Blue Cross Blue Shield of Tennessee
Industry: Company
DescriptionBlueCross BlueShield of Tennessee is the largest health benefit plan company in Tennessee. It is an independent, not-for-profit organization governed by its own board of directors. Headquarters: Chattanooga, TN CEO: J.D. Hickey CFO: John F Giblin Chief medical officer: Andrea D. Willis Subsidiaries: Volunteer State Health Plan, Shared Health, Inc., SVPs: Karen Ward, Roy Vaughn, Andrea D. Willis, Henry Smith
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Blue Cross Blue Shield of Tennessee Employees
Employee
Years
Job
Industry
Judith Nelson Judith Nelson's Blue Cross Blue Shield of Tennessee Experience 2007 - 2012
Job Director of Medicare Advantage Strategy at DST Health Solutions
Industry Insurance
Experience
DST Health Solutions September 2013 - Present
FTI Consulting May 2013 - August 2013
Blue Cross Blue Shield of Tennessee 2007 - 2012
BlueCross BlueShield of Tennessee 2003 - 2007
BlueCross BlueShield of Tennessee 2001 - 2003
BlueCross BlueShield of Tennessee 1990 - 2000
Provident Life and Accident Insurance Company 1986 - 1990
Skills
Organizational Design, Strategic Planning, Delivering Results, Compliance, Continuous Improvement, Business Strategy, Business Planning, Work Process Development, Operational efficiency..., Quality Management, Medical Management, Medical Informatics, Agile Project Management, Business Analysis, Provider Audit, Health Care Anti-Fraud, Provider Network..., Leadership, Business Process..., Auditing, Operations Management, Process Improvement, Claim, Employee Relations, Healthcare Management, Contract Negotiation, Team Building, Medicaid, Management, Change Management, Project Management, Healthcare, Leadership Development, Fraud, HIPAA, Cross-functional Team..., Risk Management, Performance Management, Insurance, Team Leadership, Informatics, Program Management, Customer Service, Health Insurance, Managed Care, Medicare Part D, Medical Compliance, Healthcare Industry, Medicare, Provider Relations
Education
The University of Tennessee at Chattanooga 1981 — 1985
Bachelor of Science (B.S.), Business
DST Health Solutions September 2013 - Present
FTI Consulting May 2013 - August 2013
Blue Cross Blue Shield of Tennessee 2007 - 2012
BlueCross BlueShield of Tennessee 2003 - 2007
BlueCross BlueShield of Tennessee 2001 - 2003
BlueCross BlueShield of Tennessee 1990 - 2000
Provident Life and Accident Insurance Company 1986 - 1990
Skills
Organizational Design, Strategic Planning, Delivering Results, Compliance, Continuous Improvement, Business Strategy, Business Planning, Work Process Development, Operational efficiency..., Quality Management, Medical Management, Medical Informatics, Agile Project Management, Business Analysis, Provider Audit, Health Care Anti-Fraud, Provider Network..., Leadership, Business Process..., Auditing, Operations Management, Process Improvement, Claim, Employee Relations, Healthcare Management, Contract Negotiation, Team Building, Medicaid, Management, Change Management, Project Management, Healthcare, Leadership Development, Fraud, HIPAA, Cross-functional Team..., Risk Management, Performance Management, Insurance, Team Leadership, Informatics, Program Management, Customer Service, Health Insurance, Managed Care, Medicare Part D, Medical Compliance, Healthcare Industry, Medicare, Provider Relations
Education
The University of Tennessee at Chattanooga 1981 — 1985
Bachelor of Science (B.S.), Business
Alex Ferda Alex Ferda's Blue Cross Blue Shield of Tennessee Experience July 1994 - July 1998
Job
Industry Wireless
Experience
Sprint June 2009 - Present
Sprint March 2008 - March 2009
Sprint April 2000 - March 2008
Forrest T Jones/Fidelity Security Life Insurance July 1998 - April 2000
Blue Cross Blue Shield of Tennessee July 1994 - July 1998
Unum Provident December 1986 - January 1994
Skills
Vendor Management, Integration, SDLC, Wireless, Program Management, Telecommunications, IT Strategy, Mobile Devices, Strategy, Billing Systems, Requirements Analysis, Process Improvement, Project Planning, Software Project..., CDMA, Software Development, Solution Architecture, PMO, Cross-functional Team..., Management, Enterprise Architecture, Team Leadership, Leadership, Billing, Cloud Computing, Managed Services, LTE, Contract Negotiations, E-commerce, Operation, System Deployment, Testing, BSS, Product Management, Contract Negotiation, Mobile, Vendor Relations, Strategic Planning, Strategic Leadership, IT Management, Enterprise Software, strategic, Business Strategy, Insurance, Agile Methodologies, Project Management
Education
University of the State of NY 2000 — 2002
BS, Business
University of Kansas - Graduate School of Business 1999 — 2002
MBA, E-Business
Sprint June 2009 - Present
Sprint March 2008 - March 2009
Sprint April 2000 - March 2008
Forrest T Jones/Fidelity Security Life Insurance July 1998 - April 2000
Blue Cross Blue Shield of Tennessee July 1994 - July 1998
Unum Provident December 1986 - January 1994
Skills
Vendor Management, Integration, SDLC, Wireless, Program Management, Telecommunications, IT Strategy, Mobile Devices, Strategy, Billing Systems, Requirements Analysis, Process Improvement, Project Planning, Software Project..., CDMA, Software Development, Solution Architecture, PMO, Cross-functional Team..., Management, Enterprise Architecture, Team Leadership, Leadership, Billing, Cloud Computing, Managed Services, LTE, Contract Negotiations, E-commerce, Operation, System Deployment, Testing, BSS, Product Management, Contract Negotiation, Mobile, Vendor Relations, Strategic Planning, Strategic Leadership, IT Management, Enterprise Software, strategic, Business Strategy, Insurance, Agile Methodologies, Project Management
Education
University of the State of NY 2000 — 2002
BS, Business
University of Kansas - Graduate School of Business 1999 — 2002
MBA, E-Business
Nathan Ricks's Blue Cross Blue Shield of Tennessee Experience August 2007 - Present
Job Quality Configuration Analysts
Industry Insurance
Experience
Jillian's Studio April 2013 - Present
Blue Cross Blue Shield of Tennessee August 2007 - Present
Yoga East January 2014 - November 2014
Regal Entertainment Group November 2001 - September 2007
Skills
Health Insurance, Insurance, Claim, Managed Care, Process Improvement, Business Analysis, HIPAA, Healthcare, Customer Service, Provider Relations, Underwriting, Commercial Insurance, Access, Data Analysis, Microsoft Excel, Outlook, Microsoft Office, Teamwork, Training, Project Management, Data Entry, Microsoft Word
Education
The University of Tennessee at Chattanooga 2002 — 2007
Bachelor of Science (B.S.), Business Administration and Management, General
Soddy Daisy High School 1998 — 2002
High School Diploma
Jillian's Studio April 2013 - Present
Blue Cross Blue Shield of Tennessee August 2007 - Present
Yoga East January 2014 - November 2014
Regal Entertainment Group November 2001 - September 2007
Skills
Health Insurance, Insurance, Claim, Managed Care, Process Improvement, Business Analysis, HIPAA, Healthcare, Customer Service, Provider Relations, Underwriting, Commercial Insurance, Access, Data Analysis, Microsoft Excel, Outlook, Microsoft Office, Teamwork, Training, Project Management, Data Entry, Microsoft Word
Education
The University of Tennessee at Chattanooga 2002 — 2007
Bachelor of Science (B.S.), Business Administration and Management, General
Soddy Daisy High School 1998 — 2002
High School Diploma
Daniel Puckett Daniel Puckett's Blue Cross Blue Shield of Tennessee Experience January 2011 - February 2012
Job Senior Specialist, Wellness
Industry Health, Wellness and Fitness
Experience
Healthways May 2014 - Present
Healthways November 2012 - May 2014
teknetex inc June 2012 - September 2012
DriveTime March 2012 - June 2012
Blue Cross Blue Shield of Tennessee January 2011 - February 2012
Skills
Disease Management, Healthcare Management, Health Education, Public Health, Building Relationships, Direct Sales, Communication Skills, Health Promotion, Fitness, Public Speaking, Healthcare, Sales, Coaching, Leadership, Nutrition, Wellness, Management, Talent Acquisition, Team Building, Time Management
Education
The University of Tennessee at Chattanooga
Bachelor of Science (B.S.)
