Matthew Ridge
Mansfield,TX
Summary
Using my knowledge and skills gained to enhance an organization's pharmaceutical financial and operational performance.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Manager of Pharmacy Business Operations
Cook Children's Hospital
03.2017 - Current
- Successfully managed pharmacy revenue during the EMR conversion from Meditech to EPIC in March of 2018.
- Assisted in successfully releasing and collecting data in regard to CMS transparency pricing laws.
- Assisted in the build of new NDCs, custom NDCs and auditing NDC Jcodes/HCPCS codes.
- Work with patient relations regarding charging concerns.
- Oversaw pharmacy business operations staff members including Inpatient/Outpatient Pharmacy Buyers, Inventory specialist, Inpatient/Outpatient Pharmacy Revenue Analyst, Pharmacy Automation Admin, Pharmacy Automation Tech Supervisor, 340B Coordinator.
- Created reports and key communication features for hospital finance to understand pharmaceutical medication spent on a monthly basis.
- Worked directly with our GPO to balance and maintain above compliance purchases requirements, maximizing pharmacy savings.
- Oversee 340B spend, WAC spend, and GPO spend in a mix use hospital.
- Manage Pharmacy inventory between 7 pharmacies/satellite pharmacies and 5 different cost centers.
- Worked directly with C-suite to develop processes and procedures regarding White bagged medication, high dollar medication, and emergent high dollar non-formulary purchases.
- Created workflow to properly adjust pharmacy charges based on the pharmacy charge master, and pharmacy charging practices.
- Created policy and procedures to be compliant with DSCSA/DQSA laws.
- Assisting in preparation to open a specialty pharmacy out of the retail class A pharmacy.
- Developed reports to identify specialty classification drug revenue vs. retail classification drug revenue.
- Reconciled 835 remittance files for ACH/EFT pharmacy payments.
- Developed new workflows to better manage/reduce Retail Pharmacy account receivable.
- Reduced months end financial reports from a two-day task to a half day task.
- Member of the 340B sub-committee and attended/presented in the 340B committee meeting when necessary.
- Assisted in conducting pharmacy budget projections based on previous year’s spending and projected drug cost increase.
- Successfully developed the logistical workflow for the COVID-19 Pfizer vaccine to minimize the risk of vaccine loss.
- Successfully implemented multiple LOC/LOA for the pharmacy department to reduce spending.
- Manage/develop high dollar medication policies for a more collaborative approach from an organizational standpoint.
- Work with Clinical Pharmacy and Physicians to implement Biosimilar changes to reduce spending and comply with insurance demands.
- Created medication based proformas to implement charge structure for High-Cost Therapies.
- Created a successful process to follow in allowing our retail/specialty pharmacies to gain access to commercially self-funded limited access networks.
- Launched VFC for Cook Children’s Medical Center in collaboration with the Quality department.
Clinical Services Frontline Leader (Supervisor)
Humana Pharmacy
01.2014 - 03.2017
- Planning and management of resources to consistently meet production/incoming calls volume, quality and cost goals.
- Resolution of critical issues in a time-sensitive environment.
- Effective management of employee performance including appraisals, support, training and discipline.
- Monitor Key Performance Indicators, writing metric reports for senior management and delivering presentations of data.
- Communicate goals and performance standards to employees, coach and counsel employees towards improved performance, conduct performance evaluations and make recommendations regarding employees.
- Organize and monitor staffing schedules and rotations, approve time records and request for time off.
- Work in partnership with Work Force Management to ensure appropriate coverage of queues based on volume and prioritization hierarchy.
- Ensure consistent adherence to company policies, procedures and performance standards.
- Collaborate with cross-department and cross-site leaders to foster a cohesive environment.
- Create an annual compensation plan and deliver it to upper management.
- Participate in Humana-based development programs: Perfect Experience Summit, Leader Launch 2015.
Dispensing Production Lead
Humana Pharmacy
01.2012 - 01.2014
- Create associate level schedules to operate a pharmaceutical production line.
- Monitoring incoming queue volumes.
