Project Manager Management

Ravi Ranjan Jha, Certified Scrum Master (CSM),

®

PMP

********@*****.***

Cell – 602-***-****, Home 847-***-****

Professional Summary

An accomplished software professional with over Fifteen+ years experience and with solid knowledge of

customized, Internet and Intranet application development. It encompasses 7+ years as Project Management and

1 year as Program manager (on site and offshore model). Experienced in all phases of the software life cycle

including System Analysis, System and database design, development, testing, implementation and of

Client/Server and n-tier Applications. A good manager to handle multiple teams with excellent communication and

people skills. Expertise in Health care, Insurance, Retail & Manufacturing (ERP), Dairy and EDI domain.

•Extensive experience in EDI implementations (Real and Batch processing).

•Excellent experience in EDI transactions like 270, 271, 276, 277, 278, 820, 834, 835, 837 ( ASC X12, 004010A1)

•Expert in ANSI X-12(004010A1 & 5010), HIPAA, HL7, EHR( Electronics Health Record).

•Involved in testing and performance enhancement of EDI Maps.

•Good understanding of Healthcare Spending under ARRA (American recovery and Reinvestment ACT), the

stimulus package.

•A good understanding of Health Information Technology for Economic and Clinical Health (HITECH, Title

XIII) and Medicare and Medicaid HIT incentives (Title IV) under ARRA

•Good command over testing and debugging methodologies such as unit testing, system testing and integration

testing.

•Created and evaluated Test cases for the different transaction sets.

•Designed the Generic B2B Translator for EDI transaction.

•Expertise in programming languages such as J2EE (EJB, JDBC, Beans), HTML, VB Script, Java Script, XML.

VB.Net

•Expertise in Project Management tools such as Ms project 98 & 2000, Rational Rose, Visio.

•Capable of estimating Project/product cost and time and capable to handle the projects in accordance with

Project plan

•Capable of knowledge transfer, providing leadership and guidance both personally and technically. Good in

briefing the team. Experience in On site and offshore model and played role as onsite PM, Coordinator.

•Possess good analytical skills and problem solving capabilities with excellent communication skills.

•Multiple project management on Onsite offshore model. Work in Traditional Project Management

methodologies as well as Agile Project Management as Scrum Master

•PMP, certified by PMI, Certified Scrum Master (CSM) by Scrum Alliance

Skills Profile

TECHNICAL

Operating System Win NT4, Win 95 & 98, Win2000, IIS, .NET Technology

Database Oracle8, SQL 7, MSAccess, dBASE IV, Foxpro 2.6, Oracle

MS Project, MS Visio, Rally, Change Point, Clarity, MS Word, MS Excel,

Internet & Other Tools

Wireframe

Languages & Java, Servlet, JSP, RMI, JDBC, Visual Café, Java Beans, JBuilder, JDeveloper,

Environments ASP, Interdev, VB6, .Net Technology

FUNCTIONAL

Ability to produce realistic software schedules, Project Management,

Management and Strategic/Tactical Planning, Business Analysis and Development,

Leadership Skills Budgeting/Forecasting, and New Product Development, WBS, agile stories,

Leading meeting and JAD, Iteration Planning

Ability to Train and Troubleshoot Health insurance HIPAA related stuff. Coach team

Training &

for SDLC and Agile Scrum

Development

Professional Experience

Contech System Aug 2009 – Current

Sr. Consultant, HIPAA and HL7 Projects, United Health Group Aug 2009 – Current

As Sr. Consultant of B2B group of UGH I have to manage and work on requirements, design, documents for the

below projects

Tricare Implementation

UHG has been awarded with the Tricare south region business to administer for claims, members, providers and

eligibility. In the first phase we have to implement all HIPAA transaction (4010A) by April 2010 then we have to

implement 5010 & ICD10. We have started working on 4010 and 5010 as well. Other than HIPAA transactions we

have to work on Portal for provider search and eligibility.

