Senior IT Project Manager Resume

SUMMARY:

Enthusiastic project management professional with 17 + years experience in a variety of industries, offering a strong combination of expertise and capabilities to address complex technology and business problems.
Results - oriented team player with a proven track record for delivering high quality results that exceed client expectations.

TECHNICAL SKILLS:

PROFESSIONAL EXPERIENCE:

Senior IT Project Manager

Confidential

Responsibilities:

Managed the roll out of a legal matter and invoice management system for Confidential in the US.
Managed a project to roll out a policy management systems for Confidential department to manage their Legal/HR policies
Led an assessment to determine which type of records should be retained by Confidential and what systems could be rolled out to manage records on Gilead servers

Senior Project Manager

Confidential

Responsibilities:

Managed a strategic philanthropic program named Futurelab, in which Confidential and the Confidential partnered together to enhance students’ science education in SSF, through mentoring, scholarships, fieldtrips, and a science competition
Supported the development of Futurelab’s strategy and managed the program’s $2M budget
Managed the development of a website for the SSF middle schools to be used during the Helix Cup science competition by teachers/students
Managed the development of a scholarship platform to deliver application functionality for SSF student’s to apply for Confidential scholarships
Managed and aid in the development of all media and digital assets for the Futurelab program

SAN FRANCISCO

Lead Project Manager

Confidential

Responsibilities:

Provided oversight for the successful implementation of a new vendor and wellness platform for Confidential
Managed the integration of a Health Risk Assessment (HRA) which resides on the Confidential wellness platform with the Covered CA registration system to ensure that Confidential is meeting a state mandate to offer HRA’s to all exchange members.
Managed a project to ensure that ICD 10 claims received by providers/facilities can be processed through Confidential claim systems before go-live in 10/2016
Supported strategic initiatives for the wellness platform in 2015 related to product development in the IFP and ACO market
Managed a cross functional effort to create a structure to review high cost claims that are above $2 million dollars, resulting in over $7 Million dollars in savings for Confidential
Supported the development of the Confidential ( corporate strategy) with Confidential
Managed the strategic efforts by the ACO Technology and Patient Care Medical Home teams to create initial plans to support the corporate strategy
Created an internal space @ shield ( corporate intranet site) and other communication materials to educate Confidential employees on the Confidential ( corporate strategy)

Compliance Consultant

Confidential, OAKLAND, CA

Responsibilities:

Provided oversight to the Federal Employee Health Benefit Plan line of business in researching and interpreting regulations and laws to establish compliance standards, develop compliance training, and to provide on-going monitoring and reporting to ensure remediation
Managed the assessment of the Pricing and Underwriting organization with Regional senior leadership to determine gaps in compliance and to determine opportunities for remediation
Led a workgroup within Member Services Call Center and the CSC/Membership Administration Federal Group units to achieve best practices in policies, procedures and operations.
Led the front-end revenue cycle National Compliance Audit team in a number of on-site Hospital Billing Audits

Strategy and Operations Consultant

Confidential, SAN FRANCISCO, CA

Responsibilities:

Provided consulting services by identifying key client business issues, determining client needs through analysis, evaluating and validating analysis and developing recommendations for the client in the context of the overall engagement
Performed an End-to-End Revenue Cycle Assessment for a $30B integrated healthcare provider at two client regions and identified several key revenue cycle areas that needed remediation before go-live
Performed an analysis of healthcare data around consumer preferences when selecting and paying for healthcare to create a report to aid healthcare clients in tailoring their portfolio of services

Senior Consultant

Confidential, LOS ANGELES, CA

Responsibilities:

Provided consulting services to pharmaceutical and biotechnology clients to address a wide range of business issues including market analyses, strategy development and business planning
Assessed denial management processes for one of the largest investor-owned health care delivery systems in the nation at 10 of its hospitals and made recommendations to improve the denial management process

Managerial Consultant

Confidential, PASADENA, CA

Responsibilities:

Led organizational efforts in preparation to restructure the Lab and Radiology billing process to meet Medicare and Medi-cal compliance. Conducted stakeholder impact assessments; led cross-functional work teams; developed training content for lab and radiology registration staff
Led project to identify the roles and responsibilities of employees in Patient Support Services at Fontana and recommended process improvement opportunities within this department to increase productivity and to clear up a backlog in patient’s request of their medical records.
Supported Scope of Practice Committee and conducted Scope of Practice audits for Anesthesia departments at each medical center
Assisted in developing a marketing plan specifically targeted at Latino population by identifying needs and expectations of subpopulation when seeking healthcare services

Business Analyst

Confidential

Responsibilities:

Provided analytical support for combined Membership/Credit Card and Broker Benefit Redesign projects
Aided in developing regional reports outlining the system requirements and expected impact of a combined membership/credit card