Senior Whole Health
Industry: Company
DescriptionHeadquarters: Massachusetts Founded: 2003 Parent organization: Senior Health Holdings, Inc.
Senior Whole Health List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Senior Whole Health. You can filter them based on skills, years of employment, job, education, department, and prior employment.
Senior Whole Health Salaries. You can even request information on how much does Senior Whole Health pay if you want to. Learn about salaries, pros and cons of working for Senior Whole Health directly from the past employees.
Find People by Employers You can rekindle an old relationship, reconnect with a long-lost friend, former boss, business acquaintance who might be useful in your new line of work. With our employee database, the possibilities are endless. All you have to do is type in a couple of keywords and we'll bring you the exact information you wanted!
194 Senior Whole Health employees in database. Find out everything there's to know about Senior Whole Health employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Senior Whole Health Employees
Senior Whole Health October 2014 - Present
Home Again Home Health Care October 2013 - October 2014
Suburban Home Care January 2013 - October 2013
Multicultural Home Care May 2011 - January 2013
Skills
BLS certified
Education
UEMG 1993 — 1997
Bachelor's degree, Graphic Design
Regis College 2008 — 2010
Associate's degree, Registered Nursing/Registered Nurse
Western Governors University 2012 — 2014
Bachelor's Degree, Nursing
UEMG- Universidade do Estado de Minas Gerais
Bachelor of Arts (BA), Graphic Design
Senior Whole Health November 2014 - Present
Skills
Healthcare, Healthcare Management, Managed Care, Medicare, Healthcare Information..., HIPAA, Hospitals, Medicaid, Process Improvement, Customer Service, Microsoft Excel, EMR, Health Insurance, Microsoft Office, Outlook, Medical Coding
Education
Newbury College 2007 — 2012
Bachelor of Applied Science (B.A.Sc.), Criminology
Bryman Institute 1999 — 2000
Certification, Medical Administrative/Executive Assistant and Medical Secretary
Senior Whole Health April 2014 - Present
MultiPlan September 2008 - April 2014
CVS Caremark Corporation September 2000 - September 2008
Skills
Outlook, Microsoft Excel, PowerPoint, Microsoft Word, People Skills, Typing, Internet, Credentialing, Team Leadership, Healthcare Management, Supervisory Skills, Hospitals, Medicaid, Leadership, Customer Service, Healthcare Information..., Healthcare, HIPAA, Data Entry, Medicare, Time Management, Telephone Skills, Medical Terminology, Management, Administrative...
Education
Middlesex Community College 2003 — 2007
Associate's degree, Liberal Arts and Sciences/Liberal Studies
PPD April 2015 - Present
Ultrasound Imaging Corporation September 2011 - Present
Senior Whole Health May 2012 - January 2013
Beth Israel Deaconess Medical Center January 2011 - January 2012
Northeastern University January 2009 - January 2011
Rite Aid Pharmacy May 2010 - September 2010
U.S. Pharma Lab May 2009 - September 2009
Skills
Pharmacy, Healthcare, Clinical Research, Pharmaceutical Research, Medical Writing, Medicare Part D, Medicaid Managed Care, Pharmacology, Pharmacotherapy, Teamwork, Medicine, Team Motivation, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Management, Medication Therapy..., Research, Pharmacists, Pharmaceutics, Customer Service, Data Analysis
Education
Northeastern University 2008 — 2014
Bachelor of Science (B.S.), Pharmaceutical Sciences
SBHS
Senior Whole Health 2006 - November 2014
Old Colony Elderly Service 1997 - 2006
Marion Manor Nursing Facility 1990 - 1997
Skills
Healthcare, Nursing, Healthcare Management, Teaching, Medicare, Medicaid, Managed Care, Case Managment, Mental Health, Healthcare Industry, Healthcare Information..., Utilization Management, Medicaid Managed Care, EMR, Clinical Research, Hospitals, Healthcare Consulting, HIPAA, Disease Management, Informatics, Case Management, EHR, Home Care, Provider Relations, Patient Safety, Physician Relations
Education
Bristol Plymouth Tech 1979 — 1980
LPN
Massachusetts Bay Community College
ADN, RN
UMass Boston
BSN, Registered Nursing
Cambridge Health Alliance December 2014 - Present
Riad K. Mortada, MD January 2008 - January 2015
New England Quality Care Alliance January 2011 - April 2014
Senior Whole Health May 2014 - 2014
Dr. Salah Reyad, MD March 2007 - January 2011
New England Quality Care Alliance June 2010 - December 2010
Skills
Time Management, Communication Skills, Efficiency, Leadership, Microsoft Office, EHR, Healthcare Information..., Analysis, Informatics, High Organizational..., Healthcare, HL7, Healthcare Analytics, HIPAA, Healthcare Management, Healthcare Consulting
Education
Northeastern University 2010 — 2013
Master of Science (MS), Health Informatics
UMass Boston 2006 — 2010
BA in Liberal Arts, Economics major, Biology minor
Metric Collective July 2014 - Present
FranchiseHelp.com July 2014 - Present
MissesDressy.com June 2012 - July 2014
French Connection December 2009 - July 2012
French Connection July 2011 - August 2011
Visnick and Caulfield June 2010 - July 2010
Senior Whole Health June 2010 - June 2010
Skills
Microsoft Office, Excel, Social Media, Writing, Research, PC, Mac, Linux, HTML, E-commerce, Image Management, Supervising, Vendor Management, Microsoft Excel, Social Media Marketing, Sewing, Customer Service, Management, Microsoft Word, Sales, Retail, Social Networking, Photoshop, Marketing Strategy, Merchandising, Fashion
Education
New York University 2008 — 2012
Bachelor's degree, Classics, 3.86
Lexington High School 2004 — 2008
MassHealth September 2014 - Present
Senior Whole Health February 2014 - September 2014
Senior Whole Health April 2013 - February 2014
Senior Whole Health June 2011 - March 2013
Griswold Home Care September 2009 - May 2011
Skills
Home Care, Healthcare Management, Medicare, Medicaid, Healthcare, Managed Care, HIPAA, Case Managment, Pharmacy Benefit..., Pharmacy, Disease Management, Healthcare Industry, Provider Relations, Quality Improvement, Case Management, Health Insurance, PowerPoint, Management, Informatics
Education
Regis College 2012 — 2015
Master's degree, Health/Health Care Administration/Management
Keene State College 2005 — 2009
Bachelor of Science (BS), Business Administration and Management, General
Landmark Health October 2014 - Present
UnitedHealth Group September 2013 - August 2014
Senior Whole Health February 2013 - September 2013
Insight Imaging December 2008 - February 2013
Walker & Company May 2003 - December 2008
Directfit, Inc. September 1999 - May 2003
Tickets.com February 1998 - September 1999
PacifiCare February 1993 - February 1998
EY September 1990 - February 1993
Skills
Mergers & Acquisitions, Finance, Leadership, Management, Start-ups, Financial Reporting, Accounting, Cash Flow, Private Equity, Financial Analysis, IPO, Process Improvement, Team Building, Budgets, Auditing, Negotiation, Managerial Finance, Financial Accounting, Internal Controls, Financial Modeling, Sarbanes-Oxley Act, Analysis
Education
Chapman University 1986 — 1990
Bachelor's Degree, Accounting, 3.78
California State University-Fullerton
Master of Business Administration (M.B.A.), Tax
Senior Whole Health 2014 - Present
Hebrew Hospital Home Continuum of Care 2013 - March 2014
Skills
SKILLS – Bilingual...
Education
College of New Rochelle 2011 — 2015
New York Theological Seminary
/Certificate Christian Ministry
Senior Whole Health August 2014 - Present
Arcadia Solutions June 2012 - August 2014
Pulmonary Physicians of Gainesville June 2009 - July 2011
Skills
Meaningful Use..., Accountable Care, AllScripts Enterprise, eClinical Works, Medical Manager, Matlab, Maple, Microsoft Office, Healthcare Information..., Data Mining, Healthcare Consulting, Research, Data Analysis, PowerPoint, Microsoft Excel, EHR, Ambulatory, Business Analysis, SPSS, Public Health, SQL, Process Improvement
Education
Brown University
Bachelor of Arts (B.A.), Community Health
Senior Whole Health September 2014 - Present
OncoMed Oncology Pharmacy February 2010 - August 2014
Critical Care Systems March 2009 - February 2010
Blue Cross Blue Shield of MA 2001 - 2008
Apria Healthcare 1990 - 1999
Skills
Managed Care, Pharmacy Automation, Leadership, Pharmacy, Pharmacists, Pharmacy Benefit..., Medication Therapy..., Compounding, Disease Management, Medicare Part D, Oncology, Clinical Pharmacology, Clinical Pharmacy, Home Infusion
Education
Massachusetts College of Pharmacy and Health Sciences 1977 — 1982
bachelor of science, Pharmacy
Core Health, LLC January 2012 - Present
Senior Whole Health March 2004 - October 2009
Neighborhood Health Plan 1987 - 1996
Skills
Stata, Comprehensive Planning, Community Outreach, Qualitative Research, International..., Sustainability, Research, Nonprofits, Program Development, HIPAA, Grants, Customer Service, Data Analysis, Healthcare Management, Process Improvement, Policy, Training, Healthcare, Management, Strategic Planning, Public Speaking
Education
MIT 1983 — 1985
Master's degree, Architecture & Planning
University of Santa Clara 1977 — 1981
Bachelor of Arts (B.A.), Political Science
IUPUI (Indiana University/Purdue University in Indianapolis) August 2014 - Present
Senior Whole Health June 2012 - August 2014
IUPUI August 2009 - May 2012
Conseco March 2000 - December 2008
Skills
Actuarial Science, Valuation
Education
California Institute of Technology
Kalamazoo College
University of Michigan
Senior Whole Health February 2014 - Present
Senior Whole Health May 2012 - February 2014
Objective Health, A McKinsey & Company Solution January 2012 - May 2012
Commonwealth Care Alliance December 2010 - December 2011
Commonwealth Care Alliance July 2008 - December 2010
Brandeis University 2005 - 2007
Skills
Data Analysis, Database Design, SQL Server, Microsoft Office, Medicare, Healthcare, Healthcare IT, Healthcare Management, Business Analysis, Analytics, Financial Analysis, Excel, SSRS, HEDIS, Clinical Informatics, Informatics, Project Planning, Healthcare Industry, Business Intelligence, Analysis, Managed Care, Medicaid, Data Warehousing, Healthcare Information..., Microsoft Excel, Healthcare Consulting, Leadership, Cross-functional Team..., Health Policy, Management
