Jennifer Reed
Caddo Mills,TX
Summary
Implementation professional with 23 years of healthcare expertise in both business and IT with focus on strategic planning and program execution. Known for leading teams effectively and adapting to evolving needs while ensuring seamless collaboration. Strong expertise in project management, process optimization, and stakeholder communication. Reputation for reliability and a keen focus on achieving organizational goals. Certified in PMP, Agile, and CQA. Strong background in quality program development, developing COE/COP, and executing change management initiatives. Diverse knowledge in healthcare including procurement responses for IT, enrollment and billing, customer service, claims, quality assurance, training, IT code implementation, data migrations, big data management, operational readiness, and change management.
Overview
11
11
years of professional experience
1
1
Certification
Work History
IT New Market Implementation Lead
CareSource
07.2024 - Current
- Utilizes strong communication skills to present progress updates and recommendations to stakeholders throughout each project phase.
- Managed multiple projects simultaneously, prioritizing tasks effectively to meet deadlines and exceed expectations.
- Communicated project updates to stakeholders at all levels.
- Monitored and tracked project progress to support timely completion.
- Partnered with project team members to identify and quickly address problems.
- Handled escalated issues that arose during implementations effectively, finding creative solutions that satisfied all parties involved while adhering to project constraints.
IT Business Development Program Manager
CareSource
11.2022 - 06.2024
- Curating winning technical proposal responses demonstrating CareSource capabilities, that focus on compliance and tells complete and compelling story of CareSource's technical expertise which require subject matter expertise and proposal professional language while developing compliant response aligning to statement of work
- Responses demonstrate how CareSource will deliver services to meet or exceed state goals above and beyond competitors
- This effort is collaboration of not only knowledge, but relationships thought organization to partner with executive leadership ensuring have most robust and meaningful story
Sr. Manager: Program and Project Management
Blue Shield of CA
10.2019 - 11.2022
- Applying innovation and strategy to align and support change management standards that meet corporate goals
- Ensure compliance and regulatory standards are met
- Lead with excellence in delivering change to tools, applications and process' to operational end users
- Created operational readiness methodology that aligns to agile and waterfall delivery to ensure applicable delivery standardization
- Operationalized center of excellence and community of practice for Operational Readiness to enable delivering portfolios to own and manage consistent change management implementations across organization
- Maintain continuous alignment with corporate goals and strategy, provide recommendations to ensure compliance with operational metrics and regulatory requirements are achieved
- Uses lean sigma methods to ensure standards for identifying process change and impact to business and IT operations are robust and meet needs of operational teams
Project Manager/Readiness Manager, Principal
Blue Shield of CA
03.2017 - 10.2019
- Successfully led the provider data migration of the Promise Health plan provider network into the PIMS processing system, go-live was implemented on time and exceeded load rates as defined in business success criteria
- Create and manage measurement systems to assess organizational readiness and track adoption and utilization
- Solid foundation and practice in change management principles, methodologies, and tools
- Integrate change management plans between projects, to assess overall organizational and stakeholder impact
Business Information Systems Sr. Project Manager
Blue Shield of CA
12.2015 - 02.2017
- Lead the #1 critical few projects to replace legacy data mart with an in-house solution. The replacement of this mart will enable BSC to own and maintain key business data
- Successful delivery with cost benefits in excess of $25M a year
- Developed delivery model and success criteria associated with the aggressive delivery schedule and budget set forth by the CEO
- Efficiently used PMO tools and methodologies to manage implementations
- Delivered solution designs for the data warehouse, data marts, and business intelligence applications
End to End Validation Lead Project Manager
Blue Shield of CA
02.2015 - 12.2015
- Enhanced team collaboration for successful project outcomes by fostering open communication and feedback channels.
- Drove process improvements within organization by sharing lessons learned from past projects during company-wide training sessions.
- Championed continuous improvement initiatives through evaluation of processes, identification of inefficiencies, and implementation of best practices.
- Enabled enterprise-wide validation plan that was adopted by business operations to continue to monitor experience upon new process implementations
Implementation/Migration Lead Project Manager
Blue Shield of CA
08.2013 - 02.2015
- Lead successful migrations of 2.6 million members, 4K groups to anew multi-billion-dollar core processing system with load success rates meeting or exceeding 98%. Streamlining business processes saving millions of dollars annually in dual operating expenses.
- Successfully execute 7 data loads that included, 2.6 million members, 4,000 groups, producer arrangement and 150K providers
Skills
- Data Management
- Migrations/Integrations
- Enterprise-wide Implementations
- Mergers and Acquisitions
- Business Analysis
- Agile/SCRUM
- SDLC/PLMC
- Operational Readiness
- User Acceptance Testing
- Team Building & Mentoring
- Client Relations & Presentations
- Big Board Planning
- Centers of Excellence
- Change Management
Certification
- PMP – Project Management Institute
- CQA – American Society of Quality
- SSGI – Agile Expert
References
Available upon request.
Timeline
IT New Market Implementation Lead
CareSource
07.2024 - Current
IT Business Development Program Manager
CareSource
11.2022 - 06.2024
Sr. Manager: Program and Project Management
Blue Shield of CA
10.2019 - 11.2022
Project Manager/Readiness Manager, Principal
Blue Shield of CA
03.2017 - 10.2019
Business Information Systems Sr. Project Manager
Blue Shield of CA
12.2015 - 02.2017
End to End Validation Lead Project Manager
Blue Shield of CA
02.2015 - 12.2015
Implementation/Migration Lead Project Manager
Blue Shield of CA
08.2013 - 02.2015