Lori Barclay is a seasoned professional in the healthcare industry, currently serving as the Manager of Government Programs and Medicare Operations Consultant at Aetna, a CVS Health Company. With over 25 years of experience in healthcare, including 16 years dedicated to Medicare-focused initiatives, Lori has...
Lori Barclay is a seasoned professional in the healthcare industry, currently serving as the Manager of Government Programs and Medicare Operations Consultant at Aetna, a CVS Health Company. With over 25 years of experience in healthcare, including 16 years dedicated to Medicare-focused initiatives, Lori has honed her expertise in Medicare Operations, CMS Compliance, and issue resolution. Her role involves providing strategic business relationship services to Prisma Health Systems, where she leverages her extensive knowledge to facilitate project management for both internal and external partners within the Value-Based Care (VBC) framework.
In her capacity as a Medicare Operations Consultant, Lori plays a pivotal role in cross-functional collaboration, engaging with teams across strategy, product development, network management, sales, and retention. She is instrumental in driving new sales initiatives while ensuring the retention of current membership, showcasing her proficiency in sales processes and market planning. Lori's commitment to excellence is further evidenced by her status as an approved Continuing Education (CE) instructor in the State of Georgia, where she shares her insights on Medicare and managed care.
Her skill set encompasses a wide range of competencies, including consulting, managed care strategies, and retiree benefits, making her a valuable asset to Aetna and the broader healthcare community. Lori's dedication to improving healthcare outcomes through innovative Medicare solutions and her ability to navigate complex regulatory environments position her as a leader in the field, driving impactful change and fostering strong partnerships within the industry.
