Sue Koppi

Experience

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  RehabOne

  Jan 1991 - Jan 1995

  Provider Services
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  ValueRx

  Jan 1994 - Jan 1999

  Network Management
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  Prime Therapeutics, Inc

  Nov 1999 - Dec 2004

  • Director, Product Management

    Mar 2004 - Dec 2004

  • Director, Sales Strategy and Operations

    Mar 2003 - Mar 2004

  • Director of Business Development

    May 2001 - Mar 2003

  • Network Development Manager

    Nov 1999 - May 2001
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  Ancillary Care Management

  Dec 2004 - Jun 2007

  Director, Account Management
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  Medica

  Jun 2007 - now

  Lead and manage mid - large scale projects across Medica organization. Serve as a business consultant to Medica operational units on organizational restructuring initiatives, strategic planning, process improvement, program development/management and business model development. Project initiatives in include:- Program Manager - Consumer Experience (member and provider call centers, marketing/communications and digital/web)Pharmacy Benefit Manager (PBM) Implementation - Project Manager - Implementation of new Consumer Directed Health Plan vendor- Project Manager/Consultant -Facilitate the implementation of Medica State Public Programs 2014 Strategic Initiatives- Project Manager - Develop and Document Operating Model for Call Center Command Center- Project Manager - Develop and document operating model for Reporting and Analysis Team - Communication Review Board - developed program and infrastructure development for Medica wide member experience initiative- HealthCare Reform Program Manager, Operations and Service for Commercial Small Group business segment- Technology Project Lead for communications development and deployment to support new claim platform implementation- Development and documentation of Business Operating Model to support communication production from new claim platform - Developed Medica wide project management standards and tools and implemented across organization- Program Manager - Medica Member Experience Survey and Data Review initiative- Implemented Fraud, Waste and Abuse technology solution- Strategic Planning Process Development and Implementation- ACO Implementation Development- Contact Center Implementation for Medica Healthy Savings Program- Pilot Program Development for Contact Centers Show less Lead and manage mid to large scale projects impacting Medica operations. Serve as a business consultant to Medica operational units on organizational restructuring initiatives, strategic planning,process improvement, program development and management and business model development. Project initiatives: - Program Manager - Health Care Reform Operations and Service Implementation- Project Management for implementation of new Fraud, Waste and Abuse solution- Serve as Program Manager for MyPlan by Medica product launch-Developed strategic road map for Medica's 2009 Pandemic Plan and assisted outside consultant with organizational engagement and deployment of plan - Led cross functional work group to streamline process between provider contracting and operations to ensure timely contract installation - Consulted with Medica National Call Center leadership in development of an end-to-end business operating model. - Consulted with call center leadership teams in the design, development, testing and implementation of new service models to support each of the five Medica call centers. Project included redesigning staffing models, aligning salaries/incentives, training redesign and career path program development- Consulted with broker leadership to identify process improvement opportunities. Documented end-to end process flows to be used in development of detailed business requirements for new broker commission system - Consulted with Individual Business segment leadership to develop & implement customer retention strategies-Created and Co-Chaired "Connecting the Dots" workgroup - workgroup tasked with identifying alignment opportunities across 11 of Medica's key strategic initiatives-Serve as Interim Vendor Management/Program Implementation/ Operating Model development - Ingenix Recovery Services- Consulted with Provider Network Operations on PatientChoice delegation and integration strategy development and planning Show less

  • Business Program Manager

    Jun 2018 - now

  • Sr. Project Manager

    May 2012 - Jun 2018

  • Director Service Innovation

    Sept 2011 - May 2012

  • Sr. Project Manager

    Jun 2007 - Nov 2011