Experience

TalenTech Digital

• United States
• Information Technology & Services
• 1 - 100 Employee

• Functional Architect 2

  • Feb 2023 - Present

  Harrisburg, Pennsylvania, United States Serving the Pennsylvania Department of Human Services, Office of Developmental Programs. • Manages ODP projects for the Enterprise Case Management System Platform-as-a-Service, Risk Management Framework, MMIS, and P3N, ensuring business requirements are supported by the software. • Leads ODP's Simplify the System initiatives, identifying and initiating continuous improvement opportunities. • Understands overall business strategy for ODP and their business needs. • Provides risk… Show more Serving the Pennsylvania Department of Human Services, Office of Developmental Programs. • Manages ODP projects for the Enterprise Case Management System Platform-as-a-Service, Risk Management Framework, MMIS, and P3N, ensuring business requirements are supported by the software. • Leads ODP's Simplify the System initiatives, identifying and initiating continuous improvement opportunities. • Understands overall business strategy for ODP and their business needs. • Provides risk management framework consultation. • Manages, coordinates, and establishes priorities for complete lifecycle of various large, complex projects. • Analyzes and provides recommendations to ensure compatibility and integration of software solutions including the enterprise case management system, information referral tool, and MMIS to meet business needs. • Designs project plans which identify needs and define major tasks and milestones, based on scope, resources, budget, and personnel. • Defines user interface strategies. • Facilitates and adheres to project governance. • Directs work planning and scheduling design work. • Captures and reports required program management metrics/benchmarks. • Develops and facilitates achievement of program service commitments and performance metrics. • Communicates to team members how their work relates to and helps to achieve project objectives. • Analyzes and distributes reports on program metrics associated with work items related to improvement measures. • Provides regular status reports to executive staff regarding team progress. Show less



Pennsylvania Office of Administration

• United States
• Government Administration
• 1 - 100 Employee

• Senior IT PMO Project Manager

  • Aug 2022 - Feb 2023

  Harrisburg, Pennsylvania, United States Served in the Enterprise Technology Services Office, Bureau of Service Value Management's Project Management Office. • Led Enterprise PMO projects (e.g., Device-as-a-Service Managed Service Provider and Tenable.io Deployment), including IT enterprise service RFI development and RFP planning, applying ITIL and PMI best practices. • Managed scope, risk, stakeholders, work breakdown structure, budget, communications, and deliverables for assigned projects. • Prepared charters and… Show more Served in the Enterprise Technology Services Office, Bureau of Service Value Management's Project Management Office. • Led Enterprise PMO projects (e.g., Device-as-a-Service Managed Service Provider and Tenable.io Deployment), including IT enterprise service RFI development and RFP planning, applying ITIL and PMI best practices. • Managed scope, risk, stakeholders, work breakdown structure, budget, communications, and deliverables for assigned projects. • Prepared charters and business proposals for enterprise initiatives. • Facilitated functional group meetings with deliver center project managers and steering committees responsible for project strategy. Show less



