Management Customer Service

Email: ************@******.***; Phone: 952-***-****

EXECUTIVE SUMMARY

Consummate program management and technology delivery professional with over 20 years experience performing or facilitating all aspects of project planning on customer focused projects

Synthesis of two skillsets of Project Management and Software Engineering enables to be both an effective problem solver and an effective organizer. Managed large cross-functional teams for Product, Data and Analytics

Expert at project scheduling, budgeting, resource management, stakeholder engagements in both Agile and Waterfall projects; team building, conflict resolution, and risk mitigation.

Leadership in Business Analysis, Data Analytics, ETL tools, Data modeling and Data Warehousing concepts.

Expert in Data Governance, Data Strategy, Process Improvements and Data management.

Strong understanding of Data Modeling (Relational, dimensional, Star and Snowflake Schema), Data analysis, implementations of Data warehousing using Linux/UNIX, reference data mapping using various sources.

Responsible for successful management and delivery of programs valued at over $15M

Full SDLC life-cycle experience from strategy to deployment with globally distributed teams

Adept and versatile in multiple delivery methodologies like Agile, Kanban, Waterfall

Successfully led programs involving customer analytics, healthcare analytics, retail analytics, operational efficiencies for healthcare and retail

Experience in leading cross functional teams to drive technology/ data roadmaps to meet business objectives

Demonstrated ability to influence, motivate and lead teams and individuals with a customer centric view – to build strong relationships to gain the trust of multiple stakeholders.

Extensive experience in budgeting, forecasting, contract management, vendor management

Extensive experience in establishing PMO metrics and dashboards for portfolio health

Optum, Raleigh, NC Mar 2014 - Present

Program Lead – Payment Integrity

Overall program and delivery lead for Payment Integrity – a business that builds solutions for pre-pay and post-pay solutions for identifying healthcare Fraud, Waste and Abuse with an annual capital budget of 15M.

Partner with technology leaders to evaluate and establish goals, roadmaps, managed budgets, and forecasts, facilitated CBA

Established financial metrics and reporting dashboards to help provide visibility into the portfolio health

Established governance mechanism with business and technology executives to provide end to end visibility into IT performance

Manage resource allocations, utilization, financial burn by project, timesheets, process compliance and overall governance

Manage risks, issues proactively and communicate to leadership to create mitigation plans

Work closely with vendor management office for onboarding contractor resources, and global resources

Data Strategy

Led the overall data strategy across transactional systems to define system of record, system of truth and OLAP marts and enterprise data warehouse.

Defined and directed data project goals, objectives, critical success factors and milestones.

Created an approach for data ingestion, streaming analytics, data management and data publishing, using Talend, CDC, Spark, MapR, Datameer and other visualization tools

Focus BI

Launched a BI capability to provide end-to-end view of healthcare claims identified for fraud

Created ETL pathways from transactional systems into datamart to help visualize savings across the lifecycle

Managed the creation of the workflow tool for managing case management and case investigation. Integration with internal systems using web services and Rabbit MQ.

Managed the end to end program – from a requirements, development, testing and UAT in an Agile model

Managed global teams in US and India

Exploratory Analytics

New platform to visualize trends of incoming claims using streaming analytics and Machine Learning. Evaluated Azure ML, Python for fit to purpose.

Solution design and definition to ingest claims using common data intake, and streaming analytics on Hadoop, and leverage Kafka for publishing data topics.

Worked with teams to create automated unit, system and regression testing using Cucumber for Behavior Driven Testing

Delivered the program in an Agile model with automated CI/CD pipeline using Jenkins

Blue Cross Blue Shield of MN, Eagan, MN Nov 2010 – Feb 2014

Program Manager – Technology Delivery

Responsible for successful delivery of key business and technology programs, which include:

Affordable Care Act compliant products

Led technology teams for the launch of Affordable Care Act compliant e-Commerce platform for the “off exchange” market – select and browse plans, plan selector tool, quote and buy health insurance.

Developed the exchanges in a agile model with intense collaboration with business and technology teams

Oversight and governance for requirements, development and testing efforts

Vendor management, contract negotiation, offshore team management

5010 and ICD 10 Regulatory Compliance

ICD 10/ 5010 – responsible for overall program management at enterprise level to ensure readiness for 5010 and ICD 10.

