Project Manager Management

Wayne Langdon

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

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

City: West Chester

State: PA

Zip: 19382

Country: USA

Phone: 610-***-****

Skill Level: Management

Salary Range: $141,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Wayne H Langdon Jr.

890 South Matlack Street 610-***-****

West Chester, PA 19382 **********@********.***

PROFESSIONAL OBJECTIVE

A results oriented professional with 20 + years of Healthcare Industry experience with over 13 years focused on Information Technology is looking for a Senior Project Manager position in a technically progressive organization where I can utilize my skills in project management coordination, team building, business analysis, process improvement, planning, and organization.

PROFESSIONAL EXPERIENCE

DaVita Inc. - Project Manager 8/12 - present

Team TIDE

Joined the DaVita Village as part of a Guest Teammate Initiative to work on the Medicare Advantage Project, the Tesla Project and to clear out a Remedy Task backlog,

Medicare Advantage

Created a Project Work Book and Project Plan

Coordinated a comprehensive plan for TIDE/SMART/Lighthouse/ROPS IT

Phase 1 46 Plans

Phase 2 66 Plans

Tesla Project Recommendations Implemented

Improved QA/UAT Process

Standardized Priority Order Among Teams

Elimination of Star Team Process for QA

SLA Data Posted Starting in October 2012

Remedy Task Management

Original Backlog of Remedy Tasks 156

86% Improvement on the backlog

Remedy Reporting Documentation Improvement

Revised weekly Priority Meeting TIDE/CST/PST

Initiated New Remedy Reporting

Cross Training of Dev/QA Resources

Creation of Teammate Work Queues

Initiated New Remedy TIDE Process Work Flow

Wayne H Langdon Jr.

890 South Matlack Street 610-***-****

West Chester, PA 19382 **********@********.***

MEDECISION INC - Project Manager 6/07 8/12

HCSC Alineo Medical Surgical Implementation

Originally joined MEDecision as a consultant with Devon Consulting Group as a Senior Business Analyst. Hired full time and promoted to Project Manager within 8 months.

Responsible and accountable for the coordinated management of multiple related projects directed toward strategic business and other organizational objectives.

Build credibility, establish rapport, and maintain communication with stakeholders at multiple levels, including those external to the organization

Partnering with client stakeholders to develop successful installation and implementation strategies that will deliver optimized data analysis, automated workflow processes and electronic connection of patients, payers and providers.

Define and initiate projects, and assign resources to manage goals, schedule deliverables, measure performance, while working to ensure the ultimate acceptance and success of the project

Maintain continuous alignment of project scope with strategic business objectives, and make recommendations to modify projects to enhance effectiveness toward the business goals

Management and oversight of all development and QA staff for system integration testing, regression testing and user acceptance testing.

Select Accomplishments

Assigned to the companies largest client, Independence Blue Cross and Blue Shield of Illinois / Texas

53% of MEDecision Business / Project revenue of over 16 million

Alineo / Nexalign / Care Planner Web / iEXCHANGE Products

16.5 million covered lives

2 5 people in America have a provider who uses a MEDecision Product

Currently managing MEDecisions biggest project for its biggest client BCBS Illinois/Texas

Implemented iEXCHANGE Web and IVR for its clients biggest MCO BCBS Texas

Maintain all changes to all 11 environments from Dev, Systest, UAT, TRAIN to prod fix and PROD across multiple product lines

Lead all defect management and triage for all environments as well as Model Defects and Enhancements.

98 % Success Rate for project Implementations

Coach, mentor and lead personnel within our technical team environment

Maintained weekly level 2 meeting to assure proper integration of level 3 executive management goals

Wayne H Langdon Jr.

890 South Matlack Street 610-***-****

West Chester, PA 19382 **********@********.***

Keystone Mercy Health Plan Senior Business Analyst 10/1999 6/2007

Worked in the IT department for 2 years before being promoted to the HIPAA Program Office. Remained with the program office until promoted to a Senior Business Analyst in 2005.

Continuously supporting all internal and external clients and departments from workflow process design and quality improvement, to documentation management and workflow design. Areas: Operations, Government Affairs, Encounters, HIPAA Implementation Team and Production Support.

Present periodic Dashboard reports on all current projects, future opportunities and client issues to Account Director

Analyzing and re-engineering department workflows for process improvement.

Completed functional specification and root cause analysis documentation for all projects.

Worked directly with development and QA staff as well as testing teams for system integration testing, regression testing and user acceptance testing.

Select Accomplishments

Implemented HIPAA Standard Transaction as part of the Federal Government Initiatives

820, 834, 835, 837, 277, 278

Care Planner Web / iEXCHANGE Products

Creation and Maintenance of an Access Database for the HIPAA Project Office

Issues Database for All KMHP Providers

Provider Queries and Reports for multiple departments

Education / Computer / Technology Experience:

Education

1988 1990 Delaware County Community College

1990 - Current Business Administration Neumann College - Aston PA

Technical Experience

Microsoft Office including: Project, Word, Excel, Access, Visio and PowerPoint

EDI Transaction Sets 820, 834, 835, 837, 277, 278 - Encounters

Erisco Facets 2.961a, 4.2

DaVita Work experience August 2012 - Present

Project Manager Team TIDE - Joined the DaVita Village as part of a Guest Teammate Initiative to work on the Medicare Advantage Project, the Tesla Project and to clear out a Remedy Task backlog,

TEAM TIDE Project Initiatives

Medicare Advantage Lead the set up of new DaVita Centers for all payers to be set up to bill electronically like Medicare. Worked very closely with ROPS billing for any new contacts to enhance the conversion process.

