Gino Villani

Manage the pharmacy benefit program for a portfolio of mid market clients with strong emphasis on CBIZ. Provide analysis and offer consultation for their prescription drug program including plan design, clinical, financial and coverage recommendations. Provide quarterly and annual reviews on their past spend and trend and projections for future spend based on industry trends and each plan's experience. As clinical programs are available consult clients and look for win win situations that offer savings and low member disruption.

I have developed strong relationships with pharmacy consultant leads and Principal brokers at CBIZ, MMA, Brown&Brown, Lawley and Relph/Alera.

Successfully sold RxBenefits Protect, SaveOnSP and PrudentRx to a large majority of clients that I have managed. I sold 17 clients RxBenefits Protect (formerly CAP) in the first year it was rolled out and had the 3rd highest sales in the company.

I oversee the Account Manager with respect to internal and external duties and ensure his work is completed timely and accurately within client or internal deadlines.

Managed Clinical Products for entire Willis Towers Watson coalition of over 200 clients. Clients ranged from 5,000 lives to 100,000 lives. Acted as daily contact for clients, consultant and account teams. Responsible for sales, sales support, implementations and post installation account management for each product. Developed a strategy to increase home delivery through each account team interaction when providing Annual Reviews.

• RationalMed - A data integration product combining RX, Lab and Medical data that interrogates for conflicts, errors of omission, polypharmacy and misuse and abuse. Demonstrated value of program by creating and presenting an Annual Review including a patient safety case study, ROI and pertinent reporting. Maintained 100% client retention while increasing sales that delivered $7 million annual revenue to ESI and high client satisfaction. This represented the largest client on the Product team in terms of lives and revenue. Sold directly to coalition clients or supported sales, led installation of medical claims data in house and ensured flawless implementations by working with vendors on data requirements and following install timeliness. Worked with clients to ensure communication materials met their needs. Achieved a 70% penetration rate!
• ScreenRX - A medication adherence program that targets patients that are non-adherent or identified at risk of being non-adherent. Demonstrated value by creating and presenting an Annual Review that included a patient case study, ROI and pertinent reporting. Acted as sales lead or supported account teams in sales presentations. Performed account management of ScreenRx once product was sold, ensured flawless installs, maintained 100% client retention with a 20% penetration.
• Express Alliance - A client interface to access all data ESI stores by client or patient level with different levels of access including specialist pharmacist resources and Grand Round case work. Acted as sales lead or supported account teams in sales presentations. Participated in all Grand Rounds case calls to assist from the operations perspective. Achieved a 15% penetration rate.
• Home Delivery - Developed a marketing strategy for account teams to increase home delivery. Used each Annual Review as an opportunity to demonstrate value of Home Delivery for each client. Created a strategy for selling 90 day retail solution that was an enhancement to Home Delivery.
• Optimal Health - Collaboration with Healthways providing Disease Management for high cost chronic conditions. Clients included WPS, CACI, and American Airlines. Managed the relationship from the Medco perspective ensuring a smooth implementation, client deliverables were met, reporting, ROI and acted as a client point of contact.
• Managed the SafeGuardRX suite of disease state programs for client base.
• Noted as the internal Subject Matter Expert for Home Delivery and Eligibility.

Managed a portfolio of 15 accounts, including IBC, AT&T, Ashland, Sonoco, Kimberly-Clark, BWXT-Y12, CACI and Duke Energy.

• Acted as day to day lead contact for accounts. Strived to understand client goals. Represented client to internal partners on requirements and initiatives. Met with each client quarterly resulting in a 100% client retention rate.
• Upsold add-on services such as RationalMed, Restricted Retail Networks and Home Delivery to customers by presenting win-win situations, selling and generating incremental revenue.
• Oversaw goal setting and performance reporting for all accounts.
• Collaborated with Account Executives, Financial and Clinical Analysts to prepare and deliver performance updates and quarterly business reviews.
• Managed Account Coordinators that assisted on accounts.

Managed a portfolio of 8 accounts, including State Health Benefit Plan of GA, MMO, Sonoco, and Kimberly-Clark.

• Acted as day to day lead contact for accounts. Strived to understand client goals. Represented client to internal partners on requirements and initiatives.
• Upsold add-on services such as RationalMed, Restricted Retail Networks and Home Delivery to customers by presenting win-win situations, selling and generating incremental revenue. Oversaw goal setting and performance reporting for all accounts.
• Collaborated with Account Executives, Financial and Clinical Analysts to prepare and deliver performance updates and quarterly business reviews.
• Medco maintained 3,000 retiree lives with Sonoco and were in RFP situation. Sonoco had 20,000 Active lives with a competitor. My goal was to renew the account at a minimum and grow lives. My task was to develop a strong relationship with the benefits team at Sonoco by delivering excellent service. Medco won the entire business of 23,000 lives in large part to the relationship I developed. This resulted in a promotion to Senior Account Manager.

Performed analysis of incoming medical claims from State Health Benefit Plan (SHBP) of GA for their COB system.

• Established compatibility with SHBP file by reviewing and QC of data and approving it for uploading.
• Coordinated with SHBP to confirm client requirements and ensure data met quality standards.
• Worked directly with client on a daily basis to review COB claims and determine reimbursement rates.
• Wrote code to convert data to Medco claims format.

Managed medical claims re-submission process for Medicare and Medi-Cal on California hospitals.

• Reviewed claims and performed analysis on eligibility and payments.
• Submitted claims monthly to insurance companies when Medicaid and Medi-Cal paid claims when patients had coverage elsewhere.
• Consistently met financial goals by delivering claims to insurers within deadlines each month, created programs to identify claims in forecasting revenue.
• Met monthly with senior management to present financial milestones and areas of opportunity to increase revenue.

• Conducted interviews with key business users to collect information on business processes and user requirements.
• Performed analysis of data to create an interface for users that would generate blister packs for medicine bottles created in Puerto Rico facilities.
• Documented business processes and analyzed procedures to see that they would meet changing business needs.
• Tracked, analyzed and interpreted trends in data from the Puerto Rico facility. Performed analysis of data to identify cost inefficiencies. Reports were presented directly to Director of Finance