Summary
Overview
Work History
Education
Skills
Accomplishments
Work Availability
Timeline
Michelle Jacobson, Pharm D

Michelle Jacobson, Pharm D

Hudson,Wisconsin

Summary

Accomplished, self-motivated and results-driven trade client, senior director with a proven record of leadership and performance in dynamic environments. Recognized as a compassionate, hard-working, responsible, and empowering leader with the ability to motivate and develop personnel, while still promoting the company's core mission and values. Strong background in managed care, clinical pharmacy, government programs, commercial market management. Patient/member-centered leader with extensive knowledge and 20+ years’ experience. Strategic-thinking individual experienced in turning low-performing organizations into top revenue producers. Offering engaging and pleasant personality with expertise improving customer relationships. Functional Senior Director driving proven results within PBM industry. Manages complex occupational issues while meeting business objectives. Strong operational skills and solid experience regulating policies and managing budget expenditures. Collaborates with management teams and stakeholders to uphold company vision.

Overview

22
22
years of professional experience

Work History

Senior Director, Trade Client Relations

Prime Therapeutics
03.2022 - Current
  • Responsible for analysis, modeling & delivery of innovative pharmacy & medical rebate strategies, and cost saving solutions
  • Prioritized and allocated valuable resources to meet business targets.
  • Delivery of highest quality & lowest cost of care to client’s members
  • Understand and explain rebate guarantees, pharmaceutical manufacture agreements, drug trends & optimizing client savings
  • Identify barriers to implement strategies & effectively collaborate alignment
  • Establish relationships with manufactures and understanding of external markets
  • Maintain an understanding of present & future competitive pharmaceutical landscape with an ability to forecast changes to pharmaceutical market.
  • Directed design and execution of business transformation initiatives to drive performance, profit optimization and growth opportunities.
  • Drove strategic improvements to enhance operational and organizational efficiencies.

Clinical Program Director

Prime Therapeutics
11.2018 - 03.2022
  • Responsible for the management of client specific clinical programs, formulary & trade strategy, and Medicare Part C & D stars measures
  • Work directly with clients to provide consultative support as an individual and across multi- functional groups
  • Management and design of standard and full custom formularies
  • Lead CPM responsible for PRC and P&T presentation
  • Responsible (SME) for coordination with Formulary Development, Trade Relations, and Utilization Management (UM) on Prime standard formularies and responsible for presenting to P&T
  • Present and enroll new clinical programs to improve and maintain Medicare Five-star measures
  • Lead and participate in monthly, quarterly, annual large group client presentations
  • Lead and participate in cross functional work groups
  • Supervise and mentor new clinical pharmacists and analyst
  • Primary contact for Medicare & EGWP RFPs
  • Experience with PDP,MAPD,EGWP & dSNP Medicare populations.
  • Oversaw clinical integrity and milieu of program and supervision of staff providing clinical and direct care services.
  • Facilitated outcomes-focused, evidence-based programs in identified areas of community need.
  • Directed and supervised clinical program staff.
  • Interviewed and hired highly talented individuals bringing great skills and passion to daily jobs.

Clinical Program Manager

Prime Therapeutics, Government Programs
02.2016 - 11.2018
  • Responsible for the management of client specific clinical, formulary, trade strategy, and Medicare Part D stars measure
  • Work directly with clients to provide consultative support as an individual and across multi- functional groups
  • Management of standard and full custom formularies
  • Present and enroll new clinical programs to improve and maintain Medicare star measures
  • Lead and participate in monthly/quarterly and annual large group client presentations
  • Lead and participate in cross functional work groups.
  • Identified opportunities to improve clinical practices, devised strategies and implemented plans to increase patient care standards and enhance operational procedures.

