SUMMARY:

• Insightful experience of 10 years inHealthcare, Pharmaceutical, BankingandInsurance domain in Business ITProject Management, Integration, Change Managementand Operations.
• Extensive Project Managementexperience in leading systems development, maintenance teams and programs with full involvement in all stages of Project Life Cycle SDLC software development life cycle including Waterfall Agile methodologies.
• In-depth knowledge of Project Management principles, practices and controls with experience in automated tools- MS Project, Visio.
• Excellent knowledge experience of HIPAA X12 EDI transaction codes such as 270/271 Inquiry/Response Healthcare Benefits , 276/277 Claim status , 834 Benefit enrolment , 835 Claim Payment/ Advice , 837 Health care claim .
• Good working knowledge of SOA / ESB for B2B integration with different external partners and internal back-end IT systems.
• Experience in managing large scale projects while participating in business architecture/analysis, release and test management.
• Implemented improvements to PMO processes, templates including resource management, reporting and demand management.
• Provided leadership in tackling multiple, complex issues to create effective and lasting business solutions.
• Excellent communications skills within all levels andprovided strategic leadership for PMO by workingwith key stakeholders, i.e., CEO, CTO, VP Operations, VP Sales, VPHuman Resources, Legal Finance to establish short long-range goals, strategies, plans, priorities, policies.
• Excellent Analytical Interpersonal skills with proven ability to make highly persuasive presentations to stakeholders board.
• Proven experience in Project estimating using different approaches Bottom-up, Top-Bottom etc. and prepared Budget Metrics.
• Incorporated Earn Value EVM to provideproject statuses.
• Proven ability to manage multiple complex projects with minimal oversight and deliver them with high acceptance rate.
• Performed Risk management and Tracked Project Issues/Risk/ Decision Log to completion.
• Proven skills in conducting User Acceptance Testing UAT ,Cost Benefit analysis, GAP Analysis ROI, business analysisetc.
• Expertise in analysing improving existing systems processes, preparing business continuity plans process improvements.
• Hands on experience in Operational Excellence, Strategic Planning, Fund Management and MIS reporting.
• Participated in completion submission of RFI and RFP.
• Hands on experience working with highly matrix, cross-functional andonshore-offshore model.
• Experience managing multi-vendor distributed projects multi-location/cross Geo projects.

Professional Experience:

Confidential

Project Manager

• Liaised with other vendors or departments, in setting business requirements for new system implementationsand agreed process flows.
• Prepared project charter, followed PMO process, and identified resources needed for project, gained agreements on resourcing and assigned individual responsibilities.
• Managed project plan using MS Project.
• Identified deliverables milestones by closely working with enterprise architect.
• Coordinated with PMs of Coram and Novologix to manage dependencies.
• Implemented waterfall methodology andworked with architects business partners to develop and define technology project scopes, requirements operational impacts migrations support, etc.
• Corresponded with legal and software vendors for migration of licenses.
• Responsible for overseeing back-end infrastructurepurchases related to Servers, Storage Network.
• Ensured all components are under the latest patch levels.
• Planed coordinated purchase, installation, and implementation of personal computer hardware software according to department standards and procedures.
• Responsible for coordination with infrastructure architects, network architects, storage architects and security architects to complete the architectural designdocument deliverable.
• Established Change Managementprocesses and performed Release Management.
• Developed role schedule and worked on roadmaps of project.
• Created RACI chart for resource management across projects for the Deployments.
• Monitored project milestones, deliverables ensured SLA were met.
• Delivered project timescales and budget by tracking activities against Plan all actual costs against budget.
• Built and maintained RAID's logs Risk, Issues, assumptions Dependencies and implemented mitigation plan to minimize impact.
• Reviewed risk plan with stakeholders. Actively managed issue log assumptions to further reduce risk.
• Ensured project documents are complete, current stored appropriately on SharePoint.
• Developed and maintained strong working relationships with key staff in other teams within IT.
• Managed provision of services from third-party infrastructure services suppliers as per project demands.
• Chaired regular, Customer facing Meetings and attended Project Review Meetings and produced action items in minutes of meeting MOM .
• Maintainedrelease schedule for all core services and ensured alignment across key partners and vendors.
• Produced Deployment, RunBooks Implementation Plan and work towards making improvements in release process.
• Follow-up on customer acceptance of all releases and issues.
• Lead and coordinatedGo-Live activities including execution of deployment Plans and checklists.
• At projectcloser, acquired and reviewed lessonslearned from project team.