Education
Brandeis International Business School 2005 — 2008
MA, International Economics and Finance
Brandeis University 2003 — 2007
BA, Economics
Northeastern University 2010 — 2011
Certificate, Health Care Management
Tufts Health Plan January 2014 - Present
Fallon Community Health Plan September 2012 - January 2014
Tufts Health Plan November 2011 - September 2012
Cape Verdean Assoiciation 2008 - 2012
Health Care For All April 2011 - November 2011
CSCV/Brockton Adult Day Health June 2010 - November 2011
Senior Whole Health August 2006 - July 2009
Old Colony Elderly Services August 2004 - August 2006
Massachusetts General Hospital March 1999 - March 2004
Skills
Non-profits, Healthcare, Public Speaking, Event Planning, Medicare, Community Outreach, Recruiting, Access, Case Managment, Conflict Resolution, Event Management, Data Analysis, Healthcare Management, Fundraising, Managed Care, Market Research, Marketing, Mental Health, Microsoft Office, Microsoft Word, Nonprofits, PowerPoint, Program Development, Program Management, Sales, Social Services, Research, Spanish, Team Building, Teamwork, Time Management, Strategic Planning, Customer Service
Education
Cambridge College 2009 — 2014
Masters, Healthcare Management
Curry College
Health Sciences
Cigna Pharmacy Management September 2010 - Present
Senior Whole Health March 2007 - August 2010
Rivlin RX January 2005 - June 2010
CVS January 2005 - September 2008
NMHC March 2002 - December 2004
Centrus July 2001 - March 2002
Rite Aid February 1999 - July 2001
Skills
Pharmacy Benefit..., Pharmacy Education, Pharmacy Consulting, Pharmacy Practice, Medication Therapy..., Pharmacy, Pharmacists, Medicaid, Medicare Part D, Utilization Management, Community Pharmacy, Pharmacy Automation, Clinical Research, Management, Pharmaceutical Industry, Healthcare Consulting, Leadership
Education
Union College 1987 — 2003
MBA, Business
Albany College of Pharmacy of Union University 1982 — 1987
BS, Pharmacy
North Syracuse High School 1979 — 1982
Math, Science
Ellis Medicine January 2015 - Present
M.A.Wallingford & Associates LLC April 2013 - January 2015
Senior Whole Health October 2006 - December 2012
GHI February 2005 - August 2006
CDPHP August 1997 - October 2004
Novalis Corporation 1995 - 1997
Empire Blue Cross and Blue Shield 1994 - 1996
Caremark ltd 1991 - 1994
Travelers 1989 - 1991
Spaulding Rehabilitation Hospital 1987 - 1989
Skills
Clinical nursing and..., Medical, UR/CM/QA/QI..., Sales, marketing and..., Client and customer..., Design, development &..., Educational..., Design, development and..., Company start ups, Owner/Implementer of..., Chronic Care Management, Administrator of a..., Nursing, Public Speaking, Managed Care, Management, Home Care, Medicaid, Medicine, Healthcare, Medicare, HIPAA, Program Development, Utilization Management, Healthcare Management, Hospitals, Disease Management, Patient Safety, Case Managment, Healthcare Consulting, Case Management, Clinical Research, Healthcare Industry, Healthcare Information..., Start-ups
Education
University of Massachusetts Boston 1987 — 1989
Hudson Valley Community College 1980 — 1983
Associate of Science (AS), Nursing Practice
Senior Whole Health February 2014 - Present
New England Quality Care Alliance July 2012 - February 2014
AIM Healthcare Services, Inc. March 2009 - October 2010
The MENTOR Network March 2007 - March 2009
Williams Lea September 2006 - January 2007
Skills
Claim, Customer Service, Analysis, Health Insurance, Management, Healthcare, Team Leadership, Managed Care, HIPAA, Data Analysis, Team Building, Marketing Strategy, Analytics, Accounts Receivable, Program Management, Financial Analysis, Access, Forecasting, Process Improvement, Outlook
Education
Bentley University 2006 — 2008
Master of Business Administration, Business Administration, Risk Management
Curry College 2002 — 2005
Bachelor of Arts, Business Management
Senior Whole Health September 2012 - Present
Senior Whole Health 2012 - 2014
Complex Care Solutions September 2008 - April 2012
HELP USA September 2006 - September 2008
Catholic Gaurdian Society Home Bureau August 2005 - September 2006
Education
City University of New York-Herbert H. Lehman College 1991 — 1997
Sociology, Social, 1997
Senior Whole Health August 2013 - Present
BTMU Capital Corporation June 2013 - August 2013
WGBH Educational Foundation April 2009 - April 2013
PwC August 1997 - April 2009
Skills
Certified Public..., Policy, Non-profits, Budgeting, Compliance, Federal Grants, Board Reporting, Accounting, Grants, Staff Training, Training Delivery, Forecasting, Auditing, Budgets, CFOs, CPA, Tax, Finance, Analysis, Payroll, Accounts Payable, US GAAP, Process Improvement, GAAP, Financial Statements
Education
Boston College 1993 — 1997
Bachelor of Science, Accounting and Finance, Magna Cum Laude
Harvard Business Publishing June 2015 - Present
TAG January 2012 - March 2014
Lionbridge September 2007 - December 2011
Senior Whole Health June 2005 - September 2007
Skills
Localization, Translation, Linguistics, Spanish, Quality Assurance, Terminology, Multilingual, Internationalization, Website Localization, Globalization, Technical Translation, English, Foreign Languages, Language Services, Trados, Portuguese, Software Documentation, Proofreading, Project Management, Interpreting, Manuals, Intercultural..., Italian, Management, Editing, Marketing, Microsoft Office, Advertising, Copywriting, Customer Service, Content Management, Program Management, L10n, Cross-functional Team..., Problem Solving, Marketing Communications, International Business, Team Building, Account Management, Project Planning, Communication, Research, Market Research, Localization Testing
Education
Gordon College 2001 — 2005
BA, Foreign Language
Middlebury College 2003 — 2004
n/a, Italian
Boston University 2003 — 2003
n/a, Italian
CVS Caremark Corporation June 2012 - Present
Lahey Clinic March 2012 - April 2012
Senior Whole Health October 2011 - December 2011
Solomon Carter Fuller Community Mental Health Center September 2011 - October 2011
Stop & Shop July 2011 - August 2011
Natural Standard June 2011 - July 2011
Dorchester House Multi Service Center May 2011 - June 2011
Beth Israel Deaconess Medical Center September 2009 - March 2010
CVS Pharmacy January 2009 - May 2009
Stamford Hospital June 2007 - August 2007
Education
Northeastern University 2011 — 2012
PharmD, Doctor of Pharmacy
Northeastern University 2005 — 2011
Bachelor of Science, Pharmacy Studies, Minor in Psychology
Senior Whole Health 2013 - Present
ClickSquared, Inc. 2007 - 2010
Tufts Health Plan November 2004 - February 2007
University of Massachusetts 2004 - 2004
IBM 2000 - 2003
Lotus Development Corporation 1996 - 2000
ColorAge Inc. 1993 - 1995
Skills
SaaS, Strategy, Program Management, Project Management, Cross-functional Team..., Email Marketing, Training, Marketing, Software, Healthcare, Health Insurance
Education
Boston University
Certificate
Concordia University
Bachelor of Commerce
Senior Whole Health 2014 - Present
Bianco Brothers Instruments 2013 - 2014
Strata Pathology Services Inc. 2007 - 2013
Boston Imaging 2005 - 2006
Tufts Health Plan 2001 - 2003
Skills
Client Development, HIPAA, Pathology, Health Insurance, Dermatology, ENT, Podiatry, Microsoft Excel, Microsoft Word, Microsoft Office, PowerPoint, Sales Management, Key Account Management, Business Development, Territory Penetration, Building Relationships, Manage Client..., Competitive Analysis, Client Liaison, Client Education, Physician Relations, Hospitals, Healthcare Management, Medical Practice..., Medical Imaging, Medical Diagnostics, Dermatopathology, Oral Pathology, Plastic Surgery, Dentistry, Medical Compliance, EMR, EHR, HIPPA, OSHA, Site Visits, Client Service Oriented, Client Relations Skills, Outstanding..., Strategic Communications, Event Management, Event Planning, Travel Planning, Trade Shows, Managed Care, Communication Skills, Oral & Written..., Physicians, Healthcare, Customer Service
Education
Regis College 1997 — 2001
Bachelor of Arts (B.A.), Communication, General
Senior Whole Health February 2014 - Present
Visiting Nurse Service of New York October 2012 - February 2014
MAXIMUS May 2007 - October 2011
Skills
Customer Service, Healthcare, Managed Care, Direct Marketing, Medicaid, Medicare, Licensed Life & Health..., Social Services, Community Outreach, HIPAA, Health Insurance, Insurance, Sales, Healthcare Industry, Long-term Care, Marketing, Employee Benefits, Leadership
Education
City University of New York-College of Staten Island 2003 — 2005
Accounting and Business/Management
Senior Whole Health February 2009 - Present
Skills
Health Insurance, HIPAA, Medicare, Medicaid Managed Care, Managed Care, Hospitals, Pharmacy, Call Centers, Pharmacists, Project Coordination, Proficient Typing Skills, Medicaid, Elder Care, Specialized Programs, Medication Therapy..., WebEx, Time Management, Microsoft Excel, RightFax, Medicine
Education
Massasoit Community College 1992 — 1994
Associate's Degree, General Office Occupations and Clerical Services
Senior Whole Health April 2012 - Present
Senior Whole Health April 2012 - Present
St. Anne's Hospital August 2010 - February 2012
Skills
Healthcare Management, Hospitals, Medicare, Healthcare, Medicaid, Nursing, HIPAA
Education
Laboure College 1981 — 1983
Associate in Nursing Science
Senior Whole Health January 2013 - Present
Senior Whole Health December 2007 - December 2012
Catholic Social Services December 2006 - December 2007
Skills
Organizational..., Time Management, Customer Service, Interpersonal Skill, Possess strong..., Self-driven, Highly resourceful, Detailed Organization, Creativity, Professional..., Multi Tasking, Community Outreach, Medicare, Program Management, Provider Relations, Healthcare, Medicaid, Healthcare Management, Call Centers, Insurance, HIPAA, Healthcare Information...
