EMPLOYMENT HISTORY:

Confidential, Philadelphia, PA

Technical Delivery / Program Manager

Responsibilities:

• Technical Delivery and Project Manager responsible for multiple Corporate and Business initiatives. Led a Corporate Program to replace and automate existing manually developed member incentive programs for multiple lines of business.
• Successfully delivered an enterprise application solution that significantly reduced costs, provided auditability for all paid member incentives, eliminated manual processes and multiple vendors hired directly by the Confidential ’s.
• This was a several year program where I managed a budget of 3.2 million dollars, managed the budget, forecast and overall project.
• All Managed Care Organizations are required to notify members and providers by mail when a claim is denied and the reason it is denied.
• Worked directly with the CIO of Security and the Risk Management organization to implement new processes to accurately deliver, track, recover and securely sunset computer assets (laptops, desktops).
• The work involved identifying Current State, GAPS and Future processes to prevent assets from being found in other countries.
• Led the planning effort to upgrade ADP Payroll, timecard and associated Peoplesoft processes that were out of support compliance working with ADP and internal IS personnel.
• Worked with HHA and Change Healthcare to eliminate the Claim adjudication processes for the PA line of businesses which was handled by Confidential .
• Delivered the AVAYA Aura phone messaging upgrade to the Enterprise on schedule and within budget.
• Worked with the vendor, technical teams, and business areas to deliver infrastructure, software, enterprise communication and necessary training.
• Provided demo for Executive Leadership.
• Successfully upgraded Microsoft Exchange 2013 infrastructure in production and the disaster recovery site.
• Provided detailed schedules for mailbox conversions and migrations working with technical leads. Project was completed on schedule and on - budget.
• Implemented Confidential ’s Workforce Optimization (WFO) Pause and Resume capabilities for the Confidential Perform Specialty Pharmacy Division CPR+ application. This effort ensured PCI compliance for credit card and Confidential subscription payments.
• Project was delivered on-time and on budget.
• Successfully implemented the Company Wide Call Center Wallboard configuration and agent metrics working with vendor RMG technologies and Call Center Operations Staff. Standard call center configurations were implemented on-time and on budget for the Orlando, PerformRX, PerformSpecialty and Philadelphia Call Centers.
• Working with the Senior Executive, Leadership teams to transform and build-out the current Network Operation Center (NOC) environment.
• Managed the vendor engagement which included completing a current state assessment of the NOC environment, personnel, and processes. Successfully implemented the prioritized GAPS requested by management working across multiple IT departments.
• Successfully implemented the Confidential Workforce Optimization product for the Confidential Perform Specialty pharmacy business in Orlando, Florida.
• My role was to manage the vendor engagement, develop consolidated project plans (vendor and internal IT resources) coordinate testing, training and manage the overall budget.
• The project had a short timeframe due to IBE contract dates and deliverable.
• Project was delivered on-time and on budget.
• Also led the effort to successfully upgrade the Confidential Workforce Optimization product to version 11.2 (sunset v10).

Confidential, Washington, DC

Technical Delivery Manager

Responsibilities:

• My responsibilities included: technical project oversight, coordination and planning for all technical resources and phase gate deliverables, project plan development (using MS Project), budget, elicitation of business and technical requirements, issue/risk management and project status reporting to senior leadership.
• Successfully implemented an Enterprise monitoring solution for identifying and excluding sanctioned medical practitioners and facilities from all related systems and future claim payments.
• This project was delivered ahead of schedule and under budget.

