BCBST Company
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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BCBST Employees
U.S. Xpress Logistics November 2014 - Present
Level Plane Solution June 2013 - March 2014
BCBST March 2009 - May 2013
Precision Products, LLC February 2002 - December 2008
Skills
Sales, Customer Service, Training, Sales Management, Management
Education
Covenant College 2009 — 2012
Bachelor of Science (B.S.), Organizational Management
BCBST July 2015 - Present
BCBST January 2010 - July 2015
BlueCross BlueShield of Tennessee March 2014 - December 2014
BlueCross BlueShield of Tennessee October 2009 - January 2010
BlueCross BlueShield of Tennessee September 2007 - October 2009
Ciber Consulting Inc September 2006 - September 2007
Skills
Risk Management, Healthcare, Risk Assessment, Insurance, Process Improvement, Internal Audit, Project Management, Change Management, Data Analysis, Microsoft Excel, Governance, Auditing, Enterprise Risk..., Microsoft Office, Business Analysis, Sarbanes-Oxley Act, Strategic Planning, Internal Controls, SAS, Financial Analysis, Analysis, Business Process..., Visio, Healthcare Management
Education
Colorado Technical University 2010 — 2012
Bachelor's Degree, Business Administration and Management, General, 3.96
Colorado Technical University 2009 — 2010
Associate’s Degree, Business Administration and Management, General, 3.86
BCBST November 2014 - Present
UnitedHealth Group May 2011 - November 2014
Mental Health Cooperative June 2007 - February 2011
Psychiatric Hospital at Vanderbilt July 1998 - June 2007
Skills
Psychotherapy, Mental Health Counseling, Case Managment, Social Services, Crisis Intervention, Mental Health, Healthcare
Education
The University of Tennessee at Chattanooga
Master of Education (M.Ed.), Psychology
University of Tennessee-Knoxville
Master of Social Work (MSW), Social Work-Administration
BCBST January 2012 - Present
Brock Services LLC February 2011 - Present
Mollen Immunization Clinics August 2008 - Present
M. Salerno & Associates, Inc. May 2010 - September 2010
MBV January 2009 - February 2009
Intrepid, USA September 2008 - November 2008
Amedisys July 2007 - October 2007
WHVMC November 2003 - November 2006
IPMC November 2005 - March 2006
Skills
Case Managment, Home Health Agencies, Utilization Management, Occupational Health, Healthcare Management, Communication, Organization, Hospitals, Retirement Villages, People-oriented, People Skills, Clerical Skills, Computer Proficiency, Drug Testing, Phlebotomy, Nursing Care, Oncology Nursing, OB/GYN, Operating Room, Fast Learner, Hardware and Software..., Hard Worker
Education
King University 2005 — 2007
BSN, Nursing
Mountain Empire Community College 1992 — 2000
Associates/RN, Nursing
Powell Valley High School 1982 — 1987
Diploma, General Studies
BCBST July 2012 - Present
Shared Health March 2011 - July 2012
Ocoee Insurance Services September 2003 - March 2011
Media Resource Group December 2001 - September 2003
Skills
Project Planning, Microsoft Excel, Microsoft Office, Project Management, Strategic Planning, Team Building, New Business Development, Business Process..., Product Development, Customer Service, PowerPoint, Visio, Life & Health Insurance..., Account Management, Employee Benefits, Insurance, HIPAA, Management, Process Improvement, Software Documentation, Team Leadership, Leadership, Logistics
Education
University of Phoenix 2007 — 2010
B.S. Health Administration
Cleveland State Community College 2000 — 2002
A.A.S., Office Systems Administration
McMinn Central High School 1997 — 2000
H.S. Diploma
FINEOS January 2015 - Present
UnitedHealth Group July 2011 - January 2015
ADP May 2009 - July 2011
BCBST October 2006 - May 2009
Skills
PMP, MS Project, MS Office Suite, Agile, Full SDLC, Software Project..., Visio, SharePoint, SharePoint Designer, Analysis, Management, Software Documentation, PMO, Program Management, Leadership, Agile Methodologies, Training, SDLC, Process Improvement, Cross-functional Team..., Vendor Management, Microsoft Project, Microsoft Office
Education
Colorado Technical University 2005 — 2008
Master of Science in Management, Information Technology Management, 3.36
Rochester Institute of Technology 2002 — 2005
Bachelor of Applied Science (B.A.Sc.), Management Information Systems, General, 3.0
BCBST October 2014 - Present
Arbonne Independent Consultant August 2012 - Present
Integrated Solutions Health Networks, LLC November 2012 - May 2013
UnitedHealth Group February 2007 - August 2011
Skills
