Clinical Programs and Account Manger

• Jul 2022 - Present

Evio is a pharmacy solutions startup that works with health plans to transform the medication experience for everyone: patients, providers, and the system at large. Using real world evidence, Evio will ensure every patient gets the right medication in a simple and affordable way. Evio is a pharmacy solutions startup that works with health plans to transform the medication experience for everyone: patients, providers, and the system at large. Using real world evidence, Evio will ensure every patient gets the right medication in a simple and affordable way.

Manager, Manufacturer Solutions

• Jan 2022 - Jul 2022

Support drug manufacturers through onboarding and production operations as they use products and solutions that optimize and comply with the Medicaid Drug Rebate Program (MDRP) and the 340B Drug Discount Pricing Program. Work with states and pharmacy benefit managers using payer solutions to bring transparency, trust, and contract compliance to drug discount programs for commercial managed care. Create, analyze, and deliver validated dispute reports to state agencies. Engage US states in dispute resolution on behalf of customers. Identify and build greater efficiency and effectiveness into critical customer success execution activities. Minimize customer escalations through proactive account monitoring and stakeholder engagement/management. Show less

Senior Clinical Pharmacist

• Nov 2021 - Jan 2022

Strategic Quality Support, STARS, CAHPS, HEDISServed as subject matter expert and provide recommendations designed to address Medicare Stars ratings that may have cascading effects to other important measures such as, but not limited to, Healthcare Effectiveness Data and Information Set (HEDIS), and Consumer Assessment of Healthcare Providers and Systems (CAHPS), National Committee for Quality Assurance [NCQA] Accreditation, the Quality Rating System (Commercial Exchanges) and Health Insurance Plan Rankings.Identify underlying drivers of performance, develop and implement plans to improve ratings by working with internal departmentsVendor and Clinical Programming SupportImproved comprehensive vendor management protocol that validates delivery of expected services and targets that support company wide-goals such as limited to STARS. Activities included: Reviewing program results Developing improvement action plans Developing assessment process for evaluating new vendors to best position IBC for STARS improvement. Primary contact for PBM related activities as they may be related to MTM, the network or other direct PBM sub-delegatesMedicare Product SupportProvided clinical guidance and recommendations to support yearly product-making decisions as they relate to the Medicare formulary, supplemental benefits and strategic decisions to improve member experience. Show less

Clinical Pharmacist

• May 2019 - Nov 2021

Support Pharmacy Supervisor - Project HOME Pharmacy

• Dec 2016 - May 2019

Pharmacist

• May 2014 - Dec 2016