Yyyyyy x. yyyyyy

Senior Management Executive Business Development & Strategy

Healthcare IT ~ Global Portfolio Management ~ Marketing ~ Strategic Planning & Analysis

Project & Program Management ~ Team Collaboration ~ Stakeholder Relations & Communication

         Possess 15+ years experience in portfolio management, business analysis, and implementation of state-of-the-art technologies in healthcare and health information management.

         Substantial project management experience with the ability to identify requirements and facilitate delivery within timeline, scope, quality, and fiscal constraints.

         Adept at leading teams in implementing solutions which advance business growth and competitive positioning.

         Passion for solving global health problems and well-versed in emerging market-focused product development.

         Entrepreneurially-driven, analytical, and skilled at strategic planning, product management, and client relations.

         Expert in SDLC using Agile/Scrum, Waterfall, and Rational Unified Process (RUP).

         Able to guide product concept, scope, commercial timing, and financial analysis to optimize revenue results.

State of Minnesota - DHS, MN, 2015 to 2016

Program Director, MMIS, Health Exchange, HIT IT Operations

         Spearheaded program strategy, planning, design, and implementation for member eligibility and enrollment, CRM, Medicaid modernization, and ACA compliance.

         Leveraged Agile and Waterfall methodologies to optimize development process and efficiency.

         Created and implemented comprehensive project roadmaps, plans, schedules, and work breakdown structures.

         Analyzed current operations encompassing healthcare reform case management, verification, life event management, food, cash and medical assistance, business intelligence, and analytics.

         Steered change management and seamless coordination of user acceptance testing of final IT infrastructure and software deliverables.

IE, HIX, MMIS - DCH, MI, 2013 to 2015

Program Manager

         Provided program management and functional analysis for IE, HIX Managed Care, member eligibility and enrollment, CRM, and ACA compliance projects

         Facilitated Sprint planning meetings and Scrum events, and mentored cross-functional teams in quality improvement and efficiency to promote HIT industry s best practices.

         Supported B2B testing for to ensure rigorous HIPAA compliance surrounding enrollment transactions, payment transactions, and eligibility.

IE/BI, MMIS, KY, 2012

Project Director

         Administered program for HIT-HIX eligibility and enrollment operations, plan management, customer service, communications outreach, financial management, and shopping modules.

         Proficiently defined and delivered program scope for federal data services HUB, SERFF, and HIX enterprises for QHP submissions, approvals, compliance monitoring, certifications, and re-certifications.

NexGen, HP Enterprise Services, PA, 2009 to 2012

Project Manager

         Championed delivery of a next-generation product for healthcare payers with accountability for scope, requirements, use cases, business rules, interfaces, reports, and business process modeling.

Continued ►

Professional Experience continued Yyyyyy x. yyyyyy Page 2 of 2

         Supervised and supported Pharmacy POS - Formulary Development, Pharmacy Pricing, Rebates, Prior Authorization, Prospective Drug Utilization Review, Retro-DUR, and ePrescribing solutions.

         Drove unified efforts across Electronic Data Interchange, Financial, Member, Provider, Prior Authorization, Third-Party Liability, Managed Care, Claims and Pricing, and Program Integrity Management teams.

Web CQI, Fresenius Medical Care, MA, 2007 to 2009

Program Manager

         Guided program management in support of ETL, data warehousing, and business intelligence via benchmarking, data mining, and predictive analytics

         Closely monitored progress of projects, scrutinized variances in cost, quality and schedule, performed extensive statistical analysis, and applied corrective action to achieve desired outcomes.

         Developed and evaluated KPI measurement criteria and oversaw all facets of risk management.

RDC Oversight, Pfizer Global Research and Development, CT, 2005 to 2006

Program Manager

         Ensured and enforced quality control and FDA compliance for Electronic Data Management Systems (EDMS) and electronic signatures.

         In precise alignment with RUP, strategized timely implementation of iterations throughout inception, elaboration, construction and transition.

Moxie Centricity Enterprise, GE Healthcare, UT, 2003 to 2005

Product Manager

         Optimized patient care by achieving fully transparent view of patient data from Electronic Health Records, Personal Health Records, Claims/Encounters, and Regional Health Information Exchanges.

         Masterminded program integration management plan and adopted Agile/Scrum approach to achieve a highly efficient SDLC and stringent adherence to quality parameters.

         Administered recipient portfolio management systems consisting of member diagnosis, matched instructions, prescriptions, enterprise instructions, primary care provider messages, plan management, and medication lists.

Cross Lands, Ace Tech International, India, 2001 to 2003

Product Manager

         Oversaw the complete spectrum of product management for program which monitored customer sales including risk management and mitigation, impact assessments for program changes, stakeholder analysis, and communications with sponsors and stakeholders.

Master s Degree, Health/Health Care Administration/Management, University of New Hampshire

Post-Graduation in IT and Computer Applications, Padmavati University, Tirupati, AP-India

Bachelor of Science, Krishnadevaraya University, Anantapur, AP-India

Health Information Technology, ONC, Community College Consortia, SMCCME, Portland, ME

Business Analysis, RUP, and UML, Spectrasoft Technologies, New York, NY

Biotechnology and Bioinformatics, NH Community Technical College, Stratham, NH

Object-Oriented Technologies, C, C++, C# , SSI Software Inc., Chennai, India

Advanced Computer Technology and Java, C++, UNIX, Bureau of Data Processing and Systems, Mumbai, India

Microsoft Project, IBM Curam HCR, Rational Requisite Pro, Oracle, IBM iLog JRules, Clear Quest, SharePoint, Industry Print, Visio, Caliber RM, HP Quality Center, SAS 8, C#, Enterprise Architect, Oracle Clinical RDC, Telelogic Doors,.Net, ESB, SOAP, XML, HTML, Informatica, Business Objects