RICHARD L. HOWE, CSM, CST, CSC, CSBB, APRM, APGM

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

Simpsonville, SC 29681

ad2kaq@r.postjobfree.com

864-***-****

PROFESSIONAL SUMMARY:

Extensive project management and development experience including both private and public sector engagements. Highly proficient in all areas of vendor management, contract negotiation and project management, especially reorganizing failing projects. Proven success managing very large-scale projects, with geographically dispersed teams, and delivering them on time and within budget using different methodologies including Waterfall and Agile.

Extensive experience developing commercial software, including UX design, for IBM, Dun & Bradstreet, AT&T and GE.

Primary Voting Member of ANSI ASC X12 Committee for five years.

TECHNICAL SKILLS:

ChatGPT, Bard

Microsoft Office Suite

Relational Database Development

PC Commercial Software

MS SQL Server

Oracle

DB2

Rally

Jira/Confluence

MS Project

IBM Assembler

Kafka

Visual Basic/C#

SAFe 4.0/5.0/6.0

Erwin

Jenkins

Gitlab

Facets

QNXT

Amisys

CERTIFICATIONS:

Certified Scrum Coach - 713***********

Certified Six Sigma Black Belt - 795***********

Certified Scrum Trainer - 239***********

Certified Program Manager - 665***********

Certified Scrum Master - 356***********

Certified Project Manager - 620***********

Certified SAFe Agilist 6.0 - 340*****-****

NCIC (National Crime Information Center) Certification

PROFESSIONAL EXPERIENCE:

Launch Consulting Group - Technical Program Manager Jun 2022 – Oct 2023

Centene Corporation – Consulting Engagement (Remote)

Sr Scrum Master for a Contract Automation/Claims Processing Proof of Concept.

Also acted as BSA and Product Owner.

Automated fee schedule updates from AI enabled contract management system, Icertis, to Burgess Claims Pricing application, saving Centene about 6.4 person hours per day.

Icertis and Burgess are both cloud based.

AI was used to produce the contract and recognize when fee schedules needed to be updated. Apache Kafka Events are used to trigger updates which pulled all the relevant data from multiple databases, format the transactions and send them to the Burgess API.

Was asked to write a white paper on this POC and to conduct multiple presentations to Launch consultants on overcoming complex, high risk challenges to deliver on time and within budget.

Conducted agile training classes and coaching.

Developed best practices documents and templates as a member of the Digital Delivery Studio.

AI Champion

As a member of the AI Champions initiative, developed and presented samples of complex prompts for ChatGPT and Bard.

Conducted training for Launch consultants on how ChatGPT can be used to make us more productive on daily basis by producing RFPs, Features, User Stories and other documents.

Training included responsible use of AI.

Used ChatGPT to write a white paper on prompt engineering as part of my training materials and demonstrated multiple iterations to evaluate and make the prompts more effective. The final prompt generated a complete white paper that included the formula for calculating man hours saved and produced the correct result.

Alpha tester/advisor of in-house developed AI product offering including working with ChatGPT API and using ChatGPT to generate Python scripts.

Completed classes in Generative AI, Prompt Engineering, Being Responsible With AI, Deep Dive Into Responsible AI and Applying Generative AI to Our Ways of Working

US Bank – Minneapolis, MN (Remote) Nov 2021 – Jun 2022

RTE/Agile Instructor/Coach (Consulting Engagement)

Release Train Engineer for six teams migrating Anti-Money Laundering, Fraud, and Terrorist Funding detection applications.

Software uses AI to identify suspicious activities and generate SARs (Suspicious Activity Reports) that are sent to Financial Crimes Enforcement Network (FinCEN).

Migrated Actimize applications to new cloud-based versions and replaced SOLR search engine with Elasticsearch

Conducted Agile and SAFe training and coaching for IT and stakeholders.

Coached teams on story point estimating and conducting retrospectives.

Led Hansei/Kaizen events to reduce waste and context switching, improve value-driven PI planning including dependencies and develop consistent team performance.

Introduced WSJF/Value Rate Flow for PI Planning.

