Katie Rummel
Senior Clinical Account Manager at Envolve Pharmacy Solutions- Claim this Profile
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Bio
Experience
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Envolve Pharmacy Solutions
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United States
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Pharmaceutical Manufacturing
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100 - 200 Employee
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Senior Clinical Account Manager
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Feb 2018 - Present
Manage relationships with clinical leaders across a portfolio of Centene-owned Managed Medicaid health plans. Promoted to develop and oversee the training of new clinical account managers and provide daily leadership and support to account management team. Collaborate with the Account Management Team and internal business partners to identify and resolve client pain points, strategize on process improvement initiatives, and implement benefit and formulary changes to meet financial goals. Develop and present on clinical aspects for plan performance reviews and introduce interventions to improve therapeutic outcomes.
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Clinical Account Manager
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Dec 2015 - Feb 2018
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Optum Workers’ Comp and Auto No-Fault
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United States
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Insurance
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300 - 400 Employee
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Senior Clinical Pharmacist Liaison
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Oct 2013 - Dec 2015
• Provided clinical account support by building relationships with client key clinical stakeholders in order to identify pain points and needs, provide solutions, and create clinical programs to meet specific client needs.• Collaborated with National Account Managers and Informatics team to collect, analyze, and present client clinical data during business reviews and strategy sessions and recommend interventions to appropriately control drug utilization and spend.• Coordinated with National Account Manager and Director to implement new client clinical programs and services, provide client education and training via on-site visits and webinars, and work with Clinical Services Department to manage workflows.• Evaluated the impact of clinical programs and provide client-specific outcomes reporting.• Assisted in the training of new clinical pharmacist liaisons and ensure objectives and goals are met during training period.• Provided clinical support to the Enterprise Client Implementations team by providing subject matter expertise to identify requirements and coordinate implementation of clinical services for new and migrating clients.• Participated in Clinical Advisory Council and Pharmacy Oversight Committee to communicate client pain points and drive future program and product development.• Provided clinical assistance, support, and education to Helios mail order, operations and IT divisions as well as the sales and marketing teams. • Reviewed a client’s book of business, historical pharmacy transaction data, client base and overall program needs in order to assess and recommend appropriate formulary management.• Managed and update client formularies in collaboration with the Helios Clinical Advisory Council.• Prepared and conduct various informational and continuing education related presentations on topics such as the treatment of non-musculoskeletal injuries, pain management, depression/anxiety, and insomnia.
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Clinical Pharmacist Liaison
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Jan 2011 - Oct 2013
• Provided clinical account support by building relationships with client key clinical stakeholders in order to identify pain points and needs, provide solutions, and create clinical programs to meet specific client needs.• Collaborated with National Account Managers and Informatics team to collect, analyze, and present client clinical data during business reviews and recommend interventions to appropriately control drug utilization and spend.• Coordinated with National Account Manager and Director to implement new client clinical programs and services, provide client education and training via on-site visits and webinars, and work with Clinical Services Department to manage workflows.• Evaluated the impact of clinical programs and provide client-specific outcomes reporting.• Reviewed a client’s book of business, historical pharmacy transaction data, client base and overall program needs in order to assess and recommend appropriate formulary management.• Managed and update client formularies in collaboration with PMSI’s Pharmacy and Therapeutics Committee.• Prepared and conduct various informational and continuing education related presentations on topics such as the treatment of non-musculoskeletal injuries, pain management, depression/anxiety, and insomnia.
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Clinical Pharmacist
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Jun 2010 - Jan 2011
• Performed patient-specific, clinically-oriented medication therapy assessments through the use of a drug utilization review (DUR) process for the purpose of optimizing patient outcomes, ensuring appropriate disease-treatment strategies, decreasing poly-pharmacy, and minimizing adverse effects. • Retrospectively analyzed potential drug/drug, drug/disease, and over 3,000 other potential patient-specific therapeutic concerns through the use of High Risk Profiling.• Formulated responses for PMSI’s “prior authorization assist program” which provides therapeutic decision-making support for prescribers and nurse case managers regarding the use of opioid analgesic agents.• Composed articles for PMSInfo, a quarterly industry newsletter detailing current pharmacy-related issues such as medication utilization trends, advancements in drug therapy, current literature reviews, FDA MedWatch and new drug approvals.
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Pharmacy Resident
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May 2009 - May 2010
• Provided medical literature evaluation and analysis for medical-legal case review pertaining to clinical pharmacology, toxicology, pharmacy and medical malpractice.• Developed clinical services and initiatives in a variety of health care facilities.• Conducted Medication Therapy Management sessions to educate patients on medication indications, use, interactions, and other pertinent information. • Participated in precepting fourth year pharmacy students.
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UPMC Health Plan
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United States
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Insurance
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700 & Above Employee
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Clinical Pharmacy Intern
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May 2007 - Apr 2009
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Education
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University of Pittsburgh
PharmD, Doctor of Pharmacy