Manager Project

Award-winning executive with over twenty-six years of proven planning and execution experience. Skilled at leading concept through market launch enterprise initiatives supporting Healthcare, Automotive Industry, Telecommunications, Property Casualty Insurance domains. Demonstrated success achieving cycle time, cost, and scope objectives through effective account management, program and project management, process management and operational disciplines.

Key Qualifications

•Vendor Management (Infosys, Avanade, CSC, Cognizant)

•Account Management

•Portfolio and Strategic Planning

•Business Development

•IT Project and Program Planning and Execution

•Employee Development

•Executive Governance

•PMI and ITIL Certification

•Domains: Healthcare Practice, Telecommunications, Property Casualty Insurance, Automotive e

•Applications: Telecom (CDMA); Healthcare: CRM: PEGA, MS Dynamics, Salesforce.com, ICD10, Clinical Advance, Medicaid, Medicare, Market Exchanges

•Software Development: SDLC, Agile, Waterfall; Scrum Master Certified

•Certified QNXT and Facets: Claims, Enrollment, Eligibility; Encounters, Capitation

•SAP, WMS, PeopleSoft

•Interactive Voice Response, (IVR), and Genesys

•IT Share Services

•MS Project, SharePoint,

Professional Experience

Cognizant Technology Solutions

Associate Director - Project Management July 2014 – Present

August 2017 – Current/June 2018: Wellmark (BCBS of Iowa): As Delivery Manager, Senior Project Manager, responsible for development and implementing multiple projects in the areas of Claims, Providers,

June 2016 – August 2017: Horizon (BCBS of New Jersey): As part of Delivery Management supporting the New Jersey Medicaid programs at Horizon and as IT Project Manager, responsible for implementing multiple projects in the areas of Claims, Membership, and Encounters (Facets and EDM)

Claims/Memberships area: responsible in implementing and processing all claims (including FE data entry manual adjudication) which falls out from the auto adjudication engine and needs manual intervention to make pay or deny decisions

Encounters Operations area: As IT Project Manager, responsible for Developing, and Implemented EDM projects related to encounters, as well as tracking and reporting on all submissions statuses, loading response files (837/835) into EDM; Also responsible for resubmission corrected encounters, tracking and submitting Category of Service files, RAP Files, CAP files and other submission projects.

July 2014 – June 2016: Anthem (BCBS of Virginia): Uniquely qualified and certified with more than 4,000 hours in direct hands-on IT Enterprise program and project management, IT planning and execution experience. Primary responsibilities include requirements analysis, development, QA, implementing and deployment of all IVR, and Genesys projects

Also leading, coaching, managing and mentoring team’ functional project managers as part of delivery excellence.

MOLINA HEALTHCARE, June 2013 – June 2014

IT PMO Program Manager (Contractor)

Accountable for directing an efficient, comprehensive and entrepreneurial Program Management Office supporting the CRM program for Market Exchanges. Primary responsibilities include creating and directing end-to-end account management, healthcare portfolio planning, project execution and go-to-market commercialization efforts for all cross-functional company-wide initiatives.

Interfaced and managed all areas affected by the project to include internal subject matter experts, external corporate departments, and Health Plans. Established effective Quality Assurance processes for the project and ensures that they are followed in order that a quality solution is delivered. Managed both functional and integration vendor teams (Avanade and Infosys);

Accomplishments:

Significant projects implemented: Market Place was rolled out ahead of schedule (October 2013). Utah was successfully rolled out on Nov 15, 2013.

TEKsystems & HMSA (BLUE CROSS BLUE SHIELD OF HAWAII), October 2012 – May 2013

EPMO Senior Program Manager (Contractor)

Under ICD10 and HIPAA 5100 guidelines and requirements, lead the CRM with all components (Membership, Account management Sales and Customers Relations). Project management responsibilities include but not limited to both Application (PEGA) and Infrastructure (SAN/Storage, EMC, VMware, Wintel) implementation: Conduct project kickoff meetings, communicating individual roles and project expectations and ensuring that all project team members have the tools and training required to perform effectively. Provide work direction and leadership to assigned projects, including scheduling, assignment of work and review of project efforts. Monitor project milestones and critical dates, assesses variances to dates, scope, cost, and quality to identify potential risks. Implement changes as necessary to resolve schedule and other project-related issues. Communicate situation to management regularly. Oversee unit testing and ensures applications meet specifications. Manage and lead integration testing. Work with customers and IS staff to develop detailed project scope, plans, and schedules. Facilitate the evaluation, selection and contract negotiation for external vendors and independent contractors. Manage relationship with external vendors working to support project requirements. Assess performance against project milestones/schedule, metrics, scope, quality as defined by contract specifications.

Accomplishments:

Significant projects implemented Group Membership & Account Management Sales Sliver 2, 3

oImplemented all Projects on time and under Budget

oProject team consists of 14 team members.

oProjects cost is approximately 1.3 M per project.

oIncreased HMSA revenue by 15% in first quarter of 2013.

