2013 GUIDE TO EDUCATIONAL PROGRAMS · PDF fileexam of the Academy for Healthcare Management (AHM 250). Participants will earn the PAHM designation (Professional, Academy for Healthcare

A LIST OF BLUE CROSS AND BLUE SHIELD ASSOCIATION PROGRAMS

GUIDE TO EDUCATIONAL PROGRAMS2013

Click to start

2

2013 EDUCATIONAL PROGRAMS

The Blue Cross and Blue Shield Association (BCBSA) is pleased to present the 2013 Educational Programs directory — a guide to conferences, training and other educational programs designed to provide Blue Cross and Blue Shield Plan professionals the most targeted, valuable educational experiences on a variety of Plan functional business topics. Program overviews include dates, locations and fees, where applicable.

SPECIAL NOTE REGARDING THE BLUE NATIONAL SUMMIT

The next Blue National Summit will be held May 19-22, 2014 in Orlando, Florida, due to the System-wide priority of preparing for exchange open enrollment which begins in October of 2013.

Knowledge-sharing among industry colleagues and Blue Cross and Blue Shield companies is invaluable, and the Blue National Summit is an ideal venue at which to strengthen the Blue System through professional networking and sharing of best practices. We remain fully committed to building upon the success this conference has enjoyed through its first three years. As always, we appreciate your support, and we look forward to hosting you at an even more valuable and entertaining event next year.

CONFERENCE INFORMATION AND REGISTRATION

Visit BlueWeb at the Meetings and Conferences home page.

SPONSORSHIP AND EXHIBIT OPPORTUNITIES

Sponsorship and exhibit space opportunities are available at the National Tax Conference. Please visit www.bcbs.com/conferences for additional information. Enter the User Name “meeting” and the Password “Blue1234” (case-sensitive).

http://blueweb.bcbs.com/blueweb/Leaf?docId=18270

3


CONTENTS

Anti-Fraud ...............................3

Compliance and Ethics ..........4

Designation Programs ...........5

Employee Benefits .................7

Executive Education ..............8

Federal Employee Program (FEP) ........................................9

Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16

National Programs ...............17

2014 BlueNational Summit ..................18

Contact Information .............19

Anti-Fraud

NATIONAL BLUE INVESTIGATOR ACADEMY – ADVANCED

Date: May 19 – 23, 2013

Location: Blue Cross Blue Shield of Michigan – South Lyon, Michigan

Description: The Advanced Academy is an intensive three-and-a-half day program designed to familiarize the student with the challenges of a complex investigation. The course is interactive and covers such topics as case file organization, presentation of case facts to a prosecutor, and a mock trial courtroom exercise.

CPE credits offered. Class size limited to 35.

Target Audience: Blue Plan SIU Investigators with three or more years of experience or graduates of the BCBSA Basic Investigator’s Academy.

Registration Fee: $275

NATIONAL BLUE INVESTIGATOR ACADEMY – MASTERS

Dates: May 20 – 22, 2013

Location: Blue Cross Blue Shield of Michigan – South Lyon, Michigan

Description: The Masters-level Investigator Academy is an interactive, two-day program designed to expose the student to issues involved in fraud schemes with multi-state/Plan exposure and national impact. The BCBSA Anti-Fraud Strike Force protocol, developed by BCBSA and its National Anti-Fraud Advisory Board is the model used in training to address these issues.

Students will have an opportunity to work in a team to decide the most appropriate methods of investigation to use in these complex multi-Plan investigations. Students will also have the opportunity to discuss current cases that they are involved in that may be appropriate for a Strike Force Investigation.

CPE credits offered. Class size limited to 16.

Target Audience: Graduates of the BCBSA Advanced Investigator Academy or SIU Investigators with significant healthcare fraud investigative experience.


4


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Compliance and Ethics

COMPLIANCE AND ETHICS ROUNDTABLE

Date: May 6 – 7, 2013

Location: Chicago, Illinois

Description: This program is an opportunity for Blue Plan compliance and ethics professionals to exchange ideas and best practices. Attendees will be expected to bring certain documents to share and to actively engage in compliance and ethics-related dialogue with their peers. CPE credits offered.

