Diamond Masink
Columbus
Summary
Strong leader and problem solver dedicated to streamlining operations and promoting organizational efficiency. Uses independent decision making skills and sound judgment to positively impact client and company success.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Senior Manager of Strategic Relations
RxConnection / OneDigital Pharmacy Consulting
01.2025 - Current
- Lead strategic pharmacy consulting initiatives for a national portfolio of self funded employers, public sector entities, and health systems representing millions in annual pharmacy spend.
- Direct and mentor Strategic Account Executives, Account Managers, and Client Account Executives, including onboarding, training, performance development, and ongoing coaching.
- Develop and implement account management policies, procedures, workflows, and best practices to improve service delivery, operational efficiency, and client outcomes.
- Serve as executive sponsor and primary escalation point for complex client, broker, PBM, and vendor issues.
- Lead PBM procurement projects including RFP development, market analysis, finalist evaluations, contract negotiations, and implementation oversight.
- Oversee strategic vendor partnerships including PBMs, clinical vendors, specialty management programs, international sourcing programs, PAP solutions, and GLP-1 management programs.
- Direct quarterly and annual pharmacy benefit reviews, providing executive level analysis, trend management strategies, financial forecasting, and clinical recommendations.
- Lead enterprise initiatives including development of Account Management Playbooks, SharePoint knowledge management systems, operational training programs, reporting standardization, and process automation.
- Manage implementation and transition activities for new PBM and external programs ensuring successful implementation through coordination of vendors, member communications, benefit testing, and post go live audits.
- Oversee external program governance and vendor accountability processes, including reporting validation, performance management, implementation oversight, and strategic program expansion.
- Collaborate with executive leadership on business growth initiatives, client retention strategies, operational planning, and organizational development.
- Present strategic recommendations and market intelligence to executive leadership, brokers, consultants, and client decision makers.
- Manager of Strategic Relations | September 2018 – January 2025
Account Manager
RxBenefits
12.2016 - 09.2018
- Lead contact and day-to-day administrator for assigned clients
- Maintain effective relationship with assigned client contacts
- Research and resolve client issues
- Create and analyze utilization reports
- Prepare and attend client reviews
- Perform technical analysis of group insurance contracts and financial arrangements
- Assist with the development of job aids, training materials, and intranet
- Ensure SalesForce is accurate for assigned clients
- Train Account Managers on prescription benefit information and Account Managers task
Benefit Services Project Coordinator
Medical Mutual
06.2015 - 12.2016
- Coordinated large group and small group individual product prescription drug installations to ensure accurate benefits are defined, implemented, coded, audited, and maintained
- Managed projects involving the installation or benefit coding of new prescription drug benefit designs
- Lead cross functional implementation meetings to support corporate changes, new product development, health care reform, and system related projects
- Researched and coordinate drug benefit issues
- Trained junior staff on prescription benefit designs
Account Specialist
EnvisionRx Options
07.2013 - 06.2015
- Build and test prescription benefit plans for client members totaling 100,000+ lives
- Coordinated project management for benefit plan implementation
- Assisted clients on a daily basis with questions regarding their prescription benefit to maintain client satisfaction
- Provided implementation and benefit plan support to internal departments
- Project manager for implementing SharePoint for the Client Services department
- Collaborated with Account Executive to present strategic savings opportunities to clients in Benefit Reviews and upon client request
- Lead client services team with member issue resolution and programming assistance
Account Executive
Summa Health Network
01.2013 - 07.2013
- Provided better coverage to the Summa Health Network market and provided additional resources to physician groups in the central and southern Ohio.
- Drafted thorough and concise physician communications, newsletter articles and correspondence related to Summa Health Network
- Coordinated and rolled out Diabetes Quality Initiative to physician offices.
- Coordinated new provider process to include completion of all application requests, collection of pertinent data and execution of contracts
- Facilitated recruiting and credentialing of new providers
- Assisted physician offices with attesting for Meaningful Use
- Visited offices on a weekly basis to provide current payer information and trouble shoot payer issues.
- Coordinated and facilitated monthly calls with payers to resolve physician issues.
- Researched and coordinated the resolution of provider claim and capitation issues.
Physician Network Rep
Summa Health Network
10.2011 - 01.2013
- Served as a liaison between physicians and payers and facilitated all issue resolutions.
- Maintained an accurate and current provider database related to provider facilities and physician information
- Managed internal education of payer policies and procedure updates
- Researched and coordinated the resolution of provider claim and capitation issues
- Assisted in Accountable Care Organizations projects and operation of quality initiatives
- Established a team-approach with credentialing staff to maintain provider database integrity and timely completion of the credentialing process
- Facilitated messengers to physicians and served as the main contact
- Assured that provider documentation was complete and accurate and that provider date was entered into the provider database in a timely manner
Physician Data Analyst
Summa Health Network
09.2010 - 10.2011
- Responsible for reporting and data analysis needs as required for operations including participation models, physician network activity, and new payer agreements
- Coordinated educational seminars and webinars for quality improvement task force.
- Maintained electronic medical records database and monthly invoices
- Served as a primary contact internally and externally regarding Summa Health Network data
- Ensured data files for new providers and new payers are complete as appropriate
Intern
Summa Health Network
03.2010 - 06.2010
- Assisted in Managed Care compliance initiatives (payer report cards and claim denial research)
- Organized and archived managed care contracts in an electronic contract management system
Education
Master’s Degree - Health Care Management
Case Western Reserve
Cleveland, OH07-2018
BS - Health Service Administration
Ohio University
Athens, OH06-2010
Skills
- Strategic planning
- Cross-functional collaboration
- Operations management
- Cross-functional team coordination
Certification
- Clients For Life, Account Management June 2017
- Kennesaw State University
Timeline
Senior Manager of Strategic Relations
RxConnection / OneDigital Pharmacy Consulting
01.2025 - Current
Account Manager
RxBenefits
12.2016 - 09.2018
Benefit Services Project Coordinator
Medical Mutual
06.2015 - 12.2016
Account Specialist
EnvisionRx Options
07.2013 - 06.2015
Account Executive
Summa Health Network
01.2013 - 07.2013
Physician Network Rep
Summa Health Network
10.2011 - 01.2013
Physician Data Analyst
Summa Health Network
09.2010 - 10.2011
Intern
Summa Health Network
03.2010 - 06.2010
BS - Health Service Administration
Ohio University
Master’s Degree - Health Care Management
Case Western Reserve