SUMMARY:

• Sr. Project Management Professional wif demonstrated experience managing complex, large - scale IT projects across the healthcare, insurance and financial industries seeking a remote / telecommuter position or local position wifin the Louisville, KY and surrounding areas. Core competencies include:
• Staff Management | Program Management | PMO Management | Client & Vendor Management | Business Analysis | Migrations | Conversions | Requirements Gathering | QA and UAT Management | Implementations | Deployment & Release Management | Disaster Recovery

PROFESSIONAL EXPERIENCE:

Confidential, Indianapolis, IN

Technical Project Manager

Responsibilities:

• Oversee IT change requests for enhancements to CMS federal programs requiring technical updates to the Enterprise Data Warehouse (EDW) Teradata, ETL data extracts, Cognos reports, Tableau reports and Informatica metadata. Ensured teams followed strict quality assurance guidelines by performing QA / UAT testing on all software and application changes. Conducted Lessons Learned to confirm project sponsors approved the quality measures of the final product and post implementation was successful.
• Created a step by step process utilized by Sr. Managers for onboarding new employees, ensuring resources had access to required IT environments, software applications and were productive wifin days of hiring.
• Worked directly wif project sponsors, doctors and clinical teams and developed a deep understanding of the importance of clinical outreach for improving the quality of life of Medicaid members. Gatheird business requirements, executed both Agile and SDLC methodologies and successfully implemented the Right Choices Program (RCP) project for monitoring member utilization of controlled substances by applying restrictions for members who would benefit from increased case coordination. dis program is in full operation and continues to save lives.
• Project Manager for CMS Healthy Indiana Plan (HIP), leading the ETL EDW team in providing the State of Indiana, Lewin Group and Mathematica wif proprietary data extracts and reports originating from COREMMIS systems. Data sets contained claims, enrollment, administrative, provider, financial, pharmaceutical, member, demographic, substance utilization disorder (SUD), prior authorization (PA), eligibility and other medical information to allow policymakers to make informed policy decisions.

Confidential, Louisville, KY

Enterprise Sr. Project Manager

Responsibilities:

• Oversaw multiple, simultaneous complex projects for the Clinical IT department employing a hybrid approach to successfully lead up to 80 team members from cross functional departments utilizing both Waterfall and Agile/Scrum methodologies.
• Project lead on projects focused on improving the health of members having complex health conditions. Lead teams in successfully modifying programs, databases, files, applications, configurations and SSIS packages to provide a new company web page dat was widely used to successfully identify and subsequently treat 1000’s of members diagnosed wif Sleep Apnea.

Confidential, Louisville, KY

Program Manager / Sr. PM

Responsibilities:

• Project lead of cross-functional teams for a project focused on pharmaceutical product utilization, distribution and medication management. Implemented a medication management system, RxNow, in Confidential ’s contracted facilities dat prevented duplication of dispensing, ensured medication accuracy, reduced adverse drug reactions and significantly reduced patient readmissions back to the hospital.
• Managed the deployment of all software changes and ensured all products were QA / UAT tested before deployment. Represented all AS400 and Web application changes to the change control board. Created a collaborative PMI System providing IT staff a robust platform for efficiently tracking and reporting project progress to project stakeholders. Appointed final approver of all software deployments.

Confidential, Louisville, KY

Sr. Project Manager

Responsibilities:

• Lead in the implementation of the TriCare Contract for the Billing and Enrollment System wifin the IT department. Utilized e-Room, SharePoint, MS Project and PMI standardized methodologies to TEMPeffectively manage resources and ensure all work was completed on time.
• Applied Agile methodologies to facilitate daily scrum meetings, track key project milestones, govern change management, collaborate and adjust project plans according to scheduled milestones.

Confidential, Louisville, KY

Sr. Systems Engineer / PM Assistant

Responsibilities:

• Lead in the design, implementation and maintenance of complex information systems comprised of both infrastructure hardware and application software components to support the contracted CMS Government Medicare claims processing center.
• Partnered wif functional areas to define business requirements, integrate cross functional processes, determine the root cause of issues and champion the issues to resolution.
• Project Lead throughout the entire SDLC of a high-profile initiative which established a new consolidated test center for testing new and existing CMS business applications. Project resulted in increased revenue by promoting standardization and adherence to EDI ASC X12 file formats to ensure greater efficiencies in translating and processing Medical Equipment Medicare claims.

TECHNICAL SKILLS:

Footprints | JIRA | Confluence | Teradata | Metadata | Informatica | Cognos | Tableau | HL7 | PMP | JCL | SQL | VB | XML | ASP | MS Access | FileAid | PKZIP | COBOL II/390 | IBM z/OS Mainframe | AS400 | DB2 | Panvalet | Platinum | VSAM | Endevor | CICS | Expediter | MVS | EDI | ANSI | X12 | ICD 10 | Clarity | MS Project | MS Office Suite | MS Visio | MS SharePoint | IBM ClearCase Rational | Docushare | Infopac | ServiceNow/ITIL | SMARTXFR | FTP | SFTP | NDM | SQL Server Databases | Unix