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Project Manager Resume Profile

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Qualification

Sr. Project Manager with PMO and HealthCare experience Managing Project Portfolio, Tracking Program Level Dependencies, Business Liaison and Manage Objectives, Issue Management, and Risk Mitigation. Healthcare experience includes Medicare and Medicaid enrollment and eligibility application development, QNXT and ABS Systems Enhancement, HIPPA Affordable Care Act Operations, Enrollment Process Improvements, 5010 Development, ICD Mapping and Code Management, Point of Care, Quest Lab Repository Development, and PlumTree portal Application Development. PMO experience includes software and application development, ticket and incident management, break fix management, manage application maintenance activities for production, Customer service, client relations, project planning, maintaining MS project plan, managing weekly program notebooks, developing program budgets, managing communication plans, program level status reports, and resources evaluation. Other PMO experience includes interacting with executive management, weekly status report presentation, manage QNXT healthcare platform development, manage HIPPA 5010 enhancements, manage Encounter Pharmaceutical/Prescription Drug billing and processing platform for claims, automate the inbound process for eligibility gateway, portal development and implementation.

Summary

PM Methodologies includes SDLC, Scrum, Agile Management, and Waterfall. Lead project teams of up to 40 resources, Application Development, Enhancement, and Maintenance. SDLC experience includes supporting application development, planning, analysis design, build, testing, and deployment. Agile experience includes managing healthcare application development, and portal enhancement. MS Quality Management includes Scheduling, Client Management, and Training/Development. Change Management experience includes, Scheduling, Communications, and Release Management. Project Life Cycle to Implementation, JAD, Application and Product Development, Analysis and Gather Requirements, Analyze, Validate, Diagram, Flowcharting, QA Functional Testing, Build Test Case, Use Case Studies, End User Training Acceptance UAT . SharePoint management includes managing permissions, planning, and archive documentation. Customer Interface, Single Point of Contact SPOC , Provisioning, Vendor Management, and Contract Relations.

Applications Experienced

Microsoft Project, Primavera - EPPM, HP PPM, RUP, Forte, Project Tracker, SharePoint, Electronic Imaging Systems, On-Line Interactive Portals and Web Page, QNXT and ABS Healthcare Platforms, Eligibility and Enrollment Applications, Financial Risk Applications, Pharmaceutical/Prescription Drug Encounter reporting, and Interfacing Applications Inbound Outbound .

Technical Skills

  • Applications: MS Project, SharePoint 2007 2010, Visio, PeopleSoft, Primavera-EPPM, RUP, ClearQuest, PCS, Citrix, Docushare, Mercury Test Director, On-Time Audit Review, Enterprise Customer
  • Verification System ECVS , PCI, Netmeeting, PC Anywhere, Live Status, File Retrieve,
  • ETracker, Geektools, Lotus Notes, MS Office Suite, Excel, Word, Access, Outlook, Snag-it,
  • Remedy, Vantive, ISYS, Peregrine, SNAP, RealEC, Netcool, HP Openview,
  • Healthcare: QNXT, ABS, EPIC, Tapestry
  • OS: MS Windows 2007 2010 Office Suite, XP Professional 2007, Windows NT 4.0, 95, 98,
  • 2000 2003 2007 2010 Server

Experience

Confidential

Computer Network Consults

Business Scope: Manage Client Computer Network and Services

  • Design and Manage computer networking business and client services
  • Design and maintain Escalation platform for Co-Partners support, and Sub Contractor services
  • Design and maintain Field Computer Engineer platform for client field support
  • Design, install, maintain, and troubleshoot client network
  • Provide remote management technology Reduce network down time in minutes vs. hours
  • Design and maintain user workstation platform
  • Design, build, and support client database and services
  • Manage mainstream systems, client servers, customize/construct networks, and wide area networks
  • Offered and managed private cloud storage i.e., data backup, file-sharing, Microsoft Exchange, Office Cloud Services, productivity tools for 24/7 access to files, emails and online applications
  • Provided in house diagnostics, repair and remote monitoring support 24/7

