Blue Cross Blue Shield of Kansas City
Industry: Health insurance company
DescriptionBlue Cross and Blue Shield of Kansas City is an independent licensee of the Blue Cross Blue Shield Association and a not-for-profit health insurance provider with more than one million members. Founded in 1938, Blue KC offers a wide variety of healthcare, dental, life insurance and Medicare coverage. Headquarters: Kansas City, MO CEO: Danette Wilson (Feb 2015–) CFO: Tom Nightingale Founded: 1938 Type of business: Not-for-Profit Subsidiaries: Cobalt Ventures, LLC, The Epoch Group L.C,
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Blue Cross Blue Shield of Kansas City Employees
Employee
Years
Job
Industry
Jesse Hernandez II Jesse Hernandez II's Blue Cross Blue Shield of Kansas City Experience August 2005 - Present
Job Senior AIX System Administrator at Blue Cross Blue Shield of Kansas City
Industry Insurance
Experience
Blue Cross Blue Shield of Kansas City August 2005 - Present
Cerner Corporation August 2004 - August 2005
Hallmark Cards May 1992 - August 2004
Skills
AIX, Hardware, Disaster Recovery, Unix, Servers, Oracle, Virtualization, LPAR, Shell Scripting, Unix Shell Scripting, IBM AIX, Citrix, PC Hardware and Software, AIX Hardware / Software..., Korn Shell Scripting, NIM Server installs /..., MQ Series, Message..., Power 5 and Power 7..., VIOS implementations, NIM, LVM, HMC, pSeries, Unix Administration, Redhat Linux 6, LDAP implementation for...
Education
University of Missouri-Kansas City 1989 — 1994
BS, Computer Science
Blue Cross Blue Shield of Kansas City August 2005 - Present
Cerner Corporation August 2004 - August 2005
Hallmark Cards May 1992 - August 2004
Skills
AIX, Hardware, Disaster Recovery, Unix, Servers, Oracle, Virtualization, LPAR, Shell Scripting, Unix Shell Scripting, IBM AIX, Citrix, PC Hardware and Software, AIX Hardware / Software..., Korn Shell Scripting, NIM Server installs /..., MQ Series, Message..., Power 5 and Power 7..., VIOS implementations, NIM, LVM, HMC, pSeries, Unix Administration, Redhat Linux 6, LDAP implementation for...
Education
University of Missouri-Kansas City 1989 — 1994
BS, Computer Science
Mary (McDermott) Claypool Mary (McDermott) Claypool's Blue Cross Blue Shield of Kansas City Experience January 1985 - January 1990
Job Healthcare Professional
Industry Hospital & Health Care
Experience
McKesson January 2008 - 2014
SOLID DataSystems, Inc. 1993 - 2007
Blue Cross Blue Shield of Kansas City January 1985 - January 1990
Skills
HIPAA, Healthcare Information..., Software Documentation, Requirements Gathering, Business Analysis, Process Improvement, SDLC, Healthcare, Healthcare Professional..., SharePoint, HIPAA Privacy and..., Software Design, Management, Program Management, Informatics, Requirements Analysis, Quality Assurance, Testing, Medi-Span, NACHA ACH Input File..., 5010 Transaction..., NCPDP D.0 Transaction..., Batch Design, Troubleshooting, Real Estate, CMS Plan Finder Files
Education
University of Phoenix 2010 — 2013
Bachelor's Degree, Information Technology With Business Systems Analysis Concentration
McKesson January 2008 - 2014
SOLID DataSystems, Inc. 1993 - 2007
Blue Cross Blue Shield of Kansas City January 1985 - January 1990
Skills
HIPAA, Healthcare Information..., Software Documentation, Requirements Gathering, Business Analysis, Process Improvement, SDLC, Healthcare, Healthcare Professional..., SharePoint, HIPAA Privacy and..., Software Design, Management, Program Management, Informatics, Requirements Analysis, Quality Assurance, Testing, Medi-Span, NACHA ACH Input File..., 5010 Transaction..., NCPDP D.0 Transaction..., Batch Design, Troubleshooting, Real Estate, CMS Plan Finder Files
Education
University of Phoenix 2010 — 2013
Bachelor's Degree, Information Technology With Business Systems Analysis Concentration
Davin Jackson Davin Jackson's Blue Cross Blue Shield of Kansas City Experience October 2010 - 2012
Job High performance employee, driven by results exploring new opportunities!
