Virginia Paul-McCrory
Program Director at Elevance Health at Elevance Health- Claim this Profile
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Bio
Experience
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Elevance Health
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United States
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Hospitals and Health Care
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700 & Above Employee
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Program Director at Elevance Health
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Sep 2021 - Present
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Program Director, Elevance Health
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Feb 2021 - Present
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Anthem, Inc.
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United States
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Hospitals and Health Care
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700 & Above Employee
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Business Change Manager
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Feb 2021 - Present
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Anthem, Inc.
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United States
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Hospitals and Health Care
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700 & Above Employee
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Execution Director / Project Director | Strategy Planning and Systems Migrations | Anthem, Inc.
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Dec 2018 - Sep 2020
Headed team of Project Directors in the Northeast responsible for installing 500+ highly customized large-group clients to the new destination platform from the legacy platform. Trained, coached, mentored, and developed a Project Management Team of 8 responsible for organizing / coordinating migration of each of the large groups. • Monitored project deliverable dates through facilitation of weekly project status meetings to confirm adherence to cross-dependent milestones, guaranteeing… Show more Headed team of Project Directors in the Northeast responsible for installing 500+ highly customized large-group clients to the new destination platform from the legacy platform. Trained, coached, mentored, and developed a Project Management Team of 8 responsible for organizing / coordinating migration of each of the large groups. • Monitored project deliverable dates through facilitation of weekly project status meetings to confirm adherence to cross-dependent milestones, guaranteeing project promises were provided on time to meet stakeholder expectations. • Controlled and triaged issues quickly, escalating as necessary to prevent member abrasion. • Expedited decision making through preparation of weekly project dashboards for submission to Executive Leadership and stakeholder community.
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Project Director, Strategy Planning and System Migrations
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May 2017 - Dec 2018
South Portland, Maine Facilitated energetic kickoff meetings during initiation of groups’ renewal and led oversight and management of customized large-group accounts migrating from legacy platforms to destination platforms. • Partnered closely with Sales Team to ensure migration was seamless to clients by documenting account specifications and ensuring all capabilities were delivered by the go-live date in production. • Ensured project success was promptly measured, adhering to all deliverables and milestones… Show more Facilitated energetic kickoff meetings during initiation of groups’ renewal and led oversight and management of customized large-group accounts migrating from legacy platforms to destination platforms. • Partnered closely with Sales Team to ensure migration was seamless to clients by documenting account specifications and ensuring all capabilities were delivered by the go-live date in production. • Ensured project success was promptly measured, adhering to all deliverables and milestones and communicating project status to all levels of stakeholders and leadership. • Guided creative issue management, leading to faster resolution and escalating as necessary to circumvent member abrasion.
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Technical Project Manager, Exchange Execution Management
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May 2014 - May 2017
South Portland, Maine, United States Supervised Project Team responsible for engineering a new Enterprise Enrollment Engine Application to automate monthly maintenance transactions received from CMS. • Built robust operational reporting capabilities, streamlining distribution of work, removing duplicate entries, and automating Agent of Record functionality, resulting in 30% increase in operational savings annually. • Generated thousands of dollars of operational savings monthly / annually by deploying monthly enrollment… Show more Supervised Project Team responsible for engineering a new Enterprise Enrollment Engine Application to automate monthly maintenance transactions received from CMS. • Built robust operational reporting capabilities, streamlining distribution of work, removing duplicate entries, and automating Agent of Record functionality, resulting in 30% increase in operational savings annually. • Generated thousands of dollars of operational savings monthly / annually by deploying monthly enrollment reconciliation process to implement CMS mandates avoiding compliance penalties, accomplished by automating core functionality / systems. • Collaborated with state and governmental agencies, ensuring requirements were understood and executed with clear, targeted outcomes.
