Lisa Anderson

About Lisa Anderson

Healthcare technology executive and product delivery leader with 20 years solving the problems between healthcare strategy and working software. Payer side. Provider side. Behavioral health. Not advising, but accountable. My career spans both sides: Medicaid, Medicare, and Commercial payer platforms (claims, benefits, enrollment, EDI/HL7, auto adjudication) and provider systems (EHR, care coordination, clinical workflow automation). Most executives know one lane. I have run claims adjudication infrastructure for a payer, built care coordination systems for a nonprofit serving people, and deployed clinical AI at a behavioral health organization. I am one of few product leaders with hands-on experience across both clinical AI deployment and payer claims data infrastructure. That combination is also what I bring to fractional engagements for health tech companies that need embedded implementation leadership before they are ready to hire full-time. What that looks like in practice:* Deployed an AI Care Assistant automating member outreach and lifting engagement with clinical validation and compliance readiness* Improved auto adjudication from 85% to 93%* Cut time-to-placement in IDD by up to 90 days using predictive modeling and process mining* Built KPI/OKR reporting in Power BI with Copilot and AI Data Agent for clinical performance and payer-facing outcomes* Replaced legacy systems with scalable, AI-enabled platforms. Zero missed biweekly releases* Built the technical solutions, executive dashboards, and operational proof behind a 100% RFP win rate My approach: Product Discovery and Human-Centered Design before Technology decisions. Map the workflow with the people who do the work. Success metrics tied to clinical outcomes and business objectives. AI goes in where it improves outcomes, not because it is new. Build the system that keeps delivering after I am not in the room. Domain: AI clinical ops, EHR, claims/benefits, care coordination, value-based care, HEDIS, data architecture, Power BI (Copilot, AI Data Agent), Microsoft Fabric, EDI/HL7, HIPAA, SOC 2, HITRUST, product delivery Two tracks, both active. Full-time: Head of Product, VP of Implementation, or COO at a health tech company with a real problem to solve. Fractional: embedded VP Implementation engagements for Series B to pre-IPO health tech companies that need implementation infrastructure running before they are ready to hire full-time. Three-month minimum. One company at a time.

Experience

1. Senior Vice President of Engineering

   Ontrak Health

   Sep 2021 — Present

   Led a team of 15 with oversight of three consulting engagements. Owned departmental budget, vendor spend, data governance, business intelligence, data integrations, and AI enablement for a publicly traded behavioral health organization.I owned product vision and engineering execution around a single goal: an operational platform that tracked KPIs and OKRs and drove improved member outcomes in a value-based care environment. Set AI strategy before anything was built. Mapped workflows with clinical and operational stakeholders first, automated only what was already working, and drove cross-functional alignment between clinical, operational, and engineering teams through operating cadences and governance frameworks.Key results:Implemented a SaaS enterprise EHR and consolidated analytics on Microsoft Fabric and SQL Server, driving significant run-rate savingsDeployed an AI Care Assistant automating member outreach and lifting engagement with clinical validation and compliance readiness, giving clinicians more time with the members who needed it mostReplaced legacy systems with a scalable, AI-enabled platform. Zero missed biweekly releases across a 3+ year engagement.Built KPI/OKR reporting in Power BI with Copilot and AI Data Agent for real-time operational visibility and payer-facing outcomesBuilt technical solutions, executive dashboards, and operational proof supporting a 100% RFP win rate and quarterly business reviewsStrengthened compliance through HIPAA-aligned EHR controls supporting SOC 2 and HITRUST certification, reducing PHI riskBuilt operational infrastructure making clinical outcomes defensible to payers through governance frameworks and performance reportingSustained low team turnover over 3+ years

Education

• University of Pittsburgh

  Master's Science in Information Science, Information Science

  1999 — 2000

• Elon University

  BA, English, Art & Philosophy

  1991 — 1995