SUMMARY:

• 15 years of IT experience as Project Management, Business Analysis, Process Modeling, Product Management, Operations, Testing, Deployment, User and Integration of complex Systems in various Domains / Industries.
• Experience in context of Client’s business, industry specific requirements, and end user role and be able to influence the product functionality and design through practical suggestions.
• Project Management experience in, Health Care, e - commerce and financial industries.
• Excellent Experience in analyzing Data and system requirement. Specifications, design, and implementation.
• Actively engaged in Gap Analysis, Feasibility analysis, Data Analysis, Risk Analysis, Business Process Improvement and System Integration.
• Worked with clients and technical team in documenting requirements for application development in Client-Server based systems.
• Solid understanding of software development life cycle (SDLC) and testing methodologies.
• Create Implementation plans to each release migrate the code to production.
• Led requirements management and analysis activities for the Managed Care / Care Management MITA MMIS Business and Functional Areas in preparation for the transition to ICD-10.
• Involved in the full HIPAA compliance lifecycle from gap analysis, mapping, and implementation and testing for processing of Medicare & Medicaid Claims.
• Allow Prime to develop and implement Claim workflow events that will provide automated
• Adjudication to specific Claims pend.
• Prepared proper Incident management plan to monitor and clear all the production incidents within the SLA Due dates as per the priority.
• Managed team to capture the Business Requirements: Computerized Physician Order Entry (CPOE), Clinical Data Repository (CDR), Electronic Health Record (EHR), Electronic Medical Record (EMR), Clinical Research and Pharmacy.
• Developed and Implemented Business Requirements and user expectations converting into detailed specifications employing Unified Modeling Language (UML), MS Visio.
• Worked with ACO’s to coordinate and integrate Medicare services, with success being gauged by roughly 30 quality measures organized in four domains. These domains include patient experience, care coordination and patient safety, preventive health and at-risk populations.
• Achieved full efficiency and accountability of Federal and state rules & regulations in managing the processes and delivering the highest standard of personalized care.
• Experience on Client server based applications and Web based applications.
• Establishment of PMO and creating Stakeholders project plan to fit the needs of the business.
• Extensive experience in creating UML and ER Diagrams to help visualize the design of the system.
• Expertise in requirement analysis, estimating, workflow design, software development, testing, review, implementation, production support, process improvement, systems integration, process planning & modeling.
• Experienced in Supply Chain Management Planning strategies (SCM or MFP), and Business Essentials.
• Strong experience in RUP Business Modeling process, complete UML artifacts related to Business Modeling and Requirements, created models to support Requirements Elicitation, Analysis, Specification, Traceability, Validation, Verification, and Requirements Management.
• Expertise in creating, editing, saving and invoking Microsoft Excel Macros.
• Experience in Quality Assurance Life Cycle (QALC) aspects such as Establishing Project Standards, Writing Test Strategies, Test Plans, Test Cases, Defect Reports and Developing Test Scripts, Traceability Matrices and Test Environments.
• Experience in assisting user acceptance / end-to-end testing and user for customers.
• Knowledgeable on ACO, Payers, Healthcare Providers, PCMH, Medicare, Medicaid, MITA, Medicare Supplement Plans, Medicare advantage plans,
• Develop and implement required policies for health information exchange (HIE), meeting any federal or state requirements.
• Maintain relationships with other state and regional HIE leaders and stay current with state and national trends related to the development of HIEs.
• Consumer protection built into ACA include Affordable Insurance Exchange will have Consumer Assistance, Plan Management, Eligibility, Enrollment, and Financial Management.

TECHNICAL SKILLS:

Methodologies: Agile, Waterfall, RUP, SDLC, QA Process Cycle, Product Life Cycle, GAP Analysis.

CASE Tools: Rational Requisite Pro, UML 2.0, Rational Rose 4.0, DOORS, QC 10.0, QTP.

Tracking Tools: QC, QTP, Test Director, Clear Quest, and Clear Case, RedMine, Service Now, Subversion

Workflow Tools: MS-Visio 2010, MS-Project 2003, MS-Excel, MS-Word, Share Point, and MS-Power Point. SQL queries, MCSE, Clarity.

