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Click here or scroll down to respond to this candidateJohn Panfilio Sanchez SeniorSummary: . Possesses progressive project management experience with a track record of cultivating strong relationships with key system leadership and is skilled in successfully identifying objectives, goals, through analysis and risk mitigation. . Along with the Project Management expertise, he brought practical Business Process knowledge and experience. . Developed realistic timelines and ensured overall successful implementation of new processes and systems and drove the desired business value-added results by aligning all technology investments with appropriate priorities based upon the business strategic plan. . Provided agile techniques and processes to this phase of a multi-year project for rapid development and implementation of the project goals. . Skilled at complex problem solving with ability to build and manage relationships across a large enterprise-level interface and presentation. . Relationship creation of key business partners with PM methodology, Budget tracking and complex project economics cost benefit analysis (ROI) and managing engagement risk. . Worked closely with Delivery Services, Infrastructure, Governance, Security teams, Business partners and Vendors. . Leading and coordinating the activities of multiple members of each project team, including data analysts, systems engineers, trainers, custom application developers, customer support staff, research and development staff, third party vendors, and other internal and external resources as required. . Provided leadership and functional Project Management and BSA expertise/mentoring to multiple project team members and leadership in the ICD 10 Implementation project in Healthcare. . Supervise, mentor and train team members in work flow analysis, change management methodologies and as well as prepare the team for expansion. . Has solid experience on combined claims and billing experience in healthcare settings. . Also experienced in hospital financials and in Insurance payer. . Experience in data transformation team management.Certification . PMI - PMP Project Management Professional # 1640248 (Active) . Agile - Certified Scrum Master (CSM)AREAS OF EXPERTISE:Project Management, Executive Presentations, SOX Compliance,Billing/Claims, Engagement Management, Business Development, VisitorManagement, Business Development, Business Analysis, Program Support,Corporate Global Security, Engagement Management, Relationship Building,ICD 10, Good understanding of user experience design, Government PriceReporting Compliance, Business Process Modeling, NotationProfessional Experience:Care-Core National8/2014 - currentSenior Project Manager . Responsible for the coordination and implementation of the IT technical requirements as received from the business program operations team. . These programs clinical and business programs, include, Authorizations, Clinical Pathways, Pain Management, Chemotherapy, Radiation therapy, to name a few. . Data transformation management. . Project Manager for several new concepts to program projects, whereby the requirements were extremely vague (initially) to full BRD and functional pilots were created, in very compressed time lines. . Daily tracking of all project milestones, financials and change management. Team size 7-15 (depending on the project). . Experience in data transformation team management. . PMO Expertise and integrations expertise. . Working with distributed teams, US and off shore. . Accomplished this using Agile as my program base and this allowed excellent project progression, working within the constraints of resource availability. . Care Core is currently in the process of merging with Med Solutions. . Proven track record for driving the delivery of $1M+ projects . I am also responsible for cross platform Implementation integration of process and platform migrations.Hawaii Medical Service Association1/2014 - 7/2014Senior Project Manager / MSRP Billing Project ManagerHonolulu, HI . As the project manager, provided agile techniques and processes to this phase of a multi-year project for rapid development and implementation of the project goals. . Multiple hat wearing Project Manager, responsible for filling the roll that previously required 3 separate project managers (Business, I.S. and EPO). . Led the billing/claims team thru a rapid project implementation cycle in a culturally challenging environment. Utilizing self-directed teams, led the team to deliver the 1st pilot billing program and defined the roll out strategy for the year to come. . Worked with vendors (BillTrust, TriZetto) and a diverse work team. . Successful delivery of large scale projects within budget, change management along with all project deliverables. . Piloted on line team tools via SharePoint with the project. That enabled multiple business and I.S. units to work in rapidly changing environment. . Piloted the rapid fix turn around testing cycle which allowed progress to be measured immediately and prioritization of testing defects and transition to implementation in a very constrained project time line.NAMM (Prime Care)08/2013 - 10/2013Enterprise Project Management Specialist (EPMS)Ontario, CA . As a contact consultant working in the PMO, provided leadership and functional Project Management and BSA expertise/mentoring to multiple project team members and leadership in the ICD 10 Implementation project. Identified project risks, project health analysis and strategy guidance. . Had own portfolio of Finance applications to create requirements and functional specifications