Blue Cross Blue Shield Texas
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Blue Cross Blue Shield Texas Employees
Blue Cross Blue Shield of Texas December 2014 - Present
Blue Cross and Blue Shield of Texas August 2014 - December 2014
Blue Cross Blue Shield Texas October 2012 - August 2014
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas April 2012 - October 2012
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas August 2005 - April 2012
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas September 1995 - August 2005
University of North Texas Health Science Center October 1994 - September 1995
Osteopathic Health System of Texas January 1992 - October 1994
Farmers Insurance July 1991 - December 1991
Skills
Provider Relations, Disease Management, Insurance, Medicare, Health Insurance, Managed Care, PPO, Health Policy, Employee Benefits, Network Development, Claim, Healthcare, HIPAA, HMO, Medicaid Managed Care, Healthcare Consulting, Physicians, Utilization Management, Medical Coding
Education
University of North Texas 1988 — 1991
Bachelor of Business Administration, Human Resources Management/Personnel Administration, General
Tarrant County College 1987 — 1988
Business Administration and Management, General
Texas Woman's University 1986 — 1987
Business Administration and Management, General
PDC / parameds.com December 2006 - Present
New York Life Insurance Company June 2011 - June 2013
Kelly Healthcare Services August 2009 - November 2009
American General Life Companies August 2006 - June 2009
Wisconsin Underwriting Associates September 2005 - December 2005
Student Insurance - 2005 March 2005 - September 2005
Blue Cross Blue Shield Texas August 1996 - November 2004
Blue Cross Blue Shield Texas September 1991 - August 1996
American General (not AIG) February 1990 - September 1991
BSC Life Insurance Co. December 1985 - November 1989
Skills
Underwriting, Life Insurance, Health Insurance, Term Life Insurance, Disability Insurance, Reinsurance, Customer Service, Medical Review, Medical Records, Auditing, Stop Loss, Nursing, Claims Review, Claims Auditing, Claims Investigations, Claim, Medicare, Whole Life, Commercial Insurance
Education
Christ For the Nations Institute - Dallas, Texas 1980 — 1981
Associates of Arts
Capital Area School of Practical Nursing 1975 — 1977
Diploma, Licensed Practical/Vocational Nurse Training
Lanphier High School Springfield, Illinois 1972 — 1976
Diploma, General Studies
Capro Consulting LLC January 2013 - Present
Perficient April 2011 - January 2013
Blue Cross Blue Shield -- Texas October 2010 - April 2011
Baha'i World Centre September 2008 - March 2010
Tyler Technologies March 2007 - August 2008
Critical Inch December 2005 - March 2007
Fossil 2006 - 2006
Rapidigm Inc. November 2004 - October 2005
Excel Telecommunications (formerly VarTec) 2002 - 2004
Electronic Data Systems January 1998 - November 2000
Skills
Business Analysis, Agile Methodologies, SDLC, PMP, Visio, Project Management, Software Project..., SharePoint, Program Management, Vendor Management, Requirements Analysis, Agile Project Management, MS Project, Scrum, Business Intelligence, Requirements Gathering, Business Process..., Integration, Systems Analysis, Change Management, Business Development, Project Delivery, Project Planning, Project Finance
Education
The University of Dallas 2000 — 2002
MBA, E-Commerce Mgmt
University of Portsmouth 1994 — 1997
Bachelors, Information Systems
American Airlines May 2011 - Present
JPMorgan Chase August 2010 - April 2011
Verizon January 2007 - July 2010
Blue Cross Blue Shield, Texas August 2005 - December 2006
Bruce McGaw Graphics - ArtInsider July 2004 - May 2005
Skills
SDLC, Agile Methodologies, Quality Center, Requirements Analysis, Software Quality..., Test Planning, QTP, Quality Assurance, Testing, Software Project..., SQL, Unix, Test Automation, Regression Testing
Education
Osmania University
Master of Business Administration (MBA), Marketing
Osmania University
Bachelor's degree, Computer Science
Self Employed January 2014 - Present
Blue Cross Blue Shield Texas June 2003 - December 2013
Dallas Southwest Medical Center July 1997 - March 2003
Skills
Medicare, Healthcare Management, Healthcare, Utilization Management, Medicine, Disease Management, Managed Care, Health Policy
Education
The University of Texas Health Science Center at Houston 2002 — 2005
