James Samuel
About James Samuel
James Samuel is a Manager of Data Warehouse Production Support at Highmark Inc., where he has worked since 2002. He holds a Bachelor of Applied Science in Finance from La Roche University and an MBA from Point Park University, with extensive experience in health insurance operations and data management.
Work at Highmark
James Samuel has served as the Manager of Data Warehouse Production Support at Highmark Inc. since 2002. In this role, he oversees the management of numerous inbound and outbound data processes associated with claims and membership. His responsibilities include ensuring the integrity and efficiency of data systems that support health insurance operations. Samuel's tenure at Highmark spans over 22 years, during which he has developed a comprehensive understanding of the data needs within the health insurance sector.
Education and Expertise
James Samuel holds a Bachelor of Applied Science (B.A.Sc.) in Finance from La Roche University. He furthered his education by earning a Master of Business Administration (M.B.A.) from Point Park University, focusing on Business, Management, Marketing, and Related Support Services. His educational background equips him with a solid foundation in both finance and business management, enhancing his capabilities in data management and operational support within the health insurance industry.
Background
Prior to his current role at Highmark, James Samuel worked at Cigna from 1994 to 1999 for five years in Pittsburgh, Pennsylvania. His experience at Cigna provided him with a strong foundation in health insurance operations, which he has built upon during his extensive career at Highmark. Samuel's background in the industry has contributed to his expertise in managing complex data processes related to health insurance claims and membership.
Achievements
James Samuel possesses extensive knowledge in managing data processes related to health insurance claims and membership. He has expertise in the Medicare Advantage Part D claims reconciliation process to the Centers for Medicare & Medicaid Services (CMS). Additionally, he is proficient in SQL and data storage related to medical and dental claims processing. His unique skill set combines health insurance operations with data storage and transfer, positioning him as a valuable asset in his field.