CareFirst BCBS

Industry: Company

Description

Headquarters: Maryland Founded: 1984 Parent organization: CareFirst Subsidiary: Carefirst Holdings, LlcFeedbackDisclaimer Claim this knowledge panel Knowledge ResultSee outside Moved, closed, or was never hereReportCareFirst Health CenterWebsiteDirections Saved (0) Saved Save Doctor in Belmont, California Address: 720 El Camino Real, Belmont, CA 94002 Hours: Closed ⋅ Opens 10AM Mon SundayClosedMonday10AM–7PMTuesdayClosedWednesdayClosedThursdayClosedFridayClosedSaturdayClosedSuggest an edit Unable to add this file. Please check that it is a valid photo. Phone: (650) 348-2288Website: : : Place name: Category: : : : : Website: https://individual.carefirst.com/ Category: Doctor Suggest an editUnable to add this file. Please check that it is a valid photo. Unable to add this file. Please check that it is a valid photo. · Own this business? Questions & answers Ask a questionBe the first to ask a question Add a photoThanks for sharing!Your photo will be posted publicly on Google.Contribute MoreDoneUpload public photos of CareFirst Health Center Posting publicly on the Web Write a review Reviews Be the first to review

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CareFirst BCBS Employees

Employee
Years
Job
Industry
Sheba Shough Sheba Shough Washington D.C. Metro Area Details
Sheba Shough's CareFirst BCBS Experience October 2001 - September 2002
Job Professional Ostranenie
Industry Entertainment
Experience
DreamTix   June 2015 - Present
Fairfax County Government  October 2014 - April 2015
First Financial Group  August 2010 - September 2012
Foxes Music School   April 2010 - August 2010
Chuck Levin’s Washington Music Center   August 2009 - March 2010
Edward Jones  May 2007 - July 2009
Music & Arts Centers  May 2004 - April 2007
KPA Property Management   January 2003 - April 2004
Unsung Hero Magazine Virginia/Maryland/DC   October 2002 - August 2003
CareFirst BCBS   October 2001 - September 2002

Skills
Social Media Marketing, Public Relations, Social Media, Marketing Communications, Event Planning, Event Management, Muse, Business Development, Business, Entertainment, Microsoft Office, Office Management, PowerPoint, Management, Organizational..., Negotiation, Program Management, Nonprofits, Project Management, Public Speaking, Strategic Planning, Government, Leadership, Marketing, Research, Fundraising, Team Building, Project Planning, Proposal Writing, Budgets, Entrepreneurship

Education
Northern Virginia Community College   2013 — 2015
Associate's degree, General Studies

Central High School
High School Diploma, Business Focus

David Bennett CISSP CISM David Bennett CISSP CISM Baltimore, Maryland Area Details
David Bennett CISSP CISM's CareFirst BCBS Experience 1998 - 1999
Job Network Security Manager at BNBI
Industry Information Technology and Services
Experience
BNBI  September 2013 - Present
BNBI - Battelle Institute National Biodefense Analysis and Countermeasures Center (NBACC)   July 2010 - Present
ISACA CMC   1999 - June 2015
SRA International  March 2009 - July 2010
Department of Homeland Security (DHS)   October 2006 - March 2009
Apptis  2006 - 2007
Cendant  2004 - 2006
Legg Mason  1999 - 2004
Carefirst BCBS   1998 - 1999
USF&G  1994 - 1998

Skills
SOX, FISMA, PCI DSS, HIPAA, CISSP, Sarbanes-Oxley Act, Computer Forensics, CISM, IT Audit, Disaster Recovery, Risk Assessment, Security, Information Security..., CISA, Network Security, Security Policy, Security Audits, ISO 27001, Information Security, Vulnerability Management, Encryption, NIST, Vulnerability Assessment, Incident Response, Computer Security, Security Architecture..., Business Continuity, Penetration Testing, Intrusion Detection, ITIL, CEH, Information Assurance, Malware Analysis, Firewalls

