Tufts Health Plans
Industry: Company
DescriptionTufts Health Plan is a Massachusetts-based health insurance company under Tufts Associated Health Plans, Inc. with headquarters in Watertown. As of March 31, 2016, the nonprofit health insurer had 1,072,000 members. The Tufts Health Plan network includes 91 hospitals and 29,000 health care providers. CEO: Thomas Croswell (Jan 2016–) Headquarters: Watertown, MA Number of employees: 2,400 Founded: 1979 Subsidiaries: Tufts Health Public Plans, Inc., Integra Partners Holdings, LLC Areas served: Massachusetts, Rhode Island
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Tufts Health Plans Employees
Employee
Years
Job
Industry
William (Bill) Dunne William (Bill) Dunne's Tufts Health Plans Experience April 1990 - October 1995
Job Chief Growth Officer, Business Development, Account Management at Provant Health Solutions
Industry Health, Wellness and Fitness
Experience
Provant Health Solutions December 2012 - Present
Aetna May 2011 - November 2012
EmblemHealth May 2009 - May 2011
Health Net of the Northeast September 2007 - May 2009
ADVO Inc (now Valassis Communications) March 2003 - September 2007
CIGNA HealthCare October 1995 - March 2003
Tufts Health Plans April 1990 - October 1995
Contel Business Systems September 1985 - March 1990
Skills
Health Insurance, Medicare, Managed Care, Insurance, Employee Benefits, Healthcare, Executive Management, Account Management, Strategic Partnerships, Process Improvement, Underwriting, Healthcare Information..., Strategic Planning, New Business Development, Contract Negotiation, Sales Effectiveness, Profitable Growth, Health Insurance..., Commercial Insurance, Sales, Business Development, Sales & Marketing..., Huthwaite, Sales Management..., Sustainability, Talent Management, Early Stage Companies, Emerging Growth..., Marketing Strategy, Go-to-market Strategy, Channel Optimization, Sales Intelligence, CRM Integration, C Level Selling, Incentive Programs, Sales Compensation Plans, Data-driven Marketing, Customer Segmentation..., Behavioral Segmentation, Enthusiastic..., Positive Personality, Challenge Driven, Delivering Results, Leading Change, Building Coalitions, Leadership, High Performance Teams, Transformational..., Executive Team Alignment, Organizational...
Education
Villanova University 1982 — 1985
BS, Accounting, Business
Suffolk University 1988 — 1990
MBA, Villanova Univ (BS) &, Business
Provant Health Solutions December 2012 - Present
Aetna May 2011 - November 2012
EmblemHealth May 2009 - May 2011
Health Net of the Northeast September 2007 - May 2009
ADVO Inc (now Valassis Communications) March 2003 - September 2007
CIGNA HealthCare October 1995 - March 2003
Tufts Health Plans April 1990 - October 1995
Contel Business Systems September 1985 - March 1990
Skills
Health Insurance, Medicare, Managed Care, Insurance, Employee Benefits, Healthcare, Executive Management, Account Management, Strategic Partnerships, Process Improvement, Underwriting, Healthcare Information..., Strategic Planning, New Business Development, Contract Negotiation, Sales Effectiveness, Profitable Growth, Health Insurance..., Commercial Insurance, Sales, Business Development, Sales & Marketing..., Huthwaite, Sales Management..., Sustainability, Talent Management, Early Stage Companies, Emerging Growth..., Marketing Strategy, Go-to-market Strategy, Channel Optimization, Sales Intelligence, CRM Integration, C Level Selling, Incentive Programs, Sales Compensation Plans, Data-driven Marketing, Customer Segmentation..., Behavioral Segmentation, Enthusiastic..., Positive Personality, Challenge Driven, Delivering Results, Leading Change, Building Coalitions, Leadership, High Performance Teams, Transformational..., Executive Team Alignment, Organizational...
