Nikhil M

Projects:

• EMR/EHR integration: Integrating the Prescription Drug Monitoring Program (PDMP) system into electronic health records and pharmacy management systems across the commonwealth
• Pharmacy Compliance: Oversee Dispensation data submissions by pharmacies
• Overall PDMP System support: Procurement, contracts, invoicing, tickets tracking & enchantment deployments
• Monitored project developments and provided comprehensive weekly updates to IT Project Management Office for enhanced project oversight.
• Facilitated vendor transition processes to ensure effective procurement demonstrations and successful contract execution.
• Monitored and documented all healthcare entity EHR vendors, including Epic, Cerner, DrFirst, ECW, and NextGen, ensuring pharmacy system readiness for integration.
• Engaged with stakeholders across various levels, including physicians, nurse practitioners, delegates, and pharmacists, to foster collaboration and enhance operational efficiency.
• Oversaw daily dispensation data submissions for statewide pharmacies to ensure compliance with regulatory standards.
• Compiled and organized data for master build reference, ensuring accurate data conversion mapping and system testing during implementation phases.
• Coordinated efforts between technical and non-technical teams to ensure seamless technology deployments and program execution.
• Collaborated with healthcare entities, including health systems, hospitals, pharmacies, and group practices, to facilitate comprehensive support from system vendors.
• Oversaw all CDC grant activities associated with integration project.
• Served as primary point of contact between IT vendor and healthcare organizations to enhance operational efficiency.
• Delivered comprehensive status updates to Director of PDMP Office and Deputy Secretary.
• Facilitated prioritization and approval of requirements and enhancements in collaboration with product owner for efficient build and deployment processes.
• Meet regularly with Information Technology (IT) vendor to:
• Oversaw completion and invoicing of contractual items in accordance with specifications.
• Monitored issue tracking and facilitated prompt resolution by technical teams.
• Compiled and delivered weekly status reports to Bureau of Information Technology (BIT) and PMO.
• Developed comprehensive project plans to ensure timely achievement of milestones and adherence to budget constraints.
• Implemented continuous improvements to optimize onboarding experiences for healthcare organizations.
• Evaluated status reports from system vendor to ensure optimal performance standards.
• Oversaw online tracking system for integration requests and project milestones.
• Assisted in tracking terms and conditions agreements for healthcare entities. Supported validation of provider lists submitted by health systems.
• Acquired and validated testing screenshots from healthcare entities to ensure readiness for production.
• Oversaw fiscal management of vendor contract for integration project, ensuring accurate invoicing and compliance with contractual obligations.
• Environment: PMO, MS Project, SharePoint, Proprietary Ticketing system & Waterfall/Agile (Hybrid)

• IT Program/Project Manager
• Client: ODM (Ohio Department of Medicaid), PMO Team
• Application: MITS (Medicaid Information Technology System) - MMIS
• Cultivated and sustained direct client relationships with all levels of HPE leadership team.
• Collaborated with Ohio MITS leadership team and client leadership to support CMS certification activities for MITS. Assisted in coordinating efforts related to Ohio Medicaid program requirements. Facilitated communication between teams to ensure alignment on project goals.
• Nurtured positive client relationships through regular communication with executives and management teams.
• Collaboratively worked with business partner (Ohio MITS) to help articulate their business needs
• Facilitated discussions with leadership team to align on capacity planning strategies for anticipated releases.
• Conducted comprehensive gate reviews post-phase completion in SDLC to ensure alignment and obtain authorization for subsequent phases.
• Drafted comprehensive Project Change Requests (PCR) and Estimate Change Requests (ECR) and coordinated approval processes with relevant stakeholders.
• Provided forecast hours to financial department to facilitate future billing assessments.
• Assisted PMO Manager in the development of standardized templates to enhance project efficiency.
• Utilized MS Project 2013 to construct detailed project schedule after receiving charter approval, facilitating effective project management.
• Developed and implemented project within Project Portfolio Management Center (PPMC).
• Engaged stakeholders in requirements planning and gathering sessions to define project specifications.
• Monitored and adjusted project schedules after each phase review, providing timely updates to the financial team.
• Coordinated production release schedules to streamline workflow and enhance operational efficiency.
• Updated domain statuses during internal and external meetings to facilitate informed decision-making.
• Developed comprehensive high-level estimates to support PMO decision-making processes.
• Coordinated preparation of design deliverable acceptance (DDA) documentation to obtain necessary budget approval.
• Secured approvals for high-level solution design (HLSD) and low-level design (LLD) to ensure project alignment.
• Developed and managed comprehensive project plans and schedules utilizing MS Project throughout project life cycle.
• Oversaw monitoring and tracking of production issues, ensuring timely resolution according to service level agreements.
• Monitored production issues and adjusted schedules according to release calendar.
• Managed resource requests through formal submission processes and assigned resources to specific tasks for efficient time entry.
• Leveraged SharePoint to upload documents to internal and client repositories.
• Adjusted timelines in project schedules and informed management and PMO of pending work to ensure project alignment.
• Coordinated submission of release revision requests (RRR) according to client urgency, confirming successful release outcomes.
• Tracked and analyzed defects during SIT and UAT phases, collaborating with technical teams to implement effective solutions.
• Executed project closure procedures following successful production release.
• Environment: MS Project 2013, iTrace, Clear Quest, PPMC, SharePoint, CATW & proprietary tools

