Project Manager Management

SUDARSHANA BHAKTAVATSALA

ab942e@r.postjobfree.com

SUMMARY

. Results oriented, PMI trained Project Manager with 15 years of

experience leading complex technology projects. Serve as a liaison

between clients, project teams and other stakeholders in order to

successfully execute project goals for State, Federal and Commercial

sectors.

. Expertise in project planning, budgeting, resource management,

technical implementation, CMMI Processes and object oriented.

. Experience working in both projectized and matrix organizations.

. Hired and managed a team of 15, leading the project from inception

through production, O&M model of project execution.

. Strong leader with "hands-on" technical, Medicaid Management

Information Systems (MMIS), Medicaid Managed Care and Medicare

business expertise

. Expertise and experience in building HIPAA EDI gateway for Beneficiary

enrollments and claim processing.

. Successfully implemented Medicaid, Managed Care, BCBS, Medicare, SCHIP

(MIChild), CSHCS, Medicaid Waiver, Medicare, AFDC/TANF, child welfare,

Delta Dental, child support enforcement, social services, managed

care, public health, mental health/behavioral health, and

developmental disabilities programs in the MMIS system

. Architect and lead implementation of critical systems like Eligibility

and Enrollment, Managed Care Payment, and Third Party Liability (BCBS,

Medicare)

. Design and implement MMIS Data Warehouse Models

. Strong background in MMIS Certification and meeting CMS MITA standards

and requirements

. Proven success record of cost reductions resulting from strategic and

pro-active thinking

. Consistently provide innovative and creative solutions for automating

and improving interface processes

. Identify and track high-risk areas, adopt risk mitigation techniques

and contingency plans, perform proof of concept technical and

architectural prototyping, and maintain constant communication with

customers

. Results oriented professional with strong interpersonal and customer

management skills

. Coach and mentor team with all members raising their performance

levels

. Superior oral and written communication skills

. Adept in the complete project lifecycle, initiation and planning,

risk, and issue management

TECHNICAL SKILLS

Programming/Scripting Languages: J2EE, Java1.6, JavaScript, PL/SQL, HTML,

XML, XSLT, UML.

Databases: Oracle.

Application Servers: WebSphere6.1, Jboss5.x,

Tomcat 5.5.

Technologies: JSP, JSF, Web

Serviecs, EJB3.0, JMS, JNDI, JDBC, AJAX, JQuery

Frameworks/Design Patterns: Struts 1.2, Spring 2.0, Hibernate

3.2, Axis 2.0

Tools/Utilities: Eclipse 3.2,

NetBeans 6.7, JUnit 4.4, CVS, SVN, XML Spy, Log 4j, Ant,

Rational Rose, JBuilder 8.0, Software Planner, Selenium Testing, Selenium

IDE, TOAD

RECOGNITIONS

. Green Belt Certification

. Pat on Back Awards

. Letter of Appreciation for high quality, on-time MMIS product

deliverable, State of Michigan

PROFESSIONAL EXPERIENCE

MAXIMUS Inc

State of NY - Project Manager, Systems Engineering

September 2012 - Till Date

MAXIMUS has partnered with state, federal, and local governments to provide

critical health and human service programs to a diverse array of

communities. Health and human services solutions are designed to make a

meaningful impact on people's lives and strengthen communities through

state, federal, and local government partnerships.

New York Medicaid CHOICE (NYMC) is a program that helps Medicaid

beneficiaries in New York enroll in a managed care plan that is tailored to

their families' medical needs. The MAXe system is a case management system

developed under the J2EE platform. It was designed and implemented for

administering enrollment services for state Medicaid health systems. MAXe

is responsible for automating enrollment, disenrollment, and case

management activities in health and human services programs while enhancing

productivity of the staff serving Medicaid recipients. Job duties include

. Build credibility, establish rapport, and maintain communication with

stakeholders at multiple levels, including those external to the

organization

. Define project scope, milestones, and deliverables. Prepared and

managed project plan for development and integration of new Self

Service Application portal that was implemented on time and within

budget, enabling Medicaid users for online managed care enrollments.

. Aligned customer needs and solution strategies to define detailed

solution roadmap

. Introduced streamlined processes and procedures incorporating CMMI

Level3 best practices to ensure successful delivery and on time

completion

. Solution Implementation using Agile methodology and follow change

management process for all new system functionality changes

. Coach, mentor and lead personnel within a technical team environment.

