Smita Nair
- Project Manager
- San Jose, CA
- Member Since Apr 14, 2023
Candidates About
Smita Nair
PROFILE SUMMARY
Seasoned Project Manager with good experience in
- 15+ years’ experience in IT & Development Experience in Health Care with around 5 years of Project Management experience in Health Care Insurance in the areas of Claims, Billing , Portals along with Release Management & PMO Lead roles & 1 year Life Sciences
- Test Management including Automation Testing, End to End Testing, UAT and managing Test Environments & Testing Teams
- Release Management for few of the deployments as well creation of required deliverables.
- Dependency Management & Environment Planning with several stakeholders, IT & QA
- Use of tools like Excel, SharePoint, Primavera, some experience on Jira with bug tracking etc.
- Managing, constantly changing Regulatory Requirements with a mandated compliance and deployment date.
- Managing Scope definitions, and multiple changes to it , in collaboration with senior management
- Managing Project schedule reviews with senior management , as well as constant changes
- Working on few Agile Projects as well as Scrum experience, with Requirements constantly changing and have been Bug fixes intrinsic.
- Resource Estimation (time, money, equipment, etc) with various teams and discussions related to it
- Resource Allocations to the schedule for project completion and measurement criteria for project completion evaluation discussed with stakeholders
- Reporting to the Stakeholders – Program Management, Portfolio Director and Executive Leadership including Biz owner & team & project team, on a weekly / daily basis. Dashboards, performance metrics, outstanding issues were reported & discussed, helping strategize on the monthly implementation plan
- Managing iterative/monthly cycle projects and in agile project in module lead role.
- Tracking project deliverables to completion.
- Basic BPM workflow knowledge.
MANAGEMENT SKILLS
· Good degree of experience in planning, and successfully implementing IT projects, new program initiatives in the areas of Enterprise Wide Projects, Claims, Portals (Role Based Development), Billing , Regulatory Compliance, PMO /Vendor Management & Reporting & Project Management as well using Plan View for the same. Have a fair experience with all PMO activities and reporting on the same. Conversant with standards as 21 CFR Part 11 / Part 820 as well as have also provided Validation guidance to the respective project teams as part of the review program.
· The Project Management experience includes projects for Enterprise Applications spanning Claims, Billing and such areas, as well as others projects whose genesis were due to high escalations from Production fallouts from the previous releases, this was successfully implemented based on agreeing upon a strategy with the Stakeholders.
· The project also involved Process Improvement recommendations & process initiatives, particularly related to the Testing Areas, SIT & UAT.
· The projects involved identifying test environment needs and dependencies for SIT & End-2-End testing within major projects. Have worked with respective teams for smoke testing before releasing the Test Environments to QA teams etc.
· The project management responsibilities included – starting with the initial BARR analysis, estimation, requisitions of resources, plan updates (Plan View) charter & kick off with program mgmt., daily/weekly touchbases, reporting with program mgmt. & executive leadership & implementation
· There were additional tasks of planning and managing end to end activities in Release Management Lifecycle for some of the deployments and Operations Team Transition related tasks as well. Also worked with PMO & project stakeholders to determine Release Strategy, Timelines & Environments
· There were challenges of multiple vendors from the PMO to implementation, as well as new ramp up of resources and increasing team size which were succesfullly handled. They were also different types of projects varying from migration to Infrastructure to start, conceptualizing and implementing Review programs
· Around 6 years in Project Management & 7.5 -8 yrs. on Development and Testing roles.
· Have worked extensively with Microsoft Technologies such as VC++/ C#/VB.NET and DBMS/RDBMS including Oracle, Access, SQL Server and UNIX and have done System, Integration and Regression testing using these technologies as well as tools like BOBJ, Terradata, PL/SQL Developer and Toad. Have worked on Paragon Fastest Test Tool including Automation and am conversant to a good degree on Quality Center & Test Automation for the same as well as fundamentals of Silk Test and QTP.
· Have extensive and good hands on experience on DB and ETL Testing as well as Test Planning & Management.
· Have considerable experience on automation testing & designing scripts for ecommerce web portals with Quality Center / QTP as well as testing for Web Services and Web Security Testing using tools like SOAP UI Pro.
· Strong initiative ability, team player & dedicated.
Have 6+ months of Sales calls experience in a previous role.
Worked on Conduit application for Palm OS in my previous role.
· Have handled responsibilities of a Team / Module Lead /Manager roles successfully.
