If you searched Superstar Sourcing for ICI Specialist (with 1 additional requirement) on January 3, 2026 you'd find 423 great candidates

This sample report shows what our sourcing engine surfaces for this search. Preview the top 30 matches below.

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C**** E****

Inquiry Supervisor at Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

Rockford, Illinois, United States

This candidate is currently an Inquiry Supervisor at BCBS focusing on multiple states, directly matching the company and role type within healthcare insurance. Inquiry Supervisor at Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas. Excellent.

Work Experience

Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Inquiry Supervisor

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield
100%

L**** G***

Senior Eligibility Specialist at Blue Cross and Blue Shield of Minnesota

United States

This candidate is an exact match, currently employed as a Senior Eligibility Specialist at Blue Cross and Blue Shield of Minnesota, directly fitting the required role, company, industry, and insurance experience. BCBS of Minnesota → Senior Eligibility Specialist. Excellent.

Work Experience

Blue Cross and Blue Shield of Minnesota
Senior Eligibility Specialist

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield
100%

S**** I****

Coordinator @ Blue Cross Blue Shield | MBA in Health Care

Durham, North Carolina, United States 10 years 10 months

An excellent match, this individual has 10 years of experience directly at Blue Cross Blue Shield in roles focused on compliance, auditing accuracy, and regulatory adherence, fitting the Specialist profile well. Career history: BCBS SHP (10 yrs total) → BCBS NC (partial listing). Excellent.

Work Experience

Blue Cross NC
Customer Solutions Specialist · 10 years 7 months
Blue Cross Blue Shield (SHP)
Solutions Specialist · 4 years
Blue Cross Blue Shield (SHP)
Coordinator · 6 years

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

compliance audit readiness efficiency claims advocacy healthcare planning strategy communications operational efficiency business continuity +2 more
100%

A**** B****

Manager, Blue Cross Blue Shield

United States 38 years 2 months

This candidate is an exact match, currently holding a Manager role at Blue Cross Blue Shield, which heavily implies relevant insurance and healthcare experience. BCBS Manager role, 38+ years experience. Excellent.

Work Experience

BlueCross BlueShield of South Carolina
Manager

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield
100%

R*** G****

Senior Health Care Analyst at Blue Cross Blue Shield of Michigan

Detroit, Michigan, United States 12 years 4 months

This person has a long tenure as a Business Analyst/Analyst at Blue Cross Blue Shield of Michigan, strongly matching the payer and industry requirements, and the analyst title suggests alignment with specialist work. BCBS of Michigan → multiple analyst roles for 12+ years. Excellent.

Work Experience

Blue Cross Blue Shield of Michigan
Provider Data Integrity Business Analyst · 2 years 2 months
Blue Cross Blue Shield of Michigan
Senior Health Care Analyst · 1 month
Blue Cross Blue Shield of Michigan
Health Care Business Analyst · 5 years 3 months
Blue Care Network
Customer Service Representative · 3 years 5 months
+ 1 more positions

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

health insurance integrity credentialing production analysis leadership claims organized training reports licensing +8 more
100%

C**** L****

Medical Claims Examiner at Blue Cross and Blue Shield of Minnesota

Hoyt Lakes, Minnesota, United States

This candidate is currently working as a Claims Examiner directly for Blue Cross and Blue Shield, hitting three of the four required matches perfectly and working in the necessary field. BCBS of Minnesota → Medical Claims Examiner. Excellent.

Work Experience

Blue Cross and Blue Shield of Minnesota
Medical Claims Examiner

Qualification Criteria 3 met, 1 not

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

claims
100%

C**** C****

Manager, Government Programs Compliance at Blue Cross Blue Shield of Michigan

Keego Harbor, Michigan, United States 38 years

This candidate is an excellent fit, having spent their entire very long career at Blue Cross Blue Shield of Michigan in various specialist and management roles, including compliance and systems for eligibility/claims, suggesting deep ICI knowledge. 38 years career predominantly at BCBS of Michigan, covering compliance, systems, and analyst roles. Excellent.

Work Experience

Blue Cross Blu Shield of Michigan
Manager, Government Programs Compliance · 10 years 10 months
Blue Cross Blue Shield of Michigan
Manager, Government Programs Compliance · 10 years 10 months
Blue Cross Blue Shield of Michigan
Senior Process Specialist · 1 year 1 month
Blue Cross Blue Shield of Michigan
Manager, Regulatory Oversight · 3 years 2 months
+ 3 more positions

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

government compliance edi responsible hipaa claim performing testing inventory reports reporting less +3 more
100%

E**** B****

Application Specialist at Blue Cross and Blue Shield of Kansas City

Kansas City, Missouri, United States 23 years 3 months

This candidate is an Application Specialist at Blue Cross and Blue Shield of Kansas City, matching the employer, industry, and a specialist level title, indicating relevant experience. Blue Cross and Blue Shield of Kansas City (Application Specialist, Customer Care Specialist), 23 years experience. Excellent.

