Start a career you'll love with eternalHealth!


Join a team who is passionate about changing the healthcare landscape

Start a career you'll love with eternalHealth!

Strive for Excellence

At eternalHealth, we are striving to create the type of Medicare Advantage plans we want for our family members. Our plans are affordable, easy to understand, and keep our members feeling secure and comfortable with their healthcare.

If you are a person who loves working with a team of intelligent individuals who are not afraid to to solve problems and defy challenges or take no for an answer, than you are in the right place!

Be Your Best Self

eternalHealth is committed to promoting you with success and opportunity. We know that community, opportunity, and purpose help cultivate a supportive environment where all associates are respected and celebrated. We are dedicated to making a difference in the places we live and work.

Opportunities

eternalHealth is growing team of enthusiastic and passionate human beings that come from all different backgrounds. We are excited to speak to out-of-the-box-thinkers whether you have experience in the health care industry or not.

To apply, please send your cover letter and resume to
hr@eternalHealth.com with the email subject
“Application for [Job position here] – [Applicant first and last name]”

Or mail to: eternalHealth, Inc., 31 St. James Ave, Suite 950, Boston, MA 02116

Positions

eternalHealth – Your Forever Partner in Healthcare

Healthcare is confusing, but it doesn’t need to be. As a consumer-centric HMO based in Boston, MA, we are a tech-focused start-up that is committed to creating long-lasting partnerships with our members, our providers, and you!

About the role: As the Director of Compliance with eternalHealth you will work to support our Chief Compliance Officer in the creation and maintenance of eternalHealth’s compliance program, to ensure compliance with internal quality standards as well as applicable regulatory requirements. You will have the opportunity to work across workstreams and engage your fellow teammates to ensure a culture of compliance at eternalHealth. You will also help identify and remediate any instances of non-compliance.

We provide a unique opportunity to be a part of a health plan in its beginning stages, by taking advantage of this rare opportunity, you will be able to have insight into all the operations and expertise that is required to run a successful and sustainable plan, as well as have a hand in the development of a culture of compliance. Our team members are flexible and able to play different roles, while staying committed to teamwork and collaboration, and passionate about sustainable change.

Responsibilities:

  • Develop and implement compliance policies, procedures, and practices that comply with applicable laws and regulations.
  • Monitor changes to regulations to ensure that the organization remains up-to-date and compliant writing and revisions policies and procedures, developing, and conducting training, and engaging with internal and external auditors.
  • Lead the compliance program training and education program.
  • Monitor the organization’s exclusions and monitoring program.
  • Collaborate with cross-functional teams to identify and mitigate risk.
  • Conduct compliance program effectiveness reviews.
  • Communicate compliance program activities to senior leadership and the governing board.
  • Oversight of delegated entities to ensure compliance with applicable regulations and laws.
  • Escalation of identified issues including coordination with business owners on the development and implementation of effective corrective measures.
  • Assist the Chief Compliance Officer with administering the compliance audit and monitoring program.
  • Supervision and management of compliance staff to ensure adequate performance in supporting the needs of the business.
  • Other duties as assigned.

Requirements:

  • Five (5) years of directly applicable experience in the healthcare delivery system.
  • Bachelor’s degree in business, Healthcare Administration, Legal, Finance/Accounting or related field of study from an accredited college or university.
  • Excellent written and communication skills.
  • Creative, strategic, and continuously striving for improvement.
  • Flexible and able to ramp-up quickly on different projects to support the team as needed in a fast-paced start-up environment.

Preferred:

  • Professional certifications such as Certification in Healthcare Compliance (CHC), Certified Information Privacy Professional (CIPP), Certified Compliance and Ethics Professional (CCEP), Certified in Healthcare Privacy Compliance (CHPC) or similar are preferred.

Working with eternalHealth: eternalHealth is an Equal Opportunity Employer which means that we are committed to upholding discrimination-free hiring practices. As a woman-led company, and one committed to diversity at all levels, we strive for an organization of inclusion and acceptance. We are changing healthcare for the better, starting with our own diverse and passionate teams. As an eternalHealth employee you will be empowered to contribute to our teams and strategy, regardless of previous healthcare experience. Our valued team members are encouraged and expected to offer new solutions and creative input, all while keeping in line with eternalHealth’s mission, values, and compliance standards.

