SUMMARY:

• Management professional with a results - oriented proactive approach to program and project management in an effort to deliver quality solutions that provide business value. A track record for developing and implementing strategic plans focused on achieving project outcomes. A leader in developing project managers to leverage resources, time, budgets, and PMO best practices effectively. Extensive experience in IT, consumer products, financial, entertainment, sales, healthcare, pharmacy, insurance and professional services environments for organizations with headquarters and satellite offices across the United States and abroad.

TECHNICAL SKILLS:

Tools: JIRA, MS Project, SharePoint, PowerPoint

Methodologies: PMI, Earned Value, Agile/Scrum, SDLC, Waterfall, PMM, RUP and JAD

Enterprise Applications: CRM, ERP, HP Quality Center, FileNet and Data Warehouse

Standards: EDI, ICD-10, HIPAA, CAQH, HEDIS, SOX

Healthcare: EPIC Tapestry, Claims, Benefits, Revenue Cycle, Provider, Case Mgmt, Clinical, HL7

Technology: JAVA, ETL, IBM/WAS, SOA, Cloud, POS

Infrastructure: Network, Wireless, WIFI, Data Center, Telecom, Firewall/Security and Databases

Cisco Systems: VOIP, IVR, Digital Media, Unified Communications, and Call Center (UCCX)

Budget/Time App: Cognos, Clarity, NIKU, PlanView

PROFESSIONAL EXPERIENCE:

Confidential, Pasadena, CA

PROGRAM MANAGER

Responsibilities:

• Recruited to lead a team to migrate from legacy systems to JAVA based systems for multiple regions throughout the U.S. Managing program delivery life cycle for a portfolio of 20+ projects varying in size and complexity.
• Responsible for program planning, financial management, scheduling, communication, mentoring and management of project managers, risk management, quality control, and leadership.
• Accountable for the delivery of all projects on time, within scope, and on budget.
• Manage the change process ensuring the use of change management on all projects. Leadership in negotiating and partnering with IT and business teams across the enterprise to solution issues and achieve project deliverables.

Confidential, Los Angeles, CA

PROGRAM MANAGER

Responsibilities:

• Hired to oversee a program portfolio of 30+ business and infrastructure projects with a budget of $46M. Provided leadership to direct reports consisting of project managers and analysts. Partnered with business and IT delivery teams, contracted vendors and leadership to provide a common voice in approaching projects within the program. Developed project roadmaps as a communication tool to communicate timelines and goals.
• Standardizing IT applications and delivering new IT infrastructure as part of an acquisition to expand the organizations delivery network to serve 2.1 million customers.
• Implementing security systems and protocols for all applications and access points across the enterprise including payment systems to meet CMIA confidentiality and HIPAA regulatory requirements.
• Upgrading Telecom and Call Center with Cisco Unified Communication and UCCX. Installing Point of Sale (POS) system at food service facilities, gift shops and specialty locations.

Confidential, Pasadena, CA

PROGRAM / PROJECT MANAGER

Responsibilities:

• Directed a National program to implement EDI operating rules and EDI infrastructure to meet compliance and regulatory requirements. Enterprise-wide program impacting 7 Confidential regions nationwide. Integrated 20+ back-end systems with Web Services and JAVA applications to transmit member benefit and financial data via EDI x12 transaction. Accountable for budget of $4M annually. Led 17 PM’s and 200+ cross-functional business and technical teams located in 5 time zones across the U.S. and India. Managed IBM and Dell deliverables.
• Transformed cost structure with a decrease in pended transactions, decrease in customer phone inquiries, saving $2.10 per eligibility transaction by moving from non-electronic process to EDI real-time process and averaging a return on investment (ROI) of over $2 million per year.
• Delivered EDI operating rules and EDI infrastructure prior to the regulatory compliance deadline thus positioning Confidential to avoid monetary penalties up to $9M.
• Added a new product line to the EDI program as part of a change request, which resulted in a product offering for 800,000 retiree members, $83 million in revenue annually and future growth of 17%.
• Also, supported implementation of a consumer web product under a separate program for 3 Confidential regions. Integrated 25+ back-end applications with web tool. Team included 300+ team members and 21 PM’s.

Confidential, Los Angeles, CA

SENIOR PMO PROJECT MANAGER

Responsibilities:

• Recruited to manage a technology portfolio of large-scale programs. Managed budgets, mentored project managers and support staff and provided executive status reporting directly to COO.
• Appointed to lead ICD-10 assessment to ensure ICD-10 solution included a provider outreach program, reduced impact on HEDIS scores, and maintained ICD-10 provider incentive programs.
• Delivered a new JAVA financial payment system that reduced financial risk and exposure.
• Directed the replacement of network and telecom systems that reached end of life to include new switches, routers, firewall, Cisco phones, IVR application and Cisco call center application.
• Led changes to back-end applications and JAVA case management systems to support state funded new business programs that increased membership and revenues up to 30%.

Confidential, Valencia, CA

SENIOR PMO PROJECT MANAGER

Responsibilities:

• Managed deployments of CISCO network and telecom solutions for customers Paramount Pictures.
• Deployments were designed to deliver reliable, secured, and scalable solutions that positioned the customer to reduce risks, reduce costs, simplify workflows, increase productivity, and improve responsiveness by facilitating faster access to experts and information.
• Managed project budgets up to $2M.

Confidential, Woodland Hills, CA

SENIOR PMO PROJECT MANAGER

Responsibilities:

• Directed the migration of medical claims and EDI processes from Confidential ’s California systems to Anthem’s Central Region systems to eliminate duplication and consolidate the business as a result of the Confidential and Anthem merger. Led team of 100+ with $3M+ budget and partnered with a paper claims vendor (TriZetto) to convert paper claims to electronic.
• Confidential acquired a Health Reimbursement & Savings product that provided tax advantages to offset healthcare costs for 28.5M members. Accountable to integrate the Health Reimbursement & Savings product into the Confidential operation. Managed several projects with a budget of $1.5M.
• Delivered a new process to image EDI claims using FileNet COLD. Managed and mentored project teams where 30% of the resources were offshore.

Confidential, Los Angeles, CA

CONSULTANT

Responsibilities:

• Directed several medium-scale to large-scale projects as a consultant with budgets up to $3M.
• Delivered a web-based front-end application for Tokio Marine property & casualty insurance company to decrease loss control.
• Led the implementation of a Case Management and Customer Relationship Management (CRM) system for Confidential to reduce costs associated with services rendered outside of the health plan.
• Delivered a .Net web-based HR application for Disney Stores to meet operational needs.
• Drove the development of a .Net web-based financial application to manage investment portfolios for Sun America to increase sales.
• Oversaw the implementation of an Oracle data warehouse application for 21st Century property & casualty to provide access to information that resulted in strategies to reduce costs and increase profits.
• Led the implementation of a web-based application used by customer service teams at Confidential (Anthem Blue Cross) to respond to benefit and financial inquiries. Facilitated JAD sessions to identify stakeholder expectations and requirements.
• Delivered requirements for a web-based sales reporting system, an Oracle data warehouse, EDI processes, and SAP Financial and HR modules at Syncor an organization that provided Nuclear Medicine products and services.
• Delivered technical specifications for Value Behavioral to develop expert systems healthcare software products designed to determine if doctors and medical groups practiced cost-efficient medicine.
• Directed and coordinated activities to develop a FileNet Imaging System Application for Transamerica Insurance Group a property and casualty insurance company.