SUMMARY:

• 17+ years delivering IT solutions for Healthcare insurance industry.
• 15+ years of Program/Project Management of Technology Implementations and Enhancements
• 12+ years of Healthcare & Insurance Business Analysis and Solution Architecture
• 10+ years of managing programs in the Pharmacy Benefits Mgmt. space
• 5+ years of Government programs including Medicaid MMIS & Medicare
• Manage upwards
• Program Roadmaps, portfolio structuring
• Managing cost - benefit
• Negotiation and conflict resolution
• Budget Procurement and maintenance
• Estimation & Budget Planning
• Creating WBS and Scheduling
• Governance setup (IRAAD & change control)
• Delivery tracking & Issue/Risk resolution
• Manage scope vs stakeholder expectations
• Spend control, resource optimization
• Federal and State Government Contracts
• Business Integrations
• Regulatory and Compliance Implementations
• Change Mgmt. & Process Improvement
• Enterprise Standardizations
• Business Intelligence and Reporting

TECHNICAL SKILLS:

PM Tools: Clarity, Planview, MS Project/Office, Rally

Technologies: Mulesoft, Informatica, SSIS, Talend, MS SQL, Salesforce MS.NET, Java/J2EE, ASP, JavaScript SQL Server, Oracle, DB2, MongoDB

PROFESSIONAL EXPERIENCE:

Confidential

Engagement Manager

Responsibilities:

• Managed Multiple programs integrating systems and operations
• Delivery of products and solutions through design, development & implementation (DDI)
• Communication/information distribution including goals and functional requirements
• Integration of acquired business and associated trading partners with enterprise IT systems
• Implementation of Organizational change & process improvements
• Managed program staff including business & system analysts, architects, engineers & testers
• Created
• Program Implementation approach & Costing Strategy Models
• Program roadmaps, portfolio structures and program budgets
• Governance structures including IRAAD, change control and steering committees
• IT Resource Plans (Staffing, Infrastructure & Licensing)
• Detailed WBS & schedules including dependencies to external projects/programs
• Risk registers, IRAADs templates, status report templates
• Maintain RTM from program goals/MBOs to functional requirements though deliverables
• Co-ordinated
• Cross functional teams, stakeholders and Subject matter experts
• UAT and end to end testing with Quality Assurance and Customer/trading partner teams
• Security, Vulnerability testing with Infrastructure Risk Management teams
• Vendor and trading partner relationship for project issue resolutions
• Distribution of information including project status, changes and strategic solutions
• Controlled
• Scope creep using RTM and governance committees
• Schedule deviation using periodic status reviews and proactive escalation
• Budget utilization by monitoring actuals and continuously optimizing resource utilization plans
• Conflict/priority/expectations among multiple operational, technology & client sponsors
• RFP analysis, program costing and proposal development with sales, finance and architects
• Engaged
• Clients to understand/validate requirements & expectations
• Business associates of client to collaborate on solution and timelines
• Vendors to manage priorities, changes and control cost/schedules
• Internal stakeholders including operations, technology and sales leaders
• Executive leadership for budget requests and strategic direction
• Used: PPM Optics (Clarity), MS Project, CA Agile (Rally), PlanView, Visio, MS Office, SharePoint

Senior Program Analyst

Confidential

Responsibilities:

• Managed
• Implementation of d Confidential integrity enhancements to the Enterprise D Confidential warehouse
• Managed the delivery of technology analysis, design and development effort
• Created
• Detailed WBS including dependencies to upstream and downstream systems
• Solutions for business problems including cost benefit analysis
• Business requirements, test plans and requirements traceability matrix
• Status reports for IT project tasks
• Controlled
• Scope creep using RTM and change control process
• Risks for IT implementation and implemented mitigation plans
• Schedule deviation using periodic status reviews and proactive escalation
• Engaged
• Project sponsors for IT project cost requests and strategic direction
• Business and IT stakeholders to collaborate & prioritize solutions
• Used:
• MS Project, Visio, MS Office, SharePoint, Informatica, SQL, Confidential DB2

Senior Systems Analyst

Confidential

Responsibilities:

• Anthem/WellPoint (NextRx Pharmacy, State Sponsored Business)
• Confidential of Montana

Delivery Manager, Business Systems Analyst, Technical Lead

Responsibilities:

• Managed
• Implementation of multiple new clients into the pharmacy benefit enrollment and reporting systems
• Implementation of ANSI X12 Web based Healthcare clearinghouse system
• Development of eBusiness, D Confidential Migration Services and Reporting Solutions for PBM
• Managed the delivery of technology analysis, design and development effort
• Created
• Detailed WBS including dependencies to upstream and downstream systems
• Status reports for IT project tasks
• Project Closure and Collection of Lessons Learnt documentation
• Technology Solution design and technical design documentation
• Controlled
• Scope creep using RTM and change control process
• Risks for IT implementation and implemented mitigation plans
• Schedule deviation using periodic status reviews and proactive escalation
• Engaged
• Functional area leads to capture & elaborate the Business Requirements
• Business and IT project stakeholders to prioritize issues and identify solution
• Used: MS Project, Visio, MS Office, Informatica, MS.NET, SQL, MS SQL Server, Terad Confidential, J2EE, DB2, Sybase, SQL, Crystal Reports