Work Experience

Blue Cross and Blue Shield of Kansas City
Application Specialist
Blue Cross and Blue Shield of Kansas City
Customer Service Representative · 4 years 9 months
Blue Cross and Blue Shield of Kansas City
Away From Home Care Coordinator/Customer ActionTeam(CAT) · 4 years 6 months
Blue Cross and Blue Shield of Kansas City
Customer Care Specialist · 2 years 11 months

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

research management reporting analysis training software less liaison billing claims appeals health +8 more
95%

S**** B****

Business Performance Lead at Blue Cross Blue Shield of Massachusetts

Boston, Massachusetts, United States 16 years 3 months

This candidate has extensive direct experience at Blue Cross Blue Shield in specialist roles within healthcare operations. Ex-MultiPlan → BCBS MA (multiple roles including Sr. Engagement Implementation Specialist) for 8+ years, 16 years total experience. Excellent.

Work Experience

MultiPlan
Key Account Representative · 1 year 8 months
MultiPlan
Service Advisor · 8 months
Blue Cross Blue Shield of Massachusetts
Clinical Intake Specialist · 2 years 3 months
Blue Cross Blue Shield of Massachusetts
Sr. Engagement Implementation Specialist · 1 year 4 months
+ 5 more positions

Qualification Criteria 3 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

client service network development customer service organizational communication communication skills managed care regulatory requirements claims resolution documentation rates edi research +8 more
95%

T**** M****

Individual Medical Underwriter at Blue Cross & Blue Shield of Florida

Callahan, Florida, United States 19 years

This candidate has deep experience at Blue Cross & Blue Shield in underwriting and enrollment, hitting several key areas. Underwriter at BCBS FL → BCBS of FL (Enrollment/Underwriting) → BCBS of FL (Underwriting). 19 years total experience, 17 in Health Insurance. Strong.

Work Experience

FLORIDA BLUE / BLUE CROSS BLUE SHIELD OF FLORIDA
Enrollment Clerk, Individual Medical Underwriting and New Enrollment · 3 years
Blue Cross & Blue Shield of Florida
Individual Medical Underwriter · 7 years
FLORIDA BLUE / BLUE CROSS BLUE SHIELD OF FLORIDA, Jacksonville, FL
FLORIDA BLUE / BLUE CROSS BLUE SHIELD OF FLORIDA, Jacksonville, FL · 7 years
FLORIDA BLUE / BLUE CROSS BLUE SHIELD OF FLORIDA
Research Clerk C, Under 65 Direct Membership and Billing · 2 years

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

self motivated results oriented health insurance process improvement organized health insurance underwriting billing liability physicians projects +5 more
95%

M**** A****

Healthcare Operations Leader | Medicaid & Managed Care Expert | Appeals, Grievances & Customer Experience Management| Provider Reimbursement

Chicago, Illinois, United States 13 years 10 months

Excellent fit due to explicit recent experience as supervisor/manager at Blue Cross and Blue Shield (Illinois, etc.) within Claims Integrity, suggesting relevant healthcare and insurance expertise aligned with the job's context. Molina Healthcare → Blue Cross and Blue Shield → Molina Healthcare. Excellent.

Work Experience

Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Customer Service Unit Manager · 2 years 10 months
Chicago Family Health Center
External Affairs Intern · 3 months
Bobby E. Wright Comprehensive Behavior Health Services
Case Manager · 10 months
Aetna
Outreach Case Management Coordinator (Temporary Position) · 9 months
+ 5 more positions

Qualification Criteria 3 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

appeals grievances production webinars analysis training leadership health powerpoint management planning benefits +8 more
95%

D**** W****

Senior Manager, Clinical Operations, HCSC, Blue Cross Blue Shield of Illinois

Chicago, Illinois, United States 8 years 4 months

This registered nurse has direct, recent senior management experience within Clinical Operations at Blue Cross and Blue Shield of Illinois, fulfilling the BCBS and healthcare/insurance criteria strongly, making them a very plausible candidate for a specialist role. HCSC/BCBSIL (Sr Manager Clinical Ops) → BCBSIL (Unit Manager, Clinical Ops). Excellent.

