Summary
Work History
Education
Skills
Timeline
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Barbra Harris

Summary

With over 15 years of experience in healthcare management, including more than 11 years specializing in managed care payer and provider relations, I am a seasoned professional and leader. My ability to perform effectively under pressure and lead creatively is well-established. I possess comprehensive experience in coordinating with hospital staff and administration at all levels, coupled with a profound grasp of the financial and clinical concepts relevant to managed care and the healthcare industry.

Work History

Manager/Provider Relations

The University of Chicago Medicine
Chicago, IL
2011 - 2023
  • Manages key relationships with internal customers and payers
  • Developed and implemented communication plans for payer relationships, negotiations, contractual obligations, and managed care marketplace updates.
  • Coordinate and lead Joint Operating Committee (JOC) meetings and claims meetings in collaboration with Revenue cycle to assure that contracts are being adhered to and to identify any potential and/or current issues
  • Provide ongoing training and messaging across UCM enterprise such as presentations, quarterly newsletters, payer presentations, FAQ, intranet updates and training and coaching of personnel
  • Ensured accuracy of rates, policy and procedures through effective interpretation of provider contracts.
  • Develops and implements operational plans consistent with UCM goals and objectives
  • Served as liaison between Ingalls Memorial Hospital and UCM, managing all issues related to managed care
  • Manage work plans for staff to accomplish objectives.

National Account Manager

Coventry Healthcare
Downers Grove, IL
2009 - 2010
  • Successfully managed the provider incident process which was tied to a performance guarantee
  • Provided network and clinical updates as needed
  • Tracked all client service issues to identify and trend global issues
  • Proactively initiated/facilitated client meetings to review service delivery.

Client Service Partner

Cigna Healthcare
Bourbonnais, IL
2005 - 2008
  • Liaison to client, sales, and service operations for account service issues
  • Managed escalated issues as defined by the client's specific product suite
  • Maintained a book of business that consisted of both National and Regional accounts with total membership of over 50,000.

Education

B.A., Social Work -

College of St. Francis

Skills

  • Experienced in leading cross-functional teams to meet operational objectives
  • Experience developing relationships with payer network, clinical and medical leadership
  • Knowledge of relevant government policies and regulations pertaining to managed care industry, as well as industry trends and policy changes
  • The capability to convey information effectively to audiences with varying levels of expertise
  • Excellent verbal and written communication skills
  • Strong organizational skills, including project planning and time management
  • Thorough understanding of healthcare payer market, reimbursement methodologies and systems
  • Skilled in Microsoft Word, Microsoft Excel, Microsoft Outlook, PowerPoint, Epic, and various collaboration platforms including Zoom, Microsoft Teams, and Slack
  • Experience negotiating single case agreements; letters of agreement; behavioral health contracts and direct provider behavioral health contracts

Timeline

Manager/Provider Relations

The University of Chicago Medicine
2011 - 2023

National Account Manager

Coventry Healthcare
2009 - 2010

Client Service Partner

Cigna Healthcare
2005 - 2008

B.A., Social Work -

College of St. Francis

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Barbra Harris