IT Program and Project Manager
Resume:
Project/Program Manager
SUMMARY
. Data savvy professional with 11 years of experience in the full
lifecycle of project management, reporting and analysis
. Agile coach handling all aspects of Sprint including ticket management,
daily stand-ups, sprint creation and closing, and project direction.
. Works with customers to determine data and reporting needs and
translates those needs into business requirements
. Recognized for work ethic and ability to overcome obstacles to see
projects through to completion
. Works one on one with clients and vendors, to facilitate data exchanges
and product development
. Comfortable using many tools including SQL and Business Intelligence
platforms as well as Project Management best practices
. Goal-orientated and motivated performer who has successfully managed
projects through a comprehensive understanding of client needs
SKILL SETS
Technical Skills
SQL 2000/2005/2008, JIRA, MS Project, Word, Access, Excel, PowerPoint,
Visio, SharePoint, SSRS and Tableau, EMR Systems, Camtasia, Agile Project
Development, and Sprint planning
Business Skills
Applications: Vista (EMR), Medicaid management information systems
(MMIS), HIPAA Eligibility Transaction System (HETS), Children's Health
Insurance Program (CHIP), COTS web and software and custom applications,
relational databases, dimensional data warehouses
Claims Subject Areas: Provider management, member management/eligibility,
claims (professional, institutional, pharmacy, dental, durable medical
equipment, transportation), TPL, financial management, reimbursement, drug
rebate, prior authorization, managed care, behavioral health, long-term
care, program integrity, electronic health records, benefit plan
administration.
Methodologies: Agile & Scrum, Waterfall
Phases: Requirements Definition, Business and Technical Design, System
Test Planning, Statement of Work (SOW), RFP's
Leadership / Management Skills
Team Size: Lead teams of up to 75 business analysts, developers, and
subject matter experts (SME)
Project Experience: Managed projects of up to 75 resources and project
budgets of more than $6,000,000
PMI Disciplines: Schedule Management, Risk Management, Identification,
Analysis, Response planning and Capability Maturity Model Integration
(CMMI)
Industry Standards: ISO, Six Sigma, CMS, HEDIS, HIPAA, NCPDP
EMPLOYER EXPERIENCE SUMMARY
Employer From To Position
Anthem (Contract) Jan 2015 April 2015 Technical Project Manager
MedRed, LLC Jan 2012 Dec 2014 Application Delivery and
Product Manager
ACS, (Xerox) Apr 2010 Feb 2012 Project Manager
Capital One (Contract) Jan 2010 Mar 2010 Project Manager
Anthem Sep 2003 Dec 2009 Data Warehouse
Consultant/ Program
Manager
EDUCATION
Bachelor of Science, Biology with an emphasis on Pre-Medical
Sciences
Virginia Commonwealth University, Richmond, VA Aug 2003
PROFESSIONAL DEVELOPMENT / CERTIFICATIONS / COURSES
Year Training Program Training Source
2008 Academy for Healthcare Management Academy for Healthcare
Certification Management
2015 (Goal) PMP Certification (currently at
4100 hours)
PROJECT DETAILS
Anthem, Richmond, VA
Jan 2015 - April 2015
Position: Technical Project Manager
I serve as the technical product manager for the Medicaid and Medicare COB
recovery team for the advanced analytics. Our current recovery project will
yield over 5.5 million in recovery for 2015 alone.
Responsibilities:
Complete, manage, and maintain project documents including scope, charter,
SOW, project schedules
Conduct project status meetings and maintain vendor timelines and tasks
Maintain and update project resource finances
Served as Agile coach and scrum master handling all aspects of Sprint
management
Work with internal staff and external vendors to manage and trouble shoot
issues
Examine claim mappings and transformations to examine gaps in technical
requirements
Skills Used: SQL development, Agile Methodologies, SSRS, QA, data analysis,
Claims review, project finances, and SDLC
MedRed LLC, Washington D.C.
Feb 2012 - Dec 2014
Position: Application Delivery Manager/Product Manager
I served as the only client service liaison and requirement lead for a
project exceeding 6 million in revenue. My role is to manage product
implementations, maintain SharePoint, and create and manage work tickets to
ensure support departments have a clear understanding of their tasks.
Responsibilities:
. Created and wrote detailed business and functional requirements,
working with clients, to help guide the strategy for new products and
features
. Served as Agile coach and scrum master for company handling all
aspects of Sprint management including; ticket management, daily stand-
ups, sprint creation and closing, and project direction
. Performed live and created video demonstrations for National Veteran
Association and Department of Defense stakeholders and users
. Integrated web software application utilizing decision support and TBI
tool gathering with VistA (EMR)
. Worked to create application which integrates with VistA for
appointment management
. Provided user training for audiences of over 100 doctors and nurses on
new product applications
. Tested systems applications and work to create scoring and form
consolidation standards including 508 compliance
. Worked with both internal and client IT departments to triage, manage
and resolve issues
. Designed and created documentation for Web and desktop products for
both technical and non-technical audiences
. Created and managed timelines for client deployments and data updates
. Designed mock-ups and gain approval on web, desktop, reporting, and
analytical solutions to surpass client's needs
. Ensured Web and desktop applications fully integrate with client
electronic medical record system (VistA EMR), current infrastructure,
and network security needs
Skills Used: .Net application development, SSRS, Agile Methodologies,
Sprint Planning, Tableau reporting building, QA, data analysis, Camtasia,
Requirement, RFP, and SOW requirement writing
ACS (Xerox), Richmond, VA Apr 2010 - Feb 2012
Position: Project Manager
Responsible for managing large scale data integration projects involving IT
and Business for designing web pharmacy based solutions. My role was to
manage 15 employees in development, business, and quality testing to ensure
project success for internal/external clients.
