SUMMARY:

• More than 25 years’ experience leading projects
• 20 of these years have been dedicated to the Healthcare industry
• Exceptionally experience in building teams and managing complex projects
• Considerable experience in SDLC projects especially from start to completion
• High track record of turning around projects that are in trouble and completing them to a successful close
• Significant capability to organize complex inter - dependent projects
• Experienced equally as a Business & IT Project Manager
• Capable of managing large projects (300+ staff members) and small projects (<10 staff members)
• Interim CIO
• Sr. Project Manager
• Strategic Project Management
• Software / Systems Development Life Cycle (SDLC)
• ICD-10 Transition Assessment
• Budget Management
• Change Management
• Vendor / Contract Management
• Risk Management
• Experienced Manager of Multi-National Project Teams
• Mentor, Encourage, Guidance, and Communication
• Deployment
• Reporting
• Presentations
• X12 EDI (SME and Instructor) - HIPAA transactions
• EDI Manager for the State of Illinois Medicaid Systems (MMIS)
• HIPAA X12N EDI Transaction Expert and Educator for Technical Staff
• Project Manager for ICD-9 & ICD-10 Impact/Analysis Assessment
• Project Development and Migration Test Planner
• Test Coordinator and Defect Manager
• System Integration and Software Life Cycle
• Managed cross-functional teams to accomplish objectives and meet deadlines

PROFESSIONAL EXPERIENCE:

Confidential, Reston, Virginia

Sr. Project Manager

Responsibilities:

• Interim CIO
• Project Manager
• Staffing
• EDI Coordination of Multiple Projects
• Claims Support
• Vendor Management

Confidential, Farmington, Connecticut

Sr. Project Manager

Responsibilities:

• PPACA Simplification Phase I, II, & III
• CAQH CORE
• 1 Member Eligibility & Benefits Transaction upgrade
• 7 Claim Status Transaction upgrade
• 835 ERA/EFT Transaction upgrade
• 820.306 Exchange Payment Transaction implementation
• Clearinghouse Consolidation
• Healthcare Exchange EDI coordination of X12 transactions
• Vendor Selection & Evaluation, Contract Negotiations, Contract ing, Contract Termination
• Coordination of multiple projects simultaneously
• Staffing

Confidential, Tallahassee, Florida

Sr. Project Manager

Responsibilities:

• Project Manager overseeing the development and testing of EDIFEC conversion for the State of North Dakota,
• Provided guidance and tasks for off-shore development teams
• EDIFECS coordinator

Assurant Health, Milwaukee, Wisconsin

Project Manager

Responsibilities:

• Project Manager overseeing the development and testing of ASC X12N conversion
• Provided guidance and tasks for over 100 staff members (20 on shore / 80 off-shore)
• Prepared project documentation for VP management
• System upgrades and deployment successful - (Largest Deployment ever for Assurant Health)
• X12 EDI Subject Matter Expert (SME)
• Maintained Testing Coordination and Defect Management among domestic and off-shore resource groups

Confidential, Miami, Florida

Project Manager

Responsibilities:

• Project Manager overseeing the development and testing of ASC X12N conversion
• Analyzed code for defects and recommended modification
• Prepared and designed business specification for IT staff
• System Documentation Creation and implementation
• X12 EDI Subject Matter Expert (SME)

Confidential, Chicago, Illinois

EDI SME

Responsibilities:

• ASC X12N version 4010 and 5010 transaction expert
• EDI transaction support for Clearinghouse clients
• Production support for the 834, 835, & 837 Transaction
• Analyzed code for defects and recommended modification
• Prepared and designed business specification for IT staff
• System Documentation Creation and implementation

Confidential, Lisle, Illinois

EDI SME

Responsibilities:

• Pilot and Test Case scenario development
• Production support for the 834, 835, & 837 Transaction
• HIPAA X12N Transaction 10 Migration Test Planner
• Analyzed code for defects and recommended modification

Confidential, Franklin Park, Illinois

Project Manager

Responsibilities:

• NDC Project Team
• Project Manager of the NDC conversion project team

Confidential

Special Assistant to the Director

Responsibilities:

• HIPAA Policy Officer
• Project Manager
• IDC-10 Impact / Gap Analysis assessment team manager
• Initiator and scope developer for HIPAA related projects
• Expert in the fields of HIPAA Privacy, Security, and Transaction Code Sets Rules
• Performed HIPAA risk assessment and determining level of organization’s compliance requirements

Confidential, Lake Forest, Illinois

Senior Business Analyst

Responsibilities:

• Identified legacy systems that were inherited from Abbott Laboratories for conversion
• Created High Level Design interfaces needed to/from all independent financial system
• Recommended systems to be decommissioned due to redundancy or life usefulness
• Automated manual tasks in order to streamline business needs

Confidential, Chicago, Illinois

Senior Programmer/Analyst

Responsibilities:

• Medicare Part-A Expert (CMS 1500)
• Medicare Part-B Expert (UB92 & UB04)
• Project Analyst for processing Medicare Part-A and Part-B claims
• Cobol Programmer and Analyst
• Migrated the proprietary claim format onto the mandated X12N 4010 format
• Created programs to process the Medicare transactions for automatic claim adjudication

Confidential, Chicago, Illinois

Senior Project Manager

Responsibilities:

• Payroll Systems Project Team
• Personnel Systems Project Team
• Claims Project Team
• Bus & Rail Transportation Project Team