Healthcare, Behavioral Health, Holistic Health, Case Management, Wellness, Case Managment, Disease Management, HIPAA, Health Policy, Healthcare Consulting, Healthcare Management, Hospitals, Managed Care, Management, Medicaid, Medicare, Medicine, Nursing, Patient Safety, Physicians, Public Health
Education
Argosy University Atlanta 2005 — 2008
Master of Professional Counseling, Mental Health Counseling/Counselor
Belmont University 1986 — 1991
Bachelor of Science, Registered Nursing/Registered Nurse
BlueCross BlueShield of Tennessee May 2014 - Present
BCBST September 2012 - May 2014
Dutty Laundry Inc. February 2003 - June 2012
United States Postal Service March 2001 - January 2003
Regis Corporation April 2000 - February 2001
DS Max INC. June 1995 - March 2000
Skills
Sales Management, Entrepreneurship, Aviation, Customer Service, PowerPoint, Event Planning, Problem Solving, Public Speaking, Team Building, Inventory Management, B2B, Word, Marketing Strategy, Microsoft Office, Excel, Fundraising, Social Media, Customer Relations, Advertising, Event Management, Writing, Online Marketing, Coaching, Direct Sales, Microsoft Excel, Marketing, Sales, Sales Operations, Human Resources, Teamwork, Leadership, Team Leadership, Social Media Marketing, Training, Management, Customer Satisfaction, Marketing Communications, Social Networking, Account Management, Strategic Planning, Leadership Development, New Business Development, Time Management
Education
The University of Tennessee at Chattanooga 2010 — 2012
Dual BS, Marketing and General Management
Chattanooga State Community College 2009 — 2010
AAS, GENERAL STUDIES & AVIATION MANAGEMENT
CVS Health August 2012 - Present
Grand Canyon University February 2012 - Present
BCBST July 2004 - January 2012
241st EIS USAFNG May 2001 - December 2003
Education
Grand Canyon University 2012 — 2015
Bachelor of Science (BS), Christian Studies
The University of Tennessee at Chattanooga 1998 — 2001
Marion County High School 1994 — 1998
Diploma
WELCOA (Wellness Council of America) August 2014 - Present
BCBST August 1979 - July 2012
Skills
Business Planning, Business Strategy, Product Development, New Business Development, Strategic Planning, Negotiation, Change Management, Team Building, Marketing Strategy, Mergers & Acquisitions, Sales Management, Strategy, Business Development, Start-ups, Management Consulting, Management, Market Analysis
Education
The University of Tennessee at Chattanooga 1981 — 1985
Master of Business Administration (MBA), Business Administration and Management, General
The University of Tennessee at Chattanooga 1975 — 1979
Bachelor of Science (BS), Business Administration and Management, General
BCBST March 2015 - Present
Southern New Hampshire University August 2013 - Present
University of Phoenix January 2013 - Present
BlueCross BlueShield of Tennessee 2011 - March 2015
BlueCross BlueShield of Tennessee December 2008 - December 2011
Web.com March 2008 - November 2008
Golf USA September 2006 - November 2008
Columbia College September 2003 - November 2008
LSI January 2005 - March 2008
Clay County PAL July 2005 - September 2006
Skills
Quality Assurance, Program Management, Problem Solving, Operations Management, Certified Project..., Process Improvement, Executive Management, SDLC, Application Development, Business Analysis, Vendor Management, Process Engineering, PMP, MS Project, Change Management, Integration, Risk Management, Team Leadership, SharePoint, Agile, Team Building, Strategic Planning, Mentoring, ITIL, Cross-functional Team..., PMO, Software Project..., Analysis, Budgeting, Security, Project Planning, Budgets, Leadership, Management, Databases, Training, Strategy, IT Strategy, Software Documentation, Testing, Software Development, Project Management, IT Management, Visio, Enterprise Software, Business Intelligence, Business Development
Education
Webster University 2004 — 2005
Master of Arts, Business & Organizational Security Management
Webster University 2003 — 2004
Master of Arts, Computer Resources & Information Management
Columbia College 2000 — 2002
Bachelor of Science, Computer Information Systems
Bcbst December 2011 - August 2013
BlueCross BlueShield of Tennessee July 2011 - September 2011
Profit Plans October 2009 - October 2010
Education
East Tennessee State University 2000 — 2008
East Tennessee State University
BCBST January 2000 - Present
BlueCross BlueShield of Tennessee 2000 - Present
Skills
Certified SAS Programmer, SAS, SAS programming, Data Analysis, Predictive Modeling, Predictive Analytics, Medicaid, Managed Care, Health Insurance, Analytics, Healthcare, Cognos, Data Mining, Analytical Skills, Business Intelligence, Insurance, Analysis, Business Analysis, Visio, Medicare, Access, Data Warehousing, HIPAA
