Michael Mamo
Bloomfield,CT
Summary
Patient access and pharmacy operations professional with 9 years of experience and a foundation as a CPhT supporting specialty medications within integrated health‑system environments. Skilled in navigating complex workflows including prior authorizations, benefit investigations, appeals, and financial assistance to resolve coverage barriers and support timely therapy initiation. Known for educating HCP offices, delivering exceptional patient care, and building trusted relationships with providers, clinic staff, and health‑system leadership. Brings strong proficiency in EMR systems, specialty pharmacy workflows, and regulatory compliance, including hands on experience with 340B program auditing, drug pricing, and program requirements. Recognized for exceptional interpersonal skills, team leadership, and a commitment to improving patient access and provider satisfaction.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Operations Associate
Shields Health Solutions
09.2023 - Current
- Supported cross‑functional initiatives to optimize integrated specialty pharmacy workflows across health‑system partners, improving efficiency, scalability, and patient access.
- Served as a 340B program auditor, ensuring compliance with HRSA guidelines, contract pharmacy requirements, demonstrating knowledge of program structure, drug pricing, eligibility rules, and replenishment models.
- Conducted audits of workflows, documentation, and medication access processes to ensure alignment with accreditation standards and Shields best practices.
- Identified revenue opportunities by analyzing clinic performance, patient volume, and payer mix to support expansion of liaison services and launch of new specialty clinics.
- Analyze regional and local payer coverage trends, reimbursement criteria, and payer mix.
- ·Provided training and guidance to teammates and partner sites to ensure successful implementation of workflow enhancements and technology integrations.
- Built strong relationships across business units to promote collaboration, operational alignment, and continuous improvement.
- Created presentations, documentation, and follow‑up materials to drive clarity, accountability, and adoption of new processes across partner sites.
Sr. National Pharmacy Liaison
Shields Health Solutions
05.2022 - 08.2023
- Spearheaded growth opportunity, identifying select patients to onboard to gain additional payor access.
- Assisted in auditing of revenue generating programs and provided direct workflow optimizations to drive growth.
- Served as a flex resource, supporting multiple health‑system partners, providing seamless coverage during new clinic launches, staffing gaps, and onboarding periods.
- Delivered high‑touch, in‑clinic patient support across a wide range of specialty disease states, ensuring timely access to therapy within complex hospital environments.
- Trained and stabilized new liaisons, providing structured guidance, workflow education, and Actionable feedback to accelerate their ramp‑up.
- Demonstrated strong expertise in insurance benefit structures, prior authorization workflows, financial assistance programs, and the appeals process to remove barriers to medication access.
- Educated clinic staff, leadership, and patients on the Shields integrated specialty pharmacy model to strengthen program integration and engagement.
Manager of Patient Services
Shields Health Solutions
05.2021 - 04.2022
- Recruited, hired and trained a team of 12 direct reports, providing direct supervision, ongoing staff development and continuing education to employees through regular feedback and essential person to person coaching.
- Developed workflows and conducted teachings to ensure effective collaboration with liaisons and partner initiatives.
- Collaborated with regional and functional leaders to launch new clinics, optimize workflows, and support strategic growth initiatives across the health system.
- Directed a team of Specialty Liaisons embedded within hospital specialty clinics, ensuring seamless delivery of Shields’ integrated specialty pharmacy model.
- Strengthened clinic operations by coaching and developing frontline staff, driving consistent execution of medication access workflows (PA/FA, refills, outreach, onboarding).
- Built and maintained trusted relationships with clinic leadership, pharmacy teams, and health‑system stakeholders to promote high quality patient care.
National Integration Pharmacy Liaison
Shields Health Solutions
07.2020 - 05.2021
Lead Pharmacy Technician
CVS Healthcare
05.2017 - 07.2020
Skills
- Strong knowledge of diverse specialty disease states and medication therapies
- Insurance benefit structures, prior authorization workflows, financial assistance programs, and appeals processes
- Proficient in major hospital EMR systems (Epic, Cerner)
- Skilled in pharmacy dispensing systems (QS1, RX30, WAM)
- Advanced proficiency in Microsoft Office (Excel, Word, Outlook, PowerPoint)
- Ability to learn and optimize new technology platforms and operational tools
- Hands‑on experience as a 340B program auditor with Knowledge of HRSA guidelines, contract pharmacy requirements, and drug pricing models
- Workflow development, process mapping, and operational redesign
- Data analysis, KPI tracking, and performance reporting
- Strong communication and relationship‑building with clinic leadership, pharmacy teams, and cross‑functional partners
- Organizational skills and attention to detail
- Cross‑functional collaboration with operations, pharmacy, and patient support teams
Certification
- Certified by the Pharmacy Technician Certification Board (PTCB)
Timeline
Operations Associate
Shields Health Solutions
09.2023 - Current
Sr. National Pharmacy Liaison
Shields Health Solutions
05.2022 - 08.2023
Manager of Patient Services
Shields Health Solutions
05.2021 - 04.2022
National Integration Pharmacy Liaison
Shields Health Solutions
07.2020 - 05.2021
Lead Pharmacy Technician
CVS Healthcare
05.2017 - 07.2020