Education
Stevenson University   2010 — 2013
MS, Forensic Studies, Computer Forensics Track

University of Maryland University College   1999 — 2002
MS, Computer Systems Management

University of Maryland Baltimore County   1987 — 1991
BS, Information Systems Management

Bob Shevchuck Bob Shevchuck Berlin, Maryland Details
Bob Shevchuck's CareFirst BCBS Experience January 2009 - Present
Job Lead Systems Engineer Capacity Management & Performance at CareFirst BCBS
Industry Hospital & Health Care
Experience
CareFirst BCBS   January 2009 - Present
Bank of America  2007 - 2009
SAN Solutions   2000 - 2003
GAP Inc.  January 1996 - 2000
McKesson Corp  1985 - 1994

Skills
Virtualization, Disaster Recovery, Storage, Budgeting, Integration, VMware, Data Center, Requirements Analysis, Team Building, Customer Relations, Unix, Business Analysis, Architecture, Databases, Enterprise Architecture, Customer Service, Storage Area Networks, Budgets, SAN, Testing, Architectures, Vendor Management

Education
William Penn   1966 — 1970

Delaware Technical and Community College-Stanton-Wilmington
Electrical and Electronics Engineering/MIS

Lou Ann Dent Lou Ann Dent Washington D.C. Metro Area Details
Lou Ann Dent's CareFirst BCBS Experience 1979 - 1994
Job Strategic Insurance and Business Partner
Industry Insurance
Experience
Wells Fargo Insurance Services USA, Inc.   April 2004 - Present
Palmer & Cay  2003 - 2005
Select Benefit Services   September 1994 - March 2004
CareFirst BCBS   1979 - 1994

Skills
Underwriting, Property & Casualty..., Insurance, Risk Management, Strategic Planning, Financial Analysis, Employee Benefits, Professional Liability, Financial Risk, Business Strategy, Leadership, Brokers, Strategy, Due Diligence, Finance, Banking

Education
University of Maryland College Park

Roland Trevino Roland Trevino Greater Philadelphia Area Details
Roland Trevino's CareFirst BCBS Experience Technical Staff MemberCareFIrst2007 - Present
Job Technical Staff Member at CareFirst BCBS
Industry International Trade and Development
Experience
CareFirst BCBS   Technical Staff MemberCareFIrst2007 - Present
Carefirst BCBS   2007 - Present
CareFirst BlueCross BlueShield  2007 - Present
Bank of America (MBNA)   1997 - 2007

Education
The University of Texas at San Antonio   1984 — 1985
BS, Mathematics Computer Science & System Design

Erika Young, MBA Erika Young, MBA Washington D.C. Metro Area Details
Erika Young, MBA's CareFirst BCBS Experience December 1999 - September 2003
Job
Industry Insurance
Experience
Kaiser Foundation Health Plan  October 2008 - Present
CSC Consulting  July 2007 - October 2008
Blue Cross and Blue Shield Association  September 2003 - July 2007
CareFirst BCBS   December 1999 - September 2003

Skills
Kapton and Norton..., Data Analysis, SDLC, Project Management, Program Management, Process Improvement, Business Analysis, Healthcare Information..., Business Process Design, EHR, Business Intelligence, Business Process..., Business Strategy, Healthcare, Healthcare Management, Information Technology, Management Consulting, PMP, Project Portfolio..., Requirements Gathering, Software Documentation, Vendor Management, Visio

Education
UMUC Graduate School of Management and Technology   2005 — 2008
MBA & MS

Kean University   1996 — 2000
BSN, Registered Nurse (RN)

