Senior Project Manager Resume Denver, CO - Hire IT People

SUMMARY

Service delivery professional executing strong customer service, strategic and advisory skills, leading and directing teams to implement technical and operational solutions.
I am a certified Project Management Professional (PMP), SCRUM Master Certified and a Certified Medical Practice Executive (CMPE).
My expertise is establishing operations framework, executing process improvements and leading teams and organizations through change.

AREAS OF EXPERTISE

IT System Implementation & Upgrades
Operational Transformation
Resource Management
Electronic Health Record (EHR) Acute and Ambulatory
Medicaid Management Information Systems (MMIS) Design, Development and Installation (DDI) and Operations
CMS Certification
Revenue Cycle Management
Regulatory Compliance
Project Financial Performance
MITA Standards - IV&V
SDLC Methodologies
Technical Infrastructure
System Adoption and Optimization
Strategic Planning & Execution
Population Health and Data Integration

PROFESSIONAL EXPERIENCE

Confidentia, Denver, CO

Senior Project Manager

Responsibilities:

Managed and directed a QNXT (TriZetto health claims enterprise solution), upgrade and parallel data center move project.
Utilized EPMO project methodology to uphold project consistency, promote standards of excellence and practices to improve execution on organizational projects and programs.
Directed development efforts for health strategy including infrastructure design and execution, adoption and optimization.
Implemented structure and IT best practices to establish a repeatable process for deployment and operation.

Confidential

Implementation Manager

Responsibilities:

Implementation manager for the State of New Mexico Medicaid Management Information System Replacement Program.
Responsible for legacy and new modules to strategize, design, develop and execute service integration for enrollment and child support enforcement.
Managed development of deliverables, DED and DDI documentation including change, communication, risk and asset management plans.
Developed and published status reports. Developed project management tools, templates and methodologies to execute on repeatable processes.

Confidential

Project Manager

Responsibilities:

Managed the design, development and installation (DDI), for a commercial off the shelf (COTS), program integrity and utilization management module using fraud and abuse identification, enterprise case management, visual analytics, and reporting tools the replacement of the Kansas Medicaid Management Information System (KMMS).
Directed a team of technical engineers and business analysts as well as internal and external suppliers.
Managed development teams to create strategy for data extracts. Managed CMS certification process for fraud framework.
The project is based on a modified agile approach that includes product development and waterfall methodology for module teams.

Confidential

Program Manager

Responsibilities:

Managed program with State government executives and local resources in both implementation and operations for Alaska Medicaid Fiscal Agent Services for MMIS claims operations to deploy and sustain best practices.
Evaluated requirements and identified solutions to execute structure and change management to support SLA guidelines, policies and procedures.
Responsible for managing data analysis, financial recoupment, implementing methodology, conducting audits and developing key metric reports to achieve stabilized MMIS systems. Supported CMS certification program.
Implemented best practices and exceeded standard industry metrics through resource cost savings and deploying performance improvements for Medicaid claims operations.

Confidential, Chandler, AZ

Program Manager

Responsibilities:

Provided leadership and expert consultation on the design, development and implementation for full life cycle of healthcare IT programs for customers. Evaluated customer requirements and developed proposals, IT and application roadmaps and vendor management programs to achieve business goals.
Developed customer project goals, defined, designed and delivered action plans, selected vendors, delegated assignments, and executed on healthcare IT implementations, hardware upgrades, data conversions, and operational improvements.
Directed a high risk, cross organizational EHR implementation with 3 separate business entities, for 1200 physicians and end users.