• Government Healthcare Solutions; Implementing Partner: CTS
• Projects:
• ICMS Lite (Inpatient Pre-certification) – Missouri HealthNet Division
• Enterprise Medicaid Management Information System (MMIS- Provider Enrollment) – Montana State
• MedCompass (Care and Case Management) – State of Wyoming
• Coordinated with state stakeholders on Medicaid Management Information System (MMIS) portal development
• Coordinated with Subject Matter Expert (SME) on web portal development and business process flow
• Managed team of 20 members, conducted one on one meetings for updates and management reports
• Responsible for coordinating with the Enterprise Agile Coaching Team across sites to understand progress, identify issues and ensure presentation of cohesive solutions
• Responsible for documentation in reference to contracts, changes, correspondence, approvals, and signatures
• Extensively used SharePoint to upload the project related documents and approvals in both client repository and internal team repository
• Conducted sprint retrospective meetings with stakeholders and team on future sprint planning
• Managed requirements using Visual Studio Team Foundation Server
• Represented the team at weekly senior level management meeting
• Protected team from over-commitment, managed backlog, removed obstacles and worked closely with product owners
• Tracked and communicated team velocity and sprint/release progress
• Removed all impediments to the team's progress, both internal and external to the Scrum team
• Responsible for bug/defect tracking using Team Foundation Server (TFS)
• Reviewed Business Requirements Documents (BRD) and Technical Design Documents (TDD)
• Conducted scrum meetings and sent meeting notes accordingly
• Coordinated with development team to troubleshoot issues raised by state government health officials
• Tested provider enrollment portal, documented the defects and assigned to development team
• Created and updated business rules according to state (MT) requirements
• Performed requirements mapping/tracing using IBM DOORS
• Conducted meetings with State health officials on ICM Lite application for any enhancements within the system
• Created system list and valid values and submit change request form to contact management team
• Performed the gap analysis in coordination with state health officials
• Managed day-to-day client interactions
• Explained implications of changes to project scope and/or objectives to the clients and to the project team
• Created mockup screens according to the stakeholder requirements and acquired approvals
• Conducted brainstorming sessions with stakeholders and internal application development team on requirements feasibility
• Coordinated with architects on government web portal for assigned state
• Coordinated with Rx Delivery Team in granting the access/permissions for testing team to validate the application
• Performed software testing with nurses (clinical team) to ensure the application is working as expected
• Performed inpatient pre-certification review with clinical team/Nurses
• Submitted CR to change the demo portal according to the state requirement
• Coordinated with Clinical teams on issues and escalated them to development team
• Coordinate with offshore team to troubleshoot defects or issues raised during demo sessions with stakeholders
• Environment: Agile, CA Clarity, JIRA, TFS, EDI, MS SQL, SharePoint, Visual Studio

