SUMMARY

• Driven, creative and accomplished mid - senior level Project Manager and Scrum Master professional offering multi-year experience in a variety of industries (e-Commerce, Health Provider and Insurance and Banking).

TECHNICAL SKILLS

Atlassian: Jira and Confluence, Sococo, Mercury Interactive Load Runner, Test Director, Rational ClearQuest, Java Messaging Service, Apache Connection Pooling, Logging, Tivoli Enterprise, Databases (PowerBuilder, Dbase, Access), Statistical Packages (SPSS, Minitab), Interwoven 5.0, Documentum 5.0, Oracle 8.1.7, SQL Server 7, StarTeam ( Confidential Source and Project system), Open Deploy, Aristo Receiving Management Systems; Initiate, IBM Websphere, IBM Rational, Webservices (SOA), XML, XMLSpy, Ascential Data Stage (Linux and Windows), FirstLogic, Biztalk, eNS systems, Tivoli, Citrix, HL7 (Health Language Seven), Messaging Queue (Linux and Windows) Business Objects, Cognos, SemanticSpace Technologies (VIPER - Countrywide Proprietary), Clarity, Remedy, eWPD (Wellpoint Proprietary), NetworX Pricer (Trizetto), Sybase; Planview, Jira, EncoderPro, Ingenix, ClearQuest, Requisite Pro (Rational Tools), EPIC Modules and Vipstar, WGS 2.0, STAR, ACES, WMDS,eWPD, NPS, Foundations, and AS400, XCleys (Claims Connect), Sharepoint, and Docushare

Development Tools / Languages: Java,J2EE, JSP, ASP, PL/SQL, HTML,XML, Javascript (Client and Server), Macromedia Dreamweaver, Mercury LoadRunner, Visio, Photoshop, Rational Rose, CRystal Reports and IBM Clear Quest.

Middleware / Databases for Technology Integration: Enterprise Java Beans (EJB), JDBC, Oracle 7.x, 8i, Microsoft SQL Server, Sybase, Oracle DBA, Sybase System 10, Microsoft Access and MQ Series

General Tools for Technology Integration: Access, Excel, Outlook, Visio, PowerPoint, and Word. Aris (IndustryPrint 5).

PROFESSIONAL EXPERIENCE

Confidential

Co-Owner

Responsibilities:

• Implemented strategic marketing and relationship building with clients (Restaurants, Hotels, Inn’s, Bed and Breakfasts, Boarding Schools, etc.). Catering to the famous, fascinating and everywhere in-between (even folks in campsites or on trails that need supplies).
• Improved the structure and process of how the business is ran, by increasing the efficiency and reducing costs (modeling the technology and process like GrubHub, PostMates, etc. and hiring/managing Independent Contractors instead of employees. The profits and business increased.

Confidential

Technical Project Manager, Sr / Scrum Master

Responsibilities:

• Spearheaded complex system issues within multiple Provider Care Management Systems, Finance systems and data warehouses using Agile and Kanban methodology with tools: Jira (Kanban), Confluence (Statistical and Bus Value information) and Sococo for “in-person” virtual team meetings.
• Manage daily technical Lights On issues and small projects for high profile provider’s sites, projects ranging from 50K- 300K, new configuration management process implementations, process improvements for issues management, executive report and presentations; communicate escalations and issues details accordingly.
• Partnering with business to work with technical teams to fix production lights on system issues and service requests.
• Lead full Development and Administration teams to a new Configuration Management ClearCase Enterprise Standard for multiple platforms.
• Leading/Executing SSCR (Small Projects 300k) while improving the process around delivery and execution.
• Co-lead the building of a new process and built standard operating procedures within the IT PMO for with Enterprise (EDWard) Data Warehouse Department, to improve the Intake and Execution process.
• Provided end to end support and project management of Data Integrity issues;
• Intake and/or through Execution Software Development Life Cycle of 200+ Data Integrity issues in the following portfolios: Provider Analytics Provider Contracting, Government Health Care Economics Medicaid & Medicare, Client Analytics Marketing, HIPPENDS, Sales, Mandates, Clinical Analytics Clinical, HEDIS, RHI & Medical Mgmt. & WIAP/Decommissioning Pharmacy, Balancing, ESI & Decommissioning .
• Provided budget controls for the Enterprise Data Warehouse issues that came in to create process to approve and manage (resource allocation) the production fixes.
• Successfully managed from Initiation to Closure challenging projects within a high profile enterprise program with millions in expected revenue over the next 1-2 years.
• Managed 650K+ budgets
• Negotiated and controlled KPI’s to ensure variances, risks, etc. were mitigated.
• Managed IT and Business cross-functional teams over multiple time zones, including offshore and vendor.
• Managed a number of high profile Government (Medicaid) projects from Planning to Execution. Working closely with IT and Business cross-functional teams to ensure risks, issues, scope, timelines and budget were meet with success.
• Managed budget of 500K
• Developed, launched and managed a new streamlined Enhanced Personal Health Care (EPHC) production issues process to coordinate IT and Business cross-functional teams. For the resolution of post-production issues ranging from millions of dollars to millions of members and/or provider impacts if not resolved.
• Systems include: WMDS, CHUB, PIMS, PCMS, ECC, Tri-MED, Avaliity, HRS, Access, EPDS V2, EDWard and SOA.
• Lines of Business: All (Commercial, Medicaid & Medicare)
• Secured and managed multiple budgets for the various efforts, from 100K - 1Millon.

Confidential

Specialist Master

Responsibilities:

• Provided strategy, approach and leadership to executive and primary teams I managed.

Confidential

Provider Inventory Strategy Manager

Technical Environment: SharePoint, XCleys (Claims Connect), Access and Business Objects.

Responsibilities:

• Reduced provider issues inventory by 5000+ and meet sustainability and compliance metrics. |Lead in the development and implementation of process improvement in both interim and future state solutions that will sustain provider claims inventory management and reimbursement; along with developing turnover analytics reports to successfully drive issues management going forward.
• Lead in the approach, framework and deployment of Resource Management Plan, which lead to client being able to meet sustainability with escalated provider claims issues.
• Worked with all Core Administration Departments (Provider Relations, Contracts and Benefits Configuration, Eligibility, Accumulators, Medical Review, Authorization, Adjudication, Adjustments, Member and Provider Call Center and Provider Reimbursements); to improve internal processes for effective claims reimbursement for Providers and Members.

Confidential

Testing Manager

Technical Environment: Epic Systems Revenue Cycle, Inpatient, Ambulatory and Interfaces.

Responsibilities:

• Built a Testing Strategy Plan and while leading the team of 80+ including Vendor, through the initial approach and execution for an Implementation of Epic Inpatient, Ambulatory and Revenue Cycle applications including interfaces, medical devices and transcription technology.