BCBS of North Carolina
Industry: Insurance company
DescriptionHeadquarters: Durham, NC Founded: 1933 Executives: Patrick Conway (CEO, President, Md), Subsidiaries: ACS Benefit Services, Inc, Noblehealth Inc,
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BCBS of North Carolina Employees
Employee
Years
Job
Industry
Prashant Ramars Prashant Ramars's BCBS of North Carolina Experience 2015 - 2015
Job Manager Consulting at CognizantCBC
Industry Information Technology and Services
Experience
Cognizant Technology Solutions July 2014 - Present
BCBS of North Carolina 2015 - 2015
Jumeirah October 2014 - December 2014
Cognizant Technology Solutions November 2010 - June 2014
Advanced Sterilization Products 2011 - 2012
Dun and Bradstreet 2010 - 2010
Johnson & Johnson 2010 - 2010
Cognizant Technology Solutions 2007 - 2008
Cognizant Technology Solutions 2007 - 2008
TCS 2002 - 2006
Skills
Pre-sales, Requirements Analysis, Business Analysis, CRM, SDLC, Global Delivery, Process Consulting, Consulting, Solution Architecture, Cloud Computing, Software Project..., Strategy, Requirements Gathering, IT Strategy, Digital Marketing, Oracle, Social Media Marketing, Social Media Strategy, Community Engagement, Business Process Design, Social Customer..., Enterprise Collaboration, Pega PRPC
Education
S.P. Jain Institute of Management & Research 2006 — 2007
PGDM, MBA
Cochin University of Science and Technology 1997 — 2001
BTech, Mechanical
St.Jude's Public School
Cognizant Technology Solutions July 2014 - Present
BCBS of North Carolina 2015 - 2015
Jumeirah October 2014 - December 2014
Cognizant Technology Solutions November 2010 - June 2014
Advanced Sterilization Products 2011 - 2012
Dun and Bradstreet 2010 - 2010
Johnson & Johnson 2010 - 2010
Cognizant Technology Solutions 2007 - 2008
Cognizant Technology Solutions 2007 - 2008
TCS 2002 - 2006
Skills
Pre-sales, Requirements Analysis, Business Analysis, CRM, SDLC, Global Delivery, Process Consulting, Consulting, Solution Architecture, Cloud Computing, Software Project..., Strategy, Requirements Gathering, IT Strategy, Digital Marketing, Oracle, Social Media Marketing, Social Media Strategy, Community Engagement, Business Process Design, Social Customer..., Enterprise Collaboration, Pega PRPC
Education
S.P. Jain Institute of Management & Research 2006 — 2007
PGDM, MBA
Cochin University of Science and Technology 1997 — 2001
BTech, Mechanical
St.Jude's Public School
Tonya D. Campbell RN, CCM Tonya D. Campbell RN, CCM's BCBS of North Carolina Experience May 2000 - May 2001
Job Manager, Case Management Department at Northeast Georgia Medical Center
Industry Hospital & Health Care
Experience
Northeast Georgia Medical Center March 2015 - Present
Colorado HealthOP March 2014 - March 2015
Kaiser Permanente July 2013 - March 2014
HCA / Sky Ridge Medical Center November 2009 - June 2013
HCA / Oak Hill Hospital June 2008 - November 2009
HCA / Northside Hospital & Tampa Bay Heart Institute January 2005 - December 2008
United Healthcare-Specialized Care Services September 2001 - January 2004
BC/BS of North Carolina May 2000 - May 2001
Raleigh Medical Group March 1997 - May 2000
Skills
Acute Care, Nursing, Healthcare, Critical Care, Healthcare Management, Medical/Surgical, BLS, Patient Safety, Hospitals, Inpatient, Patient Education, Utilization Management, Medicare, Case Managment, Medicine, Utilization Review, Case Management, Orthopedic, Clinical Research, Disease Management, Medicaid, Home Care, Patient Advocacy, Physician Relations, Quality Improvement, Nursing Education, ICU, Managed Care, Surgery, Meditech, JCAHO, Palliative Care, Medication..., Wound Care, ACLS, Physicians, IV, Emergency Room, HIPAA
Education
Certified Case Manager, CCM 2009 — 2019
HCpro-Clinical Documentation Improvement (Boot camp) 6/15/2013-6/18/2013 2013 — 2013
InterQual Criteria Standards of Practice for Healthcare Providers 2005 — 2013
re-fresher-applying Interqual criteria, yearly update.
Colorado Hospital Association 2012 — 2012
Healthcare Reform and the impact on Medicare.
