PROFESSIONAL SUMMARY:

• A Senior Project and Program Management professional with several years of experience in a broad spectrum of technical and business capacities with a demonstrated ability to lead all phases of a projects from Resource Planning, Business Requirements, Development and Implementation.
• A proven effective team leader with highly developed interpersonal, problem solving, management, leadership and communication skills.

TECHNICAL SKILLS:

• Program Manager and Senior Project Manager experienced in project and resource planning, client relationship management, risk management, change management, project planning and control, vendor and team management, implementation management and development management in Billing, Healthcare, Insurance and Banking. I have been responsible for portfolio planning, portfolio budget and results reporting.
• I have experience in Microsoft Project and Microsoft Project server, Microsoft Office & Access, Lotus Notes, SharePoint, Epic and Remedy.
• I am highly technical but am experienced with working with the business and other cross - functional teams to insure requirements are developed and met.
• I have experience in successfully working within a matrix-oriented environment with many mixed and diverse teams.
• Electronic Data Interchange (EDI) with HIPAA implications, Oracle, C++, UNIX, IMS, DB2, .NET, EPIC, MVS Mainframe, IBM PC, applications development, program and project management.
• Business Analysis as part of my many Project Management and Project Planning Roles Business analysis and requirements gathering has been integral.
• Project planning and control, using a Waterfall or Agile SDLC. Vendor and team management, implementation management and budget, process improvement projects, Windows and Windows NT, Microsoft Project, Microsoft Enterprise Project Server, Microsoft Office and Access and Lotus Notes.
• Worked with lifecycle tools to improve SDLC processes and performed analysis to improve processes involved with software delivery systems. Have managed in both waterfall and Agile environments. Experience with SLAs

PROFESSIONAL EXPERIENCE:

Senior Project Manager, Business Analyst

Confidential, Oakland, CA

Responsibilities:

• Managed EPIC Tapestry AP reports implementation for Kaiser KPCC NCAL.
• This was a major project for Kaiser involving The Epic claims system and processes using Epic data to develop and test reports for the claims consumers throughout the Kaiser business community.
• This included tracking and resolving issues and risks, creating and tracking project plans and working with constituents to resolve problems with schedules and report content. Worked with business clients to assess business requirements and do feasibility. Hosted status and issue meetings and provided feedback.
• Responsible for overall coordination, status reporting and stability of project work effort.
• Developed, monitored, and controlled a full scale Project Plan.
• This including scheduling integrated project timelines, work plans, milestones document, risk & issues, status dashboards/reports, documenting workflow processes, RACI matrix, etc. This involved enterprise integration of many Kaiser claims, billing, compliance and reports applications.

Environment: Waterfall SDLC, Oracle, C++, UNIX, IMS, DB2, .NET, MS Project, SharePoint and KP Health Connect (EPIC)

Systems Analyst, Business Analyst

Confidential, Cordova, CA

Responsibilities:

• Responsible for systems analysis for enhancements in VSP’s claims processing system.
• Also responsible for analyzing operational problems and coordinating fixes for claims applications. Worked with business clients to assess business requirements and do feasibility. Worked with ICD-10 project team to insure program readiness.

Environment: Oracle, C++, UNIX, IMS, DB2, .NET, Java, Mainframe, HTML, SharePoint, Agile

Senior Project Manager, Business Analyst

Confidential, Pleasanton, CA

Responsibilities:

• Managed end-to-end testing program for Kaiser Permanente’s ICD-10 implementation. Effectively communicated technical support, problem resolution and guidance of software testing.
• Coordinated & supported testing governance, planning & execution activities related to Enterprise ICD-10 implementation across multiple test teams, business units, regions and technical teams. Guided small groups toward a common goal with big picture sense of project objectives and knowledge how to deal with jeopardies, risks and issues.
• This involved enterprise integration of most claims, revenue cycle and billing applications for Kaiser.
• Worked with project plans and other project deliverables.
• E2E testing required significant planning, scheduling, and maintaining of test environment configurations, as well as diagnosis and procedure data management. Overall, it provided a high level of confidence around ICD-10 readiness, both for us internally and regarding what we can expect with all of our trading partners.

