Kit Leung

Kit Leung Email and Phone Number

Commercial Pharmacy Network Strategy Director @ CarelonRx
Kit Leung's Location
Covina, California, United States, United States
Kit Leung's Contact Details
About Kit Leung

Kit Leung is a Commercial Pharmacy Network Strategy Director at CarelonRx. They possess expertise in business process improvement, process improvement, leadership, project management, health insurance and 20 more skills.

Kit Leung's Current Company Details
CarelonRx

Carelonrx

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Commercial Pharmacy Network Strategy Director
Kit Leung Work Experience Details
  • Carelonrx
    Commercial Pharmacy Network Strategy Director
    Carelonrx Jun 2019 - Present
    Los Angeles, California, United States
    Lead 6 associates and cross-functional teams to launch and manage retail, mail, and specialty pharmacy networks and oversee pharmacy vendor relationship for Commercial, Medicare, and Medicaid members in 14 Anthem Blue Cross Blue Shield and 2 state health plans. • Analyze client preferences, evaluate state, CMS, and ACA regulations, and execute IT enhancements. Includes assessing product adoption patterns, regulatory compliance, and cross-functional operational needs and executing testing and training plans. • Achieved over $19 million in cost savings and $31 million in incremental operating revenue by launching an optimized retail pharmacy network for 6 million Commercial members.• Increased membership by 300,000 by enabling launch of new Individual pharmacy products in Texas, Maryland, and Florida. This achievement was facilitated by conducting a thorough cross-functional assessment of state regulations, creating and implementing new retail, mail, and specialty pharmacy networks, and rolling out digital customer service tools.• Reduced commercial client costs by $12 million through network consolidation and standardization of 14 customized networks.• Launched retail pharmacy network product and increased enrollment from 400,000 to over 850,000 members in a 2-year period to achieve $8 million cost savings by developing market-specific business cases based on analysis of annual pharmacy utilization pattern changes and identifying new target markets.• Increased membership by over 1M members over 2 years by implementing pharmacy networks for large-scale new Commercial, Medicare, and Medicaid health plan clients.• Implemented mail order networks for entire Commercial, Medicare, and Medicaid books-of-business and created a mail order pharmacy credentialing/application process to enable launch of mail order pharmacy that processes over 24 million prescriptions annually.
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  • Carelonrx
    Pharmacy Product Director
    Carelonrx Jul 2016 - May 2019
    Los Angeles, California, United States
    Led a team of 4 associates to oversee pharmacy product strategy, product development and product management processes for Anthem Blue Cross Blue Shield commercial products. Included identifying new target markets, estimating costs, financial value and membership impacts for new products, project planning, and assessing viability and systems impacts of new products. • Executed commercial product strategies to save $20 million to $25 million annually by completing opportunity analyses and assessing member disruption impacts for 9 million commercial members in 14 states to drive adoption of managed formularies, optimized pharmacy networks, and clinical pharmacy programs through annual benefit planning process.• Launched tiered retail pharmacy network in 14 states, achieving over $27 million in savings by modeling member cost share impacts, analyzing state regulations, identifying cross-functional operational requirements, creating and executing test strategy, deploying customer education and sales support tools and managing vendor to execute on IT deliverables.• Developed and executed pharmacy product strategies for individual, small group, large group and national accounts segments.• Compiled industry trends and competitive information for commercial pharmacy product offerings to support strategic planning for member retention and growth goals.
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  • Carelonrx
    Pharmacy Individual Business Director
    Carelonrx Apr 2012 - Jun 2016
    Los Angeles, California, United States
    Led Affordable Care Act (ACA) operational readiness and compliance assessments for pharmacy department and developed multi-year implementation plans to launch and manage pharmacy insurance products on health insurance exchanges.• Coordinated and managed health insurance exchange (HIX) pharmacy business operations among and coordinated business activities among exchange execution, ISG, pharmacy operations, clinical pharmacy, and pharmacy claim vendor teams.• Developed and executed individual and small group pharmacy product strategies to enroll 3 million members in first year of health insurance exchange product launch.• Completed plan filings for pharmacy products in 14 Anthem BCBS states to enable sales of pharmacy products in individual and small group segments.