Education
The University of Tennessee at Chattanooga 2000 — 2002
MBA, Business Administration
University of Kentucky 1991 — 1994
BA, Health Administration
University of Tennessee at Chattanooga April 2014 - Present
Tri-State Resource & Advocacy Corp November 2013 - April 2014
BCBST August 2013 - November 2013
Committee to Elect Mary Headrick to Congress March 2012 - August 2012
Education
The University of Tennessee at Chattanooga 2014 — 2017
Master of Public Administration (MPA)
The University of Tennessee at Chattanooga 2009 — 2013
Bachelor of Science (BS), Political Science, 3.471 GPA
BCBST June 2010 - Present
Highlands Community Services (HCS) August 2008 - May 2010
Washington County Va School System 2008 - 2010
Children's Advocacy Center August 2005 - July 2008
Skills
Trained Forensic..., Trained Forensic..., Social Services, Group Therapy, Mental Health, Case Managment, Family Therapy, Mental Health Counseling, Crisis Intervention, Psychotherapy, Healthcare, Medicaid, Medical Social Work, Nonprofits, HIPAA, Medicare, Group Work, Treatment, Adolescents, Interventions, Crisis, Biopsychosocial..., Co-occurring Disorders, Behavioral Health, Adolescent Therapy, Grief Counseling, Program Evaluation, School Social Work, Forensic Social Work, Case Management Services, Case Management
Education
East Tennessee State University
MSW, Clinical Social Work
BCBST January 2006 - Present
Advanced Technology Systems (ATS) May 2001 - March 2003
Inner Mongolia Educational Admission Testing Center (IMEATC), China July 1990 - November 1998
Skills
Software Development, Integration, Java, Microsoft SQL Server, Project Management, Requirements Analysis, SDLC, Software Engineering, SQL, Web Services, Data Modeling, DB2, SOA, Enterprise Architecture, Software Project...
Education
Wright State University 2003 — 2007
Ph.D, Computer Science
University of Dayton 1999 — 2001
MS, Computer Science
Inner Mongolia University 1986 — 1990
Southern Adventist University January 2015 - Present
BlueCross BlueShield of Tennessee March 2012 - January 2015
Erlanger Medical Center April 2011 - April 2012
Blue Cross Blue Shield of Tennessee November 2010 - April 2011
BCBST January 2008 - November 2010
Summit View Senior Living 2003 - 2005
Skills
Healthcare, Healthcare Management, Nursing, Treatment, Clinical Research, Mental Health, Medicine, Behavioral Health, Medicare, HIPAA, Hospitals, Managed Care, Medicaid, Health Insurance, Research, Process Improvement, Team Building, Physician Relations, Case Managment, NCQA, EMR, Disease Management, Utilization Review, Claim
Education
Florida Hospital College of Health Sciences 1994 — 1996
Associates, Registered Nurse
Loma Linda University 1984 — 1986
Masters, Marriage & Family Therapy
Southern Adventist University 1980 — 1984
Bachelors, Behavioral Science Family Studies
Southern Adventist University 1980 — 1983
Associates, Long Term Health Care Administration
LexisNexis May 2015 - Present
TVA February 2010 - April 2015
BCBST October 2007 - January 2010
TIAA-CREF October 2006 - September 2007
Protech Solutions March 2006 - October 2006
Stanley Works June 2005 - March 2006
Skills
.NET, Microsoft SQL Server, XML, ASP.NET, SQL, C#, SOA, SDLC, JavaScript, Web Services, Agile Methodologies, Windows, Visual Studio, Software Development, SSRS, Databases, Database Design, IIS, SharePoint, Visio, HTML, Web Applications, ASP.NET MVC, WPF, AJAX, Business Intelligence, Enterprise Architecture, WCF, VB.NET, Business Analysis, DB2, MVC
Education
Kansas State University 2002 — 2004
MS, Computer Science
Jawaharlal Nehru Technological University 1998 — 2002
BTech, Computer Science
BCBST December 2014 - Present
BlueCross BlueShield of Tennessee February 2010 - December 2014
BlueCross BlueShield of Tennessee November 2007 - January 2010
BlueCross BlueShield of Tennessee August 2002 - November 2007
BlueCross BlueShield of Tennessee April 2001 - August 2002
Skills
Analysis, Forecasting, Finance, Project Management, Capital Budgeting, Operating Budgets, Cost Accounting, Benchmarking, P&L Financial Management, Data Mining, PeopleSoft, TM1, Cognos, SAS, Financial Modeling, Business Analysis, Insurance, Financial Analysis, Health Insurance, Access, Team Building, Data Analysis, Healthcare, Management
Education
University of Georgia - Terry College of Business 1996 — 2000
Bachelor of Arts in Economics, Applied Economics
BCBST July 2014 - Present
Wilkins research November 2013 - June 2014
MultiPlan December 2013 - March 2014
