BARB KILLIAN
Noblesville
Summary
Solutions-Oriented Senior Legal Counsel – Healthcare Consultant – Executive Leader Operations – Legal Strategist – Lean Practitioner
Overview
29
29
years of professional experience
Work History
Associate General Counsel
Indiana Professional Licensing Agency
Indianapolis
02.2025 - Current
- Rulemaking – Analysis and drafting regulations for professional licensing boards such as pharmacy, medical, nursing, dentistry and more; managing rulemaking from initiation to implementation
- Advised professional boards and subcommittees (pharmacy, medical, nursing, dentistry) on state and federal laws; implemented compliance strategies in Indiana as new laws and rules emerged or were amended
- Led agency process improvement initiatives, developed policies, and managed software development and implementation of strategic initiatives
- Managed staff and collaborated with analysts, board directors, attorneys, IT, and interns to achieve project objectives
President
Main Street Legal, LLC
Indianapolis
03.2023 - 01.2025
- Healthcare attorney (hospitals, long term care, healthcare providers, practitioners & ancillary services)
- Medicare/Medicaid appeals; private pay collections
- Project management & quality improvement
- Lean Practitioner - Lean rapid improvement event (REI) facilitation
- Risk (& hazard) vulnerability analysis & mitigation
- Litigation/discovery/document review (identify/mitigate QC issues: relevance/privilege, privacy, etc.)
- Continual survey readiness - The Joint Commission, Public Health Accreditation Board (PHAB), Department of Health (DOH), Medicare Conditions of Participation
- Medical Staff regulatory matters – bylaws, credentialing and privileging, QAPI programs, governance, peer review, etc.
- Provided privacy and security counsel on HIPAA, GDPR, and CCPA to safeguard patient information
- Facilitated diversity, equity, and inclusion (DEI) training and developed policies to enhance health equity initiatives
- Developed emergency preparedness and response plans to ensure organizational resilience during crises
- Author: Emergency Preparedness Toolkit for Healthcare Coalitions & Providers
- Negotiated, reviewed, and drafted contracts while managing their lifecycle.
- Drafted and implemented policies and procedures while managing their lifecycle.
- Conducted public speaking engagements and developed multimedia training programs.
Of Counsel
Stoll Keenon Ogden (previously Katz Korin Cunningham)
Indianapolis
01.2021 - 01.2023
- Medical malpractice defense
- Long term care administrative & civil litigation
- Medicare & Medicaid appeals
- Maintained adherence to regulatory standards, supporting compliance and risk management efforts.
- Enterprise risk management
- Medical Staff regulatory matters
- Contract & policy drafting and lifecycle management
- Commercial & business transactions
- Maintained privacy and security compliance for HIPAA, GDPR, and CCPA, safeguarding sensitive information
- Facilitated continual survey readiness for The Joint Commission & IDOH, enhancing organizational accreditation processes
Regulatory Compliance and Policy Liaison
Indiana Department of Health (IDOH)
Indianapolis
01.2017 - 01.2021
- Obtained leadership buy-in and implemented IDOH’s first Regulatory Risk, Compliance, and Policy Program
- Led multi-disciplinary teams in conducting risk analyses and adopting actionable work plans
- Empowered leaders and staff to promote a culture of compliance and ethical conduct
- Advised on proactive mitigation strategies, key performance metrics (KPIs), and process improvement
- Led Compliance Committee meetings to discuss regulatory updates and compliance strategies.
- Authored IDOH Compliance Toolkit – template policies, plans, standards of conduct, risk and compliance assessments, corrective action tools, and documentation tips
- Obtained leadership buy-in and implemented Agency-wide Document Management Program
- Operational integration of new document lifecycle management and compliance software, processes, templates, and customized workflows
- Reviewed and managed grants, contracts and policies
- Served as compliance and risk subject matter expert (SME) for Agency
- Facilitated targeted training sessions and provided technical assistance and ongoing support to enhance compliance knowledge
- Coordinated team efforts during IDOH’s Statewide Covid-19 response to enhance operational effectiveness.
- Continual process improvement and huddles during response
- Public communications liaison for daily updates
- Public Health Accreditation Board (PHAB) compliance team lead
- Led Agency transformation and culture change to align with the 10 Essential Public Health Services and PHAB Standards & Measures
- Prepared for accreditation readiness visit and represented IDOH in meetings with PHAB
- Leader Health Equity Council & Chairperson for Policy & Communications Committees
- Developed charter, assessment, policy, language access policy (LAP) and Culturally & Linguistically Appropriate Services (CLAS) policy for persons with limited English proficiency (LEP)
- Collaborated with executive leadership and Indiana Governor’s office to align regulatory initiatives with state public health goals
- Chairperson - IDOH Digital Library Committee
- Applied Lean methodologies to streamline processes and improve efficiency in projects.
- Obtained Lean Practitioner Certification
- Performed RIEs to improve program and value stream processes
- IDOH Quality Improvement Committee
- IDOH Strategic Planning Committee
- Onboarding Team - Performed new employee on-boarding & orientation
President
Killian Consulting, LLC
01.2017 - 01.2019
- Business Owner / Compliance Consultant
- Led multi-state health system (PeaceHealth) to CMS Emergency Preparedness Rule compliance
- Successfully led teams through a condensed timeframe to secure compliance by rule effective date
- Created emergency preparedness compliance documentation, including plans, policies, and training materials.