The Pennsylvania Department of Human Services

• United States
• Government Administration
• 200 - 300 Employee

• Senior Healthcare Analyst | IT Program Manager

  • Dec 2018 - Aug 2022

  Harrisburg, Pennsylvania • Led Pennsylvania Department of Human Services (PA-DHS) Secretary's Award of Excellence winning project team in design, develop, and implement of the Commonwealth's Electronic Visit Verification (EVV) solution in accordance with PMI and inclusive leadership best practices. EVV is a cloud-based software-as-a-service (SaaS) solution. • Coordinated with stakeholders from OA Enterprise Knowledge Management, PA-DHS agencies (PMO, DSO, ODP, OLTL, OMAP, BPI), OAG, and business partners/vendors… Show more • Led Pennsylvania Department of Human Services (PA-DHS) Secretary's Award of Excellence winning project team in design, develop, and implement of the Commonwealth's Electronic Visit Verification (EVV) solution in accordance with PMI and inclusive leadership best practices. EVV is a cloud-based software-as-a-service (SaaS) solution. • Coordinated with stakeholders from OA Enterprise Knowledge Management, PA-DHS agencies (PMO, DSO, ODP, OLTL, OMAP, BPI), OAG, and business partners/vendors (Gainwell Technologies (formerly DXC), Sandata Technologies, KPMG, Deloitte Consulting LLP, OST, Public Consulting Group, and Public Knowledge (formerly SLI Government Solutions). • Managed EVV program, responsible for project implementation, business and system requirements, solution design, risk analysis and mitigation, user acceptance testing, release management (Agile SDLC), production validation (including business intelligence), and Advanced Planning Document budgeting activities for portfolio of nearly 60 change orders. • Interfaced regularly with agency and vendor CTOs, CISOs, VPs, portfolio managers, IT project managers, governance leadership, architecture review boards, software engineers, and business analysts. • Secured and maintained the CMS EVV Outcomes-Based Certification. • Developed EVV key performance indicator (KPI) metric reports for CMS and MITRE on EVV outcomes. EVV metrics consistently meet or exceed state Medicaid agency's and CMS expectations. • Maintained IT project documentation (e.g., project planning, certification) and work plans. • Gathered and communicated program office business and system requirements. • Monitored departmental performance measures and assists with budget analysis. • Reviewed and approved IT deliverables and vendor invoices. • Reported on the progression of IT projects to executive leadership.

• Healthcare Analyst | IT Project Manager

  • Jul 2017 - Dec 2018

  Harrisburg, Pennsylvania Area Served in the Pennsylvania eHealth Partnership Program, an executive office within the PA Department of Human Services. • Managed electronic clinical quality measures (eCQM) reporting projects. • Conducted user acceptance testing (UAT) and production validation for changes in MAPIR, particularly regarding changes to audit activities (e.g. E-7) and electronic CQM submission. • Created executive level reports and oral presentations, including contributions to the CMS… Show more Served in the Pennsylvania eHealth Partnership Program, an executive office within the PA Department of Human Services. • Managed electronic clinical quality measures (eCQM) reporting projects. • Conducted user acceptance testing (UAT) and production validation for changes in MAPIR, particularly regarding changes to audit activities (e.g. E-7) and electronic CQM submission. • Created executive level reports and oral presentations, including contributions to the CMS Quarterly RO Data Tool. • Conducted telephone and face-to-face interviews on hiring panels for Project Manager 3, Software Developer, and Healthcare Analyst (Auditor). • Designed and ran ad-hoc queries/reports to inform data-driven decisions and HITECH projects. • Monitored program performance measures. • Performed internal audits for PA Medicaid's Promoting Interoperability Program (formerly Electronic Health Record Incentive Program), in accordance with audit strategies approved by the Centers for Medicare and Medicaid Services (CMS). • Reviewed EHR Meaningful Use supporting documentation, including Security Risk Analyses, Clinical Decision Support Rules, and Clinical Quality Measures (CQMs) to ensure programmatic compliance based upon CMS measure specifications. • Validated Medicaid Patient Volume Reports through claims verification, ensuring provider participation eligibility and incentive payment rate accuracy. • Analyzed internal processes within the Deputy Secretary's eHealth Partnership Program and the former Office of Clinical Quality Improvement to identify efficiencies and reduce operational costs. • Performed cost benefit analyzes for new initiatives as well as budget analysis, tracking and updates. • Developed comprehensive training materials and procedures for audit processes for both new hires and existing staff.