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  • Carelonrx
    Planning And Performance Director, Chief Of Staff
    Carelonrx Jan 2011 - Mar 2012
    Thousand Oaks, Ca
    Led business planning activities for VP of Pharmacy and served as chief-of-staff.• Documented operational, regulatory, IT, customer service, and financial disputes and complaints and quantified financial and operational impacts for on-going litigation and legal filings.• Compiled monthly KPI reporting for pharmacy leaders and drafted quarterly business review presentations for executive leadership presentations. • Developed and administered department-wide survey to 500+ pharmacy associates and analyzed survey results to develop organizational restructuring recommendations to optimize department staffing model.
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  • Elevance Health
    Provider Network Technology Transformation Director
    Elevance Health Jan 2011 - Dec 2011
    Thousand Oaks, California, United States
    Led a team of 5 associates to prioritize and implement provider domain technology projects. • Prioritized and managed the allocation of a $24M technology budget for provider domain technology projects.• Developed business cases for provider pricing, demographics, and data integrity technology solutions to allocate funding and establish launch schedules.• Led the development of project charters and oversaw the discovery process for provider pricing, demographics, and data integrity technology solutions to document business and technical requirements.
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  • Anthem Blue Cross And Blue Shield
    Medical Insurance Underwriter
    Anthem Blue Cross And Blue Shield Jul 2010 - Apr 2011
    Pewaukee, Wisconsin, United States
    Medically underwrote small groups (2-99 employees) and directed underwriting and sales projects for the plan president and VPs of sales and underwriting. Final (3rd) rotation of management and leadership development rotational program. • Achieved 10% new business win-rate by underwriting over 300 insurance applications per month and balancing company risk tolerance with profitable new business growth. • Developed an Excel-based commercial business competitive analysis tool that consolidated multiple sources of data into a single tool, allowing the plan president and VPs of sales and underwriting to make data-driven decisions for strategic pricing investments. • Created and executed a small group peak season support plan by cross-training 7 large group underwriters to establish a back-up overflow underwriting team and by creating an underwrite deployment process to manage small group peak season insurance application volumes.
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  • Anthem Blue Cross And Blue Shield
    Enrollment & Billing Quality Manager
    Anthem Blue Cross And Blue Shield Jul 2009 - Jun 2010
    Richmond, Virginia, United States
    Led 22 associates to complete monthly E&B audits and launched and managed a company-wide insurance plan enrollment and billing (E&B) quality program.2nd rotation of management and leadership development rotational program. • Developed and implemented a standardized company E&B quality program to audit over 1,000 E&B associates twice a month.• Designed and launched self-service reporting tool to enable 45 managers to review and manage E&B associate performance.• Established key performance indicators and performance targets with E&B leaders from Individual, Small Group, and Large Group business segments across 14 Anthem Blue Cross Blue Shield states.• Developed 2 associates into team leads in 8 months by encouraging and supporting professional development through coaching, mentorship, and online coursework and ultimately retained a total of 4 at-risk associates by creating professional development career paths for our team.
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  • Anthem Blue Cross And Blue Shield
    Provider Relations And Contracting Consultant, Operational Excellence Department
    Anthem Blue Cross And Blue Shield Jul 2008 - Jun 2009
    Woodland Hills, California, United States
    Directed operations improvement projects to improve medical provider service and enhance internal and external operational workflows. 1st rotation of management and leadership development rotational program. • Reconciled an antagonistic and deteriorating business relationship between Anthem Blue Cross and UCLA Medical Group leaders by resolving over $9 million in outstanding accounts receivables for UCLA Medical Group, thereby avoiding a prolonged public contract dispute.• Developed and implemented an end-to-end process to ensure providers and hospitals are promptly and thoroughly removed from claims and revenue management systems and processes, thereby preventing erroneous provider reimbursements and avoiding financial waste.
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  • Pasadena Tournament Of Roses
    Graduate Student Intern
    Pasadena Tournament Of Roses Oct 2007 - May 2008
    Pasadena, California, United States