Healthways May 2014 - Present
Healthways November 2012 - May 2014
teknetex inc June 2012 - September 2012
DriveTime March 2012 - June 2012
Blue Cross Blue Shield of Tennessee January 2011 - February 2012
Skills
Disease Management, Healthcare Management, Health Education, Public Health, Building Relationships, Direct Sales, Communication Skills, Health Promotion, Fitness, Public Speaking, Healthcare, Sales, Coaching, Leadership, Nutrition, Wellness, Management, Talent Acquisition, Team Building, Time Management
Education
The University of Tennessee at Chattanooga
Bachelor of Science (B.S.)
Mellissa Canino Story Mellissa Canino Story's Blue Cross Blue Shield of Tennessee Experience February 2005 - Present
Job Customer Service at Blue Cross Blue Shield of Tennessee
Industry Insurance
Experience
Blue Cross Blue Shield of Tennessee February 2005 - Present
Skills
Benefits Administration, Claim, Customer Satisfaction, Customer Service, Facebook, Health Insurance, HIPAA, Managed Care, Medicare, Microsoft Word, Medicare Advantage, Outlook, Web Applications
Education
The University of Tennessee at Chattanooga 1996 — 1998
Communication, General
Blue Cross Blue Shield of Tennessee February 2005 - Present
Skills
Benefits Administration, Claim, Customer Satisfaction, Customer Service, Facebook, Health Insurance, HIPAA, Managed Care, Medicare, Microsoft Word, Medicare Advantage, Outlook, Web Applications
Education
The University of Tennessee at Chattanooga 1996 — 1998
Communication, General
Leigh McCormack's Blue Cross Blue Shield of Tennessee Experience 2009 - 2011
Job Biostatistical Research Scientist at BlueCross BlueShield of Tennessee
Industry Research
Experience
BlueCross BlueShield of Tennessee 2013 - Present
BlueCross BlueShield of Tennessee 2011 - 2013
Blue Cross Blue Shield of Tennessee 2009 - 2011
The University of Alabama at Birmingham - Dept. of Preventive Medicine 2008 - 2009
Skills
SAS, SAS programming, Data Analysis, Statistics, Biostatistics, Predictive Modeling, Healthcare, Data Mining, Access, Logistic Regression, Informatics, SQL, Research, Analysis, Databases, Clinical Research, Analytics, SAS Base, Linear Regression, Statistical Modeling, Survival Analysis, SAS Programming
Education
University of Alabama at Birmingham
Master of Science (MS), Biostatistics
University of Alabama
Bachelor of Science (BS), Mathematical Statistics
BlueCross BlueShield of Tennessee 2013 - Present
BlueCross BlueShield of Tennessee 2011 - 2013
Blue Cross Blue Shield of Tennessee 2009 - 2011
The University of Alabama at Birmingham - Dept. of Preventive Medicine 2008 - 2009
Skills
SAS, SAS programming, Data Analysis, Statistics, Biostatistics, Predictive Modeling, Healthcare, Data Mining, Access, Logistic Regression, Informatics, SQL, Research, Analysis, Databases, Clinical Research, Analytics, SAS Base, Linear Regression, Statistical Modeling, Survival Analysis, SAS Programming
Education
University of Alabama at Birmingham
Master of Science (MS), Biostatistics
University of Alabama
Bachelor of Science (BS), Mathematical Statistics
Gary Steele's Blue Cross Blue Shield of Tennessee Experience November 1998 - November 2010
Job Director, HR Business Support at BlueCross BlueShield of Tennessee
Industry Insurance
Experience
BlueCross BlueShield of Tennessee November 2010 - Present
Blue Cross Blue Shield of Tennessee November 1998 - November 2010
US Space & Rocket Center February 1988 - November 1998
Skills
Recruiting, Human Resources, Employee Benefits, Benefits Administration, PeopleSoft, Talent Acquisition, Management, Leadership, Workforce Planning, Job Analysis, HR Policies, Strategic Planning, Organizational..., Interviews, Training, Workers Compensation, Team Leadership, Employee Relations, Deferred Compensation, Insurance, FMLA, Applicant Tracking..., Health Insurance, Policy, Performance Management, Personnel Management, Leadership Development, College Recruiting, Temporary Placement, Succession Planning, Taleo, HRIS, Onboarding, Employee Engagement, Hiring, HR Consulting, New Hire Orientations, Organizational..., Employee Training, Job Evaluation, FLSA, Employment Law, Career Development, SPHR, Organizational Design, Conflict Resolution, Program Management, Compensation & Benefit, Technical Recruiting, Executive Coaching
Education
University of Alabama in Huntsville 1979 — 1981
BA
BlueCross BlueShield of Tennessee November 2010 - Present
Blue Cross Blue Shield of Tennessee November 1998 - November 2010
US Space & Rocket Center February 1988 - November 1998
Skills
Recruiting, Human Resources, Employee Benefits, Benefits Administration, PeopleSoft, Talent Acquisition, Management, Leadership, Workforce Planning, Job Analysis, HR Policies, Strategic Planning, Organizational..., Interviews, Training, Workers Compensation, Team Leadership, Employee Relations, Deferred Compensation, Insurance, FMLA, Applicant Tracking..., Health Insurance, Policy, Performance Management, Personnel Management, Leadership Development, College Recruiting, Temporary Placement, Succession Planning, Taleo, HRIS, Onboarding, Employee Engagement, Hiring, HR Consulting, New Hire Orientations, Organizational..., Employee Training, Job Evaluation, FLSA, Employment Law, Career Development, SPHR, Organizational Design, Conflict Resolution, Program Management, Compensation & Benefit, Technical Recruiting, Executive Coaching
Education
University of Alabama in Huntsville 1979 — 1981
BA
Frank Delaney Frank Delaney's Blue Cross Blue Shield of Tennessee Experience May 2003 - February 2015
Job Budget & Forecast Analyst
Industry Insurance
Experience
CBL & Associates Properties, Inc. February 2015 - Present
Blue Cross Blue Shield of Tennessee May 2003 - February 2015
Skills
Budgets, Accounting, Account Reconciliation, Financial Forecasting, Auditing
Education
The University of Tennessee at Chattanooga 1981 — 1987
Bachelor of Science, Accounting, Accounting
University of Tennessee-Knoxville 1980 — 1981
CBL & Associates Properties, Inc. February 2015 - Present
Blue Cross Blue Shield of Tennessee May 2003 - February 2015
Skills
Budgets, Accounting, Account Reconciliation, Financial Forecasting, Auditing
Education
The University of Tennessee at Chattanooga 1981 — 1987
Bachelor of Science, Accounting, Accounting
University of Tennessee-Knoxville 1980 — 1981
Rebecca Townsend Johnson, MBA's Blue Cross Blue Shield of Tennessee Experience September 2006 - September 2014
Job Vendor Management at BlueCross BlueShield of Tennessee
Industry Insurance
Experience
BlueCross BlueShield of Tennessee September 2014 - Present
