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