James Proctor Email & Phone Number

United States

Saint Louis, Mo, Us

Lead and manage the day-to-day operational and tactical aspects of multiple or enterprise scale projects, new initiatives and other ongoing business deliverables in accordance with business needs. Identify, evaluate and resolve issues that conflict with project deliverables. Collaborate closely with project team members, business owners and sponsors to develop and successfully implement projects/programs. Assesses project risks, develops mitigation and contingency plans. Oversees project to ensure projects have required resources, meet milestones and are successfully implemented. Leads and coordinates matrix and/or cross-functional team. Utilizing tools such as JIRA, Confluence, ServiceNow for Managing the programs. Proposes a variety of solutions to business issues/problems utilizing appropriate analysis tools (i.e. Cost/Benefit Analysis, Flowcharting, etc.). Develops and tracks budgets, operating plans and financial cost forecasts to support the objectives of the project.Led the adoption of a Scaled Agile Framework, shortening product deployment cycles by 50%, enhancing team agility, and significantly improving project delivery efficiency.Enhanced claims reporting and operational transparency by developing PowerBI dashboards, leading to more informed decision-making and streamlined claim processing workflows.Optimized Pricing Business Process Flows, ensuring accuracy in claims adjudication through meticulous review and mapping of EDI 835 and 837 files, resulting in improved billing accuracy by 30% and reduced disputes by 20%.Created specialized reporting dashboards to support Medicaid Redetermination processes, successfully identifying and addressing eligibility issues to maintain compliance and program integrity.

Experienced Consultant Providing Project Management Services to Hospitals and Health Insurance (Payers) Companies. Client Projects Listed Below but have provided Consulting Services to Centene Corporation, CareSource, Presbyterian Healthcare Services and IBM on long-term complex program implementations. Projects include Regulatory/Compliance, Revenue Cycle, Digital Strategy, Business Intelligence and EHR and Payer System Implementations.

Dayton, Oh, Us

Responsible for all aspects of Information Technology program management and project resources (including partners/subcontractors), program planning, scheduling, risk management, scope management, internal and external communications, status reporting, and resource management using ServiceNow, JIRA, SmartSheet, Microsoft Project, BI Tools.Strategically led the delivery and integration of a new Accountability Care Organization (ACO) across five marketplaces, boosting revenue by securing new hospital clients and achieving significant cost savings through enhanced care quality.Directed the development and launch of a cost estimator tool, ensuring 100% compliance with the Transparency in Coverage / No Surprises Act by making machine-readable files accessible on caresource.com, enhancing patient transparency and trust.Managed the seamless upgrade of the Facets core administration system to version 5, improving system efficiency and user experience for both staff and clients.Orchestrated the successful deployment of the HealthEdge 'Guiding Care' Care Management Suite, revolutionizing CareSource's data and workflow management to better operationalize its evidence-based care management strategy, resulting in improved patient outcomes and operational efficiency.

Albuquerque, Nm, Us

Established a new Portfolio PMO and center of excellence that aligns with the Project Management Institute (PMI) guidelines, quality standards and company strategy. Responsible for Implementing efficiencies that meet or exceed the financial expectations established and Develop and govern program and portfolio management processes, uses of dashboards, templates, keeping aligned with policies and metrics Monitor projects, programs and portfolio to ensure compliance with project policies and standards as well as keeping to schedules, budgets and quality expectations. Manage project, program and portfolio deliverables and tasks Coach and mentor team and share knowledge and best practices. Hire and manage PMO staff, including project, program and portfolio professionals, in line with project objectives and Coordinate deliverables with project managers, analysts, market leads, et al., while supporting contractors and reporting structure. Oversee project managers of all projects to make sure delivery of their projects is on time and within budget as well as meeting quality standards. Works with executive team to assess and decide on which proposals have the highest potential value, impact and strategic alignment. Identify project, program and portfolio priorities, deal with challenges and communicate project risks and opportunities.Successfully Deployed PlanView Enterprise Portfolio Program Management Tool for both the Hospital and Health Insurance Business Entities. Spearheaded the implementation of a comprehensive IT cost reduction strategy, achieving a 22% reduction in operational expenses by optimizing server, database, and support contract usage, resulting in significant first-year cost savings.Directed the seamless transition from the Facets claims adjudication system to HealthRules Payor, ensuring 100% system uptime and integrating patient financial data, leading to an estimated annual cost savings of $5m and enhanced operational efficiency.

