SUMMARY:

• Project Manager and Program Manager: Enterprise Systems Transformation, Integration, Multi - tier/ Multi-site Implementation Management, Multinational Vendor-Procurement Management, Data Management, Data Governance (enterprise BI/DW), EDI, Personnel Development and Customer Integration.
• Process Improvement. Program-Project Governance (EPMO, PMLC/SDLC, Budgeting, QA, EVM); Business Systems Analysis, Architecture. Platform upgrades/consolidation, change/ impact analysis, Release Management. PMP, Agile, RUP, ITIL, CMM, HIPAA, ACA, HIM, SOX, Insurance (all lines), Health Insurance, Medicare, Medicaid, MMIS, Financial Services, Packaged goods, Manufacturing, Ecommerce, Marketing, Gov’t.

PROFESSIONAL EXPERIENCE:

Confidential, Grand Rapids, Michigan

Program Manager

Responsibilities:

• Initiate and Manage High Profile Client Implementation and conversion of Confidential .
• Program Governance and Project Management capability development; Organizational change.
• Medicare/ Medicaid Health and Pharmacy claims operations development, services procurement.

Confidential

Program Manager HCM Implementation Services

Responsibilities:

• Initiate and Manage Hosted (SAAS) HCM (HR, PR, Ben, Leave, Attend) Client Implementations
• Client facing engagement leadership and P/L management across Product lines (midsize employers)
• HR, Payroll, Time, Benefits, Leave, Recruitment capability leader.
• Manage and architect data conversions for HRIS, PR, Benefit and Time platform migrations.

Confidential, Tampa FL

Program Manager

Responsibilities:

• Manage Encounters redesign impact assessments and architecture efforts
• Manage medical expense initiatives for high risk populations
• Research, architect and manage data migration Informatica to Greenplum

Confidential, Tampa FL

Sr. Project-Manager

Responsibilities:

• P & L responsibility for integration program. Program comprised of 6 individual project efforts
• Compliance with State and Federal Health Insurance Market places

Confidential, Marysville OH

Sr. Project-Manager

Responsibilities:

• Manage Integration of new Plant line controls with active visualizations and analytics
• Construct new BI capability at new Celaya Mexico plant.
• Lean approach to development and rollout, Agile introduced to BI team.
• Architect and manage build out of new capability for all plant active line control visualizations.

Confidential, Fargo ND

Project Management Solutions, Onsite Manager

Responsibilities:

• Manage Integration of Electronic Provider Access
• Manage Wellness Products launch (ACA/FFM)
• Managed upgrade for Medicaid expansion and upgrade to new Medicaid system (MMIS)
• Managed ACA/FFM for Individual Direct Enrollment, Agent Assisted for 2014 Open Enrollment
• Manage mandated-compliance Projects (ACA, HIPAA, CMS) North Dakota and Wyoming plans.

Confidential, Baltimore MD

Project Management Solutions, Sr Project-Manager

Responsibilities:

• Manage the consolidation of Actuarial and Underwriting Data and Reporting Solutions (BI/ DW)
• Procurement for a new Rating System
• Data Audit and Governance for state and federal compliance (MD, Delaware, Wash DC)
• PMO development and process improvement along with Agile tools and development methods.

Confidential, Atlanta, GA

Project Management Solutions

Responsibilities:

• Benefit system conversions and Benefits administration
• Process controls and Plan audit
• Special Group implementation, renewal and support
• Mandate compliance state and federal (HCR, HIPAA, NJ )

Confidential, Baton Rouge, LA

Program Manager

Responsibilities:

• Manage Digital Imaging and Document Management: Perceptive ImageNow conversion to Taleo.
• PMO practices: Create and update methodology, communications, templates and leadership
• Infrastructure Enterprise Systems Management - Initiated and Organized Program to manage multiple infrastructure initiatives: CA Service Desk, Autosys, ITAM, ITCM, CMDB, Spectrum /Ehealth /Wily, Clarity.

