James Bussa
Site Manager - Lincoln Super CBOC at VETERAN HEALTH CARE ADMINISTRATION- Claim this Profile
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Bio
Credentials
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OSHA
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Experience
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VETERAN HEALTH CARE ADMINISTRATION
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United States
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Medical Practices
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1 - 100 Employee
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Site Manager - Lincoln Super CBOC
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Sep 2021 - Present
Site Manager for Lincoln NE Super CBOC. Site Manager for Lincoln NE Super CBOC.
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VA
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Omaha, Nebraska
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Chief Environmental Management Services
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Oct 2017 - Present
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Southern Ohio Medical Center
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United States
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Hospitals and Health Care
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700 & Above Employee
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Administrative Director of Environmental Services
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Aug 2013 - Mar 2017
Provide the leadership and management skills to develop, implement, monitor, and direct the daily operations of the Environmental Services Department. Ensures that SOMC is a clean and sanitary environment for its customers. Implements infectious control processes. Monitors all waste streams, reviews and revises procedures. Works closely with Infection Control Nurse.
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Reimbursement Manager, Managed Care
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Mar 2012 - Sep 2013
-Insurance contract negotiator.-Recommends the development of contracting opportunities with insurers, employers, HMO’s,PPO’s, and other payers.-Maintains and enhances current relationships with employers, payers, and physicians.-Develops products and packages to offer managed care distribution channels.--Develops and maintains tracking systems to monitor and evaluate contract performances and intelligence gathering.-Monitors market and competitive trends for managed care and health care benefit design and financing; recommends and implements strategy changes as necessary.-Advises and consults with operating departments to handle managed care requirements in areas such as utilization review, patient accounting, and registration.-Advises, consults, and coordinates on issues relating to prepaid primary care operations at the Medical Center.-Acts as liaison between OhioHealth, OhioHealth Group, Medical Group of Ohio and SOMC in regards to Managed Care issues.-Liaison between SOMC and the Medical Staff members.-Supervises maintenance of all reimbursement-related files including codes and current prices in SOMC’s Charge Compendium, and DRG database.-Coordinates hospital-wide system for price quotes to various departments, physician offices, and community members.-Supervises Managed Care and Reimbursement staff. Show less
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American Family Insurance
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United States
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Insurance
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700 & Above Employee
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Insurance Agent
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Aug 2011 - Mar 2012
Insurance Agent all major service lines Insurance Agent all major service lines
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NCOIC Aircrew Life Support
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Jun 1989 - Aug 2011
Retired Retired
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United States Air Force
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United States
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Defense and Space Manufacturing
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700 & Above Employee
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Non Commissioned Officer In Charge (NCOIC) Aircrew Flight Equipment
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Jul 2004 - Jul 2011
Aircrew Flight Equipment
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Non Commissioned Officer In Charge (NCOIC) Survival Training
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Jul 1999 - Jul 2004
Survival Training (Aircrew Life Support)
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Section Supervisor
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May 1993 - Jul 1999
Aircrew Life Support
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Shift Supervisor
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Jun 1989 - May 1993
Aircrew Life Support
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Education
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Trident University International
Master's degree, Health/Health Care Administration/Management -
Trident University International
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General -
Community College of the Air Force
Associate of Science (A.S.), Business Administration and Management, General -
Agua Fria Union High School