Frank J. Kucera, II

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

Longwood, Florida 32779

Tele: 407-***-****

Email: act5at@r.postjobfree.com

SUMMARY

Project Management Professional (PMP) certified, Six Sigma Green Belt certified with Master’s Degree in computer science and Bachelor of Science in accounting. Directed IT organizations of up to 200 people and managed annual budgets of $39 million. Successful IT executive experienced in ICD-10 program management, PMO management, project management, applications development, web development, systems selection, computer operations, system conversions, IT consulting, third party administration, networks, LAN / WAN, mainframes, telephony, remote telecommunications, IVR, help desk, decision support, ERP, data warehouse, web development and project team leadership.

• Innovative executive with over 25 years’ experience developing and executing IT strategies focusing on financial stewardship, customer satisfaction, internal business process efficiency, organizational capacity and strategic objectives as Senior Consultant, Senior Project Manager, Program Manager, Director of IT / PMO, VP of IT / PMO and CIO.

• Strong PMO and project team management and organizational leadership capabilities.

• Extensive ICD-10, startup, reorganization, company divestiture, systems consolidation, cost control and outsourcing experience.

• Provided consulting and advisory services to companies including strategic and operational IT planning, IT delivery & data center operations and capital planning.

• Brought strong governance to the table through disciplined SDLC, Project Management Professional (PMP) Certification and Six Sigma Green Belt Certification.

Specialties: ICD-10, PMO Leadership, Program Management, Project Management, Application Development, SDLC, Waterfall, Agile, Unix, Microsoft .Net, Oracle, DB2, SQL, MySQL, Magento, Google Apps, Citrix, VMware, MS Project, SharePoint, Crystal Reports, Geoaccess, MACESS, FACETS, AMISYS, TXEN, NASCO, Oracle Financials, Lawson Enterprise, Solomon and Great Plains Erisco, Capsil, CK4, Crystal Reports, Geoaccess, Macess, Allscripts, Meditech, IDX, Oracle Financials, Chartscript, Trilogy CRM, OS/400, MPE/IX, IBM/MVS, IBM/VSE, Hedis, Medicare, Medicaid, SNP, Medicare Part D, Commercial Health, Life Insurance, Web Development, Sarbanes Oxley, HEDIS, Six Sigma, ACO, ICD-9, HIPAA 5010.

PROFESSIONAL EXPERIENCE

Independent Consultant : 2009 – Present

Consulting Program Manager of ICD-10

Blue Cross / Blue Shield of Michigan: Detroit, Mi.

• Successfully program managed multiple business and technical teams to complete a 7-year, $43,000,000 ICD-10 remediation effort.

• Managed the ICD-10 testing of 57 external vendor systems, 27 internal mainframe systems and 21 internal distributed application systems.

• Successfully completed full ICD-10 end to end testing with 98 major hospital facilities.

• Completed ICD-10 remediation across 41 Blue Cross Blue Shield of Michigan departments.

• The project tested 61 million claims with the top 35 electronic clearing houses.

• Built and executed a 696 task ICD-10 integrated business and technical project plan.

• Managed an unexpected 18 project portfolio to complete over 10,000 hours of labor in 12 weeks and met or beat every project deadline.

• Established a highly collaborative ICD-10 team of 87 local and 80 off shore team members.

• Utilized HighPoint Solution's ICD-10 Appliance master data solution that creates a single business process management layer with centralized rules, mappings and is pre-populated with ICD-9 and ICD-10 CM and PCS codes and GEMS and Reimbursement mappings.

• Mitigated ICD-10 claims for Facility, Professional, Dental, Medicare, Supplemental, Medicaid, Medicare Advantage, Bluecard, PPO, and HMO lines of business utilizing NASCO and Trizetto FACETS claims processing.

• Personally project managed the ICD-10 remediation of the BCBSM Subrogation System and ICD-10 Appliance System transition to base business.

• ICD-10 remediation quality was so high that it drove the overall Operational Claims First Pass rate to greater than 99%.

• Participated in the modification of over 2 million lines of NASCO system code for ICD-10 remediation.

Consulting Project Manager Virtual Credit Card Systems Implementations

Emdeon: St. Louis, MO

• Team member delivering Implementation Excellence at Emdeon focusing on financial stewardship, customer satisfaction, internal business process efficiency, organizational capacity and strategic objectives.

• Project managed the implementation of virtual credit card systems for Emdeon’s largest VCC revenue customers.

• Introduced RAID (Risks, Assumptions, Issues and Dependencies) process.

• Built implementation plans for project, development, testing, go-live and post implementation monitoring and support.

• Presented to senior level executives in multi-billion dollar companies introducing virtual credit card systems and the implementation process.

• Utilized Six Sigma DMAIC methodology to deliver business process improvement for implementations and utilized root cause analysis to develop problem mitigation strategies.

Consulting Program Manager of ICD-10

Blue Cross of Idaho: Meridian, ID

• Successfully completed an ICD-10 impact assessment across 48 departments at Blue Cross of Idaho Health Plan utilizing custom designed data collection tools.

• Identified over 900 high-level tasks for ICD-10 remediation requiring over 42,000 hours of internal labor using a custom-designed impact assessment methodology.

• Reconstituted the ICD-10 Executive Steering Committee and the ICD-10 Core Team.

• Built an ICD-10 detailed project plan with over 900 tasks.

• Designed a project team strategy utilizing program, workgroup and functional level teams.

• Built 32 project teams with team leads and subject matter experts from IS and the business utilizing over 100 internal employees.

• Identified 16 critical path milestones for ICD-10 success and metrics to monitor: budget, schedule, issues, decisions, risk readiness, available labor and meeting participation.

• Utilized MS Publisher to push project schedule tasks to SharePoint desktops of every ICD-10 project task owner.

• Planned for ICD-10 remediation for 48 Blue Cross of Idaho departments including: claims payment, provider services, medical quality management, systems remediation, reports remediation, policies and procedures, systems testing, medical management, special investigations, risk adjustments, training, ICD-10 cross-walks, customer service, provider contracts and EDI.

• Skillfully lead teams to define functional remediation strategies and create detailed plans to identify critical path milestone goals, methodologies, tools, artifacts and timelines.

Consulting Vice President of Information Technology

Superfood Inc. : Eustice, FL

• Dynamically leading a team in a startup Internet Marketing Company to create an IT strategy leveraging cloud server hosting, WIFI, Google Apps, Google Webmaster tools, Magento e-commerce and extensions, MySQL, outsourced onshore and offshore programming.

• Monitoring and managing all IT systems and infrastructure.

• Managing all corporate projects (PMO) and providing project management when needed.

Consulting Director of Information Technology /Program Manager 5010 / ICD-10 Remediation

Lovelace Health Plan: Albuquerque, NM

• Directed a team of IT professionals to optimize a Business Process Outsourcing (BPO) relationship with Trizetto.

• Program Manager / Project Manager for Lovelace HIPAA 5010 ICD-10 remediation.

• Built 5010 Remediation and ICD-10 project plans, scope, communication, meeting and testing plans.

• Spearheaded the project to expand Lovelace Medicare Advantage products into Oklahoma as Program Manager.

• Aided the COO in building a PMO.

Managed Care IT / PMO Executive : 1996 – 2009

Vice President of Information Technology Applications 2006 – 2009

Universal American : Lake Mary, FL

• Directed over 200 IT people with a $21million budget providing project management, application development and all IT support.

• Project managed corporate team of 60 professionals to support the divestiture of one of our companies for $130 million which involved 10 months, over 12,000 labor hours and teams from IT, Offshore India, business departments and development of over 200 custom programs. Results: On time, under budget with zero defects.

• Successfully lead multiple project teams in my PMO to convert 6 General Ledger and Accounts Payable systems to a single common G/L and AP system in 18 months, requiring over 40,000 labor hours, multiple onshore and over 200 offshore professionals. Results: Saved UAC $900,000 in consulting fees and consolidated 6 G/L systems into a single G/L for consistent financial reporting.

Assistant Vice President of Technical Operations 2003 – 2006

Amerigroup Corporation : Virginia Beach, VA

• Project managed a custom system development project that created a custom security application to monitor and report security across AMISYS, TXEN, FACETS systems and multiple databases to ensure appropriate user profiles and security permissions. Results: 100% Sarbanes Oxley compliant systems security across all major systems.

•Spearheaded a project to identify, analyze and document the poor on-line system response time which led to an upgrade of the claims system with increase of system performance. Result: Increased the productivity of the Claims Division by 35% saving $4.2 million annually.

• Lead a project team of programmers and end users in the Quality Assurance department to custom develop a QA workflow system to manage the Quality Control of all pricing and benefits configuration across the AMISYS, FACETS and TXEN claims payment systems. Results: Savings of over $3 million annually.

Assistant Executive Director of IT / PMO 2002 – 2003

Scott & White Health Plan: Temple, TX

• Directed a team of 48 to successfully complete 27 PMO corporate projects. Result: All projects within budget and on schedule.

• Successfully managed $16 million dollar budget.

• Managed a project to build a Corporate Data Warehouse using MS SQL.

• Managed the PMO that built and launched our corporate web site using IBM Websphere and IBM Interwoven.

Assistant Vice President of Application Services / PMO 2000 – 2001

Sierra Health Services: Las Vegas, NV

SIERRA HEALTH SERVICES, INC.

• Directed On-shore team of 38 programmers, 8 project managers and 10 business analysts to successfully complete 24 major corporate projects through my Project Management Office (PMO) to be within budget and on schedule.

• Dynamically managed systems development and daily systems support for 83 corporate systems serving 5,000 employees.

• Managed Off-shore India team of over 150 programmers, 2 Program Managers and 6 project managers.

• Managed projects for major system upgrades of ERISCO FACETS, MACESS, ALLSCRIPTS and ORACLE FINANCIALS Systems.

• Successfully completed $39 million conversion project from Trident to ERISCO FACETS for 320,000-member HMO.

• Engaged offshore Indian firm reducing programming costs from an average of $55/hour to $40/hour with annual savings of $3.8 million.

Chief Information Officer 1998 – 1999

Health Central Inc.: Harrisburg, PA

• Successfully managed an on-shore team of 40 application developers, 5 project managers and a $4.8 million budget.

• Guided my PMO staff to successfully complete over 33 major projects in one year on time and under budget.

• Managed projects to implement NEIC/NDC Electronic claims processing, intranet / internet / firewall, Inductive Knowledge Systems Data Warehouse, HPR Claims edit, Net Manager Internet interface to AMISYS system, MACESS Entrendex claims imaging, HP disk mirroring, Visual Cactus credentialing, mainframes release upgrade to AMISYS 9.43, upgrade of all hardware and software to Y2K compliancy.

Director of Information Services 1996 – 1998

FamilyPlus Health Plan: Atlanta, GA

• Managed IT team of 23 on-shore people with a budget of $12 million providing all IT systems to support the HMO.

• Managed a PMO with projects to install and manage corporate systems for: electronic claims processing, electronic eligibility for physicians, claims and enrollment form imaging, interactive voice response, intranet system, corporate WEB page, corporate Novell network, PC inventory, outsourced help desk, ancillary vendor inter-system data exchanges.

Programmer, Systems Engineer, Sales, R&D 1979 – 1994

IBM Corporation: Endicott, NY, Austin, TX, and Atlanta, GA

EDUCATION

Master of Science, Computer Science State University of New York, School of Adv. Technology

Bachelor of Science, Accounting State University of New York, School of Management

Associate of Science, Business Adm. Broome College at Binghamton, New York

ACHIEVEMENTS / AWARDS

• PMP Certification - Project Management Institute • Six Sigma Green Belt Certification

• Vice Chairman - Atlanta Society for Information Management • Member of Phi Theta Kappa Academic Honor Society

• IBM Systems Engineer Highest Achievement • Valedictorian of US Navy Hull Technician School

• IBM Highest Sales Producer selling mainframes • Graduated High Honors - Broome College

• BSA Wood Badge recipient and staff trainer • BSA District Roundtable Commissioner

MILITARY SERVICE

US Navy Veteran / Honorable Discharge

COMMUNITY SERVICE

• President: Church and Homeowner’s Association • Soccer Coach for 5 year olds

• Basketball & Lacrosse Coach for elementary school • Habitat for Humanity volunteer

• BSA Cubmaster, Scoutmaster • Boy Scout District Commissioner

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