Durham Technical Community College 1992 — 1996
Associate in Applied Science, Associate Degree in Nursing
Durham Technical Community College 1992 — 1994
Practical Nursing Degree
UNC School of Dentistry 1986 — 1987
Intraoral Radiography, Dental Assistant III
Northeast Georgia Medical Center March 2015 - Present
Colorado HealthOP March 2014 - March 2015
Kaiser Permanente July 2013 - March 2014
HCA / Sky Ridge Medical Center November 2009 - June 2013
HCA / Oak Hill Hospital June 2008 - November 2009
HCA / Northside Hospital & Tampa Bay Heart Institute January 2005 - December 2008
United Healthcare-Specialized Care Services September 2001 - January 2004
BC/BS of North Carolina May 2000 - May 2001
Raleigh Medical Group March 1997 - May 2000
Skills
Acute Care, Nursing, Healthcare, Critical Care, Healthcare Management, Medical/Surgical, BLS, Patient Safety, Hospitals, Inpatient, Patient Education, Utilization Management, Medicare, Case Managment, Medicine, Utilization Review, Case Management, Orthopedic, Clinical Research, Disease Management, Medicaid, Home Care, Patient Advocacy, Physician Relations, Quality Improvement, Nursing Education, ICU, Managed Care, Surgery, Meditech, JCAHO, Palliative Care, Medication..., Wound Care, ACLS, Physicians, IV, Emergency Room, HIPAA
Education
Certified Case Manager, CCM 2009 — 2019
HCpro-Clinical Documentation Improvement (Boot camp) 6/15/2013-6/18/2013 2013 — 2013
InterQual Criteria Standards of Practice for Healthcare Providers 2005 — 2013
re-fresher-applying Interqual criteria, yearly update.
Colorado Hospital Association 2012 — 2012
Healthcare Reform and the impact on Medicare.
Durham Technical Community College 1992 — 1996
Associate in Applied Science, Associate Degree in Nursing
Durham Technical Community College 1992 — 1994
Practical Nursing Degree
UNC School of Dentistry 1986 — 1987
Intraoral Radiography, Dental Assistant III
Natasha Ruffin-Peterkin Natasha Ruffin-Peterkin's BCBS of North Carolina Experience August 2008 - January 2011
Job Credit Repair Specialist at A+ Credit Inc
Industry Financial Services
Experience
A+Credit Inc January 2011 - Present
BCBS of North Carolina August 2008 - January 2011
Maxim Healthcare Services 2008 - 2010
Education
Strayer University 2011 — 2013
Master of Business Administration (M.B.A.), Marketing/Marketing Management, General
North Carolina Central University 1999 — 2004
Bachelor of Science, Registered Nursing/Registered Nurse
A+Credit Inc January 2011 - Present
BCBS of North Carolina August 2008 - January 2011
Maxim Healthcare Services 2008 - 2010
Education
Strayer University 2011 — 2013
Master of Business Administration (M.B.A.), Marketing/Marketing Management, General
North Carolina Central University 1999 — 2004
Bachelor of Science, Registered Nursing/Registered Nurse
Leola Burke, MHSA, CCS Leola Burke, MHSA, CCS's BCBS of North Carolina Experience August 2001 - April 2002
Job Independent HIM ICD10CM/PCS Consultant
Industry Hospital & Health Care
Experience
Independent Contractor 2006 - Present
Healthcare IT Leaders May 2013 - October 2013
H&A Consulting June 2012 - August 2012
H&A Consulting March 2012 - March 2012
TRC Staffing Services October 2011 - February 2012
Department of Veterans Affairs August 2010 - August 2011
Kforce Healthcare, Inc. February 2004 - October 2005
Forsyth Technical Community College August 2001 - October 2005
SemperCare Hospital February 2004 - July 2004
BCBS of North Carolina August 2001 - April 2002
Skills
AHIMA-Certified Coding..., AHIMA-approved..., AHIMA Ambassador, CMS GEM (General..., HIM departmental..., NCHIMA Coding Roundtable, Medicaid/Medicare..., Health Level 7 (HL-7)..., DSM-IV codes for..., MS-DRG and APC..., Professional Fee Coding..., Medicaid Managed Care, Veterans Equitable..., Codes, Medical Coding, Data Mapping, Training, Protocol, CMS, Health Information..., CPT, ICD-9, ICD-10, Revenue Cycle, Medical Records, Medicare, Medical Terminology, Healthcare, Medicaid, Hospitals, HCPCS, Physicians, ICD-9-CM, HIPAA, Documentations, EHR, Software Documentation, Medical Billing, Healthcare Information..., Epic Systems, EMR, Healthcare Consulting, CPOE, Coders, Revenue Cycle Management, Physician Relations, DRG, Health Insurance, Clinical Research, Healthcare Management