Audit Tools: SOX, Six-Sigma

PROFESSIONAL EXPERIENCE:

Confidential, Chicago IL

Project Integration Manager

Responsibilities:

• Develop full-scaleprojectplans and associated communication documents with shared resource pool in MS-Project2013 mpps.
• Directly managing team of eight Integration Analysts, building the Health Insurance Exchange applications.
• Responsible for managing and gathering the project application integration points and make report to executive team.
• Maintain close working relationships and interfaces with global program delivery management teams.
• Resource Management and coordination with the team to get the integration points gathered.
• Facilitate business requirement meeting with team and business owners including external vendors for project.
• Provide technology and delivery leadership for large programs to develop datamart and integrate with enterprise datawarehouse.

Environment: Agile, Windows, Microsoft Office, MS Visio, Lotus Notes, Sametime, SharePoint, QC, Oracle, DB2, SQL, MS Project 2010

Confidential, Bloomington IL

Integration Management Consultant

Responsibilities:

• Experience in brining all the implementations to Production and successfully carrying out business transactions.
• Responsible for managing the Project integration and ensuring deliverables meets or exceeds schedule, cost, and stakeholder expectations. Serve as a liaison between internal clients, operational staff, and IPS Team.
• Duties include development of project plans, creation, and distribution of issues list, escalation management, facilitating cross-functional meetings and support functions.
• Work with Business Operations to ensure program synergy / forecasts, maintained on a monthly basis.
• Provide quarterly synergy comparisons of current outlooks to original plans. Advise Program Directors on the management of project scope, issues, schedules, requirements, resource assignments / allocations, deliverables, budgets, risks and communications.
• Sales Force CRM, PeopleSoft HRMS, SAP (SCM, CRM, MM, FICO), are the major implementations along with custom build applications including the databases and data warehouse.
• Using agile methodology Planned and guided the successful delivery of projects, analysis, conversion, validation, and migration from source systems.
• Created and executed strategic project procedures, and monitored progress to ensure project success.
• Collaborated with clients, Data, and Operations business segments to coordinate and complete all migration initiatives.
• Responsible for initiative status updates, initiative/program delivery schedules to larger stakeholder group, which includes LOB executives in a timely manner. The initiatives had projects with complex Oracle/Informatica/Teradata baseddatawarehousewith ETL and Microstrategy/SAS for multidimensional reporting.
• Articulated product vision and delivery across solution areas to propel sales.
• Delivered focused in-project and post-project support. Communicated complex issues to senior management and key stakeholders, and provided targeted presentations to Program Directors. Conducted meetings with third party vendors to acquire necessary resources.
• Maintained advanced knowledge of IT frameworks. Drove project profitability and recruited top IT professionals.

Environment: Agile, Windows, Microsoft Office, MS Lync, SharePoint, QC, Oracle, DB2, SQL, MS Project 2010

Confidential

IT Project Manager

Responsibilities:

• Create Implementation plans to each release migrate the code to production.
• Monitor the production issues and assign the correct resource to resolve it.
• Prepared proper Incident management plan to monitor and clear all the production incidents within the SLA Due dates as per the priority.
• Managed team to capture the Business Requirements: Computerized Physician Order Entry (CPOE), Clinical Data Repository (CDR), Electronic Health Record (EHR), Electronic Medical Record (EMR), Clinical Research, and Pharmacy.
• Reviewed and provided effective global Pharmacovigilance project support for development and / or dispensed products in collaboration with Pharmacovigilance physicians and multiple functional areas.
• Supported clinical team by managing, creating, developing and submitting daily case process work flow trackers globally including expedited ICSR cases to be submitted to FDA which helped the Pharmacovigilance department to easily transition the case process workflow globally in a step by step Outsource Process
• Developed and Implemented Business Requirements and user expectations converting into detailed specifications employing Unified Modeling Language (UML), MS Visio.
• Work with DHHS and Department of Mental Health Services to ensure all BPM requirements related to EMR, HER, CPOE, CRP have been captured.
• Led requirements management and analysis activities for the Managed Care / Care Management MITA MMIS Business and Functional Areas in preparation for the transition to ICD-10.
• Worked with ACO’s to coordinate and integrate Medicare services, with success being gauged by roughly 30 quality measures organized in four domains. These domains include patient experience, care coordination and patient safety, preventive health and at-risk populations.
• Worked and used extensively Service Now to manage incidents.
• Used “Service Now” Support application and create documents. Develop custom JavaScript, HTML, and CSS to enhance functionality of out-of-box configuration.
• Experience with COTS (Commercial off the Shelf) and related software.
• Involved in the full HIPAA compliance lifecycle from gap analysis, mapping, and implementation and testing for processing of Medicare & Medicaid Claims.
• Allow Prime to develop and implement Claim workflow events that will provide automated
• Adjudication to specific Claims pend.
• Utilized PEGA software to manage the existing processes from start to finish automated the common tasks and adjusted the processes to the change requirements.
• Achieved full efficiency and accountability of Federal and state rules & regulations in managing the processes and delivering the highest standard of personalized care.
• Keeping pharmacy costs low so that medicines are more affordable for our members
• Delivering a superior experience and make it easy for people to get the medicine they need.
• Leveraging our unique connections with health plans to deliver programs coordinated across benefits that lead to the best health outcomes.
• The MSA Application is developed to provide the PBM benefits to all Commercial, Medicare and Medicaid members of BCBS and Direct Employers who needs PBM services.
• Managed a high profile Application development project with multiple phases of Risk, Resource, Time, and Scope Management.
• This Member Service Agent Application is developed on .Net & Java using GWT Framework and integrating with many other associated systems.
• Designed and Developed Mock UI for review with the programmers.
• Agile and Scrum methodology applied towards the application development and integration.
• Assigned the resources to different modules to work and integrate to MSA Application, Order Management, Inventory Management
• Working knowledge of inventory, planning systems and order/purchasing systems
• Full SCM Process understanding from Raw materials to Consumer (End to End Process)
• Deep understanding of Business dynamics and Supply Chain Management concept
• Call Center Management
• Conducting meetings on IRADD, Risks, Scope, Time Schedule, of the project.
• Interact with the top leadership team and update the project phases and development timeline to ensure the project deadlines met.

Environment: Agile, Windows, Microsoft Office, Service Now, MS live Meeting, QC, Share Point, Oracle, Oracle Datawarehouse, DB2, SQL, MS Project 2010

Confidential, Dallas TX

Project Manager

Responsibilities:

• Worked with the largest Stocks / Options / Futures Clearing and Settlement House on Cash Management, & Margins account was developed specifically to support Wealth Management Groups to provide most valuable advisory services to clients on Asset Projections, Execute stock option models, Portfolio Rebalancing, Investment Holdings, Liquidity needs and future goals. The systems solutions advise the clients on wealth management strategies, provide clear and complete picture of the clients assets in position and those that are held by other providers, full brokerage capabilities, assess to IPO's and other 3rd party products, research data and tax and insurance information.
• Worked on Cash / Margins Accounts Application Development as Project Manager and implemented the complete support plan.
• Heading a team of 15 members including Business Analyst, Systems Analyst, Java Developers, Oracle and SQL Database developers, to get the application into production after a complete Regression testing in different environments.
• Fast-paced application development and migration environment utilized Agile and Scrum methodology.
• Worked on Production support in collaboration with various groups and teams, conducting live meetings to come to an agreement to implement the plans as appropriate. The support teams need lot of patience and cooperation to complete the implementation.
• 24 x 7 monitoring of the systems using different manpower techniques.
• Reporting to the higher leadership on all the implementations and support plans.
• Targeting the application failure issues and creating a proper incident management plan to ensure the Production servers uptime 100%.
• Worked on Production Support Environments creating the mirrors of Production environments, monitoring the Unix AIX Boxes, Java Application with Middleware Web Sphere 7.0, Oracle and SQL databases, Created a healthy plans to maintain the Control Room environment to the best.

Environment: Agile, Windows, Unix AIX, .Net, Java, Web Sphere, Microsoft Office, SharePoint, MS live Meeting, QC, Oracle, DB2, SQL, MS Project 2010

Confidential, Chicago IL

Project Manager

Responsibilities:

• As Business Systems Analyst worked on the Application development and testing the PBM (Pharmacy Benefits Management) Healthcare application.
• Involved in the full HIPAA compliance lifecycle from gap analysis, mapping, and implementation and testing for processing of Medicare & Medicaid Claims.
• Promote constructive agreements, negotiate effectively with internal and external teams and foster high performance environment.
• Communicate with executive level analysis and recommendations on project well-being.
• Maintain the project repository of information.
• Designed and Developed Mock UI for review with the programmers
• There was front end and backend testing involved in this project. I was involved in taking all the business requirements from the Technical Department and writing the details steps for further development and SIT, followed by UAT.
• The application developed on mainframes, CICS, JCL, and DB2 Database. Caremark uses all three major databases for its business needs and integration with other adjudication engines.
• Expertise with all the three databases was to query and find out the beneficiaries & medications are created and existing in the databases.
• Experience in to navigate through Oracle, SQL, and DB2 for my detail Functional Requirements design.
• For every manual test we make we take a screen shot and document it for automation team. MQ Series is used as Middle ware Connectivity, Web sphere application Server, Front End GUI in Java. SAP MM is used for Material Handling Process.
• Manage multiple high profiles and time bound projects of varied scope, size and technical complexity alongside major project across all phases throughout lifecycle.
• Initiate kick-off meetings, develop detailed project plans, manage resources, risk, changes, establish dependencies and assign individual responsibilities.
• Develop project timelines and schedules, establish milestones, and evaluate status, issues, risks and escalations to the proper sources to ensure timely project completion.
• Evaluate project status, issues, risks and escalations to the proper sources to ensure project completion under constraints.
• Establish communication process, provide clear, concise and timely communication, guidance and support on work plans and project processes to all levels of team and appropriate management
• Prepare estimates, review performance, monitor progress, measure variances, establish contingencies, provide status and progress reports to key team members and resolve issues in a timely manner.
• Manage and maintain meeting schedules, meeting minutes and action item lists. Ensure resolution to action items.
• Applied Agile Methodology to develop the application and make the deployment.
• Hired 6 Business Analyst, 10 QA’s, and supported an offshore Testing team of 20 QA’s in Manila, Philippines, NOIDA, and Bangalore India.
• Everyday Teleconferencing and updating on the scheduled testing processes and handling all the technical requirements, per the client needs.

Environment: Agile, Windows, Microsoft Office, .Net, MS live Meeting, QC, QTP, SharePoint, Oracle, DB2, SQL, MS Project 2007

Confidential

Project Manager

Responsibilities:

• Responsible for identifying scope, business and data requirements and artifacts of the project.
• Interacted with cross-functional teams to facilitate gathering of business requirements.
• Responsible for organizing meetings between various functional departments and our team in order to understand what data they are using, what dimensions are they grouping by, how often the reports generated etc.
• Analyzed Business Requirements and segregated them into high and low level Use Cases, Activity Diagrams/State Chart Diagrams and Robustness Diagram using MS Visio.
• Assisted the business resource manager and the project manager throughout the inception and elaboration phases.
• Participated in project scope definition, scheduling and cost analysis, including budgeting of the project.
• Provided client with accurate schedules and detailed plans regards to the deadlines of the project.
• Used oracle and SQL databases for queries to ensure all the functional design of the application is accurate and in automating, the testing process there is no hassle.
• Determined the authenticity and viability of Artesia and Vignette for the platform and Content Management system where Interwoven Team site replaced by discussing with the developers after conducting thorough sessions.
• Conducted user interviews, JAD session.
• Conducted the FRS, URS and LDM reviews and walk through with designers, developers and stakeholders. Also conducted feasibility and adaptability study.
• Responsible for understanding the functionality of the present reporting server and then assisted in the modification and design of reports to answers End Users unusual questions.
• Served as a liaison between Clients and Technical Staff to resolve any conflicts.
• Developed Process flow diagrams to document the existing system.
• Organized, categorized and prioritized requirements to maintain focus on project scope. Used customizable attributes such as priority, status and difficulty for each requirement in order to organize and prioritize.

Environment: Agile, Scrum, MS Visio, MS Project, Rational Requisite Pro, UML, MS Excel, Oracle & SQL queries, Storyboards, Wire frames.

