Project Manager Process Improvement

Robert (Bob) Kelly 856-***-**** (M)

*** ***** ***** *********@*****.***

Myrtle Beach, SC 29579 www.linkedin.com/in/rfkellysc SUMMERY:

A Program/Project Manager with more than 15 years of experience who brings a driving passion and expertise to:

• Optimize communications between Business and Technology Constituents, and transform and adapt processes and existing technology as requested, to best fit the engagement,

• Apply expert resource management skills to motivate others and turn visions, strategies, and challenges into pragmatic, timely, and cost-effective solutions,

• Develop high-performing teams to not only maximize engagement, dedication, and resource fulfillment, but to ensure optimized throughput, solid ongoing operations, and service far exceeding expectations,

Applicable Personality Traits: A polished ability to see the overall and entire perspective of a project, effort, or situation. An aptitude to synthesize and share complex information simply. Exceptional verbal and written communications with an adept ability to adjust quickly to any audience, Technical or Non-Technical. A proactive planner focused on action, accountability, and driving projects to conclusion. A strong intellectual curiosity and desire to understand problems, their cause, the magnitude and volume of the various associated stakeholder pain-points, and any barriers to solving them. A genuine sense of personal fulfillment brought from utilizing a very board and deep background in Product Development, Marketing, Data Management, Data Integration, Warehousing, Visualization, Reporting, and Analytics, as well as lessons learned during numerous systems and product Implementations, addressing and resolving from enterprise-level projects to much smaller matters. Finally, a genuine enjoyment in hands-on management, working across all levels of an organization as needed, to both inspire and instill confidence while driving to delivery, successfully, on-time, and within or under budget.

PROJECT & TECHNICAL SKILLS:

Agile Methodologies, PMP and Classic SDLC Project Management, General Software and Application Development, Six-Sigma, Change Management Practices, C-Suite Stakeholder Engagement & Relations, Enterprise IT Strategy, Roadmaps, Scenario Planning, Outsourcing & Vendor Management, Policy Governance and Development, Risk Mitigation, Business Continuity and Disaster Recovery, Enterprise-level Data Analytics and Self-Service Models, Mobile & Web Design, Network-Communications, and Digital Transformation Planning, Execution, and Leadership.

BUSINESS AND TECHNOLOGY SKILLS

• General Business Applications: Microsoft Office, Project, and Visio

• Databases: SQL, Oracle, Sybase, AMDOCS, Azure SSO, Teradata, DB2 MDMS (“Various Master Data Management Solutions”?), Informatica, DataStage, TIBCO, ODS, Azure Data Lake (Graph Database

• Test Tools: Load Runner; Win Runner, QTP, Mercury Quality Center Suite, ADO PMO, Oracle

• Software/Methods: Innotas, Clarity, Microsoft Project Server, Waterfall, Agile, Scrum, RUP, Sprint, Service Now, Smartsheet Salesforce Summer 15 / Winter 20 / Health Edge Rules 2.2 / Service Now/, Javelina

(R44,R45,R46

• HRIS: PeopleSoft 8, maintenance upgrades, project implementations, and structure content changes Paycor/ Paycom/Workday

• ICD-10 Software: LEAP 10

• Health Care Claims/Provider Systems: NASCO, Facets (v4.6,4.7,5.0), ITS, BlueCard, MHS, Medco, McKesson, Blue Exchange, PEGA, NETWORKX, AE2, CDWF, Contract Gen, CDW, XML, Aerial, Allscripts, MACESS, Epic, HL7, HIPAA 5010, Medicaid Management Information System (MMIS), JIRA, ZeOmega

(JIVA), Javelina

• Infrastructure:

• Programming Languages: LDAP, NOVELL, Active Directory, Microsoft .Net Framework 2.0, SailPoint IAM tool C#, .NET, SQL, COBOL, Aha, Alphabet, Mainframe, or z/Os Environment. Robert (Bob) Kelly 856-***-**** (M)

740 Oxbow Drive *********@*****.***

Myrtle Beach, SC 29579 www.linkedin.com/in/rfkellysc PROFESSIONAL EXPERIENCE:

Program Manager

Mphasis, Remote April 2024 to October 2024

• Salesforce Implementation Lead for a TPA enabling Salesforce on the core Javelina products (Infrastructure Program) Guided Javelina implementations and transitions to the Mphasis Javelina Core Administrative or ancillary platforms, including the Mphasis Javelina Experience Platform.

• As Project Manager, full ownership of all factors from planning, managing, tracking, (testing, documentation, training, end-to-end client management), delivery, processes handover, and final acceptance. (Program Management)

• Revision of existing Programs and Processes via active Product Management Applied Technical & Professional Skills:

§ Expert knowledge of Healthcare Industry, particularly the Payer segment

§ Subject Matter Expert (SME) for Salesforce Integration throughout Mphasis

§ Hands-on involvement and orchestration with the client’s various executive-level functions.