for, using agile methodology. . Engaged in the advancement of the PMO team maturity by providing guidance and business insight in the use of collaborative strategies and tools (such as SharePoint). . Worked in Work flow definition, Requirement definition and Use case definition for billing & claims.Actavis (f/k/a Watson) Laboratories, Inc.,10/2006 - 07/2013BSA III / Project ManagerParsippany, NJ . Project managed multiple application or appliance upgrades. . Skilled in test script creation and regulatory compliance for multiple applications. . Have experience in vendor relationship management, procurement, and contract negotiation. . Also skilled in requirements definition, risk management and functional analysis. . Also was the shared some of my most resent specific accomplishments, per role, include. . Global Security System Documentation . Proven track record for driving the delivery of $1M+ projects . Global Security Team Visitor Management System PM . Physical Identity Access and Visitor Management . Vendor relations and management . Managed and facilitated risk management, change management and issues resolution process, including escalation to the appropriate level in a timely manner. . Product proof of concept (POC) testing and development. . Executive level presentation. . Lead Revitas Government Pricing application optimization project which reduced process run time from days to 6 hours. . Medicaid, CARS and Government Pricing experience. . Vendor Management . SOX and Segregation of Duties compliance. . Global Security Systems Project Manager and requirements definition.United HealthCare / PacifiCare Health Solutions, 10/2005 -10/ 2006Project ManagerCypress, CA . Interviewed, hired, trained, managed, and mentored team members. . Project management for multiple system integration and data conversion projects from legacy systems into common operational database. . Projects include source system integration, application implementation, reports definition as well as data base architecture to support the queries. . Project revenue and finances, vendor and contractor management. . Managed a team of 12 direct reports and a several million dollars budget. . Project Manager for SOX compliance and Accelerated Close project. . Project forecasting and contract vendor relationship management. . Insurance billing & claims.Client: Kaiser SCal Health Connect (EPIC)05/ 2005 - 10/2005Senior Management ConsultantDearborn, Michigan . Provided leadership to guide and influence stakeholders decisions . Team lead for Work Flow Team of 6 Project Managers. . Supervise, mentor and train team members in work flow analysis, change management methodologies and as well as prepare the team for expansion. . Responsible for preparation of support materials for the system Go Live documentation. . Subject Matter Expert on system wide clinical downtime and recoveryEmployer: Morgan Hunter Healthcare Consulting, (FTE)10/ 2004 - 05/2005Consultant, HealthCare Project ManagerKansas City, Kansas . Project Manager Revenue Recovery Project with IDX Carecast Platform. . Revenue and charge process analysis, recommendations and author of project plan for increase revenue recovery and Carecast workflow optimization. . Presentations to Clinical Leadership on Change Management processes and implementation models. . Project Management expertise, introduction of Project Management Office methodizes and principles. Co established the PMO. . Introduction of a multi project tracking coordination tool set for executive management team. Experience with MS Project Server. . Experience with MS project plans, creation, revision management, end user training. . Training team and Integration testing leadership experience.Sharp HealthCare 03/2000- 10/ 2004Project Management - Systems Analyst, Clinical SystemsSan Diego, CA . EMR Division/EMR Clinical Effectiveness . Process Redesign of SHC Clinical processes and workflows. . Benefits Realization and Return on Investment Analysis . Membership, Joint Clinical Effectiveness and I. S. Data Base task force. . Membership, on System Security - HIPPA, Finance and Downtime Task Forces. . IDX LastWord OC / PIM Visit training . User Work Group Development . Systems analysis and comparison . Hospital billing & claimsSharp HealthCare 09/1997 - 03/ 2000Clinical Systems Analyst, Information Systems San Diego, CA . Project Manager Respiratory Therapy System Department Redesign . Project Manager OCM Function 21 Ambulatory Order Activation . OCM System maintenance and Order Entry Specialist . OCM installation and support for Sharp Mission Park, Sharp Coronado, Sharp Mesa Vista, Tenet-Rancho Springs Medical Center conversion . Educate, Mentor, of multiple IS Clinical Systems analyst. . Daily leadership of Patient Care Operations, when manager unavailable . Senior support for help desk and ON Call systems analysts . IS Clinical Systems Weekly staff meeting moderatorSharp HealthCare 06/1992- 09 / 1997Intensive Care Unit Technician / I.S. Key User SupportMurrieta, CAIDX System Manager Level - OCM Representative - IS Key User . Functioned as Onsite Independent support during the multiple system conversion to IDX. . Experience with Compucare and Cerner Lab Interface. . On site Night Shift Key user support. . Experience with P.C.s and various peripherals. . Experience with M.S. Office and applications. . Intensive Care Unit Technician . Multi System patient care monitoring. . Frequent interaction with multiple healthcare system ancillaries. . Interface and interact with patient family members.Education . Bachelor of Science in Business, Information Systems, University of Phoenix, San Diego, CA (Graduated) |
