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Sr. Prog. Mgr., Resume

Cary, NC

PROFESSIONAL SUMMARY:

16+ Years of Techno Functional and Management experience in Programs, Projects, Products Delivery Management, Business Consulting & Application , Custom Design, Development, Configuration, Migrations, Integration, QA/QC Testing, Implementation, Support and Help desk of heterogeneous Custom Domains, Systems and Applications for Digital Value Chain Programs, Commercial, Government and Non Profit Organizations and Executed the End to End life cycle (EPPM, EPMO, EVM, ALM, PPM (Portfolio), CI/CD, SDLC, PLM, PgM, PM, PILC, Agile/Scrum SAFe and Lean Six Sigma/DMADV/DMAIC ) models/programs /projects/Engagements in large scale for multi - region/facility, multi-partner/vendor, multi-product, multi-phased/tiered, multi-envt, multi-site roll outs.

PROJECT MANAGEMENT EXPERIENCE

  • Effectively Communicated, Collaborated, Conceptualized, Controlled, Monitored & Owned the Integrated Program/ Project/ Product End to End Development/Application/Implementation life Cycle Management in Traditional, Agile/Scrum, Scrum of Scrum, SAFe, Capitol for T&M, Fixed, Scope Controlled and Mixed models.
  • Ensured the execution of Negotiations, Contracts, NDA, MSA, SOW, RFP, RFI, PMO, TMO, Project Charter, Change Orders and Customer Vison, Scope, Schedule, Budget, Cost, Milestones, Forecasting,, Resource Mgt., Change Mgt, Risk Mgt, Team & PMs Programs execution, Documentation, Escalations and Issue Management, Version Control Pre/Post Go-live checklist, Managing Releases, Business Continuity Planning, Security, Integration, Support, Maintenance, Optimization and Published overall status to the PMO/Dashboards/Reporting.
  • Client/Vendor facing, Relationship with all stake holders, Tracking the Project goals, Gap analysis, Traceability matrix, Estimations, Communication, Reporting the cost-benefit, Analysis, Budget overruns, ROI reports and Travel Expenses and Approvals, Applied the Best practices, tools, methodologies, lessons learned, Warranty, close-out for all IT based solutions/services /Initiatives.
  • Trained, Mentored and motivated the cross-cultural teams in optimizing their performance levels and handled heterogeneous technologies, architectures, domains, frameworks, design patterns, Prototype/Pilot design and workflows.
  • ITIL Infrastructure assessment and readiness, Service Delivery process setup, Shared Service model, Business Operations, Support Service, Service life cycle Management, governance, Service desk and administration.
  • Operated the industry standard software and tools, QC and QA validation to authenticate the quality of software releases.
  • Consistently introducing innovative solutions/Ideas and effectively share my vision, goals, plans, and strategies, methodologies for the positive outcome of a Program/Project is necessary as per the customer needs.
  • Experience in providing Strategic Business, Product Consulting, Business Development, Business Transformation services to customers.
  • Experience in managing Pre-sales process, business development activities for Product collaterals, IT based solutions & services, Engaging several project initiatives and potential business opportunities.
  • Consulting and Management Experience with all levels of Stake holders during the Implementation including IT & Business staff, Executive and Leadership Team, Multidisciplinary & Community groups.
  • Digital Value Chain Programs on Provider, Payer/Insurance, Payvider, PBM & Life sciences domains for Commercial, Government (MMIS/Medicare, Medicaid, FDA, CMS Programs) and Non Profit Organizations.
  • Delivered the Business, Functional, Non-Functional Requirements, process, flows deliverables for Legacy/Manual/Automation, ‘as is’ and ‘to be’ Artifacts/Use Cases/Scenarios/User Stories.
  • Tracked and Centralized the Customer Data, Automate the Service changes in sales and Marketing, Dashboard and reporting and Customer Service
  • Strong Analytical, Independent, Collaborative, Inclusive, Verbal and Written, communication.

PROFESSIONAL STRENGTHS:

  • Program, Project, Product Delivery Governance across portfolios.
  • Capability Building (IT, Business, Stakeholders, Team & Vendor), Solution Design & Articulation.
  • Collateral Management / Thought Leadership
  • Operational Excellence, Lean, Six Sigma.
  • Market Analysis, Opportunity Identification Spot industry focused trends, Innovations and Pursuit.
  • Pre-sales, Contracts, Business Plan, Dev. and Review.
  • Building Business & Technical Alliance Partners
  • Stakeholders, Customers, Vendor and Relationship Management

OPERATED TECHNOLOGIES & ENVIRONMENTS:

Java/J2EE suite: React/Redux. Node JS, Spring Framework, MVC, Hibernate, AWS Cloud Migrations/Enablement, AngularJS, Web services, scripting languages - Java Python, Pearl, Groovy, Spring, RESTful, JDBC, JSP, Struts, Hibernate, XML, AJAX, Serialization API, Oracle SOA, IDE, ESB, Mule, API, JBOSS, Build - Maven / Ant / Gradle / MSBuild

.NET Framework: Microsoft Suite, Share Point, ASP.NET, C#, SQLServer, VB.Net, WPF, LINQ, WCF, MVC, SOA, SDK, API, Ajax Web services, Microsoft Word, Visio, Excel, PPT

Cloud Migrations: AWS (Amazon Web Services) and Azure Cloud Enablement and Implementations (IaaS,PaaS,SaaS,EC2,Route S3,IAM,S3,CloudWatch,KPI/Metrics on applications, storage, n/w, o/s, service/customer, cost, performance, runtime, survey).

Data Analytics: Data Mining, Data Warehouse, ETL, Data Science, Abinitio, BigData, Grid Computing Platforms, HADOOP, Micro Strategy, SAS, Tableau Scripts/Admin/Dashboards, Teradata, Natural Language Processing (NLP), Spotfire Visualization, Business Intelligence(BI), Informatica, MSBI suite of products (SSIS/SSRS/SSAS/Power BI (Power View, Power Pivot, Power Query, Power Map)/ PerformancePoint /MDS/DQS).

Automation and Manual Testing: Test strategy, Test Design, Execution & reporting, Application /Integration /UAT /V& V/Performance Functional/System/Web Testing, API, Selenium, HP ALM, Load Runner, HP Diagnostics, QC/QI, and Security Controls.

Program Management: Agile /Scrum Methodologies, Microsoft Project Server, MPP, MSPS,CI/CD, JIRA, RALLY, Mingle, Jenkins, Bamboo, Microsoft office Suite (Excel/Doc/PPT/Visio), PRINCE 2, Rational Requisite Pro, Rational Clearcase, Rational Clear Quest, Vignette Application Portal, Waterfall, Iterative, V-Model and, WBS, Function Point, Use Case Point, COCOMO, Lean tools, Six Sigma

Others: DevOps (CI/CD - Jenkins, GIT/bitbucket, MML), NLP, NLU, oAuth, APIGEE, ESB, Mobility, Content, Open sources, Version controls and release management tools and Mobile app development, SOA architectures, e-commerce, XML, Networking, Infrastructure, Web services, Web Servers, Linux, Unix, Scripts. IBM Rational, Customer Relationship Management (CRM), Business Process Management (BPM) and Enterprise Resource Planning (ERP), Supply Chain Management (SCM), Knowledge of Microsoft Dynamics, PeopleSoft, Salesforce, ADP, Oracle, McKesson, SAP, Portals, Oracle Suite and Fusion, TIBCO, SAG, IBM IIB and infrastructure deployments using tools Ansible/ Docker / Kubernetes etc

PROFESSIONAL EXPERIENCE:

Confidential, Cary, NC

Sr. Prog. Mgr.,

Responsibilities:

  • Overall delivery ownership of Health Solutions Plus, a Payer Claims Administration Solution transformation and modernization project to cater multiple Lines of Business (Commercial, Medicare, Medicaid, Managed Care) that covers Meditrac - Core Claims Administrative System, PerfectClaim - Claim Imaging and Scrubbing, Uniflow - Customer Service, EDI/HIPAA Gateway - Electronic Data Interface, iTransact - Web Portals, MediMart - Data Warehouse, iConnect - Web Services, Care Management Package .
  • Established the Program governance model, Agility of the project Kickoff, s, Resources, Communication, Escalation path, Setup, Quality gates, Release management, Status reporting
  • Enabled re-usable, Enablers, components and Controls across products identified and developed.
  • Program status, Risk management, milestone tracking, resource planning, Operational metrics and user manuals
  • Handling Sprint requirements, backlog, sprint plan, change request, retro, testing, acceptance criteria, review Managing the POs, Business, SMs

Confidential, Mason, OH

Sr. Project Mgr.

