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Results driven healthcare executive adept at building new organizations, optimizing existing teams, and delivering on strategic, transformational change initiatives. Utilizes creative problem solving along with professional discipline to provide structure and organization while managing through ambiguity and chaos, turning strategy into actions, and achieving demonstrable results. Actively focuses on team and business goals with strong leadership, and analytical and communication skills developed by over 25 years in business and consulting, spanning start-up to Fortune 50.
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Optum360Optum Jul 2022 - PresentEden Prairie , Mn, Us -
Chief Operating OfficerBind Benefits Sep 2017 - Jun 2022Minneapolis, Mn , UsSenior executive responsible for designing, building, and scaling the operational infrastructure needed to support a high growth health plan, from seed round to acquisition by UnitedHealthcare in 2021. Accountable for all operations of Bind, including claims administration, enrollment operations, member and provider experience, appeals and complaints, renewals, and new business implementations. Scaled operational capabilities from 50 members to over 180k, leveraging a mix of outsourcing, internal build, and key strategic partnerships. -
CooMobe, Llc Nov 2014 - Jul 2017Minneapolis, Minnesota, UsSecond employee at health services start-up focused on changing the culture of healthcare, one person at a time. Senior executive responsible for designing, building, and scaling the organization and operational infrastructure needed to support high growth company while meeting data security requirements of health plan customers. Grew team to 125+ full-time staff, serving over 23k consumers under risk agreements. - Developed core operating model for business, including definition of organization and functional units, design of operational processes and identification of key performance indicators.- Launched profoundly human multi-channel contact center to drive consumer engagement initiatives and support consumer-facing program Guides.- Led design and implementation of core technologies (including CRM system, digital marketing tool, data management platform, custom consumer-facing portal), leveraging 100% cloud-based technical infrastructure. -
Senior Vice President - Uhc Relationship Officer, Community & State And Medicare & RetirementOptum Jul 2013 - Oct 2014UsSenior executive responsible for managing multi-billion dollar relationships between Optum and UnitedHealthcare Medicare and Medicaid business units, establishing best-in-class account management team and processes to improve the working relationships between business units and maximizing the enterprise value of shared initiatives. -
Vice President, Strategic Solutions GroupUnitedhealthcare 2012 - 2013UsSenior executive responsible for defining and delivering Operating Models for Community & State populations and product offerings, and for developing and managing new capabilities to maintain competitive differentiation of UHC.
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Vice President, Health Plan OperationsUnitedhealthcare 2010 - 2012UsSenior executive responsible for leading one of three operational towers within UHC Community & State, focused on serving the needs of our state customers and health plans.
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Vice President, Franchise Program ManagementUnitedhealthcare 2008 - 2010UsSenior executive responsible for leading design and implementation of UHC Community & State's Franchise Service Delivery program, a two-year program aimed at standardizing and optimizing the UHC Community & State operating model by clearly delineating between field, regional, and national functions, and aligning resources / processes accordingly.
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Vice President, Uhn Network Technology EnablementUnitedhealthcare 2002 - 2008Us
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Senior ManagerAccenture 1995 - 2002Dublin 2, IeConsultant in Customer Relationship Management practice
Susan Hames Skills
Susan Hames Education Details
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University Of PennsylvaniaInternational Relations And Affairs
Frequently Asked Questions about Susan Hames
What company does Susan Hames work for?
Susan Hames works for Optum
What is Susan Hames's role at the current company?
Susan Hames's current role is Optum360.
What is Susan Hames's email address?
Susan Hames's email address is su****@****ind.com
What is Susan Hames's direct phone number?
Susan Hames's direct phone number is +161250*****
What schools did Susan Hames attend?
Susan Hames attended University Of Pennsylvania.
What skills is Susan Hames known for?
Susan Hames has skills like Program Management, Strategy, Managed Care, Management, Process Improvement, Healthcare, Change Management, Healthcare Industry, Consulting, Crm, Cross Functional Team Leadership, Health Policy.
Who are Susan Hames's colleagues?
Susan Hames's colleagues are Cayleigh Craig, Rachel Marsh, Nihar Shambharkar, Punna Naresh, Rhiannon Longmore, Chase Carroll, Ian Teissier.
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