Troy Koch

Troy Koch Email and Phone Number

Past-President Midwest AMCP Affiliate | Bio-Pharma and managed care executive with broad experience and a passion for building teams that exceed expectations
Troy Koch's Location
Greater Chicago Area, United States
Troy Koch's Contact Details
About Troy Koch

Troy Koch is a Past-President Midwest AMCP Affiliate | Bio-Pharma and managed care executive with broad experience and a passion for building teams that exceed expectations. Colleagues describe him as "Troy and I worked together for the better part of a year to gauge and build community support for a proposal to ban the use of artificial trans fat in restaurant and prepared foods. At the time, Troy was an appointed member of the Louisville Metro Board of Health and I was volunteering in an informal capacity in order to assist the Board's work. Troy's work was exceptional, both in his attention to detail and his passion and enthusiasm for the importance of the issue to public health in Metro Louisville. I would be thrilled to work with him again in the future." and "I worked with Troy at Humana (Competitive Health Analytics) in the Business Development role. Troy and I developed the sales plan for CHA which looked at the entire sales lifecycle...from business contact to contract. We built the plan from the bottom up with individual opportunities by client that rolled up into a annual target and stretch target. Upon execution of the sales plan Troy tracked the subsequent invoicing timeline to provide both a sales and revenue projection, as well a staffing model to meet required sales and revenue goals. With Troy's energy level and background anything's possible and I highly recommend him."

