Bringing over 20 years of consistent top performance in Patient Access, Reimbursement and Sales across the Central Nervous System, Nephrology and Endocrinology fields, with expertise in:
Patient Access: Maximizes access for customers by providing best-in-class service including support with Prior Authorization requirements, Step-edits, Letters of Medical Necessity, Letters of Appeal, Assignment of Benefit coverage, Medical/Buy & Bill, Pharmacy Benefit coverage, Billing and Coding support. Strong liaison between Hub and customer, accelerating time to treatment. Regularly educate offices on how to fill injectable medication through the Medical Benefit when it is an Assignment of Benefit
Market Access: Strong understanding of New York State payer market ecosystem across Managed Medicaid, Medicare and Commercial payers.
Program launches: Developed go-to-market strategy to launch alternate injection sites throughout the US to open access to injectable medication. Created brand strategy for underperforming territories; evaluated market needs and collaborated with matrix team members. Helped build Otsuka’s Local Care Center Program
Business development: Through meeting with CFO established Buy & Bill Program at Brooklyn’s Interfaith Hospital which enabled access to Abilify Maintena in under 6 months
High Performance Record: Finished #1 in the U.S. for new product launch of Zyprexa Relprevv; developed tailored action plan for targeted customers and delivered key stakeholder presentations
Collaboration: Consistently rated as a top collaborator across multiple functions, including Sales, Market Access and companies we co-promote with
Overview
20
20
years of professional experience
Work History
Senior Patient Access & Reimbursement Support Manager
OTSUKA PRECISION HEALTH, INC.
NYC, LI, Westchester, NJ
01.2024 - Current
Role was elevated to include working directly with patients and care partners to help solve complicated access issues for Abilify Maintena and Abilify Asimtufi
Strong payer knowledge around Medical Benefit; educated largest office in Manhattan on how to fill Assignment of Benefits through the Medical Benefit, resulting in patients now being able to fill injection medication through our Local Care Center network that were historically hospitalized
Patient Access and Reimbursement Support Manager
OTSUKA AMERICA PHARMACEUTICAL, INC.
10.2014 - 01.2024
Achieved “Exemplary” 2016 end-of-year rating; selected to mentor Boston APM
Led educational trainings on Prior Authorization process, Letters of Medical Necessity, Letters of Appeal, Tier Exception requests and the Patient Assistance Program
Led cross-functional matrix team, increasing awareness of customer submissions, both individually and on district-wide conference calls, providing brand strategy leadership
Communicated mitigation strategies with customer sites to overcome challenges in obtaining patient signatures, submitting enrollment forms to Hub, understanding benefits, and ultimately gaining access
Neuroscience Account Senior Sales Representative
ELI LILLY & COMPANY
New York City, NY
10.2013 - 05.2013
National Veterans Association (VA) leader for sales force, due to success selling Zyprexa Relprevv throughout VA hospital system in New York City
Neuroscience Account Senior Sales Representative
ELI LILLY & COMPANY
Los Angeles, CA
01.2009 - 09.2011
Sales Year: 2011
Top 16% of the Nation in sales, ranked No. 12 out of 75 territories
Finished 3rd place in National “Sprint” contest, which recognized fast product launch and received “Customer Value Metric” bonus award, for strong customer service
Sales Year: 2010
Top 3% of Nation for total portfolio sales, No. 1 of 135 territories (125% to quota) for Zyprexa Relprevv
Nominated for President’s Council
Sales Representative
Community Mental Health Center
Los Angeles, CA
01.2008 - 01.2009
Portfolio sales 102% to quota for Neuroscience drug portfolio
Voted “MVP” by peers during sales school training, 3-month training, and numerous district meetings
Sales Representative
Endocrinology Health
Forest Hills Queens, NY
05.2005 - 12.2007
Garnered “MVP,” “Peer Award,” “Rookie of the Year” award and nominated for President’s Council
Achieved strong launch of ASSURE program; 2nd highest enrollments in 2015 and Top 10% in 2016
Systemic win at South Beach Psychiatric Center in Staten Island opening access to its main office as well as its 10 NYC satellite locations
Trained and educated clinics and hospitals on Buy & Bill that had refused to do so in the past; selected to design and create Buy & Bill marketing resource for APMs
Selected to be lead for Professional Development team: Created a mentoring program for ASSURE team and a Professional Development Checklist that is approved and being utilized by APMs Nationally
Local Care Center (LCC) Network
Recognized as top territory for highest number of contracted LCC’s and injections given in the Northeast
Built alternate injection sites for patients to receive Abilify Maintena injections across NYC market
Grew LCC market of Urgent Care Centers and Pharmacies across NY state by 25+ sites
Partnered with Government and Affairs rep to change legislation for Pharmacists to administer injections
Evaluated unmet customer needs, assessed market for expansion opportunities, and exceeded expected growth of LCC’s by over 70%
As member of the Local Care Center core team; developed strategy plans for national geographic expansion of injection centers to increase access to Abilify Maintena
Maintained close communication with cross-functional team throughout process including: Trade, General Counsel, Privacy, Procurement, ASSURE Leadership, Marketing, Training, Hub Operations, and Third-party vendors
Clinical Trial Patient Transition
Transitioned clinical trial patients with orphan disease ADPKD (Autosomal Dominant Polycystic Kidney Disease) to receive commercial product of Jynarque
Instructed Primary Investigators, Study Coordinators and Physicians at hospitals how to enroll in REMS program, apply for coverage, and obtain medication from Specialty Pharmacy Distribution network (PantherRx, Avella, AllianceRx)
Transitioning all trial patients at world-renowned ADPKD Centers of Excellence (Columbia, Cornell)
Upstate New York Market Access Liaison
Acted as the “AE/APM liaison” for Upstate NY Account Managers during “Medicaid Redesign” which included change on how injectable antipsychotics were to be filled and accessed in NYS
Created presentation on Integrated Delivery Networks and presented to Northeast ASSURE team
Neuroscience Account Manager
Ranked 5/31 November 2014; consistently exceeded sales goals (105% to goal); ranked 11/31 for 2013
Quickly garnered big wins in territory; including Harlem Hospital, Columbia, NY Psychiatric Institute
Sales Year: 2009
Top 1% of Nation for portfolio sales, ranked No. 3 of 135 territories
Awarded President’s Council and voted “District MVP of the Year” by District teammates
Timeline
Senior Patient Access & Reimbursement Support Manager
Solutions Specialist/Patient Support Specialist/Senior Reimbursement Case Manager at Phyz Healthcare Solutions/CaremetxSolutions Specialist/Patient Support Specialist/Senior Reimbursement Case Manager at Phyz Healthcare Solutions/Caremetx
Senior Manager, Immunology Access and Reimbursement Manager-(PACS) Regional Field Trainer at Bristol Myers SquibbSenior Manager, Immunology Access and Reimbursement Manager-(PACS) Regional Field Trainer at Bristol Myers Squibb