Experience

Avita Pharmacy

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Senior Account Executive

  • Feb 2018 - Present

  • Responsible for the promotion of Avita Specialty Pharmacy/340b services to targeted physicians, nurses, discharge planners, case managers with complex disease states: HIV/AIDS, Hep C and other specialty disease states. • Identify growth opportunities for 340B covered entities for small and large group practices, hospitals and health systems by leveraging both internal and external stakeholders as needed. • Significant time in conversations with various stakeholders within the healthcare… Show more • Responsible for the promotion of Avita Specialty Pharmacy/340b services to targeted physicians, nurses, discharge planners, case managers with complex disease states: HIV/AIDS, Hep C and other specialty disease states. • Identify growth opportunities for 340B covered entities for small and large group practices, hospitals and health systems by leveraging both internal and external stakeholders as needed. • Significant time in conversations with various stakeholders within the healthcare systems and address/understand/discuss complex reimbursement systems and flow of the healthcare dollar (Medicare Part B/D, ACO’s, GPO’s, Hospitals, TPAs, etc.). • Consistently met and exceeded regional KPIs and other sales metrics. • Helped lead new Business Acceleration Team on Sales/Account Management process improvement, new client implementation and sales/prospecting process improvement. Facilitated and presented to executive leadership for recommended delivery models and implementation execution. • Completed APEXUS 340B Certified Expert Exam to serve as 340B expert for customers. • Train new associates as a mentor. Help guide them through transition and help attain sales goals and objectives. Show less • Responsible for the promotion of Avita Specialty Pharmacy/340b services to targeted physicians, nurses, discharge planners, case managers with complex disease states: HIV/AIDS, Hep C and other specialty disease states. • Identify growth opportunities for 340B covered entities for small and large group practices, hospitals and health systems by leveraging both internal and external stakeholders as needed. • Significant time in conversations with various stakeholders within the healthcare… Show more • Responsible for the promotion of Avita Specialty Pharmacy/340b services to targeted physicians, nurses, discharge planners, case managers with complex disease states: HIV/AIDS, Hep C and other specialty disease states. • Identify growth opportunities for 340B covered entities for small and large group practices, hospitals and health systems by leveraging both internal and external stakeholders as needed. • Significant time in conversations with various stakeholders within the healthcare systems and address/understand/discuss complex reimbursement systems and flow of the healthcare dollar (Medicare Part B/D, ACO’s, GPO’s, Hospitals, TPAs, etc.). • Consistently met and exceeded regional KPIs and other sales metrics. • Helped lead new Business Acceleration Team on Sales/Account Management process improvement, new client implementation and sales/prospecting process improvement. Facilitated and presented to executive leadership for recommended delivery models and implementation execution. • Completed APEXUS 340B Certified Expert Exam to serve as 340B expert for customers. • Train new associates as a mentor. Help guide them through transition and help attain sales goals and objectives. Show less



AIDS Healthcare Foundation

• Hospitals and Health Care
• 700 & Above Employee

• Pharmacy Account Manager

  • Dec 2017 - Feb 2018



Walgreens Boots Alliance

• United States
• Pharmaceutical Manufacturing
• 700 & Above Employee

• Regional Account Executive

  • Apr 2016 - Sep 2017

  • Responsible for the promotion of Walgreen’s specialty pharmacy services to targeted physicians, nurses, discharge planners, case managers within complex disease states including Oncology, Organ Transplant, Multiple Sclerosis and Infertility • Identify growth opportunities within small and large group practices, hospitals and health systems and including internal and external stakeholders as needed. • Play a leadership role with the local market and region. Role serves as a resource for… Show more • Responsible for the promotion of Walgreen’s specialty pharmacy services to targeted physicians, nurses, discharge planners, case managers within complex disease states including Oncology, Organ Transplant, Multiple Sclerosis and Infertility • Identify growth opportunities within small and large group practices, hospitals and health systems and including internal and external stakeholders as needed. • Play a leadership role with the local market and region. Role serves as a resource for Account Managers and plays a lead role on key region initiatives and priorities. • Significant time in conversations with various stakeholders within the healthcare system and address/understand/discuss complex reimbursement systems and flow of the healthcare dollar (Medicare Part B/D, ACO’s, GPO’s, Hospitals, etc.). • Consistently meet and exceed regional KPIs and other sales metrics. • Responsible for territory sales portfolio of over $81 MM in revenue for Walgreens Specialty Pharmacy Services. Show less • Responsible for the promotion of Walgreen’s specialty pharmacy services to targeted physicians, nurses, discharge planners, case managers within complex disease states including Oncology, Organ Transplant, Multiple Sclerosis and Infertility • Identify growth opportunities within small and large group practices, hospitals and health systems and including internal and external stakeholders as needed. • Play a leadership role with the local market and region. Role serves as a resource for… Show more • Responsible for the promotion of Walgreen’s specialty pharmacy services to targeted physicians, nurses, discharge planners, case managers within complex disease states including Oncology, Organ Transplant, Multiple Sclerosis and Infertility • Identify growth opportunities within small and large group practices, hospitals and health systems and including internal and external stakeholders as needed. • Play a leadership role with the local market and region. Role serves as a resource for Account Managers and plays a lead role on key region initiatives and priorities. • Significant time in conversations with various stakeholders within the healthcare system and address/understand/discuss complex reimbursement systems and flow of the healthcare dollar (Medicare Part B/D, ACO’s, GPO’s, Hospitals, etc.). • Consistently meet and exceed regional KPIs and other sales metrics. • Responsible for territory sales portfolio of over $81 MM in revenue for Walgreens Specialty Pharmacy Services. Show less



