J Baird

J Baird Email and Phone Number

TriWest Healthcare Alliance @ TriWest Healthcare Alliance
phoenix, arizona, united states
J Baird's Location
Peoria, Arizona, United States, United States
J Baird's Contact Details

J Baird personal email

About J Baird

I am an energetic and experienced leader driven towards team efficiencies and quality performance utilizing data, systems and training focused on exceptional customer/client satisfaction promoting growth and improving business models. I leverage my leadership skills, medical management knowledge, Information Technology (IT), Information Systems (IS), Information Management (IM) skills to improve or build sound business solutions.My years of healthcare management experience include; Prescription Claims Reimbursement Manager for CVS Health where I successfully improved team operations and implemented various processes that enhance compliance and customer satisfaction. As the Medicare Operations Enrollment/Eligibility/Billing Manager with Conifer Health Solutions I was actively involvement in Star rating initiatives, call center activities, member wellness outreach initiatives, statistical and metrics reporting that improved the Medicare plan operations throughout the enterprise. I was formerly the Enrollment Production Manager at TriWest Healthcare Alliance leading a highly successful team that exceeded government compliance standards. My years of healthcare management experience also include; project management, Information Technology (IT), Data/Statistics analysis, Information Systems (IS), and Healthcare Administration would make me a valued member of any team.I am a motivated management professional and have significantly contributed to the success of every organization. My management experience, team approach and work ethic made me a valuable manager and resource for implementing and managing people, resources, activities and systems in the performance of the mission. As a Director, Manager, Supervisor, and Leader I have been able to motivate staff to enhance customer satisfaction and promote teamwork throughout my career.I would welcome the opportunity to discuss how my skills would benefit your team.Sincerely, Jim Baird

