SUMMARY:

• Senior - level and hands-on IT experience with demonstrated success in client and consumer facing direct project and project portfolio management, SaaS service delivery and production support, IT professional services, and full life-cycle business application development (SDLC) and deployment.
• Excel at concurrent, complex, multiple stakeholders, and enterprise-wide IT deployments; client communications, expectations management, problem resolution, and expedited team execution.
• Planned and managed full-cycle project efforts including 59 large-scale, enterprise-wide projects and 100s of medium and smaller projects; includes multiple site technology rollouts and IT project portfolios of up to 39 concurrent enterprise solutions’ development and deployment.
• Directed IT teams from smaller Agile efforts up to professional services teams of 332. Managed 3 PMO teams with up to 14 Project Managers and RFP/requirements teams of up to 45 BAs.
• Industry expertise in Financial/Banking, Healthcare, and Insurance systems including projects for enterprise-wide implementations, consumer website development, and a 640+ site deployment.
• Applications expertise includes credit card and payment processing; population health and level of care determination (LOC); claims processing and editing, DRG grouping and PPS pricing; consumer funds transactions and financial statements, and financial analytics.
• Responsible for dozens of legacy system replacements, upgrades, and multiple data source EDI integrations and migrations with up to 11 enabling applications and up to 240,000 customers.
• Oversaw multiple third-party vendor relations, offshore development, and SLA adherence.
• Expertise in PMO function; waterfall, Agile/rapid deployment/prototyping, and SDLC methodologies.
• Experienced in regulatory environments and enforcing compliance constraints; CMS, MA Health, Medicaid, and Medicare; information security and financial regulatory compliance audits (OCC).

PROFESSIONAL EXPERIENCE:

Confidential, Boston, MA

Project Manager

Responsibilities:

• Managing 3 concurrent Public Plans (Medicaid, Medicare, Confidential ) medical insurance Claims Editing and DRG application implementations including application requirements determination and release upgrades.

Confidential, Boston, MA

Project Manager

Responsibilities:

• Managed 9 concurrent medical insurance claims processing and repricing application implementations.
• Projects included legacy system replacements and product upgrades.
• Included Agile; CMS 837I/P, HCFA/UB claims, and EDI integration with Epic, SDS, and TriZetto.

Confidential, Boston, MA

Project Manager

Responsibilities:

• Managed 34 overlapping multi-site client hospital networks’ healthcare applications’ implementations; successfully completed 22 projects.
• Included Population Health, Utilization and LOC Determination (InterQual), and HealthCare Financial Analytics and Risk Assessment applications.
• Orchestrated multiple upgrades and data migrations.

Confidential, Boston, MA

IT Service Delivery Manager

Responsibilities:

• Directed 3 States’ Medicaid processing project portfolios and daily IT operational support; included consumer and provider enrollment, Medicaid-funded payroll and invoice disbursements, and budget management. Agile shop for upgrades and service delivery.
• Program responsibility for the implementation and launch of a consumer Debit Card payment method using First Data and a Provider/Caregiver accreditation and directory application.

Confidential, Portland, ME

Project Manager, Senior Business Analyst

Responsibilities:

• Lead the IT conversion of 2 acquired banks Confidential commercial credit card portfolio into Confidential ’s portfolio.
• Responsibilities included project scheduling, resource assignments, and data migration.
• Program Manager and technology representative to the Retail Card division ( Confidential ) for regulatory changes, production support, DRP, and infrastructure replacement. Agile sprint leader.

Confidential, Atlanta, GA

Project Manager, Senior Business Analyst

Responsibilities:

• Lead legacy system consolidation and migration of multiple Customer Credentialing applications into a single, corporate-wide system.
• Used Agile methodology.
• Defined 11 enabling system interfaces.

Confidential, Columbus

Associate Project Director; Senior Web Product Analyst

Responsibilities:

• Program manager and primary client contact for 8 national banks customer facing credit card processing application; including up to 26 concurrent projects.
• Managed 38 major project initiatives, including customization, implementation, and data conversion.
• Performed Sr. Business Analyst roles. Researched and developed specifications for 18 Agile projects.

Confidential, Atlanta, GA

Sr. Consultant/PM/BA

Responsibilities:

• Reengineered Confidential services contracting process shortening contract cycle time by over 20%.
• Performed IT asset and cyber risk assessments for Southern Company.
• Produced information security analysis of mission-critical infrastructure and processes for 41 generating plants.
• Managed proposal development process reengineering for Confidential ; prepared several Confidential healthcare system proposals using a variety of publishing tools.
• Directed over 45 contributing writers and BAs.