• As a part of SaaS program, managed entire UI and backend built for the Prescription Drug Event (PDE) project.• Managed new server builds, data migration in EDW, MDM and Reports.• Managed decommission of old Servers and business flows. • Managed multiple Scrum team ceremonies, end to end planning and deployments.• Managed project Goals, Roadmaps, Budgets, Resource planning, Increments, Risks and Impediment Escalation.• Interacted with various teams who use Waterfall or SAFe or Agile framework to align the project goals and deliverables as per the Program Increment. • Managed and coordinated with Clients and Business to facilitate Business Requirement sessions, UAT and Sign off’s. • Provided weekly and monthly reports to the leadership. • Managed end to end program from project inception to closure.

• As a part of EPMO team managed Care Management Program, UX Design, Master Data Management, Data Enrichment and Data Migration.• Managed enhancements to Claims processing system (Edifecs) and EDI transactions (834, 837, 835 and 27X).• Managed firm wide MS Window NT 11 upgrade. • Managed program ceremonies, goals, roadmaps, increments, risks and impediment escalation.• Created and managed SOW, Project Charters, RACI, Project Schedule, Project Cost Reports, Communication Plan and Weekly Status Reports. • Coordinated across multiple squads for handshakes, budgetary tracking, management reporting and project delivery. • Managed and coordinated Internal and External Client communications.• Coached and mentored multiple squads to transition from SDLC to SAFe environment, increase team capacity and make effective decisions.• Managed program in Waterfall and SAFe environment (Hybrid).

• As a part of Biztalk Project, managed data migration, cloud computing and server decommission/migration projects for multiple clients. • As a part of Azure Migration, managed migration of Member Portal, Enrollment, Billing and Claims sites, EDI transactions for multiple clients from Sunguard to Azure which included sunsetting of Sunguard (legacy Servers/DB) building of new Servers, Databases and API’s. • Managed Regulatory and Compliance project with digital enhancements to Member Portal, Client Portal and EDI transaction for multiple clients. • Managed Data Governance, Data Warehouse, Data Lake, Reporting and Analytics projects.• Managed program goals, roadmaps, increments, risks and impediment escalation.• Coordinated across multiple squads for risk monitoring, handshakes, budgetary tracking, management reporting and program delivery.• Managed and coordinated Internal and External Client/Vendor communications.• Coached and mentored multiple squads to transition from SDLC and Agile to SAFe environment, increase team capacity and make effective decisions.• Managed program in Waterfall, Agile and SAFe environment.

• Managed big data, cloud computing and regulatory and compliance projects by creating a platform for ingesting data, analyzing the data, storing it in foundational data lake upon which different organizational areas can access, report, and modify data within their own data “sandboxes”. • Consistently allocated to projects of high criticality (defined as any project at risk of failure) to facilitate project teams by helping them to finalize varying scope and conflict, operate more independently based on enterprise strategy, and ultimately deliver. • Manage project roadmaps that document key milestones, timelines, and areas of risk across a given portfolio of projects implemented in competing methodologies (Agile vs Waterfall) simultaneously.• Coordinate across multi-disciplinary teams with a key focus on program delivery, risk monitoring, scope management, budgetary tracking and management reporting.• Accountable for onboarding new IT vendors on portfolio projects including training based on application runbooks, DevOps procedures, code repository management, and operational processes.• Responsible for the end to end delivery of Office 365 implementation including Online Services enablement, content and data migration.

• Accountable for portfolio of projects including Affordable Care Act compliant medical and dental product implementations, advanced analytical reporting for CRM, and implementation of PPO Payment reforms program in alignment with other national Blue Cross plans. • Managed a high-visibility cross functional team to implement an ACA compliant Reinsurance and CSR modules based on CMS and Department of Health and Human Services (HHS) guidance.• Responsible for monitoring deliverables of multiple vendors involved in replacing legacy data import and extract mechanism as part of BCBSMA NASCO implementation.• Managed enterprise source to target mapping documents including transformations required for EDI transactions (837I, 837P, 834, 277/278, 820, and 999) complying to both ICD10 and 5010.• Led program to create a Wellness data mart that would serve internal and external data and analytical needs as part of Cerner implementation.

