Shawn Layne
Yulee,FL
Summary
Strategic and results-driven Senior Project Manager with over 20 years of experience leading enterprise-scale healthcare and IT integration initiatives. Proven success in driving cross-functional collaboration, optimizing end-to-end processes, and delivering complex programs that advance Sentara’s enterprise transformation strategy—including data and analytics modernization, virtual care enablement, and market-based operational excellence. Adept in Agile and Waterfall hybrid delivery models, PMO governance, and stakeholder engagement across complex healthcare ecosystems. Recognized for translating strategic vision into actionable execution through data-driven leadership, proactive risk management, and a relentless focus on quality, timelines, and measurable outcomes.
Overview
31
31
years of professional experience
3
3
Certification
Work History
Senior Project/Program Manager (CONTRACTOR)
Sentara Health
08.2023 - Current
- Lead enterprise-wide provider data, pricing, and claims integration under the 'Workstream 3 CAPS/AvMed Integration – Provider Ops & Pricing Configuration program supporting a successful migration of AvMed Heath to Sentara Health while managing the full project lifecycle across Provider Data, Pricing Configuration (NetworX), Capitation, and Claims Testing workstreams within a matrixed environment.
- Directed cross-functional teams (IT, Provider Operations, Data Engineering, vendor partners) to deliver scope on plan, with clear accountability and RAID governance.
- Established EDP/Value-Based Care–aligned data mapping standards and documentation; replaced legacy templates to improve analytics readiness and traceability.
- Led project teams to deliver high-quality results on time and within budget.
- Developed streamlined processes, enhancing operational efficiency across multiple projects.
- Collaborated with Sentara Health resources, AvMed Heath resources along with various vendors to define project scope, ensuring alignment with business objectives.
- Analyzed project performance data to drive continuous improvement initiatives.
- Managed vendor relationships, negotiating contracts to optimize service delivery and costs.
- Conducted regular team meetings to align goals, track progress, and address challenges effectively.
- Delivered outstanding service to customers to maintain and extend relationships for future business opportunities.
- Managed multiple projects simultaneously while maintaining strict adherence to deadlines and budgets.
- Developed comprehensive project plans, ensuring alignment with organizational goals and compliance standards.
- Facilitated stakeholder meetings to gather requirements, provide updates, and address concerns effectively.
- Streamlined workflow processes across departments to enhance operational efficiency and reduce project timelines.
IT Technology Delivery Manager (CONTRACTOR)
Express Scripts
12.2021 - 04.2023
- Responsible for leading Pharmacy Digital Web & Mobile product teams on multi-year initiatives.
- Performs the roles of a Project Manager, Program Manager or Scrum Master as asked by the PMO to drive the planning, execution and closure of deliverables using hybrid of both agile & waterfall methodologies with SDLC via various tools like MS Project, Jira and Confluence as demanded by the project requirements on time and within budget.
- Provides counsel and advice to top management on significant Pharmacy Technology Project Management matters, often requiring coordination between organizations.
- Responsible for managing, directing, and planning multiple complex projects, or occasionally one highly complex project, consisting of one or more project teams.
- Responsible for coordinating, scheduling, and assigning project tasks, team building, maintaining working relationships with Pharmacy Operations outside of IT.
- Applies project development methodologies and reporting techniques to indicate project status.
- Reviews, evaluates, and formulates project plans, schedules, and budgets.
- Identifies and negotiates schedules, milestones and resources required to meet project objectives working with Technical Product Owners on prioritization and dependency alignment.
- Evaluates progress and reports progress in terms of quality and performance metrics common to IT projects.
- Strong Technical IT skills to align business, vendor and IT teams to work out dependencies, tracking and accountability to keep teams aligned and on track to project(s) completion.
- Works with various IT and Business Units to coordinate systems testing, installation, training, and support.
- Recognized internally as 'the go-to person' for the most complex IT Project Management assignments.