Attendees will be able to select one of the following roundtables:

• Corporate Compliance and Ethics Roundtable

• Medicare Advantage and Prescription Drug Plan Compliance Roundtable

• Records and Information Management Roundtable

Target Audience: Compliance and ethics professionals who have significant experience in compliance.


5


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Designation Programs

ACADEMY FOR HEALTHCARE MANAGEMENT

Blue Plan professionals can bolster their healthcare competencies — and earn prestigious AHM designations — anytime, anywhere at www.ahipinsuranceeducation.org/ahip/

BCBSA is pleased to provide the Academy for Healthcare Management’s (AHM) online professional designation courses, developed in part by Blue Plan expert healthcare leaders. Students can now access these courses from any Web-enabled computer anytime, anywhere to enhance their healthcare-management acumen.

These offerings include an introductory program (earning the PAHM designation) and an advanced program (earning the FAHM designation). Both programs cover key areas such as finance and risk management, governance and regulation, network management and medical management. Both curricula contain the latest available content in an easy-to-follow, comprehensive self-study program.

e-AHM provides convenient and flexible opportunities:

• Get a lesson in “Healthcare 101” — for those new to the industry and The Blues.®

• Refresh or advance the healthcare knowledge of seasoned Blue professionals.

• Bolster credentials (with valued designations) for career development and advancement.

• Earn Continuing Education credits.

• Build teams’ competency in cross-functional areas.

The curricula offer an efficient and responsive way to meet professional education and training goals. To learn more, visit the Online Education Program website on BlueWeb.

The AHM 250 course has unique value to Blue Cross and Blue Shield companies in that its introductory course exam serves as the exam for the exclusively Blue Certified Health Consultant (CHC) Program. This annual on-site program combines healthcare trend information with relationship management skills training for various customer-facing Blue Plan professionals.

Contact BCBSA for more information:

Tammy Anderson at: 312.297.6524 or [email protected].

AHM is an alliance between the Blue Cross and Blue Shield Association and America’s Health Insurance Plans. AHM relies on both associations’ decades of experience in providing continuing education for health plan and insurance professionals. AHM serves more than 1,300 health plans and insurance companies caring for and providing coverage to more than 200 million people.

http://blueweb.bcbs.com/blueweb/Leaf?docID=13280

mailto:tammy.anderson%40bcbsa.com?subject=

6


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Designation Programs - continued

CERTIFIED HEALTH CONSULTANT DESIGNATION PROGRAM (CHC)

Date: July 24 – 26, 2013


Description: This exclusively Blue designation program was developed collaboratively by the Blue Cross and Blue Shield Association and member Plans. The agenda offers a solid mix of current healthcare management information, combined with relationship management skills training for sales and marketing professionals, data analysts, underwriters and others responsible for successful sales and ongoing customer support.

Individuals participating in this program earn the CHC designation by completing two segments:

1. Exam – Successfully completing the introductory course and exam of the Academy for Healthcare Management (AHM 250). Participants will earn the PAHM designation (Professional, Academy for Healthcare Management). See the AHIP Insurance Education website for more information.

2. Residency – Attending the Certified Health Consultant program. This program focuses on sales and marketing strategies, relationship management and trends in the healthcare environment.

These designations represent a commitment to professional growth and an understanding of the latest trends in the healthcare industry.

Target Audience: Blue Plan professionals committed to professional growth, including sales and marketing staff from Blue Plans, their subsidiaries, affiliates and business partners, as well as actuaries, underwriters, data analysts, and other staff involved in sales and marketing and/or interaction with customers.

Registration Fee: $2,500

www.ahipinsuranceeducation.org/ahip/

7


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Employee Benefits

2013 BLUE NATIONAL EMPLOYEE BENEFITS CONFERENCE

Date: May 1 – 3, 2013


Description: This conference provides the latest learnings in regulatory changes, emerging industry trends and best practices as they relate to 401(k), pension and integrated disability products and the accompanying investment management.

Target Audience: This learning and networking opportunity is tailored for HR, Benefits, and Finance staff in the Blue System.