Industry Insurance
Experience
Assurant 2013 - Present
The University of Kansas Hospital 2009 - Present
Blue Cross Blue Shield of Kansas City October 2010 - 2012
The Full Employment Council 2009 - 2010
Saint Lukes Hospital 2006 - 2010
Skills
Provider Relations, Medicare, Medicaid, HIPAA, Claim, Insurance, Managed Care, Call Center, Process Improvement, Vendor Management, Network Development, Visio, Healthcare, SDLC, Access, Employee Benefits, Software Documentation, HMO, PPO, Claims Resolution, Health Policy, Claims Management, Claim Investigation, Benefits Administration, Medical Terminology, PeopleSoft, Customer Experience, Medical Billing, Hospitals, Outlook, Telephone Skills, Team Building, Training, Healthcare Industry, Health Savings Accounts
Education
University of Missouri-Kansas City 2002 — 2007
Bachelor of Arts (B.A.), Communication and Media Studies
Assurant 2013 - Present
The University of Kansas Hospital 2009 - Present
Blue Cross Blue Shield of Kansas City October 2010 - 2012
The Full Employment Council 2009 - 2010
Saint Lukes Hospital 2006 - 2010
Skills
Provider Relations, Medicare, Medicaid, HIPAA, Claim, Insurance, Managed Care, Call Center, Process Improvement, Vendor Management, Network Development, Visio, Healthcare, SDLC, Access, Employee Benefits, Software Documentation, HMO, PPO, Claims Resolution, Health Policy, Claims Management, Claim Investigation, Benefits Administration, Medical Terminology, PeopleSoft, Customer Experience, Medical Billing, Hospitals, Outlook, Telephone Skills, Team Building, Training, Healthcare Industry, Health Savings Accounts
Education
University of Missouri-Kansas City 2002 — 2007
Bachelor of Arts (B.A.), Communication and Media Studies
Alfredo Araiza Alfredo Araiza's Blue Cross Blue Shield of Kansas City Experience February 2009 - July 2009
Job Owner / Principal Consultant at Data View LLC
Industry Information Technology and Services
Experience
Data View LLC August 2012 - Present
Invergence Inc October 2012 - September 2014
UMB Bank May 2011 - August 2012
ATK January 2010 - May 2011
Summit Data Solutions LLC October 2007 - May 2011
Assurant Employee Benefits July 2009 - January 2010
Blue Cross Blue Shield of Kansas City February 2009 - July 2009
American Multi-Cinema October 2007 - January 2009
NovaStar Financial September 2006 - October 2007
NovaStar Financial April 2002 - September 2006
Skills
Data Warehousing, ETL, Business Intelligence, SSRS, SSIS, Microsoft SQL Server, T-SQL, Databases, Oracle, SDLC, ERP, Data Integration, Informatica, SQL, .NET, Integration, Data Quality, Report Development, Data Modeling, Crystal Reports, Architectures, Software Documentation, OBIEE 11G - Financials, Data Integration and..., Oracle 8i, 9i, 10g & 11g, Microsoft SSRS 2005 &..., Informatica PowerCenter..., Business Analysis, C#, XML, Web Applications, Data Architecture, Performance Tuning, Microsoft SQL Server..., Microsoft SSIS 2005 &..., DataStage 7.5 & 8.1, Access, Agile Methodologies, VB.NET, Requirements Gathering, DataTrac, Service Broker, Tableau, Architecture
Education
University of Missouri-Kansas City 1994 — 2000
Bachelors, Computer Science
Oak Park High School 1990 — 1994
Data View LLC August 2012 - Present
Invergence Inc October 2012 - September 2014
UMB Bank May 2011 - August 2012
ATK January 2010 - May 2011
Summit Data Solutions LLC October 2007 - May 2011
Assurant Employee Benefits July 2009 - January 2010
Blue Cross Blue Shield of Kansas City February 2009 - July 2009
American Multi-Cinema October 2007 - January 2009
NovaStar Financial September 2006 - October 2007
NovaStar Financial April 2002 - September 2006
Skills