Blue Cross Blue Shield of Tennessee September 2006 - September 2014
Cigna Healthcare 2001 - 2006
Skills
Health Insurance, Medicare, HIPAA, Medicaid, Claim, Managed Care, Process Improvement, Healthcare, Employee Benefits, Access, Software Documentation, Policy, Sarbanes-Oxley Act, Insurance, Data Analysis
Education
The University of Tennessee at Chattanooga 2001 — 2003
MBA
The University of Tennessee at Chattanooga 1991 — 1996
BS, Business Administration
BlueCross BlueShield of Tennessee September 2014 - Present
Blue Cross Blue Shield of Tennessee September 2006 - September 2014
Cigna Healthcare 2001 - 2006
Skills
Health Insurance, Medicare, HIPAA, Medicaid, Claim, Managed Care, Process Improvement, Healthcare, Employee Benefits, Access, Software Documentation, Policy, Sarbanes-Oxley Act, Insurance, Data Analysis
Education
The University of Tennessee at Chattanooga 2001 — 2003
MBA
The University of Tennessee at Chattanooga 1991 — 1996
BS, Business Administration
Sherry Marlow Ormsby's Blue Cross Blue Shield of Tennessee Experience 2008 - 2011
Job Director, Assessment and Planning at Chattanooga State Community College
Industry Higher Education
Experience
Chattanooga State Community College September 2015 - Present
University of Tennessee at Chattanooga November 2014 - September 2015
Cleveland State Community College February 2012 - October 2014
Community Partnerships Consulting March 2007 - November 2011
Blue Cross Blue Shield of Tennessee 2008 - 2011
Girl Scouts of Moccasin Bend February 2003 - May 2006
Skills
Project Management, Organizational..., Process Improvement, Leadership, Research, Data Analysis, Higher Education, Staff Development, Strategic Planning, Program Evaluation, Nonprofits, Leadership Development, Training, Community Outreach, Teaching, Fundraising, Public Speaking, Microsoft Office, Program Management, Project Planning, Grant Administration, Event Planning, Microsoft Excel, Customer Service, Microsoft Word, Healthcare, PowerPoint, Management, Volunteer Management, Non-profits, Grant Writing, Team Building
Education
University of Tennessee-Knoxville 2013 — 2017
Doctor of Philosophy (Ph.D.), Educational Psychology, 4.0
The University of Tennessee at Chattanooga 2003 — 2006
Master of Public Administration (MPA), Public Administration
Washington State University
Bachelor of Arts (B.A.), Social Sciences
Chattanooga State Community College September 2015 - Present
University of Tennessee at Chattanooga November 2014 - September 2015
Cleveland State Community College February 2012 - October 2014
Community Partnerships Consulting March 2007 - November 2011
Blue Cross Blue Shield of Tennessee 2008 - 2011
Girl Scouts of Moccasin Bend February 2003 - May 2006
Skills
Project Management, Organizational..., Process Improvement, Leadership, Research, Data Analysis, Higher Education, Staff Development, Strategic Planning, Program Evaluation, Nonprofits, Leadership Development, Training, Community Outreach, Teaching, Fundraising, Public Speaking, Microsoft Office, Program Management, Project Planning, Grant Administration, Event Planning, Microsoft Excel, Customer Service, Microsoft Word, Healthcare, PowerPoint, Management, Volunteer Management, Non-profits, Grant Writing, Team Building
Education
University of Tennessee-Knoxville 2013 — 2017
Doctor of Philosophy (Ph.D.), Educational Psychology, 4.0
The University of Tennessee at Chattanooga 2003 — 2006
Master of Public Administration (MPA), Public Administration
Washington State University
Bachelor of Arts (B.A.), Social Sciences
Jana Matsinger's Blue Cross Blue Shield of Tennessee Experience April 2011 - August 2015
Job Manager, PMP, CEO
Industry Insurance
Experience
Salons by JC - Chattanooga 2013 - Present
Blue Cross Blue Shield of Tennessee April 2011 - August 2015
Chattanooga PMI Chapter August 2013 - December 2014
BlueCross BlueShield of Tennessee March 2010 - April 2011
Education
The University of Tennessee at Chattanooga
Masters
Salons by JC - Chattanooga 2013 - Present
Blue Cross Blue Shield of Tennessee April 2011 - August 2015
Chattanooga PMI Chapter August 2013 - December 2014
BlueCross BlueShield of Tennessee March 2010 - April 2011
Education
The University of Tennessee at Chattanooga
Masters
Ashley Miller, P.E.'s Blue Cross Blue Shield of Tennessee Experience January 2007 - August 2007
Job Assistant Project Manager at The Walsh Group Walsh Construction & Archer Western
Industry Construction
Experience
The Walsh Group - Walsh Construction & Archer Western August 2015 - Present
BCR Environmental Corporation September 2014 - July 2015
Fugro GeoConsulting Ltd October 2012 - December 2013
Professional Service Industries, Inc 2011 - 2012
Bauer Foundations 2010 - 2011
PSI Jefferson Branch January 2010 - July 2010
Professional Service Industries, Inc May 2006 - July 2010
PSI-Corporate November 2008 - December 2009
Colorado Springs Branch October 2007 - October 2008
Blue Cross Blue Shield of Tennessee January 2007 - August 2007
Skills
Construction, Geotechnical Engineering, Inspection, Construction Management, Process Scheduler, Project Estimation, Proposal Writing, Quality Assurance, Soil, Project Planning, Road, Deep Foundations, Concrete, Civil Engineering, Highways, Contract Management
Education
University of Missouri-Rolla 2001 — 2006
B.S., Civil Engineering
quincy notre dame 1997 — 2001
The Walsh Group - Walsh Construction & Archer Western August 2015 - Present
BCR Environmental Corporation September 2014 - July 2015
Fugro GeoConsulting Ltd October 2012 - December 2013
Professional Service Industries, Inc 2011 - 2012
Bauer Foundations 2010 - 2011
PSI Jefferson Branch January 2010 - July 2010
Professional Service Industries, Inc May 2006 - July 2010
PSI-Corporate November 2008 - December 2009
Colorado Springs Branch October 2007 - October 2008
Blue Cross Blue Shield of Tennessee January 2007 - August 2007
Skills
Construction, Geotechnical Engineering, Inspection, Construction Management, Process Scheduler, Project Estimation, Proposal Writing, Quality Assurance, Soil, Project Planning, Road, Deep Foundations, Concrete, Civil Engineering, Highways, Contract Management
Education
University of Missouri-Rolla 2001 — 2006
B.S., Civil Engineering
quincy notre dame 1997 — 2001
T. Dee Smith, MBA T. Dee Smith, MBA's Blue Cross Blue Shield of Tennessee Experience January 2009 - December 2010
Job Human Resources Professional
Industry Consumer Goods
Experience
Chattem, Inc. August 2011 - Present
Shaw Industries December 2010 - August 2011
Blue Cross Blue Shield of Tennessee January 2009 - December 2010
