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Sr. Project Manageraugust Resume

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Richardson, TX

SUMMARY

  • Innovative Project Manager with over 6+ years of experience in developing business processes and system solutions in HealthCare, Insurance, Finance, and Higher Education arena.
  • Exceptional record of delivering cost effective, timely, and high - performance technology solutions to meet challenging business demands.

TECHNICAL SKILLS

  • Project Management
  • Program Management
  • Portfolio support
  • Process Improvement
  • IT Strategy
  • Microsoft Office
  • MS Project Server
  • TFS
  • TTP
  • HP ALM
  • Servers (Windows
  • Linux
  • HP Solaris)
  • Virtualization
  • Networking
  • Middleware
  • Contingency Planning
  • Integrated Supply Chain Management
  • Disaster Recovery / Business Contuinity
  • Vendor Management
  • IaaS
  • PaaS
  • SaaS
  • ITIL
  • ITSM
  • Storage / Data Analysis / Database (SQL
  • Oracle)
  • Data Migrations
  • MS Dynamics GP / Management Reporter
  • Integration Manager
  • Product Management
  • Medicare
  • Medicaid
  • Utilization Management
  • Business Rules
  • Affordable Care Act
  • Compliance
  • Claims Management
  • Managed Care
  • UML Tools
  • Requirements Gathering
  • Analysis
  • Regulatory Requirements
  • Submissions
  • Reporting & Analysis
  • Functional Specifications
  • Functional Analysis
  • CMS
  • NCQA
  • HEDIS
  • Member Programs (HRA
  • PHR)
  • Managed Care
  • SharePoint
  • SDLC
  • Agile/Scrum Methodologies
  • Cognos
  • Integrations/Implementations/Enhancements
  • Business Process Improvement
  • Business Analysis / Intelligence
  • Microsoft Project
  • Change Management
  • Risk Management
  • IT Infrastructure Management
  • Clarity (PPM)
  • QA Testing
  • Team Management / Resource management
  • VMWare
  • ETL
  • SIS (Student Information System)
  • CampusVue (Campus Management)
  • PMBOK
  • LMS Canvas (Instructure)
  • Tableau
  • Leadership
  • CRM
  • Finance / AP / Accounting
  • Higher Education
  • Insurance (PL
  • Commercial)
  • Healthcare (Clinical
  • Health Plan)
  • PMO (Project Management Office)
  • Business Lines Implementations/Enhancement

PROFESSIONAL EXPERIENCE

Confidential, Richardson, TX

Sr. Project ManagerAugust

Responsibilities:

  • Established and Maintained IT and Functional projects’ communications between teams and departments by reporting statuses and prioritizing projects meeting with Steering committee and senior teams.
  • Managed financial applications upgrade along with processes automations among Accounting (Account Payable, Purchasing, and Business offices) at Vista College’s 10 Campuses.
  • Implemented Text-books and inventory management automation process and solution using MS Dynamics GP along with data integration between SIS and MS GreatPlains.
  • Drafted DR Plan for IT infrastructure and core applications working with core IT team.
  • Evaluation and proposal of CampusVue/SIS best practices for several functional departments (Admissions, Academics, Career Services)
  • Managed several vendors’ accounts with cost, schedule, resources, SLAs, resolution of issues, and applying industry norms and trends within practices for Vista College.
  • Integrated Student retention practices with BI tools such as Discourse Analytics.
  • Implemented Document Imaging platform OnBase (by Hyland) by establishing communications, document management processes, and training for and in between departments.
  • Implemented new Learning Management System (LMS) Canvas replacing existing Moodleroom platform to address several inefficiencies to be able to identify and address at-risk student population and state of the art platform for both students and faculties by providing Data Intelligence, analytics to administer both learning and administrative goals.

Environment: PMBOK, MS Project, HyperV, OnBase, MS Dynamics GP, Campus Management (CampusVue), SIS, SQL, Integration Manager, LMS Canvas (Instructure), Management Reporter, CRM (Talisma), Gragg Advertising, Tableau.

Confidential, Monterey, CA

Project Manager III

Responsibilities:

  • Manage design, development, and implementation of (Business Continuity/ Disaster Recovery) project phases to include, but not limited to gathering and defining the project requirements; resource planning and forming core and cross functional project teams.
  • Manage and deploy change management strategies targeting process optimization to achieve DR strategy and operations.
  • Worked in an Agile and Waterfall SDLC environments utilizing MS TFS and MS Project Server for managing and tracking sprint cycles along with custom reporting integrating Project Server and MS office tools for better delivery of reports for management, PMO, for driving strategies, and to make appropriate decisions.
  • Responsible for implementing, maintaining, coaching, and teaching Agile Methodology for IT projects and SharePoint related initiatives within the organization for both IT and the business community.
  • Develop and implement documentation and processes to inform and drive communication to both functional and technical teams.
  • Acted as Scrum Master: conducted daily stand up meetings, developed burn down chart, project backlog, release backlog, and sprint retrospective sessions.
  • Lead the Systems, Data Center and the Applications team and interviewing end-users to gather accurate business requirements for DR set up, prepared execution plan, and continuous maintaining DR environment once DR site us up and running.
  • Upgraded SAN Storage, structured VMWare clusters, and upgraded Docstar, implemented Network upgrades to meet the DOIs regulatory requirements etc.
  • Supported CIG's Claim Management System, Underwriting Management System, and Personal Lines interfaces, security, patches, and upgrades along with developing strategies to keep log shipping maintained between production and DR environment to ensure Business Continuity during an unfortunate and unforeseen event of Disaster.
  • Partnered with GuideWire Policy system implementation utilizing ServiceNow IT Service and Governance automation integrating legacy systems to upgrade existing claim processing capabilities and features with Solaris and Linux network maintaining and proposing solutions to complex integrations with Active Directory.
  • Extensive documentation experience: Gathering, mapping, and structuring requirements from the business teams and converting them to technical and functional requirements for the development, systems, DBA and QA teams for appropriate and accurate builds for respective modules in DR Site.
  • Implemented and utilized various IBM tools and platforms to support document management integration between legacy system and Guidewire.
  • Implemented 3rd party Raters and Handlers integration (Lexis Nexis, Veritas, DMV Live, IBQ, Vertafore, and Transact Now) for the DR site with live data feed during DR Simulation and Test, maintaining requirements for BC and performing real time business validation/ transactions.
  • Prepared and set up data migration strategies and plan in between data domains and platforms over the network and physical tape.
  • Upgraded SQL Server Portsight impacting and in order to support better applications response time and enabling larger data migration.

Environment: ITIL, Waterfall SDLC, Agile/Scrum, Jira/ confluence, TFS, Project Server, MS SharePoint, GuideWIre, ServiceNow (ITSM), SQL, Oracle, Citrix, SOA, HP ALM, QTP, MS TFS, MS Office.

Confidential, Long Beach, CA

Sr. Project Manager

Responsibilities:

  • Manage design, development, and implementation of Business Continuity Plan and Disaster Recovery Infrastructure phases to include, but not limited to gathering and defining the project requirements; obtains staffing requirements; and forming project teams adopting state regulatory guidelines and abiding/ adhering to Molina’s Compliance initiatives, guideline, and approach to meet the need of Business continuity and Disaster preparedness to ensure and support such requirements from CMS (Center for Medicaid-Medicare services).
  • Implement process map, design, and operations strategies for new addendum to existing operations for functional, technical, and cross functional areas.
  • Led several scrum teams conducting business research by gathering data, identifying options, performing cost-benefit analysis and business case to prepare project charter for each phase of new business implementations.
  • Monitored, tracked, and facilitated Molina’s new health plan implementations in 4 of the states across U.S. and aligning partners/ vendors data, system, and applications integrations with ServiceNow’s cloud based platforms.
  • Also participated in several other Clinical PMO initiatives to build and set up applications which were Member 360, Provider Portal, Claims (Clear Coverage), and CCA upgrade utilizing and implementing IBM’s portal rebuild system with both Windows and Linux platforms.
  • Responsible for the overall direction, management, compliance, communication, coordination of status reports and stability of Medicare Market-facing Project Management Office work as part of new Health Plan and Disaster Recovery implementations and setup.
  • Provide AGILE project management controls, project plans, timeline schedules, facilitate RAD sessions, and review software defects.
  • Accountable for multiple deliverables associated with compliance, CMS Transactions and customer experience projects.
  • Researched and developed project timelines, deliverables, resources, tasks and dependencies based upon the project capability.
  • Maintained project level work breakdown structure by tracking events, tasks, dependencies, and progress within the project plan.
  • Responsible for ensuring MMIS system is live and available on ServiceNow Cloud.
  • Worked on projects with major focus on HIPAA EDI 5010 implementation, ICD-10 Implementation, Regulatory Implementations, Claim Processing upgrading SQL servers to 2008.
  • Worked with Medicare and/or Medi-Cal programs and initiatives by CMS.
  • Experience working with organizational change management (OCM), including planning, development and delivery of OCM strategies.
  • Responsible for the development of all requested capital budget projects associated with Revenue Cycle systems
  • Identified the format of data loaded into the data warehouse/data mart, from systems that furnished extracts.
  • Develop online documentation/training service manuals for design and client services personnel.
  • Worked on writing deliverables, such as requirements, design, development, testing and deployment plans, for implementing Service Oriented Architecture (SOA) system.
  • Created Visual models in the form of business flow diagrams, Activity diagrams using MS Visio, so the developers and other stake holders can understand the business process according to their perspective with possible alternate scenarios.
  • Involved in formal review meetings with project teams and developers to report, demonstrate, prioritize and suggest resolution of issues discovered during testing.

Environment: Policy and Procedures, Billing, ICD 10, MMIS, SQL,Oracle, Linux, Solaris, Unix, ITSM, Citrix, MS Visio, SOA, Clear Quest, MS Project, MS Office, MS SharePoint, Jira,Trizetto’s CCA and QNXT, McKesson’s Clear Coverage

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