Summary
Overview
Work History
Education
Skills
AWARDS
Accomplishments
Affiliations
Additional Information
Timeline
Generic

ELIZABETH Hill

Fairhope

Summary

A proven leader that has demonstrated strong, measurable results in managed care pharmacy.



Overview

26
26
years of professional experience

Work History

Director, Professional Affairs

Academy of Managed Care Pharmacy
08.2022 - Current
  • Lead advisory groups and workshops for strategic initiatives (Biosimilars, Patient Voice)
  • Format for Formulary Submissions AMCP staff liaison – working on revision to be released in 2023-24.
  • Preceptor for APPE students (in 2023, University of Pittsburg, University of Michigan)
  • Preceptor for AMCP Foundation/Premera Blue Cross Blue Shield resident (2023)

Director, Clinical Account Services - MCO West

MedImpact Healthcare Systems, Inc
07.2020 - 08.2022
  • Director, Clinical Account Services - MCO West (11/2021 - 08/2022):
  • Led team of 10 seasoned pharmacists (Clinical Program Managers) primarily assigned to west coast MCO health plans and national health plans
  • Clinical Program Manager (07/2020 - 11/2021):
  • Provided proactive clinical consultative services to include aggressive trend management, formulary management, clinical quality gap analysis, and up sell of clinical products and services.
  • Prepared and delivered quarterly and annual executive level reviews for clients to include recommendations to optimize client pharmacy benefit performance.
  • Assigned clients including MCO, government programs, and self-insured plans in California.
  • Committee participation: Residency, Clinical Advisory, Train for Success

Sr Director, Payer, Provider, & Partner Alliances

Xcenda
05.2019 - 04.2021
  • Payer recruitment and engagement for FormularyDecisions platform
  • 236% increase in healthcare decision maker survey responses
  • 45% increase in new healthcare decision maker registered users
  • 30% increase in new healthcare decision maker unique survey respondents
  • Pharmacist lead for payer team and partnership collaborations (with AMCP, ICER); coordinated Xcenda PIE webinar for FormularyDecisions efforts
  • Worked with Xcenda/Amerisource Bergen marketing on numerous successful marketing campaigns on topics of ICER, FormularyDecisions, and COVID-19
  • Coordinated and hosted AMCP and ASHP conference healthcare decision maker focus groups, recruited session speakers, and assisted with marketing materials review
  • Assisting with onboarding new team to take platform project to next phase.

Vice President, Payer Strategy and Relations

Dymaxium
03.2017 - 05.2019
  • Vice President, Payer Strategy and Relations (Mar 2017 - May 2019):
  • Strategy and growth planning – worked with team to create and implement new strategic plan, shifting the revenue model from content subscription based to insights based to ultimately sell the company. Company sold to Xcenda/AmeriSource Bergen in May 2019.
  • Evidence and value content collaboration for AMCP eDossier System – Managed team of 30 pharmacy student interns annually to develop content for P&T pipeline/new drugs content
  • Pharmacist lead for payer team and partnership collaborations
  • Senior Consultant, Payer Engagement and Partner Collaborations (Oct 2016 - Mar 2017):
  • Strategy and growth planning
  • Enhance platform clinical content

System Director of Ambulatory Pharmacy Services

Ochsner Health Systems
01.2015 - 08.2016
  • Led efforts to build and grow Ambulatory Pharmacy Services, including Digital Medicine, Population Management, Centralized Clinical Pharmacy Services, and Clinics
  • Achieved Anticoagulation Center of Excellence Recognition (first in Louisiana) in 1Q2016
  • Designed and implemented Pharmacy Patient Assistance Program
  • Program started in 7/2015 and served 2,285 patients saving them $2.3M in non-specialty medications through 5/2016
  • Participated in team to manage Ochsner employee pharmacy benefit – 17K employees
  • System P&T voting member, Vaccine Subcommittee (Chair), Readmission Core Team, Opioid Stewardship (Lead)