The scope of the project was to redesign UI of My Active Health portal to make it more user friendly and interactive for the members.Responsibilities:• Interacted with business and SME’s through JAD session meetings to gather requirements and performed gap analysis for front-end UI redesign.• Using Webtrends application analyzed unique member online behavior on the portal• Created Use case Diagrams, Process flow Diagrams, Activity Diagrams, Wireframe Diagrams and conducted Use-Case reviews, leading to improvements/enhancements in the same.• Documented BRD and FRD for detailing multiple functionalities of member facing portal.• Created and maintained Requirements Traceability Matrix (RTM) and Issue tracker.• Assisted the QA team throughout the testing Phase right from Unit testing to E2E testing.• Was responsible for building training materials and training the team members with the new redesigned portal.• Was responsible for assisting development and QA team to resolve production support L3 tickets created in MantisBT and Remedy an incident management application.• Ran SQL queries on Aqua data application to retrieve member info required to resolve member related L3 production tickets.• Was responsible for projects scheduled for bi-weekly and quarterly releases.• Followed the Waterfall methodology for the entire SDLC. Additional project• Gathered business requirements and document BRD for Wellness project.• Developed Use case diagrams and Use cases for the end to end process for Wellness project.• Performed mapping for ICD9 codes present in NC Blacklist and identified corresponding ICD10 codes.

The scope of the project was to develop system which would allow ValueOptions, to send and receive Member, Provider, Accumulators and Claims data to various behavioral health providers who would provide services to ValueOptions members on behalf of ValueOptions.Responsibilities:• Reviewed ValueOptions existing documents to understand the gaps in their As-Is ETL process for Member, Provider and Claim Extracts and design a strategy for process integration and enhancements.• Facilitated JAD sessions to collect requirements from Business and Stake Holders. • Created Crosswalk tables on the ValueOptions CAS application (AS400 System) to define Error Codes.• Defined Include and Exclude logic for the Extract files (Extract Process).• Created the Mapping documents for EDI 837I, 837P, 834, 277 and 999 according to ICD10 and 5010 standards with editing rules for the developers to develop the transformation process (Transformation Process).• Ran basic PL/ SQL queries on CAS application to retrieve information.• Defined a standard, static file naming convention and Set-Up Scheduler and Run sheet for the Extract job to run on CAS application and Push the Extract file to FileConnect.(Load Process)• Created Process flow Diagrams for Member, Provider and Claim Extracts on MS Visio.• Created Functional Design Document for Member, Provider and Claim Extract Files.• Created Wireframe Diagrams for a New Web Application for filtering and viewing Extract file Error Reports.• Was responsible for Level 2 functional web testing for the New Web Application and tracked issues and bugs that were detected.• Updated the status of existing issues in the defect log based on the meetings with the QA team.

Involved in the End to End migration process for building the system interactions between BCBSMA and Benefitfocus so that BCBSMA could successfully receive EDI 834’s from Benefitfocus and add subscribers and its dependent’s in Real Time Member System (RTMS) and generate their Health plan ID Cards.Responsibilities:• Reviewed BCBSMA’s existing documents to understand the gaps in their As-Is process and design a strategy for process migration.• Worked with the Project Manager on various Project Management activities like keeping track of Project Status, Action Items and Deadlines.• Was responsible for creating and maintaining Product and Sprint Backlogs.• Facilitated JAD sessions to collect requirements from product owners and prepared user stories that provided appropriate scope of work to technical team to develop prototype and overall system for subscriber enrollment, claims and billing (EDI 834/837/835).• Documented User Stories, Use Cases and FSD and created Wireframe diagrams for defining and detailing multiple functionalities of the new application.• Coordinated with the IT team and Product Owners to Reviews and Sign Off documents.• Was responsible for coordinating with Edifices and Benefitfocus (external) teams to track system issues based on EDI-834/835/837, HIPAA and business validation rules and resolved them.• Was responsible for E2E data mapping from source to destination. i.e. Benefitfocus (Source) to Real Time Member System (RTMS) (Destination).• Was responsible to track and resolve issues and bugs that were detected while performing Functional web testing by me.• Updated the status of existing issues in the defect log based on the daily meetings with the QA team.

