MANISHA H. SINGH, PharmD
Springfield,VA
Summary
Dynamic and highly motivated pharmacist with over 18 years of extensive experience in Health Systems Account Management, PBM, Value-Based Population Health, Managed Care, Specialty Pharmacy, and Ambulatory Care Clinical Pharmacy. Proven expertise in implementing innovative programs, optimizing drug utilization, and enhancing medication adherence to improve quality outcomes while reducing costs. Recognized for excellent communication, relationship building, and leadership skills. Licensed in Virginia and California.
Overview
18
18
years of professional experience
Work History
Population Health Clinical Pharmacist
Lumeris Corporation
St. Louis, MO
01.2022 - 06.2025
- Serve as the clinical pharmacy subject matter expert supporting Population Health Management clients
- Develop strategies for PCPs, health systems, and other provider organizations to optimize drug utilization, medication adherence, HEDIS and Medicare Stars measures, specialty drug management, opioid management, and use of cost-effective medications under both pharmacy and medical benefits
- Assist in the development of clinical programs aimed at increasing quality while decreasing overall cost of care within high risk populations
- Assist in the development, analysis, and monitoring of drug cost and utilization reports at various hierarchical levels (e.g., market, line of business, physician group, PCP, member/patient)
- Analyze, Interpret, monitor and present performance against client value-based contracts and develop strategic plans to improve performance, as applicable
- Develop program descriptions, policies and procedures for the delivery of clinical pharmacy services
Specialty Clinical Strategic Account Executive
CVS Caremark
Woonsocket, RI
11.2020 - 01.2022
- Served as the senior level liaison for the Medicaid and Medicare business within the IngenioRx Specialty pharmacy and Infusion segment
- Influenced client up-sell opportunities through utilizing consultative selling skills by recommending CVS Health solutions to meet key client needs
- Developed and delivered quarterly and annual reporting to clients on their drug trend and financial performance and facilitated in identifying client cost-saving opportunities
- Formulated responses to Request for Proposals (RFPs) through collaboration with primary internal partners such as underwriting
- Executed client renewals by building relationships with key client partners and asking questions that lead to mutually beneficial innovative pharmacy benefit plan designs
- Served as the Specialty clinical subject matter expert and provided clinical consulting services through analyzing drug utilization patterns and trends
Director, Health System Alliances, Clinical Engagement
CVS Health
Woonsocket, RI
04.2018 - 06.2020
- Strengthened relationships with Health Systems and ACOs that have executed clinical collaboration agreements and SilverScript contracts across the country
- Monitored results of all clinical collaboration agreements working with Health System Alliance Analytics team and the affiliate to achieve agreed upon metrics
- Developed practice and physician engagement strategies to identify opportunities to improve medication adherence, implemented joint clinical programs, improved quality metrics, and reduced overall costs
- Educated physicians and clinical staff affiliates to develop targeted clinical programs that drove performance against agreed upon metrics
- Prepared and delivered high quality presentations to physicians, physician leaders, and health system executives, including CEOs, CFOs, and CMOS
Manager, Clinical Pharmacy Services
Privia Health (Accountable Care Organization)
Arlington, VA
11.2014 - 04.2018
- Provided clinical, supervisory, and educational functions as necessary to support the overall patient care provided by 1200+ primary care and specialty physicians in alignment with Commercial and Medicare risk contracts
- Serviced, monitored, and grew strategic relationships with providers to influence decision making and prescribing behavior as well as enabled achievement of the triple-aim as it related to pharmacy and Accountable Care
- Provided drug information and prescribing guidance to Privia employed providers (hospitalists, PCP's, and SNF physicians) as requested
- Designed and implemented pharmacy programs to include medication therapy management, adherence, and other cost avoidance opportunities
- Developed and oversaw site of care optimization program for Specialty Infusion (Remicade, Rituxan, Tysabri, and IVIG) demonstrating cost savings for attributed population
Medication Therapy Management Pharmacist