Confidential

Scrum Master/ Project Manager

• Developed Agile Project Charter.
• Prepared business cases relating to enterprise architectures that analysed benefits, drivers and financial merits.
• Fostered Agile principles methods for requirement gathering and wrote concise effective User Stories.
• Defined precise and accurate User Story acceptance criteriato beused by developers, automation test frameworks and by product owners to ensure product owner intent is effectively captured.
• Conducted proficiently scrum meetings like - Scrum Planning, Daily Scrum, Sprint Review Sprint Retrospective.
• Managed Product Backlogs, Scrum Backlogs and used JIRATool for creating Burn down Charts
• Gathered requirements for case management risk assessment projects by conducting interviews, work flow analysis, process analysis, and observation sessions.
• Identified developed clinical, financial self-management Health riskassessment questionnaire to analyse health and financial risk of an individual.
• Identified and prioritized opportunities for utilizing IT to achieve the goals of the enterprise.
• Analyzed data required for case management risk assessment application and developed Data Model.
• Worked with integration on openEMR.
• Reviewed requirements and facilitated design for blue button integrationinto website, for data feeds from providers and pharmacy providers to produce aggregated real time records of current treatment.
• Built business process catalogue using BPMN for process modelling and UML for data modelling.
• Used SQL extensively for data analysis data mining.
• Defined and documented risk analytics and calculated health and financial risk scores.
• Prepared and implemented HealthRisk analytics in Dashboard using QlikView. Tableau.
• Designed Dashboard for Nurse Care Managers to monitor manage patients' health risk.
• Served as a proficient Business Analyst to senior management.
• Designed and generated Care management plan template for Nurse Care managers.
• Arranged client reviewsof software under development, ensured client satisfaction.
• Facilitated Agile rapid and meaningful releases.
• Arranged client reviewsof software under development, ensured client satisfaction.
• Responsible for overall coordination, status reporting and stability of project oriented work efforts.
• Identified and prioritized opportunities for utilizing IT to achieve the goals of the enterprise.
• Identified and assisteddevelopment of training requirements for delivery of all system projects, including train the trainer requirements and assisted in training materialsdevelopment.
• Responsible for overall coordination, status reporting and stability of project oriented work efforts.

Confidential

Project Manager

• Organized meetings to collect requirements from business for SHOP and individual enrolment to internal architecture team.
• Coordinated with multiple external vendors for the implementation of project using Biztalk ESB.
• Responsible for timely delivery of solution of processing of inbound 834 EDI files from FFM and processing enrolment information downstream, through multiple internal systems.
• Established and implemented project management processes and methodologies to ensure projects are delivered on time, within budget, and adhered to high quality standards and customer expectations.
• Responsible for overall coordination, status reporting and stability of project oriented work efforts.
• Thorough understanding of SDLC and Implemented.
• Implemented an agile approach with releases scheduled every 2 weeks.
• Responsible for tracking key project milestones and adjusting project plans
• Coordinated and Communicated with all areas of enterprise that impacts scope, budget, risk and resources.
• Actively partnered with senior management to identify and prioritize opportunities for utilizing IT to achieve the goals of the enterprise.
• Developed and maintain project schedule and weekly progress reports using Microsoft Project.
• Identifiedanalyzed, assessed and monitored risk and prepared mitigationplan.
• Worked as Liaison between team and client, created conception, proposal and developed the scope
• Responsible for communicating with stakeholders, vendors, contractors, and managing customers.
• Attended risk review meetings and provided input on each projects risk.
• Identified, assessed, monitored and closed out project issues
• Worked through enhancements and coordinated with internal testing for system integration test, UAT and deployment teams for migration of the code from DEV, TEST to UAT to PROD
• Created RACI chart for Deployments.
• ConductedRelease Readiness reviews, Milestone Reviews, and Business Go/No-Go reviews.