Involved in the development of the new intranet Help desk application and migrated the legacy system to the new system.Responsibilities:• Interface effectively with business, technical staff and SME’s of the various applications to gain an understanding of the current process.• Facilitated JAD and Brainstorming sessions with the IS team and other stake holders to gather Functional and UI requirements. • Created Use case Diagrams, Process flow Diagrams, Activity Diagrams, Wireframe Diagrams and conducted Use-Case reviews and identified gaps, leading to improvements/enhancements in the same.• Defined and validated the multi-tiered approval process. • Worked with the Project Manager on various Project Management activities like keeping track of Project Status, Action Items, Deadlines, Environment Request, and Compliance Issues.• Developed Business Requirement Documentation, Functional Specification Documentation and Test Plan.• Was responsible for performing research for the 3rd party COTS products available which would meet the requirements with the 80/20 rule.• Was responsible for interacting and coordinating with the external vendors and facilitating demos for the entire IT team and Stake holders.• Performed SWOT analysis and cost/benefit analysis for all the COTS products and gave presentation to the Stake Holders.• Was responsible for reviewing and approving the test cases prepared by QA team based on the FSD.• Assisted the QA team throughout the testing Phase right from Unit testing to E2E testing.• Was responsible for building training materials and training the team members with the new application.

Building a sustainable plug-n-play model for all software publishers to participate and distribute their ESD products and services online through Staples website and be able to send and receive EDI 850 and EDI 810 was one of the key goals of this project.Responsibilities:• Interfaced effectively with business, technical staff and SMEs of the various applications to gain an understanding of the E-Commerce business and process flow and available functionality of the individual E-Commerce applications and subsequently document and support requirements clarifications. • Facilitated JAD sessions to collect requirements from Business Users, External Partners and other potential users of the application and prepared Project Requirement Document (PRD) that provided appropriate scope of work for technical team to develop prototype and overall system.• Identified processes for developing and documenting detailed business requirements including Business process reengineering, data flow analysis and modeling. • Conducted Use-Case reviews and identified gaps, leading to improvements/enhancements in Online E-Commerce Sales Order Processing system and Customer Relationship Management System (CRM). • Ensured Use-Cases were consistent and covered all aspects of the Requirements document. • Was responsible for data dictionary maintenance and development, data mapping from source to destination to meet various needs of internal and external customers including Ancillary apps, EDI Configuration, Reports etc.• Was responsible for reviewing and approving the test cases prepared by QA team based on the PRD.• Assisted the QA team throughout the testing Phase right from Unit testing to E2E testing.• Was responsible for building training materials and training the team members with Business process. • Was responsible for tracking issues that are detected and updating the status of existing issues based on the daily meetings with the off-shore team.

The project was to functionally enhance the Online Retail Banking Bill Pay portal, Credit Card and Back Office System.

The project was to enhance the system to generate and create various reports for various departments and teams based on Revenue and Billing cycle.

The project was to develop a subscription-based information sharing solution with the use of IBM FileNet Initiate Exchange where health information would be securely shared between UMass Memorial and community providers

The project was to upgrade a GMI real-time online trading system with integrated trade window to get market quote and place an order fast. By utilizing Fast Lane’s dynamic charting capabilities, the traders could analyze and determine the market direction.

The project was to build a system application for Long Term Care insurance on FileNet to enable client directory which involved collecting client history including procedure code, diagnosis code, deductibles and co-pay to report it to the claim coordinator for claim processing.