Jim Delaware
OPERATIONAL EXCELLENCE | CLIENT-CENTERED FOCUS | BUSINESS STRATEGIST | CUSTOMER SUPPORT | PROCESS IMPROVEMENT
- Role
- Senior Manager of Operations at Public Consulting Group
- Location
- Durham, ME, US
- LinkedIn followers
- 500 followers
About Jim Delaware
Operational excellence | client-centered focus | business strategist | customer support |…
Experience
Senior Manager of Operations
Jul 2021 — Present · Portsmouth, NH, US
Strategize the planning and development of PCG TPA (third party administrator) with internal and external customers.Manage team responsible for all EDI/System functions:* Production cycle * Eligibility loads * Check Run Process * 837 Claims Loads * 835 Payment Files * System Configuration * Void and Reissue checksWork closely with Project Managers who will prioritize and oversee project advancement.Conduct due diligence of internal TPA/client workflows and recommend efficiencies and improvements with clients and vendors.Provide governance for submission of service tickets with vendors.Develops and implements procedures pertinent to the effective and efficient operations of all departments.Coordinate development of IT technical initiatives with PCG Operations Teams, clients, and vendors.Lead development of new platforms and interfaces with clients and vendors.Provide analysis of customer issues and ensure effective and long-term problem resolution.Main TPA operational contact and lead development of infrastructure with business partners.
Education
Computer Learning Center
Certificate
1984 — 1986
New York University
Continuing Education Courses while working at MMC
1993 — 1997
Skills
- Integration
- Software Development
- Analysis
- Leadership
- Data Warehousing
- Process Engineering
- Business Analysis
- Vendor Management
- Budgets
- Software Development Life Cycle (Sdlc)
- Management
- Business Process
- IT Management
- Data Analysis
- Healthcare
- Oracle
- Requirements Analysis
- Process Improvement
- Unix
- Windows Server
- Databases
- Sql
- Visio
- Business Intelligence
- Healthcare Information Technology
- Sharepoint
- Etl
- Enterprise Software
- Enterprise Architecture
- Healthcare Information Technology (Hit)
- Project Management
- Sdlc
- Software Project Management
- Quality Assurance
- Business Process Improvement
- Windows
- Peoplesoft
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