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 ACO 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 ACO 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.

TECHNICAL 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

Cloud Platforms: Google Cloud platform, AWS.

PROFESSIONAL EXPERIENCE

Confidential

Technical Program Management

Responsibilities:

• 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:

• Managed a team of Project Managers, Business Analysts, and Development resources.
• Designed the DW architecture for claims load from CMS (Monthly ACO CCLF File), Medicare Advantage Payers including Horizon as well as Commercial Claims
• Architected the layout of DIMENSION AND FACT TABLES as well as the OLAP Cube for Financial and Utilization reporting.
• Integrated the solution with Confidential Clinical Exchange Program to enable availability of HL7 ADT and LAB feeds necessary for providing information that could help close Care Gaps and also assist in generating new Care Plans for the beneficiary.
• Integration of Analytics with Verisk and HCC risk scores which forms the basis for the identification of High Risk Patients.
• Architected Beneficiary Consent Management and Attribution process as a part of the Confidential ACO Toolkit.
• Architected the Structure and layouts for Dashboard reporting - Providers and Organization
• Responsible for implementation of the 3D solution at 3 Major Hospital groups in NJ

Confidential, NJ

Implementation Manager

Responsibilities:

• Responsible for deploying and managing the Confidential suite of Products including Care Management and Analytics.
• Integrating Internal and External EHR with the ACO suite.
• Assisting the CMO with better informed Data for Care Management and help identify High Cost / High Risk Members.
• Manage Operation team to maintain subscriber consents, mailers, CMS data loads and L2 support.

Confidential, NJ

Implementation Manager

Responsibilities:

• Architected and managed the development of the ACO Suite including Consent Tracker, Care Management and Analytics.
• Integrating Internal and External EHR with the ACO suite.
• Assisting the CMO with better informed Data for Care Management and help identify High Cost / High Risk Members.
• Manage Operation team to maintain subscriber consents, mailers, CMS data loads and L2 support.
• Work with the Clinical Transformation team to ensure that the GPRO data capture was streamlined and reported to CMS.

Confidential

Product Owner

Responsibilities:

• Responsible for Implementing IGI’s industry-leading ORBIT® healthcare portal platform which provides a cost-efficient way to share clinical information both inside the hospital setting and with the community, external health information networks, state agencies and Medicaid.
• Led Integration activities for internal and external interfaces. The solution involved collaboration between IGI and Intel that creates next generation solutions for hospitals and IDNs, and enables healthcare providers to securely exchange patient information at the point of care — key to providing better services and reducing integration costs.
• Responsible for budget/operational reports (Target vs. Budget, Weekly Scorecard).
• Liaison between Onsite and Offshore and maintain Overall productivity analysis/oversight.