BCBSLA Company
Headquarters: Baton Rouge, LA Founded: 1934 Subsidiaries: HMO Of Louisiana, Inc., Southern National Life Insurance Company, Inc., Southern National Marketing Co Inc
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BCBSLA Employees
GCR Inc. February 2015 - Present
BCBSLA August 2013 - February 2015
Louisiana Department of Children and Family Services August 2012 - August 2013
Louisiana Department of Children & Family Services February 2010 - August 2012
A.M.E. Services, Inc July 2008 - February 2010
Speech Pathology Services, Inc. June 2005 - December 2007
Centers for Disease Control August 2004 - April 2005
Emory University School of Medicine September 2003 - July 2004
University of Illinois at Chicago - School of Public Health May 2003 - August 2003
Skills
Project Management, Program Management, Training, Teaming, Staff Development, Microsoft Office, Project Planning, Management, Policy, Research, Healthcare, Analysis, Outlook, Public Speaking, PowerPoint, Grant Writing, Teaching, Program Development, Data Analysis, Organizational..., Recruiting, Public Health
Education
Kaplan University 2008 — 2011
Masters, Master of Science Mgmt - Project Management
Southern University and Agricultural and Mechanical College at Baton Rouge 2001 — 2003
B.S., Microbiology, Chemistry
Our Lady of the Lake Regional Medical Center 2013 - Present
ObjectWin Technology, Inc. September 2012 - January 2013
BCBSLA October 2006 - December 2011
AMC/Interlink Pharmacy an Affiliate of General Health System August 2002 - October 2006
Capitol City Family Health Center April 2002 - August 2002
Skills
Data Entry, Public Speaking, Customer Service, Fundraising, Call Center, Conflict Resolution, Outlook, Time Management, Benefits Administration, File Management, Healthcare, Software Documentation, Spreadsheets, Office Administration, Training, Workshop Facilitation, Employee Benefits, Process Scheduler, Health Insurance, Critical Thinking, Invoicing, Accounts Receivable, HIPAA, Administrative..., Filing, Case Managment, Clerical Work, Telephone Skills, Supervisory Skills, Insurance, Medical Coding, Medical Terminology, Managed Care, Claim, Workers Compensation, Medical Billing, Medical Records, ICD-9, CPT, Medicare, Healthcare Management, PeopleSoft, 10 Key, Microsoft Word, Teamwork
Education
University of Phoenix 2009 — 2011
Masters, Psychology
University of Phoenix 2003 — 2008
Bachelors, Criminal Justice Administration
Capital Senior High School
Diploma, General Studies
D&D Platinum Entertainment,Inc. January 1999 - Present
BCBSLA August 2014 - April 2015
Cigna-HealthSpring May 2014 - August 2014
DST AVMED February 2014 - April 2014
Korak Healthsource Group, Inc. May 2013 - December 2013
Amerigroup/Wellpoint May 2013 - December 2013
Excellus BCBS February 2013 - October 2013
Healthplus/Amerigroup March 2012 - December 2012
HealthNow New York Inc. November 2011 - February 2012
Universal American January 2010 - October 2011
Skills
Entertainment, A&R, Music, R&B, Music Industry, Music Publishing, Healthcare Consulting, Configurations, QA Tester, UAT Tester, Provider..., Concert..., Artist..., Marketing, Model and Artist Casting, Event Planning, Radio, Voice Over, Insurance, HIPAA, Medicaid, SharePoint, Access, Medicare, Managed Care, Analysis, Management, Health Insurance, Claim, Employee Benefits, Quality Assurance, Databases, Business Development, Compliance, Contractors, Consulting, Training, Outsourcing, Sales
Education
Louisiana State University 1982 — 1987
Business Administration
Istrouma High School 1979 — 1982
Diploma, College Prep Courses
BCBSLA September 2010 - Present
Skills
Health Care Reform, Software Quality..., HIPAA, Microsoft Technologies, Facets, Edifecs, Manual Testing, Defect Tracking, Employee Benefits, Regression Testing, Test Cases, Test Strategy, Functional Testing, Quality Center, Test Management, Agile Testing, System Testing, Performance Testing, Web Testing, SDLC, Agile Methodologies, Test Scenarios, SharePoint, Testing, Requirements Gathering, Black Box Testing
Education
Anna University 2001 — 2005
Bachelor of Engineering (B.E.), Electrical, Electronics and Communications Engineering
MedImpact Healthcare Systems Inc. June 2012 - Present
Blue Shield of California July 2011 - March 2012
BCBSLA 2003 - 2011
Ochsner Clinic, 1998 - 2003
Skills
Pharmacy Benefit..., Managed Care, Medicare Part D, Pharmacy, Pharmacists, Utilization Management, Healthcare, Disease Management, Medicaid, Medicare, Clinical Trials, Provider Relations, Clinical Pharmacology, Health Insurance, Employee Benefits, Health Policy, Healthcare Consulting, Infectious Diseases, Healthcare Management, Hospitals, Home Infusion, Cardiology, Clinical Pharmacy, Pharmacy Automation, Patient Outcomes, Informatics, Long-term Care, Diabetes, Oncology, Pharmaceutical Industry, Health Economics, Pharmacoeconomics, Healthcare Information..., Pharmacology, Policy, Medicaid Managed Care, HIPAA, Outcomes Research, Quality Assurance, Medicine, Formulary, Patient Safety, Healthcare Industry
Education
University of Mississippi 1996 — 1997
BS Pharmacy, Pharmacy
Xavier University of Louisiana 1996 — 1997
Doctor of Pharmacy (Pharm.D.)
