Tina Y Green MBA, HCM, PMP, ITIL

*** *. ****** ******

Glenwood, Illinois

708-***-****

ad4ho9@r.postjobfree.com

https://www.linkedin.com/in/tinaygreen

skypeid: live:tygreen1217

Information Technology /Delivery specialist

Healthcare Information Specialist

Program/Project management

Summary

Accomplished, experienced, and business focused Health Information Systems professional, specializing in complex project and program management and operational and delivery excellence. Effectively leads cross-functional teams to develop, expand, or enhance products and services. Excellent knowledge of performance evaluation and service management principles. Outstanding leadership and organizational skills. A perfect fit for leadership role to apply strong strategic, Application/Product development, Program/Project, Delivery, and ITIL/Service Now management skills in an organization.

Skills and Expertise

•Complex Project Management

•Strategic Sourcing

•Government/Regulatory/CMS /Compliance

•Microsoft Suite Expertise

•Change Management

•PMLC Methodologies

•Data Visualization -Tableau

•JIRA/Confluence

•SharePoint

•JCL/Zos/Security

•FACETS/Trizetto

•Process Improvement Implementation Specialist

•IT Strategy

•VSAM/ DB2/SQL engineering

•COBOL / CICS programming, concepts, administration

•Claim Adjudication SME

•Agile, Waterfall, SDLC methodologies

•Application/Product Management

•20+ yrs. Mainframe skills

•Clarity PPM

•Vendor Management

•Program Management

•Customer Relationship Management

•Software Engineering

•Problem Management

•Incident Management

•Release Management

•Financial Budgeting

•Delivery Management

Experience

INNOVATIVE SYSTEMS GROUP 05/21 – 02/23

BLUECROSS BLUESHIELD OF ILLINOIS (HCSC)

Portfolio Delivery Lead Consultant – Claims Portfolio

IT Delivery oversight to ensure the successful delivery of IT capabilities to the business, by engaging the right product teams per the specifications and capabilities within the project and providing delivery transparency for business stakeholders via key performance indicators. Responsible for the following for delivery of multiple projects in a dynamic environment:

10/2022 – 02/2023 Oklahoma Medicaid Delivery Lead

•Overseeing Claims/Encounters, Finance/Revenue Management Workstream(Back Office)

The pre-implementation RFP activities to facilitate Oklahoma Medicaid SoonerSelect, FACETS coordination of grooming/design with Cognizant/Trizetto and System Transformation Project

•Coordination and planning with downstream IT product teams to ensure overall project delivery

•Infrastructure additions, changes, coordination, and installation as required

•Change Management and Change control as applicable to project

•Facilitating

•The coordination and communication between business/EPMO and IT groups throughout planning

•Providing the feedback loop for workstream stakeholders

•Develop

•Strong relationships with strategic partner teams including Portfolio Business Owner, Business Project Lead, EPMO PMs, IT Portfolio Leads, and other Portfolio Delivery Leads

•Communication channels to keep end customers informed of project progress

•Project planning, execution, development using SDLC Methodologies, (Waterfall and Modernized Agile)

05/2021 - 10/2022 - Claims Portfolio Delivery Lead

•Overseeing Group Claims Portfolio

•The tracking and managing the portfolio status against project milestones and critical path highlighting risks and mitigation plans

•Facilitating and re solution of risks and dependencies for the project teams

•Coordination with downstream IT product teams to ensure overall project delivery

•Delivery of all IT commitments within associated project

•Infrastructure additions, changes, coordination, and installation as required

•Change Management and Change control as applicable to project

•Facilitating

•The coordination and communication between business/EPMO and IT groups throughout delivery

•Providing resolution of critical post-production issues in collaboration with support team

•Providing the feedback loop from end customers to Project and IT Product teams.

•Develop

•strong relationships with strategic partner teams including Portfolio Business Owner, Business Project Lead, EPMO PMs, IT Portfolio Leads, and other Portfolio Delivery Leads

•Communication channels to keep end customers informed of project progress

•Project planning, execution, development using SDLC Methodologies, (Waterfall and Agile)

MAKE Corporation

BLUECROSS BLUESHIELD OF ILLINOIS (HCSC) 01/2019-03/2020

Senior Project Manager

Working in conjunction with and to support the EPMO Delivery Excellence expectations, fulfilled role as a Senior Project manager matrixed to support the Provider Network/Care Delivery Portfolio. In the role, managed the strategic direction of the Provider And Network Decision Analytics initiative through transform activities. Role responsibilities included, development and coordination using Waterfall and Agile methodologies of the project charter throughout product delivery for a year-long project of $3M dollars.

