Blue Cross Blue Shield 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, Todd Ray (Senior Products)
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Blue Cross Blue Shield Tennessee Employees
Sojourn Community Church Chattanooga September 2013 - June 2015
Wyatt Daddy Daycare December 2012 - November 2013
Blue Cross Blue Shield Tennessee April 2009 - December 2012
SAS Shoes February 2003 - November 2008
Middlesboro Appalachian Regional Hospital October 2002 - January 2003
Dan F. Partin, Attorney May 2002 - August 2002
Kathy's Korner May 2000 - July 2002
Skills
Customer Service, PowerPoint, Sales, Retail, Microsoft Office, Team Building, Teamwork, Marketing, Inventory Management, Healthcare, Microsoft Excel, Microsoft Word, Marketing Strategy, Sales Management, Data Entry, Health Insurance, Account Management, Negotiation, Customer Satisfaction, Management, Leadership, Social Media, Facebook, Event Planning, Coaching, Nonprofits, Strategic Planning, Community Outreach, Social Networking, Training, Public Relations, Volunteer Management
Education
Bryan College 2013 — 2016
Bachelor of Science (B.S.), Business Administration and Management, General
Lee University 2013 — 2013
Bachelor of Science (BS), Bible & Theology
Clear Creek Baptist Bible College 2001 — 2003
Pastoral/ Counseling
African Methodist Episcopal Church 1999 - Present
Heartland Payment Systems July 2008 - January 2011
Humana July 2004 - July 2008
Blue Cross Blue Shield Tennessee March 1999 - June 2004
Chattanooga State Technical Community College December 1997 - December 2003
Unum July 1996 - March 1999
Catalina Marketing February 1993 - July 1996
DeVry University January 1992 - January 1993
United States Air Force January 1984 - June 1991
Skills
Microsoft SQL Server, TFS, SQL, SDLC, COBOL, DB2, Public Speaking, Expository Preaching, Organizational..., Pastoral Counseling, Community Outreach, Community Organizing, Music Production, Songwriting, Team Building, Team Leadership, Spiritual Counselor, Family Therapy, ASP, Scrum, Public Policy
Education
Liberty University 2012 — 2015
Master of Arts (MA), Human Services Counseling: Marriage and Family, 3.79
DeVry University 1991 — 1994
Bachelor of Science (BS), Computer Information Systems, 3.97/4.00
Blue Cross Blue Shield Tennessee January 2015 - Present
chattabelle.com May 2013 - Present
M-aJes: a total design firm January 2004 - Present
Bessie Smith Cultural Center February 2007 - December 2014
Chattanooga African American Museum January 2001 - February 2007
Skills
Social Media, Graphic Design, Adobe Creative Suite, Event Planning, InDesign, Nonprofits, Editing, Photoshop, Web Design, Fundraising, Blogging, Creative Direction, Marketing, Public Speaking, Leadership, Community Outreach, Social Networking, Event Management, Program Development, Public Relations, Volunteer Management, Community Development, Program Management, Social Media Marketing, Grant Writing, Advertising, Management, Team Building
Education
The University of Memphis 1995 — 2000
Bachelor of Arts (B.A.), Journalism
BlueCross BlueShield Tennessee January 2014 - July 2015
Blue Cross Blue Shield Tennessee October 2009 - January 2014
Desoto Family Medical Center July 1998 - September 2009
Amerigroup Corporation 2006 - October 2008
Skills
Medicaid, Utilization Management, Medicine, Utilization Review, Healthcare, EMR, Disease Management, Family Medicine, Long-term Care, Medical Review, Primary Health Care, Healthcare Management, Primary Care Physicians, Medical Practice..., Quality Improvement, Health Services Research, Hospitals, Health Insurance, Medical Peer Review, UR, Subject Matter Experts, Peer-to-peer, Medical Directors, Medical Necessity, Leadership, Clinical Research, Managed Care, Medical Policy..., Practice Management
Education
University of Tennessee-Health Science Center College of Medicine 1989 — 1992
Intership/Residency, Family Medicine
University of Mississippi Medical Center 1985 — 1989
MD, Medicine
University of Mississippi School of Medicine 1985 — 1989
MD, Medicine
Tougaloo College 1977 — 1981
BS, Chemistry
Blue Cross Blue Shield Tennessee May 2015 - Present
Sitel May 2013 - June 2015
Aon Hewitt July 2011 - April 2012
Criticom Monitoring Services July 2008 - April 2010
AIG January 2006 - October 2007
Skills