Responsibilities:
. Worked to ensure hardware, software, and network security for
solutions was in place
. Agile coach for all pharmacy audit projects
. Managed project schedule in Microsoft Project and provided daily
status updates
. Worked to enhance applications to ensure 3-tiered structure, and
successful deployment to all environments
. Served as key representation for local and enterprise change control
process
. Completed weekly financial expense for projects as well as budget
forecasting
. Ensured project was within company budget by maintaining staff hours
and costs
Skills Used: MS Project, Budgeting, Teradata, PowerPoint, Visio, data
modeling, hardware and software orders, MMIS, HETS, Agile Methodologies,
and Spring Planning
Capital One (Contractor through S3), Jan 2010 - Mar 2010
Richmond, VA
Position: Project Manager
Contractor
Responsible for managing large scale data integration project involving IT
and Business, where I managed over 10 employees in development, business,
and quality testing to ensure project success.
Responsibilities:
. Managed agile project schedule in Microsoft project, provided daily
status updates
. Created logs to help manage associates time and issues
. Managed all aspects of large scale projects including mappings,
requirements, development, testing, and source system decommissioning
. Assisted in sprint planning, task management, and preparation for
scrum master
Skills Used: MS Project, Teradata, Excel, PowerPoint, Visio, Agile
Methodologies, Sprint planning, and data modeling
(Anthem) Health Management Aug 2008 - Dec 2009
Corporation, Richmond, VA
Data Management
Position: Data Warehouse Consultant/ Program Manager
Simultaneously lead, managed, and contributed to projects while ensuring
timely delivery and consistent data. I tracked, monitored, and escalated
urgent problems regarding data integrity for a large data warehouse while
guaranteeing service level agreements were met.
Responsibilities:
. Coordinated with vendors and departments to create business
requirements and standards for multiple subject areas
. Communicated business requirements to technical and operational groups
to facilitate solutions
. Led data quality initiatives to create standards for all metrics
captured within data warehouse
. Examined all standard forms and industry standards including 837, 835,
834, UB-04, CMS 1500, HIPAA, NCPDP, and ADA to create best standards
for codes to map client member and claim feeds to data warehouse
. Utilized PMBOK standard methodology for project plans
. Analyzed data to calculate HEDIS measures for commercial, Medicaid,
and Medicare clients
. Provided data mappings, standards code sets, and business glossaries
for all subject areas and providing quality assurance for mapped data
. Lead large data management projects with over fifty associates to
create standardized metadata for member, provider, and lab claims
. Worked on standards for telecom engagement metrics
. Utilized SQL, Access, Teradata and Excel to pull and compile data used
in data management assigned projects
Skills Used: SQL, Access, Teradata, Excel, PowerPoint, Microsoft Project,
SSRS, Visio, MMIS, HETS, data standards, Data warehouse modeling,
relational databases
(Anthem) Health Management Oct 2005 - Aug 2009
Corporation, Richmond, VA
Client Outcomes
Position: Health Information Consultant/ Data Analyst
I managed six client accounts and worked one-on-one with clients to explain
calculated metrics and identify reasons for differences from expected
value. Served as single point-of-contact and account manager for external
clients including Medicare, Medicaid, and other health insurance clients
and presented results telephonically and face-to-face and worked closely
with other departments including Finance, ETL, Sales and Operations to
ensure seamless delivery of client purchased programs.
Responsibilities:
. Designed, created, maintained, and presented reports to clients
(extracting and analyzing large amounts of data) that included
information on clinical outcomes, operational effectiveness, billing
and member satisfaction
. Lead large scale project to change phone systems to Avaya telecom and
worked to create logic and definitions for all telecom metrics
. Led data redesign for company-wide telephonic upgrade, which included
working closely with cross-functional teams to ensure that client-
level data was available for reporting
. Used SQL and Access to gather and analyze data for ad-hoc client
reporting needs
. Represented Client Outcomes on company-wide metric standardization
project
. Created standardized reports for client accounts which saved analysts
forty hours monthly
. Managed and administrated an internal database used by 45 Health
Information Consultants that housed all client deliverables for
company
. Led project to create business definitions and logic for new programs
and clients
. Built and implemented a database used interdepartmentally to track
reporting and projects for all clients
Skills Used: SQL, Access, Excel, Microsoft Project, SSRS
(Anthem) Health Management Sept 2003 - Oct 2005
Corporation, Richmond VA
Operations
Position: Health Assessment Specialist and Preceptor
I defined and developed training program for new and existing employees,
focusing on improved sales techniques and re-engaging participants who had
previously declined the program.
Responsibilities:
. Persuaded members diagnosed with chronic medical conditions to engage
in a company-sponsored disease management program
. Consistently recognized as 'one of the best' in monthly productivity
reports
. Trained new employees on an in-house data collection system,
navigation tools, and medical terminology
Skills Used: Clinical Healthcare applications, customer service, sales,
marketing, medical terminology and chronic medical condition knowledge
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