SUMMARY

• A highly accomplished and dynamic professional with US top 20 MBA; experienced in project management and consulting roles with strong background in healthcare and IT industry
• Strong technical background and technical project management skills having successfully led several complex multidisciplinary development and maintenance SDLC projects in healthcare practice 4+ years of project management and program coordination experience managing concurrent multidisciplinary projects with 5 - 10+ people.
• 8+ years of healthcare industry experience, 5+ years of it in the IT Healthcare services industry.
• A strong exponent of the Project Management Body of Knowledge (PMBOK) principles and ITIL best practices.
• Strong customer facing skills due to frontline customer facing roles for 8+ years.
• Experience in implementing systems based on HIPAA policies and privacy regulations
• Understanding of FACETS data model and the components that support medicare enrollment and claims processing.
• Proficient in utilizing Project Management tools to develop SOWs, RFPs, RFQs, project plans, project schedules, resource planning and management, cost-benefit analysis, budgeting, project kickoff meetings, status meetings, and timeline management
• Experience in mapping UML diagrams for data flows, system diagrams, process flow diagrams, Activity diagrams, Sequence diagrams using Microsoft Visio
• Experience in facilitating Technical Specification discussions, conducting JAD sessions with user groups, stakeholders, SME’s and end-user clients
• Experienced in project planning, scope management, costing and estimation. Hands on with project management tools like MS-Project, Clarizen for project and resource planning
• Experienced in all phases of the Software Development Life Cycle (SDLC) as well as software engineering methods like RUP, Waterfall Method & Agile
• Experienced in managing web/intranet applications - Client/Server and 3 tier Architrecture frameworks
• Exceptional Documentation Skills for writing Use Cases and Functional Requirement Documents as well as for creating Use Case diagrams and Activity diagrams based on UML Methodology and business process flow diagrams using MS Visio
• Experience in defining test cases, bug triage, conducting User Acceptance Testing (UAT). Led improvements in QA and release process ( Iterative deployments)
• Strong capability in conceptualization & usage of GIS in health systems
• Familiar with business environment & healthcare systems in Asia, Europe & North America

TECHNICAL SKILLS

Applications/Tools: Microsoft Office Suite (Word, Excel, Access, PowerPoint, and Outlook), MS Project, MS Visio, MS PowerPoint, RUP, IBM Filenet, PlanView, CQ, IBM Rational Clearcase, Jira,BugZilla, Quality Center

Web Technologies: HTML5, DHTML, Scripting languages (jscript/VBscript), FLash

Database Technologies: SQL Server 7.0/2000, 2008, MS Access 97/ 2000

Operating Systems: Windows XP, Windows 98/2000 Windows Vista, Win XP

Project Management: Project planning; Monitoring & Controlling; Process improvement; Mapping and managing budget, resources and timeline; PMBOK Methodology

PROFESSIONAL EXPERIENCE

Confidential, Bridgeville, PA

Project Manager

Responsibilities:

• Defining the overall scope for several multidisciplinary Business and Technology oriented SDLC projects in agreement with Business Unit and Chief Technology Officer respectively.
• Facilitating JAD/JRD sessions with client SMEs and Business to give shape and understanding to the requirements with the help of Business Analysts and Developers and ensuring all requirements are documented in the BRD (Business Requirements Document)
• Manages Facets application and Facets infrastructure implementations including production support activities, development/maintenance of project plans, risk management, status reports, budget forecast/actuals/variances, and issues list
• Employing rapid prototyping from Business Analysts to verify design and solicit customer feedback.
• Assessing the effort, timelines and cost for executing a project after determining the most efficient, creative, innovative and cost effective solutions agreed upon with Health Net management.
• Helping Business and Health Net, Inc management prioritize and lump multiple projects into a single Enterprise Release per quarter.
• Proposing Design and performance solutions to development teams from a Solutions Architect standpoint.
• Forecasting resources based on the upcoming and pipeline projects, ramping up and down as needed.
• Contributing to the interview process by participating in the panel with a strong emphasis on identifying the ideal candidates in the event of an external hire.
• Identifying appropriate internal resources for the project and helping them come up to speed.
• Assigning responsibilities to project resources, organizing daily meetings to discuss technical roadblocks and resolution, risks and ways of mitigation, fostering growth, setting milestones and encouraging resources to meet them and evaluating performance against the goals set.
• Maintaining resources, tracking timelines, costs and risks using Microsoft Project plans and Planview from Design up to Implementation for up to 5 mid-size to large SDLC projects ranging from few hundred thousand to multi-million dollar projects and maintaining one consolidated Enterprise Release project plan.
• Escalating to client management for urgent issues requiring their involvement.
• Reporting weekly project status to the Business and Health Net Inc., management in Microsoft Excel document with the % completion, highlighting the risks and means of mitigation.
• Overseeing the Requirement traceability Matrix (RTM) across all phase of the project.
• Performing Gap Analysis, SWOT analysis, Risk Analysis and Cost/Benefit analysis.
• As first point of contact for the project, meeting weekly with external vendors, conducted site visits and communicated daily with technicians.
• Serving as the IT program coordinator and Vendor coordinator coordinating with internal teams and external vendors to oversee smooth progress of the projects in the Enterprise Release.
• Demonstrated fiscal accountability by frequently delivering projects under budget.
• Excellent negotiation skills with the client and external vendors alike for timelines and cost.
• Serving as the Enterprise Release manager towards the end of Customer Acceptance testing phase to gear up for implementation and during the implementation phase to communicate the implementation hourly status to stakeholders for the entire release.
• Triaging post production issues and expediting resolution for the same by assigning to appropriate folks.
• Ensuring all the project documentations are in place to achieve Sarbanes-Oxley (SOX) compliance.