East China University of Science and Technology
Electric Engineering

John Powers, PMP John Powers, PMP Baltimore, Maryland Area Details
John Powers, PMP's CareFirst BCBS Experience 2007 - 2008
Job Program Manager at Dept of Justice COPS IT Office
Industry Information Technology and Services
Experience
Dept of Justice COPS IT Office   November 2013 - Present
National Telecommunications and Information Administration (NTIA) / US Department of Commerce   September 2012 - November 2013
Foreign Agricultural Services - United States Dept of Agriculture   April 2012 - September 2012
Personnel Systems Div/Customs and Border Protection   2009 - March 2012
CareFirst BlueCross BlueShield  2009 - 2009
The Endocrine Society  2008 - 2009
CareFirst BC/BS  2007 - 2008
IT Dept-Geo Division-Census Bureau   2005 - 2007
Informatics Branch-NCHS-CDC   2003 - 2005

Skills
Web Application Design, Business Analysis, Agile Methodologies, Integration, PMP, SDLC, SharePoint, Requirements Management, Requirements Analysis, CMMI, Program Management, PMO, MS Project, Visio, Certified Project..., Project Management, Business Process, Business Process..., Content Management, Business Process..., Requirements Gathering, SOA

Education
PMP-Baltimore Chapter of PMI   2009 — 2012
PMP, Project Management

University of California, Santa Barbara
BA, Philosophy of Science

Phaedra Swann, PMI-ACP Phaedra Swann, PMI-ACP Baltimore, Maryland Area Details
Phaedra Swann, PMI-ACP's CareFirst BCBS Experience 2011 - July 2015
Job Program Manager at CareFirst BlueCross BlueShield
Industry Information Technology and Services
Experience
CareFirst BlueCross BlueShield  August 2015 - Present
CareFirst BCBS   2011 - July 2015
CareFirst BlueCross BlueShield  2006 - 2011
CareFirst BlueCross BlueShield  2003 - 2006
CareFirst BlueCross BlueShield  2000 - 2003
CareFirst BlueCross BlueShield  1998 - 2000
Zurich Insurance  1985 - 1998

Skills
Full SDLC, Cross-functional Team..., Agile & Waterfall..., Release Management, Client & Offshore..., Process Architecture &..., End‐User Support, Project Management, Resource Management, Web Applications, SDLC, Solution Architecture, Testing, SOA, Requirements Gathering, Business Process, Requirements Analysis, Program Management, Integration, Enterprise Architecture, Vendor Management, Software Development, Agile Methodologies, Oracle, Change Management, PMO, Business Analysis, Project Portfolio..., PMP, Software Project..., Visio, Agile Project Management, Systems Analysis, IT Strategy, Business Requirements, Management, Strategy, SharePoint, PMLC, ITIL, Business Process..., Data Warehousing, Leadership, Requirements Management, Business Intelligence, Information Technology, Software Documentation

Education
University of Phoenix   2009 — 2011
MBA, Management

Mary Dukes Mary Dukes Baltimore, Maryland Area Details
Mary Dukes's CareFirst BCBS Experience June 1998 - January 2011
Job Experienced Operation Professional, Diverse Experience, Health Care/Health Insurance/Contact Center Management
Industry Hospital & Health Care
Experience
Johns Hopkins Medicine  June 2012 - Present
Baltimore City Community College, Baltimore, Maryland   April 2011 - December 2012
CareFirst BCBS   June 1998 - January 2011
Total Healt Care, Inc   September 1988 - May 1998

Skills
Process Improvement, Vendor Management, Program Management, Management, Business Analysis, Health Insurance, Healthcare, Insurance, Project Management, Business Process..., Contact Center..., Call Center...