J Baird's Current Company Details
TriWest Healthcare Alliance

Triwest Healthcare Alliance

View
TriWest Healthcare Alliance
phoenix, arizona, united states
Website:
triwest.com
Employees:
1576
J Baird Work Experience Details
  • Triwest Healthcare Alliance
    Manager, Enrollment
    Triwest Healthcare Alliance Mar 2024 - Present
    United States
  • Gold Kidney Health Plan
    Sr Operation Manager, Enrollment
    Gold Kidney Health Plan Oct 2022 - Feb 2024
  • Conduent
    Sr Business Analysis, Claims
    Conduent Apr 2021 - Oct 2022
  • Cvs Health
    Manager Claims
    Cvs Health May 2017 - May 2019
    Scottsdale, Az
  • Conifer Health Solutions
    Medicare Operations Enrolllment Manager
    Conifer Health Solutions Sep 2014 - Apr 2017
    Phoenix, Arizona Area
  • Cvs Health
    Medicare Enrollment Manager
    Cvs Health Feb 2014 - Sep 2014
    Scottsdale, Az
    • Managed over 50 Medicare Part D enrollment specialist working to initiate or resolve beneficiary and group enrollment activities• Identified deficient Late Enrollment Penalty (LEP) processes; successfully increased Service Level Agreement (SLA) adherence by 16% within 3 months, ensured timely processing of LEP notifications often exceeding Centers for Medicare & Medicaid Services (CMS) requirements; collaborated with Quality and Training departments to address specialist error trends• Established tools to manage audit errors, identify required refresher training and provided detailed scorecards to address quality • Implemented SharePoint solutions to manage LEP workload; established efficiencies and increased productivity saved man-hours
  • Triwest Healthcare Alliance
    Manager, Tricare Enrollment Production
    Triwest Healthcare Alliance Aug 2007 - Mar 2013
    Phoenix, Arizona Area
    •Managed 500K+ TRICARE enrollment requests annually, to include 50K+ beneficiary enrollment support inquiries •Successfully standardized and optimized Enrollment business processes; ensured enrollment contractual processing standards met or exceeded 99.00% for processing all TRICARE program application requests•Provided oversight and direction in support of MTF commanders, TRICARE business operations, goals and decisions•Coordinated TRICARE policy decisions and issues related to beneficiary enrollment or fees activities with TRICARE Regional Office West Enrollment SME; collaborated on TRICARE manual directives and TRICARE policy changes•Coordinated TRICARE operations, deployment and beneficiary support activities with Market Vice Presidents of Operations and Service Area Directors to optimize/improve customer experience and maintain TRICARE objectives •Established a highly effective communication process with the TRICARE Service Centers Clinical Nurse Managers•Actively participated on process action teams supporting TRICARE changes orders affection the West Region operations and executed sound business decision to successfully implement the multiple change orders•Managed over 50 Enrollment staff; Supervisors, Team Leads, Enrollment Processors, Congressional and Correspondence Analyst, MTF and TSC Support Team Staff, DEERS Support Agent, and Mail Room Staff •Developed multiple key enrollment processes and designed databases that identified, tracked and analyzed workload
  • Triwest Healthcare Alliance
    Fee Progject Manager, Enrollment Production
    Triwest Healthcare Alliance May 2006 - Aug 2007
    Phoenix, Arizona Area
    •Managed Fees projects; improved billing accuracy to military healthcare beneficiaries-improved 23%•Rallied Fees team to identify, assess, prioritize, and establish requirement for system enhancements/fixes•Developed monitoring tools/reports for Production staff-increase timely monitoring of enrollment workload•Analyzed/extracted various data sources/reports; allowed Fees Team leader to manage workload/resources•Analyzed and reported Enrollment Production’s daily, weekly, and monthly beneficiary application•Managed, directed, monitored, established processes and goals with the Fees Test Analysis and Fees Team on tasks/initiatives for TriWest and/or TMA/DMDC; additionally tested software enhancements and fixes
  • American Health Care Partnership
    Director Of Information Technology
    American Health Care Partnership Jan 2005 - May 2006
    Crown Point, In
    •Provided oversight, support and guidance for network infrastructure, application projects, and training•Developed Database application tools for Health Management System; tools and reports based on ICD-9, DRG and CPT codes for nursing teams to approach health needs and education of client’s employees•Provide monthly and quarterly statistical analysis and reporting for 30 clients - increased clients confidence •Administered TPA SQL applications for claims processing and nursing documentation system•Coordinated claims web portal access and administration for Employers, Brokers, and Providers•Implementation advisor for integrating TPA claims processing to subcontractor; transition was successful•Worked with clients and brokers and improved customer service and relations - increased contract renewals •Successfully lead a team to migrate claims and realign companies business model to focus on health management
  • United States Air Force
    Manager, Information Technology
    United States Air Force Jul 2001 - Aug 2004
    Peterson Air Force Base, Co
    Positions: IT/IS/IM Manager; Manager, Server/Network Administration; Composite Health Care System (CHCS) Administrator; Database Administration; Help Desk Technician/Manager/Supervisor; Inventory Management, Supervisor; and Medical Administrative Career Field Manager.•Served as the Peterson Air Force Base Medical Group IT Manager and CIO for 350-staff members•Managed specialized skill set training, facilitated job specific training and job placement for 64 medical administrative specialist; provided training, leadership and mentorship for career structure progression•Spearheaded Data Quality efforts ensuring all data rules were followed-increased facility compliance•Improve CHCS system data, access standards, clinical coding, metrics, and medical records accuracy•Project Manager - $1.2M Medical Systems Infrastructure Modernization project•IT Help Desk manager, supervised 9 technicians in the completion of over 5,000 service requests annually for a customer base of 450+. Streamlined trouble call response times by 50% ensuring 98% resolution within one hour, increasing customer satisfaction by 35%•Managed and supported seven file servers with Windows 2000/NT applications and Quantum tape Library•Responsible for all aspects of medical information systems infrastructure, support and security•Supported 9 unique medical systems, ensured 98% resource availability and data integrity•Managed IT Help Desk, supervised 9 IT professionals in the completion of critical tasks/special projects•Microsoft Windows and Office Professional expert, Microsoft Access database developer•Designed/implemented databases throughout the medical company-increased organization/productivity•Modernized operations; improved IT capacity and utilization by 35%•Provided expert technical oversight of 9 Air Force medical systems and programs
  • United States Air Force
    Manager, Information Technology
    United States Air Force Sep 1997 - Jul 2001
    Edwards Af Base, Ca
    Positions: IT/IS/IM Manager, Department Team Leader, Alternate Windows NT/Novell Administrator, Help Desk Manager, Ambulatory Data System (ADS) Database Administration, Data Quality Team Leader, Data Analyst, CHCS consultant to contractor staff, Medical Records Supervisor/Manager, Microsoft Office Professional trainer•Championed Data Quality Team, analyzed clinical processes, optimized data compliance and accuracy•Facilitated clinical data reviews of medical records for completeness, accuracy, timely completion•Analyzed physician and nurse data entry into CHCS. Data Quality team established guidelines, procedures and facilitated training-increased system and coding accuracy standards by 20%•Provided clinical metrics to executive leadership-enabled sound clinical and business decisions•Developed a database tool that compared CMAC rates to CPT Codes to establish hospitals throughput•Audited clinic End-of-Day processing, increased workload reporting statistics from 65% to 95%•Provided oversight for $1.5 million medical systems, infrastructure, plans and programs•Managed computer network/office automation, acquisition, hardware repair/replacement, deployments, policies, maintenance contracts, user access, and implemented/coordinated network security•Trainer/Expert Microsoft Office Professional, Microsoft Access database developer•Supervised 10 medical administrative personnel to successfully resolve long-standing backlog •Supervised 7 IT and contract personnel to provide expert hardware configuration, maintenance, and repair
  • United States Air Force
    It Manager, Edwards Afb, Ca
    United States Air Force 1997 - 2000
  • United States Air Force
    It Manager, Edwards Afb, Ca
    United States Air Force 1997 - 2000
  • United States Air Force
    It Manager, Edwards Afb, Ca
    United States Air Force 1997 - 2000
  • United States Air Force
    It Manager, Edwards Afb, Ca
    United States Air Force 1997 - 2000