Education
Villanova University 1982 — 1985
BS, Accounting, Business
Suffolk University 1988 — 1990
MBA, Villanova Univ (BS) &, Business
Corinne Orlinski Corinne Orlinski's Tufts Health Plans Experience 1993 - 2003
Job Program Director at Blue Cross Blue Shield of Massachusetts
Industry Insurance
Experience
Blue Cross Blue Shield of Massachusetts April 2011 - Present
Harvard Pilgrim healthCare November 2004 - December 2010
Tufts Health Plans 1993 - 2003
Meridia health System ( now part of the Cleveland Clinic) 1992 - 1993
HOMEDCO 1989 - 1992
CIGNA 1987 - 1989
Various Hospitals on the East Coast May 1979 - August 1987
Skills
Medicare, Healthcare Information..., Health Insurance, Healthcare Industry, Cross-functional Team..., Contract Negotiation, Contract Management, Regulatory compliance, Product Launch, Project Management, Change Management, Leadership, Healthcare, Strategy, Analysis, Insurance, Managed Care, Process Improvement, HIPAA, Management, Employee Benefits, Program Management
Education
National-Louis University 1986 — 1988
BA, Applied Business Behavior
Community College of Rhode Island 1977 — 1979
Associates, Respiratory/Nursing
Tolman High School 1971 — 1974
Blue Cross Blue Shield of Massachusetts April 2011 - Present
Harvard Pilgrim healthCare November 2004 - December 2010
Tufts Health Plans 1993 - 2003
Meridia health System ( now part of the Cleveland Clinic) 1992 - 1993
HOMEDCO 1989 - 1992
CIGNA 1987 - 1989
Various Hospitals on the East Coast May 1979 - August 1987
Skills
Medicare, Healthcare Information..., Health Insurance, Healthcare Industry, Cross-functional Team..., Contract Negotiation, Contract Management, Regulatory compliance, Product Launch, Project Management, Change Management, Leadership, Healthcare, Strategy, Analysis, Insurance, Managed Care, Process Improvement, HIPAA, Management, Employee Benefits, Program Management
Education
National-Louis University 1986 — 1988
BA, Applied Business Behavior
Community College of Rhode Island 1977 — 1979
Associates, Respiratory/Nursing
Tolman High School 1971 — 1974
Jared Kilgour Jared Kilgour's Tufts Health Plans Experience March 1999 - June 1999
Job Managing Director at Agility Partners
Industry Information Technology and Services
Experience
Agility Partners June 2014 - Present
Agility Partners September 2010 - June 2014
Agility Partners June 2006 - October 2010
Abt Associates Inc. 2003 - 2006
Abt Associates Inc. June 1999 - June 2003
Tuft's Health Plans March 1999 - June 1999
Stream International September 1998 - March 1999
Skills
Java, Lotus, Linux, Sametime, Lotus Domino, System Administration, Security, VMware, Messaging, Lotus Notes, Cloud Computing, Enterprise Architecture, Microsoft Office, IT Management, Software Development, Email Migration, Email Coexistence, Binary Tree, Office 365, Microsoft Exchange, Lync, Solution Architecture, IBM SmartCloud, C++, Binary Tree CMT for..., Project Management, Professional Services..., IT Operations, Channel Sales, Lotus Traveler, WebSphere Portal, Novell Netware, Administration, Architecture, Quickr, Active Directory, Blackberry Enterprise..., Integration, Websphere, Deployment, Virtualization, IBM SmartCloud for..., Infrastructure, SharePoint, Business Process, Unified Communications, Collaboration Solutions, Solution Selling, Professional Services, Microsoft Technologies
Education
Bridgewater State College 1998 — 2002
Agility Partners June 2014 - Present
Agility Partners September 2010 - June 2014
Agility Partners June 2006 - October 2010
Abt Associates Inc. 2003 - 2006
Abt Associates Inc. June 1999 - June 2003
Tuft's Health Plans March 1999 - June 1999
Stream International September 1998 - March 1999
Skills
Java, Lotus, Linux, Sametime, Lotus Domino, System Administration, Security, VMware, Messaging, Lotus Notes, Cloud Computing, Enterprise Architecture, Microsoft Office, IT Management, Software Development, Email Migration, Email Coexistence, Binary Tree, Office 365, Microsoft Exchange, Lync, Solution Architecture, IBM SmartCloud, C++, Binary Tree CMT for..., Project Management, Professional Services..., IT Operations, Channel Sales, Lotus Traveler, WebSphere Portal, Novell Netware, Administration, Architecture, Quickr, Active Directory, Blackberry Enterprise..., Integration, Websphere, Deployment, Virtualization, IBM SmartCloud for..., Infrastructure, SharePoint, Business Process, Unified Communications, Collaboration Solutions, Solution Selling, Professional Services, Microsoft Technologies
Education
Bridgewater State College 1998 — 2002