Education
Strayer University-North Carolina
Masters of Health Services Adminstration (MHSA)
The University of North Carolina at Chapel Hill
Bachelor of Arts (BA), Industrial and Organizational Psychology
Independent Contractor 2006 - Present
Healthcare IT Leaders May 2013 - October 2013
H&A Consulting June 2012 - August 2012
H&A Consulting March 2012 - March 2012
TRC Staffing Services October 2011 - February 2012
Department of Veterans Affairs August 2010 - August 2011
Kforce Healthcare, Inc. February 2004 - October 2005
Forsyth Technical Community College August 2001 - October 2005
SemperCare Hospital February 2004 - July 2004
BCBS of North Carolina August 2001 - April 2002
Skills
AHIMA-Certified Coding..., AHIMA-approved..., AHIMA Ambassador, CMS GEM (General..., HIM departmental..., NCHIMA Coding Roundtable, Medicaid/Medicare..., Health Level 7 (HL-7)..., DSM-IV codes for..., MS-DRG and APC..., Professional Fee Coding..., Medicaid Managed Care, Veterans Equitable..., Codes, Medical Coding, Data Mapping, Training, Protocol, CMS, Health Information..., CPT, ICD-9, ICD-10, Revenue Cycle, Medical Records, Medicare, Medical Terminology, Healthcare, Medicaid, Hospitals, HCPCS, Physicians, ICD-9-CM, HIPAA, Documentations, EHR, Software Documentation, Medical Billing, Healthcare Information..., Epic Systems, EMR, Healthcare Consulting, CPOE, Coders, Revenue Cycle Management, Physician Relations, DRG, Health Insurance, Clinical Research, Healthcare Management
Education
Strayer University-North Carolina
Masters of Health Services Adminstration (MHSA)
The University of North Carolina at Chapel Hill
Bachelor of Arts (BA), Industrial and Organizational Psychology
Trecy staton Trecy staton's BCBS of North Carolina Experience January 2000 - November 2005
Job Global Regulatory/Start Up Specialist at Quintiles
Industry Research
Experience
Quintiles November 2014 - Present
Quintiles April 2014 - September 2014
Quintiles November 2011 - April 2014
Quintiles October 2008 - November 2011
Social & Scientific Systems February 2008 - October 2008
CIGNA Healthcare November 2005 - February 2008
BCBS OF NORTH CAROLINA January 2000 - November 2005
Durham Public Schools October 1997 - January 2000
Skills
Microsoft Excel, PowerPoint, Customer Service, Research, Photoshop, English, Windows, Outlook, Teaching, Microsoft Office, microsoft project, Microsoft Office 2007, Training
Education
Northern
University of Mount Olive
Bachelor of Science (BS), Human Resources Management/Personnel Administration, General
Winston-Salem State University
B.A, Public Administration
Quintiles November 2014 - Present
Quintiles April 2014 - September 2014
Quintiles November 2011 - April 2014
Quintiles October 2008 - November 2011
Social & Scientific Systems February 2008 - October 2008
CIGNA Healthcare November 2005 - February 2008
BCBS OF NORTH CAROLINA January 2000 - November 2005
Durham Public Schools October 1997 - January 2000
Skills
Microsoft Excel, PowerPoint, Customer Service, Research, Photoshop, English, Windows, Outlook, Teaching, Microsoft Office, microsoft project, Microsoft Office 2007, Training
Education
Northern
University of Mount Olive
Bachelor of Science (BS), Human Resources Management/Personnel Administration, General
Winston-Salem State University
B.A, Public Administration
Molly Casey's BCBS of North Carolina Experience 1991 - 1995
Job Account Manager at The Standard
Industry Insurance
Experience
The Standard October 2010 - Present
TrustAtlantic Bank April 2008 - March 2011
WakeMed 2004 - 2008
Wake Education Partnership 2001 - 2003
BCBS of North Carolina 1991 - 1995
Carolina Physicians 1986 - 1989
Education
East Carolina University 1978 — 1982
Bachelor of Science (BS), Special Education and Teaching
The Standard October 2010 - Present
TrustAtlantic Bank April 2008 - March 2011
WakeMed 2004 - 2008
Wake Education Partnership 2001 - 2003
BCBS of North Carolina 1991 - 1995
Carolina Physicians 1986 - 1989
Education
East Carolina University 1978 — 1982
Bachelor of Science (BS), Special Education and Teaching
Frank Jackson's BCBS of North Carolina Experience 1996 - 2005
Job Chief Information Officer at Community Care of North Carolina/ population health/ informatics/ HIE
Industry Hospital & Health Care