Clinical Intake Lab Reports (HL7)

UHG is currently receiving lab reports from 20 Labs and keeps the records in Galaxy system. Currently UHG is

receiving the lab reports (ORU- HL7) in customized HL7 file format which is not standard HL7 file format and

galaxy can not not find all the members in its system so rejecting those reports. We are trying to resolve this

problem and AS B2B solution we will receive the file in HL7 file and validate the format and data. Once validated,

B2B will check the member eligibility in CDB and once it finds the match, record will be sent to galaxy in a file.

Members not found or matched in the CDB will be sent in other file to Galaxy. In the whole process different

events and errors will be captured and reports will be generated.

Common Events logging repository

All transactions, HIPAA X12 & HL7, will log all events in this transaction repository. All applications or groups,

which handle transactions starting from getting into UHG gateway to different claim adjudication system or

eligibility systems etc will log all events, so that any particular transaction can be traced out. Business can create

different reports querying repository. This will use as edit log also for claim and eligibility transactions for SOX

reporting purpose.

My responsibilities are as follows

Create & Estimate project WBS

Create and maintain Ms Project plan

Document and maintain Project Plan which includes – Plan(execution, Test, Resource), issues, risks etc

Manage BRD(Business requirement document) & BAs

Manage SAs and related documents (Detail Design, Data Matrix, Mapping, Logical Data Model & Schema)

Update weekly status and release plan (short term & Long term)

Coordinate meetings and brain storming sessions within development team,

Arrange meeting and group discussion among B2B BA and SA teams with other groups

Keep track of progress and prepare different reports

Conduct daily Scrum meetings (Agile)

Resolve impediments identified by SAs, Bas and Developers

Manage stories and task assignments in excell

Track daily developer assignments and progress (Daily standup meetings)

Track overall burn-down and story acceptance within iteration

Conduct iteration planning sessions

Create User stories and update daily progress

Management tools Used – Ms Project, Mind Manager, Excel

Team Size – Onshore 5, Offshore 7

Ness Technologies May 2008 – June 2009

Information Technology Project Manager (Scrum Master), Pearson Education May 2008 - June 2009

As ITPM and Agile Scrum Master – The project is for accumulating student info (registration, demographic, test

attempts), scores and other data in one place and extract data in standard xml format to produce report or print

report. We connect to different databases for input or some time import data from flat files and store them in our

operational data base to produce standard xml format for reporting purpose. It’s a continuous activity we do it for

almost all the states which includes districts, schools (public, non public or home school) . My duties are

Conduct daily Scrum meetings (Agile)

Resolve impediments identified by developers

Manage stories and task assignments in Rally

Track daily developer assignments and progress

Track overall burn-down and story acceptance within iteration

Conduct iteration planning sessions

Create User stories and update daily progress

Setup releases and iterations in Rally

Risk Management – Identify and track risks to the delivery schedule

Deployment Management – Create release notes, submit RT tickets, track deployment status, attend CAB

meetings

Coordination & Manage Customer, Delivery team, Program team, and Functional teams as ARMS POC for

day-to-day management activities

Issue Management – Identify and manage issues through resolution – coordination with Test, Development

team, Hosting, Product Mgr as required to resolve issues in a timely manner

Coordination with Test team throughout release process (onsite & Offshore)

Manage coordination & communication with IDC (Offshore) resources

Manage third party vendors

Work with Product Manager to identify opportunities for process and quality improvements

Perform administrative activities associated with projects, correspondence, and meeting planning setup

Other support activities as required

Management tools Used – Rally, Chang Point, Mind Manager

Team Size – Onshore 10, Offshore 20

Capgemini Incorporated Sept 2005 – April 2008

Program Manager, Cordance Technologies – Transunion April 2007 – April 2008

As onsite Program Manager, manage all aspects of client delivery for multiple projects and manage multiple

project teams. Duties include financial responsibility, on time delivery, creating WBS and network diagram,

resource allocation/management, risk/mitigation and Issue/resolution management for client projects etc.

