SHAILAJA VANGARI
Eden Prairie,USA
Summary
Technical Program Manager with extensive experience in data integration and agile methodologies at United Health Group. Successfully led cross-functional teams to drive process improvements and manage multimillion-dollar budgets, achieving stakeholder satisfaction and project success. Strong communication skills and technical expertise enhance collaboration and innovation.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Technical Program Manager/ Project Manager / Scrum Master
United Health Group - Optum
Eden Prairie, MN
07.2019 - Current
- Optum acquired AbleTo, a Virtual Behavioral Health Care Platform providing care to Behavioral Health Patients. As part of the acquisition, there were several components involved, multiple integrations happened from AbleTo to Athena (Optum Platform). From a technological standpoint I was responsible for the following: People Integration: This involved providing Optum laptops, Optum email address to all the AbleTo Staff, bringing everyone into Optum’s Active Directory network.
- Technology Tools like Rally/JIRA Integration: Onboarded “AbleTo” technical teams into multiple project implementation tools like “Rally, JIRA, AHA, PPMO” etc, as part of this I have completed Rally set up, created project hierarchy, provided access at all levels. Provided coaching and training etc.
- RCM Integration: RCM stands for Revenue Cycle Management, as part of this initiative, started processing claims in Athena, which will get rid of Mahler (a third-party tool to process claims) Athena has inbuilt claims processing engine. We get all the ABLE TO Data from different sources like(Enable2, Joyable 2, and other EHR ) into OBC Snowflake, using Athena API’s like patient, claims, insurance, started submitting into Athena and processed successfully. Audit log in place to monitor all the success and failure logs.
- Tech Integrations: As part of this initiative, we were bringing different data like patients, insurance, claims etc.. from AbleTo platform to Athena Platform, created data pipelines, made connections to the source system and landed the data into Azure Snowflake DB. This data will be useful by the business for creating dashboards like provider utilization reports etc. Software tools like, Python, Java, ADF, ADB, Azure Cloud were utilized.
- Data Platform Operations & Maintenance: As a project manager, along with all other software implementations, upgrade projects, migrations and acquisitions, I am also responsible for O&M. Which includes managing and maintaining a stable platform or environment across the board to meet consumer and customer needs. I ensure any changes to the existing platform are documented, analyzed, reviewed and implemented successfully. I make sure change management is being followed. Utilized SMARTSHEET, RALLY, JIRA, AHA tools for project implementations.
- Along with PM Responsibilities, worked as a product manager for entire OBC Data Platform, working closely with both business stakeholders and technical teams, ensuring that requirements are properly documented and reviewed with everyone, ensure product refinement sessions are happening properly and work is progressing without any issues or blockers. Utilized product tools like AHA for product road mapping and intake. Utilized Smartsheet to track all the ongoing operational intake tickets.
- Peoplesoft migration into Oracle Cloud: Optum is migrating from PeopleSoft (ERP) to Oracle Cloud. As part of these all-HR applications are getting migrated. Currently, OBC receives HR Files from people’s team. We get the files to our Azure BLOB Storage Account. From there we send it our downstream business DART (Data Analytics & Reporting). To ensure smooth migration from new oracle cloud, we worked closely with HR Team, made changes to our existing data pipelines, updated our data mapping, verified both old and V2. Utilized tools like RALLY, AHA, AZURE SNOWFLAKE, SMARTSHEET for project implementations.
- TCPA Compliance: Telephone Consumer Protection Act. This is a compliance project, scope of this project is to implement TCPA Compliance for OBC business area. The purpose of this project is to identify active patients who wish to be not contacted, should not be called. OBC worked with Gryphon which is a vendor, does the scrubbing, process the data, cross check with their database, and check if the phone number got reassigned to new user in the RND Reassigned Number Database. If it is reassigned they flag it as Y or N. Gryphon will also check whether that particular phone number is listed in the Litigator List (LL File). If it is listed, they would add a new column as Yes or No and sent the return files back. This is a monthly job processing. Upon getting the processed data from Gryphon, OBC will update the Athena Portal using API’s which will reflect in the patient’s chart and providers will know not to contact patients who choose to be on DNC (Do not call) list.
