SUMMARY:

• Senior project manager specializing in complex enterprise - level portfolios for multi-entity organizations
• Extensive experience managing multi-year, multi-million dollar program portfolios for Information Technology, Healthcare (Revenue Cycle & Clinical), Population Health Management and Health Plan Administration
• Designed & implemented a project management office (PMO) for the Arizona Care Network, a division of Confidential
• Currently managing portfolio of projects affecting over 250,000 individuals and representing ½ billion dollars in benefit administration
• 15 years’ experience deploying large scale IT and non-IT portfolios
• IT Program\Portfolio management: software development & deployment, hardware components & appliances, networking, security, privacy, compliance, quality, testing, E-commerce, & analysis
• Proficiency in managing both assets and labor for portfolios including multi-year forecasting of capital and operational expenditures
• Proficient in the use of Waterfall, Agile, and Scrum PM processes
• Proficient in SDLC and experience using Lean Six Sigma DMAIC process improvement procedures
• Accustomed to creating PMO policies and procedures, including training of project managers
• Proficiency in managing\building projects for Allscripts and Epic EHR systems
• Supervision of project managers, analysts, developers and other senior staff assigned under portfolios
• Accustomed to working with local, remote, and international teams
• Proficient in following PM\IT tools: MS Office 365, MS Project, Hewlett-Packard Project & Portfolio Management (PPM), Plan View, SharePoint, Hewlett-Packard Application Lifecycle Management
• Graduate degree in Project Management with over 270 contact hours of PM coursework
• Facilitate university courses in Project Management and Electronic Health Records

PROFESSIONAL EXPERIENCE:

Confidential, Phoenix, AZ

Project Manager

• Designed and implemented PMO for the Arizona Care Network, a division of Confidential
• Created all PMO policies and documents, from project intake and analysis, to closure and archiving
• Regularly influence PMO policy and procedures
• Currently managing portfolio of projects affecting over 250,000 patient lives and representing ½ billion dollars in benefit administration
• Senior project manager assigned to portfolio which manages contracts for all major ACN payors including Aetna, Bright Health, Cigna, United, Medicare, and Mercy Care Plan
• Assigned as senior project manager for Solve.Care Care.Wallet project which utilizes block chain technology to distribute incentive payments across network of over 5,000 providers
• Conduct projects related to IT, Process Improvement, Quality Improvement, Contracting & Facilities Management

Confidential, Phoenix, AZ

Senior Project Manager

• Managed enterprise-wide IT portfolios across the entire Confidential hospital network including 3 states and 39 facilities
• Managed for the Optum360 eFR portfolio, a major multi-year revenue cycle program. This program was part of a $30 million initiative
• Managed a major initiative to transition and consolidate all vendors for Confidential on an enterprise level. Worked in partnership with Optum 360 on this initiative. Project labor budget over $2 million
• Clinical projects: Senior PM on an Electrophysiology Lab project with a budget of $2.1 million. Project includes installation and configuration of several pieces of bio-medical equipment, as well as storage and virtual machine servers
• Regularly develop and maintain project schedules, budgets, and staffing profiles. Develop multi-year staffing forecasts and providing regular project to senior leadership and executives
• Manage risks and issues for all projects from identification through resolution
• Work with project teams to develop project charters, business requirement documents, technical requirement documents, privacy impact assessments, security reviews, disaster recovery plans, testing plans, HIPAA regulatory documentation, and project closure documentation.

Confidential, Tucson, AZ

Application Project Manager

• Managed revenue cycle portion of EHR implementation. ($26 million project)
• EHR project management comprised of building claims, registration, and billing modules.
• Implemented daily revenue deposit system that managing over $360 million dollars in yearly revenue.
• Implemented online bill payment system that collects over $1 million dollars in revenue per year.
• Managed project that created a custom billing solutions for the Arizona Disabilities Department
• Extensive experience in managing projects related to proration and contract build within EHR’s
• Experience in interpreting and building hospital payer contracts within EHR systems
• Managed project to implement a system to manage outside vendor reconciliations for 9 agencies.
• Managed Epic Clarity reporting (IBM Business Objects) project for revenue cycle department.
• Extensive experience in developing capital budget requests
• Proficiency working with Allscripts products including Access Manager\Patient Financial Manager
• Proficiency in managing claim scrubbing projects for SSI and Change Healthcare. These projects ranged from full implementations to implementation of post go-live modules.
• Specialized in implemented Accelerated Secondary Billing modules for SSI and Emdeon.
• Managed claim projects to administer direct submission of claims to payors.
• Extensive experience in working with EHR\Claims\Revenue Cycle vendors. This includes working with sales, contract, and technical professionals.
• Managed claim scrubbing project using PC ACE PRO. This initiative was a custom solution tailored just to manage Medicare Railroad claims. Project included 837 and 835 configuration, claim edits, physician set up, and import specification build.
• Extensive experience working with HIPAA transaction sets including 270, 271, 277, 835, 837, 997.