Asma Begum
Molina Healthcare
Glastonbury,USA
1
Certification
2027
years of professional experience
Results oriented Product Development & Clinical Solutions Leader experienced in delivering enterprise healthcare transformation and integrated pharmacy-medical solutions across diverse segments. Achieved operational improvements and enhanced financial performance through effective collaboration with Clinical, Actuarial, Trade Relations, IT, Operations, and Medical Affairs. Delivered clinically aligned product strategies while ensuring compliance with regulatory standards, contributing to competitive differentiation and member value.
Work History
Program Manager
1 Year 5 Months- Enhanced clinical alignment for PBM products to improve healthcare delivery.
- Delivered programs improving member experience, operational efficiency, and product adoption across Medicaid and Marketplace lines of business.
- Partnered with clinical, architecture, infosec, and operations teams to validate clinical workflows and pharmacy integration controls, ensuring compliance with UM rules.
- Strengthened collaboration with CVS, Teladoc, and specialty partners to improve drug utilization workflows and accelerate issue resolution.
- Delivered programs enhancing member experience and product adoption across Medicaid and Marketplace lines of business, driving operational efficiency.
- Oversaw performance metrics of products to drive continuous improvement.
- Implemented architecture validation frameworks reducing post-production defects by 98%, accelerating speed-to-market.
- Delivered executive dashboards highlighting product impacts, risk trends, and regulatory readiness.
- Evaluated product gaps across enrollment, eligibility, and pharmacy workflows; aligned enhancements with enterprise product strategy.
Senior Project Manager
10 Months- Directed modernization initiatives ensuring clinical risk mitigation and compliance checkpoints for Medicaid pharmacy operations.
- Ensured alignment with CMS guidelines, state pharmacy regulations, and UM requirements.
- Improved release management for pharmacy-related systems, reducing delays in clinical and UM program updates.
- Delivered KPI dashboards and insights that informed product strategy decisions and ensured regulatory compliance.
- Evaluated change requests impacting pharmacy workflows, assessing feasibility, budget impact, and clinical implications.
- Developed project timelines and milestones, ensuring adherence to regulatory requirements and stakeholder expectations.
Project Manager
5 Months- Facilitated enterprise mandates for pharmacy benefit compliance and clinical program updates, enhancing program execution.
- Monitored compliance with state/federal pharmacy regulations and UM mandates, ensuring alignment with industry standards.
- Ensured adherence to state/federal pharmacy regulations and UM mandates.
- Collaborated with cross-functional teams to identify and address risks affecting pharmacy and clinical product delivery timelines.
Technical Project Lead
1 Year 10 Months- Managed clinical product workflows
- Strengthened drug utilization workflows and specialty pharmacy controls, enhancing formulary security across Medicaid/Medicare systems.
- Introduced structured project tracking improving resource utilization by 25% and reducing delivery delays.
- Facilitated PI Planning with cross-functional teams including Clinical, Architecture, QA, and Security.
- Delivered dashboards that provided leadership with insights on clinical product readiness, risk posture, and release performance.
- Directed program and delivery initiatives
- Supported vulnerability remediation impacting pharmacy systems, ensuring secure and compliant product delivery.
- Delivered dashboards consumed by leadership to track clinical product readiness, risk posture, and release performance.
- Facilitated PI Planning with cross-functional teams including Clinical, Architecture, QA, and Security.
- Developed project plans, timelines, and resource allocations for multiple initiatives.
PMO & QA Head (Pharma & Life Sciences)
9 Months- Delivered workflow-driven clinical and pharmacy automation products for pharmaceutical clients (CIPLA, Serum, Bharat Biotech, Hetero, Teva).
- Designed and delivered clinical workflow products, enhancing operational efficiency and minimizing defects.
- Led development of GenAI product use-cases to optimize clinical services.
- Strengthened governance of product lifecycle and managed release processes.
- Developed low code platform applications to streamline workflows.
- Led development of LMS 365 degrees application to improve training management.
Program Manager
- Led professional programs and fundraising initiatives, aligning strategic planning with organizational goals.
- Developed comprehensive training materials to enhance staff understanding of program objectives and processes.
- Led cross-functional teams to implement program initiatives enhancing patient care services.
- Developed and maintained project timelines and milestones to ensure timely delivery of healthcare programs.
- Facilitated stakeholder meetings to gather insights and align program objectives with organizational goals.
Program Manager
- Facilitated academic program development and project governance through data analytics.
- Led cross-functional teams to develop and implement program strategies aligning with institutional goals.
- Managed project timelines, ensuring adherence to milestones and deliverables across multiple initiatives.
Project Manager
3 Years 3 Months- Delivered IT programs for global clients (Pfizer, DHL, Motorola, BHP Billiton, Zurich Farmers), managing SLAs, dashboards, audits, and leading service improvement initiatives.
- Gained extensive knowledge in Project planning, analysis and reporting.
- Demonstrated strong organizational and time management skills while managing multiple projects.
Education
Executive Leadership Program
Doctor of Business Administration (DBA) - IT Project Management
MBA - Operations Management
B. Tech - Computer Science & Engineering
Skills
PBM strategy
Clinical Program Design
Utilization review
Formulary governance
Specialty Pharmacy Economics
Integrated pharmacy solutions
Regulatory compliance
Lifecycle optimization
Market Trend Analysis
Go-to-Market Readiness
Product Launch Strategy
Delivery Optimization
Risk Management
Compliance Frameworks
RAID Governance
Secure SDLC
Project management
Strategic planning
Problem-solving
Detail-oriented
QNXT
Helix
JIRA
Confluence
Planview
Salesforce
Agile Methodologies
ServiceNow
SharePoint
DevOps
SQL
API workflows
Analytical Thinking
PBM operational systems
Certification
- PMP
- SAFe 6.0 POPM
- SAFe Agilist
- PSM I
- ITIL V3
- Six Sigma Green Belt
- PgMP (Trained)
- AWS Cloud Practitioner (Trained)
- ISO 9001/20000 Auditor
- US Healthcare Mandatory Certifications
AWARDS
- Thrice AFE Excellence Nominee
- DCG Hall of Fame Award
- REAP Award
- Multiple Insta Awards Spotlight Employee of the Month
- Impact Award Nominations
- Recognized for $700K cost savings
- Area Director for Toastmasters & PMIPCC
Timeline
Program Manager
Molina Healthcare
10.2024 - 03.2026Read More
Senior Project Manager
New York State Department of Health
10.2023 - 08.2024Read More
Project Manager
Highmark Health
02.2023 - 07.2023Read More
Technical Project Lead
Elevance Health (Carelon)
04.2021 - 02.2023Read More
PMO & QA Head (Pharma & Life Sciences)
Ample Logic Solutions
07.2020 - 04.2021Read More
Project Manager
Computer Science Corporation (DXC Technology)
06.2011 - 09.2014Read More
ICFAI University
MBA from Operations Management
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Program Manager
UConn University
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Program Manager
Goodwin University
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Cornell University
Executive Leadership Program
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SSBM University
Doctor of Business Administration (DBA) from IT Project Management
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JNTU University
B. Tech from Computer Science & Engineering
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