PROFESSIONAL SUMMARY:

• Over 20 years of progressive systems development project management and analytical experience working in areas of increased responsibility.
• Hands-on experience in the commercial sector, federal government consulting, non-profit management, health insurance, patient clinic settings, and teaching hospitals.
• Manages scope, budget and schedule throughout the project life cycle.
• Establishes and monitors revenue projections and budgets for maximum profitability.
• Successfully identifies and mobilizes matrix resources required for successful project completion.
• Employs comprehensive risk management throughout all phases of the project.
• Continuously improves project processes to ensure effective execution of tasks.
• Effectively communicates with clients, senior management, and peer managers.
• Seasoned business- to- IT Facilitator, Business Process and Functional Analyst, continuously championing users' safety, quality initiatives, and process improvement.
• Industry experience includes: Healthcare Delivery, Insurance, Federal and State Government, Information Technology Services and Utilities.
• Managed work of team members in India and Israel, capitalizing on time efficiencies to support global business unit requirements.
• Functional areas include: Independent Verification and Validation IV V , software requirements elicitation, development and management, operations and business process optimization, privacy and security, claims and authorization management, utilization management and vendor management.
• Methodologies/Techniques include: Business Process Modeling, Capability Maturity Model Integrated CMMI , Disaster Recovery, IEEE Standards, project control and reporting, quality assurance, Rapid Application Development, software test management and QA oversight, SDLC Methodology and practice, UML2, Agile, Spiral, Waterfall, Prototyping, SCRUM Web-based development, mobile application development, project planning, strategic direction/vision setting, establish operating metrics, project Profit Loss P L responsibility and 10M project portfolio budget responsibility of 6-8 simultaneous projects.
• Managed and mentored up to 12 direct reports.

TECHNICAL SKILLS:

PROFESSIONAL EXPERIENCE:

Confidential

Senior Project Manager

Oversaw all aspects of project management in the Payment Integrity department, using project management best practices. Responsible for coordination and completion of projects, performing a variety of tasks including setting deadlines, assigning responsibilities, understanding and tracking timelines, and monitoring and summarizing progress of each project. Led teams to meet the requirements and deadlines of each project to include development resources based in United Health Group India. Developed methodologies and implemented a Project Management Office PMO to be a model for use as XLHealth integrates with United HealthCare. Championed transition from use of SharePoint to Microsoft Project Professional for bidirectional, real time project tracking across XLHealth. Served as team lead to identify root causes of beneficiary and provider Complaints to Medicare CTMs developed interventions to proactively eliminate future CTMs.

Confidential

Technical Project Coordinator

• While engaged at the Maryland Department of Human Resources:
• As a representative of DHR, worked with the State Department of Health and Mental Hygiene DHMH in all aspects of providing professional support services and/or the integration, implementation and transition of services for the Patient Protection and Affordable Care Act ACA and other related activities with Health Care Reform HCR .
• Coordinated and managed DHR and DHMH project activities and resources, assisting in identification of DHR applications that can affect the HCR initiatives, the Maryland Health Exchange as well as inter-operability between the two agencies.

Confidential

Information Technology Project Manager

• While engaged at the Centers for Medicare and Medicaid Services CMS :
• Provided project management support to oversee the Center for Medicaid and CHIP Systems CMCS data system migration from providing Medicaid Statistical Information System MSIS to piloting a Transformed Medicaid Statistical Information System T-MSIS .
• Facilitated project planning meetings with state Medicaid departments and other stakeholders.
• Developed and maintained an integrated project schedule that included milestones and performance metrics.
• Created templates for state project schedules assisted states in maintaining and reporting project status.
• Identified gaps between CMS program integrity provisions and IT proposed solutions.
• Identified project interdependencies among other CMS initiatives.
• Assisted with development of project deliverables and preparation of management-level project briefings.
• Created and prepared regular management status reports and presentations.
• Assessed state's technical capabilities and readiness to map and transmit Medicaid data to CMS or CMS designated sites.
• Provided technical advice as needed to states participating in the pilot project, including SAS business edits, the repository design, intake and exception reporting processes.
• Obtained formal acceptance of all deliverables via wet signature maintained in SharePoint project repository.

Confidential

Senior IT Project Manager

• While engaged at the Federal Government Secure Data Center as a Senior IT Project Manager/Systems Integrator:
• Planned, executed, and finalized infrastructure and web-based application development projects to meet Federal deadlines.
• Coordinated the efforts of team members, business partners and vendors to ensure effective execution.
• Trained team leads and team members and oversaw best practices in use and rollout of AtTask software for project management. Developed Tanager-specific training documentation.
• Defined project objectives and oversaw quality control throughout iterative development life cycles.
• Wrote and edited CMMI plans, policies, procedures and templates in efforts to attain CMMI level 2 competences to include requirements management and configuration management.
• Maintained documentation in IBM Rational ClearQuest throughout project lifecycle.
• Developed support documentation for maintenance of configuration items CIs using IBM Rational ClearCase.
• Managed activities and sequence of events required to successfully pass a CMS-mandated information system certification and accreditation security audit company-wide, resulting in Tanager maintaining Approval to Operate ATO status required of a Federal data center maintaining Personally Identifiable Information PII and Personal Health Information PHI .