. Present periodic Dashboard reports to Senior Management on the current

program, future opportunities and client issues

. Utilize ALM and JIRA for defect tracking, change management process,

project scheduling, risk management and project release status

reports.

Technical Environment: J2EE, JSF, Servlets, XML, STRUTS framework, Oracle,

Web sphere 5.0, Software Planner, JIRA, Subversion, Share point.

MAXIMUS Inc

State of CT - Project Manager, Systems Engineering April

2013 - Till Date

MAXIMUS has partnered with state, federal, and local governments to provide

critical health and human service programs to a diverse array of

communities. Health and human services solutions are designed to make a

meaningful impact on people's lives and strengthen communities through

state, federal, and local government partnerships.

State of Connecticut is to set up a multi-lingual call center operation to

support their Health Insurance Exchange (HIX). The Call Center will provide

assistance to individuals, employers, employees, navigators and brokers

prior to an individual's enrollment in commercial health insurance coverage

offered through the Exchange. Although a large number of consumers will be

assisted through the IVR or Web Portal, a number of consumers may need some

level of support with human interaction. Job duties include

. Define project scope, milestones, and deliverables. Prepared and

managed project plan for development and integration of Siebel System

with OBIEE and OKM to create and manage service requests.

. Work with Implementation Vendors to manage project schedule to make

sure implementation is on track per plan.

. Work with Architecture team, Infrastructure group, and Security team

to make sure the application has been built with required security

features, application and database servers to meet customer

expectations.

. Conduct and participate in daily, weekly project status and CCB

meetings to manage the progress of the project

. Create necessary risks or Issues based on the deliverables and manage

it to closure with appropriate mitigation strategy.

. Utilize ALM and JIRA for defect tracking, change management process,

project scheduling, risk management and project release status reports

Technical Environment: SIEBEL, OKM, OBIEE, XML, Oracle, Web sphere 5.0,

Software Planner, JIRA, Subversion, Share point

Care First BCBS, Washington DC

January 2012 - August 2012

Technical Project Manager

The ICD-10 changes required for implementation in 2013, will have a large

impact on Care First systems. The largest impact will be to the Benefits

Administration sub-system which contains the majority of benefit data used

within FEPExpress to determine claims benefits. The data is based upon a

combination of diagnosis codes, procedure codes and revenue codes. The

implementation of ICD-10 will require substantial changes to the Benefits

Administration sub-system which will impact applications within FEPExpress,

including VTC, Benefits Determination and other sub-systems that interface

with the Benefits Administration sub-system.

A claim adjudication business process model will be developed to ensure the

quality of the ICD-10 transition, while providing the foundation for future

enhancements. Job duties include

. Diligently worked with Business stake holders in completing project

charter, budgeting, cost benefit analysis and planning for the

successful execution of the project

. Work with PMO on project planning, resource planning and cost

budgeting.

. Lead Technical Architecture of the system considering all portability

aspects under Matrix organization

. Design system using J2EE design patterns and SOA architecture for web

service integration with Pega.

. Implement all CMMi level3 PMLC/SDLC processes along with PMP tools and

techniques for the success of the project

. Integrate application with proprietary, customized Business Rules

Engine

. Manage a team of 10 developers, 5 testers and 2 BA's to implement

changes as per Agile methodology

. Involved in each step of development life cycle from inception to

deployment

. Maintain all project documents using Microsoft share point.

. Perform impact analysis with other systems before implementation to

prevent business failures

. Use industry best software methodologies and tools to track and for

the successful completion of the project.

. Making sure all claims HIPAA transactions like 835/837 been processed

successfully through the system using HIPAA EDI gateway based on files

from CMS

Technical Environment: Java, JSP, Servlets, XML, STRUTS framework, Oracle,

EAI API, TIBCO BC, Quality Center, Clarity, Serano, Share point.

CNSI, Gaithersburg MD August

2006 - December 2011

SE Manager

CHAMPS (Community Health Automated Medicaid Processing System) is a

Medicaid Claim Processing system which is a replacement to existing

Michigan State legacy Medicaid system. CHAMPS involves maintaining

Recipient Management information processed via batch or real-time

eligibility, Demographic and Enrollment Information. It generates HIPAA

complaint Recipient information (834) to health plans and provider payments

based on the Recipient Enrollment information. System is highly robust and

integrated with other COTS systems like CRM for Recipient or Provider

inquiries, or Cognos for report generation. System supports processing both

fees for Service and Managed Care Claims/encounters seamlessly without any

setbacks. Job duties include:

. Lead requirements gathering, architecture and implementation of State

of Michigan MMIS Eligibility and Enrollment System for Medicaid,

SCHIP, CSHCS, MOMS programs and Third Party Liability (TPL) System

. Hire, lead, and manage team of 15 including Business Analysts,

Developers, and Testers

. Design and implement real time web services for eligibility and

enrollment updates using SOA architecture

. Design and implement benefit packages for Medicaid beneficiaries based

on eligibility, age, county, poverty level, etc.