Confidential, Baton Rouge, LA

Senior Project Management Solutions consultant, HealthCare Reform

Responsibilities:

• Manage multiple Healthcare Reform Integrations and transformations: 1. Define, plan and direct the execution of a broad range of Healthcare Reform projects, PPACA, (Facets 4.5 conversion to 4.7.1), ICD10/ HIPAA 5010 prep; 2. Manage process engineering for Quote, Sell, Enrollment and Renewal business change
• Manage Regulation and Compliance for external interfaces (X12, HIPAA, SOX, etc.)
• Manage conversion and upgrade of new life company products and tools.
• Planview, Sharepoint, Project Server, PMI and Agile/ SCRUM development, Jira.

Confidential, St Petersburg, FL

Project and Process Management Consultant, Executive Business advisor

Responsibilities:

• Executive Advisor Managing multiple startup projects (Data Conversions, EDI, Security, Compliance controls, Hospital Construction management), Process design and workflow studies, product development and deployment, call center processes and procedures, systems assessment, contract audit/ review/ negotiation, project documentation
• Pre-sales, sales, direct marketing campaign, and client advising; MS-CRM, virtual office on the cloud, content management, Verizon Web Center
• Craft and Manage relationships with Expert Partners (legal, banking, accounting, benefits, IRS)

Confidential, Jacksonville, FL

IT Consultant - Senior Project Manager, Enterprise Health Data Management

Responsibilities:

• Manage multiple Medical Information Integrations and transformations, Enterprise Data Management (EDW, ETL, Analytics, Reporting, client extracts), Multi-tier environment, MS-EPM, RUP, RAD/JAD, ITIL
• Managed Medical and PBM Claims data integrations, analytics and vendor alliance data exchange
• Structure and manage data interface, deployment standards, and negotiate releases Perform risk management planning, identification, analysis, responses and monitoring Data governance, strategy, mapping, modeling, profiling and reporting
• Implemented multi-tier Datamart/ portal ASO fee service for secured data extraction and exchange.
• Managed Regulation Compliance in data transmissions and retention (X12, HIPAA, SOX)

Confidential, Topeka, KS

IT Management Consultant, Director Enterprise Applications

Responsibilities:

• Area Director, contribute to corporate leadership, new business integration, operations and process improvement. Used Agile methods and tools (Scrum, self-directed work groups, XP, VersionOne)
• Manage Enterprise Application teams: Web (development and support), IVR, Data Management (ETL, ODS, EDW, modeling, mapping, analytics, ad-hoc), Digital Capture / Workflow (Kofax-Unisys), Common Data Transaction Layer, EasyPay, Compliance, and Online Correspondence.
• Manage department resources, personnel development, capacity planning, Reporting to the CIO
• Windows, .Net/ASP, MS-SQL, ORACLE, Citrix, MS Reporting services, Web services
• Manage Release schedule for enterprise infrastructure, application and data environment changes
• Managed startup of Digital Capture and document management services offering, implemented new h/w, s/w, process and work queues for handling subscriber documents and images. Established subscriber archival and retrieval function for captured digital documentation.
• Managed corporate 403b Regulation Compliance Project impacting all functions which support approximately 350,000 group/ individual plans and representing $4b in long term business.

Confidential, Omaha, NE

IT Management Consultant - BI/BW Reporting Assessment

Responsibilities:

• Senior Consultant - conducted brief SAP-BI implementation (SEM, BW/BI, Solutions Manager) assessment addressing project management processes, estimates, staffing, communication standards, risk management, vendor management, Data Management and organizational change coordination.

