Project/Program Manager

SUMMARY

. Data savvy professional with 11 years of experience in the full

lifecycle of project management, reporting and analysis

. Agile coach handling all aspects of Sprint including ticket management,

daily stand-ups, sprint creation and closing, and project direction.

. Works with customers to determine data and reporting needs and

translates those needs into business requirements

. Recognized for work ethic and ability to overcome obstacles to see

projects through to completion

. Works one on one with clients and vendors, to facilitate data exchanges

and product development

. Comfortable using many tools including SQL and Business Intelligence

platforms as well as Project Management best practices

. Goal-orientated and motivated performer who has successfully managed

projects through a comprehensive understanding of client needs

SKILL SETS

Technical Skills

SQL 2000/2005/2008, JIRA, MS Project, Word, Access, Excel, PowerPoint,

Visio, SharePoint, SSRS and Tableau, EMR Systems, Camtasia, Agile Project

Development, and Sprint planning

Business Skills

Applications: Vista (EMR), Medicaid management information systems

(MMIS), HIPAA Eligibility Transaction System (HETS), Children's Health

Insurance Program (CHIP), COTS web and software and custom applications,

relational databases, dimensional data warehouses

Claims Subject Areas: Provider management, member management/eligibility,

claims (professional, institutional, pharmacy, dental, durable medical

equipment, transportation), TPL, financial management, reimbursement, drug

rebate, prior authorization, managed care, behavioral health, long-term

care, program integrity, electronic health records, benefit plan

administration.

Methodologies: Agile & Scrum, Waterfall

Phases: Requirements Definition, Business and Technical Design, System

Test Planning, Statement of Work (SOW), RFP's

Leadership / Management Skills

Team Size: Lead teams of up to 75 business analysts, developers, and

subject matter experts (SME)

Project Experience: Managed projects of up to 75 resources and project

budgets of more than $6,000,000

PMI Disciplines: Schedule Management, Risk Management, Identification,

Analysis, Response planning and Capability Maturity Model Integration

(CMMI)

Industry Standards: ISO, Six Sigma, CMS, HEDIS, HIPAA, NCPDP

EMPLOYER EXPERIENCE SUMMARY

Employer From To Position

Anthem (Contract) Jan 2015 April 2015 Technical Project Manager

MedRed, LLC Jan 2012 Dec 2014 Application Delivery and

Product Manager

ACS, (Xerox) Apr 2010 Feb 2012 Project Manager

Capital One (Contract) Jan 2010 Mar 2010 Project Manager

Anthem Sep 2003 Dec 2009 Data Warehouse

Consultant/ Program

Manager

EDUCATION

Bachelor of Science, Biology with an emphasis on Pre-Medical

Sciences

Virginia Commonwealth University, Richmond, VA Aug 2003

PROFESSIONAL DEVELOPMENT / CERTIFICATIONS / COURSES

Year Training Program Training Source

2008 Academy for Healthcare Management Academy for Healthcare

Certification Management

2015 (Goal) PMP Certification (currently at

4100 hours)

PROJECT DETAILS

Anthem, Richmond, VA

Jan 2015 - April 2015

Position: Technical Project Manager

I serve as the technical product manager for the Medicaid and Medicare COB

recovery team for the advanced analytics. Our current recovery project will

yield over 5.5 million in recovery for 2015 alone.

Responsibilities:

Complete, manage, and maintain project documents including scope, charter,

SOW, project schedules

Conduct project status meetings and maintain vendor timelines and tasks

Maintain and update project resource finances

Served as Agile coach and scrum master handling all aspects of Sprint

management

Work with internal staff and external vendors to manage and trouble shoot

issues

Examine claim mappings and transformations to examine gaps in technical

requirements

Skills Used: SQL development, Agile Methodologies, SSRS, QA, data analysis,

Claims review, project finances, and SDLC

MedRed LLC, Washington D.C.

Feb 2012 - Dec 2014

Position: Application Delivery Manager/Product Manager

I served as the only client service liaison and requirement lead for a

project exceeding 6 million in revenue. My role is to manage product

implementations, maintain SharePoint, and create and manage work tickets to

ensure support departments have a clear understanding of their tasks.

Responsibilities:

. Created and wrote detailed business and functional requirements,

working with clients, to help guide the strategy for new products and

features

. Served as Agile coach and scrum master for company handling all

aspects of Sprint management including; ticket management, daily stand-

ups, sprint creation and closing, and project direction

. Performed live and created video demonstrations for National Veteran

Association and Department of Defense stakeholders and users

. Integrated web software application utilizing decision support and TBI

tool gathering with VistA (EMR)

. Worked to create application which integrates with VistA for

appointment management

. Provided user training for audiences of over 100 doctors and nurses on

new product applications

. Tested systems applications and work to create scoring and form

consolidation standards including 508 compliance

. Worked with both internal and client IT departments to triage, manage

and resolve issues

. Designed and created documentation for Web and desktop products for

both technical and non-technical audiences

. Created and managed timelines for client deployments and data updates

. Designed mock-ups and gain approval on web, desktop, reporting, and

analytical solutions to surpass client's needs

. Ensured Web and desktop applications fully integrate with client

electronic medical record system (VistA EMR), current infrastructure,

and network security needs

Skills Used: .Net application development, SSRS, Agile Methodologies,

Sprint Planning, Tableau reporting building, QA, data analysis, Camtasia,

Requirement, RFP, and SOW requirement writing

ACS (Xerox), Richmond, VA Apr 2010 - Feb 2012

Position: Project Manager

Responsible for managing large scale data integration projects involving IT

and Business for designing web pharmacy based solutions. My role was to

manage 15 employees in development, business, and quality testing to ensure

project success for internal/external clients.