Environment: Waterfall SDLC, Oracle, C++, UNIX, IMS, DB2, .NET, MS Project & SharePoint

Senior Project Manager

Confidential, Oakland, CA

Responsibilities:

• Lead the delivery of a highly complex Claims Optimization project, from a business perspective.
• The project was sponsored by the Revenue Cycle PMO organization and involved multiple work streams and applications.
• I was responsible for setting clear objectives and defined deliverables. Developed an end-to-end EDI solution including HIPAA provisions for Kaiser Workman’s Compensation systems. I also worked on the Health Reform Act to get the effort on IRS regulation 501-R started. This involved enterprise integration of claims receipt, billing and third party treasury applications for Kaiser.
• Effectively communicated technical components of the project to all parties. Utilized excellent oral and written communication skills, business presentation skills and analytical skills.
• This project required interfacing with all organizational levels.
• Effectively utilizing external vendors and internal resources.
• Was able to demonstrate team building relationships and partnerships across organizational lines.
• Developed, monitored, and controlled full scale integrated Project Plans by track and region, including Project management related functions maintained high-level project charter, plan and schedule, integrated project timelines, work plans, milestones document, risk & issues log (RAID), status dashboards/reports, documenting workflow processes, RACI matrix, etc.

Environment: Waterfall SDLC, MS Project, Oracle, C++, UNIX, IMS, DB2, .NETand KP Health Connect (EPIC).

Account Manager

Confidential, Brentwood, CA

Responsibilities:

• Provided landline telephone service (local and long distance), Voice over Internet Protocol (VoIP), including videophone service, high-speed internet, satellite television, cellular phone, and home security services, primarily to consumers, and secondarily to small businesses.
• Recruited and managed Sales Team. Acted as a sales agent for service providers, where an ACN representative sells the service, but order fulfillment, billing, and the branded provider performs servicing.
• Managed Customer satisfaction with services and value provided

Group Leader/Project Manager

Confidential, Oakland, CA

Responsibilities:

• Managed a team of Analysts that processed Part D claims to Medicare.
• This included receiving claims from the Pharmacy Service Center, processing them with a third party application, resolving errors that the application found and submitting the claims to CMS (a branch of the Medicare system).
• We processed approximately 17,500,000 claims a year with an approximate average error rate of 1%.
• This process also included generating statistical data as well as report data to Accounting and other clients.
• The group that I managed worked with the client organizations to design the reports, develop the code to produce the reports and run the reports. They also tested a third party application software releases and troubleshot problems within the vendor’s software when problems occurred.
• This group used SAS, SQL Query and Excel or Access to produce the reports.
• Worked with the third party Vendor to resolve testing, support issues and insure that claims, membership, compliance and third party applications were integrated. I was also responsible for HIPPA and SOX compliance.
• Provided Business Analyst function analyzing needs and translating them to actual work.
• I was also responsible for facilitating weekly meetings with Membership representatives and with the PSC (Pharmacy Service Center) to identify and resolve issues affecting Kaiser claims. I worked with Accounting as my primary client.

Environment: Oracle, UNIX, C++, IMS, DB2, .NET, SAS & 3rd party Vendor

Project Manager

Confidential, San Ramon, CA

Responsibilities:

• Responsible for actively managing multiple projects involving Middleware at Confidential . These applications utilized .
• Net and Java. The software was put in place to allow Enterprise applications (Web based, Voice response desktop) to communicate with disparate legacy backend applications (Mainframe & Middleware) in multiple regions of Confidential . These regional systems were all different and developed by different vendors on different platforms in what now makes up Confidential .
• I was responsible for risk and issue management, timeline management, Quality management and Client Relationship management. This involved enterprise integration of provisioning and billing applications and systems for Confidential .
• Responsible for several projects the largest being the Light speed project a $4 Billion project to bring fiber to the home including broadcast TV, VOIP and internet services. My team consisted in approximately 15 people working requirements, development and testing.
• Project involved integrating AT&T’s legacy billing systems with enterprise web based applications.
• My team interrelated with other teams in other disciplines and I was the key point of contact between teams.
• I used AT&T’s Express SDLC process (a Waterfall method) including change management, risk management and working project jeopardizes with senior management. Project used Web Services and was managed by using Microsoft Project (Server edition).

