Jim Coleman Email & Phone Number

Englishtown, NJ, US

• Responsible for leading end to end cross business domain strategic initiatives and small system changes to align toEnterprise strategy and prevent current system implementation collisions.
• Introduced/ implemented and manages the End to End Initiation process that is utilized to support thedevelopment, planning and implementation over 50+ integrated holistic solutions and process improvementsacross.
• Implemented automated Product Repository removing dependency on manual benefit plan creation, validation,maintenance.
• Integrated automated sales platforms(Quote-Sale/Renewal) with plan modification, document creation, productconfiguration and digital member service integrations. utilizing product promotion through rule-based.
• Performed Organizational Mandate (Local and Federal) compliance assessment and provide implementationcapabilities to become compliant.

Manalapan, New Jersey, United States

Responsible for leading end to end multi-state, multi-function, multi-year modular product strategy initiatives supporting the development, implementation and ongoing management of multiple external client facing programs utilizing Agile methodology.- Developed, Planned and Implemented over 1000+ integrated holistic solution design across multiple.

Howell NJ - Offsite Professional Worker (OPW)

• Managed Projects of Records (POR) through the Initiation process by coordinate the collection and agreement of a Project’s scope, high level design and estimated cost across all systems impacted.
• Lead Project ALPHA through initiation, which included the coordination of over 160 systems, within the first month of joining the team I was able to.
• Presents project findings to all level of Anthem leadership on initiation outcomes, highest level being a Plan President on the business side and Vice President of IT
• Constantly provides feedback to improve and make processes more efficient
• Performed process analysis and presented a new mechanism to allow both Business and IT to pinpoint where an issue may exist decreasing time to resolution
• Exposed to every Anthem business domain (Provider & Network Management, Product, Pricing & Underwriting, Marketing, Sales, Care Management, Claims Management, Member & Employer Servicing, Shared Business Functions) and.

Howell, NJ Offsite Professional Worker (OPW)

• Responsible for leading the development, implementation and ongoing management of requirements related to Anthem’s private exchange vendors for National and Local accounts. Accomplishments:
• Developed a process to manage over 1900 requirements spanning 134 systems and all Anthem Business processes to implement Anthem’s private exchange solution for 4 Vendors (AON, Mercer, Towers and BUCK Right OPT).
• Identify business processes gaps and system gaps through the development of toolset that o Compared DAD (Discovery Architectural Documents) across every PEXo Built requirement traceability to the Anthem Operational.
• Coordinate requirement gathering across all PEXs to support PEX program touch points, business needs, product designs, business and systems builds, day to day operational management, and client implementations.
• Act as SME related to PEX requirements both at a summery and detail level.
• Manage and resolve day to day issues related to requirement clarification across all PEXs with internal partners.

Howell NJ OPW

• Responsible for leading the development, implementation and ongoing management of requirements related to Anthem’s private exchange vendors for National and Local accounts. Accomplishments:
• Developed a process to manage over 1900 requirements spanning 134 systems and all Anthem Business processes to implement Anthem’s private exchange solution for 4 Vendors (AON, Mercer, Towers and BUCK Right OPT).
• Identify business processes gaps and system gaps through the development of toolset that o Compared DAD (Discovery Architectural Documents) across every PEXo Built requirement traceability to the Anthem Operational.
• Coordinate requirement gathering across all PEXs to support PEX program touch points, business needs, product designs, business and systems builds, day to day operational management, and client implementations.
• Act as SME related to PEX requirements both at a summery and detail level.
• Manage and resolve day to day issues related to requirement clarification across all PEXs with internal partners.

Newark Nj

• Acted as a consultant in the role of IT Business Data Analyst III for Data Governance in support of EDM ( Enterprise Data Model), MDM (Master Data Management), IDS (Integrated Data Store), HCR (Health Care Reform).
• Worked to ensure Healthcare Exchange (HIX) data is able to interface with HBCBSNJ systems to support Health Care Reform(HCR)
• Considered Group, Benefit, Plan/Product Design, Claim and Member Data Domain Subject Matter Expert (SME)
• Developed Data governance policies Enterprise wide adoption - Identify business process points of pain and recommending changes to the enterprise data model to alleviate those pain points and improve business process
• Reviewed all applications, project Business Requirements Documents (BRD) and Technical Requirements Documents (TRD) ensuring data usage is compliant to enterprise and government regulations pursuant to security, usage.
• Created, validated and implemented source system data mapping to both the enterprise logical, physical data model (CRF) and canonical data model (CDM)

Union, NJ

As the Portfolio Product Designer (PPD) I took a lead role in the design and function of cross-product business initiatives, with an emphasis placed on product and enterprise integration. Working in collaboration with a cross functional development team, I designed and developed a cross product integration inventory reference tool to be used in all phases.

Responsible for the planning and oversight of the ICD10 testing for the software applications and systems to determine whether the products meet the documented requirements and specifications.

List of Job Responsabilities:Architecture Liaison Identification of SMS Activities Identification of SMS impactsSystem Support (hardware)MCCB InterfaceModernization KPI managementTest Workgroup MgmtIntegration & System TestingTest Team CoordinationTesting Tool Roll-out (Training & Implementation)Unit Test Results (IBM, Personix, etc.)Testing ScorecardTest.

Achieved information architecture operational objectives by contributing to strategic plans and reviews; prepared and completed action plans; implemented production and quality standards; resolved problems; identified trends; determined system improvements; implemented change, and managed daily development operations.Defined information architecture by.

• Identified, Evaluated, Prioritized and Planned use of technologies to support business strategic objectives. Conducted diagnostics of business issues, processes, and trends to produce innovative solutions that would.
• Selected to develop and implement 2 Sharepoint Publishing portals, and 1 teamsite consisting 6 Project and Collaboration sub-sites. Saving approx. $40,000 in development costs by eliminating the need for external.
• Supported approx 11,000 users, 2 Documentum Repositories, and 8 Document Management applications.
• Developed a new application and migration process that provided yearly savings of approx. $57,000 Software and Hardware Licensing, Support, Maintenance.
• Decreased development/implementation costs by $60,000 ($20,000 per application) and decreased the implementation timeline to approx. 20 days from 3 months.
• Worked to decrease the application portfolio by 10% through consolidation and leveragability

• Reviewed and Evaluated Project SOWs, Design Documents, and Functional Specs ensuring application designs adhere to Corporate standards and promote effective, efficient and supportable designs on the eAdvantage.
• Led eAdvantage Migrations of 4 Docbases into a single docbase
• Used existing process to decrease the original vendor Documentum customizations by 90%
• Upgraded content templates (using XML and XDQL) and wrote/executed 700 test cases to ensure they operate in the newer version of WebPublisher and improved usability
• Developed and coordinated the creation and deployment of both instructor –lead and online WebPublisher5 training. Training included generic modules able to be used by any affiliate and application specific modules.
• Lead training classes that instructed over 175 people in the WebPublisher Content and WebPublisher Administration interfaces.

Partnered with benefit vendors and staff to ensure issues/concerns are addressed on both day-to-day issues and project related tasks. Including the administration of benefit eligibility, coverages, annual enrollment, and vendor SLA adherence.

Senior Business Technical Analyst April 1994- July 1994Business Technical Analyst April 1992- April 1994AT&T Member Service Coordinator April 1991- April 1992

Msis

Ba

Education record