Private Health Care Systems
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Private Health Care Systems Employees
RETIRED June 2012 - June 2012
AGO, Commonwealth Of Massachusetts February 2008 - June 2012
COMMONWEALTH OF MASSACHUSETTS February 2008 - June 2012
Bose Corporation January 2000 - January 2008
Bose Corporation January 2000 - January 2008
Private Healthcare Systems January 1998 - January 2000
Private Healthcare Systems January 1998 - January 2000
Private Health Care Systems 1998 - 2000
Harvard Pilgrim Health Care January 1996 - January 1998
Harvard Pilgrim Health Care January 1996 - January 1998
Skills
Data Center, Disaster Recovery, Project Management, Process Improvement, Program Management, Vendor Management, Budgets, Procurement
Education
Cambridge College 1991 — 1993
M.Ed, Management
Cambridge College 1991 — 1993
M.E.d, Management/Integrated Studies
Cambridge College 1991 — 1993
M.E.d, Management/Integrated Studies
Pacific Western University Data Center Facilities Management Certification - Data Center University
BS, Business Administration
Pacific Western University Data Center Facilities Management Certification - Data Center University
BS, Business Administration
Molina Healthcare of Michigan, Inc. April 2014 - Present
Molina Healthcare September 2011 - March 2014
Hurley Medical Center March 2009 - September 2011
HealthPlus of Michigan September 1999 - December 2008
Universal Standard September 1998 - September 1999
Private Health Care Systems 1991 - 1998
Selectcare March 1982 - April 1991
Education
Walsh College 1999 — 2004
MBA, Business
University of Michigan-Flint 1993 — 1997
Masters, Public Administration
Priority Health April 2007 - Present
Trinity Health 1999 - 2007
United Healthcare/MetraHealth/Travelers 1995 - 1999
Private Health Care Systems 1992 - 1995
Health Alliance Plan 1990 - 1992
Skills
Provider Network..., PPO, Contract Negotiation, Network Contracting, Network Development, HMO, Competitive Analysis, Health Insurance, Healthcare, Managed Care, Medicaid, Medicare, Provider Relations, Healthcare Management
Education
University of Michigan-Dearborn 1983 — 1986
BA
Henry Ford Community College 1981 — 1983
The Gehring Group September 2014 - Present
Operation Homefront 2014 - Present
Accountable Consulting Associates (ACA) June 2013 - Present
Magellan Health Services April 2011 - June 2013
Magellan Health Services February 2008 - June 2013
Private Health Care Systems September 2005 - May 2007
PricewaterhouseCoopers 1996 - 2006
The Johns Hopkins University School of Medicine 1992 - 1996
Other Employment Experience September 1984 - August 1993
The George Washington University Medical Center 1990 - 1993
Skills
Provider Relations, Managed Care, Healthcare Management, Healthcare Consulting, Medicare, Healthcare, Medicaid, Healthcare Information..., Health Insurance, Network Development, Physicians, Health Policy, Strategy, Healthcare Industry, HIPAA, HMO, Credentialing, Clinical Research, Program Management, Strategic Planning, Insurance, Hospitals, Utilization Management, Disease Management, Physician Relations, Quality Improvement, Informatics, Revenue Cycle, Performance Improvement, Medicine, Team Building, Executive Management, Program Development, Leadership, PPO
Education
University of Florida 1973 — 1977
Bachelor of Science, Journalism
St. Thomas Aquinas High School 1972 — 1973
High school diploma
At home Chief Information Security OfficerCommerce Insurance CompanyJune 2008 - March 2012
UMass Memorial Health Care June 2007 - June 2008
UMass Memorial Medical Center 2007 - 2008
Private Health Care Systems 1998 - 2008
MultiPlan October 2006 - January 2007
Private Healthcare Systems October 1997 - January 2007
PHCS 1998 - 2007
Allmerica Financial March 1995 - October 1997
Hanover Insurance February 1980 - March 1995
Skills
Disaster Recovery, Security Awareness, Strategic Planning, Contract Management, Contingency Planning, Security Policy..., Service Level Agreements, Asset Managment, Infrastructure Security, Information Security, Project Management, Information Technology, Network Security, Negotiation, HIPAA
Education
Assumption College 1990 — 1993
InfoMedics, Inc. October 2011 - Present
InfoMedics, Inc January 2000 - September 2011
St. Basil Retreat Center 1997 - 2000
Private Health Care Systems 1993 - 1997
PHCS 1993 - 1997
Mintz Levin 1989 - 1993
Goodwin Proctor & Hoar 1985 - 1989
Massachusetts General Hospital 1977 - 1985
University of Michigan 1974 - 1977
University of Michigan Medical Center 1965 - 1977
Skills
Strategic Planning, Compensation, Benefits Administration, Management Development, Facilities Management, Employee Relations, Deferred Compensation, Management, Coaching, Human Resources, Strategy, Organizational...
