Summary
Overview
Work History
Education
Skills
Languages
Timeline
Hi, I’m

LOUZOLO LOUIS GANGA

Rockville,MD

Summary

Experienced Field Reimbursement professional with over 18 years of experience in the healthcare industry. Proven ability to educate and support customers, develop reimbursement strategies, expand market share footprints, and conduct insightful market research. Expertise in reimbursement and coverage for buy-and-bill and specialty products. Strong analytical and problem-solving skills.

Overview

18
years of professional experience

Work History

PFIZER

FRM - Inflammation & Immunology
01.2022 - Current

Job overview

  • Educate HCP, MA's and staff on client therapy access.
  • Promote client marketing materials.
  • Rectify patient access/reimbursement issues.
  • Collaborate with 7 sales representatives to manage 400 accounts.
  • Re-establish communication with existing client office managers.
  • Delivered services to customer locations within specific timeframes.
  • Developed strong organizational and communication skills through coursework and volunteer activities.

PFIZER

SHR II - Inflammation & Immunology
01.2020 - 01.2022

Job overview

  • Expand market shares and sales footprint of XELJANZ in the DC Metro Area.
  • Understand payer landscapes and insurance processes.
  • Educate offices on treatment alternative services.
  • Promote new therapies for immunocompromised patients.
  • Meet or exceed sales and business objectives for XELJANZ.
  • Maintain in-depth knowledge of disease state and product.
  • Provide relevant information to HCPs and staff.
  • Establish and maintain objectives for geography.
  • Employ effective selling techniques.

AmerisourceBergen

Assistant Director
01.2017 - 01.2020

Job overview

  • Manage an 8-member FRM team across the Southeast Region and Puerto Rico.
  • Expand client footprint and ensure operational efficiency within budget.
  • Conduct quality check rides and quarterly field visits with FRMs.
  • Provide training to clients on HUB services and high-end pharmaceutical drug access.
  • Educate healthcare providers and staff on methods to overcome payer setbacks for patients.
  • Collaborate with clients' district managers in the Southeast Region.
  • Conduct weekly meetings with internal, client, and client HUB leadership teams.
  • Partner with 8 District Managers, 32 sales representatives, 8 FRMs, and 1400 healthcare specialists.
  • Create new training materials for team education.
  • Administer a $288,000 logistics, travel, and entertainment budget.

AmerisourceBergen

FRM / PAS
01.2015 - 01.2017

Job overview

  • Turned around an underserved territory by educating healthcare providers, promoting marketing materials, and rectifying patient access/reimbursement issues.
  • Collaborated with 7 sales representatives to manage 400 accounts.
  • Re-established communication with existing client office managers.
  • Trained sales representatives on marketing communication strategies and pull-through initiatives.
  • Introduced marketing materials to healthcare providers and office staff.
  • Conducted lunch and dinner speaker programs.
  • Managed a $36,000 annual budget for transportation, travel, lodging, and meals.
  • Conceived, designed, and implemented a team newsletter entitled the X-Factor.
  • Disseminated 12 quarterly issues over a 3-year timeframe to team members.

AmerisourceBergen (LASH Group)

Team Coordinator
01.2013 - 01.2015

Job overview

  • Act as a team coordinator, following contract guidelines and providing support to the case manager.
  • Tracked progress on initiatives and identified new approaches to enhance service.
  • Communicated daily instructions to team members and trained new team members.
  • Analyzed industry trends and issues, and audited program activity.
  • Granted administrative permissions for the Intranet team page.
  • Scrutinized adherence to project plans and SOPs, identified issues, and recommended solutions.
  • Coordinated with an in-house pharmacy to dispense medications

AmerisourceBergen (LASH Group)

Regional Sales Liaison
01.2012 - 01.2013

Job overview

  • Key point of contact between the HUB Case Manager, the 6-member Field Sales Team, and Nurse Educators covering the Southeast Region.
  • Achieved authorizations for the full scope of client service deliverables.
  • Managed and documented accurate detailed records of HCP profiles and field productivity reports.
  • Formulated and implemented processes to increase efficiency in communications and case reviews for client's nurse educators.
  • Enhanced communication with clients by introducing a weekly spreadsheet update system.
  • Improved scores on quality control audits and increased morale due to role-specific assignments of all parties involved in the process.

