Professional Summary

• 16 plus years of successful experience gathering requirements and implementing IT projects for fortune global companies.
• 8 plus years of successful project, product leadership and management experience, including IT outsourcing.
• 7 plus years of successful business, system and product development solutions delivery.
• 10 years of full time employment with CMM Level 5 and ISO 9000 certified organizations.
• 6 plus years of strong Health care Payor and Provider industry experience.
• Planning and execution within budget, time and scope to achieve project / organization objectives.
• Strong business, technical, quality assurance background to exceed customer expectations.
• Strong Project and Quality management experience following PMBOK processes and procedures.
• Requirements development through JAR, JAD sessions, UML, use case modeling, prototyping, POC working on projects involving Visual C , .NET, Java, Cool:Gen CASE Tool , Oracle, Sybase, MS SQL, IMS/DB2 and Mainframe development environments.
• Confidential Successfully delivered multiple phases of CRM solution for Appointment and Advice Call Center working with IT and HealthConnect teams. Successfully upgraded Genesys Voice Platform GVP for IVR infrastructure supporting AACC / CSCC Customer Service Call Center call center s . Successfully delivered requirement and design solutions for Outbound Appointment Reminder project working with business partners, IT and vendor teams. Successfully delivered HIE Health Information Exchange proposal working and coordinating with senior management and vendor team. Delivered National Revenue Cycle enhancements to enhance current Epic capabilities for the Georgia region working with HealthConnect and national team s .
• Confidential - Pathways Contract Management PCON Revenue Cycle Solutions Vertical - automates contract management and reimbursement process for 300 plus hospitals throughout the US. Managed and delivered a PCON PILOT to reduce IT expenses by 226,000 plus every year on this multimillion dollar project. This was the first product PILOT outsourced by McKesson / Syntel.
• Confidential - Encore - Revenue Cycle Solutions Vertical - is an integrated solution for both Access and Receivables management of provider health care. Lead and managed Access Management vertical to integration of all health care access management products . Planned, gathered requirements, setup quality assurance processes. This was the largest multimillion dollar IT engagement ever taken up by McKesson Provider Technology.

Health Plan / Payor experience includes:

HUMANA: Successfully lead and managed a common billing solution for Humana with 'emphesys' acquisition using an onsite / offshore global delivery model. Managed to reduce cost of ownership by 642,000 plus for this multimillion dollar integrated billing solution.

Confidential

• In 2012, delivered multiple business solutions, supported technical, policy aspects and worked with multiple vendors in establishing and delivering Georgia State Health Information Exchange 'Direct' solution.
• In 2006, lead and managed IT / QA requirements for the GA State MMIS procurement program, that EDS won the contract for 370 million. The program included enrolling provider/member enrollment, eligibility, prior authorization, electronic claims, clearing house, Coordination of benefits.
• Confidential Coordinated with Operations, Systems and Knowledge Transfer projects / managers to make sure, information is being exchanged, shared and synchronized to attain quality deliverables across the MMIS healthcare program. The program included enrolling provider/member enrollment, eligibility, prior authorization, electronic claims, clearing house, coordination of benefits, etc.
• Confidential Experienced working with Property and Casualty insurance companies performing IT development and business process improvements.
• Confidential Improved requirement communication and organizational process on this onsite / offshore engagement working with multiple teams including SME s . Lead and managed vendors in developing quality NH state MMIS program deliverables.
• Confidential: As a Confidential Instruments consultant worked with First Chicago Bank CHASE bank design and deliver solutions for ONETOUCH to integrate existing systems: MCS, FDTS, LIMITS and CAP ONE TOUCH .
• Experienced in developing a financial accounting package that included, debits, credits, general ledgers, receivables, payables, P L, Balance Sheets, etc.
• Confidential Experienced as a IEF/COMPOSER/COOL:Gen IT Consultant, working with STRS - School Teachers Retirement System STRS , SERS - School Employees Retirement System SERS in Investment Trade, Accounting, Service and Contribution domains.
• 3 years of experience in manufacturing, retail, logistics, telecommunications, sales, purchase order systems includes:
• Confidential Successfully managed support operations for 'Logistics' business unit working with the leadership on Big Ticket, Small Ticket, Reverse Logistics, Reporting and other applications, including Macy's Divisional Consolidation MDC engagement product requirements.
• Confidential Delivered requirements on Order Management OMS and Warehouse Management systems WMS including, understanding applications, Standard Operating Procedures SOP and touring UPS Warehouses.
• Performed quality assurance audits in identifying gaps in requirements that do not have respective test cases in Quality Center.
• Worked with Accenture onsite / offshore resources in communicating and bridging gaps on requirements.
• 6 months on Human Resources Management systems
• 6 months plus on sales configuration tool Selectica WEB application / implementation tool
• Experienced in effective customer/vendor management in IT outsourcing, change management, improving organizational efficiencies/structures, working through procurement RFP/RFI, SOW, MOU, etc., processes.
• Experienced in following software development methodologies RUP, SDLC, IEM, CMM, ISO, PMBOK, Agile and tools MS Office, MS Visio 2003, MS Project, Test Director HP Quality Center, StarTeam, etc., to deliver project s / program s successfully.
• Successful integration experience on multiple engagements including Encore with McKesson Corp, PBS-MTV billing integration with Humana, Mortgage integration with First Chicago bank, Macys Divisional Consolidation with Macys Systems and Technology, etc.
• Lead and managed software development and quality assurance teams involving Visual C , .NET, Java, Cool:Gen CASE Tool , Oracle, Sybase, MS-SQL, DB2 and Mainframe technologies.
• Successful completion of Engagement / Program Management training by Syntel CTO.
• Experienced in working / reporting / contributing to the EPMO office / processes.
• Selectica Certified WEB based configuration tool

