Lindsey Miller

Experience

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  Sewanee Pediatrics

  Jan 2004 - Jan 2005

  Clinical Intern

  Assisted local rural area doctor with patient load of 250+ monthlyGained experience in doctor/patient interactions and greater knowledge of diseases, diagnoses, and treatment options Often allowed to provide input in order to facilitate learning of common childhood disorders

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  Avera Cancer Institute

  Jan 2004 - Jan 2004

  Clinical Intern

  Supported a physician specializing in pediatric cancer and hematology in a clinical setting seeing 5-7 patients per day Gained understanding of patient and family roles in diagnosis, treatment and survivorship of children with cancer and blood disorders

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  Arthritis Foundation

  Jan 2007 - Jan 2007

  Programs and Services Assistant Coordinator

  Tracked and assessed the success of exercise and self-help programs throughout the state by examining retention rates of participants and attendance recordsAssessed the quality of the 350 instructors in the system based on participant feedback and facility feedbackUpdated the instructor database after determining the status of instructor certification and educationManaged the certification process of the instructors and the 80+ facilities across the stateAssisted with fund-raising activity implementation and design as well as working to maximize donations to the Foundation Show less

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  Wellmark Blue Cross Blue Shield

  Jan 2007 - Jan 2007

  Health Management Intern

  Worked alongside medical directors, vice presidents, and executive level leadership to develop key initiatives such as: Physician Pay for Performance (P4P), process improvement activities, and enhanced quality of care reporting Researched and established a comprehensive set of clinical metrics to measure the provision of Safe, Timely, Efficient, Effective, Equitable, and Patient-Centered care Facilitated the enhancement of provider reporting used to track the quality of care delivered across the provider populationParticipated in and organized process improvement activities for several areas within the Health Management divisionCollaborated to update reporting processes for multiple departments within the Health Management divisionConsulted with Human Resources to establish a formal internship program Show less

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  U.S. Senate

  Jan 2008 - Jan 2008

  Health Policy Intern

  Advised and assisted the ranking minority member on the Committee on pertinent health issues and day to day operations, including research and public relationsCoordinated and organized a large scale round table discussion with industry leaders and members of Congress on Value Based Purchasing (VBP)Conducted a side-by-side comparison of multiple pieces of proposed Medicare legislation, which were the initial iterations of health reform legislationManaged bill activity on the Senate floor as well as floor speeches for the Committee staffResearched current health topics for the Committee to assist senior staff members in the development of current legislationAttended Committee hearings in a functionary capacity Recognized and informed senior staff members on emerging health issues as they relate to areas of interest of the Committee, including research, briefing preparation, and talking points Show less

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  Booz Allen Hamilton

  Jan 2008 - Feb 2012

  Booz Allen Hamilton provides management and technology consulting, engineering, analytics, digital, and mission operations support.• Overview: Acted as assistant program manager to Health Information Technology Standards Panel (HITSP) commissioned by Office of National Coordinator for Health Information Technology (ONCHIT).• Award: Demonstrated exceptional expertise and earned “Absolute Personal Best Award” (2009, 2011).• Health Policy Updates: Contributed to growth and development of National Quality Strategy while evaluating existing health-related legislation to uncover impacts on multiple government agencies regarding health policy updates.• Proposal Administration: Managed and prepared cost and technical government IDIQ (indefinite delivery, indefinite quantity) proposals demanding expertise, and coordination from staff across the organization.• Contract Supervision: Led contractual obligations and negotiations for $32M government agency software development contract; served as Program Manager while directing various work streams for $8M per year Medicare contract. Show less

  • Associate

    Oct 2008 - Feb 2012

  • Senior Consultant

    Jan 2009 - Jan 2011

  • Consultant

    Jan 2008 - Jan 2009
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  Pan American Health Organization