TECHNICAL SKILLS
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FUNCTIONAL |
TECHNOLOGY |
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· Enterprise Wide Projects/QNXT / Portals/Billing / Claims processing/ Data Warehouse systems. · ATM Processes & Architecture/ Messaging & Automation Testing.
· S/W development life cycle methodologies & Production Support cycle. · Process & compliance, PMO Program & Implementation. · Middleware, Portal & Data Warehouse Testing · Implementing projects, End to end testing and User acceptance testing.
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· Languages – C, C++, VC++, VB, Java. · Middleware - IBM MQSeries, CORBA, · Databases - Oracle, SQL Server, Mainframes · Operating systems – Red Hat Linux, UNIX, Windows (3.x, 95, NT, 2000, XP), Next Step · Testing Tools – Quality Center, QTP, SOAP UI, and Paragon Fastest, Rational. · Development Tools - Visual Studio 6 (VC++), EJB, XML, Borland C++, Java Applets, CSS, HTML, JavaScript · PMO Tools – Plan View, Primavera, Microsoft Project, Visio, Jira (Bug Tracking) · Share Point Basic Dev & Updates · Release Management – DevOps Tools Basics – Jenkins, GIT etc.
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PROFESSIONAL EXPERIENCE
1. Project Manager/ ITPM (Portals) - Provider Demographics / March 2017 – May 2017
CA Regulatory Requirements, Molina Health Care , for Cognizant Technology Solutions
Team Size – Core Team 9-10 members (BA, IT, QA)
Project Summary: a) Provider Demographics / CA Regulatory Requirements
The state of California instituted changes in the Provider Online Directory (POD) requiring an avenue for members and providers to submit Providers POD demographic changes to Molina affecting Providers & Membership based functionalities. This project is the rollout of that functionality to the enterprise with automation in impacted areas. It used Java Script Development & Testing
The project is currently descoped and another project request being submitted only CA Regulatory 2017 Requirements.
· Project Manager / ITPM Responsibilities Included-
o Conducting Project Meetings/ Tracking/ Follow ups with Biz /IT as well as Test Management activities.
o Responsibility for the Deliverables completion in time ie BRD, RRD, FRDs, Coding , Test Strategy , Test Cases, Deployment Plan, Transition Plan & Lessons Learnt
o Risk & Dependency Tracking & Status Reporting
2. Project Manager/ ITPM (Portals) HPS Portals for Market Place Aug 2016 – Feb 2017
Molina Health Care
Team Size – Core Team 9-10 members (HPS, BA, IT - Portals, QA)
Project Summary: a) HPS Portals for Market Place 2017 for various state Implementations
This project included updates to the Portals to include Market Place Members via third party tools – PaySafe (by HPS) & all functionality in the areas of Membership, Claims, Billing and changes related to the various portals– Direct Enrollment, Redirect Portal , Public Websites, Provider Portal, Black out Period requirements. The requirements were getting completed while re-estimations, design & QA activities had started. The project was thereafter suspended due to Obama Act Repeal considerations
· Major Project Manager / ITPM Responsibilities Included-
o Working with Biz PM & Business & HPS teams to get the Requirements , & other deliverables completed
o Work with HPS, IT, QA & PMO teams to get Environment, & QA Planning issues resolved.
o Responsibility for the Deliverables completion in time ie BRD, RRD, FRDs, Coding , Test Strategy , Test Cases, Deployment Plan, Transition Plan & Lessons Learnt
o Environment Planning & Dependency Tracking
o Status Reporting to PMO Leadership & IT
3. Role – Project Manager/ ITPM (Portals) TX Aug 2016 – Feb 2017
Provider Portal Enhancements –Regulatory & Compliance Project
Molina Health Care
Team Size – Core Team 9-10 members (BA, IT, QA)
Project Summary: a) TX Provider Portal, Public Websites & Reporting Enhancements Implementation
This project included updates to the Current Portal functionality to make it compliant per TX State regulatory specifications and included functionality updates for Electronic Authorization & other user interface updates, Reporting changes as well as changes to the Public Websites, links & contents. Worked on close lines of an agile framework.
