Project Management Information Security

Principal Delivery Specialist – Systems Manager/architect

(implementation practice)

Summary of Profile

Results-driven and highly motivated IT leader with 33 years of extensive experience, including 24 years in the healthcare industry, specializing in Project Management, Systems Management, Technical Project Leadership, New Systems Implementation, Infrastructure Planning, and Information Security Architecture. A strategic thinker with a proven ability to drive complex initiatives, optimize resources, and ensure seamless execution in high-stakes environments. Well-versed in managing and directing project resources, team building, reputation for creative problem solving and effectiveness in resource management, cost control, and broad experience with diverse industry.

Dedicated professional, extremely adaptable, skilled in managing all Systems components, and support staff in complex business and technical environments. Solid experience in coaching, staff training, and building motivated teams. Organized and detail-oriented, able to work under tight deadline pressure and consistently meet deadlines and quality goals. Accustomed to managing multiple projects and priorities in fast-paced, high-performance environments.

PROFESSIONAL CERTIFICATION

Certified Project Management Professional (PMP)

Certified Information Security Manager (CISM)

Certified Scrum-Master (CSM)

AWS Certified Cloud Practitioner (ACCP)

Areas of Expertise and specialties

Project Management

Software Configuration Management

Systems Management

systems implementation

DBA Management

EDI Management

Information Security Management

Cloud Practitioner

Technology Skills & Qualifications

Key Skills & Knowledge

Azure/AWS Cloud Services, Microsoft Office365, Security Architecture, Project Management, Systems Management, Medicaid, EDI, HIPAA, Implementation of New Systems, Systems Architecture/Management, and Change Management.

Project and Program Management

Microsoft Azure Cloud and Hybrid Systems, Virtual Desktop Infrastructure (VDI), DDI (Design, Develop, Implement), State Medicaid Systems, Health-PAS, HIPAA, EDI Front-End Systems, Software Configuration, Change Management. Security, and Citrix.

Databases

MS SQL Server, Access.

Hardware

Windows 20xx servers, IBM 30XX, IBM PC (various models), ES9000, UNIX (Sequoia), MVS/ESA.

Operating Systems

Windows (95, XP, Vista, 7, 8, 10); Windows Server 20xx series.

Client Server Software/System Architecture

Mercator (EDI), Informatica (ETL), IBM RationalTools, Proforma/ProVision, Microsoft Office Suite of Tools (including Access, Office Project, Visio, and PowerPoint).

Mainframe Applications and Programming Languages:

TSO/ISPF, JCL, SQL, VSAM, IMS DB/DC, DB2, CICS, GTB/BMS, COBOL, COBOL II, Easytrieve Plus, QMF, SPUFI, Assembler, JCL, RPG III, VIASOFT, XPEDITER, Endeavor, Python (Beginner).

Professional Experience

Gainwell Technologies – PRINCIPAL Delivery Specialist – System/Business Architect

October 2021–Present

Systems Manager – DC DDI Project [January 2024 – Present]

Duties and Accomplishments:

Led and managed the infrastructure, architecture, security, release management, and database administration (DBA) teams/workstream, ensuring seamless integration and optimal system performance.

Directed the successful buildout of seven critical system environments (Dev, DMO, SIT, TRN, IDT, UAT, and Prod), enabling robust development, testing, and deployment workflows.

Provided strategic oversight on systems management, technical architecture, and security, driving key initiatives for the DC DDI project.

Member of the Project leadership team.

Acted as a primary liaison with the client, facilitating seamless coordination for DDI project requirements, including network connectivity, security, SSO, MFA, SLAs, and third-party vendor connection and testing/integrations.

Collaborated closely with key stakeholders—including ITO leads, IDL, DBAs, enterprise and application architects, security engineers, and product teams—throughout the DDI phase to ensure alignment and project success.

Proactively ensured application owners and SMEs remained on track to meet project milestones and deliverables.

Provided leadership and strategic direction to Workstream Leads (WSLs) on various critical topics, addressing emerging needs effectively.

Engaged directly with the client through high-level meetings, offering expert guidance and fostering strong stakeholder relationships.

Spearheaded the development and timely submission of essential project deliverables, including the detailed system design plan, system security plan, and third-party integration test plan.

