Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Olivia McNeil

Middletown,NY

Summary

Highly motivated and detail-oriented senior project manager with over 16 years of experience in the health insurance industry. Successfully supported major enterprise-level healthcare organizations such as Elevance Health, Inc. (formerly Anthem) and NASCO. Possessing a deep understanding of the intricacies of the health insurance industry, expertise lies in effectively managing cross-functional teams. Proficient in a wide range of tools including MS Office 365/MS Teams, MS Project, Smartsheet, Confluence, JIRA, WebEx, Zoom, Skype, and Lync. Collaboration with Instructional Design teams instrumental in contributing to training efforts at project conclusion, providing valuable insights and improvement recommendations from lessons learned. Holding an Associate's degree in Medical Laboratory Technician studies and certified as a CSM and PMP, brings a strong foundation of knowledge and skills to drive successful project outcomes.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Senior Project Manager

GeBBS Consulting
08.2021 - 04.2024
  • Served as Project Manager for multiple client implementations including:
  • Integration of the Cotiviti analytics platform for Horizon BCBS and BCBS VT
  • Implementation of Lyric claims editor for BCBS Mass
  • Implementation of ClaimsXten (CXT) for Horizon BCBS and BCBS MI
  • Implementation of Optum CES into Horizon BCBS
  • Implementation of Burgess Source into Horizon BCBS
  • Utilized multiple tools and platforms such as Jira as repository for work requests, ingestion, and change service requests
  • Confluence as repository for project-related artifacts (including RAID logs, Burn Charts, and Requirements Documents)
  • MS Project for project plan creation and maintenance
  • Planview for assigning resources, utilization monitoring/hours monitoring
  • MS Teams for messaging, file sharing, and conducting meetings
  • Day to day responsibilities include reconciliation of resource dollars/hours, creating and maintaining various standard project related documents such as project plans, meeting minutes, action logs, etc
  • Facilitating team/client meetings as needed, monitoring of the backlog, following up as needed with client(s), identifying roadblocks/mitigating project-related issues as they arise
  • Largest project to date (Horizon BCBS Burgess Source implementation) valued at $500,000 with 2800 project hours over 11 months’ time

Senior Project Manager

Elevance, Inc. (formerly Anthem BCBS)
01.2013 - 12.2020
  • Operated under both Agile and Waterfall methodologies & applications to support new product delivery such as the roll-out of a new scoring system for NCQA and system enhancements
  • Utilized tools such as Kanban, Jira, MS Project, and Smart Sheets to manage the work including creation of user stories/epics, ensure team alignment, and drive prioritization
  • Used Confluence and SharePoint to store process/procedure documentation, standard operating procedures (SOP’s) & other project-related collaterals
  • Successfully managed Health Exchanges (HIX/ACA) Implementation within the Empire Blue (New York Market) with a 3-million-dollar budget
  • Resource allocation controls included managing budget, timelines, resources by pre-planning with internal and external resources (8 resources minimum to 22 resources maximum depending on project)
  • Gained experience leading API (application programming interface) projects during product changes where customers would want various User Interface changes (such as radio buttons, free-flowing text fields, or drop-downs), all of which required adjustments or creation of associated APIs (handled by designated technical team)
  • Used tools and applications to manage & report tasks/deliverables & statistics such as Power BI, MS 365ft software suite & MS Project/Smartsheet
  • Worked with specialized client-bases such as small, local business customers (referred to as NY Blue customers, local to NY), and the GBD- Government Business Division
  • Led WGS Pricing migration project from Corporate Provider Finder (CPF) to Wellpoint Group System Production (WGSP)
  • Supported data elements of the Exchanges Business specifically within the provider network database (role was inclusive of the E2E processing, quality of provider's demographic information that is required for business hand-off to areas such as Claims, Provider Finder, Empire Medical Management, Multi-State Filings and WGS claims processing)
  • Worked with Corporate Provider File, SSCR database, ClearQuest, WGS Mainframe, EPDSR6, Requisite Pro and EPDSV2 company specific applications on a day-to-day basis
  • Provided mentoring/training to team by facilitating training meetings, create and maintain training documentation for production
  • Support various systems change execution-experience using various systems, tools, and methodologies such as ClearQuest, Jira, MS Teams, Confluence, SSCR, PLM, PCR, MACESS, CS90, CPF, and WGSP
  • Interfaced with both onshore and offshore teams were both comprised of Agile DevOps, QA, Java resources including multiple scrum masters
  • KANBAN was used to breakdown the features and user stories to visualize to the business & stakeholders how the work is being managed including also leading multiple scrum teams with different scrum masters on various Agile Release Trains (ART)
  • Experience with PI planning, sprint grooming and planning, scrum of scrums, sprint DEMO as well as retrospectives
  • Use of Jira Align to monitor work real-time as well as to document business objectives & keep business & technical teams aligned
  • Traveled to Richmond, Virginia and Tampa, Florida as needed for PI planning meetings
  • Experience with client-facing- in person/on-premises as well as email and other methods of communication
  • Communication with the client varies from requirements gathering, root-cause analysis and retention skills
  • Also have experience with reporting and strategic planning with the client directly and providing hands-on training, lessons learned, as well as other post-implementation activities

Customer Care/Senior Claims Rep

Anthem, Inc.
06.2006 - 04.2009
  • Served as Subject Matter Expert for a multi-functional customer service and claims unit utilizing CS90, NASCO, WGS and WDS
  • Lead SME to Terex National Account
  • Supported Supervisor Line for escalations and general inquiries within the unit on a day-to-day basis
  • Responsible for claims finalization including high dollar and claims adjustments for medical, dental, vision and pharmacy claims
  • Used various programs and databases including Corporate Provider Files, Enpez, and Repository Imaging System to process claims and process grievances/ appeals
  • Maintained provider pricing and credentials databases on an as needed basis
  • Handles complex transactions such as recoup monies, fraud research, reconciliations, request/review medical records to process claims and handling escalations resolutions both internally and externally
  • Supported database management for medical, dental, pharmacy and RX benefits, provider par/non par pricing database and provider credentials
  • Created/distributed training documentation and lead resolution modules
  • Cross-trained and mentored new associates- monitor their day-to-day work tasks

Business Analyst/Project Manager

Anthem, Inc.
04.2009 - 01.2013
  • Book of Business consisted of 30 plus groups including simple to complex groups under the National Accounts Umbrella
  • Biggest/Complex clients ranging from Verizon, Xerox, Oldcastle to the Kellogg Company
  • Gained PBM experience working with Medco and Express Scripts including developing and maintaining formulary drug list, contracts with pharmacies and negotiations with discounts
  • Experience with regulatory compliance includes HIPAA, PHI, PII, state and federal mandates that were time sensitive
  • Daily tasks included information gathering of ID card requirements via internal/external meetings to provide requirements to third party vendors for testing and production purposes
  • Handle daily maintenance transactions and assist with various membership functions such as ID card requests, operational support to internal team and group
  • Create test cases, provide output and modify information based on system restraints
  • Provided support, auditing and created Excel spreadsheets for training and process improvement

Education

Associate of Applied Science - Medical Laboratory Technician

Orange County Community College
Middletown, New York

Project Management - Project Management

UMass Amherst
Boston, MA
04.2022

Skills

  • Project planning
  • Scope management
  • Client relationship management
  • Project plan development
  • Project scheduling
  • Cross-functional communication
  • Client relations
  • Training and mentoring
  • Meeting facilitation
  • Meeting participation
  • Schedule coordination
  • Cost control
  • Agile methodology
  • Financial administration
  • Specification review
  • Quality control
  • Contract preparation
  • Requirements gathering
  • KPI tracking
  • Client liaison
  • Documentation management
  • Project framework engineering
  • Technical monitoring
  • Multi-project management
  • Project goals and milestones
  • Cross-functional coordination
  • Site plan creation
  • Project management
  • Critical thinking
  • Problem-solving
  • Team leadership
  • Teamwork and collaboration
  • Budget control
  • Team collaboration
  • Excellent communication
  • Work Planning and Prioritization
  • Multitasking Abilities
  • Attention to detail
  • Detail-oriented
  • Time management
  • Conflict resolution
  • Relationship building
  • Documentation and reporting
  • Stakeholder relations
  • Agile methodologies
  • Creative thinking
  • Customer relationship management
  • Task prioritization
  • Resource allocation
  • Multitasking
  • Phone and email etiquette
  • Performance monitoring
  • Cost analysis
  • Written communication
  • Quality assurance
  • Technical presentations
  • Information technology management
  • Staff management
  • Vendor selection
  • Decision-making
  • Interpersonal communication
  • Status updates
  • Earned value analysis
  • Organizational skills
  • ERP software
  • Idea development and brainstorming
  • Mind mapping
  • Requirements writing

Certification

  • Certified Scrum Master (CSM), Scrum Alliance, Active, 2022
  • Project Management Professional (PMP), Active, 2022

Languages

English

Timeline

Senior Project Manager

GeBBS Consulting
08.2021 - 04.2024

Senior Project Manager

Elevance, Inc. (formerly Anthem BCBS)
01.2013 - 12.2020

Business Analyst/Project Manager

Anthem, Inc.
04.2009 - 01.2013

Customer Care/Senior Claims Rep

Anthem, Inc.
06.2006 - 04.2009

Associate of Applied Science - Medical Laboratory Technician

Orange County Community College

Project Management - Project Management

UMass Amherst

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Olivia McNeil