Bob Herrmann Director, IT December 1, 2005. Agenda My Background WellPoint, Inc Business Segments Supported IT’s Role Keys to Success Q&A.

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Presentation transcript:

Bob Herrmann Director, IT December 1, 2005

Agenda My Background WellPoint, Inc Business Segments Supported IT’s Role Keys to Success Q&A

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.

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: Company History: WellPoint, Inc. was formed when WellPoint Health Networks Inc. and Anthem, Inc. merged in 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 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.

WellPoint, Inc WellPoint’s 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 WellPoint’s 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. WellPoint Specialty Companies WellPoint has a number of specialty companies that provide a full range of benefits and services to our health plan customers, including pharmacy benefit management, group life and disability insurance benefits, dental, workers’ compensation and long term care insurance. WellPoint also provides vision and behavioral health benefits.

Business Segments Supported National Accounts Customer Segment National includes accounts with 5000 or more employees. Large Group Customer Segments Large Group includes accounts with 51-4,999 employees. Individual & Small Group Customer Segments The Individual and Small Group customer segments include members who purchase health insurance services as individuals or through employers of 50 or fewer employees. Senior Through 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 Programs WellPoint'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 Products WellPoint 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

IT’s 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 –Customer Service –Data Warehouse

IT’s Role Applications Development –Membership –Billing –Claims –Checkwrite and Accounting –Statistical/Actuarial Reporting –Provider and Pricing –Health Care Management –Finance Applications –Capitation –Underwriting –Broker

IT’s 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 Discretionary projects with a cost estimate greater than $200K. Examples would be replacing outdated applications, consolidation of systems, increased functionality in the application, major legislative initiatives

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 –Don’t burn bridges –Develop your networks

Q & A