SUMMARY:

• Project management professional with 17 years of experience leading complex technology projects.
• Serve as a liaison between clients, project teams and other stakeholders to successfully execute project goals for State, Federal, Payer and Commercial sectors.
• Expertise in project planning, budgeting, resource management, Vendor management, technical implementation, CMMI Processes and object oriented.
• Results - oriented and customer focused, with a deep understanding of technology roadmaps, capacity building, insourcing & outsourcing delivery models, internal and external resource management, as well as budgets and P&L
• Delivered Large-scale IT Project and Program Management Services to Both Government (State and CMS) & Commercial Clients
• Hired and managed a team of 20+, leading the project from inception through production, O&M model of project execution.
• Strong leader in Medicaid Management Information Systems (MMIS), Medicaid Managed Care, Health Insurance Exchange (HIX), Payer and Medicare business expertise
• Expertise with CMS Project Management, CMS Expedited Life Cycle (XLC), and OIS and Industry-based Agile Software Development Life Cycle (SDLC) standards
• Cultivates & Achieves Exceptionally Strong Team and Client Relationships. Excellent Communication & Writing Skills

PROFESSIONAL EXPERIENCE:

Confidential, Owings Mill MD

Program Manager, IT

• Leading a $4 million multi-year project for individual, Small and Medium market, implementing critical governing strategies, exceeding stakeholder expectations and meeting project deadlines within estimated budget and timeline
• Effective communication with all business stakeholders, procurement of necessary systems and software, resource, vendor, and change management, and solution development
• Reduction in overall cost of $5 million dollar over a period of 5 years with the rollout of automation.
• Create and review project plan, budget, risks, resource burndown and timeline to make sure the implementation is aligning with business defined milestone.
• Responsible for establishing strategic partnerships with vendors, negotiating and managing vendor costs
• Develop the Implementation roadmap and budget needed to support business priorities and aligns to enterprise strategies and industry trends
• Developed a list of best practice processes and system changes designed to improve the stability and quality of the delivery process to the enterprise business operations
• Follow PMLC/SDLC Methodology with deep understanding of technology focus in delivering business solutions
• Develop and present executive level program approach and strategy documents, program status reports, program issues and risk, corrective mitigation options and data quality metrics
• Conduct daily, weekly project status and CCB meetings to manage the progress of the project

Technical Environment: Pega, J2EE, JMS, Oracle, WebSphere 6.0, ALM, Clarity, MKS Version tool, SharePoint, Facets, Webservices (REST)

Confidential,Owings Mill MD

Program Manager, IT

• Leading a $5 million multiple key IT ACA initiatives projects for individual, Small and Medium market, including obtaining business approvals, designing and implementing critical implementation strategies, communication planning, procurement of necessary systems and software, resource, vendor, and change management, and solution development
• Work with DC and VA Exchanges to make sure the business strategy is aligned along with project implementation timelines.
• Work with DCHL on processing and setting up exchange groups using xml. Have weekly calls to resolve any issue/risks holding the group setup implementation
• Create and review project plan, budget, risks, resource burndown and timeline to make sure the implementation is aligning with business defined milestone.
• Responsible for establishing strategic partnerships with vendors, negotiating and managing vendor costs
• Develop the Implementation roadmap and budget needed to support business priorities and aligns to enterprise strategies and industry trends
• Developed a list of best practice processes and system changes designed to improve the stability and quality of the delivery process to the enterprise business operations
• Manage phases of SDLC throughout the Project Life-cycle using Waterfall & Agile Methodology with deep understanding of technology focus on delivering business solutions
• Develop and present executive level program approach and strategy documents, program status reports, program issues and risk, corrective mitigation options and data quality metrics
• Conduct daily, weekly project status and CCB meetings to manage the progress of the project

Technical Environment: Pega, J2EE, JMS, Oracle, WebSphere 6.0, ALM, Clarity, MKS Version tool, SharePoint, Facets, Webservices (REST, SOAP)

Confidential,Owings Mill,MD

Technical Project Manager

• Work with CMS to define project scope, milestones, and deliverables. Prepared and managed technical delivery plan for development of T-MSIS to accept different state files to process successfully within T-MSIS.
• Provide solution roadmap for different areas of system implementation (State file processing, Data conversion and BI Reporting)
• Collaborating with different vendors for the completeness of system implementation based on state needs and policies.
• Design T-MSIS system based on customer needs considering the scalability and reusability
• Present periodic solution implementation to CMS to ensure successful delivery and on time completion
• Perform impact analysis with other systems before implementation to prevent business failures
• Manage all aspects of the TMSIS in compliance with CMS Project Management, CMS Expedited Life Cycle (XLC), and OIS and Industry-based Agile Software Development Life Cycle (SDLC) standards
• Coach, mentor and lead personnel within a technical team environment
• Utilize CMS defined tools and technologies for defect tracking, change management process, project scheduling, risk management
• Conduct daily, weekly project status and CCB meetings to manage the progress of the project
• Quickly address production related issues prioritized by the CMS using Request for Change (RFC) processes
• Performing the efforts to translate the operational need into the TMSIS performance and configuration specifications, incorporating all physical, system, and functional requirements to achieve an optimal design; and integrating factors such as maintainability, reliability, safety, and security to meet cost, performance, and schedule objectives. Capturing this information and detail in complete technical documentation

Technical Environment: J2EE, JMS, iLOG, MQ, Oracle, WebSphere 6.0, HP Quality Center, MKS Version tool, SharePoint, Informatica

