Neighborhood Health Plan of RI
Address: 910 Douglas Pike, Smithfield, RI 02917 Hours: Closed ⋅ Opens 8:30AM Mon SaturdayClosedSundayClosedMonday8:30AM–5PMTuesday8:30AM–5PMWednesday8:30AM–5PMThursday8:30AM–5PMFriday8:30AM–5PMSuggest an edit Unable to add this file. Please check that it is a valid photo. Phone: (401) 459-6000: : : : Category: : Website: Place name: : Website: http://www.nhpri.org/ Category: Non-Profit Organization Suggest an editUnable to add this file. Please check that it is a valid photo. Unable to add this file. Please check that it is a valid photo. Questions & answers Ask a question Q: Looking for oral surgeon A: Nhpri/integrity will not pay for dental of any kind. This presents an issue for me. I could never understand why the teeth were not covered. They are part of the body that helps you chew food, talk, and are anesthetic. I have to use my Medicaid. I'm fortunately blessed to qualify for some, not all dental work. They paid for 4 extractions. It's unfortunate for people that have no medical to exist in pain. This is AMERICA. It doesn't have to be like that. We are one of the richest countries in the world.(4 more answers)See all questions (26) Add a photoThanks for sharing!Your photo will be posted publicly on Google.Contribute MoreDoneUpload public photos of Neighborhood Health Plan of Rhode Island Posting publicly on the Web Write a review Reviews"The staff are all so thoughtful and kind." "Whatever reviews people are leaving here are NOT for the Smithfield location." "Always a human being as customer service." View all Google reviews From Neighborhood Health Plan of Rhode Island "Neighborhood Health Plan of Rhode Island is a mission-driven organization that partners with the community health centers and others to secure access to high quality, cost-effective health care for individuals, families and small businesses."
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Neighborhood Health Plan of RI Employees
Neighborhood Health Plan of RI July 2013 - Present
Rhode Island Department of Health November 2012 - April 2013
Napoli Pizzeria September 2011 - October 2012
Skills
Research, Data Analysis, Stata, Microsoft Excel, Microsoft Office, PowerPoint, Money Management, Customer Service, Customer Satisfaction
Education
Rhode Island College 2009 — 2013
Bachelor's degree, Finance, and Computer Information Systems
Mount Pleasant High School 2005 — 2009
High School Diploma, High School/Secondary Diplomas and Certificates
Associates in Podiatry September 2014 - Present
UNIVERSITY MEDICAL GROUP August 2012 - October 2012
Neighborhood Health Plan of RI April 2012 - June 2012
Diabetes & Endocrinolgy Associates May 2006 - February 2011
Skills
Medicine, Software Documentation, Cpr Certified, Healthcare, Wellness, Medical Terminology, Fitness, Nutrition, Health Education, Public Health, Microsoft Office, EMR, Hospitals, Public Speaking, Customer Service, Wellness Coaching, Clinical Research, PowerPoint, Fitness Training, Microsoft Word, Research, Multi Tasking, Work in A Fast Paced..., Resourceful in the..., Interact with All..., Handle Multiple..., Message Taking, Switch Board, Telephone Reception, Work Independently with..., Relationship-builder..., Medical Coding, HIPAA, Data Entry, Medical Billing, Boxercise, Vital Signs, Administrative..., Microsoft Excel, Appointment Scheduling, Healthcare Management, Medicare, Telephone Skills, Management, Outlook, Teaching, Healthcare Information..., Process Improvement, Health Insurance, Invoicing
Education
Lincoln Technical Institute-Lincoln 2011 — 2012
Certificate of Completion, Medical Coding & Billing
Sawyer School 2004 — 2006
Certificate of Completion, GED/Medical Assistant/Secretary Program
Neighborhood Health Plan of RI December 2013 - Present
U.S. Army Reserve November 2011 - Present
Express Employment Professionals October 2012 - October 2013
Zebra Technologies March 2012 - July 2012
Brown University October 2011 - March 2012
U.S. Army Reserve August 2006 - October 2011
Skills
Data Entry, Outlook, Microsoft Office, Microsoft Excel, File Management, Spreadsheets, PowerPoint, Customer Service, Microsoft Word, Telephone Skills, Process Scheduler, Access, Event Planning, Research, Lotus Notes, Scanners, Microsoft Publisher, Time Management, Teamwork, PeopleSoft, Human Resources, Invoicing, Leadership, Training, QuickBooks
Education
