Experience

IngenioRx

• United States
• Insurance
• 100 - 200 Employee

• PBM Pricing Strategy Sr. Analyst

  • Oct 2018 - Present



Anthem Blue Cross and Blue Shield

• United States
• Insurance
• 700 & Above Employee

• PBM Pricing Strategy Analyst

  • Oct 2018 - Present



Tongue Thai'D

• Tampa/St. Petersburg, Florida Area

• Owner-Operator

  • Jan 2017 - Oct 2018

  A Food Service Entity providing Catering, Pop-Up, and Food Truck Street Cuisine that features contemporary interpretations of Asian and Latin dishes. A self-employed endeavor executing all business and culinary aspects of a food service provider in the Tampa Bay Area. A Food Service Entity providing Catering, Pop-Up, and Food Truck Street Cuisine that features contemporary interpretations of Asian and Latin dishes. A self-employed endeavor executing all business and culinary aspects of a food service provider in the Tampa Bay Area.



UnitedHealth Group

• Hospitals and Health Care
• 700 & Above Employee

• Strategic Account Executive

  • Jul 2015 - Jul 2016

  OptumRx, a UHG Subsidiary, (Previously Catamaran of Schaumburg, IL) A Fortune 10 Pharmacy Benefits Management corporation with strategic success in gaining market share. Connect, manage, and leverage relationships between Medical Professionals, Health Plans, Employers, Retail Pharmacies, Pharmaceutical Manufacturers, and Distributors. Offer clients a boutique-like service that provides large scale purchasing influence with the agility of smaller PBMs. Strategic Account Executive –… Show more OptumRx, a UHG Subsidiary, (Previously Catamaran of Schaumburg, IL) A Fortune 10 Pharmacy Benefits Management corporation with strategic success in gaining market share. Connect, manage, and leverage relationships between Medical Professionals, Health Plans, Employers, Retail Pharmacies, Pharmaceutical Manufacturers, and Distributors. Offer clients a boutique-like service that provides large scale purchasing influence with the agility of smaller PBMs. Strategic Account Executive – Centers of Excellence Performed tasks necessary to support the business/technical needs of a multi-billion-dollar key health plan client. Developed/maintained relationships with Medicare, Medicaid, Health Plan, TPA/Managed Care clients, and internal business departments. Provided executive leadership to both clients & internal departments to meet performance and service guarantees. • Executively managed pharmacy benefit plan covering 5.5 million lives, 600 million monthly prescriptions, and totaling $6 Billion in annual spend. • Successfully facilitated weekly client meetings: communication status log, provider services, and Fraud-Waste-Abuse. • Proactively evaluated & tactfully disseminated business communications to engage appropriate SME’s (Subject Matter Experts). • Strategically designed and ran Cognos Reports for both client and internal department analytical needs. • Effectively managed & supported Client’s Corporate Integrity Agreement requirements. • Voting Member of Pharmacy Membership Evaluation Committee (PMEC). Show less OptumRx, a UHG Subsidiary, (Previously Catamaran of Schaumburg, IL) A Fortune 10 Pharmacy Benefits Management corporation with strategic success in gaining market share. Connect, manage, and leverage relationships between Medical Professionals, Health Plans, Employers, Retail Pharmacies, Pharmaceutical Manufacturers, and Distributors. Offer clients a boutique-like service that provides large scale purchasing influence with the agility of smaller PBMs. Strategic Account Executive –… Show more OptumRx, a UHG Subsidiary, (Previously Catamaran of Schaumburg, IL) A Fortune 10 Pharmacy Benefits Management corporation with strategic success in gaining market share. Connect, manage, and leverage relationships between Medical Professionals, Health Plans, Employers, Retail Pharmacies, Pharmaceutical Manufacturers, and Distributors. Offer clients a boutique-like service that provides large scale purchasing influence with the agility of smaller PBMs. Strategic Account Executive – Centers of Excellence Performed tasks necessary to support the business/technical needs of a multi-billion-dollar key health plan client. Developed/maintained relationships with Medicare, Medicaid, Health Plan, TPA/Managed Care clients, and internal business departments. Provided executive leadership to both clients & internal departments to meet performance and service guarantees. • Executively managed pharmacy benefit plan covering 5.5 million lives, 600 million monthly prescriptions, and totaling $6 Billion in annual spend. • Successfully facilitated weekly client meetings: communication status log, provider services, and Fraud-Waste-Abuse. • Proactively evaluated & tactfully disseminated business communications to engage appropriate SME’s (Subject Matter Experts). • Strategically designed and ran Cognos Reports for both client and internal department analytical needs. • Effectively managed & supported Client’s Corporate Integrity Agreement requirements. • Voting Member of Pharmacy Membership Evaluation Committee (PMEC). Show less



