Summary
Overview
Work History
Education
Skills
Websites
Certification
References
Timeline
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Lisa Radel

Lisa Radel

Cincinnati,Ohio

Summary

A highly motivated, self-disciplined individual with exceptional organizational and time management skills. A passionate patient advocate with over 15 years of combined experience spanning across multiple facets of the healthcare landscape. Top-achiever, consistently exceeding quarterly and annual expectations.

Overview

19
19
years of professional experience
1
1
Certification

Work History

Sr Family Access Manager

Acadia Pharmaceuticals
12.2022 - Current
  • Responsible for initiation of care and continuation of care for patients prescribed Daybue by prescribers located at two IRSF Rett Centers of Excellence
  • Works closely with the caregiver to develop a plan of action to mitigate potential side effects, taking into account the patient’s needs and team of healthcare providers.
  • Provides education to the patient's family regarding medication storage and administration
  • Responsible for developing a cohesive relationship with patients and caregivers as they start and stay on therapy
  • Works closely with internal cross-functional partners to ensure collaboration and smooth communication to ensure patient access issues are resolved in a timely manner
  • Collaborates with the HUB Services Team to ensure timely and consistent completion of Prescription and Enrollment Forms
  • Educates the healthcare provider on the appropriate next steps to navigate the prior authorization, appeals, peer-to-peer, and external review process
  • Regularly attends events that support the Rett community through advocacy and fundraising
  • Responsible for training new hires and providing continuing education to existing members of the South Central Region
  • Provides additional insight to the Payer Account Team so they can present meaningful information during P&T presentations

Access & Reimbursement Manager

Greenwich Biosciences, part of Jazz Pharmaceuticals
09.2019 - 12.2022
  • Developed strong relationships with insurance companies and healthcare providers, fostering collaboration and ensuring smooth communication for reimbursement matters
  • Assisted healthcare providers navigate payer access issues such as prior authorizations, appeals, and peer-to-peer discussions within the rare disease space
  • Acted as the primary point-of-contact for nine Neurology Account Managers covering 8+ states regarding patient access issues
  • Ensured patient access issues were prioritized and effectively resolved while ensuring HIPAA compliance
  • Provided proactive education to healthcare providers regarding available service offerings such as CoverMyMeds, Copay Assistance, HUB Services, and the Patient Assistance Program via lunch and dinner programs
  • Collaborated with multiple Specialty Pharmacy Partners to resolve patient access issues
  • Partnered with the Payer Account Team to escalate payer restrictions that presented the potential to delay a patient’s therapy
  • Provided timely and accurate follow-up to internal and external stakeholders
  • Trained new team members and mentored junior team members to develop their skills and knowledge within the field of access and reimbursement
  • Analyzed data to identify patterns and opportunities for improvement within the reimbursement process

Account Manager

EVERSANA Life Science Services
06.2016 - 09.2019
  • Directly managed reimbursement programs for several pharmaceutical clients including rare disease products with a REMS requirement
  • Collaborated with internal and external customers to successfully implement multiple client programs that included copay cards, vouchers, benefit verification, prior authorization support, patient assistance programs and/or contact center support
  • Managed a diverse portfolio of accounts, ensuring timely communication and effective problem resolution
  • Prepared and presented Quarterly Business Reviews to ensure continued success and identify areas for improvement
  • Educated clients on new products or services to increase customer engagement with brand
  • Reviewed monthly invoices to ensure clients were billed appropriately, and assisted with analysis and resolution of billing discrepancies, if applicable
  • Established and maintained client contracts, such as Master Service Agreements, Statements of Work, and Business Rules Documents
  • Collaborated with the reporting team to create new reports and update existing reports to meet the client’s analytical needs
  • Analyzed reports to identify trends, potential areas of opportunity, and to ensure data was represented correctly
  • Developed and delivered training materials for new program launches and program updates to the contact center leadership team

Production Lead

Humana Pharmacy
01.2011 - 06.2016
  • Co-trained and led a team of high-caliber associates that successfully reduced the overall pharmacy aging from 11.0% to 0.4% during the process of migrating pharmacy systems
  • Collected, reported, and analyzed data to identify and repair process and performance gaps to minimize pharmacy turn-around time
  • Key team member on Humana’s Greenbelt Aged Order Project which resulted in altering a process across several departments. The result was an annual cost savings of $1.2 million.
  • Conducted coaching sessions with associates

Certified Pharmacy Technician

Walgreens
05.2005 - 01.2011
  • Interacted with patients and caregivers
  • Resolved third party payer issues
  • Fulfilled prescriptions
  • Maintained inventory
  • Quality control
  • Communicated with healthcare provider offices

Education

Health Communication

Miami University
Oxford, OH

Skills

  • Adaptable
  • Analytical
  • Communication
  • Client Services
  • Critical Thinking
  • HIPAA Compliance
  • Proactive
  • Process Improvement
  • Program Management
  • Strategic Planning

Certification

  • Six Sigma Green Belt, American Society for Quality (ASQ), 03/06/2014
  • Certified Pharmacy Technician (CPhT), Pharmacy Technician Certification Board (PTCB), 12/14/2009

References

  • Shannon Simon, Sr. Strategy Advancement Professional, Humana Pharmacy, 513-206-4888, ssimon1@humana.com
  • Abby Clawson, Associate Director, Patient and Access Services, Jazz Pharmaceuticals, 847-323-7502, aclawson@jazzpharma.com
  • Casey Rivenbark, Director, Market Access, TrialCard, 704-763-5667, crivenbark@trialcard.com

Timeline

Sr Family Access Manager

Acadia Pharmaceuticals
12.2022 - Current

Access & Reimbursement Manager

Greenwich Biosciences, part of Jazz Pharmaceuticals
09.2019 - 12.2022

Account Manager

EVERSANA Life Science Services
06.2016 - 09.2019

Production Lead

Humana Pharmacy
01.2011 - 06.2016

Certified Pharmacy Technician

Walgreens
05.2005 - 01.2011

Health Communication

Miami University
Lisa Radel