SUMMARY:

• With over twenty - five years of experience as a leader managing an array of projects, budgets, vendors, and staff from both internal and external perspectives. Strong analytic background in strategic planning and the ability to orchestrate consensus across cross-functional teams demonstrated through various industries, ex. IT, HealthCare, Entertainment, etc. utilizing project management tools and methodologies. Hands on management experience of project managers and analysts. Seasoned in portfolio and project management for application and regulatory initiatives.
• Strong leadership skills with the ability to inspire, relate to, and communicate at all levels of an organization
• Analysis, planning and management of small to large scale initiatives with extensive timelines, budgets and large teams (10-40 resources) in multiple geographic locations
• Certified SCRUM Master (CSM) with PMBOK, SDLC, AGILE, Waterfall Methodology experience.
• Experience with Business Intelligence, Risk Management, Communications Management, Executive Status Reporting, Quality Management, Vendor Management

TECHNICAL SKILLS:

• APPLICATION SOFTWARE KNOWLEDGE ADP Software; MAS 90
• AS400
• WebIPIX
• NICE
• The Planning System (TPS)
• Oracle (IFS)
• Citrix ADI
• Noetix
• Vignette
• RBS Database
• PMT
• Lotus Notes
• Intellect IAP Systems
• Concur
• Adobe
• Planview
• MS Project
• MS Office Suite ePlan Task Based Project Management
• JIRA
• Hipchat
• Clarity
• SalesForce.com
• Service Now
• Daptiv
• Cognos
• TM1 (budget tool)
• SharePoint
• Box
• Citrix P6
• Citrix OPPM

PROFESSIONAL EXPERIENCE:

Confidential

Sr. Project Manager

Responsibilities:

• Implemented D-SNP for Virginia Medicare Dual Special Needs Plans (D-SNP) members, Confidential 's acquisition of NY Total Care Health Plan, Confidential 's acquisition of Utah's Healthy Advantage and Healthy Advantage Plus Members, and the transition from the current Case Management platform for Utah to mClinicial's within Confidential 's infrastructure

Confidential

Sr. Project Manager

Responsibilities:

• Successfully implemented F5 Migration to Citrix SDX Netscaler
• Migrated Title applications from F5 to Citrix SDX Access Gateway for load balancing 7,000 client interfaces

Confidential

Sr. Project Manager

Responsibilities:

• Patient Scheduling Dashboards, eRefer 2.1, Customer Portal II & Customer Portal II Track III HR Credentialing Self-Service & Patient Schedule Reports for Radiology Field Services & Shared Services
• Customer Portal II missed deployment for three years; delivered Portal for wholesale Radiology customers within five months of assignment

Confidential

Sr. Project Manager/Scrum Master

Responsibilities:

• Successfully managed IVR, Dealer Management, Customer Care Experience program tactical projects such as: IVR BIERS Program, Past Due Treatment Enhancements, Clarity (ePlan) Upgrade, IV Retest Whole Home for Specific Work Orders, IVR Inbound ETA Integration & AV Personalization, IVR OSD 203 Support, Appointment Verification, Select Base Package - IVR, Dealer Mgmt.
• Redefined Sales & Case Flows, IVR Call Recording Enhancements and the Connected Home Troubleshooting Infrastructure Discovery project
• Using both agile & waterfall methodologies, with multiple application teams, focused on delivering during enterprise and off- cycle releases

Confidential

Sr. Project Manager

Responsibilities:

• Successfully managed the Telemedicine program by installing the infrastructure to provide video conferencing capabilities to UCLA Health Systems and Health Sciences and Operation Mend. Project enables communication within Health Systems and Health Sciences as well as the UCLA 1st Hand Transplant case, Inaugural UCLA/Zhejiang Liver Transplant Telemedicine Teleconference with China and Management Forum between Ronald Regan Medical Center Auditorium and Santa Monica Hospital Conference rooms, Pediatric Grand Rounds and the first live surgery event with participation from 12 sites including Pakistan, Hong Kong, Beijing and Taiwan
• Provided leadership in implementing Varian Radiation Oncology, Enterprise Application Load Balancer and Enterprise Storage for the MITS Initiative including 7 th floor build out for the Care Connect division and department build-outs at UCLA hospital in Santa Monica

Confidential

Sr. Project Manager/Scrum Master

Responsibilities:

• Managed an array of portfolio projects for enterprise & off-cycle releases including risk, scope & change management.
• Successfully implemented 2009 Project of the Year Installation Verification allowing for technicians to properly test after each install increasing ROI & reducing truck rolls; also delivered National Quarterly offers projects for increased ROI
• Led testing efforts needed to support Installation Verification Retest that will allow technicians to perform Installation Verification tests on installed and activated accounts to ensure proper installation and reduce return customer service truck rolls
• Managed transition project efforts for Sales and Marketing campaign data management from SMART SharePoint to the Sales Force.com platform with a web service data feed into Jacada for an off-cycle 2011 release using the SCRUM theory of project management
• Built on the SMART functionality available through Sales Force.com, managing the effort to add Mass Create and Update functionality in an off-cycle 2011 release
• Managed the effort to replace point-to-point solution used after migrating SMART from SharePoint to Sales Force.com to include the Middleware application to manage the direct services information exchange between Sales Force.com and Jacada
• Coordinated ROM development efforts and gathering of business and functional requirements
• Managed development/build sprints, unit testing, coordinating UAT test and implementation efforts for Sales CRM (Astadia & Jacada) and DTV IT SQA testing
• Managed implementation of new closing offers for pending customers that have not, for various reasons activated their accounts, for the Enterprise Release utilizing SCRUM theory of project management
• Managed implementation of both acquisition and existing customer hardware offers to support the Public Interest Option channels by making available the Hope and Jewish Life programming accessible to any customer who requests the channels, for the Enterprise Release utilizing SCRUM theory of project management
• Managed effort to improve reconciliation reports and processes for all Sales channels on end-to-end order processing and tracking
• Project budget of $1M, created supporting project documentation, managed communications and reporting

Confidential

Sr. Project Manager

Responsibilities:

• Managed planning, risk & scope efforts for Time, Resource & Portfolio Management integration
• Confidential tool upgrade taking the module from 4.6 to 9.7
• Completed benefit tool upgrade, monitored change of scope while remaining under budget exceeding initial project expectations
• Coordinated execution of 'Total Replacement' leading the Product Development work stream. Emphasis of Total Replacement is to review current processes, key dependencies and gap analysis for improvements throughout HPPA
• Focused on New Sales, Renewal and the Purchaser Advice process using the SPAS & Foundation Systems platform
• Responsible for identification and management of key dependencies and gap analysis
• Accountable for developing project documentation for clients and senior executives to facilitate sharing of project status, outcomes and best practices

Confidential, California

Product Development Manger

Responsibilities:

• Managed the implementation of the Medicare Modernization Act for Part D (MA-PD) for Group Retiree
• As the business lead/liaison, developed project documentation, assigned and monitored deliverables to meet planned dates and engaging all cross-functional areas to ensure a successful execution of the government mandate
• Ensured technical engagement to achieve overall success for both divisions the business and IT components
• Approved custom plan designs for PFFS, Senior Supplement & PDP sales quotes

Sr. Financial Analyst

Responsibilities:

• Managed 100 M budget for Health Services Enterprise Wide (nine regions) including sixty cost centers
• Coordinated, analyzed and managed all budgeting efforts with the Health Services Financial Operations team (HSFO)
• Responsible for monthly forecasting variances for Health Services Enterprise Wide. Managed the PacifiCare Nomenclature transition for Health Services
• Hands on trainer for the TPS system for Health Services, utilizing Oracle reporting system to generate actuals for Health Services and TPS for budgeting and forecasting for Health Services
• Coordinated special projects for Business Director and Senior Consultant in the areas of Quarterly Business Review (QBR) & Monthly Operations Performance Review (MOPR), Cypress Summit, CGEY benchmarking study, Extended CORE meetings, and assisted in the negotiation of the Telephone Answering Service contract for Medical Management

Sr. Project Manager

Responsibilities:

• Member of PCC Management Work Process Improvement team
• PCC's liaison to MHCM for resolution in the areas of eligibility, authorizations and claims
• Coordinated all Direct Contracted Networks (DCN) transitioning to third party vendor, Meridian Health Care Management (MHCM), from PCC's NICE system
• Researched, developed and communicated all PCC and MHCM process for transition and on-going management
• Resolved all provider issues for the North Coastal, San Mateo, Sonoma and Ventura DCN's on the MHCM platform and Sutter Yuba, Amador, Chico on the NICE platform
• Developed research tools and designed profile for potential company acquisitions and projects

Project Manager

Responsibilities:

• Monitored installation of AS400 and WeblPIX systems and monitored access for the Southwest and Northwestern regions
• Developed Information Systems (IS) the DPM Service Bureau manual policies and procedures manual
• Generated reports and analyzed the DPM network utilizing the AS400 system
• Developed and managed department budget
• Coordinated the Network Management Leadership Team Quarterly and Annual conference
• Coordinated PacifiCare's annual Provider Summit for a select group of physicians to meet with Confidential Management

Confidential

Operations Manager

Responsibilities:

• Supervised Eligibility, Capitation and MIS departments maintaining member health plan eligibility, physician membership by health plan and all associated physician payments based on eligibility
• Maintained health plan membership records and calculated Specialty and Primary Care Physician payments, as well as company payroll
• Verified and paid claims for over 300 physicians on a weekly schedule
• Supported Capitation Analyst and assisted Senior Accountant with payments, deposits and all other journal entries
• Compiled compensation reports and tracked the number and type of medical services rendered
• Maintained member eligibility records by health plan and physician
• Coordinated special projects for various departments and created Prepaid II Tables
• Maintained patient account and third party insurance records