Jim Mcmahan Email & Phone Number

Maryland, United States

Consulting company engaged with Maryland State Department of Education (MSDE) to provide project management services for the Child Care Administrative Tracking System (CCATS). This application is used by the Sate of Maryland to manage their Child Care program state-wide.

Annapolis Junction, Md

Sr. Program Director, Corporate Governance and Operations, Oct 2016-PresentSr. Program Director, Medicare CERT DC; Sep 2015-Oct 2016Integrated multiple governance models (Agile, ISO 9001:2015 Certified Quality Management System and CMMI L3 Dev) portfolio-wide that successfully impacted internal and external engagements.Expert at aligning business operations with technology and the portfolio of the firm. Lead from a service perspective, training Program Managers and staff while empowering them to be able to make decisions at the lowest level.Fully responsible for Medicare Comprehensive Error Rate Testing (CERT) Documentation Contractor (DC) contract through Centers for Medicare & Medicaid Services (CMS). Livanta developed and operated Information Technology infrastructure for the daily request and receipt of medical records related to the CERT program. Livanta provides investigative approaches to process of securing medical records within deadline. Through call center and mail room operations, Livanta performs the full scope of record and communications tracking. Perform case and data tracking, call center integration, and web-based reporting, which have improved efficiency, accountability, and results.- Monitor key performance metrics and address ways to correct when needed.- Re-established excellent working relationships with stakeholders and contract resources.

Program Manager, MD CATS Projects; Nov 2013 – Sep 2015Director Contract Compliance; Jul 2009–Nov 2013; Jan 2013 – Nov 2013 ICResponsible for contract compliance oversight of multiple State agencies including Maryland Department of Human Services (DHS - formerly DHR), Maryland State Department of Education and Maryland’s Health Benefit Exchange. Services included application development, outsourcing of IT hosting and maintenance services. Contract values ranged from $2.4m to a projected value of $500 million.- Provide contract oversight for the State of Maryland Health Benefit Exchange initiative through DHS, supporting the Affordable Care Act.- Guided Account Executive and Managers to conduct business in contractual compliance with industry regulations, professional standards, acceptable business practices and internal standards.- Maintained and improved administrative relationship with client, including CIO level interface for Service Level Agreement (SLA) reporting and monitoring, invoicing and other special projects.

Insurance Industry Regulatory Consultant / Broker; Mar 2008 - Jun 2009National Health Insurance Company (NHIC); Grand Prairie, TX; President, Dec 2007 – Mar 2008Hired by NHIC in anticipation of a new Buyer. Anticipating significant post-settlement growth:- Developed strategic plan to handle new business. Analysis focused on infrastructure and staffing capacity within Customer Service, Agent Operations, Claims and Underwriting. Implementation included company’s first new product in five years.- Created strategy to leverage my positive reputation with state insurance departments nationwide to renew suspended or restricted Certificates of Authority. Targeted 19 states within first year.- Established excellent working relationships with Officers, employees and stakeholders.- Facilitated greater inter-company communication that shaped foundation for change management.- Built upon relationships with members of Texas Insurance Department to aid transition.Buyer’s contract was terminated February 28, 2007. Subsequently brokered the sale to an alternate Buyer.Maintained relationships with representatives from national regulatory agencies and industry.

Held primary responsibility for day-to-day operations of the Agency that regulates Maryland’s $22 billion insurance industry. General duties included: management of all Agency staff (290 employees); direction and coordination of Units as to responsibilities and methods for implementing regulatory activities; budget planning and execution in accordance with State Appropriations process; and, decision making for personnel issues including those resulting in adverse action. Oversee fiscal planning for operations in an environment of fiscal and staffing constraints.Represented Commissioner in matters pertaining to MIA, including: liaison with Governor’s Office and Maryland General Assembly, National Association of Insurance Commissioners (NAIC), the insurance industry, provider community, consumers and media.Spearheaded changes to State-mandated objectives (Managing For Results) that aligned outcomes with organization’s direction/goals.

Handled corporate and estate issues for attorneys on a contract basis.

Member of two-person Senior Executive Team responsible for strategic planning, development, operations management, financial affairs and leadership of a software development company. This company automates business processes for Fortune 1000 organizations with web-based development and proprietary software. Customers included AT&T, MCI WorldCom & Hershey Foods.

Mba

Activities and Societies: Advantage MBA Program, Merit Scholarship Recipient

Jd

Activities and Societies: President - Student Bar Association 1993-94

Bs, Marketing

Activities and Societies: President, American Marketing Association - 1985-1986