David Melendez

David Melendez Email and Phone Number

Program/Project Management Professional | Team Leadership | Business Case Development | Group Facilitation | Business Process Improvement | Quality Assurance/User Acceptance Testing | Agile | SDLC | RFP/RFQ/RFI) | @ Blue Shield of California
oakland, california, united states
David Melendez's Location
Livermore, California, United States, United States
David Melendez's Contact Details
About David Melendez

With a robust background as a Project Management professional, I have amassed a wealth of experience across diverse industries such as healthcare, utilities, banking, county government, and telecommunications. Proficient in program and project management, financial resource management, and leadership, I have overseen programs with budgets exceeding $44M, demonstrating a strong commitment to achieving organizational goals through strategic partnerships.My versatile skill set encompasses various areas of expertise, including program and project management, team leadership, agile and waterfall methodologies, business process analysis and improvement, among others. I am adept at managing project financials, mentoring project management teams, and fostering effective resource management strategies.In my tenure at Blue Shield of California, I played a pivotal role in leading critical initiatives like Mailroom Transformation, Claims Transformation Portfolio, and Consumer Billing Program, ensuring successful execution under agile, waterfall, and hybrid approaches. Through collaborative efforts with business operations and stakeholders, I have consistently delivered projects on time, within budget, and in alignment with organizational goals.In addition to my professional roles, I hold an MBA from Saint Mary’s College and a BS in Business Administration from the University of Southern California. I am a certified Project Management Professional (PMP) by PMI and have achieved the Scaled Scrum Master Certified (SSMC) designation from SAFe, highlighting my commitment to excellence in project management practices.I am actively engaged with the Project Management Institute (PMI) and have been recognized for my contributions through prestigious awards like the Mission and Values in Action Award. With a passion for driving impactful change and fostering collaborative relationships, I am dedicated to delivering results and driving continuous improvement in all my endeavors.

David Melendez's Current Company Details
Blue Shield of California

Blue Shield Of California

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Program/Project Management Professional | Team Leadership | Business Case Development | Group Facilitation | Business Process Improvement | Quality Assurance/User Acceptance Testing | Agile | SDLC | RFP/RFQ/RFI) |
oakland, california, united states
Employees:
6213
David Melendez Work Experience Details
  • Blue Shield Of California
    Senior Manager, Strategic Planning And Performance
    Blue Shield Of California Oct 2023 - Present
    Oakland, California, United States
    Pharmacy Care Reimagined (October 2023-present)o Established Member Experience End-to-End Processing project management team working with the Pharmacy Care Reimagined Program and drove the initial planning for two of the program modules working with cross-functional teams. Work is in progress.
  • Blue Shield Of California
    Senior Manager, Strategic Planning And Performance
    Blue Shield Of California Nov 2022 - Present
    Oakland, California, United States
    Mailroom Transformation (MRT) (November 2022-present)o Managed the MRT program, addressing risk and service disruption due to increasing unreliability of an existing BPO vendor, and a $15.3M budget. o Implemented business continuity plan due to mitigate risk of current vendor becoming insolvent and causing a major disruption to business processes for Claims Operations and Customer Experience. Established an interim mailroom and document repository, until the permanent mailroom and document repository could be implemented.o Successfully set up new vendors to perform mailroom and lockbox/payment functions and implemented a new integrated document repository. This allowed BSC to end the relationship with the BPO vendor.
  • Blue Shield Of California
    Senior Manager, Program And Project Management
    Blue Shield Of California Jan 2019 - Dec 2022
    Oakland, California, United States
    Claims Transformation Portfolio (2019-2022)o Orchestrated the claims Portfolio covering nine projects and a $41.9M budget. Projects included Claims Queues & Roles Redesign, Member Payment Pilot, Pre-Payment Analytics, COB (Continuity of Benefits) Claims Processing, EDI Workflow & Automation, Encounters Transformation, Claims Interest, and Real Time Claims and Accumulators.o Projects were successfully delivered on time and under budget and realized the goals for each of the initiatives.
  • Blue Shield Of California
    Senior Manager, Program And Project Management
    Blue Shield Of California Oct 2015 - Dec 2018
    Consumer Billing Program (CBP) (2015-2018)o Managed the program that included six sub-projects and a budget of $44.2M, resulting in establishing a direct connection between Facets and Covered California and enhancing the Individual & Family Plan (IFP) line of business On- and Off-Exchange member enrollments and renewals between Covered California and Facets system, and included setting up a consumer billing alliance partner to ingest IFP source payments.
  • Blue Shield Of California
    Senior Project Manager
    Blue Shield Of California Aug 2014 - Dec 2015
    Individual & Family Plans (IFP) Sign Me Up Transformation (August 2014-2015)o Drove the identification of multiple end-to-end improvement opportunities for IFP enrollment that led to defining six initiatives that would increase efficiencies and reduce cost of operations for Quote & Apply, intake and information collection, payment, and billing, receive ID card and access to benefits, onboarding and education, and overall system usability.o Spearheaded the $9.2M transformation program that implemented these initiatives that focused on improving customer experience on timely access to health care, and coverage information during open enrollment and renewals resulting improved customer satisfaction in the 2015 and 2016 open enrollment periods.
  • Blue Shield Of California
    Senior Project Manager
    Blue Shield Of California Jan 2013 - Jul 2014
    Healthcare Reform IFP On/Off Exchange Sign Me Up (January 2013-July 2014)o In 2013, the Covered California Health Information Exchange was created to allow people to sign up for health care under the Affordable Care Act. BSC was faced with implementing IFP On- and Off-Exchange by 2014 Open Enrollment.o Working with an exchange connection vendor, planned, managed, and executed plans to onboard this vendor, and complete the work within BSC by the start of 2014 Open Enrollment for On and Off Exchange. This was carried out with a budget of $9.7M.
  • Blue Shield Of California
    Senior Information Technology Project Manager
    Blue Shield Of California May 2005 - Dec 2013
    Other Blue Shield of California Experienceo Drove projects and programs including, Administrative Simplification & Blue Exchange Next Iteration, Healthcare Reform Program, Channel Readiness for EDI/ESB, SB 853 Language Assistance Program (LAP), BCBSA Co-Branding Compliance, and HIPAA Implementation of National Provider Identifier (NPI).

David Melendez Skills

Pmo Business Analysis Vendor Management Sdlc Program Management Project Management Project Portfolio Management Requirements Gathering Business Requirements Business Process Improvement Visio Process Improvement Business Process Requirements Analysis Hipaa Software Project Management Pmp Testing It Strategy Resource Management Cross Functional Team Leadership Software Development Life Cycle Enterprise Architecture Software Documentation Project Management Office Business Process Re Engineering Business Intelligence It Management Disaster Recovery User Acceptance Testing Information Technology Security

David Melendez Education Details

Frequently Asked Questions about David Melendez

What company does David Melendez work for?

David Melendez works for Blue Shield Of California

What is David Melendez's role at the current company?

David Melendez's current role is Program/Project Management Professional | Team Leadership | Business Case Development | Group Facilitation | Business Process Improvement | Quality Assurance/User Acceptance Testing | Agile | SDLC | RFP/RFQ/RFI) |.

What is David Melendez's email address?

David Melendez's email address is dw****@****aol.com

What is David Melendez's direct phone number?

David Melendez's direct phone number is +192578*****

What schools did David Melendez attend?

David Melendez attended Saint Mary's College Of California, University Of Southern California.

What are some of David Melendez's interests?

David Melendez has interest in Football, Aerobics, Collecting Antiques, Exercise, Sweepstakes, Nascar, Home Improvement, Collecting Art, Shooting, Reading.

What skills is David Melendez known for?

David Melendez has skills like Pmo, Business Analysis, Vendor Management, Sdlc, Program Management, Project Management, Project Portfolio Management, Requirements Gathering, Business Requirements, Business Process Improvement, Visio, Process Improvement.

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