| LCA CASE NUMBER | I-200-21321-712051 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2021-11-17 |
| DECISION DATE | 2021-11-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Analyst Health Care Informatics Coordinator |
| SOC CODE | 19-1041.00 |
| SOC TITLE | Epidemiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-27 |
| END DATE | 2024-12-26 |
| 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 Arizona |
| EMPLOYER ADDRESS1 | 2444 W. Las Palmaritas Drive |
| EMPLOYER CITY | Phoenix |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85021 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16028642046 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Michaud |
| EMPLOYER POC FIRST NAME | Torrie |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 2444 W. Las Palmitas Drive |
| EMPLOYER POC CITY | Phoenix |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85021 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16028642046 |
| EMPLOYER POC EMAIL | torrie.michaud@azblue.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lee |
| AGENT ATTORNEY FIRST NAME | Ann |
| AGENT ATTORNEY MIDDLE NAME | H. |
| AGENT ATTORNEY ADDRESS1 | 2000 S. Colorado Blvd.-Tower 3 |
| AGENT ATTORNEY ADDRESS2 | Suite 900 |
| AGENT ATTORNEY CITY | Denver |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13037646800 |
| AGENT ATTORNEY EMAIL ADDRESS | ann.lee@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Olgetree Deakins |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | Supreme Court of the State of New York |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5000 N. Mall Way Apt. 352 |
| LCA CASE WORKLOC1 CITY | Flagstaff |
| WORKSITE COUNTY | COCONINO |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 86004 |
| LCA CASE WAGE RATE FROM | 68854.48 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 59758 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
| PREPARER LAST NAME | Holguin |
| PREPARER FIRST NAME | Margarita |
| PREPARER BUSINESS NAME | Ogletree Deakins |
| PREPARER EMAIL | margarita.holguin@ogletreedeakins.com |
