SUMMARY:

• PMP, CSM and ITIL Certified Senior Project Manager with over 10 years of experience in Healthcare, Information Technology, Project Management, Vendor Management, Process Improvement and Business Analysis.
• Extensive experience in the Healthcare Domain, with clients including AmeriHealth Caritas, HBCBS, Intermountain Healthcare, EmblemHealth and GE Healthcare.
• Extensive experience in design, development and integration strategies within a team oriented environment, utilizing quantitative and qualitative analytical skills.
• Experience in facilitating ICD 9 to ICD 10 code conversion requirement gathering sessions and implementation.
• Experienced in handling Medicaid expansion implementations across various states such as FL,PA, MI and DC.
• Expert in managing and achieving stakeholder's expectations to accomplish target goals in time, budget and scope.
• Excellent people skills to foster environment that supports teamwork, with continuous improvement innovation, with an excellent track record of meeting the corporate objective.
• Working knowledge of SDLC, Agile, RUP methodology and project life cycle.
• Strong experience creating master project plan using MS Project, Planview and Blueprint.
• High impact individual and creative thinker with strong analytical, problem solving, interpersonal, communication, and leadership skills

PROFESSIONAL EXPERIENCE:

Confidential

Sr Project Manager

• Confidential is the state's largest health insurer, serving over 2.8 million members across 50 states. Responsible for providing program level governance and leadership on company's critical initiative to comply with the ICD-10 conversion mandate
• Responsibilities
• Managing an enterprise project management team comprising of several project managers PM , business analysts BA and cross-functional teams in a matrix organization from initiation, planning, and execution to closure for ICD-10 projects.
• Reported to executive leaderships VPs and EPV on program's health on status, key risks and recommended mitigation strategies.
• Tailored EPMO methodologies to suit program's need for efficiency in managing Issues, risk, schedule and resource plans.
• Maintained program level master project plan, work breakdown structure WBS and schedule by collecting weekly updates, managing dependencies between various tasks, resources and calculating critical paths.
• Strategized Vendor evaluation process to efficiently score and shortlist eligible vendors. Facilitated vendor presentations and produced side-by-side vendor evaluation surveys
• Created and adhered to communication management plans, status reporting plans, schedule management plans in conjunction with project team members
• Created program level risk registry and risk management plan. Responsible to surface and assess key risks to assign risk owner, score and mitigation plan. Created program level Issues log and conducted regular issues monitoring meeting with issue owners.
• Reviewed and approved bi-weekly status reports and monthly dashboards.
• Conducted project audits at project closures to ensure storage and accuracy of required project documentation, approvals, release of resources and financial closure.

Tools/Technology MS Project, Project Portfolio Management, Share Point, MS Project, Visio, Microsoft Office Word, Excel, Power point, Access , MS Outlook, Waterfall methodology, HP Quality Center

Confidential

Senior Project Manager

Responsibilities

• Successfully delivered multiple new business growth opportunity projects and ICD 10 roll out.
• Facilitated ICD 9 to ICD 10 codes conversion requirement gathering sessions and delivered test plans related to ICD 10 rollout project.
• Effectively worked with state supervisors, vendors and partners to enable allocation of resources and estimation of effort for assigned tasks.
• Managing the project team consisting of 35 members, with project budgets standing at 10 million.
• Effectively worked with IT and business resources to manage and execute project activities in compliance with EPMO methodology.
• Lead Risk Management Board to identify and mitigate project risks.
• Worked closely with Regulatory, Medical Management, Facets, Business Intelligence, EDI, Data Warehouse, Provider Portal, Member Portal, Infrastructure teams for effective communication and collaboration.
• Conducted Business Requirements walkthrough with the business owners as well as the Technical Stakeholders.
• Conducted weekly/monthly stakeholder update meeting with the business sponsors and key stakeholders on the Project Schedule, Scope and financials.

Tools/Technology MS Project, Innotas, Blue Print, Share Point, MS Project, Visio, Microsoft Office Word, Excel, Power point, Access , MS Outlook, Waterfall methodology, HP Quality Center

Confidential

Project Manager ll

Responsibilities

• Managing the project team consisting of 45 members, with project budgets standing at 6 million.
• Managing team members and key stakeholders from 4 different companies associated with project including off-shore team.
• Participated in the initial Impact Analysis for all the critical functional areas within Horizon BCBSNJ, i.e., Utilization Management, Care Management, Letters, Reporting, Surveys, Assessments and Vendor Management.
• Worked closely with eBusiness line of business for web portal requirement definition and strategy.
• Worked with a tool set for creating crosswalk mapping rules and business rules to convert ICD-9 to ICD-10.
• Experience with HIPAA ANSI X12 4010/5010 transaction sets.
• Facilitated ICD 9 to ICD 10 codes conversion requirement gathering sessions and created high level business requirement document.
• Involved in Program level planning, mentoring project managers I, project administrator, project scheduler and delivery management.
• Responsible for creating monthly, quarterly budget forecast and yearly budget.
• Actively engaged with stakeholders to manage day to day execution of project activities.
• Proposed process improvements which resulted in improved requirements management process.
• Created master project plan using MS project and Planview.
• Participated in vendor evaluation and analysis process along with key stakeholders.
• Responsible for creation of Activity list, Work Break Down structure, identification of critical paths and network analysis within the framework of Project Life cycle.

