Jim Whitman
About Jim Whitman
Jim Whitman serves as the Director of Health Plan Operations at Highmark Inc. in Camp Hill, Pennsylvania, where he has worked since 2018, bringing extensive experience from previous roles at Aetna and Horizon Blue Cross Blue Shield of New Jersey.
Work at Highmark
Jim Whitman has been serving as the Director of Health Plan Operations at Highmark Inc. since 2018. In this role, he is responsible for establishing strategic and tactical plans for various operational areas, including the commercial markets call center and claims processing. Prior to his current position, he worked as the Manager of Health Plan Operations at Highmark from 2013 to 2018. His experience at Highmark has contributed to his expertise in managing health plan operations.
Previous Experience at Aetna
Jim Whitman has extensive experience at Aetna, where he held multiple positions over a span of 16 years. He began as a Claims Processor from 1994 to 1995, then transitioned to a Customer Service Associate role from 1995 to 1997. He continued to advance his career as a Supervisor from 1997 to 2000 and later served as the Customer Service/Claim Division Manager from 2000 to 2011. His roles at Aetna provided him with a solid foundation in customer service and claims management.
Experience at Horizon Blue Cross Blue Shield
From 2011 to 2013, Jim Whitman worked at Horizon Blue Cross Blue Shield of New Jersey as the Manager of Service Operations. In this position, he managed service operations, further enhancing his skills in operational management within the health insurance sector. This role contributed to his overall expertise in health plan operations.
Education and Expertise
Jim Whitman studied at Bloomsburg University of Pennsylvania, where he earned a Bachelor of Science degree in Management and Marketing from 1989 to 1993. His educational background supports his professional expertise in health plan operations and management. He has experience overseeing CMS claim audit oversight and managing government claims processing, which involves ensuring compliance with government regulations.
Leadership and Management Skills
In his current role at Highmark, Jim Whitman manages and develops both direct and indirect reports. His leadership skills are evident in his ability to oversee teams and ensure effective operations within health plan management. His background includes leading a government functional business analyst team, showcasing his capability in managing complex operational tasks.