Uploaded File
Kathleen
katco3645@gmail.com
202-494-3474
Jacksonville, FL 32235
Senior Project Manager
28 years experience W2
0
Recommendations
Average rating
57
Profile views
Summary

  • Subject Matter Expert with a strong background in Healthcare Technology, Clinical Laboratory Science, I.T., Q/A, business process modeling (BPM), a solid understanding of HEDIS, FHIR, CMS, Medicare, Medicaid, ACA, HIPAA, and CLIA, Business Analysis, Physical and Logical Design, Claims Processing and Auditing
  • Excels at getting the right answers to the right questions from the appropriate public and private entities and is adept at selecting the right people and building effective teams
  • Expert skills in preparing the documentation required in both Agile and waterfall methods from Project Manager through Technical Writer
  • Over 35 years of testing experience, developing testing criteria leading to user acceptance
  • Knowledge of EDI, ERP, SaaS, SQL, and XML Technology solutions
  • Highly proficient in Rally, Jira, Excel, and Visio

Experience
Business Owner
Information Technology
Nov 2017 - present
  • Provide analysis services in IT consulting, Healthcare Consulting, Project Management, and Technical Writing
Project Management Technical Writing Analysis
Remove Skill
Systems Business Analyst - Product Development
Information Technology
Jan 2021 - May 2021
  • Client: Change Healthcare Systems (3-month contract)
  • Interoperability systems business analyst in an Agile environment
  • Created and managed features, user stories, backlog grooming, and management implementation guides
  • Supported clients with connectivity issues, XML, XSD, and implementation guides allowing successful testing and go-lives
  • Solid knowledge of application/onboarding/APIs
  • Extensive use of HL7 FHIR requirements
  • Activities tracked using Jira
Agile Methodology Business Analysis JIRA XSD XML HL7 API Development
Remove Skill
Technical Implementation Engineer
Information Technology
Dec 2019 - Mar 2020
  • Client: McKesson, Jacksonville, FL (3-month contract)
  • Assigned to 7 projects simultaneously, and as a “watcher” for 18 more. The purpose of a “watcher” is to assist the engineer primarily associated with the project
  • Executed full cycle project implementations, supporting the client through all steps of a connectivity system between McKesson and the client to allow them to place punch-out orders (cXML), EDI, Purchase Orders, Invoices, and tracking
  • Ensured compliance with 2-week sprints in an Agile environment
  • Supported the client throughout the project with errors, failures of connectivity, and lack of connectivity as needed to convey a successful project

Additional responsibilities included:

  • Collected and analyzed requirements to formulate the scope and objectives of technology solutions.
  • Prepared and maintained technical documentation including use cases and backlog grooming, flow and system charts, business process models (BPM), procedures, user guides, scorecards, and reporting assisting the ongoing operation and maintenance of technology solutions.
  • Analyzed business needs determining technical requirements and identification of impacted areas/systems/processes and alternative solutions
  • Designed, developed, documented, tested, or supported modification of client systems
  • Researched and supported design solutions to resolve system problems
  • Prepared detailed system requirements and design solutions for new clients or added functionality for existing clients
  • Managed oversight and final review of design specifications
  • Provided input into forecasting and project-planning for scope/requirements documents and/or vendor contracts to minimize risk to on-time, cost-effective solution fulfillment
  • Led a systematic process for capturing requirements
  • Collaborated with partners to capture requirements in a standard format that would serve as the foundation for developing technical documentation
Agile Methodology EDI Technical Specifications System Requirements
Remove Skill
IT Business Systems Analyst
Healthcare
Jun 2019 - Aug 2019
Jacksonville, FL
  • Client: Florida Blue (3-month contract)
  • Collected and analyzed requirements to formulate the scope and objectives in an Agile environment
  • As a Subject Matter Expert (SME), prepared and supervised documentation including use cases and backlog grooming for two-week sprints, flow and system charts, business process models (BPM), procedures, user guides, scorecards, reporting, oversight, and final review of design specifications
  • Analyzed business needs to determine technical requirements, identified impacted areas/systems/processes, and evaluated alternative solutions
  • Researched design alternatives to resolve system problems
  • Provided input into forecasting and project-planning for scope/requirements documents and/or vendor contracts to minimize risk to on-time, cost-effective solution fulfillment
  • Collaborated with partners to capture requirements in a standard format that would serve as the foundation for developing documentation
  • Analyzed system targeted for replacement/enhancement to determine business and technical functions to be included in the design, using SDLC processes and associated tools
  • Designed crosswalks
  • Continuously assessed systems as business direction changed to manage impacts to existing designs
  • Provided consultative support for the systems within the product family
  • Managed vendor relationships
  • Developed contingency plans to mitigate risks or roadblocks
Agile Methodology BSA SDLC System Analysis Technical Specifications
Remove Skill
Retired
Information Technology
Oct 2017 - May 2019