Work Experience

HCSC
RN
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Health Advocacy Solutions – Unit Manager, Clinical Operations · 5 years 5 months
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Mercer Health Advantage – Sr Manager Clinical Operations · 2 years 11 months

Qualification Criteria 3 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

health advocacy clinical operations performance reviews change management customer service cost savings process improvement clinical health advocacy operations responsible +8 more
95%

C**** T****

Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

Chicago, Illinois, United States 13 years 6 months

Excellent connection with Blue Cross and Blue Shield organization, strong healthcare operations background, meeting most criteria except explicitly confirming ICI Specialist title. HCSC / BCBS of Illinois, 13+ years in Clinical Operations Management. Excellent.

Work Experience

HCSC
Unit Manager Clinical Operations · 13 years 5 months
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Unit Manager Clinical Operations · 13 years 5 months

Qualification Criteria 3 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

clinical operations clinical operations
95%

A**** C****

Lead Medical Policy Consultant at Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

McKinney, Texas, United States 27 years

Strong fit - extensive career within Blue Cross and Blue Shield focusing on medical policy and coordination. BCBS (multiple states) → BCBS (multiple states) → BCBS (multiple states), 27 years total experience. Strong.

Work Experience

Blue Cross and Blue Shield of Illinois, New Mexico, Oklahoma & Texas
Medical Review Nurse · 3 years 10 months
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Lead Medical Policy Consultant · 11 years 4 months
Blue Cross and Blue Shield of Illinois, New Mexico, Oklahoma, & Texas
Sr. Medical Inquiry Coordinator (R.N.) · 10 years 11 months
Blue Cross and Blue Shield of Illinois, New Mexico, Oklahoma & Texas
Medical Review Unit Leader · 1 year 1 month

Qualification Criteria 3 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

policy development p less responsible supervision performing maintenance vendor presentations liaison physicians r
95%

A**** B****

Clinton Township, Michigan, United States 19 years 9 months

Excellent direct experience at Blue Cross Blue Shield of Michigan across compliance, liaison, and analyst roles, encompassing healthcare and insurance expertise, and certified as LSSBB/PMP hints at procedural focus. BCBSMI roles spanning 10+ years. Excellent.

Work Experience

Blue Cross Blue Shield of Michigan
Business Unit Compliance Liaison · 2 years 6 months
Blue Cross Blue Shield of Michigan
Analyst · 2 years 11 months
Blue Cross Blue Shield of Michigan
Prior Authorization Specialst · 1 year 9 months
Blue Cross Blue Shield of Michigan
Team leader II · 5 years 1 month
+ 1 more positions

Qualification Criteria 3 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

compliance liaison pharmacy
95%

O**** J****

Senior Analyst

Redford, Michigan, United States 19 years 3 months

This analyst currently supports benefit implementation optimization at Blue Cross Blue Shield of Michigan, hitting most criteria. Analyst → Senior Analyst at BCN/BCBSM (19 yrs total), focusing on data analysis, compliance, HMO/PPO benefits. Strong.

Work Experience

M-Care
Sales Assistant · 5 months
Blue Cross Blue Shield of Michigan
Senior Analyst · 2 years 11 months
Blue Care Network
Credentialing Specialist · 3 months
Blue Care Network
Data Analyst · 18 years
+ 2 more positions

Qualification Criteria 3 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

health management analysis compliance optimization hmo ppo benefits sales commercial healthcare insurance +8 more
95%

C**** M****

Blue Cross Blue Shield of LA

Livingston, Louisiana, United States 35 years 10 months

Nearly a perfect match, this candidate has 16 total years of management and analytical experience directly within Louisiana Blue Cross Blue Shield, covering quality assurance, claims, and patient care—highly relevant to specialist/oversight roles. Career history: BCBS LA (14+ yrs) → Pinnacle Business Solutions dba Arkansas BCBS (19+ yrs). Strong.

Work Experience

Blue Cross and Blue Shield of Louisiana
Supervisor, Population Health & Clinical Services · 2 years 2 months
Blue Cross and Blue Shield of Louisiana
Special Claims Review Adjustment Clerk · 2 years 5 months
Blue Cross and Blue Shield of Louisiana
Care Management Quality Assurance Systems Analyst · 6 years 4 months
Blue Cross and Blue Shield of Louisiana
Supervisor, Customer CARE Center · 5 years 6 months
+ 1 more positions

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

quality assurance customer care management assurance health clinical claims
95%

C**** R****

Senior Provider Technical Specialist at Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

Waco, Texas, United States 19 years 10 months

Excellent fit for specialist skills within a BCBS organization, working directly with providers across four states over almost 12 years, meeting the Specialist title requirement. HCSC (BCBS affiliate) → Provider Tech Specialist for 10+ years, currently Senior Provider Technical Specialist. Strong support professional background. Excellent.

