PROFESSIONAL SUMMARY:

• Accomplished Project Management Professional with 13 years of technical and project management experience in the Healthcare Industry.
• Balanced exposure to technology and business operations makes her a valuable team member on transformational initiatives.
• Ability to supplement her technical expertise with insightful operational knowledge and innovative approaches.
• Managed multiple projects in diversified fields of ERP, EAI, BPM, SOA, Web development and application software development.
• Experience leading and consulting on multi - year technical programs for core system and enterprise software implementation .
• In-depth knowledge of multiple technologies and experience with enterprise-wide applications and systems in an integrated environment.
• Experience in Risk Management, change control, project planning, team management, budgeting and scheduling.
• Expertise on Project Management processes and methodology; experience with multiple complex projects through the project life cycle.
• Experience in managing distributed development teams.
• Build and maintain a customer interface team to support this relationship and manage the overall program development. Responsible for evaluation and development of team members
• Responsible for tracking and reporting progress of programs to both the customer and within the company
• Set direction and influence cross-department engagement for program execution and drive synchronization across multiple program teams
• Responsible for communicating the customer requirements within the organization and interface with multiple groups within to ensure customer’s requirement expectations are being met
• 13+ years of Managed care IT experience. Managing the Confidential Reform Project for last 4 years. In-depth knowledge of Medicare, Medicaid rules and regulations.
• Seasoned professional with expertise in Application Development Management, Program Management, Account Management, Delivery Management, Contract Administration, Client/Vendor Relationship Management.
• Information Technology Management Project Management AGILE Methodology JIRA
• System Implementation Consulting EDI EDW PEGA
• Team Leadership and Mentoring Workshop Facilitation SharePoint
• System / Data Analysis Offshore coordination Knowledge Repository Development

PROFESSIONAL EXPERIENCE:

Confidential, Southfield, MI

Project Manager

Programming Languages and tools: Pega, Facets, SharePoint, EDW, Microsoft Project

Responsibilities:

• Managing & leading the team and co-ordination of the partners & working groups engaged.
• Detailed project planning & control including:
• Developing & maintaining a detailed project plan.
• Managing project deliverables in line with the project plan.
• Recording & managing project issues & escalating where necessary.
• Managing project scope & change control & escalating issues where necessary.
• Monitoring project progress & performance.
• Providing status reports to the project sponsor & stakeholders.
• Managing project evaluation & dissemination activities.
• Final approval of the design specification.
• Perform Project retrospection during the closure and capture lessons learnt.

Confidential

Senior Program Manager / Product Consultant, Southfield, MI

Responsibilities:

• Managing & leading the team and co-ordination of the partners & working groups engaged.
• Detailed project planning & control including:
• Developing & maintaining a detailed project plan.
• Managing project deliverables in line with the project plan.
• Recording & managing project issues & escalating where necessary.
• Managing project scope & change control & escalating issues where necessary.
• Monitoring project progress & performance.
• Providing status reports to the project sponsor & stakeholders.
• Managed NHCR Project in Agile methodology; handled daily scrum meetings, helped product owner on defining Product Backlog, sprint backlog and also facilitated sprint planning meeting and sprint retrospective meetings
• Managing project evaluation & dissemination activities.
• Final approval of the design specification.
• Perform Project retrospection during the closure and capture lessons learnt.
• Expertise in, Claims, Billing, Provider and Plan Modules. Helped 20 + team members in Facets core functionalities and configuration.
• Gathered requirements around Exchange Tables for NHCR ( Confidential Reform) Initiative.
• Analysis, Configuration and testing HRA (Health Reimbursement account) feature.
• Analysis, Configuration and testing Split billing functionality and BIL0 Job for Subsidy Billing feature of NHCR Initiative.
• Analysis, Configuration, development (VC++) and testing of Facets ITS Claims extension.
• Analysis, Configuration and testing of Delinquency Job as part of Facets 5.1 R3 Release.
• Worked with Trizetto consultants on any issues in new releases / change packs.
• Worked with BCN Configuration Unit to define requirements around Configuration setup for NHCR initiative. Configuration and testing of CCA across different Case Types for BCBSM
• Reviewed requirements and CCA Workflows for Case, Concepts, Campaigns and Letter and have provided feedback. Worked with BCBSM Users and helped them in getting trained in CCA.
• Provided necessary support and guidance to QA team to help them automate RFT scripts for performing regression testing on CCA for CM and DM Case Types.
• With necessary support from BCBSM Business users and BCBSM Configuration unit, defined and edited String Customizations and User Defined Fields.
• Worked with Trizetto consultants to define profiles for campaigns.
• Worked with BCBSM Configuration Unit to define requirements around Concepts, assessments and questionnaires.
• Gathered requirements for Referral Management System to automate Concept files and Case Input Files Creation using ETLs for CM and DM Case Types.

Senior Project Manager

Confidential

Hardware: Windows

Operating Systems: Windows Xp/2000/98/NT

Programming Languages and tools: VB.Net, ASP.Net, C#, Microsoft project

Responsibilities:

• She was also responsible to report Confidential Account status to the stakeholders which includes all project health status and Risk & Issues.
• She was responsible to oversee the team daily work allocation and tracking.
• She was also responsible for the team operations involving leave authorization, Appraisals and their promotions.
• She was also responsible for hiring new team members during the project ramp up and reallocating team members for appropriate projects during project ramp down.

Confidential, Woodland Hills, CA

Hardware: Windows, AS400, VAX/VMS

Operating Systems: Windows Xp/2000/98/NT, MS-DOS, Linux, Unix, OS400

Programming Languages and tools: VB.Net, ASP.Net, C#, VB Script and Microsoft Project

Responsibilities:

• Confidential was involved in managing the team and to make sure about the quality on the deliverables on time.
• She was involved in KT phase with Client and was making sure all the knowledge is leveraged to team members.
• She was also helping/guiding them on all activities in spite of the technologies involved.