Confidential

Role: Business Project Manager Liaison BPL

  • Business Project Liaison to Commercial Membership Market, PMO, IT, and Vendors
  • Manage Market Facing Initiative as directed from CEO
  • Manage and resolve all project Issues, Risk, and Project Obstacles
  • Report Risk, Issues, and Project Status to CEO/Special Forces Group
  • Build and Manage MFI Project Plan for Commercial Membership Group
  • Manage and Track Project Task and Milestones
  • Identify MFI Project Issues and Gaps, and Escalate to appropriate Groups
  • Identify MFI Commercial Membership Gaps and Escalate to appropriate Groups
  • Manage and track SDLC processes Requirements, Development, Test, UAT, and Implementation
  • Manage and track ABS interfacing projects for Eligibility and Membership application and processes
  • Manage and track Covered California, Oregon, and Arizona Medicare/Medicaid Exchange initiatives
  • Manage and track Exchange initiatives for Individual, Small Business, Large, and Mid-Size Group Memberships
  • Manage and track Enrollments for Load Groups, Exchange Interface Implementation, Reports and Reconciliations, Training and Staffing
  • Oversee application maintenance activities, and incident management for production portfolio
  • Manage Accounts Receivables, Auto Payments and Cash Allocations, Monthly Payment Reconciliations, 820 File and Reconciliations, and APTC Processing
  • Manage and track Group Database initiative, Identify Group IDs, Identify Policy Numbers, Process Plan Codes, Cash Unit Processing and Reconciliation Development
  • Manage Billing initiative for Covered California initiative
  • Track letter campaign and communications from Call Center to Members
  • Track Call Center Scripts development for Covered California, Oregon, and Arizona

Confidential

Role: PMO Technical Application Sr. Project Manager

  • PMO Project Manager to IT Application Group
  • Manage Portfolio of Eligibility projects
  • Project Scale 3 Million
  • Closed 55 Eligibility and Enrollment project initiatives
  • Manage team of 25 resources
  • Manage Point of Care Enrollment Eligibility Gateway
  • Project Initiation, Planning, and Management
  • Manage Scope and Scope Creep
  • Gather Estimates for development hours and Timeline, and get Approval
  • Manage Program Level Critical Dependencies
  • Manage Program Level Issues and Risk
  • Track, Escalate and Mitigate Risk
  • Maintain MS Project Plan and Project Notebook Decision Log, Actions Log, Dependencies, etc
  • Manage Chair Team meetings, and Record decisions and actions
  • Create and Present Weekly Status Reports
  • Manage SDLC Process using Agile and Scrum Methodology
  • Manage Change Management and Re-baseline directives
  • Manage Project Budget
  • Manage Development and Test teams for On-Short and Off-Shore initiatives
  • Scheduling and track resources to ensure that the correct resources are assigned to the appropriate tasks
  • Manage ACA 2014 HIPPA Affordable Care Act Operation - Manage changes to vendor extract to send and receive financial information as mandated by ACA. Manage changes to inbound and outbound extracts
  • Manage Quarterly Release Tracker Manage application maintenance activities for production portfolio, including break fix management, ticket and incident management for fixes and resolutions activities
  • MEG NM group processing logic
  • FL Handle future membership issue, when multiple enrollments are created
  • OH Assist county code Attribute Processing
  • Manage Enrollment Process Improvement Manage application maintenance activities for production portfolio development, fixes, and resolutions
  • 820 Automation Removal of FES Alternate dependency
  • ID card cancellation job Automate the process to cancel ID card actions
  • Bad data in CCR file Staging load failures
  • Manage Health Home Provider Agreement Populate additional health home provided information into QNXT
  • Manage QNXT Member Alerts For Risk Score Adjustments Create alerts in QNXT for member's who have a high risk of medical emergency base on risk score sheets provided by the vendor
  • Manage WA MEG Enhancements Implement enhancements to automate the inbound process to Molina Eligibility Gateway MEG
  • Manage enhancement for Pharmaceutical/Prescription Drug Encounter billing and processing platform
  • Manage Human ARC Population Manage the transition of TANF members into SSI population by engaging the Human ARC vendor
  • Manage QNXT Accumulator to Calculate annul and lifetime out of pocket payment Manage fix to QNXT to accumulate the members out of pocket current payments and build logic to allow QNXT to automatically know when payments need to be adjusted for no out of pocket by the member
  • Manage Lab Values Manage the development of a repository to receive and store lab values that include Medicare and Medicaid members across all plans, with the ability to receive the lab value care