8


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Executive Education

BLUE PLAN SENIOR EXECUTIVE ORIENTATION

Date: April 16 – 17, 2013


Description: Designed for those who are new to senior leadership roles at their Plans, the Blue Plan Senior Executive Orientation provides a wide-ranging introduction to the Blue System. As Blue Plans complete the transition to a post-healthcare reform environment, this program will give new executives a functional grasp of System-wide strategic priorities as well as an understanding of our operational infrastructure in Finance, Legal, Brand Protection, Policy and other key areas.

During the 1-½ day program, BCBSA executives introduce the programs and services they provide and frame the strategic elements that can assist executives in their roles. Executives will also have the opportunity to network with peers from other Blue Plans.

Target Audience: Plan executives (Vice President and C-Level) who are new to the Blue Cross and Blue Shield System or in a new executive-level position at a Blue Plan. The program is only open to the employees of Blue Cross and Blue Shield licensed entities (Plans and licensed affiliates).

Registration Fee: No charge

LEADING IN A CHANGING MARKET: LEADERSHIP, STRATEGY AND IMPLEMENTATION

Date: December 10 – 13, 2013


Description: This business strategy and leadership course focuses on understanding and responding to the competition and creating a leading organization. The program includes group discussion, case studies and lectures to facilitate interaction. It is conducted in the same manner as the Northwestern University Kellogg School of Management’s prestigious executive education programs and is customized for Blue Plan attendees. CPE credits offered.

Target Audience: Executives and those with potential for promotion to key positions at Blue Plans, their subsidiaries and partners. Typical attendees include vice presidents, directors and managers involved in formulating their company’s strategic direction and in creating and implementing market solutions that increase competitive differentiation.


9


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Federal Employee Program (FEP)

FEP NATIONAL CONFERENCE

Date: June 23 – 25, 2013

Location: Miami, Florida

Description: The FEP National Conference is the single most important meeting for Plan staff to obtain vital information about issues affecting the Program. The topics and content of the conference general sessions and meeting tracks provide the vehicle for disseminating important information regarding the Service Benefit Plan. For further information about the 2013 FEP National Conference, please contact Debbie Routt at [email protected].

Target Audience: All Plan executives and staff responsible for FEP finance, internal audits, benefits administration, claims processing, customer service, field service, provider relations, network management and case management.


FEP FINANCE AND AUDIT CONFERENCE

Date: August 18 – 20, 2013

Location: Baltimore, Maryland

Description: The agenda covers a wide range of topics from audit issues to the latest information about cost accounting principles. This conference also provides guidance for assembling 2014 budget proposals. Contact Clint Shatzer at 202.942.1250 or Angela Muse at 202.942.1239 for additional information.

Target Audience: Plan FEP Audit Coordinators, Cost accounting staff and FEP financial staff.


mailto:debbie.routt%40bcbsa.com?subject=

10


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Federal Employee Program (FEP) - continued

FEP TECHNOLOGY CONFERENCE

Date: September 9 – 11, 2013


Description: The objective of the conference is to provide a forum to exchange

information and gain a shared understanding of the systems

and services provided by the FEP Operations Center. For further

information, please contact Terri Coleman at 202.203.2350.

Target Audience: Plan FEP staff responsible for claims processing, customer service and information technology.


FEP FIELD SERVICE PLANNING CONFERENCE

Date: September 22 – 24, 2013


Description: This conference is for FEP Plan Field Service Management and representatives who are responsible for field service activities and market performance. For additional information, please contact Grayling Lucas, Plan Manager, Field Service, at 202.942.1232 or Donna Orange, Managing Director, Plan Management and Relations, at 202.942.1275.

Target Audience: FEP field service/marketing personnel responsible for managing and implementing the field activities for FEP (specifically Open Season) and internal staff who have direct contact with customers (year round and Open Season).


11


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Federal Employee Program (FEP) - continued

FEP PLAN OPERATIONS CONFERENCE

Date: October 13 – 16, 2013


Description: The conference provides a forum for the exchange of information and best practices on regional and national issues related to the administration of FEP. For additional information or assistance, please contact Jim Wallace, Plan Manager, Operations at 202.942.1123, or Donna Orange, Managing Director, Plan Management and Relations, at 202.942.1275.