Endo International plc

• Ireland
• Pharmaceutical Manufacturing
• 700 & Above Employee

• Field Reimbursement Manager

  • Jul 2014 - Mar 2016

  • Assists HCP offices with questions related to Buy/Bill management. Primary responsibilities include managing patient assistance and reimbursement support services offered to providers and related to patient access to buy/bill products; coordinating with Endo’s patient support services program representatives; educating office staff on the use of Buy/Bill products patient assistance and reimbursement support services; and participating in sales training related to product reimbursement… Show more • Assists HCP offices with questions related to Buy/Bill management. Primary responsibilities include managing patient assistance and reimbursement support services offered to providers and related to patient access to buy/bill products; coordinating with Endo’s patient support services program representatives; educating office staff on the use of Buy/Bill products patient assistance and reimbursement support services; and participating in sales training related to product reimbursement. • Utilizing data to critically think through acquisition challenges from a variety of outlets including Specialty Pharmacies, Specialty Distributors and Title sales. • Consistent, reliable, timely and high quality support of the field, as well as all other internal commercial functions. Take on a leadership role within the team by establishing a solutions oriented approach, working with Sales Representatives/DM to build and execute on local plans to overcome barriers to Buy/Bill products access. •Identify in conjunction with the field, specific targeted accounts where the FRM will assist with product acquisition or SP dispense. • Heavy emphasis on pull-through strategy in collaboration with Sales Representatives/DM. •Provide the teams with actionable feedback (across the organization) on support programs such as the Helpline, copay card, SPP performance, so as to guide changes to improve access. • Help educate the internal customers on managed market dynamics specific to SP’s/SD’s as well as local payer issues needs. • Track customer trends in order to help inform internal business decisions. (e.g. Health care policy changes.) Show less • Assists HCP offices with questions related to Buy/Bill management. Primary responsibilities include managing patient assistance and reimbursement support services offered to providers and related to patient access to buy/bill products; coordinating with Endo’s patient support services program representatives; educating office staff on the use of Buy/Bill products patient assistance and reimbursement support services; and participating in sales training related to product reimbursement… Show more • Assists HCP offices with questions related to Buy/Bill management. Primary responsibilities include managing patient assistance and reimbursement support services offered to providers and related to patient access to buy/bill products; coordinating with Endo’s patient support services program representatives; educating office staff on the use of Buy/Bill products patient assistance and reimbursement support services; and participating in sales training related to product reimbursement. • Utilizing data to critically think through acquisition challenges from a variety of outlets including Specialty Pharmacies, Specialty Distributors and Title sales. • Consistent, reliable, timely and high quality support of the field, as well as all other internal commercial functions. Take on a leadership role within the team by establishing a solutions oriented approach, working with Sales Representatives/DM to build and execute on local plans to overcome barriers to Buy/Bill products access. •Identify in conjunction with the field, specific targeted accounts where the FRM will assist with product acquisition or SP dispense. • Heavy emphasis on pull-through strategy in collaboration with Sales Representatives/DM. •Provide the teams with actionable feedback (across the organization) on support programs such as the Helpline, copay card, SPP performance, so as to guide changes to improve access. • Help educate the internal customers on managed market dynamics specific to SP’s/SD’s as well as local payer issues needs. • Track customer trends in order to help inform internal business decisions. (e.g. Health care policy changes.) Show less



Robert Half

• United States
• Staffing and Recruiting
• 700 & Above Employee

• Reimbursement Consultant

  • Jan 2014 - Jul 2014

  • Assigned temporary work relating to Health Care industry in Reimbursement/Patient Access landscape • Assignment included coding and reimbursement for Durable Medical Equipment and ancillary equipment. • Assigned to be Subject Matter Expert for billing and reimbursement for Managed Medicare/Medicaid and Traditional Medicare/Medicaid plans in various states. • Assigned temporary work relating to Health Care industry in Reimbursement/Patient Access landscape • Assignment included coding and reimbursement for Durable Medical Equipment and ancillary equipment. • Assigned to be Subject Matter Expert for billing and reimbursement for Managed Medicare/Medicaid and Traditional Medicare/Medicaid plans in various states.



