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Sr. Project Manager Resume Profile

Industry/Domain Expertise:

  • Information Technology
  • Healthcare Insurance/Payer
  • Professional Services
  • Healthcare Services
  • CMS Medicare/Medicaid
  • Healthcare Provider/Clinical Systems
  • Pharmacy Benefit Management PBM
  • Banking/Financial Services

Core Competencies:

  • Program/Project Management
  • Technology Services
  • Consulting
  • Software Development Agile/SCRUM
  • RFP/SOW Creation
  • Business Analysis
  • Supply Chain Management
  • IV V/Quality Assurance
  • Change Management
  • Process Improvement
  • Master Data Management
  • Risk Management

Career Highlights:

  • Oversaw deployment of several multi-million dollar Information Technology Projects, which included application development, systems integration, infrastructure setup, technology services, and federal mandated projects
  • Engaged in various Federal Mandated and Regulatory projects, i.e., HIPAA 5010, ICD-10, ACA/HIX, MMIS
  • Implemented several Technology Services initiatives for strategic clients and was responsible for Proposal development, SOW creation, Contract negotiation, and Project Management
  • Established Project Management Office PMO at various organizations, with responsibility of creating and implementing PLC and SDLC best practices and processes
  • Successfully utilized Six Sigma Tools: Process Mapping, SIPOC, FMEA, Root Cause Analysis, Regression Analysis, etc. for process improvement initiatives in several projects

Work Experience:

Confidential

Sr. Project Manager

Confidential is an Interactive Design and Digital Media company. NF develops Digital strategy for its clients and then engages with them to take the idea from concept to a tangible product. This Project entailed developing the digital strategy for Coldwell Banker Real Estate Company. It included building a new website and mobile application. As the Engagement Lead I was responsible for conducting an in depth assessment of Coldwell Banker's CB existing applications and infrastructure and created a Statement of Work SOW to propose services and the roadmap to transition CB from the current state to the future state.

Confidential

Business Solutions Architect

Confidential companies. The Company coordinates the distribution of outpatient pharmaceuticals through a combination of benefit management services, including retail drug card programs, Home Delivery services, formulary management programs and other clinical management programs. I worked at ESI as a Business Solutions Architect and was responsible for ensuring a smooth migration of some of the largest clients including WellPoint from the legacy ESI West system to the legacy Medco Health East system. The responsibilities included scoping out the Project, conducting a thorough Gap Analysis, overseeing the Analysis, Design, Development, Testing, and Implementation.

Confidential

Sr. Project Manager

Confidential was invited by South Carolina Department of Health and Human Services SCDHHS to bid for replacement of its Medicaid Management Information System MMIS . The purpose of this solicitation was to acquire information technology and business operations services needed to support the State's Medicaid program and other health benefit programs. As the Sr. Project Manager I managed the Proposal Writing project, which included documentation of the proposed services, business processes, and IT Systems that would support the different phases of the Project: Discovery Phase, Replacement Phase, Operations Phase, and Turnover Phase.

Confidential

Program Manager

Confidential Diagnosis code set. The US Department of Health and Human Services HHS is requiring health plans, Physicians, Hospitals, and other health care professionals to be ICD-10 compliant by October 1, 2014. I worked as the ICD-10 Conversion Program Manager and oversaw the conversion effort for multiple work streams: Billing, Membership, Group Implementation, Claims Processing, Benefits Administration, Medical Policy, Utilization Management, Disease Management, and Provider Networks.

Confidential

Alere Health Healthcare Services

Confidential change, reduce health risks and avoid preventable healthcare costs. Alere serves health plans, employers, public entities and provider organizations by delivering high-quality personal interactions that lead to improved health outcomes and reduced healthcare costs. As the head of Product Development Technology Services I oversaw the build out and implementation of the state of art Integrated Health Management System, which included Data Integration Platform Enterprise Rules Engine Care Management clinical portal Member Personal Health Record/Wellness portal Provider portal for Alere's internal users and external clients.

Confidential

Manager, Project Management Office

Confidential professional services to hospitals, physicians and post-acute organizations. The Company provides a variety of integrated clinical software applications for hospitals, physician practices and post-acute organizations. As the Manager of PMO I oversaw the deployment of Misys EMR at various NYHHC Hospitals. Misys EMR consisted of the following integrated modules: CPR computerized patient record , CPOE computerized physician order entry , ePrescribing, Pharmacy, Lab, Radiology, Nursing / Physician documentation, chart review, document / image management, clinical decision support, and medication administration.

Project Manager

Confidential Privacy Solutions is a provider of internet Security and Privacy and builds highly secure and private application architecture utilizing the Public Key Infrastructure PKI . As the Project Manager I oversaw the build-out of a secure Web Portal for the 4 million members of a Blues Health Plan and a Single-Sign-On SSO product to securely and privately connect the members to various healthcare and wellness websites.

Project Manager

Confidential Solutions provides specialized skills and expertise in designing and building a reliable, scalable infrastructure and e-business solutions for its clients. As the Project Manager I was responsible to lead the Independent Verification Validation IV V and QA Services effort for the City of New York Y2K Project and contributed in the development of standard processes, procedures, templates, and tools for the different phases of the Engagement Management Framework based on industry standards IEEE, ISO, PMI, CMM, ASQ, etc.

Project Manager

Confidential provides consumers, corporations, governments and institutions with a broad range of financial services and products. As the Project Manager I oversaw the implementation of various Electronic Banking projects for US Global Custody/Clearing businesses: Citibanking The application provided an extensive array of business applications and tools for financial processing and reporting Economic Monetary Union EMU The project entailed enhancing the functionality of the Citibanking application by introducing the new Euro currency for Transaction Creation, SWIFT messaging, and reporting modules Year 2000 Y2K Production Assurance - To test and ensure the correct operation of all production versions of Citibanking and the applications/domains.

Business Analyst

Confidential Jenrette's businesses include securities underwriting sales and trading investment and merchant banking financial advisory services investment research venture capital correspondent brokerage services online, interactive brokerage services and asset management. As the Business Analyst I was responsible for documenting Business and Functional specifications for developing Equities Trading application.

Technical Skills:

  • Collaborative Applications: MS Word, Excel, Access, Power Point, Visio, MS Project, Planview, Clarity, Team Foundation Server TFS , SharePoint
  • SDLC Methodologies: Scrum Agile Methodology, RAD, RUP, Spiral, Waterfall
  • OS/Environment: Windows, UNIX, .NET Development Framework, J2EE, IIS, IBM WebSphere, Tomcat, MS SQL, Oracle
  • Software Tools: Quick Test Pro QTP , Quality Center, Pega, Lombardi, AbInitio, Cognos, BO, SSIS
  • Architecture: Services Oriented Architecture SOA , SAML SSO, Software as a Service SaaS , Cloud Computing, LAMP, Thin Client, Client Server
  • Healthcare Applications: NASCO, Facets, MMIS, Quantum Choice, Care Management / Disease Management / Utilization Management Application, EMR Systems
  • PBM Applications: POS Point of Sale Claims Adjudication , CBM Client Benefit Manager , Copay Benefit Pricing System, Modular Accumulators, Drug Coverage Rules Station DCRS , CRS Clinical Rules Station , FRS Formulary Rules Station , Eligibility System, Information Warehouse

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