Susquehanna University

• United States
• Higher Education
• 700 & Above Employee

• Technical Specialist | IT Project Manager

  • Apr 2016 - May 2017

  Selinsgrove, Pennsylvania Office of Global Programs • Managed system implementation and database configuration for Terra Dotta, a cloud-based COTS system. • Managed and created IT cases (i.e., incidents) through resolution with software vendor. • Maintained data integrity of the Apply to GO application management system. • Collaborated with OIT to support Terra Dotta monthly patches. • Advised students through application process for study away programs, using strengths-based approach. •… Show more Office of Global Programs • Managed system implementation and database configuration for Terra Dotta, a cloud-based COTS system. • Managed and created IT cases (i.e., incidents) through resolution with software vendor. • Maintained data integrity of the Apply to GO application management system. • Collaborated with OIT to support Terra Dotta monthly patches. • Advised students through application process for study away programs, using strengths-based approach. • Built sections and registered students for Global Opportunities (GO) Preparation, Off-Campus Experience, and Reflection courses. • Presented topics on FERPA and obtaining Off-Campus Study Approval (related to Transfer Credit) to students during trainings and GO Overview Meetings. Registrar's Office • Coded degree requirements and wrote rules for degree audit in Colleague UI. • Developed and ran business analytic reports in Entrinsik Informer Reporting (e.g. ad-hoc reports, student type versus courseload reports, grade distributions, etc.) • Resolved enrollment status and registration discrepancies, through student outreach. • Reviewed, managed, and maintained approvals for Course Overload Requests, Independent Studies, and Part-Time Status Declarations. • Lead for running: Class Level Update, Class Rank Update, Add/Remove Restrictions, Set-Up for Registration, and Grading processes. • Tracked Extended Course, Incomplete, and No Grade Reported grades through completion according to unique deadlines for finalization. Entered finalized grades for instructors. • Processed late withdrawals, independent studies, and made student schedule entry/changes. • Tested Colleague UI monthly patches, collaborating with Office of Information Technology. • Answered student inquiries on academic procedures and forms. Software Proficiency: Blackboard, Ellucian Colleague, Banner, and DegreeWorks, EAB Student Success Collaborative, Entrinsik Informer Reporting, and Terra Dotta Show less



The Pennsylvania Department of Human Services

• United States
• Government Administration
• 200 - 300 Employee

• Program Specialist | IT Project Manager

  • Feb 2014 - Apr 2016

  Harrisburg, Pennsylvania Area Project Management Experience • Served as Information Technology (IT) Incident Manager, managing IT projects related to system enhancement and incident management to support program operations. • Led bureau's IT strategic planning activities, performing cost-benefit analysis to prioritize IT projects and initiatives. • Managed and prioritized work items for system development and incident management, to improve case management system, tracking progress of work items, providing… Show more Project Management Experience • Served as Information Technology (IT) Incident Manager, managing IT projects related to system enhancement and incident management to support program operations. • Led bureau's IT strategic planning activities, performing cost-benefit analysis to prioritize IT projects and initiatives. • Managed and prioritized work items for system development and incident management, to improve case management system, tracking progress of work items, providing feedback and training to staff through resolution. • Gathered business and system requirements, participated in Joint Application Design sessions for Enterprise Incident Management (EIM), HCSIS, and myCOMPASS mobile application. • Liaised on behalf of bureau with contracted software vendors from Deloitte Consulting LLP and Public Consulting Group. • Managed bureau's User Acceptance Testing (UAT) test cases and supporting documentation via Microsoft Test Manager. Intake and Enrollment-Related Experience • Served as a primary contact for prospective applicants for initial request through follow-up in the Bureau of Autism Services. • Tailored interest list follow-up calls to the needs and interests of individuals. • Educated callers about eligibility determination process for service programs. • Reviewed and recommended modifications to program manuals and materials based on policy revisions. • Conducted eligibility assessment interviews, verifying standardized criteria are met. • Met with prospective applicants and families at their home to answer questions. Additional Roles: • Quality Assurance Co-Lead for Central Regional Office. • Continuity of Operations Co-Lead for the Bureau. • Adult Autism Waiver Billing Lead for the Bureau. • Participant Enrollment Coordinator (alternate) for the Central Regional Office.

