Sr. Director, National Network Strategy
September 2013 to March 2015
Greater Chicago Area
1997 to 1999
Northwestern Memorial Hospital
Financial Analyst & Management Engineer
1992 to 1997
Sr. Director, VBC Performance Analytics
Greater Chicago Area
Manager, Medical Economics
1999 to September 2013
National oversight of network performance targets for medical cost savings actions, discount improvement, and large scale network initiatives. National oversight of network performance targets for medical cost savings actions, discount improvement, and large scale network initiatives.
What company does Susan Roeser work for?
Susan Roeser works for Aetna
What is Susan Roeser's role at Aetna?
Susan Roeser is Sr. Director, National Network Strategy
What industry does Susan Roeser work in?
Susan Roeser works in the Hospital & Health Care industry.
Sr. Director, National Network Strategy @ Aetna National oversight of network performance targets for medical cost savings actions, discount improvement, and large scale network initiatives. From September 2013 to March 2015 (1 year 7 months) Greater Chicago AreaConsultant @ MedPartners Led operational projects to improve provider and clinic processes. Evaluated and selected claim processing system and executed implementation. Also, integrated provider policies and practices across three multispecialty physician groups, and negotiated ancillary contracts. Developed business plans for service line expansions. From 1997 to 1999 (2 years) Financial Analyst & Management Engineer @ Northwestern Memorial Hospital Managed process improvement projects that resulted in 20+ clinical pathways for orthopedics and cardiac service. Improved efficiencies in scheduling and medical records. Developed financial reporting packages. Analyzed surgeon block schedules. Simulated operating room turn-around-times and evaluated programs for cost efficiencies. From 1992 to 1997 (5 years) Sr. Director, VBC Performance Analytics @ Aetna Comparative analysis of population health across the portfolio of Aetna’s Value-Based Contracting (VBC) models. Support identification of opportunities to improve VBC strategy, including ACO partnerships, pay-for-performance, PCMH, and risk-share models. Greater Chicago AreaManager, Medical Economics @ Aetna Experience Analysis – Strengthened medical cost analytics and trend projections for regional Commercial and Medicare products. Developed and executed strategies to drive changes in critical performance areas.Financial Modeling – Generated and deployed financial models to evaluate medical cost trends and risks. Developed strategies with network partners to realize medical trend actions. Worked hands-on with Aetna’s vast data warehouse to tap into valuable business information.Contract Analysis – Integrated the modeling of provider contract analytics to create a Center of Excellence. Standardized the financial modeling process for thousands of annual hospital, physician, and ancillary contracts.Medical Cost Savings – Directed projects to achieve medical cost savings initiatives, reduce medical trends, and improve contractual financial protections. Facilitated inter-departmental workgroups from ideation to implementation of savings initiatives. Benchmarked and created playbooks of cost savings solutions.Medical Economics Operations – Developed profitability reporting for shared risk arrangements, managed financial reconciliations. Negotiated provider settlements. Developed successful programs to implement network strategies, and directed provider compensation programs. From 1999 to September 2013 (14 years)
Introversion (I), Intuition (N), Thinking (T), Judging (J)
5 year(s), 7 month(s)
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