Project Manager Management

PMP Certified Project Management Professional

Hardworking focused manager with a Master’s Degree, PMP certifications, working knowledge of PMBOK, Agile and a decade plus of proven experience -- 10 plus project manager, 7 plus years with analysis experience. Has maintained financial stewardship and successfully managed hundreds of projects identifying and communicating risks, status and opportunities to stakeholders. Is adept at managing multiple projects concurrently from medium to high complexity in Agile, waterfall or iterative environments. Outstanding written and verbal communication skills; knows how to communicate technical and business information to a cross-functional range of decision makers, end-users, vendors and technical staff. Worked in PMO environment creating and improving project artifacts. Has worn different hats including test lead, business analyst and developer. Works effectively with geographically dispersed and diverse teams -- experienced in working in matrix and virtual environments. Problem solver – consistently demonstrates ability to be thrown into new and unfamiliar situations/problems and finds ways to manage/resolve issues. Assertive multi-tasker who encourages team participative dynamics. Experience:

Project Planning, Business Analysis, Testing, Scope and Risk Management.

Issue Mitigation and Change Management

Detail Budget Creation and Tracking

Data Migration, Conversion, Application Development and Data Warehouse Projects

Requirements and Defect Management (Requisite Pro, ClearQuest)

Managing Teams 4 to 25 plus resources

Project artifact creation and design

Software Development -C, Java, PLI, SQL

Business Intelligence & Dimensional Modeling, Crystal Reports

Microsoft Office product Suite (Excel, Word, Visio, PowerPoint, SharePoint), MS Project

Planview, Clarity, IBM Rational Products and Filenet

Methodologies (Waterfall, Iterative, Agile, Lean, PMBOK-Based and all client customized methodologies

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EXPERIENCE

2005- 2015 Project Management Consultant

Amida Care Project Manager (2015 May thru Oct2015), New York NY

Acted as Manager of Production led team of DBA’s a data analyst and trainer, working with Provider, Member and Health Services in a SQL NET environment. Facilitated the resolution of incident reports and problems, bridging gap between IT and Business. Triaged incidents prioritizing for escalation.

Mentored project managers, co-managed projects to add Amida Care to Health Exchange and deliver real time clinical notifications (HL7s) from Regional Health Information Organizations (RHIOs).

Functioned as Business Analyst and Project Manager for Medicare Incentive Program, Encounter data HIPPA EDI transactions 837s & 277s. Implemented, Project Charter, Stakeholder and Requirements management plan, Work Breakdown Structure, Project Plan etc…

Led meeting with COO and other managers to schedule and prioritize IT project portfolio. Created resource management tools, Dashboards and SQL reports submitted to the State.

Spearheaded the creation of PMO concept/ methodology with the guidance from the COO, Senior Director of Information Technology, the Director of Process Improvement and the PM team.

2014Jun to Apr2015 Medical leave to care for parent

WellPoint Senior Business Project Manager (2013Oct thru May2014), Columbia OH

Managed WellPoint/Anthem business interest in order to implement the ICD-10 mandate program for the NASCO Processing System (NPS) claim adjudication system. Partnered with vendors, NPS and WellPoint Business Subject Matter Experts, Business Managers, and Test team. Reported up to PMO, key stakeholders and the executive committee.

Provided leadership for WellPoint test team on UAT, Regression, 3rd party vendor, configuration and End to End testing, coordinated business signoff and review of impacted applications.

Led effort to resolve NPS benefit family diagnosis mapping moving from ICD-9 (SAD) to ICD-10(SAS) and the road for future ICD releases. Validating all new mappings from ICD-9 to ICD-10.

Articulated issues for WellPoint Business Managers. Led IT and business team thru issue resolution, Lessons Learned and operational readiness tasks. Coordinated resource activity across multiple departments.

NASCO IT Project Manager (2011Jan thru Jul2013), Atlanta GA

Coordinated effort between functional users --BCBS Plans (WellPoint, BCBSAL, BCBSM, BCBSMA, BSCA, CareFirst and Horizon), Performance Solution Advisory Council (PSAC), Blue Cross Shield Association (BCBSA) and the NASCO Technical Team (NTT) facilitated dialogue to understand/document existing capabilities, define business requirements and translate requirements to delivery road map.

Analyzed business processes, set requirements, established constraints and developed required data. Enabled Plans to dual report as mandated by the BCBSA for January 2012 thru December 2012.

Implemented iterative and evolving project requirements, combined Agile and Waterfall. Created accurate Performance Index reports as part of overall metrics to determine Plans quality measures.

Emblem Health Project Manager (2010Apr thru Dec2010), New York NY

Worked with State Sponsored Programs to analyze and reduce Provider network in Suffolk County. Goal attained reduction of loses by $3M dollars

Completed data quality program to collect and correct provider directory information in order to pass State Department of Health (SDOH) audit. Goal Attained, Passed SDOH audit with 85% overall accuracy rate.

Worked directly with sponsors to communicate and negotiate plan details, budgets, provide updates, escalate issues, prioritize and level set expectations.

Collaborated with the other Project Managers to analyze the PMO standards and processes encouraging (or enforcing where necessary) the use of those standards and processes

Anthem IT Project Manager (2008Aug thru Feb2010). Brooklyn NY

Consolidated ALICS -Life and Disability application. Conducted Joint Application Design sessions.

Led BCBSA $MM NASCO mandate program Eligibility Benefit Inquiry Request version EEI4 and Claim Status Inquiry version CSI2. Updated HIPPA EDI transactions 270/271 and 276/277.

Migrated 34.8M+ benefits to NASCO platform, 99% success rate for automated benefit migration.

Implemented new product --Health Reimbursement Account. Redesigned Explanation of Benefits for NASCO ASO business. Led engagement with Business owners establishing Service Level Agreements.

Monitored and updated projects plans, resource allocations and budgets using Planview. Collected and Presented Lessons Learned with Program Management Team to executive sponsors.

Horizon Blue Cross Blue Shield (BCBS) Project Manager (2008 Jan-May), Newark NJ

Contracted to implement Medicare Coordination of Benefits (COBA) agreement.

Interfaced with NASCO, ERISCO and QBLUE claims adjudication systems.

Created project artifacts required to meet BCBS Association deadlines acted as both Project Manager and Business Analyst.

MetLife Project Manager (Dec2006-Dec2007), Long Island City NY

Managed 3 to 5 projects concurrently with onsite and offshore resources.

oEnhanced insider trading application, improved reporting and checkpoints for better monitoring

oCreated tracking system for legal team to improve resource allocation by strengths and interests

oImplemented changes to reporting system to improve performance and create custom reports

Produced current and future state process maps and design documents. Tested and validated deliverables ensured work met requirements and maintained a high level of quality

Created PMO artifacts to facilitate process flow

Time Warner Cable Project Manager (Jan-Dec2006), New York NY

Stepped into high-profile projects, Cognos Data Warehouse and Billing Platform migration, supported New Business Development Director. Documented business requirements.

Led data warehouse team. Scheduled, assigned and monitored tasks, deadlines and milestones for all stakeholders, vendors and resources, following established project management methodologies.

Updated Time Warner Cable Maintenance and Repair dispatch system. Acted as both Project Manager and Business Analyst

McGraw Hill Data Warehouse project manager (Jan-Dec2005), New York NY

Managed the budget and development with system integrator for customer-facing web-based business intelligence product, implemented using lnformatica and Business Objects Xl.

Used Crystal reports to create boxed reports for application

Coordinated process roadmap. Defined and drove engagement points.

EDUCATION

Master of Information Systems, Boston University

Bachelor of Arts, Computer Science minor in Math Wellesley College

Project Management Professional (PMP) Certification

Completing PMI Agile Certified Practitioner (PMI-ACP) an PMI Professional in Business Analysis (PMI-PBA) scheduled for completion 2016

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