Systems Manager/Business Architect/Project Oversight – Florida Core DDI/WV Upgrade DDI/TX PBM DDI Projects:

Duties and Accomplishments:

Provided project oversight, business/technical architecture, and systems management support for Florida Core DDI project. Worked directly with the client and vendors in support of various project needs [March 2023 – December 2023].

Provided project management, project oversight, and technical support for West Virginia Medicaid Management Information System (MMIS) Design, Development, and Implementation (DDI) project. Performed impact assessment and project management for this legacy upgrade project [November 2021 – February 2023]

Supported Texas Medicaid Pharmacy Benefits Management (PBM) Pharmacy Quality Solutions (PQS) project as an interim Enterprise Architect [February 2022 – June 2022].

Provided technical expertise on Gainwell Results Accelerator project (Build-a-thon – March 2022 – September 2022]

BrownGreer PLC – IT Manager – Information Security Architecture and Management

August 2019–October 2021

Information Security Architecture/Management and IT Manager:

Duties and Accomplishments as an IT Manager and Security Architect:

As an IT Manager and Information Security Architect with BrownGreer, I was responsible for managing Systems Administrators and Cybersecurity Engineers 8-11 and manage/prioritize their tasks/projects and their day-to-day activities.

Successfully managed and responsible for planning and conducting BrownGreer’s yearly IT Disaster Recovery Testing.

Managed Help Desk resources and made process improvements to assist with performance key indicators and SLAs.

Responsible for directing security implementation throughout the SDLC across the complete stack (i.e. physical, data, network, transport session, presentation and application).

Responsible for ensuring all projects and implementation follow Secure Web Application Technologies (SWAT) and secure DevOps practices.

Provide security advisory services to business and technology team pertaining to system design, development, and implementation while promoting the protection, integrity, and confidentiality of customer, employee, vendor, and business information in compliance with BrownGreer’s policies and standards.

Conduct my security role as a security subject matter expert and ensure IT Solutions are aligned effectively with BrownGreer’s security direction and posture.

Responsible for performing BrownGreer’s yearly IT/Technical Risk Assessment and implement a correction/monitoring plan to monitor/mitigate identified risks/vulnerabilities.

Represent the interests of the CISO and Cybersecurity best practices in all engagements.

Responsible for establishing system security that conforms with Security Access Control Principles such as Role-based, Principle of Least Privilege, and Separation of Duties.

Responsible for monitoring and improving the company security score and posture and utilize Cybersecurity tools to identify potential threats, security detection and prevention.

Implemented data loss protection/prevention processes

Responsible for reviewing and updating BrownGreer’s security policies and standards.

Manage/Coordinate SOC 1 & 2 Audit with the vendor and BrownGreer’s Directors and resources.

DXC Technology – IT Manager Service delivery

October 2018 – August 2019

IT Manager, Sr. project manager, Systems Manager, Security architect:

New Jersey State Medicaid Account (DDI Project).

Duties and Accomplishments as an IT Manager/Sr. Project Manager/Systems Manager/Security Architect:

Responsible for building and managing new system environments and the implementation of new technology, as part of New DDI (Design/Develop/Implement) project for a new Health-PAS Medicaid System.

Managed Service Level Agreement (SLA) Tracking System project, which encompasses implementing systems monitoring tools/processes that report on all system activities that are bind by SLA requirements.

Responsible for establishing system security that conforms with Security Access Control Principles such as Role-based, Principle of Least Privilege, and Separation of Duties.

Managed a Single-Sign-On project for accessing our system applications, using Citrix application (StoreFront, NetScaler, ADFS), implemented a user session timeout, force credentialing and/or re-credentialing while maintaining SSO for system applications in accordance with NIST SP 800-53 standards.

Molina Healthcare Inc. – IT Manager

May 2010 – October 2018

Systems Manager: West Virginia State Medicaid Account – DDI Project January 2013 – January 2016

Duties and Accomplishments as a Systems Manager:

Responsible for the implementation of technology, building, and managing new systems as well as various COTS Applications, as part of New DDI project for new Medicaid System.

Responsible for managing all System related activities, identify, report, and manage project risks.

Worked closely with Infrastructure team to ensure systems performance and reliability is a top priority.

Worked closely with architecture and DBAs to ensure systems are sufficiently established and optimized.

Managed all system applications build-out in each environment (Dev, SIT, UAT, Trn, and Prod).

Ensured all applications installation, configuration and smoke testing are conducted in all systems environments according to the project work plan on time and within budget.

Managed budgeted hours for systems management and environments build-out.