Education
Boston University 1996 — 2000
Bachelor's degree, Psychology
Senior Whole Health September 2012 - June 2015
Skills
Program Development, Strategic Planning, Management, Hospitals, Payroll, Financial Analysis, Provider Enrollment, Insurance, Healthcare Management, Outlook, Team Building, Medicare/Medicaid..., Accounting, Budgets, Coaching, Community Outreach, Financial Reporting, Microsoft Word, Nonprofits, Organizational..., Policy, PowerPoint, Research, Staff Development, Case Management, Social Services, Program Management
Education
Long Island University, Brooklyn Campus 2009 — 2012
Bachelor's degree, School Psychology
Senior Whole Health July 2015 - Present
Beacon Health Strategies December 2009 - July 2014
OmniClaim, Inc September 2005 - December 2009
Skills
Behavioral Health, Medicaid, Mental Health, Case Management, Medicare, Provider Relations, Healthcare Information..., Quality Improvement, Credentialing, Data Analysis, Network Development, Microsoft Office, Medicaid Managed Care, Access, PPO, Research, HIPAA, NCQA, Provider Network..., Data Entry, CPT, Dual Diagnosis, Clinical Research, Healthcare, Healthcare Management, Managed Care
Education
Ithaca College 2001 — 2005
BA, Sociology
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
UnitedHealth Group: Optum Hospice and Palliative Care April 2011 - March 2012
Senior Whole Health April 2007 - February 2009
The Hughes Group September 2002 - January 2007
Inlingua October 2000 - June 2001
Universität Hamburg September 1997 - July 1998
Coldwell Banker King Thompson June 1995 - July 1997
Skills
Healthcare, Medicare, Medicaid, Real Estate, Non-profits, Project Management, Hospice, Long-term Care, Senior Housing, Senior Living, Seniors, Marketing, Community Development, Healthcare Industry, Elder Care, Managed Care, Healthcare Management, Quality Improvement, Community Outreach, HIPAA, B2B, Investment Properties, Policy, Public Relations, Nonprofits, Retirement Homes, Home Care, Leadership, Sales, Healthcare Consulting
Education
Suffolk University - Sawyer Business School 2007 — 2009
MBA, Marketing
Boston University 2008 — 2008
Certificate, Project Management
Humboldt University of Berlin 2001 — 2002
MA, International Relations
University of North Carolina at Chapel Hill 2001 — 2001
MA - Humboldt-Universitaet, International Relations
The Ohio State University 1995 — 1999
BA, Political Science, German, and International Studies
University of Oxford 1997 — 1997
Certificate, Pre-Law
Fairfield Career Center 1992 — 1994
Certificate, Business Management
Reynoldsburg High School 1990 — 1994
Diploma, College Prep
Senior Whole Health August 2015 - Present
Senior Whole Health January 2015 - Present
Senior Whole Health September 2013 - Present
Senior Whole Health June 2013 - September 2013
Nanny Anytime September 2011 - May 2013
Anton's Cleaners Inc June 2010 - September 2012
Skills
Healthcare Information..., HIPAA, Healthcare, Healthcare Management, Medicare, Managed Care, Hospitals, Medicaid, Data Analysis, Project Management, Medical Records, CPT, Medical Billing, ICD-9
Education
Middlesex Community College 2011 — 2013
Associate's degree, Liberal Arts and Sciences/Liberal Studies
Senior Whole Health July 2013 - Present
Universal Health Care June 2012 - April 2013
Amerigroup Corporation September 2011 - June 2012
CareMore Health Plan September 2010 - September 2011
WellCare March 2006 - May 2010
Phoenix Life Insurance Company March 2005 - March 2006
Skills
Medicare, Medicaid, New Business Development, Forecasting, Salesforce.com, Market Analysis, Health Insurance, Healthcare, Customer Relations, Team Building, Regulatory Requirements, Process Development, Creative Problem Solving, Sales Management, Event Management, Account Management, Budgeting, Business Strategy, Strategy Development, Customer Service, Term Life Insurance, Universal Life, Long Term Care, Sales Operations, Business Process, Budgets, Medicare Part D, Strategic Planning, Strategy, Sales, HMO, Training, Sales Process, Insurance, Management, Selling, Marketing, Sales Presentations, Direct Sales, Process Simulation, Long-term Care, Managed Care, Contract Negotiation, Call Centers, Customer Retention, Cold Calling, Leadership, Recruiting, Data Analysis, CRM
Education
Eastern Connecticut State University 1998 — 2000
Bachelor of Science, Business Communications
Central Connecticut State University 1997 — 1998
Business Communications
Killingly High 1990 — 1994
Senior Whole Health August 2014 - Present
Arcadia Solutions September 2010 - August 2014
Synclubs 2006 - 2008
Skills
Healthcare Information..., Service Oriented..., SQL, Data Analysis, Business Intelligence, ESB, Crystal Reports, Microsoft Office, Business Analysis, Data Warehousing, SOA, Project Management, Program Management, Process Improvement, Requirements Analysis, IT Strategy, Integration, Strategy, Management, Analysis, Consulting, Analytics, Management Consulting, Business Process..., Visio, Vendor Management, CRM, SaaS, Databases, Business Process, Software Project..., Software Documentation, Business Strategy, Microsoft SQL Server
Education
Isenberg School of Management, UMass Amherst 2001 — 2006
Bachelor's Degree, Marketing
Senior Whole Health January 2014 - Present
Khmer Health Advocates, Inc April 2010 - February 2013
Cambodian Mutual Association of Greater Lowell March 2008 - March 2010
Cambodian Mutual Assistance Association of Greater Lowell February 2006 - 2008
Department of Fisheries, Ministry of Agriculture, Forestry and Fisheries January 1994 - August 1999
Skills
Nonprofits, Research, Strategic Planning, Community Outreach, PowerPoint, Teaching, Community Development, Policy Analysis, Public Policy, Policy, Health Education, Community Organizing, Leadership, Economic Development
Education
Cornell University 1999 — 2005
Doctor of Philosophy (Ph.D.), Natural Resources Management and Policy
Royal University of Agriculture, Chamkar Daung, Phnom Pehn, Cambodia 1988 — 1992
Bachelor's degree, Fisheries Sciences and Management
10 January High School, Siem Reap, Cambodia 1984 — 1988
High School, High School/Secondary Diplomas and Certificates
Senior Whole Health December 2011 - Present
Commonwealth Care Alliance August 2011 - December 2011
Commonwealth Care Alliance June 2010 - October 2011
Self-Employed October 2009 - June 2010
Eastern Casualty Insurance Company April 1996 - September 2009
Dean Consulting 1995 - 1996
Blue Cross & Blue Shield of Mississippi 1991 - 1994
Lincoln National 1988 - 1991
Skills
SQL, healthcare and claims..., Excel, Word, Visio,..., Analytics, Business Analysis, Analysis, SDLC, Visio, Data Analysis, Databases, Software Documentation, Process Improvement, Requirements Analysis, Business Intelligence, Requirements Gathering, Access, Microsoft Excel
Education
Vermont College of Fine Arts 2012 — 2013
graduate study, music composition
Boston University 2010 — 2010
Certificate, Business Analysis
The University of Texas at Austin 1983 — 1984
graduate study, music composition
Mississippi College 1974 — 1981
Bachelor’s Degree, Music Theory and Composition
UC Irvine September 2012 - Present
National Center for Atmospheric Research June 2010 - November 2011
One Laptop Per Child 2009 - 2009
Senior Whole Health December 2007 - January 2008
Skills
Environmental Science, Analytical Chemistry, Detail Orientation, Organic Chemistry, Spanish, Research, Able To Work Under..., Group Work, Instrumentation, Gas Chromatography, Mass Spectrometry, Field Work, Science, Ecology, Laboratory, Statistics
Education
University of California, Irvine 2012 — 2015
Master of Science (M.Sc.), Earth System Science
Colorado College 2007 — 2011
BA, Environmental Science
Weston High School 2002 — 2006
Senior Whole Health July 2013 - Present
Mass Eye and Ear Infirmary March 2010 - July 2013
Wells Fargo Capital Finance November 2009 - February 2010
Evergreen Investments/Wells Fargo February 2008 - October 2009
Boston Financial Data Services February 2007 - February 2008
MT WASHINGTONBANK May 2005 - February 2007
Foot Locker 2004 - 2005
Skills
Customer Service, Lotus Notes, Social Media Marketing, Outlook, Microsoft Word, Training, Management, Time Management, Banking, Research, Microsoft Excel, PowerPoint, Microsoft Office, Spreadsheets, Insurance, Invoicing, Process Improvement, Teamwork, Team Building, Call Centers, Financial Services, Data Entry, HIPAA, Social Media, Administrative..., Customer Satisfaction, Leadership, Coaching, Employee Benefits, Recruiting, Event Planning, Analysis
Education
Eastern Nazarene College 2011 — 2013
Master's Degree of Science, Business Management
Eastern Nazarene College 2008 — 2011
Bachelor Degree, Business Administration
Computer Ed Institute 2003 — 2004
PC Support Technician Certificate
Humana May 2013 - Present
Aetna June 2012 - April 2013
Senior Whole Health November 2011 - June 2012
WellCare June 2004 - April 2011
Healthfirst June 1998 - May 2004
Empire BlueCross BlueShield 1996 - 1998
Performance Marketing 1992 - 1993
Education
Baruch College 1986 — 1991
BBA, Marketing
CeltiCare Health Plan January 2014 - Present
Senior Whole Health June 2007 - January 2014
Rotary International District 7950 July 2010 - June 2013
Tufts Health Plan 2000 - 2007
Milton Public Library 2003 - 2006
East Congregational Church, Milton, MA 2000 - 2003
Norfolk and Dedham Group 1984 - 1998
Skills
Server Administration, .NET, Data Warehousing, SQL Server, Databases, Insurance, Systems Analysis, Healthcare IT, Microsoft SQL Server, Training, Crystal Reports, Healthcare Information..., Access, SDLC, Web Applications, Project Management, Business Analysis, Analysis, Leadership, T-SQL, SQL, Requirements Analysis, Business Intelligence, Data Analysis
Education
Boston University Questrom School of Business 1980 — 1984
MBA, Information Systems
State University of New York at Albany 1974 — 1976
Bachelor of Arts, Economics
Oxford Academy 1970 — 1972
college prepatory
Senior Whole Health January 2014 - Present
Meridian Health Plan July 2012 - January 2014
Tufts Health Plan June 2011 - July 2012
New Hampshire Hospital Association, Foundation for Healthy Communities June 2010 - February 2012
Blue Cross and Blue Shield of Rhode Island September 2009 - April 2010
Neighborhood Health Plan August 2009 - September 2009
Health New England August 2009 - September 2009
Blue Cross Blue Shield of Massachusetts May 1997 - June 2009
Matthew Thornton Health Plan / BCBSNH August 1994 - May 1997
Massachusetts Department of Public Health May 1991 - August 1994
Skills
Health Plan Quality..., Hospital Quality..., NCQA, CMS Compliance, PMO Leadership, Product Planning, Trend Mitigation, Health Promotion, Quality Improvement, Health Policy, PMO, Hospitals, Disease Management, Healthcare, Healthcare Consulting, Managed Care, Medicare, Utilization Management, Medicaid, Healthcare Industry
Education
Northwestern University - Kellogg School of Management 2008 — 2008
Health Care
D'Amore-McKim School of Business at Northeastern University 2000 — 2001
MBA, Finance, Healthcare
University of Massachusetts 1991 — 1992
none, Public Health
University of New Hampshire 1981 — 1986
Bachelor of Arts (BA), Zoology/Animal Biology
Senior Whole Health October 2014 - Present
Neighborhood Health Plan June 2007 - October 2014
Behavioral Health Network 2002 - 2007
CLM Behavioral Health August 1999 - January 2002
Skills
Utilization Management, Quality Improvement, Medicaid, Child Development, Behavioral Health, Managed Care, Mental Health, Policy, Credentialing, NCQA, Medicare, HIPAA, Healthcare Management, Provider Relations, Healthcare Industry, Healthcare, Health Insurance, Health Care Reform, Performance Improvement, Program Evaluation, Case Management, Process Improvement