CIGNA Healthcare March 2006 - May 2013
CIGNA Healthcare August 1996 - May 2013
Cigna 1996 - 2013
Skills
Claim, Adjusters, Insurance Adjusting, Insurance Background, Client-focused, Implementation..., Customer-focused, Computer-savvy, Tech-savvy, Multi-task & Handle..., Highly detail oriented, Health Insurance, Team-oriented, HIPAA, Provider Relations, Goal Oriented, Employee Benefits, Benefits Administration
Education
Chattanooga State Community College 1997 — 1998
Did not finish, Business Administration and Management, General
Ooltewah High School (graduated w/honors in 1997) 1993 — 1997
BCBST 2003 - Present
U.S. Census Bureau 1999 - 2000
Skills
Insurance, Health Insurance, Employee Benefits, Life Insurance, Disability Insurance, Presentations, Health Savings Accounts, Claim, Underwriting, Benefits Administration, Commercial Insurance, Brokers, Managed Care, Long-term Care, Term Life Insurance, COBRA, Critical Illness, Accident, 401k, Long Term Care Insurance, Umbrella Insurance, Property & Casualty...
Education
The University of Memphis
BCBST November 2013 - Present
BCBST November 2012 - October 2013
BCBST August 2011 - October 2012
BCBST April 2010 - July 2011
BCBST March 2009 - March 2010
University of North Carolina June 2005 - February 2009
University of North Carolina August 2005 - May 2008
University of North Carolina January 2006 - May 2006
University of North Carolina January 2006 - May 2006
Skills
Matlab, Mathematica, Fortran, LaTeX, Maple, Java, Microsoft Office, Visual Basic, Linux, C, HTML, CSS, OriginLab, Statistics, Error Analysis, Science, Analysis, Teaching, Research, Public Speaking
Education
University of North Carolina at Chapel Hill 2005 — 2008
Masters
University of North Georgia 2002 — 2005
Bachelors
BCBST October 2010 - Present
Miller & Martin PLLC May 2007 - October 2010
Skills
Litigation Management, Insurance, Strategic Planning, Claim, Litigation, Family Law, Health Insurance, Contract Negotiation, Trial Management, Trial Practice, Corporate Law, Corporate Transactional, Breach Of Contract, Arbitration, Civil Litigation, Commercial Litigation, Employee Benefits, Employment Law, Joint Ventures, Mediation, Product Liability
Education
Cecil C. Humphreys School of Law
Doctor of Law (JD)
Sewanee-The University of the South
Bachelor of Arts (B.A.), Economics
BCBST Reporting Solutions Consultant IBlueCross BlueShield of TennesseeMarch 2015 - Present
BlueCross BlueShield of Tennessee March 2013 - Present
BlueCross BlueShield of Tennessee July 1999 - Present
Skills
Medicare, Medicare Part D, Health Insurance, Medicaid, Managed Care, Insurance, Claim, Healthcare, HIPAA, Employee Benefits, Process Improvement, Healthcare Management, PeopleSoft, Healthcare Information..., HMO, Healthcare Industry, Provider Relations, Utilization Management
Education
Bryan College 2013 — 2014
Master of Business Administration (M.B.A.), Marketing, 3.9
Covenant College
BS, Organizational Management
Gwinnett Hospital System November 2012 - Present
CHS November 2004 - November 2012
Practical Health Information Compliance Systems, Inc April 1999 - November 2004
BCBST 1988 - 1996
Michigan Health & Hospital Association 1984 - 1988
Providence Hospital 1979 - 1984
Skills
Healthcare, EHR, Healthcare Information..., EMR, Healthcare Management, Revenue Cycle, Process Improvement, HIPAA, HL7, Healthcare Consulting, Hospitals, Budgets, Software Documentation, Medicaid, Managed Care, Software Implementation, Insurance, Medicare, Meditech, Healthcare Industry, Informatics, Inpatient, Physicians, Performance Improvement, Physician Relations, Medical Coding, Revenue Cycle Management, Medical Billing, Radiology, Practice Management, EDI, Health Information..., Medical Records, CPOE, Cerner, Clinical Research, Health Insurance, Consulting, Epic Systems, Team Building, Medical Terminology, Accounts Receivable, Leadership, Credentialing, Access, Claim, Strategic Planning, Executive Management, Visio
Education
Central Michigan University
MA, Management
Michigan State University
BA
Nancy Hatch Woodward Communications January 1996 - November 2014
Nancy Hatch Woodward Communications 1996 - 2014
BCBST 2002 - 2004
Skills
Published Author, Employment Law, Internal Communications, Healthcare, Writing, Creative Writing, Corporate Communications, Marketing, Fiction, Public Relations, Strategy, Books, Publishing, Human Resources, Nonprofits, Publications, Editorial, Freelance Writing, Storytelling, Editing
Education
The University of Tennessee at Chattanooga
M.A., English/Professional Writing
BCBST January 2009 - September 2011
Aquent @ Microsoft 2008 - 2008