Five Star Food Service May 2008 - December 2008
Chattanooga Housing Authority October 2005 - February 2008
Southern Health Partners, Inc. October 2002 - March 2005
Skills
Data Analysis, Internal Audit, Benefits Administration, Benefits, Employee Benefits
Education
University of Phoenix 2010 — 2011
Masters of Business Adminstration
The University of Tennessee at Chattanooga 1996 — 2002
Bachelors of Science, Human Resources Management and General Management
The Baylor School 1990 — 1996
High School Diploma
Chattem, Inc. August 2011 - Present
Shaw Industries December 2010 - August 2011
Blue Cross Blue Shield of Tennessee January 2009 - December 2010
Five Star Food Service May 2008 - December 2008
Chattanooga Housing Authority October 2005 - February 2008
Southern Health Partners, Inc. October 2002 - March 2005
Skills
Data Analysis, Internal Audit, Benefits Administration, Benefits, Employee Benefits
Education
University of Phoenix 2010 — 2011
Masters of Business Adminstration
The University of Tennessee at Chattanooga 1996 — 2002
Bachelors of Science, Human Resources Management and General Management
The Baylor School 1990 — 1996
High School Diploma
Chris Womack's Blue Cross Blue Shield of Tennessee Experience July 2009 - February 2013
Job IT Compliance Manager at Blue Cross Blue Shield of TN
Industry Insurance
Experience
BlueCross BlueShield of Tennessee April 2015 - Present
BlueCross BlueShield of Tennessee February 2013 - April 2015
Blue Cross Blue Shield of Tennessee July 2009 - February 2013
Securas Consulting Group, LLC May 2009 - July 2009
Securas Consulting Group, LLC October 2008 - May 2009
Renasant Bank March 2006 - October 2008
Renasant Bank December 2002 - March 2006
Nail McKinney P.A. January 1998 - December 2002
Skills
IT Audit, SOX, Internal Audit, Auditing, Data Analysis, Data Mining, IT Governance, Monarch, ACL, Fraud Analysis, Sarbanes-Oxley Act, Access Lists, CISA, Change Management, Enterprise Risk..., Financial Risk, Fraud, Governance, Information Technology, Insurance, Process Improvement, Risk Assessment, Risk Management, SAS70, Sarbanes-Oxley, Security
Education
University of Mississippi 1997 — 1998
Master, Accountancy
University of Alabama 1993 — 1997
Bachelor of Science, Accountancy
BlueCross BlueShield of Tennessee April 2015 - Present
BlueCross BlueShield of Tennessee February 2013 - April 2015
Blue Cross Blue Shield of Tennessee July 2009 - February 2013
Securas Consulting Group, LLC May 2009 - July 2009
Securas Consulting Group, LLC October 2008 - May 2009
Renasant Bank March 2006 - October 2008
Renasant Bank December 2002 - March 2006
Nail McKinney P.A. January 1998 - December 2002
Skills
IT Audit, SOX, Internal Audit, Auditing, Data Analysis, Data Mining, IT Governance, Monarch, ACL, Fraud Analysis, Sarbanes-Oxley Act, Access Lists, CISA, Change Management, Enterprise Risk..., Financial Risk, Fraud, Governance, Information Technology, Insurance, Process Improvement, Risk Assessment, Risk Management, SAS70, Sarbanes-Oxley, Security
Education
University of Mississippi 1997 — 1998
Master, Accountancy
University of Alabama 1993 — 1997
Bachelor of Science, Accountancy
Wes Dennis's Blue Cross Blue Shield of Tennessee Experience October 2009 - August 2012
Job Continuous Improvement Director at Unum
Industry Consumer Goods
Experience
Unum February 2013 - Present
Unum August 2012 - February 2013
Blue Cross Blue Shield of Tennessee October 2009 - August 2012
Shaw Industries 2006 - 2009
Fluor 2005 - 2006
IBM 2004 - 2005
Skills
Lean Sigma, SAS, SharePoint, Six Sigma, Industrial Engineering, Contract Negotiation, Kaizen, Visio, Six Sigma Master Black..., Lean Kaizen Master, Management, Team Building, Business Analysis, Access, Integration, Process Improvement, Microsoft Excel, Training, Business Process..., Continuous Improvement, Quality Assurance, Analysis, Program Management, Software Documentation, Project Management, Cross-functional Team..., Change Management, Manufacturing, Leadership, Lean Manufacturing, Process Engineering, Quality Management, Project Planning, MS Project, Green Belt, Root Cause Analysis, Vendor Management
Education
The University of Tennessee at Chattanooga 2005 — 2009
Masters of Science, Engineering Management
The University of Tennessee at Chattanooga 1999 — 2004
BS, Industrial Engineering
ooltewah
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Unum February 2013 - Present
Unum August 2012 - February 2013
Blue Cross Blue Shield of Tennessee October 2009 - August 2012
Shaw Industries 2006 - 2009
Fluor 2005 - 2006
IBM 2004 - 2005
Skills
Lean Sigma, SAS, SharePoint, Six Sigma, Industrial Engineering, Contract Negotiation, Kaizen, Visio, Six Sigma Master Black..., Lean Kaizen Master, Management, Team Building, Business Analysis, Access, Integration, Process Improvement, Microsoft Excel, Training, Business Process..., Continuous Improvement, Quality Assurance, Analysis, Program Management, Software Documentation, Project Management, Cross-functional Team..., Change Management, Manufacturing, Leadership, Lean Manufacturing, Process Engineering, Quality Management, Project Planning, MS Project, Green Belt, Root Cause Analysis, Vendor Management
Education
The University of Tennessee at Chattanooga 2005 — 2009
Masters of Science, Engineering Management
The University of Tennessee at Chattanooga 1999 — 2004
BS, Industrial Engineering
ooltewah
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Chris Slocum, LCSW, MBA's Blue Cross Blue Shield of Tennessee Experience August 2009 - September 2010
Job Vice President, Clinical Operations at MHNet Behavioral Health
Industry Hospital & Health Care
Experience
MHNet Behavioral Health February 2013 - Present
MHNet Behavioral Health September 2010 - February 2013
Blue Cross Blue Shield of Tennessee August 2009 - September 2010
North Dallas Psychotherapy Associates August 1997 - August 2009
Comprehensive NeuroScience April 2008 - June 2009
Comprehensive NeuroScience December 2007 - March 2008
United Behavioral Health August 2003 - December 2007
United Behavioral Health May 2000 - August 2004
United Behavioral Health February 1999 - May 2000
Magellan Behavioral Health, Inc September 1997 - February 1999
Skills
Program Management, Leadership, Strategy, Medicare, Case Managment, Healthcare, Managed Care, Case Management, Leadership Development, Medicaid, Management, Business Development, Disease Management, Crisis Intervention, Training, Team Building, Healthcare Management, Account Management, Behavioral Health, Utilization Management, Provider Relations, Mental Health, Hospitals, Clinical Research
