Bio
Experience
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Senior Consultant
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Jul 2011 - Present
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Senior Consultant & Pharmacotherapy Specialist
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Nov 2010 - Present
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Rx Answers, LLC
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Greater Atlanta Area
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President
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Nov 2009 - Present
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Greater Atlanta Area
Supply medication management and consulting services to residents in various settings including community, assisted living, and skilled nursing facilities. Work with resident and physician to solve medication related issues, control costs, and manage wellness program. Act as a liaison between the nursing home and pharmacy to resolve problems, address needs of the nursing facility, and provide education for the professional staff. Contract with pharmacies and nursing facility chains to provide utilization management services, including but not limited to custom formulary development and implementation, therapeutic interchange programs, clinical protocol and guidelines implementation, individualized costs savings programs, customized reporting, and process reengineering for compliance and margin management. All programs are designed to provide positive resident outcomes with maximized costs savings. Providing business management services with extensive knowledge in consulting, strategic planning, training and medication management services (MTM) to long term care corporations, assisted living facilities, home health agencies and independent community residents. Clinical, regulatory, and business consulting for health plan, PBM, and pharmacy practice settings with extensive knowledge regarding the intricacies of Medicare Part B vs. D billing, gap analysis of plan operations, compliance and audit issues including development of corrective action plans, as well as the specific requirements to prepare and respond to audit by the Centers for Medicare and Medicaid Services (CMS). Subject matter expert in CDAG (coverage determinations, appeals, and grievances), DVA (data validation audits), FA (formulary benefit administration), CTM (complaint tracking module), and pharmacy department compliance.
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Pharmaceutical Manufacturing
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1 - 100 Employee
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Chairman of the Board
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Nov 2015 - Nov 2016
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President
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Nov 2014 - Nov 2015
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President Elect
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Nov 2013 - Nov 2014
Providing strategic direction and focus for the society and promoting the role of the consultant pharmacist in team based healthcare. Pharmacists are the most accessible healthcare team member and consultant pharmacists are the key provider in assuring safe, effective medication use in the senior care community.
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American Society of Consultant Pharmacists
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Alexandria, Va
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Board Director
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Nov 2008 - Nov 2012
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Alexandria, Va
As a director on the board, my responsibilties included strategic planning and project pull through. Providing direction and acting as a resource for the staff.
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President, Alumni Board of Directors
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May 2008 - Sep 2012
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Utilization Management Director
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Jul 1992 - Oct 2009
Responsible for integrating utilization management with corporate customers and pharmacies, coordinating clincal consultant pull through, and developing and integrating formulary programs at a corporate level. Create and implement innovative reporting and trending tools that assist in cost containment and appropriate clincal outcomes for customers and patients.
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Education
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1977 - 1981Mercer University
Doctor of Pharmacy :BS Pharmacy, Pharmacy -
Mercer University College of Pharmacy
Suggested Services
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Industry Focus. “Health, Wellness and Fitness”
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References
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