Volt @ Microsoft 2005 - 2008
ESRI 1999 - 2004
Skills
Usability Testing, Human-computer..., User-centered Design, Heuristic Evaluation, Card Sorting, Task Analysis, Usability Engineering, Usability, Persona, User Experience, Human Computer..., Accessibility, User Interface, User Interface Design, Web Applications, Interaction Design
Education
Indiana University Bloomington
M.S., Instructional Systems Technology
Purdue University
B.S., Industrial Technology
CGI Federal March 2012 - Present
BlueCross BlueShield of Tennessee October 2007 - March 2012
BlueCross BlueShield of Tennessee October 2005 - 2007
BCBST May 2004 - October 2005
BCBST June 2003 - May 2004
BCBST June 1999 - June 2003
American HomePatient October 1997 - June 1999
American HomePatient August 1996 - October 1997
Skills
Health Insurance, Healthcare, Compliance, HIPAA, Process Improvement, Management, Claim, Auditing, Risk Management, Insurance, Training, Medicaid, Medicare, Visio, Business Analysis, Business Process..., Vendor Management, Informatics, Healthcare Information..., Data Analysis, Databases, Project Management, Consulting, Program Management
Education
PMI 2015 — 2015
PMP, Project Management
The University of Tennessee at Chattanooga 1986 — 1988
Bachelor of Fine Arts (BFA), Graphic Design
BCBST August 2002 - Present
Suntrust Bank December 1998 - April 2002
SunTrust Bank December 1998 - April 2002
Skills
Process Improvement, Visio, Project Management, SQL, Visual Basic, VB.NET, Databases, SharePoint, SDLC, Business Analysis, Access, Integration, Management, Data Analysis, COBOL, AIX, VSAM, JCL, SSIS, SSRS, Microfocus COBOL
Education
Auburn University 1994 — 1998
BS, MIS
BlueCross BlueShield of Tennessee January 2013 - Present
FEPOC in Washington,DC August 2012 - December 2012
ADT Security Services February 2012 - August 2012
BCBST February 2010 - January 2012
PWC January 2009 - January 2010
Skills
Enterprise Architecture, CISSP, Integration, Oracle, Information Security, Disaster Recovery, IT Audit, SQL, ITIL, IT Strategy, Solution Architecture, Requirements Analysis, Security, Microsoft SQL Server, Active Directory, VMware, Information Security..., Penetration Testing, Unix, Identity Management, Citrix, Servers, Networking
Education
Oklahoma City University 2006 — 2007
Master of Business Administration (MBA), Finance, General
University of Central Oklahoma 1998 — 2002
Bachelor of Computer sience
Grace Healthcare, LLC November 2012 - Present
Grace Healthcare, LLC March 2010 - November 2012
BCBST November 2005 - March 2010
Skills
General Ledger, Financial Analysis, Accounting, Account Reconciliation, Managerial Finance, Financial Reporting, Internal Controls, Budgets, Auditing, Customer Service, Accounts Payable, Cost Accounting, GAAP, Accounts Receivable, Cash Flow Forecasting, Finance, Financial Statements, Strategic Financial..., Financial Accounting, PeopleSoft
Education
The University of Tennessee at Chattanooga
UCB 2006 - Present
MedTrials, Inc. 2004 - 2006
ICON plc 2002 - 2004
Meharry Medical College 2002 - 2002
BCBST 2001 - 2002
Education
University of North Carolina at Chapel Hill
Epidemiology
University of North Carolina at Charlotte
BCBST ConsultantRodan + FieldsApril 2015 - Present
BlueCross BlueShield of Tennessee March 2015 - Present
Abernathy Research Services July 2009 - Present
Skills
Insurance
Education
The University of Tennessee at Chattanooga 2003 — 2005
Bachelor of Science, Criminal Justice
Unum January 2013 - Present
BCBST March 1999 - December 2012
Modis Consulting February 1998 - March 1999
Skills
SDLC, Software Project..., Enterprise Architecture, Business Analysis, Requirements Analysis, Integration, SOA, Disaster Recovery, Agile Methodologies, SharePoint, Solution Architecture, Data Warehousing, XML, Oracle, IT Strategy, IT Management, Data Modeling, Project Management, .NET, Process Improvement, SQL, Databases, Business Intelligence, Business Process..., Web Services, Requirements Gathering, Microsoft SQL Server, Cloud Computing, Software Development, DB2, Unix, Visio, Vendor Management, Enterprise Software, Information Technology, Security, Consulting, Leadership
Education
Boston University 2008 — 2010
Master of Science (MS), Computer Security
Anna University 1988 — 1992
Bachelor of Technology (BTech)
Wellness Solutions, Inc 2013 - Present
University of Tennessee at Chattanooga January 2011 - December 2012
BlueCross BlueShield of Tennessee 1997 - 2011
BCBST 1997 - 2011
Memorial Hospital 1994 - 1996
Parkridge Medical Center 1988 - 1994
Skills