Armonk, New York, Ny, Us

Championed the development and strategic direction of the IBM Watson Health Program Management Office, overseeing 35 project management professionals and managing 80 projects contributing to over $100m in annual revenue, ensuring timely, within-budget delivery across all initiatives.Directed the successful execution of a $35m Data Warehouse project for a State Healthcare System, enhancing data analytics capabilities and supporting improved healthcare outcomes.Led the IBM Watson Health team to achieve CMMI Level 4 Re-Certification, significantly enhancing project delivery standards and client satisfaction through rigorous process improvement and quality management practices.

Vantaa, Fi

Provided visionary leadership and operational oversight for all iCare EHR client deliveries and implementations, directly contributing to the company's strategic direction and reporting to the CEO. Spearheaded business development and B2B sales, playing a pivotal role in product positioning and market growth.Built and led a multidisciplinary Implementation Services team, including Subject Matter Experts, Functional Area Managers, and Medical Information Officers, which was instrumental in streamlining deployment processes, enhancing client engagement, and ensuring successful EHR implementations.Forged strategic partnerships with key vendors (Zynx, Relay Health, Data Innovations, Accreon) to enrich iCare's EHR ecosystem with advanced functionalities like Physician Order Sets and HL7 Interfaces, thereby elevating the platform's value proposition and interoperability.Oversaw the successful launch and on-time, below-budget implementation of iCare EHR for its inaugural hospital client, setting a precedent for excellence and reliability in client engagements.. Drove the Business Development strategy, generating over $24 million in revenue and establishing iCare as a competitive player in the EHR market through strategic sales initiatives and high-impact client relationships.

Sandy, Ut, Us

Directed the development of a SaaS Cloud-based version of the Medsphere Clinical EHR Product Roadmap, identifying new market opportunities and leading to a successful launch and customer adoptionDrove the Business Development initiative for Government Clients, resulting in a $7m increase in revenue by strategically navigating government procurement processes and establishing key partnerships.Led a multidisciplinary team of experts in clinical, lab, radiology, pharmacy, and technical fields, ensuring seamless implementation of Medsphere products across diverse healthcare settings, thereby enhancing client satisfaction by 44% and product reliability by nearly 50%.

Worldwide, Oo

Served as a key strategic advisor for Deloitte's major health provider clients, delivering high-value consultative services that enhanced operational efficiencies and compliance with evolving healthcare regulations.Led the transformative USAID partnership initiative in Central America, directing international consultant teams in developing a comprehensive Five-Year Healthcare Delivery Roadmap for Costa Rica and Nicaragua, significantly improving local healthcare systems.Orchestrated Meaningful Use Gap Analyses across multiple hospital clients, leading to actionable Roadmaps that streamlined the adoption of Epic and Cerner EHR systems, enhancing data interoperability and patient care outcomes.

Arlington, Tx, Us

Led the implementation of a Radiology Quality Program in partnership with American Imaging Management, achieving a 15% reduction in radiology costs through enhanced quality control measures.Initiated and oversaw the deployment of a Corporate Business Intelligence Data Warehouse, significantly enhancing data analytics capabilities, which led to increased revenue, higher productivity, and cost savings through improved decision-making processes.Directed the construction of a $20m Data Center for Scott & White Hospital, completing the project 3% under budget and on schedule, with full operational capability from day one, showcasing exceptional project management and budgeting expertise.Implemented a comprehensive Core Payer System, ensuring full Medicare and Medicaid compliance, enhancing claims processing efficiency, and reducing error rates, thereby improving overall operational reliability and patient satisfaction.Spearheaded the Meaningful Use compliance program across Community Health Systems' 100+ hospitals, securing MU Stage 1 compliance and unlocking an additional $150m in revenue through federal incentives.Successfully rolled out a cloud-based Laboratory Information System across 4 Florida Hospitals, transforming the department into a profit center by optimizing lab operations and reducing reliance on external reference labs.Delivered 22 healthcare benefit designs for Harvard Pilgrim Healthcare within tight regulatory timelines, contributing to a projected $130m in annual revenue and strengthening the organization's market position in Massachusetts.

Master Of Business Administration - Mba, Management Information Systems, General

Bachelor'S Degree, Computer Science

Certificate, Data Science Immersive Program

Graduate Certificate, Healthcare Information Technology

Certification, Itil V3 Service Delivery

Pmp Certification, Project Management

Scrum Master Certification, Certified Scrum Master

Graduate Certificate, Lean Six Sigma Black Belt (Ssbb)