Project Manager Program
Resume:
Justine Reyes, M.A.Ed., PMP, ITIL, CSM
Senior Program Manager/Senior Project Manager
***************@*****.***
A seasoned senior business-oriented Project Manager offering over a decade experience specializing in leading full lifecycle Agile, Waterfall IT, business, and organizational change projects to include large Business Intelligence infrastructure projects end-to-end projects involving the migration of data and systems, and data analytics, vendor RFP, vendor management, test management plans, data quality assurance, and data reporting within the government, healthcare payor, and public sector in accordance with PMBOK methodologies and best practices.
HIGHLIGHTS OF QUALIFICATIONS:
•Affordable Care Act implementation per the California 1115 waiver data migration for 5 million beneficiaries (payor), Test management plan and oversight
•Foundational projects for EPIC implementation
•MS Project Online
•Managed multiple concurrent multimillion dollar large-scale, highly visible, projects with high complexity and organizational change management, size (up to 5 million end users), within the Healthcare, Public Sector, Systems Integration, Education and Not-for Profit industries
•Experienced understanding business needs and issues of both internal and external stakeholders, clients, and vendors.
•Experienced at interacting with senior management providing ongoing project communications, recommendations, consensus among stakeholders/teams and status reporting
•Experienced with providing oversight and governance within healthcare
•Experience working with vendors including COTS vendors to provide IT solutions
•Change Management Project Manager for large IT Department assessing change, working with stakeholders and leadership to design strategies, goals, develop measurement models, sequencing steps and implementation
•Well-versed in organizational training for departmental mergers and large-scale projects involving internal/external customers.
technical skills:
•Applications: MS Office: MS Project Online, Word, Excel, PowerPoint, Visio & Outlook; MS Project/MS Project Online, Pivotal Tracker, Monday, PPM, Epic Change Management
•Methodologies: PMI/PMBOK, AGILE, SCRUM, SDLC & ITIL, SIX SIGMA
•Certification: CSM, ITIL PMP
Professional Experience:
J E Reyes Consulting LLC- Project Management Consulting
Dec 2023- Present
●Project management consulting: project charter formation,
project coordination, project scheduling, product data analysis, budget analysis and reporting
● WBS, Change Management
●Created detailed project plans, test management strategies, and facilitated leadership meetings.
University of California, Office of the President – Project Manager – Consultant/Remote West Coast
Projects: Add MFA to Employees’ Portal, OGC Legal Hold
Dec 22 – 23
•MODFEP Project – Senior PM for project to add muti-factor authentication to two former employees’ portal and modifications working with vendors, contract, identification of scope, risk identification, project schedule, RAID log, charter project tasks, leading stakeholder/project meetings
•Legal Hold Project – Senior PM for project to modernize hold retention. Work the Office of General Counsel, with multiple vendors to contract, identification of scope, risk identification, project schedule, RAID log, project tasks, leading stakeholder/project meetings, creating Executive presentations, status reporting, Business Requirements gathering
•Security Recommendations Project – Project Manager to monitor and track deliverables and success criteria are aligned with recommendations and completed
•EDI Change Management Project – Project Manager to monitor and track deliverables and success criteria are aligned with HR recommendations, lead workgroup meetings
•Summer Intern Mentor – Act as a Lead Mentor for University of CA, Project Coordinator Interns, teach/co-lead PM subject presentations in Methodologies
University of California, Davis Campus – Project Manager – Consultant Remote/Sacramento
Project: Wireless Network Core Refresh, Border Firewall Activation
Sept 2020– March 2022
•Core Refresh Project - Network securities project to redesign and update the core distribution layers, vendor management
•Border Firewall Project - Deploy a highly available pair of firewalls at the campus network border with the Internet. Deploy intrusion prevention at the border firewalls with configuration and access controls.
•Engaging with Network Operations and Security Operations teams to upgrade individual campus network
University of California, Davis Health – Senior Project Manager – Consultant Remote/Sacramento
Project: Wireless Lan Pre-Shared Keys Planning, a Network Core Refresh
Oct 2019 – March 2020
•Perform a Cyber-security enterprise-wide project gap analysis with vendor/partners in preparation to upgrade all wireless LAN devices connecting to SSIDs with PSKs to a new network infrastructure within the University of California, Davis Health System.
•Engage in strategic project planning: gather technical resources, timelines, risks, issues, communication plans, and vendor budget estimates, UAT, QA testing, test scripts and test plan
•Create and manage project plan, test management plan, overseeing testing, leadership, and team meetings, UCDH Vocera, VoIP/IVR, Telemed, and Phillips in preparation to change the PSKs and SSIDs.