  Jan 2008 - Jan 2008

  Oral Health Consultant

  Researched and reviewed scientific literature and health policies regarding oral health in the AmericasDetermined appropriate content as well as, revised and updated website content for Dental Chiefs Network, a network designed to encourage collaborative efforts, interaction, and communication among oral health centers, institutions, and dental providers in the AmericasEdited documents and letters destined for outside entities and organizations for content and language usage

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  BlueCross BlueShield of Tennessee

  Feb 2012 - May 2013

  ICD-10 Project Manager

  With a $6B revenue, BlueCross BlueShield of Tennessee is an independent licensee of the BlueCross BlueShield Association.• Compliance: Guaranteed full enterprise compliance while analyzing and monitoring information regarding health reform and ICD-10 legislation; provided review of rulemaking and legislation impacts related to administrative Simplification (ACA §1104).• Provider Engagement: Tested claims with provider community by managing provider engagement aspect of ICD-10 program, extensive provider outreach and communications, along with designing detailed testing process.• Change Management: Coordinated with corporate communications to promote and distribute overall change awareness and management information throughout BCBST. Show less

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  CHI

  May 2013 - Dec 2016

  Director Revenue Cycle Operations & Compliance (ICD-10 & Denials)

  Overview: Worked with regional CFOs to understand claim denials to capture data and put processes in place to eliminate those preventable denials. Managed and grew relationships with facility leadership, VP level and above, to ensure Conifer was meeting the expectations and goals of the client. Nominated for and completed Emerging Leaders program• Strategy: Liaised between local, regional, and national office executives while driving the decision-making process for VP and C-Suite level leaders• ICD-10: Worked with hospitals (CFOs, Line Leaders, etc.) nationally to ensure adherence to all aspects of ICD-10 readiness involving operational and technological readiness, communications, educational planning, and governance by proposing facility-specific programs• Training: Developed and delivered training for providers and service line leaders to ensure appropriate documentation capture to ensure proper billing and reduced denials • Procedures: Defined policies and procedures in conjunction with facility CFO and VP leadership to improve initial denial rates• Compliance: Verified compliance with all clinical documentation requirements and ascertained accurate and timely billing processes by interacting with provider community and leadership while partnering with clinical documentation teams• Technology Delivery: Managed team of Project Managers and technical support staff to ensure delivery of ICD-10 technology to meet government mandates• Top Results: o Denial Reduction: Identified $2M per month in preventable denials and reduced denials by an average of $500K per month during tenure by developing historical trend reports that drove process improvement activities with front-line leaders in the facilityo Compliance: All facilities met the mandated federal requirements and eliminated paper process, saving human resources and ample time Show less

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  Gardens in the Gorge

  Jan 2015 - now

  Co-Founder & Board Director

  Founded Gardens in the Gorge beginning with purchasing raw land, building a business plan, designing the property structures and landscape, developing all business processes to host and support weddings. Gardens supports over 50 weddings and events per year.• Overview: Manage profitable wedding venue with revenue of $300K annually for 50+ couples per year by planning and implementing complete operational processes• Business: Purchased land and designed/developed a 6,000 sq ft facility and destination event venue on 15 acres• Sales & Marketing: Led sales with qualified, ideal teams involving SEO strategy by designing and developing new and attractive websites and social media strategy Show less

