Marybeth Balbo
Summary
Experienced and results-oriented 340B Program Strategic Account Executive with a solid background in the healthcare industry. Quick learner with a personable demeanor, excelling at staying focused, coaching staff to excel, fostering organizational collaboration, and driving continual business improvement. Demonstrates a key strength in identifying goals and priorities in deadline-driven operations, consistently delivering impactful results.
Overview
18
18
years of professional experience
Work History
Strategic Account Executive
The Craneware Group, Sentry Data Systems
11.2021 - Current
- Collaborate with hospital Executive and management stakeholders in the 340B Program
- Evaluate business processes, conduct research to help determine root causes, anticipate requirements, uncover areas for improvement, and develop and implement solutions which improve quality and/or profitability in 340B program
- Identify, analyze, and interpret trends or patterns in complex data sets
- Acquire and abstract primary or secondary data from existing internal or external data sources
- Collaborating with others, develop and implement data collection systems and other strategies that optimize statistical efficiency and data quality
- Conduct quantitative and qualitative interviews
- Perform departmental shadowing and observations
- Providing guidance for establishing process, staffing, and system improvements
- Prioritize initiatives based on business needs and requirements all while managing competing resources and priorities
- Collaborating with others, interpret data and develop recommendations based on findings
- Perform and present basic statistical analyses for projects and reports.
340B Program Manager
Niagara Falls Memorial Medical Center
09.2019 - 11.2021
- Provides oversight of 340B Program in alignment with State and Federal regulations, guides and HRSA statue
- Identifies and implements process improvements for 340B, purchasing and inventory management
- Worked departmentally with clinics regarding documentation and processes
- Creates and maintains internal and external relationships with provider offices and pharmacies to improve 340B program
- Leads 340B committee meetings which includes senior leaderships, clinical and financial departments
- Ensures that policies and procedures are developed, implemented, and updated with alignment to organizational, regional, state, national, and federal requirements, and guidelines
- Creates training/competency materials for employees whose work impacts the 340B program, pharmacy purchasing and inventory
- Developed, executed, and documented self-audits to maintain compliance and remediate findings
- Successfully implemented paperless system for Pharmacy Department processes
- Reports monthly financial impact to Senior leadership and Board of Directors
- Actively meets with bi-partisan State legislators from the House of Representatives and United States Senate to educate and seek support for 340B Program.
Senior Review Specialist
Independent Health
09.2017 - 04.2020
- Reviewed prior authorization requests, appeals and grievances against contracts for Medicaid, Medicare, and Commercial lines of business contracts
- Created and reviewed individual case files which required independent decision making
- Trained, coached and overseen progress of new employees
- Created and implemented paperless review system with creation of training manual
- Overseen and trained the implementation of the paperless submission to Maximus for Medicare line of business with creation of process workflow
- Organized and managed Committee clinical and contractual board meetings
- Participated in Fair Hearings for Medicaid line of business and Administrative Law Judge (ALJ) hearings for Medicare
- Created cases files and responses to New York State DOH and Inspector General’s Office.
Benefit Administration Appeal Operations Coordinator
Independent Health
06.2015 - 08.2017
Pharmacist Assistant
Independent Health
05.2012 - 06.2015
Certified Pharmacy Technician II
Roswell Park Cancer Institution
08.2010 - 05.2012
Certified Pharmacy Technician
Niagara Falls Memorial Medical Center
05.2006 - 08.2010
Education
Medical Assisting Internship/rotation, Family Practice, Mizer Building
340B ACE -
Apexus University
Bachelor’s degree in business, Health Service Administration -
Bryant & Stratton College
04.2021
Associate of Science, Medical Assisting -
Keiser University
10.2007
Certified Pharmacy Technician (CPHT)
09.2006
Skills
340B Ace
10 Years leadership/training/coaching
Management
Client relationship management
Strong presentation skills
Data and financial analytics
Creation and establishment of policies and standard operating procedures
Multiple Application and program tool experience: Salesforce, Workday, Jira, Confluence
In depth understanding of Healthcare field
Profound knowledge with Microsoft office suite (word, excel, power point, and outlook, Dynamic)
TPA experience
Good Telephone Etiquette
Timeline
Strategic Account Executive
The Craneware Group, Sentry Data Systems
11.2021 - Current
340B Program Manager
Niagara Falls Memorial Medical Center
09.2019 - 11.2021
Senior Review Specialist
Independent Health
09.2017 - 04.2020
Benefit Administration Appeal Operations Coordinator
Independent Health
06.2015 - 08.2017
Pharmacist Assistant
Independent Health
05.2012 - 06.2015
Certified Pharmacy Technician II
Roswell Park Cancer Institution
08.2010 - 05.2012
Certified Pharmacy Technician
Niagara Falls Memorial Medical Center
05.2006 - 08.2010
Medical Assisting Internship/rotation, Family Practice, Mizer Building
340B ACE -
Apexus University
Bachelor’s degree in business, Health Service Administration -
Bryant & Stratton College
Associate of Science, Medical Assisting -
Keiser University
Certified Pharmacy Technician (CPHT)