ROBERT J. MAAGDENBERG, MBA, PMP, CSM, CPSO, CMA
1746 Sattler Dr. Concord, CA 94519
www.linkedin.com/in/robertmaagdenbergmbapmp
PROFESSIONAL SUMMARY: Seasoned IT Project and Product Manager with over 8 years of experience driving Health IT, Pharmacy Benefit Management (PBM), and Medicaid Enterprise System (MES) initiatives. Proven track record in Agile delivery, FHIR/C-CDA implementations, CMS regulatory compliance, risk management, and data integration. Skilled at leading cross-functional teams, engaging stakeholders, and delivering scalable solutions on time and within budget.
CORE COMPETENCIES: Agile/Scrum, Product & Project Management, Regulatory Compliance (CMS, MITA, HIPAA), PBM & MES, Requirements Documentation, Risk/Issue Management, Vendor & RFP Oversight, Data Integration (FHIR, SQL, ETL), ServiceNow Reporting, Budget & Cost Control, Stakeholder Governance, Data Visualization (Tableau, Excel). ServiceNow Reporting, ITSM, Agile Portfolio Management (7 years)
PROFESSIONAL EXPERIENCE
Prime Therapeutics (Remote) – Minneapolis, MN
IT Project Manager, Health IT Systems | Jan 2025 – Current
• Implemented Agile frameworks for the CMS M3P Regulatory Requirements Initiative, reducing turnaround time by 25% and boosting team productivity. • Led cross-functional teams to develop and launch a new PBM service, securing a 10% market share within three months. • Designed and deployed a risk management framework that lowered project risk exposure by 40%, ensuring full compliance with healthcare regulations. • Engineered a centralized project tracking system, enhancing visibility and accountability to drive on-time delivery across development, QA, and operations. • Analyzed business strategy and user needs to translate objectives into system requirement specifications, aligning with CMS and PBM compliance goals. • Coordinated system development, QA, and user acceptance testing cycles to ensure successful delivery of CMS-aligned PBM solutions. • Assisted in standardizing and deploying applications within the SRB portfolio to support scalability and operational efficiency. • Managed PBM user stories and technology roadmaps using ServiceNow Agile modules for backlog and sprint tracking.
County of San Mateo Health IT (Remote) – San Mateo, CA
IT Project Manager, Health IT Systems | 2023 – 2024
• Gathered and documented requirements for E-Prescribing, PACS/3D Imaging, Medical Device Integration, Digital Fax, and File Cluster Migration using SharePoint and Smartsheet. • Developed and maintained project plans, RAID logs, contact sheets, and change request artifacts; adapted to evolving scope. • Estimated budgets and managed vendor proposals for PACS/3D Imaging, Medical Device Integration, and Materials Management procurements. • Monitored weekly timelines, identified risks, and executed mitigation plans to resolve issues during execution. • Partnered with the Program Manager to forecast project health, escalate vendor issues, and communicate updates to stakeholders. • Ensured compliance with San Mateo County and state regulations; facilitated Agile status meetings and produced sprint reports in ServiceNow. • Facilitated Agile status meetings and produced ServiceNow sprint reports and ITSM tickets to track execution.
North Carolina Department of Health and Human Services (Remote) – Raleigh, NC
IT Product Manager, Pharmacy Benefit Management | 2022 – 2023
• Organized product management activities and maintained portfolio-level roadmaps for the MES PBM program, including decommissioning requirements and defining stakeholder objectives. • Oversaw Medicaid PBM module requirements, use cases, user stories, and MITA SSA assessments; collaborated with DHHS divisions (Finance, DSS, Care & Provider Management). • Led DDI workgroups and produced executive briefings reconciling PBM stakeholder vision with ITD pharmacy process goals (claims processing, lock-in, authorization, DUR). • Managed PBM user stories and technology roadmaps; researched Medicaid initiatives to align with NCDHHS strategic goals. • Authored BRDs, Project Charters, and RFPs to ensure MITA modernization and CMS interoperability compliance. • Developed the PBM Feasibility Assessment artifact to evaluate solution viability and readiness.
Anthem, Inc. (Remote) – Atlanta, GA
Project Manager / IT Business Systems Analyst | 2021 – 2022
• Directed development, prioritization, and compliance for the Dental & Vision CMS Mandate program. • Managed a multi-state, bi-directional interoperability initiative, ensuring Dental/Vision data acquisition into HIEBus via SQL and ETL processes. • Created and executed test cases for data propagation through the M360 GUI Interface to clinical data servers. • Led technical integration of state Medicaid/Medicare data in compliance with CMS mandates. • Established program governance to monitor objectives, risks, and KPIs; conducted Data User Experience training on data use policies. • Developed client-facing communications and success metrics reports to support program tracking.
Universal Health and Wellness Regional Offices – San Francisco, CA
Sr. Product Manager | 2018 – 2021
• Researched eHealthExchange coverage, cost, and alignment to FHIR C-CDA Templates; presented analysis to executive management. • Conducted HIPAA and FHIR endpoint research, including ONC implementation issues and test servers, guiding the decision to integrate FHIR into Activator.One. • Evaluated U.S. insurance software viability and presented findings to the CEO, leading to continued development of Activator.One, uConsult, and uVax. • Authored and managed user stories in an Agile/Scrum environment using Confluence and JIRA; coordinated with development teams on bug resolution and UAT for uVax, uConsult, and Activator.One. • Built Tableau dashboards for product KPIs, reducing manual reporting by 8 hours weekly; collaborated on Python-driven Excel UI for COVID-19 vaccination reporting. • Managed product backlog for C-CDA requirements and translated them into JSON/API-centric user stories for Activator.One. • Established a client report repository, provided data integration best practices, and led SAN relocation and Disaster Recovery planning for the data warehouse.
Kaiser Permanente Regional Offices – Pleasanton, CA
Program Analyst | 2018
• Developed weekly program scope reports and dashboards for the Consumer Digital Strategy (CDS) program; tracked progress and escalated risks. • Facilitated senior-level meetings on scope reporting and business rules development; improved Daptiv intake governance via Excel and SQL (Access). • Utilized BMC Remedy ITSM to manage service tickets and workflow requests for Kaiser’s IT Planning Tool.
Humana, Inc. – Concord, CA
Project Manager / Analyst | 2015 – 2018
• Coordinated with stakeholders and analysts to define requirements for Medicare Risk Adjustment (MRA) solutions, including Scorecard, ICD Tracker, and risk score consolidation using SQL and Excel. • Managed system enhancements and new reporting functionality for HCCs and PCP visit metrics via pivot tables. • Developed and maintained the CaDET database (Access, VBA, MSSQL Server) to automate HEDIS measure entry and reporting. • Analyzed HEDIS measures to identify growth opportunities; produced presentations on key patient populations and performance metrics. • Led monthly and quarterly IPA Sweeps reporting using Agile methodology and VBA-driven dashboards; aligned data reporting processes and technology solutions. • Supported IT operations with ServiceNow ticketing and reporting for issue tracking and resolution.
EDUCATION
MBA, Finance – California State University, East Bay, Hayward, CA
BS, Economics & Political Science – Santa Clara University, Santa Clara, CA
CERTIFICATIONS
Project Management Professional (PMP) – Project Management Institute (PMI)
Certified ScrumMaster (CSM) – Scrum Alliance
Certified Scrum Product Owner (CSPO) – Scrum Alliance
PeopleSoft HRMS certification - Oracle University
Certified Lean Six Sigma Green Belt - Council for Six Sigma Certification (CSSC)