We provide IT Staff Augmentation Services!

Program Manager Resume

Long Beach, CA


IT Operations Manager / Certified Project Management Professional / Agile Certified Practitioner / Healthcare Business Systems Analyst with wide range of IT skills, proven ability to provide strong leadership and decisively manage diverse group of individuals and multiple projects.


OS, various MF technologies, UNIX, DB2/SQL, MQ Series, TWS/CA7, Java, JavaScript, VB, VBScript, WAS, DataStage, ETL, REST, JSON, SOAP, XML, WODM, Toad, Oracle, SQL Server, SSMS, SSIS, SSRS. SDLC, MS SharePoint, MS Project, CRM, TestDirector, HP QC/ALM/Service Manager, CA Optics/Clarity PPM and Rally, P6, ServiceNow, JIRA, QNXT.


Program Manager

Confidential, Long Beach, CA


  • Performing Project Manager tasks for Enrollment Membership Accounting (File Management) organization to support PR Medicaid, MMP (CA,IL,MI,OH,SC,TX) and MAPD Medicare LOBs. Managing 20+ small and medium size projects from immediate code break fixes and enhancements to mandatory CMS/State compliance regulatory initiatives (SSNRI, CARA, CY 2019 Medicare updates), vendors and regions procurement or decommissioning
  • Collecting and defining Business Requirements, Data Mining and Analysis (QNXT, SQL Server, SSMS, SSRS)
  • Using Agile methodology with large projects (JIRA, SP, Release vision, roadmap/ timelines, sprint panning, defining user stories/ acceptance criteria, backlog grooming, daily scrum meetings, demos, deployments, retrospectives)
  • Working on EDI HIPAA Transactions (834, 820, 270/271), DTRR files, data mapping and validation
  • Analyzing Inbound, Outbound files and data from: Molina Member Workflow (MMW) File Management, KPIs, Exceptions reporting, Vendor Extracts Dashboard, COB app, MemberMerge, PCP AA.
  • Working with PMO, BA, IT/QA, Premium Billing recon, UM, Delegation Oversight, Compliance, HP Business Operations, Vendors (HMS, CMS, Wipro, CVS, Merrill, Delta Dental, Secure Transportation, A2C, MarchVision)
  • Analyzing and resolving variety of ServiceNow tickets from Business and Operations

Confidential, Cypress, CA

IT Operations Manager


  • Managing the team and different projects in Testing Environment and Infrastructure (TEI)
  • Managing six Integrated e2e Test Environments for UNET/COSMOS/NICE/FACETS/Rx claims processing
  • Ongoing Project Management for monthly ITE Release Upgrades and quarterly Production Data (CDB,TOPS, COSMOS,FACETS,NDB) refreshes using Six Sigma (DMAIC) and Agile Essentials (Scrum, LEAN, ATDD)
  • Hands - on technical SME for e2e claims (NSF,837p,UB92,837i,835) testing in current MF software releases
  • Continuing data mining and requirements analysis for various projects (CCT, PE, ICD10, HCR, OptumRx)
  • Leading migration, code conversion and modernization of applications to newer platforms
  • Ongoing critical defects/ incident tickets resolution and overseeing integrity of change control process
  • Focusing on the team SOPs, RASCI matrix, RCA, gap analysis, process automation and self-services
  • Monitoring and evaluating systems performance, and leading process quality improvements initiative
  • Leading, Advising, Counseling, Coaching, Mentoring (personal development and business goals, training, performance evaluations, Vital Signs survey action plan)

Hire Now