1. CORINNE ORLINSKI Home (781) 987-1387
25 Silver Brook Lane Mobile (508) 277-2975
Norwell, MA 02061 e-mail corlinski@usa.net
SUMMARY
Over 30 years of progressive experience in the health care industry. This experience includes eleven
years of direct clinical experience, and 19 years of significant management experience, with a
concentration in Network Development/ Contracting, Product Development, Product Operations,
Regulatory Oversight, Project management, and Technology Integration.
 Network Development: expanded Provider network, with full-risk contracts, by 40% in less than
two years.
 Changed Product Development process within Organization- Over the course of eighteen
months I had my Dept. develop report views of our current Product Portfolio that demonstrated
the need to significantly change our approach to product development. This work led to our
Product Lifecycle Model approach that is currently used when developing or evaluating products
in our Market.
 Innovator/ Strategic Planning: Consistently work with all Provider contracting areas to
evaluate how to modify/ change our contracting approach to align with where we want to go with
our Products and our Company Branding.
 Team Leadership and Collaboration: Led department-restructuring effort to improve
efficiencies and increase job satisfaction. Reducing Staff turnover from 74% to 34% in less than
two years.
 Regulatory Compliance: Led four successful Federal site visits (CMS). Regularly work with
key Leaders to evaluate the growing constraints driven by the Federal Government (Federal
Health Care Reform). Considerations include; Member, Employer, Provider, and Plan.
 Communications: Possess strong analytical, interpersonal and cross-cultural skills. Introduced
and Implemented new Call Center technology through key cross-departmental partnerships.
PROFESSIONAL EXPERIENCE
Harvard Pilgrim Health Care, Quincy, MA November 2004- Current
Director Benefit Administration/ Product Data Management
Support three areas this Dept. is divided into: Contracting – filings with State Regulators for new
Products, request by Employer Groups, etc. Benefit Policy- focus on mapping Industry standard coding
to covered benefits for payment. Working with Network Contracting and Provider Development to
develop products. Product Data Management- developing and managing the application that stores our
Product Portfolio information along with all of it’s rules and associated dependent business areas (
Network Contracting, Claims, Sales, Legal, Underwriting, Actuarial, etc).
 As part of our Benefit Policy team we own a Company wide committee which supports
changes in Benefit Policy, Payment Policy, and the regulated environment which allows
us to quickly deliver and develop products to our Market.

2. Corinne Orlinski
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Secure Horizons Tufts Health Plan, Watertown, MA March 1999 –January 2003
Director Customer Services March 1997 –January 2003
Responsible for developing and implementing a service strategy for both our Members and
Providers. This includes: two call centers (over 170 employees), the creation of a Quality and
Technology Center as well ad the Member Support Department (Appeals and Grievance Unit
and Member Education Unit). Budget responsibility of 6.4 million dollars.
 Member satisfaction went from 81%-96% in three years and Provider Satisfaction went
from 54% to 83% in that same time period.
 Introduced IVR/ Web technology for Providers (self-serve)
 Launched Companies first Call Outsourcing Arrangement, including contract negotiation,
technical integration, training, and tools to monitor “virtual Call Center”.
 Redesigned/ evolved Call Centers- including physical environment, development of
“mixed” staffing recruitment model, redesigned approach to training and the
development on on-line tools, as well as introduced new Call Center Incentive Program.
Overall impact was Productivity increased 42%, Quality increased 15% (now 95%
consistently), and absenteeism went from 28% to 12%.
Matthew Thornton Health Plan, Nashua, NH August 1996- May 1997
Medicare Program Administrator/ Director
Developed and implemented an operational model to support the successful launch of the Plans
Medicare Risk product. Lead HCFA application, site visit, and approval process with Plan and
Government Regulators. Developed Company-wide operational Systems to support the Medicare
business line.
Secure Horizons Tufts Health Plan, / then Tufts Health Plans Watertown, MA
August 1993- December 1995
Regional Manager of Network Development (merged Secure Horizons Network Development
Department into Tufts Health Plans)
Grew Provider Network by 40% in less than two years. This expansion included Rhode Island,
Western Massachusetts, and NH (for both Commercial and Medicare products). Successfully
reconstituted a Provider Network with both attractive and successful new contracts put in place
in the needed timeframe.
Meridia Institute, Mayfield Village, Ohio April 1992- August 1993
Manager of New Venture Management-
Managed seven for profit Health system companies (DME, Infusion, Home Health, Lifeline, Sleep Lab,
Outpatient OT/pt, and MRI units). Exceeded revenue targets by 145%.
Corinne Orlinski

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HOMEDCO, Baltimore, MD and Cleveland, Ohio September 1989- March 1992
Regional Manager Managed Care Ventures
Developed two new markets and expanded existing business by over 180% in Baltimore, MD,
and 150% in Cleveland, Ohio. Introduced Management Agreements, Ventures, and various types
of managed care contracts.
Cigna Corporation, Columbia, MD September 1987- August 1989
Account Executive
Exceeded revenue goals by 165 % consistently for over two years. Expanded Provider network in order
to meet the needs of major employer (over 32,000 employees).
Registered Respiratory Therapist July 1979 -October 1987
EDUCATION
National-Louis University, BA in Applied Business Behavior/ 1988
Community College of Rhode Island, Associates in Applied Science/ 1979
References available upon request.