SUMMARY:

• Accomplished and resourceful program manager with over 15 year ’ s expertise with focuses on information technology and healthcare.
• Proven program management skills in managing teams of diverse backgrounds.
• Sharp in providing sound business decisions based on analyses of short - and long-term business needs and understanding the importance in supporting internal and external customers.
• Able to take a large conceptual problem or project, break it into components, establish plans and a critical path, achieve incremental goals and deliver project on time and at or below budget.
• Diligent in relationship building with both internal and external customers by assessing their needs, prioritizing them and satisfying their expectations by providing quality products and services. Excellent in leading teams by expressing information to all stakeholders using clear and convincing presentations and other correspondence by sharing project status (project plans, budgets and statement of work).
• Analyzes issues and risks and make recommendations to both technical and business stakeholders.

BUSINESS/PROCESS SKILLS:

Project Management Professional, Configuration Management, Financial Management, Earned Value Management, CMMIIOrganizational Behavior I and II, Team Management, Effective Communication Skills, Resource Management

TECHNICAL SKILLS:

• MS Office Suite 2003 MS Visio 2003 MS Access 2003
• MS Publisher 2003 MS Outlook 2003 MS SharePoint 2007
• MS Server 2000, 2003 UNIX, Sun Solaris Internet Information Services 5.0
• Remedy 5.0 MS Systems Management Server Peregrine Service Center
• SAP 6.2 Microsoft SQL Server 7.0 - 2000 Primavera 7.0
• WebSphere Portal 5.1 Altiris 5.5 IBM Lotus Notes
• Web Content Management 5.0 Innotas 6.0 Doors
• Clarity 8.0 MS SQL Server 2000 HP Mercury Quality Center
• ICD-10 FACETS NASCO BeneFact
• FEP

PROFESSIONAL EXPERIENCE:

Confidential

Sr. Project Manager

Responsibilities:

• Managed the implementation of 5 projects, the Portal Expanded Benefits, Provider Look and Feel, SPLUNK, Upgrading Portal from version 6 to version 8 and building new Customer Metrics to support executive management.
• Developed a plan to support the Portal Expanded Benefits, Look and Feel, Portal 6 to 8 Upgrade, Customer Metrics and SPLUNK.
• Facilitated and managed the completion of the product requirements document (PRD) to support the development work efforts.
• Managed project team consisting of business analyst, lead developers, test lead, solutions architect, subject matter experts and business areas.
• Developed the SLA process to support the SPLUNK transition plan to the Security team.
• Managed project resources (both internal/external), project schedule, issues and risks.
• Managed vendor relationships with Cognizant and Infosys; submitted work orders to onboard external resources.
• Managed the expectations of stakeholders by providing weekly status reporting.
• Facilitated meetings with the communications and training business areas to develop training material for the business and provider community.
• Managed the project financials and internal and external timesheet submissions weekly.
• Developed and managed weekly status reports to executive and senior management.
• Managed the communications process with business areas and provider community of the upcoming changes to the provider website.
• Gain approval and sign-off on business stakeholders and customer on PRD within 24 hours.
• Successfully managed vendors and project financials by coming under budget by 10%.
• Successfully implemented the Provider look and feel website.
• Successfully turned on 60 PPO accounts within the Provider Portal via CareFirst Direct.
• Successfully remediated risks and issues as they were identified.
• Implemented the deployment of the Portal 6 to 8 upgrade, SPLUNK and Customer Metrics.

