| PROFILE |
| Project and Process Management Professional PMP with extensive experience in business process, infrastructure services and systems development in diversified industries, such as Pharmaceutical, Banking, HealthCare, Education, with a MBA in Technology and eCommerce. Key strengths include strong leadership, planning, and problem solving skills, ability to interface between business and technology, and persuasive communications. Expertise in: |
- Directing/expediting infrastructure, development and support over multiple platforms and information services.
- Managing hosting, storage, databases, messaging, collaboration services and network connectivity architectures.
- Implementing software, interfaces, data communications, system migrations, ERP, CRM.
- Managing organizational process, procedure, infrastructure services and providing enterprise/client communications.
- Using best practices, SDLC, PMLC, HIPAA, REGZ, ISO9002, CMMI, BPM, ITIL, GMP, CFR Part 11, FDA.
- Consulting, customer service, collaboration, Service Level Agreements, Six Sigma, Agile/SCRUM.
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| Key Accomplishments |
- Managed process reengineering, change management, release management, system migrations, implementations, upgrades.
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- Restructured IT department to be more responsive to business needs through teamwork, training, and communications.
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- Published standards and procedures manual, improved workflow, reduced project schedule timeline.
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- Managed high-availability infrastructure services for cashless eCommerce solutions.
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- Developed new processes, reporting strategies, and performance measurements for automated delivery of actionable data.
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- Directed planning, implementation, and deployment of disaster recovery and security strategies for corporate hot site.
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| TECHNICAL SKILLS |
| Planisware 5, OPAL, CA Clarity PPM, Open Work Bench, Documentum, eRoom, Jira, UNIX, Oracle, Peoplesoft, SQL, OVID, Micromedex, Remedy CRM , HTML, I2 ERP , EDI, Internet, Facets, Genesys GVP, MSOffice, MSProject, MSProject Server, SharePoint, PlanView, Visio, Primavera, SAS |
| EXPERIENCE |
| Confidential |
| PMO/Senior Program/Project Manager |
| Interfacing with clients and coordinating technical resources with company goals to ensure seamless efficient integration. |
- Amerisourcebergen - Project Manager responsible for creating and implementing a Resource Capacity Planning Process,
- and managing small to medium Infrastructure Projects, using CA Clarity PPM with Open Work Bench to manage
- projects and conduct resource constraint analysis, and forecasts. Coaching project managers and resource managers on
- using Clarity with Open Work Bench and forecasting resource capacity.
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- McKesson Led platform integration of the Provider Management and Contract Management applications. Using JIRA
- agile Kanban methodology. Leading JAD sessions, gathering business requirements, creating design documents for web
- services, features, user stories, issues, testing acceptance criteria, for product release.
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- AstraZeneca Overall BPI project PM overseeing the implementation of the Cash and Banking activities in the Latin
- American countries. Moving activities from local banks to one single banking platform in the regions Citi banks.
- Responsible for communications to upper management, PMO, Governess, managing RAID logs, ScoreCards, status reports
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- Florida Health Care Plan Managing the Affordable Care Act ACA individual enrollment and premium projects for
- the Health Care Exchange program, requirements gathering, planning, implementation, EDI 834, 820, claims system
- modifications, medical and pharmacy claims processing, setting up the Edge Server for communications with CMS.
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- Geisinger Health Systems Worked in a dual role as Project Manager/Business Analyst on the ICD-10 Implementation
- Program. Gathering high level and detailed requirements for ICD-10 impacts in appeals, case management, medical
- management, medial policies, pharmacy, quality improvement, wellness, payment integrity, clinical/ actuarial informatics,
- and training. Working with the Business and IT teams to ensure a smooth transition of processes from ICD-9 to ICD-10.
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- McNeil Managing four workstreams in the implantation phase of the Consent Decree for product development,
- technology transfer, and product life-cycle management. Tracking progress of SOP development, quality standard updates,
- organizational assessment, training, documentation, metrics, IT requirements, verification, to improve the quality systems
- and operations of the over the counter business unit. Providing weekly performance updates to Management and PMO.
