Summary:

Project Manager with 14 years of business project management experience in the public and private sector with key emphasis on process improvement, multiple IT platforms, billing, claims, data mapping, telecommunications systems and vendor management.

Key Skills:

Creating innovative solutions to complex problems. Building and motivating multi-functional teams. Leading teams to focus on corporate objectives. Implementing new systems with minimum of down time. Over 17 years experience in Health and Welfare Benefits Industry including Operations Management, New Client On-Boarding, Project Management, and Underwriting.

Technical Skills:

• Proficient in MS Project, Visio, PowerPoint, Excel, SharePoint, Word and Pega. Experienced in various
• System Development Life Cycle methodologies including Waterfall, Iterative, and Agile.

Experience:

Confidential

Business Consultant - Onsite Customer Implementation Lead at Independence Blue Cross

• Selected by Executive Leadership to manage the highest profile Commercial and Medicare Advantage clients migrations from Independence Blue Cross proprietary platforms to the Highmark Blue Cross platforms as part of the Blue Core Migration Program including IBC Employees and IBC Board of Directors.
• Function as the primary interface between sales and the customer at the executive level and maintain a relationship as a true business partner and trusted advisor.
• Provide the business with strategic level support and guidance, using a consultative and advisory approach.
• Provide oversight and support in the delivery of customer services to ensure business satisfaction with those services.
• Proactively take actions on issues that are impacting solution and product delivery and ensure they are resolved by the appropriate parties.
• Work with all levels of the business including Executive Leadership, Operations, Sales and Highmark key points of contact.

Confidential

Project Management Advisor

• Evaluated and revised Project Manager's Meeting protocol resulting in 60 increase in efficiency of staff resources.
• Coached and mentored Project Managers in new client on-boarding/implementations and on-going client management.
• Developed Executive and Senior Management Dashboard reporting in EMC eRoom Software creating real-time visibility in to status and resource allocations replacing former weekly project status reporting in Excel.
• Established new protocol for Project Manager's Client Meetings based on PMI standards and best practices.
• Led initiative to procure new software for company-wide resource management and document collaboration.
• Developed and lead weekly training classes focused formal project management policies and procedures and effective use of software tools.
• Appointed by Practice Leader to represent and the Benefits Administration business unit as the single point of contact with IT Development for prioritization of IT Work Orders.
• Effectively reduced backlog of IT Work Orders by 71 within three months of new assignment.
• Developed EMC eRoom databases to support all business units of Benefits Administration including FSA, COBRA, Open Enrollment Fee Tracking, and Fulfillment.
• Created approximately 150 new user accounts in Eroom and serve as Trion's Site Coordinator and Subject Matter Expert for all eRoom support and training.
• Served as Single Point of Contact for IT Work Order prioritizations and escalations and Business Liaison with IT Development for all carrier Electronic Data Interfaces.
• Established and hosted weekly meetings between Benefit Administration Leadership and Consulting for continual dialog to ensure successful Fall Open Enrollment season.
• Identified inefficiencies in the workflow of IT Work Orders and triaged problem tickets with SMEs resulting in expedited issue resolution.

Confidential

Senior Project Manager,

• Member of Business Project Management Office leading large scale divisional projects as well as UnitedHealth Group corporate initiatives.
• Served as Project Manager for Untied Behavioral Health Care's Brand Migration to Optum Behavioral Solutions managing a project team of over 50 SMEs in coordination with 13 IT platforms.
• Effectively managed Information Technology's Capital Budget of 2.7M and Marketing and Communications budgets of 1.1M.
• Assumed role as Subject Matter Expert for COSMOS claim platform Quality Assurance work on Brand Migration Project saving the division 312,000 in IT QA costs and reduced capital budget for Behavioral Solutions Division by that amount.
• Routinely managed three to four large-scale, cross-divisional projects simultaneously.
• Presented to and advised Executive Leadership Team including divisional CEO on status and recommended actions for active projects within divisional project portfolio.
• Provided weekly reporting on project status, risk assessments, and resource needs to all levels of management within the Behavioral Solutions Division as well as at the OptumHealth and UnitedHealth Care corporate level.
• Developed cost benefit analysis for future projects and all change control requests on current projects including capital and non-cap costs, five years of future benefits using time value of money formulas and staffing models and present to Executive Leadership.
• Successfully completed integration of Oxford Health Plans into OptumHealth Behavioral Solutions business operations model utilizing a project team in excess of 100 members and seven sub-teams.

Project Manager, Confidential

• Assigned Project Leader on short and long term corporate initiatives based on career experience through divisional Project Management Office.
• Successfully completed vendor transition from Medicare HIJ Rx Plan from Express Scripts to Rx Solutions in 6 weeks with 8 weeks being the minimum time mandated by Rx Solutions.
• Selected by Head of Ovations Operations to be Project Manager on Enterprise Content Management Project for Ovations, the largest capital expenditure project in the PMO Portfolio for 2008-09.
• Represented Ovations PMO with Executive Team at meetings with our client AARP and advertising agency Draftfcb.
• Managed three high profile projects within the PMO portfolio while acting as requested PMO resource on other Ovations initiatives.
• Utilize expert skills in Web-Ex and full suite of Microsoft Office Suite in daily execution of duties as a Project Manager.
• Successfully completed Six Sigma Green Belt Training with Green Belt Project chartered to reduce the number of QA defects within the SDLC currently in Measurement Phase.

Confidential

Project Manager

• Recruited to manage existing and new accounts for web development benefits Enrollment Company by CEO and founder of company.
• Focal point for clients' HR Management, payroll vendors, insurance carriers, brokers and benefit consultants.
• Served as primary customer contact for on-boarding of new clients to BISNet's online proprietary benefits administration product from Kickoff to post Go-Live.
• Interfaced with internal web developers and programmers to customize client web sites.
• Utilized Web-Ex to train client HR Management on BISNet, Inc. website functionality and updates to current code on a continual basis.

Confidential

Manager,

• Managed Dental Underwriting for North Central Region, handling middle market and national accounts. P L responsibility for all managed regions, pricing concession authority of 10-20 .
• Directed all recruiting and HR functions.
• Utilized cost/benefit analysis to create efficiency gains in workflow processes which allowed for staff reductions of 44 in first six months in position without compromising quality of output.
• Delegated by Senior Management to make pricing concessions and multi-year contracts with clients in order to maximize profits for Aetna while taking into consideration all aspects of the implications of the business decisions and their short term and long-term effects on Aetna.
• Appointed as Crisis Management Director for 500 employees in current building with the following responsibilities:
• Developing and planning for six departments for short term and long term crisis management.
• Maintaining evacuation and relocation procedures as necessary for any crises from fire to natural disasters.
• Reporting directly to Aetna's Blue Bell Head of Crisis Management and Corporate
• Headquarters for assessing structural damages, effects on business and immediate employee needs.

Confidential

• Managed EZLink's Billing Department, responsible for client Electronic Funds Transfers, bank reconciliation, and EZLink front-end web portal to legacy mainframe.
• Developed new client training materials and project plan for transitioning new clients onto the EZLink Billing Platform.
• Served as primary client contact for all escalated billing and benefit issues incurred as part of new client on-boarding.
• Oversaw reconciliation of 31.5M in monthly receivables. Staffing/HR Manager for EZLink operations department of 50 employees.
• National Team Lead for all HIPAA requirements.
• Supervised all new code releases into the EZLink production and demonstration environments.
• Performed Business QA Testing during release of code to EZLink's live environment and provided final approval/rejection of new code for member facing portal.
• Promoted from Financial Underwriting Consultant.