Troy Koch's Current Company Details

Past-President Midwest AMCP Affiliate | Bio-Pharma and managed care executive with broad experience and a passion for building teams that exceed expectations
Troy Koch Work Experience Details
  • Takeda
    Interim Director - Value Access Insights And Solutions
    Takeda Apr 2023 - Nov 2023
    Recruited internally by the department Vice President to serve as the Interim Director while this role was vacated due to an internal management rotation.
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  • Takeda
    Director, Account Medical Lead
    Takeda Oct 2016 - Apr 2023
    Chicago
    I provide payer-facing medical support to corporate and national accounts, delivering updates on clinical and real-world evidence for the Takeda portfolio of products. Therapeutic areas include Inflammatory Bowel Disease, Depression, ADHD, Hemophilia, and rare diseases such as Hereditary Angioedema and short bowel syndrome.
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  • Triplefin
    Executive Account Director
    Triplefin Sep 2014 - Aug 2016
    Chicago, Illinois
    Responsible for new business development and current account growth, new program development and implementation. Key accomplishments included:  Sales: Responsible for pipeline development, prospecting, proposal development, contracting, and retention.- Managed the implementation of two pharmacy delivery pilot programs for key pharmaceutical clients. - Provision of marketing, sales support, and / or speaker representation at key industry conferences including Armada, CBI, Eye for Pharma, and HDMA. Account Management: Managed an account team of four responsible for 8 client programs including copay card / voucher programs, reimbursement portals, and direct-to-patient home delivery.  Contracting: Renegotiated key client contracts resulting in a 94% revenue increase for one and a relationship turnaround for another resulting in client retention, a positive reference, and a $200K revenue improvement for the year. Product Development: Developed a go-to-market strategy for three direct-to-patient pharmacy products focused on decreasing abandonment and increasing compliance. Operations: Identified over $800K in operational and contractual savings for two wholly-owned pharmacies.
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  • Troy Koch Consulting
    Principal
    Troy Koch Consulting Jul 2013 - Sep 2014
    Greater Chicago Area
    Independent consultant assisting life science and healthcare companies as well as corporate and non-profit employers, government agencies, and union groups in the areas of: • Strategic planning and team culture evolution• Market evaluation and new product development• Sales and account team development and training support• Managed markets marketing and channel strategy• Subject matter expertise in managed care, pharmacy benefit management, and the impact of healthcare reform • Pharmacy benefit manager vendor evaluation and contract procurement, negotiation, and auditRecent projects have included:- Formulary and claims utilization analysis of self-funded clients for a small, Illinois PBM. - Created a start-up business plan for an independent integrative pharmacy, including identification and negotiation of wholesaler contracts, real estate evaluation, financial modeling, and funding. - Operational evaluation and financial valuation of three independent pharmacies for potential purchase.- Market engagements as a subject matter expert on pharmacy reimbursement, managed market pricing strategies, and the Hub / Copay Card space.
  • Hobart Group Holdings (Now
    Senior Vice President, Director Client Services - Hobart Core
    Hobart Group Holdings (Now "Precision For Value") Apr 2012 - Jul 2013
    Chicago, Il
    A full service, payer-focused marketing firm providing strategic consulting and product launch support for life science companies Responsible for account support and managed markets strategy development for two Chicago-based pharmaceutical clients as they transitioned from Hobart sister agencies to Hobart Core. Responsible for evaluation and hiring of key staff during the build-out of the new agency • Market Planning And Account Management: Directed development of managed markets strategic recommendations and tactical development for an immune globulin franchise, representing $3 Million in annual revenue. Provided PBM market landscape and key driver analysis, engagement recommendations, and Hospital / IDN sector marketing research and tactical plan to retain and grow market share • Strategic Planning: Planned and moderated client managed markets planning summit to refine annual strategic plan, strategies and tactics for 5 therapeutic areas representing $5 Million in revenue. Involved in the process and synthesis of new branding, positioning and messaging for the Managed Markets division of a top 20 pharmaceutical client • Business Development: Provided strategic leadership, key content development, and led several new business pitches securing over $250,000 in project–based sales in 6 months
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  • Humana
    Business Development - Competitive Health Analytics (A Humana Pharmacy Solutions Company)
    Humana Mar 2011 - Apr 2012
    Competitive Health Analytics is a full service Health Economics Outcomes Research company serving the public and private sector.Recruited to lead business development efforts for a recent internal HEOR start up and engage top 10 pharmaceutical firms to establish unique, multi-year research partnerships• Business Development: Engaged 6 of the top 10 pharmaceutical firms, leading to contract negotiations with 2 companies for multi-year research collaborations valued at over $1 Million each, and secured over $750,000 in additional project revenue in 6 months from additional targeted firms• Sales Planning: Developed a model to accurately forecast sales vs. revenue, and staffing needs resulting in approval of 2 additional sales staff for 2012, needed to achieve $14 million annual revenue target• Account Management: Responsible for planning and execution of the initial Joint Research Governance Committee between Humana Inc. and Novo-Nordisk while supporting final contract negotiations for a potential $1 Million research collaboration
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  • Humana
    Director, Pharmacy Sales And Segment Support (Humana Pharmacy Solutions)
    Humana May 2006 - Mar 2011
    Directed the internal PBM account management team supporting commercial self funded, government, and fully insured large group and national accounts, new business proposals, and internal market support. Restructured, refocused and expanded existing team from three (3) to twelve full time staff in 3 years. • Business Development: Achieved $1.5 Million in additional margin securing 12 pharmacy benefit carve-in wins representing 53,000 lives, exceeding annual goals 3 years in a row• Account Management: Successfully retained 29 clients representing 222,000 lives and $4 Million in margin over 3 years defending 100% of potential pharmacy carve-outs. • Marketing: Developed concept, content, and managed development of all Humana Pharmacy Solutions sales collateral, expanding awareness and reach of company’s value proposition to clients and brokers• New Product Development / Sales: Led cross-functional effort to develop, price, market, and roll out several new products to self funded clients including a mandatory home delivery product, providing 7 new sales in 2 years, exceeding sales goals, a Medication Therapy Management program and a Value-Based benefit design for ASO clients• Collaborated with underwriting and operations to implement “guaranteed” spread pricing for new pharmacy business providing a new revenue model• High-Performing Teams: Implemented internal client satisfaction survey achieving year-over-year improvement in all areas, with 98% satisfaction for “level of client interaction” and “value added to client meetings“• Training and Development: Oversaw creation of Pharmacy Sales computer-based training for National Sales team, including format and content• Process Improvement: Expanded the pharmacy proposal team, assuming responsibility for all pharmacy content from the national proposal center. Instituted quality assurance processes for accuracy, completeness and timeliness of responses and close ratio.
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  • Humana
    Director - Pharmacy Programs (Humana Pharmacy Solutions)
    Humana Feb 2006 - May 2006
    Provided subject matter leadership for development of a Tricare PBM and Mail Order proposal response, potentially serving as a chief clinical officer in the new organization if awarded. Responsibilities included the research and development of the specialty pharmacy, mail order, and clinical services responses, including competitive analysis, service gap analysis and mitigation planning / vendor partnership identification. Proposal timeline was delayed by Tricare for over a year leading to a proposal revision and award to another vendor.
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  • Louisville Metro Board Of Health
    Board Member
    Louisville Metro Board Of Health 2006 - 2010
    Louisville, Kentucky Area
    Appointed by the Mayor in 2006 to serve as the pharmacist member of the board.In 2009, led a board subcommittee responsible for developing a recommendation for an Artificial Trans Fat ban. Committee included a cross functional team of board members, government officials, and staff and produced a strategic plan which included the execution of 2 public forums on Artificial Trans Fats and the collection of comments via a dedicated website. Personally responsible for the coordination of the speakers, meeting content, and served as moderator for both public sessions. Forums were successfully held in October 2009. Coordinated the development of the final document and presentation, presented recommendation to the board and gained a unanimous approval of a recommendation for a Trans Fat Ban by the Board of Health in January 2010. Presented, along with the board president, the recommendation to the Director of Health and Wellness for his consideration and discussion with the Mayor. Director of Health and Wellness presented the board recommendation, with modifications, to the Mayor shortly thereafter for his review.
  • Corsolutions
    Senior Director, Government Programs
    Corsolutions 2004 - 2006
    • Sales Planning: Developed and executed an engagement plan targeting 10 states for Medicaid disease management business development, coordinating a team of seven consultants and lobbyists resulting in proposals for three states • Business Development: Successfully identified and developed teaming agreements with three separate strategic business partners for three Medicare disease management proposals
  • Corsolutions
    Senior Director, Pharmacy Program Development
    Corsolutions May 2003 - Jun 2004
    • Product Development: Developed a market / competitive analysis and SWOT analysis for entry into the specialty pharmacy market, and managed the development of a clinical platform marketed to the specialty pharmacy industry• Business Development: Engaged with C-level leadership for the top 5 specialty pharmacies which lead to product development exploration meetings with two companies • Program Management: Managed 3 field staff responsible for physician recruitment for a Louisiana disease management demonstration, resulting in a 50% increase in provider participation
  • Medimpact Healthcare Systems, Inc.
    Account Manager / Director Of Pharmacy Services, Kentucky Medicaid
    Medimpact Healthcare Systems, Inc. 2002 - 2003
    Served as the onsite Director of Pharmacy Services for Kentucky Medicaid, overseeing a $700 Million budget with 500,000 recipients and managing the day to day operation of the pharmacy benefit.• Plan Management: Managed and provided oversight for the Pharmacy and Therapeutics committee, developed and executed a plan that resulted in over $36 million in savings from management of key therapeutic classes • Procurement: Directed the procurement process and contract negotiations for a supplemental rebate vendor representing annualized savings of $11.6 million• Program Development: Developed and implemented a State Maximum Allowable Cost (SMAC) program for reimbursement of generic drugs saving over $15 million annually, working with key provider stakeholders to ensure a smooth rollout
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  • Humana
    Managed Care Pharmacy Resident And Various Manager Roles
    Humana 1997 - 2002
    Louisville, Kentucky Area
    Hired as the first post-doctoral Managed Care Pharmacy Resident, eventually being hired and serving several manager level roles with progressively expanded responsibilities. Key accomplishments included:• Responsible for the start-up, development, staff training and execution of five ambulatory, pharmacist run anticoagulation clinics. Partnered with the University of Kentucky on the development of an internal provider certification training, personally training 10 pharmacists. Program enrolled 500 patients and a 50% improvement in clinical metrics over the first 6 months• As part of the PBM transition team from MPS to PCS, evaluated and consolidated over 300 formulary / benefit lists, leveraging Microsoft Access, to identify 9 standard benefits for the PBM transition• Developed a business case for the staffing a pharmacist support program for an internal population health / disease management program , eventually managing 9 clinical pharmacists responsible for profile review and clinical recommendations / Drug Utilization Review• Developed and launched a pilot patient counseling program, “Ask the Pharmacist”, providing telephonic counseling to over 200 Humana members and later being integrated into the “Personal Nurse” internal disease management program• Served as part of the clinical formulary team - personally responsible for the development of several key formulary coverage protocols including Humana's first HMG-CoA (statin) management protocol resulting in $1.7 Million savings annually
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Troy Koch Skills