Tools/Technology MS Project, Planview, Clear Quest, Share Point, MS Project, Visio, Microsoft Office Word, Excel, Power point, Access , MS Outlook, Waterfall methodology, Vendor Products

Confidential

Project Manager

Responsibilities

• Responsible for continuous process improvement and for identifying and maintaining a clear and measurable Development Process that is deployable throughout the enterprise using iterative and incremental development lifecycle.
• Managed the project development team consisting of 15 members, with project budgets standing at 3 million.
• Submitted status reports to varying levels of management via established tool sets and templates in order to inform stakeholders throughout the project
• Facilitated collection of requirements from system users and prepared business requirement documents in the form of business use cases that provided appropriate scope of work for technical team to develop prototype and overall system.
• Worked with the team to turn requirement backlog into working functionality.
• Executed daily stand ups with 3 various teams and removed impediments to allow the projects to be delivered on time.
• Worked with Electronic Health Record EHR systems and healthcare transaction standards HIPAA
• Coordinated daily tasks and schedules effectively with remotely located teams.
• Ensure Process Compliance through regular reviews and audits.
• Lead requirements analysis and definition for on SOA and ESB infrastructure projects.
• Detected and managed project risks using best practices to inform stakeholders of the possible project pit falls while working to alleviate said risks
• Developed strong relationship with stakeholders to manage issues and changes.
• Coordinated work plan between business management and client implemented and managed migration process developer fixes retested fixes scheduled and tracked progress for team members of project through completion.

Tools/Technology Eclipse Java, MS Office Suite, MS Access, Visio, SQL Server 2000, Hudson,WSO2, UML, Agile process and Mercury Quality Center.

Confidential

Project Manager

Responsibilities

• Managed the Project Release Management team consisting of 30 members, with project budgets standing at 10 million.
• Developed and refined non-behavioral requirements definition that includes Reliability, Serviceability, Performance, Integration, Manufacturability, Cost, Compatibility, Regulatory, Security and Internationalization to ensure requirements met HL7 standards and are in compliance with HIPAA and Patient Safety act.
• Managed geographically distributed onsite / offshore and multi-disciplinary project teams including third party vendors
• Responsible for execution of numerous Change Requests within the boundaries of the triple constraints of Cost, Schedule and Resources.
• Responsible for stake holder satisfaction survey and project closure.
• Research, investigate, analyze and define requirements and documentation procedures needed in the project in an RUP environment.
• Ensured healthcare compliance and regulatory initiatives for HIPAA and FDA.
• Collaborated with key internal stakeholders and impacted business areas to establish clear expectations relative to ICD-10 business area support and resources required to define, implement, and test business and system solutions and opportunities for improved efficiency and effectiveness
• Responsible for running gap analysis and closing on gaps in requirements and test cases flowing from SDRS to DRS to Test Cases in Quality center.
• Worked with cross-functional teams in Barrington and Bangalore, India to communicate objectives and planned on how to meet these clearly defined objectives.
• Organized daily stand-ups with teams and senior management for daily program execution.

Tools/Technology Java, Microsoft.NET Framework 2.0, SOA, HP Nonstop Tandem Server, MS-Project, MS Office, Visio, Telelogic Doors, PL/SQL, UML, XML,WSO2, Cognos Reports, Mercury Quality Center and Load Runner.

Confidential

Project Manager / Senior Business Analyst

Responsibilities

• Designed the business requirement collection approach based on the project scope and SCRUM methodology.
• Obtained an understanding of the processes being followed in the project environment including a grasp of material management.
• Facilitated and managed JAD meeting sessions with Stakeholders and SME belonging to various business areas.
• Conducted interviews with key business users to collect requirements and business process information.
• Translated the business needs into high level business requirements and use cases, communicating with the business on a broader scale and with an in-depth view too.
• Documented and delivered Requirement Specification Document HLBR's to the project team.
• Followed the UML based methods using Rational Rose to create: Use Cases, Activity Diagrams, Sequence Diagrams, Collaboration Diagrams.
• Assisted Project Teams in preparing Software Requirement Specifications SRS , Software Design Documents SDD , User Interface Design, designing of Application Architecture.
• Worked with user interface designer in coming up with user interface for the application with the intended user experience.
• Assisted with writing use cases, user acceptance testing of systems, developing and maintaining quality procedures and ensuring that appropriate documentation is in place.

Tools/Technology Eclipse Java, MS Office Suite, MS Access, Visio, SQL Server 2000, Rational Rose, UML, Agile process and Mercury Quality Center.

Confidential

Programmer Analyst

Responsibilities

• Conducted requirement gathering sessions including interviews, brainstorms and meetings with stakeholders and created requirement specification artifact.
• Prioritized the requests to fit the system and monitor feasibility.
• Established a business Analysis methodology around Scrum and Extreme Programming using Scrum Works tool.
• Translated the business needs into system requirements, communicating with the business on a non-technical level, and with the System Architect and Developers on a more technical level.
• Interacted with the development team to explain the system requirements to the end users.
• Responsible for development of timelines, change request submissions and reported to the Change Management Lead on the status of various projects.
• Developed timelines for project delivery, and managed projects and resources to successful completion.
• Provided technical leadership and expertise in reorganization of a complex End-to-End Testing effort and performed System analysis and organizational review of existing QA process.

Tools/Technology Windows 98, C, C , .NET, HTML, MS Word, Visio, PowerPoint, Excel, Project, Access, SQL, Agile environment, UML and Test Director.