Gene Gentile
Bristol,CT
Summary
Experienced business leader with 30 years of results driven skills in pharmacy benefit management, including Medicare part D, managed care, mergers and acquisition integration, client services and operations. Success results from coaching and mentoring team members, solving complex client demands, executing corporate objectives and delivering on initiatives.
Overview
21
21
years of professional experience
Work History
Operational Effectiveness Manager
Cigna
Bloomfield, CT
05.2018 - 08.2020
- Represented the Pharmacy department on most lines of business for all projects or legislative changes that could impact pharmacy benefits.
- Communicated benefit impacts throughout project cycle to appropriate individuals and teams on a regular basis.
- Provided training to teams on project changes as needed.
- Supported Pharmacy Implementation managers with questions and issues.
Pharmacy Installation Manager
Cigna
Bloomfield, CT
08.2015 - 04.2018
- Managed a large book of Facets business ensuring benefits are communicated timely and accurately to our benefit set-up team.
- Lead all benefit strategy calls to ensure benefit documents are complete and documented as client intended.
- Responsible for researching and solving urgent issues funneled through the sales and CSR teams.
- Developed and presented training/auditing for all new PIM's.
- Acted as a resource for all PIM's.
Medicare Part D Claims Lead
Cigna
Bloomfield, CT
06.2007 - 07.2015
- Responsible for the oversight of all benefit set-up and accuracy for our entire Medicare part D membership..
- Collaborate with Sales to ensure all proper benefit documentation is completed.
- Partnered with Pharmacy claim processor Argus on project plan to meet all deliverables.
- Developed process to ensure benefit team received and built benefit plans.
- Established a thorough benefit audit plan for our employer plans utilizing macros.
- Met regularly with Medicare teams to properly communicate and discuss Government regulations and guidelines.
Pharmacy Installation Manager
Cigna
Bloomfield, CT
05.2004 - 06.2007
- Responsible for the installation of a large group of our National Account and Commercial business.
- Translates pharmacy benefits into our PCW for National Account clients and reviewed with sales and our clinical managers.
- Partner with our audit team to ensure timely audit review.
- Work closely with our Pharmacy claim processing vendor to ensure timely issue resolution.
- Co-creator of our Pharmacy Customer Worksheet document.
Proposal Coordinator
Cigna
Bloomfield, CT
09.2001 - 09.2004
- Analyze RFP received from prospective clients and determined go forward strategy to respond to proposal requests.
- Scheduled and discussed proposal requirements with sales and proposal team members.
- Wordsmith proposal responses to promote Cigna values and capabilities.
- Lead all components of proposal to ensure timely delivery to sales or client.
National Account Sales Consultant
Cigna
Bloomfield, CT
09.1999 - 08.2001
- Responsible for working directly with client benefit manages to educate and resolve any member benefit issues.
- Developed and maintained benefit issue documents for resolution, tracking and trending.
- Served customers with knowledgeable, friendly support for all issue types.
- Built relationships with all internal partners to ensure support was available when needed.
Education
High School Diploma -
Taylor Allderdice High School
Pittsburgh, PA06.1976
Skills
- Focus and Follow-Through
- Logistics Oversight
- Inventory Management
- Program Optimization
Accomplishments
Successful 13 year professional baseball career as a player and coach who was drafted out of high school at the age of 17.
Timeline
Operational Effectiveness Manager
Cigna
05.2018 - 08.2020
Pharmacy Installation Manager
Cigna
08.2015 - 04.2018
Medicare Part D Claims Lead
Cigna
06.2007 - 07.2015
Pharmacy Installation Manager
Cigna
05.2004 - 06.2007
Proposal Coordinator
Cigna
09.2001 - 09.2004
National Account Sales Consultant
Cigna
09.1999 - 08.2001
High School Diploma -
Taylor Allderdice High School
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