SUMMARY:

• Extensive background in project management, quality assurance, regulatory compliance, business application solutions, risk and control strategy. Over 20 years of innovative experience in development information systems for Finance, Banking, Healthcare, Insurance and other organizations.
• Experience in both Public and Private Sector industries. Confidential Services policy guidance, approval process and data collection.
• Outstanding presentation, leadership, and communication skills.
• Managed over 50 modernization and innovation projects to ensure that delivery of the projects was completed on time and within the allocated budget of $multimillion dollars for a Public clients and Financial Services.
• Successfully implemented New York State Department of Financial Services Anti - Money Laundering project.
• Implemented Enterprise Risk and Compliance processes along with IT Policy Adherence strategy.
• Deeply Understand of Federal and Confidential Services policy guidance and approval process.
• Successfully designed, created and implemented Integrated Eligibility System ( Confidential ) for State of Oregon, State of Michigan and Confidential .
• Served in leadership position for Medicaid, Medicare, Eligibility, Health Benefits Exchange, Enrollment & Claims systems in Public and Commercial Sectors.
• Managed multiple work streams, combined on-shore and off-shore team of 25+ resources. Supervised design, development and testing teams, technical and non-technical.
• Managed State Health and Human Services system upgrade and update, have worked side by side with state agencies focusing on helping to improve efficiency, effectiveness, and accountability of state services and benefits.
• Experienced in healthcare and finance industry with strict compliance and regulatory requirements.
• Managed high-visibility customer facing project using Agile Methodology.
• Supported in developing the new Document Management System infrastructure needed to support a large financial services firm in financial rick calculating of a new broker and dealer functions. Responsible for creating road map solution, including Project Plan documentation, system and data analysis, data conversion, system structure upgrade, and reporting system modification for Financial Risk System application.

AREA OF EXPERTISE:

• Custom Software Development
• System Integration
• Quality Assurance (QA)
• Database Design (RDBMS)
• SDLC
• Defect Management
• Requirements Analysis
• Project Scheduling
• Budgeting and Rick
• Resource allocation
• Project delivery
• Business Analysis
• Enterprise Risk and Compliance
• Confidential Services
• Policies and procedures
• Document Management System
• Independent Verification and Validation
• Developing and executing trainings

TECHNICAL SKILLS:

OS: Windows, AIX, HP-UX, Linux, Solaris, UNIX, Mac, Sun OS

Platforms: J2EE, .NET, SAS, Siebel, SAP, Enovia

Development: Toad, Crystal Reports, Cognos, Query Analyzer, PVCS, MS-TFS, HP VDP Extream, SharePoint, HL7, HIPPA, Weblogic, JBoss, SOAP UI, DataHub, DataStage

Mobile Applications: Android 4.4 and up, Windows, Apple iOs 8 and up, Blackberry

Programing Languages: PL/SQL, VB, C, SQL, MySQL, DHML, HTML, XML, Java, C#, ASP, PERL

Testing Tools: ALM, HP Quality Center, HP QTP, Selenium, IBM Rational Robot, HP Performance Center, JIRA

Methodologies: Waterfall, Agile Scrum Methodology, CMM, CMMI, Six Sigma, PMBOK

PROFESSIONAL EXPERIENCE:

Confidential, Baton Rouge, LA

IT Audit Test Project Manager

Responsibilities:

• Validated and Verified Louisiana Integrated Eligibility System ( Confidential ) based on Federal Government requirements and State policies.
• Helped Confidential to create Strategy for Operations practice work, developed and effectively implement a transformation roadmap.
• Validated and Verified Louisiana Medicaid plan amendment design, Medicaid payment reform strategies, as well as provided business and systems expertise for Medicaid Management Information Systems.
• Managed implementation of IT Policy, oversee the quality of deliverables, and effectively managed the team and day-to-day relationships to ensure exceptional performance.
• Analyzed State and Federal regulation and regulatory guidance, Enterprise Risk and Compliance processes to develop business roles and identify impact to State systems and operations including analyzing compliance data.
• Validated State self-assessment application for compliance with Federal Government standards.
• Analyzed and identified key business issues, determined client needs by improving the standard assessment techniques and tools with innovative approaches, evaluated and validated analysis and developed recommendations for the State client in the context of the overall engagement.
• Lead State teams in delivery work related to Health & Human Services program options, state plan amendment design, payment reform strategies, act as subject matter expert provided business and systems expertise for related Information Systems.
• Managed development and execution of test cases and test scripts for user acceptance testing UAT.
• Implemented and supported Independent Verification and Validation process based on CMM, CMMI, Six Sigma, PMBOK, IEEE industry standards.
• Provided guidance, review and recommendation based on HIPAA standards.
• Created presentation to State Executives and company senior leadership.

Confidential

Consulting Compliance and Rick Project Manager

Responsibilities:

• Developed technology strategies to perform IT-enabled business transformations for Rick and Compliance department.
• Led project team to gathering, obtaining and finalizing business requirements, project scope and solution approaches.
• Developed Test Strategy, created test cases and test scripts for system and user acceptance testing.
• Assigned, reviewed and monitored daily team assessments for accuracy and completion.
• Supported in developing the new Document Management System infrastructure needed to support a large financial services firm in financial rick calculating of a new broker and dealer functions.
• Responsible for creating road map solution, including Project Plan documentation, system and data analysis, data conversion, system structure upgrade, and reporting system modification for Financial Risk System application.
• Supported Business users in defining their guidelines in compliance with IT Policies.
• Provided reports on compliance related areas.
• Act as subject matter expert in Rick and Compliance IT Policy evaluation.
• Oversee system structure upgrade of Oracle Financial Modules and Cognos reporting system modifications.
• Developed training materials, conducted communication plan and training sessions for end user.