· Project Manager / ITPM Responsibilities Included-
o Overall responsibility for the 3 release implementation for Portals, Public Websites and Reporting
o Conducting Project Meetings/ Tracking/ Follow ups with Biz /IT
o Responsibility for the Deliverables completion in time i.e. BRD, RRD, FRDs, Coding , Test Strategy , Test Cases, Deployment Plan, Transition Plan & Lessons Learnt
o Risk & Dependency Tracking
o Status Reporting
4. Role – ITPM & Implementation Lead (Enterprise PMO) QNXT Implementation (WI & UT, CA & MAPD ) as well as PMO Lead Support / Release mgmt. May 2015 – Aug 2016 , Molina Health Care
Team Size – Core Team 9-10 members (& more spread across functions & Health Plans)
Project Summary: a) Core QNXT Implementation for Wisconsin & Utah State – from 4.8 to 5.3 – April 18, 2016 go live
b) Core QNXT Implementation for CA State from 4.8 to 5.3 – June 20 2016, go live
c) QNXT Implementation for MAPD from 4.8 to 5.3 – June 20 2016, go live
This includes the Core, Lift & Shift Functionality includes Inventory List Updates, Impact Analysis/ Retrofit Analysis, Environment Creation, Running of DB Reports & Standard/ Production Report & remediation all the IT applications under IT, Corp Functions & various Health Plans for ICD10 Compliance including Components for Eligibility Extracts (State & Common Extracts), Care System Applications, DWBI/ODS, IDM Updates, QNXT Reports, Enrollment, Encounters/Claims, Billing, i Portal Applications Quality Systems, across the health Plan for Wisconsin –Functional , End to End and their deployment. Both the state were deployed together
CA Implementation – Additionally DOFR, MP160 (CHDP), and CA Special Project & PDR was also in scope
MAPD implementation – Scope included covering scenarios MMOP for all the 9 states (testing both the states gone live on 5.3 & 4.8 as well). Hot Fix for Subscriber Facility for MAPD also tested
b) Market Place – Includes – Market Place changes for 5.3 QNEXT including structural Config changes in Production once Core Functionality implemented and then Remediation for the same
· ITPM Responsibilities Include-
o Overall responsibility for the project implementation
o Conducting Project Meetings/ Tracking/ Follow ups with Biz /IT as well as Test Management
o Risk & Dependency Tracking
o Status Reporting Prebilling
o Milestones Tracking for Remediation, Testing & Deployment Activities & Post Prod Support
· PMO Lead Support (for Enterprise Wide Projects & Customer Experience Projects ) Jan 2016 – Apr 2016
o Budget Forecasting for various PMO projects
o Steering Committee Deck updates
o Capacity Planning
o Re-estimation of Projects – Planning & Tracking
5. Role – ITPM & PMO Lead Support, Molina Health Care, CA May 2015 – Dec 2015
Team Size – Core Team 9-10 members (& more spread across functions & Health Plans)
Project Summary: ICD10 Compliance – Included remediation all the IT applications under IT, Corp Functions & various Health Plans for ICD10 Compliance including Components for Eligibility Extracts (State & Common Extracts), Care System Applications, ODS, QNXT Reports, Encounters/Claims, Portal Applications Quality Systems, across various states health Plans – IL, TX, CA, FL, NM, PR, which load to QNXT systems, Testing –Functional, End to End and their deployment.
· ITPM Responsibilities Include-
o Responsibility for Project Implementation
o Conducting Project Meetings/ Tracking/ Follow ups with Biz /IT
o Risk & Dependency Tracking
o Status Reporting Prebilling
o Milestones Tracking for Remediation, Testing & Deployment Activities & Post Prod Support
o P6 & APT Updates
6. Role - ITPM Prebilling Project , Health Net, CA Sept 2014 – April 2015
Team Size – 9-10 members
Project Summary: Automated Business Solutions – Prebilling & Test Bed were two projects, which were mandated from the Health Net PMO program for Billing Remediation Issues Program. As a part of the program, the billing issues which had been causing delays in Production was sought to be remediated with the key components of the Solutions being a : a) Prebilling UAT Env where the data copy is closer to Production to replicate the issues and validate and catch them before Prod as well , so an iterative process b) Comprehensive Test Bed for an extensive test coverage via End to End Testing, Business Critical ones & Generic test cases and synchronizing testing in SIT & UAT for this. Worked on close lines of an Agile framework.
