SUMMARY

• More than 20 years of experience leading strategic change in multiple industries to solve challenging problems facing the companies and industries through creative problem solving and strong project leadership with a focus on developing and delivering market driven, technology enabled services that improve industry wide challenges.
• Results - oriented, project management to lead successful projects to achieve high-profile objectives for the companies
• Relationship building across all operational areas to lead matrix teams that achieve success

PROFESSIONAL EXPERIENCE

Confidential, Long Beach, CA

Sr. Project Manager

Responsibilities:

• Sr. Project Manager on a series of projects and programs including Web Portal, Claims, Enrollment, Remittance Advice, Care Management, Appeals & Grievances, and new business implementations in Medicaid, Medicare, and Health Insurance Exchange.
• Sr. Project/Program Manager on an IVR redesign project involving CRM Integration, Call Flow redesign, Self Service, and Web Services integration.

Confidential, Chicago, IL

Enterprise Project Manager

Responsibilities:

• Enterprise Project Manager for IT implementations of new client implementations for large employer groups including eligibility, claims processing and remittance advice, financial reporting, accumulations, and Web Portal and CRM applications.
• Successful management and problem solving across many complex customer needs affecting the enterprise.
• Strong program leadership with budget, reporting, and project management responsibilities.

Confidential, Chicago, IL

Sr. Project Manager

Responsibilities:

• Saved numerous troubled projects. I took charge of the projects and provided strong leadership to resolve the problems, find solutions, and successfully implement the project on the original deadline.
• Regulatory expertise in Health Care Reform (ACA), HIPAA, ARRA, HITECH, ERISA, electronic transaction standards, electronic transaction operating rules, MHPAEA, and Medicare Secondary Payer.
• Active participant in industry-wide legislative and regulatory workgroups hosted by the BlueCross BlueShield Association (BCBSA), America’s Health Insurance Plans (AHIP), and Workgroup for Electronic Data Interchange (WEDI) including legal roundtables with BCBSA and the Administrative Simplification Taskforce with AHIP.
• Project manager and Product Manager/Developer on a portfolio of projects to design, integrate, and implement an industry revolutionizing, global IP communications services expanding the addressable market in a declining industry. Product added >$1.5 million in revenues in the 1st year.
• Led multi-national, cross-functional teams in development of the new service spanning every department within the company as well as outside vendors.
• Prime resource in the company for resolving challenging problems that require creative and critical thinking, strategic problem solving and client relationship management skills. I provide leadership, advice, solutions, training, and professional development to several departments within the organization on a wide array of issues.
• Successfully provided networking solutions to meet business needs for hundreds of companies across the globe and within every industry including telecommunications companies, corporate networks, global fortune 500 companies, and foreign and local governments.
• 55% of opportunities where I have been directly engaged with the customer to develop solutions have resulted in a contract as compared to only 10% where I was not involved.

Confidential, Bethesda, MD

Systems Manager

Responsibilities:

• Led all aspects of the Confidential including desk-top support, network management, application support, telecommunications, and a complete IS/IT reengineering.
• Project manager on all IS related projects leading a cross-functional team of staff members across multiple departments, vendors, and consultants.
• Successfully rebuilt positive relationships between the IS department and the rest of the organization by developing trust in the IS department’s commitment to improve organizational support and leadership.
• Led process reengineering as part of implementing a new ERP application with every department, successfully improving capabilities and efficiencies in every department including finance, marketing, membership, publications, logistics, warehousing, and event planning.
• Developed and manage long and short-term budgets for the IS department and individual projects.
• Developed and managed a project management office for the organization.
• Introduced and trained staff in the methods and philosophies and professional project management.
• Improved organizational functionality through proactive management and development of the IS/IT capabilities including applications, Internet, email, networking, telecommunications and collaborative tools.
• Successful Project Manager on all software related engagements, developing solutions that have enabled clients to maintain and strengthen global strategic market competitiveness.
• Project Manager on patent strategy and application projects.
• Managed a staff of 50 consultants on implementation, configuration and training consulting engagements.
• Increased profit margins by greater than 200% through effective management of staff resources.
• Developed positive customer relationships.