Jim Risley Email & Phone Number

Carlisle, Pa, Us

Carlisle, Pa, Us

Mechanicsburg, Pa

Direct team of quality reviewers for Medicare Administrative Contractor (MAC) to ensure medical claims for Medicare Part A and Part B are processed by operation teams in accordance to The Centers for Medicare & Medicaid Services (CMS) guidelines and requirements.• Manage the day-to-day quality tasks.• Resolve rebuttals of quality inspections raised by operations.• Actively foster effective partnerships with internal and external customers.• Develop and maintain processes, tools… Show more Direct team of quality reviewers for Medicare Administrative Contractor (MAC) to ensure medical claims for Medicare Part A and Part B are processed by operation teams in accordance to The Centers for Medicare & Medicaid Services (CMS) guidelines and requirements.• Manage the day-to-day quality tasks.• Resolve rebuttals of quality inspections raised by operations.• Actively foster effective partnerships with internal and external customers.• Develop and maintain processes, tools and reports for the inspection activities of operational functions.• Lead and execute process improvement projects to enable the Quality team to improve its support of operations.• Conduct standardization and collaboration efforts to leverage the economies of scale for inspection processes.• Provide monthly reports to internal and external customers to ensure SLA’s are met. Show less

Linthicum, Md

Worked with key business stakeholders to improve and enhance processes that had a direct impact on the overall member experience. Served as the lean facilitator overseeing the analysis and redesign of workflows in order to optimize end-to-end processes and eliminate non-value-added tasks.• Drove improvements via performance measurement, 5S, visual management, mistake proofing, standard work and other relevant tools. • Trained and coached team members on lean principles and… Show more Worked with key business stakeholders to improve and enhance processes that had a direct impact on the overall member experience. Served as the lean facilitator overseeing the analysis and redesign of workflows in order to optimize end-to-end processes and eliminate non-value-added tasks.• Drove improvements via performance measurement, 5S, visual management, mistake proofing, standard work and other relevant tools. • Trained and coached team members on lean principles and techniques.• Delivered several successful kaizen, process and value stream mapping events which yielded reduction in loan processing times.• Collaborated across all partners and all levels, departments and business units to ensure seamless, integrated member experience.• Worked closely with the Directors to ensure that all member complaints/issues are well investigated, resolved accurately in a timely manner and the lessons learned from those issues were incorporated into process improvement plans.• Monitored, measured and analyzed work processes to ensure seamless member experience.• Drove the ongoing development and implementation of member centric strategies that were aligned with the organizations goals and objectives. Show less

Baltimore, Maryland Area

Headed team of compliance staff responsible for ensuring mobile and fixed site blood collection personnel conformed to ARC directives, federal and state regulatory requirements in tri-state region. Directed the corrective action and donor complaint management system.● Served as project lead for process improvement initiatives for blood collections.● Provided regulatory support for mobile and fixed site blood collection operations. ● Developed new tracking methodology to ensure… Show more Headed team of compliance staff responsible for ensuring mobile and fixed site blood collection personnel conformed to ARC directives, federal and state regulatory requirements in tri-state region. Directed the corrective action and donor complaint management system.● Served as project lead for process improvement initiatives for blood collections.● Provided regulatory support for mobile and fixed site blood collection operations. ● Developed new tracking methodology to ensure timely investigation, management and resolution of operational problems.● Instituted a cross-training program for compliance staff in core areas of responsibility to ensure sufficient capacity and to make certain all tasks were completed within required time frames.● Coordinated a daily problem-solving team meeting with collections management to ensure operational issues were appropriately investigated and resolved in a timely manner. Show less

West Henrietta, New York

Administered large-scale process improvement projects.• Collaborated on national logistics and supply chain project that reduced costs, improved labor efficiency and curtailed injury rates on blood collection operations yielding $2.5 million in savings.• Implementation lead for mobile collections drive set-up and breakdown project• Project Manager for organization-wide upgrade of the hardware and software that supported the company’s blood collection and processing operations.

Rochester, New York Area

Managed team of Six Sigma Black Belts and Lean Engineers that lead numerous process improvement projects. Project lead for large-scale process improvement initiatives. Provided engineering support for major facility renovations. ● Key contributor of the organization’s lean transformation that resulted in significant reductions in overall costs, establishment of consistent donor experience and improved compliance profile.● Trained national mobile blood collection staff on the use of… Show more Managed team of Six Sigma Black Belts and Lean Engineers that lead numerous process improvement projects. Project lead for large-scale process improvement initiatives. Provided engineering support for major facility renovations. ● Key contributor of the organization’s lean transformation that resulted in significant reductions in overall costs, establishment of consistent donor experience and improved compliance profile.● Trained national mobile blood collection staff on the use of standard work processes that decreased blood donor cycle times by over 10 minutes.● Reconfigured 25,000-square-foot warehouse to optimize square footage yielding 2,500 square feet of low-bay space to accommodate the staging of mobile blood collection operations.● Designed, selected vendor and coordinated the installation of conveyor sortation system for the triage of blood products and sample tubes to minimize material handling and reduce staff injury rates.● Facilitator for blood collections mobile drive setup optimization initiative that reduced overall material handling times and reduced staff injury rates equating to over $500,000 in savings.● Supervised a kaizen event in blood collections that resulted in improved self-deferral process and a shortened health history time leading to a 20% reduction in cycle times. Show less

Rochester, New York Area

Oversaw the process improvement, problem management and equipment management functions. Responsible for maintaining equipment at 5 primary collection sites and providing maintenance support for a 3-shift manufacturing operation.● Directed the implementation of a validation master plan to bring the organization into compliance with regulations outlined in the FDA code of federal regulations. ● Centralized the equipment management function resulting in labor savings, better utilization of… Show more Oversaw the process improvement, problem management and equipment management functions. Responsible for maintaining equipment at 5 primary collection sites and providing maintenance support for a 3-shift manufacturing operation.● Directed the implementation of a validation master plan to bring the organization into compliance with regulations outlined in the FDA code of federal regulations. ● Centralized the equipment management function resulting in labor savings, better utilization of staff and improved customer service.● Established and implemented preventive and corrective action system to eliminate problems.● Co-facilitated a manufacturing kaizen team that reduced blood product processing cycles by 35%.● Identified new vendor sources, conducted evaluations and procured equipment for the various operation departments.● Created preventative maintenance program to ensure optimal equipment operation without costly downtime. Show less

Rochester, New York, United States

Directed and oversaw the manufacturing engineering and CNC programming departments.• Managed cost estimating and process planning in production work centers• Coordinated scheduling of projects to ensure timely delivery of machining programs to multiple cost centers.

Newark, New York, United States

Managed the organization’s quality and plant engineering departments.• Supervised the facility engineering and maintenance functions for a three-shift manufacturing operation.• Guided the company through successful ISO 9001 certification.• Improved product quality and delivery times to customers by the implementation of SPC program.• Initiated cost controls that reduced annual product scrap levels by 39%.

Newark, New York, United States

Administered the company’s quality engineering and facility management functions.• Directed the ISO 9001 certification process.• Purchased materials and capital equipment for use in production operations.• Developed safety program for the organization to bring it into compliance with federal and state regulations.

Ms, Management

Bs, Industrial Engineering Technology