BlueCross BlueShield 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, Tennessee, United States 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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BlueCross BlueShield of Tennessee Employees
BlueCross BlueShield of Tennessee November 2014 - Present
BlueCross BlueShield of Tennessee December 2007 - November 2014
BlueCross BlueShield of Tennessee December 2005 - December 2007
BlueCross BlueShield of Tennessee August 2003 - December 2005
BlueCross BlueShield of Tennessee April 2001 - August 2003
Skills
Microsoft Office, Customer Service, PowerPoint, Research, Teaching, Team Building, Project Management, Event Planning, Coaching, Leadership, Process Improvement, Training, Analysis, Data Analysis, Insurance, Teamwork, Troubleshooting, Call Centers, Business Process..., Databases, HIPAA, System Administration, Outlook, Access
Education
Ashford University
Health/Health Care Administration/Management
BlueCross BlueShield of Tennessee October 2005 - Present
The Dixie Group 1995 - 1999
Skills
GAAP, Sarbanes-Oxley Act, Auditing, External Audit, Financial Analysis, Financial Accounting, Insurance, General Ledger, Accounting, FASB, Leadership, Financial Reporting, Financial Statements, Health Insurance, Microsoft Excel, Account Reconciliation, SEC filings, Customer Service, Budgets
Education
Belhaven University
Master of Business Administration (MBA)
Covenant College
Bachelor of Science (BS), Organizational Management
Advance Business Group, LLC. January 2014 - Present
Bank of America July 2013 - December 2014
Agora Group Inc. October 2000 - January 2014
Charles Schwab November 2012 - April 2013
American Express August 2011 - May 2012
BlueCross BlueShield of Tennessee December 2010 - August 2011
Bank of America March 2010 - December 2010
American Express September 2009 - February 2010
OptumRx (formerly Prescription Solutions, Inc.) January 2009 - September 2009
Prudential Financial November 2008 - January 2009
Skills
Requirements Analysis, Pegasystems PRPC, Business Process..., Agile Methodologies, Pega PRPC, Business Process Design, Business Analysis, Requirements Gathering, SDLC, Project Management, SOA
Education
Baylor University - Hankamer School of Business 1992 — 1996
Bachelor of Business Administration (BBA), Management Information Systems, General
Amedysis Hospice January 2015 - July 2015
BlueCross BlueShield of Tennessee April 1997 - January 2014
Skills
ICD-9, CPT, HCPCS, Medical Terminology, Microsoft Office, Anatomy, Physiology, Health Insurance, Medical Coding, Insurance, Medicare, HIPAA, Claim, Data Entry, Medical Records, Provider Relations, Customer Service, Employee Benefits, Access, Managed Care
Education
Miller-Motte Technical College-Chattanooga 2013 — 2015
Associate's degree, Electronic Medical Records
U.S Career Institute 2008 — 2010
Certificate, Medical BILLING/ MEDICAL CODING, AND COMPUTER ESSENTIALS
Aflac April 2015 - Present
Chattanooga State Community College July 2004 - August 2013
Chattanooga State Community College 1999 - 2013
BlueCross BlueShield of Tennessee 1997 - 2002
BlueCross BlueShield of Tennessee 1995 - 1997
Skills
Community Outreach, Public Speaking, Staff Development, Customer Service, Program Development, Leadership, Fundraising, Instructional Design, Event Planning, Training, Nonprofits, Teaching, Strategic Planning, Microsoft Office, Organizational..., Customer Oriented, Mathematics, Team-oriented, Microsoft Excel, Microsoft Word
Education
Austin Peay State University 1989 — 1994
Bachelor of Science (BS), Political Science and Government
Brainerd High School 1986 — 1989
High School, Mathematics
BlueCross BlueShield of Tennessee June 2013 - Present
BlueCross BlueShield of Tennessee June 2007 - June 2013
BlueCross BlueShield of Tennessee June 2005 - April 2007
Unum 1998 - 2005
Siskin Hospital 1996 - 1998
Pershing Yoakley & Associates 1995 - 1996
Walsh & Coyner 1991 - 1995
Skills
Auditing, Internal Audit, Internal Controls, Risk Management, Quality Assurance, Sarbanes-Oxley Act, Claim, GAAP, Financial Reporting, Accounting, Insurance, Process Improvement, CPA, Financial Analysis, SEC filings
Education
Auburn University 1986 — 1991
Bachelor of Science (B.S.), Accountancy
McCallie School
BlueCross BlueShield of Tennessee September 2015 - Present
Onlife Health December 2012 - September 2015
Saint Thomas Health Services 2007 - 2011
Saint Thomas Health Services 2003 - 2007
Health Fitness Corporation 2001 - 2002
YMCA 2001 - 2001
NFL, Cincinnati Bengals 2000 - 2000
Skills
Health Promotion, Healthcare, Wellness, Wellness Coaching, Exercise Physiology, Health Education, Exercise Prescription, Nutrition Education, Employee Wellness..., Fitness, Healthcare Management
Education
Austin Peay State University 2004 — 2005
Master of Science (MS), Health & Human Performance-Sport Administration, 4.0
Georgetown College 1996 — 2001
Bachelor of Science (BS), Kinesiology-Sport Management/Business
BlueCross BlueShield of Tennessee July 2015 - Present
United States Stove Company May 2015 - July 2015
United States Stove Company August 2013 - May 2015
International Towing Museum August 2012 - January 2015
Burger King Corporation July 2009 - August 2013
Skills
Website Development, MySQL, Mac, Windows, Linux, Troubleshooting, PHP, HTML, CSS, JavaScript, Customer Service, ASP.NET, Databases, VMware, SQL, Computer Repair, Wireless Networking, OS X, Web Development, Windows 7, Network Administration, Computer Hardware, XP, Windows Server, Operating Systems, Active Directory, Technical Support, Windows XP
Education
ITT Technical Institute-Chattanooga 2010 — 2012
Associate of Science (A.S.), Computer Systems Networking and Telecommunications
BlueCross BlueShield of Tennessee April 2015 - Present
home health care of west tn March 2013 - Present
trinity home healthcare April 2010 - February 2013
St Francis Hospital Bartlett January 2009 - April 2010
Skills
Nursing, BLS, vents, trach, tube..., medicaid guidelines,..., med-surg, pre/post op,..., Healthcare Management, Healthcare, Case Management, Home Care, Medicare, Elder Care, Acute Care, Disease Management, Health Education, Medicaid, Customer Service, HIPAA, Hospitals, Medical/Surgical, Managed Care, Patient Advocacy, Wound Care, Utilization Management
Education
Excelsior College 2008 — 2009
Associate's degree, Registered Nursing/Registered Nurse
Belhaven University 2000 — 2002
Bachelor of Science (BS), Business Administration and Management, General
University of Tennessee at Chattanooga August 2012 - Present
Unum March 2015 - Present
Unum February 2011 - March 2015
AEGON October 2009 - October 2010
AEGON June 2000 - October 2009
iSysPro January 1999 - June 2000
Jefferson Pilot Financial July 1997 - December 1998
Chubb January 1985 - June 1997
Volunteer State Life Insurance Company January 1983 - December 1984
BlueCross BlueShield of Tennessee June 1981 - January 1983
Skills
SDLC, Team Building, Insurance, Disaster Recovery, IT Management, COBOL, Systems Analysis, Mainframe, Information Technology, Business Continuity, Management, Change Management, Vendor Management, Business Analysis, Project Management, SOX, Compliance, Sarbanes-Oxley Act, Process Improvement, IT Strategy, Internal Audit, IT Audit, IT Security, Risk Management, Software Documentation, Requirements Gathering, Security, Integration, Requirements Analysis, Business Process, Enterprise Architecture, Visio, Governance, ITIL, Business Process..., Software Project..., PMO, Leadership, Analysis, Program Management, Strategic Planning
Education
The University of Tennessee at Chattanooga 1983 — 1988
MS, Computer Science
Appalachian State University 1977 — 1981
BS, Computer Science
TiVo February 2015 - Present
BlueCross BlueShield of Tennessee June 2013 - February 2015
Skills
Tomcat, SQL, Java, Spring, JavaScript, JSP, JDBC, Java Enterprise Edition, Hibernate, Eclipse, XML, Web Services, Agile Methodologies, JSP and Servlet, Apache Hadoop, Android, WebSphere Application..., AJAX, IBM Rational Tools, SCJP 6, Algorithms, Data Structures, Electrical Engineering, High Availability..., Terracotta, Shibboleth, Web Logic
Education
KSHS
KSHS
KSHS
KSHS
Mekelle University
Bachelor's degree, Electrical Engi
BlueCross BlueShield of Tennessee July 2010 - Present
Coventry Healthcare September 2008 - July 2010
CIGNA Healthcare June 1993 - May 2008
Education
Aquinas College 2004 — 2006
Bachelor of Business Administration (B.B.A.), Human Resources Management and Services
Surgical Care Affiliates May 2015 - Present
Surgical Care Affiliates February 2012 - May 2015
Surgical Care Affiliates August 2009 - February 2012
BlueCross BlueShield of Tennessee November 2007 - August 2009
Surgical Care Affiliates July 2007 - October 2007
HealthSouth September 2004 - June 2007
UAB Hospital April 2002 - September 2004
Washington Mutual Finance July 2000 - April 2002
Skills
Process Improvement, HIPAA, Revenue Cycle, Auditing, Financial Analysis, Sarbanes-Oxley Act, Healthcare, Data Analysis, Internal Audit, Hospitals, Accounting, Healthcare Information..., Internal Controls, Business Process..., Accounts Receivable, Budgets, Medical Compliance, Finance, Sarbanes-Oxley, Management, Medicare, Financial Reporting, Financial Risk, Risk Assessment, Insurance, Revenue Cycle Management, Medicaid, SEC filings, Executive Management, Healthcare Industry
Education
Auburn University 1996 — 2000
Business Administration, Finance
Chattanooga State Community College November 2012 - Present
Decosimo Certified Public Accountants October 2008 - November 2012
BlueCross BlueShield of Tennessee November 1992 - September 2008
Blevins Inc. October 1991 - October 1992