Confidential

Role: PMO Legacy Loans Sr. Project Manager

  • PMO Project Manager to Legacy Loans Team
  • Manage Portfolio of Legacy Loans Projects
  • Project Scale 7 Million
  • Managed the conversion of Legacy Loans application, systems and environment, and implemented ALNOVA Platform
  • Implemented 12 long term projects to ALNOVA Platform
  • Manage team of 40 resources
  • Manage Scope and Scope Creep
  • Manage Project Cost Estimates and Timeline
  • Maintain MS Project Plan and Project Notebook
  • Manage Program Level Critical Dependencies
  • Manage Program Level Issues and Risk
  • Track, Escalate and Mitigate Risk
  • Create Statement of Work and Scope Document
  • Create and Manage Interface inventory and tracking
  • Manage Timeline and Milestones across work streams and other Programs
  • Manage and track resource on boarding
  • Oversee Coordination and Scheduling for Analysis Design Workshops
  • Oversee Analysis Design of Legacy Pre-Qualification Decision Engine enhancement to ALNOVA platform
  • Manage Data Warehouse requirements for Cross Functional teams
  • Manage collaborations for Pre-Qualification Decision Engine, Business Rules and pricing with cross-functional teams
  • Manage collaborations for CSM customer applications
  • Oversee and Track Business Requirement and Functional Deliverables
  • Oversee offshore development and test environments
  • Review Business Requirement documentation for approval
  • Create and maintain Tracking documents
  • Manage re-baseline directives
  • Chair meetings and record collaborations
  • Monitor Build and Identify Milestones

Confidential

Role: Sr. Project Manager

Conduct the SAS70 and SDLC audits. Project Planning and Audit initiation. Create weekly status reports and report to management. Conduct status meetings, and present status to management. Manage Audit Timelines, and SLA agreements. Manage team of 4 resources. Manage and gather collateral from client

Process collateral documents, and rate project risk as necessary.

Confidential

Role: Sr. Project Manager

  • Managed and Deployed DHS conversion to Electronic Imaging application and system
  • Project Scale 5 Million
  • Manage project planning and vendor activities
  • Manage Scope of the project to pilot production deliverables
  • Manage Program Level Issues and Risk Mitigation
  • Create Statement of Work and Scope Document
  • Create weekly Status Reports and reports to Management
  • Manage team of 8 resources
  • Create and Maintain MS Project Work Plan
  • Manage Timelines and Milestones for development and production
  • Manage Imaging Solution to transition paper based environment to a Technical Digital System
  • Manage the on-site communication between the client AR State and vendor development
  • Oversee the training and development of staff for two pilot sites 90 Office Staff
  • Manage production testing at pilot sites
  • Identify negative trends and escalation to development, and initiate temporary workaround procedures
  • Oversee the training initiative of the field and on-site technical Staff for the state 100 Tech Staff
  • Manage QA testing and report results to Management Team
  • Manage UAT platform implementation on business site

Confidential

Role: Sr. Project Manager

  • Manage PlumTree Application Development for Portal Enhancement and Support
  • Project scale 4 Million
  • Manage the Scope of the portal and development
  • Review and retain AquaLogic design and operation
  • Review and retain scope of business requirements
  • Enhance Portal, Directory, Content Management Services, and Search Server
  • Manage team of 6 resources
  • Oversee Configuration of Portal Publications, Directories, SSL, and Job Interface
  • Oversee Install and Deploy Portal Search Services and Support Server
  • Oversee and Manage Portal Gadget development
  • Identify and Manage Issues and Risk, and Risk Mitigation
  • Facilitate meeting for status review and issue management
  • Manage Issue and Risk Mitigation and identify resolution
  • Document notes and action taken during development and status meetings
  • Track project status and development effort
  • Create weekly Status Reports and reports to Management
  • Create and Maintain MS Project Work Plan
  • Manage Timelines and Milestones for development
  • Initiate and manage testing phase
  • Initiate and track test portal enhancements and User Acceptance Testing
  • Manage communications and collaborations between the business, development and management
  • Manage SharePoint deliverables and organization

Confidential

Role: Sr. Project Manager

  • Manage Verizon On-line Portal Enhancement, and Portfolio
  • Project scale 4 Million
  • Manage scope of Verizon On-line Interactive Portal enhancement
  • Create Statement of Work and Scope Document
  • Manage the support of Verizon Central Newsroom, Verizon Surround, Verizon NFL Sport Ticket portals, and SME Subject Matter Expert
  • Manage Project Issues and Risk Mitigation, and Dependencies
  • Manage project initiation, chair meetings with Stakeholders and end-user, Technology, Third party Vendors, and Management Team
  • Manage and assist in research, planning, development, testing, and implementation
  • Manage elicitation, analysis, validation, write requirement, and portal specifications
  • Manage the project artifacts and deliverable utilizing Forte
  • Review wireframes for accurate understanding, analysis, and validation of business needs
  • Utilize knowledge of business and portal functionality to manage collaborations with the business and author portal enhance/implementation documentation
  • Review PCI standards, procedures and compliance review for customer usage and protection
  • Oversee elicitation and requirement documentation for new concepts and business ideas
  • Create flowcharts with Visio as needed
  • Manage deadlines for release and code drops
  • Manage collaborations with developers, programmers, subject experts, stakeholders, support team, and end-user
  • Manage vendor application enhancement and collaborations