Accommodations: Any eternalHealth applicant will be considered based entirely on their individual qualifications. Should you require reasonable accommodations during the application process (which may include a job-related assessment) please contact us separately at HR@eternalhealth.com

eternalHealth – Your Forever Partner in Healthcare

Healthcare is confusing, but it doesn’t need to be. eternalHealth is a consumer-centric, Medicare Advantage Health Plan. We are committed to creating long-lasting partnerships with our members, our providers, and you!

About the role: As a Provider Engagement Representative with eternalHealth you will be supporting the end-to-end process of building and maintaining a high-quality provider network. This includes supporting ongoing growth, resolving provider issues as assigned and the day-to-day management of our provider network. A high performing provider network is a critical component of our success, and our relationships with our providers are rooted in trust and transparency. In this important and valued role, you will gain insight into multiple areas of network management, from recruitment strategy to special projects to collaborating with our providers on performance improvement initiatives. This external facing role will provide the opportunity to fully understand and communicate eternalHealth’s value proposition to our provider partners.

We provide a unique opportunity to be a part of a health plan in its beginning stages. By taking advantage of this rare opportunity, you will have insight into the operations and expertise that is required to run a successful and sustainable plan. Our team members are flexible and able to play different roles, while staying committed to teamwork and collaboration, and passionate about sustainable change.

Responsibilities:

  • Manages network performance for assigned territory through a consultative/account management approach
  • Respond to and resolve provider issues in an efficient manner. Coordinate with other departments and teams as necessary to achieve resolutions.
  • Perform site visits with assigned provider groups on a regular basis.
  • Maintain regular phone and/or video check-ins with providers in assigned territories.
  • Assists in evaluating provider performance and developing strategic plans to improve performance.
  • Drive provider performance improvement to optimize revenue, meet quality goals, support care coordination of patients, and provide performance metrics to all VBC contracts through an established process.
  • Support the development of provider network through sourcing and contracting with providers, as assigned.
  • Assist with provider credentialing needs.
  • Support provider communication needs, including but not limited to provider education, training, and information about eternalHealth products and strategy.
  • Educate providers on eternalHealth processes and resources.
  • Proactively elicit provider feedback to improve their overall experience with the Plan.
  • Continuously work to understand the market and needs of our local providers.
  • Support special projects as assigned.
  • Be able to communicate our brand, values, and differentiators effectively and accurately.
  • Maintain strict privacy and confidentiality in accordance with eternalHealth’s security standards.
  • Other duties as assigned.

Requirements:

  • Bachelor’s degree in relevant field of study (e.g. Healthcare administration, human services, public health, psychology/sociology, social work) or 5+ years of equivalent work experience.
  • Minimum 2-3 years of experience in managed healthcare, provider-facing role preferred.
  • Experienced in value-based care models preferred.
  • Strong technical skills, including with Microsoft Suite and other collaborative tools.
  • You’re a relationship builder and customer service focused.
  • Ability to communicate value-propositions in a sales-forward role.
  • Effectively communicate needs, process improvements and wins, with your network team and C-Suite officers.
  • Managerial and analytical skills to manage eternalHealth software and hardware.
  • Excellent written, negotiation, and communication skills.
  • Creative, strategic, and continuously striving for improvement.
  • Ability to present information to audiences of various skill levels.
  • Flexible and able to ramp-up quickly on different projects to support the team as needed in a fast-paced start-up environment.
  • Ability to think outside the box and offer creative and compliant solutions to existing and new problems.
  • Strong organizational skills and attention to details to handle multiple tasks, short deadlines, frequent interruptions, and shifting priorities in support of changing company objectives Current driver’s license and reliable transportation.

Working with eternalHealth: eternalHealth is an Equal Opportunity Employer which means that we are committed to upholding discrimination-free hiring practices. As a woman-led company, and one committed to diversity at all levels, we strive for an organization of inclusion and acceptance. We are changing healthcare for the better, starting with our own diverse and passionate teams. As an eternalHealth employee you will be empowered to contribute to our teams and strategy, regardless of previous healthcare experience. Our valued team members are encouraged and expected to offer new solutions and creative input, all while keeping in line with eternalHealth’s mission, values, and compliance standards.

