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Deciphering Business Process Management (BPM) for Health Plan Administration

     A Free Health Industry Audio Conference from DST Health Solutions

 

Topic: Bringing healthcare people, processes, and technology together in a seamless, flexible processing environment

Presenters: Craig Humphrey, Director of Operations, FirstCarolinaCare; and Philip Graham, Product Brand Manager, DST Health Solutions, Inc.

Date: Thursday, November 16th, 2006

Time: 1:00 p.m. to 2:00 p.m. Eastern

Place: Your office! (Audio Conference dial-in instructions and session presentation will be emailed to attendees in advance of session)

Cost: None 

To Register: http://www.healthwebsummit.com/dstbpmreg.htm

Deadline to register: Thursday, November 9th, 2006. After this date, you can request a Post-Summit CD by going to: http://www.healthwebsummit.com/dstbpmreg.htm.

 


ABSTRACT

Business process management (BPM) and the right BPM tools can help health plan administrators automate workflow enterprise wide.  Adjudicating healthcare claims doesn’t have to be a labor-intensive process and customizing a BPM tool doesn’t have to involve extensive reprogramming.  It’s now possible for system users to define workflows so they can have a 360-degree, real-time view of their business processes with the help of robust business intelligence and process analysis tools - tools that are enterprise solutions because they can integrate claims administration systems with an organization’s other business systems.

As a result, health plans can automate claims resolution, use electronic claims and inventory reports, increase staff productivity, closely monitor claim processing, and improve customer service.

Learn How Business Process Management

Who should attend: 

Health Care Senior Business Leaders including:

Please forward to others in your organization who may be interested in participating.

 

FACULTY 

 

 Craig Humphrey
Chief Operating Officer FirstCarolinaCare

Craig Humphrey was recently promoted to Chief Operating Officer after having served as Director of Operations with FirstCarolinaCare since 1999. FirstCarolinaCare is a wholly owned subsidiary of FirstHealth of the Carolinas, a hospital system based in Pinehurst , NC . FirstCarolinaCare is the only provider owned not for profit managed care organization in North Carolina and was recently awarded the 2006 Honor Roll For Coverage Award from the Health Care Leadership Council, which recognizes exemplary community programs that have distinguished themselves as leaders in providing access to health coverage for uninsured Americans.

He is directly responsible for managing the relationships and obtaining the required results with all of FirstCarolinaCare’s business process outsource partners. He is also responsible for managing the internal operational processes at FirstCarolinaCare, which includes enrollment, auditing, claims review, COBRA, customer service, information technology and reporting, underwriting, strategic planning, and assists with client relationship management. Prior to joining FirstCarolinaCare, Mr. Humphrey worked for Foundation Health Plans of Florida, PCA Health Plan of Florida, and for the Blue Cross and Blue Shield plans in Georgia and Virginia. He has a total of 20 years of health insurance/managed care operations experience.

 

 Philip Graham

Product Brand Manager

DST Health Solutions

Philip Graham is a DST Health Solutions product brand manager.  He is responsible for managing the go-to-market activities of PowerQueue AWD(R), the company’s enterprise business process management system solution for healthcare payers.  For more than15 years, he has managed the development of large-scale products for information technology companies serving insurance and other financial services companies as director of client services and product manager.

Mr. Graham has a successful track record of developing strategies, defining initiatives, and implementing technology and process improvements to solve complex business needs. His strong operations knowledge and skills have helped him effectively identify opportunities, design and build creative solutions, and implement new processes.   

 

 

 

REGISTRATION:

Register online at http://www.healthwebsummit.com/dstbpmreg.htm Slots for this event are limited. Please register promptly. All registrations are subject to review and approval by DST Health Solutions.  If you have questions, contact Patty Jamison at the Healthcare Web Summit Office at 209.577.4888 for more information.  We look forward to your participation in this event!

 

 

Deadline to register: Thursday, November 9th, 2006.  After this date, you can request a Post-Summit CD by going to: http://www.healthwebsummit.com/dstbpmreg.htm.

 


Summit Phone         Summit E-Mail Summit Fax
209-577-4888 pattyj@mcol.com 209-577-3557

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