PROFESSIONAL SUMMARY:

• Over 18 years of experience in areas of Application Development, Architecture, program and delivery management.
• Accomplished, results - oriented, dynamic manager with years of success leading diverse technology initiatives, distributed teams and enterprise wide projects within the Healthcare and e-Commerce Retail verticals.
• Responsible for managing the implementation of significant and complex enterprise wide IT programs through the management of multiple significant BOP improvement projects.
• Demonstrates an end-to-end knowledge of the overall systems architecture (not just the Components impacting their projects). Brings excellent insight into new projects around Dependencies / potential issues, influence the design of projects, and rapidly identifies and resolves technical dependencies and risks.
• Currently leading an enterprise wide initiative of Implementing a Data Lake in Google Cloud Platform for Analytics.
• Managed and led major legacy transformation to eliminate technical debt of over $3.5M and Teradata Migration to AWS to eliminate technical debt of $5M.
• Lead a team of Project managers, business analysts, Developers, and quality subject matter experts to build a healthcare analytics platform for Confidential care and condition management that integrates all electronic patient data and helps to identify and manage high-risk and chronically-ill patients and addressing gaps in care.
• Implemented Confidential solution (Clinical Care Transformation and Analytics) for Major Hospital Groups in New Jersey.
• Implemented Healthcare Claim solution (837P, 837I, 837D, 270/271 real time and Batch) for the state of Minnesota. This involved working with direct payers and Clearinghouses including clear connect, Health Partners etc.
• Publish Program status reports and dashboards to steering committee and executive leadership, identifying and communicating any performance variances to planned scope, timeline, and budget.
• Implementations of Standards & Processes (SDLC); Agile methodology (SCRUM), handling multiple complex projects, multi-location, onsite-offsite, onsite-offshore environments.
• Excellent interpersonal, organizational & leadership skills, ability to work collaboratively in team, client management & building internal / external relationships. Capable of making informed & timely decisions in difficult times and quick observer.

TECHNCAL SKILLS:

Languages: ASP.NET, JAVA/J2EE, C#, XML

Reporting Tools: SQL Server Reporting Services

Data Technology: SQL Server (2000,2005, 2008r2, 2012), Oracle 10g, Teradata, Hadoop

Spark, Cloud Services: AWS, Snowflake.

ETL Tools: Data Transformation Services (DTS), MS SQL Server Integration Services

OLAP: SQL Server Analysis Services

Project Management: MS Project -Project Planning, JIRA, Agile Methodology, Estimation, Process Control, Resource Management, Analysis and Reporting

WORK EXPERIENCE:

Confidential

Technical Program Management

Responsibilities:

• Responsible for Program Management of Implementation of a Data Lake for Analytics Purposes on Google Cloud Platform.
• Interface with Business groups internally to collect and compile data sourcing information in support of strategy development.
• Participate as applicable, in the interaction with Cloud vendors and internal technical teams.
• Participate in negotiations with vendors for cloud migration tools. Actively manage project timelines; communicates with team members and other stakeholders to ensure timely development of reports.
• Assist in developing senior management level presentations that are clear and concise and communicate strategic analysis and recommendations effectively. Coordinate Technical discussions regarding cloud data integrations with applications and defining consumption needs for the Business group analytics needs.
• Responsible for Program Management of Application Lift-and-Shift approach to the Migration and IBM DB2 OS migration to MySQL (on-Premise & RDS)
• Leading Vendor Interaction and Technical approach to test emulation platforms to run COBOL, VSAM, CICS, among others as-is within a Linux environment. The current primary goal is to significantly reduce costs by moving from an expensive, proprietary mainframe environment to a commodity-based processing environment.
• Coordinate Technical discussions regarding integrations between themainframe and other applications—integrating applications.
• Develop and documented project Charter, milestones, and budgets for the portfolio. Generate reports and program summary for executive leadership.
• Identify program risk and mitigation plans to minimize impact on deliverables.
• Interact with internal and external stakeholders on multiple projects. Present issues to management and work with them to resolve critical constraints like resource availability.
• Communicate with management, product owners and support specialists on product/task issues and track the update/prioritize/maintain with Jira/Confluence.

Confidential

Product Owner

Responsibilities:

• coordinated care efforts for more than 11,000 care beneficiaries within the Confidential Shared Savings Program to improve efficiency, drive better coordinated care, decrease costs and reduce readmissions, also will allow to improve in all 33 of the Confidential quality measures from CMS.
• The Confidential implementation includes end-to-end Confidential solutions and services, including data analytics and reporting, care coordination, practice transformation, clinical nursing support to manage population health and chronic patients, and clinical intervention to high-risk patients

Confidential, NJ

Implementation Manager

Responsibilities:

• The software platform was implemented which enabled consent management, GPRO (Group Practice Reporting Option) reporting and beneficiary maintenance management. Analytics and predictive modeling also provided to Barnabas which help to analyze the Patient care.

Environment: J2ee, Web sphere 6.0, Oracle 10g, SQL Server 2005, INTEL SOAE.

Confidential

Responsibilities:

• Multiple trading partners can send/receive their claims in any given format (including print image).
• This system will validate the file and user, scrub the data, process payer or plan specific edits, translate the data and load it into a staging Data Mart.
• From the Data Mart, information is edited for required fields; dates are validated and relational fields and values are processed.
• The industry standard fields are compared for value against master tables.
• Claims that do not meet the required criteria are marked for Rejections.
• All accepted claims are loaded into the Payer Adjudication system for processing.
• I determined requirements for support including process modeling, data aggregation, meeting facilitation, and information technology support.
• Developed and validated baseline requirements to provide this support with a 12-member team.
• Additionally, at the direction of the CTO, provided on-line group support systems including brainstorming, process and terminology reviews, business process model reviews and related services.