information...
Education
University of New Hampshire 1993 — 1995
Masters Health Administration, Healthcare
Suffolk University 1973 — 1979
Finance, BS in Banking and Finance
Timothy Antone's Neighborhood Health Plan Experience February 2010 - September 2013
Job Physician Compensation Analyst at Beth Israel Deconess HealthCare
Industry Hospital & Health Care
Experience
Beth Israel Deaconess Medical Center June 2015 - Present
Cambridge Health Alliance December 2013 - June 2015
Neighborhood Health Plan February 2010 - September 2013
BC of RI 1994 - 2004
BC of RI 1994 - 2004
Education
Providence College
Bachelor’s Degree, Health Services Administration
Beth Israel Deaconess Medical Center June 2015 - Present
Cambridge Health Alliance December 2013 - June 2015
Neighborhood Health Plan February 2010 - September 2013
BC of RI 1994 - 2004
BC of RI 1994 - 2004
Education
Providence College
Bachelor’s Degree, Health Services Administration
Linda Skinkle's Neighborhood Health Plan Experience June 2015 - Present
Job Manager of Product Strategy and Innovation
Industry Hospital & Health Care
Experience
Neighborhood Health Plan June 2015 - Present
Harvard Pilgrim Health Care September 2013 - May 2015
Harvard Pilgrim Health Care July 2012 - September 2013
Harvard Pilgrim Health Care 2007 - 2012
Harvard Pilgrim Health Care 2003 - 2007
Alas Marketing & Communications 2001 - 2003
Skills
Product Management, Project Management, Healthcare, Product Marketing, Competitive Analysis, Business Strategy, Cross-functional Team..., Strategic Planning, Market Planning, Analytics, Marketing Strategy, Health Insurance, Strategy, Healthcare Information..., Program Management, Market Research
Education
Syracuse University
BS, Marketing, Architecture
The Tuck School of Business at Dartmouth
MBA
Neighborhood Health Plan June 2015 - Present
Harvard Pilgrim Health Care September 2013 - May 2015
Harvard Pilgrim Health Care July 2012 - September 2013
Harvard Pilgrim Health Care 2007 - 2012
Harvard Pilgrim Health Care 2003 - 2007
Alas Marketing & Communications 2001 - 2003
Skills
Product Management, Project Management, Healthcare, Product Marketing, Competitive Analysis, Business Strategy, Cross-functional Team..., Strategic Planning, Market Planning, Analytics, Marketing Strategy, Health Insurance, Strategy, Healthcare Information..., Program Management, Market Research
Education
Syracuse University
BS, Marketing, Architecture
The Tuck School of Business at Dartmouth
MBA
Andrea Weeder's Neighborhood Health Plan Experience April 2007 - Present
Job Credentialing Specialist at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan April 2007 - Present
Balboni Communications Group 2004 - Present
Skills
Provider Relations, HIPAA, Healthcare, Healthcare Management, Hospitals, Health Insurance, NCQA, Credentialing, Provider Enrollment, Healthcare Industry, Outlook, Customer Service, EMR
Education
University of Massachusetts Boston
Neighborhood Health Plan April 2007 - Present
Balboni Communications Group 2004 - Present
Skills
Provider Relations, HIPAA, Healthcare, Healthcare Management, Hospitals, Health Insurance, NCQA, Credentialing, Provider Enrollment, Healthcare Industry, Outlook, Customer Service, EMR
Education
University of Massachusetts Boston
Lyndsay Paparo's Neighborhood Health Plan Experience November 2013 - March 2015
Job Account Manager, athenahealth
Industry Health, Wellness and Fitness
Experience
athenahealth May 2015 - Present
Neighborhood Health Plan November 2013 - March 2015
Harvard Pilgrim Health Care September 2012 - November 2013
Harvard Pilgrim Health Care October 2010 - September 2012
Skills
Health Insurance, Healthcare, Customer Service, Sales, Microsoft Office, Editing, Building Relationships, Lotus Notes, Following Up, Leadership, Insurance, Medicare, Accounts Receivable, Claim, Time Management, Employee Benefits, Account Management, Management, Outlook, Managed Care, Brokers, HIPAA, PowerPoint, Healthcare Industry, Process Improvement