Sanford-Brown Institute-Cranston 2010 — 2011
Certificate, Medical/Clinical Assistant
New England Institute of Technology 2002 — 2008
Associates in Science, Business Administration and Management, General
Mt Pleasant High School 1991 — 1995
High School Diploma, Health Magnet
The Soul Midwife April 2013 - Present
Frog Hill Farm March 2004 - March 2013
Neighborhood Health Plan of RI December 2007 - October 2009
OB/GYN Associates, South Shore Midwifery, Center for OB/GYN August 1993 - February 2004
Skills
Nurse Midwife, Case Management, Home and Hospice Care, Health, Writing, Healthcare, Nursing, Case Managment, Life Coaching, Teaching, Event Management, Coaching, Stress, Treatment, Program Development, Mental Health, Health Promotion, Reiki, Customer Service, Community Outreach
Education
Yale University School Of Nursing 1990 — 1992
Master's of Science, Nurse-Midwifery
Rhode Island College 1988 — 1990
Bachelor of Science, Nursing
Neighborhood Health Plan of RI May 2010 - Present
NHPRI 2010 - Present
Providence Community Health Centers May 2002 - August 2008
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Research, Change Management, Healthcare Information..., Outlook, Budgets
Education
Rhode Island College 2007 — 2009
Masters in Education, Education
Rhode Island College 1995 — 2000
Bachelors of Science in Nursing, Nursing
Neighborhood Health Plan of R.I January 2008 - Present
CVS January 2007 - January 2008
Connect Studios January 2006 - January 2007
Netcom Business Solutions, Inc January 2005 - January 2006
Qualxserv January 2004 - January 2005
Outsource, Inc January 2000 - January 2003
Community Newspaper Company January 1998 - January 2000
Virtual Escape January 1997 - January 1998
Rhode Island Business Net, Inc January 1995 - January 1998
Skills
Microsoft Office, Microsoft Word, Troubleshooting, Computer Hardware, Operating Systems, Hardware, Networking, Technical Support, Windows, VPN, Software Installation, Routers, Citrix, Testing, Laptops, Printers, HP, Network Design, Hardware Support, Wireless, Dell Computers, Desktop Computers, Software, Computer Hardware...
Education
Roger Williams University
Computer Science
Sandhills Community College
Cisco, System, Networking, and LAN/WAN Management/Manager
Carolinas Healthcare System November 2014 - Present
Carolinas Healthcare System March 2014 - November 2014
Neighborhood Health Plan of RI March 2012 - March 2014
Neighborhood Health Plan of RI April 2008 - March 2012
Midwood Ambulance Service September 2006 - August 2007
Skills
Managed Care, Medicare, Healthcare Management, HIPAA, Medical Terminology, Healthcare, NCQA, Healthcare Information..., Provider Relations, Health Insurance, Medicaid, Credentialing, Customer Service, Customer Oriented, Customer Retention, Site Analysis, EMR, Physician Relations, Quality Improvement, Healthcare Consulting, Healthcare Industry, Network Development, Accreditation, Home Care, Hospitals
Education
Rhode Island College 2011 — 2015
Bloomfield College
CVS June 2012 - Present
Cigna June 2010 - June 2012
ACS / The Hospital of Central Connecticut December 2008 - June 2010
Clinical Laboratory Partners March 2008 - December 2008
Fidelity Investments September 2007 - February 2008
Perot Systems November 2006 - August 2007
Blue Cross Blue Shield RI November 2004 - October 2006
Neighborhood Health Plan of RI 1998 - 2004
Skills
Process Improvement, SDLC, Integration, Project Management, Management
Education
Bryant University 1990 — 1993
Neighborhood Health Plan of RI October 2013 - Present
McAuley Ministries - McAuley House August 2006 - Present
The Providence Center October 2011 - October 2013
The Providence Human Relations Commission 2007 - February 2011
Girl Scouts of Rhode Island August 1998 - September 2006
Skills
Community Outreach, Program Management, Non-profits, Leadership, Strategic Planning, Management, Nonprofits, Policy, Grant Writing, Entrepreneurship, Volunteer Management, Fundraising, Community Development, Customer Service, Program Development, Public Speaking
Education
Rhode Island College
BA, Sociology/Justice Studies
Westwood Lodge Hospital June 2014 - Present
Neighborhood Health Plan of RI January 2013 - January 2014
Clinical One April 2009 - December 2011
D2Hawkeye March 2007 - October 2008
Sostek Homecare July 2004 - March 2007
Raytheon 1994 - 1997
Skills
