Overview
Work History
Education
Extracurricular Activities
Timeline
Generic

Melissa Barnett

Durham,NC

Overview

11
11
years of professional experience

Work History

Teladoc Health
01.2025 - Current
  • Coordinated due diligence process for the $65 million acquisition of Catapult Health.
  • Managing the launch of the Medicare Advantage business line at Catapult Health.
  • Leading 2025 gaps in care work in a dyad leadership model with the Chief Quality Officer.
  • Developed a Risk Adjustment business case and saw the case through the company prioritization process.

Associate Director, Enterprise Commercialization

Teladoc Health
01.2023 - 01.2025
  • Assisted in launch of Enterprise Commercialization department ; focused on ensuring the company is Build Ready, Sell Ready, and Operations Ready for all new products.
  • Spearheaded the product strategy, development roadmap, and internal operational plan to consolidate the member experience across multiple web and mobile apps, which greatly contributed to the company's goal of providing comprehensive virtual care through a single, unified application.
  • Successfully oversaw the migration of over 100 million members from various healthcare product lines, including Primary Care, Chronic Care, and Mental Health. This helped the company save more than $5 million in costs between 2023 and 2024, and increased monthly active users by approximately 12%.
  • Staffed and managed the development of cross-functional Leadership Councils for major service lines (Primary Care, Mental Health, and Chronic Conditions).
  • Manages the clinical outcomes roadmap, which includes HEDIS measures, and ensures that internal measures are created to meet the needs of our members, clients, and partners.

Associate Director, Benefit and Payer Strategy

Teladoc Health
10.2022 - 12.2022
  • Managed a client-facing operational team that oversaw the operational integration of new and existing clients.
  • Developed relationships with clients to increase the company's operational initiatives.
  • Managed the department’s KPIs by tracking metrics and developing improvement plans.
  • Develops and presents the department’s monthly and quarterly operational reports for senior leadership.
  • Participated in sales pitch meetings to explain the company’s integration and billing practices.

Manager, Government Programs

Teladoc Health
07.2021 - 10.2021
  • Managed Gaps in Care and Risk Adjustment for all government payors (over 26 million lives)
  • Developed Risk Adjustment framework for contracting and sales which resulted in new business and upsells
  • Supported sales team in using Gaps in Care information during deal process

Manager, Risk Adjustment Solutions

Lumeris
05.2020 - 06.2021
  • Managed Risk Adjustment Solutions for Essence Healthcare Plan (20,000 lives) and Mary Washington Health Plan (3,000 lives)
  • Oversaw implementation of In-Home Health Assessment program resulting in multi-million financial impact
  • Lead 2020 comprehensive visit program for 20,000 lives resulting in largest profit in history
  • Presented at monthly and quarterly meetings such as JOC and SDMC

National Manager, Provider Engagement

Lumeris
10.2018 - 04.2020
  • Launched Mutual of Omaha Medicare Advantage product line across 5 geographical markets
  • Developed partnering relationships with health systems to achieve quality goals and upsell other business service lines
  • Lead monthly provider performance measures meetings focusing on Risk Adjustment, HEDIS, Quality and Contract Measures
  • Created an inclusive communication infrastructure around provider engagement implementation with all stakeholders
  • Conducted on-boarding orientations and ongoing education to providers on healthcare delivery products, VBC and processes
  • Drove rollout of population health management software in multiple markets

Physician Business Manager

American Health Network (Optum)
Indianapolis
03.2018 - 10.2018
  • Managed the startup of a value-based care reimbursement model of over 4,000 Medicare Advantage lives across Central Indiana
  • Transformed workflows by working with administrators, physicians and office staff resulting in decreased costs and increased quality
  • Supported over 60 physicians with improving RAF scores by introducing and training the CMS Risk Adjustment Model
  • Conducted detailed analysis of various reports to develop a strategic plan to ensure performance goals were achieved
  • Completed training at Optum’s Physician Business Manager Academy

Practice Development Coordinator

BJC HealthCare
St. Louis
04.2015 - 02.2018
  • On-boarded BJC Medical Group physicians and mid-level providers by creating an orientation schedule, requesting staff, and working with office staff to ensure a positive experience.
  • Managed the staffing, contracts and budgets of independent contractors and locum hospitalist physicians at five hospitals
  • Supported 18 physician practices by being their liaison to corporate for all their needs for equipment, staffing and outreach
  • Managed the budget, operations, and relocation of three new physician suites consisting of 23 physicians and over 70 staff members
  • Trained EPIC Super User while on BJC Medical Group’s EPIC Experience Team
  • Recruited and negotiated contracts for mid-level providers
  • Created a new workflow for mid-level provider collaborative agreements to be compliant to state laws

Associate Business Analyst

Express Scripts Inc.
St. Louis
07.2014 - 04.2015
  • Interrupted client contracts and completes set ups of Rebates and Performance Guarantees in respective systems
  • Function as a data steward to Account Management by providing analysis and special reporting
  • Increased rebate portfolio from $12 Million quarterly to $100 Million quarterly
  • Primary contact for data file transfer from New Jersey office to St. Louis

Education

Master of Health Administration -

Saint Louis University
05.2014

Bachelor of Arts -

Hampton University
05.2011

Extracurricular Activities

Jun 2022 — Jun 2024 Treasurer & Treasurer Elect, Junior League of Durham and Orange Counties

Timeline

Teladoc Health
01.2025 - Current

Associate Director, Enterprise Commercialization

Teladoc Health
01.2023 - 01.2025

Associate Director, Benefit and Payer Strategy

Teladoc Health
10.2022 - 12.2022

Manager, Government Programs

Teladoc Health
07.2021 - 10.2021

Manager, Risk Adjustment Solutions

Lumeris
05.2020 - 06.2021

National Manager, Provider Engagement

Lumeris
10.2018 - 04.2020

Physician Business Manager

American Health Network (Optum)
03.2018 - 10.2018

Practice Development Coordinator

BJC HealthCare
04.2015 - 02.2018

Associate Business Analyst

Express Scripts Inc.
07.2014 - 04.2015

Master of Health Administration -

Saint Louis University

Bachelor of Arts -

Hampton University
Melissa Barnett