David Hofstetter, ELI-MP David Hofstetter, ELI-MP's Tufts Health Plans Experience 1991 - 1995
Job Founder/Chief Strategist at The Hofstetter Group
Industry Human Resources
Experience
The Hofstetter Group June 2015 - Present
New England Organ Bank 2006 - June 2015
2014 NE ASTD Conference 2014 - 2014
ForthSette 1995 - 2006
Tufts Health Plans 1991 - 1995
Skills
Performance Management, Learning and Development, Organizational..., MBTI, Organizational Learning, Coaching, Onboarding, Training Skills, Management Development, Organizational..., Management Consulting, Learning Management..., Performance Appraisal, Workshop Facilitation, Leadership Development, Instructional Design, Training, Blended Learning, Leadership, Employee Training, Talent Management, Learning Program..., Project Management, Learning and OD..., Customer Service, Learning Strategy, Lean/Six Sigma, LMS Administration, Change Management, Strategy, Program Management, Management, Human Resources, Policy, Employee Relations, E-Learning, Conflict Resolution, Succession Planning, Talent Acquisition, Career Development, Employee Engagement, Executive Coaching, 360 Feedback, Workforce Planning, HRIS, Culture Change, Training Delivery, Organizational Design, Performance Consulting, Learning Management
Education
New England Coaching 2014 — 2014
Executive Coaching
Capella University 2000 — 2002
MS, Organizational Psychology
Northeastern University 1990 — 1994
BS, Business Management
The Hofstetter Group June 2015 - Present
New England Organ Bank 2006 - June 2015
2014 NE ASTD Conference 2014 - 2014
ForthSette 1995 - 2006
Tufts Health Plans 1991 - 1995
Skills
Performance Management, Learning and Development, Organizational..., MBTI, Organizational Learning, Coaching, Onboarding, Training Skills, Management Development, Organizational..., Management Consulting, Learning Management..., Performance Appraisal, Workshop Facilitation, Leadership Development, Instructional Design, Training, Blended Learning, Leadership, Employee Training, Talent Management, Learning Program..., Project Management, Learning and OD..., Customer Service, Learning Strategy, Lean/Six Sigma, LMS Administration, Change Management, Strategy, Program Management, Management, Human Resources, Policy, Employee Relations, E-Learning, Conflict Resolution, Succession Planning, Talent Acquisition, Career Development, Employee Engagement, Executive Coaching, 360 Feedback, Workforce Planning, HRIS, Culture Change, Training Delivery, Organizational Design, Performance Consulting, Learning Management
Education
New England Coaching 2014 — 2014
Executive Coaching
Capella University 2000 — 2002
MS, Organizational Psychology
Northeastern University 1990 — 1994
BS, Business Management
Robert Kempe Robert Kempe's Tufts Health Plans Experience January 1994 - October 1995
Job Consultant at F5 Networks
Industry Information Technology and Services
Experience
F5 Networks January 2007 - Present
Latitude 41 Marine Electronics, LLC November 2001 - December 2006
Fore Systems October 1995 - October 2001
Tufts Health Plans January 1994 - October 1995
Tufts Health Plans June 1993 - December 1993
New England Power July 1992 - December 1993
NEC May 1991 - July 1992
Department of the Navy July 1989 - May 1991
Information Systems and Networks Corp May 1988 - July 1989
Skills
Networking, Cloud Computing, Network Architecture, Network Security, IP, Routing, TCP/IP, Integration, Network Design, Ethernet, WAN, F5 BigIP, DNS, Project Management, Professional Services
Education
Rhode Island College 1984 — 1987
B.S. Magna Cum Laude, Industrial Technology
Community College of Rhode Island 1981 — 1983
A.A.S Highest Honors, Instrumentation
F5 Networks January 2007 - Present
Latitude 41 Marine Electronics, LLC November 2001 - December 2006
Fore Systems October 1995 - October 2001
Tufts Health Plans January 1994 - October 1995
Tufts Health Plans June 1993 - December 1993
New England Power July 1992 - December 1993
NEC May 1991 - July 1992
Department of the Navy July 1989 - May 1991
Information Systems and Networks Corp May 1988 - July 1989
Skills
Networking, Cloud Computing, Network Architecture, Network Security, IP, Routing, TCP/IP, Integration, Network Design, Ethernet, WAN, F5 BigIP, DNS, Project Management, Professional Services
Education
Rhode Island College 1984 — 1987
B.S. Magna Cum Laude, Industrial Technology
Community College of Rhode Island 1981 — 1983
A.A.S Highest Honors, Instrumentation
Jennifer L. Edwards, CPC, CPC-H Jennifer L. Edwards, CPC, CPC-H's Tufts Health Plans Experience 1991 - 2001
Job Revenue Integrity Manager, Partners Healthcare.
