SUMMARY:

• She has over 20 years of progressive systems development, project management, and analytical experience, working in the commercial sector, federal government consulting, non - profit management, health insurance, patient clinic settings, and teaching hospitals.
• She has managed scope, budgets, and schedules throughout the project life cycle, as well as established and monitored revenue projections and budgets for maximum profitability.
• She employs comprehensive risk management throughout all phases of a project and continuously improves project processes to ensure effective execution of tasks.
• Her interpersonal communications skills allow her to effectively communicate with clients, peer managers, and senior management. She has identified and mobilized matrix resources required for successful project completion.
• She is a seasoned Business- to- IT Facilitator, and Business Process and Functional Analyst, continuously championing users’ safety, quality initiatives, and process improvement.
• Some of the functional areas in which she’s worked include: Independent Verification and Validation (IV&V); software requirements elicitation; development and management; operations and business process optimization; privacy and security; claims and authorization management; utilization management; and vendor management.

TECHNICAL SKILLS:

• Atlassian JIRA
• Microsoft Project
• Microsoft Office Professional
• Jama Contour
• AtTask
• Rational ClearQuest
• Rational ClearCase
• SharePoint
• Visio
• Oracle Hyperion
• WebEx
• Quality Planning and Control
• Change Management
• Formal Testing Methodologies
• Quality Standards and Processes
• Configuration Management
• Monitoring and Reporting Processes
• Metrics Development and Reporting
• IV&V
• CMMI
• Industrial Defender
• Clarity Application Portfolio Management
• Cisco
• OnBase Document Management
• SmartSignal Predictive Analytics
• EDI
• Facets Payer Solutions
• Health MEDX
• EPIC Resolute
• EPIC Prelude
• GE Centricity Business

PROFESSIONAL EXPERIENCE:

Confidential

Master Scheduler

Responsibilities:

• Responsibilities are creating, updating, and communicating an integrated, multi-project Work Breakdown Structures for small, medium, and large scale software implementation projects. She also analyzes, identifies any schedule and cost variances on the project.
• She works closely with various partners project leads and managers to explore resolution ideas to scheduling and cost activities.
• She is responsible for determining the impact and significance of obstacles/changes in execution of the work plan, prioritizing and solving as appropriate.
• She has assisted with contract proposals in the capacity of reviewing the documentation to deliver a solid, winning project schedule. She has expertise in communicating schedule and variance information through all levels of reporting.

Confidential

Responsibilities:

• Planning the regression testing
• Developing the regression testing approach
• Developing test scripts
• Executing test scripts to verify new user interface does not negatively impact existing and new functionality
• Identifying and reporting system and environment defects
• Tracking ClearQuest tickets and confirming fixes made for issues found work as specified

Confidential

Senior Project Manager

Responsibilities:

• She oversaw all aspects of project management in the Payment Integrity department, using project management best practices.
• Responsible for coordination and completion of projects, performing a variety of tasks including setting deadlines, assigning responsibilities, understanding and tracking timelines, and monitoring and summarizing progress of each project.
• Led teams to meet the requirements and deadlines of each project to include development resources based in United Health Group India. Developed methodologies and implemented a Project Management Office (PMO) to be a model for use as Confidential integrates with Confidential .
• Championed transition from use of SharePoint to Microsoft Project Professional for bidirectional, real-time project tracking across Confidential . Served as team lead to identify root causes of beneficiary and provider complaints to Medicare (CTMs); developed interventions to proactively eliminate future CTMs.

Confidential

Technical Project Coordinator

Responsibilities:

• As a representative of DHR, she worked with the State Department of Health and Mental Hygiene (DHMH) in all aspects of providing professional support services and the integration, implementation, and transition of services for the Patient Protection and Affordable Care Act (ACA) and other related activities with Health Care Reform (HCR).
• She also coordinated and managed DHR and DHMH project activities and resources, assisting in identification of DHR applications that could affect the HCR initiatives, the Maryland Health Exchange, or the inter-operability between the two agencies.

