Project Manager Resume Profile
Los Angeles, CA
SUMMARY
CSM Career Profile High energy, results oriented project management professional and certified scrum master with 12 years of industry experience. Over 5 years of experience in managing projects and leading IT teams. Good track record of researching and implementing new technologies. Proactive, focused with excellent interpersonal and communication skills. Consistently develop goal-oriented and innovative team culture. Good business knowledge of NHIN, HITECH Act, HIX, EHR, MHR, Health Plans, Claim adjudication systems, ICD 10 conversion, HIPAA 5010 implementation, Medicaid, Medicare, Med Part D, PBM and Technical Skills in Erwin, Visio, MS Excel, Power Point, Access, Project, Oracle and SQL. Areas of Expertise Project Management Software Development Lifecycle Software Testing Lifecycle Test Management Software Build Deployment Agile methodologies Leadership Skills Effective Communication Skills Creative Problem Solver Motivate Mentor Employees Flexible Management Style Proactive Team Player with Credibility Team empowerment Certifications 6 Sigma Green Belt 103241
professional Experience
Confidential
Project Manager
Responsibilities
- Deliver Projects on time and budget.
- Create project plan, timelines, SAP3 documents, deployment plan, code migration activities, creation and maintaining share point websites.
- Working with SSPs for work order creation and coordinating to get approvals in Beeline.
- Create and update weekly status reports for presenting in the weekly program directors and TDMs meeting.
- Coordinating with Data Informatics department to get obtain data for various work streams.
- Facilitating an action item meeting with different departments where high profile managers involved including VPs.
- Coordinating with Arvato to obtain cost strata data associated to location services.
- Facilitate weekly design, development and testing DRB calls.
- Manage financials with PMO and financial analysts.
Confidential
Role : Project Manager / TDM
Project Description : Building on the secure web-based referral entry capability provided to PCPs, providers in 2011, this initiative focuses on the ability to give PCPs cost information on specialists to better inform them in the specialist referral selection process. By providing the cost strata high, medium and low on specialists, the objective is to reduce health care costs by empowering the PCPS with information to make informed decisions
Confidential
Role : Project Manager / TDM
Methodology : Waterfall
Project Description : Enhance the clinical view of a member - Member Health Record MHR by integrating Health Risk Assessment HRA data for use by Primary Care Physicians and Care Coordination Team members. New functionality would allow PCPs and care team members to have additional insights as to the clinical status, ongoing treatments of patient and improved coordinated care overall. This could lead to reduction in health care costs and improved outcome for the patient.
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Confidential
Role : Project Manager / TDM
Methodology : Agile
Project Description : This Hub will provide the platform for medical review of specified complex, high cost procedures, drugs, treatments, home based services and other specialized programs/services that CareFirst would subject to pre-authorizations. This project will complete a thorough analysis of the existing solution and manage the design and development of a solution or the purchase and migration to the MEDecision, Alineo platform.
Confidential
Sr. Consultant/ Project Manager
Significant Accomplishments / Responsibilities
- Work and lead the team to test various scenarios of assessing fees during foreclosure bankruptcy period applying agile methodologies.
- Created Product backlog, sprint backlog by conducting discovery sessions.
- Tracked the project by measuring velocity and burn down charts.
- Conducted release planning, sprint planning, daily stand up meetings, sprint retrospective and sprint review meetings.
- Reviewed various documents such as BRD Business Requirements Document , RSD Requirements Specification Document , SDD Software Design Document , RTM Requirement Traceability Matrix , TP Test Plan and TC Test Case .
- Identified business requirements, mapped the business flow and validated RTM.
- Analyzed requirements of the project, reviewed and validated all testing documents.
- Shared comments and suggestions with the team to implement best practices and improve the testing effort.
- Played crucial role in timely delivery of reviewed test cases, test plans and RTM validation.
- Conducted the gap analysis of existing Requirement traceability matrix
- Analyzed the data model to identify gaps and opportunity to enhance performance.
- Updated existing data models for remaining 2011 and 2012 work
- Worked on performance optimization
- Planned and scheduled project goals, milestones and deliverables.
- Provided strategic testing direction for the project.
- Developed Testing Strategy, identified testing milestones and measuring criteria for project success.
Confidential
Role : Project Manager
Methodology : Agile
Project Description : The project is a testing pursuant to the guidelines set forth to produce results consistent with the consent orders of US Office of the controller of currency OCC and Federal Reserve System FRB . It is a tool based testing of selected foreclosure files between Jan 1st 2009 to Dec31st 2010 to review a foreclosure action was properly brought as per FRB and OCC, fees and charges assessed were permissible, and various loss mitigation programs were handled appropriately so that each borrower had an adequate opportunity to apply for such program.
Confidential
Role : Project Manager
Methodology : Waterfall
Project Description : Veterans Health Administration was implementing ICD 10 conversion at various projects such as VistA Prosthetics, Clinical Case Registries, Accounts receivable, Clinical reminders etc.
Confidential
Role : BA Lead
Methodology : Agile
- Project Description : The Office of the National Coordinator for Health Information Technology ONC is the key player for successful implementation of HITECH act whose priorities are adoption of interoperable electronic health records EHRs , promote health information exchanges HIEs and health information technology HIT standards and interoperability.
- The current project, NHIN specification factory, is to establish rules, regulations and standards for safe and secure information exchange between health information exchange users such as providers, insurance companies, healthcare software vendors and information exchanges.