Whether its commercial insurance, government programs or other areas of healthcare management, BlueCross BlueShield of Tennessee has assembled a leadership team comprised of national experts in their respective fields.

Senior Bio-statistical Research Analyst
Provider Network Contracting – Health Intelligence Group
Areas of Expertise:
Statistical data modeling/mining
Pharmacy care management program evaluations

 

Sr. Manager of Data Resource Management and Chief Data Architect
I/S Division of the Administration Support Unit
Areas of Expertise:
Information Management Architecture

Leadership Development Consultant
Areas of Expertise:
Leadership Development; General Workforce Solutions; Executive Coaching; Organizational Development

Director, Health Policy Research
Areas of Expertise:
health policy, cost sharing, affordability, consumer preference

Manager, People Development
People Services
Areas of Expertise:
Worksite stress programs with pre and post study results and ROI for Stress Management

Director of Operations, Member Benefits Administration
Member Benefits Administration

Regional Medical Director

Senior Program Manager CDHP
Product Development/Marketing Consumerism and CDHP

Senior Manager, Behavioral Health Program

Director, Health Management Research
Gordian Health Solutions, Informatics Dept

Areas of Expertise:
Scientific methodology; research design & analysis; worksite health promotion; cost of lifestyle health risks; social psychology

Sr. Manager, Medical Policy Research & Development
Health Care Services, Commercial and Established Markets
Areas of Expertise:

Evidence Based Medicine, Health Policy, Ethics and Health Care, Managed Care

Director, Research Development and Consulting
Health Intelligence Group
Areas of Expertise:
Creation of ideas and questions relative to business issues, develop tools to be used as part of medical and provider management programs, collaborate with academic institutions, disseminate information through conferences, journals and other mechanisms as well as consult with other health plans/organizations. Primary work area includes physician practice pattern analysis, program evaluation, population assessment, application of episode treatment group model, pharmacy data analysis, and risk assessment & adjustment (predictive modeling).

Director, Medical Informatics
Medical Informatics
Areas of Expertise:
Health Informatics, Health Services Research, Health Care Strategy; International Health, Biostatistics

Regional Pharmacy Director
Pharmacy Management (Nashville)
Areas of Expertise:
Pharmacy Utilization Management, Pharmacy Benefit Management, Medicare Part D

Research Scientist
Provider Network Management / Health Intelligence Group  
Areas of Expertise:
William Westerfield is a Research Scientist with Health Intelligence Group. His primary responsibilities include conducting research and developing tools to address business questions and needs.  His primary work experience is in physician and group practice pattern analysis, program evaluation, population assessment, network development, patient safety, quality of care measurement, application of the Episode Treatment Group model and Diagnostic Cost Group models, risk adjustment, predictive modeling, and statistical analysis.