SUMMARY

• 10+ years of experience in the Healthcare Industry
• 5+ years’ in Agile Scrum Master roles
• 4+ years of experience as a Project Manager result driven professional.
• 3+ year’s’ as junior Oracle 11g Database administrator
• 2+ years of SharePoint Identity Management, Salesforces
• Proven accomplishments and superior skills in Project Management (Healthcare quality improvement, Insurance, Pharmacy Benefit Management, Federal and State regulators, JCAHO, CARF, and Information Technology) contract negotiations, quality improvement, learning and development, vendor management/ relationship building, resource planning / management, budgeting and financial analysis in Healthcare.
• Consistently recognized for problem solving abilities, oral and written communications. Experience with requirement gathering, solution design, configuration, scripting, workflow, report development.
• Knowledge of various Agile frameworks: Scrum, XP, Kanban Principles
• Knowledge of Six Sigma, Lean Healthcare
• Scrum Ceremonies and Product Backlog Grooming
• Oracle database 11g Certified Associate, Sql, Salesforce,
• Use of Business Analysis tools, Excel, Tableau, Informatica, MS Project Plan, Jira
• Relative Estimation and Story - Based Development
• Successful in negotiating contracts, on-boarding and managing relationships with 200+ Information Technology and Healthcare suppliers to support my client accounts.
• Utilize Microsoft Project to create, maintain project plans, schedules and QA scorecards.
• Developed Project Charter, Schedule and Resource Plans according to PMBOK knowledge areas.
• MS Project Server, SharePoint, Salesforce as a central project center for document sharing.
• Experienced in Agile Scrum and Lean methodologies with exposure to Waterfall.
• Knowledge of HIPPA, ACA, CMS, Medicare and Medicaid government compliance guidelines.
• Managed ICD-9 to 10 transition testing for Austin Recovery and a New Leaf.
• Provide technical support for existing reports, dashboards, or other tools.
• Synthesize current business intelligence or trend data to support recommendations for action
• Developed Project Change Control, Issue, Risk and Budget tracking processes.
• Managed multiple enrollment client engagements in addition to client implementation in to Medicare part D successfully.
• Used Agile, Scrum, Kanban and Lean methodologies during annual enrollment.
• Wrote Project Change Request when the scope of the original project was modified.
• Developed Implementation Methodologies and managing EHR software implementation; Medicare Part A, B and D knowledge.
• Prior experience performing gap analysis and assessments involving HIPAA related issues.
• Full SDLC Implementation experience from Initiation to Execution on Claims and Care Management.
• Consulted with large payer organizations, supplementary insurance, third party administrators, and providers on strategic planning and process improvements for HIPAA, ICD-10 Compliance.
• Experience in managing PBM and pharmacy claims processing and Clinical Case Management Experience.
• Investigate patient safety, grievance, fraud, waste and abuse and develop action plan for improvement.
• Provide guidance and clarification toward Database design and implementation.
• On call support for Oracle backup support using RMAN and recovery policies and procedures.
• Provide first-level application support: Resolve problems and answer questions related to the Oracle RDBMS and platform environment.

TECHNICAL SKILLS

• Excel
• Tableau
• Informatica
• MS Project Plan
• Jira

PROFESSIONAL EXPERIENCE

Confidential

Sr Scrum Master

Responsibilities:

• Leading, negotiate, and coordinate with technology, and business stakeholders on prioritization of tactical and strategic technology initiatives, as well as monitor the entire project process
• Work with other team members to identify and justify investment opportunities for the encounters
• Work directly with business owners to define requirements (epics and user stories).
• Implement processes, practices, and tools allow for multiple paths of delivery. I.e., create simplified, consistent, reusable, efficient and flexible methodologies
• Recommend improvements and drive alignment across the Market Place solutions organization
• Serve as a Coach and Mentor within the organization to facilitate adoption and maturity for scrum team
• Lead and influence others including those more senior on best practices
• Facilitate the daily standup, sprint planning, retrospective, backlog refinement ceremonies and coach the teams
• Inspire others to adopt the new processes and improvements based on program retrospectives.