Confidential, Seattle, WA

Project Manager

Responsibilities:

• Management and coordination of multiple modules of enhancement program of 4010 standards of healthcare transactions to federal mandate HIPAA 5010 standards at CareFirst BCBS using CareFirst Iterative Project Management Methodology that comprise Agile and Waterfall methodologies. Also used Scrum methodology to deliver components of project.
• Work with internal and external parties to organize components of a major project.
• Responsible for creating new Work Request / Change Request and follow-ups.
• Supervising and tracking project activities and assuring completion by baseline time. Creating and tracking Risks and Issues and escalating them to leadership team if required.
• Establishing and maintaining project performance metrics and measures.
• Perform as project SharePoint site Administrator and maintaining the project library housed on SharePoint.
• Responsible for managing and coordinating Budget management activities between project teams and finance department as well as forecasting budget (impact/effort analysis) and Accruals.
• Coordinating Resources management with Sr. manager along with other project teams on board to understand their requirements and provide Resource forecast to management.
• Maintaining the resource allocation of project schedule while working with a project scheduler. Ensuring resources are appointed appropriately and to the requirement.
• Preparing weekly Status Report and support executive level reporting. Also preparing Progress reports to track progress and report possible issues, delays and risks.
• Facilitate and refine critical processes related to project and program management as well as the software development life cycle (SDLC).
• Work under the direction of a Program Manager and Project Manager and may also serve as the Project Manager for isolated components of a larger project.
• Coordinated initiate activities of preparing ICD 10 project charter, program resource matrix, high level budget proposal, SharePoint document Library and Clarity account.

Confidential, Nashville TN

Business Analyst

Responsibilities:

• Responsible for working with client BSAs to work the system requirements for accommodating this new Health Program offered by Anthem along with Primary Coverage.
• Responsible for discussing with business team and technical team various business scenarios and planning solution for meeting business need.
• Responsible for coordinating test data preparation, validating data and ensuring testing cycle is completed with necessary test scenarios reviewed.
• Responsible for working with Privacy Business Area to work Business & System requirements for sourcing confidential data from source to data hub.
• Responsible for delivery of Business technical requirement definition (BTRD) documents, Mapping documents and BSD (Business specification document).Contracted with the HCFA (Health Care Financing Administration)/ Medicare Centers and Medicaid Services to provide quick, easy, and affordable access to the health care service of their choice
• Improvised HL7 for the exchange, integration, sharing, and retrieval of electronic health information
• Worked with the UI developer to implement UI and create enhancements to optimize user experience
• Prioritized system impact analysis for web portal experience development
• Identified and documented issues, risk and gaps, their descriptions, their impact and provided recommendation and alternatives to develop the application to meet the user requirements
• Worked in a team to develop use cases for their newly added application layout and understood all the business processes related to newly added layout and designed use cases that helped developers to build application
• Interacting with the developers on resolving the reported bugs and various technical issues
• Involved in UAT to confirm that the system under test meets the user needs and provides confidence in its use
• Performed verification tests to validate the data integrity
• UML diagrams such as activity and use case diagram were used to document the requirements and ensure creation of high level business requirements documentation.
• Worked cross functionally with developers, QA and project managers to make sure each the data could address their needs
• Performed verification tests to validate sure integrity of data
• Developed documents and implemented appropriate policies and procedures related to patient accounting, including follow-up on all patient accounts receivable .Actively participated in and monitored the accounts receivable management activities

