SUMMARY:

• Over 23 years of extensive experience in Healthcare/Clinical and other IT industries, with 14+ years of comprehensive experience as a Project Manager, Hospital management, SME, Business Systems Analyst in Healthcare IT management, and having a strong knowledge of System Development Life Cycle (SDLC) using Waterfall, Rational Unified Process (RUP) and Agile methodologies, HIPPA and OSHA Certified.

TECHNICAL SKILLS:

SDLC Methodologies: Water Fall, Agile methodology, RUP

Software Packages: MS SQL, MS XL, MS Access, MS Project, MS SharePoint, Dream Weaver, MS Visual Studio, Adobe Photoshop

Business Tools/ Screen Design: MS Project, UML, MS Visio, Test Director 7.6, HP Quality Center 9.2, ATG, Track Wise.

Web Technology/ Server: HTML, XML, CSS, HTTP, SQL, Java Word press

Modeling Tools: MS Visio, Enterprise Architect, Rational Rose, Rational Requisite Pro, Rational Clear quest, Star UML

Presentation Tools: MS PowerPoint, MS Word, MS Excel, MS Outlook

Operating Systems: Windows 98|XP|Vista|7|8|10, Linux, MS - DOS

Programming Languages: Java, Web Development HTML, CSS, XML.

Case Manager Databases: MS SQL Server R2/ 2012, MS Access Others BABOK, TOGAF, Web Services, Load runner, HP Quality Centre, Tools User Interface, Smart Draw. Snagit, IBM File Net P8, IBM

Health care: FACETS, HL7, EDI, HIT/HIM, EMR, HIPAA, Medicare/Medicaid/Medigap, ICD-10, QNXT, HIX, claim chick 10.1, Claim chick ten(Mckesson)Extensive experience in SharePointStrong understanding and experience in .Net experience

PROFESSIONAL EXPERIENCE:

Confidential, Plano, TX

Portfolio Manager

Responsibilities:

• Planned, initiated and implemented a portfolio of healthcare IT projects
• Keeping close eye and managing procurement, stakeholder, quality, risk, scoop.
• Making sure projects are on track, controlling budget, Milles stone, deverbals.
• Working closely with software architectures and engenders.

Project Manager/Scrum Master

Responsibilities:

• Implementation and leadership of systems and processes to ensure all data is updated accurately in a timely manner as per agreed service level agreements with the internal and external customers
• Ensured that project requirements are properly tracked and documented using RTM's
• Managed scope and ensure that change requests are raised in a timely manner in case of scope creep.
• Served as the management point of contact for all escalations & delivery related issues. Resolve customer issues on project deliverables/ quality expectations that are escalated beyond the levels of leads.
• Managed multiple key Infrastructure projects with significant scope and complexity simultaneously
• Managed and lead vendor contract negotiations (i.e.: Provided comments and deliverables for such documents as (MSA, SLA and SOW)
• Managed and provided daily and weekly status report to stakeholders and project team members
• Synthesizing the business and technical landscape into a sound strategy and execution plan
• Assistance developing risk tracking matrix, contingency and mitigation plans for implementation with approved strategies
• Conducted kick-off meetings with all key stakeholders in order to announce the start of the project and reviewed the overall project plan
• Developed and managed written project plans, including program schedules, resources plans. communication plans and risk management plans.
• Managed projects from development to implementation phase using Project Management process for software deployment using (SDLC)
• Worked in the environment involving Agile PLM Administration and configuration and customization, this includes the discussion and understanding the customer issues and defining the Agile Users/ Workflows/ Roles and Privileges
• Participated in critical project specific meetings for planning, design and test execution to ensure that the objectives from an operational, strategic and financial aspect are respected/ complied.
• Lead projects with single or multiple stakeholders to elicit requirements, prioritize needs and deliver solutions.
• Served as a liaison between the internal/external business community and the IT organization in order to provide technical solutions to meet user needs.
• Analyzed project needs and determined resources needed to meet objectives.
• Interacted with stakeholders and use the IAM tool to give particular access to applications as requested and required by company and security guidelines.
• Collaborated with several business areas to align project delivery with strategic business objectives. Identified and implemented innovative solutions to resolve problems encountered in business areas.
• Assisted the team in model and document business processes using techniques such as: process flows, activity diagrams, BPMN, etc.
• Managed simultaneous pre and post EHR implementation projects facilitating end-to-end EHR connections ultimately rolling out live reporting services to clinical clients using NextGen EHR.
• Lead, co-ordinate and control the data management process and information collection activities associated with creation, deletion and changes to supply chain data ensuring all departments submit the data as per required time frames
• Provided guidance on differentiation of lifecycle approach to different types of projects (e.g. development, new business into existing functionality, tool implementation).
• Responsible for claim adjudication like Medicare/Medicaid claims, professional claims, institutional claims
• Lead acquisition, methodology, implementation and training for Blueprint tool rollout in support of BPM/BPO strategy. Used Share point for BPM and workflow management for automating business processes.
• Defined reporting requirements for Clarity Project Management & Resource Management courses.
• Designed and configured financial planning, resource management
• Coordinating between the Development, Testing and Release Management teams.
• Worked with claims engines and healthcare operations processing engines. Experience auditing against ACA, Federal Mandates and guidelines
• Actively involved in configuration of Facets Subscriber/Member application
• Managed ICD-10 testing with providers, ancillary vendors and Medicaid programs to ensure a smooth application implementation affecting Medicare and Medicaid managed care subscribers
• Responsible for establishing, building and strengthening internal and external relationships with key stakeholders to ensure project objectives, schedules, and deliverable are established and met.
• Conducted UAT walkthrough sessions to update participants on the expectation and the UAT process.
• Led the ongoing production stabilization of a multi-faceted Medicaid Management Information System (MMIS)
• Expertise in using Clarity for project planning and tracking best practices. Schedule-Based Planning Implementation using Clarity Open Workbench.
• Worked extensively with team on inbound and outbound EDI transactions. Involved in ICD 10 impact assessment and preparation of the remediation strategy
• Conducted and presented Clarity mentoring sessions with PMO and core implementation team.
• Reviewed high level tech design documents, extensively worked with tester and business users to review and sign-off test cases.
• Assisted QA team in creating Test Cases and performed User Acceptance Testing (UAT), functional testing and logged defects into the Defect Tracking report.
• Involved in development of training materials for new technology and process improvements.