Skills
Auditing, Internal Audit, Internal Controls, Accounting, US GAAP, Statutory Accounting, Healthcare Industry, Investments, Single Audit, CPA
Education
Austin Peay State University 1987 — 1991
Bachelor of Business Administration (BBA), Accounting
University of Tennessee at Martin 1990 — 1990
Accounting
Jackson State Community College 1987 — 1988
Bachelor of Business Administration (B.B.A.), Accounting
Infosense, Inc April 2011 - Present
BlueCross BlueShield of Tennessee December 2012 - December 2014
Amerigroup Corporation May 2011 - December 2012
Emdeon May 2010 - April 2011
OptumHealth - United HealthGroup March 2005 - October 2010
XO Communications May 2004 - March 2005
Allegiance Telecom September 2001 - April 2004
Akili June 1996 - August 2001
GetPAID Software February 1994 - May 1996
Skills
Data Warehousing, Data Integration, ETL, Business Intelligence, Informatica, Teradata, Oracle, Microsoft SQL Server, Architectures, Architecture, Enterprise Architecture, SDLC, Solution Architecture, Data Architecture, Data Modeling, Erwin, Database Design, Business Analysis, Data Quality, Data Profiling, PL/SQL, SQL, Unix Shell Scripting, Data Governance, Master Data Management, Metadata Management, Requirements Gathering, Change Management, Data Migration, BTEQ, Microsoft Project, FastLoad, Multiload
Education
The University of Texas at El Paso 1991 — 1994
MS, Computer Science
B. M. S. College of Engineering 1986 — 1990
BS, Computer Science
Hyderabad Public School - Begumpet 1972 — 1986
High School
Baptist Health Care March 2015 - Present
HIMSS July 2013 - Present
BlueCross BlueShield of Tennessee March 2014 - February 2015
HIMSS July 2012 - July 2014
BlueCross BlueShield of Tennessee July 2013 - March 2014
BlueCross BlueShield of Tennessee January 2008 - July 2013
Erlanger Health System March 2004 - January 2008
Reid Hospital and Health Care Services January 1990 - April 2004
Reid Hospital January 1994 - January 1999
Skills
Business Intelligence, Integration, Healthcare Information..., Process Improvement, Vendor Management, Healthcare, Project Management, Informatics, Leadership, Information Technology, HIPAA, EHR, Strategy, Software Development, Analytics, Business Analysis, Software Documentation, Healthcare Industry, IT Strategy, Strategic Planning, SDLC, Project Planning, SharePoint, Program Management, Team Building, Six Sigma, Systems Analysis, Enterprise Architecture, Business Analytics, Data Warehousing, Business Process..., Management, Revenue Cycle Management, Performance Management, Predictive Analytics, Mobile Applications, Quality Assurance, Data Management, Data Analysis, Consulting, Enterprise Software, Training, EMR, Hospitals, Managed Care
Education
Ball State University - College of Business 1992 — 1996
MBA, Information Systems Management
State University of New York at Albany
Bachelor of Science (B.S.), Chemistry and Biology
BlueCross BlueShield of Tennessee September 2015 - Present
MGM INTEGRATED SOLUTIONS August 2015 - September 2015
Paladin Attachments September 2014 - June 2015
Arcade Marketing October 2012 - August 2014
Express Employment Professionals August 2012 - October 2012
Signal View Condominiums August 2011 - July 2012
OfficeTeam April 2011 - August 2011
Skills
Microsoft Office, Outstanding Customer..., Office Administration, Collections, Background Checks, Credit Analysis, PowerPoint skills, Excel, Data Entry, Organizing, Customer Service, PowerPoint, Microsoft Excel, Event Planning, Telephone Skills, Microsoft Word, Human Resources, Training, Time Management, Team Building, Strategic Planning, Social Media, Sales, Public Speaking, Outlook, Marketing, Leadership, Account Management
Education
Auburn University 2004 — 2009
Bachelor of Arts (B.A.), Psychology
Middle Tennessee State University August 2013 - Present
Middle Tennessee State University August 2012 - Present
Griffith Elementary School August 2011 - May 2013
East Ridge Elementary September 2010 - May 2011
Loftis Middle School August 2008 - August 2010
BlueCross BlueShield of Tennessee March 1995 - March 2007
Skills
Leadership Development, Project Planning, Team Leadership, Event Planning, Workshop Facilitation, Software Documentation, Teaching, Coaching, Non-profits, Analysis, Outlook, Management, Microsoft Office, Technology Integration, Program Evaluation, Program Management, Data Analysis, Research, Public Relations, Business Analysis, Marketing Communications, Project Management, Team Building, Public Speaking, Staff Development, Strategic Planning, Fundraising, Technical Writing, Community Outreach, Healthcare Management, Training, Healthcare, Grant Writing, Nonprofits, PowerPoint, Editing, Higher Education, Curriculum Design, Event Management, Social Media, Policy
Education
Pyramid 2012 — 2012
University of Tennesee at Chattanooga 1992 — 2009
Master of Education (M.Ed.), Secondary Education and Teaching
Middle Tennessee State University
Literacy Studies
Ashland University
Chattanooga State Community College
Liberty University
UNC Chapel Hill
University of Phoenix
Methodist Healthcare September 2014 - Present
All About You Bridal & Event Hair Services May 2014 - Present
Methodist Healthcare December 2013 - September 2014
OBGYN, Spec., PC May 2012 - November 2012
BlueCross BlueShield of Tennessee May 2011 - May 2012
Regence BlueCross BlueShield of Oregon October 2007 - September 2010
Skills
Medical Billing, HIPAA, Revenue Cycle, Medical Terminology, Accounts Receivable, Medicare, Healthcare, Healthcare Management, CPT, ICD-9, Data Entry, Invoicing, Cosmetology, Health Insurance, Customer Service, Entrepreneurship, Payments, Report Writing, Online Research, Sales, Keyboard Skills, Internet Savvy, Microsoft Office, Project Planning, Marketing, People-oriented, Communication Skills, Organizational..., Multi Tasking, Training, Insurance, Employee Benefits, Leadership, Team Building, New Business Development, Time Management, Sales Operations, Sales Management, Marketing Strategy
Education
The University of Memphis 2011 — 2013
Bachelor's degree, Organizational Leadership
Capella University
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Bates Technical College
Associate of Science (A.S.), Sales and Marketing Operations/Marketing and Distribution Teacher Education
BlueCross BlueShield of Tennessee May 2014 - Present
Health Data Insights July 2012 - Present
Education
Florida Hospital College of Health Sciences 2011 — 2013
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Southern Adventist University
Associate of Science (A.S.), Registered Nursing/Registered Nurse
BlueCross BlueShield of Tennessee August 2015 - Present
BlueCross BlueShield of Tennessee November 2014 - August 2015
BlueCross BlueShield of Tennessee December 2010 - November 2014
Moss Adams LLP November 2007 - December 2010
Skills
Financial Reporting, Accounting, Auditing, Financial Analysis, Accounting Research, GAAP, SSAP, Sarbanes-Oxley Act, CPA, US GAAP, Technical Presentations, Financial Statements, College Recruiting, Financial Accounting, SEC filings
Education
Azusa Pacific University 2003 — 2007
BS, Accounting
The University of Tennessee at Chattanooga 2013 — 2015
Master of Business Administration (MBA)
Wheelhouse June 2013 - Present
Wheelhouse June 2011 - June 2013
Currie Medical Specialties June 2011 - January 2012
Cogent-HMG August 2009 - June 2011
Spheris (now M*Modal) September 2008 - August 2009
Spheris (now MedQuist) February 2007 - September 2008
Tennessee State University October 2006 - February 2007
BlueCross BlueShield of Tennessee August 2005 - November 2006
Cubic Defense Applications May 2005 - August 2005
US Army April 2004 - August 2005
Skills
Decision Engineering, Operations Management, Operations, Microsoft CRM, SharePoint, SharePoint Designer, Great Plains..., Operational Alignment, Operational Planning, Integration, Strategic Planning, Problem Solving, Competitive Intelligence, Market Intelligence, IT Strategy, Concept Development, Project..., Concept Design, Cross-functional Team..., Systems Analysis, Team Leadership, Business Intelligence, Change Management, Business Strategy, Training & Development, Training, Performance Improvement, Requirements Analysis, Consulting, Project Management, Healthcare Information..., Leadership, Business Analysis, Management, Analysis, Management Consulting, Scribe Insight, Team Building, Program Management, DoD, Business Development, Process Improvement, Military, Product Management, Strategy, Government, Policy, IT Management, Performance Management, Intelligence
Education
National Intelligence University 1994 — 1995
Master’s Degree, Strategic Intelligence, A
Military Intelligence Transition Course 1992 — 1992
Graduate, Military Intelligence, Command Control and Information Operations
U.S. Army Command and General Staff College 1990 — 1991
Graduate (91) and Instructor (97-2001), Military Intelligence, Command Control and Information Operations, DTAC
Combined Arms Service School 1990 — 1990
Graduate, Staff Operations
Infantry Officer Advanced Course 1988 — 1989
Graduate, Infantry Operations
Infantry Officer Basic Course 1985 — 1985
Graduate, Infantry Combat Operations
Auburn University 1980 — 1984
BS, Public Administration
BlueCross BlueShield of Tennessee 2013 - Present
Chattanooga Area Pharmacist Society 2013 - Present
California State University, Long Beach July 2008 - August 2009
Skills
Income Statement, Data Mining, Analysis, Financial Analysis, Strategic Planning, Market Research, Microsoft Excel, Business Strategy, Marketing Strategy, Research, Project Management, Healthcare, Data Analysis, Public Speaking, Forecasting, Team Building, PowerPoint, Management, Microsoft Office, Product Management, Sales, Leadership, Competitive Analysis, Start-ups, Business Development, Product Development, Marketing, Strategy, Project Planning