Participate and advise in strategic planning for client. Lead meeting and JAD sessions for Design, Risk, estimate,

requirement gathering, Scope definition, change control, Manage third party vendors, Worked in SDLC and

SCRUM, Coordinated a team of onsite/offshore model –

Key tasks as Scrum Master (Agile framework):

Facilitation

• Anticipation and proactive tracking/recording/removal/escalation of impediments

Responsible for reporting of risks, impediments, sprint and release progress

Facilitate the team in identifying & managing interactivity user stories and their dependencies within product

development

Facilitate the estimation of Product Backlog Items and other Scrum activities with an understanding of problem

domain

Conduct on-going project meetings and daily standup meetings

Create an environment of team spirit and excitement around what is being delivered

Proactively resolves conflicts between people and if needed escalates appropriately

Planning/Reporting

• Responsible for time boxed (2-4 week) sprint planning and execution

Gather & disseminate project information on a regular basis, documenting team agreements, sprint plans, release

plans, and retrospectives

Creating and present Burn down chart

Manage iteration backlog

Contribute to ongoing refinement of product development processes

Facilitates team progress, with a focus on delivering business value quickly

Project Leadership

• Lead teams in the delivery of high-quality solutions that meet business needs by applying agile

methods

Enables close cooperation across roles and functions and removes barriers

Shields team from external interferences during sprints, escalates as necessary

Responsible for holding team to a definition of 'done' (their quality bar)

Team Size (Two Teams) – Onsite 8, Offshore 16

Management Tools used – MS Project, Clarity, Excel based tools, Mind Manager

Project Manager/Program Manager, Aon Sep 2005 – April 2007

As onsite Project Manager, manage all aspects of client delivery from requirements capture to day-to-day

management of development team. Duties include financial responsibility for client projects including risk/issue

& mitigations/resolutions, project Plan and change request, stakeholders (Internal and Customer) and

requirement managements. Following are the projects handled for the client

•Online Settlements, The Applications was built in VB4 over SQL. This project moves the VB code to J2EE,

with no changes made to the SQL data structure, and no functional enhancements. This application is

designed to check the validity of the claims submitted by agents and release the payment. These claims are

commissions and other expenses earned/incurred by the agents by selling different policies.

The Prize System application, this was built in Clipper. This project replaces existing Prize System. This new

system is developed based on new requirements, which will use J2EE technology and SQL Server database. This

is a conversion project from Clipper to J2EE; this system is to report the Taxable Prize inventory for Home Office,

Divisional and Regional Office commissioned agents. System also has interface with Peoplesoft and Mainframes

as a backend.

The CICA Time application, this was built in VB4 over SQL. This project moves the VB code to J2EE, with no

changes made to the SQL data structure. CICA Time system was designed to process biweekly payroll. This

project enables semi-monthly processing

Orion, a product for Aon’s clients who are car dealers. This products let dealer’s representatives know about the

new and used cars value, inventory, market value, fast selling and fast moving cars. This application shows all

information needed to make any decision by the representatives.

Aon warranty, - co-managed a study of business strategies and business practices & processes for Aon warranty

group. Along with a detail report of existing practice and processes with Use cases and chart, a detail report on

enhancement, new proposed process and best practice was submitted. A feasibility study was also done on cost

effectiveness and efficiency for modules, identified as good candidates for off shoring. Mr. Jha’s team discussed

and interviewed business people and technical people to identify modules for off shoring. As one team (Client’s

representatives & Capgemini consultants) prepare a report which has all the requirements listed for off shoring,

e.g., infrastructure, resources (onsite/offshore), processes, development methodologies (for heavy, medium and

light projects), training, documentation etc.

Olympic Health Management, a health insurance company under Aon. OHM offers Medicare supplemental and

Advantage plans to its customer along with Long term and life. This project is to study the current practice and

business strategies of OHM. The outcome or end result is to submit a detail report on how to incorporate the best

practices involving technologies and people. Deliverables include Visio diagrams of Process Flows and process

designs, business requirement document for different functional areas (Marketing, distribution channel, claims

(including implementation of Hipaa transaction X12 and ICD 9 & 10), enrollment etc)

All the above projects were done on site / offshore model and I played as Business Analyst along with onsite

project manager

Team Size – Onsite 4, Offshore 40

Management Tools used – MS Project, Clarity, Excel based tools, Mind Manager

Cognizant Technology Services Nov 2004 – Aug 2005

Project Manager/Account Manager, AmeriChoice (a United Health Group

Company)

Americhoice is health insurance Company under United Health group. As onsite Project Manager, managed

projects related to Claims (Inbound 837 from providers and outbound 837 to state for Medicaid), Members

eligibility, Members reconciliations, Remittances, Remittances for specific claims like Stoploss Kick Billing or

Capitation claims, create alerts for invalid Hcpcs, CPT or ICD codes (9 or 10), Check printing and sunsetting of

mainframe and moving towards Diamond.