Drove end-to-end systems, integration and business readiness testing with impact assessments

Led cross functional teams to conduct detailed financial impact of ICD 10 and ability to cross mapping of codes

Facilitated JAD sessions to help define overall wants, needs and gaps from a capabilities perspective

Drove creation of a solution definition for claims applications – which involved legacy COBOL/ CICS mainframe applications, customer service applications on 3-tier architecture. Built and developed a delivery approach and plan to help address ICD 10.

In partnership with business executives, created a governance structure to review progress, review financials and monitor quality of the program.

Responsible for test strategy, test plan – which included systems testing, integration testing and end to end testing with systems, portals and data warehouse and reports.

Created a test data management strategy to ensure adequacy of testing

WIPRO TECHNOLGIES, Minneapolis, MN Apr 2006-Nov 2010 Program Management

Program Manager for Retail Solutions. Built solutions for Retail Fraud Analytics and e-Commerce “in-a-box”

Responsible for executive read outs, managing steering committees, follow up on action items. Responsible for driving the overall program strategy; along with oversight of execution; budgets and financial controls

Responsible for program planning for product conceptualization, definition, development and launch. Engaged closely with business stakeholders and technology teams to establish strategic plans and a 3-year vision along with roadmap

Digital Customer Experience Platform was a multi-channel platform for retailers to manage a cohesive shopping experience

Retail Fraud Analytics was an OLAP platform based on Oracle with visualization capabilities to help identify retail fraud. This solution awarded “most innovative” solution award by Cisco.

Established Software Quality Assurance PMO for Thomson Reuters

Baggage handling and wireless scanning system for NWA

Booking engine and non-cash incentives for integrated booking experience on nwa.com

COGNIZANT TECHNOLOGY SOLUTIONS, Minneapolis, MN Sep 2003-Apr 2006

Program manager for the following portfolio projects:

PERADIGM Claims Administration Platform:

Responsible for ensuring readiness of infrastructure, systems and processes to have the admin platform ready from a “go-live” perspective. Led the SI effort – for customer service, provider and finance modules

Clinical Application System:

Managed delivery for data conversion from legacy system to new platform. This involved conducting requirements gathering and analysis, development and testing

Executed data migration projects, retiring old system and ported the data onto newer more robust platform

Medicare Part D Reporting Framework:

Involved in an exercise to identify reporting requirements around Part D. Conducted an exercise to map data sources to business requirements in the functional area of claims, drugs, members and premium

United HealthCare Employer Portal Development

Responsible for delivery management for the billing module of the employer portal for UHC

Managed the project lifecycle while leading a team of systems analysts, developers, QA analysts, performance testing team

Responsible for providing regular status updates to client management and PMO teams

United HealthCare International IT Operations

Developed IT strategy, conducted program/ investment portfolio assessment, drove capacity planning exercises – geared for aligning IT to meet business objectives

IBM GLOBAL SERVICES, Mumbai, India Jan 2000-May 2001

Worked in competency areas of e-business strategy/ supply chain management. Some key engagements were:

IT Strategy for a Refinery – move toward automation, highly integrated and paperless manufacturing systems.

E-business for an automobile company – set up an online channel to manage dealer sales and inventory

Knowledge Management for a multi-national Chocolate Company – manage digital records for promotions and campaign management to enhance brand value and

MAHINDRA & MAHINDRA LIMITED, Mumbai, India Jul 1998-Dec 1999

Part of CEO’s office with a charter to conduct BPR of systems and processes across the entire supply chain. The team oversaw implementation of SAP roll out in dealerships, operations and supply side. This resulted in streamlined operations, automation, and reduction in paper based manual processes.

BLUE STAR LIMITED, Baroda, India Jul 1994 –Jun 1996

Successfully managed relationships with current clients resulting in high amount of repeat orders. This resulted in increasing the business 2X over a period of two years

SKILLS

Project Management

Leadership

Technical Skills

Project Management

Cross functional leadership

Visio, MS Project, Rally

Scheduling and budgeting

Stakeholder management

Word, Excel, PowerPoint

BRD/ Requirements/ User story

Team building

Enterprise Architecture

Development/ Testing/ UAT

Change management

Solution Architecture

EDUCATION

Carnegie Mellon University, Pittsburgh, PA

Master of Information Systems Management

N.M. Institute of Management, Mumbai, India

Master’s in Business Administration

M.S. University, Baroda, India

Bachelor of Engineering (Mechanical)

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