ICU, Healthcare Management, HIPAA, Healthcare, Process Improvement, Nursing, Medicare, Outlook, Research, Medicaid, Managed Care, Health Insurance, Clinical Research, Employee Benefits, Hospitals, Medication Therapy..., Disease Management, Healthcare Information..., Psychiatry, EMR, Utilization Management, Quality Improvement
Education
The University of Tennessee at Chattanooga
Doctor of Nursing Practice, Family Nurse Practitioner
BCBST March 2008 - Present
Rolta International Inc. November 2004 - March 2008
Rolta India Limited November 2003 - November 2004
Skills
Requirements Analysis, Solution Architecture, Integration, IT Management, JavaScript, XML, IT Service Management, ITIL v3 Foundations..., Web Services, HP Service Manager, AlarmPoint, CA Service Catalog, HP Connect-IT, Oracle SSPR(Self..., Linux, Microsoft SQL Server
Education
University of Madras 1995 — 1999
Bahelor of Engineering, Mechanical Engineering
BCBST January 1984 - Present
Skills
Litigation Management, Health Insurance, Credentialing, Appeals, Legal Research, Legal Contract Review, Legal Compliance, subrogation, Privacy Law
Education
Covenant College 2007 — 2009
BS, Organizational Management
BCBST August 2010 - Present
Education
Jacksonville State University
BCBST January 2004 - December 2014
Skills
Medicine, Home Care, Healthcare, Healthcare Management, Medicare, Hospitals, HIPAA, Healthcare Information..., Disease Management, Nursing, Case Management, Managed Care, Inpatient, Medical-Surgical
Education
East Tennessee State University
Associate's degree, Registered Nursing/Registered Nurse
Amazon Music September 2015 - Present
Thinknear by Telenav September 2012 - September 2015
Capital One September 2010 - September 2012
BCBST May 2010 - August 2010
Oklahoma state University January 2010 - June 2010
Oklahoma State University December 2008 - December 2009
Oklahoma State University August 2008 - December 2008
Skills
Data Mining, SAS, Data Analysis, Analytics, Predictive Modeling, Data Visualization, Tableau, SAS programming, Segmentation, Data Management, Predictive Analytics, Database Marketing, Decision Trees, Logistic Regression, Microsoft Excel, SAS/SQL, Microsoft SQL Server, SQL, Business Intelligence, Analysis, SPSS, Regression, Neural Networks, Excel, MS Office Suite, SQL Server, Cluster Analysis, Databases, Access, R, Microsoft Office, SAS Programming, Statistics
Education
Oklahoma State University 2008 — 2010
Masters, Management Information Systems
Jawaharlal Nehru Technological University 2004 — 2008
B-Tech, Mechanical engineering
SAS April 2015 - Present
SAS August 2013 - March 2015
BCBST January 2012 - July 2013
Blue Cross Blue Shield of Tennessee June 2010 - February 2012
Skills
SAS, Predictive Modeling, Logistic Regression, Healthcare Analytics, Managed Care, Data Mining, SPSS, Database Marketing, SAS programming, Data Analysis, Predictive Analytics, SQL, Java, Statistical Modeling, Statistics, Analytics, Linear Regression, Data Modeling, Business Analytics
Education
Oklahoma State University 2008 — 2010
MS, Management & Information Systems
BCBST June 2007 - October 2012
United States Postal Service 2005 - June 2007
Scale Systems Inc 1993 - 2005
Education
Bryan College
Bachelor, Business Administration
CSTCC
Associate of Science
BCBST January 2011 - Present
BlueCross BlueShield of Tennessee April 2010 - January 2011
Blue Cross Blue Shield of Tennessee April 2010 - January 2011
BlueCross BlueShield of TN July 2006 - April 2010
BlueCross BlueShield of TN May 1998 - July 2006
BlueCross BlueShield of TN February 1995 - May 1998
Provident Life and Accident Co. May 1987 - August 1993
Transamerica Occidental Life Insurance Co. of California September 1980 - May 1987
Skills
SDLC, Vendor Management, Marketing, Medicare, Visio, Project Management, Business Analysis, Claim, Program Management, Process Improvement, Health Insurance
Education
California State University-Northridge 1976 — 1979
BS, Health Science, Community Health Education
University of Southern California 1974 — 1976
Health Science, Physical Therapy
BlueCross BlueShield of Tennessee IT Project ManagerBlueCross BlueShield of TennesseeJanuary 2015 - Present
Blue Cross Blue Shield of Tennessee May 2010 - 2012
BCBST October 2009 - April 2010
Blue Cross Blue Shield of Tennessee August 2006 - September 2008
Skills
Process Improvement, Healthcare, Insurance, Visio, Vendor Management, Employee Benefits, HIPAA, Business Analysis, Training, Leadership, SharePoint, Program Management, Health Insurance, Data Analysis, Organizational..., Software Documentation, Claim, Analysis, Project Management, Medicare, Cross-functional Team...
