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Sr Hie / Provider Portal/ Provider Lifecycle Management It App Dev Manager Resume

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NY

SUMMARY

  • Performance driven with 15+ years of professional experience in top tier management consulting firms with a rich blend of business and technology.
  • Outstanding track record of successful delivery of strategic, enterprise - wide solutions for Fortune 500 organizations in Healthcare & BFSI
  • Performed multiple roles such as Engagement Manager, Program Manager, Project, Business Analyst, Business Architect, Project Lead at different stages of the project life cycle
  • Managed key IT Healthcare Clinical, Provider Portal & Provider Lifecycle Management (PLM) Application systems and other Delivery Systems for Confidential
  • Managed development of Health Information Exchange (HIE) system modules & HL7/ CCDA integrations of ADT & other clinical data with multiple Provider Organizations through SAFE Agile processes
  • Implemented state of the art Digital Patient Experience systems for confidential Pavilion with integrations to EMR system, EPIC & other Clinical applications
  • Implemented mission critical Healthcare Insurance projects with unique challenges and high risks for Confidential / Confidential in record time
  • Implemented KPI based solutions with BI tools for Healthcare metrics based programs such as Meaningful Use (MFU), Pay for Performance (PFP), Hospital capacity Management, Hospital Performance Management, Bizwatch for Healthcare BPO houses with ROI driven model for Major hospitals and providers such as  ( Confidential ) and Confidential, NY.
  • Created BI solutions on EMR platforms such as Allscripts for confidential.
  • Worked within the PMO office to manage end-to-end project governance and managing portfolios of project using Microsoft Project with Pivot Chart and SharePoint.
  • Created Healthcare Revenue Cycle Management (RCM) workflows for leading Healthcare RCM companies and Workforce Solutions for Spend Analytics for MedAssets
  • Led medium to large size teams, communicated and coordinated with cross-functional teams of the client and senior leadership of business and IT in executing large SDLC projects within approved budget
  • Extensive experience in Onsite-Offshore Global delivery management framework, managing multi-cultural teams in delivering quality products.
  • Executed 1200 man-months SDLC project in 32 months leading a 25-member team saving 30% cost
  • Implemented state of the art Default solution for a leading Mortgage company increasing resolution rate from 60% to 70% and reducing recurring data download costs saving the company $1 million in annual costs
  • Implemented ERP, Data Warehousing, Web Based Distribution system (B2B), EDI in record time of 20 months with 1400 concurrent users which included networking 24 branches all over the country, one of the largest implementations in Asia

CORE COMPETENCIES

  • Leadership Strategy & Planning
  • Vision & Roadmap Formulation
  • Solution Delivery
  • Program & Account Management
  • Product Management
  • Business Analysis
  • Business Process Management
  • EMR & Other Clinical Application Integrations
  • Health Information Exchange (HIE)
  • Healthcare Insurance
  • Mortgage Banking
  • ERP/CRM/SCM
  • Project Tools : Rational Tools (RUP Methodology), MS Project, MS Visio, Rally, Basecamp, Clearquest, Dashboards
  • Methodologies: Agile; (Extreme Programming (XP), Scaled Agile (SAFE) Scrum, Hybrid (Agile on Waterfall framework), Waterfall,
  • PPM Tools: Microsoft Project with SharePoint

PROFESSIONAL EXPERIENCE

Confidential, NY

Sr HIE / Provider Portal/ Provider Lifecycle Management IT App Dev Manager

Responsibilities:

  • Managing delivery of Health Information Exchange (HIE) applications interfacing Confidential insurance data with sponsoring hospitals data through HL7 CCD and SDA interface.
  • Creating processes for delivery and releases of HIE products & modules
  • Successfully implemented upgrade of HealthShare an HIE solution
  • Managed delivery of Provider Portal & Provider Lifecycle Management (PLM) applications
  • Liaised with Sr Leadership of other Clinical systems for delivery of Clinical applications
  • Created analytical modules in HealthShare for providing metrics to providers and Confidential insight into patient experience, consumer behavior and other health related data

Confidential, NY

Program Manager

Responsibilities:

  • Implementation of unique digital patient experience solution at Confidential
  • Responsible for managing vendor solutions from RFI/ RFP to delivered solutions
  • Implemented mobile & digital solutions using Agile and Hybrid Methodologies
  • Liaised with Senior leadership up to CIO, CTO & Sr VP Clinical for reporting & decision support

Confidential

Program Manager

Responsibilities:

  • Communicated and coordinated with cross-functional teams of the client and senior leadership of business and IT in executing large SDLC projects within approved budget
  • Managed complicated projects related to Claims Processing system (MPD) within the HIPAA and HITECH framework
  • Managed the complete SDLC process of multiple projects using Clearquest and Microsoft Project as a tool to manage multiple Programs/ Projects which included but not limited to authoring requirements, SQA testing, user acceptance test cases, and post production verification.
  • Managed large healthcare programs such as migration of Dental IT systems including Benefit system (CPL), Online Member Portal, Enrollment Systems confidential and outsourced vendor claims adjudication systems within the budget of $ 5 mn and 50 resources.
  • Managed the integration of a new benefit repository CPL (central product library) integration to systems of record, claim engines and portals included activities from planning approximations, risk mitigation, issues, and budget spends.
  • Worked with PMO office to manage project portfolios with PPM tools like Microsoft EPM Microsoft Project Server & SharePoint

Confidential, New York

Sr. Program Manager Executive

Responsibilities:

  • Part of a team for setting up Enterprise Performance Management Solutions practice for Healthcare using the flagship EPM product MCube.
  • Implemented KPI based solutions with BI tools for Healthcare metrics based programs such as Meaningful Use (MFU), Pay for Performance (PFP), Hospital capacity Management, Hospital Performance Management,confidential for Healthcare BPO houses with ROI driven model for Major hospitals and providers such as ( Confidential ) and Confidential, NY.
  • Created BI solutions on EMR platforms such as Allscripts for confidential. with a team of 30 resources in 18 months with a cost competitive $ 1.2 mn budget.
  • Business architected and delivered large, complex HAMP calculator to calculate the terms and measures of the HAMP program in Mortgage Servicing for confidential Mortgage
  • Business architected and delivered comprehensive Case Management system for managing Foreclosures. Managed a team of 20 to develop the Case Management application in a record time of 8 weeks with sophisticated features like email alerts and document management system for Confidential
  • Managed the development of products for retail mortgage and the migration of infrastructure from California to Kansas for Confidential
  • Successfully executed the development of an end-to-end default application from scratch and delivered an end-to-end default SOA based workflow solution with robust algorithm models and 9 interfaces for Confidential Corporation

Confidential

Business Architect/ Product Manager/ Client Relationship Manager

Responsibilities:

Led and delivered large, complex, full-lifecycle client engagements that identified, designed, and implemented creative business and technology solutions for Pharma and Healthcare. Provided functional and technical expertise, direction, project planning, implementation methodology, change management, and risk management. Produced high quality deliverables adopting the agile project management methodology. Managed multiple projects and their dependencies. Led the development of robust semantic models for Pharma and Healthcare

Confidential

Engagement- Client Relationship Manager

Responsibilities:

Conceptualized and developed Healthcare Revenue Cycle Management products, Managed the implementation of confidential solution and anchored Pre-Sales and Business development activities for confidential providers and solution companies.

Confidential, Dallas

Project Manager- HAMP Solution

Responsibilities:

  • Designed the business architecture of the HAMP calculator
  • Facilitated the development of macros for creating the program

Confidential, California

Responsibilities:

  • Business architected and delivered comprehensive Case Management system for managing Foreclosures. Managed a team of 20 to develop the Case Management application in a record time of 8 weeks with sophisticated features like email alerts and document management system.
  • Created the business and technical architecture of the product in 1 week
  • Led and delivered the project in a record time of 2 weeks
  • Validated the system with the attorney network

Confidential, New York

Program Manager- Developing Collections Applications

Responsibilities:

  • Delivered project needs on time and within the agreed acceptance criteria in a Agile methodology environment
  • As Scrum Master organized and facilitated Agile and Scrum meetings, which included Sprint Planning, Daily Scrums or Standups, Sprint Check-In, Sprint Review & Retrospective
  • Coordinated and helped product owner to manage product backlogs and priorities
  • Led the development of robust scoring models for call management.

Confidential, CA

Program Manager / Business Analyst

Responsibilities:

  • Lead a team of 25+ people in implementing one of the most successful projects in Option One increasing resolution rate from 60% to 70% and saving the company $1 million annually by data download
  • Communicated with client project team & the steering committee, which included the Vice President & other Senior persons of IT & business which included giving project status reports and getting approvals of key strategic decisions
  • Successfully executed a complex data migration project through implementation activities such as Master data setup, defining the pilot group and dynamic data migration
  • Developed robust mathematical models such as Resolution Models and other Loss Mitigation tools.
  • Monitored and executed projects using project planning tools of Microsoft Project with < 3 % variance in schedule. Created scientific and accurate estimates using the FPA reducing the cost variances < 5 %

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