Management Project

KALPESH MAKWANA, PMP

** **** ***., ******** ** **869 ( ab5st3@r.postjobfree.com 973-***-****

(H)/862-***-**** (C)

PERSONAL SUMMARY

An accomplished and certified Project Management Professional with proven

track record for over 16 years in Technical Analysis, Project Management

and People Management with extensive experience in Healthcare,

Telecommunications, Insurance and Manufacturing domains. Recognized for

interpersonal skills that produced cohesive teams including onshore and

offshore technical professionals. Successfully implemented several key

projects under accelerated and tight deadlines. Led highly complex projects

by developing detailed project plans incorporating Project Milestones,

Resource Management, Risks/Issue Management and Variance analysis.

CORE COMPETENCIES

( Technical Project Management ( HealthCare/PBM (

Competitive/Strategic Planning

( ETL/ Data Warehousing ( Mainframe ( Budgeting/

Forecasting / Risks

( Virtual Team Management ( Coaching/Troubleshooting ( Multi-

Vendor Experience

TECHNICAL SKILLS

( AGILE/SCRUM ( Mainframe z/OS, Linux,

Windows

( FieldGlass, VPMi, ClearQuest, WAR/PM ( COBOL, CICS, JCL, MQ,

TCP/IP, INGRES

( FileAid, Intertest, Expediter, QueryMan ( SPUFI,

TSO/ISPF, REXX, Endevor, Remedy

( VSAM, DB2, TERADATA, Oracle, RDz ( CA-Harvest, SharePoint, MS

Visio, MS Project

HEALTHCARE/PBM SKILLS

. Successfully implemented several Integration tiers with the

organizational merger enabling defect-free data history loads and

accumulator set-ups. Managed a support budget of $500K a month for the

entire Support Organization while resolving over 400 critical issues in a

month and worked with the PMO to manage resources via VPMi. Provided

weekly and monthly metrics clearly depicting productivity while doubling

the throughput of the support team.

. Successful Portfolio Project Implementation of HIPAA, Medicare, NCPDP

3.2/5.1/D.0

. Extensive Experience in Point Of Sale/Claims Reprocessing,

Adjustments/Claims Reprocessing and Legacy Services communication with

WEB/eSD/IVRU via MQ/Data Power Technologies

PROFESSIONAL EXPERIENCE

A fortune 25 Company in Northern NJ specializing in Prescription Benefit

Management and Mail Order Scripts processing

2000 - 2013

Senior Technology Manager, IT Claims Production Support Organization

2010 - 2013

. Managed Data Management and Analytics development projects from inception

to successful implementation

. Led a team of 200+ that comprised of enterprise-wide claims processing

production support organizations including Point of Sale, Eligibility,

Benefits, Retail Pharmacy Network, eService Delivery, Consumer Web and

IVR systems

. Played a key role in merging the West and East production support

organizations and helped align the groups under Remedy 7.6

. Coordinated cross training of staff in various applications (such as

Point of Sale, Eligibility, Benefits, Retail Pharmacy Network)

. Managed the staff augmentation to managed services model while working

with the vendor partners and creating application based support model

. Introduced agile process workflow and ensured SDLC work products are

created and stored in SharePoint that adheres to Enterprise level

SDLC/CMMI processes

. Coordinated with BAT (Business Alignment Team), Capability owners and

Enterprise QA to prioritize production fixes with the release management

team

. By managing the synergies in administrative and SME knowledge, was able

to effect a reduction in ticket backlog, and significant savings in

costs, and virtually eliminated non-funded, non-support work to avoid any

scope creep

. Mentored junior project managers

Technology Manager, Point of Sale and Mainframe Services

2007 - 2010

Led a team of more than 20 onshore and offshore resources with functions

including triaging and assigning tickets for research and resolution,

providing dashboard updates to Management and Operating Committee,

Reliability and Release Management forums. Orchestrated code changes with

appropriate business and QA teams and coordinated cross-functional

requirements with the various core systems and distributed applications

when needed, escalating risks as appropriate to reduce susceptibility to

failure. Conducted interviews to recruit, Staff time management and

periodical performance reviews. Ensured adherence of the development team

to SDLC processes, best practices to maintain CMMI Level III compliance.

Senior Applications Architect, Mainframe Services

2004 - 2007

Created new TBLS system for Enterprise-wide table maintenance utilizing

Common Work Area (CWA) of CICS regions that improved applications

performance by 300%. Architected HIPAA compliance project by converting

applications to use Non-SSN member numbers. Created new eService Delivery

System using Client Server Architecture to replace CICS based Customer

Service system. Architected VSAM file expansions for Prescription refills,

Order status and other critical applications to resolve Client Security

issues.

Senior Software Engineer, Mainframe Services

2000 - 2004

Lead Architect in the Conversion of CSC (Customer Service Contact) to

SIEBEL/CCF system. Updated Siebel-DB2 tables with User data using MQ and

optimized DB2 queries to retrieve data efficiently. Led Quality Management

Team and improved web, Mainframe and MQ applications. Proficient with Web

Archive Retrieval (WAR) and Performance Management (PM) tools.

A fortune 100 Company in Northern NJ specializing in Automobile

Manufacturing in the Luxury sector 1999 - 2000

Analyzed ZU system (U.S) and replaced with ZF system (France). Designed

and Implemented the Parts, Finance, Warranty, Ordering, Parts Returns,

Finance, Replenishment, Sales management applications for a smooth

transition to new ZF system.

A fortune 100 Company in NJ specializing in Global IT services for clients

in the Healthcare and Insurance domains 1997 - 1999

Generated performance evaluation reports of GPS database and architected

applications to improve performance involving VSAM and DB2. Developed test

scripts, Performed regression tests and created a customizable ad hoc

reporting tool for PruCap system.

A fortune 50 Company in NJ specializing in the Telecommunications Industry

1997 - 1997

Led Year 2000 project converted 221 applications. Grouped the applications

into domains, criteria for Century Compliance, designed the test strategy

and developed a Project plan comprising Baseline, Parallel, Compliance and

Certification, Date Forward Testing to set system date and test dates

beyond the Year 2000 using HotDate. Build test cases using McCabe Visual

2000 and Version Manager. Convened meetings to resolve any technical or non-

technical issues related to the 41 step project plan for the Y2K

conversion.

EDUCATION/CERTIFICATIONS/AWARDS

. B.E., Computer Science and Engineering, University of Madras, India

. Project Management Professional (PMP) certification from Project

Management Institute

. Organization Appreciation Award for Technical Excellence

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