Summary

Highly accomplished and motivated Information Technology professional with 25 years of experience focusing on project management, implementations, solution architecture, consulting, business analysis, application development, and quality assurance. Have a proven track record of creating innovative business process improvement and application performance improvement solutions. Natural team leader with business and technical knowledge and the ability to motivate project teams to deliver a broad range of business solutions. Have received HIPAA, SOX, Agile SCRUM, CMMI and Six Sigma training.

Experience includes:

Professional Experience

Confidential

Team Lead

Responsibilities/Accomplishments

• Team Lead for Data Conversion and Data Warehousing projects
• Assisted clients with converting legacy data into HealthRules
• Led the Data Conversion Accelerator Offering project
• The Data Conversion Accelerator offering provides the client an accelerator for the conversion of legacy data into HealthRules. The offering assumes the client will be performing the conversion since they have the best understanding of their own source data , however, the offering presents a standard methodology and set of tools for the client to use to perform the conversion without having to build the tools themselves. The requirements call for a SQL Server and Oracle solution
• Assisted the team in the analysis, design and development of the Data Conversion Accelerator project
• Conducted gap analysis for data warehousing efforts
• Assisted clients in designing implementation solutions from the data warehouse

Confidential

Responsibilities/Accomplishments

• Managed the implementation of HealthRules an enterprise healthcare software product that provides an integrated financial, administrative and clinical platform to healthcare payers
• Prepared implementation Statement of Work SOW
• Led a team of five developers and four technical analyst using an Agile implementation methodology in the delivery of system integration, correspondence generation and data conversion technical tasks associated with the client's implementation
• Gathered and defined requirements for system integrations, correspondences and data conversions
• Determined whether requirements will be handled by Professional Services or Product Management
• Oversaw solution design and architecting
• Developed and managed technical project plans and staffing assignments to ensure technical tasks are delivered with quality, on schedule and on budget
• Conducted daily standups to assess progress of the sprint backlog during a sprint
• Managed, monitored and mitigated software defects and project risks related to the delivery of technical tasks
• Managed the integration and customization of HIPAA 5010 EDI interfaces including 837, 834, 820, 837, 835, 277CA and 999 transactions
• Managed the integration and customization of HealthRules' non-EDI interfaces between the client's internal systems and external business partners' systems
• Reported project status and project risks to the client's project team and senior management
• Communicated and advocated the client's product enhancement requests to Product Management
• Coordinated release plans and deployments with Release Manager
• Conducted gap analysis for integration, data conversion and correspondence efforts

Confidential

Project Manager, Process Assurance

Responsibilities/Accomplishments

• Managed projects with teams consisting of associates, consultants and outsourcing vendor
• Managed the delivery of a quality web-based application for the Federal Government using J2EE, JSP, Servlets, Spring, Oracle, Hibernate, JDBC, jBPM and Web Services
• Ensured that releases were delivered that met the clients' expectations and requirements on time and within budget
• Led project teams through all phases of the Software Development Life Cycle SDLC process
• Managed project planning, project estimation, project execution, project scheduling, scope management, risk management, project reporting, facilitation of meetings, defect tracking and remediation, coordinating cross-functional activities, managing business stakeholders' expectations, and interacting with business stakeholders, IT partners and vendors
• Oversaw project governance by evaluating the SDLC process to implement best practices, standards and procedures to ensure quality by eliminating ambiguity and defects
• Ensured releases were delivered in conformance with the SDLC process
• Ensured all release-related issues and risks are identified, tracked, communicated and remediated in a timely manner
• Communicated project status to stakeholders, senior management and IT partners
• Facilitated quality tollgate meetings and obtained approval on project artifacts
• Worked with the development team to improve unit testing strategy
• Worked with internal and external testing teams to improve system testing and reporting strategy
• Performed load and stress tests to determine the system's behavior under normal and heavy load to ensure it met SLA
• Was responsible for software version control and managing hardware configuration changes
• Worked with the different teams to prepare the project schedule for releases
• Evaluated and recommending tools and processes to improve quality assurance and release management processes
• Provided input to testing teams to eliminate gaps in the test strategies for stability testing, regression testing, functional testing and performance testing
• Managed continuous integration activities to improve the build and deployment process
• Automated test cases to improve and reduce the development integration test cycles
• Coordinated the preparation of environments to align with release objectives
• Ensured environments validation was successful prior to the start of testing activities
• Coordinated and monitored system and integration testing activities to ensure successful implementation
• Prepared the release schedule, implementation plan, back-out plan, and transition plan
• Implemented a SDLC workflow system to track and monitor release-related activities