Education
McGill University
Master's Degree, Education
The University of Connecticut
Master's Degree, Clincal Social Work
Mid Hudson Managed Homecare June 2014 - Present
Mount Alverno Center Assited Living /Adult Home May 2013 - May 2014
Senior Whole Health September 2008 - December 2012
Hospice of Orange /Sullivan Counties March 1989 - September 2008
Skills
Case Managment, Medicare/Medicaid..., Hospice, Microsoft Applications, Semi annual assessment..., Medicare Advantage, Pain Management, Interqual, PRI, Geriatric Nursing, Nursing Supervision, Review of Medical..., Case Management, Healthcare, Utilization Management
Education
Nyack College 2005 — 2007
Bachelor of Science (BS), Organizational Leadership
SUNY Orange 1985 — 1988
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse
Senior Whole Health September 2014 - Present
Senior Whole Health April 2014 - September 2014
LogMeIn March 2014 - March 2014
CRICO March 2014 - March 2014
Boston Financial Investment Management February 2014 - February 2014
Gap Inc./Banana Republic September 2012 - January 2014
Avenue Pictures Productions, "Lullaby" June 2012 - July 2012
Insignia Films January 2012 - May 2012
Manhattanville College September 2011 - May 2012
Manhattanville College February 2011 - May 2012
Skills
Creative Writing, Screenwriting, Journalism, Film Production, Editing, Community Service, sports journalism, Customer Service, Blogging, Leadership, Facebook, Social Networking, Microsoft Office, Social Media
Education
Manhattanville College 2008 — 2012
Bachelor of Arts (B.A.), English: Film Studies
New York Film Academy 2011 — 2011
Screenwriting
Senior Whole Health September 2013 - Present
Steward Medical Group October 2012 - June 2013
British Airways June 2012 - September 2012
Beacon Health Strategies January 2011 - May 2011
Neighborhood Health Plan April 2008 - October 2010
Division of Professional Licensure, Electricians Board January 2007 - December 2007
Skills
Data Entry, Healthcare, Outlook, Customer Service, Microsoft Word, PowerPoint, Microsoft Excel, Administrative..., Microsoft Office, HIPAA, Medicaid, Event Planning, Software Documentation, Access
Education
Full Sail University 2008 — 2009
Entertainment Business
Bay State College 2002 — 2004
Entertainment Management
NWJ Consulting June 2015 - Present
Mass. Eye and Ear June 2014 - June 2015
Senior Whole Health June 2012 - June 2014
CVS Caremark Corporation June 2010 - November 2011
Neighborhood Health Plan August 2006 - June 2010
Private Healthcare Systems April 2000 - August 2006
One Health Plan 1999 - 2000
Skills
Credentialing, Medicaid, Medicare, Healthcare Management, NCQA, Physicians, JCAHO, Accreditation, Utilization Review, Claim, Leadership, Managed Care, HIPAA, Provider Relations, Healthcare, Hospitals, Clinical Research, HEDIS, Utilization Management, Healthcare Consulting, Healthcare Industry, HMO
Education
Stonehill College 2004 — 2006
Certificate, Healthcare Management
Boston College 1995 — 2000
BSN, Nursing
Platinum Home Health Services May 2015 - Present
Senior Whole Health October 2013 - May 2015
UnitedHealth Group September 2012 - October 2013
Aflac January 2010 - October 2012
Life Quotes, Inc. December 2011 - August 2012
United HealthCare August 2011 - December 2011
UBS Wealth Management March 2007 - April 2009
NYC Department of Education February 2005 - March 2007
Real World Enterprises January 2002 - September 2002
Decision One February 2000 - June 2001
Skills
Access, Insurance, Problem Solving, Data Entry, Customer Service, Inside Sales, B2B, Team Management, Networking, Team Building, Sales, Marketing, Call Centers, Event Planning, Social Networking, Microsoft Office, System Administration, Management, Technical Support, Troubleshooting, Event Management, Budgets, Coaching, Human Resources, Health Insurance, Healthcare, Public Speaking
Education
Katharine Gibbs School 1999 — 2003
A.S, Computer Science/Computer Network Operations
Spartanburg Methodist College 1996 — 1997
Business Management
Spartanburg Methodist College 1996 — 1997
Business Management
Aviano High school 1992 — 1994
High school diploma
Senior Whole Health January 2012 - Present
Senior Whole Health January 2012 - Present
Horizon Health June 2004 - June 2011
PAREXEL January 2002 - September 2003
Skills
New Business Development, Marketing Management, Regulatory Affairs, Healthcare, Marketing Strategy, Internal Communications, Public Relations, Leadership, Marketing, Strategic Planning, Managed Care, Marketing Communications, Social Media Marketing, Social Media
Education
Fitchburg State University 1981 — 1985
BS, Communications
Senior Whole Health February 2015 - Present
metroplus health plan December 2006 - May 2015
Skills
Healthcare Management, Medicare, Strategic Planning, Healthcare Information..., Microsoft Excel, Leadership, Team Building, Social Media, Research
Education
Monroe College 2003 — 2006
Bachelor of Business Administration (BBA), Health/Health Care Administration/Management
Senior Whole Health September 2015 - Present
Senior Whole Health September 2014 - September 2015
Beacon Hill Staffing Group, LLC July 2014 - September 2014
Skills
Microsoft Word, Microsoft Office, Microsoft Excel, Customer Service, PowerPoint, Research, Social Media, Data Entry, Call Centers, Claims Handling
Education
Eastern Connecticut State University 2012 — 2014
Bachelor of Applied Science (B.A.Sc.), Psychology
Three Rivers Community College 2008 — 2012
Associate of Science (A.S.), General Studies
Senior Whole Health January 2013 - Present
Senior Whole Health April 2007 - January 2013
Senior Whole Health October 2006 - April 2007
Amarr Garage Doors August 1998 - December 2001
Skills
Medicaid, Managed Care, Healthcare Information..., Medicare, Healthcare, HIPAA, Healthcare Management, Healthcare Industry, Process Improvement, Health Insurance, EHR, Data Analysis, Healthcare Consulting, Training, Management
Education
Southern Illinois University, Carbondale 2001 — 2005
Bachelor of Arts (B.A.), Political Science and Government
Senior Whole Health January 2005 - January 2015
MassPRO June 2003 - October 2004
CIGNA Healthcare December 2000 - May 2003
Blue Cross Blue Shield of FL (Florida Blue) October 1988 - October 2000
Skills
Healthcare Management, Healthcare, Nursing, Managed Care, Medicare, Medicaid, Utilization Management, Case Management, Quality Management, Regulatory Compliance, Call Centers, Claims Handling, Medical Policy, Geriatric Nursing, Medicare Advantage
Education
Elizabethtown College
Bachelor's Degree, Health Services/Allied Health/Health Sciences, General
Harrisburg Hospital School of Nursing
Nursing, RN
Nova Southeastern University
Master's Degree, Health Services Administration
Senior Whole Health November 2014 - Present
Hilton Boston Back Bay June 2012 - July 2014
Education
Bunker Hill Community College 2013 — 2014
Entrepreneurship, Entrepreneurship/Entrepreneurial Studies
Addis Ababa University 2003 — 2007
Bachelor of Laws (LL.B.), Law
Frost Bank October 2012 - Present
Senior Whole Health May 2009 - September 2012
Bank of America January 2009 - May 2009
Circles November 2007 - November 2008
Jane Doe Inc January 2007 - May 2007
Skills
Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft Powerpoint, Adobe Acrobat, Adobe InDesign, Citrix, CCS, TrustEase, CRM Act
Education
Curry College 2003 — 2007
Bachelors of Arts, Communication and Public Relations
Citizens Bank November 2014 - Present
Bryant University September 2013 - May 2014
Senior Whole Health July 2011 - January 2013
New Bedford Catholic Youth Organization November 2006 - January 2013
Sunoco August 2008 - August 2011
Skills
Microsoft Excel, PowerPoint, Financial Analysis, Financial Modeling, Customer Service, Teamwork, Microsoft Office, Microsoft Word, Research, Investments, Valuation, Finance, Time Management, Analysis, Leadership
Education
Bryant University 2011 — 2014
Bachelor of Science in Finance
Nichols College 2010 — 2011
Accounting Major
Concise Software Consulting March 2015 - Present
RAPID Consortium / Applied Physics Systems June 2013 - March 2015
U-PIC March 2011 - May 2013
California Institute of Technology January 2008 - March 2011
Senior Whole Health January 2007 - December 2008
Caltech June 2004 - July 2005
DolphinSearch, Inc. June 2000 - August 2000
Skills
SQL, Perl, Matlab, Visual Basic, C# 4.0, WPF Development, Paleomagnetism, Rock Magnetism, Visual Studio, Data Analysis, C#, Programming, Research, Science, Statistics, JavaScript, Testing, Software Development
Education
Massachusetts Institute of Technology 2005 — 2006
Geophysics
Caltech 2000 — 2004
Bachelors, Geophysics
Ventura High School 1996 — 2000
2Crea2 September 2007 - Present
Central Massachusetts AHEC August 2012 - Present
Senior Whole Health February 2014 - August 2015
FranklinCovey Leadership Institute 2009 - 2010
Unilever December 2001 - September 2007
Procter & Gamble 1990 - 2001
Corpa Publicidad 1986 - 1989
Skills
Strong oral..., Proven ability to..., Strong professional..., Advertising, Training, Microsoft Excel, Marketing Strategy, Market Research, Team Leadership, Marketing, Leadership Development, Coaching, Spanish, Competitive Analysis, Organizational..., Team Building, Customer Service, Sales Management, Management Consulting, Project Management, Marketing Communications, Public Relations, Social Networking, Management, Project Planning, Leadership, Change Management, Sales, Sales Operations, Retail, Employee Training, Strategy
Education
Clark University 2010 — 2012
MS, Professional Communications, 3,95/4,00
Universidad del Zulia 1996 — 1997
MBA, Marketing
IESA 1985 — 1985
Certified, Marketing
University of Florida 1981 — 1983
BS, Advertising
Miami Dade College 1979 — 1981
AS, Commercial Art & Advertising Design
AlphaCare of New York, Inc. July 2013 - Present
Senior Whole Health October 2012 - July 2013
M.O.R.E. March 2010 - October 2012
UnitedHealthcare April 2009 - March 2010
Skills
•Specialist in MLTC..., Marketing, Leadership, Strategy, Employee Training, Team Building, Business Development, Marketing Strategy, Healthcare, Public Speaking, Event Planning, Project Planning, Time Management, Customer Retention, Management, Sales, Team Leadership, Operations Management, Training, Customer Service, New Business Development, Sales Management, Leadership Development, Health Insurance, Account Management, Program Management, Recruiting, Organizational..., Medicaid, Strategic Planning, Medicare, Coaching, Long-term Care, Sales Operations, Process Improvement, Insurance, Employee Benefits, Call Centers, Managed Care, Contract Negotiation, Healthcare Consulting, Executive Management, Analysis, Start-ups, Healthcare Management, Salesforce.com, Change Management, Provider Relations, HIPAA, Human Resources
Education
Villanova University 2013 — 2014
Master certificate Six Sigma - Black Belt Healthcare
Baruch College
Business English
UNIVERSITY OF IBAGUE - COLOMBIA
Bachelor of Engineering (B.S ), Engineering Business l Management, Engineer
Express Scripts June 2014 - Present
UnitedHealthcare February 2012 - June 2014
XL Health (a division of UHC) April 2010 - February 2012
Natural Standard May 2009 - April 2010
Senior Whole Health July 2007 - April 2010
Biogen 2009 - 2009
Beth Israel Deaconess Medical Center June 2005 - October 2008
Skills
Managed Care, Medicaid, Medicare, Diabetes, Medical Writing, Regulatory Affairs, Medication Therapy..., Pharmacists, Healthcare, Pharmacy Automation, Healthcare Information..., Disease Management, Utilization Management, Pharmacy, Clinical Research
Education
Northeastern University 2004 — 2010
Doctor of Pharmacy (Pharm.D.)