Accommodations: Any eternalHealth applicant will be considered based entirely on their individual qualifications. Should you require reasonable accommodations during the application process (which may include a job-related assessment) please contact us separately at HR@eternalhealth.com

eternalHealth – Your Forever Partner in Healthcare and Beyond

Healthcare is confusing, but it doesn’t need to be. A consumer-centric HMO based in Boston, MA, we are a tech-focused start up that is committed to creating long-lasting partnerships with our members, our providers, and you!

About the role: As a RN Clinical Operations Manager with eternalHealth you will be a core member at eternalHealth – whose responsibilities will include care management. This position will work towards meeting financial and operational performance goals and standards.

We provide a unique opportunity to be a part of a health plan in its beginning stages, and you will have insight into all the operations and expertise that is required to run a successful and sustainable plan as well as build the foundation for the sustainable growth that will be crucial to eternalHealth’s success. Our team members are flexible and able to play different roles, while staying committed to teamwork and collaboration, and passionate about sustainable change.

Responsibilities:

  • Collaborate on day-to-day clinical operations of the health plan, including complex care management, care coordination, disease management, and transition of care.
  • Work on member- and provider-based interventions to improve quality and outcomes of care and reduce avoidable costs.
  • Develop and refine clinically related compliance reporting and auditing activities.
  • Work with a high performing team of clinical and non-clinical professionals that will deliver exceptional care while meeting quality and delivery targets.
  • Follow eternalHealth’s strategic goals related to population health management and quality improvement, including setting and following the direction for analytics and existing quality measures.
  • Interact regularly with executive team and department heads to develop and execute upon eternalHealth’s overall company direction and goals, including KPIs related to cost, quality, operations, and outcomes of member care.
  • Ensures applicable Medicare (and any other LOB such as Mass Connector)requirements for clinical services activities and reporting are met.
  • Must understand and maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy.
  • Comply with all guidelines established by the Centers for Medicare and Medicaid (CMS) and Massachusetts Department of Insurance (DOI) and guidelines set forth by other regulatory agencies, where applicable, and defined in eternalHealth policies.
  • Excellent written and communication skills.
  • Creative, strategic, and continuously striving for improvement.
  • Flexible and able to ramp-up quickly on different projects to support the team as needed in a fast-paced start-up environment.
  • Ability to think outside the box and offer creative and compliant solutions to existing and new problems.
  • Other duties as assigned.

Requirements:

  • Active RN License
  • 3+ years of work experience in care management.
  • Interpersonal skills with the ability to work in a fast-paced environment and health plan as an independent contributor with little supervision or as an active team member depending on the situation and needs.
  • Strong technical skills, including with Microsoft Suite (Excel, PowerPoint, Project, etc.) and other collaborative tools.
  • Experience coordinating with cross-functional teams and/or external partners/stakeholders.
  • Ability to work on-site at eternalHealth’s downtown Boston office.

Preferred:

  • Bachelor’s degree in Nursing or applicable experience.
  • Master’s degree in business administration, healthcare administration, related field, a plus. Or applicable experience in a clinical or managed care environment.
  • 1+ years of Health Plan experience.
  • Experience in program management and/or design or implementation
  • Have knowledge around industry best practices and regulatory compliant reporting. 

Working with eternalHealth: eternalHealth is an Equal Opportunity Employer which means that we are committed to upholding discrimination-free hiring practices. As a woman-led company, and one committed to diversity at all levels, we strive for an organization of inclusion and acceptance. We are changing healthcare for the better, starting with our own diverse and passionate teams. As an eternalHealth employee you will be empowered to contribute to our teams and strategy, regardless of previous healthcare experience. Our valued team members are encouraged and expected to offer new solutions and creative input, all while keeping in line with eternalHealth’s mission, values, and compliance standards.

Accommodations: Any eternalHealth applicant will be considered based entirely on their individual qualifications. Should you require reasonable accommodations during the application process (which may include a job-related assessment) please contact us separately; email HR@eternalhealth.com with the email subject “Reasonable Accommodations – Applicant Name Here”.

eternalHealth – Your Forever Partner in Healthcare and Beyond

Healthcare is confusing, but it doesn’t need to be. A consumer-centric HMO based in Boston, MA, we are a tech-focused start up that is committed to creating long-lasting partnerships with our members, our providers, and you!