Director of Pharmacy, Residency Program Director

San Francisco Health Plan
10.2012 - 02.2015
  • Led RFP, selection process, contract negotiations and implementation efforts for both PBM and Specialty Pharmacy
  • The PBM implementation improved pharmacy operational efficiency by over 50% and reduced organization pharmacy benefit spend by over 15%
  • The specialty pharmacy program resulted in an average PDC of 91% for all specialty drugs, with the Hepatitis C agents at a 99% PDC
  • Led Medi-Cal expansion pharmacy efforts for health plan
  • Led effort to create new PGY1 Managed Care Pharmacy Residency Program
  • 45 applicants applied from 26 schools of pharmacy in 16 states during first year
  • SFHP matched with top candidate selection
  • Led team to initiate a new UCSF APPE Managed Care Pharmacy Student Program effective 3/31/14
  • Worked with SFHP team to prepare for 2015 NCQA Interim Survey
  • Implemented innovative MTM model that would include pharmacists in clinics, provider offices, LTC facilities, retail pharmacies and discharge pharmacists in hospitals
  • Health Plan P&T Committee (Chair), Data Governance Committee, Enterprise Project Prioritization Committee

Assistant Director of Pharmacy Affairs

Academy of Managed Care Pharmacy
04.2011 - 10.2012
  • Provided clinical and professional practice expertise for professional pharmacy association Pharmacy Affairs department
  • Primary preceptor for AMCP student pharmacist externs and interns
  • Led 2013 FMCP 13th Annual Student Pharmacist P&T Competition; Co-led 2012 FMCP 12th Annual Student Pharmacist P&T Competition (introduced AMCP eDossier System into the competition)
  • AMCP eDossier System and Format for Formulary Submissions responsibilities
  • AMCP staff liaison to Format Executive Committee and Special Projects Committee
  • Attend meetings at the FDA, NIH, AHRQ, MedPAC, and other national organizations to represent AMCP and managed care pharmacy
  • Drafted comment letters for proposed regulations.

Director, Client Relations, Government Programs

MedImpact Healthcare Systems, Inc.
04.2005 - 10.2010
  • Director, Client Relations, Government Programs and Services (06/2010 – 10/2010):
  • Worked with Medicare Part D plans’ senior leadership meetings to discuss government program and healthcare reform strategic planning.
  • Medicare Part D and Healthcare Reform SME.
  • Participated in finalist and new sales presentations and assisted with RFP responses.
  • Interim Director, Clinical Strategies and Integration (10/2009 – 06/2010):
  • Led Clinical Strategies and Integration team for all MedImpact Accounts nationally.
  • Regional Manager, Clinical Strategies and Integration (09/2006 – 10/2009):
  • Led a team of clinical pharmacist consultants that provided aggressive pharmacy benefit trend management, formulary management, clinical gap analysis, and consultative selling of clinical products and services to managed care organizations (MCO), government programs, and self-insured clients across the US.
  • Responsible for hiring and training new clinical pharmacist consultants and for the development of tenured staff.
  • Participation in departmental strategic planning.
  • Worked collaboratively with regional management to drive successful revenue performance (FY08-09: 1.5% above revenue target; FY07-08: 23% above revenue target).
  • Participation in finalist and new sales presentations and assisted with RFP responses.
  • Participation in corporate projects (e.g. Medicare Part D Core Analytics Workgroup).
  • MedImpact National P&T Committee voting member (08/2008-05/2009).
  • Prepared and delivered presentations for clients (e.g. 2009 Medicare Part D Connect, 2009 Medi-Cal Connect) and for internal MedImpact meetings (e.g. Soaring for Excellence, Sales Excellence).
  • Participation in quarterly DHCS Medi-Cal Pharmacy Directors meetings in Sacramento, CA.
  • Team recommended over $4.4 million in clinical savings initiatives to Medi-Cal clients when CA budget cuts were announced. Overall client savings exceeded this amount.
  • Recommended clinical initiatives to a large MCO client that provided $30 million in client savings in 2.5 years.
  • Clinical Program Manager (04/2005 – 09/2006)
  • Provided proactive clinical consultative services to include aggressive trend management, formulary management, clinical quality gap analysis, and up sell of clinical products and services.
  • Provided health plan clinical support, client and MedImpact National P&T support, and monograph development.
  • Prepared and delivered quarterly and annual executive level reviews to include recommendations to optimize client pharmacy benefit performance.
  • Assigned clients included MCO, government programs, and self-insured plans across the US.

