Project Management It

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

Leeds, Al 35094 205-***-****

Summary of Qualifications

Self-motivated, innovative, flexible, adaptive technical Project Management Certification (PMP) with 17 years of leadership experience in many Healthcare IT roles within Blue Cross and Blue Shield of Alabama (Healthcare Management) and 13 years of experience in Tech Project Management at Encompass Health (formerly known as HealthSouth), Regions and NTT Data; manage projects using strong technical and business backgrounds including experience working with stakeholders, outside contractors, internal development teams, Devops and business units; excellent organization, communication, team building skills with an innate ability to translate technical vernacular into intelligible business language while managing competing priorities; experience building new positions as well as leading a newly formed team; strong attention to detail while keeping focus on the big picture; insightful requirement elicitation, digital and documentation skills; experience leading training sessions, giving presentations to large groups of participants and presenting project updates to many levels of management; many compliance projects meeting federal, state, CMS guidelines and Sarbanes Oxley (SOX) requirements; Enterprise PMO, Project Management Methodology (PMBOK), Software Development Lifecycle (SDLC), Agile, Waterfall and Hybrid methodologies; process improvement; fluent in all aspects of Microsoft Office as well as many project management tools (MS Project, Clarizen, Planview); Proficient in all aspects of project management (mentoring/coaching PMs, internal and external resource management/negotiation, scheduling, meeting coordination, take meeting minutes, project schedules, RAID, RACI, charters, business cases, task orders, requirements assessment, change management, project scope, problem solving, issue, risk management, user experience and client experience);

Professional Experience

Senior Integrations Specialist Naphcare, Inc.

02/2024 – 03/2025

Collaborated with external vendors or partners to establish seamless integrations between NaphCare’s EHR system (TechCare) and Offender Management systems, Laboratory systems, MedPass systems, Radiology systems, Commissary systems, and EKG systems. Implemented data mapping strategies to ensure accurate translation of data between different systems including migration from the sunset EHR system to TechCare. Collaborated with software developers to troubleshoot issues related to data transformation, mapping, and validation in integrations. Performed thorough analysis of client requirements to identify potential integration challenges and develop effective solutions. Collaborated with cross-functional teams to design and implement integration solutions for clients, ensuring seamless data flow between systems. Skilled in AWS, SFTP, VPN, SQL, XML, and HL7.

Project Program Mgmt Specialist Advisor/Senior Project Manager NTT Data

04/2022 – 09/2023

Managed complex IT projects for NTT Data Services on the Point32Health account which migrated Tufts Health Plan (THP) services and contracts onto the Harvard Pilgrim Healthcare (HPHC) platform creating the Point32Health network; Managed all IT and QA resources, budgets, outside contractors, timelines, deliverables, risks, issues, daily scrums, and meeting minutes according to the guidelines set forth in the Project Management Body of Knowledge (PMBOK); guided licensing in accordance with government regulations as well as rebuilding and contracting healthcare networks in new and existing states; migrated historical claims data to the new network platform, built new products on the HPHC platform;

Major Accomplishments

Led implementation of all Large Group accounts on Point32Health network on time and budget

Led implementation of all Small Groups and additional states on Point32Health network through a cyber security incident that caused a ten week delay in project timelines as well as a significant increase in IT resources/budget to remediate the damage

Led projects using Agile Methodology, Jira and Microsoft Project

Implemented several additional projects on time and under budget

Sr. Project Manager/Technical Project Manager Sr (contract) Jab Tek

10/2021 – 01/2022

Managed complex IT regulatory project for Blue Cross and Blue Shield of Alabama; Worked closely with the Blue Cross Blue Shield Association; Interpreted complex legal requirements to insure compliance with the Consolidated Appropriations Act (CAA) and the Healthcare Reform Act; Tracked project milestones, risks, issues and project plan in Clarizen;

Major Accomplishments

Led a project with seven different IT teams

Implemented project on time and under budget using Agile/Scrum Methodology

Sr. Project Manager/Technical Project Manager Regions Bank

02/2019 – 12/2020

Managed complex IT projects utilizing internal, contract and vendor-based resources for development and QA; Wrote, evaluated, and executed RFIs, RFQs and RFPs for outside software procurement and off-shore quality assurance resources; tracked multi-million dollar project budgets and timelines using Planview; Presented project status to many levels of leadership;

Major Accomplishments

Implemented customized Salesforce application on time and on budget using Agile Methodology

Procured and implemented several phases of a customized vendor solution on time and on budget using Agile Methodology

Evaluated hardware requirements and stood up replacement hardware where necessary

Kicked off and set up initial structure for the LIBOR replacement project affecting loans company-wide; Led five different workstreams with a project manager assigned to each workstream; Identified all applications and vendor solutions affected and built requirements, timelines and budgets for each change required

Project Manager II/Technical Project Manager Encompass Health

04/2012 – 02/2019

Managed many complex IT projects utilizing both internal and contract resources; Managed projects for Business Intelligence (BI), Data Warehouse, Web Development, SharePoint, Supply Chain, Infrastructure, and Information Security teams; Wrote and evaluated RFIs, RFQs and RFPs for outside software procurement; tracked project budgets; Wrote project charters, requirements and support plans; Conducted regular project status meetings with upper management including the CIO and Senior Vice Presidents; Managed all projects using Agile Methodology and daily scrums;

Major Accomplishments

Managed a multi-year multi-million dollar iOS Electronic Health Record (EHR) development project with a project team of more than thirty internal and contract resources that resulted in a admission time savings of 40 minutes per patient for 1200 Rehabilitation Liaisons; This project included procurement, provisioning and assignment of 1400 iPads and rollout, training and support for 130 hospitals and integration with Cerner EHR

Managed many projects that helped predict patient outcomes based on numerous BI factors

