Ahmed Hamada Shehapeldin
Seminole,FL
Summary
Senior healthcare operations and clinical programs leader with 13+ years of experience as a pharmacist and 8+ years in management and executive-level roles, owning end-to-end clinical programs with full P&L accountability. Proven ability to design, scale, and optimize healthcare operations within highly regulated environments. Deep experience leading specialty and Medicare-aligned programs across prior authorization strategy, payer engagement, workflow redesign, and supply chain optimization. Track record of driving revenue growth, margin improvement, and operational efficiency while maintaining regulatory compliance and high clinical standards. Trusted partner to physicians, payers, cross-functional teams, and investors, with a strong ability to bridge clinical expertise, financial rigor, and technology-enabled processes to support scalable, remote-first, and data-driven healthcare delivery models.
Overview
10
10
years of professional experience
2
2
Certifications
Work History
Pharmacist-in-Charge | Clinical Operations, Program & P&L Lead
Unity Express Pharmacy
Clearwater, FL
06.2021 - Current
- Own end-to-end clinical, operational, and financial performance of a high-volume specialty pharmacy with full accountability for quality, compliance, scalability, and P&L.
- Lead and develop a multidisciplinary team of 15+ pharmacists, technicians, and administrative staff across clinical execution, operational workflows, and performance management.
- Generated $30M+ in cumulative revenue through service expansion, workflow optimization, and alignment of clinical programs with payer and market demand.
- Designed and executed data-driven medication purchasing and supply chain strategies using utilization trends, pricing analytics, and vendor performance to improve margins and control costs.
- Own prior authorization operations for specialty and ophthalmic medications, ensuring timely, accurate submissions aligned with payer clinical criteria.
- Analyze approval, denial, and appeal trends to optimize workflows, improve approval rates, and reduce therapy initiation delays.
- Serve as escalation authority for complex payer cases and appeals, applying evidence-based clinical judgment in payer discussions.
- Prepare and present monthly executive-level reports to investors and leadership, including financial performance, YoY trend analysis, cost drivers, growth opportunities, and operational risk.
- Conduct quarterly risk and performance reviews, translating insights into initiatives that improve profitability, scalability, and patient access.
- Act as primary decision-maker for clinical governance, staffing models, compliance, and operational strategy.
Clinical Pharmacist - Medicare Programs
Aspen RxHealth
Tampa, FL
03.2020 - 08.2024
- Delivered evidence-based medication therapy management (MTM) services to Medicare populations, supporting adherence, safety, and chronic disease management.
- Identified gaps in care and issued guideline-aligned recommendations within CMS and payer frameworks.
- Collaborated with physicians and interdisciplinary care teams to optimize outcomes while navigating payer and regulatory requirements.
- Supported quality initiatives tied to Medicare performance measures and cost-effective care delivery.
- Leveraged clinical data and patient engagement insights to inform therapy optimization and quality improvement efforts.
Pharmacist-in-Charge
Kay Pharmacy
Winter Haven, FL
10.2020 - 06.2021
- Served as Pharmacist-in-Charge with full operational, staffing, and financial responsibility.
- Oversaw pharmacy operations generating $10M+ in annual revenue while maintaining strong clinical quality and regulatory compliance.
- Optimized staffing models, workflows, and inventory management to improve throughput and margin performance.
- Partnered with prescribers and healthcare stakeholders to align treatment plans with best practices and patient needs.
Pharmacist-in-Charge
Benzer Pharmacy
Ocala, FL
01.2020 - 03.2020
- Led financial, operational, and clinical activities with accountability for sales growth and profitability.
- Implemented policies and procedures to ensure compliance with legal, accreditation, and certification standards.
- Improved prescription volume, pharmacy sales, and margins through workflow optimization and stakeholder engagement.
Pharmacy Intern
Benzer Pharmacy & Medrock Pharmacy
06.2016 - 11.2019
- Supported time-sensitive clinical programs requiring coordination across providers, patients, and operations.
- Assisted with specialty workflows, inventory audits, vendor pricing analysis, and technician training.
- Contributed to operational efficiency and cost optimization initiatives.
Education
School Of Pharmacy - Class of 2012
Cairo University
Cairo, Egypt06-2012
Skills
- Microsoft Excel and KPI dashboards
- Executive reporting and performance tracking
- Growth and cost analysis
- Risk assessment and management
- Clinical program oversight
- Prior authorization processes
- Optimization strategies
- Medicare program compliance
- Payer requirements and regulatory adherence
- CMS and HIPAA knowledge
- Pharmacy law expertise
- P&L management
- Margin enhancement techniques
- Team leadership skills
- Cross-functional collaboration
- Strategic planning and operational scalability
Websites
Languages
- Arabic
- English, Fluent
- Arabic, Fluent
Technical Professional Skills
Microsoft Excel (advanced financial modeling, P&L analysis, trend analysis), KPI dashboards, executive reporting, and performance tracking, Growth, cost, and risk analysis, Clinical program management and execution, Prior authorization workflows and optimization, Medicare programs and payer requirements, Regulatory compliance (CMS, HIPAA, pharmacy law), P&L ownership and margin optimization, Team leadership (15+ staff), Cross-functional collaboration (providers, payers, investors), Strategic planning and operational scalability
Core Competencies
End-to-End Clinical Program Ownership, Prior Authorization Strategy & Optimization, Medicare Programs & Payer Requirements, Evidence-Based Clinical Decision Making, P&L Ownership & Gross Margin Optimization, Financial Modeling & Executive Reporting, KPI Design & Performance Management, Supply Chain & Cost Optimization, Growth Strategy & Market Opportunity Analysis, Risk Analysis & Regulatory Compliance (CMS, HIPAA), Cross-Functional & Multidisciplinary Leadership, Provider, Payer & Stakeholder Management
Languages
English
Native/ Bilingual
Arabic
Native/ Bilingual
Certification
Licensed Pharmacist - Florida state board
Timeline
Pharmacist-in-Charge | Clinical Operations, Program & P&L Lead
Unity Express Pharmacy
06.2021 - Current
Pharmacist-in-Charge
Kay Pharmacy
10.2020 - 06.2021
Clinical Pharmacist - Medicare Programs
Aspen RxHealth
03.2020 - 08.2024
Pharmacist-in-Charge
Benzer Pharmacy
01.2020 - 03.2020
Pharmacy Intern
Benzer Pharmacy & Medrock Pharmacy
06.2016 - 11.2019
School Of Pharmacy - Class of 2012
Cairo University