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Bob Herrmann

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... companies, commonly known as Blue Cross of Indiana and Blue Shield of Indiana. ... Blue Cross and Blue Shield Wisconsin. Blue Cross of California. UniCare ... – PowerPoint PPT presentation

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Title: Bob Herrmann


1
  • Bob Herrmann
  • Director, IT
  • December 1, 2005

2
Agenda
  • My Background
  • WellPoint, Inc
  • Business Segments Supported
  • ITs Role
  • Keys to Success
  • QA

3
My Background
  • Education
  • Associate Degree in Data Processing, State
    University of Farmingdale, Farmingdale,NY
  • Bachelor of Science in Data Systems Management,
    Pratt Institute, Brooklyn, NY
  • Professional Experience
  • Sedlak Associates, NY, NY
  • Security Pacific National Bank, Glendale, CA
  • WellPoint, Inc, Woodland Hills, CA
  • Current Responsibilities
  • Responsible for Service Delivery for the West
    Regions Core applications. Responsible for a
    staff of 80 WellPoint associates and 35 external
    resources under the direction of 6 Managers.

4
WellPoint, Inc
  • Company Headquarters 120 Monument Circle,
    Indianapolis, Indiana
  • Chairman of the Board Leonard D. Schaeffer
  • President and Chief Executive Officer Larry C.
    Glasscock
  • Number of Employees Over 37,000
  • Trading Symbol NYSE WLP
  • Web site www.wellpoint.com
  • Company History
  • WellPoint, Inc. was formed when WellPoint Health
    Networks Inc. and Anthem, Inc. merged in 2004.
    Anthem was the outgrowth of two
    Indianapolis-based corporations formed in 1944
    and 1946 as mutual insurance companies, commonly
    known as Blue Cross of Indiana and Blue Shield of
    Indiana. WellPoint Health Networks Inc. was
    formed in 1996 through the merger of WellPoint
    and Blue Cross of California into a single
    stockholder-owned company.
  • Position Statement
  • WellPoint, Inc. is the largest publicly traded
    commercial health benefits company that, through
    its subsidiary companies, provides health care
    benefits to approximately 28.8 million people.
  • Organizational Structure
  • Lumenos is a wholly owned operating division of
    WellPoint, was acquired in the summer of 2005.
    Lumenos offers consumers Health Savings Account
    plans (HSA) and Health Reimbursement Account
    plans (HRA), information, services and incentives
    to become better informed about their health and
    engage in health-promoting behaviors.
  • HealthLink provides network rental for workers
    compensation and health benefits programs in
    Missouri, Arkansas, Illinois, Indiana, Iowa,
    Kentucky and West Virginia.
  • AdminaStar Federal, headquartered in Indiana, and
    United Government Services, headquartered in
    Wisconsin, are administrators of government
    health benefits programs, primarily Medicare.

5
WellPoint, Inc
  • WellPoints Blue Cross and Blue Shield Companies
  • Anthem Blue Cross and Blue Shield Colorado
  • Anthem Blue Cross and Blue Shield Connecticut
  • Anthem Blue Cross and Blue Shield Indiana
  • Anthem Blue Cross and Blue Shield Kentucky
  • Anthem Blue Cross and Blue Shield Maine
  • Anthem Blue Cross and Blue Shield Nevada
  • Anthem Blue Cross and Blue Shield New Hampshire
  • Anthem Blue Cross and Blue Shield Ohio
  • Anthem Blue Cross and Blue Shield Virginia
  • Blue Cross and Blue Shield Georgia
  • Blue Cross and Blue Shield Missouri
  • Blue Cross and Blue Shield Wisconsin
  • Blue Cross of California.
  • UniCare
  • WellPoints full-service health plan offered in
    several different regions throughout the country
    where the company does not have a licensed Blue
    plan. Offering a comprehensive array of health
    care plan and specialty products, UniCare
    preserves member choice at competitive prices.

6
Business Segments Supported
  • National Accounts Customer SegmentNational
    includes accounts with 5000 or more employees.
  • Large Group Customer SegmentsLarge Group
    includes accounts with 51-4,999 employees.
  • Individual Small Group Customer SegmentsThe
    Individual and Small Group customer segments
    include members who purchase health insurance
    services as individuals or through employers of
    50 or fewer employees.
  • SeniorThrough our branded lines of business,
    WellPoint offers numerous Medicare supplemental
    plans. The Company's California subsidiary also
    offers a Medicare risk plan and has just rolled
    out the Medicare Part D program.
  • State Sponsored ProgramsWellPoint's California
    subsidiary is the largest health plan provider of
    state managed programs in California with the
    Medi-Cal (Medicaid), Healthy Families Program,
    Access for Infants and Mothers (AIM) and the
    Major Risk Medical Insurance Program (MRMIP).
  • Specialty ProductsWellPoint serves specialty
    members across the nation with specialty products
    including pharmacy benefit management, long term
    care insurance, dental, life and disability
    insurance, behavioral health, vision, flexible
    spending accounts and COBRA administration.
  • Flexible Spending Accounts and Health Spending
    Accounts

7
ITs Role
  • Infrastructure
  • Computer Operations
  • DASD Management
  • Server Management
  • Job Scheduling and Monitoring
  • Data Security
  • Disaster Recovery
  • DBA Support
  • Technical Support
  • Architecture
  • Corporate Applications
  • Accounts Payable
  • Payroll
  • General Ledger
  • Human Resources
  • Enterprise Applications
  • E-Commerce

8
ITs Role
  • Applications Development
  • Membership
  • Billing
  • Claims
  • Checkwrite and Accounting
  • Statistical/Actuarial Reporting
  • Provider and Pricing
  • Health Care Management
  • Finance Applications
  • Capitation
  • Underwriting
  • Broker

9
ITs Role
  • The Services that the Application Departments
    provide are
  • Lights On
  • Break Fix on call production support, defect
    resolution
  • Planned and Preventative Maintenance system
    tuning, data purges and archiving
  • Ad Hoc Maintenance table changes, job
    scheduling changes
  • Metrics and Reporting SLA reporting
  • Audit and Compliance Sarbanes-Oxley, SAS-70,
    Internal and External Audits
  • Security set up and maintenance of end user
    access
  • Disaster Recovery documentation and testing
  • Quality and Change Management test environment
    support, production moves
  • Customer Support dealing with the customers,
    both internal and external
  • Strategy and Planning business planning, budget
    planning and forecasting
  • Financial Management budget administration and
    financial reporting
  • Vendor Management bringing vendor on board and
    managing their activities
  • Small Enhancements
  • Discretionary projects with a cost estimate of
    less than 200K
  • Projects

10
Keys to Success
  • Getting Started
  • Review your Resume
  • Investigate the company where you will be
    interviewing
  • Know your career goals
  • Business Knowledge
  • Learn the business
  • Observe the business in operation
  • Listen to your customer
  • Look at alternative solutions
  • Manage Expectations
  • Set realistic expectations
  • Be clear in what is in and what is not in scope
  • Tackle problems when they occur
  • Escalate issues
  • Personal
  • Find a mentor

11
  • Q A
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