Jim Salle
2811 Westbreeze Dr., Hilliard, OH 43026
614-607-9353 cell jsalleoh@yahoo.com
May 2014 – present
Apr. 2011 – Jan.2014
Contract Project Manager, Tifler Health Services Management
Provided project management and oversight services for client multi-hospital systemin the United
Arab Emirates involving the implementation for telemedicine capabilities at three client hospitals
to improve trauma care and life-saving interventions.
Managed and developed timeline deliverables for client hospital projects in Saudi Arabia which
included hospital infrastructure upgrading and modernization, IT systems swap-out,train-the-
trainer programs, and medical equipment and supplies purchasing support for decentralizing client
logistics service support.
Provided project management services for the creation of Army field hospitals in the Middle East.
Managed all aspects ofthe project including infrastructure, IT, telecom, staff, training and
logistics.
Health Plan Consultant, Hazen Group, Venice, FL
Operations and IT Project Manager/Business Analyst ofconsulting teams performing ICD-10
assessment and remediation and Federal / State Healthcare Exchange projects. These consisted of
commercial, Federal (Medicare) and State (Medicaid) health plan coverage for these clients .
For below assignments: Conducted interviews with all functional areas (Operations, IT, Finance,
Enrollment, Claims, other). Generated deliverables including: Risk evaluation, systems
assessment / remediation requirements, operations workflow, resource assessment / requirements,
training requirements, client impact, gap analysis reporting and application remediation planning.
Provided updated project plans, timelines, risk assessment tracking and provided all information to
weekly board and client steering committee meetings using MS Project, Excel, PowerPoint, and
Visio. Primary client-facing point of contact for consulting team.
ICD-10 Compliance. Assessment, planning, reporting and application code remediation.
Presbyterian Health Plan Albuquerque,NM. Apr.- Aug. 2011
Security Health Plan, Marshfield, WI. Mar. - June 2012
Network Health Plan, Appleton, WI. July - Oct. 2012
Community First Health Plan, San Antonio,TX. Mar. - Apr. 2013
Federal and State health care exchange. App. submission, compliance, workflow and doc creation.
Nevada CO-OP Health Plan, Las Vegas, NV. May- July 2013
Montana CO-OP Health Plan, Helena, MT. July- Aug 2013
Preferred Health Plan, Miami, FL. Sep.- Oct. 2013
Community First Health Plan, San Antonio,TX. Oct. - Jan. 2014
Feb. 2008 - Sep.2010 Business Analyst/Account Manager/Implementation Manager KePRO Inc., Harrisburg, PA
KePRO, Inc.providesutilization review,casemanagement,diseasemanagementand otherhealthcare
servicesto commercial,state(Medicaid)and federal(Medicare)clients andhealth plans.
 Led teams offunctionalexperts on3– 6 month projects, (Clearing houses,EDI,Chronic Care),
created andtrackedprojectplans,chairedweekly teammeetings,reportedto Vand C levelon
project progress,createdoverviewreports ofprojectplan andtimelines
 Successfully implemented,supportedandgrewnewbusinessto clients toincludethe following
health plansandT.P.A.s:CBCA Inc.; Innovante Benefits Administrators;Amec/Paragon;
Conmed and KaiserPermanente ofOhio
 Primary client point ofcontact providing daily support,reports,weekly conference calls,
monthly/quarterly onsite business reviews with Director/VP/Clevel
 Provided businessanalysis proposing cost effective solutions tofurthergrowcompany
business/revenue andclient satisfaction(Consistentlymet 98% target with allclients)
2000 – 2008
1990 - 2000
Education
BPO Sales Executive; ACS, Inc.; Indianapolis, IN; Healthcare Payer / Provider vertical
 Provided salesandaccountmanagementsupport andservices forhealthcareclients which
included 14T.P.A.and health plans totaling 20million in annualrevenue achieving100% of
targetedgoals.
 Renewed 100% of multi-yearcontracts with the State ofIndiana RiskPool(3mil annual); State
ofKY Risk Pool(2 mil annual)andStateofS.C. Medicare D.H.H.S.(4 mil annual). Peace
Corps (2 mil annual),US Dept.ofState (1mil annual)
 Implemented newclients and internalprojects (EDI, 5010, HIPAA,Vendorinterfaces,claims
clearing houses)byleadingteams offunctionalexperts.
 Created,and maintainedprojectplans,timelines and management reports forproject
 Primary contact forclient afterimplementation. Conducted weekly conferencecalls,quarterly
businessreviewsandreports forclients.
 Increasedsalesrevenuefor the following clients meeting 100% ofgoals:State ofS.Carolina
DHHS; Celtic Health Plans,Chicago,IL; CBCA Administrators,Columbus,OH; Touchstone
Health Partnership Administrators, Internacionalde Seguros Inc.Republic ofPanama; Motion
Picture TelevisionFund,Calabasas,CA.; NewYork, NY.; the States ofIndiana,Kentucky and
Washingtonhigh riskpools, U.S.Dept ofState,and thePeace Corps.
Business Analyst/Account Manager /Project Manager
Digital Insurance Systems Corp., (DISCorp), Dublin, OH
(DISCorp was acquired by AnthemBCBS in 1996 and in 2000 by ACS,Inc.)
 Served in above positions with DISCorp,a healthcaresolutions andinformationtechnology
company thatin 1982 created a managed care applicationsystemforthe healthcare industry still
in use todaycoveringoveronemillion lives.
 Performed businessanalysis to propose costsaving solutions to the client while increasing
revenue forthe companyby evaluatingtheclient’s business needs with ourcorresponding
businesssolutions.
 Implemented and supported multiple clients andservedas theirprimary point ofcontact.
