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Marlon
mfurbano@gmail.com
904-537-4475
Jacksonville, FL 32203
Project Manager
21 years experience W2
3
Recommendations
Average rating
191
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Summary

  • Former US Naval Officer with 20+ years of experience in leading and managing successful implementations of various IT and business transformation projects.
  • Successfully utilized excellent organizational and communications skills to lead large projects such as the migration and deployment of an enterprise data warehouse, migrating 3,500 users to a new Windows desktop, installing an enterprise call routing system, developing an enterprise web-based consolidated e-billing application, and managing enterprise-wide changes in health care compliance for both HIPAA standards for EDI transactions and the migration of the ICD-9 diagnostic and procedures code sets to ICD-10.
  • As an operations manager, provided day-to-day management and oversight of business and technical resources to ensure service level agreements were met or exceeded.
  • Continuously progressed through leadership positions of increasing responsibility; showing proven ability to adapt quickly to new challenges.
  • Highly proficient with the Microsoft Office applications: Word, Excel, PowerPoint, Access, Visio and especially MS-Project.

Experience
Senior Project Manager
Healthcare
Jun 2016 - present

Sr. Project Manager on the Clinical Affordability team, Clinical Services Group. The team looks for opportunities to drive out unwanted variation in healthcare by working internally within UCS, with the lines of business (LOB), and other department/teams within UnitedHealthcare. The team also is responsible for clinical program oversight for the Optum Health relationship working closely with the Finance and the Vendor management team for a unified collaborative approach to improving the health and well-being for our customers. We also monitor, and continuously perform strategic visioning for, potential solutions to identified outpatient trends.

Project Management MS Visio
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Senior Project Manager
Healthcare
Jan 2015 - Jun 2016
Minneapolis, MN
  • Sr. project manager for three projects under the Operations Model Transformation (OMT) enterprise program, which is migrating all claims processing operations to a third-party host (Highmark Health Solutions, HMHS).
  • Currently on the Vendor Integration project, overseeing the integration of pharmacy benefit management (PBM) and medical banking vendors with Highmark.
  • Recently completed the project to develop the program dashboard to monitor the conversion and migration of Group Market accounts (1.4M members) to Highmark.
  • First project was managing the Codes Editing track of the OMT project, where all medical diagnosis and procedure code edits (CPT, HCPCS) including modifiers were converted to HMHS’ coding system.
  • Applying project management best practices in the oversight and management of project teams.
  • Collaborate with third-party project managers to coordinate deliverables across cross-functional teams within the enterprise.
  • Prepare status reports and presentations for senior leadership and governance to provide risk, issue and dependency updates.
Project Management Agile Methodology Analysis Capacity Planning MS Project
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References
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1 recommendation
Senior Project Manager
Insurance
Aug 2011 - Dec 2014
  • Member of the Managed Solutions Group of Incepture which provides professional services and consulting for IT and business transformation projects across various industries (health care, health insurance, financial services and banking).
  • Primary role is project manager lead on enterprise-wide projects. Currently managing two large projects for Florida Blue (Jacksonville, FL): Transition to ICD-10 (diagnosis and procedure code set) and their corporate Contract Management system (McKesson product).
  • Manage project budgets of over $2.5M combined. Directly manage a mix of cross-functional project teams totaling more than 50 resources.
Project Management P&L Analysis Budget Management SDLC System Requirements Agile Methodology MS Project Contract Management
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References
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1 recommendation
Program Manager
Insurance
Oct 2009 - Jul 2011

Member of the Enterprise Project Office for the largest health insurer in the state of Hawaii, an independent licensee of Blue Cross Blue Shield Association.

  • Hired to assist with developing standards and policies for the newly created PMO. Provided guidance to clients on project management rigor by utilizing corporate standards and best practices in gathering system requirements, analysis and design, integrated system testing and implementation of key strategic and tactical solutions.
  • Responsible for all aspects of managing enterprise changes through the program management of a portfolio of large projects across all lines of business. Directly managed all project teams, both business and technical, including external vendors/consultants, in a matrix environment composed of 50+ team members, including project managers, across several functional areas. Overall accountable for project budget, scope and schedule.
  • Projects include applications/ technologies such as QNXT claims processing system, SQL server/Oracle databases, Informatica ETL tool, and MicroStrategy business intelligence platform. Managed two large multi-year projects: HIPAA 5010 and ICD-10.
Project Management System Requirements Analysis SDLC Budget Management P&L Analysis Informatica SQL HIPAA ETL Business Intelligence Program Management Requirement Analysis
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Project Management Consultant
Information Technology
Dec 2007 - Aug 2009
  • Member of one of the core consulting teams that deployed to major clients.
  • Typically managed a consulting team of 8-12 system architects, business analysts, data analysts, developers and testing specialists.
  • Successfully completed projects included:
  1. Technical assessment and subsequent project planning for an internally-developed J2EE application that enabled group enrollment, maintenance and renewal functionality for small- to mid-sized group accounts;
  2. Data integration effort involving the data extraction (using Ab Initio) of pharmacy claims (from a Teradata database) and subsequent submission of this data to a national data warehouse.
  3. Successfully completed a project for a large health insurance client in New York involving the migration and deployment of an Oracle-based Enterprise Data Warehouse and ETL application (Informatica) to an outsourced managed host environment.
Project Management Data Integration Data Warehousing Ab Initio Teradata Informatica Data Analysis Microsoft Excel Project Planning Business Analysis
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Senior Project Manager
Healthcare
May 2000 - Dec 2007
  • One of the original team members of the Enterprise Project Management Office within the IT division. Hired to assist in the setup and growth of the enterprise PMO.
  • Primary responsibility was to manage large enterprise-wide initiatives that involve information technology.
  • Performed all functions of a senior level project manager, leading project teams with over 50 team members and project budgets over $7M.
  • Successful projects included web-based applications (J2EE) and systems integration for health insurance products, an enterprise call routing system, computer telephony integration (CTI) system, and hardware upgrade of the enterprise Wide Area Network and the development of a web-based e-billing application which included the foundational infrastructure to process credit card transactions
Project Management Systems Integration MS Visio
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References
Average Rating

1 recommendation
Edit Skills
Non-cloudteam Skill
Education
Master's in Business Administration with Emphasis on Information Systems
University of North Florida
Bachelor's in Business Administration majoring in Computer Information Science
University of Florida
Certifications
Certified Project Engineer
Inacom Corp, 2010
Skills
Project Management
2021
17
MS Visio
2021
10
Systems Integration
2007
7
Budget Management
2014
5
P&L Analysis
2014
5
SDLC
2014
5
System Requirements
2014
5
Agile Methodology
2016
4
MS Project
2016
4
Analysis
2016
3
Contract Management
2014
3
Informatica
2011
3
Business Analysis
2009
2
Business Intelligence
2011
2
Program Management
2011
2
Project Planning
2009
2
Requirement Analysis
2011
2
Ab Initio
2009
1
Capacity Planning
2016
1
Data Analysis
2009
1
Data Integration
2009
1
Data Warehousing
2009
1
ETL
2011
1
HIPAA
2011
1
Microsoft Excel
2009
1
SQL
2011
1
Teradata
2009
1
Compliance
0
1