Education
Harvard University 2013 — 2017
Master of Liberal Arts, Finance
Belmont University
Pharm.D., Doctor of Pharmacy
Cornell University
Certificate in Marketing Strategy for Business Leaders
California State University-Long Beach 2008 — 2009
MBA, Marketing, Strategic Management
California State University, Long Beach
Bachelor of Science, Biochemistry, Entrepreneurship
BlueCross BlueShield of Tennessee April 2009 - September 2014
BlueCross BlueShield of Tennessee October 2005 - April 2009
BlueCross BlueShield of Tennessee August 1998 - October 2005
BlueCross BlueShield of Tennessee May 1995 - August 1998
BlueCross BlueShield of Tennessee August 1993 - April 1995
Skills
Health Insurance, Medicaid, Insurance, Provider Relations, Data Analysis, Nonprofits, Community Outreach, Healthcare, Software Documentation, Business Analysis, Volunteer Management, Community Development, HIPAA, Claim, Policy, Access, Foundations, Employee Relations, Process Improvement, Volunteer Recruiting, Program Development, Grant Writing, Analysis, Healthcare Management, Philanthropy, Employee Benefits, Training, Call Centers, Healthcare Industry, Leadership, Program Management, Managed Care, Analytics, SharePoint, Outlook, Healthcare Information..., Team Building, Vendor Management, PeopleSoft, Non-profit..., Foundation Design, Nonprofit Technology, Non-profit Leadership, Non-profit Board..., Event Planning, Events Coordination, Corporate Branding, Volunteer Training, Non-profit Volunteer, Microsoft Office
Education
Chattanooga College Medical Dental and Technical Careers 1987 — 1989
AAS, Computer Programming, 3.95 GPA
Visa January 2011 - Present
Advantage Technical Resourcing 2013 - 2014
Wells Fargo June 2011 - December 2012
BlueCross BlueShield of Tennessee February 2011 - May 2011
HealthNow New York Inc. 2010 - 2010
Accenture 2003 - 2010
Skills
QTP, SoapUI, Web Services, Selenium Testing, TestNG, JUnit, VBScript, Business Objects, SQL, Selenium IDE, SOAP, Agile Methodologies, Ant, Java, XML, Selenium RC, Selenium Web Driver, Requirements Analysis, Quality Center, Test Automation, System Testing, Selenium, Test Planning, Test Methodologies, Test Management, Quality Assurance
Education
Annamalai University 2004 — 2007
Master of Science (M.Sc.), Information Technology, A
Sri Bhagawan Mahaveer Jain College 2000 — 2003
Bachelor of Science (BSc), Computer Science
Family Business May 2015 - Present
Cancer Treatment Centers of America® June 2014 - May 2015
Massage Heights Chattanooga July 2012 - January 2013
Starbucks March 2004 - June 2012
BlueCross BlueShield of Tennessee January 2011 - October 2011
D1 Sports Training May 2011 - September 2011
Brian Briggs Photography 2003 - 2003
Cancer Treatment Centers of America May 2002 - September 2002
Skills
Coaching, PowerPoint, Cpr Certified, Nutrition, Fitness, Sports, Personal Training, Public Speaking, Athletics, Wellness, Teaching, Fitness Training, Customer Service, Research, Functional Training, Wellness Coaching, Sports Nutrition, Time Management, Health Education, Store Management, Event Planning, Exercise Physiology, Sales, Nonprofits
Education
Belhaven University 2012 — 2014
Bachelor's of Health Administration, Bachelor's of Health Administration, Graduated May 4th, 2014
Southern Adventist University 2003 — 2005
NA, Health and Physical Education/Fitness, Junior
BlueCross BlueShield of Tennessee January 2014 - Present
Music Ministry Group March 2013 - Present
Tennessee Minority Investment Group 2013 - Present
Kayne Ave Baptist Church 2011 - Present
Windsor Health Plan 2007 - 2013
Corinthian Baptist Church August 2006 - October 2011
Skills
Insurance, Health Insurance, Long Term Care Insurance, Sales Management, Team Building, Team Leadership, Customer Service, Customer Retention, Music, Music Production, Musicians, Church Music, Event Management, Leadership, Social Networking, Public Speaking, Network Development, Social Media Marketing, HMO, PPO, Sales, Marketing, Event Planning, Management, Strategic Planning, Coaching, Provider Relations, Songwriting, Customer Satisfaction, Microsoft Excel, Training, Nonprofits, Social Media, Healthcare, Contract Negotiation, Medicare, Marketing Strategy, Entrepreneurship, PowerPoint, Keyboards, Outlook, Access, Data Entry, Medicare Part D, Online Marketing, Vocalist, Fundraising, Employee Benefits, Leadership Development, Managed Care
Education
American Baptist College 2014 — 2016
Bible and Theology
Florida A&M University 2000 — 2004
Business Administration and Management, General
United HealthCare March 2008 - Present
BlueCross BlueShield of Tennessee October 2004 - March 2008
UnumProvident July 1998 - August 2004
Nortel 1995 - 1997
Skills
Employee Benefits, Health Insurance, Claim, Sales, Customer Service, Marketing, Finance, Public Relations, Disability Insurance, Facilities Management, Applicant Tracking..., Recruiting, Talent Acquisition, Onboarding, Talent Management, Human Resources, Strategy, Executive Search, Leadership, Management, Account Management, Consulting, Process Improvement, Negotiation, Benefits Negotiation, Interviews, Vendor Management, Screening, Workforce Planning, Internet Recruiting, Hiring, Organizational..., Sourcing, Healthcare, College Recruiting, Strategic Recruitment..., Temporary Placement, Technical Recruiting, Networking, Recruitment Marketing, Screening Resumes, Building Relationships, Staffing Services, Contract Recruitment, Relationship Building, Strategic Planning
Education
Baylor University 1990 — 1994
Bachelor's Degree, Public Relations and Communications, Minor in Environmental Science
BlueCross BlueShield of Tennessee October 2014 - Present
Carolina Conference of Seventh-day Adventist 2003 - 2014
AXA Assistance August 1998 - December 2002
Skills
Leadership, Teaching, Writing, Administration, Microsoft Office, Public Speaking, Youth Mentoring, Community Outreach, Youth Ministry, Discipleship, Missions, Pastoral Care, Homiletics
Education
The University of Tennessee at Chattanooga 2015 — 2018
Master of Business Administration (M.B.A.), Business
Andrews University 2006 — 2008
Master of Divinity (M.Div.), Divinity/Ministry
Southern Adventist University 1999 — 2003
Bachelor of Arts (B.A.), Theology/Theological Studies
BlueCross BlueShield of Tennessee January 2015 - Present
Appalachian Food Services September 2010 - May 2014
Laurel Street Baptist Church September 2008 - July 2012
Skills
Actuarial Science, Statistical Modeling, Analytical Skills, Highly detail oriented, Statistics, Mathematics, Microsoft Excel, Microsoft Word, R, Diligent, Minitab, Critical Thinking, Highly responsible, Self-driven, Music, Friendly Personality, Social Skills, Goal Oriented, Christianity
Education
Appalachian State University 2010 — 2014
Bachelor of Science (BS), Major: Actuarial Sciences, Minor: Statistics
Methodist Healthcare December 2013 - Present
Unitedbiosource December 2012 - December 2013
OBGYN Specialist, pc March 2012 - November 2012
BlueCross BlueShield of Tennessee March 2011 - March 2012
Skills
Health Insurance, Managed Care, Healthcare, Insurance, Claim, Data Analysis, Customer Service, Medicaid, Analysis, Strategic Planning, Medicare, Management, Sales, cosmetology, Appeals, Cash Handling, Banking, Microsoft Office, Refunds, Reimbursement
Education
The University of Memphis 2011 — 2013
Bachelor's degree, Organizational Leadership, 3.3 GPA
Bates Technical College 2003 — 2005
Associate of Science (A.S.), Sales, Distribution, and Marketing Operations, General
Director Integrated Marketing Communications Leadership in Greater Atlanta March 2013 - Present
Musgrove & Associates, LLC April 2008 - Present
Tango Recruiting September 2014 - September 2014
CoreNet Global June 2013 - November 2013
Colliers International October 2010 - October 2011
BlueCross BlueShield of Tennessee January 2007 - May 2008
BearingPoint July 2005 - January 2007
SHL Talent Measurement from CEB 2000 - 2001
WHITTMANHART Interactive January 1999 - January 2000
Stephen Fuller, Inc. 1998 - 1999
Skills
Analytical..., Strong verbal and..., Accuracy and attention..., Proposal Writing, Analytical Skills, Strategy, Marketing Stragegic..., Advertising Management, Strategic Public..., Fundraising, Event Management, Product Development &..., Corporate Communications, Product Development, Integrated Marketing, Integrated Marketing..., Integrated..., Strategic Creative..., Strategic Brand..., Brand Positioning..., Launch Strategies, Needs Analysis, CRM, Marketing Strategy, Marketing Communications, Brand Development, Marketing, Change Management, Competitive Analysis, Market Research, Consulting, Market Analysis, B2B Marketing, Corporate Branding, Brand Management, Strategic Communications, Brand Awareness, Internal Communications, Business Development, Business Strategy, Business Planning, Customer Insight, Start-ups, Strategic Thinking, Public Relations, Lead Generation, Digital Strategy, Press Releases, Social Networking, Leadership
Education
Auburn University
Post Graduate Work
Troy University
Bachelor of Arts
BlueCross BlueShield of Tennessee
Skills
Budgets, Construction, Contract Negotiation, New Business Development, Team Building, Leadership, Contract Management, Sales, Negotiation, Contractors, Facilities Management, Vendor Management, Project Management, Process Improvement, Strategic Planning, Analysis, Project Planning, Management, Risk Management, Team Leadership
Education
Andrews University
Bachelor of Architecture (B.Arch.)