Education
University of Massachusetts Boston 2013 — 2016
Master of Business Administration (MBA)
University of Massachusetts Boston 2006 — 2010
Bachelor of Arts, English
Oliver Ames High School 2002 — 2006
High School Diploma
athenahealth May 2015 - Present
Neighborhood Health Plan November 2013 - March 2015
Harvard Pilgrim Health Care September 2012 - November 2013
Harvard Pilgrim Health Care October 2010 - September 2012
Skills
Health Insurance, Healthcare, Customer Service, Sales, Microsoft Office, Editing, Building Relationships, Lotus Notes, Following Up, Leadership, Insurance, Medicare, Accounts Receivable, Claim, Time Management, Employee Benefits, Account Management, Management, Outlook, Managed Care, Brokers, HIPAA, PowerPoint, Healthcare Industry, Process Improvement
Education
University of Massachusetts Boston 2013 — 2016
Master of Business Administration (MBA)
University of Massachusetts Boston 2006 — 2010
Bachelor of Arts, English
Oliver Ames High School 2002 — 2006
High School Diploma
Patricia Mogan's Neighborhood Health Plan Experience 1991 - 1993
Job Client Manager at UMass Medical School
Industry Hospital & Health Care
Experience
University of Mass. Medical School, Center for Health Care Financing 2006 - Present
Norwood High School 2005 - 2006
Bellingham High School 2004 - 2005
Blue Cross Blue Shield of Massachusetts 2000 - 2003
American Association of Health Plans 2000 - 2000
Harvard Pilgrim Health Care, Inc. 1993 - 2000
Neighborhood Health Plan 1991 - 1993
Deloitte & Touche 1990 - 1991
Commonwealth of Massachusetts, Rate Setting Commission 1982 - 1990
Waltham Senior High School 1973 - 1980
Skills
Managed Care
Education
Simmons College - Simmons School of Management 1980 — 1981
MBA, Business
Simmons College 1969 — 1973
BA, History and Secondary Education
University of Mass. Medical School, Center for Health Care Financing 2006 - Present
Norwood High School 2005 - 2006
Bellingham High School 2004 - 2005
Blue Cross Blue Shield of Massachusetts 2000 - 2003
American Association of Health Plans 2000 - 2000
Harvard Pilgrim Health Care, Inc. 1993 - 2000
Neighborhood Health Plan 1991 - 1993
Deloitte & Touche 1990 - 1991
Commonwealth of Massachusetts, Rate Setting Commission 1982 - 1990
Waltham Senior High School 1973 - 1980
Skills
Managed Care
Education
Simmons College - Simmons School of Management 1980 — 1981
MBA, Business
Simmons College 1969 — 1973
BA, History and Secondary Education
Kerry Lawler's Neighborhood Health Plan Experience 2013 - Present
Job Manager Quality Control at Neighborhood Health Plan
Industry Insurance
Experience
Neighborhood Health Plan 2013 - Present
Harvard Pilgrim Health Care 2003 - 2012
Allmerica Financial 1999 - 2003
Sun Life Financial 1990 - 1999
Skills
Process Improvement, SDLC, Business Analysis, Cross-functional Team..., Vendor Management, Visio, Change Management, Data Analysis, Project Management, Team Building, Program Management, Healthcare
Education
UMass Dartmouth 1986 — 1990
Bachelor's degree, Economics
Neighborhood Health Plan 2013 - Present
Harvard Pilgrim Health Care 2003 - 2012
Allmerica Financial 1999 - 2003
Sun Life Financial 1990 - 1999
Skills
Process Improvement, SDLC, Business Analysis, Cross-functional Team..., Vendor Management, Visio, Change Management, Data Analysis, Project Management, Team Building, Program Management, Healthcare
Education
UMass Dartmouth 1986 — 1990
Bachelor's degree, Economics
Angela Layne's Neighborhood Health Plan Experience January 2013 - Present
Job Coordination of Benefits Administrator at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan January 2013 - Present
Healthnet Federal Service September 2005 - April 2011
2011Health Net Federal Service, Inc September 2005 - April 2011
Healthnet Federal Service September 2005 - April 2011
Anthem BC BS September 1995 - September 2005