Boston Children's Hospital March 2012 - Present
Fallon Community Health Plan January 2008 - March 2012
Senior Whole Health January 2007 - January 2008
Public Sector Partners / UMMS June 2004 - January 2007
UMass Memorial Medical Center November 2000 - June 2004
Allmerica Financial 1998 - July 2000
Allmerica Financial 1996 - 1998
Fatima Hospital 1985 - 1986
Fatima Hospital 1985 - 1986
Skills
Medicare Compliance, Medical Coding, Medical Record Review, Medicare, Compliance, Hospitals, Healthcare Management, Nursing, Insurance, Microsoft Office, Customer Service, Managed Care, Medical Records, Medical Billing, Healthcare, Case Managment, Medicaid, Paralegals, Legal Nurse Consulting, HIPAA, Software Documentation, Case Management, Home Care, Health Insurance
Education
AAPC 2012 — 2012
CPC-H, Medical Insurance Coding Specialist/Coder
Kaplan University 2010 — 2011
Certificate, Forensic Nursing
Saint Joseph's College 2008 — 2011
BS elig, Criminal Justice
Northeastern University 2005 — 2006
Paralegal, Legal
Mount Wachusett Community College 1978 — 1980
AS/ADN, Nursing Science
David Hale Fanning School of Health and Technical Occupations 1976 — 1977
LPN, Nursing
North HS
North HS
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
Cenpatico Behavioral Health March 2012 - Present
CeltiCare Health Plan June 2009 - March 2012
Senior Whole Health April 2007 - December 2008
Ounce Labs July 2005 - March 2007
ACCC 2006 - 2007
James Gorman Insurance 2001 - 2003
Skills
Microsoft Office, Community Outreach, Microsoft Excel, Outlook, Customer Service, Management, Medicaid, Managed Care, Medicare, Healthcare, Strategic Planning, Healthcare Management, Project Management, Program Development, Research, Program Management, Public Speaking, Access, Hospitals, Case Managment, Provider Relations, Utilization Management, Healthcare Industry, Case Management, Medicaid Managed Care, HIPAA, Nonprofits, Healthcare Information..., Process Improvement
Education
Boston University 2008 — 2013
BS, Psychology
Boston University 2008 — 2009
Certificate, Business Management
Cambridge College 2000 — 2003
Bachelors, Psychology
SSM Partners May 2004 - Present
HealthTeacher, Inc May 2011 - Present
EnableComp May 2011 - Present
RemitDATA January 2008 - Present
Novu LLC March 2015 - Present
Senior Whole Health August 2004 - November 2011
Bloodhound, Inc. April 2007 - May 2011
Petra Capital Partners June 2002 - May 2004
Petra Capital Partners July 1997 - July 2000
Donaldson, Lufkin & Jenrette June 1996 - July 1997
Skills
Venture Capital, Private Equity, Corporate Development, Mergers, Strategic Planning, Healthcare, Strategic Partnerships, Healthcare Information..., Due Diligence, Business Development, Entrepreneurship, New Business Development, Business Strategy, Financial Analysis, Corporate Finance
Education
Harvard Business School 2000 — 2002
MBA
Virginia Military Institute 1990 — 1994
Bachelor of Arts (B.A.), History
Briarwood Christian High School
Briarwood Christian High School
Briarwood Christian High School
Briarwood Christian High School
Briarwood Christian High School
Fallon Health July 2015 - Present
Senior Whole Health February 2014 - July 2015
Central Massachusetts Independent Physician Association, LLC April 2010 - February 2014
Hill Street Capital LLC 2005 - 2008
Fisher Brothers May 2001 - August 2005
W. P. Carey & Co. LLC February 1999 - April 2001
Skills
Due Diligence, Flexible Schedule, OneNote, Registration, Program Management, Disease Management, Physicians, Health Policy, Practice Management, Health Education, EMR, EHR, Healthcare, Medicare, Healthcare Information...
Education
Patten University
BA Management
Southshore Software QA/BA Group February 2014 - Present
Mass Mutual Financial Group March 2014 - June 2014
Citizens Bank September 2013 - December 2013
Senior Whole Health March 2013 - August 2013
State Street - Global Product Management February 2012 - December 2012
State Street - Retiree Services Product Development July 2010 - February 2012
State Street - Retiree Services Product Development February 2008 - May 2010
State Street Global Advisors February 2005 - February 2008
CitiStreet – Implementation Services September 2004 - January 2005
Investors Bank & Trust June 2004 - September 2004
Skills
Quality Assurance, Software Quality..., Integration, Business Analysis, Business Requirements, SDLC, Financial Services, Product Management, Process Improvement, Requirements Gathering, Product Development, Risk Management, QA Experienced Software..., BA Data Requirements..., TECHNICAL SKILLS..., Testing, Software Documentation
Education
State University of New York College at Purchase 1979 — 1982
Bachelor's degree, Environmental Science
Steward Medical Group July 2015 - Present
Winchester Hospital January 2012 - July 2015
Accelerated Cure Project for Multiple Sclerosis March 2005 - 2012
Institute for Health Metrics August 2010 - July 2011
Senior Whole Health January 2008 - August 2010
Boston Wine Meetup March 2004 - March 2009
Senior Whole Health February 2007 - January 2008
Hallmark Health System, Inc. February 2005 - 2007
Beth Israel Deaconess Medical Center March 2004 - February 2005
South Shore Hospital October 2002 - March 2004
Skills
Leadership, Healthcare, Project Management, Medicare, Organizational..., Strategic Planning, Quality Improvement, Process Improvement, Data Analysis, Analysis, Administration, Fundraising, Microsoft Office, Management, Budgets, Leadership Development, Microsoft Excel, Customer Service, Cross-functional Team..., Nonprofits, Event Planning, Healthcare Management, Hospitals, Managed Care, Time Management, Coaching, Team Building, Research, Outlook, Public Speaking, HIPAA, Community Outreach, Teamwork, Program Development, Team Leadership, Training, Program Management, Project Planning, Healthcare Consulting, EHR, Healthcare Information..., Consulting, Performance Improvement, Analytics, Problem Solving, EMR, Medicaid, Clinical Research
Education
Simmons College 1998 — 2000
Masters, Healthcare Administration
University of Massachusetts at Lowell 1988 — 1992
B.S., Business Administration
Archbishop Williams High School 1984 — 1988
College Preparatory
Sacred Heart Grammer School
Senior Whole Health July 2014 - Present
LogMeIn February 2014 - June 2014
Imprivata September 2013 - January 2014
Benchmark Senior Living January 2011 - June 2013
The Carroll School June 2003 - July 2008
Self-Employed August 2006 - May 2007
Skills
Nonprofits, Event Planning, Healthcare, Administrative..., Data Entry, Microsoft Excel, Data Analysis, Customer Service, Management, Audio Engineering, Macintosh Applications, Wedding DJ, Receptionist Duties, Academic Writing, Academic Tutoring, Ableton Live, Microsoft Word, Technical Writing, Community Outreach, Editing, Web Design, Web Development, Sound Design, Film Scoring
Education
New College of Florida 2001 — 2008
Bachelor's Degree, General Studies
Middlesex Community College 2012 — 2013
Technical Communications Certificate, Technical and Scientific Communication, 4.0
Bedford High School
Tufts Health Plan June 2015 - Present
Independent Health Care Advisor 2007 - Present
Fallon Community Health Plan August 2009 - January 2012
Network Health Plan January 2009 - August 2009
Fidelis SeniorCare Inc 2006 - 2007
Senior Whole Health 2004 - 2006
MEDITECH 2003 - 2004
Neighborhood Health Plan of Rhode Island 1994 - 2002
Skills
Leadership, Healthcare, Strategic Planning, Business Development, Marketing Strategy, Marketing, Management, Customer Service, Medicare, Team Leadership, Sales Operations, Sales, Fundraising, Analysis, Community Outreach, Medicaid, HIPAA, Managed Care, Training, Team Building, Healthcare Management, Health Insurance, Nonprofits, Healthcare Information..., Process Improvement, Insurance, Hospitals, Public Speaking, Event Planning, Program Management, Social Media, Healthcare Consulting, Home Care, Healthcare Industry, Start-ups, Public Relations, Marketing Communications, New Business Development, Problem Solving, Project Management, Consulting, Account Management, Data Analysis, Long-term Care, Relationship Building, Strategy, Employee Benefits, Mentoring, Event Management, Leadership Development
Education
Fisher College 2012 — 2014
Bachelor of Science (BS), Health/Health Care Administration/Management
Bryant University 2007 — 2007
License in Life and Health
Fisher College 2001 — 2003
Associate of Science (A.S.), Health Information/Medical Records Administration/Administrator
Lofty Aspirations August 2014 - Present
DC Office of Police Complaints January 2012 - July 2014
DC Superior Court July 2008 - January 2012
Pathfinder International August 2006 - July 2008
Senior Whole Health January 2006 - August 2006
Universtiy of Massachusetts 2002 - 2004
Skills
Recruitment/Retention, Policy/Procedure..., Conflict Resolution, Alternative Dispute..., Public Speaking, Research, Editing, Coaching, Event Planning, PowerPoint, Microsoft Word, Non-profits, Microsoft Office, Microsoft Excel, Program Development, Teaching, Data Analysis, Organizational..., Mediation, Program Management, Nonprofits
Education
University of Massachusetts Boston 2002 — 2004
Master of Arts, Dispute Resolution
Brandeis University 1996 — 2000
BA, Psychology with minors in French and Linguistics
Senior Whole Health October 2011 - Present
Skills
Healthcare Information..., Hospitals, Healthcare, Healthcare Management, HIPAA
Education
Salem State University 2005 — 2009
Master’s Degree, American History (United States)
Moravian College 1996 — 2000
Bachelor’s Degree, History
Minuteman Health, Inc. June 2014 - September 2015
Agile Health Analytics LLC September 2013 - May 2014
Senior Whole Health January 2012 - June 2013
Commonwealth Care Alliance March 2003 - February 2012
Public Consulting Group 2003 - 2007
DELOITTE & TOUCHE LLP 1989 - 2003
Children's Hospital Boston 1986 - 1989
Skills
Healthcare, Accounting, Managed Care, Strategic Planning, Healthcare IT, Healthcare Information..., Medicaid, Business Analysis, Process Improvement, Leadership, Business Planning, Mergers & Acquisitions, Start-ups, Healthcare Management, Hospitals, Data Analysis
Education
Harvard Business School 1979 — 1981
MBA, Business
Harvard University 1974 — 1978
BA, Government
Senior Whole Health March 2010 - Present
