SUMMARY

• 10+ years of experience as a Program / Project Manager / Change Manager / Business Consultant incorporating Strategic planning and roadmaps, leadership and mentoring, Business case development, Business Intelligence / Data Warehouse design, Business, Change Control and Quality Assurance, Data and Systems Analysis and applying a multitude of Cycle Development methodologies.
• Extensive experience in all aspects of business management and management consulting, collaboration, knowledge management, executive decision support, business intelligence, data warehousing, data definition and mapping.
• Execution expert in interim management and management of turnaround/crisis situations (organizational upheaval, acquisition assimilation and recovery from poorly managed projects) at teh financial, organizational and project level
• Extensive knowledge in Rational Unified Process (RUP), Rapid Application Development (RAD), Water Fall model and Agile Methodologies; Unified Modeling Language (UML), Software Development Life Cycle (SDLC), Object Oriented Analysis and Design Concepts (OOAD), Test Lifecycle, Multi - tier Web Applications, Data Modeling (ORDBMS) and Prototyping.
• Client-facing expert at all organizational levels; able to succeed within any organization.
• Proven success management capabilities and with direct responsibility for multiple projects.
• Expert in engagement management, multi-vendor coordination/management and large scale team management.
• Extensive experience in change management consulting. Methodologies, and principals.
• Expert in business analysis, architecture and requirements specifications, innovator and designer of user interface systems, infrastructure development and business process re-engineering.
• Versed in current business methodologies including Balanced Scorecard, KPI definition and ISO implementation
• Operational understanding ofLEANandSix Sigmamodels.
• Hands on experience with Statistical and Analytical tools like SAS.
• Implementation of Metadata Repository, Maintaining Data Quality, Data Cleanup procedures, Transformations, Data Standards, Data Governance program, Scripts, Stored Procedures, triggers and execution of test plans.
• Providing Traceability across teh project by analysis and review of project elements involved, including requirements, testing artifacts, end-user support documentation and training materials.

TECHNICAL SKILLS

Operating System: Windows 95/98/XP/NT/2000, MS DOSMethodologies RationalUnified Process, AGILE Methodologies, Waterfall, CMMI

Business & Modeling Tools: MS Visio, MS Project, Primavera, Rational Rose, UML, Metastorm Provision, ARIS, System Architect, Lombardi, Rational Requisite Pro, Rational Clear Case, Rational Clear Quest, MS Share Point

Databases/Query Tools/Web: SQL, MS Access, Oracle 9i, HTML, Dream Weaver, MS Front Page, XML

Defect Tracking tools: Test Director, Rational clear quest

Testing Tools: Rational Test Robot, Mercury Tools Win Runner, Load Runner

Languages: SQL, C, C++,HTML, DHTML, COBOL, JAVA Script, VB Script

Databases: SQL Server, Oracle 8x/9i, MS Access

Graphics/ Utilities: MS FrontPage, ASAP, Access, Outlook, Office XP

PROFESSIONAL EXPERIENCE

Confidential, Madison, WI

BIDW Project Manager

Responsibilities:

• Created and executed project work plans and revised plans as appropriate to meet teh ever changing business needs and requirements. Used formal SDLC project methodology.
• Project managed and coordinated teh activities for both teh business and technology communities during each phase
• Supervised and participated in logical and physical data structures creation, determined and defined business rules for data scrubbing, transformation and data refresh frequencies.
• Provided data integration best practices and technologies understanding and resolving data integration issues.
• Focused on teh deliverables, milestones, and tasks for multiple projects managing teh TEMPeffective execution of tasks/processes on teh project.
• Developed and conducted training for users

Environment: MS project server, Oracle DB, Clarity, Rational Test Manager, SQL Server

Confidential

Enterprise Project Manager

Responsibilities:

• Work closely with Business PM, Information Architecture, System Domains, Care Management, Sales, Marketing, UW and Actuarial teams to ensure teh project meets its goals and deadlines.
• Identify and manage change in Project plans, Charter, Scope, Strategy, and Execution approach.
• Worked with teh Discovery team to revalidate discovery requirements and financials.
• Work TEMPeffectively with stakeholders to develop standard, and region specific ad hoc product solutions.
• Drafted and submitted proposals for change management plans.
• Assessed current and potential change management issues.
• Take ownership of Information process and its overlaps, to oversee teh smooth management of systematic and process changes so as to expedite teh flow of work through different domains.
• Managed project plans, financials, timelines and resource allocations.
• Collaborated with other projects within teh portfolio to communicate and manage inter-project dependencies.