Managed Care Healthcare Pharmacy Benefit Management Medicare Medicaid Disease Management Leadership Pharmacy Strategic Planning Healthcare Consulting Healthcare Industry Health Insurance Cross Functional Team Leadership Process Improvement Pharmaceutical Industry Strategy Marketing Sales New Business Development Health Policy Business Development Management Utilization Management Health Economics Healthcare Information Technology Product Launch Employee Benefits Account Management Informatics Hipaa Healthcare Management Employee Benefits Design Organizational Culture Hospitals Pharmacists Team Building Insurance Training Competitive Analysis Healthcare Marketing Diabetes Program Management Customer Relationship Management Marketing Strategy Consulting Executive Management

Troy Koch Education Details

Frequently Asked Questions about Troy Koch

What is Troy Koch's role at the current company?

Troy Koch's current role is Past-President Midwest AMCP Affiliate | Bio-Pharma and managed care executive with broad experience and a passion for building teams that exceed expectations.

What is Troy Koch's email address?

Troy Koch's email address is tk****@****ana.com

What is Troy Koch's direct phone number?

Troy Koch's direct phone number is +121061*****

What schools did Troy Koch attend?

Troy Koch attended University Of Louisville, Humana, University Of Kentucky, University Of Kentucky, University Of Kentucky.

What are some of Troy Koch's interests?

Troy Koch has interest in Education.

What skills is Troy Koch known for?

Troy Koch has skills like Managed Care, Healthcare, Pharmacy Benefit Management, Medicare, Medicaid, Disease Management, Leadership, Pharmacy, Strategic Planning, Healthcare Consulting, Healthcare Industry, Health Insurance.

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