HP Enterprise Security Services January 2014 - Present
Kforce Technical Staffing 2014 - 2014
BCBSLA April 2013 - December 2013
Satyam Computer services Limited September 2006 - December 2013
GlaxoSmithKline 2010 - 2013
Skills
Microsoft SQL Server, VSS, .NET, Oracle PL/SQL..., WCF Services, JavaScript, jQuery, JSON, TFS, c#, Oracle, SDLC, Agile Methodologies, SOA, Visual Studio
Education
Jawaharlal Nehru Technological University 2002 — 2006
B-Tech, Electrical and Electronics Engineering
Jawaharlal Nehru Technological University 2002 — 2006
Bachelor of Technology (BTech), Electrical and Electronics Engineering
Inter-American Development Bank February 2013 - Present
Aequor Technologies January 2011 - February 2013
Ameritox January 2011 - February 2013
BCBSLA September 2010 - January 2011
Dept of Health 2009 - 2010
IncentOne 2007 - September 2009
Ocwen Financial Solutions 2005 - 2007
Infosys 2002 - 2005
Skills
APPFabric, ESB Toolkit, BizTalk, AppFabric, ESB, WCF, SSRS, SSIS, SQL Server, SOA, WF, ASP.NET, BizTalk, C#, XML, .NET, Enterprise Architecture, Visual Studio, LINQ, Web Services, EAI, IIS, SharePoint, HTML, AJAX, Integration, TFS, ESB, VB.NET, JavaScript, VSS, UML, Business Intelligence, PL/SQL, Agile, Silverlight, WPF, Microsoft Technologies, MS Project, Visio, T-SQL, Microsoft SQL Server, Agile Methodologies, Agile Methodolgy, SDLC, Requirements Analysis, Software Development, SOAP, Entity Framework, Architecture, Oracle, Business Process
Education
Towson University 2013 — 2016
Master of Business Administration (MBA), Entrepreneurship/Entrepreneurial Studies, A
Visvesvaraya Technological University
4, Bachelors of Telecommunication
Community Coffee August 2012 - Present
BCBSLA July 2006 - August 2012
Amedisys 2005 - 2006
Baton Rouge General Medical Center 2002 - 2004
Skills
Internal Controls, Accounting, Sarbanes-Oxley Act, Process Improvement, Auditing, Financial Analysis, Financial Reporting, PeopleSoft, Risk Management, US GAAP, Business Analysis, Budgets, Insurance, Risk Assessment, Analysis, Business Process...
