EXPERIENCED INFORMATION TECHNOLOGY PROFESSIONAL

Experienced project manager offering 14 years of success leading all phases of diverse managing multiple projects simultaneously, working with cross-functional teams and vendors, both domestic, off-shore, virtual/remote Function as liaison between IT and the business and point of contact. Developing detailed project plans, schedules, project estimates, resource plans, and status reports. Conducted several project kick off meetings. . . Significant customer/end-user facing experience and a track record of developing project plans that support IT and business initiatives for process improvement. Industries include healthcare, insurance, retail, publishing, financial services, manufacturing, utility, state and federal government. Entire lifecycle project experience SDLC, waterfall, Agile, and non-traditional techniques from concept, planning, requirements, schedule development WBS schedule , design, build/construction, test/validation, to deployment/operations.

PROFESSIONAL EXPERIENCE

Independent Contractor Positions

Confidential

Consultant EDI Systems Analyst

Baseline enrollment process to ensure consistent enrollee information across FFM Federally Facilitated Marketplace for CMS Centers for Medicare Services

Confidential

Consultant ICONMA Sr. IT Project Manager EPMO/Business Intelligence/Delivery Manager/Release Team

• Project: HCA EDWard Enterprise Data Warehouse and Research Depot , DX Data Exchange APCD all payer claims database Mandates coordinating / monitoring / onboarding 7 states Project: HCA Health Care Analytics EDWARD: AIM ASO Expansion

• Coordinated activities communicating with teams of application developers, web developers, designers, and business users for the onboarding program for 7 states. Created, updated, and managed software project timelines and schedules with a results first focus.
• Managing day to day aspects of the project, including directing all business, IT professionals and third party consultants to meet the goals of the project
• All appropriate Artifacts signed and posted to SharePoint
• Working with SME S for improvement operations processes.
• Identifying scope changes needed to be presented to the Change Control Board CCB
• Working closely with the intake team when providing the 50 90 LOE's level of effort
• Focused teams on business objectives and tracked progress to ensure project milestones were completed on time, on budget and with the desired results.
• Managing all aspects of the project including initiation, planning, executing, closing and controlling the transition to assigned team.

Confidential

Consultant Gebbs SR. IT Project Manager/Business Intelligence Enterprise PMO/Delivery Manager

• Managed 4 projects simultaneously involving 34 team members full-time and offshore with budgets of 617,000 using SharePoint as repository for all material provided or artifacts created, technical spec's, business requirements, meeting minutes, approvals, change release documentation, charters, gap analysis.
• Working closely with SME's for updating the SOP's Standard Operating Procedures for adding the correct formula's and the correct process
• Managing all aspects of product testing including test planning, documentation, execution, defect management and reporting

Confidential

Consultant Concord IT Project Manager PMO/ Business Delivery Manager/ BA

• Managed 3 projects simultaneously involving 28 team members full-time and offshore using SharePoint as the repository for all material provided or creation of artifacts created, technical spec's, business requirements, meeting minutes, approvals, change release documentation, charters, gap analysis's for future reference.
• Facilitated session gatherings to capture and document requirements for Data Informatics work stream functions and EDI Consolidated Gateway work stream, to include EDI X12 Claims transactions.

Confidential

Consultant AXIOM Technical Project Manager / Delivery Manager

• Managed the activities surrounding modifications to the CAS payment system and data exchanges accumulators , provider, member and benefit connect. The team includes Business Analysts, Developers and Project Manager
• Project Manager Responsibilities for delivering all business requirements, functional specifications, project plan, and test plan, UAT and signoff's.

Confidential

Consultant Technical Project Manager / Delivery Manager

Managed the Supporting Authorization Feeds initiative and focused on review and modification of incoming and outgoing feeds. Coordinated 400 authorization file changes for testing.