Confidential

• Worked with the business and project teams while using a variety of modelling techniques such as business models, process models, data models, workflow models, entity relationship diagrams and functional decomposition diagrams.
• As a PM, liaise with local and international clients to capture and analyse requirements and processes, developed requirement document and prepare project plans.
• Extensively involved in analysis of HIPAA compliance and EDI transaction sets and actively participated in designing EDI transactions using new HIPAA 5010 version including ICD-10 codes.
• Handled knowledge transfer of EDI format used in electronic documentation to vendors as per requirements.
• Gained knowledge of Medicare and Medicaidsystem.
• Facilitated making system compliant to HHS mandate, with new HIPAA 5010 standards which will require modification to key HIPAA EDI transactions that support the following areas: Enrolment, Premium Payment, Eligibility Inquiry/Response, Referrals Claims Submission, Claims Status Inquiry/Response, and Claims Remittance.
• Maintained an organization-wide view of 'AS IS' and 'TO BE' for target IT and business architecture in support of goals and objectives.
• Design, develop and test complex business process using BPMN 2.0 utilizing integrations with legacy systems on variety of platforms.
• Defined information business architecture in alignment with company's business strategy to facilitate adopting Service Oriented Architecture SOA .
• Facilitated high-level solutions architecture development, database modeling/analysis and relational database mapping.
• Coordinated with multiple external vendors for integration using Biztalk ESB.
• Handled knowledge transfer in EDI format and interacting with the vendors.
• Responsible for timely delivery of solution for processing of inbound EDI files from web portal and processing enrolment information downstream, through multiple internal systems.
• Thorough understanding of SDLC and Implemented Waterfall methodology to deliver the solutions to client.
• Understood Payment gateways implemented Payment Card Industry PCI standard into new setup.
• Overseen installation of Business Intelligence/W project.
• Implemented project management processes to ensure deliverables are delivered on-time, within budget, and adhered to high quality standards and customer expectations.
• Performed Testing to confirm the application has been built as per the functional specs.
• Participated in requirement Change Request sessions with the client and business analysts.
• Developed detailed implementation plans using MS ProjectSever and developed and maintained project schedule and weekly progress reports.
• Created business scenarios for the QA team for testing purposes.
• Worked closely with project stake holders, Steering Committee and process owners to identify, recommend, develop, and implement systems.
• Implemented lifecycle management of infrastructure components OS, middleware, databases etc.
• Built and maintained RAID's logs and prioritized and prepared mitigationplan to minimize impact.
• Worked closely with solution architect to define KPIs for Business Activity Monitoring BAM dashboard.
• Teamed with cross-functional team to establish project vision, project scope, sizing, pricing estimates.
• Prepare resource estimates, work breakdown structure WBS , high-level requirements document and general project management tasks.
• Drive the day-to-day PMO activities to ensure on-time and on-quality deliverables for all managed programs /projects, operating efficiency and continuous improvement.
• Ensured adherence to capture of timesheets and subsequent provision of financial reports to ensure accurate and timely re-charging.
• Performed GAP analysis on the inbound and outbound claims transactions, eligibility transactions and real time transactions.
• Reported issues risks for multiple projects to PMO office C-level through weekly Executive Dashboard.
• Gathered requirements related to In-house Risk modelling and assessed scope and impact of business needs throughout analysis and completion of all enhancement specifications.
• Creating and maintaining scope documents, project plans and regular status reports.
• Involved in the environment builds for development, Test, Pre-Prod and Production.
• Worked through enhancements and coordinated with internal testing for system integration test, UAT and deployment teams for migration of code from DEV, TEST to UAT to PROD.
• Maintained a release repository, managed key information such as build and release procedures, dependencies, and notification lists.
• Manage risks and resolves issues that affect release scope, schedule and quality.
• Implemented lean management to remove non-productive activity reduce turnaround time.