Responsibilities:

  • Managed the Benefits, Enrolments, and Eligibility for Specialty Rx, Home Delivery/Mail Order, Clinical work streams and Integrated with Claims, Member Experience, Prior Auth., LOBs, for Voyager 2020.
  • Conducted Joint working sessions, Dashboard review meetings with Business, IT, 3rd Party, Shareholders, Stakeholders (CVS, Agadia AT&T, EDW…etc) on readiness and approvals of the requirements, designs, development, configuration and Go-lives.
  • Balanced the operational & functional activities for the development, implementation, integration & smooth transition of PBM migration
  • Oversees the other programs and benefits design and setup for claims, CRM, IVR, Medical account management, Branding, Transition, Quality Programs, Member service experience.
  • Created and coordinated the delivery of Enterprise analytics/reports for Specialty, Home Delivery, Clinical Programs in compliance with performance guarantees, client requests and regulatory.
  • Tracked the CRAAIDD log, Risks, Action plans, Risks and Product Support, CRs, change in delivery dates and tracking the revised development timelines
  • Tracked the Model, FST, SIT, CTE, CERT test strategy, data readiness, test cases review, validation and approval of test results.
  • Integrated the Release management, schedule for applications, Legal, Infra, Config., Security, Audits, Regulatory Compliance
  • Prepared Executive Dashboards, TMO, Work stream Governance, Transition strategy timelines, Change control

Confidential, Charlotte, NC

Sr. Program Manager

Responsibilities:

  • Leading the Carolina Health systems & Presby Health systems Programs and Defined the roadmap for EXL’s Analytics strategy Systems on Cloud, Migration, Product development, Deploy and implementations
  • Balanced the operational functional activities for the development, implementation, transition, integration and Managed the Program/project management methodology to promote a disciplined and flexible process development,
  • Responsible for managing the Technical, Business, Testing, IT, Domain and Support experts in multiple geographic locations, holding them accountable to meet aggressive goals, challenging schedule objectives and pre-defined measurement criteria.
  • Demonstrated the leadership and vision in determining and driving and prioritize the strategy decisions of Architectures, Processes, and Platforms, Business processes, technical information systems / platforms, datacenter operations, Public /, Private / Hybrid cloud applications /Technologies, data security and privacy.
  • Overall Delivery responsibility for upcoming 30/60/90 days tasks, Program/Project health status, Risks/issues/Key s, including costs, methods and staffing
  • Partnered with the Account team on SOW development; reviews SOW pricing, prepares estimates, discusses requirements, and makes pricing recommendations in support of the sale
  • Working on several Analytical Projects/Streams on models, Value-based solutions, Campaign Mgt, Customer Outcome based solutions, Workflow Management, Portals Integration, Forming SMEs, and CoEs.
  • Driven KPIs, Predictive, Contextual Models, Risk adjust Bench marks, Outcome/Outreach based/Member experienced/ Performance score cards
  • Defined the several KPI measures/metrics and Understanding the performance Quality measures and Metrics designed by and Accreditation bodies.
  • Trains, directs, and collaborates with Project Managers on the implementation of and ongoing compliance with all systems and tools
  • Tracked the CRAAIDD log, Risks, Action plans, Risks and Product Support, CRs, change in delivery dates and tracking the revised development timelines
  • Tracked the Model office, FST, SIT, CTE, CERT testing readiness, test cases review, and validation and test results.
  • Integrated the Release schedule for apps, Infra, Config., Security, Audits, and Compliance (Benefits, formularies...etc.)
  • Prepared Executive Dashboards, TMO, Work stream Governance, Transition strategy timelines, Change control

Confidential, Fayetteville, NC

Sr. Mgr. - Products & Projects

Responsibilities:

  • As a Subject Matter Expert Designed the Process, Flowcharts, Diagrams, Analyzed the Process data, Dependencies, Conduct the Impact Analysis for cross functional teams/systems/modules/work streams/projects
  • Identify Pros and cons, Analyze, Advice, Review, Acceptance of Designs and Solutions approach
  • Facilitate, accelerate the deliverables of the business stakeholders, PMs and IT
  • Design and the Development of the HSDP (Health Suite Digital Platform) in Agile for Philips, which includes the modules like Foundation, PH Personal Health, PHS, IHE, Virtual Health Record, Security Core and Data and analytics solution.
  • Identifies potential project risks, implements appropriate course of action to address project slippage, and develops strategies to mitigate future risk
  • Ability to work well with people from many diverse disciplines with varying degrees and experienced in bridging the technology and business strategy to develop compelling plans for new product / program initiatives, solutions and process improvements
  • Delivery of Technology Solutions roadmap, Initiatives, Documentation of requirements including: supportability, capacity, availability, scalability, resiliency, security, etc.
  • Maintain good working relationship with peer groups, resolve tech issues, and help gain buy-in with high credibility
  • Handling the Reconciliation of Time sheets, Pro forma verification, Invoice Submission, ARs, PO/SOWs, SOs and Dashboards

Confidential, Chicago, IL

Sr. Delivery Mgr

Responsibilities:

  • Translated the Legacy Confidential system Architectures, Business proposals and Conceptual designs to drive the future workflows and processes
  • Validated the as-is requirements, workflows, Current systems & Processes and the Integrated systems Worked on critical business workflows build to Provide one common medication and allergies list across all 450 pharmacy clinics and for all clinicians.
  • Customized the Filling and dispensing prescriptions, adjudicating claims for prescription insurance, flagging specialty medications, and routing specialty prescriptions or all medications for specialty patients to certain pharmacies or pharmacists, Integrating refill requests and prescription pick-up reminders, Medication synchronization...etc
  • Customized, Configured and Build the various Master files /Records, Transmittal rules engine in various environments and also involved in Validation, Testing, Defect fixes, Data Migration, Cloud Integration, Reporting of the practices specialty needs fulfillment.
  • Identified the development of effort driven project plans and associated tracks and dependencies and Ensured the process readiness and alignment for successful implementation
  • Completed the Application and Integration Testing, Go-live Pilot and moving on Wave 1 and 2 implementations across clinics

Confidential, Silver Spring, MD

Sr. Project Mgr

Responsibilities:

  • Owned the RC/AP Program development and implementation life Cycle includes the Design, Build, Configure, Testing, Go-live of the Tapestry workflows, Revenue Cycle, Provider Contracts, Employer Groups,, Benefits, Accums., Claims, Billing, Interfaces, CRM, Case Management, EDI, Audit, Extracts, Reconciliation Referrals- Utilization Management (UM), reports implementation.
  • Lead the creation of project deliverables for requirements, designs, development, testing, support and close-out work products and Coordinated project needs with technical and business stakeholders
  • Lead a matrix team of regional and local resources assigned to the project and Ensure scope, schedule, budget, and resources are managed and communicated accordingly
  • Assign work, sets priorities, and provides guidance in the completion of tasks and review of program deliverables
  • Develop solutions to problems of unusual complexity, which require ingenuity and innovation, using independent judgment to accomplish objectives
  • Served as single point of contact for Mid-Atlantic region for National and regional executives on Tapestry AP implementation.

Confidential, New York, NY

Sr. Manager

Responsibilities:

  • Managed Testing Process includes Test Planning, Creation of test cases, Test execution, Defect identification and Reporting
  • Verified Confidential environment that they are processed To Canonical and ToHealthshare per the mapping document (requirement document from NS-LIJ).
  • Maintained continuous alignment of program scope with strategic business objectives, and make recommendations to modify the program to enhance effectiveness toward the business result or strategic intent
  • Built the repository leveraging the reusable implementation components like frameworks, workflow templates, Resource requirements, Case Studies, best practices, Documents/Templates.
  • Verified that they are processed To Canonical and ToHealthshare per the mapping document (requirement document from NS-LIJ).

Confidential, Alpharetta, GA

Sr. Project Manager

Responsibilities:

  • Responsible for understanding the overall Confidential - Grid Integration process, Configuration, Customization of the Grid for each Confidential Created a Common platform to manage all Customer (HIEs, EMRs and Practices) Priorities/ Requirements/Specifications aligning with MSF (Medicity Standard Feed)
  • Worked on Maintenance and use of the standard EMR deployment process for various practices.
  • Responsible for Nova Grid Results implementation over Confidential for various systems and the associated Healthcare Practices across all states in USA; and Worked on HL7 Grid Agents, Listeners, Analyzers, filters and Transformation
  • Planning, designing and writing interface technical specifications. Analysis of new requirement for developing the interfaces which are compliant to HL7 standards.

Confidential, Pleasanton, CA

Sr. Project Manager

Responsibilities:

  • Implemented work-streams are: /Eligibility, Benefits, Claim Intake, Business Performance Management, Business Process Management Reports, Workflow, Finance and Encounter/Adjudication/Plug-ins
  • Managed the blended shore model and managed all parties to accomplish the program deliverables on time.

Confidential, Atlanta, GA

Sr. Project Manager

Responsibilities:

  • Managed, defined and implemented the Practice Guidelines MNS Integration, AHT OBO Architecture, Info Button Manager, Order set Proposal, Point Of Care on Business/Technical Requirements, Construction and deployment processes.
  • Responsible for the entire designing and the CPM Care planning applications, Physicians / Nurses complete critical care related processes, EHR Master Source for the data, HL7 standards, CCRs, Quality reporting programs Integration with different products.
  • Assessed the CPM with the EHR systems and also Initiated the sensitive content creation CPM Templates, Flow sheets, MNS Skill URLs configuration in different environments, Skills Mapping, Web Service that processes requests from CPM Templates, CPM item codes and also to facilitate the web-enabling the application.

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