Experience

HealthStrategy, LLC

• United States
• Business Consulting and Services
• 1 - 100 Employee

• Senior Account Executive

  • May 2020 - Present



WTW

• United Kingdom
• Financial Services
• 700 & Above Employee

• Director, Pharmacy Consultant

  • Apr 2020 - May 2020

• Associate Director Pharmacy Consultant

  • Sep 2017 - Apr 2020

  Consult with mid and large size employers on pharmacy benefits. Projects include benefit design analysis, PBM procurement/negotitations, claims audits and specialty management.Contribute to the development of new, innovative approaches that can be scalable among clients.



Novo Nordisk

• Denmark
• Pharmaceutical Manufacturing
• 700 & Above Employee

• Regional Account Executive- Market Access

  • Sep 2015 - Apr 2020

  Lead strategic account execution in collaboration with a cross-functional team among local payer/PBM, IDN and employer accounts. Create and foster strategic business relationships to ensure opportunities to increase penetration and market access for Novo Nordisk diabetes and obesity product portfolios.

• Regional Health System Manager

  • Jul 2012 - Sep 2015

  Lead strategic account execution in collaboration with a cross-functional team to improve product and customer access. Implement diabetes related initiatives within assigned IDN accounts by leveraging Novo Nordisk's value propagation.



Catalyst Rx

• Pharmaceutical Manufacturing
• 100 - 200 Employee

• Clinical Consultant, MCO Division

  • Sep 2011 - Jul 2012

  Dedicated clinical consultant for a managed care organization with 85K managed Medicaid and Commercial Health Plan lives. I provide superior consultative expertise including prior authorization policy development and operational workflows, formulary management, P&T Committee support and data analysis. Quarterly performance highlights and strategic recommendation reviews are created and delivered. Dedicated clinical consultant for a managed care organization with 85K managed Medicaid and Commercial Health Plan lives. I provide superior consultative expertise including prior authorization policy development and operational workflows, formulary management, P&T Committee support and data analysis. Quarterly performance highlights and strategic recommendation reviews are created and delivered.



Navitus Health Solutions

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

• Clinical Account Executive

  • Jun 2010 - Aug 2011

  • Oversee and maintain relationships with 16 clients totaling more than 200K lives and annual drug spends up to $30M with lines of business including Medicare Part D, CHIP and commercial plans. • Provide clients with quarterly consultative reviews outlining drug utilization trends, rebate estimates and opportunities, drug pipeline review and clinical program strategies. • Attend finalist presentations to address clinical programs and formulary transition strategies for prospective clients. • Assist with new client implementation set up to ensure a smooth on-boarding process and alignment of client expectations. • Proficiently utilize QlikView for client reporting to identify drug utilization trends, opportunities for cost containment and benefit management. • Collaborate with Managed Care clients to create customized clinical programs best suited for the client population and clinical goals, with an emphasis on Star Ratings for Medicare Part D plans.



Hewlett Packard Enterprise

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• Pharmacy Director

  • Jul 2009 - Jun 2010

  • Provide consultative approach for the WI Medicaid program to recommend, implement and evaluate clinical programs and services for over 1 million fee-for-service WI Medicaid lives. • Project lead for cost containment efforts including increasing effectiveness of generic MAC rates for the Medicaid program with expected annual cost savings of $50M+, improving reimbursement rates for specialty drugs with annual projected savings of $3M+ and management of the preferred drug list (formulary) with annual savings of $15M+. • Management responsibilities include supervision of the clinical call center, 4 pharmacists and 6 certified technicians. • Widely recognized as an extremely effective communicator. Communicate and interact daily with cross-functional teams from the State and internal teams, including clinical, technical and operational support teams. • Cultivate collaborative working relationships on a daily basis between HP and the State Medicaid stakeholders. Recognized by the State and HP as a person who maintains strong customer relationships, both internally and externally, across multiple departments.



Security Health Plan

• Insurance
• 200 - 300 Employee

• Clinical Pharmacy Specialist

  • 2003 - 2009

  • Successfully manage pharmacy benefits and utilization management programs for provider-sponsored HMO including more than 160,000 lives, while maintaining single digit pharmacy trends annually for the book of business when industry standards were running in the double digits. • Interim Pharmacy Director from January 2005-June 2005. • Spearhead a formulary transition effort focused on generic statins using member and provider communications, tier changes and step therapy. Achieved a 60% conversion rate and generated plan cost avoidance of approximately $1M annually. • Oversee formulary management, clinical program administration, rebate management, and development of standardized and dashboard utilization reports. • Surveillance of daily operations and workflow for 7 certified pharmacy technicians, 3 support staff and a pharmacy resident. • Recommend and implement formulary decisions, including pharmacy prior authorization policy creation based on supporting clinical literature. Evaluate pharmacy prior authorization requests based on established internal policy, peer reviewed literature and evidence-based medicine. • Direct the design, implementation and management of quality improvement programs including the pharmacy claim audits, fraud, waste and abuse monitoring and retrospective drug utilization management.