Education
Central Michigan University 2008 — 2010
M.A., Education
Covenant College 2002 — 2004
B.S., Organizational Development
BCBST August 1999 - Present
Erlanger Medical Center July 1994 - July 1999
Skills
Healthcare, Utilization Management, Customer Service, Certified Case Manager, Healthcare Management, Healthcare Information..., Health Insurance, Medicare, Microsoft Word, Training, Coaching, Disease Management, Nursing, PowerPoint, Medicaid, Process Improvement, Insurance, Managed Care
Education
Bryan College 2009 — 2010
BS, Business Administration/Business Management
CSTCC 1990 — 1994
AS, Nursing
BCBST March 2013 - Present
Open Wave RFID May 2011 - February 2013
Mars January 2009 - May 2011
Skills
RFID Industry Expertise, Process Improvement, Continuous Improvement, Project Management, ERP, MES, IT Management, Cross-functional Team..., Change Management, ITIL, Manufacturing, SAP, Supply Chain, Vendor Management, Project Planning, Team Leadership, Supply Chain Management, PMP, Team Building, Process Engineering
Education
The University of Tennessee at Chattanooga 1986 — 1991
BS, Electrical Engineering and Mechanical Engineering
BlueCross BlueShield of Tennessee July 2012 - Present
BCBST 2006 - 2012
American HomePatient 1996 - 2006
Skills
Medicare, Health Insurance, Managed Care, Process Improvement, Healthcare, Healthcare Management, Accredication, Quality Auditing, Medicaid, Healthcare Consulting, Utilization Management, Disease Management, Nursing, Healthcare Information..., EMR, Quality Improvement, Accreditation, Informatics, EHR, Hospitals
Education
Bethel College (TN) 2009 — 2011
BS, Organizational Development
Kettering College of Medical Arts 1976 — 1978
AS, Respiratory Care Therapy/Therapist
BCBST Project SpecialstBCBST2012 - Present
Education
University of Phoenix 2006 — 2008
AAHA, Healthcare Administration
BCBST January 2012 - July 2014
bcbst January 2003 - December 2011
bcbst January 2001 - December 2002
Skills
Customer Service, Microsoft Office, Management, Microsoft Excel, Sales, Strategic Planning, Leadership, Project Management, Microsoft Word, Marketing
Education
Andrews University Berrien Springs, Michigan 1991 — 1993
Master's Degree, Nursing Administration
The University of Tennessee at Chattanooga 1987 — 1989
Nursing
UnitedHealth Group June 2014 - Present
BlueCross BlueShield of Tennessee February 2012 - May 2014
BCBST July 2009 - February 2012
Logic Marketing 2008 - 2009
Skills
SAS programming, Business Analysis, Microsoft Office, Data Analytics, Data Analysis, SQL, Project Management, Analytics, SAS Programming, Analysis, Data Mining, Databases
Education
Bangalore University
Food Lion September 2005 - February 2006
Food Lion 2005 - 2006
BCBST August 1997 - October 2003
BlueCross BlueShield of Tennessee August 1997 - October 2003
Belk July 1992 - August 1997
Skills
Accounting, Coaching, Customer Service, Invoicing, Insurance, Public Speaking, Training, Management, Sales
Education
DeVry University 2007 — 2012
Bachelor of Science in Business Administration, Human Resource Management
DeVry University
Bachelor of Science, Business Administration; Human Resource Management
BlueCross BlueShield of Tennessee 2007 - Present
BCBST 2003 - 2007
BCBST 1995 - 1998
Skills
Microsoft Office, Microsoft Excel, Customer Service, Microsoft Word, Project Management, Risk Management, Certifed in HealthCare..., Auditing, Internal Audit, Banking, Financial Analysis, Training, Access, Process Improvement, Compliance, Policy, Sarbanes-Oxley Act, Accounting, Insurance
Education
Middle Tennessee State University 1980 — 1984
Bachelor of Business Administration (B.B.A.), Accounting
BCBST September 2008 - Present
BlueCross BlueShield of Tennessee 2008 - Present
GE Lighting July 1972 - December 1989