Anthem Blue Cross/Blue Shield September 1995 - September 2005
Anthem Blue Cross/Blue Shield September 1995 - September 2005
2005-2007 January 1995 - September 2005
2005-2007 January 1995 - January 2005
Skills
HIPAA, Medicare, Provider Relations, Health Insurance, Medical Billing, Claim, Employee Benefits, Insurance, Medical Coding, Medical Terminology, Training, Managed Care, Program Management, Leadership, Management, Healthcare, Customer Service, Strategic Planning, Business Analysis, Budgets, Healthcare Management, Project Management
Education
University of Phoenix 2005 — 2007
MBA, Business Administration
Southern New Hampshire University
BS, Business Management
Southern New Hampshire University, New Hampshire
Bachelor of Science, Business Management
University of Phoenix
Masters, Business Administration; Business Administration
University of Phoenix
Masters, Business Administration
Neighborhood Health Plan January 2013 - Present
Healthnet Federal Service September 2005 - April 2011
2011Health Net Federal Service, Inc September 2005 - April 2011
Healthnet Federal Service September 2005 - April 2011
Anthem BC BS September 1995 - September 2005
Anthem Blue Cross/Blue Shield September 1995 - September 2005
Anthem Blue Cross/Blue Shield September 1995 - September 2005
2005-2007 January 1995 - September 2005
2005-2007 January 1995 - January 2005
Skills
HIPAA, Medicare, Provider Relations, Health Insurance, Medical Billing, Claim, Employee Benefits, Insurance, Medical Coding, Medical Terminology, Training, Managed Care, Program Management, Leadership, Management, Healthcare, Customer Service, Strategic Planning, Business Analysis, Budgets, Healthcare Management, Project Management
Education
University of Phoenix 2005 — 2007
MBA, Business Administration
Southern New Hampshire University
BS, Business Management
Southern New Hampshire University, New Hampshire
Bachelor of Science, Business Management
University of Phoenix
Masters, Business Administration; Business Administration
University of Phoenix
Masters, Business Administration
Jessica Dacey, OTR/L, CCM's Neighborhood Health Plan Experience September 2012 - Present
Job Telephonic Care Manager at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan September 2012 - Present
EPOCH Senior Living 2005 - September 2012
HealthBridge Management 2004 - 2005
Braintree Rehab Hospital 2002 - 2004
MetroWest Braintree Rehab Associates 1997 - 2002
Skills
Discharge Planning, Healthcare, Clinical, Hospitals, Treatment, Health, Insurance, Rehabilitation, Excel, Customer Relations, Microsoft Office, Medicare, Acute Care, Public Relations, Case Management, Inpatient, Home Care, Medicaid, Managed Care, Problem Solving, Referrals, McKesson's InterQual..., Patient Advocacy, Clinical Research
Education
University of New Hampshire 1992 — 1996
Bachelor of Science, Occupational Therapy
Neighborhood Health Plan September 2012 - Present
EPOCH Senior Living 2005 - September 2012
HealthBridge Management 2004 - 2005
Braintree Rehab Hospital 2002 - 2004
MetroWest Braintree Rehab Associates 1997 - 2002
Skills
Discharge Planning, Healthcare, Clinical, Hospitals, Treatment, Health, Insurance, Rehabilitation, Excel, Customer Relations, Microsoft Office, Medicare, Acute Care, Public Relations, Case Management, Inpatient, Home Care, Medicaid, Managed Care, Problem Solving, Referrals, McKesson's InterQual..., Patient Advocacy, Clinical Research
Education
University of New Hampshire 1992 — 1996
Bachelor of Science, Occupational Therapy
Kimberly Forcione's Neighborhood Health Plan Experience January 2000 - August 2001
Job
Industry Medical Practice
Experience
Neighborhood Health Plan January 2000 - August 2001
Visiting Nurse Association of Boston April 1997 - January 2000
Education
University of Massachusetts Boston 1991 — 1996
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Neighborhood Health Plan January 2000 - August 2001