Collegedale Academy
BlueCross BlueShield of Tennessee January 2013 - Present
BlueCross BlueShield of Tennessee February 2011 - January 2013
Tandus Flooring September 2008 - February 2011
Costello and Company, PC August 1996 - September 2008
Innovative Textiles September 1994 - July 1996
Skills
Accounting, Financial Reporting, GAAP, Corporate Tax, Tax, Tax Preparation, Budgets, General Ledger, Financial Accounting, Tax Accounting, Insurance, Income Tax, Due Diligence, Financial Analysis, Payroll, Health Insurance
Education
Sam Houston State University 1982 — 1984
BBA, Accounting
Southeastern University 1979 — 1980
Bethany College of the Assemblies of God 1976 — 1976
Humana May 2012 - Present
United Healthcare November 2010 - May 2012
BlueCross BlueShield of Tennessee February 2009 - November 2010
WellCare 2007 - 2009
LifeMasters Supported SelfCare 2004 - 2005
Agency of Health Care Administration, FL Medicaid 1992 - 2005
Skills
Team Building, Insurance, HIPAA, Health Insurance, Policy, Process Improvement, Program Management, Provider Relations, Strategic Planning, Medicare, Managed Care, Medicaid, Healthcare Management, Healthcare Information..., Healthcare Industry, Healthcare Consulting, Healthcare, Health Policy
Education
Nova Southeastern University 1991 — 1993
MPA, Public Administration
Barry University
Bachelor of Business Administration (BBA), Business Administration and Management, General
Miss Arkansas Scholarship Pageant 2011 - Present
Miss Arkansas Scholarship Pageant, Inc. April 2011 - November 2011
BlueCross BlueShield of Tennessee September 1995 - April 2011
Miss America Organization March 2005 - February 2010
Phi Mu Fraternity and Foundation 2008 - 2009
BlueCross BlueShield of Tennessee September 1995 - June 2006
Arkansas Blue Cross Blue Shield 1981 - 1990
Skills
Sales and Marketing, Public Relations &..., Communications Strategy, Employee Benefits, Marketing Communications, Media Relations, Public Relations, Sales, Strategic Communications, Community Outreach, Corporate Communications, Editing, Event Management, Event Planning, Fundraising, Internal Communications, Leadership, Leadership Development, Marketing, Newsletters, Press Releases, Public Speaking, Social Media, Social Media Marketing, Social Networking, Strategic Planning
Education
Arkansas State University 1974 — 1975
MSE, Health, Physical Eduction, Wellness and Recreation
Arkansas State University 1967 — 1971
BSE, Health, Physical Eduction, Wellness and Recreation
BlueCross BlueShield of TN July 2015 - Present
BlueCross BlueShield of Tennessee November 2014 - July 2015
Vanderbilt University Medical Center August 2013 - August 2014
Education
Vanderbilt University 2013 — 2014
Bachelor's Degree, Nuclear Medicine Technology Program
Austin Peay State University 2008 — 2014
Bachelor's Degree, Health Care Administration
Ooltewah High School 2004 — 2008
High School
BlueCross BlueShield of Tennessee October 2014 - Present
BlueCross BlueShield of Tennessee March 2013 - October 2014
Magic Hour Foundation, Inc. May 2012 - October 2014
Atlanta Adventist Academy July 2009 - March 2013
Alan Darmody Photography January 2007 - September 2011
Monolith Hospitality August 2008 - January 2009
The Van Dresser Company April 2007 - August 2008
Whodathunk Productions 1999 - 2004
WSMC Public Radio 90.5 1997 - 2001
Skills
Marketing Communications, Public Relations, Alumni Relations, Copywriting, Graphic Design, Public Speaking, Social Media, Photoshop, Photography, Marketing, Blogging, Facebook, Advertising, Social Media Marketing, Fundraising, Nonprofits, Leadership, Editing, Writing, Customer Service, Community Outreach, Event Planning, Social Networking, Newsletters
Education
Art Institute of Atlanta 2004 — 2007
BFA, Interior Design
Southern Adventist University 1997 — 2001
BA, Broadcast Journalism
BlueCross BlueShield of Tennessee January 2015 - Present
Northwest Georgia Healthcare Partnership June 2010 - Present
Anthem, Inc. May 2014 - January 2015
Physician's Health Services January 2009 - February 2014
Society for Vascular Surgery September 2012 - January 2014
Comprehensive Vascular Care, LLC March 2003 - January 2014
Comprehensive Vascular Lab 2004 - 2014
Hamilton Health Care System January 2005 - September 2012
Dare to Care 2005 - 2012
American College of Surgeons October 2009 - February 2011
Skills
Hospitals, Healthcare Management, Healthcare, Surgery, Physicians, Treatment, Vascular, Practice Management, Board Certified, Vascular Surgery, Quality Management, Medicine, Medical Imaging, Medical Directors, Board of Directors, Medical Education, Patient Safety, Clinical Research, Endovascular Therapy, Clinical Integration, Independent Practice..., Certified Physician..., Registered Physician..., Fellow American College..., Medical Doctor, Board of Directors..., Quality Improvement, Endovascular, Health Policy, Healthcare Consulting, Managed Care, Physician Relations, Prevention, Revenue Cycle, Strategic Planning, Fellow, American..., Physician Alignment, Physician Leaderhip, Medical Devices, Cross-functional..., Cost Reduction..., practice variance..., Evidence-based Medicine, Program Development, Program Coordination, Process Improvement, coordinated healthcare..., Non-profit Experience, National Acceditation, Utilization Management
Education
Auburn University 2007 — 2009
MBA, Business Administration & Management, Healthcare Emphasized, 4.0
Certifying Commission in Medical Management 2007 — 2009
Certified Physician Executive (CPE), Healthcare Management
The University of Glasgow 1995 — 1996
Endovascular Fellowship
Rush Medical College of Rush University Medical Center 1994 — 1995
Vascular Surgery Fellowship
Medstar, Washington Hospital Center 1989 — 1994
General Surgery Residency
Albany Medical College 1987 — 1989
MD, Medicine
The University of Tennessee at Chattanooga 1983 — 1985
BA, Biology
Georgia Northwestern Technical College 1981 — 1982
Paramedic
The University of Georgia 1979 — 1981
Biology, General
Self Employed May 2014 - Present
Cigna July 2013 - May 2014
WellPoint December 2012 - July 2013
Blue Cross Blue Shield of Tennessee October 2010 - December 2012
BlueCross BlueShield of Tennessee November 2009 - October 2010
Marketing Alliance Group August 2007 - August 2009
Pratt Retail Graphics September 2004 - July 2007
Walker Information October 2000 - August 2004
Skills
Healthcare, Product Development, Strategic Planning, Business Analysis, Program Management, Business Strategy, Cross-functional Team..., Process Improvement, Integration, Strategy
Education
Anderson University 2002 — 2004
MBA, Marketing
Indiana University Bloomington 1989 — 1994
BA, English
BlueCross BlueShield of Tennessee April 2012 - Present
CVS Caremark Corporation 2001 - 2011
AdvancePCS 1998 - 2001
PCS Health Systems 1996 - 1998
Anthem (BlueCross BlueShield of Virginia) 1994 - 1996
United Healthcare Group 1990 - 1994
Skills
Managed Care, Pharmacy Benefit..., Specialty Pharmacy..., Cross-functional Team..., Consultative Selling, Strategic Planning, Marketing Strategy, Analytics, Pricing Analysis, Contract Negotiations, Creative Problem..., Healthcare Compliance, Network Management, Project Implementation..., Management, Medical Compliance, Contract Negotiation, Healthcare, Account Management, Data Analysis, Forecasting, CRM, Selling, Business Development, Leadership, Business Planning, Program Management, Sales
Education
Auburn University 1985 — 1989
BS in Business Adminstration, Finance and Accounting
BlueCross BlueShield of Tennessee February 2007 - Present
IBM December 2002 - February 2007
Infinite Computer Solutions May 2002 - December 2002
Maintec Technologies Inc. May 2001 - June 2002
Skills
Visio, Business Analysis, SDLC, Requirements Analysis, DB2, Data Warehousing, Process Improvement, Enterprise Architecture, Business Intelligence, Data Analysis, Databases, SharePoint, Microsoft SQL Server, Software Project...
Education
WVU College of Business & Economics 2013 — 2015
Master of Business Administration (MBA), 3.9
Bangalore University 1995 — 1999
Bachelor’s Degree, Mechanical Engineering
BlueCross BlueShield of Tennessee March 2015 - May 2015
BlueCross BlueShield of Tennessee November 2014 - March 2015
Cigna October 2012 - January 2014
Skills
Health Insurance, Customer Service, Insurance, Healthcare, Management, Home Inspections, Estimates, Logistics
Education
Bethel University 2007 — 2009
Bachelor's degree, Management and Organizational Development
American InterContinental University 2006 — 2007
Associate's degree, Business Administration
BeautyYou / Brow1-1 August 2015 - Present
BlueCross BlueShield of Tennessee August 2014 - April 2015
The Shober Group, LLC January 2013 - March 2014
Berz, White & Cooper November 2009 - January 2013
Dr. Vinod Patel, Amarillo, TX November 2006 - December 2008
Scottco March 2002 - October 2006
Skills
Long-term Customer..., Accounting, Insurance, IT Operations, Health Insurance, Sales, Customer Service, Life Insurance, Customer Retention, Cold Calling, Customer Satisfaction, Call Centers, Direct Sales, Microsoft Office, Management, Account Management, Microsoft Excel, Marketing, Contract Negotiation
Education
Amarillo College 2002 — 2004
Classes, Marketing
West Texas A&M University 1996 — 1998
Associate of Arts (A.A.), Psychology
BlueCross BlueShield of Tennessee Court Appointed Special AdvocateCASA of Memphis & Shelby CountyJanuary 1999 - May 2001
Skills
Insurance, Health Insurance, Employee Benefits, Medicare, Managed Care, Claim, Workers Compensation, Health Savings Accounts, HIPAA, Healthcare, Courts, Brokers, Medicaid, Call Centers, Life Insurance, Benefits Administration, Disability Insurance, Commercial Insurance, Underwriting, Customer Satisfaction, Process Improvement, Long-term Care, Account Management, Outlook
Education
Belhaven College 2002 — 2005
Bachelor of Business Administration (BBA), Business Administration and Management, General, B+
Chattanooga College: Information Systems and Corporate Training Division May 2015 - Present
CIGNA March 2013 - Present
Prater Consulting LLC January 2004 - Present
BlueCross BlueShield of Tennessee February 2011 - March 2013
Tennessee Valley Authority/PGS Widows Creek Steam Plant September 2009 - 2012
Dade County District Attorney's Office June 2006 - October 2010
FEMA January 1993 - September 2009
First Tennessee Bank January 1998 - January 2006
Dade County Sheriff's Department January 1993 - September 1998
Sheriffs Dept January 1993 - January 1998
Skills
Emergency Management, Policy, Security, Security Operations, Physical Security, Criminal Investigations, Risk Management, Risk Assessment, Investigation, Employee Relations, Leadership Development, Crisis Management, Supervisory Skills, Customer Service, Performance Management, Corporate Security, Human Resources, Public Speaking, Team Building, Conflict Resolution, Operations Management, Loss Prevention, Process Improvement, Team Leadership, Hiring, Organizational..., Coaching, Organizational..., Law Enforcement..., Executive Management, Human Performance, Career Counseling, Talent Acquisition, Motivational Speaking, Collaborative Leadership, Compliance, Human Development, Corporate Communications, Mentoring, Planning, Law Enforcement, Fraud Investigations, Banking Operations, Investigations, Interviewing, Problem Solving, Risk, Budgeting, Fraud, Corporate Fraud...