SPRINT NEXTEL CORPORATION Nov 2008 – Oct 2012

PMO Director; Product and Development Manager

Uniquely qualified and certified with more than 15,000 hours of direct hands-on Enterprise IT project and program management, business planning and execution experience. Primary responsibilities include developing compelling business plans and managing all schedule, scope, development, QA, and Deployment for IT and PMO projects.

Participating in developing new business in prepaid markets (Boost Mobile and Virgin Mobile) and opened entirely product lines supporting Blackberry and IPhone 4S

Products and Project management includes Blackberry, IPhone 4S, Samsung Galaxy 3. Demonstrated expertise and leadership skills to direct team members and to resolve issues to ensure project goals and requirements are met.

Accomplishments:

Significant projects implemented $60 BlackBerry; $50 CDMA Monthly Unlimited on IPhone

oImplemented all Projects on time, to meet the Market rollout.

oProject team consists of 20 team members.

oProjects cost is approximately 1 to 3.8 M per project.

oIncreased Sprint SPG revenue by 40% in 2009, 2010, 2011.

Farmers Insurance Group, 2006 – 2008

IT Development Manager & Program Manager

2006-2007: Infrastructure Project Manager: Provided all Infrastructure support to Application Development Teams.

2007-2008: Lead IT Application Project Manager: Drive the program to replace of Mainframe Legacy system with the new Incentive Compensation Management (ICM) software application along with business processes.

Managed software development with team of 15 including Systems Integrators, business analysts, compensation configuration analysts, and user acceptance testers, including Testing Team (on-shore and offshore)

Managed Software implementation including developing project scope, project charter, business requirements documents, functional and technical requirements, architecture design, project plan and schedule, risk management plans, and change control procedures. Managed the overall ICM program overseeing project implementation with prioritization, resource capacity planning, communications, and change management.

Accomplishments:

oAll Infrastructure Projects were implemented on time.

oReplaced 30 years old legacy system with a B2B application, serving most of the agents across US, increasing a cost savings of 1.0 M per year.

American Honda Motors & American Honda Finance Corp, 2001 – 2006

Sr. Infrastructure Project/Program Manager (Contractor)

Provided Infrastructure Project Management under direction and leadership of AHM ISD management Division. Activities including all project management activities: Scoping requirements, scheduling, assignment of work and review of project efforts. Monitored project milestones and critical dates, assesses variances to dates, scope, cost, and quality to identify potential risks. Worked with customers and IS team to develop detailed project scope, plans, and schedules. Facilitated the evaluation, selection and contract negotiation for external vendors and independent contractors. Managed relationship with external vendors working to support project requirements. Assessed performance against project milestones/schedule, metrics, scope, quality as defined by contract specifications.

Accomplishments:

oSuccessfully implemented financial systems: PeopleSoft, Ariba

oSuccessfully built eleven mini data centers to support American Honda Motors’ warehouses (WMS) across USA. Each warehouse has full functional capability (AS400, Mainframe connectivity, Warehouse Management System, Network connectivity, and Hand-Held Radio Frequency devices for inventory purposes. Project was implemented two months ahead of schedule

Accenture and Seal Consulting: Location: Asia Pacific, USA 1995 - 2001

Asia Pacific Managing Director/Account Executive

Client: Mitsubishi Electric, Sanyo: China, and Japan: Responsible for managing overall relationship with the client ensuring optimum service delivery. Established metrics that measure the quality and timeliness of the solution; From Budgetary’ responsibility, I was accountable for contract management and profit and loss responsibility at the account level. Increased revenue and wallet share through executing business development strategies.

Additionally, directed the project managers team and IT professionals, managed deployment and installations, performed financial and metrics reporting, conducted planning sessions, established project objectives, and ensured the alignment of goals and engagements to new product development. Managed SAP and PeopleSoft programs, for Mitsubishi Electric operations with an average of more than 20 active projects per quarter. Exceeded customer expectations through focused process improvement initiatives including development of objectives relevant to the business units in North America, closely evaluating and managing customer relations, team building practices, establishing service metrics, aligning the process with budget and cost controls.

Key Achievements:

Successfully implemented all PeopleSoft projects in North America

Managed the global deployment of SAP systems for both America and Japan regional offices.

Client: Alaris Medical: USA

Practiced program/project management skills at the account level, including planning, budgeting, scheduling, client relations, and project delivery

Managed integration partners and vendors in delivery of their services or products. Responsible for contract management and profit and loss responsibility at the account level.

Additionally, I managed a team of developers during the preparation and blueprint phase of the SAP implementation project. Lead the team into implementing MM, and FI/CO modules; Major accomplishments include hiring and retaining a team of module specialists with varied skills, defining and implementing the SAP development standards.

Key Achievements:

Successfully implemented SAP system on MM, and FI/CO modules at the head office in San Diego, CA.

Managed the global deployment of SAP systems, reviewed business requirements and designed a system solution to meet the needs of each business within Alaris Enterprises

Education

Project Management Program, University of California, Irvine

B.S., Organizational Management, University of La Verne School of Public Administration & Management

MBA: ISBM (Indian School of Business Management and Administration), Graduated: March 2017

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