Keisa Johnson Monroe
Adjunct Professor at Saint Louis University School of Law- Claim this Profile
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Bio
Credentials
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Licensed to practice in Missouri
The Missouri Bar
Experience
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Saint Louis University School of Law
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United States
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Higher Education
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1 - 100 Employee
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Adjunct Professor
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Aug 2023 - Present
Instructor for upper level "Transactional Drafting" course. Utilizes a wide variety of teaching methods to ensure student success. Prepares course syllabus, lesson plans, teaching aids, exams, case studies and other instructional materials. Instructor for upper level "Transactional Drafting" course. Utilizes a wide variety of teaching methods to ensure student success. Prepares course syllabus, lesson plans, teaching aids, exams, case studies and other instructional materials.
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Elevance Health
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United States
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Hospitals and Health Care
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700 & Above Employee
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Associate General Counsel
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Sep 2021 - Present
Provides legal support and guidance on a range of health law, regulatory, contractual and operational matters. Serves as lead attorney for the provider solutions team in several Elevance Health states in the Central and West regions for insured, self-funded and government. Additionally, serves as the lead attorney for Elevance Health's enterprise-wide credentialing department; and Elevance Health's enterprise-wide reimbursement policy management team with respect to the reimbursement policy process including potential legal risks, research, writing, operations, approvals and communications. Show less
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Webster University
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Higher Education
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700 & Above Employee
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Adjunct Faculty, Master of Health Administration Program
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2016 - Present
Instructor for Master of Health Administration course, "Issues in Health Policy". Instructs a diverse population of students with a wide variety of educational backgrounds and experience. Utilizes a wide variety of teaching methods to ensure student success. Prepares course syllabus, lesson plans, teaching aids, exams, case studies and other instructional materials. Instructor for Master of Health Administration course, "Issues in Health Policy". Instructs a diverse population of students with a wide variety of educational backgrounds and experience. Utilizes a wide variety of teaching methods to ensure student success. Prepares course syllabus, lesson plans, teaching aids, exams, case studies and other instructional materials.
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Anthem, Inc.
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United States
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Hospitals and Health Care
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700 & Above Employee
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Senior Legal Counsel
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Jul 2019 - Sep 2021
Provides legal support to Anthem's enterprise-wide Health Outcomes Organization, including community health initiatives, multicultural health programs and other quality initiatives to address gaps in care, health disparities and cost of care. Additionally, provides Legal support to Anthem's enterprise -wide credentialing and Anthem's Enterprise reimbursement policy management teams with respect to the reimbursement policy process including research, writing, operations, approvals and communications. Proactively assists business partners with legal issues, review of contracts, member and provider communications, external presentations and other documents and materials. Provides advice on risks of clinical (including cost of care) initiatives, and propose alternative solutions to mitigate risk where applicable. Supports the following: development and roll out of new clinical programs and initiatives, including evaluating risks and helping develop risk mitigation strategies; quality programs designed to help providers reduce gaps in care, including initiatives related to HEDIS measures; and enterprise credentialing policy development/updates, and National Credentials Committee. Ensures that all credentialing processes are compliant and maintain peer review protections. Collaborates across the broader Provider and Clinical Centers of Excellence to support integrated approaches on Provider and Clinical matters. Show less
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Provider Network Management Director
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Jan 2015 - Jul 2019