Education
Johnson University 2015 — 2017
Doctor of Philosophy (Ph.D.), Ph.D. in Organizational Leadership/HR Development
Belhaven College 2012 — 2013
Graduate, Master of Science in Leadership with HR concentration
Covenant College 2008 — 2010
Bachelor of Science, Organizational Management
Georgia Northwestern Technical College 2007 — 2008
Criminal Justice, Georgia Private Investigations
Georgia Northwestern 2006 — 2008
Associate, Criminal Justice
Georgia Northwestern Technical College 2006 — 2007
Certificate, Crime Scene Investigations
American Institute of Banking 2004 — 2005
Principles of banking, Banking, Fraud Investigations
Georgia Public Safety Training Center 1993 — 1998
POST Certification, Jail Officer and Communication Officer
BlueCross BlueShield of Tennessee 2015 - Present
BlueCross BlueShield of Tennessee 2014 - 2015
eClinic Healthcare 2013 - 2014
WellNow Urgent Care (Urgent Team) 2011 - 2013
Urgent Team 2011 - 2011
The Kroger Co. 2009 - 2011
The Kroger Co. 2009 - 2009
Skills
Sales, Marketing, Customer Service, Sales Management, Microsoft Excel, Account Management, Healthcare, Team Building, Financial Analysis, Microsoft Office, New Business Development, PowerPoint, Strategic Planning, Marketing Communications, Marketing Strategy, Direct Sales, Sales Process, Process Improvement, Business Development, Management, Leadership, Start-ups
Education
Belmont University - Jack C. Massey Graduate School of Business 2013 — 2015
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Mississippi State University 2004 — 2008
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Montgomery Bell Academy
National Healthcare Center of Chattanooga April 2015 - Present
BroadPath Healthcare Solutions October 2014 - March 2015
Jacobson Staffing Inc. November 2012 - November 2013
BlueCross BlueShield of Tennessee April 2008 - April 2012
CIGNA Healthcare October 2006 - November 2007
Skills
Customer Service, Data Entry, Claim, Call Centers, Employee Benefits, HIPAA, Medicare, Health Insurance, ICD-9, Outlook, Workers Compensation, Process Improvement, Insurance, Access, HMO, Microsoft Office, Claims Handling
Education
Art Institute of Pittsburgh 2013 — 2015
3D Computer Animation
University of Phoenix 2009 — 2011
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management
Renaissance Physician Services April 2015 - June 2015
The Exchange 2009 - December 2010
BlueCross BlueShield of Tennessee June 2006 - September 2008
Skills
Customer Service, Data Entry, Microsoft Excel, Healthcare, HIPAA, PowerPoint, Outlook, Microsoft Word, Hospitals, Training, Problem Solving, CPT codes, ICD-9-CM, ICD-10, Medical Terminology, Healthcare Information..., Time Management, Employee Benefits, Telephone Skills, Medical Billing, Access, Teamwork, Leadership, Invoicing, Insurance, Customer Satisfaction, EMR, Medicare, Medical Records, EHR
Education
Virginia College-School of Business and Health 2013 — 2015
Medical Insurance Specialist/Medical Biller, 3.8 GPA
Virginia college school of business and health 2013 — 2015
Medical Billing and Coding, Health/Health Care Administration/Management, 3.8 GPA
BlueCross BlueShield of Tennessee September 2015 - Present
The Pollard Clinic, P.C. January 2015 - Present
BenchMark Rehab Partners May 2014 - September 2014
Memorial Hospital February 2006 - April 2014
Skills
Customer Service, HIPAA, Microsoft Excel, Microsoft Word, Outlook, Data Entry, Accounts Payable, Healthcare Management, Medical Terminology, Healthcare, Payroll, Invoicing
Education
Miller-Motte Technical College-Chattanooga 2004 — 2006
Associate of Science (A.S.), Surgical Technology/Technologist
Chattanooga State Community College 2002 — 2004
N/A, General Studies
BlueCross BlueShield of Tennessee May 2015 - Present
OCV, LLC October 2013 - May 2015
Marshall Data Systems June 2011 - July 2013
Skills
Android Development, Java Application..., C++, Mobile Applications, C++ Language, Technical Support, Software Development, Linux, Android, Java, Object Oriented Design, C, Software Engineering, Git, Eclipse, Objective-C, iOS development, Programming, Design Patterns, Ubuntu, Algorithms, Maven, Python, SQL, C#
Education
Auburn University 2011 — 2015
Bachelor of Engineering (BE), Computer Software Engineering
BlueCross BlueShield of Tennessee August 2014 - Present
BlueCross BlueShield of Tennessee March 2012 - August 2014
BlueCross BlueShield of Tennessee 2007 - March 2012
BlueCross BlueShield of Tennessee November 2007 - May 2009
Skills
Customer Service, Claim, Analysis, Process Improvement, Health Insurance, Medicaid, HIPAA, Data Analysis, Access, Medicare, Six Sigma, Paralegals, Analytic Thinking, Call Centers, Claims Management, Investigative Research, External Audit, Project Coordination, Building Effective..., Model Audit Rule
Education
Austin Peay State University 2003 — 2007
Bachelor of Science (BS), Sociology
BlueCross BlueShield of Tennessee January 2006 - Present
BlueCross BlueShield of Tennessee April 1999 - December 2005
Skills
Provider Relations, Network Development, HMO, PPO, Health Insurance, Managed Care, Medicare, Vendor Management, Medicaid, Insurance, Business Analysis, HIPAA, Data Center, Claim, Process Improvement, Contract Negotiations, Physician, Hospital,..., Credentialing, Training, Claims Resolution
Education
Baker College of Muskegon 1990 — 1993
Bachelor of Business Administration (BBA), Business/Marketing
BlueCross BlueShield of Tennessee May 2014 - Present
Summit Medical Group April 2012 - May 2014
Covenant Health August 2011 - April 2012
Covenant Health May 2010 - August 2011
Covenant Health December 2007 - May 2010
Skills
Hospitals, EHR, Provider Relations, Healthcare, SharePoint Designer, Microsoft Excel, Microsoft Access, Accountable Care, Medicare Shared Savings..., Data Analysis, Database Administration, Healthcare Management, HIPAA, Healthcare Information..., Medicare, Medicaid
Education
Ashford University 2006 — 2008
Bachelor's degree, Organizaional Management
Pellissippi State Community College 2004 — 2006
Organizational Management
Belhaven University September 2013 - Present
Sound Living Counseling September 2011 - Present
Southeast Center of Excellence (SECOE) October 2007 - September 2011
PSI Community Center June 2006 - May 2007
CIGNA August 1998 - August 2002
Best Western Heritage Inn July 1996 - January 1998
Circuit City November 1994 - June 1996
BlueCross BlueShield of Tennessee August 1992 - October 1994
Skills
Customer Service, Public Speaking, Career Counseling, Mental Health Counseling, Grief Counseling, Couples Counseling, Family Therapy, Group Therapy, Individual Counselling, Adolescent Therapy, Anger Management, Parent Education, Parenting Skills..., Christian Counseling, Spiritual Direction, Spiritual Counselor, HIPAA, Training, Community Outreach, Management, Software Documentation, Leadership, Psychology, Behavioral Health, CBT, Self-esteem, Psychotherapy, Mental Health, Treatment, Adolescents, Crisis Intervention, Therapists, Counseling Psychology, Workshop Facilitation, Motivational Speaking, Teaching, Higher Education, Conflict Resolution, Interventions, Stress Management, Social Services, Program Development
Education
Richmont Graduate University 2004 — 2007
Master of Arts (MA), Marriage and Family Therapy/Counseling/ Specialization in Spirituality and Counseling
Albany State University 1984 — 1998
Bachelor of Science (BS), Computer Science
BlueCross BlueShield of Tennessee February 2012 - Present
BlueCross BlueShield of Tennessee January 2011 - February 2012
BlueCross BlueShield of Tennessee March 2007 - January 2011
BlueCross BlueShield of Tennessee August 2005 - February 2007
Skills
E-business, Health Insurance, SDLC, Business Analysis, Access, Healthcare Information..., Insurance, Disaster Recovery, Process Improvement, Systems Analysis, Administrative..., Six Sigma, CAQH CORE Operating..., Visio, Business Process, Team Leadership, HIPAA, Software Documentation, Requirements Analysis, Medicare, SharePoint
Education
Austin Peay State University 2010 — 2011
Information Systems
Chattanooga State Community College 2006 — 2010
Associate of Arts and Sciences (A.A.S.), Information Systems
BlueCross BlueShield of Tennessee April 2014 - Present
Memorial Healthcare System May 2011 - April 2014
Erlanger Medical Center August 2009 - May 2012
Baptist Memorial Hospital for Women August 2008 - May 2009
Skills
Hospitals, Healthcare, PowerPoint, Healthcare Management, EMR, Medicare, HIPAA, Medical Terminology, Managed Care, Customer Service, Physician Relations, Revenue Cycle
Education
The University of Memphis 2007 — 2009
Masters, Health Administration
Auburn University 2003 — 2007
Bachelor of Science, Health Services Administration
MLH OnSite January 2009 - Present
UT Medical Group, Inc. 2001 - 2009
Memphis Managed Care Corporation 2003 - 2006
BlueCross BlueShield of Tennessee January 1991 - January 2001
Skills
Healthcare Management, Customer Service, Microsoft Excel, Healthcare Information..., Leadership, Process Improvement, Team Building, Strategic Planning
Education
Bethel University 2008 — 2010
Master of Business Administration (MBA), Accounting and Business/Management, Cum Lauda
Belhaven College 2001 — 2005
Bachelor of Business Administration (B.B.A.), Business/Commerce, General
BlueCross BlueShield of Tennessee March 2008 - Present
BlueCross BlueShield of Tennessee April 2007 - March 2008
BlueCross BlueShield of Tennessee February 2006 - April 2007
BlueCross BlueShield of Tennessee November 2004 - April 2007
Tuesday Bigelow M.D. Cosmetic Surgery Center July 2003 - November 2004
Skills
Certified Case Manager, Registered Nurse, Managed Care, Utilization Management, Medicare, Medicaid, Provider Relations, Health Insurance, Healthcare, Healthcare Management, HIPAA, Long-term Care, Insurance, Physician Relations, Healthcare Industry, Nursing, Healthcare Information..., Process Improvement
Education
Bryan College 2009 — 2010
Bachelor's degree, Business Administration and Management, General
Armstrong Atlantic State University
Associate's degree, Registered Nursing/Registered Nurse
Nippon Life Benefits July 2012 - Present
BlueCross BlueShield of Tennessee August 2009 - July 2012
BlueCross BlueShield of Tennessee January 2008 - August 2009
Skills
Group Health, Pricing, Valuation, Projection, Forecasting, Reporting, Benchmarking, Trend Analysis, Trend Forecasting, Reserves, Rate Review, Rate Filing, Model Development, Presentation, System Development, System Architecture, Software Design Patterns, Development Best..., Process Management, Automation, Efficiency Improvement, Actuarial Science, Programming, User Interface Design, VBA, Visual Basic, .NET, C#, C++, MATLAB, SQL Server, Cognos PowerPlay, Crystal Reports, Excel, Access, PowerPoint, Signal Processing, Artificial Neural..., Pattern Recognition, Microsoft Excel, Microsoft SQL Server, Health Insurance, Cognos, Analysis, Health Care Reform
Education
Middle Tennessee State University 2006 — 2007
Master's, Math, Actuarial Science, 4.0
Amirkabir University of Technology - Tehran Polytechnic 2000 — 2002
Master's, Electrical Engineering, Biomedical Engineering
BlueCross BlueShield of Tennessee December 2002 - Present
Unum July 2002 - November 2002
Earnings Insights April 2001 - March 2002
First American Bank Nashville May 1998 - April 2001
First Tennessee Bank May 1996 - May 1998
Gaylord Entertainment Company August 1989 - February 1995
Ingram Content Group March 1988 - August 1989
American General Life Companies is now part of the AIG Family! January 1986 - March 1988
Skills
Consulting, Process Improvement, Enterprise Architecture, Business Analysis, Integration, Disaster Recovery, Vendor Management, SDLC, Project Management, Visio
Education
Belmont University 1982 — 1985
Bachelor of Business Administration (BBA), Accounting and Information Systems Management
BlueCross BlueShield of Tennessee May 2011 - Present
Evolution Performance Technology LLC July 2007 - Present
McElroy/Infor 2001 - 2012
BEA/ Mcelroy Technology Partners 2006 - 2008
McElroy Technology Partners January 2001 - June 2007
NetBank 2006 - 2007
Netbank/Mcelroy Technology Partners 2005 - 2007
Fuego/ HPC 2005 - 2006
CAT Financial 2001 - 2005
One Community 2000 - 2002
Skills
Territory Management, New Business Development, Business Intelligence, Analytics, Integration, SDLC, CRM, Data Warehousing, Project Management, Data Integration, Change Management, Sales Force Development, Team Leadership
Education
Auburn University
BS
Catholic Health Initiatives April 2015 - Present
Catholic Health Initiatives October 2013 - Present
Tennessee Valley Authority April 2013 - 2013
BlueCross BlueShield of Tennessee September 2012 - 2013
Morgan Keegan September 2006 - September 2012
Methodist Healthcare 2004 - 2006
ATS 2002 - 2004
International Gaming Systems January 2001 - January 2002
Skills
Vendor Management, Project Management, Disaster Recovery, Cross-functional Team..., Process Improvement, Business Analysis, Management, Visio, Resource Management, Product Management, Program Management, SDLC, ITIL, Software Project..., Leadership, MS Project, Integration, SharePoint, IT Management, IT Strategy, Risk Management, Software Documentation, Troubleshooting, Requirements Analysis, Training, Testing, Data Center, Security, PMP, System Administration, Healthcare Information..., Operational Risk..., IT Project & Program...