Education
University of Notre Dame 1956 — 1960
BS, Organizational Development
University of Notre Dame 1956 — 1960
MA Program, Counseling Psychology
Eastern Michigan University
MBA Program, Management
Keene Publishing June 2006 - Present
SAU 29 School District September 2007 - November 2011
New England Carpenters Health Systems June 2000 - August 2005
Private Health Care Systems 1986 - 1990
Skills
Project Management, SEO, Microsoft Office, Publishing, IT Management, HTML, Strategic Planning, Social Media, E-commerce, Budgets, Web Development, CSS, CRM implementation,..., Email Marketing, Team Management, Databases, Product Development, Online Advertising, Online Marketing, Content Management, Product Management, Advertising, Cloud Computing, Management, Outsourcing, Social Media Marketing, Windows, Troubleshooting, Strategy
Education
Emmanuel College 1992 — 1996
Business Administration, Mechanical Engineering
Bristol Community College
Electro Mechanical Engineering
Navisite 2014 - 2015
Esotsys 2013 - 2014
Kronos 2006 - 2013
SmartTime Software 2000 - 2006
Private Health Care Systems 1998 - 2000
ASA, International 1995 - 1998
Dun & Bradstreet Software 1993 - 1995
Motorola - Codex 1992 - 1993
ITP Software Systems Ltd. 1989 - 1992
Skills
Scrum, Testing, Enterprise Software, Web Applications, JBoss Application Server, Software Development, Agile Methodologies, Software Project..., Databases, Web Services, Software Design, Agile Project Management, Systems Analysis, Systems Integration, Team Leadership, Team Management, Test Automation, Quality Assurance, Object Oriented Design, Certified Scrum Master..., Oracle, SOA, Unix, Software Quality..., Requirements Gathering, Project Management, OOP, Cloud Computing, Enterprise Architecture, Programming, Database Design, SharePoint, UML, .NET, Linux, System Architecture, Business Intelligence, Perl, Visual Studio, Data Warehousing, C#, PL/SQL, Strategy
Education
Bentley College
Master of Business Administration (MBA), Operations Management and Supervision
University of Massachusetts at Lowell
MSCE, Computer Engineering
University of Notre Dame
Bachelor of Science, Electrical Engineering
Saint Anselm College
BA, PreEngineering concentration
Dunfey Software January 2002 - Present
Private Health Care Systems 1990 - 1999
Foxboro Company 1995 - 1997
Fidelity Investments 1996 - 1996
Data General 1981 - 1990
Bryant University 1980 - 1981
Colonial Penn Insurance Company 1978 - 1980
Xerox 1967 - 1978
Honeywell EDP 1964 - 1967
Skills
Product Management, Software Development, Agile Methodologies, Unix, Business Analysis, SDLC, SQL, Management, Troubleshooting, Team Building, Strategic Planning, Linux, Start-ups, Cloud Computing, Program Management, Project Management, Product Development, Enterprise Software, SaaS, Business Intelligence
Education
Brown University 1981 — 1982
Doctor of Philosophy (PhD), Computer Science
Rochester Institute of Technology 1968 — 1970
MS, Statistics
Boston College 1960 — 1964
AB, Mathematics
Boston College High 1957 — 1960
Hollis junior high school - Braintree
BCBSMA Event ManagerBlue Cross Blue Shield of Massachusetts2008 - Present
Blue Cross Blue Shield of MA 2008 - Present
Private Health Care Systems 2001 - 2007
Private Healthcare Systems, Waltham, Massachusetts 2001 - 2007
Tufts Health Plan 1990 - 1999
Skills
