Summary
Overview
Work History
Education
Skills
Domains Of Expertise
Languages
Timeline
ProjectManager

Dorwina J. David

Mahwah,USA

Summary

Global Program and Project Management Leader with expertise in Business Development, Capability, Strategy, Client Implementation, and Innovation. Proven track record in prioritizing and executing multiple projects simultaneously to achieve strategic goals. Detail-oriented team player skilled in equipment operation, staff training, customer service, and process improvements.

Overview

27
27
years of professional experience

Work History

Project Manager

Zelis Healthcare, LLC
Morristown, NJ
07.2024 - Current
  • Led multiple JIRA projects to transition from Data Center to Cloud.
  • Coordinated development of intake process for Client Security, reducing manual data entry by eighty percent.
  • Managed communication channels among cross-functional teams to enhance collaboration and information flow.
  • Collaborated with Product Owners, Technical Owners, and Business Owners to implement Client Hierarchy across systems.

Senior Manager, Specialty Technology Strategy

CVS Health
IL
11.2022 - 06.2024
  • Increased offshore workload by 20% within one year through process modifications and IT solutions.
  • Identified improvement opportunities by collaborating with cross-functional teams.
  • Facilitated specialty portfolio and program management to ensure strategic technology alignment.
  • Enhanced productivity by reviewing and refining operational processes and workflows.
  • Streamlined project management processes using task management tools.
  • Established application guiding principles to promote consistency in colleague experiences.
  • Utilized SCRUM methodology for efficient project delivery.

Senior Project Manager

HealthSmartRx
Dallas, TX
11.2021 - 07.2022
  • Managed all phases of client implementation for copay assistance, including systems and operations
  • Guided the client decision making to achieve a better product and outcome for the patients
  • Accountable for the business capability strategy & roadmap for Operations, Product, and Clients Services to efficiently deliver IT capabilities to support business processes
  • Facilitated meetings with various stake holders to gather the requirements for successful system integration with HealthSmartRx and the client’s claim platform
  • Led cross functional matrix project team to successfully deliver capabilities for Copay Maximizer Program
  • Improved and streamlines the portfolio and project lifecycle, by working closely with business units, user base, and IT teams
  • Built and supported governance process for the project thereby establishing communication channels within leadership, advocating tradeoff, and adjusting business expectations, leading successful delivery
  • Provided strategic alignment and visibility across Copay Maximizer portfolio of active client implementation

Senior Technical Manager

OptumRx
Minneapolis, MN
04.2021 - 11.2021
  • Managed the transfer and loading of historical data during the implementation for health plan clients
  • Gathered requirements, execute actions plans and project plans, identify risks, and coordinate testing ahead of launch
  • Led cross functional matrix project teams to successfully implement client’s by simplifying key messages, staying organize, and manage multiple clients to bring growth
  • Developed process flows, job aids, and mentor new employees

Senior Implementation Project Manager

OptumRx
Minneapolis, MN
07.2019 - 04.2021
  • Managed the entire client onboarding project for implementation and act as the direct contact for the clients and consulting firms
  • Influenced client decision making to achieve the best offering to the patients
  • Built strong relationship with external vendors; incumbent PBM, Medical carrier, Eligibility vendor, and any other vendors to ensure a successful transfer of the clients PBM benefit set-up
  • Coordinated any Non-Disclosure Agreement (NDA) and Request for Proposal (RFP) related to the implementation
  • Led cross functional matrix project teams to successfully implement client’s PBM benefits.
  • Facilitated meetings to deliver compelling benefit and clinical design and capability
  • Built and supported governance process for the project thereby establishing communication channels within the clients and consulting firms, advocating tradeoffs, and adjusting business expectations, leading to successful implementation