Education
Louisiana State University and Agricultural and Mechanical College 1998 — 2004
Master of Business Administration (MBA), Internal Audit
St. Joseph's Academy 1994 — 1998
BCBSLA August 2013 - Present
Girl Scouts Louisiana East July 2013 - Present
BCBSLA September 2006 - August 2013
Skills
Microsoft Excel, Project Management, Access Database, Microsoft SQL Server, Process Improvement, SharePoint, Business Analysis, Insurance, Analysis, Vendor Management, Visio, Strategic Planning, Access
Education
Louisiana State University 2002 — 2004
Master of Business Administration (MBA)
University of Louisiana at Monroe 1996 — 2000
BA
BCBSLA November 1998 - Present
Education
University of Louisiana at Lafayette 1984 — 2001
Bachelor of Science (B.S.), Business Administration and Management, General
Blue Cross and Blue Shield of Louisiana February 2013 - Present
BCBSLA August 2011 - Present
Blue Cross Blue Shield of Louisiana February 2008 - August 2011
Blue Cross Blue Shield of Louisiana July 2006 - February 2008
Skills
Software Development, PeopleCode, SQL, SSIS, VB.NET, XML, Crystal Reports, SQR, Integration, Project Management, Software Project..., Business Intelligence, SDLC, Management, Process Improvement, Software Documentation, Requirements Analysis
Education
Louisiana State University 1997 — 2002
Bachelor of Science (BS), Computer Engineering
BCBSLA programmer / analystBlue Cross and Blue Shield of LA2000 - Present
Blue Cross and Blue Shield of Louisiana 2000 - Present
Education
Southeastern Louisiana University 1991 — 1999
Antares Technology Solutions 2007 - Present
Wells Fargo Home Mortgage 2005 - 2007
BCBSLA January 1992 - March 2005
Skills
SDLC, Microsoft SQL Server
Education
Tulane University 1987 — 1991
B.S., Computer Information Systems
Southeastern Louisiana University 1985 — 1987
A.S., Computer Science
Myriad Genetic Labs July 2014 - Present
Myriad Genetic Labs April 2003 - Present
Baton Rouge General Medical Center July 1999 - July 2002
BCBSLA 1998 - 2000
BCBSLA 1998 - 2000
BCBSLA 1998 - 2000
Baptist Memorial Hospital, New Orleans, LA April 1997 - May 1999
GNM & Associates 1991 - 1993
Skills
Genetic Testing, Oncology Nursing, Marketing, Hereditary Cancer Risk..., Breast Cancer, Patient Education, Genetics, Molecular Diagnostics, Medical Education, Personalized Medicine, Product Launch, Genomics, Molecular Biology, Molecular Genetics, Medicine, Hematology, Managed Care
Education
Louisiana State University Health Sciences Center 1994 — 1997
Bachelor of Science (B.S.), Nursing
Louisiana State University, Baton Rouge 1986 — 1991
Bachelor's degree, Marketing
BCBSLA Supervisor IT Service DeskBlue Cross and Blue Shield of LouisianaSeptember 1984 - Present
Skills
ITIL Certified
Education
Baton Rouge School of Computers
LSU
Axiom Systems July 2013 - Present
HealthEdge July 2013 - May 2014
DaVita November 2012 - July 2013
CareFirst BlueCross BlueShield July 2012 - October 2012
San Francisco Health Plan October 2011 - June 2012
BCBSLA July 2010 - August 2011
CareFirst BlueCross BlueShield November 2008 - July 2010
CNSI January 2007 - October 2008
Skills
ICD-10, Data Warehousing, Requirements Analysis, Visio, EDI, SDLC, Software Project..., Health Insurance, Business Analysis, HIPAA, Healthcare Information..., Healthcare
Education
Jawaharlal Nehru Technological University 1999 — 2003
BTECH, Mechanical
Aluka Jai Hind Reddy Jr. College 1997 — 1999
Inermediate, MPC
BCBSLA February 2008 - Present
Blue Cross Blue Shield of Louisiana September 2001 - January 2008
Education
Louisiana State University 1990 — 1994
Doctor of Philosophy (Ph.D.), Economic Geography and Geographic Information Systems
BCBSLA
Skills
Pharmacy Automation, Medicare Part D, Pharmacy, Utilization Management, Strategy, Business Strategy, Managed Care, Product Launch, Healthcare Consulting, Healthcare Industry, Insurance, Healthcare, Strategic Planning, Diabetes, Management, Cross-functional Team..., Healthcare Management, Medicare, Health Insurance, Clinical Research, Disease Management, Pharmaceutical Sales, Medicaid, Employee Benefits, Health Policy, Pharmaceutical Industry, Healthcare Information..., Competitive Intelligence, Hospitals, Process Improvement, Account Management
Education
University of Louisiana at Monroe 1985 — 1989
B.S., Pharmacy
Retired and enjoying time to pursue personal interests and family March 2015 - Present
CSC July 2008 - Present
TriZetto, A Cognizant Company 2011 - 2015
Computer Sciences Corporation April 2008 - September 2011
CSC March 2008 - September 2011
Blue Cross & Blue Shield of RI April 2008 - December 2010
First consulting Group 2001 - 2008
BCBSLA 2005 - 2006
Skills
Business Process, Testing, Test Management, Business Requirements, Test Planning, Insurance, Requirements Analysis, Hospitals, Business Analysis, SDLC, Integration, Medicaid, Program Management, Requirements Gathering, Software Project...