Work Experience

Health Care Service Corporation
Senior Provider Technical Specialist · 3 years
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Provider Services Customer Advocate Specialist
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Provider Technical Specialist · 4 years 1 month
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Provider Advocate Specialist · 8 years 2 months
+ 1 more positions

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

microsoft excel analytical skills risk management customer service insurance microsoft risk management science design
95%

S**** C****

Senior Director at BlueCross BlueShield South Carolina

Leesville, South Carolina, United States 29 years 1 month

This candidate is an excellent fit, having extensive senior management experience directly within Blue Cross Blue Shield. BCBS SC Senior Director/Manager → Palmetto GBA (Medicare MAC). Excellent.

Work Experience

Palmetto GBA
Medical Review Team Leader · 1 year 1 month
BlueCross BlueShield of South Carolina
Utilization Review/Case Management Manager · 1 year 4 months
Palmetto GBA
Data, Strategy, and Edit Effectiveness Manager · 5 years 10 months
Palmetto GBA
Medical Review Supervisor · 5 years 1 month
+ 3 more positions

Qualification Criteria 3 met, 1 not

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

director appeals management health hospice strategy c training assurance utilization review case management quality assurance
95%

K**** M***

Inquiry Supervisor at Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

Marion, Illinois, United States 19 years 10 months

This candidate is currently a specialist at multiple BCBS entities and has extensive experience within the larger HCSC organization. Owns Supervisor role at BCBS entities for 7+ years → Customer advocate at HCSC (parent/related entity) for 12 years. Excellent.

Work Experience

Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Inquiry Superviso · 7 years 11 months
Health Care Service Corporation
customer advocate · 12 years

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield
95%

D**** R****

Lead Quality Business Analyst at Independence Blue Cross

Philadelphia, Pennsylvania, United States 26 years 1 month

This candidate has extensive experience at Independence Blue Cross, a BCBS affiliate, in complex provider relations and analysis, hitting several key requirements directly. Independence Blue Cross (BCBS/insurance) → Lead Quality Business Analyst. Strong presence in BCBS and healthcare/insurance. Excellent.

Work Experience

Independence Blue Cross
Claims Process Analyst · 2 years 6 months
Independence Blue Cross
Provider Service Claims Specialist · 3 years 10 months
Independence Blue Cross
Senior Network Coordinator · 7 years 9 months
Independence Blue Cross
Sr. Call Center Representative · 6 years
+ 3 more positions

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

issues management operational efficiency managed care regulatory requirements call center internal audit workers compensation root cause analysis healthcare research analysis database +8 more
95%

C**** J****

Eligibility Specialist at Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

Danville, Illinois, United States

This candidate has direct experience as an Eligibility Specialist at Blue Cross and Blue Shield, which suggests relevant domain knowledge for this kind of specialist role. Current role as Eligibility Specialist at BCBS → Current, Specialist level match. Yes | Yes | Yes | Yes | Strong.

Work Experience

Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Eligibility Specialist

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield
95%

K**** V****

Blue Cross and Blue Shield of Nebraska

Omaha, Nebraska, United States 17 years 2 months

Excellent fit here as the candidate has significant tenure and senior roles specifically at Blue Cross Blue Shield, covering claims and services. BCBSNE → Sr. Director. Excellent.

Work Experience

Blue Cross and Blue Shield of Nebraska
Sr. Director Enrollment and Provider Services
Blue Cross and Blue Shield of Nebraska
Claims Training Manager · 4 years 1 month
Blue Cross and Blue Shield of Nebraska
Product Manager

Qualification Criteria 3 met, 1 not

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

director claims training
95%

T*** B***

BPSU Coordinator at Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

Marshall, Texas, United States 19 years 1 month

This candidate has extensive experience with Blue Cross Blue Shield and relevant insurance tasks. The specific title ICI Specialist is not present, but the background is highly relevant. Claims Tech/Coordinator roles at BCBS. BCBS Illinois et al. → Customer Advocate → Membership Project Coordinator. Strong background in insurance and the target payer. Strong.

