VOHN MARK AUSTIN

102 Hawthorne Avenue | Wilmington, DE 19805 |

Senior Project Management and Program Management

FULL LIFE CYCLE PROJECT MANAGEMENT ~ WATERFALL & AGILE METHODOLOGIES ~ VENDOR & CLIENT RELATIONS
PAYOR & PROVIDER SYSTEMS ~ VENDOR MANAGEMENT ~ RISK MANAGEMENT ~ CHANGE MANAGEMENT SOLUTIONS
PROJECT EXECUTION & DELIVERY ~ BUDGET TRACKING & COST BENEFIT ANALYSIS
BUSINESS & TECHNICAL ANALYSIS & DOCUMENTATION SUPPORT

E XECUTIVE P ROFILE

 Versatile and accomplished Information Technology Professional possessing strong Program Management and
Project Management (Business & Technical) skills with expertise in leading and managing cross-functional teams
across multiple work streams from project initiation thru project delivery to include project planning, scope and
requirements definition, budgeting and resource allocation, project execution and testing, while facilitating
successful delivery within stringent scope, timeline, and financial parameters.
 Specialization in the Healthcare industry focusing on both Payer and Provider systems to include:
Patient Accounting, Patient Financial Services, HIIM Coding, Billing, Revenue Cycle,
Claims Processing, Clinical Applications, Eligibility, Membership, Payment, and MMIS Systems.
 Highly skilled working through the complete Application System Development Life Cycle (SDLC) with focus on
PMI teachings and guidelines.
 Experienced in both Waterfall and Agile methodologies and practices.
 Effective at managing vendors, both onshore and offshore to achieve project objectives.
 Expertise in building and nurturing vendor and client relationships that result in significant revenue and profitability
growth, while focusing on teambuilding and collaborative project approaches.
 Adept at business and data analysis as well as business and technical documentation.
 Skilled in EDI, HIPAA ASC X12 transaction sets, knowledge of ADT and HL7 message formats.

P R OFESSIONAL E XPERIENCE

Randstadt Technologies, Philadelphia, PA, 09/19 – Present

Senior Engagement / Program Manager – Change Healthcare, King of Prussia, PA
 Providing program management expertise and oversight of large software implementations of Claim Performance
products for the following healthcare Payor clients: Emblem Health, Health Partners MN, Conduent Alaska.
 Directing full scope project management that tracks the progress of the assigned projects ensuring an on schedule,
on budget delivery and ensuring the project team is tracking to Change Healthcare contractual commitment.
 Responsibilities include working closely with assigned clients and the implementation project team, as well as
the relationship management team and the sales department to oversee the effective configuration, project
execution, implementation, and deployment of CXT licensed products. 
 Leading the migration of Emblem Health and Connecticare PPO, HMO, and Medicare lines of business from
Amisys to Facets while simultaneously upgrading the LOB’s to ClainsXten 6.0 utilizing the support of a large,
diverse, and virtual cross-functional team. Scope is approximately 2.5M members
 Jointly working with Account Management to manage and review contracts, manage upsells to the client, and to
define the client roadmap on an ongoing basis while directing the project work of the service delivery team to
execute on the client roadmap.

Slait Consulting, Norfolk, VA, 05/18 – 09/19

Senior Project Manager Enterprise IT PMO – Anthem Blue Cross/Blue Shield, Atlanta, GA
 Leading Enterprise IT Projects for the Pharmacy IT PMO’s Digital, SOA and eHub work stream projects.
 Project Managing the large scale Voyager 2020 migration of Anthem PBM members from the Express Scripts (ESI)
Pharmacy platform to the CVS Health Caremark Pharmacy platform while simultaneously leading the Digital
development effort to add new functionality and features to the CVS Health platform resulting in a highly enhanced
member experience.
  Project is a joint multiple work stream joint venture between Anthem and CVS being run utilizing a combination of
Agile and Waterfall methodologies delivering over 60 new member capabilities with a total budget of over $100M.
 Scope of PBM Member Migration – 15.5M members across 126,266 accounts (NASCO, Medicare, Medicaid,
WGS, CHIPS, ISG, Central FACETS) will be migrated in 5 waves between 5/1/19 and 1/1/20.
 Successfully migrated 8.7M members to the new platform with minimal member abrasion as of 8/15/19.
 Leading and managing project activities for the new Anthem Stand Alone Pharmacy Benefit Management (PBM)
Solution, (IngenioRx), scheduled to begin roll-out on 1/1/2020. Product expected to serve over 15M Anthem
members as well as multiple millions of new members as the IngenioRx business grows.

Fluid Edge Consulting, Malvern, PA, 01/18 – 03/18

Senior Project Manager – Medecision, Philadelphia, PA
 Project Managed Accenture Consulting and Medecision teams in large scale update and enhancement project to
parent company HCSC’s Medecision Aerial Care Management Population Health software.
 Collaborated with Accenture and HCSC to maintain overall comprehensive project plan and issues / risk
management documentation.

Highpoint Solutions, East Norristown, PA, 03/17 to 10/17

Senior Project Manager – Christiana Care Health System, Wilmington, DE
 Directed activities for the CCHS Population Health Management Teams Carelink CareNow Managed Care
Program utilizing Medecision’s Aerial Care Management and Analytics applications to identify and assess targeted
high risk patients and based on pre-defined rules assign and enroll the patients in the appropriate care program(s).
 Oversaw project team tasks and activities for the Care Link Enhanced Functionality (CLEF) initiative to automate
selected manual processes and functions performed by care managers saving labor costs and increasing team
productivity, while greatly increasing efficiency among the care management team.
 Enhanced high risk patient program assignment and enrollment managing and closing gaps in care designed to
reduce patient re-admissions and improve outcomes.
 Engaged in the Aetna State of Delaware Employee Risk Contract implementation adding 40K Medicare Advantage
members from a pre-defined population to the CCHS Managed Care program to include Claims Integration,
Membership Eligibility Tracking, and Member Financial Tracking, Analytics and Reporting.
 Projects followed Waterfall and Agile methodologies while being managed and tracked using Microsoft Project and
JIRA (Agile) software. Daily scrum meetings were conducted as part of the oversight and management.

Ettain Group & Apex Systems Inc., Nashville, TN, 08/13 – 03/17
Program Manager / Senior Project Manager – Community Health Systems, Franklin, TN
 Strategically managed projects to achieve on-time, on-budget delivery including developing and maintaining all
project schedules and documents to include milestones, deliverables, risks, and ongoing issues, as well as
coordinating all cross-workstream and vendor engagement and delivery activities.
 Provided Program and Project level management and oversight for the Cerner Corporation conversion project
encompassing conversion of Registration, Scheduling, and Patient Accounting systems for 7 Hospital Facilities and
approximately 170 Ambulatory Clinics. Managed Project Budget of $8.75M.
 Collaborated with Governance Committee to develop key decisions risk log and high level deliverables.
 Worked with Executive Leadership and Project PM’s to organize, direct, and manage 16 vertical work groups to
execute project tasks and assure milestones were being met.
 Coordinated efforts with Cerner and CHS stakeholders to compose a comprehensive Project Plan, for both Acute
and Ambulatory verticals.
 Championed the Valence Health Population Health Management project initiative across five CHS markets for
corporate Physician & Specialty Practices team; oversaw Infrastructure updates and led data acquisition and
integration of new crosswalks and data feeds including LOINC and Health Maintenance crosswalks, claims
(institutional and professional), clinical lab results, ADT, and EMR data feeds from vendors - MedHost, Cerner,
Athena, SSI, and CHS market facilities.
 Spearheaded full-scope project management including remote facilities test plan creation and testing ensuring
ICD-10 readiness of facility products, simultaneously working with senior leadership to direct and oversee
upgrades as needed. Managed ICD-10 Project budget of $3.8M.
 Orchestrated corporate directed ICD-10 integration testing of cutting-edge EHR/EMR financial and clinical systems
encompassing vendors - 3M, MedHost, MediTech, McKesson, Cerner, Siemens, Athenahealth, and Allscripts.
 Steered all corporate end to end testing with Centers for Medicare and Medicaid Services (CMS) Fiscal
Intermediaries.
 Fostered and maintained productive relationships with external vendors to facilitate and accelerate issue and
problem identification and resolution.
Software Professionals, Medford, NJ, 01/09 to 07/13
Senior Project Manager / Senior Analyst – Highmark Blue Cross Blue Shield DE, Wilmington, DE
 Functioned as Senior Project Manager and Senior Analyst for Claims, Membership, Eligibility, and Financial and
Payment systems initiatives, ensuring unified and aligned project efforts during the merger between Blue Cross
Blue Shield of Delaware and Highmark.
 Contributed to numerous software application development activities in support of HIPAA EDI 5010 project.
 Played a pivotal role in engineering one-time and ongoing claims history data load for new clinical editing vendor
(Bloodhound) to capture $4M in annual savings.
 Collaboratively instituted new DB2 reconciliation process to support Bloodhound clinical editing project.
 Lead collaboration between FTE’s, client areas, and vendors to document business and technical requirements,
provide technical data analysis, and ensure all products were built to specifications and delivered on time.

RCG Information Technology, Edison, NJ, 04/08 to 12/08

Project Manager / Program Director – Transcontinental Direct, Warminster, PA
 Partnered with CEO in company re-structuring, holding full accountability for revamping Fulfillment SOPs and
leading major migration of TCD clients from legacy systems to new SQL Server 2005 and ERP platform.
 Aligned and mobilized offshore and outsourced vendors as well as internal technical and business staff throughout
development and testing activities.
 Served as integral member of the newly created Program Management Office (PMO).

Keystone Mercy Health Plan, Philadelphia, PA, 04/02 to 02/06

Program Manager / Project Manager HIPAA Project Management Office (PMO)
 Contributed to development and administration of project budgets up to $15M while recruiting, managing,
coordinating, and supervising IT professionals throughout four major company-wide implementations.
 Effectively communicated project status to leadership team via dashboard reports, risk matrices and RACI charts.
 Project-managed iHealth Claims Editing initiative requiring development of new inbound/outbound Facets claim
adjudication and reconciliation processes, successfully forecasting $20M in post-implementation revenue growth.
 Directed QA testing and production deployments to ensure project completion within expected timelines.
 Deployed government-mandated HIPAA-compliant EDI program in flawless cooperation with subcontractors,
affiliated MCO plans, and state agencies in five states.
 Project-managed implementation of PA DPW PROMISe claims processing and management information system.
 Successfully accomplished timely implementation of all KMHP EDI transactions, reports, and files affected by
VISTA and PA Public Works Department requirements.

Software Professionals, Medford, NJ, 03/97 to 04/02

Senior IT Consultant – Blue Cross Blue Shield of Delaware, Wilmington, DE

 Generated nearly $1M in annual savings by delivering extensive modifications to financial legacy systems as
senior member of HIPAA EDI implementation team.

IT Consultant – Astra Zeneca Pharmaceuticals, Wilmington, DE

 Served as Technical Project Leader and Senior Business Analyst for multiple phases of EDI project to separate
Zeneca Agricultural Products’ IT systems from Astra Zeneca Pharmaceuticals’ IT systems subsequently migrating
systems to new mainframe in Bristol, UK.
 Conducted in-depth business and technical analysis, performed comprehensive LPAR production parallel testing,
and prepared all system and technical documentation.

Senior Programmer Analyst – Blue Cross Blue Shield of Delaware, Wilmington, DE

 Performed data analysis, coding, and testing of COBOL programs and JCL job streams in an IBM mainframe IMS
VSAM environment across numerous systems, while supervising junior staff in analysis, remediation, and
debugging for Y2K conversion.

Additional Background:
Programmer Analyst II, Computer People (Delmarva Power & Light; State of Delaware), Wilmington, DE

Programmer Analyst I, Computer Aid (E. I. Du Pont), Wilmington, DE

 E DUCATION

Computer Programming and Analysis, The Chubb Institute, Springfield, PA

A.A.S Electrical Engineering Technology, State University of NY JCC, Jamestown, NY

Professional Development and Affiliations

Member of the Project Management Institute (PMI)

PMI Foundations in Project Management Practices & PMP Certification, Villanova University
Leading the Lean Enterprise with the Scaled Agile Framework (SAFe), Anthem Training
Leading Meetings and Facilitating Cross-Functional Teams, KMHP HR Training
How to Handle Multiple Demands on Your Time, Dale Carnegie Training

T ECHNICAL

Vendor Applications & Software:

PSA Financial Force, JIRA, Kanban, Confluence, Daptiv PPM, Clarity, Microsoft Project, PWA, SharePoint, Microsoft Office
365, Oracle, Facets, TCP/IP and SFTP protocols, PGP Encryption, EDI X12 Transactions and EDI mapping software -
Gentran, Sybase ECMap

EHR / EMR Management – Claims, Financial, and Clinical Solution Vendors:

MedHost, Cerner, McKesson, Medecision, Athenahealth, Allscripts, iHealth, Bloodhound, Express Scripts,
Siemens, SSI Group - Medical Claims Management, 3M 360 Encompass – Computer Assisted Coding

Development Tools:
API Interfaces, CICS, DB2, COBOL, VSAM, PL/SQL Sybase, Visual Basic, QMF, SPUFI, TSO/ISPF, IMS DB/DC,
Easytrieve, FileAid, Assembler, Xpediter, Macro 4 Utilities, Librarian, Changeman, Panvalet

Operating Systems: Windows, AS400, UNIX, SQL Server, Mainframe MVS/OS