SUMMARY:

• Confidential, results - driven project management professional with 20 years of experience developing business and stakeholder relationships in the Information Technology field.
• Systems Development Lifecyle (SDLC) concentration with an emphasis in healthcare IT leveraging the Capability Maturity Model (CMMI) Level 3 practices.
• C - Level communication Project Management Stakeholder/Relationship Management Program Management Leading JAD Sessions Cross-
• Functional Team Leadership Problem Solving Skills Product Confidential Analysis/Management
• Problem Solving Skills User Acceptance Testing Confidential and Confidential Systems D Confidential Confidential Compliance and Regulations Waterfall & Agile Development Lifecycles Healthcare IT & D Confidential Analytics

PROFESSIONAL EXPERIENCE:

Confidential

Project Manager

Responsibilities:

• Effectively identify and manage stakeholder strategic goals on Confidential Confidential portfolio in Maryland, the District of Columbia and Virginia service areas.
• Aligned stakeholder goals and underwriting requirements with development timeframe for medical plans servicing Confidential -
• Confidential customers in compliance with Centers for Confidential and Confidential Services ( Confidential ) guidelines.
• Captured, refined and successfully implemented requirements to provide Confidential - Confidential members appropriate discounts on MedPlus products.

Confidential

Principal Business Analyst/Client Relationship Manager

Responsibilities:

• Managed client project team expectations for agreed upon project performance by obtaining and providing project metrics.
• Identified, recommended and implemented changes or alternate paths based upon performance and parameters.
• Managed development of d Confidential analytics and business intelligence (BI) report functions for d Confidential warehouse solution in compliance with Confidential .
• Engaged with Confidential Center for Consumer Information and Insurance Oversight ( Confidential ) stakeholders to define requirements to ensure compliance with the new insurance market rules.
• Analyzed d Confidential for Confidential policy-making as well as public reporting on Confidential d Confidential .
• Performed initial quality assurance reviews of documents created by team members before customer presentation for approval.
• Monitored and captured d Confidential on Agent/Broker Statistics for Affordable Confidential project used in Confidential reporting. Performed requirement walkthroughs with development and quality assurance teams to develop testing strategies and test plans to reflect user needs.
• Led JAD sessions for capturing and refining of requirements with cross-functional teams.
• Clarified and prioritized requirements with the stakeholders and subject matter experts.
• Actively participated in the Deliverable Quality Review to improve client satisfaction.

Senior Project Manager

Confidential

Responsibilities:

• Directed cross-functional teams in a complex project with an $885K budget designed to consolidate the Confidential Group book of business consisting of 250 accounts.
• Validated of deliverables with business analysts, testing resources and technical tasks leads to monitor, track and meet stakeholders’ expectations according to budget and schedule.

Senior Project Manager

Confidential

Responsibilities:

• Managed complex Confidential compliance project with a $2MM budget designed to provide employers invoices with clear, and easy-to-understand breakout of all the factors and amounts used in insurance billing calculations. The easier-to-grasp group invoices were intended to reduce some of the expected employer dissatisfaction with Confidential which is one of the many drivers of automation.

Confidential

Requirements Manager/Lead Business Analyst

Responsibilities:

• Management of requirements for six work streams on the Confidential program under the Affordable Confidential for On-Exchange subscribers.
• Provided flexibility, quick responsiveness, conducted and attended impromptu meetings to resolve critical issues.
• Facilitated daily status meeting with the Enrollment & Eligibility business analysts and key stakeholders for tracking, updates and project direction on issues.
• Provided thorough analysis and rapid resolution of issues affecting the project.

Project Manager/Requirements Manager

Confidential

Responsibilities:

• Provided guidance on the mandates of Qualified Confidential ( Confidential ’s) for consumer assistance before, during, and after the insurance purchase process.
• Identified, documented and implemented requirements for market-facing applications including menu/messaging options for the Electronic Interactive Voice Response (EIVR) system, Provider and Member Portals, and Confidential /Communications to subscribers and providers explaining the changes to products impacted by Confidential .
• Provided leadership for reviewing scope creep and critical requirements with the potential to affect project budget and resources for the year 2014.
• Managed project activities for continued alignment with the project schedule, despite constant regulation changes made by the Exchanges.