Catamaran

• United States
• Hospitals and Health Care
• 500 - 600 Employee

• Strategic Account Executive

  • Jun 2014 - Jul 2016

  Performed tasks necessary to support the business/technical needs of a multi-billion-dollar key health plan client. Developed/maintained relationships with Medicare, Medicaid, Health Plan, TPA/Managed Care clients, and internal business departments. Provided executive leadership to both clients & internal departments to meet performance and service guarantees. • Executively managed pharmacy benefit plan covering 5.5 million lives, 600 million monthly prescriptions, and totaling $6 Billion in… Show more Performed tasks necessary to support the business/technical needs of a multi-billion-dollar key health plan client. Developed/maintained relationships with Medicare, Medicaid, Health Plan, TPA/Managed Care clients, and internal business departments. Provided executive leadership to both clients & internal departments to meet performance and service guarantees. • Executively managed pharmacy benefit plan covering 5.5 million lives, 600 million monthly prescriptions, and totaling $6 Billion in annual spend. • Successfully facilitated weekly client meetings: communication status log, provider services, and Fraud-Waste-Abuse. • Proactively evaluated & tactfully disseminated business communications to engage appropriate SME’s (Subject Matter Experts). • Strategically designed and ran Cognos Reports for both client and internal department analytical needs. • Tactfully managed implementations of Claims EDI FTP/sFTP between PBM, Client, and Third Parties. • Intuitively supervised EDI FTP/sFTP quality assurance of file mapping, transfers, and posting schedules. Show less Performed tasks necessary to support the business/technical needs of a multi-billion-dollar key health plan client. Developed/maintained relationships with Medicare, Medicaid, Health Plan, TPA/Managed Care clients, and internal business departments. Provided executive leadership to both clients & internal departments to meet performance and service guarantees. • Executively managed pharmacy benefit plan covering 5.5 million lives, 600 million monthly prescriptions, and totaling $6 Billion in… Show more Performed tasks necessary to support the business/technical needs of a multi-billion-dollar key health plan client. Developed/maintained relationships with Medicare, Medicaid, Health Plan, TPA/Managed Care clients, and internal business departments. Provided executive leadership to both clients & internal departments to meet performance and service guarantees. • Executively managed pharmacy benefit plan covering 5.5 million lives, 600 million monthly prescriptions, and totaling $6 Billion in annual spend. • Successfully facilitated weekly client meetings: communication status log, provider services, and Fraud-Waste-Abuse. • Proactively evaluated & tactfully disseminated business communications to engage appropriate SME’s (Subject Matter Experts). • Strategically designed and ran Cognos Reports for both client and internal department analytical needs. • Tactfully managed implementations of Claims EDI FTP/sFTP between PBM, Client, and Third Parties. • Intuitively supervised EDI FTP/sFTP quality assurance of file mapping, transfers, and posting schedules. Show less



Chetu, Inc.

• United States
• Software Development
• 700 & Above Employee

• National Account Manager, Healthcare & Pharmaceutical

  • Nov 2013 - Jun 2014

  Charged with the responsibility of identifying Payor, ACO, & Supply Chain prospects in the Healthcare space through attendance of National Conferences, industry analysis, and professional networks. • Successfully composed Healthcare Sub-Vertical Strategy Document identifying company target lists, conferences, network/organizations, & marketing channels. • Built pipeline of 400+ prospects since joining Sales Team. • Identified 14 Business Engagement Opportunities. Charged with the responsibility of identifying Payor, ACO, & Supply Chain prospects in the Healthcare space through attendance of National Conferences, industry analysis, and professional networks. • Successfully composed Healthcare Sub-Vertical Strategy Document identifying company target lists, conferences, network/organizations, & marketing channels. • Built pipeline of 400+ prospects since joining Sales Team. • Identified 14 Business Engagement Opportunities.