Environment: MS project server, ARGUS, Case Tracker Enterprise, Microsoft Visio, Rational Test Manager, Liquents Insight, SQL Server

Confidential, Madison, WI

Program Project Manager

Responsibilities:

• Responsible for compliance with teh HCR laws and regulations so dat teh project is planned and scheduled accordingly.
• Successfully led a project team of Business analysts, Architects, Developers, Business intelligence specialists, Quality assurance analysts, and Data modelers dat implemented an Operational data store as per CMS requirements and a web based User Interface.
• Define and initiate projects, manage cost, schedule, and performance of component projects, while working to ensure teh ultimate success and acceptance of teh program.
• Provided delivery management to ensure customer satisfaction and CMS compliance.
• Developed project plans and assumed responsibility for project profit and loss.
• Conducted stakeholder and impact assessments, and devise appropriate plans using Prosci.
• Worked with project design consultants to understand and plan for change.
• Gather data necessary to accomplish analysis from a number of sources, accumulate it together in prearranged format and enter teh data in several data analysis software
• Overseeing project & resource planning and teh implementation of Agile based execution
• Created project resource timelines and estimates for budgeting and forecasting
• Managed client relations to ensure dat project team delivery expectations were specified, managed appropriately and met, by developing successful partnerships and ongoing communication with clients
• Understood business area challenges, objectives and operational aspects of teh business through teh use of applicable facilitation and analytical approaches, teh assessment of alternative solutions and teh balancing of risk teh business area was willing to accept Presented project roadmap timelines, budgets, risks, status, and schedule updates to senior executives.
• Facilitated requirements gathering sessions by using Joint Application Development (JAD) sessions, white boarding, face to face interviews, and conference calls
• Led, mentored, supported and coached team members and peers by providing expertise and guidance appropriate to their knowledge and skill level.

Environment: MS Project 2000, Clarity, Visio, Rational System Architect, Rational Clear Case Change management Solution, Metavance, Provision, EPIC, MHS, Windows NT Server, SQL, Java script, Siebel, Mercury.

Confidential, Madison, WI

BI Project Manager

Responsibilities:

• Responsible and accountable for teh coordinated management of multiple related sub projects directed toward strategic and operational Business intelligence objectives.
• Build credibility, establish rapport, and maintain communication with stakeholders at multiple levels, including those external to teh organization.
• Did a Cost benefit analysis and ROI for various internal and external solution options to TEMPeffect a build vs. buy decision.
• Implemented HEDIS as phase 1 BI within a budget < $200,000 after a diligent RFP process with NCQA certified vendors, saving teh company teh extra $800,000 datwas assigned to teh project.
• Maintain continuous alignment of program scope with strategic business objectives, and make recommendations to modify teh program to enhance TEMPeffectiveness toward teh business result or strategic intent.
• Broke teh BI master plan into buckets of agile iterative phased sub projects based on needs, ease and immanency. Teh project spanned processes and systems including Health Rules, Care analyzer, Click for Care etc.
• Prepared teh project charter and project plan, providing regular status updates to project sponsors
• Adhered to project plans and time frames for all change management milestones.
• Measure TEMPeffectiveness of change management activities including communication.
• Identified training needs and developed or sourced appropriate training solutions.
• Prepared and delivered key presentations to many levels of teh organization, including CEO's leadership team
• Led and worked with members of teh BI team, Actuarial, Underwriting and Finance area to define teh project approach and scope
• Collaborated with other projects within teh BI portfolio to communicate and manage inter-project dependencies
• Assisted teh association in performing data compiling, mining and psychoanalysis required to assess teh given data.
• Defined management and customer requirements and produced project plans. Assessed alternatives for extract / transform / load (ETL) software tools dat were intended to integrate, control, and report upon data coming in from disparate sources with varied quality and physical form.
• Cultivated and nurtured TEMPeffective working relationships with executives and upper management, persuading adoption of business re organization best practices.
• Data entry, data auditing, creating data reports & monitoring all data for accuracy.
• Stepped in, turned around, and re structured teh 5 million dollar budget for BI to less TEMPthan half, successfully restoring client confidence for a two year, at-risk project by building and deepening customer relationships for teh express purpose of surpassing client expectationsand advancing project status.
• Successfully implemented teh CMS111 Submission process by mapping health Rules data to CMS accepted format.
• Pioneered innovative team building and cross-functional project management techniques to expedite workflow, simplifyprocesses, and reduce operating costs.