Experience
Community Care of North Carolina March 2014 - Present
HealthMarkets April 2007 - Present
Private Healthcare Systems 2005 - 2007
BCBS of North Carolina 1996 - 2005
Kaiser Permanente 1993 - 1996
Technology Management 1992 - 1993
Skills
Strategy, Leadership, Analytics, Data Warehousing, Software Development, Team Building, Healthcare, SDLC, Vendor Management, IT Strategy, Business Intelligence, IT Management, Enterprise Architecture, Business Analysis, Project Management, Management, Integration
Education
University of Evansville
Bachelors, Computer Science and Accounting
University of Missouri-Saint Louis
MBA
Community Care of North Carolina March 2014 - Present
HealthMarkets April 2007 - Present
Private Healthcare Systems 2005 - 2007
BCBS of North Carolina 1996 - 2005
Kaiser Permanente 1993 - 1996
Technology Management 1992 - 1993
Skills
Strategy, Leadership, Analytics, Data Warehousing, Software Development, Team Building, Healthcare, SDLC, Vendor Management, IT Strategy, Business Intelligence, IT Management, Enterprise Architecture, Business Analysis, Project Management, Management, Integration
Education
University of Evansville
Bachelors, Computer Science and Accounting
University of Missouri-Saint Louis
MBA
G. Patrick Bryant's BCBS of North Carolina Experience 2006 - 2006
Job I'm back in the Learning Resource Center.
Industry Information Technology and Services
Experience
ITT Technical Institute July 2013 - Present
ITT Technical Institute September 2012 - July 2013
ITT Technical Institute April 2009 - October 2012
Bravo SFA 2011 - 2012
ITT-Tech 2008 - 2010
Salmon Library, University of Alabama in Huntsville January 2007 - November 2009
Butler Hill Group November 2007 - April 2008
BCBS of North Carolina 2006 - 2006
Sanmina-SCI 1997 - 2003
Skills
Microsoft Office, Research, Customer Service, Microsoft Excel, PowerPoint, Community Outreach, Teaching, Public Speaking, Outlook, Higher Education, Access
Education
University of Alabama 2006 — 2007
MLIS, Library & Information Studies
University of West Georgia 1980 — 1983
Bachelor of Business Administration (BBA), Business Administration and Management, General
ITT Technical Institute July 2013 - Present
ITT Technical Institute September 2012 - July 2013
ITT Technical Institute April 2009 - October 2012
Bravo SFA 2011 - 2012
ITT-Tech 2008 - 2010
Salmon Library, University of Alabama in Huntsville January 2007 - November 2009
Butler Hill Group November 2007 - April 2008
BCBS of North Carolina 2006 - 2006
Sanmina-SCI 1997 - 2003
Skills
Microsoft Office, Research, Customer Service, Microsoft Excel, PowerPoint, Community Outreach, Teaching, Public Speaking, Outlook, Higher Education, Access
Education
University of Alabama 2006 — 2007
MLIS, Library & Information Studies
University of West Georgia 1980 — 1983
Bachelor of Business Administration (BBA), Business Administration and Management, General
Sean Brophy's BCBS of North Carolina Experience 2000 - 2007
Job Lead Application Designer at CIGNA Healthcare
Industry Insurance
Experience
CIGNA Healthcare January 2007 - Present
BCBSNC March 2000 - January 2007
BCBS of North Carolina 2000 - 2007
Blue Cross Blue Shield of NC 2000 - 2007
Skills
HIPAA, EDI, DB2, COBOL, Databases, Mainframe, SDLC, Application Development, Web Applications, SQL, HTML, XML, JavaScript, Unix, Software Development, Java, Healthcare, Linux, Insurance, Analysis, SharePoint, SQL Server, Visio
Education
Computer Processing Inc. 1986 — 1988
Technical, Information Technology
Australian National University 1982 — 1983
none, Liberal Arts
Brandeis University 1980 — 1981
none, Liberal Arts
CIGNA Healthcare January 2007 - Present
BCBSNC March 2000 - January 2007
BCBS of North Carolina 2000 - 2007
Blue Cross Blue Shield of NC 2000 - 2007
Skills
HIPAA, EDI, DB2, COBOL, Databases, Mainframe, SDLC, Application Development, Web Applications, SQL, HTML, XML, JavaScript, Unix, Software Development, Java, Healthcare, Linux, Insurance, Analysis, SharePoint, SQL Server, Visio
Education
Computer Processing Inc. 1986 — 1988
Technical, Information Technology
Australian National University 1982 — 1983
none, Liberal Arts
Brandeis University 1980 — 1981
none, Liberal Arts
Leslie Blackwell Bailey's BCBS of North Carolina Experience October 2013 - March 2014