Managed DBA resources (3) and provided directions and prioritize their day-to-day tasks/activities.

Worked with the DBA group and provide the necessary direction for system databases management.

Completed and worked with operation team for building system jobs daily cycle.

Worked with application owners for all application installation, development, configuration, and testing.

Worked directly with key project stakeholders such as Project Managers, Implementation Director, Test Manager, Construction Managers, PMO Managers, Account Manager, and Account Deputies.

Worked directly with the client on project requirements, gaps, and service level agreements.

Unisys Corporation – Project Manager

January 2001 – May 2010

Project Manager – Software Configuration Management: State Medicaid Accounts

Duties and Accomplishments:

As a Project Lead, managed Software Configuration Management (SCM) tools and software builds tasks.

Established a Centralized Environment for the SCM system, and integrated it with the existing Healthcare Claims Processing System using IBM Rational Tools Suite.

Led a successful implementation of the Rational Suite of tools that support Change Management (CM), Problem Tracking, Requirements Management, and related design and testing of software applications.

Led planning, design, testing, and migration of CM environments.

Project/Implementation Manager: BCTF HIPAA Project BCTF Medicare Account

Duties and Accomplishments:

As a Project Lead and Implementation Manager of Bakery and Confectionary Trust Fund (BCTF) project, directed and instructed an EDI team of 6 resources.

Installed, configured and administered Mercator as a translator/mapping tool for various types of ANSI X12N HIPAA transactions for the customer’s EDI system.

Performed gap analysis, created/maintained project plans using MS Project. Defined tasks for a team of 6.

Coordinated efforts with managers to ensure deadlines are met and monitored project scope/time/budget.

Project Lead, Kentucky HIPAA Project: Kentucky (KY) State Medicaid Account

Duties and Accomplishments:

As a Project lead, managed EDI Transaction Mapping team of 8 resources for Kentucky HIPAA project.

Defined tasks for team members, performed gap analysis, created and maintained project plans (MS Project)

Worked with business owners, managers/leads, and other project stakeholders, gathered requirements, determined/communicated project scope, time, budget, and tasks and ensured deadlines are met.

Sr. System/Business Analyst: West Virginia (WV) Health PAS Project

Duties and Accomplishments:

As a Sr. Analyst, worked with the EDI, POS, and Interface teams, and was responsible for creating Extract

Transformation and Load (ETL) processes to extract data from the mainframe into Health PAS SQL Server.

Worked with the team to refine processes and expectations of all project phases.

Mapped data using Informatica ETL processes, developed conversion and interface ETL systems.

Established Informatica training environment for user training.

Sr. System/Business Analyst: Louisiana (LA) State Medicaid Account – LA HIPAA Project

Duties and Accomplishments:

As a Sr. Analyst, worked on the State of Louisiana Department of Health Services (DHS) HIPAA project.

Responsible for Mercator software Architectural Design, Configuration, Development, and System testing.

Identified issues affecting work progress and recommended solutions.

Worked on project scope and solutions for HIPAA requirements, gaps, and remediation.

Utilized EDIFECS for trading partner testing and SourceSafe for configuration management.

Configured Mercator Solution/components, setup Trading Partners, and tested various X12 Transactions.

Innsbrook Technical Consulting – Owner

March 1998 – January 2001

Team Lead – Business Analyst (Consultant) - First Health Services

Duties and Accomplishments:

Managed the Prior Authorization Subsystem and a team of 4 resources in the Virginia Medicaid Management Information Systems (MMIS) Project.

Developed work plans and regularly met with stakeholders to evaluate system requirements, performed requirements definition and analysis, and general/detail system design.

Education & Training

Bachelor of Science in Information Technology,

Capella University, Minneapolis, MN

GPA 4.0 – Achieved the President’s Honor List and Summa Cum Laude

Professional Development

Extensive Technical Training includes MCSA courses, Security+, CISM, CISA, ACCP, Python Programming, IBM Configuration Management Tools, Informatica Power Center, Business Architecture 3D-VE Tools for Practitioners v2.0, JavaScript Client-Side Scripting, Introduction to XML Language Basics, Web Authoring and Publishing: HTML Documents, Microsoft SQL Server 7.0: Advanced Transact-SQL, SQL Programming: Data Handling Techniques, Unisys Six Sigma Lean White Belt, EDI, HIPAA, Endeavor, and CICS.

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