Confidential, Dallas, TX

Sr. Project Lead Scrum Master

Responsibilities:

• Facilitate sprint planning, retrospective and sprint demos Assist the product owner with keeping the backlog groomed. Act as a project manager when necessary.
• Proactively networking for impediment removal Maintain relevant metrics that help the team see how they are doing (i.e. backlog tracking, burndown metrics, velocity, and task definition) Ensure that our ways of working are consistent across the teams.
• Lead 2 Scrum teams for system enhancement (Facet, FAZAL, RxClaim, Valencia, SharePoint, Oracle UI tool, PeopleSoft, and SharePoint).
• Partner with UAT to have a tester for Testing.
• Utilize SalesForce for kanban board, Tracking and for matrix.
• Serve as coach and mentor within enrollment organization to facilitate adoption and maturity; lead and influence others, including those more senior, on Best Practices; manage partnerships with external vendors; inspire others to adopt new processes and improvements based on program retrospectives.

Confidential, Dallas, TX

Business Process Supervisor

Responsibilities:

• Lead dailystandups, sprint planning, retrospectives, and collaborate with other Scrum Master, Project Manager, Product owner and Scrum Teams.
• Collaborate with internal and external stakeholders to ensure business needs are being articulated and defined appropriately. Lead a review of the systems development lifecycle and project management lifecycle with the team.
• Coach agileprinciples and ensure increased level of self-organization. Facilitate backlog maintenance grooming and help develop acceptance criteria.
• Eliminate impediments, prevent distractions, identify and raise risks, facilitate mitigation plan, escalate as required, facilitate discussion and conflict resolution.

Confidential

Director of Client Operation Lean Health Coach

Responsibilities:

• Managed and identified all impacted business areas on project plans to maintain schedule.
• Worked with state government and payer systems for clinical and medical auditing.
• Establishes timelines for project / product development and monitored each critical point to ensure timely completion. Facilitate software system upgrades and installations for data mining and auditing.
• Communicates regularly with DOH concerning data transfers and network issues. Prepares, maintains, coordinates and monitors all web site applications developed locally for electronic submission to payor.
• Managed quality improvement and improve care coordination with a single source for client data.
• Developed an implementation strategy for an HPSM ticketing system to prevent production delay, system issues task and revenue loss. Lead QI committees and train department heads on HIPAA.
• Served as liaison between business operations, IT team, vendor partners, C-Suite, CArf, JCAHO & government. Leads efforts to design, build and develop Proof of Concept (POC) solutions and services that will create or evolve integrated infrastructure and cloud service areas.
• Analyze the flow of patients admitted and discharged and plan quality management
• Review and make use of technology in streamlining quality care issues
• Establish and implement incentive programs to motivate nursing and support staff. Reviewed annual quality improvement programs and made necessary changes.

Confidential

Lean Quality Analyst Scrum Master

Responsibilities:

• Conduct daily Scrum meetings with the development team in the government Med D enrollment Ops.
• The servant leader providing guidance to enrollment dev teams, working on EDI file (5.1, 834, etc.) implementation new Med D and system upgrade.
• Applying the Scrum framework to ensure high-quality delivery of software that exceeds our customer's’ expectations
• Tracked and managed product backlog, burn-down metrics, velocity, and task break-down. Have a working knowledge of HIPAA/CMS chap 3, 12 guidance. Provide doc about release planning and training.
• Leader the dev team on requirements gathering, QA, data analysis, conceptual design of BI solutions, and creating and editing functional and technical documentation. Work other team members to identify and justify investment opportunities
• Work directly with business owners to define requirements (epics and user stories). Implement processes, practices, and tools allow for multiple paths of delivery. I.e., create simplified, consistent, reusable, efficient and flexible methodologies

Confidential

Manager of Quality Improvement

Responsibilities:

• Lead and coached software developers and work closely with the product owners
• Provides independent healthcare analysis and technical knowledge in support of the regional mission.
• MS SharePoint, MS SQL Server Reporting Services, web-based applications, and other analytical software to provide accurate and timely data reporting and analysis. Retrieves pertinent data, generates accurate reports and provide analysis within established timelines.
• Analyzing systems outlines to develop programs for computer applications, writing solution programs, documenting the methods and procedures used in program development, and testing and correcting programs. Develops block diagrams and machine logic flowcharts to represent operations and data flow for applications.
• Leverages awareness to identify impediments, should the team not explicitly declare, Coaches the team members to most efficiently work together and use tools.
• Oversee data analysis and database management for Oracle systems including applications upgrades.
• Develop database structure, implement applications, enhance system and ensure security.