Customer Service, Retaining Customers, Retail Sales, Computer Proficiency, Reliable, Problem Solving, Employee Benefits, Insurance, Invoicing, Team Building, Benefits Administration, Pensions, Employee Relations, Call Centers, Coaching, Human Resources, Onboarding, Performance Management, Policy, Training
Education
Chattanooga State Community College 2013 — 2015
Associate of Arts and Sciences (A.A.S.), Business Administration, Management and Operations
Seminole Community College 2005 — 2005
Claims Adjuster Licensing
Lyman High School 1996 — 2000
Diploma, General Studies
Unum November 2012 - Present
Greg Vital for State Senate April 2012 - August 2012
BLUE CROSS BLUE SHIELD TENNESSEE October 2011 - April 2012
U.S. Rep. Zach Wamp January 1995 - January 2011
SunTrust Bank 1986 - 1991
First Citizens Bank/BB&T 1983 - 1986
Skills
Fundraising, Customer Service, Government, Office Management, Financial Services, Crisis Management, Public Policy, Public Relations, Event Planning, Legislative Relations, Public Speaking, Political Campaigns, Non-profits, Social Media, Political Communication, Community Outreach, Event Management, Healthcare, Leadership, Leadership Development, Marketing, Marketing Communications
Education
The University of Tennessee at Chattanooga 1991 — 1993
Bachelors, Mass Communication and Spanish
University of Tennessee
Bachelor of Arts, Mass Communication & Spanish; Public Relations; Crisis Management
Independent January 2015 - Present
Blue Cross Blue Shield Tennessee December 2008 - January 2015
Emdeon Business Services 2006 - December 2008
Unisys November 2000 - June 2005
Aon January 1998 - December 1999
ANDERSEN WORLDWIDE January 1996 - January 1998
CYBERTEK September 1995 - January 1996
KEMPER SERVICE COMPANY September 1990 - September 1995
Continental Bank 1972 - September 1990
Skills
ITIL, Disaster Recovery, Customer Service, Outsourcing, Network Security, Budgeting, HIPAA, IT Service Management, IT Governance, Budgets, Troubleshooting, Data Center, Governance, SharePoint, Enterprise Architecture, Project Planning, IT Management, SDLC, Vendor Management, Process Improvement, Leadership, MS Project, Software Documentation, Change Management, Infrastructure..., Management, Information Technology, Training, Software Development, IT Strategy, Business Analysis, Infrastructure, Technical Support, Program Management, Security, Visio, Executive Management, Business Process..., Team Management, PMP, Strategic Planning
Education
Benedictine University 1976 — 1978
MBA, Management
University of Illinois at Chicago 1971 — 1974
BS, Mathematics and Computer Science
BlueCross BlueShield of Tennessee January 2012 - Present
BlueCross BlueShield of Tennessee November 2009 - January 2012
Blue Cross Blue Shield Tennessee July 2008 - November 2009
Skills
Insurance, Accounting, Sarbanes-Oxley Act, Health Insurance, General Ledger, Financial Reporting, Financial Accounting, Financial Analysis, Process Improvement, GAAP, Employee Benefits, Auditing
Education
The University of Tennessee at Chattanooga
Bachelor's degree, Accounting
MissionPoint Health Partners February 2013 - Present
Blue Cross Blue Shield Tennessee June 2012 - February 2014
MedSolutions January 2009 - February 2012
MedSolutions January 2005 - January 2009
MedSolutions January 2004 - January 2005
Cardiovascular Surgery Associates, P.C. July 2001 - August 2002
Skills
Utilization Management, Managed Care, Medicaid, Medicare, Medical Management,..., Decision Support..., Product Development,..., Informatics, Utilization Review, Clinical Research, Hospitals, Process Improvement, Medical Coding, Data Analysis, Health Policy, Healthcare Management
Education
Memorial Sloan-Kettering Cancer Center/New York Presbyterian Hospital-Weill Cornell Medical Center 1999 — 2001
Cardiothoracic Surgery Fellowship, Cardiothoracic Surgery
Royal North Shore Hospital, Sydney, Australia 1998 — 1999
Senior Registrar, General Surgery
Barnes-Jewish Hospital, Washington University School of Medicine 1991 — 1998
General Surgery Internship and Residency, General Surgery
The Johns Hopkins University School of Medicine 1987 — 1991
Doctor of Medicine (MD)
Princeton University 1983 — 1987
AB, Molecular Biology
BlueCross BlueShield of Tennessee February 2007 - Present
Blue Cross Blue Shield Tennessee September 1980 - Present
Blue Cross Blue Shield TN/Medicare Department September 1980 - February 2007
Skills
Auditing, Employee Benefits, Customer Service, Health Insurance, Access, Commercial Insurance, Outlook
Education
Whitwell TN 1976 — 1979
Chattanooga State Community College