Visiting Nurse Association of Boston April 1997 - January 2000
Education
University of Massachusetts Boston 1991 — 1996
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Carol Ann Gallagher's Neighborhood Health Plan Experience July 2012 - Present
Job Customer Service Representative at Neighborhood Health Plan
Industry Machinery
Experience
Neighborhood Health Plan July 2012 - Present
Hollister Staffing June 2011 - June 2012
Eastrock, Inc November 1999 - December 2009
Warehouse M and Associates July 1996 - November 1999
w.h. Milikowski, Inc. November 1994 - January 1996
Skills
Customer Service, Accounts Receivable, Accounts Payable, QuickBooks, Payroll, Invoicing, Bookkeeping, Account Reconciliation, Payroll Taxes, General Ledger, Journal Entries, Peachtree, Bank Reconciliation, Job Costing, Quicken
Education
Salem State College 1979 — 1983
Business Administration
Neighborhood Health Plan July 2012 - Present
Hollister Staffing June 2011 - June 2012
Eastrock, Inc November 1999 - December 2009
Warehouse M and Associates July 1996 - November 1999
w.h. Milikowski, Inc. November 1994 - January 1996
Skills
Customer Service, Accounts Receivable, Accounts Payable, QuickBooks, Payroll, Invoicing, Bookkeeping, Account Reconciliation, Payroll Taxes, General Ledger, Journal Entries, Peachtree, Bank Reconciliation, Job Costing, Quicken
Education
Salem State College 1979 — 1983
Business Administration
Sharon Glynn's Neighborhood Health Plan Experience October 2006 - June 2009
Job Cape Cod Healthcare
Industry Hospital & Health Care
Experience
Cape Cod Healthcare June 2014 - Present
Connolly Healthcare August 2013 - June 2014
Cape Cod Healthcare July 2009 - August 2013
Neighborhood Health Plan October 2006 - June 2009
SSPHO 2001 - 2006
Harvard Pilgrim Healthcare/Perot Systems 1994 - 2001
Medical Eye Care Associates 1990 - 1991
Tufts Health Plan 1987 - 1988
Waltham Committee 1986 - 1987
Perkins School for the Blind May 1983 - May 1986
Skills
Healthcare, Healthcare Management, Managed Care, Hospitals, Medicaid, HIPAA, Healthcare Information..., Healthcare Consulting, Medicare, EMR, EHR, Performance Improvement, Revenue Cycle, Healthcare Industry, Health Insurance, Physician Relations
Education
Northwestern University
Masters in Predictive Analytics, Predictive Analytics
UMass Boston 1992 — 1996
MBA, Business
UMass Boston 1984 — 1988
BA, Sociology
The University of Dallas 1980 — 1980
Cape Cod Healthcare June 2014 - Present
Connolly Healthcare August 2013 - June 2014
Cape Cod Healthcare July 2009 - August 2013
Neighborhood Health Plan October 2006 - June 2009
SSPHO 2001 - 2006
Harvard Pilgrim Healthcare/Perot Systems 1994 - 2001
Medical Eye Care Associates 1990 - 1991
Tufts Health Plan 1987 - 1988
Waltham Committee 1986 - 1987
Perkins School for the Blind May 1983 - May 1986
Skills
Healthcare, Healthcare Management, Managed Care, Hospitals, Medicaid, HIPAA, Healthcare Information..., Healthcare Consulting, Medicare, EMR, EHR, Performance Improvement, Revenue Cycle, Healthcare Industry, Health Insurance, Physician Relations
Education
Northwestern University
Masters in Predictive Analytics, Predictive Analytics
UMass Boston 1992 — 1996
MBA, Business
UMass Boston 1984 — 1988
BA, Sociology
The University of Dallas 1980 — 1980
Louis Parente's Neighborhood Health Plan Experience 2000 - 2003
Job Accounting Manager at Sun Life Financial
Industry Financial Services
Experience
Sun Life Financial 2007 - Present
Thomson Financial 2003 - 2007
Neighborhood Health Plan 2000 - 2003
Skills
Accounting, PeopleSoft, ADP Payroll, Process Improvement, Management, Leadership, Finance, Microsoft Excel, Banking, Employee Benefits, Financial Reporting, Sarbanes-Oxley, Payroll, Auditing, Essbase, Access, General Ledger, Variance Analysis, Sarbanes-Oxley Act, Financial Analysis, Forecasting
Education
University of Massachusetts at Lowell 1978 — 1980
B.S.
