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Fred Darnell has a diverse work experience spanning over several decades. Fred began their career at Deloitte as a Senior Auditor in 1988. Fred then worked at PowerMark LLC as a Controller from 1991 to 1993. From 1993 to 1996, they were a Software Integrator at Roeing Corporation. In 1996, they joined Chemtura Corporation as a LAN Services Manager until 2000. In the same year, they joined RealMed as the Director of Technical and Business Support, where they were responsible for delivering value to health plans and managing revenue cycles. Fred worked at RealMed until 2011. Since 2000, they have also been associated with Availity, where they started as the Senior Director of Blue Cross Blue Shield Account Management and currently serves as the Vice President of Strategic Account Services.

Fred Darnell obtained a Bachelor of Science (B.S.) degree in Accounting from Purdue University, which they attended from 1984 to 1988. In April 2013, they also obtained the CAAM certification from the Association of Strategic Alliance Professionals.