Education
Athens State University 1996 — 2000
BA, Business Administration and Management, General
Athens State University
Bachelor of Business Administration (BBA)
BlueCross BlueShield of Tennessee April 2014 - Present
Education
Auburn University 2008 — 2010
Master of Business Administration (M.B.A.), Business/Technology Management, 4.0
Columbia College 2002 — 2006
Bachelor's degree, Computer/Information Technology Administration and Management, 3.6
Columbia College 2001 — 2006
Bachelor's degree, Business Administration and Management, General
McHenry County College 1998 — 2001
Associate's degree, Business Administration and Management, General
Cardinal Health August 2014 - Present
Cardinal Health July 2011 - August 2014
BlueCross BlueShield of Tennessee June 2009 - July 2011
BlueCross BlueShield of Tennessee May 2008 - June 2009
Caterpillar June 2006 - May 2008
Bradley University August 2004 - May 2006
Firefly Energy Inc May 2005 - August 2005
Skills
WebSphere Portal, Web Services, Web Content Management, Adobe Experience Manager, Enterprise Content..., Java Enterprise Edition, Websphere, WebSphere Application..., Java, JavaScript, Sun Certified Java..., SharePoint, Oracle, XML, Struts, Web Applications, C#, ITIL, Microsoft SQL Server, DB2, JMS, WebSphere eXtreme Scale, J2EE, ECM, Quickr, C++, Six Sigma, Databases, Portals, SOA, J2EE Application..., Enterprise Architecture, Tomcat, SDLC, JSP, Solution Architecture, CQ5
Education
Bradley University 2004 — 2006
MS, Computer Science
Sri Chandrasekharendra Saraswathi Viswa Mahavidyalaya 1999 — 2003
BE, Computer Science & Engineering
Sainik School Amaravathinagar 1992 — 1999
High School, CBSE
Community Health Systems June 2013 - Present
Vanderbilt University Medical Center November 2008 - June 2013
Parkland Hospital October 2005 - October 2008
Erlanger Medical Center July 2004 - September 2005
BlueCross BlueShield of Tennessee November 1993 - July 2004
Skills
Policy, Auditing, Management, Healthcare, Contract Management, Quality Auditing, HIPAA, Healthcare Management, Medicaid, Hospitals, Revenue Cycle, Medicare, Healthcare Information..., Fraud, Healthcare Consulting, Healthcare Industry, Managed Care, EHR, Leadership, Process Improvement, Training, EMR, Physicians, Strategic Planning, Team Building
Education
Baylor University - Hankamer School of Business 2006 — 2008
Master of Business Administration (M.B.A.), Business Administration and Management, General
The University of Tennessee at Chattanooga 1994 — 2000
BS, Criminal Justice
Chattanooga State Technical Community College 1990 — 1993
Transfer, Pre-Law
Hixson High School
Hixson High School
Hixson High School
Hixson High School
UnitedHealth Group Ventures June 2015 - Present
BlueCross BlueShield of Tennessee May 2013 - Present
Optum July 2009 - April 2013
OptumHealth 2006 - July 2009
BioScrip 2005 - 2006
Skills
Cross-functional Team..., Managed Care, Healthcare, Process Improvement, Strategic Planning, Health Insurance, Product Management, Product Marketing, Product Development, Marketing Strategy, Product Launch, Project Management, Marketing, Leadership, Account Management, Business Development, Sales, Team Building, Strategy, Management, Proposal Writing, Team Management, Program Management, Integrated Marketing, Business Strategy, Executive Management
Education
Bellevue University 2006 — 2007
MBA, Health Care Administration and Marketing
Drake University
Bachelor of Science, Management, Marketing
BlueCross BlueShield of Tennessee August 2015 - Present
Arthur J. Gallagher & Co. October 2014 - May 2015
Cigna HealthCare March 2001 - October 2014
Cigna HealthCare June 1998 - March 2001
SunTrust Bank August 1996 - June 1998
Skills
Health Insurance, Managed Care, Health Savings Accounts, Underwriting, Strategic Planning, Account Management, Customer Service, Financial Analysis, Sales, Employee Benefits, Healthcare, Insurance, Customer Retention, Marketing
Education
Belmont University 1996 — 1998
BBA, Finance
George Walton High School
BlueCross BlueShield of Tennessee November 2011 - Present
Skills
Oracle, SDLC, DB2, Databases, .NET, Quality Assurance, Data Warehousing, Quality Center, ETL, Analysis, SQL, Agile Methodologies, Requirements Analysis, Web Services, EDI, Software Project..., SOA
Education
Anna University 2000 — 2005
BE, IT
AMAC of Engg 2000 — 2004
BE, Computer Science
.
Deloitte Consulting LLP January 2013 - Present
Shared Health April 2010 - December 2012
Shared Health May 2006 - June 2010
BlueCross BlueShield of Tennessee November 1997 - May 2006
Skills
Integration, Healthcare, Software Development, Management, Agile Methodologies, Cross-functional Team..., Access, Healthcare Information..., Business Analysis, SDLC, SharePoint, Visio, Process Improvement, Leadership, Project Management, IT Strategy, Testing, Requirements Analysis, System Administration, Consulting, SQL, Program Management, Dreamweaver, Software Documentation, Web Services, Analysis, IT Management, Business Intelligence, Troubleshooting, Project Planning, Team Leadership, Windows Server, Enterprise Architecture, Team Building, Vendor Management, Databases, Web Applications
Education
Auburn University
B.A.
University of South Carolina-Columbia
M.A.
BlueCross BlueShield of Tennessee January 2014 - Present
TVA March 2009 - January 2014
Genisys Software May 2005 - March 2009
SD Partners 2006 - 2007
Aris Global 2004 - 2005
Skills
SDLC, Requirements Analysis, Oracle, Agile Methodologies, Business Analysis, Software Project..., Microsoft SQL Server, .NET, Software Development, SQL, Business Intelligence, Web Services, SOA, PL/SQL, XML, Integration, Databases, ASP.NET
Education
Bangalore University
BSc, Physics, Electronics, Mathematics
Jindal Public school
BlueCross BlueShield of Tennessee 2013 - Present
SharedHealth (Subsidiary of BlueCross BlueShield of Tennessee) February 2008 - 2012
Freddiemac 2005 - 2007
Skills
ETL, SDLC, Data Warehousing, SQL, Microsoft SQL Server, Unix, Oracle, BTEQ, FastLoad, Shell Scripting, Multiload, PL/SQL, Data Analysis, DB2, DataStage, Teradata, Teradata SQL, Teradata Data Warehouse, SSIS, TPT, FastExport, Data Mapping, 24x7 Production Support, T-SQL Stored Procedures, T-SQL, Linux, Business Intelligence, Oracle SQL Developer, Data Marts, SQL Loader, SQL*Plus, DB2 UDB, Unix Shell Scripting, Data Profiling
Education
Bangalore University
Bachelor Of Engineering
Amerigroup April 2014 - Present
Community Health Alliance December 2012 - April 2014
BlueCross BlueShield of Tennessee May 2004 - December 2012
Blue Cross Blue Shield of Tennessee 2004 - December 2012
Skills
Health Insurance, Provider Relations, HIPAA, Managed Care, Medicare, Network Development, Healthcare, Insurance, Strategic Planning, Process Improvement, Medicaid, Healthcare Information..., Leadership, Healthcare Management, Project Management, Access, Training, Vendor Management, Program Management, Public Speaking, Marketing, Budgets, Physician Relations, Provider Network..., Provider Education, Provider Networks, Affordable Care Act, Medicaid Managed Care, PPO, Business Strategy, PowerPoint, Written & Oral..., Negotiation, Contract Negotiation, Contract Management, Contract Recruitment, Physician Network..., Hospital Contracting, Healthcare Reimbursement, Hospital Reimbursement, Highly detail oriented, Service Provider..., Provider Enrollment, Credentialing, Healthcare Consulting, Revenue Cycle, Medical Terminology, HMO, Health Policy, Healthcare Industry
Education
Bethel University, College of Professional Studies 2012 — 2014
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Alcorn State University 2002 — 2004
Master's degree, Biology
Alcorn State University 1996 — 2000
Bachelor of Science (B.S.), Biology/Pre-Med
Lenovo October 2014 - Present
IBM July 2006 - October 2014
BlueCross BlueShield of Tennessee 2001 - 2006
Skills
Storage, Disaster Recovery, Virtualization, Data Center, Servers, VMware, Cluster, Cloud Computing, Storage Area Networks, Hardware, VMware ESX, Citrix, Enterprise Architecture, Red Hat Linux, Windows Server, High Availability, SAN, NAS, Storage Solutions, Solution Selling, NetApp, Storage Virtualization, Pre-sales, Sales Enablement, Server Architecture, Server Consolidation, Enterprise Storage, SaaS, HP, Enterprise Software
Education
Auburn University
B.A., English & Communications
University of Alabama at Birmingham
M.A. Ed., Counseling Psychology
Aetna July 2008 - December 2013
Aetna January 2004 - June 2008
Aetna August 1999 - December 2003
Prudential Healthcare September 1996 - August 1999
Principal Health Care January 1995 - September 1996
BlueCross BlueShield of Tennessee January 1994 - December 1994
BlueCross BlueShield of Tennessee May 1986 - December 1993
Skills
Healthcare, Health Education, Quality Improvement, Clinical Research, Medicare, Process Improvement, Utilization Management, Insurance, Medical Billing, HIPAA, Nursing, Managed Care, Program Management, Quality Management, Healthcare Industry, Medicaid, Revenue Cycle, Disease Management, Informatics, Provider Relations, Healthcare Consulting, Health Policy, Health Insurance, EHR, Physicians, EMR, Hospitals, NCQA, Healthcare Management, Management, Case Managment, Healthcare Information..., Credentialing, HMO, HEDIS, Performance Improvement, Public Health, Accreditation, Medicare Part D, Health Promotion, Medicine, Employee Benefits, Pharmacy, Physician Relations, Pediatrics, Oncology, Pharmacy Benefit...
