Mylene Lado Email & Phone Number

• IT Project Lead for Carelon Health Palliative Care & Advanced Primary Care, simultaneously leading multiple new client implementations (Commercial, Medicare, Medicaid, Individual markets), ensuring that all applications (EMR, data exchange & ETL for membership, claims, prior auth, encounters, reporting) are ready to support palliative care services. • Leads, mentors, and motivates several high-performing IT Agile Scrum teams towards achieving project goals and objectives.• Provides unparalleled client support to external & internal stakeholders through effective communication and problem-solving skills. • Ensures rigorous testing procedures have met or exceeded the enterprise quality assurance standards.• Manages end-to-end project lifecycles, from planning, estimation, gathering & elicitation of business requirements, ensuring successful implementation and deployment of IT deliverables, even with challenging factors, aggressive timelines, and resource constraints.

• Anthem associate from 2013 to 2020; IBM consultant from Aug 2020 to Apr 2022.• Team lead, BSA, Product Owner, SME for CarelonRX Finance Systems (previously IngenioRX). Successfully led implementation of financial systems (in AWS Cloud) from the ground up, to handle processing of monthly RX Claims and quarterly rebate files, sent by PBM vendor CVS. Oversees and ensures that the system validates 5M+ weekly claims, sends payment file to Disbursement System for weekly claims payment to CVS, sends files to downstream systems like Data Warehouse, and mainframe systems such as GL & ASO Billing. • Hands-on involvement in all project phases, from inception, estimation & budget tracking, until implementation & production support. Responsible for intake, triage, planning, and scheduling of new implementations and new requirements. Leads and facilitates impact analysis, systems design, development, and all testing phases: Unit Test, Systems Integration Test, User Acceptance Test, Performance Test, Parallel Test.• Oversees and mentors multiple teams of associates and onshore/offshore teams, in a focused Agile process, from discovery, training until delivery. Ensures all milestones and deliverables meet or exceed project goals, SLAs, and KPIs.• Daily coordination & collaboration with various IT teams (Data Warehouse, Data Analytics, Data Lake, Revenue/Billing system), PBM vendor CVS, business partners, auditors, architects, Server Admin, DBAs, DevOps, File Exchange teams.• Provides leadership and expertise in making critical decisions in all aspects of SDLC: discovery, impact analysis, design, development, testing, & production support. Identifies and prioritizes enhancements, improvements, & other strategic initiatives.• Formulates & reviews requirements, design, capabilities, user stories, test results. Key participant in internal & external audits, ensures compliance on industry standards, federal and state regulations such as HIPAA, SOC/SOX, and CMS polices.

• Led the implementation of the Pharmacy Rebate system on Oracle SQL in UNIX platform for integration into Anthem Rebate Systems post-merger, ensuring a smooth transition from legacy COBOL mainframe to Oracle/UNIX/Informatica platform.• Successfully managed PBM transition to Express Scripts, Inc, Benefit Builder, and Workflow Imaging Consolidation projects, driving operational efficiency and cost savings.• Conducted complex SQL queries, data analysis, and resolved data issues to optimize system performance and accuracy.