Temporary Placement, Talent Acquisition, Leadership, Human Resources, Recruiting, Applicant Tracking..., Background Checks, New Hire Orientations, Interviews, Employee Relations, Outlook, Technical Recruiting, Talent Management, Customer Service
Education
Dean College
Bachelor of Business Administration (B.B.A.), Human Resources Management/Personnel Administration, General
Middlesex Community College
Associates, Criminal Justice
Middlesex Community College
Associates of Science Degree, Criminal Justice
Neighborhood Health Plan of Rhode Island October 2014 - Present
Commission for health advocacy and equity December 2012 - Present
The Alpha Consulting Group October 2012 - Present
NEIGHBORHOOD HEALTH PLAN OF RI July 2006 - October 2014
Community Health June 2009 - June 2010
Providence Community Health Centers Inc. February 2002 - June 2006
Skills
Research, Strategic Planning, Project Planning, Public Health, Program Development, Prevention, Healthcare, Non-profits, Nursing, Program Management, Grant Writing, Motivational Speaking, Public Policy, Healthcare Management, Program Evaluation, Training, Nonprofits, Workshop Facilitation, Coaching, Event Planning, Fundraising, Case Management, Medicaid, Community Outreach, Leadership, Management, Health Policy, Managed Care, Public Speaking, Policy, Leadership Development, Health Promotion
Education
Walden University 2009 — 2015
PhD, Public health, 3.81
University of Rhode Island 2004 — 2007
Master of science, Nursing Administration
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
Blue Cross & Blue Shield of Rhode Island April 2015 - Present
Neighborhood Health Plan of Rhode Island December 2013 - April 2015
Neighborhood Health Plan of RI April 2012 - December 2013
Blue Cross Blue Shield of Rhode Island December 2009 - April 2012
Blue Cross Blue Shield of Rhode Island February 2009 - December 2009
Blue Cross Blue Shield of Rhode Island July 2004 - February 2009
Neighborhood Health Plan of Rhode Island March 2001 - June 2004
Skills
Microsoft Office, DRG, Health Insurance, Data Analysis, Access, Operations Management, Process Improvement, Healthcare, Visio, Analysis, Business Analysis, Financial Analysis, Microsoft Excel, PowerPoint, Strategic Planning, Microsoft Word, Budgets, Accounting, Project Management, Customer Service, Team Building, Analytics, Problem Solving, Managed Care, HIPAA, Medicare, Insurance
Education
University of Rhode Island 1997 — 2001
Bachelor's Degree, Major: Finance; Minor: Accounting
Scituate High School 1994 — 1997
Neighborhood Health Plan of RI November 2007 - January 2015
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Strategic Planning, Outlook, Medical Coding, Healthcare, Medical Billing, Third Party Collections, Time Management, Invoicing, Quality Assurance, HIPAA, Software Documentation, Access, Customer Service, Microsoft Office
Education
New England Institute of Technology 2013 — 2015
Occupational Therapist Assistant
Katherine Gibbs School 1995 — 1996
Medical Administrative/Executive Assistant
Community College of Rhode Island
ACF Solutions April 2014 - Present
Plan International USA February 2011 - April 2014
Neighborhood Health Plan of RI September 2008 - February 2011
Harvard Pilgrim Health Care May 1998 - May 2008
Tufts Health Plan October 1997 - May 1998
Harvard Pilgrim Health Care March 1993 - October 1997
National Medical Care July 1990 - March 1993
Maguire Group Inc. July 1989 - July 1990
United Liquors August 1987 - August 1989
Skills
Databases, Project Management, Vendor Management, HIPAA, SDLC, Business Analysis, Microsoft SQL Server, SalesForce, Process Improvement, Business Intelligence, Program Management, CRM, Salesforce.com, Analysis, Software Project..., Consulting, Integration, Requirements Analysis, Cloud Computing, Business Requirements
Education
Johnson & Wales University 1993 — 1996
BS, Computer Science
Bunch & Associates July 2005 - Present
Neighborhood Health Plan of Rhode Island 1998 - 2006
Neighborhood Health Plan of RI May 1997 - July 2005
Skills
Data Analysis, Analysis, Management, Crystal Reports, SharePoint, Microsoft SQL Server, Healthcare, SQL, Access, Business Analysis, SDLC, Healthcare Information..., MS Project, Data Warehousing, Visio, Requirements Gathering, Insurance, Agile Methodologies, Databases, .NET, HIPAA, Software Documentation, Systems Analysis, T-SQL, SSIS, SSRS
Education
Universidad Dominicana O&M 1987 — 1991
Computer Science
