Summary
Overview
Work History
Education
Skills
Affiliations
Languages
Timeline
Professional Licensure And Certifications
Professional Licensure And Certifications
Generic

Habib Abraham

Mason,Ohio

Summary

Accomplished pharmacy professional with a proven track record in healthcare leadership. Specialized in optimizing pharmacy benefit plans for the employer and external clients, leading formulary management, prior authorization processes, and clinical appeals coordination. Recognized for comprehensive pharmacy benefit plan designs, collaborating with stakeholders to minimize costs while ensuring high-quality patient care. Adept at managing relationships with external clients, physician groups, and executive leadership, providing HR pharmacy benefits management services, and consulting with PBMs to optimize trade relations, rebates, and 340b savings. Proven expertise in strategic thinking, budget management, and identifying innovative solutions that enhance patient care and reduce costs.

Overview

14
14
years of professional experience

Work History

Manager, Pharmacy Benefits

Bon Secours Mercy Health
01.2020 - Current
  • Manage pharmacy benefits plans through custom formularies for associate health plans, considering PBM relations, supply chain contracts, and cost implications.
  • Manage pharmacy benefit budgets totaling $100M, providing budget consulting for external clients.
  • Design comprehensive pharmacy benefit plans for employer-sponsored health programs, including network preferences and cost structures.
  • Lead medical specialty medication management, yielding $2M in annual savings.
  • Provide HR pharmacy benefits management and consulting services to external B2B clients, managing relationships and plan enhancements.
  • Present regular updates on plan performance, savings trends, and forecasting opportunities to executive leadership.
  • Co-chair Ambulatory P&T committee, collaborating with senior physician leaders to establish policies for new medication requests.
  • Collaborate with supply chain on contracting opportunities, formulary evaluations, and addressing shortages.
  • Evaluate new vaccines, considering clinical efficacy, budget impacts, pricing, and payor reimbursement.
  • Collaborate with PBMs on trade relation strategies, rebate tracking, and pharmaceutical manufacturer partnerships.
  • Coordinate with pharmacy, HR, and PBMs to address immediate patient care needs and high claimant cases.
  • Conduct clinical reviews and evaluations for prior authorizations and coordinate clinical appeals, ensuring appropriateness of medication use.

Clinical Pharmacy and Oncology Team Manager

Bon Secours Mercy Health
01.2015 - 01.2020
  • Directly manage a team of 12 professionals supporting pharmacy, oncology, and infusion services across 28 hospitals and outpatient centers.
  • Develop and implement standardized evidence-based clinical tools in an Electronic Health Record through collaboration with clinical pharmacy and oncology leaders to drive formulary strategy and cost-saving initiatives organization-wide.
  • Address patient safety occurrences and develop standard policies in collaboration with Quality and Regulatory.
  • Manage relationships and workflows between affiliate oncology practices and system hospitals.
  • Facilitate presentations to clinical and operational leadership on project status and implementation strategies.
  • Analyze and design clinical workflows through collaboration with diverse stakeholders, including physicians, nurses, pharmacists, finance, case managers, and patient safety.

Epic Beacon and Willow Pharmacist Analyst

Mercy Health
01.2011 - 01.2015
  • Build Epic oncology protocols and non-chemotherapy regimens through collaborative standardization for use within inpatient oncology and outpatient infusion departments.
  • Build and implement clinical and operational acute care pharmacy tools including formulary management, pharmacy structure, medication safety tools, reporting, and clinical decision support tools.

Pharmacist

The Kroger Company
01.2010 - 01.2011

Education

Doctor of Pharmacy -

University of Cincinnati
Cincinnati, Ohio
05.2010

Master of Business Administration -

Xavier University
Cincinnati, Ohio
05.2009

Bachelor of Arts -

University of Cincinnati
Cincinnati, Ohio
05.2004

Skills

  • Healthcare Delivery
  • Financial Management
  • Workforce Management
  • Budget Planning
  • Contract Review
  • Operations Management
  • Utilization Management
  • Pharmacy Operations Management
  • Customer Relationship Management (CRM)
  • Key Performance Indicators
  • Health Information Systems

Affiliations

  • Academy of Managed Care Pharmacy
  • American Pharmacist Association

Languages

English
Native or Bilingual
Arabic
Native or Bilingual

Timeline

Manager, Pharmacy Benefits

Bon Secours Mercy Health
01.2020 - Current

Clinical Pharmacy and Oncology Team Manager

Bon Secours Mercy Health
01.2015 - 01.2020

Epic Beacon and Willow Pharmacist Analyst

Mercy Health
01.2011 - 01.2015

Pharmacist

The Kroger Company
01.2010 - 01.2011

Doctor of Pharmacy -

University of Cincinnati

Master of Business Administration -

Xavier University

Bachelor of Arts -

University of Cincinnati

Professional Licensure And Certifications

  • Ohio Board of Pharmacy, 03230596, 2010, Present
  • Kentucky Board of Pharmacy, 015115, 2010, Present
  • Epic Health Systems, Willow, 2018, 2011, Present
  • Epic Health Systems, Beacon, 2018, 2012, Present

Professional Licensure And Certifications

  • Ohio Board of Pharmacy, 03230596, 2010, Present
  • Kentucky Board of Pharmacy, 015115, 2010, Present
  • Epic Health Systems, Willow, 2018, 2011, Present
  • Epic Health Systems, Beacon, 2018, 2012, Present

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Habib Abraham