Confidential

Technical Project Manager

Responsibilities/Accomplishments

• Technical Project Manager and Solution Architect for Billing Support Services BSS applications - Billing Data Repository BDR , Billing Reporting Repository BRR , CapTracks, Central Eligibility, and QuestNet
• Subject Matter Expert for Central Eligibility, BDR and BRR
• Participated on waterfall and agile projects as project manager, scrum master and/or team member
• Led projects through entire project lifecycle from initiation to post-implementation
• Led project planning, project scheduling, prioritization of projects, scope management, resource planning, risk management, requirements gathering and analysis, defect tracking and remediation, milestone tracking, project reporting, facilitating meetings, coordinating cross-functional activities, managing business stakeholders' expectations, and interacting with business partners, IT partners and vendors
• Oversaw technical architecture and defined technical solutions for BSS applications
• Researched technical solutions by reviewing vendors' software solutions
• Communicated business requirements and technical solutions to project team
• Oversaw and participated in the preparation of SDLC documentation this included high level design, functional specification, design specification, unit test plans, system test plans and implementation plans
• Reviewed SDLC artifacts to ensure compliance with adopted project management methodologies
• Ensured that applications met business requirements and SLA by conducting system testing and performance testing prior to production implementation
• Constructed prototypes for proof-of-concept
• Converted Central Eligibility system from Sybase to Oracle 10g Real Application Cluster RAC technology increased system capacity by 150 and throughput by 50
• Reduced Central Eligibility conversion project budget by 98,000 71,000 from identifying and procuring a stored procedure conversion tool thus eliminating two months from task effort and 27,000 from developing web application and web service in-house instead of bringing in a consultant
• Delivered the company's first mission critical web service on open-source J2EE application and web servers
• Implemented J2EE web-based application to replace VB client-server based Eligibility Inquiry application
• Migrated Informatics payers from sunset system to Central Eligibility improved match results and increased deliverables by more than 50
• Partnered with Enterprise Architects and other Domain Architects to establish Center of Excellence for n-tier applications
• Coordinated Eligibility Inquiry/Response and Benefit Enrollment and Maintenance projects with the EDI group using ASC X12 270/271 and 834 transactions respectively
• Led assessment efforts to determine advantages and disadvantages of augmenting Central Eligibility with real-time ASC X12 270/271 transactions
• Performed preliminary ICD-10 assessment
• Assisted with production support of Central Eligibility, BDR and BRR
• Determined and recommended training requirements that aided in the timely implementation of several projects
• Provided consultative services to special projects such as EIPP, MDM and EAI
• Initiated numerous business process and application performance improvement solutions

Confidential

Responsibilities/Accomplishments

• Managed the Billing Decision Support Systems BDSS group consisting of associates and consultants
• Managed application development for Billing Data Repository, Billing Media Tracking, CapTracks, Reimbursement Analysis Repository, and SHEBA
• Managed projects this included moving projects forward through SDLC phases by setting projects objectives, managing scope, determining projects priority, determining level of effort, assigning resources, coordinating cross-functional activities, requirements analysis, design, development, testing, implementation, lessons learned sessions, identifying issues and risks, mitigating issues and risks, tracking and mitigating defects, tracking milestones to keep projects on target and within budget, and reporting project status to business partners and senior management.
• Determined technical solution to meet or exceed business requirements
• Communicated business requirements and technical solutions to project team
• Monitored, evaluated and reported progress of projects to business partners and senior management
• Encouraged and supported a team oriented, service focused environment that maintains integrity and is consistent with goals of the organization
• Coached and mentored associates
• Conducted associates performance and development reviews
• Conducted staff recruitment and selection process
• Delivered Billing Media Tracking stored claim submission data paper and non-standard electronic sent to insurance payers. The application tracked when claims were submitted to and received by payers, logged correspondence regarding submitted claims and assigned Billing Analysts to manage submitted claims
• Delivered a secured web-based application using J2EE, JSP, EJB and Sybase with connectivity to the mainframe using MQ Series
• Coordinated Claim Submission, Remittance Advice, Claim Status Inquiry and Claim Status Response projects with the EDI group using ASC X12 837, 835, 276 and 277 transactions respectively
• Implemented Controllers' Module reports reduced the amount of time it took Controllers to complete month-end, quarterly and year-end closes
• Implemented Third Party Profile reports allowed Revenue Service Managers and Business Analysts to identify top offenders contributing to bad debt

Confidential

Responsibilities/Accomplishments

• Led and delivered Billing Decision Support Systems BDSS projects
• Delivered Billing Reporting Repository stored operational billing in process data to correct errors that are preventing the company from billing
• Delivered SHEBA stored accounts receivable data for revenue management decision reporting
• Delivered Reimbursement Analysis Repository stored insurance payers' reimbursement data in an enterprise database to allow revenue service managers and analysts to determine whether insurance payers are reimbursing the company per contracted rates
• Delivered Billing Data Repository stored insurance payers' paid claims data in an enterprise database to allow revenue service associates and phlebotomists to expedite data entry of new orders and bill type transfers

Technical Summary

• Databases: Oracle 9i/10g/11g, MS SQL Server 2008 R5, Sybase 11, DB2, Sun Java DB 10.4.2.1, IDMS, IMS, VSAM
• Middleware: iWay 6.1.3, SOAP Web Services, DataStage 7.5.1.A, Initiate Identity Hub 7.5, WebLogic 9.2.0/10.3.2, Apache Jetty, JBoss AS 4.0.5, Sybase EDI Server, MQ Series, JMS, ActiveMQ, jBPM3, WebSphere, WSDL, XML, XSD, J2EE, Apache Axis 1.4
• Languages: Java 5/6, C, COBOL, CICS, Oracle Application Express, JSP, JavaScript, PowerBuilder 5/7, Perl, Basic, Visual Basic 6.0
• Platforms: Unix-HP, Redhat Linux, Sun Solaris, OS/MVS, AS/400, Windows 2000/XP/NT/7
• Software, Tools Others: JIRA, HealthRules, Claredi, EDI Notepad, XML Notepad, Hudson v1.398, Subversion, Clarity, HP Service Manager, Remedy, Altova XMLSpy, HP Quality Center 9.2/10, HP QuickTest Pro 10, HP Performance Center 9.5, UML, Perforce, ClearCase, JProfiler, JProbe, JUnit, Viso, MS Project, MS PowerPoint, MS Access, ANT, Cron, Maestro, Control-M, Perl, SYBASE Open/Client Connect, SYBASE Open Client 10, Quest Toad, DB Artisan, JDBC, ODBC, Ispirer SQLWays, AdventNet SwissSQL, soapUI, loadUI, Grinder, JMeter, MyEclipse 8.5, Eclipse, Oracle SQL Developer, SP-Debugger, Visual SourceSafe, Apache TCPMon, MVS JCL, IBM Utilities, ZEKE, CA-Dispatch, CA-Scheduler, UniKix