Leapfrog Systems November 2008 - December 2009
American Student Assistance April 2007 - April 2008
Multiplan June 2006 - February 2007
Private Healthcare Systems February 1998 - February 2007
Fidelity Investments August 1995 - May 1997
Fannie Mae April 1984 - February 1990
Skills
Requirements Gathering, SDLC, Program Management, Business Analysis, Software Development, Project Planning, Analysis, Requirements Analysis, SQL
Education
George Mason University 1993 — 1995
MA, International Business
Simmons College
BA, Business
Senior Whole Health 2008 - Present
Milton Hospital October 2008 - October 2010
Education
Massasoit community college 1978 — 1980
Department of Health April 2013 - Present
MVP Health Care July 2012 - April 2013
Senior Whole Health May 2007 - June 2012
Fidelis Care New York May 2006 - May 2007
Fidelis Care NY May 2003 - May 2007
Skills
PPO, HIPAA, Network Development, Contract Management, Health Policy, Medicaid, Managed Care, Healthcare Industry, Utilization Management, HMO, Insurance, Provider Relations, Health Insurance, Medicare, Customer Service, Hospitals, Healthcare Management, Healthcare, Management, Medicaid Managed Care, Process Improvement, Provider Network..., Strategic Planning, Contract Negotiation, Project Management
Education
Empire State College 2004 — 2006
Bachelor Appllied Science, Community Service/Healthcare Administration
Lock Haven University of Pennsylvania
Pursued Physical Education
Minuteman Health, Inc. November 2014 - Present
Senior Whole Health 2012 - 2014
Senior Whole Health June 2012 - December 2012
Commonwealth Care Alliance December 2011 - May 2012
Commonwealth Care Alliance July 2009 - December 2010
Public Consulting Group September 2007 - July 2009
Athenahealth February 2006 - July 2007
liberty financial companies 2000 - 2001
Skills
Healthcare, Healthcare IT, Data Analysis, Process Improvement, Business Analysis, Medicare, Healthcare Information..., Medicaid, Software Documentation, HIPAA, Project Management, SQL, Analysis, Project Planning, Business Process, Managed Care, Healthcare Consulting, Healthcare Management, Program Management, Visio, Access, Business Intelligence, Analytics, EHR, Health Insurance, Strategy, SharePoint, Business Process..., Requirements Analysis, Databases, CRM, Data Warehousing, Healthcare Industry, Leadership, EMR, Revenue Cycle, Health Policy, Testing, Training
Education
The Partnership, Inc. 2012 — 2012
Fellow, Leadership Development Program
Bentley College - Elkin B. McCallum Graduate School of Business 2002 — 2004
Master of Science (MS), Market Analytics
Bentley College - Elkin B. McCallum Graduate School of Business 2002 — 2004
Master of Business Administration (MBA), International Business
Syracuse University - Martin J. Whitman School of Management 1996 — 2000
BS, Human Resource Management, Law & Public Policy Minor: Economics
Senior Whole Health January 2014 - Present
Tufts Health Plan November 2011 - December 2013
Security Health Plan June 2010 - November 2011
IMS Health June 2007 - March 2010
Skills
Healthcare, Insurance, Data Analysis, Predictive Modeling, Program Evaluation, Medicare Risk Adjustment, SAS, SQL, Statistical Software, Business Intelligence..., Data Modeling, Unix Shell Scripting
Education
University of Massachusetts at Lowell 2005 — 2009
M.S. Mathematics, Probability and Statistics
Rensselaer Polytechnic Institute 1999 — 2004
B.S. Management, Financial Systems
Senior Whole Health April 2006 - Present
East Cambridge Savings Bank December 1997 - June 2001
Triumvirate Environmental Inc June 1995 - February 1998
Skills
HIPAA, Healthcare, Insurance, Medicaid, Medicare, Health Insurance, Managed Care, Customer Service, Healthcare Management
Education
Cambridge College 2005 — 2010
BA, Psychology
Bay State College 1998 — 2002
Associate of Science (A.S.)
M.A.Wallingford Assoc.LLC January 2013 - Present
Senior Whole Health May 2006 - January 2013
Fidelis Care New York 2003 - April 2006
CDPHP December 1999 - October 2003
Skills
Provider Relations, Medicaid, Managed Care, Health Insurance, Healthcare Management, Healthcare, Network Development, Insurance, PPO, Hospitals, Health Policy
Education
University at Albany, SUNY 1973 — 1975
MBA, Human Resources Management
Rensselaer Polytechnic Institute 1969 — 1973
B.S., Management & Labor Relations
Senior Whole Health Community Resource CoordinatorSenior Whole HealthApril 2007 - Present
Bristol Elder Services March 2001 - March 2007
Skills
Managed Care, HIPAA, Healthcare Information..., Healthcare Management, Medicaid, Nonprofits
Education
Bristol Community College 1994 — 2000
Senior Whole Health October 2013 - Present
Institute for Healthcare Improvement December 2008 - March 2013
Institute for Healthcare Improvement October 2007 - December 2008
Mazie McLeod, CPA October 1997 - January 2000
Lucasfilm Ltd, THX Division September 1995 - October 1997
Firefund Federal Credit Union March 1994 - September 1995
Grueneich, Ellison & Schneider January 1992 - April 1993
Coopers & Lybrand (now PricewaterhouseCoopers) July 1986 - September 1988
Skills
Account Reconciliation, Accounts Payable, Payroll, Accounting, General Ledger, Strategic Financial..., Coaching Staff, Mentoring Of Staff, Financial Analysis, Financial Reporting, Financial Audits, Staff Supervision, Cost Accounting, Accounts Receivable, Internal Controls, Budgets, Fixed Assets, CPA, Financial Planning
Education
Northeastern University - Graduate School of Business Administration 1984 — 1986
MBA, Accounting, cum laude
Rochester Institute of Technology 1982 — 1984
B.S., Business Administration, magna cum laude
Maximus, Inc. April 2014 - Present
Total Domain Data Group April 2013 - June 2013
Senior Whole Health 2012 - 2013
Public Consulting Group December 2011 - November 2012
Ameriprise Financial Services, Inc. 2011 - 2011
Bank of America 2009 - 2010
Compliance Technologies International, LLP 2008 - 2009
State Street Global Advisors 2006 - 2007
Thomson Financial 2005 - 2005
NetNumina 2003 - 2004
Skills
SDLC, Business Intelligence, SQL, Testing, Risk Management, Software Development, Quality Assurance, SharePoint, Unix, User Acceptance Testing, Project Management, Fixed Income, Data Warehousing, Oracle, Agile Methodologies, Financial Services, Business Analysis, Visio, Analysis, Business Strategy, Change Management, PMO, Strategy, Software Documentation, Start-ups, Databases, Vendor Management, Requirements Gathering, Leadership
Education
Massachusetts Institute of Technology - Sloan School of Management 1982 — 1984
Masters, Business
Northeastern University 1979 — 1982
Bachelor of Science, Accounting and Finance
Beth Israel Deaconess Medical Center January 2013 - Present
Senior Whole Health June 2012 - Present
Hallmark Health System, Inc. 2003 - 2012
St Elizabeths Medical Center, 1993 - 2003
Skills
Hospitals, Nursing, Healthcare, Healthcare Management, BLS, EMR, Patient Safety, Clinical Research, Pediatrics, Treatment, Healthcare Information..., Cpr Certified, Case Management, Long-term Care, Critical Care
Education
MGH Institute of Health Professions 1987 — 1990
Master of Science (MS), Nurse Practitioner
andover newton 1980 — 1984
mdiv, theology
Indiana University of Pennsylvania 1976 — 1978
ba, psych sociology
UNION HIGH RIMERSBURG PA
HS
M. K. Wyman Associates September 2014 - Present
Senior Whole Health 2006 - August 2014
Continental Fire & Safety 2002 - 2006
On-Line Cable Services 1999 - 2002
iBelong 1999 - 1999
Work/Family Directions 1992 - 1999
Oracle 1988 - 1992
Education
Harvard Business School 1981 — 1983
MBA
Trinity College 1973 — 1977
BA
Senior Whole Health September 2007 - Present
Bristol Elder Services March 2003 - September 2007
ADCARE Criminal Justice Services October 1997 - August 2002
Skills
Group Therapy, Relapse Prevention, Community Outreach, Program Development, Nonprofits, Grant Writing, Public Speaking, Event Planning, Research, Supervisory Skills, Google Groups, Adolescents
Education
University of Massachusetts Dartmouth 2006 — 2010
Bachelor's degree, Sociology
Bristol Community College 1994 — 1996
AS, Human Services
Senior Whole Health April 2006 - Present
Skills
Medicare, Case Managment, HIPAA, Healthcare Consulting, Healthcare, Hospitals, Nursing, Medicaid, Healthcare Management, Managed Care, Home Care, Long-term Care, Health Insurance
Education
Emmanuel College
B.S., Psychology
Lesley University
M.A., Psychology
Interactive Motion Techologies, Inc March 2011 - Present
Senior Whole Health October 2003 - March 2011
Caritas St. Elizabeth's Medical Center 1999 - 2003
Emerson Hospital 1997 - 1999
MetroWest Medical Center 1993 - 1997
Skills
Managed Care, Healthcare, Hospitals, Healthcare Management, Medical Devices, International Sales, Medicare Advantage, HIPAA, Management, Medicare, Healthcare Industry, Strategic Planning
Education
Boston University
MBA, Health Care Management
Brandies University
B.A., Economics
Senior Whole Health July 2015 - Present
Lesley University October 2013 - Present
American Jewish Committee November 2014 - January 2015
Biogen Idec October 2014 - October 2014
Optum Healthcare 2014 - 2014
Randstad October 2008 - October 2013
Mount Ida College November 2005 - April 2011
USA Athletes International October 2005 - July 2010
BMC HealthNet Plan December 2005 - July 2008
Genzyme June 2005 - December 2005
Skills
PowerPoint, Marketing, Microsoft Excel, Microsoft Office, Customer Service, Microsoft Word, Social Media, Coaching, Public Speaking
Education
Marist College 1989 — 1999
Natick High School
Senior Whole Health January 2012 - Present
Senior Whole Health September 2009 - December 2011
Senior Whole Health June 2007 - September 2009
Gaylord Hospital January 1999 - November 2006
Education
University of New Haven 1985 — 1988
Master of Business Administration (MBA)
Quinnipiac University 1976 — 1980
Bachelor of Science (BS), Physical Therapy/Therapist
Amgen November 2013 - Present
Novo Nordisk A/S October 2011 - November 2013
Duane Reade February 2010 - October 2011
CVS Caremark Corporation July 2009 - February 2010
Biogen Idec November 2008 - December 2008
Surgical ICU at Beth Israel Deaconess Medical Center September 2008 - October 2008
Critical Care Cardiology at Brigham & Women's August 2008 - September 2008