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  NextHealth Technologies

  Dec 2016 - Jun 2022

  Client Success Lead/Engagement Manager

  NextHealth Technologies (now Softheon) is an advanced AI-powered analytics platform that integrates data-driven decision-making into workflow to improve healthcare processes.• Overview: Mentors, develops, and supports team of Client Success Managers through learning the NextHealth solution to supporting and renewing clients. • Issue Resolution: Created escalation pathway for team members to ensure issues are identified and understood quickly while developing resolution plans and executive awareness.• Process Improvement: Refines processes to deliver consistent high-level consultative service to clients and internal stakeholders.• Account Portfolio: Offers consistent high-level consultative service to clients and internal stakeholders for a $MM account portfolio.• Training: Develops new employees and client users on the NextHealth solution through live web-based training sessions.• Collaboration: Liaises with Product and Engineering to support the development of the product while aligning with goals of clients; supports true Voice of the Customer initiatives.• Account Strategies: Develops and implements account management strategies for existing clients; grows accounts through identifying opportunities and building strong relationships.• Relationship Building: Drives client value through deep relationships with VP-level leadership and delivers outcomes by engaging with director-level business owners.• Committees: Led executive-level Steering Committee meetings; provided strategic and innovative thought leadership.• Presentations: Presents NextHealth solutions at leading industry conferences such as Blue National Summit and BCBSA Information Management Symposium.• Client Accounts: Turned around client accounts, saving $MM, and holds high client retention.• Client Satisfaction: Improved client satisfaction consistently with scores rating 4.5 out of 5.• Processes: Turned the team from a reactive consultative approach to using a consistent approach. Show less

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  Softheon

  Jun 2022 - now

  Overview: Lead and oversee health plan solution strategies (Marketplace, Medicare, ICHRA, and Broker) to support the Softheon business. Listen to clients to develop and lead Voice of the Customer efforts to drive product development; identify opportunities in the industry for Softheon to continue to grow products and solutions to support health plansEstablished and led Product & Business Alignment workgroup which supports communication between business, product, and technology to ensure product development aligns with client and business needs Established Analytics workgroup to drive the overall analytics strategy for Softheon comprised of team members from across the organization resulting in key analytics projects Designed business requirements and shepherded the development of an ICHRA solution and a Broker solution to drive Softheon businessDeveloped structure, process, and team for Softheon’s first User Community by engaging key client stakeholders, establishing core user groups, and establishing the first in-person Softheon User Community conference Show less NextHealth Technologies was purchased by Softheon in June 2022 - my role transferred from NextHealth to Softheon, and responsibilities expanded to support the transition • Overview: Mentors, develops, and supports team of Client Success Managers through learning the NextHealth solution to supporting and renewing clients. • Issue Resolution: Created escalation pathway for team members to ensure issues are identified and understood quickly while developing resolution plans and executive awareness.• Process Improvement: Refines processes to deliver consistent high-level consultative service to clients and internal stakeholders.• Account Portfolio: Offers consistent high-level consultative service to clients and internal stakeholders for a $MM account portfolio.• Training: Develops new employees and client users on the NextHealth solution through live web-based training sessions.• Collaboration: Liaises with Product and Engineering to support the development of the product while aligning with goals of clients; supports true Voice of the Customer initiatives.• Account Strategies: Develops and implements account management strategies for existing clients; grows accounts through identifying opportunities and building strong relationships.• Relationship Building: Drives client value through deep relationships with VP-level leadership and delivers outcomes by engaging with director-level business owners.• Committees: Led executive-level Steering Committee meetings; provided strategic and innovative thought leadership.• Presentations: Presents NextHealth solutions at leading industry conferences such as Blue National Summit and BCBSA Information Management Symposium.• Client Accounts: Turned around client accounts, saving $MM, and holds high client retention.• Client Satisfaction: Improved client satisfaction consistently with scores rating 4.5 out of 5.• Processes: Turned the team from reactive to consultative using a consistent approach. Show less

  • Program Director Health Plan Solutions

    Jun 2024 - now

  • Principal Consultant

    Jun 2022 - Jun 2024
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  Scenic City Recycling

  Aug 2023 - now

  Head of Operations & Client Success

  Drive efficient operational processes to ensure overall profitability.Implement systems and processes to support organization. Design profitability reports for senior leadership with actionable insights and recommendations. Manage vendor relationships; make vendor recommendations. Implement highly impactful, supportive client success team through culture, process, and people. Improve overall CSAT through enhanced communications and client support. Lead billing process improvement to support higher client satisfaction Show less