Sr. Project Manager/Risk Manager

Confidential

Responsibilities:

• Managed the transition of CareFirst Carve-in accounts (AACPS, Washington Gas and WH570) to Confidential ’s Pharmacy Benefit Management system from Argus.
• Developed a plan to support the January 2014 implementation for Anne Arundel County Public Schools (AACPS) and February 2014 implementation for Washington Gas .
• Facilitated and managed the completion of the customer requirements document ( Confidential ) for the Carve-in accounts.
• Managed AACPS’ platform changes from RxNavigator QL to RxClaim.
• Developed the process for Confidential to support the Retiree Drug Subsidy program.
• Managed project resources, project schedule, issues and risks.
• Managed the expectations of stakeholders by providing weekly status reporting.
• Managed the communications process for informing members and pharmacists of the Carve-in account transition.
• Managed the communication process for co-branding member letters specific to those impacted by Confidential ’ formulary changes with CareFirst and Confidential ’ logo.
• Managed the Prior Authorization Portal changes to support physicians.
• Developed the process for Confidential to support excluded drugs and drugs with exceptions.
• Facilitated meetings with Confidential and CareFirst Pharmacy Management for determining the process for transitioning the appeals and grievances process.
• Facilitated weekly project team meetings for Carve-in accounts (AACPS, WH570 and Washington Gas).
• Facilitated weekly RAID meetings will all PBM workstream leads and held separate meeting with executive management to review high impacted risks.
• Developed and managed weekly status reports and provided transparency to executive and senior management.
• Gain approval and sign-off on business stakeholders and customer on Confidential within 48 hours.
• Successfully managed the project schedules, tasks and milestones for the Carve-in accounts.
• Successfully updated the enrollment and eligibility file to pass member SSNs to Confidential by January 2014.
• Successfully remediated risks and issues as they were identified.
• Implemented the deployment of the carve-in accounts January 2014 and February 2014 as planned; given the proposed timeline was aggressive.
• Provided transparency to executive and senior management on the highly impacted issues and risks.

Confidential

Program Manager

Responsibilities:

• Managed the EDI Program as the PMO program manager for the Veterans Administration.
• Managed a team of 16; including 8 PMs, document manager, change manager, risk manager, 2 schedulers and several support members.
• Provided project manager support to implement EDI changes.
• Managed vendors that supported Payer and Provider Operating Rules.
• Facilitated team meetings involving business and technical resources.
• Managed stakeholder expectations by facilitating weekly meetings to discuss program status.
• Developed and present PowerPoint materials to senior and executive management.
• Reviewed project plans to determine schedule, resource limitations, procedures for accomplishing projects and resource availability to various phases of the project.
• Provided training and coaching to all project managers.
• Reviewed budget to ensure that contract hour burn rate is on track.
• Prepared meeting agendas for quarterly program reviews for the division.
• Developed deliverables matrix to support customer needs.
• Successfully managed ad-hoc tasks by assigning them to appropriate project manager or resources.
• Developed competency resource spreadsheet for tracking program competency resources.
• Scheduled monthly brown bag sessions to ensure information sharing amongst program team and customers.
• Remediated KMATE and HITS due to data redundancy of identical features in existing system.

Confidential

Program Manager

Responsibilities:

• Managed Confidential to ICD10 program for commercial off the shelf (COTS), claims and information systems in preparation for ICD10 federal mandate.
• Facilitated complex team meetings involving business and technical resources.
• Developed gap analysis through business requirements, functional design and system development to ensure compliance in time for October 1, 2014 federal mandate.
• Managed the dual processing efforts to support both Confidential and ICD10 data.
• Reviewed project plans to determine schedule, resource limitations, procedures for accomplishing projects and resource availability for various phases of the project.
• Provided subject matter expertise, structure and PMI methodology to all phases of the ICD10 program.
• Facilitated weekly meetings with regional project managers, test managers and business stakeholders
• Presented clear and concise project information by utilizing public speaking to stakeholders, project sponsors and vested project team members.
• Served as a mentor to peer project managers by providing technical expertise and IT program development policies.
• Provided structure and PMI methodology to ensure program organization during critical Gap analysis phase.
• Provided leadership and guidance to other Kaiser regions and national teams to stay on target to meet established target dates.
• Provided comprehensive overviews to guide senior management in decision making regarding resources and priorities to address critical path issues.
• Tactfully negotiate program resources.
• Remediated Sybase database due to non-ICD10 compliance by retiring the database and transitioned users to Oracle, which is ICD-10 compliant.
• Remediated KMATE and HITS due to data redundancy of identical features in existing system.