Industry Insurance
Experience
Partners HealthCare February 2011 - Present
Connolly, LLC September 2012 - December 2013
Partners HealthCare December 2009 - February 2011
Boston Medical Center Health Net Plan April 2006 - August 2009
Blue Cross Blue Shield June 2005 - April 2006
Provider Service Network June 2003 - June 2005
Provider Service Network February 2001 - June 2003
Tufts Health Plans 1991 - 2001
Skills
Access, Analysis, Data Analysis, Healthcare, Training, Managed Care, Revenue Cycle, Management, Auditing, Policy, Finance, Insurance, Hospitals, Medical Coding, Healthcare Management, HIPAA, Medicare, Medicaid
Education
University of Massachusetts, Amherst 1987 — 1991
BA, Legal Studies
Partners HealthCare February 2011 - Present
Connolly, LLC September 2012 - December 2013
Partners HealthCare December 2009 - February 2011
Boston Medical Center Health Net Plan April 2006 - August 2009
Blue Cross Blue Shield June 2005 - April 2006
Provider Service Network June 2003 - June 2005
Provider Service Network February 2001 - June 2003
Tufts Health Plans 1991 - 2001
Skills
Access, Analysis, Data Analysis, Healthcare, Training, Managed Care, Revenue Cycle, Management, Auditing, Policy, Finance, Insurance, Hospitals, Medical Coding, Healthcare Management, HIPAA, Medicare, Medicaid
Education
University of Massachusetts, Amherst 1987 — 1991
BA, Legal Studies
Betty St. Sauveur's Tufts Health Plans Experience January 1984 - January 1996
Job Regional Vice President, VHA
Industry Hospital & Health Care
Experience
VHA Inc. May 2010 - April 2013
Viant May 2007 - May 2010
Private Healthcare Systems (PHCS) January 1998 - May 2007
Tufts Health Plans January 1984 - January 1996
Skills
Management, Leadership, Managed Care, Strategy, Healthcare, Strategic Planning, Healthcare Consulting, Program Management, Provider Relations, Healthcare Industry, Marketing, Team Building, Health Insurance, Healthcare Management, Media Relations, Market Research, Consulting, Corporate Communications, Networking, Business Strategy, Customer Service, Public Relations, Brand Management, Cross-functional Team..., HMO, Budgets
Education
Northeastern University 1980 — 1990
Bachelor's degree, Business Administration and Management, General
Northeastern University
B.S.B.A, Management
VHA Inc. May 2010 - April 2013
Viant May 2007 - May 2010
Private Healthcare Systems (PHCS) January 1998 - May 2007
Tufts Health Plans January 1984 - January 1996
Skills
Management, Leadership, Managed Care, Strategy, Healthcare, Strategic Planning, Healthcare Consulting, Program Management, Provider Relations, Healthcare Industry, Marketing, Team Building, Health Insurance, Healthcare Management, Media Relations, Market Research, Consulting, Corporate Communications, Networking, Business Strategy, Customer Service, Public Relations, Brand Management, Cross-functional Team..., HMO, Budgets
Education
Northeastern University 1980 — 1990
Bachelor's degree, Business Administration and Management, General
Northeastern University
B.S.B.A, Management
Pam Giannatsis's Tufts Health Plans Experience 2004 - Present
Job Senior Communications Manager at Tufts Health Plan
Industry Hospital & Health Care
Experience
Tufts Health Plan June 2004 - Present
Tufts Health Plans 2004 - Present
Skills
Crisis Communications, Strategic Communications, Internal Communications, Corporate Communications, Public Relations, Media Relations, Press Releases, Communications Planning, Content Development, Copywriting, Newsletters, Speech Writing, Editing, Feature Articles, Marketing Communications, Copy Editing, Publications, Web Content, Proofreading, Content Management, Creative Writing, Content Strategy, Editorial, Publicity, Journalism
Education
Boston College
MA, English
University of Massachusetts, Amherst
BA, Journalism/English
Tufts Health Plan June 2004 - Present
Tufts Health Plans 2004 - Present
Skills