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- AstraZeneca Managed PMO Portfolio of cross functional Continuous Improvement Projects for Global Research and
- Development Information Services. Analyzed revenue and expense trends, mentored, supported, and trained Program
- Managers. Monitored performance of portfolio delivery teams. Ensured appropriate performance and continual
- improvement. Provide periodic performance updates to IT Infrastructure team and IT Business Partners.
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| Confidential |
- TD Bank Collaborated with US Canadian cross functional project teams on M A Infrastructure Messaging Initiative.
- Managed expectations and built relationships with key stakeholders, partnered with IT Managers and influenced Senior
- Management. Managed scope, issues, risks, budget, work plan, test plan, communication plan for complex messaging
- migrations of Legacy Exchange and Notes to MS Exchange 2007, for PCs and mobile devices across both borders.
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- JPMorganChase Directed fast paced multiple software development projects for collections and REGZ compliance.
- Managed aggressive schedules to meet Federal mandated compliance requirements and implementation of collection and
- recovery programs to assist bank membership in debt repayment. Managed scope, issues, risks, budget, work plan, test
- plan, software releases, application interdependencies, internal, external, offshore teams, vendors, system architects, testers
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- HealthNow Blue Cross Blue Shield Managed enterprise Facets upgrade, integration with multiple applications, Facets,
- Pega, Enterprise Warehouse and multiple interfaces. Managed development teams, internal, external, off shore, system
- architects and vendors. Managed scope, issues, risks, budget, work plan, test plan, custom code and interfaces, web
- strategies and system configuration. Ensured that HIPAA 5010/ICD-10 mandates in claims processing are being met.
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- Horizon Blue Cross Blue Shield Collaborated with senior management in the Operations Optimization Office to realign
- resources, process, and technology in the Enrollment, Billing and Account Implementation areas of the enterprise, to
- implement operational efficiencies. Worked with Upper Management, and Business Process Management Six Sigma black
- belts to reengineer current processes and worked with IT to automate manual processes and reevaluate current technologies
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- Independence Blue Cross/High Mark Blue Cross Blue Shield Merger Collaborated with C-level and VP's of
- Medicare/Senior Business, Community Affairs, Government Affairs/Corporate Communication Team Leads on
- implementation deliverables functional scope, project identification, project charters, resource identification, timelines,
- implementation plans, gap analysis, issue resolution. Mentored the Team Leads with their presentations to Senior
- Management, managed document archives, delivered status reports to PMO, attended integration and implementation
- meetings with Team Leads lead by Senior Management.
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- AstraZeneca Directed as a Global Senior Project Management Consultant with a global project team on the Global WAN
- Expansion Project. Managed multiple vendors national and international to migrate WAN services from Verizon and
- AT T to British Telecom at all site in the USA and in Latin America. Met enterprise regulatory requirements, managing
- documents, and using the global PMO project processes and methodologies to execute required deliverables.
- Communicated process/procedure changes to the organization and business community.
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| Confidential | Confidential |
| Senior Project/Process Manager |
| PMO Senior Project Manager leading projects using CMMI processes within the Federal Employee Program FEP Division and Commercial Division. Also, familiar with Rational Unified Process RUP and Business Process Management BPM . |
- Collaborated with the VP of the FEP Division, leading project assessment and implementation of a member portal for a new
- dental product, and a new provider network in Facets for the Federal Employees Program. Developed rough order of
- magnitude, cost benefit analysis, project charter, statement of work, project plan and timeline, procured and managed
- cross functional internal resources, consultants and vendors, managing a two million dollar budget, analyzing revenue and
- expense trends, project scope, communication plan, identified and managed risks and issues. Led requirements gathering,
- systems analysis, data warehouse requirements, and data architecture refinements, reviewing RFP for solicitation.
- Conducted status, steering committee meetings. Managed development, implementation, software deployment,
- interdependencies and training of new claims process/procedures and providing enterprise and client communications.