•Established and led project business units to monitor project technical and financial status, including internal customers and Senior Business owner reviews.

•Produced weekly Executive Level Reporting for Business Owner and Leads, EPMO leadership, and IT Portfolio leadership, in addition to weekly project status reporting for team awareness. Utilized the Microsoft suite applications for reporting purposes.

•Led and participated in new business program activities such as RFP’s and BID’s. Engaged in proposal strategic activities and start up activities. Implemented project management processes into new $75 million new product development program, PEAQ (Provider Efficiency Appropriateness Quality). Coordinates with Legal, IT, and Finance to support new program enablement and growth

•Daily leadership collaboration to daily to discuss project direction, project health, costs, risks, and developing initiatives Roadmap development as necessary to drive ambiguity and subsequent initiatives

•Managing schedules, tasks, daily review of risks and impacts, and resources via utilization of SharePoint, project Server Management Tools (Oracle), Clarity PPM utilized for project financial reconciliation.

•Partnered effectively with Finance to monitor and control project budget, equipment, resource utilization, and transaction classes relevant to the project.

•Planned and tracked deliverables, provided direction to the development teams to deliver on time and within the budget allocated.

•Agile practices mapped to project management: Quick design sessions and rules of simplicity, daily stand-up meetings and version control tracking with Scrum Master and team, Epic development sessions, user story mapping, and sprint tracking, QA testing strategy, testing roadmap, and release frequency tracking. Controlling Iterative changes as needed in planning, execution and testing.

Lumens Corporation

SBPASC(FEPOC)ASubsidiary of CareFirst - BLUECROSS BLUESHIELD 2017-2018

Senior Technical Project Manager

Core project management member in a matrixed environment, managing the strategic direction of environment creation, testing, and product delivery for a two year $22M project. Directed resources on the delivery of a new healthcare product and healthcare benefits specific to Federal Employees. Managed across multiple workstreams of the project, with planning, tracking, measuring, and reporting on the status of each workstream throughout the entire project development life cycle.

•Applied appropriate project management standards for incorporation into the FEPOC PMLC structure

•Directed environment readiness, and management of special efforts to sync environments in preparation for product delivery.

• Established and coordinated cross-project activities for keeping environments updated with code and infrastructure changes, using version control, automated build, continuous integration, and continuous deployment methodology using Waterfall and Agile techniques throughout the project delivery

•Developed and strategically identified suitable testing strategies and objectives across established timelines, utilizing Agile roadmap methodology, role-feature, usability, exploratory, unit, and acceptance testing scheduling and sign-off

•Applied change, risk, and resource management to aspects of project compliance testing, training, and vendor management

•Extensive budgeting, variance reporting, and project financial compliance, controlling deadlines, budgets, and activities using Cost Management tools (Clarity PPM)

•Formal and informal reporting to Senior Leadership Program Executives at CareFirst and BlueCross Blue Shield Association, Washington, DC

BLUECROSSBLUESHIELDOFILLINOIS(HCSC) 2001-2016

Application Development Center Manager 2015-2016

Directed 80 offshore resources in delivery of multiple projects, resulting in growth and transformation of business initiatives. Oversaw skill assessments and onboarding of resources as well as all administrative time tracking for budgeting purposes. Hired and trained highly skilled development staff, increasing speed of delivery by 20%. Improved staffing productivity by developing best-fit modeling.

•Led, coordinated, managed, and matured annual and multi-year planning processes for 60 resources, moving from reactive to proactive planning, within Claims Processing Product

•Championed SDLC methodologies for Waterfall and Introduction to Agile principles

•Managed relationships and weekly prioritization of 'A-List-approved' projects ($250,000 and above) across claims portfolio owned by business and information technology leaders.

ICD-10 Integrated Delivery Project 2010-2015

Testing Program Manager

Spearheaded successful post-implementation process of ICD-10 across enterprise, which involved problem resolution. Managed teams, systems, delivery, and high-value budget to ensure compliance with federal mandates as well as efficient problem identification and solution implementation. Led selection, procurement, and implementation of problem resolution for delivery of ICD-10.

•Workstream Leader for testing project, directing staff of 100 employees, 15 systems, and budget of $22,000,000.