Data Warehousing, ETL, Business Intelligence, SSRS, SSIS, Microsoft SQL Server, T-SQL, Databases, Oracle, SDLC, ERP, Data Integration, Informatica, SQL, .NET, Integration, Data Quality, Report Development, Data Modeling, Crystal Reports, Architectures, Software Documentation, OBIEE 11G - Financials, Data Integration and..., Oracle 8i, 9i, 10g & 11g, Microsoft SSRS 2005 &..., Informatica PowerCenter..., Business Analysis, C#, XML, Web Applications, Data Architecture, Performance Tuning, Microsoft SQL Server..., Microsoft SSIS 2005 &..., DataStage 7.5 & 8.1, Access, Agile Methodologies, VB.NET, Requirements Gathering, DataTrac, Service Broker, Tableau, Architecture
Education
University of Missouri-Kansas City 1994 — 2000
Bachelors, Computer Science
Oak Park High School 1990 — 1994
Gene Payne Gene Payne's Blue Cross Blue Shield of Kansas City Experience 2001 - 2011
Job Human Resources Manager at Economic Opportunity Foundation, Inc
Industry Nonprofit Organization Management
Experience
Economic Opportunity Foundation, Inc April 2013 - March 2014
Economic Opportunity Foundation, Inc July 2012 - March 2013
Hy-Vee, Inc September 2011 - September 2012
Blue Cross Blue Shield of Kansas City 2001 - 2011
Blue Cross Blue Shield of Kansas City 1998 - 2001
Blue Cross Blue Shield of Kansas City 1997 - 1998
Eckerd 1996 - 1997
Osco Drug 1988 - 1996
Skills
Training, Human Resources, Employee Benefits, Management, Payroll, Customer Service, Retail, Policy, Hiring, Deferred Compensation, Insurance, Claim, Inventory Control, Health Insurance, Medicare, Process Improvement, HIPAA, Medicaid, Microsoft Office, Microsoft Excel, Healthcare, Team Building, PeopleSoft, Call Centers, Employee Relations, Finance, Leadership, Program Management, Recruiting, Access, Coaching, Benefits Administration, Organizational..., Interviews, HR Policies, FMLA, New Hire Orientations, Personnel Management
Education
University of Missouri-Kansas City
Business Administration
Economic Opportunity Foundation, Inc April 2013 - March 2014
Economic Opportunity Foundation, Inc July 2012 - March 2013
Hy-Vee, Inc September 2011 - September 2012
Blue Cross Blue Shield of Kansas City 2001 - 2011
Blue Cross Blue Shield of Kansas City 1998 - 2001
Blue Cross Blue Shield of Kansas City 1997 - 1998
Eckerd 1996 - 1997
Osco Drug 1988 - 1996
Skills
Training, Human Resources, Employee Benefits, Management, Payroll, Customer Service, Retail, Policy, Hiring, Deferred Compensation, Insurance, Claim, Inventory Control, Health Insurance, Medicare, Process Improvement, HIPAA, Medicaid, Microsoft Office, Microsoft Excel, Healthcare, Team Building, PeopleSoft, Call Centers, Employee Relations, Finance, Leadership, Program Management, Recruiting, Access, Coaching, Benefits Administration, Organizational..., Interviews, HR Policies, FMLA, New Hire Orientations, Personnel Management
Education
University of Missouri-Kansas City
Business Administration
Mike Berard's Blue Cross Blue Shield of Kansas City Experience March 2010 - November 2010
Job Director, Healthcare Advisory Services Experis
Industry Management Consulting
Experience
Experis Healthcare November 2013 - Present
Blue Cross Blue Shield of Michigan August 2012 - November 2013
Blue Cross and Blue Shield of Tennessee April 2011 - July 2011
Blue Cross Blue Shield of Kansas City March 2010 - November 2010
VMA Consulting November 2008 - March 2010
Jefferson Wells September 2006 - November 2008
Vulnerability Management Associates July 2003 - September 2006
Ernst & Young September 1997 - July 2003
SaskTel May 1989 - September 1997
Skills
Vendor Management
Education
University of Regina 1984 — 1989
B. Admin, Finance
Experis Healthcare November 2013 - Present
Blue Cross Blue Shield of Michigan August 2012 - November 2013
Blue Cross and Blue Shield of Tennessee April 2011 - July 2011
Blue Cross Blue Shield of Kansas City March 2010 - November 2010
VMA Consulting November 2008 - March 2010
Jefferson Wells September 2006 - November 2008
Vulnerability Management Associates July 2003 - September 2006
Ernst & Young September 1997 - July 2003
SaskTel May 1989 - September 1997
Skills
Vendor Management
Education
University of Regina 1984 — 1989
B. Admin, Finance
Mike Mooneyham's Blue Cross Blue Shield of Kansas City Experience 1990 - 1994
Job Manager SaaS and Corporate Applications at Se²
Industry Insurance
Experience
Se² December 2013 - Present
DCT Solutions Group December 2008 - December 2013
Armed Forces Insurance 1997 - 2008
New Directions Behavioral Health 1994 - 1997
Blue Cross Blue Shield of Kansas City 1990 - 1994
RLDS World Church 1984 - 1994
Skills
Project Management, Strategic Planning, Change Management, SDLC, Budget, Risk Management, Business Intelligence, Program Management, Vendor Management, Budgets, Business Analysis, IT Service Management, Leadership, Management, Project Planning, Security, Start-ups, Team Building, Training
Education
University of Missouri-Kansas City 1989 — 1993
Bachelor of Science
University of Missouri-Rolla 1980 — 1983
Maplewoods Community College 1977 — 1980
Associates of Applied Science
Se² December 2013 - Present
DCT Solutions Group December 2008 - December 2013
Armed Forces Insurance 1997 - 2008
New Directions Behavioral Health 1994 - 1997
Blue Cross Blue Shield of Kansas City 1990 - 1994
RLDS World Church 1984 - 1994
Skills
Project Management, Strategic Planning, Change Management, SDLC, Budget, Risk Management, Business Intelligence, Program Management, Vendor Management, Budgets, Business Analysis, IT Service Management, Leadership, Management, Project Planning, Security, Start-ups, Team Building, Training
Education
University of Missouri-Kansas City 1989 — 1993
Bachelor of Science
University of Missouri-Rolla 1980 — 1983
Maplewoods Community College 1977 — 1980
Associates of Applied Science
Cindy Neal-Keltner's Blue Cross Blue Shield of Kansas City Experience July 2004 - March 2006
Job Sr. Legal Analyst at Sisters of Charity of Leavenworth Health System
Industry Hospital & Health Care
Experience
Sisters of Charity of Leavenworth Health System August 2006 - Present
Blue Cross Blue Shield of Kansas City July 2004 - March 2006
University Physician Associates April 2000 - July 2004
Jayhawk Primary Care February 1999 - March 2000
Jayhawk Primary Care May 1995 - February 1999
Skills
Grant Writing, Fundraising, Healthcare, PPC, Hospitals, Healthcare Management, CHA, Process Improvement, Contract Negotiation, Strategic Planning, Auditing, Data Analysis, Medicare, Managed Care, Medicaid, HIPAA, Privacy Law, Contract Management, Ethics, EMR, Budgets, Legal Compliance, Leadership
Education
University of Misouri - Kansas City 2007 — 2007
Professional Certificate in Non-Profit Fund Raising, Non-Profit Fund Raising
University of Missouri-Kansas City 1998 — 2001
MPA, Masters in Public Administration with an Emphasis in Healthcare
University of Missouri
Master’s Degree, Public Administration
University of Nebraska at Omaha 1985 — 1992
BS, Political Science
University of Nebraska at Omaha
Bachelor of Science, Political Science
St. Louis Community College
Health Information Technology
Sisters of Charity of Leavenworth Health System August 2006 - Present
Blue Cross Blue Shield of Kansas City July 2004 - March 2006
University Physician Associates April 2000 - July 2004
Jayhawk Primary Care February 1999 - March 2000
Jayhawk Primary Care May 1995 - February 1999
Skills