    Measured local and regional economic impact of Tournament of Roses events (Rose Parade, Rose Bowl Game, parade float decorating, and post-parade float viewing) in partnership with Ernst & Young, USC Sports Business Institute, and Davis Research. • Created and executed survey collection plan on event days by deploying and directing 5 survey administrators across venue perimeters to collect surveys from event patrons. • Conducted on-site surveys of event attendees measuring travel, food, lodging, transportation, merchandise, and in-event/in-game expenditures and capturing demographic data to estimate per-patron expenditures within Pasadena, Greater Los Angeles area, and Southern California region.• Analyzed financial statements for Tournament of Roses events to estimate event operating revenues.• Estimated attendance at Rose Parade by conducting aerial and ground surveys of Colorado Blvd. and Sierra Madre Blvd.
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  • Panda Restaurant Group, Inc.
    Operations Improvement Consultant And Project Manager
    Panda Restaurant Group, Inc. Jun 2007 - Mar 2008
    Rosemead, California, United States
    Managed projects focused on improving Panda Express store operating efficiency and increasing same store sales and profitability.• Created policies and procedures to standardize operations for 200+ drive-thru store and increased drive thru volume by 5% in 6 months. • Conducted store visits at 25 stores in California, Washington, and Arizona to interview store managers and staff, to collect and share best practices, and to observe store operations as "secret shopper." • Piloted a curbside take-out concept and increased same store sales by 5% over 6 months.• Coordinated production and deployment of soft drink organizer with restaurant supply vendor to 50 Southern California Panda Express stores and reduced associate time spent on reorganizing countertop soft drink coolers by 30 minutes per shift.
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  • Wtw
    Human Resources Management Consultant
    Wtw Sep 2003 - Oct 2007
    Irvine, California, United States
    Managed large, national client relationships and led consulting projects, health plan renewals, and medical, pharmacy, dental, and vision plan procurement efforts.• Coordinated all aspects of annual renewal and RFP activities for 6 large national clients by completing financial modeling, developing benefits and employee contribution strategy, creating requests for proposals (RFPs) to procure cost effective health and welfare benefits, and delivering annual business review presentations to human resources executives. • Achieved an average of $2.5M in client savings per year through annual renewal and RFP negotiations and generated over $1M in annual new business revenue.• Managed and coached 2 interns to create entry-level analysts talent pipeline. • Successfully managed and coached 2 entry-level analysts resulting in promotions to mid-level analysts.
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  • Mercer
    Human Resources Management Consultant
    Mercer Sep 2000 - Sep 2003
    San Francisco, California, United States
    Managed large, national client relationships and led consulting projects, health plan renewals, and medical, pharmacy, dental, and vision plan procurement efforts.• Coordinated all aspects of annual renewal and RFP activities for 5 large national clients by completing financial modeling, developing benefits and employee contribution strategy, creating requests for proposals (RFPs) to procure cost effective health and welfare benefits, and delivering annual business review presentations to human resources executives. • Achieved an average of $1M in client savings per year through annual renewal and RFP negotiations and generated over $200K in annual new business revenue.• Managed and coached 2 interns to create entry-level analysts talent pipeline.
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Kit Leung Skills

Business Process Improvement Process Improvement Leadership Project Management Health Insurance Financial Modeling Financial Analysis Employee Benefits Insurance Business Analysis Strategic Planning Cross Functional Team Leadership Analytics Data Analysis Competitive Analysis Management Consulting Business Strategy Healthcare Change Management Management Project Planning Strategy Team Building Training Vendor Management

Kit Leung Education Details

Frequently Asked Questions about Kit Leung

What company does Kit Leung work for?

Kit Leung works for Carelonrx

What is Kit Leung's role at the current company?

Kit Leung's current role is Commercial Pharmacy Network Strategy Director.

What is Kit Leung's email address?

Kit Leung's email address is ki****@****hem.com

What schools did Kit Leung attend?

Kit Leung attended University Of Southern California, University Of California, Berkeley.

What skills is Kit Leung known for?

Kit Leung has skills like Business Process Improvement, Process Improvement, Leadership, Project Management, Health Insurance, Financial Modeling, Financial Analysis, Employee Benefits, Insurance, Business Analysis, Strategic Planning, Cross Functional Team Leadership.

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