myMatrixx by Evernorth

• United States
• Insurance
• 100 - 200 Employee

• Client Services Manager

  • Feb 2010 - Mar 2013

  Managed all client deliverables in an Agile/Lean SDLC environment including: Catamaran/SXC (OptumRx) benefit design, pharmacy benefit program implementation, analysis, reporting, support, quality assurance, software testing, contract compliance, and state reporting compliance for 139 clients representing 1,000+ employers. Responsible for fiscal retention of $25 million in pharmacy revenue and 180,000 pharmacy transactions annually. Primary liaison between client and internal departments to… Show more Managed all client deliverables in an Agile/Lean SDLC environment including: Catamaran/SXC (OptumRx) benefit design, pharmacy benefit program implementation, analysis, reporting, support, quality assurance, software testing, contract compliance, and state reporting compliance for 139 clients representing 1,000+ employers. Responsible for fiscal retention of $25 million in pharmacy revenue and 180,000 pharmacy transactions annually. Primary liaison between client and internal departments to assure full client satisfaction. • Maintained a 99% client retention rate for over 3 years. • Annually increased revenue of existing client-base greater than industry’s 10% average. • Implemented client rollout & delivery of myMatrixx 360°, 1 Click Pharmacy™, & 1 Click Ancillary® SaaS launch to 140 customers in three months. • Consistently achieved 90% - 99% of quarterly scorecard key performance indicators (KPIs). • Maintained a 24/7/365 frontline service & support presence while traveling 70%. • Effectively managed 139 client’s pharmacy program/software lifecycles, product backlogs, & implementations. • Discerningly assessed internal service matrix environment & improve department’s cross-functional workflows/protocols. • Execute Subject Matter Expert & Facilitator Role of Joint Application Design & Agile SCRUM meetings ensuring timely/on-budget SaaS portal updates. Show less Managed all client deliverables in an Agile/Lean SDLC environment including: Catamaran/SXC (OptumRx) benefit design, pharmacy benefit program implementation, analysis, reporting, support, quality assurance, software testing, contract compliance, and state reporting compliance for 139 clients representing 1,000+ employers. Responsible for fiscal retention of $25 million in pharmacy revenue and 180,000 pharmacy transactions annually. Primary liaison between client and internal departments to… Show more Managed all client deliverables in an Agile/Lean SDLC environment including: Catamaran/SXC (OptumRx) benefit design, pharmacy benefit program implementation, analysis, reporting, support, quality assurance, software testing, contract compliance, and state reporting compliance for 139 clients representing 1,000+ employers. Responsible for fiscal retention of $25 million in pharmacy revenue and 180,000 pharmacy transactions annually. Primary liaison between client and internal departments to assure full client satisfaction. • Maintained a 99% client retention rate for over 3 years. • Annually increased revenue of existing client-base greater than industry’s 10% average. • Implemented client rollout & delivery of myMatrixx 360°, 1 Click Pharmacy™, & 1 Click Ancillary® SaaS launch to 140 customers in three months. • Consistently achieved 90% - 99% of quarterly scorecard key performance indicators (KPIs). • Maintained a 24/7/365 frontline service & support presence while traveling 70%. • Effectively managed 139 client’s pharmacy program/software lifecycles, product backlogs, & implementations. • Discerningly assessed internal service matrix environment & improve department’s cross-functional workflows/protocols. • Execute Subject Matter Expert & Facilitator Role of Joint Application Design & Agile SCRUM meetings ensuring timely/on-budget SaaS portal updates. Show less



Elsevier

• Netherlands
• IT Services and IT Consulting
• 700 & Above Employee

• Project Manager, Pharmacy Solutions

  • 2008 - 2009

  Developed & executed detailed project plans for eight Clinical Reference and Pharmacy Solutions products. Served as business liaison & facilitator between IT, Marketing, Product, Editorial, Sales, Quality Assurance, and Finance departments regarding product development lifecycles & rollouts. Responsible for client implementation and product delivery of integrated software & database solutions. Managed day-to-day operational & communication responsibilities of four Clinical Reference/Pharmacy… Show more Developed & executed detailed project plans for eight Clinical Reference and Pharmacy Solutions products. Served as business liaison & facilitator between IT, Marketing, Product, Editorial, Sales, Quality Assurance, and Finance departments regarding product development lifecycles & rollouts. Responsible for client implementation and product delivery of integrated software & database solutions. Managed day-to-day operational & communication responsibilities of four Clinical Reference/Pharmacy Solutions products. * Accomplished Clinical Measures product development, rollout & delivery, and migration of 140 customers within six months. * Designed mobile website development requirements for four Clinical Reference and Pharmacy Solutions product lines. * Successfully presented high & detailed level competitive market analysis of 18 mobile Clinical Reference products. * Implemented HL7 / A.D.T. Clinical Measures Integration for a 17 facility healthcare network within three months. * Accurately accessed 85 account’s Raw Data, HTML, XML, & Web Services needs, existing product deliverables, and gathered next lifecycle requirements for integrated software solutions product line that produces 2.6 million dollars in annual sales. * Efficiently wrote and secured bid proposal for Clinical Measures custom software integration for 10 facility healthcare network.

• Client Support Representative

  • 2007 - 2008

  Built and maintained relationships with existing client base in order to solicit sales of new or additional services. * Obtained and exceeded projected quarterly and annual new and renewal sales goals by 96% to 105%. * Consistently ranked first in call volume and support email during quarterly performance reviews.



The Management Edge Inc.

• Asst. Business Development Analyst

  • 2006 - 2007

  Pursued government & corporate business opportunities through market research and contract procurement. * Audited & identified numerous government contract opportunities and submitted bid proposals to ensure full sale pipelines. * Directed development and implementation of company’s new marketing website within two months working directly with IT vendor. * Effectively generated marketing, press release, & website content to grow and maintain market presence. Pursued government & corporate business opportunities through market research and contract procurement. * Audited & identified numerous government contract opportunities and submitted bid proposals to ensure full sale pipelines. * Directed development and implementation of company’s new marketing website within two months working directly with IT vendor. * Effectively generated marketing, press release, & website content to grow and maintain market presence.