Frank Kucera Pmp®, 6 Sigma Gb, Itil®, Jiva™, Cissp, Mscs, Crps Email & Phone Number

Consulting engagements:- Program Manager for VA Community Care Network Program at Triwest Health Alliance- Senior Project Manager – ZeOmega / Jiva Population Health Project at Presbyterian Health System- Senior Project Manager – Informatica / Tableau Data Visualization Project at Phoebe Putney Health System- Testing Program Manager at Blue Cross Blue.

Phoenix, AZ, US

Program Manager for the build and implementation of the U.S. Department of Veterans Affairs (VA) TriWest Healthcare Alliance contract to administer VA's Community Care Network (CCN) for the 13 state Region 4 territory. Under the CCN contract, TriWest will be responsible for building and maintaining a network of community health care providers, paying.

• Contracted through McCormack Consultants. I successfully built a ZeOmega project plan with 1,824 tasks to guide the project to success.
• Created a Jiva Project Communication Plan for the Technical Team.
• Ideated and implemented Agile Daily SCRUM process for the Jiva Technical Team.
• Instigated “Just in Time” project & RAID management concept that categorized meeting minutes and populated the project plan and RAID log at the end of each meeting.
• Planned and Facilitated ZeOmega Jiva Data & Analytics Executive Subcommittee and the associated Business and Technical Work Groups.
• Planned and Facilitated ZeOmega Jiva Data Migration Executive Subcommittee and the associated Business and Technical Work Groups.

US

• Contracted through HighPoint Solutions Inc. I successfully project managed the startup of an Informatica / Tableau installation and creation of Tableau dashboards.
• Created a project plan for the planning and execution of installation of Informatica, Power Center, Power Exchange, Informatica Data Quality and Tableau and the creation of Tableau dashboards.
• Custom built a Risk Log, Action Item List, Issues List and Decisions Log.
• Worked with the customer to compete team on-boarding activities: local systems access, badges, build of project SharePoint site, etc.
• Created a risk analysis of installation report and presented it to the HighPoint Project Practice Lead.
• Built a customized meeting minute’s template, weekly status report template and stakeholder list for both Phoebe Putney and HighPoint.

Detroit, Michigan, US

• Contracted through HighPoint Solutions Inc. I successfully program managed multiple projects for the Senior Director of the Information Technology Testing Office.
• Led a team to Six Sigma Lean Process Mapping of all Base Support Testing Applications identifying: automation opportunities, redundancy, duplication, decision points, delays, re-work loops, PHI audit ability, inclusion.
• Led teams to identify requirements to modify work flow systems for the intake of testing requests from the business for Performance Testing and Testing Data Requests.
• Utilized Lean DMAIC techniques to guide a team of 12 managers and directors through a highly collaborative process to optimize and manage resource capacity and efficiency in BCBSM’s Information Technology Electronic.
• Collaboratively custom designed and populated a Skills Assessment Tool to collect all relevant employee titles, skills, technology platforms, business knowledge, systems knowledge, etc. across 6 IT EDI departments.
• Expertly led management team to create standardized departmental process flow diagrams including HIPAA Transactions and departmental work drivers.

Grand Rapids, MI, US

• Priority Health is a $2.18 billion a year health insurance company serving over 715,000 members and processing claims with Trizetto FACETS.
• Worked with the project team and constructed a 396 task project plan that included the synchronization of data across VITAL, Clear Coverage Outpatient and FACETS Development and Test environments while executing.
• Project plan included the upgrade of the VITAL UM system and the installation of the Clear Coverage system and integration of the VITAL UM, Clear Coverage and Trizetto FACETS systems to provide automated Authorizations.
• Crafted a detailed Scope Document for the installation of Clear Coverage Inpatient system.
• Actively participated on an Agile team managing the development and unit testing of over 49 interfaces between VITAL, Clear Coverage, FACETS and AIM systems.
• Using PMI standards constructed a project Risk Register and Issues Log.

• Blue Cross Blue Shield of Michigan is a $23 billion a year health insurance company serving 4.5 million members in Michigan and 1.5 million members in other states, with a network of 153 hospitals and more than 30,000.
• Contracted as a Senior Manager through HighPoint Solutions to BCBS Michigan as ICD-10 Program Manager.
• Successfully program managed multiple business and technical teams to complete a 7-year, $43,000,000 ICD-10 remediation effort.
• Managed the ICD-10 testing of 57 external vendor systems, 27 internal mainframe systems and 21 internal distributed application systems.
• Successfully completed full ICD-10 end to end testing with 98 major hospital facilities.
• Completed ICD-10 remediation across 41 Blue Cross Blue Shield of Michigan departments.

