Dynamic, highly accomplished diabetes clinical educator, with a unique skill set as field reimbursement manager. Skilled in cross functional collaboration with providers, sales representatives and patients. Adept a complex problem solving and removing access barriers by navigating and effectively communicating payer utilization management. Passion for helping patients.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Amgen Access Specialist (Field Based)
Syneos Health
08.2022 - Current
Supported access and reimbursement for Repatha (injectable monoclonal antibody)
Executed collaborative territory strategic plan thru partnerships with call center services (HUB), sales, market access and other partners.
Provide office education during the entire prior authorization process to include, but not limited to formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal and claims resolution.
Assist offices in resolving patient specific access issues or coverage challenges.
Consistently exceeded daily, monthly and quarterly metrics.
Exceeded expectations on Field Coaching Reports (payer expertise, case resolution, sales collaboration and compliance).
Virtual Reimbursement Access Specialist
Syneos Health/Amgen
04.2020 - 08.2022
Supported access and reimbursement for 5 Amgen biologics; Repatha (injectable monoclonal antibody, retail pharmacy), Avsola (infused biosimilar, buy and bill), Otezla (PDE4 inhibitor, specialty pharmacy), Tezspire (TSLP blocker, human monoclonal antibody, buy and bill), Riabni, biosimilar, buy and bill)
Launched 2 Amgen biologics, Avsola and Tezspire
Utilized a consultative approach in education office staff on buy and bill processes, payer criteria, prior authorization and appeal process, specialty pharmacy and HUB resources
Facilitated the prior authorization and appeal/ denial process for specific patient cases
Supported office staff access issues, financial assistance options and patient support services
Worked cross functionally with field partners to achieve brand priorities.
Offered assistance from prescription to fill, supporting the entire access journey, reviewing cases, reviewing patient insurance benefit options and identifying alternate financial assistance programs.
Served as a payer expert working cross functionally with key stakeholders while adhering to all corporate and industry policies.
Diabetes Clinical Educator
Medtronic Inc
11.2017 - Current
Provided individual and group training, diabetes education and follow up for all patients on current Medtronic products and technologies
Ensured optimum patient outcomes by training on insulin pump therapy, CGM therapy and CareLink to ensure appropriate therapy settings and continuation of care
Provided training and education across multiple territories, interfacing with multiple diabetes clinical and territory mangers
Facilitated webinars or other computer based training offerings
Organized and and facilitated in-person and group education including diabetes education classes, pump starts, CGM starts, Manual Mode and Auto Mode starts advanced features and Care Link Therapy Review
Proactively made educationally focused calls to patients
Participated in district and territory teams planning sessions
Diabetes Teaching Dietitian
Carolinas Health Care System
06.2017 - 11.2017
Serve as expert resource on diabetes-related issues to physicians, medical students, nurses and other health care professionals
Initiate instruction on all aspects of diabetes self management, including meal planning, blood glucose pattern management, insulin therapy and medication adjustment
Collaborate with appropriate individuals on patients problems. Consults with physicians, nursing personnel, social workers and others as necessary to provide continuity of care for patient
Develop and implement educational plan as part of care plan for patients and their family members
Trained patients on V-Go insulin delivery device
Nurse 1 & 2/Certified Diabetes Educator
Quintiles.IMS
11.2007 - 12.2017
Strong working relationships with key clients in the Charlotte market including Carolinas Healthcare System, Novant Health, Piedmont Healthcare improving access for sales professionals
Team with Sanofi sales professionals in lunch and learns, train the trainers and sales calls to gain physician's commitment to increase market share of Sanofi diabetes and cardiovascular brands.
Collaborate with health care provider's and office staff to refer patients to diabetes and cholesterol education classes
Teach group education classes in targeted physicians offices on diabetes self management and train on medical devices, insulin pens, blood glucose monitors, inhaled insulin and PCSK9 inhibitor
Empower patients on diabetes self management skills, through branded and non branded classes for adults living with Type I and Type II diabetes.
Educate healthcare providers and staff on Sanofi's insulin and cardiovascular medications
Manage a large territory with over 350 targeted physicians; schedule and teach classes in targeted physicians offices
Attend and participate in Sanofi Product Launch Meetings for Praluent, Toujeo, IbgStar, and Afrezza, Apidra
Clinical Research Coordinator
Center For Nutrition and Preventative Medicine
05.2003 - 11.2007
Attend investigator meetings for Clinical Research Trials
Trained and oriented staff on study protocols, recruitment and retention strategies for positive clinical research experiences for study volunteers
Interact extensively with clinical monitors and study sponsors
Monitored and recorded patient progress in response to therapy.
Recorded detailed prognosis, treatment, responses and progress notes in source documents and CRF's
Accurately completed drug accountability logs
Adhered to standards in all areas, including data collection, research protocols and regulatory reporting
Collaborated with sponsors and investigators to carry out efficient and fully compliant research trials
Assessed records of each patient, reviewed databases and checked referrals to locate potential research study participants
Education
RD Eligible - Clinical Dietetic Internship
Henry Ford Hospital
Detroit, MI
1987
Bachelor of Science - Nutrition
Indiana University
Bloomington, IN
1986
Skills
Prior Authorization Certified Specialist (PACS)
Payer Expert
Product Launch Execution
Specialty Pharmacy/ Retail Pharmacy/ Buy and Bill
Strong advocate for patients including those living with diabetes
Clinical team collaboration
Certified Amgen Speaker
Virtual Access Support
Problem Solver
Excellent presentation and communication skills
Program Development
Synergistic Relationship Building
Business Acumen
Problem resolution
Certification
PACS Certification
Registered Dietitian #720359
Certified Diabetes Educator #09029235
Licensed Dietitian/Nutritionist State of North Carolina #L00696
Certified Medtronic Pump Trainer
PACS certification
Virtual Certificate of training in Adult Obesity
Previous work experience
Presbyterian Diabetes Center (formerly Nalle Clinic Diabetes Center). Wellness Dietitian, Marriott Corporation, Clinical Dietitian, UAB Hospital, Alabama
Accomplishments
Quintiles President's Club Award 2011
Quintiles Customer Care Hall of Fame-recognized for ongoing Customer Service 2011-2013
Quintiles Team Award: for achieving a cumulative customer satisfaction rating of over 90% 2011
Quintiles Platinum award for number of patients educated 2015
Affiliations
Association of Diabetes Care and Education Specialists
American Diabetes Association
Timeline
Amgen Access Specialist (Field Based)
Syneos Health
08.2022 - Current
Virtual Reimbursement Access Specialist
Syneos Health/Amgen
04.2020 - 08.2022
Diabetes Clinical Educator
Medtronic Inc
11.2017 - Current
Diabetes Teaching Dietitian
Carolinas Health Care System
06.2017 - 11.2017
Nurse 1 & 2/Certified Diabetes Educator
Quintiles.IMS
11.2007 - 12.2017
Clinical Research Coordinator
Center For Nutrition and Preventative Medicine
05.2003 - 11.2007
RD Eligible - Clinical Dietetic Internship
Henry Ford Hospital
Bachelor of Science - Nutrition
Indiana University
PACS Certification
Registered Dietitian #720359
Certified Diabetes Educator #09029235
Licensed Dietitian/Nutritionist State of North Carolina #L00696