- Strong working experience in hybrid environments of both Waterfall and AGILE methodology practices.
- Experience leading teams of SCRUM and KANBAN agile environments.
IT (Application) SENIOR Program/PROJECT MANAGER (CONTRACTOR)
Florida Blue
08.2018 - 12.2021
- In partnership with Livongo Health, Florida Blue will deploy Livongo's first diabetes virtual care platform that will manage a select population of our diabetic members.
- Partner with IT technical staff and Business Sponsor to ensure the design accomplishes both business and technical requirements.
- Care Innovations and Design (CID) is committed to differentiating FB in the market by creating a superior care journey for our members, helping improve their health and experience from birth through end-of-life.
- Accountable for managing and monitoring project performance of multiple projects with one or more internal and external dependencies, multiple scopes, including: providing guidance to Leadership and core team which consist of Business/IT and external entities.
- Manages Issues, Risk, Dependencies and Change Request following the established PMO guidelines.
- Identifies, negotiates, communicates and manages project changes.
- Reports status of project, including project risks, to customers, project team, supervisor, Project Offices, governance and other key staff.
- Oversee product documentation and archiving. Adheres to the Project Management standards for project closure.
- Responsible for managing external and vendor relationships (including the SOW and managing to implementation (deliverables and schedules).
- Solid knowledge and experience in various Project Management and Product Development concepts, methodologies and processes.
- Solid demonstrated proficiency in the use and/or understanding of project tracking and management tools such as MS Project (including project schedule & financial tracking, reports and outputs and SharePoint) Rally and Jira.
- Strong understanding of AGILE methodology practices.
- Strong understanding of SCRUM.
IT (Application) SENIOR PROJECT MANAGER (Consultant)
Health New England
08.2016 - 08.2018
- Responsible for the Medicaid and Pharmacy PBM in a fast paced driven 'HYBRID' environment leading and coordinating with Business, IT, Vendors from and E2E process and guiding them with overall direction, management, communication, director level status reporting, and accountability of project-oriented work efforts and success of their projects across the IT organization.
- Effectively and efficiently manage implementation of Individual and Small Group health product portfolios for multiple states.
- Manage Charter, scope documents based on approved efforts withing the portfolio.
- Effectively manage, direct business, IT, Vendors to align on the project ask through a 'HYBRID' approach of Waterfall/Agile/SCRUM while adhering to SDLC process.
- Maintain current documentation of portfolio tracking tools to drive towards successful product launches and implementations.
- Ensures compliance with state and federal mandates and internal company standards.
- Communicates effectively with internal and external constituents to build rapport and provide consultative approach during project strategies.
- Proactively identify and drive process improvement initiatives across the enterprise mitigating risks and ensuring a successful implementation.
- Identifies process improvement opportunities within the organization to reduce error ratio, provide historical audit data, statistical information to drive improvements and support training initiatives.
- Act as subject matter expert to new and experienced individuals to guide through resolution of issues relating to plan benefit setup (Based off product demos with SME).
- Develop detailed project work plans and manage scope, time, cost & resources to implement solutions to support the company's business needs.
- Health New England is Baystate Health's not-for-profit regional provider-owned health plan.
IT (Application) PROJECT MANAGER for OPTUM HEALTH GROUP (Consultant)
United Health Group
12.2014 - 08.2016
- Assisting Project Manager role; operating in a mature PMI/Agile based EPMO running multiple projects simultaneously within a very large organization.
- Working as a program / project manager in a billing downstream application-based environment space.
- BASICS is a commission payment calculation engine which supports United HealthCare Employers and Individuals business unit with over $1 million-dollar annual capital development budget.
- This application is responsible for handling over 2300 writing agents, processes over 22 million transactions per year, and pays out over $900 million of commission payment in a calendar year.
- Daily tasks include: Initiate, determine, engage, ROI through L&D process (Continuously measure L&D programs, optimize learning investments, communicate ROI to the business on an ongoing basis).
- Establish and execute project communication plan/develop and update project plans for information technology projects including information such as project objectives, technologies, systems, information specifications, schedules, funding, and staffing, and update/track key milestone dates.
- Manage project execution to ensure adherence to budget, schedule, and scope.
- Prepare project status reports by collecting, analyzing, and summarizing information and trends.
- Identify and resolve risks and issues and proactively plan and execute plan of action with impacted applications.
- Deliver projects on time and within budget.
Education
SCRUM MASTER - Scrum Master Certification
United Health Group
01.2015
Six Sigma - Six Sigma Certified
ING
01.2008
Bachelors - Computer Science
DeVry University
01.2006
Windows XP Professional - IP addressing and subnet masking
Computer Services Inc.
East Hartford, CT01.2003
Graphic design - Business Management
Asnuntuck
Enfield, CT01.2001
MCSE Track - Supporting Windows NT Core Technologies, Supporting Windows NT Enterprise Technologies, Administering Windows NT, Networking Essentials, Supporting Windows NT Exchange Server, Implementing & Supporting TCP/IP Technologies
New Horizons Computer Learning Center
01.1994
High School Diploma -
Enfield High
Enfield, CT06-1990
Skills
- Enterprise Project & Program Management
- Healthcare Integration & Payer Operations
- Strategic Transformation & Enterprise Readiness
- Cross-Functional Leadership & Stakeholder Engagement
- Provider Data Management & System Conversions
- Data Mapping, Migration & Analytics Enablement
- Risk, Issue & Change (RAID) Governance
- PMO Standards, Reporting & Executive Communication
- Agile / Waterfall Hybrid Delivery Frameworks
- End-to-End (E2E) Process Optimization
- Strategic Planning, KPI & Performance Alignment
- Vendor & Partner Coordination (Cognizant, Infinite, Zelis, etc)
- Digital Health, Virtual Care & Interoperability Solutions
Accomplishments
- Delivered a highly complex enterprise integration between AvMed and Sentara Health, merging Provider Operations and Pricing Configuration functions into Sentara’s core QNXT platform. Successfully aligned data, systems, and business processes across both organizations—marking a foundational milestone in Sentara’s strategic market expansion.
- Led cross-functional collaboration across Provider Data Management, Configuration, Claims, Clinical Operations, Billing & Finance, Pharmacy, Digital, and Security teams to ensure operational alignment and readiness for enterprise cutover—driving seamless integration and program success.
Certification
- SCRUM Master
- Six Sigma Green Belt
- Bachelors (Computer Science)
- MCSE
- Microsoft Certified in Windows XP, Server 2000, NT Workstation, and Server 4.0
Timeline
Senior Project/Program Manager (CONTRACTOR)
Sentara Health
08.2023 - Current
IT Technology Delivery Manager (CONTRACTOR)
Express Scripts
12.2021 - 04.2023
IT (Application) SENIOR Program/PROJECT MANAGER (CONTRACTOR)
Florida Blue
08.2018 - 12.2021
IT (Application) SENIOR PROJECT MANAGER (Consultant)
Health New England
08.2016 - 08.2018
IT (Application) PROJECT MANAGER for OPTUM HEALTH GROUP (Consultant)
United Health Group
12.2014 - 08.2016
Six Sigma - Six Sigma Certified
ING
Bachelors - Computer Science
DeVry University
Windows XP Professional - IP addressing and subnet masking
Computer Services Inc.
Graphic design - Business Management
Asnuntuck
MCSE Track - Supporting Windows NT Core Technologies, Supporting Windows NT Enterprise Technologies, Administering Windows NT, Networking Essentials, Supporting Windows NT Exchange Server, Implementing & Supporting TCP/IP Technologies
New Horizons Computer Learning Center
SCRUM MASTER - Scrum Master Certification
United Health Group
High School Diploma -
Enfield High