Environment: MS Office, MS Excel, MS Word, SQL, PL/SQL, MS Access, MS PowerPoint, Clarity, Agile, Windows XPS Professional, SharePoint, Adobe. .Net

Project Manager

Responsibilities:

• Planned, initiated and implemented a portfolio of healthcare IT projects for Abbot System
• Acted as a liaison between business staff and technical staff to articulate needs, issues and concerns.
• Lead multiple project teams of technical professionals through all phases of the SDLC using technologies including Oracle, Data Stage, Data Warehousing, and Cognos.
• Acted as a PM for 4-5 critical customer facing projects, implementing network infrastructure projects, with budgets from $250,000 to $1.5 million.
• Managing Live ARGUS portfolio of number of new and ongoing system enhancements.
• Managing MedDRA upgrade for Pharmacovigilance (PV), Regulatory compliance of FDA,ARGUS-J, and ARGUS-E
• Supporting organizational matrix teams of dedicated professionals on the successful execution of various product programs.
• Following the rules and in compliance with GXP Compliance
• Validation of business requirements, through design and validation of internal/external IT resources. Submitted complete project costs, purchase orders, tracking expenses.
• Managed Work Break Down structure in Clarity, developing PM plans in multiple tracking tools, such as Excel, Microsoft project, and Clarity.
• Worked as a Project Manager ( PMO ) to establish Processes, track Metrics, and Share Best Practices
• Planned and arranged meetings with clients to formulate project management strategy and mitigate any risks associated with deployment of subsequent releases and builds into production environment
• Checked the compliance of the Electronic Records and Electronic Signatures in compliance with 21 CFR 11 regulations.
• Contributed towards the proposal and implementation of extensive documentation for computer validation life cycle: IQ, OQ and PQ protocols.
• Developed detailed program plans with the NPLs that cover planning, initiation, execution, monitoring, and close out phases.
• Effectively communicated project expectations to team members and stakeholders in a timely and clear fashion
• Environment of Interpretation and application of International Council for Harmonization (ICH) and Food and Drug Administration (FDA) guidelines and regulations including 21 Code of FederalRegulations (CFR) Part 11
• Forecasted project costs, tracking budgets utilizing BPC time tracking in SharePoint.
• Participated onsite support during customer go lives. Participated and guided customer in pre-live planning and pre-live checklist.
• Organized meetings with clients to discuss future initiatives, and future prospect projects.
• Managed and organized techs to go out to site while managing deliverable coming in from sites. Projects were implemented on the agile framework.
• Provided an onsite planning and analysis implementation guide by using Microsoft project plan.
• Proactively identified and managed to implementation issues and risk, developed constructive solutions and recommended specific course of action.
• Monitored all phases of SDLC multi-phase development, testing and implementation of electronic medical records system on the cloud
• Lead projects with single or multiple stakeholders to elicit requirements, prioritize needs and deliver solutions.
• Worked with the SME’s on the software development, life cycle, planning, designing, building, and testing.
• Collaborated with several business areas to align project delivery with strategic business objectives. Identified and implemented innovative solutions to resolve problems encountered in business areas.
• Involved in Data mapping, logical data modeling, created class diagrams and ER diagrams and used SQL queries to filter data within the Oracle database
• Conducted risk analysis to understand the scope of the project and identify financial implications
• Functioned as the primary liaison between the business client and technical areas throughout the project life cycle .
• Provided software engineering support services in support of software development activities for the Identity and Access Management (IAM) Program using agile methodology.
• Facilitated group sessions to drive business process improvement while using sensitivity and discretion in balancing the interests of multiple business areas and stakeholders.
• Facilitated Release Planning, Testing planning, Sprint Planning, Backlog Grooming, and Retrospective meetings during Waterfall and Agile projects.
• Formulated logical statements of business requirements researched and evaluated alternative solutions and recommend the most efficient solution for system design.
• Supported the importing and testing of data for proposed requirements and projects. Lead IT testing efforts by defining, developing and implementing practices and procedures for end user test plans.