Crisis Communications, Strategic Communications, Internal Communications, Corporate Communications, Public Relations, Media Relations, Press Releases, Communications Planning, Content Development, Copywriting, Newsletters, Speech Writing, Editing, Feature Articles, Marketing Communications, Copy Editing, Publications, Web Content, Proofreading, Content Management, Creative Writing, Content Strategy, Editorial, Publicity, Journalism
Education
Boston College
MA, English
University of Massachusetts, Amherst
BA, Journalism/English
Rich Hallworth's Tufts Health Plans Experience 1994 - 2001
Job Chief Executive Officer at Corizon
Industry Medical Practice
Experience
Corizon June 2011 - October 2013
Prison Health Services 2006 - June 2011
America Service Group Inc. March 2006 - June 2010
Tufts Health Plan 2001 - 2005
Tufts Health Plans 1994 - 2001
Ernst & Young October 1979 - June 1994
Skills
Healthcare, Healthcare Information..., Managed Care, EHR, Clinical Research, Strategic Planning, EMR, Program Management, Healthcare Management, Management, Process Improvement, Medicare, Hospitals, Physician Relations, Public Speaking, HIPAA, Leadership, Medicaid, Healthcare Industry, Healthcare Consulting, Revenue Cycle, Informatics
Education
Bentley University 1973 — 1977
Corizon June 2011 - October 2013
Prison Health Services 2006 - June 2011
America Service Group Inc. March 2006 - June 2010
Tufts Health Plan 2001 - 2005
Tufts Health Plans 1994 - 2001
Ernst & Young October 1979 - June 1994
Skills
Healthcare, Healthcare Information..., Managed Care, EHR, Clinical Research, Strategic Planning, EMR, Program Management, Healthcare Management, Management, Process Improvement, Medicare, Hospitals, Physician Relations, Public Speaking, HIPAA, Leadership, Medicaid, Healthcare Industry, Healthcare Consulting, Revenue Cycle, Informatics
Education
Bentley University 1973 — 1977
Doreen Bouvier's Tufts Health Plans Experience 1994 - 2006
Job Sales Operation Analyst at ZipWall
Industry Program Development
Experience
ZipWall April 2013 - Present
Hi-Temp Coatings September 2007 - May 2012
Lady Comforter of the Afflicted 2006 - 2007
Tufts Health Plans 1994 - 2006
Skills
Requirements Analysis, Strategic Planning, Access, Program Management, Process Improvement, Project Management, Management, Product Development, Business Process..., Engineering, Training, CRM, Project Planning, Sales, Operations Management, Customer Service, Marketing, Account Management, Leadership, Cross-functional Team...
Education
Boston University 2009 — 2009
Proj Mgmt, Project Management
ZipWall April 2013 - Present
Hi-Temp Coatings September 2007 - May 2012
Lady Comforter of the Afflicted 2006 - 2007
Tufts Health Plans 1994 - 2006
Skills
Requirements Analysis, Strategic Planning, Access, Program Management, Process Improvement, Project Management, Management, Product Development, Business Process..., Engineering, Training, CRM, Project Planning, Sales, Operations Management, Customer Service, Marketing, Account Management, Leadership, Cross-functional Team...
Education
Boston University 2009 — 2009
Proj Mgmt, Project Management
Chelinde Edouard's Tufts Health Plans Experience 1995 - 1996
Job Independent Health Care Consultant
Industry Insurance
Experience
CME CONSULTING July 2009 - Present
Blue Cross Blue Shield of Massachusetts 2000 - 2009
Blue Cross Blue Shield of Massachusetts 1997 - 2000
Healthsource Inc. June 1996 - May 1997
Tufts Health Plans 1995 - 1996
Tufts Health Plans 1988 - 1995
Education
Boston University
BS, Economics
Faculte de Droit et des Sciences Economiques
Graduated, Law & Economics
CME CONSULTING July 2009 - Present
Blue Cross Blue Shield of Massachusetts 2000 - 2009
Blue Cross Blue Shield of Massachusetts 1997 - 2000
Healthsource Inc. June 1996 - May 1997
Tufts Health Plans 1995 - 1996
Tufts Health Plans 1988 - 1995
Education
Boston University
BS, Economics
Faculte de Droit et des Sciences Economiques
Graduated, Law & Economics
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY