John Everett
Abington,MA
Summary
Development Specialist with 3 + years of Non Profit experience. In-depth knowledge of onboarding and training employees, effectively planning strategies to meet staff development requirements. Experienced in using learning management systems to drive training and development across all company levels.
Overview
17
17
years of professional experience
Work History
Development Assistant
Friends of Boston's Homeless
Jamaica Plain, MA
02.2014 - 07.2016
- Maintained and updated donor databases, tracked contributions, and returned acknowledgment letters and receipts to individual donors via Constant Contact
- Managed over 500+ donor list for acknowledgements and outreach
- Conducted research to identify potential donors and assisted in crafting grant proposals and promotional materials consistent with gifting needs.
- Compiled and edited data from physical and virtual (online giving platforms) donations for entry in Access database
- Arranged and delivered volunteer proposal opportunities to area restaurant groups with intention of staff serving in local shelter kitchens.
Outreach Intern/Grants Coordinator
Barakat, Inc.
Cambridge, MA
01.2009 - 09.2009
- Received, evaluated, and input donations utilizing CRM database for tracking
- Researched and evaluated foundations and institutions for sources of possible funding
- Coordinated with grants team in the process of grant research, outreach and development of applications
- Prepared and submitted letters of inquiry and full proposals intended for organizational program funding
- Garnered $40K grant for new school initiatives, for maintenance of school facilities, and for general operations
Operations Service Representative, Home Plan to Plan Service
Blue Cross Blue Shield of Massachusetts
Hingham, MA
01.2023 - Current
- Assess claims from out-of-state service standpoint, serving as member’s designated home plan.
- Respond to inquiries on plan-to-plan communication to offer resolution based on MA coverage
- Analyze and adjust claims based on Host plan requests in order to correctly reprocess services
- Review, advise and adjust managed care claims for New England Health Plans (HMOs)
- Coordinate Benefits for Medicare & secondary/tertiary based claims allowing for allocation of BCBSMA coverage
- Manage Member Service claim intents to resolution in conjunction with out-of-state plan interactions
Pharmacy Operations Analyst
Blue Cross Blue Shield of Massachusetts
Hingham, MA
02.2018 - 03.2023
- Researched and carried out inquiry requests via phone on patient accounts for prescriber offices, hospitals, outpatient facilities, pharmacies, and medication providers
- Handled up to 50 prescriber and Provider calls per day
- Initiated prior authorization case formulary using submitted criteria for drug utilization
- Consulted directly with clinical pharmacy staff under review of criteria for case decisions
- Followed up with prescribing doctor’s offices to clarify submitted patient information and update regarding case decision
- Opened submitted clinical fax criteria from authorization requests from providers for Medical Buy & Bill and Home Infusion benefit coverage
- Guided incoming associates through process of analyzing fax requests and basics of phone training
Education
Master of Science - Critical Ethnic And Community Studies
University of Massachusetts, Boston
Boston, MABachelor of Arts - English
Curry College
Milton, MA05-2009
Skills
- Project coordination
- Customer relationship management (CRM)
- Grant applications
- Multitasking
- Clear and concise communication skills
- Strong organizational skills
- Analytical problem-solving
- Critical analysis
- Record preparation
- Nonprofit knowledge
- Data analysis
DEVELOPMENT ASSOCIATE
Seeking a role within a humanitarian not-for-profit organization with the focus of working within community program development
Timeline
Operations Service Representative, Home Plan to Plan Service
Blue Cross Blue Shield of Massachusetts
01.2023 - Current
Pharmacy Operations Analyst
Blue Cross Blue Shield of Massachusetts
02.2018 - 03.2023
Development Assistant
Friends of Boston's Homeless
02.2014 - 07.2016
Outreach Intern/Grants Coordinator
Barakat, Inc.
01.2009 - 09.2009
Master of Science - Critical Ethnic And Community Studies
University of Massachusetts, Boston
Bachelor of Arts - English
Curry College