Thomas Dews

Thomas Dews Email and Phone Number

Chelsea, AL, US
Thomas Dews's Location
Chelsea, Alabama, United States, United States
About Thomas Dews

• 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.

Thomas Dews's Current Company Details
Blue Cross Blue Shield of Arizona

Blue Cross Blue Shield Of Arizona

View
Technical Lead
Chelsea, AL, US
Website:
azblue.com
Employees:
2317
Thomas Dews Work Experience Details
  • Blue Cross Blue Shield Of Arizona
    Technical Lead
    Blue Cross Blue Shield Of Arizona
    Chelsea, Al, Us
  • Ntt Data [Blue Cross Blue Shield Arizona (
    Technical Team Lead
    Ntt Data [Blue Cross Blue Shield Arizona ( Oct 2024 - Present
    Phoenix, Arizona, United States
  • Ntt Data [Blue Cross Blue Shield La]
    Senior Applications Architect
    Ntt Data [Blue Cross Blue Shield La] Jun 2024 - Oct 2024
    Baton Rouge Metropolitan Area
  • Ntt Data [Blue Cross Blue Shield Arizona (Azbcbs)]
    Technical Team Lead/Scrum Master
    Ntt Data [Blue Cross Blue Shield Arizona (Azbcbs)] Oct 2022 - Jun 2024
    Phoenix, Arizona, United States
  • Ntt Data [Blue Cross Blue Shield Arkansas(Arbcbs)]
    Technical Team Lead
    Ntt Data [Blue Cross Blue Shield Arkansas(Arbcbs)] Jun 2022 - Oct 2022
    Arkansas, United States
  • Ntt Data [Avmed Client]
    Senior Technical Solutions Architect
    Ntt Data [Avmed Client] Nov 2018 - Jun 2022
    United States
  • Avmed Health Plans
    Senior Solutions Architect/Scrum Master
    Avmed Health Plans Jun 2016 - Nov 2018
    Miami, Florida, United States
  • Unitedhealth Group
    Lead Systems Analyst
    Unitedhealth Group Aug 2015 - Jun 2016
    Greenville, Sc
    1) 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.
  • Avmed Health Plans
    Senior Systems Analyst
    Avmed Health Plans Jan 2006 - Jul 2015
    Miami/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.
  • Centene Corporation
    Senior Programmer Analyst
    Centene Corporation May 2004 - Dec 2006
    Greater 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.
  • Guidestar Health Systems Inc.
    Programmer Analyst
    Guidestar Health Systems Inc. Aug 2000 - Apr 2004
    Birmingham, 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

Pl/sql Unix Healthcare Oracle Business Analysis Cobol Health Insurance Project Management Itil Amisys Systems Analyst Business Analyst Apex Eai Hp9000 Htmldb Claims Xten Ccms Acuity Oracle Reports Claims Membership Data Analyst Authorizations Providers Billing Benefits Pricing Agile Scrum Scrum Team Member

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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