Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Chelsea Choptij

Rocky Hill,CT

Summary

Methodical Product Owner with a meticulous and disciplined approach to gathering and understanding requirements, breaking down specifications, and working alongside different departments to develop high-quality products. Tactical planner and complex problem-solver with experience in various products. Prepared to bring 9 years experience in the field to a challenging new role.

Overview

10
10
years of professional experience

Work History

Job Title Agile Product Owner Advisor

Express Scripts / Cigna Inc.
10.2022 - Current
  • Managed relationships with 15 or more cross-functional groups to prioritize new product development.
  • Generated leadership communications and box report updates to address stakeholder needs.
  • Served as liaison between product and development teams to ensure objective alignment.
  • Assumed various organizational roles to drive progress on new product build-outs.
  • Assisted in providing technical guidance for challenges encountered during development cycles.
  • Served as a mentor to new team members, and assisted in their training.

Program Administrator

Anthem, Inc. / IngenioRx
08.2019 - 10.2022
  • Led project management for all Custom Onsite Pharmacy Networks and implementations.
  • Collaborated with clients and Account Managers to complete custom onsite questionnaires.
  • Coordinated with FMAC/Pricing, CVSH, Formulary, and Benefit teams to establish custom network setups.
  • Compiled and maintained data to create Excel spreadsheets summarizing pharmacy site setups.
  • Facilitated trainings and developed PowerPoint presentations for Custom Networks initiatives.
  • Guided summer interns in managing pharmacy network implementations effectively.
  • Conducted weekly meetings with FMAC/Pricing to address updates and ensure process adherence.
  • Managed two mailboxes for pharmacy-related inquiries across all business lines.

Medicare Grievance & Appeals Analyst II

Anthem, Inc.
07.2018 - 08.2019
  • Specialized in Part D appeals and processes for PA HUB and ESI.
  • Assisted in developing Desk Level Procedures and workflows for Part D appeals review.
  • Reviewed casework to ensure efficient and accurate processing of Part D appeals.
  • Acted as lead in absence of primary supervisor, maintaining workflow continuity.

Medicare Grievance & Appeals Analyst

Anthem, Inc.
05.2016 - 07.2018
  • Reviewed and analyzed Part D appeals to ensure compliance with CMS and company guidelines.
  • Provided clear determinations on appeal issues and composed user-friendly written correspondence.
  • Supported Program Audits by evaluating case requirements for CMS, KS, and Internal Mock audits.

Customer Service Representative

Anthem, Inc.
03.2015 - 05.2016
  • Responded to customer questions and / or requests either on the telephone, written letter, and email in a professional manner.
  • Experienced with multiple Anthem internal systems (MCW, CCB, Mainframe, ESI, etc.).
  • Thoroughly record all inquiries for precise tracking and analysis.
  • Always made sure the customer needs and demands are met and leaving them with a positive experience.

Education

High School Diploma -

Rocky Hill Public School
Rocky Hill, CT

Skills

  • Project Leader
  • Claims & Health Insurance
  • Creative Problem Solver
  • Exceptional Organizational Skills
  • Agile methodologies
  • Roadmap development
  • Cross-functional collaboration
  • Effective communication
  • Key relationship development
  • Work Planning and Prioritization
  • Teamwork

Accomplishments

  • 2024 CEO Annual Standout Award
  • 2024 Quarterly Standout Award

Timeline

Job Title Agile Product Owner Advisor

Express Scripts / Cigna Inc.
10.2022 - Current

Program Administrator

Anthem, Inc. / IngenioRx
08.2019 - 10.2022

Medicare Grievance & Appeals Analyst II

Anthem, Inc.
07.2018 - 08.2019

Medicare Grievance & Appeals Analyst

Anthem, Inc.
05.2016 - 07.2018

Customer Service Representative

Anthem, Inc.
03.2015 - 05.2016

High School Diploma -

Rocky Hill Public School

Similar Profiles

CREATE PROFILE