Kenneth F Muzyka

Current Location: **** Vermont Dr, Easton, PA 18045 • 484-***-**** • adr0gn@r.postjobfree.com

Professional Profile

Over 11 years project managing the intake of EDI healthcare transactions through the UnitedHealthcare gateway from multiple claim clearinghouses.

Working in partnerships with business stakeholders on new requirements with a focus on development and testing, portfolio management, business processes, program lifecycle, global operations and delivering world class technology solutions within budget and time for client.

Developed cost and benefit estimates to establish project worth, including the development of alternatives and recommendations for new acquisitions or changes to existing applications requirement.

Estimated resource and record management requirements and created plans, timelines, milestones, user approvals, charts, and reports for use in managing an assigned project.

Championed change, and built strategic partnerships with leaders, colleagues & customers.

Results-focused leader specializing in driving operations growth, building solid teams, creating strategic initiatives, providing world-class customer services, cultivating a strong company image and eager to offer over 20 years of experience toward maximizing a top client’s success.

Provided manual to automation transition solution, planning and implementation.

KEY SKILLS

Over 11 Years of Project Management in consuming EDI healthcare transactions.

Transitioned additional claim clearinghouses to United’s gateway for processing.

Proposal Review, Staffing Model, Estimation & Budgeting

Expertise in Managing & Delivery of Onsite/Off-shore EDI initiatives.

Development of testing processes and quality standards for EDI healthcare transactions.

Manage Audit, Governance and Compliance issues and implement best practices across org to maintain quality as per industry standards.

Managing and implementing new United EDI gateway clients with seamless transition.

TECHNICAL SKILLS

Methodologies: SDLC – Waterfall, Agile and DevOps

Technical Languages: Cobol, JCL, DB2.

MS-Suite: MS-Office, Excel, Outlook, Powerpoint, MS-Project.

Self Employed, Easton, PA June 2017- current

Daycare Provider

Over the last 5 years have watched 7 family members children while they worked.

Worked on socialization skills as well as other concepts such as sharing.

As they grew, taught them the alphabet and eventually started them reading.

Also worked with them on numbers and introduced light math.

UnitedHealthcare, Basking Ridge, NJ May 2006- June 2017

IT Director/Project Manager EDI Gateway

Project Managed the software development, systems analyst and solution design teams for multiple platforms.

Worked with stakeholders to analysis, map, code and test adding additional claims clearinghouses to UnitedHealthcare’s claims gateway.

Successfully integrated “on/off” shore resource model into our staff which resided in four different locations.

Served as project manager, managing projects through the full software development cycle, identifying business requirements, keeping projects running on-time and facilitating communications between teams to minimize any delay.

Managed project to streamline the processing of claims in the EDI front-end system. As volumes increased, window of execution was growing. Restructuring the flow condensed this process to under 2 hours for over 200K claims.

Serving as project owner, implemented a new Agile delivery methodology to convert from a Waterfall deliver methodology. With the by in of our business owner we competed ahead of schedule with many positive results.

Lead project team in the mapping and system development to handle many the HIPPA mandated transactions prior to the date needed

UnitedHealthcare, Basking Ridge, NJ Jan 1996 – May 2006

Development Manager Check Writing

Built new development team to re-engineer current check writing system.

Met with stakeholders and finalized all requirements for new checking writing and EOB applications bringing them in under budget and 6 months early.

EDUCATION:

Pittsburgh Technical College: Bachelor of Science

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