- Obtained internal stakeholder approval to perform operational integration of emergency preparedness leading to prioritization of a preparedness and risk mitigation culture
- Established comprehensive project plan with defined accountabilities and timeline to ensure successful project execution
- Evaluated and prioritized identified risks for facilities and the public in Oregon, Alaska, and Washington
- Developed hazard vulnerability analysis tool
- Convened a multi-disciplinary team (nursing, compliance, facilities, legal, risk, emergency management, physicians, emergency services staff, executive leadership, and privacy and security)
- Led teams to develop strategy, KPIs, and metrics
- Formulated targeted marketing and sales plans to align with company growth objectives
- Ensured effective allocation of resources through careful budget oversight
- Led the development of internal communications and advised on content
- Compiled crosswalk of accreditation standards and Emergency Preparedness Rule to enhance system-wide policy and training alignment
Special Counsel, Office of Legal Affairs
Indiana Department of Health (IDOH)
Indianapolis
01.2015 - 01.2017
- Emergency Preparedness & Response
- Collaborated on emergency preparedness and outbreak response with IDOH’s Epidemiology Resource Center, State / federal / county agencies, and public and private partners
- Prevention & mitigation of communicable diseases
- Convened stakeholders to address safety issues and clarify jurisdiction, enhancing collaboration and response effectiveness.
- Reviewed / updated State’s crisis standards of care
- Project Lead - Physician Practices Infection, Injection, Compounding Safety
- Injection and compounding safety collaboration
- Convened IDOH leadership, attorney general’s office, CDC, FDA, medical licensing board, OSHA, and pharmacy board
- Investigated complaints and created new safety protocols
- Developed education for IDOH’s Epidemiology Resource Center and various independent physician practices
- Created process improvement strategies to mitigate infection and to develop ongoing standards for independent physician groups and ambulatory surgery centers (ASCs)
- Ensured adherence to regulatory standards and guidelines across various health programs.
- HIPAA Privacy and Security
- State & federal laws and regulations
- CMS Emergency Preparedness Rule
- State communicable disease rule
- Provided education and performed investigations re: grant compliance
- Fraud and abuse laws and regulations
- Effectuated compliant business and commercial transactions
- Litigation
- Administrative hearings
- Complaints
- Draft pleadings
- Licensing matters
- Depositions and staff interviews
- Liaised w/attorney general’s office and federal and State agencies
- Opioid / Substance Use Disorder Crisis Response
- Led legal aspect of the development and roll-out of county and State syringe exchange & Naloxone programs
- Collaborated with then State Health Commissioner (later U.S. Surgeon General), IDOH executive team, and County officials
- Worked with naloxone vendors and suppliers as program participants
- Liaised with the Indiana Governor’s office, local health departments, schools, and law enforcement
- SME for naloxone and syringe exchange program database content
- Liaised with IDOH’s Office of Public Affairs on responding to public inquiries
- Committee Member – IDOH Strategic Planning Committee
- Policy and Contract Management
- Policy and contract development and lifecycle management
- Performed contract review, negotiation, drafting, renewal and approval processes
- Monitored and analyzed legislative developments affecting public health policies.
- Drafted, reviewed and updated legislation
- Performed training and implemented legislative changes
- Collaborated with other State agencies where appropriate
- Speaker and Trainer - Performed training and public speaking
- Panel speaker w/National Transportation Safety Board on HIPAA rules during air disaster investigations
- Regular speaker before local county health department officials
- Internal speaking and education on interpretation and implementation of laws and regulations
Vice President Operations & Compliance Consultant
Ntracts, LLC (A Hall Render subsidiary)
Indianapolis
01.2008 - 01.2014
- Led executive leadership initiatives
- Executed strategic planning, business operations, budget management, project management, marketing, and client development to drive organizational success
- Managed business analysts, technical support, and software development teams to enhance operational efficiency and service delivery
- Led company to significant growth in a competitive, national market
- Automated contracting, regulatory, and policy program compliance solutions for physician networks and large health systems
- Provided expert consulting on healthcare compliance regulations
- Performed process analysis and improvement consulting
- Excelled at customer service and building collaborative professional relationships
Attorney
Hall Render Killian Heath & Lyman, PC
Indianapolis
01.1997 - 01.2008
- In-house Counsel for Ascension Indiana (under contract w/Hall Render)
- Lead counsel for regulatory compliance, ethics, continued accreditation with The Joint Commission, and HIPAA Privacy and Security Rules, Medicare Conditions of Participation
- Advised risk manager on developing and implementing effective mitigation strategies
- Managed internal and external audits
- Performed investigations and complaint resolution