• Financial Representative

  • Dec 2010 - Jan 2014

  Harrisburg, Pennsylvania Area • Identified two system logic errors in Medicaid management information system for LIFE resulting in recovery of over $719K. • Initiated change orders and data maintenance requests for to make system enhancements and correct system logic within PA's Medicaid Management Information System. • Conducted independent financial reviews involving comparative analysis of multiple Medicaid databases, resulting in a recovery of over $5.2M. • Contributed cost-saving initiatives and reviewed… Show more • Identified two system logic errors in Medicaid management information system for LIFE resulting in recovery of over $719K. • Initiated change orders and data maintenance requests for to make system enhancements and correct system logic within PA's Medicaid Management Information System. • Conducted independent financial reviews involving comparative analysis of multiple Medicaid databases, resulting in a recovery of over $5.2M. • Contributed cost-saving initiatives and reviewed other efficiency recommendations as a member of the office's Innovation Team. • Served as regular speaker at provider association meeting, presenting financial reporting topics. • Ensured financial reporting regulatory compliance. Provided regulatory interpretation of state & federal regulations for LIFE. • Managed LIFE capitation rates in PA's Medicaid Management Information System. • Provided executive reports on LIFE and Pre-PACE (a Pre-Paid Inpatient Health Plan), program expenditures for CMS 372 Report. • Served as a financial liaison for LIFE provider financial contacts and other OLTL bureaus. • Performed non-medical record review to analyze financial data for a Medicaid managed care program known statewide as LIFE within the Department of Human Services. • Conducted face-to-face interviews during on-site reviews requiring regional travel. • Performed data cleansing for a participant database, containing over 3,000 actively enrolled individuals' records including demographics, enrollment, transfer, and nursing facility admissions data. • Provided claims analysis and policy interpretation for waiver and long-term care providers. • Trained two social workers to perform participant enrollment responsibilities, two financial reps to perform financial data analysis, and three supervisors on the program enrollment and financial management. • Provided hands-on training to three Provider Inquiry Hotline reps. Additional Role: Provider Inquiry Call Center Representative

• Executive Administrative Assistant

  • Oct 2009 - Dec 2010

  Harrisburg, Pennsylvania Area • Served as Executive Assistant to Director of the Bureau of Provider Support (now the Bureau of Quality and Provider Management) and Administrative Assistant to a Division Director, managing both executive's calendars, expense reports, and corrrespondence. • Managed HIPAA training and Medicaid software training for Bureau of Provider Support, including regional offices. • Prepared and proof-read mass correspondence for the bureau. • Composed meeting minutes for waiver provider… Show more • Served as Executive Assistant to Director of the Bureau of Provider Support (now the Bureau of Quality and Provider Management) and Administrative Assistant to a Division Director, managing both executive's calendars, expense reports, and corrrespondence. • Managed HIPAA training and Medicaid software training for Bureau of Provider Support, including regional offices. • Prepared and proof-read mass correspondence for the bureau. • Composed meeting minutes for waiver provider meetings. • Developed Administrative Assistant to Division Director Procedure Manual and Consumer Complaint Contact Reference. • Trained successor Executive Administrative Assistant to Bureau Director for two weeks. • Typed at 60 WPM, 100% accuracy. Additional Roles: Team Lead in development of Newsletters & Publications section of Department of Aging & Office of Long-Term Living Clerical Manual.

• Provider Services Representative

  • Oct 2007 - Oct 2009

  Harrisburg, Pennsylvania Area Technical Assistance & Analysis Experience: • Analyzed prior authorizations, recipient eligibility and benefits, third party remittance advices, and enrollment files to determine claims resolution and provide technical assistance to support end users. • Answered average of 70 incoming inquiries daily regarding Medicaid enrollment, policies, regulations, system errors, software registration, billing requirements, and appeals. • Received commendable scores on monthly Quality Monitoring… Show more Technical Assistance & Analysis Experience: • Analyzed prior authorizations, recipient eligibility and benefits, third party remittance advices, and enrollment files to determine claims resolution and provide technical assistance to support end users. • Answered average of 70 incoming inquiries daily regarding Medicaid enrollment, policies, regulations, system errors, software registration, billing requirements, and appeals. • Received commendable scores on monthly Quality Monitoring Reviews conducted by Provider Service Call Center supervisors (9 out of 12 reviews earning 100%). • Assisted in providing hands-on training for 14 new staff members on best practices, claims research, and navigating multiple Medicaid databases. • Maintained knowledge about claims management information system logic; recent provider communications; HIPAA compliance; as well as state and federal mandates (e.g. Title 55 regulations) to provide regulatory interpretation. Customer Service Experience: • Served as initial point of contact for institutional, professional, and dental providers in the Bureau of Fee-For-Service Programs. • Navigated callers through department's website to connect them with resources including regulations, forms, billing guides, and mass communications. • Provided limited English proficient (LEP) callers with meaningful access to claims, regulatory, and eligibility information in compliance with Title VI of the Civil Rights Act of 1964. • Recognized Employee of the Month for six months (based upon call statistics and quality monitoring evaluation performance): January, 2008, February 2008, August 2008, October 2008, November 2008, and December 2008.