CAI (Blue Cross Blue shield (Excellus)), Rochester, NY, USA [02/2009 to Present]
As a Senior Manager, Vijay is involved in the design, development, enhancement and support of various projects like ICD10, HIPPA 5010, LRSP, TOPPS, ITS 11.3 Upgrade
·Overseeing and directing multiple project managers to ensure that project management disciplines are practiced in all projects including oversight of team members’ milestones and performance as compared to project plan, scope, budget, resources and schedule.
·With the implementation of Facets 4.71 Excellus will be positioned to accept the HIPAA 5010 into Facets and can have the Clearinghouse send this format directly. This will continue to minimize reliance on the Clearinghouse.
·Will have a facility that allows converting from ICD-9's to 10's and from 10's to 9's. We can use this as an enterprise facility that is called by any application.
oPreparing to accept the 5010 into the clearinghouse
oGetting Facets 4.71 in place (part of Transformation)
oBuilding the rules for the conversion of codes from ICD-10 to ICD-9 into the Translator
oBuilding calls to the Translator in the appropriate places
oRemittance processing (or use HIPAA repository)
oMeet the mandate requirements for both 5010 and ICD-10
·Maintains overall vision, planning, and management.
·Manages the execution of project plans and production of deliverables on time, within budget, and to expectations.
·Provide for communication to program office and executive leadership. Communicate project progress and information to team, sponsor, stakeholders, and legislative body as appropriate.
·Ensures technical direction and standards are being followed.
·Develops project plans and measures actual progress against the plans.
·Maintains and updates project documentation to include the Operational Work Plan, project plans, budgets, risk plans, communication plans, change control logs, and reports.
·Demonstrates an understanding of tactical goals and effectively participates in the development and implementation of business solutions.
·Manages project risk through comprehensive mitigation assessment and planning techniques.
·Manages change control within the projects. Obtains sponsor approval for changes to scope, budget, and schedule that effect the critical path.
·Ensures that scope, budget, and schedule targets are within variance and project delivery dates will be met.
·Effectively assists in directing both internal and external resources to achieve business solutions within project guidelines.
·Identifies and eliminates obstacles to solution plans, business goals or implementation. Assists in the development and implementation of contingency plans.
·Assists in the development of project budgets.
·Ensures Project Managers and teams are enabled to consistently deliver projects on time and within budget.
·Ensures consistent application of an effective project management methodology. Ensures that all project management processes are managed following the disciplines as defined in the Project Management Body of Knowledge.
·Conducts impact analyses of scope, budget, and schedule changes, as necessary.
·Serves as mentor/advisor on issues related to project quality, project risk, issues resolution, conflict management, and safety.
·Manages project SharePoint sites.
·Monitors contracts to ensure quality and timeliness of work are performed under contracts.
·Manages vendor contracts including approval for payment of services.
·Assists in preparation of Formal reporting as required.
·Participates in conference calls with stake holders, as necessary.
Environment: Mainframe, SOA Architecture, LRSP Health care Claims system,System Automation, DB2 Stored Procedures, MVS, CICS, SAS, Easytrieve Plus, Roscoe, Factes 4.71, Oracle, JCL, DB2, IMS DB/DC, APS, VSAM, COBOL, SQL, Oracle, SCLM, Test Director, Quality Center, Debugger, Java, SOAP/XML, Planview,Intertest.