About the role: As a Sales Representative with eternalHealth you will have a hand in creating a marketing and sales strategy that effectively communicates our mission, values and differentiated product. Working with external vendors such as graphic designers, call centers, and brokers you will have multiple external-facing opportunities to build relationships and build a robust, local and sustainable marketing strategy.

We provide a unique opportunity to be a part of a health plan in its beginning stages. By taking advantage of this rare opportunity, you will be able to gain insight into all the operations and expertise that is required to run a successful and sustainable plan. Our team members are flexible and able to play different roles, while staying committed to teamwork and collaboration, and being passionate about sustainable change.

Responsibilities:

  • Participate in the customer acquisition journey by developing strategies to market, nurturing leads, and ultimately increasing membership and retention.
  • Work with the Marketing Team to create and implement targeted marketing strategies including advertisements, member events, promotional cycles, and product placement.
  • Use data to produce actionable insights to further refine and pivot our marketing and sales strategies.
  • Maintain strict privacy and confidentiality in accordance with eternalHealth’s security standards.
  • Develop an understanding of the business across workstreams to be a fully flexible team player.
  • Outreach specifically within targeted Massachusetts communities to promote brand awareness and local member engagement.
  • Other duties as assigned.

Requirements:

  • Bachelor’s degree in relevant field of study (e.g., Business Administration, Marketing, Sales, Communications, Public Relations etc.)
  • Must have insurance brokers license valid in Massachusetts.
  • Strong technical skills, including with Microsoft Suite (Excel, PowerPoint, Project, etc.) and other design tools, such as Photoshop, Lightroom, Illustrator.
  • Excellent written and communication skills.
  • Creative, strategic, and continuously striving for improvement.
  • Flexible and able to ramp-up quickly on different projects to support the team as needed in a fast-paced start-up environment.
  • Ability to think outside the box and offer creative and compliant solutions to existing and new problems.

Preferred:

  • Experience in marketing and sales, and/or in start-ups, tech, healthcare or insurance is a plus.
  • Experience with healthcare operations is a plus.

Working with eternalHealth: eternalHealth is an Equal Opportunity Employer which means that we are committed to upholding discrimination-free hiring practices. As a woman-led company, and one committed to diversity at all levels we strive for an organization of inclusion and acceptance. We are changing healthcare for the better, starting with our own diverse and passionate teams. As an eternalHealth employee you will be empowered to contribute to our teams and strategy, regardless of previous healthcare experience. Our valued team members are encouraged and expected to offer new solutions and creative input, all while keeping in line with eternalHealth’s mission, values, and compliance standards.

Accommodations: Any eternalHealth applicant will be considered based entirely on their individual qualifications. Should you require reasonable accommodations during the application process, please contact us separately, email HR@eternalhealth.com with the email subject “Reasonable Accommodations – Applicant Name Here”.

eternalHealth – Your Forever Partner in Healthcare and Beyond

Healthcare is confusing, but it doesn’t need to be. A consumer-centric HMO based in Boston, MA, we are a tech-focused start up that is committed to creating long-lasting partnerships with our members, our providers, and you!

About the role: As VP of Clinical Operations Care with eternalHealth you will be a core member at eternalHealth management team. The VP provides oversight for development of strategies and processes, direction of staff, and execution of clinical operational tasks. This position will work towards meeting financial and operational performance goals and standards.

We provide a unique opportunity to be a part of a health plan in its beginning stages, and you will have insight into all the operations and expertise that is required to run a successful and sustainable plan as well as build the foundation for the sustainable growth that will be crucial to eternalHealth’s success. Our team members are flexible and able to play different roles, while staying committed to teamwork and collaboration, and passionate about sustainable change.

Responsibilities:

  • Leads the development and implementation of clinical operations policies and procedures. Creates and maintains a strong compliance culture with the clinical team.
  • Strategically aligns the clinical program, compliance standards and financial goals and monitors quality and performance to goals on a regular basis.
  • Creates a clinical operations work environment that fosters collaboration, growth and development, and a member centric focus on clinical excellence in service.
  • Grow and develop a clinical team in operations, financial acumen, utilization management, risk adjustment, HEDIS and STARs program.
  • Drives performance in closing HEDIS/STARS gaps, Risk Adjustment gaps, clinical program improvements.
  • Manage processes to meet member population needs.
  • Provide oversight of utilization management/care management health plan related delegated function reporting activities.
  • Work across departments to provide support and guidance on what can be done within each department to help meet performance metrics, such as closing HEDIS/STARS gaps, RA gaps, etc.
  • Help build daily practices for the Clinical Operations team that help drive key metrics.
  • Help make key decisions that are driven off of data and help support Provider Relations staff, so that we can impact Cost, Quality, and STARS/HEDIS, with a boots on the ground effort.
  • Participates in executive meetings to bring the clinical operation needs into alignment with business goals.
  • Addresses obstacles and challenges to achieving goals proactively and adjusts operations accordingly.
  • Maintains audit readiness, by ongoing training, competency assessment, audit, monitoring of metrics and corrective action.
  • Oversight of UM Process, while maintaining CM/DM functions in house.
  • Other duties as assigned.

Requirements:

  • Master’s Degree in a health affiliated or business affiliated field.
  • 8+ years of relevant professional experience required and knowledge of medical management clinical review processes.
  • 5+ years of managerial experience.
  • 5+ years of Medicare health plan experience.
  • Comprehensive knowledge of managed care industry standards and government regulations.

Working with eternalHealth: eternalHealth is an Equal Opportunity Employer which means that we are committed to upholding discrimination-free hiring practices. As a woman-led company, and one committed to diversity at all levels, we strive for an organization of inclusion and acceptance. We are changing healthcare for the better, starting with our own diverse and passionate teams. As an eternalHealth employee you will be empowered to contribute to our teams and strategy, regardless of previous healthcare experience. Our valued team members are encouraged and expected to offer new solutions and creative input, all while keeping in line with eternalHealth’s mission, values, and compliance standards.

Accommodations: Any eternalHealth applicant will be considered based entirely on their individual qualifications. Should you require reasonable accommodations during the application process (which may include a job-related assessment) please contact us separately; email HR@eternalhealth.com with the email subject “Reasonable Accommodations – Applicant Name Here”

eternalHealth – Your Forever Partner in Healthcare

Healthcare is confusing, but it doesn’t need to be. As a consumer-centric health plan based in Boston, MA we are a Medicare Advantage start up that is committed to creating long-lasting partnerships with our members, our providers, and you!

About the role: As VP of Network with eternalHealth you will report to the Chief Operations Officer and will be supporting the end-to-end process of building and maintaining a high-quality physician network. A high performing provider network is a critical component of our success, and our relationships with our providers are rooted in trust and transparency. In this highly valued role, you will play an essential part in the full network contracting process, from recruitment strategy to collaborating with our providers on performance improvement initiatives. This external facing role will provide the opportunity to fully understand and communicate eternalHealth’s value proposition to our provider partners.

We provide a unique opportunity to be a part of a health plan in its beginning stages and by taking advantage of this rare opportunity, you will be able to have insight into all the operations and expertise that is required to run a successful and sustainable plan.

Our team members are flexible and able to play different roles, while staying committed to teamwork and collaboration, and passionate about sustainable change.

Responsibilities:

  • Lead the planning and building of a robust and quality provider
  • Partner closely with your team and relevant stakeholders to define and improve the provider recruiting process.
  • Continuously work to understand the market and needs of our local
  • Identify and work on growth opportunities in our local markets as well as in markets identified for expansion.
  • Build out provider networks in new markets by using innovative contract
  • Maintain a knowledge base of risk arrangements within contracting, including partial-risk and full-risk agreements.
  • Manage and improve eternalHealth’s workflows and technical
  • Design and administer policies that comply with state-level contractual and regulatory requirements.
  • Monitor reports to ensure all necessary compliance and business strategy requirements are maintained.
  • Ensure that provider networks are in line with network adequacy
  • Oversee the credentialing and re-credentialing processes as they happen internally and through third-party vendors.
  • Develop and enhance provider and hospital relationships through business interactions and outreach.
  • Assist our network partners in the interpretation of data, technology tools, and analytics.
  • Work to resolve provider issues in an efficient manner, relating to operational issues, contracting, and patient experience.
  • Deliver messages to providers including provider education, training, and information about eternalHealth products and strategy, both in recruitment and for existing providers in the eternalHealth network.
  • Manage and lead members of the Network Team, assisting with their individual success and success of the team.
  • Proactively elicit provider feedback to improve their overall experience with the Plan.
  • Maintain strict privacy and confidentiality in accordance with eternalHealth’s security standards.
  • Be able to communicate our brand, values, and differentiators effectively and
  • Other duties as