§ Solidly proficient project management skills as necessitated to organize and track multiple concurrent tasks involving many individuals from across different areas of the company. Program Delivery Lead

Arizona Blue Cross, (Remote) June 2023 to December 2023 Via Impresiv Health

• Fully Responsible for all aspects around the creation and delivery of all 2024 EDI and custom, outbound files across the full spectrum of partnerships and data needs for all AZ Blue lines of business. (Infrastructure Program)

• Management of the needs and relationships of over 20 different outbound-data trading partners.

• Directly responsible for and authority over a team of 12 developers, technical analyst, and testers.

• Coordination between several contractor firms regarding resource allocation (Sourcing, coverage, costs, etc…)

• Management of internal constituents including creation and provision of various collateral such as program delivery status reports, deployment roadmaps, dependency mapping, and overall timelines. Applied Technical & Professional Skills:

§ Created a streamed communication with Sr. Leadership

§ Aligned Technical Scope and developed systematic leadership

§ Created a team in 30days despite all the consultants did not know each other 30days prior

§ Had to determine the best technical approach given a short runway to deliver

§ Escalated technical disparities to Sr. Leadership for vendor and consultants, impacting potential deadline deliverables

Global Program Manager, Clinical Operations

Elevance Health, Indianapolis IN (remote) November /2022 –July /2023 Via Brooksource

• Global Program Manager for Clinical Operations for Elevance Health Care managed 10MM to 20MM portfolio.

• Installed health assessments for all Commercial, State of DC, and all Medicaid LOB in Central, South, East and North Coastlines of business 4.2 MM initiative. (Clinical Program)

• Led Salesforce implementations for Elevance Health from a global perspective throughout Elevance.

(Infrastructure)

• Initiated a Rebranding Program for Elevance Enterprises from various entities of Wellpoint, BCBSA to Elevance holding. 5.8 MM initiative o Sydney Member Claims Project. Increase AI capability 1.8 MM initiative.

• Implemented an audit of internal Sailpoint updates, including a completer overhaul of security updates and features, Developed auditable Program structure for multiple lines of business. (Clinical Applications)

• Implemented Service Now upgrades for c-suite ; recognized as SME in Workday and ServiceNow.

• REDUCED TRAINING COST BY 100K, by making training materials available on TEAMS for all interested parties. (Infrastructure Program)

• Identified 143K dollars’ worth of inappropriate project billing. Remediated the charge backs to the project.

• Integrated IT stakeholders, application development teams and project managers by implementing Project Management Lifecycle PMLC) and Systems Development Lifecycle (SDLC) best practices for processes, procedures and required documentation for ISO-Compliance and contractual services. (Financial Program) Robert (Bob) Kelly 856-***-**** (M)

740 Oxbow Drive *********@*****.***

Myrtle Beach, SC 29579 www.linkedin.com/in/rfkellysc Program Delivery Lead

CareSource, Dayton Ohio (remote) April /2022 – October 2022 Via Brooksource

• Designed, Developed, Implemented an Enterprise-Wide JAD: (Joint Application Development session) for 2 programs, Marketplace, and Mycare Reporting Requirements. Key Result: Improve time and efficiencies on identifying those Business Requirements who specifically require reporting development needs and help expedite those requirements for IT design, development activities. (Clinical Program)

• Implemented a Teams Channel for the above Reporting for 2 programs at Caresource: Key Result: Improve communication to reporting staff where communication did not exist prior to my arrival.

• Designed, Developed, Implemented an Enterprise-Wide JAD(Joint Application Development for 2 programs, Marketplace, and My care: Key Result: Removing the need to have adhoc sessions for specific requirements identifying the need to have IT development, increase communication process, and increase time to design, development, improve communications through a single point of contact Teams Channel

• Key Result: Being able to identify down environments will help with improving scheduling.

• Streamlined the transition of a departing FTE preventing a significant disruption in 2 programs. Senior IT Program Manager

Blue Cross Blue Shield of Louisiana, Baton Rouge, Louisiana March 2021 – December 2021 Via J2 Solutions

• Responsible for assigned projects by BCBSLA leadership in the State and Federal marketplace.

• Coordinated Projects in Payment Integrity, Episode Grouper, Consolidated Appropriations Act, RADV, Rational Medicine, Digital Signature Solution, Annual Product Enhancements. NET Projects SAVINGS 150K

(Clinical Program)

• Coordinated with BCBSA association on National Data Warehouse updates, coordinated with BCBSLA Project Sponsors on timeline and deliverables.

• Responsible for ensuring 4 Annual Product Enhancements met DOI expectations and was satisfactory implemented in accordance with BCBSLA guidelines. Net Project Savings $ 250K (Infrastructure Program)

• Responsible for Coordinating a Program with 10 separate workstreams for Product Implementation of HRA for Pilot Banking Customer, Implemented Member and Group SSO, Debit Cards, Enrollment and Eligibility, Medical, Prescription, Dental and Vision Claims. NET Program savings was $100K in overall 1MM budget.