Covance

• United States
• Research Services
• 700 & Above Employee

• Field Reimbursement Manager - Oncology

  • Aug 2012 - Aug 2013

  • 2013 1st Quarter “Achieving Covance Excellence” Award recipient for excellent customer service for our client Astellas and Medivation. • Primary Goal: Responding to client requests for site visits; working with client sales staff to understand account needs and site visit objectives. • Establish, developed, managed and maintained strong working relationships with over 120 members with providers in person, over the phone and by e-mail in ND, MN, WI, IL, IA, MO, OH, MI, and IN. •… Show more • 2013 1st Quarter “Achieving Covance Excellence” Award recipient for excellent customer service for our client Astellas and Medivation. • Primary Goal: Responding to client requests for site visits; working with client sales staff to understand account needs and site visit objectives. • Establish, developed, managed and maintained strong working relationships with over 120 members with providers in person, over the phone and by e-mail in ND, MN, WI, IL, IA, MO, OH, MI, and IN. • Extensive experience involving billing/coding (ICD-9, DRG, CPT, J-Q codes, NDC). • Extensive background case managing Medicare A, B, and D plans. • Demonstrated mastery of medical insurance payer knowledge (Benefit investigations/ verifications, prior authorizations, Insurance networks, Specialty Pharmacies, Pharmacy Benefit managers, Major Medical.) • Worked directly with targeted providers, their support staff, co-pay foundations, specialty pharmacies, specialty dispensaries, sales staff, and other reimbursement colleagues, within my assigned territory, to promote and educate on reimbursement procedures for Medicare, Medicaid, TriCare, and private payers. • Managed daily activities that support access to the medication as an extension of a patient assistance program, reimbursement support services, and reviewing patient benefit options to both providers and patients. • Extensive experience giving presentations (including formal dinner presentations) to educate providers, specialty pharmacies, and sales training on the use of assistance and reimbursement support services. Show less • 2013 1st Quarter “Achieving Covance Excellence” Award recipient for excellent customer service for our client Astellas and Medivation. • Primary Goal: Responding to client requests for site visits; working with client sales staff to understand account needs and site visit objectives. • Establish, developed, managed and maintained strong working relationships with over 120 members with providers in person, over the phone and by e-mail in ND, MN, WI, IL, IA, MO, OH, MI, and IN. •… Show more • 2013 1st Quarter “Achieving Covance Excellence” Award recipient for excellent customer service for our client Astellas and Medivation. • Primary Goal: Responding to client requests for site visits; working with client sales staff to understand account needs and site visit objectives. • Establish, developed, managed and maintained strong working relationships with over 120 members with providers in person, over the phone and by e-mail in ND, MN, WI, IL, IA, MO, OH, MI, and IN. • Extensive experience involving billing/coding (ICD-9, DRG, CPT, J-Q codes, NDC). • Extensive background case managing Medicare A, B, and D plans. • Demonstrated mastery of medical insurance payer knowledge (Benefit investigations/ verifications, prior authorizations, Insurance networks, Specialty Pharmacies, Pharmacy Benefit managers, Major Medical.) • Worked directly with targeted providers, their support staff, co-pay foundations, specialty pharmacies, specialty dispensaries, sales staff, and other reimbursement colleagues, within my assigned territory, to promote and educate on reimbursement procedures for Medicare, Medicaid, TriCare, and private payers. • Managed daily activities that support access to the medication as an extension of a patient assistance program, reimbursement support services, and reviewing patient benefit options to both providers and patients. • Extensive experience giving presentations (including formal dinner presentations) to educate providers, specialty pharmacies, and sales training on the use of assistance and reimbursement support services. Show less