Confidential

Project Manager

Responsibilities:

• Reduction in operating costs provided reallocation for growth opportunities within the healthcare marketplace.
• Identified and leveraged opportunities for improving vendor relationships to obtain favorable rates in printing Confidential materials.
• Successful implementation of business collaboration platform on SharePoint to manage travel and entertainment reduction costs.
• Conducted analysis of current successful governance programs within Confidential for reduction of SGA spends within Specialty Benefits.

Project Manager

Confidential

Responsibilities:

• Managed consolidation of multiple applications used in financial reporting on General Ledger ( Confidential ).
• Identified inaccurate financial d Confidential feeds into the Confidential that impacted financial reporting accuracy at month and year-end for the government dental line of business.
• Managed team of four business analysts in a two-pronged, top-down analysis of all d Confidential entry and d Confidential transformation points across
• Specialty Benefits and deep dive into d Confidential inaccuracies impacting the Confidential string.
• Managed business analyst in the targeted analysis of the suspected d Confidential issues and development of a d Confidential glossary to aid in understanding the entire d Confidential flow from pre-sale to PeopleSoft.

Senior Business Analyst

Confidential -Architecture Project

Responsibilities:

• Managed requirements and JAD sessions to modernize a digital web solution to reduce operating costs and improve customer retention for the three lines of business (Dental, Vision, and Financial Protection products) within Specialty Benefits.
• Conducted stakeholder interviews and analysis using Requirements Solutions & Analysis ( Confidential ) Methodology to determine the necessary values, functions, and quality of proposed requirements.
• Developed strategic alignment with cross-functional teams to determine the business impact on product offerings and suitability of proposed solutions.
• Conducted analysis of competitor portals to assess gaps in current Confidential Specialty Benefits portals.

Confidential

Senior Business Analyst

Responsibilities:

• Senior business analyst for the Confidential 's Health Administration - Confidential Enterprise ( Confidential ) project.
• Provided business analysis, requirements gathering and traceability for development of Confidential and Management Integration (NUMI) Confidential ( Confidential ) application.
• Led analysis for d Confidential migration of comprehensive enterprise-wide end-to-end revenue solution for implementation of improved business practices of ( Confidential ).
• Ensured business and system requirements met defined business goals of the client.

Senior Business Analyst

Confidential

Responsibilities:

• Managed and tracked business and requirements for the Department of Confidential Management Software
• Confidential ) project using StarTeam Software Change and Configuration Management application.
• Provided business process analysis for business rules development of visit management interface and revenue integration application.
• Created, authored and edited Confidential version 4.0 user guides and documentation.

Senior Business Analyst

Confidential

Responsibilities:

• Managed requirements for the General Services Administration ( Confidential Engagement Platform (CEP) system.
• Accountable for Section 508 Compliance Testing utilizing industry standard recommended software including JAWS 11, Bobby, Confidential Homepage Reader and STEP 508.
• Developed and authored Media Confidential User Guide incorporating industry best practices and user experiences values as well as Media Confidential QA testing.
• Co-authored and responsible for QA on Twiki User Guide.

Confidential

Business Analyst/Project Manager

Responsibilities:

• Confidential care disease management and health Confidential assessment/wellness application requirements.
• Analyzed d Confidential /workflows and processes to assist in the design and testing of new and modified operating methods and systems.
• Identified and resolved barriers to implementation of change management process.
• Identified and analyzed business processes, use cases, functional requirements, and high-level system design.
• Collaboration with stakeholders and development staff to identify and resolve systems issues and to provide application support and testing.

Senior Business Analyst

Confidential

Responsibilities:

• Managed requirements for WV MR/DD Waiver Services application to track consumer eligibility, authorizations, and payments to providers and accessible to all healthcare providers of MR/DD Services in West Virginia.
• Managed requirements for system services referrals, transfers, discharges, demographics, prior medical authorizations, and fee-based socially necessary services.
• Refined requirements to include safeguards to ensure that consumers' service plans met the individual's health and safety needs, as well as allocated funds appropriately used.