Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Notable Engagements
References
Timeline
Generic

Kennetth Joseph, PharmD, MBA

Field

Summary

Over 17+ years of experience working in multiple realms of the healthcare industry including; pharmacy/hub operations and support ( specialty, home delivery, health system, IDN ), reimbursement, government payer, PBM, health plan and more. Senior product strategy & innovation leader who excels at streamlining operations to decrease total cost of care by way of reimbursement and promote organizational efficiency. New product launch experience (digital and drug; CPGs) with strong knowledge on API integration, data warehouse, data aggregator, and IT systems integration. Demonstrated success in implementing and managing hub, trade and distribution partners including detailed process workflows, SOPs, and KPIs related to operations with in depth knowledge of health insurance benefit design (commercial, private, public payers), managed markets, reimbursement, and payer account management. Passion for driving product-market strategy and leading implementation of innovative products for traditional and digital pharmaceutical, PBM, health plan and specialty pharmacy customers. Creative strategic planner with product value and impact assessment prowess. End-to-end product expertise successful bringing products from inception to rollout with efficiency and speed. Well-versed in building positive relationships with key accounts and other stakeholders. Strong requirements gathering, scope development and inventory coordination abilities. Skilled at overseeing complex, high-value technical projects with excellent planning competencies. Energetic and results-focused with success in leading diverse high performing teams to achieve outstanding results. Most notably, over 10 years as a versatile and unprecedented managerial professional skilled at seeing the “big picture” and bringing teams together by simplistically conveying messaging to business, clinical and data professionals to promote and enhance a cohesive, bold and motivated teamwork environment. Not to mention, incomparable mastery in understanding the implications of a health care vertical integration and the effects on reimbursement, payer account (government & commercial), PBM, health plan , and pharmacy markets.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Regional Director, Community Engagement Sales-West

ViiV (GSK)
01.2024 - Current
  • Expert understanding of unique needs of each customer in their pursuit of improved patient outcomes, lower costs and improved quality of care by building, maintaining and leveraging networks and relationships in the healthcare ecosystem and co-creating solutions with customers
  • Translate patient journey / script journey insights and brand strategies drive execution first to market long-acting injectable for HIV prevention
  • Streamlined operations for improved efficiency by evaluating existing processes and introducing innovative solutions.
  • Lead the development and execution of customer account planning for target accounts to deliver maximum impact opportunities
  • Ensure evolution of market community action plan strategies based upon evolving market needs
  • Analyze weekly Power BI reports to strategized territory performance against team and company goals.
  • Lead and support pull through of payer wins with felid leadership and key cross-functional partners
  • Serve as a mentor to emerging leaders, sharing knowledge and expertise while fostering an environment of continuous learning and growth.
  • Lead and support recruiting, hiring and developing of high performing team of Community Account Managers (CAM)
  • Lead partnerships with marketing and training to design content and tactics aligned to CAM deliverables.
  • Create regional vision and execute strategy to cultivate partnerships and relationships with HIV/AIDS Service Orgs, Community Based Orgs, community organization leaders, specialty pharmacies, local health departments
  • Foster coaching culture and demonstrate situational leadership to maximize performance and development of each individual and deliver exceptional results for the team
  • Implement corrective action as appropriate to meet business needs and improve performance
  • Partner with sales leader and internal matrix teams to identify and lead community-related initiatives that align to exceed territory sales goals

Dir. Market Access Strategy, National & Regional

Akili Interactive Inc.
04.2022 - 01.2024
  • Develop and leverage strong relationships with medical and pharmacy departments and other key decision-making departments within a targeted list of National and Regional payer customers to include commercial health plans, Medicare, Managed Medicare, Medicaid, Managed Medicaid, other
  • Participate in development of overall market access strategy as part of the Market Access Leadership Team
  • Develop strategic account and execution plans for targeted accounts with clear goals and milestones
  • Execute all strategies and tactics within accounts; track goals and progress
  • Create profitable access for EndeavorRx by positively influencing the appropriate placement on formularies, treatment algorithms, pharmacy policies and medical policies
  • Lead the contracting process including negotiating agreements, monitoring performance, and mitigating risk
  • Stay up to date on Prescription Digital Therapeutic (PDT) sister and competitor products, strategies, account priorities, and the broader healthcare landscape
  • Collaborate with marketing, sales, clinical, finance and product teams to shape strategy, maximize opportunity, and mitigate patient access
  • Confidentially communicate the value proposition of Akili Interactive’s products and more broadly about the benefits of PDTs from a clinical and pharmacoeconomic perspective
  • Provide leadership where appropriate with field sales to answer Market Access related questions, create strategy, deploy tactics, and develop advocacy to overcome access and coverage barriers
  • Work cross-functionally with multiple internal stakeholders including medical, marketing, contracting, finance, legal, compliance, sales, reimbursement and hub services colleagues
  • Develop the strategy and execution plans for hub support, distribution and trade programs and agreements, working collaboratively with key internal stakeholders including marketing, market access, product, medical, legal, regulatory and compliance teams
  • Lead and oversee program design, implementation, and on-going management of programs and vendors
  • Work with commercial operations and product teams to identify and implement key data requirements and data integration needs, specifically on API integration, data warehouse, data aggregator, and IT systems integration
  • Work with analytics teams to report and analyze key program metrics and performance dashboards
  • Oversee hub, trade, and distribution budget management activities related to project invoicing and other financial activities leading to proper fiscal oversight of programs
  • Work with finance teams to ensure impact of all program decisions on revenue recognition and gross to net implications
  • Work with the commercial training and marketing teams to develop materials for field sales personnel related to hub and other support services

Sr. Dir, Specialty Product Strategy & Innovation

Optum, UnitedHealth Group
11.2020 - 04.2022
  • Lead strategy workstreams across UnitedHealth Group enterprise multiple subsidiaries including, but not limited to; OptumRx, Emisar Pharmacy Services, UnitedHealthcare, Optum Frontier Therapies and more
  • Second-line manager that continuously, builds, develops and leads a team of diverse high performing product management Directors, Sr. Managers, Manager, Sr. Analyst and Analyst, while inspiring, coaching and providing guidance
  • Responsible for overall success of direct team products/product lines within product portfolio, including creating value for customers, client satisfaction, and maximizing utilization
  • Accountable for the success of roughly a dozen specialty products for patient access and benefit solutions (medical and pharmacy) at multiple stages of the product life cycle driving $650M in revenue; incremental increase of 19.2% (≈ $125M) over CY 2021
  • Flagship products; Optum Specialty Fusion, MedicalRx Rebates, MedicalRx Formulary, Specialty Medical Guidance Program, Specialty One, Copay Card Solutions and Biosimilar Real-time Redirection
  • Develop comprehensive product strategy for desired client savings outcomes and execution of strategy from ideation to Go-to-market
  • Partner with account management leadership to establish upsell strategy design and increase utilization strategy for PBM, health plan, and specialty pharmacy customers
  • Ensure on-time delivery of new products and maintain all operational aspects product portfolio including; continuous improvement to ensure accuracy, resolution of errors, implementation of product fixes, and driving enhancements
  • Develop and manage relationships with key client accounts to help drive product differentiation and user satisfaction by utilizing user-centered research, design, and reporting processes
  • Lead strategy, product commercialization to track competitive environment and identify new growth areas, new technology and emerging product and client savings opportunities
  • Analyze and interpret Specialty market and industry trends and provide key plan contacts with market information and opportunities for service and product innovation
  • Provide communications strategy to ensure comprehensive plan for understanding Specialty solution throughout entire organization
  • Serve as key interface with organization senior, as well as executive, leadership to provide organization and role clarity to product and client account management teams
  • Manage department budget, staffing, performance and development, and consistently demonstrate servant leadership during interactions with direct reports, cross functional and external stakeholders

Market Access - Specialty Channel Strategy Lead

Abbvie Inc.
11.2018 - 11.2020
  • Designed, developed and tested patient solutions hub/pharmacy programs options to support the product launches/program enhancements (in close collaboration with internal and external stakeholders) based on a deep and proactive understanding of patient needs, the competitive landscape, business goals, technologies, services, and chosen vendor's service delivery capabilities to drive greater adherence, improve the patient/customer experience, controlling product integrity and collecting data to guide market access and increase patient satisfaction
  • Strategize with brand leaders and business units to design programs and services to support the needs of therapy-specific patient populations and drive brand objectives.
  • Act as an advisor and internal consultant to the brand teams on all matters related to patient support through hub and pharmacy service offerings while representing Patient Services on cross functional brand teams and core launch teams.
  • Collaborate with internal functions to integrate patient services with other brand initiatives to ensure a coordinated customer experience.
  • Track and report KPIs and program outcomes while leading monthly hub/pharmacy meetings with the brand teams as well as preparation for brand QBRs.
  • Lead and supported new product launch, product re-launch and Limited Distribution Network Expansion
  • Lead identification and development of high-impact promotional material that support patient needs and brand strategic objectives
  • Secure annual budget from Brand Team and effectively managed annual marketing budget in excess of $80+M for programs by completing projects on time and on budget
  • Lead development of channel vision, strategy and tactics through planning and implementation
  • Strengthened marketing and patient service programs to capture new business and take advantage of changing trends in client markets
  • Execute specialty and retail pharmacy distribution contracts (including product discount, pharmacy data insights, and patient services)
  • Actively monitor patient services against pharmacy contract deliverables and expectations
  • Capitalize on industry and marketplace trends to identify, support and execute innovative pharmacy clinical services that are aligned with and advance capabilities of brand patient care programs
  • Work in close collaboration with contract operations team to identify need for updates and improvements as well as ensures regulatory and legal restrictions and guidance are followed at all assigned pharmacy contracts (retail and specialty)
  • Proactively initiated white-boarding sessions with sales team leaders to brainstorm new ideas and promotional strategies
  • Drive results through sales force via clear and concise communication and delivering impactful initiatives to ensure pharmacy contracts are compliant and performing optimally
  • Continuously create innovative strategies to drive customer engagement
  • Oversee ongoing market research that targeted key customer demographics and used information to proactively adjust future marketing plans

Walgreens Co.

Sr. Ntl BioPharma Acct Mgr/Interim Dir, 01/2017
02.2007 - 11.2018
  • Implemented operational strategies which resulted in a 21% increase in conversion across accounts
  • Partnered with; Local Specialty Operations and Strategy Team, Disease State Product Management Team, Central Pharmacy Operations Team, Sales Solution Team, and Enterprise Triage Team on implementations of national specialty growth strategy
  • Consulted Pharma Accounts in strategic Local and Central Specialty site selections for limited distribution drugs while ensuring site viability/profitability in order to drive business development and increase growth
  • Consulted on actions needed to improve overall profitability of specialty book of business across all channels across nation
  • Coached appropriate leadership on adoption of standard operating procedures for clinical management of specialty patients
  • Strategically drove specialty pharmacy development, biopharmaceutical development through QBRs, LDD pipeline monitoring for access optimization, and strategic alignment with all disease state leads and teams
  • Served as liaison to support center for IT/business analytics and insights enhancements; supporting further quality development with working knowledge of Epic, SR2, ScriptMed Enterprise and Cerner and other IDN/Health Systems EMR/EHR platforms
  • Partnered closely and coached Health System Account Managers to monitor satisfaction and alignment on service delivery
  • Lead cross functional collaboration with specialty sales team to oversee regional prescriber outreach programs and worked with field leadership to ensure appropriate resource allocation
  • Drove Pharma Client awareness by actively communicating capabilities, and winning new business in conjunction with marketing teams across Walgreen Co.
  • Partnered with Central and Local Specialty leadership as well as Market Access team to help create specialty drug channel strategy across local, retail, and central specialty operations
  • Led planning subsequent to access changes of limited distribution drugs through ownership of Walgreens Specialty - Limited Distribution Drug Database upkeep and network distribution
  • Served as subject matter expert for field leadership on local and central specialty operations as well as for national health plan RFPs for respective Pharma Client Accounts
  • Championed disease state network training and expansion strategy for multiple product launches
  • Identified issues, analyzed information and provided solutions to problems

Education

Doctor of Pharmacy - Concentration - Health Admin & Organizational Leadership

Florida Agricultural And Mechanical University
Tallahassee, FL

MBA - Concentration - Accounting / Finance

University of Illinois At Chicago
Chicago, IL

Skills

  • Prescription Digital Therapeutics Strategist
  • Reimbursement (Rx & Medical) Expert
  • Market & Patient Access Expert
  • Product Strategy/Development
  • New Product Launch Strategy
  • Pharmaceutical Distribution Channel Strategy
  • Innovative Contract Dev & Mgt
  • Payer Strategy (govt & comm)
  • Managed Care Market Expert
  • Emotional Intelligence

Affiliations

  • U.S. Commercial Coverage & Reimbursement Task Group -Digital Therapeutics Alliance
  • Digital Therapeutics Task Group - National Council for Prescription Drug Programs, (NCPDP)
  • Member of the Board - University of Illinois School of Business, Center of Supply Chain and Logistics
  • Member of the Board - University of Illinois College of Pharmacy
  • Member of the Apothecary Board - Florida A&M University College of Pharmacy
  • National Association of Specialty Pharmacy (NASP) - Member (Previous Education - Board Member - 2017 - 2019)
  • Academy of Managed Care Pharmacy (AMCP) - Corporate Liaison
  • Courtesy Clinical Assistant Professor - University of Florida College of Pharmacy
  • Visiting Assistant Professor - University of Illinois College of Pharmacy
  • Illinois Pharmacists Association -Member
  • Florida Pharmacy Association -Member

Certification

  • National Association of Specialty Pharmacy Certification in Specialty Pharmacy Exam - Preparation Course
  • Academy of Managed Care Pharmacy - Fundamentals of Managed Care Pharmacy Certificate
  • Florida State University College of Business - Mini-Master of Business Administration | Mini-MBA
  • Northwestern University - Kellogg School of Management - Marketing Essential / Strategic Marketing; Certificate Program
  • University of Chicago Booth School of Business - New Product Innovation, Development, and Implementation Strategies

Notable Engagements

“An Outlook for Prescription Digital Therapeutics in 2023 and Beyond.” 

  • Moderator: Laura Cranston – President and Founder, Cranston & Associates
    Panelists: Kennetth Joseph, PharmD, MBA – Director, Market Access Strategy - National & Regional Accounts, Akili Interactive | Andy Molnar – CEO of Digital Therapeutics Alliance | Frances Thorndike, PhD – VP, Medical Affairs and Discovery, Pear Therapeutics | Binal Patel, MPharm, BCGP – Director, Clinical Initiatives and Client Liaison, PerformRx

Annual Presentations / Speaking Engagements at Universities

  • University of Florida | Florida A & M University | University of Minnesota | Hampton University | Nova Southeastern University | Mercer University | Larkin University | Palm Beach Atlantic University | University of Illinois | Howard University |

References

  • References available upon request.

Timeline

Regional Director, Community Engagement Sales-West

ViiV (GSK)
01.2024 - Current

Dir. Market Access Strategy, National & Regional

Akili Interactive Inc.
04.2022 - 01.2024

Sr. Dir, Specialty Product Strategy & Innovation

Optum, UnitedHealth Group
11.2020 - 04.2022

Market Access - Specialty Channel Strategy Lead

Abbvie Inc.
11.2018 - 11.2020

Walgreens Co.

Sr. Ntl BioPharma Acct Mgr/Interim Dir, 01/2017
02.2007 - 11.2018

Doctor of Pharmacy - Concentration - Health Admin & Organizational Leadership

Florida Agricultural And Mechanical University

MBA - Concentration - Accounting / Finance

University of Illinois At Chicago

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Kennetth Joseph, PharmD, MBA