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Senior Technical Project Manager, TekSystems Consultant | EPPM Project Delivery
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Jul 2013 - Aug 2014
South Portland, Maine, United States Implemented multi-million-dollar, end-to-end testing initiative with 25 separate Execution Teams to support ICD 10 coding program compliance date. • Developed detailed Provider Reimbursement Reports and shared with the external provider community, demonstrating potential impact of impending switch over from ICD 9 to ICD 10 coding practices. • Conducted organized and effective periodic meetings, encouraging team members to provide input on process improvement opportunities by building a… Show more Implemented multi-million-dollar, end-to-end testing initiative with 25 separate Execution Teams to support ICD 10 coding program compliance date. • Developed detailed Provider Reimbursement Reports and shared with the external provider community, demonstrating potential impact of impending switch over from ICD 9 to ICD 10 coding practices. • Conducted organized and effective periodic meetings, encouraging team members to provide input on process improvement opportunities by building a safe, encouraging environment where members felt invested in the outcome. • Maintained clear, articulate communication of project progress to senior-level management against agreed-upon milestone dates by completing project dashboard and presenting material to leadership at weekly stakeholder sessions.
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TD
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Canada
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Banking
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700 & Above Employee
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Project Manager, Basel I, Governance and Controls PMO
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May 2012 - Jul 2013
South Portland, Maine, United States Maintained and updated governance framework. Monitored compliance with requirements in the framework and coordinated large internal and external executive leadership dashboards. • Monitored Basel II Project Streams, confirming PMLC standards were applied to all project artifacts and reporting to meet audit compliance standards with internal and external governmental regulators. • Identified process improvement opportunity which streamlined project schedules and managed dependencies among… Show more Maintained and updated governance framework. Monitored compliance with requirements in the framework and coordinated large internal and external executive leadership dashboards. • Monitored Basel II Project Streams, confirming PMLC standards were applied to all project artifacts and reporting to meet audit compliance standards with internal and external governmental regulators. • Identified process improvement opportunity which streamlined project schedules and managed dependencies among parallel work tracks to make sure handoffs occurred on time and within budget and eliminated communication barriers between project teams. Show less
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Onpoint Health Data
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Project Manager, Quality Assurance Analyst
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Aug 2011 - May 2012
Portland, Maine, United States Ensured contractual obligations were met on a timely, efficient basis monthly, quarterly, and annually. Offered overall client support with the State of Vermont Banking, Insurance, Securities, and HealthCare Division. • Managed data quality and product integrity by analyzing reports to certify accuracy and validity of data presented to clients. • Defined and communicated specifications for reports and database designs to support extracts and supporting data dictionaries.
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Anthem, Inc.
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United States
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Hospitals and Health Care
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700 & Above Employee
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Technical Project Manager, Program and Project Management
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Jan 2004 - Feb 2011
South Portland, Maine, United States Handled oversight, development, and ongoing support of multi-state, multi-function, and multi-year projects. Administered project budgets of $100K - $10M. Led application delivery efforts to implement plan of record and small system change requests along with other enhancements. Collaborated with matrixed team of managers, Technical Business System Analysts, Developers, and Testers supporting enrollment, billing, claims, and services for web systems and core-processing platforms. • Led 5 - 8… Show more Handled oversight, development, and ongoing support of multi-state, multi-function, and multi-year projects. Administered project budgets of $100K - $10M. Led application delivery efforts to implement plan of record and small system change requests along with other enhancements. Collaborated with matrixed team of managers, Technical Business System Analysts, Developers, and Testers supporting enrollment, billing, claims, and services for web systems and core-processing platforms. • Led 5 - 8 virtual project teams (~100 onshore and offshore associates) with clear, concise communication of expected outcomes leading to efficient and on-time delivery of projects within a 5% positive variance in budget. • Managed Annual Benefit Change Projects 3 consecutive years, delivering a re-engineered product portfolio to remain competitive in the marketplace on schedule with no code defects, driving membership retention and new membership sales. • Delivered dental project consisting of consolidating provider information on one system platform with a ROI of $4.7M in 3 years with reduction in provider demographic errors. Show less
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Education
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The George Washington University
Associates Certificate in Project Management, Project Management