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Jim Sweeney Location
New York, NY, US
Jim Sweeney Work
Director, Enterprise Medical Cost Programs and DVO @ (January 2023 - Present)
Vice President, Claim Operations @ (December 2018 - January 2023)
Vice President Operations @ VNSNY CHOICE Health Plans (June 2016 - December 2018)
Vice President Operations @ (April 2014 - June 2016)
Director, Fraud, Waste and Abuse Operations @ (January 2009 - January 2013)
Vice President, Operations and Administration @ Horizon Healthcare of New York (June 1999 - December 2008)
Director, Operations and Administration @ (August 1992 - June 1999)
Jim Sweeney Education
Trident Technical College 2013-2014
National College of Engineering 2004-2008
Saint John's University
Bachelors (Business Administration, Business)
1984-1988
High School Diploma, College Preparatory 1980-1984
St. Joseph Regional High School 1980-1984
Jim Sweeney Skills
Departmental Management
Regulatory Compliance
Cost Reduction Strategies
Project Portfolio Management
Human Capital Management
Budgetary Management
Customer Satisfaction
Complex Solutions
Matrix Management
Operations
Service Operations
Health Insurance
Change Management
Administration
Healthcare
Healthcare Compliance
Healthcare Industry
Insurance Claims
Claims
Claims Administration
Claims Management
Outstanding Customer Service
Customer Service
Client Services
Provider Relations
Executive Management
Process Improvement
Team Building
Strategic Planning
Operations Management
Business Strategy
Budgeting
Contract Negotiation
Process Engineering
Insurance
Customer Relations
Team Leadership
Organizational Development
Business Process Improvement
New Business Development
Vendor Management
Mentoring
Team Management
Cross-functional Team Leadership
Business Management
Vendor Relations
Coaching
Healthcare Management
P&L Management
Affordable Care Act
SDLC
Project Portfolio
Responsive Web Design
Cross Functional Team
jQuery
CSS Javascript
Web Design
Outstanding Customer
Microsoft SQL Server
AJAX
Liquid
Red Hat Linux
HTML
Oracle SQL
Microsoft Office
Bootstrap
Business Process
Cross Functional Team Leadership
WordPress
PHP
JavaScript
CSS
SQL
Drupal
Shopify
Organizational
Cost Reduction
MySQL
Databases
Jim Sweeney Summary
Jim Sweeney, based in New York, NY, US, is currently a Director, Enterprise Medical Cost Programs and DVO at Horizon Blue Cross Blue Shield of New Jersey. Jim Sweeney brings experience from previous roles at Clearlink Partners, VNSNY CHOICE Health Plans, Affinity Health Plan and The TriZetto Group. Jim Sweeney holds a 2013 - 2014 Trident Technical College. With a robust skill set that includes Departmental Management, Regulatory Compliance, Cost Reduction Strategies, Project Portfolio Management, Human Capital Management and more. Jim Sweeney has 3 emails and 3 mobile phone numbers on RocketReach.
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