SUMMARY:

• PMP Certified with 5+ years experience in Project Management
• 10+ years experience in Business Analysis and driving requirements
• Managed client needs and develop strong business partnerships across a health care organization.
• Collaborated with strategic business & technology units to identify client needs, and drive solutions that achieve overall organizational objectives.
• Experienced in documenting complex business requirements, and the development of Enterprise PMO presentations
• Ability to lead a project team in adverse situations by utilization of project leadership skills
• Strong Agile, and Scrum practice and experience
• Experienced in definition, solution design, implementation, and ROI in an Enterprise PMO
• Knowledgeable, and experienced in the SDLC (Systems Development Life Cycle) process
• Focused on business intelligence, integration management, and successful deployment of managed care business solutions
• Managed diverse projects, and able to meet milestone dates within a specified timeframe
• Worked on development of a strategic assessments, and the prioritizing of business needs
• Experienced in the presentation of business requirements, and Power Point Executive Summary’s
• Designed technical solutions utilizing best practices, and ITIL processes and procedures
• Account management, and resource management skills

TECHNICAL SKILLS:

Advanced experience with Open Systems Environments:

• Salesforce.com
• QNXT
• CCA
• Primavera (P6)
• Oracle
• SQL Server
• TOAD
• MicroStrategy
• Qlikview
• Microsoft Windows Suite Tools - Project, Access, Excel, Power Point, Visio, SharePoint, and Outlook

PROFESSIONAL EXPERIENCE:

Confidential

Sr. Project Manager, Long Beach, CA

Responsibilities:

• Managed effort to define complex mapping of member eligibility enrollment & financial data
• Worked directly with IT Director, and Enterprise Architect to define conversion approach, and to develop a testing process flow
• Worked closely with on - site Confidential consultant team to plan, present, organize, and execute large-scale data conversion of existing enrollment - 600k+ membership volume.
• Planned “black-out” period, and transition activities for production rollout of 9 state deployment
• Actively managed the gathering of business & functional level requirements documents across multiple work streams
• Led and participated in large-scale JAD sessions
• Managed initiative to identify data clean up opportunities, and track remediation of data anomalies
• Worked directly with external vendor to setup SFTP secured transmission capability - between Molina and vendor
• Coordinated DEV, SIT, and UAT environmental setup for testing of conversion data & integration functionality
• Led daily defect triage calls with internal testing, and external vendor teams
• Held multiple scheduled check point calls with business & technical staff
• Leveraged SharePoint, MS Project, Primavera (P6), ALM HP QC, and other PM tools as necessary

Confidential

IT Project Manager, Los Angeles, CA

Responsibilities:

• Responsible for managing projects through the SDLC process from project scope definition, assigning resources with tasks and timelines, and managing developmental staff through the deployment process.
• Collaborating with business units, and project sponsors across multiple functioning areas to define project objectives, develop project plans, and project schedule and timelines.
• Perform assessment analysis, prioritize business needs, and design process flow diagrams
• Charged with implementing provider directory web interface enhancements to maintain compliance with CMS, DCHS, DMHC, and NCQA regulations and guidelines.
• Working closely with project stakeholders, developers, and analyst to deliver managed care provider solutions.
• Facilitating best practices sessions with developers, and QA analyst to validate Medicare and MediCal system enhancements through managed care reporting.
• Creating, and transitioning SQL reports to support SIT, and the QA testing of systems enhancements, including QNXT, CCA, and Provider web interfaces.
• Charged with configuring a workflow solution for the processing of plan partner global capitation in QNXT across multiple functional areas; including Finance, Provider, and Member business units.
• Responsible for implementing, and deploying CCA daily automated reports tracking the lifecycle status of ELDA authorizations for the UM business unit.
• Responsible for the automation of Member error reporting via the QNXT Member Troubleshooter report feature

Confidential

Project Manager, Phoenix, AZ

Responsibilities:

• Working directly with clients to define conversion requirements, and translate client needs to I.T. staff.
• Responsible for project planning and scheduling, maintaining an issues log, and reporting daily status of projects.
• Maintaining business relationships with client offices to assist them with the transition into, and familiarizing themselves with, Salesforce.com functionality.
• Charged with the implementation and deployment a streamlined QA process.
• Responsible for implementing the automated reporting of Salesforce.com conversion statistics.
• Developed reporting metrics to ensure successful conversion of client data from one system to another.
• Conducted training sessions with multiple client offices on Salesforce.com report building, and how to apply fundamental analysis techniques to their client data.
• Performed analysis of data using a variety of techniques, including statistical and aggregated reporting, trending reports, and data mining.
• Facilitated training sessions, and successfully transitioned the use of best practices, data analysis and Salesforce.com report building techniques to internal units.

Confidential

Project Manager Business Analyst, Scottsdale, AZ

Responsibilities:

• Responsible for managing small projects and assigning tasks with timelines to supporting business unit team members.
• Partnered with multiple business areas to maintain an open line of communication to support the successful rollout a Medicare client Salesforce.com workflow.
• Facilitated UAT sessions by collaborating with business and technology teams, to ensure successful rollout of managed care business solutions without unexpected upstream and/or downstream effects.
• Responsible for tracking issues, and testing defects reported by business users
• Charged with communicating business and technical solutions, including translating requirements to I.T. staff.
• Developed automated managed care dashboards, utilizing Salesforce.com, for the distribution to many department managers to assist in team workload distribution.
• Responsible for summary reporting of Salesforce.com, and WebEx user activity.
• Conducted management level training sessions on the functionality of the workflow specs built into Salesforce.com
• Developed Salesforce.com desktop procedures designed for distribution to standard business unit users.

Confidential

Claims Business Analyst, Phoenix, AZ

Responsibilities:

• Designed client specific Managed Care deliverables for top pharmaceutical companies and collaborated with client business & technology teams for successful rollout and execution.
• Designed live dashboards, and data warehouse solutions to meet specific client business needs.
• Replicated warehouse and online reporting solutions utilizing Oracle Business Objects, Microsoft Access and Excel, prior to roll out into a production environment.
• Performed analysis to identify and report client product trends and outliers based on Commercial, Medicare and Medicaid market activity.
• Participated as an SME on ad hoc projects requiring product and patient level analysis.
• Produced and presented Executive Analysis Power Point presentations to clients.
• Cross-functioned across multiple teams to resolve client inquiries and issues in a timely manner.
• Performed root cause analysis and resolved client inquiries, directly communicating analysis findings, or resolutions, to clients.
• Performing analysis of inquiries required using MS Access to house large amounts of data viewed in Excel pivot table reports, and graphs.
• Actively participated, and collaborated with I.T. staff in the development of online products and responsible for the transition of production processes amongst internal support teams.
• Participated in an SDLC environment, including the planning, testing and deployment of business models designed to support live online GUI’s (i.e. MicroStrategy, Qlikview) for client sales teams field use.
• Facilitated live workgroup training sessions with offshore resources on performing technical MS Access & Excel analysis, SQL code training, and assisted in the rollout of QC reporting and procedures.
• Participated regularly in follow- up review and status meetings with clients, project managers, application development engineers, I.T. Support, and offshore resource support teams.
• Designed and maintained live documents for data warehouse clients, which were utilized as training documents.
• Developed technical documentation of business models utilizing MS Visio
• Performed Account Management activities to cover for business partners on leave