Education
University of Texas at Dallas - Naveen Jindal School of Management 2007 — 2009
EMBA, Business Administration
The University of Texas at Arlington 1991 — 1993
MSSW, Social Work
The University of Texas at Austin 1987 — 1991
BA, Psychology
MHNet Behavioral Health February 2013 - Present
MHNet Behavioral Health September 2010 - February 2013
Blue Cross Blue Shield of Tennessee August 2009 - September 2010
North Dallas Psychotherapy Associates August 1997 - August 2009
Comprehensive NeuroScience April 2008 - June 2009
Comprehensive NeuroScience December 2007 - March 2008
United Behavioral Health August 2003 - December 2007
United Behavioral Health May 2000 - August 2004
United Behavioral Health February 1999 - May 2000
Magellan Behavioral Health, Inc September 1997 - February 1999
Skills
Program Management, Leadership, Strategy, Medicare, Case Managment, Healthcare, Managed Care, Case Management, Leadership Development, Medicaid, Management, Business Development, Disease Management, Crisis Intervention, Training, Team Building, Healthcare Management, Account Management, Behavioral Health, Utilization Management, Provider Relations, Mental Health, Hospitals, Clinical Research
Education
University of Texas at Dallas - Naveen Jindal School of Management 2007 — 2009
EMBA, Business Administration
The University of Texas at Arlington 1991 — 1993
MSSW, Social Work
The University of Texas at Austin 1987 — 1991
BA, Psychology
Mitchell Mead's Blue Cross Blue Shield of Tennessee Experience September 2013 - Present
Job Manager I/T Applications at Blue Cross Blue Shield of Tennessee
Industry Utilities
Experience
Blue Cross Blue Shield of Tennessee September 2013 - Present
Skills
Business Intelligence, Process Improvement, Business Analysis, Project Management, Integration, Enterprise Software, Enterprise Architecture, Cloud Computing, Databases, Strategic Planning, SOA, ITIL, Business Process, Management, Team Leadership, IT Strategy, Governance, Business Strategy, Information Technology, Leadership
Education
The University of Tennessee at Chattanooga 1981 — 1985
BS, Computer Science
Blue Cross Blue Shield of Tennessee September 2013 - Present
Skills
Business Intelligence, Process Improvement, Business Analysis, Project Management, Integration, Enterprise Software, Enterprise Architecture, Cloud Computing, Databases, Strategic Planning, SOA, ITIL, Business Process, Management, Team Leadership, IT Strategy, Governance, Business Strategy, Information Technology, Leadership
Education
The University of Tennessee at Chattanooga 1981 — 1985
BS, Computer Science
Malik Hakeem's Blue Cross Blue Shield of Tennessee Experience February 1994 - October 1997
Job Financial Counselor at UhsPruitt
Industry Medical Devices
Experience
Uhs-Pruitt May 2013 - Present
Golden Technologies November 2003 - February 2008
Southeast Atlantic Beverage July 2002 - September 2003
Batesville Casket Company March 1998 - February 2002
Blue Cross Blue shield of Tennessee February 1994 - October 1997
Coca-Cola Bottling Company United May 1989 - February 1994
Education
The University of Tennessee at Chattanooga 1991 — 1996
BS, Marketing
Uhs-Pruitt May 2013 - Present
Golden Technologies November 2003 - February 2008
Southeast Atlantic Beverage July 2002 - September 2003
Batesville Casket Company March 1998 - February 2002
Blue Cross Blue shield of Tennessee February 1994 - October 1997
Coca-Cola Bottling Company United May 1989 - February 1994
Education
The University of Tennessee at Chattanooga 1991 — 1996
BS, Marketing
Walter Rice's Blue Cross Blue Shield of Tennessee Experience April 2004 - May 2005
Job VP, Financial Resources at Unum Group
Industry Insurance
Experience
Unum Group May 2005 - Present
Blue Cross Blue Shield of Tennessee April 2004 - May 2005
Ernst & Young December 1997 - April 2004
Skills
Internal Audit, Insurance, Auditing, Disability Insurance, Employee Benefits, Process Improvement, Accounting
Education
The University of Tennessee at Chattanooga
Bachelor of Science, Cum Laude, Accounting
Unum Group May 2005 - Present
Blue Cross Blue Shield of Tennessee April 2004 - May 2005
Ernst & Young December 1997 - April 2004
Skills
Internal Audit, Insurance, Auditing, Disability Insurance, Employee Benefits, Process Improvement, Accounting
Education
The University of Tennessee at Chattanooga
Bachelor of Science, Cum Laude, Accounting
Paul Jiang's Blue Cross Blue Shield of Tennessee Experience November 1998 - March 2002
Job Corporate Director, Medical Informatics at AmeriHealth Caritas
Industry Insurance
Experience
AmeriHealth Caritas September 2014 - Present
Neighborhood Health Plan January 2008 - September 2014
Florida Blue 2002 - 2007
Blue Cross Blue Shield of Tennessee November 1998 - March 2002
Skills
In-depth knowledge of..., 15 years healthcare..., HEDIS, SAS programming, More than 10 years..., Clinical Research, Program Management, HMO, Medicaid, Managed Care, Medicare, Informatics, Healthcare Analytics, Provider Relations, Quality Assurance, Health Policy, NCQA, Utilization Management, Quality Improvement, HIPAA, Medicaid Managed Care, Healthcare Consulting, Healthcare Industry, Disease Management, Healthcare Information..., Healthcare Management
Education
University of Alabama at Birmingham
MPH, Public Health
AmeriHealth Caritas September 2014 - Present
Neighborhood Health Plan January 2008 - September 2014
Florida Blue 2002 - 2007
Blue Cross Blue Shield of Tennessee November 1998 - March 2002
Skills
In-depth knowledge of..., 15 years healthcare..., HEDIS, SAS programming, More than 10 years..., Clinical Research, Program Management, HMO, Medicaid, Managed Care, Medicare, Informatics, Healthcare Analytics, Provider Relations, Quality Assurance, Health Policy, NCQA, Utilization Management, Quality Improvement, HIPAA, Medicaid Managed Care, Healthcare Consulting, Healthcare Industry, Disease Management, Healthcare Information..., Healthcare Management
Education
University of Alabama at Birmingham
MPH, Public Health
Jamie Johnston AHFI, CFE, CPC's Blue Cross Blue Shield of Tennessee Experience March 2001 - September 2006
Job Director, Clinical Analytics
Industry Hospital & Health Care
Experience
Anthem, Inc. January 2014 - Present
Amerigroup August 2013 - January 2014
Amerigroup Corporation June 2010 - August 2013
Amerigroup Corporation April 2007 - June 2010
Amerigroup Corporation September 2006 - April 2007
Blue Cross Blue Shield of Tennessee March 2001 - September 2006
Skills