Nashville, TN, US

• Program Manager / Project Manager the implementations of the Emdeon Virtual Credit Card product for the largest revenue potential Emdeon customers.
• Managing client issue resolution for Emdeon products: Virtual Credit Card (VCC), Electronic Funds Transfer (EFT), Explanation of Benefits (EOB) and Print.
• Introduced RAID (Risks, Assumptions, Issues and Dependencies) process.
• Built implementation plans for project, development, testing, go-live and post implementation monitoring and support.
• Utilized Six Sigma DMAIC methodology to deliver business process improvement for implementations.

• Completed an ICD-10 impact assessment across 48 departments at Blue Cross of Idaho Health Plan utilizing custom designed data collection tools.
• Reconstituted the ICD-10 Executive Steering Committee and the ICD-10 Core Team.
• Modified and got executive approval of the ICD-10 project charter and scope.
• Built an ICD-10 detailed project plan.
• Designed a project team strategy utilizing program, workgroup and functional level teams.
• Built 17 project teams with team leads and subject matter experts from IS and the business utilizing over 100 internal employees.

• Superfood Inc.: A dynamic Internet Marketing firm specializing in the sale of Superfoods to the public through a highly specialized website.
• Managing all corporate projects (PMO) and providing project management when needed.
• Dynamically leading a project team in a startup Internet Marketing Company to create an IT strategy leveraging cloud server hosting, WIFI, Google Apps, Google Webmaster tools, Magento e-commerce and extensions, MySQL.
• Monitoring and managing all IT systems and infrastructure.Lovelace Health Plan: Owned by Ardent Health systems and offers Commercial, Medicaid and Medicare health insurance to over 200,000 members in New Mexico. Ardent.
• Worked with the COO to establish a new PMO for Lovelace.
• Program Manager for a major corporate project to expand Lovelace Medicare product into Oklahoma that involved the creation of a project plan and coordination of 21 Lovelace internal departments.

White Plains, NY, US

• Universal American is a family of 15 insurance companies providing Life, Annuity, Medicare Advantage, Medicare Part D and HMO health plan coverage, traditional insurance products and Third Party Administration Services.
• Project managed corporate team of 60 professionals to successfully complete major IT project to support the sale of one of our companies for $130 million which involved 10 months, over 12,000 labor hours and teams from.
• Successfully lead multiple project teams to convert 3 purchased companies from their 6 General Ledger and Accounts Payable systems to a single common G/L and AP system in 18 months, requiring over 40,000 labor hours.
• Conceived and executed strategic and project plans for application systems for conversions / upgrades / enhancements / daily production / new product introductions, Web, and special corporate projects driving.
• Spearheaded project management, application development, reporting, and daily system operations to provide policy administration, commission payment, claims payment, G/L, Accounts Payable, Profit and Loss, Reinsurance.
• Left UAC due to sale of my division (CHCS) to offshore India company.

Virginia Beach, Virginia, US

• Amerigroup Corporation provides Medicaid and Medicare services in Florida, Georgia, Illinois, Maryland, New York, New Jersey, Ohio, Texas, Virginia and the District of Columbia to over 1,000,000 members using a network.
• Managed a Conversion Project of over 500 databases, reports and data extracts converted from the AMISYS to the Facets system platforms requiring over 5,000 hours of labor.
• Project managed a system development project that created a security application to monitor and report security across AMISYS, TXEN, Facets and multiple databases to ensure appropriate user profiles and security.
• Lead a project team to custom develop a workflow system to manage the Quality Control
• Created and managed multiple project plans and resources to support 22 projects across Health Plan Services Division including custom developed applications for provider and claims tracking.
• Increased the productivity of the Claims Division by 35% by spearheading a project to identify and document the poor on-line system response time which led to an upgrade of the AMISYS system with drastic increase of.

Temple, Texas, US

• The Scott & White Health System (7,700 employees, $700 million) includes a hospital, 14 clinics and a Medicare HMO with 187,000 members.Responsible for all information technology delivery including: project management.
• Directed 47 PMO corporate projects to include detailed project plans and executive reporting to be within budget and on schedule.
• Successfully managed $16 million dollar budget.
• Project managed a project that built the Corporate Data Warehouse using MS SQL.
• Managed the PMO that built and launched our corporate web site using IBM Websphere and IBM Interwoven.
• Directed successful project to do a major upgrade of our core business system.