Pharmacist

Sharp Healthcare System
06.2002 - 04.2005
  • Hospice Pharmacist (04/2004 – 04/2005):
  • Provided clinical and drug dispensing services.
  • Participant on multidisciplinary inpatient hospital palliative care team.
  • Preceptor for Western University pharmacy students.
  • Presented Hospice formulary educational session to Hospice Employees.
  • Inpatient Clinical Pharmacist (06/2002 – 03/2004)
  • Provided clinical and drug dispensing services. Assisted on Code Blue team.
  • Member of Diabetes Task Force. Worked on interdisciplinary team to develop and implement protocol for pharmacist dosing of insulin in the inpatient hospital setting. Member of Nutrition Support Committee.
  • Assisted with implementation of CareCast computer system.
  • Primary preceptor for Western University pharmacy students and pharmacy practice residents.


Clinical Pharmacist Specialist

Veterans Affairs San Diego Healthcare System
06.1999 - 10.2001
  • Ambulatory Care Clinical Pharmacist Specialist (04/2001 – 10/2001):
  • Responsible for providing outpatient pharmacy clinical and drug dispensing services.
  • Provided oversight of the VA Mission valley outpatient pharmacy and clinics.
  • Preceptor for University of the Pacific pharmacy students for the hospital rotation.
  • Inpatient Clinical Pharmacist Specialist (06/1999 – 04/2001):
  • Provided clinical and drug dispensing services for all medical, surgical, and ICU shifts. Assisted on code blue team.
  • Assisted VA staff with the implementation and use of Bar Code Medication Administration and with implementation of electronic medical records.
  • Provided continuing education opportunities for the VA pharmacy department, residents, and students.
  • Preceptor for University of the Pacific pharmacy students for the internal medicine and hospital rotations.

Clinical Pharmacist

Southeast Louisiana Psychiatric Hospital
02.1999 - 05.1999
  • Provided clinical and drug dispensing services to inpatient and outpatient psychiatric patients.
  • Preceptor for University of Louisiana at Monroe pharmacy students.

Pharmacist

Slidell Memorial Hospital And Home Infusion
04.1998 - 05.1999

Home Infusion Pharmacist (04/1998 – 05/1999)

· Assisted with hospital discharge planning. Provided clinical and drug dispensing services.

· Monitored appropriate labs. Recommended renal and age specific dosing.

Per Diem Inpatient Pharmacist (11/1998 – 05/1999)

· Provided clinical and drug dispensing services.

Home Infusion Pharmacist

Slidell Memorial Hospital and Home Infusion
04.1998 - 05.1999
  • Assisted with hospital discharge planning
  • Provided clinical and drug dispensing services
  • Monitored appropriate labs
  • Recommended renal and age specific dosing.

Inpatient Pharmacist

Tulane University Hospital and Clinic
01.1998 - 09.1998
  • Provided clinical and drug dispensing services to primarily pediatric patients
  • Preceptor to Xavier pharmacy students.