Education
Belmont University - Jack C. Massey Graduate School of Business 1992 — 1993
MBA
State University of New York College at Buffalo 1976 — 1978
MS, Nursing, Education
D'Youville College 1959 — 1963
BS, Nursing
BlueCross BlueShield of Tennessee July 2007 - Present
U.S. Xpress, Inc June 2000 - March 2007
Ryder Integrated Logistics January 2000 - June 2000
Atlantic Southeast Airlines November 1995 - December 1997
Express 1 Airlines July 1993 - June 1994
Electronics Boutique September 1991 - September 1992
Cooperative Education January 1987 - January 1988
Skills
XML, XML Spy, HTML/XML, SQL, SQL Server, Sybase, VBA, FoxPro, Cognos, Crystal Reports, SalesLogix, Excel, Word, PowerPoint, Microsoft Excel, Microsoft SQL Server
Education
Auburn University 1986 — 1991
Bachelor of Science, Aviation Management
University of Alabama 1993 — 1994
Post Graduate, Civil Engineering studies
Flight Safety Academy 1994 — 1995
Graduate, Commercial/Instrument Pilot's Certificate
Academy Education Center, Academy of Aviation 1996 — 1996
Graduate, Aircraft Dispatcher Certificate
BMO Financial Group September 2014 - Present
Capital One May 2011 - September 2014
BlueCross BlueShield of Tennessee December 2008 - May 2011
Premier Research Group June 2008 - August 2008
Skills
SAS, SAS programming, Data Analysis, Statistics, Predictive Modeling, Analytics, Data Mining, Predictive Analytics, CRO, Unix, SAS Certified Base..., Biostatistics, DB2, Microsoft Excel, Program Evaluation, Time Series Analysis, Microsoft SQL Server, SAS E-Miner, Angoss knowledge seeker
Education
Georgia Institute of Technology 2007 — 2008
M.S., Statistics
Chengdu University of Technology 2003 — 2006
M.S, Computer Science
Chengdu University of Technology 1999 — 2003
B.S, Information Engineering
BlueCross BlueShield of Tennessee April 1989 - December 2004
Education
West Suburban College of Nursing 1958 — 1961
Diploma, Registered Nursing/Registered Nurse
Oklahoma Foundation for Medical Quality July 2012 - Present
BlueCross BlueShield of Tennessee July 2010 - July 2012
Education
University of Kentucky 2007 — 2009
Master, statistics
University of Kentucky 2004 — 2007
Master, Chemistry
Beijing Normal University 1996 — 2000
bachelor, Chemistry
CIGNA Healthcare October 2005 - Present
Futrell Enterprises, Inc. September 1999 - October 2005
BlueCross BlueShield of Tennessee June 1998 - August 1999
Meharry Medical College March 1996 - April 1998
Meharry Medical College August 1993 - April 1998
Faust, Pedigo, Futrell & Resta August 1987 - July 1993
Skills
Coaching, Managed Care, Process Improvement, Management, Healthcare, Customer Service, Team Building, Leadership
Education
Vanderbilt University - Owen Graduate School of Management 1989 — 1992
Master of Business Administration (M.B.A.), Business Administration and Management, General
Baylor College of Medicine 1983 — 1986
Residency Training, General Pediatrics
University of Kentucky College of Medicine 1979 — 1983
Doctor of Medicine (M.D.), Medicine
Murray State University 1974 — 1978
Bachelor's Degree, Biology, General, Cum Laude
Freelancer July 2012 - Present
Mohawk Industries October 2007 - July 2012
BlueCross BlueShield of Tennessee April 2006 - October 2007
Chattanooga Regional History Museum August 1997 - April 2006
Skills
Retail, Team Leadership, Marketing Strategy, Textile Design, Ned Graphics, Inventory Management, Textiles, Illustrator, Creative Direction, Layout, Trade Shows, Merchandising, Adobe Creative Suite, Graphic Design, Advertising, Graphics, Team Building, New Business Development
Education
American InterContinental University 2004 — 2008
Graphic Design, Art
East Ridge High School 1990 — 1994
Southside/Dodson Avenue Community Health Center August 2013 - Present
MCH Odessa Family Health Clinic April 2012 - August 2013
Tri Cities Community Health Center March 2010 - April 2012
BlueCross BlueShield of Tennessee January 2009 - March 2010
MEMPHIS HEALTH CENTER, INC September 2006 - November 2008
CHRIST COMMUNITY HEALTH CENTER July 2005 - September 2006
Skills
Training, Human Resources, Healthcare, Team Building, Management, Process Improvement, Provider Relations, Hospitals, Health Policy, Access, Operations Management, Managed Care, Medicaid, Physicians, Program Management, Medicare, Healthcare Management, EMR, Medical Billing, Nursing
Education
Mississippi College 2003 — 2005
MHSA, Health Services Administration
Belhaven University 1998 — 2000
B. S, Sports Medicine
North Georgia HealthCare Center January 2009 - Present
Memorial Health Care System October 2008 - January 2009
BlueCross BlueShield of Tennessee September 2003 - October 2008
Education
Liberty University 2009 — 2012
Masters, Seminary - Christian Leadership
American InterContinental University 2005 — 2006
Bachelors, Business
BlueCross BlueShield of Tennessee November 2011 - Present
BlueCross BlueShield of Tennessee November 2008 - November 2011
Skills
Process Improvement, Healthcare, Provider Relations, Health Insurance, Team Building, Employee Benefits, Medicaid, Medicare, Business Analysis, Insurance, Customer Service, Training, Data Analysis, Call Centers, Visio, Network Development, Access, Leadership, Outlook, Claim, Leadership Development, Microsoft Excel, PowerPoint, Software Documentation, Strategic Planning, Healthca, Team Leadership, Strat, Data, Provider Re
Education
Belhaven University 2012 — 2014
Master of Business Administration (M.B.A.), Business Administration and Management, General
Belhaven University 2010 — 2011
BS, Healthcare
Belhaven University
BlueCross BlueShield of Tennessee August 2014 - Present
Florida Blue June 2013 - August 2014
US Army January 2009 - June 2013
Thompson Bostrom & Associates June 2005 - January 2008
Skills
Training, Leadership, Health Insurance, Time Management, Military, Referrals, Sales, Sales Management, Employee Benefits, Organizational..., Insurance, Military Experience, Customer Service, Proposal Writing, Management, Analysis, Strategic Planning, Microsoft Excel, Coaching, Process Improvement, Microsoft Office, Team Building, Project Management, Healthcare, Marketing, Strategy, Medicare
Education
Ashford University 2012 — 2012
Bachelor of Arts (B.A.), History
Valencia Community College 2006 — 2008
Associate of Arts (A.A.), History
University of Miami, Miller School of Medicine August 2013 - Present
University of Miami January 2010 - August 2013
Bionetics June 2006 - January 2009
BlueCross BlueShield of Tennessee October 2005 - June 2006
Skills
Animal Husbandry, Lifesciences, Biology, PCR, Laboratory, Veterinary, Team Building, Cell Biology
Education
Austin Peay State University 2000 — 2005
Bachelor of Science (B.S.), Agriculture, General
Blue Cross and Blue Shield Association 2002 - Present
BlueCross BlueShield of Tennessee 1995 - 2002
John Byron Hollis, Attorney at Law 1993 - 1995
District Attorney's Office, 5th Judicial Circuit of Alabama 1991 - 1994
Skills
Claim, Health Insurance, Medicaid, Medicare, Insurance, Managed Care, Claims Management, Healthcare, HIPAA, Private Investigations, Policy, Anti-fraud, Enforcement, Data Analysis, Healthcare Consulting, Process Improvement, Medical Compliance, Background Checks, Health Policy, Health Care Fraud, Healthcare Industry, Fraud Detection, Claims Investigations, Claim Investigation, Utilization Management, Health Care Reform, Investigation, Risk Assessment, Certified Fraud Examiner, Internal Investigations, Risk Management, Health Law, Accident, Subrogation, Workers Compensation, Healthcare Information..., Healthcare Management, Employee Benefits, Evidence, Provider Relations, HMO, Identity Theft, Fraud Claims, Litigation Management, Disease Management, Privacy Law, PPO, Health Care Compliance, Medicaid Managed Care, Investigative Research
Education
Faulkner University 1988 — 2000
JD, Law
Auburn University 1980 — 1984
BS, Criminal Justice/Law Enforcment
BlueCross BlueShield of Tennessee September 2015 - Present
BlueCross BlueShield of Tennessee January 2007 - Present
Skills
SDLC, Data Warehousing, Microsoft SQL Server, DB2, .NET, T-SQL, SSRS, SQL, Business Analysis, Visio, Agile Methodologies, Requirements Analysis, Databases, Software Development, Cognos ReportNet, Cognos Report studio..., Cognos Framework..., Life Cycle Manager, Meta Manager, IBM Rational ClearCase..., Teradata 13.11, Business Intelligence, Data Modeling, Analysis, Software Project..., Cognos, Requirements Gathering, Process Improvement
Education
Valparaiso University 2005 — 2006
Masters, International commerce and Policy
Indira Gandhi National Open University 1999 — 2002
Master of Science in Computer Applications, Information Technology
Sri Padmavati Mahila Viswavidyalayam 1996 — 1998
Bachelors, Computer Science
Methodist Healthcare January 2009 - Present
UT Medical Group October 2006 - October 2009
MMCC- TLC October 2003 - October 2006
UT Medical Group April 2001 - October 2003
BlueCross BlueShield of Tennessee February 1991 - February 2001
Skills
Event Management, Accounting, Analysis, Public Relations, Team Building, Access, Inventory Management, Project Planning, Event Planning, Troubleshooting, JavaScript, Coaching, Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, Training, Team Leadership, Organizational..., Strategic Planning, Account Management, Accounts Payable, Accounts Receivable, Financial Accounting
Education
Bethel University 2009 — 2010
Master of Business Administration (MBA), Business Administration, Management and Operations
Belhaven College 2003 — 2006
Bachelor of Business Administration (B.B.A.), Business Administration, Management and Operations
Belhaven College 2001 — 2003
Associate's degree, Business Administration and Management, General
Fairley High 1986 — 1989
Anthem, Inc. April 2013 - Present
Blue Cross Blue Shield of Tennessee July 2006 - March 2013
BlueCross BlueShield of Tennessee August 2009 - April 2011
Skills