Medicaid, Medicare, Health Insurance, Auditing, Certified Fraud Examiner, Claim, Claim Investigation, Fraud, HIPAA, HMO, Health Policy, Healthcare Consulting, Healthcare Industry, Healthcare Management, Insurance, Managed Care, Medical Coding, Medical Compliance, Network Development, Process Improvement, Claims Management, Provider Relations
Education
The University of Tennessee at Chattanooga 1996 — 2000
B.S., Accounting & Finance
Anthem, Inc. January 2014 - Present
Amerigroup August 2013 - January 2014
Amerigroup Corporation June 2010 - August 2013
Amerigroup Corporation April 2007 - June 2010
Amerigroup Corporation September 2006 - April 2007
Blue Cross Blue Shield of Tennessee March 2001 - September 2006
Skills
Medicaid, Medicare, Health Insurance, Auditing, Certified Fraud Examiner, Claim, Claim Investigation, Fraud, HIPAA, HMO, Health Policy, Healthcare Consulting, Healthcare Industry, Healthcare Management, Insurance, Managed Care, Medical Coding, Medical Compliance, Network Development, Process Improvement, Claims Management, Provider Relations
Education
The University of Tennessee at Chattanooga 1996 — 2000
B.S., Accounting & Finance
Nathan Key's Blue Cross Blue Shield of Tennessee Experience January 2010 - August 2012
Job Health Insurance
Industry Insurance
Experience
IMS PPO September 2014 - Present
Amazon Fulfillment Center October 2013 - February 2014
AllCare Health Service, Inc. October 2012 - March 2013
Blue Cross Blue Shield of Tennessee January 2010 - August 2012
Volunteer State Health Plan January 2010 - August 2012
Blue Cross Blue Shield of Tennessee January 2009 - January 2010
Blue Cross Blue Shield of Tennessee September 2007 - January 2009
Texas True Choice 2004 - 2005
Cariten Healthcare 2001 - 2004
Skills
Long Term Care, Medicaid, Provider Relations, Network Development, Claim Analysis, Claims, Contract Negotiation, Health Insurance, Healthcare, Managed Care, Insurance, Customer Service, Customer Relations, Negotiation, Analysis, PowerPoint, Word, Strategic Planning, Process Improvement, Excel, Microsoft Office, Contract Management, Access, Financial Analysis, Problem Solving, Compliance, Healthcare Management, Public Speaking, Research, Data Analysis, Team Building, Team Leadership, Microsoft Excel, Claim, HIPAA, Healthcare Reimbursement, Healthcare Consulting, Healthcare Industry, Systems Analysis, Training Facilitation, Training Delivery, Policy, Long-term Care, Microsoft Word, HMO, PPO, Healthcare Information..., Business Analysis, Physician Relations, Medical Terminology
Education
University of Alabama in Huntsville 1997 — 2000
BSBA, MIS
Northeast Alabama Community College 1995 — 1997
AS, Business Administration and Management, General
North Sand Mountain High School 1991 — 1995
Advanced Diploma, College Prep Courses
IMS PPO September 2014 - Present
Amazon Fulfillment Center October 2013 - February 2014
AllCare Health Service, Inc. October 2012 - March 2013
Blue Cross Blue Shield of Tennessee January 2010 - August 2012
Volunteer State Health Plan January 2010 - August 2012
Blue Cross Blue Shield of Tennessee January 2009 - January 2010
Blue Cross Blue Shield of Tennessee September 2007 - January 2009
Texas True Choice 2004 - 2005
Cariten Healthcare 2001 - 2004
Skills
Long Term Care, Medicaid, Provider Relations, Network Development, Claim Analysis, Claims, Contract Negotiation, Health Insurance, Healthcare, Managed Care, Insurance, Customer Service, Customer Relations, Negotiation, Analysis, PowerPoint, Word, Strategic Planning, Process Improvement, Excel, Microsoft Office, Contract Management, Access, Financial Analysis, Problem Solving, Compliance, Healthcare Management, Public Speaking, Research, Data Analysis, Team Building, Team Leadership, Microsoft Excel, Claim, HIPAA, Healthcare Reimbursement, Healthcare Consulting, Healthcare Industry, Systems Analysis, Training Facilitation, Training Delivery, Policy, Long-term Care, Microsoft Word, HMO, PPO, Healthcare Information..., Business Analysis, Physician Relations, Medical Terminology
Education
University of Alabama in Huntsville 1997 — 2000
BSBA, MIS
Northeast Alabama Community College 1995 — 1997
AS, Business Administration and Management, General
North Sand Mountain High School 1991 — 1995
Advanced Diploma, College Prep Courses
Kimberly Suttles's Blue Cross Blue Shield of Tennessee Experience October 2007 - Present
Job System Analyst at Blue Cross Blue Shield of Tennessee
Industry Insurance
Experience
Blue Cross Blue Shield of Tennessee October 2007 - Present
Education
The University of Tennessee at Chattanooga 1988 — 1993
Computer Science
Blue Cross Blue Shield of Tennessee October 2007 - Present
Education
The University of Tennessee at Chattanooga 1988 — 1993
Computer Science
Divyes Patel's Blue Cross Blue Shield of Tennessee Experience May 2011 - Present
Job Manager Rapid Application Developement, Medical Informatics at Blue Cross Blue Shield of Tennessee
Industry Insurance
Experience
Blue Cross Blue Shield of Tennessee May 2011 - Present
UnitedHealth Group July 2010 - May 2011
UnitedHealth Group November 2007 - July 2010
UnitedHealth Group July 2006 - November 2007
CIGNA Healthcare April 2003 - June 2006
NCO Financial Systems, Inc. October 2000 - April 2003
Hewlett-Packard June 1998 - October 2000
Skills
Business Analysis, Business Intelligence, Data Modeling, ETL, Data Warehousing, SDLC, Data Analysis, Enterprise Architecture, Requirements Gathering, Healthcare Information..., Analytics, SharePoint, Requirements Analysis, SQL, Visio, Management, Data Integration, Process Improvement
Education
The University of Tennessee at Chattanooga 1992 — 1997
Bachelor of Arts (B.A.), Chemistry
The University of Tennessee at Chattanooga 1992 — 1997
Bachelor of Arts (B.A.), Economics
Blue Cross Blue Shield of Tennessee May 2011 - Present
UnitedHealth Group July 2010 - May 2011
UnitedHealth Group November 2007 - July 2010
UnitedHealth Group July 2006 - November 2007
CIGNA Healthcare April 2003 - June 2006
NCO Financial Systems, Inc. October 2000 - April 2003
Hewlett-Packard June 1998 - October 2000
Skills
Business Analysis, Business Intelligence, Data Modeling, ETL, Data Warehousing, SDLC, Data Analysis, Enterprise Architecture, Requirements Gathering, Healthcare Information..., Analytics, SharePoint, Requirements Analysis, SQL, Visio, Management, Data Integration, Process Improvement
Education
The University of Tennessee at Chattanooga 1992 — 1997
Bachelor of Arts (B.A.), Chemistry
The University of Tennessee at Chattanooga 1992 — 1997
Bachelor of Arts (B.A.), Economics
Michael Katzenberger's Blue Cross Blue Shield of Tennessee Experience March 2011 - Present
Job Technical Sales Management