Grant Writing, Fundraising, Healthcare, PPC, Hospitals, Healthcare Management, CHA, Process Improvement, Contract Negotiation, Strategic Planning, Auditing, Data Analysis, Medicare, Managed Care, Medicaid, HIPAA, Privacy Law, Contract Management, Ethics, EMR, Budgets, Legal Compliance, Leadership
Education
University of Misouri - Kansas City 2007 — 2007
Professional Certificate in Non-Profit Fund Raising, Non-Profit Fund Raising
University of Missouri-Kansas City 1998 — 2001
MPA, Masters in Public Administration with an Emphasis in Healthcare
University of Missouri
Master’s Degree, Public Administration
University of Nebraska at Omaha 1985 — 1992
BS, Political Science
University of Nebraska at Omaha
Bachelor of Science, Political Science
St. Louis Community College
Health Information Technology
Jeffrey Shackelford's Blue Cross Blue Shield of Kansas City Experience April 2012 - Present
Job Web Technical Engineer at Blue Cross Blue Shield of Kansas City
Industry Insurance
Experience
Blue Cross Blue Shield of Kansas City April 2012 - Present
JPMorgan Chase July 2011 - April 2012
Blue Cross Blue Shield of Kansas City September 1999 - July 2011
Universal Computer Systems February 1997 - July 1999
M-I SWACO February 1995 - November 1996
Skills
SQL, Java Enterprise Edition, Java, Microsoft SQL Server, WebSphere Application..., Requirements Analysis, SOA, SharePoint, Software Development, COBOL, Agile Methodologies, SDLC, Sybase, Web Services, Eclipse, Hibernate, Data Warehousing, Software Project..., ETL, ITIL, XML, Unix, Enterprise Architecture, Visio, Scrum, Solution Architecture, Business Intelligence, Requirements Gathering, Integration, JavaScript, Systems Analysis, ASP.NET, Visual Studio, Spring, Business Analysis, .NET, AJAX, Websphere, C#, Spring Framework, WebSphere
Education
University of Missouri-Rolla 1990 — 1995
BS, Petroleum Engineering
Blue Cross Blue Shield of Kansas City April 2012 - Present
JPMorgan Chase July 2011 - April 2012
Blue Cross Blue Shield of Kansas City September 1999 - July 2011
Universal Computer Systems February 1997 - July 1999
M-I SWACO February 1995 - November 1996
Skills
SQL, Java Enterprise Edition, Java, Microsoft SQL Server, WebSphere Application..., Requirements Analysis, SOA, SharePoint, Software Development, COBOL, Agile Methodologies, SDLC, Sybase, Web Services, Eclipse, Hibernate, Data Warehousing, Software Project..., ETL, ITIL, XML, Unix, Enterprise Architecture, Visio, Scrum, Solution Architecture, Business Intelligence, Requirements Gathering, Integration, JavaScript, Systems Analysis, ASP.NET, Visual Studio, Spring, Business Analysis, .NET, AJAX, Websphere, C#, Spring Framework, WebSphere
Education
University of Missouri-Rolla 1990 — 1995
BS, Petroleum Engineering
Gregg Laiben's Blue Cross Blue Shield of Kansas City Experience January 2013 - Present
Job Department Vice President at Blue Cross Blue Shield of Kansas City
Industry Insurance
Experience
Blue Cross and Blue Shield of Kansas City March 2015 - Present
Blue Cross Blue Shield of Kansas City January 2013 - Present
Blue Cross Blue Shield of Kansas City 2008 - February 2015
Primaris 1992 - 2008
Skills
Healthcare, Managed Care, Physicians, Public Speaking, Utilization Management, Healthcare Information..., Medicare, Medicaid, Surgery, HIPAA, Healthcare Management, Clinical Research, Health Insurance, Strategic Planning, Hospitals, Medical Terminology, Disease Management, EHR, EMR, Pharmacy Benefit..., Health Policy, Healthcare Consulting, Provider Relations, Healthcare Industry, Quality Improvement, Health Care Reform
Education
University of Missouri-Kansas City School of Medicine 1974 — 1980
MD, Medicine
University of Missouri-Kansas City 1974 — 1978
BA, Philosophy
Blue Cross and Blue Shield of Kansas City March 2015 - Present