Provider Relations, HMO, Health Insurance, PPO, Medicare, NetworX, Trizetto, Problem Analysis, Application..., Healthcare, Medicaid, Process Improvement, Call Centers, Data Analysis, Network Development, HIPAA, CPT, Insurance, Managed Care, Business Analysis, Claim, Employee Benefits, Healthcare Information..., Healthcare Management
Education
Auburn University 2000 — 2002
Bachelor's degree, Management of Information System
Auburn University, College of Business 2000 — 2002
BSBA, Management of Information Systems
BlueCross BlueShield of Tennessee April 2011 - Present
BlueCross BlueShield of Tennessee May 2007 - April 2011
BlueCross BlueShield of Tennessee March 2003 - May 2007
BlueCross BlueShield of Tennessee April 2001 - March 2003
BlueCross BlueShield of Tennessee July 1993 - March 2001
Skills
Health Insurance, Medicare, Analysis, Medicaid, Quality Management, Healthcare, Reports, Business Analysis, Technical Writing, Creative Writing, Software Quality..., Software Configuration..., Prevention, Preventive Medicine, Exercise Physiology, End User Training, Regression Testing, Health Education, System Configuration, User Acceptance Testing, Quality Improvement, Policy Writing, Managed Care, Process Improvement, Insurance, HIPAA, Healthcare Information..., Healthcare Industry, Medicare Part D, Visio
Education
United States Sports Academy 1992 — 1993
Master of Sport Science, Fitness Management
Berry College 1985 — 1989
Bachelor of Science, Health and Physical Education
BlueCross BlueShield of Tennessee October 2014 - Present
Such A Time As This October 1995 - Present
Blue Cross Blue Shield of Tennessee December 2007 - October 2014
IAAP BCBST Corporate Chapter July 2011 - July 2013
BlueCross BlueShield of Tennessee October 2006 - December 2007
The X-1R Corporation 1999 - 2001
The X-1R Corporation 1999 - 2001
The X-1R Corporation 1999 - 2001
Skills
Outlook, Visio, PowerPoint, Event Planning, Customer Service, Certified..., Organizational..., Project Management, Nonprofits, Marketing, Account Management, Management, Process Improvement, Microsoft Office, Insurance, Training, Time Management, Leadership
Education
Belhaven College 2013 — 2016
Bachelor's degree in progress, Management
Daytona Beach Community College
Gordon Lee High School
Federal Public Defender October 2003 - Present
BlueCross BlueShield of Tennessee October 1998 - October 2003
Guardsmark, Inc. July 1996 - September 1998
Defense Criminal Investigative Service February 1993 - June 1996
Air Force Office of Special Investigations October 1985 - September 1992
381 Strategic Missile Wing 1981 - 1985
Skills
Trials, Legal Writing, Criminal Defense, Private Investigations, Juvenile Law, Courts, Criminal Law, Evidence, White Collar Criminal..., Criminal Investigations, Litigation, Surveillance, Enforcement, Investigation, Internal Investigations
Education
Appalachian State University 1976 — 1980
Bachelor of Science (BS) in Business Administration, Business Administration and Management, General
Watauga High School 1974 — 1976
BlueCross BlueShield of Tennessee June 2008 - Present
Skills
Requirements Analysis, Business Analysis, Microsoft SQL Server, C#, Integration, MS Project, Software Project..., SharePoint, Business Intelligence, SQL, Visio
Education
Auburn University 1997 — 2004
BS, Software Engineering
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
Mental and Physical Disabilities March 2011 - Present
Erlanger Medical Center 1988 - 2000
BlueCross BlueShield of Tennessee April 1977 - 1982
Skills
Healthcare, Outlook, Nursing, Psychotherapy, Case Managment, Hospitals, Clinical Research, Editing, Teaching, Case Management, Inpatient, BLS
Education
University of the State of New York 1979 — 1981
Associate of Science (AS), Registered Nursing/Registered Nurse
Atlantic Union College 1961 — 1962
BlueCross BlueShield of Tennessee June 1981 - Present
Skills
Insurance, Underwriting, Disability Insurance, Risk Management, Workers Compensation, Brokers, Commercial Insurance, Health Insurance
Education
Ashford University 2010 — 2014
Bachelor of Psychology, Psychology, 3.97
FedEx Services August 2010 - Present
Bryan Turley Properties October 2004 - August 2010
BlueCross BlueShield of Tennessee July 1970 - July 1998
Skills
Customer Service, Office Management, Budget Process, Operating Budgets, Microsoft Word, Project Planning, Performance Improvement, Business Travel, Microsoft Office, Logistics, Outlook, Transportation, Operations Management, Administration, Software Documentation, Process Scheduler, Strategic Planning, Social Media, Team Building
Education
The University of Memphis 1970 — 1971
Education
Benedictine College 1965 — 1969
BS of Education, Physical Education/Biology
Plateau Pediatrics March 2013 - Present
BlueCross BlueShield of Tennessee December 2008 - October 2012
Crossville Medical Oncology January 2003 - September 2006
Cumberland Medical Center Crossville October 2002 - January 2003
Quality home health care September 1995 - September 2002
Personal home health care June 1988 - September 1995
Country Place healthcare Center January 1984 - January 1988
Cookeville Hospital January 1983 - January 1984
Skills
Medicare, Health Insurance, Provider Relations, Utilization Management, Managed Care, Medicaid, HEDIS, Healthcare, IV certified, Venipuncture and..., audit experience, coding, IV, Medical Coding
Education
Tennessee Technology Center at Crossville 1981 — 1983
LPN, Licensed Practical/Vocational Nurse Training
Blue Blue Shield Tennessee June 2009 - Present
BlueCross BlueShield of Tennessee January 2007 - August 2009
BlueCross BlueShield of Tennessee June 2005 - September 2006
Skills
Nursing Education, Disease Management, Utilization Management, Health Insurance, Analytical Review, Team Building, Medicare, Medicaid, Medicare/Medicaid...
Education
American InterContinental University 2010 — 2012
Bachelor of Business Administration (B.B.A.), Marketing
Cleveland State Community College 1989 — 2001
Associate's degree, Registered Nursing/Registered Nurse
BlueCross BlueShield of Tennessee 2007 - Present
CIGNA Healthcare 2004 - 2007
Widows Harvest Ministries 2001 - 2003
Skills
Data Analysis, SAS, Informatics, SAS programming, Statistics, Data Mining, Healthcare Management, Program Management, HEDIS
Education
A.T. Still University of Health Sciences 2012 — 2015
Doctor of Health Science (D.H.Sc.)
University of Wisconsin-Platteville 2006 — 2008
Master of Science (M.S.), Engineering
University of Tennessee-Knoxville 2005 — 2006
Graduate Certificate, Applied Statistics
University of Wisconsin-Platteville 2006 — 2008
Graduate Certificate, Project Management
Covenant College 1997 — 2000
Bachelor of Arts (B.A.), Economics
BlueCross BlueShield of Tennessee February 1996 - Present
Skills
Microsoft SQL Server, Team Building, Microsoft Excel, Customer Service, Leadership
Education
The University of Tennessee at Chattanooga 1993 — 1994
Bachelor's degree, Computer Science
Alabama Agricultural and Mechanical University 1988 — 1994
Bachelor's degree, Computer Science
BlueCross BlueShield of Tennessee May 2006 - December 2013
H&R Block January 2007 - April 2012
BlueCross BlueShield of Tennessee July 2000 - May 2006
BlueCross BlueShield of Tennessee March 1994 - July 2000
BlueCross BlueShield of Tennessee July 1992 - March 1994
Skills
Insurance, Underwriting, Wellness, Health Insurance, Process Improvement, Risk Management, Business Analysis, Database Development, Certified Billing and..., Tax Preparation, Data gathering,..., Research and..., Management, Consulting, Transcription, Healthcare Counseling, Customer Interaction, Healthcare, Customer Service, Microsoft Word, Microsoft Excel, Outlook, Data Entry, Microsoft Access, Monitoring Telephone...
Education
University of Toledo
Doctor of Philosophy (Ph.D.), Exercise Physiology/Healthcare Management/Pharmacology
Adelphi University
Master of Arts (MA), Exercise Physiology
Springfield College
Bachelor of Science (BS), Physical Education/Biology/General Science
BlueCross BlueShield of Tennessee December 2011 - November 2012
IFG Companies March 2006 - April 2010
Crumley & Associates February 2002 - October 2005
Southland Log Homes April 2000 - April 2001
Hunt Electric Supply April 1994 - October 1999
Skills
Insurance
Education
Alamance Community College 1989 — 1991
General Studies
BlueCross BlueShield of Tennessee January 2014 - Present
Bank of America March 2009 - December 2014
Tata Consultancy Services June 2005 - March 2009
Skills
Data Warehousing, Datastage, IBM Mainframe, PL/SQL, JCL, Oracle, SDLC, DB2, Unix Shell Scripting, Mainframe, Informatica, Unix, SQL, Requirements Analysis, Business Intelligence, Teradata, ETL, COBOL, Data Modeling, Testing, Sybase, Erwin, Autosys, Oracle Discoverer 10g, Performance Tuning, Teradata Data Warehouse
Education
Anna University 2002 — 2006
Bachelor of Engineering (B.E.), Computer Science
Sri Rangaraju High School
Bachelor of Engineering (B.E.), Electronic and Instrumentation Engineering
BlueCross BlueShield of Tennessee September 2013 - Present
Education
Austin Peay State University 1999 — 2001
Health
Bossier Parish Community College 1997 — 1999
General Studies
---- March 2011 - Present
BlueCross BlueShield of Tennessee March 2011 - Present
North American Credit Services October 2009 - March 2011
Cigna Healthcare October 2005 - October 2008
Kelly Services February 2003 - September 2005
Skills
Claim, Access, Health Insurance, Outlook, Insurance, Microsoft Excel, Microsoft Office, Microsoft Word, PowerPoint, Financial Analysis, Customer Service, Risk Management
Education
Drexel University 2009 — 2014
Health Services Administration
American InterContinental University 2007 — 2008
Health/Health Care Administration/Management
Xavier University of Louisiana 2000 — 2004
Howard School of Academics & Technology 1996 — 2000
High School/Secondary Diplomas and Certificates