Confidential, Detroit, MI

Project Manager / Senior IT Consultant / Service Delivery Manager

Responsibilities:

• Service Delivery Lead and Project Manager responsible for implementing projects related to Health Care Reform (HCR) and Health Insurance Marketplace (HIM) for the Information Management Department.
• Met regularly with stakeholders and executives to present project status updates, project deliverables and SLA’s.
• Worked across multiple departments and along with various technical resources (ETL Developers, Technical Leads, BA’s) to ensure assigned resources were on track and deliverables were met. Kept project plans, program score cards and project financials up to date. Worked with technical leads to develop project schedules, deliverables and required SDLC documents.
• Implemented several regulatory requirements which involved updates to the Corporate Enterprise Data Warehouse and surrounding data marts for Claims, Pharmacy, Membership, Accounting, Formulary and Legacy applications.
• Successfully implemented necessary tax reform changes required by HCR and the State of Michigan.

Confidential, Staten Island, NY.

Project Manager / Senior IT Consultant / Service Delivery Manager

Responsibilities:

• My responsibilities included leading several diverse teams of Database Administrators, Data Architects/Modelers, ETL developers, BI Report Developers and Analysts for MVP Healthcare.
• My responsibilities included resource management, project/resource allocations and tracking, project, and executive status reporting.
• I am also responsible for providing technical leadership for several Corporate and IT Project Initiatives working with Solution Architects to determine technical solutions and alternatives.
• Assigned overall IT Resource Lead and Project Management responsibilities for MVP Health Benefit Exchange (HBX) Initiatives and project tracks.
• My role was to identify overall IT resource needs, plan and track task status for various Sprint backlog requirements associated with each HBX track.
• Met regularly with stakeholders and executives to present project status updates, project deliverables and SLA’s.
• Worked across multiple departments to ensure assigned resources were on track for assigned tasks and deliverables.

Confidential, Calverton, MD

Director of Software Development / Program & Project Manager

Responsibilities:

• Responsible for re-engineering the BILLSPAN Financial Management product to meet requirements defined by several Health Insurance Exchanges in compliance with the Federal Affordable Care Act.
• Defined an overall project plan and resource strategy to meet aggressive timelines, State and Federal mandates.
• Responsible for building an internal development team to support in house development work. Successfully built a working prototype which was UX 2014 and 508 compliant.
• Worked with other cross functional teams to develop business process models, ERD’s and technical architecture.
• Assigned Program Management responsibilities for the Maryland Health Insurance Exchange (MDHIX) contract related to system integration (Interoperability). My responsibility included overall budget, staffing, project planning and Sprint planning efforts. Team used AGILE SDM methodology utilizing JIRA for task assignments and backlog tracking. Successfully completed several Sprints each 5 weeks in length.
• I was responsible for the overall planning, re-engineering, and implementation of the new MD. State eligibility web portal. This included preserving/developing several interoperability integrations with several core State Medicaid and Medicare applications (CARES/CHIP/SNAP/MMIS etc.). Worked directly with State SME’s and technical personnel to identify detailed requirements, test plans along with detailed ETL data mappings. Prepared Executive Reports and dashboards outlining project status, issues/risks and costs to the State CIO and Secretary.
• Worked directly with the Sr. VP of Engineering and Sr. Data Architect to determine staffing needs and overall budget.
• Responsible for understanding MD HIX SOW, completing the overall project plan, deliverables and Sprint plans and backlog burndown charts.
• Successfully mapped out 4 Sprints in coordination with 3 other project initiatives that were dependent on the Interoperability data services and State and Federal System integrations.
• Worked with State SME’s during the Elaboration phases of each Sprint to further define detailed requirements and backlog items.
• Utilized JIRA to create and assign tasks for each team member. Held daily Scrum meetings and Super Scrum meetings.

Confidential, Herndon, VA

Sr. Consultant / Configuration-Release Manager

Responsibilities:

• Sr. Consultant responsible for Configuration and Release Management for Confidential core Shared Services PEOPLESOFT HCM, Payroll, CRM / ECM, AP-ARIBA and DELTEK Financial applications.
• I oversaw and coordinated all Division application and infrastructure software releases (utilizing STAT and Maximus release software). Responsible for enterprise release communications, application migrations and overall Change / Release Management processes for PeopleSoft HCM / Payroll / CRM / ECM / AP-ARIBA.
• Facilitated all ERP Change Control Board meetings and produced all executive reporting and weekly release status reports. Completed a Department CM FIT / GAP analysis and implemented several ITIL best practices and processes that improved the overall software release process and improved change request intake controls.