(Infrastructure Program)

• Managed Business analysts collaborated with Solution Architects on path forward to implement HSA HRA FSA ASO product implementation with outside vendor.

• Directly responsible for interacting with Senior Management and C-suite for Project Scope, Budget, and Timelines.

• Managed multiple vendor engagements on designated projects, adhered to timelines, budgets, staff constraints throughout BCBSLA.

• Improved Efficiencies with BCBSLA PMO offering suggestions on Best Practice PMO improvements, recognized for contributions by reducing meetings and estimates by combining efforts both Waterfall and Agile Methodology.

Robert (Bob) Kelly 856-***-**** (M)

740 Oxbow Drive *********@*****.***

Myrtle Beach, SC 29579 www.linkedin.com/in/rfkellysc Senior Manager, Medicare Digital Experience (Contract) Florida Blue, Jacksonville FL April 2020 – March 2021 Via Interactive Resources

Communications & Collaboration

• Established partnerships with C-Suite Medicare stakeholders across the business and IT to create a cross functional process that enable a consistent and connected digital experience for Medicare members.

• Influenced C-Suite and Sr. Medical Directors to challenge conventional practices and instill customer insights into the decision-making processes. (Clinical Implementation)

• Actively participated in customer journeys and played an integral role in supporting products and experiences.

• Provided oversight, decision-making and prioritization for multiple complex business critical initiatives.

• Integrated IT stakeholders, application development teams and project managers by implementing Project.

• Management Lifecycle PMLC) and Systems Development Lifecycle (SDLC) best practices for processes, procedures and required documentation for ISO-Compliance and contractual services. Digital Transformation

• Coordinated digital transformation of the Medicare digital business case in partnerships with Florida Blue Medicare, digital leadership, and technology teams, complying with CMS requirements. NET RESULTS: Increased baseline adoption rate from 10% to 35% exceeding internal goals. (Infrastructure Program)

• Supported ad hoc project/initiative work as a floating team member. Key Results: Increased Digital adoption by 20% with institution of metric-based process improvements resulting in reduction of defects and rework, increased productivity, and meeting or exceeding quality goals using project portfolio management (PPM): Created a single point contact for Medicare segment to define, articulate and determine best utilized experiences. (Infrastructure Program, Clinical Implementation) Director Solutions Architecture, Program and Product Integrations Optum, Minneapolis MN USA February 2016 – Februray 2020 Communications & Collaboration: Directly responsible for leading a team of individuals for selecting A Security System (Sailpoint) which was to be implemented. Program was 10MM program. (Infrastructure Program)

• Collaborated with UHG/Optum Enterprise wide DevOps and Release Management for large scale transformation projects in Agile Transformation information . IT Project Management

• Developed Medicare specific products using Google and Microsoft productivity tools in current Salesforce release.

• Full Scale Implementations on Workday and ServiceNow COTS for various large and mid-range vendors.

(Infrastructure Program)

• Implemented Graph database and Aha technology to ensure environmental goals and compliance. Net savings of $6.5M. (Infrastructure Program)

• Implemented Pega version 7.4 with Blue Cross Blue Shield, for a Net Savings of $3.5M. (Infrastructure Program)

• Directly responsible for the oversight, hands-on participation and delivery of large-scale projects/programs.

• Designed, developed, and performed analysis findings for over 35 system impacts throughout UHC and Optum.

• Decreased IT development costs by 55% through establishment of multiple offshore development partnerships, process improvements to reduce defects and rework, and increased productivity through improved resource management t and standardized, fixed-resource price contracts. An Additional Net savings $3.5M Solution Architect

• Solution Architect for Medicare STARS HEDIS Reports Team and Risk Based Entity Programs for CT, NV and Mountain West Region. (Infrastructure Program)

• Lead JAD sessions in Medicare / Medicaid Claims, Benefits, Authorizations, Provider, Portal, Data Lake, NVHI, EODs, HCE.

HEDIS

• Partnered with Principle / Enterprise Architect and contributes from a domain perspective in the evaluation, selection and implementation of technology solutions including detailed analysis of pros and cons and build vs buy options in accordance with defined strategy. (Infrastructure Program) Robert (Bob) Kelly 856-***-**** (M)

740 Oxbow Drive *********@*****.***

Myrtle Beach, SC 29579 www.linkedin.com/in/rfkellysc EDUCATION

• Rutgers University

o Master of Science, Information Technology and Analytics

• TEMPLE UNIVERSITY

o Bachelor of Science – Physical Therapy

o Master of Science (grandfathered) Physical Therapy CERTIFICATES & LICENSES

• Physical Therapy License, 1988 –1998 (PA, NJ,FL)

• PMP Program and Project Manager, 1998/2008/2019

• Master’s Certificate, Project Management

• Certified Six Sigma Green Belt

• Certified Scrum Product Owner

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