Skills
Cost Accounting, Management, Financial Analysis, Analysis
Education
The University of Tennessee at Chattanooga 1986 — 1991
Bachelor of Science (BS), Finance, General
Collinwood High School 1960 — 1966
ElderCare Pharmacy, Inc. April 2014 - Present
BCBST December 2011 - April 2014
UHS 2009 - 2011
WellStar Health System 2008 - 2009
Devereux 2003 - 2008
Skills
Risk Management, Performance Improvement, Management, Team Building, Coaching, Corporate Governance
Education
Capella University 2007 — 2014
Doctor of Philosophy (PhD), Organization and Management-General Business
Webster University 1999 — 2001
Master of Arts (M.A.), Human Resources Development
PAWright Pet Services LLC November 2012 - Present
BlueCross BlueShield of Tennessee August 2005 - Present
BCBST December 2002 - September 2005
BCBST August 2001 - December 2002
BCBST July 1998 - August 2001
BCBST June 1997 - July 1998
BCBST April 1997 - June 1997
BCBST October 1995 - April 1997
BURNER SYSTEMS INTERNATIONAL, Inc June 1993 - October 1995
GTS DURATEK October 1991 - June 1993
Skills
Medicaid, Healthcare Management, Project Management, Employee Benefits, Process Improvement, Healthcare Information..., Healthcare Industry, Vendor Management, Strategic Planning, Networking
Education
Tusculum College 1988 — 1990
Business Management
McKenzie College 1987 — 1988
Associates Degree, Business Administration
BCBST July 1999 - Present
Education
The University of Memphis 1983 — 1985
Master of Public Administration (MPA), Health/Health Care Administration/Management
Union University 1983 — 1985
Bachelor of Science (BS), Registered Nursing/Registered Nurse
BCBST September 2007 - Present
Iowa Telecom June 2002 - July 2007
Park Centre in Newton Iowa September 2000 - June 2002
Skills
Experienced Trainer, Outstanding time..., CMA, Cooking, Landscape Maintenance, Computer Hardware, Commercial Insurance, Medical Records, Medicare Advantage, Sales Management, Sales Process...
Education
La James College of Hairstyling and Cosmetology 1985 — 1986
Cosmetology & Aesthethics, Aesthetician/Esthetician and Skin Care Specialist
Humboldt High School 1983 — 1985
Acdemic, Academic
BCBST May 2010 - Present
BCBST May 2009 - April 2010
Grandview Medical Center August 2005 - April 2009
Skills
Registered Respiratory..., Certified Worksite..., Worksite Wellness...
Education
Louisiana State University 1979 — 1984
Bachelor of Science (B.S.), Cardiopulmonary Science
BCBST May 2009 - Present
Skills
Project Management, Process Improvement, Data Analysis, Team Building, Change Management, Coaching, Leadership
Education
University of Alabama at Birmingham 1987 — 1994
PhD, Nursing Educaiton and Research
University of Alabama
Bachelor of Science, Registered Nursing/Registered Nurse
BCBSTN February 2008 - Present
BCBST April 2008 - October 2014
CIGNA September 1988 - March 2007
Education
University of St. Francis 1999 — 2008
Bachelor of Science (BS), Health/Health Care Administration/Management
Tennessee State University 1974 — 1976
ADN, Registered Nursing/Registered Nurse
BCBST March 2014 - Present
State of Connecticut January 2013 - February 2014
Wellsfargo January 2012 - December 2012
Jackson National Life Insurance January 2010 - December 2011
Skills
Apache, WebSphere Application..., WebSphere, WebSphere Portal, Linux, IBM AIX, Microsoft SQL Server, Unix, SOA, Java, Shell Scripting, Tomcat, Databases, SQL
Education
University of Northern Virginia 2010 — 2011
Master's Degree, Computer Science
Jawaharlal Nehru Technological University 2005 — 2009
Bachelor's Degree, Computer Science
BCBST Medical Case ManagerBlueCross BlueShield of TennesseeFebruary 2004 - Present
Education
Union University
ASN '94 BSN '05, Registered Nursing/Registered Nurse