Environment: Agile, MS.Visio07, SQL Server 2008, MS Office Suite, HP Quality Center Automation tool

Confidential, NY

Business Analyst

Responsibilities:

• Worked with the clinical managers to document the current processes.
• Gathered and documented BRD, FRS, and URS during user interviews.
• Facilitated brainstorming sessions to understand data capture, data management, and data validation functionalities in clinical trials.
• Worked on Accounts Payable, Payment Generation and Integration with Lawson.
• To position Sterling with the capability of supporting the anticipated growth of existing and new business products and services, this project was initiated to address the deficiencies with the current core Sterling Health Plan, Group and TPA administration system.
• The current administration system is comprised of an internally developed claims processing platform, Destiny. Additional commercial software, home-grown applications, and manual processes are used to supplement any of the missing functions within the two claims processing systems. The purpose of this project was to replace existing system with a new system that addresses deficiencies with current system and provides a single platform and eliminate multiple vendors.
• Deliver a complete set of Business Requirements focused on claims processing, Benefit administration, member management and Customer Service.
• Deliver platform related specifications such as security, performance, and capacity, Standard code sets such as ICD-9, HIPAA EDI, CPT and DRG etc.
• Elicit, analyze, specify, and validate the business needs of project stakeholders. This Includes interviewing stakeholders and gathering and compiling user requirements.
• Responsible for meeting with report users and stakeholders to understand the problem domain, gathered customer requirements through surveys, interviews (group and one-on-one) along with JAD sessions. Manage and track the status of requirements throughout the project lifecycle; enforce and redefine as necessary and leveraging these processes.
• Prepare and deliver recommendations or alternatives for improving processes in operating systems across the organization.
• Was responsible to inspect the current validation documentation for the lab LIMS and to implement changes to streamline the management of the documentation.
• Assist in conducting research on software and hardware products to justify recommendations and to support purchasing efforts.

Confidential

Business Analyst

Responsibilities:

• Identified the project’s stakeholders during initial meetings for the purposes of understanding the requirements.
• Prepared project plan and allocated resources working with Business analysis team and development team
• Conducted user interviews, gathered requirements, analyzed the requirements by using Rational Rose, Visio and Requisite pro - RUP
• Created Use Case Diagrams, Activity Diagrams, Sequence Diagrams and ER Diagrams in MS Visio.
• Conducted Functional Testing, Joint Functional Testing and UAT, documented and reported user feedbacks to management team.
• Assisted the PM on various projects throughout the Project Management Life Cycle (PMLC) including Project Charter, Project Plan and Resource allocation.
• Managed and updated daily project status using MS Project
• Excellent Programming knowledge in SQL.PL/SQL, Java EJB,HTML& UNIX.
• Sound knowledge in RDBMS i.e. Oracle, SQL server, DB2 Backend testing of stored procedures, triggers using PL/SQL scripting workflows
• Mapped the entire process chain for which the system was being implemented, and created the Work Breakdown Structure to help facilitate in managing the projects better.
• Used RUP methodology and Unified Modeling Language (UML) to design, document, and manage requirements throughout lifecycle of the project.
• Transformed the business requirements maintained in the RequisitePro into Functional Requirements and prepared the Functional Requirement Document (FRD)
• Assisted development team in Preparing collaboration diagrams, sequence diagrams and UML notations for detailed analysis of business objects.
• Created test plan for QA and Usability testers
• Responsible for managing the documented system requirements and Requirements Traceability Matrix.

Environment: MS Office 2003, MS Project, XML, MS Visio 2000, Rational ClearQuest 2003, J2EE, Oracle, Win Runner, Load Runner, Windows NT

Confidential, Indianapolis

Intern, Finance Department

Responsibilities:

• Conceptualized & developed decision-template to determine suitability of different financing options for cardio-vascular service line devices, costing $ 1.5 million each
• Analyzed utilization of cardiac catheterization labs across the Network & identified new opportunities for improved utilization based on industry best practices