Retired

No skills were added
Remove Skill
Project Manager
Healthcare
Oct 2016 - Sep 2017
Long Beach, CA
  • Client: Molina Healthcare
  • EPMO Project Manager for the Utilization Management – Conversion to MCG UM Guidelines project
    • Objective: ERP Implementation of the web-based version of MCG UM Care Guidelines for inpatient services in a total of 10 Health Plans (HPs)
    • Managed all project activities with Health Plan PM, Senior Leadership teams and Corporate Senior Leadership, and Overflow Unit teams
    • Facilitated Bi-weekly Steering Committee with executive stakeholders
    • Two tracks: Training and Provider Services
    • Budgeted for EPMO labor and software licensure, using Oracle Primavera 8.3, OPPM, and Portfolio Management modules
    • Completed project $150,000 under budget
    • Documented all project artifacts including use cases and business process models (BPM) in a specially designed SharePoint site
    • Created train the trainer methods
    • Tracked Provider Services, i.e. distribution, manual publication, communications, Provider Relations
    • Conducted review and re-negotiation of Provider Contracts
    • Operationalized the HP workflows
    • Successfully completed Project QA audit
  • Other projects included:
    • SaaS management of all resource allocations (over 200 resources both onshore and offshore) and budgets for the MedHOK (mclinical) project ($21 million dollar budget) using Oracle P6, OPPM, and P6 analytics to drive the project using Agile methodology
    • Major EPIC upgrade of all modules
    • ERP implementation using Inovalon to increase communication between members and providers to improve wellness through regular visits
Agile Methodology Auditing ERP MS SharePoint Primavera Project Management Quality Assurance SaaS Stakeholder Engagement Training SAS Management Console Oracle HP Epic Analytics
Remove Skill
Senior Consultant
Healthcare
Jul 2016 - Sep 2016
Philadelphia, PA
  • Client: CentraState Health System (2-month contract)
  • Project manager for the implementation of a new nurse call system and associated mobility devices
  • Created project charter
  • Conducted vendor analysis including research of multiple vendor capabilities and interoperability with other systems, and created a comparative analysis document
    • Analyzed regulations affecting Nurse Call Systems and Mobility Devices, including UL 1069, TJC, CMS, and HIPAA
  • Authored RFPs for desired vendors
    • Developed initial needs assessment of initial capital asset and human capital for RFP
  • Developed and presented Real-Time Patient and Clinical Team Communication Vision presentation to CIO and Nursing Administration, designed to incorporate a new EMR system with the Nurse Call System, Mobile Devices, and interoperability goals
HIPAA RFP Project Management Mobile Devices EMR C-Level Management Analysis MS Visio
Remove Skill
Management Consultant
Healthcare
Nov 2011 - Dec 2015
Silver Spring, MD

Client: Kaiser Permanente. (3-month contract extended 15 times)

Led design, development, and implementation of numerous ERP financial and clinical systems in an Agile environment for the nation’s largest Managed Care organization, including complete documentation of all projects, including BPM. Notable achievements included:

  • Implementation of Interactive Video Visits for multiple specialties
  • Implementation of new State Medicaid Insurance and Exchange systems commensurate with CMS and ACA as MCO for those States whose business was new to the organization
  • Process improvements and enhancements to State Medicare and Medicaid Insurance and Exchange systems to convey compliance with CMS standards, Medicare regulations, and changes to the Affordable Care Act, including Newborn Reconciliation, Dual Eligibility, Dual Coverage, and Pharmacy Lock-In
  • Achieved full automation of co-pay collection and write-off processes for Dual Eligible members, ensuring proper identification of such members and correct collection procedures
  • Conveyed the organization into compliance with Medicare regulations regarding member dunning and production of identification documents
  • Completed updates to Cerner Millenium and CoPath systems and interfaces, incorporating alignment with numerous external vendors and corporate systems
  • Full implementation of the new proprietary product to replace outmoded McKesson outpatient pharmacy system including e-prescribing throughout KP pharmacies
  • Achieved full automation supporting a new Flexible Choice with deductible HMO product developed by the company incorporating numerous external vendors and corporate systems
  • Produced a single surgical supply chain management system with additional interfacings to corporate financial systems; complete substitution of GL and AP to PeopleSoft, converting from UCOA to NCOA
  • Implemented GE Centricity Perinatology product and provided interfacings with multiple internal systems and the inclusion of interfaces between EPIC and Centricity, providing concurrent access to both text and imaging for 1 click observation
  • Substitution of outdated claims systems managing client authorizations and referrals
  • Succeeded in implementation of a new web-based front end for a major internal membership system replacing the outmoded telnet terminal emulator
  • Extensive SQL query experience
Agile Methodology ERP Medicare Process Improvement SQL Peoplesoft Epic Documentation Compliance Cerner
Remove Skill
Senior Project Manager
Healthcare
Aug 2013 - Jun 2014
Washington, DC

