Jim Congleton Email & Phone Number

Duluth, Minnesota, United States

Duluth, Minnesota Area

Louisville, Kentucky, United States

Duluth, Minnesota Area

Worked with Pentaho application publishing Directory data to the Cloud.

Duluth, Minnesota Area

Accountable for a staff of more than 200 employees both domestically and globally. Our teams responsibilities includes timely and accurate loading of provider contracts for all government products including Medicare, Community and State, and TRICARE.In addition to this we have responsibility of Non-Par set-up for Facility records as well as preventing and.

Duluth, Minnesota Area

Provided leadership and direction for Diamond to NDB provider data conversion that was previously unsuccessful.Developed proactive data clean-up reports which resulted in an 80% reduction of conversion fall-out.Effectively Implemented best practice sharing and lessons learned review from each data migration to improve future results.Created SQL reporting.

Duluth, Minnesota Area

Managed Provider loading into all United platforms. Responsible for a staff of more than 500 employeesImplemented AMS principals in managing NDM resulted in the elimination of 89 FTE’s saving 4.2 million YOY while maintaining TAT and improving quality from 4.3 sigma to 4.6 sigma. P&L responsibility for a $25M departmental operating budget.Implemented auto.

Duluth, Minnesota Area

Serve as Operations Director responsible for all fee schedule loading, par professional, facility, and ancillary demographic loading for central, western, and leased networks, par professional contract loading for the same, as well as technology development for the Fee Schedule loading application and the NDM queue management tool. Intricate role in.

Responsible for managing the Duluth PDI team including the loading of demographic and contract data for Facilities, ancillaries and professional providers.Integrated the data maintenance teams from the local markets into a centralized team. Standardizing and coordinating all the steps of the centralization project.

Managed the operations for a claims and customer service team handling Shell and Texaco oil customers who awarded us a best in class award in 1998. Designed and executed research methodologies to identify customer needs in order to improve provider satisfaction, resulting in increased provider service satisfaction by 10% from prior year.Implemented Auto.

Plano, TX