| LCA CASE NUMBER | I-200-21092-194741 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-02 |
| DECISION DATE | 2021-04-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Provider Data Reporting Analyst 2 |
| SOC CODE | 15-1141.00 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-04 |
| END DATE | 2024-09-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | BLUECROSS BLUESHIELD OF TENNESSEE INC |
| EMPLOYER ADDRESS1 | ONE CAMERON HILL CIRCLE |
| EMPLOYER CITY | CHATTANOOGA |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14235358208 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Jacobs |
| EMPLOYER POC FIRST NAME | Stephanie |
| EMPLOYER POC JOB TITLE | Talent Acquisition Consultant |
| EMPLOYER POC ADDRESS 1 | One Cameron Hill Circle |
| EMPLOYER POC CITY | Chattanooga |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37402 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14235353589 |
| EMPLOYER POC EMAIL | Stephanie_Jacobs@bcbst.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Vinh |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16158508936 |
| AGENT ATTORNEY EMAIL ADDRESS | Vinh.Duong@wallerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | One Cameron Hill Circle |
| LCA CASE WORKLOC1 CITY | Chattanooga |
| WORKSITE COUNTY | HAMILTON |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 37402 |
| LCA CASE WAGE RATE FROM | 82600 |
| LCA CASE WAGE RATE TO | 106043 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 82600 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | Culpepper Compensations Surveys & Services |
| PW SURVEY NAME | Healthcare IT Survey |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Katz |
| PREPARER FIRST NAME | Nora |
| PREPARER BUSINESS NAME | Waller Lansden Dortch and Davis |
| PREPARER EMAIL | nora.katz@wallerlaw.com |