Education
Loyola University Maryland
Masters, Business Administration

University of Baltimore
BS, Information Systems

Chris Briley Chris Briley Baltimore, Maryland Area Details
Chris Briley's CareFirst BCBS Experience 2000 - 2004
Job Senior Director, Global Applications & Architecture at Ciena
Industry Telecommunications
Experience
Ciena  February 2013 - Present
Ciena  November 2010 - February 2013
Legg Mason  January 2010 - October 2010
Legg Mason  October 2004 - December 2009
CareFirst BCBS   2000 - 2004
Technology Management Inc.  April 1998 - October 2000
Kanawha Insurance Company  September 1995 - April 1998

Skills
PMP, PMO, Change Management, Project Portfolio..., SDLC, Program Management, MS Project, IT Management, Integration, IT Strategy, ERP, Management, Project Management, Disaster Recovery, Project Delivery, Process Improvement, Software Project..., Vendor Management, Business Analysis, Leadership, Information Technology, Enterprise Architecture, Governance, Enterprise Software, Business Process..., Service Delivery, Resource Management, Requirements Analysis, Analysis, Project Planning, Budgets, Strategy, Consulting

Education
Penn State University   2008 — 2012
Masters, Project Management

University of North Carolina at Greensboro   1993 — 1994
BA, Economics

University of North Carolina at Charlotte   1990 — 1992
Criminal Justice

Cheryl Kasztejna Cheryl Kasztejna Greater Boston Area Details
Cheryl Kasztejna's CareFirst BCBS Experience September 2006 - August 2007
Job
Industry Information Services
Experience
CareFirst BCBS   September 2006 - August 2007
netNumina  December 2000 - March 2004
iXL  November 1996 - December 2000
Tessera  November 1996 - December 2000
Arthur Andersen, LLP  September 1993 - November 1996

Skills
Enterprise Architecture, SDLC, Data Warehousing, Business Analysis, SOA, Business Intelligence, Requirements Analysis, Requirements Gathering, Integration, Software Project..., Program Management, Vendor Management, IT Strategy, Solution Architecture, Agile Methodologies

Education
Bentley College - Elkin B. McCallum Graduate School of Business   1992 — 1994
MBA, MIS

Bentley University   1989 — 1992
BS, MIS

University of Colorado Boulder   1987 — 1989

Amanda Sibley Amanda Sibley Baltimore, Maryland Area Details
Amanda Sibley's CareFirst BCBS Experience November 2002 - October 2003
Job Senior Systems Analyst GDIT
Industry Information Technology and Services
Experience
ASC X12   October 2010 - Present
General Dynamics Information Technology  October 2003 - Present
Carefirst BCBS   November 2002 - October 2003
Accenture  June 2000 - November 2002

Skills
COBOL, Integration, User Acceptance Testing, HTML, JavaScript, Healthcare IT, Health Insurance, X12, CMS, SDLC, Data Analysis, SQL, ICD-10, EDI, Healthcare, Medicare, Medicare Part D, Logical Data Modeling, Physical Data Modeling, Integration Testing, Requirements Gathering, Requirements Analysis, Requirements Management, Database Design, 4010, 5010, CORE, Operating Rules, Healthcare Information..., Business Analysis, CMMI, Analysis, Software Documentation, Databases, Business Requirements, HIPAA, Systems Analysis, Testing, Visio, Software Project..., SharePoint, Enterprise Architecture, Data Warehousing, SOA

Education
Syracuse University   1997 — 2001
BS, Information Management & Technology - School of Information Studies

Towson High School   1993 — 1997

Peter Cocci Peter Cocci Washington D.C. Metro Area Details
Peter Cocci's CareFirst BCBS Experience April 2000 - Present
Job Lead Programmer Analyst at Carefirst BCBS
Industry Hospital & Health Care
Experience
Carefirst BCBS   April 2000 - Present
CareFirst BlueCross BlueShield  2000 - Present

Skills
Application Development, PL/SQL, SOA, Websphere, J2EE, XML, Web Services, Oracle SQL, Java Enterprise Edition, Software Development, Requirements Analysis, SDLC, Data Warehousing, Requirements Gathering, DB2, Data Modeling, Business Analysis, Solution Architecture, Systems Analysis, Enterprise Architecture