Negotiated provider contracts with health systems, large physician groups and ancillary providers to develop Anthem’s commercial and government business provider network in the greater St. Louis, mid-Missouri and St Louis Metro East areas. Successfully led large scale, multi-faceted provider contract negotiations valued in excess of $900 million dollars. Developed contract negotiation strategies, employing resources from analytics, finance, legal, and sales departments.Worked with legal department to develop various contractual arrangements (e.g., LOAs and MOUs). Reviewed, analyzed and responded to provider contract proposals, finding ways to mitigate legal and financial risks. Provided advice to internal stakeholders regarding contract interpretation and compliance matters. Provided recommendations to local senior leadership regarding potential risks and organizational impacts and ways to strategically partner with provider in Anthem networks. Served as subject matter expert for local provider contracting efforts. Developed and maintained relationships with providers and works with providers to find ways to collaborate. Assisted with developing best practices and playbooks, for contract negotiations. Created and presented basic principles of negotiation course to Anthem MO associates. Leadership development:Selected as 1 of 10 Anthem associates across Anthem organization to participate in Anthem’s SOAR leadership development program for diverse managers and professional employees to build leadership effectiveness.Selected as 1 of 25 high performing associates to participate in Anthem Missouri’s President’s Excellence Circle, a forum created to foster collaboration and develop strategies to address issues affecting Anthem MO associates. Serves as Co-Lead for Anthem Associate Resource Group for African-American associates to help develop a diverse Anthem workforce and infuse cultural insight into Anthem's business decisions and solutions. Show less
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University of Phoenix
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United States
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Higher Education
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700 & Above Employee
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Adjunct Faculty, Business Law, Contemporary Law, State/Local Political Processes & U.S. Constitution
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2011 - 2016
Instructed a diverse population of working adults and other non-traditional students with a wide variety of educational backgrounds and experience. Prepared course syllabus, lesson plans, teaching aids, exams and other instructional materials for assigned courses. Instructed a diverse population of working adults and other non-traditional students with a wide variety of educational backgrounds and experience. Prepared course syllabus, lesson plans, teaching aids, exams and other instructional materials for assigned courses.
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SSM Health
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United States
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Hospitals and Health Care
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700 & Above Employee
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Manager, Managed Care Contracting
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Jul 2014 - Dec 2014
Lead negotiator for high level hospital and physician managed care contract negotiations for Mid-Missouri and Southern Illinois region. Assisted senior leadership with development of processes, policies and procedures to improve contract management efficiency. Developed strategy for managed care practices and quality assurance initiatives and made determinations regarding reimbursement standards for managed care contracts. Lead negotiator for high level hospital and physician managed care contract negotiations for Mid-Missouri and Southern Illinois region. Assisted senior leadership with development of processes, policies and procedures to improve contract management efficiency. Developed strategy for managed care practices and quality assurance initiatives and made determinations regarding reimbursement standards for managed care contracts.
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Kayira Law, LLC
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United States
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Legal Services
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Of Counsel
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Dec 2011 - Jul 2014
Part-time, independent contractor position which allowed me to gain additional business transactions experience, with a focus on entertainment law matters. As Of Counsel, I assisted the firm's managing partner with corporate business formation and structuring matters, and broad transactions work focused on music and television contracts. I drafted, reviewed and negotiated various music and television related agreements such as merchandise license agreements, master use license agreements, artist releases, joint venture agreements, songwriter agreements, producer agreements, personal management agreements, reality television talent agreements, music publishing agreements and Internet related agreements (including Internet hosting, development, subscription, web-based license agreements, and Internet user terms and privacy policies). Additionally, I drafted correspondence related to contractual disputes for copyright infringement, copyright-joint authorship, trademark, unfair competition, personal injury and product liability matters. Show less
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Centene Corporation
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United States
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Hospitals and Health Care
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700 & Above Employee
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Manager, Contracting Standards & Contract Management
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2011 - 2014