McKesson

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Reimbursement Specialist 4

  • Sep 2009 - Aug 2012

  • Case Management/Reimbursement expertise for oncology patients and practices. Ensuring the patient’s documentation that is necessary to apply to co-pay foundations and PAP programs is legitimate and in good order. • Continuing education to practices on key changes in PAP programs and co-pay foundations. • Member of Lean Six Sigma work group for implementation of a new process in work flow. Contributed to weekly board meetings with directors and practice staff. • ICARE… Show more • Case Management/Reimbursement expertise for oncology patients and practices. Ensuring the patient’s documentation that is necessary to apply to co-pay foundations and PAP programs is legitimate and in good order. • Continuing education to practices on key changes in PAP programs and co-pay foundations. • Member of Lean Six Sigma work group for implementation of a new process in work flow. Contributed to weekly board meetings with directors and practice staff. • ICARE (corporate values) site director. Sat on committee for rewards and recognition program and helped implement new program for diversity and inclusion. Reimbursement Counselor – Bristol-Myers Squibb Access Virology PAP McKesson Corporation/AccessMED, Overland Park, KS September 2009 – December 2012 • Case Management for a Patient Assistance Program for HIV & Hepatitis B patients. Ensuring the patient’s documentation that is necessary to become approved for the program is legitimate and in good order. • Provided support to employees and management during the integration and implementation process of a ImageNow and Siebel Software platforms. • Shipping Manager. Facilitated and acted as liaison between BMS distribution center and the pharmacy vendor for issues which arouse due to shipping errors in lack of communication and/or errors between multiple platforms of processing. • Assigned High Profile Clinics to Case Manage due to personal attention to detail and satisfaction with these clients. Show less • Case Management/Reimbursement expertise for oncology patients and practices. Ensuring the patient’s documentation that is necessary to apply to co-pay foundations and PAP programs is legitimate and in good order. • Continuing education to practices on key changes in PAP programs and co-pay foundations. • Member of Lean Six Sigma work group for implementation of a new process in work flow. Contributed to weekly board meetings with directors and practice staff. • ICARE… Show more • Case Management/Reimbursement expertise for oncology patients and practices. Ensuring the patient’s documentation that is necessary to apply to co-pay foundations and PAP programs is legitimate and in good order. • Continuing education to practices on key changes in PAP programs and co-pay foundations. • Member of Lean Six Sigma work group for implementation of a new process in work flow. Contributed to weekly board meetings with directors and practice staff. • ICARE (corporate values) site director. Sat on committee for rewards and recognition program and helped implement new program for diversity and inclusion. Reimbursement Counselor – Bristol-Myers Squibb Access Virology PAP McKesson Corporation/AccessMED, Overland Park, KS September 2009 – December 2012 • Case Management for a Patient Assistance Program for HIV & Hepatitis B patients. Ensuring the patient’s documentation that is necessary to become approved for the program is legitimate and in good order. • Provided support to employees and management during the integration and implementation process of a ImageNow and Siebel Software platforms. • Shipping Manager. Facilitated and acted as liaison between BMS distribution center and the pharmacy vendor for issues which arouse due to shipping errors in lack of communication and/or errors between multiple platforms of processing. • Assigned High Profile Clinics to Case Manage due to personal attention to detail and satisfaction with these clients. Show less



Teva Pharmaceuticals

• Israel
• Pharmaceutical Manufacturing
• 700 & Above Employee

• Patient Care Advocate

  • Apr 2009 - Aug 2009

  • Gathering information for benefit investigations for patients. Which includes: looking up insurance benefits, contacting insurers, identifying the in-network specialty pharmacies, and advising the patient of their benefits. • Research, resolve, and respond to written inquiries and requests. • Verifying and maintain demographics on patients' charts. I.E. updating the latest Dr. Information, changes to Specialty Pharmacies, etc. • Gathering information for benefit investigations for patients. Which includes: looking up insurance benefits, contacting insurers, identifying the in-network specialty pharmacies, and advising the patient of their benefits. • Research, resolve, and respond to written inquiries and requests. • Verifying and maintain demographics on patients' charts. I.E. updating the latest Dr. Information, changes to Specialty Pharmacies, etc.



Boston Financial Data Services

• Financial Services
• 500 - 600 Employee

• Mutual Fund Representative

  • Mar 2006 - Nov 2008

  • High volume call-center environment. • Evaluate, verify and process service requests from shareholders, third party entities, institutions, broker/dealer operations, or client Fund/stock groups. Communication is executed via telephone. • Research, resolve, and respond to written inquiries and requests. • Provide on the job training for newer associates and provided assistance. • High volume call-center environment. • Evaluate, verify and process service requests from shareholders, third party entities, institutions, broker/dealer operations, or client Fund/stock groups. Communication is executed via telephone. • Research, resolve, and respond to written inquiries and requests. • Provide on the job training for newer associates and provided assistance.