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Richard A. Cullen

Managing Director, National Program Development

Blue Cross and Blue Shield Association

Mr. Cullen is the Managing Director of National Program Development at the Blue Cross and Blue Shield Association (BCBSA). In this role, he is responsible for BCBSA’s national business development initiatives and ensuring interoperability among the national federation of 39 independent, locally operated Blue Cross and Blue Shield companies. His responsibilities include overseeing BCBSA’s representation on all national standards development organizations (SDOs), developing national Blue solutions for emerging products, developing related policy and compliance programs and increasing provider/member satisfaction with BCBS national program delivery.

As part of leading his team’s engagement in all SDOs, Mr. Cullen serves as BCBSA’s representative on the Workgroup for Electronic Data Interchange’s Board of Directors and on the Council for Affordable Quality Healthcare’s Administrative Simplification Committee.

Attachment: Curriculum Vitae

RICHARD A. CULLEN

225 N. Michigan Avenue · Chicago, Illinois 60601

312-297-5987 · rich.cullen@

Healthcare professional with extensive leadership experience in the health care industry managing complex relationships with large clients, Blue Plans and various industry organizations. Successful, goal-driven, strategic manager with outstanding business planning and the following industry knowledge/skills.

|Policy and Standards Development |National Account Delivery |Compliance Administration |

|Product Development |Performance Management |Strategic Business Planning |

|Financial and Budget Management |Operational Improvement |Executive Communications |

PROFESSIONAL EXPERIENCE

BLUECROSS BLUESHIELD ASSOCIATION, Chicago, Illinois July 1997 to Present

Managing Director, Inter-Plan Programs – February 2007 to Present

Director, Inter-Plan Programs – April 2005 to February 2007

Health Information Technology

- Provide national coordination and leadership for Blue Cross and Blue Shield Association (BCBSA) and its independent Blue Cross and Blue Shield Plans in all Administrative Simplification aspects of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and health information technology initiatives.

- Lead and oversee BCBSA representation at National Uniform Billing Committee, National Uniform Claim Committee, Dental Content Committee, Workgroup for Electronic Data Interchange, Accredited Standards Committee X12 Insurance Subcommittee, Health Level 7 and Council for Affordable Quality Healthcare.

- Develop and produce national HIPAA and HIT conferences and workshops for Blue Cross Blue Shield Plans.

Regulatory

- Manage all federal and state regulatory issues to ensure BCBS inter-Plan impacts and solutions are identified.

- Ensure system-wide compliance with all regulatory requirements.

- Represent BCBS and national account perspectives while working on industry-wide initiatives such as HIPAA.

Product Development

- Develop and implement system-wide solutions for emerging product opportunities including Consumer Directed Health Care, Medicare Advantage and Limited Benefit Health Plans.

- Lead staff activity to successfully engage various BCBS Plan advisory groups, develop solutions and obtain governance approval for strategic direction.

Customer Satisfaction

- Responsible for increasing provider and member satisfaction with BCBS national account programs.

- Lead staff activity to successfully engage various BCBS Plan advisory groups, develop solutions and obtain governance approval for satisfaction improvement strategies.

Policy Development and Compliance

- Lead development of inter-Plan program policies to support delivery of National Account business including BlueCard, Medicare Advantage and all other inter-Plan business.

- Ensure system-wide compliance with requirements for all national account programs.

Performance

- Lead strategic development of inter-Plan programs performance programs to ensure superior Plan performance and customer satisfaction.

- Ensure system-wide compliance with requirements for all national account performance programs.

RICHARD A. CULLEN Page 2

Regulatory Manager – June 2004 to April 2005

Manage all federal and state regulatory and legislative issues to ensure BCBS national program impacts and solutions were identified by working with internal legal staff, Plan counsel, Congressional Relations staff and industry organizations to analyze and draft recommendations.

Direct prompt pay initiative to mitigate Plan financial impacts and recommend solutions for regulatory reform.

Manage Anti-Fraud Plan Advisory Group to identify and address fraud issues related to BCBS inter-Plan business.

