S UMMARY:

• 15+ years delivering IT solutions for Healthcare insurance industry.
• 10+ years of experience in delivering solutions for top Insurance industry clients.
• 8+ years of Project and Delivery Leadership/ Management
• 8+ years of Business Systems Analysis and Requirements Management
• 4+ years Business Process Change & Operations Readiness Management
• Create Project Plans; maintain the schedule, cost and effort using various tools and techniques
• Deliver the project as per plan so that client is compliant with the Government regulatory updates
• Analysis of data to spot error patterns and work with Business/IT teams to develop solutions
• Manage Issues, Risks, Change Requests
• Maneuver the project team towards the defined project objective
• Control project scope creep; balance customer expectations
• Budget estimates’ consolidation and budget approval submission request
• Maintain the budget by running weekly reports - cost report, allocation report, and burn rate.
• Conduct review/approval meetings for each major deliverables of design, development & testing
• Ensure required stakeholders are involved in key project activities & approval of the deliverables
• Ensure that entry/exit criteria for each phase of the project are met & Gate meetings are held.
• Use tools like PlanView, ClearQuest, ClearCase to efficiently manage the projects
• Report the status of these Projects to respective stakeholders

TECHNOLOGY COMPETENCIES:

Project Management Tools: Clarity (PPM Optics), MS Project, PlanView, MS Office (Excel Reports, Pivot, Macros), Visio, MS Sharepoint

Development Technologies: VB, MS.NET, Java/J2EE, Informatica, SQL

Database: MS SQL Server, Oracle, MySQL, DB2, MS Access.

Operating systems: UNIX, Windows (3.x, 95, NT, 2000, XP).

COMPETENCIES:

• Pharmacy Benefit Management
• Medical Underwriting
• Claims Processing & Benefits
• Healthcare Informatics
• PBM eCommerce Portals
• Mail Order & Specialty Pharmacy
• ANSI X12 Healthcare Electronic Data Interchange (EDI)
• ICD10, 5010, Healthcare Reform
• Clinical Systems & Data warehousing

PROFESSIONAL EXPERIENCE:

Confidential

IT Project Manager

Tools: Used: PPM Optics(Clarity), MS Project, PlanView, PROMPT, Visio, MS Office, SharePoint

Responsibilities:

• Scope and schedule management,
• Reporting status to various stakeholders.
• Analysis of data to spot error patterns and work with Business/IT teams to develop solutions
• Co-ordinate with technology and business stakeholders to drive issue resolution
• Requirement & change control management.
• Managed multiple projects and Work Orders
• Risk & issue management, pro-active escalation & driving to closure.
• Coordinate UAT and end to end testing
• Liaison among business, IT and senior management.

Confidential

IT Project Manager

Tools: Used: MS Project, PlanView, PROMPT, ARIS, MS Office, SharePoint

Responsibilities:

• Managed end to end infrastructure delivery
• Managed vendor relationship and coordinated with vendor for issue redressal
• Managed internal stakeholder expectations
• Planned and managed product installs between Implementation and compliance teams
• Risk & issue management, pro-active escalation & driving to closure.
• Co-ordinated and managed all testing including security and vulnerability tests
• Managed publication on appstore and Knowledge Base development for support
• Status reporting and budget management

Confidential

Business Program Manager

Tools: Used: MS Project, PROMPT, MS Office, Visio, SharePoint

Responsibilities:

• Managed the Program governance setup, staffing & roadmap creation
• Developed the Cost Benefit Analysis & Business Case Identification
• Managed Resource planning, Budget Management & Operations Readiness
• Managed Issues/dependencies and proactive escalation for resolution
• Developed and Maintained Risk Register and planned mitigation actions
• Managed the schedule and program budget
• Coordinated communications with Vendors and external stakeholders
• Planned, managed and drove quality assurance
• Managed expectations of Clients & Senior Leadership
• Communication Planning, Information Distribution and Status Reporting

Confidential

IT Project Manager

Tools: Used: MS Project, Planview, PROMPT, MS Office, Visio, SharePoint

Responsibilities:

• Engaged external business partners and established relationship
• Established scope and managed development of business requirements
• Developed the Cost Benefit Analysis & Business Case Identification
• Planned IT and Business resource needs
• Worked with Resource managers to ensure resource availability
• Managed Issues/dependencies and proactive escalation for resolution
• Developed and Maintained Risk Register and planned mitigation actions
• Managed the schedule and planned work-arounds to slippages
• Drove relationship with Vendor stakeholders and managed expectations
• Managed quality assurance, including end to end testing and business partner testing
• Managed expectations of Clients & Senior Leadership
• Reported status and escalated issues to Leadership to drive prompt resolution
• Participated in the Governance council to ensure information distribution

Confidential

Business Project Manager

Tools: Used: MS Project, Visio, MS Office, SharePoint

Responsibilities:

• Established scope and managed development of business requirements
• Developed the Cost Benefit Analysis & Business Case Identification
• Worked with Resource managers to ensure resource availability
• Managed Issues/dependencies and proactive escalation for resolution
• Managed the schedule and planned work-arounds to slippages
• Managed end to end testing and defect resolution
• Managed expectations of Clients & Senior Leadership
• Reported status and escalated issues to Leadership to drive prompt resolution

Confidential, New Jersey

Sr. Business Systems Analyst/Delivery PM

Tools: Used: Informatica, SQL, IBM DB2, Visio, MS Office, SharePoint, ClearCase, ClearQuest

Responsibilities:

• Run SQL queries to analyze data patterns to identify integrity issues
• Work with business and IT stakeholders to prioritize issues
• Analyze QNXT, DB2 Datawarehouse and other systems to identify interface failure points
• Analyze Datawarehouse source code to determine solution scope
• Develop Solution Design and co-ordinate development
• Risk Identification, Response Planning and Control
• Managed expectations of Clients & Senior Leadership
• Reported status and escalated issues to Leadership to drive prompt resolution

Confidential

Sr. Systems Analyst/Delivery PM

Tools: Used: Informatica, SQL, Teradata, MS Office, SharePoint

Responsibilities:

• Development of Scope and Control through approved channels
• Functional and System Study of the existing business functions and supporting IT systems
• Worked with the functional leads in capturing & elaborating the Business Requirements
• Weekly Status Meetings & Weekly Status Reports to Sr. management
• Risk Identification, Response Planning and Control
• Project Execution, Delivery and Issue Management
• Communication Planning, Information Distribution and Status Reporting
• Project Closure and Collection of Lessons Learnt

Confidential

Systems Analyst/ Delivery PM

Tools: Used: MS.NET, SQL, MS SQL Server, MS Office

Responsibilities:

• Review ANSI X12 Electronic Data Interchange (EDI) Data sets and developed requirements
• Worked with 834 Enrollment, 270/271(Benefit Inquiry) 837(Claim), 276/277(Claim Status) and NCPDP D0 (Pharmacy claim) transaction sets
• Developed Application Framework for the .Net Web project
• Developed Class Diagrams and Data base design
• Project Execution, Delivery and Issue Management
• Communication Planning, Information Distribution and Status Reporting