Tim Franks Email & Phone Number

Buffalo/Niagara, New York Area

As a business architect, I have successfully conceived, designed, and built a benefits library for IH's self-funded line of business, acting simultaneously as developer, architect, BA, auditor and end user. This library performs several crucial functions for this segment of IH's organization.It has replaced our legacy servicing grids used for quoting benefits to members, providers and employer groups. All grids can now be generated with the click of a button and posted to a shared… Show more As a business architect, I have successfully conceived, designed, and built a benefits library for IH's self-funded line of business, acting simultaneously as developer, architect, BA, auditor and end user. This library performs several crucial functions for this segment of IH's organization.It has replaced our legacy servicing grids used for quoting benefits to members, providers and employer groups. All grids can now be generated with the click of a button and posted to a shared directory available to users who require this information to perform their jobs.Mass updates of data can take place orders of magnitude faster than in our previous servicing model. Reports that were previously only capable of being run by IT are now generated easily enough out of the library. Filtering, auditing and data modeling have been built into a front-end UI, making it simpler to find relevant information much more quickly than was possible in the past.The library can also be used to generate ID cards by mining the same data that is used to produce benefit grids. While this has not replaced our current process, it has been met with enthusiasm by the team responsible for ID cards and has potential for further development in the future.Most significantly, I have been able to produce files that can, in two or three steps, generate nearly 100% of a client's benefits for a single plan. This process takes simple data entry and converts it into usable code that can be exported and saved into a text file that in turn can be imported directly into the host claims payment system for near automation of benefits building. The entire process takes only two to three minutes per plan. This is possible because I have been able to map the host system's file structure and match an output to it accordingly.More remains to be done to realize its full potential, but it has already paid dividends to the organization and will continue to do so for years to come. Show less

Since October of 2010, I have been responsible for the mapping of health care benefits from IH's legacy software systems (Power and Eldorado) to its current claims processing platform (HealthRules). During this time I have been able to execute IH's vision of successfully partnering with a cutting edge vendor through my role as the lead senior analyst on all business line conversions (Commercial, Medicare, Self-Funded, Exchange and State products).My responsibilities include analyzing… Show more Since October of 2010, I have been responsible for the mapping of health care benefits from IH's legacy software systems (Power and Eldorado) to its current claims processing platform (HealthRules). During this time I have been able to execute IH's vision of successfully partnering with a cutting edge vendor through my role as the lead senior analyst on all business line conversions (Commercial, Medicare, Self-Funded, Exchange and State products).My responsibilities include analyzing, configuring and testing programmatic solutions to the HealthRules (HR) system to keep pace with an ever changing and dynamic health care market. My 23 plus years in the health care industry, including over 10 years of experience on the Eldorado (ECI) system, coupled with an extensive technical background, have enabled me to develop solutions to multiple problems that were beyond even the expertise of the consultants responsible for training our staff on the HR system.I consistently look forward to the challenges presented by IH's place at the forefront of the health care market in WNY and welcome every opportunity that tests my creativity and ingenuity as I strive to deliver a product that saves money and provides a positive experience for our customers. Show less