Lisa Barton Email & Phone Number

Urbandale, Ia, Us

Des Moines, Iowa Area

Coordinated physician candidate interviews per the expectations of each specialty group and subsequent onboarding of hired physicians based on their group requirements. Supported the efforts of the Chief Human Resources Officer, Executive Director of Provider Recruitment and Recruitment team members in efforts from tracking candidate status to physician compensation to extensively documenting the processes and procedures of this role.

Des Moines, Iowa Area

Liaison between organization and clients coordinating onsite audits. Performed quality reviews of audit reports. supporting documentation and reference materials.

Facilitated contract initiatives specific to Wells Fargo Retail and Administrative properties in the US. Responsible for new, renewals and other contract modifications for vendor agreements.

Managed library and technology services for over 200 students and 30 staff. Secured $1,000 from PTA to purchase media resources.Provided one-on-one assistance to students with special needs

Presented and/or coordinated five town hall meetings in Polk County and Southwest Iowa for consumers and employers and assisted colleagues with additional meetings throughout Iowa. Staffed Iowa Insurance Division booth at several conferences. Reviewed and trained on the federal laws pertaining to the Affordable Care Act and changes coming in 2014. Only non-attorney selected for team.

Prepare communications, pleadings and discovery requests; Create and manage client files.

Multiple positions at Des Moines University - DMU1) Health P.A.S.S. Coordinator - Coordinated undergraduate summer diversity program at University2) Student Services - Managed health insurance enrollment for sudents. Documented issues with software program enabling VP to obtain $40,000 to resolve problems. Coordinated presentations by diversity speakers on behalf of Director. Managed on-site logistics for national candidates to fill Director of Diversity position. 3) Admissions - Processed and prepared over 2,500 applications for Addmissions Committee Review on behalf of the Doctor of Osteopathy (DO) program.

Position Eliminated• Led preferred provider organization (PPO) network department in transition from sales support to operational focus during period of business acquisition and integration. Department supported four lines of business across 39 states.• Successfully managed a 50% increase to 141,000 lives through business acquisition with the addition of only one staff member.• Initiated collaborations with Claims, Legal and Compliance and Risk Management staff to develop tools for PPO network and vendor contracts including respective department metrics to measure and monitor PPO network performance as mandated by state law. • Led the development of comprehensive analytics to monitor PPO network performance with assessments of regional and national networks, ensuring ongoing network effectiveness. Analysis included overview for senior management with ability to drill down to street level intelligence for sales managers. • Facilitated development of database with PPO network information to enhance service to departments such as Customer Service, Claims, Legal and Compliance departments. • Identified and resolved fallout from vendor termination reducing turn around time (TAT) for customer service issues by 93%. Implemented weekly communications to department leaders regarding status of backlog which directly impacted their teams.• Facilitated development of new PPO networks database for Customer Service and Claims staff reference. Included component to track state compliance reports with access provided to Legal and Compliance departments.

Des Moines, Iowa Area

• Developed, implemented and documented administrative policies and procedures of HCF, Inc. and Iowa Health System (IHS) Contracting Services regarding PPO network contract terms and reimbursement, and affiliate contract implementation. • Developed and maintained win-win relationships with 15 payors, 1,500 providers and seven IHS hospital affiliates preserving integrity and professionalism in often taxing, trying and challenging circumstances. • Coordinated and managed administrative duties of four person team for corporate leadership projects. • Collaborated with senior IHS leadership to develop self-funded health insurance coverage for 30,000 lives throughout Iowa, contracting with local, regional and national providers (physicians, hospitals, ancillary). Documented and maintained over 150 assorted fee schedules.• Created provider manual for the IHS Employee Health Plan, training hundreds of office staff statewide. Recognized by peers for comprehensive documentation of plan provisions. • Developed bi-annual workshops for office management and staff to build relationships and enhance communication between health care providers and insurers in Iowa .

Supported regional Plan Manager in development and maintenance of provider networks in 26 counties for over 10 health care plans. Developed and presented marketing and technical presentations to over 600 physician and office staff on a new managed health care plan.