Developed Current State Documentation for Saint Mary's Healthplan in order to prepare the plan for implementation of a new claims processing softwareLed SMHP team conversion team from Implementation Planning, Design, Configuration, Development, Testing, through DeploymentPrimary areas of expertise include Member, Employer Group, Premium Billing, and Customer ServiceResponsible for providing consulting services with a range of expertise from software development, implementation process and strategies, project management, and QNXT product configuration

Completed the bachelor level certification program on the QNXT application in 6 months. Became a certified QNXT representativeResponsible for all customers that contract with QCSI for Customer Development Services (CDS) CDS Customers are those that want to fast track the system development cycle for those project that are $150,000.00 or greater Review all enhancement requests, covered under a CDS agreement, for completion, clarity, and relevancy to strategic direction of the product Interface with design and engineering to ensure that enhancements benefit the customer base and are delivered as requested by the customer Act as a liaison with the sales and account executives to ensure that customers requesting special services understand the contract agreement and ensure the smooth transition of all CDS projects Managed all enhancements or updates for the QNXT Utilization and Case Management ModulesResponsible for the integrations of QNXT with a predictive modeling tool Impact Pro 5.0 by Ingenix and a clinical care guidelines product by Milliman Development of business requirements to integrate QNXT with Trizetto's Care Advance Enterprise softwarePrepared a demo environment to show the integration of QNXT with Acom3 a broker commission softwareDeveloped QNXT Core Administration training for Trizetto's sales training using the Solution Selling Model

Management of several large scaled implementation projects throughout the standard project life cycleCoordinating the following project stages: Initiation - contract and scope definition, business requirement gathering, functional and technical specification writing, development, testing, training, installation and post implementation supportManagement of a 12 member core team which included application managers, system analysts, and operation specialists during the implementation of the Diamond 850 claims processing software for United's Michigan and Arizona's health plans Upgraded United's medical records application (Everlink) to support the rapid membership growth for our institutionalized member population. Rolled out this update to over 10 state health plans within a 6 week periodConverted United's Texas Health Plan with over 30,000 members moving from 4 legacy software applications to one single care management application (CareOne) in order to recognize synergy between business unitsConverted United's MN Health Plan with a highly specialized process for care management to a more centralized approach using CareOne.Upgraded United's Florida Health Plan to the original version of CareOne in order to position them for the up coming transition to a new more robust CareOne version in 2006Served as IT implementation project manager for Project Care, installing and supporting the pilot roll out for the New CareOne application. This new application provides support for both institutional and community members and allows United to fully focus on member care rather than technology Instrumental in the design of the Care Management module within the CareOne application. Created assessment and branching logic for the care of nursing home patients by qualified nurse practitioners to enhanced the quality of care and reduce the risk of hospitalization

Coordinated the migration of client applications from Mainframe to UNIX environmentsSuccessful projects included migrating Stonehouse's MONIES application, Innovating Computing's Sure Shipping application, Hazeltine's Accounts Payable and General Ledger applications, USL Capital's Load application, and the Department of Defense's NRDP Payroll applicationProject Management responsibilities included creating and tracking project plans, correspondence with clients, status reporting, account management and resource management Business Management responsibilities included establishing a mechanism for forecasting and tracking resource allocations and revenue for all migration services projectsSupported the sale's effort by conducting Requirement Studies and creating Budget Proposals, Consulting Agreements and Statement of Works for perspective clientsCoordinated and scheduled UniKix customer international training sessions

Established and managed the GTE Data Services - Q/CARE Standard Project Planning StrategyManaged the office automation network system, which links the administrative and technical staff members on a common Local Area NetworkAnalyzed industry trends and maintained understanding of system capabilities to provide users with superior methods for use of Q/CARE productsDirected and established guidelines, policies, and procedures for the development, production and distribution of all written documentation materials including software applications with user and reference manuals, functional specifications, product overviews, contracts and proposals

Designed, organized, wrote and edited accounting software application documentation. Projects completed include: Payroll and Inventory & Order Processing

Managed a 24 hour customer support team for EDS-CUNADATA Inhouse Computer System. Designed and implemented statistical reporting procedures. Installed and converted credit unions to the EDS-CUNADATA inhouse sytem. Coordinated and instructed classes in the following areas, computer operations, teller and manager accounting, load processing, payroll processing and report generator.

Provided technical assistance to physicians on duty, dealing with all types of medical problems with emphasis on laboratory procedures including Hematology, Chemistry, Urinalysis, Blood Gases, and Bacteriology