Insurance, Marketing Communications, Health Insurance, Event Management, Email Marketing, Trade Shows, Online Marketing, Marketing, Account Management, Social Media, Sales, Marketing Strategy, Event Planning, New Business Development, Direct Marketing, Social Media Marketing
Education
Middlesex Community College
Seniorlink-Caregiver Homes October 2011 - Present
Beacon Health Strategies March 2010 - October 2011
Commonwealth of Mass January 2007 - March 2010
Private Health Care Systems 2001 - 2007
Multiplan 2001 - 2007
Private Healthcare Systems 2001 - 2007
Harvard Pilgrim Health Care 1993 - 2001
Skills
Provider Relations, Managed Care, Credentialing, Healthcare, Leadership, HIPAA, Customer Service, Medicaid, Medicare, Management, Change Management, Network Development, Healthcare Industry, Healthcare Consulting
Education
Eastern Nazarene College 1997 — 1999
BA, Management
Humana July 2010 - Present
Humana Inc. January 2006 - July 2010
Humana Inc. 2002 - 2009
United States Marine Corps May 1970 - October 2000
Private Health Care Systems 1991 - 1999
Private Healthcare Systems 1991 - 1998
Skills
Medicare, Managed Care, Health Insurance, Leadership, Management, Employee Benefits, Medicare Part D, Account Management, Disability Insurance, Training, Sales Management, New Business Development, Life Insurance, Insurance, Marketing, Term Life Insurance, Strategy, Network Development, Long-term Care, Healthcare, Team Building, Marketing Strategy, Health Savings Accounts, Underwriting, Sales, Process Improvement, Selling, Fixed Annuities, Customer Service, Medicaid, Claim, HIPAA, Business Development, Strategic Planning, Healthcare Industry
Education
Rush University 1979 — 1981
Master of Science (M.S.), Health Systems Management
University of Southern California 1977 — 1978
No degree, Health Systems Management
John Carroll University 1966 — 1970
Bachelor of Arts (BA), English Language and Literature/Letters
United States Postal Service August 2010 - Present
USPS February 2003 - July 2010
Student Advantage 2000 - 2002
icast 1999 - 2000
Private Health Care Systems 1992 - 1997
Mellon Financial February 1988 - December 1991
mitre corporation 1986 - 1988
Education
Rhode Island College 1981 — 1983
BS, computer science
Community College of Rhode Island 1979 — 1981
Associates degree, Business Administration and Management, General
Central DuPage Hospital May 2007 - Present
Private Health Care Systems May 1998 - May 2007
Private Healthcare Systems 1998 - 2007
Freidman, Eisenstein, Raemer, Schwartz Public Accounting Firm September 1994 - May 1998
Skills
Managed Care, Healthcare Management, Healthcare, Hospitals, Medicaid, Network Development, Medicare, Nursing, Healthcare Information..., Clinical Research, EMR, Provider Relations, HIPAA, Home Care, Medical Terminology, EHR, Revenue Cycle, Medical Coding, ICD-9, PPO
Education
University of St. Francis 1986 — 1989
MHA, Health care
Moravian College 1978 — 1982
BA, Sociology/Business
WARM HEARTS SENIOR HOME CARE, INC., 2005 - 2009
QUINCY PRIMARY CARE LLC January 2002 - January 2004
PRIVATE HEALTH CARE SYSTEMS February 2000 - January 2002
Tufts Health Plan January 1999 - January 2000
Tufts Health Plan January 1996 - January 1998
BETH ISRAEL HOSPITAL January 1992 - January 1994
BLUE CROSS & BLUE SHIELD OF MA January 1989 - January 1992
Education
Babson College 1986 — 1988
MBA, Business Management
Boston University 1976 — 1980
BA, Political Science