Mirtxa Corporation
Reston, VA
02.2014 - 11.2014
- Conducted comprehensive medication reviews by phone on behalf of commercial payers such as Prime Therapeutics, Aetna, Express Scripts, and CVS/Caremark
- Assessed patient current state of health using evidence-based guidelines
- Educated patients on medication adherence and how to manage chronic disease states such as diabetes, hypertension, and hyperlipidemia
- Communicated with physicians to assure optimal patient outcomes
Executive Pharmacist
Target Pharmacy
Fairfax, VA
11.2011 - 01.2013
- Filled and processed prescriptions, interacted with physicians' offices, counseled and answered patients' questions regarding medications, nutritional supplements, and herbal preparations
- Practiced good manufacturing and compounding procedures, quality assurance, worked toward monthly company initiatives to drive sales
- Examined inventory control, drug procurement systems, and procedures in addition to FDA requirements for investigational drugs, compounded drugs, and non-FDA use
Ambulatory Care Pharmacist
Kaiser Permanente Ambulatory Care Service
San Francisco, CA
08.2008 - 07.2011
- Managed patients with multiple chronic conditions such as diabetes, hypertension, hyperlipidemia, and renal disease through therapeutic decision-making, drug therapy selection and monitoring, and communication among physicians and medical staff
- Performed patient interviews, ordered and interpreted lab tests, initiated and adjusted medication therapy per protocol and follow-up as appropriate
- Designed and implemented a safe efficacious anticoagulant (Coumadin and/or Lovenox) regimen tailored for any given patient with respect to appropriateness of dosage, potential drug-drug and or drug-disease state interactions and drug related toxicity
Inpatient Clinical Pharmacist
Kaiser Permanente Hospital
San Francisco, CA
11.2007 - 08.2008
- Monitored medication therapy of hospitalized patients based on an understanding of patient variables such as age, sex and other physical characteristics with an emphasis on the pediatric and neonatal intensive care (NICU) units
- Acted as pharmacy liaison with medical and nursing staff; provided timely information pertaining to pharmaceutical supplies, drug usage and compatibility, state and federal regulations regarding drug controls, and Joint Commission Standards
- Monitored doses, ordered laboratory tests according to established policies and procedures, provided medication Information and pharmacokinetic dosing advice
- Filled and dispensed prescriptions in the discharge pharmacy and counseled patients on their medication, regimens, Interactions and side effects
- Worked with pharmacy technicians in different areas including unit-dose, cassette and Pyxis fill, intravenous mixtures, chemotherapeutic agents and TPN
Education
Doctor of Pharmacy -
Kaiser Permanente Mid-Atlantic Region, Managed Care Pharmacy Practice Residency
Rockville, MD06.2025
Doctor of Pharmacy - Pharmacy
Virginia Commonwealth University
Richmond, VA01.2006
Bachelor of Arts - Biology
University of Virginia
Charlottesville, VA01.2002
Skills
- Clinical pharmacy services
- Account management
- Medication therapy management (MTM)
- Population health strategy
- Value-based risk contracts
- Specialty pharmacy, site of care
- HEDIS and Medicare Stars optimization
- Drug utilization management
- Managed care
- Chronic disease state management
- Collaborative practice
- PBM - Medicare D, Medicaid, and commercial lines of business
- effective communication and presentation skills
- Program development and implementation
- Data analysis
- Health systems collaboration
- Drug formulary development
- Drug information expertise
- Immunization and CPR certification
References
Available upon request
Timeline
Population Health Clinical Pharmacist
Lumeris Corporation
01.2022 - 06.2025
Specialty Clinical Strategic Account Executive
CVS Caremark
11.2020 - 01.2022
Director, Health System Alliances, Clinical Engagement
CVS Health
04.2018 - 06.2020
Manager, Clinical Pharmacy Services
Privia Health (Accountable Care Organization)
11.2014 - 04.2018
Medication Therapy Management Pharmacist
Mirtxa Corporation
02.2014 - 11.2014
Executive Pharmacist
Target Pharmacy
11.2011 - 01.2013
Ambulatory Care Pharmacist
Kaiser Permanente Ambulatory Care Service
08.2008 - 07.2011
Inpatient Clinical Pharmacist
Kaiser Permanente Hospital
11.2007 - 08.2008
Doctor of Pharmacy -
Kaiser Permanente Mid-Atlantic Region, Managed Care Pharmacy Practice Residency
Doctor of Pharmacy - Pharmacy
Virginia Commonwealth University
Bachelor of Arts - Biology
University of Virginia
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