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- Directed Real-Time Marketing Surveys project. Collaborated closely with VP's of Marketing and Call Centers, Vendor
- teams and CareFirst internal teams to customize and implement the Genesys Voice Portal GVP application into the
- CareFirst environment. Worked with IVRs, voice and key pad response systems. Reviewing RFP for solicitation,
- negotiating vendor contract, managing project budget, scope, timeline, communication, implementation, software
- deployment, interdependencies, data architecture and stores, and training of new process/procedures and provided
- enterprise and client communications.
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| Confidential |
| Principal/Project Manager |
| Interfacing with clients and coordinating technical resources with company goals to ensure seamless efficient integration. |
- MEDecision - Led software development and implementations for Client Services web based solutions for Healthcare
- clients. Creating electronic healthcare records using HIPAA compliant EDI interfaces for managed patient care,
- case, disease, utilization management, and provider portals on client sites using SOA. Developed, SOWs, project plans,
- process changes, client training.. Led status meetings, mitigated risks, managed schedule, costs, and resources.
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| Confidential |
- The TriZetto Group Led conversion from AMISYS to Facets for member, provider, accumulators, authorizations, and
- claims implementation. Developed Test Methodology for client. Led requirements gathering, gap analysis, functional and
- design specifications, development, testing, deployment of data architectures, and data warehousing solutions. Developed
- process changes and client training and managed the implementation of Facets and HIPAA compliant EDI interfaces.
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- Keystone Mercy Health Plan - Led migration and process reengineering of healthcare applications from CSC to Facets to
- meet HIPAA compliance mandate. Managed implementation for claims conversion and related EDI interfaces, and
- extensions, ACS, Macess member/provider load and DocFlo, TPL/COB, DRG Grouper, EPSDT, TPL Led requirements
- gathering, gap analysis, functional/ design specifications, third party integration, development, testing, deployment, designed
- data architecture and data warehousing. Developed process changes, client training.
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| Confidential |
| Director of Technological Services |
| Managed a high-availability UNIX infrastructure of 60 servers for cashless commerce, providing ATM credit/debit card processing, direct deposits, electronic benefits transfers EBT , security, and network access. Led technical projects, provided technical support and developed relationships with the user community and vendors specifically Sun and IBM. |
- Directed Oracle/Solaris team to successful resolution of software issues, insuring data integrity and system stability.
- Directed implementation team in upgrade of PeopleSoft financials modules.
- Directed implementation team in upgrade and migration of Remedy CRM software from AIX to Solaris.
- Directed platform standardization, migrating AIX systems to Solaris platform to streamline operating system processes.
- Directed team in development of disaster recovery strategies and processes for hot site configuration and deployment
- Developed RFP's for hardware/software procurement, maintenance agreements, and licensing agreements.
- Mentored /built results oriented team including responsibility for the team's career development and appraisals.
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| Confidential |
| Director of Systems Information Services Research |
| Managed technical projects, maintained infrastructure, application software, and security, delivered desktop infrastructure rollouts, provided technical support for medical knowledge management systems for the internet, leading a technical staff. |
| Managed web-based medical databases as a Unix Admin for doctors, researcher, students and external subscribers. |
| Implemented pilot Computerized Physician Order Entry CPOE platform at nurse's station in Thomas Jefferson Hospital. |
- Restructured the information services and research department, implemented new processes and modified existing
- processes to be more responsive to the campus business needs through teamwork and cross training.
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- Led team in analysis and redesign of processes for, capacity planning, disaster recovery and security strategies of critical
- business assets, databases and applications.
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| Served as liaison to campus community negotiated Service Level Agreements which resulted in customer satisfaction. |
- Managed the campus internet, planned, purchased and implemented hardware/software for AIX, Solaris, NT and Linux
- platforms to enhance deployment of knowledge management systems, elearning courses, and online exams.
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| Led development, implementation, deployment of help desk processes and elearning. Improved medical customer service. |
- Developed RFP's for hardware/software procurement, maintenance agreements, and licensing agreements.
- Mentored /built results oriented team including responsibility for the team's career development and appraisals.
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