Pilgrim Health Care
Industry: Company
DescriptionHarvard Pilgrim Health Care is a not-for-profit health services company based in the New England region of the United States. Customer service: 1 (888) 333-4742 CEO: Michael Carson Headquarters: Massachusetts Chief medical officer: Michael Sherman Chief information officer: Deborah A. Norton Subsidiaries: Health Plans, Inc., HPHC Holding Corporation,
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Pilgrim Health Care Employees
Employee
Years
Job
Industry
Jan McCarthy Jan McCarthy's Pilgrim Health Care Experience 1986 - 1994
Job Medicare Business Optimization and Strategy Director
Industry Insurance
Experience
Universal Health Care Group 2011 - 2013
The Wyckoff Group 2006 - 2011
Qualcare, Inc 2005 - 2006
AmeriChoice of NJ 2003 - 2005
Centene Corporation d/b/a University Health Plans 2001 - 2003
Horizon Mercy 2000 - 2001
formerly FOHP now HealthNet 1996 - 2000
HIP of NJ 1994 - 1996
Pilgrim Health Care 1986 - 1994
The New England 1981 - 1986
Skills
Operations Management, Project Management, Healthcare, Insurance, Medicare, Process Improvement, Contract Negotiation, Medicaid, Managed Care, Team Building, Health Insurance, Healthcare Management, Compliance, Internal Audit, Solution Implementation, Medicare Advantage, Long term disability..., Short term disability..., Group health claims, Coordination of Benefits, Subrogation, Third Party Liability..., Enrollment, Enrollment Services, Customer Service, Corporate Communications, Microsoft Office, Newsletters, Office Management, Organization, Problem Solving, Quality Auditing, Recruiting, User Acceptance Testing, Visio, Real Estate, HIPAA, Provider Relations, Strategic Planning, Claim, Sales, Training, Call Center, Management, Analysis, Team Leadership, Budgets, Change Management, Cross-functional Team..., Credentialing
Education
Mary Washington College 1976 — 1980
BA, History and Sociology
Freehold Regional 1972 — 1975
Universal Health Care Group 2011 - 2013
The Wyckoff Group 2006 - 2011
Qualcare, Inc 2005 - 2006
AmeriChoice of NJ 2003 - 2005
Centene Corporation d/b/a University Health Plans 2001 - 2003
Horizon Mercy 2000 - 2001
formerly FOHP now HealthNet 1996 - 2000
HIP of NJ 1994 - 1996
Pilgrim Health Care 1986 - 1994
The New England 1981 - 1986
Skills
Operations Management, Project Management, Healthcare, Insurance, Medicare, Process Improvement, Contract Negotiation, Medicaid, Managed Care, Team Building, Health Insurance, Healthcare Management, Compliance, Internal Audit, Solution Implementation, Medicare Advantage, Long term disability..., Short term disability..., Group health claims, Coordination of Benefits, Subrogation, Third Party Liability..., Enrollment, Enrollment Services, Customer Service, Corporate Communications, Microsoft Office, Newsletters, Office Management, Organization, Problem Solving, Quality Auditing, Recruiting, User Acceptance Testing, Visio, Real Estate, HIPAA, Provider Relations, Strategic Planning, Claim, Sales, Training, Call Center, Management, Analysis, Team Leadership, Budgets, Change Management, Cross-functional Team..., Credentialing
Education
Mary Washington College 1976 — 1980
BA, History and Sociology
Freehold Regional 1972 — 1975
Nancy Anderson Ahern Nancy Anderson Ahern's Pilgrim Health Care Experience January 1986 - January 1995
Job Marketing Consultant at Anderson Home Marketing, Marketing Communications, Public Relations, Social Marketing Strategist
Industry Marketing and Advertising
Experience
Anderson Home Marketing April 2011 - Present
Harvard Pilgrim Health Care July 1982 - April 2011
Harvard Pilgrim Health Care January 1995 - March 1998
Pilgrim Health Care January 1986 - January 1995
Pilgrim Health Care July 1982 - January 1987
Skills
Marketing Strategy, Corporate Branding, Direct Marketing, Media Relations, Public Relations, Public Speaking, Marketing Planning, Marketing Communications, Advertising, Business to Business..., Direct to Consumer..., Digital Marketing, Social Media Strategist, Market Planning, Brand Management, Direct Mail, B2B Marketing, Copywriting, Marketing, Strategy, Creative Direction, Product Marketing, Corporate Communications, Integrated Marketing, Leadership, Strategic Planning, Management, Lead Generation, Event Planning, Digital Media, Social Media Marketing, Healthcare, Sponsorship, Sales, Social Media, Program Management, Email Marketing, Social Networking, Event Management, B2B, Online Marketing, Account Management