Blue Cross Blue Shield of Kansas City January 2013 - Present
Blue Cross Blue Shield of Kansas City 2008 - February 2015
Primaris 1992 - 2008
Skills
Healthcare, Managed Care, Physicians, Public Speaking, Utilization Management, Healthcare Information..., Medicare, Medicaid, Surgery, HIPAA, Healthcare Management, Clinical Research, Health Insurance, Strategic Planning, Hospitals, Medical Terminology, Disease Management, EHR, EMR, Pharmacy Benefit..., Health Policy, Healthcare Consulting, Provider Relations, Healthcare Industry, Quality Improvement, Health Care Reform
Education
University of Missouri-Kansas City School of Medicine 1974 — 1980
MD, Medicine
University of Missouri-Kansas City 1974 — 1978
BA, Philosophy
Amy Elizabeth Drummond's Blue Cross Blue Shield of Kansas City Experience March 1998 - December 1998
Job Senior Claims Adjuster at Gallagher Bassett Worker's Compensation
Industry Insurance
Experience
Gallagher Bassett February 2009 - Present
Internal Revenue Service February 2007 - February 2009
The Hartford August 2005 - February 2007
Family Medical Practice October 1999 - November 2001
Blue Cross Blue Shield of Kansas City March 1998 - December 1998
United States Air Force January 1992 - April 1996
Education
University of Nevada Las Vegas Lee Business School 2003 — 2005
Bachelor of Science, Management
Gallagher Bassett February 2009 - Present
Internal Revenue Service February 2007 - February 2009
The Hartford August 2005 - February 2007
Family Medical Practice October 1999 - November 2001
Blue Cross Blue Shield of Kansas City March 1998 - December 1998
United States Air Force January 1992 - April 1996
Education
University of Nevada Las Vegas Lee Business School 2003 — 2005
Bachelor of Science, Management
Lawrence Ding's Blue Cross Blue Shield of Kansas City Experience September 2010 - June 2012
Job Sr. Web Application Dev Spec. at Blue Cross Blue Shield of Texas
Industry Information Technology and Services
Experience
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas June 2012 - Present
Blue Cross Blue Shield of Kansas City September 2010 - June 2012
Argus Health Systems September 2006 - September 2010
Worldspan by Travelport June 1997 - August 2006
University of Oklahoma January 1997 - May 1997
Skills
Java, Spring, Struts, WebSphere Application..., SQL, CSS, jQuery, JavaScript, Sun Certified Java..., Hibernate, C#, Web Services, Eclipse, JSP, J2EE, HTML, XML, Java Enterprise Edition, Subversion, SOA
Education
University of Oklahoma 1992 — 1997
BS, Computer Science
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas June 2012 - Present
Blue Cross Blue Shield of Kansas City September 2010 - June 2012
Argus Health Systems September 2006 - September 2010
Worldspan by Travelport June 1997 - August 2006
University of Oklahoma January 1997 - May 1997
Skills
Java, Spring, Struts, WebSphere Application..., SQL, CSS, jQuery, JavaScript, Sun Certified Java..., Hibernate, C#, Web Services, Eclipse, JSP, J2EE, HTML, XML, Java Enterprise Edition, Subversion, SOA
Education
University of Oklahoma 1992 — 1997
BS, Computer Science
Blake Williamson's Blue Cross Blue Shield of Kansas City Experience April 2003 - June 2012
Job Managing Partner at Healthcare Innovations Consulting Group, LLC
Industry Insurance
Experience
Healthcare Innovations Consulting Group, LLC April 2012 - Present
Blue Cross Blue Shield of Kansas City April 2003 - June 2012
Milliman January 2000 - April 2003
Asante August 1996 - December 1999
Skills
