Michele Eberle

Michele Eberle

Queen of quagmire resolution, tackling problems with the tenacity of Jack Welch and the finesse of a Secretary of State.

Location
Baltimore, Maryland Area
Industry
Hospital & Health Care

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Michele Eberle's Overview

Current
Past
  • Executive Director, Interim Executive Director, Board President, Board Member at Clackamas Women's Services
  • City Councilor, State Representative Nominee at City of West Linn, Michele Eberle for State Representative
  • Assistant Director Corporate Privacy, Business Consultant, Project Manager at Regence BlueCross BlueShield
Education
  • Southern New Hampshire University
  • Nazareth College of Rochester
  • Kenmore East
Recommendations

4 people have recommended Michele

Connections

184 connections

Michele Eberle's Summary

I am a passionate, ethically driven business and community leader. I have led agencies, departments and initiatives in the insurance, healthcare, non-profit and government sectors. I am an active community volunteer and former elected official.

I thrive in environments faced with challenge and obstacles. I solve problems and execute successful change by building strong relationships and listening twice as much as I speak. I lead by observing, asking, evaluating, visioning, collaborating, and supporting. I create sustainable success through mentoring and development of staff.

I bring value to businesses through my leadership experience, MBA credentials, dogged determination and superior relationship building skills. My resource building aptitude is well polished and has allowed me to build many successful teams as well as hundreds of thousands of dollars of funding for various initiatives.

Specialties

My professional and personal experiences have provided me with great depth and breadth in multiple disciplines all with a health care thread. Areas that I have a strong specialty in include:
administration, legal interpretations, negotiation, budget preparation, P&L, communication and relationship building, customer service, medical bill processing, risk management, project management, information and technology services, investigation, non-profit management, government and politics.

Michele Eberle's Experience

TPA Operations Manager

InforMed-LLC

Partnership; 51-200 employees; Hospital & Health Care industry

February 2011Present (1 year 1 month)

InforMed is a URAC accredited innovative technology and medical management services company providing web based solutions that support the insurance and health care industry.
Headquartered in Annapolis, Maryland, InforMed has been serving clients nationally since 1992.

Our clients include:
Self funded employers, Health Plans, Hospitals and health care systems, Insurance companies, Taft Hartley/Union Health Funds, Physician and Physician Hospital Organizations, Brokers and Consultants, and Care Management Companies

Executive Director, Interim Executive Director, Board President, Board Member

Clackamas Women's Services

April 2003October 2009 (6 years 7 months)

Responsible for all facets of operating a $1.4m non-profit social service agency focused on domestic, sexual and family violence. Provided credibility, stability and leadership to agency as executive director after two separate executive director hires voluntarily resigned at end of probation period. Rebuilt, strengthened and grew agency ensuring continued service delivery and agency success.


Developed a well functioning, cohesive, mission driven, client focused agency.
- Established vision for agency through experience on board of directors, involvement in community, understanding of family violence issues and vast leadership experience.
- Facilitated and mediated many board and staff discussions resulting in a revised mission that was truly reflective of agency history, goals and client-centered work.
- Established a management team that met regularly to review agency assets and needs and lead efforts to revise agency operating model.

Increased revenue stream to agency ensuring sustainable revenue into the future.
- Reversed a three year revenue decline increasing revenue 3% in 2007, 17% in 2008 and 5% in 2009 year through relationship building, increased public outreach and increased successful grant writing.
- Used research, data analysis, and political experience to work with County Commissioners and State Legislators to change long-existing allocation of State domestic violence funds to ensure equitable distribution of future funds for County.

Developed strong leaders within agency to ensure sustainable agency success
- Trained management team on budget creation and P&L requiring managers to create department goals with associated budget and manage budget and department progress against goals.
- Encouraged management team to innovatively develop departments following agency guiding values, staff training and without micromanagement.
- Hired and mentored program director leading to successful executive director succession planning.

City Councilor, State Representative Nominee

City of West Linn, Michele Eberle for State Representative

January 2005December 2008 (4 years)

January 2005 - December 2008 Ran two successful campaigns for city councilor. Served as city councilor for 4 years helping to bring the city back to financial stability after uncovering the largest embezzlement of public funds in State history at that time and a prior administration that had forgone audits for several years. Elected to council president by fellow council members.

"Increased transparency of government through taping and broadcast of all council work sessions and regular meetings and new interactive website"

March 2008 - November 2008 Democratic nominee for HD 37 serving West Linn, Tualatin, Durham and Rivergrove OR. Very successful campaign against a two-term incumbent, lost race by 2,000 votes.

"A vibrant State is one were its citizens are employed, educated, healthy, have housing and share in a community."

Assistant Director Corporate Privacy, Business Consultant, Project Manager

Regence BlueCross BlueShield

February 1997April 2003 (6 years 3 months)

Led 2-year corporate privacy initiative, overseeing activities of 200+ employees across four states to ensure compliance with federal and state privacy laws in accordance with the Health Insurance Portability and Accountability Act (HIPAA). Became company expert on privacy related matters.

Created corporate privacy vision, researching, analyzing and interpreting a multitude of federal and state privacy laws, substantiating interpretation through dialogue with attorneys, state and federal regulators and insurance industry personnel.
- Authored corporate privacy policy instituting uniform procedures for handling privacy related matters throughout 4-state region.
- Developed a compliance plan, using project management expertise to ensure deadline was met.

Created a cohesive, hard working implementation workgroup comprised of employees from each state who took ownership of implementation efforts.
- Assigned leadership role to an individual in each state to represent state concerns/interests, build a local implementation team and serve as point person for staff.
- Provided clear direction through establishment and consistent communication of objectives, organization of initiative and oversight.

Created a privacy office to handle ongoing compliance with state and federal privacy laws.
- Worked with other local insurance professionals to develop standardized compliance measures to ease confusion of business partners and ensure consistent compliance with complex laws.
- Mentored direct reports to create opportunities for progression into positions with greater responsibility.

Led large and difficult software development project to create a new health insurance group rating, renewal and quoting system. Reduced departmental processing time by 40%, decreasing administrative costs and increasing customer response time. Contract employee through Ajilon, Inc.

Operations Manager

Healthsource

February 1993October 1996 (3 years 9 months)

Created and led first medical bill payment, customer service and enrollment department focused on workers compensation recipients. Created framework and hired personnel within a two month deadline to comply with state awarded business contract.

“Reduced assigned risk and residual market worker’s compensation cost for the state of New Hampshire by 20% resulting in renewal of State contract.”

Developed vision, protocols and policies for medical bill payment, customer service and enrollment departments.
-Assessed existing systems and personnel to determine needs for new departments and drafted procedures for each functional area.
-Created inaugural external program materials for regulators and client use.

Accepted additional assignment to manage division technological needs and, through analysis and reports, persuaded senior executives that a worker’s compensation specific system would allow company to provide better service to customers and reduce administrative processing time, errors and cost.
-Directed modification of existing system to meet worker’s compensation needs.
-Researched, selected, and negotiated purchase of a new worker’s compensation specific software system.
-Led design, development and installation efforts of new system working with an external vendor.

Successfully combined healthcare and worker’s compensation personnel expertise to create best practices for a managed worker’s compensation program.
-Hired a mix of internal staff with healthcare knowledge and external staff with worker’s compensation expertise.
-Designed an extensive training program with ‘buddy’ knowledge share component to create best practices between two industries.

Claims Supervisor

Aetna Insurance

Public Company; 10,001+ employees; AET; Insurance industry

May 1985October 1992 (7 years 6 months)

Handled a wide range of insurance claim activity including review of policy coverage, investigation of loss, presentation before Labor Board, negotiation and settlement of loss. Types of claims handled included liability, bodily injury, hazardous waste, property loss and worker’s compensation.

“Acute learning skills and quick assimilation of complex insurance and legal matters resulted in rapid promotion to Supervisor and generation of 16% increase in unit production during first year as Supervisor.”

Developed unity, direction and expertise in an existing dysfunctional department.
- Conducted regular reviews of employee work ensuring staff had industry knowledge, tools and direction needed to efficiently handle case load.
- Identified strengths in each unit member and encouraged members to mentor unit in areas of expertise.
- Created trust and open communication with staff through regular one on one meetings and unit meetings.
- Promoted value of each unit member by demonstrating respect for each person.


Identified need for new hire training program to ensure rapid job orientation and state licensing.
- Consolidated and refined existing training materials creating a succinct and effective training program for new hires.


Identified need for cost containment of large expenditure worker’s compensation claims.
- Analyzed claim files and catalogued company data on cost of claims to look for ways to reduce costs, provide better service and increase profits of company.
- Used spreadsheets and graphs to prepare specialized report detailing cost by injury type of claims.
- Worked with company experts on creation of cost-containment plan for claims.
- Marketed report and cost-containment plan to clientele in company newsletter.

Michele Eberle's Education

Southern New Hampshire University

MBA, Business

19931996

Working full-time attended evening executive masters program.

Nazareth College of Rochester

B.S., Management and Computer Science and Religious Studies

19791983

Held three part-time jobs to fund private school education. Hired to be a Resident Assistant for three years,

Activities and Societies: Member, Student Council

Kenmore East

Michele Eberle's Additional Information

Interests:

TRAVEL / knowledge of foreign countries, cultures, people HEALTH / health-care, nutrition and exercise EDUCATION / women and children issues POLITICS / policy making READING SAILING GARDENING

Groups and Associations:

Project Management Institute Project Management Institute - Portland Chapter League of Women Voters Soroptimist International (former) West Linn City Council (former) West Linn Budget Committee (former) Clackamas County Executive Directors Network (former) Clackamas County Homeless Council (former) Clackamas County Family Violence Coordinating Council (former) St. Vincent de Paul (former)

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