University ofMountUnion,Alliance,OH.B.A. Business

Jim Salle Resume May 2015

  • 1.
    Jim Salle 2811 WestbreezeDr., Hilliard, OH 43026 614-607-9353 cell jsalleoh@yahoo.com May 2014 – present Apr. 2011 – Jan.2014 Contract Project Manager, Tifler Health Services Management Provided project management and oversight services for client multi-hospital systemin the United Arab Emirates involving the implementation for telemedicine capabilities at three client hospitals to improve trauma care and life-saving interventions. Managed and developed timeline deliverables for client hospital projects in Saudi Arabia which included hospital infrastructure upgrading and modernization, IT systems swap-out,train-the- trainer programs, and medical equipment and supplies purchasing support for decentralizing client logistics service support. Provided project management services for the creation of Army field hospitals in the Middle East. Managed all aspects ofthe project including infrastructure, IT, telecom, staff, training and logistics. Health Plan Consultant, Hazen Group, Venice, FL Operations and IT Project Manager/Business Analyst ofconsulting teams performing ICD-10 assessment and remediation and Federal / State Healthcare Exchange projects. These consisted of commercial, Federal (Medicare) and State (Medicaid) health plan coverage for these clients . For below assignments: Conducted interviews with all functional areas (Operations, IT, Finance, Enrollment, Claims, other). Generated deliverables including: Risk evaluation, systems assessment / remediation requirements, operations workflow, resource assessment / requirements, training requirements, client impact, gap analysis reporting and application remediation planning. Provided updated project plans, timelines, risk assessment tracking and provided all information to weekly board and client steering committee meetings using MS Project, Excel, PowerPoint, and Visio. Primary client-facing point of contact for consulting team. ICD-10 Compliance. Assessment, planning, reporting and application code remediation. Presbyterian Health Plan Albuquerque,NM. Apr.- Aug. 2011 Security Health Plan, Marshfield, WI. Mar. - June 2012 Network Health Plan, Appleton, WI. July - Oct. 2012 Community First Health Plan, San Antonio,TX. Mar. - Apr. 2013 Federal and State health care exchange. App. submission, compliance, workflow and doc creation. Nevada CO-OP Health Plan, Las Vegas, NV. May- July 2013 Montana CO-OP Health Plan, Helena, MT. July- Aug 2013 Preferred Health Plan, Miami, FL. Sep.- Oct. 2013 Community First Health Plan, San Antonio,TX. Oct. - Jan. 2014
  • 2.
    Feb. 2008 -Sep.2010 Business Analyst/Account Manager/Implementation Manager KePRO Inc., Harrisburg, PA KePRO, Inc.providesutilization review,casemanagement,diseasemanagementand otherhealthcare servicesto commercial,state(Medicaid)and federal(Medicare)clients andhealth plans.  Led teams offunctionalexperts on3– 6 month projects, (Clearing houses,EDI,Chronic Care), created andtrackedprojectplans,chairedweekly teammeetings,reportedto Vand C levelon project progress,createdoverviewreports ofprojectplan andtimelines  Successfully implemented,supportedandgrewnewbusinessto clients toincludethe following health plansandT.P.A.s:CBCA Inc.; Innovante Benefits Administrators;Amec/Paragon; Conmed and KaiserPermanente ofOhio  Primary client point ofcontact providing daily support,reports,weekly conference calls, monthly/quarterly onsite business reviews with Director/VP/Clevel  Provided businessanalysis proposing cost effective solutions tofurthergrowcompany business/revenue andclient satisfaction(Consistentlymet 98% target with allclients) 2000 – 2008 1990 - 2000 Education BPO Sales Executive; ACS, Inc.; Indianapolis, IN; Healthcare Payer / Provider vertical  Provided salesandaccountmanagementsupport andservices forhealthcareclients which included 14T.P.A.and health plans totaling 20million in annualrevenue achieving100% of targetedgoals.  Renewed 100% of multi-yearcontracts with the State ofIndiana RiskPool(3mil annual); State ofKY Risk Pool(2 mil annual)andStateofS.C. Medicare D.H.H.S.(4 mil annual). Peace Corps (2 mil annual),US Dept.ofState (1mil annual)  Implemented newclients and internalprojects (EDI, 5010, HIPAA,Vendorinterfaces,claims clearing houses)byleadingteams offunctionalexperts.  Created,and maintainedprojectplans,timelines and management reports forproject  Primary contact forclient afterimplementation. Conducted weekly conferencecalls,quarterly businessreviewsandreports forclients.  Increasedsalesrevenuefor the following clients meeting 100% ofgoals:State ofS.Carolina DHHS; Celtic Health Plans,Chicago,IL; CBCA Administrators,Columbus,OH; Touchstone Health Partnership Administrators, Internacionalde Seguros Inc.Republic ofPanama; Motion Picture TelevisionFund,Calabasas,CA.; NewYork, NY.; the States ofIndiana,Kentucky and Washingtonhigh riskpools, U.S.Dept ofState,and thePeace Corps. Business Analyst/Account Manager /Project Manager Digital Insurance Systems Corp., (DISCorp), Dublin, OH (DISCorp was acquired by AnthemBCBS in 1996 and in 2000 by ACS,Inc.)  Served in above positions with DISCorp,a healthcaresolutions andinformationtechnology company thatin 1982 created a managed care applicationsystemforthe healthcare industry still in use todaycoveringoveronemillion lives.  Performed businessanalysis to propose costsaving solutions to the client while increasing revenue forthe companyby evaluatingtheclient’s business needs with ourcorresponding businesssolutions.  Implemented and supported multiple clients andservedas theirprimary point ofcontact. University ofMountUnion,Alliance,OH.B.A. Business