J Baird Skills

Contractual Air Force Sound Infrastructure System Software Data Entry Health Management Processors Novell Procedural Modernization Analysts Oversight Medical Records Change Orders Network Security Vice Presidents Chcs Treatment Clinical Operations Statistics Metrics Programmers Keys Database Administration Leadership Information Systems Supervisor Defense Structures Networking Customer Satisfaction Education Dbms Microsoft Office Training Customer Service Directors Nursing Documentation Documentation Project Management Cpt Reporting Guides Hardware Access Hospitals Information Technology Renewals Tpa Network Infrastructure Ambulatory Business Analysis Communication Business Operations Operations Clinical Data Microsoft Access Maintenance Project Implementation Timelines Congressional Icd Sql Affordable Care Act Statistical Reporting Data Integrity Healthcare Management Mail Dod Brokers Regulations Microsoft Windows Resources Reviews Government Records Windows Vista Data Quality Software Windows Nt Billing Workgroups Analytical Skill Production Management Administration Office Automation Military Drg Nursing Directives Technician Mandates Customer Service Operations Databases

Frequently Asked Questions about J Baird

What company does J Baird work for?

J Baird works for Triwest Healthcare Alliance

What is J Baird's role at the current company?

J Baird's current role is TriWest Healthcare Alliance.

What is J Baird's email address?

J Baird's email address is ba****@****ail.com

What skills is J Baird known for?

J Baird has skills like Contractual, Air Force, Sound, Infrastructure, System Software, Data Entry, Health Management, Processors, Novell, Procedural, Modernization, Analysts.

Who are J Baird's colleagues?

J Baird's colleagues are Angelina Vrbljanac, Shayla Stevebson, Barbara Kelby, Donna Hoffmeier, Mary Julo, Susan Jesus, Mei Ramsey.

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