MPH, Public Health
Kansas City University of Medicine and Biosciences 1981 — 1985
DO, Osteopathic Medicine
University of Missouri-Kansas City 1975 — 1978
BS-Pharm, Pharmacy
Savannah High School 1969 — 1973
HS Diploma, HS
Oracle April 2013 - Present
Homeward Residential, Inc. March 2011 - April 2013
Keste January 2008 - March 2011
Blue Cross Blue Shield Texas June 2007 - December 2007
WiQuest Communications May 2006 - January 2007
Cognizant Technology Solutions July 2004 - July 2005
Skills
ADF, JSF, Identity Management, Content Management, JDeveloper, Facelets, WebCenter, J2EE Application..., Enterprise Portals, Control M, Weblogic Administration, Oracle SOA Suite, Oracle BPEL, BPMN, jQuery, Design Patterns, Web 2.0 Development, Integration, Java Enterprise Edition, Weblogic
Education
The University of Texas at Dallas 2005 — 2007
M.S, Computer Science
Osmania University 2000 — 2004
B.E, Information technology
HCSC February 1993 - Present
HCSC January 2012 - May 2014
HCSC November 2011 - June 2012
Blue Cross Blue Shield Texas September 2007 - November 2011
BlueCross BlueShield of Texas 1988 - November 2011
Ajilon Consulting 2006 - 2007
Concentra 2005 - 2006
Blue Cross and Blue Shield of North Carolina 2004 - 2005
ACS Healthcare Solutions 2002 - 2004
VarTec Telecom, Inc. (Bought out Excel Telecommunications) 2000 - 2002
Skills
Data Governance, Data Quality, Data Warehousing, Data Architecture, Visio, Data Integration, Data Modeling, Business Intelligence, Business Analysis, SOA, Analytics, Erwin, Solution Architecture, IT Strategy, ETL, Teradata, Database Design, Dimensional Modeling, Requirements Gathering, Data Marts, Data Profiling, Business Requirements, SDLC, DB2, Information Management, Data Warehouse..., Integration, Data Management, Databases, Enterprise Architecture, PL/SQL, T-SQL, Oracle, Datastage, Requirements Analysis, Software Project..., Systems Analysis, Relational Databases, Master Data Management, Cognos, Informatica, SSIS, Business Objects, OLAP, Business Process
Education
East Carolina University 1980 — 1985
Business
McKesson April 2015 - Present
Texas Health Medsynergies November 2013 - April 2014
Blue Cross Blue Shield of Texas January 1995 - April 2013
Blue Cross Blue Shield Texas March 2009 - August 2011
Blue Cross Blue Shield of Texas January 2007 - February 2009
Blue Cross Blue Shield of Texas November 2005 - February 2007
Blue Cross Blue Shield of Texas May 2001 - November 2005
Skills
Staff Management, Coaching/Mentoring, Employee Training, Database Management, Contracts, Account Management, Quality Assurance Review, Manage Client..., Coding/Billing, Database Admin, Customer Satisfaction, Team Management, Employee Benefits, Project Planning, Coaching, Customer Service, Human Resources, Leadership, Management, Process Improvement, Program Management, Project Management, Training, Microsoft Office, Team Building
Education
University of Phoenix 2015 — 2016
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Amberton University 2000 — 2010
Bachelor of Science (B.S.), Human Relations and Business
National Flood Services, StoneRiver, Inc. January 2009 - Present
BLUE CROSS BLUE SHIELD - TEXAS April 2007 - January 2009
XWARENET (DebtXS) November 2005 - February 2007
Skills
SDLC, Business Analysis, Requirements Gathering, Business Process, Agile Methodologies, Analysis, User Acceptance Testing, Requirements Analysis, BPMN, SharePoint, Software Quality..., Visio, Test Planning, Process Improvement, Strategy, Microsoft SQL Server, Business Requirements, Management
Education
Texas Tech University 1989 — 1994
B.S.
Blue Cross Blue Shield Texas April 2009 - Present
Blue Cross Blue Shied Texas April 2009 - Present
Skills
Disease Management, Patient Education, Nursing, Healthcare, Healthcare Management, Utilization Management, Hospitals
Education
University of Missouri-Kansas City 2007 — 2009
BSN, Nursing
Blue Cross Blues Shield Texas January 2009 - Present
Blue Cross Blue Shield Texas January 2009 - June 2009
Education
Texas A&M University-Commerce 1997 — 2001
Business Administration
Coventry Health Care February 2011 - Present
HCA November 2008 - August 2010
Blue Cross Blue Shield Texas July 2006 - October 2008
Skills
Utilization Management
Education
Marian College of Fond du Lac
BSN, Nursing
St. Thomas University
MBA, Health Care