Michelle Taber
CAMERON PARK,CA
Summary
Dedicated professional with over 20 years of experience in various departments at Blue Shield of California known for reliability, strong work ethic, and attention to detail. Proven skills in troubleshooting, analysis, leadership, and communication. Consistently delivers quality results while driving efficiency and collaboration across teams.
Overview
22
22
years of professional experience
15
15
Certifications
Work History
Consultant Business Analyst & Project Driver, Business Configuration
Blue Shield of California
01.2018 - Current
- My current role as the driver of change packs and system enhancements involves management and oversite for both small and large scale projects across the enterprise.
- Project manager for the web application adoption project leading the effort to convert all of the current Facets applications to web enabled versions for all Facets production users.
- Collaboration with multiple internal and external stakeholders to coordinate the process of system change packages, ensuring seamless integration and timely delivery in compliance with quality standards.
- Develop and implement streamlined configuration processes that reduce inefficiencies and improve project outcomes along with eliminating rework while enhancing productivity.
- Define and track project milestones while maintaining and reporting on overall project delivery to ensure on time and within budget completion.
- Represent Blue Shield of California as the Business Configuration contact and paddle holder for the TriZetto Customer Group enhancement process. Attends related yearly Cognizant conferences.
Team Lead, Business Systems Analysis & Product
Blue Shield of California
01.2011 - 01.2018
- Lead support and mentorship for product cycle analysts across all lines of business.
- Responsible for the end-to-end management of all product SRs/incidents from Intake and triage to assignment and completion. Weekly attendance of all SR prioritization meetings as the SME for the product build process.
- Work closely with Configuration, Sales, Delivery Teams, Product, and Pharmacy to gather business needs, identify gaps, and implement solutions related to product process.
- Provide lead level support for strategic projects related to open enrollment, transformation, and internal process improvement.
- Develop and maintain JIRA and Service Marketplace process to meet the growing needs of the department.
- Assisted in resource planning for the BSA department. This function included managing the new hire process for FTE and contractors as needed. The job duties were centered around reviewing resumes, conducting interviews, and making final recommendations based on qualified candidates.
- Contractor management which meant providing support as a mentor, conducting all 1:1s, and assist in career pathing.
- BSA Department security coordinator for 50+ employees. Managing the vast security needs for all new hire/transfers/terminations, BSC systems technical assistance, security audits, Facets role assignment, and onboarding
- Shield Advance migration project: Conducted detail analysis resulting in the deltas between PPO and HMO. Delivered product business requirements for the HMO R2 migration to Facets.
- Support Enterprise Strategic portfolio and Critical Few Shield Advance Milestones. Developed net new tools and processes for the post migration startup team.
Statewide Business Analyst, Provider Relations
Blue Shield of California
02.2009 - 06.2011
- Provided analytical support for the Provider Relations team and contract managers for all BSC contracted hospitals/facilities, CA statewide.
- Custom claims and provider ad-hoc reporting/analysis through SQL Business Objects and Facets hpXr.
- Worked with Provider Relations Coordinators to Identify process gaps, participate in cross departmental workgroups, and implement change management.
- Assigned Provider Relations cases and managed inventory.
- Performed all duties of a BSC security coordinator.
Provider File Administration Senior, Provider Services
Blue Shield of California
06.2006 - 02.2009
- Contracted providers into the Blue Shield of California Network and processed correspondence for providers currently in network.
- Researched provider applications to validate licensure, facility credentialing, TAX status, Sanctions, and various business legal filings.
- Worked one on one with providers via phone and fax to obtain contract documents needed.
- Lead role in the Legacy Generic PIN project: Selected to lead this project based on vast knowledge of Legacy claims.
- Workforce management: Screened resumes and interviewed contractor candidates.
- Provided lead support for the contracted employees which included training and managing work assignments.
- Worked error reports from the nightly Legacy load.
- Partnered with EDS/HP vendors for resolution.
Facility/Professional Claims Processor, ITS Host Blue Card
Blue Shield of California
11.2004 - 06.2006
- Processing ITS Host facility and professional claims.
- Resolution of complex claim edits for HEAT and Stoploss team.
- Manual pricing claims based on the corresponding hospital/provider contracts.
Data Entry
Rush Personnel
05.2003 - 11.2004
- Coded hospital and facility claim batches for ITS Host Blue Card into the Legacy processing environment.
Skills
- Vendor Management
- Incident Management
- Program Management
- Workforce Management
- IT/Business Process Development
- Business Requirement Elicitation
- Process Improvement
- Training & Mentoring
- Conflict Resolution
- Root Cause Analysis
- Security Coordination
- Software Development Lifecycle
Certification
Facets 10-Day Certification
Professional References
- Rene Davis/Brhely, Program Manager (Retired), Markets Readiness, 530-574-0576
- Brad Lankford, App Developer, Principal, IT Development, 196-813-3024
- Danielle Portelli, RN, Senior, Clinical AGD, 650-537-0530
Timeline
Consultant Business Analyst & Project Driver, Business Configuration
Blue Shield of California
01.2018 - Current
Team Lead, Business Systems Analysis & Product
Blue Shield of California
01.2011 - 01.2018
Statewide Business Analyst, Provider Relations
Blue Shield of California
02.2009 - 06.2011
Provider File Administration Senior, Provider Services
Blue Shield of California
06.2006 - 02.2009
Facility/Professional Claims Processor, ITS Host Blue Card
Blue Shield of California
11.2004 - 06.2006
Data Entry
Rush Personnel
05.2003 - 11.2004
Similar Profiles
Maria Del Rosario ColeMaria Del Rosario Cole
Implementation Manager, Consultant at California Physicians Services - Blue Shield of CaliforniaImplementation Manager, Consultant at California Physicians Services - Blue Shield of California
Daisy HernandezDaisy Hernandez
Customer Service Representative at Sagility Health for Blue Shield of CaliforniaCustomer Service Representative at Sagility Health for Blue Shield of California
Lauren GardnerLauren Gardner
Senior Dietitian at Blue Shield of CaliforniaSenior Dietitian at Blue Shield of California
Stacey Bycroft (Romero)Stacey Bycroft (Romero)
Principal Business Analyst at Blue Shield of CaliforniaPrincipal Business Analyst at Blue Shield of California
Kimberly ChordKimberly Chord
Fundraising Volunteer at Rally Point FoundationFundraising Volunteer at Rally Point Foundation