• Projects: EMR Implementation, PMS Bridge Interface, ICD 9 & 10, Meaningful Use
• Team/Functional Areas: Data Integration & Revenue Cycle
• Project Scope: Develop electronic interfaces between Quest Diagnostics/AmeriPath Labs and Physician offices or Hospitals to send/receive Lab results electronically
• Validated the data on PAR (Project Action Request) document from PMO
• Managed multiple concurrent projects in surgery, pharmacy, acute care, and ambulatory settings, optimizing resource allocation and project timelines.
• Provided project administrative support as needed
• Managed projects within the given deadline and budget
• Held weekly project status update meetings with regional sales director and IT Management team
• Prepared project sizing and CAPEX document according to ROI of the clients for Revenue cycle management reports
• Involved in GOMA/Meaningful Use, ICD9 – ICD10 conversion testing and implementation
• Documented control using SharePoint (Internal and Client repository)
• Scheduled deployments and sent notifications to clients
• Involved in ICD10 EMR testing and documentation
• Created LIS functional specifications document to update the LOINC & SNOMED codes in proprietary LIS under stage 2 of meaningful use
• Gathered requirements from the Sales team, EMR vendor, and Physician’s office
• Based on requirements, created Business Requirement Document (BRD) and Functional Specifications Document (FRD) for interface development
• Tracked requirements using Requirements Traceability Matrix (RTM)
• Prioritized defects/bugs using Visual Studio and assigned them accordingly
• Established connectivity (LK Transfer, VPN, FTP and SFTP) at client’s location
• Created test cases (Accessions) using different Lab Information Systems (LIS)
• Performed HL7 testing using 7edit tool to make sure that the messages are in the right segments
• Worked with data integration team for resolving the issues with HL7 Segments; familiar with ORU, ADT and ORM transaction type
• Troubleshoot advanced support tickets and inquiries and escalated to programming when needed
• Experience with Allscripts, Nexgen, NexTech Systems, Ellkay, ederm systems, CureMD eclinical (eCW), Cerner, Epic, HealthTronics (UroChart), Greenway and Emdeon
• Involved in New Vendor Certification Process
• Created basic testing protocol and implemented testing plan for every software release; provided testing reports to developers
• Release Analyst for inpatient ordering application implementation
• Coordinated with PMS bridge development team to rectify defects
• Monitored the performance of the interface for 30 days after the interface implementation
• Sent closeout communications to client, sales, vendor and Ameripath/Quest Project Center
• Environment: Agile, Clarity JAVA, XML, Oracle, Windows 2000, JBOSS, Proprietary LIS, Visual Studio
• Quest/AmeriPath is a leading national provider of anatomic pathology, dermatopathology and molecular diagnostic services to physicians, hospitals, clinical laboratories, and surgery centers across the U.S. The company also provides medical diagnostic services in outpatient laboratories owned, operated, and managed by AmeriPath, as well as in hospitals and ambulatory surgical centers

• Involved in gathering and documenting the requirements that were critical to the business process and using those requirements to design application software using a Use Case approach
• Involved in pre-project analysis and in pre-implementation tasks coordinating with project coordinators for contractual work, change management, quality, and impact analysis
• Assigned as designated Trainer
• Provided project status reports to implementation managers
• Handled multiple projects including ICD-9, ICD-10 and claim processing in test environment
• Interviewed several business area experts, asking detailed questions and carefully recording the requirements in a format that can be reviewed and understood by both the business and technical teams
• Conducted Functional Requirement reviews and walkthroughs with the designers, developers, and stakeholders
• Interviewed business users to gather business wants and needs around project ideas and translate them into business and technical requirements
• Interacted with clients and end users to understand the process and gather user requirements
• Worked with HIPAA compliant ANSI X12 837 formats for both professional claims and institutional claims
• Matched the requirements for programs such as Medicare and Medicaid
• Helped developers with the following list of HIPAA-EDI Transaction Code sets: 837, 834, 835, 270/271, 277/275 & 276/277
• Gained understanding of HIPAA compliant ANSI X12 837 formats for both professional claims and institutional claims
• Analyzed forms and successfully crosswalk details to corresponding ANSI X12 formats
• Environment: Windows 2000, Agile, Visual Basic, Oracle, Rational RequisitePro, Robot, Erwin and Clear Quest

• Handled multiple projects including ICD-9, ICD-10 and claim processing in test environment
• Interviewed several business area experts, asking detailed questions and carefully recording the requirements in a format that can be reviewed and understood by both the business and technical teams
• Conducted Functional Requirement reviews and walkthroughs with the designers, developers, and stakeholders
• Interviewed business users to gather business wants and needs around project ideas and translate them into business and technical requirements
• Interacted with clients and end users to understand the process and gather user requirements
• Worked with HIPAA compliant ANSI X12 837 formats for both professional claims and institutional claims
• Matched the requirements for programs such as Medicare and Medicaid
• Helped developers with the following list of HIPAA-EDI Transaction Code sets: 837, 834, 835, 270/271, 277/275 & 276/277
• Gained understanding of HIPAA compliant ANSI X12 837 formats for both professional claims and institutional claims
• Analyzed forms and successfully crosswalk details to corresponding ANSI X12 formats
• Environment: Windows 2000, Agile, Visual Basic, Oracle, Rational RequisitePro, Robot, Erwin and Clear Quest