Monitor and analyze Medicare activity, including the Medicare Modernization Act, to identify inter-Plan impacts, improve current processes and support future product delivery.

Participate in national forums and industry organizations such as CAQH, X12, HL7 and NUBC/NUCC to represent BCBS national program business.

Away From Home Care Manager – February 2003 to June 2004

Away From Home Care Program Manager – October 2001 to February 2003

Successfully managed delivery of out-of-area program for BCBS Plan members.

Directed the successful operation of the program including: performance program, policy development, customer service help line, financial operations, system development and training program.

Developed several revenue models to ensure adequate funding for program and operations. Also developed budgets for various contingency plans to protect the program against any network variations.

Lead business, technical and project management team in new system development initiative. Defined business requirements, identified replacement architecture and obtained senior management and customer buy-in and support. Identified synergies with other technical projects to reduce cost estimates and improve return on investment.

Managed the analysis of multiple delivery platforms to determine feasibility and identify the future strategic direction of the program.

Created marketing strategy to assist BCBS Plans efforts to win membership and educate their accounts and members on the program’s benefits.

HEWITT ASSOCIATES LLC, Lincolnshire, Illinois May 2001 to October 2001

Account Manager

• Developed and managed client relationships to enhance overall experience and administer the full range of benefits outsourcing services for corporate clients.

• Determined client pricing, subsidies and selection of health and welfare plans and lead implementation team to ensure client’s seamless transition to new benefits delivery system.

BLUECROSS BLUESHIELD ASSOCIATION, Chicago, Illinois July 1997 to May 2001

Senior Sales Consultant – March 2000 to May 2001

National Account Manager – July 1997 to March 2000

Served as primary contact for BCBS sales representatives in developing and pursuing national account prospects.

Partnered with BCBS Plan customers, account decision-makers, consultants and brokers to develop strategic action plans to ensure the most efficient and cost-effective national account delivery mechanism.

Managed entire bidding and proposal process in areas of rate negotiation and strategy.

Delivered final proposal to account and facilitated decision making process.

Created and implemented training and educational programs for the sales force of BCBS Plans on the various national account delivery platforms.

Coordinated open enrollment nationally to ensure smooth implementation.

RICHARD A. CULLEN Page 3

RUSH PRUDENTIAL HEALTH PLANS, Chicago, Illinois December 1993 to July 1997

Account Manager

Managed multiple employer group HMO, POS and PPO health care contracts.

Responsible for the retention, growth and service of a large book of business.

Delivered and negotiated contract renewals with clients and brokers.

Conducted enrollment meetings for groups of employees to explain the benefits and responsibilities under their health care plan.

EDUCATION

UNIVERSITY OF ILLINOIS/CHAMPAIGN-URBANA, ILLINOIS

Bachelor of Arts in Economics with a minor in Political Science

ACTIVITIES AND COMMITTEE MEMBERSHIPS

American National Standards Institute, Accredited Standards Committee X12, Insurance Subcommittee (ANSI X12N). Actively participate in health care workgroups and manage BCBSA staff participation and engagement.

Council for Affordable Quality Healthcare (CAQH). CAQH Administrative Simplification Committee Member and active participant in CAQH’s Committee on Operating Rules for Information Exchange (CORE).

Workgroup for Electronic Data Interchange (WEDI). Member, Board of Directors. Also participated, or directed staff participation, on other committees including; National Provider Identifier Outreach Initiative, Health Savings Account Task Group and Health Identification Card Implementation Guide.

Health Level 7 (HL7). Direct accountability for successful BCBSA participation. Provide leadership by managing BCBSA staff participation and engagement.

National Uniform Billing Committee (NUBC). Direct accountability for successful BCBSA participation. Provide leadership by managing BCBSA staff participation and engagement.

National Uniform Claim Committee (NUCC). Direct accountability for successful BCBSA participation. Provide leadership by managing BCBSA staff participation and engagement.

Dental Content Committee (DeCC). Direct accountability for successful BCBSA participation. Provide leadership by managing BCBSA staff participation and engagement.

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