Education
Roosevelt University 1983 — 1985
BSBA, Business
Colorado State University 1966 — 1969
Business
BCBSLA October 2007 - Present
Provost, Salter, Harper & Alford August 1997 - October 2007
Skills
Financial Analysis, Account Reconciliation, Journal Entries, Financial Reporting, Financial Accounting, Accounting, Auditing, Internal Audit, Internal Controls, General Ledger, Accounts Payable, Microsoft Excel, Accounts Receivable, Variance Analysis, PeopleSoft, Tax, External Audit, Assurance, COSO, PowerPoint, Microsoft Word, US GAAP, Sarbanes-Oxley, GAAP, QuickBooks, Financial Audits, Business Process..., Enterprise Risk..., SOX 404, Financial Statements, Accruals, Consolidation, Forensic Accounting, Revenue Recognition, SAS70, Fixed Assets
Education
Southeastern Louisiana University 1993 — 1997
BS, Accounting
Southeastern Louisiana University 1993 — 1997
BA, Management
BCBSLA 1985 - Present
Skills
Health Insurance, Strategic Planning, Healthcare, Process Improvement, Managed Care, Healthcare Information..., Insurance, Program Management, Enterprise Architecture, Team Building, Business Analysis, Medicare, Analytics, Informatics
Education
Nicholls State University 1982 — 1985
Bachelor's degree, Mathematics and Computer Science
Molina Healthcare December 2013 - Present
Blue Cross Blue Shield of Louisiana November 1997 - November 2013
BCBSLA November 1997 - November 2013
Skills
Business Analysis, Managed Care, SDLC, Access, Requirements Analysis, Insurance, Health Insurance, Process Engineering, Business Process..., Customer Service, Process Improvement, Data Analysis, Systems Analysis, Compliance, Excel, Claims, SharePoint, Team Building, Microsoft Office, Six Sigma, Problem Solving, Analysis, Quality Assurance, PeopleSoft, Vendor Management, Software Documentation, Provider Relations, Requirements Gathering, Business Process, Microsoft Excel, Leadership, Management, Visio, HIPAA, Program Management, Training, Claim
Education
Baker College of Graduate Studies 2002 — 2004
Master of Business Administration (MBA), Human Resources & Training
University of Phoenix
Bachelor's degree, Business, Management, Marketing, and Related Support Services
Wilkinson County High 1986 — 1990
Diploma
BCBSLA
Skills
SharePoint, Disaster Recovery, Enterprise Architecture, SDLC, SQL, Microsoft SQL Server, Business Analysis, Data Warehousing, IT Strategy, Integration, Vendor Management, Business Process..., Process Improvement, Visio, Business Intelligence, IT Management
Education
Louisiana State University 1975 — 1978
BS, Computer Science
BCBSLA February 2014 - Present
BCBSLA October 2012 - February 2014
BCBSLA July 2008 - October 2012
Skills
Health Insurance, Insurance, Social Services, Healthcare, Medicaid, Motivational..., Nursing, Clinical Research, Case Managment, Claim, Provider Relations, Utilization Management, Vocational..., Utilization Review, Managed Care, Workers Compensation, Disability Management, Certified Case Manager, Claims Management, Medicare, Disease Management, Medical Case Management, Behavioral Health, Long-term Care, HEDIS, Case Management Services, Medical Social Work, HIPAA, Home Care, Case Management
Education
Southeastern Louisiana University 1988 — 1992
Bachelor of Science in Nursing, Magna Cum Laude
Southeastern Louisiana University
Bachelor of Science in Nursing with a Minor in Biology, Registered Nursing/Registered Nurse
TekSystems February 2008 - Present
BCBSLA February 2008 - Present
TMG Consulting, Inc December 2005 - January 2008
Cleco Power September 1981 - July 2005
Raytheon Corporation August 1977 - September 1981
Texas Instruments January 1973 - August 1977
Skills
PMP, SDLC, Software Project..., MS Project, PMO, Program Management, Project Delivery, Project Planning, Resource Management, Requirements Analysis, Scope Management, Project Portfolio..., Certified Project..., PMBOK, PMI, Project Plans, Visio, Requirements Gathering, Business Analysis, Vendor Management, Project Execution, SOW, Testing, Deployment, Status Reporting, IT Service Management, Business Requirements, Deliverables, Requirements Management, Project Server, Configuration Management, SharePoint, User Acceptance Testing, Waterfall, Integration, Project Management, Information Technology, IT Strategy, Business Process, Agile Project Management, ITIL, Quality Assurance, Disaster Recovery, Business Intelligence, Enterprise Architecture, Business Process..., Agile Methodologies, Management, Data Warehousing, Software Documentation