Senior Whole Health July 2008 - August 2008
Skills
Pharmacists, Diabetes, Healthcare, Clinical, Hospitals, Pharmaceuticals, Health, Clinical Research, Clinical Trials, Managed Care, Medicine, Pharmaceutical Industry, Pharmacy, Regulatory Affairs, Clinical Pharmacology
Education
Northeastern University 2003 — 2009
Doctor of Pharmacy
Tufts Health Plan January 2011 - Present
Tufts Health Plan October 2008 - January 2011
Tufts Health Plan September 2004 - October 2008
Senior Whole Health September 2007 - January 2008
Children's Hospital Boston July 2002 - September 2004
Innovative Health Solutions June 2001 - July 2002
Skills
Managed Care, Health Insurance
Education
Boston University 2002 — 2004
MPH, Biostatistics; Maternal & Child Health
Hamilton College 1997 — 2001
BA, Mathematics, Psychology
Senior Whole Health March 2014 - Present
Amerigroup January 2013 - March 2014
DentaQuest September 2011 - December 2012
Health Plus PHSP. Inc December 2009 - September 2011
Health Plus December 2008 - November 2009
BNY Mellon March 2006 - April 2008
Fidelity Investments December 2004 - March 2006
JPMorgan Chase November 2000 - October 2004
Skills
Financial Analysis, Project Management, Agile Methodologies, Scrum, Microsoft Excel, Business Analysis, PowerPoint, Access, Process Improvement, Data Analysis, ITIL, Six Sigma, Kanban, Relationship Management, CRM, SDLC, Program Management, Management, Training, Leadership, Team Building, Insurance, Cross-functional Team..., Strategic Planning, Recruiting
Education
Baruch College, City University of New York (CUNY) 1999 — 2004
Bachelors, Finance
Middlesex Hospital Hospice and Palliative Care April 2009 - Present
Elder Care Resources and Planning January 1984 - April 2009
Senior Whole Health January 2007 - December 2008
VNA of Wallingford, Inc October 2005 - December 2006
Portland VNA January 2002 - December 2004
Education
Barnard College
BA
Ithaca High School
The University of Chicago
MSW, Social Work
Multicultural Home Care June 2015 - Present
Senior Whole Health June 2013 - May 2015
Fidelity Investments January 2006 - February 2009
Fidelity Investments January 2005 - January 2006
Aspen Technology December 1999 - December 2002
Integrated Dynamics Engineering April 1998 - April 1999
Education
Massachusetts College of Pharmacy and Health Sciences 2010 — 2011
BSN, NURSING
Tufts University 1993 — 1997
BSME, Mechanical Engineering
Senior Whole Health November 2014 - Present
Humana November 2013 - October 2014
UnitedHealth Group December 2007 - November 2013
Horizon Blue Cross Blue Shield of New Jersey March 2007 - December 2008
Beth Israel Deaconess Medical Center July 1999 - June 2000
Albany Medical Center July 1996 - June 1999
Skills
Six Sigma, MBA, Board Certified-..., Managed Care, Medicine, Disease Management, Medicaid, Medicare, Healthcare Consulting, Health Policy, Healthcare Industry, Physicians, Healthcare Management, Healthcare Information..., Utilization Management, Healthcare, EMR, HIPAA, Cross-functional Team..., Provider Relations, EHR, Informatics, Revenue Cycle
Education
Cornell University - S.C. Johnson Graduate School of Management 2002 — 2004
MBA, General Management
St. George's University School of Medicine 1992 — 1996
Medicine
Colgate University 1984 — 1988
Bachelors in Science, Economics
Aetna/Coventry Health Care 2013 - Present
Aetna/Coventry Health Care 2011 - 2013
Complete Health Solutions 2007 - 2011
Fidelis Senior Care March 2006 - June 2007
Senior Whole Health 2003 - 2006
Amerigroup Corporation 2000 - 2003
AmeriChoice 1998 - 2000
Neighborhood Health Plan 1991 - 1997
Commonwealth of Massachusetts 1988 - 1990
Skills
Business Development, Healthcare, Human Resources, Leadership, Managed Care, Management, Medicaid, Medicare, Program Management, Start-ups, Strategic Planning, Strategy, Training, Healthcare Consulting
Education
Center for Creative Leadership
Leadership Development
Gala International 1997 — 1997
Conversatational Spanish
North Adams State College 1978 — 1980
BA, Sociololgy
Massachusetts Bay Community College 1976 — 1978
AA, Liberal Arts
Senior Whole Health October 2014 - Present
Senior Whole Health January 2014 - December 2014
Senior Whole Health September 2013 - December 2013
Office of Congressman Joseph Crowley May 2013 - September 2013
Surprise Surprise August 2007 - September 2013
Skills
Microsoft Excel, Customer Service, Social Media, Event Planning, Social Networking, Project Management, Marketing, Social Media Marketing, Program Management, Public Relations, Research, Online Research, Marketing Strategy, Data Analysis, Account Management, Sales, Management
Education
Western Governors University 2015 — 2017
Master of Business Administration (MBA), Health/Health Care Administration/Management
Florida International University 2002 — 2007
Bachelors, Liberal Arts and Sciences/Liberal Studies
Meriden Board of Education August 2012 - Present
Salisbury School June 2012 - August 2012
East Hartford Board of Education April 2012 - June 2012
New Britain Board of Education October 2011 - December 2011
Hartford Board of Education August 2011 - October 2011
Southington Board Of Education December 2010 - June 2011
YMCA Kids Korner September 2009 - June 2011
31st Annual NYS TESOL Applied Linguistics Conference April 2010 - April 2010
Our Piece of the Pie August 2007 - September 2009
Senior Whole Health February 2007 - August 2007
Skills
Curriculum Design, Microsoft Word, PowerPoint, Spanish, ESL, Research, Microsoft Excel, Teaching, Microsoft Office, English, Teaching English as a..., SPSS, Community Outreach, Curriculum Development, Nonprofits, Public Speaking, Tutoring
Education
Central Connecticut State University 2007 — 2012
M.S, TESOL
Skidmore College 2002 — 2006
Bachelor of Arts, Double; Spanish Language and Literature; Religious Studies
Skidmore College 2002 — 2006
BA, Religion and Spanish
NY State Independent College Consortium for 2004 — 2004
TEFL Certification
Senior Whole Health August 2010 - Present
Senior Whole Health 2010 - 2012
BMCHP April 2010 - August 2010
Boston Medical Center HealthNet Plan 2005 - 2009
Skills
Provider Relations, Managed Care, Healthcare, Medicaid, Healthcare Management, Credentialing, Customer Service, Microsoft Excel, Claims Resolution, Provider Enrollment, Provider Education, Provider Network..., Network Development, HMO, Medicare, Accountable Care, HIPAA, Health Insurance, Healthcare Industry, Healthcare Information...
Education
Quincy College 1992 — 1994
Associate's degree
Senior Whole Health January 2011 - Present
Senior Whole Health November 2008 - December 2011
Central Boston Elder Services January 2007 - November 2008
Providers inc. 2001 - 2007
Skills
Medical Coding, Medical Records, Coders, ICD-9, CPT, Medical Terminology, Healthcare, HIPAA, Healthcare Information..., HCPCS, Healthcare Management, Medicare, Case Managment
Education
American Academy of Professional Coders 2011 — 2011
CPC Certified, Coding
Mount Ida College 2001 — 2004
BS, Vet tech
Bethune Cookman
Senior Whole Health November 2014 - Present
Senior Whole Health March 2011 - November 2014
Skills
Credentialing, Provider Relations, Managed Care, NCQA, HIPAA
Education
Smith College
Bachelor's Degree
Senior Whole Health August 2014 - Present
Tufts Health Plan October 2011 - 2014
Tufts Health Plan January 2008 - October 2011
Medical Matrix Systems November 1999 - December 2007
TRIAD Healthcare, Inc. 1996 - 2006
Pedal Ancillary Management Services 1998 - 2000
Skills
Managed Care, Case Managment, Medicare, Health Insurance, HIPAA, Clinical Research, Medicaid, Healthcare Industry, Insurance, Healthcare, Healthcare Management, Provider Relations, Healthcare Information..., Healthcare Consulting, Hospitals, Public Health, Employee Benefits, Data Analysis, Health Policy, Credentialing, Quality Assurance, Network Development, Provider Network..., Contract Management
Education
New Jersey City University
Bachelor of Health Sciences
Harvard University
Public Health
Life University
Doctor of Chiropractic
Damascus Christian Church of Albany April 2002 - January 2013
Senior Whole Health August 2009 - December 2012
Damascus Community Services April 2006 - October 2012
Case Mgmt January 1996 - January 2009
Crawford Disability Management Services January 1993 - January 1996
Capital region Rehabilitation Geriatric Center January 1991 - January 1993
Van Rensselaer Manor SNF January 1990 - January 1991
New Medico Head Injury Facility January 1989 - January 1990
Empire Blue Cross – Blue Shield January 1986 - January 1989
Skills
Healthcare Management, Community Outreach, Managed Care, Healthcare, Medicaid, Case Managment, Medicare, Nursing, Health Education, Clinical Research, Home Care, Utilization Management, Long-term Care, Program Development, HIPAA, Disease Management, Hospitals, Inpatient, Treatment, Case Management, Healthcare Industry
Education
Gordon Conwell Theological Seminary 2005 — 2009
MS, Masters in Divinity
SUNY Utica/Rome 1992 — 1994
Bachelors of Science, Nursing Science
Queens College 1966 — 1969
Associate, Nursing
RN, Queens College
Associate, Applied Science
State University of New York
Bachelor of Science, Nursing
Senior Whole Health October 2014 - Present
Commonwealth of Massachusetts February 2013 - October 2014
CVS Caremark Corporation May 2012 - January 2013
MIB Solutions, Inc. December 2010 - April 2012
Blue Cross Blue Shield of Massachusetts July 2007 - February 2010
Raytheon July 2006 - December 2006
Zoran June 2005 - December 2005
Balfour Academy at Northeastern University September 1999 - May 2002
Blue Cross Blue Shield of Massachusetts June 1998 - September 1998
Massachusetts: Virtual Education Space June 1997 - September 1997
Skills
SAS Certified Base..., Requirements Analysis, Data Analysis, Cognos, Microsoft SQL Server, HTML, SSIS, Teradata, Unix Shell Scripting, XML, Microsoft Office, Business Intelligence..., FTP, Hospitals, Health Care Reform, VMware View, UltraEdit, APCD, APR DRG, HEDIS, Pharmacy, Dental Insurance, Medical Billing, Provider Enrollment, Consumer Products, TME, T-SQL, ArcMap, ArcGIS, JCL, Vendors, Auditing, Healthcare, Big Data, CMS, NCQA, AHRQ, P4P, CAHPS, HOS
Education
Northeastern University
Dual Concentration: Management Information Systems (MIS) and Finance
Senior Whole Health January 2014 - Present
