SUMMARY

• Has experience in a multitude of Healthcare, IT, Government, HR, and Finance projects and excels at leading, planning and executing large SAP implementations.
• Comfortable being accountable for project deliverables and discussing status findings with executive leadership.
• Pays attention to detail and always ensures a high quality of excellence. Frequently contributes to the development of new ideas and methods.
• Aside from risk and issue management from technical and managerial skills is also commercially aware in terms of contractual aspects and value added propositions.
• Would like to join a forward thinking, innovative and growing company where integrity and teamwork are the cornerstone of the organization.

TECHNICAL SKILLS

• PMBOK - 10 years
• SDLC - 10 years
• SharePoint - 12 years
• PMI Certification - 5 years
• MS Project - 10 years
• Supervise 50+ - 7 years
• Tricare/Medicare/Medicaid/CMS - 8 years
• Web, Server, Oracle Java - 5years
• CMMI Knowledge - 8 years
• Government Contracts - 8 years
• Vendor Services - 10 years
• Agile/Scrum- 5 years
• ITIL- 4 years
• Change Management- 8 years
• Business Analyst- 5 years
• APO- 5 years
• SAP- 8 years
• Workforce Management- 5 years

PROFESSIONAL EXPERIENCE

Confidential

Expansion Program Manager/ Business Consultant

Responsibilities:

• Implemented the IA Medicaid Program with a project team of 100+ members and $11M budget for a contract reward of $250M.
• Led the Medicaid Expansion Program and HIE to successful implementation within budget and schedule.
• Placed 275 employees in IA and surrounding satellite offices.
• Set up 7 satellite offices as a Cloud SME for expansion projects in IA and GA.
• Consulted with both internal and external parties across the broad landscape to deliver the State of IA’s Medicare services.
• Facilitated and supported readiness activities on and offsite with the state of IA and GA.
• Established business area work plans that focused on broad organizational agendas and planned projects.
• Provided direct support to high profile areas: HR, Finance, and Facility Infrastructure.
• Planned and completed JAD sessions with 13 Business Areas in order to review contract requirements and finalize approval of the requirements.
• Met weekly with Team Leads to received status updates on the work plans.
• Idealized and launched Functions Sub Groups to work on new or missed state specific requirements during weekly team meetings.
• Managed gate reviews and approvals by standardizing a process with the Stakeholder Committee.
• Authored project documentation and delivered presentations to support analysis of new business ventures for updates to State Directors.
• Met IA State deliverables on time by providing policy and procedures, required letters and correspondence in time for readiness review phase I and II.
• Developed proposals for implementation process improvements that support MEDS, EEMMS and MMIS systems to Senior Leadership.
• Worked directly with business areas to gather information to complete the Project Charter/Scope, Project Plan, Risk/Issue Log, Lessons Learned, and Status Reports.
• Monitored the project plan daily to track key milestones and critical path in order to adjust the project schedule or project plan.
• Performs change management activities for missed or new requirements,
• Utilized APO forecasting and actuals to report monthly Cost Models with Cap-Ex and Op-Ex vendor spending and resource costs.
• Oversaw on-shore and off-shore vendor services by holding weekly meetings and conference calls.
• Utilized Agile and Scrum methodologies.

Confidential

Contract MMIS Project Manager/Business Analyst

Responsibilities:

• Implemented the ASO Strategy for the Claims MMIS Replacement Project with a project team of 40+ and $17M budget for Confidential (SCDHHS)
• Utilized JIRA to write and test state specific requirements and rules with IV&V support.
• Authored SC state specific requirements and CMS Security Requirements (CMSR) following JAR sessions with State and State’s Security Department.
• Planned placement and transition of job duties for over 50 employees.
• Developed proposals for implementation process improvements that support MEDS, EEMMS and MMIS systems to Senior Leadership.
• Held monthly meetings with the Director of the SCDHHS and Senior Leadership Team to provide status updates on the ASO strategy and vendor implementation.
• Developed enterprise level artifacts that depicts the State’s future goals to stakeholders the foresight needed to proactively manage technology investments and initiatives.
• Collaborated with IT staff and State Operations to author project documentation, deliver presentations, and support analysis of new business ventures for updates to CMS.
• Acted as a SME for Medicaid Enterprise Certification Toolkit (MECT) and held training for the PMO to promote better understanding of CMS Medicaid requirements.
• Knowledge of US Code and Code of Federal Regulations concerning Medicaid.
• Held weekly meetings cross-functional business areas including EDI, Claims Adjudication and Accumulations, to ensure completion of changes to be implemented 01/01/16.
• Designs test scenarios UA and SI testing for each release.
• Utilizes Agile w/ SCRUM and XLC methodologies.
• Utilized IBM Curam MS Project for project planning and resource management.
• Approved quality of deliverables of the team and provide performance feedback based on RACI standards.

