Thomas Dews Email and Phone Number
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• 24 years of experience working in the Health Insurance Industry.• 20 years of experience working with AMISYS.• 18 years of Project Management (PM) knowledge having worked directly with PMs as Architect, Scrum Master, Lead Systems Analyst, and Senior Developer.• 8 years of experience working with HRP.• 8 years working as Scrum Master.• 6 years of experience as a solutions architect.• Bring knowledge of all areas of the health insurance industry and the flows. Claims: adjudication, payment, remittance, negative balance, pricing, capitation. Members: enrollment, eligibility, member on review, fulfillment, engagement, CRM. Medical: authorization, case management, care management, disease management. Provider: contracting, credentialing, engagement. New business: agents, commissions. Portals: member, provider, agent, employer group, shopping. Benefits: Integration, configuration, accumulators. Industry: HIPAA, ACA, NSA, TIC, Interoperability, MAR, Medicare, Medicaid, Commercial, ASO.
Blue Cross Blue Shield Of Arizona
View- Website:
- azblue.com
- Employees:
- 2317
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Technical LeadBlue Cross Blue Shield Of ArizonaChelsea, Al, Us -
Technical Team LeadNtt Data [Blue Cross Blue Shield Arizona ( Oct 2024 - PresentPhoenix, Arizona, United States
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Senior Applications ArchitectNtt Data [Blue Cross Blue Shield La] Jun 2024 - Oct 2024Baton Rouge Metropolitan Area
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Technical Team Lead/Scrum MasterNtt Data [Blue Cross Blue Shield Arizona (Azbcbs)] Oct 2022 - Jun 2024Phoenix, Arizona, United States
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Technical Team LeadNtt Data [Blue Cross Blue Shield Arkansas(Arbcbs)] Jun 2022 - Oct 2022Arkansas, United States
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Senior Technical Solutions ArchitectNtt Data [Avmed Client] Nov 2018 - Jun 2022United States
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Senior Solutions Architect/Scrum MasterAvmed Health Plans Jun 2016 - Nov 2018Miami, Florida, United States
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Lead Systems AnalystUnitedhealth Group Aug 2015 - Jun 2016Greenville, Sc1) Lead SA team on projects. 2) Assign out tasks.3) Manage hours and deliverables.4) Ensure timelines are met and work closely with the project manager for project tracking.5) Run JAD sessions to build project plans and define requirements.7) Participate in planning sessions as a technical SME. -
Senior Systems AnalystAvmed Health Plans Jan 2006 - Jul 2015Miami/Fort Lauderdale Area• Design new processes in Membership, Claims, Providers, Billing, and Authorizations.• Write business requirements documents and created technical requirement documents.• Process through the entire development life cycle.• Ensure consultants implement the technical requirements.• Provide production support on a daily basis.• Assist other team members as an SME.• Responsible for maintaining processes for the AMISYS system using PL-SQL, COBOL, Micro Focus COBOL, suprtool, and UNIX JCL. -
Senior Programmer AnalystCentene Corporation May 2004 - Dec 2006Greater St. Louis Area• Responsible for maintaining processes for the AMISYS system using PL-SQL, COBOL, Micro Focus COBOL, suprtool, and UNIX JCL. • Manage macros written in VB script.• Maintain and perform process improvement for the nurse wise system written in VB6.• Responsible for the CCMS interface with AMISYS• Designed new processes in Membership and Authorizations.• Process through the entire development life cycle. -
Programmer AnalystGuidestar Health Systems Inc. Aug 2000 - Apr 2004Birmingham, Alabama Area• Responsible for maintaining processes for the legacy system written in Cognos, Suprool, COBOL, and MPE scripting. • Designed new processes in Claims.• Maintain company website using Front page and HTML.• Updated and maintained authorization system in Lotus Notes.• Designed and developed new customer service process written in VB 6 and SQL server• Process through the entire development life cycle.
Thomas Dews Skills
Thomas Dews Education Details
Frequently Asked Questions about Thomas Dews
What company does Thomas Dews work for?
Thomas Dews works for Blue Cross Blue Shield Of Arizona
What is Thomas Dews's role at the current company?
Thomas Dews's current role is Technical Lead.
What is Thomas Dews's email address?
Thomas Dews's email address is th****@****hoo.com
What is Thomas Dews's direct phone number?
Thomas Dews's direct phone number is +130552*****
What schools did Thomas Dews attend?
Thomas Dews attended Jefferson State Community College.
What skills is Thomas Dews known for?
Thomas Dews has skills like Pl/sql, Unix, Healthcare, Oracle, Business Analysis, Cobol, Health Insurance, Project Management, Itil, Amisys, Systems Analyst, Business Analyst.
Who are Thomas Dews's colleagues?
Thomas Dews's colleagues are Jason Cummings, Cassandra Armistead, Ranveer Thakur, Bobbie Moon, Constance Summers, Sandy Mustafa, Ana Hoffman.
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Thomas Dews
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