Kay Robinson

*** **** ****** **, ********, FL ***13

acvw63@r.postjobfree.com 863-***-****

http://www.linkedin.com/in/kayrobinson

Director/ Senior Project/ Program Manager

17+ years’ success leading Business and IT innovation for high-growth organizations

Results driven Executive level professional with over 17 years of experience in directing complex technology and operational initiatives within the healthcare industry. Expertise in program management and project management for multiple conversion projects, such as: implementation of the new core operating system for claims processing, data conversion mapping and interfaces for the Federal Employee Program Operations Center (FEPOC) and ICD-10 diagnostic mapping and conversion program. Exceptional project management skills and an outstanding record of managing complex projects such as: core system implementations, upgrades and assessments with emphasis on business, government programs and QA measures at the executive level. Ability to develop and implement feasible timelines, resource requirements, budgets, and effectively leads cross-functional teams through strategic leadership and outstanding problem solving skills. Excellent business communication, organizational and interpersonal skills, with the capacity to drive operational efficiencies and achieve compliance with Federal, State, and local regulations. Trusted advisor to client executives, providing pragmatic guidance, strategic vision and organizational development, aligned with business objectives.

Highlights of Expertise

Strategic Business Planning

Program/Project Management

Process Improvement

Government Programs

Recruiting and Staffing Initiatives

Budget Administration / Management

P & L Accountability

Process Redesign / Change Management

Data Modeling & Configuration

Team Building and Leadership

Career Summary

Proje Inc, Humble, TX 2008-2016

Provided executive-level leadership with full P&L accountability for internal operational activities required to support and mentoring resources. Talent Searches, Recruiting, Interviewing, Hiring and Placement, Training and Employee Development Planning, Performance Reviews and Mentoring initiatives within the company.

Leadership Team Member (2012-2016)

Responsible for Resource Management, Recruiting, Project Management, Operational Budgeting, Training & Employee Development Plans and implementing an Applicant Tracking Solution. Consistently maintained goals of attrition rates no higher than 2%-5% each year.

Director & Program/ Project Manager (2008 - 2016)

Held full bottom line accountability and provided operational oversight of multiple Project conversions, re-platforming and software implementation for 2+ million-member health plans. Provided IT QA Program Management for Enrollment at a large BCBS organization. Responsible for technical and operations post-implementation assessments, including data model changes, claims performance and backlog. Create and develop strategy documents, plans, risk and issue logs, establishing project milestones, budgeting and reporting KPI’s.

Project Director who successfully led the ICD-10 Program conversions compliant to CMS guidelines, as well as client internal policies and standards for all departments.

Operated in a consulting capacity as the client's ICD-10 QA Testing Program Manager and Senior IT Project Manager, responsible as the QA PM for multiple Facets Upgrades and conversions, year-end enrollment in newly available products and new physician contracts

Drove global configuration strategy design, as a key advisor to cross-functional teams involved in conversion projects.

Oversaw the implementation/integration of a PlanConnexion (3rd party vendor)/ ITS project to complete it on time and within budget.

Forged strong relationships with executives and guided decision-making process on ICD-10 program initiatives and project delivery.

Managed program/project budget, resource allocation and ensured project’s completion under budget.

Directed multiple programming projects such as accumulator conversions, explanation of benefits, commission payments, and premium billing invoice statements

Champion innovative methods and strategies to mitigate program risks and to ensure timely project completion.

Directed year-end Group renewals, new group sales, new Product configuration, new and modified hospital, provider and physician contracts, premium billing, commission configuration, enrollment MMS jobs, and complex custom interfaces.

Proxicom (Formerly TMI, Dauo and Aptiv Technology Partners), Reston, W. Virginia (1998-– 2007)

Delivery Director (2005 – 2007)

Project managed the complete life cycle of multiple conversion projects for medium to large-scale clients using SDLC standards, PMI Methodology and Change Management practices.

Oversaw multiple software programming projects such as, but not limited to Medical Management, Case and Disease Management, Population Health, Pre-Authorization Migrations, Accumulator Conversions, Explanation of Benefits, Claim Payments, Provider Payments (electronic and paper) Commission Statements and Payments.

Developed and managed plans for data migration of Premium Billing and configurable elements from multiple data sources for conversion and load to a production environment.

Directed the efforts of 50 configuration analysts responsible for system configuration, including product design, test and loading, benefit conversions, and commissions.

Spearheaded business development initiatives in the post – production environment and led technical deployment of new products.

Drove global configuration strategy development being a configuration expert to multiple conversion / implementation teams.

Lead configuration Strategist (Consulting for TriZetto), (2003 – 2005)

Manager (2002 – 2005)

Facets Implementation Consultant (1998 – 2004)

Manager (1998 – 2001)

Sr. SAP Implementation Consultant (1997 – 1998)

Education & Credentials

Customer Service Certification, Health Insurance Association of America (HIAA), 1993

Business management, Polk State College, Winter Haven, FL, 1983

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