Confidential

Project Manager

• Involved in improving the consistency, predictability and efficiency of the project delivery capabilities.
• Provided improvements to PMO processes, templates, including resource management, reporting, demand management, etc.
• Assessed current state of the IT PMO that was in place and identified gaps in the current PMO and project management methodologies andiimplemented SOX compliance in process management.
• Developed and managed a governance framework that optimizes approach to IT delivery.
• Served as a member of the leadership team to improve overall quality of processes and tools within the organization.
• Demonstrated leadership qualities such as conflict/issue resolution and ensured a successful project lifecycle.
• Demonstrated ability to be a persuasive leader of leadership team and communicated project management and business analysis related concepts to a broad range of technical and non-technical employees.
• Managed client expectations collaborate with client to acquire needed information and direction on their projects.
• Provided project management services such as initiating, planning, and risk analysis/management.
• Worked with key business stakeholders, Client Account Management CAM and subject matter experts to prepare business and technical requirements and ensured properSign-Offare taken.
• Understood NAB Bank Policies, processes and built decision models to identify business rule sets.
• Assisted in Execution of business rules desinged in Drools on data extract from global data-warehouse to analyse andreport credit risk.
• Ensured necessary analysis is performed for auditing Data quality in global data-warehouse for Basel II implementation Bank regulation .
• Established with customer full data governance and business processes to ensure information integrity.
• Facilitated usage ofMicrosoftVisio UML for Process Capture mapping.
• Assisted in Execution of business rules on data extract from global data-warehouse to analyse report credit risk.
• Ensured rules are reusable with consistent terminology and are understood by businessthat helps in making strategic decisions.
• Ensured project requirements are achieved in a high quality and timely fashion within budget guidelines.
• Implemented Business intelligence tools like Tableau and WebFOCUS to provide the Data analytics.
• Understood Master Data Management MDM and analysed financial data in different data marts.
• Implemented Waterfall methodology tracked key project milestones.
• Prepared project plan, resource estimatesandfacilitated requirements document.
• Responsible for communications plan, risk management plans, resource plans, work plans and external vendor management.
• Facilitated high-level solutions architecture development and relational database mapping.
• Estimated cost and prepared budget forecast for the projects.
• Provided Project status with Schedule cost variance using Earn Value method.
• Coordinated conducted team meetings to address and resolve project schedule, processchange management and technical issues, on all tracks/phases of the project using MS Project. Kanban
• Managed project scope including scope change control through project change request.
• Maintained process quality, ensured stringent adherence to standards, norms practices, performed GAP analysis and took corrective actions.
• Created client facing communications for all release deployments, working in partnership with Global Service Management team and other key stakeholders as defined at project inception stage.

Confidential

Project Coordinator Business Analyst

• Ensured policies and procedures are up-to-date, and correctly implemented within Medical surgery.
• Lead cross-functional teams to understand and analyse operational opportunities and impacts for technology changes throughout the Medical surgery.
• Involved in several sub projects including customer master data management MDM to provide 360 degree view of customer and linked customer's master record information with other backend IT systems including claims processing system.
• Established best practices and efficient procedures for patient enrolment.
• Participated in functional technical requirement analysis and translated into implementation plans.
• Documented business processes using sequence diagrams in UML.
• Designed developed work schedule template for medical staff members, nurses and doctors.
• Defined project tasks resource requirements and managed project resource allocation.
• Planed and schedule project timelines.
• Implemented e-patient enrolment to increase efficiency.
• Tracked project deliverables using appropriate tools such as MS Project, MS Excel etc.
• Audited and managed medical records in Databases of 10,000 patients and ensured accuracy.
• Attended risk review meetings and provide input on each project risk.
• Reported Project status using Earn Value analysis on schedule cost performance.
• Resolved queries issues for the team members and managed patient's payments and invoice.
• Handled International patient's query in a fast paced environment using SAPForms.
• Handled insurance queries and analysed medical records of patients for database purpose.
• Planned training schedule for the staff members.
• Provided team support by successfully adapting to different roles successfully and quickly.

Confidential

IT Technical Support Analyst DELL Computers

• Identified process problems, and designed developed time management web based system for resource forecasting and allocation.
• Analysed various technology issues in excess workload time and provided solution for speedy delivery of services.
• Developed metrics to determine inefficiencies and areas of improvement throughout call handling and supported team.
• Responsible for Help Desk staff scheduling and project assignments.
• Enhanced customer satisfaction established customerrelationships with DELL clients.
• Provided aftersales services to customer, with DELL products and further advice.
• Lead efforts in building overall client relationship in existing account including pre-sales activities.
• Performed case analysis and provided technical support in resolving hardware and software issues.
• Earned Appreciation calls from Customers for aspeedytech issue resolution.

Confidential

• Monitored performance of students Institution, documented information for changes in operations.
• Designed Developed Secure Software package for Institution administration and its management.
• Coached/trainedand schedule classes for report analysis, Database management, MIS CRM.
• Provided students' support with their courses, career guidance and maintained records in Databases.

Confidential

Project Analyst Oil Gas Industry

• Worked with operation team in network of crude Oil pipeline project.
• Learned Project Management and strategic methods for approaching telecom issues.
• Prepared business requirements document, managed testing implementation.
• Monitored project tasks and provided input to Project Manager and support to end-users.
• Learned practical applications of Networking, Digital Telecom, SCADA system.
• Gained Experience in Instrumentation and Communication network.