Education
Shepherd University   1988 — 1992
BS, Business Admin

Becca Pearce Becca Pearce Baltimore, Maryland Area Details
Becca Pearce's CareFirst BCBS Experience September 2002 - November 2008
Job Consultant at Riverside Health, Inc
Industry Hospital & Health Care
Experience
Riverside Health, Inc  February 2014 - Present
Maryland Health Benefit Exchange  September 2011 - December 2013
Kaiser Permanente  February 2010 - September 2011
Kaiser Permanente  November 2008 - February 2010
CareFirst BCBS   September 2002 - November 2008
Versient   2000 - 2002
PEAK Technologies  April 1997 - December 1999

Skills
Strategic Communications, Managed Care, Strategic Planning, Management, Strategy, Health Insurance, Leadership, Account Management, Program Management, Medicare, Healthcare, Benefits Administration, Process Improvement, Project Management, Marketing Communications, Medicaid, Health Policy

Education
Washington University in St. Louis   1990 — 1994

University of Maryland - Robert H. Smith School of Business
MBA, Marketing

Cindy Nanasi, PMP Cindy Nanasi, PMP Baltimore, Maryland Area Details
Cindy Nanasi, PMP's CareFirst BCBS Experience October 2009 - Present
Job Senior Direct, Projects and Operational Technical Support at CareFirst BlueCross BlueShield
Industry Insurance
Experience
CareFirst BlueCross BlueShield  February 2014 - Present
CareFirst BCBS   October 2009 - Present
CareFirst BlueCross BlueShield  2003 - Present
CareFirst BlueCross BlueShield  May 1996 - 2000
CareFirst BlueCross BlueShield  November 1993 - April 1996
Buraff   August 1991 - November 1993

Skills
PMP, Project Management, SDLC, PMO, Vendor Management, Business Intelligence, IT Management, Business Analysis, Enterprise Architecture, Integration, Requirements Analysis, Visio, Business Requirements, Agile Methodologies, Program Management, Strategic Planning, Management, Business Process..., Resource Management, Change Management, Project Portfolio..., Process Improvement, Software Project..., CMMI, Analysis, Requirements Gathering, SharePoint, Governance, IT Strategy, MS Project, Business Process, Solution Architecture, Cross-functional Team..., Systems Analysis, Project Delivery, Software Development, SOA, Certified Project..., Agile Project Management, CRM

Education
The Johns Hopkins University   1983 — 1986
BA, Psychology

Sherry Daley Sherry Daley Greater Boston Area Details
Sherry Daley's CareFirst BCBS Experience 1999 - 2000
Job Business Analyst at Blue Cross Blue Shield of Massachusetts
Industry Health, Wellness and Fitness
Experience
Blue Cross Blue Shield of Massachusetts  December 2012 - Present
Tufts Health Plan  December 2001 - December 2012
Perot Systems  January 2001 - November 2001
Carefirst BCBS   1999 - 2000
Healthsource New Hampshire/Cigna Healthcare   November 1989 - September 1999
Healthway Medical Plan   1986 - 1988

Skills
Analysis, Budgets, Claim, Data Analysis, Health Insurance, Healthcare, Healthcare Information..., Insurance, Leadership, Managed Care, Management, Medicaid, Medicare, Project Management, Human Resources, Process Improvement

Education
New Hampshire College   1996 — 1999
Management

Massasoit Community College   1982 — 1984

Woody Proveaux Woody Proveaux Baltimore, Maryland Area Details
Woody Proveaux's CareFirst BCBS Experience 1990 - 2005
Job Clinical Pharmacy Consultant & Owner at HCO Pharmacy Consultants
Industry Health, Wellness and Fitness
Experience
HCO Pharmacy Consultants   January 2006 - Present
Former: CareFirst BCBS; Travelers; CIGNA; WVU; King Saud University; Central State Hospital   1971 - 2006
Carefirst BCBS   1990 - 2005
King Saud University  1983 - 1990
King Khaled University Hospital   1983 - 1990

Education
University of Michigan   1972 — 1973
PharmD, Clinical Pharmacy

The University of Georgia   1966 — 1971
BS Pharm, Pharmacy

Southern Technical Institute   1959 — 1961
Associate of Science (A.S.), Industrial Technology/Management Option

