SUMMARY:

Agile Servant Leader and Certified Agile Coach and Agile Team Facilitator experienced in agile software development, digital application development and enterprise PMO. Confident, results - driven leader with exceptional communication and interpersonal skills committed to agile collaboration and continuous improvement.

AREAS OF EXPERTISE:

• Certified Scrum Master
• Agile Certified Coach
• Certified Agile Team Facilitator
• Agile Transformation
• Scaled Agile/SAFe
• Distributed Teams

PROFESSIONAL EXPERIENCE:

Confidential

ScrumMaster

Responsibilities:

• Servant leader to two digital application teams new to agile framework. Team 1 was tasked with implementing enhancements across the corporate public facing site to improve user experience via self-service, promoting and supporting the brand and driving leads. Team 2 was tasked with creation, conversion and maintenance of microsites, patching and production support and some project work.
• Provided daily support and guidance to teams.
• Facilitated ceremonies; coordinated with external team and dependent non-agile teams.
• Set up and managed budgetary resource allocations.
• Assisted in bi-weekly deployments and program releases.
• Partnered with Transformation Team to establish best practices, evaluate enterprise tools and as a member of the Transition Communications Team.

Confidential

Senior Project Manager & ScrumMaster

Responsibilities:

• Managed and led a team of information technology professionals new to agile development tasked with building a web based Surety Agency Management System using Scaled Agile Framework (SAFe).
• Coached team members on Scrum methodology and use of JIRA software.
• Facilitated daily scrums and scrum ceremonies.
• Assisted with creation and grooming of backlog. Led change management efforts.
• Removed impediments and oversaw integration efforts, risks and dependencies.
• Participated in ScrumMaster Community of Practice (CoP) and Scrum of Scrums (SoS).
• Managed status reporting and metrics.

Confidential

Senior Project Manager

Responsibilities:

• Start up Medicare business to include ten plans in seven states including five Dual Special Needs Plans (DSNP), two Medicare Advantage Plans (MAPD) and three financial demonstrations (MMP).
• Direct responsibility for implementation of Marketing & Sales (HealthPlanCRM, Adv), Communications (websites, portals Fulfillment and ANOC), Enrollment (EDI 270, 271, 834), Customer Service and Claims (Paper, EDI 835, 837, EOB) via TriZetto hosted solution, Supplemental Benefits, Pharmacy Benefits (Argus), Finance (AP, AR, Billing, EDI 820, EFT, Banks), new Data Warehouse & Reporting, Compliance and Audit functions.
• Led efforts to bring Enrollment and Claims in-house in Year 2.

Confidential, Kennett Square, PA

Program Manager

Responsibilities:

• Direct management of two new turnkey programs for large utility companies for energy efficiency initiative in mid-Atlantic region for $56M & $27M contracts. Client facing position with full accountability for program:
• P&L responsibility; exceeded revenue target by 5%.
• Program management including strategic planning, risk mitigation and quarterly business reviews with clients.
• Product owner proxy for agile development and roll out of SaaS web based application to manage load sheng on peak demand days and web portals for consumers.
• Management of smart thermostat and digital control unit inventory of $7M/year.
• Recruitment and management of 47 office staff, HVAC field technicians and warehouse employees.

Confidential, Ft Washington, PA

Senior Project Manager

Responsibilities:

• Managed team of five Project Managers and three Project Analysts and their portfolio of work. Additionally, direct hands-on management of large scale strategic and tactical projects. Collaborated on development of PMO standards, templates, methodology and performance appraisal criteria. Active participant in Project Steering Committee and PMO/IT bi-weekly meetings to discuss and prioritize change requests and release management.
• Managed Fulfillment for Medicare Annual Notice of Change (ANOC), Pre Enrollment Kits, Welcome Kits, ID cards, system generated letters, coupon books, replacement materials, Rx directories and Evidence of Coverage (EOC) for 6M members and prospects with four vendors within tight time and regulatory constraints with 100% success.
• Successfully managed post-acquisition integration of 4.5M Part D EOBs from two external vendors to a subsidiary resulting in savings of $600K per month.
• Implemented product expansion for Medicare Advantage Plans to include prescription benefits in 32 states and 2 US territories.
• Launched 837I EDI implementation resulting in HIPAA compliance and streamlined Medicare claims processing.
• Program managed rebranding of all member materials as part of strategic alliance with AARP for four lines of business on four legacy applications.
• Migrated billing function for 1.6M members and employer groups to an integrated web based front end policy administration application and three banks resulting in 35% increased automation and 50% reduction in required FTE’s.

Confidential, Philadelphia, PA

Manager, Claims System Development and Support

Responsibilities:

• Managed Systems Testing and UAT cross-functional teams and nine direct reports.
• Responsible for comprehensive testing strategies, detailed project plans, robust test plans, and accurate / timely metrics related to data conversions of HMO and PPO business for out of area claims to PowerMHS.

Sr. Business Systems Analyst, AmeriHealth Data Management and Business Support

Responsibilities:

• Successfully managed development of Claims Adjustment Inventory Management System. Gathered business and system requirements, designed reports, developed training manuals.
• Defined business requirements, developed process improvements and designed database resulting in 35% increased first pass auto-adjudication rate.
• Owner of business process mapping initiative for all AmeriHealth lines of business.
• Designed and launched Operations Intranet site.