Confidential, Owings Mills, MD

Manager Corporate and Financial Systems

Responsibilities:

• My responsibilities were to convert all existing interfaces and reporting to new PeopleSoft data schema’s, develop associated budget, project tasks and timelines and direct the Confidential technical team. I managed all technical team activities, issues, budgets and status reporting to the Executive Steering Committee.
• Responsible for day-to-day PeopleSoft ERP support including: NA Payroll, BenAdmin, ELM, eDevelopment, ePerformance, eRecruit, Resume-Mirror, UPK, Compensations and TAX compliance. Support responsibilities included tax updates, software patches, year-end processing (GL interfaces, W-2’s etc.), customizations, workflow modifications, new 3rd party benefit and other integrations.
• I also managed all external and internal vendor data integrations (over 75) for the PeopleSoft application (some utilizing Tumbleweed); including: Flexible Spending Accounts (FSA), Health Spending Account (HSA), Short-term Disability (STD), Pensions, Benefits Administration, 401K and Corporate Pensions.
• My responsibilities included oversight of 28+ core Corporate and Financial applications for Confidential including: PeopleSoft HCM / Payroll (ver. 8.8 / 9.1), Oracle Financials, various back-office systems/processes, SOX Compliance, legacy, COTS, ETL - INFORMATICA.
• I supported the core cost accounting application utilizing both Hyperion and ESSBASE (DBMS) in conjunction with INFORMATICA. The product was used to calculate internal costs by division and companies in order to properly chargeback and book costs by entity. The final accounting entries were also automated to the general ledger once the transactions were confirmed. The Hyperion solution included a reporting dashboard utilized by Finance to execute various financial reports. Successfully completed an upgrade to the server infrastructure along with newer versions of ESSBASE and Hyperion.
• I also managed an off-shore support team co-supporting a core broker compensation application.
• Supported multiple versions of the FACETS claims and legacy surround system interfaces to the Corporate GL and Oracle Financials Provided technical support for all General Ledger interfaces and the Oracle Financials eBusiness Suite application ver. 11i (AR, AP, Budget, Fixed Asset modules). Responsible for all bank reconciliations, ACH processing, debit/credit card, refunds, cash and check processing for all subscribers, groups, providers and institutions. I was also responsible for all subscriber notification letters including EOB’s (Explanation of Benefits) and other correspondence.
• Other responsibilities included support for all back-office Financial applications (Oracle eBusiness Suite vers 11.6), General Ledger, legacy applications that handle all Claims refunds, over-payments, cash-receipts, lock-box and bank-reconciliations. I also oversaw the integrations with the Feith COTS Accounts Payable Invoice Imaging and Expense Statement applications. I was also responsible for timely 1099 processing to all providers and institutions. I was responsible for all impacts and modifications related to HIPPA 5010 compliance. All changes were completed on time and on budget.
• I was assigned lead Technical Delivery Management responsibilities to deliver the new Corporate Contract Management application (from Ariba - SaaS solution) for Confidential when the lead consultant resource resigned. The project consisted of integrating processes with the Ariba COTS product working across multiple departments having complex integrations with various 3rd party COTS products and proprietary integration services.
• Responsible for several core Commercial Off-the-Shelf (COTS) applications that monitor Sarbanes Oxley (SOX) compliance and mandated legal filings required by various government and insurance oversight entities. I participated in internal and external audits, often having to develop internal processes to comply with various audit findings.
• I was responsible for ensuring all Confidential mandated metrics (required by the Confidential association) were accurate and completed in a timely manner. The processes required multiple random data samples and various reporting requirements for Claims, Membership and Subscriber/Group touch-point metrics across multiple diverse company platforms and technologies.