Dennis Cupido Dennis Cupido Greater New York City Area Details
Dennis Cupido's CareFirst BCBS Experience April 2005 - March 2010
Job Senior Client Delivery Executive at NASCO
Industry Insurance
Experience
NASCO  April 2010 - Present
CareFirst Blue Cross Blue Shield  2005 - April 2010
CareFirst BCBS   April 2005 - March 2010
CareFirst BlueCross BlueShield  2005 - 2007
Empire Blue Cross Blue Shiled   March 2001 - April 2005
NYLCare  1996 - 2000

Skills
Business Analysis, Process Improvement, Vendor Management, Information Technology, Program Management, SharePoint, Healthcare Information..., PMO, Customer Satisfaction, Visio, Requirements Analysis, Insurance, Software Project..., Health Insurance, SDLC, Business Process..., Disaster Recovery, Leadership, Employee Benefits, HIPAA, PMP, Management, Strategy, IT Strategy, Cross-functional Team..., Business Requirements, Managed Care, Resource Management, Solution Architecture, Business Development, Change Management, MS Project, Healthcare, Risk Management, Project Portfolio..., SOA, Medicare, Strategic Planning, Claim, Enterprise Architecture, Business Process, Requirements Gathering, Governance, Data Warehousing, Team Building, Management Consulting, Integration, Business Intelligence, IT Management, Medicaid

Education
Kean University   1972 — 1975

Douglas Redd Douglas Redd Washington D.C. Metro Area Details
Douglas Redd's CareFirst BCBS Experience February 2005 - May 2007
Job Director, Performance Management at Chartered Health Plan
Industry Insurance
Experience
Chartered Health Plan  July 2008 - June 2013
Hanger Orthopedic Group/Linkia   May 2007 - July 2008
CareFirst BCBS   February 2005 - May 2007
Carefirst BCBS   2000 - 2005
Pioneer EyeCare   1996 - 2000
CMG Health  1994 - 1996

Skills
Medicare, Health Insurance, Medicaid, Managed Care, HIPAA, Healthcare Management, Healthcare, Insurance, Healthcare Information..., Informatics, Claims Management, Healthcare Industry

Education
Towson University
Bachelor of Science (BS), Business Administration and Management, General

Mariann Umstead Mariann Umstead Baltimore, Maryland Area Details
Mariann Umstead's CareFirst BCBS Experience October 2006 - Present
Job Manager, Talent Acquisition
Industry Consumer Services
Experience
CareFirst BCBS   October 2006 - Present
CareFirst BCBS   2000 - 2006
TrailBlazer Health Enterprises  January 1995 - April 2000

Skills
Talent Acquisition, Team Building, Talent Management, Employee Benefits, Personnel Management, Performance Management, Onboarding, Workforce Planning, Human Resources, Strategic Planning, Succession Planning, Management, Vendor Management, Leadership Development, Organizational..., Benefits Administration, Leadership, Employee Relations, HRIS, Employee Engagement, Training, Healthcare, Recruiting, Applicant Tracking..., HR Policies, Organizational..., Payroll, Deferred Compensation, Sourcing, Change Management, Interviews, Process Improvement

Education
Notre Dame of Maryland University
Bus/HR

Rich Fogg Rich Fogg Baltimore, Maryland Area Details
Rich Fogg's CareFirst BCBS Experience Sr ProgrammerCareFirst BlueCross BlueShield1975 - Present
Job Lead Programmer/Analyst at Carefirst BC/BS
Industry Insurance
Experience
Carefirst BC/BS  Sr ProgrammerCareFirst BlueCross BlueShield1975 - Present

