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Eight years of experience in a manager role focused on the technical enhancement of functionality of various systems and applications to meet stakeholders business needs, production issue triage and resolution and process improvement. Currently managing a staff of professional business technical analysts focused on application development for large strategic initiatives impacting enrollment and billing. Leading the team in conversion and migration efforts of enrollment data and associated capabilities for large commercial clients such as Minnesota, AmeriHealth New Jersey and Independence Blue Cross. Accomplishing this while leading the team thru the transition from Waterfall to Agile project methodology. Performing in the Delivery/Product Owner role for six products for six scrum teams. Participated in the stand-up of the Lean organizational structure to streamline production verses project efforts. As a result became a Highmark Six Sigma Yellow Belt.Developed Business rules and QA processes to insure quality and standardization. Lead Release Management efforts to track and dashboard the progress of large quarterly software, functional capability and configuration releases. Lead focused efforts to reduce the backlog of defects. Resulted in the lowest defect inventory in 3-4 year history. Established best practices for production issue triaging, root cause analysis and defect reduction to be utilized by all Platforms. Performed in a Program Manager role for an affiliation with BCBS plan. Lead multiple core project teams to a successful implementation that garnered Large Account growth for the affiliate. Peers, and clients know me to be a dedicated, focused yet fair manager. I require continual process improvement, cross training, knowledge sharing and process documentation. Planning is key to know the stakeholders needs and continual assessment that needs are being met. Planning is key but execution is critical.
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Associate Principal ConsultantHm Health Solutions Mar 2016 - PresentPittsburgh, Pa, UsManages the project design, deliverable development, client interaction, quality assurance of team activities and output components of client engagement, manages engagement team, counsels direct reports -
Business Platform Resource Manager - EnrollmentHighmark Inc. May 2014 - PresentPittsburgh, Pennsylvania, UsManaging staff of 18 professional business technical analysts in the Enrollment domain. Areas of accountability include processing of all inbound enrollment files from Health Care reform exchanges and commercial clients. All online and WEB functionality for the Corporate Member Repository and the Member profile application. Pre-enrollment applications for Medicare Advantage, Medigap and more recently Medicaid lines of business. All service components associated with enrollment data utilized by multiple upstream and downstream applications. Support includes but not limited to oversight of requirement elicitation, design and implementation of conversion, functional capabilities and configuration to support large ASP Commercial Client arrangements and Health Care Reform. Currently performing in a Delivery/Product Owner role for six products in the transition from Waterfall to Agile methodology. Resource management and staffing models; Utilize talent management tools for performance management and skills assessment and coaching. Utilize demand and capacity tools to assess staffing levels and work distribution and adjust as needed. Managed team members in multiple locations. Conduct Behavioral Based Interviewing to insure the right mix of soft skills as well as technical skills for new hires.Budget management -
Business Platform Resource Manager - ClaimsHighmark Inc. Jul 2007 - May 2014Pittsburgh, Pennsylvania, UsManaged staff of 20+ professional business technical analysts and consultants in support of the OSCAR claims adjudication system. Support included but not limited to oversight of requirement elicitation and documentation, design and testing. Worked directly with sales client managers for various large national accounts such as US Steel and Pennsylvania Employee Benefits Trust Fund (PEBTF). Lead development efforts for Bi-directional medical/pharmacy integrated accumulator processing with multiple Pharmacy Benefit Managers such as Express Scripts and Caremark. Lead development efforts for Bi-directional medical/behavioral health integrated accumulator processes with multiple Behavioral Health providers. Lead development efforts to establish partnership claims processing arrangements with multiple Blue Cross and Blue Shield Plans such as Florida Blue Cross. Managed staff of 18 professional business technical analysts in the triaging and root cause determination analysis of production issues. Adhered to stringent SLA's around issue resolution and response. Developed Business rules and QA processes to insure quality and standardization. Lead Release Management efforts to track and dashboard the progress of large quarterly software, functional capability and configuration releases. Lead focused efforts to reduce the backlog of defects. Resulted in the lowest defect inventory in 3-4 year history. Established standards and processes for defect prioritization and resolution. Established best practices for production issue triaging, root cause analysis and defect reduction to be utilized by all Platforms. -
Program ManagerHighmark Inc. Apr 2012 - Jun 2013Pittsburgh, Pennsylvania, UsProgram Manager for a BCBS Affiliation; year 3 of a 3 year affiliationManaged multiple project teams consisting of business and technical resources; eleven project managers with an average of 15 team members per project manager. Responsible for the Project Plans, Budgets, Cost Sheets, Matrix Resources, and Operational Readiness and Dash-boarding for the core teams; Client/Product/Benefits/Provider/Membership/Claims/Dental/Vision/Operations. -
Technical Business Analyst/ Lead Technical AnalystHighmark Inc. Jan 2000 - Jun 2007Pittsburgh, Pennsylvania, UsLiaison between business stakeholder and technical developers; elicit document requirements, propose solutions, partner in/approve design, perform user acceptance testing, document process flows to meet stakeholder needs. Oversight of staff performing the functions listed above; approving requirements and design, insuring all artifacts of project methodology applied as appropriate.
Renee Evans Skills
Frequently Asked Questions about Renee Evans
What company does Renee Evans work for?
Renee Evans works for Hm Health Solutions
What is Renee Evans's role at the current company?
Renee Evans's current role is Product Management Director at enGen.
What is Renee Evans's email address?
Renee Evans's email address is re****@****mhs.com
What is Renee Evans's direct phone number?
Renee Evans's direct phone number is +141288*****
What skills is Renee Evans known for?
Renee Evans has skills like Leadership, Business Analysis, Process Improvement, Requirements Gathering, Project Management, Business Process Improvement, Strategic Planning, Team Building, Requirements Analysis, Program Management, Insurance, Sdlc.
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