Education
Southern Methodist University 1975 — 1977
MSEE, Electrical Engineering
Louisiana Tech University 1969 — 1972
BSEE, Electrical Engineering
BCBSLA November 1999 - Present
Blue Cross Blue Shield of Louisiana August 2006 - October 2008
Education
Capella University 2008 — 2013
Doctor of Philosophy (PhD), Social and Community Services
bcbsla test staff engineerDellNovember 2010 - Present
Skills
SQL, Microsoft Office, Java, Microsoft SQL Server, Customer Service, Program Management, HTML, JavaScript, Requirements Analysis, Change Management, Software Development, Team Leadership, Strategic Planning, Process Improvement, ITIL, Linux, Windows
Education
Osmania University 2001 — 2003
master sciences of information systems
WellPoint August 2014 - Present
Blue Cross Blue Shield of Louisiana February 2013 - December 2013
BCBSSC February 2009 - February 2013
Kaiser Permanente October 2005 - February 2009
Aetna, INC. 2004 - 2005
BCBSLA 1998 - 2004
Skills
Health Insurance, Underwriting, Insurance, Risk Management, Analysis, Claim, Employee Benefits, Access
Education
Southern University and Agricultural and Mechanical College at Baton Rouge
bs, Mathematics
BCBSLA April 2015 - Present
Blue Cross and Blue Shield of Louisiana January 2013 - April 2015
LWCC September 2011 - February 2013
LWCC August 2007 - October 2012
Wells Fargo Home Mortgage 2005 - 2007
Aegis Mortgage 2001 - 2005
PMI Mortgage Insurance Co. 2000 - 2001
Skills
Auditing, Financial Reporting, Insurance, Underwriting, Sarbanes-Oxley Act, Accounting, PeopleSoft, Internal Controls
Education
Louisiana State University 2000 — 2005
Bachelor of Science, Accounting
Blue Cross Blue Shield of Louisiana June 2006 - Present
BCBSLA September 1996 - May 2006
Skills
Accounting Clerk, Claims Coder, Claims Adjuster, Customer Service, Insurance, Microsoft Word, Microsoft Office, Microsoft Excel, Small Business, Health Insurance, PowerPoint, Team Building, Claim, Strategic Planning, Process Improvement, Accounts Receivable, Accounting, Access, Public Speaking, Outlook, Invoicing, QuickBooks, Team Leadership, Conflict Resolution, Leadership, Customer Satisfaction, Data Entry, Sales Management, Call Centers, Budgets, Financial Analysis, Time Management
Education
University of Phoenix 2008 — 2012
Bachelor of Science (B.S.), Business Administration and Management, General
BRSC 1992 — 1993
Vocational Certification, Medical Clerk Technician
BCBSLA Assist members and providers with questions or concerns on claims and eligibility.Pharmacy TechnicianAlbertsonsApril 1998 - October 2007
Skills
Insurance, Claim, Customer Service, Health Savings Accounts, General Insurance, Medicare, Sales, Microsoft Office
Education
Southeastern Louisiana University
Bachelor of Science (BS), Marketing
BCBSLA October 2013 - June 2014
Barksdale Air Force Base - Commissary - Goodwill Industries of Northwest Louisiana March 2009 - June 2013
Caddo Parish School Board August 1996 - October 2008
Skills
Customer Service, Microsoft Office, Coaching, Management, Training, Project Management, Team Leadership, Microsoft Excel, Leadership, PowerPoint, Team Building, Public Speaking, Research, Microsoft Word, Staff Development, Teaching, Program Management, Strategic Planning, Social Media, Project Planning, Administrative Work, Analytics, Multitasking Skills, Bookkeeping, Compliance, HSE Management Systems, Safety, DoD, DOT regulations, OSHA, FMLA, ADA compliance, Six Sigma, Kaizen, ISO 9001, Lean Management, HR Policies, HIPAA, Logistics Management, Nonprofits, Onboarding, Risk Assessment, Sales Management, Contract Management, Wellness, Case Managment, Business Development, HR Consulting, Talent Management, Customer Satisfaction
Education
Louisiana State University - Shreveport 1996 — 1999
Certification, Education, 3.91 gpa
Centenary College of Louisiana 1987 — 1989
Bachelor of Education (B.Ed.), Education, 3.00 gpa
Lon Morris Junior College - Jacksonville, Texas 1984 — 1987
Associate of Arts and Sciences (A.A.S.), Education, 3.78 gpa