Target Audience: Plan staff responsible for FEP business informatics, claims processing and customer service functions, medical/case management, training and performance auditing/reporting.


12


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Finance and Tax

FINANCIAL TRAINING PROGRAM

Date: June 24 – 26, 2013


Description: This program is designed to provide attendees with an orientation to the Blue Cross and Blue Shield System financial accounting and reporting concepts, with special emphasis on the participant’s role in Plan financial activities. CPE credits offered.

The financial training program:

• Helps participants better understand the various Plan health benefit programs and methods for accounting and reporting.

• Provides participants with a better understanding of the history and role of the Blue Cross and Blue Shield Association and the programs administered by BCBSA, such as FEP and BlueCard®.

• Introduces participants to current and future industry and financial issues.

• Offers interactive case studies to promote critical thinking and provide real world examples for topics covered in the program.

• Provides participants with the opportunity to apply skills and knowledge to a variety of Plan financial and accounting situations.

• Provides opportunities to network with financial staff from Blue Plans and BCBSA.

Target Audience: Plan financial staff with six to 24 months of Plan experience and others looking to enhance their understanding of health industry finance issues and BCBSA programs, regardless of experience or position.


13


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Finance and Tax - continued

NATIONAL TAX CONFERENCE

Date: December 4 – 6, 2013


Description: The National Tax Conference:

• Addresses current tax issues of relevance to Blue Cross and Blue Shield Plans and their affiliates.

• Provides constructive dialogue in both general and workshop sessions about tax technical and operational issues.

• Offers an excellent opportunity for you and your staff to meet with tax and financial counterparts from other Plans.

• Provides a forum for Blue Plan Tax Professionals to discuss healthcare reform and network with their peers and tax advisors.

CPE credits offered.

Target Audience: All Plan tax and financial professional staff, including chief financial officers, controllers, tax and financial reporting staff, and external tax and financial advisors.

Registration Fee: $795 ($695 if registered by September 30, 2013)

14


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Internal Audit

INSTITUTE OF INTERNAL AUDITORS/INTERNAL AUDIT QUALITY ASSESSMENT REVIEW TRAINING

Date: May 9 – 10, 2013


Description: This IIA-led course is a requirement for those Plan auditors wishing to participate in the voluntary internal audit Quality Assessment Review program among Plans. Minimum 20 registrants required. CPE credits offered.

Target Audience: Experienced Plan auditors. CIA, CISA, and/or management experience preferred.

Registration Fee: TBA

BCBSA AUDIT MANAGERS’ ROUNDTABLE

Date: May 13 – 14, 2013


Description: This is an opportunity for Blue Plan internal audit managers to exchange ideas and strategies in an informal setting. Attendees will be encouraged to engage in a dialogue with their peers on topics related to internal audit. CPE credits offered.

Target Audience: Blue Plan internal audit managers.


BCBSA ANNUAL NEW INTERNAL AUDITOR TRAINING PROGRAM

Date: June 3 – 6, 2013


Description: This group-live program focuses on: internal audit administration issues; auditing specific managed care functional areas; various BCBSA health benefit programs and information technologies; compliance and anti-fraud related issues and more. CPE credits offered.

Target Audience: Plan internal audit staff with four to 24 months of Plan experience, particularly auditors new to managed care.


15


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Internal Audit – continued

CHIEF AUDIT EXECUTIVE/AUDIT DIRECTORS ROUNDTABLE

Date: November 11 – 12, 2013


Description: This is an opportunity for Blue Plan audit executives to exchange ideas and strategies in an informal setting. Attendees will be encouraged to engage in a dialogue with their peers on current topics related to internal audit. CPE credits offered.

Target Audience: Blue Plan audit executives and audit directors.


16


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Labor

NATIONAL LABOR MANAGEMENT HEALTHCARE STRATEGIES CONFERENCE

Date: March 4 – 7, 2013

Location: San Diego, California

Description: The National Labor Management Healthcare Strategies Conference addresses the most critical issues facing organized labor. This conference helps participants learn about these issues while considering the Blue System’s role in this dynamic environment. The agenda is composed of key speakers from many different areas of the labor world.

Target Audience: Blue Cross and Blue Shield Plan marketing or sales representatives and executives who are responsible for Taft-Hartley funds, single employer union accounts, public school districts, municipalities and state and local government accounts.