Sun Life Financial 2007 - Present
Thomson Financial 2003 - 2007
Neighborhood Health Plan 2000 - 2003
Skills
Accounting, PeopleSoft, ADP Payroll, Process Improvement, Management, Leadership, Finance, Microsoft Excel, Banking, Employee Benefits, Financial Reporting, Sarbanes-Oxley, Payroll, Auditing, Essbase, Access, General Ledger, Variance Analysis, Sarbanes-Oxley Act, Financial Analysis, Forecasting
Education
University of Massachusetts at Lowell 1978 — 1980
B.S.
Emily Koomen's Neighborhood Health Plan Experience April 2013 - March 2014
Job Currently seeking a new opportunity
Industry Insurance
Experience
Lahey Health Behavioral Services January 2015 - May 2015
Neighborhood Health Plan April 2013 - March 2014
Massachusetts Behavioral Health Partnership May 2012 - March 2013
Newburyport Public Library 2006 - 2007
Skills
Customer Service, Healthcare, Health Insurance, Insurance, Data Entry, Outlook, Administrative..., HIPAA
Education
University of Oregon at Eugene 2007 — 2011
French, Comparative Literature, French
University of Oregon
Bachelor of Arts (B.A.), French Language and Literature
Lahey Health Behavioral Services January 2015 - May 2015
Neighborhood Health Plan April 2013 - March 2014
Massachusetts Behavioral Health Partnership May 2012 - March 2013
Newburyport Public Library 2006 - 2007
Skills
Customer Service, Healthcare, Health Insurance, Insurance, Data Entry, Outlook, Administrative..., HIPAA
Education
University of Oregon at Eugene 2007 — 2011
French, Comparative Literature, French
University of Oregon
Bachelor of Arts (B.A.), French Language and Literature
Lauren McKenna's Neighborhood Health Plan Experience October 2013 - February 2014
Job Project Coordinator at WilmerHale
Industry
Experience
WilmerHale September 2014 - Present
Optum July 2014 - September 2014
Neighborhood Health Plan October 2013 - February 2014
WilmerHale February 2013 - June 2013
Dana-Farber Cancer Institute September 2012 - February 2013
WilmerHale February 2012 - September 2012
Bank of America July 2010 - September 2011
Liberty Mutual Insurance June 2008 - July 2009
Skills
Analysis, Budgets, Outlook, Microsoft Excel, MS Project, Project Coordination, Multiple Project..., Visio, SharePoint, Microsoft Office, Microsoft Office..., Minute Taking, Planning..., Meeting Scheduling, PowerPoint, Adobe Professional, Project Planning
Education
Penn State University 2004 — 2008
BS, Finance, 3.8/4.0
WilmerHale September 2014 - Present
Optum July 2014 - September 2014
Neighborhood Health Plan October 2013 - February 2014
WilmerHale February 2013 - June 2013
Dana-Farber Cancer Institute September 2012 - February 2013
WilmerHale February 2012 - September 2012
Bank of America July 2010 - September 2011
Liberty Mutual Insurance June 2008 - July 2009
Skills
Analysis, Budgets, Outlook, Microsoft Excel, MS Project, Project Coordination, Multiple Project..., Visio, SharePoint, Microsoft Office, Microsoft Office..., Minute Taking, Planning..., Meeting Scheduling, PowerPoint, Adobe Professional, Project Planning
Education
Penn State University 2004 — 2008
BS, Finance, 3.8/4.0
Laura Lovett's Neighborhood Health Plan Experience February 2007 - Present
Job RN at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan February 2007 - Present
US Navy May 2001 - July 2006
