Eric Harris
West Chester
Summary
Results-driven leader with strong background in strategic management and organizational growth. Skilled in developing and implementing effective business strategies, optimizing processes, and driving team performance. Known for adaptability, effective collaboration, and delivering measurable outcomes in dynamic environments. Strong communication and problem-solving abilities, coupled with focus on fostering productive and positive team culture.
Overview
18
18
years of professional experience
Work History
Director, Payer Contract Development Market Access
Glasko Smith-Kline
12.2022 - Current
- Lead the Contract Development Team (4) to negotiate and manage customer agreements and relationships that include rebate/discount and terms and conditions directly with national (7) and regional (22) PBMs/GPOs to secure favorable formulary position while also managing over $2 Billion in drug rebates
- Oversee product Merger & Acquisitions (2) and PBMs/GPOs (1 National) that desire to partner with GSK which has led to expanding our product portfolio, increased patient access (9M) and market share related to the impacted therapeutic areas
- Implement Market Access strategies tied to provider and Key Opinion Leader engagement related to new indications for legacy products and new product launches pertaining pricing, financial risk mitigation and public policy changes that impact partnerships with providers and PBMs/GPOs in the commercial and Medicare Part B & D lines of business
- These strategies have led to product(s) becoming best in class and most preferred in their therapeutic area
- Create, train and implement new external customer engagement and language review workflows that increased efficiencies and effectiveness throughout the contract lifecycle to mitigate financial risk and increase patient access
- Contribute to Quarterly Operations and Analytics meetings to report progress made and go forward strategies related to products and contractual relationships with Providers, Hospital Systems, PBMs and payors that led to limiting overall discounts and rebates and increased auditing opportunities realizing significant financial savings year over year
Business Development Manager
Amazon Health
11.2020 - 12.2022
- Negotiated the first payer agreement for Amazon Health and served in the lead role of the provider M&A process
- Developed and implemented Payer relationship/partnership strategies utilizing 3rd party data to support identifying specific partnership targets and engagement with Key Opinion Leaders across the healthcare industry
- Established and maintained ~ 20 of the largest IDNs, health network, payor/ health plan relationships across the country throughout the contracting/sales life cycle while tracking progress utilizing Salesforce tools
- Customized strategic growth plans to obtain the voice of the customer and build equity for the Amazon Care brand for potential clients
- Contributed Weekly and Monthly Business Reviews to identify action items and create next steps around voice of customer and market data gathering to assist leadership in decision making within the healthcare delivery space related to business growth
Director Of Provider Relations
Cigna Healthcare
10.2019 - 11.2020
- Managed a team (13) who managed all Hospitals and Physician Groups within assigned markets across the country
- Served as contracting lead to create and implement contracting strategies, identifying recruiting targets and negotiating value-based and risk-based payment methodologies with various provider organizations as it pertains to the growth of commercial, Medicare and Medicaid products
- Educated HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements tied to commercial, Medicare Advantage and Medicaid for services
- Led weekly and monthly team and leadership calls with direct reports and market leadership including direct sales regarding the status of the business relationship and new product buildout opportunities
- Identified, implemented and managed provider network growth commercial and Medicare advantage strategies/opportunities in geographic areas of interest that prioritized healthcare data exchange promoting transitioning provider reimbursement methodologies from Fee-for-Service to risk-based reimbursement
- Launched and Managed Cigna's national Bundle Payment Program related to Orthopedic surgeries and the selected members that participated in the program that included EMR integration to ensure the patient and provider had best-in-class experience
- This program led to $2 million in savings within 6 months of its launch
Director Of Payer Contracting
Recover Together, Inc.
04.2017 - 10.2019
- Led development and build out of the payer contracting and pharmacy strategic partnerships within the behavioral health “Start-up” environment
- Grew the national payer partnerships from 0-12 within the first 18 months that led to patient growth from 500 to 10,000 and the opening of 10 additional offices nationwide
- Negotiated value-based agreements that included key metrics with payors/health plans based on in-house patient data that included integration to ensure claims, benefits and preferred referral patterns included within EMR/HER
- Negotiated data access agreements with 3rd party vendors to obtain payer/health plan membership data to support business growth
- Led weekly, bi-weekly and monthly Joint Operating Committee meetings with payor/health plan, academic medical center local and national pharmacy benefit managers (PBM) leadership partners to discuss performance and opportunities to create further efficiencies to promote membership engagement and growth
- Grew revenue by $7 million in year 2 after negotiated value-based deal with payers and direct arrangements with PBM to include our preferred drugs are on payer formularies to ensure coverage
Senior Network Account Manager
CVS/Aetna
02.2016 - 04.2017
- Served as primary owner of business relationships (from start to finish) with assigned providers in a wide range of markets across the country within commercial, Medicare and Medicaid lines of business
- Established and managed assigned Hospital and Ancillary relationships in multiple markets across the country for multiple lines of business to scale Aetna’s business
- Created contracting strategies, negotiated, and converted percentage of charge and Fee-for-Service agreements to Value-based agreements within multiple service lines with high-level Provider organizations across multiple geographies
- Contributed to multiple market Medicare Advantage Network buildouts to preserve and attract more sales, clinical and technology integration opportunities between all parties involved
Senior Provider Network Manager/ Field Reimbursement
New Century Health
01.2011 - 02.2016
- Managed six (6) in nationwide provider recruitment, account management, business growth/expansion to promote adoption of technology that increases provider care efficiencies in clinical and healthcare tech startup environment
- Managed national provider and payer accounts that included frequent meetings that outlined issues and clinical results with key decision makers that operate in an Oncology Drug Buy & Bill environment
- Led training for customers related to accessing, using our in-house tech to retrieve data utilized to support clinical approvals and eligibility confirmation for services
- Managed C-suite, V-Suite and D-suite relationships with large complex healthcare provider organizations/ Integrated Health Networks
- Contributed to the growth of company from 1 client in South Florida geography to expanding to 2 national payor/health plans accessing their entire national membership that covered 40-plus markets across the country
- Served as subject matter expert for market driven and national contracting efforts and led provider-centered projects and revenue producing initiatives
Contracting Executive
Humana Insurance Company
07.2007 - 06.2010
Education
Master of Business Administration ( MBA ) and Health Service Administration ( MHSA ) -
Xavier University
Cincinnati, Ohio08-2015
Master of Science - Family Studies and Consumer Behaviors
Miami University
Oxford, OH05-2007
Bachelor of Science ( BS ) - Sociology
Miami University
Oxford, OhioSkills
- Negotiation
- Account management
- Client relationship management
- Strategic planning
- Verbal and written communication
- People management
- Decision-making
- Operations management
- Project management
Timeline
Director, Payer Contract Development Market Access
Glasko Smith-Kline
12.2022 - Current
Business Development Manager
Amazon Health
11.2020 - 12.2022
Director Of Provider Relations
Cigna Healthcare
10.2019 - 11.2020
Director Of Payer Contracting
Recover Together, Inc.
04.2017 - 10.2019
Senior Network Account Manager
CVS/Aetna
02.2016 - 04.2017
Senior Provider Network Manager/ Field Reimbursement
New Century Health
01.2011 - 02.2016
Contracting Executive
Humana Insurance Company
07.2007 - 06.2010
Bachelor of Science ( BS ) - Sociology
Miami University
Master of Business Administration ( MBA ) and Health Service Administration ( MHSA ) -
Xavier University
Master of Science - Family Studies and Consumer Behaviors
Miami University
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