Confidential

Project Manager/Business Analyst

Responsibilities:

• Completed the RFP Contract Breakdown and Requirements Review for the Claims Area of the MMIS Replacement Project for Delaware Health and Social Services with a project team of 75+ with a $34M budget.
• Developed a project plan for HPE and the IV&V vendor resource needs, and proposed implementation schedule.
• Acted as Medicaid Enterprise Certification Toolkit (MECT) SME and developed training presentations for the Delaware State Leads and the Project Team.
• Developed proposals for implementation process improvements that support MEDS, EEMMS and MMIS systems to Senior Leadership.
• Acted as SME for US Code and Code of Federal Regulations concerning Medicaid.
• Held weekly meetings with the Claims Team and multiple business areas, including Claims Adjudication and Accumulations, to ensure completion of changes to be implemented 01/01/14.
• Test designer and facilitator for UA and SI testing for each release.
• Utilizes agile and SDLC methodologies.

Confidential

Contract IT Program Manager

Responsibilities:

• Implemented HIE and the mandated Health Care Operations Readiness for Medicaid, Medicare and Specialty Claims Expansion managing a team of 20 and a budget of $3M.
• Acted as Medicaid Enterprise Certification Toolkit (MECT) SME and developed training presentations for the Project Team
• Held weekly meeting with all Operations business areas to ensure completion of changes to be implemented 01/01/14.
• Completed UA and SI testing for each release with minimum defects.
• Consults directly with Directors and Senior Managers to define business requirements, Project Charter and Project Plan.
• Developed work plans for business areas to manage cross-functional interdependencies.
• Used Plainview to track and maintain project plans, budget status, project status reports, and critical path for monthly status meetings with executives.
• Met with executive leadership to create and deliver presentations on project goals and plans, including progress reports.
• Manages operation projects in call center and Claims Adjudication.
• Received testing approval from Independent Verification and Validation (IV&V) of policies and procedures; requirements, designs, implementation plan, and UAT for critical IT systems and infrastructures.
• Submitted change management plans to the Steering Committee and key stakeholders for large scale projects to address barriers to success as needed.
• Drafted standardized templates to improve organizational project and program management methodologies and processes that saved teams over 10 hours per week in document preparation time.
• Utilized agile and scrum methodologies.

Confidential - Columbia, SC

Contract IT Project Manager

Responsibilities:

• Implemented Rapid Application Development (RAD) and quarterly pricer coding changes required for TRICARE DoD Contracts, Medicaid and Medicare with an IT Team of 10 and an annual budget of $3M.
• Met weekly with Client Advocates and CMS to review the status of active projects and to prioritize upcoming projects mandated by CMS.
• Created and implemented project definitions, schedules, budgets, objectives and tasks for required for government contracts.
• Prepared detailed statements of work with statistical application in Healthcare delivery.
• Participated in delivery assurance presentations to ensure adherence to project management policies and procedures.
• Managed multiple project teams to ensure communication and understanding of deadlines, assignments and objectives. Participated in work as applicable.
• Managed project risks, issues, costs, resources, change orders, schedules and quality by overseeing project deliverables for up to 7 simultaneous projects.
• Assigned work and provided coaching to Team Lead with regard to timeliness and completion of project objectives.
• Addressed performance issues within prescribed guidelines. Provided performance input upon completion of project.
• Monitored project milestones in Microsoft Project, technical status and critical dates to identify potential jeopardy of project schedule; identified ways to resolve schedule issues and keeps management aware of the situation.
• Conducted project kickoff meetings and status meetings live and remote, communicates individual roles and project expectations and ensures that all project team members have the tools and training required to perform effectively.
• Conducted formal gate review with business sponsor at project completion to confirm acceptance and satisfaction.
• Ensured that all deliverables and activities are completed with high quality and in a timely manner.
• Utilizes Waterfall and SDLC to manage large and small projects for Human Resources, Marketing Communications, Web, Provider Network and Facilities
• Developed an ongoing process to fast track federally mandated hot changes that require implementation in less than one month.
• Facilitates Independent Verification and Validation (IV&V) of policies and procedures; requirements, designs, studies, and research; and critical IT systems and infrastructures.

Confidential , Columbia, SC

Client Development Project Manager/Product Manager

Responsibilities:

• Implemented annual renewals for over 300 small high risk business accounts with a team of 3 and fixed budget.
• Managed complex projects for New Product Developments and System development updates.
• Implemented the first SharePoint site for the company with over 400 employees.
• Managed client, company and project team expectations by maintaining 97% performance rating.
• Performed ongoing review of project status to identify possible project risks and received approval of risk mitigation solutions.
• Interfaced with team members and stakeholders to manage changes to the project which may involve changes to data exchange technical requirements, business requirements and schedule.
• Communicated effectively with management and built consultative relationships with business unit representatives.
• Interacted with clinical and non-clinical departments to understand their mission and how they interact with other departments.
• Facilitated SharePoint information architecture and initiates and implements SharePoint sites to monitor and record status of large or complex projects.
• Utilized MS Project to build project plans, reports, tasks, and monitor project lifecycles.
• Tested business requirements, functional requirements and use case scenarios for a growing number of projects in Quality Center.
• Facilitates Independent Verification and Validation (IV&V) of policies and procedures; requirements, designs, studies, and research; and critical IT systems and infrastructures.

Confidential, Columbia, SC

Account Manager

Responsibilities:

• Managed client’s roster of active insured by processing employee insurance enrollment forms for medical and dental.
• Facilitated open enrollment and provides training to HR personnel.
• Prepared detailed renewal presentations and delivered them to customer in order to negotiate rates.
• Oversaw business processes associated with enrollment services.