Environment: ReqPro, BO, Ingenix, HealthEdge, WHIO, Clear Case, DB2.

Confidential, Madison, WI

Project Manager

Responsibilities:

• Managed project teams (team sizes of 25 to 80 personnel) spread across teh organization to deliver teh MFN replacement project.
• Studies client behaviors and clicking patterns to strategize pragmatic solutions.
• Collaborated with management teams to deliver assigned programs - Developed group and individual timelines, assessed/identified potential bottlenecks in each project/program process.
• Directed teh recruitment process of key employees and teh selection of consultants and outsource-vendors
• Negotiated with teh business to get a consensus on solution based on current market obligations, prospect interest and member / advisor feedback.
• Facilitated (JAD) Joint Application Development sessions to identify business rules and requirements and then documented them in a format dat can be reviewed and understood by both business people and technical people.
• Followed Agile methodology for creating artifacts.
• Defined a cohesive strategy for creation, management and distribution of content so dat a library of CBSI and vendor produced content may be utilized by multiple Confidential websites
• Re-evaluated priorities with a view to optimizing thereturn on investment (ROI) and ensuring alignment with customer needs and company goals.
• Provided primary liaison between business/operations/vendors and development
• Studied and analyzed competitor's applications and brainstormed to gather TEMPeffective requirements for a quality product.
• Identified KPI's, success metrics and other indicators and factored standard practices for collection and reporting of analytical data.
• Created RFP for teh Front, middle and back pages; and rated vendor products, demos and responses.
• Sought partners for teh project dat satisfied business needs and obligations.
• Worked through interviewing and selecting third parties to who teh content would be syndicated.
• Continuously negotiated with teh vendors to meet business, technical and financial latitudes.
• Tested teh final application for Usability testing to verify whether all teh User Requirements were catered to by teh application. .

Confidential

Responsibilities:

• To understand teh current state of teh processes and systems impacted by teh audit.
• Compared teh current state against teh ROC guidelines to identify gaps.
• Worked with teh different business and IT groups to identify roadblocks early and escalating issues requiring sponsors/product owners support early resulting in complete compliance as per teh audit requirements.
• Maintained qualitative and quantitative metricsand benchmarks to measure progress.
• Arranged timelines and schedules for teh elaborate onsite audit.

Environment: ReqPro, Test Manager, Pershing, Clear Case, SQL Database.

Confidential, Rochester, NY

Business Consultant / Process Manager

Responsibilities:

• Defined and modeled teh current state of business
• Identified teh scope and vision of teh FMHP project
• Performed Impact analysis for teh potential impacts of FMHP on various business verticals, systems and clients.
• Defined teh resources required for completion of a project and allocated resources accordingly.
• Managed teams working on different programs and smoothed out any areas of possible conflict.
• Evaluated teh timely performance of different teams working on a project and documented teh progress accordingly.
• Worked closely with teh state of NY to understand teh rules and impacts of FMHP
• Managed compliance to teh state and federal protocols and identified change management strategies to negotiate with clients for teh same.
• Designed and elucidated reports for case and utilization management.
• Explored and identified amultitude of activities and areas where business transformation needs to be done. For Example; Claims Processing, Utilization Management, Sales and Marketing, membership and Billing etc.
• Identified system design and data input changes required as a partof teh business transformation effort.
• Developed transition strategies and plans for change programs based on staff impacts.
• Developed and plan communication for teh change program.
• Researched, designed, wrote and published communication material for change programs using a variety of mediums, including written, verbal, and online.
• Worked with teh third partyvendors toadd additional fields to their CRM and Claim Adjudication systems.
• Re defined and incorporated business rules for teh in corporation and adjudication of Mental Health benefits as per teh Federal Law.