Confidential

Sr. Project Manager

Responsibilities:

• Directed the integration of tools and applications into the Confidential Enterprise environment using Business Intelligence Portal along with reporting tools such as Microstrategy, Hightech, and other dashboards.
• Managed contractors (Lockheed Martin, Maricom and Paragon) level of effort from project conception, implementation to Operations and Maintenance.
• Served as primary point of contact for IT project management issues for the division. Provides strategy development and planning support and guidance, including formulating and implementing current and long-range IT programs and procedures to accomplish the overall mission of the division.
• Developed, monitored and managed project plans utilizing due diligence and attention to detail.
• Supported internal and external teams, business sponsors and stakeholders to assess the needs of the customer and meeting their expectations.
• Presented monthly to executive teams and sponsors on budgets and to provide a status of the project.
• Identified issues quickly, communicated these issues along with a strategic mitigation plan.
• Served as the Investment Lifecycle (ILC) Representative by making decisions on processes and standards relevant to the ILC and communicating all changes to staff.
• Managed the budget and earned value analysis (EVM) for various contracts, which involve resource formulation, justification, and/or execution for organizations, programs, or projects. Reviews and prepares annual funding needs for future budget years including option years.
• Performed budget execution and administration work involving the monitoring of obligations incurred and the actual expenditures of funds including reconciliation with EVM data on a monthly basis. COR certified.
• Implemented over 10 business intelligence dashboards that identified Medicare spending (i.e. medications, medical equipment) based on geographic locations.
• Managed business intelligence tool for HighTech that ensured accurate payment to physicians and providers.
• Developed contract pricing and shape project deliverables.
• Developed Request For Proposals for new project work and clearly identify the statement of work required.
• Eliminated repetitious processes from the web development team by implementing a web solution to reduce fulltime resources.

Confidential

Technical Staff Member/ Sr. Project Manager

Responsibilities:

• Directed the development of IT strategy that supports the organization strategic business plan and coordinates this effort across IT department.
• Led matrix team of subject matter experts who have responsibility for strategy and development, including systems and application development, vendor management, and legacy systems integration.
• Led the collaboration with business customers in examining solution options and in planning and managing multiple IT centric projects.
• Initiated and managed a leading roll with IT management and IT colleagues to translate corporate/functional business and information objectives into an IT strategic/tactical business plan and systems development.
• Consulted within the IT organization to develop appropriate support for IT centric projects from various technology and service departments; integrate activities with business units, corporate departments, and IT departments to ensure the successful implementation and support of project efforts.
• Managed IT Projects utilizing the SDLC, by identifying and gathering information system security standards and requirements.
• Implemented Clarity tool to improve project management; to allow for better tracking of resources hours, resource allocation, approved and baseline budgets and project schedule.
• Implemented system to allow for accurate benefit details to providers within 20 seconds to ensure proper patient billing.
• Developed RFP’s for new contract work and clearly identify the statement of work required.
• Eliminated repetitious processes from the web development team by implementing a web solution to reduce fulltime resources.

Confidential, Reston, VA

Sr. Project Manager

Responsibilities:

• Managed a Human Resources Application Development project. Provided support to 5 Human Resource Centers within the Federal Government (NIH, IHS, RHRC, BHRC, and AHRC) and the technical team for the Confidential project.
• Maintained the project plan, this includes business process requirements, project scope, project deliverables, and communication plan and risk analysis.
• Created and maintained the data dictionary, issues log and work requests. Tracking Earned Value Management throughout the Confidential project.
• Managed the project team and the stakeholders. Created test plans and test cases and tracked the implementation of testing.
• Maintained weekly meetings and providing progress and status reports to upper management. Presented benefits of new Confidential project to customers to ensure customer buy-in.
• Implemented Confidential application to support human resource management information systems to acquire qualified candidates from job postings.
• Eliminated repetitious processes by incorporating workflow processes.
• Reduced the previous elongated process of identifying qualified candidates from months to days