Keep in touch with meI'm using Intch to connect with new people. Use this link to open chat with me via Intch app
Work Background
Northview Health PartnersBoard Member | Healthcare Industry Expert
Aug. 2023United States of AmericaLisa Riding leads the Healthcare CEO Forum and Advisory Committee. Lisa Riding is actively seeking experienced executives (20+ years), industry experts, and strategic healthcare companies that want to accelerate their growth. At Northview Health Partners we strategically work with Private Equity and Investment Banking firms to transform healthcare organizations to the next level. We also provide shared services and act as trusted intermediaries to accelerate the transition, growth strategies, financing, enterprise marketing, affiliate network development, and critical industry consulting.
AmazonPrincipal Payer Reimbursement
Mar. 2021 - Aug. 2023United States of AmericaAmazon Pharmacy is developing into a full-service digital pharmacy and is expanding its government, state, and third-party payer footprint. Amazon Health is also growing with plans to bring the “full package” of care, telehealth network, and clinical services to consumers and partnerships with health providers connecting to AWS and Alexa Health. Lisa Riding joined the Third-Party Payer team to consult as an industry expert. As her role has developed, she has expanded the switch relationships to implement Pre and Post Edits (PPE) systems, business analytics and reporting, standard operating procedures, mechanisms controls, roadmaps, and growth strategies. Her unique experiences lend themselves to compliance teams, government controls, third-party payer development, sales, team innovation/tech development, and billing solutions. Her goal is to lend her years of experience in both the pharmacy and medical revenue cycle space to allow Amazon to be innovative, expand disruptive innovation and market acceptance, and grow the Medicare, Medicaid, and commercial business lines.
ShiftRx Partners LLCChief Strategy Officer | Board Member
Aug. 2016 - Mar. 2021Portland, Oregon AreaShiftRx is a pharmacy transformation company focused on partnerships with health systems to develop, fund, and manage pharmacy solutions. Pharmacy transformation and development projects includes but is not limited to retail and ambulatory pharmacy, specialty pharmacy, employee pharmacy solutions, central fill and repacking pharmacy solutions, and infusion services. Ms. Riding, founder and Chief Strategy Officer, leads the value and performance teams that champion client activities across the United States. Her responsibilities include oversight of contracting, investor and banking relationships, strategic planning, payer negotiations, financial underwriting, PBM, GPO, Drug Wholesaler, PSAO, specialty pharmacy network relationships, 340b compliance teams, financial partnerships, B2B relationships, onboarding, implementation services, and performance-based services.
Auctus Performance, LLC.Principal
Mar. 2016 - Mar. 2021Portland, Oregon AreaAuctus Performance, LLC is an independent, boutique healthcare consulting/investment partnership focused on assisting investors and management teams to gain better insights into performance and productivity gaps. Bringing fresh perspective and objective outside feedback can provide clients with critically important guidance in today’s highly competitive business environment—Partnering & Advising with new technology companies on navigating the complex healthcare landscape.
VeridikalPresident, Founder, and Chief Executive Officer
Apr. 2009 - Mar. 2016Scottsdale Arizona; New York, NY; & Portland OregonAcquired by BHMS Investments in December 2014. Veridikal is an innovative business analytics company serving pharmacies nationwide. Veridikal served three sectors, including long-term care, pharmacy chains, and B2B technology platforms. Client & B2B Highlights include MHA, GeriMed, Interlare, Innovatix, Apexus, Relay Health, Emdeon, Change Health, Inmar, Walgreens, Visante, CPS, AmerisourceBergen, Qs1, Softwriters, ScriptPro, Verity, PDS, CPESN, PDX, PEA, OmniSYS, PBM Networks, PharMerica, Partners, Omnicare, DaVita, Guardian Pharmacy, Avella, Sears, CVS, Walgreens, Verizon Sure Alert, etc. A team-oriented leader of the Healthcare and Pharmacy in terms of business development, client engagement management, business insights, market presence, intellectual capital development, and building a strong team. Major responsibilities include: • Developing long-term relationships with new and existing clients. Changing the way that pharmacies manage their business. Driving margin through business analytic, enhanced formulary management, contract management, and improved revenue cycle activities. • Generating attractive engagements that make a significant difference for the Client. • Providing thought leadership and creative insights to drive intellectual capital development and client insights. • Helping establish a strong healthcare market presence.
• Attracting, retaining, developing and motivating a team of highly qualified staff.
ESI Healthcare Business SolutionsExecutive Vice President & Chief Operating Officer
Jan. 2007 - Mar. 2009Dallas/Fort Worth AreaESI Products include Medicaid Eligibility Outsourcing, IGT Management, Revenue Cycle Outsourcing, Physician Reimbursement Systems (CAPS), and Rx Prescription History Programs. Ms. Riding's responsibilities included leading strategic turn-around and growth development for ESI. She led the corporate strategic planning process with the leadership team, outsourcing, innovation/technology rebranding, and value positioning. She implemented an enterprise-wide sales approach with new risk-based and performance-based pricing that drove $150M in new sales. Additionally, she implemented new performance measurements, ROI, and KPI trending for all client types. ESI served hospitals, county, and safety-net hospitals. Ms. Riding was nationally recognized by NCPDP for her work on Intergovernmental Transfer (IGT) innovation with new pharmacy reimbursement strategies that drove $400M in additional revenue for ESI clients. Parkland Health System also recognized Ms. Riding as Contributing Executive of the Year for her work on their Provider-Based Reimbursement Solutions. Client & B2B Highlights: Cook County, Parkland, Jackson Memorial, LA County Health System, Ochsner Health, LA Health System, Maricopa Health System, LAC + USC, UCSF, Harris County, Stamford Health, Grady Health System, Nebraska Medicine, Appalachian Regional Health, etc.