· Prebilling – A Proof of Concept for the new Environment was done as well as multiple iterations for data snapshots as well as Validation done via Scan / Audit reports, and then analyzed to identify trending issues in Production, compared to metrics in Production for previous month’s n and then corrections done in Prod as required. New Code Fixes, issues with Tiered level Billing (TLB) & Member level Billing (MLB) group data were also sought to identified using the above process and several trend issues were fixed
· Test Bed – A buy in for the Recommendations/ Considerations pertaining to updates needed SIT, UAT, Biz Reviews, Enterprise Release Changes, after discussions with the various teams was sought by various stakeholders, and those agreed related to a consolidated test bed by both SIT & UAT teams are being incorporated as a process by the concerned. The Test Plans with the updated Test Bed as per agreed considerations, was also signed off by all stakeholders
7. Role – IT PM – Application Rationalization Project WellPoint/Anthem, CA Feb 2014 – Aug 2014
Team Size - 12-13 members (Total Project Size -20-22)
Project Summary: In the Claims area, the Application Rationalization in WGS aims to economize IT expenses in accordance with Business by decommissioning QCARE & AMISYS as well as STAR Claims systems, and moving Claims data to Claims ODS as well as Membership data to CHUB, process Run Out claims in WGS & Archiving 2 yrs claims data from QCARE & AMISYS as well as retrieving them
· Weekly Status Reporting to PMO on the project status for the 3 tracks i.e. Claims ODS, Run Out Processing & Archiving.
· Create plan documents for the Claims OD & Run out tracks
· Responsibility for overall deliverables & issues tracking & resolution
· Responsibility for co-ordination with offshore for timely delivery and issue resolution
8. PMO - Vendor Governance /Project Management Lead, WellPoint /Anthem, CA Aug 2013 – Jan 2014
Team Size - 6-7
Project Summary: The WellPoint PMO program in coordination with WellPoint Vendor Management ensures Vendor Compliance & PMO co-ordination for the various projects under the various portfolios – Backend Channels, Portals, Products & Testing & Facets & Government Business. Other than the Vendor Compliance activities the Process compliance activities included- Security, BCG, FDR and Compliance
· Monthly Governance & Reporting for PMO – Finance, Contract, Relationship and Project management
· Performance Governance & Reporting – monthly - missed SLA justification as well as missed Roster & SLA justification
· SLA & Roster Compliance for all the projects on a monthly basis
· SOW Compliance & Function Point Analysis
9. Program Coordinator / Project Manager- Integr. Assurance Program Abbott, CA May 2011- Dec 2012
Team Size – 8 members
Project Summary: Quality Review Program for SDLC involves launching, planning & implementing of SDLC Quality Reviews for approx 31 applications across Quality, Manufacturing and Clinical domains. Post the initial planning analysis and kick off phase and creating of the plan documents, schedules, checklists & tools need, the pilot phase was conducted across 7 applications and then the program rolled out to the organization. The team strength has been upto 5 members. These reviews are based on a Risk based approach based on the criticality and size of the project etc.
· Overall responsibility for launching, driving and the implementation of the program
· Responsible for kicking off, conducting and completing the review discussions with the 31 (approx) different project teams
· Creation of program plan, program schedule, templates and other guidelines document defining the review processes.
· Creating of tools for supporting the various programs being run and managed
· Responsible for handling the access and archival issues for the tools and the deliverables
· Overall responsibility for all the offshore reviews, document deliverables /updates and offshore reporting
· Monthly /Weekly/daily reporting to Program Manager & Project Manager
10. Role - FIRM & LIFT Test Manager, Amgen, CA Jan 2013- July 2013
Project Summary: The Forecasting Items Receipt Module (FIRM) allows the “Study Manager” Role to log in and view all studies for which s/he has accountability. The FIRM/ SIVS system will automatically import from Source systems via Dev ODS. The Study Manager Role can monitor studies, modify studies and version studies with in SIVS all for the purpose of setting the expectations of what items are expected per the study Protocol.
FIRM release concentrated on important enhancements - Include studies from RAVE other than DEVODS, DES compatibility for the studies, Sub Study schedules updates for RAVE studies, End of Radiographic Follow up Date Trigger updates, Block Cloning Updates and LOV Cloning and Extensive ETL Verifications for both FULL and Delta Load. The Quality Assurance and Execution for all these activities was done both in Development and Test Environment.
In addition Adhoc Release for 118 Study – to verify deletion of schedules for Non –US Specific Subjects was completed in first week of May. Additionally patch releases were completed for enhancements of reports in the LIFT system.
· Overall QA Responsibility & Test Manager for the FIRM and LIFT system and the patches and adhoc as well as full releases for the above system.
· Responsible for 3 direct reports and a team of 8 -9 QA testing members under the group for testing projects.
· Creation of QA Plan, Strategy, Deliverables for Execution both on FIRM /LIFT for all releases program plan, program schedule, templates and other guidelines document defining the review processes.
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