Confidential

Consultant enterprise Technical Project Manager / Enterprise Batch Manager / Enterprise Test Manager

• Managed and coordinated the entire implementation from conception to completion. Managed several project managers and followed PMO Project Management process guidelines to support the PMO governance model.
• Participated with the Medicaid SME's in creating and monitoring files eligibility, claims and demographics which are submitted to the State through CMS through the MSIS
• Managing all aspects of product testing including test planning, documentation, execution, defect management and reporting

Confidential

Consultant: Enterprise Technical Project Manager / Delivery Batch Manager /System Analyst

• Managed projects for a subsidiary of United Healthcare called JD Reynolds, Kaiser Permanente and United Healthcare Integration email System. The teams included Business Analyst, Developers, and other support staff. Migrated 5 sites consisting of 1,300 internal users. Analyzed and resolved inbound and outbound EDI issues 837/835/834 . Created and maintained maps for various EDI healthcare transactions.
• Oversee operational support for EDI platform and applications, including issue resolution

Confidential

Consultant IT Project Manager / EDI Manager / Quality Assurance manager / System Analyst

• Worked closely with the vendor, Ingenix, to outsource their EDI processes. Oversaw the infrastructure team, purchased servers, set up servers, performed license certification and tested connectivity. Made sure we were compliant with Sarbanes-Oxley SOX .
• Managed several government mandated projects, EDI Transactions, EBILL Texas mandate
• Generate positive and negative test scenarios
• Create test plans and give test plan walkthroughs
• Log, assign and track defects Generate progress and traceability reports
• Chair defect meeting when required
• Responsible for keeping testing on deadline.
• Update test status daily for project team Approve code deploy requests when directed to do so
• Able to work on multiple projects without losing focus

Confidential

Consultant EDS Project Manager / EDI Manager / Helpdesk tier 1 tier2 / Test Manager

• Developed and maintained the project plan, milestones and documented reporting strategy for the execution of tasks.
• Assisted the business units to maintain 837/835/834 mapping standards. Assisted the account management in the evaluation of RFP service level agreements.
• Implemented HIPAA/EDI support team Help Desk Tier1, Tier2 and Tier3 reporting and escalating of issues.

Confidential

Consultant INDECON Project Manager

Managed and coordinated planning, execution phases, and worked closely with AEP resources and the electric trading partners. Support intranet application for QA/QC, Accounting, Production and Distribution. Assisted in analysis, design and implementation of architecture, batch, and configuration and application server set-up.

Confidential

Consultant INDECON Project Manager / Coordinator Manager / EDI Coordinator / Delivery Manager / Test Manager

• Managed and coordinated planning, execution phases, and working closely with Sterling Commerce.
• Assisted in the retirement of the adjudication system Genelco and migrated members to FACETS adjudication system.
• Implemented HIPAA /EDI transactions 837, 835, 270/271, 276/277, 820, 834 and 997 acknowledgement .
• Worked closely with the Medicaid unit and managed tasks while modification to Trizetto FACETS adjudication for Medicaid enrollment Oversee operational support for EDI platform and applications, including issue resolution

Confidential

Consultant: Project Manager / EDI Coordinator / Delivery Manager / Test Manager

• Managed and coordinated planning, execution phases, and worked closely with Anthem. Assisted in the retirement of the adjudication system Genelco and migrating members to FACETS adjudication system. Managed installation of the server base application Gentran.
• Project: IMPLEMENTATION OF MIDDLEWARE GENTRAN
• Managing and coordinating planning, execution phases, and working closely with Anthem to coordinated implementation and worked closely with Sterling Commerce.
• Managing on-site technical team for the implementation of the translator GENTRAN for HIPAA / EDI initiative
• Assisted in the retirement of the adjudication system Genelco and migrating member s to FACETS adjudication system
• Managed installation of the server base application Gentran
• Created all documentation for the import / export processes, modifications to existing maps
• Implemented HIPAA / EDI transactions 837, 835, 270/271, 276/277, 820, 834 and 997 acknowledgement

FULL-TIME EMPLOYMENT

Confidential

Positions: Senior Project Manager / Program Analyst / Project Coordinator Adjudication System

• Manage on-site technical team to provide support for existing adjudication system while implementing new adjudication system META VANCE MAINFRAME ,
• Worked very closely with vendor EDS to implement the translator SeeBeyond
• Implemented 837, 835, 270/271, 276/277, 820, 834 and 997 acknowledgement transaction
• Coordinated and supported the EDI / HIPAA middleware product SeeBeyond, import / export process, implemented and enhanced existing schemas, provided support for e Xchange trading partners, e Gate Monitoring, control brokers, bobs, logs and journals
• MQSeries modification necessary for communicating back and forth to different platforms operating systems, middleware , changes needed to programs for sending data through messages as well as work flows

Confidential

Position: QCARE senior Program Analyst / Implementation of the Adjudication system

Positions: QSTATE /senior Program Analyst / Project Lead, Implementation of the Adjudication system