MedAssetsWestern Zone Regional Vice President
Jul. 2003 - Jan. 2007MedAssets, Inc. (now known as Vizient) was a healthcare performance improvement company providing products and services to 4,400 hospitals and 122,000 non-acute healthcare providers, focusing on Revenue Cycle and Supply Chain Solutions. Ms. Ridings focused on development strategy, transformational revenue cycle, drug distribution, and supply chain innovation/development, corporate and IDN sales, account management, and sales. Ms. Riding handled several key vendor relationships and B2B Relationships and was actively involved in corporate strategic growth and client strategies. Ms. Riding received Sales Professional Aware in 2003 for 35 new health systems in a single year and a high-performing division. Managed $150M+ in existing accounts across 13 states and national IDN Accounts. Ms. Riding's division and accounts including but were not limited to Banner Health, SJHS, CHW (now Dignity), Ascension Health, Bon Secours, Mercy Health, Trinity, Samaritan Health System, Adventist Health, Peace Health, Sutter Health, Sharp Healthcare, etc.
OSI Systems, IncPrincipal & Executive Vice President
Jan. 2001 - Dec. 2003Buckhead, Georgia, United StatesMedAssets acquired OSI Systems Inc. and changed its name to MedAssets Net Revenue Systems. Lisa Riding managed the Western United States and several corporate health system relationships. Ms. Riding was responsible for hospital growth, critical client relationships, and IT innovation projects. Ms. Riding was involved in product development for several client tools and resources, including Charge Master Standardization Tools, Supply Chain product mapping, just-in-time inventory, comparative rate modeling, pricing strategies, charge capture audit, and master patient index insurance verification services.
Managing PartnersChief Operating Officer & Senior Vice President Healthcare Management Division
Jun. 1999 - Jun. 2001Merged with OSI Systems (which was acquired by MedAssets)
Managing Partners was a database standardization organization focused charge master compliance (early CDM management resources/tools), charge master standardizations, hospital revenue cycle (Denial Management, AR Management, Business Office Optimization), pricing integrity, and charge capture audit programs. Technology innovation and performance-driven programs. Top sales executive, as well as handling key client accounts and sales growth and renewals. Client & B2B Highlights include HCA Healthcare, Tenet Healthcare, Lutheran Health Systems (now Banner Health), Quorum Health, Trinity Health, University of CA Health, Ascension Health, Arrowhead, Premier, etc.
Advanced Healthcare SolutionsChief Operating Officer/Chief Technical Officer
Jan. 1997 - Dec. 1999January 1997 to January 1999 – Acquired by Envoy an Emdeon Company (now known as Change Healthcare/CHC, now Optum). AHS developed the 1st patented claims editing system (CES) with compliance and coding unbundling business analytics and logic. Technology was based on OIG Audit Protocols and compliance rule sets. Technology was next generation CES that allowed for real-time compliance validation of ANSI and NCPDP Claims data. Acquired for technology that is still being used today.
HMI – A Healthcare Management FirmExecutive Director
Jan. 1996 - Dec. 1997Consulting and compliance programs for hospitals, cost reports, charge master, medical record coding/DRG reviews, database standardization projects, and other business office and patient access integrity management reviews. Client & B2B Highlights Rural Health, Quorum Health, LifePoint, HCA Healthcare, Tenet Healthcare, BayCare, etc.
American Academy of Professional CodersDirector of Education and Clinical Services
Jan. 1994 - Dec. 1996Create, publish, and promote educational programs for hospital-based medical records and physician office coders. This position overlapped last year's Medicode (owner Lan England hired Ms. Riding to consult initially, then moved into a full-time position). Ms. Riding took membership from approximately 500 members to over 130,000 members in the two years. She also enhanced local and national continuing education seminars, the annual conference, and certification programs for coders. Her passion focused on driving internal development within several health systems, large physician networks, and apprentice-based programs. Ms. Riding was published many times a leading coding expert, request publication list.
MedicodeSenior Medical Consultant (Ending Position)
Jan. 1993 - Dec. 1995Medicode (formerly Med-Index, Medical Data Research (MDR) known now as Ingenix, a United Healthcare Company). Within two years, Ms. Riding was promoted internally to a Senior Consultant. Her initial focus was on database integrity with the MDR medical pricing software. At Medicode, Ms. Riding had a critical development and author role in over 36 publications, including the Coders Desk Reference, Coding Illustrated Series, Physicians Documentation Guide, and Compliance Guides. Ms. Riding was moved to Government and Reimbursement Services, where she served as a Senior Consultant teaching coding and compliance.
University of Utah Medical CenterSurgical Services (Ending Position)
Jan. 1990 - Dec. 1993Ms. Riding worked in surgery, working nights and her way to 1st chair on the surgical team. Working nights allowed Ms. Riding to be involved in ordering for the surgical team and worked on critical projects to standardize preference cards, transcription, charge sheets, and coding reviews. Worked part-time during surgical explanations for Med-Index (Medicode).
Intch is a Professional Networking App for the Future of WorkSee more people like Lisa on Intch
300k+ people
130+ countries
AI matching
Get Intch if you'd like to
79159 people
18
Technologist, Project/Program Manager
21
Cryptomining @ E9antminer
15
Data Analyst
7664 people
45
Affiliate marketing @ Metravex Trade
42
Senior Mining Engineer @ Riot blockchain
20
Marketing Director @ Juiceplus+