AmerisourceBergen (LASH Group)

Senior Reimbursement Counselor / Case Manager
01.2010 - 01.2012

Job overview

  • Recruited to perform data entry, benefits investigation, and case management, including resolving appeals and denials for patients and providers through specialty pharmacies and other managed care accounts.
  • Oversaw all patient assessment appointments through Concentra by managing schedulers to ensure accuracy in documents, patient and prescriber information, assessment information, and First Dose Observation Kits.
  • Developed and incorporated SOPs, SOWs, job aids, and PowerPoint presentations for training purposes.
  • Accomplishments:
  • Formulated a spreadsheet to capture detailed payer information during the benefits investigation process, which standardized medical and pharmacy coverage information for easy communication with patients and resulted in its incorporation into the Theracall system as payer coverage history and a standard operating procedure for all REMs recommended products from LASH clients.
  • Detailed information included group number, out-of-pocket maximum, deductible met, copayment range, and tier level for commercial patients.
  • Medicare information included each stage of coverage, including initial, gap, and catastrophic, which reduced the delay in a case review.

AmerisourceBergen (LASH Group)

Program Representative
01.2007 - 01.2010

Job overview

  • Served as the Program Representative for Mirena, Sandostatin, and Apligraf, which included creating starter orders for patients, physicians, and wholesalers.
  • Liaise with wholesalers as a point of contact for orders and distribution services, including McKesson, AmerisourceBergen, and Cardinal.
  • Managed accounts for Spanish-speaking customers and government pricing programs (340B, DOD, PHS, Apexus, etc.).
  • Acted as an interpreter for other Theracom programs.
  • Trained new-hire employees for the program.
  • Accomplishment: Collaborated with IT to implement an online order system to ensure ease of use for clients.

AmerisourceBergen (LASH Group)

Marketing Assistant
01.2006 - 01.2007

Job overview

  • Developed marketing materials for product development, including newsletters, fact sheets, websites, brochures, articles, and other marketing communication pieces.
  • Designed user interfaces for potential clients' online portals.

Education

UMBC
Catonsville, MD

Bachelor of Arts from Visual Arts
12.2003

Skills

  • Commercial, Medicare, and Medicaid Reimbursement
  • HUB Operations
  • Strategic Planning / Execution
  • Account Management
  • Payer Landscape Analysis
  • Specialty Pharmacy
  • Buy & Bill
  • Field Reimbursement
  • Quality Improvement Programs
  • Payer Research
  • Clinical Sales
  • Training / Team Development
  • Budget Administration
  • Employee Supervision / Retention

Languages

Spanish
Full Professional
French
Native/ Bilingual

Timeline

FRM - Inflammation & Immunology

PFIZER
01.2022 - Current

SHR II - Inflammation & Immunology

PFIZER
01.2020 - 01.2022

Assistant Director

AmerisourceBergen
01.2017 - 01.2020

FRM / PAS

AmerisourceBergen
01.2015 - 01.2017

Team Coordinator

AmerisourceBergen (LASH Group)
01.2013 - 01.2015

Regional Sales Liaison

AmerisourceBergen (LASH Group)
01.2012 - 01.2013

Senior Reimbursement Counselor / Case Manager

AmerisourceBergen (LASH Group)
01.2010 - 01.2012

Program Representative

AmerisourceBergen (LASH Group)
01.2007 - 01.2010

Marketing Assistant

AmerisourceBergen (LASH Group)
01.2006 - 01.2007

UMBC

Bachelor of Arts from Visual Arts
LOUZOLO LOUIS GANGA