Pharmacy Director

University Of Minnesota
12.2013 - 02.2016
  • Responsible for pharmacy and clinic medication monthly & annual budget and management
  • Primarily responsible for negotiation and management of multiple rebate and incentive pharmacy contracts
  • Worked directly with HR to hire, evaluate, scheduling and discipline, when required
  • Reported directly to the Chief Medical Officer
  • Chair of P&T committee, responsible for development and management of University of Minnesota student prescription formulary
  • Evaluated all UM, FE and CD for members
  • Member of Clinical Director committee and Leadership committee
  • Created and enforced policies for pharmacy, single dose vials for clinic use, pharmacy delivery service
  • Presented CEU's to prescribers, staff, and faculty
  • Presented pharmacy law, pharmacy updates and pharmacy practice to clinic staff members
  • Responsible for reporting pharmacy prescribing data to the PMP via QS1, update controlled substance data and run daily reporting logs
  • Responsible for internal and external audits
  • Responsible for 340B contracts, stock/inventory & reporting.
  • Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
  • Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
  • Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
  • Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
  • Developed policies and procedures for effective pharmacy management.
  • Successfully negotiated client contract renewals to create increased revenue.

Pharmacy Manager

Setzer Pharmacy
01.2010 - 12.2013
  • Responsible for management of pharmacy and scheduling of employees
  • Negotiated and Managed multiple rebate and incentive pharmacy contracts
  • Hiring, training, evaluations and termination of interns, technicians and clerks
  • Preceptor to all APPE and IPPE students
  • Conducted medication therapy management on a daily/weekly basis, along with dispensing high volume RX's, counseling patients, answering multi-line phone calls, and answered questions from physicians and insurance companies
  • Implemented new cost savings inventory management and responsible maintaining inventory; daily, weekly, and monthly orders
  • HIPAA compliance and privacy officer
  • Responsible for creating and maintaining policies and procedure manual.
  • Monitored and managed pharmacy staff performance to maximize productivity and customer satisfaction.
  • Enforced compliance with pharmacy regulations and maintained up-to-date records of all medications dispensed.

Staff Pharmacist

Setzer Pharmacy
07.2001 - 01.2010
  • Provided excellent patient care
  • Efficiently answered multi-line phones while processing high volume order requests from nurses, doctors and patients
  • Preceptor for APPE/IPPE students, mentor for first year pharmacy students
  • Excellent at multi-tasking and conflict resolution
  • Implemented the immunization program; obtained standing order, OSHA standards and documentation, CPR certification, MIIC training and recording
  • Conducted daily Medication Therapy Management (reviewing patient charts, RX medications, OTC medications, checking for duplicate therapy, interactions, side effects, cost effectiveness, blood level checks; renal/liver impairment, INR, TSH, etc.)
  • Interpreted prescriptions from healthcare providers to properly dispense medications and health products.

Education

Pharm D -

University of Minnesota, College of Pharmacy, Minneapolis, MN
05.2001

Bachelor of Science - Social Work

University of St. Thomas, Saint Paul, MN
05.1994

Skills

  • Collaborative Leadership
  • Policy Development
  • Pipeline Development
  • Data Analytics
  • Strategic Vision
  • Team-Building Abilities
  • Coaching and Mentorship
  • Government Relations
  • Managing RFPS
  • Negotiation and Conflict Resolution
  • Collaborate Cross-Functionally

Accomplishments

Keystone Leadership Development

President's Award Finalist

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Senior Director, Trade Client Relations - Prime Therapeutics
03.2022 - Current
Clinical Program Director - Prime Therapeutics
11.2018 - 03.2022
Clinical Program Manager - Prime Therapeutics, Government Programs
02.2016 - 11.2018
Pharmacy Director - University Of Minnesota
12.2013 - 02.2016
Pharmacy Manager - Setzer Pharmacy
01.2010 - 12.2013
Staff Pharmacist - Setzer Pharmacy
07.2001 - 01.2010
University of Minnesota, College of Pharmacy - Pharm D,
University of St. Thomas - Bachelor of Science, Social Work

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Michelle Jacobson, Pharm D