Purpose Financial – Spartanburg, SC Jul 2019 – Nov 2021

RTE/Agile Instructor/Coach/Scrum Master (Consulting Engagement)

Conducted Agile and Rally training classes as needed for IT and business associates.

Scrum Master for three teams developing and implementing new omnichannel loan origination and payment applications including migrating existing Oracle customer files to PostgreSQL.

RTE/Agile Coach for 16 teams; facilitated PI Planning preparation meetings and PI Planning meetings.

Led Continuous Improvement using the Six Sigma methodology.

Developed and maintained Six Sigma metrics Excel workbook for all teams as part of continuous improvement initiative and calculating team capacity for Sprint and PI planning.

One team implemented Snowflake, cloud migration and Tableau.

PM for telephony replacement project involving 1,400 locations in 26 states plus two corporate headquarters in SC and DE.

DST Health Solutions – Birmingham, AL (Remote/Hybrid) Jul 2016 – Jul 2019

RTE/Agile Coach/Agile Trainer

New Membership and Billing product development built on Apache Kafka and microservice architecture.

Facilitated the technical portion of the successful customer sales presentation to BCBS of Arkansas.

Conducted Agile training for team members and management as part of waterfall to agile transition.

Facilitated “Scrum of Scrums” and PI Planning for DST and client teams.

Presented executive updates for steering committee meetings.

Senior Project Manager Gateway Health PBM Transition

Project Manager for transition to CVS Caremark from Argus

All deliverables were completed ahead of schedule and under budget.

CIGNA Value Based Solutions – Denver, CO Jan 2016 – Jul 2016

Product Manager/Agile Coach (Consulting Engagement)

Consulted with senior management on the proposed merger with Anthem and what changes might be needed to Facets to accommodate ITS.

Coached Agile Teams and Product Owners; worked with management to create a roadmap for Waterfall to SAFe migration for the data management and governance group.

Anthem Blue Cross Blue Shield – Wallingford, CT Jan 2015 – Jan 2016

Program Manager/Agile Trainer/Coach (Consulting Engagement)

Migration to and implementation of a new web enabled tiered provider network product developed for Blue New England Health Plan (NEHP) and offered to all New England Blue plans.

Interfaced with three Anthem plans using Facets, Amisys and a proprietary system developed in house.

Partnered with BCBS of Massachusetts, coordinating implementation while upgrading ITS.

Responsible for budget, resource plan, schedule, and seven project managers.

Agile instructor and coach for a pilot agile project to automate test data generation.

Connecticare – Farmington, CT Feb 2014 – Jan 2015

Program Manager/Agile Trainer and Coach/RTE (Consulting Engagement)

Program Manager for MOSAIC Initiative ($15.6M) to replace many legacy systems from quote and enrollment through claims adjudication.

Provided Agile training for business and IT including senior executives.

Worked with the Director of the PMO, Governance Manager, and vendors to develop a modified form of SAFe (Structured Agile Framework) and hybrid Waterfall/Agile governance.

Release Train Engineer for three US teams and two teams in Ukraine.

Negotiated Vendor contracts and SOWs.

inVentiv Medical Management – Charlotte, NC Oct 2013 – Feb 2014

Agile SME/Consultant (Consulting Engagement)

Worked with the CEO and executives to provide Agile training while reorganizing the PMO to deliver new evidence-based patient care plan software.

Worked with Chief Medical Officer and Registered Nurses to develop features and user stories as well as test scenarios.

Advised Chief Medical Officer and Registered Nurses on Care Management candidate detection using Johns-Hopkins’ ACG software.

HMSA (Blue Cross Blue Shield of Hawaii) – Honolulu, HI Oct 2007 – Oct 2013

Senior Project Manager, Provider Information Management System (Consulting Engagement)

Reorganized project including negotiating a new contract with the vendor.

Implemented migration to Vistar VIP version 5100+.

Senior Program Manager, Benefits Information Management System (Consulting Engagement)

New system to meet Healthcare Reform requirements and support "Metallic Plans".

Wrote RFP for new Benefit data system and Content Management System and participated in vendor selections.

"Single source of truth" to maintain and expose benefit and policy data for consumers using omnichannel enabled GMC Inspire Content Management System.

Facilitated "Blue Sky" sessions to define user stories and new business processes using Disney “D Think” techniques.