Confidential, New York

Consulting Project Manager

Responsibilities:

• New York State Department of Financial Services Anti-Money Laundering project
• Managed Program Management, Risk, Compliance and Quality Assurance teams focusing on facilitating definition of requirements, use cases, product management, and functional specifications along with development and testing services for support governance, risk and control strategy, processes and technology.
• Analyzed State and Federal regulation and regulatory guidance to develop business roles and identify impact to State systems and operations.
• Performed analysis based on US Treasury AML guidelines, OFAC requirements and Suspicious Activity Reporting requirements.
• Performed system update based on regulatory commitments and associated programs and projects which remediate matters requiring attention (MRAs) assessed by Regulators
• Managed detecting key business issues, determining client needs by improving the standard assessment techniques and tools with innovative approaches, evaluated and validated compliance and developed recommendations for the State client in the context of IT Policy.
• Created technology proposals, Project Management Plan including: Scope Management, Project Charter, WBS (Work Breakdown Structure), Rick mitigation, and Control documentation and status reports.
• Managed multiple work streams, client and vendor relationships, and provided coordination between application, development and testing teams.
• Developed and implemented quality processes and standard operating procedures by introducing metrics and documentation.
• Led projects implementation, managed requirements determination, design solution, architectural structure sessions, development and testing for multiple clients and systems.
• Identified and documented process and system changes, coordinated the evaluation of achieving the business objectives with cross-functional teams, and led colleagues through a controlled PM process to successful implementation.
• Understand of Confidential Health & Human Services data collection and data sets, including HEDIS measures as well as claims and encounter data.
• Managed relation with stakeholders to identify Project scope, objectives and requirements.
• Focused on helping to improve State Health and Human Services efficiency, effectiveness includes eligibility and service integration, state health care, child welfare.
• Experience implementing and overseeing the quality of deliverables and effectively managing the team and day-to-day relationships to ensure exceptional performance.
• Experience in participating in the development and presentation of proposals for business development activities.
• Responsible for managing high visibility customer facing project using Agile Methodology.
• Implemented and supported quality management process based on CMM, CMMI, Six Sigma, PMBOK
• Delivered Architecture Solution, Data Modeling and Master Test Plan to the client. Documented the methodology, objectives and approach of various project phases to be performed.
• Utilized Agile Scrum Methodology for software development. Played role as Scrum Master and Product Owner.

Confidential, Tampa, FL

Manager QA

Responsibilities:

• Managed Project Management, Business Analysis, UAT projects for Enrollment (2,3 million members) and Correspondence departments (17 million correspondences per year) by providing direction to team members including assignments, daily operations, process improvement and team performance.
• Provided leadership and expertise, managed projects and project resources from the identifying initial scope to the planning, developing, testing and implementation.
• Developed and implemented quality processes and standard operating procedures by introducing metrics and documentation. Produced status reports, progress statistics, and business-oriented metrics, cost savings comparisons, and financial analysis.
• Reviewed Portfolio Management and Resource Management reports to optimize resource utilization.
• Utilized Agile Scrum Methodology for software development. Played role as Scrum Master and Product Owner.
• Managed Enrollment Annual Roll-Over Projects to modify and improve custom build Enrollment System for Medicare (CCP, PDP) population to comply with new regulations provided by CMS.
• Provide guidance, review and recommendation based on HIPAA standards.
• Developed, implemented and managed Enrollment and Claims Transaction (834/820) applications.
• Managed Data Portal implementation project to manage and retrieve data using SAS application for non-technical users.
• Lead creation of analytical reports for upper management team using ETL and Business Intelligence (BI) tools.
• Create standards for UAT testing that must be conducted i.e. coordinated and setup comprehensive Test
• Improved business process by capturing and documenting metrics in support of UAT.

Confidential, Tampa, Fl

Lead Analyst - Quality Assurance

Responsibilities:

• Lead Development of test plans and scripts from functional and business specifications.
• Identified and documented software faults and interact with development staff to isolate and resolve testing issues.
• Designed and performed static and dynamic performance analysis.
• Lead Design and Executing of QTP scripts for regression testing.
• Validate and document product functionality across releases.
• Managed performance testing strategy along with Load Runner Scripts.
• Performed Front-End and Back-End testing for Content Management System, inventory system, payment system and others.
• Created and modify SQL queries and stored procedures, execute batch processes.
• Created and modified XML messages run MSQ boxes and other back-end processes.
• Develop and perform testing for Redesign Database Architecture project.
• Performed testing of complete redesign HSN.com July 2007.

Confidential, Tampa, FL

Project Manager

Responsibilities:

• Managed Eligibility and Claims processing projects.
• Implemented annual Enrollment change for Confidential Part D.
• Redesigned and enhanced financial reporting for information management system.
• Created migration strategy and supporting documents.
• Managed migration of production code into another data production repository.
• Participated at production repository Change Management meetings.
• Coordinated multiple business and developer groups.