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.