SUMMARY

• Certified Project Manager with experience in Information Technology, budget management and human resource management
• Highly accomplished results oriented Information Technology professional with a proven track record in project management and team leadership of project management and application development teams for Cigna Corporation. I have an extensive background in project management disciplines in environments ranging from mainframe to distributed technologies utilizing waterfall and agile methodologies. I have demonstrated ability to manage and implement highly visible projects across multiple applications.

EXPERIENCE

Confidential

Established and implemented project management processes and methodologies for a 12M portfolio and ensured that projects met all deliverables for schedule, budget, quality and scope. I provided direction and oversight to a team of Project Managers and Business Analysts for large complex projects including Healthcare Reform PPACA compliance projects, Advantage and Windows 7 Upgrade. Provided direct project management for AccelRx 5M Commercial work stream for Eligibility and Plan Administration, including financial and resource management.

Confidential

• Direct team of 15 resources to provide project delivery for a suite of customer facing applications including ID Card, Document/Letter Generating and Vendor Feeds Eligibility systems crossing multiple technologies and business units.
• Ensured that every project met all milestones and performance metrics and delivered on customer commitments and enterprise strategic priorities.
• Responsible for development of resources and 3M budget associated with application suite.

Confidential

• Lead a cross functional team of technical professionals to deliver the Alternate Member Identifier AMI project, crossing multiple application areas.
• Met all schedule, quality and budgetary metrics for project under aggressive timelines.

Confidential

• Manager of multiple teams of systems professionals responsible for project delivery and production support for critical CIGNA Healthcare Claim, Eligibility and Medical Management applications. Systems including Medicom, CIGNAclaims, The National System, Utilization Management, ICMS, Stop Loss, Pricing and Sales Applications.
• Led teams of up to 40 individuals in activities providing timely, accurate and cost effective business analysis and technical delivery for all phases of the SDLC through implementation and production support for applications supporting claim processing, medical management objectives, sales and underwriting and regulatory compliance, including HIPAA and Sarbanes Oxley. Application portfolio included mainframe, DB2, COBOL, client server, midrange, Oracle and web based applications with their supporting Help Desks and Ad hoc reporting groups. Consistently met or exceeded project metrics, customer Service Level Agreements and productivity measures.
• Managed budgets totaling 11.8M 8.5M machine costs and 3.3M in direct expense. Met or exceeded all budgetary goals.
• Implemented successful offshoring practices including KA/KT and Steady State and CMM level 2 compliant practices across multiple teams.

Actively contributed to building a high performance culture by recruiting, hiring and training staff as needed. Addressed performance issues in an effective, timely and consistent manner.

Confidential

Confidential

• Analyzed incoming business proposals and advised field sales staff of the system and administrative impacts of proposed health insurance plan designs.
• Recommended alternatives that were consistent with CHC's systems' capabilities and medical management philosophy.
• Managed business aspects of successful project to consolidate two different provider networks of 8,000 providers into one managed care network for 300,000 member health plan.

Confidential

• Managed coordination of all implementation activities in the areas of claim payment and eligibility systems for large UTC, FedEx and small policyholders for managed care and traditional health insurance products by ensuring that all deliverables were met accurately and on time.
• Matrix managed product deliverables across several lines of business, gaining consensus, negotiating and solving problems as needed to assure high quality results for the customer.

Confidential

• Directed an accounts receivable and membership processing unit that achieved high standards in production, customer service and quality.
• Project Manager for transfer of member and employer group enrollment and accounts receivable data processing to centralized processing from local health plan systems.
• Managed a professional staff of 18 responsible for data entry and accounts receivables processing for 221,000 members.
• Improved accounts receivable processing time by 33 .

Confidential

• Organized, monitored and directed member service activities for healthplan from start up to membership of 58,000.
• Hired, trained and managed customer service staff of 10 handling 100 calls each per day.
• Developed, implemented and improved strategies to service members effectively.
• Developed and implemented healthplan policies and procedures to respond to member grievances, insurance commissioner inquiries and ensure healthplan compliance with regulations.