Craig Humphrey

Craig Humphrey Email and Phone Number

Southern Pines, NC, US
Craig Humphrey's Location
Pinehurst, North Carolina, United States, United States
Craig Humphrey's Contact Details

Craig Humphrey personal email

n/a
About Craig Humphrey

Enjoy the challenges of Operations Management for both working with people and finding more productive ways to improve systems and productivity. Experience with building an internal operations staff and outsourcing and managing a BPO operation. Experience with system conversions and enhancing current systems.Specialties: Project Management, Designing useful reports, Building productive staffs, enhancing morale and productivity, Problem Solving, Health Plan Operations, Mentoring, Claims Administration, Customer Service

Craig Humphrey's Current Company Details
FirstCarolinaCare Insurance Company

Firstcarolinacare Insurance Company

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President and COO
Southern Pines, NC, US
Craig Humphrey Work Experience Details
  • Firstcarolinacare Insurance Company
    President And Coo
    Firstcarolinacare Insurance Company
    Southern Pines, Nc, Us
  • Firstcarolinacare Insurance Company
    President & Coo
    Firstcarolinacare Insurance Company Jan 2015 - Present
    Directly responsible for managing the relationships and obtaining the required results with all of FirstCarolinaCare’s business lines including group insurance coverage and the Medicare Advantage product. Responsible for managing the internal operational processes, which include enrollment, auditing, claims review, COBRA, customer service, information technology and reporting, underwriting, strategic planning and assisting with client relationship management.
  • Firstcarolinacare Insurance Company
    Chief Operating Officer
    Firstcarolinacare Insurance Company Aug 2006 - Present
    Responsible for the daily operations of a provider owned managed care organization.Oversee all outsourced work and in charge of all vendor relationships. Manage internaloperations staff and ensure all service levels are met. Achieved Best Payer in NationStatus from AthenaHealth. Met profit targets for past 6 years. Recognized by independentcustomer satisfaction survey firm as top 20% healthplan in customer satisfaction. Createdand implemented PPO and Dental lines of business. Oversee Underwriting and review of RFP's for new business.
  • Firstcarolinacare Insurance Company
    Director Of Operations
    Firstcarolinacare Insurance Company Nov 1999 - Aug 2006
    Oversee all vendor relationships for outsourced work and manage internal staff. Beganstart-up operation and fully implemeted managed care organization products in system.Complete responsibility for customer service, claims, provider relations, contracting,enrollment, reporting, and underwriting. Director of Claims
  • Foundation Health Of Florida
    Director Of Claims
    Foundation Health Of Florida Jan 1997 - Jun 1999
  • Pca Health Plans Of Florida
    Claims Manager
    Pca Health Plans Of Florida Apr 1993 - Jan 1997
    Managed Claims Department for statewide HMO including multiple office locations andoversight of delegated entities.
  • Blue Cross And Blue Shield Of Georgia
    Claims Manager/National Account Coordinator
    Blue Cross And Blue Shield Of Georgia Aug 1990 - Apr 1993
  • Blue Cross And Blue Shield Of Virginia
    Claims Supervisor
    Blue Cross And Blue Shield Of Virginia Feb 1986 - Aug 1990
  • Life Of Virginia
    Sales Representative
    Life Of Virginia May 1984 - Feb 1986

Craig Humphrey Skills

Leadership Management Hipaa Project Management Operations Management Vendor Management Managed Care

Craig Humphrey Education Details

  • University Of North Carolina At Chapel Hill
    University Of North Carolina At Chapel Hill
    Industrial Relations

Frequently Asked Questions about Craig Humphrey

What company does Craig Humphrey work for?

Craig Humphrey works for Firstcarolinacare Insurance Company

What is Craig Humphrey's role at the current company?

Craig Humphrey's current role is President and COO.

What is Craig Humphrey's email address?

Craig Humphrey's email address is ch****@****are.com

What is Craig Humphrey's direct phone number?

Craig Humphrey's direct phone number is +191021*****

What schools did Craig Humphrey attend?

Craig Humphrey attended University Of North Carolina At Chapel Hill.

What skills is Craig Humphrey known for?

Craig Humphrey has skills like Leadership, Management, Hipaa, Project Management, Operations Management, Vendor Management, Managed Care.

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