Project Management

rick simmons

Email: *********@********.***

Address: ***** ****** ***** *****

City: Frisco

State: TX

Zip: 75035

Country: USA

Phone: 214-***-****

Skill Level: Director

Salary Range: $140,000

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Rick Simmons

Cell: 214-***-****

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

www.linkedin.com/in/simmonsrick/

Director PROJECT MANAGEMENT & Client Relationship

With over 20 years of experience managing the development of technology solutions and process to align with organization strategy and vision in the areas of Healthcare, Aircraft and Textiles.

Key Competencies / STRENGTHS

Project / Program Implementation

Client Relationship Management

Large Scale Systems Conversions

Web Application Development

Service Oriented Architectures

Needs Based Solutions

Budget Development / Management

Systems Installation Process

Information Systems & Technologies

Highlights & ACHIEVEMENTS

Deeply involved with the initiation and managing of two large projects requiring separate teams to accomplish, in which all milestones were met and the successful conversion occurred with no impact to Medicare members, resulting in a $300 million dollar clean business acquisition.

Acquired 5 year contract resulted in $60M due to previous client relationship specifically who requested my participation in developing the proposal for the contract, addressing software and infrastructural requirements. As account executive, worked with the CDS and vendor teams as we achieved all milestones and deliverables

Redesigned and streamlined process and developed software that would dramatically reduce the mail cost by $1M per year with a key document and it proved to be a critical item to reducing costs and remaining competitive.

Grew relationship opportunities for a new market for a reliable claims processing/payment system we had developed, resulting in a new 5 year, $5 million dollar contract with a new customer. In addition, led the operational support of this contract and continued to develop the new relationships very effectively, with excellent customer ratings each year since the implementation.

A team was mobilized using standard waterfall methodology (no additional resource provided), to build system to accommodate database creation and population, as well as interfaces to move data into EHR product within 90 day period; with a critical timeline, to begin pilot with State Medicaid customer. This essentially resulted in the creation of a new company which evolved into a very profitable venture for each company, worth $10 to $30 million per year in revenue

Professional Experience

Companion Data Services Dallas, TX 2006 - Present

Director, Applications/Client Services

Key role in acquiring $60 M Infrastructure Design / Implementation /Software Development Process Account (Medicare Advantage/ National Encounter Program

Project milestones have been met & several million dollars in additional business through contract modifications has been obtained with this account; both Northrop Grumman and CMS have recognized this program as a great success

Initiate $6 million contract and ongoing account management associated with the implementation of Section 1011 UARS Claims procession system for Novitas Medicare Services

Successful implementation of TrailBlazer MAC Jurisdiction 4 for Part A & B claims processing, payment and reporting processes on time and within budget

Successful migration of WPS claims/payment workload from Mutual of Omaha to TrailBlazer

Numerous process improvement projects for CWF contract resulting in tightly controlled, high accuracy procession environment

Blue Cross Blue Shield TN Chattanooga, TX 2003 - 2006

Systems Application Manager

Managed Government Systems, consisting of 27 systems/programmer analysts with development/maintenance duties on over 100 systems and several platforms (multiple SQL servers, UNIX/HP, IBM ES9000 mainframe)

Established and coordinated corporate steering communities and master project planning concepts which improved productivity

Reduced large mainframe IMS claims system downtime by 98% through resolution of root cause maintenance problems and implementation of technologies allowing joint batch/online access

Managed multiple successful HIPAA transaction project implementations for both Medicare and Medicaid on time and within budget

Successful conversion of Medicare New Jersey Part A from Horizon to Riverbend on time and under budget

Multiple Internet project implementations involving eligibility, claims and authorizations information access to providers

Education

Master of Business Administration, University of Tennessee, Chattanooga, TN

Bachelor of Business Administration, Georgia Southern University, Statesboro, GA

Associate of Science Data Processing, Cleveland State Community College, Cleveland, TN

PROFESSIONAL DEVELOPMENT

HIAA Managed Care; Keane Project Management; Effective Leadership; Birkman

Technical Skills

Languages: COBOL, TPG, Easytrieve, Ads/O, XML, SQL, .NET .

Databases: Oracle, MS SQL Server, DB2, IDMS/R, MS Access .

Application Servers: WebSphere, Oracle . .

Operating Systems: Windows 2000, UNIX (Solaris, AIX), Z06 .

Methodologies: CMMI, Waterfall, ISO, Crosby .

Other Software: Microsoft Office Suite (Excel, Word & PowerPoint) Project

Certifications

HIAA Part A, Part B, Managed Care

Six Sigma Black Belt (in process)

Associations

University of Tennessee Alumni

Georgia Southern University Alumni

Cleveland State College Alumni

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