Sr. / Project Manager/ Director or Program Manager Resume

Title
Sr. / Project Manager/ Director or Program Manager

Primary Skills
To secure a senior level project management position that leverages my skills...

Location
US-PA-West Chester

Posted
Dec-03-08



SUMMARY

Senior level Project Management Professional with extensive experience in PMO and Program Management. Highly skilled in developing framework and methodology to position PMO as a consultative value-added service. Proven track record of successfully managing a wide variety of large-scale strategic and tactical projects including Marketing, Operations, Finance and Information Technology in both regulated and deregulated markets. Confident, results-driven leader with exceptional communication and interpersonal skills committed to collaboration and continuous improvement with end goal of excellence and the delivery of high quality work.

Strategic Planning Portfolio Management
Strategic Alliances Third Party Vendors
System Design & Development Integration


PROFESSIONAL EXPERIENCE

UNITED HEALTH GROUP, Fort Washington, PA: 2005 - 2008
Senior Project Manager, Ovations Insurance Solutions PMO
Managed large scale strategic and tactical projects and managed team of five Project Managers and two Project Analysts. Developed PMO standards, templates, methodology and performance appraisal criteria.
Responsible for portfolio management, resource allocation, financial and status reporting.

* Successfully managed post-acquisition integration of 4.5M Part D EOBs from two external vendors to a subsidiary resulting in savings of $600K per month.
* Managed Finance project to correct Part D reporting of $4 Billion in revenue for Sarbanes-Oxley compliance.
* Implemented product expansion for Medicare Advantage Plans to include prescription benefits in 32 states and 2 US territories.
* Launched 837I EDI implementation resulting in HIPAA compliance and streamlined Medicare claims processing.
* Set up and deployed new call center including systems, processes and training to accommodate CMS request to serve 12,000 new members in six weeks.
* Program managed rebranding of all member materials (enrollment, billing, claims, appeals, training, customer service, call routing) as part of strategic alliance with AARP for four lines of business on four legacy applications.
* Program managed reengineering of $600M Billing Operation related to Financial Management, Employer Group business and Productivity Tracking.
* Managed all aspects of Billing and Employer Group Operations to migrate 1.6M members to an integrated front end policy administration application and three banks resulting in 35% increased automation and 50% reduction in required FTE's.
* Active participant in Project Steering Committee and PMO/IT bi-weekly meetings.






INDEPENDENCE BLUE CROSS, 1700 Market St., Phila., PA 19103 2002 - 2005
Manager, Claims System Development and Support (2004 - 2005)
Managed Systems and UAT cross-functional test teams and team of nine direct reports.
* Responsible for testing strategies, detailed project plans, robust test plans, and accurate / timely metrics for related to data conversions for claims processing system, an object-oriented application on AS400 platform.

Sr. Business Systems Analyst, AmeriHealth Data Mgmt and Business Support (2002-2004)
Project Lead with dotted line to VP.
* Successfully managed development of Claims Adjustment Inventory Management System. Gathered business and system requirements, designed reports, developed training manuals.
* Defined business requirements, developed process improvements and designed database resulting in 35% increased first pass auto-adjudication rate.
* Owner of business process mapping initiative for all AmeriHealth lines of business.
* Designed and launched Operations Intranet site.
* Received Leadership Award, Oct 2002.

EXELON ENERGY, 2301 Market St., Phila., PA 19101 1992 - 2001
HEFA Analyst, Massachusetts Operations (2000 - 2001)
Managed $30M contract to sell electric supply to MA Health and Educational Facilities Authority.
* Reduced billing cycle time by 50%, reduced staffing levels 25%, reduced aged payables 87%.

Business Analyst, Customer Service and Billing Operations (1997 - 2000)
Project Lead for departmental initiatives during deregulation.
* Managed front-end operations for residential/small business segments and distribution channels in Pennsylvania's deregulated energy market acquiring 120,000 customers in three months, including new programs and promotions.
* Forecasted budget and performed variance analysis for six operational departments totaling $6 Million.
* Recruited to participate in large scale strategic planning initiatives to develop new strategic architecture to address impact of electric deregulation and for HR Business Process Redesign.
* Facilitated group workshops to determine core competencies that could be enhanced to establish competitive advantage. Researched potential opportunities related to smart technology and customized products and services.
* Planning Committee Member of HR Business Process Redesign to develop new mission/vision statements and identify opportunities to automate and outsource various functions.

EDUCATION
Bachelor of Science, Business Management
Rosemont College, Rosemont PA

Project Management Certification
Penn State University, Great Valley PA

TECHNICAL SKILLS
MS Project, Visio, SharePoint, WebEx, Word, Excel, PowerPoint, Access, Outlook, Lotus Notes

AFFILIATIONS
Project Management Institute (PMI)
PMI, Delaware Valley Chapter (PMIDVC)

Certifications
See above


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