Senior Project Manager – Business Project Office

CareCentrix
Hartford, CT
07.2015 - 06.2018
  • Led and managed various IT projects (project cost from $5K - $5M) from transition and development of existing & new applications and compliance changes
  • Managed multiple work streams to accomplish milestones, monitor & mitigate risks
  • Collaborated with Claims and Customer Service departments to understand their needs and cross functional dependencies to provide best quality new applications and delivered an improvement to their overall productivity by 10% daily
  • Orchestrated projects within strict timeframes and budget constraints by employing critical thinking to solve complex problems and working closely with senior leaders.
  • Assisted and solidified Project Life Cycle by building project methodology including tools and techniques that follow Change Management Implementation (CMI) standards and best fit client’s organizational needs that achieved optimal resource utilization, estimation accuracy, cost savings & achieved customer satisfaction
  • Managed and mentored Project Managers towards delivering quality service, resolving conflicts, following governance with SOPs, resource planning, budget, and schedule

Senior Project Manager - Strategy & Planning

Express-Scripts, Inc.
Franklin Lakes, NJ
06.2010 - 06.2015
  • Company Overview: formerly Medco Health Solution
  • Led several large system integration projects to support the merger between Medco and Express-Scripts, Inc.
  • Managed strategic initiatives with cross functional business units/customers and streamlined IT Program roadmaps, developed business cases, business strategy & portfolio by contributing towards IT services Governance workflow.
  • Managed the initiative by Sales and Account Management to save $50M within 2 years by aligning and streamlining the organization.
  • Led and Delivered a ground-breaking product and business model that generated $12.7M in operating income.
  • Formerly Medco Health Solution

Senior Project Manager – Project Business Office

Multiplan
NY, NY
04.2008 - 03.2010
  • Led the Fee Negotiation IT program comprising of Enterprise releases, innovative initiatives, and mergers
  • Monitored project and milestone tasks using Microsoft Project by preparing project plans with team leads that resulted to on time completion of initiatives
  • Consistently delivered product within timeframe, met productivity and quality goals, and achieved total client satisfaction
  • Efficiently resolved issues that arose and met productivity, quality, and client-satisfaction through facilitating regular meetings and interviews with process owners to discuss business requirements and executing gap analysis

Senior Program Manager – Specialty Pharmacy

Express Scripts
Franklin Lakes, NJ
11.1998 - 01.2007
  • Company Overview: formerly Medco Health Solutions
  • Held various positions from Audit (finance), Business Owner (pricing/copay/benefit systems), and Program Manager
  • Managed all aspect of Specialty Pharmacy from providing support on Request for Proposal (RFP), building new capabilities to support product sales, and subject matter expert on Specialty claims
  • Improved productivity and reduced manual process within benefit coding by 35% by providing a thorough training and building macros
  • Executed a process to decrease the $1M/quarterly errors cause by misinterpretation of the client contracts through training and auditing Account Management
  • Subject Matter Expert on copay and pricing system
  • Formerly Medco Health Solutions

Education

Bachelor of Business Administration -

Campbell University
Buies Creek, NC

Project Management Master Program -

University of Villanova
Villanova, PA

Skills

  • Business partnership and strategy
  • Program and project management
  • Product and portfolio management
  • Customer relationship management
  • Process standardization and optimization
  • Vendor and conflict management
  • Risk assessment and mitigation
  • Merger and integration strategies
  • Agile and Scrum methodologies

Domains Of Expertise

  • Prescription Benefit Management
  • Medical Insurance
  • Home Health Care
  • Insurance
  • Re-Insurance
  • IT Services
  • Claims processing & Systems Integration
  • Product Strategy
  • Management & Client Implementation

Languages

English
Professional
Tagalog
Professional

Timeline

Project Manager

Zelis Healthcare, LLC
07.2024 - Current

Senior Manager, Specialty Technology Strategy

CVS Health
11.2022 - 06.2024

Senior Project Manager

HealthSmartRx
11.2021 - 07.2022

Senior Technical Manager

OptumRx
04.2021 - 11.2021

Senior Implementation Project Manager

OptumRx
07.2019 - 04.2021

Senior Project Manager – Business Project Office

CareCentrix
07.2015 - 06.2018

Senior Project Manager - Strategy & Planning

Express-Scripts, Inc.
06.2010 - 06.2015

Senior Project Manager – Project Business Office

Multiplan
04.2008 - 03.2010

Senior Program Manager – Specialty Pharmacy

Express Scripts
11.1998 - 01.2007

Bachelor of Business Administration -

Campbell University

Project Management Master Program -

University of Villanova
Dorwina J. David
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