- Worked with upper management to improve production/efficiency
- Review staffing levels for proper workflow
- Auditing production policies and procedures to find/utilize best practices.
- Implementing processes in order to increase production efficiency.
- Monitored and coached on any quality errors that occurred.
- Creating and keeping policies, procedures and work instruction sheets.
- Properly compounding and storing hazardous waste is regulated.
- Visually evaluating dispensing technicians to determine individual growth.
Education
Masters - Human Services, concentration in Leadership and Management
Concordia University
Seward, NE01.2015
B.A. - undefined
Concordia University
Seward, NE01.2010
Skills
Led collaborative efforts to drive project success and meet objectives Facilitated decision-making by leveraging attention to detail Presented insights and guided teams towards strategic outcomes
Certification
- Medical Coding and Billing Certification, March 2024
- TCU Neeley Executive Education Certificate March 2023
- National Pharmacy Technician Certification # 580107010265208
- Humana Yellow Belt Certified and Green Belt Certified.
Panelist & Steering Committees Representations
- Presented at 2019 CHA purchasing conference regarding medication shortage management.
- Presented at 2020 CHA conference regarding Management of high dollar emergent non-formulary
- Panelist in 2023 DSCSA Implementation for AmerisourceBergen/Children’s Hospital Association
- Presented/panelist at 2024 CHA conference regarding “340B-A Entity Owned Pharmacy”
- Expert roundtable panelist member of the 2025 Vizient Cell, Gene & Specialty Symposium.
- Presented at the Business and Operations 2025 Fall Forum-High-Cost Therapies.
- St. John Lutheran Church Board of Directors-member at large. December, 2025-2027
- CHA, HCT Steering Committee. -2026
- Panelist for M&D Company Kick-Off 2026 (Customer Vision) February 2026
- Panelist for the 2026 Pop-Q High Cost & Gene Therapy Conference-scheduled April 2026
- Expert Panelist for the 2026 Vizient Cell, Gene & Specialty Symposium.
SUMMARY OF QUALIFICATIONS
- Organized and goal-oriented, with more than fourteen years in a pharmacy setting and over eleven years leadership focus.
- Extensive experience supporting, developing and motivating teams to do better and to drive continuous improvements across a range of work activities.
- Keen eye for detail. Capable of anticipating issues and creating new systems/processes to streamline operations, resolve concerns and improve efficiency.
- Skilled in building excellent rapport with clients and team members; Communicate complex ideas clearly and concisely both written and verbally; see the big picture, delegate effectively and motivate team members to achieve overall objectives and meet on-time deliverables.
- Acquire new technical skills easily. Computer experience includes Word, Excel, PowerPoint, Outlook, OneNote, CMS Avaya, and multiple pharmacy based processing and dispensing programs.
- Experience in generating and manipulating financial reports in Meditech and EPIC.
- Started and grew a new department from 27 associates to 66 associates while meeting department/business expectations.
- Maintain top performing engagement with peers and direct reports.
- Group lead/individual presentations to upper management including Directors/Vice Presidents.
- In-depth understanding of medication inventory management.
- Develop and build relationships with supporting organizations.
- Ability to review and enhance workflows to optimize staffing and productivity.
- Can independently work with vendors to initiate Letters of Commitment/Agreement to reduce high dollar medication expenses.
- Experience in completing proformas for spend increase, cost savings, gross revenue reimbursement, and projected loss.
- Represented the Pharmacy department during bi-weekly Covid-19 Command Center Calls to report on vaccine, medication, and pharmacy supply shortages or logistical updates.
- Point of contact for the Covid-19 North Texas Respiratory Infection Center and Regen-Cov procurement through HHS.
- Contract review for Retail Pharmacy PSAO, and direct insurance agreements.
Timeline
Manager of Pharmacy Business Operations
Cook Children's Hospital
03.2017 - Current
Clinical Services Frontline Leader (Supervisor)
Humana Pharmacy
01.2014 - 03.2017
Dispensing Production Lead
Humana Pharmacy
01.2012 - 01.2014
Masters - Human Services, concentration in Leadership and Management
Concordia University
B.A. - undefined
Concordia University