Environment: ARIS, Rational Clear Case, Metastorm Provision, Documentum, Rational Clear Quest, Rational Req Pro, me Facets, Siebel, Ingenix Stepwise, Visio

Confidential, Madison, WI

Lead Business Consultant

Responsibilities:

• Worked closely with teh state of WI, to understand teh health care challenges, goals and policies.
• Designed teh scope and visionof this endeavor.
• Researched data dat could be aptly used to make quality of care, utilization and cost TEMPeffectiveness dashboards.
• Developing Performance Improvement Modules, performance evaluation within for a group or practice etc.
• Conducted and facilitated a lot of sessions including, Clinical Advisory Group and other multi stakeholder gatherings toassimilate and debate requirements from various parties involved.
• Coordinated all process change requests to update teh product launch system bi-annually for continuous improvement.
• Worked with teh various stakeholders, vendors to finally do business with teh Ingenix Impact pro team to test teh accuracy, reliability, validity, representativeness and consistency of thisdata.
• Interacted with health care organizations and providers across teh state to understand their perspective and in corporate dat in teh product.
• Automation of reporting capabilities of teh tool.
• Ensured Collation, consolidation and loading of external data into Impact Intelligence.
• Defined Processes graphically using Provision and Visio.
• Performed TEI (Total Economic Impact), ROI (Return on Investment) and TCO (Total Cost of Ownership) analysis to understand teh financial aspects of this endeavor.
• Studied Quality Data like HEDIS and PQRI to implement Process Improvement initiatives and tying them to Continuing Medical Education Credits.
• Worked with stakeholders to prioritize "wants" with Agile iteration outcomes, based exclusively onbusiness value
• Analyze ongoing care data (including HEDIS data) to develop an ongoing work plan and activities to improve teh rates related to clinical areas.
• Develop and Implement Quality improvement centric multidisciplinary care delivery model based on claims data and chart them for cost TEMPeffectiveness.
• Benchmarked against other competitive products in teh marketplace and studied other states where such quality of care evaluation has been state mandated.
• Identified potential clients for teh product and made focused presentations for each.
• Created Business Architecture, Process diagrams, Activity flows and User interfaces using ARIS.
• Got implementation orders from various health systems including ASPIRUS and DEAN clinic.

Environment: RUP, SQL Server 2000, Metastorm Provision, Rational suite, ARIS, HEDIS, Impact Pro, EPIC, WHIO

Confidential

Responsibilities:

• Business development manager through teh process of vendor transition, organizing resources( both business and technical), gathering requirements, collating data, design marketing plans and identify target markets
• Designed teh look-n-feel requirements of teh application through Meta modeling using Rational System Architect, for better illustration of teh application to research team and IT portfolio managers.
• Performed risk analysis of teh requirements to identify teh key business risks areas for teh project and prioritized teh application development and testing
• Analyzed input systems/requirements, functional design, detail design documents and created test plans, test cases and executed test cases/scripts.
• Implemented business modeling, data modeling using Metastorm Provision to develop teh business architecture for teh application andcreated use cases, use case diagrams, activity diagrams, state transition diagrams, sequence diagrams, data flow diagrams and collaboration diagrams in order to understand system flow and data flow, perform data mapping, analyzed ER diagrams and performedcritical path analysis.
• Made presentations to various physician conglomerates as a part of marketing strategy to invoke buying interest.
• Did client study and competitor study to hone presentations and convert interest into sell.

Environment: RUP, Visio, Rational Requisite, Rational System Architect, Impact Pro, Metastorm Provision, EPIC, WHIO, UML 2.0, MS Project 2000, MS Excel, Windows NT Server, Visual Basic, ASP, SQL Server 2000, Java script, Visual Source Café, Mercury, Win Runner, Rational Suite, Test Director.

Confidential, Madison WI

Business Transformation / Change Management Consultant

Responsibilities:

• Defined teh project charter, estimated time and effort, and allocated resources for both teh projects.
• Identified various vendors and invited RFP responses and demonstrations of their products.
• Conducted process management through teh vendor selection phase considering various functionalities, timelines and budget.
• Worked intensely with Business stakeholders to formulate and tweak Underwriting rules dat had to be incorporated in Stepwise. setting up of teh SRRT (Sales Rapid Response Team) project involved working teh logistics and principals in setting up of a dedicated sales war room where high volume cases could be dealt with swiftly and efficiently
• Followed teh SCRUM methodology and worked in close coherence with teh Product Owner and Technical Team.
• Prepared teh Business Requirement and Functional Requirement documentation
• Created SIPOCS, Analysis Reports and flowcharts for teh rating and quoting processes.
• Identified teh painpoints and proposed solutions for teh same.
• Applied Business Process re engineering principals and created teh desired state models for teh Underwriting, rating and quoting processes using Rational System Architect.
• Led Strategic Change effort for IngenixStepwise product development process redesign
• Analyzed Quantifiable Data and Metrics and Designed Dashboards for both teh Projects.
• Strong Adherence to RUP methodology for Stepwise.
• Assimilated teh Data Elements dat are involved in teh Underwriting process, pointed out teh time consuming and redundant steps; and implemented teh LEAN approach to minimize teh data requirements.
• Worked with Actuarial to streamline teh process of developing Non Standard Plans.
• Designed and Implemented teh Data Collection process for Underwriting.
• Followed teh AGILE Change management process to develop and execute teh change control procedures
• Prepared Project Completion Report and Archived reusable artifacts.

Environment: MS Project 2000, RUP, Visio, Rational Requisite, Rational System Architect, Rational Clear Case Change management Solution, MS Excel, MS Word, Metavance, Provision, EPIC, MHS, Stepwise, Windows NT Server, SQL Server 2000, Java script, Siebel, Mercury, Rational Suite.

Confidential, Milwaukee WI

Business Transformation Manager

Responsibilities:

• Worked closely with Business teams/project stake holders/SME's/ vendors to map teh expectations to teh delivery capabilities.
• Understanding teh Business rules and TEMPeffectively implementing them into teh Business Process Flow.
• Implemented vendor management processes dat reduced personnel acquisition from 2 weeks to 5 days, and yielded a big improvement on product quality.
• Planned, Executed, Monitored, and Closed teh project with a ROI of 25%.
• Developed design specifications, managed scope, assisted in vendor contract negotiations, led system testing, and designed/delivered training materials
• Selected and brought in teh PEGA team to assist in automation efforts
• Interaction with teh Business Users/Technology teams to facilitate Business and Quality assurance reviews.
• Prepared High Level Logical Data Models and BRD (background review document) supporting documents containing teh essential business elements, detailed definitions, and descriptions of teh relationships between teh actors to analyze and document business data requirements.
• Performed feasibility, adaptability study and risk analysis to identify teh business critical or high risk areas of teh Business Process.

Environment: J2EE, RUP, Visio, Lombardi, Rational Test manager, ACES, PEGA, People Click, TSO, UML 2.0, MS Project 2000, MS Excel, Manual Tester, Functional Tester, HP Service center, Rational Rose, SQL Server, DB II, HTML, Oracle 10g.

Confidential, Springfield IL

Business Consultant

Responsibilities:

• Health Care Subject Matter Expert providing business and application inputs for teh INEDSS project.
• Pitched teh blue print of teh product to teh State of IL, conducted demonstrations and other sessions to get teh State project.
• Successfully led teh team in implementation of teh INEDSS modules dat were in time and within budget.
• Provided analysis, understanding and business perspectives on many operational issues.
• Continuously maintained relationship with various stakeholders and formulated a communication plan.
• Elucidated Network, Information Flow, Access, Process, Reference, Workflow, Data models using ARIS.
• Developed Blueprint and tested teh prototype. Deployed full life cycle process complete with associated documentation and training.
• Created Pivot diagrams to forecast and analyze teh reportable communicable diseases business process.
• Investigated faults within teh application and interacted with teh development team to resolve technical issues.
• Involved in Incident Reporting and Change Control procedures using Clear Quest and reports to track process of repairs and determine teh current quality of teh application.
• Created various Scenarios to be run, used Rendezvous Points to create intense VUser load on teh server, configured teh scenarios before executing them in teh Load Runner.
• Reviewed Master Validation Plan and validation plan using Test Director

Environment: J2EE, RUP, Visio, Rational Requisite, ARIS, UML 2.0, MS Project 2000, MS Excel, INEDSS, me-Detect, Manual Tester, Mercury, BO XI, Crystal XI, Agile, Functional Tester, .NET, Rational Rose, SQL Server, DB II, HTML

Confidential, Jacksonville, FL

Lead Business Developer

Responsibilities:

• Studied existing business application and processes, collection and documentation of end user requirements and suggested teh improvised business process model.
• Align overall project design and implementation with mission critical initiatives and business objectives as detailed by clients’ senior level executives.
• Fashioned teh change management protocols for different BCBS clients and a roll off plan for teh functionality / products.
• Supervised systems team deploying teh projects,, from necessities explanation through testing, integration, deployments and guidance.
• Observed rate, time, and schedules and running on several projects.
• Manage day to day activities of project and operations managers to ensure all project deliverables and timelines are met.
• Established smooth data collection and auditing initiatives.
• Gap Analysis of Client requirements, generated workflow process, flow charts and relevant artifacts.
• Defined and documented teh vision and scope of teh project.
• Developed standardized project documentation and trained direct reports to ensure consistent utilization of project plans, action items lists, business requirements, test cases, etc.
• Carried out a thorough target organization assessment and risk analysis

Environment: J2EE, Java, UNIX, SQL, Siebel 7.7, QNXT, NASCO, QCSI, HEDIS Advantage, Diamond, Windows XP, MS Project, RUP, Rational ROSE, Req Pro, Rational Clear Case, UML, MS Visio.

Confidential, Lexington, MA

Business Consultant

Responsibilities:

• Worked closely with their Business teams/project stake holders/SME to map teh expectations to teh delivery capabilities.
• Envisioned, designed built and implemented a web-based Complaint and Case Management application called Quality Director System (QDS) to log complaints and to store them in a centralized database.
• Interacted with Business partners and othertechnical teams to facilitate joint application development sessions and
• Teh product surveillance efforts were in conjunction with Registered Nurses who would eventually control this domain.
• Designed protocols for tracking all teh complaints logged on different products manufactured by different manufacturing sites worldwide
• Performed teh ROI (Return on Investment) analysis to specify financials for teh project.
• Successfully worked teh end to end supply chain process
• Resolved operational and customer impacting issues through systematic trouble shooting.
• Created teh AS-IS Model of teh system and did complete GAP analysis to identify problems in teh existing system and convincing teh client how teh QDS will ameliorate dat.
• Ensuring all inquiries and discrepancies are promptly attended to, thereby reducing teh turn around time to teh minimum.
• Created a Trace ability Matrix for QDS phase II
• Analyze business requirements and segregated them into Use Cases and activity diagrams using Rational Rose according to UML methodology thus defining teh Data Process Models.
• Material Management- Execute business goals by determining and ensuring delivery of relevant raw material stocks, in-process inventories, and finished goods across teh region
• Created Pivot diagrams to forecast and analyze teh business process
• Monitored client expectations through client involvement and communication throughout teh lifecycle of teh project; educate clients and stakeholders on teh benefits and risks associated with teh project.

Environment: Windows NT/2K, J2EE, Solaris 9, CTMS, ASP, XML, ARIS, Oracle, ARGUS, Win Runner, Test Director,Load Runner.

Confidential, Kenilworth, NJ

Business Process Re engineering Consultant

Responsibilities:

• Interacted with teh end users to identify and gather business requirements and transform them into working strategy.
• Negotiated with Schering - Plough to customize teh vigilance system so dat it meets their business and technical needs.
• Spanned operating plan, resource and feasibility to ensure productivity. Managed business development, recruitment and customer relations.
• Received Requests from Medical & Safety Services to process clinical trial Serious Adverse Experience (SAE) reports for, Clinical Trial Managers and Medical Monitors.
• Created teh flow charts and data mapping tables indicating teh input files and teh output datasets
• Documented by Report and Drug category of all requests into Test Scripts, Developer Logs, Memos and Output Templates
• Successfully mapped data from Access to Oracle AERS in order to generate Safety and Signaling reports
• Interacted with Oars (Operational Quality Reviewers) and other team members to co-ordinate and timely produce reports required, based on priority.
• Interact with teh Medical Department regarding clarification of medical issues related to SAE reports, including identification and MEDRA coding of AE terms

Environment: Rational Requisite Pro, Rational Rose, ARGUS, Case Tracker Enterprise, Microsoft Visio, Rational Test Manager, Liquents Insight, SQL Server, HTML, PVCS Version Manager, Microsoft Project, Microsoft Office, Access