Education
Northeastern University
BA, Group and Public Communications with Business Minor
Anderson Home Marketing April 2011 - Present
Harvard Pilgrim Health Care July 1982 - April 2011
Harvard Pilgrim Health Care January 1995 - March 1998
Pilgrim Health Care January 1986 - January 1995
Pilgrim Health Care July 1982 - January 1987
Skills
Marketing Strategy, Corporate Branding, Direct Marketing, Media Relations, Public Relations, Public Speaking, Marketing Planning, Marketing Communications, Advertising, Business to Business..., Direct to Consumer..., Digital Marketing, Social Media Strategist, Market Planning, Brand Management, Direct Mail, B2B Marketing, Copywriting, Marketing, Strategy, Creative Direction, Product Marketing, Corporate Communications, Integrated Marketing, Leadership, Strategic Planning, Management, Lead Generation, Event Planning, Digital Media, Social Media Marketing, Healthcare, Sponsorship, Sales, Social Media, Program Management, Email Marketing, Social Networking, Event Management, B2B, Online Marketing, Account Management
Education
Northeastern University
BA, Group and Public Communications with Business Minor
Bill Prouty Bill Prouty's Pilgrim Health Care Experience 1993 - 1995
Job Chief Executive Officer at Equitable Life & Casualty
Industry Insurance
Experience
Launch Pad Venture Group, LLC February 2013 - Present
Equitable Life & Casualty 2013 - Present
Copley Society of Art January 2013 - July 2014
Pivotal Strategies LLC January 2010 - December 2013
Financial Industries Corporation January 2007 - August 2008
Bankers Life & Casualty March 2003 - October 2004
Harvard Pilgrim Health Care June 1993 - June 1998
Pilgrim Health Care 1993 - 1995
Ernst & Young 1988 - 1993
Coopers & Lybrand 1976 - 1984
Skills
Mergers
Education
Miami University 1963 — 1967
BS, Corporate Finance
Launch Pad Venture Group, LLC February 2013 - Present
Equitable Life & Casualty 2013 - Present
Copley Society of Art January 2013 - July 2014
Pivotal Strategies LLC January 2010 - December 2013
Financial Industries Corporation January 2007 - August 2008
Bankers Life & Casualty March 2003 - October 2004
Harvard Pilgrim Health Care June 1993 - June 1998
Pilgrim Health Care 1993 - 1995
Ernst & Young 1988 - 1993
Coopers & Lybrand 1976 - 1984
Skills
Mergers
Education
Miami University 1963 — 1967
BS, Corporate Finance
Sandra Kimball Sandra Kimball's Pilgrim Health Care Experience November 1989 - June 1995
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Dana-Farber Cancer Institute February 2008 - Present
Retail Business Owner July 2006 - January 2008
Private Healthcare Systems November 2005 - March 2006
Blue Cross Blue Shield of Massachusetts March 2005 - September 2005
Tufts Health Plan February 2003 - March 2005
Fleet Bank July 2001 - January 2003
South Shore Hospital October 2000 - June 2001
Harvard Pilgrim Health Care July 1994 - September 2000
Pilgrim Health Care November 1989 - June 1995
Jordan Hospital June 1983 - October 1989
Skills
PMP, MCTS, MS Project, SDLC, Project Management, Project Portfolio..., Software Project..., PMO, Cross-functional Team..., Healthcare Information..., Resource Management, Certified Project..., Budgets, Leadership, Integration
Education
Boston University School of Public Health 2004 — 2005
Coursework in Healthcare Finance and Biostatistics
Hiram College
BS, English
Andover Newton Theological School
MDiv, Theology
Dana-Farber Cancer Institute February 2008 - Present
Retail Business Owner July 2006 - January 2008
Private Healthcare Systems November 2005 - March 2006
Blue Cross Blue Shield of Massachusetts March 2005 - September 2005
Tufts Health Plan February 2003 - March 2005
Fleet Bank July 2001 - January 2003
South Shore Hospital October 2000 - June 2001
Harvard Pilgrim Health Care July 1994 - September 2000
Pilgrim Health Care November 1989 - June 1995
Jordan Hospital June 1983 - October 1989
Skills
PMP, MCTS, MS Project, SDLC, Project Management, Project Portfolio..., Software Project..., PMO, Cross-functional Team..., Healthcare Information..., Resource Management, Certified Project..., Budgets, Leadership, Integration
Education
Boston University School of Public Health 2004 — 2005
Coursework in Healthcare Finance and Biostatistics
Hiram College
BS, English
Andover Newton Theological School