Professional Experience

IT Consulting

Sr. IT Business Analyst / Consultant Health Information Exchange

• Confidential Envisioned and delivered multiple business process work flow s before and after the vendor selection process.
• Applied best practices to identify deficiencies and suggested solutions to the product delivered by the vendor.
• Supported on technical and policy solutions to align with industry best practices.
• Worked with Georgia Tech research teams to deliver user experience, pain points and other industry best practices.
• Participated in high level meetings and provided inputs with Studiocom in establishing Georgia HIE web presence.
• Participated in an two day ONC / Standards and Interoperability framework face to face seminar

Environment Web based products and applications

Tools Microsoft Project, Microsoft Visio, Microsoft Office

Senior IT Business Analyst / Consultant, Identity Management IdM

Confidential Worked with the project team and leadership in identifying product roadmap initiatives for IdM product.

• Worked Identified IdM roadmap initiatives included, Mobile Management, Key Ring functionality Multi Dwelling Unit, Social Media integration, Device Management, Stream Management, Single Sign on with Trio Integration, etc.
• Documented functional requirements in enhancing Big Ten Network to include respective service codes within Omaha markets and securing additional PPV Pay-Per-View sites.

Environment: Web based Identity Management integrated single sign on solution for various Cox products

Tools: Microsoft Project, Microsoft Visio, Microsoft Office, CA Identity Manager, Microsoft SharePoint

Sr. IT Business Analyst / Consultant Logistics Management Systems

• Confidential Requirements gathering and documenting software requirement specifications on Order Management and Warehouse Management Systems.
• Documenting and mapping requirements traceability from user requirements to software requirement specifications and detailed design specifications.
• Working with Accenture team s in sharing requirements and resolving issues on IT development.
• Disaster Recovery Planning for the LMS suite of applications.

Environment Logistics suite of applications on primarily Unix, Oracle and Cobol environments

Tools Microsoft Project, Microsoft Visio, Microsoft Office, iRise

Sr. IT Project Manager / Business Analyst MemberConnect Program

• Confidential Jump started multiple projects and understood Kaiser Application development / delivery processes with a very minimal ramp up time.
• Successfully delivered multiple phases of CRM solution for AACC working with IT and HealthConnect teams.
• Successfully upgraded Genesys Voice Platform GVP for the IVR infrastructure supporting AACC / CSCC call center s .
• Successfully delivered requirement and design solutions for Outbound Appointment Reminder project.
• Successfully delivered Health Information Exchange HIE proposal working with senior management and vendor team s .
• Coordinated / Administered National Revenue Cycle solution project to enhance current Epic capabilities for GA region.
• Initiated discussions to implement CRM for MRU to automate current manual / paper process.
• Contributed towards ongoing process improvement initiatives for the GA region.

Environment IVR and Epic environment s with multiple production servers, integration points and voice infrastructure

Tools NIKU / Clarity, Microsoft Project, Microsoft Office, Lotus Notes

Sr. IT QA / Test Consultant NH MMIS

• Confidential Lead and managed vendor in delivering quality / test deliverables for NH state MMIS program.
• Improved communication and organizational process on this onsite / offshore engagement working with multiple teams.

Environment WEB based MMIS environment

Tools Microsoft Office, Microsoft Visio, Microsoft SharePoint

Sr. IT Project / Product Manager Logistics Support Operations

• Confidential Managed multiple projects, including product requirements and supported development operations for Logistics Applications Reverse Logistics, Big Ticket, Small Ticket, miscellaneous other applications .
• Managed product requirements for Reverse Logistics and acted as a liaison, partnering with business owners to deliver MDC.
• Developed and implemented SOX change control processes working with all the IT / Logistics business unit.
• Communicated effectively with business and MST senior management to address ongoing support operational issues.
• Improved processes by implementing quality assurance processes and managing quality of products.
• Successfully worked with onsite/offshore development teams on development and support operation projects.

