Capable, confident leader with years of strong Project Manager experience including time spent as a Project Team Lead in the health insurance sector. Possess a progressive background with expertise in serving as a Financial Analyst and Data Analyst in hospital, manufacturing and logistic organizations. Skilled in multitasking to complete far more than the minimum required while still performing other duties concurrently. Adept in liaising cross-functionally with other departments, as well as stakeholders, vendors, IT professionals and Business Analysts. Effective in coordinating and managing relationships with project teams and external vendors. Recognized often by supervisors for consistently delivering unmatched partner service. Now in pursuit of Project Manager, Project Lead and Financial Analyst roles that support healthcare organizations in making their processes more streamlined. Seeking opportunities that will offer opportunities for professional growth.

Project Methodologies (Agile, Waterfall) | Software Development Life Cycle (SDLC) | Project Management

Defect tracking tools: MS Project, ALM 12.2 | Medicare Risk Adjustment | HIPAA | Medicare | Medicaid | EDI 837,835,278

Project Estimation | Resource Allocation | Stage Gate Reviews | GAAP | Accounts Receivable/Payable | Bank Reconciliation | P&L

Balance Sheets | NPV | Cash Flow | Financial Modeling | Analytical Skills | Written & Oral Communication | Presentation Skills

Time Management | Organization | Problem Solving | Critical Thinking | SQL | ETL | Cognos Reporting | MS Office | Smart Stream

Oracle Financials | JD Edwards | QuickBooks | Oscar Systems | Qcare Mainframe | Facets | Toad | Cognos Reports

         Headed a series of special projects for EmblemHealth including Medicare, Trizetto, ICD10, ClaimsXten (McKesson), Medicaid Reclamation, Extended 837, MLTC, FIDA and Facets Migration.

         Delivered Cognizant training centered on Qcare System while with EmblemHealth; discussed claims processing, as well as testing methodologies and processes for three months

         Named as a Gold and Silver Achievement Award Winner with EmblemHealth for six consecutive years; earned an excellent ranking in overall performance for two years

         Slashed EmblemHealth costs by 15% through identifying production claims with excessive provider payments

         Volunteered to distribute Emblem Health company caregiver package to the public from 2012 to 2014

         Chosen for a company brand advertisement for the year 2012 and engaged in promoting company business by participating in advertisement such as both on- and off-TV campaigns

         Assisted the Manager for General Health Corporation in budgeting and forecasting, as well as leading operational planning efforts

         Helped Aloca s managerial team in preparing budgets, forecasts and analyses of variances between budgeted and actual results; led timely corrective actions as needed

         Updated prepaid expenses accounts monthly for approximately 250 St. Joseph clients with strong attention to detail

         Determine business needs, develop project approaches and deliver subject matter expertise (SME) by spearheading important meetings with business stakeholders, project teams and external resources

         Create and implement the use of project documents including project charters, plans, communication strategies, budgets, resource allocation plans, RACI charts, as well as L0, L1 and L2 estimates

         Worked in collaboration with business stakeholders, along with IT and service providers, by leading meetings and walkthroughs to assess project needs and progress

         Evaluate project progress for enrollment, customer service, the provider portal, Max MC (prior authorizations), CPF, as well as both hospital and medical claims data

         Manage change requests as project scopes are in need of modification; monitor all project risks to closure using proven risk management tactics and processes

         Lead regular team meetings with QA, IT and vendors to discuss project status, review metrics and deliver status reports to assess potential risks and achieve milestones

         Conduct defect triage meetings to ensure timely repair and tracking of defects; also handle research and analysis for encountered issues in order to provide a solution

         Develop and present weekly project status reports to the Management and Steering Committees

         Update PPMs and secure CAB approvals for production code promotion and support during implementation; also handle post-production monitoring

         Oversee general configuration e.g. edit rules, code sets (ICD9/10 and CPT), fee schedule updates and general policies to ensure accurate yet swift adjudication of claim transactions

         Assess professional provider contracts, payments, membership files/portal, member plan benefits, prior approvals, customer service portals and claims

         Author important documentation for completed projects and upload each in SharePoint

         Offer continued, comprehensive team member coaching and mentoring

         Support business by actively participating in advertisement campaigning and voluntary assignments as directed

         Help the Director prepare external audits as needed

         Prepared bank reconciliation statements and uploaded journal entries using the Oscar system at the close of each month

         Led Structure Validation efforts to ensure both source and target table structure stays the same

         Completed data consistency checks to determine cases of integrity constraint misuse

         Called on SQL from TOAD for data analysis in order to generate and dispense much-needed, useful reports

         Developed daily reports for management review

         Generated invoices, along with sales journal and product cost updates using JD Edwards; used the same program to develop monthly sales and Accounts Receivable/Payable reports for managerial review

         Prepared bank reconciliations using transactions from JD Edwards and Oracle Financials; presented summaries via Excel Pivot Tables

         Also reconciled General Ledger accounts and determined accruals for monthly closings processes

         Prepared both standard and journal entries

Financial Analyst, St. Joseph Health Care, 2004

Staff Accountant, Devi Tax Services, 2003-2004

Master of Accounting/Finance, Osmania University

Intermediate Level, Chartered Accountants of India

Certification, Six Sigma White Belt

Also preparing for Project Management Professional (PMP) credentials