- Optum Behavioral Care – Data Engineering: As part of OBC business unit, I am responsible for all OBC Data Engineering Projects. Typically, we get data from multiple source systems, and provide the data available to different destinations, to create provider dashboards etc. We work both with external and internal clients. We provide data to provider facing applications, so that patient scheduling can happen for OBC Patients. Work with Data Engineering teams to make sure data pipelines are created and scheduled triggers are established based on the requirements daily, weekly, monthly, quarterly depending on the user needs. Utilized different tools like ECG, Azure, Snowflake, MS SQL etc.
- Optum Enterprise Issue Management (OEIM): OEIM is a platform that is built on ServiceNow instance to manage all enterprise related issues noticed by members, providers and clients. As part of this program, IT will provide solutions to end users on resolving all the issues and complaints. OEIM is an enterprise level organization addressing all the issues, complaints coming from members, clients, providers etc. It supports different product families like - BH, Optum Care, Payment integrity, Care services, PHS etc. Issue types are something like Field Inquiry, Complaints, Clinical Requests etc. Most of the complaints are about claim processing, discrepancies with claims, claim adjustments, member data etc. This is an ongoing operations and maintenance activity. Utilized tools like ServiceNow, Smartsheet, Rally, AHA for project implementation.
- CD Migration: Migration of all Connectivity Director Submitters to ODX portal Platform. The reason for the migration is contract being ended and application getting sunset. As part of Migration Efforts, all existing connections to CD have been terminated. New interface connections to Portal have been built, enabled and provisioned. I have worked very closely with stakeholders and project team members to ensure new flow is working and existing flow is getting terminated. Tracked Project daily. Conducted daily stand-ups, addressed risks and concerns and provided weekly status reports, delivered the project ahead of time.
Sr. Project Manager / Scrum Master
Ameriprise Financial Inc
Minneapolis, MN
03.2018 - 07.2019
- Investments Professionals Inc, (IPI Integration): Acquisition and integration of a broker dealer with ~200 advisors managing ~$8B in assets. Integrating and Migrating IPI Advisors to Ameriprise Financial Inc by creating a new distribution channel called Ameriprise Financial Institution Advisor Group (AFIAG). Overall Integration and Migration planned in 2 Releases in 2018. Release 1 includes New Business and Release 2 includes existing Business or the Conversion. As part of Integration several workstreams and sub workstreams like Brokerage, Service Delivery & Client Data, Compliance & Supervision, HR Tech, Digital Tech, Infrastructure & Advisor Tools are included. Budgeted Cost and Allocated Capital for this project is $15M.
- Compliance BAU Project Manager: As BAU Project Manager, I have overseen multiple BAU Teams including Production Support and Operations. I am responsible for Maintaining and Managing Compliance Workstream Applications up to date by addressing all the Enhancements, Incidents, and Problem Tickets in a timely manner. I have managed both offshore and onsite team members in bringing items to completion per every Quarter by having multiple Releases depending on the Team Capacity. As a BAU PM, I manage both offshore and onsite team members and performed team’s annual appraisals, utilized team’s capacity, addressed concerns provided leadership and guidance. I have Utilized and Managed Allocated BAU Budget for Compliance Workstream.
Sr. Project Manager / Scrum Master
United Health Group - Optum
Eden Prairie, MN
02.2016 - 07.2017
- Pega Archive: Archival of existing inactive, old and large claim attachments from PEGA Claims Reconsideration database to EDMS (Enterprise Document Management System) for long term storage to reduce the performance & latency issues on PEGA Platform. This project wills Increase Provider satisfaction by giving the ability to view the attachments for the corresponding existing tickets. This Project created ability for providers to increase the file size enhancement upto 25 MB on Claims Management and Claims Recon Databases. Budgeted Cost and Allocated Capital for this project is $510,340.00.
- Performance Test for 270/276 EDI Transactions: This Project initiated to correct the performance latency issues for 270/276 EDI Transactions which are eligibility and enquiry transactions for providers. Currently the Request and Responses were NOT within the acceptable range for providers. As part of this PRJ all the back-end systems, traffic including the networks have been monitored and precautionary steps have been put in place to support the volume of transactions. Budgeted Cost and Allocated Capital for this project is $ 650,300.00.
- Enhancements to Documentum: To enhance provider experience and to expand Documentum's capabilities to electronically share information with multiple business systems, enhance current functionality to support changing Provider Communication and supporting teams process changes and add new features to support a single source to retain, retrieve and report on System Generated Communications. This Program has a Budgeted Cost and Allocated Capital of $ 450,300.00.
- Primary Care Physician Address displaying incorrectly: This Project initiated to correct the inconsistency in PCP Data for providers. Currently Providers were getting incorrect PCP Data which resulted in many complaints. This PRJ will improve provider satisfaction. Budgeted Cost and Allocated Capital for this project is $ 350,510.00.
- Pend Claim Status: Provide visibility to provider that claim has been received and is in processing. Currently they lose visibility between the time they submit it and the time it is finalized. Budgeted Cost and Allocated Capital for this project is $ 318,580.00.
- Zero Dollar EOB’s: Zero-dollar EOBs currently do not display on Claims Adjudicated Engines like TOPS, COSMOS, CSP Facets, PHS Nice and drives phone calls which resulted in increasing call center costs. This project will create visibility of all zero-dollar premium plans on provider portal. Budgeted Cost and Allocated Capital for this project is $2,705,298.39. This Project will increase Provider Satisfaction.
- Therapy Accumulators: This Project Ability to view Therapy Accumulators Data / Benefits on Provider Portal i.e. Eligibility Link. Therapies included are Physical, Occupational, Pulmonary Rehab, Cardiac Rehab, Chiropractic and Speech. Budgeted Cost and Allocated Capital for this project is $ 430,510.00.
Project Manager IV
Wells Fargo
Minneapolis, MN
09.2015 - 01.2016
- Mutual Funds: Mutual Fund Processing sub project to ensure successful integration and migration of Trust 3000 Legacy system to SEI SWP Core Platform. This process includes conversion of existing business processes and procedures associated with Mutual Funds including Trading, Income, Corporate Actions and Sweep to SEI SWP Core Platform. Key work efforts include capture of future state business process flows for activities and identify surround development and related requirements as needed. Team is responsible working with SEI to define requirements for gaps and TOG for surround applications which will be retained. Scope of work includes all SWP Implementation activities related to associate business processes.
Project Manager/Scrum Master
Patterson Companies
Minneapolis, MN
01.2011 - 12.2015
BA/Project Coordinator
Medtronic
Mounds View, MN
01.2009 - 12.2011
BA/Project Coordinator
KPIT Cummins
Fridley, MN
01.2007 - 12.2009
Education
Masters - MIS and Computer Applications
Osmania University
Hyderabad, Telangana, IndiaBachelor’s degree - finance
Osmania University
Hyderabad, Telangana, IndiaSkills
- Project management and agile methodologies
- Data integration and cloud computing
- Requirements gathering and stakeholder engagement
- Process improvement and development
- Budget management
- Team leadership
- Effective communication
- Risk assessment and change management
- Software development lifecycle
- Customer focus
- Agile project leadership
- Client management and relations
- Continuous process improvement
- Project planning
- Technical team building
- Application support and data analysis
Personal Information
Visa Status: US Citizen
Certification
- Certified Scrum Master (CSM)
- SAFe Certified (Safe Agilest Certification)
- Certified Professional Project Manager, CPPM, Univ. of St. Thomas, MN
- ITIL Foundation Certification
- Completed OSAM (Optum Scalable Agile Methodology) Scrum Master Internal Optum/UHG Certification
- Completed AZ900 Azure Foundation Course
- Completed ECG Training and Certification
- Completed AI Fundamentals Course
- ASTQB Certification
Data Engineering Tools
- Azure Cloud
- ADF
- ADB
- Python
- MS SQL
Technical Tools
- JIRA
- Rally
- Clarity
- Plan view
- MS Project
- SharePoint
- Smartsheet
- PPMO
- Excel
Timeline
Technical Program Manager/ Project Manager / Scrum Master
United Health Group - Optum
07.2019 - Current
Sr. Project Manager / Scrum Master
Ameriprise Financial Inc
03.2018 - 07.2019
Sr. Project Manager / Scrum Master
United Health Group - Optum
02.2016 - 07.2017
Project Manager IV
Wells Fargo
09.2015 - 01.2016
Project Manager/Scrum Master
Patterson Companies
01.2011 - 12.2015
BA/Project Coordinator
Medtronic
01.2009 - 12.2011
BA/Project Coordinator
KPIT Cummins
01.2007 - 12.2009
Masters - MIS and Computer Applications
Osmania University
Bachelor’s degree - finance
Osmania University