Education
University of Maryland College Park   1968 — 1971

Kevin Risdal Kevin Risdal Washington D.C. Metro Area Details
Kevin Risdal's CareFirst BCBS Experience July 2002 - July 2004
Job Senior Program Manager, Business Development and Administration at BCBSA
Industry Insurance
Experience
BCBSA  June 2014 - Present
BCBSA  June 2014 - Present
BCBSA  October 2009 - June 2014
BCBSA  January 2009 - October 2009
BCBSA  June 2004 - December 2008
CareFirst BCBS   July 2002 - July 2004

Education
State University of New York College at Oswego   1987 — 1991
BA, Political Science

Sampath Gottipati Sampath Gottipati United States Details
Sampath Gottipati's CareFirst BCBS Experience 2009 - Present
Job
Industry Insurance
Experience
CareFirst BlueCross BlueShield  2009 - Present
CareFirst BCBS   2009 - Present
Technation Software Consulting   May 2003 - July 2009
Mississippi State University  August 2001 - May 2003

Skills
Health Insurance, Windows, Integration, Visio, Software Documentation, Business Analysis, Access, Vendor Management, Lotus Notes, Process Improvement, Analysis, Data Analysis, Customer Service, Strategic Planning, Leadership, Microsoft Excel, Call Centers

Education
Mississippi State University   2001 — 2003
Master's Degree, Computer Science, 3.6

St. Peters Engineering College   1996 — 2000
Bachelor's Degree, Computer Science, 3.72

Jordan Family Jordan Family United States Details
Jordan Family's CareFirst BCBS Experience May 2012 - Present
Job Account Manager at CareFirst BlueCross BlueShield
Industry Insurance
Experience
CareFirst BCBS   May 2012 - Present
CareFirst BlueCross BlueShield  1986 - Present

Education
Penn State University   1981 — 1985
Health/Health Care Administration/Management

Janis Sloane Janis Sloane Hyattsville, Maryland Details
Janis Sloane's CareFirst BCBS Experience 2011 - 2012
Job RN
Industry Hospital & Health Care
Experience
Carefirst BCBS   2011 - 2012

Education
/ MGH School of Nursing

The Catholic University of America
BSN, Registered Nursing/Registered Nurse

michele wise michele wise Owings Mills, Maryland Details
michele wise's CareFirst BCBS Experience
Job Vice President Operations at CareFirst BCBS
Industry Insurance
Experience
CareFirst BCBS  

Skills
Claim, Business Analysis, Process Improvement, Vendor Management, Health Insurance, Medicare, Risk Management, Insurance, Employee Benefits, SDLC, Software Documentation, Visio, Call Centers, Business Process..., Access, Analysis, HIPAA

Education
Johns Hopkins Graduate School

University of Maryland Baltimore County

Nefertiti Dixon Nefertiti Dixon Washington, District Of Columbia Details
Nefertiti Dixon's CareFirst BCBS Experience November 2000 - October 2004
Job Compliance Auditor Trusted Health Plan
Industry Insurance
Experience
Trusted Health Plan  May 2014 - Present
Inova Health System  February 2014 - May 2014
Chartered Health Plan  August 2010 - October 2013
Chartered Health Plan  July 2009 - August 2010
Chartered Health Plan  October 2008 - July 2009
Kaiser Permanente  December 2007 - July 2008
Professional Healthcare Resources  May 2006 - August 2007
National Institutes of Health  October 2005 - April 2006
SAMBA Health Plans   October 2004 - July 2005
Carefirst BCBS   November 2000 - October 2004

Skills
Claims Processing, Appeals, Cost Recovery, Coordination of Benefits, Claim Check/Auto Audit..., Home Health Care..., Healthcare..., Medicaid, Data Entry, Healthcare, Claim, Training, Medical Records, Policy, Hospitals, Insurance, Medical Coding, Medical Terminology, Process Improvement, Program Management, Medicare, HIPAA, Health Insurance, Microsoft Excel

Education
AHIMA   2015 — 2015
Working on a Coding Certification, Healthcare Coding

Montgomery Community College   1993 — 1997

Woodrow Wilson SHS   1990 — 1993
HS Diploma

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