Richard Davis-Flagler, Pmp, Csm Email & Phone Number

Frankfort, Ky, Us

Responsible for MMIS replacement of legacy system to a SaaS/COTS based product. Total contract value over $160 million DDI and O&M. Required coordination and management of multiple vendors including system integrator HealthTech Solutions, PMO Public Consulting Group (PCG), and DDI Gainwell. Project highlights include working with project management and technical management frameworks, multiple trading partners including MCO's, providers, and source systems. Required working knowledge of multiple domain areas including CMS certification, security and infrastructure, MITA business areas, testing, and interfaces.

Chicago, Il, Us

Served in a variety of project roles including project management, enterprise solution architect, technical and security analyst for several large, complex software integration and implementations managing cross-functional, distributed teams for multiple states including Ilinois, North Carolina, New Mexico, and Maine with DDI project budgets combined over $2 billion. Technologies implemented include Oracle and IBM business rules engines, MarkLogic data hub, IBM Watson Health analytics, Salesforce CRM, Informatica Master Data Management, IBM Integration bus and Oracle Fusion middleware and Hyland OnBase Enterprise Content Management. Provided oversight of several PMOs. Security and compliance projects include MARS-E and HIPAA. Project management methodologies include waterfall, agile, and iterative development. Budgeting and finance experience includes capital and operating budgets, cost-plus and time & materials contracts, and estimated verses actual costs tracking. Schedule management activities include integrated master schedule tracking and reporting, baseline, critical path, EV, and PV. Risk management activities include root cause analysis, risk, and issue log management (JIRA). Testing activities include requirements traceability matrix, test plan(s), test case(s), unit, and integration testing, load testing, penetration and vulnerability scans, and user acceptance testing. Certification milestones include project initiation, operational/go-live, and post-operational reviews. Reporting included monthly independent assessments presented to state and federal (CMS and FNS) partners and formal presentations to executive and state legislative committees.

Managed execution and delivery of ecommerce system replacement project for a global manufacturer and distributor of cleaning equipment for home and industrial applications. Project included installation, configuration, and customization of Magento (now Adobe Commerce). Required coordination and management of distributed teams and vendors in North America and Europe. Project successfully addressed complex factors including real-time integration with SAP to support tiered pricing models and integration with CRM to support product warranty claims, and service requests. Managed MARS-E security assessment and POA&M for Medicaid fiscal agent and RFI and RFP response writing for several clients.

Us

Managed execution and delivery of the Tennessee Eligibility Determination System (TEDS), a web-based application using Java, J2EE, and IBM’s Websphere ILOG JRules business rules management system (BRMS) and IBM WebSphere Message Broker tools. Member of the facilitation team for joint application design (JAD) sessions with cross-functional team of subject matter experts, analysts, designers, and developers to support creation of requirements definition document (RDD). Assured security standards and processes were documented and operational to address MARS-E control families and IRS Publication 1075 to support a security assessment to obtain authority to connect (ATC) certificate required to connect to the Federally Facilitated Exchange (FFE).

Denver, Co, Us

Responsible for consolidation of multiple legacy systems due to mergers & acquisitions (M&A) to an enterprise EHR system (Falcon) deployed to over 800+ locations nationwide. Provided dashboard status reporting, tracked key performance indicators (KPIs), coordinated quality gate reviews, and presented status updates to executive steering committee. Partnered with the PMO to improve project processes and update template library. Challenges overcome include partnering business analysts with developers to document rules due to a lack of legacy system documentation, conducting organizational change management activities to implement standardize processes across the enterprise, and conduct team training to gain buy-in to an agile/iterative project management methodology.

Conducted setup, configuration, and user training of JIRA for defects & issues tracking and change requests, and Sharepoint for team collaboration.

Plano, Tx, Us

Managed a five-year, $81 million dollar contract for the Washington Department of Fish & Wildlife, for the execution and delivery of a system supporting sales and fulfillment of hunting and fishing licenses via web portal, telephone (using Asterisk interactive voice response (IVR)), and point of sale (POS) terminals for over 580+ dealers across the state.

Birmingham, Al, Us

Managed ERP software implementations for a Sage and Microsoft gold certified partner and reseller. Portfolio of solutions included Sage Software 50, 100, 300, & CRM and Microsoft Dynamics GP (formerly Great Plains) for clients in various domains such as healthcare, manufacturing & distribution, professional service, state, county, and local governments.

Managed retail division with P&L responsibility of medical device manufacturing company with $15 million annual operating budget and 14 store locations. Responsible for recruitment and staffing for Optometrists, Opticians, and support personnel, inventory control, and merchandise displays. Conducted sales, insurance coverage and benefits verification, point of sale, and work order training.

Managed end to end implementation of web-based appraisal ordering system to allow mortgage lenders, credit unions, appraisal management companies (AMCs), and appraisal firms to assign orders, process them, track the progress of assignments, and return the completed appraisal for upload. Created statement of work (SOW), managed project scope, schedule, and budget, conducted risk identification and mitigation, and reported status updates to management and stakeholders. Directed joint application design (JAD) sessions with a cross-functional team to collect and translate business requirements into a technical solution. Required working knowledge of technologies such as ASP.NET web apps (HTML, CSS, JavaScript, and C#), and Microsoft SQL Server. Test activities include test plan and test case development, load testing, requirements traceability, defects tracking, and user acceptance testing

Technical analyst for a start-up market trading software company. Responsible for design and testing of various risk-based trading models for equities, mutual funds, commodities, and currency markets and providing technical support to clients. Conducted new user training and advanced national trading methods seminars. Performed smoke and regression testing for new software builds and software upgrades. Provided support for Saleslogix CRM implementation and training.

Performed financial assessment of capitation rates negotiated with primary care providers and recommended renegotiation of rates to maintain the financial health of Physician Healthcare Plans, Inc. (now part of AmeriGroup Corp.), a Medicaid managed care organization (MCO). Negotiated provider contracts and strengthened hospital, primary, and specialty networks in four heavily populated counties in Florida. Services included provider credentialing and operational monitoring of key performance measures used to determine pay for performance bonus or penalty and/or capitation withhold. Advised on HIPAA compliance and adherence to national standards for electronic transactions ANSI X12 EDI transaction sets (270, 271, 834, 835, 837, etc.) for healthcare