Kaiser Permanente (KP) – Project Manager – Consultant Remote/Pleasanton, CA
Projects: Microsoft Team Implementation and Surface Hub Optimization, Bandwidth and WIN 10 upgrade
Sept 2018 – Sept 2019
•Microsoft Teams O365 Senior IT Project Manager to cross-functionally implement Microsoft Teams and decommission WebEx to ensure a new collaborative IM, file system and communication product across the organization. Created and maintained project milestones, schedule, lead project meetings, organizational change management efforts, UAT, QA, coordinated communication and trainings to end-users (including IVR call-centers) to successfully drive the project to completion, vendor management
•Surface Hub Operationalize project – Senior IT project manager to operationalize Cisco platform surface hubs to Microsoft platform across KP national: configuration, connectivity of Intune, Azure Ad, communication and change management. Worked with vendor, engineering, leadership, change management teams, and data teams, testing management internally and with the vendor
•ExpressRoute bandwidth upgrade project – Senior IT Project Manager to manage the upgrade from 5GB to 10M
•WIN10 upgrade – IT Project Manager to manager imaging and applications upgrades to Win10 machines for Kaiser vendors
HealthNet – Senior Project Manager – Consultant Remote/Sacramento, CA
Projects: Provider Data Management Reporting, Taxonomy I and II
June 2018 – Jan 2019
•Senior IT Project Manager Ramp-up for Taxonomy project and collaborating cross-functionally to update and perform changes to Provider Management Specialties to support multiple specialty- based provider search, met model changes to add new specialties and attributes, implement database changes for Provider Network Management, FSB, and Care Radius.
•Senior Project Manager for all Provider Data Management and all downstream systems working together with the multiple Business areas, IT and vendor identify reporting and gaps, modifying and creating new prioritize data accuracy per Federal and non-federal mandates. Reporting includes credentialing, contracting, error reporting, provider directories and dashboards, test scripts, testing and oversight.
•Senior Project Manager for Tricare Directory Analysis reporting enabling users to proactively track providers/practitioners, assist to initiate corrective actions and better data accuracy
Santa Clara County Valley Health Plan – Senior Project Manager – Consultant Remote/San Jose, CA
Projects: SharePoint O365 Migration, Pay Now Button
Jul 2017 – Mar 2018
•Senior Project Manager (payor) for the SP 0365 Project to optimize the centralization of VHP’s existing data, functionality, and permissions will be migrated. Coordinate with all Business Area managers within the Dept. for permissions, test management, testing oversite and migration of data and change management across County.
•Senior Project Manager for the Pay Now Project encompassing payment feature button to State of CA CalHEERS allowing new members to pay their first premium upfront to Santa Clara Valley Health Plan. Coordinating with multiple vendors and enterprise-wide project team, developed charter, project plan, test plan, risk and issue identification and mitigation plan, lead project meetings, UAT, and QA testing, developing test scripts with team, and executive status reporting.
•Developed and maintained: project charter, project plan, and risk assessment, testing oversight, issue reporting, lead executive meetings, maintain status and data reporting. Acting as team lead for assigned projects. Lead Webinars and meetings.
•Vendor management, RFP, and budget
•MS Project Online
Tahoe Forest Hospital – Senior Project Manager – Consultant Remote/Tahoe
Projects: Physicians’ Services Projects
Aug 2016 - May 2017
•Acted as Project Manager to oversee Physicians’ Services Projects (payor) master planning process in the development and operations of a newly formed corporation to house current and future employees, align change management efforts across all affected departments.
•Worked with Project team to develop ensure legal filings, salary, benefits, and IRS structures.
•Establishment of Executive Leadership and Board of Directors pursuant to Brown Act guidelines. Ensure legal filings are in order and within State of CA guidelines.
•Worked with Facilities, IT teams for space-management, OSHA and RHC guidelines.
•Prepared and maintain master project plan and schedule, status reports, led executive meetings, develop communication plans, risk, and issue logs.
•Physician onboarding process improvement project to improve onboarding of newly hired physicians - perform gap analysis to assess as-is to future-state for onboarding new physicians ensuring patient and community needs are met.
•Worked with project team in the creation of process mapping, process document and governance using Six Sigma methodologies.
HMSA Blue Shield of Hawaii – Senior Project Manager – Consultant Honolulu, HI
Projects: Sales & CRM portals, Payments Trans
April 2016 - Aug 2016
●Senior PM for Process Engineering/Process Optimization Phase 3 for a data conversion of LRSP and QNXT with the goal to reduce dual maintenance by automating QI provider demographic data load from eVIPS to QNXT and making eVIPs the system of record.
●Responsible to drive project by using established PMBOK and six-sigma methodologies, collaborating with IS Development, Systems and system/Unit Testing teams, develop test scripts, and oversight, Business, and Leadership.
●Work stream deliverables included: Mass Provider License Renewal process, provider Re-contracting, and operational reporting.
●As the PM managing project schedule, timelines, risk management, issue resolution, communications, leading team meetings, leadership presentation, change processes and training, UAT and QA testing, and status reporting.
