Professional Profile

Senior Technical Project/Program Manager Consultant generating increasingly responsible results through team leadership in financial, insurance, healthcare, pharmaceutical and e-commerce B2B/B2C . Strengths include getting things done by influencing and negotiating the most efficient use of resources, processes, tools, and technology. Built a reputation as a leader with a positive management style that creates and manages project directives at the enterprise level and providing detailed project insight to senior level management. Well versed in managing direct reports including junior level Project Managers, Project Specialists and Business Analysts. A strong advocate for adherence to SDLC guidelines using PMP, SCRUM and Six Sigma problem-solving skills. Maintaining a structured approach to project management techniques for maintaining timelines, budgets, risks and issues escalation and mitigation. Specialties include:

• Enterprise Project / Program Management
• Client Management Ecomm, RFI, RFP
• Business Relationship Management
• CRM Cloud experience Salesforce.com
• SDLC, Agile Waterfall DMAIC
• SAP Intelligent Business Suite

Professional Experience

Confidential

Senior Project Manager

• Additionally managed the implementation of multiple, complex, concurrent projects to support the implementation and expansion of Medicare TPA products. Ensured regulatory compliance and coordinated communication and reporting to multiple clients, state liaisons and internal management. Implemented new accounts and managed administrative contract services for five Medicaid plans in five states.
• Led multiple projects and project teams to align IBC with new Healthcare Reform mandates. Acted as lead senior level PM on numerous projects, with strict oversight on timelines, budgets, resources and risk/issues mitigation. Project budgets spanned from 200K at the low end to 12.5M dollars for the ICD-10 remediation. Led efforts to organize, develop and implement EHR as per CMS guidelines to develop relationships between clinicians and subscribers for long term evaluations while within the Blue Cross coverage umbrella
• Blue Core Data Migration effort IBC to Highmark Systems: A four year engagement to ensure transition of compatible data data and data ware houses for the complete migration from IBC to Himark's systems by 2016. These include Data from multiple sources both current and legacy in nature. Efforts included ibut not limited to the following: Claims Data Migration, Data Mapping, Enterprise Application Integration, Schema Matching
• Electronic Health Records EHR Co-Led efforts to upgrade IBC's extensive EHR records based on CMS guidelines. This was and remains an ongoing effort to develop long term relationship between IBC, its clinicians and subscribers to ascertain patient medical information while part of the IBC coverage umbrella. These measures were adopted to effectively reduce costs through elimination of errors and duplications while providing accurate and updated patient files to providers and healthcare professionals
• ICD-10 remediation of diagnosis codes. A strategic plan was developed to incorporate a cross-walk approach to reduce cost and build out of a data and pricing repository. Provider and vendor testing was included in our efforts. A business team was also deployed to provide mapping requirements from older ICD-9 codes to the new I-10 requirements. Project concluded within a15 month period and delivered March of 2014.
• Women's Preventative Health Service. Agile project geared to provide contraceptive coverage to female subscribers and dependents working within religious organizations. This project involved detail planning and working in sprints lasting 4 weeks to provide POC. This project included working in concert with legal teams to identify policy based requirements. Multiple business units including Card Services, Pharmacy teams and enrollment groups were identified to participate in sprints and privide support in prototype testing and deployment Project completed and was successfully delivered on time and budget in December 2013.
• Out of Pocket Expense. Agile Based methodology focused on TDD Test Driven Development for re coded and re engineered applications designed to handle new federal requirements for subscriber out of pocket expenditure. Project was delivered on time and budget in December 2013.

Confidential

Enterprise Project Manager

• Led full life cycle interdisciplinary project team through due diligence, scope development and implementation of multiyear ICD10 initiative designed to achieve alignment with federal and operational requirements.
• Delivered multiple projects in an accelerated timeframe using a Latticed Framework Approach encompassing and prioritizing the full spectrum of Analysts, Developers, Testers, Web Integrators and Cigna Information Protection resources.
• Project Managed Salesforce.com implementation from Discovery through release to Production
• Managed a steady stream of quantitative Business deliverables in a manner aligning with departmental yearly objectives. These include Contracts products essential to Open Enrollment ,Voluntary Medical Underwriting Platforms MUP 2.3 critical for 1/1 readiness.
• FDS- Financial Data Systems An Agile based project approach utilizing various groups from Business Stakeholders to Architectural envisioning, Development and testing to produce a TDD Test Driven Development results in predefined sprints using iterative modeling
• Represented Group Insurance in Release Planning at enterprise planning board. This key position within Cigna's Group IT ensured the successful delivery of an expanded 50M Dollar annual portfolio which included large strategic initiatives that better position the organization for market growth by improving on internal and external dependencies.

Confidential

Senior Project Manager Consultant

Project managed

• 3M dollar VoIP implementation including 40 satellite offices utilizing Cisco Unified Communications Manager CUCM , Unity Connection, Cisco Call Center and Cisco Presence
• Salesforce.com implementation for 1000 employees
• Vendor Evaluations on route to a signed agreements

Confidential

Senior Project Manager

HP PPM HP QC Integration

• Developed Best Practices Methodologies for IT and PMO. Designed, developed, tested implemented findings using project controls available through HP's PPM within Test Director on route to full interoperability with HP's Quality Center
• Release Management Group. Interacted with DBA's and other Functional Area members and Manager's to accurately package quarterly software releases. Weekly reporting and metrics on planned versus Add/Drop. Communicated with Infrastructure group to determine appropriate maintenance windows for any changes. Part custodian of the CMR Change Control Database for migration of development initiatives to Production
• Strohl's acquisition by SunGard leveraged the company's ability to offer state of the art software such as LDRPS for bundling into contract offerings and required the convergence of Strohl systems accounting and billing functionality operating on a legacy system to become part of SunGard's Enterprise Oracle Applications. Sales systems migration for both domestic and International sales also required transitioning.

Confidential

Senior Program Manager

• SAP Business partnership in an effort to streamline all Supply Chain activities through a single application
• Autoship Application interface provides the capability to ship generic drugs coming off FDA patents to over 22,500 pharmacies through-out the US in an effective and timely manner from national distribution and replenishment centers while maintaining costing and allocation criteria.
• Project leadership for EDI Stabilization and Remediation project.
• Process improvement for Metastorm ticketing assignments involving Direct, FTP and SFTP request
• VAN consolidation efforts for 400 trading partners migrating from Sterling to GXS carriers.