MDiv, Theology
Brian Burchill Brian Burchill's Pilgrim Health Care Experience August 1988 - October 1995
Job Regional Vice President, Sales
Industry Health, Wellness and Fitness
Experience
Healthways February 2015 - Present
Harvard Pilgrim Health Care October 2001 - January 2015
CIGNA Health Care March 2000 - October 2001
New England Employee Benefits Group March 1999 - February 2000
Tufts Health Plan October 1995 - February 1999
Pilgrim Health Care August 1988 - October 1995
Skills
Health Insurance, Managed Care, Healthcare, Medicare, Healthcare Industry, HIPAA, Hospitals, Customer Service, Healthcare Management, Healthcare Consulting, Sales, Employee Benefits, Insurance, Employee Wellness..., Wellbeing, Disease Management, Wellness Coaching
Education
Providence College 1981 — 1985
Bachelor of Science (B.S.), Health Services Administration
Franklin High Shool 1977 — 1981
Healthways February 2015 - Present
Harvard Pilgrim Health Care October 2001 - January 2015
CIGNA Health Care March 2000 - October 2001
New England Employee Benefits Group March 1999 - February 2000
Tufts Health Plan October 1995 - February 1999
Pilgrim Health Care August 1988 - October 1995
Skills
Health Insurance, Managed Care, Healthcare, Medicare, Healthcare Industry, HIPAA, Hospitals, Customer Service, Healthcare Management, Healthcare Consulting, Sales, Employee Benefits, Insurance, Employee Wellness..., Wellbeing, Disease Management, Wellness Coaching
Education
Providence College 1981 — 1985
Bachelor of Science (B.S.), Health Services Administration
Franklin High Shool 1977 — 1981
Jill Simoes's Pilgrim Health Care Experience 1993 - 1995
Job General Manager
Industry Hospital & Health Care
Experience
SUNRx, subsidiary of MedImpact Healthcare Systems, Inc. April 2015 - Present
SUNRx; Subsidiary of MedImpact Healthcare Systems, Inc. November 2012 - Present
MedImpact Healthcare Systems, Inc. 2008 - November 2012
San Diego Hospice and The Institute for Palliative Medicine 2006 - 2008
Sharp HealthCare 2001 - 2006
CliniComp, Intl. 2000 - 2001
Professional Staff Management 1999 - 2000
Harvard Pilgrim Health Care 1987 - 1997
Pilgrim Health Care 1993 - 1995
Pilgrim Health Care 1987 - 1993
Skills
Pharmacy Benefit..., Healthcare, Healthcare Management, Managed Care, Strategy, Sales Operations, Strategic Planning, Marketing, Leadership, Sales, Marketing Strategy, Account Management, Mergers & Acquisitions, Medicaid Managed Care, Hospitals, Medicare Part D, Product Development, Medicaid, HIPAA, Recruiting, Utilization Management, Selling, Business Planning, Business Development, Fundraising, Budgets, Project Management, Healthcare Information..., Sales Management, Health Insurance, Healthcare Consulting, Medicare, Performance Management, 340B, Pharmacy, Pharmaceutical Industry, Healthcare Industry, Disease Management, Program Management, Employee Benefits, Health Policy, Pharmacy Automation, Cross-functional Team..., Insurance, Process Improvement, Team Building
Education
University of Massachusetts Dartmouth 1978 — 1983
Bachelor of Arts (B.A.), Industrial and Organizational Psychology
Holy Family High School
SUNRx, subsidiary of MedImpact Healthcare Systems, Inc. April 2015 - Present
SUNRx; Subsidiary of MedImpact Healthcare Systems, Inc. November 2012 - Present
MedImpact Healthcare Systems, Inc. 2008 - November 2012
San Diego Hospice and The Institute for Palliative Medicine 2006 - 2008
Sharp HealthCare 2001 - 2006
CliniComp, Intl. 2000 - 2001
Professional Staff Management 1999 - 2000
Harvard Pilgrim Health Care 1987 - 1997
Pilgrim Health Care 1993 - 1995
Pilgrim Health Care 1987 - 1993
Skills
Pharmacy Benefit..., Healthcare, Healthcare Management, Managed Care, Strategy, Sales Operations, Strategic Planning, Marketing, Leadership, Sales, Marketing Strategy, Account Management, Mergers & Acquisitions, Medicaid Managed Care, Hospitals, Medicare Part D, Product Development, Medicaid, HIPAA, Recruiting, Utilization Management, Selling, Business Planning, Business Development, Fundraising, Budgets, Project Management, Healthcare Information..., Sales Management, Health Insurance, Healthcare Consulting, Medicare, Performance Management, 340B, Pharmacy, Pharmaceutical Industry, Healthcare Industry, Disease Management, Program Management, Employee Benefits, Health Policy, Pharmacy Automation, Cross-functional Team..., Insurance, Process Improvement, Team Building
