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
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 newPGY1 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.
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
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
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