California Health and Wellness – Senior Project Manager – Consultant
Project: Provider Relations/Enterprise Analytics
October 2015 - April 2016
●Senior PM for the Enterprise Provider Analytics testing oversight, developing test scripts, and training.
●Training through go-live for 7 states of data analytics tool.
●Disciplinary teams acting as a liaison developed action and project plans, managed timelines, allocation of resources, identified key issues and risks management, provided status reports and project documentation, lead team meetings with sponsors.
●Senior PM for Provider Relations process optimization
●Responsible for current state to future state mapping for process improvement/quality control for claims issue resolution.
●Developed and coordinated 20 individual trainings, job aids, desk-level procedures
Blue Shield of California –Project Manager – Consultant Remote/El Dorado Hillis, CA
Project: TMO Facets Migration
April 2014 - Sept 2015
●Project Manager for migration from Legacy (RTMS) to FACETS from planning through post migration
●Lead requirements definitions (Business Systems Requirements) sessions for assigned accounts for 200 major accounts (2.5 million members).
●Develop and maintain group project plans, understanding scope, implementation plan, integrating appropriate stakeholders, group specific requirements, dependencies, identified issues, risks and mitigation strategies (MS Project)
●Develop and execute group communication plan, including attending external Broker and Group meetings and work with Leadership regarding change management and training.
●Acting as a single point of contact for conversion team to coordinate with the account team, underwriting, HDR and reporting teams on validation of Facets group structure and mapping of group structure from RTMS to Facets, i.e., that it meets needs for eligibility, billing, pricing, electronic records, and reporting.
●SME second-hat activities include Group Structure Report (GSR) auditing and process, leading BSA meetings, preparing status reports for Executive Leadership.
●Initiated process improvement for Group structure reporting and Executive reporting
●Vendor management, vendor budget and RFP, testing scripts, test, plan and oversight
State of CA, Covered California – Senior Project Manager – Consultant
Project: CA Health Benefit Exchange
May 2013 to Oct 2013
●Provided governance and oversight for the online Learning Management System (LMS) data migration portal for 50,000 brokers, navigators, and partner certification for Covered California
●Worked with COTS vendor to provide IT solutions for LMS systems.
●Managing vendor relations, contracts, issues tracking and resolution with heavily focused on stakeholder/client engagement with an emphasis on process improvement and response to change, and UAT and QA testing
●Project Manager in creating ramping-up an overflow call-center and IVR for Agent and Broker certifications through Covered CA.
●Lead Business Requirements definitions sessions
●Developed project charter, implementation plan, project plan, milestones, tasks and Ramp -up activities for go-live in Oct 2013 in accordance with PMI standards. Used MS Project online
●Initiated and implemented policy planning, development, and process improvement for LMS.
Lead the implementation of a Help Desk to support 50,0000 end users.
●Liaison for Vendor Activities with MAXIMUS, Meridian, Insurance Agents, Brokers and call-center
●Lead Issues Tracking and Resolution with Meridian LMS vendor and internal team – identifying risks, best practice mitigation strategies, leading daily issues Webinars, and meetings
State of California – Senior Project Manager Sacramento, CA
Projects: Medi-Cal to Managed Care, IT, HR Leadership
July 2007 - May 2013
●Served as Lead for change management in large-scale project (CLP) for the Branch, Data migration CalWIN, Legacy, conducted feasibility study report and assisted with systems testing
●Developed process improvement standards (CLP), project scheduling, milestones, and deliverables.
●Working within a growing Agile environment for Medi-Cal Managed Care projects because of the Affordable Care Act involving data migration for: Healthy Families— (875,000 enrollees), Adult Day Health Care Centers (CBAS), Low Income Health Program (LIHP) Managed care Expansion in Rural Counties – resulting in doubling Medi-Cal population within CA to an additional 5 million beneficiary data medical records
●Lead All Plan calls, change management efforts, and status meetings with all managed care health plans in CA and Centers for Medicaid/Medicare (CMS)
●Responsible for interfacing with all managed care health plans within California / Department of Managed Health Care / Health and Human Services Agency stakeholders / federal government (CMS) on the creation of Project work plans, timelines, legislative plans implementation plans project timelines and data logistics
●Project lead for overseeing beneficiary notifications for millions of transitioning beneficiaries. Emphasis on focus and responsiveness to stakeholder client relations, process improvement, and UAT, QA testing
●Provided project status in written reports to the legislature, directorate, and senior level managers on a weekly basis
Project Management Institute (PMI) Sacramento Valley Chapter – Consultant
Project: Instructor T-4Trainers for PDUs
Nov 2007 - Nov 2009
●Developed and designed Training-4-Trainers in PMBOK to improve the quality of instructors at PMI.
Education:
●University of Phoenix, Graduate Certification in Project Management, completion June 2016
●University of Phoenix, Master of Education, M.A.Ed.,
●California State University, Sacramento, Bachelors of English
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