Managed an Intranet Modernization Program that involved 45 projects with many internal and contract resources rewriting all Encompass Health intranet applications in ASP.NET

Managed a project that exchanges XML and HL7 data with Health Information Exchanges (HIE), EHR, payers, internal integrations, electronic referral partners, and acute care hospitals

Managed a project to revamp Healthsouth.com including SEO, templates, mobile responsiveness, all platforms, geo-location tracking, analytics, and social components

Sr. Business Architect, Enterprise Architecture Blue Cross and Blue Shield of Alabama

01/2010 – 01/2012

Collaborated to create Guiding Principles for the Enterprise Architecture (EA) endeavor; Worked with business areas to elicit business requirements; provided architectural guidance for corporate projects; infrastructure mapping; collaborated on Information Management program; laid Business Process Modeling (BPM) groundwork; industry research

Major Accomplishments

Mapped core business processes to application inventory

Aligned business needs and corporate projects with the corporate strategic plan

Facilitated architecture evaluation of RFPs, RFIs and RFQs

Sr. Business Consultant, BCD Blue Cross and Blue Shield of Alabama

08/2008 – 01/2010

Gathered business requirements for many phases of the Enterprise Content Management Project (ECM) including Hummingbird and OptiDoc migrations; Distributed an RFP, accumulated vendor responses, documented vendor evaluations, facilitated on-site vendor presentations, elicited and documented business and functional requirements for the Consumer Insurance Division using CaliberRM; sole business consultant on the Imaging Phases of the Membership Design Project; sole business analyst on the Centralized Indexing Project; managed projects using PMBOK principles; created training materials and lead training classes for approximately 100 representatives as part of the Membership Design Project; wrote use case and user testing documentation; created business cases and concept documents;

Major Accomplishments

Elicited requirements for, document and manage the first 5 phases of the of the Membership Design Project creating paperless workflows estimated to create $304,000 per year in corporate savings

Documented and implemented first three phases of the Centralized Indexing Project estimated to create $540,842 per year in corporate savings

Technical Analyst, Information Technology Cahaba GBA

10/2006 – 08/2008

Managed Appeals and Overpayment Paperless Workflow Projects and Technical Help Desk Project using PMBOK principles; elicited and documented business requirements for the Appeals Paperless Workflow, Overpayments Paperless Workflow Project and the Technical Help Desk Project; created training materials and lead training sessions for more than 150 Appeals analysts and Medical Review personnel; second-level support for all Appeals Paperless Workflow issues; Process Improvement;

Major Accomplishments

Implemented Paperless workflow for Medicare Appeals realizing a 38% improvement in efficiency

Built Cahaba Technical Help Desk including training new personnel, design and support item tracking software, set SLAs with business units, worked with Corporate Communications to build phone queues

Managed relationships with outside contractors

Manager, EDI Enrollments Cerner Transaction Services

04/2004 – 10/2006

Built business processes, assembled new team, set team goals and service level agreements (SLA); assisted physician offices with revenue cycle management; managed group of seven onsite, three remote and three temporary employees; managed relationships with outside vendors and insurance payers in 50 states and Puerto Rico; managed client relationships in a client base of 70,000 providers using 26 software products; managed automated call distributor (ACD) and call center functions; set up and maintained item tracking databases; created project status reports, team performance reports and individual performance reports using Crystal; designed and created team training materials; managed yearly budget; performed employee performance reviews and performance improvement plans (PIP); worked closely with application managers, clients, upper management and outside business partners on escalated enrollment and support issues; central point of contact for all outside claims clearinghouses (McKesson);

Major Accomplishments

Assembled and managed new team

Built, implemented and managed business processes for EDI Enrollments

Lead team to reduce EDI Enrollment rejection rate from 52% to less than 3% in one year

EDI Product Analyst, RapidServices Cerner Transaction Services

03/2003 – 04/2004

Third level support for escalated support issues; liaison between enrollment, implementation, development, support, management and external business partners; case tracking, prioritization and escalation; Electronic data interchange (EDI); corporate contact for many internal applications; beta testing, security gatekeeper, enhancement prioritization, internal support and internal training on many internal and business partner applications; public speaking at client user group meetings; Create Crystal reports for research, tracking and project planning; HIPAA standards implementation for internal teams and outside business partners; assisted physician offices with revenue cycle management;

Major Accomplishments

Built frequent issue database used by level one and two support teams

Trained internal support teams and management on internal and external software applications

InfoSolutions Liaison, InfoSolutions Blue Cross and Blue Shield of Alabama

03/1997 – 05/1999

Technical Liaison between Blue Cross development team, external EDI and EHR Vendors, healthcare providers and internal marketing groups; assisted external vendors with specification interpretation; performed onsite vendor certification; managed vendor relationships;

Major Accomplishments

Created InfoSolutions Vendor Report Card used for vendor selection on a published BCBSAL Select Vendor List

EDI Representative, Provider Affairs Blue Cross and Blue Shield of Alabama

03/1991 – 03/1997

Installed in-house EDI software in healthcare offices; troubleshot hardware errors; trained health care providers; documented software requirements; performed testing and QA; supported EDI providers and external vendors; Liaison between EDI Vendors and internal development team; Lead point of contact for InfoSolutions EHR; assisted providers with revenue cycle management;

Major Accomplishments

Implemented the first Community HealthCare Information Network (CHIN) in Alabama

Lead town hall meetings

Published EDI Update publications monthly

Programmer Analyst, Systems Development Blue Cross and Blue Shield of Alabama

03/1988 – 03/1991

Education

University of Alabama at Birmingham Birmingham, Alabama

Bachelor of Science in Computer Science, March, 1988

Business Administration minor

Professional Certification

Project Management Professional Certification (PMP Certification)

Obtained 05/2009

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