Robert Holmes, PMP

Senior Project Manager

**** ****** ****

Penfield NY 14526

585-***-****

ac4kpi@r.postjobfree.com

https://www.linkedin.com/in/bob-holmes

SUMMARY

Results driven Information Technology and project management professional with diverse and extensive experience spearheading both technical and non-technical projects in the Healthcare industry. Successfully managed over 100 large-scale enterprise wide projects through the complete software development life cycle from discovery to initiation, planning, execution, monitor & control, and closing.

Responsible for creation of project charter, business case, return on investment (ROI), resource estimate, scope, work breakdown structure, project schedule, project plan, and communication plan.

Managed project risks and issues and project change requests. Managed IT project resources and budget for vendor and consultant resources.

Extensive experience leading successful implementations of large-scale, enterprise wide corporate and IT projects.

Over 10 years Project Management Office (PMO) experience

Extensive knowledge of Managed Health Care software applications.

Demonstrated ability in managing multiple strategically valued projects with dedication and accountability.

Effective planning, collaborating, reporting, and executing activities across multiple business departments.

Knowledgeable in project management methodologies such as Waterfall and Agile

Experienced with matrix management of IT resources

Excellent interpersonal skills in communication, client relations, and negotiation.

Vendor contract management skills.

Ensures key stakeholders have received thorough, timely status communications.

Demonstrated experience leading cross-functional teams.

Knowledgeable of government programs with an understanding of the State and Federal regulatory environment.

Strong analytical skills.

Business requirements skills.

SKILLS

Project Management Professional (PMP) Certification.

MS Project, Clarity & Change Point project and portfolio management tools.

MS Office, SharePoint experience

Service Now experience with change, release, and request management

Trained in SCRUM Methodology.

Lean Six Sigma Green Belt

Project team leadership skills

EDUCATION

MBA, Babson College - Wellesley, MA

B.S. Business Administration, Plymouth State College - Plymouth, NH

PROFESSIONAL HISTORY

Discover Financial Services 2017-present

Project Manager, Business Technology

Responsible for managing project to transition student loan applications from Citi servers to Nelnet and Discover servers. Management of related tasks associated to strategic implementation. Provided reporting and status updates.

MVP Health Care, Information technology, Rochester NY 2002-2016

Senior Project Manager, Project Manager PMO

Responsible for the delivery of system requirements and design, software development, business process development, testing, training, and implementation. Managed, tracked, and communicated project status reports to project stakeholders.

Responsible for managing the following Health Care Information Technology projects:

1)Creating an interface of customer relationship (CRM) data between the Sales Force and Facets applications

2)Providing electronic notification of authorizations to providers to eliminate mailing and to comply with NYS Public Health and Insurance Law Article 49 requirement

3)Adding pharmacy coverage to Medicare Medical Savings Accounts (MSA) offering

4)Providing enrollment enhancements to the Medicare Market Prominence Enrollment application

5)Implementing enhancements to MVP’s provider portal

6)Automating the assignment of provider information for incoming EDI claims

7)Making viewing of subscriber and member documents in the Care Radius application more efficient through an interface with the Macess document repository application

8)Implementing a standardized file format of eligibility, medical claims, dental claims, pharmacy claims, and provider data for employer group and business partner requests

9)Implementing application changes and business process changes required to comply with the NY Surprise Medical Bill requirement

10)Implementing enhancements to MVP’s Member Portal

Responsible for the ICD-10 implementation consisting of: internal and hosted vendor application upgrades, custom code remediation, business partner & vendor readiness, benefit plan configuration, provider & facility claims testing, financial neutrality analysis, and internal & external communication. Responsible for the HIPPA 5010 implementation for the claims, enrollment, remittance, and invoicing transactions. Implemented an EDI claims inquiry capability.

Responsible for building a front end claim business edits system for EDI and paper claims. Responsible for the seamless routing of paper claims to a vendor for conversion into EDI files. Enhanced the provider matching capabilities of the claims business edits.

Responsible for the migration of employer group, member, provider, accumulator, and authorization records from the Amisys application to the Facets application.

Unisys, Information Technology, Rochester NY

IT Project Manager, IT Manager, Senior Business Information Analyst, IT Project Lead, IT Systems Analyst.

Managed six-person Information Technology department, which developed and supported sales and order to collection applications. Provided budget and salary administration. Recruiting responsibility.

Provided project management for a maintenance application that provided worldwide consistent competitive maintenance offerings and consolidated worldwide service plans into 6 standard offerings. Provided project management for a global network services bid prep application. Provided project management for development and release of an application to download and retrieve pricing data to replicate maintenance bid data.

Created a work flow process for sales reps to create sales opportunities, collaborate with technical design consultants, get pricing approval, and route to order entry. Managed the development and implementation of a customer relationship opportunity management/sales forecasting application released in the US and Europe. Created a virtual team room, knowledge base, and feedback system, which was used as a template for future projects.

Provided team leadership for implementing a telesales and order to collection system. Trained sales reps. Led project which supplied CRM database to telesales organization with customer contact information and consumable computer supplies order history information.

Planned projects and managed service offerings. Worked with Information Technology to enhance an order to collection application for service parts offerings. Performed business process and work flow evaluation. Developed and implemented a bid to order entry database system for network sales organization.

Systems analyst supporting marketing, finance, order entry, billing, distribution, and accounting applications.

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