Environment CICS, MS Windows Visual Basic , TRIMS and other interfaces with DB2, Oracle, Datacom databases on MVS platform

Tools Microsoft Project, Microsoft Office, Microsoft Visio, Microsoft SharePoint

Sr. IT / QA Project Manager Georgia MMIS Re-Procurement

Confidential Managed and leveraged valuable consulting experience in defining important PM, QA requirements.

• Worked with the DCH department in managing Team Capgemini and IV V sub-contractors.
• Identified and mitigated risks on a weekly basis.
• Prepared and delivered Contingency Plan s as required.
• Tracked project schedule and plans with Senior Manager s , Directors and Officers.
• Infrastructure planning for the project, including developing a SharePoint portal.
• Participated in Steering / Executive Committee Meetings.
• Reviewed and signed off on requirements including Health care business requirements .
• Advised on best practices in the IT industry for the development of the Requirements definition.
• Managed and advised sub contractors in following industry best practices.
• Lead and provided architectural solutions to the IVR and PCI compliance project working with the outsourcing vendor.
• Environment CICS and other reporting interfaces accessing DB2 database on MVS platform
• Tools Microsoft Project, Microsoft SharePoint, Microsoft Office, Microsoft Visio, SurveyMonkey
• Confidential Project Manager / Sr. Business Analyst
• Planned and gathered requirements for OPUS Telegence Retail Application, including PCI Compliance project.

Environment Internet web based wireless retail applications

Tools Kintana, Microsoft Office, Microsoft Visio

Confidential IT Project / Development Manager - PCON Engagement Outsourcing - PILOT

• Successfully implemented an onsite-offshore global delivery model demonstrating value by saving costs 226,000 , improving processes and delivering PCON 10.0, within schedule, budget and with quality.
• Managed a 60 organization resource / structure changes for PCON product line.
• Successfully lead development and quality assurance teams involving Visual C , Prolog, MS-SQL and Sybase.
• Identified problems/issues and improved configuration management processes as per the best practices.
• Initiated multiple projects with the success of the PILOT PCON project.
• Mentored the team in resolving technical / process issues and directed in achieving project timelines and quality goals.
• Professionally transitioned resources having 10-20 years experience, enabling a quality product.
• Jump started Transitioning, Training and Development projects and achieved project targets.
• Presented the progress and success of the PILOT project to the senior leadership team and MIS President.
• Proposed and started a new integration project PCON-HPM , augmenting resources and revenue.
• Prepared and participated in SOX audit review s .
• Environment MS-SQL / Sybase database running on NT Server and XP on the Client
• Tools Microsoft Project, Microsoft Office, Microsoft Visio, Prolog, VC
• Confidential IT Project / Product Manager PMO Encore
• Developed work plans for different phases with 250 resources as highest ramp-up of the project.
• Lead Access Management team in gathering requirements JAD sessions documents for review and development.
• Lead development teams in preparing standards, guidelines and checklists for C-Sharp, Java, Oracle, etc.
• Lead QA teams in setting up Test Director Processes that includes, test scenarios, test cases and defects.
• Identified, assessed and implemented additional changes to the project.
• Initiated change requests and participated in getting approval through SCCB meetings.

Environment .NET with C-Sharp on client side, Java on server side using Oracle database

Tools Microsoft Office, Microsoft Project, Microsoft Visio, Test Director, Requisite Pro, StarTeam, Rational Rose, Erwin

Skills

• Primary: Microsoft Project, Microsoft-Office, Project Invision, Microsoft Visio, Test Director, Lotus Notes Communication , COOL:GEN/COMPOSER/IEF, PowerBuilder 5.0, Sybase APT Workbench, Oracle 7.x, Internet Selling System Selectica
• Operating Systems: MVS, Windows XP Pro, Windows 95/98, Windows NT, OS/2 Warp, Microsoft DOS, UNIX, NetWare V 3.12.
• Languages: C, C , COBOL, BASIC, HTML and Java
• DBMS: Sybase, Microsoft-SQL, Oracle, DB2 Mainframe , and Microsoft Access
• Tools: NIKU / Clarity, Microsoft Project, COOL:Gen / Composer / IEF CASE TOOL , Rational Clear Case, Rational Rose / Suite, Test Director, Requisite Pro, Task Assistant, SharePoint, Selectica ACE Studio Model Builder , Homesite, FrontPage, PowerBuilder 5.0, Oracle Forms 4.5 Familiar , Microsoft-Office, Visual C , Prolog, DBase III , WinRunner, Erwin.
• Hardware: Mainframe, DEC Alpha AXP/2300, RS/6000, Pentium Intel , IBM Compatible PC AT
• Methodologies: IEM, SSADM, RUP, ISO 9000, CMM Level 5, PMBOK