Responsibilities:

. Worked to ensure hardware, software, and network security for

solutions was in place

. Agile coach for all pharmacy audit projects

. Managed project schedule in Microsoft Project and provided daily

status updates

. Worked to enhance applications to ensure 3-tiered structure, and

successful deployment to all environments

. Served as key representation for local and enterprise change control

process

. Completed weekly financial expense for projects as well as budget

forecasting

. Ensured project was within company budget by maintaining staff hours

and costs

Skills Used: MS Project, Budgeting, Teradata, PowerPoint, Visio, data

modeling, hardware and software orders, MMIS, HETS, Agile Methodologies,

and Spring Planning

Capital One (Contractor through S3), Jan 2010 - Mar 2010

Richmond, VA

Position: Project Manager

Contractor

Responsible for managing large scale data integration project involving IT

and Business, where I managed over 10 employees in development, business,

and quality testing to ensure project success.

Responsibilities:

. Managed agile project schedule in Microsoft project, provided daily

status updates

. Created logs to help manage associates time and issues

. Managed all aspects of large scale projects including mappings,

requirements, development, testing, and source system decommissioning

. Assisted in sprint planning, task management, and preparation for

scrum master

Skills Used: MS Project, Teradata, Excel, PowerPoint, Visio, Agile

Methodologies, Sprint planning, and data modeling

(Anthem) Health Management Aug 2008 - Dec 2009

Corporation, Richmond, VA

Data Management

Position: Data Warehouse Consultant/ Program Manager

Simultaneously lead, managed, and contributed to projects while ensuring

timely delivery and consistent data. I tracked, monitored, and escalated

urgent problems regarding data integrity for a large data warehouse while

guaranteeing service level agreements were met.

Responsibilities:

. Coordinated with vendors and departments to create business

requirements and standards for multiple subject areas

. Communicated business requirements to technical and operational groups

to facilitate solutions

. Led data quality initiatives to create standards for all metrics

captured within data warehouse

. Examined all standard forms and industry standards including 837, 835,

834, UB-04, CMS 1500, HIPAA, NCPDP, and ADA to create best standards

for codes to map client member and claim feeds to data warehouse

. Utilized PMBOK standard methodology for project plans

. Analyzed data to calculate HEDIS measures for commercial, Medicaid,

and Medicare clients

. Provided data mappings, standards code sets, and business glossaries

for all subject areas and providing quality assurance for mapped data

. Lead large data management projects with over fifty associates to

create standardized metadata for member, provider, and lab claims

. Worked on standards for telecom engagement metrics

. Utilized SQL, Access, Teradata and Excel to pull and compile data used

in data management assigned projects

Skills Used: SQL, Access, Teradata, Excel, PowerPoint, Microsoft Project,

SSRS, Visio, MMIS, HETS, data standards, Data warehouse modeling,

relational databases

(Anthem) Health Management Oct 2005 - Aug 2009

Corporation, Richmond, VA

Client Outcomes

Position: Health Information Consultant/ Data Analyst

I managed six client accounts and worked one-on-one with clients to explain

calculated metrics and identify reasons for differences from expected

value. Served as single point-of-contact and account manager for external

clients including Medicare, Medicaid, and other health insurance clients

and presented results telephonically and face-to-face and worked closely

with other departments including Finance, ETL, Sales and Operations to

ensure seamless delivery of client purchased programs.

Responsibilities:

. Designed, created, maintained, and presented reports to clients

(extracting and analyzing large amounts of data) that included

information on clinical outcomes, operational effectiveness, billing

and member satisfaction

. Lead large scale project to change phone systems to Avaya telecom and

worked to create logic and definitions for all telecom metrics

. Led data redesign for company-wide telephonic upgrade, which included

working closely with cross-functional teams to ensure that client-

level data was available for reporting

. Used SQL and Access to gather and analyze data for ad-hoc client

reporting needs

. Represented Client Outcomes on company-wide metric standardization

project

. Created standardized reports for client accounts which saved analysts

forty hours monthly

. Managed and administrated an internal database used by 45 Health

Information Consultants that housed all client deliverables for

company

. Led project to create business definitions and logic for new programs

and clients

. Built and implemented a database used interdepartmentally to track

reporting and projects for all clients

Skills Used: SQL, Access, Excel, Microsoft Project, SSRS

(Anthem) Health Management Sept 2003 - Oct 2005

Corporation, Richmond VA

Operations

Position: Health Assessment Specialist and Preceptor

I defined and developed training program for new and existing employees,

focusing on improved sales techniques and re-engaging participants who had

previously declined the program.

Responsibilities:

. Persuaded members diagnosed with chronic medical conditions to engage

in a company-sponsored disease management program

. Consistently recognized as 'one of the best' in monthly productivity

reports

. Trained new employees on an in-house data collection system,

navigation tools, and medical terminology

Skills Used: Clinical Healthcare applications, customer service, sales,

marketing, medical terminology and chronic medical condition knowledge

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