SUMMARY:

• A pro - active Program Manager with extensive experience in managing project lifecycles on a Global Scale across multiple technical platforms and business functions from design through implementation.
• Demonstrates strong leadership successfully managing a team of managers and IT developers.
• Business knowledge of Property & Casualty Insurance and the Health Care Industry focusing on Medicare/Medicaid Renewal and Membership Enrollments under the Affordable Care Act ( ACA) and Healthcare Exchange.
• Extensive business knowledge of the Brokerage Industry specifically with hands on work on Dividends, Reorg, Corporate Actions, Mutual Funds and Proxy Voting Systems.

SOFTWARE COMPETENCIES:

MICROSOFT PROJECT 2010, CA Agile Central (Rally), CA CLARITY, HP PPM -Project and Portfolio Management Center, SHAREPOINT, MS OFFICE SUITE, VSTS- Visual Studio Team Services, COMPASS, EMPIRE, LIBRARIAN, SQL, DB2, COBOL, CICS, VSAM, MQ, SPUFI, EASYTRIEVE,JCL,PROCS, INTERTEST, CEDF, XPEDITER, FILEAID, FTP, NDM,MFT, TCIP,TSO/ISPF,INFO/PDX

PROFESSIONAL EXPERIENCE:

Confidential

Project Manager

Responsibilities:

• Program Manager in the Specialty Markets Insurance Division.
• Project Manager that enabled Confidential ( Confidential ) to automate their premium and loss transactions entries to Munich Reinsurance of Confidential ’s billing, claims and policy systems. Confidential ’s rollover book is roughly $200m gross written premiums.
• Project Manager that automated Poulton Insurance policy transactions for property and flood to Munich Reinsurance of Confidential policy systems.
• Project Manager for ISO Commercial Auto Class Plan Project. ISO has filed a new class plan for commercial auto policies. This improved financial results for the affected commercial auto book of business.
• Project Manager of the Renewal Rate Change Project. This enhanced the quality of the Cognos Renewal Rate Change report by increasing the volume of renewing premiums with a calculated valid rate change.
• Project Manager of the Umbrella and Excess Cyber and Miscellaneous Endorsements Project. This implemented the need for various limitations and exclusionary endorsements that address Cyber Liability, Data Privacy and Privacy Crisis Management Expense exposures within the Umbrella and Excess products. This prevented Munich Reinsurance from being exposed to liabilities that they do not want to insure.
• Interface daily with Project Sponsors, Vendors, Quicksolver/Instec, Glatfelter Insurance Group, Actuarial, Underwriters, Product Development, State Filings, Claims, Business Analysts, User Acceptance Testers (UAT) and IT.
• Create and Monitor Project Schedules, Cost dashboard, Risk Management Plans, Human Resource and Communication Plans.
• Manage the Change Control process.
• Monitor costs and create financial reports for executives.
• Lead kickoff, weekly and monthly status meetings.
• Provide guidance to the project team and takes appropriate action where team performance deviates from agreed tolerances.

Confidential

IT Project/Program Manager

Responsibilities:

• Program Manager in the Community and State Portfolio Delivery organization of multiple projects simultaneously with budget in excess of 10 million.
• Managed the Member and Provider Portals and the Health4Me Mobile Application that enabled both providers and eligible members 24/7 access to all their healthcare information.
• Managed March Vision Projects to transition Community and States Medicaid and DSNP benefits to March Vision as the preferred vision vendor. This replaced 6-7 vendors across 12 markets.
• Application of project management waterfall and agile methodology.
• RFP Engagement- lead IT RFP Response team by providing SME knowledge and guidance.
• Program Funding- obtained estimates, analyzed estimates per specified requirements, obtained estimate approvals.
• Defined Partnerships- accountability Matrix; built team of Health Plan Stakeholders, BA’s, Solution Architects, Solution Analysts.
• Requirements Gathering and Solution Delivery- lead Requirements Kick-off, supported BA’s in requirements gathering sessions, drove requirements approval package.
• Program Planning- defined project plans and timelines.
• Go Live Management - created go-live script, conducted on-going meetings until all owners validated their tasks.
• Cost Management- monitored PPMO estimation and status lifecycle, monitored burn rate to ensure program remains within budget, identified potential for cost savings. Prepared documents for additional budget asks.
• Scope Management and Change Control- reviewed Scope definition within each program to identify appropriate IT capabilities and synergies reducing possible gaps between identified requirements and expected deliveries.
• Quality Management- ensured that the technical roadblocks were quickly identified and remediated during testing, managed testing defect prioritization and resolution efforts to insure timely and successful delivery.
• Communication Management- lead recurring status meetings with the business and IT, fielded questions as well as handled issues that arose. Managed the Share Point site of all project documents.
• Risk Management- created the Confidential, communicated all issues to stakeholders and provide resolution in a timely manner.
• Closure Management- addressed all closure tasks and documented lessons learned.

Confidential

Consultant- Project Manager

Responsibilities:

• Project Manager of the Medicare 2015 Renewal Project. This project spanned for a year with a 2 million dollar budget. Complete SDLC methodology
• Defined the scope of the project in collaboration with senior management, created a detailed work plan. Proposed project charter and received approval. Determined the resources (time, money, equipment,) required to complete the project. Developed a project plan that effectively allocates the resources to the activities. Delineated the objectives and measures upon which the project was evaluated at its completion.
• Executed the project according to the project plan, developed forms and records to document project activities, monitored the progress of the project and made adjustments as necessary to ensure the successful completion of the project. Established a communication schedule to update stakeholders including appropriate staff in the organization on the progress of the project. Reviewed the quality of the work completed with the project team on a regular basis to ensure that it met the project standards and made modifications as needed.
• Controlled the project, created weekly status reports on the progress of the project, monitored cash flow projections and reported actual cash flow and variance to senior management on a weekly basis.
• Lead cross-functional project teams, identified, defined and delegated each team’s tasks and responsibilities. Interface across multiple functional areas including Employer Groups, Internal and External Communications, Enrollment, Regulatory Document Mailing, Vendors and Delegates, and Claims.
• Managed the ETL process from Mainframe to Data Warehouse and Enterprise Operations Database.

Confidential

Project Leader/Manager

Responsibilities:

• Managed multiple million dollar project endeavors concurrently, such as the End Stage Renal Disease ( Confidential ) and Paperless Projects, made enhancements to the current systems and solved production issues.
• Key link between the business partners, my IT team and all affected systems on a daily basis.
• Successfully managed an IT staff of 6 that oversaw the PPO Membership Enrollment and Group Master Systems for Confidential Company. Fostered teamwork, coached, conducted performance reviews and set career goals for my IT staff.
• Managed cost saving initiatives such as the Automated Rate Load to the Group Master System and the Paperless Project.
• Improvised the testing process of the IT area that resulted in cost reductions for Emblem Health PPO Membership Enrollment Systems.
• Responsible for all support and development related to ASO Billing System based on feeds from the Actuarial and Claims Systems.
• Ensured that all changes and enhancements are under the HIPAA- Health Insurance Portability and Accountability Act guidelines to maintain security and privacy. Approve all deliverables.

Confidential

Lead Programmer Analyst

Responsibilities:

• Managed off shore technical team. Overcame the challenges related to distance, language and time zone differences.
• COBOL/CICS/VSAM/DB2 Systems.
• Responsible for all phases of system development, user interface, gathering requirements, functional specs, analysis, technical specs, testing, code reviews, and deployment of assigned projects. Complete SDLC process.
• QA Testing- created functional test scenarios, tracked software defects, negative and positive testing.