Created a Project Work Book and Project Plan for all of DaVita operations

Coordinated a comprehensive plan for TIDE/SMART/Lighthouse/ROPS IT departments

Phase 1 46 Plans Completed 100%

Phase 2 66 Plans Completed 100%

Tesla Project Worked with process engineering team to fully understand all workflows in the TIDE/Guardians Teams and to make recommendations on process/quality improvement.

95 % of all recommendations were Implemented

Improved QA/UAT Process

Standardized Work Prioritization Among Teams

Elimination of Star Team Process for QA

SLA Data Posted Starting in October 2012

Remedy Task Management

Original Backlog of Remedy Tasks = 156 (2011-8/2012)

100% Improvement on the backlog

All tasks are February 2013

Remedy Reporting Documentation Improvement

Revised weekly Priority Meeting TIDE/CST/PST

Initiated New Remedy Reports

Cross Training of Dev/QA Resources

Creation of Teammate Work Queues

Initiated New Remedy TIDE Process Work Flows

MEDecision Work experience June 2007 August 2012

Alineo Medical Surgical Project Upgraded MEDecisions biggest client, Independence Blue Cross and Blue Shield of Illinois and Texas, from Care Planner Web to Alineo

Project Managements Initiatives

Project duration 24 months - Go Live - August 17 2012

SOW agreement for scope of project

Complete and maintain comprehensive Project Plan for all stakeholder initiatives

Set up requirement gathering with team and client 16,000 requirements

Organize standard documentation and process for requirements gathering for the client along with internal measures to capture and submit model defects and enhancements.

Management of Model Defects through our internal process and set up monthly meetings with our client to measure priority level of model defects/enhancement in order to determine future scope

Management of base product to be delivered including the review of the Epics and User Stories as part of the Agile process

Management of the internal and client teams for the JAD/Design sessions

Management of implementation of Alineo through all of the client environments from Dev, Systest, UAT, Train, Perf, Prod fix and PROD.

Environment management of all upgrades and patches from the defect fixes

Defect management from the submission documentation to the triage, root cause, re-creation, to defect fixes and their schedule for the patch work or data fixes/scripts for each environment

Management of third party vendors and their integration and validation

Cincom Letters (19,000 daily)

Millimen

MEDecision Patient Questionnaires

Resources management

Business Analyst

System Analyst

Technical Support

Development/QA

Additional Projects

IVR Implementation IBC Texas

Single Sign On Implementation for providers (5800) through the Availity Portal/IBC/MEDecision

iEXCHANGE Expansion Project

Managed both MEDecision and client teams for requirements, development, QA, implementation and project stabilization

Production Support Management

4 MEDecision Products (Alineo, iEXCHANGE, CP Web, MTM)

11 environments

PROD System Down Issues and Bridge line calls - Triage (Servers, Web services, JVMs, Application Errors, Log Review)

Keystone Mercy Work Experience February 1999 June 2007

Worked in the IT department for 2 years before being promoted to the HIPAA Program Office. Remained with the HIPAA program office and promoted to a Senior Business Analyst in 2005.

Business Analyst Initiatives

Continuously supporting all internal and external clients and departments from workflow process design and quality improvement, to documentation management and workflow design. Areas: Operations, Government Affairs, Encounters, HIPAA Implementation Team and Production Support.

Present periodic Dashboard reports on all current projects, future opportunities and client issues to Account Director

Analyzing and re-engineering department workflows for process improvement.

Completed functional specification and root cause analysis documentation for all projects.

Worked directly with development and QA staff as well as testing teams for system integration testing, regression testing and user acceptance testing.

Implemented HIPAA Standard Transactions as part of the Federal Government Initiatives

820, 834, 835, 837, 277, 278

Completed the functional specifications for the above listed ANSI Standard transactions

Worked with the System Analyst along with our programming staff on the specifications for the looping structures and data sets.

Worked with the business unit and client on all requirements gathering

Completed the data mapping for the EDI transactions sets for all data elements from the proprietary files

Worked internally with our administration area on HIPAA law implementation and how it affected our EDI transaction sets

Creation and Maintenance of an Access Database for the HIPAA Project Office

Issues Database for All KMHP Providers

Provider Queries and Reports for multiple departments

University of Pennsylvania Health System Work Experience November 1994 February 1999

Provider Relations/Contracting Representative

Worked in downtown Philadelphia in Penn Tower

Completed Managed Care Grids for UPHS Physician Offices that encompassed over 42 health plans

Territory consisted of the following provider types/departments

12 UPHS Medical Departments in Pennsylvania Hospital and 8 departments in Penn Medicine at Radnor including but limited to:

Dermatology

Internal Medicine

Orthopedics

Urology

Maternity

Endocrinology

Assisted in recruitment of new providers

Assisted in the fee schedule assessment for UPHS

Created a Managed Care Curriculum still utilized today by the UPHS New Employee Orientation Program (along with Donna Waldron)

Managed Care 101 Corporate/Auditorium Setting

History of managed care all the way back to 1929

Types of Managed Care HMO/PPO/POS/Indemnity

Payment Methodology Fee for service, DRG, Risk Management

Types of Provider Agreements

Managed Care 201 In the provider Office

Specific UPHS Provider Initiatives

Fee Schedule based on each MCO

Claims Office Management

Referral/Authorization Overview

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