Delivery-Focused IT Program Manager (Lean/Agile)

MELODY E. DYKES

Ridgeland, Mississippi * 662-***-**** * ***********@*****.*** * linkedin.com/MelodyDykes SUMMARY

Accomplished project manager, certified in Lean Agile principles and extensive knowledge implementing large scale data implementation projects. HIGHLIGHTS

RECENT PROFESSIONAL EXPERIENCE

2013 – Present Information Technology Systems Manager II Division of Medicaid – Jackson, MS

Twelve years of Information Technology Management experience that includes supporting and developing strategies to implement the Division’s Medicaid Enterprise System, supported a team of business analysts to update to the legacy claims’ processing system and manage the update of the data warehouse’s database tables. Lead advancements in Division technology and improvements in business operations and processes. Fosters transparent relationships with internal and external stakeholders, technology vendors, Managed Care Organizations, State and Federal agencies.

Manages multiple technology projects ensuring contract specifications are accurately and timely implemented

Utilizing SAFe Agile methodologies to improve cross-functional technological team efficiency and streamline internal processes/operations

Ensuring Federal and State compliance in system development, system performance, and data reporting

17 years of experience in interpreting and complying with Federal and State rules and regulations

Informing DOM’s technology strategy leading to modernized systems and business processes including the Division’s Medicaid Enterprise System project and the CMS required T-MSIS data reporting

* Technology innovations *Data transformation

* Strategic planning *Lean Agile Scrum Master

*Lean Agile Product Owner *Skilled Government Leader

*Enterprise Project Implementation *Compliance professional Dykes 2

Overseeing two separate cross functional teams to ensure internal Business Areas are receiving timely systems related support, system enhancements and data reporting

Developing communication plans, workflows, and timelines for various project implementations

Reviews project contracts and contract requirements 2010 – 2013 Performance Auditor III

Division of Medicaid – Jackson, MS

Managed the Data Analysis Division responsible for identifying potential Medicaid fraud, waste, and abuse. Maintained transparent and collaborative relationships with internal and external stakeholders.

Successfully created DOM’s first internal investigative data analysis/reporting team leading to a reduction in financial waste and an internal improvement in data transparency and accessibility

Identified over 20 instances of potential fraud, waste, and abuse cases leading to recoupment of Federal/State funds and the identification of bad actors

Supported the DOM in proactively reviewing Medicaid claims data to identify patterns of potential fraud, claims processing issues and improper payments

Lead investigative and research driven meetings with vendors, State agencies and internal Business Areas to review data findings and improvement opportunities

Developed, documented, and implemented Program Integrity standard operation procedural documentation

EDUCATION

Mississippi State University Starkville, Mississippi BBA, Economics May 2002

Itawamba Community College Itawamba, Mississippi

AA, Business May 1999

Dykes 3

CERTIFICATIONS

• Certified SAFe Product Owner/Product Manager

• Certified SAFe Scrum Master

• Certified Public Manager

IMPLEMENTATION PROJECTS

2015 – Present Transformed Medicaid Statistical Information System (T-MSIS) T-MSIS is a large scale data project in which all Medicaid programs nationally and internationally, that requires monthly data submissions to a federal data repository for quality and analysis review. This project was implemented in two phases. As the lead Product Owner/ Project Manager (PO/PM) I facilitated the implementation of both phases using data analysis, and my knowledge of all internal business areas and their use of the MMIS. The project also involved data governance of local data structures and data mapping of internal data to T-MSIS standards. Successful implementation was based on passing a rigorous data inspection with hundreds of data quality issues, continuous submission and acceptance of the data files. The project implementation was successful, passing all CMS assessments and with oversight, the project continues to meet CMS Assessments.

2016 – Present MS Medicaid Enterprise System Modernization Project (MES) MES is a large scale healthcare system replacement replacing a legacy solution system to an updated Gainwell solution system. The project required extensive knowledge of State and Federal Medicaid rules for member management, provider management, and system processing. It also required knowledge of strategies and needs of the organization to implement a large project. I served as one of the PO/PMs in charge of planning project activities and managing processes required for a successful project implementation. This involved managing the transfer and updating of the previous system’s rules engine. Setting project strategies, project scheduling, and developing project plans. In addition the role required close contact with internal and external clients to accurately define scope of overall project and inform on smaller offshoot projects, manage the data conversion and data storage processing, oversee claims processing gap analysis, and T-MSIS implementation for MES. The project implementation took place over four years and had many roadblocks and setbacks. The project is currently implemented and requires continuous monitoring and internal and external feedback for improved use. PROFESSIONAL AFFILIATIONS

• Scaled Agile Framework (SAFe) – Member

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