| LCA CASE NUMBER | I-200-21299-668765 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-26 |
| DECISION DATE | 2021-11-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief of Risk Revenue Management |
| SOC CODE | 11-3031.00 |
| SOC TITLE | Financial Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-08 |
| END DATE | 2024-11-07 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Blue Cross & Blue Shield of Rhode Island |
| EMPLOYER ADDRESS1 | 500 Exchange Street |
| EMPLOYER CITY | Providence |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 02903 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14014595000 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Auciello |
| EMPLOYER POC FIRST NAME | Monica |
| EMPLOYER POC JOB TITLE | Sr Vice President Legal Affairs & Policy, General Counsel |
| EMPLOYER POC ADDRESS1 | 500 Exchange Street |
| EMPLOYER POC CITY | Providence |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 02903 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14014595000 |
| EMPLOYER POC EMAIL | monica.auciello@bcbsri.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Desai |
| AGENT ATTORNEY FIRST NAME | Prasant |
| AGENT ATTORNEY MIDDLE NAME | Dhirajlal |
| AGENT ATTORNEY ADDRESS1 | 38 Third Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02129 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16174821010 |
| AGENT ATTORNEY EMAIL ADDRESS | desai@iandoli.com |
| LAWFIRM NAME BUSINESS NAME | Iandoli Desai & Cronin P.C. |
| STATE OF HIGHEST COURT | MA |
|
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4701 Hill Meadow Road |
| LCA CASE WORKLOC1 CITY | Grapevine |
| WORKSITE COUNTY | TARRANT |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 76051 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 195312 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
