Michelle Webb

Experience

• 

  Anthem, Inc.

  Apr 2001 - Jun 2015

  Management and oversight of the HART (Health Administrative Response Team). HART is an enterprise team that provided dedicated support to providers with complex issues and high levels of abrasion. Managed a team of process improvement consultants to resolve escalated issues. Established and led the HART governance process. Management and oversight of the provider issue resolution process. Led work streams to identify, resolve, and eliminate provider issues. Communicated state laws and regulations throughout the enterprise. Supported and provided expertise to corporate wide projects and monitored the development of implementation plans, gap analysis, milestone dates, and other significant aspects of corporate wide projects. Identified and implemented process improvements in the enterprise regulatory process. Managed a staff of nurses conducting pre-pay medical review probes on Medicare Part A claims, and post-pay appeals of Medicare Part A processed claims. Managed the provider education staff to provider educational support to Medicare Part A providers. Implemented significant workflow enhancements to improve productivity. Managed claims processing staff with excellent performance in claims processing timeliness and quality. Managed customer service staff in accordance to CMS guidelines. Participated in national CMS workgroups and presented and national CMS conference focused on customer service. Managed system support staff responsible for testing of all FISS (Fiscal Intermediary Shared System) releases for the contractor.

  • Manager Program Management, Provider Issue Resolution

    Apr 2013 - Jun 2015

  • Program Manager, Provider Issue Resolution

    Apr 2010 - Apr 2013

  • Regulatory Oversight Manager

    Nov 2007 - Mar 2010

  • Manager II, Medical Management

    Oct 2005 - Nov 2007

  • Manager, Medicare Claims, Customer Service, System Support

    Apr 2001 - Oct 2005
• 

  Anthem Blue Cross and Blue Shield

  Jun 2015 - Sept 2017

  Program Director Member Services

  Drive the development, planning, prioritization, implementation and compliance for program initiatives across member experience. Responsible for providing escalation support and direction to the management team while meeting business objectives. Establish governance process and protocols for each program while working to implement enterprise initiatives.

• 

  Anthem, Inc.

  Sept 2017 - Jun 2022

  • Director Provider Data Management

    Feb 2019 - Jun 2022

  • Business Change Director

    Sept 2017 - Feb 2019
• 

  Elevance Health

  Jun 2022 - now

  • Director Business Improvement

    Jul 2023 - now

  • Director Of Operations

    Jun 2022 - Jul 2023