Environment: MS Office, SharePoint, Oracle, Windows XP, Business Objects, Agile/Scrum, MS Excel, Clarity, Word, MS Visio, Power point, SQL, DB2, SAS database

Project Manager

Responsibilities:

• Configured front and back-end applications for AllScripts EMR . Involved in the implementation of All Scripts Enterprise EMR.
• Demonstrated leadership in product and vendor evaluations to assist Business in review, vetting and selection of products that align with IT and Business strategies.
• Responsible for leading moderately complex business / IT Projects across the IT Infrastructure areas using approved project management processes
• Effectively communicated project expectations to team members and stakeholders in a timely and clear fashion
• Provided Project Status Reporting to include Cost and Technical Issues to Hospital Management.
• Identified and mitigated Cost and Schedule issues impacting IT Projects; Developed project plans and schedules, tracked project deliverables.
• Identified and resolved conflicts within the project team regarding claims issues. Simultaneously managed two to three SharePoint projects to better company workflow
• Managed project and resource schedule and progress on MSPS. Used MS SharePoint for scheduling, planning, and timekeeping of the resources
• Prepared meeting agenda, organized and ran meetings to discuss outstanding issues with assigned BAs, SEs, QAs, and created minutes of meeting (MOM)
• Identified analyzed, defined, and documented detailed requirements to support projects and associated business objectives as well as experienced with common web delivery platform and in-depth data analysis.
• Proactively managed day-to-day aspect of priority projects and systematically maintained the projects compliance in accordance to hospital standards.
• Actively involved in Trizetto Facets System implementation, Claims and Benefits configuration, Inbound/Outbound Interfaces and Extensions, Load and extraction programs involving HIPAA 837 and proprietary format files and Reports development.
• Developed a vision plan that defined the primary goals and objectives of the project. Invited business and technical teams to gathered requirements by following JAD session process.
• Analyze user stories and separate them into high level and low level and prepared product backlog working with product owner and other SME as well as prioritized user stories and assigned to different sprints.
• Streamlined processes pertinent to the overall project build-out. Instrumental in knowledge transfer and handing over key deliverables from projected timeline
• Facilitated daily scrum meetings and managed task board with user stories and board and also prepared and tracked burn down charts and velocity charts for timely delivery of projects.
• Assisted the team in gathering functional requirements and non-functional requirements based upon the approved business requirements by following UML processes and standard procedures for developing use cases, use case diagrams, and other supporting documentation.
• Created different Experienced in User experience (UX) definition and User Interface (UI) design for project as well as mockups, prototypes and wire frames.
• Conducted workflow analysis to understand the shortcomings of the existing process and evaluated the benefits of the new system.
• Assisted development team in preparing wire frames for validating designs by the stakeholders.
• Analyzed plan requirements and then contributed further defining the plan requirements with their Project Manager.
• Observed the compliance of the requirements with federal and state government regulations Medicaid, Medicare, and accreditation body requirements.
• Worked effectively with physicians, nurses, and engineers to solve problems related to EHR to make software more user-friendly to staff and doctor.
• Maintained large data sets, combining data from various sources in varying formats to create SAS data sets by using Set and Merge for generating Reports and Graphs.
• Designed & developed various departmental reports by using SAS, SQL, PL/SQL, and MS Excel
• Coordinated with the Project Manager and assisted with monitoring the timely completion of scheduled tasks and escalating risks across the project lifecycle.
• Designed, test, and customized EHR templates, documents and crystal reports. Developed and executed SQL queries on claim records to validate reporting
• Responsible for addressing, diagnosing, and resolving issues that arise on a day to day basis for the team and documenting the causes, analysis and final resolution to the issues/errors.
• Responsible for Patient access and patient revenue cycle.