Requirements:

  • Bachelor’s degree in relevant field of study (e.g., Business Administration, Biomedical Sciences, Healthcare Operations, Legal Studies)
  • Minimum of 5 years of experience in managed healthcare, health plan network contracting/build experience preferred.
  • Ability to work on-site in our Boston office 5 days a
  • Strong technical skills, including with Microsoft Suite and other collaborative
  • You’re a relationship builder and customer service
  • Ability to communicate value-propositions in a sales-forward
  • Effectively communicate needs, process improvements and wins, with your network team and C-Suite officers.
  • Managerial and analytical skills to manage eternalHealth software and hardware
  • Excellent written, negotiation, and communication
  • Creative, strategic, and continuously striving for
  • Ability to present information to audiences of various skill levels
  • Flexible and able to ramp-up quickly on different projects in order to support the team as needed in a fast-paced start-up environment.
  • Ability to think outside the box and offer creative and compliant solutions to existing and new problems.
  • Strong organization skills to sift through large amounts of data to gain insight on members and market.

Preferred:

  • Experience in client-facing negotiating roles, and/or in start-ups, tech, healthcare, or insurance is a plus.
  • Experience with healthcare/provider operations is a

Working with eternalHealth: eternalHealth is an Equal Opportunity Employer which means that we are committed to upholding discrimination-free hiring practices. As a woman-led company, and one committed to diversity at all levels, we strive for an organization of inclusion and acceptance. We are changing healthcare for the better, starting with our own diverse and passionate teams. As an eternalHealth employee you will be empowered to contribute to our teams and strategy, regardless of previous healthcare experience. Our valued team members are encouraged and expected to offer new solutions and creative input, all while keeping in line with eternalHealth’s mission, values, and compliance standards.

Accommodations: Any eternalHealth applicant will be considered based entirely on their individual qualifications. Should you require reasonable accommodations during the application process (which may include a job-related assessment) please contact us separately at HR@eternalhealth.com.

Seasonal Opportunities

Check back as eternalHealth continues to grow!

Page Last Updated On: June 10, 2024
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Tom Cunniffe

Tom Cunniffe

Director of Operations 

Tom Cunniffe comes to eternalHealth with over 20 years of healthcare operations’ experience, having held leadership positions in Call Center, Enrollment, Credentialing, UAT and Reimbursement teams. Tom has worked with Medicaid, Commercial and Medicare lines of business and has consistently built teams who are metrics driven with proven successful outcomes. Making sure our business strives for an efficient, best-in-class customer experience is at the center of Tom’s philosophy.

Tom has a bachelor’s degree from Fordham University and a master’s in business administration from University of Massachusetts at Amherst.

Tom Lawless

Tom Lawless

Chief Financial Officer

Tom Lawless has spent the past 20+ years building, sustaining, and growing new healthcare-related programs that balance fiscal responsibility & prudence with creativity & innovation, focusing on models of care that are novel, person-centered, and improve the social welfare of those who are served. He is very excited to continue doing so in his role as the Chief Financial Officer of eternalHealth.

Tom comes to eternalHealth from a not-for-profit, member-centric, health insurance cooperative. He helped the company continuously strive toward its dual goals of thriving financially, while keeping members at the very epicenter of its mission and service model. While there, Tom also spearheaded the creation of a brand new private, charitable foundation, which will be meaningfully giving back to those in need in the surrounding communities for years to come. Previously, Tom worked in the finance department of a successful hospice that provided high-quality care to persons experiencing their unique and poignant end-of-life journeys, assuring that the appropriate financing was always available. Tom’s career began as a civil servant in the Wisconsin Medicaid program, where he helped to create a program that expanded the institutional entitlement to care into home and community-based settings. Starting with only a blueprint in hand, the program now serves more than 57,000 frail elders and disabled adults and is considered a national model. Growing into a senior leadership role, Tom was a key architect of an innovative financing model, through which the public and private sectors successfully collaborated to better the lives of persons in great need.

Tom holds undergraduate and graduate degrees from the University of Chicago, with additional graduate work in economics completed at the University Wisconsin-Madison.

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