Partial list of Duties included

-Kickoff meeting - Project charter

Scope definition - Scope finalization

Project Planning - Risk/Issue management

Project scheduling - Quality Assurance

Resource management - Conduct and lead Meeting and JAD sessions

Stakeholders management – Onsite Coordinator

Team Size – Onsite 21, Offshore 78

Management Tools used – MS Project, Clarity, Excel based tools

Infotech Global Inc. Feb 2001 – Nov 2004

Senior Consultant and Project Manager

As a senior consultant and project manager, managed workload, schedule and budgets for a variety of HIPAA

and EDI projects including:

•Sorian Financial, a product of Siemens for large hospitals which is used to send electronics claims to

hundreds of payers. Project included updating the product for HIPAA compliance and writing rules to produce

correct claim files (837 I, P and D) compatible with payer’s companion guides e.g, Medicaid, Medicare, BCBS

of different states . We converted local codes to payor required codes and validated HCPCS with modifiers

and ICD codes transactions

•Arkansas Hospital Association HIPAA compliance update. This consortium of hospitals in the state of Arkansas

wanted to become HIPAA compliant for security, privacy and transaction. We implemented different hipaa

transaction for Medicaid, Medicare, United healt, BlueCross BlueShield etc.

•HIPAA Transaction Tester (HT3) is an automated secured HIPAA Transaction Testing portal which ensures the

integrity and effectiveness of Transactions Sets. Designed testing and transaction methods for 270-Eligibility

Inquiry transaction, 271-Eligibility Response, 820-Health Plan Premium Payments, 837(Institutional)-Health Care

Claims/Benefits, 837(Professional)-Health Care Claims/Benefits, 837(Dental)-Health Care Claims/Benefits, 835-

Health Care Payment/Remittance Advice, 276/277- Health Care Claims Status and Response, 278- Health Care

Services Review, and 834- Benefit Enrollment and Maintenance.

•eHealth project for Indiana University. Many companies are using this online tool to train staff on HIPAA

guidelines.

•MedCard lets healthcare providers to check member eligibility via the Med Unite Network. Providers can transmit

eligibility requests in the form of a secure EDI file. The transmission is done by the Med Unite Translation

Component built on the basis of the 270/271-transaction set as per the HIPAA guidelines and as per the

document by WPC.

•MDOnline Translator converts the NSF 3.01 Envoy format data files to HIPAA Standard 837 Professional format

by validating the uploaded file and then translating it.

•Claim Management System (CMS) 2.0 which lets users add, delete, modify, view and update the HCFA1500,

HCFA1491, UB92 and MC12 medical forms. The system includes a generic translator called Health B2B that

facilitates the import of the inbound data received on magnetic tapes or as text files via email as defined by the

individual hospital systems/providers. Specified edits are performed to insure data integrity and if the claim does

not meet these requirements it is loaded into a review queue. The CMS generates reports based on the charges

or payments or adjustments.

•HCFA 1500 for MDOnline. This system enabled medical providers to Add, View, Modify, Delete and view reports

of medical insurance claims over a secure Internet service. Providers can transmit claims in the form of an output

file.

Duties included were Project Planning, Create WBS, Task assignments, Risk/Issue management, Project

scheduling, Quality Assurance, Resource management, Customer interface, third party vendors etc

Coordinated a team of onsite/offshore model

Team Size – Onsite 8, Offshore 35

Management Tools used – MS Project, Orbit, Excel based tools

April 1995 – Feb

Previous Work Experience

2001

Programmer and Project Lead – Total Hospital Management, RBD Software, &

Ministry of Defense.

Education

Bachelor Degree in Science, Masters Degree in Business Management (MBA) and Post Graduate Diploma in

Computer Applications, Certified Project Manager Professional (PMP) from PMI. Certified Scrum Master (CSM)

by Scrum Alliance

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