Vice President, Pharmacy Operations

• Mar 2021 - Present

Director, Specialty Pharmacy

• Jan 2020 - Mar 2021

Vice President | Specialty Product Development

• Dec 2010 - Jul 2019

Developed and implemented programs to support improved clinical outcomes in the accountable care organization (ACO) model for the specialty pharmacy program. Monitors the Phase III drug pipeline and collaborates closely with Vice President (VP) of trade relations to secure limited distribution access for pharmacy in support of membership. Authors and edits requests for proposal (RFPs) and trains staff on new products at time of market launch. Builds internal processes to better support disease states. Leads a team of 15 Patient Navigators clinically trained on US Food and Drug Administration (FDA) approved indications, formularies, approval criteria, and reimbursement support.Seeks out methods and subscriptions to create robust and efficient prior authorization and financial assistance process. Created workflow process to support a unique specialty pharmacy model within a GPO to support a large nationwide membership. Show less

Interim Vice President (VP) and Director

• Jul 2006 - Dec 2010

Director | Special Programs

• Jun 2004 - Jul 2006

Promoted based on ability to improve workflow, customize care, and produce results.Oversaw satellite pharmacy inspections, audits, and payer contracting alongside Chief Pharmacy Officer (CPO) and Chief Executive Officer (CEO). Supported organization as interim Vice President (VP) during the Premier Inc. acquisition and served on Board of Directors of NS3 Health LLC. Collaborated with management to open two additional pharmacy satellites. Designed medication adherence programs with robust data analytics for providers. Spearheaded development of disease state specific navigation, improving adherence and clinical outcomes. Show less

Reimbursement Specialist

• Mar 2001 - Jun 2004

Created Patient Navigator role and department. Trained employees and designed protocol for benefits investigation and medical billing, expanding the pharmacy services portfolio. Favorably negotiated rates and contracts with third-party administrators (TPAs). Developed original intake process to create efficiencies and decrease turnaround time on prescription delivery. Built a valuable business network while representing company at national conferences to expand to other disease states.

Patient Navigator

• Sep 1999 - Mar 2001

Initiated patient records and acted as liaison between patient, provider, and insurance company. Facilitated timely communication of prescription status at every step of the process. Coordinated benefits investigation, prior authorization, and financial assistance for all specialty prescriptions. Developed relationships with Department of Children and Families (DCF), medical providers, and prominent payers across Florida. Ensured Medically Needy and Share of Cost billing in support of patients. Coordinated supplies and packaged and shipped all medication orders daily. Maintained patient charts with labs, ancillary supplies, clinical notes, invoices, and reimbursement. Show less