Kristen Kopp
Senior Healthcare Leader | Clinical Strategy, Transformation & Innovation
- Role
- Senior Project Manager, Clinical Services and Population Health at Arkansas Blue Cross and Blue Shield
- Location
- York, PA, US
- LinkedIn followers
- 500 followers
About Kristen Kopp
Vision-driven senior manager with a proven record of leading large-scale transformation…
Experience
Senior Project Manager, Clinical Services and Population Health
Arkansas Blue Cross and Blue Shield
May 2023 — Present · York, PA, US
Leading multiple, large-scale, enterprise projects for transformative clinical services and population health initiatives, impacting efficacy, quality of care, health outcomes, and total cost of care for groups and members with emphasis in case management programs.• Implemented a large-scale, multi-year, enterprise project to operationalize an unparalleled vendor innovation hub solution, enabling automation of risk-stratified bidirectional clinical referrals of employer group members to and from vendor point solutions, devised to deliver reduced administrative burden and higher ROI for the employer and improved health outcomes for members.• Guided the inter-organizational implementation of a real-time eligibility capability in the utilization and case management documentation system, working with external vendors to build an API and crosswalk logic to enable system users to view member benefits entitlement in real time. • Led initiative to address compliance risk of member and provider complaints, streamlining and optimizing the complaints tracking, resolution, and reporting process across the enterprise delivering efficacy, improving resolution turnaround times, and enhancing reportability to URAC.
Education
Dunlap-Stone University
Bachelor of Science
2006 — 2010
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