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It Manager / Sr. Technical Project Manager Resume

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Los Angeles, CA

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SUMMARY:

Delivering Values Through Business and IT Integration ◊ Accomplished high - energy and detail-oriented professional with 16 years of on-hands experience in Management, Team Leadership, Technology, and Business development; with proven record of achieving business goals through effective technology use and delivering highly visible IT projects on-time and on-budget; decisive and inspiring leader and motivator with strong commitment to exceptional results through building a reliable team of professionals.

EXPERTISE AREA:

  • Strategic Business Planning Project Management & Execution Automation Optimization
  • Staff Training & Leadership SDLC: Waterfall, Iterative, Agile, Scrum IT Production Support
  • Systems Design, Development Sarbanes - Oxley (SOX) Compliance Data Privacy Compliance
  • Healthcare, Production, Entertainment, Distribution, International, Public Service

TECHNOLOGIES:

EDI, DBMS, SQL; OLTP, ETL; SDLC; B2B, VMI; Six Sigma DMAIC; SOX, HIPAA

EXPERIENCE:

IT Manager / Sr. Technical Project Manager

Confidential, Los Angeles, CA

Responsibilities:

  • Perform technical evaluation of IT system upgrades, managing technical design and development of IT projects including risk mitigation, motivation, direction, and team leadership.
  • Managing design, development, production support, upgrades, and optimization of 150+ Electronic Data Interchange (EDI) medical claims processes for more than 7 Million healthcare patients and full compliance with mandatory PHI data management regulations.
  • Working as liaison between business users and IT, actively interact with company stakeholders and external vendors about accurate scope assessments, proper documentation of the technical and business requirements, and effective development of IT projects.
  • Tracking and managing projects actual cost, as well as reporting total spending forecasting.
  • As Project Manager and Scrum Master spearheaded enhancement projects for medical eligibility (2014) and healthcare claims (2015-2016) electronic processes and submission. Accuracy significantly improved, manual work reduced twice, efficiency increased by 80%.
  • Guided implementation of mandatory Healthcare Confidential upgrade (2015) from the requirements analysis and FRD/TRD creation, to IT development, QA/UAT, and end-to-end testing with business partners. The project was successfully completed on time with exceptional results.

Manager, EDI Business Operations Group

Confidential, Pasadena, CA

Responsibilities:

  • Led strategic development and implementation of HIPAA mandatory EDI system upgrades.
  • Participated in planning of cross-department regulatory compliance development.
  • Collected and formalized project requirements acted as liaison between business users and IT. As a result, prod support improved; complains dropped to near zero.
  • Worked with external vendors. Improved production support coordination and testing.
  • Attended national EDI industry conferences ( Confidential X12 and Confidential ) and participated in industry development discussions. Shared with the team the best data processing practices.
  • Managed direct reports, matrix reporting positions, and cross-functional project teams.

IT Technical Lead

Confidential, El Segundo, CA

Responsibilities:

  • Provided technical leadership and subject matter expertise for company’s EDI eligibility projects.
  • Collaborated with business leaders to analyze and resolve business problems, evaluated impact of proposed solutions from business and technical perspectives.
  • Participated in development of IT compliance plan: updated stakeholders with key information.
  • Led mandatory HIPAA 5010 upgrade including creation of technical documentation, database design, development of extract/load processes and EDI transactions mapping.
  • Trained and managed IT developers, collaborated with vendors on process adjustments and testing.
  • Managed EDI project resulted in adding of over 130 new trading partners while increasing process efficiency and accuracy, reducing 50% of manual work and eliminating of 75% errors.
  • Reduced costs and improved productivity by recommending hardware and software acquisitions and necessary training to maintain efficient and cost effective technology solutions.

IT Technical Lead / Project Manager

Confidential, Long Beach, CA

Responsibilities:

  • Managed design, development and production support of various HIPAA, EDI and SQL projects critical for timely submission of Medicaid/Medicare claims to government agencies.
  • Based on stakeholders’ requirements, designed electronic medical data processes, created development documentation, led IT development, and trained business users.
  • Recovered $36M by analyzing CMS requirements, designing and leading development of fully automated medical EDI Claims Submission System. Trained and managed IT teams.

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