Project Manager Management
Resume:
David Loewy
Email: abqqzn@r.postjobfree.com
Address: **** *.**** **.
City: Wilmington
State: NC
Zip: 28401
Country: USA
Phone: 910-***-****
Skill Level: Director
Salary Range: $208,000
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
DAVID W. LOEWY, PhD
DAVID W. LOEWY, PhD
SUMMARY
Certified Project Director with over twenty years professional experience in the healthcare industry
Subject Matter Expert on HIPAA 5010 and Meaningful Use ICD 10 (US, EC Asia)
Extensive professional experience with Medicaid and Medicare
Proficient in working with remote team members and vendors involving software development, integration and infrastructure deployment projects
Successfully implemented processes and procedures related to healthcare industry and regulatory practices
Seasoned communication skills with superior written, oral, and web-based processes
Consistent ability and experience to ensure on-schedule and on-budget project delivery
SKILLS
Platforms: Windows, HP-UX, Solaris, AIX, Client/Server, Legacy Systems
Software and Tools: MS Project/Server, Clarity, Primavera, PMBOK, Agile/SCRUM, CMMI, SDLC, EHS/EMR, MS Office, Visio,
SharePoint, Facets, NIST, MMIS, FISMA, NASCO, ISO 17799, HIPAA Privacy, Security Hi-Tech Act, ICD-10 (EU Experience),
HIPAA EDI, 4010/5010, EDI Transaction Sets 837, 834, 835, 820, 270/271, 276/277, 278, Medicaid, Medicare, Gap Analysis, MITA, FDA Compliance, Allscripts, Cerner
EDUCATION PUBLICATIONS
Ph.D. Computer Science International Business, Universitt Basel, Basel Switzerland (1997)
International Project Management Association, Certified Project Director
Boston University, Project Management Certificates
Project Management Institute and IEEE member
Y2K Compliance Methodology for Nuclear Power Generation Sites (c) 1998
HIPAA Survival Kit for Providers (c) 2002, 2008
EXPERIENCE
Maine Medical Center, Portland ME
2012 Present
ICD-10 Assessment SME Project Manager
Validated Ernst Young ICD-10 assessment
Designed Implementation Roadmap
Established remediation budget
Formulated ICD-10 test strategy
Introduced remediation organizational structure
Developed management tools and templates
Roswell Park Cancer Institute, Buffalo NY
2012 2012
ICD-10 Assessment Manager
Evaluated IT, HIM, Clinical Care, Payers and Finance areas ICD-10 Impacts
Reviewed financial processes, clinical Impacts, software systems, Existing contracts with payers and other service providers
Developed Remediation project plans
Captured Work flows and data flows for all internal systems
Surveyed application vendors for ICD-10 plans and implementation scenarios
Assigned vendor risk and developed amelioration plans for commercial systems and interfaces
KPMG/Horizon Blue Cross Blue Shield, Newark NJ
2011-2012
ICD-10 Testing SME
Simultaneous with CHS
Performed ICD-10 Testing Current Practices and Capabilities Assessment
Identified Impacted Remediated Systems, Processes and Data
Developed ICD-10 Test Strategy
Designed ICD-10 Testing Roadmap
CHS (Community Health Systems), Nashville TN, Foley AL, Galesburg IL
2011- 2011
Senior Project Manager, Meaningful Use EHR Deployment
Manage hospital executive and physician expectations with the on the ground medical staff including nurses and technicians, work in partnership with the ground technical resources to include systems analysts and programmers and collaborate with vendors and support staff in the deployment of the Meaningful Use EHR
Coordinated the efforts of multiple constituencies in a complex organizational environment
Created and executed project work plans and revised as appropriate to meet changing needs and requirements.
