SUMMARY

• Dedicated IT professional with 18 years experience in Quality Assurance/ Quality Assurance Management, Project Management, Information Technology, Health Care Insurance, Marketing, Media and Graphic Design, Web Design.
• Major strengths in Quality Assurance, Project Management, Health Care Management, Team Building, Staff Development, Training and Retention

PROFESSIONAL EXPERIENCE

Confidential

Senior Quality Assurance Project Manager / Quality Assurance Manager

• Responsible for providing the Quality Assurance direction on the new State of Minnesota Health Insurance Exchange MNsure .

• Managed the MNsure Quality Assurance Team which consisted of 7 QA Analysts throughout the project.

• Monitored the development progress of the COTS vendors on the State of Minnesota's behalf and provided status updates to MNsure Senior Management. Coordinated the joint testing efforts between the MNsure QA Team, the Lead Vendor Testing Team, and the MNsure Business Users/SMEs to assure maximum testing coverage during the compressed testing timeframe.

• Supervised the Carrier Certification Process and Carrier Integration Testing in order to validate that the carrier was technically ready to operate and sell health insurance policies on the MNsure Exchange. Testing was coordinated between the individual medical and dental carriers and the following State of Minnesota departments MNsure, Dept of Commerce, Dept of Human Services and MNIT .

• Acted as the single point of contact for all carrier testing and test EDI data file issues and chaired a weekly testing update meeting with carrier testing representatives as well as creating and presenting presentations for monthly meeting with all of the Carrier Executives.

• Created Quality Assurance Planning/Approach Documentation for the Federal Government and uploaded quarterly metric reports using the format mandated by the Centers for Medicare Medicaid Services CMS and met periodically with CMS and IV V representatives as part of the development progress reporting and verification process mandated for all State SBEs State Based Health Insurance Exchanges as part of the Federal Grant Directives/Procedures.

• Directed the AccessibilityTesting to assure that the MNsure site was compliance to all applicable State and Federal Accessibility regulations as outlined in the Americans With Disability Act ADA and the Rehabilitation Act of 1973 Section 508 Standards, WCAG 2.0, as well as the provisions set forth in the 2010 Affordable Care Act.

• Directed the planning of the User Acceptance Testing UAT phase of the project to assure the MNsure Business users that the application built would meet both the business and operational needs of the State of Minnesotaas well as the regulations set forth by CMS.

• Supervised the operation of the MNsure Escalation Center created to assist the MNsure Contact Center with systems issues reported by customers in the post go-live phase and provided the MNsure Executive Team with weekly metrics showing the number and severity of the outstanding technical defects on the MNsure Site.The ultimate goal of the EC was to resolve issues in a timely manner so that customers could complete their health insurance enrollments by the mandated enrollment deadlines. By the end of the 2014 enrollment period over 230,000 individuals enrolled in Quality Health Plans individual and group , Minnesota Care and Medicaid.

Confidential

President / Founder

• Founded and managed a successful startup business venture specializing in project management, web design, production and marketing of stock photography and fine art prints, photographic design and portraiture.
• Project Manager /Consultant on numerous E-Learning Projects for individuals, corporations and higher learning institutions.
• from inception to deployment.
• Performed web design consultation including leveraging market optimization techniques and branding.

Confidential

Senior Quality Assurance Analyst

• Provided project oversight, planning, estimating and status updates.
• Web based testing using an Agile Scrum methodology involving an application designed to improve members overall health by designing individual health actions based on the members health assessment and giving incentives for achieving the stated health action goals within the established compliance period. This application/program is an additional product typically bundled to new and existing Medica and United Healthcare Medical/Dental Insurance policies.
• Tested XML reports designed to give clients a point in time picture of their member's compliance activities.
• Acted as the Environment Data Retention Officer for multiple testing and UAT environments.

Confidential

Senior Quality Assurance Analyst/Project Manager

• Provided project management /leadership utilizing Waterfall, Iterative Waterfall, Agile and Agile Scrum methodologies on a number of ESI internal/external projects. Project Manager on several Medicare Compliance Projects related to the new 2010 Healthcare Reform Act.
• Developed project estimates, work breakdown structures WBS , project charters, responsibility assignment matrix RAM/RACI and project status update reports for ESI Upper Management.
• Provided test coordination and planning services including: test budgets, test schedules, test plans, test approach, test data setup and management and security access, use cases, test cases/scripts, selection of UAT test cases/scripts, testing assignments, mentoring of QA resources both on-site and off-shore, progress and issues reporting, defect tracking and reporting, facilitation of daily/weekly test progress update meetings, facilitating UAT sessions as well as post project defect root cause analysis sessions/project post mortems/lessons learned sessions.
• Facilitated JAD Joint Application Design workshop sessions with the Executive Sponsor, Subject Matter Experts SMEs , Business Team, Development Resources and the Quality Assurance Team.
• Eligibility QA on the Department of Defense DOD Tri-care Pharmacy TPharm Integration. The largest and most successful customer integration in ESI history involving the on-boarding of all DOD employees approximately 3.3 million worldwide.
• Mentored on-shore/off shore resources and acted as the EligibilitySubject Matter Expert SME on the new 2010 Medicare Healthcare Reform Act Compliance Projects.

Confidential

Senior Quality Assurance Analyst

• Participated in testing a Java based retail web application utilized by Fortune 500 retailers to reconcile invoices from suppliers to goods received to assure that the retailer pays the correct amount based on the terms and quantities specified on the purchase order agreement.

• Collaborated with current Oracle Retail customers to identify and analyze system defects/enhancements and tested the subsequent patch releases.

Confidential

Financial Senior Quality Assurance Analyst

• Created and executed test cases for the financial side of a web based application for the Long Term Care industry.

• Composed quick how to learning documents for onboarding new employees as well as established team members.

• Participated as a member of the newly formed Achieve Employee Wellness Committee.

Confidential

Sr. Quality Assurance Analyst / Project Manager / Business Analyst

• Lead projects in the role of Quality Assurance Project Manager as well as Project Manager over the entire project dependant on the needs of the current project for both internal and external UHC clients and provided quality assurance/test coordination and consultation services.
• Project Manager on a number of UHC initiatives for healthcare marketing, member information and enrollments , provider contracting and reimbursement, application security and data disaster recovery. Also acted as a Business Analyst to help customers define their business needs and translate these into functional system requirements.
• Lead a cross functional team of approximately 20 people to validate that the provider claims reimbursement amounts and finance amounts were being correctly generated as part of the Health Plans Systems Integration setup verification process.
• Facilitated User Acceptance Testing sessions with Health Plan personnel as well as created training materials. Collaborated on the initial requirements analysis and assisted the Health Plan to define provider claims scenarios that would be used to validate the proposed Provider Contract System Setup as well as participated in testing various proposed contract setups during the Provider Contract Audit Sessions on site at the health plans.
• Tracked and provided metric reporting on defects uncovered during testing as well as facilitating project post mortem / root- cause analysis sessions that resulted in an initial 23 reduction in project defects.
• Provider and Finance QA for the UHC of Wisconsin system integration that tested approximately 3200 HIPAA 835 claim scenarios. This was more than any other previous corporate integration project as previous numbers were in the range of between 175-200 claims while still meeting both the project deadline and data accuracy goal of 99 .