PROFESSIONAL EXPERIENCE

Director IT EPMO

Confidential, Melville, NY

Responsibilities:

• Implemented significant process improvements including change control, defect and QA management; including formal release process and project portfolio tracking.
• Managing and oversaw Dev, IT, Implementation, QA and Customer Service company teams to support product lines for all clients.
• Led projects to implement cross - product, cross agency jurisdictional reporting and business intelligence; creation of an ODS / Data Warehouse.
• Working with the leadership team to rationalize, modernize and consolidate HSP platform over onto the CTS platform while simplifying the supply chain via IoT (Azure cloud)
• Connections of medical devices between patients, clients, labs and pharmacy collecting and share data real-time.
• Connections of medical devices to BI /data ware house.
• Defining tracks and manage IT leadership accountability aligned to Confidential 's business partners as well as Confidential at-large.
• Developed strategic business partnerships both internally and externally.
• Ensuring success of mission critical project support, escalations, solution approach and recommendations.
• Oversaw COVID Response Team nationally and internationally

Director IT Project Management /EPMO

Confidential

Responsibilities:

• Technical Director of IT PM Implementation lead managed implementation for $70 million state Medicaid contract including interface for Ohio (ODM) Medicaid /MCO’s, ensuring implementation on time and on budget.
• Technical Director PM Lead for various state and MCO RFI and RFPs including solution design, content creation, editing, pricing and complete project management responsibilities.
• Director of IT Project Management for various initiatives including implementation of EVV for a large State-run Consumer Directed Medicaid program.
• Oversaw the development of Sandata’s flagship Santrax Electronic Visit Verification product; while providing time and attendance for home health care payers and agencies including telephony and mobile call in / out functionality. Provides a fully hosted SAAS-based solution for the healthcare industry.
• Implemented significant new product capabilities including ADA, Speaker Verification and Client Visit Verification. (Prior year call volume exceeded over 120 million calls with annual growth between 12% and 16%).
• Implemented significant process improvements including JIRA & TFS for change control, defect and QA management; including formal release process and tracking.
• Led projects to implement cross-product, cross agency jurisdictional reporting and business intelligence; creation of an ODS / Data Warehouse.

EPMO Program Manager

Confidential

Responsibilities:

• Created and Implemented an Enterprise Program Management Office (EPMO Agile /waterfall) for Confidential .
• Oversaw the development and launching for both employee-facing and client-facing SharePoint ePortals. This allowed for less calls into helpdesk /customer service estimated about 5% less inbound calls and enabled user, provider /agency to better manage, solve items, obtain updates and have better understand the health of member / or their company.
• Created Program /Project Management Tool Kits, including Charter, BRD, Scope, RACI Matrix, issue’s list, Task list, Risk list, TRD, Change Management plans, Class estimate templates, Clarity software solution and other necessary material to support and grow into a mature EPMO.
• Worked with Executive Management to create a Governance Committee (GC) who oversees and ensures that the company portfolio is tracking and meeting overall company short and long term goals.
• Managed the Operational Committee (OC) meetings, reviewing the company project portfolio with project sponsors and project teams proving direction and seeking project status updates.
• Ensured project scope is adequately defined, all requirements were identified, complete, accurate, and measurable as agreed upon by all stakeholders.
• Identified issues or task, leveraged tracking list to track, manage, and resolves project issues and risks.
• Implemented internal Change Management, Customer Services Support processes, workflows, and training, internal and external portal solutions, IVR, EHR, ICD 10, HL7, Medicare, Medicaid Expansion, Wellness Programs, Appeal and Grievances, various internal system / info structure enhancements, vendor partner integrations, to support both commercial products and PPACA HealthCare Exchanges projects.
• Implement two Exchange (HIE /HIX) clients in NY /NJ Area.

Senior Project Manager

Confidential

Responsibilities:

• Managed cross-divisional projects with a high degree of complexity and medium to high risk.
• Obtained a clear understanding of the project scope and objectives and of team member roles and responsibilities and applies standard project management methodology, tools and practices to ensure successful outcomes of projects.
• Organized, managed and directed project team tasks and assures proper application of EPMO standards, tools and methodologies in project work.
• Identified and assembled project team(s) and provided leadership and mentoring to assure effective project completion.
• Delivered full project objectives; on time and on budget; as well as contributing to the development of high-level business cases and post-implementation benefits estimates and recovery plans.
• Oversaw /managed the Implementation of portal solutions, HMO, Medicare, Medicaid, ICD 10, Dependent 26, Pre-Existing Conditions, EOB, EHR, EMR RFP, RA, UAT, SAT, Disaster recovery and business continuity solutions (BRP /BCP) and creation of Qualified Health Plans SPB and SPD to support PPACA.