Managed contract standards and contract management activities within Network Development & Corporate Contracting Department to ensure efficiency and compliance with the department's policies, and government laws and regulations. Served as liaison between Network Development & Corporate Contracting Department and Corporate Legal to identify and resolve issues requiring creative or cross-functional administrative solutions, policymaking and communication, and alternative language solutions. Reviewed provider contracts to ensure compliance with Department of Insurance requirements. Reviewed regulations, RFPs and other documents affecting new business activities and identified and appropriately responded to regulatory risks or opportunities. Assisted with the development and negotiation of provider incentive reimbursement models for Medicaid, Medicare and Commercial-Exchange networks. Developed and implemented business solutions to address process and quality gaps. Provided input and support to national projects (e.g. new product roll-outs, regulatory compliance initiatives, etc.) requiring contract content reviews, language compliance assessments and/or network participation assessments. Assisted contracting and network development staff and external consultants in the development of provider networks for new and expansion markets. Managed direct reports and ensured organizational and departmental goals were achieved. Successfully developed and implemented provider contract standards training program for organizations health plans. Show less
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Sr. Contract Administrator
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2008 - 2011
Collaborated with Centene's Corporate Legal Department and external legal counsel as necessary to draft and revise contracting documents required by local government agencies for organization’s existing and new business opportunities. Reviewed and revised existing provider contract templates identify potential legal and business operational risks. Analyzed and interpreted laws and regulations and advised Centene Corporate and health plan stakeholders as to applicability and interpretation. Reviewed requests for proposals to draft state and market specific language. Developed new provider contract language that secured the most competitive and advantageous position for Centene's affiliate health plans and specialty companies and is in accordance with regulatory requirements. Show less
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Compliance Officer/Legal Counsel
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2007 - 2008
Reviewed, analyzed, and negotiated advertising and web development service contracts. Advised firm on legal issues and associated risks related to new business proposals and contracts. Drafted all business correspondence, vendor contracts, and service agreements. Responsibilities included interpreting laws and regulations related to media law and intellectual property for applicability to firm. Ensured firm compliance with all applicable state and federal laws. Reviewed, analyzed, and negotiated advertising and web development service contracts. Advised firm on legal issues and associated risks related to new business proposals and contracts. Drafted all business correspondence, vendor contracts, and service agreements. Responsibilities included interpreting laws and regulations related to media law and intellectual property for applicability to firm. Ensured firm compliance with all applicable state and federal laws.
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White Coleman & Associates, LLC
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1 - 100 Employee
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Associate
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2005 - 2007
Drafted petitions, prepared client letters, researched legal issues and wrote memorandums with findings related to public school law, municipal law, corporate law, employment law, and real estate sales and business acquisition transactions. Assisted senior attorneys and partners with trial preparation, depositions and negotiations of employment agreements and business development agreements. Drafted petitions, prepared client letters, researched legal issues and wrote memorandums with findings related to public school law, municipal law, corporate law, employment law, and real estate sales and business acquisition transactions. Assisted senior attorneys and partners with trial preparation, depositions and negotiations of employment agreements and business development agreements.
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White Coleman & Associates LLC
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1 - 100 Employee
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Law Clerk
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2004 - 2005
Conducted legal research using Westlaw and LexisNexis, prepared memorandums, drafted client and opposing counsel responses, and assisted with case management. Conducted legal research using Westlaw and LexisNexis, prepared memorandums, drafted client and opposing counsel responses, and assisted with case management.
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Legal Services of Eastern Missouri
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United States
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Legal Services
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1 - 100 Employee
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Law Clerk, Housing Unit
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2003 - 2004
Assisted with serving the interests of indigent clients. Performed legal research related to housing and landlord/tenant issues. Reviewed lease agreements to identify issues concerning unfair housing practices. Assisted with serving the interests of indigent clients. Performed legal research related to housing and landlord/tenant issues. Reviewed lease agreements to identify issues concerning unfair housing practices.
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Education
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Saint Louis University School of Law
Doctor of Law - JD, Certificate in Employment Law, Wefel Center for Employment Law, Specialized course work in negotiations, ADR and mediation -
Southwestern Law School
Master of Laws - LLM - Visiting Student, Course - Navigating Recording Artists through the Entertainment Industry -
Seton Hall University
Master of Healthcare Administration -
University of Missouri-Columbia
Bachelor of Science - BS, Business Administration - Marketing
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