Health Insurance, Healthcare, Medicaid, Managed Care, Disease Management, Medicare, Medical Home, HIPAA, Healthcare Information..., Accountable Care, P4P, Chronic Care Management, Population Health, Shared Decision Making, Strategic Planning, P&L Management, P&L Accountability, Utilization Management, Utilization Review, Medical Necessity, Medical Review, Strategy, Insurance, Healthcare Industry, Clinical Research, Health Policy, Healthcare Consulting, Quality Improvement, Pharmacy Benefit..., Medicine, Provider Relations, Healthcare Management, Health Care Reform, EMR, NCQA, Physician Relations, Hospitals, Informatics, EHR, Case Management, Health Information..., Accreditation, Program Management, HMO, Revenue Cycle
Education
University of Wisconsin-Madison 1988 — 2000
Master of Science (MS), Administrative Medicine
University of Nebraska Medical Center 1973 — 1977
Doctor of Medicine (MD)
University of Nebraska-Lincoln 1968 — 1973
Bachelor of Science (BSc), Chemistry
Healthcare Innovations Consulting Group, LLC April 2012 - Present
Blue Cross Blue Shield of Kansas City April 2003 - June 2012
Milliman January 2000 - April 2003
Asante August 1996 - December 1999
Skills
Health Insurance, Healthcare, Medicaid, Managed Care, Disease Management, Medicare, Medical Home, HIPAA, Healthcare Information..., Accountable Care, P4P, Chronic Care Management, Population Health, Shared Decision Making, Strategic Planning, P&L Management, P&L Accountability, Utilization Management, Utilization Review, Medical Necessity, Medical Review, Strategy, Insurance, Healthcare Industry, Clinical Research, Health Policy, Healthcare Consulting, Quality Improvement, Pharmacy Benefit..., Medicine, Provider Relations, Healthcare Management, Health Care Reform, EMR, NCQA, Physician Relations, Hospitals, Informatics, EHR, Case Management, Health Information..., Accreditation, Program Management, HMO, Revenue Cycle
Education
University of Wisconsin-Madison 1988 — 2000
Master of Science (MS), Administrative Medicine
University of Nebraska Medical Center 1973 — 1977
Doctor of Medicine (MD)
University of Nebraska-Lincoln 1968 — 1973
Bachelor of Science (BSc), Chemistry
Shelley Zink's Blue Cross Blue Shield of Kansas City Experience April 1998 - Present
Job Business Systems Analyst at Blue Cross Blue Shield of Kansas City
Industry Insurance
Experience
Blue Cross Blue Shield of Kansas City April 1998 - Present
Heller Financial June 1996 - April 1998
Skills
SDLC, Requirements Gathering, Insurance, DB2, Data Warehousing, Visio, User Acceptance Testing, ETL, HIPAA, COBOL, Crystal Reports, Data Modeling, JCL, EDI, Software Documentation, Access, PeopleSoft, PMO, Requirements Analysis, Business Requirements, SharePoint, Data Management, Process Improvement, Claim, Medicare, Medicaid, Health Insurance, Healthcare Information..., Business Objects, Business Intelligence, SSRS, Training, Vendor Management
Education
University of Phoenix 2004 — 2006
Bachelor of Business Administration (B.B.A.), Accounting and Business/Management
Blue Springs High School 1978 — 1981
Blue Cross Blue Shield of Kansas City April 1998 - Present
Heller Financial June 1996 - April 1998
Skills
SDLC, Requirements Gathering, Insurance, DB2, Data Warehousing, Visio, User Acceptance Testing, ETL, HIPAA, COBOL, Crystal Reports, Data Modeling, JCL, EDI, Software Documentation, Access, PeopleSoft, PMO, Requirements Analysis, Business Requirements, SharePoint, Data Management, Process Improvement, Claim, Medicare, Medicaid, Health Insurance, Healthcare Information..., Business Objects, Business Intelligence, SSRS, Training, Vendor Management
Education
University of Phoenix 2004 — 2006
Bachelor of Business Administration (B.B.A.), Accounting and Business/Management
Blue Springs High School 1978 — 1981
Coventry Health Care
Premera Blue Cross
Medical Mutual of Ohio
Medical Mutual
Fallon Community Health Plan
Unicare
Coventry Healthcare
Fallon Health