Joe Rader Email and Phone Number
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Primary focus on corporate reporting of claims pricing/savings, utilization management and group enrollment; supply of actionable data through Tableau and Excel, programming through SAS EG and Microsoft VBA, Excel macros, Access macros and programming.With CHS department, proudly maintained relationships with TPAs and Sales team to ensure proper network use, claims savings reporting for group renewals, supported the TPA on accurate claim pricing, and reviewed TPA-reported claims processing timeliness.
Blue Cross Blue Shield Of Arizona
View- Website:
- azblue.com
- Employees:
- 1376
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Sr Operations Analyst, Commercial GroupBlue Cross Blue Shield Of Arizona Oct 2018 - PresentPhoenix, ArizonaBuild and improve business processes. Supply forecasts and analyze current performance on key products within group insurance product portfolio. Support new vendor relationships and file exchange connectivity.
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Senior Analyst, Bac/ChsBlue Cross Blue Shield Of Arizona Nov 2003 - Oct 2018Phoenix, Arizona AreaSupport PPO Network Rental business through Analytics and reporting of claims savings, contracted claim pricing, network utilization and group enrollment. Maintain and build relationships with TPAs by communicating and supporting network use under BCBS guidelines.Familiar with claims pricing structures for inpatient DRG with outlier pricing, Per Diem, Global Outpatient pricing, % Fee, % Charges; with common claim edits including CCI.Review of common and custom entry of claims detail data in EDI 837I and 837P files.Analytics, data presentation and reporting through SAS Enterprise Guide programming and GUI; Tableau Creator, Microsoft Access and Excel and BusinessObjects.Claims/Enrollment review-access/reporting software - MetaVance, 3M (DRG) Grouper, TIBCO Foresight
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Qa Analyst / Field Support / Internal Network SupportIphysician.Net Inc Jul 1997 - May 2003Scottsdale, AzBuilt and ran QA test suites for videoconference/e-detailing system between physicians and pharmaceutical reps. Included detailing/calling event history import and database reporting. Managed internal wired LAN with test server and 10 client systems including ISDN remote connections.Field support of ISDN line and cable provisioning/installation, custom PC setup, application setup/usage and remote software update/distribution under Window 95/98/2000.Earned Microsoft Certified System Engineer certificate with Windows NT 4.0 Server. -
Artillery Fire Direction ControllerArizona Army National Guard Sep 1994 - Apr 2002Phoenix, Arizona AreaBasic Training and Artillery direction specialty training in Fort Sill, OK - 9/1994 to 2/1995.Trained routinely on weekends, and 2 week annual training sessions involving live rounds in Florence, AZ; Seattle, WA; Fort Collins, CO; deserts of southern California.Drove unit HMMVW (Humvee) while towing specialty fire direction computer system trailer on and off the road. -
Math Teacher 8Th GradeMesa Public Schools Jul 1991 - Jun 1994Mesa, Az
Joe Rader Skills
Joe Rader Education Details
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Secondary Education / Mathematics -
Secondary Education/Mathematics
Frequently Asked Questions about Joe Rader
What company does Joe Rader work for?
Joe Rader works for Blue Cross Blue Shield Of Arizona
What is Joe Rader's role at the current company?
Joe Rader's current role is Sr Operations Analyst, Commercial Group at Blue Cross Blue Shield of Arizona.
What is Joe Rader's email address?
Joe Rader's email address is jr****@****lue.com
What is Joe Rader's direct phone number?
Joe Rader's direct phone number is +148051*****
What schools did Joe Rader attend?
Joe Rader attended Northern Arizona University, Arizona State University.
What skills is Joe Rader known for?
Joe Rader has skills like Microsoft Excel, Leadership, Analytics, Insurance, Continuous Process Improvement, Business Analysis, Healthcare.
Who are Joe Rader's colleagues?
Joe Rader's colleagues are Helen Shaffer, Braden Macdonald, Stephanie Coffland, Denise Kulak, Lauren Koncar, Evan Nault, Robert Kirkpatrick.
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