SUMMARY

• Data savvy professional with 11 years of experience in the full lifecycle of project management, reporting and analysis
• Agile coach handling all aspects of Sprint including ticket management, daily stand - ups, sprint creation and closing, and project direction.
• Works with customers to determine data and reporting needs and translates those needs into business requirements
• Recognized for work ethic and ability to overcome obstacles to see projects through to completion
• Works one on one with clients and vendors, to facilitate data exchanges and product development
• Comfortable using many tools including SQL and Business Intelligence platforms as well as Project Management best practices
• Goal-orientated and motivated performer who has successfully managed projects through a comprehensive understanding of client needs

TECHNICAL SKILLS

• SQL 2000/2005/2008 , JIRA, MS Project, Word, Access, Excel, PowerPoint, Visio, SharePoint, SSRS and Tableau, EMR Systems, Camtasia, Agile Project Development, and Sprint planning

Business Skills

• Applications: Vista (EMR), Medicaid management information systems (MMIS), HIPAA Eligibility Transaction System (HETS), Children's Health Insurance Program (CHIP), COTS web and software and custom applications, relational databases, dimensional data warehouses
• Claims Subject Areas: Provider management, member management/eligibility, claims (professional, institutional, pharmacy, dental, durable medical equipment, transportation), TPL, financial management, reimbursement, drug rebate, prior authorization, managed care, behavioral health, long-term care, program integrity, electronic health records, benefit plan administration.
• Methodologies: Agile & Scrum, Waterfall
• Phases: Requirements Definition, Business and Technical Design, System Test Planning, Statement of Work (SOW), RFP’s

PROFESSIONAL EXPERIENCE

Technical Project Manager

Responsibilities:

• Complete, manage, and maintain project documents including scope, charter, SOW, project schedules
• Conduct project status meetings and maintain vendor timelines and tasks
• Maintain and update project resource finances
• Served as Agile coach and scrum master handling all aspects of Sprint management
• Work with internal staff and external vendors to manage and trouble shoot issues
• Examine claim mappings and transformations to examine gaps in technical requirements

Skills Used: SQL development, Agile Methodologies, SSRS, QA, data analysis, Claims review, project finances, and SDLC

Application Delivery Manager/Product Manager

Responsibilities:

• Created and wrote detailed business and functional requirements, working with clients, to help guide the strategy for new products and features
• Served as Agile coach and scrum master for company handling all aspects of Sprint management including; ticket management, daily stand-ups, sprint creation and closing, and project direction
• Performed live and created video demonstrations for National Veteran Association and Department of Defense stakeholders and users
• Integrated web software application utilizing decision support and TBI tool gathering with VistA (EMR)
• Worked to create application which integrates with VistA for appointment management
• Provided user training for audiences of over 100 doctors and nurses on new product applications
• Tested systems applications and work to create scoring and form consolidation standards including 508 compliance
• Worked with both internal and client IT departments to triage, manage and resolve issues
• Designed and created documentation for Web and desktop products for both technical and non-technical audiences
• Created and managed timelines for client deployments and data updates
• Designed mock-ups and gain approval on web, desktop, reporting, and analytical solutions to surpass client’s needs
• Ensured Web and desktop applications fully integrate with client electronic medical record system (VistA EMR), current infrastructure, and network security needs

Skills Used: .Net application development, SSRS, Agile Methodologies, Sprint Planning, Tableau reporting building, QA, data analysis, Camtasia, Requirement, RFP, and SOW requirement writing

Project Manager

Responsibilities:

• Worked to ensure hardware, software, and network security for solutions was in place
• Agile coach for all pharmacy audit projects
• Managed project schedule in Microsoft Project and provided daily status updates
• Worked to enhance applications to ensure 3-tiered structure, and successful deployment to all environments
• Served as key representation for local and enterprise change control process
• Completed weekly financial expense for projects as well as budget forecasting
• Ensured project was within company budget by maintaining staff hours and costs

Skills Used: MS Project, Budgeting, Teradata, PowerPoint, Visio, data modeling, hardware and software orders, MMIS, HETS, Agile Methodologies, and Spring Planning

Project Manager

Responsibilities:

• Managed agile project schedule in Microsoft project, provided daily status updates
• Created logs to help manage associates time and issues
• Managed all aspects of large scale projects including mappings, requirements, development, testing, and source system decommissioning
• Assisted in sprint planning, task management, and preparation for scrum master

Skills Used: MS Project, Teradata, Excel, PowerPoint, Visio, Agile Methodologies, Sprint planning, and data modeling

Data Warehouse Consultant/ Program Manager

Responsibilities:

• Coordinated with vendors and departments to create business requirements and standards for multiple subject areas
• Communicated business requirements to technical and operational groups to facilitate solutions
• Led data quality initiatives to create standards for all metrics captured within data warehouse
• Examined all standard forms and industry standards including 837, 835, 834, UB-04, CMS 1500, HIPAA, NCPDP, and ADA to create best standards for codes to map client member and claim feeds to data warehouse
• Utilized PMBOK standard methodology for project plans
• Analyzed data to calculate HEDIS measures for commercial, Medicaid, and Medicare clients
• Provided data mappings, standards code sets, and business glossaries for all subject areas and providing quality assurance for mapped data
• Lead large data management projects with over fifty associates to create standardized metadata for member, provider, and lab claims
• Worked on standards for telecom engagement metrics
• Utilized SQL, Access, Teradata and Excel to pull and compile data used in data management assigned projects

Skills Used: SQL, Access, Teradata, Excel, PowerPoint, Microsoft Project, SSRS, Visio, MMIS, HETS, data standards, Data warehouse modeling, relational databases

Health Information Consultant/ Data Analyst

Responsibilities:

• Designed, created, maintained, and presented reports to clients (extracting and analyzing large amounts of data) that included information on clinical outcomes, operational effectiveness, billing and member satisfaction
• Lead large scale project to change phone systems to Avaya telecom and worked to create logic and definitions for all telecom metrics
• Led data redesign for company-wide telephonic upgrade, which included working closely with cross-functional teams to ensure that client-level data was available for reporting
• Used SQL and Access to gather and analyze data for ad-hoc client reporting needs
• Represented Client Outcomes on company-wide metric standardization project
• Created standardized reports for client accounts which saved analysts forty hours monthly
• Managed and administrated an internal database used by 45 Health Information Consultants that housed all client deliverables for company
• Led project to create business definitions and logic for new programs and clients
• Built and implemented a database used interdepartmentally to track reporting and projects for all clients

Skills Used: SQL, Access, Excel, Microsoft Project, SSRS

Health Assessment Specialist and Preceptor

Responsibilities:

• Persuaded members diagnosed with chronic medical conditions to engage in a company-sponsored disease management program
• Consistently recognized as ‘one of the best’ in monthly productivity reports
• Trained new employees on an in-house data collection system, navigation tools, and medical terminology

Skills Used: Clinical Healthcare applications, customer service, sales, marketing, medical terminology and chronic medical condition knowledge