Effectively applied CHS methodology and enforces project standards
Coordinated and maintained all documentation, communication and SDLC artifacts
Prepare for engagement reviews and quality assurance procedures
Minimized and managed exposure and risk on project
KCI (Kinetic Concepts, Inc.), San Antonio TX, Charlotte NC, Billings Mt, Budapest Hungary
2010-2011
HIPAA 5010/ICD 10 EDI Implementation Manager
Served as a lead consultant responsible for all aspects of planning, organizing, budgeting and managing of the HIPPA 5010/ICD 10 EDI system implementation
Developed and supervised the project requirements, schedule, staffing and budget
Provided project status reports to senior management, team members, customers, and other stakeholders
Electronic Health Resources, LLC
2009 2010
Senior Healthcare Consultant/Project Manager
Maintained Subject Manner Expertise in ARRA (American Recovery and Reinvestment Act of 2009) HITECH (Health Information Technology for Economic and Clinical Health Act), Medicaid/Medicare Meaningful Use Incentive Program, Meaningful Use, CHIP (Childs Health Insurance Program), EHR Certification, ICD 10 and other initiatives
Electronic Health Resources, LLC
2009 2010
Senior Healthcare Consultant/Project Manager - CGI
Responsible for CGIs RFP responses for Massachusetts State Medicaid HIT Request for Quotation which included:
Examining interrelationships with current HIT (Health Information Technologies) initiatives and MMIS (Medicaid Management Information Systems)
Leading the MITA (Medicaid Information Technology Architecture) Assessment
Facilitating the Medicaid Meaningful Use EHR (Electronic Health Recording) Incentive Program and System Certification
Developing methodologies and workflows required and presenting to the commonwealth
Developed Medicaid IQD which included:
Review and Conduct a Comparative Analysis of multiple State Medicaid HIT plans
Developed new HIT business areas and associated business processes
Developed a series of assessment methodologies for the Medicaid Enterprise Certification Toolkit and provided guidance and checklists to aid in state Implementation States Implementation-Advanced Planning Document (APD)
District of Columbia Government- Office of Chief Technology Officer
2008 - 2009
HIPAA Subject Matter Expert/Project Manager
Designed and developed the organization HIPAA 4010 5010 transition strategy in more than 140 agencies
Constructed project plans for ICD9 to ICD10 transition, identified deficiencies in standards and remediated where applicable
Developed and amended HIPAA associated policies, plans, and procedures
Implemented preventive compliance measures as it relates to Part 164 of the HIPAA Security Rule leading to 4010 compliance
Evaluated the existing District agencies to determine covered entity status and current HIPAA regulations
Conducted Gap Assessments and developed risk and impact analysis reports
Developed and deployed project approach and infrastructure through the organization of external and internal resources
Hired, managed, and supervised a team of analysts, technology exerts and legal representatives to meet project goals
Prepared and implemented project schedules in Microsoft Project Server
State of Nebraska Department of Health and Human Services
2008 - 2008
Senior Project Manager Replacement MMIS Project
Translated and developed business system design into scope, Work Breakdown Structure (WBS), project plans and schedules and implemented start-up requirements
Developed and managed project deliverables including project plans, communications plan, risk management plans, impact analysis plans, change management and SDLC framework templates, as well as statewide implementation plans
Managed 4.5 million dollar project initiation budget and tracked project expenses for state wide initiative
Prepared and deployed RFP and served on selection team for an Independent Validation and Verification vendor
Ministries of Finance Health, Mongolia
2006-2008
International IT Project Expert - Healthcare, National Web Portal
Designed and implemented Nationwide Project Management Office for all IT initiatives encompassing 37 governmental offices in Mongolia
Program Managed large scale, multi-customer, multi-vendor and multi-partner healthcare infrastructure project
Served as an advisor to Senior National Stakeholders and vendors
Designed, developed and deployed National Web Portal (http://www.pmis.gov.mn/gov_eng.htm)
Reviewed IT infrastructure for Countrywide Healthcare initiative and recommended appropriate portfolio of software and supporting hardware
Managed National implementation of hardware and software changes
Designed and managed full lifecycle of development of custom software incorporating ICD10
Blue Cross Blue Shield of Massachusetts
2005-2006
Senior Project Manager - Medicare Part D, CMS Crossover Claims, HIPAA 2006, EOC
Maintained a multi-project portfolio (CMS Mandate HIPAA Transactions, Medicare Evidence of Coverage (EOC), Eligibility and Crossover Claims) with heavy state and federal regulatory orientation (HIPAA/CMS)
Utilized current project management methodologies (PMBOK SDLC derived) and leveraged best practices to ensure attainment of project deliverables
Federal Employee Plan Operations Center, D.C.
2004-2005
Senior Project Manager HIPPA Security
Assumed faltering HIPAA Security project resulting in achieving Federal compliance deadline resulting in contractual compliance with Blue Cross and Blue Shield Plans and Federal Government entities
Analyzed and modified Microsoft Project plans and schedules ensuring compliance deadlines were met
Developed and conducted a Gap Analysis resulting in a focused approach to compliance
Responsible for security of all data in-flight, including claims transactions and eligibility
Authored the HIPAA security compliance manual providing single source for all HIPAA information
Designed and implemented computer-aided HIPAA instruction, testing and tracking system to meet staff training requirements
State of North Carolina
2003-2004
Senior Project Manager North Carolina Security Initiative
Rejuvenated floundering HIPAA initiative project involving policy development and implementation of International Standard, ISO-17799, Information Technology, Homeland Defense (PDD-63), Gramm-Leach-Bliley, Health Insurance Portability and Accountability Act of 1996 (HIPAA), and Sarbanes-Oxley Act (SOX)
Developed a crosswalk between all regulations
Instituted State Agency-wide Gap Analysis providing a cohesive report of each agencies required compliance
Implemented approved remediation
Commonwealth of Massachusetts
2001 - 2003
Senior Project Director Statewide HIPPA Initiative (EDI Privacy)
Revised policies, implementation processes, and the internal project portal for all departments
Responsible for the direction of over 25 sub-projects
Performed HIPPA regulatory reviews and coordinated interagency HIPAA vulnerability review and Gap Analysis
Advised 47 agencies on remediation plans, including approach and deployment
Tracked project progress with Microsoft Project Server and managed contract staffing plan, selection and interview process
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