Confidential, Omaha, NE

IT Consultant - Program Manager, Insurance Practice Manager

Responsibilities:

• Managed Infrastructure Transformation (platform migration) Program (SAN, SFTP, MS-SQL, Informatica-ETL, MOM, VMware, Exchange, BCP, BigIP, .NET/ ASP), annual budget $8M. Multi-tier environment - OS/390, HP3000, Oracle, Windows, EMC SAN, LAN, WebSphere/Java and .Net/ASP. MS-EPM, Project Server, Sharepoint, MS Reporting services, Visio, ITIL, PMBOK
• Managed dark data center server upgrade and consolidation; establish hardened SFTP Portal
• Negotiated server release schedule with impact groups including Web and IVR applications
• Establish Medical Information Management Program - Implemented Care Management (McKesson CCMS), established Medical Analytics (Custom DWH, Data Marts, Diagnostics, predictive modeling, provider reporting/scorecards), Integrated disease and diagnostic data and reporting portals
• Establish PMO Large Group Plans - manage objectives, staffing, customer communications, budget ($12M), establish program practices (Agile, Scrum, self-directed work groups), x12 EDI, ensure HIPAA compliance and coordinate with BCBSA-BHI.

Confidential, Madison Wi

Business Transformation Consultant - Senior IT Project Manager

Responsibilities:

• Enterprise Business Transformation. Legacy system replacement, non-profit Health payer. Create and align Projects with business objectives. Managed $6M budget, 4 teams, QNXT/ MyHealthBank. Custom interfaces to claims system including EDI/HIPAA front-end, legacy data conversions, .NET/ BizTalk, XML, MS-SQL, Visual Basic
• Manage complex system integrations, release scheduling, vendor (TriZetto) upgrades and interfaces
• Manage Rating system replacement (build, quote, sell, renewals, endorsements, customer facing)
• Manage New Enrollment/ Eligibility system. New EOB, Billing and COB process. Multiple Vendors.

Confidential, Marshall, MN

Senior IT SAP-BI Consultant - Program/ Project Management

Responsibilities:

• Managed development and implementation of Sales-Distribution forecasting models, portals, processes. SAP-BI SEM, EDI, scorecard, portals, drill down queries. Agile methods, multiple locationsOffshore/ onshore systems development. Maintained an aggressive release schedule.

Confidential, Omaha, NE

IT Program Manager

Responsibilities:

• Health Plan Business Transformation Program to implement (IAA/ IIW) IBM-Insurance Application Architecture/ Insurance Information Warehouse delivery. Structured with the following objectives:
• Managed Program budget ($21M), objectives, vendors, communication, quality and projects. RUP.
• Managed Architecture, Acquisition, and Implementation of new infrastructure for Mainframe replacement projects. Build out included new Testing Center, Configuration Management-ITIL framework, Security/ Application Development frameworks, IBM P-Series, AIX, DB2/UDB, MQ Series, VMWare, Linux, Windows, and WebSphere / J2EE
• Developed Insurance Product Line modeling function (IAA process and technology) for Marketing, Actuary, Underwriting, Rating and Claims. (Build products, rate, quote, sell, manage) HIPAA, X12
• Architected and implemented new Enterprise Data Warehouse, Meta Data, Information Strategy and Data Profiling, Data Governance and Reporting strategy
• Implemented Software Development processes, Procurement, Configuration standards ITIL.

Confidential, St Louis, Mo

Senior IT Management Consultant - Project Manager

Responsibilities:

• Initiated and managed Enterprise Technology Portfolio process improvement
• Liaison for Corporate Systems on strategic use of technology best practices
• Managed Enterprise Implementation of IBM Rational Toolset and Rational Unified Processes including, engineering, brewery operations, travel, parks and hospitality

Confidential, IL

Program Manager/Senior Project Manager - consultant

Responsibilities:

• Managing Consultant State Farm Insurance. Program Management, 75 concurrent revenue generating projects; Team of 16 dedicated State Farm Team leaders, multiple onsite / offshore consulting vendors, approx.. 55,000+ man hours annually, and designed unique program governance. Generated approximately $10m annually. Established Program portfolio and process standards for stakeholder participation, requirements, architecture, environments, data, release schedules, testing, documentation and lessons learned repository. multi-tiered environment
• CRM, Common Billing, PeopleSoft EPM, SAN conversion and Extensive Data Management (conversions, data strategies, ODS, new Data Warehouse, DMs, cubes and metadata). Managed Web redesign and capacity planning for external billing and payment portal, IAA, TQM, PMI-PMBOK, Planview, MS-Project, Agile-Scrum, SEI/CMMI.