Project Manager Customer Service
Resume:
James B. Webster
*** ******** *****, ********, ** 41017
SUMMARY
. FI Testing Project Manager for Medicare systems and testing
. Rolled out country wide testing reporting software (TestDirector) from
CMS
. Implemented training courses for new recruits to speed profitability
2000 - Present
FISS Beta Testing Site Manager, Empire Medicare Services (Syracuse, NY)
Project Manager for the FISS Part A Beta Testing Team. This team consists
of 13 business analysts. Responsibilities include overseeing the complete
FI Claims Processing testing process from testing release period through to
production. Assigned all testing per release, streamlining workflow,
reporting back to FISS and Centers for Medicare and Medicaid Services
(CMS), and attending bi-weekly Beta conference calls. Main contact for Beta
testing issues/concerns and main contact for FISS and CMS.
1998 - 2000
Information Technology Manager, Florida Blue Cross/Blue Shield
(Jacksonville, FL)
As Information Technology Manager, I oversaw the development and
implementation of IT changes to the Medicare Fiscal Intermediary Standard
System (FISS). My responsibilities included managing all testing activities
related to system changes and modifications prior to distribution to the
data centers. In this role, I managed and directed a staff of up to 35
people to complete various projects as defined by CMS.
1992 - 1998
Claims/Systems Support Manager, Anthem Inc. (Cincinnati, OH)
As Claims/Systems Support Manager, I oversaw a five-person staff
responsible for the implementation of FISS releases and subsequent testing
as contractors reported problems. In this position, I also served as
Anthem's Change Control Board (CCB) representative.
Anthem Inc. (Cincinnati, OH)
I also served in the following capacities at Anthem.
Medicare Claims Manager
I was responsible for insuring that Medicare claims were processed and paid
in accordance within CMS guidelines, and managing claims inventory levels.
In this capacity, I oversaw a 20-person staff.
Medicare Claims/IT Liaison
In this position, I served as the principal liaison between Anthem's Claims
and IT departments, and oversaw a two-person staff responsible for
analyzing, testing, approving and implementing program changes.
Medicare Claims/Service Supervisor
I oversaw all customer service functions related to Medicare claims
processing. In this capacity, I managed a 90-person staff that responded to
customer service inquiries from beneficiaries and providers.
EDUCATIONAL BACKGROUND
One year of Business Administration studies
Thomas More College - Crestview Hills, KY
Two years of Business Administration studies
Georgetown College - Georgetown, KY
TECHNICAL TRAINING
INFOMAN, TestDirector, PC Ace, File Aid, Microsoft Office, Lotus Notes,
Outlook Express
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