Industry Security and Investigations
Experience
Blue Cross Blue Shield of Tennessee March 2011 - Present
Katz Consulting October 2008 - March 2010
Molon Motor May 2007 - October 2008
Fasco Motors 1989 - 2007
Skills
Business Development, Security, Team Leadership, Management, Leadership, Budgets, Crisis Management, Tactics, Account Management, Marketing, Sales Management, Customer Engagement, Customer Retention, Sales Presentations, Sales Process, Forecasting, Product Development, Pricing, Strategy, Team Building, Sales
Education
United States Navy Tech Schools 1972 — 1973
University of Missouri-Saint Louis
Blue Cross Blue Shield of Tennessee March 2011 - Present
Katz Consulting October 2008 - March 2010
Molon Motor May 2007 - October 2008
Fasco Motors 1989 - 2007
Skills
Business Development, Security, Team Leadership, Management, Leadership, Budgets, Crisis Management, Tactics, Account Management, Marketing, Sales Management, Customer Engagement, Customer Retention, Sales Presentations, Sales Process, Forecasting, Product Development, Pricing, Strategy, Team Building, Sales
Education
United States Navy Tech Schools 1972 — 1973
University of Missouri-Saint Louis
Stephen Peake's Blue Cross Blue Shield of Tennessee Experience 2010 - September 2011
Job Senior Care Divsion Medical Director, Blue Cross Blue Shield of Tennessee
Industry Hospital & Health Care
Experience
BlueCross BlueShield of Tennessee August 2011 - Present
Blue Cross Blue Shield of Tennessee 2010 - September 2011
Volunteer State Health Plan November 2009 - September 2011
VIANT 2006 - 2009
Concentra 1998 - 2006
Skills
Managed Care, Medicaid, Health Insurance, HIPAA, Medicine, Healthcare Information..., Strategic Planning, Health Policy, Healthcare Management, Disease Management, Elder Care, Healthcare Industry, Network Development, Claim, Team Building, Healthcare Consulting, Provider Relations, Data Analysis, Leadership, Access, Policy, Long-term Care, Hospitals, PPO, Credentialing, Employee Benefits, Executive Management, Process Improvement, Utilization Management, EMR, Physicians, EHR, Physician Relations, Quality Improvement, Revenue Cycle, HMO, Pharmacy Benefit..., Workers Compensation, Informatics, Clinical Research, Home Care, Nursing, Claims Management
Education
University of Oklahoma College of Medicine 1977 — 1981
Medical Doctorate, Medicine
University of Oklahoma 1972 — 1981
Medical Doctorate with Distinction, Medicine
BlueCross BlueShield of Tennessee August 2011 - Present
Blue Cross Blue Shield of Tennessee 2010 - September 2011
Volunteer State Health Plan November 2009 - September 2011
VIANT 2006 - 2009
Concentra 1998 - 2006
Skills
Managed Care, Medicaid, Health Insurance, HIPAA, Medicine, Healthcare Information..., Strategic Planning, Health Policy, Healthcare Management, Disease Management, Elder Care, Healthcare Industry, Network Development, Claim, Team Building, Healthcare Consulting, Provider Relations, Data Analysis, Leadership, Access, Policy, Long-term Care, Hospitals, PPO, Credentialing, Employee Benefits, Executive Management, Process Improvement, Utilization Management, EMR, Physicians, EHR, Physician Relations, Quality Improvement, Revenue Cycle, HMO, Pharmacy Benefit..., Workers Compensation, Informatics, Clinical Research, Home Care, Nursing, Claims Management
Education
University of Oklahoma College of Medicine 1977 — 1981
Medical Doctorate, Medicine
University of Oklahoma 1972 — 1981
Medical Doctorate with Distinction, Medicine
Don Alosi's Blue Cross Blue Shield of Tennessee Experience 1990 - 2005
Job Account Manager at Community Health Alliance
Industry Computer Software
Experience
Community Health Alliance January 2015 - Present
Retired USA December 2014 - Present
Vikus Corporation January 2010 - Present
BlueCross BlueShield of Tennessee August 1990 - December 2009
Blue Cross Blue Shield of Tennessee 1990 - 2005
Skills
Health Insurance, Customer Service, Process Improvement, Team Building, Insurance, CRM, Management, Leadership, Benefits Administration, Healthcare, Medicaid, System Administration, Training, Account Management, Call Centers, Program Management, Strategic Planning, Talent Acquisition, Team Leadership, Organizational..., Employee Benefits, Performance Management, Recruiting, HIPAA, Coaching, Project Management, Data Analysis, PeopleSoft, Human Resources, Marketing
Education
University of South Carolina - Darla Moore School of Business 1972 — 1979
BS, Management
East Providence HS 1964 — 1968
Community Health Alliance January 2015 - Present
Retired USA December 2014 - Present
Vikus Corporation January 2010 - Present
BlueCross BlueShield of Tennessee August 1990 - December 2009
Blue Cross Blue Shield of Tennessee 1990 - 2005
Skills
Health Insurance, Customer Service, Process Improvement, Team Building, Insurance, CRM, Management, Leadership, Benefits Administration, Healthcare, Medicaid, System Administration, Training, Account Management, Call Centers, Program Management, Strategic Planning, Talent Acquisition, Team Leadership, Organizational..., Employee Benefits, Performance Management, Recruiting, HIPAA, Coaching, Project Management, Data Analysis, PeopleSoft, Human Resources, Marketing
Education
University of South Carolina - Darla Moore School of Business 1972 — 1979
BS, Management
East Providence HS 1964 — 1968
Dan Parda's Blue Cross Blue Shield of Tennessee Experience March 2008 - Present
Job Stop Loss Analyst at Blue Cross Blue Shield of Tennessee
Industry Insurance
Experience
Blue Cross Blue Shield of Tennessee March 2008 - Present
AGA, Inc November 2006 - January 2008
Unum December 2002 - October 2006
Education
The University of Tennessee at Chattanooga 1999 — 2002
Bachelor of Arts, History, Sociology
Blue Cross Blue Shield of Tennessee March 2008 - Present
AGA, Inc November 2006 - January 2008
Unum December 2002 - October 2006
Education
The University of Tennessee at Chattanooga 1999 — 2002
Bachelor of Arts, History, Sociology
David Tubbs (Work)'s Blue Cross Blue Shield of Tennessee Experience May 1997 - Present
Job AppSystems AnalystSpecialist at Blue Cross Blue Shield of Tennessee
Industry Insurance
Experience
Blue Cross Blue Shield of Tennessee May 1997 - Present
BlueCross BlueShield of Tennessee August 1995 - May 1997
BlueCross BlueShield of Tennessee February 1994 - July 1996
Skills
DB2, SDLC, SQL, Microsoft SQL Server, COBOL, Visio, VB.NET, Data Warehousing, Business Analysis, SSRS, T-SQL, PL/SQL, Requirements Analysis, ASP.NET, Systems Analysis, Databases, JCL, Visual Basic, Visual Studio, C# 4.0, RPG III, Assembly Language
Education