Neighborhood Health Plan of Rhode Island October 2012 - Present
Blue Cross Blue Shield of RI May 2008 - October 2012
Landmark Medical Center July 2007 - May 2008
Lifespan 2004 - 2007
Neighborhood Health Plan of RI 2000 - 2004
Skills
Analysis, Analitical, Reporting & Analysis, Healthcare Analytics, Data Analysis, Business Analysis, Quantitative Analytics, Teamwork, Team Motivation, Process Improvement, Prioritize Workload, Monthly Close Process, Decision Making, Computer Proficiency, Decision Support
Education
Roger Williams University 1994 — 1998
Roger Williams University 1994 — 1998
Bachelor's of Science: Accounting
Advanced Medicine Integration of RI, LLC October 2012 - Present
Domestic Violence Resource Center of South County 2003 - Present
JoEllen Golberg Interior Design January 2008 - October 2013
Neighborhood Health Plan of RI March 2012 - May 2012
Neighborhood Health Plan of RI October 2011 - January 2012
Outcomes Health Information Solutions February 2010 - June 2010
Thundermist Health Center 2006 - 2008
Carlson Design Group 2006 - 2006
Coastal Bone & Joint Specialists, Inc. January 1994 - December 2005
Skills
Software Development, Software Implementation, Project Management, Mentoring New Hires, Nursing, Healthcare, Case Management, Subject Matter Experts, Case Management Software, Leadership, Nonprofits, Customer Service, Treatment, Event Planning, Marketing, Microsoft Office, Argus software, Acuity software, Sales, Fundraising, Social Media, Management, Strategic Planning, Microsoft Word, Training, Residential Homes, Health Rules software, Interior Architecture, QuickBooks, Motivational..., Crisis Intervention, Interior Design, Public Speaking, Hospitals, Alternative Medicine
Education
Salve Regina University 2011 — 2011
Certificate, Expressive Arts, A
American Institute of Interior Design 2007 — 2007
Certificate of Advanced Studies, Interior Design, High Honors
Boston College 1974 — 1978
BSN, Nursing
Fayetteville-Manlius High School 1970 — 1974
High School Diploma, College Prep
Xerox State Healthcare, LLC, Rhode Island Medicaid April 2012 - Present
Healthcentric Advisors January 2009 - April 2012
Home & Hospice Care of RI 2006 - 2008
Neighborhood Health Plan 2005 - 2006
Neighborhood Health Plan of RI 2003 - 2005
Ocean State Action Fund 2001 - 2002
Skills
Healthcare, Community Outreach, Policy, Nonprofits, Public Health, Quality Assurance, Training, Program Development, Research, Policy Analysis, Management, Program Management, Analysis, Grants, Project Planning, Public Speaking, Coaching, Grant Writing, Proposal Writing, Access, Fundraising, Hospitals
Education
Simmons College 2002 — 2003
Post Graduate Certificate in Healthcare Administration, Health/Health Care Administration/Management
Simmons College 1998 — 2000
MSW, Clinical/Medical Social Work
Boston University 1994 — 1998
BA, Sociology
St. Mary Academy-Bay View 1981 — 1994
Neighborhood Health Plan of RI May 2012 - Present
St. Joseph Health Services of RI January 1996 - April 2012
Saint Joseph Health Services of Rhode Island January 1996 - April 2012
Education
Rhode Island College 2006 — 2011
B.A., Art History
Rhode Island College
Health Plan of San Joaquin June 2015 - Present
Neighborhood Health Plan of RI September 2000 - May 2015
Northwest Community Health Care April 1999 - September 2000
Sullivan & Company CPA November 1996 - April 1999
Skills
Strategic Planning, Nonprofits, Public Speaking, Program Management, Insurance, Healthcare, Healthcare Management, Process Improvement, Medicare, Healthcare Information..., Recruiting, Management Consulting, Medicaid, Analysis, Team Building, Health Insurance, System Implementations, Budget Process, Vendor Management, Financial Statements, Auditing, Internal Controls, Business Process..., Managed Care, Non-profits, Change Management, Financial Reporting, Budgets, Health Policy, Payroll, Employee Benefits, HIPAA
Education
Bryant University 1991 — 1993
Bachelor, Accountancy
St. Xavier Academy 1976 — 1980
High school diploma
Neighborhood Health Plan of RI February 2014 - Present
Community College of Rhode Island January 2004 - Present
Neighborhood Health Plan of Rhode Island March 2013 - February 2014
Rite-Solutions May 2012 - March 2013
CVS Caremark Corporation October 2011 - May 2012
McLaughlin Research Corporation December 2009 - October 2011
CCRI November 2003 - August 2010
Colibri 2001 - 2008
Skills