Aetna December 2011 - Present
Healthplex December 2004 - November 2011
Vytra Health Plans 1991 - 2004
Education
Ithaca College 1978 — 1980
BA Political Science and Spanish
Express-Scripts April 2013 - Present
UnitedHealthcare December 2011 - April 2013
Senior Whole Health July 2007 - December 2011
Skills
Pharmacists, Medication Therapy..., Managed Care, Pharmacy, Clinical Research, Healthcare, Healthcare Information..., Clinical Pharmacy, Pharmacy Practice, Community Pharmacy, Healthcare Management, Utilization Management, Pharmacy Benefit..., Medicaid, Pharmacy Education
Education
Northeastern University 2004 — 2010
Pharm.D., Pharmacy
Senior Whole Health September 2007 - Present
Vistronix, Inc. April 2005 - September 2007
General Dynamics Information Technology July 2000 - March 2005
Systems Engineering and Security Inc. July 1998 - June 2000
Managment Technology Inc. March 1998 - June 1998
US EPA April 1995 - March 1998
Skills
Data Analysis, Security, Software Documentation, Business Analysis, Databases, Analysis, Project Management, Process Improvement, Microsoft Office, System Deployment, Microsoft Excel, Outlook, Program Management, Team Leadership, Servers, Active Directory, VMware, Security+, Customer Service, Research, Team Building, CISSP, Operating Systems, Troubleshooting, System Administration, SQL, Software Development
Education
Northeastern University 1994 — 1998
Bachelor, Computer Engineering
Benjamin Franklin Institute of Technology 1992 — 1994
Asscociate, Computer Engineering
Senior Whole Health July 2012 - December 2012
Codman Square Health Center June 2011 - October 2011
Tufts Medical Center April 2011 - May 2011
Affiliated Physicians Group September 2009 - January 2010
Boston Children's Hospital February 2001 - September 2008
Lincoln Technical Institute August 2007 - November 2007
Massachusetts General Hospital August 1999 - February 2001
Education
Fisher College 2004 — 2007
BA, Business Administration
Burdett College 1997 — 1998
Certificate, Health and Medical Administrative Services
Liberty Mutual Insurance June 2014 - Present
Liberty Mutual Insurance July 2011 - June 2014
Senior Whole Health June 2010 - August 2010
Skills
Financial Analysis, Internal Audit, Internal Controls, Financial Reporting, Risk Management, Auditing, Financial Risk, Financial Statements, Insurance, Account Reconciliation
Education
Bryant University 2007 — 2011
Bachelor of Business Administration (B.B.A.), Finance
Northeastern University
Master of Business Administration (M.B.A.), Banking, Corporate, Finance, and Securities Law
Senior Whole Health August 2011 - December 2012
NYS Department of Health 2003 - 2010
NYS Department of Health 1981 - 2003
Tufts Medical Center 1978 - 1980
Skills
Utilization Management, Healthcare, Healthcare Management, Hospitals, Managed Care, Medicaid, Program Development, Patient Safety, Nursing, Public Health, Health Policy, Clinical Research, Long-term Care, Medicare, Health Promotion, HIPAA, Cpr Certified, Quality Improvement, Healthcare Industry, Healthcare Consulting, Health Insurance, Prevention, Home Care, Critical Care, Policy, Healthcare Information..., EHR, Case Managment, Disease Management, Health Education, Provider Relations, EMR, Case Management, Informatics
Education
The Catholic University of America 1974 — 1976
MS in Nursing, Cardiovascular Nursing
D'Youville College 1968 — 1973
BS in Nursing, Nursing
Senior Whole Health June 2005 - Present
Gentiva Health Services June 2004 - June 2005
VNA of SE Mass 1999 - 2004
Skills
Nursing, Utilization Management
Education
Fall River Diploma School of Nursing 1972 — 1975
Bridgewater State College
Senior Whole Health March 2015 - Present
The Judge Group October 2012 - August 2014
AAA 2010 - 2011
MetLife January 2008 - April 2010
BCBSRI 1991 - 2007
Skills
Statistical Modeling, Statistics, Analytics, Predictive Analytics, Actuarial, Data Analysis, Insurance, Predictive Modeling, Pricing, Access, Mathematics, Analysis, SAS/SQL, Excel, Actuarial Science, Modeling, Risk, SQL, Word, General Insurance, Health Insurance, Property & Casualty..., Risk Management, Business Analysis, Financial Risk, Microsoft Word, SAS programming, Microsoft Excel, Underwriting
Education
University of Rhode Island 1987 — 1990
BS, Applied Mathematics
Case Western Reserve University 1984 — 1985
Mathematics
Senior Whole Health January 2005 - Present
Senior Whole Health January 2005 - Present
Wingate Healthcare January 2000 - January 2006
Wingate Healthcare January 2001 - January 2005
Skills
Nursing, EMR, Hospitals, Healthcare, Managed Care, Medicare, Healthcare Management, Medicaid, Case Managment, Case Management, HIPAA, Healthcare Consulting, Healthcare Information..., Home Care, Patient Safety, Utilization Management
Education
Massachusetts Bay Community College
L.P.P, Nursing Science
Massachusetts Bay Community College
Senior Whole Health September 2012 - Present
Mass Mutual May 2007 - January 2012
Fallon Community Health Plan September 1985 - August 2006
Mass Rating Bureaus November 1982 - September 1985
Skills
Ethical Leadership, Create Audit Department, Leadership Development, Risk Assessment, Compliance, Internal Audit, Insurance, Risk Management, Internal Controls, Financial Analysis, Accounting, Sarbanes-Oxley Act, Business Process..., HIPAA, Enterprise Risk..., Analysis, Auditing, Process Improvement, Governance
Education
Nichols College 1993 — 1996
MBA, Business
Salem State College 1978 — 1983
BSBA, Accounting
Health Data Vision June 2013 - Present
Senior Whole Health March 2012 - December 2012
Blue Cross Blue Shield of Massachusetts July 2002 - July 2003
Applied Insurance Research (AIR) Worldwide November 2000 - January 2002
Lexington Insurance Company (AIG) July 1999 - November 2000
Harvard Pilgrim Health Care August 1993 - July 1999
BNE/Fleet Bank 1991 - 1993
Skills
Medicare, Managed Care, Health Insurance, Healthcare, Insurance, Data Analysis, Financial Analysis, Analysis, Analytics, Reinsurance, Underwriting, Catastrophy Analysis, Access, Excel, SQL, SAS, Minitab, Regulatory Filings, Commercial Insurance, Provider Contracting, Microsoft Excel, Financial Risk, PPO, Management, Healthcare Information..., Healthcare Industry, Process Improvement, HIPAA
Education
Boston University 1996 — 1998
MS, Actuarial Science
Suffolk University 1987 — 1992
BS, Mathematics & Econometrics
St. Gregory High School 1981 — 1985
Union of Minority NeighborhoodsNon Profit October 2012 - Present
Museum of African American History August 2012 - October 2012
JAMES J. BREMIS REALTY INC October 2009 - July 2012
Senior Whole Health January 2012 - April 2012
Sunlife of Canada US World Healdquarters May 2011 - September 2011
HOUGHTON MIFFLIN HARCOURT PUBLISHERS July 2010 - April 2011
BRIGHAM’S & WOMEN’S HOSPITAL August 2008 - December 2008
CHILDREN’S HOSPITAL June 2008 - August 2008
VETERANS BENEFITS CLEARINGHOUSE September 2004 - April 2007
Skills
Insurance, Visio, Mutual Funds, Human Resources
Education
Operation A.B.L.E of Greater Boston, Inc 2012 — 2012
Microsoft Windows 2010
Simmons College 2000 — 2002
Bunker Hill Community College
Associates, Science; Hotel/Restaurant Management
PAIGE ACADEMY September 2011 - March 2012
Paige Academy 2011 - 2012
Senior Whole Health October 2009 - November 2010
Senior Whole Health October 2009 - November 2010
BOOKS OF HOPE January 2010 - May 2010
Bunker Hill Community College September 2009 - May 2010
The McCormack Firm June 2006 - June 2008
M.N.C.A.A.A September 2002 - October 2003
Skills
Mac/PC proficient, Proficient in InDesign, Adobe Creative Suite, HIPAA, Image Editing, Microsoft Office, Tabs, Internet Research, Stock Management, Social Media, Audio Editing, Audio Mixing, Adobe Audition
Education
Bunker Hill Community College 2008 — 2010
Associate of Science (A.S.), Graphic Design
The Program, LLC September 2013 - Present
Interactive Motion Technologies May 2011 - August 2013
Interactive Motion Technologies September 2008 - May 2011
Senior Whole Health January 2008 - September 2008
Senior Whole Health January 2007 - January 2008
Senior Whole Health January 2006 - January 2007
Westrex International March 2003 - January 2006
University of Alabama January 1999 - January 2002
Skills
Strategic Planning, Negotiation, Healthcare, Project Management, Team Leadership, Strategic Partnerships, Budgets, Financial Analysis, Start-ups, New Business Development, Business Strategy, Intellectual Property, Analysis, Cross-functional Team..., Financial Reporting, Accounting, Customer Service, Fundraising
Education
University of Alabama at Birmingham 1999 — 2001
Master's degree, English Language and Literature, General
Birmingham-Southern College 1993 — 2009
Bachelor's degree, English Language and Literature, General
Eddy Visiting Nurses Association January 2013 - Present
Senior Whole Health August 2008 - December 2012
St. Clare's Hospital March 1999 - July 2008
Education
Maria College of Albany
Senior Whole Health 2009 - Present
Skills
Utilization Management, Disease Management, Nursing, Managed Care, Healthcare Management, Medicaid, Medicare, Healthcare, Hospitals, Home Care, HIPAA, Healthcare Information..., FIDA
Education
Emmanuel College
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Senior Whole Health July 2015 - Present
Centerlight Health System November 2014 - March 2015
Visiting Nurse Service of New York December 2013 - November 2014
Visiting Nurse Service of New York January 2013 - December 2013
OG Organo Gold Coffee September 2012 - September 2013
Visiting Nurse Service of New York June 2010 - January 2013
Monroe College January 2009 - June 2010
Macy's Herald Square (New York, NY) October 2008 - January 2009
Mosholu Montefiore Community Center July 2006 - September 2008
Dowling College August 2004 - May 2008
Skills
Bilingual in English..., Preparation Of Reports, Written Correspondence, General Office Skills, Proficient in Microsoft..., Computer Savvy, Customer Service, Front-Office Operations, Sales & Marketing..., Salesforce.com, EPACES/EMED, Counselor Tracking..., Datatel, Sage MIP, Professional..., Management, Team Building, Front Office
Education
Monroe College 2008 — 2009
Master of Business Administration (MBA)
Dowling College 2003 — 2008
Bachelor of Business Administration (BBA)