SUMMARY:

• Over 19 years of extensive senior - level leadership experience in Healthcare, MITS, MMIS, IV&V, CMS, Medicaid, applications development customizations, program management, requirements management, and process improvement, managing teams up to 135 members and $43M.
• Passionate about client satisfaction and challenging the status quo where desirable ROI’s can be obtained. Successful history of leading high-impact, high-visibility, global initiatives, improving team performance to deliver on-time and on-budget. Outstanding leadership, motivation, presentation and consulting skills.

CORE STRENGTHS INCLUDE:

• Matrix Management (Waterfall/Agile)
• Managing Complex Programs/Projects
• Leading Remote Teams
• Client & Engagement Management
• Mentoring and Coaching
• Requirements-Big Picture Focused

SPECIALIZED SKILLS

• Strategic and Business Planning
• Career marked by MMIS & Medicaid leadership roles at industry leaders HP, Dell, & Multi-States
• Enterprise Healthcare Delivery
• Team management up to 135
• Directed 28 super-scale initiatives ranging from $500K to $44M leveraging PMI, Agile, SAFe, ITIL, Six Sigma and other global best practices
• PMO and Program Management
• Improved delivery times and service levels while reducing costs and maintaining quality
• Onshore / Offshore Models
• Recognized for building highly successful project and program teams and successfully executing

PROFESSIONAL EXPERIENCE:

Confidential, Ada, MI

Validation Program Manager

Responsibilities:

Work with members of the organization’s senior management team to set the overall strategy and objectives for system changeover from JDE to EBS a multi-million dollar program implementation. Communicate the strategy to the project managers and ensure that individual project goals align with the strategy. Coordinate teams working on related projects from a program management perspective, oversee efforts of development and technical teams, coordinate the work of QA and QC managers, verify results and report to independent management teams focused on delivering the individual products and manage weekly client, management, project and business teams. Manage budget and financial projections, report status to leadership, setup change, issue and risk management meetings.

Confidential, Albany, NY

MMIS Agile Program Manager

Responsibilities:

Manage the program conversion methodology from Waterfall to Agile to create a mixed methodology in accordance with Confidential and client requirements. Provide modular IV&V coordination of MMIS projects and program deployment schedule, DR, BC plans vendor management steering and contract turnover efforts. Reviewed budget, deployment plan, recommended actions, under guidance of leadership, communicate program status to client and CMS, directed development of reports, validation and verification of deliverables.

Confidential, Jefferson City, MO

IV&V Project Manager

Responsibilities:

Senior HHS Missouri Eligibility Determination System (MEDES) project manager responsible for requirements establishment, managing requirements through entire project lifecycle, managing reports team, CURAM, SSO and Data Warehouse CMS validation programs, milestone achievement and requirements parallels, conducted steering committees meetings, communicated and managed stakeholders, coordinated with state management, CMS, legislature and DOH client facing. Interpreted and matched contract and RFP, SLA and OLA agreements to requirements, conducted QA and QC audits to assure all requirements were achieved. Amended PMO procedures, established project controls, instituted project and program methodology and trained project managers and provided executive state level briefings and managed client expectations.

Confidential, Columbus, OH

Project Director

Responsibilities:

Directly responsible for the fulfillment of the requirements and multiple MMIS projects and programs contractual vision and obligations as negotiated with client, performed IV&V audits, managed Medicaid-CMS certification as agreed upon in the signed contract. Assisted accounting team in the management of finances for the account, including invoice creation, timely receipt of client payments, OLA and SLA, established payment determination policy and procedures for payment disbursements. Developed strategy needed to achieve agreed upon milestones and deliverables, managed MMIS product, program and contract management, requirements and program lifecycle overseeing, created and managed $12M program budget. Conducted stakeholder and steering committee meetings, managed program controls and reporting, maintained oversight of project resources and capacity, key milestones and project status. Worked with the internal team and client to set expectations, manage priorities, and create a team-oriented work climate enabling a transparent and efficient project operating model.

Confidential

MMIS Program Director | MMIS Project Manager

Responsibilities:

• Confidential (Program Manager) Delivered Medicaid and Medicare program consulting at the project and program level. Managed teams up to 122, planning and operational status, steering committees, applications customizations, systems integration, requirements management, client management, schedule risk, issues and changes oversight, created references including project plans, OLA, SLA, RFP, DR. BC and status reports; created and managed project and program financials.
• Confidential (Program Manager) Rescued Medicaid and Medicare critical programs in danger of defaulting, created go-to-green plan, coordinated all client communications, and changed from Waterfall to Agile methodology. Managed implementation of MMIS, BCBS UM, and program sizes ranging from 5k to 19k hours, and 75 team members, $3M program budget, total budget by crashing schedule from $5M. Confidential (Healthcare Project Manager) Executed $3M CMS MU program to build MU plan for CMS, Medicaid and Medicare, deploy to over 122 providers and hospitals, in MS and LA, created program and project schedules, training, and operating procedures, created and deployed MU campaign, ensured changed management, issues and risks mitigations.
• Confidential (Director Applications Deployments) Successfully managed team of 67, trained project managers and product owners, administered Medicaid MMIS, MITS and CMS managers and teams, led TPL, Pharmacy, Duals, LTC, MC, claims and billing departments and provided Ohio state side IV&V audits, and managed contractors and vendors.
• Confidential (Healthcare Project Manager) Delivered Medicaid, QNXT and CareAdvance application development and infrastructure solutions across several states (CO, VA, IL and ID). Recruited, mentored and stabilized team of 50+ international staff, Facilitate responses to and resolution of, client impacting issues, requests, changes and events related to support project commitments.
• Confidential (Healthcare Sr. Project Manager) Centralized 23 distributed hospital data centers reducing operation budget by 76%, directed staff of 25, managed vendors, and RFP creations, deployed and implemented EMR/HIS/EHR systems, built and tested DR/BC plan and cyber security efforts.

Confidential, Round Rock, TX

Healthcare Infrastructure Project Manager

Responsibilities:

Managed over 110 implementations of Medicaid-MMIS, infrastructure, MITS, healthcare and technology systems, managed deployments of Medicaid MMIS systems with team sizes from 3 to 40, delivered 16000 hour $14M project to Medicaid federal government. Manager 6 vendors, client and engagement management and over 180 client facing engagements.

Confidential, Louisville, KY

Medicaid Project Director

Responsibilities:

Operations management of healthcare billing, claims, provider program management, LTC and HH domains for the state of Kentucky Medicaid, managed 8 project managers, provided QA and QC audits of consultant work from the state perspective, direct reports consisted of 10 department managers, and team of 45 analysts, oversight of Medicaid and MMIS efforts, financial, TPL, billing, claims, Pharmacy, Lab and MC domains.