Confidential

Information Technology Project Manager

Responsibilities:

• Facilitated project planning meetings with state Medicaid departments and other stakeholders.
• Developed and maintained an integrated project schedule that included milestones and performance metrics.
• Created templates for state project schedules; assisted states in maintaining and reporting project status.
• Identified gaps between CMS program integrity provisions and IT proposed solutions.
• Identified project interdependencies among other CMS initiatives.
• Assisted with development of project deliverables and preparation of management-level project briefings.
• Created and prepared regular management status reports and presentations.
• Assessed each state’s technical capabilities and readiness to map and transmit Medicaid data to CMS or CMS designated sites.
• Provided technical advice as needed to states participating in the pilot project, including SAS business edits, the repository design, and intake and exception reporting processes.
• Obtained formal acceptance of all deliverables.

Confidential

Senior IT Project Manager

Responsibilities:

• Planned, executed, and finalized infrastructure and web-based application development projects to meet federal deadlines.
• Coordinated the efforts of team members, business partners and vendors to ensure effective execution.
• Trained team leads and team members and oversaw best practices in use and rollout of AtTask software for project management. Developed Confidential -specific training documentation.
• Defined project objectives and oversaw quality control throughout iterative development life cycles.
• Wrote and edited Capability Maturity Model Integration (CMMI) plans, policies, procedures and templates in efforts to attain CMMI level 2 competencies.
• Maintained documentation in IBM Rational ClearQuest throughout project lifecycle.
• Developed support documentation for maintenance of configuration items (CIs) using IBM Rational ClearCase.
• Managed activities and sequence of events required to successfully pass a CMS-mandated information system certification and accreditation security audit company-wide, resulting in Confidential maintaining Approval to Operate (ATO) status required of a Medicare data center maintaining Personally Identifiable Information (PII) and Personal Health Information (PHI).

Confidential

Information Technology Project Manager

Responsibilities:

• Forecasted, developed, tracked, managed, and reported on project milestones and budgets.
• Developed business cases with project sponsors. Managed schedule and budget for the project team. Performed vendor management, and reported on project status and variance, if applicable, to senior leadership.
• Obtained formal acceptance and signoff from project leads and sponsors. Documented lessons learned as required by the PMO Center of Excellence.
• Reconciled all invoices against financial systems; managed monthly accruals.
• Worked closely with technical leads and stakeholders to complete assignments.
• Conducted and led project meetings with project team support. Reviewed project risk and mitigation on a weekly basis with project team leads.
• Advised management on critical path decisions. Managed more than $2.5M in annual capital project budgets, scope, resources, and schedules simultaneously in support of Constellation Power Generation plant operations.
• Managed customer expectations and matrix project teams comprised of engineers, technical leads, business analysts, and senior management.
• Concurrently and successfully managed four capital projects in support of CPG operations.
• Served as Product Owner in an Agile development effort, regularly calling core commodity market data solutions from futures, oil, natural gas, nuclear, electricity and emissions, in effort to ensure traders and sales force had real-time data available to expedite analysis and aid business decisions. Completed mobile (Blackberry) .net application integration among these systems.
• Effectively worked to resolve issues among vendors and CEG business areas.
• Created and maintained project specifications and monthly financials in HP Project and Portfolio Management (PPM) time recording and status reporting system.

Confidential

Process Engineer

Responsibilities:

• Demonstrated and documented business process and IT process modeling, including change management and risk mitigation.
• Streamlined existing solutions development lifecycle (SDLC) methodology, project management lifecycle methodology (PMLC) and project planning and management in support of the Office of Information Technology (OIT). Documented in Visio and in formal White Paper.
• Managed communications among business users, operational areas, and OIT divisions.
• Facilitated and led process improvement work sessions to include: identification of process strengths and weaknesses to produce a baseline to begin discussion; benchmarking to identify the relative operational value and potential for improvement;
• Facilitated potential solutions via brainstorming, and fostered collaboration and teamwork.
• Generated business requirements and support documentation supporting future methodology changes based on industry best practices.
• Provided coaching and/or training support for the IT processes via demonstration and walk-throughs of process improvements.