As a project manager, using the core competencies to:

  • Integrate, convert, test, and validate Novius Lab, GE Centricity, Allscripts, and client proprietary systems as well as direct observation of laboratory testing
  • Implement Soarian Clinicals v3.4 SP4/Rx 24.4 SP1 EMR system, including Invision, EDTB, EDIS, and EDM
  • Expansion of CPOE utilization for disease-specific laboratory panels within the EMR
EMR MS Visio Project Management
Remove Skill
Senior Project Manager
Information Technology
May 2011 - Sep 2011
Bethesda, MD

Conducted research and development for the Whole Foods Market Wellness Club, managing the efforts of cross-functional teams across the Whole Foods Market regional and corporate offices to open facilities within five initial centers.

  • Completed ERP life-cycle implementation of a web-based retail membership portal
  • Conducted on-site management at each go-live location, including media coverage
ERP Project Management
Remove Skill
Testing Project Manager
Healthcare
Sep 2010 - Apr 2011
Washington, DC

As ERP testing project manager used the core competencies to:

  • Create standardized and approved HL7-X12 data streams to include patient demographics, diagnoses, laboratory results, auditing, and another testing for interoperability amongst member organizations
  • Manage testing initiatives using agile methodology for the guidance of applicant organizations in the validation process for acceptance into the Nationwide Healthcare Network Exchange, and the sharing of healthcare information amongst member Federal Agencies and partners
  • Analyze emerging specifications and provide subsequent recommendations to the Coordinating Committee and the Technical Committee to achieve a self-sustaining, scalable testing process
Agile Methodology Auditing ERP Project Management
Remove Skill
Project Manager
Healthcare
Dec 2009 - May 2010
Nashville, TN
  • Major conversion project for multiple facilities
  • Supervised project management team for conversion from Meditech to HMS system as the core EMR product with primary responsibility for laboratory, blood bank, and POC requiring duplicating lab orders in the Test environment
  • Integrated multiple interfaces enhancing the capabilities of the new product, including laboratory, blood bank, POC, surgery, transcription, scanning, pharmacy, and the incorporation of COWS
EMR Project Management
Remove Skill
Project Manager
Healthcare
Sep 2007 - Jul 2009
Boca Raton, FL

Project Manager for the EMR implementation at South Florida State Hospital, a 350-bed, long-term residential psychiatric facility, one of five facilities managed by the GeoCare subsidiary for the State of Florida Department of Children and Families. The project was an ERP endeavor, using SaaS principles and HEDIS regulations. Relevant responsibilities included using the core competencies to:

  • Manage the full Agile life cycle, staff of 17 project managers, department directors, external vendors, Government stakeholders, and executive teams at the corporate headquarters
  • Change laboratory ordering and collection practices (including labeling) and POC testing to be completed using the EMR
  • Create, test, and implement HL7 interfaces between laboratory (LabCorp), and pharmacy vendor to the product to allow the direct flow of laboratory results to the patient record, and prescription flow and administration
Agile Methodology EMR ERP Project Management SaaS Stakeholder Engagement HL7 HEDIS
Remove Skill
Project Manager
Healthcare
Jun 2005 - Jan 2007
El Dorado Hills, CA

Project executive for the industry leader in FDA 510K software designed to manage both blood donor centers and hospital-based blood banks. Clients included the Mayo Clinic, Cedars-Sinai Medical Center in Los Angeles, A.R.U.P, Oklahoma Blood Institute, Blood Systems in Scottsdale Arizona, University of North Carolina, Memorial Sloan Kettering, and Community Blood Council of New Jersey. Responsibilities and accomplishments include:

  • Autonomous project management for the ERP implementation of the SafeTrace ® and SafeTrace ® Tx software systems, as well as Web Scheduler, Report Server, and Mobile Collections in blood donor centers throughout the United States, Canada, and Africa
  • Custom database design encompassing donor management, recruitment, laboratory, special procedure donations, inventory control, reporting, user security, and billing functions in a Unix, Oracle environment
  • Simultaneous assignment of up to six clients, having on-site project teams, which included installation; four weeks of on-site team education; table build validation, regular project meetings, use cases and backlog grooming, SOPs, validation plans, test cases, and data conversion reviews; and change control issue resolution
  • Assuring compliance with all FDA, AABB, federal, state, and local regulations
  • Addition of ancillary products to include scheduling tracking of donor appointments, mobile blood drives, and customized reporting using Crystal Reports
  • Training at client sites
  • The final transition to client support
  • Analysis and a complete revision of the training manuals for the product
  • Facilitated P.A.C.E. – accredited training courses
ERP MS Visio Project Management UNIX Training Test Case Preparation Oracle Inventory Control FDA
Remove Skill
Validation Manager
Information Technology
Nov 2004 - May 2005
Boca Raton, FL

Managed matrix teams for validation and testing of a Donor Management System for the therapeutic human use manufacturing of Anti-D plasma

  • Created and executed validation plan in accordance with FDA mandates
  • Authored functional specification and risk analysis documents reflecting project requirements
  • Successfully completed unit, system, and UAT testing
  • Performed clinical analysis and troubleshooting of the various reports
  • Completed all required documentation to comply with FDA regulations
UAT Problem Solving Manufacturing FDA Documentation
Remove Skill
Project Manager / Business Analyst
Information Technology
Dec 1993 - Feb 2004

TEK Systems (Baptist Health Systems of South Florida) - Senior Business Analyst/Project Manager
Sep 2002 – Feb 2004

Interim Healthcare - Project Manager
Dec 2000 – Jul 2002

Computer Task Group (Blue Cross/Blue Shield of Florida) - Consultant
Feb 2000 – Dec 2000

CDI Corporation (U.S. Navy) - Senior Business Analyst
Apr 1998 - Feb 2000

Doctors Laboratory - Clinical Laboratory Manager
Apr 1997 – Sept 1998

National Certification Agency for Clinical Laboratory Professionals - Executive Director and COO
Dec 1993 – Aug 1995

Various Companies - Medical Laboratory Manager
Aug 1975 - Dec 1993

Business Analysis Project Management DEC
Remove Skill
Edit Skills
Non-cloudteam Skill
Education
Bachelor's in Biology and Chemistry
Central Connecticut State University 1973
Attended in M.T.(ASCP) - Post Baccalaureate
Danbury Hospital School of Medical Technology
Certifications
Diplomate in Laboratory Management (DLM) and MT (ASCP)
Certified Equine Handler, Fund-Raiser, and Artist in Residence for Therapeutic Riding Programs
PMI member, PMP certification planned for Fall 2021
Skills
Project Management
2021
20
Business Analysis
2021
10
DEC
2004
10
ERP
2017
9
Agile Methodology
2021
8
Epic
2017
5
Cerner
2015
4
Compliance
2015
4
Documentation
2015
4
Medicare
2015
4
Peoplesoft
2015
4
Process Improvement
2015
4
SQL
2015
4
Analysis
2021
3
EMR
2016
3
Technical Writing
2021
3
FDA
2007
2
HL7
2021
2
MS Visio
2016
2
Oracle
2017
2
SaaS
2017
2
Stakeholder Engagement
2017
2
Training
2017
2
Auditing
2017
1
HEDIS
2009
1
Inventory Control
2007
1
Test Case Preparation
2007
1
UNIX
2007
1
Analytics
2017
1
API Development
2021
1
BSA
2019
1
C-Level Management
2016
1
Data Warehousing
0
1
Database Maintenance
0
1
EDI
2020
1
HIPAA
2016
1
HP
2017
1
JIRA
2021
1
Manufacturing
2005
1
Microsoft Excel
0
1
Mobile Devices
2016
1
MS SharePoint
2017
1
Primavera
2017
1
Problem Solving
2005
1
Program Management
0
1
Quality Assurance
2017
1
RFP
2016
1
SAS Management Console
2017
1
Scrum
0
1
SDLC
2019
1
SQL Server
0
1
System Analysis
2019
1
System Requirements
2020
1
Technical Specifications
2020
1
UAT
2005
1
Waterfall
0
1
XML
2021
1
XSD
2021
1