The University of Tennessee at Chattanooga 1997 — 2003
Bachelor of Science, Information Systems
Chattanooga State Technical College 1992 — 1997
Blue Cross Blue Shield of Tennessee May 1997 - Present
BlueCross BlueShield of Tennessee August 1995 - May 1997
BlueCross BlueShield of Tennessee February 1994 - July 1996
Skills
DB2, SDLC, SQL, Microsoft SQL Server, COBOL, Visio, VB.NET, Data Warehousing, Business Analysis, SSRS, T-SQL, PL/SQL, Requirements Analysis, ASP.NET, Systems Analysis, Databases, JCL, Visual Basic, Visual Studio, C# 4.0, RPG III, Assembly Language
Education
The University of Tennessee at Chattanooga 1997 — 2003
Bachelor of Science, Information Systems
Chattanooga State Technical College 1992 — 1997
Salinas Becky's Blue Cross Blue Shield of Tennessee Experience Exec. AdminUnumJanuary 2000 - August 2006
Job Marketing at Blue Cross Blue Shield of Tennessee
Industry Insurance
Experience
Blue Cross Blue Shield of Tennessee Exec. AdminUnumJanuary 2000 - August 2006
Wilson & Wilson Attorneys 1995 - 1998
Education
The University of Tennessee at Chattanooga 1999 — 2001
BS, Business Administration/Paralegal Studies
Blue Cross Blue Shield of Tennessee Exec. AdminUnumJanuary 2000 - August 2006
Wilson & Wilson Attorneys 1995 - 1998
Education
The University of Tennessee at Chattanooga 1999 — 2001
BS, Business Administration/Paralegal Studies
Kenneth Scott Webster's Blue Cross Blue Shield of Tennessee Experience August 2006 - April 2009
Job Data Quality Analyst at BlueCross BlueShield of Tennessee (Shared Health)
Industry Hospital & Health Care
Experience
BlueCross BlueShield of Tennessee (Shared Health) Reporting AnalystBlue Cross Blue Shield of TennesseeApril 2009 - November 2010
Blue Cross Blue Shield of Tennessee August 2006 - April 2009
Blue Cross Blue Shield of Tennessee August 2005 - August 2006
First Tennessee Bank February 2003 - August 2005
United States Marine Corps June 1995 - June 1999
Education
The University of Tennessee at Chattanooga 2006 — 2009
MPA, Public Administration
The University of Tennessee at Chattanooga 1999 — 2002
BS, Sociology (History)
BlueCross BlueShield of Tennessee (Shared Health) Reporting AnalystBlue Cross Blue Shield of TennesseeApril 2009 - November 2010
Blue Cross Blue Shield of Tennessee August 2006 - April 2009
Blue Cross Blue Shield of Tennessee August 2005 - August 2006
First Tennessee Bank February 2003 - August 2005
United States Marine Corps June 1995 - June 1999
Education
The University of Tennessee at Chattanooga 2006 — 2009
MPA, Public Administration
The University of Tennessee at Chattanooga 1999 — 2002
BS, Sociology (History)
Dallas Cole's Blue Cross Blue Shield of Tennessee Experience September 2010 - October 2012
Job Provider Record Maintenance at BlueCross BlueShield of Tennessee
Industry Insurance
Experience
BlueCross BlueShield of Tennessee October 2012 - Present
Blue Cross Blue Shield of Tennessee September 2010 - October 2012
Sheraton Read House Hotel November 2009 - September 2010
Skills
Claim, Insurance, Health Insurance, Claims Management, Medicare, Claim Investigation, Medicaid, Employee Benefits, Claims Handling, Claims Resolution, Workers Compensation, HIPAA, Provider Relations
Education
The University of Tennessee at Chattanooga 2003 — 2008
Bachelor of Business Administration (BBA), Human Resources Management/Personnel Administration, General
The University of Tennessee at Chattanooga 2003 — 2008
Bachelor of Business Administration (BBA), Business Administration and Management, General
BlueCross BlueShield of Tennessee October 2012 - Present
Blue Cross Blue Shield of Tennessee September 2010 - October 2012
Sheraton Read House Hotel November 2009 - September 2010
Skills
Claim, Insurance, Health Insurance, Claims Management, Medicare, Claim Investigation, Medicaid, Employee Benefits, Claims Handling, Claims Resolution, Workers Compensation, HIPAA, Provider Relations
Education
The University of Tennessee at Chattanooga 2003 — 2008
Bachelor of Business Administration (BBA), Human Resources Management/Personnel Administration, General
The University of Tennessee at Chattanooga 2003 — 2008
Bachelor of Business Administration (BBA), Business Administration and Management, General
Cheryl Footman's Blue Cross Blue Shield of Tennessee Experience January 2011 - November 2011
Job Compliance Consultant at BlueCross BlueShield of Tennessee
Industry Insurance
Experience
BlueCross BlueShield of Tennessee April 2013 - Present
BlueCross BlueShield of Tennessee June 2011 - April 2013
Blue Cross Blue Shield of Tennessee January 2011 - November 2011
BlueCross BlueShield of Tennessee March 2009 - January 2011
BlueCross BlueShield of Tennessee November 2003 - August 2009
BlueCross BlueShield of Tennessee July 2001 - November 2003
BlueCross BlueShield of Tennessee April 2000 - June 2001
Liberty Mutual Insurance Group October 1986 - October 1999
Skills
Internal Controls, Medicare, Access, Medicaid, Root Cause Analysis, Process Improvement, Over ten years of..., Extensive experience..., Knowledge of Federal..., Experience in using and..., Solid analytical,..., Able to manage multiple..., Outstanding written and..., Very effective working..., Lean Six Sigma Yellow..., Gap Analysis, Insurance, Training, Analysis, Auditing, HIPAA, Management, Employee Benefits, Policy
Education
University of Alabama at Birmingham 1983 — 1985
Masters of Accountancy, Accounting
University of Alabama 1979 — 1983
Bachelor of Science, Accounting
BlueCross BlueShield of Tennessee April 2013 - Present
BlueCross BlueShield of Tennessee June 2011 - April 2013
Blue Cross Blue Shield of Tennessee January 2011 - November 2011
BlueCross BlueShield of Tennessee March 2009 - January 2011
BlueCross BlueShield of Tennessee November 2003 - August 2009
BlueCross BlueShield of Tennessee July 2001 - November 2003
BlueCross BlueShield of Tennessee April 2000 - June 2001
Liberty Mutual Insurance Group October 1986 - October 1999
Skills
Internal Controls, Medicare, Access, Medicaid, Root Cause Analysis, Process Improvement, Over ten years of..., Extensive experience..., Knowledge of Federal..., Experience in using and..., Solid analytical,..., Able to manage multiple..., Outstanding written and..., Very effective working..., Lean Six Sigma Yellow..., Gap Analysis, Insurance, Training, Analysis, Auditing, HIPAA, Management, Employee Benefits, Policy
Education
University of Alabama at Birmingham 1983 — 1985
Masters of Accountancy, Accounting
University of Alabama 1979 — 1983
Bachelor of Science, Accounting
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY