LAURA KAYVONFAR
Helena,AL
Summary
Experienced regional director with proven track record of strategic management and leadership. A results-driven individual adept in guiding and managing teams to achieve results for clients and achieve organizational goals and objectives. As a knowledgeable professional with years of pharmacy benefit experience I am ready to take on new challenges within a leadership role.
Overview
15
15
years of professional experience
Work History
Regional Director of Pharmacy
HUB International Limited
Birmingham, AL
09.2023 - Current
- Serves as a trusted advisor providing Pharmacy thought leadership for Employee Benefits at the regional level.
- Leader in driving sales and revenue growth by expanding current client relationships and new client opportunities in the mid and large market space through RFP participation, onsite or video presentations and one on one consultation.
- Communicates strategic and tactical up-to-date pharmacy business initiatives and solutions in a wat that allows clients to understand the impacts to their strategy and their member population.
- Partners with, trains and develops other specialty practice teams such as financial consultants, producers and account management personnel to understand and present key Pharmacy findings and solutions.
- Provides detailed pharmacy analysis(es) working with various partners and PBM decision support tools to justify the election of the appropriate pharmacy solution.
- Provides proactive pharmacy communications to internal teams and external clients through newsletters, webinars and seminars serving as a subject matter expert in pharmacy benefit strategy and market events.
- Manages a team of pharmacy benefit analyst and account managers.
Strategic Account Executive
RxBenefits
10.2021 - Current
- Management of 36 National Accounts with 100% retention rate in 2022
- Identifies client requirements, determines, and coordinates annual and quarterly reviews, promotes services, defines processes
- Develops and maintains strong relationships in liaison role with PBM, Brokers, and Client Contacts
- Proficiently knows the marketplace, carriers, underwriting requirements, and benefits/services they offer
- Plays a strategic role in monitoring plan performance, trends, and offers recommendations that fit the clients' unique needs
- Sales of products for existing clients
- Expert in the pharmacy landscape, claims processing, pharmacy contracting, benefit design, operations, financial reporting, etc
- Prepares materials and reviews for client meetings, open enrollment, benefit fairs, etc
- For face-to-face meetings, webinars, or other events
- Assists in communication and training of benefits for HR contacts and members
- Assists with billing, claims, eligibility, COBRA, and customer services issues
- Prepares and assures accuracy of audits, census data, and quoting
- Works in conjunction with other departments to create and maintain job aids, training for new SAEs, and participates in work groups to better processes
- Involved in the entire lifecycle of the client from implementation through exit.
Account Manager
RxBenefits
08.2020 - 10.2021
- Managed day-to-day responsibilities such as reporting, member issue resolution, pharmacy trends and recommendations
- Assisted SAE in preparation for annual and quarterly reviews
- Attended meetings with SAE to further relationships and assist with benefit fairs
- Supervised benefits changes, implementation, and coordinated events and meetings for SAE
- Creation and QC of plan documents
- Communicated plan changes, formulary updates, disruption, and other member or client related issues
- Maintained SalesForce and ensured accuracy of all internal systems.
Benefit Implementation Specialist
RxBenefits
03.2019 - 08.2020
- Management of the implementation of self-funded client's pharmacy benefits
- Data Gathering from pervious plan documents and claim files to determine current benefit set up
- Supervised creation of Summary of Benefits
- Group Structure build and verification with medical vendor
- Ensured the correct coding was completed by the PBM through testing
- Confirmed integration of accumulations
- Monitored plan after implementation for issues
- Created and distributed member and client materials related to benefits, disruption, and plan summary documents.
Sr. PBM Change Coordinator
RxBenefits
02.2018 - 03.2019
- Managed a max of 305 plan changes for existing clients by data gathering information needed to complete coding at the PBM for accumulation changes, copay changes, group structure changes, clinical program adds, etc
- Point of contact between account management and PBM account managers.
Specialty Pharmacy Technician
Briova Specialty Pharmacy
07.2013 - 01.2018
- Prescription Intake, Prior Authorizations, Test Claims, COB, Patient Assistance, Claim issue resolution, Shipping
- Therapeutic categories include Multiple Sclerosis, Rheumatoid Arthritis, Hemophilia, Celgene REMS, etc.
Medical Office Assistant
Acton Road Pediatrics
12.2009 - 05.2013
- Served as a clinical medical assistant, medical billing and coding specialist, insurance verification, and collections specialist.
Education
Bryan College
Jeremiah's Hope Academy
Skills
- Team Management
- Critical Thinking
- Data Management
- Meetings and presentations
- Sales Planning
- Operations Management
- Client Relationships
- Customer Satisfaction
- Team Training
- Public Speaking
Accomplishments
- 100% Client Retention on 2022 on National Accounts
- Exceeds Expectations Reviews in 2020, 2021, and 2022
Timeline
Regional Director of Pharmacy
HUB International Limited
09.2023 - Current
Strategic Account Executive
RxBenefits
10.2021 - Current
Account Manager
RxBenefits
08.2020 - 10.2021
Benefit Implementation Specialist
RxBenefits
03.2019 - 08.2020
Sr. PBM Change Coordinator
RxBenefits
02.2018 - 03.2019
Specialty Pharmacy Technician
Briova Specialty Pharmacy
07.2013 - 01.2018
Medical Office Assistant
Acton Road Pediatrics
12.2009 - 05.2013
Bryan College
Jeremiah's Hope Academy