Education

Master of Business Administration (MBA) -

University of Southern California
San Diego, CA

Doctorate of Pharmacy -

University of Arkansas At Little Rock
Little Rock, AR

Bachelor of Science - Pharmacy

University of Louisiana At Monroe
Monroe, LA

Skills

  • Organizational Leadership
  • Strategic Vision
  • Collaborate Cross-Functionally
  • Employee Coaching and Mentoring
  • Staff Retention
  • Revenue Recognition
  • Managing Operations and Efficiency
  • Negotiation and Conflict Resolution

AWARDS

AMCP Advocacy Award 2020

San Francisco Health Plan Awards

· SFHP Team Award for PBM Implementation 2013 

· SFHP Team Award for Essette Implementation 2014

MedImpact Awards

  • Stanley J. Hutchinson Memorial Service Excellence Award 2007 (Employee of the Year Award - 1 of 700+ employees)
  • Soaring for Excellence Alaska Trip 2008; Amazing Race Cabo Trip 2007
  • Team X: Leadership Award 2007, Teamwork Award 2006; Nominations: Leadership 2008, Service Excellence (2007,2008), Flawless Fundamentals (2006,2007), Delivering Choice (2006,2007)

Tulane Award

Best Pharmacist Clinical Interventions - January 1998

Accomplishments

  • Alabama Pharmacist License #22170 (expires 12/31/2024)
  • California Pharmacist License #053410 (expires 11/30/2023)
  • Louisiana Pharmacist License #16369 (expires 12/31/2023)

Affiliations

Academy of Managed Care Pharmacy (2005 - present)

  • AMCP LRAC Committee (2020-2022), Vice Chair
  • AMCP Format Executive Committee (2012-2020)
  • AMCP Foundation P&T Competition (Staff lead: 2012-13; National Judge: 2012-2022)
  • AMCP Diplomat for Xavier University (chapter start-up 2019; chapter completed P&T Competition in 2021)
  • Southwest AMCP Affiliate
  • AMCP Buddy Program
  • AMCP Partnership Forums Panelist (Biosimilars, P&T, Prior Authorization)


ASAE member (2022 -present)

Additional Information

  • Medical Mission to Honduras with Hope Center Clinic from Fairhope, Alabama (09/2021)
  • Uniform Formulary Beneficiary Advisory Panel, Department of Defense, Washington, DC (06/2012 - 06/2014) Advisory panel to comment on the Uniform Formulary recommendations made by the P&T Committee that determines formulary coverage for the TRICARE benefit, which represents 9.7 million active duty and retired military and their families.
  • People to People Ambassador Program – Health Economics and Pharmacotherapy delegation in China (08/2011)

Timeline

Director, Professional Affairs

Academy of Managed Care Pharmacy
08.2022 - Current

Director, Clinical Account Services - MCO West

MedImpact Healthcare Systems, Inc
07.2020 - 08.2022

Sr Director, Payer, Provider, & Partner Alliances

Xcenda
05.2019 - 04.2021

Vice President, Payer Strategy and Relations

Dymaxium
03.2017 - 05.2019

System Director of Ambulatory Pharmacy Services

Ochsner Health Systems
01.2015 - 08.2016

Director of Pharmacy, Residency Program Director

San Francisco Health Plan
10.2012 - 02.2015

Assistant Director of Pharmacy Affairs

Academy of Managed Care Pharmacy
04.2011 - 10.2012

Director, Client Relations, Government Programs

MedImpact Healthcare Systems, Inc.
04.2005 - 10.2010

Pharmacist

Sharp Healthcare System
06.2002 - 04.2005

Clinical Pharmacist Specialist

Veterans Affairs San Diego Healthcare System
06.1999 - 10.2001

Clinical Pharmacist

Southeast Louisiana Psychiatric Hospital
02.1999 - 05.1999

Pharmacist

Slidell Memorial Hospital And Home Infusion
04.1998 - 05.1999

Home Infusion Pharmacist

Slidell Memorial Hospital and Home Infusion
04.1998 - 05.1999

Inpatient Pharmacist

Tulane University Hospital and Clinic
01.1998 - 09.1998

Master of Business Administration (MBA) -

University of Southern California

Doctorate of Pharmacy -

University of Arkansas At Little Rock

Bachelor of Science - Pharmacy

University of Louisiana At Monroe
ELIZABETH Hill