Public Speaking, Higher Education, Nonprofits, Research, Event Planning, Community Outreach, PowerPoint, Strategic Planning, Microsoft Word, Editing, Program Development, Leadership Development, Fundraising, Customer Service, Leadership, Microsoft Excel, Instructional Design, Public Relations, Training, Grant Writing, Project Management, Management, Program Management, Teaching
Education
Bryant University 2015 — 2015
Certification, Project Management
Lesley University 1997 — 1999
MS, Business Management
Salem State College
Bachelor of Science (BS), Business Administration and Management, General
Neighborhood Health Plan of RI November 2013 - Present
Neighborhood Health Plan of RI March 2012 - November 2013
Neighborhood Health Plan of RI December 2007 - March 2012
VNA of Rhode Island 1987 - 2007
Women & Infants Hospital 1986 - 1987
Rhode Island Hospital 1985 - 1986
Skills
Nursing, Medicare, Healthcare, Healthcare Management, Clinical, Clinical Research, Program Development, NCQA, EHR, Home Care, Health Insurance, Software Documentation, Medical Terminology, Quality Improvement, Certified Case Manager, Hospitals, Medical Case Management, Disease Management, Utilization Management, Public Speaking, EMR, Patient Advocacy, HIPAA, Medicaid, Healthcare Information..., Treatment, Patient Safety, Nursing Education, BLS, Nursing Management, Health Education, Healthcare Industry, Utilization Review, Acute Care, Inpatient, Health Policy, Medication..., Informatics, Medical/Surgical, Healthcare Consulting, HEDIS, Meditech, JCAHO, Epic Systems, Provider Relations, Registered Nurses, Medicaid Managed Care
Education
Rhode Island College 1980 — 1985
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Neighborhood Health Plan of RI February 2010 - Present
Skills
Employee Benefits, Health Insurance, Microsoft Excel, Accounts Payable, Process Improvement, Analysis, Customer Service, HIPAA, Healthcare, Insurance, Program Management, Public Speaking, Strategic Planning, Team Building, Training
Education
University of Rhode Island
Bachelor of Science (B.S.), Human Development and Family Studies, General
Universtiy of RI
Bachekor of Science
WestBay Community Action October 2011 - Present
Neighborhood Health Plan of RI October 2006 - August 2010
United Healthcare 2003 - 2006
Skills
Team Building, Strategic Planning, PowerPoint, Management, Grant Writing, Medicare, Medicaid, Health Insurance, Health Policy, Managed Care, HIPAA, SDLC, Insurance, Healthcare, Visio, Process Improvement, Healthcare Management, Healthcare Information...
Education
Simmons College - Simmons School of Management
Masters, Business Administration
University of Massachusetts, Amherst
BA Communications
Weill Cornell Medical College August 2013 - Present
Neighborhood Health Plan of RI September 2011 - February 2013
Vexter March 2011 - July 2012
Trinity Repertory Company June 2010 - August 2010
Haruki Japanese Restaurant 2005 - 2008
E.C. Ortiz & Co., LLP June 2007 - August 2007
FYE Music & Video 2005 - 2007
E.C. Ortiz & Co., LLP June 2006 - August 2006
Babies R Us 2004 - 2006
Skills
Customer Service, Compliance, Asset Investigations, External Audit, Bookkeeping, Technical Training, Medical Billing, Claims Resolution, Medical Coding, Microsoft Office, Sales, Cold Calling, Office Administration, Public Speaking, Technical Writing, Teamwork, Proposal Writing, Report Writing, Figure Drawing, Photography
Education
University of Rhode Island - College of Business Administration 2006 — 2011
Business Administration, Accounting
Healthcentric Advisors August 2014 - Present
Healthcentric Advisors December 2011 - August 2014
Neighborhood Health Plan of RI January 2000 - December 2011
Skills
Healthcare Management, Public Health, Healthcare, Healthcare Information..., Case Managment, Quality Improvement, Medicine
Education
Florida State University 1974 — 1978
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Neighborhood Health Plan of RI March 2013 - Present
Beacon Health Strategies August 2007 - March 2013
Harvard Pilgrim Health Care May 1988 - May 2000
Skills
Program Development, Social Services, Mental Health, Case Managment, Nonprofits, Healthcare, Behavioral Health, Case Management, Crisis Intervention, Treatment, Medicaid
Education
Syracuse University 1981 — 1982
Master of Social Work (MSW)
State University of New York College at Brockport 1974 — 1978
Bachelor of Science (BS), Social Work