Senior Project Manager Resume

JOB SKILLS:

EDI Tools: Informatica B2B DT 9.1x; WTX/DataStageTX/Mercator Design Studio, Websphere Datastage Mercator Commerce Broker: Message Manager & Partner Manager, Mercator Enterprise Broker, EDISIMWebsphere Message Broker/IIB

Other experience: CAI, STC, Paper Free, Foresight, Trading Partner PC, ECXpert, Biztalk, SQL Queries

Operating Systems: Windows (98, 2000, XP, NT), Unix (Sun Solaris, HP - UX, IBM - AIX), Vax

Languages, Standards & Applications: XML, HTML, Oracle, DB2, SQL Server, Microsoft Access, Microsoft Project, Visual Basic

Standards Formats & Regulatory Groups: ABI (Automated Broker Interface - US Customs), X12, HL7, NCPDP, Edifact, CMS - Confidential (National Standard Formats)

EDI Messages: Swift - mt103, mt202, mt541, mt543, caps, mt509, mt515, mt518, mt599, 9xx, mt604, mt605, mt692, X12 - 270, 271, 276, 277, 309, 315, 350, 352, 353, 355, 357, 358, 810, 811, 820, 824, 832, 834, 835, 837, 850, 855, 856, 860, 865, 875, 876, 997, ABI - CF-7501, HTS (Harmonized Tariff Schedule), CAMIR transaction sets, CAMIR transaction sets

OTHER SKILLS:

Project Management
Business and technical analyst
Technical speaker and trainer

PROFESSIONAL EXPERIENCE:

Confidential

Senior Project Manager

Responsibilities:

Led business team to define requirements for Medicare enrollment and eligibility preparing for Confidential and Humana merger.
Supported requirements, IT interoperations and business readiness for divesting 200,000 members to Molina Healthcare as part of the Confidential and Humana merger.
Supported requirements and business readiness within Confidential to support a third-party administration agreement with Molina Healthcare for the 200,000 divested Medicare members.

Confidential, Cypress, CA

EDI Lead

Responsibilities:

Project lead for the selection and purchase of an EDI Gateway system.
Developed and maintained EDI maps using TSI Mercator including the 271, 837, 834 and many proprietary - to - proprietary maps.

Confidential, Orange, CA

EDI Coordinator/System Analyst

Responsibilities:

Lead corporate EDI analyst and developer implementing transaction in the administrative, financial and material management departments.
Transaction implementations included some of the initial industry wide use of the 837, 835 and 271 roster.
Further, implemented the 820 and 810 transactions.
Managed and supported system wide claim adjudication systems.

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