Integrated with new TeleHealth Online Care web application to support patients on outlying islands.

IT Program Manager, Pharmacy Benefit Management Outsourcing

Migration to new PBM ($13.8M), CVS Caremark, saving HMSA $130 million per year.

The contract required a very aggressive schedule with kick-off in May and January 1st going live.

Implemented agile methodology to meet the aggressive timeline.

Worked with the Data Warehouse team to identify data mapping and other needed modifications.

IT representative on the project executive steering committee.

Senior Program Manager, HIPAA 5010, Government Programs

Managed 4010A1 to 5010 conversion of HIPAA transaction systems for QUEST (Medicaid) and Medicare including 65 C+ and Akamai Advantage.

Managed infrastructure buildout for 5010 processing and worked with the trading partners to migrate X12 transactions to 5010.

Project included standing up a new disaster recovery site.

Program Manager, HIPAA 5010/HIPAA SME

Responsible for multi-year HIPAA 5010 migration project and resource plan - $18M.

Managed the new infrastructure to support 5010 HIPAA Transactions.

Managed migrations of QUEST (Medicaid) to HIPAA 5010 compatible QNXT 4.7

Identified software tools for gap analysis, test data generation, and negotiated contracts.

Conducted "HIPAA 101" classes on 5010 transaction set changes including ICD10.

Program Manager, Pharmacy Benefit Management Outsourcing

Temporarily left HIPAA 5010 project to reorganize PBM migration to Medco ($12M) when it was in jeopardy of failing.

Reorganized the project and employed Agile principles to meet the January 1st mandate.

Senior Project Manager, BlueExchange

Managed two BCBS Association-mandated projects to enhance HIPAA eligibility and claims status transactions.

Introduced Service Oriented Architecture which saved HMSA over $1,000,000 per year.

Introduced Lean Waterfall/Agile methodology as part of PMO reorganization.

CIGNA/Intuit Software/Vielife of London Jul 2006 – Oct 2007

Senior Project Manager/Agile Coach (Consulting Engagement)

Engaged as a HIPAA SME for a joint venture between Intuit, Ingenix, and CIGNA to develop a web-based product offering called "Quicken Health".

Senior Scrum Master/Coach for a joint venture with Vielife of London, England, and the University of Michigan to develop a web-based Health Risk Assessment product.

Blue Cross Blue Shield of Massachusetts – Boston, MA Aug 2004 – Jun 2006

Senior Program Manager (Consulting Engagement)

Senior Program Manager for new HIPAA Enterprise Front End (EFE) to replace Emdeon clearinghouse with MetaVance ($20M).

Responsible for migration to the new Clearinghouse and ensuring that we met HIPAA privacy and security rule requirements as defined in 45 CFR 164.

Led the data mapping activities to migrate from Emdeon’s database to Metavance.

Teradata Division of NCR – San Diego, CA Jan 2004 – Jul 2004

HIPAA Subject Matter Expert (Consulting Engagement)

Engaged as a HIPAA Subject Matter Expert to review and critique Teradata's logical data model.

Worked with data modelers to ensure that the LDM was HIPAA compliant for security and privacy as well as transactions and code sets including NCPDP.

Anthem Blue Cross Blue Shield – North Haven, CT

Senior Project Manager PBM Service Operations (Consulting Engagement)

Responsible for NASCO Service Operations track of the PBM cutover to Express Script.

Identified Call Center Locations, staffing and arranged for infrastructure installation.

Scheduled and facilitated training sessions as well as other scheduled and ad hoc meetings.

Managed Benefits and Formularies set up for Facets and Amisys.

Facilitated Formularies review as well as User Acceptance Testing.

Coordinated Marketing communications and member outreach and education.

Member of the “Rapid Response” team for go live; triaged tickets and assigned team members to research and remediate an pharmacy or user defects reported.

MILITARY SERVICE:

United States Air Force

Honorable Discharge, Top Secret Security Clearance

Bronze Star, Purple Heart, Air Force Commendation Medal

EDUCATION:

The College of William and Mary

Graduate Studies in Computer Science

Southern Methodist University

Bachelor of Science (BS) in Computer Science

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