Lisa L Madia
Healthcare Contract Negotiator
2013 Lynn Lane Gibsonia,PA
Summary
Proficient contract negotiator skilled in language revision and working independently under pressure who utilizes analytical problem-solving techniques and has a talent for team building, leading and motivating, and customer relations.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Senior Provider Contract Consultant
Highmark
4 2017 - Current
- Established entire provider network for WV Presented network to state for readiness review four months prior to effective date with 84.5% adequacy obtained. Full required adequacy obtained two months prior to effective date.
- Managed Western Pennsylvania provider network.
- Negotiated facility, ancillary and professional fee for service and value added agreements.
- Identified areas for improvement in contract processes, resulting in increased efficiency and reduced costs.
- Assisted legal teams with drafting complex contracts, ensuring accuracy while meeting tight deadlines.
- Developed strong working relationships with clients through regular communication and proactive problem-solving approaches.
- Reviewed existing contracts to identify opportunities for renegotiation or consolidation, resulting in cost savings for clients without compromising service quality.
- Delivered training sessions on contract negotiation skills, empowering colleagues to secure better deals for clients.
- Gathered, organized and input information into digital database.
- Supported creation of detailed, technical financial models to value potential acquisition targets.
- Enhanced client satisfaction by promptly addressing concerns and implementing effective solutions.
- Collaborated with cross-functional teams to develop comprehensive proposals that met client requirements and expectations.
Manager, Provider Contracting and Network Development
Wexford Health
01.2012 - 01.2015
- Managed facility, ancillary and professional contracting for PA and MS
- Demonstrated strong organizational and time management skills while managing multiple projects
- Participated in team projects, demonstrating ability to work collaboratively and effectively
- Paid attention to detail while completing assignments
- Worked effectively in fast-paced environments
- Strengthened communication skills through regular interactions with others
- Cultivated interpersonal skills by building positive relationships with others
- Learned and adapted quickly to new technology and software applications
- Gained extensive knowledge in data entry, analysis and reporting
Finance Manager
St. Clair Hospital
01.2008 - 01.2010
- Negotiated favorable terms with vendors, resulting in significant cost savings for hospital
- Developed strategic plans for day-to-day financial operations
- Collaborated with cross-functional teams for strategic business planning and growth initiatives
- Analyzed business processes to identify cost savings and operational efficiencies
- Prepared monthly reconciliation of bank accounts and took corrective actions on deviations
- Strengthened internal controls through regular audits and adherence to regulatory requirements
- Monitored budget and revenue trends, compiling reports for company leadership to inform decision-making
- Mentored junior finance staff, fostering professional development and strong team dynamics
- Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance
- Managed multimillion-dollar budgets, ensuring accurate allocation across departments
- Prepared cash flow projections, cost analysis and monthly, quarterly and annual reports
- Championed best practices in financial management through ongoing training programs for staff members
Facility Contracting Consultant
HealthAmerica
01.2002 - 01.2008
- Responsible for facility, ancillary and professional contracting for all of PA.
- Negotiated contracts securing favorable terms that contributed to company overall success
- Effectively managed multiple projects and consistently meeting deadlines
- Collaborated with cross-functional teams to successfully deliver comprehensive solutions for company
- Supported creation of detailed, technical financial models to value contract reimbursement terms
- Managed client relationships through regular check-ins and updates on project progress
- Gathered, organized and input information into digital database
Director Network Contracting and Legal Counsel
University Health Associates
01.1997 - 01.2002
- Responsible for professional contracting for all of WV.
- Worked closely with organizational leadership and board of directors to guide operational strategy
- Drafted and distributed reports to assist board members with critical business
- Renegotiated multiple managed care agreements increasing reimbursement by 3%
- Managed daily operations while overseeing multiple locations to foster increased productivity
- Cultivated positive work environment that fostered employee engagement, increased retention rates, and boosted overall team morale
- Evaluated employee performance objectively using established metrics, leading to fair compensation adjustments based on meritocracy principles
- Leveraged professional networks and industry knowledge to strengthen client relationships
- Negotiated price and service with customers and vendors to decrease expenses and increase profit
- Recruited, hired, and trained initial personnel, working to establish key internal functions and outline scope of positions for new organization
- Established departmental performance goals and provided feedback for underperforming areas
Education
J.D. - Law
Washington & Lee University, School of Law
Lexington, VABachelor of Arts - Accounting
Southern Methodist University
Dallas, TXSkills
Contract Negotiation Healthcare Operations Industry Knowledge Financial Analysis Relationship Management Team Building
undefinedCertification
JD & CPA
Timeline
Manager, Provider Contracting and Network Development
Wexford Health
01.2012 - 01.2015
Finance Manager
St. Clair Hospital
01.2008 - 01.2010
Facility Contracting Consultant
HealthAmerica
01.2002 - 01.2008
Director Network Contracting and Legal Counsel
University Health Associates
01.1997 - 01.2002
Senior Provider Contract Consultant
Highmark
4 2017 - Current
J.D. - Law
Washington & Lee University, School of Law
Bachelor of Arts - Accounting
Southern Methodist University
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