•Worked with PMO leadership/finance resources to maintain the program budget tracking model, both tracking and reporting

•Executive Communications with strong content creation and presentation skills, to distinctly capture the trending and convey messages to an executive audience, via dashboard reporting or general presentations

•Collaborated communication of strategy to implement ICD-10 project by defining, creating, and publishing 'ICD-10 Playbook' to help communicate procedures as of go-live date.

•Structured and scoped strategic initiatives, including identifying the key problems/issues, providing direction on analyses to provide actionable insights, and creating the project plan, including timeline and resource requirements

•Facilitated problem solving and improvement sessions based on actionable insights and trends from data analyses. Responsible for summarizing and communicating key insights and improvements of project implementation to leadership.

IT Lead, Provider Testing ICD-10 Federal Mandate Project 2014-2015

Spearheaded $20,000,000 pilot testing for ICD-10 mandate that included development of ICD-10 dual testing environments. Led technical issue response team, managing testing by 600 providers and 25,000 test submissions to establish controls for testing entities as well as compliance with guidelines. Managed provider testing execution test plan and testing scenarios, achieving starting test date of 2015.

•Co-created development of comparison review process for provider testing results.

•Defined and executed on governance process for strategy, including development of metrics dashboard and regular updates to business and ITG senior leadership on health of ICD-10 strategy.

•Grew partnerships with vendors regarding supplies and equipment, negotiating contracts on delivery and pricing, monitoring expenditures, and reducing operating costs to increase revenues for changes applicable to ICD-10 program.

•EPIC impact analysis across physician network and necessary changes to support ICD-10 changes

IT Manager, Health Exchange Release Management 2013-2014

Provided technical expertise to lead development of release management software/application that supported and drove growth and goals of organization. Utilized technical knowledge, project management skills, and leadership abilities to integrate business goals and implement technical aspects to achieve organizational strategies. ACA project of $380M. Release project budget of $15.5M.

•Led effort to define and create IT strategic release management tool within existing project tracking tool that incorporated release management tab and project management tracking function.

•Created and implemented end-to-end planning framework and core planning processes for translating strategic priorities, business-driven projects, and service improvements into discrete initiatives that cascaded from divisional plan into preparing individual plans for each portfolio involved in development of The Exchange’s (Internet purchasing capability for individual health insurance) goals.

•Created Dashboard utilizing (Tableau) processes for program status reporting, RAID reporting, budget reporting, and delivery readiness reporting

•Partnered with Program Managers and Senior Leadership to provide dashboard reporting using data visualization tools (Tableau)

•Analyzed impacts to HCSC exchange effort for subsidiaries (Dearborn National, Prime Therapeutics, and MeDecision)

IT Manager, ICD-10 Contract Benefits and Claim Adjudication 2010-2013

•Improved coding completion time 66% by converting all contract groups and coding updates with enterprise concept.

•Implemented increased procedure and diagnosis coding, resulting in decreasing claim processing throughput time by 35% and eliminating redundancy in claim processing procedures.

•Converted existing VSAM file structure for Benefit applications to DB2/SQL

Application Supervisor, Claims Adjudication 2007-2011

•Led Change Advisory Board (CAB) improvement program, increasing claim service-level agreements to 98%.

•Reduced claims IT issues and system downtime, ensuring claims processed service-level agreements with contracted groups, saving $15,000,000 in penalties and fines.

•Partnered with change approval board to develop standards, best practices, and architectural governance that increased core system availability to 99%.

•Converted existing VSAM file structure for core adjudication to DB2/SQL use and processing access

Application Supervisor, Claim Inquiry Systems 2001-2007

•Spearheaded development and implementation of Blue Exchange EDI (276/277 transactions) to support Blue Access for Members claim inquiry web access using the Enterprise Service Bus (ESB).

•Major data extractions for reporting for NCQA, HEDIS, Department of Insurance reporting

Education

LAKE FOREST GRADUATE SCHOOL OF MANAGEMENT, Lake Forest, Illinois

M.B.A., Healthcare Management

NORTHERN ILLINOIS UNIVERSITY, DeKalb, Illinois

B.S., Biology; Minors in Chemistry and Psychology

UNIVERSITY OF SOUTH FLORIDA, Tampa, Florida

Certificate in Health Informatics; On Hold

Additional EPIC module exposure and use

Certifications In Progress Certifications

Computer (Application Development) Data Analytics/Health Informatics

ITIL v3.2 Lean Six Sigma Green Belt Certification

PMP

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