Confidential

Project Manager/MS Project

Responsibilities:

• Developed, managed, and refined repeatable project plan and deliverables required for 2009 Medicare Advantage and Prescription Drug Plans (PDPs), serving more than 200,000 Medicare member beneficiaries Nationwide.
• Responsible for keeping a complex, multi-functional Medicare renewal project on schedule.
• Coordinated activities relating to training, customer service, contracting, finance, membership accounting, and system configuration to accommodate new and changed benefits offered by Bravo Health insurance company.
• Maintained knowledge of and compliance with Medicare guidelines for data preparation and transmittal.
• Provided project management and mentoring.
• Created electronic and intranet/Wiki documentation to facilitate this process in-house.

Confidential

Information Technology Project Manager

Responsibilities:

• Completed $1.5M project for system integration of GE Centricity EMR, HealthMEDX, CareMEDX, and Confidential applications and improved lab workflow in Skilled Nursing Facility.
• Responsible for leading high performance, multiple discipline teams.
• Served as a project management mentor to junior staff.
• Crafted and disseminated project management templates and best practices for pilot in IT and companywide.
• Reconciled monthly expenditures against Hyperion financial system source files.
• Created and presented executive IT scorecards to facilitate project health reporting to senior management and stakeholders.
• Maintained open association and communication with Business Owners, Testers, Developers, Database Analysts, and Network Administrators.
• Managed change control, and issue and risk identification and remediation.

Confidential

Quality Assurance/Requirements Manager

Responsibilities:

• Verified and validated system requirements and changes to requirements in order to meet customer functional and product expectations.
• Developed, validated, and maintained bidirectional traceability matrices for requirements of enterprise security applications.
• Documented risks and recommendations for application improvement prior to customer delivery.
• Worked with customers, developers, and other IV&V team members to ensure requirements were understood.
• Participated in Local Change Control Board (LCCB) mechanism to maintain effective communication and inter-group coordination throughout the system life cycle.
• Member of CMMI Organizational Process Team.
• Researched, wrote, and implemented policies for companywide adherence to CMMI Level 2 requirements. Served as requirements mentor to QA/Tester team members.

Confidential

Senior Business Analyst

Responsibilities:

• Served as User Acceptance and System Tester. Worked with external employer accounts to ensure data was tested; and performed member audit functions.
• Served as active participant on account implementation team. Documented file layouts, process flows, and functional specifications.
• Wrote test conditions and test scripts using XML. Reviewed incoming test files and resolved data discrepancies with Account Management.
• Maintained departmental acceptance and regression test project plan with Senior Management.
• Developed work plans to include data receipt, testing, implementation, and post-production review of account files.

Confidential

Senior Analyst

Responsibilities:

• Worked with Federal directors and contract project management to meet report requirements of the U.S. Public Health Service and Department of Homeland Security, Immigration and Customs Enforcement (ICE).
• Completed market research for commercial off-the-shelf (COTS) applications to meet business needs.
• Defined functional requirements and reported requirements for DIHS critical applications.
• Wrote and confirmed "AS IS" and "TO BE" Process Flow diagrams per functional business area.
• Interacted with and interviewed field personnel across the nation. Formally assessed and objectively reported recommended software and operational improvement options to DIHS stakeholders to facilitate make or buy decision for a managed care application. The data derived from recommended system supported the U.S. uniformed public health officials in testimony before Congress on behalf of DIHS.
• Formally reported project progress; maintained project plan and management documentation.
• Wrote and disseminated formal Request for Proposals and managed vendor relationships.