Partnered with nonprofit association on a statewide Provider Directory Utility initiative to improve the overall quality of provider data across the healthcare industry. Led implementation activities for strategic clients, providing program and product management leadership, solutions analysis, testing management, and training.Worked with health plan on large-scale enrollment and claims system replacement. Developed detailed cutover plans, including integration of work across all impacted departments. Led the post go-live command center, including development and execution of detailed processes, tracking mechanisms, and dashboard reports. Managed content development for multi-site web redesign project for a large health system. Worked with clinical advisors to develop a comprehensive suite of medical services and associated web content to integrate multiple provider sites into a single structure.Led the Computer-Assisted Coding (CAC) system implementation and other technology optimization efforts in support of ICD-10 for a large health system, which included managing a multi-year project plan and a $25M budget. Led requirements and design, HL7 interface build, testing, and technical cutover of integrated Optum CAC and Epic EHR solution. Performed vendor management activities providing support for initial contracting as well as leading on-going vendor oversight and governance. Also managed Agile development effort to create Epic SmartTools designed to aid physician clinical documentation improvement (CDI) to support ICD-10 specificity requirements.Served as Program Manager for a large integrated healthcare delivery system’s ICD-10 implementation. Activities included performing overall program risk and issues management, executive status reporting, IT application remediation, testing, and cutover planning and execution. Managed the regional command center, including tracking and prioritization of post-cutover issues, reporting, and transition planning.

Managed the planning, development and implementation of projects involving cross-functional teams focused on delivery of new business capabilities.Key Responsibilities and Accomplishments:*Planned and directed project schedules and budgets, implemented business solutions, and interfaced with internal stakeholders and external vendors on technical matters and project status*Managed multiple phase Business Process Outsourcing (BPO) program for membership enrollment processes*Directed all on-shore and offshore vendor implementation activities and internal business process re-engineering, including all business testing activities*Developed and implemented organizational change management and communications plans*Worked with pharmacy vendor to manage and implement operational, data, and reporting compliance requirements for HIPAA 5010 and NCPDP D.0 regulations related to pharmacy claims

Managed Requirements Traceability efforts for company-wide implementation of FACETS software.Key Responsibilities and Accomplishments:*Managed requirements integration and traceability between several projects within a multi-phase and multi-project program*Enhanced requirements traceability process and tool infrastructure to support multiple projects using a consistent standardized traceability model*Developed end-user documentation and trained team members on how to use requirements and business process modeling tools (RequisitePro and Metastorm ProVision)

Led the implementation of departmental operational process improvements in Medical Management and Membership Enrollment departments.Key Responsibilities and Accomplishments:*Responsible for staff management, including hiring, training, and on-going performance evaluations*Managed department budgets and executive reporting*Developed organizational structure, methods and procedures, and training curriculum to initiate a departmental Program Management Office*Managed department project portfolio, including resource and financial monitoring*Provided operational oversight of vendor program to manage high cost radiology utilization*Directed business analysis, design, testing, and implementation of process and systems improvements to streamline membership eligibility and utilization management processes*Managed effort to analyze ROI of vendor program to control physical therapy and chiropractic utilization costs; developed RFPs and facilitated vendor selection activities to compare alternative vendor and in-sourcing programs*Partnered with physician staff members and other stakeholders to gather and analyze data in an effort to target areas for process improvement

Served as the project manager and lead analyst for the implementation of Salesforce.com.Key Responsibilities and Accomplishments:*Led development of business case, defined high level business requirements, developed implementation plans, cost and resource estimates, and project timeline.*Managed all vendor selection activities, including coordination of product demos, customer reference calls, and RFP execution*Managed third party implementation partner in performing detailed requirements analysis and configuration

Worked with internal customers to elicit, analyze, and translate business requirements into technical specifications.Key Responsibilities and Accomplishments:*Responsible for business process design, application configuration, security design, data conversion, testing, and deployment of SAP xRPM and cProjects integrated resource and portfolio management solution*Developed use cases, customer scenarios, reporting mock-ups, and prototypes*Planned, coordinated, and conducted testing*Developed training materials and troubleshooting guides

Held leadership role in software and product development process initiatives, working across multiple organizations to design and implement repeatable business processes and enterprise tools.Key Responsibilities and Accomplishments:*Served as program requirements lead for implementation of enterprise SAP xRPM and cProjects integrated resource and portfolio management solution*Served as business architect on several SDLC methodology improvement efforts focused on requirements management, project estimating, change management, vendor management, testing, and defect management*Led organization through CMMI Level 2 assessment and achieved 100% compliance*Implemented monitoring tools to support tracking availability, performance, and defect management metrics for all web applications