Environment: Agile/Scrum, MS Office Suite, Rally, MS Excel, Visio, SQL, All Scripts, Axure, Adobe Photoshop, HTML, Mega, XML Schema, SharePoint, UML, Quality Center. .Net

Project Lead / Business Systems Analyst

Responsibilities:

• Provided knowledge and support to the development teams to understand HIPAA and EDI transactions and processes.
• Managed the team and ensure that synergies across all the projects in the program are achieved and inter project dependencies are addressed effectively.
• Gathered user requirements and directed developers for practical deliverables.
• Worked with the complete SDLC, elicit, analyze and define requirements. Executed Agile SDLC project using offshore and onshore managed service model
• Conducted JAD sessions with the clients to identify the requirements.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, OOAD using UML and Business Process Modeling (BPM).
• Used Rational Unified Process (RUP) for streamlining the team's development activities.
• Followed the UML based methods using Rational Rose to create: Use Cases, Activity Diagrams/State Chart Diagrams, Sequence Diagrams, and Collaboration Diagrams.
• Provided knowledge and support to the development teams to understand HIPAA and EDI transactions and processes.
• Documented data mapping/Transformations from source to target (STTM), business process flows, and business requirement document (BRD), Scope Matrix, SRS (Software Requirement Specification), SDS (System Design Specification), Report and Extract specifications documents.
• Participated in Testing and Evaluation of projects at established integration points to assess progress and identify key functionality issues.
• Tested the changes for the front end screens in Facets related to Membership, Benefit and Plan modules
• Prepared Requirement Traceability Matrix ( RTM ) ensuring the forward and backward traceability of the Business Requirements to the test Case and vice versa
• Reviewed and provided feedback on Test Plans, Test Cases, Test Scenarios and conducted UAT to test the final application for usability, to verify all the user requirements were satisfied.
• Validated existing workflows for Member eligibility verification and Web Security Access.
• Communicated with the developers and QA's, and referred to HIPAA guidelines to ensure that the system complies with the HIPAA guidelines
• Conducted daily scrum meetings to coach and mentor the self-organized, cross-functional Agile Project team on key principles of Scaled Agile (SAFe) competencies & practices including team ownership, commitment, effective user stories, agile estimation, and transparency.
• Used FACET to handle the complex requirements of managed care programs, eligibility, provider and plan/product data, claims, utilization management, reviews, case management and customer service information
• Tracked UAT issues/bugs and prepared reports.
• Performed job of contact point for all stakeholders (business, legal, compliance, development).
• Documented project status reports for enhancement and modification requests for the development team to assist them in efficient tracking and monitoring of open issues of the project

Environment: SQL Server, Java, JIRA, UML, MS Office Tools - MS Word, MS Excel, MS Visio, MS PowerPoint, Oracle, SharePoint, Facet.

Business Analyst

Responsibilities:

• Functional leadership with responsibility for delivering data abstraction and analysis services to clients and project teams.
• Worked with business users to understand requirements for business system analysis, forecasting and planning.
• Conducted JAD sessions for better understanding and gathering the requirements from multiple teams and SMEs .
• Use case specification documents and business requirement documents ( BRD ) and other various documents have been maintained.
• Managed coordination between client and development team.
• Comprehensive knowledge of Cardiology data collection for multiple registries into Lumedx Cardiovascular Information System:
• National Cardiovascular Data Registry, CathPCI Registry®
• Involved in National Cardiovascular Data Registry, Implantable Cardioverter Defibrillator
• Abstracts patients’ records usage of hospital wide systems to capture data adherence to clinical practice guidelines, data definitions, and specification criteria for demographics, episode of care, history and risk factors, diagnostic procedure(s), coronary anatomy, lesions / stenosis / devices, pre & post procedure lab results, intra / post procedure events, and discharge outcome.
• Worked with vendors, business owners, stakeholders, senior leadership, and other IT staff members to resolve problems with supported applications
• Analyzed Requirements and created Use Cases, User stories, Use Case Diagrams, Activity Diagrams using MS Visio
• Attended and participated in professional organizations for continual education; QDM monthly departmental meetings.
• Provided continuous guidance & support to coordinate data exchanges, data exchange reports & dashboards which demonstrate increased health data interoperability between the Departments
• Coordinated meeting discussions with clients & support staff, developed & prepared materials for presentation & further improved deliverables based on client expectations
• Thorough knowledge of ICH Guidelines and GCP including international regulatory requirements for the conduct of clinical development programs, especially as related to data handling and processing.
• Supported Cardiology Data Manager as needed. Worked extensively with MS office suite for preparing data reports.

Business Systems Analyst

Responsibilities:

• Created procedure document clarifying and streamlining rules analysis process to be used as a training guide.
• Assisted in collecting, reporting, and analyzing patient data and other data as needed along with consulting with stakeholders to enhance hospital performance in accurate patient identification practices.
• Active participation in requirements gathering and conducted interviews with the company stakeholders to translate and communicate business needs into functional requirements and specifications for the development team
• Developed a thorough knowledge in all the phases- understanding business processes, gathering requirements from Sales team, EMR Vendor and physician’s office, and coordinated ongoing iterative development of Software Development Life Cycle ( SDLC ).
• Responsible for preparing functional specification document based on requirements.
• Collaborating with development team for coding based on requirements gathered.
• Involved in testing with EMR vendor and Client to conduct Unit Testing, User Acceptance Testing.
• Modeled Use Case Diagrams, Activity Diagrams, Business Flow Diagrams, Data Flow Diagrams for the defining the functionality.
• Responsible for escalating implementation and support issues to appropriate persons or groups for resolution.
• Identify suspect duplicate medical records numbers in the Epic system and added to the Duplicate MRN Tracking database for a potential merge.
• Involved in Patient access and patient revenue cycle management ( RCM ).
• Created and maintained databases to support processes. Coordinated the work of the patient data correction process and provides ongoing performance improvement education and support to hospital staff for improvement patient identification practices.
• Ensured applications, data and use of data as per HIPPA standards.
• Maintained a good working relationship with medical staff and other hospital departments to achieve optimal service delivery, increased knowledge of process flows and resolution of data integrity issues.
• Acted as a resource throughout the organization on Health Information Management and as a liaison between the Health Information Management departments. Ensure that after-hour support is handled.

Environment: Java, MS SQL, MS Office Suite, Agile, Waterfall, Oracle, UML, Microsoft Visio, MS SharePoint, testing, EMR, HP ALM, HIPAA 4010, HP QC.

Chief Information Manager

Responsibilities:

• Directing and managing the activities of the management information
• Managed and directed the activities of the IT Network, Telecommunications, and Help Desk. Prioritizes activities and schedules staff to achieve high quality of service and developed performance standards to meet the Organization’s and Department’s goals and objectives.
• Oversight of key Information Systems including EMR, financial software and other related data systems. Worked collaboratively with affiliated hospitals around shared network services, clinical services and e-mail services. Managed troubleshooting and projects related to these shared services and escalates issues in an appropriate manner.
• Participated in presenting quality data for clinical studies and grants by providing expertise in data collection and systems development. Oversee report writing function necessary to meet the needs of management.
• Ensured staff is fully trained in the technical aspects of their job and established documentation requirements to maintain system controls and security.
• Acted as a Project Manager in the development and implementation of the migration process to new technology and all IT infrastructure improvements or enhancements.
• Oversees the maintenance and growth of data systems relating to capturing quality data, financial data, and initiative such as Meaningful Use.
• Prepared annual IT operating and capital budgets. Monitor budgetary targets on technical projects and tasks.
• Provided information and guidance to management on new applications and/or enhancements to improve productivity and patient care.
• Participated in planning meetings and committees related to large institution-wide projects, such as Health Information Exchange, Practice Management System, and Electronic Medical Records and maintains a "big picture" vision when making recommendations.