Martin Arce, PMP

PROGRAM/PROJECT MANAGER

An accomplished professional with extensive healthcare and program/project management experience in a fast paced, aggressive management consulting environment. Worked as a Program Manager, Project Manager, Team Lead, Data Dictionary Development Manager, Facilitator, Systems Analyst, and Business Analyst.  Key competencies include:

·         Full end to end System Development Lifecycle Experience using both Agile and Waterfall methodologies.  

·         Focused in managing large, complex programs involving business/IT stakeholders.

·         Proven track record of success within the areas of requirements gathering, designing, and implementing business/IT solutions.

TECHNICAL SKILLS

·         PMP Certified

·         Microsoft Office Suite

·         Full SDLC Experience                         

·         Microsoft Project

·         Microsoft Visio

·         Agile and Waterfall Methodologies

PROFESSIONAL EXPERIENCE

ERNST AND YOUNG                                                                                        December 2012 – December 2017

Program/Project Manager  

Selected Project Roles:

Client: Large National Healthcare Payer

Role: PMO Program Manager

·         Led development effort for 3000+ line program project plan covering multi million dollar enterprise core function system implementation.

·         Facilitated and coordinated scheduling and content conflicts across 13 different stakeholder groups across the US encompassing both business and IT areas.

·         Established and coached stakeholders through PMO playbook; assisted with resolving daily plan development issues.

·         Developed and rolled out repeatable process for making plan updates.

·         Developed status reporting template and instituted program wide process.

Client: Large Medicare Payer

Role: Program Manager- CMS Claims Sanction Remediation Project

·         Facilitated multiple multi week sessions involving 20+ stakeholders to overcome multiple CMS sanction related issues regarding: Claim Denial Notices, Overall Claims Processing Timeliness, and Explanation of Benefit notices to members.

·         Developed multiple business requirement documents for sanction solutions and shepherded them through the client’s mandated development lifecycle methodology.

·         Led development of current IT claims process solutions used to isolate sanction pain point areas.

·         Remediated primarily CMS Universe Tables: 3 (Claims), 4 (DMR- Direct Member Reimbursements), and 13 (Dismissals).

·         Facilitated sessions with senior and mid level stakeholders to determine lead process candidates for RPA (robotic process automation) with Blue Prism tool as part of a force multiplier Proof of Concept exercise.

Client: Large Regional Hospital/Clinic System in Western U.S.

Role: Project Manager for ICD-10 Implementation

·         Led ICD-10 Implementation Project activities for the health plan portion of a large health system.

·         Coached and coordinated test strategy, requirements gathering/traceability, and process/impact analysis efforts across the enterprise.

·         Developed and maintained relationships with senior key client stakeholders.

·         Ensured on schedule adherence to baselined project plan, and accurate status reporting for program PMO.

Client: National Health System Payer

Role: Test Strategy Lead

·         Led effort with multiple parties to define test data management strategy, personal health information handling procedures for large claims system implementation at a national payer.

·         Developed and coached client stakeholders on the merit and effective execution of a Quality Gate process.

·         Assisted other implementation teams with development of test data sets and proper defect management handling.

Client: Large Regional Payer in Eastern U.S.

Role: Data Dictionary Work Stream Project Manager for Data Mart Pre‑Build

·         Conducted 25 work sessions with IT and Business Community subject matter experts to understand data dictionary term relevancy/value to organization or department, definitions, data types, and applicable values for respective PPO/HMO business segments.  

·         Established and customized Data Dictionary template and tools to manage the collection of term content during development.

·         Conducted multiple interim review sessions (in addition to weekly status reports) with client project sponsors to ensure proper scope and delivery were consistent with expectations/SOW.

·         Promoted data dictionary using online tool (IBM Business Glossary) to general business community utilizing established information governance policies and procedures.

DELOITTE                                                                                                                       May 2009 – November 2012

Manager

Selected Project Roles:

Client: University Health System

Role: PMO Lead

·         Lead the establishment of PMO protocols and tools for University Health System company Epic implementation across 5 teams encompassing 3 hospitals and 80+ clinics.   

·         Developed integrated processes and protocols via PMO Playbook relating to weekly team and summary status reporting, issue tracking, risk tracking, program roadmap, and program management plan 

·         Launched adoption and education efforts with client Team Leads and Team Mangers on PMO terms and process definitions

Client: Major Biotech Company

Role: PMO Lead

·         Lead the establishment of PMO protocols and tools for North American company merger/SAP process harmonization efforts across 8 teams over multiple locations.

·         Developed and administered processes via PMO Playbook relating to weekly status reporting, issue/risk tracking/escalation, project timelines, and project management plan standards

·         Conducted weekly project status meetings with key client stakeholders and internal resources

·         Improved communication between senior/mid level client process and IT stakeholders through facilitated workshops and all-hands sessions. 

Clients: 4 Distinct Regional Hospital/Clinic Systems

Role: Project Manager for ICD-10 Assessment

·         Led the overall project efforts of assessing ICD-10 impacts for 3 regional Hospital/Clinic systems including 36 hospitals and multiple urgent care clinics.  Scope encompassed operations, finance, and technology functions.

·         Led development of functional and technical heat maps, implementation/remediation roadmap, and remediation budget to bridge the ICD-10 transition.    

Client: Regional Blue Plan

Role: System Lifecycle Quality Audit Lead

·         Led the establishment of a system development deliverable quality assurance process for a TriZetto Facets implementation.

·         Identified potential areas of program risk and provided constructive coaching to project teams to improve deliverable output;  Facilitated and/or improved communication handoffs between individual project teams to reduce downstream ambiguity regarding documentation content

ACCENTURE                                                                                                                    September 2004- May 2009

Manager

Selected Project Roles:

Client: Regional Blue Plan

Role: PMO Lead

• Leveraged requirements experience to drive project requirements effort and institute best practices for a 25‑page dynamic customer report outlining health plan trends intended to be used by the client's Sales group during the annual account renewal process.
• Provided team foundational support by introducing comprehensive deliverable status reporting; developed an exceedingly straight forward template used to break down complex requirements; established requirements QA process ensuring subject matter integrity, traceability, & testability.

Client: Regional Blue Plan

Role: Requirements and Design Lead

• Produced comprehensive use cases which assisted in driving the vision and scope of website used to sell insurance via brokers and direct to consumers. 
• Developed, led, and executed comprehensive Acceptance Testing strategy.  Facilitated daily defect meetings and escalated outstanding issues.

Client: Pharmaceutical Benefit Management Company

Role: Business Requirements Team Lead

• Retained as the business requirements lead for project that produced requirements for redesigning benefit configuration functionality. Had responsibility as Lead for team of resources, maintaining the client relationship as the primary point of contact, transferring subject matter requirement knowledge to IT personnel, as well reporting weekly status/issue escalation.

KAISER PERMANENTE                                                                                                April 2002 – September 2004

Project Manager II - Siemens/Epic Billing System Implementation Project:

Role: Business and Special Projects Team Lead

• Managed technical and functional requirement teams charged with producing data/process workflows, custom and package application business rules, as well as As-Is/To Be gap analysis.
• Wrote Test scenarios/cases for IT using requirement tracking application which were used by IT as the basis for test scripts.
• Interviewed and documented user requests for specific Screen tailoring/pathways customizations to mitigate fit gap issues brought on by the new system.
• Acted as Business Team liaison to IT, PMO, Work Comp, and MediCal stakeholder communities including GUI customizations, specification clarification, legacy interfaces, and project scope.

EDUCATION

UNIVERSITY OF SOUTHERN CALIFORNIA

Bachelor of Science (BS), Business Administration, Information-Operation Systems and Management