Confidential,Reston,VA

Project Manager

• Build credibility, establish rapport, and maintain communication with stakeholders at multiple levels, including those external to the organization
• Define project scope, milestones, and deliverables. Prepared and managed project plan for development and integration of new Self Service Application portal that was implemented on time and within budget, enabling Medicaid users for online managed care enrollments
• Aligned customer needs and solution strategies to define detailed solution roadmap
• Introduced streamlined processes and procedures incorporating CMMI Level3 best practices to ensure successful delivery and on time completion
• Solution Implementation using Agile methodology and follow change management process for all new system functionality changes
• Coach, mentor and lead personnel within a technical team environment
• Present periodic Dashboard reports to Senior Management on the current program, future opportunities and client issues
• Utilize ALM and JIRA for defect tracking, change management process, project scheduling, risk management and project release status reports
• Define project scope, milestones, and deliverables. Prepared and managed project plan for development and integration of Siebel System with OBIEE and OKM to create and manage service requests
• Work with Implementation Vendors to manage project schedule to make sure implementation is on track per plan
• Work with Architecture team, Infrastructure group, and Security team to make sure the application has been built with required security features, application and database servers to meet customer expectations
• Conduct and participate in daily, weekly project status and CCB meetings to manage the progress of the project
• Create necessary risks or Issues based on the deliverables and manage it to closure with appropriate mitigation strategy
• Utilize ALM and JIRA for defect tracking, change management process, project scheduling, risk management and project release status reports

Technical Environment: J2EE, JSF, Servlets, XML, STRUTS framework, Oracle, WebSphere 5.0, Software Planner, JIRA, Subversion, SharePoint, SIEBEL, OKM, OBIEE, XML

Confidential,Washington,DC

Technical Project Manager

• Diligently worked with Business stake holders in completing project charter, budgeting, cost benefit analysis and planning for the successful execution of the project
• Work with PMO on project planning, resource planning and cost budgeting
• Lead Technical Architecture of the system considering all portability aspects under Matrix organization
• Design system using J2EE design patterns and SOA architecture for web service integration with Pega
• Implement all CMMi level3 PMLC/SDLC processes along with PMP tools and techniques for the success of the project
• Integrate application with proprietary, customized Business Rules Engine
• Manage a team of 10 developers, 5 testers and 2 BA’s to implement changes as per Agile methodology
• Involved in each step of development life cycle from inception to deployment
• Maintain all project documents using Microsoft SharePoint
• Perform impact analysis with other systems before implementation to prevent business failures
• Use industry best software methodologies and tools to track and for the successful completion of the project
• Making sure all claims HIPAA transactions like 835/837 been processed successfully through the system using HIPAA EDI gateway based on files from CMS

Technical Environment: Java, JSP, Servlets, XML, STRUTS framework, Oracle, EAI API, TIBCO BC, Quality Center, Clarity, Serano, SharePoint

Confidential,Gaithersburg,MD

SE Manager

• Lead requirements gathering, architecture and implementation of State of Michigan MMIS Eligibility and Enrollment System for Medicaid, SCHIP, CSHCS, MOMS programs and Third Party Liability (TPL) System and Claims
• Hire, lead, and manage team of 15 including Business Analysts, Developers, and Testers
• Design and implement real time web services for eligibility and enrollment updates using SOA architecture
• Design and implement benefit packages for Medicaid beneficiaries based on eligibility, age, county, poverty level, etc.
• Design and implement commercial (BCBS, Vendor Update) and Medicare insurance coverage’s (MMA) including Part A, Part B, Part C and Part D
• Involved in HIPAA 270/271 EDI transactions for provider Eligibility Inquiry for Medicaid and MIChild Beneficiaries; this HIPAA trading partner gateway takes doctor/hospital 270 input, confirms and validates coverage, and outputs 271 response
• Involved in HIPAA 834 HIPAA trading partner gateway transactions (Daily, Weekly, Card cut off, 1st of Month Positive file) to report eligible beneficiaries in different Managed Care health plans like BCBS, Delta Dental, Omnicare, Bluecaid, Great Lakes of Michigan etc for health programs including Medicaid, MIChild, Mental Health, Substance abuse, Healthy Kids Dental, Waiver programs like Adult waiver, Child waiver
• Involved in industry 5010 standard design for HIPAA EDI transactions for 270/271, 834, 835 and 837 from current 4010 implementation
• Work with client daily to understand business requirements and provide quality product solutions
• Manage requirements gathering activities including initial requirements gathering in Word, creation of detailed specification documents, use, cases and input into IBM Rational tools
• Integrate application with proprietary, customized Business Rules Engine
• Work with developers to implement changes as per Agile methodology
• Involved in each step of development life cycle from inception to deployment
• Follow quality standards based on the state’s priority items
• Responsible for all phases of the development life cycle from inception through deployment
• Perform impact analysis with other systems before implementation to prevent business failures
• Follow HIPAA process to report beneficiary information to Managed Care Organizations (MCO)
• Execute critical processes during QA which impact business based on changes to the code
• Quickly address production issues prioritized by the state using Request for Change (RFC) processes
• Write proposals for State of Maryland’s beneficiary management and third party liability programs

Technical Environment: Java, JSP, Servlets, XML, STRUTS framework, Oracle, Cognos, ReqTrace, Rational ClearCase and ClearQuest, Sibel CRM, Oracle Financial, Web service, JCAPS, Edifecs, GenTran, Toad, PL/SQL

Confidential,Phoenix,AZ

Senior Associate

• Performed complete life cycle of development from inception to deployment
• Analyzed business and technical requirements
• Performed high Level and detailed design using Rational Rose
• Generated pseudo code using Rose
• Used Harvest for version control and process flow and to ensure quality of project

Technical Environment: Java, Servlet, Oracle, Rational Rose, Harvest