SlideShare a Scribd company logo
1 of 3
Thelma Steidle
6300 Four Vines DriveApt 1D, RichmondVA 804-918-3356(H)
|717-686-7788|(C) Thelma.Steidle@gmail.com
EDUCATION
Project Management - Trainingthrough PM Centers USA 2009
Certification: Project Management Professional
Areas of Concentration: PMBOK Standards and Project Lifecycle
AHIP HIPAA Rules, Requirementsand Compliance 2007
Certification: HIPAA Complianceand Certification
Area of Concentration: Medical Policy, PrivateHealth Information(PHI), Privacy, Regulations and Fines
Mansfield University ofPennsylvania
B.S. BusinessAdministration 1988
Areas of Concentration: Business, Advertising, and Communication
WORK EXPERIENCE
Sr. Manager, Strategic Operations 11/1/1993-2/25/2015
Managed 367 million dollar projectincluding matrixedresources across theU.S. and off-shore/India.
Project rescuedmid-streamvia crisis management skills. Oversight -Scope, Vision,Design,
Specifications,Architectural support, Component/CompositeServices, Development,
Implementation/Post Implementation. This position also requires meeting government regulations,
Health CareReform Legislationand interstateregulations with fines attached for non-compliance.
Sr.Project Management: Highmark Legacy Modernization 01/01/2006-09/30/2012
Lead contractors and matrix in Highmark/Subsidiaries employees.
MultipleReleasecycles presented challenges of identifyingimpacted datapartners processes,
views, programs, stored procedures, packages, triggers, etc. System changes for 70+ impacted areas,
both internal and external to Highmark. Preparingsystems for newbusinesssuch as,
application serviceproviders and BluePlans interested in buying/rentingall or part of Highmark Systems.
Project Lead: Information Architecture 01/01/2003-12/31/2005
Business and DataProcess Models (IBM WebSphere) yielded Physical and Logical models
system implementations and new system/processconstruction. Additional, modelsfed into Enterprise
Architectureand captured business and dataentity services.
RELATED EXPERIENCE
Sr.Project Management Legacy Modernization - Health CareCode System (HCCS) 01/01/2003-12/31/2005
Accomplished retirement of theProvider, ProcedureCode/ICD10 Diagnosis Codesystems and
Pricing modifications. Design from ground zero usingnewer technology, creatingindexes, new architecturemodels, Java
Development and DataDifferentiatingallowing multipleowners of datapliability, whilemaintaininga
singlesourceof truth. HCCSalso contained anew user experiencetakingadvantageof thelatest usability
and accessibility tools and practices. This system was basically thesports car of systems. It is ahighly
developed system with extremeprocessingspeeds, allowingfor attachment to variousplatforms
with aGUI front end designed to providetheultimateintuitiveuser experience.
Supervision/Middle Management Highmark,Provider DataServices 01//07/1996-12/31/2002
Implemented award winningand first electronicProvider ContractingSystem at Highmark BCBS.
This process automated theenrollment of all Western Region providerswinningthe
Highmark CorporateExcellenceAward. The accomplishment took credentialed Providerfrom a
contractingperiod of 1 year to just18 days takingProviders from contractingto claim submission/payment.
Additionally, implemented thefirst GUI Provider System replacingan outdated system operatingfor 40+ years
whileupgradingto anew provider enrollment kitallowingfor thefirst automated enrollment of
Providers in theStateof Pennsylvania. Successfully gained NCQA’s highest accreditation. Additionally,
implemented HealthcareEffectiveness Dataand Information Set (HEDIS) system which accomplished checks/balances of over80
STEIDLE, THELMA PAGE 2
measures across fivedomains.
System Design Architecutre, Information Design and Development Synertech, Inc. 12/31/1993-
01/01/1996
Designed and worked through entiredevelopment and implementation processby creatinganew
system that would operateon various platforms.. This projectcarried an 18 million dollar budget.
Matrixed employees from 6 BlueCross/Shield producingtheverybest exercisecommunication.
Completed conversion and rewriteof aProvidersystem programmed in alanguagecalled MUMPSinto COBOL.
Oraclewas used with SQL as theprimary languageto query thedatabase. This projectintroduced Javato
thecorporation and successfully merged half abillion Provider recordsfrom 6 external organizations and
streamlined it into onerecord representingthecombined dataof all organizations.
Sr. Staff Analyst, Inter-Plan Operations 11/01/1992-12/31/1993
Created thefirst automated regression/parallel testfor theHighmark BlueCross/Shield of
Pennsylvania. This test allowed for multiplechecks and balances for new code, as well as,
parallel testingidentifyingboth thechanges intended for implementation, as well as, protectingthe
codethat was already correctly implemented into theclaims processingsystem. Additionally, supported
38 BlueCross/Shield ParticipatingPlans across theUnited States by processingclaims for thoseplans and
trackingpayment correctly through aCentral Financial Agency. This was accomplished with aPar/HomePlan
agreement. Inter Stateout of areasystem was alsodeveloped and supported duringthis phase.
SKILLS
✓ Project Management – PMP Certified (PMBOK)
✓ Project Management - Agile
✓ CoordinatingMulti-Million Dollar Projects Simultaneously
✓ Budget Estimation and ResourcePlanning
✓ Burn Rate, ResourceUtilization, Planningand Mentoring
✓ Filings with thePA Department of Insurance
✓ CMSGovernment Mandates, Contracts, Fines
✓ MSProject , Clarity and Rational Suiteof Tools
✓ Strategic Operations assessment and timemanagement
✓ Dataand Business Process Modeling(Websphere)
✓ System and Application Design and Development
✓ ReleaseCoordination thru post-implementation
✓ Crisis Management
✓ Rapid Application Design
✓ Integration Coordination and Gap analysis
✓ DataReporting, SAS, QMF, UTLRA
✓ ReportingDatabaseDesign and WarehouseRepository
STEIDLE, THELMA PAGE 3
✓ Functional & Technical Specifications
✓ IssueResolution
✓ Test CaseDesign, Quality Coordination, Metrics , Implementation, and Audit and Controls
✓ Actuarial Assistancewith RiskAssessmentand Projections

More Related Content

Viewers also liked

Thrombin Generation Assays ISTH poster 2009
Thrombin Generation Assays ISTH poster 2009Thrombin Generation Assays ISTH poster 2009
Thrombin Generation Assays ISTH poster 2009
Saman Aghighi DBMS
 
Thrombin Generation Test (TGT) & Rotational Thromboelastography (ROTEM™) and ...
Thrombin Generation Test (TGT) & Rotational Thromboelastography (ROTEM™) and ...Thrombin Generation Test (TGT) & Rotational Thromboelastography (ROTEM™) and ...
Thrombin Generation Test (TGT) & Rotational Thromboelastography (ROTEM™) and ...
Saman Aghighi DBMS
 

Viewers also liked (15)

78908 Trident Manor Brochure Arabic WEB
78908 Trident Manor Brochure Arabic WEB78908 Trident Manor Brochure Arabic WEB
78908 Trident Manor Brochure Arabic WEB
 
Thrombin Generation Assays ISTH poster 2009
Thrombin Generation Assays ISTH poster 2009Thrombin Generation Assays ISTH poster 2009
Thrombin Generation Assays ISTH poster 2009
 
Thrombin Generation Test (TGT) & Rotational Thromboelastography (ROTEM™) and ...
Thrombin Generation Test (TGT) & Rotational Thromboelastography (ROTEM™) and ...Thrombin Generation Test (TGT) & Rotational Thromboelastography (ROTEM™) and ...
Thrombin Generation Test (TGT) & Rotational Thromboelastography (ROTEM™) and ...
 
44-28-hechos
44-28-hechos44-28-hechos
44-28-hechos
 
Active audiences and Journalism: Innovation in the media companies and new pr...
Active audiences and Journalism: Innovation in the media companies and new pr...Active audiences and Journalism: Innovation in the media companies and new pr...
Active audiences and Journalism: Innovation in the media companies and new pr...
 
Ms power point, bab6 #ekoriswana
Ms power point, bab6 #ekoriswanaMs power point, bab6 #ekoriswana
Ms power point, bab6 #ekoriswana
 
Year 12 valete mass 2015
Year 12 valete mass 2015Year 12 valete mass 2015
Year 12 valete mass 2015
 
Saint Ignatius House Cross Country 2016
Saint Ignatius House Cross Country 2016Saint Ignatius House Cross Country 2016
Saint Ignatius House Cross Country 2016
 
Saint ignatius swimming carnival 2016
Saint ignatius swimming carnival 2016Saint ignatius swimming carnival 2016
Saint ignatius swimming carnival 2016
 
Kotlin.md
Kotlin.mdKotlin.md
Kotlin.md
 
Capacitación de docentes universitarios en materia de TIC e Innovación Docent...
Capacitación de docentes universitarios en materia de TIC e Innovación Docent...Capacitación de docentes universitarios en materia de TIC e Innovación Docent...
Capacitación de docentes universitarios en materia de TIC e Innovación Docent...
 
Effect Of Motivation On Individual And Team Performance
Effect Of Motivation On Individual And Team PerformanceEffect Of Motivation On Individual And Team Performance
Effect Of Motivation On Individual And Team Performance
 
Mari mengenal alat musik!
Mari mengenal alat musik!Mari mengenal alat musik!
Mari mengenal alat musik!
 
Cara membuat membuat grafik dengan ms word 2007
Cara membuat membuat grafik dengan ms word 2007Cara membuat membuat grafik dengan ms word 2007
Cara membuat membuat grafik dengan ms word 2007
 
apendic analisis metafunction
apendic analisis metafunctionapendic analisis metafunction
apendic analisis metafunction
 

Similar to ThelmaSteidleCVProvider1 (1)

DianeOakleyResume20170130
DianeOakleyResume20170130DianeOakleyResume20170130
DianeOakleyResume20170130
Diane Oakley
 
Dave Bennett Resume 03-09-15
Dave Bennett Resume 03-09-15Dave Bennett Resume 03-09-15
Dave Bennett Resume 03-09-15
David Bennett
 
Siju-Resume-IT-Project-Manager
Siju-Resume-IT-Project-ManagerSiju-Resume-IT-Project-Manager
Siju-Resume-IT-Project-Manager
Siju Varghese
 
Barry Griest Resume 2015-02
Barry Griest Resume 2015-02Barry Griest Resume 2015-02
Barry Griest Resume 2015-02
Barry Griest
 
Information Systems CapstoneCo.docx
Information Systems CapstoneCo.docxInformation Systems CapstoneCo.docx
Information Systems CapstoneCo.docx
jaggernaoma
 
Resume-Debamitra Das-QA
Resume-Debamitra Das-QAResume-Debamitra Das-QA
Resume-Debamitra Das-QA
Debamitra Das
 
Jagadeep Reddy_Guidewire Policy Center Testing.DOC
Jagadeep Reddy_Guidewire Policy Center Testing.DOCJagadeep Reddy_Guidewire Policy Center Testing.DOC
Jagadeep Reddy_Guidewire Policy Center Testing.DOC
Jagadeep Reddy
 
Kenny Lawhorn Career Collateral
Kenny Lawhorn Career CollateralKenny Lawhorn Career Collateral
Kenny Lawhorn Career Collateral
Kenny Lawhorn
 
Ext Q2 2016 Guy DiNapoli
Ext Q2 2016 Guy DiNapoliExt Q2 2016 Guy DiNapoli
Ext Q2 2016 Guy DiNapoli
Guy DiNapoli
 
Debbie Wolford Resume 2014
Debbie Wolford Resume 2014Debbie Wolford Resume 2014
Debbie Wolford Resume 2014
Debbie Wolford
 
Bonnie Prudlow LinkedIn Resume 2015-11
Bonnie Prudlow LinkedIn Resume 2015-11Bonnie Prudlow LinkedIn Resume 2015-11
Bonnie Prudlow LinkedIn Resume 2015-11
Bonnie Prudlow
 

Similar to ThelmaSteidleCVProvider1 (1) (20)

DianeOakleyResume20170130
DianeOakleyResume20170130DianeOakleyResume20170130
DianeOakleyResume20170130
 
Dave Bennett Resume 03-09-15
Dave Bennett Resume 03-09-15Dave Bennett Resume 03-09-15
Dave Bennett Resume 03-09-15
 
Sheldon cousino resume
Sheldon cousino resumeSheldon cousino resume
Sheldon cousino resume
 
Siju-Resume-IT-Project-Manager
Siju-Resume-IT-Project-ManagerSiju-Resume-IT-Project-Manager
Siju-Resume-IT-Project-Manager
 
VASUDEO RANE
VASUDEO RANEVASUDEO RANE
VASUDEO RANE
 
T/DG provides all technology components required for implementation of ERP so...
T/DG provides all technology components required for implementation of ERP so...T/DG provides all technology components required for implementation of ERP so...
T/DG provides all technology components required for implementation of ERP so...
 
Barry Griest Resume 2015-02
Barry Griest Resume 2015-02Barry Griest Resume 2015-02
Barry Griest Resume 2015-02
 
Information Systems CapstoneCo.docx
Information Systems CapstoneCo.docxInformation Systems CapstoneCo.docx
Information Systems CapstoneCo.docx
 
Resume of Eric Stohlquist
Resume of Eric StohlquistResume of Eric Stohlquist
Resume of Eric Stohlquist
 
Resume-Debamitra Das-QA
Resume-Debamitra Das-QAResume-Debamitra Das-QA
Resume-Debamitra Das-QA
 
Jagadeep Reddy_Guidewire Policy Center Testing.DOC
Jagadeep Reddy_Guidewire Policy Center Testing.DOCJagadeep Reddy_Guidewire Policy Center Testing.DOC
Jagadeep Reddy_Guidewire Policy Center Testing.DOC
 
Nirupama_Ragunathan
Nirupama_RagunathanNirupama_Ragunathan
Nirupama_Ragunathan
 
T/DG provides production support solutionsfor operational efficiency and prod...
T/DG provides production support solutionsfor operational efficiency and prod...T/DG provides production support solutionsfor operational efficiency and prod...
T/DG provides production support solutionsfor operational efficiency and prod...
 
Kenny Lawhorn Career Collateral
Kenny Lawhorn Career CollateralKenny Lawhorn Career Collateral
Kenny Lawhorn Career Collateral
 
A Case Study on Business Process Management
A Case Study on Business Process ManagementA Case Study on Business Process Management
A Case Study on Business Process Management
 
Ext Q2 2016 Guy DiNapoli
Ext Q2 2016 Guy DiNapoliExt Q2 2016 Guy DiNapoli
Ext Q2 2016 Guy DiNapoli
 
James carty text based resume May 2016
James carty text based resume May 2016James carty text based resume May 2016
James carty text based resume May 2016
 
Carden carrieresume2016
Carden carrieresume2016Carden carrieresume2016
Carden carrieresume2016
 
Debbie Wolford Resume 2014
Debbie Wolford Resume 2014Debbie Wolford Resume 2014
Debbie Wolford Resume 2014
 
Bonnie Prudlow LinkedIn Resume 2015-11
Bonnie Prudlow LinkedIn Resume 2015-11Bonnie Prudlow LinkedIn Resume 2015-11
Bonnie Prudlow LinkedIn Resume 2015-11
 

ThelmaSteidleCVProvider1 (1)

  • 1. Thelma Steidle 6300 Four Vines DriveApt 1D, RichmondVA 804-918-3356(H) |717-686-7788|(C) Thelma.Steidle@gmail.com EDUCATION Project Management - Trainingthrough PM Centers USA 2009 Certification: Project Management Professional Areas of Concentration: PMBOK Standards and Project Lifecycle AHIP HIPAA Rules, Requirementsand Compliance 2007 Certification: HIPAA Complianceand Certification Area of Concentration: Medical Policy, PrivateHealth Information(PHI), Privacy, Regulations and Fines Mansfield University ofPennsylvania B.S. BusinessAdministration 1988 Areas of Concentration: Business, Advertising, and Communication WORK EXPERIENCE Sr. Manager, Strategic Operations 11/1/1993-2/25/2015 Managed 367 million dollar projectincluding matrixedresources across theU.S. and off-shore/India. Project rescuedmid-streamvia crisis management skills. Oversight -Scope, Vision,Design, Specifications,Architectural support, Component/CompositeServices, Development, Implementation/Post Implementation. This position also requires meeting government regulations, Health CareReform Legislationand interstateregulations with fines attached for non-compliance. Sr.Project Management: Highmark Legacy Modernization 01/01/2006-09/30/2012 Lead contractors and matrix in Highmark/Subsidiaries employees. MultipleReleasecycles presented challenges of identifyingimpacted datapartners processes, views, programs, stored procedures, packages, triggers, etc. System changes for 70+ impacted areas, both internal and external to Highmark. Preparingsystems for newbusinesssuch as, application serviceproviders and BluePlans interested in buying/rentingall or part of Highmark Systems. Project Lead: Information Architecture 01/01/2003-12/31/2005 Business and DataProcess Models (IBM WebSphere) yielded Physical and Logical models system implementations and new system/processconstruction. Additional, modelsfed into Enterprise Architectureand captured business and dataentity services. RELATED EXPERIENCE Sr.Project Management Legacy Modernization - Health CareCode System (HCCS) 01/01/2003-12/31/2005 Accomplished retirement of theProvider, ProcedureCode/ICD10 Diagnosis Codesystems and Pricing modifications. Design from ground zero usingnewer technology, creatingindexes, new architecturemodels, Java Development and DataDifferentiatingallowing multipleowners of datapliability, whilemaintaininga singlesourceof truth. HCCSalso contained anew user experiencetakingadvantageof thelatest usability and accessibility tools and practices. This system was basically thesports car of systems. It is ahighly developed system with extremeprocessingspeeds, allowingfor attachment to variousplatforms with aGUI front end designed to providetheultimateintuitiveuser experience. Supervision/Middle Management Highmark,Provider DataServices 01//07/1996-12/31/2002 Implemented award winningand first electronicProvider ContractingSystem at Highmark BCBS. This process automated theenrollment of all Western Region providerswinningthe Highmark CorporateExcellenceAward. The accomplishment took credentialed Providerfrom a contractingperiod of 1 year to just18 days takingProviders from contractingto claim submission/payment. Additionally, implemented thefirst GUI Provider System replacingan outdated system operatingfor 40+ years whileupgradingto anew provider enrollment kitallowingfor thefirst automated enrollment of Providers in theStateof Pennsylvania. Successfully gained NCQA’s highest accreditation. Additionally, implemented HealthcareEffectiveness Dataand Information Set (HEDIS) system which accomplished checks/balances of over80
  • 2. STEIDLE, THELMA PAGE 2 measures across fivedomains. System Design Architecutre, Information Design and Development Synertech, Inc. 12/31/1993- 01/01/1996 Designed and worked through entiredevelopment and implementation processby creatinganew system that would operateon various platforms.. This projectcarried an 18 million dollar budget. Matrixed employees from 6 BlueCross/Shield producingtheverybest exercisecommunication. Completed conversion and rewriteof aProvidersystem programmed in alanguagecalled MUMPSinto COBOL. Oraclewas used with SQL as theprimary languageto query thedatabase. This projectintroduced Javato thecorporation and successfully merged half abillion Provider recordsfrom 6 external organizations and streamlined it into onerecord representingthecombined dataof all organizations. Sr. Staff Analyst, Inter-Plan Operations 11/01/1992-12/31/1993 Created thefirst automated regression/parallel testfor theHighmark BlueCross/Shield of Pennsylvania. This test allowed for multiplechecks and balances for new code, as well as, parallel testingidentifyingboth thechanges intended for implementation, as well as, protectingthe codethat was already correctly implemented into theclaims processingsystem. Additionally, supported 38 BlueCross/Shield ParticipatingPlans across theUnited States by processingclaims for thoseplans and trackingpayment correctly through aCentral Financial Agency. This was accomplished with aPar/HomePlan agreement. Inter Stateout of areasystem was alsodeveloped and supported duringthis phase. SKILLS ✓ Project Management – PMP Certified (PMBOK) ✓ Project Management - Agile ✓ CoordinatingMulti-Million Dollar Projects Simultaneously ✓ Budget Estimation and ResourcePlanning ✓ Burn Rate, ResourceUtilization, Planningand Mentoring ✓ Filings with thePA Department of Insurance ✓ CMSGovernment Mandates, Contracts, Fines ✓ MSProject , Clarity and Rational Suiteof Tools ✓ Strategic Operations assessment and timemanagement ✓ Dataand Business Process Modeling(Websphere) ✓ System and Application Design and Development ✓ ReleaseCoordination thru post-implementation ✓ Crisis Management ✓ Rapid Application Design ✓ Integration Coordination and Gap analysis ✓ DataReporting, SAS, QMF, UTLRA ✓ ReportingDatabaseDesign and WarehouseRepository
  • 3. STEIDLE, THELMA PAGE 3 ✓ Functional & Technical Specifications ✓ IssueResolution ✓ Test CaseDesign, Quality Coordination, Metrics , Implementation, and Audit and Controls ✓ Actuarial Assistancewith RiskAssessmentand Projections