17


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




National Programs

NATIONAL PROGRAMS CUSTOMER FORUM/BLUECARD® EXECUTIVES MEETING – SPRING

Dates: March 12 – 14, 2013


Description: National Programs Customer Forum meetings provide an opportunity for Plans and Blue Cross and Blue Shield Association teams to work together to obtain and share technical, business and operational information in a collaborative environment. This forum will be held in conjunction with the BlueCard Executives Meeting to maximize collaboration opportunities between multiple Plan disciplines and BCBSA staff.

The meetings are designed to facilitate innovation to modernize inter-Plan processing technologies and business operations for the entire Blue System.

Target Audience: BlueCard executives, Plan technical and operational staff accountable for ITS, Blue2, BlueExchange and the Provider Data Repository, as well as staff accountable for monthly execution/maintenance of the LDLA claim audit extract software.


NATIONAL PROGRAMS CUSTOMER FORUM/BLUECARD® EXECUTIVES MEETING – FALL

Dates: August 20 – 22, 2013


Description: National Programs Customer Forum meetings provide an opportunity for Plans and Blue Cross and Blue Shield Association teams to work together to obtain and share technical, business and operational information in a collaborative environment. This forum will be held in conjunction with the BlueCard Executives Meeting to maximize collaboration opportunities between multiple Plan disciplines and BCBSA staff.

The meetings are designed to facilitate innovation to modernize inter-Plan processing technologies and business operations for the entire Blue System.

Target Audience: BlueCard executives,Plan technical and operational staff accountable for ITS, Blue2, BlueExchange and the Provider Data Repository, as well as staff accountable for monthly execution/maintenance of the LDLA claim audit extract software.


18


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




2014 Blue National Summit

SPECIAL NOTE REGARDING THE BLUE NATIONAL SUMMIT

The next Blue National Summit will be held May 19-22, 2014 in Orlando, Florida, due to the System-wide priority of preparing for exchange open enrollment which begins in October of 2013.

Knowledge-sharing among industry colleagues and Blue Cross and Blue Shield companies is invaluable, and the Blue National Summit is an ideal venue at which to strengthen the Blue System through professional networking and sharing of best practices. We remain fully committed to building upon the success this conference has enjoyed through its first three years. As always, we appreciate your support, and we look forward to hosting you at an even more valuable and entertaining event next year.

Date: May 19 – 22, 2014

Location: Orlando, Florida

Description: The 2014 Blue National Summit is the premier BCBSA conference of the year, assembling Blue professionals from across the system to share best practices, gather insights from keynote addresses and breakout sessions, and network with fellow Blue colleagues.

Now in its fourth year, the 2014 Blue National Summit features a variety of events that will inform, connect and energize its attendees:

• General Sessions – Industry and political leaders addressing market-wide issues

• Multi-Discipline Sessions – National business experts providing broad insight

• Breakout Sessions – Best practices and discipline-specific learnings

• Industry Exhibit Hall – A multitude of opportunities for education and collaboration

• Networking Opportunities – Receptions and events to connect with colleagues

• Wellness Activities – Early morning energizers for the body and mind

Agenda: The 2014 Blue National Summit agenda focuses on key market imperatives, such as:

• Investing in the growing individual consumer market• Leveraging our leading position in the group and national

account market• Providing leadership in all lines of government business• Leading the restructuring of the care delivery and financing systems• Proactively shaping the legislative and regulatory environment• Achieving a competitive cost position across market segments

Registration Fee: Please contact the Conference Registrar for more information.

mailto:Conferences%40bcbsa.com?subject=

19


CONTENTS

Anti-Fraud ...............................3






Finance and Tax ....................12

Internal Audit........................14

Labor .....................................16




Contact Information

Blue Cross and Blue Shield Association Conference Services

225 N. Michigan Avenue

Chicago, Illinois 60601

312.297.5825 [email protected]

2013 GUIDE TO EDUCATIONAL PROGRAMS · PDF fileexam of the Academy for Healthcare Management (AHM 250). Participants will earn the PAHM designation (Professional, Academy for Healthcare

Documents