. Design and implement commercial (BCBS, Vendor Update) and Medicare

insurance coverage's (MMA) including Part A, Part B, Part C and Part D

. Involved in HIPAA 270/271 EDI transactions for provider Eligibility

Inquiry for Medicaid and MIChild Beneficiaries; this HIPAA trading

partner gateway takes doctor/hospital 270 input, confirms and

validates coverage, and outputs 271 response

. Involved in HIPAA 834 HIPAA trading partner gateway transactions

(Daily, Weekly, Card cut off, 1st of Month Positive file) to report

eligible beneficiaries in different Managed Care health plans like

BCBS, Delta Dental, Omnicare, Bluecaid, Great Lakes of Michigan etc

for health programs including Medicaid, MIChild, Mental Health,

Substance abuse, Healthy Kids Dental, Waiver programs like Adult

waiver, Child waiver

. Involved in industry 5010 standard design for HIPAA EDI transactions

for 270/271, 834 from current 4010 implementation

. Work with client daily to understand business requirements and provide

quality product solutions

. Manage requirements gathering activities including initial

requirements gathering in Word, creation of detailed specification

documents, use, cases and input into IBM Rational tools.

. Integrate application with proprietary, customized Business Rules

Engine

. Work with developers to implement changes as per Agile methodology

. Involved in each step of development life cycle from inception to

deployment

. Follow quality standards based on the state's priority items

. Responsible for all phases of the development life cycle from

inception through deployment

. Perform impact analysis with other systems before implementation to

prevent business failures

. Follow HIPAA process to report beneficiary information to Managed Care

Organizations (MCO)

. Execute critical processes during QA which impact business based on

changes to the code

. Quickly address production issues prioritized by the state using

Request for Change (RFC) processes.

. Write proposals for State of Maryland's beneficiary management and

third party liability programs.

Technical Environment: Java, JSP, Servlets, XML, STRUTS framework, Oracle,

Cognos, ReqTrace, Rational Clearcase and Clearquest, Sibel CRM, Oracle

Financial, Web service, JCAPS, Edifecs, GenTran, Toad, PL/SQL

Cognizant Technologies, Phoenix AZ

March 2006 - August 2006

Senior Associate

United Health Group served more than 1.2 million beneficiaries of

government health care programs in 13 states from Rhode Island to

California. The unique United Health Group Personal Care Model featured

direct member contact by clinical staff who worked to build a support

network for chronically and acutely ill members involving family,

physicians and government and community-based organizations. Job duties

included:

. Performed complete life cycle of development from inception to

deployment

. Analyzed requirements

. Performed high Level and detailed design using Rational Rose

. Generated pseudo code using Rose

. Used Harvest for version control and process flow and to ensure

quality of project.

Technical Environment: Java, Servlet, Oracle, Rational Rose, Harvest

Satyam Technologies, Melbourne FL

November 2000 - March 2006

Systems Analyst

Designed and implemented some of the first GE Power Systems (GEPS) IT

projects including Global Engineering Work Flow (GEW) and eMarket Model.

GEW consisted of 4 modules, GAS, Controls, Steam and Generator. The eMarket

model standardized the methods used for SI/SII calculations and increased

the productivity of Product Line Managers, who determined market potential

and segment penetration. This was a web-based tool that allowed users to

quickly determine potential opportunities. Results were sorted, printed

and exported to Excel. Job duties included:

. Involved in every step of life cycle from requirements gathering,

through use case preparation, to design and implementation of quality

products

. Project Implementation using Java, JSP, Servlets, XML, STRUTS

framework and Oracle database for data storage

. Coded JSP to display the retrieved data in the front end

. Utilized EAI API to retrieve the data directly from the TIMES using

events

. Tested products using Test Director, JProbe and others.

Technical Environment: Java, JSP, Servlets, XML, STRUTS framework, Oracle,

EAI API, Test Director, JProbe

EDUCATION

. Bachelor of Engineering, Mysore University India

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