Job Claims Manager United HealthGroup M&R Division
Industry Insurance
Experience
UnitedHealth Group July 2013 - Present
BCBS of North Carolina October 2013 - March 2014
Aetna October 1993 - October 2013
Skills
Talent Management, Performance Management, Positive Coach Approach..., Yellow Belt in AIS..., Proficient with use of..., Proficient with use of..., eWorkforce Management, Aspect RTA Performance..., Targeted Selection..., Coaching, Recruiting, Human Resources, Leadership, Public Speaking, Team Building, Leadership Development
Education
DeVry University-Illinois 2014 — 2019
Human Resources Management and Services
North Carolina Agricultural and Technical State University 1987 — 1992
Computer Science
UnitedHealth Group July 2013 - Present
BCBS of North Carolina October 2013 - March 2014
Aetna October 1993 - October 2013
Skills
Talent Management, Performance Management, Positive Coach Approach..., Yellow Belt in AIS..., Proficient with use of..., Proficient with use of..., eWorkforce Management, Aspect RTA Performance..., Targeted Selection..., Coaching, Recruiting, Human Resources, Leadership, Public Speaking, Team Building, Leadership Development
Education
DeVry University-Illinois 2014 — 2019
Human Resources Management and Services
North Carolina Agricultural and Technical State University 1987 — 1992
Computer Science
Brenda Kulp's BCBS of North Carolina Experience February 2011 - October 2011
Job (MOC)Maintenance of Certification Specialist at (ABOS)American Board of Orthopaedic Surgery
Industry Hospital & Health Care
Experience
(ABOS)American Board of Orthopaedic Surgery January 2012 - Present
Southeastern Fracture Consortium January 2003 - Present
BCBS of North Carolina February 2011 - October 2011
Wake Forest University Baptist Medical Center May 2002 - February 2011
FirmLogic, Inc. 2004 - 2006
Wake Human Services 1994 - 2002
North Carolina Nurses Association 1990 - 1994
Wake Forest Bowman Gray School of Medicine 1986 - 1988
Davie County Health Department and Home Health Agency and Hospice 1985 - 1985
Skills
Healthcare Management, Team Building, Medicine, Medical Devices, Research, Hospitals, Performance Improvement, Educational Leadership, Orthopedic, Healthcare Information..., Managed Care, Quality Improvement, EMR, Patient Safety, Public Health, Orthopedics, Healthcare, Clinical Research, Surgery
Education
University of North Carolina at Greensboro 2013 — 2015
Master’s Degree, Master's Arts Liberal Studies
UNCG 1997 — 2001
RN-BSN, Nursing
Davis Hospital School of Nursing
Registered Nurse, Nursing
(ABOS)American Board of Orthopaedic Surgery January 2012 - Present
Southeastern Fracture Consortium January 2003 - Present
BCBS of North Carolina February 2011 - October 2011
Wake Forest University Baptist Medical Center May 2002 - February 2011
FirmLogic, Inc. 2004 - 2006
Wake Human Services 1994 - 2002
North Carolina Nurses Association 1990 - 1994
Wake Forest Bowman Gray School of Medicine 1986 - 1988
Davie County Health Department and Home Health Agency and Hospice 1985 - 1985
Skills
Healthcare Management, Team Building, Medicine, Medical Devices, Research, Hospitals, Performance Improvement, Educational Leadership, Orthopedic, Healthcare Information..., Managed Care, Quality Improvement, EMR, Patient Safety, Public Health, Orthopedics, Healthcare, Clinical Research, Surgery
Education
University of North Carolina at Greensboro 2013 — 2015
Master’s Degree, Master's Arts Liberal Studies
UNCG 1997 — 2001
RN-BSN, Nursing
Davis Hospital School of Nursing
Registered Nurse, Nursing
Kelly Velez's BCBS of North Carolina Experience August 2013 - Present
Job Bilingual Customer Service Advocate @ BCBSNC
Industry Consumer Services
Experience
BCBS of North Carolina August 2013 - Present
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop
Education
St. John's University 2010 — 2011
Associate’s Degree, Business Administration and Management, General
Port Richmond High School
BCBS of North Carolina August 2013 - Present
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop
Education
St. John's University 2010 — 2011
Associate’s Degree, Business Administration and Management, General
Port Richmond High School
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