US

• The Sierra family of companies ($1.2 billion, 4,000 employees, 1.1 million members) includes: health maintenance organizations, 18 clinics, health and life indemnity insurance, behavioral healthcare services, workers'.
• Directed 24 major corporate projects through my Project Management Office to be within budget and on schedule.
• Spearheaded major project to custom development a Home Health and Hospice application to provide management of clinical systems (IDX) to support 18 clinics and a 120-physician group.
• Managed projects for major system upgrades of ERISCO FACETS, MACESS and ORACLE FINANCIALS (HR, payroll and materials management) Systems.
• Successfully completed $39 million conversion project from Trident to ERISCO FACETS for 320,000-member HMO.
• Managed Offshore India team of 2 Program Managers, 6 project managers and over 150 programmers.

• Health Central Inc. was a Health Maintenance Organization owned by 5 major Pennsylvania hospitals providing managed care for 80,000 commercial, Medicare and Medicaid HMO members in central Pennsylvania.Directed all.
• Successfully managed a project to upgrade all HP mainframe systems.
• Conceived and executed a pended claims study/project that saved $300K annually.
• Lead a project to customize over 600 AMISYS reports for claims, member services, medical management and finance.
• Y2K Project leader for project creation and execution across entire company.
• Managed projects to implement Net Wizard application push technology, Citrix Winframe remote communications, GEOACCESS, Goldmine prospect management.

• FamilyPlus Health Maintenance Organization was a wholly owned subsidiary of Eggleston Children’s Hospital providing health insurance for 70,000 commercial and Medicaid HMO members throughout Georgia.Hired and directed.
• Managed projects to install and manage Corporate systems for: electronic claims processing, electronic eligibility for physicians, claims and enrollment form imaging, interactive voice response, internet system.
• Successfully managed projects to deliver the custom programming of interfaces / reports / system extensions, “work from home” laptop environment.
• Directed Year 2000 project team across the entire corporation.
• Directed a project for the selection of new HMO and telephony systems, design of remote corporate offices including PC networks and telephony systems.
• Conceived and directed a re-engineering project for corporate wide “new group process”, Provider File Maintenance and Physician Credentialing.

Armonk, New York, NY, US

• International Product Manager, Austin, TX (1992 – 1994)Directed 27 international (Europe, Middle East and Africa) Product Managers to envision, plan, build and deliver advanced Client Server software in the areas of.
• Lead Technical Consultant for IBM Sales, Atlanta, GA (1988 – 1992)Technically consulted on complex system scenarios involving Client/Server, Open Systems, Networking, Training, Mainframes, AS/400s, RS/6000s, PCs, HP.
• IBM Client/Server Product Planner, Austin, TX (1988)Architected and economically justified UNIX and Client/Server compiler, communications and database software products for the IBM RS/6000.
• Mainframe Sales Representative, Austin, TX (1985 – 1987)Sold IBM software solutions and systems (3090, 43XX, 9370, S/38, S/36, Series/1, Datamaster and PCs), communications controllers (3274, 3745), printers and LANs.
• IBM Mainframe Systems Engineer, Austin, TX (1982 – 1984) Evaluated, configured, recommended and installed 14 mainframes running DOS/VSE, VM and MVS in one year.
• IBM Programmer, Austin, TX (1979 – 1981) Installed, modified and documented financial applications under MVS and VM operating systems using PL/1, Assembler, COBOL, FORTRAN, and APL programming languages.

Jiva Technical Certification, Zeomega Jiva - Population Management

Cissp Training Certificate - 40 Hour Boot Camp, Cyber Security

Masters Degree, Computer Science

Bachelor Of Science, Accounting

Master Of Science - Ms, Computer Science

Associate Of Science, Business Administration

Certified Recovery Peer Specialist, Addiction Prevention And Treatment

Master Certificate In Cyber Security And Information Assurance Management, Cyber Security, Project Management And It Service Management

Itil Certification

Ms Project 2010 Training - Level 1

Ms Project 2010 Training - Level 2

Project Management Professional Training Certificate 2/17/12, Information Technology Project Management - 40 Hour Classroom

Itil Training Certificate

Project Management Fundamentals Training