LINDA POWAZINIK
** ***** ***., ********, **. ****2, 508-***-****
***********@***.***
PROFESSIONAL SUMMARY:
• Healthcare background in IT and the business.
• Management experience (IT, Operations, Office, Resource and Project)
• Able to adapt well to changing priorities and deadlines.
• Strong interpersonal skills, negotiator, customer advocate.
• Effective communicator with both the technical and business departments.
• Knowledge of Third Party Billing, Coding, CPT, HCPCS, ICD, DRG codes, and account, member, provider, benefits, claims and reimbursement.
EXPERIENCE:
Electronic Data Systems (EDS), Account:Blue Cross Blue Shield of Ma. (BCBSMA), Boston, Ma.
IT PMO Team Lead and IT Sr Project Manager 2007– present
Manage six Project Managers (PMs) to ensure Global Solutions Management System (GSMS) compliance, budgets, and contracts are adhered to. Responsible for interviewing project manager candidates. Responsible for ensuring the timely assignment of a multimillion dollar project portfolio.
Accountable for obtaining project resources, determining the project budget and meeting &/or determining the timeline. A System Development Life Cycle (SDLC) waterfall approach is utilized.
One project example was the assessment of the multimillion dollar ICD 10 and 5010 electronic data information (EDI) implementations.
IT Senior Project Manager 2006 – 2007
Manage the multimillion dollar National BCBS Consumer Driven Health (CDH) products projects that include Personal Spending Account (PSA) initiatives. Managed a variety of projects of all types and sizes such as web member self service, legacy system enrollment, web enrollment, legacy claims systems, data warehouse, etc. Manage a range of resources including but not limited to software engineers, architects, information analysts, business analysts, etc. from a few individuals to greater than thirty. Work with vendors and resources worldwide in a matrix cross functional environment. Trained potential project managers.
Clinical systems role acute documentation specialist health care system patient care teaching research system primary care specialty physicians primary care community hospital health-related entities information system support IS IT acute care inpatient implementation support application notes assessments oversight management workflow analysis redesign content design configuration collaborate executive senior coordination
TUFTS Health Plans, Watertown Ma.
Business/IT Project Manager 2003-2005
Successfully accomplished compliance with Software Engineering Institute’s Level 3 Capacity Maturity Model (CMM) Worked with cross functional teams of a minimum of twelve individuals belonging to IT and the business. Select projects included implementation of CPT modifiers with appropriate Evaluation and Management (E&M), radiology, lab, surgical and medical codes, and the development and/or modification of management reports. Used Applied Project Management Office (PMO) methodologies to meet the needs of the organization. Analyzed existing processes and developed streamlined courses of action. Investigated data warehouse (DW)/business intelligence (BI) needs and began the course for implementation
Consultant, eHealth Direct 2002-2004
Contributed to corporate priorities focusing on the design of a new claims engine consisting of, but not limited to the configuration of business rules. Contributed to analysis and decisions in various aspects of the quality assurance (QA) solution testing and data mining phases. Facilitated aspects of the conversion to eHealth Direct. Collaborated on data modeling and mining. Wrote use cases for developers and QA. Participated in JAD sessions.
Manager, IT Business Account Management 2001-2002
Managed a team of eight which consisted of business analysts (BAs), consultants and PMs who were the liaisons between the business and technical staffs Focused on Customer Relationship Management (CRM) and System Development Life Cycle (SDLC). Participated in vendor contract negotiations. Managed the IT release management (RM) schedule.
Team Lead, IT Business Account Management 2000-2001
Excellent ability to understand customer expectations and translate business requirements to IT functional specs. Managed implementation of project and production applications.
IT Systems Analyst 1995-1999
Collaborated with developers and QA to understand and document assumptions, risks, etc. Supported various departments (e.g., Claims/paper & electronic, Plan Benefits, Member Services, Provider Reimbursement, Internal Audit, Finance, Provider Information, Reporting & Analysis) Substituted for Manager of Application Delivery Estimated and ensured timely completion of applications for projects and production including EDI
EDUCATION
Framingham State College
PROFESSIONAL AFFILIATIONS
Women In Health Care Management
Project Management Institute (PMI)