- Advised Chief Compliance Officer and Chief Legal Officer on reporting and corrective action
- Performed contract review, negotiation, drafting and lifecycle management
- Managed care contract review
- Medical Staff regulatory issues
- Managed civil litigation matters and administrative hearings
- Lead counsel for St. Vincent Stress Center
- Mental health commitment hearings
- Worker’s compensation provider claims
- Managed complex reimbursement matters to successful conclusion
- Policy and procedure management for local and national Ascension Health systems
- Served on mergers and acquisition teams as document creator and manager
- Leader and project manager for several bond financing due diligence projects
- Participated in on-boarding and led trainings to integrate and orient staff of newly-acquired entities
- Served as on-call back-up for Ethics Officer
- Managed Ascension Indiana’s associate pro bono legal services program
- Delivered compliance education to billing and coding staff, enhancing understanding of regulatory requirements
- Advised and provided education for system-wide physician medical record documentation improvement project
- SME for physician intern training program on medical record charting
- Engaged in initiatives with the Child and Adult Abuse Response Team
- Contributed to initiatives of the Child Abuse Prevention and Education Team
- Served as a member of Women’s Hospital Advisory Board
- Engaged as a member of Peyton Manning Children’s Hospital Advisory Board
Education
Doctor of Jurisprudence -
Indiana University McKinney School of Law
Bachelor of Arts - Communications
California State University
Civil Mediation -
Indiana Continuing Education Forum
Lean Practitioner -
Purdue University
Leadership at All Levels -
Indiana Department of Health
Skills
- Regulatory Compliance
- Legal Practices Alignment
- Compliance Management
- Privacy and Security Compliance
- Patient Safety and Consumer Protection
- Emergency Preparedness
- Enterprise Risk Management
- Adverse Event Reporting
- Accreditation Standards
- Fraud Detection
- Abuse Mitigation
- Government Approval Management
- Rulemaking Process
- Process Improvement
- Data Analysis
- Trend Identification
- Software Development and Implementation
- Automated Workflow Design
- Lean Rapid Improvement
- Organizational Development
- Change Management
- Strategic Planning
- Problem-Solving
- Collaboration
- Stakeholder Communication
- Training
- Public Speaking
- Healthcare Programming
- Educational Programming
- Continual Compliance
- Government Approval Management
- Public Speaking
- Educational Programming
Affiliations
- U.S. District Courts – Northern / Southern Districts of Indiana and U.S. Court of Appeals 7th Circuit
- American Bar Association
- Indiana State Bar Association
- Indianapolis Bar Association
- Health Care Compliance Association
- American Health Lawyers Association
- Network for Public Health Law
- Federation of State Medical Boards
Community Outreach And Board Leadership
- Board Member, ARC of Greater Boone County
- Executive Board Member, Youth and Family Health Network, Mission to reduce and prevent substance use disorder; Co-Chair Education and Prevention Committees - Opened Ohana House in Lebanon, IN and obtained certification by the Indiana Affiliation of Recovery Residences (supporting women with transitional housing for those leaving incarceration or drug treatment facilities)
- Volunteer Consultant, St. Vincent House, Supported early stages and concept development of a residence house for patients’ families needing accommodations
- Healthcare Committee, Department of Justice Indiana Protection for Abused and Trafficked Humans Task Force (IPATH)
- President / Board Member / National Advocacy Liaison, Ladies of Charity USA, In service of the poor, providing leadership of transformation, assisting persons who are vulnerable
- Board Member, Lady Eagles Basketball Association
- Board Member, St. Vincent Women’s Hospital Advisory Board
- Board Member, Child Advocacy Council
- Board Member, Child Abuse Response Team
- Board Member, Women of Hope Steering Council
- Volunteer, St. Vincent de Paul Food Pantry
- Volunteer, St. Vincent House meal prep
- Volunteer, Meals on Wheels
- Volunteer, Habitat for Humanity New Orleans, LA
- Mentor, Trusted Mentors Indianapolis
- Communications Liaison, Indianapolis Super Bowl Committee
Subject Matter Expertise
- Healthcare and Pharma
- Public Health
- Regulatory Compliance
- Patient Safety and Consumer Protection
- Emergency Preparedness
- Privacy and Security Compliance
- Enterprise Risk Management
- Software Development and Implementation
- Process Improvement
Timeline
Associate General Counsel
Indiana Professional Licensing Agency
02.2025 - Current
President
Main Street Legal, LLC
03.2023 - 01.2025
Of Counsel
Stoll Keenon Ogden (previously Katz Korin Cunningham)
01.2021 - 01.2023
Regulatory Compliance and Policy Liaison
Indiana Department of Health (IDOH)
01.2017 - 01.2021
President
Killian Consulting, LLC
01.2017 - 01.2019
Special Counsel, Office of Legal Affairs
Indiana Department of Health (IDOH)
01.2015 - 01.2017
Vice President Operations & Compliance Consultant
Ntracts, LLC (A Hall Render subsidiary)
01.2008 - 01.2014
Attorney
Hall Render Killian Heath & Lyman, PC
01.1997 - 01.2008
Doctor of Jurisprudence -
Indiana University McKinney School of Law
Bachelor of Arts - Communications
California State University
Civil Mediation -
Indiana Continuing Education Forum
Lean Practitioner -
Purdue University
Leadership at All Levels -
Indiana Department of Health