Work Experience

Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Membership Project Coordinator · 3 years 4 months
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Customer Advocate Specialist · 6 years 7 months
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Senior Claims Techician · 3 years 2 months
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Claims Processor · 7 years 5 months
+ 1 more positions

Qualification Criteria 3 met, 1 not

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

claims customer service
95%

J*** B****

Analytical & Results Producing Health Care Manager | Insurance | Member Claims | Team Leader

Cincinnati, Ohio, United States 15 years

This candidate has strong leadership experience directly within BCBS and the healthcare industry. Anthem Blue Cross Blue Sheild → Anthem Blue Cross Blue Shield; Manager roles, 15 years total. Excellent.

Work Experience

Anthem Blue Cross Blue Shield
Manager, Claims Operations · 11 years
Anthem Blue Cross Blue Sheild
Senior Manager · 4 years

Qualification Criteria 3 met, 1 not

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

producing health confidentiality medicare medicaid hipaa microsoft word outlook claims operations quality improvement +3 more
95%

A**** T****

Supervisor Medicare Member Services at Arkansas Blue Cross Blue Shield

Little Rock, Arkansas, United States 22 years 5 months

Excellent fit, currently working at BCBS in a specialist/supervisor role with long insurance tenure. Arkansas Blue Cross Blue Shield → 22 years in Member Services/Pharmacy/File Maintenance roles. Excellent.

Work Experience

Arkansas Blue Cross and Blue Shield
Supervisor File Maintenance/File Maintenance Analyst · 5 years 4 months
Arkansas Blue Cross Blue Shield
Supervisor Member Services · 4 years 9 months
Arkansas Blue Cross and Blue Shield
Redetermination Specialist · 4 years
Arkansas Blue Cross Blue Shield
Pharmacy Analyst · 8 years 8 months

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

maintenance pharmacy
95%

P**** F****

Blue Cross Blue Shield of Louisiana

Prairieville, Louisiana, United States 46 years 9 months

This candidate has extensive, recent senior analyst experience specifically at Blue Cross Blue Shield of Louisiana and clearly deals with healthcare product implementation/testing. BCBSLA → BCBSLA, 46 years total. Strong.

Work Experience

Blue Cross Blue Shield of Louisiana
Sr. Business Engineering Analyst · 17 years 4 months
Blue Cross Blue Shield of Louisiana
Sr Business Engineering Analyst · 26 years 11 months
Blue Cross Blue Shield of Louisiana
Customer Service Specialist · 4 years 5 months
Blue Cross Blue Shield of Louisiana
Appeals & Grievances Analyst · 2 years 5 months

Qualification Criteria 3 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

technical architecture knowledge transfer business requirements production support customer service written correspondence disaster recovery workforce development data recovery engineering integrity security +8 more
95%

K**** R****

Director, Network Operations at Blue Cross and Blue Shield of Texas

Houston, Texas, United States 34 years 1 month

This candidate is a strong fit, having spent their entire 34-year career primarily in leadership and network operations roles at various Blue Cross Blue Shield entities. Career history: BCBS IL/MT/NM/OK/TX (27+ yrs) → Memorial Hermann Healthcare System (4 yrs). Strong.

Work Experience

Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Senior Manager, Professional Provider Network · 9 years 10 months
Memorial Hermann Healthcare System
Network Rep & Claims · 4 years 11 months
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Director, Provider Relations · 1 year 9 months
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Sr Network Representative · 6 years 7 months
+ 1 more positions

Qualification Criteria 3 met, 1 not

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

director operations claims network operations provider relations
95%

S**** P****

Senior Business Consultant at Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

Oak Lawn, Illinois, United States 24 years 5 months

This candidate has extensive specialist experience, including significant time at Blue Cross Blue Shield within the healthcare/insurance space. BCBS Illinois/Montana/New Mexico/Oklahoma & Texas → Coventry Health Care/Aetna. Excellent.

Work Experience

Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Sr. Contract Specialist · 9 years 9 months
Coventry Health Care
Regulatory Compliance Analyst · 10 years 10 months
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Sr. Market Analyst · 11 years 10 months
Coventry Health Care/Aetna
Policy & Compliance Specialist · 2 years 9 months
+ 1 more positions

Qualification Criteria 4 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

compliance regulatory compliance
95%

A**** R****

Manager

Southfield, Michigan, United States 27 years 11 months

This candidate has spent their entire 27+ year career in a specialist role focused on Medicare Advantage enrollment at BCBS of Michigan. BCBS of Michigan (Manager, Medicare Advantage Enrollment) for 27 years. Excellent.

Work Experience

Blue Cross Blue Shield of Michigan
Manager, Medicare Advantage Enrollment · 27 years 11 months

Qualification Criteria 3 met

ICI Specialist
Healthcare industry
Insurance experience
Blue Cross Blue Shield

Skills & Expertise

medicare medicare advantage
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