Skills
Nursing, Healthcare Management, Inpatient, Hospitals, Acute Care, BLS, Healthcare, Medical/Surgical, Computer Proficiency, Nursing Documentation, Nursing Care, Nursing Management, Military Experience, Military Training, Clinical Research, Clinical Monitoring, Managed Care, Utilization Management, Utilization Review, Health Policy, Musical Theatre, Music, Singing, Irish music, Medical-Surgical, ACLS
Education
The Sage Colleges - Russell Sage College 1997 — 2001
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Neighborhood Health Plan February 2007 - Present
US Navy May 2001 - July 2006
Skills
Nursing, Healthcare Management, Inpatient, Hospitals, Acute Care, BLS, Healthcare, Medical/Surgical, Computer Proficiency, Nursing Documentation, Nursing Care, Nursing Management, Military Experience, Military Training, Clinical Research, Clinical Monitoring, Managed Care, Utilization Management, Utilization Review, Health Policy, Musical Theatre, Music, Singing, Irish music, Medical-Surgical, ACLS
Education
The Sage Colleges - Russell Sage College 1997 — 2001
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Patti Wyffels's Neighborhood Health Plan Experience 2002 - 2008
Job Health, Wellness and Fitness Professional
Industry Health, Wellness and Fitness
Experience
Neighborhood Health Plan 2002 - 2008
Education
Northeastern University 1986 — 1988
Master of Business Administration (MBA), Healthcare
The Sage Colleges - Russell Sage College 1981 — 1985
Bachelor of Science (BS), Math/Computer Science/Management
Neighborhood Health Plan 2002 - 2008
Education
Northeastern University 1986 — 1988
Master of Business Administration (MBA), Healthcare
The Sage Colleges - Russell Sage College 1981 — 1985
Bachelor of Science (BS), Math/Computer Science/Management
Sharmecka Horton's Neighborhood Health Plan Experience June 2012 - Present
Job RN at Neighborhood Health Plan
Industry Hospital & Health Care
Experience
Neighborhood Health Plan June 2012 - Present
Network Health September 2011 - June 2012
Education
Roxbury Community College 2009 — 2010
Associate of Science (AS), Registered Nursing/Registered Nurse
Neighborhood Health Plan June 2012 - Present
Network Health September 2011 - June 2012
Education
Roxbury Community College 2009 — 2010
Associate of Science (AS), Registered Nursing/Registered Nurse
Valerie Parenti's Neighborhood Health Plan Experience August 2002 - February 2013
Job Utilization & Review at BMC HealthNet Plan
Industry Hospital & Health Care
Experience
BMC HealthNet Plan December 2013 - Present
Neighborhood Health Plan August 2002 - February 2013
St. Mary's Home for Children September 1993 - May 2002
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets
Education
Rhode Island College
Bachelor of Science (BS), Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
Roger Williams University
School Nursing
BMC HealthNet Plan December 2013 - Present
Neighborhood Health Plan August 2002 - February 2013
St. Mary's Home for Children September 1993 - May 2002
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets
Education
Rhode Island College
Bachelor of Science (BS), Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
Roger Williams University
School Nursing
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY