Lisa Sigrest's Linkedin Analytics

I am a seasoned healthcare business administrator and network administrator with over 25 years of experience in leading complex projects, managing diverse teams, and solving infrastructure problems. I have a proven track record of working effectively with health insurance administration, government, healthcare clinical administration, and clinical partners. I have also developed strong communication, writing, and technical skills that enable me to manage an array of complex computer networks, including provider relations, provider directories, and client-base interface organization. Some of my key responsibilities and accomplishments include: • Managing and contracting with participating hospitals and provider groups, as well as enforcing contractual issues and agreements • Ensuring data integrity and information security, as well as configuring and troubleshooting network routing • Analyzing and solving member, client, and provider trends and issues, and developing appropriate solutions as a team player • Utilizing various computer programs, databases, tracking grids, excel spreadsheets, provider directories, and policy and procedures regulatory guidelines • Demonstrating extensive knowledge of government programs, such as ACA, CMS, DMHC, CCS, RFQP, CMA, WC, UM, FFS, Shared Risk, Dual Risk, COB, HMO, PPO, POS, EPO, Appeal & Grievance, LOA, Capitation, South of the Border contracting, and Medicare Part D • Improving communication efficiency and effectiveness through a vast understanding of claims adjudication I have acquired these skills and knowledge through ongoing experience, education, and continuous updates on technological advancements. I also tailor my practices to meet the needs of my colleagues and IT professionals, and I adopt an effective collaborative leadership style.