Neha Koul Email & Phone Number

Chicago, Il, Us

Oversee the operations (including technical), strategy, and development of national BCBS Medicare Advantage (MA) program covering ~180K livesLead product management, KPI development & execution, financial settlement, data reporting & analysis, and creation of deliverables for senior executive audience at BCBSA and BCBS Plans for national MA program Responsible for product management of software platform, including developing solutions for BCBS Plan stakeholder needs, creation of business requirements, interfacing with Software Development team (SCRUM, Agile)Manage 3 direct reports working within the areas of MA Value-based Care, business analysis, financial model development, BCBS Plan performance monitoring; responsible for assigning deliverables/projects, professional development, and performance

Chicago, Illinois, United States

Led the creation of and manage the Reimbursement function of a complex national Medicare Advantage (MA) care coordination program, including formulation of business requirements, managing cross-functional relationships, and regularly presenting guidance to PlansInvestigated, developed, and published strategic guidance on national MA network adequacy gaps, involving primary interviews, policy research, and synthesizing & presenting complex information for external audience and senior BCBSA leadershipLead creation of materials for & present at monthly national Plan leadership meetings, which includes the formulation of strategic & operational recommendations for Plans, data analysis & insights, and integration of stakeholder feedbackSubject matter expert on the national MA care coordination program across strategic, operational, technical, and financial areas for cross-functional BCBSA audiences and PlansServe as mentor for 3 new team members; created team learning materials, led training, and regularly review deliverables

Greater Minneapolis-St. Paul Area

Evaluated the viability of a Value-Based Healthcare Program by leveraging experts across functions, economic analysis & clinical research; presented initial findings & recommendations to senior marketing & Market Access leadership Created economic value marketing collateral & models for 3 product launches and 2 disease states; worked cross-functionally to align value proposition & trained field leadership on messaging & materials Constructed a comprehensive reference manual for field managers on 11 economic models, requiring simplification of clinical & economic papers, interviews & data updates Represented Market Access in cross-functional product adoption initiative; performed data analysis, conducted primary research & gave recommendations that were implemented to impact acceleration

Raleigh-Durham, North Carolina Area

Developed strategic recommendations to optimize ROI for underperforming asthma product for business unit VP; collaborated with cross‐functional stakeholders to create an in‐depth product assessment Analyzed post‐launch performance of two new products in Asthma franchise through data analytics and presented key insights to brand team on regular basis

Deerfield, Il

Forecasted sales for 12 health systems opportunities to expand market share & geographic coverageCollaborated with Sales, M&A, Pharmacy Operations to create $5M in partnership contractsCreated best practices guide for healthcare fieldwork, leading to increased efficiency during travel & regional meetings

Deerfield, Illinois

Conducted impact study of hospitals on national retail assets, presented recommendations to real estate leadership & integrated into growth strategy for 2013-14Assessed 50+ healthcare locations for partnerships in CA, FL, MN & NC, presented recommendations to operational and sales leadership with 5 contracts executedForecasted sales for 40 new stores, completed quantitative analysis for 15 relocations & closures, with 10 slated to open, 5 to relocate & 4 to closeAssessed financial retention for pharmacy acquisitions valued $1M+ in CA, TX, FL, WI, IL and MN, resulting in buyouts of 20+ independent pharmaciesCoached 3 new hires and a rotational employee on quantitative analysis, proprietary models, health systems strategy, and Geographic Information System software (GIS)

Managed three lung cancer therapeutics studies, determined resources & project workflow, supervised 3 junior analysts in South Korea & contract firm in IndonesiaWrote 10 papers, several articles and detailed reports on market conditions & trends, SWOT analyses, and provided recommendations for market entry & expansionCollaborated with consulting & sales teams on 3 multi-country projects for MNCs, domestic companies, and ministries of health for market entry & expansion

Master Of Business Administration (M.B.A.), Healthcare Management Concentration

Activities and Societies: Medtronic National Case Competition Winner, Genentech Case Competition Runner-Up

Ba, Biology

Activities and Societies: Trustee Scholar (full tuition), National Merit Scholar, State of California Certified Mediator, researcher.