SUMMARY

• A Senior Project Management position dat will utilize my experience and education in Management Information Systems.
• Product Development and Business Development and provide an opportunity for achievement and growth.

PROFESSIONAL EXPERIENCE

Senior Project Manager

Confidential

Responsibilities:

• Managed $8.5M project as part of a corporate merger related to ePayments.
• Managing a large data warehouse project as part of a corporate merger using agile development methodology.
• Managing 2 large synergy projects as part of a corporate merger moving production print work between teh merged companies.
• Total project budgets $20M

Senior Project Manager

Confidential

Responsibilities:

• Manages multiple large software implementation projects for multiple clients simultaneously.
• All software development work is performed using agile methodologies with two - week sprints.
• Manages daily sprint meetings for each two-week sprint.
• Manages monthly code deployments.
• Facilitates planning and execution for deployment efforts.
• Negotiates resources and work assignments.
• Track risks and issues for each project and escalates risks/issues when appropriate.
• Works with project sponsor to document project scope, deliverables, and required staffing resources.
• Create teh project plan, facilitate communications to teh project sponsor, project team, and internal development team.

Consultant Senior Project Manager

Confidential

Responsibilities:

• Managed a project through business requirements for teh Field Office Analysis (FOA) Day Two project.
• Managed a large 20,000+ hour vendor claims processing software implementation strategic project as Scrum Master.
• Managed $4M vendor portion of teh project. Overall program budget was $8M.
• All external vendor work was performed using agile methodologies with two-week sprints, teh client implemented monthly using waterfall methodologies.
• Managed daily sprint meetings for each two-week sprint.
• Managed monthly code deployments.
• Facilitated planning and execution for deployment efforts.
• Negotiated resources and work assignments (business, IT, and vendor).
• Tracked workstream progress and escalated risks/issues when appropriate.
• Worked with project sponsor to document project scope, deliverables, and required staffing resources.
• Created teh project plan, facilitated communications to teh project sponsor, project team, IT organization, and software vendor.
• Managed all aspects of assigned work streams from requirements gathering through design, development, QA, UAT, training, business process changes, and deployment.

Consultant Senior Project Manager

Confidential

Responsibilities:

• Managed a Corporate project and all related Nebraska projects to merge Confidential with Alegent Creighton.
• Worked with teh senior management of both companies to document project scope, deliverables, and required staffing for teh merged companies.
• Implemented teh project to merge teh CHI provider network under teh existing Uninet provider network.
• Managed a Large Trader ID and Blue Sheet Reporting compliance project.
• Managed an ERISA Fee Disclosure compliance project.
• Managed a monthly statement quality control application implementation through a third party vendor located overseas.
• Managed an ICD-9 to ICD-10 claim system Remediation project.
• Managed teh HIPAA 837 & 835 transaction conversions from 4010 to 5010 including paper claim to electronic 837 via OCR software.
• Managed a large Client Contract Consolidation Project.
• Managed teh Health Care Reform Coverage Gap Discount testing effort.

Director, Claim Systems

Confidential

Responsibilities:

• Managed a team of 8 Business Analysts, 8 Business Acceptance Testers, and Consultants.
• Managed multiple compliance projects as teh business owner.
• Successfully implemented and maintained a College Hire program, teh first ever implemented at Prime Therapeutics.
• Managed teh State and Federal Compliance board as chairman.
• Owner of teh pharmacy claim system, which is teh core system for Prime.
• Managed all modification releases for teh claim system.
• Managed a project to implement an education library website where our clients will take investment courses for a fee. This project included compliance with teh Payment Card Industry (PCI) regulations.
• Managed a project to implement a new banking interface to replace teh existing banking interface.
• Managed a Project to implement credit risk tools dat will allow us to evaluate risk more efficiently and in real time for our margin clients.
• Managed a project to create a Service Oriented Architecture for our Margins Engine.
• Managed a PMO project to implement HIPAA compliant Health Care Claim Payment/Advice 835 Response transaction for pharmacy payments.
• Managed a PMO Project to implement EFT payments to Pharmacy Providers.
• Managed a Project to implement a Regression Testing Environment with automated balancing tools.

Product Manager, Financial Systems

Confidential

Responsibilities:

• Responsible for management of teh Patient Registration, Patient Billing, Insurance Processing, Home Health Care, Contract Management, Care Management, and Executive Information Systems Products. These products are part of comprehensive Hospital Systems Package.
• Managed all enhancement projects for teh products assigned. Major Projects included; HIPAA Transaction Sets, National Provider ID, UB04 enhancements and HCFA-1500 enhancements.
• Participated as a team member in every customer site implementation providing onsite support and training.
• Responsible for relationship management between teh BSM&D department, teh New Business Underwriting Department, and teh Information Technology Department.
• Introduced and managed projects on behalf of teh business areas throughout teh project life cycle.
• Worked closely with teh senior management team to prioritize and manage projects requested by business areas.
• Responsible for relationship management between teh business areas; Actuarial, Underwriting, Membership, Health Services Program, and Medical Support departments and teh Information Services department.
• As part of my responsibilities with teh Health Services Program and Medical Support departments, me was responsible for all Care Management and Case Management projects on behalf of those two departments.
• Introduced and managed projects on behalf of teh business areas through teh work authorization phase.
• Acted in role of project sponsor along with senior management throughout teh project life cycle.
• Managed teh incidents/work orders dat result from requests for change to Legacy systems submitted by teh business areas.
• Work closely with teh me.S. management team to prioritize and manage teh work requested by teh business areas.

Consultant Product Manager/Systems Engineer

Confidential

Responsibilities:

• Managed teh development of enhancements to teh LensKit Product Suite, an enterprise application integration software package for operations’ support systems of telecommunications companies.
• Coordinated a team of Developers and Technical/Business Analysts responsible for enhancement of teh companies’ marketing materials, including teh company website.
• Completed training as a Product Configuration Analyst on teh ADC Single.View Billing Platform.
• Managed teh development of an online exchange for surplus telecommunications equipment.
• Coordinated teh activities of a team of Business Systems Analysts responsible for teh systems development life cycle (SDLC) of multiple interfaces to and from teh online exchange.
• Designed and implemented an escrow interface dat managed over $500,000 in sales in teh first three months of operation.
• Designed interfaces to and from an online exchange dat completely automated teh sales process of large telecommunications equipment.
• Participated in teh selection of software to integrate teh e-commerce front-end system to teh back-end financial/ERP systems.

Confidential

Responsibilities:

• Designed and implemented multiple interfaces from a Life Insurance Policy Administration system to teh existing legacy claims system.
• Developed a fully automated process for payment of life insurance claims by leveraging teh use of legacy Accounts Payable System.
• Created an automated Form Letters system for teh Life Insurance Policy Administration system.
• Managed a team of Systems Analysts and Programmers responsible for teh conversion of 1.2 million gas and electric customers from teh existing legacy billing system to a purchased utility billing system.
• Designed teh conversion process, including staffing and budget, which resulted in teh successful conversion of all customer accounts prior to teh hard deadline of December 31, 1999.
• Gathered business requirements and managed teh full SDLC process for teh resulting enhancements to teh new billing system.
• Developed multiple programs to convert customer data from teh legacy hierarchical database (IMS) to teh new Relational Database Management System (DB2).