Bob Herrmann
Director, IT
December 1, 2005
Agenda
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My Background
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WellPoint, Inc
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Business Segments Supported
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IT’s Role
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Keys to Success
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Q&A
My Background
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Education
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Associate Degree in Data Processing, State University of Farmingdale, Farmingdale,NY
Bachelor of Science in Data Systems Management, Pratt Institute, Brooklyn, NY
Professional Experience
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Sedlak Associates, NY, NY
Security Pacific National Bank, Glendale, CA
WellPoint, Inc, Woodland Hills, CA
Current Responsibilities
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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
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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: www.wellpoint.com
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Company History:
WellPoint, Inc. was formed when WellPoint Health Networks Inc. and Anthem, Inc. merged in 2004. 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.
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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.
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Organizational Structure
Lumenos is a wholly owned operating division of WellPoint, was acquired in the summer of 2005. 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.
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WellPoint, Inc
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WellPoint’s Blue Cross and Blue Shield Companies
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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.
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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.
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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
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National Accounts Customer Segment
National includes accounts with 5000 or more employees.
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Large Group Customer Segments
Large Group includes accounts with 51-4,999 employees.
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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.
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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.
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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).
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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.
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Flexible Spending Accounts and Health Spending Accounts
IT’s Role
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Infrastructure
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Corporate Applications
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Computer Operations
DASD Management
Server Management
Job Scheduling and Monitoring
Data Security
Disaster Recovery
DBA Support
Technical Support
Architecture
Accounts Payable
Payroll
General Ledger
Human Resources
Enterprise Applications
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E-Commerce
Customer Service
Data Warehouse
IT’s Role
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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
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The Services that the Application Departments provide are::
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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
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Small Enhancements
• Discretionary projects with a cost estimate of less than $200K
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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
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Getting Started
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Business Knowledge
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Learn the business
Observe the business in operation
Listen to your customer
Look at alternative solutions
Manage Expectations
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Review your Resume
Investigate the company where you will be interviewing
Know your career goals
Set realistic expectations
Be clear in what is in and what is not in scope
Tackle problems when they occur
Escalate issues
Personal
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Find a mentor
Don’t burn bridges
Develop your networks
Q&A