SUMMARY:

• Acquired over 18 years of expert level working experience on various information systems.
• Proven expertise in Project / Program / Portfolio Management over 12 years.
• Passionate about leveraging the technology and best practices to lower the cost of care and improve the quality of healthcare services.
• Experienced in Product Management areas and led healthcare related products and technical platforms.
• Healthcare subject matter expert.
• Contributing to healthcare Confidential and provider organizations over 10 years.
• PMP Certified seasoned management consultant with a history of providing outstanding leadership in all areas of project management life cycle.
• SDLC expert and delivered value added products with highest customer satisfaction.
• Deep understanding of technologies including but not limited to Data Warehouse, Business Intelligence, Analytics, IBM Mainframes & Siebel CRM.
• Well experience on the pains and gains of both waterfall and agile methodologies.
• Led onshore/near - shore/offshore teams - Global Delivery Model.
• Seasoned consultant with 16 years of consulting experience including Big5.
• Certified Scrum Master and SAFe Agilist with the experience of transforming the teams from Waterfall to Agile framework.
• Known as people’s person. Lead by influence but not power.

CORE COMPETENCIES:

• Project & Product Management Waterfall & Agile (Scrum) PMO
• Healthcare Confidential & Provider Strategic Planning Cloud Computing
• IT Service Management Technical Expertise SDLC Career s & s
• Received Above & Beyond from CTS for converting a problem into an opportunity that was generated $1.2 million revenue.
• Received an from former Confidential CEO Mr. Rama Dorai for the contribution towards Confidential ’s first CMMi level 5 .

TECHNICAL SKILLS:

Languages: COBOL, JCL, CICS, Easytrieve, Confidential -DC, REXX, C, C++, HTML, JAVA, SQL

Systems: OS390- MVS, Windows, Mac, UNIX

Databases: DB2, Confidential -DB, SQL Server

Tools: Remedy, Clarity, Planview, Sharepoint, PPM, PWA, JIRA, RPM, HP Quality Center, Plastic, Subversion, Pivotal Tracker, TFS MS Office (MS Suite), MS Power Point, MS Visio & MS Projects

Products: SAP - BI BO 4.0, Business Objects (Crystal Reports & Universes), Data Warehouse, Business Intelligence, Analytics, Informatica ETL, Data Management FACETS, Epic (Tapestry, Resolute PB & HB), Diamond, EDI, HL7, HIPAA

PROFESSIONAL EXPERIENCE:

Confidential, Pleasanton, CA

Sr. Program Manager

Responsibilities:

• Contributed to sustain and improve $10 billion Medicare & Medicaid business by creating visibility on cost of care based on Line of Business (LoB).
• Helped providers to take right clinical decisions on patient’s health condition by making lab results, EKGs, MRIs and other images available instantaneously instead waiting for days by replacing out dated FasTrieve product with OnBase ECM solutions.
• Improved the KPHC (Epic Resolute) systems performance 15% by implementing agency framework for bad debt collections.
• Removed the impediments and created clear communications between various systems (KPHC(Epic), RCIA, EDI, Diamond, Tapestry, KPMETA) for adjudicating Medicaid claims and creating remittances.
• Spearhead Maui M&A program to implement Epic HB at Maui county hospitals with minimal or no business involvement.
• Accountable for $10 m Revenue Cycle portfolio of projects delivery with quality and highest customer satisfaction.

Confidential, San Francisco, CA

Senior Manager

Responsibilities:

• Contributed to win $8m deal by supporting pre-sales and sales of insights and data solutions. Contributed to RFP, RFO and SOWs.
• Collaborated with our healthcare customers to identify the gaps in the business processes and areas for improvements. Provided best possible data solutions to achieve their business goals.
• Partnered with the customers to gain the competitive advantage by implementing predictive and prescriptive analytics.

Confidential, San Francisco, CA

Scrum Master / Portfolio Manager

Responsibilities:

• Successfully transitioned the teams from the waterfall approach to agile (Scrum) framework as a Scrum Master to slash the time to market.
• Increased the productivity of the engineering team by 20% by separating product development and product operations teams.
• Increased confidence and projects success rate from 50% to 75% by adding value added processes and implementing PMO.
• Created the cost and quality analytics based on HEDIS, NCQA and PQA standards and guidelines.
• Contributed to the success of ICD10 project by converting from ICD9 and certifying Performance Engine platform.

Confidential, San Francisco, CA

Senior Manager

Responsibilities:

• Reduced team member’s attrition rate to half by incorporating team-building activities and helping teams to achieve their professional goals.
• Optimized performance of an ETL job from 10 hours execution time with just 350,000 members load to 6 hours of execution time with one million members (more than 450% performance gain).
• Improved the quality of deliverables by reducing defects density to half by incorporating review boards.
• Facilitated JAD / deep dive sessions to create business requirements from an idea.
• Key contributor to migrate a million members from old legacy system to Facets application.
• Managed $ 8 millions portfolio of projects and including but not limited to creating request for proposals (RFP), estimations (LOE or ROM) & Statement of Works (SOWs).

Confidential, Woodland Hills, CA

Consultant / Project Manager

Responsibilities:

• Played a key role in the process of integrating Electronic Eligibility System with Confidential
• Contributed to developing a VBBD product that would help to address the cost of care issues for national and large employer groups.
• Collaborated with Scrum teams as a Scrum Master.
• Analyse, design, develop and implement software products using company processes, procedures and policies to meet Sarbanes-Oxley (SOX) & HIPAA compliance.
• Created an interface between Electronic Eligibility System and Confidential Dental System (WDS) for dental provider data exchange.
• Successfully implemented Confidential & CA state mandatory SB853 projects.
• Introduced new technology, Exstream Dialogue to IBM mainframes based EOB Checkwrite system.
• Upgraded EDI837, EDI835, EDI834, EDI820 and other transactional formats as per HIPAA5010 compliance.
• Acquired SME level competencies on EDI, Eligibility, Enrolments, Benefits, Billing, Claims, Encounters, Capitation, EOB, Accounting and EPDS systems.

Confidential, Stamford, CT

Project Manager

Responsibilities:

• Developed ‘Direct Returns’ system, which had been saving over $5 million per year towards the cost of receiving returned meters and machines from the customers.
• Recognized as Subject Matter Expert (SME) for Confidential (customer) system.

Confidential, Denver, CO

Systems Analyst

Responsibilities:

• Leveraged information technology to achieve business goals and competitive advantage.