SUMMARY

• Healthcare IT professional with 14 years of industry experience working primarily with healthcare (payers & provider) clients in delivering business and IT solutions.
• Expert in functional areas of claims processing, benefits administration, EDI transactions, ICD 9/10, provider contracting, Electronic health record & ACA (Affordable Care Act).
• Experience of working in Matrix project environment & maintaining relationship with project stakeholders.
• Experience of working on Pharmaceutical business.
• Hands on experience on Full cycle software development in waterfall & agile methodology.
• Expertise in Microsoft Project Server, Office, Visio.
• Experience of managing data warehouse project - Medical Management, predictive modelling.
• Experience of managing Data warehouse/Business Intelligence.
• Extensive experience of managing in testing Client/Server and Web-based Applications.
• Responsible for Managing and reviewing of ETL mapping and transformation specifications based on the business requirements from various teams and the business teams.
• Experience of working on Scope, Schedule, Cost, Quality, Staffing, Risk and Issue Management, Test, Configuration, and Change Management.
• Hands on experience working on Claim adjudication system- Mainframe, FACETS & Oracle.
• Setup Enterprise TCoE - Test Standards, Research and Test Optimization teams
• Worked on Process improvement initiatives.
• Experience in setting up Agile Scrum & SAFe framework .Worked as Scrum Master/Coach.
• Hands on experience of working on project Management tool (MPP, MS project, Plainview & Kronos).
• Significant experience in working with large teams (85+), people management and mentoring.
• Worked 8+ years as Project Manager for various projects like Provider (Ahtolink) implementation, Fresh start, ICD10 programs, EDI transactions & CMS- HIPPA5010 and Medicare/Medicaid.
• 8+ years of experience of analyzing business needs into requirement documents (BRD, Use Case, flow diagram) & functional requirement documents by using waterfall & agile methodology.
• 10+ years of experience of creating /reviewing functional & UAT test cases.
• 5+ years of experience in Enterprise Content Management(ECM).
• 8+ years’ experience working with PMO office (budget allocation, monitoring) using tool MPP, Plainview, kronos.
• Hands on experience of using MS office (creating presentation, create various report using excel, & documentation etc…).
• Experience of analyzing complex document, gap analysis leading technical discussion and provide solutions.
• Significant experience in working with large teams & mentoring team.
• Worked extensively in the areas of domain competency building and business development support, in terms of business problem identification and proposed solution definition during RFP response process.

TECHNICAL SKILLS

Testing: Manual Testing, Automation, Mainframe testing, Portal and web services

Program/Database: Java/J2EE, .Net, C++, Mainframe ADB2 CICS, BF Query

Operating System: UNIX, Windows 95/98/NT/2000/XP/Mac & DOS (App. Testing experience)

Testing Tools: Quality Center 9.0, Test director 9.2, Bugzilla, HRO Maestro (Lotus Notes), QTP 9.0

Process/PMO Tool: Rally, TFS, MS office, MTM, Plainview, Kronos, MPP, ECM

PROFESSIONAL EXPERIENCE

Manager

Confidential, Detroit, MI

Responsibilities:

• Responsible for end to end delivery of Medicare/Medicaid projects ETL/data warehouse project.
• Responsible for managing Data analysis, reporting, ETL, transformation and migration
• Responsible for Project Planning. Create / build / update project schedules, project charters, project plans, status reports, and work breakdown structures
• Managing the overall performance and delivery.
• Responsible for Project Cost Management utilizing the company’s financial forecasting process
• Manage Estimated Time to Complete tasks (ETCs) and reconcile ETCs
• Responsible for Risk, Action, Issue, and Decision
• Responsible for organizing Meetings. Prepare meeting agendas and meeting minutes, distribute meeting documentation, and maintain and monitor action item listings as necessary.
• Used Toad and SQL Plus for testing execution of ETL Processes' PL/SQL procedures, packages for business rules.
• Responsible for coaching the team(s) to inculcate Scrum values and XP practices
• Facilitating Scrum ceremonies for the Team - Grooming, Planning, DSM, Review and Retrospective
• Communicate with other teams (UX, Automation, Support Team etc.) to resolve issues/ dependencies during normal Sprint Execution
• Keeping the team together all the time to ensure successful sprints.
• Managing larger testing team setup
• Responsible to understand the business functions in detail and work with test leads
• Responsible for organize/lead/manage testing meetings including daily testing team standups, business meetings, customer meetings, vendor and defect triage meetings
• Interacting & working with vendor/customer environment.
• Experience in working with test management tools
• Responsible for creating and maintain integrated project plans across vendors and customers
• Tracking/reporting daily status to project stakeholders

Sr. Manager

Confidential

Responsibilities:

• Responsible for end to end delivery of RCM product as per agile scrum process.
• Responsible for Project Planning. Create / build / update project schedules, project charters, project plans, status reports, and work breakdown structures
• Managing the overall performance and delivery.
• Enhancing ‘Claim Adjudication’ system for processing Medicare/Medicaid claims.
• Responsible for coaching the team(s) to inculcate Scrum values and XP practices
• Transitioning the teams from Traditional software management methodology (from scratch) to AGILE methodology; and worked towards scaling Agile implementation with SAFe model
• Facilitating Scrum ceremonies for the Team - Grooming, Planning, DSM, Review and Retrospective
• Responsible for smooth deliveries by playing the role of RTE.
• Coordinating with all the key stakeholders to facilitate the release process; additionally acted as Secondary RTE for multiple releases
• Ensuring that the appropriate inter team communication is happening and holding Scrum-of-Scrum during the release process to achieve the same.
• Working with Product owner On Artifacts - Product Backlog, Spring Backlog
• Responsible for giving regular (daily, weekly) updates for the project to the Management
• Helping the Team to get rid of Impediments (Technical, Process, Inter-team, Infrastructure, Organizational etc.) to reach their Sprint Goals
• Reviewing and approving System/QA Test Plan, Test Cases and Test Results.
• Requirements Traceability Matrix / Capability Mapping Worksheet.

QA Head

Confidential

Responsibilities:

• Responsible for End to end delivery of Healthcare products.
• Guiding the team and organization on how to use Agile/Scrum practices
• Worked as scrum master and help team in setting up scrum framework.
• Responsible for running (sprint planing,grooming, review sprint & retrospective )
• Removing impediments or guiding the team to remove impediments by finding the right personnel to remove the impediment.
• Facilitating discussion, decision making, and conflict resolution
• Assisting with internal and external communication, improving transparency, and radiating information
• Worked closely with product owner to prioritize product backlog.
• Provide all support to the team using a servant leadership style whenever possible, and leading by example
• Research on Test standards, Optimization Techniques and drive implementation in projects (Risk Based Testing, OATS & Test data Management)
• Identifying opportunities of automation/tool development and leading them at organizational level.
• People management for multi-location resources.

Project Manager

Confidential, NJ

Responsibilities:

• Drive the gathering of detailed business, functional and non-functional requirements
• Act as a Subject matter Expert in Health Care Exchanges
• Collaborate with business and technical stakeholders to identify specific business requirements
• Develop as-is state
• Gather information needed for the definition of requirements
• Develop business context diagrams
• Define desired future state requirements based on input from all applicable stakeholders
• Identify the business impact of system/application changes
• Identify capability gaps between current state and desired state
• Identify and/or establish appropriate testing metrics/targets to validate that business requirements are being met
• Conduct and/or support testing activities
• Plan/execute user testing scenarios/scripts and prepare test data
• Translate problems/issues identified during the testing/piloting process
• Validate usability of technical solutions prior to deployment
• Participate in creation of implementation plans for identified solutions