Confidential, Jersey City, NJ

Project Manager

Responsibilities:

• Responsible for defining the scope and business rules of the project, gathering business requirements, and documenting them textually or using models.
• Conducted user interviews, JAD sessions for deriving and writing Functional Requirement Specifications (FRS) and User Requirement Specification (URS) documents.
• Reviewed and analyzed the Business Requirements, performed gap analysis.
• Wrote high level and low-level Use Cases, Activity Diagrams/State Chart Diagrams and Robustness Diagram using MS Visio.
• Higher understanding and to resolve conflicts between Clients and production Staff.
• Actively conducted the FRS and URS reviews and breakthroughs with designers, developers and stakeholders. Also conducted feasibility and adaptability study.
• Categorized, prioritized and scrubbed requirements to manage project scope. Used attributes such as priority, status and difficulty for each requirement to bring order in organization and prioritization of the project.
• Involved in preparing flow diagrams for the decision logic using Visio tool.
• Involved in preparing Test Plans, Test Cases and Test Procedures.
• Generated management reports on weekly and monthly basis.
• Conducted GAP analysis on the conversion process.
• Tested back end of the application to validate the system data integrity for insert, update, delete and retrieve transactions by writing Oracle & SQL queries including joins, group by, having clause etc.
• Conducted Functionality, Integration and System testing.
• Actively involved in UAT and application sessions of the end users.
• Involved with regular walk through and meeting to discuss bottlenecks in the system and possible solutions with the development team.

Environment: MS Office, MS Visio, MS SQL, Oracle, HP QC

Confidential

Project Manager

Responsibilities:

• Wrote functional requirements for the Location Based Services system, which was implemented for Vodafone U.K.
• The specification consisted of both WAP and HTTP protocols for the GSM network in the U.K.
• Followed the RUP and UML standards and by generating use cases, domain modeling, process flows and sequence diagrams
• Coordinated requirements gathering with the engineering team and business analysts for the Location Based Services project, granular requirements elicitation, analysis, definition, verification, and signoff.
• Requirements were then incorporated into a system specification.
• Wrote the functional specification for the Event Logging Service for Vodafone Global Platform that will be deployed in Sweden at the end of June 2002.This sub-system was for the core commercial product, the wireless portal and platform, distributed to the Vodafone operating companies or outside wireless carriers.
• Used Rational Rose to model use cases, domain models, and sequence diagrams and Requisite Pro to work from the baseline and trace requirements in testing.
• Microsoft Visio was also used for some process diagrams.
• Consulted Vodafone management team on various business strategies and tactics for software implementation.
• Interacted with engineers and architects and contributed technically during JAD sessions.

Environment: RUP, Rational Req Pro, MS Visio, MS Office

Confidential, NY

Project Manager

Responsibilities:

• Analyzed Business Requirements Document and System Requirement Specification to develop new QA procedures as per RUP (Rational Unified Process) methodology and documented the requirements in the Rational Requisite Pro.
• Implemented Configuration management strategies and reported enhancements to ensure quality performance of the Rational Enterprise Suite.
• Performed Requirements Traceability and managed changes to requirements for this application using Rational Requisite Pro.
• Provided support for the implementation and maintenance of the Version Control tool, Rational Clear Case; and Change management tool, Rational Clear Quest.
• Held regular meetings with the system architects, developers, database developers, quality testers during the entire project to assure that the critical as well as the minute details of the project were discussed and issues were resolved beforehand.
• Create Test Plans, Test Cases and Test Sets accordingly associated with each requirement using Rational Test Manager and associated Test Inputs and Iterations.
• Defined, communicated, institutionalized and continuously updated the Software Configuration Management (SCM) plans.
• Assist system administrators in the setup, configuration and maintenance of Requisite, Rose, Clear Quest and Test Suites.
• Responsible for Scheduling and Distributing the Testing effort among different Test team members.
• Evaluate and approve the software changes for enhancements by generating Modification Requests.

Environment: MS Office Suite, MS Visio, Test Tracker 7.5.2, Oracle 7.0, UNIX. Requisite Pro, RUP, UML

Confidential

Business Analyst

Responsibilities:

• Conducted interviews with business users to collect the business requirements, standards, and security and service level requirements and studied the business process.
• Involved in Project Management activities like Project Scoping, Planning, Estimating Scheduling, Organizing, Directing, Controlling and Drafting remedy procedures in addition to ensure on-time deployment
• Authored progress and completion reports, which were then submitted to project management on a weekly basis
• Worked closely with management to keep track of the status of project and draft strategies for the near future.
• Used MS Project Plan to manage schedules, deadlines, and resources for the project
• Prepared test data for positive and negative test scenarios as per application specifications.

Environment: Windows 98, MS Office Suite.