Suzanne Spohn
Overview
41
41
years of professional experience
1
1
Certification
Work History
Account Service Representative, Level III
Maxicare Health Plans
Cleveland, Ohio
09.1985 - 12.1989
- Managed customer inquiries, providing timely and accurate information on health plan benefits and services.
Director, Contracts and Licensing
TEMEG Holdings, Inc.
Hudson, Ohio
06.2007 - 05.2017
- Managed compliance and licensing requirements to ensure operational integrity in pharmacy and wholesale operating entities.
- Facilitated payer contract negotiations and oversight to enhance profitability for direct-to-consumer division.
- Redefined payer mix to encompass all payer types, enhancing commercial, Medicaid, and Medicare base payers through the addition of 300+ new contracts for direct-to-consumer initiatives.
- Achieved successful completion of Medicare competitive bid contracts to enhance service offerings in direct-to-consumer division.
- Facilitated attainment of National Association of Pharmacy Boards Accredited Drug Distributor accreditation to enhance compliance and operational standards within wholesale division.
Vice President, Managed Care Services
Gallagher Benefit Administrators, Inc.
Lisle, Illinois
01.1993 - 09.2003
- Increased annual division revenue by more than $2.5 million and increased annual PEPM savings by more than $5 from the development of proprietary managed care products, 1996-1998.
- Developed proprietary utilization management and fee negotiation programs, 1996.
- Established network of Preferred Provider Organization (PPO) and Pharmacy Benefit Management (PBM) contracts.
- Recipient of the Manager of the Year Award
Gallagher Basset Managed Care Services/Senior Health Care Consultant
Arthur J. Gallagher & Company
Itasca, Illinois
01.1990 - 06.1993
- Facilitated implementation of National Managed Care Program for Group Health and Worker's Compensation Third Party Administration division.
Vice President Contracts and Licensing
TEMEG Holdings, Inc.
Hudson, Ohio
06.2017 - Current
- Lead initiatives of corporate compliance program and risk mitigation strategies across multiple business units.
- Oversee the lifecycle of business contracts, from drafting and negotiation to compliance and renewal.
- Establish strong relationships with key stakeholders, including customers, third party payers, product manufacturers, vendors, and regulators to promote collaboration and sustainability.
- Act as the point of contact for government agencies and regulatory bodies.
Education
MBA -
Cleveland State University
Cleveland, OH1993
Bachelor of Science -
The Ohio State University
Columbus, Ohio1985
Skills
Product development
Contract Negotiations
Research and Analytics
Project Management
Sales and Marketing Support
Claims Management
Certification
Certified Managed Care Executive, 1996
Associate in Risk Management, 1993
Timeline
Vice President Contracts and Licensing
TEMEG Holdings, Inc.
06.2017 - Current
Director, Contracts and Licensing
TEMEG Holdings, Inc.
06.2007 - 05.2017
Vice President, Managed Care Services
Gallagher Benefit Administrators, Inc.
01.1993 - 09.2003
Gallagher Basset Managed Care Services/Senior Health Care Consultant
Arthur J. Gallagher & Company
01.1990 - 06.1993
Account Service Representative, Level III
Maxicare Health Plans
09.1985 - 12.1989
MBA -
Cleveland State University
Bachelor of Science -
The Ohio State University