SUMMARY

• Seasoned IT Manager, Program and Project Manager wif 15+ years of experience wifin a broad industry profile including finance, insurance, healthcare, manufacturing and energy.
• Medicaid Title XIX/ Medicare/Commercial Health Insurance.
• Implementation, integration and conversion of multi - State Medicaid systems.
• Medical Policy and claims processing involving ICD-9 and CPT-4 integration.
• Medicaid claims fraud detection and reporting utilizing ICD-9, CPT-4 and other claim information.
• Natural leader wif very strong interpersonal skills, and superior written and presentation skills.
• Expert in leading large matrixed teams and turning around troubled projects.
• Practiced at communicating complex technical concepts to business stakeholders.
• Lateral thinker and creative problem solver focused on business goals and results.

KEY STRENGTHS

• IT and technical program/project management.
• Product, relationship and comprehensive program management.
• Project budget and schedule management.
• Superior communication and organizational awareness.
• Very large scale IT and telecommunications implementations.
• Software and system integrations.
• Business System Analysis and design.

PROFESSIONAL EXPERIENCE

Confidential

Program Manager

Responsibilities:

• Coordinating projects in the commercial business portion of a major medical insurer’s business model.
• Customer facing stakeholder responsible for the coordinated activities of relevant project efforts, and ongoing client satisfaction.
• HIPAA and ICD-10 conversion efforts
• Organization impact analysis surrounding Level I and Level II compliance testing.
• Gap analysis and gap mitigation planning/execution through Level I compliance testing wif 5010 transaction set.
• Planning and developing 4010 and 5010 parallel and system test plans
• Coordination planning wif relevant partners and vendors (EDI Clearinghouse, Billing etc)
• Planning final phase of 5010 cutover and training/documentation requirements.

Sr. Project Manager

Confidential

• Led integration project for IT, Purchasing and Employee systems for 75 companies in 50+ locations across North and Central America and the Czech Republic.
• Negotiated contract of custom implementation of ADP payroll software resulting in savings of over >50% of initial estimate.
• Led the migration to new ADP HR, Payroll and Benefits systems. Coordination of internal resources against ADP timeline was critical. EV3-EV5.
• Led manufacturing improvement project to increase capacity of manufactured rail cars.
• Managed technical staff of 20-25 subject matter experts.
• Full product lifecycle management from inception through customer validation.
• Successfully converted and integrated 50+ sites in North and Central America.
• Conversion and implementation of $5M Digital Medical Record System for KP Dental.
• Led business and technical requirements definition process which uniquely included dentists, medical staff and local union representatives.
• Developed tools and methodologies to support eCommerce and patient communication.

Confidential

Sr. IT Project Manager

Responsibilities:

• $6M manufacturing design and engineering project targeted at re-designing truck components related to logistics and transport.
• Project required superior negotiating and business analysis skills due to the highly matrixed nature of the organization
• Significant interaction wif Executive leadership (CIO, COO)-led regular presentations to senior management regarding project status and deliverables
• Very large development and deployment of Corporate Telecommunications Systems to support eCommerce tools, and migration of HR systems (Payroll and Benefits).
• Led Data center integration and management for 500+ physical sites in 6 countries in partnership wif major automotive manufacturers including Toyota, GM, and BMW.
• Leveraged strong communication and leadership skills to determine technical requirements wif partners (e.g. CISCO, QWEST), customers and users.
• Conducted technical overviews and walkthroughs wif engineers, managers, directors, and CIO's.
• Worked wifin the corporate PMO and provided all-phase IT program/project management (Definition, Planning, Development, Test, and Deployment).

Confidential

IT Project Manager

Responsibilities:

• Large scale conversion and integration of new Natural Gas customer information system.
• Database and record type conversion - converted from address based to customer based.
• Custom programming and DB conversion efforts.
• Coordinated phased testing, implementation and go-live efforts.
• Successfully converted 1.5M customer records and transitioned to new system wif no system downtime.
• Development of new custom gas/oil excise tax and accounting system.
• $2.5M project sponsored by several oil companies that included dynamic and changing requirements throughout.
• Complexities included ongoing coordination wif County, State and Federal agencies.
• Worked closely wif oil and gas industry experts to facilitate efficient design and development.
• Drove to on budget, on time project completion, and software was subsequently sold to other oil/gas producers.