Confidential

Business Analyst:

Confidential

Role: Project Manager

  • Manage the Comverse Prepay Audit Finding Resolution
  • Manage Portfolio of Risk Management Project for Audit Results
  • Project scale 4 Million
  • Plan Audit Finding Initiative
  • Create Statement of Work and Scope Document
  • Manage enhancements to proposed gaps in the Real Time Billing System RTBS
  • Manage critical dependencies
  • Manage Project Issues and Risk Mitigation
  • Author weekly Status Reports and report to Management
  • Manage reporting SLA's of Alltel department groups, per Audit Governance Policy
  • Create Comverse Prepay application inventory and work streams complexity for other Programs
  • Manage and oversee corrective actions and resolution
  • Oversee management proposals of permanent change to facilitate recovery of Real Time Billing revenues
  • Manage and facilitate meetings with management, development and end-users
  • Oversee PCI standards, procedures and compliance review for customer usage and protection
  • Manage PCI enhancements and network requirements
  • Review process and observe RTBS PCI payments to PeopleSoft applications
  • Oversee and support production, application and business knowledge
  • Locate errors, identify, analyze, and collaborate with applications development to resolution
  • Initiate temporary workaround procedures

Confidential

Role: Project Manager

  • Manage the Customer Verification System ECVS and Portal Enhancement
  • Manage Portfolio of Risk Management Verification System projects
  • Project scale 4 Million
  • Manage scope to enhance the Enterprise Customer Verification System ECVS
  • Manage critical dependencies
  • Manage Project Issues and Risk Mitigation
  • Create Statement of Work and Scope Document
  • Create and maintain Enterprise Customer Verification System inventory and 3rd party complexities
  • Create Interface inventory and data types
  • Create weekly Status Reports and reports to Management
  • Promote and Manager Dunn Bradstreet Identity Management system enhancements
  • Research Patriot ACT
  • Manage Anti-Money Laundering Anti-Corruption Systems Operations, policies and procedures
  • Manage requirements for system data file storage for new ECVS
  • Research, Plan, Analyst, Develop, Test, and Implementation
  • Manage SLA's for Dunn Bradstreet, General Bank group, VISA, Personal Trust, and Loss Management
  • Write Statement of Work, Business Requirement, UML diagrams, activity diagrams, Use Case, Test Case, RUP Waterfall methodology, Statement of Process, and Enhancement Specifications
  • SharePoint Administration Oversee portal, Development and Planning
  • Collaborate with developers, programmers, subject matter experts, stakeholders, support team, andend-user
  • Manage the system design and functional flow
  • Oversee Risk Management group: Business Integration Services Enterprise Customer Verification System ECVS management, maintenance, Subject Matter Expert SME and support
  • Manage five major application feeds into ECVS General Bank Group, Brokerage, Anti-Money Laundering, Loss Management, VISA, and Personal Trust
  • Manage PCI compliance and procedures
  • Manage troubleshoot and problem-solve to determine path for escalations

Confidential

Role: Project Manager

  • Manage NetOxygen Application Development, Upgrade and Support
  • Project scale 5 Million
  • Plan the application development phases to deployment
  • Manage scope to develop Banking Mortgage application
  • Manage Project dependencies
  • Manage Project Issues and Risk mitigation
  • Create weekly Status Reports and reports to Management
  • Update and manage MS Project Plan
  • Manage cross-functional team supporting applications development
  • Manage and facilitate meetings with BA team and end-users to elicit requirements, write requirements, analyze Use-Case, testing and implementation
  • Utilized Primavera to record and track project hours and artifacts
  • Oversee and assist with SDLC, JAD, Application and Product Development
  • Analyze, Validate, Diagram, Flowcharting, and QA Functional Testing
  • Maintain LOS, systems functionality documentation, and support end-users
  • Oversee enhancement to loan product Pricing and business rules
  • Review requirements to oversee database enhancement for new design, and maintenance
  • Oversee and assist with location of script errors, identify, analyze, and collaborate with applications development to resolve
  • Manage support of Net Oxygen LOS/LPS application and Origination's backend process
  • Manage LOS/LPS data to servers
  • Oversee LOS/LPS data from server platform to data warehouse
  • Manage support Correspondent of Origination's Flow and Sub-Prime Markets
  • Oversee training of end-user and B2B Sales Force for application and enhancements

Confidential

Business System Analyst:

Confidential

System Support Analyst:

Confidential

Technical Supervisor:

Confidential

Tier 2 Engineer/Project Implementation Specialist

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