Environment: Waterfall SDLC, Oracle, C++, UNIX, IMS, DB2, .NET, JAVA. Middleware and Remedy

Project Manager

Confidential, Pleasanton, CA

Responsibilities:

• Responsible for Investigating and developing project plans for a several of Kaiser’s applications.
• The project (called HealthConnect) was to enable the linking of a major ERP package to existing Care Delivery legacy systems and utilized CITRIX/Epic.
• I Used Lotus Notes, MS Project, Microsoft Office and Visio.
• My primary responsibility was to deliver an integrated end to end test capability for Health Connect.
• The team consisted of several key legacy managers and testers and numbered between 8 to 15 people.

Environment: Oracle, C++, UNIX, IMS, DB2, .NET, HealthConnect (EPIC), Citrix, MVS &IMS

Project Manager

Confidential, San Ramon, CA

Responsibilities:

• Responsible for application program management duties for the full SDLC on a web based application utilizing Java, Microsoft Access UNIX.
• Managed 4 major applications for SBC’s Complex Ordering Systems. I was responsible for project initiation, Resource Planning project tracking, project financials, business and technical requirements, project development, change management, testing and implementation.
• Assisted in moving client to CMM level 2. I conducted weekly project reviews, issued project jeopardy and risk notices and tracked their successful resolution. This involved enterprise integration of complex provisioning and CRM applications and systems for SBC.
• Conducted project walkthroughs and hosted weekly project status with clients and upper management. I was responsible for financial assessment and insured that deliverables met the needs of clients. Typically, I would have up to 60 work requests to manage and track at any given time.
• The team consisted in approximately 52 key managers in several organizations. The budget was approximately $ 2.9 Million. Became involved in Business Analyst work with the System Architect.

Environment: Oracle, C++, UNIX, IMS, DB2, .NET, Oracle, C++ & Visual Basic

Project Manager

Confidential, San Francisco, CA

Responsibilities:

• Managed a team responsible for developing business requirements for a customer care program for a large insurance client. I wrote SOWs including Cost Benefit Analyses and maintained client contact in a leadership role.
• This included Analysis of their existing processes and refining business requirements. Developed project and Resource plans and recruited staff to develop the system. I managed a team of developers to configure a Customer Care support system utilizing Seibel 99 and Oracle software. This involved enterprise integration of CRM applications and systems for CSAA. Responsible for contract negotiation and SOW development and rewrites for client. Responsible for customer communications.
• As Senior Program Manager managing a team of Project Managers that managed a $22 million project to deploy Windows NT hardware and software into 94 user sites with over 5000 users. Managed project plans using MS Project.
• Managed software testing and rollout. Managed client expectations and budget for the project. The project was to update client’s desktop systems to Windows NT along with the rollout of a common desktop environment.
• The project included deploying portables to sales personnel along with a strategy for their use. I was responsible for the team that managed the project timelines and deliverables, dealt with project financials and managed the training, communications and expectations for the users. Completed about 50% of PMI training.

Environment: Oracle, C++, UNIX .NET & Win NT

Senior Consultant

Confidential, San Ramon, CA

Responsibilities:

• Provided Business Analysis, Solution Proposal and Project Management for several client projects. I also provided project management functions for several clients using a combination of Microsoft Project, Access and Excel.
• Supported Network administration and managed a software development staff. This project entailed a heterogeneous environment including Client Server from NT workstations to an MVS DB2 and UNIX environment.
• Included in this project was a complete enterprise wide Business Assessment as well as a solution plan. Responsible for customer communications.

Environment: Oracle, MVS & UNIX (analyze existing applicationz)

Project Manager/ Group Leader

Confidential, San Francisco, CA

Responsibilities:

• Managed the team responsible for DB2 applications for this commercial bank development and maintenance organization.
• This included the Account Analysis, Bank Statement rendering, Invoicing, Electronic Banking, Wire Transfer and the MIS Reporting systems as well as others.
• Worked with the client in a business Analyst role to assess requirements and implement them.
• Responsible for Program management of the bank’s conversion from DataCom DB to DB2 and for the implementation of the Bank's 1996 Sales Incentive program.
• This included working with clients to analyze business needs, directing the developers, designing the applications and implementing and tuning the system.
• The immediate team was 8 people working under a $500K sustaining budget.
• Responsible for the ATM system, Data Warehousing, Business intelligence and the Wire Transfer systems.

Environment: Oracle, UNIX and DataCom DB