High Level Professional Experience Summary

Total 18 years of IT experience in various domains such as finance, medical, industrial automation and healthcare along with 8 years of experience as IT project/ program manager in the healthcare domains within cross-geographic locations having extensive experience in managing onsite/ offshore model in matrix and projectized organization.

An extensive experience in managing large size high risks enterprise level projects within the Payer, Provider, PBM industries Government Services Medicare-D/ Medicaid along with business relationship to ensure the timely delivery to the client and manage customer benefits.

Within healthcare PBM/ provider an extensive experience in managing the following projects using Java/ J2EE, UNIX, AS400/ Mainframe technologies

• Claims Processing, EDI, HIPAA
• RxClaim adjudication and adjustment
• EMS Encounter Management System
• State regulatory and compliance projects under Medicare D and Medicaid domain

Assess operational capabilities and define opportunities to create value to enhance the business model and revenue. Managed cross functional and cross geo-teams with diverse technical and cultural background and met all target goals within the approved budget for many projects

Successfully delivered the transition of NCPDP v5.1 to vD.0 regulated by HIPAA compliance in 2011.

Managing projects ranging 5 through 15m revenue.

Proficient in MsOffice MsProject, Word, Excel, PowerPoint, Clarity, SharePoint /etc.

Managing the delivery of the entire project and team management with onsite/ offshore team

Fosters and maintains a collaborative professional relationship between business and IT team

PMP validity 2017, PMI-ACP validity 2016 from PMI and CSM validity 2015 from Scrum Alliance.

Green Card holder/ permanent resident no work sponsorship required to work within US

Current Role: IT Project Manager

Strategic Management Helping Leadership

• Performing Cost Benefit Analysis/ ROI revenue management 5 - 15m
• Performing Project Prioritization by reviewing business benefits along with resource capacity
• Process Improvement

Business IT Project Manager Core Responsibilities

• As delivery manager, an extensive experience in estimating, planning, execution, monitoring and delivering multiple large size high risks projects or programs under enterprise level environment. Management using WBS methodology.
• Managing stakeholder, forecasting, deliverables, timelines, resources PTO, attrition, conflicts, SharePoint, risks/ issues, audits, CRs scope/ time/ quality/ cost, time sheet and escalations.
• Maintaining strong focus on customer satisfaction by delivering exceptional project performance and liaoning bridge b/w IT and business while communicating with client.
• Stakeholder analysis, establish and communicate project plan/ timelines to all the stakeholders.
• Generate, distribute, and maintain the enterprise project profile and share the weekly and monthly project status report PSR with all key stakeholders business, senior management, enterprise team
• Managing production support team along with project metrics to manage the SLAs defined in SOW.
• Great experience with PMO organization and worked on local and enterprise level projects.
• Managing project quality with respect to SEP framework and fixing non-compliances, if any
• Managing onsite offshore team and making decisions on high-risk, high profile program affecting large number of users on a long term basis, extensive experience in client, stakeholder communication, vendor management and managing the overall deliverables.
• Managing geo-apart shared resources within multiple projects and ensuring the effective outcome.
• Managing business expectations and the project quality, handling project audits and keeping it compliant with the process.
• Proficient in Microsoft Office products Outlook, Word, Excel, PowerPoint, MsProject and Visio, SharePoint and Clarity.
• Proficient in Clarity PPM tool - Resource allocation, project forecasting, Status report, Time sheet, Cost and Schedule management /etc.
• Extensive knowledge and experience in transitioning the waterfall framework into agile methodologies and performing servant leadership role in agile Scrum/ XP world

Infrastructure Management

• Coordination with Release/ Configuration and Data Warehouse team

Vendor Management

• Managing cross vendor team and their SOW/ Contract.

Administrative Mgt. Project Support

• Managing the external entities for team, e.g., Desk/ Badge/ System Access /etc

Confidential

MedD and medicaid project manager, cvs cmk hEALTHCARE

Managing Medicaid-D and Medicare projects under PMO portfolio, these are state mandated projects and required to be delivered on the target date else penalty would be imposed to CVS Caremark.

Confidential

Program/ project BUDGET

ROLE: Vendor management, Cost/budget management, managing the delivery of the IT projects to ensure meeting the state mandated requirements for MedD and Medicaid projects. Foster the communication between business and IT team to ensure the transparent coordination for the success of the project. Facilitating agile ceremonies and performing servant leadership role. SPOC for all key stakeholders. Risk management, attending steering committee meeting, handling project audits and meeting business/ legal requirements. Recruitment of resources and planning training and team building. Project performance review and team appraisal. Usage of SharePoint to manage the project artifacts. Extensive 7 year experience on Clarity.

Confidential

CDH Consumer DIRECTED healthcare, cvs cmk hEALTHCARE

CDH Consumer Directed Healthcare application provides an opportunity to its consumer by managing their OOP/ DED and HRA amount using integrated accumulation feature and synchronize the communication between their medical insurance and pharmacy. With this feature the consumer is able to manage his/ her medical and pharmacy expenses effectively and hence receives a better flexibility. It is being driven as agile project.

Confidential

Program/ project BUDGET

ROLE: Managing the delivery and project artifacts to ensure the completion of project on time and within approved budget. Managing the expectations of healthcare business group to help them managing their external medical partners. Facilitating agile ceremonies and performing servant leadership role. SPOC for all key stakeholders. Risk management, attending steering committee meeting, handling project audits and meeting business/ legal requirements. Recruitment of resources and planning training and team building. Project performance review and team appraisal. Agile XP methodology is being used. Extensively used SharePoint to manage the project artifacts. Working with PMO team to review the resources utilization and budget forecasting for CDH projects.

Confidential

HIPAA Compliance Transactions, CVS caremark hEALTHCARE

HIPAA D.0 project is multi-phase, multi-year project undertaken to meet pharmaceutical industry changes mandated by HIPPA and the industry. The project migrate Claims and Claims related processing from the 5.1 version of the NCPDP format implemented in 2002 to the D.0 version. It is an industry standard to be fully D.0 compliant by mid-2012. A number of project phases are planned that will increase and enhance the data capture, storage and processing for Claims and related transactions. More than 15 platforms and 20 sub-projects were involved in this program.

Confidential

ROLE: Estimating, planning, executing, monitoring directing project execution for RECAP platform in the enterprise environment. SPOC for all key stakeholders, risk management, forecasting the project size and cost in 'Clarity' tool. Attending steering committee meeting, handling project audits and meeting business/ legal requirements. Recruitment of resources and planning training and team building.

Confidential client online service cos, CVS Caremark hEALTHCARE

Client Online Services COS, formerly known as APOnline, is the application where CVS Caremark's clients are hosted on RECAP and RxClaim systems, and use to manage the eligibility for their participants and view participant information. The objective of this project is to migrate COS application from the current platform of web Logic v6 to web spheres Portal v5.

Confidential

ROLE: Planning, coordinating and directing the execution of COS application with other platforms primarily ECS in the enterprise environment to ensure the delivery of the legal requirements of the project. Communication with other project manager in INDIA to collect performance report and sharing with eBusiness management. SPOC for all key stakeholders and business team. Team performance review and appraisal.

Confidential

AGILENT AMS AGILENT medical and healthcare domain

Agilent is world's premier measurement company and it offers the broadest range of innovative measurement solutions in the industry. The company's four businesses - Chemical Analysis, Life Sciences, Diagnostics and Genomics, and Electronic Measurement provide customers with products and services that make a real difference in the lives of people everywhere.

Agilent web site provides various products services, technical support help and manuals for EMG and LSCA. The issues / concerns are logged in the form of tickets and OVSD tool provides the feature to track and monitor the same.

Confidential

ROLE: Estimating, planning and delegating the extended requirements, defects and heat tickets to AMS team and to ensure the closure of ticket within project SLA. Compiling weekly, monthly and yearly project performance report and sharing with senior management. SPOC for all onsite business team.

Confidential

CYPRESS OMNICARE Inc. Healthcare domain

Cypress is therapy management software that is used for nursing homes, CCRCs, assisted living communities, sub-acute and transitional care facilities. Cypress enables to manage your business to achieve the best possible outcomes for the residents, staff and individual's bottom line. Billing data can be exported to virtually any financial package

LOCATION: INDIA and Anacortes, WA project BUDGET: 1.5 Million project SIZE: Around 2,500 hrs. Cypress application

ROLE: Portfolio analysis at client location Anacortes, WA and submitting cost effective proposal for CYPRESS application. Team formation and building training plan for team ramp up. Project kick off, estimation planning, executing, monitoring directing the project execution. Excellent understanding on ICD and CPT terminology.

Worked on multiple projects as software consultant and/ or project leader and delivered them as per client expectations.