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In 2018, Medoff was a panelist for Town & Country's Philanthropy Summit and for the Blackstone Women’s Initiative's Leading with Purpose discussion. She has also been named on Crain's New York Business 40 Under 40.

On January 13, 2016, Medoff was appointed the executive director of American Ballet Theatre, working alongside Artistic Director Kevin McKenzie. On February 16, 2016, Barnett assumed the position officially, succeeding Rachel S. Moore.

She is a term member of the Council on Foreign Relations and a member of the Class of 2015 Henry Crown Fellows at the Aspen Institute. She was named "40 Under 40" by Crain's New York Business in 2014.

Medoff began working at the Lincoln Center for the Performing Arts during her last year at Harvard Business School through the HBS Leadership Fellows program, a program dedicated to connect graduating MBA students with nonprofit and public-sector arts organizations. After her fellowship year, Medoff remained at Lincoln Center, and worked as senior director of Lincoln Center's capital campaign and director of strategy and business development. In 2012 she was appointed as the managing director of Lincoln Center International, advising international clients on planning, building, and managing arts facilities. While serving as managing director, Medoff established advisory councils in China and Latin America on behalf of the Lincoln Center and welcomed foreign dignitaries including the Vice Premier and First Lady of China to the Center in New York City. In 2015, Medoff lead the launch of the Lincoln Center Global Exchange, a gathering of international leaders of various industries focused on exploring what roles art and culture play in facing critical challenges across the globe.

On August 20, 2006, Medoff married Dov Mayer Barnett, a senior analyst for a New York real estate firm, in a Jewish ceremony at Aspen Mountain's Little Nell Resort in Aspen, Colorado. They have three children and live in New York.

Medoff was a founding producer and board member of Ars Nova, an Off-Broadway theatre production company based in Hell's Kitchen, Manhattan. She produced theatre for Broadway and Off-Broadway, including the 2003 play Modern Orthodox. In 2003, at the 57th Tony Awards, she received a Tony Award for best revival of a play as an associate producer of Long Day's Journey into Night. She serves on the advisory committee of the American Theatre Wing, which sponsors the Tony Awards.

Kara Medoff Barnett (born Kara Silber Medoff on September 26, 1978) is an American business executive, Tony Award-winning theatre producer, and arts administrator. She is the former managing director of Lincoln Center International and currently serves as the executive director of American Ballet Theatre.

Kara Silber Medoff was born on September 26, 1978, in Durham, North Carolina, as the first of six children to Dr. Jeffrey Roy Medoff, a gastroenterologist and owner of a clinical medical research company, and Debra Fran Silber, an attorney. She began training in ballet at the age of three in Chapel Hill, commuting from her family's home in Durham. In 1986 her family moved to Greensboro and she enrolled as a student in the School of Greensboro Ballet, along with four of her siblings, training under John Dennis and Maryhelen Mayfield. She continued her ballet studies at the School of Greensboro Ballet while attending and later graduating from Greensboro Day School. She contemplated pursuing ballet professionally but, at 5-foot-9 inches, was considered too tall for many companies. Medoff earned a full Trinity Scholarship to attend Duke University, where she studied pre-medicine and dance and volunteered with the student-run Emergency Medical Services group. After taking a course on Broadway productions taught by producer Emanuel Azenberg, Medoff changed her major to English with the hopes of becoming a Broadway producer. Medoff interned backstage on Broadway Shows for Azenberg and his production company and also spent a semester in New York City, through Duke's Leadership Philanthropy & the Arts program, meeting non-profit executives and directors of different New York arts organizations. She also spent a summer abroad in London studying the West End theatre and Shakespeare. Medoff graduated summa cum laude from Duke in 2000. She went on to earn her Masters in Business Administration from Harvard Business School in 2007.