Tim Hoffner Email & Phone Number

St. Paul, Mn, Us

Teaneck, Nj, Us

The Trizetto Group provides IT solutions that enable payers and other constituents in the healthcare industry to improve the coordination of benefits and care for healthcare consumers. Developed and implemented a software application that identifies fraudulent claims, assisting our client's ability to reduce expenses based on the industry average of 22% of false claims processed. Created an application to communicate to Cigna which enabled benefits administrators to offer integrated access to the diverse network of physicians, hospitals and clinics that comprise the CIGNA PPO network giving members a larger access to services. Developed applications to communicate to AHDI, a data warehouse that utilizes member data to analyze the variances, cost drivers, cost trends and other significant clinical and financial factors that influence the costs of a health plan, saving members money by being able to utilize the most cost efficient plan. Developed applications to communicate to Teladoc where physicians diagnose medical problems via telephone, saving members time and money by avoiding office visits. Maintained and developed code for our benefits administration software which processes enrollment, billing and claims administration. Technologies: MF COBOL, DB2 V8, SQL, ISAM, SQL Server Management Studio, Visual Studio '08, Unix, MF Toolbox

Maintained and transmitted drug insurance information for approximately two million members who have active insurance with our drug insurance partners cutting down on costly overhead. Manipulated and supplied membership data to partner to initiate a new service, Blue Points, to members within Blue Cross's online membership access, Blue Access For Members, empowering members to maintain a healthier lifestyle. Created and maintained code that is responsible for Radiology coverage of three million members which reduced overhead and expenses. Developed new system that processed and transmitted membership information to business partners.Technologies: MVS, TSO/ISPF, DB2 V8, SQL, COBOL II, JCL, VSAM, INTERTEST, ENDEVOR

Coded and tested a new DB2 model for the claims system reducing process time. Created code to populate the new DB2 tables with data from the old system increasing the efficiency of the overall system. Modified the original claim code to process data within the new database structure.Technologies: MVS, TSO/ISPF, DB2, SQL, COBOL II, JCL, VSAM, INTERTEST, ENDEVOR

Developed an Electronic Data Feed via MQ to and from a FOCUS legacy interface keeping the new and old systems in sync while phasing out the legacy system. Analyzed the process of creating online insurance claims to code and test batch programs that will generate new claims when data is transferred to the FOCUS legacy systems via MQ from the Visual Basic based Claims Component System. Technologies: MVS, TSO/ISPF, COBOL II, JCL, MQ, CICS, VSAM, FILE-AID, ENDEVOR, EXPEDITER.

Modified batch and online code for the online procurement systems to consolidate Ameritech and SBC data which eliminated dual standards and provided one operational platform saving company resources. Created reports to compare and recognize data from both companies to identify inefficient coding to reduce running costs. Technologies: IBM S390, MVS, TSO/ISPF, IDEAL, DB2, JCL. Lawson Products, Inc.

Chicago, Il, Us

Created a new process to provide additional data to the UPS new standard, Maxi bar code system, utilizing COBOL and MQ insuring that Lawson will avoid fines up to $15,000. Analyzed and modified code to consolidate additional clients and data from the Lawson/Premier merger which increased profits and productivity. Technologies: IBM S390, TSO/ISPF, MVS, VSE, COBOL, JCL, DB2, MQ, CICS.

Lisle, Il, Us

Converted COBOL and COBOL II code to Y2K compliant. Programmed barcode gun to request parts from ODW (warehouse company), saving time and resources by empowering employees working on the production line to order parts directly when inventory was low. Created programs to inventory and track trucking parts reducing costs and saving time by creating an instantaneous link to determine the inventory location and delivery time to the Navistar plant. Conducted maintenance on batch and online programming in an MVS environment.Technologies: IBM S390, MVS, TSO/ISPF, COBOL, COBOL II, CICS, DB2, IMS, SQL, JCL, MQ, Panvalet, FileAid, QMF, CHANGEMAN, INTERTEST, SPUFI.

Bachelor Of Science, Management Information Systems

Education record