Education
University of Massachusetts Dartmouth 1978 — 1983
Bachelor of Arts (B.A.), Industrial and Organizational Psychology
Holy Family High School
Allan Greenberg's Pilgrim Health Care Experience January 1986 - January 1995
Job Region Head of Network and Medical Economics, Mid America Region at Aetna
Industry Insurance
Experience
Aetna February 2010 - Present
Aetna October 2006 - February 2010
Aetna December 2001 - October 2006
Click4Care January 2000 - November 2001
Harvard Pilgrim Health Care January 1997 - May 1999
Harvard Pilgrim Health Care January 1995 - January 1997
Pilgrim Health Care January 1986 - January 1995
Pilgrim Health Care December 1983 - January 1986
PwC June 1980 - December 1983
Education
Babson College
Master of Business Administration (MBA)
Babson College
Bachelor's degree, Accounting and Finance
Aetna February 2010 - Present
Aetna October 2006 - February 2010
Aetna December 2001 - October 2006
Click4Care January 2000 - November 2001
Harvard Pilgrim Health Care January 1997 - May 1999
Harvard Pilgrim Health Care January 1995 - January 1997
Pilgrim Health Care January 1986 - January 1995
Pilgrim Health Care December 1983 - January 1986
PwC June 1980 - December 1983
Education
Babson College
Master of Business Administration (MBA)
Babson College
Bachelor's degree, Accounting and Finance
Judy Tedeschi's Pilgrim Health Care Experience 1987 - 1989
Job Experienced Communications Project Manager
Industry Marketing and Advertising
Experience
Charter Project Management January 2010 - Present
Freelance 1998 - 2010
Harvard Pilgrim Health Care 1994 - 1997
Lehman Millet Advertising 1991 - 1994
HealthStop/MedFirst Medical Centers 1989 - 1991
Pilgrim Health Care 1987 - 1989
Skills
Online Advertising, Market Research, Social Media, SEM, SEO, Web Analytics, Competitive Analysis, Business Development, Analytics, E-commerce, Digital Media, New Business Development, Account Management, Affiliate Marketing, Creative Direction, Online Marketing, Web Development, Marketing
Education
Boston University 1990 — 1994
M.B.A., Marketing
Middlebury College 1983 — 1987
B.S., Economics
Charter Project Management January 2010 - Present
Freelance 1998 - 2010
Harvard Pilgrim Health Care 1994 - 1997
Lehman Millet Advertising 1991 - 1994
HealthStop/MedFirst Medical Centers 1989 - 1991
Pilgrim Health Care 1987 - 1989
Skills
Online Advertising, Market Research, Social Media, SEM, SEO, Web Analytics, Competitive Analysis, Business Development, Analytics, E-commerce, Digital Media, New Business Development, Account Management, Affiliate Marketing, Creative Direction, Online Marketing, Web Development, Marketing
Education
Boston University 1990 — 1994
M.B.A., Marketing
Middlebury College 1983 — 1987
B.S., Economics
Diane Higgins's Pilgrim Health Care Experience January 1992 - January 1993
Job Business & QA Analyst at Harvard Pilgrim Health Care
Industry Hospital & Health Care
Experience
Harvard Pilgrim Health Care January 2013 - Present
Beth Israel Deaconess Physician Organization August 2011 - January 2013
South Shore Hospital 2006 - September 2011
Harvard Pilgrim Health Care 1990 - 2006
Harvard Pilgrim Health Care January 1998 - January 1999
Harvard Pilgrim Health Care January 1995 - January 1997
Harvard Pilgrim Health Care January 1993 - January 1994
Pilgrim Health Care January 1992 - January 1993
Skills
Medicaid, Managed Care, Data Analysis, Healthcare, Analysis, Leadership, Hospitals, Process Improvement, Financial Analysis, Healthcare Information..., HIPAA, Management, Business Process, Strategic Planning, Medicare
Education
Framingham State College
Bachelor of Science
Harvard Pilgrim Health Care January 2013 - Present
Beth Israel Deaconess Physician Organization August 2011 - January 2013
South Shore Hospital 2006 - September 2011
Harvard Pilgrim Health Care 1990 - 2006
Harvard Pilgrim Health Care January 1998 - January 1999
Harvard Pilgrim Health Care January 1995 - January 1997
Harvard Pilgrim Health Care January 1993 - January 1994
Pilgrim Health Care January 1992 - January 1993
Skills
Medicaid, Managed Care, Data Analysis, Healthcare, Analysis, Leadership, Hospitals, Process Improvement, Financial Analysis, Healthcare Information..., HIPAA, Management, Business Process, Strategic Planning, Medicare
Education
Framingham State College
Bachelor of Science
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY