Lareesa

Agarwal

Executive Manager of Operations

ABOUT ME

424-***-****

ad0kkw@r.postjobfree.com

Palos Verdes, CA

With 10+ years of experience of blending organizational leadership, complex problem solving, development of strategies, implementing missions of organizations and extensive knowledge in health care and the legal industry, I have built and lead strong teams. As an entrepreneurial leader I believe in accountability, transparency and loyalty while taking pride in and having a passion for my career. Having had the opportunity to travel and be exposed to many cultures in diverse work environments, I have learned to navigate through much diversity while relating to and understanding requirements of corporate needs in order to drive departments, programs/projects and teams to a success. Such exposure has given me the tools which I need while overseeing large scale programs and individuals as I believe that the key to team building and management is being able to identify and promote the team’s assets while capitalizing on their capabilities to ensure that all stakeholders, clients, vendors requirements are fulfilled within a timely manner. I have extracted skills while growing throughout my career which I am looking forward sharing with your organization.

EDUCATION

Legal Studies

American National University

Paralegal

American National University

Interior Design

Brook’s College

SKILLS

Paralegal Certification

Supervisor Certification

Operations Manager

Healthcare Program / Project Management (Agile, Waterfall, Scrum,Lean Six Sigma)

PMP 35 credit hours

IT, SAP, System & Application Implementation

Human Resources Management

Internal / External Audits, Development of Policies & Procedures

Agile/Scrum, Waterfall, Pace, Lean Methodologies

Excellent professional presentation, oral and written communication skills,

creation of Project Charters, Project Plans, BRD’s/TRD’s, Reports

Skilled at developing, communicating, articulating and managing deliverables while working with ambiguity

Incorporation of scope-creep & implementation within agreed upon timelines & budgets

Detail oriented while working within fast paced environments with constant changing dynamics along with resources (on & off-shore)

Research analysis and design, Risk Mitigation

Business operations organizations & Small business development

Stakeholder & Team relationship building and managing

Goal & Solution oriented, alignment of business & corporate objectives

Vendor Management, Budgeting & Negotiations expertise

Organizational, Facilitation and Presentation expertise

Proficiency in Google Docs, Microsoft Office / Project, MS Project Server,

MS Project, MS Exchange 2010, MS Visio, QNXT, SAP, SalesForce, PeopleSoft,

SAP (Sales & Distribution), Share-point, Lawson, Kronos, Lotus Notes, PM Central, AutoCAD, Studio VIZ, Westlaw, LexisNexis

Multilingual

EXPERIENCE

Manager of Provider Data Integrity

Optum: Sept 2021 - Present

Manager of Northern Region Coordinators, Provider Data Inquiries Team, and Data Analytics / Roster Team, NAMM Team.

Responsible for management and coordination of delegated oversight activities to ensure compliance with state, federal, NCQA, and Client requirements.

Monthly and Quarterly Roster generation, Quarterly Attestations of Provider data.

Management and oversight of the Provider Data Inquiries Team and North Region Team.

Coordinates, conducts, and documents delegation assessments as necessary to comply with state, federal, NCQA, and any other applicable requirements.

Development of format and documents periodic status reports from Delegated Entities.

Development of corrective action plans when deficiencies are identified, and documents follow-up to completion.

Development & implementation of cross-functional streamlined systems both front-end and back-end (Apollo / Salesforce, Data Warehouse / IDX).

MAT Leadership nomination and participation.

IT Program / Project Manager

ShipERP: April 2020 – August 2021

Managed multiple multi-million dollar IT projects throughout the SDLC, management of resources, contract and burn rate.

• Development of portfolio projects (SAP) within budget & fee, Blueprinting of processes, solution architecture, Business analysis & development, SOW’s / Change Orders & RFP’s.

• Carrier Integration, development and testing in all environments & servers, validation of requirements and outputs, shipping guidelines (international & domestic), external HU’s, shipping outputs.

• SAP implementations: Hazmat, Print & Apply, Supplier Portal, Audit, Carrier Portal, Sales Order, Sales and Distribution

•Client Account Management from Sales through Implementation and Hypercare support.

EXPERIENCE

Program Manager

2nd Degree Media: October 2019 – April 2020

Manager of screenplay developments with investors.

Development of portfolio projects within budget and fee.

Derive fee & scope and contribute to contract administration screenplays.

Compliance Program Manager

Dental Health Services: July 2019 – December 2019

Manager of screenplay developments with investors.

•Development of Quality Assurance Program within the Compliance Program.

•Review and development of Policies & Procedures enterprise wide for all lines of business, ensuring that all gaps in current processes are eliminated.

•Maintenance of Compliance Sharepoint encompassing all States required documentation.

•Presentation of dashboards to upper management inclusive of weekly status reports and timelines.

Senior Project Manager

USC Keck Medicine: April 2019 – August 2019

Lead projects within the business and hospitals of USC.

•Establish relationships with Executives and End Users to understand the needs of Project Requirements (Hospitals & Corporate).

•Responsible for leading teams to deliver projects while managing resources (internal, external, vendors), schedules, and financials through implementation.

•Creation of all SDLC phases of new projects approved from ITEC sub-committee while developing all strategies and design including budgets of projects.

•Creation of all project documentation: project plans, timelines, raid logs, quality reviews, during the development & integration of projects.

•Strong prioritization skills while being detail oriented in identifying risks and developing risk mitigation plans of in-stream projects, ensuring that all requirements from OSHPD are met.

•Facilitate all levels of meetings & presentations with the creation of necessary required documentation enterprise wide.

•Strategically implement projects simultaneously while managing multiple work streams and enterprise wide.

EXPERIENCE

Senior Program Manager

UCSD Health: March 2019 – April 2019

Scope Identification along with Risk Analysis of UC Path Implementation at UCSD.

•Utilization of broad technical knowledge of IT disciplines which required knowledge of

•the organization’s business needs and mission.

•Conducted assigned projects/programs (UC Path) with PMO Project and program management methodology, approved plans & stakeholder expectations.

•Developed and maintained WBS, project schedules which included task dependencies, duration's, resource assignments, and critical path, all within the given deadlines without penalties.

Project Manager

LA Company: Sept 2018 – March 2019

Scope Identification along with Risk Analysis of UC Path Implementation at UCSD.

•Collaborate with clients, vendors, peers and leadership teams to ensure that all projects are successfully deployed.

•Effectively collaborates with peers and leadership to share resources on critical projects while monitoring teams’ performance.

•Develops, coordinates and maintains project plans and budgets while facilitating schedules during all phases.

•Manage and align cross-functional teams to avoid any scheduling or budgeting variances.

Program Manager

Wider Circle: May 2018 – Sept 2018

Scope Identification along with Risk Analysis of UC Path Implementation at UCSD.

Responsible for the launch and successful project execution of the company’s expansion.

Assessed & analyzed the functional & system needs of the business, analysis of growth,

budget and resources.

Set & managed scope, cost & delivery expectations of both internal and external partners.

Development, Implementation, and Training of business & system processes.

Managed a diversity of project responsibilities while having strong interpersonal & written

spoken communications.

EXPERIENCE

Incorporated scope creep resulting in sharing resources or critical projects.

Recruited and collaborated with identified vendors to build effective relationships and

team environments across multiple platforms.

Provided support to team post implementation.

Program Manager – Risk Assurance

Molina Healthcare: Sept 2017 – March 2018

•Scope Identification along with Risk Analysis of UC Path Implementation at UCSD.

•Responsible for several multiple mid-sized scale projects, managing teams which delivers Risk Assurance business solutions & services.

•Gathers data from Quality Improvement & Quality Reporting, uses peer-to-peer review process & end-user consultation to reduce report writing errors prior to distribution.

•Manages planning & executing business programs for both Prospective & Retrospective Programs.

•Serves as the subject matter expert in the functional area and leads programs to meet critical needs.

•Assists in effort estimates for various activities.

•Establish requirements, periodic status reporting.

•Implementation & post-implementation support.

SENIOR MANAGER OF COMPLIANCE – QUALITY ASSURANCE

L.A. CARE (FEB 2017 – SEPT 2017)

•Developed a Quality Assurance Program which brings standardization within the Compliance department pertaining to Internal Audits, Regulatory Affairs, Delegation Oversight, Risk Management & Risk Adjustment.

•Resolve & respond to questions & issues raised by senior management, staff, providers, and third parties. Continually assess technical and other job-related skills and knowledge of staff, and deploy needed training.

•Draft and timely revise policies & procedures, desktop manuals and other guidance for effective & efficient administration of the QA function. Lead special projects as needed.

•Serve on, lead and facilitate in inter-departmental work groups & meetings, including in preparing and supporting presentations, reports, data and recommendations.

•Ensure compliance processes & policies with all organizational, contractual, regulatory, and accreditation standards applicable to the functions under Senior Manager.

•Ensure the QA plan is timely and fully met, including by planning, executing and reporting the results of the QA activities.

•Conducted internal audits

EXPERIENCE

MANAGER OF HR PROGRAMS AND INITIATIVES

L.A. CARE (JULY 2016 – FEB 2017)

•Central point of contact while playing an integral role amongst employees & vendors, develop plans and monitor status of progression to ensure that all policies & procedures and employees are compliant.

•Provided support to executive leadership & business units to ensure regulatory compliance, development of P&P’s.

•Managed cross-functional strategic projects with external vendors and enterprise-wide resources, writing RFP’s, LOU’s, service agreements, contracts, amendments, payment schedules, maintaining project schedules & timelines, conduct management trainings, identifying SOW’s, expense & variance reports, validation of invoices against completion of work, benefits plan, HRIS development & implementation.

•Strategy development/metrics, enterprise wide communications, coordination of events, enterprise wide policies & procedures, Talent Acquisition, On-Boarding’s & Trainings, Employee Benefits, HR Business Support Services (organization consists of 1900+ employees).

•Provided performance management with business leadership to improve work relationships while building employee productivity.

•Projects consisted of Salesforce Implementation, performance evaluations (9-box), Talent Acquisition recruitment, outreach strategies, vendor contracting, advertisement, branding with marketing team, employee engagement, offer letters, termination letters.

PROJECT MANAGER

L.A. CARE (JULY 2014 – JULY 2016)

•Managed multiple projects LA Care, simultaneously using Agile/Scrum/Waterfall/PACE methodologies. Some of the projects managed within MHC,QNXT & CAA included Billing Solutions, Claim implementation, Vendor Management.

•Regulatory requirement to implement EFT Integration via PaySpan.

•Salesforce Implementation through integration tools.

•Automation of existing enterprise wide manual RFP Process, inclusive of streamlining Procurement process for visibility, accuracy & reporting purposes.

•Managed 7 projects for PMO with 4 simultaneous deliveries while maintaining project documentation for accountable parties.

•Supervised team of 32 technical and non-technical resources.

•Managed resource allocation, tracked progress for each individual stream.

•Implemented Service Oriented structure and established SLA’s to focus on customer satisfaction.

•Maintained backlog Grooming and daily PM meetings.

•Implemented multiple systems for various project lifecycle phases including initiation, planning, executing (testing), monitoring & controlling, closing.

EXPERIENCE

•Involved with process improvement and change management.

•Worked with Risk management to implement ITIL standards as IT policy and SOX compliance.

•Managed QA and testing efforts align with SDLC methodology.

•Evaluated different change control and migration tools.

•Reduced costs by leading re-engineering of business processes.

•Implemented change control and processes illuminating various redundant business processes.

•Reduced costs by leading re-engineering of business processes and removing unnecessary customizations.

PROJECT MANAGEMENT / PROJECT COORDINATION (CONSULTANT)

BLUE CROSS BLUE SHIELD OF NM (OCT 2011 – JULY 2014)

•Worked within the EPMO amongst 19 other PM peers.

•Managed multiple projects ranging from 6 – 45 resources per project.

•Collaborated with multiple Project & Program Managers, Stakeholders, IT Developers/Managers and External Vendors to develop programs, project plans, project charters, project scopes, identify resources, budgets (SDM: Initial, Planning, Design, Execution, Close-Out, Warranty Period thereafter).

•Increased change request approval process turnaround time by 75% by working directly with operational executives.

•Completed project within the given budget from $7 million to $21 million.

•Worked simultaneously on 10 different Work streams (IT & Business Development Work streams), 30% of those I was involved in from the beginning phases (initiation, developing business requirements, project scope and project plan).

•Monitor development, progress and implementation on multiple work streams and projects simultaneously (Communications & Outreach, Value Added Services, Branding, Marketing & Collateral, Electronic Verification Visit, Program Integrity, Encounters, Enrollment, Training, and Network Management).

•Developed weekly status reports, risk and issues logs (in Clarity & Power Point) to identify and manage stakeholder’s expectations.

•Managed assigned resources allotted time, bill rates, and burn rates for deliverables to be completed within the designated time frame and budget (Estimated Time Charged).

•Maintained current project documents and stored appropriately.

EXPERIENCE

OPERATIONAL PROJECT MANAGEMENT

NIRAJ INC. (MAR 2007 - OCT 2011)

•Responsible for the development and management of new services and licensed business opportunities in the assigned region.

•Responsible for the recruiting, development of relationships, management, and career development of consulting staff.

•Responsible for staff/account management and prioritization and forecasting.

•Met professional services revenue and profit quotas while managing regional P&L.

•Developed project plans using Microsoft Project & assumed responsibility for project profit &loss.

•Developed project scheduling, resourcing, workflows, documents, raid logs, issues logs, in Microsoft Project Server.

•Monitored project activities and advised staff of issues due to resource availability.

•Responsible for program and portfolio management activities within the Sales and Marketing division.

•Provided project turn-around expertise at the customer site with emphasis on regaining customer confidence.

•Monitored project activities and advised staff of issues due to resource availability.

HR ADMINISTRATION

ALBUQUERQUE GASTROENTEROLOGY ASSOCIATES (APRIL 2005 – JULY 2008)

•Participated in recruitment effort for exempt and non-exempt personnel; screened applications, as well as coordinated and conducted interviews for exempt and non-exempt personnel.

•Managed and conducted pre-employment screening; reference checks, background screens and physical fitness tests.

•Created Performance Appraisal Form that encourages and supports employee growth and development.

•Coordinated the non-exempt performance review process.

•Provided information related to company history, vision and values, Code of Conduct, benefits, attendance policy, meal and rest periods, and other content contained in the On-boarding Program.

•Assessed associate morale and identified appropriate timing for activities and events, as well as provides input on topics for building-wide meetings.

•Interfaces with entire workforce, Director to Material Handler as well as business partners in Associate Services, Benefits, and Compensation.

EXPERIENCE

HR ADMINISTRATION

MUELLER INTERNATIONAL (AUG 2001 – MAY 2004)

•Serve as a key contact for all on-boarding documentation

•Serve as key contact person for Health Benefits administrator for 75+ employees

•Responsible for maintaining the Public Access Files for multiple employees

•Researched and created company’s 3 separate employee handbooks

•Developed a complex Access DB to track Health Benefits enrollment and termination on on-going basis, which also saved significant time in generating census reports.

•Researched and created administrative policies and procedures

•Assisted the President and CEO of the company for 6 months with calendar management and company event coordination.

•Contributed to team effort by accomplishing related tasks as needed.

•Counsel employees and management concerning policies, procedures, and best practices. Resulting in identifying risks and creating effective solutions for both the employees and the organization.

•Knowledge of state and federal laws, and OSHA & HIPAA compliance.

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